PWS_W911YN-20-Q-0009.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

MEDICAL SURVEILLANCE EXAMINATION SERVICES

1.0 General: The Performance Work Statement (PWS) supports the Florida Army National Guard (FLARNG) for Occupational Medical Surveillance Examination Program in accordance with the Occupation Safety and Health Association (OSHA) and other regulations. There are multiple locations that require this service. The estimated number of personnel to be examined is 248. The Government has the right to increase and/or decrease the number of employees/military personnel and the locations for service. The hours of operation will be based on the shops in that area, being tested due to time zone and traffic issues.

1.1 Scope: The Contractor will provide Board Certified Occupational Health Physician(s)/Physician’s Assistant, supervision, all labor, tools, materials, equipment, to include HIPPA and privacy statements and incidentals required to conduct the Medical Surveillance Examination / Occupational Health Services for the FLARNG. The contractor must be capable of conducting the Technician Occupational Medical Surveillance Examinations using mobile medical units (vans, trailers etc.)

1.2 Background: The purpose of the Occupational Medical Surveillance Examination Program is to provide job-related Medical Surveillance Examinations and Occupational Health Services to the technicians FLARNG full-time support (FTS) and/or temporary personnel who are or could potentially be exposed to health hazards in the work environment. The physicals will be given to technicians working in aviation and ground heavy equipment maintenance, mechanics, painters, welders, and any other employee exposed to a workplace hazard. The examination shall include personnel assigned to positions requiring specific standards of physical fitness. Personnel not included under these examinations are State Employees, civilian contractors, and the part-time traditional Soldiers.

1.3 Period of Performance (PoP): The Period of Performance shall be for a two (2) week period or 9 days performed during either one of following periods based on Government and Contractor availability:

Period 1: 30 March 2020 – 10 April 2020 Period 2: 13 April 2020 – 24 April 2020

1.4 Examination Scheduling

1.4.1 Coordination of scheduling shall be a joint effort between the COR and the Contractor, a draft copy of the schedule will be initiated by the COR and sent to the Contractor for review and any needed adjustments.

1.4.2 In the event of a Contractor equipment failure, specific testing and/or parts of examinations that are not completed during the testing period shall be completed at a scheduled time mutually convenient for the Contractor, COR and the Facility(ies). Unfinished testing/examinations will be completed at no additional cost to the Government. The option to schedule physicals not completed due to equipment failure, through a local occupational medical facility shall be done at no cost to the Government. The Contractor shall be directly responsible to cover costs for completing these make-up screenings.

1.4.3 Place and Performance: The work to be performed under this contract will be performed at government facility (see Technical Exhibit 3).

1.4.4 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented.

Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.5 Security Requirements. Contractors performing work under this contract must maintain a list of all personnel performing services at event for access on government and military facilities.

1.4.6 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with Federal Acquisition Regulations Subpart 42.5. The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.7 Identification of Government Officials

The Government Officials assigned to this contract are as follows:

Contracting Officer:

Name: Jeff Moore Phone: (904) 823-0550

Contracting Officer’s Representative:

Name: Tammy Peters Phone: (904) 823-0470 or cell phone (904) 392-9368

1.4.8 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, (or the KO if a COR is not assigned), to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO.

The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.9 Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The Contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.5 Quality

1.5.1 Quality Control: The Contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract. After acceptance of the quality control plan the Contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his QC system.

1.5.2 Quality Assurance: The Government shall evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

2.0 Procedures and Standards

2.1 This contract is for “Non Personal” Health Care “Services”, as defined in 37.101. In accordance with FAR Part 37.4 the Government may enter into a non-personal health care services contract with physicians, dentists and other health care providers under authority of 10 U.S.C. 2304 and 41 U.S.C. 253.

The Government shall evaluate the quality of professional and administrative services provided, while the Government retains no control over the medical, professional aspects of services rendered. The Contractor will indemnify the Government for any liability producing act or omission by the Contractor, its employees and agents occurring during contract performance. The Contractor will maintain medical liability insurance, in a coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty concerned. The Contractor is required to ensure that its subcontractors, if any, for provisions of health care services, contain the requirements of the clause at 52.237-7, Indemnification and Medical Liability Insurance, including the maintenance of medical liability insurance.

2.2 Contractor shall ensure all procedures are conducted in accordance with applicable American Board of Occupational and Environmental Medicine (ABOEM), American Association of Occupational Health Nurses (AAOHN), U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH) Standards

2.3 Contractor shall ensure all clinical laboratory services are performed by a laboratory licensed through the U.S. Department of Health and Human Services (DHHS), Health Care Financing Administration pursuant to the terms of the Clinical Laboratories Improvement Act of 1967 (42 U.S.C. 263a) and the College of American Pathologies.

2.4 Contractor shall provide a Board eligible or Certified Occupational Medicine Physician to conduct job-related medical surveillance physical examinations and occupational health consultation services

2.5 Contractor shall ensure that all hearing tests are done by the Defense Occupational and Environmental Health Readiness System- Hearing Conservation (DOEHRS-HC) through Benson hearing equipment at time of testing. NOT MANUALLY see hearing requirements in paragraph 3.3.

2.6 Contractor shall arrange for the opportunity to consult with the Contracting Officer's Representative (COR) by telephone to coordinate or resolve issues that might arise before, during, and after the testing period. The appointed COR is the only one allowed to give authorization for testing and each individual will be accompanied by an authorization form prior to any testing.

2.7 Contractor shall conduct a daily test site status report update by telephone or in person to the COR.

This reporting will cover total number of test conducted, total number of no-shows, and the total number of uploaded hearing tests, and any other pertinent information regarding the performance of the testing.

2.8 Contractor shall perform a comprehensive review and evaluation within 30-days following the conclusion of testing. The COR will contact and schedule a follow-up review and evaluation meeting to discuss positive and negative aspects of testing.

2.9 Contractor shall ensure instrumentation must meet or exceed appropriate performance standards, and accuracy must be verified in accordance with current Occupational Medicine Certification standards.

3.0 General Exam

3.1 Contractor will provide vital signs to include height, weight, blood pressure, pulse and respirations.

3.2 Contractors will provide a Job Functional Analysis or Kraus-Weber that includes back strength and flexibility. Note any pain or recommended lifting limitations if less than 50 lbs.

3.3 Contractor shall ensure audiogram must be certified by the Council for Accreditation in Occupational Hearing Conservation (CAOHC) or the equivalent military Defense Occupational and Environmental Health Readiness System-Hearing Conservation (DOEHRS-HC) training in accordance with 29 CFR 1910.95.

a. Hearing screenings will be conducted only on employees exposed to occupational noise > 85 dBA or 140 dBA impact noise.

b. All hearing tests will be entered into DOEHRS-HC during testing.

c. Otoscopic Exam.

d. Test Only 500, 1000, 2000, 3000, 4000 and 6000.

e. Hearing aids must be removed.

f. Employee must be noise free for at least 14 hours prior to screening.

g. All hearing screenings besides the baseline will be compared against the employee’s baseline to determine if there is a Significant Threshold Shift (STS) and retested immediately and if there is still a STS notify the COR within 10 days so that timely retesting can be scheduled.

3.4 DOEHRS Compatible Audiometer Testing: Hearing Conservation and Hearing Readiness tests must be completed in a sound booth. The noise levels within the hearing test environment must not exceed those shown in DA PAM 40-501, Table 7-1. Stationary audiometric test booths must be evaluated on an annual basis using sound level meter equipment conforming to: a. At least the Type 1 requirements of the ANSI Standard S1.4-1983 (R 1997) and S1.4A-1985 Amendment (or latest approved standard).b. The band filter sets shall conform to requirements for Order 3, Type 3-D, extended range as specified by the latest ANSI Standard S1.11. Soldiers will be tested in a sound booth that meets the American National Standards Institute (ANSI) Maximum Permissible Ambient Noise Levels (MPANL) S3.1, 1999 (R 2008) as measured using a Type 1 Sound Level Meter (SLM) IAW DA Pam 40-501 and will ensure that the USAPHC Audiometric Test Booth Certification Form is posted on the audiometric test booth(s). Noise level measurements must be recorded on the U. S. Army Public Health Command Audiometric Test

Booth Certification Form with a copy furnished to the Hearing Program Manager or their representative.

The USAPHC Audiometric Test Booth Certification Form is available at:

http://phc.amedd.army.mil/PHC%20Resource%20Library/AudiometricTestBoothCertification.pdf. Noise level measurements for mobile audiometric test booths must be evaluated each time they are moved to a new location or at a minimum, annually, if they are never moved and are used as stationary audiometric test booths. Ventilation systems in audiometric test booths must provide adequate air exchange for patient comfort and acceptable sound levels for valid audiometric testing. The contractor shall conduct audiometry in accordance with AR 40-501 (RAR 003, 08/04/2011) for an undetermined number of Soldiers and in undetermined locations throughout the State. Hearing exams will be conducted using the DOEHRS-HC compatible audiometers (Benson) with DOEHRS software. Adherence to all requirements of OSHA, State & Federal Regulations is mandatory. Audiology evaluations and Speech Recognition in Noise Test (SPRINT) testing will be performed IAW all applicable Federal, DOD, MEDCOM, NGB, and State guidelines. SPRINT testing must be available at all events when requested and the results must be available immediately. The contractor shall check that member has DD Form 2215 (baseline Audiogram) recorded in the medical information system (DOERS-HC) and medical record; and if no DD Form 2215 is in the medical record, perform DOEHRS-HC approved audiograms, and all service members with a DD Form 2215 on file have a DD Form 2216 completed. Contractor shall provide a list of personnel who require audiograms. Comprehensive Audio Evaluation (CAE) Testing for ARNG and USAR, the Contractor shall perform CAE testing and diagnostic audio testing, including Pure Tone Air and Pure Tone Bone Tests, and SPRINT testing as indicated by initial screening results and after appropriate unit authorization is obtained. These CAE services may include immittance testing, tympanometry, acoustic reflex, speech reception thresholds, word recognition testing, and otoacoustic emissions. The Contractor shall upload all pure tone audio test results into the DOEHRS-HC database within five (5) working days of completion and shall verify upload. IF THE CONTRACTOR CANNOT OR DOES NOT HAVE

ACCESS TO THE DOERHS PROGRAM THEY NEED TO MAKE ARRANGEMENTS WITH THE

OHS (MAJ TAMMY PETERS) PRIOR TO CONDUCTING THE MEDICAL MONITORING AND

SOMETHING WILL BE WORKED OUT. BUT IT IS PREFERRED THAT THE CONTRACTOR

HAVE THEIR OWN PERSONNEL TO BE ABLE TO UPLOAD TO THE DR PROGRAM.

3.5 Contractor shall ensure Pulmonary Function Tests (PFTs) Performed by a licensed physician, Certified Pulmonary Function Technologist, or Registered Respiratory Therapist in accordance with 29

CFR 1910.1001.

a. Screenings will only be conducted on employees exposed to respiratory hazards that will require a respirator to mitigate their hazards that are above the action level.

b. Test will include as a minimum Forced Expiratory Volume in one second (FEV1), Forced Vital Capacity (FVC), comparison with recognized normal’ s for the individual's height and weight, sex, race, age and a documented interpretation by a pulmonologist or certified Occupational Health physician.

c. Follow NIOSH and ATS-ERS standard requirements:

1. Continue testing individual when the patient is improving until improvement is <30ml.

2. Test results are acceptable with a minimum of three acceptable maneuvers that are free from a leak, obstructed mouthpiece, hesitation, false starts, cough, glottis closure, early termination, and have a good curve of at least 6 seconds duration.

3. Test results are reproducible in that they have the same result from the individual (two largest

FVCs are within 0.150 L of each other and two largest FEV1's are within 0.150 L of each other) when the test is repeated several times. Testing is continued until criteria are met or 8 trials are attempted, or the employee being tested cannot or should not continue.

4. If three (3) acceptable and two (2) repeatable tests cannot be obtained, the technician performing the PFT must document the reason the standard could not be met.

5. Always use measured height not reported height by the nearest half inch without footwear.

6. Always indicate source of reference value on reports for adjusted predicted value.

7. No smoking within 1 hour prior.

8. No cold, flu or allergies within two weeks.

9. No inhaler use prior to test that would still be in the patient’s system.

d. Specifications regarding equipment guidelines and calibration, test administration, and test interpretation must meet applicable OSHA and ANSI standards. Supporting documentation will be provided to this office daily or annually depending on manufacturing guidelines of spirometer.

e. Respirator clearance documented and a copy given to employee at time of visit.

3.6 Contractor will ensure that vision screenings are in accordance with DA PAM 40-506 using multiphasic vision screening equipment to measure the following primary visual skills.

a. Visual acuity for distance and near.

b. Lateral phorias for distance and near.

c. Vertical phorias for distance and near.

d. Depth perception.

e. Color perception.

f. Peripheral vision.

3.7 Contractor shall ensure dermatological examinations are be performed by a physician and include an inspection of the entire integumentary system with emphasis on areas most likely to be affected by the employee's occupational (i.e. radiation) exposures. Documentation will include the presence of any dermatomes or lesions of the skin.

3.8 Contractor shall ensure instrumentation must meet or exceed appropriate performance standards, and accuracy must be verified in accordance with current Occupational Medicine Certification standards.

3.9 Contractor shall provide the Contracting Officer’s Representative with a Quality Assurance Medical Surveillance Plan listing the procedures or processes, which shall be utilized to meet the requirements discussed in the PWS.

4.0 PERSONAL PROTECTIVE EQUIPMENT (PPE)

4.1 Contractor shall furnish and assure healthcare workers are provided with the appropriate PPE such as, but not limited to: gloves, protective eyewear, and etc., where there is a potential for exposure to blood or other potentially infectious materials.

4.2 Contractor shall ensure each healthcare worker complies with the requirements of 29 CFR

1910.1030 Blood borne Pathogens Standard.

5.0 INFECTIOUS WASTE DISPOSAL

5.1 Disposal of all infectious waste shall be in accordance with local, state, and federal regulation and disposed of by the contractor unless other accommodations have been coordinated in writing.

5.2 Contractor shall ensure puncture resistant sharps containers are readily accessible to healthcare workers and located in all treatment areas where sharps could potentially be used.

6.0 MOBILE UNIT CONFIGURATION

6.1 Medical Surveillance screening shall be accomplished via mobile unit designed to ensure complete individual privacy. Features of the unit shall include, but are not limed to, a climate-controlled atmosphere, patient waiting / holding area for registration, changing room, on board restroom, testing / phlebotomy station, individual audiometric testing booth, and physical examination area.

6.2 Mobile units shall be equipped with a self-contained power source. The Government shall not provide power to the contractor’s mobile unit unless other accommodations have been coordinated in writing.

7.0 MEDICAL REPORTS AND RECORDKEEPING

7.1 Contractor shall immediately contact the COR by telephone if results of medical surveillance screening(s), which are questionable and/or of critical significance and/or require follow-up. Contractor shall send all results to include all diagnostic tests, graphs, charts, reports, questionnaires, waivers, employee consent forms, physical findings, and examination results to the Occupational Health Manager within 30 working days of completion of testing to:

Florida Army National Guard ATTN: MAJ Tammy Peters, OHS 2305 State Road 207 St Augustine, FL 32086

7.2 Contractor shall identify all medical records with the employee’s full name, social security number, date of birth, job code, and the name of the employee’s work place or facility at a minimum. The contractor shall ensure work / health history forms and medical reports are complete and legible (typed / printed).

7.3 Contractor shall ensure that each employee signs the Privacy Act Statement (DD Form 2005) during the registration process.

8.0 Reports

8.1 Summary Report: The Contractor will provide a comprehensive data processed analytical end report in both electronic and hardcopy format. Electronic format shall be on CD-R and hardcopy shall be placed in an Acco Presstex Grip Punchless Binder (Blue) or equal product, with tabs containing the below data:

a. Tab # 1 - Classification Summary to include:

Colum # 1 - Employee Name, Colum # 2 – SSN, Colum # 3 - D.O.B., Colum # 4 –Blood Pressure (B/P) - N = normal, A = abnormal, Colum # 5 – AUDIO – N= normal, A = abnormal, Colum # 6 – PFT - N = normal, A = abnormal, Colum # 7 – Vision - N = normal, A = abnormal,

b. Tab # 2 – Employee Listing with Hearing Classifications to include:

Colum # 1 Employee Names, Colum # 2 SSN, Colum # 3 Date, Colum # 4 Speech Frequencies, and Colum # 5 – High Frequencies – Normal, Mild Hearing Loss, Moderate Hearing Loss, Moderate Severe Hearing Loss, and Profound Hearing Loss

c. Tab # 3 – Employee Listing with All Hearing Tests

d. Tab # 4 – Hearing Summary Report – Bar Graph indicating total numbers related to Total Number of employees tested, break outs will be total # of Males tested, total # of Females tested.

Number of Normal Hearing, Number of Mild Loss, Number of Moderate Loss, Number of Moderate Severe Loss, Number of Severe Loss, Number of Profound Loss, Number of Standard Threshold Shift and Number of OSHA Recordable Shift if any.

e. Tab # 5 – Employee Listing with Most Recent PFT –

Colum # 2 – Date test conducted, and Colum # 3 - Classification – Normal, Mild Obstructive, Borderline Obstructive, Moderate Obstructive and Significant Obstructive as the test indicates

f. Tab # 6 – Employee Listing with most Recent PFT Results –

Colum # 2 Date test conducted, Colum # 3 – FVC, Colum # 4 - FEV1, Colum # 5 – FEV1/FVC and other information as tested.

g. Tab # 7 - Pulmonary Summary Report – Analytical Breakdown to include – Total number of employees, Number of Employee Tested, Number with Normal Screening.

h. Number with Mild Restriction, Number with Moderate Restriction, Number with Severe

Restriction, Number with Borderline Obstruction, Number with Mild Obstruction, Number with Moderate Obstruction, Number with Severe Obstruction, and Number with Superimposed Restriction.

9.0 Contractor Manpower Reporting Application (CMRA).

9.1 The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the ARMY via a secure data collection site.

9.1.2 The contractor shall completely fill in all required data fields using the following web address:

http://www.ecmra.mil/. Reporting inputs shall be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2017. Contractors may direct questions to the help desk at http://www.ecmra.mil.

10.0 Applicable Publications:

10.1 Title 29, Code of Federal Regulations, Part 1910: Occupational Safety and Health Standards.

10.2 Title 29, Code of Federal Regulations, Part 1960: Safety and Health Provisions for Federal Employees.

10.3 American National Standards Institute (ANSI) 288.6-1884, American National Standard for Respiratory Protection, Respirator Use, Physical Qualifications for Personnel.

10.4 Threshold Limit Values and Biological Exposure Indices (TLVs), American Conference of Governmental Industrial Hygienists (ACGIH), Cincinnati, Ohio.

10.5 Army Regulation 40-5, Preventive Medicine 25 May 2007

10.6 Department of Defense 6055.05M, Occupational Medical Surveillance Manual 2 May 2007

10.7 U.S. Department of Labor, Code of Federal Regulations 29 (CFR) 1910.120 (b) (5), (f), Medical Surveillance

10.8 Army Regulation 11-34, The Army Respiratory Protection Program 15 Feb 1990

10.9 Headquarters, Department of the Army Pamphlet (DA PAM) 40-501 Hearing Conservation 10 Dec

10.10 Headquarters, Department of the Army Pamphlet (DA PAM) 40-506 Vision Conservation 15 Jul

TECHNICAL EXHIBIT 1

Performance Requirements Summary

This Performance Requirements Summary includes performance standards. The Government will use these standards to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Performance Objective: Standard Performance Threshold

Method of Surveillance

PRS # 1:

Audiogram

(DOERHS).

All hearing tests must be uploaded into DOEHRS system within 12 hours of test being conducted at each site.

Zero deviation from standard

Periodic inspection by COR

PRS # 2:

Vision screening.

Contractor will ensure that vision screenings are in accordance with DA PAM 40-506 using multiphasic vision screening equipment to measure the following primary visual skills.

Zero deviation from standard

Periodic inspection by COR

PRS # 3:

Spirometry.

Contractor shall ensure Pulmonary Function Tests (PFTs) Performed by a licensed physician, Certified Pulmonary Function Technologist, or Registered Respiratory Therapist in accordance with 29 CFR 1910.1001.

Zero deviation from standard

Periodic inspection by COR

PRS # 4:

The contractor shall perform required tests each day

All technicians who did not attend the event will be removed by the Contractor so the there are no inconsistency in the rosters or report ran after the event.

Zero deviation from standard

Periodic inspection by COR

PRS # 5:

Daily Status Report

Contractor contacts COR on a daily basis either by telephone or in person.

Zero deviation from standard

Periodic inspection by COR

TECHNICAL EXHIBIT 2

Deliverables Schedule

Deliverable Frequency Number of Copies Medium/Format Submit To

Contractor will provide at the conclusion of the services a report summary of Medical records

Completed reports will be generated the conclusion of all testing sites and after all services have been reviewed by a

DR/PA.

1 copy of the report will be created for the Occupational Health Specialist.

Both Digital and Paper Copy (Binder)

All copies and records will be sent to the COR

Contractor will provide, at the conclusion of the services a report summary of all services provided on each individual

Completed reports will be generated the conclusion of all testing sites and after all services have been reviewed by a

DR/PA.

2 hardcopies of the report will be created. One for the individuals tested and one for each medical record on the technician

Paper Copies Mailed to the FLARNG Occupational Health Specialist office within 30 calendar days of completion of testing.

Contractor Manpower Reporting

Once Electronic Email Email to COR upon completion of entry into CMRA for Army

TECHNICAL EXHIBIT 3

Estimated Workload Locations

Location Site Shop Soldiers Dates Total Schedule 6/hr Contacts AASF #1 AASF 1 FMS 11 15 3/30/2020 44 Mon. ‐ 8:00a‐12:00p; 13:30p‐16:00p Jacksonville, FL

13650 Aerospace Way AASF 1 FMS 9 1 3/31/2020 17 Tues. ‐ 8:00a‐12:00p; 13:30p‐16:00p Supervisor Mrs. Theresa Hart

Jacksonvi l le, FL 32221 AASF 1 AASF #1 44 4/13/2020 drive 50 miles 904‐573‐2300 x 1001

4/14/2020 theresa.l.hart12.civ@mail.mil

CSMS CSMS FMS 12 5 4/1/2020 43 Wed. ‐8:00a‐12:00p; 13:30p‐16:00p Starke, CBJTC, FL

5629 SR 16 W., Bldg 4100 CSMS USPFO 3 4/2/2020 25 Thurs. ‐ 7:00a‐11:30a Supervisor Robert McKenzie

CBJTC Starke, FL 32091 CSMS FMS 10 10 904‐669‐4816 (cell)

CSMS MATES 5 4/15/2020

CSMS FMS 7 1 4/16/2020

CSMS CSMS 35 drive 295 miles robert.c.mckenzie1.mil@mail.mil

FMS # 1 FMS 1 FMS 2 6 4/3/2020 14 Fri. ‐11:00p ‐ 1:30p Miami, FL

700 N.W. 28th Street FMS 1 FMS 1 8 Supervisor CPT Eric Wilson, Miami, FL 33127‐4044 4/17/2020 drive 225 miles 786‐299‐0601 (cell) eric.t.wilson26.mil@mail.mil

FMS # 6 FMS 6 UTES 6 4/7/2020 29 Tues. ‐ 8:00a‐12:00p; 13:30p‐16:00p Haines City, FL

111 Commerce Ave. FMS 6 FMS 5 4 POC MSG Shawn Ronnenberg

Haines City, FL 33844 FMS 6 FMS 16 0 863‐559‐2740 (cell)

FMS 6 FMS 6 16 4/21/2020 shawn.p.ronnenberg.mil@mail.mil

FMS 6 FMS 7 3 drive 60 miles

FMS # 2 FMS 4 FMS 4 13 4/8/2020 15 Wed. ‐ 7:00a ‐ 11:00a Tampa, FL

518 N. Howard Ave. FMS 4 FMS 3 1 POC CW2 Scott Eaton

Tampa, FL 33606 FMS4 FMS 5 1 4/22/2020 drive 50 miles 813‐250‐3310 x 1944 (shop line) scott.e.eaton2.mil@mail.mil

AASF #2 AASF # 2 FMS 8 4 4/9/2020 24 Thurs. ‐ 7:00a‐11:00a Brooksville, FL

16388 Hel icopter Dr. AASF # 2 AASF # 2 20 POC SFC Edmund Unutoa

Brooksvi l le, FL 34604 4/23/2020 drive 300 miles (Thurs p/ Friday a) 727‐798‐6170 (cell) edmund.a.unutoa.mil@mail.mil

FMS # 14 FMS 14 FMS 14 5 4/10/2020 13 Fri. ‐11:00p ‐1:00p Bonifay. FL

307 W. Montana Ave FMS 14 FMS 13 3 Supervisor CW2 Matthew Hayes

Boni fay, FL 32425 FMS 14 FMS 15 5 4/24/2020 850‐258‐0586 (cell) matthew.r.hayes10.mil@mail.mil

Total 248

******Number of soldiers can change depending on AT, leave, and mission requirements!!!

FLARNG Medical Monitoring Schedule 2020