HomeMy WebLinkAbout12 CLAIM NO. 96-15 06-17-96 LAW OFFICES OF
WOODRUFF, SPRADLIN & SMAR'i
A PROFESSIONAL CORPORATION
!
MEMORANDUM
NO. 12
6-17-96
TO:
Honorable Mayor and Members of the City Council
City of Tustin
FROM: City Attorney
DATE: June 11, 1996
RE:
Claim of Mercury Insurance; Claim No. 96-15
RECOMMENDATION
After investigation and review, it is recommended that the City Council deny the
claim and direct the City Clerk to provide appropriate notice to the claimant and to the
claimant's attorneys.
BACKGROUND:
This claim stems from an auto accident that occurred at Bryan Avenue and
Jamboree in mid-afternoon. The claim is for personal injuries and property damage. The
claimant is an insurance company for a person who failed to stop at the intersection when
the lights were out. The current estimate of damages is $8,591.64.
As a matter of law, inoperative traffic signals do not amount to a dangerous condition
of public property. Vehicle Code provisions effectively transform an inoperative signal light
into a stop sign. When the signals have failed or are inoperative, motorists are required to
make a full stop, only proceeding when it is safe to do so.
LOIS E. JEFFRI;:~
Enclosure
cc: William A. Huston, City Manager
Valerie Crabill, Chief Deputy City Clerk
1100-00022
30846_1
City of Tustin
(For Damages to Persons or Personal Property)
The law provides generally that a claim must be filed with the City Clerk of
the City of Tustin within 6 months after the incident or event occurred. Be
sure your claim is against the Qity of Tustin, not another public., entity.
Where space is insufficient, ulease use additional paper and identify
information by paragraph numbe~. Completed claims must be mailed or
delivered to the City Clerk, City of Tustin, 300 Centennial Way, Tustin,
California 92680
W~EN COMPLETING T~IS FORM, PLEASE TYPE OR USE BLACK INK
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California:
The undersigned respectfully submits the following claim and information
relative to damage to person and/or property:
1. a. NAME OF CLAIMANT: &~,~?.,.~4~/~~C~ ~ C\~¢k%~%c,~ %\f>ov~
c. CITY/ZIP CODE: ~%~'~,~ . ~~ ~ ~ ~ ~'~u~_~
d. .TE~PHONE NO: ~ ~ ) ~ ~ (~~- %~ ...... ,~,,
e. DATE OF BIRTH: ~- ~ ~K ~ ~ i~0
f. SOCIAL SECURITY NO: ,, ~,,,~
g. DRIVERS LICENSE NO: ~ ~,~.~~ ~iwlo
2. Name, telephone and post office address to which claimant desires notices
to be sent (if other than above):
3. This ~l~im is submitted against:
a. .~<~_ The City of Tustin only.
b. The following employee(s) of the City of Tustin only:
Ce
The City of Tus~in and the following employee(s) of the City
of Tustin only:
4. Occurrence or event from which the claim arises:
a. DATE: ~_ % . c~ ~
b. TIME: ~ :5 L~
c. PLACE (Exact and specific location):
d. HOW and under what circumstances did damage or injury occur? Specify
the particular occurrence, event, act or omission you claim caused
the injury or damage (Use additional paper if necessary):
'%-,
e. WHAT particula, ~tion by the City, or
alleged damage ~....injury?
employees, caused the
5. Give a description of the inju.ry, property damage or loss so far-known at
the time of this claim. If there were no injuries, state "no injuries".
6. Give the name(s) of the city employee(s) causing the damage or inju~:
7. Name and address of any other person injured:~Ck~-~X,
% \Q.o~% , ~,-,u-,,.,-e_. C,,'~,
8. Name and address of the owner or any damaged property: .Ch_,~~. 'x"Z.o =-5 · -V:. ,,~' ,. .--, ~. C: ¢~,
9. Damages claimed:
.a. Amount.claimed as of the date: ~_ ~.~
b. Estimated amount of future costs:
c. Total amount claimed:
d. Attach basis for computation of amounts claimed (include copies of
all bills, invoices, estimates, etc.
10. Names and addresses of all witnesses, hospitals, doctors, etc.
c~-, ¢.__¥',~. ~---.! ,'-, ,,~
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM!!
(Penal Code Section 72; Insurance Code Section 556.0)
I have read the matters and statements made in the above claim and I know the
same to be true of my own knowledge, except as to those matters stated to be
upon information or belief and as to such matters I believe the same to be
true. I certify under penalty or perjury that the foregoing is TRUE AND
CORRECT.
Executed this ~-v day of
,19 ~', at Tustin, California.
DATE FI!.F.D:
C LA I'~%~N~ I GNATURE ' .
Bi: CLFORM
Revised 4/29/91
MICHAEL B. MATTINGLEY
LAW OFFICES OF
CALVO & MATTINGLEY
]002 NORTH ROSS STREET
SANTA ANA, CALIFORNIA 9270I
(714) 550-0775
SAN DIEGO OFFICE
8910 UNIVERSITY CENTER LANE
SUITE 300
SAN DIEGO, CALIFORNIA 92122
(619) 452-2367
April 26, 1'996
SOUTH BAY
Laura Arns
MERCURY INSURANCE COMPANY
P.O. Box 1150
Brea, CA 92622
APR 2 9 1B.g8
CLAIMS
Re:
Our Client:
Your Insured:
Your Claim No.:
Date of Loss:
Cathy Miltimore
Christene Sloan
PF 1294-72
3/8/96
Dear. Ms. Arns:
I am enclosing a copy of the photograph of the items purchased
by our client from the Clay Playhouse in the amount of $32.33 and
$479.37 immediately before this impact. It will be required that
you deliver to this office your check in the amount of $511.70 made
payable to Cathy Miltimore as reimbursement for the items damaged
as a result of this accident.
Thank you for your cooperation in this matter.
Very Truly Yours,
/~ 'e L. Hansen for
MMichael B. Mattingley
Enclosure
MERCURY INSURANCE GROUP
555 W. IMPERIAL HWY P.O. BOX 11~o BREA, CA 92622
Phone,.-, (714) 255-5237
Fax:.' (714) 255-5229
Damage Assessed By:
I_inda Burns 0579
Adjuster:
LAURA ARNs
(714) 671-~s77
.,
Type of Loss: Property Damage
Date of Loss: 3108/96
Contact Date: 4/15/96
Policy No:
Dectuctible: 0.00
Insured: CHRISTENE SLOAN
Claimant: CATHY MILTMORE
Address: 8 ROSS IRVINE, CA 92720
Telephone: Home Phone: (
Supplemented By:
Linda Bums 0579
Claim Number:. 131=001294-72
Date:
Estimate ID:
Supplement:
Profile ID:
04/25/96 02:56 PM
PF001294-72
1 (P)
MERCURY
Mitchell Service: 918478
19"'Che, ol.t Subur n = 00
Body Style: 4D Ut 129" WB Drive Train: 5.7L 8 Cyl
VIN: License:
OEMIALT: O Search Code: None
Color: BLUE
.
Vehicle Production Date: 11/88
Mileage: 70,592
Options: AIR CONDITIONING, AUTOMATIC TRANS., MULTI-PURPOSE VEHICLE
Line Entry Labor
It_?_~ Number Type Operation
I 834570 BDY REMOVE/REPLACE
2 AUTO REF REFINISH
3 AUTO REF REFINISH
4 90O500 BDY' REPAIR
5 REF REFINISH/REPAIR
$ 900500 BDY ° REPAIR
7 REF REFINISH/REPAIR
8 834700 BDY REPAIR
9 REF REFINISH/REPAIR
10 834950 BDY REMOVE/REPLACE
11 835050 BDY REMOVE/REPLACE
12 8:35200 BDY REMOVE/REPLACE
13 835580 GLS REMOVE/RE--CE
14 837310 MCH ALIGN
15 900500 BDY" ADD'L LABOR OP
16 900500 REF * REFINISH/REPAIR
17 900500 BDY' ADD'L LABOR OP
18 900500 13DY ' ADD3.. LABOR OP
19 838580 BDY REMOVE/REPLACE
20 838620 BDY REMOVE/REPLACE
21 838640 BDY REMOVE/REPLACE
22 838740 BDY REMOVE/REPLACE
Line Item
Description
L QUARTER OUTER PANEL
L QUARTER PANEL OUTSIDE
L QUARTER PANEL EDGE
LFT INNER PANEL
LFT INNER PANEL
LFT INNER WHEEL WELL
LFT INNER WHEEL WELL
· L QUARTER WHEELHOUSE PANELL QUARTER WHEELHOUSE PANEL
L FRT LWR QUARTER MOULDING
L REAR QUARTER MOULDING
L QUARTER W/OPENING MLDG
R Q'iR GLASS STATIONARY
FRONT SUSPENSION -M
COLOR MATCH
BLEND
COVER CAR
COLOR SAND BUFF
L COMBINATION LAMP LENS
L COMBINATION LAMP HOUSING
L COMBINATION LAMP LENS GASKET
L COMBINATION LAMP BULB
ESTIMATE RECALL NUMBER: 4/16/96 14:03:22 PF001294-72
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: APR..96_A Copyright (C) 1994, 1995 Mitchell International
AIl Rights Reserved
Part Type/
Part Number
15681589 GM PART
Existing
Existing
Existing
15628789 GM PART
15628791 GM PART
15616290 GM PART
1402286;8 GM PART
Existing
Existing
Sublet
Existing
5968329
5965771
5965748
9429902
GM PART
GM PART
GM PART
GM PART
Dollar Labor
Amount Units
.
787.00 14.0
C 3.5
C 0.5
5.0"
0.5-
:3.0"
0.5'
*3.0*#
0.5'
19.80 INCL
28.75 INCL
26.75 INCL
138.00 1.0
1.8
0.5'
1.0'
10.00" 0.0'
1.0'
27.00 INCL
16.15 INCL
5.70 *
0.92 '
Page I of 3
23
24
25
26
27
28
29
30
31
32
900500
838760
AUTO
839290
839360
900500
900500
AUTO
AUTO
AUTO
BDY ° ADD'L LABOR OP
BDY REMOVE/REPLACE
BDY OVERHAUL
BDY REMOVE/REPLACE
BDY REMOVE/REPLACE
BDY ° REMOVE/INSTALL
BDY ° ADD'L LABOR OP
REF ADD'L OPR
REF ADD'LOPR
ADD'L COST
.,
ALIGN REAR DOORS
L COMBINATION LAMP BUIR
REAR BUMPER ASSY
REAR BUMPER FAC.~ BAR
R REAR BUMPER IMPACT STRIP
TOW HITCH
TAPE STRIPE ':'
TWO TONE
CLEAR COAT
PAINT/MATERIALS
Judgement Item
Labor Note Applies
- Included in Two Tone I Clear Coat Calc
Date: 04/25196 02:56 PM
Estimate ID: PF001294-72
Supplement: I (P)
Profile ID: MERCURY
Existing
9428904 GM PART 1.13 °
Recored
15571637
Existing
Sublet
GM PART
1
1.0 at
140.00o INCL '
47.00 INCL
3~.00 - o.o-
1.8
1.6
178.20 *
COLLECT ALL FROM OWNER
AD J: LAURA ARNS 714 671 6577
Labor Subtotals Units Rate
Body 29.0 28.00
Refinish 9.9 28.00
Glass 1.0 25.00
Mechanical 1.8 45.00
Add1
Labor
Amount
Non-Taxable Labor
Sublet
Amount Totals
Labor Sun-mary 41.'7
0.00 40.00 852.00
0.00 0.00 277.20
0.00 0.00 25.00
0.00 0.00 8t.00
1,235,20
1,235.20
Part Replacement Surnmary
Taxable Parts
Sales Tax ~
Non-Taxable Parts
Total Replacement Parts Amount
7.750 %
Amount
1,098.20
85.11
140.00
1,323.31
II!.
Additional Costs
Taxable Costs
Sales Tax
Total Additional Costs
7.750 %
Amount
178.20
13.81
192.01
IV.
lo
Ii.
III.
Adjustments
Insurance Deductible
Cust°mer Responsibility
Total Labor:.
Total Replacement Parts:
Total Additional Costs:
Gross Total:
Total Adjustments:
Net Total:
Less Original Net Total:
Net Supplement Amount:
S1: Unda Bums 0579
Amount
0.00
0.00
1,235.20
1,323.31
192.01
2,750.52
0.00
2,750.52
4,796.73
2,046.21-
2,046.21-
Point(s)
8Left Re~
ESTIMA'
Mitchell
477673..+
20~621 .._
)01294-72
late is a Trademark of Mitchell International
yright (C) 1994, 1995 Mitchell International
AIl Rights Reserved
· Page 2 of
Body Shop:
Address:
Nork Phone:
NICHOLAS CHEVROLET
10511 GARDEN GROVE BLVD.
GARDEN GROVE, CA 92643
(714) 534-2700
THIS IS NOT AN AUTHORIZATION TO"
REPAIR. THE UNDERSIGNED REPAIR
FACILITY AGREES TO REPAIR THIS
VEHICLE USIN(~ INDUSTRX A~IEPTED
· EQUIPI4ENT AND REPAIR I<ETHODS
AND TO COHI~LETE AND GUARANTEE
SAFE REPAIRS AT A PlaICE OF
$ , INCLUDING ~
CHARGES. NO SUPPLEMENT WILL
BE HONORED WITH OUT PR/OR
Inspection Site:
Address:
Date: 04/25/96 02:56 PM
Estimate ID: PF001294-72
Supplement: I (P)
Profile ID: MERCURY
NICHOLAS CHEVROLET
10511 GARDEN GROVE BLVD.
GARDEN GROVE, CA
ESTIMATE RECAL/. NUMBER: 4416/96 14:03:22 PF001294-72
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: APR_96_A Copyright (C) 1994, 1995 Mitchell International
All Rights Reserved
f..-i':. :.:..: o · J
- .
Page 3
of
MATERIAL DAMAGE
ADJUSTER'S CLOSING REPORT
REPORTING TO n &- /~/.~'-4~''~'
INSURED - :' CLAIMANT
Inspection ': Inspection
DRIVE IN INSPECFION Fl Yes tjX'No
DA'Il; OF LOSS REC'D ASSIGNMENT CON'rACfED INSURED DATE INSP~D
VEHICLE MAKE YEAR. ,..~.ODEL V.I.N. L,~O.
LOCATION OF VEHICLE ~ ;~'~c~?
OPEN ITEMS
TOTAL LOSS
REPAIRABLE LOSS
REGISTERED OWNER(S)
AGREED SETrLEMEN~F
(Inc. Tax & L/cerise)
LESS DEDUCrIBLE $
NrET A.MOUNrr PAYABLE $
PAY TO: [] Insd. [] [] Lienholder
DO NOT SEND DI unless we have verified power of attorney.
STAMP FOR [] Yes [] No
VEHICLE REFUND $
DEDUCTION $
NECESSARY DOCUMENTS TO CF-.NrI'RA~ SALVAGE
~tEDIATELY.
EXPLANATION:
ADJUS-FER'S ES~.: $
LESS DEPR.ECIA~ON: $
ON
REMAINrlNG
DISPATCHER
COVERAGE ....... SHOP WILL CALL
C-81 4/93 Rev.
YES - NO
~TE OF DAMAGE
CLAIMANT
Year & Make Color
VEHICLE INSPECTED AT. ~,~...~,~,~ ."~-"~"~" :!.~yl. ;/ Speedometer I.D. No. '"~
LABOR LABOR PARTS AND SUBLET
REPAIR REPLACE DETAILS OF REPAIRS AND/OR REPLACEMENTS TO BE MADE PAINT HOURS MATERIAL AND N~r'
_ (UST PRICE) ITEMS
,,,,-. ,,,,5-- ,,¢//z.,.-,x,/ ~ /.o ..
· .
· .,
· .
· .
· .
· .
· ·
· .
· ·
· ·
·
DEPRECiATION/~ENT. IF TAKEN, STATE AMOUNT AND PROV1DE EXPLANATION: ....
THE WRITING OF THIS ESTIMATE [:X:)ES NOT CONFIRM ~ OR GUARANTEE OR IMPLY'~rI',a~;Nci~~. THIS
ESTIMATE IS FOR THE REPAIR OF DAMAGE CLAIMED BY THE OWNER OF THE VEHIC3.E, AND THIS ESTIMATE I~ ,A~N ADI~I~/i(~N THAT
TI-E DAMAGE RESULTED FROM THE Al 1 F-GED AC~. . ' ~ /~ ,,,
~ · .~
NO SUmLE~ENTS ~LL ~E HO.OR~ WrrHOL~ mOR ~. PROV~L 0~,4/,~, *0
NOTE: THIS IS NOT AN AUTHORIZATION TO REPAIR·
THE UNDERSIGNED REPAIR FACILITY AGREES TO REPAIR THIS
tEHICLE USING INDUSTRY ACCEPTED EQUIPMENT AND REPAIR
METHODS, AND TO COMPLETE AND GUARANTEE SAFE REPAIRS
-~T A PRICE OF $. 51 "3(-..tOOt,,,. , INCLUDING ALL CHARGES
NCIDENTAL THERETO.'
~,DDRESS: '/
/
RECAPrrULATION
LABOR /' ~ Hrs. @$ "~. ~ .$. ff~
PARTS $ l'ess % ($~) = $ 410-
OTHER CHARGES, Towing and Storage
TA~~-
~ ON ($ )
,. GRAND TOTAL
DED. $ Depreciation $
NET TOTAL
~-1 Rev. 3/93 Mercury Casualty Co. o Mercury Insurance Co. · California Automobile Insurance Co. · Mercury Insurance Co. of Georp'ia
"ORANGE COUNTY'S ONLY LAND ROVER CENTRE"
~DEFENDER
THE ULTL\IATE FL'N
OFF ROAD VEHICI. E
~DISCOVERY ~RANGE ROVER
NEW 7 PASSENGER THE MOST LUXURIOUS
FAMILY .qPORT L'TILITY VEHICLE 4 X 4 LN THE WORLD
S'fANI)ARD DUAL A!R BAGS STANDARD DUAL AIR BAGS
& ABS BRAKES & ABS BRAKES
714-365-8750
28662 MARGUERITE PKWY. MISSIONVIEJO, CA 92692
I
!;
1 DF 1
·
S ~bCuUN, NO. 10:_::/_-, S PAGE
0 H
L I
D , ~,r--, ,.,r,. r.I ,-w-r-.. r~..,~, i 'r. ~..-r-,m:., p ' ,~_-: it:;
~_~.'_i:,,.~ ~-,u, ~_, ~.,_.._ .... '-,:'--: LA A AUTO ,~r~:, , z~","'~-,
-=; ' COMMERCE CTR T~F-: COMMERCE '.~F: DR
T 2:2:-_ -'L".'
0 '..L_ASUNA H*LLS, ~'~' '-"-"~-'-' 0 LAGUNA HILLS, CA '-"-' ~-'-'
, ~_~ 7-' ." t_',._i~, , y .-' ~,~.,._-,
NO RETURN ON ELECTRICAL PARTS OR. SPECIAL ORDERS
20% CHARGE ON ALL RETURNED PARTS
l. CUSTOMER'S SIGNATURE
.Nc, gooes will be accepted Jot credit unless accompanied D'/this invoice
wi;nm lO oavs irom the dine of purchase
i S:JELET
F=._.=IGHT
! SALES TAX
An'v warram~es on the orooucts sold nere~y are those maoe by the manufacturer. The Sel~er.
LAND ROVER MISSION VI=,,JO. nereD.v exoressl¥ disclaims al! warrant~es, e~tr~er exDreS.s or
imollec, h~CIUCII').O an.v L'"rlDhec warramy of merchanlaDilm/or fitness 1o? a particular plJ'
anC LAND ROVER MISSION VIE JO. neither assumes ~c.' autnonzes any o:ner De'
~.52.76.}
FILE NUMBER:
CLAIM NUMBER:
DATE OF LOSS:
TYPE OF LOSS:
Point(s) of Impact
Left Rear Side (P)
MERCURY INSURANCE GROUP
555 W. IMPERIAL HWY P.O. BOX 1160 BREA, CA 92622
Phone: (714) 255-5237
Fax: (714) 255-5229
APPRAISAL REPORT
..
DAMAGE ASSESSED BY: Unda Bums 0579
None
PF001294-72
3108196
Property Damage
Date:
Supplement:
04/25196 03:01 PM
1
SOUTH BAY
CLAIMS?-
ASSIGNMENT DATE:
CONTACT DATE:
INSPECTION DATE
4/15~96
4116196
None
INSURED: CHRISTENESLOAN
OWNER: None
INSPECTION SITE:
NICHOLAS CHEVROLET
10511 GARDEN GROVE BLVD.
GARDEN GROVE, CA
QUAUTY' RECYCLED PARTS: No
AFTERMARKET NEW PARTS: No
VEHICLE DR~EABLE: Yes
CLAIMANT:
CATHY MILTMORE
8 ROSS
IRVINE, CA 92720
(714) 551-5391
BODY SHOP: NICHOLAS CHEVROLET
10511 GARDEN GROVE BLVD.
GARDEN GROVE, CA 92643
(714) 534-2700
DISPATCHER
Remarks
COLLECT ALL FROM OWNER
AD J: LAURA ARNS 714 671 6577
Comments:
SIGNED AND AGREED Cl ATTACHED PHOTOS TO FOLLOW
SEND Cl AND ClB TO CLMNT MODERATE DAMAGE
9110 DAYS REPAIR negative supplement $2046.21
COMPARISON ESTIMATE:
APPRAISER ESTIMATE:
AGREED UPON AMOUNT:
DRAFT/CHECK NUMBER:
DRAFT/CHECK AMOUNT:
DATE ISSUED:
o
0.00
TOWING: 0.00
STORAGE: 0.oo
DEDUCTIBLE: 0.00
UltraMate is a Trademark of Mitchell International
Copyright (C) 1994, 1995 Mitchell International
All Rights Reserved
ACTUAL CASH VALUE:
SALVAGE VALUE:
SETTLEMENT:
.-. ---"--s,.EPAIR
VS.
ACV:
~pj.:.,. "f:"-';'"
,.
·
Page I
9100.00
0.00
0.00
0.00
of I
Date:
Estimate ID:
Committed
Profile ID:
03114J96 01:28 PM
PF001294-72
Mercury
Damage Assessed By:
MERCURY INSURANCE GROUP
555 WEST IMPERIAL HWY PO BOX 1150 BREA, CA 92688
Phone: {714) 255-5237
Fax: (714)255-.5229
...-
CHRIS PENARANDA
Adjusto¥: 671-6577 LAURA ARNS
(714) 671-6577
Condition Code:
Date of Loss:
Policy No:
Deductible:
Insured:
Address:
Telephone:
Description:
Body Style:
ViN:
OEMIALT:
Good
3108f96
500.00
CHRISTENE SLOAN
Home Phone: (
Type of Loss: Collision
Claim Number: PF001294-72
1995 Range Rover Discovery
4D Ut 100' WB
O'
Mitchell Service: 916755
Drive Train: 3.9L 8 Cyl
License:
Search Code: None
Mileage: 8,857
· .
.
Color:
Une Entry
Item Number
WHT
Labor
Type Operation
1 AUTO BDY
2 600026 BDY
3 600028 BDY
4 500029 BDY
$ 6OO032 BDY
6 600036 BDY
7 600038 BDY
8 600O46 BDY
9 6O0O49 BDY
10 600056 BDY
11 AUTO REF
12 600060 BDY
13 AUTO REF
14 600071 BDY
15 AUTO BDY
16 600073 BDY
17 600O89 BDY
111 600114 BDY
19 AUTO REF
2O AUTO REF
21 600135 BDY
22 900500 BDY'
23 60O237 BDY
24 AUTO REF
25 AUTO REF
26 '600281 BDY
27 AUTO REF
28 AUTO REF
ESTIMATE RECALL
M~tchell Data Version:
Line Item
Description
Part Type/
Part Number
OVERHAUL
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REFINISH
REMOVE/REPLACE
REFINISH
REMOVE/REPLACE
CHECK/ADJUST
REMOVE/REPLACE
REMOVE/REPLACE
REMOVE/REPLACE
REFINISH
REFINISH
REMOVE/REpLACE
REPAIR
REMOVE/REPLACE
REFINISH
REFINISH
REMOVE/REPLACE
REFINISH
ADD't. OPR
FRT BUMPER ASSY
FRT BUMPER FACE BAR
R FRT BUMPER BOLT
L FRT BUMPER BOLT
R FRT BUMPER SUPPORT
BUMPER VALANCE PANEL
R FRT BUMPER END CAP
FRT BUMPER LAMP MOUNT BRACKET
FRT BUMPER BRUSH GUARD
GRILLE
GRILLE
R H/LAMP BEZEL
R BEZEL
R H/LAMP LENS & HOUSING
HEADLAMPS
R H/LAMP SEAL
R PARK/SIGNAL/MKR LAMP LENS & HSG
HOOD PANEL
HOOD OUTSIDE
HOOD UNDERSIDE
HOOD DECAL
FLOOR PULL
R FENDER PANEL
R FENDER OUTSIDE
R FENDER EDGE
FRONT BODY RADIATOR SUPPORT
RADIATOR SUPPORT COMPLETE
CLEAR COAT
NUMBER: 3114/96 13:27:43 PF001294-72
FEB_96_A
ANR2029
BH606361L
BH606361L
ANR2741
AWR1479PMD
AWR1482PMD
NTC5486PUB
STC8454AA
AWR2541
AWR2544
STC1237
STC1713
AMR1283
MWC6702
BTR9897MUK
Existing
ALR6682
ALR6272
UltraMate is a Trade. mark of Mitchell Intemationa.! .....
Copyright (C) 1994, 1995 Mitchell International Lieu ~(~ AKNS
Ail Rights Reserved
CLAtMS
Dollar Labor
Amount Units
1.0 ·
221.71 INCL
2.33 INCL #
2.33 INCL #
6.80 INCL #
42.87 INCL
30.97 INCL
58.21 INCL
519.19 INCL
141.98 INCL #
1.0
35.80 0.2 #
0.6
93.34 0.1 #
0.4
15.05 INCL #
34,42 INCL #
633.99 1.6
C 2.9
C 1.4
31.12 0.2 #
2.0*
392.27 2.9 #
C 1.6
C 0.5
412.47 9.5 #
1.5
2.1
Page I of 2
29
3O
31
32
933003 BDY' ADD'LOPR
933017 REF ADD'LOPR
933019 REF ADD'LOPR
AUTO ADD'L COST
Judgement Item
Labor Note Applies
- Included in Clear Coat Calc
TINT COLOR
COLOR SAND & BUFF
MASK FOR OVERSPRAY
PAINT/MATERIALS
Date:
Estimate ID:
Committed
Profile ID:
03114/96 01:28 PM
PF001294-72
Mercury
7.50'
207.00'
0.5'
Labor Subtotals
Body
Refinish
UnEs Rate
18.4 28.00
12.5 28.00
Non-TaxableLabor
30.9
II1. Additional Costs
Taxable Costs
Sales Tax
Total Additional Costs
Add'l
Labor Sublet
Amount Amount
0.00 0.00
7.50 0.00
7.750 %
Totals
616.20
357.60
872.70
872.70
Amount
207.00
16.04
223.04
I!.
III.
Part Replacement Summary
Taxable Parts
Sales Tax
Total Replacement Parts Amount
Adjustments
Insurance Deductible
Customer Responsibility
Total Labor:.
Total Replacement Parts:
Total Additional Costs:
Gross Total:
7.750 %
Amount
2,674.85
207.30
2,882.'15
Amount
500.00-
500.00-
872.70
2,882.15
223.04
3,977.89
Total AdJustments:
Net Total:
500.00-
3,477.89
Point(s) of Impact
I Right Front Comer (P)
Body Shop: LAGUNA AUTO COLLISION
Address: 23501 COMMERCE CENTER DR., STE
LAGUNA., CA 92653
Work Phone: (714) 458-0202
Inspection Site:
Address:
LAGUNA AUTO COLUSION
23501 COMMERCE CENTER DR., STE
LAGUNA, CA
THIS IS NOT AN AUTHORIZATION TO REPAIR. THE UNDERSIGNED REPAIR
FACILITY AGREES TO REPAIR THIS VEHICLE USING INDUSTRY ACCEPTED
EQUIPMENT AND REPAIR METHODS AND TO COMPLETE AND GUARANTEE SAFE
REPAIRS A.T A PR/CE OF $ , INCLUDING ALL CHAR~ES.
NO SUPPLEMENTS WILL BE HONORED WITHOUT PR/OR APPRDV'A~. AGREED [~I~ICE
BY: . -- - ' ~
ESTIMATE RECALl_ NUMBER: 3114/96 13:27:43 PF001294-72
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: FEB_96_A Copyright (C) 1994, 1995 Mitchell International
All Rights Reserved
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