Business and Finance Division

C

DESTINATION

PREPAID

ITEM          DESCRIPTION                 QTY       U/M        UNIT PRICE       EXTENSION
001  952-07-390076                         1.0000    EA          24.750000          24.75
     OFFENDER:           ANDREWS, GARY
     TDCJ#:              1303705
     CONFIRMATION TEST:  K2
     SPECIMEN ID:        900379
     UNIT:               ELLIS/E1
     REQUESTOR:          A RIVERA
     SYNTHETIC MARIJUANA CONFIRMATION TESTING URINE SPECIMEN.
     EACH URINE SAMPLE MUST BE SCREENED AND CONFIRMED BY LIQUID
     CHROMATOGRAPHY-TANDEM MASS SPECTROMETRY (LC-MS/MS).
     VENDOR MUST PROVIDE CHAIN OF CUSTODY FORMS, COLLECTION CUPS AND
     SHIPPING MATERIALS. PRICE MUST INCLUDE SHIPPING COSTS TO THE LAB
     AND SHIPPING MUST BE NEXT DAY AIR.
     VENDOR MUST HAVE THE ABILITY TO INTERCEPT NEGATIVE SAMPLES BEFORE
     DISPOSAL FOR FURTHER REVIEW BY THEIR RESEARCH AND DEVELOPMENT LAB
     FOR SAMPLES IDENTIFIED BY THE AGENCY AS POTENTIAL NEW STRAINS OF
     SYNTHETIC MARIJUANA AT NO ADDITIONAL COST TO THE AGENCY.
     TESTING LEVEL ZERO (0): (QUALATIVE)
     SAMPLES MUST BE TESTED FOR DILUTION VIA CALORIMETRIC TESTING OF
     CREATINE LEVELS. THE TEST RESULTS MUST IDENTIFY SAMPLES THAT ARE
     IDENTIFIED AS DILUTE, THE TESTING METHOD (CALORIMETRIC), THE PRECISE
     CREATINE LEVEL DETECTED AND THE REFERENCE RANGE UTILIZED TO ESTABLISH
     DILUTION.
     RESULTS MUST CLEARLY IDENTIFY THE TESTING LABORATORY, ADDRESS AND
     CONTACT INFORMATION.
     RESULTS MUST CLEARLY IDENTIFY THE DATE COLLECTED AND DATE RECEIVED AT
     THE LABORATORY.
     RESULTS MUST CLEARLY IDENTIFY POSITIVE OR NEGATIVE FOR EACH ANALYTE
     AND THE TESTING METHOD (LCMS QUALATIVE).
     RESULTS MEST IDENTIFY SENDING REGION, OFFICE AND IDENTIFIER (TDCJ OR
     SID NUMBER) FOR CLIENT.
     RESULTS MUST BE FAXED OR EMAILED TO SPECIALIZED PROGRAMS FOR THE
     PAROLE DEPARTMENT AND PLANS AND OPERATIONS FOR SECURITY OPERATIONS
     UPON COMPLETION OF TESTING AND MADE AVAILABLE VIA AN INTERNET BASED
     PORTAL WITH A SECURE SIGN IN AND ADMINISTRATOR ACCESS.
     AVERAGE TURNAROUND TIME SHOULD BE 24 TO 72 HOURS.
     SCREENING AND CONFIRMATION MUST INCLUDE ALL THIRY SEVEN (37) PANELS
     AT A MINIMUM.
     1. 5-FLUORO-AB-PINACA
     2. 5-FLUORO-ADBICA
     3. 5-FLUORO-ADB-PINACA
     4. 5-FLURO-AKB-48
     5. 5-FLUORO-AMB1
     6. 5-FLUORO-PB-22
     7. AB-CHMINACA1
     8. AB-FUBINACA
     9. AB-PINACA
     10. ADBICA
     11. ADB-PINACA
     12. AKB-48

     13. AM-1248
     14. AM-2201
     15. AM-694
     16. BB-22
     17. FDU-PB-221
     18. FUB-1441
     19. FUB-AMB1
     20. FUB-PB-221
     21. JWH-018
     22. JWH-019
     23. JWH-073
     24. JWH-081
     25. JWH-203
     26. JWH-210
     27. JWH-250
     28. JWH-398
     29. MAM-2201
     30. PB-22
     31. RCS-4
     32. RCS-8
     33. THJ-22011
     34. UR-144
     35. XLR-11
     36. JWH-122
     37. JWH-200
     SYNTHETIC MARIJUANA/ CANNABINOIDS (K2/SPICE/ETC), CONFIRMATION TESTING
     URINE SPECIMEN, CONFIRMATION BY GAS CHROMATOGRAPHY/
     MASS SPECTROMETRY, ZONES 1-5
     DELIVER TO:
       TDCJ ELLIS UNIT
       SUPPLY
       1697 FM 980
       HUNTSVILLE, TX  77343
     PAYMENT:
      PAYMENT SHALL BE MADE THIRTY CALENDAR DAYS AFTER THE LATTER OF
      (1) THE DATE AN UNCONTESTED INVOICE IS RECEIVED, (2) THE DATE
      GOODS ARE RECEIVED, AND (3) THE DATE SERVICES ARE COMPLETED.
      REFER TO TEXAS GOVERNMENT CODE, CHAPTER 2251.
     AWARDED VENDOR AGREES THAT ANY PAYMENTS DUE UNDER THE PURCHASE
     ORDER OR CONTRACT SHALL BE DIRECTLY APPLIED TOWARDS ELIMINATING
     ANY DEBT OR DELINQUENCY IT HAS TO THE STATE OF TEXAS INCLUDING,
     BUT NOT LIMITED TO, DELINQUENT TAXES, DELINQUENT STUDENT LOAN
     PAYMENTS, AND DELINQUENT CHILD SUPPORT.
     VENDOR MAINTENANCE DIRECT DEPOSIT AND SUBSTITUTE W-9 FORM
     (ELECTRONIC FUNDS TRANSFER):
     GOVERNMENT CODE 403.016 (C) (3) ENCOURAGES STATE AGENCIES TO
     TRANSMIT PAYMENTS TO VENDORS THROUGH ELECTRONIC FUNDS TRANSFER
     (DIRECT DEPOSIT). TO SET UP YOUR ACCOUNT, CONTACT AGENCY ACCOUNTS
     PAYABLE AT (936)437-8761 OR (936)437-6357.
     REGARDLESS AS TO WHETHER DIRECT DEPOSIT IS CHOSEN, THE AWARDED

     VENDOR SHALL SUBMIT A COMPLETED VENDOR MAINTENANCE DIRECT
     DEPOSIT AND SUBSTITUTE W-9 FORM TO TDCJ ACCOUNTS PAYABLE. VENDORS
     WHO HAVE ALREADY SUBMITTED A FORM FOR ANOTHER SEPARATE PURCHASE
     ORDER ARE NOT REQUIRED TO SUBMIT ANOTHER FORM. THE VENDOR FORM AND
     INSTRUCTIONS ARE FOUND AT THE FOLLOWING LINK ON THE TDCJ WEBSITE:
     WWW.TDCJ.STATE.TX.US/DIVISIONS/BFD/ACCT_ACCTS_PAY.HTML
     TO ENROLL FOR ADVANCE NOTIFICATION OF ELECTRONIC FUNDS TRANSFER TO
     YOUR ACCOUNT, PLEASE CONTACT THE NUMBERS LISTED ABOVE. PAYMENT
     INFORMATION MAY BE OBTAINED BY CALLING THE COMPTROLLER OF PUBLIC
     ACCOUNTS TOLL FREE AT (800) 531-5441, EXT. 3-3660 OR IN AUSTIN, TEXAS
     CALL (512) 936-3461, SELECT OPTION 3 (PIN NOT REQUIRED) AND ENTER
     THEIR VENDOR IDENTIFICATION NUMBER AND 696 FOR THE AGENCY NUMBER.
     INFORMATION IS AVAILABLE VIA THE INTERNET AT:
     HTTPS://FMX.CPA.TEXAS.GOV/FMX/PAYMENT/INDEX.PHP
     (NOTE: THIS ADDRESS MUST BE IN LOWER CASE LETTERING WHEN ENTERED
     IN THE ADDRESS BAR OF YOUR BROWSER.)
     SHIPPING AND INVOICE INSTRUCTIONS:
     FAILURE TO FOLLOW THESE SHIPPING AND INVOICE INSTRUCTIONS MAY RESULT
     IN MERCHANDISE BEING REJECTED AT THE RECEIVING DOCK AND RETURNED TO
     THE VENDOR WITHOUT NOTICE.
     SHIPPING INSTRUCTIONS:
     1. ENSURE ITEM(S) IS SENT TO THE CORRECT UNIT/DEPARTMENT WITHIN THE
        TDCJ AS LISTED ON THE PURCHASE ORDER.
     2. DO NOT OVERSHIP. OVERAGES SHALL BE RETURNED AT THE VENDOR'S EXPENSE
        UNLESS ITEMS ARE OF INDETERMINABLE QUANTITY SUCH AS SAND OR GRAVEL.
     3. SHIP INDIVIDUAL LINE ITEMS COMPLETE.
     4. EACH PART SHIPPED SHALL HAVE A PART NUMBER OR BE TAGGED WITH A PART
        NUMBER AS IT APPEARS ON THE PURCHASE ORDER. IF ITEMS ARE SHIPPED
        WITHOUT A PART NUMBER, THEY WILL BE RETURNED TO THE VENDOR AT
        VENDOR'S EXPENSE.
     5. INCLUDE OR MARK PURCHASE ORDER NUMBER ON ALL PACKING SLIPS,
        CARTONS, PACKAGES, BUNDLES, ETC.
     INVOICING INSTRUCTIONS:
     1. THE INVOICE MUST BE ITEMIZED WITH THE DESCRIPTION, UNIT PRICE, UNIT
        OF MEASURE AND EXTENSION EXACTLY AS LISTED ON THE PURCHASE ORDER.
     2. ONLY ITEMS LISTED ON THE PURCHASE ORDER MAY BE BILLED AND PAID FOR
        BY THE TDCJ.
     3. ANY CHANGES TO THE PURCHASE ORDER ARE ONLY VALID UPON RECEIPT OF A
        PURCHASE ORDER CHANGE NOTICE (POCN) FROM THE AUTHORIZED PURCHASER.
     4. INVOICES MUST REFERENCE THE PURCHASE ORDER NUMBER.  ONLY ONE
        PURCHASE ORDER NUMBER ON AN INVOICE. (PURCHASE ORDER NUMBER ALWAYS
        BEGINS WITH AN 'E', EXAMPLE - EX000123)
     5. VENDOR MUST SUPPLY A VALID PAYEE IDENTIFICATION NUMBER (PIN) ON
        EACH INVOICE.
     6. INVOICES MUST BE SENT TO ACCOUNTS PAYABLE, P.O. BOX 4018
        HUNTSVILLE, TX 77342-4018.
        *ONLY DISCOUNTED INVOICES MAY BE EMAILED.
     7. DISCOUNTED INVOICES MUST BE EMAILED TO
        TDCJ.AP-INVSVS@TDCJ.TEXAS.GOV.
     8. SUBMIT SEPARATE INVOICES FOR EACH SHIPMENT/PER LOCATION.

     IN ACCORDANCE WITH SECTION 2252.907, GOVERNMENT CODE, THE VENDOR
     ACKNOWLEDGES THAT THIS CONTRACT AND INFORMATION CREATED OR
     MAINTAINED IN CONNECTION WITH THIS CONTRACT IS PUBLIC INFORMATION
     AND SUBJECT TO DISCLOSURE AS PROVIDED BY CHAPTER 552, GOVERNMENT
     CODE (TEXAS PUBLIC INFORMATION ACT).  THE PUBLIC INFORMATION ACT
     MAY REQUIRE THE VENDOR TO MAKE INFORMATION RELATED TO THIS CONTRACT
     AVAILABLE TO THE PUBLIC PURSUANT TO A REQUEST FOR PUBLIC INFORMATION.
     THE VENDOR AGREES, UPON REQUEST, TO MAKE INFORMATION RELATED TO THIS
     CONTRACT THAT IS NOT OTHERWISE EXCEPTED FROM RELEASE BY THE PUBLIC
     INFORMATION ACT AVAILABLE TO THE PUBLIC IN HARD COPY, UNLESS THE
     REQUESTOR OF THE INFORMATION CONSENTS TO RECEIVE THE INFORMATION IN
     ANOTHER MUTUALLY AGREEABLE FORMAT. THE VENDOR ACKNOWLEDGES THAT THE
     AGENCY SHALL NOT PROVIDE LEGAL COUNSEL RELATED TO THE VENDOR'S
     COMPLIANCE WITH THE PUBLIC INFORMATION ACT.
ORDER TOTAL:$         24.75