Blomstrom, Todd (2)ATTACHMENT A
Summary of Repair Costs
Saint Paul Regional Water Services - Incident on November 13, 2023
Todd Blomstrom
No Estimate
Vehicle
Repair
Est. Repair
Days
Temp Vehicle
Rental Rate Rental Cost Total Esimate
1 Luther Collision & Glass $8,166.78 19 $45.29 $860.51 $9,027.29
2 Superior Brookdale Auto Body $6,613.91 14 $45.29 $634.06 $7,247.97
LUTHER COLLISION & GLASS -
PLYMOUTH
Workfile ID:
PartsShare:
Federal ID:
414a15e9
26-4607447
9825 56th Ave North, PLYMOUTH, MN 55442
Phone: (763) 331-6000
FAX: (763) 331-6001
Preliminary Estimate
Customer: blomstrom, todd Job Number:
Written By: ALEX PROVO
Insured: blomstrom, todd Policy #:Claim #:
Type of Loss:Date of Loss: Days to Repair: 0
Point of Impact: 09 Left T-Bone (Left Side)
Owner:Inspection Location: Insurance Company:
blomstrom, todd LUTHER COLLISION & GLASS -
PLYMOUTH
(651) 245-1129 Cell 9825 56th Ave North
PLYMOUTH, MN 55442
Repair Facility
(763) 331-6000 Business
VEHICLE
2012 FORD Explorer XLT 4WD 4D UTV 6-3.5L Gasoline Electronic Fuel Injection gray
VIN: 1FMHK8D86CGA56558 Interior Color: Mileage In: 209,455 Vehicle Out:
License: . Exterior Color: gray Mileage Out:
State: Production Date: Condition: Job #:
TRANSMISSION CONVENIENCE Stereo Luggage/Roof Rack
Automatic Transmission Air Conditioning Search/Seek SEATS
Overdrive Intermittent Wipers CD Player Cloth Seats
4 Wheel Drive Tilt Wheel Auxiliary Audio Connection Bucket Seats
POWER Cruise Control Satellite Radio Reclining/Lounge Seats
Power Steering Rear Defogger SAFETY 3rd Row Seat
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 Rear Window Wiper 4 Wheel Disc Brakes Clear Coat Paint
Heated Mirrors Telescopic Wheel Traction Control OTHER
Power Driver Seat Climate Control Stability Control Fog Lamps
DECOR Dual Air Condition Front Side Impact Air Bags Rear Spoiler
Dual Mirrors Parking Sensors Head/Curtain Air Bags Signal Integrated Mirrors
Privacy Glass RADIO Hands Free Device TRUCK
Console/Storage AM Radio Blind Spot Detection Rear Step Bumper
Overhead Console FM Radio ROOF
11/14/2023 7:04:06 AM 100723 Page 1
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Preliminary Estimate
Customer: blomstrom, todd Job Number:
2012 FORD Explorer XLT 4WD 4D UTV 6-3.5L Gasoline Electronic Fuel Injection gray
Line Oper Description Part Number Qty Extended
Price $
Labor Paint
1 # POSSIBE HIDDEN DAMAGE MAY
BE FOUND AFTER DISASSEMBLY
1 0.00 0.0 0.0
2 # CUSTOMER DECLINES THE USE
OF AFTERMARKET PARTS
1 0.00 0.0 0.0
3 FRONT BUMPER
4 R&I R&I bumper assy 0 0.00 2.0 0.0
5 FRONT LAMPS
6 R&I LT Headlamp assy 0 0.00 0.3 0.0
7 FENDER
8 Blnd LT Fender 0 0.00 0.0 0.9
9 R&I LT Fender liner 0 0.00 0.4 0.0
10 R&I LT Trim cover 0 0.00 0.1 0.0
11 Repl LT Wheel flare BB5Z16039AA 1 74.73 0.3 0.0
12 Repl LT Wheel flare pin W715329S300 4 11.00 0.0 0.0
13 R&I Mud guard 0 0.00 0.3 0.0
14 Repl LT Wheel flare rivet W706092S300 4 11.00 0.0 0.0
15 ROOF
16 R&I LT Roof rail black 0 0.00 0.3 0.0
17 PILLARS, ROCKER & FLOOR
18 * Blnd LT Aperture panel 0 0.00 0.0 1.0
19 R&I LT Rocker molding 0 0.00 0.5 0.0
20 Repl LT Rocker molding rivet W710250S300 6 16.50 0.0 0.0
21 FRONT DOOR
22 Repl LT Door shell JB5Z7820125B 1 1,463.82 5.5 3.4
23 Add for Clear Coat 0 0.00 0.0 1.4
24 Repl LT Door w'strip BB5Z7820531A 1 185.52 Incl. 0.0
25 Repl LT Belt w'strip BB5Z7821453A 1 77.95 Incl. 0.0
26 Repl LT Lower molding carbon BB5Z7820879AA 1 186.87 Incl. 0.0
27 Repl LT Black out tape BB5Z7827743A 1 37.18 0.3 0.0
28 Repl LT Applique w/o keyless entry
pad
BB5Z7820555BC 1 90.13 Incl. 0.0
29 R&I LT Mirror outside power, w/o
signal w/heat
0 0.00 Incl. 0.0
30 R&I LT Door glass FORD XLT, Limited,
Sport
0 0.00 Incl. 0.0
31 R&I LT Run channel 0 0.00 Incl. 0.0
32 R&I LT Window regulator 0 0.00 Incl. 0.0
33 R&I LT Handle, outside chrome w/o
ID card
0 0.00 Incl. 0.0
34 R&I LT R&I trim panel 0 0.00 Incl. 0.0
35 REAR DOOR
36 * Rpr LT Door assy 0 0.00 8.0 2.5
37 Overlap Major Adj. Panel 0 0.00 0.0 -0.4
38 Add for Clear Coat 0 0.00 0.0 0.4
11/14/2023 7:04:06 AM 100723 Page 2
Preliminary Estimate
Customer: blomstrom, todd Job Number:
2012 FORD Explorer XLT 4WD 4D UTV 6-3.5L Gasoline Electronic Fuel Injection gray
39 R&I LT Front w'strip 0 0.00 0.2 0.0
40 Repl LT Belt w'strip BB5Z7825597B 1 70.77 0.3 0.0
41 Repl LT Lower molding carbon BB5Z7825557AA 1 172.82 0.4 0.0
42 Repl LT Applique BB5Z78255A35AA 1 65.38 0.3 0.0
43 R&I LT Door glass FORD w/green tint 0 0.00 0.5 0.0
44 R&I LT Run channel w/green tint
glass
0 0.00 0.6 0.0
45 R&I LT Handle, outside chrome 0 0.00 0.4 0.0
46 R&I LT R&I trim panel 0 0.00 0.4 0.0
47 QUARTER PANEL
48 Blnd LT Quarter panel 0 0.00 0.0 1.3
49 Repl LT Splash shield rivet W706092S300 4 11.00 0.0 0.0
50 R&I LT Splash shield 0 0.00 0.3 0.0
51 Repl LT Wheel opng mldg FB5Z7829165AA 1 54.27 0.4 0.0
52 Repl LT Splash shield grommet W714326S300 4 11.00 0.0 0.0
53 Repl LT Splash shield retainer clip W701259S300 4 6.52 0.0 0.0
54 R&I Mud guard 0 0.00 0.4 0.0
55 Repl LT Upper molding BB5Z78290A61AA 1 93.47 0.3 0.0
56 Repl LT Upper molding rivet N811487S100 3 8.25 0.0 0.0
57 R&I LT Qtr glass FORD w/green tint 0 0.00 1.6 0.0
58 REAR LAMPS
59 R&I LT Tail lamp assy 0 0.00 0.3 0.0
60 REAR BUMPER
61 R&I R&I bumper cover 0 0.00 1.5 0.0
62 # CORROSION PROTECTION 1 0.00 0.0 0.3
63 # HAZARDOUS WASTE REMOVAL 1 8.00 X 0.0 0.0
64 # GLASS INSTALL KIT 1 45.00 T 0.0 0.0
65 # ROAD TEST VEHICLE 1 0.00 0.3 0.0
66 # COLOR TINT 1 0.00 0.0 0.5
67 # CAR COVER - PRIME 1 6.00 0.2 0.0
68 # FEATHER,PRIME,BLOCK 1 0.00 0.0 1.0
69 # ULTRA SEAM
SEALER(8361)/EACH
1 20.37 1.0 0.0
70 # DISCONNECT AND ISOLATE
BATTERY
1 0.00 0.2 0.0
71 # PRESCAN 1 0.00 1.0 M 0.0
72 # DE-NIB & BUFF 1 0.00 0.0 2.0
73 # POSTSCAN 1 0.00 1.0 M 0.0
74 # CAR COVER - PAINT 1 6.00 0.2 0.0
75 # COVER ELECTRIC CONNECTORS 1 0.00 0.2 0.0
76 # Subl calibrations 1 500.00 X 0.0 0.0
SUBTOTALS 3,233.55 30.0 14.3
11/14/2023 7:04:06 AM 100723 Page 3
Preliminary Estimate
Customer: blomstrom, todd Job Number:
2012 FORD Explorer XLT 4WD 4D UTV 6-3.5L Gasoline Electronic Fuel Injection gray
ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 2,680.55
Body Labor 28.0 hrs @ $ 80.00 /hr 2,240.00
Paint Labor 14.3 hrs @ $ 80.00 /hr 1,144.00
Mechanical Labor 2.0 hrs @ $ 150.00 /hr 300.00
Paint Supplies 14.3 hrs @ $ 60.00 /hr 858.00
Body Supplies 15.8 hrs @ $ 5.00 /hr 79.00
Miscellaneous 553.00
Subtotal 7,854.55
Sales Tax $ 3,662.55 @ 8.5250 % 312.23
Grand Total 8,166.78
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.
11/14/2023 7:04:06 AM 100723 Page 4
Preliminary Estimate
Customer: blomstrom, todd Job Number:
2012 FORD Explorer XLT 4WD 4D UTV 6-3.5L Gasoline Electronic Fuel Injection gray
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 DR2MF11, CCC Data Date 11/08/2023, 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.
11/14/2023 7:04:06 AM 100723 Page 5
Preliminary Estimate
Customer: blomstrom, todd Job Number:
2012 FORD Explorer XLT 4WD 4D UTV 6-3.5L Gasoline Electronic Fuel Injection gray
ALTERNATE PARTS USAGE
2012 FORD Explorer XLT 4WD 4D UTV 6-3.5L Gasoline Electronic Fuel Injection gray
VIN: 1FMHK8D86CGA56558 Interior Color: Mileage In: 209,455 Vehicle Out:
License: . Exterior Color: gray Mileage Out:
State: Production Date: 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
11/14/2023 7:04:06 AM 100723 Page 6