CTR072354_Contract_Amendment_1.pdf

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR072354 AMENDMENT NO.: 1 PROCUREMENT OFFICER:

Ryan Garcia

Revised 06.18.2024

RAPID HIV TEST KITS FOR COMMUNITY BASED TESTING EVENTS

Effective upon signature by both parties it is mutually agreed that the Contract is amended as follows:

1. Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extension (5 Year Maximum) the Contract is hereby extended through June, 13, 2026.

ALL CHANGES ARE REFLECTED IN RED

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY

Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date

The above referenced Contract Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona

(To be filled out by Procurement Office)

Contractor Signature

Contractor Signature Date

Authorized Signatory’s Name and Title

Biolytical Laboratories, Inc.

Contractor’s Name Procurement Officer Signature

Contractor Signature Date

Contractor Signature

4/1/2025

Kristine Newton Digitally signed by Kristine Newton Date: 2025.04.01 12:06:33 -07'00'

BIOLYTICAL LABORATORIES INC

Unique Entity ID

TMHZFENUQ2A9

CAGE / NCAGE

L6614

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Jan 28, 2026

Physical Address

13251 Delf PL

STE 406

Richmond, Bc V6V 2A2

Canada

Mailing Address

13251 Delf PL

STE 406

Richmond, Bc V6V 2A2

Canada

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Not Applicable

State / Country of Incorporation

(blank) / Canada

URL

http://www.biolytical.com/

Registration Dates

Activation Date

Jan 31, 2025

Submission Date

Jan 28, 2025

Initial Registration Date

Apr 18, 2007

Entity Dates

Entity Start Date

Jan 2, 2002

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

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.gov) 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 displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov 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

International Organization

Entity Type

Business or Organization

Organization Factors

Manufacturer of Goods

Profit Structure

For Profit Organization

Last updated by Lawrence Wong on Jan 28, 2025 at 05:12 PM BIOLYTICAL LABORATORIES INC

Apr 09, 2025 03:16:18 PM GMT https://sam.gov/entity/TMHZFENUQ2A9/coreData?status=null 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

L6614

Points of Contact

Electronic Business

Lawrence Wong, Mr 13251 Delf PL

STE 406

Richmond, Bc V6V2A2

Canada

Government Business

Lawrence Wong, Mr 13251 Delf PL

STE 406

Richmond, Bc V6V2A2

Canada

Past Performance

James Shang, Mr 13251 Delf PL

STE 406

Richmond, Bc V6V2A2

Canada

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

423450

NAICS Title

Medical, Dental, And Hospital Equipment And Supplies Merchant

Wholesalers

Product and Service Codes

PSC PSC Name

6550 In Vitro Diagnostic Substances, Reagents, Test Kits And Sets

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Lawrence Wong on Jan 28, 2025 at 05:12 PM BIOLYTICAL LABORATORIES INC

Apr 09, 2025 03:16:18 PM GMT https://sam.gov/entity/TMHZFENUQ2A9/coreData?status=null Page 2 of 2

ENTITY INFORMATION

Search Date and Time: 4/9/2025 8:09:40 AM

Entity Details

Entity Name:

BIOLYTICS INC.

Entity ID:

00858867

Entity Type:

Unidentified

Entity Status:

Inactive

Formation Date:

Reason for Status:

Approval Date:

Status Date:

4/10/1982

Original Incorporation Date:

Life Period:

Perpetual

Business Type:

Last Annual Report Filed:

Domicile State:

Annual Report Due Date:

Years Due:

Original Publish Date:

Statutory Agent Information

Name:

Appointed Status:

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Title Name Attention Address Date of Taking Office Last Updated

No records to view.

Back Return to Search

Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address:

Agent Last Updated:

E-mail:

Attention:

Mailing Address:

County:

Principal Information

Address

Attention:

Address:

County:

Last Updated:

Entity Principal Office Address

Attention:

Address:

County:

Last Updated:

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