26158464-0.pdf

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Term TX|405-S1|17419760511|26158464
Contract number
26158464
Issued by
Texas

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Purchase Order Summary

This is a Purchase Order (PO No. 26158464) issued by the State of Texas Health and Human Services Commission (HHSC) to WorkQuest, Inc., a vendor located in Austin, Texas. The order was placed on January 21, 2026, and is directed to the Rio Grande State Hospital Warehouse in Harlingen, Texas for delivery. The purchasing agent is Carlos M Mojica, and the warehouse supervisor responsible for receiving is Mario Gonzales. The order references multiple term contracts across different commodity codes and is subject to Texas tax exemptions for state purchases.

The purchase order comprises eight line items totaling $11,681.26 and includes office and facility maintenance supplies: trash can liners (56 cases at $3,095.68), toothbrushes (6 cases at $248.58), desk pad calendars (70 units at $594.30), appointment planners (80 units at $1,260.80), metered hand sanitizer (30 cases at $1,775.70), foaming air freshener (20 cases at $902.40), nitrile examination gloves (25 cases at $3,010.00), and shredder oil (15 cases at $793.80). Delivery dates range from January 28 through February 20, 2026, with individual delivery windows specified for each line item. Freight is included on most items, and all goods are contracted under term agreements with the State of Texas procurement system.

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Text version

Purchase Order PO No. 26158464

Order Date: 1/21/2026

Internal Tracking No.: HHSTX-6-0000393564

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

Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen, TX 78552

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000393564

AGENCY CONTACT:

Whse Supvr Mario Gonzales Ph - 956-364-8321 mario.gonzales@hhs.texas.gov Reg Mgr Kris Viles

HHSC BUYER:

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

DELIVERY:

Rio Grande SH Whse 1401 S Rangerville Rd Harlingen, Tx 78552

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

Order Date: 1/21/2026

Internal Tracking No.: HHSTX-6-0000393564

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 48505 48505115011 Bag, Trash Can Liner, LLDPE .750 MIL, 11-20 Gallon - Clear, Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 2/4/2026

56 CASE 55.28 $3,095.68

2 65284 65284211250 Toothbrush, Adult, 4 Row, 6" Length, Assorted Colors, 12 Doz/CS, Plus Freight Order Less Than $50 Attribute 1: Medium-47567227377 Contract: 652-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 2/10/2026

6 CASE 41.43 $248.58

3 61519 61519130779 Calendar, Desk Pad, 22 X 17, 12 Months,Freight included Attribute 1: 2026 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 2/4/2026

MPN: HOD124

Manufacturer Name: House of Doolittle

70 EACH 8.49 $594.30

4 61515 61515074505 Appointment Planner, Monthly, Black, Wire Bound, 8-7/8 X 11-1/4, Black, 100% Post-Consumer Recycled, Freight included Attribute 1: 2026 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 2/4/2026

MPN: HOD27202

Manufacturer Name: House of Doolittle

80 EACH 15.76 $1,260.80

5 48532 48532110001 Air Freshener, Metered, Health Gards, 7 Oz. Aerosol Can Attribute 1: Fruit Basket 48532110002 Contract: 485-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 2/2/2026

20 CASE 45.12 $902.40

Order Date: 1/21/2026

Internal Tracking No.: HHSTX-6-0000393564

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 48613 48613508 Hand Sanitizer, Foaming, Instant, Green Certified, ADX-12 System, 3/CS

Contract: 486-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 2/9/2026

30 CASE 59.19 $1,775.70

7 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: 1/28/2026

MPN: 807

Manufacturer Name: WTLB

25 CASE 120.40 $3,010.00

8 40573 40573731755 Shredder Oil, 16 Oz. Bottle, 4/CS Plus Freight Contract: 405-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 2/20/2026

15 CASE 52.92 $793.80

Total $11,681.26

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