ALL OPEN ITEMS MUST BE CHECKED BEFORE REPAIRS ARE STARTED: Date: 11/ 7/2015 12:21 PM Carolina Precision Claims PO Box 1254, Gastonia, NC 28053 (704) 866-4632 Fax: (866) 216-0915 Email: claims@cpclaims.com Damage Assessed By: Glen Roberts Appraised For: Ruth Baker - Criterion Claims Solutions. Inc. (888) 816-2227 Classification: Field Condition Code: Excellent Type of Loss: Property Damage Date of Loss: 10/22/2015 Arrival Date: 10/27/2015 Contact Date: 10/28/2015 Accident Date: 10/22/2015 Deductible: UNKNOWN File Number: 10152703206 A Claim Number: 03-32-361929 Insured: DLG Auto Transport LLC Claimant: Vanguard Car Rental Telephone: Home Phone: (828) 452-2841 Owner: Vanguard Car Rental Telephone: Home Phone: (828) 452-2841 Mitchell Service: 911063 Description: 2015 Dodge Journey Crossroad Body Style: 4D Ut Drive Train: 3.6L Inj 6 Cyl AWD VIN: 3C4PDDGGXFT135978 OEM/ALT: A Search Code: B839212 Color: Granite Crystal Met Options: PASSENGER AIRBAG, POWER DRIVER SEAT, POWER LOCK, POWER WINDOW, POWER STEERING REAR WINDOW DEFOGGER, AIR CONDITIONING, REAR WINDOW WIPER, CRUISE CONTROL TILT STEERING COLUMN, AM/FM STEREO, DRIVER AIRBAG, HEATED EXTERIOR MIRROR REAR (DUAL-ZONE) AC, LEATHER SEAT, FRONT SIDE AIRBAG WITH HEAD PROTECTION ANTI-LOCK BRAKE SYS., TRACTION CONTROL, FOG LIGHTS, ALUM/ALLOY WHEELS TIRE INFLATION/PRESSURE MONITOR, AUXILIARY INPUT BLUETOOTH WIRELESS CONNECTIVITY, LEATHER STEERING WHEEL, SATELLITE RADIO CD PLAYER, POWER ADJUSTABLE EXTERIOR MIRROR, PRIVACY GLASS, AUTO AIR CONDITION TRIP COMPUTER, FIRST ROW BUCKET SEAT, UNIVERSAL GARAGE DOOR OPENER THIRD ROW SEAT, REAR HEATING, VENTILATION & AIR CONDITIONING, CLOTH SEAT ALL WHEEL DRIVE, SIDE AIRBAGS, AUTOMATIC HEADLIGHTS SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, MP3 PLAYER, HEATED STEERING WHEEL DAYTIME RUNNING LIGHTS, DRIVER SEAT WITH POWER LUMBAR SUPPORT ELECTRONIC STABILITY CONTROL, FRONT HEATED SEATS, KEYLESS ENTRY SYSTEM REAR BENCH SEAT, STEERING WHEEL AUDIO CONTROLS Line Entry Labor Line Item Part Type/ Dollar Labor Item Number Type Operation Description Part Number Amount Units Front Bumper 1 103483 BDY REMOVE/INSTALL Frt Bumper Cover INC Front Lamps 2 104479 BDY REMOVE/REPLACE R Frt Combination Lamp 68227072AA 319.00 0.3 # 3 BDY CHECK/ADJUST Headlamps 0.4 Hood 4 100087 BDY REMOVE/REPLACE Hood Panel (Alum) 5076777AE 625.00 1.2 5 REF REFINISH Hood Outside C 2.8 MAPP:AUG_15_V Copyright (C) 1994-2015 Mitchell International Page 1 of 4
6 REF REFINISH Add For Hood Underside C 1.4 Front Fender 7 100209 BDY REMOVE/REPLACE L Fender Panel 5076731AD 195.00 3.4 # 8 REF REFINISH L Fender Outside C 1.7 9 REF REFINISH L Add To Edge Fender C 0.5 10 103270 BDY REMOVE/INSTALL L Fender Mudguard 0.2 Wheel 11 104566 BDY REMOVE/REPLACE Alloy Wheel 2@402.00 1RU20XZAAC 804.00 0.6 Rocker/Pillars/Floor 12 100615 BDY REMOVE/REPLACE L Door Opening Panel 68035429AE 445.00 16.5 13 REF REFINISH L Door Opening Panel Complete C 3.6 14 MCH REMOVE/REPLACE L Add To R&I/R&R Side Curtain Air Bags-M 0.7 # 15 104594 BDY REMOVE/REPLACE L Door Opening Inner Panel (HSS/UHSS) -S 68100223AB 1,700.00 9.5 # 16 100628 BDY REMOVE/REPLACE L Rocker Moulding 5178149AH 133.00 0.8 17 100656 BDY REMOVE/REPLACE L Frt Door Opening Weatherstrip 5076863AE 81.60 INC 18 100658 BDY REMOVE/REPLACE L Rear Door Opening Weatherstrip 5076861AE 82.00 INC Front Door 19 103021 BDY REMOVE/REPLACE L Frt Door Shell 68067471AD 600.00 6.0 # 20 REF REFINISH L Frt Door Outside C 2.0 21 REF REFINISH L Frt Add For Jambs & Interior C 1.0 22 MCH REMOVE/REPLACE L Add To R&I/R&R Side Air Bag Sensor -M 0.3 23 104794 BDY REMOVE/REPLACE L Frt Door Rear View Mirror 1CE351XRAD 204.00 INC # 24 BDY REMOVE/INSTALL L Frt Door Trim Panel INC 25 101018 BDY REMOVE/REPLACE L Frt Door Blackout Tape 5178425AA 2.85 0.2 # 26 101014 BDY REMOVE/REPLACE L Frt Door Blackout Tape 5116269AB 31.70 0.2 # 27 101016 BDY REMOVE/REPLACE L Frt Otr Door Belt Moulding 5076857AF 62.70 INC # 28 104834 BDY REMOVE/REPLACE L Frt Door Outside Handle 1RH64AXRAE 115.00 INC 29 104443 BDY REMOVE/REPLACE L Frt Door Handle Bezel 1RH67DX8AC 17.60 INC # 30 101131 GLS REMOVE/REPLACE L Frt Door Moveable Glass 5076887AD 133.00 INC 31 101137 BDY REMOVE/REPLACE L Frt Door Run Channel Strip 5076871AF 30.25 INC Rear Door 32 102417 BDY REMOVE/REPLACE L Rear Door Shell 68067473AC 684.00 5.2 33 REF REFINISH L Rear Door Outside C 2.0 34 REF REFINISH L Rear Add For Jambs & Interior C 1.0 35 101145 BDY REMOVE/REPLACE L Rear Door Front Blackout Tape 5116327AA 31.85 0.2 # 36 101147 BDY REMOVE/REPLACE L Rear Door Rear Blackout Tape 5116271AA 27.75 0.2 # 37 101149 BDY REMOVE/REPLACE L Rear Otr Door Belt Moulding 5076859AI 63.45 INC # 38 BDY REMOVE/INSTALL L Rear Door Trim Panel INC 39 104888 BDY REMOVE/REPLACE L Rear Door Outside Handle 1RH65DX8AD 82.20 INC # 40 104612 BDY REMOVE/REPLACE L Rear Door Handle Bezel 1RH61DX8AE 20.00 INC # 41 101241 GLS REMOVE/REPLACE L Rear Door Moveable Glass 5076891AC 175.00 INC 42 101243 BDY REMOVE/REPLACE L Rear Door Glass Run 5076873AD 30.95 INC Roof 43 101789 REF BLEND Roof Panel Outside C 1.6* 44 102774 BDY REMOVE/INSTALL L Roof Moulding 0.5 45 101251 BDY REPAIR Roof Panel Existing 3.0*# 46 101799 BDY REMOVE/INSTALL L Roof Luggage Rack Side Rail 0.4 Quarter Panel 47 103116 BDY REMOVE/REPLACE L Quarter Outer Panel 68035431AE 445.00 15.5 48 REF REFINISH L Quarter Panel Outside C 2.0 49 REF REFINISH L Add For Pillar C 0.5 50 REF REFINISH L Quarter Panel Edge C 0.5 51 104899 BDY REMOVE/REPLACE L Quarter Panel W/Strip 5076878AC 28.45 0.2 52 101316 BDY REMOVE/REPLACE L Rear Body Frt Panel Reinf (HSS) 5067929AA 96.50 1.5 53 101312 BDY REMOVE/REPLACE L Quarter Fuel Door 5076926AE 21.70 INC 54 REF REFINISH L Fuel Door INC # 55 REF REFINISH L Add For Inside Fuel Door C 0.2 56 101313 BDY REMOVE/REPLACE L Quarter Fuel Filler Housing 5178277AC 19.10 0.7 # 57 102076 BDY REMOVE/REPLACE L Quarter Inner Panel 68100225AB 1,825.00 4.5 58 101328 BDY REMOVE/REPLACE L Quarter Drain Trough 5076963AC 94.20 2.5 # MAPP:AUG_15_V Copyright (C) 1994-2015 Mitchell International Page 2 of 4
59 101332 BDY REMOVE/REPLACE L Quarter Inner Panel Reinf 5178059AB 220.00 2.0 60 101334 BDY REMOVE/REPLACE L Quarter Extension 5076935AE 239.00 2.5 61 REF REFINISH L Qtr Panel Extension C 1.0 62 101336 BDY REMOVE/REPLACE L Quarter Lamp Mount Panel 5076945AC 209.00 1.5 # 63 REF REFINISH L Lamp Panel C 0.8 64 101318 BDY REMOVE/REPLACE L Otr Quarter Wheelhouse Panel -S 5067951AB 159.00 2.5 65 101330 BDY REMOVE/REPLACE L Inr Quarter Wheelhouse Panel 68069139AB 220.00 2.5 66 101322 BDY REMOVE/REPLACE L Quarter Wheelhouse Liner 5116277AE 56.10 INC Quarter Glass 67 101369 GLS REMOVE/REPLACE L Qtr Glass Stationary 5155279AG 304.00 INC # Liftgate 68 101828 BDY REMOVE/INSTALL Liftgate Handle 0.8 # 69 103129 BDY REPAIR Liftgate Shell (Com) Existing 3.0*# 70 REF REFINISH Liftgate Outside C 2.2 71 104310 BDY REMOVE/REPLACE Liftgate Adhesive Nameplate 68206769AA 15.95 0.2 72 103142 BDY REMOVE/REPLACE Liftgate Adhesive Nameplate 5156123AA 34.25 0.2 73 104690 BDY REMOVE/REPLACE Liftgate Adhesive Nameplate 68224027AA 23.35 0.2 74 101831 BDY REMOVE/INSTALL Liftgate Washer Nozzle 0.2 Rear Lamps 75 104785 BDY REMOVE/REPLACE L Rear Combination Lamp Assembly 68078465AD 240.00 INC 76 101841 BDY REMOVE/INSTALL L Rear Combination Lamp 0.3 # 77 101830 BDY REMOVE/INSTALL High Mount Stop Lamp 0.2 # Rear Bumper 78 BDY OVERHAUL Rear Bumper Assy 0.6 79 103561 BDY REMOVE/REPLACE Rear Upr Bumper Fascia 1TY37TZZAE 260.00 INC 80 REF REFINISH Rear Upr Bumper Fascia C 2.8 ADDITIONAL OPERATIONS 81 REF ADD'L OPR Clear Coat 5.2 * - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc Estimate Totals Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals Body 90.4 46.00 0.00 0.00 4,158.40 T Refinish 32.8 46.00 0.00 0.00 1,508.80 T Mechanical 1.0 46.00 0.00 0.00 46.00 T Taxable Labor 5,713.20 II. Part Replacement Summary Amount Taxable Parts 11,207.50 Sales Tax @ 6.750% 756.51 Total Replacement Parts Amount 11,964.01 Labor Summary 124.2 5,713.20 III. Additional Costs Amount Total Additional Costs 0.00 IV. Adjustments Amount Customer Responsibility 0.00 I. Total Labor: 5,713.20 II. Total Replacement Parts: 11,964.01 III. Total Additional Costs: 0.00 Gross Total: 17,677.21 MAPP:AUG_15_V Copyright (C) 1994-2015 Mitchell International Page 3 of 4
IV. Total Adjustments: 0.00 Net Total: 17,677.21 This is a preliminary estimate. Additional changes to the estimate may be required for the actual repair. Point(s) of Impact 10 Left Front Side (P), 7 Left Rear Corner (S), 8 Left Rear Side (S), 9 Left Side (S), 11 Left Front Corner (S) Insurance Co: National Indemnity Group Address: Claim Operations. PO Box 31361 Omaha, NB 68131-0361 Telephone: (402) 916-3800 Fax Phone: (402) 916-3031 Inspection Site: Domestic Auto Inc Address: 2287 Smokey Park Hwy Candler, NC 28715 Inspection Date: 10/29/2015 ALL OPEN ITEMS MUST BE CHECKED BEFORE REPAIRS ARE STARTED: THIS IS NOT A REPAIR AUTHORIZATION. AUTHORIZATION MUST BE OBTAINED FROM OWNER: IN THE EVENT ADDITIONAL DAMAGES ARE FOUND, YOU MUST CONTACT THIS OFFICE PRIOR TO REPAIRING OR REPLACING: NO SUPPLEMENTS WITHOUT PRIOR APPROVAL: NON-OEM PARTS DISCLOSURE: This repair estimate has been prepared based on the use of Automobile,Tractor, Trailer or Equipment parts not made by the original manufacturer. Parts used in the repair of your vehicle or equipment 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. MAPP:AUG_15_V Copyright (C) 1994-2015 Mitchell International Page 4 of 4
Itemized Totals I. Labor Subtotals Units Rate Totals Body 90.4 46.00 4,158.40 T Remove/Replace 80.8 " 3,716.80 Repair 6.0 " 276.00 Remove/Install 2.6 " 119.60 Overhaul 0.6 " 27.60 Check Adjust 0.4 " 18.40 Refinish 32.8 46.00 1,508.80 T Blend 1.6 " 73.60 Refinish Only 26.0 " 1,196.00 Additional Operation 5.2 " 239.20 II. Part Replacement Summary Amount Taxable Parts 11,207.50 New 11,207.50 Sales Tax @ 6.750% 756.51 Total Replacement Parts Amount 11,964.01 Mechanical 1.0 46.00 46.00 T Remove/Replace 1.0 " 46.00 Taxable Labor 5,713.20 Labor Summary 124.2 5,713.20 III. Additional Costs Amount Total Additional Costs 0.00 IV. Adjustments Amount Customer Responsibility 0.00 I. Total Labor: 5,713.20 II. Total Replacement Parts: 11,964.01 III. Total Additional Costs: 0.00 Gross Total: 17,677.21 IV. Total Adjustments: 0.00 Net Total: 17,677.21 MAPP:AUG_15_V Copyright (C) 1994-2015 Mitchell International Page 1 of 1