26003114-1.pdf

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Attached to
TXMAS TX|TXMAS-25-42001|18109578874|26003114
Contract number
26003114
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26003114) issued by the Texas Health and Human Services Commission (HHSC) on 9/24/2025, involving Access Supply LLC, a vendor located in Keysville, Virginia. The document is associated with the Texas Multiple Award Schedule (TXMAS) Contract No. TXMAS-25-42001 and involves procurement for the state of Texas, specifically for the HHSC.

The purchase order is for 10 Remedy Silver Secure Mattresses (36" X 80"), manufactured by Norix Furniture, with a unit price of $436.33 per mattress, totaling $4,363.30, plus an additional $310.86 for transportation and freight charges. The total contract value is $4,674.16. The delivery is scheduled for December 23, 2025, with a 90-day after receipt of order (ARO) timeline. Specific delivery instructions include hours between 8:00-11:30am and 1:00-4:30pm Monday-Friday, with pallets restricted to a maximum height of 6 feet. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and will be shipped to HHSC warehouses in San Antonio and Harlingen, Texas.

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Text version

Purchase Order Change Notice PO No. 26003114

Order Date: 9/24/2025

Internal Tracking No.: HHSC PO_386022

Contractor Info Bill To Ship To Access Supply LLC 18109578874 119 Briery Church Rd.

Keysville, VA 23947

(434) 736-8643

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen TX 78552

NOTE TO CONTRACTOR:

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):9/24/2025 12:24 pm-Change to Line 1: Line note has changed from:

9/24/2025 12:24 pm-Change to Line 1: Attatchment changed changed

9/24/2025 12:24 pm-Added new line #

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

Health & Human Services Commission - 529

Carmen Hernandez carmen.hernandez1@hhs.texas.gov (512) 000-0000

Purchase Order Change Notice PO No. 26003114

Order Date: 9/24/2025

Internal Tracking No.: HHSC PO_386022

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 42068 MRS6-3680 Remedy Silver Secure Mattress 36" X 80" Contract: TXMAS-25-42001 Contract Type: TXMAS Delivery ARO (days): 90 Delivery Date: Tue Dec 23 2025

00:00:00 GMT-0800 (PST)

Notes: HHSC TX PO#: 0000386022

AGENCY CONTACT:

Name: Mario Gonzales Phone: 956-364-8041 Email: mario.gonzales@hhs.texas.gov

Ship to Attn: Warehouse Supervisor

HHSC BUYER:

Carmen Hernandez, CTCD Carmen.hernandez1@hhs.texas.gov

VENDOR:

Access Supply LLC 119 Briery Church Rd Keysville, VA 23947 434-736-8643

AP Email: ap@agency.gov

DELIVERY: Delivery hours are from 8:00-11:30am (12-1PM LUNCH) and 1:00-4:30pm Monday-Friday except designated State Holidays when the Warehouse is closed. Contact the Warehouse Supervisor to schedule delivery.

Pallets cannot be taller than 6FT tall.

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

MPN: MRS6-3680

Manufacturer Name: Norix Furniture

10 EACH 436.33 $4,363.30

2 96286 Transportation and Freight Charge

Transportation and Freight Charge 1 EACH 310.86 $310.86

Total $4,674.16

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