Days to Repair: 6 Metromile Insurance Company ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL To file a supplement, please visit the following WEBSITE: WWW.SUPPLEMENTS.SNAPSHEET.ME For questions or assistance please call (888) 317-8527. This estimate is not an indication of coverage or liabilityacceptance. This estimate is not an authorization to repair. Repairsmust be authorized by the vehicle owner. No supplements will behonored without reinspection or prior approval by MetromileInsurance. Estimator: Oscar Lara Damage Assessed By: Supplemented By: Classification: Oscar Lara Malcolm Redmond None ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL To file a supplement, please visit the following WEBSITE: WWW.SUPPLEMENTS.SNAPSHEET.ME For questions or assistance please call (312) 906-7462. Condition Code: Good Type of Loss: Collision Date of Loss: 11/ 9/2016 Deductible: 500.00 Policy No: 31-234380-01-02 Claim Number: 78.133 Insured: Wendy Rodriguez Owner: Wendy Rodriguez Address: 416 Lincoln Ave 6, Glendale, CA 23550 Telephone: Contact Phone: (818) 500-7441 Mitchell Service: 911410 Description: 2014 Honda Civic LX Body Style: 2D Cpe Drive Train: 1.8L Inj 4 Cyl AT FWD VIN: 2HGFG3B5XEH501286 License: UNK Mileage: 17,831 OEM/ALT: O Search Code: None Color: Cosmic Gray Pearl Me Options: PASSENGER AIRBAG, POWER LOCK, POWER WINDOW, POWER STEERING, REAR WINDOW DEFOGGER AIR CONDITION, CRUISE CONTROL, TILT STEERING COLUMN, AM/FM STEREO, DRIVER AIRBAG FRONT SIDE AIRBAG WITH HEAD PROTECTION, ANTI-LOCK BRAKE SYS., TRACTION CONTROL REARVIEW CAMERA, TIRE INFLATION/PRESSURE MONITOR, ANTI-THEFT SYSTEM AUXILIARY INPUT, BLUETOOTH WIRELESS CONNECTIVITY, CD PLAYER POWER ADJUSTABLE EXTERIOR MIRROR, TRIP COMPUTER, FIRST ROW BUCKET SEAT CLOTH SEAT, SIDE AIRBAGS, AUTOMATIC HEADLIGHTS SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, MP3 PLAYER, DAYTIME RUNNING LIGHTS ELECTRONIC STABILITY CONTROL, 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 103680 BDY REMOVE/INSTALL Frt Bumper Cover INC 2 103689 BDY REPAIR Frt Bumper Cover Existing 2.0* # 3 REF REFINISH Frt Bumper Cover C 2.6 Copyright (C) 1994-2016 Mitchell International Page 1 of 5
4 * LT side damage 5 900500 REF * REFINISH/REPAIR Basecoat reduction full clear- Bumper Existing -1.0* Front Bumper 6 103694 BDY REMOVE/INSTALL Frt Bumper Cover Grille Existing 0.3 #r 7 103697 BDY REMOVE/INSTALL Frt Bumper License Plate Bracket Existing 0.2 r 8 103732 BDY REMOVE/INSTALL R Frt Bumper Cover Garnish Existing 0.2 r 9 103733 BDY REMOVE/INSTALL L Frt Bumper Cover Garnish Existing 0.2 r Grille 10 103727 BDY REMOVE/INSTALL Grille Assy 0.3 # Front Lamps 11 100283 BDY REMOVE/INSTALL L Front Combination Lamp INC # Front Fender S1 12 103323 BDY REMOVE/REPLACE L Fender Panel Qual Recycled Part 340.00 * 2.6 #r 13 REF REFINISH L Fender Outside C 2.0 14 REF REFINISH L Add For Edge C 0.5 15 K & P Auto Dismantlers - 877-742-5571 S1 16 Line Markup %25.00 85.00 17 900500 REF * REFINISH/REPAIR Chip Resistant Material Existing 0.3* Front Fender S1 18 101510 BDY REMOVE/REPLACE L Fender Liner Qual Recycled Part INC* INC r 19 * Add. labor is to heat/reshape 20 BDY ADD'L LABOR OP L Fender Liner 0.3* 21 100368 BDY REMOVE/INSTALL L Fender Garnish INC Wheel 22 103085 BDY REMOVE/REPLACE Wheel Cover 44733-TS8-A00 24.45 0.2* 23 * LT Front Front Door 24 100846 BDY REPAIR L Frt Door Repair Panel (HSS) Existing 6.0* # 25 REF REFINISH L Frt Door Outside C 1.9 26 900500 REF * REFINISH/REPAIR Basecoat reduction full clear- Door Existing -0.3* Front Door 27 102405 BDY REMOVE/INSTALL L Frt Rear View Mirror 0.3 # 28 102407 BDY REMOVE/INSTALL L Frt Otr Door Belt Moulding 0.6 # 29 102376 BDY REMOVE/INSTALL L Frt Door Trim Panel INC 30 100406 BDY REMOVE/INSTALL L Frt Otr Door Handle 0.3 Additional Operations 31 REF ADD'L OPR Clear Coat 1.9 32 933005 BDY ADD'L OPR Restore Corrosion Protection 10.00 * 0.2* 33 933018 BDY * ADD'L OPR Mask For Overspray 5.00 * 0.2* 34 900500 BDY * REMOVE/REPLACE Flex Additive New 8.00 * INC* Additional Costs & Materials 35 ADD'L COST Paint/Materials 268.60 * 36 ADD'L COST Hazardous Waste Disposal 3.00 * * - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc r - CEG R&R Time Used For This Labor Operation Prior Damage: Front bumper rt side damage, rt side mirror scraped, rt front wheel cover scraped, rt fender scraped. Copyright (C) 1994-2016 Mitchell International Page 2 of 5
Estimate Totals Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals Body 13.9 45.00 15.00 0.00 640.50 Refinish 7.9 45.00 0.00 0.00 355.50 Non-Taxable Labor 996.00 Labor Summary 21.8 996.00 II. Part Replacement Summary Amount Taxable Parts 372.45 Parts Adjustments 85.00 Sales Tax @ 9.000% 41.17 Total Replacement Parts Amount 498.62 III. Additional Costs Amount Taxable Costs 271.60 Sales Tax @ 9.000% 24.44 Total Additional Costs 296.04 IV. Adjustments Amount Insurance Deductible 500.00- Customer Responsibility 500.00- Paint Material Method: Rates Init Rate = 34.00, Init Max Hours = 99.9, Addl Rate = 34.00 I. Total Labor: 996.00 II. Total Replacement Parts: 498.62 III. Total Additional Costs: 296.04 Gross Total: 1,790.66 IV. Total Adjustments: 500.00- Net Total: 1,290.66 Less Original Net Total: 1,259.05 Net Supplement Amount: 31.61 S1: Malcolm Redmond 31.61 Point(s) of Impact 11 Left Front Corner (P) Insurance Co: Metromile Insurance Company Inspection Date: 11/14/2016 Body Shop: N/A Copyright (C) 1994-2016 Mitchell International Page 3 of 5
For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. "If you believe that all or part of your claim was wrongfully denied, you may have your claim reviewed by the California Department of Insurance. This department can be reached at California Department of Insurance, Customer Services Division, 300 South Spring Street, Los Angeles, CA 90013, by phone at (800) 927-HELP or (213) 897-8921 or over the internet at www.insurance.ca.gov. " Any person who knowingly presents a false or fraudulent insurance claim for the payment of a loss may be guilty of a crime and may be subject to fines and confinement in state prison. 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 B Any person who knowingly presents a false or fraudulent insuranceclaim for the payment of a loss may be guilty of a crime and may besubject to fines and confinement in state prison. This is a damage assessment only - not an authorization to repair -based on damage visible or certain at the time it was written. If frame or unibody repair is included on this estimate, the amountshown includes time or allowance for measuring before, during andafter those repairs. The owner of the vehicle may select the repair facility of his/herchoice. To ensure proper and prompt payment for additional damage discoveredduring the course of repairs, contact Metromile for supplementhandling procedures. Metromile honors the prevailing labor market rate in your area foryour property. If you choose a shop that charges in excess ofprevailing labor market rates, you will be responsible for thedifference. The replacement parts written on the estimate are intended to returnyour vehicle to its pre-loss condition with proper installation.afterrepair, if any sheet metal or plastic body part included in theestimate fails to return your vehicle to its pre-loss condition(assuming proper installation), in terms of form, fit, finish,durability or functionality, Metromile will arrange and pay for thereplacement of the part, to the extent not covered by a manufacturer'sor others warranty. This service will be performed at no cost to you(including associated repair and rental car costs). To obtain serviceunder this guarantee, call Metromile at 888-888-888. This guaranteeapplies as long as you own or lease the vehicle. The guarantee is nottransferable and terminates if you sell or otherwise transfer yourvehicle. THIS GUARANTEE DOES NOT COVER YOUR NORMAL WEAR AND TEAR OR DAMAGEDCAUSED BY IMPROPER MAINTENANCE, NEGLECT, ABUSE OR SUBSEQUENTACCIDENT.THIS GUARANTEE IS LIMITED TO ARRANGING FOR THE SELECTION OFREPAIR PARTS THAT WILL RETURN YOUR VEHICLE TO ITS PRE-LOSS CONDITION.ACCORDINGLY, METROMILE WILL NOT BE LIABLE FOR ANY INDIRECT,INCIDENTALOR CONSEQUENTIAL DAMAGES THAT RESULT FROM THE INSTALLATIONOR USE OF THESE PARTS. Part Type Terms and AbbreviationsNew & OEM or part number displayed: These refer to a new, originalequipment manufacturer part.non-oem & A/M and Qual REPL: These refer to an aftermarket part, which is a new, non-original equipment manufacturer part.used/recycled and LKQ: These refer to a used OEM part.remanufactured and RECOND & RECORE: These refer to used/recycled OEMparts that have been refurbished. Copyright (C) 1994-2016 Mitchell International Page 4 of 5
Copyright (C) 1994-2016 Mitchell International Page 5 of 5
Metromile Insurance Company Supplement Delta Report Comparison of Estimate 78.133 Supplement 0 and Supplement 1 Damage Assessed By: Supplemented By: Oscar Lara Malcolm Redmond Insured: Wendy Rodriguez Owner: Wendy Rodriguez Vehicle Description: 2014 Honda Civic LX Date of Loss: 11/ 9/2016 Line Labor Line Item Dollar Labor CEG Item Type Operation Description Part Type Amount Units Unit Changed Entries 12 BDY REMOVE/REPLACE L Fender Panel ** QUAL REPL PART 396.00 * 2.6 2.6T S1 12 BDY REMOVE/REPLACE L Fender Panel Qual Recycled Part< 340.00 *< 2.6 2.6T 17 BDY REMOVE/INSTALL L Fender Liner Existing INC 0.4 S1 18< BDY REMOVE/REPLACE< L Fender Liner Qual Recycled Part< INC *< INC 0.4T< Deleted Entries 15 * @ Keystone Auto- CAPA certified- 562-944-6422 0.0 Added Entries 15 K & P Auto Dismantlers - 877-742-5571 0.0 S1 16 Line Markup %25.00 85.00 0.0 Global Changes No Deductible, Customer Responsibility, Labor Rate, or Part Adjustment changes were made. Amount Original Estimate: 1,259.05 Supplement 1 31.61 Orig Total Tax 63.00 Supp 1 Total Tax 65.61 Net Supplement Amount 31.61 Net Total 1,290.66 Program Calc Versions Data Versions Supp 0 7.1.212 NOV_16_V Supp 1 7.1.212 NOV_16_V Software Version: 7.1.212 Copyright (C) 1994-2016 Mitchell International Page 1 of 1 All Rights Reserved