T32 Amendment #11: Re-obligate $2,109.12 to cover IPAC billing.

T32 Amendment (10): Re-obligate $1,727.92 to cover IPAC billing submitted.
T32 Amendment (9): De-obligate funds in the amount of $100 per QULO
T32 Amendment (8): Re-obligate funds in the amount of $17,864.11 as needed to cover IPAC billing.

T32 Amendment (7) De-obligate funds in the amount of $239,650.85.
T32 Amendment (6) De-obligate funds in the amount of $1,313,609
T32 Amendment  (5) Add additional funds in the amount of $1,200,000.00 for operational support from 04/02/2022 through 07/01/2022
T32 Amendment (4)  ARPA: DOD may provide personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19 for operations through July 1, 2022. Additional funding requirements, if required, will be provided by NGB J8 thereafter.
T32 Amendment (3)  ARPA: DOD may provide personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $6,429,440.00 on operations beginning January 1, 2022 through April 1, 2022. Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
(T32) Amendment #2 DOD may provide personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $5,606,266 for operations beginning October 1, 2021 through December  31, 2021. Additional funding requirements, if required, will be provided by NGB J8 thereafter.
(T32) Amendment #1 The state of Michigan is requesting an increase of $5,103,452.00 in funding to support mission
from 07-01-2021 through 09-30-2021 as these missions are being incrementally funded.
T32  ARPA: This is a continuation of MA#4494DRMI-DOD-05 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 3000 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $21,542,400 for operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


ARPA This is a continuation of MA #4494DR-MI DOD-06 to extend to 07/01/2021 and add $200,000.00 in funding and being issued to address the change in funding through the American Rescue Plan Act of 2021

Activate Department of Defense (DoD) virtually to FEMA R5 OH SEOC, Joint Field Office (JFO), or other locations specified by FEMA in support of disaster operations.

As directed by and in coordination with FEMA, DoD will provide a Defense Coordinating Officer with supporting staff element (DCO/DCE) to RRCCs, JFOs, IOFs, and other required locations to provide DoD knowledge and subject matter expertise, requirements validation and liaison. Including as necessary all state and regional Emergency Preparedness Liaison personnel (SEPLO/REPLO) and Joint Regional Medical Planning Officers (JRMPO) at DoD installations, state EOCs and all required locations. All activated DoD personnel will be prepared to support operations remotely and virtually as necessary. Support may include, but is not limited to, the following: Defense Coordinating Officer Defense Coordinating Element State and Regional Emergency Preparedness Liaison personnel (SEPLO/REPLO) Joint Regional Medical Planning Officers (JRMPO) at DOD installations, State EOCs, and other required locations. DOD personnel must be prepared to support operations remotely and virtually, as necessary.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

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: De-obligate funds in the amount of $199,353.86 to close this Mission Assignment.

ARPA This is a continuation of MA #4494DR-MI DOD-06 to extend to 07/01/2021 and add $200,000.00 in funding and being issued to address the change in funding through the American Rescue Plan Act of 2021

Activate Department of Defense (DoD) virtually to FEMA R5 OH SEOC, Joint Field Office (JFO), or other locations specified by FEMA in support of disaster operations.


(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Spectrum Health

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DOD will deploy medical response team(s) capable of assisting and/or back-filling medical professionals, augmenting for COVID-19 care, to the state of Michigan. Initial Team(s) will consist of medical providers, registered nurses, and respiratory therapists, plus appropriate command and control, sustainment, and other enabler support as deemed necessary.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

Mission Assignments should continue to be based on operational requirements and follow MA policy.

Additional Notes from FEMA

- 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.

- Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR
 206.208(c)(2).

- 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


Amendment #1 Extend POP to 01/06/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Spectrum Health

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #2 Extend POP to 02/05/2022 and increase funding by $200,000 for continued support

Amendment #1 Extend POP to 01/06/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Spectrum Health

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $642,000.00

Amendment #2 Extend POP to 02/05/2022 and increase funding by $200,000 for continued support

Amendment #1 Extend POP to 01/06/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Spectrum Health

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #4: Quarterly ULO - De-obligate funds in the amount of $2,111.32

Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $642,000.00

Amendment #2 Extend POP to 02/05/2022 and increase funding by $200,000 for continued support

Amendment #1 Extend POP to 01/06/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Spectrum Health

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #5: De-obligate remaining funds in the amount of $46,218.84 and close mission assignment
Amendment #4: Quarterly ULO - De-obligate funds in the amount of $2,111.32
Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $642,000.00
Amendment #2 Extend POP to 02/05/2022 and increase funding by $200,000 for continued support
Amendment #1 Extend POP to 01/06/2022. No cost extension
(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Spectrum Health
This MA is being issued with funding through the American Rescue Plan Act of 2021.


(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #1 Extend POP to 01/04/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #2 Extend POP to 02/03/2022 and increase funding by $200,000 for continued support

Amendment #1 Extend POP to 01/04/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $285,100.00

Amendment #2 Extend POP to 02/03/2022 and increase funding by $200,000 for continued support

Amendment #1 Extend POP to 01/04/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #4: Per OFA de-obligate funds in the amount of $24,900.00.

Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $285,100.00

Amendment #2 Extend POP to 02/03/2022 and increase funding by $200,000 for continued support

Amendment #1 Extend POP to 01/04/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #5: Per ULO de-obligate funds in the amount of $24,900.00.

Amendment #4: Per OFA de-obligate funds in the amount of $24,900.00.

Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $285,100.00

Amendment #2 Extend POP to 02/03/2022 and increase funding by $200,000 for continued support

Amendment #1 Extend POP to 01/04/2022. No cost extension

(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #6: De-obligate funds in the amount of $365,100
Amendment #5: Per ULO de-obligate funds in the amount of $24,900.00.
Amendment #4: Per OFA de-obligate funds in the amount of $24,900.00.
Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $285,100.00
Amendment #2 Extend POP to 02/03/2022 and increase funding by $200,000 for continued support
Amendment #1 Extend POP to 01/04/2022. No cost extension
(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital
This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #7: Re-obligate funds in the amount of $319,997.49 to cover IPAC billing.
Amendment #6: De-obligate funds in the amount of $365,100
Amendment #5: Per ULO de-obligate funds in the amount of $24,900.00.
Amendment #4: Per OFA de-obligate funds in the amount of $24,900.00.
Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $285,100.00
Amendment #2 Extend POP to 02/03/2022 and increase funding by $200,000 for continued support
Amendment #1 Extend POP to 01/04/2022. No cost extension
(VC) (ARPA) Initial request for DoD Medical Response Team(s) to augment hospital staff at Beaumont Hospital
This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DOD will deploy medical response team(s) capable of assisting and/or back-filling medical professionals, augmenting for COVID-19 care, to the state of Michigan. Initial Team(s) will consist of medical providers, registered nurses, and respiratory therapists, plus appropriate command and control, sustainment, and other enabler support as deemed necessary.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
Mission Assignments should continue to be based on operational requirements and follow MA policy.
Additional Notes from FEMA
- 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.
- Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR
 206.208(c)(2).
- 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


(ARPA) (VC) DoD Medical Response Team(s) to augment hospital staff at Covenant Medical Center

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DOD will deploy medical response team
(s) capable of assisting and/or back-filling medical professionals, augmenting for COVID-19 care, to the state of Michigan.
Initial Team(s) will consist of medical providers, registered nurses, and respiratory therapists, plus appropriate command and control, sustainment, and other enabler support as deemed necessary.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any
expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

Additional Notes from FEMA

-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.

-Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement,
per 44 CFR 206.208(c)(2).

-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


Amendment #1 Extend POP to 02/11/2022 and increase funding by $200,000 for continued support

(ARPA) (VC) DoD Medical Response Team(s) to augment hospital staff at Covenant Medical Center

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #2 Extend POP to 02/25/2022. No cost extension

Amendment #1 Extend POP to 02/11/2022 and increase funding by $200,000 for continued support

(ARPA) (VC) DoD Medical Response Team(s) to augment hospital staff at Covenant Medical Center

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #3: Per Quarterly ULO -  De-obligate funds in the amount of $331,600.00

Amendment #2 Extend POP to 02/25/2022. No cost extension

Amendment #1 Extend POP to 02/11/2022 and increase funding by $200,000 for continued support

(ARPA) (VC) DoD Medical Response Team(s) to augment hospital staff at Covenant Medical Center

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #4 Per Quarterly ULO, De-obligate funds in the amount of $14,361.55.
Amendment #3: Per Quarterly ULO -  De-obligate funds in the amount of $331,600.00
Amendment #2 Extend POP to 02/25/2022. No cost extension
Amendment #1 Extend POP to 02/11/2022 and increase funding by $200,000 for continued support
(ARPA) (VC) DoD Medical Response Team(s) to augment hospital staff at Covenant Medical Center
This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #5: Per MA HQ Closeout de-obligate $354,038.45.

Amendment #4 Per Quarterly ULO, De-obligate funds in the amount of $14,361.55.
Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $331,600.00
Amendment #2 Extend POP to 02/25/2022. No cost extension
Amendment #1 Extend POP to 02/11/2022 and increase funding by $200,000 for continued support
(ARPA) (VC) DoD Medical Response Team(s) to augment hospital staff at Covenant Medical Center
This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DOD will deploy medical response team
(s) capable of assisting and/or back-filling medical professionals, augmenting for COVID-19 care, to the state of Michigan.
Initial Team(s) will consist of medical providers, registered nurses, and respiratory therapists, plus appropriate command and control, sustainment, and other enabler support as deemed necessary.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any
expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
Additional Notes from FEMA
-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.
-Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement,
per 44 CFR 206.208(c)(2).
-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


Amendment #6: Per MA HQ Closeout re-obligate $345,038.45 in funds to cover remaining billing.

Amendment #5: Per MA HQ Closeout de-obligate $354,038.45.
Amendment #4 Per Quarterly ULO, De-obligate funds in the amount of $14,361.55.
Amendment #3: Per Quarterly ULO - De-obligate funds in the amount of $331,600.00
Amendment #2 Extend POP to 02/25/2022. No cost extension
Amendment #1 Extend POP to 02/11/2022 and increase funding by $200,000 for continued support
(ARPA) (VC) DoD Medical Response Team(s) to augment hospital staff at Covenant Medical Center
This MA is being issued with funding through the American Rescue Plan Act of 2021.


DOD provide medical teams capable of conducting monoclonal antibody (mAb) infusions in a fixed facility.

As directed by and in coordination with FEMA, Department of Defense (DOD) will provide medical teams capable of conducting monoclonal antibody (mAb) infusions in a fixed facility. These teams may also be available for augmentation of inpatient medical-surgical units, but not intensive or Critical Care Units. Each team must be able to staff, care, and manage Monoclonal Antibody Infusion Therapy for 25 patients at a time with a clinical care ratio of 1:5 (Team: Patient).

Each medical team will be configured to conduct patient intake, infusion, and post-infusion recovery/monitoring, as well as adverse reaction management. Each medical team will be composed of the following types/quantities of personnel:

DOD identified forces will be adjudicated at the ESF-8 Partners Meeting with other federal interagency resources and in coordination with State departments of health. Personnel will be required to be IOC seven (7) days from Deployment Order (DEPORD), initial request is for 7 (seven) teams, and initial deployments will be 30 days.

--(1) Physicians (MD) Preferred but may substitute a PA or NP with the following skill set:
  o Must have strong clinical evaluation and assessment skills
  o Must be able to determine if patient meets criteria or needs to be excluded from EUA infusion therapy
  o Must be able to monitor and if patient has an adverse reaction be able to manage appropriately.
  o ACLS preferred
--(1) mid-level Provider (ALCS)
--(5) Registered Nurses (Skilled in IV infusions and starting IVs)
--(7) Medical Technicians, and
-- (1) Medical Admin Technician, plus appropriate Command and Control.

MATOs will be issued for deployment locations which may be anywhere in the nation commensurate with upticks in COVID caseloads. Staff augmentation to support in-patient COVID-19 care will consist of the same team composition as listed above. Team command will work with host agency to establish appropriate clinical support such as augmenting clinical care on medical-surgical inpatient units, under supervision of hospital personnel. Deployment of identified DOD forces will be adjudicated at the ESF-8 Partners Meeting with other federal interagency resources and in coordination with State departments of health. Each team will be capable of augmenting one existing medical facility.

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 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 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
 - 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: Per OFA de-obligate funds in the amount of $10,000 and close..

DOD provide medical teams capable of conducting monoclonal antibody (mAb) infusions in a fixed facility.


(ARPA) (VC) DOD provide medical team(s) capable of conducting monoclonal antibody (mAb) infusions at Mercy Health Muskegon

LAD- 29 DEC, IOC- 1 JAN, FOC NLT-2 JAN Required mission (Clinical work) is 30 days.

This MA is being funded through ARPA 2021

As requested by the State of Michigan, and as directed by and in coordination with FEMA, DOD will deploy Monoclonal Antibody Infusion Team(s) (MaIT), which will provide medical teams capable of conducting monoclonal antibody (mAb) infusions in a fixed facility.

These teams may also be available for augmentation of inpatient medical-surgical units, but not intensive or Critical Care Units. Each team must be able to staff, care, and manage Monoclonal Antibody Infusion Therapy for 25 patients at a time with a clinical care ratio of 1:5 (Team: Patient).

Each medical team will be configured to conduct patient intake, infusion, and post-infusion recovery/monitoring, as well as adverse reaction management. Each medical team will be composed of the following types/quantities of personnel:

--Physicians (MD) Preferred but may substitute a PA or NP with the following skill set:

o Must have strong clinical evaluation and assessment skills

o Must be able to determine if patient meets criteria or needs to be excluded from EUA infusion therapy

o Must be able to monitor and if patient has an adverse reaction be able to manage appropriately.

o ACLS preferred

-- mid-level Provider(s) (ALCS)

-- Registered Nurses (Skilled in IV infusions and starting IVs)

--Medical Technicians, and

-- Medical Admin Technicians, plus appropriate Command and Control.

Staff augmentation to support in-patient COVID-19 care will consist of the same team composition as listed above.

Team command will work with host agency to establish appropriate clinical support such as augmenting clinical care on medical-surgical inpatient units, under supervision of hospital personnel. Each team will be capable of augmenting one existing medical facility.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

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 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: Per Quarterly ULO de-obligate funds in the amount of $450,000.00

(ARPA) (VC) DOD provide medical team(s) capable of conducting monoclonal antibody (mAb) infusions at Mercy Health Muskegon

LAD- 29 DEC, IOC- 1 JAN, FOC NLT-2 JAN Required mission (Clinical work) is 30 days.

This MA is being funded through ARPA 2021


Amendment #2: Per HQ MA Closeout Team De-obligate $50,000.00 .

Amendment #1: Per Quarterly ULO de-obligate funds in the amount of $450,000.00
(ARPA) (VC) DOD provide medical team(s) capable of conducting monoclonal antibody (mAb) infusions at Mercy Health Muskegon
LAD- 29 DEC, IOC- 1 JAN, FOC NLT-2 JAN Required mission (Clinical work) is 30 days.
This MA is being funded through ARPA 2021

As requested by the State of Michigan, and as directed by and in coordination with FEMA, DOD will deploy Monoclonal Antibody Infusion Team(s) (MaIT), which will provide medical teams capable of conducting monoclonal antibody (mAb) infusions in a fixed facility.
These teams may also be available for augmentation of inpatient medical-surgical units, but not intensive or Critical Care Units. Each team must be able to staff, care, and manage Monoclonal Antibody Infusion Therapy for 25 patients at a time with a clinical care ratio of 1:5 (Team: Patient).
Each medical team will be configured to conduct patient intake, infusion, and post-infusion recovery/monitoring, as well as adverse reaction management. Each medical team will be composed of the following types/quantities of personnel:
--Physicians (MD) Preferred but may substitute a PA or NP with the following skill set:
o Must have strong clinical evaluation and assessment skills
o Must be able to determine if patient meets criteria or needs to be excluded from EUA infusion therapy
o Must be able to monitor and if patient has an adverse reaction be able to manage appropriately.
o ACLS preferred
-- mid-level Provider(s) (ALCS)
-- Registered Nurses (Skilled in IV infusions and starting IVs)
--Medical Technicians, and
-- Medical Admin Technicians, plus appropriate Command and Control.
Staff augmentation to support in-patient COVID-19 care will consist of the same team composition as listed above.
Team command will work with host agency to establish appropriate clinical support such as augmenting clinical care on medical-surgical inpatient units, under supervision of hospital personnel. Each team will be capable of augmenting one existing medical facility.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
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 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.


(ARPA) (VC) Request DoD medical response team(s) to augment hospital staff at Henry Ford Health System.

LAD: 20 JAN IOC:  23 JAN and FOC: 24 JAN

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DOD will deploy Medium Medical Team (MMT) capable of assisting and/or back-filling medical professionals, augmenting for, capabilities to
support up to but not limited to 24 beds to the state of Michigan.

Initial Team(s) will consist of physicians, RNs, and medical specialists, plus appropriate command and
control, sustainment, and other enabler support as deemed necessary.

Personnel will augment the State's healthcare system in relation to the COVID-19 pandemic response.

The skill set of providers is focused on treatment of inpatient medical wards and augmentation of medical and
surgical facilities.

 This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025.

Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

Duration of mission assignments should continue to be based on operational requirements and follow MA policy.

Additional Notes from FEMA

- 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 coordinate with FEMA as a separate MA.

- Work that falls within the statutory authority of the performing Federal
agency is not eligible for FEMA reimbursement, per 44 CFR
 206.208(c)(2).

- 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


Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $271,700.00

(ARPA) (VC) Request DoD medical response team(s) to augment hospital staff at Henry Ford Health System.

LAD: 20 JAN IOC:  23 JAN and FOC: 24 JAN

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #2: Amend to add $29,314.60 for MEDCOM support.

Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $271,700.00

(ARPA) (VC) Request DoD medical response team(s) to augment hospital staff at Henry Ford Health System.

LAD: 20 JAN IOC:  23 JAN and FOC: 24 JAN

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #3: Per HQ MA Closeout Team de-obligate $257,614.60.

Amendment #2: Amend to add $29,314.60 for MEDCOM support.
Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $271,700.00
(ARPA) (VC) Request DoD medical response team(s) to augment hospital staff at Henry Ford Health System.
LAD: 20 JAN IOC:  23 JAN and FOC: 24 JAN
This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DOD will deploy Medium Medical Team (MMT) capable of assisting and/or back-filling medical professionals, augmenting for, capabilities to
support up to but not limited to 24 beds to the state of Michigan.
Initial Team(s) will consist of physicians, RNs, and medical specialists, plus appropriate command and
control, sustainment, and other enabler support as deemed necessary.
Personnel will augment the State's healthcare system in relation to the COVID-19 pandemic response.
The skill set of providers is focused on treatment of inpatient medical wards and augmentation of medical and
surgical facilities.
 This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025.
Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
Duration of mission assignments should continue to be based on operational requirements and follow MA policy.
Additional Notes from FEMA
- 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 coordinate with FEMA as a separate MA.

- Work that falls within the statutory authority of the performing Federal
agency is not eligible for FEMA reimbursement, per 44 CFR
 206.208(c)(2).

- 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


Amendment #4: Re-obligating $134,655.32 in funds to cover remaining IPAC billing. In coordination with the MA Closeout team and DOD.

Amendment #3: Per HQ MA Closeout Team de-obligate $257,614.60.
Amendment #2: Amend to add $29,314.60 for MEDCOM support.
Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $271,700.00
(ARPA) (VC) Request DoD medical response team(s) to augment hospital staff at Henry Ford Health System.
LAD: 20 JAN IOC:  23 JAN and FOC: 24 JAN
This MA is being issued with funding through the American Rescue Plan Act of 2021.


(ARPA) (VC) Request DoD to Provide medical staff augmentation at E.W Sparrow Hospital

LAD: 04 FEB 2022; IOC: 07 FEB 2022; FOC: 08 FEB 2022; End of Clinical Mission 09 MAR 2022

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DoD will deploy a Medium Medical Team (MMT) capable of assisting and/or back-filling medical professionals, augmenting COVID-19 care, to the state of Michigan.

The MMT provides medical staff augmentation capabilities to designated hospitals and staff and is focused on treatment of inpatient medical wards and augmentation of medical and surgical facilities during peak COVID-19 patient surges.

Team will consist of medical providers,registered nurses, and respiratory technicians/medical technicians plus appropriate command and control, sustainment, and other enabler support asdeemed necessary.

The MMT is not intended to support ICU / critical care requirements and is not staffed with appropriate technical skills to meet ICU / critical care requirements.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally completed by 09/30/2025.

Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
Mission Assignments should continue to be based on operational requirements and follow MA policy.

 Additional Notes from FEMA

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.

Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2).
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


Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $400,000.00

(ARPA) (VC) Request DoD to Provide medical staff augmentation at E.W Sparrow Hospital

LAD: 04 FEB 2022; IOC: 07 FEB 2022; FOC: 08 FEB 2022; End of Clinical Mission 09 MAR 2022

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #2: Amend to add $126,501.44 for MEDCOM support

Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $400,000.00

(ARPA) (VC) Request DoD to Provide medical staff augmentation at E.W Sparrow Hospital

LAD: 04 FEB 2022; IOC: 07 FEB 2022; FOC: 08 FEB 2022; End of Clinical Mission 09 MAR 2022

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #3: Amendment to add $569,604.42 for billing purposes
Amendment #2: Amend to add $126,501.44 for MEDCOM support
Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $400,000.00
(ARPA) (VC) Request DoD to Provide medical staff augmentation at E.W Sparrow Hospital
LAD: 04 FEB 2022; IOC: 07 FEB 2022; FOC: 08 FEB 2022; End of Clinical Mission 09 MAR 2022
This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #4: De-obligate $608,885.03 in funds as requested by the DOD.

Amendment #3: Amendment to add $569,604.42 for billing purposes
Amendment #2: Amend to add $126,501.44 for MEDCOM support
Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $400,000.00
(ARPA) (VC) Request DoD to Provide medical staff augmentation at E.W Sparrow Hospital
LAD: 04 FEB 2022; IOC: 07 FEB 2022; FOC: 08 FEB 2022; End of Clinical Mission 09 MAR 2022
This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the State of Michigan, as directed by and in coordination with FEMA, DoD will deploy a Medium Medical Team (MMT) capable of assisting and/or back-filling medical professionals, augmenting COVID-19 care, to the state of Michigan.
The MMT provides medical staff augmentation capabilities to designated hospitals and staff and is focused on treatment of inpatient medical wards and augmentation of medical and surgical facilities during peak COVID-19 patient surges.
Team will consist of medical providers,registered nurses, and respiratory technicians/medical technicians plus appropriate command and control, sustainment, and other enabler support asdeemed necessary.
The MMT is not intended to support ICU / critical care requirements and is not staffed with appropriate technical skills to meet ICU / critical care requirements.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally completed by 09/30/2025.
Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
Mission Assignments should continue to be based on operational requirements and follow MA policy.
 Additional Notes from FEMA
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.
Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2).
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


Amendment #5: De-obligate $1,000
Amendment #4: De-obligate $608,885.03 in funds as requested by the DOD.
Amendment #3: Amendment to add $569,604.42 for billing purposes
Amendment #2: Amend to add $126,501.44 for MEDCOM support
Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $400,000.00
(ARPA) (VC) Request DoD to Provide medical staff augmentation at E.W Sparrow Hospital
LAD: 04 FEB 2022; IOC: 07 FEB 2022; FOC: 08 FEB 2022; End of Clinical Mission 09 MAR 2022
This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #6: Per QULO, de-obligate funds in the amount of $148,806.23
Amendment #5: De-obligate $1,000
Amendment #4: De-obligate $608,885.03 in funds as requested by the DOD.
Amendment #3: Amendment to add $569,604.42 for billing purposes
Amendment #2: Amend to add $126,501.44 for MEDCOM support
Amendment #1: Per Quarterly ULO - De-obligate funds in the amount of $400,000.00
(ARPA) (VC) Request DoD to Provide medical staff augmentation at E.W Sparrow Hospital
LAD: 04 FEB 2022; IOC: 07 FEB 2022; FOC: 08 FEB 2022; End of Clinical Mission 09 MAR 2022
This MA is being issued with funding through the American Rescue Plan Act of 2021.


(ARPA) (SCF) This MA is being issued with funding through the American Rescue Plan Act of 2021.

DOL will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMAs disaster operations. Initial request for 5 personnel at TCF

As directed by and in coordination with FEMA, DEPARTMENT OF LABOR will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMA's disaster operations.

DOL will provide employees who have been identified as Surge Capacity Force (SCF) members at specified tier (Tier 3 or Tier 4) in accordance with standards established in the DHS SCF Concept of Operations, dated April 2010 .

NOTE: Agencies do not receive advances of funds from FEMA to pay for mission assigned activities. FEMA must receive and approve a request for payment for mission assignment work, accompanied by supporting documentation, to process reimbursement from the Disaster Relief Fund (DRF)

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025.

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: De-obligate funds in the amount of $97,758.60

(ARPA) (SCF) This MA is being issued with funding through the American Rescue Plan Act of 2021.

DOL will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMAs disaster operations. Initial request for 5 personnel at TCF


(ARPA) (SCF) This MA is being issued with funding through the American Rescue Plan Act of 2021.

DOT will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMAs disaster operations. Initial request for 5 personnel at TCF

As directed by and in coordination with FEMA, DEPARTMENT OF TRANSPORTATION will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMA's disaster operations.

DOT will provide employees who have been identified as Surge Capacity Force (SCF) members at specified tier (Tier 3 or Tier 4) in accordance with standards established in the DHS SCF Concept of Operations, dated April 2010 .

NOTE: Agencies do not receive advances of funds from FEMA to pay for mission assigned activities. FEMA must receive and approve a request for payment for mission assignment work, accompanied by supporting documentation, to process reimbursement from the Disaster Relief Fund (DRF)

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025.

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: De-obligate funds in the amount of $100,000.00

(ARPA) (SCF) This MA is being issued with funding through the American Rescue Plan Act of 2021.

DOT will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMAs disaster operations. Initial request for 5 personnel at TCF


Amendment #2: De-obligate funds in the amount of $5,344.92 to close this Mission Assignment.

Amendment #1: De-obligate funds in the amount of $100,000.00

(ARPA) (SCF) This MA is being issued with funding through the American Rescue Plan Act of 2021.

DOT will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMAs disaster operations. Initial request for 5 personnel at TCF


Provide GSA representative or GSA Broker to support (FO) search team and negotiate new lease(s) for FO purposes within the State of Michigan as may be required to support DR-4494-MI. See attachment

At the direction of FEMA, GSA to provide GSA broker(s) to support Field Office (FO) search time in Michigan and provide leasing services for field office facilities. In coordination with FEMA Region V, GSA will provide real estate contracting specialist(s) to locate potential facilities in various locations to support FEMA operations. Site must satisfy all requirements as mandated by FEMA policy.
- 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: Amend to extend 4494DRMI GSA01 end date to 4/01/2021. No additional funding is required.

Provide GSA representative or GSA Broker to support (FO) search team and negotiate new lease(s) for FO purposes within the State of Michigan as may be required to support DR-4494-MI. See attachment


Amendment #2: Per Quarterly ULO, de-obligate funds in the amount of $6,832.46
Amendment #1: Amend to extend 4494DRMI GSA01 end date to 4/01/2021. No additional funding is required.
Provide GSA representative or GSA Broker to support (FO) search team and negotiate new lease(s) for FO purposes within the State of Michigan as may be required to support DR-4494-MI. See attachment


Design, mobilize, and construct one, 250 unit Federal Medical Stations (FMS) in accordance with the FMS Concept of Operations dated March 2014 for approximately 2,000 patients in the TCF Convention Center (previously Cobo Hall) 1 Washington, Detroit, MI owned by Detroit Regional Convention Facility Authority. FMS units provided by HHS.

As directed by and in coordination with the State of Michigan and 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.
- 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: Amend to increase funds by $1,570,000 and extend end date to 05-08-2020.

Design, mobilize, and construct one, 250 unit Federal Medical Stations (FMS) in accordance with the FMS Concept of Operations dated March 2014 for approximately 2,000 patients in the TCF Convention Center (previously Cobo Hall) 1 Washington, Detroit, MI owned by Detroit Regional Convention Facility Authority. FMS units provided by HHS.


Amendment #2: Cost share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID19 Direct Federal Assistance Mission Assignments, dated March 29, 2021

#1: Amend to increase funds by $1,570,000 and extend end date to 05-08-2020.

Design, mobilize, and construct one, 250 unit Federal Medical Stations (FMS) in accordance with the FMS Concept of Operations dated March 2014 for approximately 2,000 patients in the TCF Convention Center (previously Cobo Hall) 1 Washington, Detroit, MI owned by Detroit Regional Convention Facility Authority. FMS units provided by HHS.


Amendment #3: De-obligate funds in the amount of $3,142,000.00 to close this Mission Assignment.

Amendment #2: Cost share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID19 Direct Federal Assistance Mission Assignments, dated March 29, 2021

#1: Amend to increase funds by $1,570,000 and extend end date to 05-08-2020.

Design, mobilize, and construct one, 250 unit Federal Medical Stations (FMS) in accordance with the FMS Concept of Operations dated March 2014 for approximately 2,000 patients in the TCF Convention Center (previously Cobo Hall) 1 Washington, Detroit, MI owned by Detroit Regional Convention Facility Authority. FMS units provided by HHS.


Amendment #4: Add funds in the amount of $1,234,755.09

Amendment #3: De-obligate funds in the amount of $3,142,000.00 to close this Mission Assignment.

Amendment #2: Cost share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID19 Direct Federal Assistance Mission Assignments, dated March 29, 2021

#1: Amend to increase funds by $1,570,000 and extend end date to 05-08-2020.

Design, mobilize, and construct one, 250 unit Federal Medical Stations (FMS) in accordance with the FMS Concept of Operations dated March 2014 for approximately 2,000 patients in the TCF Convention Center (previously Cobo Hall) 1 Washington, Detroit, MI owned by Detroit Regional Convention Facility Authority. FMS units provided by HHS.


HHS to provide Pharmacists to augment the DoD T1 team.
Michigan requests a Type 1, federally supported/operated Covid-19 vaccine site with a federal allocation of vaccine for a 12 week period of performance to support a vaccination hub established at Ford Field, 2000 Brush, Detroit, Michigan. See PILOT site attachment sec 2.

In support of the State of Michigan request, as directed by and in coordination with FEMA, HHS will deploy personnel to support activities including, but not limited to, the following areas in support of FEMA's COVID vaccination operations. HHS personnel is to augment the Michigan's COVID vaccination capacity by administering vaccinations at sites across the Michigan. HHS requests that specific requests (i.e. security clearances, license documentation, vaccinations, etc.) be identified in advance of assigning the Mission Assignment to ensure that requests can be fulfilled. HHS requests up to 5 days from the date of the signed Mission Assignment to deploy personnel to requested location. HHS requests that deployed personnel are provided the essential equipment, materials, supplies, and information to safely execute vaccine operations.
State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.
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 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 remaining funds of $138,930.76 and close the MA
HHS to provide Pharmacists to augment the DoD T1 team.
Michigan requests a Type 1, federally supported/operated Covid-19 vaccine site with a federal allocation of vaccine for a 12 week period of performance to support a vaccination hub established at Ford Field, 2000 Brush, Detroit, Michigan. See PILOT site attachment sec 2.


(ARPA) (VC) HHS to provide Ventec V+Pro Ventilators and HFNC Kits in support of Covid-19 operations Initial request to include 200 Ventec V+Pro ventilators with 5 weeks of supplies and 200 Ventec HFNC

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the state of Michigan and in coordination with FEMA, HHS to provide ventilators in support of Covid-19 operations. Initial request to include 200 Ventec V+Pro ventilators with 5 weeks of supplies and 200 High Flow Nasal Cannula kits .

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

ADDITIONAL NOTES FROM FEMA

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

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.
Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2).

-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


Amendment #1: De-obligate funds in the amount of $486,915.20

(ARPA) (VC) HHS to provide Ventec V+Pro Ventilators and HFNC Kits in support of Covid-19 operations Initial request to include 200 Ventec V+Pro ventilators with 5 weeks of supplies and 200 Ventec HFNC

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #2: Amend POP to from 12/10/2021-1/15/2022 to 12/10/2021-1/31/2022 to account for travel costs that are just outside of the POP.
Amendment #1: De-obligate funds in the amount of $486,915.20
(ARPA) (VC) HHS to provide Ventec V+Pro Ventilators and HFNC Kits in support of Covid-19 operations Initial request to include 200 Ventec V+Pro ventilators with 5 weeks of supplies and 200 Ventec HFNC
This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the state of Michigan and in coordination with FEMA, HHS to provide ventilators in support of Covid-19 operations. Initial request to include 200 Ventec V+Pro ventilators with 5 weeks of supplies and 200 High Flow Nasal Cannula kits .
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
ADDITIONAL NOTES FROM FEMA
MA task orders be issued by FEMA for specific requirements, personnel, location(s), date(s),and duration of Mission Assignments
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.
Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2).
-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


(VC) (ARPA) HHS to support Michigan for hospital staffing at Henry Ford Health System- Wyandotte for 30 days to support med-surge and ED decompression.

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As requested by the state of Michigan, in coordination with FEMA, HHS will Provide staffing in support of ED/Hospital decompression to include logistics and operational personnel.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

Additional Notes from FEMA

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.

Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2).

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


Amendment #1: De-obligate funds in the amount of $1,397,424.39

(VC) (ARPA) HHS to support Michigan for hospital staffing at Henry Ford Health System- Wyandotte for 30 days to support med-surge and ED decompression.

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #2: De-obligate funds in the amount of $102,575.61 in accordance with MA policy and no financial activity for over 180 days.

Amendment #1: De-obligate funds in the amount of $1,397,424.39
(VC) (ARPA) HHS to support Michigan for hospital staffing at Henry Ford Health System- Wyandotte for 30 days to support med-surge and ED decompression.
This MA is being issued with funding through the American Rescue Plan Act of 2021.


ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Initial request for Wayne county

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As authorized in the President's December 27, 2021 Memorandum for the Secretary of Health and Human Services, the Secretary of Homeland Security, and the Administrator of the Federal Emergency Management Agency on Maximizing Assistance to Respond to COVID-19, in support of Michigan's request, as directed by and in coordination with FEMA, and as adjudicated by the Emergency Support Function (ESF) #8 Advisory Council, Centers for Disease Control and Prevention (CDC) will launch, provide, and operate ICATT COVID-19 Surge Testing sites to augment State, local, Tribal, and territorial public health resources in support of FEMA disaster operations including, but not limited to the following:

-Coordinate with Michigan to select surge testing location, testing method, and operational model.

-Provide technical expertise to FEMA and ESF #8 Advisory Council when adjudicating requests.

-For all requests approved ESF #8 Advisory Council, CDC will connect the requesting jurisdiction with the ICATT federal contractor to begin implementation.

-ICATT will manage the federal contractor providing surge testing services per their contractual agreement. The federal contractor supports site set up and management in coordination with the jurisdiction; provides end-to-end testing support.

-ICATT will monitor surge site testing performance during the approved duration and coordinate with ESF #8 Advisory Council and the jurisdiction to extend or retire testing services based on available funding and community testing needs.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

- 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- only for those items not provided by CDC or their contractor- must be coordinated with FEMA Project Manager in advance. If the purchase is pre-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) No cost extension to 2/14/2022 to cover ICATT operations for Wayne Dearborn. Change PM to Jason Blum

ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Initial request for Wayne county

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment (2): De-obligate remaining funds of $2,394,000.00 and close the MA.
Amend (1) No cost extension to 2/14/2022 to cover ICATT operations for Wayne Dearborn. Change PM to Jason Blum
ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Initial request for Wayne county
This MA is being issued with funding through the American Rescue Plan Act of 2021.


ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support being requested for Macomb County.

This MA is being issued with funding through the American Rescue Plan Act of 2021.

As authorized in the President's December 27, 2021 Memorandum for the Secretary of Health and Human Services, the Secretary of Homeland Security, and the Administrator of the Federal Emergency Management Agency on Maximizing Assistance to Respond to COVID-19, in support of Michigan's request, as directed by and in coordination with FEMA, and as adjudicated by the Emergency Support Function (ESF) #8 Advisory Council, Centers for Disease Control and Prevention (CDC) will launch, provide, and operate ICATT COVID-19 Surge Testing sites to augment State, local, Tribal, and territorial public health resources in support of FEMA disaster operations including, but not limited to the following:

-Coordinate with the Michigan to select surge testing location, testing method, and operational model.

-Provide technical expertise to FEMA and ESF #8 Advisory Council when adjudicating requests.

-For all requests approved ESF #8 Advisory Council, CDC will connect the requesting jurisdiction with the ICATT federal contractor to begin implementation.

-ICATT will manage the federal contractor providing surge testing services per their contractual agreement. The federal contractor supports site set up and management in coordination with the jurisdiction; provides end-to-end testing support.

-ICATT will monitor surge site testing performance during the approved duration and coordinate with ESF #8 Advisory Council and the jurisdiction to extend or retire testing services based on available funding and community testing needs.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

- 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- only for those items not provided by CDC or their contractor- must be coordinated with FEMA Project Manager in advance. If the purchase is pre-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) No cost extension to 2/21/2022 to cover ICATT operations at Macomb County (Warren City Hall) change PM to Jason Blum

ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support being requested for Macomb County.

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment (2) De-obligate remaining funds of $1,436,000 and close the MA.
Amend (1) No cost extension to 2/21/2022 to cover ICATT operations at Macomb County (Warren City Hall) change PM to Jason Blum
ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support being requested for Macomb County.
This MA is being issued with funding through the American Rescue Plan Act of 2021.


ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support requested in Saginaw county

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment #1 De-obligate all funding. MA will be cancelled

ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support requested in Saginaw county

This MA is being issued with funding through the American Rescue Plan Act of 2021.


ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support requested in Kalamazoo County Expo Center

This MA is being issued with funding through the American Rescue Plan Act of 2021.


Amendment (1): De-obligate funds in the amount of $1,310,400
00 and close the MA
ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support requested in Kalamazoo County Expo Center
This MA is being issued with funding through the American Rescue Plan Act of 2021.


Telehealth request in conjunction with US DHHS ASPR to provide lifesaving COVID-19 treatments

HHS will provide telehealth support to the state of Michigan in support of their continued response to COVID-19. The Michigan Department of Health and Human Services (MDHHS) will continue to operate state-managed community testing sites, this capability will provide them with the ability to immediately match eligible individuals with positive COVID-19 tests with the most appropriate COVID-19 therapeutics.  Telehealth providers will follow state and Federal COVID-19 treatment protocols, open to all but targeting medically underserved and uninsured individuals with barriers to accessing testing and/or treatment from health systems. These state-managed testing sites have been placed in key locations to provide same-day, free-of-charge services with convenient access to allow the convenient dispensing of Oral Antiviral (OAVs) medications or referral for monoclonal (mAb) infusion therapies.

Additional Notes from FEMA

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.

Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement,
per 44 CFR 206.208(c)(2).

Additional Notes from FEMA:

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


Amendment #1: 30 day extension of telehealth in conjunction with HHS/ASPR to provide lifesaving COVID-19 treatments.

Telehealth request in conjunction with US DHHS ASPR to provide lifesaving COVID-19 treatments

HHS will provide telehealth support to the state of Michigan in support of their continued response to COVID-19. The Michigan Department of Health and Human Services (MDHHS) will continue to operate state-managed community testing sites, this capability will provide them with the ability to immediately match eligible individuals with positive COVID-19 tests with the most appropriate COVID-19 therapeutics.  Telehealth providers will follow state and Federal COVID-19 treatment protocols, open to all but targeting medically underserved and uninsured individuals with barriers to accessing testing and/or treatment from health systems. These state-managed testing sites have been placed in key locations to provide same-day, free-of-charge services with convenient access to allow the convenient dispensing of Oral Antiviral (OAVs) medications or referral for monoclonal (mAb) infusion therapies.
Additional Notes from FEMA
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.
Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement,
per 44 CFR 206.208(c)(2).
Additional Notes from FEMA:
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


Amendment #2: Correction to the period of performance to reflect entire POP of the Mission Assignment.
Amendment #1: 30 day extension of telehealth in conjunction with HHS/ASPR to provide lifesaving COVID-19 treatments.
Telehealth request in conjunction with US DHHS ASPR to provide lifesaving COVID-19 treatments


Amendment #3 Extension of period of performance through 11/18/22 and addition of $130,000 in funding.
Amendment #2: Correction to the period of performance to reflect entire POP of the Mission Assignment.
Amendment #1: 30 day extension of telehealth in conjunction with HHS/ASPR to provide lifesaving COVID-19 treatments.
Telehealth request in conjunction with US DHHS ASPR to provide lifesaving COVID-19 treatments


Amendment #4: De-obligate funds in the amount of $275,000.00 as directed by MA policy due to no financial activity on the mission for over 180 days.

Amendment #3 Extension of period of performance through 11/18/22 and addition of $130,000 in funding.
Amendment #2: Correction to the period of performance to reflect entire POP of the Mission Assignment.
Amendment #1: 30 day extension of telehealth in conjunction with HHS/ASPR to provide lifesaving COVID-19 treatments.
Telehealth request in conjunction with US DHHS ASPR to provide lifesaving COVID-19 treatments


ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Initial request for Wayne county

As authorized in the President's December 27, 2021 Memorandum for the Secretary of Health and Human Services, the Secretary of Homeland Security, and the Administrator of the Federal Emergency Management Agency on Maximizing Assistance to Respond to COVID-19, in support of Michigan's request, as directed by and in coordination with FEMA, and as adjudicated by the Emergency Support Function (ESF) #8 Advisory Council, Centers for Disease Control and Prevention (CDC) will launch, provide, and operate ICATT COVID-19 Surge Testing sites to augment State, local, Tribal, and territorial public health resources in support of FEMA disaster operations including, but not limited to the following:

-Coordinate with Michigan to select surge testing location, testing method, and operational model.

-Provide technical expertise to FEMA and ESF #8 Advisory Council when adjudicating requests.

-For all requests approved ESF #8 Advisory Council, CDC will connect the requesting jurisdiction with the ICATT federal contractor to begin implementation.

-ICATT will manage the federal contractor providing surge testing services per their contractual agreement. The federal contractor supports site set up and management in coordination with the jurisdiction; provides end-to-end testing support.

-ICATT will monitor surge site testing performance during the approved duration and coordinate with ESF #8 Advisory Council and the jurisdiction to extend or retire testing services based on available funding and community testing needs.

- 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- only for those items not provided by CDC or their contractor- must be coordinated with FEMA Project Manager in advance. If the purchase is pre-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 funding. MA will be reissued under new TAS code

ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Initial request for Wayne county


ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support being requested for Macomb County.

As authorized in the President's December 27, 2021 Memorandum for the Secretary of Health and Human Services, the Secretary of Homeland Security, and the Administrator of the Federal Emergency Management Agency on Maximizing Assistance to Respond to COVID-19, in support of Michigan's request, as directed by and in coordination with FEMA, and as adjudicated by the Emergency Support Function (ESF) #8 Advisory Council, Centers for Disease Control and Prevention (CDC) will launch, provide, and operate ICATT COVID-19 Surge Testing sites to augment State, local, Tribal, and territorial public health resources in support of FEMA disaster operations including, but not limited to the following:

-Coordinate with the Michigan to select surge testing location, testing method, and operational model.

-Provide technical expertise to FEMA and ESF #8 Advisory Council when adjudicating requests.

-For all requests approved ESF #8 Advisory Council, CDC will connect the requesting jurisdiction with the ICATT federal contractor to begin implementation.

-ICATT will manage the federal contractor providing surge testing services per their contractual agreement. The federal contractor supports site set up and management in coordination with the jurisdiction; provides end-to-end testing support.

-ICATT will monitor surge site testing performance during the approved duration and coordinate with ESF #8 Advisory Council and the jurisdiction to extend or retire testing services based on available funding and community testing needs.

- 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- only for those items not provided by CDC or their contractor- must be coordinated with FEMA Project Manager in advance. If the purchase is pre-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 funding. MA will be reissued under new treasury code

ICATT-ARPA Michigan requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites. Support being requested for Macomb County.


ARPA VC This MA is being issued with funding through the American Rescue Plan Act of 2021.

The state of MI has requested an IMT team resource to support vaccine operations within the state until 5/28/2021.

In support of State of Michigan request, as directed by and in coordination with FEMA, US Coast Guard (USCG) will provide command, control, and coordination resources, including but not limited to command and general staff members or personnel with other specialized qualifications, to assist with emergency operations to support FEMA disaster operations.
- USCG will utilize other Federal agency and State/local resources under existing agreement, as appropriate.
- USCG will pre-position resources and/or provide assistance.
- USCG is responsible for providing personnel and/or equipment necessary to accomplish the mission at this or other sites as identified in coordination with FEMA and the State of Michigan. As directed by and in coordination with FEMA, U.S. Coast Guard (USCG) will provide a nonmedical team, consisting of initially12 people to support Michigan vaccination efforts. The USCG team will be prepared for duties including, but not limited to, the following: General Staff, Check-In Staff, Administrative Staff, Parking Control, Recipient Exit Area/Exit Reviewer. USCG personnel will not fill the following nonclinical staff roles: IT Support, Language translation, External Affairs, door-to-door registration, and Security. The individuals comprising a team are a cohesive unit to be deployed together. Individual team members may be replaced as needed. FEMA will issue MATOs to deploy additional vaccine support teams at a later date as needed to specific locations and outline any unique site requirements or extensions in Period of Performance in coordination with FEMA and the State of Michigan. USCG will provide necessary personnel and supplies for a 12hours shift as required. Requestor will provide COVID19 PPE and administrative equipment as needed for all USCG personnel. During COVID operations, FEMA, in coordination with the state receiving assistance, will provide supporting personnel the required COVID vaccine initial and/or series completion if personnel have not yet received the same upon deployment

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

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: De-obligate funds in the amount of $250,000.00

ARPA VC This MA is being issued with funding through the American Rescue Plan Act of 2021.

The state of MI has requested an IMT team resource to support vaccine operations within the state until 5/28/2021.


Amendment #2: De-obligate funds in the amount of $191,900.04

Amendment #1: De-obligate funds in the amount of $250,000.00

ARPA VC This MA is being issued with funding through the American Rescue Plan Act of 2021.

The state of MI has requested an IMT team resource to support vaccine operations within the state until 5/28/2021.


Amendment #3 De-obligate funds in the amount of $166,060.28 and close the Mission
Amendment #2: De-obligate funds in the amount of $191,900.04
Amendment #1: De-obligate funds in the amount of $250,000.00
ARPA VC This MA is being issued with funding through the American Rescue Plan Act of 2021.
The state of MI has requested an IMT team resource to support vaccine operations within the state until 5/28/2021.


(ARPA) This MA is being issued with funding through the American Rescue Plan Act of 2021.

USCG to provide will provide command, control, and coordination resources support to TCF. Initial request for 7 Generalist

In support of State of Michigan request, as directed by and in coordination with FEMA, US Coast Guard (USCG) will provide command, control, and coordination resources, including but not limited to command and general staff members or personnel with other specialized qualifications, to assist with emergency operations to support FEMA disaster operations.

- USCG will utilize other Federal agency and State/local resources under existing agreement, as appropriate.

- USCG will pre-position resources and/or provide assistance.

- USCG is responsible for providing personnel and/or equipment necessary to accomplish the mission at this or other sites as identified in coordination with FEMA and the State of Michigan. As directed by and in coordination with FEMA, U.S. Coast Guard (USCG) will provide a nonmedical team, consisting of but not limited to  initially 7 people to support Michigan vaccination efforts. The USCG team will be prepared for duties including, but not limited to, the following: General Staff, Check-In Staff, Administrative Staff, Parking Control, Recipient Exit Area/Exit Reviewer. USCG personnel will not fill the following nonclinical staff roles: IT Support, Language translation, External Affairs, door-to-door registration, and Security. The individuals comprising a team are a cohesive unit to be deployed together. Individual team members may be replaced as needed. FEMA will issue MATOs to deploy additional vaccine support teams at a later date as needed to specific locations and outline any unique site requirements or extensions in Period of Performance in coordination with FEMA and the State of Michigan. USCG will provide necessary personnel and supplies for a 12hours shift as required.

Requestor will provide COVID19 PPE and administrative equipment as needed for all USCG personnel. During COVID operations, FEMA, in coordination with the state receiving assistance, will provide supporting personnel the required COVID vaccine initial and/or series completion if personnel have not yet received the same upon deployment

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

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: De-obligate funds in the amount of $555,927.68 to close this Mission Assignment

(ARPA) This MA is being issued with funding through the American Rescue Plan Act of 2021.

USCG to provide will provide command, control, and coordination resources support to TCF. Initial request for 7 Generalist


(ARPA) This MA is being issued with funding through the American Rescue Plan Act of 2021.

USCG to initially provide 12 Generalists to assist with state vaccination efforts at the DeVos place in Grand Rapids, MI

As directed by and in coordination with FEMA, U.S. Coast Guard (USCG) will provide a nonmedical team, consisting of, but not limited to, 12 people to support Michigan vaccination efforts. The USCG team will be prepared for duties including, but not limited to, the following:

General Staff, Check-In Staff, Administrative Staff, Traffic Control, Recipient Exit Area/Exit Reviewer.

USCG personnel will not fill the following nonclinical staff roles: IT Support, Language translation, External Affairs, and Security.

The individuals comprising a team are a cohesive unit to be deployed together and will initially include 2 command/control members. Individual team members may be replaced as needed.

FEMA will issue MATOs to deploy additional vaccine support teams at a later date as needed to specific locations and outline any unique site requirements.

USCG will provide necessary personnel and supplies for a 12-hour shift as required. Requestor will provide COVID19 PPE and administrative equipment as needed for all USCG personnel. During COVID operations, FEMA, in coordination with the state receiving assistance, will provide supporting personnel the required COVID vaccine initial and/or series completion if personnel have not yet received the same upon deployment. State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMA's request, and personnel from other federal agencies) deployed in support of the vaccination effort.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.

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. Period of Performance includes travel day before and after 8 weeks of service.


Amendment #1: De-obligate funds in the amount of $985,881.60 to close this Mission Assignment.

(ARPA) This MA is being issued with funding through the American Rescue Plan Act of 2021.

USCG to initially provide 12 Generalists to assist with state vaccination efforts at the DeVos place in Grand Rapids, MI