SIGNED FINAL LPHD Public Health Infrastructure Grant & Modifications (incorrect agency type list) 2-7-2025

Template Revision: 10/01/2024 (previous templates no longer usable)
GRANT AGREEMENT MODIFICATION between theSTATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICESAndSauk County Public Health for LPHD Public Health Infrastructure Grant DPH Contract No.: 61942-2
Agreement Amount: $222,881
Agreement Term Period: 12/01/2022 to 11/30/2027
GEARS Pre-Packet No: 29137
DHS Division: Division of Public Health
DHS Grant Administrator:Anna Benton
DHS 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
Modification Description: We are correcting a previous error on the original contract for the Public Health Infrastructure Grant Program (Profile 155820). The original contract had the incorrect agency type listed. This modification corrects the error by adding funding to agency type 30. Please see attached scope(s) of work. 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.