See reverse side for Paperwork Burden Disclosure Notice FEDERAL EMERGENCY MANAGEMENT AGENCY MISSION ASSIGNMENT (MA) O.M.B. NO. 3067-0278 Expires November 30, 2007 I. TRACKING INFORMATION (FEMA Use Only) State: CA (California) Incident:2008062201-Wildfires Action Request #: 1509-97008 Program Code/Event #: 3287EM-CA: WILDFIRES Date/Time Rec’d: 06/28/2008 19:38 See Attached II. ASSISTANCE REQUESTED Assistance Requested: Activate the United States Forest Service (USFS) to the FEMA Region IX Regional Response Coordinating Center (RRCC) to perform the duties of Emergency Support Function (ESF)# 4 in support of disaster operations in response to statewide California wildfires. Quantity: 1 (Each) Date/Time Required: 06/28/2008 Internal Control #: Delivery Location: Robert Fenton, 1111 Broadway, Suite 1200, Oakland, CA 94607 Initiator/Requestor Name: Robert Fenton FENTON, ROBERT J POC Name: 24-hour Ph #s: (510) 627-7259 Date: 06/28/2008 24-hour Ph #s: (510) 627-7259 Date: 06/28/2008 * State Approving Official (Required for DFA and TA): Date: III. INITIAL FEDERAL COORDINATION (Operations Section) Action to: X ESF #: 4 Other: Date/Time: 06/28/2008 19:31 Priority: 1 Lifesaving 2 Life sustaining IV. DESCRIPTION (Assigned Agency Action Officer) 3 High 4 Medium X 5 Normal See Attached Mission Statement: Your agency is responsible for submitting a Mission Assignment Monthly Progress Report to FEMA to include cost data when Mission Assignments take more than 60 days to complete, including billing. The Mission Assignment Monthly Progress Report can be accessed and submitted on-line at http://www.fema.gov/government/business.shtm The new ALC number can also be accessed at the web address. USFS personnel to perform the functions of ESF#4 in the RRCC, and provide personnel (8) to California’s State Emergency Operations Center (SEOC) as needed or other teams and locations as directed by FEMA to include but not limited to :Emergency Response Team-Advanced (ERT-A), Preliminary Damage Assessment (PDA) team, Rapid Needs Assessment (RNA) team. This activation may include overtime and administrative costs. Equipment purchases are not authorized under this mission assignment. Assigned Agency: USFS (U.S. FOREST SERVICE) Projected Start Date: X Total Cost Estimate: New or Amendment to MA #: Assigned Agency POC Name: ESF-4 Projected End Date: 06/28/2008 Phone and fax #s: 07/28/2008 $10,000.00 (916) 640-1051 V. COORDINATION (FEMA Use Only) Type of MA: Federal Operation Support State Cost Share (0%) Commodity/Activity Category: Fire Management State Cost Share Percent: 0.0% State Cost Share Amount: Fund Citation: Appropriation code: 70X0702 2008-06-3287EM-9094-XXXX-2501-D $0.00 Mission Assignment Coordinator (Preparer): KAREN MOJICA Date: 06/28/2008 ** FEMA Project Officer/Branch Chief (Program Approval): ROBERT FENTON Date: 06/28/2008 ** Comptroller/Funds Control (Funds Review): EPPERSON, SCOTT A. Date: 06/28/2008 VI. APPROVAL * State Approving Official (Required for DFA and TA): Date: ** Federal Approving Official (Required for all): TERESA ZUIDERHOEK Date: 06/28/2008 VII. OBLIGATION (FEMA Use Only) Mission Assignment #: 3287EM-CA-USFS-01 Amt. This Action: $10,000.00 Amendment #: 00 Cumulative Amt. $10,000.00 * Signature required for Direct Federal Assistance and Technical Assistance Mission Assignments. ** Signature required for all Mission Assignments. FEMA Form 90-129, Oct 02 REPLACES ALL PREVIOUS EDITIONS Region 9, State CA, 3287EM, MA#1509-97008 (IFMIS Closed) as of 06/28/2008 Date/Time Obligated: 06/28/2008 Initials: IFMIS Print Time: 07/03/2008 21:25