Document
Template Proposal Package Excel Forms PSF4
ICR 202607-1024-005 · OMB 1024-0029 · Object 171335600.
Document Viewer [xlsx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | Template Proposal Package Excel Forms PSF4 |
| Author | Chalfant, Paul |
| Last Modified By | Calc |
| File Modified | 2019-12-11 |
| File Created | 2026-10-01 |
| Conversion State | complete |
Extracted Text
OMB Control No. 1024-0029 Expiration Date ##/##/#### NPS Form 10-359A (12/2019) National Park Service OFFEROR FINANCIAL PROJECTIONS INITIAL INVESTMENTS AND START-UP EXPENSES FORM Grey Cells Are Input Cells Name of Offeror CONCID Assets Existing Assets Assets necessary to the operation of the Concession, already owned by the Offeror, that will be allocated to the operation of the Draft Contract. Possessory Interest/Leasehold Surrender Interest Value Real Property (not within the Park) Personal Property Inventory and Supplies Other (describe) Subtotal 0 Planned Asset Acquisition Assets necessary to Operate the Concession, that will be acquired by the Offeror if awarded the Draft Contract. Possessory Interest/Leasehold Surrender Interest Value Real Property (not within the Park) Personal Property Inventory and Supplies Other (describe) Subtotal 0 Total 0 Total 0 Total Initial Investments and Start-up Expenses 0 Other Start-Up Expenses Working Capital Other (describe) RECORDS RETENTION. TEMPORARY. Destroy/Delete 3 years after closure. (NPS Records Schedule, Commercial Visitor Services, (Item 5D) (N1-79-08-4)) NPS Form 10-359A (Rev. 12/2019) National Park Service OMB Control No. 1024-0029 Expiration Date ##/##/#### INITIAL INVESTMENTS AND START-UP EXPENSES FORM Grey Cells Are Input Cells Name of Offeror CONCID Notes 1) Formulas included in this form are provided by the NPS as guidance only. The Offeror is responsible for its financial projections and their accuracy. 2) Yellow cells represent categories that need to be explained on the "Investments Assumptions" worksheet. 3) All Offerors must include their estimate of the value of all property intended, whether planned for acquisition or currently owned, for use in the Draft Contract. 4) The items indicated above are the estimated planned expenditures for initial investment, defined as one-time costs in either the year prior to or the first year after the start of the Draft Contract. 5) Expenditures entered in this form should be in addition to that of typical annual capital investments and operating expenses of the first year of the Draft Contract. 6) Expenditures entered into this form should not be included in the proforma income statement. 7) Expenditures entered in this form should be included in the cash flow proforma as capital expenditures in either the year prior to or the first year after the start of the Draft Contract. Definitions Start-up Expenses One-time expenses incurred prior to the beginning of the contract, or during the first year of the contract, if needed, to implement your proposal. Working Capital Additional funds for working capital current assets such as pre-paid expenses, contingencies, and other necessary cash flow requirements. This should not be confused with Net Working Capital (current assets-current liabilities). NPS Form 10-359A (Rev. 08/2016) National Park Service OMB Control No. 1024-0029 Expiration Date ##/##/#### NOTICES PRIVACY ACT Authority: 16 U.S.C. 5966, Commercial Use Authorizations. Purpose: The purposes of the system are (1) to assist NPS employees in managing the NPS Commercial Services program allowing commercial uses within a unit of the National Park System to ensure that business activities are conducted in a manner that complies with Federal laws and regulations; (2) to monitor resources that are or may be affected by the authorized commercial uses within a unit of the National Park System; (3) to track applicants and holders of commercial use authorizations who are planning to conduct or are conducting business within units of the National Park System; and (4) to provide to the public the description and contact information for businesses that provide services in national parks. Routine Uses: In addition to those disclosures generally permitted under 5 U.S.C.552a(b) of the Privacy Act, records or information contained in this system may be disclosed outside DOI as a routine use pursuant to 5 U.S.C. 552a(b)(3) to other Federal, state and local governments, tribal organizations, and members of the general public upon request for names, addresses and phone numbers of Commercial Use Authorizations (CUA) holders conducting business within units of the National Park System for the purpose of informing the public of the availability of the services offered by the CUA holder. In addition, records or information contained in this system may be disclosed outside DOI based on an authorized routine use when the disclosure is compatible with the purpose for which the records were compiled as described under the system of records notice for this system. Disclosure: Voluntary, however, failure to provide the requested information may impede our ability to 1) manage the National Park Service (NPS) Commercial Services Program allowing commercial uses within a unit of the NPS, 2) monitor resources that are or may be affected by the authorized commercial uses, and 3) provide the public the description and contact information for businesses that provide services in national parks. 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. Your response is required to obtain or retain a benefit. 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. OMB has approved this collection of information and assigned Control No. 1024-0029. ESTIMATED BURDEN STATEMENT We estimate that it will take you 10 hours to complete this form, including time to review instructions, gather and maintain data, and complete and review 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, 1201 Oakridge Drive, Fort Collins, CO 80550. Please do not send your completed form to this address. CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INITIAL INVESTMENTS AND START-UP EXPENSES ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Assets Existing Assets Assets necessary to the operation of the Concession already owned by the Offeror that will be allocated to the operation of the Draft Contract. Possessory Interest/Leasehold Surrender Interest Value Describe Real Property (not within the Park) Describe Personal Property Describe Inventory and Supplies Describe Other (describe) Describe Planned Asset Acquisition Assets necessary to Operate the Concession that will be acquired by the Offeror if awarded the Draft Contract. Possessory Interest/Leasehold Surrender Interest Value Describe Real Property (not within the Park) Describe CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INITIAL INVESTMENTS AND START-UP EXPENSES ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Personal Property Describe Inventory and Supplies Describe Other (describe) Describe Other Start-Up Expenses Describe Working Capital Describe Other (describe) Describe Notes 1) In the description sections of this form, please provide an explanation of sufficient detail to allow a reviewer to fully understand how the estimates were determined. CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INCOME STATEMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Prospective Income Statement 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Revenue Lodging Food and Beverage Retail Campground Fuel Authorized Services (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Total Gross Revenue Total Deductions Total Gross Receipts (if Different) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Cost of Sales 0 0 0 0 0 0 0 0 0 0 Gross Profit 0 0 0 0 0 0 0 0 0 0 Cost of Sales Food and Beverage Retail Campground Fuel Authorized Services (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Direct Expenses Lodging Labor CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INCOME STATEMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Prospective Income Statement 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Other Departmental Expenses Total Lodging Expenses 0 0 0 0 0 0 0 0 0 0 Food and Beverage Labor Other Departmental Expenses Total Food and Beverage Expenses 0 0 0 0 0 0 0 0 0 0 Retail Labor Other Departmental Expenses Total Retail Expenses 0 0 0 0 0 0 0 0 0 0 Campground Labor Other Departmental Expenses Total Campground Expenses 0 0 0 0 0 0 0 0 0 0 Fuel Labor Other Departmental Expenses Total Fuel Expenses 0 0 0 0 0 0 0 0 0 0 Authorized Services (Specify) Labor Other Departmental Expenses Total Authorized Services Expenses 0 0 0 0 0 0 0 0 0 0 Other (Specify) Labor Other Departmental Expenses Total Other (Specify) Expenses 0 0 0 0 0 0 0 0 0 0 Other (Specify) Labor CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INCOME STATEMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Prospective Income Statement 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Other Departmental Expenses Total Other (Specify) Expenses 0 0 0 0 0 0 0 0 0 0 Other (Specify) Labor Other Departmental Expenses Total Other (Specify) Expenses 0 0 0 0 0 0 0 0 0 0 Other (Specify) Labor Other Departmental Expenses Total Other (Specify) Expenses 0 0 0 0 0 0 0 0 0 0 Other Direct Utilities Repair and Maintenance Expense Operating Supplies Vehicle Expense Other Direct Total Other Direct 0 0 0 0 0 0 0 0 0 0 Total Direct Expenses 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Undistributed Expenses Other Salaries Office Supplies Telephone Management / Overhead Advertising Other Admin Other Undistributed Total Undistributed Expenses Fixed Expenses CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INCOME STATEMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Prospective Income Statement 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Insurance Property Taxes Property Rental Other (Specify) Total Fixed Expenses 0 0 0 0 0 0 0 0 0 0 Total Operating Expenses 0 0 0 0 0 0 0 0 0 0 EBITDA Before FF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Franchise Fee EBITDA Interest Expense Depreciation Amortization Net Profit Before Taxes Income Tax Net Income CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INCOME STATEMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Prospective Income Statement 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Notes 1) Formulas included in this form are provided by the NPS as guidance only. The Offeror is responsible for its financial projections and their accuracy. 2) Yellow cells represent categories that need to be explained on the "Income Statement Assumptions" worksheet. 3) Only projected receipts and expenses related to the services “required” by the contract and those you choose to operate under “authorized” services are to be itemized and included in your prospective statements. Please clearly identify, by service type, all revenues associated with authorized services. 4) The NPS views the treatment of Repair and Maintenance Reserve (component renewal) items as leasehold improvements. It is expected that the cost will be amortized over the shorter of the useful life of the asset or the contract term. Definitions Gross Receipts Gross Revenues less any revenues that are exempt from franchise fee. EBITDA Before FF Earnings Before Interest, Taxes, Depreciation, Amortization, and Franchise Fee. Franchise Fee A percentage of gross receipts due to the National Park Service. CC-XXXX000-XX PROPOSAL PACKAGE FORMS INCOME STATEMENT ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Revenue See Operating Assumptions Tab Cost of Sales All Applicable Departments Describe Direct Expenses Labor Describe Utilities Describe Repair and Maintenance Expense Describe Operating Supplies Describe Vehicle Expense Describe APPENDIX X CC-XXXX000-XX PROPOSAL PACKAGE FORMS INCOME STATEMENT ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Other Direct Describe Undistributed Expenses Other Salaries Describe Office Supplies Describe Telephone Describe Management Fee / Overhead Describe Advertising Describe APPENDIX X CC-XXXX000-XX PROPOSAL PACKAGE FORMS INCOME STATEMENT ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Other Admin Describe Other Undistributed Describe Other Describe Fixed Expenses Insurance Describe Property Taxes Describe Property Rental Describe APPENDIX X CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X INCOME STATEMENT ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Other Describe Notes 1) In the description sections of this form, please provide an explanation of sufficient detail to allow a reviewer to fully understand how the estimates were determined. 2) If you are going to offer authorized services, please clearly identify which service(s) you will offer and use additional separate rows for each authorized service department. Labor costs should be supported by a footnote identifying Full Time Equivalents (FTE) occupied for each operating department identified. 3) Clearly describe the composition of each item classified under Undistributed and Fixed Expenses. If the expense item is allocated from or shared with a parent or related entity, please describe the allocation method. In particular, if you intend to assess a Management Fee, or other form of corporate overhead and profit, you must clearly describe what this fee is comprised of (Officer salaries, human resources, accounting, marketing, profit, etc.). Expense Assumption Description Example ***The following example does not reflect the above opportunity and is provided for the purpose of clarification only.*** Direct expenses are expected to surpass historical direct expenses, as fuel and insurance prices increase. Studies by the Department of Commerce indicate that fuel prices will to rise at a rate of 10% annually over the next ten years, as opposed to the historical ten year rate of 4% annually. Additionally, insurance costs, according to a nationwide insurance broker survey, are expected to rise at 15% annually for the next 10 years, as opposed to the 10 year historical rate of 2% annually. Accordingly, direct expenses associated with the operation are forecast to increase from an annual average of 10% of Gross Revenue to an annual average of 20% of Gross Revenues over the life of the Draft Contract. CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X OPERATING ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Revenue Inflation Expense Inflation Lodging Number of Available Rooms Day Open Available Room Nights Occupied Room Nights Occupancy % Average Daily Rate Total Revenue Food & Beverage Total Covers Average Check Total Revenue Retail Total Transactions Average Revenue Per Transaction Total Revenue Retail- Genuine Authorized Native Handicrafts Total Transactions Average Revenue Per Transaction Total Revenue Recreation Vehicle Parks and Campsites Number of Available Sites (type of site) Day Open Available Site Nights Occupied Site Nights Occupancy % Additional Description Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X OPERATING ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror Additional Description CONCID 2016 Average Daily Rate Total Revenue Auto Service Number of Customers Average Revenue Per Customer Total Revenue Marina Number of Slips Months Open Available Slip Months Occupancy Slip Months Occupancy % Average Monthly Rate Total Revenue Transportation Number of Customers Average Revenue Per Customer Total Revenue Horse and Mule Number of Customers Average Revenue Per Customer Total Revenue Guided Tours Number of Customers Average Revenue Per Customer Total Revenue Other (describe) 2017 0 2018 0 2019 0 2020 0 2021 0 2022 0 2023 0 2024 0 2025 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X OPERATING ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID 2016 Number of Customers Average Revenue Per Customer Total Revenue Other (describe) Number of Customers Average Revenue Per Customer Total Revenue 2017 2018 2019 2020 2021 2022 2023 2024 2025 Additional Description 0 0 0 0 0 0 0 0 0 0 Additional Description 0 0 0 0 0 0 0 0 0 0 Notes 1) Please note that revenue projections must be based on rates determined by the approval methods set forth in the draft Operating Plan. 2) The information on this form should fully explain and document your Gross Revenue build-up. State annual inflation rate assumptions, rate increase assumptions, utilization assumptions and any estimates of real growth you anticipate. If you have any additional descriptions of your assumptions, please use the "Additional Description" boxes to the right of each revenue department. 3) If you are going to offer authorized services, please clearly identify which service(s) you will offer and use additional rows to describe your revenue buildup for each authorized service. Revenue Assumption Description Example ***The following example does not reflect the above opportunity and is provided for the purpose of clarification only.*** Revenue inflation is expected increase at the same rate as the Consumer Price Index which is predicted to grow at a rate of 2.7% annually, based upon historical growth as reported by the Bureau of Labor Statistics No real growth is expected to occur, keeping in line with historical revenues at the concession. Therefore, overall revenue growth is forecast to occur at an average annual rate of 2.7% over the life of the Draft Contract. CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X CASH FLOW STATEMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Prospective Cash Flow Statement Operating Activities Net Income Depreciation Amortization Change in working capital Other (describe) Net Cash Provided (Used) by Operating Activities Year Zero 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Net Cash Provided (Used) by Investing Activities 0 0 0 0 0 0 0 0 0 0 0 Total Cash Flow 0 0 0 0 0 0 0 0 0 0 0 Financing Activities Dividend Sale/Repurchase of Stock Borrowings/ Repayment of Debt Other (describe) Net Cash Provided (Used) by Financing Activities Investment Activities Leasehold Surrender Interest Repair and Maintenance Reserve Personal Property Replacement Real Property (not Within Park) Inventory and Supplies Start-Up Expenses Working Capital Other (describe) Other (describe) Other (describe) CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X CASH FLOW STATEMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Prospective Cash Flow Statement Notes 1) Formulas included in this form are provided by the NPS as guidance only. The Offeror is responsible for its financial projections and their accuracy. 2) Yellow cells represent categories that need to be explained on the "Cash Flow Statement Assumptions" worksheet. 3) Investment activities should include entries for one time acquisition and disposal at the beginning and end of the Draft Contract term as well as cyclical or annual capital investments such as replacement. 4) Estimates for capital expenditures in the Cash Flow Statements made prior to or during the first year after the start of the Draft Contract should be reflective of estimates provide in the Initial Investment and Start-up Costs form. 5) Clearly delineate between personal and real property and define your rationale and assumptions for each category. 6) Since Repair and Maintenance Reserve (component renewal) activities are considered capital expenditures they should be included on the cash flow statement. CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X CASH FLOW STATEMENT ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Investment Activities Leasehold Surrender Interest Describe - LSI occurring during the Draft Contract Repair and Maintenance Reserve Describe - Repair and Maintenance Reserve expenditures during the Draft Contract Personal Property Replacement Describe - Personal property replacement during the Draft Contract Other (describe) Describe Notes 1) In the description sections of this form, please provide an explanation of sufficient detail to allow a reviewer to fully understand how the estimates were determined. CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X RECAPTURE OF INVESTMENT FORM Grey Cells Are Input Cells Name of Offeror CONCID Assets and Other Leasehold Surrender Interest Value Real Property (not within the Park) Personal Property Inventory and Supplies Working Capital Other (describe) Other (describe) Other (describe) Total of Recaptue of Investments at the End of the Contract Term Notes 1) The value of ending LSI is only a best guess estimate neither offeror nor the NPS is bound by the number presented above. 2) Reference the Draft Contract and exhibits for guidance on Leasehold Surrender Interest and Personal Property. 3) Formulas included in this form are provided by the NPS as guidance only. The Offeror is responsible for its financial projections and their accuracy. 4) Yellow cells represent categories that need to be explained on the "Recapture of Investment Assumptions" worksheet. 5) All Offerors must include their estimate of the ending value of all property and other assets at the end of the Draft Contract. 6) Recapture amounts entered into this form should not be included in the proforma income statement. 7) Recapture amounts entered in this form should be included in the cash flow proforma as capital recapture in the final year of the Draft Contract. 0 CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X RECAPTURE OF INVESTMENT ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Assets and Other Please describe the method used to determine the values of the planned recoup of investments at the end of the Draft Contract. Leasehold Surrender Interest Value Describe Real Property (not within the Park) Describe Personal Property Describe Inventory and Supplies Describe Working Capital Describe Other (describe) Describe Other (describe) Describe CC-XXXX000-XX PROPOSAL PACKAGE FORMS APPENDIX X RECAPTURE OF INVESTMENT ASSUMPTIONS Grey Cells Are Input Cells Name of Offeror CONCID Other (describe) Describe Notes 1) In the description sections of this form, please provide an explanation of sufficient detail to allow a reviewer to fully understand how the estimates were determined.