78-13 UMDNJ - Original Agreement.pdf

NEW JERSEY UMDNJ, New Jersey's University of the Health Sciences Agreement Between New Jersey Medical School National Tuberculosis Center University of Medicine and Dentistry of New Jersey and Township of West Orange The Agreement, made this ist day of April, 2005 between the New Jersey Medical School National Tuberculosis Center at the University of Medicine and Dentistry of New Jersey, having its principal offices at 225 Warren Street, Newark, County of ESSEX, State of New Jersey (hereinafter known as "Medical School") and the TOWNSHIP OF WEST ORANGE [Health Department] a municipal corporation of the State of New Jersey having its principal offices at 66 Main Street, West Orange, County of Essex, State of New Jersey (hereinafter known as the "Township"). WITNESSETH WHEREAS, pursuant to N_J.S.A. 40A:11-5(2), any contract or agreement, may be entered into with, inter alia, the State or agency thereof, without public advertising for bids; and WHEREAS, the Township provides tuberculosis prevention and control services; and WHEREAS, it is in the best interest of the Township to enter into agreement with the Medical School for the provision of medical consultation services in connection with the Tuberculosis Prevention and Control Program for the period April 1, 2005 through December 31, 2006. WHEREAS, an Agreement is necessary to set forth the terms under which the Township will receive said services; NOW, THEREFORE, the parties hereto do mutually promise, covenant and agree as follows: . 1, The Township shall be responsible for the following: a. administration and operation of Tuberculosis Prevention and Control services a minimum of 20 hours per week, Monday through Friday; clinical services up to 3 hours per month in accordance with NIDHSS Tuberculosis Care Standards

NEW JERSEY UMDN], New Jersey's University of the Health Sciences b. provision of physical plant for TB Clinic which shall include office space, examination and treatment rooms, and patient waiting area in accordance with "CDC Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health Care Facilities 1994" c. provision of dedicated Registered Nurse, community outreach and clerical support d. provision of radiology and laboratory services for chest x-ray, CBC, SMA-20 and bacteriology, on site or in close geographic proximity to the clinic e. provision of office and medical supplies necessary for the operation of the program £ The Township agrees to pay the Medical School $270 per month for an annual rate of $3,240; The Medical School will submit bi- annual invoices, and be paid upon receipt of invoice. The Medical School shall provide the following: physician services 3 hours per month b. medical consultation by telephone during the hours of operation of the program ©. TB program consultation to include nursing, outreach, epidemiologic investigations and resource utilization and allocation d. training for program staff through NJMS National TB Center training program courses € consultation in the development of TB control protocol, standards and procedures of operation for use by West Orange Township in the administration of their TB Control program f. consultation in the development of TB Clinic policy and procedure manual including standing orders for designated patient categories, ie, TB case, TB suspect, TB contact, TB reactor for use by Township in the administration of their TB control program

UMDNI, New Jersey’s University of the Health Sciences g. the Medical School shall ensure that the staff is available to answer questions of those people who utilize or intend to utilize the TB Prevention and Conirol services, that the staff is available to answer post visit phone calls received at (973) 972-3270 during normal business hours. 3. The Township is self insured for general liability and professional liability insurance coverage pursuant to N.J.S.A. 40A:10-1 ET SEQ. The Township shall provide two (2) certificates of such insurance to the University upon request. 4. The Medical School shall provide for professional and general liability coverage insuring the University and its faculty, students and employees performing activities under this agreement through a Program of Self-Insurance with limits of coverage of $1,000,000/$3,000,000 on an occurrence type basis pursuant to N.J.S.A. 59,1-1, et seq. the State of New Jersey Tort Claims Act. The University, upon request, shall furnish the Township with documentation certifying the funding mechanism of said Program. 5. The Township shall obtain and will maintain all appropriate licenses for the lawful operation of the facility. 6. The Township and Medical School agree to provide the aforesaid services without regard to the race, religion or national origin of the recipients or their families. 7. If either party fails to perform in accordance with the requirements set forth in this agreement, and, after written notification of default, fails to remedy said deficiencies within 10 days of notification, either party can terminate this agreement within 60 days. 9, This agreement shall be effective for the period April 1, 2005 through December 31, 2006.

UMD NEW JERSEY UMDNJ, New Jersey's University of the Health Sciences IN WITNESS WHEREOF, the parties hereto have caused this agreement to be signed and attested to by their respective officers and affixed with their corporate seals on the day set forth above. ATTEST: UMDNJ hints Veh vv ¥ Denise Mulkern, Senior Vice President Administration and Finance ATTEST: TOWNSHIP OF WEST ORANGE ATTEST: JoAnn Behar Deputy Clerk