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Emergency Management Assistance Compact Mission Ready Package (MRP)

Copyright © 2008-2009 NEMA 1 Date of Last Update: 060!2016

2011-2"

Resource Provider Tracking Number:

1 MRP Tit!e: Morg#e $riage $ea%

" #ocation:

Address:

City:

$tate: %ip:

&irst Name: #ast Name:

P'one: Mobi!e:

*'r P'one: Emai!:

+ N,M$ Resource Typing (i- app!icab!e): N.A

N,M$ Category: /ind: Type:

Components:

Metrics:

0 ,denti-y Emergency $upport &unctions (E$&s) $upported:

E&' (8 - )#*+i, ea+th a.d Medi,a+ &er/i,es

Mission Capabi!ities:

Assisting $tate Emergency ManagementMission Re-erence Number:

N2TE: De/e+op%e.t of a Missio. eady )a,age does .ot g#ara.tee dep+oy%e.t o. a. EMAC %issio. thro#gh yo#r state e%erge.,y

%a.age%e.t age.,y &EMA34 Coordi.ate de/e+op%e.t of the M) 5ith yo#r &EMA4 Natio.a+ .,ide.t Ma.age%e.t &yste% NM&3eso#r,e $ypi.g is .ot a re7#ire%e.t for de/e+opi.g a. M) #.der EMAC as a++ reso#r,es are /a+#a*+e4 A++ ,osts are esti%ated *asedo. ,#rre.t data a.d sho#+d *e /a+idated at the ti%e the M) is re7#ested4 Costs %ay /ary fro% the ,osts esti%ated i. the M) or thea,t#a+ ,osts i.,#rred d#ri.g the dep+oy%e.t4 $herefore %ai.tai. the M) i. a. operatio.a+ state of readi.ess to fa,i+itate *othdep+oy%e.t a.d rei%*#rse%e.t re7#ire%e.ts4

Resource Provider .Agency Name:

Point o-Contact:

e,ei/e a.d assess h#%a. re%ai.s %ateria+4

)erfor% i.itia+ prioritiatio. a.d s,ree.i.g of h#%a. re%ai.s4Dire,t h#%a. re%ai.s %ateria+ to appropriate %org#e statio. or +a5 e.for,e%e.t age.,y4


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3 4etai!ed Resource 4escription:

5 Resource is: 'ied

16 $pace and $i7e Re8uirements Needed to Carry out Mission:

11 #imiting &actors to t'e Resource:

1 #ogistica! $upport Needed 4uring Mission:

1" 4ep!oyment Time!ine

N9

4etai!s and Costs -or Trave! Personne! E8uipment Commodities ; 2t'er:

1 Trave!:

E.ter a++ $ra/e+ ,ost detai+s #.der ;$ra/e+; ta* i. 5orsheet4

Tota! Persona! do.to+ogistMorg#e $riage A.thropo+ogistMorg#e $riage )atho+ogistMorg#e $riage 'i.gerpri.t &pe,ia+ist

$he Morg#e $riage $ea% 5i++ *e i.,orporated i.to eisti.g i.,ide.t %org#e operatio.s4 ffi,ie.t spa,e is .eeded fori.itia+ h#%a. re%ai.s a.d perso.a+ effe,ts assess%e.t as 5e++ as spa,e for do,#%e.t preparatio. a.d data e.try4

&tate a.d +o,a+ death i./estigatio. proto,o+ a.d pro,ed#re A,,ess to s#pporti.g %ateria+s a.d s#pp+ies

pp+ies a.d perso.a+ prote,ti/e e7#ip%e.tMe.ta+ hea+th s#pport for staff @riefi.g o. state a.d +o,a+ a#thorities re+ated to %orta+ity %a.age%e.t a.d i.tegratio. i.to tra,i.g a.d do,#%e.tatio.syste%&taff sa.itatio.Mea+ s#pport for staff

&e,#rity s#pport

Tota! =overnmenta!


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Copyright © 2008-2009 NEMA ! Date of Last Update: 060!2016

1+ Personne!:

E.ter a++ perso..e+ ,ost detai+s #.der ;)erso..e+; ta* i. 5orsheet4

= =

Tota! 4ai!y Personne! Costs < - Tota! Personne! Costs < -

#ist personne! by Type (i- app!icab!e)

,denti-y t'e minimum !icenses or certi-ications carried by t'e personne! on mission:

Re8uirements -or Rotation o- Personne!:

Number o- #ines o- 4ataEntered

Tota! Number o- Personne!Assigned to Mission

)erso..e+:1 Morg#e $riage >do.to+ogist1 Morg#e $riage A.thropo+ogist1 Morg#e $riage )atho+ogist1 Morg#e $riage 'i.gerpri.t &pe,ia+ist

A,ti/e stat#s of +ega+ a#thority to f#.,tio. as a +i,e.sed de.tist 5itho#t restri,tio.s gra.ted *y a &tate Co%%o.5ea+ththe Distri,t of Co+#%*ia or U& $erritory4)ostgrad#ate degree i. A.thropo+ogy Masters 5ith additio.a+ ed#,atio.trai.i.g i. the hea+th s,ie.,es e4g4 a.ato%yh#%a. *io+ogy physio+ogy3 A,ti/e stat#s of +ega+ a#thority to f#.,tio. as a fore.si, patho+ogist gra.ted *y a &tate the Distri,t of Co+#%*ia or U&$erritory@oard ,ertified *y the A%eri,a. @oard of )atho+ogy or the A%eri,a. >steopathi, @oard of )atho+ogy A trai.i.g ,ertifi,ate or other do,#%e.tatio. re+ated to %ort#ary s,ie.,e a.dor +a5 e.for,e%e.t s#ffi,ie.t toa,.o5+edge the a*i+ity to perfor% the d#ties of the fi.gerpri.t spe,ia+ist


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Copyright © 2008-2009 NEMA = Date of Last Update: 060!2016

10 E8uipment:

E.ter a++ E7#ip%e.t ,ost detai+s #.der ;E7#ip%e.t; ta* i. 5orsheet4

0 0

< - < -

#ist a!! E8uipment Re8uirements:

,denti-y t'e Type o- Property (E>pendab!e Accountab!e or $ensitive):

,denti-y any maintenance and re'abi!itation re8uirements needed -or t'is e8uipment:

Number o- &ue! ConsumingE8uipment

Number o- Non*&ue! ConsumingE8uipment

Tota! E8uipment CostCa!cu!ated by ?uantity

Tota! E8uipment Cost Ca!cu!atedby Rate


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Copyright © 2008-2009 NEMA " Date of Last Update: 060!2016

1 Commodities:

E.ter a++ Co%%odities ,ost detai+s #.der ;Co%%odities; ta* i. 5orsheet4

" Tota! Costs o- Commodities: < 2=400

13 2t'er:

E.ter a++ >ther ,ost detai+s #.der ;>ther; ta* i. 5orsheet4

#ines o- 2t'er 4ata Entered=

< - < -

Personne!: E8uipment: Commodities: 2t'er:

@ * @ * @ 66 @ *

@ 66

Enter tota! number o- estimated mission days:

4,ed and are notca!cu!ated by a dai!y rate):

E8uipment (costs -i>ed by 8uantity ; notca!cu!ated by a dai!y rate):

2t'er (costs -i>ed by 8uantity ; notca!cu!ated by a dai!y rate):

E$T,MATE4 A


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Copyright © 2008-2009 NEMA Date of Last Update: 060!2016


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Copyright © 2008-2009 NEMA 1! Date of Last Update: 060!2016


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Copyright © 2008-2009 NEMA 1= Date of Last Update: 060!2016


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Copyright © 2008-2009 NEMA 1" Date of Last Update: 060!2016


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$ra/e+EMAC Mission Ready Package Cost Estimate

Copyright © 2008-2009 NEMA 16 060!2016

6

Resource Provider Tracking Number: 6

Tota! Trave! Costs: @ *

Enter 4etai!ed Trave! Costs De!oI:

Persona! pense:

Tota! Mea! E>pense p!us tips (must submit receipts -or reimbursement)

@ *

4ai!y Per 4iem Rate:

Per 4iem Rate o- Personne!

< -

@ *



< -



< -



< -



< -



Assisting $tate Emergency Management Mission Re-erenceNumber:

)erso.a+ /ehi,+e rates are ,a+,#+ated *y the%i+eage rates a/ai+a*+e at 5554gsa4go/4Mi+eage rate i.,+#des f#e+ B 5eartear o./ehi,+e4

e.ta+ /ehi,+e feei.,+#des the re.ta+ ratea.d f#e+4

,nsurance(optiona!)

Tota! Purc'ase Cost -or &ue!(must submit receipts -or reimbursement)

o/er.%e.ta+ /ehi,+e ,osts are for f#e+ o.+y4 Epe.se ,osts for5eartear o. /ehi,+e #.der ;E7#ip%e.t4;

Tota! Cost -or =overnment


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Copyright © 2008-2009 NEMA 1 060!2016

< -



< -

o- 4ays JRate

Mea!s.Tips atPer 4iem Rate


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Copyright © 2008-2009 NEMA 18 060!2016

#odging

#odging

#odging Rate o- Rooms Tota! Per 4ay Tota! #odging

< - @ *

#odging#odging Rate o- Rooms Tota! Per 4ay Tota! #odging

< - @ *

#odging


< - @ *

#odging


< - @ *

#odging


< - @ *

#odging


< - @ *

#odging


< - @ *

Tota! #odging Per 4ay: @ * Tota! #odging per Mission: @ *

Parking &ees

)ari.g %ay i.,+#de hote+ airport or +ot fees4

Tota! Parking E>penses Tota! Parking &ees

@ *

$'ipment ; Transportation Costs -or E8uipment Commodities ; $upp!ies

E8uipment Commodities $upp!ies

@ *

Notes.Comments:

Lodgi.g ,a.*e i.p#t atper die% ora,t#a+ ,osts4

o- Nig'ts JRate

o- Nig'ts JRate

o- Nig'ts JRate

o- Nig'ts JRate

o- Nig'ts JRate

o- Nig'ts JRate

o- Nig'ts JRate

Costs for shippi.g a.d tra.sporti.g e7#ip%e.t,o%%odities a.d s#pp+ies to a.d fro% the%issio. site4

Tota! $'ipping ;Transportation Costs


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)erso..e+EMAC Mission Ready Package Cost Estimate

6


Tota! 4ai!y Personne! Costs: @ * Tota! Mission Personne! Costs

#ines o- 4ata Entered

Enter Tota! o- Personne! on Mission: =

4etai! -or Personne! costs:

'irst Na%e Last Na%e )ho.e E%ai+


eg#+ar &a+aryo#r+y ate

'ri.ge @e.efito#r+y ate

( of eg#+aro#rs ored

per day

>/erti%e &a+aryo#r+y ate

>/erti%e '[email protected] o#r+y

ate

( of >/erti%eo#rs ored per

Day

( of Days o.Missio.

Morg#e $riage>do.to+ogist

Morg#e $riage

A.thropo+ogist

Morg#e $riage)atho+ogist

Morg#e $riage'i.gerpri.t&pe,ia+ist


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E7#ip%e.t EMAC Mission Ready Package Cost Estimate

Copyright © 2008-2009 NEMA 21 060!2016

E8uipment Costs:

E8uipment 4escription:Priced by ?uantity Priced by E8uipment Rate

Cost Per ,tem ?uantity Tota! Costs Rate Per 4ay ?uantity Tota! Cost: o- 4ays

Hsed

!= < - < -

!" < - < -

!6 < - < -

! < - < -

!8 < - < -

!9 < - < -

=0 < - < -

=1 < - < -

=2 < - < -

=! < - < -

== < - < -

=" < - < -

=6 < - < -

= < - < -

=8 < - < -

=9 < - < -

"0 < - < -


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Co%%odity EMAC Mission Ready Package Cost Estimate

Copyright © 2008-2009 NEMA 22 060!2016

6


#ines o- Commodity 4ata Entered: + @ 66

Commodity Costs:

Commodity 4escription:Priced by ?uantity

Cost Per ,tem ?uantity

1 ! Cases of 5ater

16 < -

1 < -

18 < -

19 < -

20 < -

21 < -

22 < -


Co%%odities are epe.da*+e or ,o.s#%a*+e3 reso#r,es s#,h as offi,e s#pp+ies s#.dries 5ater i,e s.a,s f#e+ a.d other o.e-ti%e-#se ite%s4 A++re,eipts for ,o%%odities %#st s#*%itted at the ti%e of rei%*#rse%e.t a.d %#st *e dire,t+y re+ated to the %issio.4

Tota! Commodity Costs -or MissionCa!cu!ated by ?uantity:

Tota! MissionCosts

)ri.ter paper (500-page reams)

>ffi,e s#pp+ies (Misc: pens, note paper, sized notebooks, maps)


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Copyright © 2008-2009 NEMA 2! 060!2016

Commodity Costs:


Cost Per ,tem ?uantityTota! Mission

Costs

2! < -

2= < -

2" < -

26 < -

2 < -

28 < -

29 < -

!0 < -

!1 < -

!2 < -

!! < -

!= < -

!" < -

!6 < -

! < -

!8 < -

!9 < -

=0 < -

=1 < -

=2 < -

=! < -

== < -

=" < -

=6 < -

= < -

=8 < -


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Copyright © 2008-2009 NEMA 2= 060!2016

Commodity Costs:


Cost Per ,tem ?uantityTota! Mission

Costs

=9 < -

"0 < -

"1 < -

"2 < -

"! < -

"= < -

"" < -

"6 < -

" < -

"8 < -

"9 < -

60 < -

61 < -

62 < -

6! < -

6= < -

6" < -

66 < -

6 < -

68 < -

69 < -

0 < -


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>ther EMAC Mission Ready Package Cost Estimate

Copyright © 2008-2009 NEMA 2" 060!2016

6


@ * Tota! 2t'er Costs Ca!cu!ated by Rate: @ *

2t'er Costs:

2t'er 4escription:Priced by ?uantity Priced by Rate

Cost Per ,tem ?uantity Rate Per 4ay ?uantity Tota! Cost:

1 De,o.ta%i.atio. < - < -

2 Mo*i+e pho.e fees < - < -

! La#.dry ,osts < - < -

= a,,i.atio. ,osts < - < -

" < - < -

6 < - < -

< - < -

8 < - < -

9 < - < -

10 < - < -

11 < - < -

12 < - < -

1! < - < -

1= < - < -

1" < - < -

16 < - < -

1 < - < -

18 < - < -

29 < - < -

20 < - < -

21 < - < -

22 < - < -

2! < - < -

2= < - < -

2" < - < -

26 < - < -

2 < - < -

28 < - < -

29 < - < -

!0 < - < -

!1 < - < -

!2 < - < -

!! < - < -

!= < - < -

!" < - < -

!6 < - < -

! < - < -

Assisting $tate Emergency ManagementMission Re-erence Number:

;>ther ,osts; i.,+#des a.ythi.g that 5o#+d .ot fa++ #.der e7#ip%e.t .o.-epe.da*+e reso#r,e3 a.d ,o%%odity epe.da*+e reso#r,e34 Ea%p+es %ay i.,+#de %o*i+e pho.e fees +a#.dry ,osts de,o.ta%i.atio. /a,,i.atio.,osts e7#ip%e.t re.ta+ ,osts a.d a.y other ,ost .ot spe,ified e+se5here 5ithi. the 5orsheet4

#ines o- 2t'er 4ataEntered:

Tota! 2t'er Costs Ca!cu!ated by?uantity:

Tota! MissionCosts

o- 4aysHsed


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>ther EMAC Mission Ready Package Cost Estimate

2t'er Costs:

2t'er 4escription:Priced by ?uantity Priced by Rate

Cost Per ,tem ?uantity Rate Per 4ay ?uantity Tota! Cost:Tota! Mission

Costs o- 4ays

Hsed

!8 < - < -

!9 < - < -

=0 < - < -

=1 < - < -

=2 < - < -

=! < - < -

== < - < -

=" < - < -

=6 < - < -

= < - < -

=8 < - < -

=9 < - < -

"0 < - < -

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