Bid For Oil And Gas Lease - Alaska Department Of Natural Resources

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STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL AND GAS
BID FOR OIL AND GAS LEASE
Competitive Areawide Oil & Gas Lease Sale Area/No.
Lease Sale Tract No.
Each bidder listed below must be pre-qualified in order to bid. All lease-interest percentages must be expressed in percentages with
the fractional interest carried out to no more than five decimal places. The sum of the lease-interests covered by this bid must
equal 100.00000 percent without rounding off.
% Lease-
Qualification
Interest
File #
Bidder Name
Bidder or Agent Authorized Signature
Date
Agent Name and Title (type or print):
Agent Name and Title (type or print):
Agent Name and Title (type or print):
Agent Name and Title (type or print):
Estimated tract acreage is listed in the Instructions to Bidders, Attachment A.
Estimated Tract Acres
Total Bid Per Acre
Total Estimated Bonus Bid
x
$
/acre
=
$
The total bid per acre is controlling in case of discrepancy.
Enclosed is a deposit in the sum of $_____________________, which equals 20.00000% or more of the total estimated bonus bid
as required by the Instructions to Bidders in cash, cashier's or certified check, money order, or combination thereof, made out to the
Department of Natural Resources.
I/We certify by signing this form that 1) this bid discloses the percentage interest of each person or entity who has any working
interest in this bid or in any lease issued in response to it and 2) if awarded a lease pursuant to this bid, all successful bidders who
have a working interest in the lease at the time of the lease award notice will execute all copies of the lease form specified in the
Instructions to Bidders and comply with all other requirements of the award notice, including the posting of any required bond, or
shall forfeit the entire amount deposited with this bid.
The foregoing bidder(s) hereby designate:
Bidder or Bidder’s Agent:
Title:
Physical Address:
Mailing Address:
Telephone Number(s):
E-mail:
as the agent authorized to receive notices on behalf of all bidders in connection with this bid.
Instructions for return of unsuccessful bid deposit:
AS 38.05.035(a) authorizes the director to decide what information is needed to process an application for the sale or use of state
land and resources. This information is made a part of the state public land records and becomes public information under AS
40.25.110 and 40.25.120 (unless the information qualifies for confidentiality under AS 38.05.035(a)(9) and confidentiality is
requested). Public information is open to inspection by you or any member of the public. A person who is the subject of the
information may challenge its accuracy or completeness under AS 44.99.310, by giving a written description of the challenged
information, the changes needed to correct it, and a name and address where the person can be reached. False statements made
in an application for a benefit are punishable under AS 11.56.210.
BID FORM FOR DNR AREAWIDE OIL & GAS LEASE SALE
Revised 2/09

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