SIGNED FINAL Public Health Vending Machine Sauk Co HD RUSH 533517 -SOR-3 435200-G24-56-30_8-19-2024

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Template Revision: 07/09/2024 (previous templates no longer usable)
GRANT AGREEMENT
between the
State of Wisconsin Department of Health Services
and
Sauk County Public Health
for
Public Health Vending Machine - SOR3
DHS Grant Agreement No.: 435200-G24-56-30 Agreement Amount: $145,000
Agreement Term Period: 6/1/2024 to 9/29/2024 GEARS Pre-Packet No: 27248
DHS Division: Division of Care and Treatment Services DHS Grant Administrator: Tiffaney Nielson
DHS Telephone: 608-260-5119
DHS Email: tiffaneym.nielson@dhs.wisconsin.gov
Grantee Grant Administrator: Hannah Erdman Grantee Telephone: 608-355-4319
Grantee Email: Hannah.erdman@saukcountywi.gov

Grantee Unique Entity Identifier (UEI) Name: County of Sauk

Grantee Unique Entity Identifier (UEI) Number: MBBBU1XPJ4M5
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.