Property Damage Appraisers (PDA Toledo)
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1 Date: 4/13/ :52 PM Estimate ID: Estimate Version: 0 Committed Profile ID: * Mitchell Property Damage Appraisers (PDA Toledo) P O Box 879, Holland, OH (419) Fax: (419) pdatoledo@pdaorg.net Damage Assessed By: Nichols Winston Appraised For: Lilia Camarena (800) Classification: None Condition Code: Good Type of Loss: Property Damage Date of Loss: 4/ 8/2015 Arrival Date: 4/10/2015 Contact Date: 4/ 9/2015 Accident Date: 4/ 8/2015 Deductible: UNKNOWN File Number: Claim Number: Insured: Mid-Wood, Inc. Owner: Mid-Wood, Inc. Address: E. Gypsy Lane, Bowling Green, OH Telephone: Work Phone: (419) Cell Phone: (419) Mitchell Service: Description: 2005 Mack Vision CX Vehicle Production Date: 1/05 Type/Component: Truck Drive Train: VIN: 1M1AK07Y95N License: PGM8296 OH Mileage: 547,796 OEM/ALT: O Search Code: None Color: White Line Entry Labor Line Item Part Type/ Dollar Labor Item Number Type Operation Description Part Number Amount Units REF REFINISH Frt Face Bar Complete BDY REMOVE/REPLACE R Frt Bumper Face Bar N.A. 1, * 1.1 # BDY REMOVE/REPLACE L Frt Bumper Face Bar N.A. INC* 1.1 # BDY REMOVE/REPLACE Frt Bumper Support N.A. INC* 0.7 # BDY REMOVE/REPLACE R Frt Inr Bumper Bracket N.A * 0.3 # BDY REMOVE/REPLACE L Frt Inr Bumper Bracket N.A * 0.3 # BDY REMOVE/REPLACE R Frt Otr Bumper Bracket N.A * 0.3 # BDY REMOVE/REPLACE L Frt Otr Bumper Bracket N.A * 0.3 # BDY REMOVE/REPLACE R Frt Bumper Tube N.A * 0.3 # BDY REMOVE/REPLACE L Frt Bumper Tube N.A * 0.3 # BDY REMOVE/REPLACE Grille N.A * BDY REMOVE/REPLACE Grille Screen N.A * BDY CHECK/ADJUST Headlamps BDY REMOVE/REPLACE L Frt Combination Lamp Assembly Qual Recycled Part * 1.5 r 15 LKQ Goody's Truck Parts REF REFINISH Hood Outside REF REFINISH Hood Underside BDY REMOVE/REPLACE Hood Panel N.A. 3, * 8.0 # BDY REMOVE/INSTALL Radiator FRM REPAIR R Frame Rail -F Existing 9.0* # FRM REPAIR L Frame Rail -F Existing 9.0* # MCH* REMOVE/REPLACE Alignment New * 0.0* BDY REMOVE/REPLACE L Fuel System Tank N.A. 1, * 2.0 # BDY REMOVE/REPLACE L Upr Fuel System Step N.A * BDY REMOVE/REPLACE L Lwr Fuel System Step N.A * BDY REMOVE/REPLACE L Support 2@94.10 N.A * BDY REMOVE/REPLACE L Step Bracket 2@ N.A * 0.6 # BDY * REMOVE/REPLACE L Step Bracket 2@ N.A * 0.6 # MCH* REMOVE/REPLACE Alloy Wheel 2@ Qual Recycled Part * 2.8* # 30 LKQ Goody's Truck Parts ESTIMATE RECALL NUMBER: 04/13/ :52: Mitchell Data Version: OEM: APR_15_V Copyright (C) Mitchell International Page 1 of 3 Software Version: All Rights Reserved
2 Date: 4/13/ :52 PM Estimate ID: Estimate Version: 0 Committed Profile ID: * Mitchell MCH REMOVE/REPLACE Frt Susp Axle -M N.A. 4, * MCH REMOVE/REPLACE R Frt Susp Leaf Spring -M N.A * 1.7 # MCH REMOVE/REPLACE L Frt Susp Leaf Spring -M N.A * 1.7 # MCH REMOVE/REPLACE R Frt Susp Front Spring Hanger -M N.A * 0.5 # MCH REMOVE/REPLACE L Frt Susp Front Spring Hanger -M N.A * 0.5 # REF REFINISH Cab Front Panel Outside C BDY REPAIR Cab Front Panel Existing 6.0* # BDY REMOVE/REPLACE R Splash Shield N.A * BDY REMOVE/REPLACE L Splash Shield N.A * BDY REMOVE/REPLACE L Qtr Fender Mud Flap N.A * BDY REMOVE/REPLACE L Qtr Fender N.A * 0.3 # BDY REMOVE/REPLACE L Qtr Fender Mounting Bracket N.A * 0.2 # BDY REMOVE/REPLACE L Rear Mud Flap N.A * 0.3 # BDY REMOVE/REPLACE L Rear Mud Flap Bracket N.A * 0.3 # BDY REMOVE/REPLACE L Rear Combination Lamp Assembly N.A * 0.4 # BDY REMOVE/REPLACE Rear Combination Lamp Mount N.A * 0.5 # 47 AUTO REF ADD'L OPR Clear Coat BDY * REMOVE/REPLACE Shop Supplies New * 0.0* MCH* REMOVE/REPLACE Lt Frt Steer Tire New * 0.8* 50 BETTERMENT - P Lt Frt Steer Tire % MCH* REMOVE/REPLACE Lt Rear Frt Outer Recap Tire New * 0.8* 52 BETTERMENT - P Lt Rear Frt Outer Recap Tire % MCH* REMOVE/REPLACE Lt Frt Lug Studs 8@11.19 New * 1.0* 54 AUTO ADD'L COST Paint/Materials * * - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc r - CEG R&R Time Used For This Labor Operation Estimate Totals Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals Body , T Refinish , T Frame , T Mechanical , T II. Part Replacement Summary Amount Taxable Parts 18, Total Replacement Parts Amount 18, Taxable Labor 8, Labor Summary , III. Additional Costs Amount Taxable Costs Total Additional Costs IV. Adjustments Amount Betterment Customer Responsibility Paint Material Method: Rates Init Rate = 50.00, Init Max Hours = 99.9, Addl Rate = 0.00 I. Total Labor: 8, II. Total Replacement Parts: 18, III. Total Additional Costs: Gross Total: 27, ESTIMATE RECALL NUMBER: 04/13/ :52: Mitchell Data Version: OEM: APR_15_V Copyright (C) Mitchell International Page 2 of 3 Software Version: All Rights Reserved
3 Date: 4/13/ :52 PM Estimate ID: Estimate Version: 0 Committed Profile ID: * Mitchell IV. Total Adjustments: Net Total: 27, TOTAL LOSS Point(s) of Impact 12 Front Center (P) Insurance Co: MOHAVE TRANSPORTATION INS CO Address: 2200 S 75TH AVE PHOENIX, AZ Work Phone: (800) Inspection Site: Mid-Wood Inc Address: E Gypsy Lane Bowling Green, OH (419) (419) Inspection Date: 4/10/2015 ESTIMATE RECALL NUMBER: 04/13/ :52: Mitchell Data Version: OEM: APR_15_V Copyright (C) Mitchell International Page 3 of 3 Software Version: All Rights Reserved
4 Document Name: VIN.JPG Document Name: ODOMETER.JPG Page 1 of 10
5 Document Name: INTERIOR.JPG Document Name: LICENSE.JPG Page 2 of 10
6 Document Name: LEFTFRONT.JPG Document Name: RIGHTFRONT.JPG Page 3 of 10
7 Document Name: LEFTREAR.JPG Document Name: RIGHTREAR.JPG Page 4 of 10
8 Document Name: P JPG Rt cowel damage Document Name: P JPG Rt frame rail damage Page 5 of 10
9 Document Name: P JPG Frt view Document Name: P JPG Frt axle damage Page 6 of 10
10 Document Name: P JPG Lt frame rail damage,good chance that gear box and coolers have damage,cannot raise hood Document Name: P JPG Lt frt wheel and tire damage Page 7 of 10
11 Document Name: P JPG Lt fuel tank and step damage Document Name: P JPG Lt side cowel damage Page 8 of 10
12 Document Name: P JPG Lt frt mudflap and tire damage Document Name: P JPG Lt re mudflap damage Page 9 of 10
13 Document Name: P JPG Rear lamp and crossmember damage Page 10 of 10
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