**US DEPARTMENT OF THE INTERIOR**

**NATIONAL PARK SERVICE**

**BIG BEND NATIONAL PARK**

**RIO GRANDE WILD AND SCENIC RIVER**

## COMMERCIAL USE AUTHORIZATION APPLICATION

Please type or print in ink. Answer all questions completely or mark
"N/A" if not applicable.

1)  APPLICANT
    NAME:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2)  APPLICANT SOCIAL SECURITY NUMBER OR FEDERAL TAX ID
    NUMBER:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

3)  BUSINESS
    NAME(S):\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

4)  CORRESPONDENCE ADDRESS:
    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

5\) ALTERNATE ADDRESS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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

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

6\) PRIMARY PHONE NUMBER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

7\) ALTERNATE PHONE NUMBER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

8\) FAX NUMBER: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

E-MAIL ADDRESS: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

WEB SITE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

9)  AS AN APPLICANT, YOU ARE: (Mark on box with "X")

> \[ \] INDIVIDUAL
>
> \[ \] CORPORATION
>
> \[ \] PARTNERSHIP/ASSOCIATION
>
> \[ \] GOVERNMENT/STATE AGENCY
>
> \[ \]
> OTHER\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

10) If you are an INDIVIDUAL or PARTNERSHIP, are you also a citizen(s)
    of the United States?

> \[ \] YES \[ \] NO

11) Please circle those activities you wish to conduct within Big Bend
    National Park / Rio Grande Wild and Scenic River. The following
    categories represent authorized activities:

> B02 -- Boat Livery/Tours/Charters I02 -- Art Classes
>
> B04 -- Fishing Guide/Charters I03 - Astronomy
>
> B09 -- Boat Repair and Cleaning / Salvage I04 -- Bird Watching
>
> C01 -- Camping I06 -- Environmental Education
>
> M01 -- Bike Rentals/Tours I09 -- Outdoor Skills
>
> O02 -- Backpacking I11 -- Photo/Natural History
>
> O04 -- Fishing I14 -- Rescue/Survival Training
>
> O05 -- Hiking (guided) I15 -- Wilderness Education / Therapy
>
> O08 -- Mountain Biking T03 -- Bus/Vehicle Tours
>
> O10 -- Photography T07 -- Shuttle Service
>
> O11 -- Rock Climbing T09 -- Visitor Transport

12) What is the appropriate date you propose to begin
    operating?\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

13) Identify your target clients (general public, public schools,
    court-placed youths, etc.)

14) Will you provide transportation for clients within the boundaries of
    Big Bend National Park? (If yes, please indicate the type of
    transportation i.e. owned vehicle, rented vehicle, contracted
    vehicle/service. If contracted vehicle/service, please provide name
    of company you contracted with)

15) If you answered yes to question 14, what is the maximum number of
    clients that will be transported at one time in a single motor
    vehicle?

16) Describe the safety/health issues typical of this type of business.
    Describe your plans to manage these issues. Include information such
    as management's policy statement, duties, employee's
    responsibilities, inspection and abatement, accident investigation
    and reports, training, and emergency procedures.

17) Within the past 5 years, has the company (entity) or any of the
    owners of the business been convicted of or forfeited collateral for
    any violation of state, federal, or local law or regulation? \[ \]
    YES \[ \] NO

18) Is the company (entity) or any of the owners of the business now
    under charges for any violation of state, federal, or local law or
    regulation? \[ \] YES \[ \] NO

19) To the best of your knowledge, within the past 5 years, have any of
    your current or proposed employees been convicted of or forfeited
    collateral for any state, federal, or local law or regulation; OR
    are they now under charges for any violation of state, federal or
    local law or regulation? \[ \] YES \[ \] NO (IF ***"YES"***, YOU MAY
    BE REQUIRED TO EXCLUDE THOSE EMPLOYEES FROM WORKING IN ANY CAPACITY
    RELEVANT TO THOSE ACTIVITIES AUTHORIZED BY A COMMERCIAL USE
    AUTHORIZATION.)

IF YOU ANSWERED "YES" TO QUESTION 17, 18, OR 19, PLEASE GIVE DETAILS IN
THE SPACE BELOW. FOR EACH VIOLATION, WRITE THE: 1) Individual's Name 2)
Date 3) Charge 4) Place 5) Court 6) Action Taken.

1\) Individual's Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 1)
Individual's
Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2\)
Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
2)
Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

3\) Charge\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
3)
Charge\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

4\)
Place\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
4)
Place\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

5\)
Court\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
5)
Court\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

6\) Action Taken\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 6)
Action
Taken\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

20) You are required to carry liability insurance to provide protection
    for visitors you serve within National Park Service area. Applicants
    must obtain liability coverage BEFORE a Commercial Use Authorization
    can be issued. Please refer to Attachment B for insurance
    information and requirements. Attach required certificate(s) of
    insurance.

21) Please provide a list of vehicle(s) you plan to use within NPS
    boundaries. (Note: This question only applies if you or your
    business ***[own]{.underline}*** the vehicle(s).

+-------------------------------------+-----------+------------+------+
| # Vehicle Description               | **Maximum | *          | *    |
|                                     | C         | *License** | *Lic |
|                                     | apacity** |            | ense |
|                                     |           | **Number** | Sta  |
|                                     |           |            | te** |
+-------------------------------------+-----------+------------+------+
| Example: 1999 White Ford Van        | 15        | ZZZ999     | TX   |
+-------------------------------------+-----------+------------+------+
|                                     |           |            |      |
+-------------------------------------+-----------+------------+------+
|                                     |           |            |      |
+-------------------------------------+-----------+------------+------+
|                                     |           |            |      |
+-------------------------------------+-----------+------------+------+
|                                     |           |            |      |
+-------------------------------------+-----------+------------+------+
|                                     |           |            |      |
+-------------------------------------+-----------+------------+------+
|                                     |           |            |      |
+-------------------------------------+-----------+------------+------+

22) EQUAL OPPORTUNITY -- If you have participated in a previous permit,
    contract, or subcontract subject to the Equal Opportunity clauses
    contained in Executive Order No. 11246, please describe those
    activities. The Americans with Disabilities Act requires that every
    effort be made to accommodate individuals in activities, services,
    and facilities. Describe your program to meet this objective.

23) AGREEMENT

> Do you agree to comply with the Commercial Use Authorization and its
> attachment?
>
> \[ \] YES \[ \] NO
>
> Do you agree to comply with all Equal Opportunity and American with
> Disabilities Act requirements of the permit?
>
> \[ \] YES \[ \] NO
>
> Do you agree to provide liability insurance at the levels of coverage
> described in the permit?
>
> \[ \] YES \[ \] NO

24) False, fictitious or fraudulent statements of representations made
    in this application may be grounds for revocation of the Commercial
    Use Authorization and may be punishable by fine or imprisonment (US
    Code, Title 18, Section 1001). All information you provide will be
    considered in reviewing this application.

I HEREBY CERTIFY, BY MY SIGNATURE, THAT THE SUBMITTED INFORMATION IS
ACCURATE. I ALSO CERTIFY THAT I CONSENT TO AND AGREE WITH A BACKGROUND
CHECK TO BE CONDUCTED BY THE NATIONAL PARK SERVICE.

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

SIGNATURE OF OWNER/AGENT PRINTED NAME DATE

(Attach proof of Agency)

**ATTACHMENT A -- INSTRUCTIONS FOR COMPLETING APPLICATION**

1)  Please enter a contact name or name of business owner.

2)  This is a ***[required]{.underline}*** entry. Enter social security
    number if applicant is individual or partnership. Enter Federal Tax
    ID number if applicant is corporation, government/state agency, or
    other.

3)  Enter name of business or organization.

4)  Enter address you want all mailings / correspondence to go.

5)  Enter physical address of business if different than correspondence
    address.

6)  Enter primary business phone number. (This number will be made
    available to visitors inquiring about authorized commercial
    activities within the park)

7)  Enter alternate / contact phone number.

8)  through 10) self explanatory

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11) Description of activities:

> B02 -- Boat Livery/Tours/Charters -- canoe, raft, or kayak
> rentals/tours/charters with guide service or delivering/outfitting
> river equipment within Big Bend National Park / Rio Grande Wild and
> Scenic River boundaries.
>
> B04 -- Fishing Guide/Charters -- canoe, raft, or kayak tours/charters
> with guide specifically for fishing within Big Bend National Park /
> Rio Grande Wild and Scenic River boundaries.
>
> B09 -- Boat Repair and/or Salvage -- repair/salvage service of canoe,
> raft, kayak, etc within Big Bend National Park / Rio Grande Wild and
> Scenic River boundaries.
>
> C01 -- Camping -- obtaining developed/frontcountry (individual or
> group) campsite(s) on behalf of clients within Big Bend National Park.
> PLEASE NOTE: Issuance of a CUA for this activity does not guarantee
> the Permittee the availability of campsites nor does it entitle the
> Permittee to supercede the general public in obtaining campsites.
>
> M01 -- Bike Rentals/Tours -- bike rental/tours, with or without guide
> service.
>
> O02 -- Backpacking -- backcountry camping with guide service or
> delivering/outfitting backcountry camping equipment within Big Bend
> National Park / Rio Grande Wild and Scenic River boundaries. PLEASE
> NOTE: Issuance of a CUA for this activity does not guarantee the
> Permittee the availability of campsites nor does it entitle the
> Permittee to supercede the general public in obtaining campsites.
>
> O04 -- Fishing -- fishing from land with guide service or
> delivering/outfitting fishing equipment within Big Bend National Park
> boundaries.
>
> O05 -- Hiking -- day hiking with guide service within Big Bend
> National Park boundaries.
>
> O08 -- Mountain Biking -- mountain biking with guide service or
> delivering/outfitting mountain biking equipment within Big Bend
> National Park boundaries.

**ATTACHMENT A (cont) -- INSTRUCTIONS FOR COMPLETING APPLICATION**

> O10 -- Photography -- non-commercial photography trip/tour with guide
> service within Big Bend National Park / Rio Grande Wild and Scenic
> River boundaries. (Commercial Photography requires a Special Use
> Permit. Contact the Superintendent's office at (915) 477-1101 for more
> information.)
>
> O11 -- Rocking Climbing -- Rocking climbing with guide service or
> delivering/outfitting climbing equipment within Big Bend National Park
> boundaries.
>
> I02, 03, 04, 06, 09, 11, 14, 15 -- conducting described
> activities/classes with instructor/guide within Big Bend National Park
> / Rio Grande Scenic River boundaries.
>
> T03 -- Bus/Vehicle Tours -- road (paved or dirt) based tours with or
> without guides service within Big Bend National Park boundaries.
>
> T07 -- Shuttle Service -- provide transportation for visitors to and
> from Big Bend National Park independent of any other activities.
>
> T09 -- Visitor Transport -- provide transportation for clients as part
> of other activity/service within Big Bend National Park boundaries.
> This applies only if the vehicle used is owned or rented on behalf of
> the CUA holder. (Example -- river outfitter that transports clients to
> and from the river as part of boat livery service.)

12) through 22) -- self explanatory.

**ATTACHMENT B -- LIABILITY INSURANCE INFORMATION & REQUIREMENTS**

All Commercial Use Authorization holders are required by the National
Park Service to have liability coverage for activities conducted within
Big Bend National Park / Rio Grande Scenic River. The types of
activities authorized and party sizes determine the types and minimum
amounts of liability coverage required.

### COMPREHENSIVE GENERAL LIABILITY COVERAGE

Comprehensive General Liability (Commercial General Liability) coverage
is required for all activities except Shuttle Service. This type of
insurance coverage is usually sold as a Guides & Outfitters (G&O)
policy. The minimum required liability coverage for bodily injury is
\$300,000 per occurrence; higher limits may be required for some
activities.

### AUTOMOBILE LIABILITY COVERAGE

Automobile liability coverage is required on vehicles/buses used for
Shuttle Service, Bus/Vehicle Tours and ***[Visitor
Transportation]{.underline}*** regardless of whether the vehicle/bus is
owned, non-owned, or hired.

> If the CUA holder is using owned vehicles, the automobile liability
> policy must state "any vehicle", "scheduled vehicles", or "owned
> vehicles". If the policy solely states "scheduled vehicles", then only
> the vehicles listed on the policy are allowed to operate within the
> Park. A list of scheduled vehicles should be included on the
> certificate of insurance.
>
> If the CUA holder is using non-owned vehicles i.e. rented vehicles,
> the automobile liability coverage must state "any vehicle" or
> "non-owned" vehicles.
>
> If the CUA holder is using a hired vehicle i.e. contracted from a
> third party, the CUA holder is not required to carry automobile
> liability coverage for hired vehicle. The third party however is
> responsible for meeting minimum automobile liability requirements as
> set by the National Park Service.

If the CUA holder uses a vehicle ***[solely]{.underline}*** for
transporting employees or equipment within Park boundaries, the CUA
holder is only required to maintain coverage as required by state
regulations.

### WATERCRAFT LIABILITY COVERAGE

Watercraft liability coverage is required for boating activities on
[waters within]{.underline} NPS areas. Depending on size, ownership, and
use of the watercraft, this is covered by either a Protection and
Indemnity (P&I) Liability policy or by a Comprehensive General Liability
policy.

### WORKER'S COMPENSATION COVERAGE

All Commercial Use Authorization holders must carry worker's
compensation coverage as required by state law.

**ATTACHMENT B (cont) -- LIABILITY INSURANCE INFORMATION &
REQUIREMENTS**

### 

### MINIMUM COVERAGE AMOUNTS

**Comprehensive General Liability (Guides & Outfitters)**

  ----------------------- ----------------------- -----------------------
  **ACTIVITIES**          **PARTY SIZE**          **REQUIRED MINIMUM
                                                  COVERAGE**

  All activities except   ANY PARTY SIZE          \$300,000/Occurence
  Shuttle Service                                 
  ----------------------- ----------------------- -----------------------

# Automobile Liability

  ----------------------- ----------------------- -----------------------
  **ACTIVITIES**          **PARTY SIZE**          **REQUIRED MINIMUM
                                                  COVERAGE**

  Shuttle Service;        UP TO 5 passengers      \$300,000/Occurence
  Bus/Vehicle Tours;                              
  Visitor Transportation                          

  Shuttle Service;        6 TO 12 passengers      \$500,000/Occurrence
  Bus/Vehicle Tours;                              
  Visitor Transportation                          

  Shuttle Service;        13 TO 20 passengers     \$750,000/Occurence
  Bus/Vehicle Tours;                              
  Visitor Transportation                          

  Shuttle Service;        21 TO 50 passengers     \$1,000,000/Occurence
  Bus/Vehicle Tours;                              
  Visitor Transportation                          
  ----------------------- ----------------------- -----------------------

### 

### ADDITIONAL REQUIREMENTS

Insurance policies must contain a waiver of subrogation clause
specifying that the insurance company shall have no right of subrogation
against the United States, OR the National Park Service must named as an
additional insured on the Policy.

The National Park Service should be listed as a certificate holder with
the following address: Big Bend National Park Service, Superintendent's
Office, PO Box 129, Big Bend National Park, Texas 79834. Some insurance
companies may prefer to fax a copy of your certificate to us at (432)
477-1175. A certificate of insurance is usually sufficient proof of
coverage.

It is your responsibility to meet the liability requirements at all
times and ensure that we have current certificates of insurance
throughout the permit time period. Failure to meet this requirement will
result in the suspension of your CUA and you will be unable to conduct
activities within Big Bend National Park / Rio Grande Wild and Scenic
River.

For additional information, call Bernadette Devine at (432) 477-2363 or
email <bernadette_devine@nps.gov>.