Form 3000-2 Competitive Oil and Gas or Geothermal Resources Lease Bi

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BLM Form 3000-2
(February 2005)

UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT

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FORM APPROVED
OMB NO. 1004-0074
Expires: September 30, 2006

State

COMPETITIVE OIL AND GAS OR
GEOTHERMAL RESOURCES LEASE BID
30 U.S.C. 181 et seq.; 30 U.S.C. 351-359;
30 U.S.C.1001-1025; 42 U.S.C. 6508

Date of Sale

AMOUNT OF BID (see instructions below)
PAYMENT SUBMITTED
TOTAL BID
WITH BID

PARCEL NUMBER
THE BID IS FOR (check one):
Oil and Gas Parcel Number ____________________________________

Geothermal Parcel Number ____________________________________
Name of Known Geothermal Resource Area (KGRA)
____________________________________________________________
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 3220. (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

_______________________________________________________________
Address of Lessee
______________________________________ _________ ____________
City
State
Zip

INSTRUCTIONS

INSTRUCTIONS FOR OIL AND GAS BID
(Except NPR-A)
1. Separate bid for each parcel is required. Identify parcel by the parcel
number assigned in the Notice of Competitive Lease Sale.

INSTRUCTIONS FOR GEOTHERMAL OR
NPR-A OIL AND GAS BID
1. Separate bid for each parcel is required. Identify the parcel by the
number assigned to a tract.

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 in 43 CFR 3103.1-1. The remainder of the bonus
bid, if any, must be submitted to the proper Bureau of Land
Management (BLM) office within 10 working days after the last day of the
oral auction. Failure to submit the remainder of the bonus bid
within 10 working days will result in rejection of the bid offer and
forfeiture of all monies paid.

2. Bid must be accompanied by one-fifth of the total amount of the bid.
The remittance must be in the form specified in 43 CFR 3220.4 for a
Geothermal Resources bid and 3132.2 for a NPR-A lease bid.

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.

3. Mark the envelope "Bid for Geothermal Resources Lease" in (Name
of KGRA) or "Bid for NPR-A Lease," as appropriate. 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
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)

QUALIFICATIONS

For leases that may be issued as a result of this sale under the Mineral Leasing Act (The Act) of 1920; as amended, the oral
bidder must: (1) Be a citizen of the United States; an association (including partnerships and trusts) of such citizens; a municipality;
or a corporation organized under the laws of the United States or of any State or Territory thereof; (2) Be in compliance with acreage
limitation requirements wherein the bidder's interests, direct and indirect, in oil and gas leases in the State identified do not exceed
246,080 acres each in public domain or acquired lands including acreage covered by this bid, of which not more than 200,000 acres are
under options. If this bid is submitted for lands in Alaska, the bidder's holdings in each of the Alaska leasing districts do not exceed
300,000 acres, of which no more than 200,000 acres are under options in each district; (3) Be in compliance with Federal coal lease
holdings as provided in sec. 2(a)(2)(A) of the Act; (4) Be in compliance with reclamation requirements for all Federal oil and gas
holdings as required by sec. 17 of the Act; (5) Not be in violation of sec. 41 of the Act; and (6) Certify that all parties in interest in this
bid are in compliance with 43 CFR Groups 3000 and 3100 and the leasing authorities cited herein.
For leases that may be issued as a result of this sale under the Geothermal Steam Act of 1970, as amended, the bidder must: (1)
Be a Citizen of the United States; an association of such citizens; a municipality; or a corporation organized under the laws of the
United States or of any State or Territory thereof; and (2) Be in compliance with acreage limitation requirements wherein the bidder's
interests, direct and indirect, do not exceed 51,200 acres, and (3) Certify that all parties in interest in this bid are in compliance with 43
CFR Group 3200 and the leasing authority cited herein.
For leases that may be issued as a result of this sale under the Department of the Interior Appropriations Act of 1981, the
bidder must: (1) Be a citizen or national of the United States; an alien lawfully admitted for permanent residence; a private, public or
municipal corporation organized under the laws of the United States or of any State or Territory thereof; an association of such citizens,
nationals, resident aliens or private, public or municipal corporations, and (2) Certify that all parties in interest in this bid are in
compliance with 43 CFR Part 3130 and the leasing authorities cited herein.
NOTICES

The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d) provide that you be furnished the following information in
connection with information required by this bid for a Competitive Oil and Gas or Geothermal Resources Lease.
AUTHORITY: 30 U.S.C. 181 et seq.; 30 U.S.C. 351-359; 30 U.S.C. 1001-1025; 42 U.S.C. 6508
PRINCIPAL PURPOSE: The information is to be used to process your bid.
ROUTINE USES: (1) The adjudication of the bidder's right to the resources for which this bid is made. (2)
Documentation for public information. (3) Transfer to appropriate Federal agencies when comment or concurrence is
required prior to granting a right in public lands or resources. (4)(5) Information from the record and/or the record will be
transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal or regulatory
investigations or prosecutions.
EFFECT OF NOT PROVIDING INFORMATION: Disclosure of the information is voluntary. If all the information is not
provided, your bid may be rejected.
The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that:
This information is being collected in accordance with 43 CFR 3120, 43 CFR 3130, or 43 CFR 3220.
The BLM collects this information to determine the bidder submitting the highest bid.
Response to this request is required to obtain a benefit.
The BLM would like you to know that you do not have to respond to this or any other Federal agency-sponsored
information collection unless it displays a currently valid OMB control number.
BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average 2 hours per response
including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form.
Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau
of Land Management (1004-0074), Bureau Information Collection Clearance Officer (WO-630), 1849 C Street, N.W., Mail
Stop 401 LS, Washington, D.C. 20240.
(Form 3000-2, page 2)