Foley, JohnNOTICE 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 is to the Saint Paul City Clerk’s Office. You may email, fax
(651-266-8574) or mail the form. Mailing address is “Saint Paul City Clerk, 15 West Kellogg Blvd., Suite 310, Saint Paul, MN 55102”
Individuals: 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? If yes, what is your Claim/File Number?: _____________________
Is this claim being made by an Attorney? Choose an item. If yes, what is your File Number? _______________________________
If yes, then 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.
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 ____________________
Revised December 2021
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.
________________________________________________________________________________________________________
United Services Automobile Association (A Reciprocal Inter-Insurance Exchange) a/s/o John Foley, Mikiko Foley
4482527-21
4482527-21
John Foley
c/o Clerkin, Sinclair & Mahfouz, LLP, 2929 North Central Expressway, Suite 320
Richardson TX 75080
(619) 308-6550
12/30/2022 6:30 PM
X
X
Como Ave & Chatsworth St, St. Paul, Minnesota
* Please see note at the bottom of the 2nd page
**Please see note
Notice of Claim Form, page two. Failure to complete and return both pages will result in delays.
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 December 2021
N/A
N/A
*On December 30, 2022, USAA's insured vehicle was neat Como Ave & Chatsworth St, in Saint Paul, Minnesota when it was struck by a
City of Saint Paul Public Transportation vehicle, (Driver number: 82380, Bus number: 3407, Route number: 8090, Route number: 38),
resulting in property damage.
**Insured vehicle was struck by a City of Saint Paul vehicle.
Recovery of $2,388.29
2019 Ford Ranger
Minnesota
John Foley Mikiko Foley
Damage to the left front side.
N/A
N/A
N/A
N/A
N/A
N/A
N/A
DTY854
Red
Joanna Rodriguez
On behalf of United Services Automobile Association (A Reciprocal Inter-
Insurance Exchange) as subrogee of John Foley, Mikiko Foley
03/31/2023
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: __________________________________
__________OFFICER_________________
(Title)
Subscribed and sworn before me this ______ day of __________, 20____.
State of: _______________________________
County of: _____________________________
______________________________________
(Notary Public)
Ohio
Franklin
DocVerify ID: 22299BF0-B5B1-4773-B11A-6CFEB2BC4B35
www.docverify.com22299BF0-B5B1-4773-B11A-6CFEB2BC4B35 --- 2022/09/20 06:03:01 -8:00 --- Remote NotaryPage 1 of 1 16CFEB2BC4B35
Notarial act performed by audio-visual communication
09/20/2022
249C5F2D1DB2
Signed on 2022/09/20 07:20:02 -8:00
Darla Berry
09/20/2022
DocVerifyShannon Darci Sparks
Commission # 2018-RE-711127
Electronic Notary Public
State of Ohio
My Comm Exp. Mar 21, 2023
2C88DD0A093ANotary Stamp 2022/09/20 07:20:02 PST
2C88DD0A093A
Signed on 2022/09/20 07:20:02 -8:00
EXHIBIT A
CALIBER - BLOOMINGTON -
AMERICAN BL
Workfile ID:
Federal ID:
Federal EPA:
2d55b405
33-0730794
MND098274293
RESTORING THE RHYTHM OF YOUR LIFE
171 American Blvd, West Bloomington, MN 55420
Phone: (952) 888-8700
FAX: (952) 888-7229
Estimate of Record
Customer: FOLEY, MAJ JOHN
Written By: Taylor Saline, 1/19/2023 11:33:04 AM
Adjuster: Foster, Derrick, (000) 000-0000 x22 Business
Insured:FOLEY, MAJ JOHN Policy #:004482527 Claim #:004482527000000021001
Type of Loss:Collision Date of Loss:12/30/2022 2:00 PM Days to Repair:30
Point of Impact:11 Left Front
Owner:Inspection Location:Insurance Company:
FOLEY, MAJ JOHN CALIBER - BLOOMINGTON - AMERICAN BL UNITED SERVICES AUTOMOBILE ASSOCIATION
938 COMO AVE 171 American Blvd DRP-4187
SAINT PAUL, MN 55103 West Bloomington, MN 55420 Visit us at USAA.com or Call #8722
(612) 867-1684 Cell Repair Facility P.O. Box 33490
(612) 867-1684 Business (952) 888-8700 Business San Antonio, TX 78265
(800) 531-8722 Business
VEHICLE
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
VIN:1FTER4FH6KLB08494 Interior Color:Mileage In:60,435 Vehicle Out:
License:DTY854 Exterior Color:RED Mileage Out:
State:MN Production Date:10/2019 Condition:Job #:
TRANSMISSION Air Conditioning Stereo SEATS
Automatic Transmission Intermittent Wipers Search/Seek Cloth Seats
4 Wheel Drive Tilt Wheel Auxiliary Audio Connection Bucket Seats
POWER Cruise Control SAFETY WHEELS
Power Steering Rear Defogger Drivers Side Air Bag Aluminum/Alloy Wheels
Power Brakes Keyless Entry Passenger Air Bag PAINT
Power Windows Alarm Anti-Lock Brakes (4)Clear Coat Paint
Power Locks Steering Wheel Touch Controls 4 Wheel Disc Brakes OTHER
Power Mirrors Telescopic Wheel Traction Control Fog Lamps
DECOR Backup Camera Stability Control California Emissions
Dual Mirrors Parking Sensors Front Side Impact Air Bags TRUCK
Privacy Glass Remote Starter Head/Curtain Air Bags Rear Step Bumper
Console/Storage RADIO Hands Free Device
Overhead Console AM Radio Blind Spot Detection
CONVENIENCE FM Radio Lane Departure Warning
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Estimate of Record
Customer: FOLEY, MAJ JOHN
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
Line Oper Description Part Number Qty Extended
Price $
Labor Paint
1 FRONT BUMPER
2 #Rpr Disconnect Battery 0.2
3 *<>Rpr Upper cover 2.0 1.2
4 Add for Clear Coat 0.5
5 #Repl Bumper Repair Material/Kit 1 40.00 T
6 R&I Upper cover 0.6
7 *<>Rpr Bumper w/o park sensors primed 2.0 1.8
8 Overlap Major Non-Adj. Panel -0.2
9 Add for Clear Coat 0.3
10 R&I LT Bezel w/fog lamps 0.2
11 R&I RT Bezel w/fog lamps 0.2
12 R&I LT End panel 0.2
13 R&I RT End panel 0.2
14 R&I Bumper grille 0.2
15 R&I License bracket 0.2
16 #Cover Car for Overspray 1 12.00 X 0.3
Note: Cover Car For Primer
17 FRONT LAMPS
18 Repl LT Headlamp assy XLT KB3Z13008M 1 686.15 0.3
19 Aim headlamps 0.5
20 Repl LT Side marker lamp KB3Z13A565A 1 58.22 0.2
21 R&I RT Fog lamp assy halogen 0.4
22 R&I LT Fog lamp assy halogen 0.4
23 #Subl Hazardous Waste Disposal 1 5.00 X
24 FENDER
25 *Rpr LT Fender 1.0 2.2
26 Overlap Major Non-Adj. Panel -0.2
27 Add for Clear Coat 0.4
28 *Rpr LT Wheel opng mldg paint to
match
1.0 0.8
29 Overlap Minor Panel -0.2
30 Add for Clear Coat 0.1
31 R&I LT Wheel opng mldg paint to
match
0.3
32 R&I Splash guard carbon black 0.2
33 *R&I RT Nameplate "XLT" chrome 0.2
34 #Repl Corrosion Protection 1 T
35 #Refn Color Tint 0.5
36 #Rpr Pre-Repair diagnostic scan 0.5
37 #Rpr Post-Repair diagnostic scan 0.5
38 #Cover Car for Overspray 1 12.00 X 0.3
Note: Cover car for paint
SUBTOTALS 813.37 12.1 7.2
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Estimate of Record
Customer: FOLEY, MAJ JOHN
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 744.37
Body Labor 12.1 hrs @ $ 65.00 /hr 786.50
Paint Labor 7.2 hrs @ $ 65.00 /hr 468.00
Paint Supplies 7.2 hrs @ $ 42.00 /hr 302.40
Miscellaneous 69.00
Pre-Tax Discount -2.6 %-61.63
Subtotal 2,308.64
Sales Tax $ 1,058.52 @ 7.5250 %79.65
Grand Total 2,388.29
Deductible 1,000.00
CUSTOMER PAY 1,000.00
INSURANCE PAY 1,388.29
=======================================================================
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
=======================================================================
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Estimate of Record
Customer: FOLEY, MAJ JOHN
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
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
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.
If alternative quality replacement parts have been included in this appraisal, the source for these parts has also been
disclosed. If alternative quality replacement parts as listed on the appraisal are ultimately used in the repair of your
vehicle, the warranty on such parts will be equal to, or greater than, the parts being replaced, as stated in USAA's
limited parts warranty. USAA warrants that the parts used on your vehicle will be of like kind and quality, function, fit,
safety and corrosion protection as the part or parts they replace. USAA identifies certified and validated parts for
sheet metal replacement parts.
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.
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Estimate of Record
Customer: FOLEY, MAJ JOHN
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
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 DR2MD19, CCC Data Date 01/03/2023, and potentially
other third party sources of data; and (b) the parts presented are OEM-parts. OEM parts are manufactured by or for
the vehicle's Original Equipment Manufacturer (OEM) according to OEM's specifications for U.S. distribution. OEM
parts are available at OE/Vehicle dealerships or the specified supplier. OPT OEM (Optional OEM) or ALT OEM
(Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM
vehicle dealerships with discounted pricing. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or
labor data provided by third party sources of data may have been modified or may have come from an alternate data
source. Tilde sign (~) items indicate MOTOR Not-Included Labor operations. The symbol (<>) indicates the refinish
operation WILL NOT be performed as a separate procedure from the other panels in the estimate. Non-Original
Equipment Manufacturer aftermarket parts are described as Non OEM, A/M or NAGS. Used parts are described as
LKQ, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS
Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed
on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are
not included. Pound sign (#) items indicate manual entries.
Some 2023 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated
data from the vehicle manufacturer, labor and parts data from the previous year may be used. The CCC ONE
estimator has a list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership.
The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to
be repaired or replaced:
SYMBOLS FOLLOWING PART PRICE:
m=MOTOR Mechanical component. s=MOTOR Structural component. T=Miscellaneous Taxed charge category.
X=Miscellaneous Non-Taxed charge category.
SYMBOLS FOLLOWING LABOR:
D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category.
M=Mechanical labor category. S=Structural labor category. (numbers) 1 through 4=User Defined Labor Categories.
OTHER SYMBOLS AND ABBREVIATIONS:
Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. Blnd=Blend. BOR=Boron steel.
CAPA=Certified Automotive Parts Association. D&R=Disconnect and Reconnect. HSS=High Strength Steel.
HYD=Hydroformed Steel. Incl.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non
Adjacent. NSF=NSF International Certified Part. O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace.
R&I=Remove and Install. R&R=Remove and Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel.
Sect=Section. Subl=Sublet. UHS=Ultra High Strength Steel. N=Note(s) associated with the estimate line.
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.
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Estimate of Record
Customer: FOLEY, MAJ JOHN
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
*Limited Parts Warranty
Curb the High Cost of Vehicle Repairs With USAA's Quality Replacement Parts Program
USAA warrants replacement body and mechanical parts in the QRP program when installed during vehicle repairs and
listed on our damage report. These parts will be like kind and quality to the function, fit, finish and corrosion
protection of the damaged parts they replace, or the parts will be repaired or replaced at no cost to you. Our
warranty on sheet metal and plastic replacement body parts is valid for the period of time equal to the remainder of
the original manufacturer's warranty or three years from the date of the repair, whichever is greater. Our warranty
on mechanical parts will be equal to the warranty period provided by an authorized original manufacturer for those
parts when provided through your manufacturer's distributor as replacement parts. The USAA warranty on
replacement parts automatically transfers with ownership of the vehicle.
Excluded from this warranty is normal wear and tear and damage caused by accident, abuse, unreasonable use or
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 period of time
equal to the remainder of the original manufacturer's warranty for like kind, quality, function, fit, finish and corrosion
protection or three years from the date of the original repair, whichever is greater. Some states do not allow
limitations on how long an implied warranty lasts, so the above limitation may not apply to you.
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. Some states do not allow the exclusion or limitation of special,
incidental or consequential damages, so the above limitation or exclusion may not apply to you.
USAA would like you to feel confident about the reasons for supporting the Quality Replacement Parts program
(QRP). Together we can ensure the highest level of collision repair quality by supporting a program that promotes
competition through use of alternative replacement parts.
The following questions and answers may help you understand more about USAA's QRP program.
Q. What are OEM, non-OEM, and recycled parts?
A. OEM: Parts manufactured for or by the manufacturer of your vehicle.
Non-OEM: Parts provided by a company or distributor other than the original equipment manufacturer.
Recycled: Parts from a vehicle of the same or newer make, model, and year vehicle that they are to replace.
Q. What assurances do I have that QRP parts are of high quality?
A. USAA only includes QRP parts when readily available and equivalent in performance to the part requiring
replacement on your vehicle in terms of like kind, quality, function, fit, finish and corrosion protection. Also, QRP
parts carry an equal or better warranty than the original manufacturer's parts and are supported by our Limited Parts
Warranty.
* Glass, lights and lenses will meet DOT/SAE standards.
* New sheet metal and plastic body replacement panels will be certified or validated through an independent
third-party.
* USAA will identify other parts included in the program that comply with federal safety standards including new,
recycled, or rebuilt parts.
Q. Why does USAA use parts from other manufacturers and distributors?
A. We use these parts to help keep vehicle repairs competitive in terms of price when the parts are of like kind,
quality, function, fit, finish, and corrosion protection or better quality.
Q. Do I have a choice which parts are included in USAA's repair estimate?
A. Yes, you do. If you choose to use new OEM parts or parts from other manufacturers and distributors, you will bear
the responsibility for any cost difference.
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Estimate of Record
Customer: FOLEY, MAJ JOHN
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
Q. If I am dissatisfied with a non-OEM part used in my vehicle repair, who do I call?
A. If you experience a problem, call your claims advisor. We will work with the repair shop and the parts supplier to
correct the problem at no cost to you, so long as the part is still under USAA's warranty.
Q. Will using a non-OEM part void the warranty on my vehicle?
A. The overall warranty on your vehicle will not be adversely affected. QRP parts included in your vehicle's repair will
carry USAA's Limited Parts Warranty. It is equal to or better than the warranty provided by the distributor for new
OEM parts.
Q. What should I do if my repair shop refuses to use QRP parts?
A. Your repair shop has the right to conduct its business the way it chooses and can charge you more than the
reasonable and competitive cost for the repair; so, you will have to choose where and how your vehicle will be
repaired. If you choose not to use another repairer and/or your shop refuses to use QRP parts, you will have to pay
any difference in the final repair cost.
USAA Claims Philosophy
It is the policy of USAA to handle all claims with fairness and integrity, exercising the highest standards of ethical and
professional conduct while transacting claims business. We will provide timely and responsive service, with full
recognition of our obligations to the insureds and the public.
If you have questions about the program or warranty, log on to http://usaa.com or call 1-800-531-USAA (8722).
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Estimate of Record
Customer: FOLEY, MAJ JOHN
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
ALTERNATE PARTS USAGE
2019 FORD Ranger XLT SuperCrew 4WD w/5' Box 4D P/U 4-2.3L Turbocharged Gasoline Gasoline Direct Injection RED
VIN:1FTER4FH6KLB08494 Interior Color:Mileage In:60,435 Vehicle Out:
License:DTY854 Exterior Color:RED Mileage Out:
State:MN Production Date:10/2019 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
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EXHIBIT B
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EXHIBIT C