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HomeMy WebLinkAbout03-5789THIS IS AN ARBITRATION MATTER. ASSESSMENT OF DAMAGES HEARING REQUIRED. GORDON & WEINBERG, P.C. BY: PAUL M. SCHOFIELD, JR.,ESQUIRE Identification No.: 81894 21 S. 21a° Street Philadelphia, PA 19103 (215) 988-9600 Westfield Insurance Co. P.O. Box 3010 Lancaster, PA 17604 Individually and as Subrogee on behalf of Kenneth L. Shearer and Kenneth L. Shearer 3433 Veterans Way Elliotsburg, PA 17002 Vs. Geffrey L. Helsel 826 Bower Road Shermandale PA 170890 Attorney for Plaintiff COURT OF COMMON PLEAS CUMBERLAND COUNTY No.: 03 -SIP? eiu:l 7 n NOTICE YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST THE CLAIMS SET FORTH IN THE FOLLOWING PAGES, YOU MUST TAKE ACTION WITHIN TWENTY (20) DAYS AFTER THIS COMPLAINT AND NOTICE ARE SERVED, BY ENTERING A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILING IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. YOU ARE WARNED THAT IF YOU FAIL TO DO SO THE CASE MAY PROCEED WITHOUT YOU AND A JUDGEMENT MAY BE ENTERED AGAINST YOU BY THE COURT WITHOUT FURTHER NOTICE FOR ANY MONEY CLAIMED IN THE COMPLAINT OR FOR ANY OTHER CLAIM OR RELIEF REQUESTED BY THE PLAINTIFF. YOU MAY LOSE MONEY OR PROPERTY OR OTHER RIGHTS IMPORTANT TO YOU. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. BEDFORD STREET CARLISLE, PA 17013 (717)24903166 THIS IS AN ARBITRATION MATTER. ASSESSMENT OF DAMAGES HEARING REQUIRED. GORDON & WEINBERG, P.C. BY: PAUL M. SCHOFIELD, JR.,ESQUIRE Identification No.: 81894 21 S. 21s` Street Philadelphia, PA 19103 (215) 988-9600 Attorney for Plaintiff Westfield Insurance Co. P.O. Box 3010 Lancaster, PA 17604 Individually and as Subrogee on behalf of Kenneth L. Shearer and Kenneth L. Shearer 3433 Veterans Way Elliotsburg, PA 17002 VS. Geffrey L. Helsel 826 Bower Road Shermandale PA 170890 COURT OF COMMON PLEAS CUMBERLAND COUNTY NO. :W - 57409 COMPLAINT IN CIVIL ACTION 1. Kenneth L. Shearer (the "Plaintiff"), is an adult individual residing at the address above-captioned. 2. Plaintiff, Westfield Insurance Co. is a corporation duly authorized to conduct business within the Commonwealth of Pennsylvania, and is Subrogated to the rights of the Plaintiff arising out of the within claim. 3. Geffrey L. Helsel (the "Defendant"), is an individual residing at the above-captioned address. 4. On or about May 16, 2003, the Plaintiff did own and possess a certain motor vehicle, involved in the accident hereinafter referred to. 5. On or about May 16, 2003, the Defendant did operate and control a certain motor vehicle, involved in the accident hereinafter referred to. 6. On or about May 16, 2003, the motor vehicle of the Plaintiff was traveling north on Spring Road in Cumberland County, Commonwealth of Pennsylvania. 7. On the aforesaid date, the motor vehicle of the Defendant pulled from a stop sign at the intersection of Sunnyside Drive and Spring Road to make an illegal left turn. The Defendant then struck the Plaintiff's motor vehicle, striking the front of the car causing moderate damage. 8. The vehicle of the Defendant was being operated in such a negligent, careless, reckless and wanton manner that it came into violent contact with the Plaintiff's vehicle causing property damage to Plaintiff's motor vehicle. 9. At the time and place aforesaid, the negligence, carelessness, recklessness and wantonness of the Defendant consisted of the following: (a) Operating said vehicle at a high and excessive rate of speed under the circumstances; (b) Failing to give proper and sufficient warning of the approach of said vehicle; (c) Failing to have said vehicle under proper and adequate control at the time; (d) operating said motor vehicle without due regard for the rights, safety and position of the Plaintiff herein at the point aforesaid; (e) Failing to sound a horn or other signaling device as to give warning to the Plaintiff; (f) Violating the rules and regulations of the road, ordinances of the County of Cumberland, and statutes of the Commonwealth of Pennsylvania; (g) operating said vehicle without observing and heeding the road and traffic conditions then and there existing; (h) Other acts of negligence, carelessness, recklessness, and/or wantonness which may be ascertained from information obtained during the course of discovery and/or trial of this matter; and (i) Being otherwise careless, reckless, negligent and wanton. 10. As a result of Defendant's negligent, careless, reckless and wanton operating of the motor vehicle, the Plaintiff's motor vehicle sustained damages in the amount of $5,692.56. True and correct copies of the police report and payment history from Westfield Insurance Co. are attached hereto and incorporated herein as Exhibit "A". 11. At all times material hereto the Plaintiff was insured by plaintiff, Westfield Insurance Co.. 12. As a further result of the Defendants' negligence, Westfield Insurance Co., has made compensation for said properly loss to the Plaintiff. 13. Plaintiff, Westfield Insurance Co., Individually and as Subrogee on behalf of the Plaintiff, has paid money to the Plaintiff for property damage in the amount of $5,692.56, for which Plaintiff demands remuneration from the Defendant. , Plaintiffs, Kenneth L. Shearer and Westfield Insurance Co., Individually and as Subrogree on behalf of Kenneth L. Shearer, claim damages from the Defendant, in the amount of $5,692.56, and/or any other damages this Honorable Court deems just and proper, including attorney's fees and court costs from the Defendant, for arbitration purposes only. GORDON &,WEINBERG, P.C. PAUL M. SCHOFIELD, JR.,ESQUIRE Attorney for Plaintiffs PO1D 2008118 VERIFICATION PAUL M. SCHOFIELD, JR.,ESQUIRE, hereby states that he is the attorney for the Plaintiff(s) in this action and verifies that the statements made in the foregoing pleading are true and correct to the best of his knowledge, information and belief. The undersigned understands that the statements herein are made subject to the penalties of 18 Pa.C.S.A. Section 4904 relating to unsworn falsification to aut it,ies. PAUL M. SCHOFIELD, JR.,ESQUIRE Dated: October 30, 2003 EXHIBIT "A" r ' - r COMMONWEALTH OF PENNSYLVANIA t POLICEACCIDENTREPORT (0 REFER TO OVERLAY SHEETS REPORTABLE© NON-REPORTABLE PENNDaT USE OWY . ;r _..., ^.PQLi?CR"JMF RYR,` ?70N: „ .."„• : ' , ,•ACCA?'EMTLgCt lrN' ' •: -'--• . . _ , •? ... ' 43 2003 -...?- .r CVMBERLIIND 21 NUMBER 2. AGENCY MIDDLESEX TOWNSHIP POLICE 21. MUNICU'ALIIY MIDDLESEX uOut 206 NAME 1 3. bIAIK)N/ MIDDLSEX TIP POLICE 14. PAIRUL PRINCIPAL ROADWAY INFORMATION PRECINCT ZONE 5. INVLblIGAIUHpM DANIP-L TINGLE BAUGE 09 22. ROO It NO. OR SR0034 SPRING NUMBER STREETNAME b. AYPHUVEU BY BADGE Q,_%7 NUMBER / 23, SPLEU 2E 1YPt YS. ACCESS i LIN 45 HIGHWAY 0 CONTROL 1 7. INVES I IGA I ION ARRIVAL 05/16/2003 B. I 13:52 INTERSECTING ROAD: ; ,,,,,E DATE "ACCVEN:C;INFQR?IIATIWt[ :. 1 ;s-.- In.u. HZ r. r.: ;I•ti?a_D `u DATE DATE5716/2003 FRIDAY a •-e .. 45-'- LIMIT 'HIGHWAY 0 CONTROL 1 11. 1 I OF 12 NUMBER 2 13:46 IF NOT AT INTERSECTION: uNlrs DAY r o M.0 INJUREU 1b.PHIV.PRUO 13#KILL1,U JO. CHOSS S fHEt I OR 0 1 ACCIDENT Yo N® 36GMENTMARKER 16 OIL) Vt HICLt dA E IQ BE 17,VLH'cLt UAI.;AGE 31.OJHtC I ION N S E VV J2. UfS1ANUt REMOVED FROM THE SCENE? 0-NONE UNIT 1 a FROM SITE I FROM SITE FT. AN. UNIT 3 UNIT 2 1 -UGHT 2-MODERATE D3 . DIS IANCE WAS MEASURED ? ESTIMATED 11 [] ? ? X X IT 2 a E Y N Y N 3-SEVER UN CONSTRUCTION © TRAFFIC PRINCIPAL INTERSECTING :18)NAZAHUOUS 18. YENNUO 1 Y? N® Y N ZONE I CONTROL DEVICE a Q PROPERTY MATERIALS -- -- UNI : !! 7 T . .. , LN IT R 1 PARKED? 00I •.• PLATE DXR2 6132 + •. PA PA .. •- PARKED. ..? 00' PLATE YCL'102"1 .. . •-_ _.•'-•-. . OUT- IIILt 405106 HE OUT-0F-STATE TE VIN 44512 ouT- IIILt TE 5638728102 ? OUT-0F-STATE VIN 40.OWNFR HELSEL, GEFFREY L. L PEGGY A. 40.OWNER MORRET, JUSTIN M. G SHEARER, ADDRESS 826 BOWER ROAD gi, 3433 VETERANS WAY A ADDRE ADDRESS 3433 VETERANS WAY 8 ZIPCOD .SlAI lt 42. CIY SHERKANSDALE PA 17090 42. CI IY,SIAIE ELLIOTTSBURG PA 17024 DPCODE 4J.YtAR 1991 Ial, MARL PLYMOUTH 4J.7tMH 1998 MARE DODGE d6. MODE L - (NO 1 46.1145. BODY TYPE) COLT I Y C] NE] UNK® 45. MUUEL - (NU t 46.INS. BODY TYPE) DAKOTA I Y NEJ UNKO (4 BUOY d97SPECIAL VEHICLE 01 0 00 & 4 BODY 0 SPKAAL VE ICLE 00 01 50 2 OWNERSHIP USAGE vTYPE OWNERSHIP TYPE USAGE MI.IAL IMPACT F VEHICLE RRAVEL J m IN] IJAL IMPAGI VEHJCL'c IRAVEL POINT 11 STATUS 0 SPEED 1o POINT 12 STATUS 0 SPEED 40 C .)VEHICLE 5 JDHIVI-R 3S DRIVEN GRADIENT PRESENCE CONDITION 1 VEHICLE DHIVLH S UHIQER GRADIENT 5 PRESENCE CONDITION 1 23462786 ISTSTATEPA 58' IVE 56. 26635587 I57. STATERA R NUMBE NUMBER 4 Sd. URIVt:K NAME GEFFREY HELSEL NAME N 58. URIVI=R NAME JUSTIN MORRET NAM 58 UK%VtK 826 ROWER RD ADDRESS 59 ADOEH ADDRESS 3433 VETERNS WAY w a ZIPCODE SHERtlANSDALE PA 17090- 6 21P000E & ZjpCODE GE ELLIOTTSBURG PA 17024- a ZIP 61. SEX M 62.13AIt OF b3PHONt 08/04/1965 61. SEX 62. DA tt OF 63PHUNE 10/16/1983 M I 717-582-7139 BIRTH 717-582-8305 BIRTH b4. CUMM. Vt oo.URtYtH C b4. l.UMM. VEH, VDllRIVEH I C Y [] N M I CLASS Y O NM CLASS 67. CARiUER b/. CARRIER 68 CARHIEH 68. CARHItN AD-O.'RESS t ADDRESS 6;'.:IIIt S IA I t d 21?CODE 10.'JSD•774 C# - 7 7 CARGO 1 COAFIG CO?J I Y TYPE 15. NO. OF I I/G3 HAZARWUS 1`ves I ' MATERIALS 89. CI I Y.3 !A I t 8 ZIPCODE PUC # 70. USCor # 14, GVWR !7?T VIEH. CONFIG //.RELEASE OF HALMAI /b. NO- OF Y 0 N ? UNKO AXLES PAGE CC If PUG A O C= 74.GVWH ODE P S //.rl AS Le MATERIALS 0 Y N OUN O Ymdetl:Db/2/IZUD 122312 j 7a. RESI ONDING EMS AGENCY CARLISLE cOdd04UNITy AMBULANCE 1 ACCIDENT #90030516154343 79•MEDICALFACIUTY CAPLISLE REGIONAL MEDICAL CENTER ACCIDENT DATE: 05116/2003 Ieo] PEOPLE INFORMATION 8 C D E F O NAME ADDRESS H 1 J K L lc 1 1 M 37 3 9 0 ORTYR8Y HELSEL 426 NOWER RD SHEIMNSDALE PA 17090- 0 0 0 s 0 D 1 3 M 36 3 1 0 SHAWN BARTLEY 237 SOUTH WALNUT STREET SURNMAN PA 17009 4 5 6 B 6 1 2 1 M 19 3 1 2 JUSTIN HOBERT 3433 9ETERNS WAY ELLIOTTSBURO PA 17024- 0 0 0 B 0 0 2 3 M 17 3 1 2 JEREMY ROCKMHURRY 5426 SPRING ROAD SHERNANSDALE PA 17090 0 0 0 B 0 0 81 B.LUMINATION 22 ®WEATHEREl OROAD SURFACE 84. PENNSYLVANIA SCHOOL DISTRICT (IFAPPLICABLE) SS. DESCRIPTION OF DAMAGED PROPERTY OWNER ADDRESS y i PHONE /V / I 87. NARRATIVE • IDENTIFY PRECIPITATION EVENTS, CAUSATION FACTORS, SEQUENCE OF EVENTS, WITNESS DETAILS, LIKE INSURANCE INFORMATION AND LOCATION OF TOWED VEHICLES, IF KNOWN. 05/16/2003 13:46 Page 1 Ofc. 09 -PTL DANIEL TINGLE PROVIDE ADDITIONAL This crash occurred when Unit 1 pulled from the stop sign at the intersection of Sunnyside Drive and Spring Read and attempted to make a left turn. This movement is prohibited by signs posted at the intersection. Unit 1 pulled into the path of Unit 2 which was traveling north on Spring Road. Unit 2 was unable to avoid unit 1 when it pulled into its path and collided with it. Unit 1 was struck on the driver's side front quarter panel and suffered moderate damage rendering the vehicle inoperable. Unit 2 suffered moderate damage to the front of the vehicle rendering it inoperable. The passenger of Unit 1 reported injuries to his right leg and was transported to the hospital INSURANCE COMPANY (INSURANCE ( COMPANY INFORMATION INFORMATION WESTFIELD UNIT POLICY UNIT POUCY AP99549011 NO D'4,VE ADDRESS PHONE 44 T81t;SEA RROIN 241 RICHWINE ROAD SUERNANSDAL4 PA 17090 717-582-2514 WUNESSE5 NZlAE ADDRESS PHONE Rsd>DtT REIOLE 10 REIGLE ROM H&RYSVILLE PA 17033 717-957-4147 89.%ALA60NS INDICATED 90. SECTION NUMBERS (ONLY IF CHARGED) TC NTC ;AA45(11 ORkDTEN? TO TRAFFIC CONTROL DEVICES, 3111A, O Q a o PkOBASLE 9 7YPE ?,,,RESULTS "EST PROBABLE TYPE 9RESULTS ? NO TEST 94, INVESTIGATION USE TEST I 0 REPUSE1 USE TEST 0000 $ Q REFUSE I COMPLETE 7 0.0000 $ LINK UNIT2 UNK VES OM NO PAGE: 2 Primed: 05n71200 1b23:13 I ? Spa' S14A+ ` COMMONWEALTH OF PENNSYLVANIA PAR CONTINUATION SHEET COD REFER TO OVERLAY SHEETS REPORTABLEQ NON-REPORTABLE ? S INCIDEW 20030516M4343 ?AC ENT 05/16/2003 COUNTY (, rftl(SON INhORMATION - USt OVtNLAY C SNttI FOR CUUt 8 C O E F G NAME ADDRESS - 47ance. my?amiu, PENNOOT USE ONLY MUNICIPAL 206 CODE N I J K L The operator of Unit I admitted that he attempted to turn left and pulled into the path of Unit 2. Two independant witnesses verified this information. Unit 1 came to rest on the roadway and was towed by Miller 6 Sam's Towing. Unit 2 came to rest off the roadway and the operator contacted a towing company to remove the vehicle. ,I 89.DESCR'PFMOLATIONS PROBABLE (s? TYPE I"" ....: TEST USE UNI'i ? I , AA-450(J IM M1 90.SECTION NUMSERS ( ONLY IF CHARGED) TC NTC 00 LLLyyyO.O RESULTS& q REFUSE T ' PROBABLE TYPE -- USE TEST ? UNK UNIT2 PAGE: 2 00 ro RE SULTS 0 NO TEST 94. INVESTIGATION ( COMPLETE ? U } UNK YES © NO ED PNded'. 6527x200 12:22:13 • ? sasimnisoeeeoo+.emo?.raai?a, yryMy?yxwa.-wos ; 3 M O f M M0 O s C I;11, ? 1 0, w aLL s O J f a W7 C ¢ ? ' r' 9 = g .9 U M e. ? F s i T O t3 X }CI ? sa ??yy L r N m a ? y a a ?o a a tL9£L8£ ?o 2 Date: 5127!1003 04:11 PM SupplemaM: 0 WESTFIELD GROUP 201 EAST OREGON ROAD P.O. BOX 3010 LANCASTER, PA 17804 (M7) M1.8758 Fax: (717) 5088303 .. APPRAISAL REPORT DAMAGE ASSESSED BY: Larry Greathouse FILE NUMBER: None ASSIGNMENT DATE: None CLAIM NUMBER: APV 8048011 CONTACT DATE: 61232003 DATE OF LOSS: 811072005 INSPECTION DATE: SWUM TYPE'OF LOSS: Collision REC'U DATE: Norm APPRAISED FOR. LISA KIRCHNER INSURED: KENNETH SHEARER CLAIMANT: Nona 3433 VETERANS WAY , ELLOTTSBURQ PA 17024 (717) 215-8741. OWNER: None BODY SHOP: J W SMRH AUTO BODY 2401 SHERMAN VALLEY RD ELLIOTSBURG, PA 17024 (717) 6821702 FAX: (717) 652-2022 23 2667862 INSPECTION SITE: J W SMITH BODY SHOP, EWOTSBURG PA QUALITY RECYCLED PARTS: No AFTERMARXET NEW PARTS: Yes VEHICLE DRIVEABLE: No Prior Damage NONE Remarks REPAIR TIME 9 DAYS Conments. 5-23 REC CLA334v , CORT n4F= LEFT MRSBAGE VIN 32t PERRY CO, CALL= SHOP VEH 13 THERE 5-26 HOLIDAY 5-27 INSPECTED VEH AT SHOP, CALLED FOR LxQ, ATIDBILLER, NEW CubunmLAND, 250 AUTO NO!>$ LOCATED k:miipLET31D APP, caw= niSD, APP AND CEECK BAILED TO INSD COPY "= TO SBOP. UMmMate is a Trademark of Mltehdl Intsrnatioml Copyrght (C) 1894.2003 Mitchell fMenuitionai Page 1 of 2 AN Rights Reserved Date: 527!200.7 04:71 PM Suppkment: 0 COMPARISON ESTIMATE: 0.00 TOWING: 0.00 ACTUAL CASH VALUE: APPRAISER ESTIMATE: 025.07 STORAGE: 0.00 SALVAGE VALUE: AGREED UPON AMOUNT: 0.00 DEDUCTIBLE: 500.00 SETTLEMENT: REPAIR V& ACV: DRAFr/CHECK NUMBER 7=1 ESTIMATE FEE: DRAFT/CHECK AMOUNT: 4,020.07 TRAVEL EXPENSE: DATE ISSUED: 0272003 PHOTO EXPIME: MISC EXPENE: TOTAL CHARGES: 0.00 0.05 0A0 0.00 0.00 0.00 0.00 0:00 0.00 USraMate Is a Trademark of Mitchell Onenudmal Copyright (C) 7084 - 2007 Mitchell lnwmaooml pa" 2 of 2 All RWft Reserved Date: &271200304:00 PM EstYnate ID: APV 8048011 EsOnate Version: 0 _ . Pieihntnary Profile ID; CUSTOMIZED WESTFIELD' GROUP 201 EAST OREGON ROAD P.O. BOX 3010 UWCASTIM PA 17604 (717) 5818750 Fax: (717) 6898303 Darnage Assessed W. Larry Greathouse Condition Code: Excellent Daft of Loss: &16/1003 Contact Date: &2312005 Deductible: 800.00 Claim Paid: Y Clehn Nsnber: APV 0649011 Insured: KENNETH SHEARER Address: 3433 VETERANS WAY ELUOTTSBURG, PA 17024 Telephone: Nave Phone: (717) 216.9741 Mitchell Service: 916628 Type of Loss: Collision Description: 1898 Dodge Dakota Sport Vehicle Production Date; 9/97 Body Style: 2D PkrpXCb V Bed 131' WB Drive Train: 3.91. hg 6 Cyl 4WD VBY: 187GG22X1WS644147 Licertm YCL-TW PA Mileage: 109,477 OEM/ALT: A Search Code: EAPA Cola: WHITE Options: 4WD OR AWD, ALUM/ALLOY WfiEELS, AIR CONDITIONWG, POWER WINDOWS, POWER DOOR LOCKS CRUISE CONTROL„ AUTOMATIC TRANSMISSION, AM-FM STEREWCOPLAYER(SINGLE) Line Entry Labor Rem Number Type Operation 1 500001 BOY 2 504806 BOY 3 BOY OVERHAUL 4 300017 13DY REMOVEAREPLACE 5 501830 BOY REMOVE/REPLACE 6 REF REFINISH 7 500020 BDY REMOVElIREPPLAACE 8 500021 BOY REMOVE/REPLACE 9 503883 BOY REMOVEIREPLACE 10 503884 80Y REMOVEIREPLACE 11 600043 BOY REMOVE/REPLACE 12 500014 BDY REMOVFJREPLACE 13 601841 Boy REMOVE/REPLACE 14 BOY CHECK/ADJUST 10 600086 BOY REMOVEIREPLACE 16 600008 BOY REMOVEIREPLACE LAr7i?_-:u. INFORMATION LABELS INFORM LABEL A/C REFRIGERANT INFORM LABEL BELT ROUTING FRONTSUMPER FRY FACE13AR R COVER ASSY FRT BUMPER FACE BAR FRT LWR 13UMPEf OVER FRT LWR BUMPER COVER FRT BUMPER AIR DEFLECTOR R FITT OTR BUMPER BRACKET R FRT BUMPER MOUNTING ARM L FRT BUMPER MOUNTING ARM GRILLE GRILLE GRILLE BRACKET FRONTIAMPS R COMB LAMP ASSEMBLY HEADLAMPS R COMB LAMP BULB R PARK/Sh3NAL LAMP BULB HOOD ESTIMATE RECALL NUMBER: &27MM 15ol9:65 APV 8648011 IRbaMata is a Trademark of Mitchell International Mfbdnefi Data Version; MAY 07_A Copyright (C)1994 -2003 Mitchell International UltraMate Version: 5.0.005 All Rights Reserved Appraised For: USA KIRCHNER Part Type/ Part Number 65036209 53008745 DUAL REPL PART ORP CAPA 56076MAS 66266026AC 65077202AA 65077203AA 5EH12GW7 56066210AC ° DUAL REPL PART 154824 L0003157 Dollar Labor Amannt Units 3.00 1.70 1A 181.00 INC 166.00 INC # C 2.0 68.50 8YC 27.20 INC 32.35 If 32.38 # 297.00 INC # 8856 OA # 169.00 INC 0.4 11.75 INC # 1.70 IMO # Page 1 of 5 Date: 6)2712053 04:00 PM . EsUmah ID: APV 6540011 Estimate Version: 0 PrelWmry Protlle ID: CUSTOMIZED 17 500076 REF BLEND HOOD OUTSIDE C 12 16 $00084 BDY REPAIR HOOD PANEL Exhaling 1.6' 1S SOOM BOY REMOVEIREPLACE HOOD EMBLEM - 55070612 - 1896 0.2 # 20 SCOW BOY ALIGN R HOOD HINGE Existing 09'# 21 600008 BDY ALIGN L HOOD HINGE COOLING Existing 09'# 22 502757 SDY REMOVE/REPLACE UPR COOLING TIE BAR 55255721AB 8090 NC 23 REF REFINISH UPPER TIE SM 8.5 24 502758 BDY REMOVEIREPLACE COOLING RADIATOR SUPPORT 65266720AE 171LOO 3.00 25 REF REFINISH RADIATOR SUPPORT 1.2 26 602706 BDY REMOVEIREPLLACE COOLING RADIATOR 52028778AS 360.00 INC 27 502182 BOY REMOVEIREPLACE COOLING FAN SHROUD 52028011AB 31.75 0.3 28 602784 BOY REMOVHREPLACE COOLING FAN BLADE 52028642 50.00 Ida # 29 603!22 BOY REMOVEIREPLACE COOLING AR DEFLECTOR 5506632SAC 22.25 INC 30 602802 BOY REMOVE/INSTALL COOLING RECOVERY TANK Fri rig or AIC/HEATER nMITTLATION 31 500171 MCH REMOVEIREPLACE •. EVACUATE i RECHARGE A/C -M .. IA 32 506173. MCH REMOVEMPLACE -: AR COMO CONDENSER -M DUAL REPO PART 203.00 1.0 FRONT FENDER 33 600229 BDY REMOVFJREPLACE R FENDER PANEL 55256030AC 465.00 2.3 # 34 REF REFINISH R FENDER OUTSIDE C 2.0 36 REF REFINISH R FENDER EDGE i INSIDE C 09 36 REF REFINISH R ADD FOR FENDER APRON 0.5 37 $00230 BOY ALIGN L FENDER PANEL Existing 1.('# 38 500233 BDY REMOVEIREPLACE RFENDER LINER 55206648A8 63.50 INC # 39 500267 BOY REMOVE/REPLACE R FENDER ADHESIVE NAMEPLATE 55076669 15.20 0.1 40 $00274 BOY REMOVEANSTALL FENDER ANTENNA CABLE Existing 0.3' CAB 41 603253 REF REFINISH COWL. PANEL 0.5 Al MANUAL ENTRIES 42 900600 SDY' REMOVEIREPLACE RT DOOR NAME DECAL SPORT New 28.70' 0.7 43 900600 BDY • REMOVEA03"CE RT DOOR AIM STRIPE "Qual Rept Part 35.00 • 0.7 44 931010 MCH ALIGN FRONT SUSPENSION Sublet 69.96` 0.0' 46 900600 BDS' REMOVEIREPLACE TOYING Sublet 190.06• 0.0' 46 800600 BOY* REMOVEIREPLACE COOLANT "Quad Rep! Part 1100' NC' 47 900600 BOY* REMOVEAMPLACE FRONN & OIL--R-134A "Qual Rep! Part 1690' O.v 48 800600 FRM' ADDL LABOR OP FRAME SET LR Existing 2.0' 49 900600 FRM' REPAIR STRA FRAME SMASH A SWAY Existing 0.0' CAB 50 $03293 BOY REMOVENMALL CAB COWL GRILLE PANEL Existing 0.8'# - MANUAL ENTRIES 61 900650 BDY' REPAIR COWL 6: HINGE M_PLATES Existing 3.0' CAB 52 $03266 BOY REMOVE)REPLACE R CAB RETAINER 5030441 1.70 63 503266 BOY REMOVEIREPLACE R CAB RETAINER FRONT D 6030441 1.70 64 SM321 REF BLEND OOR R FRT DOOR OUTSIDE C 1.0' W 602473 BOY REPAIR R FRT DOOR SHELL Exiatlng 19'# 08 501339 BOY REMOVEIINSTALL R FRT DOOR MIRROR 09 # 57 606192 BOY REMOVF.INSTALL R FRT OTR BELT MLDG 0.3 W Was BDY REMOVEANSTALL R FRT DOOR HANDLE 0.2 # 59 501477 BOY REMOVERNSTALL R FRT DOOR GLASS RUN CHANNEL ExisWg 0.7# ADDITIONAL COSTS & MATERIALS 50 935008 ADDL COST PAINT/MATERIALS 252.00' ADDITIONAL. OPERATIONS 61 REF AODL OPR CLEAR COAT 19 62 033006 BOY ADDL OPR RESTORE CORROSION PROTECTION 690' 0.S ESTIMATE RECALL NUMBER: 5127)2003 19:59:W APV 8548011 UkraMalm is a Tradommk o1 Mitci Irdgnadonal MBdbM Doh Version: MAY 03 A CopWkjht (C) 1994 - 2003 Mitchel{ Interriatlonal Page 2 of 6 UltraMah Version: 5.0.005 AS Rights Reserved 03 933017 REF ADD'L OPR 64 933018 REF ADM OPR 06 00 A0D1 COST FINISH SAND AND BUFF MASK FOR OVERSPRAY INC TAPE JAMBS HAZARDOUS WASTE DISPOSAL Judgement Item # - Labor Nob Applies r* ORP CAPA - Quality Replacement Parts CAPA Certified " QUAL REPL PART - Quality Replacement Parts C - Included in Clear Coat Cak Ddee 5/27=03 04:08 PM Estivate ID: APV 8048011 Estivate Version: 0 Preliminary Profile Ili: CUSTOMIZED 03• 5.00 • O.S. 3.00 SODYMASTER AUTO PARTS KEYSTONE AU70MOTNE 1005 SHERMAN AVE. 676 MARYLAND AVE, PENNSAUKEN YORK NJ 0111,110 PA 17404 (6001223-0171 (866) 681-0808 (717) 64345827 (800) 5241Sf9 4 ^D0932 161.00 5 CH1000246APt 165,00 13 - D115J 169-0 32 • 00116 263,00 Remarks REPAIR TIME 9 DAYS Prior Damage NONE Adt11 Labor Sublet L Labor Subtotals Units Rabe Amount Amount Totals IL Pan Replacement Summary Amount Body 193 40.00 6.00 0.00 785.00 T Taxable Parts 2,761.85 Refinish 12.6 40.00 5.00 0.00 50930 T Saks Tax 4a &000% 167.08 Frame &D 4200 .030 0.00 335.00 T Mechanical 2.4 45-0 &00 Sam -167.96 T Total Repiacenent Pads Amount 2,86134 Taxable Labor 1,797.95 Labor Tat a 8.000 % 10738 Later Summary 42.5 ;- 1,90636 8L Additional Costs Amount N. Adjustments Mount Taxable Costs 256-0 Insurance Deductible 600.00- Saks Tax a 6.000% 15.30 Customer Responsibility 5011.01). Total Additional Cods 27030 1. Total Labor iANJ3 IL Total Replacement Parts: 2,861.94 I4 Total Additional Costs: 270.70 Gross Total: 5,128,07 N. Total Adjustments: 500.00. Met Total: 4,626.07 ESTIMATE RECALL NUMBER: 5127!2007 16:59:65 APV 8649011 UUMMate Is a Trademark of Mitchell International MR~ Data Version: MAY_03A Copyright (C) 1994 - 2003 MiMiell International Page 3 ' of 5 UlbaMale version: 5.0.006 Ail Rights Reserved Date: Estimate ID: Esnmde version: Preliminary Proale tD: THIS SSTs KTE HAS BMW PREPARED BASED ON THE USE OF AP°TERN 1UMT CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE 19LNUFACTWMR of YOUR VEHICLE. THE AFTEP491WMT CRASH PARTS USED IN THE PREPARATION OF THIS ESTIMATE ARE lGUUk&11TED BY THE I9lNUP7,CTURER OR DISTRIBUTOR OF SUCH PARTS, RATHER THAN THE b41NUFACTURER of YOUR MTOR VEHICLE. This is a PrePminarv estimate. Additional chances to the estimate may he required for the actual repair. 64712009 61:00 PM AW8618011 0 CUSTOMIZED Inspection Skin J W SMfrH BODY 8110P, ELLOMBURG PA Inspection Date: 8!2712003 Body Shop: J W SMITH AUTO BODY Address: 2401 SHERMAN VALLEY RD ELLWTSBU1R%PA 17621 Telephone: (717) 5824702 Fax Phone: (717) 682-2622 State Lie. NO: 23 2567862 BDY=Body BDS=Body Structure REF=Refinish GLS=Glass PJWFra? MCH=Mechanical Frt=Front RR=Rear L_-Left R=Right Dpr=Upper Lwr=Lower Otr=Outer Inr-Inner Assy=Assembly Susp=Suspension Eat=Extension Brkt=Bracket Inst=Instrument ATG=Assembly Time Guide Add'1 Cost-Additional Cost Add'1 Opr=Additional Operation Qual Repl Part=Quality Replacement Part Qual Recycled Part=Quality Recycled Part Cost above the appraised amount may be the responsibility of the vehicle owner regarding non-accident related items and where betterment/depreciation applies. Selection of the repair shop is the responsibility of the vehicle owner. Vehicle owner is under no obligation to use any specific repair shop. Old Guard Insurance Company will provide, upon request information regarding repair facilities that will be able to repair the vehicle for the appraised amount. This appraisal may have been prepared based on the use of aftermarket parts, parts not made by the original manufacturer. Aftermarket parts ESTIMATE RECALL NUMBER: 847r2M 16:58:66 APV 8619011 UpraMate is a Trademark of M1tcM0 Oman arlonal Mitchell Data Vernon: MAY 03 A Copyright (C) 1904 - 2009 Mitchell IMematiorW Page 4 of 8 UkmMate Version: 8.0.003 All Rights Reserved Dale: 512712003 04:00 PM 'F•fimate 10: APV 5549011 Est6na(e Version: 0 PrelfiNnary Profile 10: CUSTOMIZED are identified as "Qual Repl Part", the aftermarket part shall have a warranty equal to or better than the remainder of the existing warranty. PENNSYLVANIA LAW REQUIRES Us TO INFORM YOU OF THE FOLLOWING: "ANY PERSCC27 WHO AQOWLINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM CONTAINING ANY MAST LLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFOMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECT SUCH PERSON TO CRIMINAL AND CIVIL PENALTIES. I- ESTIMATE RECALL NUMBER: &271200315:55:56 APV 5549011 URrsMata Is a Tredenek of Mitchell InMnslional Mitche11 Data Version: MAY 03 A Copyright (C)1094.2003 Mild?e11 Inren Aural Page 5 of 5 U11ra192ta Version: 6.0.005 AS Rights Reserved "D GUARD INSURANCE COMPAI. MATERIAL DAMAGE ASSIGNMENT r Insured: kenneth shearer Owner. 7° r ru n? 10 , Address: 3433 veterans way t? elliottsburg, pa 17024 `' ra Residence Phone: 717-215-9741 Business Phone & Ext.: Vehicle: Year: 98 Make: dodge, Model: dakota ' Style: Color. Plate#: Vin#:1 b7gg22xlws544147 Area of Damage: unknown r y - Loss Payee: Driveable? Yes No x Injuries Insd Vehicle? Yes _ No Where can damage be seen: j w smith auto - 2401 sherman valley When: 717-582-4702 rd elliotsburg, pa &'? 27 4 Feature #: 200 Coll: x Comp: RR: 20 Deductible: 500 Waived: Rental? Yes x No Claim Payment Authorization? Yes x No - Instructions: Agency Name: singleton Insuring Company - Policy #: apv-8549011 Chargeable?: Yes No x Occurrence Claims Representative: Data Assignment Requested: Material Damage Specialist: Date Assignment Received: CD 829 (Rev. 12-94) Agency Code: 4367 Date of Loss: 5116/03 Claim Number: apv-8549011-051603 17?.11U To?r*; lisa kirchner y .V 5122/03 tarry greathouse S-2 3 wv-*5 G?r g:3ci INSURED o s. Ls7. y .a.lr hrs. 3f ?""' 7 ?- ? ' L ?r a:.if J7 'LLD GUARD INSURANCE COMPi f MATERIAL DAMAGE ASSIGNMENT Insured: kenneth shearer Address: 3433 veterans way elliottsburg, pa 17024 Residence Phone: 717-215-9741 Business Phone & Ext.: Vehicle: Year 98 Make: dodge Model: dakota Style: Color. Plate #: Vin #: 1 b7g02x1ws544147 Area of Damage: unknown Loss Payee: Driveable? Yes No x Injuries Insd Vehicle? Yes No _ Where can damage be seen: j w smith auto - 2401 Sherman valley When: 717-582-4702 rd ellictsburg, pa Feature #: 200 Coll: x Comp: RR: 20 Deductible: 500 Waived: Rental? Yes x No Claim Payment Authorization? Yes x No Instructions: Agency Name: singleton Agency Code: 4367 Insuring Company - Policy #: apv-8549011 _ Date of Loss: 5/16103 Chargeable?: Yes No x Claim Number: apv-8549011-051603 Occurrence Claims Representative: Date Assignment Requested: Material Damage Specialist: Date Assignment Received: lisa kirchner 5/22/03 larry greathouse Owner: CD 629 (Rev. 12.94) INSURED y-16-03 03:56P Sing- ton Ins Agency Inc (73 ' 438-3968 P.01 6AAUTOMOBILE LOSS NOTICE a3 PPOOUOlR UC Ne, Eil): `fir ?)Y3g-.?Yae COMPANY r MISCELLANEOUS MOO ISM,A NnIiaL eoa/) Singleton insurance Agency Inc. (? ! e S?t •z ` J (! Om' /),z-,5 iT AEIg91eN CE NUMBEA GT) P.O: Bex 182 Iekiiburg,PA17037 wTeoP PgevrWSLv COOS: SB CODE: US AEVIOIJ O AGENCY C°L fL/YES No INSURED NSURED -` CT coNTACr?NSu ia gOC t LAND Opp WHERE TO CONTACT / ?SCRYSINE P ! (AN:. e. P.aO %BBI O! PNON NC, Ncl / B INeSS PIN)N/fAC. No. Frt) ?'•J,[JQ LOSS / M445 LOCATION OP ALCIOB ?5 LJ I / / IensplL' a CONTAC EO •G7?Stx %GCI vIZDU'T?o?elerr'A1n??y (Nldutl/ tlA 1 ' hA/bN, -%/•?- 17 40 /clt 3 41 NT B: 1 L CE3 AD IPr" OF ?j(j` ,n ,??,',.`?'r ?'S[1/]y/??_ `o ^ TN In f //Z/S / ( YY' +? CRt`t ?: CIO n <v'C ?) u.?t•%1 Z, (,v S S-f J PoucvI iOgkYIN.IUAY BODILY MSUmy gry0 Zfi SINGLE LIMIT MEDICALPAYMENT, OTCOEWeraL! OYNER :OVCRAOea p[DUCnBLIS AP«PUnnl (PV ACWrIgq NM. no mull. lar :?) 000 . ?0/ ISQ/ QQO NB. PIC) .. LOSS IAYlL ` _ LISION ? _ e}-• y _ l1MBBELW 1 PGR SIAM' I21 UE P E%CE55 C1gR1lR: - LIMITS: ` A Ct AM-nC[: CEC INSURED VEHICLE y)A1 G YEN/ 'BAR MAKE: Q U . ME' PLATE NUMBER ST Te 3 ??y gg MODEL: P ??j +IWS?YE NCE N ND yn y s I((r__94° 11 ??11?? //fr?L (AIC• Nol IODAESi? ?-. ?I?+lC`?? /! BUSMES9 PHONE &AD ?/ RNAYS 1f/ I 1 a luoa "m'AVPM1 V L T 1/? (9MP LeIh I l OI Gt I ?l Ll r// URN?'EekFiW1oNE t///? 41 J ???J y RELNITON ? TO INSIIAW DATE D M D s B ` * STATE \ WED wIifl (enlpIoCY?' R?MGI ? / Qw j •Jt"B PURPOSE PERMISSION? l 0 /? ID /G J/ Of UBE YES NO I E9 ATE AY NT CAR SJ /U OF 089 ?'f_1?3VEMBE BEENT OTHFAN16ugANCl ON VENIGI.! OfSCtpB, 9 81EENBP? vnEM r, -11 l - 45; OES11ce /) Ce?f ? ?. /1 SuZwI '? j 8YOUCL PROP DAMAGED / Oyol El1:A?i',rh,n.?v -WA (y$: DeS L. PAOPlRTr / / /^ ShQf)p?101,yewPROI! . ?OYP4 OR m NAM N A ~,mw c mN. W oOb? , YES NO Yf. C owMIurS HJUNIE& ASSM "1" 7/39 "Am I kit AODI1E33 -/ ( BUSINBEB PHONE ac, ?j ' (RISIDERCEhPNOW U 8A'ADDRLBB Y?? IAJ'1' YGI :CN/Ck Y 0 ll (N map PHONE aYn/m Prowl ST???Yl?h?n$? (AIC, N0. Ea O: OBBCMIBe ,-2 // M?TWp/T1E AMOUNT DWNMAGEOW 1? A- t-7 f p a MANUMME c- \\ 1 Bl9EENT INJURED I NYYE • PMOMi 10. No) f/ A09" O Ge OR MJYNY ED ?P', jJC (>7e U/1 fC nac,>n, SSU? r" ,"?J`u rr? , 7G?n y`o, WITNESSES OR PASSENGERS aryL,t yyd? *? fie, 1. ?,..?Jt„p ,,,e ;Mmmetwc?m,H j -1 _- J •?•^?1 YEH VIM OTfIEgISpRIM p'?w.. mgn?m vu??n CSC 4?`lY1S l ?Pr ?($' ?c.5'?J}O?t -Cr -??'. 7P(. 1y )n q .l ? SWNATYgD OF INBUIIED S16H!A ACORD 2 e) !/ ` NOTE; IMPORTANT STATE INFORMATION ON REVERSE 04/ 8 ACORD C[fRPOAATION 1981 4 1 ? W W 6 ?V c> c: -?j C; C ;a i x c.? 0 r 0 GORDON & WEINBERG, P.C. BY: PAUL M. SCHOFIELD, JR.,ESQUIRE Identification No.: 81894 21 SOUTH 21ST STREET PHILADELPHIA, PA 19103 215/988-9600 Westfield Insurance Co. P.O. Box 3010 Lancaster, PA 17604 Ind. a/s/o Kenneth L. Shearer and Kenneth L. Shearer 3433 Veterans Way Elliotsburg, PA 17002 vs. Geffrey L. Helsel 826 Bower Road Shermans Dale PA 17090 COURT OF COMMON PLEAS CUMBERLAND COUNTY DOCKET NO.: 03-5789 civil PRAECIPE TO REINSTATE COMPLAINT TO THE PROTHONOTARY: Kindly reinstate the Plaintiffs' Complaint in Civil Action in the above-captioned matter for an additional thirty (30) days. GORDON & WEINBERG, P.C. PAUrL )eACHOFIELD, JR.,ESQUIRE Atto for Plaintiff ca o 0 ?C tv L?rr, W O SHERIFF'S RETURN - NOT SERVED CASE NO: 2003-05789 P COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND WESTFIELD INSURANCE CO ET AL VS HELSEL GEFFREY L R. Thomas Kline , Sheriff , who being duly sworn according to law, says, that he made a diligent search and inquiry for the within named DEFENDANT to wit: HELSEL GEFFREY L but was unable to locate Him in his bailiwick. He therefore returns the COMPLAINT & NOTICE NOT SERVED , as to the within named DEFENDANT , HELSEL GEFFREY L 826 BOWER ROAD SHERMANDALE, PA 17089 NEVER RECEIVED NEEDED $100.00 TO DEPUTIZE PERRY COUNTY SHERIFF FOR SERVICE. Sheriff's Costs: So answers-, Docketing Service 18.00 .00 " _ Affidavit .00 R. Thomas Kline Surcharge 10.00 Sheriff of Cumberland County .00 28.00 GORDON & WEINBERG 03/03/2004 Sworn and subscribed to before me this Sf day of _ty" ? ?av 4E Q. +4- Prothonotary Curtis R. Long Prothonotary (office of the priotbonotarp tlCumberlaub Countp . Renee K. Simpson Deputy Prothonotary John E. Slike solicitor n -5 7g?- CIVIL TERM ORDER OF TERMINATION OF COURT CASES 5TH DAY OF NOVEMBER 2007 AFTER 'E ? HE ABOVEOF AND NOWTHIS RECEIVING NO RESP ACCORDANCE WITH P INTENTION TO PROCEED AND BY TERMINATED WITH PREJUDICE IN CASE IS HERE R C P 230.2. BY THE COURT, CURTIS R. LONG PROTHONOTARY One Courthouse Square • Carlisle, Pennsylvania 17013 • (717) 240-6195 • Fax (717) 240-6573