26020768-0.pdf

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Attached to
TX|TXMAS-25-45004|26020768
Contract number
26020768
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26020768) issued by the Texas Health and Human Services Commission (HHSC) on 10/24/2025, with Fastenal Company as the contractor. The purchase order involves a state-level transaction under the TXMAS (Texas Multiple Award Schedule) contract, with delivery to be made to 12300 Technology Blvd in Austin, Texas.

The purchase order is for 3 units of a 10 Ft, 1 Outlet, 13A, 125V Orange Single-Outlet Extension Cord (MPN: 0783325) manufactured by CAROL, with a unit price of $22.61 and a total extended price of $67.83. The contract (TXMAS-25-45004) specifies a 10-day delivery after receipt of order (ARO), with the expected delivery date of 11/3/2025. 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. 26020768

Order Date: 10/24/2025

Internal Tracking No.: HHSTX-6-0000388624

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

Winona, MN 55987

(833) 790-9932

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

12300 Technology Blvd, Austin, TX 78727

NOTE TO CONTRACTOR: ATTN: Jeff Blue - 512-250-7147 12300 Technology Blvd, Austin, TX 78727 jeffrey.blue@hhs.texas.gov

Info for Warehouse staff:

Delivery Contact: Jeff Blue Phone #: 512-250-7147 Email: jeffrey.blue@hhs.texas.gov Bldg/Floor/Cubicle: 12300 Technology Blvd, Austin, TX 78727

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

Leslie Alexander leslie.alexander4@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 28595 0783325 10 Ft L 1 Outlet 13 A 125 V Orange Single-Outlet Extension Cord Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 11/3/2025

MPN: 0783325

Manufacturer Name: CAROL

3 EACH 22.61 $67.83

Total $67.83

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