20136779-0.pdf

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Attached to
TX|640-A1|20136779
Contract number
20136779
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 20136779) issued by the Texas Health & Human Services Commission (HHSC) on 8/31/2020, with BSA Intercontinental, LLC from Irvine, California as the contractor. The purchase order involves delivery to two HHSC locations in Texas: one in Vernon and another in Wichita Falls, with specific shipping instructions not to deliver prior to 9/1/2020.

The purchase order is for 30 cases of 10-inch, 3-compartment molded fiber plates manufactured by Prime Link, with each case containing 500 plates. The total order value is $1,413.00, calculated at $47.10 per case. The contract is designated as a term contract (Contract 640-A1) with a 7-day delivery after receipt (ARO) and a specified delivery date of 9/7/2020. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is intended for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 20136779

Order Date: 8/31/2020

Internal Tracking No.: 241651

Contractor Info Bill To Ship To BSA Intercontinental, LLC 14743557432 36 Nighthawk Irvine, CA 92604

(949) 600-3802

Health & Human Services Commission NTSH-Vernon 4730 College Dr PO Box 2231 Vernon TX 76385

Health & Human Services Commission Health & Human Services Comm. - 529 NTSH-Wichita Falls Whse 6515 Kemp Blvd PO Box 300

WICHITA FALLS TX 76308

NOTE TO CONTRACTOR: *************************************************************************

* * * * * * * PLEASE NOTE**** * * * DO NOT SHIP ANYTHING TO ARRIVE PRIOR TO 09.01 .2020

HHSC Purchaser: Kimberly Brakhage CTCD PH 512-640-2642 EMAIL Kimberly.brakhage@hhscstatetxus North TX SH Contact: Kim Novak, Ph: 940-689-5585, email: kimberly.novak@hhsc.state.tx.us and/or Whse Supvr Stacy Ward, Ph:

940-689-5311 email stacy.ward@hhsc.state.tx.us North TX SH Accounts Payable: NTH.AccountsPayable@hhsc.state.tx.us and/or Peggy Jones, Ph - 940-552-9901, peggy.jones@dshs.texas.gov Fax - 940-553-2525

Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday – Friday except designated State Holidays when the Warehouse is closed.

Disclaimer The State of Texas is exempt from all Federal Excise Taxes except as noted in each contract.

STATE AND CITY SALES TAX EXEMPTION CERTIFICATE:

The undersigned claims an exemption from taxes under Texas Tax Code, Section 151.309(4), for purchase of tangible personal property described in this numbered order, purchased from contractor and/or shipper listed above, as this property is being secured for the exclusive use of the State of Texas, or a Texas County, City, Special District, or Other Political Subdivision.

Texas Comptroller of Public Accounts – Statewide Procurement Division

Agency Purchaser Email Phone

Health & Human Services Commission - 529

Kimberly Brakhage Kimberly.Brakhage@hhsc.state.tx.us (512) 406-2642

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64050 64050685010 Plate, 10 inches, 3 Compartments, Molded Fiber, 500 Plates/Case, 40 Cases Per Pallet; $0/Pallet Contract: 640-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 9/7/2020 Manufacturer Name: Prime Link

30 CASE 47.10 $1,413.00

Purchase Order PO No. 20136779

Order Date: 8/31/2020

Internal Tracking No.: 241651

Total $1,413.00

File details come from the government source that posted it. Updated .