24212180-0.pdf
PDF 15 KB Posted
- Attached to
- TXMAS TX|TXMAS-24-42505|13306976849|24212180
- Contract number
- 24212180
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 24212180) issued by Guadalupe Regional Medical Center, located in Seguin, Texas, on August 6, 2024. The purchase order is part of the Texas Multiple Award Schedule (TXMAS) contract and involves Exemplis LLC, a contractor based in Cypress, California, as the vendor.
The purchase order details the procurement of office chairs, specifically 10 Task Chairs with Focus Mid Back (priced at $273.23 each) and 2 Task Chairs with Focus High-Back (priced at $430.36 each), along with associated incidental items and upcharges. The total contract value is $4,607.14, with a delivery date of August 16, 2024, and a 10-day after receipt of order (ARO) delivery timeline. The purchase is made under the TXMAS-24-42505 contract, and the State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4), as the property is being secured for exclusive use by a Texas governmental entity.
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Text version
Purchase Order PO No. 24212180
Order Date: 8/6/2024
Internal Tracking No.: GRMC PO# 0103034
Contractor Info Bill To Ship To Exemplis LLC 13306976849 6415 Katella Ave Cypress, CA 90630
(714) 995-4800
Mary Dominguez Guadalupe Regionla Medical Center 1215 E. Court St.
Seguin TX 78155
Guadalupe Regional Medical Center 1215 E. Court St.
Seguin TX 78155
NOTE TO CONTRACTOR:
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
Guadalupe Regional Medical Center - B0002
Mark Porter mporter@grmedcenter.com (555) 555-5555
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 42548 5 6 2 2 - B1.T.Z1.A0.B0.
S0.MC33.FG1
Task Chair, Focus Mid Back, Base Model Contract: TXMAS-24-42505 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 8/16/2024 M P N : 5 6 2 2 -
B1.T.Z1.A0.B0.S0.MC33.FG1
Manufacturer Name: Exemplis, LLC
10 EACH 273.23 $2,732.30
2 42548 5 6 2 2 - B1.T.Z1.A0.B0.
S0.MC33.FG1
Incidental Item Delivery Date: 8/16/2024
1 EACH 527.90 $527.90
Purchase Order PO No. 24212180
Order Date: 8/6/2024
Internal Tracking No.: GRMC PO# 0103034
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 42548 5623.B1.LB1.Y.
E3.Z2.A155.B0 .C1
Task Chair, Focus High-Back, Base Model Contract: TXMAS-24-42505 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 8/16/2024 M P N :
5623.B1.LB1.Y.E3.Z2.A155.B0.C1
Manufacturer Name: Exemplis, LLC
2 EACH 430.36 $860.72
4 42548 5623.B1.LB1.Y.
E3.Z2.A155.B0 .C1
Item Upcharge Exemplis LLC
TXMAS
Contract: TXMAS-24-42505 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 8/16/2024 MPN: Item-Upcharge Manufacturer Name: Exemplis, LLC
437.5 EACH 1.00 $437.50
5 42548 5623.B1.LB1.Y.
E3.Z2.A155.B0 .C1
Incidental - added options Delivery Date: 8/16/2024
1 EACH 48.72 $48.72
Total $4,607.14
File details come from the government source that posted it. Updated .