Optional Form 294 PDF Details

When it comes to emergency situations, time is of the essence, and the equipment needed to address these emergencies must be obtained quickly and efficiently. Enter the Optional Form 294, a crucial document designed for the rental of emergency equipment. This form outlines a rental agreement between procurement agencies and contractors, covering everything from procurement details, such as the agency's name and address, to specific terms of the agreement, including effective dates, incident specifics, contractor details, and the point of hire. It meticulously details the conditions under which the equipment is rented, specifying whether operating supplies are furnished by the government or the contractor, operator details, business size of the contractor for tracking purposes, and even specifics about the equipment or animals being rented. Important to note are the special provisions, which signify an acknowledgment and agreement to the terms of hire. With spaces for signatures from both the contractor or authorized agent and the contracting officer, the Optional Form 294 embodies a comprehensive approach to ensuring that emergency equipment can be swiftly and effectively mobilized to where it is most needed, making it an indispensable tool for agencies preparing for or responding to emergencies.

QuestionAnswer
Form NameOptional Form 294
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names1989, USDI, Nomex, recorde

Form Preview Example

 

EMERGENCY EQUIPMENT RENTAL AGREEMENT

Page __ of __

1. PROCUREMENT AGENCY a. name and address:

 

 

 

 

2. AGREEMENT NUMBER (Must appear on all documents relating to this

 

 

 

 

 

 

 

 

agreement):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. EFFECTIVE DATES OF AGREEMENT:

 

 

 

 

 

 

 

 

 

 

 

a.

beginning

b. ending 03/01/2012

 

 

 

 

 

 

 

 

c.

Specific Incident only:

 

 

 

 

b. Phone Number:

 

 

 

 

 

 

Incident Name:

 

 

 

 

c. FAX Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Incident Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. CONTRACTOR a. name and address:

 

 

 

 

 

5. POINT OF HIRE (location when hired if

 

6. ORDERING

 

 

 

 

 

 

 

 

different than Block 4):

 

 

DISPATCH CENTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. THE WORK RATE IS BASED ON ALL OPERATING SUPPLIES

 

 

 

 

 

 

 

 

BEING FURNISHED BY:

 

 

 

 

b. EIN/SSN:

 

c. DUNS:

 

 

 

 

 

 

CONTRACTOR (wet)

GOVERNMENT

(dry) *(SEE NOTE BELOW)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. EMAIL Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. OPERATOR FURNISHED BY:

 

 

 

 

e. Telephone Number (day):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number (night):

 

 

 

 

 

 

 

CONTRACTOR

GOVERNMENT

Cell Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAX:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Contractor Authorized Commissary:

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

10. BUSINESS SIZE OF CONTRACTOR:

a.

Small

b.

Other c.

Women-Owned

d. Small Disadvantaged

 

 

 

e.

HUB Zone f.

Service Disadvantaged Vet

(Information for tracking purposes only – not used for preferential hiring)

 

 

 

 

 

 

 

 

 

 

 

 

11. ITEM DESCRIPTION: equipment or animals (include VIN, make,

12. NO. OF

 

13. HRLY/ DAILY/MILEAGE/

14. SPECIAL

 

 

15. GUARANTEE

model, year, serial no., accessories or other identifying features).

OPERATORS

 

SHIFT BASIS (ss/ds: ref. Cl. 6)

 

 

 

(8 HOURS)

 

 

 

 

 

 

PER SHIFT

 

 

Rate

 

Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. SPECIAL PROVISIONS: Your signature constitutes acknowledgement of and agreement to abide by the terms and conditions of hire incorporated herein with the State of Alaska.

* The State of Alaska hires equipment at a DRY Rate with the State providing the fuel only.

 

17. CONTRACTOR'S OR AUTHORIZED AGENT'S SIGNATURE

18.

DATE

20.

CONTRACTING OFFICER'S SIGNATURE

21. DATE

 

 

 

 

a. Warrant No.

 

 

 

 

 

 

 

 

 

 

 

19. PRINT NAME AND TITLE

18.

DATE

22.

a. PRINT NAME AND TITLE

 

 

 

 

 

 

b. Phone Number:

c. FAX:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPTIONAL FORM 294(DRAFT)

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