26024896-1.pdf
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- Attached to
- Term TX|615-C1|10433908166|26024896
- Contract number
- 26024896
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice (PO No. 26024896) issued by the Texas Health and Human Services Commission (HHSC) on 11/5/2025, with Staples Contract & Commercial LLC as the contractor. The document originates from the State of Texas and involves a transaction between HHSC and Staples, with shipping and billing addresses located in Austin and San Angelo, Texas. The purchase order includes contact information for various HHSC representatives, including Anita Ortiza, Geeta Maharjan, Lindsey De La Rosa, and Allen Janca.
The purchase order is for a single Master Lock 5-Key Combination Safe (Black/Silver, Model 5401D) priced at $35.11, with a delivery date of November 10, 2025. The item is part of Contract 615-C1, a term contract, with a short 3-day delivery after receipt (ARO) timeline. The document includes a state tax exemption certificate and indicates that the State of Texas is exempt from federal excise taxes. The purchase is being made through the Texas Comptroller of Public Accounts' Statewide Procurement Division, specifically for the HHSC agency, with Lindsey De-La-Rosa listed as the purchaser.
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Text version
Purchase Order Change Notice PO No. 26024896
Order Date: 11/5/2025
Internal Tracking No.: 0000389301
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
HHSC -909 W 45TH ST BLDG 5
AUSTIN TX 78751
Allen JancaHHSC -622 S OAKES ST STE E, SAN ANGELO, TX 76903
NOTE TO CONTRACTOR:
PO#: 0000389301AGENCY CONTACTAnita OrtizaAnita.Ortiz@hhs.texas.govGeeta MaharjanGeeta.Maharjan@hhs.texas.gov SHIP ATTN: Allen Janca (325) 513-1926 allen.janca@hhs.texas.gov HHSC BUYER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email: IT_invoicing@hhs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22
11/5/2025-PO#: 0000389301AGENCY CONTACTAnita Or t izaAnita.Or t iz@hhs.texas.govGeeta MaharjanGeeta.Maharjan@hhs.texas.gov SHIP ATTN: Allen Janca (325) 513-1926 allen.janca@hhs.texas.gov HHSC BUYER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email: IT_invoicing@hhs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):11/5/2025 9:28 am-Contractor note changed PO#: 0000389301
AGENCY CONTACT/SHIP ATTN:
Anita Ortiza
Anita.Ortiz@hhs.texas.gov
Geeta Maharjan
Geeta.Maharjan@hhs.texas.gov
HHSC BUYER:
Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov
AP Email: IT_invoicing@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22 to: PO#: 0000389301AGENCY CONTACTAnita OrtizaAnita.Ortiz@hhs.texas.govGeeta MaharjanGeeta.Maharjan@hhs.texas.gov SHIP ATTN: Allen Janca (325) 513-1926 allen.janca@hhs.texas.gov HHSC BUYER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email:
IT_invoicing@hhs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22
11/5/2025 9:28 am-Phone number has changed from: to: (325) 513-1926
11/5/2025 9:28 am-Shipping address line number 1 has changed from: HHSC -1609 CENTRE CRK to: HHSC -622 S OAKES ST
STE E
11/5/2025 9:28 am-Shipping city has changed from: AUSTIN to: SAN ANGELO
11/5/2025 9:28 am-Shipping zip code has changed from: 78754-5114 to: 76903
11/5/2025 9:28 am-Shipping address changed from: 7263 to: 7127
Purchase Order Change Notice PO No. 26024896
Order Date: 11/5/2025
Internal Tracking No.: 0000389301
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 80176 851476 Master Lock 5-Key Combination Safe, Black/Silver (5401D) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Mon Nov 10 2025
00:00:00 GMT-0800 (PST)
MPN: 851476-1855753
Manufacturer Name: MASTER LOCK
1 EACH 35.11 $35.11
Total $35.11
File details come from the government source that posted it. Updated .