26026068-1.pdf
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- Attached to
- Term TX|800-S1|17419760511|26026068
- Contract number
- 26026068
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice issued by the Texas Health and Human Services Commission (HHSC), with Purchase Order Number 26026068, dated 11/13/2025. The primary contractor is WorkQuest, Inc., located in Austin, TX. The document reflects a modification to an existing contract, with the purchase being processed through the State of Texas Statewide Procurement Division.
The purchase order is for six pairs of Wolverine Overpass Safety Boots in various sizes (12M, 9.5M, 10M, 8M, 10.5M, and 13M), with each pair priced at $177.63, totaling $1,243.41. The boots are summer brown in color, with freight included, and are being procured under Contract 800-S1, which is a term contract. The delivery is set for November 18, 2025, with a 5-day after receipt (ARO) timeline. All items are to be shipped to the HHSC at 9011 Tuscany Way, Suite 400 in Austin, Texas, with specific instructions that each packing list must show the PO number and contact information for Brett Lavadia, the program contact.
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Text version
Purchase Order Change Notice PO No. 26026068
Order Date: 11/13/2025
Internal Tracking No.: 0000389846
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Attn Accounts payable 4616-1 West Howard Lane Austin TX 78728
Items to be shipped to multiple addresses. See shipping details below for each line item.
NOTE TO CONTRACTOR:
11/17 LINE 6 SIZE REV TO 13M ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000389846 AND ATTN CONTACT INFO ***Ship to Attn:
BRETT LAVADIA 512-832-7622 brett.lavadia@hhs.texas.gov9011 TUSCANY WAY, STE 400 AUSTIN, TEXAS 78754PROGRAM MANAGER - DENNIS AMON - dennis.amon@hhs.texas.gov (512) 915-6252DOCK 12EMAIL INVOICES TO: HHSCReg07_AP_Purchases@hhs.texas.gov FOR FASTER
PROCESSING
11/17/2025-11/17 LINE 6 SIZE REV TO 13M ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000389846 AND ATTN CONTACT INFO ***Ship to Attn: BRETT LAVADIA 512-832-7622 brett.lavadia@hhs.texas.gov9011 TUSCANY WAY, STE 400 AUSTIN, TEXAS 78754PROGRAM MANAGER - DENNIS AMON - dennis.amon@hhs.texas.gov (512) 915-6252DOCK 12EMAIL INVOICES TO: HHSCReg07_AP_Purchases@hhs.texas.gov FOR
FASTER PROCESSING
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):11/17/2025 10:23 am-Contractor note changed ***PACKING LIST REQUIRED TO SHOW PO
NUMBER 0000389846 AND ATTN CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 512-832-7622 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400 AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS AMON - dennis.amon@hhs.texas.gov (512) 915-6252
DOCK 12
EMAIL INVOICES TO: HHSCReg07_AP_Purchases@hhs.texas.gov FOR FASTER PROCESSING to: 11/17 LINE 6 SIZE REV TO 13M ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000389846 AND ATTN CONTACT INFO ***Ship to Attn: BRETT LAVADIA 512-832-7622 brett.lavadia@hhs.texas.gov9011 TUSCANY WAY, STE 400 AUSTIN, TEXAS 78754PROGRAM MANAGER
- DENNIS AMON - dennis.amon@hhs.texas.gov (512) 915-6252DOCK 12EMAIL INVOICES TO:
HHSCReg07_AP_Purchases@hhs.texas.gov FOR FASTER PROCESSING
11/17/2025 10:23 am-Change to Line 6: Line note has changed from: ***PACKING LIST REQUIRED TO SHOW PO NUMBER AND
ATTN CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 512-832-7622 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400 AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS AMON - dennis.amon@hhs.texas.gov (512) 915-6252
DOCK 12
SHIP TO MC-0028 to: 11/17/2025 revised size 13M
***PACKING LIST REQUIRED TO SHOW PO NUMBER AND ATTN CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 512-832-7622 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400 AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS AMON - dennis.amon@hhs.texas.gov (512) 915-6252
DOCK 12
Order Date: 11/13/2025
Internal Tracking No.: 0000389846
SHIP TO MC-0028
11/17/2025 10:23 am-Change to Line 6: Option 1 has changed from: 13EW to: 13M
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
Health & Human Services Commission - 529
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 80072 80072100330 Safety Boot, Wolverine Overpass - Summer Brown, Freight Included Attribute 1: 12M Contract: 800-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Tue Nov 18 2025
00:00:00 GMT-0800 (PST)
Ship to Address:
ATTN BRETT LAVADIAHEALTH &
H U M A N S E R V I C E S
COMMISSION9011 TUSCANY WAY,
STE 400, austin, TX 78754DOCK 12 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400
AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS
AMON - dennis.amon@hhs.texas.gov
(512) 915-6252
DOCK 12
SHIP TO MC-0028
MPN: W10788
Manufacturer Name: Wolverine
1 PR 177.63 $177.63
mailto:Debra.Burns@hhs.texas.gov
Order Date: 11/13/2025
Internal Tracking No.: 0000389846
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
2 80072 80072100330 Safety Boot, Wolverine Overpass - Summer Brown, Freight Included Attribute 1: 9.5M Contract: 800-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Tue Nov 18 2025
00:00:00 GMT-0800 (PST)
Ship to Address:
BRETT LAVADIAHEALTH & HUMAN
SERVICES COMMISSION9011
Tuscany Way Ste 400, AUSTIN, TX
78754DOCK 12
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400
AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS
AMON - dennis.amon@hhs.texas.gov
(512) 915-6252
DOCK 12
SHIP TO MC-0028
MPN: W10788
Manufacturer Name: Wolverine
Order Date: 11/13/2025
Internal Tracking No.: 0000389846
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
3 80072 80072100330 Safety Boot, Wolverine Overpass - Summer Brown, Freight Included Attribute 1: 10M Contract: 800-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Tue Nov 18 2025
00:00:00 GMT-0800 (PST)
Ship to Address:
Attn: BRETT LAVADIAHEALTH & H U M A N S E R V I C E S
COMMISSION9011 TUSCANY WAY,
STE 400, AUSTIN, TX 78754DOCK 12
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400
AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS
AMON - dennis.amon@hhs.texas.gov
(512) 915-6252
DOCK 12
SHIP TO MC-0028
MPN: W10788
Order Date: 11/13/2025
Internal Tracking No.: 0000389846
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
4 80072 80072100330 Safety Boot, Wolverine Overpass - Summer Brown, Freight Included Attribute 1: 8M Contract: 800-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Tue Nov 18 2025
00:00:00 GMT-0800 (PST)
Ship to Address:
Attn: BRETT LAVADIAHEALTH & H U M A N S E R V I C E S
COMMISSION9011 TUSCANY WAY,
STE 400, AUSTIN, TX 78754
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400
AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS
AMON - dennis.amon@hhs.texas.gov
(512) 915-6252
DOCK 12
SHIP TO MC-0028
MPN: W10788
Order Date: 11/13/2025
Internal Tracking No.: 0000389846
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
5 80072 80072100330 Safety Boot, Wolverine Overpass - Summer Brown, Freight Included Attribute 1: 10.5M Contract: 800-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Tue Nov 18 2025
00:00:00 GMT-0800 (PST)
Ship to Address:
Attn: BRETT LAVADIAHEALTH & H U M A N S E R V I C E S
COMMISSION9011 TUSCANY WAY,
STE 400, AUSTIN, TX 78754DOCK 12
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400
AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS
AMON - dennis.amon@hhs.texas.gov
(512) 915-6252
DOCK 12
SHIP TO MC-0028
MPN: W10788
2 PR 177.63 $355.26
Order Date: 11/13/2025
Internal Tracking No.: 0000389846
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
6 80072 80072100330 Safety Boot, Wolverine Overpass - Summer Brown, Freight Included Attribute 1: 13M Contract: 800-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Tue Nov 18 2025
00:00:00 GMT-0800 (PST)
Ship to Address:
Attn BRETT LAVADIAHEALTH & H U M A N S E R V I C E S COMMISSION9011 Tuscany Way Ste 400, Austin, TX 78754DOCK 12 Notes: 11/17/2025 revised size 13M
***PACKING LIST REQUIRED TO
SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: BRETT LAVADIA 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
9011 TUSCANY WAY, STE 400
AUSTIN, TEXAS 78754
PROGRAM MANAGER - DENNIS
AMON - dennis.amon@hhs.texas.gov
(512) 915-6252
DOCK 12
SHIP TO MC-0028
MPN: W10788
Manufacturer Name: Wolverine
Total $1,243.41
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