Dept/ Agency: Child and Family Well-Being Action: ( ) Ratifying (X) Authorizing ( ) Amending Type of Service: Professional Service Contract Purpose: Provide a Board Certified Physician to respond to after-hour coverage for the Federally Qualified Health Centers (FQHC) Entity Name: Forest Hill Family Health Associates, P.A Entity Address: 465 Mt. Prospect Avenue, Newark, New Jersey 07104 Contract Amount: $82,125.00 Funding Source: 2014 City of Newark/Budget/Child and Family Well-Being Contract Period: Upon adoption by Municipal Council for one (1) year 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: