26212142-0.pdf

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Attached to
Term TX|615-S1|17419760511|26212142
Contract number
26212142
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order issued by the State of Texas Health and Human Services Commission (HHSC) to WorkQuest, Inc., a supplier based in Austin, Texas. The order was placed on February 27, 2026, with PO Number 26212142 and internal tracking number 0000396253. The purchasing agency is the HHSC – Statewide Procurement Division, with Debra Burns serving as the purchaser. The order is being fulfilled under Contract 615-S1, a term contract with WorkQuest, Inc.

The purchase order includes two line items totaling $545.67 without applicable sales tax due to the State of Texas tax exemption. Line Item 1 specifies 3 packs of wall pockets (hanging, 3-piece, letter size, manufactured by Skilcraft, MPN OFA-2400B/OFA-2401B) at $16.87 per pack for a total of $50.61, with a 7-day delivery window and scheduled delivery by March 6, 2026. Line Item 2 specifies 6 chairmats with 1-year warranty (ES Robbins model 132103) at $82.51 each for a total of $495.06, with a 15-day delivery window and scheduled delivery by March 16, 2026. Both items are to be shipped to the Department of State Health Services facility in Wichita Falls, Texas, with delivery directed to Building 506 Charlie Henderson. Freight is included in all pricing. Invoices must be submitted via email to HHSCTSHACCOUNTING@hhs.texas.gov with the PO number and contact information clearly referenced.

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Text version

Purchase Order PO No. 26212142

Order Date: 2/27/2026

Internal Tracking No.: 0000396253

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

Items to be shipped to multiple addresses. See shipping details below for each line item.

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000396253 AND ATTN CONTACT INFO *** SHIP TO ATTN Brothers,Mary Catherine 940-689-5536 mary.brothers@hhs.texas.gov Contract Manager Sarah Matney 940-552-4385 sarah.matney@hhs.texas.gov ** SEND INVOICES VIA EMAIL TO ** HHSCTSHACCOUNTING@hhs.texas.gov

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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564 mailto:Debra.Burns@hhs.texas.gov

Order Date: 2/27/2026

Internal Tracking No.: 0000396253

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61543 61543131102 Wall Pocket, Hanging, 3 Piece, Letter Size, Freight Included Attribute 1: Clear Contract: 615-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 3/6/2026 Ship to Address:

ATTN Brothers,Mary Catherine

DEPARTMENT OF STATE HEALTH

SERVICES

6515 Kemp Blvd Wichita Falls, TX 76308

REQ 0000327799

Notes: CLEAR

**PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Brothers,Mary C a t h e r i n e 9 4 0 - 6 8 9 - 5 5 3 6 mary.brothers@hhs.texas.gov Contract Manager Sarah Matney 9 4 0 - 5 5 2 - 4 3 8 5 sarah.matney@hhs.texas.gov 6515 Kemp Blvd Wichita Falls TX 76308 Warehouse: Please deliver to Bldg.

506 Charlie Henderson

MPN: OFA-2400B,OFA-2401B

Manufacturer Name: Skilcraft

3 PACK 16.87 $50.61

Order Date: 2/27/2026

Internal Tracking No.: 0000396253

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61523 61523150805 1 Year Warranty. F re ight 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.

Attribute 1: Rolled Contract: 615-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 3/16/2026 Ship to Address:

ATTN Brothers,Mary Catherine

DEPARTMENT OF STATE HEALTH

SERVICES

6515 Kemp Blvd Wichita Falls, TX 76308

NO LIP REQ 0000327793

Notes: NO LIP

**PACKING LIST REQUIRED TO

SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Brothers,Mary C a t h e r i n e 9 4 0 - 6 8 9 - 5 5 3 6 mary.brothers@hhs.texas.gov Contract Manager Sarah Matney 9 4 0 - 5 5 2 - 4 3 8 5 sarah.matney@hhs.texas.gov 6515 Kemp Blvd Wichita Falls TX 76308 Warehouse: Please deliver to Bldg.

506 Charlie Henderson

MPN: 132103

Manufacturer Name: ES Robbins

6 EACH 82.51 $495.06

Total $545.67

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