26207901-0.pdf

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Attached to
TX|TXMAS-25-45004|26207901
Contract number
26207901
Issued by
Texas

About this file

Purchase Order Summary

This is a Texas state purchase order issued by the Health and Human Services Commission (HHSC) to Fastenal Company. The order number is 26207901, dated February 3, 2026, with an internal tracking number of 0000394513. Fastenal Company, located at 2001 Theurer Boulevard in Winona, Minnesota, is the contractor fulfilling this order. The billing and shipping addresses are directed to HHSC in Austin, Texas, and Jeffrey Blue at 12300 Technology Boulevard in Austin, Texas, respectively. The primary agency contact is Jeff Blue, and the HHSC buyer is Lindsey De La Rosa.

The purchase order is for three units of a 25-foot, 1-outlet, 15-amp, 120-volt orange single-outlet extension cord (Part #0790737), manufactured by Power Phase. The unit price is $18.38 per item, resulting in an extended price of $55.14 for the total order. The order is placed under contract TXMAS-25-45004 (TXMAS contract type) with a delivery window of 10 days, with the expected delivery date of February 13, 2026. The State of Texas is exempt from federal excise taxes and state and city sales taxes for this procurement, which is being secured for exclusive use by the state.

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Text version

Purchase Order PO No. 26207901

Order Date: 2/3/2026

Internal Tracking No.: 0000394513

Contractor Info Bill To Ship To Fastenal Company 14109484155 2001 Theurer Blvd.

Winona, MN 55987

(833) 790-9932

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

Jeffrey Blue 12300 Technology Blvd Austin, TX 78727

NOTE TO CONTRACTOR: PO#: 0000394513

AGENCY CONTACT/SHIP ATTN:

Jeff Blue 512-250-7147 jeffrey.blue@hhs.texas.gov

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: HHSC_AP@hhsc.state.tx.us

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

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (512) 294-3627

Purchase Order PO No. 26207901

Order Date: 2/3/2026

Internal Tracking No.: 0000394513

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 28595 0790737 25 Ft L 1 Outlet 15 A 120 V Orange Single-Outlet Extension Cord Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 2/13/2026

MPN: 0790737

Manufacturer Name: Power Phase

[REG]

3 EACH 18.38 $55.14

Total $55.14

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