EMs,

Please see the email below and the attached information regarding recent guidance from FEMA on eligible vaccination expenditures. If your institution has qualifying costs and needs assistance with a FEMA project submission, please contact your Witt O'Brien's consultant, if needed/desired.

Thanks - Fred Sellers

FREDERICK E. SELLERS Senior Associate Vice President for Safety and Emergency Operations P.O. Box 2688 | Chapel Hill, North Carolina 27515-2688 p: (919) 962-6018 c: (919) 903-2568 fesellers@northcarolina.edumailto:fesellers@northcarolina.edu www.northcarolina.eduhttp://www.northcarolina.edu/ [email-signature-logo]

From: Valarie Philipp VPhilipp@wittobriens.com Sent: Friday, January 29, 2021 4:11 PM To: Joyce D. Boni jdboni@northcarolina.edu; Edward R. Purchase erpurchase@northcarolina.edu; Katherine C Lynn kclynn@northcarolina.edu Cc: Frederick E Sellers fesellers@northcarolina.edu Subject: [External] FEMA and Vaccination Cost Recovery

[CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an attachment to spam@northcarolina.edumailto:spam@northcarolina.edu] Good Afternoon-

Per our call this afternoon I wanted to provide a summary of the FEMA vaccination guidance that has been released and its relation to the potential reimbursement opportunity from FEMA to share with sites.

First, the latest set of pertinent FEMA guidance for reference, these are coming out first as vaccinations are FEMA's number one priority at the moment:

1. 1/22/21 FEMA update indicating vaccination costs starting 1/21/21 and through 9/30/21 to be funded at 100% Federal share 2. 1/25/21 FEMA commitment to expedite projects for stated vaccination costs, etc. This document includes a list of eligible vaccination expenditures that could be incurred.

There is a statement in this document that reads:

Additionally, FEMA's Public Assistance program will provide reimbursement to state, local, tribal, territorial governments and the District of Columbia for the safe opening and operation of eligible schools, child-care facilities, healthcare facilities, non-congregate shelters, domestic violence shelters, transit systems and other eligible applicants. This reimbursement will include funds to increase COVID-19 testing and vaccines. Note we have no additional guidance or interpretation of this statement from FEMA nor have we seen any changes physically implemented as of yet.

1. Please remember that all costs incurred as related to vaccinations are subject to standard FEMA policy and guidelines and there are no deviations from labor eligibility nor relaxing of required supporting documents or Federal procurement compliance in this process.

Second, attached is a FEMA Template to help create a narrative for an expedited FEMA project application for vaccination estimated costs.

Third, here are the basic components that could be presented to FEMA along with the narrative, as relevant and there could be others, to complete a cost estimate for an expedited vaccination project:

1. Site setup costs - initial costs 2. Call center costs 3. Vaccine site daily costs including labor and supplies such as these elements:

Job Titles/Function

Hourly Rate

Hrs per day

Total per day

Team Lead [CONTRACT inc. lodging/per diem] - Physician

Deputy Team Lead [CONTRACT inc. lodging/per diem] - Epidemiologist

Security personnel

Traffic control

Vaccinators [CONTRACT inc. lodging/per diem]

Pharmacists [CONTRACT inc. lodging/per diem]

Nurse's Aides (Vaccine preparers) [CONTRACT inc. lodging/per diem]

Medical Screeners

Supply Managers

IT Support

EMT [CONTRACT inc. lodging/per diem]

General staff

Logistics Specialists

Forms Distribution Staff

Orientation/Personnel

Clinic Flow; Reviewers/Billing

Clinic Manager

Translators

Float Staff

Legal Affairs Officers

Materials

Cost per Unit

Units per day

Total Cost per day

Needles

Syringes

Alcohol prep pads

Surgical Masks

Face Shields

Band-aids

Gloves

Sharp containers

Antihistamines ($7.98 per box)

Epi-pens

First aid kit

Blood pressure measuring device

Light source to examine mouth and throat

Oxygen

Stethoscope

Timing device for measuring pulse

Tongue depressors

Tourniquet

Cost Estimate Notes:

1. If there are any anticipated insurance proceeds for vaccination administration, these can be deducted off the total estimated cost.

2. FEMA will require an estimate for Day 1 through 1/20/2021 for one Project Applicant funded at 75% Federal cost share.

3. FEMA will require a separate Project Application starting on 1/21/2021 through 4/20/2021 (90-day max increments at a time)

I am happy to discuss any additional information needed in order to present this to the sites if needed.

Sincerely, Valarie

VALARIE PHILIPP ASSOCIATE MANAGING DIRECTOR [Witt O'Brien's] 2200 Eller Drive | Ft. Lauderdale FL 33316 M: +1 954 644 2202 wittobriens.comhttp://www.wittobriens.com/ 24/7 Emergency: +1 985 781 0804 [Linkedin icon]https://www.linkedin.com/company/witt-o%27brien%27s[Facebook icon]https://www.facebook.com/WittObriensLLC[Twitter icon]https://twitter.com/wittobriens?lang=en[Youtube icon]https://www.youtube.com/channel/UCEDvPR5t3W-H-7owrVXXnRA