26006854-1.pdf

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Term TX|615-C1|10433908166|26006854
Contract number
26006854
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Texas

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This is a Purchase Order Change Notice (PO No. 26006854) issued by the Health & Human Services Commission (HHSC) of Texas, dated 10/16/2025. The primary contractor is Staples Contract & Commercial LLC, located in Framingham, MA, and the purchase order is being processed through the Texas Statewide Procurement Division. The document involves an order for office supplies, with Logaan Duvernay listed as the agency contact and Lindsey De La Rosa as the HHSC buyer.

The purchase order covers four line items of office supplies, including 2000 Plus Self-Inking Ink Refills (black and blue), Pentel Energel Deluxe Retractable Gel Pens, and Pendaflex Glow Plastic File Jackets. The order is under Contract 615-C1, which is a term contract with a 3-day delivery after receipt (ARO) period. The delivery date was changed to Sunday, October 19, 2025. The total order amount is $61.37, with unit prices ranging from $3.69 to $15.34. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is secured for the exclusive use of the State of Texas.

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Purchase Order Change Notice PO No. 26006854

Order Date: 10/16/2025

Internal Tracking No.: 0000387926

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

Health & Human Services Commission 5425 Polk St. Sue 220 Houston TX 77023

Logaan Duvernay5425 Polk StSte 220, Houston, TX 77023undefined

NOTE TO CONTRACTOR:

PO#: 0000387926

AGENCY CONTACT/SHIP:

Logaan Duvernay

713-767-2404

Logaan.Duvernay@hhs.texas.gov

HHSC BUYER:

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

AP Email: Reg_06_Regional_Budget_PRF@hhs.texas.gov

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

10/16/2025-PO#: 0000387926

AGENCY CONTACT/SHIP:

Logaan Duvernay

713-767-2404

Logaan.Duvernay@hhs.texas.gov

HHSC BUYER:

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

AP Email: Reg_06_Regional_Budget_PRF@hhs.texas.gov

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

10/20/2025-PO#: 0000387926

AGENCY CONTACT/SHIP:

Logaan Duvernay

713-767-2404

Logaan.Duvernay@hhs.texas.gov

Order Date: 10/16/2025

Internal Tracking No.: 0000387926

HHSC BUYER:

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

AP Email: Reg_06_Regional_Budget_PRF@hhs.texas.gov

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

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 10:12 am-Change to Line 3: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to: Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:12 am-Change to Line 2: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:12 am-Change to Line 1: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

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

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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 61577 COS032962 2000 Plus Self-Inking Ink Refills, Black Ink (032962) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: COS-032962

Manufacturer Name: Essendant

1 EACH 3.69 $3.69

Order Date: 10/16/2025

Internal Tracking No.: 0000387926

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

2 61577 COS032961 2000 Plus Ink Refill, Blue Ink (032961) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: COS-032961

Manufacturer Name: Essendant

2 EACH 3.69 $7.38

3 62080 651807 Pentel Energel Deluxe Rtx Retractable Gel Pens, Medium Point Needle Tip, Purple Ink, 12/Pack (Bln77-V) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: BLN77-V

Manufacturer Name: PENTEL OF

AMERICA LTD

2 DOZ 15.34 $30.68

4 61545 1075845 Pendaflex Glow Plastic File Jacket, 1" Expansion, Letter Size, Assorted, 5/Pack (50992) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: 1075845-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

3 PACK 6.54 $19.62

Total $61.37

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