26025969-0.pdf

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Attached to
Term TX|280-S1|17419760511|26025969
Contract number
26025969
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26025969) issued by the Texas Department of State Health Services (DSHS) on 11/13/2025, with WorkQuest, Inc. serving as the contractor. The purchase order involves the Statewide Procurement Division of the Texas Comptroller of Public Accounts, with Gem Theresa Naivar as the agency contact and Desiree Fowler as the agency purchaser.

The purchase order comprises two line items: first, a chair mat from ES Robbins with a 3-year warranty, priced at $150.65, to be delivered by 11/28/2025 under Contract 615-S1; and second, 20 bags of 8-inch UV black cable ties priced at $120.40, to be delivered by 11/24/2025 under Contract 280-S1. The total purchase order value is $271.05, with freight included and specific delivery specifications. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and follows the invoicing guidelines of 34 TAC §20.487.

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Text version

Purchase Order PO No. 26025969

Order Date: 11/13/2025

Internal Tracking No.: 0000389773

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

1100 W 49th St PO Box 149347 Austin TX 78756

Gem Theresa Naivar1111 W North Loop, Austin, TX 78756

NOTE TO CONTRACTOR: PO#: CAPPS FIN PO# 0000389773

AGENCY CONTACT:

Gem Theresa Naivar 737-218-7071 gem.naivar@dshs.texas.gov

AP Email: invoices@dshs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5.1.22

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 -

Desiree Fowler desiree.fowler@hhs.texas.gov (512) 909-4500

Purchase Order PO No. 26025969

Order Date: 11/13/2025

Internal Tracking No.: 0000389773

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61523 61523160127 3 Year Warranty. F re ight Description:Freight Included. 15 or less chairmats will automatically be shipped rolled and will take minimum of 24 hours to uncurl. 16+ chairmats are shipped flat and come via pallet. Pallet shipments require a loading dock.

Attribute 1: Rolled Contract: 615-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 11/28/2025

MPN: 122751

Manufacturer Name: ES Robbins

1 EACH 150.65 $150.65

2 28075 28075858176 Cable Ties, UV, Black 8", 100/Pkg, Plus Freight Order Less Than $75 Contract: 280-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 11/24/2025

20 BAG 6.02 $120.40

Total $271.05

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