26004102-0.pdf

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Attached to
Term TX|620-S1|17419760511|26004102
Contract number
26004102
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26004102) issued by the Texas Health & Human Services Commission (HHSC) on 9/29/2025, with WorkQuest, Inc. from Austin, TX as the contractor. The purchase order is being processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Shawn Giggey as the agency purchaser and Xiomara Romero as the agency contact.

The purchase order covers four line items of office supplies, including 30 file pockets (3 1/2" expansion), 15 boxes of large vinyl, latex-free disposable gloves, 20 boxes of Avery address labels, and 30 packages of dry erase markers. The total order value is $1,077.90, with individual item prices ranging from $1.61 to $33.42. Each item is sourced under a term contract with specified delivery dates in October 2025, and all items include freight. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is intended for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26004102

Order Date: 9/29/2025

Internal Tracking No.: 0000386499

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

350 Pine Street Flr 9 Beaumont TX 77701

S. 4th Street Beaumont TX 77701

NOTE TO CONTRACTOR: PO#: 0000386471

AGENCY CONTACT:

Xiomara Romero 490-730-4007 Xiomara.Romero@hhs.texas.gov

HHSC BUYER:

Shawn Giggey Shawn.giggey@hhs.texas.gov

VENDOR:

Workquest jdeleon@workquest.com

AP Email: Reg05_Admin_Services@hhsc.state.tx.us

DELIVERY: Mon – Fri 0800-1130 and 1-430 except weekends and holidays Invoice per 34 TAC §20.487, amended effective 5-1-22

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

Shawn Giggey Shawn.Giggey@hhs.texas.gov (512) 406-2565

Purchase Order PO No. 26004102

Order Date: 9/29/2025

Internal Tracking No.: 0000386499

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61541 61541221950 File Pocket, 3 1/2" Expansion, Freight included Contract: 615-S1 Contract Type: Term Delivery ARO (days): 21 Delivery Date: 10/20/2025

30 EACH 1.61 $48.30

2 20142 20142871134 Glove, Vinyl, Latex Free, Disposable, Non-Sterile 100 gloves per Box Attribute 1: Large 20142871134-2 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

15 BOX 11.76 $176.40

3 20772 20772502652 Labels, Address, Avery 5162, 1-1/3" X 4" White, 14 Labels/Sheet, 100 Sheet/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

MPN: 5162

Manufacturer Name: Avery

20 BOX 33.42 $668.40

4 62086 62086509304 Marker, Dry Erase, Retractable, Chisel Tip, 4 Each/Pkg, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/13/2025

30 PKG 6.16 $184.80

Total $1,077.90

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