HomeMy WebLinkAbout09-7564PAUL F. D'EMILIO, ESQUIRE
ATTORNEY I.D. #16654
M. SCHOFIELD, JR., ESQUIRE
A?Ul-
TORNEY I.D. #81894
905 W. SPROUL ROAD, SUITE 105
SPRINGFIELD, PA 19064
(610) 338-0338
THIS IS AN ARBITRATION MATTER
ATTORNEY FOR PLAINTIFF
STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY AS SUBROGEE OF
KEVIN L. KAUFFMAN .
112 E. WASHINGTON STREET DTB 8
BLOOMINGTON, IL 61701
VS.
BENAKA INC.
7 LAWRENCE STREET
NEW BRUNSWICK, NJ 08901
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 JUDGMENT 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„ GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU
WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE
MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT
AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGit3LE
PERSONS AT A REDUCED FEE OR NO FEE.
Cumberland County Bar Association
32 S. Bedford Street
Carlisle, PA 17013
(717) 249-3166
(800) 990-9108
COMMON PLEAS COURT OF
CUMBERLAND COUNTY
NO. N -'7-%4 04-vil-Em
CIVIL ACTION
"ISO
LE HAN DEMANDADO A LISTED EN LA CORTE. SI USTED
QUIERE DEFENDERSE DE ESTAS DEMANDAS EXPUESTAS EN
LAS PAGINAS SIGUIENTES, USTED TIENE (20) DIAS DE PLAZO
A PARTIR DE LA FECHA DE LA DEMANDA Y LA NOTIFICACION.
LISTED DEBE PRESENTAR UNA APARIENCIA ESCRITA 0 EN
PERSONA 0 POR ABOGADO Y ARCHIVAR EN LA CORTE SUS
DEFENSAS 0 SUS OBJECIONES A LAS DEMANDAS ENCONTRA
DE SU PERSONA. SEA AVISADO QUE SI USTED NO SE
DEFIENDE, LA CORTE TOMARA MEDIDAS Y PUEDE ENTRAR
UNA ORDEN CONTRA LISTED SIN PREVIO AVISO 0
NOTIFICACION 0 POR CUALQIER QUEJA 0 ALIVIO QUE
ESPEDIDO EN LA PETICION DE DEMANDA. USTED PUEDE
PERDER DINERO, SUS PROPIEDADES 0 OTROS DERECHOS
IMPORTANTES PARA USTED.
LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI
NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE
PARA PAGAR TAL SERVICIO, VAYA EN PERSONA 0 LLAME POR
TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA
ESCRITAABAJO PARAAVERIGUAR DONDE LISTED PUEDE
CONSEGUIR ASISTENCIA LEGAL.
Cumberland County Bar Association
32 S. Bedford Street
Carlisle, PA 17013
(717) 249-3166
(800) 990-9108
PAUL F. D'EMILIO, ESQUIRE
ATTORNEY I. D. #16654
PAUL M. SCHOFIELD, JR., ESQUIRE
ATTORNEY I.D. #81894
905 W. SPROUL ROAD, SUITE 105
SPRINGFIELD, PA 19064
(610) 338-0338
THIS IS AN ARBITRATION MATTER
ATTORNEY FOR PLAINTIFF
STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY AS SUBROGEE OF
KEVIN L. KAUFFMAN
112 E. WASHINGTON STREET DTB 8
BLOOMINGTON, IL 61701
VS.
COMMON PLEAS COURT OF
CUMBERLAND COUNTY
NO. D 9- 75G ?Pu? ??"?`
BENAKA INC.
7 LAWRENCE STREET CIVIL ACTION
NEW BRUNSWICK. NJ 08901
NOTICE UNDER THE FAIR DEBT COLLECTION PRACTICES ACT,
15 U.S.C. §1601 (AS AMENDED)
THE PENNSYLVANIA UNFAIR TRADE PRACTICES ACT
AND CONSUMER PROTECTION LAW,
73 PA.CON.STAT.ANN. §201, ET. SEQ. ("THE ACTS")
IN AS MUCH AS THE ACTS MAY APPLY, PLEASE BE ADVISED
THAT THIS COMMUNICATION IS FROM A DEBT COLLECTOR.
THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY
INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.
COMPLAINT
The Plaintiff, State Farm Mutual Automobile Insurance Company, by its attorney
Paul F. D'Emilio, Esquire, bring this action upon a cause whereof the following is a
statement:
1. The Plaintiff, State Farm Mutual Automobile Insurance Company, ("Plaintiff') is a
Corporation authorized to do business in the Commonwealth of Pennsylvania, with a
address of 112 E. Washington Street, DTB 8, Bloomington, IL 61701.
Plaintiff brings this action as subrogee of Kevin L. Kauffman, ("Insured") under a
policy of insurance issued by Plaintiff.
2. Defendant, Benaka Inc. is a corporation, organized and existing under the laws
of New Jersey, with its principal place of business at 7 Lawrence Street, New
Brunswick, NJ 08901.
3. At all times hereinafter mentioned Defendant acted through their agents,
servants, workmen and employees them and there engaged in the business of the
Defendant within the course and scope of their employment.
4. On or about April 24, 2009, Defendant's agents, servants, workmen and
employees were working on a roof and spraying adhesive at the Navy Base North End
of Building 313, Mechanicsburg, Pennsylvania when they over sprayed causing
damages to Plaintiffs Insured's vehicle and causing damages hereinafter set forth.
5. Plaintiff avers that the personal property of the Insured was damaged as a result
of the occurrence hereinbefore mentioned, the reasonable costs of repairs thereto
being is Seven Thousand Forty Eight and 32/100 ($7,048.32) Dollars plus the cost of
a rental vehicle being Six Hundred and 00/100 ($600.00) Dollars for a total of Seven
Thousand Six Hundred Forty Eight and 32/100 ($7,648.32) Dollars. A true and
correct copy of the estimate and rental bill is attached hereto, made part hereof and
marked Exhibit "A."
6. The occurrence referred to above, damage and loss of Insured were the result of
negligence, carelessness and/or the negligent acts or omissions of Defendant and its
agents, servants, workmen, and/or employees. Said negligence included without
limitation are the following:
a. Carelessly and negligently failed to follow the appropriate steps to contain
any over-spray;
b. Carelessly and negligently failed to properly protect vehicles from over-
pray;
C. Carelessly and negligently failed to expose vehicles of hazards associated
with said adhesive; and
d. Otherwise failed to use due care under the circumstances.
WHEREFORE, Plaintiff demands judgment against the Defendants upon each
count in an amount not in excess of Fifty Thousand and 00/100 ($50,000.00) dollars
together with costs of suit.
Paul F. D'Emilio, Esquire
Identification No.: 16654
e-mail address: pauld@demiliolaw.com
/" ral M. Schofield, Jr., Esquire
Identification No.: 81894
e-mail address: pauls@demiliolaw.com
905 W. Sproul Road, Suite 105
Springfield, PA 19064
Telephone No.: 610-338-0338
Fax No.: 610-338-0303
10/12/2009 MON B-25 FAX 610 338 0303 Law Off. Of Paul D' Emilio 14006/007
VERIFICATION
, Subrogation Representative with-State-Farm Mutual
Automobile Insurance Company in the above captioned matter verifies that the facts
contained in the foregoing Complaint are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
DATE: /D -) 0 Dq
07/06/2009 AT 11:18 AM JOB NUMBER: 3078
34360
MAJOR'S SELECT COLLISION CENTERS
FEDERAL ID #:251871655
QUALITY COLLIISSIOON REPPAAIRDAND REFINISHING
MECHANICSBURG, PA 17055
(717)766-4461 FAX: (717)766-4194
SUPPLEMENT OF RECORD 2 WITH SUMMARY
WRITTEN BY: LEE CADWALLADER #180979 07/06/2009 11:15 AM
ADJUSTER: CAITLIN RODGERS
INSURED: KEVIN KAUFFMAN CLAIM #38-L696-27101
OWNER: KEVIN KAUFFMAN POLICY #
ADDRESS: 2223 BRIGADE RD DEDUCTIBLE:
ENOLA, PA 17025-1471 DATE TE OF LOSS: COMPREHENSIVE 12:00 AM
EVENING: (717)805-2487 POINT OF IMPACT:
DAY: (717)605-7821
INSPECT MAJOR'S SELECT COLLISION CENTERS BUSINESS: (717)766-4461
LOCATION: 269 MULBERRY DRIVE
MECHANICSBURG, PA 17055
INSURANCE STATE FARM INSURANCE COMPANIES DAYS TO REPAIR
COMPANY: ONE STATE FARM DRIVE
CONCORDVILLE, PA 19339
VEHICLE DROP OFF PROMISE DATE:06/22/20095/26/REPAIR COMPLETION START DATED06/26/20092009
VEHICLE PICK UP/RETURN DATE:06/26/2009
Exhibit "A"
07/06/2009 AT 11:18 AM JOB NUMBER: 3078
34360
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-FI 2D CNVT BLUE INT:TAN
___ _______ __________ ___________
NO. OP. DESCRIPTION
------------- _........... _________
QTY EXT.
......... _____________
PRICE LABOR
........... _________
PAINT
-- ----
4 -----
S01 ------ -
FRONT BUMPER
0 3
0
5 S01 REPL ADD FOR H'LAMP WASHER 1 5* 2.8
N 6* S02 RPR BUMPER COVER W/HEADLAMP WASHER . 1
1
7 S01 ADD FOR CLEAR COAT .
8 Sol
G 3
3
9 SOl BUMPER ASSY
O/H
L
.
*
10* S01 R&I GRILLE .
INC
11 SOl FRONT LAMPS 0
3*
12* S01 R&I RT HEADLAMP ASSY .
3*
0
13* S01 R&I LT HEADLAMP ASSY .
1*
0 0.2
14* S01 RPR RT WASHER NOZZLE DARK BLUE .
* 2
0
15* S01 REP. LT WASHER NOZZLE DARK BLUE 0.1 .
16 SOl HOOD 2,p+ 3.2
N 17* S02 RPR HOOD 1
0
18 S01 R&I SEAL AIR INTAKE DUCT .
0
3
19 SOl R&I FRONT MOLDING .
20 S01 FENDER 1.0* 2.2
N 21* S02 RPR RT FENDER -0 4
22 S01 OVERLAP MAJOR ADJ. PANEL 1 0* 2 2
N 23* S02 RPR LT FENDER -0 4
24 S01 OVERLAP MAJOR ADJ. PANEL
25
S01
R&I
RT FENDER LINER INCL
26
S01
R&I
LT FENDER LINER INCL.
27 S01 WINDSHIELD 0
4
28 S02 REPL GLASS LEXUS 3
1
877 .
.62
29*
S02
SUBL
GLASS LEXUS 3
1 .75*
INCL.
30 SOl R&I RT SIDE MOLDING INCL
31 SOl R&I LT SIDE MOLDING INCL
32
Sol
R&I
UPPER MOLDING .
3
0
33 S01 R&I RT WASHER NOZZLE DARK BLUE .
3
0
34 S01 R&I LT WASHER NOZZLE DARK BLUE .
35 S02 ELECTRICAL 1 148 5
00* M 0
36* S02 REPL BATTERY .
.
37 SOl ROOF 4
0
38 S01 R&I HEADLINER ECRU .
39 SOl REPL RT CORNER TRIM 1 23 .55
40 S01 RETRACTABLE TOP 0
3
41 SOl R&I REAR HEADER .
4
0
42 S01 R&I RT UPPER QTR TRIM .
0
4
43 S01 R&I LT UPPER QTR TRIM .
44
S01
R&I
RT SIDE TRIM FRONT 0.3
3
0
45 S01 R&I LT SIDE TRIM FRONT .
46*
S01
SUBL
BACK GLASS LEXUS 1 93 .75*
47 S01 PILLARS, ROCKER & FLOOR 1
0* 1
3
N 48* S02 RPR RT ROCKER MOLDING DARK BLUE .
* .
1
3
N 49* S02 RPR LT ROCKER MOLDING DARK BLUE 1.0 .
50
S01
R&I
RT ROCKER MOLDING DARK BLUE 0.5
51
SOl
R&I
LT ROCKER MOLDING DARK BLUE 0.5
2002 LEXU SC 430 8-4.3L-Fl 2D CNVT BLUE INT:TAN
PA PROD
DATE
: 04/2002 ODOMETER: 52802
VIN: JTHFN48Y620029520 LIC
AUTOMATIC TRANSMISSION : GBL6962
OVERDRIVE TRACTION CONTROL
POWER DRIVER SEAT POWER PASSENGER SEAT BUCKET SEATS
POWER STEERING
LEATHER SEATS HEATED SEATS
TELESCOPIC WHEEL STEERING WHEEL CONTROLS
TILT WHEEL
POWER BRAKES 4 WHEEL DISC BRAKES ANTI-LOCK BRAKES (4)
REAR DEFOGGER POWER WINDOWS ALUMINUM/ALLOY WHEELS
AM RADIO FM RADIO STEREO
CD CHANGER/STALKER
SEARCH/SEEK CD PLAYER
POWER TRUNK/TAILGATE AIR CONDITIONING
POWER LOCKS
CRUISE CONTROL DRIVER AIR BAG PASSENGER AIR BAG
FRONT SIDE IMPACT AIR BAG CONSOLS/STORAGE WOOD INTERIOR TRIM
POWER MIRRORS KEYLESS REONTRY CLEAR COAT PAINT
FOG LAMPS
_________
____
___________________________
__________________________
NO. OP. _____________
DESCRIPTION QTY EXT. PRICE LABOR PAINT
-------------------------------------
1# SOl ATTEMPTED REPAIRES CLAY BAR,
1
8.0
WET SAND, AND BUFF
N 2# REFINISHING SUPPLYS 1 45.00 0
3
3# PRE WASH .
07/06/2009 AT 11:18 AM
34360
JOB NUMBER: 3078
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-FI 2D CNVT BLUE INT:TAN
__ _____
NO. __
OP. __________ ________
DESCRIPTION __ __________________
QTY EXT. _PRICE_LABOR ..
________________ _________
. PAINT
_____
_ ____
52* SOl _____
R&I __________________
RT W/S PILLAR TRIM INCL.
53 S01 R&I LT W/S PILLAR TRIM INCL.
54 S01 DOOR 1
0* 2.1
N 55* S02 RPR RT DOOR SHELL .
-
0 4
4
56 SOS OVERLAP MAJOR ADJ. PANEL *
N 57* S02 RPR IT DOOR SHELL 1.0 2.
4
-0
58 SOl OVERLAP MAJOR ADJ. PANEL * .
59* S01 R&I RT ACCESS COVER 0.1
1*
0
60* S01 R&I IT ACCESS COVER .
0
3
61 SOl R&I RT MIRROR FILLER .
3
0
62 S01
63 S01 R&I
REPL LT MIRROR FILLER
RT BELT W'STRIP 1 89.66 .
0.3
64 S01 REPL LT BELT W'STRIP 1 89.66 0.3
5*
0
1
0
N 65* S02 RPR RT MIRROR ASSY DARK BLUE .
5*
0 .
0
1
N 66* S02 RPR LT MIRROR ASSY DARK BLUE .
5
0 .
67 S01 R&I RT R&I OUTSIDE HANDLE .
68 SOl R&I LT R&I OUTSIDE HANDLE 0.5
69 S01 R&I RT R&I TRIM PANEL 0.5
70 S01 R&I LT R&I TRIM PANEL 0.5
71* S02 R&I RT REAR COVER DARK BLUE 0.5*
72 S02 REFN RT REAR COVER DARK BLUE 0.5
73 S02 OVERLAP MINOR PANEL -0.2
74* S02 R&I LT REAR COVER DARK BLUE 0.5*
0
5
75 S02 REFN LT REAR COVER DARK BLUE .
76 S02 OVERLAP MINOR PANEL -0.2
77 S0l QUARTER PANEL
5*
1
2.5
N 78* S02 RPR RT QUARTER PANEL . 4
-0
79 S01 OVERLAP MAJOR ADJ. PANEL 1
5* .
2
5
N 80* S02 RPR LT QUARTER PANEL . .
4
-0
81 SOl OVERLAP MAJOR ADJ. PANEL .
82 S01 R&I RT WEATHERSTRIP 0.2
2
0
83 SOl R&I IT WEATHERSTRIP .
0
5
84 S01 R&I FUEL DOOR .
0.2* 0.3
N 85* S02 RPR FUEL DOOR
' 1 49
45 0.2
86 SOl STRIP
REPL RT BELT W
' .
45
1 49 0.2
87 S01
88 SOl REEL STRIP
LT BELT W
REAR BODY & FLOOR . 5
0
89 S01 R&I PACKAGE TRAY BLACK .
0
3
90 S01 R&I UNDER COVER .
1
0
91 S01 R&I RT COVER EXTN BLACK .
0
1
92 SOl R&I LT COVER EXTN BLACK .
93 SOl R&I FRONT TRIM 0.3
1
0
94 SOl R&I RT SIDE TRIM .
1
0
95 S01 R&I LT SIDE TRIM .
2
4
96 S01 O/H BUMPER ASSY .
INCL
97 S01 R&I REAR PANEL TRIM .
1
0
98 S01 R&I RT SIDE COVER .
1
0
99 S01 R&I LT SIDE COVER .
07/06/2009 AT 11:18 AM JOB NUMBER: 3078
34360
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 B-4.3L-FI 2D CNVT BLUE INT:TAN
__________ __________
ESCRIPTION _ __________________
LABOR
PRICE
QTY EXT. _________
PAINT
NO. OP. D
------ _
- ________---- ..
_
- ----- ...
.
_____
-----------
100 S01 -----
R&I -------------------------
RT SIDE TRIM PANEL INCL.
INCL
101 S01 R&I LT SIDE TRIM PANEL .
2
0
102 S01 R&I COVER TOOL BOX .
2
0
103 S01 R&I REAR COVER W/RUN FLAT TIRES .
INCL.
104 S01 R&I REAR SILL PLATE 0.1
105 S01 R&I JACK ASSY 1 3
0
106# SO1 D&R REAR BODY WIRING .
107 Sol TRUNK LID 1 61.11 0.2
108 Sol REPL EMBLEM 1 5* 2 4
N 109* S02 RPR TRUNK LID W/O SPOILER -0
4
110 Sol OVERLAP MAJOR ADJ. PANEL 5
0 .
111# Sol REMOVE OLD ADHESIVE TAPE ON 1 .
112 S01
REPL DECK LID
NAMEPLATE "LEXUS"
1 28.73
0.2
113 S01 REPL NAMEPLATE "SC" 1 19.17 0.2
2
0
114 S01 REPL NAMEPLATE "430" 1 22.10 .
0
1
115 S01 R&I SPOILER DARK BLUE .
5*
0 1.2
N 116* S02 RPR SPOILER DARK BLUE 1 .
0.3
117# S01 CLEAN AND RETAPE SPOILER 4
0
118 S01 R&I TRUNK LID TRIM .
119 Sol REAR LAMPS 0.3
120 S01 R&I RT TAIL LAMP 0.3
121 Sol R&I IT TAIL LAMP INCL.
122 Sol R&I RT BACKUP LAMP INCL.
123 Sol R&I IT BACKUP LAMP INCL
124 S01
R&I
RT LICENSE LAMP .
INCL
125 S01
R&I
IT LICENSE LAMP .
5
0
126 S01 R&I HIGH MOUNT LAMP BEIGE 0
2x
. 0.3
N 127* S02 RPR HIGH MOUNT LAMP BEIGE , 2 5
128 S01 CLEAR COAT
129 Sol REAR BUMPER 1
5* 3.0
N 130* S02 RPR BUMPER COVER . 1 2
131 S01 ADD FOR CLEAR COAT
132# S02
WASH AND VACUUM 1
00
1 8
133# S02 FLEX AGENT .
4 4
7
56
N 134# S02 REPL PUSH CLIPS . 1.5
135# S02 DENIB
136# S02 AUTHORIZATION TO SECURE FINAL
______ 1
_____ __
___ _
_________
SUBTOTALS 1702.56 55.2 35.9
LINE 2 SUPPLYS INCLUDS CLAY BAR, BUFFING COMPOUND, SWIRL REMOVER, GLAZE.
LINE 6 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 17 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 21 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LINE 23 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 48 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LINE 49 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
07/06/2009 AT 11:18 AM JOB NUMBER: 3078
34360
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-FI 2D CNVT BLUE INT:TAN
ANY PERSON WGLICATION FOR INSURANCE OR STATEMENTT OFCCLAIMPANY OR
PURPOSE OF
CONTAINING OR PERSON FILES AN APP
AINFORMATION MATERIALLY CONCERNING INFORMATION ANY FACT MATERIAL LT THERETO T COMMITS A
MISLEADING,
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL
AND CIVIL PENALTIES.
THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO
IDED
DESCRIBE
D-DIAGNOSTIC R EELECTCRDCD-ADF FSCRAME
=APPROXIMATE E PRDONE ICE BR BODY PARTS LABOR BE REPAIRED
PART A
G=GLASS M=MECHANICAL P:PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON
TAXED MISCELLANEOUS ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND
CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONECT AND RECONNECT
EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED
LINE
ILON QUAL RECYNQUALJITYNRECYCLED PARTL QUAL OP-OPERATION REPQUALITY
NUMBER QTY=QUANTITY
REPLACEMENT PART COP REPL PARTS=COMPETITIVE REPLACEMENT PARTS
RECOD=RECONDITION REFN=REFINISH REPL-REPLACE R&I=REMOVE AND INSTALL
R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT
W/O=WITHOUT W/_ WITH/ . -=DATALINE BASE ENTRY WITH AFTEIRMARKET DATABASE
INFORMATION WAS "h]
TO LINE NAGS=NATIONAL IONAL AUTO GLASS SPECIFICATIONS. MQVP=MANUFACTURER'S QUALITY
PARTS EITHER
AND OPTIONALLY TI SOURCED OR OTHERWISE OEM=ORIGINAL PROVDEED WITH EQUIPMENT SOME EU UNIQUE PRICING OR
DISCOUNT. NWCPP=NATIONWIDE CRASH PARTS PROGRAM.
E
THE ATTACHED STE VEHICCLE NOTED AT APPRAISAL THE TIME F OFH INSPECTION NECESSARY TO
VISIBLE DAMAGE TO TH
PRAISED
RETURN THE OUNT MAY BE VEHICLE THE RESTO ITS PONSIBILITYA OF D THCONDITION. COST E VEHICLE OWNERS ABOVE THERE THE IS NO
REQUIREMENT THAT THE VEHICLE OWNER USE ANY SPECIFIED REPAIR SHOP. INFORMATION
AM
REGARDING REPAIR FACILITIES RICH WILL BE ABLE TO REPAIR THE VEHICLE FOR THE
APPRAISED SPECIFIED, THEY AMOUNT ARIS AVAILABLE E REQUIREDD TO R BE OF E LIINSURANCE KE KIND USED PARTS BEINGS
REPLACED. INCIDENTAL CHARGES SUCH AS TOWING, PROTECTIVE CARE, CUSTODY,
STORAGE, DEPRECIATION, BATTERY AND TIRE REPLACEMENT ARE NOTED WHEN APPLICABLE.
07/06/2009 AT 11:18 AM
34360
JOB NUMBER: 3078
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-FI 2D CNVT BLUE INT:TAN
LINE 55 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 57 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LINE 65 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 66 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LINE 78 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LINE 80 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 85 RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 109: RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LIE 116: RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LINE 127: RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE EAN COAL
LINE 130: RPR TIME IS NEEDED TO REMOVE ETCHING MARK LEFT IN THE CLEAN COAL
LINE 134: IN HOUSE KENT
ESTIMATE NOTES:
CUSTOMER DROPD OFF 5/26 FOR US TO DO SOME TESTS ON AND THEN START REPAIRS
WET CLAYBAR DANSAND AND BUFF DONE D BUFFED CLEAR STILL PRINTED HAD DAN COONS F LOBUT CLEAR OK AT ANDREEED
CHECKED MIL THICKNESS TOO THIN ON CLEAR NEEDS REPAINTED
PARTS
BODY LABOR
55.2 MRS
®$
44.00/HR 1702.
2428. 56
80
LA
PAINT BOR 35.9 MRS 44 .00/HR 1
SUPPLIES
PAINT 39.1 RS
__ ®$
_ _ _ 24.00/HR
___ 938.
_____ 40
__
__________________
SUBTOTAL ________ _ _ _ $ 6649. 36
SALES TAX $ 6649.
_______ 36
___ 0 6.0000&
__ 398.
_____ 96
__
__________________
GRAND TOTAL ______ $ 7048. 32
ADJUSTMENTS: 0 00
DEDUCTIBLE
--
---
----------
------ .
--
------------------
CUSTOMER PAY ----------- $
$ 0
7048 .00
32
INSURANCE PAY .
*xxxxx -x WARRANTY>*xx*x***** MAJOR'S BODY SHOP, INC. AGREES TO
PERFORM REPAIRS TO YOUR VEHICLE THAT SERVE TO RESTORE THE DAMAGED AREAS TO
PRE-ACCIDENT CONDITION IN TERMS OF SAFETY, FUNCTION AND APPEARANCE. THIS
LIMITED LIFETIME WARRANTY IS FOR AS LONG AS YOU OWN YOUR CAR. OTHER PARTS AND YOUR WILLSUPPLMATCHIER OURIPAINTYSYSTEMRHA ISNAAELIFETIMESWARRRAONTY. GASKAFOREFUR ERPAINT
DETAILS.
THIS IS AN ESTIMATE ONLY. ADDITIONAL DAMAGE MAY BE FOUND ONCE REPAIRS ARE
STARTED. SHOP MUST NOTIFY OWNER OF ADDITIONAL PARTS OR LABOR REQUIRED. IT IS
PARTS, RESPONSIBILITY
THE
INCN INCREASES I AND LABOR. SHOP VEHICLE IS OWNER OT RESPONSIBLE FORTADDITIONALL COSPARTS
PRICE .
07/06/2009 AT 11:18 AM
34360
JOB NUMBER: 3078
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-Fl 2D CNVT BLUE INT:TAN
ITEMS ARE DERIVED FROM RTHEAGUIDE ESTIMATING GUIDE. 000 DATA DATE 06/01/2009, AND THE
PARTS SELECTED ARE OEM-PARTS MANUFACTURED BY THE VEHICLES ORIGINAL EQUIPMENT
MANUFACTURER. OEM PARTS ARE AVAILABLE AT OE/VEHICLE DEALERSHIPS. OPT OEM
(OPTIONAL OEM) OR ALT OEM (ALTERNATIVE OEM) PARTS ARE OEM PARTS THAT MAY BE
PROVIDED BY OR TROUGH ALTERNATE SOURCES OTHER THAN THE OEM VEHICLE
DEALERSHIPS. OPT OEM OR ALT OEM PARTS MAY REFLECT SOME SPECIFIC, SPECIAL, OR
UNIQUE PRICING OR DISCOUNT. OPT OEM OR ALT OEM PARTS MAY INCLUDE "BLEMISHED"
AND/OR S LABOR ASTERISK
THE L PARTSDEALERSHIPS.
PARTS PROVIDED O**D) S INDTHROUGH OEM ICATES THATVEHICLE
R
INFORMATION
DOUBLE ASTERISK (
PROVIDED BY MOTOR MAY HAVE BEEN MODIFIED OR MAY HAVE COME FROM AN ALTERNATE
DATA SOURCE. TILDE SIGN (-) ITEMS INDICATE MOTOR NOT-INCLUDED LABOR
OPERATIONS. NON-ORIGINAL EQUIPMENT MANUFACTURER AFTERMARKET PARTS ARE
DESCRIBED AS AM, QUAL REPL PARTS OR COMP REPL PARTS WHICH STANDS FOR
COMPETITIVE REPLACEMENT PARTS. USED PARTS ARE DESCRIBED AS LKQ, QUAL RECY
PARTS, RCY, OR USED. RECONDITIONED PARTS ARE DESCRIBED AS RECOND. RECORED
PARTS ARE DESCRIBED AS RECORE. NAGS PART NUMBERS AND BENCHMARK PRICES ARE
PROVIDED BY NATIONAL AUTO GLASS SPECIFICATIONS. LABOR OPERATION TIMES LISTED
ON THE LIE WITH THE NAGS INFORMATION ARE MOTOR SUGGESTED LABOR OPERATION
TIES. NAGS LABOR OPERATION TIMES ARE NOT INCLUDED. POUND SIGN (#) ITEMS
INDICATE MANUAL ENTRIES. SOME 2009 VEHICLES CONTAIN MINOR CHANGES FROM THE
PREVIOUS YEAR. FOR THOSE VEHICLES, PRIOR TO RECEIVING UPDATED DATA FROM THE
VEHICLE MANUFACTURER, LABOR AND PARTS DATA FROM THE PREVIOUS YEAR MAY BE USED.
THE PATHWAYS ESTIMATOR HAS A COMPLETE LIST OF APPLICABLE VEHICLES. PARTS
NUMBERS AND PRICES SHOULD BE CONFIRMED WITH THE LOCAL DEALERSHIP.
CCC PATHWAYS - A PRODUCT OF CCC INFORMATION SERVICES INC.
07/06/2009 AT 11:18 AM JOB NUMBER: 3078
34360 SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-Fl 2D CNVT BLUE INT:TAN
DEFRA
ANY WHO
NSURAN O EREPERSON FILESWANGAPPLICATION FORDINSURANCE OR S AT IEMENT OFCCLAIMPANY OR
INFORMATIN MATERIALLY CON CONCERNING ANY FACT MATfi IAL THERETO COMMITS AE OF
MMIISLAEADING, ANY
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON O CRIMINAL
AND CIVIL PENALTIES.
THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO
DESCRIBE WORK TO BE DONE OR PARTS O BE REPAIRED OR REPLACD:D=DISCONTINUED
PART A=APPROXIMATE PRICE B=BODY LABOR D=DIAGNOSTIC E-ELECTRICAL F=FRAME
G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON
TAXED MISCELLANEOUS ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND
CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT INCL=I MISCEST=ESTIMA.MISCETLLANEOUSE EXT. OP OPERATION NONLIMEED
REPLACEMENT Q PART I COMP U REPLE PARTS=COMPETITIVE REPLACEMENT PARTS QUALITY
RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL
R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT
W/O=WITHOUT W/ WITH/ #=MANUAL LINE ENTRY --OTHER [IE..MOTORS DATABASE
INFORMATION WAS CHANG$DI. —-DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED
O LINE NAGS-NATIONAL AUTO GLASS SPECIFICATIONS. MQVP=MANUFACTOER'S QUALITY
OTHERWISE R PROVIDED WITH EQUIPMENT SOME UNIQUUEE PRICINGTOREITHER
AND OPTIVONALLYTI SOURCED PROGRAM.OPT
DISCOUNT. NWCPP=NATIONWIDE CRASH PARTS PROGRAM. ATTACHED
COST OF RE
FOR VISIBLE DAMAGESTO THE VEHICLE NOTED ATPTHESTIMEFOFHINSPECTION NECESSARY TOE
RETURN THE VEHICLE TO ITS PREDAMAGED CONDITION. COSTS ABOVE THE APPRAISED
AMOUNT MAY BE THE RESPONSIBILITY OF THE VEHICLE OWNER. THERE IS NO
REQUIREMENT THAT THE VEHICLE OWNER USE ANY SPECIFIED REPAIR SHOP. INFORMATION
REGARDING REPAIR FACILITIES WHICH WILL BE ABLE O REPAIR THE VEHICLE FOR THE
APPRAISED AMOUNT IS AVAILABLE FROM THE INSURANCE COMPANY. IF USED PARTS ARE
SPECIFIED, THEY ARE REQUIRED O BE OF LIKE KIND AND QUALITY TO THOSE BEING
REPLACED. INCIDENTAL CHARGES SUCH AS TOWING, PROTECTIVE CARE, CUSTODY,
STORAGE, DEPRECIATION, BATTERY AND TIRE REPLACEMENT ARE NOTED WHEN APPLICABLE.
10
07/06/2009 AT 11:18 AM
34360
JOB NUMBER: 3078
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-FI 2D CNVT BLUE INT:TAN
ESTIMATE BASED ON MOTOR CRASH ESTIMATING GUIDE. UNLESS OTHERWISE NOTED ALL
ITEMS ARE DERIVED FROM THE GUIDE ARB8935, CCC DATA DATE 06/01/2009, AND THE
PARTS SELECTED ARE OEM-PARTS MANUFACTURED BY THE VEHICLES ORIGINAL EQUIPMENT
MANUFACTURER. OEM PARTS ARE AVAILABLE AT OE/VEHICLE DEALERSHIPS. OPT OEM OEM)
PARTS
OEM
ALT
THAT (OPTPROVIDED BYpOR TTHROUGH( ALTERNATEVSOURCESPOTHHERATHAN THE OEM VEHICLEY BE
DEALERSHIPS. OPT OEM OR ALT OEM PARTS MAY REFLECT SOME SPECIFIC, SPECIAL, OR
UNIQUE PRICING OR DISCOUNT. OPT OEM OR ALT OEM PARTS MAY INCLUDE "BLEMISHED"
PARTS
THROUGH OEM DOUBLEOASVIDED BY TERISK O(-*)SINDICATES THAT VEHIE: PARTSLAND/ORSLABORTINFORMATIONR HAVE
14AY HAVE
FROM PROVDATA SOURCER MAYLDE SIGNS((--)MITEMSEINDICATE MOTORCNOT- NCLUDD?LABORATE ArrmzmAR ODHESCCRIBED ASNAM,OQUALNREELQPARTSS ORMCOMPARS LEPARTSS WHICH STANDSSFORE
COMPETITIVE REPLACEMENT PARTS. USED PARTS ARE DESCRIBED AS LKQ, QUAL RECY
PARTS,
PARTS ARE DESCRIBED AS RECONDITIONED NAGS PART NUMBERSRANDDBEENNCHMARRKDPRICES ARE
PROVIDED BY NATIONAL AUTO GLASS SPECIFICATIONS. LABOR OPERATION TIMES LISTED
ON THE LINE WITH THE NAGS INFORMATION ARE MOOR SUGGESTED LABOR OPERATION
TIMES. NAGS LABOR OPERATION TIMES ARE NOT INCLUDED. POUND SIGN (#) ITEMS
INDICATE MANUAL ENTRIES. SOME 2009 VEHICLES CONTAIN MINOR CHANGES FROM THE
PREVIOUS YEAR. FOR THOSE VEHICLES, PRIOR TO RECEIVING UPDATED DATA FROM THE
VEHICLE MANUFACTURER, LABOR AND PARTS DATA FROM THE PREVIOUS YEAR MAY BE USED.
PRICES SHOULD BE CONFIRMED WITHPTHEC APPLICABLE VEHICLES. PARTS
THE NNUMBEASS AND ESTIMATOR
CCC PATHWAYS - A PRODUCT OF CCC INFORMATION SERVICES INC.
11
Rental Invoice
07/06/2009 AT 11:18 AM
34360
ALTERNATE PARTS USAGE
AFTERMARKET PARTS
AFTERMARKET SELECTION METHOD: AUTOMATICALLY LIST
NO. OF TIMES USER WAS NOTIFIED THAT AN AFTERMARKET PART WAS AVAILABLE:
OPTIONAL OEM PARTS
OPTIONAL OEM SELECTION METHOD: MANUALLY LIST
NO. OF TIMES USER WAS NOTIFIED THAT AN OPTIONAL OEM PART WAS AVAILABLE:
RECONDITIONED PARTS
RECONDITIONED SELECTION METHOD: MANUALLY LIST
NO. OF TIMES USER WAS NOTIFIED THAT A RECONDITIONED PART WAS AVAILABLE:
JOB NUMBER: 3078
SUPPLEMENT OF RECORD 2 WITH SUMMARY
2002 LEXU SC 430 8-4.3L-Fl 2D CNVT BLUE INT:TAN
NO.. OF AFTERMARKET PARTS THAT APPEAR IN THE FINAL ESTIMATE:
NO. OF OPTIONAL OEM PARTS THAT APPEAR IN THE FINAL ESTIMATE:
NO. OF RECONDITIONED PARTS THAT APPEAR IN THE FINAL ESTIMATE:
RECYCLED PARTS
NO. OF TIMES USER WAS NOTIFIED THAT A RECYCLED PART WAS AVAILABLE:
NO. OF RECYCLED PARTS THAT APPEAR IN THE FINAL ESTIMATE:
Rental vendor MkINNINA000 Detail ,
1W-Pd- r(570C)
A
CAR
RENT
Daeefle11o1r Rab Amount
-
-
ENTERPRISE
MECHANICSBURG. PA 17050 25,55 53720
717.691-0390 24 DAYSG 19.99 159.92
5 DATSa 2.00 64.00
W PTATAX
1 VRT 2.00 12.45
1 SALESTAX 5.00 37.34
nw- hNformetlat
Cblm Nu "' 35L59 271
In-.d Name: KAUFFMAN. KEVIN ToblTkbt CNarpes: $910.91
136
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RsrlMr Nona: KAUFFMAN, KEVIN TOM AmWM R*Owmd:
.
$
171.73
5
Driver Name:
Dab of Lose: 042412009 Tdd NOW W ON—
Told Amount Due: 5690.00
Rental InrormeUOn
ttteM Itdortttetlon
pi?
BIN Spn : 031252009 Tex Ms^nkww is 284525440
8111 EN Date: 06252009 Rems To Adreee: 2625 MARKET PLACE
HARRISBURG
HARRISBURG. PA 17110
Imoioe Number: 570CD0084a1
Group mncn Laotbn: 5799
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