Dept/ Agency: Child and Family Well-Being Action: ( ) Ratifying (X) Authorizing ( ) Amending Type of Service: Professional Service Contract Purpose: Medical Director Consultant, to assist in the organization and assignments of medical staff within the Division of Medical Care Services and provide after hour medical coverage at the Federally Qualified Health Center (FQHC) Entity Name: Forest Hill Health Associates, P.A. providing the services of Thomas R. Ortiz, MD Entity Address: 465 Mt. Prospect Avenue, Newark, Newark 07104 Contract Amount: $244,125.00 Funding Source: 2014 City of Newark/Budget/Department of Child and Family Well-Being Contract Period: January 4, 2014 through January 3, 2015 Contract Basis: ( ) Bid ( ) State Vendor ( X ) Prof. Ser. ( ) EUS ( ) Fair & Open ( ) No Reportable Contributions ( X ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a Additional Information: Invitation: Director of Child and Family Well-Being, January 22, 2014 Deferred 7R2-b 012214 Deferred 7R2-a 020614 Deferred 7R2-a (s) 021114 Deferred 7R2-a 021914 Deferred 7R2-a (s) 022514 Deferred 7R2-a 030514