DOD to provide medical providers to Navajo Nation in support of the 638s to DoD for COVID-19 Operations. Total 32 personnel, with Period of Performance of 44Days(2/11/21)and Costing $3,998,720.00

RRF#:2596-460034  Sage Memorial 6 ER Nurse
RRF#:2596-455996  Tuba City Regional Healthcare  4 ER nurses, 2 ICU nurses, 2 Respiratory Therapists,
RRF#:2596-456033  Winslow Indian Healthcare Center  4 ER nurses, 2 medical surge nurses
RRF#:2596-456646 - Ft. Defiance  6 ER nurses
Crown Point  2 medical surge nurses, 4 ER nurses

As directed by and in coordination with FEMA and Health and Human Services (HHS), and the Navajo Nation, in support of ESF 8, the Department of Defense (DOD) will provide qualified and credentialed medical staff and other
command and control personnel needed to support and augment medical facilities.

DoD is responsible for providing all requested or required
COVID-19 vaccinations.

Mission duration will include sufficient time to complete mandatory 14 days of restriction-of-movement (ROM)
requirements.

Other notes from FEMA;

a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment
(s).

b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for
reimbursement.

c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary
to ensure reimbursement.(refer Federal Personal Property Management Manual)

d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

e. The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received,
services are provided, and that costs are reasonable and supported by documentation maintained by the respective
agency

f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin
#157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation,
or additional justification has been provided.


(BOC 2508) Navajo. As directed by and in coordination with FEMA and Health and Human Services (HHS), and the Navajo Nation, in support of ESF 8, the Department of Defense (DOD) will provide 7 medical providers (5 ICU RNs and 2 RTs) to Tuba City Regional Healthcare.


BOC 2508 (NN) Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C.Borgognoni

(BOC 2508) Navajo. As directed by and in coordination with FEMA and Health and Human Services (HHS), and the Navajo Nation, in support of ESF 8, the Department of Defense (DOD) will provide 7 medical providers (5 ICU RNs and 2 RTs) to Tuba City Regional Healthcare.


BOC 2508 (NN) Amendment 3: Deobligate $3,800,000 per HQ guidance. Change PM to D.Garner

BOC 2508 (NN) Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C.Borgognoni

(BOC 2508) Navajo. As directed by and in coordination with FEMA and Health and Human Services (HHS), and the Navajo Nation, in support of ESF 8, the Department of Defense (DOD) will provide 7 medical providers (5 ICU RNs and 2 RTs) to Tuba City Regional Healthcare.


BOC 2508 (NN) Amendment 4: Deobligate $25k per HQ Closeout Team. Change PM to T. Erickson

BOC 2508 (NN) Amendment 3: Deobligate $3,800,000 per HQ guidance. Change PM to D.Garner

BOC 2508 (NN) Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C.Borgognoni

(BOC 2508) Navajo. As directed by and in coordination with FEMA and Health and Human Services (HHS), and the Navajo Nation, in support of ESF 8, the Department of Defense (DOD) will provide 7 medical providers (5 ICU RNs and 2 RTs) to Tuba City Regional Healthcare.


BOC 2508 (NN) Amendment 5: Deobligate $82,591.47 per request from FEMA HQ Closeout team.

BOC 2508 (NN) Amendment 4: Deobligate $25k per HQ Closeout Team. Change PM to T. Erickson

BOC 2508 (NN) Amendment 3: Deobligate $3,800,000 per HQ guidance. Change PM to D.Garner

BOC 2508 (NN) Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C.Borgognoni

(BOC 2508) Navajo. As directed by and in coordination with FEMA and Health and Human Services (HHS), and the Navajo Nation, in support of ESF 8, the Department of Defense (DOD) will provide 7 medical providers (5 ICU RNs and 2 RTs) to Tuba City Regional Healthcare.


BOC 2508. SCAT. Department of Defense (DOD) to provide qualified and credentialed medical staff and other command and control personnel needed to support and augment medical facilities at the San Carlos Apache Tribe.
Initial request: Six (6) med surge nurses.

As directed by and in coordination with FEMA and Health and Human Services (HHS), and the San Carlos Apache Tribe, in support of ESF 8, the Department of Defense (DOD) will provide qualified and credentialed medical staff and other command and control personnel needed to support and augment medical facilities.

DoD is responsible for providing all requested or required COVID-19 vaccinations.

Mission duration will include sufficient time to complete mandatory 14 days of restriction-of-movement (ROM) requirements.

Other notes from FEMA;

a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment
(s).

b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for
reimbursement.

c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary
to ensure reimbursement.(refer Federal Personal Property Management Manual)

d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

e. The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received,
services are provided, and that costs are reasonable and supported by documentation maintained by the respective
agency

f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin
#157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation,
or additional justification has been provided.


BOC 2508. Amendment 1: Deobligate and closeout MA. Request no longer needed.

BOC 2508. SCAT. Department of Defense (DOD) to provide qualified and credentialed medical staff and other command and control personnel needed to support and augment medical facilities at the San Carlos Apache Tribe.
Initial request: Six (6) med surge nurses.


Request HHS Provide wrap around services to support Quarantine housing to Navajo Nation. Support includes medical/health, security, feeding, laundry, PPE under HHS statutory authority.

As directed by and in coordination with FEMA, Dept. of Health & Human Services (HHS) will provide wrap around services to support Quarantine housing. Support includes
medical/health, security, feeding, laundry, PPE. under HHS statutory authority.
ADDITIONAL NOTES from FEMA:

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.

- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

- The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for
additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1 Change POP to 7/8/2020 with no cost extension.

Request HHS Provide wrap around services to support Quarantine housing to Navajo Nation. Support includes medical/health, security, feeding, laundry, PPE under HHS statutory authority.


Tribal Request: Navajo Nation. IHS senior leaders and senior staff to support tribal governments response to the COVID-19 pandemic.

IHS senior leaders and senior staff will participate and receive direction from HHS ASPR and FEMA by attending all meetings, senior level discussions, participating in task forces and modeling and/or other communications identified by and at the direction of FEMA/ASPR in support of tribal governments response to the COVID-19 pandemic.

The IHS Area Director and support staff are assigned by HHS and FEMA to the Navajo Nation Unified Coordination Group (UCG) in a subordinate position reporting directly to David Nez, incident commander.

This will enable one line of command/control decision authority within the UCG and ensure consistency of effort with response strategies across the whole of the Navajo Nation. IHS will manage, operate, and staff alternate care facilities at Chinle, AZ and Shiprock, NM IAW direction and requirements of the UCG NLT 10 JUN.

IHS in Navajo Nation will support all directives given by Navajo Nation Incident Command and President Nez for operations to mitigate, save and sustain lives during and in ongoing response to the COVID-19 outbreak in Navajo Nation and surrounding jurisdictions.


Amendment #1:  de-obligate $10,000 and closeout Mission Assignment. No charges will be billed to this MA.

Tribal Request: Navajo Nation. IHS senior leaders and senior staff to support tribal governments response to the COVID-19 pandemic.


BOC 2508: The Department of Health and Human Services (HHS) will provide mental health professionals to the Navajo Nation.  These mental health professionals will be utilized throughout Indian Health Service locations serving the Navajo Nation.

As directed by and in coordination with FEMA, Health & Human Services (HHS)  will provide Mental Health Professionals (MHP) throughout the Navajo Nation, to provide critical Mental Health counseling services for Navajo Area IHS staff providing healthcare services during the on-going COVID-19 pandemic.

Counseling services will include but are not limited to: individual sessions addressing staff burnout, compassion fatigue, stress, anxiety, situational depression, coping, and resilience.

HHS may subtask other Federal agencies for disaster medical support requirements as needed.

Other notes from FEMA:

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.

- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


(BOC 2805) Navajo. Amendment 1: Deobligate $30,000 and closeout MA. FEMA cannot use DRF to fund IHS, an HHS funded facilities.

BOC 2508: The Department of Health and Human Services (HHS) will provide mental health professionals to the Navajo Nation.  These mental health professionals will be utilized throughout Indian Health Service locations serving the Navajo Nation.


BOC 2508: The Department of Health and Human Services (HHS) will provide Medical providers to the Navajo Nation. These Medical providers will be utilized throughout Indian Health Service locations serving the Navajo Nation.

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide Medical Staff including, but not limited to Public Health Nurses, Laboratory Scientists and Laboratory Technicians throughout the Navajo Nation.  This medical staffing will provide healthcare services during the ongoing COVID19 pandemic for the Navajo Area Indian Health Service.

HHS may subtask other Federal agencies for disaster medical support requirements as needed.

Other notes from FEMA:
a.	MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
b.	Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
c.	All equipment and supply purchases must be coordinated with a FEMA Project Manager.  If approved, documentation is necessary to ensure reimbursement. . (refer Federal Personal Property Management Manual)
d.	Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
e.	The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
f.	MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


(BOC 2508) Navajo. Amendment 1: : Deobligate $51,000 and closeout MA. FEMA cannot use DRF to fund IHS, an HHS funded facilities

BOC 2508: The Department of Health and Human Services (HHS) will provide Medical providers to the Navajo Nation. These Medical providers will be utilized throughout Indian Health Service locations serving the Navajo Nation.


BOC 2508: The Department of Health and Human Services (HHS) National Disaster Medical System (NDMS) will provide Medical providers to the Navajo Nation. These Medical providers will be utilized throughout Indian Health Service locations serving the Navajo Nation.


(BOC 2508) Navajo. Amendment 1: Deobligate $187.000 and closeout MA. FEMA cannot use DRF to fund IHS, an HHS funded facilities.

BOC 2508: The Department of Health and Human Services (HHS) National Disaster Medical System (NDMS) will provide Medical providers to the Navajo Nation. These Medical providers will be utilized throughout Indian Health Service locations serving the Navajo Nation.


MA to Navajo Nation in support of 638s to HHS Public Health Service, for COVID-19 Operations. Period of Performance for 30days (1/20/21) and Cost $15,000.00.

RRF# 2596- 455996  Tuba City Regional Healthcare 2 Medical Lab Techs
RRF#:2596-456033  Winslow Indian Healthcare Center  1 public Health Nurse, 1 Contact Tracer

As directed by and in coordination with FEMA, Health & Human Services (HHS)  will provide but not limited to medical, contact tracing and technician assets throughout the Navajo Nation, to provide critical assistance to the Navajo Nation during the on-going COVID-19 pandemic.

HHS may subtask other Federal agencies for disaster medical support requirements as needed.

Other notes from FEMA:
a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. . (refer Federal
Personal Property Management Manual)
d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
e. The missionassigned
agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and
supported by documentation maintained by the respective agency
f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for
additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


BOC 2508 (NN) Amendment 1: Extend project end date to 03/04/2021 and increase funding by $36,000.00. Fort Defiance Indian Hospital Board (Title V 638 Medical Facility) requesting 12 medical personnel for a 30 days mission starting on 2/02/21

MA to Navajo Nation in support of 638s to HHS Public Health Service, for COVID-19 Operations. Period of Performance for 30days (1/20/21) and Cost $15,000.00.

RRF# 2596- 455996  Tuba City Regional Healthcare 2 Medical Lab Techs
RRF#:2596-456033  Winslow Indian Healthcare Center  1 public Health Nurse, 1 Contact Tracer


BOC 2508 (NN) Amendment 2: Deobligate $36,000 and change projected end-date back to 1/20/21. Amendment 1 will be reissued under 4528DR-AZ-HHS-01

BOC 2508 (NN) Amendment 1: Extend project end date to 03/04/2021 and increase funding by $36,000.00. Fort Defiance Indian Hospital Board (Title V 638 Medical Facility) requesting 12 medical personnel for a 30 days mission starting on 2/02/21

MA to Navajo Nation in support of 638s to HHS Public Health Service, for COVID-19 Operations. Period of Performance for 30days (1/20/21) and Cost $15,000.00.

RRF# 2596- 455996  Tuba City Regional Healthcare 2 Medical Lab Techs
RRF#:2596-456033  Winslow Indian Healthcare Center  1 public Health Nurse, 1 Contact Tracer


BOC 2508 (NN) Amendment 3: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C. Borgognoni

BOC 2508 (NN) Amendment 2: Deobligate $36,000 and change projected end-date back to 1/20/21. Amendment 1 will be reissued under 4528DR-AZ-HHS-01

BOC 2508 (NN) Amendment 1: Extend project end date to 03/04/2021 and increase funding by $36,000.00. Fort Defiance Indian Hospital Board (Title V 638 Medical Facility) requesting 12 medical personnel for a 30 days mission starting on 2/02/21

MA to Navajo Nation in support of 638s to HHS Public Health Service, for COVID-19 Operations. Period of Performance for 30days (1/20/21) and Cost $15,000.00.

RRF# 2596- 455996  Tuba City Regional Healthcare 2 Medical Lab Techs
RRF#:2596-456033  Winslow Indian Healthcare Center  1 public Health Nurse, 1 Contact Tracer


BOC 2508 (NN) Amendment 4: De-obligate and close due to greater than 180 days inactivity per FEMA Policy. Upon receipt of valid IPAC and proper supporting documentation FEMA will re-obligate funds.

BOC 2508 (NN) Amendment 3: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C. Borgognoni

BOC 2508 (NN) Amendment 2: Deobligate $36,000 and change projected end-date back to 1/20/21. Amendment 1 will be reissued under 4528DR-AZ-HHS-01

BOC 2508 (NN) Amendment 1: Extend project end date to 03/04/2021 and increase funding by $36,000.00. Fort Defiance Indian Hospital Board (Title V 638 Medical Facility) requesting 12 medical personnel for a 30 days mission starting on 2/02/21

MA to Navajo Nation in support of 638s to HHS Public Health Service, for COVID-19 Operations. Period of Performance for 30days (1/20/21) and Cost $15,000.00.

RRF# 2596- 455996  Tuba City Regional Healthcare 2 Medical Lab Techs
RRF#:2596-456033  Winslow Indian Healthcare Center  1 public Health Nurse, 1 Contact Tracer


BOC: 2508. SCAT. The Department of Health and Human Services (HHS) will provide Medical providers to the San Carlos Apache Tribe. Initial request: 3 lab technicians. Funding is for travel expenses only.

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide but not limited to laboratory technician assets to the San Carlos Apache Tribe, to provide critical assistance to the tribe during the ongoing COVID19 pandemic.

HHS may subtask other Federal agencies for disaster medical support requirements as needed.

Other notes from FEMA:
a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. (refer Federal Personal Property Management Manual)

d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

e. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


BOC 2508. Amendment 1:  Extend end-date to 03/03/21 and increase funding by 15k. SCAHC requesting 5 medical providers for 30 day mission starting on 2/01/21

BOC: 2508. SCAT. The Department of Health and Human Services (HHS) will provide Medical providers to the San Carlos Apache Tribe. Initial request: 3 lab technicians. Funding is for travel expenses only.


BOC 2508. Amendment 2 Change projected end-date to 3/23/21 and increase funding by $9,000 extension for three (3) pharmacists

BOC 2508. Amendment 1:  Extend end-date to 03/03/21 and increase funding by 15k. SCAHC requesting 5 medical providers for 30 day mission starting on 2/01/21

BOC: 2508. SCAT. The Department of Health and Human Services (HHS) will provide Medical providers to the San Carlos Apache Tribe. Initial request: 3 lab technicians. Funding is for travel expenses only.


BOC 2508. Amendment 3: Change projected end date to 4/24/21 and increase funding by $6,000. SCAT requesting 2 lab techs for 30 day mission 3/24-4/24

BOC 2508. Amendment 2 Change projected end-date to 3/23/21 and increase funding by $9,000 extension for three (3) pharmacists

BOC 2508. Amendment 1:  Extend end-date to 03/03/21 and increase funding by 15k. SCAHC requesting 5 medical providers for 30 day mission starting on 2/01/21

BOC: 2508. SCAT. The Department of Health and Human Services (HHS) will provide Medical providers to the San Carlos Apache Tribe. Initial request: 3 lab technicians. Funding is for travel expenses only.


BOC 2508. SCAT.  Amendment 4: Change projected end date to 5/05/21 and change cost-share to 0% in accordance with the Response Directorate memo dated 3/29/21.

BOC 2508. Amendment 3: Change projected end date to 4/24/21 and increase funding by $6,000. SCAT requesting 2 lab techs for 30 day mission 3/24-4/24

BOC 2508. Amendment 2 Change projected end-date to 3/23/21 and increase funding by $9,000 extension for three (3) pharmacists

BOC 2508. Amendment 1:  Extend end-date to 03/03/21 and increase funding by 15k. SCAHC requesting 5 medical providers for 30 day mission starting on 2/01/21

BOC: 2508. SCAT. The Department of Health and Human Services (HHS) will provide Medical providers to the San Carlos Apache Tribe. Initial request: 3 lab technicians. Funding is for travel expenses only.


BOC 2508 Amendment 5: De-obligate $39,000.00 and close due to greater than 180 days inactivity per FEMA Policy. Upon receipt of valid IPAC and proper supporting documentation FEMA will re-obligate funds.

BOC 2508. SCAT.  Amendment 4: Change projected end date to 5/05/21 and change cost-share to 0% in accordance with the Response Directorate memo dated 3/29/21.

BOC 2508. Amendment 3: Change projected end date to 4/24/21 and increase funding by $6,000. SCAT requesting 2 lab techs for 30 day mission 3/24-4/24

BOC 2508. Amendment 2 Change projected end-date to 3/23/21 and increase funding by $9,000 extension for three (3) pharmacists

BOC 2508. Amendment 1:  Extend end-date to 03/03/21 and increase funding by 15k. SCAHC requesting 5 medical providers for 30 day mission starting on 2/01/21

BOC: 2508. SCAT. The Department of Health and Human Services (HHS) will provide Medical providers to the San Carlos Apache Tribe. Initial request: 3 lab technicians. Funding is for travel expenses only.


Amendment #6 Increase funding by $45,952.67 to cover invoice
BOC 2508 Amendment 5: De-obligate $39,000.00 and close due to greater than 180 days inactivity per FEMA Policy. Upon receipt of valid IPAC and proper supporting documentation FEMA will re-obligate funds.
BOC 2508. SCAT.  Amendment 4: Change projected end date to 5/05/21 and change cost-share to 0% in accordance with the Response Directorate memo dated 3/29/21.
BOC 2508. Amendment 3: Change projected end date to 4/24/21 and increase funding by $6,000. SCAT requesting 2 lab techs for 30 day mission 3/24-4/24
BOC 2508. Amendment 2 Change projected end-date to 3/23/21 and increase funding by $9,000 extension for three (3) pharmacists
BOC 2508. Amendment 1:  Extend end-date to 03/03/21 and increase funding by 15k. SCAHC requesting 5 medical providers for 30 day mission starting on 2/01/21
BOC: 2508. SCAT. The Department of Health and Human Services (HHS) will provide Medical providers to the San Carlos Apache Tribe. Initial request: 3 lab technicians. Funding is for travel expenses only.


BOC 2508 (SCAT) The Department of Health and Human Services (HHS) will provide medical providers to the San Carlos Apache Tribe. Initial request is for 2 lab technicians sourced via Public Health Service (USPHS)

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide personnel with qualifications to support laboratory operations to the San Carlos Apache Tribe in support of COVID-19 laboratory missions.

Other notes from FEMA:

a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. (refer Federal Personal Property Management Manual)

d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

e. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


BOC 2508 (SCAT) Amendment 1: Increase funding by $13k for a total of $19k to cover adjusted cost estimate for deployed personnel. *Funding covers travel/per diem only.

BOC 2508 (SCAT) The Department of Health and Human Services (HHS) will provide medical providers to the San Carlos Apache Tribe. Initial request is for 2 lab technicians sourced via Public Health Service (USPHS)


BOC 2508 Amendment 2: De-obligate $19,000.00 and close due to greater than 180 days inactivity per FEMA Policy. Upon receipt of valid IPAC and proper supporting documentation FEMA will re-obligate funds.

BOC 2508 (SCAT) Amendment 1: Increase funding by $13k for a total of $19k to cover adjusted cost estimate for deployed personnel. *Funding covers travel/per diem only.

BOC 2508 (SCAT) The Department of Health and Human Services (HHS) will provide medical providers to the San Carlos Apache Tribe. Initial request is for 2 lab technicians sourced via Public Health Service (USPHS)


BOC 2508 (SCAT) (VC) The Department of Health and Human Services (HHS) will provide medical providers to serve as vaccinators to the San Carlos Apache Tribe.

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide trained vaccinators to the San Carlos Apache Tribe to assist with COVID-19 vaccinations support as required.

Other notes from FEMA:

a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. (refer Federal Personal Property Management Manual)

d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

e. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


BOC 2508 (SCAT) (VC) Amendment #1- DeObligate (-$40,840.00) per ULO and HQ Guidance. Change PM, Melissa Boudrye..

BOC 2508 (SCAT) (VC) The Department of Health and Human Services (HHS) will provide medical providers to serve as vaccinators to the San Carlos Apache Tribe.


BOC 2508 (SCAT) (VC) The Department of Health and Human Services (HHS) will provide medical providers to serve as vaccinators and administer monoclonal antibody therapy   to the San Carlos Apache Tribe.

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide personnel with qualifications to support vaccination and monoclonal antibody administration operations in support of the San Carlos Apache Tribe COVID19 response.

Other notes from FEMA:

a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. (refer Federal Personal Property Management Manual)

d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

e. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


BOC 2508 (SCAT) (VC) Amendment 1: Increase funding by $20,300 and change POP to 3/02/22. Change PM to C. Borgognoni

BOC 2508 (SCAT) (VC) The Department of Health and Human Services (HHS) will provide medical providers to serve as vaccinators and administer monoclonal antibody therapy   to the San Carlos Apache Tribe.


USCG to provide one PIO from the External Affairs Support Team to support FEMA COVID-19 Response Operations at Navajo Nation.

As directed by and in coordination with FEMA, US Coast Guard (USCG) will provide External Affairs subject matter experts (SMEs) to FEMA Incident Management Assistance Teams (IMATs), or other entities or facilities in support of response operations. Subject matter experts will report directly to ESF-15 and provide specialized expertise on public messaging as directed by FEMA in support of disaster operations.

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

 - Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. - Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1 Increase funding by $25K for total amount of $30K.

USCG to provide one PIO from the External Affairs Support Team to support FEMA COVID-19 Response Operations at Navajo Nation.


Amendment #2 Increase funding by $20K for total amount of $50K and extend Project end date to 28 June 2020.

Amendment #1 Increase funding by $25K for total amount of $30K and extend projected end date to 27 May 2020.

USCG to provide one PIO from the External Affairs Support Team to support FEMA COVID-19 Response Operations at Navajo Nation.


Amendment #3 Administrative amendment to correct project end date to 28 June 2020 in block IV.

Amendment #2 Increase funding by $20K for total amount of $50K and extend Project end date to 28 June 2020.

Amendment #1 Increase funding by $25K for total amount of $30K and extend projected end date to 27 May 2020.

USCG to provide one PIO from the External Affairs Support Team to support FEMA COVID-19 Response Operations at Navajo Nation.


Amendment #4 To extend POP to 7/10/2020 no cost incurred.

Amendment #3 Administrative amendment to correct project end date to 28 June 2020 in block IV.

Amendment #2 Increase funding by $20K for total amount of $50K and extend Project end date to 28 June 2020.

Amendment #1 Increase funding by $25K for total amount of $30K and extend projected end date to 27 May 2020.

USCG to provide one PIO from the External Affairs Support Team to support FEMA COVID-19 Response Operations at Navajo Nation.


Amendment #5 De-obligate $19,099.25 in funding leaving $30,900.75 to cover expended amount. USCG to provide one PIO from the External Affairs Support Team to support FEMA COVID-19 Response Operations at Navajo Nation.

Amendment #4 To extend POP to 7/10/2020 no cost incurred.

Amendment #3 Administrative amendment to correct project end date to 28 June 2020 in block IV.

Amendment #2 Increase funding by $20K for total amount of $50K and extend Project end date to 28 June 2020.

Amendment #1 Increase funding by $25K for total amount of $30K and extend projected end date to 27 May 2020.

USCG to provide one PIO from the External Affairs Support Team to support FEMA COVID-19 Response Operations at Navajo Nation.


Request Planning and Logistics support to the Federal team who is supporting the Navajo Nation.

This includes a Planning Section Chief, Logistics Section Chief, Situation Unit Lead and additional   staff as identified at a later time.

In support of FEMA request, as directed by and in coordination with FEMA, US Forest Service (USFS) will provide command, control, and coordination resources, to include command and general staff members or personnel with other specialized qualifications, to assist with planning and logistics operations in support response operations.
USFS will utilize other Federal agency and State/local resources under existing agreement, as appropriate.

If authorized by FEMA, USFS will establish a Base Camp to provide lodging, meals, and support for command/control personnel and equipment. This will be provided in lieu of per diem and under a separate mission assignment.

MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.

Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1 - Increase funding by $23,420 and change project end date to 5/31/2020

Request Planning and Logistics support to the Federal team who is supporting the Navajo Nation.

This includes a Planning Section Chief, Logistics Section Chief, Situation Unit Lead and additional   staff as identified at a later time.


Amendment #2 - Extend projected end date to 06/30/2020

Amendment #1 - Increase funding by $23,420 and change project end date to 5/31/2020

Request Planning and Logistics support to the Federal team who is supporting the Navajo Nation.

This includes a Planning Section Chief, Logistics Section Chief, Situation Unit Lead and additional   staff as identified at a later time.


(NN) Amendment #3: USFS is requesting an increase of $1,216.88 to cover invoice.

Amendment #2 - Extend projected end date to 06/30/2020

Amendment #1 - Increase funding by $23,420 and change project end date to 5/31/2020

Request Planning and Logistics support to the Federal team who is supporting the Navajo Nation.

This includes a Planning Section Chief, Logistics Section Chief, Situation Unit Lead and additional   staff as identified at a later time.


(NN) Amendment #4: Increase funding by $0.30 to cover invoice.

(NN) Amendment #3: USFS is requesting an increase of $1,216.88 to cover invoice.

Amendment #2 - Extend projected end date to 06/30/2020

Amendment #1 - Increase funding by $23,420 and change project end date to 5/31/2020

Request Planning and Logistics support to the Federal team who is supporting the Navajo Nation.

This includes a Planning Section Chief, Logistics Section Chief, Situation Unit Lead and additional   staff as identified at a later time.


BOC2508 The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with
COVID19 outbreak response operations by providing staffing of healthcare personnel to support multiple IHS locations on the Navajo Nation. This request includes eight (8)
Med Surge Registered Nurses (RNs), and seven (7) ER nurses per day, not to exceed the MA total estimated cost.

The Teams will work five (5) days on and two (2) days off 12 hours shifts and will be deployed to four or five IHS facilities, as required:

Chinle, AZ and/or Crownpoint, NM  two (2) Med Surge RNs for 30 days

Gallup NM  two (2) Med Surge RNs and seven (7) ER RNs for 30 days

Shiprock NM  two (2) Med Surge RNs for 30 days

Kayenta AZ  two (2) Med Surge RNs for 30 days

The POC for IHS Dr. Loretta Christensen who will be directing the teams, her contact number is 17327406702.
Services to be provided not to exceed 30 days. IHS will supply PPE for the duration of the mission. PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face shields and hand sanitizer.

Teams will provide their own transportation.

As directed by and in coordination with FEMA, Department of Health and Human Services (HHS), and Indian Health Services (IHS) , request Veterans Administration (VA) to
provide appropriate personnel to support FEMA disaster operations. Veterans Health Administration provide nursing support to IHS facilities in Arizona and New Mexico.

These teams will augment existing staffing due to outbreaks in the community and facilities where staffing levels are critically impacted. These teams will be tasked to specific IHS facilities located on Navajo Nation.

Teams will provide their own transportation.

IHS will supply PPE for the duration of the mission.
VHA cannot provide services for Pediatric, or OB/GYN or Trauma patients.

FEMA/Indian Health Services will reimburse for overtime, lodging and per diem (as necessary), transportation costs, supplies, and ancillary fees and costs, as applicable.

The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency.

MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1 - Extend project end date to 8/19/2020 and increase funding by $131,402.00, Change P.M. to D. Garner.

BOC2508 The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with COVID19 outbreak response operations by providing staffing of healthcare personnel to support multiple IHS locations on the Navajo Nation. This request includes eight (8) Med Surge Registered Nurses (RNs), and seven (7) ER nurses per day, not to exceed the MA total estimated cost.

The Teams will work five (5) days on and two (2) days off 12 hours shifts and will be deployed to four or five IHS facilities, as required:

Chinle, AZ and/or Crownpoint, NM  two (2) Med Surge RNs for 30 days

Gallup NM  two (2) Med Surge RNs and seven (7) ER RNs for 30 days

Shiprock NM  two (2) Med Surge RNs for 30 days

Kayenta AZ  two (2) Med Surge RNs for 30 days

The POC for IHS Dr. Loretta Christensen who will be directing the teams, her contact number is 17327406702.
Services to be provided not to exceed 30 days. IHS will supply PPE for the duration of the mission. PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face shields and hand sanitizer.

Teams will provide their own transportation.


Amendment #2- Increase funding by $349,560. Change PM to Shawn Matz.

Amendment #1 - Extend project end date to 8/19/2020 and increase funding by $131,402.00, Change P.M. to D. Garner.

BOC2508 The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with COVID19 outbreak response operations by providing staffing of healthcare personnel to support multiple IHS locations on the Navajo Nation. This request includes eight (8) Med Surge Registered Nurses (RNs), and seven (7) ER nurses per day, not to exceed the MA total estimated cost.

The Teams will work five (5) days on and two (2) days off 12 hours shifts and will be deployed to four or five IHS facilities, as required:

Chinle, AZ and/or Crownpoint, NM  two (2) Med Surge RNs for 30 days

Gallup NM  two (2) Med Surge RNs and seven (7) ER RNs for 30 days

Shiprock NM  two (2) Med Surge RNs for 30 days

Kayenta AZ  two (2) Med Surge RNs for 30 days

The POC for IHS Dr. Loretta Christensen who will be directing the teams, her contact number is 17327406702.
Services to be provided not to exceed 30 days. IHS will supply PPE for the duration of the mission. PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face shields and hand sanitizer.

Teams will provide their own transportation.


Amendment 3: Deobligate $725,922.28 per FEMA HQ guidance. Change PM to T. Erickson.

Amendment #2- Increase funding by $349,560. Change PM to Shawn Matz.

Amendment #1 - Extend project end date to 8/19/2020 and increase funding by $131,402.00, Change P.M. to D. Garner.

BOC2508 The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with COVID19 outbreak response operations by providing staffing of healthcare personnel to support multiple IHS locations on the Navajo Nation. This request includes eight (8) Med Surge Registered Nurses (RNs), and seven (7) ER nurses per day, not to exceed the MA total estimated cost.

The Teams will work five (5) days on and two (2) days off 12 hours shifts and will be deployed to four or five IHS facilities, as required:

Chinle, AZ and/or Crownpoint, NM  two (2) Med Surge RNs for 30 days

Gallup NM  two (2) Med Surge RNs and seven (7) ER RNs for 30 days

Shiprock NM  two (2) Med Surge RNs for 30 days

Kayenta AZ  two (2) Med Surge RNs for 30 days

The POC for IHS Dr. Loretta Christensen who will be directing the teams, her contact number is 17327406702.
Services to be provided not to exceed 30 days. IHS will supply PPE for the duration of the mission. PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face shields and hand sanitizer.

Teams will provide their own transportation.


The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VISN 22 will assist
the Navajo Nation with COVID19 outbreak response operations by providing staffing of healthcare
nursing personnel to support with inpatient care of Medical Surge Unit patients, Emergency Room
patients and Intensive Care Unit patients at the Tuba City Regional Health Care Corporation. This
request includes six (6) Med Surge Nurses (RNs), six (6) Emergency Room RNs and four (4) Intensive
Care Unit Nurses (RNs) per day, not to exceed the MA total estimated cost.

The Veteran Health Administration nursing teams will work five (5) days on and two (2) day off in
support of Navajo Nation Tuba City Regional Health Care Corporation which is a Title V 638 Medical
Facility. Services to be provided not to exceed 14 days with a possibility of extension of
additional 14 days if the COVID19 cases continue to increase. Teams will be provided with
appropriate PPE for the duration of the mission by the Tuba City Regional Health Care Corporation.
PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face
shields and hand sanitizer. Teams will provide their own transportation.

Staffing support: InPatient Nursing Care for Tuba City Regional Health Care Corporation (Med
Surge, ER and ICU)
Primary Mission Coordinator: CAPT Brian Johnson, IHS Liaison Phone; 9288715801, Email: brian.johnson@ihs.gov

As directed by and in coordination with FEMA, and Navajo Nation Public Health Department requests the Veterans Health Administration to provide personnel for inpatient
RN nursing care to include emergency room, medical surge and intensive care operations to the Navajo Nation in Arizona, New Mexico and Utah.

These teams will augment existing staffing due to outbreaks in the facilities when staffing levels are critically impacted. These teams will be tasked to Navajo Nation Title V 638 facilities.

Teams will provide their own transportation.

FEMA/Navajo Nation will provide necessary PPE for daily operations for VHA staff.

VHA cannot provide services for Pediatric, OB/GYN, or Trauma patients.

Mission Assignment will reimburse for overtime, lodging and per diem (as necessary), transportation costs, supplies, and ancillary fees and costs, as applicable.

The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment 1: $134,954.20 funding increase. Extend POP to 06/06/2020. Change P.M. to D. Garner.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VISN 22 will assist
the Navajo Nation with COVID19 outbreak response operations by providing staffing of healthcare
nursing personnel to support with inpatient care of Medical Surge Unit patients, Emergency Room
patients and Intensive Care Unit patients at the Tuba City Regional Health Care Corporation. This
request includes six (6) Med Surge Nurses (RNs), six (6) Emergency Room RNs and four (4) Intensive
Care Unit Nurses (RNs) per day, not to exceed the MA total estimated cost.

The Veteran Health Administration nursing teams will work five (5) days on and two (2) day off in
support of Navajo Nation Tuba City Regional Health Care Corporation which is a Title V 638 Medical
Facility. Services to be provided not to exceed 14 days with a possibility of extension of
additional 14 days if the COVID19 cases continue to increase. Teams will be provided with
appropriate PPE for the duration of the mission by the Tuba City Regional Health Care Corporation.
PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face
shields and hand sanitizer. Teams will provide their own transportation.

Staffing support: InPatient Nursing Care for Tuba City Regional Health Care Corporation (Med
Surge, ER and ICU)
Primary Mission Coordinator: CAPT Brian Johnson, IHS Liaison Phone; 9288715801, Email: brian.johnson@ihs.gov


Amendment 2 Extend projected end date to 07/06/2020

Amendment 1: $134,954.20 funding increase. Extend POP to 06/06/2020. Change P.M. to D. Garner.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VISN 22 will assist
the Navajo Nation with COVID19 outbreak response operations by providing staffing of healthcare
nursing personnel to support with inpatient care of Medical Surge Unit patients, Emergency Room
patients and Intensive Care Unit patients at the Tuba City Regional Health Care Corporation. This
request includes six (6) Med Surge Nurses (RNs), six (6) Emergency Room RNs and four (4) Intensive
Care Unit Nurses (RNs) per day, not to exceed the MA total estimated cost.

The Veteran Health Administration nursing teams will work five (5) days on and two (2) day off in
support of Navajo Nation Tuba City Regional Health Care Corporation which is a Title V 638 Medical
Facility. Services to be provided not to exceed 14 days with a possibility of extension of
additional 14 days if the COVID19 cases continue to increase. Teams will be provided with
appropriate PPE for the duration of the mission by the Tuba City Regional Health Care Corporation.
PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face
shields and hand sanitizer. Teams will provide their own transportation.

Staffing support: InPatient Nursing Care for Tuba City Regional Health Care Corporation (Med
Surge, ER and ICU)
Primary Mission Coordinator: CAPT Brian Johnson, IHS Liaison Phone; 9288715801, Email: brian.johnson@ihs.gov


Amendment #3 Navajo Nation 3442EM-AZ-VA-02 to increase funding by $270,000.00. Adjust cost-share back to 25%

Amendment #2 Extend projected end date to 07/06/2020

Amendment 1: $134,954.20 funding increase. Extend POP to 06/06/2020. Change P.M. to D. Garner.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VISN 22 will assist
the Navajo Nation with COVID19 outbreak response operations by providing staffing of healthcare
nursing personnel to support with inpatient care of Medical Surge Unit patients, Emergency Room
patients and Intensive Care Unit patients at the Tuba City Regional Health Care Corporation. This
request includes six (6) Med Surge Nurses (RNs), six (6) Emergency Room RNs and four (4) Intensive
Care Unit Nurses (RNs) per day, not to exceed the MA total estimated cost.

The Veteran Health Administration nursing teams will work five (5) days on and two (2) day off in
support of Navajo Nation Tuba City Regional Health Care Corporation which is a Title V 638 Medical
Facility. Services to be provided not to exceed 14 days with a possibility of extension of
additional 14 days if the COVID19 cases continue to increase. Teams will be provided with
appropriate PPE for the duration of the mission by the Tuba City Regional Health Care Corporation.
PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face
shields and hand sanitizer. Teams will provide their own transportation.

Staffing support: InPatient Nursing Care for Tuba City Regional Health Care Corporation (Med
Surge, ER and ICU)
Primary Mission Coordinator: CAPT Brian Johnson, IHS Liaison Phone; 9288715801, Email: brian.johnson@ihs.gov


BOC 2508 (NN) Amendment 4: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C. Borgognoni

Amendment #3 Navajo Nation 3442EM-AZ-VA-02 to increase funding by $270,000.00. Adjust cost-share back to 25%

Amendment #2 Extend projected end date to 07/06/2020

Amendment 1: $134,954.20 funding increase. Extend POP to 06/06/2020. Change P.M. to D. Garner.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VISN 22 will assist
the Navajo Nation with COVID19 outbreak response operations by providing staffing of healthcare
nursing personnel to support with inpatient care of Medical Surge Unit patients, Emergency Room
patients and Intensive Care Unit patients at the Tuba City Regional Health Care Corporation. This
request includes six (6) Med Surge Nurses (RNs), six (6) Emergency Room RNs and four (4) Intensive
Care Unit Nurses (RNs) per day, not to exceed the MA total estimated cost.

The Veteran Health Administration nursing teams will work five (5) days on and two (2) day off in
support of Navajo Nation Tuba City Regional Health Care Corporation which is a Title V 638 Medical
Facility. Services to be provided not to exceed 14 days with a possibility of extension of
additional 14 days if the COVID19 cases continue to increase. Teams will be provided with
appropriate PPE for the duration of the mission by the Tuba City Regional Health Care Corporation.
PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face
shields and hand sanitizer. Teams will provide their own transportation.

Staffing support: InPatient Nursing Care for Tuba City Regional Health Care Corporation (Med
Surge, ER and ICU)
Primary Mission Coordinator: CAPT Brian Johnson, IHS Liaison Phone; 9288715801, Email: brian.johnson@ihs.gov


BOC 2508 (NN) Amendment 5: Deobligate $264,109.76 per FEMA HQ guidance. Change PM to T.Erickson

BOC 2508 (NN) Amendment 4: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C. Borgognoni

Amendment #3 Navajo Nation 3442EM-AZ-VA-02 to increase funding by $270,000.00. Adjust cost-share back to 25%

Amendment #2 Extend projected end date to 07/06/2020

Amendment 1: $134,954.20 funding increase. Extend POP to 06/06/2020. Change P.M. to D. Garner.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VISN 22 will assist
the Navajo Nation with COVID19 outbreak response operations by providing staffing of healthcare
nursing personnel to support with inpatient care of Medical Surge Unit patients, Emergency Room
patients and Intensive Care Unit patients at the Tuba City Regional Health Care Corporation. This
request includes six (6) Med Surge Nurses (RNs), six (6) Emergency Room RNs and four (4) Intensive
Care Unit Nurses (RNs) per day, not to exceed the MA total estimated cost.

The Veteran Health Administration nursing teams will work five (5) days on and two (2) day off in
support of Navajo Nation Tuba City Regional Health Care Corporation which is a Title V 638 Medical
Facility. Services to be provided not to exceed 14 days with a possibility of extension of
additional 14 days if the COVID19 cases continue to increase. Teams will be provided with
appropriate PPE for the duration of the mission by the Tuba City Regional Health Care Corporation.
PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face
shields and hand sanitizer. Teams will provide their own transportation.

Staffing support: InPatient Nursing Care for Tuba City Regional Health Care Corporation (Med
Surge, ER and ICU)
Primary Mission Coordinator: CAPT Brian Johnson, IHS Liaison Phone; 9288715801, Email: brian.johnson@ihs.gov


BOC 2508 (NN) Amendment 6: Deobligate $56,738.55 as requested by FEMA HQ closeout team

BOC 2508 (NN) Amendment 5: Deobligate $264,109.76 per FEMA HQ guidance. Change PM to T.Erickson

BOC 2508 (NN) Amendment 4: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change PM to C. Borgognoni

Amendment #3 Navajo Nation 3442EM-AZ-VA-02 to increase funding by $270,000.00. Adjust cost-share back to 25%

Amendment #2 Extend projected end date to 07/06/2020

Amendment 1: $134,954.20 funding increase. Extend POP to 06/06/2020. Change P.M. to D. Garner.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VISN 22 will assist
the Navajo Nation with COVID19 outbreak response operations by providing staffing of healthcare
nursing personnel to support with inpatient care of Medical Surge Unit patients, Emergency Room
patients and Intensive Care Unit patients at the Tuba City Regional Health Care Corporation. This
request includes six (6) Med Surge Nurses (RNs), six (6) Emergency Room RNs and four (4) Intensive
Care Unit Nurses (RNs) per day, not to exceed the MA total estimated cost.

The Veteran Health Administration nursing teams will work five (5) days on and two (2) day off in
support of Navajo Nation Tuba City Regional Health Care Corporation which is a Title V 638 Medical
Facility. Services to be provided not to exceed 14 days with a possibility of extension of
additional 14 days if the COVID19 cases continue to increase. Teams will be provided with
appropriate PPE for the duration of the mission by the Tuba City Regional Health Care Corporation.
PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face
shields and hand sanitizer. Teams will provide their own transportation.

Staffing support: InPatient Nursing Care for Tuba City Regional Health Care Corporation (Med
Surge, ER and ICU)
Primary Mission Coordinator: CAPT Brian Johnson, IHS Liaison Phone; 9288715801, Email: brian.johnson@ihs.gov


Navajo Nation.(Reimbursable by HHS) The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with providing short term acute care (med/surge) and intensive care (ICU) beds at the Albuquerque VAMC for HHS/Indian Health Services COVID positive patients from NM IHS Medical Centers in Gallup, Shiprock and Crown point

As directed by and in coordination with FEMA in support of the HHS Indian Health Services request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA)
will provide up to 5 acute care (med/surg) beds for COVID positive patients and up to 3 Intensive Care Unit (ICU) beds for COVID positive patients at the Albuquerque VAMS for
immediate and short term medical treatment.

The work will include any or all the following VHA capabilities: 24hr medical/administrative/support/staff, medical/nonmedical equipment, sustenance, supplies, pharmaceuticals, and ancillary services to care for critical and noncritical,COVID positive, nonveteran patients.

The IHS and ABQ VAMC will each provide a single POC/Medical Coordinator to appropriately disposition and transfer IHS patients from Gallup/Shiprock/Crownpoint to and from the Albuquerque VAMS.

IHS agrees to follow their normal referral process through Gallup from the other facilities, or to their community partners. The Albuquerque VAMC will not accept any patients in direct transfer from the other two facilities physical patient flow must go through the Gallup Indian Medical Center. The Albuquerque VAMC will accept patients that come through Gallup only. VHA cannot accept pediatric or OB/GY patients.

HHS/IHS will return the beds/space to the original condition and all necessary disinfection/decontamination will be completed to ensure a rapid and complete return to Veteran occupancy as soon as possible. HHS/IHS will be responsible for any damages or repairs.

Additional notes from FEMA:

a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. . (refer Federal
Personal Property Management Manual)

d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

e. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157.

For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1 Extend projected end date to 08/05/2020 with no additional cost.

Navajo Nation.(Reimbursable by HHS) The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with providing short term acute care (med/surge) and intensive care (ICU) beds at the Albuquerque VAMC for HHS/Indian Health Services COVID positive patients from NM IHS Medical Centers in Gallup, Shiprock and Crown point


TRIBAL REQUEST: IHS Whiteriver Indian Hospital. The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with COVID-19 outbreak response operations by providing staffing of healthcare personnel to support multiple IHS locations in Arizona to include the IHS Phoenix and Tucson Regional Areas. This initial request includes seven (7) Med Surge Registered Nurses (RNs), ten (10) ER Nurses and three (3) ICU Nurses per day, and two (2) Area Emergency Managers not to exceed the MA total estimated cost. The Teams will work IHS assigned schedules with a potential for 12 hours shifts and will be deployed to support IHS facilities, as required to include the Whiteriver Indian Hospital. The POC for IHS is Capt. David Cramer who will be directing the teams for the Regional Areas, his contact number is 1-602-717-8829. Services to be provided not to exceed 45 days. IHS will supply PPE for the duration of the mission. PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face shields and hand sanitizer. VHA Team will provide their own transportation.

(Reimbursable by HHS) Indian Health Services requests Veterans Health Administration to provide nursing support to IHS facilities in Arizona.

These teams will augment existing staffing due to outbreaks in the community and facilities where staffing levels are critically impacted.

These teams will be tasked to specific IHS facilities located in Arizona.

Task Force will provide their own transportation two (15 passenger Vans).

IHS will supply PPE for the duration of the mission.

VHA cannot provide services for Pediatric, or OB/GYN or Trauma patients.

Indian Health Services will reimburse for overtime, lodging and per diem (as necessary), transportation costs, supplies, and ancillary fees and costs, as applicable.

MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.

All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.(refer Federal Personal Property Management Manual)

Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1 TRIBAL REQUEST: IHS White River Indian Hospital 3442EM-AZ-VA-04 to Extend Project End Date to Aug, 17, 2020, No Cost.

TRIBAL REQUEST: IHS Whiteriver Indian Hospital. The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with COVID-19 outbreak response operations by providing staffing of healthcare personnel to support multiple IHS locations in Arizona to include the IHS Phoenix and Tucson Regional Areas. This initial request includes seven (7) Med Surge Registered Nurses (RNs), ten (10) ER Nurses and three (3) ICU Nurses per day, and two (2) Area Emergency Managers not to exceed the MA total estimated cost. The Teams will work IHS assigned schedules with a potential for 12 hours shifts and will be deployed to support IHS facilities, as required to include the Whiteriver Indian Hospital. The POC for IHS is Capt. David Cramer who will be directing the teams for the Regional Areas, his contact number is 1-602-717-8829. Services to be provided not to exceed 45 days. IHS will supply PPE for the duration of the mission. PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face shields and hand sanitizer. VHA Team will provide their own transportation.


Amendment #2 to 3442EM-AZ-VA-04. Extend project end date to 9/10/20. TRIBAL REQUEST: IHS Hopi Health Center.

Amendment #1 TRIBAL REQUEST: IHS White River Indian Hospital 3442EM-AZ-VA-04 to Extend Project End Date to Aug, 17, 2020, No Cost.

TRIBAL REQUEST: IHS Whiteriver Indian Hospital. The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist the Department of Health and Human Services (HHS), Indian Health Service (IHS) with COVID-19 outbreak response operations by providing staffing of healthcare personnel to support multiple IHS locations in Arizona to include the IHS Phoenix and Tucson Regional Areas. This initial request includes seven (7) Med Surge Registered Nurses (RNs), ten (10) ER Nurses and three (3) ICU Nurses per day, and two (2) Area Emergency Managers not to exceed the MA total estimated cost. The Teams will work IHS assigned schedules with a potential for 12 hours shifts and will be deployed to support IHS facilities, as required to include the Whiteriver Indian Hospital. The POC for IHS is Capt. David Cramer who will be directing the teams for the Regional Areas, his contact number is 1-602-717-8829. Services to be provided not to exceed 45 days. IHS will supply PPE for the duration of the mission. PPE will include gloves, N95 masks, surgical masks, disposable gowns, hair bonnets, booties, face shields and hand sanitizer. VHA Team will provide their own transportation.


Convert/Retro-fit Alaska Airlines Center Alternate Care Site per attached SOA ICS-213RR, IAW USACE ROM cost estimate attached.

**COMPLETE STATEMENT OF WORK INCLUDED AS ATTACHMENT **
As directed by the state and FEMA and in coordination with HHS (ESF#8), the U.S. Army Corps of Engineers shall provide facility assessments, planning, engineering, design, contracting and construction support to address medical facility shortages arising from COVID-19 situation in the State of Alaska.

FEMA-approved State ACS requirements from any phase of execution (assessments, planning, engineering design, contracting & construction, construction support) can be tasked under this mission assignment.

- USACE will continue to develop and refine the requirements or attributes to create Alternate Care Sites, up to an Intensive Care Unit (ICU) capability, in existing buildings e.g, college dorms or hotels/motels. A secondary option would be to assess/build temporary Alternate Care Facilities (e.g. tent facilities) in large building areas such as gyms or stadiums (potentially open air) and apply those requirements to facilities identified by the state.

- USACE will provide assessments to FEMA/state. If facility is favorable, USACE will provide an estimate for design/construction to FEMA/state.

-Upon receipt of a site-specific Mission Assignment Task Order, confirmation that lease has been secured by state/FEMA or OFA, and required funding via MA amendment  USACE will proceed with design/construction of a facility. Activities will be in complete coordination with HHS (ESF#8). Activities may include but are not limited to:
 * Removing any carpeting
 * Installing vinyl flooring or epoxy
 * Revising HVAC ducting and HEPA filtering
 * Adding Emergency Backup Power and Uninterrupted Power Supplies
 * Adding additional electrical outlets
 * Adding privacy curtains
 * Site Improvement items as needed:
   o Perimeter fencing
   o Patient screening area
   o Exterior pharmacy
   o Medical Gas Storage
   o Access Control Point
   o Medical waste disposal area
Additional engineering specifications will be issued through the MATO process.

FEMA will reimburse USACE for any PPE equipment required for personnel as directed by the HQUSACE Safety and Occupational Health Office for deployments during COVID-19 pandemic. Requirements will be based upon specific deployment duty descriptions and locations.

In order to minimize air travel, USACE may require that employees rent vehicles at permanent duty stations in order to drive to TDY locations. FEMA will reimburse USACE for any additional costs related to additional time required to travel via automobile to include per diem and labor costs.

USACE will NOT be responsible for providing medical equipment. All furnishings and special medical equipment to be provided and maintained by the state, FEMA or OFA (other than USACE) includes but is not limited to:
 * Ventilator capable storage cabinet
 * Telemetry/pump on IV stand
 * Stool
 * Over bed table
 * Mobile Work Station
 * Linen Hamper
 * Sharps/gloves
 * Hand Sanitizer station
 * Infectious waste disposal containers
 * Cubicle curtain

Once turned over to the state/FEMA for operations, USACE will not provide ongoing operations or maintenance of the facilities, will not provide any wrap around services, and will not decommission the facility.

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel , location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.

**COMPLETE STATEMENT OF WORK INCLUDED AS ATTACHMENT **


This MA is transitioning to 4533DR-AK-COE-POD-01; Task ID #1509-316744. Amend to de-obligate and close. All costs incurred on this mission should be transitioned to the DR mission.

Convert/Retro-fit Alaska Airlines Center Alternate Care Site per attached SOA ICS-213RR, IAW USACE ROM cost estimate attached.


Activate United States Forest Service to the West Virginia National Guard / SEOC to perform duties of ESF #4 in support of pre disaster planning support / technical assistance operations in response to EM-3450-WV. Requesting 1 SME to provide on site support.

As directed by and in coordination with FEMA, US Forest Service (USFS) will provide appropriate personnel to complete fire assistance and/or suppression implementation planning, or other emergency response and coordination planning at the RRCC, IOF, JFO, or other facilities in support of disaster operations. USFS is responsible for providing personnel and/or equipment necessary to accomplish the mission. PSC to provide instruction, guidance and mentoring, also assisting producing planning, and reporting products supporting FEMA/State during deployment. - MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). - Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. - All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. - Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA. - The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency - MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment to deobligate from 3450EMWVUSFS0100 to obligate under the Major DR 3450

Activate United States Forest Service to the West Virginia National Guard / SEOC to perform duties of ESF #4 in support of pre disaster planning support / technical assistance operations in response to EM-3450-WV. Requesting 1 SME to provide on site support.


The State of Minnesota is requesting One (1) Operations Section Chief (OSC) to support the receiving, staging, and storage (RSS) site of MN Strategic National Stock (SNS). Name Request- Pre-identified personnel: Grimm, Seth- US Fish and Wildlife Service (USFWS) in support of 3453EM-MN.

In support of Minnesota request, as directed by and in coordination with FEMA, US Forest Service (USFS) will provide command, control, and coordination resources, to include command and general staff members or personnel with other specialized qualifications, to assist with firefighting and/or emergency operations in support response operations. USFS will utilize other Federal agency and State/local resources under existing agreement, as appropriate. If authorized by FEMA, USFS will establish a Base Camp to provide lodging, meals, and support for firefighting and command/control personnel and equipment. This will be provided in lieu of per diem and under a separate mission assignment.
- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1: De-obligate funds in the amount of $4,821.80 to close this Mission Assignment.

The State of Minnesota is requesting One (1) Operations Section Chief (OSC) to support the receiving, staging, and storage (RSS) site of MN Strategic National Stock (SNS). Name Request- Pre-identified personnel: Grimm, Seth- US Fish and Wildlife Service (USFWS) in support of 3453EM-MN.


The State of Wisconsin requests assistance to design/build/upgrade Pandemic Response and Recovery Critical Public Facilities Disaster Alternative Care Facilities for acute patience care. As directed by the state and FEMA and in coordination with HHS, the USACE shall provide facility assessments, planning, engineering, design, contracting, and construction support to address medical facility shortages arising for the COVID-19 situation in WI. USACE will provide assessments to design/construction to FEMA/State of Wisconsin

As directed by the State of Wisconsin and in coordination with FEMA and Health and Human Services (HHS) in support of State of Wisconsin request, the US Army Corps of Engineers (USACE) will provide appropriate personnel for facility assessments, planning, engineering, design, contracting and construction support to address medical facility shortages arising from COVID19. USACE will continue to develop and refine the requirements or attributes to create NonAcute COVID19 Alternate Care Facilities and/or Acute COVID Alternate Care Facilities, up to an Intensive Care Unit (ICU) capability, in existing buildings e.g, college dorms or hotels/motels and/or in large building areas such as gyms or stadiums (potentially open air) and apply those requirements to facilities identified by the state. USACE will provide assessments to FEMA/state. If facility is favorable, USACE will provide an estimate for design/construction to FEMA/state. Upon receipt of FEMA resource request, and confirmation that lease has been secured by state/FEMA or OFA, a site specific Mission Assignment Task Order (MATO) accompanied by required funding via MA amendment will be issued to USACE for design/construction of facility. Activities will be in complete coordination with HHS (ESF#8).
Contract will include but is not limited to:
* Removing any carpeting
* Installing vinyl flooring or epoxy
* Revising HVAC ducting and HEPA filtering
* Adding Emergency Backup Power and Uninterrupted Power Supplies
* Adding additional electrical outlets
* Adding privacy curtains
* Site Improvement items as needed:
o Perimeter fencing
o Patient screening area
o Exterior pharmacy
o Medical Gas Storage
o Access Control Point
o Medical waste disposal area
Additional engineering specifications will be issued for MATO process. FEMA will reimburse USACE for any PPE equipment required for personnel as directed by the HQUSACE Safety and Occupational Health Office for deployments during COVID19 pandemic. Requirements will be based upon specific deployment duty descriptions and locations. In order to minimize air travel, USACE may require that employees rent vehicles at permanent duty stations in order to drive to TDY locations. FEMA will reimburse USACE for any additional costs related to additional time required to travel via automobile to include per diem and labor costs. FEMA will reimburse USACE for Deployment Tactical Operating System (DTOS) for office space to support USACE response and support social distancing. USACE will NOT be responsible for providing medical equipment. All furnishings and special medical equipment to be provided and maintained by the state, FEMA or OFA (other than USACE) includes but is not limited to:
* Ventilator capable storage cabinet
* Telemetry/pump on IV stand
* Stool
* Over bed table
* Mobile Work Station
* Linen Hamper
* Sharps/gloves
* Hand Sanitizer station
* Infectious waste disposal containers
* Cubicle curtain
Once turned over to the State/FEMA for operations, USACE will NOT be involved in operations/maintenance of the facilities and will not be responsible for providing any wrap around services or decommissioning and facility


Amendment #1: Amend to de-obligate $2,000,000 and close MA. This has transferred to the 4520DR-WI.

The State of Wisconsin requests assistance to design/build/upgrade Pandemic Response and Recovery Critical Public Facilities Disaster Alternative Care Facilities for acute patience care. As directed by the state and FEMA and in coordination with HHS, the USACE shall provide facility assessments, planning, engineering, design, contracting, and construction support to address medical facility shortages arising for the COVID-19 situation in WI. USACE will provide assessments to design/construction to FEMA/State of Wisconsin


Activate Custom and Boarder Patrol representative to provide remote support for R6RRCC in response to COVD19.
Current requirements is for remote support only; if inperson
is required it will be identified in a new RRF. Cost estimate is $5,000.00 through 21 April, 2020

As directed by and in coordination with FEMA, CBP will provide remote support in response to COVID19 FEMA response operations.
Funding for CBP command center(s), if authorized by FEMA, will be provided under a separate MA.

-MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).

-Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
-All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
-Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
-The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
-MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional
obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: To operationally and financially close MA under the EM and re-open under 4485DR-TX.

Activate Custom and Boarder Patrol representative to provide remote support for R6RRCC in response to COVD19.
Current requirements is for remote support only; if inperson
is required it will be identified in a new RRF. Cost estimate is $5,000.00 through 21 April, 2020


Requesting 3 FMS (250-bed configurations w/ medical supplies to support acute, non-surgical, non-traumatic, non-chronic patients. Augment State & local medical response for immediate & short term medical needs.

Deploy 2-3 personnel FMS Installation Team & Rapid Deployment Force Team including 105 public health service officers (clinical, mental health  applied public health) who can report within 12 hours notice to support disaster operations in response to COVID-19

At the request of the State of Texas and in coordination with FEMA, Health & Human Services (HHS) will provide Federal Medical Station(s) (FMS) in 250-bed configurations with medical supplies to support acute, non-surgical, non-traumatic, non-chronic patients. This support will augment State and local medical response resources for immediate and short-term medical needs.

Support personnel with FMS may include, but are not limited to, the following:
 - A 2- to 3-person FIT to assist with installation/medical resupply
 - One RDF Team to provide primary medical care. RDF Team includes 105 Public Health Service Officers (clinical, mental health and applied public health staff) who can report within 12 hours notice.

FEMA Logistics support may be required for:
 - On-site material handling equipment with trained personnel
 - Secure, climate-controlled warehouse space
 - Billeting, fuel, and other support as required.
Product inventory dispensed through FMS will flow through normal supply chain distribution; FEMA will not be responsible for physical possession, storage, or distribution of product inventory.

ADDITIONAL NOTES from FEMA:
- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: MA to be operationally and financially closed under the EM and re-opened under 4485DR-TX.

Requesting 3 FMS (250-bed configurations w/ medical supplies to support acute, non-surgical, non-traumatic, non-chronic patients. Augment State & local medical response for immediate & short term medical needs.

Deploy 2-3 personnel FMS Installation Team & Rapid Deployment Force Team including 105 public health service officers (clinical, mental health  applied public health) who can report within 12 hours notice to support disaster operations in response to COVID-19


At the direction of and in coordination with FEMA, HHS will deploy NDMS Disaster Medical Assistance Team (DMAT), National Veterinary Response Team (NVRT), Disaster Mortuary Operational Response Team (DMORT) medical response teams, personnel, and equipment to augment State and local medical response resources. NDMS team capabilities include the following:
Primary and acute care, mass casualties triage, initial resuscitation and stabilization, advanced life support, and preparing the sick or injured for evacuation
Veterinary medical services in support of ESF #11 for service and companion animals
Mortuary assistance to recover, identify, and process deceased victims
Mass casualty decontamination; medical triage following a nuclear, biological, and/or chemical incidents.
Teams are composed of non-Federal volunteers who are placed on intermittent Federal appointments to facilitate activation, when necessary. When activated, NDMS response team members are Federalized employees of the HHS. Teams are normally deployed for 10 to 14 days. Lease or purchase of accountable property: None FEMA logistical support needed: Teams may require some level of base operating support (food, shelter, laundry, etc.). MA task orders will be issued for specific personnel requirements, location(s), dates, and duration of assignment(s). All equipment and
supply purchases must be coordinated with FEMA. Prior FEMA approval is necessary to ensure reimbursement.

At the request of the State of Texas, and in coordination with FEMA, Health & Human Services (HHS) will deploy NDMS Disaster Medical Assistance Team (DMAT) medical response teams, personnel, and equipment to augment State and local medical response resources. NDMS team capabilities include the following:
 - Primary and acute care, mass casualties triage, initial resuscitation and stabilization, advanced life support, and preparing the sick or injured for evacuation
 - Mass casualty decontamination; medical triage following a nuclear, biological, and/or chemical incidents.
Teams are composed of non-Federal volunteers who are placed on intermittent Federal appointments to facilitate activation, when necessary. When activated, NDMS response team members are Federalized employees of the HHS. Teams are normally deployed for 10 to 14 days.

FEMA additional instructions:
- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
 - Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
 - All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
 - Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
 - The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
 - MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1: Operationally and financially close MA under the EM and re-open under 4485DR-TX

At the direction of and in coordination with FEMA, HHS will deploy NDMS Disaster Medical Assistance Team (DMAT), National Veterinary Response Team (NVRT), Disaster Mortuary Operational Response Team (DMORT) medical response teams, personnel, and equipment to augment State and local medical response resources. NDMS team capabilities include the following:
Primary and acute care, mass casualties triage, initial resuscitation and stabilization, advanced life support, and preparing the sick or injured for evacuation
Veterinary medical services in support of ESF #11 for service and companion animals
Mortuary assistance to recover, identify, and process deceased victims
Mass casualty decontamination; medical triage following a nuclear, biological, and/or chemical incidents.
Teams are composed of non-Federal volunteers who are placed on intermittent Federal appointments to facilitate activation, when necessary. When activated, NDMS response team members are Federalized employees of the HHS. Teams are normally deployed for 10 to 14 days. Lease or purchase of accountable property: None FEMA logistical support needed: Teams may require some level of base operating support (food, shelter, laundry, etc.). MA task orders will be issued for specific personnel requirements, location(s), dates, and duration of assignment(s). All equipment and
supply purchases must be coordinated with FEMA. Prior FEMA approval is necessary to ensure reimbursement.


Due to the current COVID-19 outbreak in Louisiana, we are requesting the use of our Veterans Administration facilities as medical surge for our hospital infrastructure. We are requesting these facilities allow civilians to utilize the services, staff, and resources

In support of STATE/TERRITORY/TRIBAL request, as directed by and in coordination with FEMA, the use of Veterans Administration facilities as medical surge for hospital infrastructure will be provided due to the current outbreak of the COVID-19 in the U.S.. These facilities will initially provide the following services, but not limited to, the utilization of services, staff, and resources by patients to include civilians/non-military as well as military patients.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
 --- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#01: At the request of the R6 Administrator this MA is canceled. MA will be operationally and financially closed. E-mail attached for justification of action.

The State briefed this morning that they came up with a solution with regards to the VA Hospital.  They intend to utilize it for existing veterans.

Due to the current COVID-19 outbreak in Louisiana, we are requesting the use of our Veterans Administration facilities as medical surge for our hospital infrastructure. We are requesting these facilities allow civilians to utilize the services, staff, and resources


GOHSEP is requesting the following items to support the drive-through testing sites in Louisiana: N95 mask - 80,000; Surgical Face mask - 160,000; Face Shields - 40.000; Surgical Gowns - 70.000; Coveralls (Tyvex) - 40,000; Mobile testing vehicles -2

In support of the STATE of LOUISIANA request, as directed by and in coordination with FEMA, Health & Human Services (HHS) will provide medical support capabilities (equipment and supplies) to augment State and local medical response resources for immediate and short-term medical needs. Medical capabilities may include, but are not limited to, the following HHS capabilities:
- Medical equipment and supplies. Deploy assets from the Strategic National Stockpile (SNS), the VA, and DoD in support of immediate medical operations and resupply HHS will coordinate with FEMA for Logistics support, if needed.

 ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
 --- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
 --- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Louisiana is requesting an Epidemiology Team from CDC to assist the State's team to address rapidly developing spread in several facilities across the state, including but not limited to nursing homes. LA has seen the fastest rate of growth in new cases of COVID-19 in the world. Please see attached for more.

In support of a request from the State of Louisiana, as directed by and in coordination with FEMA, Health & Human Services (HHS) will assist State and local staff in responding to COVID-19 by conducting activities which may include but are not limited to evaluating environmental conditions and impacts on human health, and where possible, working to initiate public health interventions and control measures to lessen impacts in the affected areas. FEMA logistical support: Teams may require some level of base operating support (food, shelter, laundry, etc.). HHS may subtask other Federal agencies for disaster medical support requirements as needed. - MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). - Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. - All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. - Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA. - The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency - MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend #1: De-obligate full amount and close as this will be re-issued under the DR.

Louisiana is requesting an Epidemiology Team from CDC to assist the State's team to address rapidly developing spread in several facilities across the state, including but not limited to nursing homes. LA has seen the fastest rate of growth in new cases of COVID-19 in the world. Please see attached for more.