27005579-0.pdf
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- Attached to
- TX|645-S1|27005579
- Contract number
- 27005579
- Issued by
- Texas
About this file
Document Summary
This is a Purchase Order (PO No. 27005579) issued by the Texas Health & Human Services Commission (HHSC), Agency 529, on October 6, 2026. The order is placed with WorkQuest Inc., a vendor located in Austin, Texas. The internal tracking number is HHSTX-7-0000416189. Delivery is directed to the NTSH-Wichita Falls Warehouse located at 6515 Kemp Boulevard, Wichita Falls, Texas 76308, with warehouse supervision by Stacy Ward. The HHSC buyer is Carlos M Mojica. The State of Texas claims exemption from all Federal Excise Taxes and state and city sales taxes under Texas Tax Code Section 151.309(4), as the purchased property is for exclusive use by the State of Texas.
The purchase order encompasses ten line items totaling $39,458.36, consisting of office supplies, personal care items, and cleaning products sourced through various state term contracts. Items include 25 dozen cotton panties ($399.50), 10 cases of Rayovac Ultra Pro AA batteries ($1,631.20), 15 cases of Rayovac AAA batteries ($1,786.50), 72 cases of laundry detergent ($16,612.56), 96 sets of index tab makers ($423.36), 250 classification folders ($810.00), 144 dozen ball point pens ($1,679.04), 40 dozen highlighters ($332.00), 12 cases of security toothbrushes ($575.40), and 240 cartons of recycled bond paper ($15,208.80). Delivery dates range from October 12, 2026 to November 20, 2026, with acceptance and receipt of orders (ARO) ranging from 5 to 45 days. Invoicing shall comply with 34 TAC §20.487, amended effective May 1, 2022.
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Text version
Purchase Order PO No. 27005579
Order Date: 10/6/2026
Internal Tracking No.: HHSTX-7-0000416189
Contractor Info Bill To Ship To WorkQuest Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Terrell SH Whse 1200 E Brin
TERRELL TX 75160
Stacy Ward
(940) 689-5311 NTSH-Wichita Falls Whse 6515 Kemp Blvd
WICHITA FALLS, TX 76308
NOTE TO CONTRACTOR: PO#: HHSTX-7-0000416189
AGENCY CONTACT:
Whse Supvr Stacy Ward Ph - 940-689-5311 stacy.ward@hhs.texas.gov
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
6515 Kemp Blvd PO Box 300 Wichita Falls, Tx 76308
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: 10/6/2026
Internal Tracking No.: HHSTX-7-0000416189
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 20186 201867110 Panty, Full Brief, White, 100% Cotton. Freight included.
Attribute 1: 11- 201867111 Contract: 201-S1 Contract Type: Term Delivery ARO (days): 45 Delivery Date: 11/20/2026
25 DOZ 15.98 $399.50
2 45006 45006100101 Rayovac Ultra Pro ALAA-24 24/pack 1 . 3 5 l b s / p a c k ; 2 8 8 batteries/Case.Freight Included.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 10/12/2026
MPN: ALAA-24
Manufacturer Name: Rayovac
10 CASE 163.12 $1,631.20
3 45006 45006100103 Rayovac High Energy, AAA Batteries; 24/Pack. 32lbs/Pack. 288 Batteries/CS. Freight Included.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 10/12/2026
MPN: 824-12T
Manufacturer Name: Rayovac
15 CASE 119.10 $1,786.50
4 50535 505352402 Detergent, Laundry, CP940HE, High Efficiency and Standard, One Load Per Pack, 432/CS. Freight is included.
Contract: 505-S1 Contract Type: Term Delivery ARO (days): 18 Delivery Date: 10/26/2026
MPN: CP940HE
Manufacturer Name: Correct Pac
72 CASE 230.73 $16,612.56
5 61539 61539163 Index Tab Maker, Multi-Colors, 5 Tabs, 3 Hole Punch, White, Avery 11406,Freight is added to orders less than $25.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/20/2026
MPN: 11406
Manufacturer Name: Avery
96 SET 4.41 $423.36
Order Date: 10/6/2026
Internal Tracking No.: HHSTX-7-0000416189
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 61545 61545241012 Folder, Classification, Letter Size, 2 Dividers, Fasteners, 1.5" Expansion, Plus Freight Attribute 1: Red-61545241012-1 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 11/5/2026
250 EACH 3.24 $810.00
7 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Medium Attribute 2: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/20/2026
MPN: 62080058001
Manufacturer Name: BioWrite
144 DOZ 11.66 $1,679.04
8 62090 62090361007 Highlighter, Wedge Tip, 12 Each, Plus Freight Order Less Than $25 Attribute 1: 62090363003-Yellow Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/20/2026
40 DOZ 8.30 $332.00
9 65284 65284151209 Toothbrush, Security, 4 In. Overall Length, 46 Tuft, ADA, 144 Ea./CS Pending. 144/CS Attribute 1: White/Purple Contract: 652-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 11/5/2026
12 CASE 47.95 $575.40
10 64521 64521411714 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: 10/26/2026 Manufacturer Name: Skilcraft
240 CRTN 63.37 $15,208.80
Total $39,458.36
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