Property Damage Appraisers (PDA Indianapolis) - Amazon Web ...
Date: Estimate ID: Estimate Version: Committed Profile ID:
6/ 6/2017 03:02 PM 1037060027 0 * PDA IN Heavy
This estimate has been prepared utilizing the Mitchell Medium/Heavy Duty Truck Database.
Property Damage Appraisers (PDA Indianapolis) PO BOX 53023, INDPLS, IN 46253-0023 (317) 299-7777 Fax: (317) 299-7835 Email: [email protected]
*Not An Authorization For repair* Read disclaimers following appraisal calculations.
Damage Assessed By: Classification: Condition Code: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Insured: Owner: Telephone:
BRIAN NORMAN
Adjuster Name:
Good 5/18/2017 6/ 5/2017 0.00 1037060027 006637-000012-AP-01
Type of Loss: Date Assigned:
Line Item 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Cell Phone:
6/ 2/2017
(513) 682-2000
2006 Freightliner M2 Truck 1FVHC5DEX6HW20799 455,256 A WHITE
910665 Vehicle Production Date: Drive Train: License: Search Code:
Entry Labor Number Type
Operation
Line Item Description
000001 001853 000047 000048 002478 000072 000078 000126 000128 000138 000139 000140 000141 000144 000145 900500 900500 001813 900500 900500
REFINISH REMOVE/REPLACE REFINISH REFINISH REFINISH REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REFINISH REFINISH REFINISH REFINISH REMOVE/REPLACE REMOVE/REPLACE REPAIR ALIGN REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE
Frt Bumper Frt Bumper Assembly Hood Outside Add For Inside Skirt Panel Charge Air Cooler Assembly -M Cooling Radiator -M Evacuate & Recharge A/C -M Air Cond Condenser -M R Fender Outside L Fender Outside R Add For Inside L Add For Inside R Lwr Fender Panel L Lwr Fender Panel Set up, measure and pull frame Three axle alignment Wheel [email protected] Complete front axle and suspension assy Rt and Lt steer tires:11r225 Bridgstone
REF BDY REF REF REF MCH MCH MCH MCH REF REF REF REF BDY BDY FRM * MCH* BDY MCH* BDY *
Collision
Chemgroup Inc Chemgroup Inc
Mitchell Service: Description: Type/Component: VIN: Mileage: OEM/ALT: Color:
Shawn Johnson
ESTIMATE RECALL NUMBER: 06/06/2017 15:02:42 1037060027 Mitchell Data Version: OEM: MAY_17_V0605 MAPP:MAY_17_V Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
8/05 PVU3553 OH 103
Part Type/ Part Number N.A.
Dollar Amount
Labor Units
C 723.66 * C C
** QUAL REPL PART ** QUAL REPL PART
689.00 705.00
** QUAL REPL PART
246.96
** QUAL REPL PART ** QUAL REPL PART Existing Sublet Remanufactured Qual Recycled Part New
173.00 176.00 275.00 150.00 750.00 1,175.00
2.6 1.1 5.8 2.3 1.5 * INC* * 7.8 # 1.4 * 1.0 C 1.9* C 1.9* C 0.9 C 0.9 * 0.7 * 0.7 18.0* * 0.0* * 2.0*# *10.0* * INC*
Page 1
of
3
21 22 23 24 25 26 27
000535 933002 900500 900500 900500 900500 AUTO
BDY REF BDY * MCH* MCH* MCH*
REMOVE/REPLACE ADD'L OPR REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L COST
Date: 6/ 6/2017 03:02 PM Estimate ID: 1037060027 Estimate Version: 0 Committed Profile ID: * PDA IN Heavy ** QUAL REPL PART 545.00 * 1.0 2.5* Qual Recycled Part 1,750.00 * 8.0* New 415.66 * 4.0* ** QUAL REPL PART 175.00 * 0.0* ** QUAL REPL PART 75.00 * 0.0* 812.00 *
Exhaust Muffler Clear Coat Complete hood assy Cat C7 engine oil pan Oil and filter Oil pan gasket kit Paint/Materials
* - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc
Estimate Totals ________________________________________________________________
I.
Labor Subtotals Body Refinish Frame Mechanical
Units
Rate
13.5 75.00 20.3 75.00 18.0 100.00 24.2 125.00
Add'l Labor Amount 0.00 0.00 0.00 0.00
Taxable Labor Labor Summary III.
76.0
Additional Costs
Sublet Amount 0.00 0.00 0.00 275.00
Totals 1,012.50 1,522.50 1,800.00 3,300.00
II. T T T T
Part Replacement Summary
Amount
Taxable Parts Parts Adjustments (Cost Plus)
7,749.28 833.33
Total Replacement Parts Amount
8,582.61
7,635.00 7,635.00 Amount
Taxable Costs
812.00
Total Additional Costs
812.00
IV.
Adjustments
Amount
Insurance Deductible
0.00
Customer Responsibility
0.00
Paint Material Method: Rates Init Rate = 40.00 , Init Max Hours = 99.9, Addl Rate = 0.00 I. II. III.
Total Labor: Total Replacement Parts: Total Additional Costs: Gross Total:
IV.
Total Adjustments: Net Total:
7,635.00 8,582.61 812.00 17,029.61 0.00 17,029.61 TOTAL LOSS
Point(s) of Impact 12 Front Center (P) Insurance Co: Address: Work Phone:
GALLAGHER BASSETT 300 ST PETERS CENTRE BLVD STE 200 ST PETERS, MO 63376 (636) 447-5400
ESTIMATE RECALL NUMBER: 06/06/2017 15:02:42 1037060027 Mitchell Data Version: OEM: MAY_17_V0605 MAPP:MAY_17_V Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
Page 2
of
3
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: VIN.jpg Remarks:
Document Name: ODOMETER.jpg Remarks:
Page 1 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: INTERIOR.jpg Remarks:
Document Name: LICENSE.jpg Remarks:
Page 2 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: LEFTFRONT.jpg Remarks:
Document Name: RIGHTFRONT.jpg Remarks:
Page 3 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: DOOR.jpg Remarks:
Document Name: EQUIPMENT.jpg Remarks:
Page 5 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: FUELTANK.jpg Remarks:
Document Name: INSTRUMENTPANEL.jpg Remarks:
Page 6 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: ROOF.jpg Remarks:
Document Name: FRONT SUSPENSION.jpg Remarks:
Page 7 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: SUSPENSION.jpg Remarks:
Document Name: TOW BILL.jpg Remarks:
Page 8 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: ENGINE OIL PAN HOLE.jpg Remarks:
Page 9 of 9
6/ 6/2017 03:02 PM 1037060027 0 * PDA IN Heavy
This estimate has been prepared utilizing the Mitchell Medium/Heavy Duty Truck Database.
Property Damage Appraisers (PDA Indianapolis) PO BOX 53023, INDPLS, IN 46253-0023 (317) 299-7777 Fax: (317) 299-7835 Email: [email protected]
*Not An Authorization For repair* Read disclaimers following appraisal calculations.
Damage Assessed By: Classification: Condition Code: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Insured: Owner: Telephone:
BRIAN NORMAN
Adjuster Name:
Good 5/18/2017 6/ 5/2017 0.00 1037060027 006637-000012-AP-01
Type of Loss: Date Assigned:
Line Item 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Cell Phone:
6/ 2/2017
(513) 682-2000
2006 Freightliner M2 Truck 1FVHC5DEX6HW20799 455,256 A WHITE
910665 Vehicle Production Date: Drive Train: License: Search Code:
Entry Labor Number Type
Operation
Line Item Description
000001 001853 000047 000048 002478 000072 000078 000126 000128 000138 000139 000140 000141 000144 000145 900500 900500 001813 900500 900500
REFINISH REMOVE/REPLACE REFINISH REFINISH REFINISH REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REFINISH REFINISH REFINISH REFINISH REMOVE/REPLACE REMOVE/REPLACE REPAIR ALIGN REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE
Frt Bumper Frt Bumper Assembly Hood Outside Add For Inside Skirt Panel Charge Air Cooler Assembly -M Cooling Radiator -M Evacuate & Recharge A/C -M Air Cond Condenser -M R Fender Outside L Fender Outside R Add For Inside L Add For Inside R Lwr Fender Panel L Lwr Fender Panel Set up, measure and pull frame Three axle alignment Wheel [email protected] Complete front axle and suspension assy Rt and Lt steer tires:11r225 Bridgstone
REF BDY REF REF REF MCH MCH MCH MCH REF REF REF REF BDY BDY FRM * MCH* BDY MCH* BDY *
Collision
Chemgroup Inc Chemgroup Inc
Mitchell Service: Description: Type/Component: VIN: Mileage: OEM/ALT: Color:
Shawn Johnson
ESTIMATE RECALL NUMBER: 06/06/2017 15:02:42 1037060027 Mitchell Data Version: OEM: MAY_17_V0605 MAPP:MAY_17_V Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
8/05 PVU3553 OH 103
Part Type/ Part Number N.A.
Dollar Amount
Labor Units
C 723.66 * C C
** QUAL REPL PART ** QUAL REPL PART
689.00 705.00
** QUAL REPL PART
246.96
** QUAL REPL PART ** QUAL REPL PART Existing Sublet Remanufactured Qual Recycled Part New
173.00 176.00 275.00 150.00 750.00 1,175.00
2.6 1.1 5.8 2.3 1.5 * INC* * 7.8 # 1.4 * 1.0 C 1.9* C 1.9* C 0.9 C 0.9 * 0.7 * 0.7 18.0* * 0.0* * 2.0*# *10.0* * INC*
Page 1
of
3
21 22 23 24 25 26 27
000535 933002 900500 900500 900500 900500 AUTO
BDY REF BDY * MCH* MCH* MCH*
REMOVE/REPLACE ADD'L OPR REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L COST
Date: 6/ 6/2017 03:02 PM Estimate ID: 1037060027 Estimate Version: 0 Committed Profile ID: * PDA IN Heavy ** QUAL REPL PART 545.00 * 1.0 2.5* Qual Recycled Part 1,750.00 * 8.0* New 415.66 * 4.0* ** QUAL REPL PART 175.00 * 0.0* ** QUAL REPL PART 75.00 * 0.0* 812.00 *
Exhaust Muffler Clear Coat Complete hood assy Cat C7 engine oil pan Oil and filter Oil pan gasket kit Paint/Materials
* - Judgment Item # - Labor Note Applies C - Included in Clear Coat Calc
Estimate Totals ________________________________________________________________
I.
Labor Subtotals Body Refinish Frame Mechanical
Units
Rate
13.5 75.00 20.3 75.00 18.0 100.00 24.2 125.00
Add'l Labor Amount 0.00 0.00 0.00 0.00
Taxable Labor Labor Summary III.
76.0
Additional Costs
Sublet Amount 0.00 0.00 0.00 275.00
Totals 1,012.50 1,522.50 1,800.00 3,300.00
II. T T T T
Part Replacement Summary
Amount
Taxable Parts Parts Adjustments (Cost Plus)
7,749.28 833.33
Total Replacement Parts Amount
8,582.61
7,635.00 7,635.00 Amount
Taxable Costs
812.00
Total Additional Costs
812.00
IV.
Adjustments
Amount
Insurance Deductible
0.00
Customer Responsibility
0.00
Paint Material Method: Rates Init Rate = 40.00 , Init Max Hours = 99.9, Addl Rate = 0.00 I. II. III.
Total Labor: Total Replacement Parts: Total Additional Costs: Gross Total:
IV.
Total Adjustments: Net Total:
7,635.00 8,582.61 812.00 17,029.61 0.00 17,029.61 TOTAL LOSS
Point(s) of Impact 12 Front Center (P) Insurance Co: Address: Work Phone:
GALLAGHER BASSETT 300 ST PETERS CENTRE BLVD STE 200 ST PETERS, MO 63376 (636) 447-5400
ESTIMATE RECALL NUMBER: 06/06/2017 15:02:42 1037060027 Mitchell Data Version: OEM: MAY_17_V0605 MAPP:MAY_17_V Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
Page 2
of
3
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: VIN.jpg Remarks:
Document Name: ODOMETER.jpg Remarks:
Page 1 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: INTERIOR.jpg Remarks:
Document Name: LICENSE.jpg Remarks:
Page 2 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: LEFTFRONT.jpg Remarks:
Document Name: RIGHTFRONT.jpg Remarks:
Page 3 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: DOOR.jpg Remarks:
Document Name: EQUIPMENT.jpg Remarks:
Page 5 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: FUELTANK.jpg Remarks:
Document Name: INSTRUMENTPANEL.jpg Remarks:
Page 6 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: ROOF.jpg Remarks:
Document Name: FRONT SUSPENSION.jpg Remarks:
Page 7 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: SUSPENSION.jpg Remarks:
Document Name: TOW BILL.jpg Remarks:
Page 8 of 9
Claim Number: 006637-000012-AP-01 PDA Assignment Number: 103-706-0027-0
Document Name: ENGINE OIL PAN HOLE.jpg Remarks:
Page 9 of 9
