26006974-0.pdf

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Term TX|615-S1|17419760511|26006974
Contract number
26006974
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26006974) issued by the Texas Health and Human Services Commission on 10/16/2025, with the primary contractor being WorkQuest, Inc. from Austin, TX. The purchase order is specifically for the Terrell State Hospital, located in Terrell, TX, and involves multiple state procurement contracts through the Texas Comptroller of Public Accounts' Statewide Procurement Division.

The purchase order covers nine line items of various office and facility supplies, including trash can liners, paper bags, ball point pens, binders, hand sanitizer, and multiple types of Rayovac batteries. The total order value is $10,333.51, with quantities ranging from 16 to 108 units per item. Each line item is associated with a specific state contract (ranging from 485-S1 to 615-S1), has a term contract type, and includes specific delivery dates of 10/17/2025 with varying delivery ARO (After Receipt of Order) periods from 5 to 20 days. Freight is included in most line items, and the order is tax-exempt under Texas Tax Code, Section 151.309(4), as the purchases are for exclusive state use.

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Text version

Purchase Order PO No. 26006974

Order Date: 10/16/2025

Internal Tracking No.: HHSTX-6-0000387977

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Terrell SH Whse1200 E Brin, TERRELL, TX 75160undefined

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000387977

AGENCY CONTACT:

Terrell State Hospital Bryan Harris 972-551-8864 Bryan.Harris@HHS.Texas.Gov

INVOICING:

DSHS.TSHBusinessOffice@dshs.texas.gov

HHSC BUYER:

Joseph Torres, CTCD, CTCM 512-406-2413 Joseph.Torres@HHS.Texas.Gov

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

Joseph Torres joseph.torres@hhs.texas.gov (512) 771-7042

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 48505 48505115024 Bag, Trash Can Liner, HDPE 16 MIC, 40-45 Gallon - Clear, Plus Freight Total Order all Liners less than $500 Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/17/2025

75 CASE 27.17 $2,037.75

Order Date: 10/16/2025

Internal Tracking No.: HHSTX-6-0000387977

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 64015 64015161728 Bags, Paper, Heavy Weight. 12 Lb., 250/Pkg, Freight Included Contract: 640-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 10/17/2025

20 PKG 17.59 $351.80

3 64015 64015160754 Bags, Paper, Heavy Weight. 4 Lb, 500/Pkg, Freight Included Contract: 640-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 10/17/2025

40 PKG 19.52 $780.80

4 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Medium Attribute 2: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/17/2025

108 DOZ 8.53 $921.24

5 61573 61573161108 Binder, 1" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: White-61573161108-1 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/17/2025

60 EACH 3.83 $229.80

6 48613 48613508 Hand Sanitizer, Foaming, Instant, Green Certified, ADX-12 System, 3/CS

Contract: 486-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 10/17/2025

20 CASE 59.19 $1,183.80

7 45006 45006100107 Rayovac Ultra Pro D-12 Pack Freight Included.96 batteries/CS.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 10/17/2025

MPN: ALD-12PPJ

Manufacturer Name: Rayovac

20 CASE 107.48 $2,149.60

Order Date: 10/16/2025

Internal Tracking No.: HHSTX-6-0000387977

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

8 45006 45006100105 Rayovac Ultra Pro C-12 Pack, 8pk/Cs, 96 batteries/Case Freight Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 10/17/2025

MPN: ALC-12PPJ

Manufacturer Name: Rayovac

16 CASE 79.98 $1,279.68

9 45006 45006100101 Rayovac Ultra Pro ALAA-24 24/pack 1 . 3 5 l b s / p a c k ; 2 8 8 batteries/Case.Freight Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 10/17/2025

MPN: ALAA-24

Manufacturer Name: Rayovac

16 CASE 87.44 $1,399.04

Total $10,333.51

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