26003932-0.pdf

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Term TX|640-S1|17419760511|26003932
Contract number
26003932
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Texas

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This is a Purchase Order (PO No. 26003932) issued by the Texas Health and Human Services Commission (HHSC) on 9/29/2025, with an internal tracking number of HHSTX-6-0000386374. The primary contractor is WorkQuest, Inc., located in Austin, Texas, with the order being processed for the San Antonio State Hospital. The purchase order is managed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Joseph Torres serving as the agency purchaser.

The purchase order comprises 40 line items of various office and institutional supplies, including sport brassieres in multiple sizes, address labels, soft drink mixes, batteries, nitrile gloves, hand sanitizer, cleaning supplies, writing implements, markers, highlighters, paper products, and other miscellaneous office materials. The total contract value is $148,373.33, with individual item quantities ranging from 9 to 260 units and unit prices between $1.76 and $216.74. All items are procured under term contracts with specific delivery dates between 10/6/2025 and 11/13/2025, and most include freight. The order is tax-exempt under Texas Tax Code, Section 151.309(4), as the materials are being secured for exclusive use by the State of Texas.

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Purchase Order PO No. 26003932

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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

5900 S Presa Street San Antonio SH Whse San Antonio TX 78223

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000386374

AGENCY CONTACT:

San Antonio State Hospital Charles Garrison, WHSE Supvr.

210-831-7309 Charles.Garrison@hhs.texas.gov

INVOICING:

SAHAccounting@dshs.texas.gov

HHSC BUYER:

Joseph Torres, CTCD, CTCM 512-406-2413 Joseph.Torres@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

Joseph Torres joseph.torres@hhs.texas.gov (512) 771-7042

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20186 20186280507 Brassiere, Sport, Pullover, No Hooks At t r i bu te 1 : SM 32 A -B -C 20186280507 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 45 Delivery Date: 11/13/2025

9 DOZ 32.29 $290.61

2 20186 20186280507 Brassiere, Sport, Pullover, No Hooks Attr ibute 1: Large 36 A- B-C 20186281505 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 45 Delivery Date: 11/13/2025

12 DOZ 32.29 $387.48

3 20186 20186282008 Brassiere, Sport, Pullover, No Hooks Attr ibute 1: 2XL 40-42 B-C-D 20186282503 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 45 Delivery Date: 11/13/2025

13 DOZ 37.81 $491.53

4 20772 20772502009 Labels, Address, Avery 5161, 1" X 4" White, 20 Labels/Sheet, 100 Sheets/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 5161

Manufacturer Name: Avery

43 BOX 32.67 $1,404.81

5 20772 20772502033 Labels, Address, Avery 5160, 1" X 2-5/8", White, 30 Labels/Sheet, 100 Sheet/Box, Freight is included.

Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 5160

Manufacturer Name: Avery

21 BOX 32.56 $683.76

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 39333 39333750501 Soft Drink Mix, Sugar Free, Packet Yields 2 Quarts, 24 Packets/CTN, 4 CTN/CS, Freight is added to orders less than 10 cases.

Attribute 1: Grape-39333752002 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 10/29/2025

MPN: BVA-1205B

Manufacturer Name: Wyler's

20 CASE 53.08 $1,061.60

7 39333 39333750501 Soft Drink Mix, Sugar Free, Packet Yields 2 Quarts, 24 Packets/CTN, 4 CTN/CS, Freight is added to orders less than 10 cases.

Attribute 1: Punch-39333754206 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 10/29/2025

MPN: BVA-1205B

Manufacturer Name: Wyler's

26 CASE 53.08 $1,380.08

8 45006 45006100104 Rayovac Ultra Pro C-12 Pack, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: ALC-12PPJ

Manufacturer Name: Rayovac

32 PACK 10.48 $335.36

9 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: 10/6/2025

MPN: 807

Manufacturer Name: WTLB

120 CASE 120.40 $14,448.00

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

10 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Medium Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/6/2025

MPN: 807

Manufacturer Name: WTLB

240 CASE 120.40 $28,896.00

11 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Large Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/6/2025

MPN: 807

Manufacturer Name: WTLB

240 CASE 120.40 $28,896.00

12 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: 10/6/2025

MPN: 807

Manufacturer Name: WTLB

60 CASE 120.40 $7,224.00

13 48513 48513500503 Hand Sanitizer, Instant, Gel, 4 Oz.

Flip Cap, 24/CS Contract: 485-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 10/17/2025

52 CASE 65.31 $3,396.12

14 48516 48516301009 Cleaner, Glass, Spray Disinfecting, Spic and Span, Gallon Jug, 2 Jugs/Case, Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 10/9/2025

34 CASE 112.57 $3,827.38

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

15 48532 48532110001 Air Freshener, Metered, Health Gards, 7 Oz. Aerosol Can, 12 Cans/CS, Plus Freight Order Less Than $500

Attribute 1: Citrus Grove 48532110006 Contract: 485-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 10/9/2025

20 CASE 45.12 $902.40

16 48544 48544903 Hand/Shower Wash, ADX-12 System, 3/CS Contract: 485-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 10/17/2025

90 CASE 47.24 $4,251.60

17 50535 50535390001 Laundry Detergent, Tide Sc Profressional, 18.9 L/5 Gallon Pail. , Freight Included Contract: 505-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 10/14/2025

170 EACH 216.74 $36,845.80

18 50547 50547303003 Dryer Sheets, Bounce Outdoor Fresh, 150 Sheets /Box, 6 Boxes/Case, Freight Included Contract: 505-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 10/14/2025

58 CASE 60.64 $3,517.12

19 60569 60569453081 Scissor, Bent, 8" Length, Plus Freight Order Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

25 EACH 4.83 $120.75

20 60588 60585070100 Staples; 5000/Box, 5 Bx/Pkg; Freight Is Added To Orders Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

24 PACK 7.57 $181.68

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

21 60588 60588400200 Stapler, Desktop; Freight Is Added To Orders Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: OFA-3000

Manufacturer Name: Bazic

40 EACH 7.64 $305.60

22 61573 61573163104 Binder, 2" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: White-61573163104-1 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/20/2025

46 EACH 5.35 $246.10

23 61511 61511062400 Index Tabs, Monthly (Jan-Dec), Multi-Color Tabs, 8 1/2" x 11", White Heavy Weight Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 61511062400

Manufacturer Name: WorkQuest, Inc.

55 PKG 2.30 $126.50

24 61529 61529301006 Correction Tape,Standard Tip, White, Single Line, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 61529301006

Manufacturer Name: SkillcraftSkillcraft

100 EACH 1.77 $177.00

25 61539 61539120003 Index Tabs, 8 12/"x11", White, Numerical 25-50, Laser/Inkjet Print,Freight is added to orders less than $25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 61539120003

Manufacturer Name: WorkQuest, Inc.

20 SET 3.04 $60.80

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

26 61543 61543141001 Manila File Folder 24/pack;Freight is added to orders less than$25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 17526

Manufacturer Name: BSN

50 PACK 6.10 $305.00

27 78573 78573755714 Steno Notebook, Gregg Ruled 6 X 9;Freight Is Added To Orders Less Than $25 Contract: 785-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 00577

Manufacturer Name: Bazic

75 EACH 1.76 $132.00

28 61562 61562383602 Self Stick Note Pad, 3" x 3", Yellow, Fan fold refill, 100 Sheets/Pad, 12 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 61562383602

Manufacturer Name: 3M

48 PACK 10.79 $517.92

29 61569 61569154292 Clips, Paper Standard #1, steel,1000/Box, Freight is included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025 Manufacturer Name: Skilcraft

25 BOX 5.05 $126.25

30 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: 10/13/2025

MPN: OFA-1501C

16 PKG 3.70 $59.20

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

31 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Medium Attribute 2: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

260 DOZ 8.53 $2,217.80

32 62080 62080031008 Pen, Ballpoint, Stick with Cap, Recycled, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Black-62080036007 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

72 DOZ 2.00 $144.00

33 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: 10/13/2025

36 PKG 6.15 $221.40

34 62090 62090161027 Marker, Permanent, Chisel Tip, 12 Each, Plus Freight Order Less Than $25 Attribute 1: Black-62090161027 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

24 DOZ 5.21 $125.04

35 62090 62090241852 Marker, Permanent, Jumbo, Round Bullit Tip, Plus Freight Order Less Than $25 Attribute 1: Black-62090241852 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

24 DOZ 8.30 $199.20

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386374

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

36 62090 62090241852 Marker, Permanent, Jumbo, Round Bullit Tip, Plus Freight Order Less Than $25 Attribute 1: Blue-62090241860 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

24 DOZ 8.30 $199.20

37 62090 62090680208 Highlighter, Blister Pack, 4: Yellow, Pink, Orange, Green, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

100 Pack 4.80 $480.00

38 62090 62090771056 Marker, Permanent, Chisel Tip, Retractable, 4 Each/Pkg, Black, Blue, Green, Red, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

24 PKG 4.80 $115.20

39 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: 10/13/2025

11 Bale 198.44 $2,182.84

40 64085 64085421002 Wipe, DRC Material, 9.75" x 16.5", 100/Dispenser Box, 6 Box/CS Contract: 640-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/6/2025

20 CASE 94.51 $1,890.20

Total $148,373.33

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