BPM007303__Exhibit_5__AMD-23E__Aircraft_Use_Report.pdf

PDF 1 MB Posted

Attached to
All-Inclusive Single Engine Air Tankers (SEATs) and Services
Solicitation number
BPM007303
Issued by
Arizona

About this file

This is an Aircraft Use Report form (Exhibit 5: AMD-23E, dated April 2023) for a state or local government agency managing aviation services contracts. The document serves as a record-keeping instrument for contractor task orders related to all-inclusive Single Engine Air Tankers (SEATs) and associated services. The form is designed to capture detailed information about aircraft utilization, including contractor task order numbers, aircraft make and model, pilot-in-command identification, and invoice date ranges. The report requires signatures from both the contractor vendor and government representative to certify that services provided and received are accurately documented.

The form accommodates two billing methodologies: time-based charges and fee-based charges. Time-based billing sections record flight parameters such as start and stop times, elapsed time, number of passengers, cargo weight, payload capacity, and mission codes. Fee-based billing sections capture quantity, rate, and total charges with associated billee codes and agreement numbers. Both billing types include fields for tax calculations, charge codes, fire-related designations, and remarks. The document includes reference to BPM007303 as the governing contract identifier and requires documentation of hiring arrangements, release dates and times, and vendor information to ensure comprehensive audit trails for all aircraft service transactions.

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Text version

Exhibit 5: AMD-23E Aircraft Use Report (04/2023)

Contractor Task Order #

Item # N # Make/ Model

PIC Pilot

Invoice Start Invoice End Page 1 Hired Hired Time Release Date Release Time Date Date of: Date

Vendor Signature: The following record of services provided is correct Gov Rep Signature: The following record of services provided were received Agency

Phone

Name (print)

Date Name (print)

Date E-Mail

NonFleet TIME Based Charges

Date Pay Item Code Start Stop Elapsed Time From To # of PAX Cargo Payload TAX Mission Code Billee Code Billee Agreement # Charge Code Fire

NonFleet FEE Based Charges

Date Pay Item Code Quantity Rate Total City State TAX Billee Code Billee Agreement # Charge Code Fire

Remarks:

BPM00730, All-Inclusive Single Engine Air Tankers (SEATs) and Services

File details come from the government source that posted it. Updated .