Form 3504-4 - Statewide Or Nationwide Personal Mineral Bond For Prospecting Permits And Leases Coal, Sodium, Phosphate, Potassium, Sulphur, And Other Mineral Deposits Page 2

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Whereas the obligor agrees that the coverage of this bond, in addition

Whereas the obligor agrees that notwithstanding any use of the se-

to the present holdings of the obligor must extend to and include:

curity pledged herewith for the purpose for which it is pledged, the

bond must remain in full force and effect in the sum above set forth

1. Any mineral permit or lease hereafter issued to, or acquired by,

and that he will, whenever so required by the United States, deposit

the obligor affecting the named mineral deposits in the State or States

additional security to bring the security up to the full amount; and

now named in Schedule A, or later named in a rider, the coverage to

be confined in the obligor’s holdings under the act or acts cited at

Whereas the obligor agrees that the neglect or forbearance of the

the head of the column in which the name(s) of the State or States

United States in enforcing, as against the permittees or lessees of the

appears and to become effective immediately upon such issuance or

United States, the payment of rentals or royalties or the performance

upon departmental approval of a transfer in favor of the obligor.

of any other convenant, condition, or agreement of the permits or

leases, must not, in any way, release the obligor from any liability

2. Any operating agreement hereafter entered into or acquired by

under this bond; and

the obligor, affecting the named mineral deposits in the States now

named in Schedule A, or later named in a rider, relating to mineral

Whereas the obligor agrees that in the event of any default under the

permits or leases issued under the act or acts cited in Schedule A

permits or leases, the United States may commence and prosecute

at the head of the column in which the name of the State is placed.

any claim, suit, action, or other proceeding against the obligor with-

The coverage must become effective immediately upon departmental

out the necessity of joining the permittees or lessees.

approval of the agreement or of a transfer of an operating agreement

to the obligor.

Now, Therefore, If said obligor must in all respects faithfully comply

with all of the provisions of the permits and leases referred to herein-

3. Any designation subsequent hereto of the obligor as operator or

before, then the above obligations are to be void; otherwise to remain

agent of a permittee or lessee under a permit or lease issued pursuant

in full force and effect.

to an act or acts cited in Schedule A and covering lands in a State

named in Schedule A, either presently or by rider. This coverage must

That the said obligor does hereby constitute and appoint the Secre-

become effective immediately upon the filing of such a designation

tary of the Interior as his attorney, for him and his name to collect

under a permit or lease.

or to sell, assign, and transfer the said United States bonds above

described and deposited by the obligor, as aforesaid, pursuant to au-

4. Any extension of a permit or lease covered by this bond, such

thority conferred by Section 1 of the act of July 30, 1947 (61 Stat.

coverage to continue without any interruption due to the expiration of

646; 6 U.S.C. 15) as security for the faithful performance of any and

the term set forth in the permit or lease.

all of the conditions or stipulations as hereinbefore set out, and it is

agreed that, in case of any default in the performance of the condi-

Whereas the obligor hereby agrees that notwithstanding the termina-

tions and stipulations of such undertaking the said attorney will have

tion of any permit or permits, lease or leases, operating agreements

full power to collect said bonds or any part thereof, or to sell, and

or designations as operator or agent, covered by this bond, whether

transfer said bonds or any part thereof without notice, at public or

the termination is by operation of law or otherwise, the bond must

private sale, free from any equity or redemption or without appraise-

remain in full force and effect as to any remaining permits, leases,

ment or valuation, notice and right to redeem being waived, and to

operating agreements, or designations covered by the bond; and

apply proceeds of such sale or collection to the full amount of the

bond to the satisfaction of any damages, or deficiencies arising by

Whereas the obligor as to any permit or lease or part of a permit or

reason of such default, as said attorney may deem best. The interest

lease for lands as to which he has been designated as operator or

accruing upon said United States bonds deposited as above stated,

agent, or approved as operator, in consideration of being permitted

in the absence of any default in the performance of any of the con-

to furnish this bond in lieu of the permittees or lessees, agrees and by

ditions or stipulations of the bond, must be paid to said obligor. The

these presents does hereby bind himself to fulfill, on behalf of each

said obligor hereby for himself, his heirs, executors, administrators,

permittee or lessee, all the obligations of each permit or lease for the

and successors, ratifies and confirms whatever his said attorney will

entire permit or lease areas in the same manner and to the same extent

do by virtue of these presents.

as though he were the permittee or lessee; and

Signed on this

day of

, 20

, in the presence of:

(Printed Name of Witness)

(Signature of Witness)

(Signature of Obligor)

(Printed Name of Obligor)

(Address of Witness)

(Business Address of Obligor)

(Signature of Witness)

(Printed Name of Witness)

[Seal]

(Address of Witness)

If this bond is executed by a corporation, it must bear the seal of such corporation.

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 3)

(Form 3504-4, page 2)