Amendment #5 De-obligate -$8,454,652.24 per Jan 2023 ULO Report. Change PM to DeLane Garner.
BOC 2508(T32)(ARPA) Amendment #4: DOD may provide up to 300 personnel to assist Arizona 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.
BOC 2508(T32)(ARPA) Amendment #3: DOD may provide up to 300 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with no cost share for operations beginning Jan 1, 2022 through April 1, 2022. Additional funding requirements, if required, may be provided by NGB J8 thereafter.
BOC 2508 (T32)(ARPA) Amendment #2: DOD may provide up to 1,500 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $13,541,750.00 for operations beginning October 1, 2021 through December 31, 2021. Additional funding requirements, if required, may will be provided by NGB J8 thereafter. Change PM Thomas Erickson
BOC 2508 (T32)(ARPA) Amendment #1- DOD to provide personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Incremental cost estimated at $1,848,986.00 for Operations beginning July 1, 2021 through Sept 30, 2021. Change PM to Christine Borgognoni.
BOC 2508 (T32)(ARPA): This is a continuation of MA# 4524DR-AZ-DOD-04-07 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 1,300 personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $30,096,000.00 for Operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.

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 submitted to FEMA no later than 09/30/2030.
Consistent with Presidential Memorandum Providing Federal Support for Governors Use of the National Guard to Respond to COVID-19, dated [1/21/2021], to assist the State of Arizona to respond to the threats and hazards caused by COVID-19, FEMA requests DoD provide essential assistance support to the State of Arizona.  Pursuant to President Bidens Memoranda, FEMA can fully reimburse DoD for this support if DoD requests that States order National Guard Forces to perform duty to fulfill this mission assignment.  DOD will execute the MA as directed by and in coordination with FEMA, and will:
Provide essential assistance to meet the immediate threats to life resulting from the COVID-19 outbreak as authorized by Sections 403 (42 U.S.C. 5170b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, Public Law 93-288, as amended, 42 U.S.C. 5121 et seq., to support COVID-19 operations in Arizona.  National Guard units under state control will execute critical missions to save lives and protect the public health and safety. Eligible activities are limited to Emergency Protective Measures, as outlined in COVID-19 specific Public Assistance policy or otherwise authorized by FEMA.
Safety and security missions, not to include law enforcement activities, are authorized as part of this MA.  Effective 8/22/2020, eligible costs under this MA include pay, allowances, travel to place National Guard personnel on Title 32 orders, and per diem. Eligible expenses will also include:
1. Operating costs for DoD equipment already in DoD stocks necessary to fulfill the MA; and
2. Equipment and supplies that only DoD can purchase and that are necessary to fulfill the requirements of the MA, and pre-approved by the FEMA project Manager,
3. Lastly, additional eligible expenses authorized in writing by ORR leadership Employment costs (supplies, equipment, etc.) will be the responsibility of the state, and ineligible MA expenses may be submitted for reimbursement consideration to FEMA via a Public Assistance Project Worksheet.
DOD will deploy with appropriate command and control, support personnel, and equipment as required.  In support of this activity, the State will develop a transition plan for this support that will reflect the current mission sets, the conditions required to either terminate or transition the missions, the means of transition (i.e., contracted, other state agency, or National Guard in state active-duty), and the projected timeline to transition.  States will provide an update on the status of transition no later than 60 days prior to final date T-32 authorized via Presidential Memoranda.
All local, State, and non-DoD national assets are exhausted or do not have the capacity to meet this requirement.
 - 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 #6 De-obligate -$884,192.91 per FEMA HQ request.
BOC 2508(T32)(ARPA) Amendment #4: DOD may provide up to 300 personnel to assist Arizona 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.
BOC 2508(T32)(ARPA) Amendment #3: DOD may provide up to 300 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with no cost share for operations beginning Jan 1, 2022 through April 1, 2022. Additional funding requirements, if required, may be provided by NGB J8 thereafter.
BOC 2508 (T32)(ARPA) Amendment #2: DOD may provide up to 1,500 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $13,541,750.00 for operations beginning October 1, 2021 through December 31, 2021. Additional funding requirements, if required, may will be provided by NGB J8 thereafter. Change PM Thomas Erickson
BOC 2508 (T32)(ARPA) Amendment #1- DOD to provide personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Incremental cost estimated at $1,848,986.00 for Operations beginning July 1, 2021 through Sept 30, 2021. Change PM to Christine Borgognoni.
BOC 2508 (T32)(ARPA): This is a continuation of MA# 4524DR-AZ-DOD-04-07 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 1,300 personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $30,096,000.00 for Operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


Amendment #7: De-obligate $20,323.09 per attached quarterly ULO report
Amendment #6 De-obligate -$884,192.91 per FEMA HQ request.
BOC 2508(T32)(ARPA) Amendment #4: DOD may provide up to 300 personnel to assist Arizona 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.
BOC 2508(T32)(ARPA) Amendment #3: DOD may provide up to 300 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with no cost share for operations beginning Jan 1, 2022 through April 1, 2022. Additional funding requirements, if required, may be provided by NGB J8 thereafter.
BOC 2508 (T32)(ARPA) Amendment #2: DOD may provide up to 1,500 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $13,541,750.00 for operations beginning October 1, 2021 through December 31, 2021. Additional funding requirements, if required, may will be provided by NGB J8 thereafter. Change PM Thomas Erickson
BOC 2508 (T32)(ARPA) Amendment #1- DOD to provide personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Incremental cost estimated at $1,848,986.00 for Operations beginning July 1, 2021 through Sept 30, 2021. Change PM to Christine Borgognoni.
BOC 2508 (T32)(ARPA): This is a continuation of MA# 4524DR-AZ-DOD-04-07 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 1,300 personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $30,096,000.00 for Operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


Amendment #8: De-obligate ($7,900.48 FY 21) per attached October 2023 quarterly ULO report
Amendment #7: De-obligate $20,323.09 per attached quarterly ULO report
Amendment #6 De-obligate -$884,192.91 per FEMA HQ request.
BOC 2508(T32)(ARPA) Amendment #4: DOD may provide up to 300 personnel to assist Arizona 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.
BOC 2508(T32)(ARPA) Amendment #3: DOD may provide up to 300 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with no cost share for operations beginning Jan 1, 2022 through April 1, 2022. Additional funding requirements, if required, may be provided by NGB J8 thereafter.
BOC 2508 (T32)(ARPA) Amendment #2: DOD may provide up to 1,500 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $13,541,750.00 for operations beginning October 1, 2021 through December 31, 2021. Additional funding requirements, if required, may will be provided by NGB J8 thereafter. Change PM Thomas Erickson
BOC 2508 (T32)(ARPA) Amendment #1- DOD to provide personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Incremental cost estimated at $1,848,986.00 for Operations beginning July 1, 2021 through Sept 30, 2021. Change PM to Christine Borgognoni.
BOC 2508 (T32)(ARPA): This is a continuation of MA# 4524DR-AZ-DOD-04-07 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 1,300 personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $30,096,000.00 for Operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


Amendment #9: De-obligate -$58,876.86 per Jan 2024 Quarterly ULO Report.

Amendment #8: De-obligate ($7,900.48 FY 21) per attached October 2023 quarterly ULO report
Amendment #7: De-obligate $20,323.09 per attached quarterly ULO report
Amendment #6 De-obligate -$884,192.91 per FEMA HQ request.
BOC 2508(T32)(ARPA) Amendment #4: DOD may provide up to 300 personnel to assist Arizona 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.
BOC 2508(T32)(ARPA) Amendment #3: DOD may provide up to 300 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with no cost share for operations beginning Jan 1, 2022 through April 1, 2022. Additional funding requirements, if required, may be provided by NGB J8 thereafter.
BOC 2508 (T32)(ARPA) Amendment #2: DOD may provide up to 1,500 personnel to assist Arizona State to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $13,541,750.00 for operations beginning October 1, 2021 through December 31, 2021. Additional funding requirements, if required, may will be provided by NGB J8 thereafter. Change PM Thomas Erickson
BOC 2508 (T32)(ARPA) Amendment #1- DOD to provide personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Incremental cost estimated at $1,848,986.00 for Operations beginning July 1, 2021 through Sept 30, 2021. Change PM to Christine Borgognoni.
BOC 2508 (T32)(ARPA): This is a continuation of MA# 4524DR-AZ-DOD-04-07 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 1,300 personnel to assist state of Arizona to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $30,096,000.00 for Operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.

SOW - As requested by and in coordination with FEMA, the State of AZ and in support of ESF 8, DoD provides medical personnel and
capabilities at designated locations to augment state COVID-19 response operations.  DoD medical personnel will augment
staff in existing critical care environments.  Mission command and support personnel as necessary are authorized.

Mission sets include and are limited to:

1)          Medical personnel to provide staffing augmentation to support civilian hospital critical care decompression and relief
for AZ facilities treating COVID-19 and/or non COVID-19 patients as designated by AZ.

2)          Medical providers will augment staffing at an existing medical facility where required. Equipment, medications, medical
supplies, appropriate PPE, administrative and other support staff will be provided by Arizona and/or supported Medical Facility.

3)           Initial deployment will be at locations designated by the State of Arizona and DHHS.

4)          Funding will be provided for initial movement to/return from the state AO, housing proximate to each mission location,
as well as in-and-around transportation costs.

5)           Position or credentialling of medical providers can be adjusted to achieve greater ICU/Medical surge or emergency department capability.

6)          Mission Command and Logistics Support is authorized, as necessary.

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


BOC 2508. Amendment 1: Increase funding by $516,800 with POP ending 02/27/2022 and Change PM Christine Borgognoni

BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.


BOC 2508(DFA) Amendment #2: To Extend DOD support to Yuma, POP until 03/08/2022 for RJRSOI, redeployment and COVID testing which will include ROM days. No Cost, Change of PM Thomas Erickson

BOC 2508(DFA) Amendment #1: Increase funding by $516,800 with POP ending 02/27/2022 and Change PM Christine Borgognoni

BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.


BOC 2508(DFA) Amendment #3: To Extend DOD support to Canyon Vista Medical Center, POP until 03/24/2022 for RJRSOI, redeployment and COVID testing which will include ROM days.

BOC 2508(DFA) Amendment #2: To Extend DOD support to Yuma, POP until 03/08/2022 for RJRSOI, redeployment and COVID testing which will include ROM days. No Cost, Change of PM Thomas Erickson

BOC 2508(DFA) Amendment #1: Increase funding by $516,800 with POP ending 02/27/2022 and Change PM Christine Borgognoni

BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.


BOC 2508(DFA)(ARPA) Amendment #4: Increase of time, extending POP 3/25-3/27/2022. No Cost Incurred, change PM Christine Borgognoni.

BOC 2508(DFA) Amendment #3: To Extend DOD support to Canyon Vista Medical Center, POP until 03/24/2022 for RJRSOI, redeployment and COVID testing which will include ROM days.

BOC 2508(DFA) Amendment #2: To Extend DOD support to Yuma, POP until 03/08/2022 for RJRSOI, redeployment and COVID testing which will include ROM days. No Cost, Change of PM Thomas Erickson

BOC 2508(DFA) Amendment #1: Increase funding by $516,800 with POP ending 02/27/2022 and Change PM Christine Borgognoni

BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.


BOC 2508 (ARPA) Amendment #5 De-obligate $-1,350,400.00 per FEMA HQ guidance for DOD Billing. Change PM to Christine Borgognoni.

BOC 2508(DFA)(ARPA) Amendment #4: Increase of time, extending POP 3/25-3/27/2022. No Cost Incurred, change PM Christine Borgognoni.

BOC 2508(DFA) Amendment #3: To Extend DOD support to Canyon Vista Medical Center, POP until 03/24/2022 for RJRSOI, redeployment and COVID testing which will include ROM days.

BOC 2508(DFA) Amendment #2: To Extend DOD support to Yuma, POP until 03/08/2022 for RJRSOI, redeployment and COVID testing which will include ROM days. No Cost, Change of PM Thomas Erickson

BOC 2508(DFA) Amendment #1: Increase funding by $516,800 with POP ending 02/27/2022 and Change PM Christine Borgognoni

BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.


Amendment #6 De-obligate $157,031.54 per ULO report. Change PM to DeLane Garner
BOC 2508 (ARPA) Amendment #5 De-obligate $-1,350,400.00 per FEMA HQ guidance for DOD Billing. Change PM to Christine Borgognoni.
BOC 2508(DFA)(ARPA) Amendment #4: Increase of time, extending POP 3/25-3/27/2022. No Cost Incurred, change PM Christine Borgognoni.
BOC 2508(DFA) Amendment #3: To Extend DOD support to Canyon Vista Medical Center, POP until 03/24/2022 for RJRSOI, redeployment and COVID testing which will include ROM days.
BOC 2508(DFA) Amendment #2: To Extend DOD support to Yuma, POP until 03/08/2022 for RJRSOI, redeployment and COVID testing which will include ROM days. No Cost, Change of PM Thomas Erickson
BOC 2508(DFA) Amendment #1: Increase funding by $516,800 with POP ending 02/27/2022 and Change PM Christine Borgognoni
BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.


Amendment #7 De-obligate -$8,774.61 per Jan 2023 ULO Report.
Amendment #6 De-obligate $157,031.54 per ULO report. Change PM to DeLane Garner
BOC 2508 (ARPA) Amendment #5 De-obligate $-1,350,400.00 per FEMA HQ guidance for DOD Billing. Change PM to Christine Borgognoni.
BOC 2508(DFA)(ARPA) Amendment #4: Increase of time, extending POP 3/25-3/27/2022. No Cost Incurred, change PM Christine Borgognoni.
BOC 2508(DFA) Amendment #3: To Extend DOD support to Canyon Vista Medical Center, POP until 03/24/2022 for RJRSOI, redeployment and COVID testing which will include ROM days.
BOC 2508(DFA) Amendment #2: To Extend DOD support to Yuma, POP until 03/08/2022 for RJRSOI, redeployment and COVID testing which will include ROM days. No Cost, Change of PM Thomas Erickson
BOC 2508(DFA) Amendment #1: Increase funding by $516,800 with POP ending 02/27/2022 and Change PM Christine Borgognoni
BOC 2508 (DFA) Arizona is requesting immediate support to the Yuma Regional Medical Center as priority hospital to ongoing COVID surge. Medical staffing will provide direct support in areas of emergency department decompression and medical surge nursing augmentation due to burden as result of COVID Pandemic.


BOC 2508 (VC) (SCF) DOL will provide LPN to support vaccine preparation at Type V CVC in Pima County, AZ. Funding $34,533.68 and POP: 06/14/2021.

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 FEMAs 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).

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.


BOC 2508 (VC) (SCF)Amendment #1 De-obligate $22,819.05 and close out MA per attached email. Change PM to Melissa Boudrye

BOC 2508 (VC) (SCF) DOL will provide LPN to support vaccine preparation at Type V CVC in Pima County, AZ. Funding $34,533.68 and POP: 06/14/2021.


BOC 2508 (VC) Vaccine Preparers to support AZ Mobile Operations for vaccination campaign. Funding $100,294.56 with POP, 06/14/21

As directed by and in coordination with FEMA, ENVIRONMENTAL PROTECTION AGENCY will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMAs disaster operations.

EPA 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).

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.


BOC 2508 (VC) Amendment 1: Deobligate $80k per request from OFA and FEMA HQ Closeout Team.

BOC 2508 (VC) Vaccine Preparers to support AZ Mobile Operations for vaccination campaign. Funding $100,294.56 with POP, 06/14/21


BOC 2508 (VC) Amendment 2: De-obligate $-1,650.38 per FEMA HQ guidance.

BOC 2508 (VC) Amendment 1: Deobligate $80k per request from OFA and FEMA HQ Closeout Team.

BOC 2508 (VC) Vaccine Preparers to support AZ Mobile Operations for vaccination campaign. Funding $100,294.56 with POP, 06/14/21


HHH to provide DMAT team and other medical personnel as necessary in support of Covid-19

In all AZ counties the State has exhausted all available resources.

HHS in coordination with FEMA will staff a DMAT Team and/or other medical personnel as necessary to support critical staffing emergent medical need for five facilities within AZ, due to COVID-19 and Staffing Shortfalls.

Federal medical support is requested for approximately two weeks or until longer term medical staff solutions will be filled by contract services secured by the State and local jurisdictions.

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 HHS in coordination with FEMA will staff a DMAT Team and/or other medical personnel as necessary to support critical staffing emergent medical need for five facilities within AZ, due to COVID19 and Staffing Shortfalls.

Federal medical support is requested for approximately two weeks or until longer term medical staff solutions will be
filled by contract services secured by the State and local jurisdictions.

HHH to provide DMAT team and other medical personnel as necessary in support of Covid-19


BOC 2508. Amendment #2: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21.

Amendment #1 HHS in coordination with FEMA will staff a DMAT Team and/or other medical personnel as necessary to support critical staffing emergent medical need for five facilities within AZ, due to COVID19 and Staffing Shortfalls.

Federal medical support is requested for approximately two weeks or until longer term medical staff solutions will be
filled by contract services secured by the State and local jurisdictions.

HHH to provide DMAT team and other medical personnel as necessary in support of Covid-19


BOC 2508. Amendment #3 Request to de-obligate $-1,215,000.00 per FEMA HQ guidance.

BOC 2508. Amendment #2: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21.

Amendment #1 HHS in coordination with FEMA will staff a DMAT Team and/or other medical personnel as necessary to support critical staffing emergent medical need for five facilities within AZ, due to COVID19 and Staffing Shortfalls.

Federal medical support is requested for approximately two weeks or until longer term medical staff solutions will be
filled by contract services secured by the State and local jurisdictions.

HHH to provide DMAT team and other medical personnel as necessary in support of Covid-19


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

BOC 2508. Amendment #3 Request to de-obligate $-1,215,000.00 per FEMA HQ guidance.

BOC 2508. Amendment #2: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21.

Amendment #1 HHS in coordination with FEMA will staff a DMAT Team and/or other medical personnel as necessary to support critical staffing emergent medical need for five facilities within AZ, due to COVID19 and Staffing Shortfalls.

Federal medical support is requested for approximately two weeks or until longer term medical staff solutions will be
filled by contract services secured by the State and local jurisdictions.

HHH to provide DMAT team and other medical personnel as necessary in support of Covid-19


HHS in Collaboration with FEMA to provide 15,000 pairs of gloves size large to the State of Arizona, POP 9/25/2020.

Requesting 15,000 pairs of gloves size large. The ADHS warehouse is seriously low on large and extra larger gloves. This will help augment the supply of gloves while AZ waits for their backfilled orders to be filled through the private sector.


BOC 2508. Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

HHS in Collaboration with FEMA to provide 15,000 pairs of gloves size large to the State of Arizona, POP 9/25/2020.


BOC 2508. Amendment 2:  De-obligate $3,600.00 and closeout Mission Assignment per HQ guidance . Change PM to D. Garner

BOC 2508. Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

HHS in Collaboration with FEMA to provide 15,000 pairs of gloves size large to the State of Arizona, POP 9/25/2020.


BOC 2508: HHS to provide up to 15 High Flow Nasal Cannulation machines from the SNS stockpile to use in acute care hospitals for the surge in COVID19 patients in the State of Arizona

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide High Flow Nasal Canula Ventilators from the SNS stockpile for the surge in COVID-19 patients in the State of Arizona.

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


BOC 2508: Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

BOC 2508: HHS to provide up to 15 High Flow Nasal Cannulation machines from the SNS stockpile to use in acute care hospitals for the surge in COVID19 patients in the State of Arizona


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

BOC 2508: Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

BOC 2508: HHS to provide up to 15 High Flow Nasal Cannulation machines from the SNS stockpile to use in acute care hospitals for the surge in COVID19 patients in the State of Arizona


BOC 2508- Tranche 5 Due to heavy usage at COVID-19 Vaccine POD sites request SNS to provide 400,000 size XL vinyl/nitrile blend gloves to AZ. Funding $16,000.00 with Ten (10) Days POP 01/21/2021 to 01/31/2021.

As directed by and in coordination with FEMA and HHS, SNS will provide 400,000 size XL vinyl/nitrile blend gloves to the State of Arizona.

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.


BOC 2508- Amendment #1- Price Increase requires amending previous MA adding $28,000 to the required funding. Per the supplier SNS

BOC 2508- Tranche 5 Due to heavy usage at COVID-19 Vaccine POD sites request SNS to provide 400,000 size XL vinyl/nitrile blend gloves to AZ. Funding $16,000.00 with Ten (10) Days POP 01/21/2021 to 01/31/2021.


BOC 2508. Amendment 2: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

BOC 2508- Amendment #1- Price Increase requires amending previous MA adding $28,000 to the required funding. Per the supplier SNS

BOC 2508- Tranche 5 Due to heavy usage at COVID-19 Vaccine POD sites request SNS to provide 400,000 size XL vinyl/nitrile blend gloves to AZ. Funding $16,000.00 with Ten (10) Days POP 01/21/2021 to 01/31/2021.


BOC 2508 (VC) NDMS to support State of Arizona with 96 qualified medical vaccinators for POD Operations. Multiple Locations designated in Arizona to include the Counties of Yavapai, Mohave, Navajo, Coconino, and Pima. Requiring Funding $634,368.00 and 14 day POP 02/02/21-02/16/21.

In coordination with FEMA and the State of Arizona , HHS will provide the appropriate medical personnel to administer vaccines (vaccinators) as directed and at locations determined by FEMA and the State of Arizona.
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 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.


BOC 2508 (VC) Amendment #1-NDMS to support State of Arizona with up to 120 qualified medical vaccinators for POD Operations. Adding funding, $1,322,000.00 and extend POP 1/20/21.

BOC 2508 (VC) NDMS to support State of Arizona with 96 qualified medical vaccinators for POD Operations. Multiple Locations designated in Arizona to include the Counties of Yavapai, Mohave, Navajo, Coconino, and Pima. Requiring Funding $634,368.00 and 14 day POP 02/02/21-02/16/21.


BOC 2508 (VC) Amendment #2 to NDMS for State of Arizona, to existing MAs for vaccination teams to include force protection bags. These bags have been developed specifically for the HHS vaccination teams in support of the various vaccination missions "Teams to deploy with appropriate force protection requirements as deemed necessary". Adding $25,000.00 to current Funding.

BOC 2508 (VC) Amendment #1-NDMS to support State of Arizona with up to 120 qualified medical vaccinators for POD Operations. Adding funding, $1,322,000.00 and extend POP 1/20/21.

BOC 2508 (VC) NDMS to support State of Arizona with 96 qualified medical vaccinators for POD Operations. Multiple Locations designated in Arizona to include the Counties of Yavapai, Mohave, Navajo, Coconino, and Pima. Requiring Funding $634,368.00 and 14 day POP 02/02/21-02/16/21.


BOC 2508 (ARPA) (VC) (SCF) PharmDs for AZ MVUs in Tuscon region supporting the Vaccination Campaign (VC), funding $74,000 and POP: May 02- Jun 02, 2021.

In support of Arizona's 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 State/Tribe/Territorys COVID vaccination capacity by administering vaccinations at sites across the State/Tribe/Territory.  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.  HHS also requests that funds for travel, billeting, per-diem, and incidentals are included in cost estimate.

INITIAL COST ESTIMATE (including per diem, incidentals, lodging, ground travel, and air travel via DHHS/ASPR): $1000/per person per day x 35 days (30 service days + 2 travel days + 3 COVID testing days) per person.

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.

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.


BOC 2508 (ARPA) (VC) (SCF) DeObligation, OFA issued in error. Correction shall reflect HHS-ASPR under the New Naming Conventions.

BOC 2508 (ARPA) (VC) (SCF) PharmDs for AZ MVUs in Tuscon region supporting the Vaccination Campaign (VC), funding $74,000 and POP: May 02- Jun 02, 2021.


In support of Arizona 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 FEMAs COVID vaccination operations. HHS personnel is to augment the State/Tribe/Territory COVID vaccination capacity by administering vaccinations at sites across the State/Tribe/Territory.

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.

HHS also requests that funds for travel, billeting, per-diem, and incidentals are included in cost estimate.

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 Per 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.
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.
Region


Amendment #1 De-obligate $51,106.08 per quarterly ULO report. Change PM to DeLane Garner
BOC 2508 (ARPA) (VC) (SCF) PharmDs for AZ MVUs in Tuscon region supporting the Vaccination Campaign (VC), funding $74,000 and POP: May 02- Jun 02, 2021.


HHS-ASPR Infusion Teams to support the State of Arizona.

HHS will provide Infusion Teams including, but not limited to Group Supervisors, Safety Officers, logistics officers, Liaison Officers, and infusion providers to the State of Arizona
in coordination with FEMA and the State of Arizona.
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 submitted to FEMA
no later than 09/30/2030.
Other notes from FEMA:
a. MA task orders may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
b. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
c. All equipment and supply purchases must be coordinated with a FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.. (refer Federal
Personal Property Management Manual)
d. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
e. The missionassigned
agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and
supported by documentation maintained by the respective agency
f. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for
additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


BOC 2508-Amendment #1- to extend Infusion Teams POP 8/17 to 8/29/2021 with Additional Funding $366,848.00.

HHS-ASPR Infusion Teams to support the State of Arizona.


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

BOC 2508-Amendment #1- to extend Infusion Teams POP 8/17 to 8/29/2021 with Additional Funding $366,848.00.

HHS-ASPR Infusion Teams to support the State of Arizona.


HHS/ASPR to support the State of Arizona for Kingman Regional Medical center medical personal with Registered Nurses. POP: 08/16-09/15/2021

In Coordination with FEMA, HHS to provide medical surge staffing in coordination with FEMA and the State of Arizona to support critical staffing with emergent medical needs within AZ, due to COVID-19 and staffing shortfalls.

Additional FEMA Notes:
- 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- Request to extend HH/ASPR with medical  personnel at Kingman Regional for 30 days, POP 09/16 to 10/15. No Additional Cost.

HHS/ASPR to support the State of Arizona for Kingman Regional Medical center medical personal with Registered Nurses. POP: 08/16-09/15/2021


BOC 2508 (DFA) Amendment #2- Extending HHS/ASPR with supporting AZHS with medical  personnel at Kingman Regional for ED decompression and Med/Surge augmentation for 30 days for Arizona COVID Operations.

Amendment #1- Request to extend HHS/ASPR with support of medical  personnel at Kingman Regional for 30 days, POP 09/16 to 10/15. No Additional Cost.

HHS/ASPR to support the State of Arizona for Kingman Regional Medical center medical personal with Registered Nurses. POP: 08/16-09/15/2021


BOC 2508 (DFA) Amendment #3 Extending Kingman Regional Medical Personnel with No Cost until 10/21/2021.

BOC 2508 (DFA) Amendment #2- Extending HHS/ASPR with supporting AZHS with medical  personnel at Kingman Regional for ED decompression and Med/Surge augmentation for 30 days for Arizona COVID Operations.

Amendment #1- Request to extend HHS/ASPR with support of medical  personnel at Kingman Regional for 30 days, POP 09/16 to 10/15. No Additional Cost.

HHS/ASPR to support the State of Arizona for Kingman Regional Medical center medical personal with Registered Nurses. POP: 08/16-09/15/2021


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

BOC 2508 (DFA) Amendment #3 Extending Kingman Regional Medical Personnel with No Cost until 10/21/2021.

BOC 2508 (DFA) Amendment #2- Extending HHS/ASPR with supporting AZHS with medical  personnel at Kingman Regional for ED decompression and Med/Surge augmentation for 30 days for Arizona COVID Operations.

Amendment #1- Request to extend HHS/ASPR with support of medical  personnel at Kingman Regional for 30 days, POP 09/16 to 10/15. No Additional Cost.

HHS/ASPR to support the State of Arizona for Kingman Regional Medical center medical personal with Registered Nurses. POP: 08/16-09/15/2021


BOC 2508(DFA)(ARPA)(VC)- HHS/ASPR to provide staffing Arizona for monoclonal infusion demonstration team to deliver monoclonal antibody therapy at the Kingman Regional Medical Center in Kingman Arizona and Western Regional Medical Center in Bull Head City, AZ.

HHS/ASPR to provide medical/clinical staffing, oversight and necessary logistics in coordination with FEMA to support the State of Arizona with infusion team capabilities.


BOC 2508(DFA)(ARPA)(VC) Amendment #1- NDMS increase costs, to provide staffing Arizona with monoclonal infusion team delivering antibody therapy adding $384,000.

BOC 2508(DFA)(ARPA)(VC)- HHS/ASPR to provide staffing Arizona for monoclonal infusion demonstration team to deliver monoclonal antibody therapy at the Kingman Regional Medical Center in Kingman Arizona and Western Regional Medical Center in Bull Head City, AZ.


BOC 2508 Amendment #2- De-obligate 420,000.00 and close due to greater than 180 days inactivity per FEMA Policy. Upon receipt of valid IPAC and proper supporting documentation FEMA will re-obligate funds.

BOC 2508(DFA)(ARPA)(VC) Amendment #1- NDMS increase costs, to provide staffing Arizona with monoclonal infusion team delivering antibody therapy adding $384,000.

BOC 2508(DFA)(ARPA)(VC)- HHS/ASPR to provide staffing Arizona for monoclonal infusion demonstration team to deliver monoclonal antibody therapy at the Kingman Regional Medical Center in Kingman Arizona and Western Regional Medical Center in Bull Head City, AZ.


Amendment #3 Increase funding by $88,525.24 to cover invoice
BOC 2508 Amendment #2- De-obligate 420,000.00 and close due to greater than 180 days inactivity per FEMA Policy. Upon receipt of valid IPAC and proper supporting documentation FEMA will re-obligate funds.
BOC 2508(DFA)(ARPA)(VC) Amendment #1- NDMS increase costs, to provide staffing Arizona with monoclonal infusion team delivering antibody therapy adding $384,000.
BOC 2508(DFA)(ARPA)(VC)- HHS/ASPR to provide staffing Arizona for monoclonal infusion demonstration team to deliver monoclonal antibody therapy at the Kingman Regional Medical Center in Kingman Arizona and Western Regional Medical Center in Bull Head City, AZ.


BOC 2508 (ARPA) State of AZ and ICATT requests HHSCDC assistance implementing and managing COVID19 surge testing sites

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 COVID19, in support of Clark County Nevada 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 COVID19 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 State/Territory/Tribe 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 endtoend 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.

Additional Notes:

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.


BOC 2508 (ICATT-ARPA) De-obligate $-9,576,000.00 to correct an Admin error in SOW.

BOC 2508 (ARPA) State of AZ and ICATT requests HHSCDC assistance implementing and managing COVID19 surge testing sites


BOC 2508 (ICATT-ARPA) HHS-CDC will provide assistance to The State of Arizona /Territory/Tribes implementing and managing COVID19 surge testing sites to include Maricopa and Pima Counties.

As authorized in the Presidents 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 COVID19:  In support of The STATE of Arizona/TERRITORY/TRIBE] 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 COVID19 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 State/Territory/Tribe 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 endtoend 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 preapproved, 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.


(ICATT-ARPA) Amendment #1 Per FEMA policy, deobligate $15,321,600.00 and close MA due to no financial activity in over 180 days. Upon receipt of IPAC with appropriate supporting documentation, FEMA will re-obligate funds.

BOC 2508 (ICATT-ARPA) HHS-CDC will provide assistance to The State of Arizona /Territory/Tribes implementing and managing COVID19 surge testing sites to include Maricopa and Pima Counties.


BOC 2508 (ARPA) HHS/ASPR to provide Canyon Vista Hospital with Medical Staffing supporting the State of Arizona, due to ongoing surge of COVID-19 Pandemic. POP is 02/14/2022 Cost: $231,000.00

HHS in coordination with the State of Arizona and FEMA will provide medical personnel to assist in the Covid-19 response in Arizona.

Additional FEMA Notes:
- 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.
Cost Factors: TBD


BOC 2508 (ARPA) Amendment 1: Change POP from 2/01-2/14 to 01/28-2/11

BOC 2508 (ARPA) HHS/ASPR to provide Canyon Vista Hospital with Medical Staffing supporting the State of Arizona, due to ongoing surge of COVID-19 Pandemic. POP is 02/14/2022 Cost: $231,000.00


(ARPA)Amendment #2 De-obligate $148,735.72 Per HQ guidance. Change PM to DeLane Garner

BOC 2508 (ARPA) Amendment 1: Change POP from 2/01-2/14 to 01/28-2/11

BOC 2508 (ARPA) HHS/ASPR to provide Canyon Vista Hospital with Medical Staffing supporting the State of Arizona, due to ongoing surge of COVID-19 Pandemic. POP is 02/14/2022 Cost: $231,000.00


BOC 2508 (ARPA) HHS/ASPR to provided AZDHS with Test to Treat strike team to carry out Clinical Mission in Pima County, AZ that will support COVID-19 Pandemic Operations.

In Coordination with FEMA and HHS will provide Test to Treat strike team to carry out a test to treat mission in Pima County, AZ. The team will integrate into standing public health COVID19 testing location as designated and to be determined  by AZ DHS. Team will screen positive tests for eligibility and treatment options. This may include Prescriptions to local pharmacies will be issued.

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


BOC 2508(ARPA) HHS/ASPR  Amendment #1 -This MA is  Operationally Closed effective 1 July 2022. Continuation of this work and funding AZDHS with Test to Treat strike team supporting Pima County, AZ  has transferred to 4525DR-AZ-HHS-ASPR-09-00.

This adjustment is due to the H.R. 2471, Consolidated Appropriations Act, 2022 updating guidance concerning 90/10 State Cost Share.

BOC 2508 (ARPA) HHS/ASPR to provided AZDHS with Test to Treat strike team to carry out Clinical Mission in Pima County, AZ that will support COVID-19 Pandemic Operations.


BOC 2508 (ARPA) This MA replaces MA #4524DR-AZ-HHS-ASPR-08-00 due to Cost Share Change in H.R. 2471 Act.

HHS/ASPR to provided AZDHS with Test to Treat strike team to carry out Clinical Mission in Pima County, AZ that will support COVID-19 Pandemic Operation . POP  ends 7-21-2022 with increase Cost by $113,000.00.

In accordance with H.R. 2471, Consolidated Appropriations Act, 2022, which granted a minimum 90% federal cost share for any emergency or major disaster declaration declared from or having an incident period beginning between, January 1, 2020 and December 31, 2021.

MA #4524DR-AZ-HHS-ASPR-08-00 mission will operationally closed as of July 01, 2022. Continuation of this work and funding has changed due to the H.R. 2471, Consolidated Appropriations Act, 2022 updating guidance concerning 90/10 State Cost Share.

In Coordination with FEMA and HHS will provide Test to Treat strike team to carry out a test to treat mission in Pima County, AZ. The team will integrate into standing public health COVID19 testing location as designated and to be determined by AZ DHS. Team will screen positive tests for eligibility and treatment options. This may include Prescriptions to local pharmacies will be issued.

This Mission reflects the Adjusted Cost Share:
In accordance with  �H.R. 2471, Consolidated Appropriations Act, 2022�  granted a minimum 90% federal cost share for any emergency or major disaster declaration declared from or having an incident period beginning between, January 1, 2020 and December 31, 2021.

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


BOC 2508 (ARPA) Amendment #1 - Extension to HHS/ASPR providing AZDHS with Test to Treat strike team for Clinical Mission in Pima County, AZ  POP 7/22-8/21/2022.

BOC 2508 (ARPA) This MA replaces MA #4524DR-AZ-HHS-ASPR-08-00 due to Cost Share Change in H.R. 2471 Act.

HHS/ASPR to provided AZDHS with Test to Treat strike team to carry out Clinical Mission in Pima County, AZ that will support COVID-19 Pandemic Operation . POP  ends 7-21-2022 with increase Cost by $113,000.00.

In accordance with H.R. 2471, Consolidated Appropriations Act, 2022, which granted a minimum 90% federal cost share for any emergency or major disaster declaration declared from or having an incident period beginning between, January 1, 2020 and December 31, 2021.

MA #4524DR-AZ-HHS-ASPR-08-00 mission will operationally closed as of July 01, 2022. Continuation of this work and funding has changed due to the H.R. 2471, Consolidated Appropriations Act, 2022 updating guidance concerning 90/10 State Cost Share.


(ARPA) Amendment #2 - Extension to HHS/ASPR providing AZDHS with Test to Treat strike team for Clinical Mission in Pima County, AZ through 09/21/2022. Increase funding by $234,751.43

BOC 2508 (ARPA) Amendment #1 - Extension to HHS/ASPR providing AZDHS with Test to Treat strike team for Clinical Mission in Pima County, AZ  POP 7/22-8/21/2022.

BOC 2508 (ARPA) This MA replaces MA #4524DR-AZ-HHS-ASPR-08-00 due to Cost Share Change in H.R. 2471 Act.

HHS/ASPR to provided AZDHS with Test to Treat strike team to carry out Clinical Mission in Pima County, AZ that will support COVID-19 Pandemic Operation . POP  ends 7-21-2022 with increase Cost by $113,000.00.

In accordance with H.R. 2471, Consolidated Appropriations Act, 2022, which granted a minimum 90% federal cost share for any emergency or major disaster declaration declared from or having an incident period beginning between, January 1, 2020 and December 31, 2021.

MA #4524DR-AZ-HHS-ASPR-08-00 mission will operationally closed as of July 01, 2022. Continuation of this work and funding has changed due to the H.R. 2471, Consolidated Appropriations Act, 2022 updating guidance concerning 90/10 State Cost Share.


BOC-2508 (VC) USFS to provide the State of Arizona 96 qualified medical vaccinators for a period of 60 days to assist with Arizona multiple vaccine  POD operations to include the Counties of Yavapai, Mohave, Navajo, Coconino, and Pima.

In coordination with FEMA and the State of Arizona , USFS will provide the appropriate medical personnel to administer vaccines (vaccinators) as directed and at locations determined by FEMA and the State of Arizona. USDA and DOI through ESF4 will support the COVID Vaccine Campaign with appropriate EMT resources to administer vaccinations only. The resources working on site will follow all CDC, National Wildfire Coordinating Group (NWCG), and Fire Management Board (FMB) guidance for the prevention and mitigation of COVID-19. A safety in-briefing and appropriate training will be provided by ranking clinical personnel upon the resources arrival for duty. PPE will be provided by the state. If N95 masks are expected to be worn, fit testing must be provided by the vaccination site. Resources administering vaccinations will not be assigned other tasks unless cleared through the Regional ESF4 Liaison. FEMA will approve the activation and costs of support personnel which will be negotiated and based upon the scale of the deployment. Personnel may include timekeepers, safety officers, agency reps, or mobilization personnel, etc.
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


BOC-2508 (VC) Amendment #1 USFS to provide the State of Arizona 100 qualified medical vaccinators for 32 days, POP 4/6-5/8/21.

BOC-2508 (VC) USFS to provide the State of Arizona 96 qualified medical vaccinators for a period of 60 days to assist with Arizona multiple vaccine  POD operations to include the Counties of Yavapai, Mohave, Navajo, Coconino, and Pima.


BOC-2508 (VC) Amendment #2- to DeObligate $5,595,891.39 per FEMA HQ guidance for USFS Billing.

BOC-2508 (VC) Amendment #1 USFS to provide the State of Arizona 100 qualified medical vaccinators for 32 days, POP 4/6-5/8/21.

BOC-2508 (VC) USFS to provide the State of Arizona 96 qualified medical vaccinators for a period of 60 days to assist with Arizona multiple vaccine  POD operations to include the Counties of Yavapai, Mohave, Navajo, Coconino, and Pima.


BOC 2508 (VC) Amendment #3: Increase funding by $54,649.05 to cover pending invoices. Change PM  Melissa Boudrye

BOC-2508 (VC) Amendment #2- to DeObligate $5,595,891.39 per FEMA HQ guidance for USFS Billing.

BOC-2508 (VC) Amendment #1 USFS to provide the State of Arizona 100 qualified medical vaccinators for 32 days, POP 4/6-5/8/21.

BOC-2508 (VC) USFS to provide the State of Arizona 96 qualified medical vaccinators for a period of 60 days to assist with Arizona multiple vaccine  POD operations to include the Counties of Yavapai, Mohave, Navajo, Coconino, and Pima.


BOC 2508-(ARPA) (VC) - This MA is a continuation of MA# 4524DR-AZ-USFS-01-01  and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Request Vaccinators to provide assistance to perform as needed services including, but not limited to, administration of  vaccines to individuals at vaccination centers in the State of Arizona. Funding of $960,000 and POP 5/20/2021.

In coordination with FEMA and the State of Arizona , USFS will provide the appropriate medical personnel to administer vaccines (vaccinators) as directed and at locations determined by FEMA and the State of Arizona. USDA and DOI through ESF4 will support the COVID Vaccine Campaign with appropriate EMT resources to administer vaccinations only. The resources working on site will follow all CDC, National Wildfire Coordinating Group (NWCG), and Fire Management Board (FMB) guidance for the prevention and mitigation of COVID-19. A safety in-briefing and appropriate training will be provided by ranking clinical personnel upon the resources arrival for duty. PPE will be provided by the state. If N95 masks
are expected to be worn, fit testing must be provided by the vaccination site. Resources administering vaccinations
will not be assigned other tasks unless cleared through the Regional ESF4 Liaison. FEMA will approve the activation and costs of support personnel which will be negotiated and based upon the scale of the deployment. Personnel may include timekeepers, safety officers, agency reps, or mobilization personnel, etc.
This MA is funded with American Rescue Plan Act of 2021 funding and must be noperationally complete by 09/30/2025. Any expenditures under this MA must 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.


BOC 2508-(ARPA) (VC) Amendment #1- to extend USFS vaccinators support in AZ based on MA covering until the national contracted vaccinators can get on site

BOC 2508-(ARPA) (VC) - This MA is a continuation of MA# 4524DR-AZ-USFS-01-01  and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Request Vaccinators to provide assistance to perform as needed services including, but not limited to, administration of  vaccines to individuals at vaccination centers in the State of Arizona. Funding of $960,000 and POP 5/20/2021.


BOC 2508-(ARPA) (VC) Amendment 2: Deobligate $875,459.52 per HQ guidance for final closeout.

BOC 2508-(ARPA) (VC) Amendment #1- to extend USFS vaccinators support in AZ based on MA covering until the national contracted vaccinators can get on site

BOC 2508-(ARPA) (VC) - This MA is a continuation of MA# 4524DR-AZ-USFS-01-01  and is being issued to address the change in funding through the American Rescue Plan Act of 2021. Request Vaccinators to provide assistance to perform as needed services including, but not limited to, administration of  vaccines to individuals at vaccination centers in the State of Arizona. Funding of $960,000 and POP 5/20/2021.


Veterans Health Administration (VHA), Veterans Integrated Service Network 22 and Arizona VA Medical Centers to provide up to 3 (short term acute care (med/surg) and up to 2 intensive care (ICU) beds) to support the State of Arizona requirements in providing care for non-COVID and COVID-positive patients who are not eligible for such benefits.

As directed by and in coordination with FEMA, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide the state of Arizona with short term acute care (med/surg) and/or intensive care (ICU) beds, in support of FEMA response operations. VHA is responsible: For 24-hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, supplies, pharmaceuticals, and ancillary services to care for critical and noncritical, non-COVID and COVID-positive, patients not eligible for care benefits from VA. To not exceed the MA total cost estimate based on number and type of bed space provided over the duration of care performance. Veteran patients by law will take precedence for placement in VHA beds which could reduce the number of the beds available to support Non-Veteran status patients. VHA cannot accept Pediatric or OB/GYN patients. Arizona is responsible: To demonstrate that it has taken all appropriate actions within its authority to expand hospital capacity within the state. This includes, but is not limited to, halting elective surgeries, making surge capacity available within the healthcare system, and utilizing any alternate care sites available. To appoint/provide a bed coordinator to adjudicate and prioritize potential patients for transfer from local hospitals to VHA VAMC facility. This needs to be a person who will coordinate with the VHA facility for purposes of coordination. To return the beds/space to the original condition, to include completion of all necessary disinfection/decontamination to ensure a rapid and completed return to Veteran occupancy as soon as possible. For cost of any damages or repairs. MATOs may be issued for specific requirements, locations, numbers. personnel, location(s), date(s), and duration of assignment(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) approval is necessary to ensure reimbursement. 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). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. 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 agencies. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and MA Policy 1040102. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided. Projected Start Date  07/06/2020 Projected End Date  08/06/2020 Total Cost Estimate: $734,250.00 Estimated costs based on:ICU Bed Estimate $6,485.00 * 2 beds/day * 30 total beds days = $389,100.00Med Surge Bed $3,835.00 * 3 beds/day * 30 total bed days = $345,150.00


Amendment #1 Arizona VA Medical Centers to provide up to an additional 3 acute care and 2 ICU beds to support the State of Arizona requirements in providing care for non COVID and COVID positive patients who are not eligible for such benefits

Veterans Health Administration (VHA), Veterans Integrated Service Network 22 and Arizona VA Medical Centers to provide up to 3 (short term acute care (med/surg) and up to 2 intensive care (ICU) beds) to support the State of Arizona requirements in providing care for non-COVID and COVID-positive patients who are not eligible for such benefits.


Amendment #2 Arizona VA Medical Centers to provide up to Five (5) additional beds at both Phoenix and Tucson VHA Centers. The Total of Ten (10) Beds from the Veterans Integrated Service Network 22 and Arizona VA Medical Centers will support, COVID positive patients who are not eligible for such benefits.

Amendment #1 Arizona VA Medical Centers to provide up to an additional 3 acute care and 2 ICU beds to support the State of Arizona requirements in providing care for non COVID and COVID positive patients who are not eligible for such benefits

Veterans Health Administration (VHA), Veterans Integrated Service Network 22 and Arizona VA Medical Centers to provide up to 3 (short term acute care (med/surg) and up to 2 intensive care (ICU) beds) to support the State of Arizona requirements in providing care for non-COVID and COVID-positive patients who are not eligible for such benefits.


Amendment #3 Request VA extension of 15 days with No Additional Cost POP 29 August 2020 adding (2BEDS) 1 ICU bed at Tucson VA Campus and 1 med surge bed at Phoenix VA.

Amendment #2 Arizona VA Medical Centers to provide up to Five (5) additional beds at both Phoenix and Tucson VHA Centers. The Total of Ten (10) Beds from the Veterans Integrated Service Network 22 and Arizona VA Medical Centers will support, COVID positive patients who are not eligible for such benefits.

Amendment #1 Arizona VA Medical Centers to provide up to an additional 3 acute care and 2 ICU beds to support the State of Arizona requirements in providing care for non COVID and COVID positive patients who are not eligible for such benefits

Veterans Health Administration (VHA), Veterans Integrated Service Network 22 and Arizona VA Medical Centers to provide up to 3 (short term acute care (med/surg) and up to 2 intensive care (ICU) beds) to support the State of Arizona requirements in providing care for non-COVID and COVID-positive patients who are not eligible for such benefits.


BOC 2508. Amendment 4: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

Amendment #3 Request VA extension of 15 days with No Additional Cost POP 29 August 2020 adding (2BEDS) 1 ICU bed at Tucson VA Campus and 1 med surge bed at Phoenix VA.

Amendment #2 Arizona VA Medical Centers to provide up to Five (5) additional beds at both Phoenix and Tucson VHA Centers. The Total of Ten (10) Beds from the Veterans Integrated Service Network 22 and Arizona VA Medical Centers will support, COVID positive patients who are not eligible for such benefits.

Amendment #1 Arizona VA Medical Centers to provide up to an additional 3 acute care and 2 ICU beds to support the State of Arizona requirements in providing care for non COVID and COVID positive patients who are not eligible for such benefits

Veterans Health Administration (VHA), Veterans Integrated Service Network 22 and Arizona VA Medical Centers to provide up to 3 (short term acute care (med/surg) and up to 2 intensive care (ICU) beds) to support the State of Arizona requirements in providing care for non-COVID and COVID-positive patients who are not eligible for such benefits.


BOC 2508. Amendment 5: Deobligate $2,226,510.00 per HQ guidance. Change PM to D.Garner

BOC 2508. Amendment 4: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

Amendment #3 Request VA extension of 15 days with No Additional Cost POP 29 August 2020 adding (2BEDS) 1 ICU bed at Tucson VA Campus and 1 med surge bed at Phoenix VA.

Amendment #2 Arizona VA Medical Centers to provide up to Five (5) additional beds at both Phoenix and Tucson VHA Centers. The Total of Ten (10) Beds from the Veterans Integrated Service Network 22 and Arizona VA Medical Centers will support, COVID positive patients who are not eligible for such benefits.

Amendment #1 Arizona VA Medical Centers to provide up to an additional 3 acute care and 2 ICU beds to support the State of Arizona requirements in providing care for non COVID and COVID positive patients who are not eligible for such benefits

Veterans Health Administration (VHA), Veterans Integrated Service Network 22 and Arizona VA Medical Centers to provide up to 3 (short term acute care (med/surg) and up to 2 intensive care (ICU) beds) to support the State of Arizona requirements in providing care for non-COVID and COVID-positive patients who are not eligible for such benefits.


The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist State of Arizona COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients at the Arizona State Hospital. This request includes ten (10) Behavioral Health Technicians, one (1) nursing supervisor, and one (1) Area Emergency Manager.

In Coordination with FEMA, The State of Arizona requests VHA provide personnel to provide in-patient care and support to the Arizona State Hospital (ASH). The personnel will augment existing staffing due to outbreaks of COVID at ASH where staffing levels are critically impacted. State of Arizona will provide all PPE. VHA cannot provide services for Pediatric or OB/GYN patients. State of Arizona will reimburse for overtime, lodging and per diem (as necessary), transportation costs, supplies, and ancillary fees and costs, as applicable.


BOC 2508. Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change project manager to T. Erickson

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist State of Arizona COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients at the Arizona State Hospital. This request includes ten (10) Behavioral Health Technicians, one (1) nursing supervisor, and one (1) Area Emergency Manager.


BOC 2508. Amendment 2: Deobligate $85,856.00 per HQ guidance to Closeout.

BOC 2508. Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change project manager to T. Erickson

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist State of Arizona COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residents/patients at the Arizona State Hospital. This request includes ten (10) Behavioral Health Technicians, one (1) nursing supervisor, and one (1) Area Emergency Manager.


The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist State of Arizona COVID19
outbreak response operations by providing staffing of healthcare personnel to support patient care in Arizona hospitals/healthcare facilities.

This request includes four (4) Lab techs, forty-five (45) ICU RNs, four (4) Respiratory Therapists, three (3) Acute Care Nurse Practitioners, four (4) Med/Surge RNs, one (1) Intensivist, four (4) Nursing Supervisors or Nursing Managers and one (1) Area Emergency Manager.

The VHA Teams will work five (5) days on and two (2) days off up to 12 hours per day at the respective hospitals/healthcare facilities, as assigned. The hospitals/healthcare facilities are:
1. Northwest Hospital, Tucson Arizona
2. Santa Cruz Valley Regional Hospital, Green Valley, AZ
3. Summit Hospital, Show Lo, AZ
4. TMC Healthcare, Tucson, AZ
5. Yuma Regional Medical Center, Yuma Arizona.
Services to be provided not to exceed 14 days. Teams will provide their own transportation.

In Coordination with FEMA, The State of Arizona requests VHA provide personnel to provide inpatient care and support to Hospitals throughout Arizona. The personnel will
augment existing staffing due to outbreaks of COVID where staffing levels are critically impacted.

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

State of Arizona will provide any needed PPE.

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

Total Cost Estimate  $454,752.00
Direct Federal Assistance  State Cost Share (25%) $113,688.00
(4) Lab Technicians Calculated as follows: overtime rate at $40/hr x 4 hr/day x 10 days x 4 Lab techs = $6,400.00
(45) Intensive Care Nurses: calculated as follows: overtime rate at $65/hr x 4hr/day x 10 days x 45 ICU nurses = $117,000.00

Projected Start Date  7/15/20
Projected End Date  7/28/20


BOC 2508. Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change project manager to T. Erickson

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist State of Arizona COVID19
outbreak response operations by providing staffing of healthcare personnel to support patient care in Arizona hospitals/healthcare facilities.

This request includes four (4) Lab techs, forty-five (45) ICU RNs, four (4) Respiratory Therapists, three (3) Acute Care Nurse Practitioners, four (4) Med/Surge RNs, one (1) Intensivist, four (4) Nursing Supervisors or Nursing Managers and one (1) Area Emergency Manager.

The VHA Teams will work five (5) days on and two (2) days off up to 12 hours per day at the respective hospitals/healthcare facilities, as assigned. The hospitals/healthcare facilities are:
1. Northwest Hospital, Tucson Arizona
2. Santa Cruz Valley Regional Hospital, Green Valley, AZ
3. Summit Hospital, Show Lo, AZ
4. TMC Healthcare, Tucson, AZ
5. Yuma Regional Medical Center, Yuma Arizona.
Services to be provided not to exceed 14 days. Teams will provide their own transportation.


BOC 2508. Amendment 2: Deobligate $454,752.00 per HQ guidance. Change PM to D. Garner

BOC 2508. Amendment 1: Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21 and change project manager to T. Erickson

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), will assist State of Arizona COVID19
outbreak response operations by providing staffing of healthcare personnel to support patient care in Arizona hospitals/healthcare facilities.

This request includes four (4) Lab techs, forty-five (45) ICU RNs, four (4) Respiratory Therapists, three (3) Acute Care Nurse Practitioners, four (4) Med/Surge RNs, one (1) Intensivist, four (4) Nursing Supervisors or Nursing Managers and one (1) Area Emergency Manager.

The VHA Teams will work five (5) days on and two (2) days off up to 12 hours per day at the respective hospitals/healthcare facilities, as assigned. The hospitals/healthcare facilities are:
1. Northwest Hospital, Tucson Arizona
2. Santa Cruz Valley Regional Hospital, Green Valley, AZ
3. Summit Hospital, Show Lo, AZ
4. TMC Healthcare, Tucson, AZ
5. Yuma Regional Medical Center, Yuma Arizona.
Services to be provided not to exceed 14 days. Teams will provide their own transportation.


BOC 2508 Veterans Health Administration (VHA), Veterans Integrated Service Network 21 and 22 and Arizona VA Medical Centers to provide Medical support to the state of Arizona.

As directed by and in coordination with FEMA, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide the state of Arizona with short term acute care (med/surg) and/or intensive care (ICU) beds, in support of FEMA response operations. VHA is responsible:

For 24-hour medical/administrative/support staff, medical/nonmedical equipment, sustenance, supplies, pharmaceuticals, and ancillary services to care for critical and noncritical, non-COVID and COVID-positive, patients not eligible for care benefits from VA.

To not exceed the MA total cost estimate based on number and type of bed space provided over the duration of care performance.

Veteran patients by law will take precedence for placement in VHA beds which could reduce the number of the beds available to support Non-Veteran status patients.

VHA cannot accept Pediatric or OB/GYN patients.

Arizona is responsible:

To demonstrate that it has taken all appropriate actions within its authority to expand hospital capacity within the state. This includes, but is not limited to, halting elective surgeries, making surge capacity available within the healthcare system, and utilizing any alternate care sites available.

To appoint/provide a bed coordinator to adjudicate and prioritize potential patients for transfer from local hospitals to VHA VAMC facility.

This needs to be a person who will coordinate with the VHA facility for purposes of coordination.

To return the beds/space to the original condition, to include completion of all necessary disinfection/decontamination to ensure a rapid and completed return to Veteran occupancy as soon as possible.

For cost of any damages or repairs.

MATOs may be issued for specific requirements, locations, numbers. personnel, location(s), date(s), and duration of assignment(s).


BOC 2508 Amendment #1- Veterans Health Administration (VHA) and Arizona VA Medical Centers to provide Medical support to the state of Arizona. Extend POP to 01/24/2021 and increase funding by $1,548,000.00

BOC 2508 Veterans Health Administration (VHA), Veterans Integrated Service Network 21 and 22 and Arizona VA Medical Centers to provide Medical support to the state of Arizona.


BOC 2508 Amendment #2 Extend POP to 02/12/2021 and increase funding by $345,150

BOC 2508 Amendment #1- Veterans Health Administration (VHA) and Arizona VA Medical Centers to provide Medical support to the state of Arizona. Extend POP to 01/24/2021 and increase funding by $1,548,000.00

BOC 2508 Veterans Health Administration (VHA), Veterans Integrated Service Network 21 and 22 and Arizona VA Medical Centers to provide Medical support to the state of Arizona.


BOC 2508 Amendment #3 Increase Funding by $813,750.00 Extending POP to 02/23/2021.

BOC 2508 Amendment #2 Extend POP to 02/12/2021 and increase funding by $345,150

BOC 2508 Amendment #1- Veterans Health Administration (VHA) and Arizona VA Medical Centers to provide Medical support to the state of Arizona. Extend POP to 01/24/2021 and increase funding by $1,548,000.00

BOC 2508 Veterans Health Administration (VHA), Veterans Integrated Service Network 21 and 22 and Arizona VA Medical Centers to provide Medical support to the state of Arizona.


BOC 2508 Amendment #4 Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

BOC 2508 Amendment #3 Increase Funding by $813,750.00 Extending POP to 02/23/2021.

BOC 2508 Amendment #2 Extend POP to 02/12/2021 and increase funding by $345,150

BOC 2508 Amendment #1- Veterans Health Administration (VHA) and Arizona VA Medical Centers to provide Medical support to the state of Arizona. Extend POP to 01/24/2021 and increase funding by $1,548,000.00

BOC 2508 Veterans Health Administration (VHA), Veterans Integrated Service Network 21 and 22 and Arizona VA Medical Centers to provide Medical support to the state of Arizona.


BOC 2508 Amendment # 5 De-obligate $-2,509,960.00 per FEMA HQ guidance.

BOC 2508 Amendment #4 Change state cost share to 0% in accordance with Response Directorate MEMO dated 3/29/21

BOC 2508 Amendment #3 Increase Funding by $813,750.00 Extending POP to 02/23/2021.

BOC 2508 Amendment #2 Extend POP to 02/12/2021 and increase funding by $345,150

BOC 2508 Amendment #1- Veterans Health Administration (VHA) and Arizona VA Medical Centers to provide Medical support to the state of Arizona. Extend POP to 01/24/2021 and increase funding by $1,548,000.00

BOC 2508 Veterans Health Administration (VHA), Veterans Integrated Service Network 21 and 22 and Arizona VA Medical Centers to provide Medical support to the state of Arizona.