26003200-0.pdf

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Attached to
TX|TXMAS-24-61501|26003200
Contract number
26003200
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26003200) issued by the Texas Health & Human Services Commission (HHSC) on 9/24/2025, with Mono Machines LLC dba Supply Chimp as the contractor. The purchase order involves Lindsey De La Rosa as the agency purchaser, with shipping and billing contacts at Janet McCaulie's address in Arlington, TX. The document is associated with the Texas Comptroller of Public Accounts' Statewide Procurement Division and includes standard state tax exemption documentation.

The purchase order is for 10 boxes of AbilityOne Hand Sanitizer (MPN: 8520015793825), a 2-liter clear product with 4 bottles per box, at a unit price of $82.20 and a total extended price of $822.00. The order is made under the TXMAS-24-61501 contract, which is a TXMAS (Texas Multiple Award Schedule) contract type. The delivery is set for 4 days after receipt of order (ARO), with a specific delivery date of 9/29/2025. The purchase includes a specific instruction for delivery, noting no deliveries between 12-1 PM and requiring a 24-hour advance call prior to delivery.

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Text version

Purchase Order PO No. 26003200

Order Date: 9/24/2025

Internal Tracking No.: 0000386079

Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003

(800) 592-1306

801 S State Hwy 161 PO Box 532089 Grand Prairie TX 75051

Janet McCaulie

(214) 577-1018 2220 Forum Drive Arlington TX 76010

NOTE TO CONTRACTOR: PO#: 0000386079

AGENCY:

SOREYRA.GONZALEZ2@HHS.TEXAS.GOV

972-337-6285

SHIP:

Janet McCaulie Janet.McCaulie@hhs.texas.gov 214-207-4886

NO DELIVERIES 12 -1 PM CALL 24 HRS PRIOR TO DELIVERY 972-337-6109

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: Reg03_AP@hhsc.state.tx.us

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

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

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (512) 294-3627

Purchase Order PO No. 26003200

Order Date: 9/24/2025

Internal Tracking No.: 0000386079

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 43573 44760 Abilityone 5793825 8520015793825, Hand Sanitizer, 2-Liter, Clear, 4 Bottles/Box Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/29/2025

MPN: 8520015793825

Manufacturer Name: AbilityOne

10 BOX 82.20 $822.00

Total $822.00

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