Surface Mine Reclamation Blanket Bond (Form SM-14) 10/2016 Page 1 of 2

Surface Mine Reclamation Blanket Bond (Form SM-14) 10/2016 Page 1 of 2

Bond No.

KNOW ALL PEOPLE BY THESE PRESENTS, That we, principal responsible person, as Principal, and names of other responsible persons, organized and existing under the laws of the State of state in which permit holder resides and authorized to transact business in the State of Washington, as Surety, are held and firmly bound unto the State of Washington, acting through the Department of Natural Resources, in the sum of ($) U.S. DOLLARS, for the payment of which sum, we bind ourselves, and each of our legal representatives, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

WHEREAS, the Principal has received multiple surface mining permits under RCW 78.44 from the Department of Natural Resources, State of Washington. All surface mine permit holders must maintain adequate performance securities with the Department of Natural Resources as a means of ensuring coverage for reclamation and encouraging segmental reclamation. The Principal requests Surety to financially secure reclamation and surface mine permit obligations for surface mine permits listed in Exhibit A. Under the terms of this Blanket Bond, Surety agrees to include within the coverage of this Blanket Bond all permits listed within Exhibit A and all associated Premises.

NOW, THEREFORE, Surety financially secures the Principal’s performance of all its obligations for covered surface mine permits and associated Premises under the surface mine permits listed in Exhibit A, the Surface Mining Act, RCW 78.44, and the Surface Mining Rules, WAC 332-18. In accordance with RCW 78.44, this bond secures completion of reclamation for the area surface mined in association with the listed permits after the signature date of this bond and any previously disturbed areas on the Premises on which reclamation has not been satisfactorily completed and approved. The conditions of this obligation are such that if the Principal, in conducting such surface mining, faithfully performs the requirements of the permits listed in Exhibit A and Chapter 78.44 of the Revised Code of Washington (RCW), relating to mining and the reclamation of surface mined land, and the Rules adopted thereunder, then this obligation shall be exonerated and discharged and become null and void; otherwise it is to remain in full force and effect.

PROVIDED, However, the Surety shall not be liable under this bond for an amount greater in the aggregate than the sum designated in the first paragraph hereof and any reasonable legal fees that the Department may incur to recover the security. The Surety shall not be liable for surface mining performed on the Premises after a date sixty days after the Surety mails a cancellation notice to the Principal and the Department of Natural Resources, MS 47007, Olympia, WA 98504-7007. The bond shall remain in full force and effect as respects obligations related to surface mining performed under the surface mine permits listed in Exhibit A or associated Premises before that date unless the Principal files a substitute bond or other performance security approved by the Department of Natural Resources or unless the Department of Natural Resources otherwise releases the Surety in writing. Nothing in this Blanket Bond reduces the Principal’s responsibility for reclaiming all Premises associated with covered surface mine permits.

Signed, sealed, and dated this day day of month, year

Attorney in fact (type name below line) / Principal (type name below line)

Attorney name Principal name

Surety name Principal title

Company name Company name

Mailing address Mailing address

City, State, Zip City, State, Zip

Phone number Phone number

E-mail address E-mail address

SURFACE MINING
RECLAMATION BLANKET BOND
Exhibit A

Bond no. Issue date

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Permit number Mine name

Surface Mine Reclamation Blanket Bond (Form SM-14) 10/2016 Page 1 of 2