Technical Exhibit 3.3_5 Dec 21_Lake Wales.pdf

TECHNICAL EXHIBIT 3

ESTIMATED WORKLOAD DATA

ITEM

EVENT DATA

1 Place of Performance (Address):

435 Airport Rd.

Lake Wales FL 33859

Start Date/Time End Date/Time

2 Set Up Date: 4 DEC 21

3 Dates of Event : 5 DEC 21 5 DEC 21 4 Scheduled Times 0730 1530 5 Dental Treatment Times: 0830 Complete

6 Number of Soldiers: MIN: 150 MAX: 170

EVENT SCHEDULE

Event Day 1

Setup 0600

Check in/briefing military/civilian 0645

Blood draws* (over 40) 0730

All stations prepared to receive Soldier (Minus Dental Treatment) 0730

Dental treatment begins 0900

Status report of patient flow and services 1000

Status report of patient flow and services 1300

Contracted PHA/dental exam services complete 1530

Dental treatment complete 1800

*POC for event Set Up or clarification at anytime during the event if the POCs on the ground are unable to assist with an issue please call (numbers to be given upon award of the contract).

*POC during event (to be provided after contract is awarded) Services are coordinated through the Florida National Guard Office of the State Surgeon, hosting units are responsible for ship equipment and site set up.

INDIVIDUAL SERVICES

8 Male and Female 40 and over Blood draws - All blood draws will be completed at the beginning of the day within the first 2 hours so Soldiers will be able to eat after fasting in a timely manner

Total: 25

9 Vision: ( to include DD Form 771, *NOSTRA Standard*) Total: 170

10 Hearing Screenings: Annual audiogram only no reference audiograms authorized. Must be live DOEHRS

Total: 170

11 Possible Sprint/CAE: Total: 20

12 Vitals: All stations must be able to conduct vitals to patient traffic flowing

Total: 170

13 EKGs 40 and over: An EKG will be done for all Soldiers over 40 who do not have a base line EKG in their file or who are determined to need an EKG more frequently than every 5 years by a provider. EKGs will be conducted in accordance with guidance from AR 40-501. Civilian provider review for over 40 services.

Total: 25

14 DNA: Contractor ships, military provides supplies Total: 5

15 HIV(must be within 120 days of mobilization date): Contractor ships, military provides supplies. Military personnel must do quality check to ensure HIV draw and labeling process is being done correctly. Annual HIV draws will be done for all Soldier designated to be on orders for 30 days or more during the year following the event.

Total: 75

16 G6PD: Total: 15

17 Blood Type: Total: 5

18 Dental Exams: Including digital panograph and bitewings Total: 170

19 Dental Treatment Hours: Including dental treatment trailer Total: 8

20 Urine HCG: testing all females receiving immunization with potential of becoming pregnant

Total: 45

21 Immunizations as needed: Military will provide immunizations as needed based on MEDPROs task force.

Total: 240

22 Deployment Health Assessment Program DA Form 2900 completed as needed:

Required

23 Behavioral Health Services: All above processes and services will be discussed for clarification Thursday and Friday immediately before the event

Required

24 Sickle Cell Trait Testing: 170

All above processes and services will be discussed for clarification Thursday and Friday immediately before the event

Ship all lab results to ATTN: CPT JACOB BASSETTE within a maximum 14 business days after completion of the event, see address below or via coordination of secure fax or encrypted email/email document.

P.O. Box Deliveries Physical deliveries

Office of the State Surgeon Office of the State Surgeon

ATTN: CPT JACOB BASSETTE ATTN: CPT JACOB BASSETTE

5629 State Road 16 W, BLDG 2127 5629 State Road 16 W, BLDG 2127

Starke, FL 32091 Starke, FL 32091