Loading...
Klingel , ` � . �E�ERQ�;��i MAR 3 � 1�)� � ���� �.'??a..F't4� p�tUTIC:�� �I' CLAYM k'dRM to the Cit� of S��i�t Faul, Minnesot� h�in��ero!n Stnra S�ata�re;�G6.05,rfules i;�ar ° ...�vcry per�nn...l+�hi�c1Qi!na cfomlges jram vrlv manicipaliry.,.sha(1 cause tp bs preaer�ec�t:�r.he. oorerni,��bocfy o,�:h¢,��tnrctntrli.y�+�ilia:n 160 dr.ys njt2r 1he cifi¢getl;oss or in,jur}�is diseove�ed ct notics s�nlinYlhe tA�ta,pinee,a�rd , c;re«�n,srar�ces►�ie�eoj,nnd th.e amor�r,t oJcomperrs�rion nr aher��e:le,frJensan;�ed." Plegse contplete tli is torn�in(ts tu�irety by cltarlr ty�io$or printing}rour answtr ro each questian. if more spgce is needed,rittACl�additi:o��al sheets. Plea<.e no#e that yau wltl not be c�ntacteA by teyephone to clariiy answei^s,so p�nvide as much 3nft�rmsti.on�s.neceasary ta explai�i your claim,�na tht$monnt af com�enspcion betng t'���esTed. �'uu w•itl reccive a tr�ritt�n��I�nawledgement ance yrn�r farm;s reotived, 'Cl�e proeess can talce up t�ten weelcs or longer depeucti�g a�a The nuture of your elaiin_ �'his fortn m��st be signed,And Eotlt pa�es conipletM. If�samething does not apgly,write`NiA'. s��rn com�rr�t.�n rc�rz� ,A,Nn ox���nocrrnr�,�T� ro: cYT�' CL�YtX�;, lL5 �'�5�,KEL�G4GG�BL�D, 3XQ CIT`�"�AL�, S��CNT PAUL, �hi 551Q2 First Na�7ie ` �` _ Middlc (nitial L L,as�N;�me� Compt�ny or 1�usiness Nsme � A Are�'ou an]nSUrance Corn�lny^ Yzs/�101 (f Yes,Ciaim Number?� Street.4dclr�ss�J v �� c,��—.�. st�t� M N z;p caa��(� D�ytime Phone�,��- �2'} Cetl Phone�`}�ZD -�'��vening T'elephona(�0�)�_�z,.� Date of p,Ccidentl f n,j ury or Date U iscover�d y'��� �;� Ti�ru,jD=0 0 _an /pm Please su►t�,i�1 dwt�i i,what oceuirad(happaned;,and why you are submitting a cl�im.Please indicate��vhy or how you feel the City of Saint Paul oc its e�nplcyees are invalve��t�nd(or responsible for ynur dzmages. � � S�` s �`-.-- ����Y_ ri r , � ,� -.1��Il,l�t.Z— W � _ � 1'Iea�e cht�k the bo�;�es)that�nost clasely r6pi�sent th�reason for compicti g this form: ❑My vehicle�vas d.3maged in an acc:d�nt �Vt.y�vehicle wxs danza�ed during a tc,w ❑ My vehicle��vas d.nmaged by a pothoie or conQirion �f the street ❑M;��vehicic was��iamaged by�glow Q My v�hiclo wTS v.ron�fully towed andior ticketed � CI I w�as i�jur� �n City��,roperLy ❑ Other typw of prQ.�etty dnmage—please spcci fy ❑Qther type uf inj�ry—pltase specify In order to process yaur claim you need to include conies of;all annlic�ble docum�ents. For the ctaims tt�pes]isted below,pie�se be sure to ine'.ude th�documents indic�ltec�or it will�elsy tlte;lixndiir.g�f your claim. Documr::nts WI,L�C�T t,e retcirned and become the propert)�of ch�e Ciry_ You are encouraged to l:eep a copy far yot�rself be?ura suhmittit�g yc�ur Cla im forn�, �Properry�i�mage claims to a vehiele:two estirnates far the repai�s tc�youc vthicle if the c!arn�ge eace�ds 5�504.00;or�:he actual biils and/or receipts for�:he rep�i�s cJ To�vir.g claims: (��ible eaF�ies of any ticket issued 2nd a eopy af the impoand lot receipt O 4cher property dan�s�cl�ims:t��vo repair estimat�s ifthe damage esoeeds$SQp,t�O;or.hc acrual bilis s�ndior receii�t5 for thg repairs;,det�ilcd list of damaged items c� Injury c1��inzs:medic�f bi(I;�,receipts (� Phatogra��hs are alwa}�s��e�lc�om�to dacum�:nt ancl suppor*_yaur cla ic�n b��t wiil not ba��et�n•ned. Page i of2—riexs�complete antl ret�►rn �oth pages:of Glaim Form i , rnL� �n�� nrc�. n�:� : cn ;AUifi� � � �; r,� ��; „� _ T�aifure t� eomplete stt�td i��turn botl�pages,will res��lt in cielay in�t3ie hantllt�ag ofyanr clxxtn, fiAll Cl�irr�s—ndease;:omplete " section ,!`Were tli.re witn«sses to the inciclent! Ycs � Unirn�wn (cii•c1e) ; �'rovide tl�►eir nan��s,,3�dresses ancl tGlE:phonc number5: We�-e tI�e�olice or la��x�enforcettiient ca(letl? Yes rIo . Ua�known (circie't If yes, whaL d�p�itme�»t or 2�ency7� __C2se#er rep��s�T# Wl�et�dici chs accide.�t ar ir:ju�y t�ke�l�ce? P�bvidt street address,cross�treet,intersect: n,��ame of��ar1:4r f�cility, closest landll��tk,etc, hie�se bG As det9i?ed as possible. If xrccessary,aitttch�cii��i�am.� � ��po-� i��a�c � i�f�c�e���t.�. ` Plcase i�tciieate the ari ount you are seekin�in cot���5tr►sation c,r�vhat you �ueuld 4�k.e the Ciry,ta do tQ rf:solve this 4�I�tirn to your sA.tisfaction._.�_�j�� � � . � � laicle(,l�ims—nics�a eom,�lete tl�is seC io ❑ chxl:box if this s�ction ci�es na:a�nlv 'L'our��ot�icic; Year�Make Mode� Liunsc Pi�tc NumUer `State�ii�Caior �y�Y�r Regist�r�d Ownec-��� �riv�rofVthicle (�.i(1ZQ Gt,E- � �� iy��.��„�,..� Ares� Dsmaaed��pY1,fi �t �.�^GLYQ.OI _ �'�ry Val��cle: 1'ear Make Model Lice;ase PIAtt Nmrber State Co(or Driv�r r�f Vehicle(City Emplc,��ee's N»me) Are� I7�i�iaged • In'�ury Claims—nle�se eomr�8te this seet;on L+Seheck bok if this section d�es�nt an�l4 How werc you injured? VJhat p�rt(s)a{'yoltr bociy were injtu•e�? Have you sou�l�t me;�ic�!u�G2tmEnt`? Yes No 1'lan,lin�to S�ek Treatn-:znt{cirt:le") When dici ycu reeeitC'�reatment?_ (pravide date(s)) NamE of T��4eciie�1 Prcvicler(s}; r��iuress_ � Telept�one Did you�.niss�a�arlt��s z result ef ya�zr inju�y? Yes Nc Wlien d'cd y�u�niss�.wo:k�' — I:provicle d��te(s)} Namc of your Empic:yer: address__ , � _TeleplYOne`� G�Check her��if yau are:�ttacii9n�r�o��e pnbes to this clair,�form. Nttmber of additlonal pages�, B,y signrng r/�is far�m,you nre sral��ag t1��rt ritl infortnntion you hr�re prnvirlerl is.true aj�rX cor.�BCt't0 tra2�beai af yon►•knule�lerlge. 'Uiuignet�for;�s will not beF�rocesserL Sirbmitting r�f'nl.se clnim cr�n resrr►f in prosecuiiare. Date farn�w�s cam�►.Ieted � Print th+:N�me of r.he Person�vlio C:ornpleted this F'ortn: �`�1� � Signatni•e o�Z'er;ot�Mal�ing thp Clf�irn. Revised P:�brua:y 2bi 1 7 , rnL� nei nrei :,r.7 ! fn „� ,ni� i ! 7� r7 �!7 �n^_ i c� O o � � � � � �. � c�n � c� � � � � � �� 3 � � � � � m c� a m m � �• �, m w N. �, r' �- � c �, 6 � � ,� � � �o m -�� a�i < m Q � � � �� ° � cu � m � � �, c m � m � C� � m � i � Q � � Q -� o � vi � �p o � c � � o -6• ° °• c � c° C� � -i :� � � � ¢� p � S17 N � � Q = -1 � A� � � O @ (U � � � � n A� z � � Q CD -� — o � ro D e � � -a � �w � � m p 0 0 � � N � <. m � � o � z � I � � � ° ° O ca � � �- n. -� � � 3 °� �' `� � m o � � o m. m — m a� � � � I� I � � v ?� � �'' r r � o � �' rn o � � m �. c o � � � W � � � Q. � � � � m " m po � -i m �p �v cn `c � � G.) D v' � �cQ �� � � 6 � n o � `� � � � � �� z Q �`--• � � � -�f � � y � Z W � .�r-.T�J Q � � � m � O `G � � � - �c��n —�E- � � � � ° z m p ro � m 1 — A - -S ra T',.� f� p ° �D � x Q' � ° o Q fm _ � w < o � � � � a7 � C� � .. � � cQ C? � � � ?' � � cD � � N C� �� N � (7 � � .J S � � � � (f.2 � C� � � � �� � � � (p m cn � m cQ m � r � m D c� €� tfl t-r� <n � � � < , � . '� 0. � � � ,0 N L � � � �.A� �, 2 0 � � � � � � � � � � � m � r � O , � o�, l�� 1 � � ( N � � O O O �. . St. Paul Police Department for Ramsey District Court RECEIPT Date/Time: 03/01/2012 09:37 �nvoice #: 16811 Vehicle Plate: 561 DYN/MN Payor: OWNER Location Paid: Impound Snow Lot Citation: Amount: 888745486 $ 53.00 Total Amount Paid: $ 53.00 Paid by: CREDIT CARD - KEEP THIS COPY FOR YOUR RECORDS � TOUSLEY COLLISION CENTER Workfile ID: f1730515 FederalID: 41-0609970 1493 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110 Phone: (651) 288-6262 Preliminary Estimate Customer: KLINGEL, KARI Written By: Aaron Perkins Insured: KLINGEL, KARI Policy#: Claim#: Type of Loss: Date of Loss: Days to Repair: 0 Point of Impact: 12 Front Owner: Inspection Location: Insurance Company: KLINGEL, KARI TOUSLEY COLLISION CENTER 1630 CONCORDIA AVENUE APT#S 1493 COUNTY ROAD E E ST.PAUL,MN 55104 WHITE BEAR LAKE,MN 55110 (507)720-5724 Evening Repair Facility (651)288-6262 Business VEHICLE Year: 2007 Body Style: 4D H/B VIN: iFAHP37NX7W316004 Mileage In: Make: FORD Engine: 4-2.OL-FI License: 561 DYN Mileage Out: Model: FOCUS SES Production Date: State: MN Vehicle Out: Color: SILVER Int: Condition: Job#: 5 Speed Transmission Cloth Seats Keyless Entry Power Windows Air Conditioning Console/Storage Overdrive Rear Defogger Aluminum/Alloy Wheels Cruise Control Overhead Console Rear Window Wiper AM Radio Driver Air Bag Passenger Air Bag Search/Seek Body Side Moldings Dual Mirrors Power Brakes Stereo Bucket Seats FM Radio Power Locks Telescopic Wheel CD Player Fog Lamps Power Mirrors Tilt Wheel Clear Coat Paint Intermittent Wipers Power Steering 3/16/2012 10:20:42 AM 065151 Page 1 Preliminary Estimate Customer: KLINGEL, KARI Vehicle:2007 FORD FOCUS SES 4D H/B 4-2.OL-FI SILVER Line Operation Description Qty Extended Labor Paint Price$ 1 FRONT BUMPER 2 <> Repl Bumper cover w/o appearance 1 238.48 1.7 2.6 3 Add for Clear Coat 1.0 4 Add for fog lamps 0.3 5 R&I License bracket 0.2 6 R&I RT Cover w/fog lamps w/o SVT 0.2 7 R&I LT Cover w/fog lamps w/o SVT 0.2 8 Repl Bumper cover retainer 1 10.67 9 RADIATOR SUPPORT 10 Repl LT Side shield 1 39.87 0.3 11 AIR CONDITIONER&HEATER 12 ** Repl A/M Compressor 2.0 liter 1 145.00 m 1.5 13 Evacuate&recharge m 1.4 M 14 Refrigerant recovery m 0.4 M 15 FENDER N 16 * Rpr LT Fender 1_0 � ll Overlap Major Non-Adj.Panel -0.2 18 * Add for Clear Coat 19 # Refn Corrosion protection 0.2 20 # Subl HAZARDOUS WASTE FEE 1 3.50 X 21 # Subl FLEX ADDITIVE 1 4.00 X SUBTOTALS 441.52 7.2 4.1 NOTES Line 16:TIME IS TO REPAIR LOWER FENDER ONLY WHERE BRACKET INSTALLS 3/16/2012 10:20:42 AM 065151 Page 2 Preliminary Estimate Customer: KLINGEL, KARI Vehicle: 2007 FORD FOCUS SES 4D H/B 4-2.OL-FI SILVER ESTIMATE TOTALS Category Basis Rate Cost� Pa� 434.02 Body Labor 5.4 hrs @ $52.00/hr 280.80 Paint Labor 4.1 hrs @ $52.00/hr 213.20 Mechanical Labor 1.8 hrs @ $ 109.00/hr 196.20 Paint Supplies 4.1 hrs @ $32.00/hr 131.20 Miscellaneous 7.50 Subtotal 1,262.92 Sales Tax $434.02 @ 7.1250% 30.92 Grand Total 1,293.84 Deductible 0.00. CUSTOMER PAY 0.00 INSURANCE PAY 1,293.84 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. Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide DR2JK00, CCC Data Date 3/1/2012, and the parts selected are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicie dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Tilde sign (�) items indicate MOTOR Not-Included Labor operations. The symboi (<>) 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 AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LKQ, Qual Recy Parts, 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 fabor operation times are not included, Pound sign (#) items indicate manual entries. Some 2010 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 Pathways estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. CCC ONE Estimating - A product of CCC Information Services Inc. The following is a list of abbreviations that may be used in CCC ONE Estimating that are noC part of the MOTOR CRASH ESTIMATING GUIDE: ' BAR=6ureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway Transportation ' and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number. I � I 3/16/2012 10:20:42 AM 065151 pa9e 3 II BUERKLE COLLISION CENTER Workfile ID: 4c76179b FederalID: 410711175 3350 HIGHWAY 61 N, SAINT PAUL, MN 55110 State EPA: MND023026289 Phone: (651) 490-6606 FAX: (651) 490-6612 Preliminary Estimate Customer: KLINGEL, KARI Written By: BOB ULRICH/bob.ulrich@buerkle.com Insured: Policy#: Claim#: Type of Loss: Date of Loss: Days to Repair: 0 Point of Impact: 12 Front Owner: Inspection Location: Insurance Company: KLINGEL,KARI BUERKLE COLLISION CENTER CITY OF ST PAUL 1630 CONCORDIA AVE#8 3350 HIGHWAY 61 N ST PRUL,MN 55104 SAINT PAUL, MN 55110 (507)720-5724 Cellular Repair Facility (651)322-3549 Business (651)490-6606 Business VEHICLE Year: 2007 Body Style: 4D H/B VIN: iFAHP37NX7W316004 Mileage In: 63057 Make: FORD Engine: 4-2.OL-FI License: 561DYN Mileage Out: Model: FOCUS SES Production Date: State: MN Vehicle Out: Color: SILVER Int: Condition: ]ob#: 5 Speed Transmission Cloth Seats Keyless Entry Power Windows Air Conditioning Console/Storage Overdrive Rear Defogger Aluminum/Alloy Wheels Cruise Control Overhead Console Rear Window Wiper AM Radio Driver Air Bag PassengerAir Bag Search/Seek Body Side Moldings Dual Mirrors Power Brakes Stereo Bucket Seats FM Radio Power Locks Telescopic Wheel CD Player Fog lamps Power Mirrors Tilt Wheel Clear Coat Paint Intermittent Wipers Power Steering I � i 3/15/2012 11:20:22 AM 033486 Page 1 Preliminary Estimate Customer: KLINGEL, KARI Vehicle: 2007 FORD FOCUS SES 4D H/B 4-2.OL-FI SILVER Line Operation Description Qty Extended Labor Paint Price$ 1 FRONT BUMPER 2 0/H front bumper 1.9 3 Repl Bumper cover w/o appearance 1 238.48 Incl. 2.6 4 Add for Clear Coat 1.0 5 Add for fog lamps 0.3 6 R&I License bracket 0.2 7 FRONT LAMPS 8 R&I RT Side marker lamp w/o high intensity Incl. 9 R&I LT Side marker lamp w/o high intensity Incl. 10 R&I RT Fog lamp assy Incl. 11 R&I LT Fog lamp assy Incl. 12 RADIATOR SUPPORT 13 Repl Lower shield 1 78.70 0.3 14 Repl Lower shield retainer 6 6.00 15 Repl LT Side shield 1 39.87 0.3 16 Repl Side shield fastener 3 3.00 17 AIR CONDII"IONER&HEATER 18 ** Repl Qual Repl Parts Condenser from 3/17/05 1 145.00 m 1.2 19 Evacuate&recharge m 1.4 M 20 Refrigerant recovery m 0.4 M 21 FENDER 22 * Rpr LT Fender Q 5 .�5 23 Add for Clear Coat 0.2 24 # »WHERE BUMPER ATTACHES TO FENDER 1 25 # Refn Corrosion Protection 0.3 26 # Flex Additive 1 5.00 X 27 # Hazardous Waste Disposal 1 3.00 X 28 # Refn Tint Color 0.5 SUBTOTALS 519.05 6.5 5.1 I 3/15/2012 11:20:22 AM 033486 Page 2 Preliminary Estimate Customer: KLINGEL, KARI Vehicle: 2007 FORD FOCUS SES 4D H/B 4-2.OL-FI SILVER ESTIMATE TOTALS Category Basis Rate Cost$ Pa� 511.05 Body Labor 4.7 hrs @ $52.00/hr 244.40 Paint Labor 5.1 hrs @ $52.00/hr 265.20 Mechanical Labor 1.8 hrs @ $ 100.00/hr 180.00 Paint Supplies 5.1 hrs @ $32.00/hr 163.20 Miscellaneous 8.00 Subtotal 1,371.85 Sales Tax $511.05 @ 7.1250% 36.41 Grand Total 1,408.26 CUSTOMER PAY 0.00 INSURANCE PAY 1,408.26 PRICES ARE SUBJECT TO INVOICE - NO WARRANTY ON RUST REPAIRS MAY REQUIRE ADDITIONAL PARTS AND LABOR WHEN VEHICLE IS DISMANTLED. THIS IS A VISUAL DAMAGE APPRAISAL, IT DOES NOT TAKE INTO ACCOUNT DAMAGE OR ADDITIONAL PARTS THAT ARE NOT VISIBLE UPON INSPECTION OF VEHICLE. OLD PARTS ARE DISCARDED UNLESS OTHERWISE INSTRUCTED. PAYMENT iS REQUIRED UPON COMPLEfION OF REPAIRS, UNLESS BILLING ARRANGEMENTS HAVE BEEN MADE PRIOR WITH YOUR INSURANCE COMPANY. THIS IS NOT AN AUTHORIZATION TO REPAIR ALTHOUGH IT IS AGREED BENVEEN THE REPAIR FACILITY AND ESURANCE THAT THE ABOVE VEHICLE CAN BE REPAIRED BY THE REPAIR FACILITY FOR THE AMOUNT STATED IN THE GROSS TOTAL SECTION. ONLY THE VEHICLE OWNER CAN AUTHORIZE THE REPAIR OF THE VEHICLE AND ALL COSTS OF REPAIR ARE THE SOLE RESPONSIBILITY OF THE VEHICLE OWNER. THIS APPRAISAL WAS BASED ON VISIBLE OR CERTAIN DAMAGES AT THE TIME OF INSPECTION. TO REQUEST A SUPPLEMENT, PLEASE CALL (866) 514 4788. PLEASE FAX THE SUPPLEMENT AND ALL SUPPORTING DOCUMENTS WITH CLAIM NUMBER TO (866) 454 0890. THE REPAIR FACILITY AND ESURANCE WILL REACH AN AGREED PRICE PRIOR TO BEGINNING ANY OF THE SUPPLEMENTAL REPAIRS. THE REPAIR FACILiTY WILL THEN SEEK AUTHORIZATION FROM THE VEHICLE OWNER FOR THE ADDITIONAL REPAIRS. NO SUPPLEMENTS WILL BE HONORED UNLESS APPROVED IN ADVANCE BY ESURANCE REPAIR FACILITY MUST BE PROVIDED A COPY OF THIS ESTIMATE PRIOR TO COMMENCEMENT OF REPAIR. FAILURE TO DO SO MAY SUBJECT THE VEHICLE OWNER TO ADDITIONAL DCPENSE. 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. 3/15/2012 11:20:22 AM 033486 Page 3 Preliminary Estimate Customer: KLINGEL, KARI Vehicle: 2007 FORD FOCUS SES 4D H/B 4-2AL-FI SILVER Estimate based on MOTOR CRASH ESfIMATING GUIDE. Unless otherwise noted all items are derived from the Guide DR2JK00, CCC Data Date 3/1/2012, and the parts selected are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Tilde sign (N) 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 AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LKQ, Qual Recy Parts, 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 2010 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 Pathways estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. CCC ONE Estimating -A product`of CCC Information Services Inc. The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR CRASH ESTIMATING GUIDE: BAR=Bureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number. ,� 3/15/201Z 11:20:22 AM 033486 Page 4 Preliminary Estimate Customer: KLINGEL, KARI Vehicle: 2007 FORD FOCUS SES 4D H/B 4-2.OL-FI SILVER ALTERNATE PARTS SUPPLIERS Supplier: Keystone-Complete-Minneapolis Location(s): 3615 MARSHALL ST. N.E.,MINNEAPOLiS MN 55418 (800)328-1845 (612)789-1919 Line Description Item# Price 18 Qual Repl Parts Condenser from 3/17/05 CNDDPI3391 $ 145.00 I 3/15/2012 11:20:22 AM 033486 Page 5 :,� ��� � � ,, .� k �% ^i�� �:F t �'II �.,. � �. �, �. '�`_ �,= -�-*�. � �, ��'" � ��_� � - �;: � .; ��., �` � ��' � � I I � ��T ti �� v ` ���#� t t� � �, ��z`F� �` 5 i � �� � �� � �� � s x� � � ° ���`�` �E _, ��z�; x � � � wF fi� ��;�� ���� {:�. ����� ' � ���� �����;,. s �-� � �� ����� � ����-�� - � � �� ��� ������ �'d S'� h J ,�M � ,�y' � ��'��� " y 1Y I'.. ":��S � �.,��'s��s..:. .� ` ��n�—` ; a't b,-b'"'���'� ��"��5��s_, �,a � '� 4l"2�'��� , u���s��_,=��. �.-�'� °�rt� �-tr'�.r�'��P`j� "�����. �� ,� � �� � ��,��'`�,s�.,.s�,��,r�� ��r r��,�� .� ���,��� ��'°' ir�. ,=� c . �,�� r �'`'tk�, ��y'� � �'`� '��,�`�F._�'' � �`��� ���'�..� �,������. � � ioi s� � ��I,�q W,� iy� � �a �� � �I ,� .� � ��,'' �� £ _ ��s i �� ��� � ,,:�k I� , ,;", i';il�;� !,�i i - � �; �`���'�' �� ; � � !�?''? I � . �-� � _ �`ai _ ;�,�, +. 'f �!I �i� _ o��. � ��, � ;�� � � � i � � �� ,i�>��: i. i �� , '� � , ;,�, ; !�'� � � � I� � � � `�I,� � I�I ���`�:- ��� _ - � � . � � � �. �� � �`� . �"' - � _. � �, f �� � � A 3 r,. �_ ,",' � -