The URL can be used to link to this page

McGowan, HeatherP O BOX 801988 KANSAS CITY MO 64180 UNITED STATES 04/14/2023 Saint Paul City Clerk Customer #: Claim Number : 19077948 Your Claim Number : Date of Loss : 12/01/2022 Balance Due : $1,000.00 Renter's name : WILLIAM AWKER Billing Invoice : 3007100286 Rental Agreement#: 87K7V2 DRIVER'S NAME: WILLIAM AWKER Our review indicates that your employee is responsible for the damages to our vehicle. Enclosed please find documentation to support our claim. Please review this information and remit payment in full to the address above. Please include our claim number on your payment. If you prefer you may also pay the amount due using a debit card, credit card or directly from your bank account at: http://www.claimtopay.com. If you have reported this claim to your insurance and / or credit card company, please contact our office with the claim information. If you have any questions, please contact us at the number below. Sincerely, DAMAGE RECOVERY UNIT Phone:8663004407 Email:DRU3@ehi.com 1 of 14 INVOICE Date: 04/14/2023 Saint Paul City Clerk Claim #: 19077948 Unit #: 7V5FNP Billing Invoice #: 3007100286 Vehicle Information VIN: JA4APVAU0MU025780 Year: 2021 Make: MITS Model: OSPT Item Total Cost Amount Due Damage $5,337.88 $5,337.88 Waiver Credit ($4,337.88) Admin Fees $150.00 Waived Loss of Use:$646.93 Waived Diminishment of Value $533.78 Waived Total Amount Due: $ 1,000.00* *Remit payment in U.S. Dollars. PAY UPON RECEIPT ALL PAYMENTS MUST INCLUDE THIS REMITTANCE TO BE CREDITED PROPERLY! PAYABLE TO: DAMAGE RECOVERY P O BOX 801988 KANSAS CITY MO 64180 UNITED STATES Toll Free #: 8663004407 Claim #: 19077948 Unit #: 7V5FNP Billing Invoice #: 3007100286 Total Amount Due: $1,000.00* *Remit payment in U.S. Dollars. Total Amount Remitted: $ 2 of 14 3 of 14 4 of 14 Accident Report Summary as of 12/02/2022 08:38 Claim #: 19077948 Ticket: 87K7V2 Pickup Date: Nov 29, 2022 Return Date: Protections: CDW Unit #: 7V5FNP License Plate #: R012453 YMMS: 2021 MITS OSPT SE2W VIN: JA4APVAU0MU025780 Color: BLUE MED Odometer: 21962 . . . Loss Info . . Date of Incident: 12/01/2022 Amount Owed: Status: On Rent Police Report #: Department Name: Precinct: Time of Incident: 12:00AM Injuries Involved?: No CDW: Partial Included in Rate 1st Party Info . . Renter Information . WILLIAM AWKER ********* *** ********* USA b*****r@ci.stpaul.mn.us . . . Renter Insurer: Damage Waiver Policy Number: . Claim Number: . Incident Details: Heavy front end damage customer has damage waiver with a $1000 deductible . . Damages . . Driver Fender : Alignment | Passenger Fender : Alignment | Front Bumper : Other-heavy front end damage The undersigned acknowledges that the damage described in this Loss Damage Report occurred during the Rental Period. Renter accepted responsibility in the Rental Agreement for any damage or loss regardless of fault or negligence if Renter declined Damage Waiver or Damage Waiver does not apply. If an amount is charged on the Renter’s credit or debit card for damage or loss, Renter acknowledges receiving notice of the dollar amount, that the charge may be a partial payment and that the payment was voluntary. Renter acknowledges they have reviewed and agree to the Loss Damage Report and may receive a copy upon request.. . X 12/02/2022 08:38 Customer Signature 5 of 14 . Overview of Claims Process We know vehicle damage can occur many ways, often by other parties. Our goal is to bring this matter to conclusion with minimum inconvenience to you, so we can serve your future rental needs. Going forward, the Damage Recovery Unit (DRU) will be handling the claim. We appreciate your assistance and cooperation. Following is a brief overview of our claims process. ■If Damage Waiver (DW) has been purchased and applies you will not be receiving a bill for damages. You may however be contacted to confirm facts of loss and to obtain a statement. ■If you owe for damages you do have the option of paying out of pocket or reporting your claim to your insurance carrier or credit card company. If you are going to report the claim you should do so as soon as the incident occurs as many carriers and credit card companies have limitations on how long you can wait to report a claim. After reporting please make sure you contact the DRU (see contact below) with the pertinent claim information. You may be responsible for your deductible and/or expenses not covered by your policy or credit card. ■When body or paint work is necessary, we will obtain an estimate from an independent repair vendor. ■The repair rates we receive reflect fleet volume pricing, and we review every estimate for accuracy. ■Once we determine the final amount of repair, we will send you the estimate and pictures. You should expect to receive billing within 60 days of returning the vehicle. ■You may receive a bill for damages even if there is another party who is at fault for the accident. Our goal is to make sure that everyone understands the damage amount. This will be important if the at fault party refuses to pay or accept liability for the damages. In this situation the financial responsibility for the damages ultimately resides with the renter. ■You may also be contacted by RCS, or Claims Pro regarding the accident. These companies investigate claims where liability may be an issue. It is expected that you cooperate with their investigation and assist with the resolution of the liability investigation and claim. If you have a question or concerns, please contact us immediately! We will route your inquiry to the appropriate party to resolve your question or concern. Contact Information Claim Number 19077948 Phone Number 8663004407 Email Address DRU3@ehi.com 6 of 14 ENTERPRISE LEASING COMPANY, 8230 HUDSON RD, WOODBURY, MN 551259111 (651) 772-2995 RENTAL AGREEMENT REF# 652683 87K7V2 RENTER AWKER, WILLIAM DATE & TIME OUT 11/29/2022 04:54 PM DATE & TIME IN 12/02/2022 09:35 AM BILLING CYCLE 24-HOUR CAR CLASS CHARGED IFAR VEH #1 2021 MITS OSPT SE2W VIN# JA4APVAU0MU025780 LIC# R012453 MILES DRIVEN 34 CAR CLASS: CFAR RATE SOURCE ACCOUNT CITY OF ST. PAUL - SNOW EMRGNCY BILL TO ACCOUNT CITY OF ST. PAUL - SNOW EMRGNCY ATTN: UNKNOWN 15 KELLOGG BLVD W DEPT OFFINANCE7CE7 SAINT PAUL, MN 55102-1635 SUMMARY OF CHARGES Charge Description Date Quantity Per Rate Total TIME & DISTANCE 11/29 - 12/02 3 DAY $99.99 $299.97 Subtotal: $299.97 Taxes & Surcharges MN REGISTRATION FEE 11/29 - 12/02 5% $15.00 MN RENTAL CAR TAX 11/29 - 12/02 9.2% $27.60 SALES TAX 11/29 - 12/02 7.375% $22.12 Total Charges: $364.69 Bill-To / Deposits CITY OF ST. PAUL - SNOW EMRGNCY TIME & DISTANCE 11/29 - 12/02 3 DAY MN REGISTRATION FEE 11/29 - 12/02 PERCENT 5% MN RENTAL CAR TAX 11/29 - 12/02 PERCENT 9.2% SALES TAX 11/29 - 12/02 PERCENT 7.375% Subtotal: ($364.69) Total Estimated Amount Due $0.00 PAYMENT INFORMATION AMOUNT PAID TYPE CREDIT CARD NUMBER Page 1 of 1 4/14/2023http://ecars2.corp.erac.com/rental/closeTicketPrint.jsp?doNotPrintRatesIndicator=false 7 of 14 Rental Agreement Summary RA#: 87K7V2 Renter: WILLIAM AWKER CITY OF ST. PAUL - SNOW EMRGNCY Billing Cycle: 24-HOUR Dates & Times Location Pick up Tuesday, November 29, 2022 3:54 PM Start Charges: Tuesday, November 29, 2022 3:54 PM 8230 HUDSON RD WOODBURY, MN 55125-9111 (651) 772-2995 Anticipated Return Thursday, December 1, 2022 12:30 PM 8230 HUDSON RD WOODBURY, MN 55125-9111 (651) 772-2995 Vehicle 2021 MITS OSPT SE2W BLUE MED License: KS R012453 VIN: JA4APVAU0MU025780 Vehicle: 7V5FNP Pickup: 11/29/2022 @ 3:54 PM ODO:27087Fuel:7/8 Vehicle Condition: leftFrontDoor dent: otherExterior Other: cat converter stoles leftQuarterPanel scratch: hood Other: HAIL DAMAGE roof Other: HAIL Other: HAIL DAMAGE Summary of Charges Estimated Bill-To CITY OF ST. PAUL - SNOW EMRGNCY Pays:100.0% Charges Price/Unit Total TIME & DISTANCE 11/29/22-12/1/22 $99.99 / Day $199.98 NO CHARGE DISTANCE 11/29/22-12/1/22 $0.00 / Mile $0.00 DW/CDW INCLUDED Included MN REGISTRATION FEE (5%)5%$10.00 MN RENTAL CAR TAX (9.2%)9.2%$18.40 SALES TAX (7.375%)7.375%$14.75 Subtotal ($243.13) Estimated Renter Charges Charges Price/Unit Total DAILY RATE:$99.99 / Day HOURLY RATE:$33.00 / Hour REFUELING CHARGE $5.21 / Gallons $0.00 Optional Protections Accepted No optional protections accepted. Optional Protections Declined RAP @ $5.99 / Day $0.00 SUPPLEMENTAL LIABILITY PROTECTION 2 @ $13.00 / Day $0.00 PAI/PEC @ $5.89 / Day $0.00 Renter Acknowledgement of Accepted and Declined Protections I acknowledge that I have accepted or declined protections as indicated above. Taxes and Fees Total Estimated Charge:$0.00 Payments: Renter Acknowledgement of Charges I acknowledge that I have reviewed and agree to all Estimated Renter Charges and fees listed on Summary of Charges and further agree to pay for final charges in accordance with the Additional Terms and Conditions of this Contract. Owner: ENTERPRISE LEASING COMPANY OF MINNESOTA, LLC Additional Drivers No Additional Drivers are authorized to drive the vehicle with the exception of the drivers listed below. (Additional driver names listed here if applicable) Please keep this Rental Agreement Summary with you in the vehicle during the rental. Local Addenda 8 of 14 MINNESOTA COLLISION DAMAGE WAIVER FORM: UNDER MINNESOTA LAW, A PERSONAL AUTOMOBILE INSURANCE POLICY MUST (1) COVER THE RENTAL OF THIS MOTOR VEHICLE AGAINST DAMAGE TO THE VEHICLE AND AGAINST LOSS OF USE OF THE VEHICLE; AND (2) EXTEND THE POLICY'S BASIC ECONOMIC LOSS BENEFITS, RESIDUAL LIABILITY INSURANCE, AND UNINSURED AND UNDERINSURED MOTORIST COVERAGES TO THE OPERATION OR USE OF A RENTED MOTOR VEHICLE. THEREFORE, PURCHASE OF ANY COLLISION DAMAGE WAIVER OR SIMILAR INSURANCE AFFECTED IN THIS RENTAL CONTRACT IS NOT NECESSARY. IN ADDITION, PURCHASE OF ANY ADDITIONAL LIABILITY INSURANCE IS NOT NECESSARY IF YOUR POLICY WAS ISSUED IN MINNESOTA UNLESS YOU WISH TO HAVE COVERAGE FOR LIABILITY THAT EXCEEDS THE AMOUNT SPECIFIED IN YOUR PERSONAL AUTOMOBILE INSURANCE POLICY. BY MY SIGNATURE BELOW, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE NOTICE INCLUDED IN THE SEPARATE FORM AND REPEATED IN THE SEPARATE MINNESOTA COLLISION DAMAGE WAIVER FORM IN THE RENTAL AGREEMENT JACKET. By signing below, Renter agrees to Owner's collection of information about Renter’s use of Vehicle and Texting & Calling terms. See paragraphs with the headings Text & Call and Owner's Collection and Use of Vehicle Data: Renter's Use of Vehicles Navigation and Infotainment Systems and Vehicle Manufacturer Apps in the Terms and Conditions. RENTER ACKNOWLEDGEMENT OF LOCAL ADDENDA TERMS AND CONDITIONS Click to view Additional Terms and Conditions FORM# 19.63.MN-JK_MY22 RENTER ACKNOWLEDGEMENT OF THE ENTIRE CONTRACT I, THE "RENTER" BY SIGNING BELOW, HAVE READ AND AGREE TO THE TERMS AND CONDITIONS IN THE ADDITIONAL TERMS AND CONDITIONS, WHICH ARE INCORPORATED BY REFERENCE AS IF FULLY SET FORTH HEREIN, AND THE RENTAL AGREEMENT SUMMARY (COLLECTIVELY, THE ADDITIONAL TERMS AND CONDITIONS AND THE RENTAL AGREEMENT SUMMARY ARE THE "CONTRACT"). BY SIGNING BELOW, I AM AUTHORIZING OWNER TO CHARGE TO THE CREDIT CARD(S) AND/OR DEBIT CARD(S) THAT I HAVE PROVIDED TO OWNER ALL AMOUNTS OWED BY ME UNDER THIS CONTRACT FOR ADVANCE DEPOSITS, INCREMENTAL AUTHORIZATIONS/DEPOSITS, AND OR ANY OTHER AMOUNTS OWED BY ME, AS WELL AS PAYMENTS REFUSED BY A THIRD PARTY TO WHOM BILLING WAS DIRECTED. I ALSO AUTHORIZE OWNER TO RE-INITIATE ANY CHARGE TO MY CARD(S) THAT IS DISHONORED FOR ANY REASON. I CERTIFY THAT THE DRIVER'S LICENSE(S) PRESENTED IS CURRENTLY VALID AND IS NOT SUSPENDED, EXPIRED, REVOKED, CANCELLED OR SURRENDERED. I FURTHER ACKNOWLEDGE AND CONSENT TO THE TERMS AND CONDITIONS SET FORTH IN THE PARAGRAPH WITH THE HEADING "DISPUTE RESOLUTION PROVISION· MANDATORY ARBITRATION AGREEMENT" IN THE ADDITIONAL TERMS AND CONDITIONS. BY SIGNING BELOW RENTER AGREES TO OWNER'S COLLECTION OF INFORMATION ABOUT RENTER'S USE OF VEHICLE AND TEXTING & CALLING TERMS. SEE PARAGRAPHS WITH THE HEADINGS TEXT & CALL AND OWNER'S COLLECTION AND USE OF VEHICLE DATA: RENTER'S USE OF VEHICLES NAVIGATION AND INFOTAINMENT SYSTEMS AND VEHICLE MANUFACTURER APPS IN THE ADDITIONAL TERMS AND CONDITIONS. 87K7V2 Additional Terms and Conditions of the Contract electronically accepted on 11/29/22 at 3:56 PM 9 of 14 Estimate Information Repair Facility Estimate ID 3014693328 Claim:19077948 Repair Facility:Caliber Collision - Minnesota - Fleet Estimator:Address:2905 Lexington Ave. S File ID:3332045524 Eagan, MN 55121 Platform:CCC Phone:651-6914140 Date Created:12/07/2022 Fax:651-6914154 Federal Tax ID:33-0730794 State Tax ID: BAR: Vehicle Data Unit #:7V5FNP Year:2021 Make:Mitsubishi Model:Outlander Sport SE w/Continuously Variable Transmi VIN:JA4APVAU0MU025780 Color:BLUE - WOODBUR Y Lic. State:License:R012453 Body Style:Engine:Odometer:27131 Prod. Date: Point of Impact Primary:Front Secondary:Unknown Point of Impact Line Line Op Description Type Part#Price Qty Labor Paint Labor Amt 001 BLANK Pre-repair scan 0B 002*BLANK OE Diagnostic Post Scan $100.00 0.5B $23.60 003 INFORMATION LABELS 004 BLANK Rpl information labels 0.3B $14.16 005 RR Emission label 2.0 liter N 14805W020P $12.90 1 0B 006 RR AC label N 7430C277 $5.12 1 0B 007 FRONT BUMPER 008 BLANK O/H front bumper 3B $141.60 009 RR Bumper cover N 62022W030P $743.20 1 0B 3.2R $151.04 010 BLANK Add for Clear Coat 1.3R $61.36 011 BLANK Add for fog lamps 0.4B $18.88 012*RPR Mask two tone texture 0.5B $23.60 013*RR A/M Bumper cover rivet A MU000599 $17.95 5 0B 014 RR Center support N 6400J911 $45.33 1 0B 015 RR LT Lower trim N 6407A367 $115.38 1 0B 016 RR Impact bar N 6400K202 $244.52 1 0.5B $23.60 017 RR RT Absorber N 6400J908 $17.50 1 0B 018 RR LT Absorber N 6400J907 $16.02 1 0B 019 RR Prep unprimed bumper N 1 0.7R $33.04 020 GRILLE 021*RR Grille assy black/silver N 62310W140P $590.02 1 0.2B $9.44 022 RR Grille assy clip N MU488006 $3.74 2 0B 023 RI Sight shield 0.3B $14.16 024*RR Sight shield retainer N MR288150 $12.90 5 0B 025 FRONT LAMPS 026 RI RT Headlamp assy 0.3B $14.16 027 RI LT Headlamp assy 0.3B $14.16 028 RR Aim headlamps N 1 0.5B $23.60 029 RADIATOR SUPPORT 030 RR Upper tie bar N 5256C746 $297.95 1 1.6B 0.8R $113.28 031 COOLING 032 RR Radiator N 21410W420P $940.75 1 2.5B $118.00 033 AIR CONDITIONER & HEATER 034*RR Condenser N 7812A352 $293.05 1 1B $47.20 035*SUB Sublet R1234yf Evac $125.00 0B 10 of 14 036*SUB Sublet R1234yf Recharge $125.00 0B 037*RR Freon R1234y $61.00 0B 038 HOOD 039 RR Hood N 5900B117 $725.93 1 1.2B 3R $198.24 040 BLANK Overlap Major Non-Adj. Panel -0.2R ($9.44) 041 BLANK Add for Clear Coat 0.6R $28.32 042 BLANK Add for Underside(Complete) 1.5R $70.80 043 RR Latch N 5908A330 $86.15 1 0B 044 FENDER 045 RI RT Fender liner 0.4B $18.88 046 RI LT Fender liner 0.4B $18.88 047 RI RT Wheel opng mldg 0.3B $14.16 048 RI LT Wheel opng mldg 0.3B $14.16 049*BLANK Flex Additive $8.50 0B 050*SUB Hazardous Waste Disposal $7.50 0B 051*RR Seam Sealer $10.00 0.5B $23.60 Totals Parts Part SubTotal Adj%Adj$Total Parts - Aftermarket (QRP)$17.95 $17.95 Parts - New $4,150.46 -20 ($830.09)$3,320.37 $3,338.32 Labor Type Additional Labor Rate Hours Total Labor - Refinish $47.20 10.9 $514.48 Labor - Body $47.20 15 $708.00 Labors Total $1,222.48 Materials Materials - Paint $280.80 Materials - 2 Stage Paint Materials $59.28 $340.08 Miscellaneous Other - Additional Cost $179.50 Other - Sublet $257.50 $179.50 Adjustment Total Transaction Amount $5,337.88 Discount Amount $830.09 Total Claim Before Taxes $5,337.88 Insurance Pay $5,337.88 $5,337.88 Op Codes RREP Operation - Remove and Repair R1ST Operation - Repair First, else Replace REDO Operation - Redo CG Operation - Chip Guard TT Operation - Two Tone PDR Operation - Paintless Dent Repair RPR Operation - Repair PRPR Operation - Repair, Partial RR Operation - Remove/Replace RRP Operation - Remove/Replace, Partial ADC Operation - Additional Costs ADO Operation - Additional Operations BLND Operation - Blend SUB Operation - Sublet RPD Operation - Related Prior Damage 11 of 14 AA Operation - Appearance Allowance BLANK Operation - Blank RFRP Operation - Refinish/Repair RI Operation - Remove/Install ARP Operation - Additional Repair ALGN Operation - Alignment O/H Operation - Overhaul REF Operation - Refinish INSP Operation - Inspect C/AJ Operation - Check/Adjust UPD Operation - Unrelated Prior Damage RI Operation - Remove and Reinstall Part Type Codes A Parts - Aftermarket C Parts - Re-chromed E Parts - Existing L Parts - Recycled M Parts - Remanufactured N Parts - New P Parts - New, partial R Parts - Re-cored GL Glass Labor Codes R Labor - Refinish S Labor - Structural U User Defined Labor U User Defined Labor 1 U User Defined Labor 2 U User Defined Labor 3 U User Defined Labor 4 B Labor - Body D Labor - Diagnostic E Labor - Electrical F Labor - Frame G Labor - Glass M Labor - Mechanical 12 of 14 13 of 14 14 of 14