26003182-0.pdf

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Attached to
Term TX|045-A1|18436851317|26003182
Contract number
26003182
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26003182) issued by the Texas Health and Human Services Commission on 9/24/2025, involving Horny Toad Distributors, LLC as the contractor. The purchasing agency is located in Beaumont, Texas, with key personnel including Sheila Adamson as the agency contact and Stephen Moss as the requestor. The document includes a state tax exemption certificate under Texas Tax Code, Section 151.309(4), indicating this is a government procurement for state use.

The purchase order is for two Whirlpool 21.3 cu. ft. Top Freezer Refrigerators (Model WRT541SZDW/B), priced at $1,042.70 each, for a total contract value of $2,085.40. The order is issued under Contract 045-A1, which is a term contract with a delivery timeline of 14 days after receipt (ARO), with a specific delivery date of 10/8/2025. Invoices are to be emailed to Reg05_Admin_Services@hhsc.state.tx.us, and the purchase is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Jocelynn Evans listed as the agency purchaser.

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Text version

Purchase Order PO No. 26003182

Order Date: 9/24/2025

Internal Tracking No.: 0000385998

Contractor Info Bill To Ship To Horny Toad Distributors, LLC 18436851317 6033 Belmont Avenue Dallas, TX 75206

(806) 441-1878

350 Pine Street Flr 9 Beaumont TX 77701

SHELIA ADAMSON

(409) 291-6206 S. 4th Street Beaumont TX 77701

NOTE TO CONTRACTOR: PLEASE EMAIL INVOICES TO: Reg05_Admin_Services@hhsc.state.tx.us

Ship Attention to:

Sheila Adamson

Agency contact:

Name: Sheila Adamson Phone: 409-291-6206 Email: SHELIA.ADAMSON@HHS.TEXAS.GOV

Requestor:

Name: Stephen Moss Phone: 409-767-4910 Email: Stephen.Moss@hhs.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

Jocelynn Evans Jocelynn.Evans@hhs.texas.gov (512) 717-2524

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 04566 04566672139 21.3 cu. ft. Top Freezer Refrigerator Contract: 045-A1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/8/2025

MPN: WRT541SZDW/B

Manufacturer Name: WHIRLPOOL

2 EACH 1042.70 $2,085.40

Purchase Order PO No. 26003182

Order Date: 9/24/2025

Internal Tracking No.: 0000385998

Total $2,085.40

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