26027926-0.pdf

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Attached to
Term TX|615-S1|17419760511|26027926
Contract number
26027926
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26027926) issued by the Texas Department of Insurance on 11/25/2025, with WorkQuest, Inc. as the contractor. The purchase order is administered through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Cameron Durden listed as the agency purchaser.

The purchase order covers two line items of office supplies: 100 packs of 3M self-stick note pads (4" x 6", yellow, lined) at $12.60 per pack, totaling $1,260.00, and 1,200 Bazic legal pads (white, 8-1/2" x 11-3/4") at $2.01 each, totaling $2,412.00. The total purchase order value is $3,672.00. The contract is a term contract (Contract 615-S1) with a 14-day delivery after receipt (ARO) and a specific delivery date of 12/9/2025. Deliveries are restricted to 1:00pm to 4:00pm Monday through Friday on the East side of the building near the corner of 17th Street & Brazos Street. The order includes a disclaimer of federal excise tax exemption and a state sales tax exemption under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26027926

Order Date: 11/25/2025

Internal Tracking No.: 45400 26-0386

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Accounting AO-9999

P.O. BOX 12030

AUSTIN TX 78711-2030

Texas Department of Insurance1601 Congress Ave, Austin, TX 78701

NOTE TO CONTRACTOR: Deliveries can be made from 1:00pm to 4:00pm Monday through Friday on the East side of the building near the corner of 17th Street & Brazos Street.

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

Texas Department Of Insurance -

Cameron Durden Cameron.Durden@tdi.texas.gov (512) 676-6151

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61562 61562385602 Self Stick Note Pad, 4" X 6", Yellow, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/9/2025 Notes: Deliveries can be made from 1:00pm to 4:00pm Monday through Friday on the East side of the building near the corner of 17th Street & Brazos Street.

MPN: MMM6605SSCY

Manufacturer Name: 3M

100 PACK 12.60 $1,260.00

Purchase Order PO No. 26027926

Order Date: 11/25/2025

Internal Tracking No.: 45400 26-0386

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 61562500001 Legal Pad, White, 8-1/2" X 11-3/4".

Order in multiples of 12. Freight is added to orders less than $25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/9/2025 Notes: Deliveries can be made from 1:00pm to 4:00pm Monday through Friday on the East side of the building near the corner of 17th Street & Brazos Street.

MPN: 598

Manufacturer Name: Bazic

1,200 EACH 2.01 $2,412.00

Total $3,672.00

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