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<br />Page 3 of 4 <br /> <br />hereby promises to be responsible for the cost of reclamation up to the amount specified by the <br />Board. <br /> <br />If the Board determines that the Permittee is in default under this performance warranty <br />and has failed to cure such default, although written notice of such default and ample time to cure <br />such default have been given, the Permittee's financial warranty shall be subject to forfeiture. <br /> <br />This performance warranty may be executed in multiple copies, each of which shall be <br />treated as an original, but together they constitute only one agreement, the validity and <br />interpretation of which shall be governed by the laws of the State of Colorado. <br /> <br />The provisions hereof shall bind and inure to the benefit of the parties hereto and their <br />successors and assigns. <br /> <br />SIGNED, SEALED AND DATED this day of , . <br /> <br /> <br /> Donald J. Self (SEAL) <br /> Permittee <br /> <br /> By: <br /> <br /> Title: <br /> <br /> <br /> NOTARIZATION OF PERMITTEE'S ACKNOWLEDGEMENT <br /> <br /> <br />STATE OF ) <br /> ) ss. <br />COUNTY OF ) <br /> <br />The foregoing instrument was acknowledged before me this day of <br />, , by as of <br /> . <br /> <br /> <br /> NOTARY PUBLIC <br /> <br />My Commission expires: <br /> <br />APPROVED: <br />State of Colorado <br />Mined Land Reclamation Board