Nationwide Oil and Gas Lease Bond

Form 5-5438
1990

UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF INDIAN AFFAIRS

NATIONWIDE OIL AND GAS LEASE BOND
KNOW ALL MEN BY THESE PRESENTS, That we, ____________________________________
____________________________________________________________________________________
____________________________________________________of ______________________________
_________________________________________________________________________________, as
principal _______________, and _______________________________________________________of
____________________________________________________________________________________
______________ as suret ___ , are held and firmly bound unto the United States of America in the sum of
one hundred and fifty thousand dollars ($150,000), lawful money of the United States, for the payment of
which, well and truly to be made, we bind ourselves and each of us, our and each of our heirs, successors,
executors, administrators, and assigns, jointly and severally, firmly by these presents.

Sealed with our seals and dated this ________ day of ____________________________, 20___
The condition of this obligation is such that whereas the said principal __, has heretofore or may
hereafter enter into or otherwise acquire an interest in oil and gas lease(s)/permit(s)/mineral
agreement(s)of various dates and periods of duration covering lands or interests held by the United States
in trust for individual Indians, or bands or tribes of Indians, or subject to restrictions against alienation
without the consent of the Secretary of the Interior, or his authorized representative, which leases, permits
or mineral agreements have been or may hereafter be granted or approved by the Secretary of the Interior,
or his authorized representative, and the identification of which herein is expressly waived by both principal
_____ and suret _____ hereto.

WHEREAS the principal ___ and suret__ agree that the coverage of this bond shall extend to and
include all extensions and renewals of the leases, permits and mineral agreements covered by this bond,
such coverage to continue without any interruptions due to the expiration of the terms set forth therein.
WHEREAS the suret ___ hereby waive___ any right to notice of any modification of any such
lease, permit or mineral agreement, or obligation thereunder whether effected by extension of time for
performance, by commitment of such lease/ permit/ mineral agreement to unit, cooperative, or communitization agreement, by waiver, suspension, or change in rental, by minimum royalty payment, or otherwise,
this bond to remain in full force and effect notwithstanding.
WHEREAS the principal____ and suret____ agree that the neglect or forbearance of any obligee
under this bond in enforcing the payment of any rental or royalty or the performance of any other covenant,
condition, or agreement of any such lease/permit/mineral agreement or Federal regulations shall not in any
way release the principal___ and suret___ or either of them, from any liability under this bond; and

WHEREAS the principal___ and suret___ agree that in the event of any default under any such
lease, permit or mineral agreement, the obligee may prosecute any claim, suit, action, or other proceeding
against the principal ____and suret____, or either of them, without the necessity of joining the other.
Now, if the said principal _______ herein shall faithfully carry out and observe all the obligations
assumed in such lease(s), permit(s) or mineral agreement(s) to which _____________________________
______________________________________is now or may hereafter become a party, and shall observe
all the laws of the United States and regulations made, or which shall be made thereunder, for the

government of trade and Intercourse with Indian tribes, and all rules and regulations that have been or
shall hereafter be lawfully prescribed by the Secretary of the Interior relative to such lease(s), permit(s) and
mineral agreement(s), and shall In all particulars comply with the provisions ad such leases, permits,
mineral agreements, rules, and regulations, then the obligation shall be null and void: otherwise, to remain
In full force and effect. No bond liability shall be terminated without written approval of the Bureau of
Indian Affairs.
The rate of premium charged on this bond is $_____________________________________; the
total premium paid is $____________________________________________.
Signed and sealed in the presence of –
WITNESSES:*
)
)
)
P.O.__________________________________ ) as to ___________________________[SEAL]
)
_____________________________________ )
)
P.O.__________________________________ )
_____________________________________

______________________________________ )
)
P.O.__________________________________ ) as to __________________________ [SEAL]
)
_____________________________________ )
)
P.O.__________________________________ )

______________________________________ )
)
P.O.___________________________________ ) as to ___________________________[SEAL]
)
______________________________________ )
)
P.O.__________________________________ )
)
______________________________________ )

______________________________________ )
)
P.O.__________________________________ ) as to ___________________________[SEAL]
)
______________________________________ )
)
Bureau of Indian Affairs
P.O.__________________________________ )
Office of Trust Services
*Two witnesses to all signatures
1849 C St., NW MS-4620-MIB
Washington, DC 20240

Approved:__________________________________________________
Deputy Bureau Director, Office of Trust Services

________________
Date

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