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EMA Minutes 12/14/2022
15.A.2 December 141,- 2022 Naples, Florida MINUTES OF THE OF THE COLLIER COUNTY EMERGENCY MEDICAL AUTHORITY MEETING LET IT BE REMEMBERED, the Emergency Medical Authority in and for the County of Collier, having conducted business herein, met on this date at 9:30 AM in REGULAR SESSION at Collier County Government, 3301 Tamiami Trail East, Human Resources Training room, Naples, Florida with the following members present: Chair: E.B. Yarnell, Citizen Representative Daniel Johnson, Citizen Representative Robert Chalhoub, Citizen Representative Also present: Tabatha Butcher, Chief, EMS Bruce Gastineau, Assistant Chief, EMS Dan Summers, EM Packet Pg. 396 15.A.2 COLLIER COUNTY EMERGENCY MEDICAL AUTHORITY (EMA) AGENDA December 141h, 2022— Wednesday 9:30am 1. CALL TO ORDER AND PLEDGE OF ALLEGIANCE Meeting called to order at 9:30 am by Mrs. Yarnell. A quorum was established. 2. AGENDA AND MINUTES a. Approval of Today's Agenda Motion to approve agenda by Mr. Johnson. Seconded by Mr. Chalhoub. Passed unanimously. b. Approval of the November 9th, 2022, Meeting Minutes Motion to approve November Minutes by Mr. Chalhoub. Seconded by Mr. Johnson. Passed unanimously. 3. OLD BUSINESS a. Performance Measures Update Chief Butcher discussed performance measures. Offloading has been consistent for the past couple months. Response times have gone up due to increase in population and is expected to keep going up. Otherwise, no significant changes. 4. NEW BUSINESS North Collier COPCN Renewal Application Mr. Summers discussed North Collier COPCN. He has no concerns or issues, recommending for approval. Motion to move forward with COPCN renewal by Mr. Johnson. Seconded by Mr. Chalhoub. Passed unanimously. b. Care Med COPCN Renewal Application Mr. Summer discussed Care Med COPCN, does not have issue with their application. Ms. Nerlyne is the active director of operations pending new hire. They have no change in vehicles. Mr. Chalhoub had questions on their receivables. Ms. Nerlyne discussed issues getting calls from hospitals and issues with the collection of payments. Motion to recommend for renewal of Care Med COPCN to Board of County Commissioners by Mr. Chalhoub. Seconded by Mr. Johnson. Passed unanimously. Packet Pg. 397 15.A.2 c. Year of end letter Mrs. Yarnell will be forwarding the year of end letter to Chief Butcher. 5. FIRE SERVICE DISCUSSION Chief Aguilera discussed call volume going up. Chief Adamski discussed their COPCN application was approved by the BCC. 6. STAFF REPORTS Chief Butcher discussed staff reports. EMS will be awarding bid for new station on January 1 Oth, 2023, cost of construction has gone up, it is now a nearly 10-million-dollar project. Desoto station will take approximately 18 months for construction. Mr. Johnson's and Mrs. Yarnell's application has been received and approved for another term. Chief Butcher discussed the one applicant we have as of now to replace Dr. Britton's position. EMS has the board of commissioner's approval to partner up with Braxton to do in house paramedic classes. Chief Butcher also reminded members of the ride along opportunities they have. 7. PUBLIC COMMENT No Comment 8. BOARD MEMBER DISCUSSION No Discussion 9. ESTABLISH NEXT MEETING DATE January 11, 2023 10. ADJOURNMENT Motion to adjourn meeting by Mr. Chalhoub Adjourned at 10:37am. at c Seconded by Mr. Johnson. Meeting Collier These minutes approved by the Board/Committee on amended E as m c as c T co Emerge cy dical Authority r c m C arne as presented A as Packet Pg. 398 15.A.3 COLLIER COUNTY EMERGENCY MEDICAL AUTHORITY (EMA) AGENDA January 11, 2023— Wednesday 9:30am 3299 Tamiami Trail, Bldg F 5" Floor IT Training Room 1. CALL TO ORDER AND PLEDGE OF ALLEGIANCE 2. AGENDA AND MINUTES a. Approval of Today's Agenda b. Approval of the December 14, 2022, Meeting Minutes 3. OLD BUSINESS a. Performance Measures Update 4. NEW BUSINESS a. Brewster COPCN Renewal b. Election of Chair and Vice Chair c. Member Vacancy Application 5. FIRE SERVICE DISCUSSION 6. STAFF REPORTS 7. PUBLIC COMMENT 8. BOARD MEMBER DISCUSSION 9. NEXT MEETING DATE a. February 8, 2023 10. ADJOURNMENT Packet Pg. 399 15.A.3 COLLIER COUNTY FIRE & EMS CHIEFS' ASSOCIATION, INC. 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N ` u N LL NI ra Y o® - i , v i i v i O z o O O O o O O O O O O O O O O Ln O u} O u'1 O ul m m N N r t O Cl) a d v m a M Q (£ZOZ LIIL L Ajenuer-Ajpoy;my leolpaw A3uaBiamg : totVZ) a6eMoed J1mvnNvr :w9wLoeuv 0 0 0 0 0 0 0 0 0 0 Ln M ro N 0 Lf'I Sol ', 0- S06 l0 �06 0- of l0 0- �06 l0 l06` l0 l0 l� l0 c' O� l0 60, l0 19O. l0 l0 90l lOC, s0, lO col �O '7o& r0 0- col rOC, of l0 �r OC, �l OC, 2 �l OC, 'o �r OC, 15.A.3 Bonita c Bonita-Shores Springs - .. MddlwTa\,tourdty Club Q tmpedsl CW +m g Cteb '" 4 Pairn Rivnf Naples Ork 0 0 Rd # � W o CD C_ Y L7 m IL Patican Bay North Naples Vlney�rcis 0 Q iZ :e4;i'tdag, as-- c m u r Q Packet Pg. 4 8771 15.A.3 yr. sr,f COOK eei Marco Island ryr !95�; rmwnhrei rose: s Cr`twill Packet Pg. 4 9771 01 r-ioAhAlf9m c-mal Fak�lk- C" 1� Ev*tvl&dRs Blvd It Evargiatdoo Mvd N 04 4) t-I ^ m (L �� � � k . w4won Blvd in 15.A.3 IT y 6, s it 6 i B I 72 Iivd .4 Gf t.l 44v t! Q I� kN .I t 92 C" 1 I Jill 1 } 20 I aI f0 Y V m IL Q z Q c a) E m u 2 r Q Packet Pg. 441 Everglades city Fakahatchee x I Packet Pg. 442 1 15.A.3 !0fh Run Golf � 2 Poknoions Golf Club O Q Eottiary At Croy Cake +a Q Z = Q GBH G1ur, s � f�1 Llllit,lllLl� 1t Alrpmt 0 5�ft A 4S Naples Q i z . e a Packet Pg. 443 15.A.3 Md �. Cos p,m:.:� ,6 F O I `W M N CD 04 �s - f0 1"prbarx Blvd S 4 . W j V 49 County Bain Rd 3 A15 i J d P.fit ::;u (, Ill d a Z LL -- t Para pAIG ppr)ARONel F +: a � C1 cF W Iti •b — Ikirpnrt"Rd 5 - _Ir&t Pill fjing.Rd. I dc i Packet Pg. 444 15.A.3 ROWED TER 2022 coupe R EVV S DEC°E� � r County Emergency Manager AMBULANCE SERVICE Collier County 2022-2023 Renewal Application for our CLASS "2" TRANSPORT COPCN Just Like Family Concierge Medical Transport Services LLC. DBA: Brewster Ambulance Service Contact: Yohandy Machin 11820 Lacy Lane Fort Myers, FL 33966 239-682-8907 November V, 2022 The enclosed information is the complete 2022-2023 renewal application for a Certificate of Public Convenience and Necessity for Collier County, Florida. Packet Pg. 445 15.A.3 Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application An applicant for a certificate shall obtain form from the department to be completed and returned to the division administrator. Each application shall contain: 1. The name age and address of the owner of the ambulance or ALS provider, or if the owner is a corporation, then of the directors of the corporation and all of the stockholders holding more than 25 percent of the outstanding shares. For governmental units, this information shall be supplied for members of the governing body. Service Owners/ Directors Paul Hobaica MD, 54 — 1061 Collier Center Way Suite #1 42.0% Brewster Ambulance - 25 Main Street, Weymouth MA 35.0% Jeffery Panozzo MD, 60 — 1061 Collier Center Way Suite #1 13.0% Chris Dibona, 46 — 1061 Collier Center Way Suite #1 5.0% Yohandy Machin, 30 — 1061 Collier Center Way Suite #1 5.0% Mark Brewster, 44 — 1061 Collier Center Way Suite #1 0.0% 2. The Boundaries of the area to be served. All area contained within Collier County, Florida boarders. 3. The number and a brief description of the ambulances or other vehicles the applicant will have available. Brewster Ambulance Service currently has (14) licensed ambulances in its Florida division. Brewster Ambulance Service uses the most current technology for staffing units. We staff ambulances to meet the anticipated needs of our service area by using FirstWatch Solutions. FirstWatch turns raw data into meaningful information, helping us improve situational awareness, operational performance and clinical patient outcomes. Our system does this by securely capturing, translating and transmitting information about our callers, patients and systems via FirstWatch triggers all in real-time. A FirstWatch "trigger" is a representation of data based on a set of user -defined data filter criteria using one or more FirstWatch analytical methods. Triggers draw data from one or more data sources, like CAD, ProQA, RMS and ePCR. Typically, data is consumed as events; each event is uniquely identified and has a date time stamp. Each event can also be supplemented with additional information, such as location and comments. This information is then used to calculate need and location of available ambulances like never done before. Packet Pg. 446 15.A.3 Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application Continued... Tracking of vehicles is accomplished with FleetLocate by Spireon, we are able to track (in real time) our vehicles exact location and provide more accurate arrival times to our customers, thus improving the patient flow at the local hospitals. 4. The address of the intended headquarters and any substations. Brewster Ambulance Service Naples location is: 3200 Bailey Lane, Suite 198 Fort Myers FL 34105 Our Lee County Location is: Packet Pg. 447 15.A.3 Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 5. The training and experience of the applicant. The management team at Brewster Ambulance Service collectively has over 300 years of experience in the EMS industry with varied experience in Field training, education, management, air medical and critical care transport. With over a century in the ambulance industry, we can provide the expert leadership needed to run a respectable, high quality service. Our Quality Assurance Department is staffed by 10 full-time Paramedics. All QA staff have a minimum of 10 years with a Paramedic certification. Our QA staff reviews patient care reports for quality assurance and adherence to our medical protocols and standards of care. Brewster Ambulance Service is committed to maintaining compliance with all federal, state and local laws and regulations. We are compliant with Florida Statute 401 and Florida Administrative Code 64J in accordance with standards set forth by the Bureau of EMS and Department of Health. Our state license is valid through May 15, 2022. Brewster Ambulance Service accepts all insurance providers. All billing and collections are done in house with our team of close to 60, to ensure patient confidentiality and a payment plan for all patients with financial difficulty. All BAS field employees maintain their credentials in a proactive manner as well as pursue continuing education tracks so they achieve individual career and certification objectives. During orientation and throughout the year, all employees are required to take a course or refresher course in infection control, airborne pathogens, blood -borne pathogens, HIPAA, injury prevention, and emergency vehicle operations. EMTs and Paramedics are responsible for maintaining their own credentials and certifications. Brewster Ambulance Service sponsors continuing education support in order for employees to maintain their certifications thru CMTI which is an accredited EMS education provider. The required 16-hour Emergency Vehicles Operators Course is handled by our in house EVOC Instructor. We uses a combination of classroom and practical driving to train staff on the proper driving techniques to safely drive an emergency vehicle in the state of Florida. All staff is required to renew this certification every two years by completing an online update course. . Packet Pg. 448 15.A.3 Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 6. The name and addresses of three Collier County residents who will act as references for the applicant. Michael V. Reagen — Former president and CEO of the Greater Naples Chamber of Commerce 10391 Regent Circle Naples, Florida 34109 Nicole Bishop-Tregea BSN, RN — NCH Nursing Director 13523 Pond Apple Drive E Naples, FL 34119 Jim S. Bloom — CCSO Undersheriff 3319 Tamiami Trail East Naples, FL 34112 Packet Pg. 449 15.A.3 Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 7. Schedule of rates, which the service intends to charge. Code Service Description Rate A0428 BLS Non- Emergency $450.00 A0429 ____+ BLS Emergency ::� ALS Non- Emergency I $500.00 $525.00 A0426 A0427 ALS Emergency Level 1 $575.00 tALSA0433 Level 2 $725.00 A0434 I SCT $950.00 A0425 ---�...__....... Mileage (PLM) ----------- - ... ... --_ $15.00 E w Q Packet Pg. 450 15.A.3 Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 8. Such other pertinent information as the administrator may require. At this time, we are unaware of any other mandatory information required by the administrator for this application. We have included copies of all pertinent information. 9. An application or renewal fee of $250.00 (Exception Collier County EMS). Enclosed check 10. Financial data including assets and liabilities of the operator. A schedule of all debts encumbering any equipment shall be included. Attached Packet Pg. 451 15.A.3 ACORD 25 (2016/03) DATE(MMIDDIYYIY) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD10/21 /2022 ER. 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. 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). PRODUCER CONTACT Anna Seymour C 8 S Insurance Agency, Inc. PHONE (508) 339-2951 190 Chaunc St A/c No Exr : -C, No : (508) 339-4811 y E-MAIL ADDRESS: annac0 Candsins.COm - Mansfield INSURER(S) AFFORDING COVERAGE NAIC # MA 02048 Landmark American Insurance Company INSURER A: p INSURED Old Republic Insurance Company 24147 INSURER B : P P Just Like Family Concierge Medical Transport LLC INSURER C : Coverys Specialty Insurance Company 15686 11820 Lacy Lane INSURER D : Fort Myers INSURER E : FL 34105 INSURER F COVERAGES CERTIFICATE NUMBER: 22-23 JLF Master THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED. REVISION NUMBER: ABOVE FOR THE POLICY NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE PERIOD WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TERMS, OF INSURANCE AL GENERAL LIABILITYEACH INSD sm WVD POLICYNUMBER POLICYEFF MM/DD POLICY EXPE MM/DDlYYYY LIMITS S-MADE ❑ YA OCCURRENCE $ 1,000,000 OCCUR A ET R N'IELI100,000 PREMISES Ea occurrence $MED LHC799186 EXP (Any one person) $ 5,000 11/09/2022 11/09/2023 PERSONAL ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ JECT LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OPAGG $ 1,000,000 OTHER: OMOBILE LIABILITY $ ANY AUTO COMBINED SINGLE LIMIT Ea accident $ OWNED ULED BODILY INJURY (Per person) $ AUTOS ONLY HIRED AUTOS MWTB 313569 22 O6/01/2022 06/01/2023 BODILY INJURY (Per accident) $ JB AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGEPer accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 005MA000026155 06/01/2022 06/01/2023 EACH OCCURRENCE $ 4,000,000 I I AGGREGATE $ 4,000,000 DED RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE InOFFICER/MENH) EXCLUDED? (Mandatory (Mandatory In NH) NIA E.L. EACH ACCIDENT $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER rAkiru r Collier County Board of Commissioners 3299 Tamiami Trail East Suite 303 Naples FL 34112 The ACORD name and logo are registered marks of ACORDIS ACORD CORPORATION. All rights reserved. Packet Pg. 452 Q SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 15.A.3 ACCmR CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/9/2022 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. 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 endorsements . PRODUCER MICHAEL GEE INC 786 S Orange Ave, North Unit Sarasota, FL 34236 -ONT CTMICHAEL C GEE NAME PHONE 441 907-0914 AA/" Np 1941) 907-0916 E-MAIL tron veri.zon.net INSURERS AFFORDING COVERAGE NAICk RA RETAILFIRST INSURANCE CO 10700 INSURED JUST LIKE FAMILY CONCIERGE MEDICAL TRANSPORT SERVICES, LLC 11820 LACY LANE FORT MYERS, FL 33966-1345 239 682-8907 INSURER B: INSURFR INSURER D. INSURER E 1 INSURERF: GUVCKALitJ--- 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. INS LTR TYPE OF INSURANCE A—lb-1 p P Y M R POLICY YYY CY PO DDf EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE � OCCUR S MED EXP (Anyone person)$ PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG S POLICY PRO- LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) S OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE e raccidentl $ AUTOS ONLY 0AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR - DIED R WORKERS COMPENSATION TA T ORH- A AND EMPLOYERS'LIABILITY (y.N. OF ICER MEMIaER REXCWDEpIEXECUTIVE U (Mandatory In NH) Ryes, describe under DES R P I NOPERATIONSb NIA 520-57989 7/09/227/09/23 E.L. EACH ACCIDENT 1 000 000 S / / E.L. DISEASE - EA EMPLOYEE S 1,000,00 DISEASE - POLICY LIMIT 1 000 000 / / DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) INSUREDS COPY I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 453 15.A.3 Brewster Ambulance Service Balance Sheet As of December 1, 2022 TOTAL ASSETS Current Assets Bank Accounts $1,657,935.71 Other Current Assets $2,022,80Z7-5 Total CurrantAsaets $3,680,743.46 Fixed Assets $K634.44 Other Assets $212,39U4 TOTALASSETS M978,76&04 LIABILITIES AND EQUITY Liabilities Current Liabilities Accounts Payable $249,2OL26 Credit Cards $-6,964-69 Other Current Liabilities $228,082-00 Total GwentLiaWnes $470,318.57 Long -Term Liabilities $197,486-07 Totalliabi'Cam $667,804.64 Equity $3,310,96&40 TOTAL LUMLITIES AND EQUITY $3,978,768.04 Accrual Basis Monday, December 12, 2022 10:54 AM GMT-05:00 Packet Pg. 454 M d Lfi (£ZOZ 41L L Ajenue£-Al!.io4;my leolpaw A3ua6aaw3 : VOtitiZ) a6eMoed AmvnN`df :}uawLpenv Ln r-i O N Ln ri O N I- r-i O N 00 �I O N 00 r-I O N m r-I O N Ql �I O N a) r -I O N 00 �I O N 00 �I O N Ln r-I O N Ln r-I O N N N O N N N O N 00 L m m Z w Q1 Z Z w Lo Ln >- LU C7 Y Ln Ln w C1 Y It X 2 Z Ql N Y Ct X 2 Z co N d } a L> L. 00 al > U m m > U �D m m a) r- m O W O O Lr) N L Ln N L O ri O r-I O rl O rl O N O rl O c I O Ul) cI L Q. 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