SIGNED FINAL 8-4-2023_ Workforce Development Additional Funding Profile 155812 10-01-2020-12-31-2024

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Template Revision: 06/19/2023 (previous templates no longer usable)
GRANT AGREEMENT MODIFICATION
between the
STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES
And
SAUK CO PHD
for
2021 DPH Consolidated Contract
DPH Contract No.: 47748-14
Agreement Amount: $65,542
Agreement Term Period: 10/01/2020 to 12/31/2024
GEARS Pre-Packet No: 24171
DHS Division: Division of Public Health
DHS Grant Administrator: Anna Benton
DHS Email: DHSGACMail@dhs.wisconsin.gov
Grantee Grant Administrator: Ms Treemanisha Stewart
Grantee Address: 505 BROADWAY STREET, BARABOO, WI, 53913
Grantee Email: treemanisha.stewart@saukcountywi.gov
Modification Description: We are adding funding for the Workforce Development Grant (Profile 155812). Please see attached Scope of Work. We are also attaching a revised Scope of Work for ARPA COVID Recovery (Profile 155811) to include additional information on allowable activities and reporting requirements. Final reports are due 45 days from the end of the designated contract period for any included profiles.
This is a Modification of an existing Agreement, as specified above. This Modification of Agreement encompasses both Amendments and Addendums to an existing Grant Agreement. This Modification is entered into by and between the State of Wisconsin Department of Health Services (DHS) and the Grantee listed above. With the exception of the terms being modified by this Grant Agreement Modification, ALL OTHER TERMS AND CONDITIONS OF THE EXISTING AGREEMENT, 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 Modification 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.