HomeMy WebLinkAboutUpdated Revegetation Bond 03.01.2016LARAMIE ENERGY, LLC
1401 SEVENTEENTH STREET, SUITE 1400
DENVER, CO 80202
Karla Bagley
Garfield County Treasurer
109 8th Street #204
Glenwood Springs CO 81601
Dear Karla Bagley,
TEL: (303) 339-4400
FAX: (303) 339-4399
March 1, 2016
As of March 1, 2016, Laramie acquired 100% of OXY USA natural gas development
and production assets in Garfield County, Colorado. This letter is intended to inform
you of this acquisition and to formally acknowledge Laramie's assumption of the
reclamation bonding responsibility for the following land use change permits:
1) LIPA-6-09-5959 Material Handling of Natural Resources
2) SUP #13509 Conn Creek Compressor Station
3) LIPA-08-13-7675 Pond 13 EW Centralized E&P Waste Management Facility
4) LIPA-03-14-7864 Pond 10 Water Storage/ E&P Waste Impoundment Facility
5) GRAD -3419 Shell 797-09A Pipeline Grading Permit
Attached please find the formal bonding rider documentation required to
accommodate Laramie's assumption of the permit documents noted above.
If you have any questions regarding this action please feel free to contact me at rhP
number listed below.
Lorne C. Prescott
Regulatory and Environmental Compliance
Laramie Energy, LLC
Piceance Energy
Office: (970) 812-5311
CeII: (970) 210-6889
IprescottCailaramie-energy. com
LICENSE OR PERMIT
BOND NO. RLB0016392
KNOW ALL BY THESE PRESENTS, That we, Laramie Energy, LLC
as Principal, and the RLI Insurance Company. 8 Greenway Plaza, Suite 400, Houston, TX 77046 , an Illinois
corporation, as Surety, are held and finely bound unto Board of County Commissioners of Garfield County, Colorado, 108 8w Street,
Suite 200. Glenwood Springs, CO 81601, as Obligee, in the sum of Twenty Thousand and No/100 --- - Dollars
($20.000.00 ------ ----) for which sum, well and truly to be paid, we bind ourselves, our heirs, executors, administrators, successors and
assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has applied for a license or permit for Revegetation in conjunction with Land Use Change Permit for Material
Handling of Natural Resources (LIPA-6-09-5959) in Garfield County, CO Parcel No. 2169-214-00-026. Section 29, Township 6 South,
Range 97 West of the 6'h P.M.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall well and truly comply with the
Permit and conduct business in conformity therewith, then this obligation to be void; otherwise to remain in full force and effect. In no
event shall the liability hereunder exceed the penal sum hereof.
PROVIDED AND SUBJECT TO THE CONDITIONS PRECEDENT:
1. This obligation may be canceled by the Surety by giving thirty (30) days notice in writing of its intention to do so to the Obligee,
and the Surety shall be relieved of any further liability under this Bond thirty (30) days after receipt of said notice by the
Obligee, except for defaults occurring prior thereto.
2. The term of this Bond from February 22, 2016 to February 22, 2017.
3. Any claim must be presented in writing, during the term of this bond, to RLI Insurance Company, to the attention of Greg E.
Chilson, 8 Greenway Plaza, Suite 400, Houston, Texas 77046. Any claims made outside the term of the bond shall be null
and void and of no effect.
4. Surety shall have no obligation to the Principal, the Obligee or any other person or entity for any loss suffered by the Principal,
the Obligee or any other person or entity by reason of acts or omissions which are or could be covered by the Obligee's or the
Principal's general liability insurance, products liability insurance, completed operations insurance or any other insurance.
5. No right or action shall accrue under this Bond to or for the use or benefit of anyone other than the named Obligee
6. The Obligee will issue a release of this Bond within a reasonable period, but in no instance longer than thirty (30) days after
termination of the Permit.
7. Regardless of the number of years this Bond is in force, or the number of continuation certificates issued, the liability of the
Surety shall not be cumulative in amounts from period to period and shall in no event exceed the amount set forth above, or as
amended by rider.
IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several seals this 22nd day of February,
2016, the name and corporate seal of each corporate party being hereto affixed and those presents duly signed by its undersigned
representative pursuant to authority of its governing body.
Laramie Energy, LLC
By
Brwae
Principal
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RLI Insurance Company
8 Greenway Plaza, Suite
Houston, TX 77046
By
RLI
RLI Surety
A division of MI Insurance Company
Know All Men by These Presents:
RLB0016392
POWER OF ATTORNEY
RLI Insurance Company
That the RLE INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and authorized and licensed
to do business in all states and the District of Columbia does hereby make, constitute and appoint JASON T. KILPATRICK
in the City of HOUSTON , State of TEXAS , as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign,
execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, all of the following classes of documents to -wit:
$20,000.00
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law
or equity; policies indemnifying employers against loss or damage caused by the misconduct of their employees; official, bail and
surety and fidelity bonds. Indemnity in all cases where indemnity may be lawfully given; and with full power and authority to
execute consents and waivers to modify or change or extend any bond or document executed for this Company, and to compromise
and settle any and all claims or demands made or existing against said Company.
The RLI INSURANCE COMPANY further certifies that the following is a true and exact copy of a Resolution adopted by the Board of
Directors of RLI Insurance Company, and now in force to -wit:
"All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers
as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys -in -Fact or Agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers -of -Attorney, or other obligations of
the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its
corporate seal affixed this
ATTEST:
CORPORATE SECRETARY
State of Illinois
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County of Peoria }
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PRESIDENT with its
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On this 22 day of February, 2016 before me, a Notary Public, personally appeared Michael J. Stone and Jean M. Stephenson,, y
duly sworn, acknowledged that they signed the above Power of Attorney as President and Corporate Secretary, respectively, of the said
COMPANY, and acknowledged said instrument to be the voluntary act and deed of said corporation.
I
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10.
"OFFICIAL SEAL"
PVeUC r JACQUELINE M. BOCKLER
MI OF
WNW COMMISSION EXPIRES 01/14/18
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CE
SPA028 (03/11)
BOND NO. RLB0016396
LICENSE OR PERMIT
KNOW ALL BY THESE PRESENTS, That we, Laramie Energy. LLC
as Principal, and the RLI Insurance Company. 8 Greenway Plaza, Suite 400, Houston. TX 77046 , an Illinois
corporation, as Surety, are held and firmly bound unto Board of County Commissioners of Garfield County. Colorado, 108 8th Street
Suite 200, Glenwood Springs, CO 81601, as Obligee, in the sum of Fifteen Thousand Three Hundred Twenty and No/100----------
Dollars ($15,320.00-------) for which sum, well and truly to be paid, we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has entered into a Special Use Permit (SUP #13509): Conn Creek Compressor Station — quantified surface
are of 3.83 acres on private land.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall well and truly comply with the
Permit and conduct business in conformity therewith, then this obligation to be void; otherwise to remain in full force and effect. In no
event shall the liability hereunder exceed the penal sum hereof.
PROVIDED AND SUBJECT TO THE CONDITIONS PRECEDENT:
This obligation may be canceled by the Surety by giving thirty (30) days notice in writing of its intention to do so to the Obligee,
and the Surety shall be relieved of any further liability under this Bond thirty (30) days after receipt of said notice by the
Obligee, except for defaults occurring prior thereto.
The term of this Bond is from February 22, 2016 to February 22, 2017.
Any claim must be presented in writing, during the term of this bond, to RLI Insurance Company, to the attention of Greg E.
Chilson, 8 Greenway Plaza, Suite 400, Houston, Texas 77046. Any claims made outside the term of the bond shall be null
and void and of no effect.
Surety shall have no obligation to the Principal, the Obligee or any other person or entity for any loss suffered by the Principal,
the Obligee or any other person or entity by reason of acts or omissions which are or could be covered by the Obligee's or the
Principal's general liability insurance, products liability insurance, completed operations insurance or any other insurance.
No right or action shall accrue under this Bond to or for the use or benefit of anyone other than the named Obligee.
The Obligee will issue a release of this Bond within a reasonable period, but in no instance longer than thirty (30) days after
termination of the Permit.
Regardless of the number of years this Bond is in force, or the number of continuation certificates issued, the liability of the
Surety shall not be cumulative in amounts from period to period and shall in no event exceed the amount set forth above, or as
amended by rider.
IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several seals this 22nd day of February,
2016, the name and corporate seal of each corporate party being hereto affixed and those presents duly signed by its undersigned
representative pursuant to authority of its governing body.
Laramie Energy, LLC
By
Principal
Br *co i.. Blei t?,ras :,rles 4
RLI insurance Company
8 Greenway Plaza, Suite 400
Houston, TX 77046
f =:
1) _i1 r,
son T. Ki l • = trick;ttorney-in-Fait
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1 • I11tli
RLI'
RU Surety
A division of RU Insurance Company
Know All Men by These Presents:
RLB0016396
POWER OF ATTORNEY
RLI Insurance Company
That the RLI INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and authorized and licensed
to do business in all states and the District of Columbia does hereby make, constitute and appoint: JASON T. KILPATRICK
in the City of HOUSTON , State of TEXAS , as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign,
execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, all of the following classes of documents to -wit:
$15,320.00.00
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law
or equity; policies indemnifying employers against loss or damage caused by the misconduct of their employees; official, bail and
surety and fidelity bonds. Indemnity in all cases where indemnity may be lawfully given; and with full power and authority to
execute consents and waivers to modify or change or extend any bond or document executed for this Company, and to compromise
and settle any and all claims or demands made or existing against said Company.
The RLI INSURANCE COMPANY further certifies that the following is a true and exact copy of a Resolution adopted by the Board of
Directors of RLI Insurance Company, and now in force to -wit:
"All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers
as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys -in -Fact or Agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers -of -Attorney, or other obligations of
the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its
corporate seal affixed this
State of Illinois
County of Peoria
ATTEST:
CORPORATE SECRETARY
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•
PRESIDENT with its
RLI INS
E COMPANII, ',
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PRESIDENT I -
•
On this 22 day of February. 2016 before me, a Notary Public, personally appeared Michael J. Stone and Jean M. Stephenson, who being by me
duly sworn, acknowledged that they signed the above Power of Attorney as President and Corporate Secretary, respectively, of the said RLI INSURANCE
COMPANY, and acknowledged said instrument to be the voluntary act and deed of said corporation.
/iT . �ItL>piG
otary Public
NOTARY
PUBLIC
STATE OF
ILLINOIS
"OFFICIAL SEAL"
JACQUELINE M. BOCKLER
COMMISSION EXPIRES 01/14/18
i
r
4
SPA028 (03/11)
BOND NO. RLB0016395
LICENSE OR PERMIT
KNOW ALL BY THESE PRESENTS, That we, Laramie Energy. LLC
as Principal, and the RLI Insurance Company, 8 Greenway Plaza, Suite 400, Houston, TX 77046 , an Illinois
corporation, as Surety, are held and firmly bound unto Board of County Commissioners of Garfield County, Colorado. 108 IP Street,
Suite 200, Glenwood Springs. CO 81601, as Obligee, in the sum of Seventeen Thousand Five Hundred and No/100-------------
Dollars ($17,500.00----------) for which sum, well and truly to be paid, we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has applied for a license or permit for Revegetation bond for Pond 13 ENV Water Impoundment Project.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall well and truly comply with the
Permit and conduct business in conformity therewith, then this obligation to be void; otherwise to remain in full force and effect. In no
event shall the liability hereunder exceed the penal sum hereof.
PROVIDED AND SUBJECT TO THE CONDITIONS PRECEDENT:
1. This obligation may be canceled by the Surety by giving thirty (30) days notice in writing of its intention to do so to the Obligee.
and the Surety shall be relieved of any further liability under this Bond thirty (30) days after receipt of said notice by the
Obligee, except for defaults occurring prior thereto.
2. The term of this Bond is from February 22, 2016 to February 22, 2017.
3. Any claim must be presented in writing, during the term of this bond, to RLI Insurance Company, to the attention of Greg E.
Chilson, 8 Greenway Plaza, Suite 400, Houston, Texas 77046. Any claims made outside the term of the bond shall be null
and void and of no effect.
4. Surety shall have no obligation to the Principal, the Obligee or any other person or entity for any loss suffered by the Principal,
the Obligee or any other person or entity by reason of acts or omissions which are or could be covered by the Obligee's or the
Principal's general liability insurance, products liability insurance, completed operations insurance or any other insurance.
5. No right or action shall accrue under this Bond to or for the use or benefit of anyone other than the named Obligee.
6. The Obligee will issue a release of this Bond within a reasonable period, but in no instance longer than thirty (30) days after
termination of the Permit.
Regardless of the number of years this Bond is in force, or the number of continuation certificates issued, the liability of the
Surety shall not be cumulative in amounts from period to period and shall in no event exceed the amount set forth above, or as
amended by rider.
IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several seals this 22nd day of February,
2016, the name and corporate seal of each corporate party being hereto affixed and those presents duly signed by its undersigned
representative pursuant to authority of its governing body.
Laramie Energy, LLC
Principal
By
3ru.G e L , ?a -14e. PrG6:4iGr+
RLI Insurance Company
8 Greenway Plaza, Suite 400
Houston, TX 77046
; Surely
Jason T. Kilpatri Anot y-in=Fact•
JI�II,.'i `l`'..
RLI'
RLI Surety
A division of RIl insurance Company
Know All Men by These Presents:
RLB0016395
POWER OF ATTORNEY
RLI Insurance Company
That the RLI INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and authorized and licensed
to do business in all states and the District of Columbia does hereby make, constitute and appoint. JASON T. KILPATRICK
in the City of HOUSTON , State of TEXAS , as Attomey-in-Fact, with full power and authority hereby conferred upon him to sign,
execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, ail of the following classes of documents to -wit:
$17,500.00.00
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law
or equity; policies indemnifying employers against loss or damage caused by the misconduct of their employees; official, bail and
surety and fidelity bonds. Indemnity in all cases where indemnity may be lawfully given; and with full power and authority to
execute consents and waivers to modify or change or extend any bond or document executed for this Company, and to compromise
and settle any and all claims or demands made or existing against said Company.
The RLI INSURANCE COMPANY further certifies that the following is a true and exact copy of a Resolution adopted by the Board of
Directors of RLI Insurance Company, and now in force to -wit:
"All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers
as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys -in -Fact or Agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers -of -Attorney, or other obligations of
the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its
corporate seat affixed this
ATTEST:
CORPORATE SECRETARY
State of Illinois
County of Peoria
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PRES DO'IT
LA0'%sl�ii I Oi i .'111
On this 22 day of February, 2016 before me, a Notary Public, personally appeared Michael J. Stone and Jean M. Stephenson, who being by me
duly sworn, acknowledged that they signed the above Power of Attorney as President and Corporate Secretary, respectively, of the said RLI INSURANCE
COMPANY, and acknowledged said instrument to be the voluntary act and deed of said corporation.
1
1
"OFFICIAL SEAL"
JACQUELINE M. BOCKLER
COMMISSION EXPIRES 01/14/18
NOTARY
PUBLIC
STATE OF
IWNOIS
SPA028 (03/11)
BOND NO. RLB0016394
LICENSE OR PERMIT
KNOW ALL BY THESE PRESENTS, That we, Laramie Energy, LLC
as Principal, and the RLI Insurance Company. 8 Greenway Plaza, Suite 400, Houston. TX 77046 , an Illinois
corporation, as Surety, are held and firmly bound unto Board of County Commissioners of Garfield County, Colorado. 108 8th Street,
Suite 200, Glenwood Springs, CO 81601 as Obligee, in the sum of Four Thousand Seventy Five and No/100 Dollars
($4.075.00----------) for which sum, well and truly to be paid, we bind ourselves, our heirs, executors, administrators, successors and
assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has applied for a license or permit for Pond 10 Project: converting Pond 10 North and Pond 10 South into one
pond. This bond is to secure compliance with the Garfield County Vegetation Management Department.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall well and truly comply with the
Permit and conduct business in conformity therewith, then this obligation to be void; otherwise to remain in full force and effect. In no
event shall the liability hereunder exceed the penal sum hereof.
PROVIDED AND SUBJECT TO THE CONDITIONS PRECEDENT:
1. This obligation may be canceled by the Surety by giving thirty (30) days notice in writing of its intention to do so to the Obligee,
and the Surety shall be relieved of any further liability under this Bond thirty (30) days after receipt of said notice by the
Obligee, except for defaults occurring prior thereto.
2. The term of this Bond is from February 22, 2016 to February 22, 2017.
3. Any claim must be presented in writing, during the term of this bond, to RLI Insurance Company, to the attention of Greg E.
Chilson, 8 Greenway Plaza, Suite 400, Houston, Texas 77046. Any claims made outside the term of the bond shall be null
and void and of no effect.
4. Surety shall have no obligation to the Principal, the Obligee or any other person or entity for any loss suffered by the Principal,
the Obligee or any other person or entity by reason of acts or omissions which are or could be covered by the Obligee's or the
Principal's general liability insurance, products liability insurance, completed operations insurance or any other insurance.
5. No right or action shall accrue under this Bond to or for the use or benefit of anyone other than the named Obligee.
6. The Obligee will issue a release of this Bond within a reasonable period, but in no instance longer than thirty (30) days after
termination of the Permit.
7. Regardless of the number of years this Bond is in force, or the number of continuation certificates issued, the liability of the
Surety shall not be cumulative in amounts from period to period and shall in no event exceed the amount set forth above, or as
amended by rider.
IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several seals this 22nd day of February,
2016, the name and corporate seal of each corporate party being hereto affixed and those presents duly signed by its undersigned
representative pursuant to authority of its governing body.
Laramie Energy. LLC
By
t..,
7 _
rL. y.�w¢ ,
RLI Insurance Company
8 Greenway Plaza, Suite 400
Houston, TX 77046
?re,:J.e .r
By
Principal
.. `ja 1r ,
9. .^S ,. Sufi'
-- ;
RLI
RLI Surety
A dh3sion of P1) insurance Company
Know All Men by These Presents:
RLB0016394
POWER OF ATTORNEY
RLI Insurance Company
That the RLI INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and authorized and licensed
to do business in all states and the District of Columbia does hereby make, constitute and appoint
JASON T. KILPATRICK
in the City of HOUSTON , State of TEXAS , as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign,
execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, all of the following classes of documents to -wit:
$4,075.00
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law
or equity; policies indemnifying employers against loss or damage caused by the misconduct of their employees; official, bail and
surety and fidelity bonds. Indemnity in all cases where indemnity may be lawfully given; and with full power and authority to
execute consents and waivers to modify or change or extend any bond or document executed for this Company, and to compromise
and settle any and all claims or demands made or existing against said Company.
The RLI INSURANCE COMPANY further certifies that the following is a true and exact copy of a Resolution adopted by the Board of
Directors of RLI Insurance Company, and now in force to -wit:
"All bonds, policies, undertakings, Powers of Attorney, or other obligations 01 the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers
as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys -in -Fact or Agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers -of -Attorney, or other obligations of
the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its PRESIDENT with its
corporate seat affixed this
State of Illinois
County of Peoria
ATTEST:
CORPORATE SECRETARY
}
) SS
}
On this 22 day of February, 2016 before me, a Notary Public, personally appeared Michael J. Stone and
duly sworn, acknowledged that they signed the above Power of Attorney as President and Corporate Secretary,
COMPANY, and acknowledged said instrument to be the voluntary act and deed of said corporation.
otary Public
"OFFICIAL SEAL"
NOTARY
PUBLIC
STATE O%
ILLINOIS
JACQUELINE M. BOCKLER
COMMISSION EXPIRES 01/14/18
1
1
1
11.
I
Jean M. Stenhensonj who: being by :•ne=
respectively, 4f the- d4RL-I-TNSURANCE;
1/71.1 ``11
�u�.:ii},15411,5
SPA028 (03/11)
LICENSE OR PERMIT
BOND NO. RLB0016393
KNOW ALL BY THESE PRESENTS, That we, Laramie Energy, LLC
as Principal, and the RLI Insurance Company, 8 Greenwav Plaza, Suite 400, Houston, TX 77046 , an Illinois
corporation, as Surety, are held and firmly bound unto Board of County Commissioners of Garfield County, Colorado, 108 8th Street,
Suite 200, Glenwood Springs, CO 81601, as Obligee, in the sum of Forty One Thousand Five Hundred and No/100 -----
Dollars ($41,500.00 ) for which sum, well and truly to be paid, we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has applied for a license or permit for Shell 797-09A Pipeline Grading in Garfield County, CO.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall well and truly comply with the
Permit and conduct business in conformity therewith, then this obligation to be void; otherwise to remain in full force and effect. In no
event shall the liability hereunder exceed the penal sum hereof.
PROVIDED AND SUBJECT TO THE CONDITIONS PRECEDENT:
1. This obligation may be canceled by the Surety by giving thirty (30) days notice in writing of its intention to do so to the Obligee,
and the Surety shall be relieved of any further liability under this Bond thirty (30) days after receipt of said notice by the
Obligee, except for defaults occurring prior thereto.
The term of this Bond is from February 22, 2016 to February 22, 2017.
Any claim must be presented in writing, during the term of this bond, to RLI Insurance Company, to the attention of Greg E.
Chilson, 8 Greenway Plaza, Suite 400, Houston, Texas 77046. Any claims made outside the term of the bond shall be null
and void and of no effect.
Surety shall have no obligation to the Principal, the Obligee or any other person or entity for any loss suffered by the Principal,
the Obligee or any other person or entity by reason of acts or omissions which are or could be covered by the Obligee's or the
Principal's general liability insurance, products liability insurance, completed operations insurance or any other insurance.
No right or action shall accrue under this Bond to or for the use or benefit of anyone other than the named Obligee.
The Obligee will issue a release of this Bond within a reasonable period, but in no instance longer than thirty (30) days after
termination of the Permit.
Regardless of the number of years this Bond is in force, or the number of continuation certificates issued, the liability of the
Surety shall not be cumulative in amounts from period to period and shall in no event exceed the amount set forth above, or as
amended by rider.
IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several seals this 22nd day of February,
2016, the name and corporate seal of each corporate party being hereto affixed and those presents duly signed by its undersigned
representative pursuant to authority of its governing body.
Laramie Enemy, LLC
By
7067
Principal
w.ae L. ��`-�"'.�° Pre s;dd... -
RLI Insurance Company
8 Greenway Plaza, Suite 400
Houston, TX 77046
By
Yson T.
Surety
1
Kilp trick_l,�otf"r�e in� act'
1•.IIIi14100'y151
RLI
RLI Surety
A dfvtc!'on of Rif tnsuranCE Company
Know All Men by These Presents:
RLB0016393
POWER OF ATTORNEY
RLI Insurance Company
That the RLI INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and authorized and licensed
to do business in all states and the District of Columbia does hereby make, constitute and appoint JASON T. KILPATRICK
in the City of HOUSTON State of TEXAS , as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign,
execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, all of the following classes of documents to -wit:
$41,500.00
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law
or equity; policies indemnifying employers against loss or damage caused by the misconduct of their employees; official, bail and
surety and fidelity bonds. Indemnity in all cases where indemnity may be lawfully given; and with full power and authority to
execute consents and waivers to modify or change or extend any bond or document executed for this Company, and to compromise
and settle any and all claims or demands made or existing against said Company.
The RLI INSURANCE COMPANY further certifies that the following is a true and exact copy of a Resolution adopted by the Board of
Directors of RLI Insurance Company, and now in force to -wit:
"All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers
as the Board of Directors may authorise. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys -in -Fact or Agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company_
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers -of -Attorney, or other obligations of
the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its
corporate seal affixed this
ATTEST:
State of Illinois
County of Peoria
CORPORATE SECRETARY
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PRESIDENT with its
RUINS CE COMPANY
PRESIDENT
On this 22 day of February 2016 before me, a Notary Public, personally appeared Michael J. Stone and Jean M. Stephenson,3vho,
by me. -
duly sworn, acknowledged that they signed the above Power of Attorney as President and Corporate Secretary, respectively, of the said' 'IP[aMANCE s$
COMPANY, and acknowledged said instrument to be the voluntary act and deed of said corporation.
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"OFFICIAL SEAL"
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STATEOF
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