26224739-1.pdf
PDF 17 KB Posted
- Attached to
- TX|620-S1|26224739
- Contract number
- 26224739
- Issued by
- Texas
About this file
Purchase Order Change Notice Summary
This is a Purchase Order Change Notice (PO No. 26224739) issued by the Health and Human Services Commission (HHSC), a Texas state agency, to WorkQuest, Inc., an office supply contractor. The purchase order was originally issued on March 30, 2026, with internal tracking number 0000396841. The contractor is located at 1011 East 53 1/2 Street, Austin, TX 78751. Shipment is directed to Ayanna Smith at 2203 W 35th Street, Austin, TX 78703, with Jessica Rosa designated as the primary agency contact.
The purchase order encompasses six line items of office supplies totaling $58.07, all procured under term contracts with delivery dates in April 2026. The revision modified quantities on two lines: Line 2 (2" Capacity Binders) decreased from 3 to 2 units at $5.35 each ($10.70 total), and Line 3 (1" Capacity Binders) increased from 2 to 3 units at $3.51 each ($10.53 total). Additional items include dry erase markers ($6.22), self-stick note pads ($13.02), highlighters ($8.30), and gel pens ($9.30). All items are furnished under existing statewide procurement contracts (620-S1 and 615-S1) with delivery timeframes ranging from 14 to 20 days. The State of Texas claims exemption from sales and federal excise taxes on this purchase.
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Text version
Purchase Order Change Notice PO No. 26224739
Order Date: 3/30/2026
Internal Tracking No.: 0000396841
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
Ayanna Smith 2203 W 35th St Austin, TX 78703
NOTE TO CONTRACTOR:
Name: Ayanna Smith
Phone: 512.374.6214
Email address: ayanna.smith1@hhs.texas.gov
AGENCY CONTACT:
Name: Jessica Rosa
Email: jessica.rosa@hhs.texas.gov
Phone: 512-672-4228
3/30/2026-Ship to:
Name: Ayanna Smith
Phone: 512.374.6214
Email address: ayanna.smith1@hhs.texas.gov
AGENCY CONTACT:
Name: Jessica Rosa
Email: jessica.rosa@hhs.texas.gov
Phone: 512-672-4228
3/30/2026-Ship to:
Name: Ayanna Smith
Phone: 512.374.6214
Email address: ayanna.smith1@hhs.texas.gov
AGENCY CONTACT:
Name: Jessica Rosa
Email: jessica.rosa@hhs.texas.gov
Phone: 512-672-4228
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):3/30/2026 2:31 pm-Change to Line 3: Quantity has changed from: 2 to: 3
3/30/2026 2:31 pm-Change to Line 2: Quantity has changed from: 3 to: 2
Order Date: 3/30/2026
Internal Tracking No.: 0000396841
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
Jocelynn Evans Jocelynn.Evans@hhs.texas.gov (512) 717-2524
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 62086 62086509262 Marker, Dry Erase, Chisel Tip, 12 Each, Plus Freight Order Less Than $25 Attribute 1: Black-62086509262-1 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Mon Apr 13 2026
00:00:00 GMT-0700 (PDT)
MPN: 62086509262
Manufacturer Name: Skilcraft
1 DOZ 6.22 $6.22
2 61573 61573163104 Binder, 2" Capacity, For 8 1/2" x 11", Vinyl Overlay, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Black-61573163104-2 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: Mon Apr 20 2026
00:00:00 GMT-0700 (PDT)
2 EACH 5.35 $10.70
3 61573 61573171107 Binder, 1" Capacity, 3 Ring, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Black-61573171107-2 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: Mon Apr 20 2026
00:00:00 GMT-0700 (PDT)
3 EACH 3.51 $10.53
Order Date: 3/30/2026
Internal Tracking No.: 0000396841
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
4 61562 61562384000 Self Stick Note Pad, 3" X 3", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Mon Apr 13 2026
00:00:00 GMT-0700 (PDT)
MPN: 61562384000
Manufacturer Name: Skilcraft
1 PKG 13.02 $13.02
5 62090 62090361007 Highlighter, Wedge Tip, 12 Each, Plus Freight Order Less Than $25 Attribute 1: 62090363003-Yellow Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Mon Apr 13 2026
00:00:00 GMT-0700 (PDT)
1 DOZ 8.30 $8.30
6 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Black-62080220106 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: Mon Apr 13 2026
00:00:00 GMT-0700 (PDT)
1 DOZ 9.30 $9.30
Total $58.07
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