Laserfiche WebLink
Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned 4�„ — i,�_ <br />person], in his/her capacity as ,%� r, title of authorized person] ("Affiant"), <br />personally appeared and, being first duly sworn upon oath said: <br />[name of authorized <br />1. This affidavit is being executed vd submitted49n behalf of <br />of business organization], a(n) �jjnt�2c� ja 2 ( ' „ [legal form of business organization, <br />e.g., corporation, partnership, limited liability compan , etc.], in go l standing in the State of Colorado (the <br />"Company"). <br />�-t� . <br />name <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />number M,4©4 _ I j -e (DRMS 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's Name J <br />STATE OF <br />COUNTY OF <br />ss. <br />by �The foregoii ins ment was acknowl ed before me this <br />et/ill €4% l 6L^ as LAIALdifytk <br />NOV 0 201h <br />„,stun of Reclamation, <br />Mining & Safety <br />day of ifeetnittl/ , cu!. �G <br />ofl< xn�1,.}PA, d� <br />Notary Public <br />My Commission Expires 3/7 c O/ <br />SHIRLEY L WITHERSPOON 4 <br />NOTARY PUBLIC <br />MY COMMISSION EXPIRES MARCH 7, 20191 <br />STATE OF COLORADO <br />NOTARY ID 19914001387 <br />4 <br />