Commercial Tour Operator Licence Application/Renewal South Australia This form is for use by organisations or individuals proposing to undertake activities of a commercial nature within lands or waters managed by the Department of Environment, Water and Natural Resources (DEWNR), on behalf of the Minister for Sustainability, Environment and Conservation. Such activities may include guided tours, instructional or educational courses and leisure activities and may be subject to specific conditions as approved by DEWNR. IMPORTANT NOTE: This form is an application form only and does not constitute a licence of any sort. If this application is accepted and all relevant information has been submitted to the satisfaction of DEWNR, a licence will be issued by the Minister for Sustainability, Environment and Conservation on such terms and conditions as approved by the Minister. The Applicant understands that the information contained in the application together with the outcome of any enquiries made by DEWNR will be used and relied upon by DEWNR when assessing the application or in any review of any licence granted by the Minister under section 35(4) of the National Parks and Wildlife Act 1972. Additional information about this application form can be obtained at http://www.environment.sa.gov.au/parks/get_involved/commercial_tour_operators/becoming_a_licensed_operator or by contacting Parks Licensing and Events on (08) 8204 9060. Once completed, please send this application form, including payment details and a copy of your insurance Certificate of Currency & tourism accreditation certificate (if applicable) via Email: DEWNR.ParksLicensingandEvents@sa.gov.au FAX (08) 8115 1324 Post to: Commercial Tour Operator Licensing Parks Leasing & Licensing Department of Environment, Water and Natural Resources Level 3, 25 Grenfell Street ADELAIDE SA 5000 or GPO Box 1047 ADELAIDE SA 5001 ARE YOU APPLYING FOR THE RIGHT LICENCE? Please use the checklist below to decide whether you need to fill in this application form. 1. Do you intend to conduct shark cage diving tours within a reserve managed by DEWNR? Yes No 2. Do you intend to conduct marine mammal (whales, dolphins, sea lions) tours? Yes No If you have answered yes to either questions 1 or 2 above, do not complete this application form. Please contact us on (08) 8124 4799 or email DEWNR.ParksLicensingandEvents@sa.gov.au for the appropriate form.
1. APPLICANT S DETAILS DEWNR CTO licence number (if known) Applicant Type Individual/Registered Business Company Incorporated association Trust Partnership Trading Name Australian Business Number (ABN) Australian Company Number (ACN) Postal Address Authorised Person Enter the details of the authorised person completing this form on behalf of the applicant. First Name Family Name Position Email Telephone Number (landline or mobile) Contact Person for Licence Enquiries Is the contact person for Licence Enquiries the same as the authorised person above? If NO, please enter their details below. YES NO First Name Family Name Position Email Telephone (landline or mobile) Contact Person for Operational Enquiries Is the contact person for Operational Enquiries the same as the authorised person above? YES NO If NO, please enter their details below. First Name Family Name Position Email Telephone (landline or mobile) Mobile Number for Emergency SMS (contact mobile number for emergency notification only via text message) Do you have a Trading/Credit Account with DEWNR? Yes No If No please complete the Account Application form & return it together with this application. http://www.environment.sa.gov.au/files/07d7715c-f2f6-42c9-98fa-a07b00af6fb5/psa-form-ctocreditapplication.pdf CTO_Licence_Application-Renewal_March2015 2
2. PRIVACY AND LICENSING BENEFITS Details provided on this application may be shared with other South Australian Government agencies, including the South Australian Tourism Commission. Any such sharing will be conducted in accordance with Information Privacy Principles. The contact details of licensed tour operators will be listed on the DEWNR website and will be made available for listing in DEWNR tourism publications. Would you like your general enquiry details displayed on the DEWNR website? Yes No General Enquiry Details: Website General Enquiry Email General Enquiry Telephone Number 3. TERM OF LICENCE Please tick the box for the term of licence you require: 2 months Please nominate the date(s) you intend to tour: 1 year 3 years* 5 years** * Eligibility for a three year licence is subject to businesses having current certification under at least one of the following: Australian Tourism Accreditation Program Nature Based Eco Certification Program Climate Action Certification Program Green Globe Company Standard ** Eligibility for a five year licence is subject to businesses having current certification under at least one of the following: Advanced Ecotourism Eco Certification Program Ecotourism Eco Certification Program Respecting our Culture. Please provide a copy of the relevant Accreditation Certificate if you are applying for a 3 or 5 year licence. Accreditation expiry date Please see Section 12 for Licence fees. 4. DETAILS OF PUBLIC LIABILITY INSURANCE Evidence of insurance (Certificate of Currency) must be submitted with your application and a copy of the renewal supplied upon expiry. CTO_Licence_Application-Renewal_March2015 3
The Certificate of Currency must include: The insured party to be listed according to the Legal Entity Name of the Applicant (not the trading name). Expiry date. Cover the activities being undertaken (eg guided tours, bushwalking, coach tour etc). Include the geographical location of coverage (eg in South Australia or Australia wide or South Australian National Parks etc). Amount of coverage (Minimum $10,000,000) $ Expiry date 5. DESERT PARKS Do you intend to conduct tours in any of SA s Desert Parks? (listed below) Malkumba-Coongie Lakes National Park, Innamincka Regional Reserve, Kati Thanda-Lake Eyre National Park, Simpson Desert Conservation Park and Regional Reserve, Strzelecki Regional Reserve, Tallaringa Conservation Park, Wabma Kadarbu Mound Springs Conservation Park, Witjira National Park. Yes No For any enquiries regarding road conditions or any other information about travelling in SA s Desert Parks, please contact DEWNR Port Augusta (08) 8648 5300 or email DEWNR.DesertParks@sa.gov.au 6. TAG-ALONG TOURS Do you intend to conduct Tag-Along tours in any South Australian park? Yes If you have ticked Yes, please continue reading this section. No If you have ticked No, please move to section 7. Client vehicles travelling as Tag-Alongs in any tour will be required to display a current DEWNR CTO Tag-Along Vehicle Permit to identify them as a client of your tour. Tag-Along Vehicle Permits are re-usable & are to be shared amongst your clients vehicles for each tour. Maximum number of Tag-Along client vehicles participating in your tour at any one time? (client vehicles only, please do not include CTO tour vehicles in this total) 7. VEHICLE PERMITS How many tour operator vehicle permits are required? 8. PARK VISITATION AND ACTIVITY INTENTIONS What activities do you intend to undertake? (Please place a tick in the relevant box/es): Aboriginal culture interpretation Cycling Bird watching Diving Boating Marine Mammal viewing Bushwalking Rock-climbing/ abseiling Camel trekking Shark cage diving Camping Surfing Canoeing/Kayaking Wildlife viewing General sightseeing Other (please specify) CTO_Licence_Application-Renewal_March2015 4
What transport do you provide? (Please place a tick in the relevant box/es): Coach 4WD Tag-along Boat Other (please specify) Do you intend to access any of the following parks? (Please place a tick in the relevant box): Mamungari Conservation Park (Formerly Unnamed Conservation Park) PLEASE NOTE: DEWNR are no longer able to issue permits to tour in Mamungari CP. Contact Maralinga Tjarutja Administration; (08) 8625 2946 or email senioradmin@maralinga.com.au Grassdale Protected Area, Kangaroo Island Lathamai Conservation Park, Kangaroo Island CTOs are required to undertake an induction with a DEWNR Ranger before their first tour to Grassdale Protected Area and Lathamai Conservation Park. Please contact the DEWNR KI Regional Office on (08) 8553 4444 to arrange your induction. Wilderness Protection Area (WPA) Memory Cove WPA (Lincoln National Park) CTOs are required to contact the DEWNR Regional Office on (08) 8683 3544 prior to their first tour to arrange access to Memory Cove Wilderness Protection Area. ABORIGINAL CULTURAL INTERPRETATION Commercial Tour Operators are required under Section 9.6 of the Commercial Tour Operators Licence Terms And Conditions to- 9.6.1. ensure respect for Aboriginal cultural heritage and acknowledge that DEWNR encourages the use of Aboriginal tour guides when interpreting Aboriginal culture in accordance with the current guidelines for Interpreting Culture and Country as published by the Interpretation Australia Association; and 9.6.2. comply with any additional conditions that apply to the interpretation of Aboriginal culture within co managed parks as included in Section 10 of the Commercial Tour Operators Licence Terms And Conditions. Co Managed Parks Co managed parks are those cooperatively managed between the traditional Aboriginal people and DEWNR. Tour operators are required to contact the relevant DEWNR Regional Office as some co managed parks require prior approval to conduct Aboriginal cultural heritage interpretation. In some instances up to 90 days may be needed for the consultation and approval process. Eyre Peninsula (08) 8688 3111 Lake Gairdner National Park Far West (08) 3625 3144 Breakaways Conservation Park Nullarbor Wilderness Protection Area Nullarbor Regional Reserve Yumbarra Conservation Park CTO_Licence_Application-Renewal_March2015 5
Limestone Coast (08) 8575 1200 Coorong National Park Murray River (08) 8580 1800 Ngaut Ngaut Conservation Park Flinders Ranges & Outback (08) 8648 5300 Flinders Ranges National Park Innamincka Regional Reserve Kati Thanda-Lake Eyre National Park Malkumba-Coongie Lakes National Park Vulkathunha-Gammon Ranges National Park Wabma Kadarbu Mud Springs Conservation Park Witjira National Park Please note that special conditions apply to the above named areas. DEWNR may contact you regarding these conditions prior to processing your license application. Please list all other South Australian parks you intend to visit: 9. DECLARATIONS It is compulsory to answer the questions below. Please read the Information for Applicants document provided with this licence application before doing so. a) Have you, your employees or the subcontractors you engage, ever been subject to any conviction or proceeding against any Commonwealth, State or Territory law covering the protection, conservation or management of native species or protected areas? Yes No If you have answered yes to the above question, please provide details below. b) Have you made yourself aware of the current Adventure Activity Standards and training appropriate to the activities you wish to conduct within South Australian reserves? (Adventure Activity Standards are available to view at www.recreationsa.org) Yes No CTO_Licence_Application-Renewal_March2015 6
c) Are you, your vehicles and the drivers you engage, in possession of all relevant accreditations certifying that you meet the conditions of the Passenger Transport Act 1994, or the relevant passenger transport legislation in the State or Territory in which your business is registered? Yes No N/A (if no equivalent accreditation exists in your state) 10. CERTIFICATION I (full name), as the Applicant or having the requisite authority on behalf of the Applicant, certify that, to the best of my knowledge and after making all reasonable enquiries with relevant persons engaged or employed by the Applicant, the information provided in this application is true and correct. I declare that I will inform the Minister for Sustainability, Environment and Conservation (the Minister), through the Department of Environment, Water and Natural Resources (DEWNR), immediately and in writing should the information (or declarations made) in the application change or no longer be true and correct. I authorise the Minister or DEWNR to contact any person or government agency about any information contained in this application. I acknowledge that if any information contained in this application is false or misleading, this application may not be processed by DEWNR, and further acknowledge that any licence issued by the Minister under section 35(4) of the National Parks and Wildlife Act 1972 based on this application may be the subject of a review undertaken by the Minister (including the taking of remedial action such as, but not limited to, suspension or cancellation) at any time. I, as the Applicant or on behalf of the Applicant, acknowledge that I have read and understood the attached Terms and Conditions that will apply to any licence issued by the Minister based on this application. Further, I, as the Applicant or on behalf of the Applicant, agree that the Applicant will be bound by the attached Terms and Conditions. Signed for and on behalf of the Applicant (If the Applicant is a body corporate) (Signed) (Date) (Position or title held with Applicant) Signed by the Applicant (If the Applicant is a natural person) (Signed) (Date) CTO_Licence_Application-Renewal_March2015 7
11. SUPPORTING DOCUMENTATION Please enclose the following supporting documentation with your licence application: 1. Evidence of public liability insurance (Certificate of Currency or current Policy Document) Please Note: only a copy of your insurance Certificate of Currency, or a copy of your Policy Document, showing the name of the insured, the purpose of the insurance, the date the insurance is current & the activities & locations covered by the policy. Your proof of Insurance must show that the policy is current and paid for, copies of your insurance policy invoice, remittance advice; invitation to renew etc will not be accepted 2. Copy of relevant Green Accreditation certificate (if applicable for 3 & 5 years licences) 3. Payment of licence fee 4. Website address to be provided in Sect 1, or copy of promotional material if no website. 5. Completed Credit Application Form (If Applicable) Please note that your application will not be processed until all requested supporting documentation has been received. 12. PAYMENT OF LICENCE FEE 2 month Licence $ 230.00 (GST exempt) 1 year Licence $ 325.00 (GST exempt) 3 year Licence $ 775.00 (GST exempt) 5 year Licence $ 1230.00 (GST exempt) TOTAL (GST exempt) $ Cheques or money orders should be made out to Department of Environment, Water and Natural Resources. If paying by credit card, please provide details in the area below (please note we do not accept Amex or Diners cards): Card number: Card expiry date: CCV number (3 digit security code found on the back of your card after the main number) Cardholder s Name: Should this application be approved, I authorise the Department of Environment, Water and Natural Resources to draw funds from the nominated account. Cardholder s signature: Date: PLEASE NOTE: The above credit card details are destroyed immediately the payment has been transacted. CTO_Licence_Application-Renewal_March2015 8