23167036-1.pdf
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- Attached to
- Term TX|405-S1|17419760511|23167036
- Contract number
- 23167036
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice issued by the Texas Health and Human Services Commission (HHSC) for Purchase Order No. 23167036, dated 6/27/2023. The order is with WorkQuest, Inc., located in Austin, Texas, and involves multiple delivery locations including San Antonio and Harlingen, Texas. The purchase order is being processed through the Texas Statewide Procurement Division and involves multiple contract numbers across various service categories.
The purchase order covers a diverse range of supplies including personal protective equipment (nitrile gloves), office supplies (binders, markers, note pads), hygiene products (hand sanitizer, hand wash), cleaning supplies (shredder oil), and consumables (bottled water, soft drink mix, toilet paper, paper bags). The total order value is $33,534.81, with individual line items ranging from $38.68 to $7,360.20. Most items have specific delivery dates in July 2023, with delivery times ranging from 7 to 45 days after order release (ARO). The order utilizes multiple term contracts and includes freight/shipping costs for most items. Each line item specifies a contract number, unit price, quantity, and total extended amount, with most contracts designated as "Term" type.
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Text version
Purchase Order Change Notice PO No. 23167036
Order Date: 6/27/2023
Internal Tracking No.: HHSTX-3-0000320625
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 San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223
Health & Human Services Commission Health & Human Services Commission - 529 Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen TX 78552
NOTE TO CONTRACTOR:
PO#: HHSTX-3-0000320625
AGENCY CONTACT:
Taylor Gain, Whse Supvr
956-364-8041 taylor.gain@hhs.texas.gov
AP Email: sahaccounting@dshs.texas.gov
HHSC BUYER:
Joseph Torres, CTCD
512-406-2413
Joseph.Torres@HHS.Texas.Gov
DELIVERY: Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday - Friday except designated State Holidays when the Warehouse is closed.
Please call Agency Delivery Contact to schedule delivery 24 hours prior to arrival.
Invoice per 34 TAC §20.487, amended effective May 1, 2022
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):8/14/2023 4:06 pm-Item Option added for: 40573731755
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/CO-OP Member Purchaser Email Phone
Health & Human Services Commission - 529
Joseph Torres joseph.torres@hhs.texas.gov (512) 771-7042
Order Date: 6/27/2023
Internal Tracking No.: HHSTX-3-0000320625
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 20186 201867110 Panty, Full Brief, White, 100% Cotton. Freight included.
Attribute 1: 10 - 201867110 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 45 Delivery Date: 8/11/2023
30 DOZ 15.98 $479.40
2 20725 20725292005 Compressed Air 10 Oz. Can. Freight Added When Less Than $25 Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
24 EACH 6.04 $144.96
3 20772 20772502033 Labels, Address, Avery 5160, 1" X 2-5/8", White, 30 Labels/Sheet, 100 Sheet/Box, Freight Included, Quantity Price break at 2 Boxes Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
MPN: 20772502033
Manufacturer Name: WorkQuest, Inc.
35 BOX 23.34 $816.90
4 39091 39091350002 Water, Bottled, 16.9 Oz, 24 Bottle/ CS, Min Order 72 Cases, Order In Increments of 72 Cases, Freight Included - Additional Charge For Inside Delivery Upon Request.
Contract: 390-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
576 CASE 6.69 $3,853.44
5 39333 39333750501 Soft Drink Mix, Sugar Free, Packet Yields 2 Quarts, 24 Packets/CTN, 4 CTN/CS, Plus Freight Order Less Than $50 Attribute 1: Orange-39333753505 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 7/27/2023
6 CASE 53.08 $318.48
Order Date: 6/27/2023
Internal Tracking No.: HHSTX-3-0000320625
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
6 39333 39333750501 Soft Drink Mix, Sugar Free, Packet Yields 2 Quarts, 24 Packets/CTN, 4 CTN/CS, Plus Freight Order Less Than $50 A t t r i b u t e 1 : P i n k - Lemonade-39333754008 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 7/27/2023
6 CASE 53.08 $318.48
7 40573 40573731755 Shredder Oil, 16 Oz. Bottle, 4/CS Plus Freight Contract: 405-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 7/27/2023
18 CASE 52.92 $952.56
8 47541 47541481058 Glove, Nitrile Examination, Powder/ Latex Free, 9"L, Blue. Freight included.
Attribute 1: Medium 47541481553 Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 7/4/2023
540 BOX 13.63 $7,360.20
9 47541 47541481058 Glove, Nitrile Examination, Powder/ Latex Free, 9"L, Blue. Freight included.
Attribute 1: Large 47541481934 Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 7/4/2023
380 BOX 13.63 $5,179.40
10 48613 48613508 Hand Sanitizer, Foaming, Instant, Green Certified, ADX-12 System, 3/
CS
Contract: 486-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 7/17/2023
45 CASE 59.19 $2,663.55
11 48544 48544903 Hand/Shower Wash, ADX-12 System, 3/CS Contract: 485-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 7/17/2023
90 CASE 47.24 $4,251.60
Order Date: 6/27/2023
Internal Tracking No.: HHSTX-3-0000320625
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
12 61562 61562384000 Self Stick Note Pad, 3" x 3", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
12 PKG 13.02 $156.24
13 61573 61573162106 Binder, 1 1/2" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Black-61573162106-2 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 7/17/2023
24 EACH 4.17 $100.08
14 61573 61573163104 Binder, 2" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Royal Blue-61573163104-5 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 7/17/2023
36 EACH 5.35 $192.60
15 61573 61573175108 Binder, 3" Capacity, 3 Ring, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Blue-61573175108-3 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 7/17/2023
12 EACH 6.04 $72.48
16 62086 62086509247 Markers, Dry Erase, Chisel Tip, Assorted Black, Blue, Green, Red, 4 Each/Pkg, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
12 PKG 6.15 $73.80
17 64015 64015160621 Paper Bag, 2 Lb, Bio-Degradable, 4-5/16" X 2-7/16" X 7-7/8", 6000/ Bale, Freight Included Contract: 640-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
3 Bale 203.72 $611.16
Order Date: 6/27/2023
Internal Tracking No.: HHSTX-3-0000320625
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
18 64075 6407558 Toilet Paper, 2 Ply, 4"x4", Contains 20-60% Post Consumer Recycled Content, 506 Sheets/Roll, 80 Rolls/ CS, 1-287 Cases
Contract: 640-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
30 CASE 47.72 $1,431.60
19 48505 48505115011 Bag, Trash Can Liner, LLDPE .750 MIL, 11-20 Gallon - Clear, Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
80 CASE 55.28 $4,422.40
20 83220 83220111 Tape, Transparent, Dispenser, 3/4" x 1296", Core 1", Multi-Purpose Contract: 832-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/11/2023
40 EACH 2.42 $96.80
21 40573 40573731755 ADDED TO ORDER FOR LINE: 7
DESC: Transportation and Freight Charge Delivery Date: 7/27/2023 Notes: Freight
1 EACH 38.68 $38.68
Total $33,534.81
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