I use Word2CleanHtml dot com online. Toxaris has a Word plug-in that doesn't work for me but does work for most people; you can probably find the link in the Sigil forum.
I build my ebooks in Sigil, substituting my own header for the one Sigil presents when opening a new book (you can grab it from my blog) and linking to my own style sheet (also on my blog).
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