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DocuSign Envelope ID:86C86165-F915-4C58-8C57-2284F5D9E950 <br /> 11. The site(s) for the performance of work done in connection with the specific agreement are <br /> listed below: <br /> 1, 113 Ma ❑ Street <br /> (Street address) <br /> Hillsborough. Orange,NC,27278 <br /> (City,county, state,zip code) <br /> 2, 2501 Homestead Road <br /> (Street address) <br /> Chapel Hill, Orange,NC 27_510 -- -- - - <br /> (City, county, state, zip code) <br /> Contractor will inform the County of any additional sites for performance of work under this <br /> agreement. <br /> False certification or violation of the certification shall be grounds for suspension of payment, <br /> suspension or termination of grants, or government-wide Federal suspension or debarment <br /> (Section 4 CFR Part 85, Section 85.615 and 86.620), <br /> Docu5igl1ned by: <br /> �At1lt L �ab Interpreter <br /> �6C�2E@A79@74�d Title <br /> iiisuuua . <br /> 2/13/2020 <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> Federal Certification-Drug-Free Workplace(06/04) Page 2 of 2 <br />