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Contract # <br />(Contractor) <br />ATTACHMENT F' <br />CERTIFICATTgN REGARDING ENVIRONMENTAL TOBACCO SMOKE <br />Cabartus County Department of Social Services <br />;s,,~ a =+~~n for Contras rr,~ts Loans aid Coopera ive eements <br />Public Law 103-227, Part C-Enviranntental Tobacco Smoke, also known as the Pro- <br />Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any <br />indoor facility owned or leased or contracted for by an entity and used routinely or <br />regularly for the provision of health, day care, education, or library services to children <br />under the age of 18, if the services are funded by Federal. programs either directly or <br />through State or local governments, by Federal grant, contract, loan, or loan guarantee. <br />The law does not apply to children's services provided in private residences, facilities . <br />funded solely byMedicare or Medicaid funds, and portions of facilities used for inpatient <br />drug or alcohol treatment, Failure to comply with the provisions of the law may result In <br />the imposition of a civil monetary penalty of up to $1,000 per day and/or the imposition of <br />an administrative compliance order on the responsible entity <br />By signing and submitting this application, the Contractor certifies that it will comply with <br />the requiretttenta of the Act. The Contractor fttrther agrees that it will require the <br />language of this certification be included in any subawards which contain provisions for <br />children's services and that all subgrantees shall certify accordingly. <br />c <br />Sig re <br />Title <br />('arnlin a Mcsclica_1 CenterMort f?a6t ~'$ 0'7 <br />Agency/Organization Dats <br />(Certification signature should be same as Contract signature.) <br />r---~ <br />(Federal Certifioation -Environmental Tobacco Smoke) (06/04) Page 1 of 1 <br />