Stand Up Montana v. Msla Co. Schools
Citation2023 MT 240
Date Filed2023-12-12
DocketDA 23-0046
Cited0 times
StatusPublished
Syllabus
Opinion - Published - Justice Gustafson - AFFIRMED
Full Opinion (html_with_citations)
12/12/2023
DA 23-0046
IN THE SUPREME COURT OF THE STATE OF MONTANA Case Number: DA 23-0046
2023 MT 240
STAND UP MONTANA, a Montana non-profit Corporation;
CLINTON DECKER; MORGEN HUNT; GABRIEL EARLE;
ERICK PRATHER; BRADFORD CAMPBELL; MEAGAN CAMPBELL;
AMY ORR and JARED ORR,
Plaintiffs and Appellants,
v.
MISSOULA COUNTY PUBLIC SCHOOLS, ELEMENTARY
DISTRICT NO. 1, HIGH SCHOOL DISTRICT NO. 1, MISSOULA COUNTY,
STATE OF MONTANA; TARGET RANGE SCHOOL DISTRICT NO. 23; and
HELLGATE ELEMENTARY SCHOOL DISTRICT NO. 4,
Defendants and Appellees.
APPEAL FROM: District Court of the Fourth Judicial District,
In and For the County of Missoula, Cause No. DV-21-1031
Honorable Jason Marks, Presiding Judge
COUNSEL OF RECORD:
For Appellants:
Quentin M. Rhoades, Rhoades & Erickson PLLC, Missoula, Montana
For Appellees:
Elizabeth A. Kaleva, Kevin A. Twidwell, Elizabeth OâHalloran, Kaleva
Law Offices, Missoula,
Submitted on Briefs: September 27, 2023
Decided: December 12, 2023
Filed:
ir,-6t-âą--if
__________________________________________
Clerk
Justice Ingrid Gustafson delivered the Opinion of the Court.
¶1 Stand Up Montana (Stand Up) and parents of multiple school children attending
public schools in Missoula County (Parents) appeal the Order entered by the Fourth
Judicial District Court granting summary judgment in favor of school districts in Missoula
County (School Districts), and finding the mask mandates implemented by the School
Districts did not violate Appellantsâ substantive due process rights.
¶2 We restate the issues on appeal as follows:
1. Did the District Court properly grant summary judgment in favor of the School
Districts on Stand Upâs Substantive Due Process Claim?
2. Did the District Court properly grant the School Districtsâ motion in limine to
exclude proffered testimony from Appellantsâ hybrid witnesses?
¶3 We affirm.
FACTUAL AND PROCEDURAL BACKGROUND
¶4 During the Summer of 2021, and amid the COVID-19 pandemic, the School
Districts considered polices to ensure a safe return to full-time, in-class learning for the
2021-2022 school year. The School Districts chose to implement a mask mandate that
required everyone who entered the schoolsâstudents, staff, teachers, visitors, and
volunteersâto wear a mask at all times. There were exceptions to the mask mandate that
allowed masks to be removed during physical exercise or recess, giving presentations, and
eating or drinking. In adopting the mandate, the School Districts considered
recommendations from several sources including the Centers for Disease Control (CDC),
the American Academy of Pediatrics, the Montana Medical Association, the State and
Missoula City and County health agencies, and various other health care entities and
practitioners. The School Districts also considered national and local health data and
received extensive public comment both by email and from in-person presentations.
¶5 Stand Up and Parents (collectively Appellants) challenged the mask mandates in
August 2021. Appellants filed a six-count lawsuit against the School Districts claiming
the mask mandates violated their constitutional rights.1 Appellants also filed a motion for
a preliminary injunction to enjoin enforcement of the mask mandates. The District Court
denied the motion for preliminary injunction. Appellants appealed to this Court asserting
they made a prima facie showing their privacy and dignity rights were violated by the
School Districtsâ masking policies and, as a result, they suffered irreparable harm. As we
noted, the Montana Constitution contains an explicit right to privacy in Art. II, Section 10
âand because it is found in the Constitutionâs Declaration of Rights, it is a fundamental
right.â Stand Up Mont. v. Missoula Cnty. Pub. Schs., 2022 MT 153, ¶ 11,409 Mont. 330
,514 P.3d 1062
(Stand Up I). We also noted the Montana Constitution contains an individual dignity provisionâArt. II, Section 4âwhich âworks in tandem with Article II, Section 22 to provide individuals greater protection from cruel and unusual punishment than does the federal constitution.â Stand Up I, ¶ 11. ¶6 In considering Appellantsâ privacy claim, we noted that central to their argument was their characterization of face masks as medical treatment which Appellants described as âtreatment by alleged prevention.â We determined this to be an attempt to apply 1 Specifically, the claims were: Count Iâsubstantive due process; Count IIâequal protection; Count IIIâprivacy; Count IVâSenate Bill 400 (now codified asMont. Code Ann. § 40-6-701
);
Count Vâhuman dignity; and Count VIâfreedom of expression.
3
principles governing private medical decisions to public prevention practices and that even
if masks could be considered âmedical devices,â no evidence had been presented that
masks constituted treatment for COVID-19, ârather than merely a protective measure to
reduce the chance an individual becomes infected with or spreads the virus in a public
place.â Stand Up I, ¶ 15. Appellants did not demonstrate that schools requiring face masks
to ensure the safety and health of students, visitors, and staff voluntarily on public property
during a recognized pandemic implicated the same private decisions addressed in
Armstrong v. State, 1999 MT 261,296 Mont. 361
,989 P.2d 364
or Gryczan v. State,283 Mont. 433
,942 P.2d 112
(1997). Stand Up I, ¶ 16. As such, we concluded Appellantsâ arguments were insufficient to conclude the District Court manifestly abused its discretion by denying Appellantâs request to enjoin the School Districtsâ masking policies on the grounds that the privacy right under Article II, Section 10 of the Montana Constitution was likely to have been violated. Stand Up I, ¶ 16. ¶7 Appellantsâ individual dignity claim was premised on Walker v. State,2003 MT 134
,316 Mont. 103
,68 P.3d 872
. Walker involved a severely mentally and physically ill
inmate subjected to interventions at the prison that deprived him of basic necessitiesâ
isolating him and forcing him to sleep on a concrete slab in a cell containing human waste
and blood. While Appellants faulted the District Court for focusing on the factual
distinctions between Walker and this matter, we noted âthe facts in Walker were critical to
the holding there.â2 Stand Up I, ¶ 18. Given this precedent, we determined the District
2
The inconvenience associated with wearing a mask, is on the other end of the spectrum from the
deprivation of basic human needs experienced by Walker.
4
Courts did not âmanifestly abuse their discretion by determining Appellants did not
establish a likelihood the [School] Districtsâ masking policies for public schools would
violate the Appellantsâ rights under Article II, Section 4, of the Montana Constitution.â
Stand Up I, ¶ 18.
¶8 As Appellants did not make a prima facie showing that the masking policies
implicated a fundamental right under Article II of the Montana Constitution, we determined
it appropriate to review the policies under the rational basis standardâconsidering whether
the challenged policies bear a rational relationship to a legitimate government interest.
Stand Up I, ¶ 19. Under rational basis review, the masking policies do not need to be
logically consistent in every respect to be constitutional, and they will be upheld unless
they are unreasonable or arbitrary. Mont. Cannabis Indus. Assân v. State, 2016 MT 44,
¶ 26,382 Mont. 256
,368 P.3d 1131
(MCIA II). As we noted in Stand Up I, given the U.S. Supreme Courtâs determination in Roman Catholic Diocese v. Cuomo,141 S. Ct. 63, 67
,208 L.Ed.2d 206
(2020), that â[s]temming the spread of COVID-19 is unquestionably a
compelling [governmental] interestâ there is little doubt the School Districtsâ objectives of
containing the spread of COVID-19 among students and adults within the school system
would be found to be a legitimate governmental interest. Stand Up I, ¶ 20. While
Appellants asserted masking to be ineffective and there was a relatively low death rate
among minors from COVID-19, the âpolicies were adopted after consideration of a wide
body of health information and recommendations from public and private sources that
encouraged continuation of universal masking policies.â Stand Up I, ¶ 22. Given the
School Districtsâ safety concerns beyond mortality riskâincluding reducing interruption
5
to learning for students and teachers infected with COVID-19âwe concluded âthe policies
would appear to bear a rational relationship to School Districtsâ legitimate interest in
preventing infections among teachers, staff, and volunteers to ensure sufficient staffing
levels are available for the schools to function properly.â Stand Up I, ¶ 22. As such, we
concluded the District Courts did not manifestly abuse their discretion in concluding it was
likely the mask policies were rationally related to legitimate government interests. Stand
Up I, ¶ 23.
¶9 Lastly, Appellants asserted the Gallatin County District Court erred in its
interpretation of § 40-6-701, MCA, and abused its discretion by denying Appellantsâ
motion for a preliminary injunction on the grounds the masking policies likely did not
violate Parentsâ rights. The District Court, despite an initially incorrect interpretation3 of
§ 40-6-701, MCA, in alternative to its statutory findings, applied a strict scrutiny
framework to conclude the mask policy was justified by a compelling interest. Appellants
did not challenge the District Courtâs application of strict scrutiny review but instead
asserted the School Districts failed to offer a compelling governmental interest. We noted
that Appellants acknowledged in their briefing that the only reason the mask policies were
adopted was to address the spread of COVID-19, which the U.S. Supreme Court had
3
The District Court reviewed the legislative history of § 40-6-701, MCA, and concluded the
purpose of enacting the legislation was to create an action for parents involved in a child welfare
proceeding involving the termination of parental rights and thus not applicable under the
circumstances here. We determined the District Court erred by considering legislative history to
guide its interpretation as the statute, from a plain reading, contained no language limiting a cause
of action for parents involved in a child welfare proceeding.
6
already defined as a compelling interest. Thus, we found no error in the District Courtâs
alternative constitutional strict scrutiny analysis.
¶10 On September 21, 2021, the School Districts filed a motion to dismiss all six of
Appellantsâ claims for failure to state a claim upon which relief can be granted. While that
motion was before the court, the School Districts also filed a motion in limine to exclude
Stand Upâs hybrid4 witnesses from testifying at trial based on the fact that the individual
plaintiffs had each testified in their depositions that their children had not been diagnosed
with any of the harms Appellantsâ experts asserted were caused by wearing face masks at
school. On October 31, 2022, the District Court granted the School Districtâs motion to
dismiss for all but one of the six counts for failure to state a claim. Appellantsâ substantive
due process claim was left for trialâalthough the District Court determined the mask
policies were related to a legitimate government interest, it could not, on the pleadings
alone, conclude Appellants could prove no set of facts which would entitle them to relief.
The narrow issue that remained for trial was whether the mask mandates were unreasonable
or arbitrary when balanced against the purpose of slowing the spread of COVID-19.
¶11 The District Court also granted the School Districtsâ motion in limine on
November 1, 2022. The court held the testimony of the challenged witnesses proffered by
Appellants was irrelevant to the central issue of the case. The court stated âtestimony
concerning whether masking causes the maladies outlined by [Appellantsâ] proffered
testimony (e.g., tooth decay, halitosis, speech impediments) will not assist the Court in
4
In this context, a hybrid witness is one identified both as a lay witness and an expert witness.
7
resolving the factual dispute, which is centered around the reasonableness of the mandates
as related to the goal of stopping COVID-19.â
¶12 With only the substantive due process claim remaining, following discovery, the
School Districts filed a motion for summary judgment. The School Districts argued that
despite Appellantsâ assertion that mask mandates did not prevent the spread of COVID-19
and had negative effects on student wellbeing and education, evidence as to mask efficacy
did not create a material issue of fact as such evidence did not have any bearing on whether
the mask policies were rationally related to the governmentâs legitimate interest of slowing
the spread of COVID-19. The District Court granted the School Districtsâ motion for
summary judgment on Appellantsâ substantive due process claim on December 20, 2022.
In this order, the District Court noted it had already determined the mask mandates were
related to a legitimate government interestâslowing the spread of COVID-19. The court
then noted, citing Jacobsen v. Massachusetts, 197 U.S. 11,25 S. Ct. 358
(1905), a
deferential standard of review in assessing whether the mandate was rationally related to
slowing the spread of COVID-19 was appropriate. In Jacobson, the U.S. Supreme Court
applied a deferential standard of review rejecting a substantive due process challenge to
mandatory smallpox vaccination, concluding mandatory vaccination was constitutional as
it had a real and substantial relation to protection of public health and safety.
¶13 The District Court noted the mask mandate required any person, not just students,
who entered a school building to wear a mask. Further, Appellants did not dispute the
School Districts enacted the mask policies after considering recommendations from the
CDC, the American Academy of Pediatrics, the Montana Medical Association, the
8
Missoula City/County Health Departments, and other state and local health care providers
and agencies all of which recommended universal masking of all individuals who entered
a school building. The District Court noted the agencies and providers consulted by the
School Districts were reputable and specifically that the CDC is recognized as âthe nationâs
leading science-based, data-driven, service organization that protects the publicâs health.â
The District Court reasoned that continued emphasis on alleged negative impacts of
masking on students is unpersuasive and irrelevant in a substantive due process analysis as
the School Districtsâ reliance on the recommendations of reputable health providers and
agencies, including the CDC, was not unreasonable or arbitrary even if Appellants
presented existence of studies offering alternate views on the efficacy of masking or
negative effects on student wellbeing. As such, the District Court found the mask mandates
were reasonably related to the legitimate government interest of slowing the spread of
COVID-19 based on uncontested facts as to which agencies and health providers were
consulted and their uncontroverted recommendation for universal masking of all
individuals entering school buildings. Thus, the District Court granted summary judgment
to the School Districts on the remaining substantive due process claim.
¶14 Stand Up and Parents now appeal the District Courtâs award of summary judgment
and, likewise, challenge the District Courtâs granting of the School Districtsâ motion in
limine that precluded the testimony of hybrid witnesses proffered by Appellants as
irrelevant.
9
STANDARD OF REVIEW
¶15 This Court reviews a district courtâs award of summary judgment de novo for
conformance with the standards of M. R. Civ. P. 56. Dick Anderson Constr., Inc. v. Monroe
Prop. Co., 2011 MT 138, ¶ 16,361 Mont. 30
,255 P.3d 1257
. Summary judgment is proper only when there is no genuine issue of material fact, and the moving party is entitled to judgment as a matter of law. M. R. Civ. P. 56(c)(3). A genuine issue of fact is a fact materially inconsistent with proof of an essential element of a claim or defense. Mt. W. Bank, N.A. v. Mine & Mill Hydraulics, Inc.,2003 MT 35, ¶ 28
,314 Mont. 248
,64 P.3d 1048
. ¶16 A district courtâs decision on a motion in limine is an evidentiary ruling that this Court reviews for an abuse of discretion. State v. Edwards,2011 MT 210, ¶ 12
,361 Mont. 478
,260 P.3d 396
. An abuse of discretion occurs when a district court acts arbitrarily, without conscientious judgment, or exceeds the bounds of reason. State v. Hudon,2019 MT 31, ¶ 16
,394 Mont. 226
,434 P.3d 273
.
DISCUSSION
¶17 1. Did the District Court properly grant summary judgment to the School Districts
on Stand Upâs Substantive Due Process Claim?
Applicable Level of Scrutiny
¶18 Appellants argue the District Court should have used a strict scrutiny standard
instead of a rational basis standard in analyzing the viability of their constitutional
substantive due process claim. Appellants assert the mask mandates infringe on studentsâ
and Parentsâ fundamental rightsâstudentsâ rights of privacy and individual dignity and
10
Parentsâ rights to control the care and custody of their children. Accordingly, Appellants
advocate for the Court to use strict scrutiny.
¶19 When a fundamental right is not implicated, substantive due process analysis
requires rational basis review. MCIA II, ¶ 21. We examine substantive due process claims
by looking at whether (1) the policy in question is related to a legitimate government
concern, and (2) the means chosen by the governmental entity to accomplish its objective
are reasonably related to the result to be obtained. MCIA II, ¶ 21.
¶20 As we noted in Stand Up I, Appellants have not demonstrated the masking mandates
implicate a fundamental right found in Article II of the Montana Constitution. Stand Up I,
¶ 19. We elaborated at length that Appellants cannot apply principles governing private
medical decisions to public prevention practices. Stand Up I, ¶ 15. We explained there
was no evidence that facial coverings constitute a medical treatment for COVID-19, rather
they are a protective measure to reduce the chance of spreading the virus in a public place.
Stand Up I, ¶ 15. Accordingly, we declined to recognize that mask mandates implicate the
right to privacy as recognized in Gryczan v. State, 283 Mont. 433,942 P.2d 112
(1997), the right to make personal medical judgments affecting bodily integrity as recognized in Armstrong v. State,1999 MT 261
,296 Mont. 361
,989 P.2d 364
, or the right to reject treatment as recognized in Mont. Cannabis Indus. Assân v. State,2012 MT 201
,366 Mont. 224
,286 P.3d 1161
(MCIA I). Stand Up I, ¶¶ 13, 19.
¶21 We further decline to recognize an impairment of the fundamental right of a parent
to make decisions regarding the care of their children, including the upbringing, education,
health care, and mental health of their children. Again, as we explained in Stand Up I,
11
âAppellants do not . . . present an argument regarding how Parentsâ rights to control their
childrenâs health and upbringing are violated in the context of Parents exercising that right
by enrolling their children in the public schools[.]â5 Because the masking policies do not
implicate a fundamental right, the District Court did not err in analyzing Appellantsâ
substantive due process claim under the rational basis test.
Summary Judgment
¶22 Appellants argue the District Court should not have given deference to the School
Districts because the competing evidence Appellants presented was sufficient to create a
genuine issue of material fact and preclude summary judgment. Appellants presented
studies offering alternate views on the efficacy of masking, including studies that
contradicted the CDCâs advice as well as a CDC study that indicated masks are ineffective
at protecting against wildfire smoke, which has larger particles than COVID-19.
¶23 The rational basis test requires that (1) there be a legitimate government interest and
(2) the mask policies bear a rational relationship to the legitimate government interest.
5
âSee generally Fortuna v. Town of Winslow, No. 1:21-cv-00248-JAW, 2022 U.S. Dist. LEXIS
104678, at 37-38 (D. Me. June 13, 2022) (âOnce his child is in school, Mr. Fortunaâs parental rights must be measured against the equal rights of other parents to control their children and the duty of the school to provide a safe environment for all children, not just Mr. Fortunaâs child, and for others who work or volunteer in the school.â) (citations omitted); Doe v. Dall. Indep. Sch. Dist.,194 F. Supp. 3d 551, 562
(N.D. Tex. 2016) (â[T]he right to choose what sort of school a child will attend and the right to have input on [discrete school policies] . . . are cut from different cloth. The former is almost self-evidently a fundamental decision about the childâs education, while the latter is, at best, a âcomponent of the educational processâ that Doe is attempting to âmask . . . with the trappings of a fundamental right and then elevate . . . to the status of a fundamental right.ââ) (citations omitted); Bentonville Sch. Dist. v. Sitton,2022 Ark. 80
,643 S.W.3d 763
, 771 (Ark. 2022)
(âParents do have a liberty interest in shaping their childâs education . . . . [But] the Districtâs
[masking] policy is not, âbeyond all question, a plain, palpableâ violation of the parentsâ
constitutional rights to care for their children.â (internal citations omitted).â Stand Up I, ¶ 29.
12
Satterlee v. Lumbermanâs Mut. Cas. Co., 2009 MT 368, ¶ 18,353 Mont. 265
,222 P.3d 566
. âIn determining whether the [policyâs] objective is legitimate, we examine . . . [its]
purpose, whether expressly stated or otherwise.â MCIA II, ¶ 22 (citing Satterlee, ¶¶ 34,
37). Here, both parties concede there is a legitimate, and even compelling, interest in
slowing the spread of COVID-19. The U.S. Supreme Court has also held â[s]temming the
spread of COVID-19 is unquestionably a compelling [government] interest.â Roman
Catholic Diocese, at 67. Thus, there is no question that the mask policies are related to the
legitimate governmental interest of stemming the spread of COVID-19.
¶24 Next, we must determine whether the mask policies are rationally related to
stemming the spread of COVID-19. Satterlee, ¶ 18. As noted by the District Court, in
Jacobson, the U.S. Supreme Court applied a deferential standard of review rejecting a
substantive due process challenge to mandatory smallpox vaccination, concluding
mandatory vaccination was constitutional as it had a real and substantial relation to
protection of public health and safety. In Jacobsen, the U.S. Supreme Court gave deference
to a state legislatureâs decision to enact a mandatory smallpox vaccination and rejected the
challengerâs offers of proof that vaccination had no value as a means of preventing the
spread of smallpox or caused other diseases of the body:
It is no part of the function of a court or a jury to determine which one of two
modes was likely to be the most effective for the protection of the public
against disease. That was for the legislative department to determine in the
light of all the information it had or could obtain. It could not properly
abdicate its function to guard the public health and safety. The state
legislature proceeded upon the theory which recognized vaccination as at
least an effective if not the best known way in which to meet and suppress
the evils of a smallpox epidemic that imperiled an entire population.
13
Jacobson, at 30.
¶25 The District Court found the mask mandates were rationally related to stemming the
spread of COVID-19 because they were generally applicable to any person who entered a
school building, and they were enacted only after consideration of recommendations from
the CDC, the American Academy of Pediatrics, the Montana Medical Association, the
Missoula City/County Health Departments, and other state and local health care providers
and agencies, all of which recommended universal masking.
¶26 Appellants presented studies offering alternate views on the efficacy of masking,
but they did not dispute that the School Districts had, prior to enactment of the mask
policies, considered information and recommendations of reputable public and private
health care providers and agencies, including the CDC, or that any of the reputable public
and private health care providers and agencies, including the CDC, had not recommended
universal masking. Consistent with Jacobson, the District Court gave deference to the
School Districtsâ decision. The court reasoned that the School Districts considered
reputable providers, including the CDC, which the court recognized as âthe nationâs
leading science-based, data-driven, service organization that protects the publicâs health.â
Thus, the School Districtsâ decision to mandate masks was rationally related to stemming
the spread of COVID-19 considering the guidance by leading medical professionals. As
such, the District Court properly granted the School Districtsâ summary judgment on
Appellantsâ substantive due process claim.
14
¶27 2. Did the District Court properly grant the School Districtsâ motion in limine to
exclude proffered testimony from Appellantsâ hybrid witnesses?
¶28 A motion in limine is a pre-trial motion to prevent irrelevant, immaterial, or
prejudicial evidence from being introduced at trial. State v. Ankeny, 2010 MT 224, ¶ 37,358 Mont. 32
,243 P.3d 391
. ¶29 Here, the School Districts brought a motion in limine to exclude expert testimony provided by Appellantsâ hybrid witnesses. The proffered testimony related to specific harmful effects masking can have on children, including oral health decline and speech, communication, and swallowing deficits. Additionally, there was proffered testimony that declared remote learning deficient compared to in-person learning and testimony that one School District refused to provide any online education options at all. The District Court granted the motion concluding that âtestimony concerning whether masking causes the maladies outlined by [Appellantsâ] proffered testimony (e.g., tooth decay, halitosis, speech impediments) will not assist the Court in resolving the factual dispute, which is centered around the reasonableness of the mandates as related to the goal of stopping COVID-19.â ¶30 To support its ruling, the District Court relied on precedent that stated âfor expert testimony to be relevant there must be a connection between the expertâs [testimony] and fact testimony.â State v. Jay,2013 MT 79, ¶ 29
,369 Mont. 332
,298 P.3d 396
.
Additionally, the court considered whether expert testimony was sufficiently tied to the
facts of the case such that it would aid the jury in resolving a factual dispute. Jay, ¶ 29.
The District Court found the physical effects of masking, including oral health decline and
speech deficits, would not aid a jury in determining whether the mask policies were
15
rationally related to stemming the spread of COVID-19. The court also pointed out, as
attested in the Parentsâ depositions, none of their children experienced the physical
maladies described by Appellantsâ experts. Based on the courtâs reasoning, it is clear it did
not act arbitrarily, without conscientious judgment, or beyond the bounds of reason and did
not abuse its discretion. Accordingly, we find the District Court did not abuse its discretion
by granting the School Districtsâ motion in limine.
CONCLUSION
¶31 As the School Districtsâ mask policies do not implicate fundamental rights under
Article II of the Montana Constitution, the District Court appropriately reviewed the
policies under the rational basis test. The District Court also appropriately granted the
School Districtsâ summary judgment motion on Appellantsâ substantive due process claim
based on the uncontroverted facts that the School Districts, prior to adoption of the policies,
considered information and recommendations of reputable public and private health care
providers and agencies, including the CDC, which all recommended universal masking.
Finally, the District Court properly granted the School Districtsâ motion in limine to
exclude hybrid witness testimony because the proffered testimony was not relevant to
whether the mask policies were rationally related to stemming the spread of COVID-19.
¶32 Affirmed.
/S/ INGRID GUSTAFSON
We concur:
/S/ BETH BAKER
/S/ JAMES JEREMIAH SHEA
/S/ LAURIE McKINNON
/S/ DIRK M. SANDEFUR
16