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't <br /> Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned [name of authorized person],in his/her <br /> capacity as [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 [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 /> (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 /> Affiant's Name <br /> Signature <br /> STATE OF ) <br /> ) ss.: <br /> COUNTY OF ) <br /> Ow <br /> The foregoing instrument was acknowledged before me this day of , , <br /> by as of . <br /> Notary Public <br /> My Commission Expires <br /> MinAffidavitAuthority.docx Rev.08/16 <br />