CLTA Form 100.23-06 (09-08-13) | Minerals, Surface Damage

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CLTA Form 100.23-06 (09-08-13) | Minerals, Surface Damage

Form Document
V 1



Attached to Policy No.

Issued by


   The Company insures  against loss or damage sustained by reason of damage to existing improvements, including lawns, shrubbery or trees resulting from the exercise of any right to use the surface of the Land for the extraction or development of the minerals leased under the oil and gas lease shown in paragraph       of Schedule B.

   This endorsement does not insure against loss or damage (and the Company will not pay costs, attorneys' fees, or expenses) resulting from:

    (a)   contamination, explosion, fire, vibration, fracturing, earthquake or subsidence; [or]

    (b)    negligence by a person or an Entity exercising a right to extract or develop minerals or other     subsurface substances [; or

    (c)   The exercise of the rights described in (         )]. *

*Instructional note:  identify the interest excepted from the description of the Land in Schedule A or excepted in Schedule B that you intend to exclude from this coverage.

   This endorsement is issued as part of the policy.  Except as it expressly states, it does not (i) modify any of the terms and provisions of the policy, (ii) modify any prior endorsements, (iii) extend the Date of Policy, or (iv) increase the Amount of Insurance.  To the extent a provision of the policy or a previous endorsement is inconsistent with an express provision of this endorsement, this endorsement controls.  Otherwise, this endorsement is subject to all of the terms and provisions of the policy and of any prior endorsements.



Dated:   By______________________________

CLTA Form 100.23-06 (09-08-13)

ALTA - Lender


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