SIGNED FINAL 6-26-2023_TB DISPENSARY Contract 2022-2023_435100-G23-63 July 2022-June 30, 2023

GRANT AGREEMENT

between the

State of Wisconsin Department of Health Services And

Sauk County Public Health Department

for

Tuberculosis (TB) Dispensary Program

DHS Grant Agreement No.: 435100-G23-TBDISPENSE-63

Agreement Amount: Sum Sufficient

Agreement Term Period: July 1, 2022, to June 30, 2023 DHS Division: Public Health

DHS Grant Administrator: Patricia Heger DHS Telephone: 608-266-9692

DHS Email: patricia.heger@dhs.wisconsin.gov

Grantee Grant Administrator: Treemanisha Stewart

Grantee Telephone: 608-355-3290

Grantee Email: treemanisha.stewart@saukcountywi.gov

Grantee Unique Entity Identifier (UEI), formerly DUNS Name: County of Sauk Grantee Unique Entity Identifier (UEI), formerly DUNS Number: MBBBU1XPJ4M5 Grantee FEIN: 396005740

DHS and the Grantee acknowledge that they have read the Agreement and the attached documents, understand them and agree to be bound by their terms and conditions. Further, DHS and the Grantee agree that the Agreement and the exhibits and documents incorporated herein by reference are the complete and exclusive statement of agreement between the parties relating to the subject matter of the Agreement and supersede all proposals, letters of intent or prior agreements, oral or written and all other communications and representations between the parties relating to the subject matter of the Agreement. DHS reserves the rights to reject or cancel Agreements based on documents that have been altered. This Agreement becomes null and void if the time between the earlier dated signature and the later dated signature exceeds sixty (60) days, unless waived by DHS.