27001163-0.pdf

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Attached to
TX|425-T8|27001163
Contract number
27001163
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27001163) issued by the State of Texas, Health & Human Services Commission (HHSC), Agency 529, on September 11, 2026. The order is placed with TCI, located in Huntsville, Texas, for delivery to the HHSC facility at 3303 Mineola Highway in Tyler, Texas. The purchaser is Lindsey De La Rosa, with Darin Adams serving as the agency contact and ship recipient. The purchase order references Requisition No. 349255 and is governed by 34 TAC §20.487, as amended effective May 1, 2022.

The purchase order covers two line items of office furniture under Term Contract 425-T8. Line 1 specifies 10 Breathe Chairs with sculpted polypropylene back structures in black only, at $415.00 per unit for an extended price of $4,150.00. Line 2 specifies 10 Breathe Jr. Chairs with breathable mesh backs, soft contoured seats, back flex recline, and adjustable arms in black only, at $315.00 per unit for an extended price of $3,150.00. Both line items have a delivery timeline of 90 days (ARO), with a scheduled delivery date of December 10, 2026. The total purchase order amount is $7,300.00. The State of Texas claims exemption from federal excise taxes and state and city sales taxes under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 27001163

Order Date: 9/11/2026

Internal Tracking No.: 0000414612

Contractor Info Bill To Ship To

TCI

36966966966

PO BOX 4013

Huntsville, TX 77342

(936) 437-6048

302 E RIECK RD-MC3135

TYLER TX 75703

Darin Adams

(903) 533-4258

HHSC -3303 MINEOLA HWY

TYLER, TX 75702

NOTE TO CONTRACTOR: PO#:0000414612

AGENCY CONTACT/SHIP ATTN:

Darin Adams 903-533-4258 darin.adams@hhs.texas.gov

PURCHASER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: reg04_admin_services@hhs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5-1-22

Requisition # 349255

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

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (888) 479-7602

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 42560 42560330013 Breathe Chair, Sculpted Polyprolene Back Structure, Black Only Contract: 425-T8 Contract Type: Term Delivery ARO (days): 90 Delivery Date: 12/10/2026

10 EACH 415.00 $4,150.00

Purchase Order PO No. 27001163

Order Date: 9/11/2026

Internal Tracking No.: 0000414612

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 42560 42560330091 Breathe Jr Chair, breathable mesh back, soft contoured seat, back flex recline, adjustable arms, Black only Contract: 425-T8 Contract Type: Term Delivery ARO (days): 90 Delivery Date: 12/10/2026

10 EACH 315.00 $3,150.00

Total $7,300.00

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