Exhibit_E-3_Revised_at_Amend_1_0001.pdf

SECTION E –OFFEROR’S REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS

Solicitation No. 140D8121R0005 Bureau of Land Management/Alaska Fire Service 88 Exclusive Use T3 Helicopter

EXHIBIT E-3

AIRCRAFT INFORMATION FORM

Offeror’s Name:

Aircraft Make and Model: Aircraft Tail Number:

Airspeed:

Non-Jettisonable Payload (HOGE):

(with 200 lb. pilot, 35 lb. survival kit and 2.3 hours of fuel at 7,000' PA and 25ºC)

Aircraft Equipment Requirements:

Flat floor, fold up seats, and cargo tiedown rings (B6.20) Yes No

“Squirrel Cheeks” (B6.21.1 Note) Yes No

Target Helicopter Requirements:

Left Seat PIC Yes No

The following equipment requirements from Sections B6 and B7 must be identified on the aircraft equipment list, weight and balance revision, or aircraft questionnaire and be included in the aircraft weight for performance calculations.

B6 Aircraft Equipment Requirements B6.7 Fire Extinguisher B6.25 Survival Kit (35 lbs.)

B6.11 Pulse Lights B6.26 Convex Mirror B6.17 Wire Strike Kit (if manufactured) B6.27 Keeperless Cargo Hook

B6.21.2 Cargo Basket B6.35 Snow Tundra Pads B6.24 First Aid Kit

B7 Avionics Requirements B7.3.1 406 MHz ELT B7.3.3 FM-1 B7.3.5 AFF

B7.3.2 VHF-1 B7.3.3 FM-2 B7.4.1 GPS

B7.3.2 VHF-2 B7.3.4 AUX-FM B7.5.1 2 Audio Control Systems

SECTION E EXHIBITS