26208188-1.pdf

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Attached to
TX|TXMAS-25-45002|26208188
Contract number
26208188
Issued by
Texas

About this file

This Purchase Order Change Notice (PO No. 26208188) is issued by the Texas Health & Human Services Commission (HHSC), a state agency, and involves Bullchase, Inc., a contractor located in Cedar Park, Texas. The purchase order was placed on February 4, 2026, and represents a revision to an existing procurement under contract TXMAS-25-45002. The internal tracking number is 0000394606, and the purchaser is Debra Burns of the HHSC Statewide Procurement Division.

The purchase order covers two line items of winter maintenance supplies to be delivered to the HHSC facility in Tyler, Texas. Line 1 consists of 6 ice scrapers with fixed handles (7-inch handle length, 4-inch blade width) at $5.95 per unit, totaling $35.70, with a delivery date of February 16, 2026. Line 2 consists of 15 units of windshield de-icer aerosol spray cans at $10.64 per unit, totaling $159.60, with a delivery date of February 11, 2026. The total order value is $195.30. The change notice documents a revision to Line 1 in which the quantity was reduced from 10 units to 6 units. Shipping is directed to Darin Adams at the Tyler facility, with invoices to be sent to the HHSC regional administrative services office. The State of Texas is exempt from federal excise taxes and sales taxes for this procurement.

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Purchase Order Change Notice PO No. 26208188

Order Date: 2/4/2026

Internal Tracking No.: 0000394606

Contractor Info Bill To Ship To Bullchase, Inc.

12637188348 3000 Polar Ln., Ste. 703 Cedar Park, TX 78613

(888) 558-2855

302 E RIECK RD-MC3135

INVOICE-HHSC

TYLER TX 75703

ATTN DARIN ADAMS

HHSC -3303 MINEOLA HWY

TYLER, TX 75702

NOTE TO CONTRACTOR:

2/4/2026-02/04/2026 per vendor line 2 qty 4 unavail-red qty to 6***PACKING LIST REQUIRED TO SHOW PO NUMBER

0000394606 AND ATTN CONTACT INFO ***SHIP TO ATTN DARIN ADAMS 903-533-4258

darin.adams@hhs.texas.govSUPER USER Dawis,Michelle 903-509-5143 michelle.dawis@hhs.texas.gov**SEND INVOICES TO: reg04_admin_services@hhs.texas.gov

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):2/4/2026 10:38 am-Contractor note changed ***PACKING LIST REQUIRED TO SHOW PO

NUMBER 0000394606 AND ATTN CONTACT INFO ***

SHIP TO ATTN DARIN ADAMS 903-533-4258 darin.adams@hhs.texas.gov

SUPER USER Dawis,Michelle 903-509-5143 michelle.dawis@hhs.texas.gov

**SEND INVOICES TO: reg04_admin_services@hhs.texas.gov to: 02/04/2026 per vendor line 2 qty 4 unavail-red qty to 6***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000394606 AND ATTN CONTACT INFO ***SHIP TO ATTN DARIN ADAMS 903-533-4258 dar in.adams@hhs.texas.govSUPER USER Dawis,Michel le 903-509-5143 michelle.dawis@hhs.texas.gov**SEND INVOICES TO: reg04_admin_services@hhs.texas.gov

2/4/2026 10:38 am-Change to Line 1: Quantity has changed from: 10 to: 6

2/4/2026 10:38 am-Change to Line 1: Line note has changed from: 10 to: 6

2/4/2026 10:38 am-Change to Line 1: Attatchment changed changed 10 to: 6

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

Health & Human Services Commission - 529

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

Purchase Order Change Notice PO No. 26208188

Order Date: 2/4/2026

Internal Tracking No.: 0000394606

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 51524 49LX34 Ice Scraper Fixed Handle 7 In Handle Lg 4 In Scraper Blade Wd Contract: TXMAS-25-45002 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: Mon Feb 16 2026

00:00:00 GMT-0800 (PST)

Notes: 02/04/2026 per vendor line 2 qty 4 unavail-red qty to 6

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN DARIN ADAMS

9 0 3 - 5 3 3 - 4 2 5 8 darin.adams@hhs.texas.gov SUPER USER Dawis,Michelle 9 0 3 - 5 0 9 - 5 1 4 3 michelle.dawis@hhs.texas.gov

3303 MINEOLA HWY., TYLER, TX

75702

MPN: 1124F

Manufacturer Name: SUBZERO

6 EACH 5.95 $35.70

2 40507 5VE68 Windshield De-Icer Ready To Use - Premixed Windshield Treatment De- Icer Aerosol Spray Can Contract: TXMAS-25-45002 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: Wed Feb 11 2026

00:00:00 GMT-0800 (PST)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN DARIN ADAMS

9 0 3 - 5 3 3 - 4 2 5 8 darin.adams@hhs.texas.gov SUPER USER Dawis,Michelle 9 0 3 - 5 0 9 - 5 1 4 3 michelle.dawis@hhs.texas.gov

3303 MINEOLA HWY., TYLER, TX

75702

MPN: 05346

Manufacturer Name: CRC

15 EACH 10.64 $159.60

Total $195.30

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