1750 Rim Rock Drive, Fruita, CO 81521

1750 Rim Rock Drive, Fruita, CO 81521

National Park Service

Colorado National Monument

1750 Rim Rock Drive, Fruita, CO 81521

(970)858-3617 x 300

Commercial Use Authorization Application and Requirements

Please type or print in ink. Answer all questions completely or mark “N/A” if not applicable

Name:______

Company Name(s)______

Mailing Address:______

City/State/Zip:______

Physical Address (if different than mailing):______

SSN or Fed Tax Id #*:______

*Requirement of the 1996 Debt Collection Act – This number will NOT be made public.

Business Phone:______FAX:______

Cell Phone:______Pager:______

Email:______Website:______

Person(s) authorized to sign on behalf of the business (name and title):______

______

Type of CUA requested – a separate application fee is due for each activity – check all that apply:

Guided Rock/Ice Climbing

Guided Bicycle/Road Bike Tour (only allowed on paved roads)

Guided Still Photography Instruction

Commercial Tours or Transportation

Group Camping

Guided Bird Watching

Guided Hiking

Other Commercial Use______

Description of services to be provided under the CUA:______

______

______

I certify the information provided on this form is true and accurate to the best of my knowledge.

Signature:______Date:______

The following must be provided with this application before a Commercial Use Authorization will be issued:

  1. Payment of a non-refundable fee of $250.00 made payable to the “National Park Service”. This fee covers the processing and administering of your CUA. This includes costs for overseeing the operational, safety, and environmental requirements stipulated in the permit. Up to two hours of incidental monitoring by field rangers is included in this fee. If problems should arise during your time in the park, which requires additional monitoring by ranger staff, you will be billed for those costs.
  1. A current Certificate of Insurance documenting General Liability coverage. The minimum coverage for commercial operations is $300,000 per occurrence if the total party size is five or less, $500,000 if party size is six to twelve and $1,000,000 for parties of 13 or more. The insurance certificate must name the United States Government as an additional insured as well as specify that the service authorized by the permit is covered by the insurance policy.
  1. Automobile liability insurance minimum requirements (required for all owned, non-owned, and hired vehicles). $300,000 per occurrence for one to five passengers; $500,000 per occurrence for six to twelve passengers; $750,000 per occurrence for thirteen to twenty passengers and $1,500,000 per occurrence for twenty one to fifty passengers.
  1. At least one guide in each group must have at a minimum First Aid card and current CPR card issued by the American Red Cross, American Heart Association or its equivalent in his/her possession while in the park. Copies of those certificates must be sent in with your application.

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Revised 11/14