I Have Supplies County of Orange COVID-19 Medical Supply Donation Form: Commodities must meet all CDPH specifications Commodity Available: Select available commodities: N95 Respirator MasksNon-NIOSH RespiratorsSurgical MasksIsolation Gowns / Suits & Hospital GownsNitrile Exam GlovesFacial ShieldsEye Protection (Goggles)Hand SanitizerTouchless Hand Sanitizer DispensersShoe CoversVentilatorsSanitary Wipes/Sanitation WipesThermometersLodgingOther Add Commodity N95 Respirators Disposable N95 respirators must meet the following minimum specifications. Must have FDA/NIOSH Certification TC-xxx-xxxx Verify the manufacturer is an approved from CDC NOISH list (source) Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Non-NIOSH Respirators Non-NIOSH disposable respirators must meet the following minimum specifications. Must meet classification of FFP2 or FFP3 or KN95 or equivalent. Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Surgical Masks Disposable surgical masks must meet the following minimum specifications. Must have evidence of U.S. Food and Drug Administration (FDA) clearance. Should have device name "surgical mask" and product code "FXX" Establishment Registration & Device Listing: (source) List of FDA Emergency Use Authorizations: (source) Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Isolation Gowns / Suits & Hospital Gowns Isolation gowns must meet the following minimum specifications. ANSI/AAMI PB70 classifies the garments used in the healthcare industry, such as surgical and isolation gowns as meeting ANSI/AAMI PB70 Level 3, or 4 standards: ANSI/AAMI PB70External. Surgical gowns meet ASTM F2407 Standard Specification for Surgical Gowns intended for Use in Healthcare Facilities (FDA Recommendations) Hospital gowns are disposable Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Nitrile Exam Gloves Nitrile exam gloves must meet the following minimum specifications. Non-Latex and Non-Vinyl gloves only Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Facial Shields Facial shields must meet the following minimum specifications. Visors manufactured from acetate, propionate, and polycarbonate. Visors treated for anti-glare, anti-static, and anti-fogging properties are best. Face shields must be, at a minimum, full-face length with outer edges of the face shield reaching at least to the point of the ear, include chin and forehead protectors, and cover the forehead. Brow caps or forehead cushions should be of enough dimensions to ensure that there is adequate space between the wearer’s face and the inner surface of the visor to allow for the use of N95 respirator and eyewear. Face shields with single Velcro or elastic straps. Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Eye Protection (Goggles) Goggles must meet the following minimum specifications. Indirectly vented. Have manufacturer's anti-fog coating. Have marking "D3" for splash or droplet protection. Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Hand Sanitizer Hand sanitizer must meet the following minimum specifications. 60% Alcohol Minimum Remove Quantity Available Estimated Unit Cost Ship Date Description (Include Volume of Container) Upload Image Browse… Touchless Hand Sanitizer Dispensers Remove Quantity Available Estimated Unit Cost Ship Date Description (Include Volume of Container) Upload Image Browse… Shoe Covers Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Ventilators Ventilators must meet the following minimum specifications. Must provide Pressure Control Ventilation and Volume Control Ventilation. Must support Blending of Oxygen and Air. CPAP mode – continuous positive airway pressure Positive End Expiratory Pressure and Pressure Support Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Sanitary Wipes/Sanitation Wipes Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Thermometers Thermometers must meet the following minimum specifications. Ear thermometers Temporal thermometers No touch thermometers Remove Quantity Available Estimated Unit Cost Ship Date Make / Model / Description Upload Image Browse… Lodging Remove Rooms Available Estimated Cost Per Night Available Occupy Date Description Upload Image Browse… Other Remove Quantity Available Estimated Unit Cost Ship Date Description Upload Image Browse… Contact Information Name Company Address Address 2 City / Town State / Province Zip Code County AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia & HerzegovinaBotswanaBrazilBritish Indian Ocean TerBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaChristmas IslandCocos IslandColombiaComorosCongoCook IslandsCosta RicaCote DIvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerGabonGambiaGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuyanaHaitiHawaiiHondurasHong KongHungaryIcelandIndonesiaIndiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalaysiaMalawiMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMidway IslandsMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNambiaNauruNepalNetherland AntillesNetherlands (Holland, Europe)NevisNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau IslandPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRepublic of MontenegroRepublic of SerbiaReunionRomaniaRussiaRwandaSt BarthelemySt EustatiusSt HelenaSt Kitts-NevisSt LuciaSt MaartenSt Pierre & MiquelonSt Vincent & GrenadinesSaipanSamoaSamoa AmericanSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTahitiTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IsTuvaluUgandaUnited KingdomUkraineUnited Arab EmiratesUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamVirgin Islands (Brit)Virgin Islands (USA)Wake IslandWallis & Futana IsYemenZaireZambiaZimbabwe E-Mail * Contact Phone Number * Do you currently do business with the County of Orange? Yes No Please provide vendor code: Are you able to deliver the donation? Yes No Is the donation worth more than $10,000? Yes No Net Terms For Payment Additional Information: Supporting Documents / FDA Approvals Upload document: Browse… SUBMIT