Thank you for your interest in supporting the County of San Diego's COVID-19 response. If you have Personal Protective Equipment (PPE) or medical supplies that can be made available to the County, please provide the information requested below. The County is prioritizing the need for N95 respirators, surgical masks, eye protection, face shields, isolation gowns, gloves, ventilators, thermometers and hand sanitizer.

Please note that all purchases made by the County will be in compliance with any applicable federal, State and local laws and regulations, including California Penal Code Title 10 (link). 

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* 1. Contact Information

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* 2. Website Address

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* 3. Would you like to donate or sell these items to the County?

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* 4. Do you currently or have your previously done business with the County of San Diego?

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* 5. If you answered yes to the question above, please describe

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* 6. Do you currently do business with US Federal, State, and/or local businesses?

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* 7. If you answered yes to the question above, please describe

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* 8. Are you currently a member of a public purchasing cooperative?

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* 9. If you answered yes to the question above, please list

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* 10. Do you have a federal or state schedule (eg. GSA)?

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* 11. If you answered yes to the question above, please list

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* 12. What is your preferred payment method? Note that the County will only make payments via P-card (credit card) or purchase order (PO).

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* 14. Product Description (common product or model name)

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* 15. Manufacturer Name

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* 16. Manufacturer Part Number

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* 17. How many units do you have in stock that you will make available to the County?

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* 18. When will the units be available?

Date

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* 19. Please describe your unit of measure (eg. case, box, bottle, etc.)

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* 20. Is there a minimum or maximum order quantity?

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* 21. If you answered yes to the question above, please describe

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* 22. What is the price per unit?

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* 23. Attach a specification

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
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