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2025-01-30_BONDING - M2024015
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2025-01-30_BONDING - M2024015
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Last modified
1/30/2025 8:32:49 PM
Creation date
1/30/2025 10:33:03 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2024015
IBM Index Class Name
Bonding
Doc Date
1/30/2025
Doc Name
Performance Warranty
From
DRMS
To
Central Co Water
Media Type
D
Archive
No
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Affidavit of Authority to Execute Financial Warranty Documents <br /> Before me this day,the undersigned Randy Ray [name of authorized person],in his/her <br /> Executive Director p ](« ")�personally pp g y <br /> capacity as [title of authorized erson Affiant ersonall appeared and,being first dui <br /> sworn upon oath said: <br /> 1. This affidavit is being executed and submitted on behalf of Central Colorado Water Conservancy District[name of business <br /> Government Special District form of business organization, corporation, <br /> organization],a(n) _._ ... ......._....._ .. � ....... (legal g e.g.,S•, rp , <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-2024-015 (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 /> Randy Ray <br /> . _s. N-a,ti _ .,, w............... <br /> Affiant's Name <br /> Kati,.. �........e..._._.. .,�,.�.m�. �..�..�� <br /> Signature <br /> STATE OF Colorado ) <br /> .................................... <br /> ss.: <br /> COUNTY OF Weld ) <br /> The foregoing instrument was acknowledged before me this day of_, <br /> y Randy Ray as Executive Director ConservancyD <br /> b �f Central Colorado Water �.. <br /> Notary Public <br /> m.n . .. ...,. __ <br /> y Commission Expires <br /> MinAffidavitAuthority.docx Rev.08116 <br /> ALISON DCOVAhi FORRR <br /> Notary Public <br /> State of Colorado <br /> Notary Ili#2024094 <br /> y Commission Ex ir®e 06n20--2027 <br />
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