Business and Finance Division

C

DESTINATION

PREPAID

ITEM          DESCRIPTION                 QTY       U/M        UNIT PRICE       EXTENSION
001  335-06-169321                        25.4690    TON        225.330000        5738.93
     AMMONIA NITRATE, 32-0-0 CLEAR LIQUID FERTILIZER
     1. MUST CONTAIN 42% TO 49% AMMONIA NITRATE
     2. FREE AMMONIA CONTENT NO GREATER THAN .05%
     3. MUST CONTAIN 32%-35% UREA
     4. TOTAL NITRATE PERCENT TO BE APPROXIMATELY 32.02%
     5. NITROGEN NITRATE PERCENT TO BE APPROXIMATELY 7.89%
     6. APPROXIMATE SPECIFIC GRAVITY AT 60 DEGREES FAHRENHEIT IS 1.33
     7. APPROXIMATE WEIGHT PER GALLON IN POUNDS IS 11.05
     8. APPROXIMATE POUNDS OF NITRATE PER GALLON OF SOLUTION-3.54
     9. APPROXIMATE TEMPERATURE @ FAHRENHEIT AT WHICH CRYSTALS BEGIN
        TO FORM - 29 DEGREES
     ZONE 1 - PRICE BASED ON VENDOR'S CONSTANT OF $10.29
        UNIT NAME                             UNIT CONTACT
     1. BRISCOE FARM OFFICE                   DAVID RALPH
        1459 WEST HWY 85                      RICHARD CLUTE
        DILLEY, TX 78017
     2. BUFFALO RANCH                         BECKY COUNSIL
        14391 PRIVATE ROAD 4007               STEVE DUNBAR
        SOMERVILLE, TX 77879
     3. CLEMENS FARM OFFICE                   MELISSA JACOBSON
        11034 HWY 36                          GUS PUSTKA
        BRAZORIA, TX 77422
     4. COFFIELD FARM OFFICE                  SARA BEIL
        2661 FM 2054                          SCOT KISER
        TENNESSEE COLONY, TX 75884
     5. DARRINGTON FARM OFFICE                LYNDA BARGER
        59 DARRINGTON RD.                     JOE KLINKOVSKY
        ROSHARON, TX 77583
     6. EASTHAM FARM OFFICE                   AMYE NEELEY
        2665 PRISON ROAD #1                   MACK CURRIE
        LOVELADY, TX 75851
     7. ELLIS FARM OFFICE                     JANET RAMBACK
        1697 FM 980                           MARVIN CARTER
        HUNTSVILLE, TX 77340
     8. FERGUSON FARM OFFICE                  CATHY SEITZ
        12120 SAVAGE DRIVE                    DAVID GURROLA
        MIDWAY, TX 75852
     9. PACK FARM OFFICE                      RUTH FLOURNOY
        2400 WALLACE PACK ROAD                EDDY JEZISEK
        NAVASOTA, 77868
     10. RAMSEY FARM OFFICE                   BRENDA SCHMIDT
         1100 FM 655                          JIMMY HAWKINS
         ROSHARON, TX 77583
     11. WAYNE SCOTT FARM OFFICE              HAZEL SANDERS
         6999 RETRIEVE - COUNTY ROAD 290      PAT HAMMOND
         ANGLETON, TX 77515
     12. WYNNE FARM OFFICE                    WACEY MOORE
         810 FM 2821 W
         HUNTSVILLE, TX 77320

     ZONE 4 - PRICE BASED ON VENDOR'S CONSTANT OF $17.48.
        UNIT NAME                             UNIT CONTACT
     1. HILLTOP FARM OFFICE                   EMILY PRUITT
        1500 STATE SCHOOL ROAD                JACK MORSE
        GATESVILLE, TX 76598
     2. HOBBY FARM OFFICE                     TOMMY GREEN
        742 FM 712
        MARLIN, TX 76661
     AMMONIA NITRATE, 32-0-0 CLEAR LIQUID FERTILIZER.
     A. TO CONTAIN 42% TO 49% AMMONIA NITRATE
     B. FREE AMMONIA CONTENT NO GREATER THAN .05%
     C. TO CONTAIN 16-16.5% UREA
     D. TOTAL N PERCENT TO BE APPROX. 32.02%
     E. NITRATE N PERCENT TO BE APPROX. 7.89%
     F. APPROX. SPECIFIC GRAVITY AT 60 DEG. F. IS 1.33
     G. APPROX. WEIGHT PER GAL. LBS. IS 11.05
     H. APPROX. LBS. N PER GAL SOLUTION - 3.54
     I. APPROX. TEMP. DEG. F. AT WHICH CRYSTALS BEGIN TO FORM - 29 DEG.
     DELIVER TO:
        TDCJ BUFFALO RANCH
        14391 PRIVATE ROAD 4007
        SOMERVILLE, TEXAS 77879
     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.
     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.
     OVERSHIPMENTS:
      THE STATE RESERVES THE EXCLUSIVE RIGHT TO ACCEPT AND RECEIVE

      NOT MORE THAN 10% IN EXCESS OF THE QUANTITY OF GOODS ORDERED.
ORDER TOTAL:$      5,738.93