26209225-2.pdf
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- Attached to
- TX|425-T1|26209225
- Contract number
- 26209225
- Issued by
- Texas
About this file
Document Summary
This is a Purchase Order Change Notice (PO No. 26209225) issued by the Department of State Health Services (DSHS), Agency 537, under the State of Texas procurement system. The order was placed on February 6, 2026, with TCI (vendor ID 36966966966), a contractor based in Huntsville, Texas. The HHSC buyer is Oluwaseyi Omisore, and the agency contact is Samantha Bustos. The purchase order revision number 2 reflects rate adjustments made on February 9, 2026, and includes a CAPPS financial tracking number (0000394832) for invoicing purposes.
The purchase order encompasses four line items totaling $2,276.00. Line 1 specifies a traditional style end table in walnut finish (Contract 420-T1) for $851.00, with inside installation services in Line 2 for $50.00. Line 3 includes a CRT main desk with return in walnut wood with left configuration, measuring 66"W x 20"D x 30"H with freight and dock delivery included (Contract 425-T4) for $1,325.00. Line 4 provides installation services for COG Districts 12, 13, 14, 15, 16, and 18 (Contract 425-T1) for $50.00. All items are subject to a 90-day delivery timeframe with a scheduled delivery date of May 7, 2026. The State of Texas claims exemption from sales and excise taxes as the items are being purchased for exclusive state use.
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Text version
Purchase Order Change Notice 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:
2 / 9 / 2 0 2 6 - C A P P S F I N P O # : 0 0 0 0 3 9 4 8 3 2 A G E N C Y C O N TA C T : S a m a n t h a Bustos713-767-3437Samantha.Bustos@dshs.texas.gov ONYX FABRIC - Settee – 2 placeAP Email:
invo ices@dshs. texas.govHHSC BUYER:Oluwaseyi Omisore, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice per 34 TAC §20.487, amended effective May 1, 2022
REVISION HISTORY:
PO Revision #: 2 PO Change Reasons (Aggregated):2/9/2026 10:42 am-Change to Line 4: Rate has changed from: 50.00 to: 50
2/9/2026 10:42 am-Change to Line 2: Rate has changed from: 50.00 to: 50
2/9/2026 10:52 am-Contractor note changed 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 to: CAPPS FIN PO#:0000394832AGENCY CONTACT:Samantha Bustos713-767-3437Samantha.Bustos@dshs.texas.gov ONYX FABRIC - Settee – 2 placeAP Email: invoices@dshs.texas.govHHSC BUYER:Oluwaseyi Omisore, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice 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
Purchase Order Change Notice PO No. 26209225
Order Date: 2/6/2026
Internal Tracking No.: 0000394832
Agency/CO-OP Member 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 Amount
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: Thu May 07 2026
00:00:00 GMT-0700 (PDT)
1 EACH 851.00 $851.00
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: Thu May 07 2026
00:00:00 GMT-0700 (PDT)
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
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