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LICENSE & PERMIT BOND
Bond Number: 022044088
KNOW ALL MEN BY THESE PRESENTS, that we Grand River Gathering Company, LLC
Interchange Corporate Center
450 Plymouth Road, Suite 400
Plymouth Meeting, PA 19462-1644
Ph. (610) 832-8240
, as principal (the "Principal"),
and Liberty Mutual Insurance Company, a Massachusetts stock insurance company, as surety (the "Surety"), are held
and firmly bound unto Garfield County/Board of County Commissioners
in the penal sum of Six Thousand, One Hundred Fifty & 00/100
, as obligee (the "Obligee"),
Dollars ($ 6,150.00 ),
for the payment of which sum well and truly to be made, the Principal and the Surety, bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has applied for a license or permit for Grading Permit. Piceance Energy 08-13 Line.
for the term beginning the 28th day of May , 20 14 , and ending the 28th day of May
20 15 , and this Bond is intended to cover the term of said License or Permit.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the license or permit is issued to
the Principal, and if Principal shall indemnify and save harmless the Obligee from and against all Toss, to which the
Obligee may be subject by reason of the Principal's breach of any ordinance, rule, or regulation, relating to the above
described license or permit, then this obligation shall be null and void; otherwise to remain in full force and effect.
PROVIDED AND SUBJECT TO THE CONDITIONS PRECEDENT:
1. The liability of the Surety hereunder shall in no event exceed the penal sum of this bond as stated above,
regardless of the number of years the bond shall continue in force.
2. This bond shall continue in force until (surety shall elect either option a or b)
111 a. the day of , 20 , or until the expiration date of any Continuation
Certificate executed by the Surety.
✓❑ b. the Surety notifies the Obligee in writing of its cancellation of the bond. The Surety shall be relieved of
any further liability under this bond thirty (30) days after receipt of said notice by the Obligee, except
for defaults occurring prior thereto.
3. Any claim under this bond must be presented in writing to the Surety to the attention of The Surety Law
Department at the following address: Interchange Corporate Center, 450 Plymouth Road, Suite 400, Plymouth
Meeting, PA 19462-1644. Should the address of the Surety change, then notice shall be delivered by the
Obligee to the Surety as directed in writing by the Surety.
DATED as of this 28th day of May
, 20 14
WITNESS /ATTEST Grand River Gathering Company, LLC
(Principal)
By:
itfe S?4:ur Vile ���';tdf _ c -o
LIBERTY MUTUAL INSURANCE COMPANY
(Surety)
By:
D. N. :royles, Attorney -in -Fact
(Seal)
(Seal)
LMIC-6500 Rev. 03/04
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 4963316
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the
extent herein stated.
LIBERTY MUTUAL INSURANCE COMPANY
BOSTON, MASSACHUSETTS
POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS: That Liberty Mutual Insurance Company (the "Company"), a Massachusetts stock insurance company,
pursuant to and by authority of the By-law and Authorization hereinafter set forth, does hereby name, constitute and appoint CARA D. HANCOCK,
JENNIFER WINTERS, ANGELA S. GOFF, RON W. STROMAN, HAROLD D. BINGGELI, D. N. BROYLES, ALL OF THE CITY OF LUBBOCK, STATE OF TEXAS
, each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its
behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations in the penal sum not exceeding
TWENTY MILLION AND 001100 DOLLARS ($ 20,000,000.00****************************) each, and the
execution of such undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents, shall be as binding upon the Company
as if they had been duly signed by the president and attested by the secretary of the Company in their own proper persons.
That this power is made and executed pursuant to and by authority of the following By-law and Authorization:
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the
chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make,
execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -
in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and
execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
By the following instrument the chairman or the president has authorized the officer or other official named therein to appoint attorneys -in -fact:
Pursuant to Article XIII, Section 5 of the By -Laws, David M. Carey, Assistant Secretary of Liberty Mutual Insurance Company, is hereby authorized
to appoint such attorneys -in -fact as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations.
That the By-law and the Authorization set forth above are true copies thereof and are now in full force and effect.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Company and the corporate seal of Liberty
Mutual Insurance Company has been affixed thereto in Plymouth Meeting, Pennsylvania this day of 1st day of November
2011
LIBERTY MUTUAL INSURANCE COMPANY
By
David M. Carey, Assistant Secretary
COMMONWEALTH OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
On this 1st day of November 2011 before me, a Notary Public, personally came David M. Carey, to me known, and
acknowledged that he is an Assistant Secretary of Liberty Mutual Insurance Company; that he knows the seal of said corporation; and that he executed
the above Power of Attorney and affixed the corporate seal of Liberty Mutual Insurance Company thereto with the authority and at the direction of said
corporation.
IN TESTIMONY WHEREOF; I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year
first above written.
By
Teresa Pastella, Notary Public
CERTIFICATE
I, the undersigned, Assistant Secretary of Liberty Mutual Insurance Company, do hereby certify that the original power of attorney of which the foregoing is
a full, true and correct copy, is in full force and effect on the date of this certificate; and I do further certify that the officer or official who executed the said
power of attorney is an Assistant Secretary specially authorized by the chairman or the president to appoint attorneys -in -fact as provided in Article XIII,
Section 5 of the By-laws of Liberty Mutual Insurance Company.
This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following
vote of the board of directors of Liberty Mutual Insurance Company at a meeting duly called and held on the 12th day of March, 1980.
VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company, wherever appearing upon a certified
copy of any power of attorney issued by the company in connection with surety bonds, shall be valid and binding upon the company with the
same force and effect as though manually affixed.
.N TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal .of the said company, this 28th day of
May , 2014
Gregory W. Davenport, Assistant Secretary