27005419-0.pdf

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Attached to
TX|TXMAS-24-03101|27005419
Contract number
27005419
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27005419) issued by the State of Texas Health & Human Services Commission (HHSC) to HD Supply Facilities Maintenance, Ltd., dated October 6, 2026. The order is being placed for delivery to an HHSC warehouse location in Beaumont, Texas, with Stephen Moss designated as the primary ship-to contact. The contractor is located in Atlanta, Georgia, and invoices should be directed to the regional administrative services email address.

The purchase order covers 20 cases of Lysol 19 oz Disinfectant Spray in Crisp Linen scent at a unit price of $98.73 per case for a total order value of $1,974.60. The product is sourced under contract TXMAS-24-03101, classified under NIGP code 01014 with supplier part number 655792 and manufacturer part number REC 74828. The expected delivery date is November 5, 2026, with a standard 30-day delivery window. The State of Texas claims an exemption from sales and excise taxes on this purchase as it is for the exclusive use of a state agency. A packing list showing the PO number and attention contact information is required to accompany the shipment.

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Text version

Purchase Order PO No. 27005419

Order Date: 10/6/2026

Internal Tracking No.: 0000416121

Contractor Info Bill To Ship To HD Supply Facilities Maintenance, Ltd.

15224188522 3400 Cumberland Blvd SE Atlanta, GA 30339

(928) 595-1711

350 Pine Street Flr 9 Beaumont TX 77701

ATTN Moss,Stephen

(409) 767-4910 S. 4th Street Beaumont, TX 77701

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416121 AND ATTN CONTACT INFO *** SHIP TO ATTN Moss,Stephen 409-767-4910 stephen.moss@hhs.texas.gov

REQUESTER AMANDA FRAZIER 409-550-7598 AMANDA.FRAZIER@HHS.TEXAS.GOV

CONTACT KARON LITTLE 409-291-0092 KARON.LITTLE@HHS.TEXAS.GOV

EMAIL INVOICES TO: Reg05_Admin_Services@hhsc.state.tx.us

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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Purchase Order PO No. 27005419

Order Date: 10/6/2026

Internal Tracking No.: 0000416121

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 01014 655792 Lysol 19 Oz Disinfectant Spray (Crisp Linen) (12-Case) Contract: TXMAS-24-03101 Contract Type: TXMAS Delivery ARO (days): 30 Delivery Date: 11/5/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Moss,Stephen 4 0 9 - 7 6 7 - 4 9 1 0 stephen.moss@hhs.texas.gov

REQUESTER AMANDA FRAZIER

4 0 9 - 5 5 0 - 7 5 9 8

AMANDA.FRAZIER@HHS.TEXAS.G

OV

CONTACT KARON L ITTLE

4 0 9 - 2 9 1 - 0 0 9 2

KARON.LITTLE@HHS.TEXAS.GOV

SUPERUSER THERESA CORMIER

4 0 9 - 7 3 0 - 4 0 1 4

THERESA.CORMIER@HHS.TEXAS.

GOV

CONTRACT MANAGER SHELIA

A DA M S O N 4 0 9 - 2 9 1 - 6 2 0 6

SHELIA.ADAMSON@HHS.TEXAS.G

OV

SHIP TO LOCATION CODE 0293 -

HHSC WAREHOUSE - 1090 S. 4th St., BEAUMONT, TX 77701

MPN: REC 74828

Manufacturer Name: Lysol

20 CASE 98.73 $1,974.60

Total $1,974.60

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