Owners Insurance Company v. Allstate Fire and Casualty Insurance Co.
CourtDistrict Court of Appeal of Florida
Date FiledJune 19, 2020
Docket2D18-2309
StatusPublished
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Full Opinion
IN THE SECOND DISTRICT COURT OF APPEAL, LAKELAND, FLORIDA
June 19, 2020
OWNERS INSURANCE COMPANY, )
)
Appellant, )
)
v. ) Case No. 2D18-2309
)
ALLSTATE FIRE AND CASUALTY )
INSURANCE COMPANY and )
JAMES M. HORNE, JR., )
)
Appellees. )
)
BY ORDER OF THE COURT:
Allstate's Motion for Rehearing, Clarification and Certification of Question
and for Rehearing En Banc is granted in part, and the prior opinion dated October 25,
2019, is withdrawn and the attached opinion is issued in its place. The motion for
rehearing is granted; the additional relief requested by Allstate is denied as moot.
I HEREBY CERTIFY THE FOREGOING IS A
TRUE COPY OF THE ORIGINAL COURT ORDER.
MARY ELIZABETH KUENZEL, CLERK
NOT FINAL UNTIL TIME EXPIRES TO FILE REHEARING
MOTION AND, IF FILED, DETERMINED
IN THE DISTRICT COURT OF APPEAL
OF FLORIDA
SECOND DISTRICT
OWNERS INSURANCE COMPANY, )
)
Appellant, )
)
v. ) Case No. 2D18-2309
)
ALLSTATE FIRE AND CASUALTY )
INSURANCE COMPANY and )
JAMES M. HORNE, JR., )
)
Appellees. )
)
Opinion filed June 19, 2020.
Appeal from the Circuit Court for
Manatee County; Gilbert Smith, Jr.,
Judge.
Patricia D. Crauwels, Josh R. Dell, and
Arthur S. Hardy of Matthews Eastmoore,
Sarasota, for Appellant.
DeeAnn J. McLemore and Charles W.
Hall of Banker Lopez Gassler P.A., Saint
Petersburg, and Jaime Delgado of
Kallins, Little & Delgado, P.A., Palmetto,
for Appellee Allstate Fire and Casualty
Insurance Company.
No appearance for Appellee James M.
Horne, Jr.
ATKINSON, Judge.
Owners Insurance Company (Owners) appeals the entry of a final
summary judgment in favor of Allstate Fire and Casualty Insurance Company (Allstate)
in an action filed by Allstate against Owners and Allstate's insured, James M. Horne, Jr.
(Horne). Horne resided with his mother and stepfather, who had an automobile
insurance policy with Owners. The Owners policy provided uninsured motorist (UM)
coverage but only afforded it to relatives who did not own an automobile. Horne got into
an accident while driving his own automobile. Allstate sought a declaration that Horne
was covered under the Owners policy for injuries he suffered in the accident. Because
the Owners policy provided basic liability coverage to resident relatives, the trial court
correctly concluded that Owners was required to provide UM coverage to Horne.
In its initial brief, Owners argued that "the basic liability coverage under
the Owners policy extends only 'to relatives who do not own an automobile.' " However,
upon a closer examination of the policy adjured by Allstate in its rehearing motion, these
relatives are only excluded from the extended liability coverage of unlisted automobiles
that is provided in Section IV of the policy, entitled "Individual Named Insured." Section
II of the policy, entitled "Liability Coverage," provides the following:
We will pay damages for bodily injury and property
damage for which you become legally responsible because
of or arising out of the ownership, maintenance or use of
your automobile (that is not a trailer) as an automobile.
We will pay such damages . . . on behalf of any relative
using your automobile (that is not a trailer).
This provision affords Horne, who is a relative as that term is defined in the policy, basic
liability coverage when driving one of the listed automobiles.
Neither Owners nor Allstate cited to the Section II Liability Coverage
provision in their briefs. Owners argued that, pursuant to the exclusion in Section IV,
"Horne is not afforded basic liability coverage under the clear terms of the Owners
policy since he was a relative who owned an automobile at the time of the accident."
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Without gainsaying Owners' assertion that the policy did not provide Horne with basic
liability coverage, Allstate countered that Horne was nonetheless entitled to statutorily
mandated UM coverage because he was a Class I insured by virtue of his being "a
resident relative of the named insureds."
In its motion for rehearing, Allstate correctly argues that Horne was
entitled to UM coverage because "he is insured for basic liability coverage" under the
overlooked Section II Liability Coverage provision. Owners asserts that this argument is
waived because Allstate failed to raise the issue prior to rehearing. However, "if a trial
court reaches the right result," as it did here, that decision "will be upheld if there is any
basis which would support the judgment in the record." See Dade Cty. Sch. Bd. v.
Radio Station WQBA, 731 So. 2d 638, 644 (Fla. 1999); Jaworski v. State, 804 So. 2d
415, 419 (Fla. 4th DCA 2001) ("As an appellate court, . . . we are obligated to entertain
any basis to affirm the judgment under review, even one the appellee has failed to
argue.").
Under Florida law, if a motor vehicle liability insurance policy provides
bodily injury liability coverage, then it must also provide UM coverage to those insured
under the policy. See § 627.727(1), Fla. Stat. (2013). "[W]here an insured is injured
while occupying an owned vehicle that is not listed on the policy, the insured is 'entitled
to uninsured motorist coverage even if he would not have been entitled to liability
coverage had the accident in question been his fault.' " GEICO Indem. Co. v. Perez,
260 So. 3d 342, 349 (Fla. 3d DCA 2018) (quoting Omar v. Allstate Ins. Co., 632 So. 2d
214, 215 (Fla. 5th DCA 1994)); see also Gov't Emps. Ins. Co. v. Douglas, 654 So. 2d
118, 120 (Fla. 1995) ("Uninsured motorist protection does not inure to a particular motor
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vehicle, but instead protects the named insured or insured members of his family
against bodily injury inflicted by the negligence of any uninsured motorist under
whatever conditions, locations, or circumstances any of such insureds happen to be in
at the time." (quoting Coleman v. Fla. Ins. Guar. Ass'n, 517 So. 2d 686, 689 (Fla.
1988))). Thus, the Section IV exclusion from extended coverage of relatives who own
their own vehicle does not justify exclusion of those individuals from the UM coverage to
which they are statutorily entitled by virtue of being "insured" under Section II. See §
627.727(1) (requiring motor vehicle liability insurance policies that provide bodily injury
liability coverage to provide "uninsured motor vehicle coverage . . . for the protection of
persons insured thereunder").
A policy may include specified provisions that exclude certain insureds
from UM coverage if the named insured knowingly accepts such a limitation and the
insurer offers a reduced premium. See § 627.727(9); Douglas, 654 So. 2d at 120 ("[T]o
limit coverage validly, the insurer must satisfy the statutorily-mandated requirement of
notice to the insured and obtain a knowing acceptance of the limited coverage . . . [and
must] file revised, decreased premium rates for such policies."). However, Owners
neither obtained the informed acceptance nor provided the reduced rates required of
insurers that include the statutory exceptions to the UM-coverage mandate in their
policies. See § 627.727(9).
Since the Owners policy provides basic liability coverage to Horne, Florida
law mandates the provision of UM coverage to him as well. As such, the trial court
correctly granted summary judgment in favor of Allstate.
Affirmed.
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ROTHSTEIN-YOUAKIM, J., Concurs.
VILLANTI, J., Concurs in result only with opinion.
VILLANTI, Judge, Concurring in result only.
I concur in the decision to grant rehearing in this case, and I concur in the
overall result reached by the majority, which affirms the final summary judgment in favor
of Allstate, because I believe this result is compelled by the supreme court's decisions in
Government Employees Insurance Co. v. Douglas, 654 So. 2d 118 (Fla. 1995), and
Mullis v. State Farm Mutual Automobile Insurance Co., 252 So. 2d 229 (Fla. 1971).
However, if I was writing on a clean slate, I would hold that the Owners policy does not
provide UM coverage to Horne for the reasons outlined in Justice Overton's dissenting
opinion in Douglas.
The undisputed facts in this case establish that James Horne, Jr., owned a
2013 Kia Optima. He was the named insured on a policy issued by Allstate that
covered the Kia and which included UM coverage in the amount of $100,000 per person
and $300,000 per accident.
In August 2013, Horne was living with his mother and stepfather, Robin
and James Hanusa. The Hanusas owned four vehicles, which they insured under a
policy issued to them by Owners. The Owners policy included UM coverage on each of
the four vehicles in the amount of $500,000 per person and per accident. Horne's
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vehicle is not covered by the Owners policy, nor is Horne listed as a driver of any of the
vehicles insured under the Owners policy.
The Hanusas' UM coverage from Owners was "stacked," as that term has
come to be used in connection with the statutory UM coverage required by section
627.727, Florida Statutes (2013). Because the Hanusas elected "stacked" UM
coverage, they were entitled to add the UM limits on each of their insured vehicles
together, providing them with a total of $2,000,000 in UM coverage should a covered
accident occur.
On August 27, 2013, Horne was injured in an automobile accident while
driving his Kia. Horne subsequently made a claim for UM benefits with Allstate. Seeing
an opportunity to reduce its potential UM exposure, Allstate took the position that Horne
was also covered for UM benefits under the Hanusas' Owners policy. If it were
successful in this argument, Allstate would be responsible for only that portion of
Horne's damages that his UM limits bore to the total UM limits available, or 1/21st of the
total damages. Owners disagreed with Allstate's coverage position, pointing to several
exclusions in its policy language. Allstate subsequently filed a declaratory judgment
action, seeking a ruling from the court concerning Horne's entitlement to UM coverage
under the Owners policy. The parties filed cross-motions for summary judgment, and
the trial court entered final summary judgment in favor of Allstate, thereby ruling that the
Owners policy provided UM coverage to Horne for the accident. Owners then brought
this appeal.
When this court is called upon to resolve a question concerning the extent
of UM coverage, we must consider three legal issues: (1) does the policy language, by
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its own terms, provide coverage to the claimant;1 if not, (2) does section 627.727(1), as
interpreted by the supreme court in Douglas and Mullis, permit the insurer to exclude
UM coverage for the claimant; and if not, (3) has the insured validly elected "non-
stacked" UM coverage that would permit the insurer to enforce the exclusions to UM
coverage itemized in section 627.727(9) against the claimant. See generally State
Farm Mut. Auto. Ins. Co. v. Smith, 198 So. 3d 852, 854 (Fla. 2d DCA 2016). Here, as I
will discuss below, the language of the Owners policy plainly excludes UM coverage for
Horne under the relevant circumstances. Nevertheless, under the express language of
Douglas and Mullis, the supreme court has held that such exclusions are unenforceable
when the policy provides "stacked" UM coverage. And while I recognize that the
decisions in Douglas and Mullis are controlling,2 I do not believe that those decisions
are supported by either the text of section 627.727 or public policy. I will address each
of these issues in turn.
1. Policy Language
The majority holds that because Horne is "an insured" under the Owners
policy, he must be covered by the UM coverage on that policy. However, what is
1I use the word "claimant" rather than "plaintiff" because there are times,
as in this case, when the person seeking UM coverage is not the injured party. Here,
the "plaintiff" is Allstate, while the "claimant" is Horne.
2The Mullis decision applied an earlier version of section 627.727—section
627.0851—and that section has since been amended and recodified as section
627.727. Technically, therefore, the Mullis decision has been superseded by statute.
See Douglas, 654 So. 2d at 120 (discussing the 1987 amendment to the UM statute
and stating its belief that the amendment was in response to Mullis and changed the
state of the law). However, the rationale of the Mullis decision was followed and
reaffirmed by the supreme court in Douglas. Therefore, my disagreement with Douglas
is also a disagreement with Mullis.
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immediately clear from a reading of the Owners policy is that Horne is not "an insured"
in this instance under either the liability or UM portions of the policy.
Section I of the Owners policy contains the following definitions applicable
to this analysis:
9. Relative means a person who resides with you and who
is related to you by blood, marriage or adoption. Relative
includes a ward or foster child who resides with you.
....
12. You or your means the first named insured shown in
the Declarations and if an individual, your spouse who
resides in the same household.
Hence, as used throughout the policy, "you" or "your" refer solely to James and Robin
Hanusa. Because Horne was Robin Hanusa's son and because he was residing with
the Hanusas at the time of the accident, he qualifies as a "relative," or, as is commonly
used in insurance parlance, a resident relative.
Section II of the Owners policy specifies the extent of the liability coverage
extended by the policy. It provides, in pertinent part:
We will pay damages for bodily injury and property
damage for which you become legally responsible because
of or arising out of the ownership, maintenance or use of
your automobile (that is not a trailer) as an automobile.
We will pay such damages:
(1) on your behalf;
(2) on behalf of any relative using your automobile
(that is not a trailer);
(3) on behalf of any person using your automobile
(that is not a trailer) with your permission or that of a
relative; and
(4) on behalf of any person or organization legally
responsible for the use of your automobile (that is not a
trailer) when used by you, a relative, or with your
permission or that of a relative.
-8-
(Underline emphasis added.) Under this policy language, it is clear that Horne, as a
resident relative, is covered for liability only if and when he is using one of the
automobiles owned by James or Robin Hanusa and insured under the Owners policy.
This portion of the policy does not provide liability coverage to Horne when he is driving
a vehicle not owned by the Hanusas, such as his own 2013 Kia, because at that point
he is not using "your," i.e., the Hanusas', automobile.
Section IV of the Owners policy extends liability coverage to some
additional circumstances when the named insured is an individual, as was the case
here with the Hanusas. In that instance, liability coverage is extended as follows:
a. The Liability Coverage provided for your automobile
(that is not a trailer) also applies to an automobile (that is
not a trailer) not:
(1) owned by or furnished or available for regular use
to you or anyone living with you. However, we will cover
your liability for your use of an automobile (that is not a
trailer) owned by or furnished for the regular use of a
relative.
....
b. We extend this coverage only:
(1) to you;
(2) to relatives who do not own an automobile (that
is not a trailer); and
(3) to anyone legally responsible for the use of the
automobile (that is not a trailer) by the persons in (1) and
(2) above.
c. We do not cover:
(1) the owner of the automobile (that is not a trailer).
(Underline emphasis added.) Under this coverage extension, the Owners policy
provides the Hanusas with liability coverage when they are driving a non-owned
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automobile. This coverage extension also applies to resident relatives who do not own
an automobile. Here, because Horne owns an automobile, i.e., his 2013 Kia Optima,
this coverage extension does not apply to him. Moreover, even when one of the
Hanusas or their resident relatives are driving a non-owned automobile, the policy will
not cover the owner of the automobile. Thus, were Robin Hanusa to be in an accident
while driving Horne's Kia, the liability coverage under the Owners policy would cover her
liability, but it would not cover Horne's liability as the owner of the Kia.
When considered objectively, this exclusion makes sense. If the Hanusas
are driving an automobile they do not own, their liability coverage will protect them. If
one of their resident relatives who does not own an automobile is driving an automobile
not owned by the Hanusas, this liability coverage will protect them. However, if a
resident relative owns an automobile, that automobile should be insured by that resident
relative under a policy that includes liability coverage specifically to protect that resident
relative. To allow the resident relative to own an automobile, fail to insure it, and then
piggy-back on the liability coverage of the relative they live with allows that resident
relative "to cheat on this State's clearly established policy of financial responsibility for
motor vehicle owners." Douglas, 654 So. 2d at 121 (Overton, J., dissenting).
Turning then to the UM coverage, I note that the Owners policy provides
UM coverage in two broad types of instances:
a. We will pay compensatory damages, including but not
limited to loss of consortium, any person is legally entitled to
recover from the owner or operator of an uninsured
automobile because of bodily injury sustained by an
injured person while occupying an automobile that is
covered by SECTION II – LIABILITY COVERAGE of the
policy.
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b. If the first named insured in the Declarations is an
individual, this coverage is extended as follows:
(1) We will pay compensatory damages, including but
not limited to loss of consortium, you are legally entitled to
recover from the owner or operator of any uninsured
automobile because of bodily injury you sustain:
(a) when you are not occupying an automobile; or
(b) when occupying an automobile which is not
insured by SECTION II – LIABILITY COVERAGE of the
policy.
(2) The coverage extended in 2.b.(1) above is also
afforded to a relative who does not own an automobile.
(Underline emphasis added.) Under this policy language, the Hanusas and their
resident relatives who do not own an automobile have UM coverage when they are
occupying one of the automobiles covered by the policy, when they are occupying a
non-owned automobile, or when they are not occupying any automobile at all, such as,
for example, when they are pedestrians or passengers on a bus or in a shared-ride van.
However, as with liability coverage, UM coverage does not extend to a resident relative
who owns an automobile because, as with liability coverage, that resident relative
should have an automobile insurance policy on his or her own automobile that should
provide UM coverage to that resident relative as the owner of the automobile.
In short, under the plain language of the Owners policy, Horne is not
entitled to UM coverage for the injuries he sustained in this accident. My analysis on
this point is neither novel nor unprecedented. In fact, this court addressed the identical
factual scenario just two years ago and concluded that the plain language of the
applicable automobile policy specifically excluded coverage for an adult child who was a
resident relative but who owned and insured his or her own vehicle. In State Farm
Automobile Insurance Co. v. Lyde, 267 So. 3d 453, 455 (Fla. 2d DCA 2018), a mother
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and daughter lived together in the same house. The mother owned a Kia Sorrento and
the daughter owned a Kia Soul, both of which were insured by State Farm under
separate policies. Id. Both vehicles were insured for UM coverage, but the daughter's
policy had $25,000 in UM coverage while the mother's policy had $100,000 in UM
coverage. Id. In May 2013, the daughter was driving her own vehicle when she was
involved in an accident with an uninsured motorist. Id. at 456. Rather than seeking UM
coverage under her own policy, the daughter sought UM coverage under her mother's
policy, contending that she was entitled to such as a resident relative. Id. This court
held that the provision in the mother's State Farm policy that excluded coverage "for an
insured who sustains bodily injury while occupying a vehicle owned by you or any
resident relative if it is not your car" excluded the daughter from UM coverage under the
mother's policy when the daughter was driving her own separately insured car. Id. at
457-58 (italics in original) (agreeing with State Farm's argument that "the unambiguous
language of the mother's policy excludes the daughter from UM coverage in this
circumstance").
The plain language of the Owners policy at issue in this case compels the
same conclusion. Under the plain language of the policy, Horne is not covered for
either liability or UM when he is driving his own separately insured automobile.
Therefore, we must turn to the second step of the analysis and determine whether UM
coverage is statutorily required under these circumstances.
2. Section 627.727
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The Douglas decision purports to base its holding on the language of the
UM statute, section 627.727(1).3 The applicable portion of that section provides:
No motor vehicle liability insurance policy which provides
bodily injury liability coverage shall be delivered or issued for
delivery in this state with respect to any specifically insured
or identified motor vehicle registered or principally garaged
in this state unless uninsured motor vehicle coverage is
provided therein or supplemental thereto for the protection of
persons insured thereunder who are legally entitled to
recover damages from owners or operators of uninsured
motor vehicles because of bodily injury, sickness, or
disease, including death, resulting therefrom.
§ 627.727(1). The Douglas court interpreted this statutory language to mean that UM
coverage must be provided to "protect[ ] the named insured or insured members of his
family against bodily injury inflicted by the negligence of any uninsured motorist under
whatever conditions, locations, or circumstances any of such insureds happen to be in
at the time." Douglas, 654 So. 2d at 120 (emphasis added) (quoting Coleman v. Fla.
Ins. Guar. Ass'n, 517 So. 2d 686, 689 (Fla. 1988)).
The problem with the Douglas court's reasoning is that the statutory
language requires an insurer to provide UM coverage only for those persons and in
such circumstances as are "insured thereunder" for liability. For insurance purposes,
circumstances matter, and if a particular person is not "insured thereunder" for liability in
a particular set of circumstances, the statute does not require that the person
nevertheless be insured for UM. Horne is not insured under the liability portion of the
Owners policy when he is driving his own separately insured automobile. Therefore, to
the extent that section 627.727(1) requires Owners to extend reciprocal UM coverage to
3The Mullis decision does the same under the prior UM statute, section
627.0851, Florida Statutes (1967).
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those covered by the liability portion of the policy, Horne is not entitled to UM coverage
because he is not entitled to liability coverage in this instance. The fact that Horne
would be insured under the liability portion of the Owners policy under different
circumstances, such as if and when he was driving one of the automobiles owned by
and insured by the Hanusas, does not render him "insured thereunder" for all purposes.
It certainly does not make him "insured thereunder" when he is driving his own car that
is separately insured.
Despite the "insured hereunder" language of section 627.727(1), the
Douglas court dispensed with any analysis or consideration of the circumstances of the
accident in question when determining whether UM coverage is available, holding:
Uninsured motorist protection does not inure to a particular
motor vehicle, but instead protects the named insured or
insured members of his family against bodily injury inflicted
by the negligence of any uninsured motorist under whatever
conditions, locations, or circumstances any of such insureds
happen to be in at the time.
654 So. 2d at 120 (quoting Coleman, 517 So. 2d at 689). I simply see no basis for this
broad expansion of UM coverage in the statutory language, and I would apply the
statute based on its plain language if I were not bound by Douglas.4
3. Public Policy
Finally, I see no public policy basis for the broad scope of UM coverage
apparently required by the language of Douglas. Both Douglas and Mullis dealt with
situations in which either the named insured or a resident relative was injured while
4Because the Hanusas purchased "stacked" UM coverage, I do not reach
the issue of whether the exclusions for resident relatives who own vehicles would be
enforceable had they purchased "non-stacked" coverage as permitted by section
627.727(9).
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driving a vehicle that the insured owned but had chosen not to insure. See Douglas,
654 So. 2d at 119; Mullis, 252 So. 2d at 231. In each case, the supreme court
expressed concern that insurers should not be permitted to whittle away at coverage
that the insured had purchased, albeit purchased only on other automobiles.
In this case, Horne acted as a financially responsible automobile owner.
He purchased insurance—including liability coverage and UM coverage—for himself
through Allstate, and he paid premiums for that coverage. He was injured by an
uninsured motorist, and he sought UM coverage from Allstate. Rather than complying
with its contractual obligations to Horne, Allstate seeks to shift the lion's share of its
obligations onto Owners because of the mere fortuity that Horne was living with his
mother and stepfather at the time of the accident. There is no public policy that is
furthered by such a shift in responsibility.
Moreover, the Douglas decision—and this one—disincentivize the
purchase of liability and UM coverage by automobile owners who live with relatives.
The import of this decision is that the one relative who owns the automobile least
expensive to insure can purchase liability and UM coverage and all the other relatives
who live with him or her can piggy-back onto that coverage rather than purchase their
own. Such a policy "results in an interpretation of [section 627.727] that is contrary to
this State's strong policy of financial responsibility for owners of motor vehicles."
Douglas, 654 So. 2d at 123 (Overton, J., dissenting).
Further, in this case, these decisions result in an inequitable windfall to
Allstate. Allstate charged Horne a premium for $100,000 in UM coverage.
Nevertheless, when called upon to afford Horne with the UM coverage for which he had
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fully paid, Allstate worked diligently to shift the vast majority of its responsibility onto
Owners. While Allstate will be called upon to pay only 1/21st of any of Horne's
damages, I am quite confident that Allstate will not be refunding Horne for 20/21st of his
UM premium. This result both disincentivizes the purchase of automobile insurance
and violates public policy.
For all of these reasons, while I recognize that I am bound to follow the
Douglas and Mullis decisions, I believe they punish those who comply with their
financial obligations in a way that is detrimental to all Floridians. I therefore concur in
this result only because I am bound to by Douglas and Mullis.
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