26003121-1.pdf

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Attached to
Term TX|425-S1|17419760511|26003121
Contract number
26003121
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26003121) issued by the Texas Health and Human Services Commission on 9/24/2025, involving WorkQuest, Inc. as the contractor. The document is associated with the Texas Comptroller of Public Accounts' Statewide Procurement Division and involves a specific agency contact (Stephanie Tijerina) and buyer (Oluwaseyi Omisore).

The purchase order is for one ergonomic task chair manufactured by BodyBilt, specifically a Sola LT model in Sapphire Blue, with high back and arms and lumbar support. The chair is priced at $512.28, with delivery scheduled for October 9, 2025, and a 15-day delivery after receipt (ARO) timeframe. The order is made under Contract 425-S1, and the purchase is tax-exempt under Texas Tax Code Section 151.309(4), as the property is being secured for exclusive use by the State of Texas.

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Text version

Purchase Order Change Notice PO No. 26003121

Order Date: 9/24/2025

Internal Tracking No.: 0000386030

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

StephanieTijerina

(512) 438-4714 11307 Roszell San Antonio TX 78217

NOTE TO CONTRACTOR:

CAPPS FIN PO#:0000386030AGENCY CONTACT:Stephanie Tijerina512-438-4714Stephanie.Tijerina01@hhs.texas.govAP Email: HHSC_AP@hhsc.state.tx.usHHSC SHIP TO ATTN: Carmin Santos Carmin.Santos@hhs.texas.gov BUYER:Oluwaseyi Omisore, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice per 34 TAC §20.487, amended effective May 1, 2022

9 / 2 4 / 2 0 2 5 - C A P P S F I N P O # : 0 0 0 0 3 8 6 0 3 0 A G E N C Y C O N TA C T : S t e p h a n i e Tijerina512-438-4714Stephanie.Tijerina01@hhs.texas.govAP Email: HHSC_AP@hhsc.state.tx.usHHSC SHIP TO ATTN:

Carmin Santos Carmin.Santos@hhs.texas.gov BUYER:Oluwaseyi Omisore, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice per 34 TAC §20.487, amended effective May 1, 2022

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):9/24/2025 12:45 pm-Contractor note changed

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

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Purchase Order Change Notice PO No. 26003121

Order Date: 9/24/2025

Internal Tracking No.: 0000386030

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 42560 42560171009 Chair, Task, Ergonomic Light Weight, Mesh, Sola LT by BodyBilt, Adj. High Back and Arms, Lumbar Support, 21.5" H x 20.5" W, Freight Included Attribute 1: Sapphire Blue Contract: 425-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: Thu Oct 09 2025

00:00:00 GMT-0700 (PDT)

1 EACH 512.28 $512.28

Total $512.28

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