CTR074772 A1.pdf

PDF 1 MB Posted

Attached to
Master Agreement AZ|CTR074772
Contract number
CTR074772
Issued by
Arizona

About this file

This document is a Contract Amendment Request from the Arizona Department of Health Services' Office of Procurement for a Breastfeeding Hotline Services contract with Mindful Lactation, LLC. The contract, numbered CTR074772, is being amended with Amendment No. 1. The amendment involves extending the contract through December 03, 2026, in accordance with the contract's Special Terms and Conditions, specifically Provision Three (3) regarding Contract Extensions, with a maximum five-year extension period.

The amendment appears to be for ongoing breastfeeding hotline services, with Mindful Lactation, LLC continuing to provide these services. The contract was originally signed on 9/6/2012, and the company is an Arizona-based Domestic LLC registered in Pima County, with a perpetual business life period. The amendment was executed on 11/17/2025, with signatures from both the contractor and the Procurement Officer, Kailee Gray. Additional verification documents confirm the company is not on any federal exclusion lists and has a unique entity identifier in the SAM.gov system.

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CTR074772_Contract_Documents.pdf PDF
COI 2026-02-06 CGL WC.pdf PDF
CTR074772_Pricing.xlsx XLSX spreadsheet
Memo Insurance Scope and Limites of Insurance 12.19.24.pdf PDF

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ENTITY INFORMATION

Search Date and Time: 11/17/2025 12:33:47 PM

Entity Details

Entity Name:

MINDFUL LACTATION, LLC

Entity ID:

L17766821

Entity Type:

Domestic LLC

Entity Status:

Active

Formation Date:

9/6/2012

Reason for Status:

In Good Standing

Approval Date:

9/6/2012

Status Date:

Original Incorporation Date:

9/6/2012

Life Period:

Perpetual

Business Type:

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

Years Due:

Original Publish Date:

10/5/2012

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

11/17/25, 12:33 PM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L17766821 1/3 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

Page 1 of 1, records 1 to 1 of 1

Title Name Attention Address Date of Taking Office

Last Updated

Member

RENEE

PALTING

RONALD ZACK 177 N CHURCH AVE #1015,

TUCSON, AZ, 85701, USA

9/6/2012 9/6/2012

Statutory Agent Information

Name:

Renee Palting

Appointed Status:

Active 3/7/2019

Attention:

Address:

7339 N. Yucca Via, TUCSON, AZ 85704, USA

Agent Last Updated:

3/7/2019

E-mail:

Attention:

Mailing Address:

7339 N. Yucca Via, TUCSON, AZ 85704, USA

County:

Pima

Principal Information

Address

Attention:

Address: 7339 North Yucca Via, TUCSON, AZ, 85704, USA

County: Pima

Last Updated: 3/7/2019

Entity Principal Office Address

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

11/17/25, 12:33 PM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L17766821 2/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

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Last Updated:

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11/17/25, 12:33 PM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L17766821 3/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

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Mindful Lactation LLC

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Search conducted 11/17/2025 2:34:42 PM EST on OIG LEIE Exclusions database.

Source data updated on 11/10/2025 9:01:00 AM EST

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MINDFUL LACTATION, LLC ID Assigned

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Entity

The entity record has been validated as unique and existing, but is not registered in SAM.gov.

Unique Entity ID

RZK8BTL6DPY3

Physical Address

7339 N YUCCA VIA

TUCSON, AZ

85704-6226, USA

Version

Current Record

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