Iowa Homeland Security Emergency Management: Emergency Procurement
Please note, this is NOT A REQUEST FOR QUOTATION, but an attempt to identify resources available in the event of an emergency. If you would like to be considered as a vendor resource in these events, please complete and submit this form. This solicitation is separate from Master Agreements and Targeted Small Business status and all vendors are welcome to complete this form.

The Iowa Department of Homeland Security and Emergency Management (HSEMD) has created a Qualified Vendor List for use in the State Emergency Operations Center (SEOC). This list includes responding vendors who are willing and able to provide the items from the form list with tax-exemption and expedited delivery. This list is available to all State and local agencies responding to an emergency via the SEOC. The responses on the form will be entered into database and monitored by HSEMD.

For questions, please contact Cate Brehmer via email (cate.brehmer@iowa.gov) or at 515-725-3203.

Vendor Information
Legal Business Name *
Your answer
Alternate Name (DBA)
Your answer
While not required, registration as a vendor with the State of Iowa, through HSEMD, is strongly recommended. In order for HSEMD to enter your company into the state system, at the time of first purchase, we will request a copy of the W9 for the "Legal Business Name" above. Once we have established a vendor identification number, it will allow for accurate and speedy ordering and payment for all purchases.

For very good information on the vendor process in general, but focused on bidding opportunities rather than emergency purchasing, please see the following website: https://das.iowa.gov/procurement/vendors/how-do-business.

However, we do not encourage you to utilize the vendor self serve (VSS) registration as this is designed for first time vendors to respond to a specific Request for Bid or Proposal. Rather, please allow HSEMD to assign a vendor identification number to you, if needed. This vendor identification number will serve you on all future transactions including Requests for Bid or Proposal.

Are you a registered vendor with the State of Iowa? *
If Yes, please provide your Vendor ID #
Your answer
Do you have a Master Agreement with the State? *
If Yes, list product(s) and Master Agreement #(s)
Enter one item per line (e.g. Sandbags #000000)
Your answer
Business Address(es) *
(e.g. 7900 Hickman Rd #500, Windsor Heights, IA 50324)
Your answer
Contact Name(s) and title
Your answer
Phone Number (24 Hour) *
Emergency contact number for procurement. Phone will be primary contact method during emergency. Enter as xxx-xxx-xxxx
Your answer
Phone Number (Main Business)
This number will be used for non-emergency contact such as billing. Enter as xxx-xxx-xxxx
Your answer
Email for Emergency Contact *
Email provided should be closely monitored, best email for quick response.
Your answer
Email for Main Business
Email used for non-emergency contact
Your answer
Will you accept credit card payments from the State of Iowa Purchasing Card Program? *
Website URL if available for ordering
Your answer
Customer/User on-line portal available?
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