This Estimate Was prepared By an Independent Appraiser and is Subject to Insurance Company Audit & Approval. Only The Vehicle Owner Can Authorize Repairs. Contact the Handling Adjuster for Confirmation of Coverage and Payment All Supplements Must be Pre-Approved by Adjuster/Insurance Prior to Repairs Failure to do so May Result in Non-Payment of Supplement in Whole or in Part FOR SUPPLEMENT REQUEST...PLEASE FAX IT TO = 1-800-531-8962. (CLAIMS OFFICE) OR EMAIL PHOTOS/SUPP AT """"""PCSUPPLEMENTS@HOTMAIL.COM.""""""""" P&C Appraisal Services 2121 NATOMAS CROSSINGS DR SUITE # 200-244, SACRAMENTO, CA 95834 (916) 968-4666 Fax: (916) 285-6348 Damage Assessed By: P & C APPRAISAL Appraised For: dulce machado Classification: Drive-In Date of Loss: 10/15/2016 Deductible: UNKNOWN Claim Number: 17250909-I2 Insured: HANNAH ORTEGA Claimant: UNK UNK Owner: HANNAH ORTEGA Address: 6235 HARMON AVE, OAKLAND, CA 94621 Telephone: Work Phone: (000) 000-0000 Home Phone: (510) 246-9148 Mitchell Service: 911026 Description: 2012 Chevrolet Malibu LT Body Style: 4D Sed Drive Train: 2.4L Inj 4 Cyl 6A FWD VIN: 1G1ZD5E0XCF131674 License: 6SYF311 CA OEM/ALT: A Search Code: None Color: white 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 ALUM/ALLOY WHEELS, TIRE INFLATION/PRESSURE MONITOR, ANTI-THEFT SYSTEM AUXILIARY INPUT, SATELLITE RADIO, CD PLAYER, POWER ADJUSTABLE EXTERIOR MIRROR FIRST ROW BUCKET SEAT, TELEMATIC SYSTEMS, CLOTH SEAT, SIDE AIRBAGS AUTOMATIC HEADLIGHTS, SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, MP3 PLAYER DAYTIME RUNNING LIGHTS, DRIVER SEAT WITH POWER LUMBAR SUPPORT 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 Side Body 1 101726 REF BLEND L Roof Rail C 0.6 Special/Manual Entry 2 900500 GLS * ADD'L LABOR OP rope glass Existing 0.6* MAPP:FEB_17_V0225 Copyright (C) 1994-2017 Mitchell International Page 1 of 5
Side Body 3 101736 BDY REPAIR L Section Quarter Panel 3.0* # 4 REF REFINISH L Quarter Panel Outside C 2.0 5 101823 BDY REMOVE/INSTALL L Rocker Moulding 0.4 Rear Lamps 6 101691 BDY REMOVE/INSTALL L Rear Combination Lamp INC # 7 101477 BDY REMOVE/REPLACE L Rear Combination Lamp Assembly Qual Recycled Part 80.00 * 0.3 # Rear Bumper 8 101683 BDY REMOVE/INSTALL Rear Bumper Cover INC 9 101684 BDY OVERHAUL Rear Bumper Cover Assy 1.7 10 101496 BDY REPAIR Rear Bumper Cover Existing 2.0* 11 REF REFINISH/REPAIR Rear Bumper Cover C 2.0* 12 MODIFIED REFINISH WITH FULL CLEAR COAT Additional Costs & Materials 13 936012 ADD'L COST Hazardous Waste Disposal 5.00 * 14 936014 ADD'L COST Flex Additive 5.00 * Additional Operations 15 REF ADD'L OPR Clear Coat 1.5 16 933018 REF ADD'L OPR Mask For Overspray 5.00 * 0.0* Additional Costs & Materials 17 ADD'L COST Paint/Materials 122.00 * * - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc MAPP:FEB_17_V0225 Copyright (C) 1994-2017 Mitchell International Page 2 of 5
Recycler Information Section: LKQ-Keystone- Rancho Cordova 3379 Sunrise Blvd. Rancho Cordova CA 95742 888-967-2787;916-366-5718 7 2011 Chevrolet Malibu LEFT TAIL LAMP ASSY VA 80.00 Part Number: $MQ487 Description:LH,L, qtr mtd, exc. LTZ; L., L., Disclaimer: Recycled part pricing may represent either actual pricing (the price at which the recycler is willing to sell the part for in its existing condition) or undamaged pricing (the price at which the recycler would sell the part if it was in undamaged condition). If you are unsure, please contact the automotive recycler. Some parts located for this quote may be interchangeable but may not be an exact match. If you are unsure, please contact the automotive recycler. Estimate Totals Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals Body 7.4 50.00 0.00 0.00 370.00 T Refinish 6.1 50.00 5.00 0.00 310.00 T Glass 0.6 50.00 0.00 0.00 30.00 T Taxable Labor 710.00 II. Part Replacement Summary Amount Taxable Parts 80.00 Parts Adjustments 16.00 Sales Tax @ 9.000% 8.64 Total Replacement Parts Amount 104.64 Labor Summary 14.1 710.00 III. Additional Costs Amount Taxable Costs 132.00 Sales Tax @ 9.000% 11.88 IV. Adjustments Amount Customer Responsibility 0.00 Total Additional Costs 143.88 Paint Material Method: Rates Init Rate = 20.00, Init Max Hours = 99.9, Addl Rate = 0.00 I. Total Labor: 710.00 II. Total Replacement Parts: 104.64 III. Total Additional Costs: 143.88 Gross Total: 958.52 IV. Total Adjustments: 0.00 Net Total: 958.52 Insurance Co: ANCHOR GENERAL Inspection Site: residence Inspection Date: 2/27/2017 THIS ESTIMATE MAY HAVE BEEN PREPARED WITH THE USE OF ORIGINAL EQUIPMENT MANUFACTURED, LIKE KIND AND QUALITY PARTS AND/OR AFTERMARKET MAPP:FEB_17_V0225 Copyright (C) 1994-2017 Mitchell International Page 3 of 5
CRASH PARTS. AFTERMARKET PARTS ARE SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. AFTERMARKET PARTS ARE WARRANTED BY THE SUPPLIER OR MANUFACTURER OF SUCH PARTS RATHER THAN THE MANUFACTURER OF YOUR VEHICLE. ***********PLEASE NOTE************ SUPPLEMENTS ARE NOT PREAUTHORIZED. ALL SUPPLEMENTS MUST HAVE PRIOR APPROVAL. ADDITIONAL DAMAGE /PARTS MUST BE DOCUMENTED W/ PHOTOS. PART PRICE INC./SUBLET REPAIRS MUST BE ACCOMPANIED BY INVOICES FOR PROPER PAYMENT. CALIFORNIA For your protection California Law requires the following state 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." California?? 9875.1(b) "THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. ANY WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, RATHER THAN BY THE ORIGINAL MANUFACTURER OF YOUR VEHICLE." WE WARRANT THAT SUCH PARTS ARE AT LEAST EQUAL TO THE ORIGINAL EQUIPMENT MANUFACTURER PARTS IN TERMS OF KIND, QUALITY, SAFETY, FIT AND PERFORMANCE. ALL CRASH PARTS ON THIS ESTIMATE ARE "NEW" ORIGINAL EQUIPMENT MANUFACTURER PARTS, UNLESS OTHERWISE SPECIFIED. PARTS DESCRIBED AS RE-CHROMED, RECORDED, REMANUFACTURED OR, RECONDITIONED ARE CONSIDERED "REBUILT" PARTS. CRASH PARTS DESCRIBED AS "QUALITY REPLACEMENT PARTS" ARE NON-ORIGINAL EQUIPMENT MANUFACTURER AFTERMARKET NEW PARTS. THIS IS NOT AN AUTHORIZATION FOR REPAIR OR GUARANTEE OF PAYMENT BY ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC.; AS THE OWNER OF THE VEHICLE YOU ARE THE ONLY PERSON WHO CAN AUTHORIZE REPAIRS. ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC. WILL GIVE THIS ESTIMATE TO THE REPAIR FACILITY. THIS ESTIMATE CAN NOT BE CHANGED WITHOUT ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC.APPROVAL. IF YOU AUTHORIZE A HIGHER ESTIMATE PREPARED BY THE REPAIR FACILITY WITHOUT PRIOR APROVAL FROM ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC. YOU MAY BE RESPONSIBLE FOR THE ADDITIONAL AMOUNT CHARGED BY THE REPAIR FACILITY. ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC. IS NOT OBLIGATED TO PAY FOR ANY ADDITIONAL DAMAGE UNLESS ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC. INSPECTS THE ADDITIONAL DAMAGE AND APPROVES ANY CHANGE BEFORE THE REPAIRS ARE STARTED. PLEASE DIRECT ANY QUESTIONS TO THE ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC. REPRESENTATIVE OR THE APPRAISER THAT HAS PREPARED THIS ESTIMATE. ALL ESTIMATES ARE SUBJECT TO REVIEW AND MAY BE REVISED BY ANCHOR GENERAL INSURANCE, ANCHOR CLAIMS SERVICES INC. *********PLEASE CALL TO CONFIRM COVERAGE BEFORE REPAIRS ARE STARTED*************** AUTO BODY REPAIR CONSUMER BILL OF RIGHTS Amended effective January 1, 2010 A Consumer is entitled to: Select the auto body repair shop to repair auto body damage covered by the insurance company. An insurance company shall not require the repairs to be done at a specific auto body repair shop. 2. An itemized written estimate for auto body repairs and upon completion of repairs, a detailed invoice. The estimate and the invoice must include an itemized list of parts and labor along with the total price for the work performed. The estimate and invoice must also identify all parts as new, used, aftermarket, reconditioned or rebuilt. 3. Be informed about coverage for towing and storage services. MAPP:FEB_17_V0225 Copyright (C) 1994-2017 Mitchell International Page 4 of 5
4. Be informed about the extent of coverage if any, for a replacement rental vehicle while a damaged vehicle is being repaired. 5. Be informed of where to report suspected fraud or other complaints and concerns about auto body repairs. 6. Seek and obtain an independent repair estimate directly from a registered auto body repair shop for repair of a damaged vehicle, even when pursuing an insurance claim for repairing the vehicle. Complaints within the jurisdiction of the Bureau of Automotive Repair For your protection California law requires the following statement 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. MAPP:FEB_17_V0225 Copyright (C) 1994-2017 Mitchell International Page 5 of 5
Mitchell Estimating ESTIMATE PROFILE REPORT Prepared for: Labor Rates Body Refinish Glass Frame Mechanical Bdy-S 50.00 50.00 50.00 50.00 50.00 50.00 Material Calculations Max 1st 2nd Hours Material Table Percentage Amount Hourly Hourly at Type Name Multiplier Allowed Rate Rate Rate 1 Paint 0.00 350.00 20.00 0.00 99.9 Shop N/A 0.00 9,999.99 0.00 N/A N/A Haz Waste 0.00 9,999.99 0.00 N/A N/A Paint/Material Calculation Method: Rates Refinish Labor Calculations Refinish First Panel Second Panel Maximum Hours Type Percentage Percentage Allowed Clearcoat 40.00 20.00 999.9 Three Stage 70.00 40.00 999.9 Two Tone 50.00 30.00 999.9 Clear Coat Formula Hours: 2.50 Finish, Sand, and Buff Cap: 999.9 Finish, Sand, and Buff Pct: 30.00 % Refinish Auto Multiplier: 100.00 % Adjustments Aftermarket Use Cost-Plus New LKQ/Used Recored Rechromed Remanufactured Sublet New Glass Markups -10.00 % 20.00 % 0.00 % 0.00 % 0.00 % 0.00 % 0.00 % 0.00 % N Tax Rates Tax Type Tax Rate 1 Tax Threshold 1 Tax Rate 2 Tax Threshold 2 Parts 9.000 % N/A N/A N/A Labor 0.000 % N/A N/A N/A Taxable Part Status Taxable Labor Status Taxable Costs Status Taxable Costs Status New : Yes Refinish : Yes Shipping : Yes Lubricants : Yes LKQ/Used : Yes Glass : Yes Freon & Oil : Yes Rust Coating : Yes Recored : Yes Frame : Yes Towing : Yes Shop Materials : Yes Rechromed : Yes Mechanical : Yes Storage : Yes Detail/Cleanup : Yes Remanufactured : Yes Body : Yes Coolant : Yes Paint Materials : Yes Sublet : Yes Bdy-S : Yes Estimate Charge : Yes Hazardous Waste : Yes Aftermarket New : Yes Spec'l Paint Mat : Yes Copyright (C) 1994-2017 Mitchell International Page 1 of 2 All Rights Reserved
Mitchell Estimating Alternate Parts Settings THIS PROFILE IS NOT SET TO SEARCH FOR ALTERNATE PARTS. Tire Suppliers Zip Codes Zip Code Search 1: N/A Zip Code Search 2: N/A Valuation NADA Book: California Region Type: Retail ACV Threshold: 80.00 % Copyright (C) 1994-2017 Mitchell International Page 2 of 2 All Rights Reserved