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Tate, Anthony R�CEI\IcD AUG �0 2014 �i�y��L�a� NOTICE OF CLA.�M FORM to the City of Saint Paul., Minneso�i Minnesotu State St�tute 46b.05 states that"...every person...wlio clnims damages from any municipalitv...shnll cause ta be presented tn the governing body of the municipnlity wiihin 18D days after tfre nlleged loss or injurv is discnvered a no[ice statirtg the time,pince,and r.irctm�starrces tieereof,a►rd tlie amount of cornpensation or other relief demanded." Please complete this form in its entirety by clearly typing or printing your answer to each qaestiun. If more space is needed,attach additional sheets. Please note that you will not be contacted by telepha�ae to clarify answers,so provide as much informatiou as necessary to explain your ctaim,and the araount of compensafion being reqaested. You will receive a written acknowledgement once your form is received. The process can take up to ten weeks or longer depending on ihe nature of your claim. This form must be signed,and both pages completed. If something does not apply,write°N/A'. SEND COMPLETED FORM AND OTI�R DOCUMENTS TO: CITY CLERK, 15 WEST KELLOGG BLVD,310 CITY HALL, SAINT PAUL,MN 551.02 Ferst Name Middle Tnitial � L.ast Name �Q,�e Company or Business Name Are You an Tnsurance Company? Yes Na If Yes,Claim Number? Street Address 'll:lU� �0�� CA �� . �O.S� Czty � ��(�1,�� State 1"1 1�G Zip Code�F.Z� Daytime Phone �)�-q404 Cell Phone(1�5i ��-�0�Evening Telephone(b�l )�.�� Date of Accidend Inj ury or Date Discovered �h Time � � a /pm Please state, in detail,what occurred(happened),and why you are submitting a claim.Please indicate why or how yo� feet the City of Saint Paul or its employees e involved and/or responsibie for your damages. �n lea� �eC' C�c�c�it�i0r�c�\ r��;. Please cbeck the box(es)that most closely represent the reason for completing this fonm: [�My vehicle was damaged in an accident ❑My vehicle was damaged during a tow ❑ My vehicle was damaged by a pothole or condition of the street ❑My vehicle was damaged by a plow ❑ My vehicle was wmngfuity towed and/or ticketed ❑ I was injured on City property �.Other type of property damage—please specify t`2� �-�� dY1 V�h1C)►� ❑ Other type of injury—please specify In order to pmcess your claim vou need to inciude copies of all applicable doeu�ments. For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of your claim. Doeuments WILL NOT be returned and become the property of the City. You are encouraged to keep a copy for yoarself before submitting your claim form. O Property damage claims to a vehicle:two estimates for the repairs to your vehicle if the damage exceeds $500.00; or the actuai bills and/or receipts for the repairs O Towing claims: legible copies of any ticket issued and�copy of the impound lot receipt O Qther property damage claims:two repair estimates if the damage exceeds$500.00; or the actual bills and/or receipts for the repairs;detailed Jist of damaged items O Injury claims:medical bilIs,receipts O Photographs�re always welcome to docunnent and suppo�t your claim but will not be returned. Page 1 of 2—Please complete and return both pages of Claim Form \ Failure to comptete and return botl�pages will result in delay in the handling of yoar claim. All Claims—nlease comnlete this section Were there witnesses to tlte incident? Yes No Unknown (circle) Provide their names, addresses and telephone numbers: Were the police or law enforcement called? es No Unknown circle) If yes, what deptzrtment or agency? �,� Case#or report# Where did the accident or injury take place? Provide street address,cross street,intersection,name of park or faciliry, closest landmark.,etc. Please be as detailed as possible. If necessary,attach a diagram. �T�GS,� ,�j�e, :�i C)►G�'a rn . Please indicate the amovnt you are seeking in compe sation or what you would like the City to do to resolve this claim to your satisfaction. � O�YYI �'C:1�, r�_.�3��..l5. '�C�1�. I�UJ��C' Q-� ��1� UJ C� �'r.,�'�l mca,��"S- Vehicle Claims— Lease com lete this section ❑check box if this section dces not a 1 Your Vehicle: Year��Make �-►1'�CO i+n Model C3 T1 i�l � G� License Plate Number � State N��Color .I v'a`''� f -�-0.Yl Registered Owner �Q- Driver of VehicJ.e a Area Damaged O �1 '.l ,� �C?� 1 �" S�'11Y1IC7��'J� City Vehicle: Year Make Model License Plate Number State Color Driver of Vehicle(City Emptoyee's Name} Area Damaged In iurv Claims—please comn[ete this section J�Q check box if this secsion does not applv How were you injured� What pan(s)of your body were injured? Have you sought medicaI treatment? Yes No Planning to Seek Treatment(circle) When did you receive treatment? (provide date(s}) Name of Medical Provider(s): Address Tetephone Did you miss work as a result of your injury? Yes No When did you zniss work? (provide date(s)) Name of your Employer: Address Telephone �Check here if you are attaching more pages to this claim form. Nvmber of additional pages�O► . By signing this form,you are stating that all information you have provided is true and correct to the best of your knowledge. Unsigned fortns will not be processed. Submitting a false clazm can result in prosecution. Date form was compfeted Print the Name of the Person whu Completed this Form: �� ri�) ��l�U Signatare of Person Making the Claim: l�� Revised February 20]l . - � ��c ._. _ .... � � _ �, �' ��n �-h � nno r�n�n � �� . io�", �;0�� . � � � �,�- �j n ��j am � u�. i r� m �o�,� � � �OCct�-c� �- to�� Mor�n Prve. � . S�-��u , � � c�, � M� 5� i O�O , et�t r�� wor� �he�n � � a�� c� � c�,r� ��d� c� l o�c� y ` ' � �\ • •r\S�� \ � • ,V�� y � V�/ V�� 'V�� \ . �� i � �- I(Yl' -�"0 �U o�C� �Y1.c�1, � Ob��rv�o� C� _ � (�r � -�r�or c� o` �� n '('n`� -L , �� c�,�-- c�, ��rX V�,Yl tG�� he ��, �S I OC��d 1�, �' C�,Iled H�1�«�- K�nat� G V�d h��'1 �s loca,--�-C e c� '` C�G�'oss �-1�� ,5fi�� -�o�m rn Ylc�us�� Z� Y�- . � � � �.� �. wen� av��d►e �� d1 v��o� _ . 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I �� .�� '� � � �';- �� a� ��.� � � � � � �� s�c`�� *��`Fa �;��4 ��h > 1� F^w,+��.�f �� .: �. „ *s A F �-�°`�'� � � '� d K r yl . �+� � I � �` �: � �; �'�� . � �s'"�� ,�° ' x „� �� `�� 4 � ,� � �� , � ��h ��" , � ' � �t,�� . ��o- �- ��' � �� ~ � '�� h � �` ��">'�r^ c� �,'.:,. . ,a#�� "- �"�x . . �. '.Ys:�'''""��.-.�. _ ... . r� �`�� "``� %, �'�� ,�� a.�� ' � �� , ��' � m. � "�a � �� £� � �� - ��, � ;��,t � _: - ' ` ; a � '"r� � �,.��t� : � 3 ;y° S�r. � .:RF. �� t�^�� y�� - : � s§�� '� Y �,'.q ;�` . m� e , �^ 3 y� �' � � 'h' �S.._� g � 6 w Yy;� o �,� �s �� ,�^� i°. .�,,, I ;';�°i I �w _�'+�'` ABRA Auto Body & Glass - Workfile ID: d03e1186 FederalID: 41-1942823 Maplewood Right The First Time...On Time 2806 HIGHWAY 61, MAPLEWOOD, MN 55109 Phone: (651) 483-2145 FAX: (651) 483-2509 Preliminary Estimate Customer: TATE,ANTHONY )ob Number: Written By:Tom Vang Insured: TATE,ANTHONY Policy#: Claim #: . Type of Loss: Date of Loss: 8/6/2014 12:00:00 PM Days to Repair: 0 Point of Impact: 19 All Over Owner: Inspection Location: Insurance Company: TATE,ANTHONY ABRA Auto Body&Glass-Maplewood Unknown Insurance 1662 MONTANA AVE 2806 HIGHWAY 61 ST. PAUL, MN 55106 MAPLEWOOD, MN 55109 (651)338-9404 Business Repair Facility (651)483-2145 Business VEHICLE ', Year: 2002 Body Style: 4D SED VIN: 1LNHM97VX2Y634400 Mileage In: 1 I! Make: LINC Engine: 8-4.6L-FI License: 640-MXZ Mileage Out: Model: CONTINENTAL Production Date: 12/2001 State: Vehicle Out: Color: tan Int: Condition: Job#: II TRANSMISSION Dual Mirrors Home Link Manual Glass Sunroof Automatic Transmission Body Side Moldings RADIO SEATS Overdrive Console/Storage AM Radio Bucket Seats POWER Overhead Console FM Radio Leather Seats Power Steering CONVENIENCE Stereo WHEELS Power Brakes Air Conditioning Search/Seek Aluminum/Alloy Wheels Power Windows Intermittent Wipers Cassette PAINT Power Locks Tilt Wheel SAFETY Clear Coat Paint i Power Mirrors Cruise Control Drivers Side Air Bag OTHER I Heated Mirrors Rear Defogger Passenger Air Bag Tradion Control I Power Driver Seat Keyless Entry Anti-Lock Brakes(4) Power Trunk/Gate Release Power Passenger Seat Alarm 4 Wheel Disc Brakes ; Memory Package Message Center Front Side Impact Air Bags DECOR Climate Control ROOF 8/7/2014 3:15:37 PM 014563 Page 1 . Preliminary Estimate Customer: TATE,ANTHONY ]ob Number: Vehicle: 2002 LINC CONTINENTAL 4D SED 8-4.6L-FI tan Line Oper Description Part Number Qty E�ctended Labor Paint Price$ 1 FRONT BUMPER 2 R&I R&I bumper cover 1.5 3 R&I License bracket 0.3 4 * R&I LT Cover molding 0_2 5 * Rpr Bumper cover � 2.6 Note: cracks and scratches 6 Add for Clear Coat 1.0 7 GRILLE 8 R&I Grille chrome Incl. 9 R&I Molding assy 0.2 10 FRONT LAMPS 11 R&I RT Headlamp assy OS 12 * Rpr RT Headlamp assy Q.5 Note: buff headlamp 13 FENDER 14 Blnd RT Fender 1.1 15 R&I RT Fender liner 0.6 16 * R&I RT Body side mldg medium gold � ' ll # �Clean&Retape Molding 1 2.00 T 0.3 18 HOOD _ 19 * Rpr Hood � � ' Note: attempt to buff , 20 ROOF 21 * Rpr Roof panel w/o sunroof � 3.0 ! Note: deep scratches and chips 22 Add for Clear Coat 1.2 23 FRONT DOOR _ _ open Repl RT Outer panel F80Z5420200AA 1 554.47 6.5 2.3 � 25 Overlap Major Adj. Panel -0.4 26 Add for Clear Coat 0.4 27 Add for Edging 0.5 28 R&I RT Belt w'strip Incl. open Repl RT Mirror assy w/o chromatic 2F3Z17682AAA 1 326.03 Incl. 0.6 30 Overlap Minor Panel -0.2 31 Add for Clear Coat 0.1 32 R&I RT R&I trim panel Incl. 33 R&I RT Body side mldg medium gold 0.5 34 # 'Clean&Retape Molding 1 2.00 T 0.3 35 * R&I RT Run channel 0_2 36 R&I RT Door glass FORD from 2/1/99 0.5 37 R&I RT Handle,outside assembly Incl. 38 REAR DOOR _ _ 8/7/2014 3:15:37 PM 014563 Page 2 � Preliminary Estimate Customer: TATE,ANTHONY 7ob Number: Vehicle: 2002 LINC CONTINENTAL 4D SED 8-4.6L-FI tan 39 Blnd RT Outer panel 1.1 40 R8cI RT Door w'strip front 0.5 41 R&I RT Window molding 0.4 42 R&I RT Belt w'strip 0.3 43 R&I RT Body side mldg medium gold 0.4 44 # �Clean&Retape Molding 1 2.00 T 0.3 45 R&I RT Handle,outside 0.5 46 R&I RT R&I trim panel 0.5 47 WINDSHIELD 48 # Rpr 'Rope Windshield 0.3 49 BACK GLASS _ 50 # Rpr �Rope Back Glass 0.3 51 MISCELLANEOUS OPERATIONS _ _ 52 # 'Hazardous Waste 1 5.00 X 53 # Refn �Corrosion Protection 0.3 SUBTOTALS 891.50 19.9 13.6 NOTES Prior Damage Notes: 1 ESTIMATE TOTALS Category Basis Rate Cost� i Parts 880.50 ' Body Labor 19.9 hrs @ $56.00/hr 1,114.40 Paint Labor 13.6 hrs @ $56.00/hr 761.60 Paint Supplies 13.6 hrs @ $36.00/hr 489.60 Miscellaneous 11.00 Subtotal 3,257.10 Sales Tax $ 1,376.10 @ 7.1250% 98.05 � Grand Total 3,355.15 Deductible 0.00 CUSTOMER PAY 0.00 INSURANCE PAY 3,355.15 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." 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. 8/7/2014 3:15:37 PM 014563 Page 3 Preliminary Estimate Customer: TATE,ANTHONY Job Number: Vehicle: 2002 LINC CONTINENTAL 4D SED 8-4.6L-FI tan Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide DE2KA98, CCC Data Date 7/1/2014, 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 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 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 2015 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 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. BInd=Blend. BOR=Boron steel. Ii 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 'i 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=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. 8/7/2014 3:15:37 PM 014563 Page 4 � • MASTER COLLISION ROSEVILLE �Norkfile ID: 34c08d27 FederalID: 411916060 ; Quality Auto Body Repair 2325 NO. PRIOR AVENUE, ROSEVILLE, MN 55113 Phone: (651) 604-2929 � � � FAX: (651) 604-2932 Preliminary Estimate Customer: TATE,ANTHONY 7ob Number: Written By:Trevor Clark Insured: TATE,ANTHONY Policy#: Claim#: 1 Type of Loss: Date of Loss: Days to Repair: 13 Point of Impact: 16 Non-Collision Owner: Inspection Location: Insurance Company: TATE,ANTHONY MASTER COLLISION ROSEVILLE OWNER PAY 1662 MONTANA AVE 2325 N0. PRIOR AVENUE ST. PAUL, MN 55106 ROSEVILLE, MN 55113 (651)338-9404 Day Repair Facility (651)338-9404 Cell (651)604-2929 Business VEHICLE II Year: 2002 Body Style: 4D SED VIN: 1LNHM97VX2Y634400 Mileage In: 103537 Make: LINC Engine: 8-4.6L-FI License: 640MXZ Mileage Out: Model: CONTINENTAL Production Date: 12/2001 State: MN Vehicle Out: Color: IVORY PARTCHMENT Int: Condition: Job#: TAN TRANSMISSION DECOR Message Center 4 Wheel Disc Brakes Automatic Transmission Dual Mirrors Climate Control Front Side Impact Air Bags Overdrive Body Side Moldings Home Link SEATS POWER Console/Storage RADIO Bucket Seats Power Steering Overhead Console AM Radio Leather Seats Power Brakes CONVENIENCE FM Radio WHEELS Power Windows Air Conditioning Stereo Aluminum/Alloy Wheels Power Locks Intermittent Wipers Search/Seek PAINT Power Mirrors Tilt Wheel Cassette Three Stage Paint Heated Mirrors Cruise Control SAFETY OTHER ' Power Driver Seat Rear Defogger Drivers Side Air Bag Traction Control Power Passenger Seat Keyless Entry Passenger Air Bag Power Trunk/Gate Release Memory Package Alarm Anti-Lock Brakes(4) 8/6/2014 2:43:46 PM 071463 Page 1 Preliminary Estimate Customer: TATE,ANTHONY 7ob Number: Vehicle: 2002 LINC CONTINENTAL 4D SED 8-4.6L-FI IVORY PARTCHMENT Line Oper Description Part Number Qty Extended Labor Paint Price� 1 FRONT BUMPER 2 R&i R&I bumper cover 1.5 3 * <> Rpr Bumper cover 1� 2.6 4 Add for Three Stage 1.8 5 Repl RT Cover molding F80Z17K833BA 1 103.33 0.2 6 * R&I LT Cover molding � 7 R8cI License bracket p,3 8 GRILLE _ __ . 9 R&I Grille medium titanium Incl. _ _ 10 FRONT LAMPS _ 11 R&I RT Headlamp assy 0.5 12 * Rpr RT Headlamp assy-BUFF LENS 0_5 13 HOOD _ _ 14 * Rpr Hood � 3.0 15 Overlap Major Non-Adj. Panel -0.2 16 Add for Three Stage 1.1 17 R&I Insulator 0.3 18 WINDSHIELD 19 R&I RT Washer nozzle ivory 0.2 20 R&I LT Washer nozzle ivory 0.2 __ _ __ _ 21 FENDER 22 Bind RT Fender 1.5 23 * R&I RT Body side mldg ivory parch Q.� 24 # Clean/Re-Tape Mldg 1 3.00 0.3 25 FRONT DOOR 26 * Repl LKQ RT door assy+25% XF3Z5420124AA 1 250.00 2.0 3.3 Note:As Per Car-Part.com 27 Overlap Major Adj. Panel -0.4 28 Add for Three Stage 1.2 29 R&I RT Window molding 0.5 open Repl LT Window molding XF3Z5420847AA 1 90.83 0.5 31 R&I RT Rear molding 0.3 open Repl LT Rear molding F80Z5420555AAA 1 34.62 0.3 33 R&I RT Belt w'strip 03 34 R&I LT Belt w'strip 0.3 35 R&I RT Body side mldg ivory parch 0.5 36 # Clean/Re-Tape Mldg 1 3.00 0.3 open * Repl LKQ RT Mirror assy w/o 2F3Z17682AAA 1 7�L.(Q 9� 9�.0 chromatic+25% Note:As per Car-Part.com 38 Overlap Minor Panel -0.2 39 Add for Three Stage 0.2 40 R&I RT Handle,outside assembly 0.4 8/6/2014 2:43:46 PM 071463 Page 2 ' � Preliminary Estimate Customer: TATE,ANTHONY 7ob Number: Vehicle: 2002 LINC CONTINENTAL 4D SED 8-4.6L-FI IVORY PARTCHMENT 41 R&I RT R&I trim panel 0.5 42 REAR DOOR _ 43 Blnd RT Outer panel 1.5 open Repl RT Window molding XF3Z54255A60AA 1 116.88 0.4 open Repl LT Window molding XF3Z54255A61AA 1 118.37 0.4 open Repl LT Front molding F80Z54255A35AAA 1 31.85 0.3 47 R&I RT Belt w'strip 0.3 open Repl LT Belt w'strip XF3Z5425555AA 1 38.55 0.3 49 R&I RT Body side mldg ivory parch 0.4 50 # Clean/Re-Tape Mldg 1 3.00 0.3 51 R&I RT Handle,outside 0.5 52 R&I RT R&I trim panel 0.5 53 ROOF _ _ _ __ 54 * Rpr Roof panel w/o sunroof � 3.0 55 Overlap Major Adj. Panel -0.4 56 Add for Three Stage 1.0 57 R&I Sunroof glass FORD 1.2 58 . BACK GLASS __. open Repl Reveal molding F50Y5442430A 1 111.85 3.0 60 # Refn CORROSION PROTECTION 0.3 61 # CAR COVER 1 5.00 0.2 62 # FLEX ADDITIVE 1 6.00 X 63 # HAZARDOUS WASTE REMOVAL 1 3.00 X SUBTOTALS 994.28 29.5 19.9 ESTIMATE TOTALS Category Basis Rate Cost$ Parts 985.28 Body Labor 29.5 hrs @ $55.00/hr 1,622.50 Paint Labor 19.9 hrs @ $55.00/hr 1,094.50 Paint Supplies 19.9 hrs @ $35.00/hr 696.50 Body Supplies 19.2 hrs @ $5.00/hr 96.00 Miscellaneous 9.00 Subtotal 4,503.78 Sales Tax $ 1,777.78 @ 7.1250% 126.67 Grand Total 4,630.45 ***NO GUARANTEE ON RUST REPAIRS*** WARRANTY ONLY VALID WITH ORIGINAL PAPER WORK AND WARRANTY CERTIFICATE PART PRICES SUBJECT TO INVOICE FROM DEALER REPAIR TIMES ARE ESTIMATED AND DO NOT NECESSARILY DICTATE ACTUAL REPAIR TIMES NEEDED MA5TER COLLISION GROUP DOES NOT ACCEPT PERSONAL CHECKS A PERSON WHO SUBMITS AN APPLICATION OR FILES A CLAIM WITH INTENT TO DEFRAUD OR HELPS COMMIT A 8/6/2014 2:43:46 PM 071463 Page 3 Preliminary Estimate Customer: TATE,ANTHONY 7ob Number: Vehicle: 2002 LINC CONTINENTAL 4D SED 8-4.6L-FI IVORY PARTCHMENT FRAUD AGAINST AN INSURER IS GUILTY OF A CRIME 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 Properly 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. 8/6/2014 2:43:46 PM 071463 Page 4 � � � Preliminary Estimate Customer: TATE,ANTHONY 7ob Number: Vehicle: 2002 LINC CONTINENTAL 4D SED 8-4.6L-FI IVORY PARTCHMENT Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless othervvise noted all items are derived from the Guide DE2KA98, CCC Data Date 7/17/2014, 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 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 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 2015 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 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. BInd=Blend. BOR=Boron 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 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=6ureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number. 8/6/2014 2:43:46 PM 071463 Page 5