DAVE'S AUTO BODY INC. 1748 W PAULSON RD, GREEN BAY, WI 54313 Phone: (920) 498-2133 FAX: (920) 498-1199 Workfile ID: Federal ID: Resale Number: cbcd8aef 39-1855746 456000001541503 Customer: Meacham, Kathryn Written By: DAVE WIERER Adjuster: Rural Mutual Insurance Insured: Meacham, Kathryn Policy #: Claim #: PPAG0661990001 Type of Loss: Date of Loss: Days to Repair: 0 Point of Impact: Owner: Inspection Location: Insurance Company: Meacham, Kathryn DAVE'S AUTO BODY INC. RURAL MUTUAL 1748 W PAULSON RD GREEN BAY, WI 54313 Repair Facility (920) 498-2133 Business VEHICLE Year: 2011 Body Style: 4D UTV VIN: KM8JU3AC9BU315857 Mileage In: Make: HYUN Engine: 4-2.4L-FI License: Mileage Out: Model: TUCSON 4X2 LIMITED Production Date: State: Vehicle Out: Color: Int: Condition: Job #: TRANSMISSION Intermittent Wipers Search/Seek Luggage/Roof Rack Automatic Transmission Tilt Wheel CD Player SEATS POWER Cruise Control Auxiliary Audio Connection Bucket Seats Power Steering Rear Defogger Satellite Radio Leather Seats Power Brakes Keyless Entry SAFETY Heated Seats Power Windows Alarm Drivers Side Air Bag WHEELS Power Locks Steering Wheel Touch Controls Passenger Air Bag Aluminum/Alloy Wheels Power Mirrors Rear Window Wiper Anti-Lock Brakes (4) PAINT Heated Mirrors Telescopic Wheel 4 Wheel Disc Brakes Clear Coat Paint Power Driver Seat Climate Control Traction Control OTHER DECOR Home Link Stability Control Fog Lamps Dual Mirrors RADIO Front Side Impact Air Bags Rear Spoiler Privacy Glass AM Radio Head/Curtain Air Bags Signal Integrated Mirrors CONVENIENCE FM Radio Hands Free Device Air Conditioning Stereo ROOF 12/7/2015 4:00:23 PM 039465 Page 1
Line Oper Description Part Number Qty Extended Price $ 1 FRONT BUMPER & GRILLE 2 O/H front bumper 2.1 3 ** Repl A/M CAPA Bumper cover 865112S000 1 246.00 Incl. 3.0 4 Add for Clear Coat 1.2 5 Add for fog lamps 0.4 6 Repl Tow eye cap 865172S000 1 8.81 Incl. 0.2 7 Add for Clear Coat 0.1 8 Repl Upper grille chrome type 863502S100 1 148.84 Incl. 9 Repl Lower grille chrome type 865612S100 1 139.10 Incl. 10 Repl RT Side retainer 865142S000 1 15.85 0.1 11 FRONT LAMPS 12 Repl RT Headlamp assy 921022S050 1 281.76 Incl. 13 Aim headlamps 0.5 14 Repl RT Fog lamp assy 922022S000 1 104.33 Incl. 15 RADIATOR SUPPORT 16 Repl Radiator support 641012S000 1 540.11 7.4 17 Evacuate & recharge m 1.4 18 Refrigerant recovery m 0.4 19 Add for auto trans m 0.2 20 WINDSHIELD 21 Repl Washer reservoir 986202S000 1 54.50 0.4 Labor Paint SUBTOTALS 1,539.30 12.9 4.5 ESTIMATE TOTALS Category Basis Rate Cost $ Parts 1,539.30 Body Labor 12.9 hrs @ $ 56.00 /hr 722.40 Paint Labor 4.5 hrs @ $ 56.00 /hr 252.00 Paint Supplies 4.5 hrs @ $ 36.00 /hr 162.00 Subtotal 2,675.70 Sales Tax $ 2,675.70 @ 5.0000 % 133.79 Grand Total 2,809.49 Deductible 0.00 CUSTOMER PAY 0.00 INSURANCE PAY 2,809.49 Pricing can change on part availability. Scheduling the vehicle repairs assumes the customer authorizes the repairs as quoted. Ask about details of warranty. 12/7/2015 4:00:23 PM 039465 Page 2
MOTOR VEHICLE REPAIR PRACTICES ARE REGULATED BY CHAPTER ATCP 132, WIS. ADM. CODE, ADMINISTERED BY THE BUREAU OF CONSUMER PROTECTION, WISCONSIN DEPT. OF AGRICULTURE, TRADE AND CONSUMER PROTECTION, P.O. BOX 8911, MADISON, WISCONSIN 53708-8911. THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE REPLACEMENT PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THE REPLACEMENT PARTS RATHER THAN BY THE MANUFACTURER OF YOUR MOTOR VEHICLE. 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 ARR1026, CCC Data Date 12/1/2015, 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. 12/7/2015 4:00:23 PM 039465 Page 3
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. 12/7/2015 4:00:23 PM 039465 Page 4
ALTERNATE PARTS SUPPLIERS Line Supplier Description Price 3 Keystone-Insurance-A-Appleton #HY1000182C $ 246.00 5085 WREN DRIVE A/M CAPA Bumper cover APPLETON WI 54913 (800) 422-1995 (920) 731-3030 12/7/2015 4:00:23 PM 039465 Page 5