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September 5, 2013

Mr. Ricky Davis SC Farm Bureau Insurance Companies 2685 South Irby Street Florence, SC 29505

RE: Insured: Robert Griggs Claimant: Type of Loss: Fire Date of Loss: 8-28-13 Policy No.: ??? Claim No.: IM368816 WHF File No.: 0813 R 0339

ASSIGNMENT: I received this loss assignment via email from Mr. Ricky Davis of SC Farm Bureau Insurance Company on 9-3-13 with directions to report to Mr. Davis. I called the insured on 9-3-13 requested documents and discussed loss. I drove to Hartsville, SC on 9-4-13 where I did inspect the damages to these units at that time.

2

RE: Claim No.: IM368816 WHF File No.: 0913 R 0339

ENCLOSURES: Please find the enclosed items as follows; 1. 2. 3. 4. 5. 6. 7. 8.

Photos of Damages Estimate of Repair Heavy Equipment Inspection Report Sales Invoice ( NOT Readable) Serial Number and Specification Information Valuation Analysis Comparisons Heavy Salvage Solicitation Confirmation-Local

COVERAGE INFORMATION: This unit is a 1990 Case International Combine bearing a serial number of JJC0035639. The coverage information was not furnished with the loss notice. DAMAGED PROPERTY: This combine is a 1990 Case/International Model 1640 bearing serial number JJC0035639. Please see the enclosed Heavy Equipment Inspection Report for a complete description of this damaged vehicle. I also called the dealer which sold this unit T & T Tractor Co. of Hartsville and they furnished a copy of the Bill of Sales on this unit. Please be advised the document is not readable. ESTIMATE OF REPAIR: This unit has considerable fire damage to the cab, engine, hydraulics, wiring, and tires. I have prepared an estimate in the amount of $37,327.00. This unit may also have hidden damages. It is my opinion the unit is a total loss due to the amount of damage. See the photos enclosed for additional details on the amount of damage. TOWING: This unit has not been moved it is still in the field where this loss occurred. FACTS OF LOSS: It appears this unit caught fire and burned on or about the date of 8-28-13. I have not secured a copy of the Fire Report from the insured as of today. Once this document is secured I will forward for review.

3

RE: Claim No.: IM368816 WHF File No.: 0913 R 0339

VALUATION ANALYSIS: I have prepared and enclosed a Valuation Analysis on this unit and arrived at an ACV of 26,250.00. I located and averaged the values of four similar units to arrive at this figure. See a copy of this report enclosed for more information as to the comparisons.

Salvage: I have also solicited the salvage to several local buyers for bids as of today I have not secured any bids. I will forward the bids as they are secured. RECOMMENDATIONS AND REMARKS: It is my opinion that we settle this claim with the insured in the following manner; Valuation Analysis Less Deductible Sub-Total Less Salvage Value (If Ins. Retains) Net Claim

$ 26,250.00 $ ? $ ? $ ? $ ?

Of course, if you need any other information, please do not hesitate to give me a call. I will be waiting to hear from you. Sincerely, Wendell Rabon Adjuster CC: File

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

Left Front

Location: Hartsville, SC

Right Front

Page 1

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

Left Rear

Location: Hartsville, SC

Right Rear

Page 2

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

VIN Plate

Location: Hartsville, SC

Hour Meter (5699)

Page 3

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

Inner Cab Smoke and Fire Damage

Location: Hartsville, SC

Inner cab Fire Damage

Page 4

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

Fire Damaged Engine

Location: Hartsville, SC

Rear Fire Damage

Page 5

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

Fire Damaged Wiring, Hoses, and Hydraulics

Location: Hartsville, SC

Underside Fire Damage

Page 6

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

Header Lt front No Damage

Location: Hartsville, SC

Rt Front Header NO DAMAGE

Page 7

PHOTOS DATE TAKEN: 9-4-13

Insured: Robert Griggs

Claim No.: IM368816

WHF File No.: 0913 R 0339

Header VIN Plate

Location: Hartsville, SC

Header Hoses has NO DAMAGE

Page 8

Phone: 843-464-1964 Fax: 843-464-1937 Email: [email protected]

Sheet No.

1

Member of:

TRUCK & HEAVY EQUIPMENT ESTIMATE OF REPAIRS File No.

Appraised By:

Date of Loss

Wendell Rabon

0913 R 0339 Insured

8/28/13

Assign. Rec'd:

9/3/13

Claimant

1st Contact Attempt

Date Contacted: Date Inspected

9/3/13

9/3/13

9/4/13

Phone Number:

Robert Griggs Make

Year:

Case

Model

Engine:

Vehicle Identification Number

Mileage/Hrs.:

1640 JJC0035639

1990 Cubic Inch

Lic. Plate #

5699 NA

Year

State

NA

NA

Trans. Type of Vehicle or Unit:

Case

Combine

Client Company

Client Co. File or Policy No.

SC Farm Bureau Insurance Co. Unit Inspected at:

IM368816

The undersigned offers to complete all repairs and replacements listed on the Estimate Pages Attached for the GROSS TOTAL of this Estimate Listed on Page 1.

Special Equipment or Attachments:

Header

Body Shop Labor: 93.00

hrs. at

Above Avg.

Fair

Average

Poor

$ 90.00

$

Mechanical AUTHORIZATION TO REPAIR MUST COME FROM VEHICLE Labor: 0.00 hrs. at $ 100.00 $ OWNER. NO SUPPLIMENTALS WITHOUT INSPECTION AND PRIOR APPROVAL. Gross Parts $ 25,400.00 Less $ Firm Name: Constructive Total Loss $ Sublet …………… $ Street No. : Towing & Recovery …………… $ City: State: Zip: 25,400.00 Tax at 8.00% $ Sub-Tota $ By: Phone No.:

8,370.00

-

25,400.00 1,525.00 2,032.00

Has Repairer seen unit? Yes

No

Date:

GROSS TOTAL

$

37,327.00

Sheet No.

Truck and Heavy Equipment Estimate of Repairs File No.

Insured

Claimant

0913 R 0339 Robert Griggs

Client Company

SC Farm Bureau Insurance Co.

2

Client Company File or Policy No.

IM368816

Re-

Re-

Body Shop

Mechanical

Parts $

Sublet &

Code

Place

Pair

Labor Hrs.

Labor Hrs.

At List

Net Items $

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 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45

x

Engine

16.0

inc $ 7,800.00

x

Hydraulic Valve Bank

14.0

inc $ 4,400.00

x

Cooling System

6.0

inc $ 2,500.00

x

Wiring Harness

10.0

inc $ 5,000.00

x

Wiring

4.0

inc $

x

Hoses

8.0

inc $ 1,500.00

x

Lt Front Tire

3.0

inc $ 1,700.00

x

Lt Rear Tire

2.0

inc $

DETAILS OF REPAIRS AND REPLACEMENTS

Refinish Damaged Area

30.0

inc

600.00

300.00 inc

Paint and Material

inc

inc $ 1,200.00

Misc

inc

inc $

Freight

inc

inc

inc

$

1,500.00

EPA

inc

inc

inc

$

25.00

0.0 $ 25,400.00 $

1,525.00

Sub-Totals for this sheet >

93.0

400.00

HEAVY EQUIPMENT INSPECTION REPORT COMPANY

COMPANY CLAIM NUMBER

SC Farm Bureau Insurance Co.

I/A FILE NUMBER

IM368816

0913 R 0339

INSURED

Same

TYPE OF LOSS

08/28/13

LOCATION OF INSPECTION - ACTUAL PHYSICAL LOCATION

Fire

YEAR

off hwy 102 in Hartsville, SC

MAKE

MODEL

Case International

TYPE OF EQUIPMENT

1640

IDENTIFICATION NUMBER (PIN)

ENGINE MFG.

5699

TRANSMISSION SPEEDS

Case

6 HEAT & AIR CONDITIONING

EROPS

ENGINE ENCLOSURES

GRILLE GUARD

NO

YES

ENGINE MODEL/NO. CYLS.

TYPE OF OPERATOR PROTECTION

Hydro YES

DATE OF MANUFACTURE

Combine HOUR METER READING

JJC0035639 TRANSMISSION TYPE

09/04/13

EQUIPMENT OWNER

Robert Griggs DATE OF LOSS

INSPECTION DATE

VANDALISM PROTECT

NO

YES

YES SWEEPS

NO

YES

NO FORESTRY PACKAGE

NO

YES

NO

WHEELED EQUIPMENT FRONT TIRE SIZE

%WORN

28.L-26 28.L-26

L R

REAR TIRE SIZE

70 70

L R

%WORN

19.9-24 19.9-24

80 80

FIRE EXTINGUISHER/TYPE

ALL WHEEL DRIVE

YES

FRONT ATTACHMENTS

REAR ATTACHMENTS

NO

4 Row Corn Cutter

No. AXLES

GRAPPLE MAKE

GRAPPLE SIZE

none DUAL ARCH

YES BACKHOE

FIXED

FELLER BUNCHER MFG.

FELLER BUNCHER SIZE

WINCH

NO

YES

FELLER BUNCHER MODEL & S/N

EXTENDABLE

TRACK EQUIPMENT WIDTH OF TRACK SHOE

NO. TRACK ROLLERS

WINCH/TYPE/CAPACITY

S.A.L.T. TRACKS

EST % of U/C WORN

ROPS/EROPS CAB SCREENS

YES

REAR ATTACHMENTS

FRONT ATTACHMENTS

NO

ADDITIONAL EQUIPMENT/ATTACHMENTS/ACCESSORIES Case 4 Row Corn Cutter Head Model 844 Ser# 0730100U019689

GUIDE BOOK VALUE - QUICK SALE

GUIDE BOOK VALUE - RESALE

ACTUAL CASH VALUE/MARKET VALUE

REMARKS/GENERAL CONDITION:

ADJUSTER

LOCATION

Wendell Rabon

CONDITION OF EQUIPMENT

Mullins, SC

Burnt

NO

1990 CASE IH 1640 Combines For Sale At TractorHouse.com

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1990 CASE IH 1640 Equipment Specifications Year

1990

Manufacturer

CASE IH

Model

1640

Price

USD $22,000  USD

Location

Gilliam, Missouri

Condition

Used

Hours

4,500

General Information 4WD, Field Tracker, & Specialty Rotor Detailed Description Solid machine, shedded, chopper, Cummins Engine, new vertical and horizontal unloading auger. Leave a message and will return your call.

Say you saw this 1990 CASE IH 1640 On TractorHouse.com! Send Heath Meyer A Message Contact:

Heath Meyer Machine is located in:

Gilliam, Missouri Phone: (660)631-0012

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1990 CASE IH 1640 Equipment Specifications Year

1990

Manufacturer

CASE IH

Model

1640

Price

USD $29,500  USD

Location

Wilkinson, Indiana

Condition

Used

Hours

2,784

General Information Cummins, chaff spreader, 23.1x26 tires, standard auger, through our shop, very nice!! Detailed Description New bars and hardware on rotor, new clean grain auger

Say you saw this 1990 CASE IH 1640 On TractorHouse.com! Send Swindell Farm Equipment, LLC A Message Contact:

Swindell Farm Equipment, LLC Machine is located in:

Wilkinson, Indiana Phone: (765)737-6618 Fax: (765)737-1030

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1990 CASE IH 1640 Equipment Specifications Year

1990

Manufacturer

CASE IH

Model

1640

Price

USD $28,500  USD

Location

Smithville, Ohio

Condition

Used

Hours

3,800

Detailed Description rocktrap, special rotor, chopper, cummins, new style fan, 3800 hrs

Say you saw this 1990 CASE IH 1640 On TractorHouse.com! Contact:

Morrison Farms Machine is located in:

Smithville, Ohio Phone: (330)669-3815 Fax: (330)669-2477

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1990 CASE IH 1640 Equipment Specifications Year

1990

Manufacturer

CASE IH

Model

1640

Price

USD $25,000  USD

Location

Ashland, Ohio

Serial Number

JJC0036098

Condition

Used

Stock Number

10292

Hours

3,842

Detailed Description Height: 178, Weight: 32,661

Say you saw this 1990 CASE IH 1640 On TractorHouse.com! Send North Central Ag A Message Contact:

North Central Ag Machine is located in:

Ashland, Ohio Phone: (888)495-6531 Fax: (419)281-7820

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From: "WENDELL RABON" <[email protected]> To: "Altona Equipment Co." ; "W & W Truck & Tractor" ; "Tractor & EquipmentCo., Inc." ; "Total Truck & Equipment Co." ; "Schaefer Jerry" <[email protected]>; "Plunk's Truck Parts & Equipment, Inc" <[email protected]>; "London Truck Parts & Equipment, LLC" ; "John Story Truck & Equip. Co." <[email protected]>; "Jim Pickett" <[email protected]>; "Ironpeddlers Parts Division" ; "IronMart, Inc." <[email protected]>; "Irick Construction & Salvage" <[email protected]>; "Head Equipment" ; "Global Cranes George Lucas" ; "G & W Equipment, Inc." ; "Construction Equipment" <[email protected]>; "Equipment & Parts, Inc." <[email protected]>; "Diamond Valley Enterprise LLC" ; "C & H Truck & Equipment" ; "C. D. L. Equipment Company" ; "Bob's Body Shop" ; "American Crane, Truck & Equipment" <[email protected]>; "Chartrand Equipment" ; "LMI, Inc." Subject: R0339 1990 Case 1640 Combine Date: Thursday, September 05, 2013 7:23 AM This unit is as is where is in Hartsville, SC. Please see pictures and inspection report. Please forward bids as soon as possible. -Wendell H. Rabon - Adjuster [email protected] W. H. Fisher & Associates, PA P.O. Box 537 Mullins, S. C., 29574 O-843-464-1964 F-843-464-1937 C-843-618-0146 Visit our Website at: www.whfisher.com

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