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1 Bump & Grind Autobody, Inc. Family owned and operated "Established 1982" West 159th Street, Homer Glen, IL Phone: (708) FAX: (708) Workfile ID: Federal ID: State ID: Resale Number: State EPA: License Number: a968064c UDL UDL13814 Written By: DENNIS WANTROBA Adjuster: OMALLEY, RAY, (180) x0 Day Insured: NOORT, SCOTT Policy #: Claim #: Type of Loss: Date of Loss: Days to Repair: 0 Point of Impact: Owner: Inspection Location: Insurance Company: NOORT, SCOTT Bump & Grind Autobody, Inc. RURAL MUTUAL PAXTON AVE West 159th Street TINLEY PARK, IL Homer Glen, IL (708) Cell Repair Facility (708) Business VEHICLE Year: 2010 Body Style: 4D UTV VIN: 2T3WF4DV4AW Mileage In: Make: TOYO Engine: 4-2.5L-FI License: K Mileage Out: Model: RAV4 4X2 SPORT Production Date: 2/2010 State: IL Vehicle Out: Color: GREY Int: Condition: Job #: TRANSMISSION Console/Storage FM Radio Positraction Automatic Transmission CONVENIENCE Stereo SEATS Overdrive Air Conditioning Search/Seek Cloth Seats POWER Intermittent Wipers CD Player Bucket Seats Power Steering Tilt Wheel Auxiliary Audio Connection WHEELS Power Brakes Cruise Control SAFETY Aluminum/Alloy Wheels Power Windows Rear Defogger Drivers Side Air Bag PAINT Power Locks Keyless Entry Passenger Air Bag Clear Coat Paint Power Mirrors Message Center Anti-Lock Brakes (4) OTHER Heated Mirrors Rear Window Wiper Traction Control Fog Lamps DECOR Telescopic Wheel Stability Control Rear Spoiler Dual Mirrors RADIO Front Side Impact Air Bags TRUCK Tinted Glass AM Radio Head/Curtain Air Bags Rear Step Bumper Get live updates at 1/6/ :03:36 AM Page 1

2 Line Oper Description Part Number Qty Extended Price $ 1 REAR BUMPER 2 O/H bumper assy Repl Bumper cover w/spare tire w/flare Labor Paint R Incl Add for Clear Coat Add for flare Repl Prep unprimed bumper Refn RT Side molding w/flare Add for Clear Coat Refn LT Side molding w/flare Overlap Minor Panel Add for Clear Coat BACK DOOR 13 Repl Door shell R Overlap Minor Panel Add for Clear Coat Add for trnsfr glass R&I Rear spoiler Sport gray Repl LT Trim cover lower gray R010B Add for Clear Coat Repl Emblem Repl Nameplate "TOYOTA" Repl Nameplate "RAV4" MISCELLANEOUS OPERATIONS 24 # Hazardous waste removal X 25 * Repl Cover car/bag # Repl Corrosion protection # Repl Flex additive # Refn TINT COLOR # MASK OPENINGS TO ELIMINATE OVERSPRAY 30 # COLOR SAND AND POLISH TO FACTORY FINISH 31 # Repl GLASS URATHANE KIT $20.00 PER KIT SUBTOTALS 1, Estimate Notes: Possible hidden damage, Will need teardown for complete estimate. NOTES 1/6/ :03:36 AM Page 2

3 ESTIMATE TOTALS Category Basis Rate Cost $ Parts 1, Body Labor 10.3 $ /hr Paint Labor 12.1 $ /hr Paint Supplies 12.1 $ /hr Miscellaneous 5.00 Subtotal 2, Sales Tax $ % Grand Total 2, Deductible 0.00 CUSTOMER PAY 0.00 INSURANCE PAY 2, /6/ :03:36 AM Page 3

4 Part 919 of the Illinois Department of Insurance requires he our company advise you that if you wish to take this matter up with the Illinois Department of Insurance, It maintains a Consumer Division in Chicago at 100 West Randolph St. Suite , Chicago,IL and in Springfield at 320 West Washington St. Springfield, IL I hereby authorize the above repair work to be done along with necessary materials. You and your employees may operate vehicle for purposes of testing, inspection or delivery at my own risk. An express mechanic's lien is acknowledged on vehicle to secure the amount of repairs thereto. You will not be held responsible for loss or damage to vehicle or articles left in vehicle in case of fire, theft, accident or any other cause beyond your control. I have inspected my vehicle and have found the repairs to my satisfaction. I authorize payment to be made directly to the repair shop. Final supplement pending the insurance company review. Customer is liable for all repairs cost not covered by the insurance company. ***** No Warranty or Guarantee given or implied on any rust repairs. ****** Signature Date: Initial if applicable to repair I acknowledge that in most cases damage can be repaired with the Paintless Dent Removal method to an unnoticeable degree. However, in some cases the damage is either to severe or not completely accessible, thereby making it impossible to repair the vehicle beyond detection. *****N O T R E S P O N S I B L E F O R G L A S S B R E A K A G E, P A I N T C R A C K I N G O R P O P P I N G ***** ******* Vehicle manufactures are utilizing more electronic equipment than ever before for safety and conveniences. It is required by your vehicle manufacturer to disconnect or override the battery power with some types of repairs. This procedure may result in the lose of some of your personal settings. We do apologize for any inconvenience and please ask if we can be of any assistance in the process of re-setting them. SHOP PAYMENT POLICY: Repairs are to be paid in full upon delivery of vehicle. Please make arrangements in advance to have cash, insurance check or cashiers's check at that time. All credit card payments over $ will result in a 3% fee added to the total amount placed on credit card. If you have received an insurance check in advance do not cash, hold for final payment upon delivery.please advise in advance of delivery if other arrangements required. IN CASE OF WHEEL REMOVAL NOTED ON REPAIR: LUG NUTS MUST BE RE-TORQUED AFTER MILES, CUSTOMER MUST MAKE ARRANGEMENTS TO HAVE THIS NO CHARGE PROCEDURE PERFORMED. ILLINOIS LAW REQUIRES THAT VEHICLE REPAIRERS MUST BE LICENSED IN ACCORDANCE WITH SECTION OF THE ILLINOIS VEHICLE CODE. 1/6/ :03:36 AM Page 4

5 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 ARM8450, CCC Data Date 1/4/2016, 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 2016 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. 1/6/ :03:36 AM Page 5