26028621-0.pdf
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- Attached to
- Term TX|390-S1|17419760511|26028621
- Contract number
- 26028621
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26028621) issued by the Texas Health and Human Services Commission (HHSC) on December 3, 2025, with an internal tracking number HHSTX-6-0000391061. The contractor is WorkQuest, Inc., located in Austin, Texas, and the delivery destination is the Terrell SH Warehouse in Terrell, TX. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Carlos M. Mojica listed as the agency purchaser.
The purchase order comprises four line items with a total value of $11,152.55, including sugar-free soft drink mix (18 cases), nitrile examination gloves (20 cases), hand sanitizer (7 cases), and bottled water (1,584 cases). Each item is sourced from a specific term contract with predetermined pricing, delivery dates ranging from December 10, 2025, to March 3, 2026, and varying delivery timeframes (7-90 days after receipt of order). The order includes specific manufacturer details, such as Wyler's for the drink mix and WTLB for gloves, and notes freight considerations for some items. The state claims tax exemption under Texas Tax Code, Section 151.309(4), as the purchase is for exclusive state use.
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Text version
Purchase Order PO No. 26028621
Order Date: 12/3/2025
Internal Tracking No.: HHSTX-6-0000391061
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Terrell SH Whse 1200 E Brin
TERRELL TX 75160
Terrell SH Whse 1200 E Brin
TERRELL, TX 75160
NOTE TO CONTRACTOR: PO#: HHSTX-6-0000391061
AGENCY CONTACT:
Whse Supvr Bryan Harris Ph - 972-551-8864 bryan.harris@hhs.texas.gov Reg Mgr Taylor Gain
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
Terrell SH Whse 1200 E Brin St.
PO Box 70 Terrell, Tx 75160
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. 26028621
Order Date: 12/3/2025
Internal Tracking No.: HHSTX-6-0000391061
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 39333 39333750501 Soft Drink Mix, Sugar Free, Packet Yields 2 Quarts, 24 Packets/CTN, 4 CTN/CS, Freight is added to orders less than 10 cases.
A t t r i b u t e 1 : P i n k - Lemonade-39333754008 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 1/2/2026
MPN: BVA-1205B
Manufacturer Name: Wyler's
18 CASE 53.08 $955.44
2 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Medium Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 12/10/2025
MPN: 807
Manufacturer Name: WTLB
20 CASE 120.40 $2,408.00
3 48513 48513500206 Hand Sanitizer, Instant, 2 Oz. bottle, 24/CS, Plus Freight Order Less than $100 Contract: 485-S1 Contract Type: Term Delivery ARO (days): 90 Delivery Date: 3/3/2026
7 CASE 51.45 $360.15
4 39091 39091350001 Water, Bottled, 16.9 Oz, 24 Bottle/CS, Freight Included - Additional Charge For Inside Delivery Upon Request.
Contract: 390-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/17/2025
1,584 CASE 4.69 $7,428.96
Total $11,152.55
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