Purchase Order PO No. 27003412

Order Date: 9/25/2026

Internal Tracking No.: HHSTX-7-0000415500

Contractor Info Bill To Ship To WorkQuest Inc.

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

(512) 451-8145

Abilene SSLC PO Box 451 Abilene TX 79604

Anthony Salazar

(432) 268-7432 Big Spring SH Whse 1901 N Hwy 87 Big Spring, TX 79720

NOTE TO CONTRACTOR: PO#: 0000415500

AGENCY CONTACT:

Whse Supvr Anthony Salazar Ph - 432-268-7432 anthony.salazar@hhs.texas.gov INVOICING: 710accounting@hhsc.state.tx.us DELIVERY: Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday – Friday except designated State Holidays 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

Clarence Perry Clarence.Perry2@hhs.texas.gov (512) 776-6012

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 48513 48513500206 Hand Sanitizer, Instant, 2 Oz. bottle, 24/CS, Plus Freight Order Less than $100 Contract: 485-S1 Contract Type: Term Delivery ARO (days): 90 Delivery Date: 12/24/2026

20 CASE 51.45 $1,029.00

2 48544 48544903 Hand/Shower Wash, ADX-12 System, 3/CS Contract: 485-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 10/13/2026

10 CASE 47.24 $472.40

Order Date: 9/25/2026

Internal Tracking No.: HHSTX-7-0000415500

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 48586 48586500001 Foam, Antibacterial, Skilcraft/GOJO, 1200mL LTX, Plum, 2/CS Contract: 485-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 10/13/2026

36 CASE 48.64 $1,751.04

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: 10/9/2026

MPN: 61562384000

Manufacturer Name: Skilcraft

36 PKG 13.83 $497.88

5 61569 61569154292 Clips, Paper Standard #1, steel,1000/Box, Freight is included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026 Manufacturer Name: Skilcraft

25 BOX 5.05 $126.25

6 62060 62060050150 Pencil, Wooden, Grade 2 Lead, Soft, 144/Gross, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 10/26/2026

MPN: 14412

Manufacturer Name: Skilcraft

5 GR 22.81 $114.05

7 62080 62080151541 Pen Ballpoint, Medium Point, 4.5", Z Grip Max, Plus Freight Order Less Than $25 Attribute 1: Black- 62080151020 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

72 DOZ 10.60 $763.20

8 62080 62080151541 Pen Ballpoint, Medium Point, 4.5", Z Grip Max, Plus Freight Order Less Than $25 Attribute 1: Blue-62080151541 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

48 DOZ 10.60 $508.80

Order Date: 9/25/2026

Internal Tracking No.: HHSTX-7-0000415500

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

9 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: 10/9/2026

31 Pack 4.80 $148.80

10 64075 6407558 Toilet Paper, 2 Ply, 4"x4", Contains 20-60% Post Consumer Recycled Content, 506 Sheets/Roll, 80 Rolls/CS Attribute 1: Wrapped Contract: 640-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

MPN: 6407558

Manufacturer Name: South Texas Lighthouse

30 CASE 47.72 $1,431.60

11 48505 48505115029 Bag, Trash Can Liner, LLDPE 1.5 MIL, 55 Gallon - Clear, Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

30 CASE 105.14 $3,154.20

12 61515 61515074505 Appointment Planner, Monthly, Black, Wire Bound, 8-7/8 X 11-1/4, Black, 100% Post-Consumer Recycled, Freight included Attribute 1: 2027 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

MPN: HOD27202

Manufacturer Name: House of Doolittle

120 EACH 15.76 $1,891.20

13 61519 61519130779 Calendar, Desk Pad, 22 X 17, 12 Months,Freight included Attribute 1: 2027 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

MPN: HOD124

Manufacturer Name: House of Doolittle

90 EACH 8.49 $764.10

Order Date: 9/25/2026

Internal Tracking No.: HHSTX-7-0000415500

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

14 39091 39091350002 Water, Bottled, 16.9 Oz, 24 Bottle/CS, Min Order 72 Cases, Order In Increments of 72 Cases, Freight Included - Additional Charge For Inside Delivery Upon Request.

Contract: 390-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

216 CASE 6.69 $1,445.04

15 62080 62080951007 Pen, Ballpoint, Mini, Flexible, With Cap/Boot, 100/Ctn, Plus Freight Order Less Than $25 Attribute 1: Blue Ink 62080951007-2 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

11 CRTN 32.40 $356.40

16 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Large Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/2/2026

MPN: 807

Manufacturer Name: WTLB

45 CASE 120.40 $5,418.00

17 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 : P i n k - Lemonade-39333754008 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 10/26/2026

MPN: BVA-1205B

Manufacturer Name: Wyler's

15 CASE 53.08 $796.20

Order Date: 9/25/2026

Internal Tracking No.: HHSTX-7-0000415500

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

18 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.

Attribute 1: Punch-39333754206 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 10/26/2026

MPN: BVA-1205B

Manufacturer Name: Wyler's

15 CASE 53.08 $796.20

19 20186 20186282008 Brassiere, Sport, Pullover, No Hooks Attr ibute 1: 2XL 40-42 B-C-D 20186282503 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 45 Delivery Date: 11/9/2026

10 DOZ 37.81 $378.10

20 47565 47565154003 Alcohol Prep Pads;Sterile;200 Ea/Box;Freight Included Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/2/2026

50 BOX 2.59 $129.50

Total $21,971.96