27004640-0.pdf
PDF 18 KB Posted
- Attached to
- TX|645-S1|27004640
- Contract number
- 27004640
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 27004640) issued by the Texas Health & Human Services Commission (HHS Commission - 529) to WorkQuest Inc. on September 30, 2026. The order is being billed to the Brenham State Supported Living Center located in Brenham, Texas, with delivery to the Lufkin SSLC Warehouse in Pollok, Texas. The purchasing agent is Clarence Perry of the HHS Commission, and the warehouse supervisor point of contact is Robert Michaud. The order is exempt from state and city sales taxes as a purchase for the State of Texas.
The purchase order contains eight line items totaling $10,570.23, consisting of office supplies, janitorial products, and technology supplies from various term contracts. Items include 5 packages of professional-grade DVD+RW discs ($221.35), 80 scissors ($386.40), 100 units of correction tape ($177.00), 20 sets of index tabs ($60.80), 30 packages of legal pads ($421.20), 300 legal pads ($603.00), 32 cases of trash can liners ($3,364.48), and 80 cartons of recycled bond paper ($5,336.00). Delivery dates range from October 12 to October 20, 2026, with delivery windows limited to 8:00-11:30 AM and 1:00-4:30 PM on weekdays. Freight is included in most items, and invoicing should be directed to 712accounting@hhs.texas.gov.
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Text version
Purchase Order PO No. 27004640
Order Date: 9/30/2026
Internal Tracking No.: HHSTX-7-0000415769
Contractor Info Bill To Ship To WorkQuest Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Brenham SSLC 4001 Highway 36 South Brenham TX 77833
Robert Michaud
(936) 853-8376 Lufkin SSLC Whse 6844 N US Hwy 69 Pollok, TX 75969
NOTE TO CONTRACTOR: PO#: 0000415769
AGENCY CONTACT:
Whse Supvr Robert Michaud Ph - 936-853-8376 robert.michaud@hhs.texas.gov INVOICING: 712accounting@hhs.texas.gov 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
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 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: 10/12/2026
MPN: DRW+474-RDCD50
Manufacturer Name: Ritek
5 PKG 44.27 $221.35
Order Date: 9/30/2026
Internal Tracking No.: HHSTX-7-0000415769
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 60569 60569453081 Scissor, Bent, 8" Length, Plus Freight Order Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2026
80 EACH 4.83 $386.40
3 61529 61529301006 Correction Tape,Standard Tip, White, Single Line, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2026
MPN: 61529301006
Manufacturer Name: SkillcraftSkillcraft
100 EACH 1.77 $177.00
4 61539 61539120003 Index Tabs, 8 12/"x11", White, Numerical 25-50, Laser/Inkjet Print,Freight is added to orders less than $25.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2026
MPN: 61539120003
Manufacturer Name: WorkQuest, Inc.
20 SET 3.04 $60.80
5 61562 61562351001 Legal Ruled, Junior Size 5" X 8" White Micro Perforated Pad. 50 Sheet Pad. Freight Is Added To Orders Less Than $25.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2026
MPN: OF12332
Manufacturer Name: Bangkit
30 PKG 14.04 $421.20
6 61562 61562500001 Legal Pad, White, 8-1/2" X 11-3/4".
Order in multiples of 12. Freight is added to orders less than $25.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2026
MPN: 598
Manufacturer Name: Bazic
300 EACH 2.01 $603.00
Order Date: 9/30/2026
Internal Tracking No.: HHSTX-7-0000415769
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
7 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: 10/14/2026
32 CASE 105.14 $3,364.48
8 64521 64521411716 Paper, Bond, Recycled, White, Premium No. 4, 20 lb., 8-1/2" x 11", 500 Sheets/Pkg, 10 Pkgs/Crtn, Freight Included. Qty Price Breaks At 10, 40, 200, 400, And 800 Cartons.
Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/20/2026 Manufacturer Name: Skilcraft
80 CRTN 66.70 $5,336.00
Total $10,570.23
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