26006746-0.pdf

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Term TX|055-S1|17419760511|26006746
Contract number
26006746
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26006746) issued by the Texas Department of State Health Services (DSHS), with WorkQuest, Inc. as the contractor. The purchase order is dated 10/15/2025 and involves a transaction between the State of Texas and WorkQuest, Inc., located in Austin, TX. The primary contact for this purchase order is Gem Naivar, and the order is associated with Contract 055-S1 and HHS Requisition 316111.

The purchase order is for one anti-fatigue mat manufactured by Pandel, specifically a 5/8" 2' X 3' Super Cushion mat, with freight included. The unit price is $68.25, resulting in a total order value of $68.25. The delivery is set for 30 days after receipt of order (ARO), with a specific delivery date of 10/16/2025. The purchase is made under a term contract, and the State of Texas claims exemption from federal excise taxes and has a state and city sales tax exemption certificate under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26006746

Order Date: 10/15/2025

Internal Tracking No.: 0000387877

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

1111 W North Loop Austin TX 78756

Gem Naivar1111 W North Loop, Austin, TX 78756undefined

NOTE TO CONTRACTOR: CONTACT: GEM NAIVAR

737-218-7071

GEM.NAIVAR@DSHS.TEXAS.GOV

CONTRACT: 055-S1

HHS REQ: 316111

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

Dept Of State Health Services -

Sharonda Holton Sharonda.holton@hhs.texas.gov (512) 406-2464

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 05561 05561451158 Mat, Anti-Fatigue, 5/8" 2' X 3', Super Cushion, Freight Is Included Contract: 055-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 10/16/2025 Manufacturer Name: Pandel

1 EACH 68.25 $68.25

Total $68.25

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