26240078-0.pdf

PDF 18 KB Posted

Attached to
TX|207-S2|26240078
Contract number
26240078
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26240078) issued by the State of Texas Health and Human Services Commission (HHSC) to WorkQuest, Inc., a contractor located in Austin, Texas. The order was placed on April 7, 2026, with an internal tracking number of PO# 0000399636. The ordering agency is HHSC (Agency 529), with purchaser Carmen Hernandez serving as the point of contact. Delivery is designated to the HHSC-MEXIA SSLC Warehouse located in Mexia, Texas, under the supervision of Ricky Salazar. The purchase is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4) as property being secured for exclusive use of the State of Texas.

The purchase order encompasses nine line items totaling $11,238.24, consisting of office supplies, safety equipment, and technology products. Items include work gloves with cut protection (48 pairs at $9.21 per pair), highlighters in blister packs (40 packs at $4.80), ballpoint pens (144 dozen at $8.53), binders (72 each at $3.83), self-stick note pads (24 packages at $4.80), archive storage boxes (20 cases at $85.00), Rayovac batteries (72 packs at $12.70), sugar-free soft drink mix (100 cases at $53.08), and DVD+RW discs (24 packages at $44.27). All items are sourced through various state term contracts with delivery dates ranging from April 17 through May 7, 2026, with delivery windows between 8:00 a.m. and 4:30 p.m., Monday through Friday, excluding state holidays. The State of Texas is exempt from federal excise taxes except as otherwise noted in individual contracts.

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Text version

Purchase Order PO No. 26240078

Order Date: 4/7/2026

Internal Tracking No.: PO# 0000399636

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

HHSC -MEXIA SSLC WHSE

424 Mesquite Dr

MEXIA TX 76667

Ricky Salazar, Warehouse Supervisor

HHSC -MEXIA SSLC WHSE

424 Mesquite Dr

MEXIA, TX 76667

Attn: Warehouse Supervisor

NOTE TO CONTRACTOR: AGENCY CONTACT Whse Supvr Ricky Salazar Ph: 354-562-1372 E: Ricky.Salazar@hhs.texas.gov AP:

710accounting@hhs.texas.gov DELIVERY:Delivery hrs 8-11:30am & 1-4:30pm M-F except designated State Holidays when closed.

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

Health & Human Services Commission - 529

Carmen Hernandez carmen.hernandez1@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20142 20142211001 Glove, Work, Cut Protection, PVC Palm Material, Touch Screen, Black Plus Freight Oder Less Than $50 Attribute 1: 20142211001-3 Large Contract: 201-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/21/2026

48 Pair 9.21 $442.08

2 62090 62090680208 Highlighter, Blister Pack, 4: Yellow, Pink, Orange, Green, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/21/2026

40 Pack 4.80 $192.00

Order Date: 4/7/2026

Internal Tracking No.: PO# 0000399636

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Medium Attribute 2: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/21/2026

144 DOZ 8.53 $1,228.32

4 61573 61573161108 Binder, 1" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: White-61573161108-1 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 4/27/2026

72 EACH 3.83 $275.76

5 61562 61562381501 Note Pad, Self Stick, 1.5" x 2", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Less Than 12 Pkg Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/21/2026

MPN: 61562381501

Manufacturer Name: Skilcraft

24 PKG 4.80 $115.20

6 61537 61537130850-

Box, Archive Storage, Removable Lid, Letter/Legal, Recycled; 25 Boxes/Case - Districts 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 Contract: 615-S2 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 4/27/2026

MPN: 61537130850

Manufacturer Name: Georgia Pacific

20 CASE 85.00 $1,700.00

7 45006 45006100100 Rayovac Ultra Pro ALAA-24 24/pack 1.35lbs/pack; 288 batteries /Case.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/21/2026

MPN: ALAA-24

Manufacturer Name: Rayovac

72 PACK 12.70 $914.40

Order Date: 4/7/2026

Internal Tracking No.: PO# 0000399636

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

8 39333 39333750501 Soft Drink Mix, Sugar Free, Packet Yields 2 Quarts, 24 Packets/CTN, 4 CTN/CS, Freight is added to orders less than 10 cases.

A t t r i b u t e 1 : A s s o r t e d Flavors-39333750501 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 5/7/2026

MPN: BVA-1205B

Manufacturer Name: Wyler's

100 CASE 53.08 $5,308.00

9 20730 20730621677 DVD+RW 50/Pack - Professional Grade. Rewritable 120 Minutes 4.7GB Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 4/17/2026

MPN: DRW+474-RDCD50

Manufacturer Name: Ritek

24 PKG 44.27 $1,062.48

Total $11,238.24

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