26003047-0.pdf

PDF 15 KB Posted Sep 23, 2025

Attached to: Term TX|310-S1|17419760511|26003047
Contract number: 26003047
Issued by: Texas

About this file

Written by GovTribe AI · Sep 24, 2025

This is a Purchase Order (PO No. 26003047) issued by the Texas Health & Human Services Commission on 9/23/2025, with WorkQuest, Inc. of Austin, TX as the contractor. The order is for two delivery locations: Brenham SSLC and Richmond SSLC Warehouse, both in Texas. The purchase is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Debra Burns as the agency purchaser.

The purchase order includes two line items: 9 each of Duct Tape (at $6.58 per unit, totaling $59.22) and 12 boxes of White Woven #10 Diagonal Seam Envelopes (at $26.57 per box, totaling $318.84), with a total order value of $378.06. Both items are under term contracts (832-S1 and 310-S1 respectively), with a 14-day delivery after receipt (ARO) and a specified delivery date of 10/7/2025. The order includes specific shipping instructions, requiring a packing list that shows the PO number and contact information, and is to be delivered to Diana Dockal, with Ana Kruse as the contract manager.

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Purchase Order PO No. 26003047

Order Date: 9/23/2025

Internal Tracking No.: 0000385985

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

ATTN: DIANA DOCKAL

(281) 344-4277 Richmond SSLC Whse 2100 Preston Richmond TX 77469

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000385985 AND ATTN CONTACT INFO *** SHIP TO ATTN Dockal,Diana K 281-344-4277 diana.dockal@hhs.texas.gov

CONTRACT MANAGER ANA KRUSE 281-344-4648 ANA.KRUSE@HHS.TEXAS.GOV

WAREHOUSE BLDG/FLOOR/CUBICLE: ADMINISTRATION BLDG, 501/RM 108

***EMAIL INVOICE TO 712ACCOUNTING@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

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

Purchase Order PO No. 26003047

Order Date: 9/23/2025

Internal Tracking No.: 0000385985

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 83224 83224023990 Duct Tape, Freight Included Contract: 832-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/7/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Dockal,Diana K 2 8 1 - 3 4 4 - 4 2 7 7 diana.dockal@hhs.texas.gov

CONTRACT MANAGER ANA KRUSE

2 8 1 - 3 4 4 - 4 6 4 8

ANA.KRUSE@HHS.TEXAS.GOV

WAREHOUSE BLDG/FLOOR/

CUBICLE: ADMINISTRATION BLDG,

501/RM 108

DELIVERY CONTACT: DIANA

DOCKAL

9 EACH 6.58 $59.22

2 31024 31024960001 White Woven #10 Diagonal Seam, gummed, Regular Envelopes. 500 Envelopes/Box. Freight included.

Contract: 310-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/7/2025 Notes: ***PACKING LIST REQUIRED