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Save Print Clear <br /> Form 3809-5 UNITED STATES <br /> (August2014) DEPARTMENT OF THE INTERIOR <br /> FORM APPROVED <br /> BUREAU OF LAND MANAGEMENT OMB No. 1004-0194 <br /> Expires:August 31,2016 <br /> NOTIFICATION OF CHANGE OF OPERATOR AND ASSUMPTION OF PAST LIABILITY <br /> The mining law surface management regulations at 43 CFR 3809 require that obligations accrued or conditions created under an operation <br /> remain with that operator until(1)Bureau of Land Management(BLM)accepts a satisfactory replacement financial guarantee adequate to <br /> cover the previously accrued obligations and(2)BLM receives documentation that a transferee accepts responsibility for the transferor's <br /> previously accrued obligations. Therefore,the undersigned transferee hereby assumes all liabilities that may be outstanding on the plan of <br /> operations or notice shown below,including,but not limited to,the obligation to properly reclaim and restore the land disturbed on said <br /> plan or notice within the approved reclamation plan or notice filed with the BLM;provided that the obligation will not act to increase the <br /> potential or cumulative liability above the face amount of the replacement bond to which this notification attaches in the amount stated <br /> below as required from the transferee. <br /> 1.BLM Notice or Plan of Operations Number(s):COC-60321 <br /> 2.Date BLM Accepted Notice or Approved the Plan of Operations: <br /> 3.Change of operator on the Notice(s)or Plan(s)shown is proposed on 0 212 812 0 1 9 as follows: <br /> (Date) <br /> FROM:Current Operator(Transferor)COTTER CORPORATION NSL <br /> Address 7800 E. DORADO PLACE, SUITE 210 <br /> Address GREENWOOD VILLAGE,CO 80111 <br /> Byl4 { <br /> (11rint, ame) <br /> Signature 1 <br /> Title <br /> Surface Reclamation Bonding Amount Currently Obligated: Sum of <br /> U.S.dollars(S ). <br /> TO: Proposed Operator(Transferee) HIGHBURY RESOURCES INC. <br /> Address 10808 S. RIVER FRONT PARKWAY,SUITE 321 <br /> Address SOUTH JORDAN, UT 84095 <br /> By JOSHUA BLEAK <br /> (Print Name) <br /> Signature <br /> Title PRESIDENT <br /> Surface Reclamation Bond: Sum of THIRTY FIVE THOUSAND ONE HUNDRED SIXTY SEVEN DOLLARS AND THIRTY CENTS <br /> U.S.dollars($35.167.30 }. <br /> 83-1420995 <br /> (TIN or SSN) <br /> Change of Operator Approved Pending Acceptance of Satisfactory Bond: <br /> (Field Manager) (Date) <br /> cc: State Office <br /> Surety,if applicable <br /> (Continued on page 2) <br />