Form 5-5514 Bid for grazing

Form 5‑5514 UNITED STATES OMB No. 1076-0157

DEPARTMENT OF THE INTERIOR Expires: 02/28/2007

BUREAU OF INDIAN AFFAIRS

BID FOR GRAZING PRIVILEGES

To the Superintendent,

_______________________Indian Agency __________________________________ , _______________________________________

Sir:

In response to the notice of sale of grazing privileges under permit for a _______ year period beginning _________________________

(Date)

and terminating not later than ____________________________, on the ________________________ Indian Reservation, bids to be opened at

(Date)

the office of the Superintendent at _____ o'clock ____ m. on the ______ day of ,______________ , I (or/ we) hereby submit the following bid:

Name or Number of Range Unit	Number of Head	Kind of Livestock	Grazing Season		Annual Rental
			From --	To --

I (or we) remit herewith_________________________________(indicate whether cashier's or certified check. bank draft, or money order) in the amount of $____________________ , drawn in favor of the Bureau of Indian Affairs as required by the notice of sale, and agree that if my (or our) bid is accepted, and I (or we) shall fail to fulfill my (or our) agreement in accordance with the regulations governing the sale, then the amount of this deposit shall be retained as liquidated damages for the use and benefit of the Indians concerned. It is understood that if my (or our) bid is rejected the deposit will be returned.

Respectfully,

_______________________________________ _____________________________________________________

(Date)

________________________________________ ______________________________________________________

(Address)

______________________________________________________

INSTRUCTIONS

Enclose this bid in a sealed envelope addressed to the Superintendent of the above Indian agency. Do not submit in duplicate. Mark plainly, "BID FOR GRAZING PRIVILEGES."

A separate bid must be submitted for each range unit desired.

If the bid is made by individuals, acting neither as a firm nor as a corporation, each must sign.

If the bid is made by a co-partnership, the signature must consist of the name of the firm followed by the signature of each of the members thereof.

If the bid is made by a corporation, the signature must consist of the name of the corporation, followed by the name of the proper officer or officers as required by the laws of the corporation, accompanied by evidence of authority of such officer or officers to bind the corporation.

Paperwork Reduction Act Statement: This information is collected to manage agriculture and grazing leases. The information is supplied by a respondent to obtain or retain a benefit, that is, a lease. It is estimated that responding to the request will take an average of 20 minutes to complete. This includes the amount of time it takes to gather the information and fill out the form. If you wish to make comments on the form, please send them to the Information Collection Clearance Officer, Bureau of Indian Affairs, 625 Herndon Parkway, Herndon, VA 20170. Note: comments, names and addresses of commentors are available for public review during regular business hours. If you wish us to withhold this information, you must state this prominently at the beginning of your comment. We will honor your request to the extent allowable by law. In compliance with the Paperwork Reduction Act of 1995, as amended, the collection has been reviewed by the Office of Management and Budget and assigned a number and expiration date. The number and expiration date are at the top right corner of the form. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless there is a valid OMB clearance number.