27004720-0.pdf
PDF 17 KB Posted
- Attached to
- TX|615-S1|27004720
- Contract number
- 27004720
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 27004720) issued by the State of Texas Health and Human Services Commission (HHSC), Agency 529, on September 30, 2026. The ordering contractor is WorkQuest Inc., located in Austin, Texas. Delivery is directed to the Rio Grande State Hospital Warehouse in Harlingen, Texas, with billing to the San Antonio State Hospital location. The HHSC buyer is Carlos M Mojica, and the warehouse supervisor is Mario Gonzales. The purchase is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4).
The purchase order encompasses eight line items totaling $8,618.08 for office and facility supplies, all sourced through established state term contracts. The items include compressed inert gas air duster ($107.64), disposable face masks in 50-box units ($2,084.50), bottled water in 216 cases ($1,445.04), hard surface cleaner aerosol spray ($1,359.90), ballpoint pens ($254.40), highlighters ($153.60), appointment planners for 2027 ($2,364.00), and desk pad calendars ($849.00). Most items are scheduled for delivery within 14 days of the order date, with the exception of the hard surface cleaner at 20 days. Freight is included in the pricing for most items. No sales tax applies to the order due to the state's tax-exempt status.
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Text version
Purchase Order PO No. 27004720
Order Date: 9/30/2026
Internal Tracking No.: HHSTX-7-0000415797
Contractor Info Bill To Ship To WorkQuest Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223
Mario Gonzales
(903) 683-7116 Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen, TX 78552
NOTE TO CONTRACTOR: PO#: HHSTX-7-0000415797
AGENCY CONTACT:
Whse Supvr Mario Gonzales Ph - 956-364-8321 mario.gonzales@hhs.texas.gov
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
Rio Grande SH Whse 1401 S Rangerville Rd Harlingen, Tx 78552
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: 9/30/2026
Internal Tracking No.: HHSTX-7-0000415797
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 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: 10/14/2026
MPN: 20725292005
Manufacturer Name: SkilCraft
12 EACH 8.97 $107.64
2 34574 34574520003 D i s p o s a b l e F a c e M a s k 50/BX;Freight included Contract: 345-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2026
MPN: MM005
Manufacturer Name: Magid
110 BOX 18.95 $2,084.50
3 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: 10/14/2026
216 CASE 6.69 $1,445.04
4 48540 48540271061 Pure Hard Surface Cleaner 20 Oz.
Aerosol Spray; Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/20/2026
MPN: 07PHS
Manufacturer Name: Pure
15 CASE 90.66 $1,359.90
5 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: 10/14/2026
24 DOZ 10.60 $254.40
Order Date: 9/30/2026
Internal Tracking No.: HHSTX-7-0000415797
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 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: 10/14/2026
32 Pack 4.80 $153.60
7 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: 10/14/2026
MPN: HOD27202
Manufacturer Name: House of Doolittle
150 EACH 15.76 $2,364.00
8 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: 10/14/2026
MPN: HOD124
Manufacturer Name: House of Doolittle
100 EACH 8.49 $849.00
Total $8,618.08
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