NEW JERSEY PROVIDER AGREEMENTJersey Provider Agreement • October 24th, 2018 • New Jersey
Contract Type FiledOctober 24th, 2018 JurisdictionThis Agreement is made by and between Conduent State & Local Solutions, Inc. a New Jersey Corporation, (hereinafter “CONDUENT”) and , a corporation, individual(s), partnership, Limited Liability Company (LLC), other ; organized and existing under the Laws of the state of , and having a business, residence at (hereinafter “Provider”).