Unofficial Consolidation: Form 51-101F2 Report on [Reserves Data][,][Contingent Resources Data] [and] [Prospective Resources Data] by Independent Qualified Reserves Evaluator or Auditor

Unofficial Consolidation: Form 51-101F2 Report on [Reserves Data][,][Contingent Resources Data] [and] [Prospective Resources Data] by Independent Qualified Reserves Evaluator or Auditor

Unofficial Consolidation Forms

Ontario Securities Commission

Form 51-101F2

Unofficial consolidation current to 2015-07-01

This document is not an official statement of law or policy and should be used for reference purposes only.

FORM 51-101F2
REPORT ON [RESERVES DATA][,][CONTINGENT RESOURCES DATA] [AND] [PROSPECTIVE RESOURCES DATA]
BY
INDEPENDENT QUALIFIED RESERVES
EVALUATOR OR AUDITOR

This is the form referred to in item 2 of section 2.1 of National Instrument 51-101 Standards of Disclosure for Oil and Gas Activities ("NI 51-101").

  1. Terms to which a meaning is ascribed in NI 51-101 have the same meaning in this form.
  2. The report on reserves data, contingent resources data or prospective resources data, if applicable, referred to in item 2 of section 2.1 of NI 51-101, to be executed by one or more qualified reserves evaluators or auditors independent of the reporting issuer, must in all material respects be in the following form:

Report on [Reserves Data][,] [Contingent Resources Data] [and] [Prospective Resources Data] by Independent Qualified Reserves Evaluator or Auditor

To the board of directors of [name of reporting issuer] (the "Company"):

  1. We have [audited][,] [and][evaluated] [or reviewed] the Company's [reserves data][,] [contingent resources data] [and] [prospective resources data] as at [last day of the reporting issuer's most recently completed financial year]. [If the Company has reserves, include the following sentence: The reserves data are estimates of proved reserves and probable reserves and related future net revenue as at [last day of the reporting issuer's most recently completed financial year], estimated using forecast prices and costs.] [If the Company has disclosed contingent resources data or prospective resources data, include the following sentence: The [contingent resources data] [and] [prospective resources data] are risked estimates of volume of [contingent resources] [and] [prospective resources] and related risked net present value of future net revenue as at [last day of the reporting issuer's most recently completed financial year], estimated using forecast prices and costs.]
  2. The [reserves data][,] [contingent resources data] [and] [prospective resources data] are the responsibility of the Company's management. Our responsibility is to express an opinion on the [reserves data][,] [contingent resources data] [and] [prospective resources data] based on our [audit][,] [and] [evaluation] [and review].
  3. We carried out our [audit][,] [and] [evaluation] [and review] in accordance with standards set out in the Canadian Oil and Gas Evaluation Handbook as amended from time to time (the "COGE Handbook") maintained by the Society of Petroleum Evaluation Engineers (Calgary Chapter).
  4. Those standards require that we plan and perform an [audit][,] [and] [evaluation] [and review] to obtain reasonable assurance as to whether the [reserves data][,] [contingent resources data] [and] [prospective resources data] are free of material misstatement. An [audit][,] [and] [evaluation] [and review] also includes assessing whether the [reserves data][,] [contingent resources data] [and] [prospective resources data] are in accordance with principles and definitions presented in the COGE Handbook.
  5. [If the Company has reserves, include this paragraph:] The following table shows the net present value of future net revenue (before deduction of income taxes) attributed to proved plus probable reserves, estimated using forecast prices and costs and calculated using a discount rate of 10 percent, included in the reserves data of the Company [audited][,][and][evaluated][and reviewed] for the year ended [last day of the reporting issuer's most recently completed financial year], and identifies the respective portions thereof that we have [audited][,][and] [evaluated] [and reviewed] and reported on to the Company's [management/board of directors]:

Independent Qualified Reserves Evaluator or Auditor

Effective Date of [Audit/ Evaluation/ Review] Report

Location of Reserves (Country or Foreign Geographic Area)

Net Present Value of Future Net Revenue (before income taxes, 10% discount rate)

Audited

Evaluated

Reviewed

Total

Evaluator A

xxx xx, 20xx

Xxxx

$xxx

$xxx

$xxx

$xxx

Evaluator B

xxx xx, 20xx

Xxxx

$xxx

$xxx

$xxx

$xxx

Totals

 

 

$xxx

$xxx

$xxx

$xxx1

       [1]       This amount must be the amount disclosed by the reporting issuer in its statement of reserves data filed under item 1 of section 2.1 of NI 51-101, as its future net revenue (before deducting future income tax expenses) attributed to proved plus probable reserves, estimated using forecast prices and costs and calculated using a discount rate of 10 percent (required by section 2 of Item 2.1 of Form 51-101F1).

  1.  [If the Company has disclosed contingent resources data or prospective resources data, include this paragraph and the tables:] The following tables set forth the risked volume and risked net present value of future net revenue of [contingent resources] [and] [prospective resources] (before deduction of income taxes) attributed to [contingent resources] [and] [prospective resources], estimated using forecast prices and costs and calculated using a discount rate of 10%, included in the Company's statement prepared in accordance with Form 51-101F1 and identifies the respective portions of the [contingent resources data] [and] [prospective resources data] that we have [audited] [and] [evaluated] and reported on to the Company's [management/board of directors]:

 

 

 

Independent Qualified Reserves Evaluator or Auditor

Effective Date of [Audit/ Evaluation] Report

Location of Resources Other than Reserves (Country or Foreign Geographic Area)

Risked Volume

Risked Net Present Value of Future Net Revenue (before income taxes, 10% discount rate)

Classification

Audited

Evaluated

Total

Development Pending Contingent Resources (2C)

Evaluator

xxx xx, 20xx

xxxx

xxx

$xxx

$xxx

$xxx

 

 

Independent Qualified Reserves Evaluator or Auditor

Effective Date of [Audit/ Evaluation] Report

Location of Resources Other than Reserves (Country or Foreign Geographic Area)

Risked Volume

 

Classification

 

Prospective Resources

Evaluator

xxx xx, 20xx

xxxx

xxx

 

Contingent Resources [project maturity sub-classes other than Development Pending]

Evaluator

xxx xx, 20xx

xxxx

xxx

 

  1. In our opinion, the [reserves data][,][contingent resources data][and][prospective resources data] respectively [audited][and][evaluated] by us have, in all material respects, been determined and are in accordance with the COGE Handbook, consistently applied. We express no opinion on the [reserves data][,][contingent resources data][and] [prospective resources data] that we reviewed but did not audit or evaluate.
  2. We have no responsibility to update our reports referred to in paragraph[s] [5][and][6] for events and circumstances occurring after the effective date of our reports.
  3. Because the [reserves data][,][contingent resources data][and][prospective resources data] are based on judgements regarding future events, actual results will vary and the variations may be material.

Executed as to our report referred to above:

Evaluator A, City, Province or State / Country, Execution Date

______________________

 

[signed]

Evaluator B, City, Province or State / Country, Execution Date

______________________

 

[signed]