26006746-1.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 Change Notice (PO No. 26006746) issued by the Texas Department of State Health Services (DSHS), specifically involving WorkQuest, Inc. as the contractor. The purchase order is associated with Contract 055-S1 and was originally dated 10/15/2025, with a subsequent revision on 10/20/2025. The primary contact for this order is Gem Naivar from DSHS, with contact information provided.

The purchase order is for one anti-fatigue mat, specifically a 5/8" x 2' x 3' Super Cushion mat manufactured by Pandel, with freight included. The unit price is $68.25, totaling $68.25 for the single item. The contract is a term contract with a delivery after receipt (ARO) period of 30 days, and the revised delivery date is set for November 14, 2025. The order is tax-exempt under Texas Tax Code, Section 151.309(4), as the property is being secured for the exclusive use of the State of Texas.

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Text version

Purchase Order Change Notice 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

10/15/2025-CONTACT: GEM NAIVAR

737-218-7071

GEM.NAIVAR@DSHS.TEXAS.GOV

CONTRACT: 055-S1

HHS REQ: 316111

10/20/2025-CONTACT: GEM NAIVAR

737-218-7071

GEM.NAIVAR@DSHS.TEXAS.GOV

CONTRACT: 055-S1

HHS REQ: 316111

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 9:27 am-Shipping delivery date has changed from: Thu Oct 16 2025 00:00:00 GMT-0700 (PDT) to: Fri Nov 14 2025 00:00:00 GMT-0800 (PST)

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

Purchase Order Change Notice PO No. 26006746

Order Date: 10/15/2025

Internal Tracking No.: 0000387877

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 Amount

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: Fri Nov 14 2025

00:00:00 GMT-0800 (PST)

Manufacturer Name: Pandel

1 EACH 68.25 $68.25

Total $68.25

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