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HomeMy WebLinkAbout09-3460J IN THE COURT OF COMMON PLEASE OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW SAMTAY, INC., d/b/a PAUL DAVIS RESTORATION OF LANCASTER, LEBANON 1817 Colonial Village Lane Lancaster, PA 17601 OQ- 34(oo MLD -2t4v93,-Mechanic's Lien v. Diana Loyer, 6 Poplar St. Wormleysburg, PA 17043 NOTICE OF FILING OF LIEN CLAIM TO: Diana Loyer, et. al TAKE NOTICE that Claimant/Plaintiff SAMTAY, INC. has filed a mechanic's lien claim against the property located at 6 Poplar Street, Wormleysburg, Pennsylvania, more particularly described in a Deed (a true and correct copy of which is attached to the enclosed Mechanics Lien Claim, which is the property to be encumbered by this Claim For Mechanic's Lien. This lien claim was filed on WEDNESDAY, MAY 27, 2009 in the office of the Prothonotary in and for the County of Cumberland, Pennsylvania, and docketed to the docketing number shown at the top right of this notice. Attached is a copy of the said claim IN THE COURT OF COMMON PLEASE OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW SAMTAY, INC., d/b/a PAUL DAVIS RESTORATION OF LANCASTER, LEBANON CI-03-Mechanic's Lien 1817 Colonial Village Lane Lancaster, PA 17601 V. Diana Loyer, et. al 6 Poplar St. Wormleysburg, PA 17043 CLAIM FOR MECHANIC'S LIEN 1. SAMTAY, INC. d/b/a/ PAUL DAVIS RESTORATION OF LANCASTER LEBANON, pursuant to the Mechanic's Lien Law of 1963, P.L. 1175, No. 497, Section 503 (49 P.S. 1503), files this claim of lien as a contractor against Diana Loyer, et. al., owner, and against the building and premises herein described and the cartilage appurtenant thereto, for the debt of $15,943.56 (fifteen thousand, nine hundred forty-three dollars and fifty-six cents, together with lawful interest from April 16, 2009, due to Claimant/Plaintiff as Contractor in the repairs of said building as approved and paid for by the property owner's insurance company. 2. Claimant/Plaintiff is SAMTAY, INC., a Pennsylvania Business Corporation trading pursuant to a fictitious name registration as PAUL DAVIS RESTORATION OF LANCASTER LEBANON, with an office for the regular conducting of business at 1817 Colonial Village Lane, Lancaster, PA 17601. 3. The work described below was completed on December 18, 2008. The name of the owner of the premises and building against which this claim is filed is Diana R. Loyer, whose address is 6 Poplar Street, Wormleysburg, Pennsylvania. 4. The Claimant contracted directly with Diana Loyer. 5. The labor and materials furnished, on which this Mechanics Lien Claim is based, was for structural repairs to the property as the result of a fire loss which originated four (4) doors down affecting the entire property of 6 Poplar Street, Wormleysburg, PA, more particularly described in a Deed (a true and correct copy of which is attached hereto and incorporated by reference herein as Exhibit A-1) from Timothy and Eileen Holtzman (seller) to Diana R. Loyer dated January 4, 2000, in the Office for the Recording of Deeds in and for Cumberland County, Pennsylvania, which is the property to be encumbered by this Claim for Mechanics' Lien. 6. The Claim of the Claimant is based upon an Oral and Written agreement (Exhibit B) on or about January 14, 2008 and written agreement on or about January 14, 2008, by which Diana Loyer engaged Claimant/Plaintiff to do the work and supply the material set forth in the said estimates, which is attached hereto and incorporated by reference herein as Exhibit C on a time and materials plus overhead and profit basis (as is set out on Exhibit C). 7. The prices for time and materials shown on Exhibits C hereof are the fair and reasonable prices therefore. 8. The specific work done and materials supplied are as shown on Exhibit C. 9. Claimant billed owners periodically for the labor performed and the materials furnished. A total of $37,160.66 was billed. a. Diana Loyer issued partial payment in the amount of $21,217.10 to Paul Davis Restoration for draw payments. b. The sum of $15,943.56 as per invoices shown on Exhibit D, together with lawful interest from April 16, 2009 as well as Administrative fees of $125.00 and Court Filing fees in the amount of $19.00 for a total of $144.00 for fees, remains unpaid and is now due the Claimant. The Claimant has no note or other collateral security for his claim. 11. The work was done between January 14, 2008 and December 18, 2008. VERIFICATION I, Jon Vogt, on behalf of Claimant/Plaintiff SamTay, Inc. (which party has authorized this verification to be made), of which I am the Director of Construction, have read the foregoing and hereby affirm that it is true and correct to the best of my personal knowledge, or information and belief. This verification and statement is made subject to the penalties of 18 Pa. C.S.A. §4904 relating to unsworn falsification to authorities. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION SAMTAY, INC. d.b.a. Paul Davis Restoration of Lancaster Lebanon 1817 Colonial Village Lane Lancaster, PA 17601 Plaintiff V. Diana Loyer, et. al. 6 Poplar St. Wormleysburg, PA 17043 Defandant COMPLAINT UPON A MECHANICS LIEN 1. Plaintiff, SAMTAY, INC. d/b/a, PAUL DAVIS RESTORATION OF LANCASTER LEBANON is a Pennsylvania corporation, with its principal office located at 1817 Colonial Village Lane, Lancaster, PA 17601. 2. Plaintiff, SAMTAY, INC. d/b/a, PAUL DAVIS RESTORATION OF LANCASTER LEBANON is in the business of insurance restoration and remodeling. Plaintiff, SAMTAY, INC. d/b/a, PAUL DAVIS RESTORATION OF LANCASTER LEBANON is a contractor. 3. Defendant, Diana Loyer, is an adult citizen residing in Pennsylvania, and having a principal residence at 6 Poplar St., Wormleysburg, PA 17043. 4. Defendant, Diana Loyer, is the rightful owner of property located at 6 Poplar St., Wormleysburg, PA 17043. A true and correct copy of the current deed is attached as Exhibit "A-1." 5. On January 14, 2008, Plaintiff, SAMTAY, INC. d/b/a, PAUL DAVIS RESTORATION OF LANCASTER LEBANON contracted with Defendant, Diana Loyer, to provide structural repairs to the property as the result of a fire affecting majority of rooms in the home. The contract was dated January 14, 2008. A true and correct copy of the contract is attached as Exhibit "B." 6. On, December 18, 2008, Plaintiff, SAMTAY, INC. d/b/a, PAUL DAVIS RESTORATION OF LANCASTER LEBANON completed work pursuant to the agreed upon contract. VERIFICATION I, Jon Vogt, on behalf of Claimant/Plaintiff SamTay, Inc. (which party has authorized this verification to be made), of which I am the Director of Construction, have read the foregoing and hereby affirm that it is true and correct to the best of my personal knowledge, or information and belief. This verification and statement is made subject to the penalties of 18 Pa. C.S.A. §4904 relating to unsworn falsification to authorities. /H/ 7 ca This Deed made this 4th day of January Between, Timothy Holtzman and Eileen Holtzman, husband and wife Diana R. Layer =S '00 AN 18 P(1 9 O9 A000 (hereinafter called 'Grantor s'), of the one pan, and (hereinafter called the 'Grantee '),of the other part. witnessTeth, 'That in consweration of Sixty Nine Thousand Nine Hundred Dollars i No/100 c (S 69,900.00 ) Dollars, to hand paid, life receipt whereof is busby ecltnowledged, the said Grantor s do hereby grant and convey new the said Grasses . her heirs and assigns, ALL that certain piece or parcel of land, Hereditamente and Appurtenances, SITULTE in the Sor"h of'Normleysburg. County of Cumberland, and State of Pennsylvania, being more particularly bounded and described as follows: r 0 r c J Y 4 t BEGINNING at a point on the Northern line of poplar Street at corner of lands of Carrie V. Brown and Ora B. Brown, said point being 80 foot measured Westwardly along poplar Street from the Northwest Corner of Poplar Street and Front Street] thence in a Westerly direction along the Northern line of Poplar Street 19.32 feet to a point on line passing through the canter of the partition wall of properties Nos. 6 and 8 Poplar etreati thence in a Northerly direction, through the center of said partition wall, and beyond, 116 feet to the property now or late of Wiliias F. Martin; thence in an Easterly direction along said last-mentioned property 19.32 feet to a point at corner of property of W. Donald Martin and Gladys S. Martin, his wifof thence in a Southerly direction along said last-sentioned property and property of Charles D. Brown and said property of Carry V. Brown and Ora a. Brown 116 feet to the point and Place of BEGINNING. HAVING TBNREON ERECTED a three-story frame dwelling known as No. 6 Poplar Street, Wermleysburg, Pennsylvania. BEING the same promises which North American Property Investments, Inc., D/S/A North American Property Development, Inc., a Harrisburg Corporation, by Indenture bearing date of the 15th day of July, A.D. 1999 and recorded in the Office of the Recorder of Deeds, in and for the;County of Cumberland, aforesaid, in Deed Book 202 page 3040 ac., granted and conveyed unto Timothy Holtzman and E110e2% Holtzman, husband and wife, in fee. a BEING COMM PARCEL NO' XR 47-20-1858-185. SUBJECT TO covenants, restrictions, easements of record and taxes for the current year. "1, 215 Free 11 = FWW=_ 6? And the said Grantor a do busby covauot to at with the said Grotto the -f k. Y , the said Grantor is , SHAD and WILL Subject, u aloreeaid, , Warrant and forever defend the hatsin above described premises, with du hueditrmts and appudenuoss, unto the said Grantee . her heir and Mips. Main[ the UM Grantor a and s every other person lawtldly daindeS or who shall bKoefter daim the was or any part theraot, by, from or under then or any of than. IN WITNESS WHOOP. the said Gramod have caused Uwe presems to be duly executed, the day and year first above wrium SEALED AND DEUVMtED In the Psewtx of: • a Seal Witness ?t?le..•?tL?'.ca..?. sad lilaen Soltzftn Seal Commonwaith of Pennsylvania County of Dauphin Seal On this 41h day ofJanuary, 2000, before me, a Notary Public for the Commonwealth of P.aumd-nis, the andersi fiord officer. personally appeared Timothy Holtzman & Eileen Holtzman known to me (satisfactorily proven) to be the person whose name is ad m'bed to the within instrument, and sckrawledaed he executed the same for the purposes ?;i*6n contained. ,i>iasmto aftIny hand and official seal. _ ; c: • `SV ¢'0 ,y?. IOaL NoYMaIMoYryI+W?ae . ,..... ?. \ f?tl ;'.?•3•.. ?'°: o . _ .. - ay't Notary Public w etwK 215 a 12 1`AN b,+ b I PAUL DAVIS Restoration&Remodeling 599 Airport Road Lititz, PA 17543 (717) 291-6000 or (610) 358-9000 Fax: (717) 291-6500 EMERGENCY REPAIRS AUTHORIZATION The undersigned hereby authorizes Paul Davis Restoration and Remodeling, herein-after referred to as Contractor, to make emergency repairs in the form of for temporary repair of Ti's .rc_, (City) (State) -( p) We understand that Contractor has no connection with our insurance company or its adjuster and that we alone have the authority to authorize Contractor to make said emergency repairs. We also understand that should our insurance company deem the loss "non-covered", we accept responsibility for payment, and will pay the Contractor within 10 days of the date on the invoice. Our insurance company is V 5 A A and I authorize them to pay Contractor direct for said repairs when my signature shows on the completion certificate below. I further request that any deductible be withheld from the final payment on the loss. If the deductible is taken from this payment I will pay the amount directly to the Contractor. I acknowledge that temporary repairs do not carry any guarantee. Owner's Name: ?C DO rJA U) C Owner's Signati Owner's Social Security Number: Dater (-ty-CX Contractor has completed the emergency repairs herein authorized and I hereby direct that their bill be paid by directly to them. (Insurance Company) Owner's Signature: Email Address: Date: General description of work done: Worker's Signature: damage to my property at (C, Prs(a?r<L, (Street) LIMITED POWER OF ATTORNEY: I hereby authorize the General Manager of Paul Davis Restoration and Remodeling to endorse checks or drafts sent to them directly from the insurance company in conjunction with an approved estimate. Recognition of said payment will be forwarded to the policyholder. The authority for this endorsement is limited to the maximum value of the repair estimate(s) approved by the undersigned and the insurance company. PAUL RestorationMemodeNng 599 Airport Road Lititz, PA 17543 (717)291 6ooo or (610) 358-gooo Fax: (717) 291-6500 WORK AUMORUAnON We authorize Paul Davis Restoration and Remodelin herein-after referred to as Contractor, to make repairs to our property at the address below, damaged by t-,.rt on or about).,, -, i S , 20 0'F; ; the "Terms and Conditions" on the back of this page are part of this authorization. We agree that the total cost of the work will be in accordance with the original estimate and any supplemental estimates prepared by Contractor and approved by the adjuster for our insurance company, plus any change orders approved by Owners and Contractor. This work authorization, along with all approved estimates, supplemental estimates and change orders shall constitute the contractual obligations of the Owners and Contractor. We understand that Contractor has no connection with our insurance company or its adjuster and that we alone have the authority to authorize Contractor to make said repairs. *We agree that any portion of work, such as deductibles, betterment, depreciation, or additional work requested by us, not covered by insurance, will be paid in full. Please note: It is Contractor's company policy that deductible amounts are collected prior to commencement of construction. Any issues or concerns must be addressed at the time of signing this agreement. Our mortgage payments are made to and we request them to protect the interest of the Contractor in handling the loss draft or check. Our insurance company is V S A i? and we authorize them to pay all proceeds due Contractor payable under our policy directly to Contractor and any mortgage company named. If our names are included on the payment, we agree to promptly endorse said payment to mortgage company or into an escrow account in a bank acceptable to Contractor, for disbursement by a series of draws to be scheduled. We agree that any payments not made in accordance with this schedule shall be considered delinquent after ten days and agree to pay interest thereon at 11h% per month until paid. Due to the nature of the work, no completion date is specified. No verbal agreements are binding on Contractor. Signed at ) I this ILA""" day of ? ... ? r , 20 09 Owner's Name(s): L:, Owner's Signature: Loss Address: Pzv i < F ?>116' wner's Signature: Loss Address: Contractor's Signature: DAVIS LIMITED POWER OF ATTORNEY: I hereby authorize the General Manager of Paul Davis Restoration and Remodeling to endorse checks or drafts sent directly to them from the insurance company in conjuction with an approved estimate. Recognition of said payment will be forwarded to the policyholder. The authority for this endorsement is limited to the maximum value of the repair estimate(s) approved by the undersigned and the insurance company. Paul Davis Restoration Lkhi hid Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Client: Loyer, Diana Property: 6 Poplar Street Lemoyne, PA 17043 Operator Info: Operator: DAVE Estimator: Dave Beyer Business: 599 Airport Rd Lititz, PA 17543 Reference: Martha Johnston Company: USAA Type of Estimate: Fire Date Entered: 1/17/2008 Date Est. Completed: 1/17/2008 Date Assigned: 1/14/2008 Date Job Completed: Price List: PAHA5138A Restoration/Service./Remodel Estimate: LOYER-EMS File Number: 005635 Home: (717) 571-5224 Business: (717) 291-6000 Business: (800) 531-8222 x 61214 1 This estimate is for the emergency services. An estimate will be sent for content cleaning, pack out, storage and pack in. The cause of the loss was a fire two houses down affecting the insureds home also. Tax I.D. # 23-3039711 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 LOYER-EMS d Rw. He ? A Rmnl. Wdh EMERGENCY DESCRIPTION QNTY REMOVE REPLACE TOTAL 1. Emergency service call - during 1.00 EA 0.00 125.00 125 00 business hours . 2. Water Extraction & Remediation 16.00 HR 0.00 32.14 514 24 Technician - per hour . The above is for time to board up the structure and clean up debris 3. FRAMING & ROUGH 1.00 EA 0.00 64.20 64 20 CARPENTRY(MATERIAL) . 4. ELECTRICAL(POWER HOOK UP) 1.00 EA 0.00 620.00 620.00 The above is for the electical inspection, make panel safe, temp lights 5. PLUMBING 1.00 EA 0.00 270.00 270.00 The above is for the water turn on, checking lines, starting up the furnace, safety check of unit, and activate th e hot water heater 6. Haul debris - per pickup truck load - 2.00 EA 111.59 0.00 223 18 including dump fees . Totals: EMERGENCY 1,816.62 Line Item Totals: LOYER-EMS 1,816.62 Grand Total Areas: 0.00 SF Walls 0.00 SF Floor 0.00 SF Long Wall 0.00 Floor Area 0.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length LOYER-EM S 0.00 SF Ceiling 0.00 SY Flooring 0.00 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 0.00 SF Walls and Ceiling 0.00 LF Floor Perimeter 0.00 LF Ceil. Perimeter 0.00 Interior Wall Area 0.00 Total Perimeter Length 4/23/2009 Page:2 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Summary for Dwelling Line Item Total 1,816.62 Cleaning Total Tax @ 6.000% x 1,816.62 109.00 Replacement Cost Value $1,925.62 Net Claim $1,925.62 Dave Beyer LOYER-EMS 4/23/2009 Page:3 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Client: Loyer, Diana Property: 6 Poplar Street Lemoyne, PA 17043 Operator Info: Operator: DAVE Estimator: Dave Beyer Business: 599 Airport Rd Lititz, PA 17543 Reference: Martha Johnston Company: USAA Type of Estimate: Fire Date Entered: 1/17/2008 Date Est. Completed: 1/17/2008 Date Assigned: 1/14/2008 Date Job Completed: Price List: PAHA5B8A Restoration/Service/Remodel Estimate: LOYER-STRCLN File Number: 005635 -xhibJ C - L Home: (717) 571-5224 Business: (717) 291-6000 Business: (800) 531-8222 x 61214 This estimate is for the structure cleaning, and demo. An estimate will be sent for content cleaning, pack out, storage and pack in. The cause of the loss was a fire two houses down affecting the insureds home also. Tax I.D. # 23-3039711 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 LOYER-STRCLN Main Level e `,*-sv°`-+4' 11 living room z,az., T IonYYa iV h z'3° i 1P 5'-? Ceiling Height: 9' Missing Wall: 1- 5'6" X 6'8" DESCRIPTION 459.83 SF Walls 187.29 SF Ceiling 647.13 SF Walls & Ceiling 187.29 SF Floor 20.81 SY Flooring 49.67 LF Floor Perimeter 55.17 LF Ceil. Perimeter Opens into dining room Goes to Floor QNTY REMOVE REPLACE TOTAL 1. Remove Acoustic ceiling tile 187.29 SF 0.40 0.00 74.92 2. Remove Two coat plaster over metal 187.29 SF 0.95 0.00 177 93 lath . 3. General Demolition - per hour 4.00 HR 33.83 0.00 135.32 The above is for additional time to remove furring strips, plaster clean up and cartage of debris 4. Clean the walls 459.83 SF 0.00 0.19 87.37 5. Remove Light fixture 1.00 EA 5.64 0.00 5.64 6. Remove Crown molding - 3 1/4" 55.17 LF 0.45 0.00 24.83 7. Clean baseboard 49.67 LF 0.00 0.19 9.44 8. Clean trim - wood 60.00 LF 0.00 0.19 11.40 9. Clean door / window opening (per side) 2.00 EA 0.00 6.81 13.62 10. Clean door (per side) 1.00 EA 0.00 3.83 3.83 11. Clean door hardware 1.00 EA 0.00 3.55 3.55 12. Clean window unit (per side) 10 - 20 4.00 EA 0.00 7.89 31 56 SF . 13. Clean door / window opening (per side) 4.00 EA 0.00 6.81 27.24 14. Remove Carpet 187.29 SF 0.18 0.00 33.71 15. Remove Carpet pad 187.29 SF 0.08 0.00 14.98 16. Clean floor 187.29 SF 0.00 0.24 44.95 17. Clean sill - wood 9.00 LF 0.00 0.38 3.42 18. Heat/AC register - Detach & reset 2.00 EA 0.00 8.69 17.38 19. Clean register - heat / AC 2.00 EA 0.00 4.58 9.16 Totals: living room 730.25 LOYER-STRCLN 4/23/2009 Page:2 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 12'2;!" "+b" 3"r 2 z ==F3 z°+? ° b 2 3'..__.. .....__? dining room Ceiling Height: 9' 384.17 SF Walls 535.21 SF Walls & Ceiling 16.78 SY Flooring 49.17 LF Ceil. Perimeter Missing Wall: 1- 516" X 698" Missing Wall: 1- 313" X 6'8" DESCRIPTION Opens into living room Opens into kitchen 151.04 SF Ceiling 151.04 SF Floor 40.42 LF Floor Perimeter Goes to Floor Goes to Floor QNTY REMOVE REPLACE TOTAL 20. Clean the walls and ceiling 535.21 SF 0.00 0.19 101.69 21. Clean light fixture 1.00 EA 0.00 5.57 5.57 22. Clean thermostat 1.00 EA 0.00 6.69 6.69 23. Clean door chime 1.00 EA 0.00 5.26 5.26 24. Clean crown molding 49.17 LF 0.00 0.24 11.80 25. Clean baseboard 40.42 LF 0.00 0.19 7.68 26. Clean trim - wood 100.00 LF 0.00 0.19 19.00 27. Clean door / window opening (per side) 4.00 EA 0.00 6.81 27.24 28. Clean door (per side) 2.00 EA 0.00 3.83 7.66 29. Clean door hardware 2.00 EA 0.00 3.55 7.10 30. Clean window unit (per side) 10 - 20 2.00 EA 0.00 7.89 15 78 SF . 31. Clean door / window opening (per side) 2.00 EA 0.00 6.81 13.62 32. Remove Carpet 151.04 SF 0.18 0.00 27.19 33. Remove Carpet pad 151.04 SF 0.08 0.00 12.08 34. Clean floor 151.04 SF 0.00 0.24 36.25 35. Clean sill - wood 6.00 LF 0.00 0.38 2.28 36. Heat/AC register - Detach & reset 2.00 EA 0.00 8.69 17.38 37. Clean register - heat / AC 2.00 EA 0.00 4.58 9.16 Totals: dining room 333.43 LOYER-STRCLN 4/23/2009 Page:3 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 T 4 112 6N6 I 1/2 bath Ceiling Height: 9' DESCRIPTION 117.00 SF Walls 127.22 SF Walls & Ceiling 1.14 SY Flooring 13.00 LF Ceil. Perimeter QNTY REMOVE 10.22 SF Ceiling 10.22 SF Floor 13.00 LF Floor Perimeter REPLACE TOTAL 38. Clean the walls and ceiling 127.22 SF 0.00 0.19 24.17 39. Clean light fixture 1.00 EA 0.00 5.57 5.57 40. Clean baseboard 13.00 LF 0.00 0.19 2.47 41. Clean trim - wood 20.00 LF 0.00 0.19 3.80 42. Clean door / window opening (per side) 1.00 EA 0.00 6.81 6.81 43. Clean door (per side) 1.00 EA 0.00 3.83 3.83 44. Clean door hardware 1.00 EA 0.00 3.55 3.55 45. Clean floor, strip & wax 10.22 SF 0.00 0.54 5.52 46. Clean toilet 1.00 EA 0.00 11.45 11.45 47. Clean toilet seat 1.00 EA 0.00 2.48 2.48 48. Clean bath accessory 1.00 EA 0.00 3.76 3.76 Totals: 1/2 bath 73.41 z z s - ----------- -1L m ti 1 g., r n 4ifiinu DESCRIPTION stairs 190.50 SF Walls 211.61 SF Walls & Ceiling 2.35 SY Flooring 21.17 LF Ceil. Perimeter QNTY REMOVE Ceiling Height: 9' 21.11 SF Ceiling 21.11 SF Floor 21.17 LF Floor Perimeter REPLACE TOTAL 49. Clean the walls and ceiling 211.61 SF 0.00 0.19 40.21 50. Clean stair riser - per side - per LF 15.00 LF 0.00 0.82 12.30 51. Clean stair tread - per side - per LF 14.00 LF 0.00 0.86 12.04 52. Clean stair stringer - per side 32.00 LF 0.00 0.48 15.36 53. Clean handrail - wall mounted 12.00 LF 0.00 0.28 3.36 LOYER-STRCLN 4/23/2009 Page:4 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - stairs DESCRIPTION QNTY REMOVE REPLACE TOTAL Totals: stairs 2 5-+7 '?' +-F 1?:: kitchen T r 1 7 P ...........F. a ' -I Missing Wall: 1- 218" X 618" Missing Wall: 1- 3'3" X 6'8" DESCRIPTION 54. Clean the walls and ceiling 55. Clean light fixture 56. Clean ceiling fan and light 57. Clean crown molding 58. Clean baseboard 59. Clean trim - wood 60. Clean door / window opening (per side) 61. Clean door (per side) 62. Clean door hardware 63. Clean window unit (per side) 10 - 20 SF 64. Clean door / window opening (per side) 65. Clean floor, strip & wax 66. Clean cabinetry - lower - inside and out 67. Clean cabinetry - upper - inside and out 68. Clean countertop 69. Clean sink - double LOYER-STRCLN 413.56 SF Walls 571.33 SF Walls & Ceiling 17.53 SY Flooring 50.33 LF Ceil. Perimeter Opens into laundry Opens into dining room 83.27 Ceiling Height: 9' 157.78 SF Ceiling 157.78 SF Floor 44.42 LF Floor Perimeter Goes to Floor Goes to Floor QNTY REMOVE REPLACE TOTAL 571.33 SF 0.00 0.19 108.55 1.00 EA 0.00 5.57 5.57 1.00 EA 0.00 13.62 13.62 50.33 LF 0.00 0.24 12.08 44.42 LF 0.00 0.19 8.44 100.00 LF 0.00 0.19 19.00 4.00 EA 0.00 6.81 27.24 2.00 EA 0.00 3.83 7.66 2.00 EA 0.00 3.55 7.10 1.00 EA 0.00 7.89 7.89 1.00 EA 0.00 6.81 6.81 157.78 SF 0.00 0.54 85.20 14.00 LF 0.00 6.38 89.32 15.00 LF 0.00 6.38 95.70 28.00 SF 0.00 0.40 11.20 1.00 EA 0.00 9.08 9.08 4/23/2009 Page:5 II DESCRIPTION CONTINUED - kitchen QNTY REMOVE REPLACE TOTAL 70. Clean range - interior and exterior 1.00 EA 0.00 22.51 22.51 71. Clean dishwasher -interior and 1.00 EA 0.00 14.35 14.35 exterior 72. Clean sink faucet 1.00 EA 0.00 5.07 5.07 73. Clean sill -wood 3.00 LF 0.00 0.38 1.14 74. Heat/AC register - Detach & reset 1.00 EA 0.00 8.69 8.69 75. Clean register - heat / AC 1.00 EA 0.00 4.58 4.58 Totals: kitchen 570.80 12, 6? 5 ? m 11 CJ iv Missing Wall: DESCRIPTION Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 laundry 1- 2'8" X 61811 Ceiling Height: Sloped 397.31 SF Walls 546.68 SF Walls & Ceiling 16.54 SY Flooring 48.91 LF Ceil. Perimeter 149.37 SF Ceiling 148.90 SF Floor 46.17 LF Floor Perimeter Opens into kitchen QNTY REMOVE Goes to Floor REPLACE TOTAL 76. Clean the walls and ceiling 77. Clean crown molding 78. Clean baseboard 79. Clean trim - wood 80. Clean door / window opening (per side) 81. Clean door (per side) 82. Clean door hardware 83. Clean window unit (per side) 10 - 20 SF 84. Clean door / window opening (per side) 85. Clean and deodorize carpet LOYER-STRCLN 546.68 SF 0.00 0.19 103.87 48.91 LF 0.00 0.24 11.74 46.17 LF 0.00 0.19 8.77 100.00 LF 0.00 0.19 19.00 2.00 EA 0.00 6.81 13.62 1.00 EA 0.00 3.83 3.83 1.00 EA 0.00 3.55 3.55 2.00 EA 0.00 7.89 15.78 2.00 EA 0.00 6.81 13.62 148.90 SF 0.00 0.27 40.20 4/23/2009 Page:6 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - laundry DESCRIPTION QNTY REMOVE REPLACE TOTAL 86. Clean sill -wood 6.00 LF 0.00 0.38 2.28 87. Clean register - heat / AC 2.00 EA 0.00 4.58 9.16 88. Heat/AC register - Detach & reset 2.00 EA 0.00 8.69 17.38 Totals: laundry 262.80 Total: Main Level 2,053.96 2nd floor F U Fl? i 1 U Z* H 12 i 6' 3" --I T ?'^? DESCRIPTION front bedroo Ceiling Height: 8' 416.00 SF Walls 544.49 SF Walls & Ceiling 14.28 SY Flooring 52.00 LF Ceil. Perimeter Subroom 1: closet 128.49 SF Ceiling 128.49 SF Floor 52.00 LF Floor Perimeter Ceiling Height: 8' 124.00 SF Walls 135.50 SF Walls & Ceiling 1.28 SY Flooring 15.50 LF Ceil. Perimeter QNTY 11.50 SF Ceiling 11.50 SF Floor 15.50 LF Floor Perimeter REMOVE REPLACE TOTAL 89. Remove 1/2" drywall - hung, taped, 139.99 SF floated, ready for paint 90. Remove Two coat plaster over metal 139.99 SF lath 91. General Demolition - per hour 5.00 HR The above is for time to cart debris, additional time to remove plaster ceiling 92. Clean the walls 540.00 SF LOYER-STRCLN 0.29 0.00 40.60 0.95 0.00 132.99 33.83 0.00 169.15 0.00 0.19 102.60 4/23/2009 Page:7 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - front bedroo DESCRIPTION QNTY REMOVE REPLACE TOTAL 93. Clean floor or roof joist system 139.99 SF 0.00 0.51 71.39 94. Remove Light fixture 1.00 EA 5.64 0.00 5.64 95. Clean baseboard 67.50 LF 0.00 0.19 12.83 96. Clean trim - wood 100.00 LF 0.00 0.19 19.00 97. Clean door / window opening (per side) 2.00 EA 0.00 6.81 13.62 98. Clean door (per side) 2.00 EA 0.00 3.83 7.66 99. Clean door hardware 2.00 EA 0.00 3.55 7.10 100. Clean window unit (per side) 10 - 20 3.00 EA 0.00 7.89 23 67 SF . 101. Clean door / window opening (per 3.00 EA 0.00 6.81 20 43 side) . 102. Remove Carpet 139.99 SF 0.18 0.00 25.20 103. Remove Carpet pad 139.99 SF 0.08 0.00 11.20 104. Clean floor 139.99 SF 0.00 0.24 33.60 105. Clean closet organizer and rod 1.00 EA 0.00 20.28 20.28 106. Clean sill - wood 9.00 LF 0.00 0.38 3.42 107. Heat/AC register - Detach & reset 2.00 EA 0.00 8.69 17.38 108. Clean register - heat / AC 2.00 EA 0.00 4.58 9.16 Totals: front bedroo 746.92 TP K ® 47 P ?' f r I ?- 4'6' --j 250.67 SF Walls 302.28 SF Walls & Ceiling 5.74 SY Flooring 31.33 LF Ceil. Perimeter 51.62 SF Ceiling 51.62 SF Floor 31.33 LF Floor Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 109. Remove 1/2" drywall - hung, taped, 51.62 SF 0.29 0.00 14.97 floated, ready for paint LOYER-STRCLN 4/23/2009 Page:8 h. 1-1 bath Ceiling Height: 8' s 0'9' otsT7 t Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - bath DESCRIPTION QNTY REMOVE REPLACE TOTAL 110. Remove Two coat plaster over metal 51.62 SF 0.95 0.00 49 04 lath . 111. General Demolition - per hour 2.50 HR 33.83 0.00 84.58 The above is for time to cart debris, additional time to remove plaster ceiling 112. Clean the walls 250.67 SF 0.00 0.19 47.63 113. Clean floor or roof joist system 51.62 SF 0.00 0.51 26.33 114. Clean light fixture 3.00 EA 0.00 5.57 16.71 115. Clean baseboard 31.33 LF 0.00 0.19 5.95 116. Clean trim - wood 40.00 LF 0.00 0.19 7.60 117. Clean door / window opening (per 1.00 EA 0.00 6.81 6 81 side) . 118. Clean door (per side) 1.00 EA 0.00 3.83 3.83 119. Clean door hardware 1.00 EA 0.00 3.55 3.55 120. Clean window unit (per side) 10 - 20 1.00 EA 0.00 7.89 7.89 SF 121. Clean door / window opening (per 1.00 EA 0.00 6.81 6 81 side) . 122. Clean floor, strip & wax 51.62 SF 0.00 0.54 27.87 123. Clean countertop 10.00 SF 0.00 0.40 4.00 124. Clean sink 1.00 EA 0.00 6.81 6.81 125. Clean toilet 1.00 EA 0.00 11.45 11.45 126. Clean toilet seat 1.00 EA 0.00 2.48 2.48 127. Clean shower 1.00 EA 0.00 22.69 22.69 128. Clean tub / shower faucet 1.00 EA 0.00 7.37 7.37 129. Clean vanity - inside and out 8.00 LF 0.00 5.59 44.72 130. Clean medicine cabinet 1.00 EA 0.00 7.37 7.37 131. Clean sink faucet 1.00 EA 0.00 5.07 5.07 132. Clean bath accessory 4.00 EA 0.00 3.76 15.04 133. Clean sill - wood 3.00 LF 0.00 0.38 1.14 134. Heat/AC register - Detach & reset 1.00 EA 0.00 8.69 8.69 135. Clean register - heat / AC 1.00 EA 0.00 4.58 4.58 Totals: bath 450.98 LOYER-STRCLN 4/23/2009 Page:9 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 _ hall 1o° - N _ ?i Stu ? 1 12' 3", i 4[Y bath i i i 1 173.33 SF Walls 200.20 SF Walls & Ceiling 2.99 SY Flooring 21.67 LF Ceil. Perimeter Subroom 1: stairs II Missing Wall: 1 - 2'10" X 0'0" 154.67 SF Walls 178.04 SF Walls & Ceiling 2.60 SY Flooring 19.33 LF Ceil. Perimeter Opens into hall Ceiling Height: 8' 26.87 SF Ceiling 26.87 SF Floor 21.67 LF Floor Perimeter Ceiling Height: 8' 23.38 SF Ceiling 23.38 SF Floor 19.33 LF Floor Perimeter Goes to Floor/Ceiling DESCRIPTION QNTY REMOVE REPLACE TOTAL 136. Remove 1/2" drywall - hung, taped, 50.24 SF 0.29 0.00 14 57 floated, ready for paint . 137. Remove Two coat plaster over metal 50.24 SF 0.95 0.00 47 73 lath . 138. General Demolition - per hour 1.50 HR 33.83 0.00 50.75 The above is for time to cart debris, additional time to remove plaster ceiling 139. Clean the walls 328.00 SF 0.00 0.19 62.32 140. Clean floor or roof joist system 50.24 SF 0.00 0.51 25.62 141. Remove Light fixture 1.00 EA 5.64 0.00 5.64 142. Clean baseboard 41.00 LF 0.00 0.19 7.79 143. Clean trim - wood 60.00 LF 0.00 0.19 11.40 144. Clean door / window opening (per 3.00 EA 0.00 6.81 20 43 side) . 145. Clean door (per side) 3.00 EA 0.00 3.83 11.49 146. Clean door / window opening (per 3.00 EA 0.00 6.81 20 43 side) . 147. Remove Carpet 50.24 SF 0.18 0.00 9.04 148. Remove Carpet pad 50.24 SF 0.08 0.00 4.02 149. Clean floor 50.24 SF 0.00 0.24 12.06 Totals: hall 303.29 LOYER-STRCLN 4/23/2009 Page: 10 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 T b 1 middle bed Ceiling Height: 8' 408.00 SF Walls 543.58 SF Walls & Ceiling 15.06 SY Flooring 51.00 LF Ceil. Perimeter Subroom 1: closet 135.58 SF Ceiling 135.58 SF Floor 51.00 LF Floor Perimeter Ceiling Height: 8' 1, T•?--- r s- ? r s 112.00 SF Walls T 122.00 SF Walls & Ceiling N 1.11 SY Flooring 1 s 14.00 LF Ceil. Perimeter DESCRIPTION QNTY 10.00 SF Ceiling 10.00 SF Floor 14.00 LF Floor Perimeter REMOVE REPLACE TOTAL 150. Remove 1/2" drywall - hung, taped, 145.58 SF floated, ready for paint 151. Remove Two coat plaster over metal 145.58 SF lath 152. General Demolition - per hour 5.00 HR The above is for time to cart debris, additional time to remove plaster ceiling 153. Clean the walls 520.00 SF 154. Clean floor or roof joist system 145.58 SF 155. Remove Light fixture 1.00 EA 156. Clean baseboard 65.00 LF 157. Clean trim - wood 120.00 LF 158. Clean door / window opening (per 4.00 EA side) 159. Clean door (per side) 3.00 EA 160. Clean door hardware 3.00 EA 161. Clean window unit (per side) 10 - 20 2.00 EA SF 162. Clean door / window opening (per 2.00 EA side) 163. Remove Carpet 145.58 SF 164. Remove Carpet pad 145.58 SF 165. Clean floor 145.58 SF 166. Clean closet organizer and rod 1.00 EA LOYER-STRCLN 0.29 0.00 42.22 0.95 0.00 138.30 33.83 0.00 169.15 0.00 0.19 98.80 0.00 0.51 74.25 5.64 0.00 5.64 0.00 0.19 12.35 0.00 0.19 22.80 0.00 6.81 27.24 0.00 3.83 11.49 0.00 3.55 10.65 0.00 7.89 15.78 0.00 6.81 13.62 0.18 0.00 26.20 0.08 0.00 11.65 0.00 0.24 34.94 0.00 20.28 20.28 4/23/2009 Page: ll Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - middle bed DESCRIPTION QNTY REMOVE REPLACE TOTAL 167. Clean sill -wood 6.00 LF 0.00 0.38 2.28 168. Heat/AC register - Detach & reset 2.00 EA 0.00 8.69 17.38 169. Clean register - heat / AC 2.00 EA 0.00 4.58 9.16 Totals: middle bed 764.18 e F2" 4" T 2 ?,y m 1 DESCRIPTION rear bedroom 382.67 SF Walls 523.54 SF Walls & Ceiling 15.65 SY Flooring 47.83 LF Ceil. Perimeter Subroom 1: closet 84.00 SF Walls 90.50 SF Walls & Ceiling 0.72 SY Flooring 10.50 LF Ceil. Perimeter QNTY Ceiling Height: 8' 140.88 SF Ceiling 140.88 SF Floor 47.83 LF Floor Perimeter Ceiling Height: 8' 6.50 SF Ceiling 6.50 SF Floor 10.50 LF Floor Perimeter REMOVE REPLACE TOTAL 170. Remove 1/2" drywall - hung, taped, 147.38 SF floated, ready for paint 171. Remove Two coat plaster over metal 147.38 SF lath 172. General Demolition - per hour 5.00 HR The above is for time to cart debris, additional time to remove plaster ceiling 173. Clean the walls 466.67 SF 174. Clean floor or roof joist system 147.38 SF 175. Remove Ceiling fan without light 1.00 EA LOYER-STRCLN 0.29 0.00 42.74 0.95 0.00 140.01 33.83 0.00 169.15 0.00 0.19 88.67 0.00 0.51 75.16 12.77 0.00 12.77 4/23/2009 Page: 12 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - rear bedroom DESCRIPTION front attic 176. Clean baseboard 58.33 LF 0.00 0.19 11.08 177. Clean trim - wood 100.00 LF 0.00 0.19 19.00 178. Clean door / window opening (per 3.00 EA 0.00 6.81 20.43 side) 179. Clean door (per side) 3.00 EA 0.00 3.83 11.49 180. Clean door hardware 3.00 EA 0.00 3.55 10.65 181. Clean window unit (per side) 10 - 20 2.00 EA 0.00 7.89 15.78 SF 182. Clean door / window opening (per 2.00 EA 0.00 6.81 13.62 side) 183. Remove Carpet 147.38 SF 0.18 0.00 26.53 184. Remove Carpet pad 147.38 SF 0.08 0.00 11.79 185. Clean floor 147.38 SF 0.00 0.24 35.37 186. Clean closet organizer and rod 1.00 EA 0.00 20.28 20.28 187. Clean sill - wood 6.00 LF 0.00 0.38 2.28 188. Heat/AC register - Detach & reset 2.00 EA 0.00 8.69 17.38 189. Clean register - heat / AC 2.00 EA 0.00 4.58 9.16 Totals: rear bedroom 753.34 Total: 2nd floor 3,018.71 attic 47 ",'{ . -1 Missing Wall: QNTY REMOVE REPLACE TOTAL Ceiling Height: 8' 425.11 SF Walls 614.99 SF Walls & Ceiling 21.10 SY Flooring 55.50 LF Ceil. Perimeter 1 - 2'10" X 6'8" Opens into rear attic 189.88 SF Ceiling 189.88 SF Floor 52.67 LF Floor Perimeter Goes to Floor LOYER-STRCLN 4/23/2009 Page: 13 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 t--- r a.. T T 4- N r s" Y? fz? N Subroom 1: closet Ceiling Height: 8' DESCRIPTION 158.67 SF Walls 177.61 SF Walls & Ceiling 2.10 SY Flooring 19.83 LF Ceil. Perimeter QNTY REMOVE 18.94 SF Ceiling 18.94 SF Floor 19.83 LF Floor Perimeter REPLACE TOTAL 190. General Demolition - per hour 18.00 HR 33.83 0.00 608.94 191. Clean stud wall 583.78 SF 0.00 0.42 245.19 192. Clean floor or roof joist system 208.82 SF 0.00 0.51 106.50 193. Seal/prime the walls and ceiling - one 792.60 SF 0.00 0.36 285 34 coat (white pigmented shellac) . 194. Clean floor 208.82 SF 0.00 0.24 50.12 Totals: front attic 1,296.09 Z 1 hall/stairs 236.00 SF Walls 269.00 SF Walls & Ceiling 3.67 SY Flooring 29.50 LF Ceil. Perimeter Ceiling Height: 8' 33.00 SF Ceiling 33.00 SF Floor 29.50 LF Floor Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 195. General Demolition - per hour 9.00 HR 33.83 0.00 304.47 The above is for time to demo this area to the studs 196. Clean stud wall 236.00 SF 0.00 0.42 99.12 197. Clean floor or roof joist system 33.00 SF 0.00 0.51 16.83 198. Seal/prime the walls and ceiling - one 269.00 SF 0.00 0.36 96 84 coat (white pigmented shellac) . 199. Clean handrail - wall mounted 12.00 LF 0.00 0.28 3.36 200. Clean door / window opening (per 1.00 EA 0.00 6.81 6 81 side) . 201. Clean door (per side) 1.00 EA 0.00 3.83 3.83 202. Clean door hardware 1.00 EA 0.00 3.55 3.55 LOYER-STRCLN 4/23/2009 Page: 14 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - hall/stairs DESCRIPTION QNTY REMOVE REPLACE TOTAL 203. Clean stair tread - per side - per LF 13.00 LF 0.00 0.86 11.18 204. Clean stair riser - per side - per LF 14.00 LF 0.00 0.82 11.48 205. Clean stair stringer - per side 28.00 LF 0.00 0.48 13.44 Totals: hall/stairs 570.91 Missing Wall: 1- 2'10" X 6'8" 12: 11' 1351 T ?-"8, rear attic Ceiling Height: 8' 371.78 SF Walls 498.42 SF Walls & Ceiling 14.07 SY Flooring 48.83 LF Ceil. Perimeter 126.64 SF Ceiling 126.64 SF Floor 46.00 LF Floor Perimeter Goes to Floor DESCRIPTION Opens into front attic QNTY REMOVE REPLACE TOTAL 206. General Demolition - per hour 15.00 HR 33.83 0.00 507.45 207. Clean floor or roof joist system 126.64 SF 0.00 0.51 64.59 208. Clean stud wall 371.78 SF 0.00 0.42 156.15 209. Seal/prime the walls and ceiling - one 498.42 SF 0.00 0.36 179.43 coat (white pigmented shellac) Totals: rear attic 907.62 Total: attic 2,774.62 basement LOYER-STRCLN 4/23/2009 Page: 15 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 basement Ceiling Height: 7' 6" 379.75 SF Ceiling 379.75 SF Floor 80.00 LF Floor Perimeter 600.00 SF Walls 979.75 SF Walls & Ceiling 42.19 SY Flooring 80.00 LF Ceil. Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 210. Clean floor or roof joist system 379.75 SF 0.00 0.51 193.67 211. Clean the walls 600.00 SF 0.00 0.19 114.00 212. Clean floor 379.75 SF 0.00 0.24 91.14 213. Cleaning Technician - per hour 9.00 HR 0.00 25.15 226.35 The above is to clean the pipes, wires and utilities Totals: basement 625.16 General Items Rose Hx?/ q v.1an Ream DESCRIPTION QNTY REMOVE REPLACE TOTAL 214. Dumpster load - Approx. 30 yards, 5- 1.00 EA 442.06 0.00 442.06 7 tons of debris 215. Deodorize building - Ozone treatment 1.00 CF 0.00 375.00 375.00 Totals: General Items 817.06 LOYER-STRCLN 4/23/2009 Page: 16 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Exterior Peon Hwy/Y _ 1 ? AaomlanpA DESCRIPTION 216. Clean with pressure/chemical spray 1.00 SF 0.00 450.00 450.00 Totals: Exterior 450.00 Total: basement 1,892.22 Line Item Totals: LOYER-STRCLN 9,739.51 QNTY REMOVE REPLACE TOTAL Grand Total Areas: 5,859.25 SF Walls 1,959.36 SF Floor 0.00 SF Long Wall 1,959.83 SF Ceiling 217.71 SY Flooring 0.00 SF Short Wall 7,819.08 SF Walls and Ceiling 706.00 LF Floor Perimeter 734.58 LF Ceil. Perimeter 1,959.36 Floor Area 3,417.75 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 2,153.22 Total Area 418.67 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 5,859.25 Interior Wall Area 0.00 Total Perimeter Length LOYER-STRCLN 4/23/2009 Page: 17 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Summary for Dwelling Line Item Total 9,739.51 Cleaning Total Tax @ 6.000% x 9,739.47 584.37 Replacement Cost Value $10,323.88 Net Claim $10,323.88 Dave Beyer LOYER-STRCLN 4/23/2009 Page: 18 a 0 0 N M N 7 ..Z.9Z to z a x H w O .a ?S . 'm N >J a o, 0 0 N M N W .Z .ZL I .h£L .6. .Z.SZ ' .L.ZI .hZl N z .a U E-' W O _? r c N v y N QI O 0 b N .9.65 C1 N M N z U F- W O J ? N ;- a N bA t? Q. U ig ON O O N M N z u H W O 6,9Z Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Client: Loyer, Diana Property: 6 Poplar Street Lemoyne, PA 17043 Operator Info: Operator: DAVE Estimator: Dave Beyer Business: 599 Airport Rd Lititz, PA 17543 Reference: Martha Johnston Company: USAA Type of Estimate: Fire Date Entered: 1/17/2008 Date Assigned: 1/14/2008 Date Est. Completed: 1/17/2008 Date Job Completed: Estimate: LOYER-DEMOSUPP-REVIS File Number: 005635 Home: (717) 571-5224 Business: (717) 291-6000 Business: (800) 531-8222 x 61214 This estimate is for the additional demo of the interior of the home. Open item from the recon estimate Tax I.D. # 23-3039711 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 RovnXwpM ?. / h RmmLayn PmnWtlM1 Demolition LOYER-DEMOSUPP-REVIS DESCRIPTION QNTY REMOVE REPLACE TOTAL 217. General Demolition - per hour 222.50 HR 33.88 0.00 7,538.30 The above is for time to demo the first and second floor to open up wall cavities and ceiling joist, time to clean up, and cartage of debris 4 men 7 days 219. General Demolition - LUMP SUM 1.00 HR -1,379.68 0.00 -1,379.68 ADJUSTMENT 4/22/09 - This is a lump sum adjustment agreed upon between PDR and USAA Adjuster for Demo Labor. 218. Dumpster load - Approx. 30 yards, 5- 1.00 EA 442.06 0.00 442.06 7 tons of debris Totals: Demolition 6,600.68 Line Item Totals: LOYER-DEMOSUPP-REVIS 6,600.68 Grand Total Areas: 0.00 SF Walls 0.00 SF Floor 0.00 SF Long Wall 0.00 Floor Area 0.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 0.00 SF Ceiling 0.00 SY Flooring 0.00 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 0.00 SF Walls and Ceiling 0.00 LF Floor Perimeter 0.00 LF Ceil. Perimeter 0.00 Interior Wall Area 0.00 Total Perimeter Length LOYER-DEMOSUPP-REVIS 4/23/2009 Page:2 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Summary for Dwelling Line Item Total Replacement Cost Value Net Claim Dave Beyer LO YER-DEM O S UPP-RE V I S 6,600.68 $6,600.68 $6,600.68 4/23/2009 Page:3 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Client: Loyer, Diana Property: 6 Poplar Street Lemoyne, PA 17043 Operator Info: Operator: DAVE Estimator: Dave Beyer Business: 599 Airport Rd Lititz, PA 17543 Reference: Martha Johnston Company: USAA Type of Estimate: Fire Date Entered: 1/17/2008 Date Est. Completed: 1/17/2008 Date Assigned: 1/14/2008 Date Job Completed: Price List: PAHA5B8A Restoration/Service/Remodel Estimate: LOYER-DUCTCLN File Number: 005635 Home: (717) 571-5224 Business: (717) 291-6000 Business: (800) 531-8222 x 61214 This estimate is for the duct cleaning. A estimate will be sent for content cleaning, pack out, storage and pack in. The cause of the loss was a fire two houses down affecting the insureds home also. Tax I.D. # 23-3039711 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 LOYER-DUCTCLN Heat, Vent, & Cool y Ramon Na ' Rmm WM DESCRIPTION QNTY REMOVE REPLACE TOTAL 1. HEAT, VENT & AIR 1.00 EA 0.00 960.00 960.00 CONDITIONING(DUCT CLEANING) The above is to clean and seal the hvac duct system Totals: Heat, Vent, & Cool 960.00 Line Item Totals: LOYER-DUCTCLN 960.00 Grand Total Areas: 0.00 SF Walls 0.00 SF Floor 0.00 SF Long Wall 0.00 SF Ceiling 0.00 SY Flooring 0.00 SF Short Wall 0.00 SF Walls and Ceiling 0.00 LF Floor Perimeter 0.00 LF Ceil. Perimeter 0.00 Floor Area 0.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 0.00 Interior Wall Area 0.00 Total Perimeter Length LOYER-DUCTCLN 4/23/2009 Page:2 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Summary for Dwelling Line Item Total Cleaning Total Tax @ 6.000% x 960.00 960.00 57.60 Replacement Cost Value Net Claim LOYER-DUCTCLN Dave Beyer $1,017.60 $1,017.60 4/23/2009 Page:3 Paul Davis Restorationbi ? C5 Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Client: Loyer, Diana Property: 6 Poplar Street Lemoyne, PA 17043 Operator Info: Operator: DAVE Estimator: Keith Nelson Business: 599 Airport Rd Lititz, PA 17543 Reference: Martha Johnston Company: USAA Type of Estimate: Fire Date Entered: 1/17/2008 Date Assigned: 1/14/2008 Date Est. Completed: 1/17/2008 Date Job Completed: Estimate: LOYER-WORKCOMPREVISE File Number: 005635 Home: (717) 571-5224 Business: (717) 291-6000 x 439 Business: (800) 531-8222 x 61214 This estimate goes along with at least one other estimate for emergency services. This estimate is to replace with like kind and quality of materials where applicable. This estimate is how the damages were seen on the day this estimate was completed. Should anything be needed other than in this estimate, and addendum would need to be done, but the adjuster would be contacted prior to any work being done that is not in this estimate. All reconstruction jobs in PA are now under the jurisdiction of the new Statewide Building Code. There should be a cost for that in this estimate, or perhaps an open item. If any code up grades are needed they will be on a second estimate to follow. Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 ?''' "" living room ,9'23- T ^^I 2' 3' Missing Wall: 1- 5'6" X 6'8" DESCRIPTION Ceiling Height: 9' 187.29 SF Ceiling 187.29 SF Floor 49.67 LF Floor Perimeter Goes to Floor REPLACE TOTAL 32. 2" x 8" x 14'#2 & better Fir / Larch 2.00 EA 0.00 11.03 22 06 (material only) . 33. Carpenter - General Framer - per hour 2.00 HR 0.00 52.78 105.56 54. Remove Paneling 102.83 SF 0.21 0.00 21.59 55. Remove Two coat plaster over 1/2" 102.83 SF 0.73 0.00 75 07 gypsum core blueboard . 78. Remove Baseboard - 6" fir 49.67 LF 0.34 0.00 16.89 Totals: living room 241.17 12 4+3' 3"4-3'5" 3' 8" P_ _ 1 ...................... 2 3y,... dining room LOYER-WORKCOMPREVISE Main Level 459.83 SF Walls 647.13 SF Walls & Ceiling 20.81 SY Flooring 55.17 LF Ceil. Perimeter Opens into dining room QNTY REMOVE Ceiling Height: 9' 384.17 SF Walls 535.21 SF Walls & Ceiling 16.78 SY Flooring 49.17 LF Ceil. Perimeter Missing Wall: 1 - 5'6" X 6'8" Missing Wall: 1- 313" X 618" DESCRIPTION Opens into living room Opens into kitchen QNTY REMOVE 151.04 SF Ceiling 151.04 SF Floor 40.42 LF Floor Perimeter Goes to Floor Goes to Floor REPLACE TOTAL 34. 2" x 8" x 14'#2 & better Fir / Larch (material only) 35. Carpenter - General Framer - per hour 56. Remove Paneling 1.00 EA 0.00 11.03 11.03 1.00 HR 0.00 52.78 52.78 276.60 SF 0.21 0.00 58.09 LOYER-WORKCOMPREVISE 4/23/2009 Page:2 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - dining room DESCRIPTION QNTY REMOVE REPLACE TOTAL 57. Remove Two coat plaster over 1/2" 276.60 SF 0.73 0.00 201.92 gypsum core blueboard 79. Remove Baseboard - 6" fir 40.42 LF 0.34 0.00 13.74 Totals: dining room 337.56 '2 T ?I 1 2 ?,1, N &ff=..@enn DESCRIPTION stairs 190.50 SF Walls 211.61 SF Walls & Ceiling 2.35 SY Flooring 21.17 LF Ceil. Perimeter QNTY Ceiling Height: 9' 21.11 SF Ceiling 21.11 SF Floor 21.17 LF Floor Perimeter REMOVE REPLACE TOTAL 61. Remove Two coat plaster over 1/2" 71.25 SF 0.73 0.00 52.01 gypsum core blueboard Totals: stairs 52.01 I I <<stz a°f a +s s' ............ 1 Missing Wall: 1 - Missing Wall: 1 - DESCRIPTION kitchen Ceiling Height: 9' 413.56 SF Walls 157.78 SF Ceiling 571.33 SF Walls & Ceiling 157.78 SF Floor 17.53 SY Flooring 44.42 LF Floor Perimeter 50.33 LF Ceil. Perimeter 218" X 618" Opens into laundry Goes to Floor 3'3" X 6'8" Opens into dining room Goes to Floor QNTY REMOVE REPLACE TOTAL LOYER-WORKCOMPREVISE 4/23/2009 Page:3 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - kitchen DESCRIPTION QNTY REMOVE REPLACE TOTAL 38. 2" x 8" x 14'#2 & better Fir / Larch 2.00 EA 0.00 11.03 22 06 (material only) . 39. Carpenter - General Framer - per hour 2.00 HR 0.00 52.78 105.56 62. Remove Paneling 59.33 SF 0.21 0.00 12.46 63. Remove Two coat plaster over 1/2" 59.33 SF 0.73 0.00 43.31 gypsum core blueboard 81. Remove Baseboard - 6" fir 44.42 LF 0.34 0.00 15.10 Totals: kitchen 198.49 ,2"d'--? S ?F 11 1 Missing Wall: Ceiling Height: Sloped laundry 397.31 SF Walls 546.68 SF Walls & Ceiling 16.54 SY Flooring 48.91 LF Ceil. Perimeter 1 - 2'8v' V 61811 Opens into kitchen 149.37 SF Ceiling 148.90 SF Floor 46.17 LF Floor Perimeter Goes to Floor DESCRIPTION QNTY REMOVE REPLACE TOTAL 40. 2" x 4" x 8'#2 & better Fir / Larch 3.00 EA 0.00 2.10 6.30 (material only) 41. Carpenter - General Framer - per hour 4.00 HR 0.00 52.78 211.12 Totals: laundry 217.42 Total: Main Level 1,046.65 2nd floor LOYER-WORKCOMPREVISE 4/23/2009 Page:4 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 :r Z ` -' Master BR ?T r I k3'{Vl. 121`I- F- Z 4" T 2 1 DESCRIPTION 382.67 SF Walls 523.54 SF Walls & Ceiling 15.65 SY Flooring 47.83 LF Ceil. Perimeter Subroom 1: closet 84.00 SF Walls 90.50 SF Walls & Ceiling 0.72 SY Flooring 10.50 LF Ceil. Perimeter QNTY 42. 2" x 4" x 8'#2 & better Fir / Larch 6.00 EA 0.00 2.10 12 60 (material only) . 43. Carpenter - General Framer - per hour 6.00 HR 0.00 52.78 316.68 Above lines are to frame wall from wall plate to roof deck for installation of fire separation wall 65. Remove Two coat plaster over 1/2" 84.00 SF 0.73 0.00 61.32 gypsum core blueboard 74. Remove Baseboard - 6" fir 58.33 LF 0.34 0.00 19.83 Totals: Master BR 410.43 r-12' o 8 5q 1 Studio Ceiling Height: 8' 140.88 SF Ceiling 140.88 SF Floor 47.83 LF Floor Perimeter Ceiling Height: 8' 6.50 SF Ceiling 6.50 SF Floor 10.50 LF Floor Perimeter REMOVE REPLACE TOTAL Ceiling Height: 8' 408.00 SF Walls 543.58 SF Walls & Ceiling 15.06 SY Flooring 51.00 LF Ceil. Perimeter 135.58 SF Ceiling 135.58 SF Floor 51.00 LF Floor Perimeter LOYER-WORKCOMPREVISE 4/23/2009 Page:5 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 1' 3`F- 2' 6" -? V 5' DESCRIPTION Subroom 1: closet Ceiling Height: 8' 112.00 SF Walls 10.00 SF Ceiling r 122.00 SF Walls & Ceiling 10.00 SF Floor N 1.11 SY Flooring 14.00 LF Floor Perimeter 1 14.00 LF Ceil. Perimeter QNTY REMOVE REPLACE TOTAL 72. Remove Acoustic plaster over 1/2" 166.00 SF 0.73 0.00 121.18 gypsum core blueboard 71. Remove Two coat plaster over 1/2" 204.00 SF 0.73 0.00 148.92 gypsum core blueboard 75. Remove Baseboard - 6" fir 65.00 LF 0.34 0.00 22.10 Totals: Studio 292.20 T ?Ei-l h 1-6'3"-1 DESCRIPTION Bedroom 2 Ceiling Height: 8' 416.00 SF Walls 544.49 SF Walls & Ceiling 14.28 SY Flooring 52.00 LF Ceil. Perimeter Subroom 1: closet 124.00 SF Walls 135.50 SF Walls & Ceiling 1.28 SY Flooring 15.50 LF Ceil. Perimeter QNTY 128.49 SF Ceiling 128.49 SF Floor 52.00 LF Floor Perimeter Ceiling Height: 8' 11.50 SF Ceiling 11.50 SF Floor 15.50 LF Floor Perimeter REMOVE REPLACE TOTAL 44. 2" x 8" x 12'#2 & better Fir / Larch 2.00 EA 0.00 (material only) 45. Carpenter - General Framer - per hour 6.00 HR 0.00 Above lines are to install blocking for draft stop and fire stop on exterior walls at floor joists 86. FRAMING & ROUGH CARPENTRY 1.00 EA 0.00 - Additional material for Fireblocking LOYER-W ORKCOMPRE V ISE 9.43 18.86 52.78 316.68 34.64 34.64 4/23/2009 Page:6 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - Bedroom 2 DESCRIPTION QNTY REMOVE REPLACE TOTAL 67. Remove Two coat plaster over 1/2" 126.00 SF 0.73 0.00 91.98 gypsum core blueboard 76. Remove Baseboard - 6" fir 67.50 LF 0.34 0.00 22.95 Totals: Bedroom 2 485.11 T b4'k ?-- 4' 6' -{ bath Ceiling Height: 8' 250.67 SF Walls 302.28 SF Walls & Ceiling 5.74 SY Flooring 31.33 LF Ceil. Perimeter 51.62 SF Ceiling 51.62 SF Floor 31.33 LF Floor Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 46. 2" x 8" x 12'#2 & better Fir / Larch 1.00 EA 0.00 9.43 9.43 (material only) 47. Carpenter - General Framer - per hour 1.50 HR 0.00 52.78 79.17 Above lines are to install blocking for draft stop and fire stop on exterior walls at floor joists Totals: bath 88.60 ?i SIR 1 i3' z• s- 0: bath hall Ceiling Height: 8' 26.87 SF Ceiling 26.87 SF Floor 21.67 LF Floor Perimeter 173.33 SF Walls 200.20 SF Walls & Ceiling 2.99 SY Flooring 21.67 LF Ceil. Perimeter LOYER-WORKCOMPREVISE 4/23/2009 Page:7 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 3' --1 IL Subroom 1: stairs I 154.67 SF Walls 178.04 SF Walls & Ceiling s 2.60 SY Flooring 19.33 LF Ceil. Perimeter 1__ 1 T F 3 Missing Wall: 1 - 2'10" X 010" Opens into hall DESCRIPTION QNTY Ceiling Height: 8' 23.38 SF Ceiling 23.38 SF Floor 19.33 LF Floor Perimeter Goes to Floor/Ceiling REMOVE REPLACE TOTAL 69. Remove Two coat plaster over 1/2" 118.00 SF 0.73 0.00 86.14 gypsum core blueboard Totals: hall 86.14 Total: 2nd floor 1,362.48 attic Bedroom 3 Missing Wall: 1- 2'10" X 6'8" F--r 8° T T r r 4. ry 9"'?" 2`iV iv FT41"1 DESCRIPTION QNTY 18.94 SF Ceiling 18.94 SF Floor 19.83 LF Floor Perimeter REMOVE REPLACE TOTAL 3. 4" x 6" x 14'- fir/larch post - material 2.00 EA only 4. Carpenter - General Framer - per hour 6.00 HR Above 2 lines are to remove and replace damaged rafters LOYER-W ORKCOMPRE VI SE Ceiling Height: 8' 425.11 SF Walls 614.99 SF Walls & Ceiling 21.10 SY Flooring 55.50 LF Ceil. Perimeter Opens into Bedroom 4 Subroom 1: closet 189.88 SF Ceiling 189.88 SF Floor 52.67 LF Floor Perimeter Goes to Floor Ceiling Height: 8' 158.67 SF Walls 177.61 SF Walls & Ceiling 2.10 SY Flooring 19.83 LF Ceil. Perimeter 0.00 23.44 46.88 0.00 52.78 316.68 4/23/2009 Page:8 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - Bedroom 3 DESCRIPTION QNTY REMOVE REPLACE TOTAL 5. R&R Joist - floor or ceiling - 2x4 - 208.82 SF 0.22 0.60 171.23 w/blocking - 24" oc 21. Outlet 4.00 EA 0.00 10.42 41.68 22. 110 volt copper wiring run and box - 6.00 EA 0.00 49.22 295.32 rough in only 23. 110 volt copper wiring run, box and 1.00 EA 0.00 57.25 57.25 outlet Above line is to replace wiring in ceiling for light Totals: Bedroom 3 929.04 1 hall/stairs 236.00 SF Walls 269.00 SF Walls & Ceiling 3.67 SY Flooring 29.50 LF Ceil. Perimeter Ceiling Height: 8' 33.00 SF Ceiling 33.00 SF Floor 29.50 LF Floor Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 27. Switch 1.00 EA 0.00 10.64 10.64 28. 110 volt copper wiring run and box - 1.00 EA 0.00 49.22 49.22 rough in only 29. 110 volt copper wiring run, box and 1.00 EA 0.00 57.25 57.25 outlet Above line is to replace wiring in ceiling to light Totals: hall/stairs 117.11 LOYER-WORKCOMPREVISE 4/23/2009 Page:9 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 12 5-7 1 r-ne 1 ',J}5 N Missing Wall: DESCRIPTION Bedroom 4 371.78 SF Walls 498.42 SF Walls & Ceiling 14.07 SY Flooring 48.83 LF Ceil. Perimeter 1- 2'10" X 6'8" Opens into Bedroom 3 QNTY REMOVE Ceiling Height: 8' 126.64 SF Ceiling 126.64 SF Floor 46.00 LF Floor Perimeter Goes to Floor REPLACE TOTAL 6. R&R Joist - floor or ceiling - 2x4 - 126.64 SF 0.22 0.60 103.84 w/blocking - 24" oc 24. Outlet 4.00 EA 0.00 10.42 41.68 25. 110 volt copper wiring run and box - 6.00 EA 0.00 49.22 295.32 rough in only 26. 110 volt copper wiring run, box and 1.00 EA 0.00 57.25 57.25 outlet Above line is to replace wiring in ceiling for light Totals: Bedroom 4 498.09 General Items Rem MwpM Wild Rom DESCRIPTION QNTY REMOVE REPLACE TOTAL 7. Dumpster load - Approx. 40 yards, 7-8 1.00 EA 547.98 0.00 547.98 tons of debris 30. Permit Fees - Sub Bid 1.00 EA 0.00 1,114.00 1,114.00 Above line item is for permit fees from Wormleysburg Boro (see attached) 31. Engineering Fees - Sub Bid 1.00 EA 0.00 778.04 778.04 Above line is for Engineering fees from Providence Engineering (see attached) 83. Residential supervision - per hour 72.59 HR 0.00 57.26 4,156.50 85. Plumber -per hour 2.00 HR 0.00 70.00 140.00 Above line was to winterize plumbing after heat was turned off at home LOYER-WORKCOMPREVISE 4/23/2009 Page: 10 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 CONTINUED - General Items DESCRIPTION QNTY REMOVE REPLACE TOTAL Totals: General Items 6,736.52 Total: attic 8,280.76 Roof ------------ - Roof 467.62 Surface Area 4.68 Number of Squares j 88.81 Total Perimeter Length DESCRIPTION QNTY REMOVE REPLACE TOTAL 12. Remove Tear off roll roofing (no haul 5.00 SQ 24.31 0.00 121.55 off) 13. Remove Sheathing - V x 6" - tongue 475.00 SF 0.44 0.00 209.00 and groove 14. Sheathing - plywood - 3/4" - tongue 475.00 SF 0.00 1.74 826.50 and groove 17. Drip edge 62.00 LF 0.00 1.27 78.74 18. Chimney flashing - small (24" x 24") 1.00 EA 0.00 155.35 155.35 19. Roofer -per hour 6.00 HR 0.00 75.12 450.72 Above line is for labor to handle roofing material / cartage of debris from 3rd floor 20. R&R Additional charge for high roof 5.00 SQ 3.58 9.93 67.55 (2 stories or greater) 82. Rubber roofing - Fully adhered system - 5.00 SQ 0.00 325.47 1,627.35 60 mil Totals: Roof 3,536.76 Total: Roof 3,536.76 LOYER-WORKCOMPREVISE 4/23/2009 Page: 11 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 p RmnHe PeamL Foem Wtlh DESCRIPTION QNTY REMOVE REPLACE TOTAL 1. Remove Acoustical/fire-safing 25.00 SF 0.31 0.00 7.75 insulation - 4" mineral wool 2. Stud wall - 2" x 4" - 16" oc 50.00 SF 0.00 1.43 71.50 Above line is to frame wall from top plate of party wall to roof decking Totals: CODE UPGRADE 79.25 Line Item Totals: LOYER-WORKCOMPREVISE 14,305.90 Grand Total Areas: 5,859.25 SF Walls 1,959.36 SF Floor 0.00 SF Long Wall 1,959.36 Floor Area 3,468.50 Exterior Wall Area 467.62 Surface Area 0.00 Total Ridge Length CODE UPGRADE 1,959.83 SF Ceiling 217.71 SY Flooring 0.00 SF Short Wall 2,153.22 Total Area 418.67 Exterior Perimeter of Walls 4.68 Number of Squares 0.00 Total Hip Length 7,819.08 SF Walls and Ceiling 706.00 LF Floor Perimeter 734.58 LF Ceil. Perimeter 5,859.25 Interior Wall Area 88.81 Total Perimeter Length LOYER-WORKCOMPREVISE 4/23/2009 Page: 12 Paul Davis Restoration Corporate Headquarters: 599 Airport Rd. Lititz, PA 17543 Summary for Dwelling Line Item Total Material Sales Tax Subtotal Overhead Profit Replacement Cost Value Net Claim LOYER-W ORKCOMPRE VISE 14,305.90 @ 6.000% x 1,747.36 104.84 14,410.74 @ 10.0% x 14,410.74 1,441.07 @ 10.0% x 14,410.74 1,441.07 $17,292.88 $17,292.88 Keith Nelson 4/23/2009 Page: 13 u r' E m cc a 0. O? O O N M N .Z,sZ v cd s,roz SRI `m N S .? i ? ._ . - J by a a 0 0 N M N a c .ro .L.SZ T .t.zt .t.zt .i,x .L .LI .b,Et 9syJI? ;. in p ?ry AR .t?,z e .. .s.ts w t? w 3 w O w p M v pq N - .[tX-i I.. i O O b A N .s,sZ N M N W v_] od a O U O 3 W O DA Q. C1 O O N Cl) N o V1 I y bq ro f?. O? O O N M N 'IT in co loo g'R Im ?v .j ? b d^ n Q1 ? ?O 'O A ad O h a+ A mu Z,LL rl 4-O O ?i Paul Davis Restoration of LLC 1817 Colonial Village Lane Lancaster, PA 17601 Invoice BILL TO Diana Loyer 6 Poplar St Lemoyne, PA 17043 005635-S02-12343 E INVOICE NUMBER TERMS g 009 005635-S02-12343 Due Upon Receipt CLAIM NUMBER REFERENCE INVOICE DATE DUE DATE 1294204 5635 11/4/2008 11/4/2008 DESCRIPTION AMOUNT Billing for Supplement - Additional Demo $7,980.36 Invoice Total $7,980.36 Billed To: Diana Loyer Please make your check payable to Paul Davis Restoration of LLC and enclose this portion with your payment. Thank You! Dave Beyer Due Date: 11/04/2008 Invoice # 005635-S02-12343 Claim # 1294204 Reference # 5635 Invoice Total: 7,980.36 Paul Davis Restoration of LLC 1817 Colonial Village Lane Enclosed: 1 Lancaster, PA 17601 E Kh? b,-4 b-z Paul Davis Restoration of LLC 1817 Colonial Village Lane Lancaster, PA 17601 Invoice BILL TO Diana Loyer 6 Poplar St Lemoyne, PA 17043 005635-S02-13600 DATE INVOICE NUMBER TERMS 4/23/2009 005635-S02-13600 Due Upon Receipt CLAIM NUMBER REFERENCE INVOICE DATE DUE DATE 1294204 5635 4/16/2009 4/16/2009 DESCRIPTION AMOUNT Billing for adjustment as agreed with Adjuster ($1,379.68) Invoice Total ($1,379.68) Billed To: Diana Loyer Please make your check payable to Paul Davis Restoration of LLC and enclose this portion with your payment. Thank You! Dave Beyer Due Date: 04/1612009 Invoice # 005635-S02-13600 Claim # 1294204 Reference # 5635 Invoice Total: -1,379.68 Paul Davis Restoration of LLC 1817 Colonial Village Lane Enclosed: Lancaster, PA 17601 L bA Paul Davis Restoration of Lancaster - Lebanon 1817 Colonial Village Lane Lancaster, PA 17601 BILL TO Diana Loyer 6 Poplar St Lemoyne, PA 17043 S `PAUL DAVIS RESTORATION Invoice 005635-POl-13602 DATE INVOICE NUMBER TERMS 4/23/2009 005635-POI-13602 Due Upon Receipt CLAIM NUMBER REFERENCE INVOICE DATE DUE DATE 1294204 5635 4/16/2009 4/16/2009 DESCRIPTION AMOUNT Balance Billing - Recon This invoice along with the receipt of $7950.00 is the total agreed upon price of $17,292.88 for recon completed. $9,342.88 Invoice Total $9,342.88 Billed To: Diana Loyer Please make your check payable to Paul Davis Restoration of Lancaster - Lebanon and enclose this portion with your payment. Thank You! Keith Nelson Due Date: 04/16/2009 Invoice # 005635-P01-13602 Claim # 1294204 Reference # 5635 Invoice Total: 9,342.88 Paul Davis Restoration of Lancaster - Lebanon 1817 Colonial Village Lane Enclosed. Lancaster, PA 17601 art flfl t ., . n '9 i trE ? ,2 ! $14. w Pb CASH w14 aas(ogg