26234104-0.pdf

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Attached to
TX|175-A2|26234104
Contract number
26234104
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26234104) issued by the State of Texas Department of Public Safety on March 31, 2026, for procurement from Agilent Technologies, Inc., a supplier located in Santa Clara, California. The order was processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Delilah Gomez serving as the agency purchaser. The State of Texas claims a sales tax exemption for this purchase under Texas Tax Code Section 151.309(4).

The purchase order covers two line items of laboratory consumables manufactured by Agilent: 15 packs of Inlet Liner (Split, Straight, Ultra Inert, Glass Wool, 5 per pack; MPN 5190-3164) at $131.20 per pack for an extended price of $1,968.00, and 15 packs of Vial Cap (Tri-Layered Septa, 12mm, Green, 100 per pack; MPN 5182-0724) at $43.76 per pack for an extended price of $656.40. Both items are ordered under Contract 175-A2, a term contract with statewide delivery, and have an agreed upon delivery date of April 7, 2026 (7 days after order date). The total order value is $2,624.40. Invoices must reference the TXSMB PO number and Internal Tracking Number 26P0012022 and be submitted to the designated accounts payable email addresses.

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Text version

Purchase Order PO No. 26234104

Order Date: 3/31/2026

Internal Tracking No.: 26P0012022

Contractor Info Bill To Ship To Agilent Technologies, Inc.

17705187726 5301 Stevens Creek Blvd. MSC Tax Santa Clara, CA 95051-7201

(800) 227-9770

ACCOUNTS PAYABLE

PO BOX 4087

AUSTIN TX 78773

Alexa Fernanda Trevino Carlos 5800 Guadalupe Bldg U Austin, TX 78752 ATTNT: Alexa Fernanda Trevino Carlos

NOTE TO CONTRACTOR: PLEASE ADD TO PO

"POC: Alexa Trevino Carlos, 512-424-0747 Delivery: Mon-Fri 8:00AM-4:30PM Submit invoices to APInvoices@dps.texas.gov and Alexa.TrevinoCarlos@dps.texas.gov. Invoices must reference TXSMB PO and Internal Tracking # 26P0012022."

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

Department Of Public Safety - 405 Delilah Gomez Delilah.Gomez@dps.texas.gov (361) 698-5687

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 17514 17514411004 Inlet Liner, Split, Straight, Ultra Inert, Glass Wool, 5 Per Pack;

Delivery Statewide Contract: 175-A2 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 4/7/2026

MPN: 5190-3164

Manufacturer Name: Agilent

15 PACK 131.20 $1,968.00

Purchase Order PO No. 26234104

Order Date: 3/31/2026

Internal Tracking No.: 26P0012022

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 17514 17514701009 Vial Cap, Tri-Layered Septa, 12Mm, Green; 100 Per Pack; Delivery Statewide Contract: 175-A2 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 4/7/2026

MPN: 5182-0724

Manufacturer Name: Agilent

15 PACK 43.76 $656.40

Total $2,624.40

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