Check one. I am a United States citizen or legal permanent resident. ▪ A valid Colorado driver's license or a Colorado identification card;
Check one. This Note is being transferred to a “qualified institutional buyer” in compliance with Rule 144A under the Securities Act of 1933, as amended and certification in the form of Exhibit F to the Indenture is being furnished herewith.
Check one. ☐ Tenant is NOT allowed to have or keep any pets, even temporarily, on any part of the Premises. ☐ Tenant is allowed to have the following pets on the Premises:
Check one. ☐ I am a United States citizen or legal permanent resident.
Check one. ☐ Smoking of any kind is strictly prohibited on any part of the Premises. This prohibition applies to Subtenant and any visitor, guest or other occupant on the Premises. ☐ Smoking is permitted on the Premises.
Check one. As the person authorized to sign this statement, I certify that this firm complies fully with above requirements. As the person authorized to sign this statement, this firm does not comply fully with the above requirements.
Check one. This Warrant Certificate is being transferred to a “qualified institutional buyer” in compliance with Rule 144A under the Securities Act of 1933, as amended and certification in the form of Exhibit C to the Warrant Agreement is being furnished herewith.
Check one. □ Reservations will be made by rooming list. The Department will forward the rooming list to the Hotel on or before (the “Cut-Off Date”). □ Reservations will be made by individual guests on or before (the “Cut-Off Date”).
Check one. The sections not marked shall not be a part of this Agreement.]
Check one. [ ] The undersigned proposer has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. [ ] The undersigned proposer, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. AUTHORIZED SIGNATURE NAME (PRINT OR TYPE) Failure to check the appropriate blocks above may result in disqualification of your bid. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your bid.
