26006663-1.pdf

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Term TX|475-S1|17419760511|26006663
Contract number
26006663
Issued by
Texas

About this file

This Purchase Order Change Notice (PO No. 26006663) is issued by the Texas Department of State Health Services (DSHS) for a contract with WorkQuest, Inc., a vendor located in Austin, TX. The document involves Santino Campos as the agency purchaser and Shantique Rojas as the agency contact, with invoicing to be processed through invoices@dshs.texas.gov.

The purchase order is for 40 boxes of Sterile Alcohol Prep Pads (200 pads per box) at a unit price of $2.59 per box, totaling $103.60. The order is made under Contract 475-S1, with a term contract and a delivery after receipt (ARO) period of 7 days. The shipping delivery date was revised from October 16, 2025, to October 22, 2025. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and is for the exclusive use of the State of Texas.

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Text version

Purchase Order Change Notice PO No. 26006663

Order Date: 10/15/2025

Internal Tracking No.: 0000387841

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

1100 West 49th Street

MC: 3063

Austin TX 78756

622 S Oakes StSte H, San Angelo, TX 76903undefined

NOTE TO CONTRACTOR:

PO# 0000387841

AGENCY CONTACT:

Shantique Rojas shantique.rojas@dshs.texas.gov

VENDOR:

smartbuy@workquest.com

(512)451-8145

AP Email: invoices@dshs.texas.gov

DELIVERY: Add any delivery notes from the Requisition, if applicable.

Invoice per 34 TAC §20.487, amended effective 5-1-22

10/15/2025-PO# 0000387841

AGENCY CONTACT:

Shantique Rojas shantique.rojas@dshs.texas.gov

VENDOR:

smartbuy@workquest.com

(512)451-8145

AP Email: invoices@dshs.texas.gov

DELIVERY: Add any delivery notes from the Requisition, if applicable.

Invoice per 34 TAC §20.487, amended effective 5-1-22

10/20/2025-PO# 0000387841

AGENCY CONTACT:

Shantique Rojas shantique.rojas@dshs.texas.gov

VENDOR:

smartbuy@workquest.com

(512)451-8145

Purchase Order Change Notice PO No. 26006663

Order Date: 10/15/2025

Internal Tracking No.: 0000387841

AP Email: invoices@dshs.texas.gov

DELIVERY: Add any delivery notes from the Requisition, if applicable.

Invoice per 34 TAC §20.487, amended effective 5-1-22

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 9:20 am-Shipping delivery date has changed from: Thu Oct 16 2025 00:00:00 GMT-0700 (PDT) to: Wed Oct 22 2025 00:00:00 GMT-0700 (PDT)

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

Dept Of State Health Services -

Santino Campos Santino.Campos@hhs.texas.gov (210) 986-4475

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 47565 47565154003 Alcohol Prep Pads;Sterile;200 Ea/Box;Freight Included Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: Wed Oct 22 2025

00:00:00 GMT-0700 (PDT)

40 BOX 2.59 $103.60

Total $103.60

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