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525 MANDALAY BLDG 2 #21-25 �(����� -.. �3 � J I FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.F3. No. 3067-U077 �'� �' � � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31,2005 ��� � ��f"p��`�r��� L ELEVATION CERTIFICATE --- ����i Z UY1��"5 ��"�J Important: Read the instructions on pages 1-7. 1 SECTION A-PROPERTY OWNER INFORMATION Fcx Insurance Company Use: UILDING OWNER'S NAME Policy Number J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 501-525 Mandalay Avenue(Belle Harbor) ��I�' STATE ZIP CODE � Clearvvater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belle Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) 6dlulti-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}: ( ##°-�l#'-##.##" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION � 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNIY NAME 63.STATE Ci�of Clearwater,Fbiida 125096 Pinellas FL B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZUNE(S) (Zone A0,use depih of flooding) 1250960007 D 08/1911991 08/1911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the eleva6on datum used for the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):___ B12.Is he buiiding located in a Coastal Barrier Resouroes System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Desiqnation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings* ❑Buildiny Under Construcfion� �Finished Construction ��� `A new Elevation Ceiti6cate will be required when consUuction of the bui�ding is complete. �.Building Diagram Number 7(Selecl ihe building diagram most similar to the building for which this certific;ate is being complefed-see pages 6 and 7. If nr�diagram aa�rately represents the building,provide a sketch a photograph.) C�.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AWA1-A30,AR/AH,ARIAO Complete Items C3.-a-i below�cortling to the building diagram specified in Item C2.State the datum used.If the daturn is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calcula6on. Use the space provitled or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Dalum Conversion/Comments Elevation reference mark used 5_1 Does the elevation reference mark used appear on the FIRM? ❑Yes I�No — � o a)Top of bottom floor(including basement or endosure) 7. 1 ft.(m) � � o b)Top of nexi higher floor 11.1 ft.(m) � � o c)Bottom of lowest horizontal sUudural member(V zones only) ,_ft.(m) °' °' �1�` � o d)Attached garage(top of slab) _l, 1 ft.(m) �� '�,��/ !� o e)Lowest elevation of machinery ancUor equipment �� �.�� �� servidng the building(Describe in a Comments area) 2.0 fl.(m) -�= � o f�Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z,� A � o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) N� � QF� o h No.of anent nin s flood vents within 1 ft.a v U �� ) perm ope g ( ) bo e ad�acent grade 12 � o i I Total area of ail permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.cm) �—�-- SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION ��� This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevaiion information�� 1 certify that ihe information in Sections A,8,and C on this certificate represents my best efforts to interpret the dafa available. 1 undersfand that any false stafement may be punishable by fine or imprisonment under 18 U S Code,Section 1001 C:ERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 6261 TITLE Professional Surveyorand Mapper COMPANY NAME Florida Design Consultants,Inr,. PDDRESS CITY STATE ZIPCODE 3�30 Starkey Boulevard New Port Richey FI_ 34655 �IGNNTURE DATE TELEPHONE K.. � 03/10/2005 (727)849-7588 FE�4A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPO�TANT:,In these spaces,copy the corresponding information from Section A. Fo�ins��a�oe com�ny use: BUILDING��TREET ADDRESS Qnduding Apt,Uni�Suite,andlor Bldg.No.)OR P.O.ROIffE AND BOX N0. Pol'�cy Number �!li-:525 Mandalay Avenue(Belle Harbor) _ CITY STATE ZIP CODE Company 14AIC Number Clearwater FL 33767 � SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) ,_� py both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. CC MMENTS C3 a-Elevation given is IcNVest garage floa elevation. __ C3 e-Elevation given is the botom of the elevator shaft. See afla�hed Architects plan for calculations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Eleva6on Certificate is iniended for use as supporting information for<�LOMA or LQMR-F, Secti�n C must be canpleted. E1.Building Diagram Number_(Select the building diagram most similar to the building fa which this cerfrficate is being completed—see pages 6 arid 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The tcp of the boflom floor(induding basement or endosure)of the builtling is _ft.(m)_in.(cm)❑above or ❑below(c:heck one)the highest adjacent grade. (Use natural grade,'rf available). E3.Fa Building Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floor(eleva6on b)of the building is _fl.(m)_in.(cm)above the highest acijacent grade. Complete items C3.h and C3.i on front of form. E4.The tcp of the platfam of machinery andlor equipment serviang the building is __ft.(m)_in.(cm)�above a ❑below(check one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO only, If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floaiplain m��nagement ordinance? �Yes ❑No ❑Unknown. The local offiaal must cerUfy this informa6on in Section G. . SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION � The property owner or owners aulhaized repres�taUve who completes Sections A,B,C(Items C3,h and C3.i only),and E for Zone A(witl�out a f=EMA-issued or community- iss aed BFE)a Zone AO must sign here. The statements in Secfions A,B,C,and E are correct to the best af my knowledge. PF.OPERIY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAM� DRESS CITY STATE Z.IP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI_) The local�ffiaal who is aufhorized by law a ordinance to administer the oommunity's floodplain management ordinance can complete Sections A,E3,C(or E),and G of this Elevation Cert�icate. Complete the applicable item(s)and sign below. G1.�The infamation in Sedion C was taken from other documentaGon that has been signed and embossed by a licensed surveyor,engineer,or architect who is auihorized by state or local law to cer6fy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.]A community offiaal comp�eted Section E for a building located in Zone A(without a FEMA-issued or community-issued BF'E)or Zone A0. G3.�The following informa6on(Items G4-G9)is provided fa community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICFlTE OF COMPLIANCFJOCCUPANCY ISSUEQ� G7.This permit has been issued for: ❑New Construction ❑Substan�al Improvement G8.-levation of as-built lowest floor(induding basement)of the building is; _,_._ft.(m) Daium:_ G9.3FE�x(in Zone AO)depih of flooding at the building site is: _._ft.(m) Datum:_ LC�CAL OFFICIAL'S NAME TITLE COMMUNIIY NAME TELEPHONE SIGNATURE DATE OMMENTS ❑Cher,k here if attachments FEMA Farm 81-31,January 2003 Replacss all previous editions ��( ����� _ a 3 � J � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M,E3. No. 3067-0077 ` ��� NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ��`� ���"r�)`�`���`� - ELEVATION CERTIFICATE - B�C,� � Z V'�1 t�5 �� !�� Important: Read the instructions on pages 1•7. SECTION A•PROPERTY OWNER INFORMATION � For Insurance Company Use: BUILDING OWNER'S NAME � Policy Number J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Indud f)g A�t�nit Suit��B dg,�lo.)OR�.O.RO�UT�AN�OX NO. Company NAIC Number � +1 Q�.� /�1\l�t� '� CITY (�STATE ZIP CODE Ciearwater FL 33767 PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcei Number,Legal Description,etc.) Lot 1"Belle Harbor'as recorded in Piat Book 125,Page 15 of the Public Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Wlulti-story residentiai LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�####{#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �� B1.NFIP COMMUNIlY NAME&COMMUNIIY NUMBER B2.COUNTY NAME B3.STATE Cily of Clearwater,Fbrida 125096 Pinellas FL 64.MAP AND PANEL B7.FIRM PANEL B9.BASL FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX ATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125096 0007 D 08119/1 � OS/19/1991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data a base flood depth entered in B9. ❑FIS Profile �FIRM ❑Canmunity Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):___ B12.Is he building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No C)esignation Date _ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) � C1.Building elevations are based on:❑ConsUuction Drawings` ❑Buildiny Under Construdion* �Finished Construction �� � 'A new E�evation Certificate will be required when consUucfion of the building is complete, �.Building Diagram Number 7(Select the building diagram most similar to the building for which this certific;ate is being completed-see payes 6 and 7. If nu diagram aaurately represents the building,provide a sketch or photograph.) C�.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,AWA1 A30,AWAH,AR/AO Complete items C3.-a-i below acxording io the buildina diaoram soecfied in Item C2.Slate the datum t�sxi,If the c_1at��m i��iiffPrPnt fr�m rhP�iar��m��ca�f��rnP�FF�� Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calc�ula6on. Use the space provitled or the Comments area of Section D or Seclion G,as appropriate,to doc;ument the datum conversion. Datum Conversion/Comments Elevation reference mark used 5,1 Does the elevation reference mark used appear on the FIRM? ❑Yes �No (�� o a)Top of bottom floor(including basement or endosure) 7. 1 ft.(m) � ����. o b)Top of next higher floor 11.1 ft.(m) `� �* o c)Bottan of lowest honzontal structural member(V zones only) _ft.(m) °' °' �� o d)Aflached garage(top of slab) 7. 1 ft.(m) E� �,��/ �1� o e)Lowest elevation of machinery andlor equipment W� ':;;�` \ � servicing the building(Describe in a Comments area) 2.0 ft.(m) E� ��,'��� ��'t� o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z m �„� �� � g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� '"�' �� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � r- _� o i 1 Total area of all permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.cm) i SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIF�CA710N� ���� This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.� I cerfi�y that fhe information in Sections A,8,and C on fhis certificate represents my best efforts to interpret fhe dafa available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Secfion?001. C:ERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 62Ei1 11TLE Professional Surveyor and Mapper COMPANY I�AME Fiorida Design Consultants,Inc. •F DDRESS CITY STATE ZIP CODE 3030 Starkey Boulevard New Port Richey FL 34655 �IGNATURE DATE TELEPHONE � 03/10/2005 (727)849-�588 FE�1A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPO�`TANT: In'these spaces,copy the corresponding information from Section A. ��� For Insurance Company Use: BUILDIN���TREET ADDRESS pnduding Apt,Unrt,Suite,andlor Bldg.No.)OR P.O.ROU7E AND BOX N0. Pol'�cy Number 5�)1 52�Mandalay Avenue(Belle Hari�or) CITY STATE ZIP CODE Company IJAIC Number Clearwater FL 33767 �� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICl�TION(CONTINUED) �� � .,opy both sides of this Elevation Certificate for(1)communiry official,(2)insurance agenUcompany,and(3)lwilding owner. CCMMENTS C3 a-Elevation given is lowest garage floor elevation. C3 e-Elevation given is the botom of the elevator shaft. See atta�hed Architects plan for calculaUons and flood vent locations. �Chec;k here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevalion Cerfificate is intended for use as supporting information for a LOMA or LOMR-F, Secti�n C must be completed. E1.6uilding Diagram Number_(Selecl lhe building diagram most similar to ihe building for which this certificate is being completed—see pages 6 ar id 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The tcp of the bottan Boor(induding basement or enclosure)of Ihe building is _ft.(m)_in.(cm)�above or ❑below(c;heck one)the highesf adjacent grade. (Use natural grade,'rf available). E3.Fa Building Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floa(elevation b)of the building is _ft.(m)_in.(anj at�ve the highest acijacE.�nt grade. Complete items C3.h and C3.i on front of fam. E4.The tcp of the platfam of machinery andlor equipment servicing lhe building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (U:� natural grade,if available). E5.Fa Zone AO aily: If no flood depth number is available,is the top of the boflom floor elevated in accordance with the community's floodplain manageinent ordinance? �Yes ❑No ❑Unknown. The local offiaal must oertify this information in Seclion G. _��� SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION �� The property owner or ownei's authorized representaGve who compleles Sections A,B,C(Items C3.h and C3.i o�ly),and E for Zone A(witfiout a FEMA-issued or communiiy- iss�ed BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are coire�f to the best of my knowledge. __ P�.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ��DRESS CITY STATE LIP CODE SIGNATURE DATE TELEPH(�NE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI_) The local�ffiaal who is authorized by law a ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Cer�icate. Complete the applicable item(s)and sign below. G1.]The information in Secfion C was taken from other documentation ihat has been signed and embossed by a licensed surveyor,engineer,or architect who is aulhonzed by state or local law to certify elevaGon information. (Indicate fhe source and date of ihe eleva6on data in the l;omments area below.) G2.]A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or comrnunity-issued BFE)or Zone A0. G3.�The following informa6on(Items G4-G9)is provided fa communiry floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED G6.DATE CERTIFICFlTE OF CO(vIPLIA,NCEIOCCUPANCY ISSUED� G7.This permit has been issued for. ❑New Consfruction ❑Substanfial Improvement G8.=1evaUon of as-built lowest floor(including basement)of the building is: __._ft.(m) Daium:_ G9.3FE�x(in Zone AO)depth of flooding at the building site is: __._ft.(rn) Datum:__ LC�CAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE 'OMMENTS ❑Che�:k here if attachments FEMA Form 81-31,January 2003 Replaces ali previous editions � . � . , ��������� �� � �� �`'� C ITY OF C LEARWATER #� `� .�' . ��± �- � ��*1�1 f �� � y f#��� L � �` � �' DEVELOPMENT & NEIGHBORHO(�D SERVICES DEPARTMENT � �-_ � � ���� � *a��£� ;����5�,� � POST�FFICE BOX 474g� CLEARWATER� FLO�DA 33758-4748 ��"`�'°����� 4 ' MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.FARWATER,FLO�unn 33756 TELEPHONE�7Z� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS & COMPLETION In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shali be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is compiete and correct X Minor corrections have been made in the below marked sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2. BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 525 MANDALAY AVE (BLDG 2 UNITS 21 -25) CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): (##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map�Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION t NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE I B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 8/19/1992 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in 69: ❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings` ❑ Building Under Construction` ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) C011lil'1@f1YS: One siqned and sealed e/evation ce�tificate submitted for proiect bv the survevor Raised seal attached to main cerfificate for address 501-to 525 Mandalav Ave. Date of Review: Community Official: �evation certificates sha//be maintained by the community and copies with the attached memo made available by request FRANK H[RBAR(),MAYOR GEORGE N.CRE'1'EKOS,COUNC[LMEMBER JOIIN DORAN,COUNCILMEMBER PAUL F.GIASON,COUNCILMEMAER � CARI.EN A.PE"1'ERSEN,COUNCILMEMRER ��EQUAL EMPLOYMENI'AND E�FFIWv1A17VE ACTION EMPLOYER�