Exhibit_E-2_Aircraft_Questionnaire_-_Revised_at_Amend_0001_0001.pdf

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

Solicitation No. 140D8121R0006 Bureau of Land Management/Alaska Fire Service 87 Exclusive Use T2 Helicopter

EXHIBIT E-2

AIRCRAFT QUESTIONNAIRE

You may recreate this form but it must include all the information listed This Questionnaire completely and accurately completed will be used to determine your aircraft payload capability.

REPRODUCE AND SUBMIT FOR EACH AIRCRAFT OFFERED - COMPLETE SHADED BLOCKS

Minimum Aircraft Requirements:

* Must have a Standard Airworthiness Certificate.

* VFR/IFR, Day/Night

* Payload: Nine (9) insured passenger seats not including pilot, but including copilot seat in an aircraft, normally single-pilot operated.

* Payload: Non-jettisonable payload (HOGE)* of 1,400 pounds at 25 degrees C at 7,000 feet pressure altitude using a pilot weight of 200 pounds, a 35-pound survival kit and fuel for 1.9 hours.

* Airspeed: 100 Knots

* Landing Gear: Skid type

* Aux Fuel Tanks: 90 gallon internal Target Aircraft Requirements:

* Internal payload (HOGE) of 1,600 pounds at 25 degrees C at 7,000 feet pressure altitude using a pilot weight of 200 pounds, a 35-pound survival kit and fuel for 1.9 hours.

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)

Equipment to be Added to Meet the Aircraft Specifications Requirements (If none, indicate NONE)

EQUIPMENT ITEM WEIGHT EQUIPMENT ITEM WEIGHT

ENTER YOUR PROPOSED AIRCRAFT PAYLOAD (The aircraft make, model and 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 documentation to support the minimum aircraft requirements in Sections A and B:

1. Current aircraft weight and balance report,

2. Aircraft equipment list certified accurate at the time of weighing and any revisions to the list,

3. Appropriate aircraft performance data from the Aircraft Flight Manual,

4. Interagency Load Calculation Form showing the performance characteristics of the aircraft. Calculations must include weight of aircraft in contract configuration, crew, and fuel as identified in Section A (using 7.0 lbs per gal.

for fuel weight)

5. 14 CFR Part 133, 135, and 137 Certificate

6. Aircraft Information Form

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. (See B6, Equipment Requirements) (Appropriate capacities will be identified in the conformed contract)

WATER/RETARDANT BUCKET CAPACITY

REQUIRED

1ST

bucket

2ND

bucket

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

SECTION E EXHIBITS