27003959-0.pdf

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TX|615-C1|27003959
Contract number
27003959
Issued by
Texas

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This is a Purchase Order (PO No. 27003959) issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, through the Texas Comptroller of Public Accounts Statewide Procurement Division. The order was placed with Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts, on September 28, 2026. The goods are being delivered to the DSHS facility located at 1100 West 49th Street, Laboratory L114, 2nd Floor, Austin, Texas 78756. The purchaser is Carlos Mojica (CTCD, CTCM), and the agency contact is Timothy Corcoran.

The purchase order encompasses fourteen line items totaling $1,320.90 for office and laboratory supplies procured under Contract 615-C1, a term contract. The items include writing instruments (Sharpie markers), storage containers (Iris weatherproof bins), printer supplies (Xerox toner cartridge and HP ink cartridges in black, cyan, magenta, and yellow), furniture accessories (Safco coat racks, magnetic hooks, Command adhesive hooks), and cubicle organization items (clips and hooks from various manufacturers including 3M, Advantus, and Artistic Office). All items have an estimated delivery time of three days with a scheduled delivery date of October 1, 2026. The State of Texas is exempt from federal excise taxes and state and city sales taxes as a government entity.

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Purchase Order PO No. 27003959

Order Date: 9/28/2026

Internal Tracking No.: HHSTX-7-0000415639

Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702

(888) 212-7219

1100 West 49th Street

MC: 3063

Austin TX 78756

Paloma De La Paz

(512) 776-6648

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

NOTE TO CONTRACTOR: PO#: HHSTX-7-0000415639

AGENCY CONTACT:

Timothy Corcoran 512-776-7581 Timothy.Corcoran@dshs.texas.gov

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

1100 W 49th St (DBGL) PO Box 149347 Austin TX 78756

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 -

Carlos Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Order Date: 9/28/2026

Internal Tracking No.: HHSTX-7-0000415639

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62090 2724932 Sharpie Industrial Permanent Markers, Fine Tip, Black, 36/Pack (2003898) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 2724932-1855753

Manufacturer Name: SANFORD

CORP

2 PACK 33.20 $66.40

2 61560 24420686 Iris Weatherpro 30.6 Quart Storage Bin With Latching Lid, Plastic, Clear (270016/110411) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 24420686-1855753

Manufacturer Name: IRIS U.S.A., IN

4 EACH 16.46 $65.84

3 57547 24521991 Xerox 006R04400 Black High Yield Toner Cartridge Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: XER006R04400

Manufacturer Name: INGRAM MICRO

D, INC.

1 EACH 82.40 $82.40

4 61560 2443086 Safco Hook Head Coat Rack, Black (4241Bl) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 2443086-1855753

Manufacturer Name: SAFCO

PRODUCTS CAN

2 EACH 125.71 $251.42

5 61560 24382098 Teacher Created Resources Magnetic Hooks, 2.5", Silver, Pack Of 2 (Tcr20787 ) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 24382098-1855753

Manufacturer Name: TEACHER

CREATED

5 PACK 11.73 $58.65

Order Date: 9/28/2026

Internal Tracking No.: HHSTX-7-0000415639

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61560 793164 Command Small Hooks, 0.5 Lb., White, 9 Command Hooks, 12 Command Strips (17067-9Es) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 793164-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

2 PACK 6.82 $13.64

7 61569 MMM170812V

PES

Command Assorted Hooks, 3 lb., White, 2-Small Command Hooks, 2- Medium Command Hooks, 2-Pairs

(17081-2VPES)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: MMM-170812VPES

Manufacturer Name: Essendant

6 PACK 4.21 $25.26

8 57547 1182790 Hp 935Xl Yellow High Yield Ink Cartridge (C2P26An140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 1182790-1855753

Manufacturer Name: HP INC.

6 EACH 24.19 $145.14

9 77038 1182791 Hp 935Xl Magenta High Yield Ink Cartridge (C2P25An140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 1182791-1855753

Manufacturer Name: HP INC.

6 EACH 24.19 $145.14

10 57547 1182793 Hp 935Xl Cyan High Yield Ink Cartridge (C2P24An140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 1182793-1855753

Manufacturer Name: HP INC.

6 EACH 24.19 $145.14

Order Date: 9/28/2026

Internal Tracking No.: HHSTX-7-0000415639

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

11 57547 1182794 Hp 934Xl Black High Yield Ink Cartridge (C2P23An140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 1182794-1855753

Manufacturer Name: HP INC.

6 EACH 40.96 $245.76

12 61569 891000 Advantus Panel Wall Cubicle Clips, Assorted Cool Colors, 50/Box (75336) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 891000-1855753

Manufacturer Name: ADVANTUS

CORP ADVANTUS COP NAD

1 BOX 14.89 $14.89

13 61560 790295 Artistic Double Sided Coat Clip Cubicle Accessory, 4 3/4"H X 3/4"W Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 790295-1855753

Manufacturer Name: ARTISTIC

OFFICE

8 EACH 6.91 $55.28

14 68096 510399 Staples Cubicle Clips, White, 20/Box (33455) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026

MPN: 510399-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 BOX 5.94 $5.94

Total $1,320.90

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