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Page 1 – Alabama WIC Vendor Agreement FY 2027-2029 STATE OF ALABAMA MONTGOMERY COUNTY ALABAMA WIC VENDOR AGREEMENT AUTHORITY: This agreement is made pursuant to the provisions of Public Law 89-642, as amended, consolidated regulations promulgated thereunder, codified at 7 C.F.R. § 246 (1999), and Code of Ala. 1975, § 22-12C-1, et seq. PARTIES: This agreement is entered into by and between the Alabama Department of Public Health, hereinafter referred to as “Department,” and retail vendor identified below, hereinafter referred to as “Vendor,” in consideration of the terms, conditions, and covenants herein contained and the provisions stipulated. This agreement is effective on the date notated below and terminates September 30, 2029. NAME OF STORE OR BUSINESS STREET ADDRESS CITY STATE ALABAMA WIC PROGRAM AGENCY USE ONLY WIC VENDOR AGREEMENT NUMBER EFFECTIVE DATE

ZIP COUNTY PURPOSE: The purpose of this agreement is to provide a mechanism for the distribution of nutritious foods to eligible women, infants, and children, and/or duly designated proxies. Alabama’s Women, Infants and Children Program is hereinafter referred to as the “Alabama WIC Program” or “WIC Program.” The Alabama WIC Program operates a retail food delivery system. The Alabama WIC Program food delivery and federal regulations define a food instrument as a voucher, check, electronic benefits transfer (EBT), coupon or other document which is used by a participant to obtain supplemental foods. The Alabama WIC Program utilizes EBT, commonly known as eWIC. The Department provides reimbursement to the Vendor upon properly processed eWIC transactions. THE PARTIES HEREBY AGREE AND CONVENANT AS FOLLOWS: SECTION I THE DEPARTMENT SPECIFICALLY AGREES TO: 1. Provide a stand-beside point of sale (POS) device to non-integrated participating retailers at no cost in a manner consistent with 7 CFR § 246.12(z)(2). 2. Pay all valid eWIC transactions properly submitted for payment. eWIC transactions may be deemed invalid for payment or, if paid, future payments may be offset for any of the following reasons: a. The Vendor does not successfully submit the eWIC claim to the Alabama eWIC service provider processing system as required; b. Vendor failed to connect to the host server within a contiguous 48-hour period; c. The eWIC transaction appears to be forged, altered, or falsified;