## Transmitta l o f

Omah aLea dSite Pain t Stabilizatio n Fil e Folde r
Sai d#:7
- 5"V^ 7 Date : /-^ ^ " O ^ Address : /3^ 3 / ^ . ^ ^ ^t
- Contractor : Cit v o f

Omah aYear : .^^32 ? ( P 

## Pain t Stabilizatio n Propert y Fil e Folde r Document s i

/

W c ^or k

Writ e U p Signe dAcces s Agreemen t fo r

subject propert y Pre-Renovation for msignedb y Propert y Owne r Pre-Reitiovatio n For mfo r

Occupant/Tenant , ifapplicabl e ^ Painting Agreement/Cit y of Omah aPurchas e Orde r Settlemen t documents (i.e. , fo r

damage o r

t

o replac e plants , etc. ) Renovatio n Recordkeepin g Checklis t signe db y Certifie dRenovato r l^Propert y informatio n fromDougla s Count y Assessor' s Offic e ^^Other(describe) : It'cfun J , "

Cit y of Omah aRepresentative Signatur e Dat e
EP A Representativ e Sign_ature._

_

.__ __- Dat e 3026243 5 

# iiniiiiiii i Superfun d

# CIT Y O F OMAH A PURCHASIN G - ROO M 100 3 

### Purchas e Orde r 181 9 FARNA M STREE T REVISIO N PAG E OMAHA , N E 68183-100 3 PURCHAS E ORDE R NO . 0 1 114968 5 FAX # 402-444-542 3 SHIPTO : CIT Y O F OMAH A HOUSIN G & COM M DE V R M #111 1 181 9 FARNA M STREE T 0MAHA,N E 6818 3

. G W TIBB S CONSTRUCTIO N VENDOR : > < BIL L TO :

CIT Y O F OMAH A FINANC E ATT N GARR Y TIBB S 432 1 N 5 6 S T DISBURSEMENT S ROO M #100 7 OMAHA , N E 6810 4 181 9 FARNA M STREE T OMAHA.N E 6818 3 ORIGINA L PURCHAS E ORDE R • VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOME R ACCOUN T NO . VENDO R NO . DAT E O F ORDER / BUYE R REVISE D DATE//BUYE R 8019 0 07-AUG-0 8 P BURK E PAYMEN T TERM S SHI P VI A F.O.B . DESTINATIO N FREIGH T TERM S REQUESTOR/DELIVE R T O CONFIR M T O / TELEPHON E MARUCA. T MARI E 

# s
> • ITE M PAR T NUMBE R / DESCRIPTIO N DELIVER Y DAT E QUANTTT Y UNI T UNI T PRIC E EXTENSIO N IMPORTAN T D O NO T STAR T WOR K UNTI L PROCEE D ORDE P i s ISSUE D B Y TH E PLANNING DEPARTMEN T - PE R GROU P 2. 2 BI D DATE D 7/30/08 . Al l price s an d amount s o n thi s orde r ar e expres s d i n : U S Doi : a r NEEDED : 1,000.0 0 N 08-AUG-0 8 EP APAIN T STABILIZATIO N PROGRA M GROU P 2 2 132 3 N . 29T H ST . o SHI P TO : Addres s a t to p o f pag e

' t * * * * * * * * * * * * * * * * * * * * * * * * * * ******************* * NEEDED : 3,000.0 0 N 08-AUG-0 8 EP APAIN T STABILIZATIO N PROGRA M GROU P 2 2 421 8 DAVENPOR T ST . O SHI P TO : Addres s a t to p o f pag e

Jl r****** * * * * . ********* * *. * * * * ******************* *

SHIPTO : Address show n above . I f shipmen t i s delaye d o ran y item s no t available , advis e a t once . Pur chas e orde rnumt>e rmus t appea ro n al l Invoices , packages , packin g lists , bil l o f lading , an d correspondence . SHIPPIN G CHARGE S T O B E PREPAID , IFAPPLICABL E AN D ADDE D T O INVOICED , cop y t o b e fur nishe d wit h invoice . TA X EXEMPTION : Th e Cit y o f Omah a i s exemp t firo m Federa l Excis e Taxe s an d th e Nebrask a an d Cit y o f Omah a Sale s Taxes . Federa l I.O . 476006304 ; STAT E I.O . 01-0316766 ; Fue l Dealer s Lie . 91-0316768 .DOUGLA S COUNT Y REQUES T FO R BI D AN D BI O SHEE T ON : CIT Y O F OMAH A EXTERIO R PAIN T STABILIZATIO N PROGRA M FO R TH E EP A OMAH A LEA D SIT E - GROU P #2 2 FROM : P.M . Burk e Publishe d Jul y 16 . 200 8 Asst . Dougla s Courit y Purchasin g Agen t NO T A N ORDE R Pag e 1 90 2 Omaha-Dougia s Civi c Cente r 181 9 Fama m Stree t Omaha , Nebrask a 68183-090 2 Bi d Closin g Tim e & Date : 11:0 0 a.m . Jul y 30,200 6 IMPORTAN T 1 . Si d mus t b

e in th e offic e o l Ihe CIT Y CLERK , LC-1 . OMAHA-DOUGLA S CIVI C CENTER , 4 . I f Federa l Excis e Ta x applies , sho w amoun t o f sam e an d deduct . 181 9 Farna m Street , Omaha , N E 68183-001 1 b y th e closin g dat e an d dm e indicate d Exemptio n certificate s wil l b e furnished . D o no t includ e ta x i n bid . i n a saala d envelop e marked : BI D ON : CITY O F OMAH A EXTERIO R PAIN T STABILIZATIO N 5 . BI D MUS T INCLUD E AN Y DELIVER Y O R SHIPPIN G CHARGES . PROGRA M FO R TH E EP A OMAH A LEA D SIT E • GROU P #2 2 6 . Whe n submittin g bi d o n item s lisled , bidde rma y o n a . separat e sheet , mak e 2 .BI D BOND : A bi d bon dis no l require d fo rthi s project . suggestion s coverin g reductio n i n cost s whereve rthi s i s possibl e throug h redesign , change o l materia l orutilizatio n o t standai d item s orquantit y change . 3 . Righ t is ressnre d t

o accep t orrejec t an

y o ral l bid s in thei rentiret y an d th e bidder s shal l hav e th e righ t t

o appeal an y decisio n t o th e Cit y Council . Right'i s also resenra d to 7 . I I yo u d o ho t bid , retur n sheet s wit h reaso n lo rdeclining . Failur e t

o d

o s

o wil l indicat e accep t o t rejec t an y par t o

f you rbi d unlessolhenvis e indicate d b y you . you rdesir e to b e remove d fro m ou rmailin g list . I f yo u desir e a cop y o

f tabulatio n chec k her e F H PLEASEO O NO T CAL L FO R THI S INFORMATIO N Quot e you rlowes t price , bes t deliver y an d terms , F.O.B..deliver y poin t o n th e item(s ) liste d below : QUANTIT Y DESCRIPTIO N UNI T PRIC E EXTENSIO N Th e Cit y o f Omah a i s seekin g bid s fro m pre-qualifie d supplier s t o

• perforr n th e scop e o f vt/or k a s describe d i n th e attache d specifications . Eac h sit e i s a gieographicall y separat e site , no t dependen t o r relate d t o an y othe rsite , an d eac h sit e wil l b e considere d a separat e avyard , pe rbi d an d attache d specifications . DAVI S BACO N AC T Fo rquestion s regardin g thi s bid , o rquestion s o n ho w t o qualif y t o becom e a bidde rfo rthi s o rfutur e bid s wit h thi s scop e o f work , contac t Mr . Mik e Honake ra t (402)444-5333 .

Al l contractor s ca n obtai n a curren t Cit y o

f Omah a Certifie d Protecte d Busines s Enterprise/Certifie d Busines s Enterpris e (PBE/DBE ) listin g Iron i th e Cit y o l Omaha.websit e a

t www.ci.omaha.ne.us . Clic k o n 'Departments , clic k o n 'HUMA N RIGHT S & RELATIONS' , click o n 'PBE/DB E CERTIFIE D DIRECTORY' . Al l bidder s awarde d a contrac t in th e amoun t o l SS.OO O o rnure mus t compl y with th e Contrac t Complianc e Ordinanac e an d hav e o n fil e wit h Ih e Huma n Right s an d RelationsOepartment th e Contrac t Complianc e Repor t (Fon n CC-1) . Thi s repor t shal l b e i n effec l fo r2 4 month s from th e dat e receive d b

y th e Human Right s & Relations Department . An y queslion s regardin g the Contrac t Complianc e Ordinanc e orPBE/DBE Listings shouk t b e directe d to th e Huma n Right s & Relation s Departmen t a

t (402)444-5055 . * Rete ran vQuestion s reoardln g th e BI D o rSPECIFICATION S directl y t o th e Purchasin g DBoartmen t (402)444-715 5 o ra s show n o n bid . 7PLEAS E PRIN T LEAIBL V O R TYPE ) 1 Fir m Cr » U ^ "^vY > \\ 5 1 Incorporate d in : Paymen t Term s % Nam e Signature ' Delivery (o rcompletion ) titl e Phon e Fa x calenda rday s followin a awar d Addres s Slreel/|J.U . Uo x uii y ytat e £i p Emai l Addres s

### Plannin g Departniien t Inspector : Bo b Pickera lOmaha/Dougla s civi c Center Date : Jun e 18,200 8 • ^^^ ^ '"'V"'" " ^"'" ' S""* : ^00 3 Omaha , Nebrask a6818 3 (402 ) 444-515 0 

## Name : Rhond aTaylo r Telefa x (4O2)546-07i4 cityofomah aAddrcss i 132 3 N 29^ ^ St . "'""^'^'"""DJ^.C^ ^ Mik e Fahey , Mayo r 

## OMAH A EXTERIO RPAIN T STABILIZATIO N PROGRA M FO RTH E EPA OMAHA LEAD SIT E Th e Contrac t bi ddocuirient s consis t o f th e followin g sections :

. • Genera l Responsibilitie s fo r

th e Contracto r

an dOccupant . •Lea dHazar dControl Plan , Interi mControl o f

Lea d Base dPain t Hazards . Th e Contracto r Shall : •Compl y wit h HUD' s "Guideline s fo r

the Evaluation an dContro l o f

Lead-Base d Pain t Hazard s i n Housing. " (Copie s ar e available a t th e Planning Department. ) •Compl y wit h Standard s calledfo r

i

n the "Construction An dRehabilitation Specifications , Housing an dCommunit y Developmen t Division , Cit y o f

Omaha, Nebraska. " (Copie s ar e available a t th e Planning Department. ) • Compl y wit h the Stat e o f

Nebrask aHealt h an dHuma n Service s Regulatio n an d Licensure , Titl e 17 8 Chapte r

2 3 Lea dBas e Pain t Regulations . •Coordinat e dail y construction schedul e wit h the occupan t •Submi t infonnation cut sheets fo r

al l substitution s o r

approve dequal s prio r

t

o writte n approva l o f

the Rehabilitation Inspector . •Repai r

o

r

replac e al l item s damage do r

disturbeddurin g construction . •A t al l time s kee p th e sit e o f

wor k

an dsurrounding are afre e fro maccumulation s o

f

wast e material s o r

rubbish cause db y the work . •Upo n dail y completion o f

wor k

clea n up.al l rubbish , exces s material , equipment , an detc. , tha t i s coniiectedwit h the work, an dleave al l part s o f

the wor k

areas i n a neat , sanitary , lea dsaf e an dpresentable condition . •Complet e thi s project withi n 3 0 calenda r

days . The Occupan t Shal l •Remov e an dstor e awa y an y persona l propert y withi n twent y (20) fee t o

f

th e area t o be remediated . • Remov e voluntee r

tree s an dvegetatio n fro mthe dri p lin e o f

th e roof , an dcu t bac k shrub s an dbushe s a t leas t two fee t fro mthe hous e an dgarage . •Ensur e tha t al l householdmember s sta y a t leas t te n fee t awa y fro mal l wor k

areas an dals o kee p al l pet s a t least te n fee t alwa y a t al l time s unti l th e wor k

ha^bee n completedan dth e are ahas passe davisua l inspection . Initial sAddress : 132 3 N 2 9 ST , Omaha , Ne , CURREN T CONDITIO N / PROPOSE D RESPONS E ACTIVITIE S Th e purpos e of thi s sectio n i s t o provid e amutual agreemen t as t o condition s o f property prio r t

o contractor activities . Thi s wil l als o serv e a s documentatio n for th e purpos e o f assurin g tha t restoratio n activitite s ar e complete dt o th e satisfactio n of th e propert y owne r an dth e Unite dState s Environmenta l Protectio n Agenc y (EPA) . Item s t o b e remove db y propertv owne r prio r to th e respons e activities :

3 . . 4 . 5 . Item s NO T t o b e remove db v contracto r durin g removal activities : 1 . 2 . 3 . . 4 , 5 . . • ADDITIONAL COMMENTS :

I hav e rea dth e foregoin g documen t andunderstan dtha t i t i s a n agreemen t grantin g permissio n t o th e Grante e t o ente r th e abov e describe dpi'emise s for th e purpos e of conductin g environmental respons e activities , an dI agre e t o it s term s an dconditions . 

### Grantor' s Signature : U'^U^A^^T^. y \jJiMUb/ ^ Dat e • ^'(^0-^ {

(3 ) vmiw nAddress : 132 3 N 2 9 S T Consen t fo r Acces s t o Propert y (Pag e 2 ) 3 .Plannin g andimplementin g th e respons e actio n o n th e Grantor' s property . Thi s wil l includ e 1 ) remova l o f loos e o r flakin g pain t identifie dby EP A usin g lead-saf e method s i n complianc e wit h HUD/EPA regulation s an d2 ) repaintin g accordin g to th e attache dspecifications . TER M Thi s acces s agreemen t shal l b e operabl e fo r th e perio do f tim e i t take s t o complet e th e environmenta l respons e activities . Upo n completio n of th e respons e actions , al l rights an d privilege s give n b y th e Granto r shal l ceas e o n that date , unles s extende db y asubsequen t agreement . AGREEMEN T NO T T O INTERFER E Granto r agree s not t o interfere wit h an y o f th e activitie s undertake n b y Grante e a t th e Property , tampe r wit h an y o f Grantee' s property , o r tak e any action s regardin g th e us e o f th e Propert y which wil l endange r huma n healt h o r welfare o r th e environment , o r allo w other s t o us e th e Propert y i n suc h manne r durin g th e ter mo f thi s consent . Granto r agree s t o provid e notic e an dacop y o f thi s agreemen t t o prospectiv e purchasers , lessees , assigns , o r grantee s o f th e property o r an y portio n o f it . Granto r agree s t o provid e 30-da y notic e t o EP A prio r t o an y transfe r o f ownershi p rights t o th e property . SAMPLIN G RESULT S Grante e agree s t o provid e Granto r wit h th e result s of any an dall samplin g and/o r analysi s resultin g fro mGrantee' s respons e activitie s o n th e property . PRIO RCONDITION S AGREEMENT Th e granto r agree s t o th e conditio n o f th e property prio r t o remediatio n an dindicate s on Pag e 3 an y item s t o b e remove db y th e Granto r befor e activitie s commence . RESTORATIO N O F PROPERT Y Excep t for th e abov e state dpaint stabilization , th e Grante e agree s tha t sai dproperty wil l b e restore d a s nearl y a s possibl e t o it s origina l stat e an dconditio n a s foun dimmediatel y precedin g th e bieginnin g o f activitie s authorize db y thi s Agreement , followin g completio n o f th e respons e activities .

(2 )2/12/200 7Consen t fo r Acces s t o Propert y RIGH T O F ENTR Y T O PREMISE S Granto r (th e propert y owner ) consent s t o an dauthorize s th e Unite dState s Environmental Protectio n Agenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grantee , t o ente r an dperfor m certai n environmental respons e activitie s upo n th e followin g describe dpremises : Owner' s Name : Davtime Phone : Owne r Name(s) : Rhond aTaylo r 344-068 1
• Addresse s o f Propertie s Covere db y thi s Agreement Propert y Addres s City/State/Zi p Cod e 132 3 N 2 9 S T Omaha , N e
Granto r understand s tha t thi s gran t doe s no t limi t EPA' s right o

f acces s unde r th e Comprehensiv e Environmenta l Respons e an dLiabilit v Ac t (CERCLA) . 4 2 USC . & 9601-9675 . o r an v othe r law . PURPOS E O F ACCES S . Th e purpos e of th e respons e actio n i s t o stabiliz e loos e o r flakin g exterio r lead-base dpain t o n residentia l properties , includin g day-car e facilities , where remediatio n o f lea dcontaminate dsoi l ha s o r

wil l tak e place . Samplin g of soi l ma y b e conducted . Thi s consen t shal l allo w Grante e onto Grantor's.propert y an dfurther , provide s th e Grante e th e right to perfor man y an dal l environmental respons e action s andactivitie s i t deem s appropriate . ENVIRONMENTA L RESPONS E ACTION S Th e environmenta l respons e action s t o b e performe don subjec t property may includ e th e followin g activities : 1 .

Locatin g equipmen t and/o r machiner y on subjec t propert y i n preparatio n fo r an di n th e cours e o f th e respons e activities . 2 .

Obtainin g sample s fromGrantor' s property .

(1 ) 2/12/200 7Witnes s Dat e Exterio r Lead-base dPaint.Stabilizatio n ProgramManage db y th e Cit y o f Omah afor EPA Regio n 7 Omah aLea dSit e
Th e purpos e of thi s programi s t o preven t yard s wher e lead-contaminate dsoi l i s cleane d u p fro mbecomin g recontaminate db y deterioratin g exterio r lead-base dpaint . Thi s i s no t ahom e repai r program . Whic h Home s Ar e Eligible ? •Home s wher e sOi l clean-u p ha s been o r wil l b e don e an da n EP A contracto r ha s identifie ddeterioratin g exterio r lead-base dpaint . •Home s are eligibl e onl y b y referral fromth e EPA . What wor k

wil l h e done. ? •Loos e an dflakin g lead-base dpain t wil l b e remove dsafel y fromexterio r walls , trim , an dwindo w frames . •Surface s wil l b e prime dan dpainte dt o matc h existin g pain t colo r a s closel y a s possible . Wha t wil l no t b e done ? •Surface s whic h hav e n o lead-base dpain t wil l no t b e treate d •Window s wil l no t b e treate d •Rotte n woo dwil l no t b e replace d •N o housin g repai r wil l b e don e Wh o wil l perfor mth e work ? •EP A contractor s wil l tes t pain t on exterio r ho e surface s an dgiv e th e result s t o th e City of Omah aPain t Stabilizatio n Program . •Cit y Constructio n Specialist s wil l prepar e awor k

pla n an dcontac t th e propert y owner for permissio n t o proceed.
­ •Wor k

wil l b e competitivel y bi db y approved , traine dcontractors . Whe n wil l th e wor k

b e done ? •Thi s programbegan i n 200 7 an dwil l continu e for several years . •Th e Cit y staf f wil l prioritiz e home s base do n th e presenc e of childre n unde r ag e six if know n an dth e severity of th e problem . Pain t Stabilizatio n i s voluntar y an dwil l b e don e onl y wit h permissio n of th e owner . Initial s 7^ ' 'Addres s (continued ) 132 3 N 29 * St . 

## Lea dHazar dGontro l Pla n Interi mContro l o f

Lea dbase dPaiil t Hazard s Pain t Stabilizatio n •Prepar e an dpain t al l previousl y painte dexterio r surface s of th e dwellin g t o includ e th e fascia , eaves , siding , trim , windo w trim , doo r tri man d foundation . D o no t pain t window s o r doors . • Prepar e an dpain t aJ l previousl y painte dsurface s o f th e fron t porch . • Prepar e an dpain t all previousl y painte dexterio r surface s of th e garag e i f applicable . • Al l pain t color s t o matc h existing . Prime an dappl y tw o coats . • Se e plannin g Department' s lis t o

f approve dpaint product s fo r lea d projects . 

### Lea dBasedPain t Wast e Lead-base dpain t wast e mus t b e handle da s follow s

••Al l pain t chip s an dcomponen t debri s mus t b e doubl e bagge dfor disposal . •Clean pain t chip s before starting , durin g an dafte r th e project . • Al l lea dpainte dcomponent s an ddebri s mus t b e remove dfromth e site dail y unles s otherwis e approve db y th e constructio n specialist . • Al l lead-base dpain t debri s (chip s an dcomponents ) mus t b e dispose dof i n amunicipa l soli dwast e landfill . 

# ^tYj^\Jf» r Property Owne r ' 

# ^ t^ 5 Dat e 

## :£? /
Property Owne r / Dat e Witnes s Dat e Occupan t (i f applicable ) Dat e Occupan t (i f applicable ) Dat eDougla s Count y Account Informatio n Pag e 1 o f 3 Dougla s County , Nebrask a Propert y Recor d - R214181000 0 Prin t Repor t Parce l Dimension s availabl e « scal e 0-5 0 I t wes t o f 14 4 S t - VIB W O H Ms p Informatio n i s vali d a s o f 2008-5-1 9 Treasurer' s Tax Repor t Ne w Featur e -»-•- > Aut o Sale s Searc h Owne r TAYLO R RHOND A 132 3 N 2 9 S T OMAH A N E 68131-000 0 Propert y Informatio n Ke y Number : 418 1 000 0 2 1 Accoun t Type : Residentia l Parce l Number : 214181000 0 Parce l Address : 132 3 N 2 9 S T OMAH A N E 68131-000 0 Lega l Description : S T CLAR E AD D LO T 8 BLOC K0 N 1/ 3 LT S 7 & 42. 5 X 10 0 Valu e Informatio n Lan d Improvemen t Tota l 200 8 $2,200.0 0 $63,300.0 0 $65,500.0 0 200 7 $2,200.0 0 $63,300.0 0 $65,500.0 0 200 6 $2,200.0 0 $63,300.0 0 $65,500.0 0 200 5 $2,200.0 0 $63,300.0 0 $65,500.0 0 200 4 $2,200.0 0 $23,000.0 0 $25,200.0 0 200 3 $2,200.0 0 $23,000.0 0 , $25,200.0 0 Sale s Informatio n Sale s Date : 2001-09-0 9 Dee d Type : W D Book : 2195 - Page : 20 6 Price : $58,000.0 0 Grantor : Grantee : Valid/Invalid : Invali d Exclusio n Reason : Financin g Sellor/Specia l Sale s Date : 2001-09-0 9 Dee d Type : W D Book : 219 5 Page : 20 7 Price : $1.0 0 Grantor : http://douelasne.maDDinp-online.eom/DougIasCoNe/.sfarin/af:r.niintinf n icn9Qo/-rMintr.r.-Doi/ i Kn/nrtn oDougla s Count y Accoun t Informatio n Pag e 2 o f 3
Grantee : Valid/Invalid : Invali d Exclusio n Reason : Multipl e 45 1 Part i In t Invali d Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.0 9 4300. 0 1. 0 100. 0 43. 0 N o Improvemen t Informatio n Buildin g 1 laa o oe u inu - 112JN:»S T

TW

O STOR Y CLIC KT O ENLARG E IMAG E CLIC KT O ENLARG E IMAG E Squar e Footage : 1520. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Averag e

Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0

HVAC : Centra l Ai rt o Ai r Rooms : 7. 0 Exterior : Fram e Viny l Units : 1. 0 Interior : Drywal l Baths : 2. 0 Roo f Cover : Compositio n Sliingl e Bedrooms : 3. 0

Roo f Type : Hi p Stories : 2. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 191 2 0 0 % 191 2 9 6 Defa/ 7 Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 654. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 2. 0 http://doug]asne.mapping-online.com/DouglasCoNe/static/accountinfo.isn?accountnp=R"'1 4 (^n/'^ao RDougla s Count y Accoun t Informatio n Pag e 3 o f 3 Garag e Detache d 216. 0 Porc h Sla b Roo f Cei l 144. 0 Use r 10 % TRAFFI C NOIS E 1. 0

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