CTR057413_Contract_Extension_-_Determination_YR_2.pdf

CONTRACT EXTENSION AMENDMENT -DETERMINATION

Arizona Game and Fish Department � Purchasing Office � 5000 W. Carefree Hwy. � Phoenix, AZ 85086

Procurement Contact: Donna Bailloux dbailloux@azgfd.gov

Contract Number: CTR057413 Description: Aquaculture FDA-Approved Products Renewal Amendment Year 2

1. The State of Arizona would like to exercise its option to extend Contract CTR057413 upon mutual written agreement for twelve (12) months beyond the stated expiration date of 10/14/2022. Contract expiration date is hereby extended pursuant to Contract Extension terms and conditions. The revised expiration date is 10/14/2023.

2. All other provisions of the Contract shall remain in effect in its entirety.

NOTHING FURTHER:

The following information was retrieved from the Arizona Procurement Portal. Please log in to https://app.az.gov to update any necessary information and indicate changes below.

CONTRACTOR:

Jason Montgomery Western Chemical, Inc. dba Syndel USA 1441 W Smith Road Ferndale WA 98248 800-283-5292 jasonm@syndel.com

AMENDMENT AUTHORITY:

Contractor hereby acknowledges receipt and acceptance of above amendment. Signed Amendment shall be returned to the Purchasing Office before the effective date of the renewal.

Contractor Signature Date

In accordance with the Arizona Procurement Code, Rules and Regulation Section R2-7-604, it is determined that a competitive procurement is not more advantageous to the state than extension of the contract listed above. The current price(s) is fair and reasonable considering current market conditions.

Kristen Micurescu, CPPB Date Procurement Branch Chief

Jason Montgomery 9/7/22 https://app.az.gov/ 9/8/22

9/7/22, 4:31 PM State of Arizona Mail - RE: [External] Request for Contract Extension Aquaculture FDA-Approved Products https://mail.google.com/mail/u/0/?ik=e280b92242&view=pt&search=all&permthid=thread-a%3Ar-7895309898203008165%7Cmsg-f%3A17433523734… 1/2

Donna Bailloux <dbailloux@azgfd.gov>

Jason Montgomery <jasonm@syndel.com> Wed, Sep 7, 2022 at 3:39 PM To: Donna Bailloux <dbailloux@azgfd.gov>

Hi Donna, I have attached the renewal paperwork. Let me know if you need anything else!

Jason Montgomery

US Sales Manager

Direct: 360.312.4175 https://syndel.com

From: Donna Bailloux <dbailloux@azgfd.gov> Sent: Tuesday, August 30, 2022 9:03 PM To: Jason Montgomery <jasonm@syndel.com> Subject: [External] Request for Contract Extension Aquaculture FDA-Approved Products

Hi Jason, Contract CTR057413 will expire on October 14, 2022. The Department is requesting an extension of this contract until October 14, 2023.

The contract extension is contingent upon our receipt of a compliant Certificate of Insurance. I have attached your previous compliant insurance certificate to assist you. The Certificate of Insurance should be e-mailed to my attention at dbailloux@azgfd.gov within 10 days of this notice.

If you wish to extend, please sign the attached amendment and return by email as soon as possible. When we receive the signed amendment and insurance document, we will countersign and post in APP. Please feel free to contact me if you have any questions and generate a quick "reply" to confirm your receipt of this email.

Thank you for continuing to support the Department.

RE: [External] Request for Contract Extension Aquaculture FDA-Approved Products 1 message https://syndel.com/ mailto:dbailloux@azgfd.gov mailto:jasonm@syndel.com mailto:dbailloux@azgfd.gov

9/7/22, 4:31 PM State of Arizona Mail - RE: [External] Request for Contract Extension Aquaculture FDA-Approved Products https://mail.google.com/mail/u/0/?ik=e280b92242&view=pt&search=all&permthid=thread-a%3Ar-7895309898203008165%7Cmsg-f%3A17433523734… 2/2

DONNA BAILLOUX , SR PROCUREMENT SPECIALIST

ARIZONA GAME AND FISH DEPARTMENT

MOBILE: 480-617-5182

EMAIL: dbailloux@azgfd.gov

Join our new Conservation Membership program and ensure a wildlife legacy for the future.

2 attachments

CTR057413 Contract Extension - Determination YR 2 TO Jason.pdf 222K

2021-22 Syndel - all CoIs 1.pdf 249K mailto:dbailloux@azgfd.gov https://www.azwildlifehero.com/support-us/become-a-member https://mail.google.com/mail/u/0/?ui=2&ik=e280b92242&view=att&th=1831a1bf39f30390&attid=0.1&disp=attd&safe=1&zw https://mail.google.com/mail/u/0/?ui=2&ik=e280b92242&view=att&th=1831a1bf39f30390&attid=0.2&disp=attd&safe=1&zw

WESTERN CHEMICAL INC.

Unique Entity ID

KK5XZJ19CFM3

CAGE / NCAGE

3GHN3

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

May 25, 2023

Physical Address

1441 W Smith RD

Ferndale, Washington 98248-8933

United States

Mailing Address

1441 W Smith RD

Ferndale, Washington 98248-8933

United States

Business Information

Doing Business as

SYNDEL USA

Division Name

(blank)

Division Number

(blank)

Congressional District

Washington 01

State / Country of Incorporation

Washington / United States

URL

www.Syndel.com

Registration Dates

Activation Date

Apr 27, 2022

Submission Date

Apr 25, 2022

Initial Registration Date

Jul 8, 2003

Entity Dates

Entity Start Date

Dec 31, 1974

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

7EG20

Legal Business Name

AQUATIC LIFE SCIENCES INC

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or

2.C.F.R. 200 Appendix XII. Their responses are not displayed in SAM. They are sent to FAPIIS.gov for display as applicable. Maintaining an active registration in SAM demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Not Tax Exempt)

Entity Type

Business or Organization

Organization Factors

Manufacturer of Goods

Profit Structure

For Profit Organization

Last updated by Rachel Moothart on Apr 25, 2022 at 05:02 PM WESTERN CHEMICAL INC.

https://sam.gov/entity/KK5XZJ19CFM3/coreData?status=Active Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

3GHN3

Points of Contact

Electronic Business

JASON MONTGOMERY, Sales Manager 1441 W Smith RD

Ferndale, Washington 98248

United States

Government Business

JASON MONTGOMERY, Sales Manager 1441 W Smith RD

Ferndale, Washington 98248

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

112511

NAICS Title

Finfish Farming And Fish Hatcheries

112519 Other Aquaculture

325412 Pharmaceutical Preparation Manufacturing

Product and Service Codes

PSC PSC Name

6810 Chemicals

6850 Miscellaneous Chemical Specialties

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Rachel Moothart on Apr 25, 2022 at 05:02 PM WESTERN CHEMICAL INC.

https://sam.gov/entity/KK5XZJ19CFM3/coreData?status=Active Page 2 of 2

11/10/22, 6:44 AM Corporations and Charities System https://ccfs.sos.wa.gov/#/BusinessSearch/BusinessInformation 1/2 siness Information

BUSINESS INFORMATION

REGISTERED AGENT INFORMATION

Business Name:

WESTERN CHEMICAL INCORPORATED

UBI Number:

600 348 234

Business Type:

WA PROFIT CORPORATION

Business Status:

ACTIVE

Principal Office Street Address:

1441 W SMITH RD, FERNDALE, WA, 98248-8933, UNITED STATES

Principal Office Mailing Address:

1441 W SMITH RD, FERNDALE, WA, 98248-8933, UNITED STATES

Expiration Date:

05/31/2023

Jurisdiction:

UNITED STATES, WASHINGTON

Formation/ Registration Date:

05/08/1979

Period of Duration:

PERPETUAL

Inactive Date:

Nature of Business:

OTHER MANUFACTURING

Corporations and Charities Filing System

11/10/22, 6:44 AM Corporations and Charities System https://ccfs.sos.wa.gov/#/BusinessSearch/BusinessInformation 2/2

GOVERNORS

Title Governors Type Entity Name First Name Last Name

GOVERNOR INDIVIDUAL RYAN BECKER

GOVERNOR INDIVIDUAL JIM CODE

GOVERNOR INDIVIDUAL ROBERT CODE

GOVERNOR INDIVIDUAL CHRIS MCREYNOLDS

Registered Agent Name:

WKG, INC.

Street Address:

601 UNION ST STE 4100, SEATTLE, WA, 98101-1368, UNITED STATES

Mailing Address:

Back

Filing History Name History Print Return to Business Search

Donna Bailloux <dbailloux@azgfd.gov>

Re: Contract Renewal Request 1 message

Geoffrey Rabinovich <grabinovich@azgfd.gov> Tue, Sep 6, 2022 at 2:00 PM To: Donna Bailloux <dbailloux@azgfd.gov>

Hi Donna, Please renew the contract for another year Regards, GEOFFREY RABINOVICH | STATEWIDE HATCHERY PROGRAM MANAGER

ARIZONA GAME AND FISH DEPARTMENT

OFFICE 623-236-7263

MOBILE 480-387-9950

EMAIL grabinovich@azgfd.gov AZGFD.GOV | 5000 W. Carefree Highway, Phoenix, AZ 85086

Join our new Conservation Membership program and ensure a wildlife legacy for the future.

mailto:grabinovich@azgfd.gov http://azgfd.gov/ https://www.google.com/maps/search/5000+W.+Carefree+Highway,+Phoenix,+AZ+85086?entry=gmail&source=g https://www.azwildlifehero.com/support-us/become-a-member