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RECEIVED <br />JUL 17 2012 <br />Division of Reclamation, <br />Affidavit of Authority to Execute Financial Warranty Documents & Safety <br />Before me this day, the undersigned Ma Ir il- A - . -t-e.e.c [name of authorized <br />person], in his/her capacity as Qi2csideeilk— [title of authorized person] ( "Affiant "), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted ou behalf of Gold 4-l:« 1M(:c1QS. 1c_Iname <br />of business organization], a �no.}:vmw. <br />� � [legal form of business organization, <br />e.g., corporation, partnership, limited liability company, etc.], in good standing in the State of Colorado (the <br />"Company "). <br />Signature <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />numberML- l9 b3 - 141 (DRMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ( "Financial <br />Warranty Documents "). <br />3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to <br />bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from <br />executing the Financial Warranty Documents. <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty (30) days in the event that <br />his /her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />Mawr 1F- A - 5}ePn <br />Affiant's Name <br />STATE OF 10 IQ <br />COUNTY OF 1 6 U U l /✓ �� <br />ss.. <br />The foregoing instrument was acknowledged , gel before me this � V ay of 3 0� ». <br />by jvis�►r� A. /1 as r of C70t4 tt i t ;ACl 4 <br />Notary Public <br />My Commission Expires <br />