26281626-0.pdf

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Attached to
TX|640-A1|26281626
Contract number
26281626
Issued by
Texas

About this file

This Purchase Order No. 26281626, dated June 23, 2026, is issued by the Health & Human Services Commission (HHSC) of Texas, a state agency under the Texas Comptroller of Public Accounts – Statewide Procurement Division. The order is placed with Pollock Paper Distributors, located at 1 Pollock Place, Grand Prairie, Texas 75050. The procurement officer is Maricella Duran, and the agency contact is Darin Adams, located in Tyler, Texas. The order is subject to Texas state and city sales tax exemption under Texas Tax Code, Section 151.309(4).

The purchase covers foam cups manufactured by DART, specifically 6 cases of 12-ounce white foam cups with 1,000 cups per case (commodity code 64060341209, MPN 12J12) under Contract 640-A1, a term contract. The unit price is $37.74 per case, with an extended price of $226.44 for the total order. The delivery is scheduled for July 7, 2026, with an agreed-upon delivery timeframe of 14 days after receipt of order (ARO). Invoicing must comply with 34 TAC §20.487, amended effective May 1, 2022, and should be directed to the HHSC invoice address in Tyler, Texas.

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Text version

Purchase Order PO No. 26281626

Order Date: 6/23/2026

Internal Tracking No.: 0000407351

Contractor Info Bill To Ship To Pollock Paper Distributors 17510154069 1 Pollock Place Grand Prairie, TX 75050

(972) 337-3681

302 E RIECK RD-MC3135

INVOICE-HHSC

TYLER TX 75703

DARIN ADAMS

(903) 533-4258 3303 Mineola Hwy PO Box 5200 Tyler, TX 75702 Email: darin.adams@hhs.texas.gov

NOTE TO CONTRACTOR: AGENCY CONTACT

Name: DARIN ADAMS Email: darin.adams@hhs.texas.gov Number: 903-533-4258

AP Email: reg04_admin_services@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

Health & Human Services Commission - 529

Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64060 64060341209 Cups, Foam, 12 Oz, White, 1,000 Cups/Cs Contract: 640-A1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/7/2026

MPN: 12J12

Manufacturer Name: DART

6 CASE 37.74 $226.44

Total $226.44

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