26216575-2.pdf

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Attached to
TX|615-S1|26216575
Contract number
26216575
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26216575) issued by the Health and Human Services Commission (HHSC) in Austin, Texas to WorkQuest, Inc., a vendor located at 1011 East 53 1/2 Street, Austin, TX 78751. The purchase order is dated March 23, 2026, with an internal tracking number 0000398107. The order was processed through the CAPPS financial system and involves two revisions, primarily addressing corrections to the CAPPS Financial PO number and internal tracking number. The agency contact is Tracy Rodriguez, and the HHSC buyer is Oluwaseyi Omisore. The goods are being shipped to Lisa Vallejo at 5425 Polk Street, Suite 420, Houston, TX 77023.

The purchase order encompasses three line items totaling $290.83, all sourced under Contract 615-S1, a term contract with Rayovac as the manufacturer. Line 1 includes one case of Rayovac Ultra Pro ALAA-24 alkaline batteries (24-pack, 288 batteries per case with freight included) at $161.97. Line 2 specifies one case of Rayovac High Energy AAA batteries (24-pack, 288 batteries per case with freight included) at $119.10. Line 3 covers four units of correction tape, white, single-line sideways delivery, non-refillable format at $2.44 per unit, totaling $9.76. Delivery dates range from March 30, 2026 for battery items (5-day delivery window) to April 6, 2026 for correction tape (14-day delivery window). The State of Texas claims an exemption from state and city sales taxes under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property for official use.

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Purchase Order Change Notice PO No. 26216575

Order Date: 3/23/2026

Internal Tracking No.: 0000398107

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

Lisa Vallejo 5425 Polk St Ste 420 Houston, TX 77023

NOTE TO CONTRACTOR:

3/23/2026-CAPPS FIN PO#:0000398107AGENCY CONTACT:Tracy Rodr iguez512-536-0404 Tracy.Rodriguez@hhs.texas.govAP Email: HHSC_AP@hhs.texas.govHHSC BUYER:Oluwaseyi Omisore, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice per 34 TAC §20.487, amended effective May 1, 2022

REVISION HISTORY:

PO Revision #: 2 PO Change Reasons (Aggregated):3/23/2026 4:25 pm-Contractor note changed CAPPS FIN PO#:0000

AGENCY CONTACT:

Tracy Rodriguez

512-536-0404 Tracy.Rodriguez@hhs.texas.gov

AP Email: HHSC_AP@hhs.texas.gov

HHSC BUYER:

Oluwaseyi Omisore, CTCD, CTCM

512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov

Invoice per 34 TAC §20.487, amended effective May 1, 2022 to: CAPPS FIN PO#:0000398111AGENCY CONTACT:Tracy Rodriguez512-536-0404 Tracy.Rodriguez@hhs.texas.govAP Email: HHSC_AP@hhs.texas.govHHSC BUYER:Oluwaseyi Omisore, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice per 34 TAC §20.487, amended effective May 1, 2022

3/23/2026 4:34 pm-Internal tracking number changed from: 0000398111 to: 0000398107

3/23/2026 4:34 pm-Contractor note changed CAPPS FIN PO#:0000398111AGENCY CONTACT:Tracy Rodriguez512-536-0404 Tracy.Rodriguez@hhs.texas.govAP Email: HHSC_AP@hhs.texas.govHHSC BUYER:Oluwaseyi Omisore, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice per 34 TAC §20.487, amended effective May 1, 2022 to: CAPPS FIN PO#:0000398107AGENCY CONTACT:Tracy Rodriguez512-536-0404 Tracy.Rodriguez@hhs.texas.govAP Email:

HHSC_AP@hhs. texas.govHHSC BUYER:O luwasey i Omiso re, CTCD, CTCM512-776-4242 Oluwaseyi.Omisore@hhs.texas.govInvoice per 34 TAC §20.487, amended effective May 1, 2022

Order Date: 3/23/2026

Internal Tracking No.: 0000398107

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/CO-OP Member Purchaser Email Phone

Health & Human Services Commission - 529

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 45006 45006100101 Rayovac Ultra Pro ALAA-24 24/pack 1 . 3 5 l b s / p a c k ; 2 8 8 batteries/Case.Freight Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Mon Mar 30 2026

00:00:00 GMT-0700 (PDT)

MPN: ALAA-24

Manufacturer Name: Rayovac

1 CASE 161.97 $161.97

2 45006 45006100103 Rayovac High Energy, AAA Batteries; 24/Pack. 32lbs/Pack. 288 Batteries/CS. Freight Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: Mon Mar 30 2026

00:00:00 GMT-0700 (PDT)

MPN: 824-12T

Manufacturer Name: Rayovac

1 CASE 119.10 $119.10

3 61529 61529311005 Correction Tape, White, Single Line, Sideways Delivery, Non-Refillable, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Mon Apr 06 2026

00:00:00 GMT-0700 (PDT)

4 EACH 2.44 $9.76

Order Date: 3/23/2026

Internal Tracking No.: 0000398107

Total $290.83

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