CTR058724_Contr_Amend_2.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR058724
- Contract number
- CTR058724
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement for Lab, RFP, Arizona State Laboratory Courier Services. The amendment is for Specialized Delivery Services, Inc., a delivery services company based in Scottsdale, Arizona, with a registered entity in Wyoming and an active SAM.gov registration expiring on November 5, 2024.
The contract amendment extends the existing contract (Contract No. CTR058724) through February 1, 2025, which represents the second amendment and follows the Special Terms and Conditions allowing contract extensions up to a five-year maximum. The contractor, Specialized Delivery Services, provides courier services for the Arizona State Laboratory, and the amendment maintains all other existing provisions of the original contract. The company is registered for Federal Assistance Awards, operates as a for-profit corporation, and has been in business since January 1, 2016, with its principal office located in Scottsdale, Arizona.
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Text version
Gina Corwin
Digitally signed by Gina Corwin Date:
2024.01.31 13:36:09 -07'00'
31st January 24
1/31/24, 2:23 PM SAM.gov https://sam.gov/entities/view/SSG5E8P6SF69/coreData?status=Active&emrKeyValue=21200523~1699272834846821 1/5
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Core Data
Business Information
Entity Types
Financial Information
Points of Contact
Assertions
Reps and Certs
Exclusions
Responsibility / Qualification
Entity Registration
Core Data
Active Registration
Expiration Date
SPECIALIZED DELIVERY
SERVICES, INC.
Entity Information
Unique Entity ID
SSG5E8P6SF69
CAGE/NCAGE
(blank) Nov 5, 2024
Physical Address 3200 N Hayden RD
Mailing Address 3200 N Hayden RD https://sam.gov/ https://sam.gov/ https://sam.gov/content/home https://sam.gov/search/ https://sam.gov/reports/awards/standard https://sam.gov/data-services https://sam.gov/content/help https://sam.gov/workspace/profile/feeds https://sam.gov/workspace/profile/feeds/notification https://sam.gov/workspace javascript:void(0) javascript:void(0);
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https://sam.gov/entities/view/SSG5E8P6SF69/coreData?status=Active&emrKeyValue=21200523~1699272834846821 2/5
BUSINESS INFORMATION
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.
#100 Scottsdale, Arizona 85251-6652, United States
#100 Scottsdale, Arizona 85251-6652, United States
Purpose of Registration Federal Assistance Awards Only
Version
Current Record
Doing Business As (blank)
URL
www.specializeddelive ryservices.com
Division Name (blank)
Division Number (blank)
Congressional District Arizona 01
State/Country of Incorporation Wyoming, United States
Owner CAGE Legal Business Name
Immediate Owner
(blank) (blank)
Highest Level Owner
(blank) (blank)
Registration Dates
Entity Dates
Activation Date Nov 8, 2023
Submission Date Nov 6, 2023
Initial Registration Date Nov 6, 2023
Entity Start Date Jan 1, 2016
Fiscal Year End Close Date Dec 31 https://www.specializeddeliveryservices.com/ https://www.specializeddeliveryservices.com/ https://sam.gov/entities/view/SSG5E8P6SF69/coreData?status=Active&emrKeyValue=21200523~1699272834846821 3/5
SAM SEARCH AUTHORIZATION
Yes
ENTITY TYPES
FINANCIAL INFORMATION
ACCOUNT DETAILS
I authorize my entity's non-sensitive information to be displayed in SAM public search results:
Business Types
Entity Structure Corporate Entity (Not Tax Exempt)
Entity Type Business or Organization
Profit Structure For Profit Organization
Organization Factors
(blank)
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.
Payments
Accepts Credit Card Payments Yes
Debt Subject To Offset No https://sam.gov/entities/view/SSG5E8P6SF69/coreData?status=Active&emrKeyValue=21200523~1699272834846821 4/5
EFT Indicator 0000 CAGE Code (blank)
POINTS OF CONTACT
Electronic Business
Government Business
Primary Point of Contact
Kelly S Mack, President
Address 3200 N. Hayden #100 Scottsdale, Arizona 85251 United States
Primary Point of Contact
Kelly S Mack, President
Address 3200 N. Hayden #100 Scottsdale, Arizona 85251 United States https://sam.gov/entities/view/SSG5E8P6SF69/coreData?status=Active&emrKeyValue=21200523~1699272834846821 5/5
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1/31/24, 2:19 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=22080615 1/3
ENTITY INFORMATION
Search Date and Time: 1/31/2024 2:19:08 PM
Entity Details
Entity Name:
SPECIALIZED DELIVERY SERVICES, INC.
Entity ID:
22080615
Entity Type:
Domestic For-Profit (Business) Corporation
Entity Status:
Active
Formation Date:
8/3/2017
Reason for Status:
In Good Standing
Approval Date:
8/14/2017
Status Date:
3/19/2021
Original Incorporation Date:
8/3/2017
Life Period:
Perpetual
Business Type:
Delivery Services
Last Annual Report Filed:
Domicile State:
Arizona
Annual Report Due Date:
8/3/2021
Years Due:
Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=22080615 2/3
Page 1 of 1, records 1 to 2 of 2
Title Name Attention Address Date of Taking Office
Last Updated
Director
KELLY S
MACK
KELLY S
MACK
3200 N. HAYDEN RD, #100, SCOTTSDALE,
AZ, 85251, Maricopa County, USA
8/3/2017 3/19/2021
President
KELLY S
MACK
KELLY S
MACK
3200 N. HAYDEN RD, #100, SCOTTSDALE,
AZ, 85251, Maricopa County, USA
8/3/2017 3/19/2021
2021, 2022, 2023
Original Publish Date:
Statutory Agent Information
Name:
PHG SERVICE CORPORATION
Appointed Status:
Active 3/19/2021
Attention:
Eddie A. Pantiliat
Address:
14500 N. Northsight Blvd., Suite 101, SCOTTSDALE, AZ 85260, USA
Agent Last Updated:
3/19/2021
E-mail:
Attention:
Mailing Address:
County:
Maricopa
Principal Information
Address
Attention: KELLY S MACK
Address: 3200 N. HAYDEN RD, #100, SCOTTSDALE, AZ, 85251, USAPrivacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=22080615 3/3
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County: Maricopa
Last Updated: 3/19/2021
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Attention:
Address:
County:
Last Updated:
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| CTR058724 Contr Amend 2 Printed |
| SAM.gov |
| Arizona Corporations Commission |
| OIG Search Results |
File details come from the government source that posted it. Updated .