CACO Armstrong-Dune-Shack Request for Proposals Attachment-B Form-10-353 NPS-Leasing-Organization-Information- (Individual-or-Sole-Proprietor) 508 Complaint

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Offeror Information
Individual or Sole Proprietorship

Proposal Package

L-CACOARM-27

Note: Either a Form 10-353 or Form 10-354 is completed for each proposal, depending on the nature of the Offeror. Complete separate forms for each Offeror, if more than one. If the Offeror is a corporation, limited liability company, partnership, or joint venture, use Form 10-354. Name of Individual and Tradename, if Any* Click or tap here to enter text. Address Click or tap here to enter text.
Telephone Number
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Email Address
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Contact Person (if other than the Offeror) Click or tap here to enter text. Tax ID #
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Years in Business (if applicable)
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Current Yearly Income or Value of Business
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Role under the Lease Click or tap here to enter text.
* If the sole proprietorship acts under a name other than that of its owner (i.e., does business as “company name”), also add the jurisdiction where the company’s trade name is registered, if any.

NOTICES

PRIVACY ACT STATEMENT

Authority: 54 U.S. Code Chapter 1021—Privileges and Leases; 54 U.S. Code § 306121—Lease or exchange. Purpose: The purposes of the system are (1) to assist NPS employees in managing the NPS Leasing program allowing for residential and 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 residential and/or commercial uses within a unit of the National Park System; (3) to track applicants and holders of leases 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 lease 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 lease 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.