26025127-0.pdf

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Term TX|615-C1|10433908166|26025127
Contract number
26025127
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26025127) issued by the Texas Health and Human Services Commission (HHSC), Agency 529, on 11/6/2025. The order is placed with Staples Contract & Commercial LLC, located in Framingham, MA, under Contract 615-C1. The purchasing agency is billing to Brenham SSLC and shipping to an address in Austin, TX. The primary agency contact is Gabriele Dangerfield, and the agency purchaser is Ron Connell.

The purchase order includes various office supplies and printer ink cartridges from manufacturers like Avery Products Corporation, WorkLife Brands, and HP Inc. Specific items include Avery Heavy Duty 4" 3-Ring Binders, alphabetical leather dividers, hardboard clipboards, 2-pocket paper folders in multiple colors, and HP ink cartridges (65XL and 952 series) in black and tri-color variants. The order consists of 12 line items with quantities ranging from 1 to 5 units per item, totaling $713.04. The contract is a term contract with a 3-day delivery after receipt (ARO) and a specified delivery date of 11/10/2025. All items are purchased under the same contract (615-C1) and are tax-exempt under Texas Tax Code.

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Text version

Purchase Order PO No. 26025127

Order Date: 11/6/2025

Internal Tracking No.: HHSTX-6-0000389421

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

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

Gabriele Dangerfield4301 N Lamar Blvd, Austin, TX 78751

NOTE TO CONTRACTOR: Agency: 529-HHSC

Agency Contact: Gabriele Dangerfield, Gabriele.Dangerfield@hhs.texas.gov, 512-419-2663

Accounts Payable: 712Accounting@hhs.texas.gov, 512-438-4222

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

Ron Connell Ron.Connell@hhs.texas.gov (830) 285-2032

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61509 894678 Avery Heavy Duty 4" 3-Ring View Binders, D-Ring, Red (79326) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 894678-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

1 EACH 19.46 $19.46

Order Date: 11/6/2025

Internal Tracking No.: HHSTX-6-0000389421

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61539 483305 Staples Alphabetical A-Z Leather Dividers, Black 26 Tab, Buff (18946/11483) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 483305-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

5 SET 3.01 $15.05

3 61525 224071 Staples Hardboard Clipboards, Letter Size, Natural Brown, 3/Pack (44291) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 224071-1855753

Manufacturer Name: WORKLIFE

BRANDS

5 PACK 5.23 $26.15

4 61525 1671406 Staples Hardboard Clipboard, Letter Size, Brown (44292) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 1671406-1855753

Manufacturer Name: WORKLIFE

BRANDS

5 EACH 1.91 $9.55

5 61543 578546 Staples Smooth 2-Pocket Paper Folder, Navy, 25/Box (50762/27539- Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 578546-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 BOX 7.80 $7.80

Order Date: 11/6/2025

Internal Tracking No.: HHSTX-6-0000389421

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61543 578542 Staples Smooth 2-Pocket Paper Folder, White, 25/Box (50760/27537- Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 578542-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 BOX 7.80 $7.80

7 61543 578488 Staples Smooth 2-Pocket Paper Folder, Green, 25/Box (50753/27533- Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 578488-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 BOX 7.80 $7.80

8 61543 578484 Staples Smooth 2-Pocket Paper Folder, Red, 25/Box (50752/27532- Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 578484-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 BOX 7.80 $7.80

9 57547 1990396 Hp 65Xl Black High Yield Ink Cartridge (N9K04An140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 1990396-1855753

Manufacturer Name: HP INC.

2 EACH 32.76 $65.52

10 57547 1990400 Hp 65Xl Tri-Color High Yield Ink Cartridge (N9K03An140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 1990400-1855753

Manufacturer Name: HP INC.

2 EACH 39.67 $79.34

Order Date: 11/6/2025

Internal Tracking No.: HHSTX-6-0000389421

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

11 57547 2030289 Hp 952Xl/952 Black High Yield And Cyan/Magenta/Yellow Standard Yield Ink Cartridge, 4/Pack (N9K28An140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 2030289-1855753

Manufacturer Name: HP INC.

3 PACK 112.99 $338.97

12 77009 2002723 Hp 952 Black Standard Yield Ink Cartridge (F6U15An140), Print Up To 900 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025

MPN: 2002723-1855753

Manufacturer Name: HP INC.

4 EACH 31.95 $127.80

Total $713.04

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