26004486-0.pdf

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Attached to
Term TX|615-C1|10433908166|26004486
Contract number
26004486
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26004486) issued by the Texas Health and Human Services Commission (HHSC) on 10/1/2025, with Staples Contract & Commercial LLC as the vendor. The purchase order is associated with Contract 615-C1, a term contract, and will be fulfilled through the Texas Statewide Procurement Division. The shipping destination is the HHSC Warehouse located at 1090 S. 4th Street in Beaumont, Texas.

The purchase order covers office supplies from multiple manufacturers, including Tops Products LLC and Avery Products Corporation. Specific items include 20 sets of A-Z Index File Guides ($12.39/set), 20 packs of red two-pocket folders ($7.99/pack), 30 dozens of yellow highlighters ($5.17/dozen), 15 dozens of purple highlighters ($5.18/dozen), and 4 boxes of red two-tab letter-size file folders ($54.93/box). The total order value is $860.12, with a delivery date of 10/6/2025 and a required delivery timeframe of 3 days after order receipt. The order includes specific requirements for packing lists and vendor order confirmation.

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Text version

Purchase Order PO No. 26004486

Order Date: 10/1/2025

Internal Tracking No.: 0000386720

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

350 Pine Street Flr 9 Beaumont TX 77701

ATTN Romero,Xiomara Yamileth

(409) 730-4007 S. 4th Street Beaumont TX 77701 HHSC - WAREHOUSE 1090 S. 4th St., BEAUMONT, TX 77701

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000386720 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Romero,Xiomara Yamileth 409-730-4007 XIOMARA.ROMERO@HHS.TEXAS.GOV ** EMAIL INVOICES TO Reg05_Admin_Services@hhsc.state.tx.us FASTER PROCESSING

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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Order Date: 10/1/2025

Internal Tracking No.: 0000386720

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61543 118273 Staples A-Z Index File Guide, 1/5 Cut, Letter Size, Light Gray, 25/Set (Tr) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Romero,Xiomara Ya m i l e t h 4 0 9 - 7 3 0 - 4 0 0 7

XIOMARA.ROMERO@HHS.TEXAS.G

OV

SUPERUSER Sargent,Blanca 4 0 9 - 7 3 0 - 4 0 1 0

BLANCA.SARGENT@HHS.TEXAS.G

OV

C O N T R A C T M A N A G E R Adamson,Shelia 409-291-6206

SHELIA.ADAMSON@HHS.TEXAS.G

OV

CODE 0293 HHSC - WAREHOUSE

1090 S. 4th St., BEAUMONT, TX 77701

MPN: 118273-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

20 SET 12.39 $247.80

Order Date: 10/1/2025

Internal Tracking No.: 0000386720

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61543 907800 Staples Paper 2-Pocket Folders With Fasteners, Red, 10/Pack (13390-Us) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Romero,Xiomara Ya m i l e t h 4 0 9 - 7 3 0 - 4 0 0 7

XIOMARA.ROMERO@HHS.TEXAS.G

OV

SUPERUSER Sargent,Blanca 4 0 9 - 7 3 0 - 4 0 1 0

BLANCA.SARGENT@HHS.TEXAS.G

OV

C O N T R A C T M A N A G E R Adamson,Shelia 409-291-6206

SHELIA.ADAMSON@HHS.TEXAS.G

OV

CODE 0293 HHSC - WAREHOUSE

1090 S. 4th St., BEAUMONT, TX 77701

MPN: 907800-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

20 PACK 7.99 $159.80

Order Date: 10/1/2025

Internal Tracking No.: 0000386720

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 62090 139584 Avery Hi-Liter Tank Highlighters, Chisel, Yellow, Dozen (98035) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Romero,Xiomara Ya m i l e t h 4 0 9 - 7 3 0 - 4 0 0 7

XIOMARA.ROMERO@HHS.TEXAS.G

OV

SUPERUSER Sargent,Blanca 4 0 9 - 7 3 0 - 4 0 1 0

BLANCA.SARGENT@HHS.TEXAS.G

OV

C O N T R A C T M A N A G E R Adamson,Shelia 409-291-6206

SHELIA.ADAMSON@HHS.TEXAS.G

OV

CODE 0293 HHSC - WAREHOUSE

1090 S. 4th St., BEAUMONT, TX 77701

MPN: 139584-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

30 DOZ 5.17 $155.10

Order Date: 10/1/2025

Internal Tracking No.: 0000386720

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

4 62090 470247 Avery Hi-Liter Tank Highlighter, Chisel Tip, Purple, Dozen (24060) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Romero,Xiomara Ya m i l e t h 4 0 9 - 7 3 0 - 4 0 0 7

XIOMARA.ROMERO@HHS.TEXAS.G

OV

SUPERUSER Sargent,Blanca 4 0 9 - 7 3 0 - 4 0 1 0

BLANCA.SARGENT@HHS.TEXAS.G

OV

C O N T R A C T M A N A G E R Adamson,Shelia 409-291-6206

SHELIA.ADAMSON@HHS.TEXAS.G

OV

CODE 0293 HHSC - WAREHOUSE

1090 S. 4th St., BEAUMONT, TX 77701

MPN: 470247-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

15 DOZ 5.18 $77.70

Order Date: 10/1/2025

Internal Tracking No.: 0000386720

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 61545 PFX21319 Pendaflex File Folder, 2 Tab, Letter Size, Red, 50/Box (Pfx 21319) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Romero,Xiomara Ya m i l e t h 4 0 9 - 7 3 0 - 4 0 0 7

XIOMARA.ROMERO@HHS.TEXAS.G

OV

SUPERUSER Sargent,Blanca 4 0 9 - 7 3 0 - 4 0 1 0

BLANCA.SARGENT@HHS.TEXAS.G

OV

C O N T R A C T M A N A G E R Adamson,Shelia 409-291-6206

SHELIA.ADAMSON@HHS.TEXAS.G

OV

CODE 0293 HHSC - WAREHOUSE

1090 S. 4th St., BEAUMONT, TX 77701

MPN: PFX-21319

Manufacturer Name: Essendant

4 BOX 54.93 $219.72

Total $860.12

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