26076747-0.pdf

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Attached to
Term TX|615-C1|10433908166|26076747
Contract number
26076747
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26076747) issued by the Health & Human Services Commission (HHSC) of Texas, dated 12/17/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is associated with Contract 615-C1 and involves the Texas Comptroller of Public Accounts' Statewide Procurement Division. The document is specifically for the HHSC's regional office located in Houston, Texas.

The purchase order is for 1,000 total Bic Gel-Ocity Original Retractable Gel Pens (500 dozen in blue ink and 500 dozen in black ink), priced at $6.85 per dozen, for a total contract value of $6,850.00. The pens are to be delivered within 3 days after receipt of order (ARO), with a specific delivery date of 12/22/2025. Delivery is to be made via dock delivery to 1320 East 40th Street in Houston, TX 77022, with specific instructions that warehouse staff cannot enter trucks and a driver assistant must move pallets to the truck's end. The order includes specific contact information for delivery coordination, including a primary contact and backup super users.

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Text version

Purchase Order PO No. 26076747

Order Date: 12/17/2025

Internal Tracking No.: 0000391807

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

(888) 212-7219

Health & Human Services Commission 5425 Polk St. Sue 220 Houston TX 77023

ATTN Patricia Basquez

HHSC -1320 E 40TH ST

PO BOX 16017

HOUSTON, TX 77022

Warehouse staff (state employees) are not permitted to enter trucks.

Driver assistant is required to move the pallets of supplies/copy paper to the end of the truck.

We will use forklift to unload the pallets.

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000391807 AND ATTN CONTACT INFO *** Driver assistant is required to move the pallets of supplies/copy paper to the end of the truck. We will use forklift to unload the pallets.

SHIP TO ATTN Patricia Basquez 713-696-8020 Patricia.Basquez02@HHS.TEXAS.GOV Email invoices: reg_06_regional_budget_prf@hhs.texas.gov

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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Order Date: 12/17/2025

Internal Tracking No.: 0000391807

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 495366 Bic Gel-Ocity Original Retractable Gel Pens, Medium Point, Blue Ink, Dozen (31564/Rlc11) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/22/2025 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

Warehouse staff (state employees) are not permitted to enter trucks.

Driver assistant is required to move the pallets of supplies/copy paper to the end of the truck. We will use forklift to unload the pallets.

SHIP TO ATTN Patricia Basquez 7 1 3 - 6 9 6 - 8 0 2 0 Patricia.Basquez02@HHS.TEXAS.GO V

SUPER USER: VERONICA BARNES

713-767-2423 VERONICA.BARNES@

HHS.TEXAS.GOV

BACK-UP SUPER USER YESHIA

M A L L O RY 7 1 3 - 7 6 7 - 2 4 2 5

Y E S H I A . M A L L O R Y @

HHS.TEXAS.GOV

SHIP TO: 1320 EAST 40th-

HOUSTON, TX 77022

DOCK Delivery

MPN: 495366-1855753

M a nu fa c t u r e r N a m e : B I C

CORPORATION

500 DOZ 6.85 $3,425.00

Order Date: 12/17/2025

Internal Tracking No.: 0000391807

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 62080 495367 Bic Gel-Ocity Original Retractable Gel Pen, Medium Point, Black Ink, Dozen (31563) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/22/2025 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

Warehouse staff (state employees) are not permitted to enter trucks.

Driver assistant is required to move the pallets of supplies/copy paper to the end of the truck. We will use forklift to unload the pallets.

SHIP TO ATTN Patricia Basquez 7 1 3 - 6 9 6 - 8 0 2 0 Patricia.Basquez02@HHS.TEXAS.GO V

SUPER USER: VERONICA BARNES

713-767-2423 VERONICA.BARNES@

HHS.TEXAS.GOV

BACK-UP SUPER USER YESHIA

M A L L O RY 7 1 3 - 7 6 7 - 2 4 2 5

Y E S H I A . M A L L O R Y @

HHS.TEXAS.GOV

SHIP TO: 1320 EAST 40th-

HOUSTON, TX 77022

DOCK Delivery

MPN: 495367-1855753

M a nu fa c t u r e r N a m e : B I C

CORPORATION

500 DOZ 6.85 $3,425.00

Total $6,850.00

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