HHS to provide additional support to FEMA at TX SOC.

As directed by and in coordination with FEMA, US Department of Health and Human Services (HHS)in support of the State of Texas, will provide permanent federal agency personnel (to exclude temporary hires of the other DHS agencies) such as Regional Interagency Support Team ( RIST) members or other like capability willing to deploy to the field to assist with COVID-19 response and recovery efforts in Texas. Personnel will assist the State in the EOC and other locations as necessary.

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.


Amend #1: Amend to extend to 9/1/2020 per state request. No additional funding required at this time.

HHS to provide additional support to FEMA at TX SOC.


Amend #2: Amend to de-obligate full amount of $30,000.00 per 1 OCT 20 ULO.

Amend #1: Amend to extend to 9/1/2020 per state request. No additional funding required at this time.

HHS to provide additional support to FEMA at TX SOC.


***This MA is replacing previous version 4485TX HHS-06-00 RRF# 2651-361143 with the only changes affecting end date to be moved to 10 AUG 2020 and SOW which was adjusted to allow for flexibility in DMAT numbers. Start date will be backdated to reflect start date of 7/2/2020 as reflected in HHS-06-00 therefore all billing will be under this MA version.  This MA is also being created from RRF#2651-361143.***

Request HHS provide NDMS emergency medical assistance, DMATs to support COVID19 patient surge at several hospitals within the state of Texas. See attached continuation.

In support of the State of Texas request, as directed by and in coordination with FEMA, Health & Human Services (HHS) to initially provide but not limited to 7 Disaster Medical Assistance Teams (DMATs) for immediate, short term support to hospitals in Texas with identified significant staffing shortfalls. HHS will provide a DMAT Assessment Team to each jurisdiction prior to deployment of a DMAT to engage with local medical authorities and ensure the most critical shortfalls are addressed first, then help determine what additional support may be needed in time-phased approach. Once the priority sites/needs are determined, HHS will deploy the appropriate DMAT capability in support.

Teams are composed of non-Federal volunteers who are placed on intermittent Federal appointments to facilitate activation, when necessary. When activated, NDMS response team members are Federalized employees of the HHS. Teams are normally deployed for 10 to 14 days but may be required to be deployed for longer periods.

FEMA logistical support needed: Teams may require some level of base operating support (food, shelter, laundry, 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.


Amend #1: Amend to extend end date 30 days and add additional funding of $2.5M per HHS all with state concurrence.

***This MA is replacing previous version 4485TX HHS-06-00 RRF# 2651-361143 with the only changes affecting end date to be moved to 10 AUG 2020 and SOW which was adjusted to allow for flexibility in DMAT numbers. Start date will be backdated to reflect start date of 7/2/2020 as reflected in HHS-06-00 therefore all billing will be under this MA version.  This MA is also being created from RRF#2651-361143.***

Request HHS provide NDMS emergency medical assistance, DMATs to support COVID19 patient surge at several hospitals within the state of Texas. See attached continuation.


Amendment#2: At the direction of FFC, due to lack of financial activity over 180 days, remaining funds of $9,000,000.00 to be de-obligated for operational and financial closure.  Please note that at later date should HHS find valid expenses after an audit of the MA later this year, and valid expenses are found, FEMA will request funds to cover those expenses.  Change PM to Eddie Pack.

Amend #1: Amend to extend end date 30 days and add additional funding of $2.5M per HHS all with state concurrence.

***This MA is replacing previous version 4485TX HHS-06-00 RRF# 2651-361143 with the only changes affecting end date to be moved to 10 AUG 2020 and SOW which was adjusted to allow for flexibility in DMAT numbers. Start date will be backdated to reflect start date of 7/2/2020 as reflected in HHS-06-00 therefore all billing will be under this MA version.  This MA is also being created from RRF#2651-361143.***

Request HHS provide NDMS emergency medical assistance, DMATs to support COVID19 patient surge at several hospitals within the state of Texas. See attached continuation.


Pharmacy Cache for Federal Medical Station currently stored in Dallas which will be relocated and employed in Rio Grande Valley to support COVID-19 patient surge.

Quantity-1

In support of the State of Texas request, as directed by and in coordination with FEMA, Health & Human Services (HHS) will provide a Pharmaceutical Cache to support the Field Medical Station which will augment State and local medical response resources for immediate and short-term medical needs.

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.


Amend #1: Amend to fully de-obligate $36,800.00 per 1 OCT 20 ULO report.

Pharmacy Cache for Federal Medical Station currently stored in Dallas which will be relocated and employed in Rio Grande Valley to support COVID-19 patient surge.

Quantity-1


Medical staffing: 65 med/surg ICU nurses for University Medical Center in El Paso and other area hospitals and facilities to be identified within the coming days.   Additional medical staffing needed for 20-50 ACS beds.

At the request of the State of Texas, and in coordination with FEMA, HHS will provide NDMS , including but not limited to DMAT, TCCT and associated support personnel and equipment necessary to provide assessments and medical care at the direction of the Texas Division of Emergency management.

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


Amendment#1: At the direction of FFC, due to lack of financial activity over 180 days, remaining funds of $7,136,190.00 to be de-obligated for operational and financial closure.  Please note that at later date should HHS find valid expenses after an audit of the MA later this year, and valid expenses are found, FEMA will request funds to cover those expenses.  Change PM to Eddie Pack.

Medical staffing: 65 med/surg ICU nurses for University Medical Center in El Paso and other area hospitals and facilities to be identified within the coming days.   Additional medical staffing needed for 20-50 ACS beds.


Amendment#2: Amend to add funding in the amount of $157,841.90 to cover billing, per FFC.
Amendment#1: At the direction of FFC, due to lack of financial activity over 180 days, remaining funds of $7,136,190.00 to be de-obligated for operational and financial closure.  Please note that at later date should HHS find valid expenses after an audit of the MA later this year, and valid expenses are found, FEMA will request funds to cover those expenses.  Change PM to Eddie Pack.
Medical staffing: 65 med/surg ICU nurses for University Medical Center in El Paso and other area hospitals and facilities to be identified within the coming days.   Additional medical staffing needed for 20-50 ACS beds.


Amend #3: Re-obligate funding in amount of $ 157,841.90  per FFC to cover IPACs received.
Amendment#2: Amend to add funding in the amount of $157,841.90 to cover billing, per FFC.
Amendment#1: At the direction of FFC, due to lack of financial activity over 180 days, remaining funds of $7,136,190.00 to be de-obligated for operational and financial closure.  Please note that at later date should HHS find valid expenses after an audit of the MA later this year, and valid expenses are found, FEMA will request funds to cover those expenses.  Change PM to Eddie Pack.
Medical staffing: 65 med/surg ICU nurses for University Medical Center in El Paso and other area hospitals and facilities to be identified within the coming days.   Additional medical staffing needed for 20-50 ACS beds.


Amend #4: De-obligate funding of $157,841.90 per FFC as previously paid out and re-obligated in error.  This MA will be financially closed.
Amend #3: Re-obligate funding in amount of $ 157,841.90  per FFC to cover IPACs received.
Amendment#2: Amend to add funding in the amount of $157,841.90 to cover billing, per FFC.
Amendment#1: At the direction of FFC, due to lack of financial activity over 180 days, remaining funds of $7,136,190.00 to be de-obligated for operational and financial closure.  Please note that at later date should HHS find valid expenses after an audit of the MA later this year, and valid expenses are found, FEMA will request funds to cover those expenses.  Change PM to Eddie Pack.
Medical staffing: 65 med/surg ICU nurses for University Medical Center in El Paso and other area hospitals and facilities to be identified within the coming days.   Additional medical staffing needed for 20-50 ACS beds.


4 Embalmers, 2 for day shift and 2 for night shift.

The Texas Panhandle area (TSA A and B) is seeing an increase of decedents needing to be processed. This increase combined with the fact that funeral home staff in this area are in short supply and have been impacted by COVID-19 themselves, is causing a back-log at funeral homes and hospitals. The total number of COVID deaths for the Texas Panhandle area (TSA A and B) is currently 870. Over the past month there have been 53 deaths in TSA-A, and 203 deaths in TSA-B, accounting for almost 30% of the total deaths for this area in just the past month alone.

The Panhandle area needs additional embalmers to increase their capacity and relieve the back-log of decedents needing to be processed.

Shafer Mortuary Services is the only provider of mortuary services in TSA A, covering 26 counties in the Panhandle, inciuding Amarillo. They are currently working twice their normal caseload. They currently only have 2 embalmers
working (the owners). Other embalmers on staff are out with COVID or on maternity leave. They have been unable to hire any new staff and submitted a STAR request for 4 embalmers. The owners at Shafer have stated they are
exhausted and desperately need help. Due to the fact that the owners are having to perform embalming services, administrative duties are being impacted which slows down other aspects of funeral services.

DSHS has tried to source embalming staff from other areas in Texas but have been unsuccessful due to the high demand and low availability of these staff. DSHS asked Texas Funeral Directors Association, the Texas Funeral Service Commission and the Harris County Institute of Forensic Sciences to support this STAR and they were unable to provide embalmers.

Shafer exceeded their cooler storage and currently have 2 FEMA trailers at their location, 1 is full with 48 cadavers waiting to be processed. Only one crematorium exists in the area that cremate a maximum of 5 decedents daily. There are currently 40 waiting for cremation.

Surrounding funeral homes are at max capacity. The other nearest mortuary service is in Lubbock and they are also at max capacity and processing double than the normal caseload. They are currently able to maintain the workload due to having a larger facility, more staff and two crematoriums.

In support of the State of Texas request, as directed by and in coordination with FEMA, Health & Human Services (HHS) will provide personnel to augment and assist State and local health authorities in the public health response to mitigate immediate needs in the public health sector.  The initial assistance includes but is not limited to 4 embalmers for day and night shifts to augment public sector mortuary services.

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.


Amend #1: Amend to change start date to 15 NOV 2020 annotating in this block as currently the eCAPS program will not allow physically changing the start date in block IV.  Also, will amend to change end date in block IV to 28 NOV 2020 to allow only 14 days initially for MA per Mick Cote request, but may be amended at a later date.  Lastly, since going from 30 days to 14 days, will de-obligate $58,500.00 so funding for MA will be in the amount of  $58,500.00 for 14 days.  No other changes made.

4 Embalmers, 2 for day shift and 2 for night shift.

The Texas Panhandle area (TSA A and B) is seeing an increase of decedents needing to be processed. This increase combined with the fact that funeral home staff in this area are in short supply and have been impacted by COVID-19 themselves, is causing a back-log at funeral homes and hospitals. The total number of COVID deaths for the Texas Panhandle area (TSA A and B) is currently 870. Over the past month there have been 53 deaths in TSA-A, and 203 deaths in TSA-B, accounting for almost 30% of the total deaths for this area in just the past month alone.

The Panhandle area needs additional embalmers to increase their capacity and relieve the back-log of decedents needing to be processed.

Shafer Mortuary Services is the only provider of mortuary services in TSA A, covering 26 counties in the Panhandle, inciuding Amarillo. They are currently working twice their normal caseload. They currently only have 2 embalmers
working (the owners). Other embalmers on staff are out with COVID or on maternity leave. They have been unable to hire any new staff and submitted a STAR request for 4 embalmers. The owners at Shafer have stated they are
exhausted and desperately need help. Due to the fact that the owners are having to perform embalming services, administrative duties are being impacted which slows down other aspects of funeral services.

DSHS has tried to source embalming staff from other areas in Texas but have been unsuccessful due to the high demand and low availability of these staff. DSHS asked Texas Funeral Directors Association, the Texas Funeral Service Commission and the Harris County Institute of Forensic Sciences to support this STAR and they were unable to provide embalmers.

Shafer exceeded their cooler storage and currently have 2 FEMA trailers at their location, 1 is full with 48 cadavers waiting to be processed. Only one crematorium exists in the area that cremate a maximum of 5 decedents daily. There are currently 40 waiting for cremation.

Surrounding funeral homes are at max capacity. The other nearest mortuary service is in Lubbock and they are also at max capacity and processing double than the normal caseload. They are currently able to maintain the workload due to having a larger facility, more staff and two crematoriums.


Amendment#2: Cost share is amended to 100% federal funding in accordance with memorandum 100%
Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021

Amend #1: Amend to change start date to 15 NOV 2020 annotating in this block as currently the eCAPS program will not allow physically changing the start date in block IV.  Also, will amend to change end date in block IV to 28 NOV 2020 to allow only 14 days initially for MA per Mick Cote request, but may be amended at a later date.  Lastly, since going from 30 days to 14 days, will de-obligate $58,500.00 so funding for MA will be in the amount of  $58,500.00 for 14 days.  No other changes made.

4 Embalmers, 2 for day shift and 2 for night shift.

The Texas Panhandle area (TSA A and B) is seeing an increase of decedents needing to be processed. This increase combined with the fact that funeral home staff in this area are in short supply and have been impacted by COVID-19 themselves, is causing a back-log at funeral homes and hospitals. The total number of COVID deaths for the Texas Panhandle area (TSA A and B) is currently 870. Over the past month there have been 53 deaths in TSA-A, and 203 deaths in TSA-B, accounting for almost 30% of the total deaths for this area in just the past month alone.

The Panhandle area needs additional embalmers to increase their capacity and relieve the back-log of decedents needing to be processed.

Shafer Mortuary Services is the only provider of mortuary services in TSA A, covering 26 counties in the Panhandle, inciuding Amarillo. They are currently working twice their normal caseload. They currently only have 2 embalmers
working (the owners). Other embalmers on staff are out with COVID or on maternity leave. They have been unable to hire any new staff and submitted a STAR request for 4 embalmers. The owners at Shafer have stated they are
exhausted and desperately need help. Due to the fact that the owners are having to perform embalming services, administrative duties are being impacted which slows down other aspects of funeral services.

DSHS has tried to source embalming staff from other areas in Texas but have been unsuccessful due to the high demand and low availability of these staff. DSHS asked Texas Funeral Directors Association, the Texas Funeral Service Commission and the Harris County Institute of Forensic Sciences to support this STAR and they were unable to provide embalmers.

Shafer exceeded their cooler storage and currently have 2 FEMA trailers at their location, 1 is full with 48 cadavers waiting to be processed. Only one crematorium exists in the area that cremate a maximum of 5 decedents daily. There are currently 40 waiting for cremation.

Surrounding funeral homes are at max capacity. The other nearest mortuary service is in Lubbock and they are also at max capacity and processing double than the normal caseload. They are currently able to maintain the workload due to having a larger facility, more staff and two crematoriums.


Amendment#3: Adjust cost share to 100%. Per POTUS memorandum of January 2021. This amendment corrects, the cost share that was transposed Amendment#2.

Amendment#2: Cost share is amended to 100% federal funding in accordance with memorandum 100%
Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021

Amend #1: Amend to change start date to 15 NOV 2020 annotating in this block as currently the eCAPS program will not allow physically changing the start date in block IV.  Also, will amend to change end date in block IV to 28 NOV 2020 to allow only 14 days initially for MA per Mick Cote request, but may be amended at a later date.  Lastly, since going from 30 days to 14 days, will de-obligate $58,500.00 so funding for MA will be in the amount of  $58,500.00 for 14 days.  No other changes made.

4 Embalmers, 2 for day shift and 2 for night shift.

The Texas Panhandle area (TSA A and B) is seeing an increase of decedents needing to be processed. This increase combined with the fact that funeral home staff in this area are in short supply and have been impacted by COVID-19 themselves, is causing a back-log at funeral homes and hospitals. The total number of COVID deaths for the Texas Panhandle area (TSA A and B) is currently 870. Over the past month there have been 53 deaths in TSA-A, and 203 deaths in TSA-B, accounting for almost 30% of the total deaths for this area in just the past month alone.

The Panhandle area needs additional embalmers to increase their capacity and relieve the back-log of decedents needing to be processed.

Shafer Mortuary Services is the only provider of mortuary services in TSA A, covering 26 counties in the Panhandle, inciuding Amarillo. They are currently working twice their normal caseload. They currently only have 2 embalmers
working (the owners). Other embalmers on staff are out with COVID or on maternity leave. They have been unable to hire any new staff and submitted a STAR request for 4 embalmers. The owners at Shafer have stated they are
exhausted and desperately need help. Due to the fact that the owners are having to perform embalming services, administrative duties are being impacted which slows down other aspects of funeral services.

DSHS has tried to source embalming staff from other areas in Texas but have been unsuccessful due to the high demand and low availability of these staff. DSHS asked Texas Funeral Directors Association, the Texas Funeral Service Commission and the Harris County Institute of Forensic Sciences to support this STAR and they were unable to provide embalmers.

Shafer exceeded their cooler storage and currently have 2 FEMA trailers at their location, 1 is full with 48 cadavers waiting to be processed. Only one crematorium exists in the area that cremate a maximum of 5 decedents daily. There are currently 40 waiting for cremation.

Surrounding funeral homes are at max capacity. The other nearest mortuary service is in Lubbock and they are also at max capacity and processing double than the normal caseload. They are currently able to maintain the workload due to having a larger facility, more staff and two crematoriums.


High flow nasal cannulation kits for GM/Ventec V+ Pro ventilators (see attachment)

As directed by and in coordination with FEMA in support of the State of Texas request, Health and Human Services (HHS), HHS will provide High-Flow Nasal Cannulation ((HFNC) kits in support of COVID response. HFNC kits and quantities will be determined by FEMA and Health and
Human Services (HHS). Initial requirement is for HFNC kits to be delivered to the State of Texas.

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 to
Region


Amend #1: Amend to correct end date to 12/17/2020. No further actions at this time.

High flow nasal cannulation kits for GM/Ventec V+ Pro ventilators (see attachment)


Amend #2: Amend to fully de-obligate $250,095.00 and financially close mission per emails from HHS and FEMA HQ on 4/16/21.

Amend #1: Amend to correct end date to 12/17/2020. No further actions at this time.

High flow nasal cannulation kits for GM/Ventec V+ Pro ventilators (see attachment)


Request 14 of the FEMA (Crowley vendor) fatality management trailers (FMT) be replaced with new trailers now being managed by HHS and a new vendor. Current mission assignment ends 01/31/2021. We are requesting a 60 day mission assignment for the new FMTs from HHS

In support of the State of Texas, as directed by and in coordination with FEMA, HHS (Department of Health and Human Services) will provide mobile mortuary service  capability.  Mobile mortuary storage units (system) are required to support pandemic surge capacity as a result of the COVID-19 emergency response.

The system must come with full wrap-around services (including maintenance, fuel, etc.) to maintain required storage temperatures during the requested timeframe. Units will be used to store human remains of COVID-19 or non-COVID-19 related deceased persons. Upon completion of use, the contractor shall sanitize unit(s) in accordance with CDC Guidelines.

The mobile mortuary storage unit shall meet IDIQ COVID-19 mobile mortuary service storage units specifications stated in the contract.

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.


Amend #1: Amend to adjust "requesting 60 day mission assignment" to read "requesting 120 day mission assignment".  In addition, change start date from 1/7/2021 to 1/29/2021 and change end date from 5/6/2021 to 5/28/2021 per HHS request per contract requirements.  Change PM to Jamison "Scott" Megahee.  No further changes required.  This will be a $0 amendment.  Changes requested are for administrative purposes only for HHS requirements.

Request 14 of the FEMA (Crowley vendor) fatality management trailers (FMT) be replaced with new trailers now being managed by HHS and a new vendor. Current mission assignment ends 01/31/2021. We are requesting a 60 day mission assignment for the new FMTs from HHS


Amend #2: Amend start date back to original date of 1/7/2021 as reflected in Block IV and adjust end date to 6/17/2021 to meet intent of 120 days beginning at 2/18/2021.  Change PM to Eddie Pack. State signed RRF dated 1/22/2021 used as validation for changes.

Amend #1: Amend to adjust "requesting 60 day mission assignment" to read "requesting 120 day mission assignment".  In addition, change start date from 1/7/2021 to 1/29/2021 and change end date from 5/6/2021 to 5/28/2021 per HHS request per contract requirements.  Change PM to Jamison "Scott" Megahee.  No further changes required.  This will be a $0 amendment.  Changes requested are for administrative purposes only for HHS requirements.

Request 14 of the FEMA (Crowley vendor) fatality management trailers (FMT) be replaced with new trailers now being managed by HHS and a new vendor. Current mission assignment ends 01/31/2021. We are requesting a 60 day mission assignment for the new FMTs from HHS


Amend #3: Amend to add additional funding in the amount of $1,225,308.00 to cover additional costs for trailers, ramps, and fuel etc.

Amend #2: Amend start date back to original date of 1/7/2021 as reflected in Block IV and adjust end date to 6/17/2021 to meet intent of 120 days beginning at 2/18/2021.  Change PM to Eddie Pack. State signed RRF dated 1/22/2021 used as validation for changes.

Amend #1: Amend to adjust "requesting 60 day mission assignment" to read "requesting 120 day mission assignment".  In addition, change start date from 1/7/2021 to 1/29/2021 and change end date from 5/6/2021 to 5/28/2021 per HHS request per contract requirements.  Change PM to Jamison "Scott" Megahee.  No further changes required.  This will be a $0 amendment.  Changes requested are for administrative purposes only for HHS requirements.

Request 14 of the FEMA (Crowley vendor) fatality management trailers (FMT) be replaced with new trailers now being managed by HHS and a new vendor. Current mission assignment ends 01/31/2021. We are requesting a 60 day mission assignment for the new FMTs from HHS


Amendement#4: Cost share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021.  Change PM to Shannon Moran

Amend #3: Amend to add additional funding in the amount of $1,225,308.00 to cover additional costs for trailers, ramps, and fuel etc.

Amend #2: Amend start date back to original date of 1/7/2021 as reflected in Block IV and adjust end date to 6/17/2021 to meet intent of 120 days beginning at 2/18/2021.  Change PM to Eddie Pack. State signed RRF dated 1/22/2021 used as validation for changes.

Amend #1: Amend to adjust "requesting 60 day mission assignment" to read "requesting 120 day mission assignment".  In addition, change start date from 1/7/2021 to 1/29/2021 and change end date from 5/6/2021 to 5/28/2021 per HHS request per contract requirements.  Change PM to Jamison "Scott" Megahee.  No further changes required.  This will be a $0 amendment.  Changes requested are for administrative purposes only for HHS requirements.

Request 14 of the FEMA (Crowley vendor) fatality management trailers (FMT) be replaced with new trailers now being managed by HHS and a new vendor. Current mission assignment ends 01/31/2021. We are requesting a 60 day mission assignment for the new FMTs from HHS


Amendment#5: No financial activity in over 180 days, de-ob remaining funds of $3,387,248.00.  Change PM to Eddie Pack
Amendement#4: Cost share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021.  Change PM to Shannon Moran
Amend #3: Amend to add additional funding in the amount of $1,225,308.00 to cover additional costs for trailers, ramps, and fuel etc.
Amend #2: Amend start date back to original date of 1/7/2021 as reflected in Block IV and adjust end date to 6/17/2021 to meet intent of 120 days beginning at 2/18/2021.  Change PM to Eddie Pack. State signed RRF dated 1/22/2021 used as validation for changes.
Amend #1: Amend to adjust "requesting 60 day mission assignment" to read "requesting 120 day mission assignment".  In addition, change start date from 1/7/2021 to 1/29/2021 and change end date from 5/6/2021 to 5/28/2021 per HHS request per contract requirements.  Change PM to Jamison "Scott" Megahee.  No further changes required.  This will be a $0 amendment.  Changes requested are for administrative purposes only for HHS requirements.
Request 14 of the FEMA (Crowley vendor) fatality management trailers (FMT) be replaced with new trailers now being managed by HHS and a new vendor. Current mission assignment ends 01/31/2021. We are requesting a 60 day mission assignment for the new FMTs from HHS


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

The State of Texas requests facility management trailers to support the wave of widespread community transmission of SARS-CoV2.

In support of the State of Texas, as directed by and in coordination with FEMA, HHS will provide Temporary Morgue Service Storage Units (TMSSU) capabilities. Units are required to support pandemic surge capacity as a result of the COVID-19 emergency response. TMSSU must come with full wrap-around services (including maintenance, fuel, etc.) to maintain required storage temperatures during the requested timeframe.  Units will be used to store human remains of COVID-19 or non-COVID-19 related deceased persons.   Upon completion of use, the contractor shall sanitize unit(s) in accordance with CDC guidelines.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally completed 09/30/20225.  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.


(APRA) Amendment#1:  At the direction of FFC this MA is to be fully de-obligated and re-issued using the naming label of HHS-ASPR.  Email justification is attached.

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

The State of Texas requests facility management trailers to support the wave of widespread community transmission of SARS-CoV2.


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

This MA replaces and includes 4485DR-TX-HHS-15 for correct vendor ID.  State of Texas requests Temporary Morgue Service Storage Units (TMSSU) to support pandemic surge capacity as a result of the COVID-19 emergency response.

In support of the State of Texas, as directed by and in coordination with FEMA, HHS will provide Temporary Morgue Service Storage Units (TMSSU) capabilities. Units are required to support pandemic surge capacity as a result of the COVID-19 emergency response. TMSSU must come with full wrap-around services (including maintenance, fuel, etc.) to maintain required storage temperatures during the requested timeframe. Units will be used to store human remains of COVID-19 or non-COVID-19 related deceased persons. Upon completion of use, the contractor shall sanitize unit(s) in accordance with CDC guidelines.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally completed 09/30/20225. 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 andsupported by documentation maintained by the respective agency MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided


ARPA-Amendment#1: At the request of the HHS and concurrence with State, increase funds of $35,000.00.  Please see attached email for justification

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

This MA replaces and includes 4485DR-TX-HHS-15 for correct vendor ID.  State of Texas requests Temporary Morgue Service Storage Units (TMSSU) to support pandemic surge capacity as a result of the COVID-19 emergency response.


ARPA- Amendment#2: Per HQ close-out team de-ob remaining funds of $1,020,366.00,  and close MA.

ARPA-Amendment#1: At the request of the HHS and concurrence with State, increase funds of $35,000.00.  Please see attached email for justification

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

This MA replaces and includes 4485DR-TX-HHS-15 for correct vendor ID.  State of Texas requests Temporary Morgue Service Storage Units (TMSSU) to support pandemic surge capacity as a result of the COVID-19 emergency response.


ARPA Ancillary Supplies for Ventilators with BiPap Function (cannulation kits) to match previous request for 400 ventilators. See attached continuation. High Flow Cannulation Kits
This MA is being issued with funding through the American Rescue Plan Act of 2021.

Provide (400) high flow nasal cannula (HFNC) Kits. Will support requested ventilator that are for ICU care of COVID positive patients in TX hospitals.
State of Texas verified that there are healthcare professionals to support the additional ventilated patients.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally completed 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.


(APRA) Amendment#1: At the request of HHS and per
HQ-MA-Close out, de-ob remaining funds of ($1,000,004.00) closed MA.  Change PM to Shannon  Moran.

ARPA Ancillary Supplies for Ventilators with BiPap Function (cannulation kits) to match previous request for 400 ventilators. See attached continuation. High Flow Cannulation Kits
This MA is being issued with funding through the American Rescue Plan Act of 2021.


ARPA Ventilators with Bipap function and ancillary supplies (cannulation kits) to match. Ventilators are needed to support COVID 19 ICU patients.

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

Provide high flow nasal cannula (HFNC) Kits. Will support requested ventilators that are for ICU care of COVID positive patients in TX hospitals. State of Texas verified that there are healthcare professionals to support the additional ventilated patients.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally completed 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.


ARPA - Amendment#1: At the request of Close Team de-ob remaining funds of $750,003.00, change PM to Shannon Moran and close MA.

ARPA Ventilators with Bipap function and ancillary supplies (cannulation kits) to match. Ventilators are needed to support COVID 19 ICU patients.

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


ARPA  This MA is being issued with funding through the American Rescue Plan Act of 2021.  The State of Texas requests 75 Tablo Dialysis Machines, necessary supplies and equipment training

In support of the state of Texas request, HHS/SNS in coordination with FEMA to provide consumable and durable medical supplies, goods and equipment as well as Dialysis Systems; fully operational, assembled, tested and configured to include all associated consumables, maintenance and training. All medical supplies, equipment and goods will be documented on a separate MATO and issued to HHS/SNS for action.

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

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

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

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

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

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

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


ARPA   Amend #1: Amend to extend end date through 10-31-21 with state concurrence with no additional funding.

ARPA  This MA is being issued with funding through the American Rescue Plan Act of 2021.  The State of Texas requests 75 Tablo Dialysis Machines, necessary supplies and equipment training


(APRA) Amendment#2: At the request of HHS, and per
HQ-MA-Close out, de-ob remaining funds of ($593,632.67).  Documentation attached.

ARPA   Amend #1: Amend to extend end date through 10-31-21 with state concurrence with no additional funding.

ARPA  This MA is being issued with funding through the American Rescue Plan Act of 2021.  The State of Texas requests 75 Tablo Dialysis Machines, necessary supplies and equipment training


Request HHS replenish controlled substances cache

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide CDC SNS controlled substance to FEMA in support of COVID-19 replenishment

Pharmacy cache for National Medical Transport and Support (aka Ambulance) Contract:

 1800--10mg/mL 1mL vial Morphine
 1800-- 2mg/ml 1mL vial Lorazepam
 1800-- 2mg/mL 2mL vial Midazolam
 1800-- 50mcg/mL 2 mL vial Fentanyl

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


Amendment #1:  Extend end date to 10/20/2021.  No additional funding requested.

Request HHS replenish controlled substances cache


Amendment#2: At the request of HHS and per HQ-MA Close-out, de-ob remaining funds of ($6,987.72) and close MA.  Change PM to Shannon Moran.

Amendment #1:  Extend end date to 10/20/2021.  No additional funding requested.

Request HHS replenish controlled substances cache


State of Texas requests Federally supported testing sites to include personnel and testing supplies to be located in Bexar, Cameron, Dallas, Harris, Hidalgo, and Tarrant Counties.

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 Texas request, as directed by and in coordination with FEMA, and as adjudicated by the Emergency Support Function (ESF) #8 Advisory Council, Centers for Disease Control and Prevention (CDC) will launch, provide, and operate ICATT COVID-19
Surge Testing sites to augment State, local, Tribal, and territorial public health resources in support of FEMA disaster operations including, but not limited to the
following:

Coordinate with the 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 end-to-end testing support.

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

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

Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
All equipment and supply purchases only
for those items not provided by CDC or their contractor must be coordinated with FEMA Project Manager in advance. If the purchase is 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 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.
8.


(ICATT-APRA) Amendment#1: Request to extend POP to 03/01/22..  No additional funding required at this time.

State of Texas requests Federally supported testing sites to include personnel and testing supplies to be located in Bexar, Cameron, Dallas, Harris, Hidalgo, and Tarrant Counties.


Amendment#1: Per the 1.1.23 Qrtly ULO report de-ob $14,176,800.00 and close MA.

(ICATT-APRA) Amendment#1: Request to extend POP to 03/01/22.  No additional funding required at this time.
State of Texas requests Federally supported testing sites to include personnel and testing supplies to be located in Bexar, Cameron, Dallas, Harris, Hidalgo, and Tarrant Counties.


Amendment#2:  This amendment is to correct the transposed dollar amount written in Amendment #1 from $14,176,800 to read $41,176,800.00.  Please note correct dollar amount of $41,176,800 was completed in Amendment#1. MA has been operationally and financially closed.

Amendment#1: Per the 1.1.23 Qrtly ULO report de-ob $14,176,800.00 and close MA.
(ICATT-APRA) Amendment#1: Request to extend POP to 03/01/22.  No additional funding required at this time.
State of Texas requests Federally supported testing sites to include personnel and testing supplies to be located in Bexar, Cameron, Dallas, Harris, Hidalgo, and Tarrant Counties.


Request deployment of USCG personnel to support Texas COVID Vaccination Center locations within the state.

As directed by and in coordination with FEMA, United States Coast Guard (USCG) will stage and provide appropriate personnel to support the COVID Vaccination Campaign efforts.

USCG is responsible for providing personnel and/or equipment necessary to accomplish the mission.

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

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

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

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

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

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

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


Amendment#1: Per the ULO report de-ob remaining funds of $27,000.00 for financial closure.  Change PM to Eddie Pack.

Request deployment of USCG personnel to support Texas COVID Vaccination Center locations within the state.


Request 12 USCG to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County. See attached continuation page.

As directed by and in coordination with FEMA, U.S. Coast Guard (USCG) will provide a nonmedical team, consisting of 12 people to support TX vaccination efforts. The USCG team will be prepared for duties including, but not limited to, the following:
General Staff, Check-In Staff, Administrative Staff, Traffic Control, Recipient Exit Area/Exit Reviewer. USCG personnel will not fill the following nonclinical staff roles: IT Support, Language translation, External Affairs, and Security.
The individuals comprising a team are a cohesive unit to be deployed together. Individual team members may be replaced as needed. FEMA will issue MATOs to deploy additional vaccine support teams at a later date as needed to specific locations and outline any unique site requirements. USCG will provide necessary personnel and supplies for a 12hours shift as required. Requestor will provide COVID19 PPE and administrative equipment as needed for all USCG personnel.

During COVID operations, FEMA, in coordination with the state receiving assistance, will provide supporting personnel the required COVID vaccine initial and/or series completion if personnel have not yet received the same upon deployment.

*State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMA's request, and personnel from other federal agencies) deployed in support of the vaccination effort.*

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.


Amend #1: To fully de-obligate funding and transfer all to 4485DR-TX-USCG-03-00 which replaces and includes this MA.  Change PM to James Rhodes.

Request 12 USCG to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County. See attached continuation page.


*This is a re-issue of and will include and replace 4485DR-TX-USCG-02-00 and allows for increase in personnel.  Change PM to James Rhodes however all other information remains the same.  No additional funding or change in funding required.*

Request 12 USCG to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County. See attached continuation page.

As directed by and in coordination with FEMA, U.S. Coast Guard (USCG) will provide a nonmedical team, consisting of appropriate personnel to support TX vaccination efforts. The USCG team will be prepared for duties including, but not limited to, the following:
General Staff, Check-In Staff, Administrative Staff, Traffic Control, Recipient Exit Area/Exit Reviewer. USCG personnel will not fill the following nonclinical staff roles: IT Support, Language translation, External Affairs, and Security.
The individuals comprising a team are a cohesive unit to be deployed together. Individual team members may be replaced as needed. FEMA will issue MATOs to deploy additional vaccine support teams at a later date as needed to specific locations and outline any unique site requirements. USCG will provide necessary personnel and supplies for a 12hours shift as required. Requestor will provide COVID19 PPE and administrative equipment as needed for all USCG personnel.

During COVID operations, FEMA, in coordination with the state receiving assistance, will provide supporting personnel the required COVID vaccine initial and/or series completion if personnel have not yet received the same upon deployment.

*State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMA's request, and personnel from other federal agencies) deployed in support of the vaccination effort.*

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


Amendment#1: Per the 7.1.21 ULO report from USCG agency has agreed to the full de-obligation of $511,156.48 for operational and financial closure.  Change PM to Eddie Pack.  Please see attached documentation

*This is a re-issue of and will include and replace 4485DR-TX-USCG-02-00 and allows for increase in personnel.  Change PM to James Rhodes however all other information remains the same.  No additional funding or change in funding required.*

Request 12 USCG to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County. See attached continuation page.


Amendment#2: Per the 10.1.22 Quarterly ULO Report, de-obligated funds of $142,748.97.  Change PM to Shannon Moran
Amendment#1: Per the 7.1.21 ULO report from USCG agency has agreed to the full de-obligation of $511,156.48 for operational and financial closure.  Change PM to Eddie Pack.  Please see attached documentation
*This is a re-issue of and will include and replace 4485DR-TX-USCG-02-00 and allows for increase in personnel.  Change PM to James Rhodes however all other information remains the same.  No additional funding or change in funding required.*
Request 12 USCG to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County. See attached continuation page.


Amendment#3: This amendment is being created to correct the start date to 2.26.21 for billing purposes. See attached. Change PM to Amanda Cesani-Roberts.
Amendment#2: Per the 10.1.22 Quarterly ULO Report, de-obligated funds of $142,748.97.  Change PM to Shannon Moran
Amendment#1: Per the 7.1.21 ULO report from USCG agency has agreed to the full de-obligation of $511,156.48 for operational and financial closure.  Change PM to Eddie Pack.  Please see attached documentation
*This is a re-issue of and will include and replace 4485DR-TX-USCG-02-00 and allows for increase in personnel.  Change PM to James Rhodes however all other information remains the same.  No additional funding or change in funding required.*
Request 12 USCG to support mega vaccination site at Fair Park, Dallas, TX currently operated by Dallas County. See attached continuation page.

As directed by and in coordination with FEMA, U.S. Coast Guard (USCG) will provide a nonmedical team, consisting of appropriate personnel to support TX vaccination efforts. The USCG team will be prepared for duties including, but not limited to, the following:
General Staff, Check-In Staff, Administrative Staff, Traffic Control, Recipient Exit Area/Exit Reviewer. USCG personnel will not fill the following nonclinical staff roles: IT Support, Language translation, External Affairs, and Security.
The individuals comprising a team are a cohesive unit to be deployed together. Individual team members may be replaced as needed. FEMA will issue MATOs to deploy additional vaccine support teams at a later date as needed to specific locations and outline any unique site requirements. USCG will provide necessary personnel and supplies for a 12hours shift as required. Requestor will provide COVID19 PPE and administrative equipment as needed for all USCG personnel.
During COVID operations, FEMA, in coordination with the state receiving assistance, will provide supporting personnel the required COVID vaccine initial and/or series completion if personnel have not yet received the same upon deployment.
*State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMA's request, and personnel from other federal agencies) deployed in support of the vaccination effort.*
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.


USDA liaison(s) to the RRCC, IOF, JFO, or other FEMA teams or facilities as requested

As directed by and in coordination with FEMA, US Dept of Agriculture (USDA) will provide appropriate personnel to the RRCC, IOF, JFO, or other FEMA teams or facilities (to include virtually) in support of FEMA disaster operations.

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.


Amend #1: Amend to extend end date to 4/5/2021 and add additional funding in the amount of $6500.

USDA liaison(s) to the RRCC, IOF, JFO, or other FEMA teams or facilities as requested


Amendment#2: At the request of the agency extend MA to 5/5/21. No additional funding required

Amend #1: Amend to extend end date to 4/5/2021 and add additional funding in the amount of $6500.

USDA liaison(s) to the RRCC, IOF, JFO, or other FEMA teams or facilities as requested


Amendment#3: At the request of USDA and per ULO report de-ob remaining balance of $12,633.02 and close MA.

Amendment#2: At the request of the agency extend MA to 5/5/21. No additional funding required

Amend #1: Amend to extend end date to 4/5/2021 and add additional funding in the amount of $6500.

USDA liaison(s) to the RRCC, IOF, JFO, or other FEMA teams or facilities as requested


The State of Texas requests, USDA to provide Type 2 Federal Incident Management Team to support Type 2 vaccination site at Fair Park, Dallas, TX.

In support of the State of Texas request, as directed by and in coordination with FEMA, US Department of Agriculture (USDA) will supply Incident Management Team positions that include an Incident Commander, Operations Section Chief and Deputy, Planning Section Chief and Deputy, Logistics Section Chief and Public Information Officer to oversee the mass vaccination site at Fair Park in Dallas, TX.  USDA requests that incoming personnel that are fulfilling the mission, be given the opportunity to receive a COVID-19 vaccination as soon as possible after arriving at their assigned location from the Federal vaccination dose allocation provided for by the CDC.

State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency

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

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


Amendment#1: Per the ULO of 7.1.21 and at the request of USDA, de-ob MA by $100,000.00.  Documentation is attached.

The State of Texas requests, USDA to provide Type 2 Federal Incident Management Team to support Type 2 vaccination site at Fair Park, Dallas, TX.


Amendment#2: Per the 01-01-22 Quarterly ULO Report de-ob remaining funds of $66,091.21 and close MA.

Amendment#1: Per the ULO of 7.1.21 and at the request of USDA, de-ob MA by $100,000.00.  Documentation is attached.

The State of Texas requests, USDA to provide Type 2 Federal Incident Management Team to support Type 2 vaccination site at Fair Park, Dallas, TX.


This MA is a continuation of MA#4485DR-TX-USDA-02 and is being re-issued to address the change in funding through  the American Rescue Plan Act of 2021.

The State of Texas requests, USDA to provide Type 2 Federal Incident Management Team to support Type 2 vaccination site at Fair Park, Dallas, TX.


Amendment#1: Per the 01-01-22 Quarterly ULO and concurrence from USDA, de-ob remaining funds of $7,987.04 and close MA.

This MA is a continuation of MA#4485DR-TX-USDA-02 and is being re-issued to address the change in funding through  the American Rescue Plan Act of 2021.

The State of Texas requests, USDA to provide Type 2 Federal Incident Management Team to support Type 2 vaccination site at Fair Park, Dallas, TX.


Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.

In support of the State of Texas request and as directed by and in coordination with FEMA, United States Forest Service (USFS) will provide EMTs (but not limited to EMTs) to support the COVID Vaccination Campaign efforts. USFS will support the COVID Vaccine Campaign with appropriate Medical Personnel 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.


Amend #1: Amend to extend end date to 4/2/2021 per State of Texas request and concurrence by USFS to continue support.  No additional funding required at this time.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


Amend #2: To obligate additional funds in the amount of $291,560.00 per USFS request and State of Texas concurrence to cover incurring operational costs.

Amend #1: Amend to extend end date to 4/2/2021 per State of Texas request and concurrence by USFS to continue support.  No additional funding required at this time.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


Amend #3: To increase funding by $283,000.00 to cover costs of current operational period with state concurrence.

Amend #2: To obligate additional funds in the amount of $291,560.00 per USFS request and State of Texas concurrence to cover incurring operational costs.

Amend #1: Amend to extend end date to 4/2/2021 per State of Texas request and concurrence by USFS to continue support.  No additional funding required at this time.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


Amendment#4: Per USFS & State increase funds by $1,191,710 and extend MA to 5/2/21.

Amend #3: To increase funding by $283,000.00 to cover costs of current operational period with state concurrence.

Amend #2: To obligate additional funds in the amount of $291,560.00 per USFS request and State of Texas concurrence to cover incurring operational costs.

Amend #1: Amend to extend end date to 4/2/2021 per State of Texas request and concurrence by USFS to continue support.  No additional funding required at this time.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


Amendment#5: This mission is operationally closed as of April 23, 2021. Continuation of this work funded under American Rescue Plan Act of 2021 is on MA # 350332, 4485DR-TX-USFS-04.

Amendment#4: Per USFS & State increase funds by $1,191,710 and extend MA to 5/2/21.

Amend #3: To increase funding by $283,000.00 to cover costs of current operational period with state concurrence.

Amend #2: To obligate additional funds in the amount of $291,560.00 per USFS request and State of Texas concurrence to cover incurring operational costs.

Amend #1: Amend to extend end date to 4/2/2021 per State of Texas request and concurrence by USFS to continue support.  No additional funding required at this time.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


Amendment#6: Per 7.1.21 ULO report and with concurrence of agency, de-ob remaining funds of $1,019,784.08 for operational and financial closure. Change PM to Eddie Pack

Amendment#5: This mission is operationally closed as of April 23, 2021. Continuation of this work funded under American Rescue Plan Act of 2021 is on MA # 350332, 4485DR-TX-USFS-04.

Amendment#4: Per USFS & State increase funds by $1,191,710 and extend MA to 5/2/21.

Amend #3: To increase funding by $283,000.00 to cover costs of current operational period with state concurrence.

Amend #2: To obligate additional funds in the amount of $291,560.00 per USFS request and State of Texas concurrence to cover incurring operational costs.

Amend #1: Amend to extend end date to 4/2/2021 per State of Texas request and concurrence by USFS to continue support.  No additional funding required at this time.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


Activate USFS to the RRCC, IOF JFO or other facilities

As directed by and in coordination with FEMA, US Forest Service (USFS) will provide appropriate personnel to the RRCC, IOF, JFO, or other facilities (to include virtually) in support of disaster operations.

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.


Amend #1: Add additional funding in the amount of $115,000.00 to cover current operational costs for total obligation of $145,000.00.

Activate USFS to the RRCC, IOF JFO or other facilities


Amend #2: Extend end date through 4/4/2021, increase funding by additional $30,000.00.

Amend #1: Add additional funding in the amount of $115,000.00 to cover current operational costs for total obligation of $145,000.00.

Activate USFS to the RRCC, IOF JFO or other facilities


Amend #3: To increase funding by additional amount of $87,825.00 to cover incurring operational costs.

Amend #2: Extend end date through 4/4/2021, increase funding by additional $30,000.00.

Amend #1: Add additional funding in the amount of $115,000.00 to cover current operational costs for total obligation of $145,000.00.

Activate USFS to the RRCC, IOF JFO or other facilities


Amendment#4: Per 7.1.21 ULO report and concurrence with agency, de-ob remaining funds of $245,569.19 for operational and financial closure.  Change PM to Eddie Pack

Amend #3: To increase funding by additional amount of $87,825.00 to cover incurring operational costs.

Amend #2: Extend end date through 4/4/2021, increase funding by additional $30,000.00.

Amend #1: Add additional funding in the amount of $115,000.00 to cover current operational costs for total obligation of $145,000.00.

Activate USFS to the RRCC, IOF JFO or other facilities


This MA is a continuation of MA#4485DR-TX-USFS-02 and is being re-issued to address the change in funding through  the American Rescue Plan Act of 2021.

Activate USFS to the RRCC, IOF JFO or other facilities.


Amend #1: Amend to extend end date to 5/31/21 and add additional funding in the amount of $147,700.

This MA is a continuation of MA#4485DR-TX-USFS-02 and is being re-issued to address the change in funding through  the American Rescue Plan Act of 2021.

Activate USFS to the RRCC, IOF JFO or other facilities.


Amendment#2: Per the 4.1.22 ULO report de-ob funds of $13,000, remaining funds for final billing

Amend #1: Amend to extend end date to 5/31/21 and add additional funding in the amount of $147,700.

This MA is a continuation of MA#4485DR-TX-USFS-02 and is being re-issued to address the change in funding through  the American Rescue Plan Act of 2021.

Activate USFS to the RRCC, IOF JFO or other facilities.


Amendment#3: At direction of HQ-Close-Out due to no financial activity within 301 day, de-ob remaining funds of -$8,107.03 and close MA.

Amendment#2: Per the 4.1.22 ULO report de-ob funds of $13,000, remaining funds for final billing

Amend #1: Amend to extend end date to 5/31/21 and add additional funding in the amount of $147,700.

This MA is a continuation of MA#4485DR-TX-USFS-02 and is being re-issued to address the change in funding through  the American Rescue Plan Act of 2021.

Activate USFS to the RRCC, IOF JFO or other facilities.


Amendment#4: Re-open & obligate D1 funds of $7,971.83 to cover IPAC R10116969.

Amendment#3: At direction of HQ-Close-Out due to no financial activity within 301 day, de-ob remaining funds of -$8,107.03 and close MA.

Amendment#2: Per the 4.1.22 ULO report de-ob funds of $13,000, remaining funds for final billing

Amend #1: Amend to extend end date to 5/31/21 and add additional funding in the amount of $147,700.

This MA is a continuation of MA#4485DR-TX-USFS-02 and is being re-issued to address the change in funding through  the American Rescue Plan Act of 2021.

Activate USFS to the RRCC, IOF JFO or other facilities.


This MA is a continuation of MA# 4485DR-TX-USFS-01 and is being re-issued to address the change in funding through the American Rescue Plan Act of 2021.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.

 In support of the State of Texas request and as directed by and in coordination with FEMA, United States Forest Service (USFS) will provide EMTs (but not limited to EMTs) to support the COVID Vaccination Campaign efforts. USFS will support the COVID Vaccine Campaign with appropriate Medical Personnel 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.


Amendment#1: Per the 01-01-22 and concurrence with USFS de-ob funds of $200,000.00 remaining balance to cover bills.

This MA is a continuation of MA# 4485DR-TX-USFS-01 and is being re-issued to address the change in funding through the American Rescue Plan Act of 2021.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


Amendment#2: Per the 4.1.22 ULO report de-ob funds of $40,000.00 remaining funds for final bills

Amendment#1: Per the 01-01-22 and concurrence with USFS de-ob funds of $200,000.00 remaining balance to cover bills.

This MA is a continuation of MA# 4485DR-TX-USFS-01 and is being re-issued to address the change in funding through the American Rescue Plan Act of 2021.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


(APRA) Amendment#3: Per the 7.1.22 Quarterly ULO report, de-ob remaining balance of $12,923.84 BFY 21 and close MA.  Change PM to Amanda Cesani.

Amendment#2: Per the 4.1.22 ULO report de-ob funds of $40,000.00 remaining funds for final bills

Amendment#1: Per the 01-01-22 and concurrence with USFS de-ob funds of $200,000.00 remaining balance to cover bills.

This MA is a continuation of MA# 4485DR-TX-USFS-01 and is being re-issued to address the change in funding through the American Rescue Plan Act of 2021.

Request medical personnel to support mass vaccination site at the Texas Motor Speedway conducted by Denton County, TX.


VHA to provide necessary staff and support services to assist the Texas Veterans Land Board State Veterans Homes (SVHs) with collection and processing of biological samples for COVID testing and analysis for patients and staff of Texas State Veterans Homes (SVHs).  Requested services will be provided for patients and staff at the Frank M. Tejada SVH in Floresville, Texas and at the William R. Courtney SVH in Temple, Texas.

As directed by and in coordination with FEMA in support of State of Texas request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will assist the Texas Veterans Land Board State Veterans Homes (SVHs) by providing VHA clinical staff to collect samples from SVH patients within State nursing home facilities, transport said samples to a Veterans Affairs Medical Center and send samples to external testing labs where specialized lab testing will be provided for the purpose of confirmation of COVID-19 suspected patients.

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


Amend #1: Amend to add additional funding in the amount of $214,565.00 - figures per VA and confirmed by DFCO and concurred by state of Texas. This is to cover additional costs incurred for additional testing requested.

VHA to provide necessary staff and support services to assist the Texas Veterans Land Board State Veterans Homes (SVHs) with collection and processing of biological samples for COVID testing and analysis for patients and staff of Texas State Veterans Homes (SVHs).  Requested services will be provided for patients and staff at the Frank M. Tejada SVH in Floresville, Texas and at the William R. Courtney SVH in Temple, Texas.


Amend #2: Amend to add additional funding in the amount of $516,809.00 to finance the additional testing of VA homes. Cost provided by VA and state concurrence obtained. Extend POP to 15 June 2020.

Amend #1: Amend to add additional funding in the amount of $214,565.00 - figures per VA and confirmed by DFCO and concurred by state of Texas. This is to cover additional costs incurred for additional testing requested.

VHA to provide necessary staff and support services to assist the Texas Veterans Land Board State Veterans Homes (SVHs) with collection and processing of biological samples for COVID testing and analysis for patients and staff of Texas State Veterans Homes (SVHs).  Requested services will be provided for patients and staff at the Frank M. Tejada SVH in Floresville, Texas and at the William R. Courtney SVH in Temple, Texas.


Amend #3: Amend to extend end date to 7/31/2020 per state of TX email and VA.  No additional funding required.

Amend #2: Amend to add additional funding in the amount of $516,809.00 to finance the additional testing of VA homes. Cost provided by VA and state concurrence obtained. Extend POP to 15 June 2020.

Amend #1: Amend to add additional funding in the amount of $214,565.00 - figures per VA and confirmed by DFCO and concurred by state of Texas. This is to cover additional costs incurred for additional testing requested.

VHA to provide necessary staff and support services to assist the Texas Veterans Land Board State Veterans Homes (SVHs) with collection and processing of biological samples for COVID testing and analysis for patients and staff of Texas State Veterans Homes (SVHs).  Requested services will be provided for patients and staff at the Frank M. Tejada SVH in Floresville, Texas and at the William R. Courtney SVH in Temple, Texas.


Amend #4: Amend to extend end date to 8/30/2020 per state of TX request via email and VA concurrence.  No additional funding required per VA.

Amend #3: Amend to extend end date to 7/31/2020 per state of TX email and VA.  No additional funding required.

Amend #2: Amend to add additional funding in the amount of $516,809.00 to finance the additional testing of VA homes. Cost provided by VA and state concurrence obtained. Extend POP to 15 June 2020.

Amend #1: Amend to add additional funding in the amount of $214,565.00 - figures per VA and confirmed by DFCO and concurred by state of Texas. This is to cover additional costs incurred for additional testing requested.

VHA to provide necessary staff and support services to assist the Texas Veterans Land Board State Veterans Homes (SVHs) with collection and processing of biological samples for COVID testing and analysis for patients and staff of Texas State Veterans Homes (SVHs).  Requested services will be provided for patients and staff at the Frank M. Tejada SVH in Floresville, Texas and at the William R. Courtney SVH in Temple, Texas.


Amendment#5: At the request of the VA and per the HQ Close-out; de-ob remaining funds of $798,274.00 for operational and financial closure

Amend #4: Amend to extend end date to 8/30/2020 per state of TX request via email and VA concurrence.  No additional funding required per VA.

Amend #3: Amend to extend end date to 7/31/2020 per state of TX email and VA.  No additional funding required.

Amend #2: Amend to add additional funding in the amount of $516,809.00 to finance the additional testing of VA homes. Cost provided by VA and state concurrence obtained. Extend POP to 15 June 2020.

Amend #1: Amend to add additional funding in the amount of $214,565.00 - figures per VA and confirmed by DFCO and concurred by state of Texas. This is to cover additional costs incurred for additional testing requested.

VHA to provide necessary staff and support services to assist the Texas Veterans Land Board State Veterans Homes (SVHs) with collection and processing of biological samples for COVID testing and analysis for patients and staff of Texas State Veterans Homes (SVHs).  Requested services will be provided for patients and staff at the Frank M. Tejada SVH in Floresville, Texas and at the William R. Courtney SVH in Temple, Texas.


Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.

As directed by and in coordination with FEMA, Veterans Administration (VA) will provide appropriate personnel (and/or other teams) to the RRCC, IOF, JFO, and/or other facilities in support of disaster operations.

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.


Amend #1: Amend to extend end date 30 days per Operations Section Chief and add additional funding of $5,000.00.  Change PM to Eddie Pack.

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amendment#2. Increase funds by $5,000 and extend end date out to 09/29/20. Change PM to Christine Hanson.
Amend #1: Amend to extend end date 30 days per Operations Section Chief and add additional funding of $5,000.00.  Change PM to Eddie Pack.

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amend #3: Extend end date to 31 OCT 20, No additional funding needed per VA.  Change PM to Shannon Moran.

Amendment#2. Increase funds by $5,000 and extend end date out to 09/29/20. Change PM to Christine Hanson.
Amend #1: Amend to extend end date 30 days per Operations Section Chief and add additional funding of $5,000.00.  Change PM to Eddie Pack.

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amend #4: Extend end date to 30 NOV 20.  NO additional funding required per VA.

Amend #3: Extend end date to 31 OCT 20, No additional funding needed per VA.  Change PM to Shannon Moran.

Amendment#2. Increase funds by $5,000 and extend end date out to 09/29/20. Change PM to Christine Hanson.
Amend #1: Amend to extend end date 30 days per Operations Section Chief and add additional funding of $5,000.00.  Change PM to Eddie Pack.

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amend #5: Extend end date to 31 DEC 20. NO additional funding required per VA.

Amend #4: Extend end date to 30 NOV 20.  NO additional funding required per VA.

Amend #3: Extend end date to 31 OCT 20, No additional funding needed per VA.  Change PM to Shannon Moran.

Amendment#2. Increase funds by $5,000 and extend end date out to 09/29/20. Change PM to Christine Hanson.
Amend #1: Amend to extend end date 30 days per Operations Section Chief and add additional funding of $5,000.00.  Change PM to Eddie Pack.

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amend #6: Extend end date to 31 JAN 2021.  NO additional funding required per VA.

Amend #5: Extend end date to 31 DEC 20. NO additional funding required per VA.

Amend #4: Extend end date to 30 NOV 20.  NO additional funding required per VA.

Amend #3: Extend end date to 31 OCT 20, No additional funding needed per VA.  Change PM to Shannon Moran.

Amendment#2. Increase funds by $5,000 and extend end date out to 09/29/20. Change PM to Christine Hanson.
Amend #1: Amend to extend end date 30 days per Operations Section Chief and add additional funding of $5,000.00.  Change PM to Eddie Pack.

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amend #7: Extend end date to 28 FEB 2021, NO additional funding required.

Amend #6: Extend end date to 31 JAN 2021.  NO additional funding required per VA.

Amend #5: Extend end date to 31 DEC 20. NO additional funding required per VA.

Amend #4: Extend end date to 30 NOV 20.  NO additional funding required per VA.

Amend #3: Extend end date to 31 OCT 20, No additional funding needed per VA.  Change PM to Shannon Moran.

Amendment#2. Increase funds by $5,000 and extend end date out to 09/29/20. Change PM to Christine Hanson.
Amend #1: Amend to extend end date 30 days per Operations Section Chief and add additional funding of $5,000.00.  Change PM to Eddie Pack.

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.