ࡱ> g abjbjJJ r( j( jcA CCCCC$gggPk\g F !"#T?EAEAEAEAEAEAE$2IK4eEuC#!!##eECC HEs(s(s(#C C ?Es(#?Es(s(ns?A 8v}$F{@ +EE0 F@dN$N@AANCB##s(#####eEeE&### F####N######### Y : PRO FORMA BOND DOCUMENT  FORMTEXT       (insert name of Financial Institution) - AND - MINISTER RESPONSIBLE FOR THE MINING ACT 1978 __________________________________________ UNCONDITIONAL PERFORMANCE BOND __________________________________________ FOR USE IN RESPECT TO: EXPLORATION LICENCES PROSPECTING LICENCES MISCELLANEOUS LICENCES MINING LEASES GENERAL PURPOSE LEASES ALL OTHER TENEMENT TYPES UNCONDITIONAL PERFORMANCE BOND GIVEN BY fillin "enter details" FORMTEXT       ( the Financial Institution ) (insert name of Financial Institution) of  FORMTEXT       (insert address of Financial Institution) IN FAVOUR OF:- THE MINISTER RESPONSIBLE FOR THE MINING ACT 1978 ("the Minister") a corporation sole pursuant to the Mining Act 1978 and amendments of the State of Western Australia ("the Act") IN THE FOLLOWING CIRCUMSTANCES A.  FORMTEXT       ("the Holder") (insert name/s of Holder/s) of  FORMTEXT       (insert address of Holder/s) is the holder of  FORMTEXT       No.  FORMTEXT       ("the mining tenement ) (insert type and number of mining tenement) B. The Minister has imposed on the Holder a requirement that a Performance Bond in the form of this document be provided to the Minister as security for the due and proper performance of the terms and conditions of the mining tenement by the Holder. C. The Financial Institution has agreed to enter into this Deed to satisfy the Minister's requirement of a Performance Bond for the abovementioned purpose. NOW BY THIS DEED the Financial Institution agrees and undertakes as follows: The Financial Institution irrevocably and unconditionally undertakes to pay the Minister on demand without proof or condition(s) any sum or sums which may from time to time be demanded in writing by the Minister up to an amount not exceeding $ FORMTEXT       ( FORMTEXT      fillin "enter details" dollars) ("the Bonded Sum") in the aggregate. 2. The Financial Institution shall make payment to the Minister upon demand in writing by the Minister without reference by the Financial Institution to the Holder and notwithstanding any instruction to the Financial Institution by the Holder not to pay monies hereunder to the Minister and notwithstanding the performance or non-performance by the Holder of the obligations imposed on the Holder by the mining tenement. 3. The liability of the Financial Institution under this Deed shall be a continuing liability and shall continue until written notification has been received from the Minister that the Holder's liability is released, or payment is made under this Deed of the whole of the Bonded Sum, whichever occurs soonest. 4. Notwithstanding that the whole of the Bonded Sum has not been demanded by the Minister, the Financial Institution may at any time terminate its liability under this Deed by paying to the Minister the Bonded Sum or the balance thereof remaining unpaid by the Financial Institution or such smaller amount as the Minister may in writing agree to accept in full settlement of the Financial Institution's liability under this Deed. 5. The Financial Institution's obligation to the Minister under this Deed is a primary obligation, and the Financial Institution does not by this Deed guarantee to the Minister the performance of the Holder's obligations under the mining tenement, and therefore the liability of the Financial Institution under this Deed shall not be varied, discharged, impaired, or reduced by reason of any variation (with or without the knowledge or consent of the Financial Institution) of the duration of, or of the terms and conditions or the area of, the mining tenement; any time or indulgence granted by the Minister to the Holder; any delay by the Minister, or any forfeiture, expiry or surrender of the mining tenement. 6. This Deed shall be governed by, and construed in accordance with, the laws for the time being of the State of 91Ƶ. DATED the  FORMTEXT ______ fillin "day"day of  FORMTEXT ______ fillin "month"of  FORMTEXT ______ (day) (month) (year) EXECUTED as a DEED by  FORMTEXT ________________________________ ACN  FORMTEXT ___________________________ (the Financial Institution) (name and ACN of Financial Institution) by being signed in 91Ƶ by its attorney/s )  FORMTEXT _____________________ ) __________________________ (Name of Attorney) Signature of Attorney )  FORMTEXT _____________________ Office Held  FORMTEXT _____________________ ) __________________________ (Name of Attorney) Signature of Attorney )  FORMTEXT _____________________ Office Held  FORMTEXT _____________________ ) __________________________ (Name of Attorney) Signature of Attorney )  FORMTEXT _____________________ Office Held under Power/s of Attorney number  FORMTEXT ____fillin "enter details" ) dated the  FORMTEXT _____fillin "day" day of  FORMTEXT _____ fillin "month"of  FORMTEXT _____ ) (who declared that they hold the office in ) the Financial Institution indicated under their ) signatures and that they have no notice of revocation ) of the said Power of Attorney/s) in the presence of: )  FORMTEXT ______________________________ Signature of Witness  FORMTEXT ______________________________ Full Name of Witness (Please Print)  FORMTEXT ______________________________ Address of Witness  FORMTEXT ______________________________ Occupation of Witness UNCONDITIONAL PERFORMANCE CHECKLIST Address Bond documents to: Team Leader Title Compliance Title Compliance Branch Resource and Environmental Compliance Department of Mines, Industry Regulation and Safety 100 Plain Street EAST PERTH WA 6004 (DO NOT address any bond documents, letters or envelopes to individual officers) The bond(s) relate to:  FORMCHECKBOX  Mining Proposal / Low Impact Mining Operation *(MP No.  FORMTEXT ___________)  FORMCHECKBOX  Programme of Works *(EXP/PoW No.  FORMTEXT ____________)  FORMCHECKBOX  Annual Environmental Review (AER) *(AER No.  FORMTEXT ____________)  FORMCHECKBOX  Transfer of tenement to new holder  FORMCHECKBOX  Change of financial institution  FORMCHECKBOX  Other (please state)  FORMTEXT ____________________________________________________________________ 468:NPRTVXZ\^b   v 6 8 : R b d | ͿԪ͞}t}nthbbhbbh h@CJ hZCJ h]CJhhCJ hM9kCJh4lhCJ aJ hhCJ( hhhFhq6CJaJ(jhhqOJQJUmHnHujhhqU hhqjhhqUhh5OJQJh@DhOJQJaJh; OJQJ&468b   v : d  & F J ^J gd]^gd]gd]$a$gd $da$gd $da$gdq$a$gdqgd   8 : < > @ ~ , z uejh#h#PJUh#h#6CJPJaJjvh#h#PJUjh#h#PJUh#h#PJh&-h5h&-hv"5 hh<hh4lh4lCJ aJ h; h; h<5>*CJh@DhqCJ hqCJ h#CJ h@DCJ hCJ$  : > @ ~ , z   dgdv" $da$gdv" dgd#dgd#$a$gd#$a$gdv" $da$gd$a$gd4lgd; $da$gd<  & F J ^J gd@D    LTŸӰs`````$jh#h#PJUmHnHujbh#h#PJU h)5 hhv"hv"h hhhoho5 hI%5 hWb5h&-h5h#h#CJPJaJh#h#6CJPJaJh#h#PJjh#h#PJU,jh#h#OJPJQJUmHnHu%L|n_`$0d^`0a$gd$0d^`0a$gd; ?]?^gd# px^pgd#>d]>^gd# d^gd# >d]>gd2 $da$gdI% dgdv" TVjlnprtvxz|&(*,.0246n@OW]^_`c鸔~h mh  $da$gd$0d^`0a$gd,'$0d^`0a$gd&-$ 0d^`0a$gd<$ & F da$gdo $dha$gd&-$0d^`0a$gd<`bdjr2HOU8>FUWX[p <=>ABEü hA/h> hh&- hA/h hA/h4`9 !&',17;<=ACDE[\fxkjhA/hA/PJUhA/hA/5PJhA/hA/PJhsh6CJaJhsh56CJaJhshs6CJaJhsh&-6CJaJhs6CJaJjhh}oUhWbOJQJmHnHujhh}oU hhjhh}oU(DE[9 a $ }da$gds $ }a$gds$ }da$gdo $ }a$gdo$ }da$gdA/$a$gdA/ $dha$gdA/ $da$gdA/$a$gd&- $da$gdfgh9PQ[\]rsǹǩǹǘxkg[hH$Uho6CJaJhhWbOJQJmHnHujthh}oU hhojhh}oUhohA/hA/CJPJaJjhA/hA/PJUhA/hA/6CJPJaJhA/hA/PJ#hA/hA/OJPJQJmHnHujhA/hA/PJUjhA/hA/PJU   * + , A B a x ȦӐȦvӐdVȦjhh}oU"hsCJOJQJ^JaJnH tH hH$Uhs6CJaJj`hh}oU+hH$Uhs6CJOJQJ^JaJnH tH hsOJQJmHnHujhh}oU hhsjhh}oUhs"hoCJOJQJ^JaJnH tH +hH$Uho6CJOJQJ^JaJnH tH ! !!0!G!Y![!p!q!t!u!!!!!!!!!!!!!!!!!!!!۹ԍ۹扅~z~~l_hWbOJQJmHnHuj8 hh}oUh7 hhh}z+hjhh}oU"hsCJOJQJ^JaJnH tH hH$Uhs6CJaJhsOJQJmHnHujLhh}oU hhsjhh}oU+hH$Uhs6CJOJQJ^JaJnH tH hs% 0!q!!!!f""""6#7#d#y#z#####$a$gd$ }dha$gd6$ }da$gd6$ }dha$gdGs]$ }da$gds $ }a$gds!!!!!!!!" " " """"" "(")"3"4"5":";"<"="K"L"O"P"Z"["\"a"b"c"d"e"f"g"""""""""""""""""" # #姣hhd.(CJaJh6h}z+ h6h6j hh}oUj$ hh}oUhWbOJQJmHnHuj hh}oUh7hGs] hhjhh}oU: ###5#6#7#8#B#C#D#b#c#d#y#z#{#################$ $ $ $$ͷxl^ͷlj hh}oUhH$Uh76CJaJh2ByOJQJmHnHuj hh}oU hh7jhh}oU"h7CJOJQJ^JaJnH tH +hH$Uh76CJOJQJ^JaJnH tH hh2BymHnHuj h}oUh2Byjh}oU hhh}z+h6$# $ $:$P$Q$u$$$$+%A%X%%%(&}&&'F''Vdh$If^`VgdFH x$IfgdFH $xxa$gdgddgd $ha$gd$a$gd$$$$8$9$:$O$P$Q$t$u$$$$$$$$$$$+%,%/%?%@%ӽuuuuudVduuD"h Jh5OJQJ\^JaJhCJOJQJ^JaJ h JhCJOJQJ^JaJh JhOJQJ^JaJhOJQJ^JaJhh5CJ h5CJh6CJaJ%h76CJOJQJ^JaJnH tH +hH$Uh76CJOJQJ^JaJnH tH hh2BymHnHujhh}oUjr hh}oU hh@%A%S%X%Y%%%%%%%%%%%%%%%%&&& &&&&&Ӿ~vg\Jg#j\ hhCJUaJhhCJaJjhhCJUaJhCJaJ#j hhCJUaJhhCJaJjhhCJUaJh}?hCJaJh5CJaJh}?h5CJaJh6CJ]hh6CJ] hCJhOJQJ^JaJh JhOJQJ^JaJ&%&&&(&)&7&8&9&R&S&a&b&l&m&n&z&{&}&~&&&&&&&&&&&&&&&&&&&&'޽޵骘ކ޵޵tb#jhhCJUaJ#j0hhCJUaJ#jhhCJUaJ#jFhhCJUaJhhCJaJhCJaJ#j hhCJUaJjhhCJUaJhhCJaJjhhCJUaJhCJaJ&''!'"'#'F'G'U'V'W'o'p'z'{'|''''''\\\\\\\\\岧xvj\\J#j`hhCJUaJhh6>*CJaJh}?h5CJaJUhh5CJ\aJ hhhCJaJ#jhhCJUaJhhCJaJjhhCJUaJ#jhhCJUaJ#jhhCJUaJhhCJaJjhhCJUaJ'''\\\ $$Ifa$gdFH xx$IfgdFHgd@kdx$$Ifl$$$644 laytFHPlease check that the following points have been addressed before lodging an Unconditional Performance Bond with this Department:Office Use  FORMCHECKBOX  All documents are to be original.  FORMCHECKBOX  Correct Pro Forma bond document is used.  FORMCHECKBOX  Name and address of financial institution is stated.  FORMCHECKBOX  The bond is to be in favour of the Minister responsible for the Mining Act 1978.  FORMCHECKBOX  All the current Holders are stated.  FORMCHECKBOX  The tenement type and number are stated.  FORMCHECKBOX  Each tenement is on a separate bond document.  FORMCHECKBOX  No extra clauses to be inserted.  FORMCHECKBOX  All documents are signed, witnessed and dated.  FORMCHECKBOX  Number and date of each power of attorney is cited in the bond.  FORMCHECKBOX  The witness is to state full name, address and occupation. PLEASE NOTE: NO ALTERNATIVE BOND DOCUMENTS WILL BE ACCEPTED( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( No ( Yes ( NoBonds lodged by:  FORMTEXT ______________________________  FORMTEXT ______________________________  FORMTEXT ______________________________ NAME POSITION COMPANY ______________________________  FORMTEXT ______________________________  FORMTEXT ______________________________ SIGNATURE DATE TELEPHONE NO.     Pro Forma Unconditional Performance Bond June 2021 \\\]K]]]%^g^^^3___t$h$If^ha$gdFH dh$IfgdFHnkd$$Ifl40<$T  $644 laf4pytFH \\\\\\]]]]]K]L]Z][]\]]]]]]]]]]]]]^%^&^4^5^6^g^h^v^w^r`#jhhCJUaJ#jhhCJUaJ#jhhCJUaJhCJaJ#j0hhCJUaJ#jhhCJUaJ#jHhhCJUaJ#jhhCJUaJjhhCJUaJhhCJaJ%w^x^^^^^^^^^^^3_4_B_C_D___________________________塒wlwlwlwlwlwlwlh6CJ]aJhCJ]aJ# jch5CJOJQJ^JaJhh56>*䴳56C#䴳#䴳#䴳䴳䴳*____(5ʸxx$$l40<$T  $644 laf4pytFH dh$IfgdFH ________````` ` ``````````"`#`%`(`)`+`/`0`2`5`6`8`<`=`?`B`C`E`I`J`L`N`O`P`a`b`l`m`n`ǹ#jhhCJUaJhhCJaJjhhCJUaJhh5CJ\aJ hhhhCJaJ# jch5CJOJQJ^JaJh6CJ]aJhCJ]aJ4n``````````````````aa#a$a.a/a0aNaOaPaQa[aʸʦ㗌~vjv[jjjvjShCJUaJjhCJUaJhCJaJhh5CJ\aJh5CJ\aJhh5>*CJ\aJ#jhhCJUaJ#jahhCJUaJhhCJaJhh5CJ\aJjhhCJUaJhCJaJmHnHua``a}aaaaaaaaaaaaaagd, dxgdxxgddgdgd[a\a]a{a|a}aaaaaaaaaaaaaaaaaaaaɸh-)-h3G h,hsh,h51jh51U hhCJOJQJ^JaJ hhCJOJQJ^JaJhh5CJ\aJhCJaJmHnHujhCJUaJjhCJUaJC0PPP:p2. A!"#$n% DpC0PPP:p2. 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