26002669-0.pdf

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Attached to
Term TX|615-C1|10433908166|26002669
Contract number
26002669
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26002669) issued by the Texas Health and Human Services Commission (HHSC) on 9/22/2025, with Staples Contract & Commercial LLC as the vendor. The purchase order is for the HHSC's Rio Grande State Warehouse located in Harlingen, Texas, and is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division.

The purchase order covers various office supplies from different manufacturers including 3M, Worklife Brands, Avery Products Corporation, and Smead Manufacturing. The items include Post-It flags, file folders, large tab insertable dividers, self-adhesive index tabs, a desk file/sorter, and wall-mountable sheet protectors. The order is placed under Contract 615-C1, with a term contract and a 3-day delivery window. The total purchase amount is $231.96, with quantities ranging from 1 to 25 units across 7 line items. All items are to be delivered to Building 508 at the Rio Grande State Warehouse, with specific instructions for packing lists and order confirmations.

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Text version

Purchase Order PO No. 26002669

Order Date: 9/22/2025

Internal Tracking No.: 0000385786

Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702

Attn Accounts payable 4616-1 West Howard Lane Austin TX 78728

ATTN Saldivar,Rolando

(956) 364-8478 Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen TX 78552 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000385786 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 956-364-8478 rolando.saldivar@hhs.texas.gov ***SEND INVOICES VIA EMAIL TO: SAHAccounting@dshs.texas.gov ***

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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Order Date: 9/22/2025

Internal Tracking No.: 0000385786

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61562 844290 Post-It 'sign Here' Message Flags, .5" Wide, Assorted Colors, 120 Flags/Pack (684-Sh) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/25/2025 N o t e s : * * * R E Q U I S I T I O N 0000314017***

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

MPN: 844290-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

3 PACK 2.62 $7.86

2 61545 502678 Staples File Folders, 1/3 Cut, Letter Size, Assorted Colors, 250/Box (Tr) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/25/2025 N o t e s : * * * R E Q U I S I T I O N 0000314052***

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

MPN: 502678-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 BOX 59.78 $119.56

Order Date: 9/22/2025

Internal Tracking No.: 0000385786

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 61539 153866 Staples Large Tab Insertable Dividers, 8-Tab, Assorted Colors (13487/11111) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/25/2025 N o t e s : * * * R E Q U I S I T I O N 0000314052***

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

MPN: 153866-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

25 SET 1.00 $25.00

4 61539 153841 Staples Large Tab Insertable Dividers, 5-Tab, Assorted Colors (13485/11109) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/25/2025 N o t e s : * * * R E Q U I S I T I O N 0000314052***

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

MPN: 153841-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

5 SET 0.71 $3.55

Order Date: 9/22/2025

Internal Tracking No.: 0000385786

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 61539 511947 Avery Printable Self-Adhesive Index Tabs, White, 80 Tabs/Pack (16282) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/25/2025 N o t e s : * * * R E Q U I S I T I O N 0000314109***

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

MPN: 511947-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

5 PACK 5.21 $26.05

6 61545 900049 Smead Desk File/Sorter, Alphabetic (A-Z), 20 Dividers, Letter Size, Blue (89282) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/25/2025 N o t e s : * * * R E Q U I S I T I O N 0000314125***

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

MPN: 900049-1855753

Manufacturer Name: SMEAD

MANUFACTURING

1 EACH 13.14 $13.14

Order Date: 9/22/2025

Internal Tracking No.: 0000385786

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

7 61531 460701 Staples Wall-Mountable Sheet Protector, Letter Size, Diamond Clear, 10/Pack (15945) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/25/2025 N o t e s : * * * R E Q U I S I T I O N 0000314390***

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Saldivar,Rolando 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov 1401 S Rangerville Rd Harlingen TX 78552 BUILDING: Bldg. 508 Warehouse

MPN: 460701-1855753

Manufacturer Name: WORKLIFE

BRANDS

10 PACK 3.68 $36.80

Total $231.96

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