Johnson, BenetAugust 13, 2024
VIA ELECTRONIC MAIL ONLY
cityclerk@ci.stpaul.mn.us
City of Saint Paul Clerk
15 West Kellogg Blvd
Suite 310
Saint Paul, MN 55102
Re: TORT CLAIM FOR DAMAGES
Date of Loss: 3/27/2024
Our File No.: 12169642-800
Our Client’s Insured: Benet P. Johnson
Tort Claim Amount: $1,808.64
Dear Sir or Madam:
This firm has been retained by Garrison Property and Casualty Insurance Company to
pursue a tort claim for damages arising from the negligence of Ler Htoo in a motor
vehicle collision that occurred during the course and scope of their employment with City
of Saint Paul. As of the date of this letter, Garrison Property and Casualty Insurance
Company has incurred damages in the amount of $1,808.64, and it intends to seek the
amount of that loss.
On behalf of Garrison Property and Casualty Insurance Company, we are seeking
repayment of $1,808.64, which includes any deductible paid by its policyholder Benet P.
Johnson. Payment, should be made payable only to “CSM in trust for Garrison Property
and Casualty Insurance Company”.Please mail all payments to our TX office at: 2929
North Central Expressway, Richardson, TX 75080. The firm’s tax identification
number is: 20-3335151.
All future correspondence on the referenced claim MUST come to this firm. Please do
not communicate with my client concerning this matter without prior written
authorization from our firm.
If you believe there are other responsible parties, or if you wish to discuss this tort claim,
please contact Kristen Davis-Burns (kburns@clerkinlaw.com) at (903) 218-0098.
Sincerely yours,
Clerkin, Sinclair, & Mahfouz, LLP
NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota
Minnesota State Statute 466.05 states that “…every person…who claims damages from any municipality…shall cause to be presented to the governing body of the
municipality within 180 days after the alleged loss or injury is discovered a notice stating the time, place, and circumstances thereof, and the amount of compensation
or other relief demanded.”
Please complete this form in its entirety by clearly typing or printing your answers to each question. If you have additional documentation, you may add those documents
to your submission. You will not be contacted by telephone unless clarification is needed. The claim process for investigations can take upwards of four (4) weeks. This
form must be signed, dated with all applicable sections completed. Submission this completed form to the Saint Paul City Clerk’s Office by email
(cityclerk@ci.stpaul.mn.us), fax (651-266-8574) or mail addressed to “Saint Paul City Clerk, 15 West Kellogg Blvd., Suite 310, Saint Paul, MN 55102”.
Claimant: First Name: ________________________________ Last Name: _______________________________________________
Please Indicate Your Pronouns: ☐ She/Her/Hers, ☐ He/Him/His, ☐ They/ Them/Theirs
Company or Business Name: ____________________________________________________________________________________
Is this claim being made by an Insurance Company? YES / NO If yes, what is your Claim/File Number? _________________________
Is this claim being made by an Attorney? YES / NO If yes, what is your File Number? _______________________________________
If yes, provide your Insured’s/ Client’s Name: _______________________________________________________________________
Street Address: _______________________________________________________________________________________________
City: ______________________________________________ State: ________________________ Zip Code: ___________________
Daytime/Work Phone: __________________________________ Cell Phone: _____________________________________________
Date of Incident or Date Discovered (Must Complete): _____________________________ Time: _____________________________
Please state, in detail, what happened that prompted you to file a Notice of Claim Form: ____________________________________
Please state why or how you feel the City of Saint Paul is responsible for your Damages? ____________________________________
Please check the reason that most closely describes the reason for your submitting a claim. Please note the documents that will
need to be provided with your completed form. Photographs will be accepted. All documents submitted become the property of
the City of Saint Paul and shall not be returned.
☐ Automobile damage from a motor vehicle accident: please provide two estimates for repairs or actual bill that has been paid.
☐ Automobile damage from a street defect or pothole: please provide two estimates for repairs or actual bill that has been paid.
☐ Automobile was towed and may or may not have sustained damage: please provide copy of towing ticket (if available), receipt
from Impound Lot, and two estimates for repairs or actual bill that has been paid.
☐ Snow Emergency: please provide copy of towing ticket (if available), receipt from Impound Lot, and two estimates for repairs or
actual bill that has been paid.
☐ Property damage: please provide two estimates for repairs or actual bill that has been paid.
☐ You were injured during a motor vehicle accident: please provide police report number, details about injury.
☐ You were injured in the City of Saint Paul: please provide police report number, witnesses, and details about injury.
Continue to page 2 of Notice of Claim Form. Failure to complete and return both pages will result in delays.
Revised March 2023
CSM OBO USAA ASO Johnson, Benet
Clerkin, Sinclair & Mahfouz, LLP
12169642-800
12169642-800
Benet Johnson
c/o 2929 North Central Expressway, Suite 320
Richardson TX 75080
(619) 308-6550
03/27/2024 9:00 AM
*Please see attached document.
** Please see attached document.
X
This section must be completed for all claims.
Is there a police report for this incident? YES / NO
If yes, please provide the police report case number: ___________________________
If yes, what law enforcement agency responded? ____________________________________________________________
Where did the incident take place? Please provide a street address, intersection or name of city park or facility:
____________________________________________________________________________________________________________
What would you like to see happen to resolve this claim to your satisfaction?
____________________________________________________________________________________________________________
Were there witnesses to this incident? Please provide names and contact phone numbers:
____________________________________________________________________________________________________________
For property damage claims, including vehicle accidents.
Your vehicle’s information: Year: _________ Make: _________________ Model: __________________ Color: __________________
License Plate #: _________________________ State vehicle is registered in: ___________________________
Registered owner of vehicle: _____________________________ Driver: __________________________________________
Area(s) damaged:______________________________________________________________________________________
If a City vehicle was involved, License Plate #: _________________________________ Color: _______________________________
Was there City insignia on the vehicle? YES / NO Driver’s Name: ______________________________________________________
Other property damaged: _______________________________________________________________________________________
For injury claims of any type.
What part of your body was injured? _____________________________________________________________________________
Did you go to the emergency room or urgent care? YES / NO Where? ___________________________________________________
Was medical treatment received? YES / NO Where? ________________________________________________________________
First day of medical treatment? _____________ Are you still receiving medical treatment? YES / NO
Did you miss any work as result of this incident? YES / NO
Employer(s): _________________________________________________________________________________________________
How much time have you missed from work? _____________________________________________________________________
If you are submitting other documents, please state what you are attaching and how many pages: _________________________
By signing this form, you agree that all information provided is true and correct to the best of your knowledge.
Please NOTE that submitting a false or misleading claim can and will result in prosecution under Minnesota Statutes.
Name of Person completing form: _____________________________________________________________
Signature of Person submitting this form: _______________________________________________________
Relationship of person signing to Party making the claim: __________________________________________
Date document is being signed: _____________________
Revised March 2023
24-053423
Saint Paul Police Department
386 Wabasha St N, Saint Paul, MN
Clerkin, Sinclair & Mahfouz, LLP is seeking subrogation of $1,808.64 paid amount on behalf of Garrison Property and Casualty Insurance
Company.
2018 Ford F-150 Blue
9TV454 MN
Benet Johnson
Damage to the left front side. Please see attached supports.
EKL372
Ler Pweh Htoo
N/A
No injuries.
Joanna Rodriguez
on behalf Garrison Property and Casualty Insurance
Company a/s/o Benet Johnson
08/09/2024
Notice of Claim Form to the City of Saint Paul, Minnesota
*Please state, in detail, what happened that prompted you to file a Notice of Claim Form:
On March 27, 2024, at approximately 9:00 AM, USAA's insured vehicle (2018 Ford F-150, MN
license plate number: 9TV454) was parked and unoccupied near 386 Wabasha St N, in St. Paul,
MN when it was struck on the left front side by a City of Saint Paul vehicle (2013 Chevrolet Caprice, license plate number: EKL372), driven by Ler Pweh Htoo, resulting in property
damage.
**Please State why or how you feel the City of Saint Paul is responsible for your Damages?
The City of Saint Paul employee failed to maintain proper lookout while backing and collided
with USAA's insured vehicle.
Signature: Date:
_______________ ___________ 08/09/2024
Joanna Rodriguez on behalf of Garrison Property and Casualty Insurance Company a/s/o Benet Johnson
LIMITED POWER OF ATTORNEY
United Services Automobile Association, on behalf of itself and its subsidiaries and affiliates ("USAA")
hereby appoints Clerkin, Sinclair & Mahfouz, LLP ("Law Firm") to act as its attorney-in-fact for the for the
sole and limited purpose of executing settlement agreement documents, including Settlement
Agreements, Stipulations for Settlement, Stipulations for Judgment, Installment Agreements, and
Releases, in the name of and on behalf of USAA and its subsidiaries and affiliates, received from the
responsible party or their insurer on subrogation claim files placed with Law Firm for collection and/or
litigation. Law Firm is herein authorized by and on behalf of USAA to bind USAA to enter into settlement
agreements by settlement or stipulation in regards to collection and/or litigation of the subrogation
claim files USAA has placed with Law Firm.
This Limited Power of Attorney is executed in connection with the Master Engagement Agreement for
Legal Services # 0000012231 entered into between USAA and Law Firm. Except as expressly stated
herein, no other rights, powers duties, or authority is extended to Law Firm by the terms of this Limited
Power of Attorney.
This Limited Power of Attorney will remain in effect until written revocation of the Limited Power of
Attorney by USAA, but in no event shall it remain in effect after written notification to terminate the
Master Engagement Agreement described above.
Dated: ______________________ UNITED SERVICES AUTOMOBILE ASSOCIATION
BY: __________________________________
__________Yolanda Monsivais_________________
Recovery Litigation Manager
Subscribed and sworn before me this ______ day of __________, 20____.
State of: _______________________________
County of: _____________________________
______________________________________
(Notary Public)
DocVerify ID: 392F84B7-6FFC-435F-B584-ED198C43C2D1
www.docverify.com392F84B7-6FFC-435F-B584-ED198C43C2D1 --- 2024/08/06 08:05:57 -8:00 --- Remote NotaryPage 1 of 1 1ED198C43C2D1
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08/06/2024
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Signed on 2024/08/06 08:15:25 -8:00
Yolanda H Monsivais
08/06/2024
7EF781853A1D
Signed on 2024/08/06 08:15:25 -8:00
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Commission # 2020-RE-817219
Electronic Notary Public
State of Ohio
My Comm Exp. Jul 16, 2025
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Click to Total Type Date Issued Amount Vehicle/Party Coverage Cost Category Line Category Line Category Reason Payee/Payer Payment Status
Payment 07/29/2024 $808.64 2018 FORD F-150 (1FTEW1EP3JKC53383)Collision Collision Vehicle Standard indemnity Sent
Selected Total $808.64
Activity Assignment Status
Pol:012169642-7102 Ins:Mr Johnson DoL:03/27/2024 Adj:Leticia Rangel (Express SAT North - Moody)
Financials: Line Items
Desktop Claim (012169642-800)Search Address Book Team Go to (Alt+/)
USAA Confidential667949f7-117e-1019-9470-6423bb07eb17
USAA Confidential667949f7-117e-1019-9470-6423bb07eb17
USAA Confidential667949f7-117e-1019-9470-6423bb07eb17
USAA Confidential667949f7-117e-1019-9470-6423bb07eb17
USAA Confidential667949f7-117e-1019-9470-6423bb07eb17
USAA Confidential667949f7-117e-1019-9470-6423bb07eb17
CALIBER - HAM LAKE Workfile ID:
Federal ID:
State ID:
Federal EPA:
24c7c1ad
33-0730794
6144514
MNS000103143RESTORING THE RHYTHM OF YOUR LIFE
13819 Johnson St. NE, Ham Lake, MN 55304
Phone: (763) 413-1323
FAX: (763) 201-2958
Estimate of Record
Customer: Johnson, Benet
Written By: Marty Hanson, 6/4/2024 2:52:17 PM
Adjuster: Pinder, Maritza, (800) 531-8722 Business
Insured:Johnson, Benet Policy #:012169642 Claim #:012169642000000800001
Type of Loss:Collision Date of Loss:3/27/2024 12:01 AM Days to Repair:5
Point of Impact:12 Front
Owner:Inspection Location:Insurance Company:
Johnson, Benet CALIBER - HAM LAKE GARRISON PROPERTY & CASUALTY, A USAA
SUBSIDIARY
13829 BUTTERNUT CT NW 13819 Johnson St. NE DRP- 4187
ANDOVER, MN 55304-6748 Ham Lake, MN 55304 Visit us at USAA.com or Call #8722
(763) 772-2653 Cell Repair Facility P.O. Box 33490
(763) 413-1323 Business San Antonio, TX 78265
(800) 531-8722 Business
VEHICLE
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
VIN:1FTEW1EP3JKC53383 Interior Color:gray Mileage In:128,545 Vehicle Out:
License:9TV454 Exterior Color:blue Mileage Out:
State:MN Production Date:10/2017 Condition:Job #:
TRANSMISSION CONVENIENCE Stereo Hands Free Device
Automatic Transmission Air Conditioning Search/Seek SEATS
4 Wheel Drive Intermittent Wipers CD Player Cloth Seats
POWER Tilt Wheel Auxiliary Audio Connection Bucket Seats
Power Steering Cruise Control SAFETY Reclining/Lounge Seats
Power Brakes Keyless Entry Drivers Side Air Bag WHEELS
Power Windows Alarm Passenger Air Bag Aluminum/Alloy Wheels
Power Locks Steering Wheel Touch Controls Anti-Lock Brakes (4)PAINT
Power Mirrors Telescopic Wheel 4 Wheel Disc Brakes Clear Coat Paint
DECOR Backup Camera Traction Control OTHER
Dual Mirrors RADIO Stability Control Fog Lamps
Privacy Glass AM Radio Front Side Impact Air Bags TRUCK
Console/Storage FM Radio Head/Curtain Air Bags Rear Step Bumper
6/4/2024 2:52:17 PM 419810 Page 1
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Estimate of Record
Customer: Johnson, Benet
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
Line Oper Description Part Number Qty Extended
Price $
Labor Paint
1 #oe parts only 1
2 #For Supplements Use Estimate
Share Within CCC One
1
3 #Have Questions or Non-CCC
User?
1
4 #Call 800.637.8511 - Press 2 for
Repair Facility
1
5 #Then Press 2 for Technical
Support,
1
6 #Then Press 4 for "All Other"1
7 #==== End USAA Drive In Notes
====
1
8 FRONT BUMPER
9 O/H front bumper 3.6
10 Repl Bumper w/fog lamps chrome JL3Z17757A 1 895.61 Incl.
11 Add for fog lamps 0.4
12 Repl RT Mount plate JL3Z17B984A 1 82.48 Incl.
13 Repl LT Mount plate JL3Z17B985A 1 77.83 Incl.
14 R&I Lower cover Incl.
15 R&I Valance panel w/o tow hooks Incl.
16 Repl Center cover 2.7, 3.5 liter JL3Z17B968BB 1 65.02 Incl.
17 R&I RT End cover Incl.
18 Repl LT End cover JL3Z17E811AB 1 25.82 Incl.
19 Repl LT Stud plate FL3Z17C886A 1 8.22 Incl.
20 R&I License bracket w/turbo 0.2
21 R&I Filler Incl.
22 R&I Upper molding black Incl.
23 #Rpr Pre-Repair diagnostic scan 0.5
24 #Subl Pre-Repair diagnostic scan 1 50.00 X
25 #Rpr Post-Repair diagnostic scan 0.5
26 #Subl Post-Repair diagnostic scan 1 70.00 X
27 FRONT LAMPS
28 Repl LT Fog lamp JL3Z15201A 1 59.13 Incl.
29 Aim fog lamps 0.3
30 *R&I RT Fog lamp Incl.
SUBTOTALS 1,334.11 5.5 0.0
6/4/2024 2:52:17 PM 419810 Page 2
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Estimate of Record
Customer: Johnson, Benet
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 1,214.11
Body Labor 5.5 hrs @ $ 72.00 /hr 396.00
Miscellaneous 120.00
Pre-Tax Discount -1.1 %-19.03
Subtotal 1,711.08
Sales Tax $ 1,200.75 @ 8.1250 %97.56
Grand Total 1,808.64
Deductible 1,000.00
CUSTOMER PAY 1,000.00
INSURANCE PAY 808.64
=======================================================================
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
=======================================================================
6/4/2024 2:52:17 PM 419810 Page 3
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Estimate of Record
Customer: Johnson, Benet
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
AVOID DELAYS BY GETTING CLAIM AND PAYMENT INFORMATION IN JUST A FEW CLICKS!
VISIT: http://www.usaa.com/bodyshop
MEMBER NUMBER: Use Policy Number
LOSS NUMBER: Use digits 16, 17, & 18 of the claim number (Ex. 012345670000000[003]001)
LOSS DATE: Use Date of Loss
If you choose to repair your vehicle at a STARS facility, please visit the following link for information regarding the
USAA STARS Limited Lifetime Warranty:
https://content.usaa.com/mcontent/static_assets/Media/usaa-stars-limited-lifetime-warranty.pdf
If you do not choose to repair your vehicle at a STARS facility, please note that USAA STARS Limited Lifetime
Warranty will not apply to repairs to your vehicle.
Please Present A Copy Of This Estimate To A Repair Facility Of Your Choice
*USAA Subsidiaries include: United Services Automobile Association(USAA), USAA Casualty Insurance Company(CIC),
USAA General Indemnity Company(GIC) USAA County Mutual Insurance(CMI) and Garrison Property Casualty
Insurance Company. Garrison Property and Casualty Insurance Company, a subsidiary of USAA Casualty Insurance
Company, is authorized to use the USAA logo, a registered trademark of United Services Automobile Association.
This is not an authorization to repair. Failing to present this estimate to the repairing garage before repair may result
in additional expenses to you. A USAA appraiser must authorize any supplement to this estimate. Repairs to this
vehicle may require specific welding equipment as recommended by the manufacturer.
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.
6/4/2024 2:52:17 PM 419810 Page 4
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Estimate of Record
Customer: Johnson, Benet
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
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 DR2MA15, CCC Data Date 05/16/2024, 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 2024 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.
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.
6/4/2024 2:52:17 PM 419810 Page 5
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Estimate of Record
Customer: Johnson, Benet
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
USAAs Quality Replacement Parts Program
The following information summarizes USAAs Quality Replacement Parts program:
USAA utilizes a Quality Replacement Parts (QRP) program to help manage repair costs while maintaining a high
standard of quality and safety for vehicle repairs. USAAs QRP program includes parts that are required to be
equivalent in quality, safety, fit, and performance of the part(s) being replaced on your vehicle. The application of
USAAs QRP program will comply with all state/federal laws where applicable and may be superseded by
policy/endorsement language when applicable.
USAA provides a Limited Parts Warranty on Quality Replacement Parts that are authorized for use on USAA approved
repair estimates and installed during vehicle repairs. USAAs warranty on sheet metal, and plastic QRP body parts is
valid for the greater of the following time periods: (1) the remaining period of the Original Equipment Manufacturer
(OEM) vehicle factory warranty; or (2) three years from the date of the repair completion. USAAs warranty on
mechanical and electrical QRP parts is valid for the greater of the following time periods: (1) the remaining period of
the Original Equipment Manufacturer (OEM) vehicle factory warranty; or (2) the same warranty period that would be
provided by the Original Equipment Manufacturer (OEM) for an equivalent OEM replacement part.
Excluded from USAAs QRP warranty are the following conditions: (1) normal wear and tear; (2) damage caused by
accident and/or acts of nature; (3) intentional acts; (4) improper use or modification; (5) improper installation;
and/or (6) improper maintenance of the vehicle.
Any express warranty not provided herein is hereby excluded and disclaimed. Any implied warranties of
merchantability and fitness for any particular purpose which may exist are expressly limited to the QRP warranty
period(s) as cited above. The USAA QRP warranty period(s) will comply with and be superseded by state/federal law
where applicable.
USAA shall not be liable to any person for any special, incidental, or consequential damages, whether arising out of
breach of warranty, breach of contract or otherwise. Limitations or exclusions of liability may be superseded by
state/federal law where applicable.
The following questions and answers may help you understand more about USAAs QRP program:
Q. What types of parts are utilized in the QRP Program?
A. In addition to the use of OEM parts in certain instances, the following types of parts may be utilized in the QRP
Program:
New aftermarket parts: Parts provided by manufacturers and distributors other than the Original Equipment
Manufacturer.
Recycled parts: Parts from a vehicle of the same make and model.
Reconditioned, remanufactured, and rebuilt parts: Parts that are rebuilt or repaired to OEM specifications.
Optional OEM parts: New OEM or OEM equivalent parts provided by distributors other than the Original Equipment
Manufacturer.
Q. What assurances do I have that QRP parts are of high quality?
A. USAAs QRP program maintains high standards to utilize parts that are equivalent in quality, safety, fit, and
performance of the part(s) being replaced on your vehicle. QRP parts carry an equal or better warranty when
compared to OEM parts and are backed by USAAs Limited Parts Warranty.
Q. Do I have a choice of which parts are used to repair my vehicle?
A. As the owner of the vehicle, you have the right to choose the types of parts that are utilized in the repairs to your
vehicle. If you choose to utilize parts that differ from USAAs approved estimate, you will be responsible for any
6/4/2024 2:52:17 PM 419810 Page 6
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Estimate of Record
Customer: Johnson, Benet
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
additional part costs and labor differences. As well, USAAs Limited Parts Warranty will not be applicable to parts that
deviate from USAAs approved estimate.
Q. Will using a non-OEM part void the warranty on my vehicle?
A. QRP parts utilized in your vehicles repair carry an equal or better warranty when compared to OEM parts.
Additionally, QRP parts are backed by USAAs Limited Parts Warranty, which includes the duration of the OEM
warranty period.
Q. If an issue arises with a QRP part utilized in the repair to my vehicle, what is the resolution process?
A. If you experience a problem, contact your repair shop to discuss the concern. The shop will assess the situation
and can work directly with the QRP supplier and/or USAA where necessary to resolve the issue.
Q. What should I do if my repair shop refuses to use QRP parts?
A. You have the right to choose where, how, and by whom your vehicle will be repaired. Repair shops have the right
to conduct business in accordance with their own practices, including charging more than a competitive cost for
repairs. Should you choose a repair shop that refuses to utilize the QRP parts listed on the USAA approved estimate,
you will be responsible for any additional part costs and labor differences in the final repair bill. As well, the USAA
Limited Parts Warranty will not apply.
If you have questions about the program or warranty, log on to http://usaa.com or call 1-800-531-USAA (8722).
6/4/2024 2:52:17 PM 419810 Page 7
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Estimate of Record
Customer: Johnson, Benet
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
ALTERNATE PARTS USAGE
2018 FORD F-150 XLT SuperCrew 4WD w/5.5' Box 4D SHORT 6-2.7L Turbocharged Gasoline Port/Direct Injection blue
VIN:1FTEW1EP3JKC53383 Interior Color:gray Mileage In:128,545 Vehicle Out:
License:9TV454 Exterior Color:blue Mileage Out:
State:MN Production Date:10/2017 Condition:Job #:
Alternate Part Type Selection Method # Of Times Notified Of
Available Parts
# Of Parts Selected
Aftermarket Automatically List 0 0
Optional OEM Automatically List 0 0
Reconditioned Automatically List 0 0
Recycled N/A 0 0
6/4/2024 2:52:17 PM 419810 Page 8
USAA Confidential0e02b847-fe4d-1018-90bf-7f5ef23064db
Claim Reference Id : 012169642000000800001
File Name : PHOTO6
File Date : 06/04/2024
Label : Odometer
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO8
File Date : 06/04/2024
Label : Right QP
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO15
File Date : 06/04/2024
Label : Photo 03
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO16
File Date : 06/04/2024
Label : Right Side
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO11
File Date : 06/04/2024
Label : Photo 01
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO10
File Date : 06/04/2024
Label : Left QP
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO12
File Date : 06/04/2024
Label : Interior
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO1
File Date : 06/04/2024
Label : VIN Number
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO17
File Date : 06/04/2024
Label : Right Rear
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO4
File Date : 06/04/2024
Label : Right Front
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO7
File Date : 06/04/2024
Label : Left Fender
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO14
File Date : 06/04/2024
Label : Front
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO2
File Date : 06/04/2024
Label : Left Side
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO19
File Date : 06/04/2024
Label : Left Front
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO9
File Date : 06/04/2024
Label : Right Fender
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO5
File Date : 06/04/2024
Label : Rear
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO13
File Date : 06/04/2024
Label : Photo 02
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO18
File Date : 06/04/2024
Label : License Plate
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO3
File Date : 06/04/2024
Label : Left Rear
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - HAM LAKE|Claimant:Benet,Jo
hnson|VIN:1FTEW1EP3JKC53383|Insuran
ceCompany:GARRISON PROPERTY & CASUA
LTY, A USAA SUBSIDIARY|InsuredIsOwn
er:Y|Estimator:Marty,Hanson|
Photo Location : CALIBER - HAM LAKE
Photo Taken By : Marty Hanson
Estimate Indicator : E01
USAA Confidentialeb807423-fe4d-1018-b5e9-43f84ecbff0c
Claim Reference Id : 012169642000000800001
File Name : PHOTO23
File Date : 07/19/2024
Label : Photo 12
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO26
File Date : 07/18/2024
Label : Right Side
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO31
File Date : 07/18/2024
Label : Right QP
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO33
File Date : 07/18/2024
Label : Left QP
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO34
File Date : 07/19/2024
Label : Photo 11
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO41
File Date : 07/18/2024
Label : Front
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO42
File Date : 07/18/2024
Label : Left Side
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO46
File Date : 07/19/2024
Label : Photo 10
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO29
File Date : 07/19/2024
Label : Photo 09
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO37
File Date : 07/18/2024
Label : Odometer
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO36
File Date : 07/18/2024
Label : Right Fender
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO39
File Date : 07/18/2024
Label : VIN Number
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO21
File Date : 07/18/2024
Label : Interior
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO22
File Date : 07/18/2024
Label : Rear
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO40
File Date : 07/18/2024
Label : Right Rear
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO44
File Date : 07/18/2024
Label : Left Fender
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO43
File Date : 07/18/2024
Label : Photo 06
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO20
File Date : 07/18/2024
Label : Photo 02
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO28
File Date : 07/19/2024
Label : Photo 08
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO38
File Date : 07/18/2024
Label : Photo 01
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO32
File Date : 07/18/2024
Label : License Plate
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO25
File Date : 07/18/2024
Label : Photo 05
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO24
File Date : 07/18/2024
Label : Right Front
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO30
File Date : 07/18/2024
Label : Left Rear
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO35
File Date : 07/18/2024
Label : Photo 04
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO45
File Date : 07/18/2024
Label : Left Front
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8
Claim Reference Id : 012169642000000800001
File Name : PHOTO27
File Date : 07/18/2024
Label : Photo 03
Note : Owner:Benet,Johnson|Style:2018,FO
RD,F-150 XLT SuperCrew 4WD w/5.5' B
ox|Insured:Benet,Johnson|LossDate:0
3/27/2024|PolicyNumber:012169642|Cl
aimRepresentative:Pinder|ShopName:C
ALIBER - BLOOMINGTON - EAST|Claiman
t:Benet,Johnson|VIN:1FTEW1EP3JKC533
83|InsuranceCompany:GARRISON PROPER
TY & CASUALTY, A USAA SUBSIDIARY|In
suredIsOwner:Y|Estimator:Brandon,Wa
lton|
Photo Location : CALIBER - BLOOMINGTON - EAST
Photo Taken By : Brandon Walton
Estimate Indicator : S01
USAA Confidential9ad686c7-0eae-1019-9d11-299dde0f71c8