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DocuSign Envelope ID: 62955F1D-7A37-4CB0-A8D8-2BA7ADB5515E
<br />Olympia, WA 98501
<br />3. CERTIFICATION REGARDING LOBBYING
<br />Title 31, United States Code, Section 1352, entitled
<br />"Limitation on use of appropriated funds to influence
<br />certain Federal contracting and financial
<br />transactions," generally prohibits recipients of
<br />Federal grants and cooperative agreements from
<br />using Federal (appropriated) funds for lobbying the
<br />Executive or Legislative Branches of the Federal
<br />Government in connection with a SPECIFIC grant or
<br />cooperative agreement. Section 1352 also requires
<br />that each person who requests or receives a Federal
<br />grant or cooperative agreement must disclose
<br />lobbying undertaken with non -Federal
<br />(nonappropriated) funds. These requirements apply
<br />to grants and cooperative agreements EXCEEDING
<br />$100,000 in total costs (45 CFR Part 93).
<br />The undersigned (authorized official signing for the
<br />contracting organization) certifies, to the best of his
<br />or her knowledge and belief, that:
<br />(1) No Federal appropriated funds have been paid or
<br />will be paid, by or on behalf of the undersigned, to
<br />any person for influencing or attempting to
<br />influence an officer or employee of any agency, a
<br />Member of Congress, an officer or employee of
<br />Congress, or an employee of a Member of Congress
<br />in connection with the awarding of any Federal
<br />contract, the making of any Federal grant, the
<br />making of any Federal loan, the entering into of any
<br />cooperative agreement, and the extension,
<br />continuation, renewal, amendment, or modification
<br />of any Federal contract, grant, loan, or cooperative
<br />agreement.
<br />(2) If any funds other than Federally appropriated
<br />funds have been paid or will be paid to any person
<br />for influencing or attempting to influence an officer
<br />or employee of any agency, a Member of Congress,
<br />an officer or employee of Congress, or an employee
<br />of a Member of Congress in connection with this
<br />Federal contract, grant, loan, or cooperative
<br />agreement, the undersigned shall complete and
<br />submit Standard Form -LLL, "Disclosure of Lobbying
<br />Activities," in accordance with its instructions. (If
<br />needed, Standard Form -LLL, "Disclosure of Lobbying
<br />Activities," its instructions, and continuation sheet
<br />are included at the end of this application form.)
<br />(3) The undersigned shall require that the language of
<br />this certification be included in the award documents
<br />for all subcontracts at all tiers (including
<br />subcontracts, subcontracts, and contracts under
<br />grants, loans and cooperative agreements) and that
<br />all Sub-recipient/vendors shall certify and disclose
<br />accordingly.
<br />This certification is a material representation of fact
<br />upon which reliance was placed when this
<br />transaction was made or entered into. Submission of
<br />this certification is a prerequisite for making or
<br />entering into this transaction imposed by Section
<br />1352, U.S. Code. Any person who fails to file the
<br />required certification shall be subject to a civil
<br />penalty of not less than $10,000 and not more than
<br />$100,000 for each such failure.
<br />4. CERTIFICATION REGARDING PROGRAM FRAUD CIVIL
<br />REMEDIES ACT (PFCRA)
<br />The undersigned (authorized official signing for the
<br />contracting organization) certifies that the
<br />statements herein are true, complete, and accurate
<br />to the best of his or her knowledge, and that he or
<br />she is aware that any false, fictitious, or fraudulent
<br />statements or claims may subject him or her to
<br />criminal, civil, or administrative penalties. The
<br />undersigned agrees that the contracting
<br />organization will comply with the Public Health
<br />Service terms and conditions of award if a contract is
<br />awarded.
<br />5. CERTIFICATION REGARDING ENVIRONMENTAL
<br />TOBACCO SMOKE
<br />Public Law 103-227, also known as the Pro -Children
<br />Act of 1994 (Act), requires that smoking not be
<br />permitted in any portion of any indoorfacility owned
<br />or leased or contracted for by an entity and used
<br />routinely or regularly for the provision of health, day
<br />care, early childhood development services,
<br />education or library services to children under the
<br />age of 18, if the services are funded by Federal
<br />programs either directly or through State or local
<br />governments, by Federal grant, contract, loan, or
<br />loan guarantee. The law also applies to children's
<br />services that are provided in indoor facilities that are
<br />constructed, operated, or maintained with such
<br />Federal funds. The law does not apply to children's
<br />services provided in private residence, portions of
<br />facilities used for inpatient drug or alcohol
<br />treatment, service providers whose sole source of
<br />HBE-349 YNHS Exhibit B — Federal Compliance, Certifications, And Assurances Page 19 of 41
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