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This is how its always like when an ambulance is bringing a patient to the hospital, having Niko drive the ambulance, running from cops, doing stunts on the way, occasionally bumping/crashing, AND ( this one is huge) hitting other cars and running over people, leading to more injuries/deaths and more ambulances coming to the scene. Niko will be one of the ambulance drivers, causing even more problems.
... Seems legit. very routine