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NPS Form 10-550(Rev. 11/2016) OMB Control No. 1024-0268 <br /> National Park Service INSTRUCTIONS Expiration Date: 11/15/2019 <br /> ,MewTOFr COMMERCIAL USE AUTHORIZATION APPLICATION <br /> ' y North Cascades National Park Complex <br /> a S 810 State Route 20 <br /> ,� ?? Sedro Woolley,WA 98284 " <br /> ATOR <br /> 4',--z-ie�o Tammra Sterling, CUA Coordinator <br /> p`"' Phone Number: 360/854-7213 <br /> The following explanations correspond directly with the numbered items on the Application Form. Please read this entire <br /> document prior to completing the application. Include the nonrefundable application fee when submitting this application. <br /> 1. Enter the service you are proposing to provide. These are the services which are currently approved in the park: <br /> a. Hiking <br /> b. Backpacking <br /> c. Camping <br /> d. Climbing/Mountaineering <br /> e. Rafting <br /> f. Commercial Air Transportation <br /> g. Horse packing/Dayrides <br /> h. Fishing - <br /> i. Auto Transport <br /> j. Bicycle Rentals/Tours <br /> k. Boat rental/Tours <br /> I. Environmental Education <br /> m. paddling <br /> n. Other Services as requested/approved <br /> 2. Respond"No"or list other parks where you will be providing this service. <br /> 3. Enter the legal name of your business. If you have a secondary name under which you are doing business(d.b.a.), please enter <br /> that name also. <br /> 4. Give the name(s)of persons designated as Authorized Agents for your business. This may include the on-site general manager <br /> responsible for day to day operations. <br /> 5. Provide contact information for both the main season and the off-season. Over the term of your authorization, it may be necessary <br /> to contact you to obtain or share information. Your contact information may also be published in the NPS Commercial Services <br /> Directory. <br /> 6. Check the box that identifies your type of business. <br /> 7. If the state in which you operate or the state where your business is domiciled requires a state business license, provide the <br /> license number and year of expiration. <br /> 8. Provide your Employer Identification Number(EIN). The Debt Collection Improvement Act of 1996 requires us to collect an EIN or <br /> Social Security Number(SSN). The NPS will not collect SSNs, only EINs. The EIN is issued by the Internal Revenue Service. <br /> You may receive a free EIN at htto://www.irs.gov/Businesses/Small-Businesses-&-Self-Employed/How-to-Apply-for-an-EIN. We <br /> will use the EIN that you provide as needed to collect debts. <br /> 9. Provide proof of General Liability Insurance naming the United States of America, as additional insured in the amounts designated <br /> in the application. Provide proof of vehicle/vessel/aircraft liability insurance, if required by law, or if visitors are transported by <br /> vehicle/vessel/aircraft within the park, or if vehicle/vessel/aircraft are engaged in providing the service(i.e., hauling horses used in <br /> the activity). Insurance companies must be rated at least A-by the most recent edition of A.M. Best's Key Insurance Reports <br /> (Property-Casualty edition)or similar insurance rating companies(Moody's, Standard and Poor's, or Fitch). Refer to"Attachment <br /> B". <br /> 10. Provide a description of and registration number of each vehicle/vessel/aircraft you will utilize during the course of the proposed <br /> commercial service. <br /> 11. Provide copies of all licenses,vehicle/vessel registration, and certificates of training as required by"Attachment A". <br /> 12. NPS Management Policy prohibits employees of the NPS and their spouses and minor children from acquiring or retaining any <br /> authorization for conducting commercial services in a park area. <br /> 13. If your business or business owners or current employees or proposed employees have been convicted or are currently under <br /> charges for violation of State, Federal, or local law or regulation in the last 5 years, please give details(does not include minor <br /> traffic tickets). <br /> 14. Include payment of the Application/Administrative Fee$100.00(see"Attachment C"—Fee Schedule and Payment Information). <br /> RECORDS RETENTION.TEMPORARY.Destroy/Delete 3 years after closure.(NPS Records Schedule,Commercial Visitor Services, (Item 5D)(N1-79-08-4)) <br /> NPS Form 10-550(Rev. 11/2016) OMB Control No. 1024-0268 <br /> National Park Service Expiration Date: 11/15/2019 <br /> 3 <br />