File #: 12-2123    Version: 1 Name: Forest Hill Family Health Associates, PA, providing services of Thomas R. Ortiz, MD
Type: Resolution Status: Filed
File created: 10/20/2012 In control: Health and Community Wellness
On agenda: 1/3/2013 Final action: 1/3/2013
Title: Dept/ Agency: Child and Family Well-Being Action: ( ) Ratifying (X) Authorizing ( ) Amending Type of Service: Professional Service Contract Purpose: Medical Director Consultant for the Department of Child and Family Well-Being Entity Name: Forest Hill Family Health Associates, P.A., providing the services of Thomas R. Ortiz, MD, as Medical Director Consultant Entity Address: 465 Mt. Prospect Avenue, Newark, New Jersey 07104 Contract Amount: Not to exceed $162,000.00 Funding Source: City of Newark Budget/Department of Child and Family Well-Being/Open-Ended Contract Period: January 4, 2013 through January 3, 2014 Contract Basis: ( ) Bid ( ) State Vendor ( X ) Prof. Ser. ( ) EUS ( ) Fair & Open ( ) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a Additional Information:
Title
Dept/ Agency: Child and Family Well-Being
Action: ( ) Ratifying (X) Authorizing ( ) Amending
Type of Service: Professional Service Contract
Purpose: Medical Director Consultant for the Department of Child and Family Well-Being
Entity Name: Forest Hill Family Health Associates, P.A., providing the services of Thomas R. Ortiz, MD, as Medical Director Consultant
Entity Address: 465 Mt. Prospect Avenue, Newark, New Jersey 07104
Contract Amount: Not to exceed $162,000.00
Funding Source: City of Newark Budget/Department of Child and Family Well-Being/Open-Ended
Contract Period: January 4, 2013 through January 3, 2014
Contract Basis: ( ) Bid ( ) State Vendor ( X ) Prof. Ser. ( ) EUS
( ) Fair & Open ( ) No Reportable Contributions ( ) RFP ( ) RFQ
( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a
Additional Information:

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WHEREAS, the City of Newark Department of Child and Family Well-Being wishes to provide a Medical Director Consultant, to assist in the organization and assignments of medical staff in concert with the Clinical Director, reviews the activities of the medical staff to ensure that productivity quality levels are met within the Division of Medical Care Services; and

WHEREAS, the City of Newark desire to provide said services for the period of January 4, 2013 through January 3, 2014; and

WHEREAS, the Contractor, Forest Hill Family Health Associates, P.A., located at 465 Mt. Prospect Avenue, Newark, New Jersey 07104, providing the services of Thomas R. Ortiz, MD, to act as Medical Director for the Department of Child and Family Well-Being/Medical Care Services (hereinafter Medical Director Consultant) has represented that they are qualified by training and experience to provide the required services in the manner and the terms and conditions set forth in the proposed contract; and

WHEREAS the contract awarded pursuant to the Fair and Open Process N.J.S.A....

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