26002844-2.pdf

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Attached to
TX|TXMAS-25-45002|26002844
Contract number
26002844
Issued by
Texas

About this file

This document is a Purchase Order Change Notice (PO No. 26002844) issued by the Texas Health & Human Services Commission, involving Grainger, Inc. as the contractor. The purchase order is associated with the TXMAS contract (TXMAS-25-45002) and involves the Terrell State Warehouse located in Terrell, TX. The document is dated 9/22/2025 and has an internal tracking number of HHSTX-6-0000385872, with this being the second revision to the original purchase order.

The purchase order covers multiple line items including pleated air filters in various sizes (16X25X2 Merv 7, 20X20X2 Merv 10, and 16X20X2 Merv 7) from Grainger, as well as linear fluorescent bulbs from GE Lamps. The total order value is $5,044.68, with quantities ranging from 96 to 900 units. The order includes specific delivery requirements (10-15 days after receipt) with delivery dates set for October 2025, and incorporates additional line items such as a restocking fee and an oversized freight quote. The pricing is fixed, with unit prices ranging from $3.83 to $6.05 per unit, and the order is tax-exempt under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order Change Notice PO No. 26002844

Order Date: 9/22/2025

Internal Tracking No.: HHSTX-6-0000385872

Contractor Info Bill To Ship To Grainger, Inc. - Austin 053 13611502801 7950 Research Blvd. Ste 101 Austin, TX 78758 Branch 053 Manager

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

NOTE TO CONTRACTOR:

AGENCY CONTACT:

Whse Supvr Bryan Harris bryan.harris@hhs.texas.gov

INVOICING: HHSCTSHAccounting@hhs.texas.gov

DELIVERY: Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday –

Friday except designated State Holidays

Invoice per 34 TAC §20.487, amended effective 5-1-22

9/22/2025-PO#: 0000385872

AGENCY CONTACT:

Whse Supvr Bryan Harris bryan.harris@hhs.texas.gov

INVOICING: HHSCTSHAccounting@hhs.texas.gov

DELIVERY: Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday –

Friday except designated State Holidays

Invoice per 34 TAC §20.487, amended effective 5-1-22

REVISION HISTORY:

PO Revision #: 2 PO Change Reasons (Aggregated):12/16/2025 7:27 am-Added new line #4 to: 4

12/16/2025 7:27 am-New quote added line # 55 to: 5

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/CO-OP Member Purchaser Email Phone

Order Date: 9/22/2025

Internal Tracking No.: HHSTX-6-0000385872

Health & Human Services Commission - 529

Clarence Perry Clarence.Perry2@hhs.texas.gov (512) 776-6012

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 03145 2W231 Pleated Air Filter 16X25X2 Merv 7 Std Capacity Synthetic Beverage Board Contract: TXMAS-25-45002 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: Thu Oct 02 2025

00:00:00 GMT-0700 (PDT)

MPN: 2W231

Manufacturer Name: GRAINGER

96 EACH 5.74 $551.04

2 03145 4YUY4 Pleated Air Filter 20X20X2 Merv 10 High Capacity Synthetic Beverage Board Contract: TXMAS-25-45002 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: Thu Oct 02 2025

00:00:00 GMT-0700 (PDT)

MPN: 4YUY4

Manufacturer Name: GRAINGER

96 EACH 6.05 $580.80

3 28550 4PL16 Linear Fluorescent Bulb 4 Ft Nominal Lg T8 32 W Watt 4100K 3 000 Lm Light Output Contract: TXMAS-25-45002 Contract Type: TXMAS Delivery ARO (days): 15 Delivery Date: Tue Oct 07 2025

00:00:00 GMT-0700 (PDT)

MPN: F32T8SPX41ECO2

Manufacturer Name: GE LAMPS

900 EACH 3.83 $3,447.00

5 4PL16 Restocking Fee Delivery Date: Tue Oct 07 2025

00:00:00 GMT-0700 (PDT)

Notes: shipping fee

1 EACH 0.00 $0.00

6 96286 O v e r s i z e d Freight Quote

Oversized Freight Quote Delivery ARO (days): 1 Delivery Date: Tue Oct 07 2025

00:00:00 GMT-0700 (PDT)

MPN: Oversized Freight Quote Manufacturer Name: Oversized Freight Quote

30 EACH 1.00 $30.00

Order Date: 9/22/2025

Internal Tracking No.: HHSTX-6-0000385872

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

4 03145 2W230 Pleated Air Filter 16X20X2 Merv 7 Std Capacity Synthetic Beverage Board Contract: TXMAS-25-45002 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: Thu Oct 02 2025

00:00:00 GMT-0700 (PDT)

MPN: 2W230

Manufacturer Name: GRAINGER

96 EACH 4.54 $435.84

Total $5,044.68

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