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? | ||||||
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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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 | ||||||||
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 4 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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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 | ||||||||
Personal Property | Describe | ||||||||
Inventory and Supplies | Describe | ||||||||
Other (describe) | Describe | ||||||||
Other | |||||||||
Start-Up Expenses | Describe | ||||||||
Working Capital | Describe | ||||||||
Other (describe) | Describe | ||||||||
Notes | |||||||||
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. |
INCOME STATEMENT ASSUMPTIONS | ||||||||
Grey Cells Are Input Cells | ||||||||
Name of Offeror | ||||||||
CONCID | 0 | |||||||
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 | |||||||
Other Direct | Describe | |||||||
Undistributed Expenses | ||||||||
Other Salaries | Describe | |||||||
Office Supplies | Describe | |||||||
Telephone | Describe | |||||||
Management Fee / Overhead | Describe | |||||||
Advertising | Describe | |||||||
Other Admin | Describe | |||||||
Other Undistributed | Describe | |||||||
Other | Describe | |||||||
Fixed Expenses | ||||||||
Insurance | Describe | |||||||
Property Taxes | Describe | |||||||
Property Rental | Describe | |||||||
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. | ||||||||
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 4 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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CASH FLOW STATEMENT FORM | |||||||||||||||
Grey Cells Are Input Cells | |||||||||||||||
Name of Offeror | |||||||||||||||
CONCID | |||||||||||||||
Prospective Cash Flow Statement | |||||||||||||||
Operating Activities | Year Zero | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | ||||
Net Income | |||||||||||||||
Depreciation | |||||||||||||||
Amortization | |||||||||||||||
Change in working capital | |||||||||||||||
Other (describe) | |||||||||||||||
Net Cash Provided (Used) by Operating Activities | - | - | - | - | - | - | - | - | - | - | - | ||||
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) | |||||||||||||||
Net Cash Provided (Used) by Investing Activities | - | - | - | - | - | - | - | - | - | - | - | ||||
Total Cash Flow | - | - | - | - | - | - | - | - | - | - | - | ||||
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. | |||||||||||||||
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 4 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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CASH FLOW STATEMENT ASSUMPTIONS | ||||||||||||||||
Grey Cells Are Input Cells | ||||||||||||||||
Name of Offeror | ||||||||||||||||
CONCID | 0 | |||||||||||||||
Prospective Cash Flow Statement | ||||||||||||||||
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 | ||||||||||||||||
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. | ||||||||||||||||
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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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 | Total | $ | 0 | ||||
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. | |||||||
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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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 | |||||||
Other (describe) | Describe | |||||||
Notes | ||||||||
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. | ||||||||
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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File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |