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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 2 NJMS – Essex County Municipality – RBHS-05105 CY2025 Memorandum of Agreement – Global TB Institute 1. The Township shall provide funding to the University in an amount not to exceed $2,300.00 as payment for the TB health services set forth herein. Payment is contingent upon the satisfactory delivery of TB health services as described herein in this Agreement, Section III (A) “Service Provider Obligations.” Payment obligations, as well as reporting and monitoring requirements, and other special conditions to this Agreement, are contained in Attachment A, which is hereby incorporated herewith by reference. Payments shall be made in accordance with the provisions of Attachment A, Section I. Payments will be made for approved budget costs, contained in the Cost Proposal, Attachment B, which is hereby incorporated into this Agreement by reference. 2. The Township shall monitor the progress of this project to ensure that TB health services are being provided in accordance with Section III (A), which establishes the work products that must be completed in order for funds to be provided. All financial, performance, and Agreement monitoring requirements are contained in Attachment A, Sections II, III, and IV. 3. This section establishes all other obligations of the Township: a) Provide Health Officer and the Director of Health & Welfare orders for examination, directly observed therapy, or exclusion from school or the workplace and application in the Superior Court of New Jersey for an Order of Commitment, including soliciting the assistance of local law enforcement as allowed under N.J.A.C. Chapter 57-5.5, 5.6, 5.7, 5.12, 5.15 as requested and/or required by the University to assist in the management of non- adherent TB patients, and b) Assist as necessary in gaining access to worksites and schools within the coverage area of the Township (hereafter referred to as the “Local Health Jurisdiction”) for the purpose of assessments related to contact identification, evaluation, and education. 4. In addition to the above, the Township is required to abide by all general requirements contained in Sections IV and V of this Agreement. B. Township Rights All of the rights outlined in this section are applicable to the Township. 1. Other Rights of the Township: a) Receipt of timely feedback from University regarding the TB cases, suspected TB cases and

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All of the rights outlined in this section are applicable to the Township. 1. Other Rights of the Township: a) Receipt of timely feedback from University regarding the TB cases, suspected TB cases and associated contacts. This feedback will be in the form of a TB-70 (TB Case, Suspect and Status Report) and associated TB-41 (Record of Contact Interview) for residents of the Local Health Jurisdiction. b) Receipt of a quarterly activity report from the University that clearly documents the percentage of overall visits by residents of the Local Health Jurisdiction.Docusign Envelope ID: 77D43CF0-E0B2-4E8B-998E-ADDA677D4897

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