25213080-0.pdf

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Attached to
Term TX|420-S1|17419760511|25213080
Contract number
25213080
Issued by
Texas

About this file

This is Purchase Order No. 25213080 dated August 6, 2025, issued by the State of Texas Health & Human Services Commission (Agency 529) through the Texas Comptroller of Public Accounts – Statewide Procurement Division to WorkQuest, Inc., located at 1011 East 53 1/2 Street, Austin, TX 78751. The purchase order is being managed by purchaser Debra Burns and will be shipped to the North Texas State Hospital at 6515 Kemp Blvd, Wichita Falls, TX 76308, with Deidre Roper as the designated contact for receipt and coordination.

The contract covers the procurement of 13 folding tables (Item 4202474500) described as "Table, Folding, Designer, 18"x 60", 30"H, Aluminum Top, Matte Black Accents, Plus Freight" with Cloud Nebular Grey finish under Contract 420-S1. The unit price is $386.07 per table for a total contract value of $5,018.91. The order specifies availability of 11 salt and pepper colored tops, 1 walnut top, and 1 silver top. Delivery is scheduled within 90 days (ARO) with an expected delivery date of November 4, 2025. The purchase order includes specific shipping requirements mandating a packing list showing the PO number and contact information, with invoices to be submitted electronically to DSHS.TSHBusinessOffice@dshs.texas.gov.

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Text version

Purchase Order PO No. 25213080

Order Date: 8/6/2025

Internal Tracking No.: 0000381749

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

ATTN Deidre Roper

(940) 552-4101 NTSH-Wichita Falls Whse 6515 Kemp Blvd

WICHITA FALLS TX 76308

qty 11 salt and pepper, qty 1 walnut, qty 1 silver Tops

***PACKING LIST REQUIRED TO SHOW PO

NUMBER AND ATTN CONTACT INFO ***

SHIP TO ATTN Deidre Roper 940-552-4101 deidre.roper@hhs.texas.gov

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000381749 AND ATTN CONTACT INFO *** SHIP TO ATTN Deidre Roper 940-552-4101 deidre.roper@hhs.texas.gov SHIP TO INFORMATION: 4547 Mark Duncan Maintenance Department ***SEND INVOICES VIA EMAIL To: DSHS.TSHBusinessOffice@dshs.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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Purchase Order PO No. 25213080

Order Date: 8/6/2025

Internal Tracking No.: 0000381749

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 42024 42024740500 Table, Folding, Designer, 18"x 60", 30"H, Aluminum Top, Matte Black Accents, Plus Freight At t r ibu te 1 : C loud Nebular Grey-42024740500-2 Contract: 420-S1 Contract Type: Term Delivery ARO (days): 90 Delivery Date: 11/4/2025 Notes: AVAIL QTY 11 SALT PEPPER

QTY 1 WALNUT QTY 1 SILVER TOPS

***PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Deidre Roper 9 4 0 - 5 5 2 - 4 1 0 1 deidre.roper@hhs.texas.gov Contract Manager Stephany Va n b o l d e n 9 7 2 - 5 5 1 - 8 5 6 3 stephany.vanbolden@hhs.texas.gov

SHIP TO INFORMATION: 4547

Mark Duncan Main tenance Department North Texas State Hospital 6515 Kemp Blvd. Wichita Falls Texas 76308

13 EACH 386.07 $5,018.91

Total $5,018.91

File details come from the government source that posted it. Updated .