(July 2012)
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
COMPETITIVE OIL AND GAS OR
GEOTHERMAL RESOURCES LEASE BID
Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.)
Act for Acquired Lands of 1947 (30 U.S.C. 351-359)
Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025)
Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508)
PARCEL NUMBER
AMOUNT OF BID (see instructions below)
TOTAL BID
PAYMENT SUBMITTED
WITH BID
THE BID IS FOR (check one):
Oil and Gas Serial/Parcel No. ______________________________
Geothermal Serial/Parcel No. ______________________________
The appropriate regulations applicable to this bid are: (1) for oil and gas leases--43 CFR 3120; (2) for National Petroleum Reserve-Alaska (NPR-A)
leases--43 CFR 3132; and (3) for Geothermal resources leases--43 CFR 3203.17. (See details concerning lease qualifications on next page.)
I CERTIFY THAT I have read and am in compliance with; and not in violation of the lessee qualification requirements under the applicable regulations
for this bid.
I CERTIFY THAT this bid is not in violation of 18 U.S.C. 1860 which prohibits unlawful combination or intimidation of bidders. I further certify that
this bid was arrived at independently and is tendered without collusion with any other bidder for the purpose of restricting competition.
IMPORTANT NOTICE: Execution of this form where the offer is the high bid, constitutes a binding lease offer including all applicable terms and
conditions. Failure to comply with the applicable laws and regulations under which this bid is made will result in rejection of the bid and forfeiture of
all monies submitted.
Print or Type Name of Lessee
Signature of Lessee or Bidder
INSTRUCTIONS
INSTRUCTIONS FOR OIL AND GAS OR GEOTHERMAL BID
(Except NPR-A)
1. Separate bid form for each lease/parcel is required. Identify by the
serial/parcel number assigned in the Notice of Competitive Lease Sale.
2. Bid must be accompanied by the national minimum acceptable bid, the
first year’s rental and the administrative fee. The remittance must be in
the form specified: (1) for oil and gas leases in 43 CFR 3103.1-1; and
(2) for geothermal resources leases in 43 CFR 3203.17. The remainder
of the bonus bid, if any, must be submitted to the proper Bureau of Land
Management (BLM) office within 10 working days for oil and gas, and
15 working days for geothermal, after the last day of the oral auction.
Failure to submit the remainder of the bonus bond within the
statutory timeframe (or regulatory) will result in rejection or
revocation, as appropriate, of the bid offer and forfeiture of all
monies paid.
3. If the bidder is not the sole party in interest in the lease for which the
bid is submitted, all other parties in interest may be required to furnish
evidence of their qualifications upon written request by the BLM.
4. This bid may be executed (signed) before the oral auction. If signed
before the oral auction, this form cannot be modified without being
executed again.
5. In view of the above requirement (4), the bidder may wish to leave the
AMOUNT OF BID section blank so that final bid amount may be either
completed by the bidder or the BLM at the oral auction.
INSTRUCTIONS FOR NPR-A OIL AND GAS BID
1. Separate bid form for each parcel is required. Identify the parcel by the
number assigned to a tract.
2. Bid must be accompanied by one-fifth of the amount of the bid. The
remittance must be in the form specified in 43 CFR 3132.2 for a NPR-A
lease bid.
3. Mark the envelope “Bid for NPR-A Lease”. Be sure correct parcel
number of tract on which the bid is submitted and date of bid opening
are noted plainly on envelope. No bid may be modified or withdrawn
unless such modification or withdrawal is received prior to time fixed
for opening of bids.
4. Mail or deliver bid to the proper BLM office or place indicated in the
Notice of Competitive Lease Sale.
5. If the bidder is not the sole party in interest in the lease for which the
bid is submitted, all other parties in interest may be required to furnish
evidence of their qualifications upon written request by the BLM.
Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212 make it a crime for any person knowingly and willfully to make to any Department or agency of
the United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.
(Continued on page 2)
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