26028583-0.pdf

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Attached to
Term TX|475-S1|17419760511|26028583
Contract number
26028583
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26028583) issued by the Texas Health and Human Services Commission (HHSC) on 12/3/2025, with an internal tracking number HHSTX-6-0000391051. The document involves WorkQuest, Inc., a contractor based in Austin, TX, with delivery to be made to two Texas state facilities: the Brenham SSLC (State Supported Living Center) and the Austin SH Warehouse, both located in Texas. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division.

The purchase order is for 90 cases of small-sized nitrile examination gloves, which are powder/latex free and blue in color. Each case contains 10 boxes of 100 gloves, with a unit price of $120.40 per case, totaling $10,836.00. The order is made under Contract 475-S1, which is a term contract, with a specified delivery date of 12/10/2025 and a 7-day after receipt of order (ARO) delivery timeframe. The manufacturer of the gloves is listed as WTLB, with an MPN (Manufacturer Part Number) of 807. The state of Texas is exempt from federal excise taxes, and the purchase is made under a sales tax exemption certificate.

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Text version

Purchase Order PO No. 26028583

Order Date: 12/3/2025

Internal Tracking No.: HHSTX-6-0000391051

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

Austin SH Whse 4301 N Lamar Blvd

AUSTIN, TX 78756-3709

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000391051

AGENCY CONTACT:

Whse Supvr Anthony Martinez Ph - 512-419-2942 anthony.martinez2@hhs.texas.gov Reg Mgr Kris Viles

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

Austin SH Whse 4301 N Lamar Austin, Tx 78756

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

Purchase Order PO No. 26028583

Order Date: 12/3/2025

Internal Tracking No.: HHSTX-6-0000391051

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 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: 12/10/2025

MPN: 807

Manufacturer Name: WTLB

90 CASE 120.40 $10,836.00

Total $10,836.00

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