26157310-1.pdf

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TX|425-T2|26157310
Contract number
26157310
Issued by
Texas

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Purchase Order Change Notice Summary

This is a Purchase Order Change Notice (PO No. 26157310) issued by the Texas Department of State Health Services (DSHS) to TCI, a furniture contractor based in Huntsville, Texas. The original order was placed on January 13, 2026, with the first revision made on January 22, 2026. The state agency is exempt from sales and excise taxes under Texas Tax Code Section 151.309(4). Jack Carrejo at the DSHS San Antonio facility (7430 Louis Pasteur Drive) is the designated recipient for the delivery, with invoices to be submitted to the Fiscal Division/Accounts Payable in Austin.

The purchase order comprises thirteen line items for office furniture and installation services with a total order value of $4,366.00. Items include two bankers chairs with fruitwood upholstery ($850.00), a 60-inch clerical executive desk in natural walnut with installation ($1,376.00), two lateral file cabinets in natural walnut and mahogany finishes ($1,280.00), one single-shelf bookcase in natural walnut ($300.00), and one black midback task chair ($490.00). All furniture items are sourced under various term contracts (425-T2, 425-T5, and 425-T8) with a standard delivery timeline of 90 days, with expected delivery scheduled for April 13, 2026. The revision adjusted unit pricing on multiple installation and freight charges, reducing the overall cost impact on select line items.

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Text version

Purchase Order Change Notice PO No. 26157310

Order Date: 1/13/2026

Internal Tracking No.: HHSTX-6-0000393105

Contractor Info Bill To Ship To

TCI

36966966966

PO BOX 4013

Huntsville, TX 77342

(936) 437-6048

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

Jack Carrejo Department of State Health Services 7430 Louis Pasteur Dr San Antonio, TX 78229

NOTE TO CONTRACTOR:

Email AP: invoices@dshs.texas.gov

Agency PO #HHSTX-6-0000393105

1/13/2026-Deliver to Jack Carrejo, 210-949-2078

Email AP: invoices@dshs.texas.gov

Agency PO #HHSTX-6-0000393105

1/22/2026-Deliver to Jack Carrejo, 210-949-2078

Email AP: invoices@dshs.texas.gov

Agency PO #HHSTX-6-0000393105

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):1/22/2026 8:14 am-Change to Line 2: Line note has changed from: $30.00 Per Chair - 2 Chairs to: $20.00 Per Chair - 2 Chairs

1/22/2026 8:14 am-Change to Line 2: Rate has changed from: 60 to: 40

1/22/2026 8:14 am-Change to Line 5: Rate has changed from: 100 to: 75

1/22/2026 8:14 am-Change to Line 4: Rate has changed from: 0 to: 1

1/22/2026 8:14 am-Change to Line 7: Rate has changed from: 50 to: 30

1/22/2026 8:14 am-Change to Line 9: Rate has changed from: 75 to: 25

1/22/2026 8:14 am-Change to Line 11: Rate has changed from: 20 to: 15

1/22/2026 8:14 am-Change to Line 13: Rate has changed from: 50 to: 30

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: 1/13/2026

Internal Tracking No.: HHSTX-6-0000393105

Dept Of State Health Services -

LILLY FARRIS lilly.farris@hhs.texas.gov (512) 406-2452

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 42507 42508320100-

Bankers Chair, Wood, Traditional Styling, Solid Hardwood Frame.

Attribute 1: Fruitwood Contract: 425-T5 Contract Type: Term Delivery ARO (days): 90 Delivery Date: Mon Apr 13 2026

00:00:00 GMT-0700 (PDT)

Notes: Stain- Fruitwood Upholstery Indigo Duraweave

2 EACH 425.00 $850.00

2 42507 42508320100-

Furniture Installation Charge Notes: $20.00 Per Chair - 2 Chairs

1 EACH 40.00 $40.00

3 42521 42521642316 Desk, Wood, Clerical Executive, 60"W X 30"D X 30"H, Sam Houston' Dictation Slide, One Grommet, Freight Included Dock Delivery Attribute 1: Natural Walnut Contract: 425-T2 Contract Type: Term Delivery ARO (days): 90 Delivery Date: Mon Apr 13 2026

00:00:00 GMT-0700 (PDT)

Notes: Stain - Natural Walnut Grommet - Center (GC)

MPN: 42521642316-1

1 EACH 1300.00 $1,300.00

4 42521 42521642316 GROMMET LOCATION: GC-Center 6” from rear Contract: 425-T2 Contract Type: Term Delivery ARO (days): 90

1 EACH 1.00 $1.00

5 42521 42521642316 425000 Inside Delivery/Installation:

Outside COG 1-11, 17, 19-24 Notes: Installation

1 EACH 75.00 $75.00

Order Date: 1/13/2026

Internal Tracking No.: HHSTX-6-0000393105

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

6 42541 42541311058 File Cabinet, Lateral, Wood, Two Drawer, 38"Wx21"Dx30"H, Sam Houston, Freight Included Dock Delivery Attribute 1: Natural Walnut Contract: 425-T2 Contract Type: Term Delivery ARO (days): 90 Delivery Date: Mon Apr 13 2026

00:00:00 GMT-0700 (PDT)

Notes: Stain - Natural Walnut

MPN: 42541311058

1 EACH 625.00 $625.00

7 42541 42541311058 425000 Inside Delivery/Installation:

Outside COG 1-11, 17, 19-24 Notes: Installation

1 EACH 30.00 $30.00

8 42503 42503361356 Bookcase, Single Shelf, 32W X 16D X 30H, Sam Houston, Freight Included Dock Delivery Attribute 1: Natural Walnut Contract: 425-T2 Contract Type: Term Delivery ARO (days): 90 Delivery Date: Mon Apr 13 2026

00:00:00 GMT-0700 (PDT)

Notes: Stain - Natural Walnut

MPN: 42503361356

1 EACH 275.00 $275.00

9 42503 42503361356 425000 Inside Delivery/Installation:

Outside COG 1-11, 17, 19-24 Notes: Installation

1 EACH 25.00 $25.00

10 42560 42560844047 Chair Midback WXO Task chair, 20"W X 19 1/2"D X 36 1/2 " - 40"H, Seat height 16" - 20 1/2", Black only Contract: 425-T8 Contract Type: Term Delivery ARO (days): 90 Delivery Date: Mon Apr 13 2026

00:00:00 GMT-0700 (PDT)

Notes: Black Only

1 EACH 475.00 $475.00

11 42560 42560844047 Transportation and Freight Charge Notes: Installation Fee

1 EACH 15.00 $15.00

Order Date: 1/13/2026

Internal Tracking No.: HHSTX-6-0000393105

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

12 42541 42541311058 File Cabinet, Lateral, Wood, Two Drawer, 38"Wx21"Dx30"H, Sam Houston, Freight Included Dock Delivery Attribute 1: Mahogany Contract: 425-T2 Contract Type: Term Delivery ARO (days): 90 Delivery Date: Mon Apr 13 2026

00:00:00 GMT-0700 (PDT)

Notes: Stain - Mahogany

MPN: 42541311058

1 EACH 625.00 $625.00

13 42541 42541311058 425000 Inside Delivery/Installation:

Outside COG 1-11, 17, 19-24 Notes: Installation

1 EACH 30.00 $30.00

Total $4,366.00

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