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! aA <br />o 167 &1 V-oJ <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned ; ,Ud i V1 ✓t C erl 173 [name of authorized <br />person], in his /her capacity as [E [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and s bmitted on behalf of rn rcaI C [name <br />of business organization], a(n) a t O n [legal form of business organization, <br />e.g., corporation, partnership, limited liabilrty company, etc.], in good standing in the State of Colorado (the <br />"Company "). <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />number% -A- I g9 is - 00 % (DBMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ( "Financial <br />Warranty Documents "). <br />3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to <br />bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from <br />executing the Financial Warranty Documents. <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty (30) days in the event that <br />his/her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />Affiant' Name <br />Suture <br />STATE OF <br />ss <br />COUNTY OF <br />The foregoing instrument was acknowledged before me this 16t'-day of aN�; ZOi <br />by 3A!V 1C:ENTISas l 0 of \NR -,;M W C - <br />�� <br />. 'Notary Public <br />My Commission Expires Q� p <br />NolWF= <br />0FOO a M <br />Nomw+rq�ooMO���e <br />W OONO Mpi 0{P AV 30.2016 <br />