26127785-0.pdf

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Attached to
Term TX|615-S1|17419760511|26127785
Contract number
26127785
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26127785) issued by the Texas Health and Human Services Commission (HHSC) on 12/31/2025, with WorkQuest, Inc. of Austin, TX as the contractor. The purchase order is specifically for the San Antonio State Supported Living Center, with Izelda Zarate as the agency contact and Lindsey De La Rosa serving as the HHSC buyer. The order will be shipped to 6711 S. New Braunfels, Suite 500, Building 669 Administration in San Antonio, TX.

The purchase order covers two line items: 2 chair mats from ES Robbins (at $89.74 each, totaling $179.48) and 50 correction tape units (at $2.44 each, totaling $122.00), with a total order value of $301.48. The items are being purchased under Contract 615-S1, which is a term contract. The chair mats will be shipped rolled if 15 or fewer are ordered, with a delivery date of 1/15/2026, while the correction tape has a delivery date of 1/14/2026. The order is tax-exempt under Texas Tax Code, Section 151.309(4), as the property is being secured for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26127785

Order Date: 12/31/2025

Internal Tracking No.: 0000392342

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Izelda Zarate 5900 S Presa St San Antonio, TX 78223

NOTE TO CONTRACTOR: PO#: 0000392342

AGENCY CONTACT/SHIP:

Izelda Zarate 210-531-3700 izelda.zarate01@hhs.texas.gov

DELIVER:

SAN ANTONIO STATE SUPPORTED LIVING CENTER

6711 S NEW BRAUNFELS STE#500

BLDG 669 ADMINISTRATION

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: SAHAccounting@hhs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5-1-22

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

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (512) 294-3627

Purchase Order PO No. 26127785

Order Date: 12/31/2025

Internal Tracking No.: 0000392342

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61523 61523160366 Freight Description:Freight Included. 15 or less chairmats will automatically be shipped rolled and will take minimum of 24 hours to uncurl. 16+ chairmats are shipped flat and come via pallet. Pallet shipments require a loading dock to receive.

Attribute 1: Rolled Contract: 615-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 1/15/2026

MPN: 122374

Manufacturer Name: ES Robbins

2 EACH 89.74 $179.48

2 61529 61529311005 Correction Tape, White, Single Line, Sideways Delivery, Non-Refillable, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 1/14/2026

50 EACH 2.44 $122.00

Total $301.48

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