Township Council Meeting — Packet

If to ERHC: If to WEST ORANGE: Carrie Nawrocki, Health Officer Michael A. Fonzino Director of Health and Welfare Essex Regional Health Commission Township of West Orange 204 Hillside Avenue 66 Main Street Livingston, New Jersey 07039 West Orange, NJ 07052 17. Copy. a. A copy of this signed Agreement shall be submitted to the New Jersey Department of Health, Office of Local Public Health, P.O. Box 360, Trenton, New Jersey 08625-0360. b. Pursuant to the provisions set forth in N.J.S.A. 40A:65-4(b), a copy of this fully executed Agreement shall be filed by the local authorities with the New Jersey Department of Community Affairs, Division of Local Government Services, 101 South Broad Street, P.O. Box 803, Trenton, New Jersey 08625-0803. IN WITNESS WHEREOF, this Addendum to the Professional Services Agreement has been duly executed by the authorized representatives of the parties hereto as of the date first set forth above. Dated: _____________, 2026 ESSEX REGIONAL HEALTH COMMISSION By: ___________________________________ Name: _________________________________ Title: __________________________________ Dated: ______________, 2026 TOWNSHIP OF WEST ORANGE DEPARTMENT OF HEALTH By: ____________________________________ Name: MICHAEL FONZINO Title: DIRECTOR OF HEALTH & WELFARE 5