Onalaja, Adeleke
Claimant Adeleke Onalaja
Insured Adeleke Onalaja
Claim 052662133
Date of Loss Sat Feb 25 17:30:00 EST 2023
Reserve (1) 1st Party Vehicle - Adeleke Onalaja - Collision - Non-Medical Loss
Payee Check #Issued Date Amount Paid Check Status
Caliber Holdings Corporation 59228841 07/15/2023 $10,577.25 Issued
BIGHLEY AUTO BODY 58307196 03/30/2023 $4,885.71 Cleared
Total $15,462.96
Recovery Category Refund Number Check Issuer Refund Amount
Overpayment 59932 BIGHLEY AUTO BODY $4,885.71
Total $4,885.71
Reserve (3) 1st Party Vehicle - Adeleke Onalaja - Loss of Use - Non-Medical Loss
Payee Check #Issued Date Amount Paid Check Status
ENTERPRISE HOLDINGS INC 07429415 07/12/2023 $2,044.33 Cleared
Total $2,044.33
Grand Total $12,621.58
User: TAYA STARR Page 1 Jul 20, 2023 7:54 AM
CALIBER - APPLE VALLEY MN Workfile ID:
Federal ID:
Federal EPA:
APVTT7DK
33-0730794
MNR000117648RESTORING THE RHYTHM OF YOUR LIFE
15129 Foliage Ave., Apple Valley, MN 55124
Phone: (952) 431-3500
FAX: (952) 431-8880
Supplement of Record 2 with Summary
RO Number: 3318046201
Written By: Nathan Latterell, 6/29/2023 2:54:01 PM
Adjuster: BROSTROM, HALEY
Insured:Onalaja, Adeleke Policy #:AMC Claim #:052662133-0001
Type of Loss:COLL - Other Date of Loss:2/25/2023 12:00 PM Days to Repair:6
Point of Impact:03 Right T-Bone (Right
Side)
Owner:Inspection Location:Insurance Company:
Onalaja, Adeleke CALIBER - APPLE VALLEY MN SAFECO INSURANCE COMPANY OF INDIANA
6761 132ND ST W 15129 Foliage Ave.SFCO
APPLE VALLEY, MN 55124 Apple Valley, MN 55124 P.O. Box 5014
(651) 815-5125 Cell Repair Facility Scranton, PA 18505-5014
(952) 431-3500 Business (800) 332-3226 Business
VEHICLE
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
VIN:5N1DL0MM4LC519511 Interior Color:High Contrast Wheat Mileage In:47,961 Vehicle Out:6/30/2023
License:JLK717 Exterior Color:Black Obsidian Mileage Out:
State:MN Production Date:10/2019 Condition:Job #:
TRANSMISSION Intermittent Wipers FM Radio Luggage/Roof Rack
Automatic Transmission Tilt Wheel Stereo Electric Glass Sunroof
4 Wheel Drive Cruise Control Search/Seek SEATS
POWER Rear Defogger CD Player Bucket Seats
Power Steering Keyless Entry Auxiliary Audio Connection Leather Seats
Power Brakes Alarm Premium Radio Heated Seats
Power Windows Message Center Satellite Radio 3rd Row Seat
Power Locks Steering Wheel Touch Controls SAFETY Retractable Seats
Power Mirrors Rear Window Wiper Drivers Side Air Bag WHEELS
Heated Mirrors Telescopic Wheel Passenger Air Bag Aluminum/Alloy Wheels
Power Driver Seat Heated Steering Wheel Anti-Lock Brakes (4)PAINT
Power Passenger Seat Climate Control 4 Wheel Disc Brakes Clear Coat Paint
DECOR Dual Air Condition Traction Control OTHER
Dual Mirrors Navigation System Stability Control Fog Lamps
Body Side Moldings Backup Camera Front Side Impact Air Bags Rear Spoiler
Privacy Glass Parking Sensors Head/Curtain Air Bags Signal Integrated Mirrors
Console/Storage Surround View Camera Hands Free Device TRUCK
Overhead Console Home Link Xenon or L.E.D. Headlamps Power Trunk/Liftgate
6/29/2023 2:54:01 PM 419809 Page 1
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
CONVENIENCE RADIO Blind Spot Detection
Air Conditioning AM Radio ROOF
6/29/2023 2:54:01 PM 419809 Page 2
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
Line Oper Description Part Number Qty Extended
Price $
Labor Paint
1 FRONT BUMPER & GRILLE
2 R&I R&I bumper cover 1.2
3 FRONT LAMPS
4 R&I RT Headlamp assy all 0.3
Note: LABOR: Time is after bumper cover is removed.
5 FENDER
6 **Repl Opt OEM RT Fender 631003JA0B 1 497.05 2.1 2.2
Note: LABOR: Time is after front bumper cover and headlamp assembly are removed.
7 Add for Edging 0.5
8 R&I RT Fender liner w/o hybrid Incl.
9 Repl RT Emblem "3.5"638909NA2A 1 67.93 0.2
10 *Rpr RT Mud guard obsidian black 0.5 1.0
11 *R&I RT Mud guard obsidian black 0.3
Note: LABOR: Time is for both sides.
12 WHEELS
13 **S01 Repl RECOND RT/Front Wheel, alloy
18"
403009NB2A 1 246.00 m 0.3
14 PILLARS, ROCKER & FLOOR
15 S01 R&I RT Front sill plate graphite 0.2
16 *S01 Rpr RT Aperture panel s 14.0 2.5
Note: time inlcudes pull and repairs to both front and center pillar. Lowered refinish time for center pillar and
rocker
17 S01 Overlap Major Adj. Panel -0.4
18 S01 R&I RT Lwr ctr plr trim graphite 0.2
19 S01 R&I RT Rear sill plate graphite 0.2
20 S01 R&I RT Rear w'strip graphite 0.4
21 S01 R&I RT Front w'strip graphite 0.4
22 S01 R&I RT Dash panel w/o hybrid
graphite
0.1
23 S01 R&I RT Lower w'strip 0.1
24 FRONT DOOR
25 **Repl Opt OEM RT Door shell 801003JA1A 1 1,399.44 5.1 3.2
Note: PARTS: Part has related components that cannot be reused/reinstalled; tape.
26 Overlap Major Adj. Panel -0.4
27 Repl RT Tape front 808163JA1C 1 37.27 0.2
Note: PARTS: Part cannot be reused/reinstallled
28 Repl RT Tape rear 808163JA2C 1 28.13 0.2
Note: PARTS: Part cannot be reused/reinstallled.
29 R&I RT Upper molding 0.2
30 Repl RT Black out tape 808123JA1A 1 45.84 0.2
Note: PARTS: Part cannot be reused/reinstalled.
31 Repl RT Side molding w/o Limited pkg 808703JA0A 1 360.27 0.2
32 Repl RT Lower molding 808769NB0A 1 257.93 0.2
6/29/2023 2:54:01 PM 419809 Page 3
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
33 S01 Repl RT Hinge assy 804005AA0B 1 24.80 0.3 0.3
34 REAR DOOR
35 R&I RT Water shield 0.1
36 R&I RT Belt molding 0.3
37 S01 Repl RT Side molding w/o Limited pkg 828709NF0A 1 421.96 0.2
38 R&I RT Handle, outside 0.4
39 R&I RT R&I trim panel 0.5
40 S01 R&I RT Rear seal 0.1
41 S01 R&I RT Protector 0.1
42 S01 R&I RT Surround w'strip 0.5
43 S01 Repl RT Lower molding 828769NB0A 1 231.82 0.2
44 S01 R&I RT Door glass Nissan 0.6
45 S01 R&I RT Regulator 0.4
46 *S01 R&I RT Glass run 0.2
47 *S01 R&I RT Sash channel 0.1
48 *S01 R&I RT Lock assy 0.3
49 S01 R&I RT Lower hinge 0.3
50 *S01 R&I RT Handle base 0.1
51 *S01 Repl RCY RT door assy +25%821003JC1A 1 812.50 1.7 3.2
52 S01 Overlap Major Adj. Panel -0.4
53 S02 Repl RT Black out tape rear 828123JA2B 1 44.69 0.2
54 S02 Repl RT Black out tape front 828123JA1A 1 44.69 0.2
55 S02 Repl RT Tape upper 828163JA1C 1 36.45 0.3
56 S02 Repl RT Tape front 828163JA0C 1 28.13 0.2
57 S02 Repl RT Tape rear 828163JA2C 1 30.04 0.2
58 REAR LAMPS
59 S01 R&I RT Tail lamp assy 0.3
60 S01 R&I LT Tail lamp assy 0.3
61 S01 R&I RT Reflector 0.1
62 S01 R&I LT Reflector 0.1
63 REAR BUMPER
64 S01 R&I R&I bumper cover 1.0
65 *<>S01 Rpr Bumper cover w/o backup
intervention, w/prk sensor w/o
tow pkg.
1.0 3.0
66 S01 Overlap Major Non-Adj. Panel -0.2
67 S01 Clear Coat 2.5
68 #S01 Refn Partial Refinish Adjustment -0.3
69 S01 Repl Add for park sensor 1 m 0.4
70 S01 R&I Mud guard primed 0.6
71 S01 Repl Edge guard Infiniti accessory 999B1R4000 1 180.00 0.2
72 VEHICLE DIAGNOSTICS
73 #S01 Rpr Pre-Repair diagnostic scan 0.5
74 *Rpr Post-repair scan m 0.5 M
75 #S02 Subl Static Calibration - Adaptive
Cruise Control
1 531.00 X
6/29/2023 2:54:01 PM 419809 Page 4
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
76 #S02 Subl Static Calibration - Surround View
(Toy/Ford/Niss)
1 455.00 X
77 #S02 Subl Dynamic Calibration - Blind Spot
Warning
1 250.00 X
78 #S01 Subl Pre-Repair diagnostic scan 1 40.00 X
79 #S01 Subl Post-Repair diagnostic scan 1 80.00 X
80 MISCELLANEOUS OPERATIONS
81 #Repl Cover Car 1 5.00 0.3
82 #Repl Corrosion Protection 1 8.00 0.2
83 #S01 Subl 4 Wheel Alignment 1 89.95 X
84 #S01 Subl Film 1 1.00 X
Note: Door pockets, door edges, and on door
85 #S01 Rpr Disconnect Battery Cable 0.1
86 #S01 Rpr Mask Jambs, Opening, Entry 0.2
87 #S01 Subl Mount and Balance 1 15.00 X
88 #S02 Repl Seam Sealers 1 12.00 T
89 OTHER CHARGES
90 #E.P.C.1 3.50
SUBTOTALS 6,285.39 40.1 16.7
NOTES
Prior Damage Notes:
None noted.
ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 4,807.94
Body Labor 39.6 hrs @ $ 69.00 /hr 2,732.40
Paint Labor 16.7 hrs @ $ 69.00 /hr 1,152.30
Mechanical Labor 0.5 hrs @ $ 137.00 /hr 68.50
Paint Supplies 450.00
Miscellaneous 1,473.95
Other Charges 3.50
Subtotal 10,688.59
Sales Tax $ 5,269.94 @ 6.8750 %362.31
County Tax $ 5,269.94 @ 0.5000 %26.35
Grand Total 11,077.25
Deductible 500.00
CUSTOMER PAY 500.00
INSURANCE PAY 10,577.25
6/29/2023 2:54:01 PM 419809 Page 5
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
SUPPLEMENT SUMMARY
Line Oper Description Part Number Qty Extended
Price $
Labor Paint
Changed Items
70 #S01 Subl Static Calibration - Adaptive
Cruise Control
1 -1.00 X
75 #S02 Subl Static Calibration - Adaptive
Cruise Control
1 531.00 X
71 #S01 Subl Static Calibration - Surround View
(Toy/Ford/Niss)
1 -1.00 X
76 #S02 Subl Static Calibration - Surround View
(Toy/Ford/Niss)
1 455.00 X
Added Items
53 S02 Repl RT Black out tape rear 828123JA2B 1 44.69 0.2
54 S02 Repl RT Black out tape front 828123JA1A 1 44.69 0.2
55 S02 Repl RT Tape upper 828163JA1C 1 36.45 0.3
56 S02 Repl RT Tape front 828163JA0C 1 28.13 0.2
57 S02 Repl RT Tape rear 828163JA2C 1 30.04 0.2
77 #S02 Subl Dynamic Calibration - Blind Spot
Warning
1 250.00 X
88 #S02 Repl Seam Sealers 1 12.00 T
SUBTOTALS 1,430.00 1.1 0.0
TOTALS SUMMARY
Category Basis Rate Cost $
Parts 184.00
Body Labor 1.1 hrs @ $ 69.00 /hr 75.90
Miscellaneous 1,246.00
Subtotal 1,505.90
Sales Tax $ 196.00 @ 6.8750 %13.48
County Tax $ 196.00 @ 0.5000 %0.98
Total Supplement Amount 1,520.36
NET COST OF SUPPLEMENT 1,520.36
6/29/2023 2:54:01 PM 419809 Page 6
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
CUMULATIVE EFFECTS OF SUPPLEMENT(S)
Estimate 5,385.71 ANDRES
CORONEL
Supplement S01 4,171.18 Nathan Latterell
Supplement S02 1,520.36 Nathan Latterell
Job Total: $11,077.25
CUSTOMER PAY: $500.00
INSURANCE PAY: $10,577.25
=======================================================================
Caliber Collision is the industry leader in quality collision repair. Since day one, our highest purpose has been to get
people just like you back on the road as quickly as possible and fully restored to the rhythm of your life. You can be
sure we do everything possible to ensure your complete satisfaction including:
Personalized, high quality service from the largest collision repair company in the U.S.
Consistently ranked among the highest customer satisfaction scores in the industry.
Approved by every major insurance company in the U.S.
Expedited car rental and towing services to get you back on the road again in no time.
Repair work backed by a written, lifetime warranty honored at every location.
24/7/365 customer service to answer questions and put your mind at ease.
This is a preliminary estimate based on visible damage. There may be additional repairs needed once the vehicle is
taken apart by our I-CAR Gold Class technicians to identify any additional damage.
If an insurance company has written an estimate for you, please provide us with a copy. Properly endorsed
insurance company checks are welcome as payment for the repair of your vehicle. Caliber Collision gladly accepts all
major credit cards, debit cards, cashier's and traveler's checks. See your Caliber Collision center for details on
acceptance of personal checks.
Before leaving your vehicle with us, please remove all important personal and valuable items from your vehicle.
Caliber Collision is not responsible for belongings left in your vehicle.
Please let us know how we can be of further assistance, and when we can schedule an appointment for your vehicle
to be repaired.
Caliber Collision - Restoring The Rhythm Of Your Life
=======================================================================
All supplement repairs REQUIRE prior authorization from a LIBERTY MUTUAL INSURANCE REPRESENTATIVE. To
submit a supplement to Liberty Mutual Insurance for review please FOLLOW THE SUPPLEMENT INSTRUCTIONS
LISTED IN THE DISCLAIMERS BELOW.
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.
6/29/2023 2:54:01 PM 419809 Page 7
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
Estimate calculated using a preset user threshold amount for the paint and material cost.
Estimate based on MOTOR CRASH ESTIMATING GUIDE and potentially other third party sources of data. Unless
otherwise noted, (a) all items are derived from the Guide ARA3880, CCC Data Date 06/16/2023, and potentially other
third party sources of data; and (b) the parts presented are OEM-parts. OEM parts are manufactured by or for the
vehicle's Original Equipment Manufacturer (OEM) according to OEM's specifications for U.S. distribution. OEM parts
are available at OE/Vehicle dealerships or the specified supplier. 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 with discounted pricing. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor data
provided by third party sources of data 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, A/M or NAGS. 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 2023 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 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. Blnd=Blend. BOR=Boron steel.
CAPA=Certified Automotive Parts Association. D&R=Disconnect and Reconnect. HSS=High Strength Steel.
HYD=Hydroformed Steel. Incl.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non
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=Ultra High Strength Steel. N=Note(s) associated with the estimate line.
6/29/2023 2:54:01 PM 419809 Page 8
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
CCC ONE Estimating - A product of CCC Intelligent 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.
6/29/2023 2:54:01 PM 419809 Page 9
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
THIS IS NOT AN AUTHORIZATION TO REPAIR. ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL
Please present this Appraisal to the repair facility before repairs begin.
We reserve the right to inspect any additional damage.
** For supplement requests, please follow the instructions below:
**** If the ORIGINAL APPRAISAL was completed by a LIBERTY MUTUAL/SAFECO STAFF APPRAISER or an
INDEPENDENT APPRAISER, please contact the appraiser directly; their email address and phone number can be
located in the header of the appraisal or in the "APPRAISER INFORMATION" section at the top of the appraisal.
**** Instructions if the ORIGINAL APPRAISAL was completed by a LIBERTY MUTUAL/SAFECO GUARANTEED REPAIR
NETWORK SHOP*******:
******************* SHOPS USING CCC ESTIMATING SOFTWARE **********************
--- PREFERRED METHOD --- Your facility can pull down the original estimate and add your supplement request using
THE WORKFILE VIA ESTIMATE SHARE (AWE WORKFILE RETRIEVAL - instructions are listed below) If you are unable
to complete these steps, the workfile can also be sent to you.
--- NON- PREFERRED METHOD --- Call the Liberty Mutual/Safeco Supplement Hotline at 855-837-1529 OR Email
LIBERTYSUPP@CCCIS.COM with your shop name, a contact number. Note that you are a CCC One shop requesting a
Liberty Mutual open shop supplement assignment. Please use the following subject line on your request "NEW CCC
SUPPLEMENT FILE REQUEST FOR (INSERT CLAIM NUMBER)". After contacting CCC, they will send the original work
file to your CCC One estimating system. Open and complete your supplement, LOCK it & upload with the attached
photos and documentation.... The supplement has to be LOCKED to transfer through CCC to Liberty Mutual/Safeco.
However, you can email as noted above.
***** FOR NON-CCC SHOPS OR IF YOUR SUPPLEMENT IS ALREADY COMPLETED IN CCC*** Email your written
supplement PDF, photos and supporting documents to LIBERTYSUPP@CCCIS.COM for processing. Please use the
subject line "NEW SUPPLEMENT REQUEST FOR NON CCC SHOP (INSERT CLAIM NUMBER)". To avoid a service delay,
please include your shop name, and contact name and phone number. NOTE: You will not be able to merge or
upload a supplement that was written prior to completing the download.
******************************************************************************
If you have RENTAL COVERAGE or are entitled to a Rental due to this loss, Rental will be allowed for the reasonable
period necessary to repair your vehicle, subject to any applicable policy provisions, laws or regulations.
If a rental vehicle has not been pre-authorized or you have any questions regarding your rental coverage or eligibility,
please contact your adjuster prior to securing a rental vehicle.
Additional rental costs offered through the rental agency are not covered.
******************************************************************************
Liberty Mutual/Safeco offers body shops fast and convenient service online through our Claim Information Portal. You
can check claim status, obtain payment details, view liability status, and much more.
Visit CLAIMINFOPORTAL.LIBERTYMUTUAL.COM to register and login.
Customers and body shops may also contact a claims representative at the phone numbers below:
Liberty Mutual Insurance 1-800-225-2467
Safeco Insurance 1-800-332-3226
******************************************************************************
THE INSURER GUARANTEES THAT IT WILL REPLACE ANY PART IDENTIFIED IN THIS ESTIMATE WHICH IS NOT A
NEW ORIGINAL EQUIPMENT MANUFACTURER PART, INCLUDING RECYCLED PARTS MANUFACTURED BY THE
ORIGINAL EQUIPMENT MANUFACTURER OR NEW PARTS NOT MANUFACTURED BY THE ORIGINAL EQUIPMENT
MANUFACTURER, IF A DEFECT IS DISCOVERED.
THIS GUARANTEE WILL BE IN EFFECT FOR AS LONG AS YOU OWN THE VEHICLE DESCRIBED IN THIS ESTIMATE,
BUT IT IS NOT TRANSFERABLE TO ANY OTHER PARTY AT ANY TIME. THIS GUARANTEE COVERS THE COST OF THE
PART, LABOR TO INSTALL, AND PAINT AND MATERIALS, IF REQUIRED, AS WELL AS THE COST OF RENTAL OF A
6/29/2023 2:54:01 PM 419809 Page 10
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
TEMPORARY REPLACEMENT VEHICLE DURING THE REPAIRS. THIS GUARANTEE DOES NOT COVER
CONSEQUENTIAL DAMAGES.
IF A DEFECT IS DISCOVERED IN ANY RECYCLED PARTS MANUFACTURED BY THE ORIGINAL EQUIPMENT
MANUFACTURER OR NEW PARTS NOT MANUFACTURED BY THE ORIGINAL EQUIPMENT MANUFACTURER THAT ARE
USED IN REPAIR OF YOUR VEHICLE, CONTACT YOUR ADJUSTER OR AGENT IMMEDIATELY, AND WE WILL REPLACE
THE PART WITH A NEW ORIGINAL EQUIPMENT MANUFACTURER PART.
******************************************************************************
AWE WORKFILE RETREVAL INSTRUCTIONS: In your CCC ONE Estimating, please select ACTION: IMPORT
WORKFILE COPY, DOWNLOAD COPY OF WORKFILE FROM CCC <Click NEXT>. Then select the INSURANCE
COMPANY listed in the appraisal (LM option), enter the CLAIM NUMBER and WORKFILE ID <Click NEXT>. This will
push the assignment to your CCC ONE inbox. Open and complete your supplement, LOCK it & upload with the
attached photos and documentation...
******************************************************************************
6/29/2023 2:54:01 PM 419809 Page 11
Supplement of Record 2 with Summary
RO Number: 3318046201
2020 INFI QX60 Luxe AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection Black Obsidian
PARTS SUPPLIER LIST
Line Supplier Description Price
6 Platinum Auto Trends Inc.#GEU3816D-41002 $ 497.05
14434 BEST AVENUE Opt OEM RT Fender
SANTA FE SPRINGS CA 90670
(562) 229-7691 Quote: 1484487032
(562) 229-9110 Expires: 04/03/23
13 Keystone #ALY73782U30 $ 246.00
60 51ST WAY NE RECOND RT/Front Wheel, alloy 18"
FRIDLEY MN 55421 Quote: 1741853926
(612) 789-1919 Expires: 07/14/23
25 Platinum Auto Trends Inc.#GEU3837E-70002 $ 1,399.44
14434 BEST AVENUE Opt OEM RT Door shell
SANTA FE SPRINGS CA 90670
(562) 229-7691 Quote: 1484490948
(562) 229-9110 Expires: 04/03/23
51 METRO AUTO SALVAGE #022070 $ 650.00
SALES NUMBER RCY RT door assy +25%
11710 E. 263RD ST.Door, Rt Rr RT SIDE DOOR-6P1,BLU
LAKEVILLE MN 55044
(952) 461-2186
6/29/2023 2:54:01 PM 419809 Page 12
LIBERTY MUTUAL/SAFECO/CERTAINLY
INSURANCE COMPANIES
Rental Company:Enterprise Rent-A-Car
Invoice:1916D9VSB5J
Alternate Invoice
Number:9VSB5J
Bill To: LMI15TL
LIBERTY MUTUAL/SAFECO/CERTAINLY INSURANCE
COMPANIES
ATTN:MICHAEL LUCZAK RNS
27201 BELLA VISTA PKWY SUITE 4
WARRENVILLE, IL 605551619
RENTER INFORMATION:
Renter:ONALAJA,ABIMBOLA
Address:6761 132ND ST W
APPLE VALLEY, MN 551247909
Home Phone:(651) 815-5124
Office Phone:(651) 815-5125
RENTAL INFORMATION:
Rental Branch Location:
ENTERPRISE RENT-A-CAR(1916)
15136 GALAXIE AVE
APPLE VALLEY, MN 551246985
ADDITIONAL CLAIM INFORMATION:
Claim Number: 05266213303
Claim Type: Insured
Vehicle Condition: Driveable
Date Of Loss: 02/25/2023
Insured Name:
Owner's Vehicle: 2020 OTHER|INFINITI
Office Code: PD414
Time Escalated:
Valet: No
Upgrade Requested: No
File Escalated: No
Split Bill: No
Policy Max Date: 07022023
Appraisal Channel: Guaranteed Repair Network Shop
Follow Up Date: 06302023
Company Identifier: Safeco
Total amount as of date above: 2214.69
Follow Up Reason: Verify repair complete
Date Escalated: 06192023
Waiting on Estimate:
Repair Facility:
CALIBER #3318 APPLE VALLEY MN
APPLE VALLEY, MN 551245917
(952) 431-3500
RENTAL DETAIL:
Rental Period: 05/25/2023 to 06/29/2023 (36 days)
Billed Period: 05/25/2023 to 06/29/2023 (36 days)
Description Quantity Rate Amount
TIME & DISTANCE 36 $53.01 $1908.36
SALES TAX 1 7.12%$135.97
Total Charges:$2044.33
Less Amount Received:$0.00
Total Amount Due:$2044.33
VEHICLES RENTED:
Effective Date Time Year Make Model VIN Mileage
05/25/2023 10:27 AM 2022 BMW X2 WBXYH9C08N5U43828 73
06/09/2023 11:41 AM 2019 LINC MKC 5LMCJ2D93KUL35840 390
Rental Invoice
Please Return This Portion with Remittance
Make Payment To:
ENTERPRISE RENT-A-CAR
P.O. BOX 840086
KANSAS CITY, MO 641840086
Federal ID: 43-0724835
Total Charges:$2044.33
Less Amount Received:$0.00
Total Amount Due...........$2044.33
Please Include on your Check:
Invoice:1916D9VSB5J
NOTEBOOK:
7/7/23 5:31 AM Invoice sent for Approval/Payment
AMOUNT DUE $2044.33
7/6/23 11:46 AM Ticket 9VSB5J closed on 6/29/23 at 3:33 PM.
6/29/23 3:33 PM PENDED BY CALIBER #3318 APPLE VALLE
Ticket has been close pended on 6/29/23.
Last authorized day will be 6/29/23.
Last day of rental set by ARMS, SYSTEM at 3:33 PM.
Updated By: CALIBER #3318 APPLE VALLEY MN
From ARMS® Automotive.
Vehicle Complete, Rental Car Returned To Shop
Estimated Completion Date is 6/29/23.
6/29/23 9:37 AM Authorization changed by RNS, ELISA MARTINEZ at 9:37 AM.
Rental extended by RNS, ELISA MARTINEZ at 9:37 AM for 1 day(s).
Current authorized date is 6/29/23.
Extended 1 days up to $75.00/day.
Repairs within Target
Note to self by RNS, ELISA MARTINEZ.
Spoke with Serena @ shop, addvised veh complete, they will call customer today to
pick up
Follow Up Date changed from 06292023 to 06302023
6/29/23 9:27 AM Updated By: CALIBER #3318 APPLE VALLEY MN
From ARMS® Automotive.
Sublet Work Waiting on Vendor
Estimated Completion Date is 6/29/23.
Authorization requested thru 6/29/23 for 1 day(s).
6/28/23 9:58 AM Authorization changed by RNS, ELISA MARTINEZ at 9:58 AM.
Rental extended by RNS, ELISA MARTINEZ at 9:58 AM for 1 day(s).
Current authorized date is 6/28/23.
Extended 1 days up to $75.00/day.
Repairs within Target
Note to self by RNS, ELISA MARTINEZ.
per shop note:
Sublet Work Waiting on Vendor
Estimated Completion Date is 6/28/23.
emailed CR, cust and RNS to advise of PMAX
Follow Up Date changed from 06282023 to 06292023
6/28/23 9:02 AM Updated By: CALIBER #3318 APPLE VALLEY MN
From ARMS® Automotive.
Sublet Work Waiting on Vendor
Estimated Completion Date is 6/28/23.
Authorization requested thru 6/28/23 for 1 day(s).
6/26/23 10:25 AM Authorization changed by RNS, ELISA MARTINEZ at 10:25 AM.
Rental extended by RNS, ELISA MARTINEZ at 10:25 AM for 4 day(s).
Current authorized date is 6/27/23.
Extended 4 days up to $75.00/day.
Repairs within Target
Managed By changed from RNS, MICHAEL LUCZAK to ERAC, RMS
Note to self by RNS, ELISA MARTINEZ.
per shop note in CCC 6/26:
we are done with paint and starting the reassembly process
Follow Up Date changed from 06202023 to 06282023
Follow Up Reason changed to Verify repair complete
6/26/23 9:54 AM Updated By: CALIBER #3318 APPLE VALLEY MN
From ARMS® Automotive.
Paint Work in Progress
Estimated Completion Date is 6/27/23.
Authorization requested thru 6/27/23 for 4 day(s).
6/23/23 12:31 PM Updated By: CALIBER #3318 APPLE VALLEY MN
From ARMS® Automotive.
Paint Work in Progress
Estimated Completion Date is 6/23/23.
6/19/23 4:58 PM Authorization changed by ROBERTSON, RYLANDER at 4:58 PM.
File Owner changed from
Managed By changed from ERAC, RMS to RNS, MICHAEL LUCZAK
Rental transferred by ROBERTSON,RYLANDER at 4:58 PM.
Note to self by ROBERTSON, RYLANDER.
ERAC:
Follow Up Date changed to 06202023
Date Escalated changed to 06192023
Message sent by ROBERTSON, RYLANDER at 4:58 PM.
ERAC:
6/19/23 4:54 PM Authorization changed by ROBERTSON, RYLANDER at 4:54 PM.
Rental extended by ROBERTSON, RYLANDER at 4:54 PM for 7 day(s).
Current authorized date is 6/23/23.
Extended 7 days up to $75.00/day.
Repairs within Target
Note to self by ROBERTSON, RYLANDER.
ERAC
Extending to 06/23/2023 (Day 30) per Multi-shop Operator Guaranteed Repair
Network workflow:
ERAC: Outbound Shop Call
GRN Location: CALIBER #3318 APPLE VALLEY MN
Shop Contact: Serena
When did the vehicle arrive: 05/25/2023
Target Date: 06/01/2023
ECD: 06/23/2023
Vehicle is currently in body.
Check back on 06/23/2023
Message sent by ROBERTSON, RYLANDER at 4:54 PM.
ERAC
Extending to 06/23/2023 (Day 30) per Multi-shop Operator Guaranteed Repair
Network workflow:
ERAC: Outbound Shop Call
GRN Location: CALIBER #3318 APPLE VALLEY MN
Shop Contact: Serena
When did the vehicle arrive: 05/25/2023
Target Date: 06/01/2023
ECD: 06/23/2023
Vehicle is currently in body.
Check back on 06/23/2023
6/19/23 4:52 PM Authorization changed by ROBERTSON, RYLANDER at 4:52 PM.
Note to self by ROBERTSON, RYLANDER.
ERAC: Outbound Shop Call
GRN Location: CALIBER #3318 APPLE VALLEY MN
Shop Contact: Serena
When did the vehicle arrive: 05/25/2023
Target Date: 06/01/2023
ECD: 06/23/2023
Vehicle is currently in body.
Message sent by ROBERTSON, RYLANDER at 4:52 PM.
ERAC: Outbound Shop Call
GRN Location: CALIBER #3318 APPLE VALLEY MN
Shop Contact: Serena
When did the vehicle arrive: 05/25/2023
Target Date: 06/01/2023
ECD: 06/23/2023
Vehicle is currently in body.
5/31/23 12:22 PM Note to self by OWENS, MATTHEW.
ERAC: Received a request from the branch for an extension. File has been
extended. Request has been resolved.
Message sent by OWENS, MATTHEW at 12:22 PM.
ERAC: Received a request from the branch for an extension. File has been
extended. Request has been resolved.
5/31/23 12:21 PM Authorization changed by OWENS, MATTHEW at 12:21 PM.
Note to self by OWENS, MATTHEW.
ERAC:
Policy Max Date changed to 07022023
Total amount as of date above changed from 0.00 to 2214.69
Message sent by OWENS, MATTHEW at 12:21 PM.
ERAC:
5/31/23 12:20 PM Authorization changed by OWENS, MATTHEW at 12:20 PM.
Rental extended by OWENS, MATTHEW at 12:20 PM for 20 day(s).
Current authorized date is 6/16/23.
Extended 20 days up to $75.00/day.
Repairs within Target
Note to self by OWENS, MATTHEW.
ERAC: Guaranteed Repair Network (Multi Shop Operator). Per workflow and ERAC
authority, extending rental to ECD of 6/16 based on AA update from 5/30
Message sent by OWENS, MATTHEW at 12:20 PM.
ERAC: Guaranteed Repair Network (Multi Shop Operator). Per workflow and ERAC
authority, extending rental to ECD of 6/16 based on AA update from 5/30
5/31/23 12:19 PM Authorization changed by OWENS, MATTHEW at 12:19 PM.
Rental transferred from 0414 WARRENVILLE SOC to 0414 WARRENVILLE GRN
Rental transferred by OWENS,MATTHEW at 12:19 PM.
Note to self by OWENS, MATTHEW.
ERAC: Guaranteed Repair Network (Multi Shop Operator)
Upgrade Requested changed to No
Message sent by OWENS, MATTHEW at 12:19 PM.
ERAC: Guaranteed Repair Network (Multi Shop Operator)
5/30/23 10:33 AM SENT DB EXT REQ 5/30
5/30/23 8:26 AM Updated By: CALIBER #3318 APPLE VALLEY MN
From ARMS® Automotive.
Labor Hours changed from 0.0 to 28.5
Disassembly/Tear Down
Estimated Completion Date is 6/16/23.
Authorization requested thru 6/16/23 for 20 day(s).
5/26/23 8:28 AM Updated By: CALIBER #3318 APPLE VALLEY MN
From ARMS® Automotive.
Vehicle just arrived at shop
Estimated Completion Date is 5/28/23.
Authorization requested thru 5/28/23 for 1 day(s).
5/25/23 10:38 AM Authorization changed by ARMS, SYSTEM at 10:38 AM.
Secondary Owner is ERAC, RMS
Managed By changed from
Ticket 9VSB5J opened on 5/25/23 at 10:27 AM.
5/23/23 1:58 PM Authorization confirmed by Enterprise at 1:58 PM.
Reservation number Y0LWLX.
3/22/23 3:21 PM Updated By: CALIBER #3318 APPLE VALLEY MN
Repair Facility changed from CALIBER #3307 BURNSVILLE to CALIBER #3318
APPLE VALLEY MN.
Pickup Date & Time updated: 05/25/23 10:00:00
3/10/23 11:41 AM Repair Facility changed from CALIBER COLLISION - BURNSVILLE to CALIBER
#3307 BURNSVILLE.
Authorization confirmed by Enterprise at 11:41 AM.
Reservation number Y0LWLX.
3/9/23 12:32 PM Authorization confirmed by Enterprise at 12:32 PM.
Reservation number Y0LWLX.
Authorization sent at 12:32 PM for 3 days up to $75.00/day.
Authorization sent with $75.00/day / $2,250.00/max.
Authorized by NAVIGATOR, USER.
File Owner is
File is Managed By
Direct Bill Authorization set at 100 %
Mobile: (651) 815-5125
Rental Ready all customers. If veh is drivable shop must begin repair and parts must
be at shop or customer may owe rental days, preferred Mon-Wed start. DO NOT
DISCUSS SPECIFIC # OF DAYS AUTH. In-house will manage extensions.
Repair Facility set to CALIBER COLLISION - BURNSVILLE.
* All times are in CST