U.S. DEPARTMENT OF THE INTERIOR OMB Control Number: 1010-0050
Minerals Management Service OMB Approval Expires: xx/xx/xxxx
OUTER CONTINENTAL SHELF (OCS) PIPELINE RIGHT-OF-WAY GRANT BOND
Bond No.: ___________________________________
Bond Type: □ Area _____ □ Additional Security (Check One)_________________ Amount: _______________________________
The Surety is the Company Guaranteeing Performance. Name of Surety: ___________________________________________________________________________________________ Mailing Address: ___________________________________________________________________________________________ ___________________________________________________________________________________________ If a Corporation, Incorporated in the State of: _____________________; County or Parish of: _____________________________ ┓ Check here if Surety is certified by U.S. Treasury as an acceptable surety on Federal Bonds and listed in the current U.S. Treasury Circular No. 570. |
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The Principal is the Pipeline Right-of-way (ROW) Grant Holder for Whom the Bond or additional security* is Issued. Name of Principal: __________________________________________________________________________________________ Mailing Address: __________________________________________________________________________________________ __________________________________________________________________________________________ |
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Schedule A, the OCS area and pipeline ROW grant covered by this bond or additional security*, is comprised of (check one or both): ┓ The following OCS area[(see 30 CFR 250.1011(b)]: ____________________________________________________ ┓ The following pipeline ROW grant [see 30 CFR 250.1011(a)(2)]: __________________________________________________ _______________________________________________________________________________________________________ |
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In addition to the Obligations of the Principal during the period of liability of this bond or additional security*, the Surety also accepts the following Obligations (check one): ┓ No Obligations other than the Obligations of the Principal during the period of liability of this bond or additional security*. ┓ All Obligations of all previous Sureties or guarantors even if the Obligations are not Obligations of the Principal during the period of liability of this bond or additional security*. ┓ All Obligations of all previous Sureties or guarantors even if the Obligations are not Obligations of the Principal during the period of liability of this bond or additional security* with the following exceptions or limitations (use an attached sheet if needed): __________________________________________________________________________________________________ |
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Definitions
For the purposes of this document:
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An Obligation includes any obligation arising from any regulations of the Department of the Interior or any Instrument issued, maintained, or approved under the OCS Lands Act, 43 USC 1331 et seq. An Instrument includes any pipeline ROW grant, whereunder the Principal has the right, privilege, or license to conduct pipeline operations on the OCS. A Person includes an individual, a public or private corporation, a State, a political subdivision of a State, any association of individuals, corporations, States, or subdivisions of States, or a government agency. |
By signing below, the Principal verifies that the information above is correct and agrees to the following: The Principal as agent on behalf of the pipeline ROW grant holder will fulfill all Obligations for the entire pipeline ROW grant and to the same extent as though the Principal were the sole pipeline ROW grant holder for all pipeline ROW grants in Schedule A within an area designated in Schedule A. |
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By signing below, the Surety verifies that the information above is correct and agrees to the following:
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MMS Form MMS-2030 (March 2009 - Supersedes all previous editions of this form which may not be used.) Page 1 of 3
OUTER CONTINENTAL SHELF (OCS) PIPELINE RIGHT-OF-WAY GRANT BOND (Continued)
cancellation had occurred if any payment of any obligations of the Principal(s) is rescinded or must be restored pursuant to any insolvency, bankruptcy, reorganization, or receivership, or should the representation of the Principal that it has paid its financial Obligations or performed the other Obligations of the pipeline ROW grant(s)in accordance with MMS specifications be materially false and the MMS relied upon such representation in canceling the instrument.
* Must be approved by the Regional Director |
MMS Form MMS-2030 (March 2009 - Supersedes all previous editions of this form which may not be used.) Page 2 of 3
OUTER CONTINENTAL SHELF (OCS) PIPELINE RIGHT-OF-WAY GRANT BOND (Continued)
_____________________________________ Name of Surety
_____________________________________ Signature of Person Executing for Surety
_____________________________________ Name and title typed or printed
_____________________________________ Business Address
_____________________________________ Business Address |
_____________________________________ Name of Principal
_____________________________________ Signature of Person Executing for Principal
_____________________________________ Name and title typed or printed
_____________________________________ Business Address
_____________________________________ Business Address |
Signed on this ________ day of _______________ , 20______, in the State of ____________________, in the presence of:
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_____________________________________ Signature of Witness
_____________________________________ Name typed or printed
_____________________________________ Address
_____________________________________ Address |
_____________________________________ Signature of Witness
_____________________________________ Name typed or printed
_____________________________________ Address
_____________________________________ Address |
Note: The party signing for the Surety must attach a corporate resolution and power of attorney stating his or her authority to undertake this Obligation, pursuant to the acts of the corporate board of directors and the laws of the state of incorporation. The corporation executing this bond as Surety and the pipeline right-of-way grant holder, if a corporation, must affix their corporate seals.
Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that MMS collects this information to hold the surety liable for the obligations and liability of the Principal (pipeline right-of-way holder). Responses are required to obtain or retain a benefit. Proprietary data are covered under 30 CFR 250.197. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Public reporting burden for this form is estimated to average 15 minutes per response (in the Alaska and Pacific Regions, this could take longer), 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 the Information Collection Clearance Officer, Mail Stop 5438, Minerals Management Service, 1849 C Street, NW, Washington, DC 20240.
MMS Form MMS-2030 (March 2009 - Supersedes all previous editions of this form which may not be used.) Page 3 of 3
File Type | application/msword |
File Title | Form MMS-2028(January 2001) |
Author | mirabelj |
Last Modified By | blundonc |
File Modified | 2009-02-12 |
File Created | 2009-02-12 |