**LIST of CERTIFICATIONS**

1.  **CERTIFICATION REGARDING LOBBYING**

Title 31, United States Code, Section 1352, entitled \"Limitation on use
of appropriated funds to influence certain Federal contracting and
financial transactions,\" generally prohibits recipients of Federal
grants and cooperative agreements from using Federal (appropriated)
funds for lobbying the Executive or Legislative Branches of the Federal
Government in connection with a SPECIFIC grant or cooperative agreement.
Section 1352 also requires that each person who requests or receives a
Federal grant or cooperative agreement must disclose lobbying undertaken
with non-Federal (non-appropriated) funds. These requirements apply to
grants and cooperative agreements EXCEEDING \$100,000 in total costs (45
CFR Part 93). By signing and submitting this application, the applicant
is providing certification set out in Appendix A to 45 CFR Part 93.

> **2. CERTIFICATION REGARDING PROGRAM FRAUD CIVIL REMEDIES ACT
> (PFCRA)**

The undersigned (authorized official signing for the applicant
organization) certifies that the statements herein are true, complete,
and accurate to the best of his or her knowledge, and that he or she is
aware that any false, fictitious, or fraudulent statements or claims may
subject him or her to criminal, civil, or administrative penalties. The
undersigned agrees that the applicant organization will comply with the
Department of Health and Human Services terms and conditions of award if
a grant is awarded as a result of this application.

> **3. CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE**

Public Law 103-227, also known as the Pro-Children Act of 1994 (Act),
requires 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, early
childhood development services, education or library services to
children under the age of 18, if the services are funded by Federal
programs either directly or through State or local governments, by
Federal grant, contract, loan, or loan guarantee. The law also applies
to children's services that are provided in indoor facilities that are
constructed, operated, or maintained with such Federal funds. The law
does not apply to children's services provided in private residence,
portions of facilities used for inpatient drug or alcohol treatment,
service providers whose sole source of applicable Federal funds is
Medicare or Medicaid, or facilities where WIC coupons are redeemed.

Failure to comply with the provisions of the law may result in the
imposition of a civil monetary penalty of up to \$1,000 for each
violation and/or the imposition of an administrative compliance order on
the responsible entity.

The authorized official signing for the applicant organization certifies
that the applicant organization will comply with the requirements of the
Act and will not allow smoking within any portion of any indoor facility
used for the provision of services for children as defined by the Act.
The applicant organization agrees that it will require that the language
of this certification be included in any sub-awards which contain
provisions for children's services and that all sub-recipients shall
certify accordingly.

The Department of Health and Human Services strongly encourages all
grant recipients to provide a smoke-free workplace and promote the
non-use of tobacco products. This is consistent with the DHHS mission to
protect and advance the physical and mental health of the American
people.