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Moenck 9800 Fredericksburg Road �' San Antonio, Texas 78288 r-•- USA�A. R���I�'�:.�� ��v �4 20�3 01326 . 1450N. JSS734323123. 09. 01 . 614 CITY CLERK CITY OF ST PAUL ATfN CITY CLERK October 30, 2013 15 W KELLOGG BLVD RM 310 SAINT PAUL MN 55102-1615 Reference: Request for Payment Dear Sir or Madam, We reimbursed our insured for damages sustained as a result of the loss referenced below. Our investigation shows that your insured is responsible. This is notification that we intend to recover the amount we paid. USAA policyholder: Bruce J Moenck Claim #: 4235244-30 Date of loss: August 26, 2013 Loss location: St. Paul, Minnesota USAA tax ID: 74-0959140 Your policyholder: City Of St Paul Municipal Equipment Your reference #: We ask that you not settle the claim with our insured without protecting our recovery rights. Please see the attached Payment Summary for additional details. If you need additional assistance, please call us at 1-800-531-8722. Thank you, United Services Automobile Association USAA # 004235244- DM-04664 54358-0211 Page 1 of 4 1�y� �: �J Payment Summary USAA Ciaim #: 4235244-30 Vehicle Damage $1,418.38 Total payment requested $1,418.38 • Make your certified check or money order payable to: USAA as subrogee of BRUCE J MOENCK. • Provide claim # 4235244-30 on your check or money order. • Send your payment to: USAA Subrogation Dept P.O. Box 659476 San Antonio, Texas 78265-9476 Any payment less than the fuil amount that we have requested wili not satisfy our claim. We will not waive our legal rights to enforce coilection of the remaining unpaid amount uniess we provide you a written release. Page 2 of 4 M.01450 N.000614.0009.000 i.0.000000.Z. Payment History Issue Date: 2013-09-11 Payment Amount: $418.38 Check Number: 006149935 Pay to the Order Of: ABRA AUTO BODY AND GLASS Allocation Item/Party Benefit Reason Amount Coverage Collision IV 2000 Vehicle Standard $418.38 HYUNDAI indemnity TIBURON 2D Payment Amount: $418.38 Page 3 of 4 Page 4 of 4 1.01450N.000614.0009.0002.0.000OOO.Z. . ABRA Auto Body & Glass - West St Workfite ID: f13fa381 • Federal ID: 41-1942823 Paul Right the First Time...On Time 130 THOMPSON AVE E, West Saint Paul, MN I 55118 Phone: (651) 552-7744 FAX: (651) 552-8176 Estimate of Record � Customer: MOENCK, CW4 BRUCE 7ob Number: Written By:Craig Scheffler,8/26/2013 1:12:37 PM Adjuster: Billingsley,Thomasina,(800)531-8722 Business Insured: MOENCK,CW4 BRUCE Policy#: 004235244 Claim#: 004235244000000030001 Type of Loss: Collision Date of Loss: 8/26/2013 12:00:00 PM Days to Repair: 4 Point of Impact: 05 Right Rear Owner: Inspection Location: Insurance Company: MOENCK,CW4 BRUCE UNKNOWN USAA 481 SIDNEY S?'E Other Colorado Springs--8187 SAINT PAUL,MN 55107 Visit"USAA.com"or call (651)228-0509 Evening (800)531-8722 Business (651)245-4825 Cell VEHICLE Year: 2000 Body Style: 2D CPE VIN: KMHJG35F3YU203107 Mileage In: 141079 Make: HYUN Engine: 42.OL-FI License: IZZER Mileage Out: Model: TIBURON Production Date: 4/2000 State: MN Vehicle Out: Color: Red Int: Condition: Job#: TRANSMISSION DECOR RADIO 4 Wheel Disc Brakes Overdrive Duai Mirrors AM Radio SEATS 5 Speed Transmission Console/Storage FM Radio Cloth Seats POWER CONVENIENCE Stereo Bucket Seats Power Steering Air Conditioning Search/Seek WHEELS Power Brakes Intermittent Wipers Cassette Aluminum/Alloy Wheels Power Windows Tilt Wheel SAFETY PAINT Power Locks Cruise Control Drivers Side Air Bag Clear Coat Paint Power Mirrors Rear Defogger II Passenger Air Bag 8/26/2013 1:12:37 PM 029893 Page 1 fl Q(11 1 1 9 n R�711 Fi 41 r_ 4i3AA Coniidsnti=t Estimate of Record Customer: MOENCK, CW4 BRUCE ]ob Number: Vehicle: 2000 HYUN TIBUROfrI 2D CPE 4-2.OL-FI Red Line Oper Description Par6l�uml�er Qty Extended Labor Paint ' Price� 1 QUARTER PANEL 2 * Rpr RT Quarter panel 8 Q 2.4 3 Add for Clear Coat 1.0 4 R&I RT Quarter glass Hyundai 1.5 5 # Repl �Urethane Kit 1 20.00 T ............................................................................................................................................................................................................................................. .............................. 6 REAR LAMPS 7 R&I RT Combo lamp assy Incl. __. _..... _ _.... _ _ ........ ..._ ................ 8 REAR BUMPER 9 ** <> Repl RECOND Bumper cover 8661027510 1 232.00 1.8 2.8 10 Overlap Major Non-Adj. Panel -0.2 il Add for Clear Coat 0.5 SUBTOTALS 252.00 11.3 6.5 NOTES Esfimate Notes: 1)DR(8-26 ),DC(8-26 ), DI(8-26 )Schd( ),Drivable(YES),ACV(%60). 2)ECD O,Pay-Code O, ERT(4 DAYS). 3)Signed Direction to pay is on file. NO 4)Discussed repairs,provide estimate and QRP brochure to(OWNER)by(AND)on(8-26). 5)Prior Damage: (RT QUAR7ER IS RUSTED WJOULD NEED TO REPLACE DUE TO RUST ). 6)LKQ/Aftermarket: (KEYSTONE ). 7)Aftermarket Parts Appro�ral(NO ). 8)Appearance Allowance Offered;(NO ) Prior Damage Notes: ABOVE TAILPIPE ESTIMATE TOTALS Category Basis Rate Cost� �� 232.00 Body Labor 11.3 hrs @ $52.00/hr 587.60 Paint Labor 6.5 hrs @ $52.00/hr 338.00 Paint Supplies 6.5 hrs @ $32.00/hr 208.00 Miscellaneous 20.00 Subtotal 1,385.60 Sales Tax $460.00 @ 7.1250% 32.78 Grand Total 1,418.38 Deductible l�ppp,pp CUSTOMER PAY 1,000.00 INSURANCE PAY 418.38 8/26/2013 1:12:37 PM p2ggg3 pa9e Z i.oiaSON.000si . on, � �ti:E 0901119c8d24641c _ .�... ....., Estimate of Record Customer: MOENCK, CW4 BRUCE 7ob Number: Vehide: 2000 HYUN TIBURON 2D CPE 4-2.OL-FI Red THIS IS A VISUAL INSPECTION ONLY. THERE MAY BE ADDITIONAL DAMAGE AFTER DISASSEMBLY. PARTS ARE SUBJECT TO INVOICE. THERE ARE NO GUARANTEES ON RUST REPAIRS. "Minnesota law gives you the right to choose any rental vehicle company, and prohibits me from requiring you to choose a particular vendor." Please Present A Copy Of This Estimate To A Repair Facility Of Your Choice *USAA Subsidiaries include: United Services Automobile Association(USAA), USAA Casualty Insurance Company(CIC), USAA General Indemnity Company(GIC) USAA County Mutual Insurance(CMI) and Garrison Property Casualty Insurance Company. Garrison Property and Casualty Insurance Company, a subsidiary of USAA Casualty Insurance Company, is authorized to use the USAA logo, a registered trademark of United Services Automobile Association. This is not an authorization to repair. Failing to present this estimate to the repairing garage before repair may result in additional expenses to you. A USAA appraiser must authorize any supplement to this estimate. Repairs to this vehicle may require specific welding equipment as recommended by the manufacturer. If alternative quality replacement parts have been included in this appraisal,the source for these parts has also been disclosed. If alternative quality replacement parts as listed on the appraisal are ultimately used in the repair of your vehicle, the warranty on such parts will be equal to,or greater than,the parts being replaced,as stated in USAA's limited parts warranty. USAA warrants that the parts used on your vehicle will be of like kind and quality,function,fit, safety and corrosion protection as the part or parts they replace. USAA identifies certified and validated parts for sheet metal replacement parts. MN ST 60A.955- A PERSON WHO FILES A CLAIM WITH INTENT TO DEFRAUD OR HELPS COMMIT A FRAUD AGAINST AN INSURER IS GUILTY OF A CRIME. 8/26/2013 1:12:37 PM 029893 Page 3 n 9(11 1 1 9 r_R c7 2 4 6 41 c LiSAA Con�dantiaE Estimate of Record Customer: MOENCK, CW4 BRUCE 7ob Number: Vehicle: 2000 HYUN TIBURO�V zq CPE 42.OL-FI Red Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unle�s qttterwise noted all items are derived from the Guide AER1032, CCC Data Date 8/16/2013, and the parts selected are Q�M-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicl�d�alerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by o�thrqugh 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"Biemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk(*) or pouble Asterisk(**) indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an aiternate data source. Tilde sign (N) items indicate MOTOR Not-Included Labor operations. The symboi (<>) 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 or A/M. 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 2014 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 complete 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 reptaced: 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) i through 4=User Defined Labor Categories. OTHER SYMBOLS AND ABBREVIATIONS: Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. BInd=6lend. BOR=Boron steel. CAPA=Certified Automotive Parts Assaiation. D&R=Disconnect and Reconnect. HSS=High Strength Steel. HYD=Hydroformed Steel. Inc1.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non Adjacent. NSF=NSF International Certified Part. 0/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=UItra High Strength Steel. N=Note(s) associated with the estimate line. 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. 8/26/2013 1:12:37 PM 029893 Page 4 1.01450N.00061 . on � entisE 0901119c8d24641c Estimate of Record Customer: MOENCK, CW4 �RUCE 7ob Number: Vehicie: 2000 HYUN TIBURON 2D CPE 4-2.OL-FI Red AL�ERNATE PARTS SUPPLIERS Supplier: Keystone-Complete-Minneapolis Location(s): 3615 MARSHALL STREEf NE,MINNEAPOLIS MN 55418 (800)328-1845 (612)789-1919 Line Description Item# P�ice 9 RECOND Bumper cover HY1100128R $232.00 8/26/2013 1:12:37 PM 029893 Page 5 0 9 01119 C 8 d2 4 6 41 C E3SAA Con�irfsntizt 1.01450 N.000614.0009.0005.0.000000.Z. ��j�� �/,;i:''Gi�::s:i5 / / j�:.'/.�::;6iGiz':,:;::;', �,%. .��jj�i�'����� �/�%�% i:,:' :_;. i; � �/j i � /, / �/ / � � ! �// % i � � , . � //� , . i/,/, /�, , � � , ,�,%,/ ,, � � , %,,,,�� , , ,/ //, �,/�j.// ;�,,,,; ...� � // ,: /i/%i // /i // /,, , `oi � // � ,/;,� /� i // i/ ;/����, , . , / /,. � / / � , ,,/� i / �� ,�i/// %/// , � /,./ ,� ,//// ,,�/„ � � ,. ,� / ;,/ //:;/ ,,',�%i/ / / / , , /i„ �� � � ;;i;/ i / / // / i//, �/i<,; „�i , / / ,/ , �//,�,, .�/�� , , ... . , . /, ./ . / . ,,�./�, .,,.,,,� �� � �. / ,,/, , , ////, ,::,,,/,,,�%,::,��:� �//�� ,...,i . i/, , , � .� ��� ,, „ %,/�,,,. : :,,. ./,� , ,,:., // .�//,, , . / „ � �i/,,,, � .., . .,,:..,...,., , / . , / � . ,. ,,, ,...%.,/:,,;/�� .�, ., , , � .. ��,.,.. ,, . ,, .., ..., , � / i�//„i�, ; �.,/////�i //� // :;,/,;<,,�.,%/,;i,. �%,<< ,.� /,// ii i,. , :: /�%�� �/,,,,,/ „i/:,%�,�,/�,,, �, , , , �//� ,, : ; ; ,, �,i../.:., �,//�/�////��i��<,�,,�,��i,�i�;� .,%%� ,,, ;- i /i, / � //�j,, ;�,/�, i� �j y,,, � � � �� ,,, , / / l /..i�-.: ////�j��//.�/ / .../�, / /�//////i�''i;�;,:� . /,i. �. /: ///j��j/j/ �/ //j/ �' .�: ..... �: :�::: ,:/�/ � :.....:. .::.... . ..::..:: .. :::..::..:j/ / ..... .................................:.::..:. ... . .........../ / ....:. :'.. :.::::. ...:..:.// ..... ...�:.. / / ;��;; �:: � !� , ;;,,,,'/�� %,,'ii /�%%�/,- �i /,::< ,,,f%����'"" , <; ,:%!%�/ //, / ���j: �,� �� �` 'i/�,� //,.�//, �� „ � �� �,j � �i � �; �� �, � � :i i''� , �"�.��! :�;:, � �'�� :� �i �� , � � , z j� , ' > %� ; o� , ///,,,:, �; i � � % :;:..: j � �j/ � � / / � � / :j� . ,, � � �:,,, ;� y ,;,;; ;, � , ; : ��; � �; , , , ,�.; ; � �,� , / / /,�/�i; ,,.,.;:;,.; ; �%////,�/ , � . , / ' �/� %��. !..✓: , :::.; -. .... .:.: , :,� < . i 1 • 1 • : • � . � • i °. �//:� i//;�/�'�i ii��j�/ i//�% / : %� � '��,'���� % �/1' ,,.�� ���; //i� �i ii// � i y/'��'/�%��� i� �: / ;/ �, ��/ � �j ii//�j / i �.�/� / �� //� . ��fj G �/r /j//jj�„ ��/ o� � . � %� �i i ii . /� ��� l �����/j//�//����/�//i%5%i/ � ' St h ,�'s'� ��% /� "� ,�� ;� � �.i�r ' � /. �i /a�// ���// ��/%/%/�� ' �! y�nnii ' , /a . _ ,r 'f., ii//'////%///// o/ i ./; r/i/i � � �/� � ��� �:% ���/i i i�/���1�� � ��� i�i /��� :, /� i/ �. �/ ;///�/ i /� i�, � �/ : i i / / ,/ ///%,/ ���1�, ! �, f ��,,. , 1� ,;; � //,/�,� ,,,�.�, ..I ` :y �y„ > `. 4 `y� � j ;iii/ . �:i: .�/�iioi�y/ �/// �/� �� .�// ii � '?.i,i� �t,.%� , � s yi �6,%a�.� �y ���� ' %i i%AS.�y �Yihi A i i/ �,.,.�9'.f""v�, /�/ �/r � ., . p�j :. / �// .:, l'::��, � �//.G zG ��f/i ./ � . .£K� � c6acoG � /// �� �% � ��// / / i �/ ' �y. ��%/y' - c'_ � �i - y /�� � �� . ,,,,, � , >�},�> ���/% ,,, , �. , '� ;. � �yfy „///i�/ if,�",s�niio �.,�%r�s�ra ..i " �-'�ii oiiii > y��,< . �� '?' 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