27005291-1.pdf

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Attached to
TX|615-C1|27005291
Contract number
27005291
Issued by
Texas

About this file

Purchase Order Change Notice Summary

This is a Purchase Order Change Notice (PO No. 27005291) issued by the Health & Human Services Commission (HHSC) of Texas on October 5, 2026. The contractor is Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts. The purchase order was placed through Contract 615-C1, a term contract with the Texas Comptroller of Public Accounts – Statewide Procurement Division. The HHSC buyer is Carlos M Mojica, and the initial shared billing address is the Kerrville State Hospital Warehouse in Kerrville, Texas.

The purchase order encompasses two line items of office supplies: 50 packs of Post-It Super Sticky Notes (4" x 4", Energy Boost Collection) at $7.05 per pack, totaling $352.50, with delivery to Rio Grande SH Whse in Harlingen, Texas; and 15 boxes of Staples Heavyweight Non-Glare Sheet Protectors (8.5" x 11") at $9.18 per box, totaling $137.70, with delivery to Kerrville SH Whse. The combined order total is $490.20. The purchase order reflects multiple revisions made on October 5, 2026, primarily changing the shipping address for Line 1 from Harlingen to Kerrville, updating the warehouse contact from Mario Gonzales to Keith Dowdy, and modifying the billing address code. All items are scheduled for delivery by October 8, 2026, with a three-day advance receipt of order (ARO) requirement. The State of Texas is exempt from sales taxes under Texas Tax Code Section 151.309(4).

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Purchase Order Change Notice PO No. 27005291

Order Date: 10/5/2026

Internal Tracking No.: HHSTX-7-0000416055

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

(888) 212-7219

Kerrville SH Whse 721 Thompson Dr Kerrville, TX 78028

Items to be shipped to multiple addresses. See shipping details below for each line item.

NOTE TO CONTRACTOR:

10/5/2026-PO#: HHSTX-7-0000416055AGENCY CONTACT:Whse Supvr Keith Dowdy Ph - 830-258-5206 patrick.dowdy@hhs.texas.govHHSC BUYER:Carlos M Mojica, CTCD,CTCMCarlos.mojica01@hhs.texas.govDELIVERY:721 Thompson Dr Kerrville, Tx 78028 Invoice per 34 TAC §20.487, amended effective May 1, 2022

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/5/2026, 12:18pm-Shared Billing Address changed to: Kerrville SH Whse

721 Thompson Dr

Kerrville, TX 78028

10/5/2026 2:18 pm-Contractor note changed PO#: HHSTX-7-0000416055

AGENCY CONTACT:

Whse Supvr Mario Gonzales

Ph - 956-364-8321 mario.gonzales@hhs.texas.gov

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM

Carlos.mojica01@hhs.texas.gov

DELIVERY:

1401 S Rangerville Rd

Harlingen, Tx 78552

Invoice per 34 TAC §20.487, amended effective May 1, 2022 to: PO#: HHSTX-7-0000416055AGENCY CONTACT:Whse Supvr Keith Dowdy Ph - 830-258-5206 pa t r i ck .dowdy@hhs. texas.govHHSC BUYER:Car los M Mo j i ca , CTCD,CTCMCarlos.mojica01@hhs.texas.govDELIVERY:721 Thompson Dr Kerrville, Tx 78028 Invoice per 34 TAC §20.487, amended effective May 1, 2022

10/5/2026 2:18 pm-Billing Address changed from: 12285 to: 12300

10/5/2026 2:18 pm-Shipping delivery date has changed from: Thu Oct 08 2026 00:00:00 GMT-0700 (PDT) to: Thu Oct 08 2026

00:00:00 GMT-0700 (PDT)

10/5/2026 2:18 pm-Change to Line 1: Address Contact has changed from: Mario Gonzales to: Keith Dowdy

10/5/2026 2:18 pm-Change to Line 1: Phone number has changed from: (956) 364-8321 to: (830) 258-5206

10/5/2026 2:18 pm-Change to Line 1: Shipping address line number 1 has changed from: Rio Grande SH Whse to: Kerrville SH Whse

Order Date: 10/5/2026

Internal Tracking No.: HHSTX-7-0000416055

10/5/2026 2:18 pm-Change to Line 1: Shipping address line number 2 has changed from: 1401 S. Rangerville Rd to: 721 Thompson Dr

10/5/2026 2:18 pm-Change to Line 1: Shipping city has changed from: Harlingen to: Kerrville

10/5/2026 2:18 pm-Change to Line 1: Shipping zip code has changed from: 78552 to: 78028

10/5/2026 2:18 pm-Change to Line 1: Shipping delivery date has changed from: Thu Oct 08 2026 00:00:00 GMT-0700 (PDT) to: Thu Oct 08 2026 00:00:00 GMT-0700 (PDT)

10/5/2026 2:18 pm-Change to Line 1: Shipping address changed from: 12302 to: 12300

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/CO-OP Member Purchaser Email Phone

Health & Human Services Commission - 529

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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 61562 586113 Post-It Super Sticky Notes, 4" X 4", Energy Boost Collection, Lined, 90 Sheet/Pad, 6 Pads/Pack (6756Ssuc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Thu Oct 08 2026

00:00:00 GMT-0700 (PDT)

Ship to Address:

Mario Gonzales

(956) 364-8321 Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen, TX 78552

MPN: 6756SSUC

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

CORPORATION

50 PACK 7.05 $352.50

mailto:carlos.mojica01@hhs.texas.gov

Order Date: 10/5/2026

Internal Tracking No.: HHSTX-7-0000416055

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

2 61539 633188 Staples Heavyweight Non-Glare Sheet Protector, 8.5" X 11", Clear, 50/Box (34749) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Thu Oct 08 2026

00:00:00 GMT-0700 (PDT)

Ship to Address:

Keith Dowdy

(830) 258-5206 Kerrville SH Whse 721 Thompson Dr Kerrville, TX 78028

MPN: ST34749-CC

Manufacturer Name: STAPLES

BRANDS GROUP

15 BOX 9.18 $137.70

Total $490.20

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