25212254-0.pdf

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Attached to
Term TX|640-S1|17419760511|25212254
Contract number
25212254
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 25212254) issued by the Texas Health & Human Services Commission on 7/29/2025, with WorkQuest, Inc. as the primary contractor. The purchase order is for various office and medical supplies, to be delivered to two Texas warehouse locations: one in San Antonio (6711 S. New Braunfels) and another in Kerrville (721 Thompson Dr). The order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Desiree Alvarez listed as the agency purchaser.

The purchase order encompasses nine line items totaling $13,763.57, including Rayovac batteries (Ultra Pro and High Energy), hand/shower wash systems, index tabs, self-stick flags, dry erase markers, nitrile examination gloves (in XL and Small sizes), and natural multifold towels. The items are sourced from multiple manufacturers including Rayovac, WorkQuest, WTLB, and Horizon Industries. Each item is associated with a specific contract (ranging from 475-S1 to 640-S1), has a term contract type, and includes specific delivery dates between 8/5/2025 and 8/18/2025, with delivery times ranging from 7 to 18 days after order release (ARO). The order includes freight for most items and is tax-exempt under Texas Tax Code, Section 151.309(4).

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Purchase Order PO No. 25212254

Order Date: 7/29/2025

Internal Tracking No.: HHSTX-5-0000380901

Contractor Info Bill To Ship To WorkQuest, Inc.

17419760511 1011 East 53 1/2 Street Austin, TX 78751

(512) 451-8145

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Kerrville SH Whse 721 Thompson Dr Kerrville TX 78028

NOTE TO CONTRACTOR: Warehouse Supervisor: Keith Dowdy P: (830) 258-5206 E: patrick.dowdy@hhs.texas.gov

VENDORS, PLEASE SEND INVOICES TO: sahaccounting@dshs.texas.gov

Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday through Friday except for designated State Holidays when the Warehouse is closed. Contact “agency contact” for delivery questions.

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

Desiree Alvarez Desiree.Alvarez@hhs.texas.gov (512) 111-1111

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 45006 45006100100 Rayovac Ultra Pro ALAA-24 24/pack 1.35lbs/pack; 288 batteries /Case.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/12/2025

MPN: ALAA-24

Manufacturer Name: Rayovac

24 PACK 8.70 $208.80

Order Date: 7/29/2025

Internal Tracking No.: HHSTX-5-0000380901

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 45006 45006100102 Rayovac High Energy 824-12k 12/pack .32lbs/pack.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/12/2025

MPN: 824-12K

Manufacturer Name: Rayovac

24 PACK 4.75 $114.00

3 48544 48544903 Hand/Shower Wash, ADX-12 System, 3/CS Contract: 485-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 8/18/2025

90 CASE 47.24 $4,251.60

4 61539 61539120001 Index Tabs, 8 12/"x11", Color Tabs, Numerical 1-5, Laser/Inkjet Print,Freight is added to orders less than $25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/12/2025

MPN: 61539120001

Manufacturer Name: WorkQuest, Inc.

50 SET 3.08 $154.00

5 61593 61593423702 Self Stick Flags, 1" x 1.7", 50 Flags/Dispenser, 2 Disp/100 Flags/Pkg., Plus Freight Less Than $25 Attribute 1: 61593423702-8 “sign here” Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/12/2025

MPN: OFA-1501C

12 PKG 3.70 $44.40

6 62086 62086509239 Markers, Dry Erase, Fine Tip, 4/Set, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/12/2025

36 SET 4.80 $172.80

Order Date: 7/29/2025

Internal Tracking No.: HHSTX-5-0000380901

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

7 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: XL Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 8/5/2025

MPN: 807

Manufacturer Name: WTLB

30 CASE 120.40 $3,612.00

8 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Small Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 8/5/2025

MPN: 807

Manufacturer Name: WTLB

30 CASE 120.40 $3,612.00

9 64085 64085331101 Natural Multifold Towels; Case Qty.;

Freight included Contract: 640-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 8/5/2025

MPN: 64085331101

Manufacturer Name: Hor izon Industries

49 CASE 32.53 $1,593.97

Total $13,763.57

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