Laserfiche WebLink
DocuSign Envelope 10: 62955F10-7A37-4CBO-A808-2BA7AOB5515E <br />applicable Federal funds is Medicare or Medicaid, or <br />facilities where WIC coupons are redeemed. <br />Failure to comply with the provisions of the law <br />may result in the imposition of a civil monetary <br />penalty of up to $1,000 for each violation and/or <br />the imposition of an administrative compliance <br />order on the responsible entity. <br />By signing the certification, the undersigned certifies <br />that the contracting organization will comply with <br />the requirements of the Act and will not allow <br />smoking within any portion of any indoor facility <br />used for the provision of services for children as <br />defined by the Act. <br />The contracting organization agrees that it will <br />require that the language of this certification be <br />included in any subcontracts which contain <br />proviSions for children's services and that all Sub- <br />recipient/vendors shall certify accordingly. <br />SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL <br />I ~DocuSigned by: <br />aM~ IltblMitUA. <br />r-72F 'Pfflrs~21frs'O print or type name: <br />Anita Monoian <br />ORGANIZATION NAME: (if applicable) <br />Anita Monoian, CEO <br />The Public Health Services strongly encourages all <br />recipients to provide a smoke-free workplace and <br />promote the non-use of tobacco products. This is <br />consistent with the PHS mission to protect and <br />advance the physical and mental health of the <br />American people. <br />6. CERTIFICATION REGARDING CLEAN AIR ACT <br />CEO <br />By signing the certification, the undersigned certifies <br />that the contracting organization will comply with all <br />requirements, applicable standards, orders, and <br />regulations contained in the Clean Air Act (42 U.S.c. <br />7401-7671q.) and the Federal Water Pollution <br />Control Act (33 U.S.c. 1251-1387). The undersigned <br />also acknowledges and that any violations after <br />contract award must be reported to WAHBE and the <br />Regional Office of the Environmental Protection <br />Agency (EPA). <br />TITLE <br />DATE <br />1/27/2017 <br />HBE-349 YNHS Exhibit B -Federal Compliance, Certifications, And Assurances Page 20 of41