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Agreement to Conduct Permitting by Electronic Means <br /> Name of permittee representative desiring to BRADLEY SHANE WILSON <br /> opt in to ePermit: <br /> Title: Plant Manager <br /> Name of permittee: CEMEX, Inc. <br /> Signature: <br /> ePermitting Administrator(if different from <br /> representative signing agreement) MICHAEL L.WHITEHEAD <br /> Email Address for ePermit Account: michaell.whitehead@cemex.com <br /> Notarized Affidavit of Signature <br /> STATE OF: COLORADO ) <br /> COUNTY OF: BOULDER ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this 9 day of by <br /> (date) (month) (year) <br /> BRADLEY SHANE WILSON as Plant Manager <br /> (Name of permittee representative) (title) <br /> of <br /> CEMEX, Inc. <br /> (permittee) <br /> PU <br /> (seal) <br /> My Commission expires: <br /> Page 3 of 6 <br />