I was just giving you a warning as I have had my fair share of newegg refurbs over the years. It won't come without a heatsink though, so don't worry about that. Although it's at best a customer return, so some noob may have pulled the heasink and remounted it with juicy fruit.
As I said, you may not get any of the cables, the DVI adapter, or the software. It is not guaranteed to work either, I have had 2 newegg refurb cards arrive in unworking condition. One of which I got stuck with becasue I waited too long to test it. Also, the card is a Sapphire not a BBA, so I wouldn't count on Sapphire honoring the 1 year warranty. You may only get the 14 days to RMA it.
Again, your call; if $260 AR is too much money for a new one, and you don't mind not getting the extra bundle nor taking a higher than normal risk of failure, then go for it. You won't find a better performing card for $221 shipped. All you have to lose is the $1 shipping plus your return shipping.