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Affidavit of Authority to Agree to Conduct Electronic Permitting <br />The Colorado Mined Land Reclamation Board ("Board') has adopted the attached <br />Affidavit of Authority to Execute ePermitting Documents pursuant to the Mined Land <br />Reclamation Act (C. R. S. 34-32-101 et. seq) and the Land Reclamation Act for the <br />Extraction of Construction Materials (C.R.S. 34-32.5-101 et. seq.) . Tlie Board and the <br />Division of Reclamation Mining and Safety ("Division') have determined that it is <br />necessary to verify the legal authority of the individual signing necessary documents. <br />Accordingly, you must provide confirmation of the legal authority of the individual <br />signing all ePermitting documents to the Division. You may do so either by submitting <br />a resolution of the decision-making body of your company that authorized an individual <br />to sign the Opt -In Agreement on the company's behalf, or by completing and notarizing <br />the attached affidavit. The Division reserves the right to require the attached affidavit <br />in all circumstances. Please note that if you are a sole proprietor who is executing <br />documents on you own behalf, documentation of legal authority is unnecessary. <br />Before me this day, the undersigned <br />[name of authorized person] <br />in his/her capacity as - <br />[title of authorized person] <br />("Affiant" ), personaIly appeared and, <br />being first duly sworn upon oath said: <br />1. This affidavit is being executed and <br />submitted on behalf of <br />a(n) <br />wKcs {r� co <br />[name of business organization] <br />3 r m rP <br />[legal form of business organization, e.g., <br />corporation, partnership, limited liability <br />company, etc.,] <br />in good standing in the State of Colorado (the "Company"). <br />2. It is in the interest of the Company to conduct certain electronic permitting actions <br />which are required by the Colorado Mined Land Reclamation Board and Division <br />of Reclamation Mining and Safety pursuant to Colorado Iaw ("ePermitting"). <br />3. Affiant is duly authorized to sign such ePermitting Documents on behalf of the <br />Company and to bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by <br />any applicable law from executing the ePermitting Documents. <br />