BKNF Appendices 11-21.pdf

Prospectus for Campground and Related Granger-Thye Concessions Black Hills National Forest

Appendix 11: FS-2700-4h, Appendix B, Granger-Thye Fee Offset Agreement

SAMPLE

Authorization ID: #AUTH_ID# Contact ID: #HOLDER_ID# Expiration Date: #EXPIRATION_DATE#

FS-2700-4h, App. B (09/2020) OMB No. 0596-0082

SPECIAL USE PERMIT FOR

Appendix 11, Appendix B Annual Granger Thye Fee Offset Agreement

CAMPGROUND AND RELATED GRANGER-THYE CONCESSIONS

APPENDIX B

ANNUAL GRANGER THYE FEE OFFSET AGREEMENT

AUTHORITY: Section 7 of the Granger-Thye Act, 16 U.S.C. 580d <Reference FSH 2709.11 chapter 50>

This Annual Granger-Thye (GT) Fee Offset Agreement (agreement) is made by [name] (the holder) and the U.S. Department of Agriculture, Forest Service, [name] National Forest (the Forest Service), under section 7 of the G-T Act, 16 U.S.C. 580d, and clause IV.E of the special use permit issued to the holder on [date] (the permit). The total estimated annual land use fee is [amount]. [ ] percent of that land use fee may be offset by the cost incurred by the holder for the Government maintenance, reconditioning, renovation, or improvement (MRRI) projects listed below in accordance with this agreement. Additionally, [ ] percent of that fee may be offset by the cost incurred by the Forest Service for the Government MRRI projects under a separate collection agreement. Projects to be performed by the holder shall be completed by the date specified and within the holder’s fiscal year for the year the fee is due. The Forest Service may modify the projects and dates as necessary, after consultation with the holder.

1. Amount of Land Use Fee Subject to Offset. The actual cost of each project that is satisfactorily completed as determined by the Forest Service may be offset against the holder’s land use fee. Due dates and cost estimates for completion of each project are enumerated below. Examples of allowable costs include salaries and wages, materials and supplies, and subcontracts that are direct costs of a G-T fee offset project and indirect costs based on an approved indirect cost rate. The total cost for Government MRRI projects to be performed under this agreement shall not exceed the holder’s annual land use fee.

2. Projects and Project Costs Covered by This Agreement. Upon a determination by the Forest Service that a project has been satisfactorily completed by the holder, the holder shall submit documentation of its actual cost to the Forest Service and shall certify that the representations in that documentation are accurate and complete. The certification shall be signed and dated, and shall state that failure to sign the certification shall vitiate the fee offset claim. The Forest Service shall verify that documentation before giving any credit against the holder’s land use fee, and reserves the right not to grant any fee offset if any representations in the documentation are inaccurate or incomplete.

The holder shall perform the work itemized below under this agreement.

Description of Project Due Date Estimated Cost

Completion Date

Actual Cost

[itemize projects]

Appendix 11, Appendix B Annual Granger Thye Fee Offset Agreement

The Forest Service or Forest Service contractor shall perform the work itemized below under this agreement.

Description of Project Due Date Estimated Cost

Completion Date

Actual Cost

[itemize projects]

<USER NOTES FOR PARAGRAPH 3>

<Include paragraph 3 if the total estimated cost of Government MRRI projects to be performed under this agreement exceeds $2,000 and the holder is a private entity or a state or governmental entity that is contracting with a private entity to perform the Government MRRI projects.

Otherwise delete paragraph 3, and re-number the remaining paragraph.>

3. Davis-Bacon Act Requirements. This agreement is subject to the Davis-Bacon Act, 40 U.S.C. 3141 et seq., and its implementing regulations at 29 CFR 5.5. These regulatory requirements are incorporated by reference into this agreement as if fully set forth in this agreement.

4. Documentation of Project Costs. Upon a determination by the Forest Service that a project has been satisfactorily completed by the holder, the holder shall submit documentation of its actual cost to the Forest Service and shall certify, using form FS-2700-4h, Appendix G, that the representations in that documentation are accurate and complete. The certification shall be signed and dated and shall state that failure to sign the certification shall vitiate the fee offset claim. The Forest Service shall verify that documentation before giving any credit against the holder’s land use fee and reserves the right not to grant any land use fee offset if any representations in the documentation are inaccurate or incomplete.

[NAME AND TITLE OF PERSON SIGNING ON BEHALF OF HOLDER, DATE

IF HOLDER IS AN ENTITY]

#HOLDER_NAME#

APPROVED:

#AUTHORIZED OFFICER NAME# DATE

#TITLE#

National Forest USDA Forest Service

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond, to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act, 16 U.S.C. 551. The time required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Appendix 11, Appendix B Annual Granger Thye Fee Offset Agreement

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the State or local Agency or contact USDA through the Telecommunications Relay Service at 711(voice and TTY). Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.

Appendix 12: Potential Government Maintenance, Reconditioning, Renovation, and Improvement Projects

Appendix 12: Potential Government MRRI Projects

Potential Government Maintenance, Reconditioning, Renovation or Improvement (MRRI) Projects Included below are anticipated government maintenance, reconditioning, renovation or improvement projects. Items on this list could be changed, depending on use and condition of facilities, at the discretion of the Authorizing Officer. Note that costs are estimates, and actual costs may vary.

Many of the future projects consist of bringing the sites into compliance with the National Quality Standards for Recreation Site Management, as described in Appendix 19. Projects may be derived from Appendix 3 – Inventory of Government Furnished Property. In addition, anticipate annual replacement of features that become irreparable or damaged.

NOTE: This table represents a sample list of potential Granger-Thye Fee Offset projects for facilities in this prospectus. The Forest Service may find a need for higher priority projects and revise this list at any time.

Table 1. Potential MRRI Project List Item/Project Quantity Estimated Cost Completion Date

1) Orientation / Site Panels for Campgrounds, Day-Use Areas, Swim Beaches, Picnic Sites, Etc.

Multiple Sites

$50,000 CY26

2) Northern Hills RD / Rod & Gun Campground Redesign Project

1 $150,000 CY26

3) Bearlodge RD / Bearlodge Campground Redesign Project

1 $125,000 CY27

4) Mystic RD / Sheridan Lake North Group Campground Sites / Redesign Project

1 $75,000 CY27

5) Hell Canyon RD / Beaver Creek Campground Redesign Project

1 $150,000 CY28

6) Sheridan Lake North Day-Use Area / Redesign of Swim Beach and Picnic Sites

1 $200,000 CY29

7) Campground Signage Plans and Site Enhancements Following USFS Sign Manual / Updates

Multiple Sites

$50,000 Multiple Years

8) Developed Recreation Site / Toilet Repainting Project Interior Crack Repairs and Non-Slip Floor Painting

All Sites $50,000 Multiple Years

9) Developed Recreation Site / Toilet Door Handles Replacement Project and Off-Season Deadbolts

All Sites $35,000 Multiple Years

10) Developed Recreation Site / Entrance Gates Update and Install Select Gates for Off-Sason Closures

Specific Sites

$50,000 Multiple Years

Appendix 13: Indirect Cost Reimbursement Letter

Appendix 13: Indirect Cost Reimbursement Letter

United States Forest Washington Office 14th & Independence SW Department of Service P.O. Box 96090 Agriculture Washington, DC 20090-6090

File Code: 2720/6500 Date: July 11, 2002 Route To:

Subject: Indirect Cost Reimbursement in Granger-Thye Permits

To: Regional Foresters

Issue. At the request of the National Forest Recreation Association (NFRA) we have evaluated how the Forest Service reimburses the indirect costs of permit holders who perform Granger- Thye (GT) fee offset work. Holders are concerned that forests are inconsistent on whether and how indirect costs are allowed and what documentation is necessary to support a claim for indirect costs.

Background. Under Section 7 of the GT Act, and when authorized by a permit and GT fee offset agreement (GT agreement), the Forest Service offsets all or part of the permit fee paid by campground concessionaires with the cost of Government renovation, reconditioning, improvement, and maintenance performed at the concessionaire’s expense on facilities covered by the permit. When the holder performs the work, it is authorized by an attachment to the permit called a GT fee offset agreement. Alternatively, the Forest Service may enter into a collection agreement as authorized by Section 5 of the GT Act to perform work eligible for fee offset under Section 7.

Historical Practice. Typically the field has offset the holder’s direct costs for approved offset work, but reimbursement for the holder’s indirect costs has varied. Approaches have included limiting indirect costs to a maximum of 5 percent or 10 percent of the fee to be offset, limiting the type of indirect costs to be reimbursed, or reimbursement of a flat overhead rate without documentation. Review of this issue has shown that these methods are not appropriate, because holders should be reimbursed actual costs. There is a misconception among employees and holders that the Forest Service can reimburse a flat indirect cost rate without documentation.

There is often disagreement between forests and holders about what costs may be reimbursed.

Comparison. The Office of Management and Budget (OMB) has issued circulars to guide cost reimbursement for several types of business entities, including Circular A-87 for State and Local Governments and Circular A-122 for Non-Profit Organizations. The Federal Acquisition Regulation (FAR) Part 31 guides cost reimbursement for Commercial (For-Profit) Entities. We evaluated how cost reimbursement is conducted in other agency programs. Regulations at 7 CFR 3019.27 were updated in August 2000 to address the determination of allowable costs for grants and agreements in conformance with applicable OMB circulars. FSH 1509.11, Chapter 70, provides that administration of costs in grants and agreements for commercial entities is subject to FAR Part 31, Contract Cost Principles and Procedures. Adopting these cost standards for GT offset will create consistency among the program areas of special uses, contracting, and grants and agreements and conform to OMB guidance.

Caring for the Land and Serving People Printed on R ecycled Paper

2 Regional Foresters

Conclusion. Offset of indirect costs is appropriate. Indirect costs are a customary charge in contracting and grants and agreements and should be eligible for offset under GT agreements.

The following guidance applies to reimbursement of actual costs to commercial entities holding GT permits. The guidance (enclosed) is excerpted from FAR Part 31 and 48 CFR Part 9904 but has been tailored to address GT agreements. A simplified process for small concessions is included at the end of the document. Cost principles for non-profit entities and state or local governmental entities are not addressed. The guidance does not address the reimbursement of agency indirect costs. When the Forest Service performs the work, agency indirect costs will be assessed in accordance with FSH 1509.11, Chapter 33 and indirect cost rates established nationally (e.g., the FY2002 rate is 18 percent).

Implementation.

Before the holder’s indirect costs may be offset under a GT agreement, the holder must submit its indirect cost rate and supporting documentation for approval. Determination of an indirect cost rate should comply with the Cost Accounting Standards (CAS) and this guidance. When claiming cost reimbursement, the holder must certify that costs claimed comply with this guidance. Indirect costs based on approved Indirect Cost Allocation Rates (ICAR) should be reimbursed starting with 2002 permit fees. This advice for reimbursement of indirect costs is not retroactive to prior year permit fees.

For New Permits: Applicants must disclose accounting procedures and historic indirect cost allocation rates in response to a prospectus.

For Existing Permits: Holders must submit their ICAR to the authorized officer. Because the ICAR will be the same for all permits held by a specific company, it is recommended that the regional external auditor review and approve the rate. Regional auditors should coordinate the review for companies operating in more than one region.

/S/ TAMARA L. HANAN

/S/ DAVID G. HOLLAND

DAVID G. HOLLAND TAMARA HANAN

Director, Recreation, Heritage, Director, Financial Policy and Wilderness Resources and Analysis cc: Carolyn Holbrook

Appendix 14: FS-2700-4h, Appendix G, Granger-Thye Fee Offset Certification

Authorization ID: #AUTH_ID# FS-2700-4h, App. H (09/2020) Contact ID: #HOLDER_ID# OMB No. 0596-0082 Expiration Date: #EXPIRATION_DATE#

U.S. DEPARTMENT OF AGRICULTURE

FOREST SERVICE

SPECIAL USE PERMIT FOR

CAMPGROUND AND RELATED GRANGER-THYE CONCESSIONS

APPENDIX H

GRANGER-THYE FEE OFFSET CLAIM

AUTHORITY: Section 7 of the Granger-Thye Act, 16 U.S.C. 580d

NATIONAL FOREST

RANGER DISTRICT

PERMIT ID NUMBER

Project Name Holder’s Fiscal Year (FY)

Total allowable costs may be offset under a Granger-Thye (GT) fee offset agreement to the extent they do not exceed the total annual fee for this permit. Total allowable costs of a GT project included in this GT claim are the sum of the direct GT project costs and indirect costs allocable to this GT project. Costs submitted under this GT claim shall be documented and determined by the Forest Service to be reasonable, allocable, and determined to be allowable, in accordance with the terms of this permit, the applicable GT fee offset agreement, and applicable Forest Service directives.

Direct GT Costs: Provide claimed GT costs by cost element and attach schedules to show the cost breakdown by cost element. Provide supporting documentation for the cost claim.

Indirect Costs: Indirect costs must be computed based on Forest Service-approved indirect cost rate and may be added to the total direct GT costs. Attach the approved indirect cost rate for FY [ ].

Approval of the fee offset claim is subject to all provisions in the Annual Granger-Thye Fee Offset Agreement (FS-2700-4h, Appendix B) executed by the U.S. Department of Agriculture, Forest Service, [name] National Forest, and [holder name] on [date of GT fee offset agreement].

DIRECT GT COSTS

Salaries and Wages $ Materials and Supplies $ Subcontracts $ Other (specify) $ Sum of Direct GT Costs $

INDIRECT COSTS ([ ]% x Direct GT costs) $

TOTAL GT COST CLAIM FOR PROJECT $

Subject to the penalties prescribed in the False Statements Act, 18 U.S.C. 1001, the holder certifies to the best of its knowledge that the representations in the documents supporting its claim for fee offset are accurate and complete. The Forest Service reserves the right not to grant the fee offset claim if any of

Appendix 14, Appendix H Granger-Thy Fee Offset Claim these representations is inaccurate or incomplete. Failure to sign the certification shall vitiate the fee offset claim.

[NAME AND TITLE OF PERSON SIGNING ON BEHALF OF HOLDER, DATE

IF HOLDER IS AN ENTITY]

#HOLDER_NAME#

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond, to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act, 16 U.S.C. 551. The time required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the State or local Agency or contact USDA through the Telecommunications Relay Service at 711(voice and TTY). Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.

Appendix 14, Appendix H Granger-Thy Fee Offset Claim https://www.usda.gov/oascr/how-to-file-a-program-discrimination-complaint mailto:program.intake@usda.gov

Appendix 15: Sample Collection Agreement for Granger-Thye Fee Offset Work

Agreement Number: _________________

Appendix 15: Sample Collection Agreement for GT

Collection Agreement between

<Name of Holder> and

<Name> National Forest

Cooperator Tax ID #: _________________

THIS COLLECTION AGREEMENT is made by (name of holder) and the U.S. Department of Agriculture, Forest Service, ______________ National Forest (the FS), under Section 5 of the Granger-Thye Act, 16 U.S.C. 572.

WHEREAS, the holder operates a FS campground (or campgrounds) under a special-use permit dated ____;

WHEREAS (SELECT EITHER #1 OR #2) 1) THE HOLDER HAS A REQUESTED THE FS TO PERFORM AND THE FS IS WILLING TO PERFORM UNDER A COLLECTION AGREEMENT OR 2) THE FS IS REQUIRING THAT IT PERFORM UNDER A COLLECTION AGREEMENT, the following projects listed in the fee offset agreement: (List all agreed to and approved projects);

WHEREAS, the cost of those projects may be used to offset the permit fee in accordance with the fee offset agreement;

THEREFORE, in consideration of the above, the parties agree as follows:

A. The holder shall:

1. Make advance payments, in accordance with the permit, in amounts sufficient to cover the total cost of performing the Government maintenance and reconditioning work listed in this agreement, including overhead as determined by the FS up to ___ percent of project costs.

2. Pursuant to the Debt Collection Improvement Act of 1996, as amended by P.L. 104-134, furnish their tax identification number upon execution of this instrument. Cooperator also agrees that notice of the FS's intent to use such number for purposes of collecting and reporting on any delinquent amounts arising out of such person's relationship with the Government, has hereby been given.

B. The FS shall:

1. Deposit payments received from the holder under this agreement into the FS cooperative work fund.

2. Upon receipt of payment from the holder, perform the Government maintenance and reconditioning projects listed in this agreement.

3. Contributions authorized for use by the FS, which are not spent or obligated for project(s) approved under this instrument, will be refunded to the cooperator authorized for use for new projects by the cooperative.

C. It is mutually agreed that:

1. No member of or delegate to Congress or resident commissioner shall receive any benefit that may arise from this agreement; provided, that this provision shall not apply to this agreement if it is made with a corporation for its general benefit.

Appendix 15: Sample Collection Agreement for GT

2. This agreement in no way restricts the FS or the holder from participating in similar activities with other public or private agencies, organizations, or individuals.

3. Any holder contributions made under this agreement do not directly or indirectly convey FS endorsement of the holder's products or activities.

4. Modification of this agreement shall be made by in writing mutual consent of the parties and shall be signed and dated by both parties. The FS is not obligated to fund any modifications that are not made in accordance with this clause.

5. Either party(s), in writing, may terminate the instrument in whole, or in part, at any time before the date of expiration. The FS shall not incur any new obligations for the terminated portion of the instrument after the effective date and shall cancel as many obligations as in possible. Full credit shall be allowed for FS expenses and all non-cancelable obligations properly incurred up to the effective date of termination.

6. Unless terminated by written notice, this agreement shall remain in effect until the end of the initial permit term. If the permit term is extended, this agreement may be extended in writing for the same period as the permit term.

7. Per 16 U.S.C. 572, the United States shall not be liable to the holder or the holder's heirs, assigns, agents, employees, contractors, or lessees for any loss, personal injury, or death occurring in connection with performance of work under this agreement, and the holder on behalf of itself and its heirs, assigns, agents, employees, contractors, and lessees hereby waives any and all claims against the United States for compensation for any loss, personal injury, or death occurring in connection with performance of work under this agreement.

In witness where IN WITNESS WHEREOF, the parties have executed this agreement as of the last date written below.

Date

Date

[TITLE]

for [HOLDER NAME]

Authorized Officer

______________ National Forest

Appendix 16: Sample Business Plan

Appendix 16: Business Plan and Financial Resources i

Business Plan and Financial Resources For Campground Concessions

A Proposal in Response to the Campground Prospectus for:

on the National Forest

Name of Company:

Address:

Company contact:

Phone:

ii

Contents I: The Business and Experience

1. Purpose and Goals:

2. Description of the Business:

3. Legal Structure:

4. Location of Your Business:

5. Market and Customers:

6. Competitive Analysis:

7. Management:

8. Personnel:

9. Supporting Documents:

II: Financial Resources

1. Capital-Equipment List:

2. Start-Up Expenses:

3. Sources and Uses of Financing:

4. Historical Financial Reports for Existing Business

5. Supporting Information

Table 1. List of owners Table 2. Competitive Analysis Table 3. Capital Equipment List Table 4. Start-Up Expenses Table 5. Sources of Financing Table 6. Uses of Financing Table 7. Cash Flow Projection (or Cash Flow Budget) by Month: Year One Table 8. Start-Up Balance Sheet Table 9. Income Projection by Month: Year One

I: The Business and Experience

1. Purpose and Goals:

A. What is your purpose in pursuing this business?

B. Define your business goals for the next year and what you foresee five years from now:

2. Description of the Business:

This section should describe the nature and purpose of the company, background on your industry, and what opportunities you see for your services.

A. Brief description of the business:

B. Briefly describe your knowledge of this industry:

C. List the products and services you will provide:

3. Legal Structure:

There are several ways in which your business can be legally organized.

A. How your company is legally organized? (Check appropriate box).

Sole Proprietorship

General Partnership

Corporation "C" Corp or "S" Corp Limited Partnership

Limited Liability Company (LLC)

Other

B. Why is this legal organization most appropriate for your business?

C. Does your operation require a state registration number? YES NO (If “Yes”, include a copy of the registration in the Supporting Documents.)

Include any appropriate information, including shareholder or partnership agreements, in the Supporting Documents, and complete the following list of owners:

Table 1. List of owners

Name Address Social Security Number (SSN) Percent Ownership

4. Location of Your Business:

Describe the planned geographical location of the business and discuss the advantages and disadvantages of the site location in terms of wage rates, labor availability, closeness to customers or suppliers, access to transportation, state and local taxes, laws, and utilities.

Describe your approach to overcoming any problems associated with the location.

A. Planned geographical location:

B. Discuss advantages or disadvantages of the site location:

C. Describe your approach to overcoming any problems:

5. Market and Customers:

The purpose of this section is to present sufficient facts to convince the evaluation team that your service has a substantial market and can achieve success in the face of competition. Discuss who the customers are for your service. Where are the major purchasers for the service?

A. Describe your anticipated target market (e.g., age, income, hobbies, regional, national, international):

B. Describe the size of the current total market and potential annual growth:

C. Discuss your advertising campaign in terms of how, when, and where you will advertise, and estimated annual cost:

6. Competitive Analysis:

Make a realistic assessment of the strengths and weaknesses of your competitors. Compare the competing services on the basis of image, location, price, advertising, and other pertinent features. Discuss your key competitors and explain why you think that you can capture a share of their business. Discuss what makes you think it will be easy or difficult to compete with them.

A. Identify your key competitors:

B. Discuss their strengths and weaknesses.

C. Compare your product or service on key areas. For each area of comparison rank yourself and your selected competitors on a scale of 1 (high) to 5 (low). Remember: no ties.

Table 2. Competitive Analysis Area of Comparison You Competitor A Competitor B Competitor C Competitor D

Image Location Price Advertising Service Uniqueness Other

D. Why do you think you can compete with your competitors and capture a share of the market?

7. Management:

The evaluation team is looking for a committed management team with the proper balance of technical, managerial, and business skills and experience which supports your proposal. Be sure to include complete resumes for each key management member in the Supporting Documents section.

(Use additional pages and attach as necessary)

A. List owners and key management personnel and their primary duties. If any key individuals will not be onboard at the start of the venture, indicate when they will join the staff.

B. Discuss any experience when the above people have worked together that indicates how their skills complement each other and result in an effective management team.

C. List the advisors and consultants that you have selected for your venture. Capable, reputable, and well- known supporting organizations can not only provide significant direct and professional assistance, but also can add to the credibility of your venture.

Accountant

Attorney

Banker

Insurance Broker

Advertising

Others

8. Personnel:

Explain how you plan to recruit, develop, and maintain your workers. List the number of employees you will have, as well as their job titles and required skills. (Use additional pages as necessary)

A. Identify essential employees, their job titles, and required skills:

B. Identify the source and your plan to recruit essential employees:

C. Discuss any training or retraining that you plan for your employees. Also, discuss any necessary first- aid certification or recertification, etc.:

9. Supporting Documents:

Each applicant is required to submit the items listed below.

• Personal resumes of business owners, officers, and partners

• Copies of all pertinent existing permits or licenses applicable to this business (Submit only the face pages of all current concession permits)

II: Financial Resources

1. Capital-Equipment List:

Capital equipment is defined as assets which have useful lives of more than one year. Examples include machines, equipment, vehicles, livestock, tack, gear, and computers. Describe the equipment, the quantity, whether the equipment is new or used (N/U), the expected useful life, and the cost. This includes equipment purchased from existing businesses.

Table 3. Capital Equipment List Equipment Quantity New/Used Life Cost

Total Cost of Capital Equipment $0.00

2. Start-Up Expenses:

Start-up expenses are the various costs it takes to open your doors for business:

Table 4. Start-Up Expenses Item Cost

Total cost of capital equipment Beginning inventory of operating supplies Legal fees Accounting fees Other professional fees Licenses and permits Remodeling and repair work Deposits (public utilities, etc.)

Advertising Insurance Bonds Advance permit fees Other expenses:

Item Cost

Total Start-Up Expenses $

3. Sources and Uses of Financing:

A. Sources of Financing:

Table 5. Sources of Financing Item Cost

Investment of cash by owners Investment of cash by shareholders Investment of non-cash assets by owners Investment of non-cash assets by shareholders Bank loans to business: short term (one year or less) Bank loans to business: long term (more than one year) Bank loans secured by personal assets Small Business Administration loans Other sources of financing (specify)

Total Sources of Financing $

B. Uses of Financing

Table 6. Uses of Financing Item Cost

Buildings Equipment Initial inventory Working capital to pay operation expenses Noncash assets contributed by owners (use same amount as in Sources, above)

Other assets (specify)

Item Cost Total Uses of Financing $

C. Monthly Cash Flow Projection:

The cash flow projection is the most important financial planning tool available to you. The cash flow projection attempts to budget the cash needs of a business and shows how cash will flow in and out of the business over a stated period of time. A cash flow deals only with actual cash transactions. Depreciation, a noncash expense, does not appear on a cash flow. Loan repayments (including interest), on the other hand, do, since they represent a cash disbursement.

NOTE: The Cash Flow Projection chart on the following page is required to be completed and submitted in the existing format (date range can be modified).

Table 7. Cash Flow Projection (or Cash Flow Budget) by Month: Year One A B C D E F G H I J K L M N

1 Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. Total 2 Cash Receipts 3 Sales Receivables 4 Wholesale 5 Retail 6 Other Services 7 Total Cash Receipts 8 Cash Disbursements 9 Cost of Goods

10 Variable Labor 11 Advertising 12 Insurance 13 Legal and Accounting 14 Delivery Expenses

15 Fixed Cash Disbursements*

16 Mortgages (Rent) 17 Term Loan 18 Line of Credit 19 Other

20 Total Cash Disbursements

22 Net Cash Flow

24 Cumulative Cash Flow

26 *Fixed Cash Disbursements

A B C D E F G H I J K L M N 27 Utilities 28 Salaries

29 Payroll Taxes and Benefits

30 Office Supplies

31 Maintenance and cleaning

32 Licenses 33 Boxes, Paper, etc.

34 Telephone 35 Miscellaneous 36 Total FCD/Year 37 FCD/Month 39 Cash on Hand 40 Opening Balance 41 + Cash Receipts 42 -Cash Disbursements 43 Total = New Balance

D. Start-Up Balance Sheet:

Balance sheets are designed to show how the assets, liabilities, and net worth of a company are distributed at a given point in time.

NOTE: The following Start-up Balance Sheet is required to be completed and submitted in the existing format.

Table 8. Start-Up Balance Sheet Item Cost

Assets:

Current Assets $ Fixed Assets $ Less Accumulated Depreciation $ Net Fixed Assets $ Other Assets $ Total Assets $ Footnotes:

Liabilities: $ Current Liabilities $ Long-Term Liabilities $ Total Liabilities $ Net Worth or Owner’s Equity (Total assets minus total Liabilities) $ Total Liabilities and Net Worth Footnotes:

E. Start-Up Income Statement Projection:

Income Statements (also called Profit and Loss Statements) complement balance sheets. The income statement provides a moving picture of the company during a particular period of time. For most businesses (and for most bankers), income projections covering one to three years are more than adequate.

If you are in a start-up situation, look for financial-statement information and income ratios for businesses similar to yours. The Robert Morris Associates' Annual Statement Studies and trade association publications are two possible sources.

NOTE: The following Income Projection Statement is required to be completed and submitted in the existing format (date range can be modified).

Table 9. Income Projection by Month: Year One A B C D E F G H I J K L M N

1 Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. Total 3 Sales 4 Wholesale 5 Retail 6 Total Sales 8 Cost of Material 9 Variable Labor

10 Cost of Goods Sold 12 Gross Margin 14 Operating Expenses 15 Utilities 16 Salaries

17 Payroll Taxes and Benefits

18 Advertising 19 Office Supplies 20 Insurance

21 Maintenance and Cleaning

22 Legal and Accounting 23 Delivery Expenses 24 Licenses 25 Boxes, Paper, etc.

26 Telephone 27 Depreciation

A B C D E F G H I J K L M N 28 Miscellaneous 29 Rent

30 Total Operating Expenses:

32 Other Expenses 33 Interest (Mortgage) 34 Interest (Term Loan)

35 Interest (Line of Credit)

36 Total Other Expenses:

37 Total Expenses:

39 Net Profit (Loss) Pre- Tax

4. Historical Financial Reports for Existing Business Each applicant is required to submit all items listed below.

• FS-6500-24

• Tax returns (past three years)

• Current credit report from major credit bureau

5. Supporting Information Each applicant is required to submit the items listed below, if applicable.

• Financial statements of business owners, officers, and partners

• Bank or investor letters of intent to finance project

Appendix 17: FS-6500-24, Financial Statement

FS-6500-24 (09/2020)

OMB No. 0596-0082

U.S. DEPARTMENT OF AGRICULTURE

FOREST SERVICE

FINANCIAL STATEMENT

AUTHORITY:

36 CFR 251.54(e)(5)(iv) and FSH 6509.18

INSTRUCTIONS: Provide your most recent fiscal year financial statement. The Forest Service may also request two additional years of financial data on a case by case basis. If more space is needed to fully answer any item below, attach additional sheets. Complete and accurate information must be provided as required in this form. Anyone who knowingly or willfully makes any false statement or representation on this form is subject to a fine, imprisonment, or both under 18 U.S.C. 1001(a).

1. NAME OF CORPORATION, LIMITED LIABILITY COMPANY (LLC), PARTNERSHIP, OR PROPRIETORSHIP (include any names the organization/firm operated under during past three years and specify the year operated for each name):

2. STATE OF

INCORPORATION

3. DATE OF

INCORPORATION

4. ADDRESS OF PRINCIPAL PLACE OF BUSINESS

5. FOR PARTNERSHIPS, NAMES OR PARTNERS AND THEIR PARTNERSHIP INTERESTS:

6. NAME, TITLE, AND ADDRESS OF CORPORATE OFFICERS AND DIRECTORS AND NUMBER OF SHARES OF

STOCK OWNED BY EACH

FULL NAME TITLE ADDRESS, TELEPHONE NUMBERS, AND

E-MAIL ADDRESS

SHARES OWNED

Appendix 17, Financial Statement

7. REFERENCES (at least three, preferably from banks):

Full Name ADDRESS, TELEPHONE NUMBERS, AND E-MAIL ADDRESS

You may submit certified financial statements in lieu of completing PARTS A through C below. However, you must complete either the certification statement in PART D.1 or PART D.2 at the bottom of the last page.

PART A. BALANCE SHEET CURRENT

YEAR

(MM/DD/YYYY)

PREVIOUS

YEAR

(MM/DD/YYYY)

YEAR BEFORE

PREVIOUS

YEAR

(MM/DD/YYYY)

YEAR ENDED

ASSETS

CURRENT ASSETS

CASH

RECEIVABLES

LESS ALLOWANCES FOR DOUBTFUL

ACCOUNTS

INVENTORIES (LIST MAJOR CATEGORIES)

SUPPLIES AND MISCELLANEOUS ITEMS

MARKETABLE SECURITIES

PREPAID EXPENSES

SUPPLIES INVENTORY

OTHER CURRENT ASSETS

TOTAL CURRENT ASSETS

FIXED ASSETS

LAND

BUILDINGS

MACHINERY AND EQUIPMENT

PLANT

Appendix 17, Financial Statement

LEASEHOLD IMPROVEMENTS

OTHER

LESS ALLOWANCE FOR DEPRECIATION ( ) ( ) ( )

BOOK VALUE OF FIXED ASSETS

OTHER ASSETS

CASH DEPOSITS

SECURITIES

TOTAL OTHER ASSETS

TOTAL ASSETS

LIABLIITIES AND OWNER EQUITY CURRENT

YEAR

(MM/DD/YYYY)

PREVIOUS

YEAR

(MM/DD/YYYY)

YEAR BEFORE

PREVIOUS

YEAR

(MM/DD/YYYY)

CURRENT LIABILITIES

ACCOUNTS PAYABLE

ACCRUED PAYROLL

ACCRUED PAYROLL TAXES AND INSURANCE

NOTES PAYABLE

CURRENT INCOME TAXES

OTHER TAXES

CURRENT PORTION OF LONG-TERM DEBT

OTHER CURRENT LIABILITIES (SPECIFY)

TOTAL CURRENT LIABILITIES

OTHER LIABILITIES

DEFERRED INCOME TAXES

LOANS FROM OFFICERS OR PARTNERS

LONG-TERM DEBT LESS CURRENT PORTION OF

LONG-TERM DEBT

TOTAL OTHER LIABILITIES

TOTAL LIABILITIES

OWNER EQUITY

CAPITAL STOCK OUTSTANDING

RETAINED EARNINGS (DEFICIT)

PARTNERS' INVESTMENT (DEFICIT)

TOTAL OWNER EQUITY

TOTAL LIABILITIES AND OWNER EQUITY

PART B. SUPPLEMENTAL DATA

THE INCOME STATEMENT IN PART C IS CASH BASIS ACCRUAL BASIS .

INVENTORIES ARE LIFO , FIFO , COST, OR MARKET, WHICHEVER IS LOWER .

NAME, ADDRESS, TELEPHONE NUMBERS, AND E-MAIL ADDRESS OF CONTRACTORS OR SUBCONTRACTORS

USED TO PREPARE THE INCOME STATEMENT IN PART C (IF ANY):

PART C. INCOME STATEMENT CURRENT

YEAR

(MM/DD/YYYY)

PREVIOUS

YEAR

(MM/DD/YYYY)

YEAR

BEFORE

PREVIOUS

YEAR

(MM/DD/YYYY)

GROSS SALES

LESS RETURNS AND ALLOWANCES ( ) ( ) ( )

NET SALES

LESS COST OF GOODS SOLD ( ) ( ) ( )

GROSS PROFIT ON SALES

LESS SELLING EXPENSE ( ) ( ) ( )

NET PROFIT (LOSS) ON SALES

GENERAL EXPENSE

OFFICERS SALARIES

LEGAL AND OTHER PROFESSIONAL EXPENSE

OFFICE EXPENSE

TOTAL GENERAL EXPENSE

NET OPERATING PROFIT (LOSS)

PLUS OTHER INCOME

LESS INTEREST EXPENSE

INCOME TAXES ( ) ( ) ( )

OTHER EXPENSES ( ) ( ) ( )

NET AMOUNT OF OTHER INCOME AND EXPENSES ( ) ( ) ( )

NET PROFIT (LOSS) FOR YEAR:

PART D.1. CERTIFICATION FOR CORPORATIONS, LLCs, AND PARTNERSHIPS We, the undersigned, general officers (or members) of [name of corporation, LLC, or partnership], swear that the above or attached financial statements are true and correct and cover all of the financial affairs of [name of corporation, LLC, or partnership] up to and including [date].

CERTIFYING OFFICIAL'S NAME AND TITLE SIGNATURE (Sign in ink) DATE

CERTIFYING OFFICIAL'S NAME AND TITLE SIGNATURE (Sign in ink) DATE

SUBSCRIBED AND SWORN TO before me this day of , [year]. (Affix Notary Seal)

SIGNATURE TITLE

PART D.2. CERTIFICATION FOR INDIVIDUALS

I swear that the above or attached financial statements are true and correct.

INDIVIDUAL'S NAME AND TITLE SIGNATURE (Sign in ink) DATE

SUBSCRIBED AND SWORN TO before me this day of [year]. (Affix Notary Seal) SIGNATURE TITLE

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act, 16 U.S.C. 551. The time required to complete this information collection is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).

Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the State or local Agency or contact USDA through the Telecommunications Relay Service at 711(voice and TTY).

Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax:

(202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.

�U.S. GPO: 1996-720-508

Appendix 17, Financial Statement https://www.usda.gov/about-usda/general-information/staff-offices/office-assistant-secretary-civil-rights/how-file-program-discrimination-complaint https://www.usda.gov/about-usda/general-information/staff-offices/office-assistant-secretary-civil-rights/how-file-program-discrimination-complaint mailto: program.intake@usda.gov

Appendix 18: FS-6500-25, Request for Verification

FS-6500-25 (09/2020)

OMB No. 0596-0082

U.S. DEPARTMENT OF AGRICULTURE

FOREST SERVICE

REQUEST FOR FINANCIAL VERIFICATION

AUTHORITY:

FSH 6509.18

Instructions for applicant: Complete items 1 through 5, and submit the form to your bank or other lending institution.

Instructions for bank or other lender: Complete Items 6 through 15, and transmit the completed form directly to the Resource Audit Branch, CFO Office, Albuquerque Service Center, Forest Service, 101 B Sun Avenue, NE, Albuquerque, NM 87109, Attn: . Anyone who knowingly or willfully makes any false statements or representations on this form is subject to a fine, imprisonment, or both under 18 U.S.C. 1001(a).

1. To: [name and address of bank or other lending institution]

2. From: [applicant’s name and address]

3. Statement of Applicant

TYPE OF ACCOUNT ACCOUNT NUMBER CURRENT BALANCE

CHECKING ACCOUNT

SAVINGS ACCOUNT

OTHER

I have applied for a timber sale contract or special use permit from the Forest Service and state that the balances in my accounts with the bank or lending institution named in Item 1 are as shown in Item 3. My signature below authorizes verification of this information. Your response is solely a matter of courtesy for which no responsibility is attached to your institution or any of your officers.

4. Applicant’s Signature:

5. Date

6. Does the applicant have any outstanding loans?

Yes No If yes, complete item 7.

TYPES OF LOANS MONTHLY PYMT. PRESENT BALANCE

Secured

Unsecured

8. Is the applicant's statement in Item 3 correct?

Yes No If no, complete item 9.

9. Current Balances

CHECKING SAVINGS

10. Is the account less than 2 months old?

Yes No If yes, complete item 11.

11. Date account was opened:

12. Payment Experience:

Favorable Unfavorable If unfavorable, please explain in remarks.

13. Remarks:

THE INFORMATION PROVIDED ON THIS FORM IS CONFIDENTIAL. THE COMPLETED FORM IS TO BE TRANSMITTED DIRECTLY TO THE FOREST SERVICE, WITHOUT GOING THROUGH THE APPLICANT OR ANY

OTHER PARTY.

Appendix 18, Request for Financial Verification

14. Name, Title, and Signature of Bank or Other Lending Official:

15. Date:

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596- 0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act, 16 U.S.C. 551. The time required to complete this information collection is estimated to average 0.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).

Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the State or local Agency or contact USDA through the Telecommunications Relay Service at 711(voice and TTY).

Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax:

(202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.

Appendix 18, Request for Financial Verification https://www.usda.gov/oascr/how-to-file-a-program-discrimination-complaint https://www.usda.gov/oascr/how-to-file-a-program-discrimination-complaint

Appendix 19: National Quality Standards for Recreation Site Management

(formerly Meaningful Measures)

Appendix 19: National Quality Standards for Rec Site Mngt.

National Quality Standards for Recreation Site Management and Best Management Practices (Formerly known as Meaningful Measures Standards)

National Quality Standards for developed sites have been established for the Key Measures: Health and Cleanliness, Safety and Security, Condition of Facilities, Responsiveness, Resource Setting. Critical National Standards are identified with an asterisk (*).