Nps Form 10-550 - Commercial Use Authorization Application Page 6
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12NPS Form 10-550 (Rev. 11/2016)
OMB Control No. 1024-0268
National Park Service
Expiration Date: 11/15 /2019
9.
Liability and Vehicle Insurance:
Provide proof of insurance. The CUA operator must maintain General Liability insurance naming the United States of America as
additional insured. Minimum coverage amount is $500,000 per occurrence. Some activities will require increased coverage; see
Park-Specific CUA Insurance Requirements (“Attachment B”). Auto Liability insurance is also required at the minimum coverage
amounts described below.
COMMERCIAL GENERAL LIABILITY INSURANCE
Single Purpose Activities (includes day and overnight hiking, photography and
$500,000
art classes, bicycling, and group camping)
Vehicle Insurance
Minimum per Occurrence Liability
(bodily injury and property damage)
Limits*
Up to 6 passengers
$1,000,000
7 – 15 passengers
$1,500,000
16 – 25 passengers
$3,000,000
26+ passengers
$5,000,000
Indicated minimum per occurrence liability limit or minimum State liability requirement in State of operation, whichever is greater.
*
10. Will your business operate vehicles (car, truck, van, bus, taxicab, vessel, aircraft, etc.) within NPS boundaries? Yes
No
If “Yes,” please give a description of each vehicle. Use additional paper, if necessary. All vehicles are required to be registered
and the operators are required to have the proper licenses to operate them commercially, as required by law or regulation.
Make/Model of Vehicle
License Number
Year
Max # Passenger Capacity
Own/Rent
Make of Aircraft
Tail Number
Max # Passenger Capacity
Own/Rent
Registration Number or
Make/Model of Vessel
USCG Documentation
Length
Max # Passenger Capacity
Own/Rent
11. Employee Licenses and Certifications:
Parks typically require proof of applicable licenses, registrations and certificates of training, such as; valid driver’s or pilot’s license,
fishing license, vessel registration, dive certification, CPR certification, or others. Provide copies of licenses and certifications
required by “Attachment A”.
12. NPS Employment:
Are you, your spouse, or minor children employed within the National Park Service?
If “Yes”, please provide information below:
Yes
No
Employee Name:
Title:
Park and Office Where Employed:
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