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2024-07-16_BONDING - M2024005 (2)
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2024-07-16_BONDING - M2024005 (2)
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Entry Properties
Last modified
7/16/2024 8:43:30 PM
Creation date
7/16/2024 12:16:20 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2024005
IBM Index Class Name
Bonding
Doc Date
7/16/2024
Doc Name
Performance Warranty
From
DRMS
To
Sedwick County
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this da ,the undersigned I I f [name of authorized person], in his/her <br /> capacity as_ Iss,Dffl e [title of authorized person]("Affiant"),personally appeared and,being first duly <br /> sworn upon oath said: <br /> 1. This affidavit is being xecuted and submitted on behalf of .(�GLc)IL�((MA* [name of business <br /> organization],a(n) cftc 11 �,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 /> (DBMS 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 /> cam 4 LC A M0 um mk- — <br /> Affiant's Name <br /> Signature <br /> STATE OF ) <br /> ss.: <br /> COUNTY OF } ) <br /> r <br /> The foregoing instrument was acknowledged before me this day of <br /> by 1� � il�![�k 4 of <br /> Notary Public 0 <br /> My Commission Expires <br /> MinAffidavitAuthority.docx Rev.08116 <br /> ECKMANBLICORADO14029279t:m <br /> ES MAY 17,2027 <br />
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