26209225-0.pdf

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Attached to
TX|425-T4|26209225
Contract number
26209225
Issued by
Texas

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Purchase Order Summary

This is a Purchase Order (PO No. 26209225) issued by the Department of State Health Services (DSHS), Agency 537, on behalf of the State of Texas. The order was placed with TCI, a contractor located in Huntsville, Texas, with billing and delivery arrangements directed to addresses in Austin and Houston, Texas respectively. The purchase was processed through the Statewide Procurement Division under the CAPPS Financial system, with Oluwaseyi Omisore serving as the HHSC buyer and Samantha Bustos as the agency contact.

The purchase order comprises four line items totaling $2,276.00 and includes office furniture and installation services. Line 1 specifies a walnut-finished traditional style end table (27.5" L x 27.5" D x 21" H, made from recycled materials) for $851.00 under Contract 420-T1. Line 2 covers inside installation services for $50.00 under the same contract. Line 3 involves a CRT main desk with return, wood construction, walnut finish, left configuration, with dimensions of 66"W x 20"D x 30"H for the main section and 49"W x 24"D x 30"H for the return, including stationary tray, grommets, lock, and keys, with freight and dock delivery included, totaling $1,325.00 under Contract 425-T4. Line 4 adds installation services for COG Districts 12, 13, 14, 15, 16, and 18 for $50.00 under Contract 425-T1. All items are subject to a 90-day delivery window, with a scheduled delivery date of May 7, 2026. The State of Texas is exempt from sales and excise taxes on this purchase.

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Text version

Purchase Order PO No. 26209225

Order Date: 2/6/2026

Internal Tracking No.: 0000394832

Contractor Info Bill To Ship To

TCI

36966966966

PO BOX 4013

Huntsville, TX 77342

(936) 437-6048

1100 West 49th Street

MC: 3063

Austin TX 78756

Samantha Bustos 5425 Polk St Ste 420 Houston, TX 77023

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000394832

AGENCY CONTACT:

Samantha Bustos 713-767-3437 Samantha.Bustos@dshs.texas.gov

AP Email: invoices@dshs.texas.gov

HHSC BUYER:

Oluwaseyi Omisore, CTCD, CTCM 512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Dept Of State Health Services -

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 42064 42064810502-

Table, End, Traditional Style, Approx: 27.5" L X 27.5" D X 21" H, Recycled Attribute 1: Walnut Contract: 420-T1 Contract Type: Term Delivery ARO (days): 90 Delivery Date: 5/7/2026

1 EACH 851.00 $851.00

Purchase Order PO No. 26209225

Order Date: 2/6/2026

Internal Tracking No.: 0000394832

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 42064 42064810502-

Inside Installation Contract: 420-T1 Contract Type: Term Delivery ARO (days): 90

1 EACH 50.00 $50.00

3 42521 42521661209-

Desk, CRT Main with Return, Wood, 66"W x 20"D x 30"H, Return 49"W x 24"D x 30"H, Stationery Tray, 2 Grommets, Lock 2 Keys, Slab End Stephen F Austin, Freight Included Dock Delivery Attribute 1: Walnut Attribute 2: Left Contract: 425-T4 Contract Type: Term Delivery ARO (days): 90 Delivery Date: 5/7/2026

1 EACH 1325.00 $1,325.00

4 42521 42521661209-

Installation: COG Districts 12, 13, 14, 15, 16, 18 Contract: 425-T1 Contract Type: Term Delivery ARO (days): 90

1 EACH 50.00 $50.00

Total $2,276.00

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