23156599-0.pdf
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- Attached to
- Term TX|125-S1|17419760511|23156599
- Contract number
- 23156599
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 23156599) issued by the Texas Health & Human Services Commission (HHSC) on 5/30/2023, with WorkQuest, Inc. of Austin, TX as the contractor. The purchase order involves delivery to the HHSC Terrell SH Warehouse and Vernon Rehabilitation facility, with key personnel including Karlee Lopez as the agency contact, Drew Hardy as the Contract Manager, and Ana Breest as the HHSC Buyer.
The purchase order is for multiple cases of plastic comb bindings in various diameters (1/4", 5/16", 9/16", 1", 1-1/8", 7/8", and 3/8"), all in black color. The order consists of 5 cases each of most diameters, with 3 cases of the 1/4" and 5/16" sizes, totaling 33 cases. The bindings are sourced under Contract 125-S1, a term contract with a 30-day delivery after receipt of order (ARO), with a specified delivery date of 6/29/2023. The total purchase amount is $733.85, with unit prices ranging from $3.93 to $39.62 per case, and freight is included in the pricing. The order is tax-exempt under Texas Tax Code, Section 151.309(4), for exclusive state use.
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Text version
Purchase Order PO No. 23156599
Order Date: 5/30/2023
Internal Tracking No.: 0000318492
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Health & Human Services Commission Terrell SH Whse 1200 E Brin PO Box 70
TERRELL TX 75160
Karlee Lopez
HEALTH & HUMAN SERVICES COMMISSION
4730 College Dr
PO BOX 2231
Vernon TX 76385
NOTE TO CONTRACTOR: CAPPS PO# 0000318492
Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday - Friday except designated State Holidays.
** VENDORS SEND INVOICES VIA EMAIL TO ** karlee.lopez@hhs.texas.gov
AGENCY CONTACT:
***PACKING LIST REQUIRED TO SHOW PO NUMBER AND ATTN CONTACT INFO ***
Warehouse: Please deliver to Vernon Rehab Karlee Lopez 940-552-4203 Karlee.lopez@hhs.texas.gov
Contract Manager Name: Drew Hardy, CTCM Contract Manager Email: drew.hardy2@hhs.texas.gov Contract Manager Phone: 940-552-4055
HHSC BUYER:
Ana Breest, CTCD, CTCM 512-406-2679 Ana.breest@hhs.texas.gov
Disclaimer The State of Texas is exempt from all Federal Excise Taxes except as noted in each contract.
STATE AND CITY SALES TAX EXEMPTION CERTIFICATE:
The undersigned claims an exemption from taxes under Texas Tax Code, Section 151.309(4), for purchase of tangible personal property described in this numbered order, purchased from contractor and/or shipper listed above, as this property is being secured for the exclusive use of the State of Texas, or a Texas County, City, Special District, or Other Political Subdivision.
Texas Comptroller of Public Accounts – Statewide Procurement Division
Agency Purchaser Email Phone
Health & Human Services Commission - 529
Ana Breest Ana.Breest@hhs.texas.gov (512) 406-2679
Order Date: 5/30/2023
Internal Tracking No.: 0000318492
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 12520 12520761029 Binding, Comb, Plastic, Wide, 3/8" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520761029 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 6/29/2023
5 CASE 9.29 $46.45
2 12520 12520762423 Binding, Comb, Plastic, Wide, 1-1/8" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520762423 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 6/29/2023
5 CASE 35.29 $176.45
3 12520 12520762258 Binding, Comb, Plastic, Wide, 1" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520762258 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 6/29/2023
5 CASE 34.99 $174.95
4 12520 12520761623 Binding, Comb, Plastic, Wide, 9/16" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520761623 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 6/29/2023
5 CASE 15.13 $75.65
5 12520 12520760625 Binding, Comb, Plastic, Wide, 1/4" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520760625 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 6/29/2023
3 CASE 16.82 $50.46
Order Date: 5/30/2023
Internal Tracking No.: 0000318492
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 12520 12520760823 Binding, Comb, Plastic, Wide, 5/16" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520760823 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 6/29/2023
3 CASE 3.93 $11.79
7 12520 12520762027 Binding, Comb, Plastic, Wide, 7/8" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520762076 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 6/29/2023
5 CASE 39.62 $198.10
Total $733.85
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