CTR078552_A1.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR078522
- Contract number
- CTR078522
- Issued by
- Arizona
About this file
Contract Amendment CTR078552 - Arizona Department of Health Services and LexisNexis VitalChek Network Inc.
This document is Amendment No. 1 to Contract CTR078552, a Request for Proposal between the Arizona Department of Health Services (ADHS), Office of Procurement, and LexisNexis VitalChek Network Inc. The amendment modifies the original expedited services contract for the Bureau of Vital Records effective upon signature by both parties. The changes, reflected in red throughout the document, revise the Scope of Work to add digital certificate requirements and update the Price Sheet to include a digital credential fee, while all other contract provisions remain unchanged.
The contract requires LexisNexis VitalChek to provide expedited services for Arizona vital records (birth and death certificates) through internet, fax, and telephone ordering. Key services include maintaining a secure website operational 24/7, providing two on-site contractor staff members at the ADHS/BVR office, offering toll-free phone and fax lines, and processing approximately 500 expedited orders monthly. The scope includes new digital credential services through the LexisNexis EssentialID™ VitalChek Digital Credential pilot project, utilizing identity assurance workflows per NIST 800-63 IAL2 standards, with digital wallet capabilities for consumers. The pricing structure is fixed-rate with charges per order: $15.50 base rate, delivery options ranging from $17.50 to $50.00 depending on shipping method, and a new digital credential fee of $24.50. The contractor must maintain Certificate of Liability insurance, provide background checks for personnel, and comply with Arizona information security requirements, with all costs associated with implementation borne by the contractor.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR078522 Pricing.pdf | ||
| CTR078522_Contract_Documents.pdf | ||
| CTR078522_Contractor_Proposal_Response.pdf | ||
| 2026.01.01_COI_CGL_AL_WC_PL.pdf | ||
| CTR078522 A1 Pricing.pdf | ||
| CTR078522_Pricing.pdf |
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Text version
REQUEST FOR PROPOSAL
CONTRACT AMENDMENT
CONTRACT NO.: CTR078552 AMENDMENT NO.: 1
ARIZONA DEPARTMENT OF
HEAL TH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530
Phoenix, Arizona 85007
PROCUREMENT OFFICER:
Roy Vasel
EXPEDITED SERVICES FOR THE BUREAU OF VITAL RECORDS
Effective upon signature by both parties it is mutually agreed that the Contract is amended as follows:
1. Pursuant to the Uniform Terms and Conditions, Provision Five (5), Contract Changes, Section 5.1, the Contract is hereby revised with the following:
1.1 The Scope of Work is revised and replaced to add the digital certificate requirements.
1.2 The Price Sheet is revised and replace to add digital credential fee.
ALL CHANGES ARE REFLECTED IN RED
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
Contractor hereby acknowledges receipt and acceptance of The above referenced Contract Amendment is hereby above amendment and that a signed copy must be filed with the Procurement Office before the effective date
Contractor Sianature
/P /2s, /4"2$° Contractor Sianature Date
� y , .. ,nu>d. � /c.tf> v e... Uf=o LA.J>n_ Authorized Signatory's Name and Title ,.
LexisNexis VitalChek Network Inc.
Contractor's Name executed this __ day of 20 Phoenix, Arizona
(To be filled out by Procurement Office)
Gina Digitally signed by Gina Corwin
Date:
Corwin 202s.10.29
10:36:59 -07'00'
Procurement Officer Sianature at
ENTITY INFORMATION
Search Date and Time: 10/29/2025 1:07:27 PM
Entity Details
Entity Name: LEXISNEXIS VITALCHEK NETWORK
INC.
Entity ID: F07611749
Entity Type: Foreign For-Profit (Business) Corporation
Entity Status: Active
Formation Date: 3/22/1996 Reason for Status: In Good Standing
Approval Date: 3/22/1996 Status Date: 7/26/2021
Original Incorporation
Date:
3/22/1996 Life Period: Perpetual
Business Type: Other - Information based analytics provider
Last Annual Report
Filed:
Domicile State: Tennessee Annual Report Due
Date:
6/22/2026
Years Due:
Original Publish Date: 5/28/1996
Statutory Agent Information
Name: C T CORPORATION
SYSTEM
Appointed Status: Active
Attention:
Address: 3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ
85012, USA
Agent Last Updated: 5/23/2025 E-mail:
Attention: Mailing Address: 3800 N CENTRAL AVE
SUITE 460 , PHOENIX,
AZ 85012, USA
County: Maricopa
Principal Information
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/corporations/corporation-contacts
< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 9 Go to Page
Title Name Attention Address
Date of
Taking
Office
Last
Updated
President Mark Kelsey
1000 Alderman Drive, ALPHARETTA, GA, 30005, Fulton County, USA
5/23/2025
Director Mark Kelsey
1000 Alderman Drive, ALPHARETTA, GA, 30005, Fulton County, USA
5/23/2025
Director William Min 1000 Alderman Drive, ALPHARETTA, GA, 30005, Fulton County, USA
5/23/2025
Director Preston Staudt
1000 Alderman Drive, ALPHARETTA, GA, 30005, Fulton County, USA
5/23/2025
Vice- President
Renee Simonton
1105 North Market Street, Suite 501, WILMINGTON, DE, 19801, New Castle County, USA
5/23/2025
Back Return to Search
Return to Results
Document History Name/Restructuring History
Pending Documents Microfilm History
Address
Attention: Address: % CT CORPORATION SYSTEM 3800
N CENTRAL AVE STE 460, PHOENIX, AZ,
85012, USA
County:
Maricopa Last Updated:
8/12/2011
Entity Principal Office Address
Attention: Address: 1000 Alderman Drive, ALPHARETTA, GA, 30005, USA
County: Fulton Last Updated:
5/23/2025
Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) javascript:$xhtml.paging(2) javascript:$xhtml.paging(2) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy
LEXISNEXIS VITALCHEK NETWORK INC.
Unique Entity ID
KLC6T8KKQQE1
CAGE / NCAGE
5TSB0
Purpose of Registration
All Awards
Registration Status
Active Registration
Expiration Date
Jan 28, 2026
Physical Address
840 Crescent Centre DR STE 300
Franklin, Tennessee 37067-4633
United States
Mailing Address
840 Crescent Centre DR STE 300
Franklin, Tennessee 37067-4633
United States
Business Information
Doing Business as
(blank)
Division Name
Lexisnexis Vitalchek Network, Inc.
Division Number
(blank)
Congressional District
Tennessee 05
State / Country of Incorporation
Tennessee / United States
URL
www.vitalchek.com
Registration Dates
Activation Date
Jan 29, 2025
Submission Date
Jan 28, 2025
Initial Registration Date
Dec 7, 2009
Entity Dates
Entity Start Date
Apr 21, 1988
Fiscal Year End Close Date
Dec 31
Immediate Owner
CAGE
1J905
Legal Business Name
LEXISNEXIS RISK SOLUTIONS FL INC.
Highest Level Owner
CAGE
1VVN8
Legal Business Name
RELX INC
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
Corporate Entity (Not Tax Exempt)
Entity Type
Business or Organization
Organization Factors
Foreign Owned
Profit Structure
For Profit Organization
Last updated by Francine Gehring on Jan 28, 2025 at 09:43 AM LEXISNEXIS VITALCHEK NETWORK INC.
Oct 29, 2025 08:06:06 PM GMT https://sam.gov/entity/KLC6T8KKQQE1/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
5TSB0
Points of Contact
Electronic Business
MARK HANFLAND, CIO
840 Crescent Centre Drive
Suite 300
Franklin, Tennessee 37067
United States
John Hagewood 840 Crescent Centre Drive
Suite 300
Franklin, Tennessee 37067
United States
Government Business
GREG SIRKO, VP
840 Crescent Centre Drive
Suite 300
Franklin, Tennessee 37067
United States
Francine Gehring, Capture Manager 840 Crescent Centre Drive
Suite 300
Franklin, Tennessee 37067
United States
Past Performance
Gaurang Dave, Contracts Manager 1150 18TH Street NW
Suite 250
Washington, District Of Columbia 20036
United States
Service Classifications
NAICS Codes
Primary
Yes
NAICS Codes
522320
NAICS Title
Financial Transactions Processing, Reserve, And Clearinghouse
Activities
541219 Other Accounting Services
561499 All Other Business Support Services
921190 Other General Government Support
Product and Service Codes
PSC PSC Name
R710 Support- Management: Financial
R711 Support- Management: Banking
Disaster Response
This entity does not appear in the disaster response registry.
Last updated by Francine Gehring on Jan 28, 2025 at 09:43 AM LEXISNEXIS VITALCHEK NETWORK INC.
Oct 29, 2025 08:06:06 PM GMT https://sam.gov/entity/KLC6T8KKQQE1/coreData?status=null Page 2 of 2
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