Document
OAS-13F 0 2 /15
REQUEST FOR ACQUISITION OF FLEET AIRCRAFT
REQUESTING BUREAU AND OFFICE POINT OF CONTACT (POC) NAME POC EMAIL POC TELEPHONE PROCUREMENT TYPE (check one): New Assest Replace Existing Make/Model Change Existing Make/Models Transfer/Bail from _______________________ AVIATION BUSINESS CASE: Baseline ABC on file. Updated ABC Attached New ABC Attached Current/Proposed Primary Operating Location: Current Business Model: Government Owned/Operated Gov't Owned/Contract Pilot Commercial Owned/Operated Commercial Owned/Government Pilot Year: Make/Model/Series: FAA Reg #: Est. Airframe Hours: Status: Airworthy Current Asset Used to Meet This Requirement Out of Service Landing Gear Configurations (Check all used): Wheels Skis Floats Amphibs Std Skids Extended Height Skids Other _______________________ Other Specialized Equipment Installed: Annual Hours Flown (3 yr avg) : Operating Cost/Hour: Monthly Fleet Rate: Daily Availability (contract only): If current asset is contracted, attach copy of contract. Dry: Wet: Make/Model/Series: VFR Only Proposed Asset to Meet This Requirement New Used VFR/IFR Capable NOTE: If this is a new aircraft or change from previous make/model, a Aviation Business Case is required. List aircraft to be compared in BCA above.
Landing Gear Configurations (Check all required): Wheels Skis Floats Amphibs Standard Skids Extended Height Skids Other ________________ Specialized Equipment Requiredments (Check all required): VHF FM AFF Satphone Flight Data Tracking Antenna ADS-B Other ________________ Modifications to standard Make/Model required: Required Delivery Date: Performance Requirements Helicopters Only HOGE-I Typical Operating Radius: nm lbs
Typical Mission Profile # Avg Wt _____ _____ Total
Pilot(s) x = ft Temp C Highest Field Elevation
___ _______ _____ _____ ________________
Minimum Runway Length Crew/Pax x = ft Pressure Alt ft
___ _______ _____ _____ ________________
Survival Gear x = C Highest Field Temperature
___ _______ _____ ________________
Maximum Cruise Altitude Other x = ft
____ _______ _____ _______ ________________
UAS Only K TAS Min High Speed Cruise Typical /Max Payload
_____ ________________
Typical Mission Airspeed
K TAS Weight Class _____
_____ ________________ Required Mission Fuel Weight*
Mission Range or Endurance hrs Category Maximum Seats Available
_____ _____ ________________
Note: Assume fuel weight based on required endurance x est imated fuel flow for this class of aircraft plus 20 min reserve Type Missions To Be Flown (use standard DOI mission descriptions - see Tech Bulletin 10-01) Funding Plan Mission Description Hours Per Year % of Annual Hours ___________ ___________ ____________________________________________ Source Amount ____________________________________________ ___________ ___________ Appropriation - FY ____ ____________________________________________ ___________ ___________ _________ ____________________________________________ ___________ ___________ Exchange Sale Proceeds _________ ____________________________________________ ___________ ___________ Aircraft Reserves (WCF) _________ ____________________________________________ ___________ Bureau Contribution _________ ___________ Other Source _____________ _________ ____________________________________________ ___________ ___________ ____________________________________________ ___________ ___________ Total Estimated Acquisition Cost _________ ____________________________________________ ___________ ___________ OAS Fleet Accountant coordination (sign/date) ____________________________________________ ___________ ___________ Proposed Total Annual Program ___________ ___________ Coordination/Approval History Date Signature Comments Regional Aviation Manager Coordination: Name Signature Accounting Code date Bureau Funds Certifier Name Signature Comments Date Bureau EAS Member Concur: Name Signature Comments Date OAS Technical Services Coordination: Name Signature Title Date Bureau EAC Member Concur: Name Comments Date Signature OAS Director Concur: Name Title Date Signature EAC Member Notification By: Name Comments