Bid Submission Form

Closing date of the Call for Bids: __________________________________

Bid posted on the following parcel: ________________________________

Amount of Work Proposal submitted: ______________________________
(minimum amount of $1,000,000)

Bid Deposit submitted by: _______________________________________
($10,000)

The Bid Deposit is submitted in the form of:

Certified Cheque _____    Money Order _____    Bank Draft _____

NOTE: The successful bidder will be required to post 25% of the work proposal bid as security for the performance of work within 10 working days, this period commencing the day following the notice of winning bids being posted on the INAC website. This deposit will be referred to as the work deposit.

If this Bid is successful, please issue the exploration licence to:

_______________________________________ ____._____%
_______________________________________ ____._____%
_______________________________________ ____._____%
_______________________________________ ____._____%

Name of representative and address for service:

__________________________________________
__________________________________________
__________________________________________

Phone:_____________________________________
Fax:_______________________________________

If this bid is not accepted, the work deposit should be returned to:

__________________________________________
__________________________________________

By registered mail _____
Other (please specify) _____

Department of Indian Affairs
and Northern Development
Northern Oil and Gas Branch

Postal Address: 10th Floor - 15/25 Eddy St
Ottawa ON K1A 0H4
Fax: (819) 953-5828