26004097-1.pdf

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Term TX|485-T1|3696696696602|26004097
Contract number
26004097
Issued by
Texas

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Purchase Order Change Notice Summary

This is a Purchase Order Change Notice (PO No. 26004097) issued by the Health & Human Services Commission (HHSC) in Texas to contractor TCI, located in Huntsville, Texas. The purchase order is for delivery to the HHSC Mexia State Supported Living Center (SSLC) warehouse in Mexia, Texas. The original order date was September 29, 2025, with one revision made on March 19, 2026. The agency contact is Warehouse Supervisor Ricky Salazar, and invoicing is directed to the HHSC accounting department. Delivery is restricted to weekday business hours (8:00-11:30 AM and 1:00-4:30 PM, Monday through Friday, excluding state holidays).

The purchase order covers two line items under Contract 485-T1 (a term contract): Dust Mop Heads (18-inch cotton, dry, industrial) at a unit price of $10.00 each, with 96 units ordered for a total of $960.00; and Handles for Mop Quick Grip Wet Mop (60" x 15/16", zinc-plated mild steel rod with hardwood coating) at a unit price of $348.00 per bundle, with the quantity revised from 20 bundles to zero bundles as of the March 19, 2026 change notice, resulting in a $0.00 extended amount for line 2. The total purchase order amount is $960.00. Both items have a 30-day delivery window with an expected delivery date of October 29, 2025. The State of Texas claims exemption from sales and excise taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order Change Notice PO No. 26004097

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386498

Contractor Info Bill To Ship To

TCI

36966966966

PO BOX 4013

Huntsville, TX 77342

(936) 437-6048

424 Mesquite Dr Mexia SSLC Mexia TX 76667

HHSC -MEXIA SSLC WHSE

424 Mesquite Dr

MEXIA TX 76667

NOTE TO CONTRACTOR:

AGENCY CONTACT:

Whse Supvr Ricky Salazar ricky.salazar@hhs.texas.gov

INVOICING: 710accounting@hhs.texs.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

9/29/2025-PO#: 0000386498

AGENCY CONTACT:

Whse Supvr Ricky Salazar ricky.salazar@hhs.texas.gov

INVOICING: 710accounting@hhs.texs.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

3/19/2026-PO#: 0000386498

AGENCY CONTACT:

Whse Supvr Ricky Salazar ricky.salazar@hhs.texas.gov

INVOICING: 710accounting@hhs.texs.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 #: 1 PO Change Reasons (Aggregated):3/19/2026 8:49 am-Change to Line 2: Quantity has changed from: 20 to: 0

3/19/2026 8:49 am-Change to Line 2: Attatchment changed changed to: 0

Purchase Order Change Notice PO No. 26004097

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386498

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

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 48570 48570481308 Dust Mop Head, 18 In. Cotton, Dry, Industrial Contract: 485-T1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: Wed Oct 29 2025

00:00:00 GMT-0700 (PDT)

96 EACH 10.00 $960.00

2 48572 48572263001 Handles, Mop, Quick Grip Wet Mop 60" x 15/16" Handle, Zinc Plated 1/4". Mild Steel Rod, Hardwood Coated w/ Clear Lacquer Contract: 485-T1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: Wed Oct 29 2025

00:00:00 GMT-0700 (PDT)

0 BNDL 348.00 $0.00

Total $960.00

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