Contractor:
SECTION 1 – Performance Check Information
1.	Compliance with terms of the contract documents:
a.	Helicopter:
b.	Service Truck:
c.	Two Water Buckets:
d.	Foam Injection Equipment:
e.	Radio Antenna:
f.	Virginia Dept. of Aviation Permit Number:
g.	Commercial Pilot License Number:
h.	Proof of Pilot’s 500-Hour Minimum Helicopter Flying Time:
i.	Wildfire Suppression Experience or Training:
j.	Date on Station to Begin Contract:
k.	Date Left Station to End Contract:
2.	Immediate availability of the aircraft and pilot for flight at the designated heliport and fire scenes. Aircraft must be airborne within 10 minutes of notification.
Comments:
3.	Conditions and care of aircraft and support equipment.
Comments:
4.	Skill of the pilot in applying water to the designated fire area.
Comments:
5.	Willingness of the pilot to fly under severe fire conditions but not unsafe flying conditions.
Comments:
6.	Response time from time of notification of need to time of arrival on the fire scene.
Comments:
7.	Pilot and aircraft safety practices.
Comments:
8.	Pilot willingness to fly other forestry activity missions, other than fire suppression.
Comments:
9.	Other Comments:
SECTION 2 – Contractor Acknowledgement
Contractor Name (Print)	Contractor Signature	Date
SECTION 3 – VDOF Evaluator
Employee Name (Print)	Employee Signature	Date
Complete this form on the first day and last day of the contract period. This form may also be completed any other time during the contract period to document performance. The regional forester or designated representative will complete the performance checklist. It is desirable to have the contractor representative sign the form and give him/her a copy. Forward a copy to the Resource Protection Division each time the form is completed.