COMPLETE CLAIMS SERVICE LLC HANOVER INSURANCE GROUP FS. Preliminary Supplement 1 with Summary

Transcription

1 COMPLETE CLAIMS SERVICE LLC Complete Claims Service LLC PO BOX 71 SYOSSET, NY Phone: (516) , FAX:(516) Workfile ID: Federal ID: c96fe For: HANOVER INSURANCE GROUP FS Preliminary Supplement 1 with Summary Written By: Alan Ziegler, IA Adjuster: GWALTNEY, DONALD, (800) Business Insured: COURTESY TRANSPORTATION SERVICES Policy #: Claim #: Type of Loss: Collision Date of Loss: 1/10/ :00 AM Days to Repair: 8 Point of Impact: 12 Front Owner: Inspection Location: Repair Facility: COURTESY TRANSPORTATION SERVICES MG & SONS AUTO MG & SONS AUTO 800 EAST 92ND ST 9325 DITMAS AVE 9325 DITMAS AVE BROOKLYN, NY mgsonsauto@gmail.com mgsonsauto@gmail.com (718) Business BROOKLYN, NY BROOKLYN, NY Repair Facility (718) Day (718) Day License #: R # Date Inspected: 2/7/2017 VEHICLE VIN: 1FTNE2EW2CDA31344 Production Date: Interior Color: License: NOPLATES Odometer: 108,282 Exterior Color: WHITE State: Condition: Good TRANSMISSION Console/Storage Search/Seek SEATS Automatic Transmission CONVENIENCE Auxiliary Audio Connection Bucket Seats Overdrive Air Conditioning SAFETY WHEELS POWER Intermittent Wipers Drivers Side Air Bag Wheel Covers Power Steering Tilt Wheel Passenger Air Bag PAINT Power Brakes RADIO Anti-Lock Brakes (4) Clear Coat Paint DECOR AM Radio 4 Wheel Disc Brakes OTHER Dual Mirrors FM Radio Traction Control California Emissions Tinted Glass Stereo Stability Control 2/8/2017 8:23:38 AM Page 1

2 Line Oper Description Part Number Qty Extended Price $ 1 # Vehicle is a 2012 Ford E-250 Handicapped Van with a 2 # coach built by Molbility Services 1 3 FRONT BUMPER 4 O/H front bumper ** Repl A/M CAPA Bumper primed 8C2Z17757APTM Incl Add for Clear Coat ** Repl A/M CAPA Valance panel 8C2Z17626AA Incl. 8 Repl RT Reinf bracket stud plate 8C2Z17C886A Incl. 9 S01 Repl RT Mount bracket 8C2Z17B883A Incl. 10 S01 Repl LT Mount bracket 8C2Z17B884A Incl. 11 GRILLE 12 ** Repl A/M CAPA Mount panel 8C2Z8A284C * Repl LKQ grille assy +25% 8C2Z8200B Note: Brookfield Resource Mnmt ** Repl A/M CAPA Upper support 8C2Z8A284A Incl. 15 Repl RT Grille bracket 8C2Z8182A Repl LT Grille bracket 8C2Z8182A FRONT LAMPS 18 Repl RT Headlamp F3UZ13007A Incl. 19 Aim headlamps ** Repl A/M CAPA RT Park lamp 8C2Z13200B ** Repl A/M CAPA LT Park lamp 8C2Z13201B RADIATOR SUPPORT 23 Refinish Components Repl Radiator support 9C2Z16138A s 8.4 Incl. 25 Evacuate & recharge m Refrigerant recovery m Add for AC option m S01 Repl RT Side support 4C2Z16152DA Repl Upper deflector w/gas engine AC2Z19E672A Incl. 30 COOLING 31 ** S01 Repl A/M Radiator assy 9C2Z8005A m Incl. 32 AIR CONDITIONER & HEATER 33 S01 Repl Blower motor 2C2Z19805A m S01 Repl Blower motor seal F2UZ18N260A S01 Repl Fan BC2Z19805A HOOD 37 * Repl LKQ hood +25% 8C2Z16612A Note: B&H A/Wreckers Add for Clear Coat ~ Clean or recondition parts or assemblies 1 Labor 0.5 Paint 2/8/2017 8:23:38 AM Page 2

3 40 * Rpr RT Hinge from 10/18/ Add for Clear Coat * Rpr LT Hinge from 10/18/ Add for Clear Coat Repl Latch 6L5Z16700AA Incl. 45 FENDER 46 * Rpr LT Fender Note: Repair damage at frt of panel. Blend within panel. 47 Overlap Major Adj. Panel Add for Clear Coat * Repl LKQ RT fender assy +25% 8C2Z16005B Note: Brookfield Resource Mnmt Overlap Major Adj. Panel Add for Clear Coat ~ Clean or recondition parts or assemblies 53 S01 Repl RT Apron panel 9C2Z16060A s S01 Overlap Minor Panel S01 Deduct for Overlap S01 Repl RT Inner fender 8C2Z16154A s Incl S01 Overlap Minor Panel S01 Repl RT Extension 9C2Z16D072A s Incl S01 Add for Clear Coat FRONT SUSPENSION 61 S01 Repl Stabilizer bar 8C2Z5482B m S01 Repl RT Stabilizer link 8C2Z5K483A m S01 Repl LT Stabilizer link 8C2Z5K483A m FRONT DOOR 65 * Rpr RT Outer panel w/o telescoping mirror w/o power Note: Repair damage at frt of panel caused by fender's leading edge. Blend within panel Overlap Major Adj. Panel Add for Clear Coat COWL 69 S01 Repl RT Cowl grille 8C2Z15022A68AA MISCELLANEOUS OPERATIONS 71 # Rpr Reset electrical components 0.3 M 72 # Rpr Color Sand & Buff # Repl Color Tint 1 T # Subl 2 Wheel Alignment # Subl Car Cover T 76 # Subl Hazardous Waste X 77 # Repl Undercoating T # Rpr Set Up Measure & Take Down # Rpr Frame Pull to square nose 4.0 2/8/2017 8:23:38 AM Page 3

4 80 # Rpr Pinch Weld Repair SUBTOTALS 3, NOTES Estimate Notes: ****THIS APPRAISAL DOES NOT COMMIT INSURANCE COMPANY TO MAKE PAYMENT FOR DAMAGE.**** ****S U B J E C T T O C O M P A N Y A P P R O V A L**** ****PLEASE CALL COMPLETE CLAIMS SERVICE FOR SUPPLEMENTS ****NO SUPPLEMENTS W/OUT PRIOR APPROVAL**** ESTIMATE TOTALS Category Basis Rate Cost $ Parts 3, Body Labor 42.0 $ /hr 2, Paint Labor 15.1 $ /hr Mechanical Labor 0.3 $ /hr Paint Supplies 15.1 $ /hr Miscellaneous Subtotal 6, Sales Tax $ % Total Cost of Repairs 7, Deductible 0.00 Total Adjustments 0.00 Net Cost of Repairs 7, /8/2017 8:23:38 AM Page 4

5 SUPPLEMENT SUMMARY Line Oper Description Part Number Qty Extended Price $ Deleted Items 26 * Rpr RT Side support * Rpr RT Apron panel s Overlap Minor Panel 0.2 Added Items 9 S01 Repl RT Mount bracket 8C2Z17B883A Incl. 10 S01 Repl LT Mount bracket 8C2Z17B884A Incl. 28 S01 Repl RT Side support 4C2Z16152DA COOLING 31 ** S01 Repl A/M Radiator assy 9C2Z8005A m Incl. 32 AIR CONDITIONER & HEATER 33 S01 Repl Blower motor 2C2Z19805A m S01 Repl Blower motor seal F2UZ18N260A S01 Repl Fan BC2Z19805A S01 Repl RT Apron panel 9C2Z16060A s S01 Overlap Minor Panel S01 Deduct for Overlap S01 Repl RT Inner fender 8C2Z16154A s Incl S01 Overlap Minor Panel S01 Repl RT Extension 9C2Z16D072A s Incl S01 Add for Clear Coat FRONT SUSPENSION 61 S01 Repl Stabilizer bar 8C2Z5482B m S01 Repl RT Stabilizer link 8C2Z5K483A m S01 Repl LT Stabilizer link 8C2Z5K483A m COWL 69 S01 Repl RT Cowl grille 8C2Z15022A68AA Labor Paint SUBTOTALS 1, CHANGES TO ADJUSTMENTS 2/8/2017 8:23:38 AM Page 5

6 TOTALS SUMMARY Category Basis Rate Cost $ Parts 1, Body Labor 5.0 $ /hr Paint Labor 1.1 $ /hr Paint Supplies 1.1 $ /hr Subtotal 1, Sales Tax $ % Additional Supplement Taxes Total Supplement Amount 1, NET COST OF SUPPLEMENT 1, CUMULATIVE EFFECTS OF SUPPLEMENT(S) Estimate 6, Alan Ziegler Supplement S01 1, Alan Ziegler Workfile Total: $ 7, NET COST OF REPAIRS: $ 7, "PURSUANT TO SECTION 2610 OF THE INSURANCE LAW, AN INSURANCE COMPANY CANNOT REQUIRE THAT REPAIRS BE MADE TO A MOTOR VEHICLE IN A PARTICULAR PLACE OR REPAIR SHOP. YOU HAVE THE RIGHT TO HAVE YOUR VEHICLE REPAIRED IN THE SHOP OF YOUR CHOICE". **THIS APPRAISAL DOES NOT COMMIT INSURANCE COMPANY TO MAKE PAYMENT FOR DAMAGES HERE ON.** ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR COMMERCIAL INSURANCE OR A STATEMENT OF CLAIM FOR ANY COMMERCIAL OR PERSONAL INSURANCE BENEFITS CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO, AND ANY PERSON WHO, IN CONNECTION WITH SUCH APPLICATION OR CLAIM, KNOWINGLY MAKES OR KNOWINGLY ASSISTS, ABETS, SOLICITS OR CONSPIRES WITH ANOTHER TO MAKE A FALSE REPORT OF THE THEFT, DESTRUCTION, DAMAGE OR CONVERSION OF ANY MOTOR VEHICLE TO A LAW ENFORCEMENT AGENCY, THE DEPARTMENT OF MOTOR VEHICLES OR AN INSURANCE COMPANY, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME, AND SHALL ALSO BE SUBJECT TO A CIVIL PENALTY NOT TO EXCEED FIVE THOUSAND DOLLARS AND THE VALUE OF THE SUBJECT MOTOR VEHICLE OR STATED CLAIM FOR EACH VIOLATION. You are entitled to the return of all replaced parts, except warranty and exchange parts, but you must ask for them in writing before any work is done. If you authorize work by phone, the shop must keep any replaced parts, and make them available when you pick up the vehicle. 2/8/2017 8:23:38 AM Page 6

7 THE PREPARATION OF THIS ESTIMATE MAY HAVE BEEN BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. THERE ARE WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS. THESE WARRANTIES ARE PROVIDED BY THE MANUFACTURER AND/OR DISTRIBUTOR OF THE PARTS RATHER THAN BY THE ORIGINAL MANUFACTURER OF YOUR 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 DR2MB08, CCC Data Date 2/1/2017, 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. 2/8/2017 8:23:38 AM Page 7

8 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. 2/8/2017 8:23:38 AM Page 8

9 PARTS SUPPLIER LIST Line Supplier Description Price 5 KeyCom - Keystone - H-Bronx #FO DSC $ BATHGATE AVE A/M CAPA Bumper primed BRONX NY (800) (718) Keystone - AQRP - H-Syosset #FO C $ LAFAYETTE DRIVE A/M CAPA Valance panel 12 Keystone - AQRP - H-Syosset #FO PP $ LAFAYETTE DRIVE A/M CAPA Mount panel 14 Keystone - AQRP - H-Syosset #FO C $ LAFAYETTE DRIVE A/M CAPA Upper support 20 Keystone - AQRP - H-Syosset #FO C $ LAFAYETTE DRIVE A/M CAPA RT Park lamp 21 Keystone - AQRP - H-Syosset #FO C $ LAFAYETTE DRIVE A/M CAPA LT Park lamp 31 KeyCom - Keystone - H-Bronx #RAD1994 $ BATHGATE AVE A/M Radiator assy BRONX NY (800) (718) /8/2017 8:23:38 AM Page 9