27003430-0.pdf

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Attached to
TX|765-S1|27003430
Contract number
27003430
Issued by
Texas

About this file

This is a Purchase Order (No. 27003430) issued by the Texas Department of Transportation (TxDOT) - District 601, with Sherry Campbell serving as the purchasing agent. The order is placed with WorkQuest Inc., a contractor located at 1011 East 53 1/2 Street, Austin, TX 78751. The goods are to be shipped to Robert Jackson at TxDOT's location in Conroe, TX 77303, with billing directed to the Fort Worth facility. The purchase order is dated September 25, 2026, with an internal tracking number of 601330000047848.

The order encompasses six units of Driver Head anchors (2 Ft X 12 Ga Square Tube Anchors) manufactured by Shur-Tite under part number SWH05, procured under Term Contract 765-S1 with NIGP code 44539000000. Each unit is priced at $242.80, resulting in an extended price of $1,456.80 for the total order. The delivery is scheduled for October 26, 2026, with an ARO (Approved Requested Order) window of 30 days. Freight charges are to be prepaid by the vendor and added as a separate line item to the invoice. The State of Texas sales tax exemption applies to this purchase as the items are being acquired for exclusive state use.

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Text version

Purchase Order PO No. 27003430

Order Date: 9/25/2026

Internal Tracking No.: 601330000047848

Contractor Info Bill To Ship To WorkQuest Inc.

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

(512) 451-8145

2501 SW Loop 820 D02 Fort Worth TX 76133

Robert Jackson

(409) 267-3611 Robert Jackson -TxDot 901 N FM 3083 East Conroe, TX 77303

NOTE TO CONTRACTOR: NOTE TO CONTRACT: TO FIN: Freight to be prepaid by the vendor and added as a separate line item on the invoice. OK to pay freight.

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

Te x a s D e p a r t m e n t o f Transportation - 601

Sherry Campbell sherry.campbell@txdot.gov (512) 111-1111

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 76577 76551453 Driver Head, 2 Ft X 12 Ga Square Tube Anchors; Freight Included Contract: 765-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 10/26/2026 Notes: NIGP:44539000000

FOR TXDOT INTERNAL USE ONLY

POC: Robert Jackson (409) 267-3611

MPN: SWH05

Manufacturer Name: Shur-Tite

6 EACH 242.80 $1,456.80

Total $1,456.80

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