26028400-1.pdf
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- Attached to
- Term TX|425-S1|17419760511|26028400
- Contract number
- 26028400
- Issued by
- Texas
About this file
This Purchase Order Change Notice (PO No. 26028400) is issued by the Texas Department of Insurance, Division of Workers Compensation, for procurement through the Texas Comptroller of Public Accounts Statewide Procurement Division. The vendor is WorkQuest, Inc., located in Austin, Texas. The purchase order was originally dated December 2, 2025, and was revised on January 30, 2026. The billing address is directed to Accounting AO-9999 in Austin, with delivery specified to the Division of Workers Compensation field office in Laredo, Texas.
The purchase order covers eight Sled Based Side Chairs in Smoke color manufactured by Office Master under Contract 425-S1 (Term Contract), with a unit price of $231.36 per chair, totaling $1,850.88. The change notice modified pricing for transportation and freight charges from $160.58 to $166.86 and removed a $50 inside delivery installation fee. Line items now include: Transportation and Freight Charge of $166.86, an Inside Delivery Charge of $0.00, and an Installation OR Removal Charge of $0.00. The revised purchase order total is $2,017.74. Delivery is scheduled for January 1, 2026, with a 30-day arrival window. The State of Texas is exempt from federal excise taxes and sales taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order Change Notice PO No. 26028400
Order Date: 12/2/2025
Internal Tracking No.: 45400 26-0410
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
DIVISION OF WORKERS COMP
500 E MANN RD, SUITE B2
LAREDO, TX 78041-2630
NOTE TO CONTRACTOR:
1/30/2026-POCN 1 - ADD $6.28 SHIPPING FEE & REMOVED INSTALLATION FEE - SEE ATTACHED QUOTEDELIVERY TO
LAREDO FIELD OFFICE AT:500 E MANN ROAD, SUITE B2LAREDO TX 78041-2630
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):1/30/2026 4:43 pm-Contractor note changed SEE ATTACHED QUOTE
DELIVERY TO LAREDO FIELD OFFICE AT:
500 E MANN ROAD, SUITE B2
LAREDO TX 78041-2630 to: POCN 1 - ADD $6.28 SHIPPING FEE & REMOVED INSTALLATION FEE - SEE ATTACHED QUOTEDELIVERY TO LAREDO FIELD OFFICE AT:500 E MANN ROAD, SUITE B2LAREDO TX 78041-2630
1 / 3 0 / 2 0 2 6 4 : 4 3 p m - C h a n g e t o L i n e 3 : R a t e h a s c h a n g e d f r o m :
[{"internalid":"385138","id":"385138","priceLevel":"1","minimumQty":"0","maximumQty":"","price":50}] to:
[{"internalid":"385138","priceLevel":"1","minimumQty":"0","maximumQty":"","price":0}]
1/30/2026 4:44 pm-Added new line # to: 4
1/30/2026 4:44 pm-Change to Line 2: Rate has changed from: 160.58 to: 166.86
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
Texas Department Of Insurance -
Nikki Smith nikki.smith@tdi.texas.gov (512) 111-1111
Purchase Order Change Notice PO No. 26028400
Order Date: 12/2/2025
Internal Tracking No.: 45400 26-0410
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 42507 42507121000 Sled Based Side Chair, OM Guest.
Freight is added to orders less than 500lbs.
Attribute 1: Smoke Contract: 425-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: Thu Jan 01 2026
00:00:00 GMT-0800 (PST)
Notes: DELIVERY TO LAREDO FIELD
OFFICE AT:
500 E MANN ROAD, SUITE B2
LAREDO TX 78041-2630
Manufacturer Name: Office Master
8 EACH 231.36 $1,850.88
2 42507 42507121000 Transportation and Freight Charge Notes: SHIPPING CHARGE
1 EACH 166.86 $166.86
3 42507 42507121000 Inside Delivery Charge Notes: INSIDE DELIVERY FEE
1 EACH 0.00 $0.00
4 42507 42507121000 Installation OR Removal Charge Attribute 1: Smoke Delivery Date: Thu Jan 01 2026
00:00:00 GMT-0800 (PST)
Notes: DELIVERY TO LAREDO FIELD
OFFICE AT:
500 E MANN ROAD, SUITE B2
LAREDO TX 78041-2630
1 EACH 0.00 $0.00
Total $2,017.74
File details come from the government source that posted it. Updated .