26211995-2.pdf
PDF 19 KB Posted
- Attached to
- TX|800-S1|26211995
- Contract number
- 26211995
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice (PO No. 26211995) issued by the Texas Health and Human Services Commission (HHSC), a state agency, to WorkQuest, Inc., a contractor based in Austin, Texas. The change notice represents Revision #2 to the original purchase order dated February 26, 2026. The document was processed through the Texas Smartbuy system and involves billing to HHSC's Tyler, Texas location. Key agency contacts include Darin Adams (Agency Contact) and Nicole Smith (HHSC Buyer), with administrative services handled through the regional AP email.
The purchase order modification concerns the return and restocking of safety boots that were ordered in an incorrect size. Line 1, originally for one pair of Justin Stampede Rush Waterproof Nano Composite Toe Round Toe Boots (Size 9.5D) at $185.00, has been reduced from a quantity of 1 to 0, resulting in $0.00 extended amount. Line 2 adds a restocking fee of $18.50 (representing a 10% restocking charge) for one unit, as WorkQuest and the supplier were not found to be at fault for the sizing error. The total revised purchase order amount is $18.50. The document indicates that the buyer must process an additional Purchase Order Change Notice to cancel this PO and submit a new purchase order for the correct boot size.
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Text version
Purchase Order Change Notice PO No. 26211995
Order Date: 2/26/2026
Internal Tracking No.: 0000396147
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
302 E RIECK RD-MC3135
INVOICE-HHSC
TYLER TX 75703
HHSC -3303 MINEOLA HWY
TYLER, TX 75702
NOTE TO CONTRACTOR:
AGENCY CONTACT:
DARIN ADAMS
903-533-4258 darin.adams@hhs.texas.gov
HHSC BUYER:
Nicole Smith, CTCD, CTCM
Nicole.Smith1@hhs.texas.gov
AP Email: reg04_admin_services@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22
2/26/2026-PO#: 0000396147
AGENCY CONTACT:
DARIN ADAMS
903-533-4258 darin.adams@hhs.texas.gov
HHSC BUYER:
Nicole Smith, CTCD, CTCM
Nicole.Smith1@hhs.texas.gov
AP Email: reg04_admin_services@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22
3/23/2026-PO#: 0000396147
AGENCY CONTACT:
DARIN ADAMS
903-533-4258 darin.adams@hhs.texas.gov
HHSC BUYER:
Nicole Smith, CTCD, CTCM
Order Date: 2/26/2026
Internal Tracking No.: 0000396147
Nicole.Smith1@hhs.texas.gov
AP Email: reg04_admin_services@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22
REVISION HISTORY:
PO Revision #: 2 PO Change Reasons (Aggregated):3/23/2026 3:39 pm-Change to Line 1: Line note has changed from: to: Good morning, Jeff, If we will not be reordering through WorkQuest do I only need to cancel the TSB PO# 26211995 and add the restocking fee?
Just need to know before we send the boots through FedEX.
Thank you!
Kindest Regards, Nicole Smith, CTCD, CTCM
RE: PO 26211995/PINV0299394 - INCORRECT SIZE BOOT ORDERED - RETURN REQUEST
Hello Nicole, Yes, that will be fine.
Thank you, Jeff De Leon
Customer Service Representative
512-451-8145 x1110
3/23/2026 3:40 pm-Added new line # to: 2
3/24/2026 3:54 pm-Change to Line 1: Quantity has changed from: 1 to: 0
3/24/2026 3:54 pm-Change to Line 2: Quantity has changed from: 0 to: 1
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/CO-OP Member Purchaser Email Phone
Health & Human Services Commission - 529
Nicole Smith Nicole.Smith1@hhs.texas.gov (888) 479-7602
Order Date: 2/26/2026
Internal Tracking No.: 0000396147
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 80072 80072100334 Safety Boots: Stampede Rush Waterproof Nano Composite Toe Round Toe Boots;Freight Is Included Attribute 1: 9.5D Contract: 800-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Tue Mar 03 2026
00:00:00 GMT-0800 (PST)
Notes: Good morning, Jeff, If we will not be reordering through WorkQuest do I only need to cancel the TSB PO# 26211995 and add the restocking fee?
Just need to know before we send the boots through FedEX.
Thank you!
Kindest Regards, Nicole Smith, CTCD, CTCM
RE: PO 26211995/PINV0299394 -
INCORRECT SIZE BOOT ORDERED
- RETURN REQUEST
Hello Nicole, Yes, that will be fine.
Thank you, Jeff De Leon Customer Service Representative 512-451-8145 x1110
MPN: SE4334
Manufacturer Name: Justin
0 PR 185.00 $0.00
Order Date: 2/26/2026
Internal Tracking No.: 0000396147
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
2 80072 PDI-Restocking Fee
Restocking Fee Attribute 1: 9.5D Delivery Date: Tue Mar 03 2026
00:00:00 GMT-0800 (PST)
No tes : RE: PO 26211995 /
PINV0299394 - INCORRECT SIZE
BOOT ORDERED - RETURN
REQUEST
Hello Nicole, You will also need to process a POCN through the Tx. Smartbuy system to cancel PO 26211995.
Then you will have to process a New PO for the correct size boots.
Unfortunately, since WorkQuest nor our supplier were not in error for this issue, there will be a 10% restocking fee.
You processed the order through Smar tbuy and this is what we received.
Jeff De Leon Customer Service Representative 512-451-8145 x1110
1 EACH 18.50 $18.50
Total $18.50
File details come from the government source that posted it. Updated .