CASH BOND - Bureau of Land Management

CASH BOND - Bureau of Land Management

Form 1822-4 (September 1987) Contract Number UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT CASH BOND D a t e Contract Approve...

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Form 1822-4 (September 1987)

Contract Number

UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT

CASH BOND

D a t e Contract Approved

(Assured Payment)

K NOW A LL M EN BY T HESE P RESENTS, That

I

We

of

, State of

doing business as a n

individual

partnership

corporation organized and e x i s t i n g under t h e l a w s o f the

as Principal, is held and firmly bound unto the United States of America

State of

dollars ($

in t h e penal sum of

),

lawful money of the United States, for the payment of which, well and truly to be made, I bind myself, my heirs, executors, administrators, s u c c e s s o r s and a s s i g n s , jointly and severally, a s a further guarantee of which a c a s h deposit or assured payment has been made with t h e Bureau of Land Management a t in t h e amount of $

in t h e form of a

.

s h a l l not b e negotiated u n l e s s t h e principal, h i s s u c c e s s o r s or assigns, fails to comply

A

with a l l of t h e provisions of t h e above-cited contract. ( A s u s e d h e r e i n , t h e t e r m " c o n t r a c t " i n c l u d e s a l l a g r e e m e n t s between the Bureau of Land Management and any individual, partnership or corporation for use of the public lands or their resources.) T H A T , T h e s a i d Principal d o e s hereby constitute and appoint t h e Secretary of the Interior as h i s attorney,

damages or deficiencies, a r i s i n g by reason of

such

default, as s a i d attorney may deem best.

to transfer and apply the s a i d deposit, as security for

T h e s a i d Principal hereby ratifies and confirms the faithful performance of any and all of the conditions

whatever h i s s a i d attorney s h a l l do by virtue of t h e s e or stipulations as s e t out in the above-noted contract

presents. made under t h e Act of and the regulations thereunder s e t forth in 43 CFR, Part

If the s a i d Principal, h i s s u c c e s s o r s or a s s i g n s

, upon conditions therein e x p r e s s e d , and i t

s h a l l fully comply with a l l the provisions of t h e above-

is agreed that, in case of any default in the performance

described contract and s h a l l make a l l payments due

of any condition or stipulation of s u c h contract, t h e said

under s a i d contract as therein provided, then and in

attorney s h a l l h a v e full power to a s s i g n , appropriate,

that event the above obligation s h a l l b e null and void

transfer, and apply s a i d deposit or any part thereof,

and the deposit s h a l l be released and returned to t h e

without

Principal.

notice, and t o apply t h e proceeds of s u c h

collection in whole or in part t o the satisfaction of any (Continued on page 2)

Otherwise, s a i d obligation s h a l l remain in

full force and effect.

Signed, s e a l e d , and delivered t h i s

day of

, 20

I F INDIVIDUAL OR P A R T N E R S H I P , SIGN H E R E :

.

IN T H E PRESENCE OF TWO WITNESSES:

(Witness)

By (Name)

(Address)

(Address)

(Witness)

(Name)

(Address)

(Address)

IF CORPORATION, SIGN HERE: (Name)

(Address)

By (Name)

(Name)

(Address)

(Title)

T HE U NITED S TATES O F A MERICA Signed and Approved:

By (Name)

(Title)

CORPORATION CERTIFICATE

If Purchaser is a corporation, the following certificate shall be executed by the Secretary or Assistant Secretary of the Corporation.

I,

, certify that I am t h e

Secretary of

the corporation named as Purchaser herein; that contract, w a s then

, who signed t h i s of s a i d corporation; that s a i d contract w a s duly signed for and in

behalf of s a i d corporation by authority of its governing body, and is within t h e scope of its corporate powers. (Corporate Seal) Title 18 U.S.C. Section 1001, makes i t a crime for any person knowingly and willfully to make to any department or a g e n c y of t h e United S t a t e s any f a l s e , fictitious, or fraudulent s t a t e m e n t s or representations a s to any matter within i t s jurisdiction. The Paperwork Reduction Act of 1980 (44 U.S.C. 3501 e t seq.) requires us to inform you that: Information i s being collected to obtain surety information relevant to t h e operation of t h i s timber s a l e contract. Information will be u s e d t o g u a r a n t e e performance under t h e terms of this timber s a l e contract. R e s p o n s e to t h i s request i s mandatory (43 C F R 5 4 5 0 ) t o f u l f i l l the requirements of a timber s a l e contract.

(Form 1822-4, page 2)