26064284-1.pdf
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- Attached to
- Term TX|615-C1|10433908166|26064284
- Contract number
- 26064284
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice (PO No. 26064284) issued by the State of Texas, Health and Human Services Commission (HHSC), Agency 529, for procurement from Staples Contract & Commercial LLC. The order was originally placed on December 15, 2025, with an internal tracking number of HHSTX-6-0000391633. The purchase is being billed to HHSC at 4601 Guadalupe Street, Austin, Texas 78751, and shipped to Angel Martinez at 6101 E Oltorf, Austin, Texas 78741. The revision was made on February 2, 2026, and the order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division under Contract 615-C1, a term contract type.
The purchase order covers five line items of office supplies and equipment with a total order value of $1,564.50. The items include 150 units of Coastwide Professional Indoor Trash Cans in black ($594.00), 150 units in gray ($670.50), 15 units of Fellowes Memory Foam Mouse Pad/Wrist Rest Combos ($203.40), and 10 units of Deflecto Wall Mount Sign Holders ($96.60). Line 4, originally ordered for 15 units of Staples Foam Non-Skid Wrist Rests at $9.42 per unit, was modified in the revision to zero quantity, resulting in a $0.00 extended amount. All items specify a 3-day delivery window with a scheduled delivery date of December 18, 2025. The order qualifies for Texas sales tax exemption as property for exclusive use by the State of Texas.
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Text version
Purchase Order Change Notice PO No. 26064284
Order Date: 12/15/2025
Internal Tracking No.: HHSTX-6-0000391633
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
(888) 212-7219
Health and Human Services Commission 4601 Guadalupe St Austin TX 78751
Angel Martinez 6101 E Oltorf Austin, TX 78741 Commercial vehicle deliveries must back into the loading dock when making deliveries to the Texas DDS thereby making it unsuitable for semi-trailers longer than 53 feetwith a truck attachment that contains a sleeper cab.
NOTE TO CONTRACTOR:
Agency Contact: Angel Martinez, Angel.P.Martinez@ssa.gov, (512) 437-8988
Accounts Payable: Denise Hernandez, DDS.TX.S49.AP@ssa.gov, (512) 437-8301
Invoice per 34 TAC §20.487, amended effective 5-1-22
12/15/2025-Agency: 529-HHSC
Agency Contact: Angel Martinez, Angel.P.Martinez@ssa.gov, (512) 437-8988
Accounts Payable: Denise Hernandez, DDS.TX.S49.AP@ssa.gov, (512) 437-8301
Invoice per 34 TAC §20.487, amended effective 5-1-22
2/2/2026-Agency: 529-HHSC
Agency Contact: Angel Martinez, Angel.P.Martinez@ssa.gov, (512) 437-8988
Accounts Payable: Denise Hernandez, DDS.TX.S49.AP@ssa.gov, (512) 437-8301
Invoice per 34 TAC §20.487, amended effective 5-1-22
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):2/2/2026 12:53 pm-Change to Line 4: Quantity has changed from: 15 to: 0
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
Order Date: 12/15/2025
Internal Tracking No.: HHSTX-6-0000391633
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 Amount
1 61595 124867 Coastwide Professional Indoor Trash Can Without Lid, Black Soft Molded Plastic, 7 Gallon (Cw56429) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Thu Dec 18 2025
00:00:00 GMT-0800 (PST)
MPN: 124867-1855753
Manufacturer Name: WORKLIFE
BRANDS
150 EACH 3.96 $594.00
2 61595 540526 Coastwide Professional Indoor Trash Can Without Lid, Gray Soft Molded Plastic, 7 Gallon (Cw56431) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Thu Dec 18 2025
00:00:00 GMT-0800 (PST)
MPN: 540526-1855753
Manufacturer Name: WORKLIFE
BRANDS
150 EACH 4.47 $670.50
3 64561 2614446 Fellowes Memory Foam Mouse Pad/Wrist Rest Combo, Non-Skid Base, Black (Fel9176501) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Thu Dec 18 2025
00:00:00 GMT-0800 (PST)
MPN: 2614446-1855753
Manufacturer Name: FELLOWES
15 EACH 13.56 $203.40
4 64561 24346017 Staples Foam Non-Skid Wrist Rests, Black (St61827) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Thu Dec 18 2025
00:00:00 GMT-0800 (PST)
MPN: 24346017-1855753
Manufacturer Name: WORKLIFE
BRANDS
0 EACH 9.42 $0.00
Order Date: 12/15/2025
Internal Tracking No.: HHSTX-6-0000391633
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
5 78543 853559 Deflecto174; Classic Image174; Wall Mount Sign Holder, Clear Plastic (68201) (Def68201) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Thu Dec 18 2025
00:00:00 GMT-0800 (PST)
MPN: 853559-1855753
Manufacturer Name: DEFLECT-O
CORP.
10 EACH 9.66 $96.60
Total $1,564.50
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