27000661-0.pdf

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Attached to
TX|832-S1|27000661
Contract number
27000661
Issued by
Texas

About this file

This Purchase Order (PO No. 27000661) was issued on September 8, 2026, by the Health and Human Services Commission (HHSC) in Austin, Texas, for delivery to the Disability Determination Services office. The contractor is WorkQuest Inc., located in Austin, Texas. The purchase was processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division. Key agency contacts include Olga Hernandez (Agency Contact) and Oluwaseyi Omisore (HHSC Buyer), with shipping directed to Angel Martinez at the Disability Determination Services facility.

The purchase order comprises seven line items totaling $665.46 for office supply commodities with an estimated delivery date of September 22, 2026 (14-day advance receive order). Items include shipping labels (2 boxes at $30.78 each), self-stick note pads (6 packages at $4.80 each), compressed inert gas air duster (10 cans at $8.97 each), rollerballs pens in black and blue (20 dozen at $9.30 per dozen for each color), dry erase marker board cleaner (12 cans at $3.34 each), and safety barrier tape (6 rolls at $12.22 each). All items are sourced through term contracts and include freight. The State of Texas claims exemption from state and city sales taxes under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property for exclusive state use.

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Text version

Purchase Order PO No. 27000661

Order Date: 9/8/2026

Internal Tracking No.: 0000414420

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

Angel Martinez Angel Martinez

(512) 437-8988 6101 E Oltorf Disability Determination Services Austin, TX 78741 Commercial vehicle deliveries must back into the loading dock when making deliveries to the Texas DDS. To avoid damage to property and surrounding trees, please use a delivery vehicle that is suitable for this location.

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000414420

AGENCY CONTACT:

Olga Hernandez 512-437-8140 DDS.TX.S49.AP@ssa.gov

AP Email: HHSC_AP@hhs.texas.gov

Ship to Attn: Angel Martinez 512-437-8988

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

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

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

Order Date: 9/8/2026

Internal Tracking No.: 0000414420

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 20772507009 Labels, Shipping, Skilcraft, 8-1/2" X 11" White, 1 per Sheet; 100 Sheet/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/22/2026

MPN: 20772507009

Manufacturer Name: WorkQuest, Inc.

2 BOX 30.78 $61.56

2 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: 9/22/2026

MPN: 61562381501

Manufacturer Name: Skilcraft

6 PKG 4.80 $28.80

3 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: 9/22/2026

MPN: 20725292005

Manufacturer Name: SkilCraft

10 EACH 8.97 $89.70

4 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Black- 62080220122 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/22/2026

20 DOZ 9.30 $186.00

5 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Blue-62080220221 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/22/2026

20 DOZ 9.30 $186.00

Order Date: 9/8/2026

Internal Tracking No.: 0000414420

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 78557 78557300825 Cleaner, Dry Erase Marker Board, 8 Oz. Spray, Freight Included.

Contract: 785-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/22/2026

12 EACH 3.34 $40.08

7 83210 83210240002 Barrier Tape, Safety, Yellow, CAUTION, 3 x 1000 Ft, 2 Mil, Non- Adhesive, 6 Rolls/Ctn, Freight included Contract: 832-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/22/2026

6 ROLL 12.22 $73.32

Total $665.46

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