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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 9234 27-INCH POUDRE PIPELINE PROJECT
January 27, 2022
Garney Companies, Inc.
Attn: Gary Haas
7911 Shaffer Parkway
Littleton, CO 80127
RE: Contract Renewal, 9234 - 27-Inch Poudre Pipeline Project
Dear Mr. Haas:
The City of Fort Collins wishes to extend the agreement term for the above captioned proposal
per the existing terms and conditions and the following:
1) The term will be extended for one (1) additional year, March 15, 2022 through March
14, 2023.
If the renewal is acceptable to your firm, please sign this letter in the space provided and
include a current copy of insurance certificate naming the City as an additional insured
for General and Automotive Liability within the next fifteen (15) days.
If this extension is not agreeable with your firm, we ask that you send us a written notice st ating
that you do not wish to renew the contract and state the reason for non-renewal.
Please contact Pat Johnson, CPPB, Senior Buyer at (970) 221-6816 if you have any questions
regarding this matter.
Sincerely,
Gerry S. Paul
Director of Purchasing
__________________________________________ ________________
Signature Date
(Please indicate your desire to renew 9234 by signing this letter and returning it to Purchasing
Division within the next fifteen days.)
GSP:kr
Financial Services
Purchasing Division
215 N. Mason St. 2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707- fax
fcgov.com/purchasing
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
2/2/2022
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
9/21/2021
Arthur J.Gallagher &Co.Insurance Brokers of CA.Inc.
2121 N.California Blvd.,Suite 350
Walnut Creek,CA 94596
415-391-1500 415-391-1882
CertRequests@ajg.com
License#:0726293 Liberty Mutual Fire Insurance Company 23035
GARNCOM-02 Travelers Property Casualty Co of America 25674GarneyHoldingCompany/Garney Companies,Inc./
Garney Construction/Garney Pacific,Inc./Garney
Federal,Inc,1700 Swift Street,Suite 200
North Kansas City MO 64116
Berkley Assurance Company 39462
484878
A X 5,000,000
X 300,000
10,000
5,000,000
10,000,000
X
Y Y TB2641426942721 10/1/2021 10/1/2022
10,000,000
A 5,000,000
X
X X
Y Y AS2641426942711 10/1/2021 10/1/2022
B X X 15,000,000YZUP21P5728A21NF10/1/2021Y 10/1/2022
15,000,000
A X
N
Y WA264D426942731 10/1/2021 10/1/2022
1,000,000
1,000,000
1,000,000
C
B
Professional/Pollution Liab.
Inland Marine
Y Y PCADB50155781021
QT6301L164501TIL21
10/1/2021
10/1/2021
10/1/2022
10/1/2022
Ea.Claim-Occ./Agg.
Leased/Rented Equip.
$10,000,000
$3,000,000
Garney Job #7350 RE:27-Inch Poudre Canyon Raw Waterline Project ADDITIONAL INSURED(S):City of Fort Collins,its officers,agents,and employees
City of Fort Collins
PO Box 580
Fort Collins CO 80522
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
COMMERCIAL GENERAL LIABILITY
CG 20 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1)The additional insured is a Named Insured
under such other insurance; and
(2)You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
COMMERCIAL GENERAL LIABILITY
CG 25 04 05 09
POLICY NUMBER: TB2641426942721
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED LOCATION(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A.For all sums which the insured becomes legally
obligated to pay as damages caused by "occur-
rences" under Section I – Coverage A, and for all
medical expenses caused by accidents under
Section I – Coverage C, which can be attributed
only to operations at a single designated "loca-
tion" shown in the Schedule below:
1.A separate Designated Location General
Aggregate Limit applies to each designated
"location", and that limit is equal to the
amount of the General Aggregate Limit
shown in the Declarations.
2.The Designated Location General Aggregate
Limit is the most we will pay for the sum of all
damages under Coverage A, except dam-
ages because of "bodily injury" or "property
damage" included in the "products-completed
operations hazard", and for medical expenses
under Coverage C regardless of the number
of:
a.Insureds;
b.Claims made or "suits" brought; or
c.Persons or organizations making claims or
bringing "suits".
3.Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the Designated Loca-
tion General Aggregate Limit for that desig-
nated "location". Such payments shall not re-
duce the General Aggregate Limit shown in
the Declarations nor shall they reduce any
other Designated Location General Aggre-
gate Limit for any other designated "location"
shown in the Schedule below.
4.The limits shown in the Declarations for Each
Occurrence, Damage To Premises Rented To
You and Medical Expense continue to apply.
However, instead of being subject to the
General Aggregate Limit shown in the Decla-
rations, such limits will be subject to the appli-
cable Designated Location General Aggre-
gate Limit.
B.For all sums which the insured becomes legally
obligated to pay as damages caused by
"occurrences" under Section I – Coverage A, and
for all medical expenses caused by accidents
under Section I – Coverage C, which cannot be
attributed only to operations at a single designated
"location" shown in the Schedule below:
1.Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the amount available
under the General Aggregate Limit or the
Products-completed Operations Aggregate
Limit, whichever is applicable; and
2.Such payments shall not reduce any
Designated Location General Aggregate Limit.
C.When coverage for liability arising out of the
"products-completed operations hazard" is pro-
vided, any payments for damages because of
"bodily injury" or "property damage" included in
the "products-completed operations hazard" will
reduce the Products-completed Operations Agg-
regate Limit, and not reduce the General
Aggregate Limit nor the Designated Location
General Aggregate Limit.
D.For the purposes of this endorsement, the
Definitions Section is amended by the addition of
the following definition:
"Location" means premises involving the same or
connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway or
right-of-way of a railroad.
E.The provisions of Section III – Limits Of Insurance
not otherwise modified by this endorsement shall
continue to apply as stipulated.
© Insurance Services Office, Inc., 2008 Page of 2 1CG 25 04 05 09
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
SCHEDULE
Designated Location(s):
All locations with a total aggregate for all construction locations of $20,000,000
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
© Insurance Services Office, Inc., 2008 Page of 2 2CG 25 04 05 09
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
TB2641426942721
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
POLICY NUMBER:COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
COVERED AUTOS LIABILITY COVERAGE
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage
under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage
provided in the Coverage Form.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies
as an "insured" under the Who Is An Insured provision
contained in Paragraph A.1. of Section II - Covered
Autos Liability Coverage in the Business Auto and
Motor Carrier Coverage Forms and Paragraph D.2. of
Section I - Covered Autos Coverages of the Auto
Dealers Coverage Form.
Any person or organization whom you have agreed in writing to add as an additional insured, but only to
coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either
the scope of coverage or the limits of insurance provided in this policy.
AS2641426942711
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
AC 84 23 08 11 © 2010, Liberty Mutual Group of Companies. All rights reserved.Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
Policy Number:
Issued by:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED - NONCONTRIBUTING
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIERS COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured
Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form.
Schedule
Name of Person(s) or Organizations(s):
Regarding Designated Contract or Project:
Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Coverage, but
only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision
contained in Section II of the Coverage Form.
The following is added to the Other Insurance Condition:
If you have agreed in a written agreement that this policy will be primary and without right of contribution
from any insurance in force for an Additional Insured for liability arising out of your operations, and the
agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be
primary and we will not seek contribution from such insurance.
Liberty Mutual Fire Insurance Co.
Any person or organization whom you have agreed in writing to add as an
additional insured, but only to coverage and minimum limits of insurance
required by the written agreement, and in no event to exceed either the scope ofcoverage or the limits of insurance provided in this policy.
AS2641426942711
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
POLICY NUMBER:COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
SCHEDULE
CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
Name(s) Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified
by the endorsement.
The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to the
person(s) or organization(s) shown in the Schedule,
but only to the extent that subrogation is waived prior
to the "accident" or the "loss" under a contract with
that person or organization.
Premium: $
Any person or organization for whom you perform work under a written contract if the contract requires you to
obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring.
INCL
AS2641426942711
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WA264D426942731
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
WA264D426942731
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
WA264D426942731
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
WA264D426942731
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
Affirmation of Automatic Additional Insured Status & Primary/Non-Contributory
Applicability under Coverage C and Waiver of Subrogation Endorsement
In consideration of the premium paid, it is understood and agreed that Item 5. of Section IV.O. is deleted in its entirety and replaced with
the following:
5. with regard to Coverage C only, any client of the Named Insured, or other entity or person, that the
Named Insured is obligated to name as an additional insured (including those listed in Table A, below)
on this Policy pursuant to a written contract, agreement, or permit, executed prior to when the Pollution
Claim was first made, and solely as respects Pollution Conditions resulting from the Named
Insured’s performance of Contractor Activities; or
Solely as respects the coverage provided within this Endorsement, Section V.L. shall be deleted in its entirety and replaced with the
following:
L. First Party Claims or Claims made by any Insured against any other Insured. However, this Exclusion
shall not apply as respects Claims made by any entity or person only qualifying as an Insured under
Paragraph 5. of the Definition of Insured in this Policy.
Solely as respects the coverage provided within this Endorsement, Section XI.C. Subrogation shall be deleted in its entirety and
replaced with the following:
C. Subrogation
In the event of any payment under this Policy, we shall be subrogated to all of your rights of recovery thereof.
You shall execute and deliver all requested instruments and papers in furtherance of such rights to us and do
whatever else is reasonably necessary to secure such rights. You shall do nothing to waive or prejudice such
rights. We shall have priority in any recovery, and any amounts recovered in excess of our total payment and
the cost to us of recovery shall be paid to you. However, we waive our rights of subrogation under this Policy, to
the extent such a waiver is required by a written contract with you executed prior to the Claim, against any of the
following that is not a Responsible Entity: your clients, their parents or other affiliates, and your client’s
designees; and your co-participants in an entity for which your participation is insured under Definition O.4. of this
Policy.
For Coverage A only, we will not subrogate against a Responsible Entity in excess of its collectible insurance,
provided it has maintained Recoverable Insurance, regardless of whether or not such Recoverable Insurance
is exhausted or reduced.
Solely as respects the coverage provided within this Endorsement, Section XI.M. Other Insurance shall be deleted in its entirety and
replaced with the following:
M. Other Insurance
This Policy is excess over the Self-Insured Retention and any other valid and collectible liability insurance
available to you, whether such other insurance is stated to be primary, pro-rata, contributory, excess, contingent,
self-insured or otherwise, unless such other insurance is written specifically excess of this Policy by reference in
such other policy to the Policy number in this Policy’s Declarations. When any other insurance has a duty to
defend a Claim, we will have no duty to defend the Claim; if no such other insurance defends the Claim,
we will have the right but not the duty to defend the Claim.
Under Coverage C only, when you are required by written contract, written agreement, or permit, executed
prior to when the Pollution Claim was first made, to include any person or entity as an additional Insured,
such coverage will be provided on a primary and non-contributory basis to the extent so required.
DocuSign Envelope ID: 3629AC74-A1C8-4AB8-8896-3F986A874FAB
QT6301L164501TIL21
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COMMERCIAL INLAND MARINE
their financial interest in the Covered Prop-H. Recovered Property
erty.If either you or we recover any property after loss
4.We may elect to defend you against suits settlement, that party must give the other prompt
arising from claims of owners of property. We notice. At your option, the property will be re-
will do this at our expense. turned to you. You must then return to us the
amount we paid to you for the property. We will5.We will pay for covered loss or damage pay recovery expenses and the expenses to re-within 30 days after we receive the sworn pair the recovered property, subject to the Limitproof of loss if you have complied with all the of Insurance.terms of this Coverage Part and:
I. Reinstatement Of Limit After Lossa.We have reached agreement with you on
the amount of the loss; or The Limit of Insurance will not be reduced by the
payment of any claim, except for total loss orb.An appraisal award has been made.damage of a scheduled item, in which event we6.We will not be liable for any part of a loss will refund the unearned premium on that item.that has been paid or made good by others.J. Transfer Of Rights Of Recovery AgainstF. Other Insurance Others To Us
1.You may have other insurance subject to the If any person or organization to or for whom wesame plan, terms, conditions and provisions make payment under this Coverage Part hasas the insurance under this Coverage Part. If rights to recover damages from another, thoseyou do, we will pay our share of the covered rights are transferred to us to the extent of ourloss or damage. Our share is the proportion payment. That person or organization must dothat the applicable Limit of Insurance under everything necessary to secure our rights andthis Coverage Part bears to the Limits of In-must do nothing after loss to impair them. Butsurance of all insurance covering on the you may waive your rights against another partysame basis.in writing:
2.If there is other insurance covering the same 1.Prior to a loss to your Covered Property.loss or damage, other than that described in 2.After a loss to your Covered Property only if,1.above, we will pay only for the amount of at time of loss, that party is one of the follow-covered loss or damage in excess of the ing:amount due from that other insurance,
whether you can collect on it or not. But we Someone insured by this insurance; ora.
will not pay more than the applicable Limit of b.A business firm:Insurance.(1)Owned or controlled by you; orG. Pair, Sets Or Parts (2)That owns or controls you.1. Pair Or Set This will not restrict your insurance.In case of loss or damage to any part of a GENERAL CONDITIONSpair or set we may:
A. Concealment, Misrepresentation Or Frauda.Repair or replace any part to restore the
pair or set to its value before the loss or This Coverage Part is void in any case of fraud,
damage; or intentional concealment or misrepresentation of a
material fact, by you or any other insured, at anyb.Pay the difference between the value of time, concerning:the pair or set before and after the loss or
damage.1.This Coverage Part;
2. Parts 2.The Covered Property;
In case of loss or damage to any part of Cov-3.Your interest in the Covered Property; or
ered Property consisting of several parts 4.A claim under this Coverage Part.when complete, we will only pay for the value
of the lost or damaged part.
Page 2 of 3 CM 00 01 09 04
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