Part B: Certification and Acceptance
1. Each Assignor certifies it is the owner of the record title interest in the above-described lease that is hereby assigned to the Assignee(s) specified above.
2. DEBARMENT COMPLIANCE: Each Assignor and Assignee certifies its compliance with the Department of the Interior’s nonprocurement debarment and
suspension regulations at 2 CFR Subtitle B, Part 1400, and agree to communicate the requirement to comply with these regulations to persons with whom it does
business related to this record title interest assignment by including the terms of the regulations in its contracts and transactions.
3. EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION COMPLIANCE CERTIFICATION: Each Assignor and Assignee certifies that it is in full
compliance with Equal Opportunity Executive Order 11246, as amended, and the implementing regulations at 41 CFR 60-01 – Obligations of Contractors and
Subcontractors; and 41 CFR 60-2 – Affirmative Action Programs.
4. QUALIFICATIONS of ASSIGNOR(S) and ASSIGNEE(S): Each Assignor and Assignee certifies that it: is established and officially recognized by the
Bureau of Ocean Energy Management as qualified and authorized to bid on, acquire interests in, and hold OCS oil and gas leases; is exercising and meeting due
diligence requirements on any other OCS lease in accordance with section 8 of the OCSLA, as amended (43 U.S.C. 1337(d)); is in good standing with acceptable
operating performance as required by 30 CFR §§ 550 and 556; is not disqualified by BOEM from acquiring any new OCS leases or assigned interest(s) in existing
leases because of unacceptable operating performance on any other OCS lease; is not failing to meet or exercise due diligence (as determined by BOEM after
notice and opportunity for a hearing under 30 CFR part 590, subpart A); and is not restricted from bidding or acquiring interests in the lease or officially designated
subdivision, therein, or grouped with any other entities on the restricted joint bidders list.
5. Assignee’s execution of this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described
herein. Applicable terms and conditions include, but are not limited to, an obligation to conduct all operations on the leasehold in accordance with the terms and
conditions of the lease, to condition all wells for proper abandonment, to restore the leased lands upon completion of any operations as described in the lease, and to
furnish and maintain bond(s) pursuant to regulations at 30 CFR §§ 550 and 556. This assignment is subject to the Outer Continental Shelf Lands Act of August 7,
1953, 67 Stat. 462; 43 U.S.C. 1331 et seq., as amended (the “Act”), and Assignee(s) is (are) subject to, and shall fully comply with, all applicable regulations now
or to be issued under the Act. Notwithstanding any agreement between the Assignor(s) and Assignee(s), the parties’ liability to the Bureau of Ocean Energy
Management is governed by 30 CFR §§ 550 through 556.
, upon approval by the
BOEM-0150 (January 2020) Previous Editions are Obsolete. PAGE 2 OF 2
This instrument may be executed in any number of counterparts, each of which will be deemed an original instrument, but all of which
together shall constitute but one and the same instrument provided, however, this instrument and any other counterpart hereof, will not be binding
unless and until executed by all of the parties, and will not be accepted by the Bureau of Ocean Energy Management unless all
counterparts are filed simultaneously.
By signing this document, you certify that your statements made herein are true, complete and correct to the best of your knowledge and belief
and are made in good faith.
Title 18 U.S.C. Sec. 1001 makes 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.
This Assignment of Record Title Interest will be made effective between the
parties hereto as of
Bureau of Ocean Energy Management, United States Department of the Interior.
Assignor Name: ___________________________________________
Assignor Qualification No. __________________________________
By: _____________________________________________________
Signatory Name: _________________________________________
Signatory Title: ___________________________________________
Execution Date: ________________________
Assignee Name: ___________________________________________
Assignee Qualification No. __________________________________
By: ______________________________________________________
Signatory Name: __________________________________________
Signatory Title: ____________________________________________
Execution Date: ________________________
Assignor Name: ___________________________________________
Assignor Qualification No. __________________________________
By: _____________________________________________________
Signatory Name: __________________________________
_______
Signatory Title: ___________________________________________
Execution Date: ________________________
Assignee Name: ___________________________________________
Assignee Qualification No. __________________________________
By: ______________________________________________________
Signatory Name: __________________________________________
Signatory Title: ____________________________________________
Execution Date: ________________________
