SIGNED FINAL 10-9-2025 OD2A (150218) & Overdose Fatality Program (150216) Additional Funding Sauk_Co_HD-2025_DPH_Consolidated_Contr

DH-IS Grant Agreement No.: 435100-G25-DPHCC25-65 MS
DP>H Contract No.: 65445-5
Ag;reement Amount: $144,000
Ag;reement Term Period: 10/1/2024 to 9/30/2026
GE�ARS Pre-Packet No: 1466 and 1559
DH-IS Division: Division of Public Health
DH-IS Grant Administrator: Anna Benton
DH:rs Email: DHSGACMail@dhs.wisconsin.gov

Grantee Grant Administrator: Ms Jennifer Weitzel Grantee Address: 505 BROADWAY STREET, BARABOO, WI, 
539132496
Grantee Email: jennifer.weitzel@saukcountywi.gov

Moodification Description: We are adding funding for the Overdose Data to Action (OD2A) Program 
(Profile 150218) and
the: Overdose Fatality Program (Profile 150216). Please see attached scope(s) of work. Final 
reports are due 45 days
fro,m the end of the designated contract period for any included profiles.
Th1is is a Modification of an existing Agreement, as specified above. This Modification of 
Agreement encompasses both Amneendments and Addendums to an existing Grant Agreement. This 
Modification is entered into by and between the State ofWisconsin Department of Health Services 
(DHS) and the Grantee listed above. With the exception of the terms being mo)dified by this Grant 
Agreement Modification, ALL OTHER TERMS AND CONDITIONS OF THE EXISTING AG:iREEMENT, INCLUDING 
FUNDING, REMAIN IN FULL FORCE AND EFFECT. This Modification, including any and all attachments 
herein and the existing agreement, collectively, are the complete agreement of the parties and 
supersede any prior agreements or representations. DHS and the Grantee acknowledge that they have 
read the Modification and understand and agree to be bound by the terms and conditions of the 
existing agreement as modified by this action. This Moodification becomes null and void if the time 
between the earlier dated signature and the later dated signature exceeds
sIx:ty (60) days, unless waived by DHS.