Company Detail

COGIS - Operator Name, Address and Financial Assurance

COMPANY DETAIL REPORT

EWS 4 DJ BASIN LLC - 10649 2015 CLUBHOUSE DR SUITE 201 GREELEY, CO 80634 USA PHONE (970) 515-6950 EMERGENCY (970) 381-5005

Financial Assurance Plan

Option 4

Approval Date:

07/12/2023

APPROVED OPERATION(S)

Operation Type	Start Date	End Date
INJECTION WELL OPER	01/10/2017	N/A
OPERATOR	01/10/2017	N/A

SURETY INFORMATION

Surety ID	Status	Bond Type	Amount	Coverage	Received	Instrument	Inst. #
20230114	ACTIVE	PLUGGING	$30,667.00	INDIVIDUAL	8/25/2023	COMBINED	COMBINED 2 INS BONDS
20230112	ACTIVE	PLUGGING	$50,667.00	INDIVIDUAL	8/25/2023	COMBINED	COMBINED 2 INS BONDS
20230110	ACTIVE	PLUGGING	$50,667.00	INDIVIDUAL	8/25/2023	COMBINED	COMBINED 2 INS BONDS
20220012	ACTIVE	PLUGGING	$20,000.00	INDIVIDUAL	12/27/2021	SURETY BOND	PB02238600019
20220013	ACTIVE	COMMERCIAL UIC	$100,000.00	INDIVIDUAL	12/27/2021	SURETY BOND	PB02238600020
20220014	ACTIVE	PLUGGING	$20,000.00	INDIVIDUAL	12/27/2021	SURETY BOND	PB02238600021
20220015	ACTIVE	COMMERCIAL UIC	$100,000.00	INDIVIDUAL	12/27/2021	SURETY BOND	PB02238600022
20210164	ACTIVE	COMMERCIAL UIC	$100,000.00	INDIVIDUAL	10/29/2021	SURETY BOND	PB02238600027
20230111	ACTIVE	PLUGGING	$30,667.00	BLANKET	8/25/2023	SURETY BOND	PB02238600088
20230113	ACTIVE	PLUGGING	$30,667.00	BLANKET	8/25/2023	SURETY BOND	PB02238600090
20230109	ACTIVE	PLUGGING	$30,667.00	BLANKET	8/25/2023	SURETY BOND	PB02238600095
20210165	ACTIVE	PLUGGING	$20,000.00	INDIVIDUAL	10/29/2021	SURETY BOND	PB02338600028
20170007	RELEASED	PLUGGING	$20,000.00	INDIVIDUAL	1/6/2017	SURETY BOND	LPM9237718
20170008	RELEASED	COMMERCIAL UIC	$50,000.00	INDIVIDUAL	1/6/2017	SURETY BOND	LPM9237719
20170006	RELEASED	PLUGGING	$20,000.00	INDIVIDUAL	1/6/2017	SURETY BOND	LPM9237720
20170005	RELEASED	COMMERCIAL UIC	$50,000.00	INDIVIDUAL	1/6/2017	SURETY BOND	LPM9237721
20180139	RELEASED	COMMERCIAL UIC	$50,000.00	INDIVIDUAL	9/10/2018	SURETY BOND	LPM9297826
20180138	RELEASED	PLUGGING	$20,000.00	INDIVIDUAL	9/10/2018	SURETY BOND	LPM9297827

*NOTE: Combined instruments are provided for ECMC purposes only and any financial assurance displayed is already accounted for with other instruments.

CONSOLIDATION OF RELATED OPERATORS
(Rule 702.c.(7) & Rule 705.a.)

The Operator Is neither a parent nor a subsidiary pursuant to these rules.

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