Name of Mine, Production Facility or Transport Operation
Multiservicios Kaxiclan’s S.A.C.
Signatory Ownership Position
100%
Name of Operating Company
Multiservicios Kaxiclan’s S.A.C.
Operation Address / Location
Jr. Miguel Grau 336
Cajabamba,
Cajamarca
Peru
Date of Certification
Date of Initial Certification
Signatory Date*