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Home My WebLink About20153424.tiff RESOLUTION RE: APPROVE AGREEMENT FOR THE PURCHASE AND SALE OF REAL PROPERTY AND AUTHORIZE CHAIR TO SIGN - HARVEY VERNON MABIS II WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement for the Purchase and Sale of Real Property between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the County Attorney's Office, and Harvey Vernon Mabis II, commencing upon full execution, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for the Purchase and Sale of Real Property between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the County Attorney's Office, and Harvey Vernon Mabis II be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 26th day of October, A.D., 2015. BOARD OF COUNTY COMMISSIONERS W D COUNTY, C ORADO • ATTEST:di /O G: • ,tl,l It arbara Kirkmeyer, Chair Weld County Clerk to the Board Mike Freeman, Pro-Tem D ty Clerk to he Board ��`., } / P�� ---�� tiL,.; ` . _r V P. Co way qa i APPROVED AS TO FORM: '� O �� t N • ' A. Cozad County Attorney 1 � � ♦ 11/4 "Steve Moreno Date of signature: 2015-3424 U : a3c,)14g PR0034 AGREEMENT FOR THE PURCHASE AND SALE OF REAL PROPERTY,BETWEEN HARVEY VERNON MABIS II AND WELD COUNTY,COLORADO THIS AGREEMENT is made this a,to day of October 2015, by and between HARVEY VERNON MABIS II,whose address is 23769 County Road 49, LaSalle, Colorado 80645, hereinafter referred to as "Owner" or "Seller,"and the COUNTY OF WELD, a body corporate and politic of the State of Colorado,by and through its Board of County Commissioners,whose address is 1150 'O' Street, Greeley, Colorado 80631 hereinafter referred to as "County" or "Buyer." WITNESSETH: WHEREAS, Owner owns a parcel of real property described as LOT A OF RECORDED EXEMPTION NO. 1055-01-1-RE 2035, RECORDED JUNE 20, 1997 IN BOOK 1612 AT RECEPTION NO. 2554136,BEING A PART OF THE NORTH 1/2 OF THE NORTHEAST 1/4 OF SECTION 1, TOWNSHIP 4 NORTH, RANGE 65 WEST OF THE 6TH P.M., COUNTY OF WELD, STATE OF COLORADO. (hereinafter referred to as the"Property")also known as 23769 County Road 49,LaSalle,Colorado 80645, and WHEREAS, County finds it necessary to rebuild and improve Weld County Road 49 (hereinafter "WCR 49"), which will improve the alignment and construction of the roadway, (hereinafter referred to as "WCR 49 Corridor Improvement Project"(the "Project"), and WHEREAS, County requires the Property for the benefit of County in order to complete a portion of said Project, and WHEREAS, Owner wishes to cooperate with County in said Road Improvement Project, NOW, THEREFORE, the parties herein agree as follows: 1. Agreement. Buyer agrees to buy, and Seller agrees to sell,the Property on the terms and conditions set forth in this contract,together with the interests, easements, rights, benefits, improvements and attached fixtures appurtenant thereto, and all interest of Seller in oil, gas, other mineral interests,and vacated streets and alleys adjacent thereto,except as herein excluded (Property). 2. Inclusions and Exclusions. a. The Purchase Price includes the following items (Inclusions): i. Fixtures. If attached to the Property on the date of this Contract,the following items are included unless lighting, heating (including fuel tanks),plumbing, Page 1 of 9 ventilating and air conditioning fixtures,TV antennas, inside telephone, network and coaxial(cable)wiring and connecting blocks/jacks,plants,mirrors, floor coverings, intercom systems, built-in kitchen appliances, sprinkler systems and controls, built-in vacuum systems (including accessories), garage door openers including all remote controls. ii. Other Fixtures: If any fixtures are attached to the Property after the date of this Contract, such additional fixtures are also included in the Purchase Price. b. The Purchase Price excludes the following items (Exclusions): Hydraulic Lift in Shop; Radiant heater in shop. 3.Well Rights. Seller agrees to supply required information to Buyer about the well. Buyer understands that if the well to be transferred is a"Small Capacity Well" or a"Domestic Exempt Water Well,"used for ordinary household purposes, Buyer must,prior to or at Closing, complete a Change in Ownership form for the well. If an existing well has not been registered with the Colorado Division of Water Resources in the Department of Natural Resources(Division), Buyer must complete a registration of existing well form for the well and pay the cost of registration. If no person will be providing a closing service in connection with the transaction, Buyer must file the form with the Division within sixty days after Closing. The Well Permit# is 171342. 4. Dates and Deadlines. Date or Deadline Earnest Money Deposit Deadline 20 Days After Mutual Execution of Contract("MEC") 1 Record Title Deadline 20 Days After MEC 2 Record Title Objection Deadline 25 Days After MEC 3 Off-Record Title Deadline 20 Days After MEC 4 Off-Record Title Objection Deadline. 25 Days After MEC 5 Objection Resolution Deadline 30 Days After MEC 6 Closing Date December 3, 2015, morning,time TBD 7 Possession Date and Time December 7, 2015, 8:30 a.m. 5. Purchase Price; Form of Funds; Earnest Money. Buyer agrees to pay $350,000.00 at closing to Seller in any of the following forms, in Buyer's discretion: County warrant, certified check, savings and loan teller's check, or cashier's check. Earnest Money under this agreement is Page 2 of 9 $10,000.00. The Earnest Money set forth in this section will be payable to and held by Title Company of Buyer's Choice(Earnest Money Holder), in its trust account, on behalf of both Seller and Buyer. The Earnest Money deposit must be tendered by Buyer, by the Earnest Money Deposit Deadline. The parties authorize delivery of the Earnest Money deposit to the company conducting the Closing(Closing Company), if any, at or before Closing. In the event Earnest Money Holder has agreed to have interest on Earnest Money deposits transferred to a fund established for the purpose of providing affordable housing to Colorado residents, Seller and Buyer acknowledge and agree that any interest accruing on the Earnest Money deposited with the Earnest Money Holder in this transaction will be transferred to such fund. At closing, Earnest Money shall be paid to Seller, and shall be deducted from the Purchase Price. 6. Title Insurance. Buyer shall at closing pay for the cost of obtaining title insurance if Buyer desires to obtain title insurance for the Property. 7. Right to Object to Title. If Buyer chooses to obtain a title commitment, Buyer shall have the right to object to any title matter, including Record Title and Off-Record Title, in Buyer's sole subjective discretion. a. Record Title. Buyer has the right to review and object to the Title Commitment and any of the Title Documents on or before Record Title Objection Deadline. Buyer's objection may be based on any unsatisfactory form or content of Title Commitment, or any other unsatisfactory title condition, in Buyer's sole subjective discretion. If the Title Commitment or Title Documents are not received by Buyer on or before the Record Title Deadline or if there is an endorsement to the Title Commitment that adds a new Exception to title, a copy of the new Exception to title and the modified Title Commitment will be delivered to Buyer. Buyer has until the earlier of Closing or ten days after receipt of such documents by Buyer to review and object to: (1)any required Title Document not timely received by Buyer, (2) any change to the Title Commitment or Title Documents, or(3)any endorsement to the Title Commitment. b. Off-Record Title. Seller must deliver to Buyer, on or before the Off-Record Title Deadline, true copies of all existing surveys in Seller's possession pertaining to the Property and must disclose to Buyer all easements, liens (including,without limitation, governmental improvements approved,but not yet installed) or other title matters (including, without limitation,rights of first refusal and options) not shown by public records,of which Seller has actual knowledge (Off-Record Matters). Buyer has the right to inspect the Property to investigate if any third party has any right in the Property not shown by public records (e.g., unrecorded easement, boundary line discrepancy or water rights). If an Off-Record Matter is received by Buyer after the Off-Record Title Deadline, Buyer has until the earlier of Closing or ten days after receipt by Buyer to review and object to such Off-Record Matter. 8. Right of First Refusal. Seller represents and warrants that the Property is not subject to any Right of First Refusal. Page 3 of 9 9. Mineral Estate. Seller agrees to convey to Buyer, included in the Purchase Price provided herein, any interest the Seller may have in the subsurface estate of the Property, including but not limited to mineral and water rights. 10. Carbon Monoxide Alarms. Note: If the improvements on the Property have a fuel-fired heater or appliance,a fireplace, or an attached garage and include one or more rooms lawfully used for sleeping purposes(Bedroom),the parties acknowledge that Colorado law requires that Seller assure the Property has an operational carbon monoxide alarm installed within fifteen feet of the entrance to each Bedroom or in a location as required by the applicable building code. 11. Lead-Based Paint. Unless exempt, if the improvements on the Property include one or more residential dwellings for which a building permit was issued prior to January 1, 1978,this Contract is void unless (1)a completed Lead-Based Paint Disclosure(Sales)form is signed by Seller, the required real estate licensees and Buyer, and (2) Seller receives the completed and fully executed form prior to the time when this Contract is signed by all parties. Buyer acknowledges timely receipt of a completed Lead-Based Paint Disclosure(Sales) form signed by Seller and the real estate licensees. 12. Methamphetamine Disclosure. If Seller knows that methamphetamine was ever manufactured,processed, cooked,disposed of,used or stored at the Property, Seller is required to disclose such fact.No disclosure is required if the Property was remediated in accordance with state standards and other requirements are fulfilled pursuant to § 25-18.5-102, C.R.S. Buyer further acknowledges that Buyer has the right to engage a certified hygienist or industrial hygienist to test whether the Property has ever been used as a methamphetamine laboratory. Buyer has the right to terminate, notwithstanding any other provision of this Contract, based on Buyer's test results that indicate the Property has been contaminated with methamphetamine, but has not been remediated to meet the standards established by rules of the State Board of Health promulgated pursuant to § 25-18.5-102, C.R.S. Buyer must promptly give written notice to Seller of the results of the test. 13. Cooperation at Closing. Seller and Buyer will cooperate with the Closing Company to enable the Closing Company to prepare and deliver documents required for Closing to Buyer and Seller and their designees. Buyer and Seller will furnish any additional information and documents required by Closing Company that will be necessary to complete this transaction. Buyer and Seller will sign and complete all customary or reasonably required documents at or before Closing. 14. Warranty Deed. Subject to tender of payment at Closing as required herein and compliance by Buyer with the other terms and provisions hereof, Seller must execute and deliver a good and sufficient Warranty deed in a form substantially similar to the attached Exhibit A, to Buyer at Closing, conveying the Property free and clear of all taxes except the general taxes for the year of Closing. Except as provided herein,title will be conveyed free and clear of all liens, including any governmental liens for special improvements installed as of the date of Buyer's signature hereon,whether assessed or not. Page 4 of 9 15. Closing. The fee for real estate closing services must be paid at Closing by Buyer. Any encumbrance required to be paid will be paid at or before Closing from the proceeds of this transaction or from any other source. Personal property taxes, general real estate taxes, special taxing district assessments, if any, shall be prorated to the Closing Date. 16.Possession of Property.Possession of the Property shall be delivered to Buyer on the Possession Date. If Seller, after Closing, fails to deliver possession of the Property, Seller will be subject to eviction and will be additionally liable to Buyer for payment of$500.00 per day(or any part of a day), until possession is delivered. Buyer shall have the authority to inspect the premises immediately upon closing. Seller shall be financially responsible for any damage or waste occurring to or on the property between the date of closing and the date of possession. 17. Day; Computation of Period of Days; Deadline.As used in this Contract,the term "day" means the entire day ending at 11:59 p.m.,United States Mountain Time (Standard or Daylight Savings as applicable). In computing a period of days,when the ending date is not specified, the first day is excluded and the last day is included(e.g.,three days after MEC). If any deadline falls on a Saturday, Sunday or federal or Colorado state holiday(Holiday), such deadline will be extended to the next day that is not a Saturday, Sunday or Holiday. 18. Causes of Loss; Insurance; Damage to Inclusions and Services.Except as otherwise provided in this Contract, the Property, Inclusions or both will be delivered in the condition existing as of the date of this Contract, ordinary wear and tear excepted. a. Causes of Loss,Insurance. In the event the Property or Inclusions are damaged by fire, other perils or causes of loss prior to Closing in an amount of not more than ten percent of the total Purchase Price(Property Damage), Seller is obligated to repair the same before the Closing Date. Buyer has the Right to Terminate on or before the Closing Date if the Property Damage is not repaired before the Closing Date or if the damage exceeds such sum. Should Buyer elect to carry out this Contract despite such Property Damage, Buyer is entitled to a credit at Closing for all insurance proceeds that were received by Seller resulting from such damage to the Property and Inclusions, plus the amount of any deductible provided for in such insurance policy. Such credit must not exceed the Purchase Price. In the event Seller has not received such insurance proceeds prior to Closing,the parties may agree to extend the Closing Date or,at the option of Buyer, Seller must assign such proceeds at Closing,plus credit Buyer the amount of any deductible provided for in such insurance policy, but not to exceed the total Purchase Price. b.Damage,Inclusions and Services. Should any Inclusion or service(including utilities and communication services), system, component or fixture of the Property(collectively Service), e.g., heating or plumbing, fail or be damaged between the date of this Contract and Closing or possession,whichever is earlier,then Seller is liable for the repair or replacement of such Inclusion or Service with a unit of similar size, age and quality, or an equivalent credit, less any insurance proceeds received by Buyer covering such repair or replacement. If the failed or damaged Inclusion or Service is not repaired or replaced on Page 5 of 9 or before Closing or possession,whichever is earlier, Buyer has the Right to Terminate under on or before the Closing Date or, at the option of Buyer, Buyer is entitled to a credit at Closing for the repair or replacement of such Inclusion or Service. Such credit must not exceed the Purchase Price. 19.Time of Essence.Time is of the essence hereof. 20. Default and Remedies. If any note or check received as Earnest Money hereunder or any other payment due hereunder is not paid, honored or tendered when due, or if any obligation hereunder is not performed or waived as herein provided,the non-defaulting party has the following remedies: a. If Buyer is in Default, Seller may elect to treat this Contract as canceled, in which case all Earnest Money will be paid to and retained by Seller. Both parties will thereafter be released from all obligations hereunder. It is agreed that the Earnest Money is liquidated damages, and not a penalty, which amount the parties agree is fair and reasonable and said payment of Earnest Money is SELLER'S ONLY REMEDY for Buyer's failure to perform the obligations of this Contract. Seller expressly waives the remedies of specific performance and additional damages. b. If Seller is in Default, Buyer may elect to treat this Contract as canceled, in which case all Earnest Money received hereunder will be returned and Buyer may recover such damages as may be proper, or Buyer may elect to treat this Contract as being in full force and effect and Buyer has the right to specific performance or damages, or both. 21. Earnest Money Dispute. Except as otherwise provided herein,Earnest Money Holder must release the Earnest Money following receipt of written mutual instructions, signed by both Buyer and Seller. In the event of any controversy regarding the Earnest Money, Earnest Money Holder is not required to release the Earnest Money. Earnest Money Holder, in its sole subjective discretion, has several options: (1)wait for any proceeding between Buyer and Seller; (2) interplead all parties and deposit Earnest Money into a court of competent jurisdiction, (Earnest Money Holder is entitled to recover court costs and reasonable attorney and legal fees incurred with such action); or(3)provide notice to Buyer and Seller that unless Earnest Money Holder receives a copy of the Summons and Complaint or Claim(between Buyer and Seller) containing the case number of the lawsuit(Lawsuit)within one hundred twenty days of Earnest Money Holder's notice to the parties, Earnest Money Holder is authorized to return the Earnest Money to Buyer. In the event Earnest Money Holder does receive a copy of the Lawsuit,and has not interpled the monies at the time of any Order,Earnest Money Holder must disburse the Earnest Money pursuant to the Order of the Court. This Section will survive cancellation or termination of this Contract. GENERAL PROVISIONS: 22.Assignment. This Agreement and the conveyances made pursuant to the terms herein, shall be binding upon, all and inure to the benefit of and be enforceable by the parties and their heirs, Page 6 of 9 executors, administrators, successors, and assigns. 23. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 24. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 25. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 26. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 27. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 28. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 29. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws,rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 30. Attorneys' Fees/Legal Costs.In the event of a dispute between Buyer and Seller concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. Page 7 of 9 i Page 8 of 9 IN WITNESS WHEREOF,the parties have set their hands on the day and year first above written. SELLER, Harvey Vernon Mabis II: By: 4",cf/K Date: / ATTEST: d�Qrato•&k. BOARD OF COUNTY COMMISSIONERS Weld • nt Clerk to the Board WELD COUN Y, OLORADO BY: Deputy C rk to the B , arbara Kirkme er, Chair 7',�'z� OCT 2 6 2015 APPROVED AS TO F DD 0� APPROVED AS TO SUBSTANCE: Controller r `` f±s��R Elected Official or Department Head APPROVED AS TO FORM: Director of General Services County Attorney Page 9 of 9 020/i 3 4L02%1(') WARRANTY DEED THIS DEED, made thisaU day of at , 2015, between Harvey Vernon Mabis II, "Grantor", and the County of Weld, a body corporate and politic of the State of Colorado, through its Board of County Commissioners,(Grantee): WITNESS: That Grantor, for and inconsideration of the sum of Three Hundred Fifty Thousand Dollars and no/100($350,000.00)and other good and valuable consideration,the receipt and sufficiency of which are hereby acknowledged,has granted,bargained, sold and conveyed,and by these presents does grant,bargain, sell,convey and confirm, unto the Grantee, its heirs and assigns forever, all the real property together with improvements, if any,situate,lying and being in the County of Weld and State of Colorado,described as follows: LOT A OF RECORDED EXEMPTION NO. 1055-01-1-RE 2035, RECORDED JUNE 20, 1997 IN BOOK 1612 AT RECEPTION NO. 2554136, BEING A PART OF THE NORTH 1/2 OF THE NORTHEAST 1/4 OF SECTION 1, TOWNSHIP 4 NORTH, RANGE 65 WEST OF THE 6TH P.M., COUNTY OF WELD, STATE OF COLORADO. Also known by street and number as: 23769 COUNTY ROAD 49 LASALLE COLORADO 80645 EXCEPTING existing easements of record. TO HAVE AND TO HOLD the said premises above bargained and described with the appurtenances, unto Grantee, and Grantee's heirs, successors, and assigns forever. Grantors, for Grantors and Grantors' heirs, successors, and assigns, do covenant and agree that Grantors shall and will WARRANT AND FOREVER DEFEND the above bargained premises in the quiet and peaceable possession of Grantee, and Grantee's heirs, successors, and assigns, against all and every person or persons claiming the whole or any part thereof, by, through or under Grantor except taxes and assessments for the current year,payable January 1,2016;and free and clear of all monetary liens and encumbrances, easements and leases and non-monetary encumbrances and restrictions of record arising by or through Owner. IN WITNESS WHEREOF,Grantors have executed this deed on the date set forth above. GRANTOR HARVEY VERNON MABIS II Date: 1o/da./ S� 4164540 Pages: 1 of 2 12/10/2015 12:30 PM R Fee:$0.00 D Fee:$0.00 Carly Koppes, Clerk and Recorder, Weld County, CO STATE OF COLORADO ) ��1�1�L'��L��ll��'�' I H 1111.1,574Vvid0.14, 1l III ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me thisaja day of ©c)herr , 2015, by nd Harvey Vernon Mabis II. Witness my hand and official seal. Pub". My commission expires: la- 2- IS NOTARY PUBLIC STATE OF COLORADO NOTARY ID 19984029774 I AMY ,0mm4SSI0N EXPIRES DECEMBER 2,2018 c24 4i---3 Yo2-46) ACCEPTANCE The County of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County Commissioners,hereby accepts the above Warranty Deed. Dated this day of ,2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,CO t1 RADO ATTEST: .►_fi6,..- �' '� ' + ara Kirkmeyer Chair % I , OCT 2 6 2015 Weld C ty Clerk to the Board �►, BY: Deputy Cle to the Boar�,1� c STATE OF COLORADO ) )ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this 4/' day of l)e/Cile-r- , 2015, by Barbara Kirkmeyer,Chair,Board of County Commissioners of the County of Weld. Witness my hand and official seal. o Public My commission expires: b STEPHANIE FREDER CI( NOTARY PUBLIC•STATE OF COLORADO My identiticaaon 9 20154037785 Expires September 23,2019 4164540 Pages: 2 of 2 12/10/2015 12:30 PM R Fee:$0.00 D Fee:$0.00 Carly Koppes, Clerk and Recorder, Weld County, CO 1111 kilifillIZI 4 'IrIINA*FA l4l V�r ,'Kiiii hill 110 I 0204.--3V24/(t BILL OF SALE KNOW BY ALL THESE PRESENT,That Harvey Vernon Mabis II of the County of Weld, in the State of Colorado, Seller(s), for all and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION to him in hand paid at or before the ensealing or delivery of these presents by County of Weld, a body corporate and politic of the State of Colorado of the County of Weld, in the State of Colorado, Purchaser(s), the receipt of which is hereby acknowledged has bargained and sold, and by these presents does grant and convey unto the said Purchaser(s), his personal representatives, successors and assigns,the following property,goods and chattels,to wit: a.Inclusions. The Purchase Price includes the following items(Inclusions): (1) Fixtures. If attached to the Property on the date of the contract,the following items are included unless excluded under Exclusions: lighting,heating,plumbing,ventilating and air conditioning fixtures, TV antennas, inside telephone,network and coaxial(cable)wiring and connecting blocks/jacks,plants,mirrors,floor coverings, intercom systems,built-in kitchen appliances, sprinkler systems and controls,built-in vacuum systems(including accessories),garage door openers including remote controls: Other Fixtures: Lighting,Heating(including fuel tanks),Plumbing,Ventilating,and Air Conditioning Fixtures,TV Antennas,Inside Telephone,Network and Coaxial(cable)Wiring and Connecting Blocks,Jacks,Plants,Mirrors,Floor n rols Built-in Vacuum Systems Coverings,Intercom Systems,Built-in-Kitchen Built-in-Kitchen Appliances,Sprinkler Systems and Cot y g + Y � PP P Y (including accessories Garage Door Openers(including all remote controls) g )� g P If any fixtures are attached to the Property after the date of this Contract, such additional fixtures are also included in the Purchase Price. (2) Personal Property. If on the Property,whether attached or not,on the date of the Contract,the following items are included unless excluded under Exclusions: storm windows, storm doors,window and porch shades, awnings,blinds, screens,window coverings,curtain rods, drapery rods,fireplace inserts, fireplace screens,fireplace grates,heating stoves, storage sheds,and all keys. If checked,the following are included: 0 Water Softeners(X)Smoke/Fire Detectors(X)Carbon Monoxide Alarms 0 Security System() Satellite Systems(Including satellite dishes). Other Personal Property: NONE The Personal Property to be conveyed at Closing must be conveyed by Seller free and clear of all taxes (except personal property taxes for the year of Closing), liens and encumbrances, except N/A. (3) Parking and Storage Facilities. ( )Use Only ( )Ownership of the following parking facilities: ; and ( ) Use Only ( )Ownership of the following storage facilities: . b. Exclusions. The following items are excluded(Exclusions): Hydrolic Lift in Shop; Radiant Heater in Shop. c.Water Rights,Well Rights,Water and Sewer Taps. (1) Deed Water Rights. The following legally described water rights: Any deeded water rights will be by a good and sufficient deed at closing. (2) Other Rights Relating to Water: The following rights relating to water not included in §§ 1, 3,4 and 5,will be transferred to Buyer at Closing: NONE. (3) Well Rights. Seller agrees to supply required information to Buyer about the well. Buyer understands that if the well to be transferred is a"Small Capacity Well"or a"Domestic Exempt Water Well,"used for ordinary household purposes, Buyer must,prior to or at Closing, complete a Change in Ownership form for the well. If an existing well has not been registered with the Colorado Division of Water Resources in the Department of Natural Resources(Division), Buyer must complete a registration of existing well form for the well and pay the cost of registration. If no person will be providing a closing service in connection with the transaction, Buyer shall file the form with the Division within sixty days after Closing. The Well Permit# is: 171342. (4) Water Stock Certificates.The water stock certificates to be transferred at Closing are as follows: N/A (5) Water and Sewer Taps. Note: Buyer is advised to obtain,from the provider,written confirmation of the amount remaining to be paid,if any,time and other restrictions for transfer and use of the tap. (6) Conveyance.If Buyer is to receive any rights to water pursuant to §2(Other Rights Relating to Water), § 3 (Well Rights),or §4 (Water Stock Certificates), Seller agrees to convey such rights to Buyer by executing the applicable legal instrument at Closing. located at 23769 County Road 49,La Salle,CO 80645 TO HAVE AND TO HOLD the same unto the Purchaser(s), his personal representatives, successors and assigns, forever. The said Seller(s) covenants and agrees with the Purchaser(s)his personal representatives, successors and assigns to WARRANT and DEFEND the sale of said property, goods and chattels, against all and every person or persons whomsoever. When used herein,the singular shall include the plural,the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, The Seller(s) have hereunto set their hands and seals, this 3rd day of December, 2015. A Har y Vernon Mabis I State of Colorado County of Weld The foregoing instrument was acknowledged before me this 3rd day December,2015, y Harvey Vernon Mabis II. Witness my hand and seal. ` My commission expires: , b t ublic .4 t/�_�`t}��v`� Unified Title Company of Northern Colorado, LLC 1275 58th Avenue,Unit C Greeley,CO 80634 PHONE: 970-356-3551 FAX: 970-356-2063 PURCHASERS SETTLEMENT STATEMENT CASE NO.: 10021UTG SETTLEMENT DATE: December 3,2015 DATE OF PRORATION: December 3,2015 PROPERTY ADDRESS: 23769 County Road 49 La Salle,CO 80645 SELLER: Harvey Vernon Mabis II PURCI-IASER: County of Weld,a body corporate and politic of the State of Colorado LEGAL DESCRIPTION: Lot A RE2035 PT N2NE41,4,65, County of Weld,State of Colorado. DESCRIPTION DEBIT CREDIT Deposit or earnest money $10,000.00 Contract Sales Price $350,000.00 Settlement or closing fee to Unified Title Co.of Northern Colorado(Greeley) $300.00 Notary fees to Unified Title Co. of Northern Colorado(Greeley) $20.00 Title insurance to Unified Title Co. of Northern Colorado(Greeley) $647.00 OEC-Pln. Lang.End GFE#5 to Unified Title Co. of Northern Colorado(Greeley) $50.00 Tax Certificate to Unified Title Co. of Northern Colorado(Greeley) $25.00 Recording Fees ($16.00 POC) to Weld County Clerk $0.00 State tax/stamps ($35.00 POC) to Weld County Clerk $0.00 Tap Transfer Fee to Central Weld County Water District $25.00 Final Water reading(est) to Central Weld County Water District $20.00 Sub-totals $351,087.00 $10,000.00 Balance Due From Purchaser $341,087.00 TOTALS $351,087.00 $351,087.00 APPROVED AND ACCEPTED Sales or use taxes on personal property not included UNIFIED TITLE COMPANY OF NORTHERN COLORADO,LLC assumes no responsibility for the adjustment of special taxes or assessments unless they are shown on the Treasurer's Certificate of Taxes Due. The condition of title to the property is to be determined by reference to the title evidence provided by Seller or by personal investigation. The above statement of settlement is approved as of the settlement date shown above and Escrow Holder is hereby authorized to disburse as Trustee funds as indicated. Purchaser County of Weld, a body corporate and politic of the State of Colorado Broker/Agent b • arbara Kirkmey r, Chair• J Closing Agent Unifi Title Company of Northern Color do,LLC ti The printed portions of this form,except differentiated additions,have been approved by the Colorado Real Estate Commission. (CL8-9-12)(Mandatory 1-13) THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL AND TAX OR OTHER COUNSEL BEFORE SIGNING. CLOSING INSTRUCTIONS DATE: December 3,2015 1. PARTIES, PROPERTY. Harvey Vernon Mabis II, Seller, and County of Weld, a body corporate and politic of the State of Colorado, Buyer, engage Unified Title Company of Northern Colorado, LLC, Closing Company, who agrees to provide closing and settlement services in connection with the Closing of the transaction for the sale and purchase of the property known as No.: 23769 County Road 49, La Salle,CO 80645 And more fully described in the Contract to Buy and Sell Real Estate dated October 22,2015,including any counterproposals and amendments(Contract). All terms of the Contract are incorporated herein by reference. In the event of any conflict between this Agreement and the Contract,this Agreement shall control,subject to subsequent amendments to the Contract or this Agreement. 2. TITLE COMMITMENT,EXCEPTIONS AND POLICY. Closing Company (X)Agrees that upon completion of a satisfactory title search and examination, it will furnish a Title Insurance Commitment; and it will issue a Title Insurance Policy provided that all requirements have been fulfilled. Closing Company (X)Agrees to furnish copies of Exceptions. 3. INFORMATION,PREPARATION,CLOSING,RECORDING.Closing Company is authorized to obtain any information necessary for the Closing. Closing Company agrees to prepare(excluding legal documents),deliver and record all documents required or customarily recorded, and disburse all funds pursuant to the Contract that are necessary to carry out the terms and conditions of the Contract. 4. CLOSING FEE. Closing Company will receive a fee of$190.00 for providing closing and settlement services (Closing Fee). 5. RELEASE, DISBURSEMENT. Closing Company is not authorized to release any signed documents or things of value prior to receipt and disbursement of Good Funds,except as provided in §§ 9, 10 and 11. 6. DISBURSER. Closing Company shall disburse all funds, including real estate commissions, except those funds as may be separately disclosed in writing to Buyer and Seller by Closing Company or Buyer's lender on or before closing. All parties agree that no one other than the disburser can assure that payoff of loans and other disbursements will actually be made. 7. SELLER'S NET PROCEEDS. Seller will receive the net proceeds of closing as indicated: ( )Cashier's Check, at Seller's expense ( )Funds Electronically transferred(wire transfer)to an account specified by Seller, at Seller's expense (X)Closing Company's Trust Account Check 8. CLOSING STATEMENT. Closing Company will prepare and deliver an accurate, complete and detailed closing statement to Buyer and Seller at time of Closing. 9. FAILURE OF CLOSING. If closing or disbursement does not occur on or before Closing Date set forth in the Contract, Closing Company, except as provided herein, is authorized and agrees to return all documents,monies, and things of value to the depositing party, upon which Closing Company will be relieved from any further duty, responsibility or liability in connection with these Closing Instructions. In addition, any promissory note, deed of trust or other evidence of indebtedness signed by Buyer will be voided by Closing Company, with the originals returned to Buyer and a copy to Buyer's lender. 10. RETURN OF EARNEST MONEY. Except as otherwise provided in § 11, Earnest Money Dispute, if the Earnest Money has not already been returned following receipt of a Notice to Terminate or other written notice of termination, Earnest Money Holder shall release the Earnest Money as directed by the written mutual instructions. Such release of Earnest Money shall be made within five days of Earnest Money Holder's receipt of the written mutual instructions signed by both Buyer and Seller,provided the Earnest Money check has cleared. 11. EARNEST MONEY DISPUTE. In the event of any controversy regarding the Earnest Money (notwithstanding any termination of the Contract), Earnest Money Holder shall not be required to take any action. Earnest Money Holder, at its option and sole discretion, has several options: (1) await any proceeding, (2) interplead all parties and deposit Earnest Money into a court of competent jurisdiction and shall recover court costs and reasonable attorney and legal fees, or (3) provide notice to Buyer and Seller that unless Earnest Money Holder receives a copy of the Summons and Complaint or Claim (between Buyer and Seller) containing the case number of the lawsuit (Lawsuit) within one hundred twenty days of Earnest Money Holder's notice to the parties, Earnest Money Holder shall be authorized to return the Earnest Money to Buyer. In the event Earnest Money Holder does receive a copy of the Lawsuit, and has not interpled the monies at the time of any Order, Earnest Money Holder shall disburse the Earnest Money pursuant to the Order of the Court. 12. SUBSEQUENT AMENDMENTS. Any amendments to, or termination of, these Closing Instructions must be in writing and signed by Buyer, Seller and Closing Company. 13. CHANGE IN OWNERSHIP OF WATER WELL. Within sixty days after Closing, Closing Company shall submit any required Change in Ownership form or registration of existing well form to the Division of Water Resources in the Department of Natural Resources (Division), with as much information as is available and the Division shall be responsible for obtaining the necessary well registration information directly from Buyer. Closing Company shall not be liable for delaying Closing to ensure Buyer completes any required form. 14. WITHHOLDING. The Internal Revenue Service and the Colorado Department of Revenue may require Closing Company to withhold a substantial portion of the proceeds of this sale when Seller is either of the following: (a) a foreign person, or (b) will not be a Colorado resident after Closing. Seller should inquire of Seller's tax advisor to determine if withholding applies or if an exemption exists. 15. ADDITIONAL PROVISIONS. (The following additional provisions have not been approved by the Colorado Real Estate Commission.): NONE 16. COUNTERPARTS. This document may be executed by each party, separately, and when each party has executed a copy, such copies taken together shall be deemed to be a full and complete contract between the parties. 17. BROKER'S COPIES. Closing Company shall provide, to each broker in this transaction, copies of all signed documents that such brokers are required to maintain pursuant to the rules of the Colorado Real Estate Commission. CL8-9-12 CLOSING INSTRUCTIONS Page 1 of 2 18. NOTICE,DELIVERY,CHOICE OF LAW. 18.1 Physical Delivery. Except as provided in § 18.2, all notices must be in writing.Any notice or document to Buyer is effective when physically received by Buyer, any individual buyer,any representative of Buyer,or Brokerage Firm of Broker working with Buyer. Any notice or document to Seller shall be effective when physically received by Seller, any individual seller, any representative of Seller, or Brokerage Firm of Broker working with the Seller. Any notice or document to Closing Company shall be effective when physically received by Closing Company, any individual of Closing Company, or any representative of Closing Company. 18.2 Electronic Delivery. As an alternative to physical delivery, any signed documents and written notice may be delivered in electronic form by the following indicated methods only: . Documents with original signatures shall be provided upon request of any party. 18.3 Choice of Law. This contract and all disputes arising hereunder shall be governed by and construed in accordance with the laws of the State of Colorado that would be applicable to Colorado residents who sign a contract in this state for property located in Colorado. Date: 12/03/2015 Buyer's Name: Buyer's Name: County of Weld,a body corporate and politic of the State of Colorado by. Cii(f� arbara Kirkmeyer,Ch it Address: 1150 O Street Address: Greeley,CO 80631 Phone: Phone: (970)356-4008 Fax: Fax: Email Address: Date: 12/03/2015 Seller's Name: Harvey Vernon Mabis II Seller's Name: V Harvey ernon Mabis II Address: 23769 County Road 69 Address: La Salle,CO 80645 Phone: Phone: Fax: Fax: Email Address: Closing Company's Name: Unified Title Company of Northern Colorado,LLC Authorized Signature,Title Date: 12/03/2015 Address: 1275 58th Avenue,Unit C,Greeley,CO 80634 Phone No.: 970-356-3551 Fax No.: 970-356-2063 Email Address sjordan(.iunifiedtitle.com (TO BE COMPLETED ONLY BY BROKER AND CLOSING COMPANY) (Broker)(X)War cing with Seller ( )Working with Buyer engages Closing Company as Broker's scrivener to complete,for a fee t to exceed$5.00 at the sole expense of Broker,the following legal documents (X) Deed (X) Bill o Sale ( ) Colorado Real Estate Commission approved Promissory Note ( ) Colorado Real Estate Commission ap oved Deed of Trust. Closing Company agrees to prepare, on behalf of Broker, the indicated legal documents pursuant to a terms and conditions of the Contract. The documents stated above all be subject to Broker's review and approval and Broker acknowledges that Broker is responsible for the accuracy of th above documents. Listing Brokerage Firm's Name: Broker's Name: Broker's Signature Date: 12/03/2015 Closing Company's Name: Unified Title Company of rthern Colorado,LLC Sandy Jordan,Escrow Officer D : 12/03/2015 Unified Title Company of Northern Colorado, LLC 1275 58th Avenue,Unit C, Greeley,CO 80634 Phone: 970-356-3551 Fax: 970-356-2063 REAL ESTATE TAX, WATER, ASSESSMENT, AND HOA AGREEMENT Date: 12/03/2015 File No.: 10021UTG Property: 23769 County Road 49,La Salle,CO 80645 I. TAXES:The basis of the tax proration is as follows: (X)The previous year's taxes in the amount of 517131:18-- ()An estimate of taxes for the current year: ()Total assessed value: n (� ()Mill Levyft..\9* ()Total Estimated Taxes: ()Other SUCH PRORATION SHALL BE CONSIDERED A FINAL SETTLEMENT UNLESS OTHERWISE AGREED IN WRITING BY BUYER AND SELLER. IF THE PRORATION IS NOT FINAL SETTLEMENT, THE BUYER(S) AND SELLER(S) HEREBY AGREE THAT THEY ASSUME FULL RESPONSIBILITY FOR PURSUING AND EFFECTING THE ADJUSTMENT, AND Unified Title Company of Northern Colorado,LLC SHALL HAVE NO RESPONSIBILITY IN REGARD THERETO. The above figures were obtained by telephone from the County Treasurer's and/or Assessor's office. UNIFIED TITLE COMPANY OF NORTHERN COLORADO, LLC is released from any and all liability in the event the County misquoted the assessment and/or mill levy figures. Any further adjustments shall be made solely between the Buyer(s) and Seller(s), if necessary, and will not make or be responsible for this re- adjustment or any liability connection therewith. UNIFIED TITLE COMPANY OF NORTHERN COLORADO,LLC assumes no responsibility for pursuing and effectuating any readjustments and is released from any and all responsibility for said readjustments. UNIFIED TITLE COMPANY OF NORTHERN COLORADO, LLC assumes no responsibility for the adjustment of special assessments,taxes, or for the exception of said items in the conveyance, unless they are shown on the County Treasurer's Certificate of Taxes Due. Seller(s) hereby warrants that special assessments affecting subject property, including but not limited to Homeowner's Association dues or assessments, are paid in full,except as reflected on the statement of settlement. II. WATER / SEWER: The Seller (s) and Buyer(s) of the property fully understand that the Telephone Company, Gas Company, Electric Company,and the present Hazard Insurance Agency WILL NOT BE NOTIFIED BY THE ESCROW AGENT. PER VERBAL INFORMATION FROM:Central Weld County Water District (X)No Proration ( )Flat Rate items have been prorated between buyer and seller for the billing period: ()Escrow Agent has withheld from the seller's proceeds to pay the final billing for any water and/or sewer charges.Funds withheld in excess of the amount due on the final statement shall be returned to the seller.In the event the final bill exceeds the escrowed amount,any additional charges are the responsibility of the seller and/or buyer. ()Water and sewer is paid in the HOA dues. (X)Escrow Agent has not prorated for water and sewer.Any adjustments required will be made between buyer(s)and seller(s)and are not a part of the closing. III. HOMEOWNER'S/CONDOMINIUM ASSOCIATION: (X)Not Applicable ()The homeowner's or condominium association has provided verbal or written information to the Escrow Agent,and has indicated that for the current assessable period,the assessment of ()has()has not been paid. The assessment()has()has not been prorated between the buyer(s)and seller(s). If applicable,any working capital/transfer fees/statement fees have also been collected per the HOA statement and purchase contract. Buyer(s) and seller(s) have reviewed the above referenced HOA information and hereby agree that it represents a complete and accurate list of associations / sub associations for the above referenced property. Unified Title Company of Northern Colorado, LLC is hereby released of any liability with regard to any associations/sub associations not listed above. CLOSING DATE: December 3,2015 County of Weld,a body corporate and politic of the State of Colorado Harvey Vernon Mabis II by: a (A--- bars Kirkmeyer,Char • Seller(s)Forwarding Address: Buyer(s)Forwarding Address: Certificate Of Taxes Due Account Number R6939897 Certificate Number 119923 Parcel 105501000047 Order Number Assessed To Vendor ID 91 MABIS HARVEY VERNON II UNIFIED TITLE GREELEY 23769 COUNTY ROAD 49 1275 58TH AVENUE,UNIT C LA SALLE,CO 80645-8603 GREELEY,CO 80634 Legal Description Situs Address PT N2NE4 1-4-65 LOT A REC EXEMPT RE-2035(.30R) 23769 49 CR WELD 000000000 Year Tax Interest Fees Payments Balance Tax Charge 2014 $657.98 $0.00 $0.00 ($657.98) $0.00 Total Tax Charge $0.00 Grand Total Due as of 11/11/2015 $0.00 Tax Billed at 2014 Rates for Tax Area 0749-0749 Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 15.8000000* $229.92 SINGLE FAM.RES.-LAND $25,084 $2,000 SCHOOL DIST RE7 10.2080000 $148.52 SINGLE FAM.RES- $157,692 $12,550 NORTHERN COLORADO WATER(NC 1.0000000 $14.55 IMPROVEMTS CENTRAL COLORADO WATER(CCW 1.7370000 $25.27 Total $182,776 $14,550 CENTRAL COLORADO WATER SUBD 1.3090000 $19.04 LASALLE FIRE 5.1540000 $74.99 AIMS JUNIOR COLLEGE 6.3330000 $92.14 HIGH PLAINS LIBRARY 3.2670000 $47.53 WEST GREELEY CONSERVATION 0.4140000 $6.02 Taxes Billed 2014 45.2220000 $657.98 *Credit Levy WARNING-THIS TAX CERTIFICATE DOES NOT WARRANT ANY TAXES OWED ON UNDERLYING ACCOUNTS OR PARENT OR CHILD ACCOUNTS. ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES. CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY AND MOBILE HOMES-SEPTEMBER 1,REAL PROPERTY- SEPTEMBER 1. TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASH OR CASHIERS CHECK. SPECIAL TAXING DISTRICTS AND THE BOUNDARIES OF SUCH DISTRICTS MAY BE ON FILE WITH THE BOARD OF COUNTY COMMISIONERS, THE COUNTY CLERK,OR THE COUNTY ASSESSOR. This certificate does not include land or improvements assessed under a separate account number,personal property taxes,transfer tax or misc.tax collected on behalf of other entities,special or local improvement district assessments or mobile homes,unless specifically mentioned. I,the undersigned,do hereby certify that the entire amount of taxes due upon the above described parcels of real property and all outstanding sales for unpaid taxes as shown by the records in my office from which the same may still be redeemed with the amount required for redemption are as noted herein. In witness whereof,I have hereunto set my hand and seal. TREASURER,WELD COUNTY,John R.Lefebvre,Jr. r%7 1400 N. 17th Avenue Greeley,CO 80631 Tre)ra Pas blit V91- Nov 11, 2015 4:17:51 PM Page 1 of 1 WATER TAP ASSIGNMENT FOR VALUE RECEIVED,I/we hereby sell,transfer and assign to , one 5/8" water tap in the CENTRAL WELD COUNTY WATER DISTRICT, on my/our property described as follows situate in Weld County,Colorado,to wit: (Legal Description) IT IS UNDERSTOOD that these taps were purchased for the above described land and may not be transferred to other land, without express, written consent, in addition to the below consent, of the CENTRAL WELD COUNTY WATER DISTRICT. I/we further authorize the Secretary of said District to do any and all things necessary to effectuate this transfer on the books and records of said District. I/we hereby state that all water rates and charges and other monies owed to the District have been paid and if not,shall be held out at the closing of the sale of my/our premises. INNTTE,STIMONY WHEREOF,I/we have set my/our signature thisce1d day of : •?:(1,`ribeK ,20/Fj . ** SEL R: ** SELLER: I/WE FURTHER AGREE to pay any and all charges hereinafter levied by said District for said taps and to abide by all regulations adopted by said District. The District has the right to review the annual allotment and compare it to actual usage to determine if additional raw water will be purchased and transferred to the District by Tap Holder. ACCEPTED: UYER: **BUYER: CONSENT TO ASSIGNMENT I, Stan Linker, District Manager of the CENTRAL WELD COUNTY WATER DISTRICT, Hereby consent to the above assignment on behalf of said District. BY: Stan Linker,District Manager DATE: 2235 2ND Avenue Greeley,CO 80631 CENTRAL WELD COUNTY 970.352.1284(phone) 970.353.5865(fax) WATER DISTRICT www.cwcwd.com Fax To: Sandy Jordan From: Kathy Naibauer Unified Title Fax: 970 356 2063 Pages: 3 including cover sheet Phone: 970 356 3551 Date: 12/2/15 Account #602 CC: o Urgent Q For Review 0 Please Comment 0 Please Reply 0 Please Recycle • Please execute the Water Tap Assignment& Petition for Inclusion forms at closing (including typing in the legal description). • Please type the Seller's and Buyer's names under the signature lines &type the legal description. • Please attach a copy of the Deed to the Water Tap Assignment Form and return to this office for final signature, along with payment. • Please reference the above account number on all correspondence. • Note—these items MUST be completed to transfer the tap. • Please contact the District if the closing is cancelled or rescheduled as the total amount due is e.subject to change. Final Water r 4 65 7(eCI L i( ACCOUNT NO. TOTAL DUE - DUE UPON RECEIPT 602 $0.00 602 $25.00 transfer fee 602 $25.00 total due PETITION FOR INCLUSION STATE OF COLORADO ) )ss COUNTY OF WELD ) CENTRAL WELD COUNTY WATER DISTRICT TO: THE BOARD OF DIRECTORS OF THE CENTRAL WELD COUNTY WATER DISTRICT I/we, being all of the owners of the below described real property, which property is capable of being served with the facilities of the aforesaid District hereby petition the Board of Directors of said Central Weld County Water District to include the below described real property within the boundaries of said District. Assent to the inclusion of such property is hereby given by the below signers,which signers constitute all of the fee owners of said below described property. (legal description) Legal Desc: Dated this c31d day of - }'),/.f.yr , 20 /5 . �.( _ f ,ti.f,C C/.L.Pi(--- Buyer: / Buyer: STATE OF COLORADO ) )ss COUNTY OF WELD ) The foregoing Petition was acknowledged b re �N me this , day of Nat(1 A7 , 20 Irj , by ---6 {' /17(1 '.2 ✓�4Yri (�1S ;Cl(.G{r ofo P vlefc/61 , COY 0v e 6,V0 ,Wii-l-c- �-K1e, (5 of , ,10 cid P J � Witness my hand and official seal, ///// " 'd`lN: ''' Notary ublic My commission expires: i/0 /S.\ ' '''.." ''''• . / pi c ft'LY ht *,r? fit `' \ P kv ,t} State of Colorado Water Resources - View Well Details: Receipt 0354071 Page 1 of 1 Colorado Department of Natural Resources Colorado.gov I Contact Us Viftual r)Jvi ol® ®t JJ \1.DJ�'•.� �C c r o lJ f'r^.�. Colorado's Well Permit Search Well Constructed Help I Last Refresh:11/23/2015 12:01:19 AM Receipt: 0354071 Division: 1 Permit#: 171342-- Water District: 2 Well Name/#: County: WELD Designated Basin: Management District: Case Number: WDID: [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown-Present SCHISSLER RUBEN&RUBY 23769 WCR 49 LASALLE,CO 80645 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE NE 1 4.0N 65.0W Sixth 1270 N 100 E Northing(UTM y): 4466129.4 Fasting(UTM x): 533766.3 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: 07/27/1993 Date Expires: 07/27/1995 Use(s): DOMESTIC Aquifer ALL UNNAMED AQUIFERS Special Use:ISSUED UNDER PRESUMPTION 3b-IIA (s): Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: [-] Construction/Usage Details Well Construction Date:02/05/1994 Pump Installation Date:02/10/1994 Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing(Top) Perforated Casing(Bottom) Static Water Level Pump Rate 235 140 235 80 15 Lic# Name Address Phone Number Driller 857 CLEMENT,GLENN A. 1960 24TH AVENUE GREELEY,CO 80634-5028 970-353-5648 Pump 857 CLEMENT,GLENN A. 1960 24TH AVENUE GREELEY,CO 80634-5028 970.353.5648 Installer [-] Application/Permit History Pump Installation Report Received 02/22/1994 Well Construction Report Received 02/22/1994 Pump Installed 02/10/1994 Well Constructed 02/05/1994 Permit Issued 07/27/1993 Application Received 06/03/1993 [-] Imaged Documents Document Name Date Imaged Annotated Original File 12/06/2007 No Copyright©2009 Colorado Division of Water Resources.All rights reserved. Home I Contact Us I Help I Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project(TOP) http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=03 54071 11/23/2015 Form STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-11 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 1/2009 Phone—Info: (303) 866-3587 Main: (303) 866-3581 Fax: (303) 866-3589 http://www.water.state.co.us CHANGE IN OWNER NAME/ADDRESS CORRECTION OF THE WELL LOCATION Review instructions on the reverse side prior to completing the form. Name, address and phone of person claiming ownership of the well permit: NAME(S):cawt4 o Mid a.WE Coy- orde,ail cL PO/,i-1 cg Thy STA_k_, of- e--c)7orcda Mailing Address: 1 I SC) 'kQ" 57Y",ec�-1r City, St. Zip: Cr1,�e.�,14,L1 I CO c5/ O L,S 1 Phone: (110) --7,a 35- E-mail (optional): This form is filed by the named individual/entity claiming that they are the owner of the well permit as referenced below. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: Well Permit Number: /1 I v t-Ia Receipt Number:O3S4O'1( Case Number: County U)& l& Well Name or#(optional) (Address) (City) (State) (Zip) e 1/4 of the Al C 1/4, Sec. I , Twp. )--1 (0 N. or❑ S., Range(tS,D ❑ E. or I:'1 W., (SillP.M. Distance from Section Lines: I(t'?O Ft. From ® N. or❑ s., / 00 Ft. From [ E. or❑W. Line. Subdivision Name Lot , Block , Filing/Unit The above listed owner(s) say(s)that he, she(they) own the well permit described herein. The existing record is being amended for the following reasons: Change in name of owner❑ Change in mailing address ❑ Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (are)the owner(s) of the well permit described above, know the contents of the statements made herein, and state that they are true to my(our) knowledge. Signature(s) of the new owner Please print the Sig er Name&Title Date Sic eLM L- CJ1A,(:) . A s the responsibilit of the new,owner of this well permit to complete and sign this form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon its receipt. For Office Use Only State Engineer By Date ORDER NUMBER: 10021 UTG Agents for Westcor Land Title Insurance Company AFFIDAVIT AND AGREEMENT STATE OF Colorado COUNTY OF Weld The undersigned, being the seller(s) or purchaser(s) of the real property described in Paragraph 9 hereof, and being duly sworn upon oath, depose(s) and say(s): 1. The representations, covenants and agreements contained herein are made to induce Unified Title Company of Northern Colorado, LLC and to authorize its title insurance policies to be issued covering the real property described in Paragraph 9 hereof,with full knowledge and intent that such representations, covenants and agreements be relied upon. 2. No construction or repair of improvements on or in the real property described in Paragraph 9 hereof has been commenced or contracted for which has not been fully completed and fully paid for more than four full months prior to the execution hereof, except as described in Paragraph 8. 3. No claims have been made to Affiant(s)or to any other person within the knowledge of Affiant(s)on account of work done or materials furnished to the real property described in Paragraph 9 hereof, except as described in Paragraph 8 hereof. 4. Affiant(s) know(s)of no violation of any restrictive protective covenants or governmental restrictions relating to the real property described in Paragraph 9 hereof, and Affiant(s)know(s)of no encroachment of improvements onto any adjoining real property or encroachment of improvements from any adjoining real property onto the real property described in Paragraph 9 hereof, except as described in Paragraph 8. 5. Affiant(s) know(s) of no parties in possession of or claiming possessors' rights pertaining to the real property described in Paragraph 9 hereof other than Affiant(s), except as described in Paragraph 8 hereof. 6. Affiant(s)know(s) of no outstanding sale contract conditional sale contract, security agreements, or financing statements, as to the real property described in Paragraph 9 hereof, except as described in Paragraph 8 hereof. 7. Affiant(s)covenant(s) and agree(s)to indemnify and hold harmless Unified Title Company of Northern Colorado,LLC, from any loss or damage which would not have occurred if the representations contained herein had been true and if the covenants and agreements contained herein had been fully performed. 8. All exceptions relating to Paragraphs 2, 3,4, 5, and 6 hereof are as follows: NO EXCEPTIONS 9. The real property to which this affidavit and agreement relates is located in the State of Colorado and is described as follows: SEE NEXT PAGE Property Address: 23769 County Road 49, La Salle,CO 80645 County of Weld,a body corporate and politic of the State of Colorado Harvey Vernon Mabis II by: 1, UL— / arbara Kirkmeyer Chair State of Colorado County of Weld The foregoing instrument was subscribed and sworn to before met is gee be-3,2015,1) H vey Vernon Mabis II. My Commission expires: Witn ss; an and offic e fib` «,y:≥�;.c' N iyPub 'c State of Colorado ^T ......s^(C) �` 15' �, County of Weld 'zi, +: '' • The sworn ae b 2015, Kirkmeyer,Chair of County of Weld,a body corporate d p itic of the Barbara i St to f Colorado.,gy(;o«m's5��`FX�y�� My Commission expires: Witne s i ' d dd offici e . /a��wf/v� T}�,L�u:'� Not ublic � cps:i<I�5�G z. \ LEGAL DESCRIPTION Lot A of Recorded Exemption No. 1055-01-1-RE 2035, recorded June 20, 1997 in Book 1612 at Reception No.2554136. being a part of the North 1/2 of the Northeast 1/4 of Section 1,Township 4 North,Range 65 West of the 6th P.M., County of Weld,State of Colorado. Unified Title Company of Northern Colorado, LLC Compliance Agreement PURCHASER: County of Weld,a body corporate and politic of the State of Colorado SELLER: Harvey Vernon Mabis II FILE NO: 10021UTG PROPERTY ADDRESS: 23769 County Road 49,La Salle CO 80645 LEGAL: Lot A of Recorded Exemption No. 1055-01-1-RE 2035, recorded June 20, 1997 in Book 1612 at Reception No. 2554136. being a part of the North 1/2 of the Northeast 1/4 of Section 1, Township 4 North, Range 65 West of the 6th P.M., County of Weld, State of Colorado. It is expressly agreed and understood between the undersigned parties that Unified Title Company of Northern Colorado,LLC is acting as Closing Agent in the above referenced transaction and shall in no way be liable as to the accuracy or completeness of any Payoff Statement and/or Assumption Statement that has been provided to said Company for the purposes of closing this transaction. Unified Title Company of Northern Colorado,LLC has acted in good faith in compiling the data and information as set forth on the applicable Settlement Statement(s). The undersigned agree that any additional funds due and after closing will be immediately paid by the responsible party s . payable p ( ) The undersigned further agree that in the event any of the documents required in this closing misstate or inaccurately reflect the true and correct terms and provisions thereof, and said misstatement or inaccuracy is due to a unilateral mistake on the part of Unified Title Company of Northern Colorado, LLC mutual mistake on the part of the undersigned and Unified Title Company of Northern Colorado,LLC or clerical error, then in such event the undersigned shall upon request by Unified Title Company of Northern Colorado,LLC and in order to correct such misstatement or inaccuracy, execute such new documents or initial such corrected original documents as Unified Title Company of Northern Colorado,LLC may deem necessary to remedy said inaccuracy or mistake. IN WITNESS WHEREOF,the party(s)has/have executed this Agreement this 3rd day of December,2015 Buyers: Contact Phone#: Sellers: Contact Phone#: Email Address: Email Address: County of Weld,a body corporate and politic of the State of Colorado by: ID ,m IL ,QJ�-- Harvey Vernon Mabis II arbara Kirkmeyer,Chair STATE OF: Colorado COUNTY OF: Weld The foregoing instrument was acknowledged before me this December 3Harvey Vernon Mabis II. ;7, Witness my hand and official seal. ll/ bl1C f,O4?:ems;• Ti'of rri STATE OF: Colorado ��\�c`\\ , n C COUNTY OF:Weld ,,orecc: The foregoing instrument was acknowledged before me this December 3,2015 y Barbara Kirkmeyer,Chair of County of Weld, a body corporate and politic of the State of Colorado. j Witness my hand and official seal. ! .�,, f . ry'�'q�'Il�I�t<.., My Commission Expires: / v' >4S: .z„ Nota Public i''' I , NKI \ 4 17tI C AF k�; \ �s aVU1\'" REAL PROPERTY TRANSFER DECLARATION- (TD-1000) GENERAL INFORMATION Purpose: The Real Property Transfer Declaration provides essential information to the county assessor to help ensure fair and uniform assessments for all property for property tax purposes. Refer to 39-14-102(4), Colorado Revised Statutes (C.R.S.). Requirements: All conveyance documents (deeds) subject to the documentary fee submitted to the county clerk and recorder for recordation must be accompanied by a Real Property Transfer Declaration. This declaration must be completed and signed by the grantor(seller) or grantee(buyer). Refer to 39-14-102(1)(a), C.R.S. Penalty for Noncompliance: Whenever a Real Property Transfer Declaration does not accompany the deed,the clerk and recorder notifies the county assessor who will send a notice to the buyer requesting that the declaration be returned within thirty days after the notice is mailed. If the completed Real Property Transfer Declaration is not returned to the county assessor within the 30 days of notice,the assessor may impose a penalty of$25.00 or.025% (.00025) of the sale price, whichever is greater. This penalty may be imposed for any subsequent year that the buyer fails to submit the declaration until the property is sold. Refer to 39-14-102(1)(b), C.R.S. Confidentiality: The assessor is required to make the Real Property Transfer Declaration available for inspection to the buyer. However, it is only available to the seller if the seller filed the declaration. Information derived from the Real Property Transfer Declaration is available to any taxpayer or any agent of such taxpayer subject to confidentiality requirements as provided by law. Refer to 39-5-121.5, C.R.S and 39-13-102(5)(c), C.R.S. 1. Address and/or legal description of the real property sold: Please do not use P.O. box numbers. 23769 County Road 49,La Salle, CO 80645 Lot A RE2035 PT N2NE41,4,65, County of Weld, State of Colorado. 2. Type of property purchased:IlKingle Family Residential ❑Townhome ❑Condominium ❑Multi-Unit Res ❑Commercial ❑[ndustrial ❑Agricultural ❑Mixed Use ❑Vacant Land ['Other 3. Date of closing: December 3 2015 Month Day Year Date of contract if different than date of closing: October 26,2015 Month,Day,Year 4. Total Sales Price: including all real and personal property. $350,000.00 5. Was any personal property included in the transaction?Personal property would include, but is not limited to, carpeting, draperies,free standing appliances, equipment, inventory, furniture. If the personal property is not listed,t1- 9.iltire purchase price will be assumed to be for the real property as per 39-13-102, C.R.S. ['Yes L Wo If yes, approximate value$ Describe 6. Did the total sale price include a trade or exchange of additional real or personal property? If yes, give the approxima value of the goods or services as of the date of closing. ❑yes o If yes, approximate value $ If yes, does this transaction involve a trade under IRS Code Section 1031?❑Yes ❑No 7. Ea y100% interest in the real property purchased? Mark "no" if only a partial interest is being purchased. 'es ❑No If no, interest purchased 8. Is this a tra saction among related parties? Indicate whether the buyer or seller are related. Related parties include sons within the same family, business affiliates, or affiliated corporations. ['Yes o Check an of the following that a y to the condition of the improvements at the time of purchase. [New Excellent ❑Good IAverage ❑Fair ❑Poor ❑Salvage. If the property is financed, please complete the following. 10. Total amount financed. $0.00 11. Type of financing: (Check all that apply) ❑blew ❑Assumed ❑Seller ['Third Party ❑Combination; Explain 12. Terms: ❑Variable; Startin interest rate ❑Fixed; Interes -ate ❑Length of ' e years ['Balloon ayment❑Yes ❑No. If yes, amount Due Date 13. Pleas explain any special terms, seller concessions, or financing and any other information that would help th ssessor understand the terms of sale. For properties other than residential (Residential is defined as: single fa ' y detached, townhomes, apartments and condominiums)please complete questions 14-16 if applicable. ierwise, skip to#17 to complete. 14. Did the purchase price include a franchise or license e?❑Yes ❑No If yes, franchise or license fee value $ 15. Did the purchase price involve an insta ent land contract?['Yes ❑No If yes, date of contract 16. If this was a vacant land sal , was an on-site inspection of the property conducted by the buyer prior to the closing? ❑Yes ❑No Remarks: Ple include any additional information concerning the sale you may feel is important. 17. Signed this 3 day of December , 2015 Enter the day, month, and year, have at least one of the parties to the transaction sign the document, and incl de an address and a daytime phone number. Please designate buyer or seller. nature of Grant e(Buyer) or Grantor(Seller) ❑ 18. All future correspondence(tax bills, property valuations, etc.) regarding this property should be mailed to: • _ 7S� r ��3/ - - - , -i-Ayzro daress ( Yg)(mailing) —Daytime Phone City, State and Zip Code Unified Title Company of Northern Colorado, LLC PRIVACY POLICY NOTICE Our Commitment To You In order to better serve your needs now and in the future,we may ask you to provide us with certain information. We understand that you may be concerned about what we will do with such information—particularly any personal or financial information. We agree that you have a right to know how we will utilize the personal information you provide to us. We have, therefore, adopted this Privacy Policy to govern the use and handling of your personal information. Our Privacy Policies and Practices Information we collect and sources from which we collect it: Depending upon the services you are utilizing,we may collect nonpublic personal information about you from the following sources: • Information we receive from you or your representatives on applications or other forms. • Information you or your representatives provide to us, whether in writing, in person,by telephone, electronically, or by any other means. • Information about your transactions that we secure from our files or from our affiliates or others. • Information that we receive from others involved in your transaction,such as the real estate agent,lender,or credit bureau. • Information obtained through our web site,as outlined below. Use of information: • We request information from you for our own legitimate business purposes and not for the benefit of any nonaffiliated party. • We will not release your information to nonaffiliated parties except: (1) as necessary for us to provide the product or service you have requested of us;or(2)as permitted by law. • In the course of our general business practices, we may share and reserve the right to share the information we collect, as described above,about you or others as permitted by law. WE DO NOT DISCLOSE ANY NONPUBLIC PERSONAL INFORMATION ABOUT YOU WITH ANYONE FOR ANY PURPOSE THAT IS NOT SPECIFICALLY PERMITTED BY LAW. Security and Confidentiality of Your Information: Safekeeping of your non-public personal information is a high priority. We maintain physical safeguards, such as secure areas in buildings; electronic safeguards, such as passwords and encryption; and procedural safeguards, such as customer authentication procedures. We restrict access to nonpublic personal information about you to those who need to know that information in order to provide products or services to you. We carefully select and monitor outside service providers who have access to customer information, and we require them to keep it safe and secure. We do not allow them to use or share the information for any purpose other than to perform the service for which they are engaged. We train our employees with respect to security procedures and monitor compliance therewith. We will maintain appropriate facilities and systems to protect against unauthorized access to and corruption of the data we maintain. Information Obtained Through Our Web Site We are sensitive to privacy issues on the Internet and believe it is important you know how we treat the information about you we receive on the Internet. In general,you can visit our web site on the World Wide Web without telling us who you are or revealing any information about yourself. Our web servers collect the domain names, not the e-mail addresses, of visitors. This information is aggregated to measure the number of visits, average time spent on the site, pages viewed, and similar information. We use this information to measure the use of our site and to develop ideas to improve the content of our site. There are times, however, when we may need information from you, such as your name and e-mail address. When information is needed, we will use our best efforts to let you know at the time of collection how we will use the personal information. Usually, the personal information we collect is used only by us to respond to your inquiry, process an order, or allow you to access specific account/profile information. If you choose to share any personal information with us, we will only use it in accordance with the policies outlined above. Cookies Our web site may use "cookies" to improve the level of service to visitors. Cookies are lines of text that are transmitted to a web browser and stored on the visitor's hard drive. When the visitor returns to the web site the cookie is transmitted back. Cookies provide a way for a server to recall a previous request or registration, or to keep track of a transaction as it progresses, thereby eliminating the need to repeat the information previously provided. A cookie can only be accessed from the web site that placed it on the visitor's system. The cookies used by us do not collect personal identification information and we do not combine information collected through cookies with other personal information to determine a visitor's identity or e-mail address. Cookies are commonly used on web sites today and should not harm any system upon which they are transmitted. Browsers can be configured to notify visitors when cookies are about to be received and provide visitors with the option of refusing cookies. DELIVERY OF TITLE INSURANCE POLICY Please be advised that your Title Insurance Policy will be e-mailed to you at the e- mail address below: You will receive the policy from: Unified Title Company of Northern Colorado With an e-mail address ending in "@unifiedtitle.com" This information is being provided to you in order to avoid your possible concern of opening an e- mail from a company or address you do not recognize. 1625 Broadway r noble Denver,CO Suite80202 /(2 ■' energy Tel:303.228.4000 Fax:303.228.4286 www.nobleenergyinc.com November 2,2015 Harvey Mabis 23769 County Road 49 LaSalle, CO 80645 RE: Water Well Sampling Results—Mabis 0354071 Dear Mr.Mabis: On August 21,2015, Noble Energy, Inc. (Noble) collected groundwater samples from your water well and submitted them to ALS Environmental(ALS)in Fort Collins, Colorado for laboratory analysis. The purpose of sampling was to collect a subsequent water sample from your water well post completion of oil and gas production well(s) in the vicinity of or on your property. The laboratory analytical results for your baseline water sample collected on August 19,2014 compared to your subsequent water sample are provided in Attachment 1.The laboratory analytical results for your subsequent water sample collected on August 21, 2015 are provided to you in Attachment 2. Additional resources concerning water well matters,water quality considerations or oil and gas activities in your vicinity can be found by contacting the appropriate regulatory agency: Colorado Division of Water Resources,Groundwater Information Desk (303) 866-3587 http://www.water.state.co.us Colorado Department of Public Health and Environment,Water Quality Control Division (303) 692-3500 http://www.cdphe.state.co.us Colorado Oil and Gas Conservation Commission (303) 894-2100 http://cogcc.state.co.us If you have any questions or concerns regarding the sampling results for the water well on your property, please feel free to contact me at(303)228-4000. • Sincerely, Asher Weinberg Environmental Coordinator Attachments ATTACHMENT 1: LABORATORY ANALYTICAL SUMMARY TABLE 1 WATER QUALITY ANALYTICAL RESULTS MABIS 0354071 NOBLE ENERGY,INC Drinking Water Standards SAMPLE RESULTS • ANALYTE Primary Secondary 8/19/14 8/21/15 Hydrocarbons Benzene(mg/L) 0.005 -- <0.001 <0.001 Toluene(mg/L) 0.56 -- <0.001 <0.001 Ethylbenzene(mg/L) 0.7 -- <0.001 <0.001 Xylenes,Total(mg/L) 1.4 -- <0.001 <0.001 TPH-GRO(mg/L) -- -- <0.1 <0.1 TPH-DRO(mg/L) -- -- <0.51 <0.58 Dissolved Gasses Methane(mg/L) -- -- <0.001 <0.001 Ethane(mg/L) -- -- <0.002 <0.002 Propane(mg/L) -- -- <0.001 <0.001 BART(Biological Activity Reaction Test) Iron Reducing Bacteria(CFU/mL) -- -- 2300 NA Slime Forming Bacteria(CFU/mL) -- -- 100 NA • Sulfate Reducing Bacteria(CFU/mL) -- -- 0 NA Metals Barium,Dissolved(mg/L) 2.0 -- 0.02 NA Boron,Dissolved(mg/L) -- -- 0.2 NA Calcium,Dissolved(mg/L) -- -- 56 110 Iron,Dissolved(mg/L) -- 0.3 <0.1 NA Magnesium,Dissolved(mg/L) -- -- 37 56 Manganese,Dissolved(mg/L) -- 0.05 0.1 NA Phosphorus,Total(mg/L) -- -- 0.053 NA Potassium,Dissolved(mg/L) -- -- 4.6 5.5 Selenium,Dissolved(mg/L) 0.05 -- <0.001 NA Sodium,Dissolved(mg/L) -- -- 290 350 Strontium,Dissolved(mg/L) -- -- 1.4 NA General Water Quality Parameters Alkalinity,Total(mg/L) -- -- 620 560 Alkalinity,Bicarbonate(mg/L) -- -- 620 560 Alkalinity,Carbonate(mg/L) -- -- <20 <20 pH,Lab(standard units) -- 6.5-8.5 7.21 NA Specific Conductance(umhos/cm) -- -- 1624 NA Total Dissolved Solids(mg/L) -- 500 1000 1400 1 TABLE 1 (Continued) WATER QUALITY ANALYTICAL RESULTS MABIS 0354071 NOBLE ENERGY,INC Drinking Water Standards SAMPLE RESULTS ANALYTE Primary Secondary 8/19/14 8/21/15 Anions Bromide(mg/L) -- -- <0.4 <0.8 Chloride(mg/L) -- 250 21 36 Fluoride(mg/L) 4.0 -- 1.2 1.1 Nitrate-N(mg/L) 10.0 -- <0.4 NA Nitrite-N(mg/L) 1.0 -- <0.2 NA Sulfate(mg/L) -- 250 240 540 Notes: <-Less than the stated laboratory reporting limit umhos/cm-micromhos per centimeter -- No standard for the selected analyte TPH-total petroleum hydrocarbons NA-not analyzed DRO-diesel range organics CFU/mL-colony forming units per milliliter GRO-gasoline range organics mg/L-milligrams per Liter Primary Standards are maximum contaminant levels(MCLs)for public water systems. They do not apply to private wells,but are presented as a guide to water quality. Secondary Standards are guidelines for contaminants that may cause cosmetic aesthetic effects in drinking water. The source of drinking water standards is the Colorado Department of Public Health and Environment. There is no drinking water standard for dissolved methane. The threshold limit established by the Colorado Oil and Gas Conservation Commission for additional analysis is 1 mg/L. 2 l_. ATTACHMENT 2: SUBSEQUENT LABORATORY ANALYTICAL SUMMARY GALS utron nil la In it. A Ft. Collins, Colorado LIMS Version: 6.781 Page 1 of 1 Friday,August 28, 2015 Brian Christopher LT Environmental, Inc. 4600 West 60th Avenue Arvada, CO 80003 Re: ALS Workorder: 1508351 Project Name: Noble Baseline Sampling Project Number: NEP0605 Dear Mr. Christopher: One water sample was received from LT Environmental, Inc., on 8/21/2015. The sample was scheduled for the following analyses: Dissolved Gasses GC/MS Volatiles Inorganics Metals Total Extractable Petroleum Hydrocarbons(Diesel) The results for these analyses are contained in the enclosed reports. The data contained in the following report have been reviewed and approved by the personnel listed below. In addition,ALS certifies that the analyses reported herein are true, complete and correct within the limits of the methods employed. Thank you for your confidence in ALS Environmental. Should you have any questions, please call. Si is rely, ALS nvi,on ien.al Amy R. Wolf Project Manager ADDRESS 225 Commerce Drive,Fort Collins,Colorado,USA 80524 I PHONE+1 970 490 15111 FAX+1 970 490 1522 ALS GROUP USA,CORP. Part of the ALS Laboratory Group An ALS Limited Company fct'-45,ST `11 www.alsglobal.com ntCHT soLurtons Y'uuCi7 i'I ,-,'JflTf1r l 1 of 17 ALS Environmental — Fort Collins is accredited by the following accreditation bodies for various testing scopes in accordance with requirements of each accreditation body. All testing is performed under the laboratory management system, which is maintained to meet these requirement and regulations. Please contact the laboratory or accreditation body for the current scope testing parameters. ALS Environmental—Fort Collins Accreditation Body License or Certification Number Alaska (AK) UST-086 Alaska(AK) CO01099 Arizona (AZ) AZ0742 California(CA) 06251 CA Colorado(CO) CO01099 Connecticut(CT) PH-0232 Florida (FL) E87914 Idaho (ID) CO01099 Kansas (KS) E-10381 Kentucky(KY) 90137 L-A-B(DoD ELAP/ISO 170250) L2257 Louisiana(LA) 05057 Maryland (MD) 285 Missouri (MO) 175 Nebraska(NE) NE-OS-24-13 Nevada(NV) CO000782008A New York(NY) 12036 North Dakota(ND) R-057 Oklahoma(OK) 1301 Pennsylvania (PA) 68-03116 Tennessee (TN) 2976 Texas (TX) T104704241 Utah (UT) CO01099 Washington (WA) C1280 2of17 i70 A ALS Er1 r o ra n t, 1508351 GC/MS Volatiles: The sample was analyzed using GC/MS following the current revision of SOP 525 based on SW-846 Method 8260C. The sample was also analyzed for Gasoline Range Organics(GRO). The vial for the sample contained headspace prior to anlaysis. All acceptance criteria were met. Dissolved Gasses: The sample was prepared and analyzed according to method RSK-175 procedures and the current revision of SOP 449. All acceptance criteria were met. DRO: The sample was analyzed following the current revision of SOP 406 generally based on SW-846 Methods 8000C and 8015D.TEPH is a multicomponent mixture and is quantitated by summing the entire carbon range, rather than individual peaks.The carbon range integrated in this test extends from C10 to C28. The surrogate recovery for sample 1508351-1 was outside control limits(high). The results for DRO were less than the method detection limit. No further action was taken. All remaining acceptance criteria were met. Metals: The sample was analyzed following Methods for the Determination of Metals in Environmental Samples—Supplement 1 procedures. Analysis by ICPMS followed method 200.8 and the current revision of SOP 827 The sample was to be analyzed for dissolved metals. The sample was filtered through a 0.45 micron filter and preserved with nitric acid to a pH less than 2 prior to analysis. All acceptance criteria were met. Aut ;?L 5 225 Commerce Drive,Fort Collins Colorado 80524 USA r'HUN[. +1 970 490 1511 I,\\ +1 970 490 1522 3 of 17 CUR?- Part of the ALS Group An ALS Limited Company ALS Inorganics: The sample was analyzed following EMSL and Standard Method procedures for the current revisions of the following SOPs and methods: Analvte Method SOP# Alkalinity SM2320B 1106 Bicarbonate SM2320B 1106 Carbonate SM2320B 1106 TDS SM2540C 1101 Bromide 300.0 Revision 2.1 1113 Chloride 300.0 Revision 2.1 1113 Fluoride 300.0 Revision 2.1 1113 Sulfate 300.0 Revision 2.1 1113 All acceptance criteria were met. rli:1�?i?ES';225 Commerce Drive,Fort Collins Colorado 80524 USA I'HUrdl: +1 970 490 1 511 rAX +1 970 490 1 522 4 of 17 'I.I, C(iRJ'. Part of the ALS Group An ALS Limited Company ALS Environmental -- FC Sample Number(s) Cross-Reference Table OrderNum: 1508351 Client Name: LT Environmental, Inc. Client Project Name: Noble Baseline Sampling Client Project Number: NEP0605 Client PO Number: Client Sample Lab Sample COC Number Matrix Date Time • Number Number Collected Collected Mabis 0354071 1508351-1 WATER 21-Aug-15 9:44 Page 1 of 1 ALS Environmental--FC Date Printed: Friday,August 28,2015 LIMS Version: 6.781 5of17 E 0 r U V d 0 '6 o�-6.0 w m 4 [E) r..... T ,m4 jJr W 0 N :S O 0. s cn cc a 2 3 hhW 0 n E v 2 v c `o SP!IOS PaAIoss!a lelol 3OPSZWS X m sluawwoo aaS-suo!uV'mi. 0.00EVd3 X sluawwoo aaS-sumo lelol 8.OOZ/L'OOZVd3 X ()0 o 7 !elol'eleuogieole'aleuogre3'A!UIIEHIV GOZEZWS X ccOaa WSL08MS X N z F 080-Hdl V X318 SZ 09Z8MS X >1 O auedoad'aueyl@'aueuloW poAlossla 9LL)ISli X 4-0 V) E U co m m m m m w W W 0 0 W U S Z = Z a G CD E O W O W Q W C = J J c \ c ¢ ¢ ¢ � !�1 LL U d ca _ z 2u m d n I Y Q $ E s. E W Z y a t O E �_ O �" e w 1D O n e > 0 ~ �r Fr a E J ` L m U O' 7 �„ Ju E + + ul 0 S m U U O W °m g ° t l0_ o t--{ B g a a al x Y oh 0 J CO Q !7 X� zQ� E W r/r^ 11 Y1 _ N la < W z FO N a z < a N G W w w w ; v 6 t a ¢ a. Z ¢LU W Z W W P Y 0 LL O C < Oi a a. y v v Wy .00 < 4 H O < O W a + A. m W F- O w 5: jCC - U 2 n S 4 m w r a N H w O a ii ea m (q Z O N Cti .Q LL 'Qii O _ = v:7, ii 12 O Z G a C y V G13 m 5. •V .— a o 0 LL± E a S d m ,- `° v _ a o� L. g a ty m a o 0o N © LL 4 'm c m m �> o.- c E c to mTt t- r d O 2 m C in •y 0 N y O co 7 -c a d = 7 2 W Z? L Of C7 in U Q Z E a m O C V c7 V y p F- al O d N co w O J U 2to a H C (00 Z 6 O U V Q. •0 U Q 2 .. O W J CO a Q p c0 .D i C U .ca .. = 2 N� Z Z M W c y in i:c7 VIH W > O 6. ~IC w E. W 0 U _H °° E U v W W a y C A 0 .N .. m ¢ 4 ¢ 121 I Q ¢ t° w J E E § Of17 inP. ti c.) m 8 4 ALS Environmental-Fort Collins CONDITION OF SAMPLE UPON RECEIPT FORM ALS Client: Li F Workorder No: 1 SO 6 5 I Project Manager: /\jt,,.) Initials: c>0M Date: De-21-1,5- I. Does this project require any special handling in addition to standard ALS procedures? YES j 2. Are custody seals on shipping containers intact? �N1:5N YES NO 3. Are Custody seals on sample containers intact? ON YES NO 4. Is there a C0C(Chain-of-Custody)present or other representative documents? ! E NO 3. Are the COC and bottle labels complete and legible? E NO 6. Is the COC in agreement with samples received? (IDs,dates,times,no.of samples, no.of 0 N containers,matrix,requested analyses, etc.) 7- Were airbills/shipping documents present and/or removable? R P OFF YES NO 8. Are all aqueous samples requiring preservation preserved correctly?(excluding volatiles) (//) YES NO 9- Are all aqueous non-preserved samples pH 4-9? N/A YES NO 10. Is there sufficient sample for the requested analyses? S NO ii. Were all samples placed in the proper containers for the requested analyses? CES NO 12. Are all samples within holding times for the requested analyses? 'ES NO 13. Were all sample containers received intact? (not broken or leaking, etc.) @ NO 14. Are all samples requiring no headspace(VOC,GRO,RSK/MEE, Rx CN/S,radon) N/A YES ( (� headspace free? Size of bubble: <green pea >green pea `J is. Do any water samples contain sediment? Amount N/A YES ©O Amount of sediment: dusting moderate heavy 16. Were the samples shipped on ice? (YES NO 17. Were cooler temperatures measured at 0.1-6.0°C? IR gun wee: #4 0N RA YE NO Cooler#: Temperature(°C): 3. (:, No.of custody seals on cooler: & DOT Survey/ �/1� Acceptance External µR/hr reading: Information _ Background µR/hr reading: l2. Were external µR/hr readings≤two times background and within DOT acceptance criteria? ICES/NO e(If no,see Form 008.) Additional Information: PROVIDE DETAILS BELOW FOR A NO RESPONSE TO ANY QUESTION ABOVE,EXCEPT#1 AND#16. 19. ) SC(rptL 1 60Itte 3 '!r 6}'Yl.c. ti I/la� A _P```'`' _ .{ti, 5;•e ta, rag.. S G N,Qk I b.,►-f L L 4-11s--, (, 1-7-6 6/ gJ / 4- i O lit,... ._ a 1A-c-c.49311u.�e. 4 9 rt.e." f c t. o {J�tS Ciko 8/005 If applicable,was the client contacted?YES/NO/ Contact: �� Date/Time: (45 Project Manager Signature/Date: g'',Z( v *IR Gun#2:Oakton,SN 29922500201-0066 Form 201r24.xls (06/04/2012) *IR Gun#4:Oakton,SN 2372220101-0002 7 of, 17 Page 1 of I ALS Environmental -- FC SAMPLE SUMMARY REPORT Client: LT Environmental,Inc. Date: 28-Aug-15 Project: NEP0605 Noble Baseline Sampling Work Order: 1508351 Sample ID: Mabis 0354071 Lab ID: 1508351-1 Legal Location: Matrix: WATER Collection Date: 8/21/2015 09:44 Percent Moisture: Report Dilution Analyses Result Qual Limit Units Factor Date Analyzed Alkalinity as Calcium Carbonate SM2320B Prep Date: 8/25/2015 PrepBy:TLB TOTAL ALKALINITY AS CaCO3 560 20 MG/L 1 '8/25/2015 BICARBONATE AS CaCO3 560 20 MG/L 1 8/25/2015 CARBONATE AS CaCO3 ND 20 MG/L 1 8/25/2015 Diesel Range Organics SW8015M Prep Date: 8/26/2015 PrepBy:JFN Diesel Range Organics ND 0.58 MG/L 1 8/26/2015 15:09 Sum.O-TERPHENYL 137 63-126 %REC 1 8/26/2015 15:09 Dissolved Gasses RSK175 Prep Date: 8/25/2015 PrepBy: DMS METHANE ND 1 UG/L 1 8/25/2015 10:11 ETHANE ND 2 UG/L 1 8/25/201510:11 PROPANE ND 1 UG/L 1 8/25/2015 10:11 GC/MS Volatiles SW8260_25 Prep Date: 8/25/2015 PrepBy:JXK BENZENE ND 1 UG/L 1 8/25/2015 19:17 TOLUENE ND 1 UG/L 1 8/25/2015 19:17 ETHYLBENZENE ND 1 UG/L 1 8/25/2015 19:17 M+P-XYLENE ND 1 UG/L 1 8/25/2015 19:17 O-XYLENE ND 1 UG/L 1 8/25/2015 19:17 TOTAL XYLENES ND 1 UG/L 1 8/25/2015 19:17 Sum 4-BROMOFLUOROBENZENE 101 85-115 %REC 1 8/25/2015 19:17 Sum DIBROMOFLUOROMETHANE 99 84-118 %REC 1 8/25/2015 19:17 Sum TOLUENE-D8 103 85-115 %REC 1 8/25/2015 19:17 GASOLINE RANGE ORGANICS ND 100 UG/L 1 8/25/2015 19:17 Ion Chromatography EPA300.0 Prep Date: 8/21/2015 PrepBy:JFN FLUORIDE 1.1 0.4 MG/L 4 8/22/2015 03:01 CHLORIDE 36 0.8 MG/L 4 8/22/2015 03:01 BROMIDE ND 0.8 MG/L 4 8/22/2015 03:01 SULFATE 540 20 MG/L 20 8/21/2015 16:41 Dissolved Metals by 200.8 EPA200.8 Prep Date: 8/25/2015 PrepBy:CDR CALCIUM 110 1 MG/L 10 8/26/2015 16:41 MAGNESIUM 56 0.1 MGIL 10 8/26/2015 16:41 POTASSIUM 5.5 1 MG/L 10 8/26/2015 16:41 SODIUM 350 1 MG/L 10 8/26/2015 16:41 Total Dissolved Solids SM2540C Prep Date: 8/26/2015 PrepBy:TLB TOTAL DISSOLVED SOLIDS 1400 40 MG/L 1 8/27/2015 ALS Environmental --FC LIMS Version: 6.781 AR Page 1 of 2 8 of 17 ALS Environmental -- FC SAMPLE SUMMARY REPORT Client: LT Environmental,Inc. Date: 28-Aug-15 Project: NEP0605 Noble Baseline Sampling Work Order: 1508351 Sample ID: Mabis 0354071 Lab ID: 1508351-1 Legal Location: Matrix: WATER Collection Date: 8/21/2015 09:44 Percent Moisture: Report Dilution Analyses Result Qual Limit Units Factor Date Analyzed Explanation of Qualifiers Radiochemistry: U or ND-Result is less than the sample specific MDC. M3-The requested MDC was not met,but the reported Y1-Chemical Yield is in control at 100-110%. Quantitative yield is assumed. activity is greater than the reported MDC. Y2 L-LCS Recovery below lower control limit. -Chemical Yield outside default limits. H-LCS Recovery above upper control limit. W-DER is greater than Warning Limit of 1.42 P LCS,Matrix Spike Recovery within control limits. •-Aliquot Basis is'As Received while the Report Basis is'Dry Weight'. #-Aliquot Basis is'Dry Weight'while the Report Basis is'As Received'. N-Matrix Spike Recovery outside control limits G-Sample density differs by more than 15%of LCS density. NC-Not Calculated for duplicate results less than 5 times MDC D-DER is greater than Control Limit B-Analyte concentration greater than MDC. M-Requested MDC not met. B3-Analyte concentration greater than MDC but less than Requested • LT-Result is less than requested MDC but greater than achieved MDC. MDC. Inorganics: B-Result is less than the requested reporting limit but greater than the instrument method detection limit(MDL). U or ND-Indicates that the compound was analyzed for but not detected. E-The reported value is estimated because of the presence of interference. An explanatory note may be included in the narrative. M - Duplicate injection precision was not met. N-Spiked sample recovery not within control limits. A post spike is analyzed for all ICP analyses when the matrix spike and or spike duplicate fail and the native sample concentration is less than four times the spike added concentration. Z-Spiked recovery not within control limits.An explanatory note may be included in the narrative. '-Duplicate analysis(relative percent difference)not within control limits. •S-SAR value is estimated as one or more analytes used in the calculation were not detected above the detection limit. Organics: U or ND-Indicates that the compound was analyzed for but not detected. B-Analyte is detected in the associated method blank as well as in the sample. It indicates probable blank contamination and warns the data user. E-Analyte concentration exceeds the upper level of the calibration range. J-Estimated value. The result is less than the reporting limit but greater than the instrument method detection limit(MDL). A-A tentatively identified compound is a suspected aldol-condensation product. X-The analyte was diluted below an accurate quantitation level. •-The spike recovery is equal to or outside the control criteria used. +-The relative percent difference(RPD)equals or exceeds the control criteria. G-A pattern resembling gasoline was detected in this sample. D-A pattern resembling diesel was detected in this sample. M-A pattern resembling motor oil was detected in this sample. C-A pattern resembling crude oil was detected in this sample. 4 A pattern resembling JP-4 was detected in this sample. 5-A pattern resembling JP-5 was detected in this sample. H-Indicates that the fuel pattern was in the heavier end of the retention time window for the analyte of interest. L-Indicates that the fuel pattern was in the lighter end of the retention time window for the analyte of interest. Z-This flag indicates that a significant fraction of the reported result did not resemble the patterns of any of the following petroleum hydrocarbon products: -gasoline -JP-8 -diesel -mineral spirits -motor oil -Stoddard solvent -bunker C ALS Environmental --FC LIMS Version: 6.781 AR Page 2 of 2 9 of 17 ALS Environmental -- FC Date: 8/28/2015 1:06: Client: LT Environmental, Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: HC150825-9-1 Instrument ID:MEE-1 Method: RSK175 LCS Sample ID: HC150825-9 Units:UG/L Analysis Date: 8/25/2015 09:26 Client ID: Run ID: HC150825-9A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual METHANE 162 1 142 114 80-120 25 ETHANE 306 2 267 115 80-120 25 PROPANE 440 1 391 112 80-120 25 LCSD Sample ID: HC150825-9 Units:UG/L Analysis Date: 8/25/2015 10:25 Client ID: Run ID: HC150825-9A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual METHANE 156 1 142 109 80-120 • 162 4 25' ETHANE 295 2 267 111 80-120 306 4 25 PROPANE 423 1 391 108 80-120 440 4 25 MB Sample ID: HC150825-9 Units:UG/L Analysis Date: 8/25/2015 09:33 Client ID: Run ID: HC150825-9A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual METHANE ND 1 ETHANE ND 2 PROPANE ND 1 The following samples were analyzed in this batch: 1508351-1 • ALS Environmental --FC QC Page:1 of 8 LIMS Version: 6.781 10 of 17 Client: LT Environmental, Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: HC150826-100-1 Instrument ID:FUELS-1 Method: SW8015M LCS Sample ID: HC150826-100 Units:MG/L Analysis Date: 8/26/2015 16:42 Client ID: Run ID: HC150826-7A Prep Date: 8/26/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual Diesel Range Organics 7.87 0.6 8.33 94 36-150 20 Sum O-TERPHENYL 0.82 0.833 98 63-126 MB Sample ID: HC150826-100 Units:MG/L Analysis Date: 8/26/2015 12:03 Client ID: Run ID: HC150826-7A Prep Date: 8/26/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual Diesel Range Organics ND 0.6 Sum 0-TERPHENYL 0.86 0.833 103 63-126 The following samples were analyzed in this batch: 11508351-1 ALS Environmental--FC QC Page:2 of 8 LIMS Version: 6.781 11 of 17 L Client: LT Environmental,Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: IP150825-3-3 Instrument ID:ICPMS2 Method: EPA200.8 LCS Sample ID: FM150825-3 Units:MG/L Analysis Date: 8/26/2015 16:30 Client ID: Run ID: IM150826-10A7 Prep Date: 8/25/2015 DF: 10 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value °/DREG Limit Level Ref RPD Limit Qual CALCIUM 10.4 1 10 104 85-115 20 MAGNESIUM 10.6 0.1 10 106 85-115 20 POTASSIUM 4.75 1 5 95 85-115 20 SODIUM 10.9 1 10 109 85-115 20, MB Sample ID: FP150825-3 Units:MG/L Analysis Date: 8/26/2015 16:27 Client ID: Run ID: IM150826-10A7 Prep Date: 8/25/2015 DF: 10 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual CALCIUM ND 1 MAGNESIUM ND 0.1 POTASSIUM ND 1 , SODIUM ND 1 The following samples were analyzed in this batch: 1508351-1 ALS Environmental --FC QC Page:3 of 8 LIMS Version: 6.781 12 of 17 Client: LT Environmental,Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: VL150825-3-2 Instrument ID:HPV1 Method: SW8260 25 LCS Sample ID: VL150825-3 Units:%REC Analysis Date: 8125/2015 10:24 Client ID: Run ID: VL150825-3A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual Surr.4- 25.1 25 101 85-115 BROMOFLUOROBENZENE Surr. 25.2 25 101 84-118 DIBROMOFLUOROMETHANE Surr.TOLUENE-D8 24.8 25 99 85-115 BENZENE 10.2 1 10 102 83-117 20 TOLUENE 10.5 1 10 105 82-113 20 ETHYLBENZENE 9.89 1 10 99 81-113 20 M+P-XYLENE 21.7 1 20 109 82-115 20 O-XYLENE 10 1 10 100 81-115 20 LCSD Sample ID: VL150825-3 Units:%REC Analysis Date: 8/25/2015 10:45 Client ID: Run ID: VL150825-3A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref . RpD Limit, Qual Sum 4- 24.2 25 97 85-115 4 BROMOFLUOROBENZENE Sum 25.3 25 101 84-118 0 DIBROMOFLUOROMETHANE Surr.TOLUENE-D8 24.9 25 99 85-115 0 BENZENE 9.57 1 10 96 83-117 10.2 6 20 TOLUENE 9.66 1 10 97 82-113 10.5 8 20 ETHYLBENZENE 9.94 1 10 99 81-113 9.89 0 20 M+P-XYLENE 20.1 1 20 100 82-115 •21.7 8 20' O-XYLENE 9.93 1 10 99 81-115 10 1 20 MB Sample ID: VL150825-3 Units:%REC Analysis Date: 8/25/2015 11:30 Client ID: Run ID: VL150825-3A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual Sum 4- 25.4 25 101 85-115 BROMOFLUOROBENZENE Surr: 25.2 25 101 84-118 DIBROMOFLUOROMETHANE Surr.TOLUENE-D8 25 25 100 85-115 BENZENE ND 1 TOLUENE ND 1 ETHYLBENZENE ND 1 M+P-XYLENE ND 1 O-XYLENE ND 1 TOTAL XYLENES ND 1 ALS Environmental -- FC QC Page:4 of 8 LIMS Version: 6.781 13 of 17 Client: LT Environmental,Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: VL150825-3-4 Instrument ID:HPV1 Method: SW8260_25 LCS Sample ID: VL150825-6 Units:UG/L Analysis Date: 8/25/2015 12:12 Client ID: Run ID: VL150825-3A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual GASOLINE RANGE ORGANICS 1030 100 1000 103 80-120 20 LCSD Sample ID: VL150825-6 Units:UG/L Analysis Date: 8/25/2015 12:33 Client ID: Run ID: VL150825-3A Prep Date: 8/2512015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual GASOLINE RANGE ORGANICS 1020 100 1000 102 80-120 1030 1 20 MB Sample ID: VL150825-3 Units:UG/L Analysis Date: 8/25/2015 11:30 Client ID: Run ID: VL150825-3A Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual GASOLINE RANGE ORGANICS ND 100 The following samples were analyzed in this batch: 1508351-1 ALS Environmental --FC QC Page:5 of 8 LIMS Version: 6.781 14 of 17 Client: LT Environmental,Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: AK150825-2-3 Instrument ID:Balance Method: SM2320B LCS Sample ID: AK150825-2 Units:MG/L Analysis Date: 8/25/2015 Client ID: Run ID: AK150825-1A1 Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref • RPD Limit Qual TOTAL ALKALINITY AS CaCO3 96.8 5 100 97 85-115 15 MB Sample ID: AK150825-2 Units:MG/L Analysis Date: 8/25/2015 Client ID: Run ID: AK150825-1A1 Prep Date: 8/25/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual TOTAL ALKALINITY AS CaCO3 ND 5 BICARBONATE AS CaCO3 ND 5 CARBONATE AS CaCO3 ND 5 The following samples were analyzed in this batch: 1508351-1 ALS Environmental --FC QC Page:6 of 8 LIMS Version: 6.781 15 of 17 Client: LT Environmental,Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: IC150821-2-3 Instrument ID:IC-2 Method: EPA300.0 LCS Sample ID: IC150821-2 Units:MG/L Analysis Date: 8/21/2015 18:57 Client ID: Run ID: IC150821-2A4 Prep Date: 8/21/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual FLUORIDE 5.33 0.1 5 107 90-110 15 CHLORIDE 10.3 0.2 10 103 90-110 15 BROMIDE 10.3 0.2 10 103 90-110 15 SULFATE 52.1 1 50 104 90-110 15 MB Sample ID: IC150821-2 Units:MG/L Analysis Date: 8/21/2015 19:12 Client ID: Run ID: IC150821-2A4 Prep Date: 8/21/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref . RPD Limit' Qual FLUORIDE ND 0.1 CHLORIDE ND 0.2 BROMIDE ND 0.2 SULFATE ND 1 The following samples were analyzed in this batch: 1508351-1 ALS Environmental -- FC QC Page:7 of 8 LIMS Version: 6.781 16 of 17 Client: LT Environmental,Inc. QC BATCH REPORT Work Order: 1508351 Project: NEP0605 Noble Baseline Sampling Batch ID: TD150826-1-2 Instrument ID:Balance Method: SM2540C LCS Sample ID: TD150826-1 Units:MG/L Analysis Date: 8/27/2015 Client ID: Run ID: TD150827-1A1 Prep Date: 8/26/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual TOTAL DISSOLVED SOLIDS 401 20 400 100 85-115 5, MB Sample ID: TD150826-1 Units:MG/L Analysis Date: 8/27/2015 Client ID: Run ID: TD150827-1A1 Prep Date: 8/26/2015 DF: 1 SPK Ref Control Decision RPD RPD Analyte Result ReportLimit SPK Val Value %REC Limit Level Ref RPD Limit Qual TOTAL DISSOLVED SOLIDS ND 20 The following samples were analyzed in this batch: 1508351-1 • ALS Environmental --FC QC Page:8 of 8 LIMS Version: 6.781 17 of 17 The printed portions of this form except differentiated additions,have been approved by the Colorado Real Estate Commission.(LP45-9-12) THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL AND TAX OR OTHER COUNSEL BEFORE SIGNING. LEAD-BASED PAINT DISCLOSURE (Sales) Attachment to Contract to Buy and Sell Real Estate for the Property known as: . 7'7Cvvi lam.�,yz �°a '/9 SQ /O 4/S.-- Street Address City State Zip WARNING! LEAD FROM PAINT,DUST,AND SOIL CAN BE DANGEROUS IF NOT MANAGED PROPERLY Penalties for failure to comply with Federal Lead-Based Paint Disclosure Laws include treble (3 times) damages, attorney fees, costs, and a base penalty up to $11,000 (plus adjustment for inflation). The current penalty is up to $16,000 for each violation. Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities,reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The Seller of any interest in residential real property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the Seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase. Seller's Disclosure to Buyer and Real Estate Licensee(s)and Acknowledgment 1. Seller acknowledges that Seller has been informed of Seller's obligations. Seller is aware that Seller must retain a copy of this disclosure for not less than three years from the completion date of the sale. 2. Presence of lead-based paint and/or lead-based paint hazards(check one box below): Seller has no knowledge of any lead-based paint and/or lead-based paint hazards present in the housing. ❑ Seller has knowledge of lead-based paint and/or lead-based paint hazards present in the housing(explain): 3. Records and reports available to Seller(check one box below): gSeller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ❑ Seller has provided Buyer with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing(list documents below): Buyer's Acknowledgment 4. Buyer has read the Lead Warning Statement above and understands its contents. 5. Buyer has received copies of all information,including any records and reports listed by Seller above. 6. Buyer has received the pamphlet"Protect Your Family From Lead in Your Home". 7. Buyer acknowledges federal law requires that before a buyer is obligated under any contract to buy and sell real estate, Seller shall permit Buyer a 10-day period (unless the parties mutually agree, in writing, upon a different period of time)to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards. 8. Buyer,after having reviewed the contents of this form,and any records and reports listed by Seller,has elected to(check one box below): ❑Obtain a risk assessment or an inspection of the Property for the presence of lead-based paint and/or lead-based paint hazards, within the time limit and under the terms of§ 10 of the Contract to Buy and Sell Real Estate;or ❑ Waive the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards. Real Estate Licensee's Acknowledgment LP 45-9-12. LEAD-BASED PAINT DISCLOSURE(SALES) Page 1 of 2 Each real estate licensee signing below acknowledges receipt of the above Seller's Disclosure, has informed Seller of Seller's obligations and is aware of licensee's responsibility to ensure compliance. Certification of Accuracy I certify that the statements I have made are accurate to the best of my knowledge. /,?///c Seller' Date Buyer Date Seller Date Buyer Date Real Estate Licensee(Listing) Date Real Estate Licensee(Selling) Date LP 45-9-12. LEAD-BASED PAINT DISCLOSURE(SALES) Page 2 of 2 UNIFIED TITLE COMPANY OF NORTHERN COLORADO, LLC 1275 58th Avenue,Unit C Greeley,CO 80634 Phone: 970-356-3551 Fax: 970-356-2063 January 08, 2016 County of Weld, a body corporate and politic of the State of Colorado bchoate@weldgov.com PROPERTY ADDRESS: 23769 County Road 49, La Salle, CO 80645 ORDER NO:10021UTG DEAR CUSTOMER: ENCLOSED IS YOUR POLICY OF TITLE INSURANCE. THIS POLICY CONTAINS IMPORTANT INFORMATION ABOUT THE REAL ESTATE TRANSACTION YOU HAVE JUST COMPLETED AND IS YOUR GUARANTEE OF OWNERSHIP. PLEASE READ IT CAREFULLY AND RETAIN IT WITH YOUR OTHER VALUABLE PAPERS. A COMPLETE AND PERMANENT FILE OF THE RECORDS CONCERNING YOUR TRANSACTION WILL BE MAINTAINED IN OUR OFFICE. THESE RECORDS WILL ASSURE PROMPT PROCESSING OF FUTURE TITLE ORDERS AND SAVE MUCH VALUABLE TIME SHOULD YOU WISH TO SELL OR OBTAIN A LOAN ON YOUR PROPERTY. VISIT OR CALL OUR OFFICE AND SIMPLY GIVE US YOUR PERSONAL POLICY FILE NUMBER SHOWN ABOVE. WE APPRECIATE THE OPPORTUNITY TO SERVE YOU AND WILL BE HAPPY TO ASSIST YOU IN ANY WAY WITH YOUR FUTURE TITLE SERVICE NEEDS. SINCERELY, UNIFIED TITLE COMPANY OF NORTHERN COLORADO, LLC erram,,l C aaTno 0,2-01 S -3z/ / I - 1'g -gout cc ( e)I is PR_.OO341 POLICY NO. OP-3-4148895 WESTCOR ,- LAND TITLE INSURANCE COMPANY ALTA RESIDENTIAL TITLE INSURANCE POLICY ONE-TO-FOUR FAMILY RESIDENCES(6-1-87) ISSUED BY WESTCOR LAND TITLE INSURANCE COMPANY OWNER'S INFORMATION SHEET Your Title Insurance Policy is a legal contract between you and Westcor Land Title Insurance Company. It applies only to a one-to-four family residential lot or condominium unit. If your land is not either of these, contact us immediately. The Policy insures you against certain risks to your land title. These risks are listed on page one of the Policy. The Policy is limited by: • Exclusions on page 2 • Exceptions on Schedule.B • Conditions on page 3 You should keep the Policy even if you transfer the title to your land. If you want to make a claim,see Item 3 under Conditions on page 3. You do not owe any more premiums for the Policy. This sheet is not your insurance Policy. It is only a brief outline of some of the important Policy features. The Policy explains in detail your rights and obligations and our rights and obligations. Since the Policy--and not this sheet--is the legal document,YOU SHOULD READ THE POLICY VERY CAREFULLY. If you have any questions about your Policy,contact: Westcor Land Title Insurance Company 875 Concourse Parkway South, Suite 200,Maitland,FL 32751 IN WITNESS WHEREOF,WESTCOR LAND TITLE INSURANCE COMPANY has caused this policy to be signed and sealed as of the Date of Policy shown in Schedule A. WESTCOR LAND TITLE INSURANCE COMPANY Issued By:Unified Title Company of Northern Colorado,LLC 4 po n 7 Z By: A1,/(c'/iresident , VauyvK,M Land'R[ic �„ Iraaraacc P Company Q 94e'.:" �s�sv3 c°� t Attest: lzta-e-a-J Secretary TABLE OF CONTENTS mortgage loan. 12. You are forced to remove your existing structure-other than OWNER'S INFORMATION SHEET 1 a boundary wall or fence—because: COVERED TITLE RISKS 2 • it extends on to adjoining land or on to any easement COMPANY'S DUTY TO DEFEND AGAINST COURT • it violates a restriction shown in Schedule B CASES 2 • it violates an existing zoning law SCHEDULE A insert 13. You cannot use the land because use as a single-family Policy Number,Date and Amount residence violates a restriction shown in Schedule B or an 1. Name of Insured existing zoning law. 2. Interest in Land Covered 14. Other defects,liens,or encumbrances 3. Description of the Land SCHEDULE B-EXCEPTIONS insert EXCLUSIONS EXCLUSIONS 2 CONDITIONS 3 In addition to the Exceptions in Schedule B,you are not insured 1.Definitions 3 against loss,costs,attorneys' fees,and expenses resulting from: 2.Continuation of Coverage 3 3.How to Make a Claim 3 I. Governmental police power, and the existence or violation of 4.Our Choices When You Notify Us of a Claim 3 any law or government regulation.This includes building and 5.Handling a Claim or Court Case 3 zoning ordinances and also laws and regulations concerning: 6.Limitation of the Company's Liability 3 • land use 7.Transfer of Your Rights _ 3 • improvements on the land 8. Arbitration 4 • land division 9.Our Liability is Limited to This Policy 4 • environmental protection OWNER'S COVERAGE STATEMENT This exclusion does not apply to violations or the enforcement of these matters which appear in the public records at Policy Date. This policy insures your title to the land described in Schedule A--if that land is a one-to-four family residential lot or This exclusion does not limit the zoning coverage described in condominium unit. Items 12 and 13 of Covered Title Risks. Your insurance, as described in this Coverage Statement, is 2. The right to take the land by condemning it unless: effective on the Policy Date shown in Schedule A. • a notice of exercising the right appears in the public records on the Policy Date Your insurance is limited by the following: • the taking happened prior to the Policy Date and is binding on you if you bought the land without knowing of • Exclusions on page 2 the taking • Exceptions in Schedule B Risks: • Conditions on page 3 3. Title• that are created,allowed,or agreed to by you We insure you against actual loss resulting from: • that are known to you, but not to us, on the Policy • any title risks covered by this Policy--up to the Policy Date—unless they appeared in the public records Amount and • that result in no loss to you • any costs, attorneys ' fees and expenses we have to pay • that first affect your title after the Policy Date—this under this Policy does not limit the labor and material lien coverage in Item 8 of Covered Title Risks COVERED TITLE RISKS 4. Failure to pay value for your title. This Policy covers the following title risks, if they affect your title on the Policy Date. 5. Lack of a right: • to any land outside the area specifically described 1. Someone else owns an interest in your title. and referred to in Item 3 of Schedule A;or 2. A document is not properly signed, sealed, acknowledged, or • in streets,alleys,or waterways that touch your land delivered. 3. Forgery, fraud, duress, incompetency, incapacity or This exclusion does not limit the access coverage in Item 5 of impersonation Covered Title Risks. 4. Defective recording of any document. 5. You do not have any legal right of access to and from the land. COMPANY'S DUTY TO DEFEND 6. There are restrictive covenants limiting your use of the land. AGAINST COURT CASES 7. There is a lien on your title because of: • a mortgage or deed of trust We will defend your title in any court case as to that part of the • ajudgment,tax,or special assessment case that is based on a Covered Title Risk insured against by this • a charge by a homeowner's or condominium association Policy. We will pay the costs, attorneys' fees, and expenses we 8. There are liens on your title,arising now or later, for labor and incur in that defense. material furnished before the Policy Date--unless you agreed to pay for the labor and material. We can end this duty to defend your title by exercising any of our 9. Others have rights arising out of leases,contracts or options. options listed in Item 4 of the Conditions. 10.Someone else has an easement on your land. 11, Your title is unmarketable,which allows another person This policy is not complete without Schedules A and B. to refuse to perform a contract to purchase,to lease or to make CONDITIONS 1.DEFINITIONS We may require you to answer questions under oath. a.Easement—the right of someone else to use your land for a special purpose. Our obligation to you could be reduced if you fail or refuse to: b.Land —the land or condominium unit described in Schedule • provide a statement of loss;or A and any improvements on the land which are real property. • answer our questions under oath;or c.Mortgage — a mortgage, deed of trust, trust deed or other • show us the papers we request,and security instrument. • your failure or refusal affects our ability to dispose of d.Public Records—title records that give constructive notice of or to defend you against the claim. matters affecting your title—according to the state statutes where your land is located. 4.OUR CHOICES WHEN YOU NOTIFY US OF A CLAIM e.Title—the ownership of your interest in the land, as shown in After we receive your claim notice or in any other way learn of Schedule A. a matter for which we are liable, we can do one or more of the following: 2.CONTINUATION OF COVERAGE a.Pay the claim against your title. This Policy protects you as long as you: b.Negotiate a settlement. • own your title;or c.Prosecute or defend a court case related to the claim. • own a mortgage from anyone who buys your land; or d.Pay you the amount required by this Policy. are liable for any title warranties you make e.Take other action which will protect you. f. Cancel this policy by paying the Policy Amount, then in This Policy protects anyone who receives your title because of force, and only those costs, attorneys ' fees and expenses your death. incurred up to that time which we are obligated to pay. 3.HOW TO MAKE A CLAIM 5.HANDLING A CLAIM OR COURT CASE a.You Must Give The Company Notice Of Your Claim You must cooperate with us in handling any claim or court case If anyone claims a right against your insured title,you must and give us all relevant information. notify us promptly in writing. Send the notice to: Westcor Land Title Insurance Company, Attn: Claims We are required to repay you only for those settlement costs Department, 201 N. New York Avenue, Ste. 200, Winter attorneys'fees and expenses that we approve in advance. Park, FL 32789. Please include the Policy number shown in Schedule A and the county and state where the land is When we defend your title, we have a right to choose the located. attorney. Our obligation to you could be reduced if We can appeal any decision to the highest court. We do not • you fail to give prompt notice; and have to pay your claim until your case is finally decided. • your failure affects our ability to dispose of or to defend you against the claim. 6.LIMITATION OF THE COMPANY'S LIABILITY b.Proof Of Your Loss Must Be Given To The Company a.We will pay up to your actual loss or the Policy Amount in You must give us a written statement to prove your claim of force when the claim is made—whichever is less. loss. This statement must be given to us not later than 90 b.If we remove the claim against your title within a reasonable days after you lmow the facts which will let you establish the time after receiving notice of it, we will have no further amount of your loss. liability for it.If you cannot use any of your land because of a claim against your title, and you rent reasonable substitute The statement must have the following facts: land or facilities,we will repay you for your actual rent until: • the Covered Title Risks which resulted in your loss • the cause of the claim is removed;or • the dollar amount of your loss • we settle your claim • the method you used to compute the amount of your loss c.The Policy Amount will be reduced by all payments made under this policy—except for costs,attorneys ' fees and You may want to provide us with an appraisal of your loss by a expenses. professional appraiser as a part of your statement of loss. d.The Policy Amount will be reduced by any amount we pay to our insured holder of any mortgage shown in this Policy or a We may require you to show us your records, checks, letters, later mortgage given by you. contracts,and other papers which relate to your claim of loss. e.If you do anything to affect any right of recovery you may We may make copies of these papers. have,we can subtract from our liability the amount by which you reduced the value of that right. 7.TRANSFER OF YOUR RIGHTS When we settle a claim, we have all the rights you had against any person or property related to the claim. You must transfer these rights to us when we ask,and you must not do anything to affect these rights. You must let us use your name in enforcing these rights. We will not be liable to you if we do not pursue these rights or if we do not recover any amount that might be recoverable. With the money we recover from enforcing these rights,we will pay whatever part of your loss we have not paid. We have a right to keep what is left. 8.ARBITRATION If it is permitted in your state,you or the Company may demand arbitration. The arbitration shall be binding on both you and the Company. The arbitration shall decide any matter in dispute between you and the Company. The arbitration award may: • include attorneys' fees if allowed by state law • be entered as a judgment in the proper court. The arbitration shall be under the Title Insurance Arbitration Rules of the American Arbitration Association. You may choose current Rules or Rules in existence on Policy Date. The law used in the arbitration is the law of the place where the property is located. You can get a copy of the Rules from the Company. 9.OUR LIABILITY IS LIMITED TO THIS POLICY This Policy, plus any endorsements, is the entire contract between you and the Company.Any claim you make against us must be made under this Policy and is subject to its terms. PLAIN LANGUAGE OWNER'S POLICY OF TITLE INSURANCE Issued by Westcor Land Tide Insurance Company SCHEDULE A Name and Address of Title Insurance Company: WESTCOR LAND TITLE INSURANCE COMPANY 2000 S.Colorado Blvd. #1-3100,Denver,Colorado 80222 File No.: 10021UTG Policy No.: OP-3-4148895 Address Reference: 23769 County Road 49,La Salle,CO 80645 Amount of Insurance: $350,000.00 Date of Policy: December 10,2015 at the exact time of recording. Name of Insured: County of Weld,a body corporate and politic of the State of Colorado 2. The estate or interest in the Land that is insured by this policy is: Fee Simple 3. Title is vested in: County of Weld,a body corporate and politic of the State of Colorado 4. The Land referred to in this policy is described as follows: Lot A of Recorded Exemption No. 1055-01-1-RE 2035,recorded June 20,1997 in Book 1612 at Reception No. 2554136.being a part of the North 1/2 of the Northeast 1/4 of Section 1,Township 4 North,Range 65 West of the 6th P.M.,County of Weld,State of Colorado. Countersigned Unified Title Company of Northern Colorado, LLC 4/ By 47,17 Authorized Officer or Agent Note: This policy consists of insert pages labeled Schedule A and B.This policy is of no force and effect unless all pages are included along with any added pages incorporated by reference. ALTA Plain Language Owner's Policy(6-77-06) Page I Schedule A Policy No.: OP-3-4148895 Note:This policy consists of insert pages labeled Schedule A and B.This policy is of no force and effect unless all pages are included along with any added pages incorporated by reference. ALTA Plain Language Owner's Policy(6-17-06) Page 2 Schedule A PLAIN LANGUAGE OWNER'S POLICY OF TITLE INSURANCE Issued by Westcor Land Title Insurance Company SCHEDULE B File No.: 10021UTG Policy No.: OP-3-4148895 EXCEPTIONS FROM COVERAGE This policy does not insure against loss or damage,and the Company will not pay costs, attorneys'fees,or expenses that arise by reason of: 1. Unpatented mining claims;reservations or exceptions in patents or in Acts authorizing the issuance thereof. 2. Any water rights or claims or title to water,in or under the land,whether or not shown by the public records. 3. Taxes and assessments for the year 2015,and subsequent years,a lien not yet due and payable. 4. Mineral reservations as set forth in the Patent from the United States of America to the Union Pacific Railway Company recorded as follows: "Excluding and excepting from the transfer by these presents All Mineral Lands should any such be found to exist in the tracts described exception,according to the terms of the Statute,shall not be construed to include coal and iron land". 5. Right of way for a public highway granted to Weld County,Colorado in Deed recorded June 7,1939 in Book 1046 at Page 30. 6. Oil and gas lease between Ruben Schissler and Dale L.Schissler and Buckeye Energy Corporation recorded July 17, 1981 at Reception No.1863652 in Book 942,and any interests therein or rights thereunder. 7. Easement(s)and rights of way including its terms and conditions for a pipe line and incidental purposes,as granted to Panhandle Eastern Pipe Line Company in instrument recorded December 14,1983 at Reception No.1950015 in Book 1015. 8. Easement(s)and rights of way including its terms and conditions for a pipeline or pipelines and incidental purposes,as granted to Natural Gas Associates in instrument recorded January 19,1984 at Reception No. 1953538 in Book 1018. 9. Notice of general description of area serviced by Panhandle Eastern Pipe Line Company concerning underground facilities recorded June 26, 1986 in Book 1117 at Reception No.2058722. 10. Notes, right of way for Weld County Road 49 and all other matters as shown on the map of Recorded Exemption No. 1055-01-1-RE 2035, recorded June 20,1997 at Reception No.2554136 in Book 1612. 11. Easement(s)and rights of way including its terms and conditions for irrigation and incidental purposes,as granted to Michael B.Smith in instrument recorded June 26, 1997 at Reception No.2555097 in Book 1613. 12. Request For Notification,excecuted by Prima Oil&Gas Company,recorded April 1,2002 at Reception No.2938204. 13. Mineral reservations made by Ruben Schissler and Ruby B. Schissler,as described in Warranty Deed recorded March 17,2004 at Reception No.3162369,and any interests therein or rights thereunder. 14. Easement(s)and rights of way including its terms and conditions for an electric line or system and incidental purposes, as granted to Poudre Valley Rural Electric Association in instrument recorded September 7,2004 at Reception No. 3216408. Note:This policy consists of insert pages labeled Schedule A and B.This policy is of no force and effect unless all pages are included along with any added pages incorporated by reference, ALTA Plain Language Owner's Policy(6-17-06) Page 3 Schedule B Anti-Fraud Statement NOTE: Pursuant to CRS 10-1-128(6)(a), It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines,denial of insurance and civil damages.Any insurance company or agent of an insurance company who knowingly provides false, incomplete,or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies. This anti-fraud statement is affixed to and made a part of this policy. Hello