EXHIBIT_E-2_Aircraft_Questionnaire.docx

DOCX document 25 KB Posted

Attached to
Alaska Helicopter On Call flight services Federal contract opportunity
Solicitation number
140D8121R0002
Issued by
Department of the Interior Departmental Offices Interior Business Center

About this file

This document is an aircraft questionnaire template to be completed by offerors responding to solicitation number 140D8121R0002 for Alaska helicopter on-call flight services. The questionnaire collects information on up to eight types of aircraft being offered, including make, model, registration number, serial number, passenger capacity, equipped weight, installed equipment, proposed equipment changes, and hover ceiling payload. Offerors must include current weight and balance reports and equipment lists to substantiate aircraft specifications. Appropriate water or retardant bucket capacities are also required. By signing the form, the offeror certifies the accuracy of the information provided.

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Text version

EXHIBIT E-2

AIRCRAFT QUESTIONNAIRE

You may recreate this form, but it must include all the information listed.

REPRODUCE AND SUBMIT FOR EACH AIRCRAFT OFFERED - COMPLETE SHADED BLOCKS

Contractor (Business) Name:

Minimum Requirements:

Item #2 Description Type Aircraft: MD 500C, D, E, F; B206B III or equivalent.

Seating: Three (3) Item #3 Description Type Aircraft: R-66 or equivalent Seating: Four (4) Item #4 Description Type Aircraft: BH206L-1, BH206L-3, BH206L-4, AS 350BA, AS 350B1, BO-105, or equivalent. Seating: Five (5) Item #5 Description Type Aircraft: AS 350B2, AS 350B3, Bell 407, or equivalent.

Seating: Five (5)

Item #6 Description Type Aircraft: BH212, BH412, BH205 series, UH-1 series (restricted) or equal Seating: Nine (9) Item #7 Description Type Aircraft: BH214B1 or equivalent. Seating: Nine (9) Item #8 Description Type Aircraft: UH12E, BH-47G3B-1, BH47G3B-2, R-44-I, II or other equivalent models. Seating: Two (2)

Aircraft Make and Model
FAA Registration #
Serial #
# of Insured Passenger Seats (excludes pilot seat)

Aircraft Equipped Weight (Your aircraft weight & balance report & equipment list will be used to substantiate this weight – see note 1. below)

Currently Installed Aircraft Equipment to be Removed to Achieve Offered Payload Below (If none, indicate NONE) (Attach additional pages if necessary) Equipment to be Added to Meet the Aircraft Specifications Requirements (If none, indicate NONE (Attach additional pages if necessary))

EQUIPMENT ITEM
WEIGHT
EQUIPMENT ITEM
WEIGHT

ENTER YOUR PROPOSED HOGE-J AIRCRAFT PAYLOAD (The aircraft make, model and HOGE-J payload that we confirm with you will be made a part of your offer and will be binding if your offer is accepted for award

NOTE

1. By signing below, I acknowledge that I have included the following:

(1) Latest aircraft weight and balance report,

(2) Lates aircraft equipment list,

(3) Aircraft appropriate hover ceiling charts used to arrive at the above payload.

Failure to include the above information, will affect the evaluation you receive for your aircraft.

· 2. Identify water/retardant bucket sizes appropriate for this contract. (If offered, see Exhibit 13 Basic Fire and Interagency Fire)

(Appropriate capacities will be identified in the conformed contract)

WATER/RETARDANT BUCKET CAPACITY REQUIRED

1ST

2ND

3. By signing below, I certify to the best of my knowledge that the above information is accurate.

Name and Signature of Representative Completing this Form
Date

OFFEROR’S NAME

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