Fill and Sign the At All Times While Operations Are Conducted under the Joint Operating Agreement to Which This Form

Form 2 EXHIBIT “D” TO OPERATING AGREEMENT INSURANCE At all times while operations are conducted under the Joint Operating Agreement to which this Exhibit is attached, Operator shall comply with the workers compensation law of the state where operations are being conducted; provided, however, Operator may be a self-insurer for liability under the compensation laws in which event the only charge that shall be made to t he joint account shall be as provided for in the Accounting Procedures. Operator shall also carry or provide insurance for the benefit of the joint account of the Parties employer’s, liabili ty insurance covering each employee engaged in operations under this Agreement in at l ease the amount of $__________, and any other insurance as outlined in the provisions below which are selected by the parties: Check Applicable Provisions: _____ Automobile bodily injury liability insurance in the amount of $________________ each person, $_________________ each occurrence. _____ Automobile property damage liability in the amount of $ _______________ per occurrence. _____ General liability insurance in the amount of $_________________ per occurrence including all operations, independent contractors, completed operations, and blanket contractual liabili ty (including oral contracts). _____ Broad form property damage liability insurance in the amount of $____________ per occurrence, including all operations, independent contractors, completed operations, and blanket contractua l liability (including oral contracts). _____ Umbrella liability insurance in the amount of $_________ covering liability of the parti es for loss or damage exceeding the insurance coverage specified above or otherwise not covered by insurance maintained by Operator or any third-party contractor. _____ Control of well insurance in the amount of $__________ for each occurrence including expense for clean-up, containment, seepage and pollution; coverage for this insurance shall be subject to a deductible of $__________. Deletion of the following exclusions from liability insurance (check those to be deleted): _____ Blowout and cratering _____ Blasting _____ Natural Resources – Water Pollution _____ Saline Substances _____ Insurance for the protection of the jointly owned equipment in the Contract Area against fire, windstorm, tornado, explosion, vandalism, malicious mischief, or other extended perils. _____ Other: Operator shall require all contractors engaged in work on or for the Contract Area to comply with the workers compensation law of the state where the operations are being conducted and to maintain appropriate employer’s liability insurance and all other insurance as Operator may require, including at a minimum the insurance selected below: Coverage Minimum Limits Drilling Other Major Contractors Contractors Workers Compensation Statutory Statutory Employer’s Liability $_________ $_________ General LiabilityBodily Injury Each Occurrence __________ __________ Property Damage Each Occurrence __________ __________ Contractual Liability As required to cover all liability assumed. Automobile Public LiabilityBodily InjuryEach Person Each Occurrence Property Damage Contractor’s Equipment Actual cash value, or per rental or lease contract, as appropriate. In the event automobile liability insurance is specified above, or subsequently receives the approval of the Parties, no direct charge shall be made by Operator for premiums paid for t hat insurance for Operator’s automotive equipment. Each Party shall be responsible for maintaining its own insurance in excess of the amount s or coverage specifically selected above, and unless provided otherwise above, each Party shal l be responsible for insuring its own interest in the Contract Area with respect to physical dam age to property, theft, or loss of income. Each insurance policy obtained by Operator with respect to operations shall name the Non- Operators as additional insureds and shall contain a waiver of subrogation with respect t o the Non-Operators. On request, Operator shall cause a certificate of the insurance obtained for the joint account to be delivered to Non-Operators. The certificate shall describe the coverage obtained, any exc lusions from the coverage, and the parties insured, and shall provide at least thirty (30) da ys prior notice to Non-Operators in the event of cancellation.