Property Damage Appraisers (PDA Toledo)
Date: Estimate ID: Estimate Version: Committed Profile ID:
4/13/2015 04:52 PM 2625040055 0 * Mitchell
Property Damage Appraisers (PDA Toledo) P O Box 879 , Holland, OH 43528 (419) 866-1621 Fax: (419) 866-7108 Email: [email protected]
Damage Assessed By: Classification:
Condition Code: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Insured: Owner: Address: Telephone:
Nichols Winston
Appraised For:
None
Good 4/ 8/2015 4/ 9/2015 UNKNOWN 2625040055 1504080147967
Type of Loss: Arrival Date: Accident Date:
Mid-Wood, Inc. Mid-Wood, Inc. 12818 E. Gypsy Lane, Bowling Green, OH 43413 Work Phone: (419) 352-5604
Mitchell Service: Description: Type/Component: VIN: Mileage: OEM/ALT: Color:
Line Item 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Lilia Camarena (800) 467-2793
2005 Mack Vision CX Truck 1M1AK07Y95N007016 547,796 O White
Entry Labor Number Type
Operation
100002 100006 100007 100008 100009 100010 100011 100012 100013 100014 100017 101078 100022 100026
REF BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY
REFINISH REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE CHECK/ADJUST REMOVE/REPLACE
100053 100054 100061 100082 100164 100165 900500 100196 100228 101138 100230 100232 100234 101129
REF REF BDY BDY FRM FRM MCH * BDY BDY BDY BDY BDY BDY * MCH *
REFINISH REFINISH REMOVE/REPLACE REMOVE/INSTALL REPAIR REPAIR REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE
Property Damage 4/10/2015 4/ 8/2015
Cell Phone:
(419) 308-6336
911872 Vehicle Production Date: Drive Train: License: Search Code:
Line Item Description Frt Face Bar Complete R Frt Bumper Face Bar L Frt Bumper Face Bar Frt Bumper Support R Frt Inr Bumper Bracket L Frt Inr Bumper Bracket R Frt Otr Bumper Bracket L Frt Otr Bumper Bracket R Frt Bumper Tube L Frt Bumper Tube Grille Grille Screen Headlamps L Frt Combination Lamp Assembly LKQ Goody's Truck Parts 800-537-8690 Hood Outside Hood Underside Hood Panel Radiator R Frame Rail -F L Frame Rail -F Alignment L Fuel System Tank L Upr Fuel System Step L Lwr Fuel System Step L Support [email protected] L Step Bracket [email protected] L Step Bracket [email protected] Alloy Wheel [email protected] LKQ Goody's Truck Parts 800-537-8690
ESTIMATE RECALL NUMBER: 04/13/2015 16:52:21 2625040055 Mitchell Data Version: OEM: APR_15_V Copyright (C) 1994 - 2015 Mitchell International Software Version: 7.1.177 All Rights Reserved
1/05 PGM8296 OH None
Part Type/ Part Number
Dollar Amount
N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A.
1,282.72 * INC* INC* 48.72 * 48.72 * 55.58 * 55.58 * 77.61 * 77.61 * 531.72 * 138.59 *
Qual Recycled Part
Labor Units
303.90 *
3.0 1.1 1.1 0.7 0.3 0.3 0.3 0.3 0.3 0.3 1.1 1.0 0.5 1.5
# # # # # # # # #
N.A.
3,722.88 *
Existing Existing New N.A. N.A. N.A. N.A. N.A. N.A. Qual Recycled Part
200.00 1,727.44 160.47 160.47 188.20 414.83 414.83 704.76
* * * * * * * *
8.7 3.5 8.0 # 3.5 9.0* # 9.0* # 0.0* 2.0 # 0.5 0.5 0.6 0.6 # 0.6 # 2.8* #
Page
1
of
r
3
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
100251 100263 100264 100265 100266 100394 100406 100410 100411 100979 100981 100983 100998 101000 101004 101008 AUTO 900500 900500
MCH MCH MCH MCH MCH REF BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY REF BDY * MCH *
900500
MCH *
900500 AUTO
MCH *
REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REFINISH REPAIR REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L OPR REMOVE/REPLACE REMOVE/REPLACE BETTERMENT - P REMOVE/REPLACE BETTERMENT - P REMOVE/REPLACE ADD'L COST
Date: Estimate ID: Estimate Version: Committed Profile ID: N.A. N.A. N.A. N.A. N.A.
Frt Susp Axle -M R Frt Susp Leaf Spring -M L Frt Susp Leaf Spring -M R Frt Susp Front Spring Hanger -M L Frt Susp Front Spring Hanger -M Cab Front Panel Outside Cab Front Panel R Splash Shield L Splash Shield L Qtr Fender Mud Flap L Qtr Fender L Qtr Fender Mounting Bracket L Rear Mud Flap L Rear Mud Flap Bracket L Rear Combination Lamp Assembly Rear Combination Lamp Mount Clear Coat Shop Supplies Lt Frt Steer Tire Lt Frt Steer Tire %20.00 Lt Rear Frt Outer Recap Tire Lt Rear Frt Outer Recap Tire %20.00 Lt Frt Lug Studs [email protected] Paint/Materials
4/13/2015 04:52 PM 2625040055 0 * Mitchell 4,387.00 704.76 704.76 229.42 240.50
Existing N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. New New New New
* * * * * C
61.39 58.97 13.70 322.24 38.00 13.70 38.00 298.39 0.00
* * * * * * * * *
250.00 597.00 119.40 387.00 77.40 89.50 990.00
* *
9.0 1.7 # 1.7 # 0.5 # 0.5 # 3.8 6.0* # 1.1 1.1 0.1 0.3 # 0.2 # 0.3 # 0.3 # 0.4 # 0.5 # 0.8 0.0* 0.8*
*
0.8*
* *
1.0*
* - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc r - CEG R&R Time Used For This Labor Operation
Estimate Totals __________________________________________________________________________________
I.
Labor Subtotals
Units
Rate
Add'l Labor Amount
Body Refinish Frame Mechanical
35.4 19.8 18.0 18.8
85.00 85.00 85.00 95.00
0.00 0.00 0.00 0.00
Sublet Amount 0.00 0.00 0.00 0.00
Taxable Labor Labor Summary
III.
92.0
Additional Costs
Totals 3,009.00 1,683.00 1,530.00 1,786.00
II. T T T T
Part Replacement Summary
Amount
Taxable Parts
18,748.96
Total Replacement Parts Amount
18,748.96
Adjustments
Amount
8,008.00 8,008.00
Amount
Taxable Costs
990.00
Total Additional Costs
990.00
IV.
Betterment
196.80-
Customer Responsibility
196.80-
Paint Material Method: Rates Init Rate = 50.00 , Init Max Hours = 99.9, Addl Rate = 0.00
I. II. III.
Total Labor: Total Replacement Parts: Total Additional Costs: Gross Total:
ESTIMATE RECALL NUMBER: 04/13/2015 16:52:21 2625040055 Mitchell Data Version: OEM: APR_15_V Copyright (C) 1994 - 2015 Mitchell International Software Version: 7.1.177 All Rights Reserved
8,008.00 18,748.96 990.00 27,746.96
Page
2
of
3
Date: Estimate ID: Estimate Version: Committed Profile ID:
IV.
4/13/2015 04:52 PM 2625040055 0 * Mitchell
Total Adjustments: Net Total:
196.8027,550.16 TOTAL LOSS
Point(s) of Impact 12 Front Center (P)
Insurance Co: Address: Work Phone:
Inspection Site: Address:
Inspection Date:
MOHAVE TRANSPORTATION INS CO 2200 S 75TH AVE PHOENIX, AZ 85043 (800) 467-2793
Mid-Wood Inc 12818 E Gypsy Lane Bowling Green, OH 43413 (419) 352-5604 (419) 308-6336 4/10/2015
ESTIMATE RECALL NUMBER: 04/13/2015 16:52:21 2625040055 Mitchell Data Version: OEM: APR_15_V Copyright (C) 1994 - 2015 Mitchell International Software Version: 7.1.177 All Rights Reserved
Page
3
of
3
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: VIN.JPG Remarks:
Document Name: ODOMETER.JPG Remarks:
Page 1 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: INTERIOR.JPG Remarks:
Document Name: LICENSE.JPG Remarks:
Page 2 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: LEFTFRONT.JPG Remarks:
Document Name: RIGHTFRONT.JPG Remarks:
Page 3 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: LEFTREAR.JPG Remarks:
Document Name: RIGHTREAR.JPG Remarks:
Page 4 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050471.JPG Remarks: Rt cowel damage
Document Name: P1050472.JPG Remarks: Rt frame rail damage
Page 5 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050455.JPG Remarks: Frt view
Document Name: P1050457.JPG Remarks: Frt axle damage
Page 6 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050458.JPG Remarks: Lt frame rail damage,good chance that gear box and coolers have damage ,cannot raise hood
Document Name: P1050459.JPG Remarks: Lt frt wheel and tire damage
Page 7 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050460.JPG Remarks: Lt fuel tank and step damage
Document Name: P1050462.JPG Remarks: Lt side cowel damage
Page 8 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050466.JPG Remarks: Lt frt mudflap and tire damage
Document Name: P1050467.JPG Remarks: Lt re mudflap damage
Page 9 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050468.JPG Remarks: Rear lamp and crossmember damage
Page 10 of 10
4/13/2015 04:52 PM 2625040055 0 * Mitchell
Property Damage Appraisers (PDA Toledo) P O Box 879 , Holland, OH 43528 (419) 866-1621 Fax: (419) 866-7108 Email: [email protected]
Damage Assessed By: Classification:
Condition Code: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Insured: Owner: Address: Telephone:
Nichols Winston
Appraised For:
None
Good 4/ 8/2015 4/ 9/2015 UNKNOWN 2625040055 1504080147967
Type of Loss: Arrival Date: Accident Date:
Mid-Wood, Inc. Mid-Wood, Inc. 12818 E. Gypsy Lane, Bowling Green, OH 43413 Work Phone: (419) 352-5604
Mitchell Service: Description: Type/Component: VIN: Mileage: OEM/ALT: Color:
Line Item 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Lilia Camarena (800) 467-2793
2005 Mack Vision CX Truck 1M1AK07Y95N007016 547,796 O White
Entry Labor Number Type
Operation
100002 100006 100007 100008 100009 100010 100011 100012 100013 100014 100017 101078 100022 100026
REF BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY
REFINISH REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE CHECK/ADJUST REMOVE/REPLACE
100053 100054 100061 100082 100164 100165 900500 100196 100228 101138 100230 100232 100234 101129
REF REF BDY BDY FRM FRM MCH * BDY BDY BDY BDY BDY BDY * MCH *
REFINISH REFINISH REMOVE/REPLACE REMOVE/INSTALL REPAIR REPAIR REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE
Property Damage 4/10/2015 4/ 8/2015
Cell Phone:
(419) 308-6336
911872 Vehicle Production Date: Drive Train: License: Search Code:
Line Item Description Frt Face Bar Complete R Frt Bumper Face Bar L Frt Bumper Face Bar Frt Bumper Support R Frt Inr Bumper Bracket L Frt Inr Bumper Bracket R Frt Otr Bumper Bracket L Frt Otr Bumper Bracket R Frt Bumper Tube L Frt Bumper Tube Grille Grille Screen Headlamps L Frt Combination Lamp Assembly LKQ Goody's Truck Parts 800-537-8690 Hood Outside Hood Underside Hood Panel Radiator R Frame Rail -F L Frame Rail -F Alignment L Fuel System Tank L Upr Fuel System Step L Lwr Fuel System Step L Support [email protected] L Step Bracket [email protected] L Step Bracket [email protected] Alloy Wheel [email protected] LKQ Goody's Truck Parts 800-537-8690
ESTIMATE RECALL NUMBER: 04/13/2015 16:52:21 2625040055 Mitchell Data Version: OEM: APR_15_V Copyright (C) 1994 - 2015 Mitchell International Software Version: 7.1.177 All Rights Reserved
1/05 PGM8296 OH None
Part Type/ Part Number
Dollar Amount
N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A.
1,282.72 * INC* INC* 48.72 * 48.72 * 55.58 * 55.58 * 77.61 * 77.61 * 531.72 * 138.59 *
Qual Recycled Part
Labor Units
303.90 *
3.0 1.1 1.1 0.7 0.3 0.3 0.3 0.3 0.3 0.3 1.1 1.0 0.5 1.5
# # # # # # # # #
N.A.
3,722.88 *
Existing Existing New N.A. N.A. N.A. N.A. N.A. N.A. Qual Recycled Part
200.00 1,727.44 160.47 160.47 188.20 414.83 414.83 704.76
* * * * * * * *
8.7 3.5 8.0 # 3.5 9.0* # 9.0* # 0.0* 2.0 # 0.5 0.5 0.6 0.6 # 0.6 # 2.8* #
Page
1
of
r
3
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
100251 100263 100264 100265 100266 100394 100406 100410 100411 100979 100981 100983 100998 101000 101004 101008 AUTO 900500 900500
MCH MCH MCH MCH MCH REF BDY BDY BDY BDY BDY BDY BDY BDY BDY BDY REF BDY * MCH *
900500
MCH *
900500 AUTO
MCH *
REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REFINISH REPAIR REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L OPR REMOVE/REPLACE REMOVE/REPLACE BETTERMENT - P REMOVE/REPLACE BETTERMENT - P REMOVE/REPLACE ADD'L COST
Date: Estimate ID: Estimate Version: Committed Profile ID: N.A. N.A. N.A. N.A. N.A.
Frt Susp Axle -M R Frt Susp Leaf Spring -M L Frt Susp Leaf Spring -M R Frt Susp Front Spring Hanger -M L Frt Susp Front Spring Hanger -M Cab Front Panel Outside Cab Front Panel R Splash Shield L Splash Shield L Qtr Fender Mud Flap L Qtr Fender L Qtr Fender Mounting Bracket L Rear Mud Flap L Rear Mud Flap Bracket L Rear Combination Lamp Assembly Rear Combination Lamp Mount Clear Coat Shop Supplies Lt Frt Steer Tire Lt Frt Steer Tire %20.00 Lt Rear Frt Outer Recap Tire Lt Rear Frt Outer Recap Tire %20.00 Lt Frt Lug Studs [email protected] Paint/Materials
4/13/2015 04:52 PM 2625040055 0 * Mitchell 4,387.00 704.76 704.76 229.42 240.50
Existing N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. New New New New
* * * * * C
61.39 58.97 13.70 322.24 38.00 13.70 38.00 298.39 0.00
* * * * * * * * *
250.00 597.00 119.40 387.00 77.40 89.50 990.00
* *
9.0 1.7 # 1.7 # 0.5 # 0.5 # 3.8 6.0* # 1.1 1.1 0.1 0.3 # 0.2 # 0.3 # 0.3 # 0.4 # 0.5 # 0.8 0.0* 0.8*
*
0.8*
* *
1.0*
* - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc r - CEG R&R Time Used For This Labor Operation
Estimate Totals __________________________________________________________________________________
I.
Labor Subtotals
Units
Rate
Add'l Labor Amount
Body Refinish Frame Mechanical
35.4 19.8 18.0 18.8
85.00 85.00 85.00 95.00
0.00 0.00 0.00 0.00
Sublet Amount 0.00 0.00 0.00 0.00
Taxable Labor Labor Summary
III.
92.0
Additional Costs
Totals 3,009.00 1,683.00 1,530.00 1,786.00
II. T T T T
Part Replacement Summary
Amount
Taxable Parts
18,748.96
Total Replacement Parts Amount
18,748.96
Adjustments
Amount
8,008.00 8,008.00
Amount
Taxable Costs
990.00
Total Additional Costs
990.00
IV.
Betterment
196.80-
Customer Responsibility
196.80-
Paint Material Method: Rates Init Rate = 50.00 , Init Max Hours = 99.9, Addl Rate = 0.00
I. II. III.
Total Labor: Total Replacement Parts: Total Additional Costs: Gross Total:
ESTIMATE RECALL NUMBER: 04/13/2015 16:52:21 2625040055 Mitchell Data Version: OEM: APR_15_V Copyright (C) 1994 - 2015 Mitchell International Software Version: 7.1.177 All Rights Reserved
8,008.00 18,748.96 990.00 27,746.96
Page
2
of
3
Date: Estimate ID: Estimate Version: Committed Profile ID:
IV.
4/13/2015 04:52 PM 2625040055 0 * Mitchell
Total Adjustments: Net Total:
196.8027,550.16 TOTAL LOSS
Point(s) of Impact 12 Front Center (P)
Insurance Co: Address: Work Phone:
Inspection Site: Address:
Inspection Date:
MOHAVE TRANSPORTATION INS CO 2200 S 75TH AVE PHOENIX, AZ 85043 (800) 467-2793
Mid-Wood Inc 12818 E Gypsy Lane Bowling Green, OH 43413 (419) 352-5604 (419) 308-6336 4/10/2015
ESTIMATE RECALL NUMBER: 04/13/2015 16:52:21 2625040055 Mitchell Data Version: OEM: APR_15_V Copyright (C) 1994 - 2015 Mitchell International Software Version: 7.1.177 All Rights Reserved
Page
3
of
3
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: VIN.JPG Remarks:
Document Name: ODOMETER.JPG Remarks:
Page 1 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: INTERIOR.JPG Remarks:
Document Name: LICENSE.JPG Remarks:
Page 2 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: LEFTFRONT.JPG Remarks:
Document Name: RIGHTFRONT.JPG Remarks:
Page 3 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: LEFTREAR.JPG Remarks:
Document Name: RIGHTREAR.JPG Remarks:
Page 4 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050471.JPG Remarks: Rt cowel damage
Document Name: P1050472.JPG Remarks: Rt frame rail damage
Page 5 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050455.JPG Remarks: Frt view
Document Name: P1050457.JPG Remarks: Frt axle damage
Page 6 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050458.JPG Remarks: Lt frame rail damage,good chance that gear box and coolers have damage ,cannot raise hood
Document Name: P1050459.JPG Remarks: Lt frt wheel and tire damage
Page 7 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050460.JPG Remarks: Lt fuel tank and step damage
Document Name: P1050462.JPG Remarks: Lt side cowel damage
Page 8 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050466.JPG Remarks: Lt frt mudflap and tire damage
Document Name: P1050467.JPG Remarks: Lt re mudflap damage
Page 9 of 10
Claim Number: 1504080147967 PDA Assignment Number: 262-504-0055-0
Document Name: P1050468.JPG Remarks: Rear lamp and crossmember damage
Page 10 of 10
