26027697-0.pdf
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- Attached to
- Term TX|475-S1|17419760511|26027697
- Contract number
- 26027697
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26027697) issued by the Texas Health and Human Services Commission (HHSC) on 11/24/2025, with an internal tracking number HHSTX-6-0000390602. The order is placed with WorkQuest, Inc., located in Austin, TX, and is to be delivered to the HHSC-Mexia SSLC Warehouse in Mexia, TX. The purchase is made under various state term contracts and is tax-exempt under Texas Tax Code.
The purchase order includes nine line items totaling $26,348.82, comprising office and facilities supplies such as leather driver's gloves, nitrile examination gloves (in XL and Small sizes), staples, self-stick note pads, ball point and gel ink pens, and trash can liners. Each item is specified with precise details like quantity, unit of measurement, unit price, and delivery dates ranging from 12/1/2025 to 12/8/2025. The items are sourced from multiple manufacturers including WTLB, 3M, and Skilcraft, and are purchased under term contracts with delivery times of 7-14 days after order (ARO). Freight is included for some items, and the order follows Texas state procurement guidelines.
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Text version
Purchase Order PO No. 26027697
Order Date: 11/24/2025
Internal Tracking No.: HHSTX-6-0000390602
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
HHSC -MEXIA SSLC WHSE
424 Mesquite Dr
MEXIA TX 76667
HHSC -MEXIA SSLC WHSE424 Mesquite Dr, MEXIA, TX 76667
NOTE TO CONTRACTOR: PO#: HHSTX-6-0000390602
AGENCY CONTACT:
Whse Supvr Ricky Salazar ricky.salazar@hhs.texas.gov Ph: 254-562-1372 Reg Mgr Taylor Gain
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
Mexia SSLC Whse 424 Mesquite Dr Mexia, Tx 76667
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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
Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880
Order Date: 11/24/2025
Internal Tracking No.: HHSTX-6-0000390602
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 20140 20140410505 Glove, Drivers, Leather, Elastic Wrist;Freight added to orders less than $50 Attribute 1: Large 20140410703 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025
36 PAIR 7.14 $257.04
2 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: XL Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 12/1/2025
MPN: 807
Manufacturer Name: WTLB
60 CASE 120.40 $7,224.00
3 60588 60585070100 Staples; 5000/Box, 5 Bx/Pkg; Freight Is Added To Orders Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025
30 PACK 7.57 $227.10
4 61562 61562383602 Self Stick Note Pad, 3" x 3", Yellow, Fan fold refill, 100 Sheets/Pad, 12 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025
MPN: 61562383602
Manufacturer Name: 3M
36 PACK 10.79 $388.44
5 61562 61562384000 Self Stick Note Pad, 3" X 3", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025
MPN: 61562384000
Manufacturer Name: Skilcraft
36 PKG 13.02 $468.72
Order Date: 11/24/2025
Internal Tracking No.: HHSTX-6-0000390602
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 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: 12/8/2025
144 DOZ 8.53 $1,228.32
7 62080 62080230105 Pen, Gel Ink, 0.7Mm, Retractable, Rubber Grip, Zebra Sarasa, 4 Pens/Pack, Plus Freight Order Less Than $25 Attribute 1: Black-62080230105 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025
MPN: 46810
80 PACK 6.08 $486.40
8 48505 48505115011 Bag, Trash Can Liner, LLDPE .750 MIL, 11-20 Gallon - Clear, Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025
160 CASE 55.28 $8,844.80
9 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Small Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 12/1/2025
MPN: 807
Manufacturer Name: WTLB
60 CASE 120.40 $7,224.00
Total $26,348.82
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