26209200-0.pdf

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Attached to
Term TX|390-S1|17419760511|26209200
Contract number
26209200
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26209200) issued by the Texas Health and Human Services Commission (HHSC) to WorkQuest, Inc., a contractor located in Austin, Texas. The order was placed on February 6, 2026, with an internal tracking number HHSTX-6-0000394823. The purchase is managed by HHSC Buyer Carlos M Mojica and will be delivered to the Terrell Statehouse Warehouse in Terrell, Texas. The State of Texas claims exemption from sales taxes under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property.

The purchase order encompasses five line items totaling $13,037.14, consisting of general supplies for state use. The items include toilet paper (60 cases at $47.72 per case), Rayovac Ultra Pro 9V batteries (2 cases at $310.89 per case), two varieties of Wyler's sugar-free soft drink mix in pink lemonade and grape flavors (30 and 10 cases respectively at $53.08 per case), and bottled water (1,584 cases at $4.69 per case). All items are sourced from existing state term contracts (640-S1, 615-S1, 393-S1, and 390-S1). Delivery dates range from February 11, 2026, to March 9, 2026, with promised delivery times between 5 and 30 days after order placement. Freight is included in the pricing for most items.

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Text version

Purchase Order PO No. 26209200

Order Date: 2/6/2026

Internal Tracking No.: HHSTX-6-0000394823

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-6-0000394823

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:

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

Order Date: 2/6/2026

Internal Tracking No.: HHSTX-6-0000394823

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64075 6407558 Toilet Paper, 2 Ply, 4"x4", Contains 20-60% Post Consumer Recycled Content, 506 Sheets/Roll, 80 Rolls/CS Attribute 1: Unwrapped Contract: 640-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 2/20/2026

MPN: 6407558

Manufacturer Name: South Texas Lighthouse

60 CASE 47.72 $2,863.20

2 45006 45006100109 Rayovac U l t ra Pro 9V-12 P a c k ; 1 2 p k / C a s e 1 4 4 batteries/Case;Freight Included Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 2/11/2026

MPN: A1604

Manufacturer Name: Rayovac

2 CASE 310.89 $621.78

3 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: 3/9/2026

MPN: BVA-1205B

Manufacturer Name: Wyler's

30 CASE 53.08 $1,592.40

4 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.

Attribute 1: Grape-39333752002 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 3/9/2026

MPN: BVA-1205B

Manufacturer Name: Wyler's

10 CASE 53.08 $530.80

Order Date: 2/6/2026

Internal Tracking No.: HHSTX-6-0000394823

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 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: 2/20/2026

1,584 CASE 4.69 $7,428.96

Total $13,037.14

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