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their seals on the date set forth above. <br /> The parties below certify that this document.confotms with the requirements of Title 14,California Code of <br /> Regulations,Division 7,Chapter 6,Article 9.,section 18475. <br /> Principal Signa re: Typed or Printed Name of Person Signing: <br /> Title: _ Date: <br /> Corporate Seat: <br /> Corporate Surety(ies)Name: Addirm For Service: <br /> Great American Insurance Company 950 Tower Lane,Suite 340, Foster City,CA 94404 <br /> I certify(or declare)under penalty of perjury,under the Iaws of the State of California that I have executed the <br /> foregoing bond under an unrevoked power of attorney. <br /> Executed in Medford,Oregon <br /> on October 6,2010 <br /> Date October 6,2010 <br /> Corporate Seal: Noted Signature of Attomey-;tr-fact <br /> Type or Printed Name of Attorney-in-;Fact <br /> Reida C. Robinson,Attorney-In-Fact <br /> PRIVACY STATEMENT <br /> Thisinformation is requested by the Catifamia Integrated Waste Management Board under Title 14,California Code <br /> of Regulations,Division 7,Chapter 6,section 18475 in order to verify adequate financial assurance of major waste <br /> tire facilities:Completion of the form is mandatory. The consequence of not completing the form is denial or <br /> ^„PmiP R maior waste"tire facility. Information maybe provided to the U.S.Environmental <br /> State of Oregon <br /> County of Jackson SS <br /> On this 6th day of October in the year 201, 0 before me <br /> Linda Shaddon appeared.-Personally Pp Reida Robinson <br /> prsonally known to me(or proved to me on the basis of satisfac tory evidence)to be the person whose name is subscribed to this <br /> in trument as the attorney-in-fact of Great American Insurance Gom an <br /> o,me that he(she)subscribed the name of the said company thereto as surety,and his(her)and <br /> acknowledged name aattorney-in-fact. <br /> (SEAL) <br /> Notary Public <br /> OFFICIAL SEAL <br /> LINDA SHADDO22N <br /> 44 <br /> NOTARY PUBLIC-OREGON <br /> MY COAgIvIISSION EXPIRES]AN 20, 2012 <br />