Health and Human Services Commission Purchase Order

Health and Human Services Commission

Purchase Order

Dispatch via Print

Payment Terms

Freight Terms

Ship Via

Net 30

Prepaid & Allow

BEST WAY

If advertised by informal bid, Invitation for Offer, or Request for Proposal; all

specifications, terms, and conditions set forth in the advertisement and vendor's

conforming responses become a part of this numbered purchase order. Contractor

guarantees goods or services delivered meet or exceed numbered purchase order

requirements.

All shipments, shipping papers, invoices, and correspondence must be identified

with our Purchase Order Number.

Vendor:

HHSTX-2-0000268746

Purchase Order

Date

Revision

Page

09/01/21

1

4551

Austin:4111

N

Lamar

Ship To:

HEALTH & HUMAN SERVICES COMMISSION

4111 N Lamar

Austin TX 78756

United States

1741976051 1

WORKQUEST

1011 E 53RD 1/2 ST

AUSTIN TX 787511703

United States

Bill To:

Fax:

Email:

Line-Sch

Inventory Item ID - Line Description

Class/Item

Quantity

Purchaser:

UOM

Invoice - DADS

HEALTH & HUMAN SERVICES COMMISSION

4001 Highway 36 South

Brenham TX 77833

United States

979/277-1865

712Accounting@hhs.

Wagnor,Casey

PO Price

512/406-2554

Extended Amt Due Date

FY22 funding - Goods and/or services are to be delivered and invoiced after 09/01/2021

CP/C

Requisition 155877 - Managed Term Contract 962-M5

PO Service Dates 09/01/2021 to 08/31/2022

Terms and Conditions per Managed Term Contract 962-M5 apply to this Purchase Order. Contract Term 03/01/2017 to 12/30/2099.

This purchase order is contingent upon the continued availability of lawful appropriations by the Texas Legislature and may be canceled at any time in

whole or part without penalty. HHS or the agency does not commit to ordering specific quantities of goods or dollar amounts with respect to this purchase

order. The agency shall be obligated to pay for only those goods actually ordered and received by the agency. Any funds not utilized by 08/31/2022 are

automatically canceled.

VENDOR CONTACT

VID 1741976051

Kyle Radford

Phone: 512-451-8145

Email: kradford@, jfripp@, mwong@

Southeast Vocational Alliance (SVA) Community Resource Program (CRP)

Christopher Sweat

Phone: 800-743-8440,

Email: csweat@

AGENCY CONTACTS

Contract Manager Name: Sandra Alvear

Email: Sandra.alvear@hhs.

Lead Contact Name: Daniel Gaskin

Email: Daniel.gaskin@hhs.

Phone: 512-374-6440

Initiator/Requestor:

Trista Curwick

Email: Trista.curwick@hhs.

Phone: 512-374-6232

PCS CONTACT

Casey Wagnor

Phone: 512-406-2554

Email: Casey.Wagnor@hhs.

Health and Human Services Commission

Purchase Order

Dispatch via Print

Payment Terms

Freight Terms

Ship Via

Net 30

Prepaid & Allow

BEST WAY

If advertised by informal bid, Invitation for Offer, or Request for Proposal; all

specifications, terms, and conditions set forth in the advertisement and vendor's

conforming responses become a part of this numbered purchase order. Contractor

guarantees goods or services delivered meet or exceed numbered purchase order

requirements.

All shipments, shipping papers, invoices, and correspondence must be identified

with our Purchase Order Number.

Vendor:

1741976051 1

WORKQUEST

1011 E 53RD 1/2 ST

AUSTIN TX 787511703

United States

HHSTX-2-0000268746

Purchase Order

Date

Revision

Page

09/01/21

2

4551

Austin:4111

N

Lamar

Ship To:

HEALTH & HUMAN SERVICES COMMISSION

4111 N Lamar

Austin TX 78756

United States

Invoice - DADS

HEALTH & HUMAN SERVICES COMMISSION

4001 Highway 36 South

Brenham TX 77833

United States

Bill To:

979/277-1865

712Accounting@hhs.

Fax:

Email:

Line-Sch

Inventory Item ID - Line Description

1-1

Class/Item

962-86

Quantity

1.00

Wagnor,Casey

PO Price

Purchaser:

UOM

LOT

512/406-2554

Extended Amt Due Date

4999.00000

$4,999.00

Schedule Total

$4,999.00

Item Total for Line 1

$4,999.00

Total PO Amount

$4,999.00

09/01/2021

FY22 SERVICES:

Freight/Shipping/Delivery for AuSSLC

Vocational Department to deliver

finished products to contracted vendors

(over 150lbs)

No substitutions or cancellations are permitted without prior approval by Health & Human Services Commission. If contractor fails to deliver by

promised delivery date (or reasonable time thereafter) or fails to meet requirements, Health & Human Services Commission reserves the right to

purchase elsewhere and charge an increased cost and handling to contractor.

Over shipments will not be accepted unless authorized by Buyer prior to shipment. The dispute resolution process provided for in Chapter 2260 of the

Texas Government Code must be used by the Health & Human Services Commission and Contractor to attempt to resolve all disputes arising under

the contract.

Performance under this purchase order is acceptance of the attached affirmations and terms and conditions.

Authorized By

07/28/2021

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