26335168-0.pdf

Purchase Order PO No. 26335168

Order Date: 8/24/2026

Internal Tracking No.: PO 099486

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

AUDITING DEPARTMENT

1149 PEARL STREET, 7TH FLOOR

BEAUMONT TX 77701

Valerie Falcon

(409) 726-2500 5030 Hwy. 69 South Beaumont, TX 77705

NOTE TO CONTRACTOR:

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

Jefferson County - C1230 Mistey Reeves mistey.reeves@jeffersoncountytx.gov (409) 835-8693

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 48555 48555270072 Floor Cleaner, Rinse Free, CorrectPac CP1802, Makes 2 Gallons, 720/CS. Freight is included.

Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/7/2026

MPN: CP1802

Manufacturer Name: Correct Pac

2 CASE 344.52 $689.04

2 48516 48516349072 Cleaner/Degreaser, ScrubPac #104, 528/CS

Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/7/2026

MPN: CP104

Manufacturer Name: Correct Pac

1 CASE 358.36 $358.36

Total $1,047.40