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Sec. 18.Effective date-This contract becomes effective as indicated below. <br /> ElIf this contract becomes effective on the date BLM signs the contract,BLM will check this box. <br /> 0 if this contract becomes effective only after certain conditions are met,BLM will check this box,list the conditions below,and indicate the <br /> effective date. <br /> Sec.19.Appeal-You may appeal any decision that BLM makes in regard to this contract under Parts 4 and 1840 of Title 43 of the Code of Federal <br /> Regulations. <br /> The following parties have executed this contract as of: <br /> PURCHASER THE UNITED STATES OF AMERICA <br /> Roc y Moyrltain Ex vating LLC <br /> �lhl By Douglas O.Mayes <br /> (Individua or Firm Name) (Print Name of BLM Official) <br /> C 3 q7CQ n alaafh D� �1 U812 DOUGLAS MAYES Datea202 871 4E06'OAYES <br /> ` !" (Address) r '' (Signature of BLM Official) <br /> 1,/Jq, Q/'c- 4311 Field Manager,Royal Gorge Field Office <br /> (Phone Number—include area code) (Title) <br /> JhaVita (10th <br /> ( ignature) (Date) <br /> (Signature) <br /> If you are a corporation,affix corporate seal here: <br /> Title 18 U.S.C.1001,makes it a crime for any person knowingly or willfully to make to any department or agency of the United States any false,fictitious or fraudulent <br /> statements or representations as to any matter within its jurisdiction,subject to a fine of up to$10,000 and imprisonment up to 5 years. <br /> NOTICES <br /> The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d)provide that you be furnished the following information in connection with information <br /> required by this application. <br /> AUTHORITY:30 U.S.C.601 et seq.;43 CFR Group 3600 <br /> PRINCIPAL PURPOSE:BLM uses this information to identify the parties entering into contracts for disposing of mineral materials. <br /> ROUTINE USES:BLM will transfer information from the record or the record itself to appropriate Federal,State,local,or foreign agencies,when <br /> relevant to criminal,civil,or regulatory investigations or prosecutions. <br /> EFFECT OF NOT PROVIDING INFORMATION:If you do not provide this information to BLM,we will not be able to process your application <br /> a contract. <br /> The Paperwork Reduction Act requires us to inform you that: <br /> The BLM is collecting this information to process your application and effect a binding contract. <br /> The BLM will use this information to identify and communicate with applicants. <br /> You must respond to this request to get a benefit. <br /> You do not have to respond to this or any other Federal agency-sponsored information collection unless it displays a valid OMB control number. <br /> BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average about 1 hour per response,including the time for <br /> reviewing instructions,gathering and maintaining data,and completing and reviewing the form.You may submit comments regarding the burden estin <br /> or any other aspect of this form to: U.S.Department of the interior,Bureau of Land Management(1004-0103),Bureau Information Collection Clearai <br /> Officer(WO-630),1849 C Street,N.W.,Room 2134LM,Washington,D.C.20240. <br /> (Form 3600-9,page <br />