26287968-0.pdf

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Attached to
TX|207-S2|26287968
Contract number
26287968
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26287968) issued by the Health & Human Services Commission (HHSC), Agency 529, on July 1, 2026, for delivery to the Terrell Service Hub Warehouse in Terrell, Texas. The contractor is WorkQuest, Inc., based in Austin, Texas. The order was processed by HHSC buyer Carlos M Mojica and coordinated with warehouse supervisor Stacy Ward. The order is being placed under the State of Texas procurement system and is subject to state and local sales tax exemption as authorized under Texas Tax Code Section 151.309(4).

The purchase order comprises eight line items totaling $13,280.73, consisting of office and maintenance supplies to be delivered between July 6 and July 31, 2026. Items include address labels (Avery 5161), floor maintenance pads, AAA batteries (Rayovac), scrubbing pads (Mr. Clean Eraser), permanent markers, trash can liners, transparent tape, and compressed inert gas (air duster). All items are sourced under existing term contracts with specified delivery windows ranging from 5 to 30 days after order date. Freight is included in all quoted prices. The order is exempt from federal excise taxes and state and local sales taxes as the goods are being purchased for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26287968

Order Date: 7/1/2026

Internal Tracking No.: HHSTX-6-0000408092

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Stacy Ward

(940) 689-5311 Terrell SH Whse 1200 E Brin

TERRELL, TX 75160

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000408092

AGENCY CONTACT:

Whse Supvr Stacy Ward Ph - 940-689-5311 stacy.ward@hhs.texas.gov

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

6515 Kemp Blvd PO Box 300 Wichita Falls, Tx 76308

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Order Date: 7/1/2026

Internal Tracking No.: HHSTX-6-0000408092

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 20772502009 Labels, Address, Avery 5161, 1" X 4" White, 20 Labels/Sheet, 100 Sheets/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/15/2026

MPN: 5161

Manufacturer Name: Avery

35 BOX 32.67 $1,143.45

2 36510 36510491602 Pad, Floor Maintenance, Buffing, Red, 16", 5/Box, Freight Included Contract: 365-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 7/31/2026

15 BOX 23.88 $358.20

3 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: 7/6/2026

MPN: 824-12T

Manufacturer Name: Rayovac

5 CASE 119.10 $595.50

4 48588 48588521996 Scrubbing Pad, Disposable, Mr.

Clean Eraser Xtra Power, 30 Each/Case, Freight Included.

Contract: 485-S1 Contract Type: Term Delivery ARO (days): 15 Delivery Date: 7/16/2026

10 CASE 66.71 $667.10

5 62090 62090161027 Marker, Permanent, Chisel Tip, 12 Each, Plus Freight Order Less Than $25 Attribute 1: Black-62090161027 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/15/2026

20 DOZ 5.21 $104.20

6 48505 48505113013 Bag, Trash Can Liner, LLDPE 1.5 MIL, 33 Gallon - Clear, Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/15/2026

128 CASE 77.43 $9,911.04

Order Date: 7/1/2026

Internal Tracking No.: HHSTX-6-0000408092

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

7 83220 83220112 Tape, Transparent, Refill, 3/4" x 1000", Core 1", Multi-Purpose, 6/Pack, Freight Order Less Than $50 Contract: 832-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/15/2026

60 PKG 6.56 $393.60

8 20725 20725292005 Compressed Inert Gas, 10 Oz. Can, Air Duster, Plus Freight Order Less Than $25 Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 7/15/2026

MPN: 20725292005

Manufacturer Name: SkilCraft

12 EACH 8.97 $107.64

Total $13,280.73

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