Triemert, Sandy 1 � i
�� � �T u-1 e� �f��� � U i�.,�'t, �
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Moore, Shari (CI-StPaul) `� �(� `�' ��aG; ��� l; C` � � �-��ti�i�� a'Yi,`�;'�,t
From: Sanders, Donna (CI-StPaul) � 1'� ���"`�-(..% / ' ,�'3 �ly
Sent: Wednesday, July 30, 2014 1:07 PM
To: Moore, Shari (CI-StPaul)
Cc: Foss, Katie (CI-StPaul); Sanders, Donna (CI-StPaul)
Subject: Front Desk Message for Shari
Shari,
Please call Sandy Triemert, 612-730-0670. She just faxed her claim to us for car damage received when it was towed this
past winter. She was told that she needed to go through Traffic Court before she could file a claim for the car
damage. She had called right away for a court date but wasn't heard until 7/21. Her charges were dismissed. Now she's
ready to file her claim, but understands it must be filed within 180 days—and the reason it was delayed was because of
her traffic court hearing date. She's looking for clarification.
Thank you.
Donna
1
I
To: 96512668574
Company:
Fax: 965126685 74
Phone:
From: sandy.triemert C3220_T555 sand
Fax:
Phone: 651 .431 .3196
E-mail: Sandy.Triemert@state.mn.us
NOTES:
Send data from C3220-T555 07/30/2014 12:45
Dete end time Of tr8nsmission: Wednesday, July 30, 2014 12:48:24 PM
Number of pages including this cover sheet: 15
i
NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota �
i
,Niuneswe S��de S7narte l66.(1S�Yr�fev r/rof "...e►�ert�per,�nu,..ufio clrrirn�rlauinges fr•vm�mp uiu�iicipn/rly...sHal!ct�n�e lo be prvseafed tc�d1a `
go►�ernrri�borlj�v/'dre mnnicipcdiry►►ilJ�in/80 dnys n%tCr!!�e rt/lcgcd loss o►•h jnry rs discuvere�l tt►roliC�sl�Nin�•Ur��Fn�e,placY,u�rd �
cira�n���ta�rces 1lrFreo�mid dre anmun�ojco►npe�r3n�in►�ur orbcr rrliejdcum�idcrl." �
P�ense eomplete this form in its entiret��by clearly typing or printing your ans�vcr to eacL�uestion. It more spnce is �
needed,uttacL addltional sl�eets. Pleaee note thst you may or ms�y uot be contacted by telephone to discue�s your claim
circumstnuces,so provide as mucl�information as necessary tu explain your claim,and the nmount of compensution bci�g �
reyucstcd. This[orm must be signed,And both pages complcted. IF sumcthing does not apply,�vrite•N/A'. i
SEnD CQ�![PLETED FORn?AND OTI�ER DOCUMENTS TO:
C1TY CLERK, 15 WEST KELLOCG BLVD,310 CI?Y HALL,SAINT PAUL,Mn 55102 I
First Naine �l�i��-� Middle Initial � Lt�st Nerne �f'► Y°�Ps'�" '•
i
Company or Business Naine,if upplicable !
sve�t AaaT�ss I(�q V�• N�c.,�r��q l�- � �� l L`� -_ '
City ���a.�� State M-^S Zip Code SS L t� I
Dnytime Telephone ' l�Z )7�`3��-C��`ZO Evening Telephone t a ^7 430-O��O ;
Date of Accident/Injury or Date Discovered �`�����-3 Time ��-�����prn(eircle) i
Please slate, in detail,wliat occurred,and why you are submitting a claim. Please indic�lte why or how you �
fccl the City of'Saint PAUl or its cmployees�+re involvecl Euid/or responsible. :
. !
M ' �
� ,. � , ;
� ;
, i
-�-- -- , — i
;
�
Pleasc check the box(es)that most closely represent the reason for completin�tiiis fomi: �
❑Vehicle was da�riaged in an accidenf � �Vehicle K�as damaged during A tow i
0 Vehicle�vas damaged by a pothole or condition of the street �Vehicle was damaged by a plow �
`Velucle wri.4.wrangfully towed and/or ticketed O Injured on City property �
tlier type af property damabe-please spccify �=r. �e��� _- �
D Other type of injury--please specify �
O Other type not listed-please specify .
ln orc�er to p�rocess your claim you need to include copies of all Applicable documents. This is a general �
guideline of what should be submitted with a cla�m form,but it is not all incl�srve. You may be askcd to '
provide additional infonnation de�ending on your claim. �
O Property damage clauns to a vehicle: at least two estimates for the repairs to your vehicle;or the i
actual bills and/or rcceipts for the repAirs ,
. O Towing claims: legible copies of any tickets issued and copies of the impound lot receipts
O Uther property damage:reptur estimates,detailed list of damaged items
O Injury claims:medical bills,receipts �
O Photographs can be provided but will not be retumed. !
� Pagc 1 of 2-Please complete and return both pages of Claim Form
Failure to provide a completed claim form�vill result in dela��s in processing.
�
Notice of Claim Form,City of Saint Paui,pagc hvo
; All Claims–aleasc comulctc this section
� Were therc wit��esses to the incident? Yes �lo Unknown (circle)
lf yes,pleASe provide their names,uddresses and telepho�2e numbers:
1
�� Were�he pQlice or law enforcemcnt called? Yes No Unknown (circle)
� If yes,�i�hat depArtment or agency? Case#or report#
i Where did the accident or injury take place? Provide street address,cross street,intersection,name of park
i� or facility, closest lundmark,�tc. Please be as detAiled as possible. Ifhe�pful,attaeh a diagram.
� ��
� �R� Pcvot� 4,k. � _ _ .
;� - T'lease indicate the amount you Are seeking in compensation from this claim ur what you�vould like the City
� �� to do to resolve tlus claim to your satisf ction.� l�'-I,q• a'1 ��1 -� –r'�.�.� �_
�a �� • �M�� ��r� C� �n.nn r_. C�
� ,��� .i�� .�-r7 C� �Aa.nA[1P �.t►i1[��f A.
�i - -
,i
Vehicle Claim – lcase com 1 te this section O chec x if th's section es not a 1
YourVehiel�: Year-1�,4 R -Make d� Model__ � «�I.LP_ s�.�
;, License PlAte Number_V�/�,_ State._�I Color���,,,,_}�,�_ __
� � Registered Owner ����a T'�.Q....p�rE-
Driver of Vehicle
- Aren DAmaged `
: City Vehicic: Year Mtil:e Modcl
� � License Flate Number State Color
� . ,,. _._ _:_.. ._.—:- -- =- - : . --. _.
� ,_- -.- �. . . Drlver of V�Iii�1C�Ci�y Eiriployee's Na�ne) .. ..
u Area Dttma�;cd ______ ____ ___.
;; .
�� iniurv C1aLns--alease camplete tNis section L] �heck box if this section does not aUUlv
� Ho�v were you injui•ed? �
i� _ _. �
� W hat parf(s)of your bady were injureti?
�` --
h —
� Have you sought medical treatmcnt?, Yes Nc� Planning to Seek Treatmcnt (eircle)
� When did you receivc tre�tment? �(provide date(s))
Name of Medical Provider(s):
�� Address r_.._ Telephone
� Did you miss work as a result of your injury? Yes �Ta
� When did you miss work'? ', _ (provide date(s))
� Narne of your Employer: _
Address Telephone
�,Check here if you are attaching more pages to this claim form. Number of additionsl pages . -,�
Bj�.ri�uiitg 111is jorm,�+olr are sfali�lg fhal a!I lqJorn�aliou yort have provlJcd is hue and correcl to du best ojynar kirorvleAg� Unsigned
,/'or►nf�vill nat hs proeessed. Snbarittfng a false dalin caa resall b�proseeN�ion. ��
Print the Name of the Pcraon wLo Com ete tWs F : ���n�2�1 ' !R� �+ne2�
Signature of Person Making the Clafm: , r
� �Date form was completed /�/I�/ Revi►ed April�Of17
STATE OF MINNESOTA DISTRICT COURT
COUNTY OF RAMSEY ORDE R SECOND JUDiCIAL DISTRICT
TO REPORT �
CITY OF VIOLATIQN FILE NO.
ST PAUL 620901390471, 620901390470
DEFENDANT DEFENDANT'S PHONE N0.
Sandra Triemert 612-730-0670
YOU, THE ABOVE NAMED DEFENDANT, ARE ORDERED TO APPEAR ON:
.l lll. 21, 2014 at 1:OOpm tor CRT TRL befo�e the presiding judge in room#130.
FAILURE TO APPEAR FOR A SCHEDULED COURT APPEARANCE IS A CRIMINAL OFFENSE
UNLESS FAILURE TO APPEAR IS DUE TO CIRCUMSTANCES BEYOND YOUR CONTROL.
FAILURE TO_APPEAR FOR A PETTY MISDEMEANOR COURT TRIAL CONSTITUTES A PLEA OF GUILTY
UNL"ESS YOU APPEAR WITHIN 10 DAYS AND�SHOW THE FAILURE TO APPEAR
WAS DUE TO CIRCUMSTANCES BEYOND YOUR CONTROL.
FAILURE TO APPEAR MAY RESULT IN A WARRANT FOR YOUR ARREST
� St. Paul Courthouse...................................................15 W. Kellogg Blvd........St. Paul.........55102.....(651)266-8180
❑ Ramsey County Law Enforcement Center................425 Grove St.........,.......St. Paul.........55101 .....(651)266-9696
❑ Maplewood Branch ....................................................2050 White Bear Ave,...Maplewood....55109.....(651)266-1999
DEFENSE ATTORNEY PHONE NO.
DATE January 21, 2014 JUDGE: Handed to the defendant by NX
Comments: SINATURE
DEFT SAID CARS GOT TOWED AND WOULD LIKE TO HAVE A CRT TRL WHILE STILL FILING FOR
HER TOWING FEES BACK, R&R SHEET I HANDED 70 HER
� Page 1 of 1
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RFCisTra oF Ac�rro�vs
c:,�s�•:vo.��a-��n-ia-2ou
State o(Minneaota va SANDRA KAY TRIEMERT § Case Type� Crlml7rof Non-Mand
§ Date Filed: 01/2812014
§ Location: Ramsey CrlminallTrofflclPelty
§ Downtown
�
� PAItTY IIVYORMAI'ION
lead Attorneys
Defendant TRIEMERT,SANDRA KAY Female
838 E 5TH ST DOB:0812 3/1 9 6 7
ST PAUL,MN 55117
Jurisdlction State of Mlnnesota , '
NONE
-----�....._.__ - C.l1ARGE INRORMATION I
Charges:TRIEMERT,SANDRA KAY Statute Level Date i
1. Snow emergency parking reslriCtions 161.03 Pelty Mlsdemeanor 72/26/20t 3
�
........ i
F;VF.N'fS aYt ORDF:NS OF'I'llt:COUN9' '��..
DISPOSI'fIOIVS '
01I21/2014 Plea(Judfcial OHicer:Xiong,Neng.)
1.S�ow emergency parking reslriclions
Not guilty
07/27/2014 Dlspoaltlon(Judiciel Officer:Yanish,Jo nnno M J
1.Snow emergency parking reslrictions -
Dismissed
OTHER M.VI:(VTS AND HEARI(VGS
01i21/2014 Hearing (8�o0AM)(JudicialOfficerXiong.Neng,)
Resu1L'Neld
01/21I2014 Notice and OMer lo Aonear(Judicial OKcer:Xiong,Neng,)
0'1/28/2014 Cltation F•Flled
01I26I2014 OHlcer Notes
SNOW EMERGENCY DECLARED ON 17125J13 AT 2100 HOURS.MULTIPLE SIGNS POSTED AND STREET HAS NOT BEEN PLOlNEO
CURB TO CURB.CN 13-272-990.
01/26/2014 Summoned•Own Recognlzance
01/28/2014 Mterim Condltlon forTR1EMERT,SANDRA KAY
•Summoned
07/21l2014 Hearing (1 00 PM)(Jtbicial OHicer Yanish,Jo Anne M)
Converted from Vibes:De/f states cais got fowed d would like to have a crl trial while slill 1�1ing lo�her lowing/ees back;R S R sheet prov�ded to
delt '
ResulL Held I
https://mpa,courts.state.mn.us/CaseDetail.aspx?C;aseID=1616676580 7/2]/2014
__ _._..._............. .....�_-- ., ---_,..---- ._..------- -
I , t._.._- - — _.,�_:;:�` -"''}
�,
. , , , State of Minnesote Rpmeey Distrlct Court
. i CITY OF SAINT PAUL ,
. , . . RARKING CITATION
ca.nan No.: 820A013904T1
i Cw No.: i.
s • ' 6t�aul�ollw Depa�lment �
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. . wmouuam�Numn�r: VYL884 ee.t.:MN USA ; �,
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i
o�b oroRma 1212012019 Tlm�o/OR�n�� 00:02 I' ,
, _ 8t�tublOrd ORmu 4
' � 181.03 Bnow emergency parking reslrlcllons , .
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OR�au Clty:
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Mder Numh�r: Permlt Zone: s������Tlm�Zon�:
, Ch�lk In:. Ch��Out: PuM�d:(�:MMI .
Unit:000
_ omc•r t:RRO D.long6ehn,Jr
OTe�r Numb�rc,409505
� Ortlo�r2: .
� . � -�.. ORlnr Num6ec . II �
�Report delactiw mefers by noon lhe next business day �
Call(Q57)2e6•Y770 I
Topayyourfinebiest)1 ep2 ZaltSduslnessdaysandthencall
I'll dted tor No Proof e/ln�ur�ne�or Ne Drlwr�Llr,•nee In Po�a���lon.Proof of In�ursnes v+dor � �,
- Ddwn llan���hould b��hown In on�of th�Vlol�tbn�Bunau Lccallons ON�d bdow wi�nin
90 bueln��s A�y�M1he vlolNlon.
To p�yyour Nt�tlpn onllnr. wv�w.?ndw�bQ�:eouA��t��mn u4
. For�dd111ondlnforrn�tlon�rle p�y yourM�by bbphen�ndnp a cndll cvd, ��.
CdL• (861)268.9204.
� Pl�n�h�y�your dtatlon,numb�r�nd endk osrd wNl�bb.
�
. �� Mdl prymmt�to: q�m��y Dlddce Cour1
" , TnTe VIeI�HOn�Bur�w •
16 W��t K�Uoyp Boulw�rd-Room 7�0
� SL��ul,MN 6610$�1673 '�.
� ' Mak�eh�eMi pN�bU toc Rsmqy DIo1rIN CouA
(A chvp�ofup to i30•00 w�M b��u�i��d on�U r�turn�d ch�ehs)
. . . .. . . .. . . . . . . . .. ... . . . .. � VIol�pon�BU►�wlee�Uen�
81.P�ul Court 9uburb�n Court L�wEnforwmeat C�nt�r
� '16 W.K�NO{�Q Blvd.RM 1J0 ���W��8���A°�' Ot�P ul,MN 66101 .
- � „ 8t.P�ul.MN66102 Mipbwood,MN 66109
011le H;:i O O��,M•By p ol tm�nt only eall(661)166.9302Hoiaay�)
Payment and Penallles
ryu w1�h lo ol��d auNlv for fh.oK�n�ds)on lM nvv���Id�o/lh�cR�tlon.yau mu�t do�o
ti Ithln 30 d�y�Mom th�dd�Ih�eltallon Is Obd wifh ths Court.lt U your r��ponUblMlY�u
pna�nt yow P��nt n�ilmdy mmnec Pl��w�Aow6 hudn�st d�1n for pron�dn0.A i6.00
Ih�Caurt ddlllonal'ddlnqwnl(almryt+�add�dlodlunpddQn�smount��,�����fil�dwllh
AdaltlonU psneMb�m�y�ndudr q r�prrd fe lh�D�pMm�nt elPubllc S�fNYlor drlwYt
�k�����usp�ndon,2)vn�t warrsn!Inu�d,�ndlor 3)nfaal to a colbetion�ap�ncY•
� Hih�eR�n��1��P�«Y mbd�mnno4 fdlun 1��pp��rwlll b�tentld�nd�CI��of pulRy md
w�W�r to Ih�rlpht fo Irld unl���th�h0ur�to�ppnr�e dw te clreum�l�ne��b�yond th�
. p�non'�conlrol(M.6.16i.97).
; APPeat
. • To pbad not yuNly,or te pu�0 o�nty�ntl on�r m��plsnNlen:
1)AR�r6 bueln�n dsy�,cd1661-266,1202 to conNm that th�clt�don h��D�en�Ird
wtth th�e0u H. .
'�" �w, '� , Mlnnesota Ineurance Ident111catlon Card /mportant/nfbrn►ailon
geico.com 1'800-841_90�0 Here are your Pollcy Identlficetlon C�ds. Pleese destroy your
6EIC0 GENERAL INSURANCE COMI?l�\; old cenls when the new oerds bacome effective.
ONE GEIW CENTER MACON,'���1295-0001
Poi�o Numb�r EN�eW� �b�':;, Expi►Nion Dat� Due to spece Ilmltatlons on the ID cerd,only the Nemed Insured end
1901�34901 iz-21-,�,�;;��;; 05-10-14 the Co-insurad ere Ilsted. For a full Ilst of drivars covered under thls
ri�r M�a MotIM1� Vihid�ID No. pp11Cy,pleese reference the Drivers sectlon ot your Dedaretlons
1998 CAD SEVILLESLS 1G�iK�54Y1WU934068 Page,which la included with your Insurence pecket.
Insusd: »\�;:.
SANDRA KAY TRtEMERT ��?��� Please notlfy us promptly of any Chenge In you�address to be sure
KIRK OOUGLAS TRIEMERT,..S�2"`;, y0U�eC91VA 6II IIY1pOP�Ant pOIICj/dOCU1'T1e11�. Pf�01'flpt 110tIIICAtIOr1 WIII
'�" ' eneble us to service you better.
](86P TF�S�fltIFIGTH IN ilff INSUREQ VEH[CLfi A7 ALL TDNES AND Your pollcy Is recorded under the neme and pollcy number shown
PAODUCS T[UPON D6MAND OF A PEACF OFFICER.
Or1�19 C9�.
If you would Ilke eddltlonal ID cards,you cen go onllne to
g�ico.com or cell us et 1-600�41�000.
Wh�t bo do�t tM tinN o!�n a�cid�nt
• �o not�dmlt feult.
• DO nOt reveal ths Ilmtts of your IleDlllar oover�ps to anyono. I
• Exohanpo oonfeot Inlbrmatbn;get yeer,m�ko,moAe),plal�e
number�Ineureno0 CprAOr p�d polloy numbsr o/ail Invotved.
lueo.�dently witnasses and oolleot oonteot�nformatlon. '
• Confeat fhe pono9 or 817 if appllc6Dle.
• Co�ted GEICO by ceiling 1-000�413000 or vblt
O�i�o.eom to ropori tha eaoldent.
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ABRA Auto Body &Giass - Midway Wakfile ID: 8e8ce8ab '
'�' Federal ID: 41-1852119 I
Right The First Time...On Time
1190 UNIVERSITY AVE W, SAINT PAUL, MN 55104
Phone: (651)645-1563
FAX: (651) 641-6129
I
Preliminary Estimate
Customer:TRIEMERT,SANDY ]ob Number: �
Written By:Steven Hanson i
Insured: TRIEMERT,SANDY Policy#: Claim#: * '
Type of Loss: Date of Loss: 12/26/2013 12:00:00 PM Days to Repair: 0 I
Point of Impact: 12 Front
�
Owner. Inspection Location: Insurance Company:
TRIEMERT,SANDY ABRA Auto Body&Glass-Midway CUSTOMER PAY
169 N MCKNIGHT RD#119 1190 UNIVERSITY AVE W
ST PAUL,MN 55119 SA1NT PAUL,MN 55104
(612)730-0670 Business , Repdir Facility
(651)645-1563 Business
VEHICLE
Year: 1998 eody Style: 4D SED VIN: iG6KS54Y1WU934088 Mileage In: 176434
Make: CADI Engine: 8-4.6L-FI License: WL-664 Milea�e Out:
Model: SEVILIE SLS Producdon Date: State: MN Vehide Out:
Color: WHITE Int: Condition: Job;�:
TRANSMISSION Dual Mirrors RADIO SEATS
Automatic Transmission Body Side Moldings AM Radio Bucket Seats
Overdrive Console/Storage FM Radio Leather Seats
POWER CONVENIENCE Stereo WHEELS
Power Steering Air Conditioning Search/SeeK Aluminum/Alloy Wheels
Power Brakes Intermittent Wipers C�Player PAINT
Power Windows Tilt Wheel Cassette Three Stage Paint
Power Locks Guise Control SAFETY OTHER
Power Mirrors Rear Defogger Drivers Side Air Bag Traction Control
� Heated Mirrors Keyless Entry Passenger Air Bag Power Trunk/Gate Release
Power Driver Seat Alarm Anti-LoCk Brakes(4)
j Power Passenger Seat Steering Wheel Touch Controls 4 Wheel Disc Brakes
� DECOR Climate Control Front Side Impact Air Bags
i
1/3/2014 920:10 AM 011906 Page 1
;�,
Preliminary Estimate
Customer:TRIEMERT,SANDY Job Number:
Vehicle: 1998 CADI SEVILLE SLS 4D SED 8-4.6L-FI WHITE
Line Oper Description Part Number Qty Extended Labor Paint
Price�
1 FRONT BUMPER
2 ** <> Repl RECOND Bumper cover SLS 19245378 1 404.00 2.2 3.0
3 Add for Three Stage Z•1
4 # Repl 'Flex Additive/Adhesion Promoter 1 8.50 T
_._....__.. .---------_.._.__..._.__..__...---- -------- --...._.._..------_...___- --- -.___�..., ...__ __ __ --•- _._....- ---- --- _..._.__ . -- _....__ __..____ --------•---
5 MISCELLANEOUS OPERATIONS
6 # 'Hazardous Waste 1 5.00 X
SUBTOTALS 417.50 2.2 5.1
NOTES
Prior Damage Notes:
1
ESTIMATE TOTALS
Category Basis Rate Cost;
Parts 404.00
Body Labor 2.2 hrs @ $54.00/hr 118.80
Paint Labor 5.1 hrs @ $54.00/hr 275.40
Paint Supplies 5.1 hrs @ $34.00/hr 173.40
Miscellaneous 13.50
Subtotal 985.10
Sales Tax $585.90 @ 7.6250% 94.67
Grand ToWI 1,029.77
Deductible � 0.00
CUSTOMER PAY 0.00
INSURANCE PAY 1,029.77
THIS IS A VISUAL 1NSPECTION 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."
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.
,
1/3/2014 9:20:10 AM 011906 Page 2
Preliminary Estimate
r
Customer:TRIEMERT,SANDY ]ob Number:
Vehicle: 1998 CADI SEVILLE SLS 4D SED 8-4.6L-FI WHITE
ALTERNATE PARTS SUPPLIERS
Supplier: Keystone-Complete-Minneapolis
Location(s): 3G15 MARSHAIL STREEf NE,MINNEAPOLIS MN 55418 (600)328-1845 (612)789-1919
Line Description Item# price
2 RECONO Bumper cover SLS GM1000569R $404.00
1/3/2014 9:20:10 AM 011906 Page 4
r
' Preliminary Estimate
Customer:TRIEMERT,SANDY ]ob Number:
Vehicle� 1998 CADI SEVILLE SLS 4D SED 8-4.6L-FI WHITE
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide
DE16C98, CCC Data Date 1/2/2014, and the parts selected 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 dedlerships.
Asterisk(*) or pouble Asterisk (**) indicates that the parts andJor labor information provided by MOTOR 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 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 rnanufacturer, 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 descrlbe work to be done or parts to
be repaired or replaced: •
SYMBOLS FOILOWING PART PRICE:
m=MOTOR Mechanical eomponent. s=MO"fOR 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. BInd=Blend. BOR=6oron steel.
, CAPA=Certified Automotive Parts AssoCiation. 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 Certlfied 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=UItra High Strength Steel. N=Note(s) associated with the estimate line.
CCC ONE Estimating -A product of CCC Information Services Inc.
i
The following Is a Ilst of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR
CRASH ESTIMATING GUIDE:
BAR=6ureau of Automotive Repair. EPA=Environmenta) Protection Agency. NHTSA= National Highway
Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number.
1/3/2014 9:20:10 AM 011906 Page 3
LATUFF BROS.,INC.
860 UNIVERSITY AVENUE
ST. PAUL,MINNESOTA 55104
(651)224-2828 FAX: (651)291-0677
FEDERAL ID#41-0777034
"`PRELIMINARY ESTIMATE•"
07/29/2014 02:07 PM
Owner
Owner: SANDY TRIEM�RT
Address: 169 MCKNIGf�T ROAD N#119 Work/Day:
HomelEvening: (B12)73U-0670
City State Zip: Saint Paul,M1AN 55119 FAX:
Inspection
Inspectioo Date: 07/29/2014 02:06 PM Inspection Typo:
Inspection Location: Latuff Brothers Inc Contact:
Address: 880 Universit;r Ave Work/Day: (851)224-2�28x
FAX: (651)291-0677x
City State Zip: Saint Paul,MN 55104 WorklDay:
Email: c�enPral@latui(brothers.com
P�imary Impact: Front Secondary Impact:
� Appraiser Name: MATTHEW HOWARD Appraiser License�:
�Repairer �
-— Contact:
Repairer: Latutt Brothers Inc
Address: 880 University Ave Work/Day: (651)22A-2828
FAX: (651)291-0677
Clty State Zip: Saint Paul,MN 55104 Work/Day: ,
Emall: generalQlatuffbrothers.com
Vohicle__ �� _ �
1998 Cadillac Seville SLS 4 DR Sedan
8cyl 4.6 Northstar
4 Speed Automatic
Lic Expire: VIN: Unreadable VIN
Veh InspN• Mil�age Type: Actual
Condition: Code: T3943A
Ext.Calor: WHITE DIAMOND PRL Int.Color
Ext.Refinish: Three-Stage UserDefined Int. Refinish: Three-Stage
Ext.Paint Code: 93/8933 Int.Trim Cude:
Options
Air Conditioning Alarm System Aluminum/Alloy Wheels
Anti-Lock Brakes Auto Load Leveling Automatic Dimming Mlrror
Center Console Climate Control For A/C Compact Disc W/Tape
Cruise Control Oual Airbags Dual Power Seats
Haated Power Mirrors Intermittent Wipers Keyless Entry System
Leather Seats Leather Steering Wheel Lighted Entry System
Overhead Console Power Brakes Power poor Locks
Page 1 d 3
07/29/2014 02:09 PM
1998 GEillec SevNls SLS�DR Seden 07/29/T01�02:W PM
qaMn N:
Power Steering Power Windows Rear Window Defroster .
Rem Trunk-L/Gate Release Side Airbags Strg Wheel Radio Control
Tilt Steering Wheel Tinted Glass Traction Control System
Dama es
Line Op Guide MC Description MFR.Part No. Price ADJ�o B% Hours R
Eront Bumoer
1 UC 6 Cover,Front 9umper Replace Reconditioned $431.00' 2.3 SM
2 L 6_ 14 Gover,Front 9umper Refinish 4.8 RF
2.6 Surface
1.0 Three-stagA setup
1.0 Three-stage
3 RI 9 Frame,License Plate R 8�I Assembly 0.2 SM
6Aanu 1 Entrles
4 SB Hazardous Waste Removal Sublet Repair $5.00" SM`
5 N Flex Addi;ive Additional labor $5.00' S�"
5 Items
MC Message
14 INCLUDES 1.0 HOURS FIRST PANEL THREE-STAGE ALLOWANCE
Estimate Total 8 Ent�ies M��rr �
Other PaRs $43�.00
Paint Meterlals ' $168.00
Parts&Material Total $604.00
Tax on Parts&Materlal @ 7.625% $46.06
Labor Rate Replace Repair Hrs Total H�s
Hrs
Shaat Metal(SM) $55.00 2.5 2.5 $137.50
MechlElec(ME) $85.00
Fr�me(FR) $75.00
Retinish(RF) $55.00 4.8 4.8 $264.00
Paint Materials $35.00
Labor Total 7.3 Hours $401.50
Sublet Repalrs $5.00
Gross Total 51,056.56
Net Total 51,056.56
Alternate Pa�ts No
SPPL Yas Zip Code: 55104 Detault
Audatex Estimating 7.0.226 ES 07129@014 02:09 PM REL T.0.226 DT 06/0112014 DB O7N 5/2014
Copyright(C)2a13 Audatex North America,(�c.
2.O HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S THREE-STAGE REFINISH FORMULA.
07/28/201�02:09 PM Page 2 d:f
19BB Gdillac Savills SLS 4 DR Sadan
Cla'm N: 07/28/20U 02:07 PM
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE CRASH PARTS
SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE.
WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE PARTS
MANUFACTURER OR DISTRIBUTOR RATHER THAN BY THE MANUF'ACTURER OF YOUR VEHICLE.
A PF.RSON WFiO FILES A CLAIM WITH INT�NT TO DEFRAUD OR HET,PS COMMIT A FRAUD
AGAINST AN INSURER IS GUILTY OF A CRIME.
�Op Codes
= User••Entered Value E = Replace OEh� NG= Replaco NAGS
EC= Replace Economy OE e Replace PXN OE Srpis UE= Replace OE Surplus
E7= Partial Replace Lab�r EP= Replace PXN E U= R e p l a c e R e c y c l e d
TE = Partial Replace Price PM= ReplaCe PXN Reman/Reblt UM= Replace RemanlRebuilt
L = Refinish PC= Replace PXN Reconditioned UC= Replace Reconditioned
TT =Two-Tone SB= Sublet Repair N = Additional Labor
BR= Blend Refinish I = Repair IT = Partial Repair
CG= Chipguard RI = R&I Assembly ' P = Check
AA= Appearance Allowance RP= Related Prior Damac�e
This report contains proprietary information of Audatex and may not be disclosed to any third pa�ty(other than
� the insured,claimant and others on a need to know basis in order to effectuate the claims process}wlthout
����f�X Audatex's prioc written consent.
a orera compinv
--..��Copyright(C)2013 Audatex North America,Inc.
Audetex Estimatin is a trademark of Audatex North America,Inc.
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