SINGLETARY SUPP 2
FAWBUSH BODY SHOP INC "WE MEET BY ACCIDENT" [email protected] 4559 US HWY 59 SOUTH, LIVINGSTON, TX 77351 Phone: (936) 365-2707 FAX: (936) 365-2704
Workfile ID: Federal ID: Resale Number: State EPA:
b21a0efd 76-0378389 1-76-0378389-9 RN101742674
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181 Written By: FRANKIE TENNISON
Insured:
Singletary, Chris
Policy #:
000629380786
Claim #:
000441278785D01
Type of Loss:
Collision
Date of Loss:
1/3/2017 12:00 PM
Days to Repair:
6
Point of Impact:
05 Right Rear
Owner:
Inspection Location:
Insurance Company:
Singletary, Chris
Singletary, Chris
ALLSTATE INDEMNITY COMPANY
Po Box 687
Work
Onalaska, TX 77360-0687
(713) 907-0293 Other
(713) 907-0293 Other
VEHICLE 2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White VIN:
1FT8W3DTXDEA15542
Interior Color:
License:
HMY-6835
Exterior Color:
State:
TX
Production Date:
Mileage In: Peal White
66,702
Vehicle Out:
2/3/2017
Good
Job #:
10181
Mileage Out: Condition:
TRANSMISSION
Console/Storage
Stereo
Reclining/Lounge Seats
Automatic Transmission
Overhead Console
Search/Seek
Leather Seats
Overdrive
CONVENIENCE
CD Player
WHEELS
4 Wheel Drive
Air Conditioning
Auxiliary Audio Connection
Aluminum/Alloy Wheels
POWER
Intermittent Wipers
Premium Radio
PAINT
Power Steering
Tilt Wheel
Satellite Radio
Three Stage Paint
Power Brakes
Cruise Control
SAFETY
OTHER
Power Windows
Rear Defogger
Drivers Side Air Bag
Fog Lamps
Power Locks
Keyless Entry
Passenger Air Bag
Signal Integrated Mirrors
Power Mirrors
Alarm
Anti-Lock Brakes (4)
California Emissions
Heated Mirrors
Steering Wheel Touch Controls
4 Wheel Disc Brakes
TRUCK
Power Driver Seat
Telescopic Wheel
Traction Control
Power Rear Window
Power Passenger Seat
Climate Control
Front Side Impact Air Bags
Trailer Hitch
Power Adjustable Pedals
Backup Camera w/Parking Sensors
Head/Curtain Air Bags
Trailering Package
DECOR
RADIO
Hands Free Device
Running Boards/Side Steps
Dual Mirrors
AM Radio
SEATS
Dual Rear Wheels
Privacy Glass
FM Radio
Bucket Seats
2/3/2017 12:52:22 PM
045196
Page 1
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
Line 1
Oper
Description
Part Number
Qty
Extended Price $
Labor
Paint
1
716.87
2.6
2.6
PICK UP BOX
2
Repl
RT Rear fender
BC3Z16312APTM
Note: Ripped and Deformed beyonf proper repairs as visible 3
Add for Three Stage
4
#
5
#
S02
Rpr
cut out template & drill holes for black stone guard
Subl
RR Outer Tire replaced under road hazard warranty
1.8 1.0 1
30.00 X
Note: Paid by Insd out of pocket 6
*
S01
Rpr
RT Side panel w/dual wheels
7
S01
Overlap Major Adj. Panel
8
S01
Add for Three Stage
9
#
10
S01
Repl
HI-BUILD PRIME/BLOCK REPAIRED PANELS
S01
R&I
RT Splash shield w/dual rear wheels
8.0
1.2 1
0.8 0.4
11
#
S02
Repl
8MM Drive Type Rivet
2
0.92 T
12
#
S02
Repl
Plastic Retainer
2
0.74 T
13
S01
R&I
RT Upper molding black
14
*
S01
Repl
RT Nameplate "PLATINUM"
15
#
S01
R&I
RT MUDFLAP
0.4
16
*
S01
R&I
RT Stone guard w/dual rear wheels
0.1
17
0.6
REAR BUMPER R&I
R&I bumper assy
1.1
DC3Z16720A
1
116.55
0.4
18
S02
19
REAR LAMPS
20
S01
R&I
RT Tail lamp assy
21
S01
R&I
RT Side marker lamp amber (front)
Incl.
22
S01
R&I
RT Side marker lamp red (rear)
Incl.
0.3
23
#
S01
Subl
ALIGN 4 WHEEL +25%
1
87.44 X
24
#
S01
Repl
BAG VEHICLE
1
10.00
25
#
S01
Repl
CORROSION PROTECTION
1
26
#
S02
Subl
ADDITIONAL PAINT & MATERIAL (PPG INVOICE $584.87)
1
27
#
S02
Refn
WET/DRY SAND, RUB OUT & BUFF
28 29
3.4 -0.4
10.00 240.87 T 1.0
OTHER CHARGES #
E.P.C.
1
SUBTOTALS
2/3/2017 12:52:22 PM
045196
2.50 1,215.89
15.7
9.6
Page 2
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
ESTIMATE TOTALS Category
Basis
Rate
Parts
853.42
Body Labor
15.7 hrs
@
$ 58.00 /hr
910.60
Paint Labor
9.6 hrs
@
$ 58.00 /hr
556.80
Paint Supplies
9.6 hrs
@
$ 40.00 /hr
384.00
Miscellaneous
359.97
Other Charges
2.50
Subtotal
3,067.29
Sales Tax
$ 1,479.95
Grand Total
@
8.2500 %
122.10 3,189.39
Deductible
250.00
CUSTOMER PAY
250.00
INSURANCE PAY
2/3/2017 12:52:22 PM
Cost $
2,939.39
045196
Page 3
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
SUPPLEMENT SUMMARY Line
Oper
Description
Part Number
Qty
Extended Price $
Labor
Paint
Added Items 4
#
S02
Rpr
cut out template & drill holes for black stone guard
11
#
S02
Repl
8MM Drive Type Rivet
2
0.92 T
12
#
S02
Repl
Plastic Retainer
2
0.74 T
17
REAR BUMPER S02
R&I
R&I bumper assy
18 26
#
S02
Subl
ADDITIONAL PAINT & MATERIAL (PPG INVOICE $584.87)
27
#
S02
Refn
WET/DRY SAND, RUB OUT & BUFF
1.0
1.1 1
240.87 T 1.0
SUBTOTALS
242.53
2.1
1.0
TOTALS SUMMARY Category
Basis
Rate
Cost $
Parts
0.00
Body Labor
2.1 hrs
@
$ 58.00 /hr
121.80
Paint Labor
1.0 hrs
@
$ 58.00 /hr
58.00
Paint Supplies
1.0 hrs
@
$ 40.00 /hr
Miscellaneous
40.00 242.53
Subtotal
462.33
Sales Tax
$ 282.53
@
8.2500 %
23.31
Total Supplement Amount
485.64
NET COST OF SUPPLEMENT
485.64
CUMULATIVE EFFECTS OF SUPPLEMENT(S)
2/3/2017 12:52:22 PM
Estimate
1,366.23
FRANKIE TENNISON
Supplement S01
1,337.52
FRANKIE TENNISON
Supplement S02
485.64
FRANKIE TENNISON
Job Total:
$
3,189.39
CUSTOMER PAY:
$
250.00
INSURANCE PAY:
$
2,939.39
045196
Page 4
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
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 DR2ME11, CCC Data Date 2/1/2017, and potentially other third party sources of data; and (b) the parts presented are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. 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. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. 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 2017 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 Information 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.
2/3/2017 12:52:22 PM
045196
Page 5
Workfile ID: Federal ID: Resale Number: State EPA:
b21a0efd 76-0378389 1-76-0378389-9 RN101742674
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181 Written By: FRANKIE TENNISON
Insured:
Singletary, Chris
Policy #:
000629380786
Claim #:
000441278785D01
Type of Loss:
Collision
Date of Loss:
1/3/2017 12:00 PM
Days to Repair:
6
Point of Impact:
05 Right Rear
Owner:
Inspection Location:
Insurance Company:
Singletary, Chris
Singletary, Chris
ALLSTATE INDEMNITY COMPANY
Po Box 687
Work
Onalaska, TX 77360-0687
(713) 907-0293 Other
(713) 907-0293 Other
VEHICLE 2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White VIN:
1FT8W3DTXDEA15542
Interior Color:
License:
HMY-6835
Exterior Color:
State:
TX
Production Date:
Mileage In: Peal White
66,702
Vehicle Out:
2/3/2017
Good
Job #:
10181
Mileage Out: Condition:
TRANSMISSION
Console/Storage
Stereo
Reclining/Lounge Seats
Automatic Transmission
Overhead Console
Search/Seek
Leather Seats
Overdrive
CONVENIENCE
CD Player
WHEELS
4 Wheel Drive
Air Conditioning
Auxiliary Audio Connection
Aluminum/Alloy Wheels
POWER
Intermittent Wipers
Premium Radio
PAINT
Power Steering
Tilt Wheel
Satellite Radio
Three Stage Paint
Power Brakes
Cruise Control
SAFETY
OTHER
Power Windows
Rear Defogger
Drivers Side Air Bag
Fog Lamps
Power Locks
Keyless Entry
Passenger Air Bag
Signal Integrated Mirrors
Power Mirrors
Alarm
Anti-Lock Brakes (4)
California Emissions
Heated Mirrors
Steering Wheel Touch Controls
4 Wheel Disc Brakes
TRUCK
Power Driver Seat
Telescopic Wheel
Traction Control
Power Rear Window
Power Passenger Seat
Climate Control
Front Side Impact Air Bags
Trailer Hitch
Power Adjustable Pedals
Backup Camera w/Parking Sensors
Head/Curtain Air Bags
Trailering Package
DECOR
RADIO
Hands Free Device
Running Boards/Side Steps
Dual Mirrors
AM Radio
SEATS
Dual Rear Wheels
Privacy Glass
FM Radio
Bucket Seats
2/3/2017 12:52:22 PM
045196
Page 1
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
Line 1
Oper
Description
Part Number
Qty
Extended Price $
Labor
Paint
1
716.87
2.6
2.6
PICK UP BOX
2
Repl
RT Rear fender
BC3Z16312APTM
Note: Ripped and Deformed beyonf proper repairs as visible 3
Add for Three Stage
4
#
5
#
S02
Rpr
cut out template & drill holes for black stone guard
Subl
RR Outer Tire replaced under road hazard warranty
1.8 1.0 1
30.00 X
Note: Paid by Insd out of pocket 6
*
S01
Rpr
RT Side panel w/dual wheels
7
S01
Overlap Major Adj. Panel
8
S01
Add for Three Stage
9
#
10
S01
Repl
HI-BUILD PRIME/BLOCK REPAIRED PANELS
S01
R&I
RT Splash shield w/dual rear wheels
8.0
1.2 1
0.8 0.4
11
#
S02
Repl
8MM Drive Type Rivet
2
0.92 T
12
#
S02
Repl
Plastic Retainer
2
0.74 T
13
S01
R&I
RT Upper molding black
14
*
S01
Repl
RT Nameplate "PLATINUM"
15
#
S01
R&I
RT MUDFLAP
0.4
16
*
S01
R&I
RT Stone guard w/dual rear wheels
0.1
17
0.6
REAR BUMPER R&I
R&I bumper assy
1.1
DC3Z16720A
1
116.55
0.4
18
S02
19
REAR LAMPS
20
S01
R&I
RT Tail lamp assy
21
S01
R&I
RT Side marker lamp amber (front)
Incl.
22
S01
R&I
RT Side marker lamp red (rear)
Incl.
0.3
23
#
S01
Subl
ALIGN 4 WHEEL +25%
1
87.44 X
24
#
S01
Repl
BAG VEHICLE
1
10.00
25
#
S01
Repl
CORROSION PROTECTION
1
26
#
S02
Subl
ADDITIONAL PAINT & MATERIAL (PPG INVOICE $584.87)
1
27
#
S02
Refn
WET/DRY SAND, RUB OUT & BUFF
28 29
3.4 -0.4
10.00 240.87 T 1.0
OTHER CHARGES #
E.P.C.
1
SUBTOTALS
2/3/2017 12:52:22 PM
045196
2.50 1,215.89
15.7
9.6
Page 2
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
ESTIMATE TOTALS Category
Basis
Rate
Parts
853.42
Body Labor
15.7 hrs
@
$ 58.00 /hr
910.60
Paint Labor
9.6 hrs
@
$ 58.00 /hr
556.80
Paint Supplies
9.6 hrs
@
$ 40.00 /hr
384.00
Miscellaneous
359.97
Other Charges
2.50
Subtotal
3,067.29
Sales Tax
$ 1,479.95
Grand Total
@
8.2500 %
122.10 3,189.39
Deductible
250.00
CUSTOMER PAY
250.00
INSURANCE PAY
2/3/2017 12:52:22 PM
Cost $
2,939.39
045196
Page 3
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
SUPPLEMENT SUMMARY Line
Oper
Description
Part Number
Qty
Extended Price $
Labor
Paint
Added Items 4
#
S02
Rpr
cut out template & drill holes for black stone guard
11
#
S02
Repl
8MM Drive Type Rivet
2
0.92 T
12
#
S02
Repl
Plastic Retainer
2
0.74 T
17
REAR BUMPER S02
R&I
R&I bumper assy
18 26
#
S02
Subl
ADDITIONAL PAINT & MATERIAL (PPG INVOICE $584.87)
27
#
S02
Refn
WET/DRY SAND, RUB OUT & BUFF
1.0
1.1 1
240.87 T 1.0
SUBTOTALS
242.53
2.1
1.0
TOTALS SUMMARY Category
Basis
Rate
Cost $
Parts
0.00
Body Labor
2.1 hrs
@
$ 58.00 /hr
121.80
Paint Labor
1.0 hrs
@
$ 58.00 /hr
58.00
Paint Supplies
1.0 hrs
@
$ 40.00 /hr
Miscellaneous
40.00 242.53
Subtotal
462.33
Sales Tax
$ 282.53
@
8.2500 %
23.31
Total Supplement Amount
485.64
NET COST OF SUPPLEMENT
485.64
CUMULATIVE EFFECTS OF SUPPLEMENT(S)
2/3/2017 12:52:22 PM
Estimate
1,366.23
FRANKIE TENNISON
Supplement S01
1,337.52
FRANKIE TENNISON
Supplement S02
485.64
FRANKIE TENNISON
Job Total:
$
3,189.39
CUSTOMER PAY:
$
250.00
INSURANCE PAY:
$
2,939.39
045196
Page 4
Preliminary Supplement 2 with Summary Customer: Singletary, Chris
Job Number: 10181
2013 FORD Super Duty F-350 w/Dual Rear Wheels Platinum Crew Cab 172" WB 4WD 4D P/U 8-6.7L Turbocharged Diesel Direct Injection Peal White
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 DR2ME11, CCC Data Date 2/1/2017, and potentially other third party sources of data; and (b) the parts presented are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. 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. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. 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 2017 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 Information 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.
2/3/2017 12:52:22 PM
045196
Page 5
