Kemper �i���°!�'�:.r�R'
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Kemper Services Group (� �"�����-�`a�"a
P.O. Box fi�0069
Dallas,TX 75266
SENT CERTIFIED MAILING RETURN RECEIPT REQUESTED /��� 3�//C1 �1��1 j 7,���.c�' ���
November 19, 2012
City of Saint Paul Minnesota
Attn: City Clerk
15 West Keilogg Boulevard
310 City Hall
Saint Paul, MN 55102
Kemper Claim #: C076291MN12
Kemper Insured: Brad Patterson
Date of Loss: 10-25-2012
Amount of Appraisal: $1,735.31
Rental: Pending
Deductible:$500.00
Total Demand: $2,235.31
Your Driver:Jose Garcia
Dear City Clerk:
Attached please find our completed claim forms regarding the above captioned motor vehicle loss
involving your driver,Jose Garcia.The police report has been requested and will follow under separate
cover. ,
Since your insured was the proximate cause of this accident, we are hereby requesting reimbursement`�
of the damages. Please make your check payable to Kemper Services Group A/S/O Brad Patterson and I
mail your payment to: '
Kemper Services Group
P.O. Box 660069
Dallas,TX 75266
As per our conversation this date please issue our insured dedu�tible to him as soon as possible. If you
wish to discuss this claim please feel free to contact our subrogation department at 877-744-7614 and
reference our above claim #.
Sincerely,
Unitrin Auto and Home Insurance Company
'�J E%'L�C�-L ��2 C��',�l
�
Nationai Recovery Center
Kemper Services Group
877-755-7614
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10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
KEMPER PREFERRED
MILWAUKEE REGIONAL CLAIM OFFICE
CHRIS SANDQUIST (651)214-7826
CSANDQUIST@KEMPER.COM
PO BOX 2801
CLINTON, IA 52733-2501
(800)242-8808
ESTIMATE OF RECORD
WRITTEN BY: CHRISTOPHER SANDQUIST 10/29/2012 08:33 AM
ADJUSTER: KAHKXD2 (800)242-8808
INSURED: BRAD PATTERSON CLAIM #C076291MN1201
OWNER: BRAD PATTERSON POLICY #RC 972146
ADDRESS: 3969 BROWN LN DATE OF LOSS: 10/25/2012 AT 08:50 AM
MINNETONKA, MN 55345-1704 TYPE OF LOSS: COLLISION
CELLULAR: (612) 877-1833 POINT OF IMPACT: 1. RIGHT FRONT
CELLULAR: (612)877-1833
INSPECT BRAD PATTERSON DAY: (612) 877-1833
LOCATION: TWIN CUITY WRECKER SALES OTHER
ST PAUL, [�IIQ 55117
REPAIR UNK 5 DAYS TO REPAIR
FACILITY: LICENSE #
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
VIN: 3VWRA81H1WM103034 LIC: TBG296 MN PROD DATE: ODOMETER: 128449
AIR CONDITIONING REAR DEFOGGER TILT WHEEL
INTERMITTENT WIPERS KEYLESS ENTRY ALARM
BODY SIDE MOLDINGS DUAL MIRRORS CONSOLE/STORAGE '
CLEAR COAT PAINT POWER STEERING POWER BRAKES
POWER LOCKS AM RADIO FM RADIO
STEREO CASSETTE SEARCH/SEEK
DRIVER AIR BAG PASSENGER AIR BAG CLOTH SEATS
BUCKET SEATS RECLINE/LOUNGE SEATS AUTOMATIC TRANSMISSION
OVERDRIVE FULL WHEEL COVERS
-------------------------------------------------------------------------------
NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ,
1 FRONT BUMPER
2 0/H FRONT BUMPER 1.7 �
3* REPL LKQ BUMPER COVER ALL +25°s 1 125.00 INCL.* 1.8*
4 ADD FOR CLEAR COAT 0.7
5 GRILLE
6* REPL LKQ GRILLE +25a 1 50.00 INCL.* 0.8*
7 ADD FOR CLEAR COAT 0.2
8 FRONT LAMPS
9* REPL LKQ RT HEADLAMP ASSY +25°s 1 106.25 0.6*
10 AIM HEADLAMPS 0.5
11** REPL QUAL REPL PARTS RT MARKER 1 19.00 INCL.
LAMP ASSY
1
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
-------------------------------------------------------------------------------
NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT
-------------------------------------------------------------------------------
12** REPL QUAL REPL PARTS RT FOG LAMP 1 158.00 INCL.
ASSY
13* REPL LKQ RT PARK LAMP +250 1 37.50 INCL.*
14 FENDER
15 REPL RT FENDER W/0 ANTENNA HOLE FR 1 i51.00 1.5 2.0
VIN 022568
16 OVERLAP MINOR PANEL -p.2
17 ADD FOR CLEAR COAT p.'7
18 ADD FOR EDGING 0.5
19* RPR RT APRON ASSY S 4.0* 1.2
20 FRONT DOOR
21 BLND RT DOOR SHELL 1,2
22 R&I RT MOLDING GL, GT BLACK 0.3
23 R&I RT MIRROR REMOTE 0.4
24 R&I RT DOOR GLASS VOLKSWAGEN 0.7
25* R&I RT WINDOW GUIDE 0.3*
26 R&I RT HANDLE, OUTSIDE 0.3
27 R&I RT R&I TRIM PANEL 0.5
28# REPL STRIPE TAPE 1 15.00 0.3
29 ENGINE / TRANSAXLE
30* REPL LKQ AIR CLEANER ASSY FEDERAL 1 37.50 M 0.3*
+25°s
31# CORROSION PROTECTION 1 5.00 0.3
32# DENIB & POLISH 1 0.6
33# FLEX ADDITIVE 1 5.00
34# HAZARDOUS WASTE FEE 1 3.50 X
35# COVER CAR 1 5.00
36# MASK JAMBS 1 0.2
37# RPR CLEAN LKQ PARTS 1.0
-------------------------------------------------------------------------------
SUBTOTALS =_> 717.75 13.0 9.4
LINE 3 : SUPPLIERS PART DESCRIPTION: BUMPER ASSY, FT
LINE 6 : SUPPLIERS PART DESCRIPTION: GRILLE GRN,4DR
LINE 9 : SUPPLIERS PART DESCRIPTION: H/LAMP ASSY, RT
LINE 13 : SUPPLIERS PART DESCRIPTION: PARK LAMP, RT RH,PARKLAMP/TURN SIGNAL;
VIN H (STH DIGIT) ,PARKLAMP/TURN SIGNAL
LINE 30 : SUPPLIERS PART DESCRIPTION: AIR CLEANER 2.OL,EFI,GASOLINE 2.OL
FED i
PARTS 714.25
BODY LABOR 13.0 HRS @$ 52.00/HR 676.00
PAINT LABOR 9.4 HRS Q$ 52.00/HR 488.80
PAINT SUPPLIES 9.4 HRS Q$ 32.00/HR 300.80
SUBLET/MISC. 3.50
----------------------------------------------------
SUBTOTAL $ 2183.35
SALES TAX $ 714.25 @ 7.2750°s 51.96
2
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
----------------------------------------------------
TOTAL COST OF REPAIRS $ 2235.31
ADJUSTMENTS:
DEDUCTIBLE 500.00
----------------------------------------------------
TOTAL ADJU$TMENTS $ 500.00
NET COST OF REPAIRS $ 1735.31
THIS IS NOT AN AUTHORIZATION TO REPAIR. ANY SUCH AUTHORIZATION SHOULD BE
OBTAINED DIRECTLY FROM THE VEHICLE OWNER. THIS IS NOT A GUARANTEE OF PAYMENT.
FOR QUESTIONS REGARDING BENEFITS PAID AS A RESULT OF THIS CLAIM, PLEASE
CONTACT THE ADJUSTER LISTED AT THE TOP OF THE ESTIMATE.
THIS ESTIMATE IS BASED IN WHOLE OR IN PART UPON THE PAINTLESS DENT REPAIR
METHOD. NOT ALL TYPES OF DAMAGE CAN BE REPAIRED USING PAINTLESS DENT REPAIR.
IF THE INSURER IS LIABLE FOR THE DAMAGE LISTED ON THE ESTIMATE THEY SHALL
PROVIDE SUFFICIENT COMPENSATION TO RESTORE THE VEHICLE TO SUBSTANTIALLY THE
SAME PHYSICAL CONDITION AS PRIOR TO THE LOSS. THE INSURED MAY CHOOSE NOT TO
REPAIR THE VEHICLE OR TO HAVE THE VEHICLE REPAIRED USING A DIFFERENT METHOD OF
REPAIR. IF THE INSURED CHOOSES EITHER OF THESE OPTIONS, THE INSURER IS LIABLE
ONLY FOR THE COST OF THE PAINTLESS DENT REPAIR METHOD.
ALL SUPPLEMENTS REQUIRE APPROVAL PRIOR TO COMPLETION OF REPAIRS. PLEASE
CONTACT CHRIS SANDQUIST AT 651-214-7826 TO DISCUSS APPROVAL.
IN ORDER FOR THE VEHICLE OWNER TO AVOID UNNECESSARY OUT OF POCKET EXPENSES,
THE OWNER SHOULD PROVIDE A COPY OF THIS ESTIMATE TO THE REPAIR FACILITY PRIOR
TO AUTHORIZING REPAIRS.
[�I 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.
RECYCLED PART COSTS BASED ON INFORMATION PROVIDED BY CAR-PART.COM. FOR
ASSISTANCE, CALL CCC AT 500-637-8511.
3
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
ESTIMATE BASED ON MOTOR CRASH ESTIMATING GUIDE. UNLESS OTHERWISE NOTED ALL
ITEMS ARE DERIVED FROM THE GUIDE EEA9270, CCC DATA DATE 10/09/2012, AND THE
PARTS SELECTED ARE OEM-PARTS MANUFACTURED BY THE VEHICLES ORIGINAL EQUIPMEIVT
MANiJFACTURER. OEM PARTS ARE AVAILABLE AT OE/VEHICLE DEALERSHIPS. OPT OEM
(OPTIONAL OEM) OR ALT OEM (ALTERNATIVE OEM) PARTS ARE OEM PARTS T'HAT 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 (-) 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 MANi7FACTURER 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
RECOR. 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
2012 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. PART NiIMBER� 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. COMP REPL=COMPETITIVE
REPLACEMENT (PART) . 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.
0/H=OVERHAUL. QTY=QUANTITY. QUAL RECY=QUALITY RECYCLED (PART) . QUAL
REPL=QUALITY REPLACEMENT(PART) . 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.
4
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
CCC PATHWAYS - A PRODUCT OF CCC INFORMATION SERVICES INC. THE FOLLOWING IS A
LIST OF ABBREVIATIONS THAT MAY BE USED IN CCC PATHWAYS 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 ADMINISTRATTON. PDR=PAINTLESS DENT REPAIR. VIN=VEHICLE
IDENTIFICATION NUMBER.
5
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
RECYCLED PART SUPPLIERS
LINE LINE DESCRIPTION PRICE
6 LKQ GRILLE +25$ STOCK NO. : I22156 $ 50.00
30 LKQ AIR CLEANER ASSY FEDE +25a STOCK NO. : L92997 $ 37.50
ACE AUTO PARTS (800)637-6752
754 RICE STREET BARB
SAINT PAUL, MN 55117
3 LKQ BUMPER COVER ALL +25% STOCK NO. : 12064 $ 125.00
9 LKQ RT HEADLAMP ASSY +25o STOCK NO. : 12282 $ 106.25
APEX AiTTO SALVAGE (888)883-4662
198 EAST MINNEHAHA AVENUE 1-888-883-
ST. PAUL, MN 55101
13 LKQ RT PARK LAMP +25% STOCK NO. : $SF089 $ 37.50
LKQ - ZONE 1 (866)557-2677
LKQ CALL CENTER
99999
�
�
6
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
ALTERNATE PARTS SUPPLIERS
11 QUAL REPL PARTS RT MARKER L PART NO. VW2551101 PRICE 19.00
KEYSTONE - COMPLETE (800)747-2500
2400 KERPER BLVD (563)556-5030
DUBUQUE, IA 52001
KEYSTONE - COMPLETE (800)218-4848
3017 A HOOVER AVENUE (715)342-0772
STEVENS POINT, WI 54481
KEYSTONE - COMPLETE (800)833-2030
2700 29TH AVENUE N (906)789-2200
ESCANABA, MI 49829
KEYSTONE - COMPLETE (800)924-8230
9532 W.CARMEN AVENUE (414)463-1019
MILWAUKEE, WI 53225
KEYSTONE - COMPLETE (800)328-1845
3615 MARSHALL STREET NE (612)789-1919
MINNEAPOLIS, MN 55418
KEYSTONE - COMPLETE (S00)356-7252
5969 HAASE ROAD (608)249-4775
DEFOREST, WI 53532
KEYSTONE - COMPLETE (S00)422-1995
5085 WREN DRIVE (920)731-3030
APPLETON, WI 54913
12 QUAL REPL PARTS RT FOG LAMP PART NO. VW2593101 PRICE 158.00
KEYSTONE - UAPP - AQRP - A (S00)747-2500
2400 KERPER BLVD (563)556-5030
DUBUQUE, IA 52001
KEYSTONE - UAPP - AQRP - A (800)218-4848
3017 A HOOVER AVENUE (715)342-0772
STEVENS POINT, WI 54481 �
KEYSTONE - UAPP - AQRP - A (S00)833-2030
2700 29TH AVENUE N (906)789-2200
ESCANABA, MI 49829
KEYSTONE - UAPP - AQRP - A (800)924-8230
9532 W.CARMEN AVENUE (414)463-1019
MILWAUECEE, WI 53225
7
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
ALTERNATE PARTS SUPPLIERS
KEYSTONE - UAPP - AQRP - A (800)328-1845
3615 MARSHALL STREET NE (612)789-1919
MINNEAPOLIS, MN 55418
KEYSTONE - UAPP - AQRP - A (800)356-7252
5969 HAASE ROAD (608)249-4775
DEFOREST, WI 53532
KEYSTONE - UAPP - AQRP - A (800)422-199�
5085 WREN DRIVE (920)731-3030
APPLETON, WI 54913
I
I
I
8
10/29/2012 AT 08:44 AM C076291MN1201
3987 032ROYQ6
ESTIMATE OF RECORD
1998 VW JETTA III GL 4-2.OL-FI 4D SED RED INT:BLACK
ALTERNATE PARTS USAGE
AFTERMARKET PARTS
AFTERMARKET SELECTION METHOD: AUTOMATICALLY LIST
NO. OF TIMES USER WAS NOTIFIED THAT AN AFTERMARKET PART WAS AVAILABLE: 2
NO. OF AFTERMARKET PARTS THAT APPEAR IN THE FINAL ESTIMATE: 2
OPTIONAL OEM PARTS
OPTIONAL OEM SELECTION METHOD: AUTOMATICALLY LIST
N0. OF TIMES USER WAS NOTIFIED THAT AN OPTIONAL OEM PART WAS AVAILABLE: 0
NO. OF OPTIONAL OEM PARTS THAT APPEAR IN THE FINAL ESTIMATE: 0
RECONDITIONED PARTS
RECONDITIONED SELECTION METHOD: AUTOMATICALLY LIST
N0. OF TIMES USER WAS NOTIFIED THAT A RECONDZTIONED PART WAS AVAILABLE: 0
N0. OF RECONDITIONED PARTS THAT APPEAR IN THE FINAL ESTIMATE: 0
RECYCLED PARTS
N0. OF TIMES USER WAS NOTIFIED THAT A RECYCLED PART WAS AVAILABLE: 10
NO. OF RECYCLED PARTS THAT APPEAR IN THE FINAL ESTIMATE: 5
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Monday,Nov 19,2012 08:17 AM