AQD-10_(Aug2022).pdf

AQD-10 FIVE YEAR(08/2022) SECTION A - REQUIREMENTS AND PRICES

AIRPLANE RENTAL AGREEMENT PRICE LIST

U.S. Department of Interior Interior Business Center (IBC)

Acquisition Services Directorate (AQD)

Contractor Name and Address:

Name

Street

City State Zip Code

AGREEMENT NO.

Telephone No.

After Hours/Cell Phone No.

FAX No.

E-Mail:

AIRCRAFT INFORMATION:

Manufacturer and Model: FAA Registration Number N

Aircraft Base of Operations:

(Complete Address)

Base Name Street

City State Zip Code

Passenger Seats Insured (exclude pilot): Operations for Which Approved: VFR IFR

Single Pilot IFR in accordance with Part 135 (ME or SE Turbine) YES NO

SPECIAL USE:

Please check each Special Use Supplement Box below that you want to be considered for inspection under this ARA1

Fire and Resource Reconnaissance: Low Level Activities Fire Reconnaissance

Off Airport Operations - Wheels Extended Overwater > 50 Miles Airplane Ski Operations

Rental of Tandem Seat Airplanes Resource Reconnaissance I Mountainous Terrain Resource Reconniassance II

Special Equipment:

Cargo Doors Floats FLIR FM Programmable Radio:

Digital Analog N/A Amphibious Floats Skis ISAT

Long Range Fuel Tank Wheel Skis Satellite/Phone # ELT/AFF

ENTER TYPE

Camera Port Intercom STOL

Tundra Tires Other:

RATES (Round dollar amounts to the nearest dollar) Payment computed in accordance with ARA.

Rate Per Flight Hour YEAR WET WITH PILOT DRY WITH PILOT WET WITHOUT PILOT2 DRY WITHOUT PILOT2

Base Year 1

Year 2 Year 3 Year 4

Standby Rate Per Hour for each Aircraft (orders/flights under 24 hours)

Extended Standby (Over 9 hours) - Pilot

Additional Amount Per Flight Hour When Copilot is Requested:

Contractor certifies the above listed aircraft are under Part 135/121 and that insurance coverage required under this ARA is current.

SIGNATURE OF CONTRACTOR NAME AND TITLE (Type or Print) DATE

SIGNATURE OF CONTRACTING OFFICER NAME AND TITLE (Type or Print) DATE

1. NOTE: Checking off supplement boxes does not guarantee you will be inspected or accepted for these missions. The Government shall determine which of your requested checked items if any may be inspected and carded based on the requirements of the Government.

2. WITHOUT PILOT (When requested by Government) Evidence of hull insurance to cover Government pilots is required. (Refer to Clause C8)

$62.00 per hour