This guarantee is issued upon the following conditions and stipulations:

A Easements for existing roads, railroads, trails, highways, pipe lines, power lines, telegraph and telephone lines, ditches and reservoirs;

B Water rights, claims or title to water;

C Any defect in or failure of title to the mining claims described arising out of or occasioned by failure to comply with the provisions and requirements of the mining laws of the United States of America and regulations under them, and of state, local and district mining laws, rules and regulations; or arising out of or occasioned by the fact that the land described in any notice of location of it was not, at the date of location a part of the public domain of the United States of America, unoccupied and unappropriated by others under claim of right;

D The reservations, exceptions, easements, restrictions regulations and rights to which the mining claims are subject under the terms and provisions of the mining laws of the United States of America and under the terms and provisions of state, local and district mining laws, rules and regulations;

E Any government acts or regulations restricting, regulating or prohibiting the occupancy or use of the land or any building or structure thereon.

In testimony of, _________ Title Insurance Company of _________ has caused this guarantee to be signed by its Vice-President and attested by its Assistant Secretary, under its corporate seal, this

_________[date]

[etc.]

[Signatures]