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Empire Fire Marine Insurance Co. v. Domingo

United States District Court, N.D. California
Nov 26, 2007
No. C 06-04631 JSW (N.D. Cal. Nov. 26, 2007)

Opinion

No. C 06-04631 JSW.

November 26, 2007


ORDER GRANTING PLAINTIFF'S MOTION FOR SUMMARY JUDGMENT


INTRODUCTION

This matter comes before the Court upon consideration of the motion for summary judgment filed by Plaintiff Empire Fire Marine Insurance Company ("Empire"). Having considered the parties' papers, relevant legal authority, and the record in this case, and having heard oral argument, the Court HEREBY GRANTS Empire's motion.

BACKGROUND

The following facts are undisputed. On or about April 8, 2004, Defendant Alfredo Domingo ("Alfredo") rented a 2004 Chevy Suburban ("the Vehicle") from Enterprise Rent A Car of San Francisco ("Enterprise"), at the Enterprise office in Colma, California. (Declaration of Samuel M. Zaif ("Zaif Decl."), Exs. C (September 21, 2007 Deposition of Alfred Domingo ("Domingo Depo. Vol. II") at 10:25-11:2), E (Rental Agreement), F (Rental Agreement). Later that day, Mr. Domingo's daughter, Cecil Ibay Domingo ("Cecil") went to the Enterprise office in Colma so that she could be added to the Rental Agreement as an additional authorized driver. (Declaration of Richard B. Vaught ("Vaught Decl."), Ex. 3 (January 31, 2007 Deposition of Cecil Ibay Domingo ("C. Domingo Depo.") at 57:18-58:8).) For purposes of this motion, Empire does not dispute that Cecil was an authorized driver.

Defendants object to Exhibits E and F of the Zaif declaration on the ground that these exhibits are not complete copies of the Rental Agreement. Exhibit E was marked as Exhibit 4 at Alfredo's deposition on January 31, 2007, and, during that deposition, he acknowledged signing the document. (Zaif Decl., Ex. D (January 31, 2007 Deposition of Alfredo Domingo ("Domingo Depo. Vol. I") at 42:2-43:3, 62:24-63:6.) Defendants objections to Exhibit E are OVERRULED. Because Defendants do not suggest that Exhibit F is in any way different from Exhibit E in terms of its language, the Court OVERRULES the objections to Exhibit F. ( See Joint Opp. at 7:7-17.)

The Court uses the defendants' first names for purposes of convenience only and, where necessary, shall refer to them collectively as the "Domingos."

At the time of the rental, Alfredo purchased the optional Damage Waiver, Personal Accident Insurance, and Supplemental Liability Protection ("SLP"). (Zaif Decl., Exs. E and F.) Empire issued the SLP Policy that gives rise to this dispute. ( See Zaif Decl., Ex. G.) It is undisputed that Alfredo did not ask to see a copy of the SLP Policy, and it also is undisputed that Enterprise did not provide him with a copy of that policy. Similarly, the undisputed facts demonstrate that Enterprise did not provide Cecil with a copy of the Rental Agreement to review or sign or provide her with a copy of the SLP Policy.

The Empire SLP Policy is attached as Exhibit G to the Zaif Declaration. Defendants object to the policy on the ground that it was not delivered to Defendants. That objection does not relate to the admissibility of the SLP Policy. Rather, it relates to the issue of whether the exclusion should be enforced. Accordingly, that objection is OVERRULED. Defendants also contend that the SLP Policy is irrelevant. That objection also is OVERRULED.

The Rental Agreement is four pages long. ( Id., Ex. F.) The first page consists of information about the vehicle and the signature blocks for the renter, including a signature block that states "I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS ON PAGES 1 THROUGH 4 OF THIS AGREEMENT," which Alfredo signed. ( Id.) The fourth page consists of information about Enterprise locations and advertisements. ( Id.) The terms and conditions are contained on the second and third pages of the Rental Agreement. There are twenty (20) sections that comprise the terms and conditions. The caption for each section is underlined and certain provisions of the sections are set forth in capitalized letters. ( Id.)

They also are drafted in a font size that is significantly smaller than the twelve point font used for this Order.

There are two sections of the Rental Agreement pertinent to this case. The first, located on the second page of the Rental Agreement, is captioned: 3. Limits on Use and Termination of Right to Use. ( Id. (underscoring in original).) Underneath this heading is the following language: "a. Renter agrees to the following limits on use: . . . (4) Vehicle shall not be used to carry passengers in excess of the number of seat belts provided by manufacturer." ( Id.) Section 3 does not contain any language that references insurance coverage or exclusions from coverage.

The second pertinent provision is Section 16, which is captioned: Optional Supplemental Liability Protection . ( Id. (underscoring in original). That section provides, in part:

THE PURCHASE OF SUPPLEMENTAL LIABILITY PROTECTION IS OPTIONAL AND NOT REQUIRED IN ORDER TO RENT A VEHICLE.
SLP Benefits
Optional Supplemental Liability Protection (SLP) provides Renter with minimum financial responsibility limits as outlined in the applicable motor vehicle financial responsibility laws of the state where Vehicle is operated AND excess insurance provided by Empire Fund Insurance Company which supplies Renter and Authorized Additional Drivers with third-party liability protection with a combined single limit per accident equal to the difference between the minimum financial responsibility limits set forth above and $1,000,000 Combined Single Limit per accident. SLP will respond to third party accident claims that result from bodily injury including death and property damage that arise from the use or operation of Vehicle as permitted in the Rental Agreement. The Empire Fire and Marine insurance policy does not provide coverage for any loss arising from the use or operation of Vehicle in Mexico. SLP is available for an additional charge as stipulated on Page 1 of the Rental Agreement.
SLP is available for $9.95 per day.
SLP Exclusions
For all exclusions, see the SLP policy issued by Empire Fire and Marine Insurance Company. Here are a few key exclusions:
. . .
(j) Loss arising out of the use of Vehicle when such use is otherwise in violation of the terms and conditions of the Rental Agreement.
THIS IS A SUMMARY ONLY AND IS SUBJECT TO ALL PROVISIONS, LIMITATIONS, EXCEPTIONS AND EXCLUSIONS OF THE SLP POLICY ISSUED BY EMPIRE FIRE AND MARINE INSURANCE COMPANY. UPON REQUEST A COPY OF THE POLICY IS AVAILABLE FOR REVIEW.

( Id.)

The Court shall refer, hereafter, to this exclusion as "Exclusion j."

The SLP Policy also contains a section captioned "Exclusions," which provides that "[i]n addition to the exclusions contained in the `underlying insurance,' this insurance does not apply to the following: . . . 2. Loss arising out of the use of a `rental vehicle' when such use is in violation of the terms and conditions of the `rental agreement.'" (Zaif Decl., Ex. G at 7 (emphasis added).)

The copy of the SLP Policy submitted to the Court is preceded by a certification that it is a true and correct copy of the policy, and the Court denominates that certification as page 1 for citation purposes. Page 2 is a list of the declarations. Pages 3 and 4 are an alphabetical listing of endorsements and forms by state. Page 5 is entitled "Countrywide SI226451." Page 6 is entitled "Supplemental Rental Liability Insurance Policy Provisions." This portion of the policy is six pages long. The insuring clause provides that "[t]his policy provides excess auto liability insurance and only applies to a `loss' involving `bodily injury' and `property damage' caused by an `accident' and resulting from the use of a covered `rental vehicle.'" (Zaif Decl., Ex. G at 6.)

On April 12, 2004, Cecil was involved in an accident while she was driving the Vehicle. It is undisputed that, at the time of the accident, there were nine people in the vehicle, which only contained eight seatbelts. ( See Zaif Decl., Ex. A (Deposition of Michael Clare) at 16:16-23; Domingo Depo. Vol. II at 26:25-28:22.) Currently, there are two pending lawsuits in the Superior Court of the State of California for the County of Monterey arising from the accident. (Plaintiff's Request for Judicial Notice, Exs. 1, 2.)

Defendants object to the cited portion of the Clare Deposition on the ground that it is leading, lacks foundation and authentication, and is a conclusion. Defendants' objections are OVERRULED, based on the fact that they do not dispute the Vehicle only contained eight seatbelts. Defendants also object to Plaintiff's Exhibit B, which are police reports pertaining to the accident. Defendants objections to the consideration of those reports for purposes of this motion are SUSTAINED.

Plaintiff's Request for Judicial Notice is GRANTED, in that the Court takes judicial notice of the filing of these lawsuits.

ANALYSIS

A. Legal Standards on Summary Judgment Motion.

Summary judgment is proper when the "pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(c). An issue is "genuine" only if there is sufficient evidence for a reasonable fact finder to find for the non-moving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248-49 (1986). A fact is "material" if the fact may affect the outcome of the case. Id. at 248. "In considering a motion for summary judgment, the court may not weigh the evidence or make credibility determinations, and is required to draw all inferences in a light most favorable to the non-moving party." Freeman v. Arpaio, 125 F.3d 732, 735 (9th Cir. 1997). A principal purpose of the summary judgment procedure is to identify and dispose of factually unsupported claims. Celotex Corp. v. Cattrett, 477 U.S. 317, 323-24 (1986). The party moving for summary judgment bears the initial burden of identifying those portions of the pleadings, discovery, and affidavits which demonstrate the absence of a genuine issue of material fact. Id. at 323. Where the moving party will have the burden of proof on an issue at trial, it must affirmatively demonstrate that no reasonable trier of fact could find other than for the moving party. Id. Once the moving party meets this initial burden, the non-moving party must go beyond the pleadings and by its own evidence "set forth specific facts showing that there is a genuine issue for trial." Fed.R.Civ.P. 56(e). The non-moving party must "identify with reasonable particularity the evidence that precludes summary judgment." Keenan v. Allan, 91 F.3d 1275, 1279 (9th Cir. 1996) (quoting Richards v. Combined Ins. Co., 55 F.3d 247, 251 (7th Cir. 1995)) (stating that it is not a district court's task to "scour the record in search of a genuine issue of triable fact"). If the non-moving party fails to make this showing, the moving party is entitled to judgment as a matter of law. Celotex, 477 U.S. at 323.

B. Plaintiff Is Entitled to Summary Judgment.

Empire filed this Declaratory Judgment action seeking a declaration that the Defendants are not covered by the SLP Policy and that no benefits are due under the SLP Policy. Empire does not dispute that the claims in the underlying lawsuits would fall within the scope of the insuring provisions of the SLP Policy. See Davis v. Farmer's Ins. Group, 134 Cal. App. 4th 100, 105 (2005) (noting that "first step in any insurance coverage dispute is to determine whether the insuring provisions of the policy afforded coverage for the alleged losses"). Rather, Empire contends that Exclusion j applies and, therefore, operates to bar coverage that otherwise would exist. Because the material facts are not disputed, the interpretation of these documents is a matter of law for the Court. See Haynes v. Farmers' Ins. Exchange, 32 Cal. 4th 1198, 1204 (2004).

1. Governing Insurance Coverage Principles.

As with any contract, the proper interpretation of an insurance policy is a question of law and follows general principles of contract interpretation. TRB Investments, Inc., v. Fireman's Fund Ins. Co., 40 Cal. 4th 19, 27 (2006). To interpret the meaning of the policy language, courts must first look at the written provisions of the policy. "If the policy language is clear and explicit, it governs. . . . When interpreting a policy provision, we must give its terms their ordinary and popular sense, unless used by the parties in a technical sense or a special meaning is given to them by usage." Palmer v. Truck Ins. Exch., 21 Cal. 4th 1109, 1115 (1999) (internal quotation marks and citations omitted); see also Cal. Civ. Code § 1644. In undertaking this analysis, courts must read limitations on coverage narrowly and insuring provisions "broadly so as to afford the greatest possible protection to the insured." MacKinnon v. Truck Ins. Exch., 31 Cal. 4th 635, 648 (2003) (quoting White v. Western Title Ins. Co., 40 Cal. 3d 870, 881 (1985)). Thus, "an insurer cannot escape its basic duty to insure by means of an exclusionary clause that is unclear. . . . [A]ny exception to the performance of the basic underlying obligation must be so stated as clearly to apprise the insured of its effect." MacKinnon, 31 Cal. 4th at 648 ( citing State Farm Mut. Ins. Co. v. Jacober, 10 Cal. 3d 193, 201-02 (1973) (internal quotation marks omitted)).

"A policy provision is ambiguous when it is susceptible to two or more reasonable constructions." E.M.M.I. v. Zurich American Ins. Co., 32 Cal. 4th 465, 470 (2004). Any ambiguous terms are interpreted in favor of finding coverage, consistent with the insured's reasonable expectations. Id. Policy language must be interpreted as a reasonable lay person would read it, not as it might be analyzed by an attorney or insurance professional. Id. at 471; see also Crane v. State Farm Fire Casualty Co., 5 Cal. 3d 112, 115 (1971).

It also is "a general rule [that] a party is bound by contract provisions and cannot complain of unfamiliarity with the language of a contract." Fields v. Blue Shield of California, 163 Cal. App. 3d 570, 578 (1985). An insured, therefore, generally has a duty to read his policy. Id. However, the "duty to read is insufficient to bind a party to unusual or unfair language unless it is brought to the attention of the party and explained." Id. (emphasis added). Thus, in a standardized insurance contract, entered into between parties of unequal bargaining strength, if there are "limitations or exclusions" to coverage that an insured reasonably could expect, the exclusions or limitations "must be called to the subscriber's attention clearly and plainly before the exclusion will be interpreted to relieve the insurer of the liability for performance." Id. at 579 (citing Steven v. Fidelity Casualty Co., 58 Cal. 2d 862, 879 (1966)).

Defendants assert that the quoted section of Fields contains a misprint with respect to the Steven case. Specifically, Defendants take issue with the phrase "exceptions and limitations on coverage the insured could reasonably expect." It is clear from the context of the sentence, however, that the Fields court indeed was referring to coverage that an insured reasonably could expect.

2. Exclusion j applies to bar coverage.

Defendants argue that Exclusion j should not be enforced both because it is ambiguous and because it is not conspicuous, plain and clear.

a. Exclusion j is not ambiguous.

In order to determine whether Exclusion j is ambiguous, the Court must read the Rental Agreement as it would be "read and understood by a reasonable lay person." National Auto. and Cas. Co. v. Stewart, 223 Cal. App. 3d 452, 459 (1990). Unlike the SLP Policy, the Rental Agreement relies solely on the term "exclusion" to signal to a renter that coverage will not apply to "[l]oss arising out of the use of Vehicle when such use is otherwise in violation of the terms and conditions of the Rental Agreement." (Zaif Decl., Ex. F.) Defendants contend that, as set forth in the Rental Agreement, Exclusion j is ambiguous because it does not clearly state that if a renter violates the terms and conditions of the Rental Agreement, the consequence is a total loss of coverage rather than a loss of coverage for extra passengers. ( See Joint Opp. at 15:9-18.)

With respect to whom coverage applies, the insuring clause of the SLP Policy identifies who is insured and specifies the losses covered. Thus, as the "insureds" the Domingos are entitled to seek coverage for the losses they suffered as a result of the injuries to the passengers, to the extent the SLP Policy applies. In contrast, Exclusion j does not speak to whom the coverage will apply. Rather it speaks to whether a circumstance exists that will preclude any coverage. Thus, the Rental Agreement identifies as a "key" exclusion "loss arising out of the use of the Vehicle when such use is otherwise in violation of the terms and conditions of the Rental Agreement." The Rental Agreement also provides that, as part of the terms and conditions of use, the "[v]ehicle shall not be used to carry passengers in excess of the number of seat belts provided by manufacturer." (Zaif Decl., Ex. F.) Although the Rental Agreement does not explicitly state that a violation will result in the loss of insurance coverage, the Court concludes that Rental Agreement is not ambiguous either as to the prohibited act or its consequences.

The Court recognizes that the Rental Agreement in this case differs from one at issue in Hertz Corp. v. Home Ins. Co., 14 Cal. App. 4th 1071 (1993). Unlike the Rental Agreement here, the rental agreement in Hertz stated that "if the car is used in violation of the agreement, . . . `All Liability Protection, Including LIS, [Is] Void." Hertz, 14 Cal. App. 4th at 1081. The Hertz court considered that language when it analyzed the challenged exclusion and concluded that the exclusion was not ambiguous. However, the Hertz court did not hold such language was required to avoid ambiguity, and this Court cannot say as a matter of law that use of the term "exclusion" alone renders Exclusion j ambiguous as to the consequence of a violation of the Rental Agreement. To find otherwise, would belie the plain meaning of the term "exclusion" as it would be understood by a reasonable lay person reading an insurance policy. See, e.g., Black's Law Dictionary at 563 (6th Ed. 1990) ("In insurance policy, `exclusion,' is provision which eliminates coverage where were it not for exclusion, coverage would have existed.")

Accordingly, the Court concludes, as a matter of law, that Exclusion j is not ambiguous.

2. Exclusion j is clear and conspicuous.

Although exclusion j may not be ambiguous, the Court also must find that it is conspicuous, plain and clear before it can be enforced against the Domingos. Haynes, 32 Cal. 4th at 1204. To be conspicuous, "the exclusion must be positioned in a place and printed in a form which would attract a reader's attention." Ponder v. Blue Cross of So. Cal., 145 Cal. App. 3d 709, 719 (1983). "`Courts have invalidated exclusions under the conspicuous requirement where (1) they are not included under the exclusion section and are placed on an overcrowded page; (2) they are included in a `General Limitations' section but in a dense pack format; or (3) they are hidden in fine print in a policy section bearing no clear relationship to the insuring clause.'" Thompson v. Mercury Cas. Co., 84 Cal. App. 4th 90, 95 (2000) (quoting Merrill Seely, Inc. v. Admiral Ins. Co., 225 Cal. App. 3d 624, 630-31 (1990)).

Defendants argue that there are material issues in dispute as to whether Alfredo received page 3 of the Rental Agreement. However, on the first page of the Rental Agreement Alfredo signed a box acknowledging that he had read and understood the provisions of that agreement. Alfredo's failure to fully read the Rental Agreement is not material, so long as the Rental Agreement "contains sufficiently clear language." Hertz, 14 Cal. App. 4th at 1075 n. 2 (rejecting argument that exclusion was inconspicuous because renter did not read rental agreement, when renter, by signing agreement, acknowledged that he read and understood all terms and conditions").
This would be a much easier case if the Court only had to consider the SLP Policy. However, it is undisputed that neither of the Domingos saw a copy of the SLP Policy, and although the Rental Agreement stated that the SLP Policy was available for review, it is not clear from the record that it was available at the Enterprise Office at Colma. Cf. 20th Cent. Ins. Co. v. Liberty Mut. Ins. Co., 965 F.2d 747, 754 n. 5 (9th Cir. 1992) (noting "apparent incongruity" in ruling where, because parties had not disputed trial court's finding that an exclusion contained in a rental agreement was not conspicuous, the court was upholding an insuring clause in the policy that "was no more conspicuous than limiting clause in the rental agreement," given that policy was located in Florida and not accessible to renter). Because Exclusion j is contained in both the Rental Agreement and in the SLP Policy, the Court focuses its analysis on whether Exclusion j is conspicuous, plain and clear, as it is set forth in the Rental Agreement.

For example, in the Ponder case, the court noted that the exclusionary clause appeared on a page in the contract that contained approximately 2,000 words, in fine print, and that "[t]he section on `Exclusions from Coverage' alone packs 923 words into its slightly more than 1/3 page." Id. at 722. Moreover, the exclusion covered a type of condition for which the insured reasonably would expect coverage, but it was "located under a subheading whose ordinary meaning does not encompass the condition purportedly excluded." Id. at 723. Because the subheading "actually misleads, rather than facilitates comprehension, while the fine print and overall length of the contract discourages discovery of the misplaced exclusionary clause," the court concluded it was not sufficiently conspicuous to be enforced.

Similarly, in Schmidt v. Pacific Mut. Life Ins., 268 Cal. App. 2d 735 (1969), the court concluded that an exclusion "embedded within a sentence describing benefits to be paid and their duration," was not conspicuous. Id. at 740. In reaching its conclusion, the Schmidt court noted that the "stress of the paragraph is upon the affirmative promise of benefits to be paid in the event of total disability, rather than upon the negative condition that deprives the buyer of all benefits." Id.

The 20th Cent. Ins. Co. case also provides some guidance as to whether an exclusionary clause is sufficiently conspicuous. In that case, the exclusionary clause appeared

in the middle of the fourth paragraph on the reverse side of the rental contract on a page with extremely small light-colored print. The print is so small that the page on which the clause appears contains more than 2000 words. Furthermore, the paragraphs are not preceded by any bold or larger print or headings to indicate to the reader the general substance of their contents.

On that basis, the trial court concluded the exclusion was not sufficiently conspicuous, a finding that the parties did not contest on appeal. 20th Cent. Ins. Co., 965 F.2d at 752-53. In contrast, in the Hertz case, the court noted that the exclusion was located "on the second page of a two-page agreement," which was "formatted in two columns of readable typeface, and the relevant clause is further made conspicuous by its placement in a separate box, with all capital letters being used in the text." Hertz, 14 Cal. App. 4th at 1081 (and noting that Hertz also provided customer with a "readable one-page document explaining the LIS policy," which stated that there were exclusions, including using the vehicle in violation of the terms of the rental agreement.")

Like the agreement in Hertz, the Rental Agreement here is printed in a two-column format. Exclusion j is located at the bottom of the second-page of the Rental Agreement, which apparently is printed on the reverse of page one, and is contained in the 16th of 20 paragraphs, is located well into the general terms and conditions of the Rental Agreement, and is printed in the same small typeface as the rest of the Rental Agreement. However, unlike the exclusion at issue in the 20th Cent. Ins. case, it is preceded by the heading "SLP Exclusions," and thus, the heading does operate to signal to a reader the importance of that provision.

Moreover, Exclusion j is set apart from the summary of the benefits provided by the SLP Policy in the section captioned "SLP Exclusions". Indeed, it also is prefaced by the sentence: "For all exclusions, see the SLP Policy issued by Empire[.] Here are a few key exclusions." (Zaif Decl., Ex. F.) Further, it is not misleadingly embedded within a provision that emphasizes coverage over exclusions nor is it preceded by a misleading heading, unlike the exclusionary clauses in Ponder and Schmidt.

Further, even though Exclusion j is not set forth on the first page of the Rental Agreement the Court cannot conclude that fact alone would render it ineffective. See, e.g., Cal-Farm Ins. Co. v. TAC Exterminators, Inc., 172 Cal. App. 3d 564, 578 (1985) (finding conspicuous exclusions that were found under a bold-faced section entitled "Exclusions" and which were divided "into two columns on the page so as not to be a dense pack", and noting that "exclusion clauses do not fail merely because of the density of verbiage) (citing Ponder, 145 Cal. App. 3d at 722).

Accordingly, the Court finds, as a matter of law, that Exclusion j is conspicuous.

b. Exclusion j is plain and clear.

"To be plain and clear, the substance of the exclusion must be precise and understandable. `To be effective in this context, the exclusion must be couched in words which are part of the working vocabulary of average lay persons.' [Citation]" Malcolm v. Farmers New World Life Ins. Co., 4 Cal. App. 4th 296, 301 (1994) (quoting Travelers Ins. Co. v. Lesher, 187 Cal. App. 3d 169, 184 (1986)); see also Ponder, 145 Cal. App. 3d at 719 ("the substance of the exclusion must be stated in words that convey the proper meaning to persons expected to read the contract") For the reasons set forth above in section 2.a, the Court concludes as a matter of law that the terms of the exclusion are drafted in language that an average lay person would understand and, thus, as a matter of a law, Exclusion j is plain and clear.

CONCLUSION

For the foregoing reasons, Plaintiff's motion for summary judgment is GRANTED. A separate judgment shall issue, and the Clerk is directed to close the file.

IT IS SO ORDERED.


Summaries of

Empire Fire Marine Insurance Co. v. Domingo

United States District Court, N.D. California
Nov 26, 2007
No. C 06-04631 JSW (N.D. Cal. Nov. 26, 2007)
Case details for

Empire Fire Marine Insurance Co. v. Domingo

Case Details

Full title:EMPIRE FIRE MARINE INSURANCE CO., Plaintiff, v. ALFREDO DOMINGO, et al.…

Court:United States District Court, N.D. California

Date published: Nov 26, 2007

Citations

No. C 06-04631 JSW (N.D. Cal. Nov. 26, 2007)

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