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2024-01-30_BONDING - M2003016
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2024-01-30_BONDING - M2003016
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Entry Properties
Last modified
2/1/2024 8:31:22 PM
Creation date
2/1/2024 10:14:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2003016
IBM Index Class Name
Bonding
Doc Date
1/30/2024
Doc Name
Performance Warranty
From
DRMS
To
City of Broomfield
Type & Sequence
SO4
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned Brennan Middleton [name of authorized person],in his/her <br /> capacity as Water Resources Manager [title of authorized person]("Affiant"),personally appeared and,being first duly <br /> sworn upon oath said: <br /> 1. This affidavit is being executed and submitted on behalf of City and County of Broomfield [name of business <br /> organization],a(n) [legal form of business organization, e.g.,corporation, <br /> partnership,limited liability company,etc.],in good standing in the State of Colorado(the"Company"). <br /> 2. It is in the interest of the Company to execute certain financial warranty documents associated with file number <br /> M-2003-016 (DRMS file number),which are required by the Colorado Mined Land Reclamation Board and <br /> Division of Reclamation Mining and Safety pursuant to Colorado law("Financial Warranty Documents"). <br /> 3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to bind the Company to <br /> the same. <br /> 4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from executing the <br /> Financial Warranty Documents. <br /> 5. Affiant will inform the Division of Reclamation Mining and Safety within thirty(30)days in the event that his/her <br /> authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br /> Further,Affiant sayeth not. <br /> Brennan Middleton <br /> Affiant's Name <br /> 6r,� __.. <br /> Signature <br /> STATE OF C�IU r� �o ) <br /> ss.: <br /> COUNTY OF Ef ooW1 <br /> The foregoing instrument was acknowledged before me this_]� day of Jat n V OL(+t 202 <br /> by Brennan Middleton as Water Resources Manager of City and County of Broomfield <br /> Notary Public <br /> My Commission Expires �e Uc.( 20Z5 <br /> MinAffidavitAuthority.docx Rev.08/16 <br /> CATHERINE HARRIS <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20214005321 <br /> MY COMMISSION EXPIRES FEBRUARY 9,2025 <br />
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