26103674-0.pdf
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- Attached to
- Term TX|615-C1|10433908166|26103674
- Contract number
- 26103674
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26103674) issued by the Texas Health & Human Services Commission (HHSC) on 12/19/2025, with Staples Contract & Commercial LLC as the contracted vendor. The purchase order is for delivery to the HHSC-7430 Louis Pasteur location in San Antonio, Texas, and involves Staples' commercial contract services. The document includes standard state procurement details, tax exemption information, and is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division.
The purchase order is for a single line item: a 3M Dual Monitor Mount (Model MM200B), priced at $205.23, which supports two monitors up to 28.5" and 20 lbs each, with mounting options via clamp or grommet. The item is purchased under Contract 615-C1, a term contract with a 3-day delivery after receipt of order (ARO), with a specific delivery date of 12/22/2025. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and includes specific shipping instructions requiring delivery between 8:00-11:30 AM and 1:00-4:30 PM Monday through Friday, excluding state holidays, with freight prepaid and allowed to the destination.
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Text version
Purchase Order PO No. 26103674
Order Date: 12/19/2025
Internal Tracking No.: 0000391968
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
(888) 212-7219
1100 W 49th Street Austin TX 78756
Yesenia Wolfrum
HHSC -7430 LOUIS PASTEUR
SAN ANTONIO, TX 78229
NOTE TO CONTRACTOR: SHIPPING INSTRUCTIONS: Ship according to the DUE DATES specified on the PO.
FREIGHT: F.O.B. Destination Freight Prepaid & Allowed DELIVERY: 5 Days After Receipt of PO Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday - Friday except designated State Holidays
AGENCY CONTACT:
Yesenia Wolfrum 210-232-8660 Yesenia.Wolfrum@dshs.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
Madison Wilson madison.wilson.529@hhs.texas.gov (512) 111-1111
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 78543 24321298 3M Dual Monitor Mount, Swivel, Tilt, Rotate, Two Monitors Up To 28.5" & 20 Lbs. Each, Clamp Or Grommet, No Tools, Black (Mm200B) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/22/2025
MPN: 24321298-1855753
M a n u fa c t u r e r N a m e : 3 M
CORPORATION
1 EACH 205.23 $205.23
Purchase Order PO No. 26103674
Order Date: 12/19/2025
Internal Tracking No.: 0000391968
Total $205.23
File details come from the government source that posted it. Updated .