26003887-0.pdf

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Attached to
Term TX|615-C1|10433908166|26003887
Contract number
26003887
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26003887) issued by the Texas Health and Human Services Commission (HHSC) on 9/29/2025, with Staples Contract & Commercial LLC as the vendor. The purchase order is specifically for the San Antonio Service Hub location, with billing and shipping addresses in San Antonio, Texas. The document involves the Texas Comptroller of Public Accounts' Statewide Procurement Division and uses Contract 615-C1, which appears to be a term contract.

The purchase order details six line items of office supplies from various manufacturers, including Fellowes, Falcon Safety Products, Cosco Industries, and TOPS Products LLC. The items include laptop risers, monitor arms, screen cleaning wipes, a date stamp, and adjustable hanging file frames. The total purchase amount is $1,533.91, with quantities ranging from 1 to 20 units per item. All items are set for delivery by 10/2/2025 with a 3-day after receipt (ARO) delivery timeline. The order is tax-exempt under Texas Tax Code Section 151.309(4) and is being secured for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26003887

Order Date: 9/29/2025

Internal Tracking No.: 0000386397

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

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

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

NOTE TO CONTRACTOR: PO#: 0000386397

AGENCY CONTACT:

Izelda Zarate 210-531-3700 izelda.zarate01@hhs.texas.gov

HHSC BUYER:

Shawn Giggey N/a Shawn.giggey@hhs.texas.gov

VENDOR:

Staples governmentteam@staples.com

AP Email: SAHAccounting@dshs.gov

DELIVERY: Mon – Fri 0800-1130 and 1-430 except weekends and holidays 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

Shawn Giggey Shawn.Giggey@hhs.texas.gov (512) 406-2565

Order Date: 9/29/2025

Internal Tracking No.: 0000386397

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78543 565301 Fellowes Office Suites 15.06"W X 10.5"D Plastic Laptop Riser, Black/Silver (8032001) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2025

MPN: 565301-1855753

Manufacturer Name: FELLOWES

20 EACH 29.34 $586.80

2 28718 887547 Falcon Dust-Off Touch Screen Wipes, Office Share Pack, 200/Pack (Dmhj) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2025

MPN: 887547-1855753

Manufacturer Name: FALCON

SAFETY PRODUCTS

6 PACK 22.84 $137.04

3 61577 630236 2000 Plus Dater, Black Ink (011200/010175) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2025

MPN: 630236-1855753

Manufacturer Name: COSCO IND.

INC.

5 EACH 21.91 $109.55

4 78543 24471590 Fel lowes Plat inum Ser ies Adjustable Dual Monitor Arm, Up To 32", Silver (8056501) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2025

MPN: 24471590-1855753

Manufacturer Name: FELLOWES

1 EACH 187.44 $187.44

5 78543 735534 F e l l o w e s D e s i g n e r Suites160;Adjustable Monitor Riser, Up To 32", Black -160;8038101 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2025

MPN: 735534-1855753

Manufacturer Name: FELLOWES

8 EACH 58.09 $464.72

Order Date: 9/29/2025

Internal Tracking No.: 0000386397

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61543 510479 Pendaflex Adjustable Hanging File Frame, Letter/Legal Size, White (Pfx 04441) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2025

MPN: 510479-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

4 EACH 12.09 $48.36

Total $1,533.91

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