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Hillsborough NC 27278 <br />City, State, Zip Code <br />2501 Homestead Road <br />Street <br />Chapel Hill NC 27516 <br />City, State, Zip Code <br />_______________________________________________________________________________________________ <br /> <br />3. Contractor will inform the Department of any additional sites for performance of work under this agreement. <br />4. False certification or violation of the certification may be grounds for suspension of payment, suspension or termination <br />of grants, or government-wide Federal suspension or debarment. 45 C.F.R. 82.510. <br /> <br /> <br />III. Certification Regarding Environmental Tobacco Smoke <br /> <br />Public Law 103-227, Part C-Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), requires <br />that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, education, or library services to children under the age of 18, if <br />the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, <br />loan, or loan guarantee. The law does not apply to children's services provided in private residences, facilities funded solely <br />by Medicare or 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 $1,000.00 per day and/or the <br />imposition of an administrative compliance order on the responsible entity. <br /> The Contractor certifies that it will comply with the requirements of the Act. The Contractor further agrees that it will <br />require the language of this certification be included in any subawards that contain provisions for children's services and <br />that all subgrantees shall certify accordingly. <br /> <br />IV. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier <br />Covered Transactions <br /> <br />Instructions <br /> <br />[The phrase "prospective lower tier participant" means the Contractor.] <br /> <br />1. By signing and submitting this document, the prospective lower tier participant is providing the certification set out <br />below. <br /> <br />2. The certification in this clause is a material representation of the fact upon which reliance was placed when this <br />transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an <br />erroneous certification, in addition to other remedies available to the Federal Government, the department or agency <br />with which this transaction originate may pursue available remedies, including suspension and/or debarment. <br /> <br />3. The prospective lower tier participant will provide immediate written notice to the person to whom this proposal is <br />submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted <br />or has become erroneous by reason of changed circumstances. <br /> <br />4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," <br />"person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have <br />the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549, 45 CFR <br />Part 76. You may contact the person to whom this proposal is submitted for assistance in obtaining a copy of those <br />regulations. <br /> <br />5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter any lower tier covered transaction with a person who is debarred, suspended, <br />Docusign Envelope ID: AC4C45CF-250D-4DE2-95AE-CF75873C779C