26212167-0.pdf

PDF 16 KB Posted Feb 27, 2026

Attached to: Term TX|615-S1|17419760511|26212167
Contract number: 26212167
Issued by: Texas

About this file

Written by GovTribe AI · Mar 2, 2026

Purchase Order Summary

This is a Purchase Order (PO No. 26212167) issued by the Department of State Health Services, State of Texas, to WorkQuest, Inc., a contractor located in Austin, Texas. The order was placed on February 27, 2026, with the Texas Comptroller of Public Accounts – Statewide Procurement Division overseeing the procurement. The purchase was authorized under Contract 615-S1, a term contract. The ordering contact is Debra Burns at the Department of State Health Services, and the receiving contact is Roberto Gomez at 1111 W. North Loop Boulevard, Austin, Texas.

The purchase order covers Rayovac Ultra Pro D-12 battery packs, with two line items totaling $150.92. Line 1 specifies 3 packs at $14.48 per pack ($43.44 extended) with a 14-day delivery window and expected delivery by March 13, 2026. Line 2 specifies 1 case containing 96 batteries at $107.48 with freight included and a 5-day delivery window with expected delivery by March 4, 2026. Both items reference manufacturer part number ALD-12PPJ. The State of Texas claims exemption from federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4). The contractor is required to include the PO number and contact information on the packing list and send invoices to invoices@dshs.texas.gov.

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Purchase Order PO No. 26212167

Order Date: 2/27/2026

Internal Tracking No.: 0000396271

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

ATTN Gomez,Roberto 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000396271 AND ATTN CONTACT INFO *** SHIP TO ATTN Gomez,Roberto 512-776-7397 roberto.gomez3@dshs.texas.gov 1111 W. North Loop Blvd., Austin, TX 78756 **SEND INVOICE TO invoices@dshs.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

Dept Of State Health Services -

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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 45006 45006100106 Rayovac Ultra Pro D-12 PackPlus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/13/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Gomez,Roberto 5 1 2 - 7 7 6 - 7 3 9 7 roberto.gomez3@dshs.texas.gov 1111 W. North Loop Blvd., Austin, TX 78756

MPN: ALD-12PPJ

Manufacturer Name: Rayovac

3 PACK 14.48 $43.44