26213205-0.pdf

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Attached to
Term TX|615-S1|17419760511|26213205
Contract number
26213205
Issued by
Texas

About this file

Purchase Order Summary

This is a purchase order issued by the State of Texas, Department of State Health Services (DSHS) to WorkQuest, Inc., a contractor located in Austin, Texas. The order was placed on March 9, 2026, under purchase order number 26213205 and internal tracking number 0000396580. The purchasing agent is Marissa Olvera of the DSHS Statewide Procurement Division, with Laura Benson serving as the agency contact for delivery and coordination purposes.

The purchase order covers one rectangle-shaped chairmat manufactured by ES Robbins (MPN 122351) under contract 615-S1, a term contract. The unit price is $89.05 for one chairmat, with a total order value of $89.05. Freight is included for orders of 15 or fewer chairmats, which will be automatically shipped rolled and require a minimum of 24 hours to uncurl; orders of 16 or more chairmats are shipped flat via pallet and require a loading dock with additional freight charges. The scheduled delivery date is March 24, 2026, with an acknowledged receipt and order (ARO) window of 15 days. The State of Texas tax exemption certificate applies to this purchase, exempting the order from state and city sales taxes as the property is being secured for exclusive use by a state agency.

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Text version

Purchase Order PO No. 26213205

Order Date: 3/9/2026

Internal Tracking No.: 0000396580

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

Laura Benson 1100 W 49th Street Suite G203.01 Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000396580

AGENCY CONTACT:

Laura Benson Laura.Benson@dshs.texas.gov 512-776-7520

Ship To: ATTN: Laura Benson 1100 W. 49th Street Suite G203.01 Austin, Texas 78756

HHSC BUYER:

Marissa Olvera CTCD, CTCM marissa.olvera1@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 -

Marissa Olvera marissa.olvera1@hhs.texas.gov (512) 776-3309

Purchase Order PO No. 26213205

Order Date: 3/9/2026

Internal Tracking No.: 0000396580

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61523 61523160341 Rectangle shape; Freight Included on 15 or less chairmats;They 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 and additional Freight Attribute 1: Rolled Contract: 615-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 3/24/2026

MPN: 122351

Manufacturer Name: ES Robbins

1 EACH 89.05 $89.05

Total $89.05

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