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Kemper �i���°!�'�:.r�R' }��� �c����� N�v 2e2��z F. V -. 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 � � G � ',��}-�,�('1�.� (w)!} C.'i�.1��� ��"fi}�:��' tf► 11t� C`i��� c��' `°��ri��� ��<�t��. �1lif��t����i.t ��,.�,>r��., ,, . . .,.r� .: , ,.,. _ � ,.��. _.. ,�„ . . ..;�,�..�, �� ,r•s, , , _, ..t, ..,., ,. � .<< . .. ... , � f .. � .a :t<�, zr`f, . . . .. � .. Sf.. . � a. . �.� c 3xss«�rr�.e v�,.�..�. ..� o,�,� .tlz�e p, , � � . ... ... 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K,.�.�s��;�,����r= �a�l i � 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. 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