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Supporting Documentation · Dec 9, 2025

279-25 NJMS GTBI.West Orange TB Service Agreement RBHS-05105.docx (003).pdf

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EXECUTION VERSION 14 NJMS – Essex County Municipality – RBHS-05105 CY2025 Memorandum of Agreement – Global TB Institute 1. Particular forms listed below are required to be utilized. TB-70 (TB Case, Suspect and Status Report) TB-41 (Record of Contact Interview) III. Modifications to the Agreement This document represents the entire Agreement between the parties and shall not be amended except by the express written consent of both parties. IV. Special Conditions (as applicable) This Agreement has no special conditions. V. Multi-Year Agreements This Agreement is not a multi-year Agreement.Docusign Envelope ID: 77D43CF0-E0B2-4E8B-998E-ADDA677D4897

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