EMERGENCY EQUIPMENT RENTAL AGREEMENT Page 1 of \_\_\_

+----------------+--------+------+-----+--------+-----+------+------+
| 1\. ORDERING   |        |      | **  |        |     |      |      |
| OFFICE (name   |        |      | AGR |        |     |      |      |
| and address)   |        |      | EEM |        |     |      |      |
|                |        |      | ENT |        |     |      |      |
| Phones:        |        |      | NUM |        |     |      |      |
|                |        |      | BER |        |     |      |      |
|                |        |      | M   |        |     |      |      |
|                |        |      | UST |        |     |      |      |
|                |        |      | APP |        |     |      |      |
|                |        |      | EAR |        |     |      |      |
|                |        |      | ON  |        |     |      |      |
|                |        |      | ALL |        |     |      |      |
|                |        |      | PA  |        |     |      |      |
|                |        |      | PER |        |     |      |      |
|                |        |      | S** |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | *   |        |     |      |      |
|                |        |      | *RE |        |     |      |      |
|                |        |      | LAT |        |     |      |      |
|                |        |      | ING |        |     |      |      |
|                |        |      | TO  |        |     |      |      |
|                |        |      | T   |        |     |      |      |
|                |        |      | HIS |        |     |      |      |
|                |        |      | AG  |        |     |      |      |
|                |        |      | REE |        |     |      |      |
|                |        |      | MEN |        |     |      |      |
|                |        |      | T** |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | 2\. |        |     |      |      |
|                |        |      | AGR |        |     |      |      |
|                |        |      | EEM |        |     |      |      |
|                |        |      | ENT |        |     |      |      |
|                |        |      | N   |        |     |      |      |
|                |        |      | UMB |        |     |      |      |
|                |        |      | ER: |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
|                |        |      | 3\. |        |     | b\.  |      |
|                |        |      | EFF |        |     | En   |      |
|                |        |      | ECT |        |     | ding |      |
|                |        |      | IVE |        |     |      |      |
|                |        |      | DA  |        |     |      |      |
|                |        |      | TES |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | a\. |        |     |      |      |
|                |        |      | Beg |        |     |      |      |
|                |        |      | inn |        |     |      |      |
|                |        |      | ing |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| 4\. CONTRACTOR |        |      | 5\. |        |     |      |      |
| a. name and    |        |      | PO  |        |     |      |      |
| address        |        |      | INT |        |     |      |      |
|                |        |      | OF  |        |     |      |      |
| **Name of      |        |      | H   |        |     |      |      |
| Heavy          |        |      | IRE |        |     |      |      |
| Equip          |        |      | (lo |        |     |      |      |
| ment/Transport |        |      | cat |        |     |      |      |
| Company**      |        |      | ion |        |     |      |      |
|                |        |      | w   |        |     |      |      |
|                |        |      | hen |        |     |      |      |
|                |        |      | hir |        |     |      |      |
|                |        |      | ed) |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | Lo  |        |     |      |      |
|                |        |      | cat |        |     |      |      |
|                |        |      | ion |        |     |      |      |
|                |        |      | at  |        |     |      |      |
|                |        |      | T   |        |     |      |      |
|                |        |      | ime |        |     |      |      |
|                |        |      | of  |        |     |      |      |
|                |        |      | H   |        |     |      |      |
|                |        |      | ire |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| EIN/SSN:       |        |      | 6\. |        |     |      |      |
|                |        |      | THE |        |     |      |      |
| EMAIL Address: |        |      | W   |        |     |      |      |
| DUNS:          |        |      | ORK |        |     |      |      |
|                |        |      | R   |        |     |      |      |
|                |        |      | ATE |        |     |      |      |
|                |        |      | IS  |        |     |      |      |
|                |        |      | BA  |        |     |      |      |
|                |        |      | SED |        |     |      |      |
|                |        |      | ON  |        |     |      |      |
|                |        |      | ALL |        |     |      |      |
|                |        |      | OPE |        |     |      |      |
|                |        |      | RAT |        |     |      |      |
|                |        |      | ING |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | SU  |        |     |      |      |
|                |        |      | PPL |        |     |      |      |
|                |        |      | IES |        |     |      |      |
|                |        |      | BE  |        |     |      |      |
|                |        |      | ING |        |     |      |      |
|                |        |      | FUR |        |     |      |      |
|                |        |      | NIS |        |     |      |      |
|                |        |      | HED |        |     |      |      |
|                |        |      | BY  |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | X   |        |     |      |      |
|                |        |      | C   |        |     |      |      |
|                |        |      | ONT |        |     |      |      |
|                |        |      | RAC |        |     |      |      |
|                |        |      | TOR |        |     |      |      |
|                |        |      | G   |        |     |      |      |
|                |        |      | OVE |        |     |      |      |
|                |        |      | RNM |        |     |      |      |
|                |        |      | ENT |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| c\. Telephone  | d\.    |      | 7\. |        |     |      |      |
| number (day)   | Tel    |      | OP  |        |     |      |      |
|                | ephone |      | ERA |        |     |      |      |
|                | number |      | TOR |        |     |      |      |
|                | (      |      | FUR |        |     |      |      |
|                | night) |      | NIS |        |     |      |      |
|                |        |      | HED |        |     |      |      |
|                |        |      | BY  |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | X   |        |     |      |      |
|                |        |      | C   |        |     |      |      |
|                |        |      | ONT |        |     |      |      |
|                |        |      | RAC |        |     |      |      |
|                |        |      | TOR |        |     |      |      |
|                |        |      | G   |        |     |      |      |
|                |        |      | OVE |        |     |      |      |
|                |        |      | RNM |        |     |      |      |
|                |        |      | ENT |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| 8\. TYPE OF    |        |      |     |        |     |      |      |
| CONTRACTOR     |        |      |     |        |     |      |      |
| (\"X\"         |        |      |     |        |     |      |      |
| APPROPRIATE    |        |      |     |        |     |      |      |
| BOXES)         |        |      |     |        |     |      |      |
|                |        |      |     |        |     |      |      |
| SMALL BUSINESS |        |      |     |        |     |      |      |
| LARGE BUSINESS |        |      |     |        |     |      |      |
| SMALL          |        |      |     |        |     |      |      |
| DISADVANTAGED  |        |      |     |        |     |      |      |
| OWNED WOMEN    |        |      |     |        |     |      |      |
| OWNED          |        |      |     |        |     |      |      |
| VE             |        |      |     |        |     |      |      |
| TERAN/DISABLED |        |      |     |        |     |      |      |
| VETERAN HUB    |        |      |     |        |     |      |      |
| ZONE OTHER     |        |      |     |        |     |      |      |
| \_\_           |        |      |     |        |     |      |      |
| \_\_\_\_\_\_\_ |        |      |     |        |     |      |      |
| \_\_\_\_\_\_\_ |        |      |     |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| 9\. ITEM       |        | 10\. | 1   |        | 1   |      | 13\. |
| DESCRIPTION    |        | NU   | 1\. |        | 2\. |      | G    |
|                |        | MBER | W   |        | S   |      | UARA |
| (include make, |        |      | ORK |        | PEC |      | NTEE |
| model, year,   |        | OF   | OR  |        | IAL |      |      |
| serial number  |        |      | DA  |        |     |      | (8   |
| and            |        | O    | ILY |        |     |      | or   |
| accessories)   |        | PERA |     |        |     |      | more |
|                |        | TORS |     |        |     |      | ho   |
|                |        |      |     |        |     |      | urs) |
|                |        | (Per |     |        |     |      |      |
|                |        | sh   |     |        |     |      |      |
|                |        | ift) |     |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
|                |        |      | a\. | b\.    | a\. | b\.  |      |
|                |        |      | r   | unit   | r   | unit |      |
|                |        |      | ate |        | ate |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| a\.            |        | 1    | \$  | 1      | N/A | N/A  | N/A  |
| **EQUIPMENT    |        |      |     | Opera  |     |      |      |
| TYPE (\--),**  |        | 1    | \$  | tional |     |      |      |
| (Year, make,   |        |      |     | period |     |      |      |
| model,         |        |      |     | per    |     |      |      |
| accessories,   |        |      |     | day    |     |      |      |
| License #, VIN |        |      |     |        |     |      |      |
| \# or Serial   |        |      |     | 2      |     |      |      |
| #)             |        |      |     | Opera  |     |      |      |
|                |        |      |     | tional |     |      |      |
| \*See helpful  |        |      |     | p      |     |      |      |
| hints for      |        |      |     | eriods |     |      |      |
| descriptions   |        |      |     | per    |     |      |      |
| of             |        |      |     | day    |     |      |      |
| accessories.   |        |      |     |        |     |      |      |
|                |        |      |     | (See   |     |      |      |
|                |        |      |     | 14.    |     |      |      |
|                |        |      |     | b.)    |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| **b. TRANSPORT |        | 1    | \$  | 1      | N/A | N/A  | N/A  |
| (TR-)**        |        |      |     | Opera  |     |      |      |
|                |        | 1    | \$  | tional |     |      |      |
| **Truck        |        |      |     | period |     |      |      |
| tractor:**     |        |      |     | per    |     |      |      |
| (Year, make,   |        |      |     | day    |     |      |      |
| model, License |        |      |     |        |     |      |      |
| #, VIN #)      |        |      |     | 2      |     |      |      |
|                |        |      |     | Opera  |     |      |      |
| **Trailer:**   |        |      |     | tional |     |      |      |
| (Year, make,   |        |      |     | p      |     |      |      |
| model, tonage, |        |      |     | eriods |     |      |      |
| type, License  |        |      |     | per    |     |      |      |
| #, VIN #)      |        |      |     | day    |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      |     | (See   |     |      |      |
|                |        |      |     | 14.    |     |      |      |
|                |        |      |     | b.)    |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| **TRUCK        |        | 1    | \$  | Mile,  | \$  | Hour | \$   |
| TRACTOR,**     |        |      |     | rou    |     |      |      |
| (Year, make,   |        |      |     | ndtrip |     | (See |      |
| model, License |        |      |     |        |     | 14   |      |
| #, VIN #)      |        |      |     |        |     | c.)  |      |
|                |        |      |     |        |     |      |      |
| (Used for      |        |      |     |        |     |      |      |
| hauling vans,  |        |      |     |        |     |      |      |
| refers, etc.)  |        |      |     |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| 14\. SPECIAL   |        |      |     |        |     |      |      |
| PROVISIONS     |        |      |     |        |     |      |      |
|                |        |      |     |        |     |      |      |
| (a.) The       |        |      |     |        |     |      |      |
| General        |        |      |     |        |     |      |      |
| Clauses along  |        |      |     |        |     |      |      |
| with           |        |      |     |        |     |      |      |
| replacement    |        |      |     |        |     |      |      |
| clauses are    |        |      |     |        |     |      |      |
| attached and   |        |      |     |        |     |      |      |
| incorporated   |        |      |     |        |     |      |      |
| herein. See    |        |      |     |        |     |      |      |
| attached       |        |      |     |        |     |      |      |
| Federal        |        |      |     |        |     |      |      |
| Acquisition    |        |      |     |        |     |      |      |
| Regulations    |        |      |     |        |     |      |      |
| (FAR) clauses, |        |      |     |        |     |      |      |
| NRCG           |        |      |     |        |     |      |      |
| Supplemental   |        |      |     |        |     |      |      |
| Terms and      |        |      |     |        |     |      |      |
| Conditions to  |        |      |     |        |     |      |      |
| the General    |        |      |     |        |     |      |      |
| Clauses of the |        |      |     |        |     |      |      |
| Emergency      |        |      |     |        |     |      |      |
| Equipment      |        |      |     |        |     |      |      |
| Rental         |        |      |     |        |     |      |      |
| Agreement,     |        |      |     |        |     |      |      |
| OF-294, and    |        |      |     |        |     |      |      |
| Register of    |        |      |     |        |     |      |      |
| Wage           |        |      |     |        |     |      |      |
| Determination  |        |      |     |        |     |      |      |
| Under the      |        |      |     |        |     |      |      |
| Service        |        |      |     |        |     |      |      |
| Contract Act.  |        |      |     |        |     |      |      |
|                |        |      |     |        |     |      |      |
| (b.) When a    |        |      |     |        |     |      |      |
| transport and  |        |      |     |        |     |      |      |
| another piece  |        |      |     |        |     |      |      |
| of heavy       |        |      |     |        |     |      |      |
| equipment,     |        |      |     |        |     |      |      |
| such as a      |        |      |     |        |     |      |      |
| dozer, are     |        |      |     |        |     |      |      |
| [ordere        |        |      |     |        |     |      |      |
| d]{.underline} |        |      |     |        |     |      |      |
| with a single  |        |      |     |        |     |      |      |
| operator to    |        |      |     |        |     |      |      |
| operate BOTH   |        |      |     |        |     |      |      |
| pieces of      |        |      |     |        |     |      |      |
| equipment, the |        |      |     |        |     |      |      |
| dozer will be  |        |      |     |        |     |      |      |
| paid at the    |        |      |     |        |     |      |      |
| daily rate,    |        |      |     |        |     |      |      |
| and the        |        |      |     |        |     |      |      |
| transport rate |        |      |     |        |     |      |      |
| will be        |        |      |     |        |     |      |      |
| reduced by     |        |      |     |        |     |      |      |
| \$350 for a    |        |      |     |        |     |      |      |
| One            |        |      |     |        |     |      |      |
| Operational    |        |      |     |        |     |      |      |
| Period and by  |        |      |     |        |     |      |      |
| \$600 for a    |        |      |     |        |     |      |      |
| Two            |        |      |     |        |     |      |      |
| Operational    |        |      |     |        |     |      |      |
| Periods.       |        |      |     |        |     |      |      |
|                |        |      |     |        |     |      |      |
| (c.) A Special |        |      |     |        |     |      |      |
| Rate will      |        |      |     |        |     |      |      |
| apply when     |        |      |     |        |     |      |      |
| wait time      |        |      |     |        |     |      |      |
| exceeds one    |        |      |     |        |     |      |      |
| (1) hour for   |        |      |     |        |     |      |      |
| each loading   |        |      |     |        |     |      |      |
| or unloading   |        |      |     |        |     |      |      |
| period. Rate   |        |      |     |        |     |      |      |
| will be        |        |      |     |        |     |      |      |
| effective      |        |      |     |        |     |      |      |
| after the      |        |      |     |        |     |      |      |
| first hour and |        |      |     |        |     |      |      |
| prorated by    |        |      |     |        |     |      |      |
| 15-minute      |        |      |     |        |     |      |      |
| segments. This |        |      |     |        |     |      |      |
| must be        |        |      |     |        |     |      |      |
| documented on  |        |      |     |        |     |      |      |
| the Emergency  |        |      |     |        |     |      |      |
| Shift Ticket.  |        |      |     |        |     |      |      |
|                |        |      |     |        |     |      |      |
| (d.) When      |        |      |     |        |     |      |      |
| required by    |        |      |     |        |     |      |      |
| state law,     |        |      |     |        |     |      |      |
| cost for pilot |        |      |     |        |     |      |      |
| vehicles and   |        |      |     |        |     |      |      |
| overload       |        |      |     |        |     |      |      |
| permits will   |        |      |     |        |     |      |      |
| be reimbursed  |        |      |     |        |     |      |      |
| by the         |        |      |     |        |     |      |      |
| government     |        |      |     |        |     |      |      |
| upon           |        |      |     |        |     |      |      |
| presentation   |        |      |     |        |     |      |      |
| of invoice or  |        |      |     |        |     |      |      |
| receipt.       |        |      |     |        |     |      |      |
|                |        |      |     |        |     |      |      |
| (e.) Daily     |        |      |     |        |     |      |      |
| rate for heavy |        |      |     |        |     |      |      |
| equipment      |        |      |     |        |     |      |      |
| includes       |        |      |     |        |     |      |      |
| contractor     |        |      |     |        |     |      |      |
| provided       |        |      |     |        |     |      |      |
| support truck  |        |      |     |        |     |      |      |
| for fuel and   |        |      |     |        |     |      |      |
| maintenance of |        |      |     |        |     |      |      |
| contractor's   |        |      |     |        |     |      |      |
| equipment and  |        |      |     |        |     |      |      |
| operator       |        |      |     |        |     |      |      |
| t              |        |      |     |        |     |      |      |
| ransportation. |        |      |     |        |     |      |      |
|                |        |      |     |        |     |      |      |
| (f.) This      |        |      |     |        |     |      |      |
| Emergency      |        |      |     |        |     |      |      |
| Equipment      |        |      |     |        |     |      |      |
| Rental         |        |      |     |        |     |      |      |
| Agreement is   |        |      |     |        |     |      |      |
| void if not    |        |      |     |        |     |      |      |
| presented with |        |      |     |        |     |      |      |
| a valid        |        |      |     |        |     |      |      |
| Incident       |        |      |     |        |     |      |      |
| Specific       |        |      |     |        |     |      |      |
| Resource Order |        |      |     |        |     |      |      |
| or Number.     |        |      |     |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| 15\.           |        | 16\. | 1   |        |     |      | 18\. |
| CONTRACTOR\'S  |        | DATE | 7\. |        |     |      | DATE |
| OR AUTHORIZED  |        |      | CO  |        |     |      |      |
| AGENT\'S       |        |      | NTR |        |     |      |      |
| SIGNATURE      |        |      | ACT |        |     |      |      |
|                |        |      | ING |        |     |      |      |
|                |        |      | O   |        |     |      |      |
|                |        |      | FFI |        |     |      |      |
|                |        |      | CER |        |     |      |      |
|                |        |      | \'S |        |     |      |      |
|                |        |      | SIG |        |     |      |      |
|                |        |      | NAT |        |     |      |      |
|                |        |      | URE |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+
| 19\. PRINT     |        |      | 2   |        |     |      |      |
| NAME AND TITLE |        |      | 0\. |        |     |      |      |
|                |        |      | PR  |        |     |      |      |
|                |        |      | INT |        |     |      |      |
|                |        |      | N   |        |     |      |      |
|                |        |      | AME |        |     |      |      |
|                |        |      | AND |        |     |      |      |
|                |        |      | TI  |        |     |      |      |
|                |        |      | TLE |        |     |      |      |
|                |        |      |     |        |     |      |      |
|                |        |      | Ph  |        |     |      |      |
|                |        |      | one |        |     |      |      |
|                |        |      | No. |        |     |      |      |
|                |        |      | Fax |        |     |      |      |
|                |        |      | No. |        |     |      |      |
+----------------+--------+------+-----+--------+-----+------+------+

OPTIONAL FORM 294 (REV. 8-90) USDA/USDI

**HINTS AND HELPS:**

-   **Transport:** a truck tractor with trailer(s). Trailers may be an
    enclosed van, flatbed, or lowboy type for hauling heavy equipment.

-   **Tonnage** of trailer determines rate.

-   **Additional information** on heavy equipment found at:
    [www.fs.fed.us/r1/fire/nrcg under Chapter
    20](http://www.fs.fed.us/r1/fire/nrcg under Chapter 20)

-   **GBL (Government Bill of Lading):** Federal agencies should use a
    GBL when transporting between tariff locations by a licensed common
    carrier, shipments and payments should be according to the
    appropriate established tariff. EERA's should only be used for
    [short hauls]{.underline} if using a licensed commercial carrier.

```{=html}
<!-- -->
```
-   **Contracting Information**

> \* Equipment description ( See template).
>
> \* Copy of workmen's comp coverage, or certification of exemption from
> state.
>
> \* Liability insurance coverage.
>
> \* Proof of completion of Standards for Survival and any other
> training that may be required for the type of equipment being signed
> up.
>
> \* Proof of physical fitness test, administered by whom and when, if
> applicable.
>
> \* Tax ID Number (Federal ID or Employer SSN), Duns number, and email
> address
>
> \*Copy of CCR registration

-   **Vehicle History:** Check
    [www.safesys.org](http://www.safesys.org/) or
    <http://ai.volpe.dot.gov/SafeStat/SafeStatMain.asp>? for vehicle
    driving and safety report. File in EERA folder.

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```
-   **Heavy equipment with [No transport]{.underline}**: delete clauses:

    -   (b.) When a transport and another piece of heavy equipment, such
        as a dozer, are provided with a single operator to operate BOTH
        pieces of equipment, the dozer will be paid at the daily rate,
        and the transport rate will be reduced by \$350 for a One
        Operational Period and by \$600 for a Two Operational Periods.

    -   (c.) A Special Rate will apply when wait time exceeds one (1)
        hour for each loading or unloading period. Rate will be
        effective after the first hour and prorated by 15-minute
        segments. This must be documented on the Emergency Shift Ticket.

    -   (d.) When required by state law, cost for pilot vehicles and
        overload permits will be reimbursed by the government upon
        presentation of invoice or receipt.

    -   Remove part of clause - On a case-by-case basis, Transport
        operators may need Standards for Survival, but are **required**
        to have Standards for Survival if they are **assigned** to the
        incident.

    -   Renumber clauses in block 14

-   **Heavy equipment -- operator does not have proof of workman's
    comp**: Add the following clauses:

    -   The fully operated rate **has been reduced** by \$434.00 for one
        operational period and \$744 for two operational periods. The
        contractor designated operator will be hired separately at AD-4
        pay rate.

    -   Re-number clauses in block 14..

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-   **Dozers/Skidders/Skidgines/Pumper Cat/Graders/Excavators** shall
    have brush guards and falling object protection that protect the
    operator.

-   **Pilot/flag vehicles**: (MT DOT Handbook - Reference 18.8.511A,
    18.8.510 ARM) I will get copies of MT, ID and WY rules and give to
    the NRCG Business Committee to post on their website. Copies can be
    faxed to other Agencies upon request. Contractors will try to have
    you pay for their flag/pilot vehicles, make sure they qualify first,
    before paying the EERA Invoice.

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```
-   **Truck Tractor: Rate is negotiated** for round trip mileage,
    special rate (unload/load) and guarantee.

-   -- other clauses/statement/etc that can be used according to the
    negotiations:

> -Delivery of Fire Cache trailers
>
> -Used for hauling cache vans, refers, etc.
>
> -See attached list of truck tractors, dated \_\_\_\_\_.
>
> -\$\_\_\_\_ delivery or retrieval fee if within \_\_\_\_\_city limits.
> For positioning outside city limits delivery or retrieval will be paid
> per daily rate listed in Block 9.
>
> -Used in conjunction with one of the tractors listed below.
>
> **-if ONLY** **a truck tractor** is being signed up. Delete clauses:

-   (b.) When a transport and another piece of heavy equipment, such as
    a dozer, are provided with a single operator to operate BOTH pieces
    of equipment, the dozer will be paid at the daily rate, and the
    transport rate will be reduced by \$350 for a One Operational Period
    and by \$600 for a Two Operational Periods.

-   Operators for heavy equipment must meet the Northern Rockies
    Personnel Requirements for Technical Specialists and Contract
    Equipment.

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```
-   If equipment is ***signed up without operator***, reduce the fully
    operated daily rate, one operational period, by \$434; reduce fully
    operated, daily rate, two operational periods by \$744. Change Block
    7 to "X Government"

-   **Searching Class type** by model and serial number: Be careful, if
    you don't find the exact information in the blue pages, call the
    company or go onto their website. Companies reissue Model numbers
    after several years, and they reissue to equipment with different HP
    ratings. Don't just trust the contractor to give you the HP rating,
    they either guess or exaggerate. Case Western Applied Machinery
    406-259-5500, Caterpillar Tractor & Engine 406-656-0202, Champion --
    [www.jadeequipment.com](http://www.jadeequipment.com/) or
    1-800-663-0715 (Volvo/Ranger), Komatsu Modern Machiner 406-252-2158

-   **Dozers**: Add blade width and capacity (cu. yd.) in description.
    Add to the description if has rear mounted grapple or logging or
    towing winch with cable and 1 or 2 chokers.

-   **Agriculture Tractors**, with gangplows, do not have developed
    rates. Use skidder rates and flywheel horsepower as a guide.
    Depending on ground conditions, additional compensation may be
    necessary for excessive wear and tear on gangplows.

-   **Backhoes**: Add digging depth to description.

-   **Excavators**: Add max. reach in feet, digging depth in feet,
    operating weight, thumb, bucket size, if tracked vehicle, and if
    rotates 360 degrees..

> \-**If excavator is [signed up without]{.underline} a thumb;** adjust
> the rate in block 11a and **insert** clause in Block 14. "Excavator
> does not have a thumb; daily rate [has been decreased]{.underline} by
> \$60 for one operational period and \$100 for two operational
> periods". Renumber clauses.
>
> \-**If excavator is signed up with a thumb but [ordered]{.underline}
> without a thumb:** in 14b, add clause "For excavators ordered without
> a thumb, deduct \$60 from daily rate for one operational period and
> \$100 for two operational periods.
>
> -Must have brush guards.

-   **Refrigerated Trucks**....if only equipment hired, be sure to
    modify/delete all clauses and blocks 6 & 7 accordingly. Example: X
    Government (Refrigerated Trailers).

> **-**Operating supplies for the Refrigerated trailer provided by
> Agency.
>
> **-**Pickup and delivery rates may be negotiated in addition to the
> undelivered daily rate. Usually paid by round trip or per mileage
> rate.
>
> **-**Daily rate; without operator

-   **Skidgines -- Pumper cats (Hard track - Dozer engine)**

-   **[Add page 2 -- Certification for Skidgines & Pumper Cats and Page
    3 -- Checklist for Skidgines & Pumper Cats]{.underline}**

> \-**No fiberglass** or **plastic** tanks will be accepted on skidgines
> or pumper cats.
>
> **-SK** class shall meet the **S** class for skidders (Skidgines),
> **TDC** class must meet the same **T** class for dozers (Pumper cats)

\-**All tanks must be certified and baffled** in compliance with NFPA or
American Society of Mechanical Engineers standards or other accepted
engineering standards. Additional gallons are acceptable, but must meet
all standards.

> -All equipment **modified to transport water,** such as skidgines &
> pumper cats, shall have a certification by a professional mechanical
> engineer or other expert in the field of design engineering,
> establishing the fact that design limits have not been compromised.
> **Water tank** shall be certified as to actual size and have adequate
> baffles.
>
> -Skidgine or Pumper tank and operator must be accompanied at all times
> by agency personnel qualified at or above the Firefighter Level 1
>
> \-**Not required** to have rear-mounted grapples or logging or towing
> winches with cable and one or two chockers, but if it has gapples,
> they must be **safely secured** to vehicle to prevent working hazards.
>
> -All pumps shall have **pressure gauges** that meet the minimum pump
> pressure rating.
>
> **-Formula for daily rates for models not listed:** Use formula listed
> in Chapter 20.
>
> **-Pumper cats --** are "hard track" machines or units built from
> traditional dozers; "[soft track]{.underline}" machines, such as FMC
> or KMC, are still a [negotiated]{.underline} rate.

-   **Skigines and Skidders** are required to have tire chains.

-   **Front end loaders**- Dealerships feel it would be classified as a
    grader, since it fits the current rental rates in area.

-   **Note:**

    -   All **rubber tired** equipment shall have tire chains available,
        if needed. Chains must be produced at time of preseason
        inspection.

    -   All heavy equipment shall have **cab protectors**, such as,
        brush guards.

    -   **Equipment not required** on the lists in Chapter 20 are
        carried at the contractor's own risk, compensation will not be
        given for additional items. Items are to be listed on the back
        of the equipment checklist.

Page \_\_ of \_\_

EERA\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**PRESEASON**

**[CERTIFICATION FOR SKIDGINES & PUMPER CATS]{.underline}**

This certification is incorporated in and made part of Emergency
Equipment Rental Agreement No.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_. The equipment listed herein meets all of
the minimum requirements for the

equipment type.

**EQUIPMENT TYPE SERIAL NO. ENGINEERING**

**CERTIFICATION**

**(attach Exhibit 21)**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

The following individuals meet all the personnel and training
requirements for the position listed.

**NAME POSITION**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

[The personnel listed above shall be provided with the equipment, in
the]{.underline}

[numbers required by the agreement and equipment typing]{.underline}

[configurations. The personnel and equipment qualifications are
in]{.underline}

[accordance with NRCG Supplement to Chapter 20 of the
Interagency]{.underline}

[Incident Business Management Handbook.]{.underline}

A copy of the Emergency Equipment Rental Agreement, along with this
certification, shall be

provided to the Finance/Administration Section Chief or their designated
representative

immediately upon arrival at the incident.

Failure to provide equipment meeting the typing configurations or the
above named personnel

shall void the payment schedule listed in Blocks 11, 12 and 13 of the
agreement.

I certify that the above listed equipment meets the minimum typing
standards for the type listed. I

also certify that the above listed personnel meet all of the
qualification requirements for the

position(s) listed.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Government Representative (Signature) Contractor Representative
(Signature)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name and Title (Printed) Contractor Name (Printed)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Home Unit Address

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Phone No. City, State

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date Date

Page \_\_ of \_\_\_

EERA\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**PRESEASON**

**[CHECKLIST FOR SKIDGINES & PUMPER CATS]{.underline}**

Equipment Type
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Serial No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Engineering Certification
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

1\. Pump Capacity (GPM/PSI)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2\. Tank Capacity (Gallons)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

3\. Meets Personnel Standards
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+--------------------------------------------------------------+---+---+
| **4. Complement Requirements**                               | * | * |
|                                                              | * | * |
|                                                              | Y | N |
|                                                              | e | o |
|                                                              | s | * |
|                                                              | * | * |
|                                                              | * |   |
+--------------------------------------------------------------+---+---+
| 2 each, 1 inch NPSH nozzles---must do both fog and straight  |   |   |
| stream                                                       |   |   |
|                                                              |   |   |
| combination and shutoff (Plastic is acceptable)              |   |   |
+--------------------------------------------------------------+---+---+
| 1 Pulaski                                                    |   |   |
+--------------------------------------------------------------+---+---+
| 1 shovel, size 0                                             |   |   |
+--------------------------------------------------------------+---+---+
| 1 First Aid Kit (5 person)                                   |   |   |
+--------------------------------------------------------------+---+---+
| 1 fire extinguisher (4BC or Better)                          |   |   |
+--------------------------------------------------------------+---+---+
| 1 spanner wrench, combination 1 inch to 1 ½ inches           |   |   |
+--------------------------------------------------------------+---+---+
| 1 each reducer 1 ½ inches NH Female to 1 inches NPSH Male    |   |   |
+--------------------------------------------------------------+---+---+
| 1 each reducer 1 inch NPSH Female to ¾ inches garden hose    |   |   |
| male                                                         |   |   |
+--------------------------------------------------------------+---+---+
| 1 each adapter 1 inch NH Female to 1 inches NPSH Male        |   |   |
+--------------------------------------------------------------+---+---+
| 1 each adapter 1 inch NPSH Female to 1 inch NH Male          |   |   |
+--------------------------------------------------------------+---+---+
| 1 each 1 inch double male NPSH                               |   |   |
+--------------------------------------------------------------+---+---+
| 1 each 1 inch double female NPSH                             |   |   |
+--------------------------------------------------------------+---+---+
| 1 each hose clamp                                            |   |   |
+--------------------------------------------------------------+---+---+
| 5 gallons of fuel to operate pump for 12 hours               |   |   |
+--------------------------------------------------------------+---+---+
| 1 each, pump for filling tank with water or have drafting    |   |   |
| capabilities. If                                             |   |   |
|                                                              |   |   |
| drafting, need 20 ft of hard-line suction hose with strainer |   |   |
| or screened foot                                             |   |   |
|                                                              |   |   |
| valve.                                                       |   |   |
+--------------------------------------------------------------+---+---+
| 1 each ¼ turn adaptor to 1 inch NPSH (1 female and 1 male    |   |   |
| each)                                                        |   |   |
+--------------------------------------------------------------+---+---+
| Must have a 1 inch male NPSH tee for soft line attachment.   |   |   |
+--------------------------------------------------------------+---+---+
| Must have pressure relief and by pass valve in plumbing      |   |   |
| system.                                                      |   |   |
+--------------------------------------------------------------+---+---+
| Tanks shall have a 4 inch minimum fill pipe                  |   |   |
+--------------------------------------------------------------+---+---+
| Tank shall have a minimum 3-inch dump valve.                 |   |   |
+--------------------------------------------------------------+---+---+
| Hose -- Minimum Standard for Type -- See Matrix              |   |   |
+--------------------------------------------------------------+---+---+

NOTE: Equipment not required by this list is carried at the contractors'
own risk,

compensation will not be given for additional items. List additional
items on the back

of this form.

CONFIGURED AS ABOVE THIS UNIT IS CLASSIFIED A TYPE \_\_\_\_\_

SKIDGINE.

.