Part B – Certification and Acceptance
1. Assignor(s) certifies it is the owner of the interest in the OCS Renewable Energy Right-of-Way or Right-of-Use and
Easement Grant described in Exhibit A that is hereby assigned to the Assignee(s) specified above.
2. DEBARMENT COMPLIANCE: Assignee shall comply with the Department of the Interior’s nonprocurement debarment and suspension
regulations as required by Subpart B of 2 CFR Part 1400 and shall communicate the requirement to comply with these regulations to
persons with whom it does business related to this interest assignment by including this term in its contracts and transactions.
3. EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION COMPLIANCE CERTIFICATION: Assignor(s) and Assignee(s) certify
that they are 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. These requirements are for the
purpose of preventing discrimination against persons on the basis of race, color, religion, sex, or national origin. These regulations have
specific performance requirements.
4. Assignee’s execution of this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining
to the right-of-way or right of use and easement grant described in Exhibit A. Applicable terms and conditions include, but are not
limited to, an obligation to conduct all operations and to furnish and maintain such financial assurance as may be required by the Lessor
pursuant to regulations at 30 CFR Part 585. This assignment is subject to the Outer Continental Shelf Lands Act of August 7, 1953, 43
U.S.C. 1331 et seq., as amended (the “Act”), and Assignee(s) is subject to, and must 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 Part 585.
This Assignment of OCS Renewable Energy Right-of-Way or Right of Use and Easement Grant will be made effective between the parties
hereto as of _______________, upon approval by the Bureau of Ocean Energy Management, United States Department of the Interior.
This instrument may be executed in any number of counterparts, each of which will be deemed an original instrument, but all of which
together will 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.
I certify that the statements made herein by the undersigned are true, complete, correct to the best of my knowledge and belief, and are made in
good faith.
Title 18 U.S.C. 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.
Assignor Name: Assignor Name:
Assignor Qualification No. Assignor Qualification No.
By: ________________________________ By: _________________________________
Signatory Name: Signatory Name:
Signatory Title: Signatory Title:
___________________________________ _____________________________________
Execution Date Execution Date
Assignee Name: Assignee Name:
Assignee Qualification No. Assignee Qualification No.
By: ________________________________ By: _________________________________
Signatory Name: Signatory Name:
Signatory Title: Signatory Title:
___________________________________ ____________________________________
Execution Date Execution Date
Attach Notary Acknowledgement
(not mandatory)
Form BOEM-0002 (March 2020) Previous Editions are Obsolete. PAGE 2 OF 3
