Form 3000-4a
(January 2020)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
Bond Number
OIL AND GAS OR GEOTHERMAL LEASE BOND
ACT OF FEBRUARY 25, 1920 (30 U.S.C. 181 ET SEQ.)
ACT OF AUGUST 7, 1947 (30 U.S.C. 351-359)
DEPARTMENT OF THE INTERIOR APPROPRIATIONS ACT, FY 1981 (42 U.S.C. 6508) ACT OF
DECEMBER 24, 1970 (30 U.S.C. 1001-1025)
SECTION 20001 OF THE TAX CUT AND JOBS ACT OF DECEMBER 22, 2017 (16 U.S.C. 3143)
OTHER OIL AND GAS AND GEOTHERMAL LEASING AUTHORITIES AS APPLICABLE
CHECK ONE
OIL AND GAS EXPLORATION
GEOTHERMAL RESOURCES EXPLORATION
CHECK ONE
SURETY BOND
KNOW ALL BY THESE PRESENTS, That
(name)
of
(address)
as principal, and
(name)
of
, as surety,
(address)
are held and rmly bound unto the United States of America in the sum of
dollars ($
),
lawful money of the United States, which may be increased or decreased by a rider hereto executed in the same manner as this bond.
PERSONAL BOND
KNOW ALL BY THESE PRESENTS, That
(name)
of
, as principal, is held and rmly
(address)
bound unto the United States of America in the sum of
dollars ($
), lawful money of the United States which sum may be
increased or decreased by a rider hereto executed in the same manner as this bond.
The principal, in order to more fully secure the United States in the payment of the aforesaid sum, hereby pledges as security therefore United States
negotiable securities of a par value equal to the amount specied. The principal, pursuant to the authority conferred by Section 1 of the Act of September
13, 1982 (31 U.S.C. 9303), does hereby constitute and appoint the Secretary of the Interior to act as his attorney. The interest accruing on the United
States securities deposited, in the absence of any default in the performance of any of the conditions, or stipulations set forth in this bond and the
instrument(s) authorizing exploration activities on Federal lands, must be paid to the principal. The principal hereby for himself/ herself, any heirs,
executors, administrators, successors, and assigns, joint and severally, raties and conrms whatever the Secretary shall do by virtue of these presents.
The principal/surety shall apply this bond or the Secretary shall transfer this deposit as security for the faithful performance of any and all of the conditions
as set forth in this bond and the instruments authorizing exploration activities on Federal lands. In the case of any default in the performance of the
conditions and stipulations of such undertaking, it is agreed that: (1) for a Surety Bond, the surety/principal shall apply the bond or any portion thereof;
(2) for a Personal Bond, the Secretary shall have full power to assign, appropriate, apply or transfer the deposit or any portion thereof, to the satisfaction
of any damages, assessments, late payment charges, penalties, or deciencies arising by reason of such default.
This bond is required for the use and benet of (1) the United States; (2) any lessee, permittee, or contractor, under a lease, permit, or resource sale contract
issued, or to be issued, by the United States covering the same land subject to this bond, on which geophysical exploration operations will be conducted, to
be paid to the United States. For such payment, well and truly to be made, we bind ourselves and each of our heirs, executors, administrators, successors,
and assigns, jointly and severally.
CHECK ONE
This bond shall cover all exploration operations conducted in the United States by or on behalf of the principal on Federal surface administered by
the Bureau of Land Management (BLM) and on all Federal leases regardless of surface ownership (except those within the National Forest System),
including the Coastal Plain or the National Petroleum Reserve in Alaska (NPR-A) provided a rider is obtained.
This bond shall cover all exploration operations conducted by or on behalf of the principal on Federal surface administered by BLM and on all Federal
leases regardless of surface ownership (except those within the National Forest System) within the single State of .
This bond shall cover a single exploration operation conducted by or on behalf of the principal on Federal surface administered by BLM and on all
Federal leases regardless of surface ownership (except those within the National Forest System) as set forth on reverse.
(Continued on Page 2)
(Form 3000-4a)
