166-22 Exhibit-Employee Advisory Services on a Per Session Basis - 2022.pdf

S TATE OF N EW JERSEY Philip D. Murphy Deirdré L. Webster Cobb, Esq. Governor CIVIL SERVICE COMMISSION Chair/Chief Executive Officer Sheila Y. Oliver EMPLOYEE ADVISORY SERVICE Lt. Governor P.O. BOX 320 Trenton, NJ 08625-0320 Telephone: (866) 327-9133 Fax: (609) 633-8584 July 1, 2022 NJ Employee Advisory Service Agreement FY2023 Agency/Contact: Township of West Orange, John K. Sayers Phone Number: 973-325-4050 Email: admin@westorange.org Number of Active Employees: 301 Agency Service Fee: $150 per session (Any face-to-face contact or communication lasting more than 20 minutes constitutes one session.) Service Fee Includes • Unlimited Individual and Supervisory Sessions; including intake, assessment, referral, monitoring, counseling, and consultation. • Unlimited Management/Human Resource Consultations; including CDL and Direct Care employee random drug test monitoring, orientations, critical incident/stress debriefings, and community resource referrals. • Employees Advisory Service updates, resources, and information on health and wellness. • Employees Advisory Service Newsletters and Webinars. Please refer to the attached NJ Employee Advisory Service Agreement for complete details of all services provided during the contract period. All workshops or emergency response services are billed at $300.00 per initial session. The contract will be effective from July 1, 2022 to June 30, 2023 Signature indicates agreement with the fee and services provided. _____________________________________________________________ ____________ Agency Contact Name and Signature Date _____________________________________________________________ ____________ Agency Fiscal Officer Name and Signature

Date _____________________________________________________________ ____________ Agency Fiscal Officer Name and Signature Date _____________________________________________________________ ____________ EAS Representative Name and Signature Date New Jersey is an Equal Opportunity Employer www.state.nj.us/csc