Dept/ Agency: Child and Family Well-Being Action: ( ) Ratifying (X) Authorizing ( ) Amending Type of Service: Professional Service Contract for Medical Director Consultant Services Purpose: To provide Medical Director Consulting Services and assist in the organization and assignments of medical staff within the Division of Medical Care Services. Entity Name: Forest Hill Family Health Associates, P.A. providing the services of Thomas R. Ortiz, MD Entity Address: 465 Mt. Prospect Avenue, Newark, New Jersey 07104 Contract Amount: Not to exceed $162,000.00 Funding Source: Department of Child and Family Well-Being (2014 Budget) Contract Period: One (1) year upon adoption of this resolution by the Municipal Council Contract Basis: ( ) Bid ( ) State Vendor (X ) Prof. Ser. ( ) EUS (X ) Fair & Open ( ) No Reportable Contributions ( X ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a Additional Information: