26214963-0.pdf

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Attached to
Term TX|475-S1|17419760511|26214963
Contract number
26214963
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26214963) issued by the State of Texas Health and Human Services Commission (HHSC) to WorkQuest, Inc., dated March 16, 2026. The order was placed by Leslie Alexander of HHSC's Statewide Procurement Division and will be shipped to HHSC's location at 1111 W North Loop, Austin, TX 78756, with contact designated to Kayla Sierra.

The purchase comprises three line items for Ansell Nitrile Black Examination Gloves (MPN: MK-296) containing 100 gloves per box with freight included. The order specifies three different sizes: Large (2 boxes), Medium (2 boxes), and Extra Large (2 boxes), for a total of 6 boxes. The unit price is $24.68 per box, resulting in an extended price of $49.36 per line item and a total order value of $148.08. All items are sourced under Contract 475-S1, a term contract with a 15-day delivery window and an expected delivery date of March 31, 2026. The State of Texas exemption from sales and excise taxes applies to this procurement.

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Text version

Purchase Order PO No. 26214963

Order Date: 3/16/2026

Internal Tracking No.: HHSTX-6-0000397376

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

1111 W NORTH LOOP

Austin, TX 78756

NOTE TO CONTRACTOR: ATTN.: Kayla Sierra Phone: 512-952-1894 Email: Kayla.Sierra@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

Leslie Alexander leslie.alexander4@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 47541 47541571001 Nitrile Black Examination Gloves;

100 Gloves/Box; Freight Included Attribute 1: L Contract: 475-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 3/31/2026

MPN: MK-296

Manufacturer Name: Ansell

2 BOX 24.68 $49.36

2 47541 47541571001 Nitrile Black Examination Gloves;

100 Gloves/Box; Freight Included Attribute 1: M Contract: 475-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 3/31/2026

MPN: MK-296

Manufacturer Name: Ansell

2 BOX 24.68 $49.36

Purchase Order PO No. 26214963

Order Date: 3/16/2026

Internal Tracking No.: HHSTX-6-0000397376

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 47541 47541571001 Nitrile Black Examination Gloves;

100 Gloves/Box; Freight Included Attribute 1: XL Contract: 475-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 3/31/2026

MPN: MK-296

Manufacturer Name: Ansell

2 BOX 24.68 $49.36

Total $148.08

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