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DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />DIVISION OF PUBLIC HEALTH <br />CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE <br />Certification for Contracts, Grants, Loans and Cooperative Agreements <br />Public Law 103 -227, Part C- Environmental Tobacco Smoke, also known as the Pro- Children Act of 1994 <br />(Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or <br />contracted for by an entity and used routinely or regularly for the provision of health, day care, education, <br />or library services to children under the age of 18, if the services are funded by Federal programs either <br />directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law <br />does not apply to children's services provided in private residences, facilities funded solely by Medicare or <br />Medicaid funds, and portions of facilities used for inpatient drug or alcohol treatment. Failure to comply <br />with the provisions of the law may result in the imposition of a civil monetary penalty of up to S 1,000.00 <br />per day and/or the imposition of an administrative compliance order on the responsible entity. <br />By signing and submitting this application, the Contractor certifies that it will comply with the <br />requirements of the Act. The Contractor further agrees that it will require the language of this certification <br />be included in any subawards that contain provisions for children's services and that all subgrantees shall <br />certify accordingly. <br />Signature <br />Agency /Organization <br />Date <br />(Certification signature should be same as Contract signature.) <br />Title <br />19 <br />