Laserfiche WebLink
S � I✓j <br />M 20W-'oo1 <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the undersigned ✓ / 4" /1 FC [name of authorized <br />person], in his/her capacity as [title of authorized person] ( "Affiant "), <br />personally appeared and, being firs duly sworn upo'tl oath said: <br />C�4 <br />1. This affidavit is being executed and submitted on b hatf of - h Ord _[name <br />of business organization], a(n) �' o r!1 14 [lega form business organization, <br />e.g., corporation, partnership, limited lia ility company, etc.], in good standing in the State of Colorado (the <br />"Company "). <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />number le (DRMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Div'isio'n 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 />Affiarl 's Name <br />STATE OF �d/Yea- <br />ss.. <br />COUNTY OF <br />The foregoing instrument was acknowledged bef a me this day of d � , <br />by�Z. simri? `i as of%yZr&Janr�n�s <br />• DIA/V <br />�INNo•`` •:9 Notary Public <br />P <br />My Commission Expires <br />M ; t% S' • 0 <br />o. 6` <br />.Pr�f'QLr ®1� O <br />A3®,`o,`a`, <br />DEC 12 201.1 <br />Division of Reclamation, <br />alining & Safety <br />