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O.C. #2 Coal Mine -Permit No. C-80-002 <br />Prior Experience <br />1 Project <br />Project Owner <br />Contact Name <br />Brief Description of Project linclude location and size) <br />2 Project Name Datels) <br />Project Owner <br />Contact Name Phone <br />Brief Description of Project linclude location and size) <br />The undersigned agrees to comply with all Rules and Regulations of the Colorado Surface Coal Mining <br />Reclamation Act, the General Conditions of the Purchase Order and the Purchase Order Terms and <br />Conditions and all other requirements of these documents: <br />Individual or Company Name <br />Professional Certification No <br />Date <br />Address <br />Phone <br />Page I of 1 Page <br />