Business and Finance Division

Contracts and Procurement Department

Details of Purchase Order - 696-0-EY053651

Purchase Order
Texas Department of Criminal Justice
Table
Title Table

PURCHASE ORDER

TEXAS DEPARTMENT OF CRIMINAL JUSTICE
Tax Exempt Agency of Texas State Government

Table
Order Table
ORDER DATE:
05-04-20
INVITATION/REQUEST NO:
IW030803
PURCHASE ORDER NO:
696-0-EY053651
Agency Table
AGENCY NAME AND ADDRESS
TEXAS DEPT. OF CRIMINAL JUSTICE    
ACCOUNTS PAYABLE / 696-0-EY053651  
P.O. BOX 4018                      
HUNTSVILLE, TX 77342-4018          
DESTINATION OF GOODS
TDCJ                                   
AGRICULTURE VET WAREHOUSE              
810 FM 2821 WEST                       
HUNTSVILLE, TX. 77320                  
Vendor Table
VENDOR NAME AND ADDRESS
SIOUX NATION HOLDINGS INC
DBA SIOUX NATION AG CENTER
PO BOX 754
SIOUX FALLS, SD 57101-0754
Vendor Data Table
VENDOR PHONE NO.
605 336 2768
VENDOR ID NO.
1460455105 000
PERSON CONTACTED:
DAVE LOTTMAN
CASH DISCOUNT:
NET
%
DAYS OR NET 30
Data Table
Order Type:
F
F.O.B.:
DESTINATION
Freight Terms:
PREPAID
Table
Detail Table
ITEM          DESCRIPTION                 QTY       U/M        UNIT PRICE       EXTENSION
     TDCJ CONTACT: SHARRI HAMMONS - 936-291-5168
001  875-58                                4.0000    EA         145.440000         581.76
     MICONAHEX TRIZ SHAMPOO, 1 GALLON
     * SHALL BE IN A GALLON
     * SHALL HAVE AT LEAST ONE YEARS EXPIRATION FROM DATE OF PURCHASE
     * SHALL HAVE A CURRENT SDS IF AVAILABLE
002  875-58                               12.0000    EA           8.130000          97.56
     BIO-SPONGE PASTE, AN INTESTINAL ADSORBENT, 60GM
     MFR: PLATINUM PERFORMANCE
     SKU: 026734
003  875-58                                2.0000    EA          28.510000          57.02
     BIO-SPONGE, SUPPORTING HEALTHY GASTROINTESTINAL FUNCTION
     * SHALL BE POWDERED IN 4 LB. BUCKET
     * SHALL HAVE AT MINIMUM 1 YEARS EXPIRATION FROM DATE OF PURCHASE
     MFR: PLATINUM PERFORMANCE
     SKU: 034528
004  875-58                               48.0000    EA          64.690000        3105.12
     ENTEDERM OINTMENT 240 CC
     EACH ML SHOULD CONTAIN THE FOLLOWING
     NYSTATIN 100,000 UNITS
     NEOMYCIN SULFATE (EQUIVALENT TO NEOMYCIN BASE), 2.5 MG
     THIOSTREPTON, 2,500 UNITS
     TRIAMCINOLONE ACETONIDE, 1.0 MG
     MANF CODE:  MWEDO240
005  875-58                               60.0000    EA          10.780000         646.80
     BANAMINE INJECTION BY SCHERING-PLOUGH OR EQUAL.
     ANALGESIC-ANTI-INFLAMMATORY. 50 MG/ML IN 100 ML VIAL.
     EACH MILLILITER OF BANAMINE INJECTABLE SOLUTION TO CONTAIN
     FLUNIXIN MEGLUMINE EQUIVALENT TO 50 MG FLUNIXIN.
     * SHALL HAVE AT LEAST ONE YEARS EXPIRATION DATE.
006  875-58                               20.0000    EA          26.790000         535.80
     XYLAZINE HYDROCHLORIDE INJECTION OR EQUAL
     50ML VIAL, 100MG/ML
     EACH ML CONTAINS 100 MG XYLAZINE, (BASE EQUIVALENT)
     0.9 MG MTHYLPARABEN, 0.1 MG PROPYLPARABEN, WATER FOR
     INJECTION, CITRIC ACID AND SODIUM CITRATE FOR PH
     ADJUSTMENT TO 5.5 +/- 0.3.
     MSDS TO ACCOMPANY ORDER IF AVAILABLE.
     * SHALL HAVE AT LEAST ONE YEARS EXPIRATION DATE.
007  875-58                               48.0000    EA           4.530000         217.44
     B.N.P. OPHTHALMIC OINTMENT
     MUST CONTAIN:
     * 5000U POLYMIXIN B. SULFATE
     * 400U ZN BACITRACIN
     * NEOMYCIN SULFATE (EQUIV TO NEOMYCIN BASE 3.5MG),
     * 12 TUBES/BOX.
     * SHALL HAVE AT LEAST ONE YEARS EXPIRATION DATE.
     * VENDOR SHALL SUPPLY A CURRENT MSDS WITH SHIPMENT IF AVAILABLE.
008  875-58                               25.0000    EA          26.460000         661.50
     MCMASTER EGG COUNTING CHAMBER

     MANUFACTUER: JORGENSEN
     SKU: 037459
     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.
     SECURITY:
      WHEN MAKING DELIVERIES TO CORRECTIONAL FACILITIES, CONTRACTOR'S
      COMPLIANCE WITH TDCJ SECURITY PROCEDURES IS REQUIRED.  THIS
      INCLUDES DELIVERIES TO ALL TDCJ UNITS AND WAREHOUSES, OR ANY
      OTHER TDCJ OWNED, LEASED, OR CONTRACTED PREMISES.  SPECIFIC
      REQUIREMENTS INCLUDE, BUT ARE NOT LIMITED TO:
     1. ALL CONTRACTOR STAFF OR CONTRACTED DELIVERY SERVICE MAKING
        DELIVERIES WITHIN A CORRECTIONAL FACILITY, AND THOSE AREAS
        WHERE INMATES ARE ASSIGNED, WILL BE REQUIRED TO HAVE A
        SECURITY ESCORT THROUGHOUT THEIR DELIVERY.  ALL DELIVERY
        STAFF SHALL BE REQUIRED TO FOLLOW THE DIRECTION OF SECURITY
        STAFF.  DELIVERY STAFF SHALL NOT INTERACT WITH INMATES.
        FURTHERMORE, CONTRACTOR STAFF SHALL ADHERE TO THE PROVISIONS
        FOUND IN PERSONNEL DIRECTIVE PD-29, "SEXUAL MISCONDUCT WITH
        INMATES," WHICH IS LOCATED ON THE TDCJ WEBSITE AT
        HTTP://WWW.TDCJ.TEXAS.GOV/DIVISIONS/HR/HR-POLICY/PD-29.PDF.
        (NOTE: THIS ADDRESS MUST BE IN LOWER CASE LETTERING WHEN ENTERED
        IN THE ADDRESS BAR OF YOUR BROWSER.)
        THE CONTRACTOR SHALL NOTIFY EACH OF THE CONTRACTOR'S STAFF
        ACCESSING TDCJ'S PREMISES OF THE PROVISIONS WITHIN THIS DIRECTIVE,
        PRIOR TO ANY DELIVERY.
     2. ALL DELIVERY STAFF AND VEHICLES ARE SUBJECT TO SEARCH AND

        INSPECTION WHILE ON TDCJ PROPERTY.
     3. ALL VEHICLES WILL BE LOCKED AND SECURED WHEN NOT IN USE.
        DRIVERS ARE REQUIRED TO KEEP KEYS IN THEIR DIRECT POSSESSION
        AT ALL TIMES.
     4. DELIVERY STAFF SHALL NOT INTRODUCE ANY TYPE OF CONTRABAND ONTO
        ANY TDCJ FACILITY. EXAMPLES OF CONTRABAND INCLUDE, BUT ARE NOT
        LIMITED TO FIREARMS, KNIVES, WEAPONS OF ANY TYPE, TOBACCO OF ANY
        TYPE, ALCOHOL, CONTROLLED SUBSTANCES (ILLEGAL DRUGS), PAGERS, AND
        CELL PHONES. DELIVERY STAFF MAY NOT CARRY MORE THAN TWENTY-FIVE
        DOLLARS ($25.00) IN CASH INTO ANY TDCJ FACILITY.
     5. DELIVERY EMPLOYEE'S ATTIRE MUST BE APPROPRIATE OR COMPATIBLE
        WITH THE CURRENT BUSINESS ENVIRONMENT.
     6. GENERALLY, EX-INMATES SHALL NOT BE ALLOWED INSIDE THE FENCED
        PERIMETER OF A FACILITY TO MAKE DELIVERIES UNLESS APPROVED BY
        THE UNIT WARDEN. THE WARDEN MAY NOT ALLOW AN EX-INMATE ON
        A UNIT OR FACILITY, WHETHER INSIDE OR OUTSIDE THE FENCED
        PERIMETER, IF THE WARDEN BELIEVES THE PERSON MAY JEOPARDIZE
        THE SAFE AND ORDERLY OPERATION OF THE UNIT OR FACILITY, POSE
        A DANGER TO INMATES OR EMPLOYEES, OR PLACE AN UNDUE LOGISTICAL
        BURDEN ON STAFF.
     7. MINORS AND PETS ARE PROHIBITED FROM TDCJ PROPERTY AND SHALL
        NOT BE IN DELIVERY VEHICLE.
     TDCJ RESERVES THE RIGHT TO IMMEDIATELY REMOVE AND/OR REFUSE
     ENTRY TO ANY INDIVIDUAL WHO HAS VIOLATED THE ABOVE RESTRICTIONS.
     THE UNIT WARDEN OR FACILITY ADMINISTRATOR WILL ULTIMATELY BE
     RESPONSIBLE FOR INTERPRETING THESE RULES.
     PLEASE PROVIDE CURRENT MSDS SHEET.
     FOR QUESTIONS OR INQUIRIES CONTACT:
     TARA HOPKINS, CTCD
     TDCJ CONTRACTS AND PROCUREMENT
     TWO FINANCIAL PLAZA STE. 525
     HUNTSVILLE, TX 77340
     PH: 936-437-7372  FAX:  325-223-0310
     EMAIL:  TARA.HOPKINS@TDCJ.TEXAS.GOV
ORDER TOTAL:$      5,903.00

Table
Authorization Table
Name of Authorized Purchaser Signature of Authorized Purchaser
All terms and conditions set forth in the referenced Invitation/Request become a part of this purchase order. In accordance with your bid/offer, item(s) must be received at the destination address on or before 05/25/2020
Seller agrees that any payments due under this contract will be applied towards any debt, including but not limited to delinquent taxes and child support that is owed to the State of Texas.
STATE AND CITY SALES TAX EXEMPTION: The undersigned claims an exemption from taxes under Chapter 151, Section 309, Texas Tax Code, for the purchase of services/tangible personal property purchased from the contractor and/or shipper listed above, as these are being secured for the exclusive use of the State of Texas.
Table
Table

Return
Return to list

Table