Fillable T2 HELICOPTER INFORMATION SHEET_CWN BOA_4_19_2023.pdf

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2023 Type 2 BOA Helicopter Support
Solicitation number
1202SA23Q9300
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TYPE 2 HELICOPTER INFORMATION SHEET CWN BOA 2023

Offeror Name:

Address:

Current CWN Agreement:

Aircraft Offered FAA Registration #:

Aircraft Make/Model/Series:

Bucket: Yes No Tank: Yes No Night Flying: Yes No Rappel: Yes No

Line Item #(s) w/ Location(s) Being Offered:

TECHNICAL INFORMATION

(1) Provide a copy of all performance charts, tables, etc., inclusive of gross weight limitation data and WAT limitations, using a standard pilot weight of 200 pounds and 1.5 hours of fuel as determined by the Helicopter Services Hourly Flight Rates, Fuel Consumption, and Weight Reduction Chart for calculation of all offered configuration’s payloads recorded on the:

INTERAGENCY HELICOPTER LOAD CALCULATION OAS-67/FS 5700-17 (11/03).

Provide all completed INTERAGENCY HELICOPTER LOAD CALCULATION forms with submission.

Bucketed Configuration

Helicopter Equipped Weight:

HOGE Non-Jettisonable Payload (Line 13): 7000’@ 20⁰C

HOGE Jettisonable Payload (Line 13): 7000’@ 20⁰C

Bucket #2 Make and Model

Weight of Bucket and 150’ Suspension hardware (Line 14):

Actual HOGE-Jettisonable Payload (Line 15):

Tanked Configuration

Helicopter Equipped Weight:

HOGE Non-Jettisonable Payload (Line 13): 7000’@ 20⁰C

HOGE Jettisonable Payload (Line 13): 7000’@ 20⁰C

Tank Make and Model

Provided Additional Bucket Make and Model

(2) Submit current Forms A, B, and C for bucketed and/or tanked configuration(s) being offered.

(3) Submit current and complete weight and balance for bucketed and/or tanked configuration(s) being offered.

https://www.fs.usda.gov/sites/default/files/2021-02/Feb%202021%20Contracts%20Awarded%202018-2021.pdf https://www.fs.usda.gov/sites/default/files/2021-02/Feb%202021%20Contracts%20Awarded%202018-2021.pdf

INTERAGENCY HELICOPTER

LOAD CALCULATION

OAS-67/FS 5700-17 (11/03)

MODEL

N#

PILOT(S) DATE

MISSION TIME

1 DEPARTURE PA OAT

2 DESTINATION PA OAT

3 HELICOPTER EQUIPPED

4 FLIGHT CREW WEIGHT

5 FUEL WT ( ______gallons X ___7___lbs per gal)

6 OPERATING WEIGHT (3 + 4 + 5)

Non-Jettisonable Jettisonable

HIGE HOGE HOGE-J

7a PERFORMANCE REF (List page/chart from FM)

7b COMP GROSS WT (FM Performance section)

8 WT REDUCTION

(Req for all Non-Jettisonable)

9 ADJUSTED WEIGHT

(7b minus 8)

10 GROSS WT LIMIT

(FM Limitations Section)

11 SELECTED WEIGHT

(Lowest of 9 or 10)

12 OPERATING WEIGHT

((From Line 6)

13 ALLOWABLE PAYLOAD

(11 minus 12)

14 PASSENGERS/CARGO MANIFEST

15 ACTUAL PAYLOAD (Total of all weights listed in item 14) Line 15 must not exceed Line 13 for the intended mission

PILOT SIGNATURE

HazMat

MGR SIGNATURE

Yes__ No__

TYPE 2 HELICOPTER INFORMATION SHEET CWN BOA 2023 1:
TYPE 2 HELICOPTER INFORMATION SHEET CWN BOA 2023 2:
TYPE 2 HELICOPTER INFORMATION SHEET CWN BOA 2023 3:
Aircraft Offered FAA Registration 1:
Aircraft Offered FAA Registration 2:
Line Item s w Locations Being Offered 1:
Line Item s w Locations Being Offered 2:
Line Item s w Locations Being Offered 3:
Line Item s w Locations Being Offered 4:
1:
2:
3:
4:
5:
6:
1_2:
2_2:
3_2:
4_2:
5_2:
MODEL:
N:
PILOTS:
DATE:
MISSION:
DEPARTURE:
PA:
TIMERow1:
HELICOPTER EQUIPPED:
PA_2:
undefined:
HELICOPTER EQUIPPED_2:
FLIGHT CREW WEIGHT:
FUEL WT gallons X 7 lbs per gal:
NonJettisonable:
HIGEPERFORMANCE REF List pagechart from FM:
HOGEPERFORMANCE REF List pagechart from FM:
HOGEJPERFORMANCE REF List pagechart from FM:
HIGECOMP GROSS WT FM Performance section:
HOGECOMP GROSS WT FM Performance section:
HOGEJCOMP GROSS WT FM Performance section:
HIGEWT REDUCTION Req for all NonJettisonable:
HOGEWT REDUCTION Req for all NonJettisonable:
HOGEJWT REDUCTION Req for all NonJettisonable:
HIGEADJUSTED WEIGHT 7b minus 8:
HOGEADJUSTED WEIGHT 7b minus 8:
HOGEJADJUSTED WEIGHT 7b minus 8:
HIGEGROSS WT LIMIT FM Limitations Section:
HOGEGROSS WT LIMIT FM Limitations Section:
HOGEJGROSS WT LIMIT FM Limitations Section:
HIGESELECTED WEIGHT Lowest of 9 or 10:
HOGESELECTED WEIGHT Lowest of 9 or 10:
HOGEJSELECTED WEIGHT Lowest of 9 or 10:
HIGEOPERATING WEIGHT From Line 6:
HOGEOPERATING WEIGHT From Line 6:
HOGEJOPERATING WEIGHT From Line 6:
HIGEALLOWABLE PAYLOAD 11 minus 12:
HOGEALLOWABLE PAYLOAD 11 minus 12:
HOGEJALLOWABLE PAYLOAD 11 minus 12:
HOGEJPASSENGERSCARGO MANIFEST:
HOGEJRow10:
HOGEJRow11:
HOGEJRow12:
HOGEJRow13:
HOGEJACTUAL PAYLOAD Total of all weights listed in item 14 Line 15 must not exceed Line 13 for the intended mission:
PILOT SIGNATURE:
MGR SIGNATURE:
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off

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