Mount Rainier National Park 9/9/2019

NPS Form 10-550(Rev. 11/2016) OMB Control No. 1024-0268 National Park Service Expiration Date. 11/15/2019 SPECIAL PA-K CONDITIONS COMMERCIAL U'E AUTHORIZATION THE FOLLOWING ADDITIONAL ITEMS MUST BE SUBMIT ED WITH YOUR SIGNED APPLICATION: The park accepts applications annually for the next year's acti ities. Mount Rainier limits the number of CUA it issues. To ensure your application is as competitive as possible please review the list of additional materials below and follow the park's application timeline as noted in the month) round instructions/detail below. 1. Operating Plan.Ata minimum include: • Description of proposed services to be provided. • Proposed itinerary for planned trips during at least the first year of authorization. Itinerary should include beginning and ending dates, routes, entry and exit trailhead, an. camping locations. Single Trip Guides Climbing itineraries should include at least one alternate itinerary, in case the preferred trip is unavailable. • Group size, including guide to client ratio. • Lesson plan in Leave No Trace practices, including perk rules and regulations, sanitation precautions/procedures, and other resource protection measures. • Safety Procedures. • Risk management and emergency procedures includ ng but not limited to evacuation, contact points, use of cellular or satellite phones,first aid equipment and training. • Outline of client orientation which at minimum must i dude: (a)The National Park Service mission. Found at htt!s://www.n•s..ov/aboutus/index.htm. (b) Overview of geologic hazards associated with th Park. Found at htt•s://www.n.s.•ov/mora/.Ian ourvisit/•eohazards. tm. 2. Guide/Leader resume, medical certifications, LNT certif tate, See Attachment A. 3. Description of client charges and fees, and what the ch:rges cover.Attach rate sheet. 4. Current brochure and advertising materials or website ,etc. 5. Certificate of Insurance meeting NPS requirements. Se: Attachment B.The United States of America must be included as the certificate holder and be named as additional insured o the certificate as follows: United States of America, National Park Se ice Mount Rainier National Park Attn: CUA Coordinator 55210 238th Avenue East Ashford,WA 98304 6.Visitor's Acknowledgement of Risks form. See Attach ent D. 7. CUA Application Fee and Management Fee: See the FE SCHEDULE Attachment C, Page 14, for fee amounts for each activity. After making this fee payment on pay.gov, include th• receipt with your Application. 8. If applying for a Single Trip Guides CUA, complete the •pplication Narrative Response, See Attachment G. (This does not apply to SUPs). 9. If applying for a SUP in lieu of a CUA, please include th- following: a)A statement attesting that no taxable income will be derives from activities within the NPS boundary. b) Proof of the organization's Federal tax-exempt status that ows the section of the IRS code under which the organization is exempt. Note: SUPs will need to pay a monitoring fee for certain acti ities just like a CUA. Check the FEE SCHEDULE Attachment C, page 14. Page 8 of 22