26212190-0.pdf

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Attached to
Term TX|080-S1|17419760511|26212190
Contract number
26212190
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26212190) issued by the State of Texas Department of State Health Services (DSHS) to WorkQuest, Inc., dated February 27, 2026. The order was placed by HHS Purchaser Lindsey De La Rosa and will be shipped to the TX DSHS PHR 3 Office located at 1301 S. Bowen Road, Suite 200, Arlington, Texas 76013. The contractor, WorkQuest, Inc., is based in Austin, Texas, with billing directed to 1100 West 49th Street, Austin, TX 78756.

The purchase order covers 12 units of 8.5" x 11" award plaques with document clear covers made from recycled material in walnut grain finish (Manufacturer Part Number 08065571104, manufactured by TAB). The unit price is $12.14 per plaque, with an extended price totaling $145.68. The order references Contract 080-S1, a term contract with a 14-day delivery window, and the scheduled delivery date is March 13, 2026. The State of Texas is exempt from federal excise taxes and sales taxes on this purchase as a political subdivision. Invoices should be submitted to invoices@dshs.texas.gov per 34 TAC §20.487.

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Text version

Purchase Order PO No. 26212190

Order Date: 2/27/2026

Internal Tracking No.: 0000396277

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

1100 West 49th Street

MC: 3063

Austin TX 78756

Ellen Ellis

DSHS-1301 S BOWEN RD STE 200

ARLINGTON, TX 76013

NOTE TO CONTRACTOR: PO#: 0000396277

AGENCY CONTACT:

Ellen Ellis

(817) 264-4686 ellen.ellis@dshs.texas.gov

SHIPPING:

TX DSHS PHR 3 Office Chase Bank Building 2nd Floor 1301 S. Bowen Road, Suite 200, Arlington, TX 76013

HHS PURCHASER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: invoices@dshs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5-1-22

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 -

Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627

Purchase Order PO No. 26212190

Order Date: 2/27/2026

Internal Tracking No.: 0000396277

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08065 08065571104 Award, Plaque, 8 .5" x 11" Document, Clear Cover, Recycled Material, Qty: 12-119 A t t r i b u t e 1 : W a l n u t Grain-08065571104-1 Contract: 080-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/13/2026

MPN: 08065571104

Manufacturer Name: TAB

12 EACH 12.14 $145.68

Total $145.68

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