GEICO. Estimate of Record. Written By: ROBERT VOLMUT, 06/25/ :25:52 AM Adjuster: ABTH

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1 GEICO GEICO Northern New England For Supplements copy the link below partners.geico.com/gvbps/logon.aspx 300 CROSSPOINT PARKWAY GETZVILLE, NY Phone: (800) Estimate of Record Claim #: Written By: ROBERT VOLMUT, 06/25/ :25:52 AM Adjuster: ABTH Insured: Sanjeev Lath Owner Policy #: Type of Loss: Collision Date of Loss: 06/24/ :45 AM Days to Repair: 15 Point of Impact: 04 Right Qtr Post (Right Side) Deductible: Owner (Insured): Inspection Location: Appraiser Information: Repair Facility: Sanjeev Lath Po Box Hooksett, NH (978) Business (603) Cellular BANKS COLLISION CTR - XD 100 Airport Rd Concord, NH Drive-in (603) Day rvolmut@geico,com (603) Exterior Auto Works 687 Route 3a Bow, NH VEHICLE Year: 2012 Color: White Int: License: Production Date: Make: FORD Body Style: 4D SED State: NH Odometer: Model: FIESTA SE Engine: 4-1.6L-FI VIN: 3FADP4BJ3CM Condition: TRANSMISSION Console/Storage FM Radio SEATS 5 Speed Transmission CONVENIENCE Stereo Cloth Seats POWER Air Conditioning Search/Seek Bucket Seats Power Steering Intermittent Wipers CD Player WHEELS Power Brakes Tilt Wheel Auxiliary Audio Connection Wheel Covers Power Windows Rear Defogger SAFETY PAINT Power Locks Keyless Entry Drivers Side Air Bag Clear Coat Paint Power Mirrors Message Center Passenger Air Bag OTHER DECOR Telescopic Wheel Anti-Lock Brakes (4) Traction Control Dual Mirrors RADIO Front Side Impact Air Bags Stability Control Tinted Glass AM Radio Head/Curtain Air Bags 06/25/ :25:52 AM Page 1

2 Line Oper Description Part Number Qty Extended Price $ 1 REAR BUMPER 2 * R&I R&I bumper cover AE8Z17K835AAPTM Incl. 3 REAR LAMPS 4 * R&I RT Tail lamp assy BE8Z13404A Incl. 5 TRUNK LID 6 R&I R&I trunk lid AE8Z A REAR BODY & FLOOR 8 R&I RT Panel support black/stone BE8Z AA R&I RT Trunk side trim BE8Z AA QUARTER PANEL 11 * Sect LKQ RT qrtr & lwr rear; sedan +25% Labor Paint ~ Add for Clear Coat * R&I RT Wheelhouse liner AE8Z54278B50A Incl. 14 R&I RT Pressure vent 3C3Z54280B62BA Repl RT Stone guard BE8Z58292A22B R&I RT Qtr glass Ford w/bright molding AE8Z B R&I RT Upper qtr trim BE8Z AA R&I RT Side trim BE8Z AB R&I RT Lower qtr trim black/stone BE8Z AA # Trim Time for LKQ Qtr BACK GLASS 22 * R&I Back glass Ford AE8Z A Incl. 23 REAR DOOR 24 * Repl LKQ RT door assy; sedan +25% A3J Overlap Major Non-Adj. Panel Add for Clear Coat R&I RT Door w'strip CE8Z54253A10A R&I RT W'strip on body BE8Z A R&I RT Belt w'strip w/bright molding BE8Z B ** Subl A/M RT Door glass DD11799GTN X 31 * Subl RT Door glass Labor X 32 * R&I RT Run channel AE8Z B * R&I RT Window regulator w/power BE8Z A R&I RT Handle, outside w/o keyless start DE8Z BA R&I RT Upper hinge 8A6Z B R&I RT Lower hinge AE8Z A R&I RT Door check AE8Z A R&I RT R&I trim panel BE8Z KA # Transfer Time for LKQ Door /25/ :25:52 AM Page 2

3 40 FRONT DOOR 41 Blnd RT Outer panel AE8Z B R&I RT W'strip on body BE8Z A R&I RT Belt w'strip w/bright molding BE8Z B R&I RT Mirror assy AE8Z17682C R&I RT Handle, outside w/keyless, w/o keylass start DE8Z BA R&I RT R&I trim panel CE8Z DA PILLARS, ROCKER & FLOOR 48 * Blnd RT Aperture panel AE8Z54211A10A s ROOF NOTE: To Allow for full clear on Qtr 50 R&I RT Roof molding sedan BE8Z A MISCELLANEOUS OPERATIONS 52 Repl Cover car/bag # Rpr Setup & Measure - Unibody 2.0 F 54 # Rpr Unibody Correction # Replace seam sealer # Subl Urethane # Rpr Clean boken glass SEATS & TRACKS 59 R&I R&I rear seat complete OTHER CHARGES 61 # E.P.C SUBTOTALS NOTES Prior Damage Notes: Left Qtr panel major damage, rear bumper scratches and paint transfer on both sides 06/25/ :25:52 AM Page 3

4 ESTIMATE TOTALS Category Basis Rate Cost $ Parts Body Labor 39.5 $ /hr 1, Paint Labor 10.8 $ /hr Frame Labor 2.0 $ /hr Paint Supplies 10.8 $ /hr Miscellaneous Other Charges 2.50 Subtotal 3, Total Cost of Repairs 3, Deductible 1, Total Adjustments 1, Net Cost of Repairs 2, This is not an authorization to repair. All GEICO customers have the right to have their vehicle repaired in the shop of their choice. No Supplement will be honored unless authorized by GEICO. NOTICE: Vehicles constructed of special metals may require the use of specialized welding and bonding equipment. Proper measuring and structural repair systems are required on today's vehicle to accurately accomplish vehicle repairs. Make sure your shop has the proper equipment to repair your vehicle. ALTERNATE PARTS DISCLAIMER: IF A QUALITY REPLACEMENT PART (A/M, LKQ, RECOND OR OPT OEM) APPEARS ON THIS ESTIMATE, IT INDICATES THAT THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. GUARANTEES, IF ANY, APPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE PROVIDED BY THE PART MANUFACTURER OR DISTRIBUTOR RATHER THAN BY THE MANUFACTURER OF YOUR VEHICLE. ***IN ADDITION TO ANY SUCH GUARANTEES, GEICO PROVIDES THE FOLLOWING: ****OWNER LIMITED GUARANTEE**** WE GUARANTEE THAT ALL QUALITY REPLACEMENT BODY PARTS (PARTS NOT MANUFACTURED BY THE MANUFACTURER) IDENTIFIED ON YOUR ESTIMATE, ARE FREE OF DEFECTS IN MATERIAL AND WORKMANSHIP AND MEET GENERALLY ACCEPTED INDUSTRY STANDARDS. THIS PARTS AND LABOR GUARANTEE WILL BE IN EFFECT FOR AS LONG AS YOU OWN THE VEHICLE DESCRIBED IN THE ESTIMATE. THIS GUARANTEE COVERS THE COST OF THE PART, LABOR TO INSTALL, AND INCIDENTALS SUCH AS PAINT AND MATERIALS AND IS SPECIFICALLY LIMITED TO THOSE ITEMS. THIS GUARANTEE DOES NOT COVER LOSS OR DAMAGE THAT IS UNRELATED TO DEFECTS IN THE QUALITY REPLACEMENT PARTS. THIS IS NOT TRANSFERABLE. IF ANY QUALITY REPLACEMENT PARTS ARE DEFECTIVE IN EITHER MATERIAL OR WORKMANSHIP, CONTACT YOUR LOCAL GEICO REPRESENTATIVE. 06/25/ :25:52 AM Page 4

5 ANY PERSON WHO, WITH A PURPOSE TO INJURE, DEFRAUD OR DECEIVE ANY INSURANCE COMPANY, FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE, INCOMPLETE OR MISLEADING INFORMATION IS SUBJECT TO PROSECUTION AND PUNISHMENT FOR INSURANCE FRAUD, AS PROVIDED IN RSA 638:20. THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AUTOMOBILE PARTS NOT MADE BY THE ORIGINAL MANUFACTURER. PARTS USED IN THE REPAIR OF YOUR VEHICLE BY OTHER THAN THE ORIGINAL MANUFACTURER ARE REQUIRED TO BE AT LEAST EQUAL IN LIKE KIND AND QUALITY IN TERMS OF FIT, QUALITY AND PERFORMANCE TO THE ORIGINAL MANUFACTURER PARTS THEY ARE REPLACING. ALL AFTER MARKET PARTS INSTALLED ON THE VEHICLE SHALL BE CLEARLY IDENTIFIED ON THE ESTIMATE OF SUCH REPAIR. THE AFTER-MARKET PART(S) BEING SPECIFIED FOR THE REPAIR OF YOUR VEHICLE ARE AT LEAST EQUAL IN KIND AND QUALITY TO THE ORIGINAL EQUIPMENT IN TERMS OF FIT, QUALITY AND PERFORMANCE. This pricing is based on NAGS list part price and includes labor and kit pricing established by GEICO. When dealer or net priced parts are required, a parts pricing agreement should be reached in advance of service. Please call the GEICO Glass Administrator at (GLAS), to arrange for the work to be completed. 06/25/ :25:52 AM Page 5

6 Estimate based on MOTOR CRASH ESTIMATING GUIDE and potentially other third party sources of data. Unless otherwise noted, (a) all items are derived from the Guide DR2MX11, CCC Data Date 06/09/2016, and potentially other third party sources of data; and (b) the parts presented are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor data provided by third party sources of data may have been modified or may have come from an alternate data source. Tilde sign (~) items indicate MOTOR Not-Included Labor operations. The symbol (<>) indicates the refinish operation WILL NOT be performed as a separate procedure from the other panels in the estimate. Non-Original Equipment Manufacturer aftermarket parts are described as Non OEM, A/M or NAGS. Used parts are described as LKQ, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Pound sign (#) items indicate manual entries. Some 2017 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated data from the vehicle manufacturer, labor and parts data from the previous year may be used. The CCC ONE estimator has a list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to be repaired or replaced: SYMBOLS FOLLOWING PART PRICE: m=motor Mechanical component. s=motor Structural component. T=Miscellaneous Taxed charge category. X=Miscellaneous Non-Taxed charge category. SYMBOLS FOLLOWING LABOR: D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category. M=Mechanical labor category. S=Structural labor category. (numbers) 1 through 4=User Defined Labor Categories. OTHER SYMBOLS AND ABBREVIATIONS: Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. Blnd=Blend. BOR=Boron steel. CAPA=Certified Automotive Parts Association. D&R=Disconnect and Reconnect. HSS=High Strength Steel. HYD=Hydroformed Steel. Incl.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non Adjacent. NSF=NSF International Certified Part. O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace. R&I=Remove and Install. R&R=Remove and Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel. Sect=Section. Subl=Sublet. UHS=Ultra High Strength Steel. N=Note(s) associated with the estimate line. CCC ONE Estimating - A product of CCC Information Services Inc. The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR CRASH ESTIMATING GUIDE: BAR=Bureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number. 06/25/ :25:52 AM Page 6

7 PURSUANT TO NH RULE INS (F), ANY SETTLEMENT BASED UPON A NEGOTIATION AND AGREEMENT BETWEEN A GEICO APPRAISER OR ADJUSTER AND A REPAIR SHOP OR FACILITY WILL PROVIDE COVERAGE FOR HIDDEN DAMAGE IF WE DETERMINE IT IS CONNECTED WITH THE PRESENT CLAIM. NH RULE INS (A) (3) REQUIRES US TO NOTIFY YOU OF YOUR RIGHT TO CHOOSE THE REPAIR SHOP WHERE THE DAMAGE TO YOUR MOTOR VEHICLE WILL BE REPAIRED. THANK YOU FOR MEETING WITH OUR GEICO AUTO DAMAGE FIELD ADJUSTER AND ALLOWING US TO SERVICE YOUR CLAIM. AS OUR ADJUSTER EXPLAINED TO YOU, NEW HAMPSHIRE REGULATION INS ALLOWS YOU, THE CUSTOMER, TO SELECT THE REPAIR SHOP OF YOUR CHOICE TO REPAIR YOUR VEHICLE DURING THE COURSE OF A CLAIM. THIS REGULATION ALSO REQUIRES US TO PROVIDE YOU WITH THE NAME AND ADDRESS OF A RECOGNIZED, COMPETENT AND CONVENIENTLY LOCATED REPAIR SHOP THAT IS WILLING AND ABLE TO PERFORM THE NECESSARY REPAIRS TO YOUR VEHICLE WITHIN A REASONABLE TIME FOR THE PRICE QUOTED IN THE APPRAISAL. IN LIGHT OF THESE REQUIREMENTS, WE HAVE OUTLINED AT THE BOTTOM OF THIS LETTER SEVERAL REPUTABLE REPAIR SHOPS IN THE AREA THAT WILL BE HAPPY TO RESTORE YOUR VEHICLE TO PRE-LOSS CONDITION. THE LIST BELOW INCLUDES THE NAMES AND ADDRESSES OF GEICO'S GUARANTEED REPAIR SHOPS IN NEW HAMPSHIRE, WHICH WE HAVE SPECIFICALLY CHOSEN FOR THEIR EXCELLENT WORKMANSHIP, SUPERIOR CUSTOMER SERVICE AND CONVENIENCE. SHOULD YOU NEED FURTHER ASSISTANCE, PLEASE DO NOT HESITATE TO CONTACT YOUR AUTO DAMAGE ADJUSTER. THEY ARE MOST FAMILIAR WITH YOUR APPRAISAL AND THE DAMAGE TO YOUR VEHICLE AND WILL BE EAGER TO ASSIST YOU. Banks Collision Center Reflections Bodyworks & Paint 100 Airport Road 676 Portsmouth Ave Concord, NH Greenland, NH Manchester Collision Center Key Auto Center of Portsmouth 150 John E. Devine St Woodbury Rd Manchester, NH Newington, NH Fine Lines Auto Body Colonial Auto Body 194 Route Main Street Brookline, NH Plaistow, NH McDowell's Auto Body Berlin City Chevy-Buick-Kia Auto Body 61 Elm Street 545 Main Street Manchester, NH Gorham, NH Spacetown Auto Body, Inc. Automotive Custom & Collision 66 Scoobie Pond Road 241 Rockingham Road PO Box 173 Route 28 Derry, NH Derry, NH /25/ :25:52 AM Page 7

8 Auto Re-Nu-It Body Shop Key Collision of Nashua 22 Francis Ave 5 State Street Hooksett, NH Nashua, NH Guimond's Auto Body, Inc. Dave Illg's Collision 73 Manchester Street 10 West Otterson St. Concord, NH Nashua, NH /25/ :25:52 AM Page 8

9 ALTERNATE PARTS SUPPLIERS Line Supplier Description Price 11 LKQ New England #~ $ Old Douglas Road LKQ RT qrtr & lwr rear; sedan +25% Webster MA (800) Quote: Quarter Panel Assembly WHT,4DR,W/OSUN,SE (4 Dr), Sdn, R.,S#$V1324 Expires: 08/08/16 24 New England Auto And Truck #A3J094 $ Sales Department LKQ RT door assy; sedan +25% 800 Spring Street 5D.5,RED-U6,RH,S#A3J094 - (4 DR), SDN, ELECTRIC, R. Winchendon MA (800) /25/ :25:52 AM Page 9