26004252-0.pdf

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Attached to
Term TX|486-S1|17419760511|26004252
Contract number
26004252
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26004252) issued by the Texas Health and Human Services Commission (HHSC) on 9/30/2025, with an internal tracking number HHSTX-6-0000386585. The contractor is WorkQuest, Inc., located in Austin, TX, and the primary agency contact is Amanda Rodriguez. The purchase order is being processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Carlos M. Mojica serving as the HHSC buyer.

The purchase order covers two line items: 4 packs of Skilcraft wall pockets (3-piece, letter size, clear) at $16.87 per pack, totaling $67.48, and 1 case of Purell Green Seal Certified hand sanitizer (12 oz pump bottles) at $66.44. Both items are procured under term contracts (615-S1 and 486-S1 respectively) with specific delivery dates in October 2025. The items will be shipped to 3501 N 19th St in Waco, TX, with freight included in the pricing. The total purchase order value is $133.92, and the state claims tax exemption under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26004252

Order Date: 9/30/2025

Internal Tracking No.: HHSTX-6-0000386585

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

424 Mesquite Dr Mexia SSLC Mexia TX 76667

Items to be shipped to multiple addresses. See shipping details below for each line item.

NOTE TO CONTRACTOR: PO#: HHSTX-5-0000377300

AGENCY CONTACT:

Amanda Rodriguez amanda.rodriguez@hhs.texas.gov

(254) 296-5923

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

3501 N 19th St Waco TX 76708

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880 mailto:carlos.mojica01@hhs.texas.gov

Purchase Order PO No. 26004252

Order Date: 9/30/2025

Internal Tracking No.: HHSTX-6-0000386585

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61543 61543131102 Wall Pocket, Hanging, 3 Piece, Letter Size, Freight Included Attribute 1: Clear Contract: 615-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/7/2025 Ship to Address:

3501 N 19th St Waco TX 76708

MPN: OFA-2400B,OFA-2401B

Manufacturer Name: Skilcraft

4 PACK 16.87 $67.48

2 48613 48613502 Hand Sanitizer, Instant, Purell, Green Seal Certified, 12 Oz. Pump Bottle, 12/CS, Freight included.

Contract: 486-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 10/20/2025 Ship to Address:

3501 N19th st Waco TX 76708

1 CASE 66.44 $66.44

Total $133.92

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