Proposal Prospectus Forms - Small Concessions

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Overview

Business History Information 4A
Investments 4B
Prospective Income Statement 4B

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Sheet 1: Business History Information 4A

		Business History Information Form
		(Principal Selection Factor 4 - Subfactor 4a )
Business history information should be provided for the Offeror AND all parent companies. If the Offeror has not been formed yet, business history information should be provided for each Offeror-Guarantor.
The information provided below is for the entity:		___________________________________
1)     Has Offeror ever defaulted from or been terminated from a management or concession contract, or been forbidden from contracting by a public agency or private company?
	q YES		q NO
If YES, provide full details of the circumstances.
2)     List any Bankruptcies, Receiverships, Foreclosures, Transfers in Lieu of Foreclosure, and/or Work-Out/Loan Modification Transactions during the past five years. (If none, then so indicate). Attach an explanation of the circumstances, including nature of the event, date, type of debt (e.g., secured or unsecured loan), type of security (if applicable), approximate amount of debt, name of lender, resolution, bankruptcy plan, and/or other documentation as appropriate.
3)     Describe any pending litigation or administrative proceeding (other than those covered adequately by insurance) which if adversely resolved could materially impact the financial position of the Offeror.
4)     Describe any lawsuit, administrative proceeding or bankruptcy case within the past five years that concerned the Offeror’s alleged inability or unwillingness to meet its financial obligations.
Paperwork Reduction Act Statement. We collect this information under the authority of Title IV of the National Parks Omnibus Management Act of 1998 (Pub. L. 105–391). We use this information to evaluate a concession proposal. Your response is required to obtain or retain a benefit. We estimate that it will take you 2 hours to complete this form. This estimate includes time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1849 C Street, NW. (2601), Washington, DC 20240. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.

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Sheet 2: Investments 4B

	ESTIMATE OF INVESTMENT REQUIRED TO BEGIN OPERATIONS IN THE DRAFT CONTRACT (PRINCIPAL SELECTION FACTOR 4 - SUBFACTOR 4B)
	Acquisition/Investment Category	Acquisition/Investment Amount
	Personal Property (Equipment)*		NOTE: See table below for personal property items
	Merchandise (Inventory)
	Supplies
	Working Capital (Cash)		NOTE: Working capital is used to fund expenses like payroll, rent, etc. prior to Revenues supporting these expenses
	Other (Please Detail)
	Total Funds Needed	$-
	PERSONAL PROPERTY (EQUIPMENT) TO BE USED IN THE DRAFT CONTRACT (PRINCIPAL SELECTION FACTOR 4 - SUBFACTOR 4B)
	*Personal Property (Equipment) Items	Quantity	Value of Currently Owned Personal Property
			$
			$
			$
			$
			$
		Total Value of Currently Owned Personal Property $	$0.00
	*Personal Property (Equipment) Items	Quantity	Value of Personal Property that Will be Acquired Prior to Operation
			$
			$
			$
			$
		Total Value of Personal Property Investment $	$0.00
	ADDITIONAL PERSONAL PROPERTY INVESTMENTS DURING THE TERM OF THE CONTRACT (PRINCIPAL SELECTION FACTOR 4 - SUBFACTOR 4B)
	Anticipated Year of Expenditure*	Quantity	Capitalized Personal Property (Equipment) Items	Total Value	How will you fund the investment
	Year 1
	Year 1
	Year 2
	Year 2
	Year 3
	Year 3
	Year 4
	Year 4
	Year 5
	Year 5
	*NOTE: Add or remove years as needed
Paperwork Reduction Act Statement. We collect this information under the authority of Title IV of the National Parks Omnibus Management Act of 1998 (Pub. L. 105–391). We use this information to evaluate a concession proposal. Your response is required to obtain or retain a benefit. We estimate that it will take you 6 hours to complete this form. This estimate includes time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1849 C Street, NW. (2601), Washington, DC 20240. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.

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Sheet 3: Prospective Income Statement 4B

	PROSPECTIVE INCOME STATEMENT (PRINCIPAL SELECTION FACTOR 4 - SUBFACTOR 4B ) Some lines may not be used, place "N/A" in these lines." INCLUDE ONLY REVENUES AND EXPENSES RELATED TO THE SERVICES REQUIRED BY THE DRAFT CONTRACT INSIDE THE PARK IN YOUR PROSPECTIVE INCOME STATEMENT. Do NOT INCLUDE OTHER SERVICES YOU PROVIDE OUTSIDE THE PARK
	Annual Projections for the First Year of the Contract
	1. Revenues (1)	Year 1	Assumptions
	2. Canoe Rentals
	3. Kayak Rentals
	4. Raft Rentals
	5. Shuttle Services
	6. Total Revenues (add lines 2-5)	0
	7. Cost of Sales
	8. Total Cost of Sales	0
	9. Gross Profit (line 6 minus line 8)	0
	10. Direct Expenses
	11. Salaries and Wages
	12. Payroll Taxes and Benefits
	13. Operating Supplies
	14. Car and Truck Expenses
	15. Other Direct Expenses (Describe*)
	16. Total Direct Expenses (add lines 11-15)	0
	17. Undistributed Expenses
	18. Administrative and General(2)
	19. Marketing (Advertising)
	20. Utilities
	21. Repair and Maintenance
	22. Other Undistributed Expenses (Describe*)
	23. Total Undistributed Expenses (add lines 18-22)	0
	24. Fixed Expenses
	25. Insurance (3)
	26. NPS Franchise Fee
	27. Other (Describe*)
	28. Total Fixed Expenses (add lines 25-27)	0
	29. EBITDA (4) (Line 9, minus lines 16, 23 & 28)	0
	30.Depreciation and Amortization
	31. Interest
	32. Net Income Before Income Taxes (Line 29, minus lines 30 &31)	0
	(1)     You must base the revenue projections on the current NPS approved rate schedule. If applicable, show revenues by departments (separate revenue activities- e.g., guide services, gift sales, snack bar revenue, etc.).
	(2)     Administrative and General include the costs of managing the business and may include items such as: credit card commissions; legal and accounting fees; travel, meals and entertainment; postage and printing; professional training; and telecommunications expenses, etc.
	(3)     Insurance: As required in Exhibit D  of the Draft Contract
	(4)     Earnings before Interest, Taxes, Depreciation and Amortization
Paperwork Reduction Act Statement. We collect this information under the authority of Title IV of the National Parks Omnibus Management Act of 1998 (Pub. L. 105–391). We use this information to evaluate a concession proposal. Your response is required to obtain or retain a benefit. We estimate that it will take you 6 hours to complete this form. This estimate includes time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1849 C Street, NW. (2601), Washington, DC 20240. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.