RISKS & IMPLICATIONS RELATING TO INSURANCE.
24/9/2019.
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RELATING TO INSURANCE. 24/9/2019. 1 T H O M A S P . E N G L I S - - PowerPoint PPT Presentation
RISKS & IMPLICATIONS RELATING TO INSURANCE. 24/9/2019. 1 T H O M A S P . E N G L I S H & A S S O C I A T E S RISKS & IMPLICATIONS REGULATING TO INSURANCE. Hammurabais Code 1760 B.C. 282 Rules: 3 sections Property
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Hammurabai’s Code – 1760 B.C. 282 Rules: 3 sections – Property Law, Family Law, Laws relating to Retaliation & Restitution. 5 Rules for Building Contracts:
If a builder builds a house for a man and does not make its construction firm and the house which he has built collapses and causes the death of the owner of the house that builder shall be put to death;
If it causes the death of the son of the owner of the house they shall put to death a son of the builder;
If it causes the death of a slave of the owner of the house he shall give to the owner of the house a slave of equal value;
If it destroys property, he shall restore whatever it destroyed and because he did not make the house which he built firm and it collapsed, he shall rebuild the house which collapsed at his own expense;
If a builder builds a house for a man and does not make his constructions meet the requirements and a wall falls in, that builder shall strengthen the wall at his own expense.
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Central Hotel Fire, Bundoran – 8/8/1980:
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Bradford City Fire 1985:
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Year. H & S Deaths. Fire Deaths. Road Deaths. Construction. 2018.
5 (242). 2017.
159.
2016.
187.
2015.
166.
2014.
194.
2013. 46. 24. 188. 11. 2012. 47. 28. 162. 8. 2011. 54. 38. 186. 6. 2010. 48. 38. 212. 6. 2009. 43. 42. 239. 10. 2008. 57. 35. 279. 15. 2007. 67. 41. 338. 18. 2006. 51. 42. 368. 13. 2005. 74. 41. 396. 23. 2004. 50. 35. 374. 16. 2003. 68. 34. 335. 20. 2002. 61. 48. 376. 21. 2001. 64. 58. 411. 18. 2000. 70. 43. 415. 18.
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Nature of Contract is a fundamental principle of insurance contract. An insurance contract comes into existence when one party makes an offer
A contract should be simple to be a valid contract. The person entering into a contract should enter with his free consent.
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2. PRINCIPLE OF UTMOST GOOD FAITH: Under this insurance contract, both the parties should have faith over each
As a client it is the duty of the Insured to disclose all the facts to the insurance company. Any fraud or misrepresentation of facts can result into cancellation of the contract.
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3. PRINCIPLE OF INSURABLE INTEREST: Under this principle of insurance, the insured must have interest in the subject matter of the insurance. Absence of insurance makes the contract null and void. If there is no Insurable Interest, an insurance company will not issue a policy. An Insurable Interest must exist at the time of the purchase of the insurance e.g. a creditor has an Insurable Interest in the life of a debtor, a person is considered to have an unlimited interest in the life of their spouse,
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4. PRINCIPLE OF INDEMNITY: Indemnity means security or compensation against loss or damage. The principle of Indemnity in insurance states that an Insured may not be compensated by the insurance company in an amount exceeding the insured’s economic loss. In type of insurance the Insured would be compensated with the amount equivalent to the actual loss and not an amount exceeding the loss. This is a regulatory principle which is observed more strictly in Property Insurance than in Life Insurance. The purpose of this principle is to set the Insured back to the same financial position that existed before the loss or damage occurred.
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5. PRINCIPAL OF SUBROGATION: The principle of Subrogation enables the insured to claim the amount from the third party responsible for the loss. It allows the insurer to pursue legal methods to recover the amount of loss, e.g. if you get injured in a road accident, due to reckless driving of a third party, the insurance company will compensate your loss and will then sue the third party to recover the money paid out as a claim.
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6. DOUBLE INSURANCE: Double Insurance denotes insurance of same subject matter with two different companies or with the same company under two different policies. Insurance is possible in case of indemnity contract like fire, marine and property insurance. Double Insurance policy is adopted where the financial position of the Insurer is doubtful. The Insured cannot recover more than the actual loss and cannot claim the whole amount from both the Insurers.
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7. PRINCIPLE OF PROXIMATE CAUSE: Proximate Cause literally means the ‘nearest cause’ or ‘direct cause’. This principle is applicable when the loss is the result of two or more causes. The Proximate Cause means that the most dominant and most effective cause of loss is considered. This principle is applicable when there are series of causes of damage or loss.
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Fire. Lightning. Windstorm. Hail. Explosion. Smoke. Aircraft & Vehicle Damage. Riot. Vandalism (Malicious Mischief). Falling Objects. Weight of Snow, Ice or Sleet. Water Damage. Glass Breakage. Sprinkler Leakage. Perils of Transportation. Crime Perils.
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External Funding) / Hedging (Taking an Offsetting Risk; Not Possible for Many Types of Risks – Interest Rate, Exchange Rate, Commodity Price, Oil Price)}.
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Based on Valuation {Property: ACV; Liability: Actual Damages}. {Apparent Exceptions: Valued Policies / Replacement Cost Insurance / Life Insurance}.
Property & Liability: {Time of Loss / Ownership / Potential Legal Liability / Secured Creditors}. Life Insurance: {Time of Policy Purchase / Close Ties (Love, Blood, Marriage) / Pecuniary Interest}.
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{Prevents Double Indemnification / Holds Down Insurance Costs}.
{Representations / Concealment / Warranty / Material Fact}.
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‘Insurance Policies’: Have your read them? Do you read them? Do you actually know the extent & range of covers? Do you know the excesses / deductibles? Do you know the conditions / warranties / exclusions? How have you (or your broker) evaluated the covers / policies you have? What were your instructions? Do you actually know what your insurance policies cover? Do they cover your actual liabilities & exposures? HAVE YOU CONSIDERED WHAT CAN GO WRONG????
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BASIC BUT IGNORED LEGAL REQUIREMENTS: It is a Statutory requirement to maintain records. Fire Safety Certificate Application reports & Grants should be obtained & retained on file. A Safety File for the development is required for conveyancing. A Fire Register / Manual / Log Book must be maintained and be available for inspection by the Fire Service on request. Record drawings are essential to allow Service and Maintenance operations to be carried out effectively. A facility cannot be effectively managed without records.
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What construction system was utilised in the apartments / houses under your control? Masonry. Timber Framed. Metal Framed. Foam. Others. Old or New. Do you know what materials were utilised in the construction of ‘your’ apartments / houses? Were those materials suitable for purpose & for the expected conditions?
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M.M.C. TYPES – Non-Exhaustive. Superstructure Components: Lightweight Cladding Systems: Volumetric / Modular. Composite Panels. Pods. EIFS. Panellised. Aluminium Composite Panels (ACP). SIP’s. Brick Slip. Hybrid / Semi-Modular. Rain Screen. Tunnel Form. Render Systems. Thermal Mass. Timber. Insulating Concrete Formwork. Hanging Tiles. ETFE Roofs. Green Walls.
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Test Case: MILLFIELD MANOR, NEWBRIDGE, CO. KILDARE. What Happened: Millfield Manor is a development constructed c. 2006 consisting of approximately 98 houses in terraces of 3, 6 and 8 houses and apartments by Barrack Construction Ltd. On the afternoon of the 31st March 2015 a fire commenced as a result of alleged arson in a house in one of the terraces of 6 houses and spread to total destruction of the terrace of houses within 25 minutes. The Fire Brigade arrived relatively quickly and in interviews the Chief Fire Officer stated that their function was to stop it spreading to an adjacent terrace
Lot of comment about malicious cause, strength of winds, etc. These are secondary factors in relation to the horizontal spread of fire internally.
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Impact: t: Negligi igible le Minor nor. Mode dera rate. e. Major jor. Extr trem eme. e. Likelihood: elihood: Almos
tain. 5. 5. 10. 15. 20. 20. 25. 25. Likely ely. 4. 4. 8. 8. 12. 12. 16. 20. 20. Poss ssible. ible. 3. 3. 6. 6. 9. 9. 12. 12. 15. 5. Unlikely ely. 2. 2. 4. 4. 6. 6. 8. 8. 10. Rare. e. 1. 1. 2. 2. 3. 3. 4. 4. 5. 5.
Likelihood: 2. Impact: 4. Risk: 8. Priority:
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Colindale, London – 220 Apartments:
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Colindale, London – 10 – 12 minutes into the Fire:
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DEPARTMENT OF ENVIRONMENT: Building Standards. The design and construction of buildings is regulated under the Building Control Acts 1990 to 2014, in order to ensure the safety of people within the built environment. Building Control Act 1990. Building Control Act 2007. Building Control (Amendment) Regulations 2014. Technical Guidance Documents (T.G.D.). Department Of Environment – Fire Safety Guides. HomeBond Insurance / Premier Insurance / Latent Defects, etc.
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The fire safety principles on which the ‘Guide to Fire Safety in Flats, Bedsits & Apartments’ is based are adopted primarily to protect life. These principles may be summarised as follows: (i) Avoidance of outbreaks of fire; (ii) Provision of escape routes which are protected from fire and smoke to allow occupants to leave the building safely; (iii) Early detection of fire and early warning to occupants to facilitate safe evacuation; (iv) Early suppression of fire, where this is feasible; (v) Limitation of the development and spread of fire; (vi) Containment of fire and smoke to the room or flat where the fire
(vii) Management of fire safety.
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LEGAL TITLE: When buying a house / apartment what are the minimum requirements for Conveyancing Purposes? What is the purpose of Conveyancing? To ensure good clean title. Pre – BCAR 2014: Probably most important document for a House / apartment was the availability of a HB 11 Certificate from HomeBond or Premier Insurance Completion Certificate. Provided ‘10 Year Structural Guarantee’.
CAVEAT EMPTOR:
It is the view of the conveyancing committee that every purchaser of a property should be advised in writing to have the structure of the building checked out either by a qualified engineer
engineer but rather that clients should find for themselves the persons with the necessary qualifications to give them a satisfactory report. If solicitors fail to give clients such advise and it subsequently transpires that it cost the clients a lot of money to carry out work to the structure that they did not take into account when they decided to buy the house, they may issue proceedings for negligence. Law Society Gazette 1992.
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FIRE RISK ASSESSMENT (F.R.A.): An essential record to have or to prepare. Original Fire Safety Certificate (F.S.C.) application will have included an F.R.A. F.S.C. Application & Grant can be retrieved, if not on record. I.S.3218:2013 states all Residential Buildings should have a F.R.A. Must be carried by a Competent party. Building Control Regulations (B.C.A.R.) emphasise the need for Risk Analysis. Department of Environment has issued T.G.D. B – Fire Safety – Volume 2 – Dwelling Houses and deals somewhat with Timber Framed Buildings. T.G.D. B – Fire Safety (now known as Volume 1) is under review at present & will be issued for public consultation possibly early next year {probably after the final Grenfell Report is issued}.
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BASIC KNOWLEDGE OF HOUSE CONSTRUCTION. Traditional / New Systems. Suitable Materials./ Structurally Sound / Waterproofed. Ease of Access & Egress. Means of Fire Spread (Internal & External). Cavities / Shafts. Fire Safety. Means of Escape. Is there a design available? Has it been tested in real life test situations? Is there an Agrément Certificate for the particular design / innovative product? Are there clear Manufacturer’s Instructions in relation to the erection, fitting out, future maintenance, etc. of the particular house construction system?
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Increased Insurance Costs; Potential Legal Costs; Possible prosecution; Loss of reputation; Loss of Property / Foreclosure; Loss of Home; Bankruptcy; Jail; etc.
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EXAMPLES of Potential Problems: Using lightweight and combustible materials may cause a greater degree of fire spread, leading to increased claims costs. Modular construction can cause hidden gaps that can lead to even a small incident causing a disproportionately high loss. Expensive delays can occur if a pod in situ needs to be removed, causing disruption and removal of surrounding pods. Increased risks of water damage and storm losses due to the materials used and the effects of wear and tear over time. M.M.C. materials’ ability to withstand the effects of flooding is unknown in many cases. As many M.M.C. systems are new and innovative, contractors may have no previous experience of the materials and assembly techniques required. Problems of obtaining replacement components in the future, especially if a particular manufacturer goes out of business.
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The Assigned Certifier is assigned by the Building Owner as required under the Building Control Regulations. They undertake to inspect, and to co-
the building or works on completion. The role of Assigned Certifier does not include responsibility for the supervision of any builder. They may or may not be a member of the design team. Technical Guidance Document B - 2017 - Fire Safety – Volume 2 – Dwelling Houses. Technical Guidance Doc D - 2013 - Materials & Workmanship.
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ISSUES OF CONCERN – 1. Water Leaks {Prevention & Emergency Plans}. Frost Damage Prevention. Combustible Waste Storage {away from buildings, secure, cigarette ends, arson, etc.}. Fire Compartmentation & Inspections {include details in Fire Register including maintenance & inspection of fire doors , ensuring not wedged open, self-closers operate correctly, etc.}. Fire Stopping Details {especially after any construction works}. Building Preventative Maintenance {including roofs, gutters, drains, pumps, etc.}. Passenger Lifts {maintenance, statutory inspections}. Emergency Lighting {maintenance, inspections, confirmation certification}.
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ISSUES OF CONCERN – 2. Fire Detection & Alarm Systems {weekly tests, maintenance, emergency plans (including authority to silence alarms, confirmation documentation, type of system}. Fire Extinguishers {maintenance, training of residents, contractors}. Fire Emergency Plans {escape routes, summoning emergency services, fire drills for residents}. Slips & Trips {including during cleaning, icy weather, construction works, condition & maintenance of paths / roadways}. Contractor Controls / Own Maintenance Man {control of operations, Hot Works, machinery, work at a height, access to roofs / attics / voids / lift shafts, electrical installation inspection / maintenance, etc.}.
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ISSUES OF CONCERN – 3. Building / Apartment Security {outbuildings, physical, lighting, staying alert / neighbourhood watch, intercom procedures, window
balconies (internal, external, stairwells, timber deck / maintenance), barbeques, roof garden balustrade (heights > 1100mm), vacant apartments / going on holidays, car park safety, etc.}. Basement Car Parks {location of waste bins, oil tanks, gas meters, electrical rooms, etc. beneath or beside services & cables, fire stopping}. Safety Management, Risk Assessments, Safety Statement. Heating Boilers {annual maintenance records}. Trees near buildings. Others {chimneys, use of candles, smoking}.
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FIRE TEST - BEDCLOTHES.
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Cavan Orphanage Fire – 1943:
In Cavan there was a great fire, Judge McCarthy was sent to inquire, It would be a shame, if the nuns were to blame, So it had to be caused by a wire.
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BASIC BUT IGNORED LEGAL REQUIREMENTS:
It is a Statutory requirement to maintain records. Fire Safety Certificate Application reports & Grants should be obtained & retained on file. A Safety File for the development is required for conveyancing. A Fire Register / Manual / Log Book must be maintained and be available for inspection by the Fire Service on request. Record drawings are essential to allow Service and Maintenance operations to be carried out effectively. A facility cannot be effectively managed without records.
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LEGAL TITLE:
When buying a house / apartment what are the minimum requirements for Conveyancing Purposes? What is the purpose of Conveyancing? Pre – BCAR 2014: Probably most important document for a House / apartment was the availability of a HB 11 Certificate from HomeBond or Premier Insurance Completion Certificate. Provided ‘10 Year Structural Guarantee’.
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HOMEBOND GUARANTEE:
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HOMEBOND ‘COVER’:
"Liability Period" means the period of ten years from the date of issue of
the Final Notice save and except in respect of a Major Defect falling within sub-paragraph (b) (i.e. smoke penetration) or (c) (i.e. water penetration) of the definition of Major Defect below in which event the Liability Period shall be 2 (two) years from the date of issue of the Final Notice.
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"Major Defect" , in the case of a Dwelling which is not an Apartment, means:
(a) any major defect in the foundation of a Dwelling or in the load bearing parts of its floors, walls and roof or in any retaining walls necessary for a Dwellings support which defect affects the structural stability of the Dwelling; (b) any major defect in the Dwelling directly resulting in smoke penetration from a chimney breast into the habitable areas of the Dwelling, save and excluding smoke penetration caused by down draught and / or air starvation; or (c) any major defect in the Dwelling directly resulting in water penetration through the main structural elements, roof flashings or roof valleys of the Dwelling. (d) any major defect in the Dwelling directly resulting in water penetration through the main structural elements, roof flashings or roof valleys of the Dwelling.
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CAVEAT EMPTOR:
It is the view of the conveyancing committee that every purchaser of a property should be advised in writing to have the structure of the building checked out either by a qualified engineer or architect. It would be prudent for the solicitors not to recommend any particular architect or engineer but rather that clients should find for themselves the persons with the necessary qualifications to give them a satisfactory report. If solicitors fail to give clients such advise and it subsequently transpires that it cost the clients a lot of money to carry out work to the structure that they did not take into account when they decided to buy the house, they may issue proceedings for negligence. Law Society Gazette 1992.
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LAW SOCIETY CONVEYANCING HANDBOOK STATES:
All lenders require that new dwellings are HomeBond protected & registered with the HomeBond scheme. Before a Solicitor allows his client to enter into abuilding contract with a builder he should ensure that the Form HB10 has issued which incorporates the protection that comes to his client from HomeBond. Before completion & before the balance of purchase monies is paid over, the Solicitor should ensure that the Final Certificate HB11 has issued & he should not accept an undertaking with regard to same.
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Premier Insurance: Compliance with Building Regulations: The Standards in the Technical Manual require compliance with the current Building Regulations for England and Wales, Scotland and Northern Ireland as applicable, in force at the time the Initial Certificate was issued for the Housing Unit where applicable and require compliance with all other statutory requirements relating to the design and construction of dwellings. They also include some requirements which are not covered directly by Building Regulations, such as internal decorations and external works. However not specified as such in Ireland. 4 – 11 inspections per unit / property – to ‘check suitability for Insurance’.
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Workmanship Requirement: All works shall be carried out in a neat and workmanlike manner in accordance with relevant Standards and Codes of Practice’ Structural Design Requirement: Structural design shall be carried out by appropriately qualified persons in accordance with relevant Standards and Codes
Enhanced Standards Requirement: Where a Housing Unit has been accepted for insurance and the standard of design and materials applicable to that Housing Unit is intended to result in a performance superior to the statutory requirements e.g. (but not limited to) the Code for Sustainable Housing, LPS 2020 and its enhanced performance modules, those higher standards will become part of the Functional Requirements.
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Your ‘Insurance Policies’: Have your read them? Do you read them? Do you actually know the extent & range of covers? Do you know the excesses / deductibles? Do you know the conditions / warranties / exclusions? How have you (or your broker) evaluated the covers / policies you have? What were your instructions? Do you actually know what your insurance policies cover? Do they cover your actual liabilities & exposures? HAVE YOU CONSIDERED WHAT CAN GO WRONG????
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CONCLUSIONS – 1:
How fire safe is / are any apartments / houses / properties that you Insure or are under your direct control or that you / members of your family live in? If there is a fire in your apartment / house / property, can everyone get out quickly & safely? If someone is trapped in their apartment / house / property, do they know what to do? Are you a Landlord? Do you know your statutory responsibilities? Do you know the construction of your apartment / house / property? Have you informed your Insurer of the details of construction of your apartment / house? Does the Insurer care? If not why not?
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CONCLUSIONS - 2: (Cont.).
Is your house insurance really in place and does it cover what you actually require cover for? Do your House Insurers know what they are in fact providing cover for? Are there any solutions to the problem? If so have they been investigated & are they capable of appropriate certification?
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Increased Insurance Costs; Potential Legal Costs; Possible Prosecution; Loss of Productivity; Loss of Key Employees; Loss of Reputation; Loss of Business & Clients; Loss of Work Premises; Loss of Credibility; Jail; etc.
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FINALLY, specifically watch for the following: Excesses / Deductibles. Conditions / Warranties / Endorsements. Claims Record. Statute of Limitations. What is actually covered under your Insurance Policy?
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