26007376-0.pdf

PDF 15 KB Posted

Attached to
TX|TXMAS-25-45004|26007376
Contract number
26007376
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26007376) issued by the Texas Health & Human Services Commission on 10/20/2025, with Fastenal Company as the vendor. The purchase order is processed under the Texas Multiple Award Schedule (TXMAS) contract and involves the State of Texas as the purchasing agency. The contractor's details indicate Fastenal Company is located in Winona, Minnesota, with billing and shipping addresses in Beaumont, Texas.

The purchase order is for 10 units of 8oz Bacteriostatic Additive for portable eye washes, specifically for 10 to 16-gallon units manufactured by Guardian Equipment Company. The item has a manufacturer part number G1540BA and is purchased at a unit price of $17.04, resulting in a total order value of $170.40. The contract type is TXMAS, with a delivery timeline of 10 days after receipt (ARO) and a specified delivery date of 10/30/2025. The order is tax-exempt under Texas Tax Code Section 151.309(4), as the property is being secured for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26007376

Order Date: 10/20/2025

Internal Tracking No.: 0000388197

Contractor Info Bill To Ship To Fastenal Company 14109484155 2001 Theurer Blvd.

Winona, MN 55987

(833) 790-9932

350 Pine Street Flr 9 Beaumont TX 77701

1090S. 4th Street, Beaumont, TX 77701

NOTE TO CONTRACTOR: PO# 0000388197

AGENCY CONTACT:

Shelia Adamson Shelia.adamson@hhs.texas.gov

VENDOR:

Fastenal Company

AP Email: Reg05_Admin_Services@hhsc.state.tx.us

DELIVERY: Add any delivery notes from the Requisition, if applicable.

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

Santino Campos Santino.Campos@hhs.texas.gov (210) 986-4475

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 34518 1023839 8Oz Bacteriostatic Additive For All 10 To 16 Gallon Portable Eye Washes Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 10/30/2025

MPN: G1540BA

Manufacturer Name: GUARDIAN

EQUIPMENT COMPANY

10 EACH 17.04 $170.40

Purchase Order PO No. 26007376

Order Date: 10/20/2025

Internal Tracking No.: 0000388197

Total $170.40

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