HomeMy WebLinkAbout13-1805 t
Supreme Co nusylvania W R # 09820950 C Y Jer DKM
Cou Co�nmo eas
ForProthaaomy Use Only:
CUMBERi Docket No:
r County
The information collected on this form is used solely for court administration purposes. Ibis form does not
supplement or replace the filing and sem1ce of'pleadings or- other papers as required by law or rules of court.
Commencement of Action:
S IN Complaint ❑ Writ of Summons ❑ Petition
E Transfer from Another Jurisdiction Declaration of Takin
C Lead Plaintiff's Name: Lead Defendant's Name:
T PROGRESSIVE ADVANCED INSt);LAOC C C GUER M APONTE
I
O `` Are money damages requested? ® Yes ❑ No Dollar Amount Requested: ® within arbitration limits
N (check one) ❑ outside arbitration limits
Is this a Class Action Suit? ❑ Yes li No Is this an MDJ Appeal? ❑ Yes W No
A
Name of Plaintiff /Appellant's Attorney: Benjamin W. Lawrence,209032
❑ Check here if you have no attorney (are a Self - Represented [Pro Se] Litigant)
Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your
PRIMARY CASE. If you are making more than one type of claim, check the one that
you consider most important.
TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS
❑ Intentional ❑ Buyer Protection Administrative Agencies
❑ Malicious Prosecution ❑ Debt Collection: Credit Card ❑ Board of Assessment
❑ Motor Vehicle ❑ Debt Collection: Other ❑ Board of Elections
❑ Nuisance ❑ Dept. of Transportation
S ❑ Premises Liability ❑ Statutory Appeal: Other
E
[3 Product Liability (does not include [3 Employment Dispute
Mass tort) Discrimination
C ❑ Slander/Libel/Defamation ❑ Employment Dispute: Other ❑ Zoning Board
'I' —4t-Other: ❑ Other:
I wvi n ❑ Other:
0
N MASS TORT
❑ Asbestos
B ❑ Tobacco REAL PROPERTY MISCELLANEOUS
❑ Toxic Tort - DES ❑ Ejectment ❑ Common Law /Statutory Arbitration
❑ Toxic Tort — Implant ❑ Eminent Domain/Condemnation ❑ Declaratory Judgment
❑ Toxic Waste ❑ Ground Rent ❑ Mandamus
❑ Other: ❑ Landlord/Tenant Dispute ❑ Non - Domestic Relations
❑ Mortgage Foreclosure: Residential Retraining Order
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❑ Partition ❑ Replevin
PROFESSIONAL LIABILITY ❑ Quiet Title ❑ Other:
❑ Dental ❑ Other:
❑ Legal
❑ Medical
❑ Other Professional:
Updated 1/1/2011
WTICE
Po n eyWania Rule of
Rude 2855.5. Cover Sheet
(a)(1) This rule shall apply to all actions governed by the rules of civil p r o cedure ex ' OW he
following:
(i) actions pursuant to the Protection ftom Abuse Act, Mules 1901 et q.
(ii) actions for support, Rules 1910.1 et seq.
(iii) actions for cutely, paw custody and visitation of ViUQX 0WOPPApuilts
1915.1 et seq.
(iv) actions for divorce or annu of . , Rulies 1920.1 et seq.
(v) actions in domestic relations ger radY, inO pPruit3' aetims, ; *cs
1930.1 et seq.
(vi) voluntary me in ca ody a rm, s 1940.1 et seq.
(2) At the commencement of any i action, the -party initiating the action WWI, ' . late
the cover sheet set forth in subdivision (e) and file it with the prothonotary.
(b) The prothonotary shall not accept a filing arcing an action without a
completed cover sheet.
(c) The prothonotary shall assist a party appea-pro se in the completion of t1 form.
l
to
(d) A judicial district which has irnplementc an electronic fil system "O"",
Rule 205.4 and has promulgated those procedures pursuost. ,to Rule 239.9 shall be fivmi the
provisions of this rule.
(e) The Court Administrator of Permsylvama, in conjunction with the Civil Proceduml
Rules Committee, shall design and publish the cover sheet, The latest version of the form shall be
published on the website of the Administrative Office of p Wlv a Cou at www
i`
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
PROGRESSIVE ADVANCED INS OLA 4 Co
Plaintiff No: 1&6 l.iW[l Te
VS.
COMPLAINT IN CIVIL ACTION
GUER M APONTE
Defendant FILED ON BEHALF OF
Plaintiff
COUNSEL OF RECORD OF
THIS PARTY:
Benjamin W. Lawrence,209032
WELTMAN, WEINBERG & REIS CO., L.P.A.
325 CHESTNUT STREET SUITE 501
PHILADELPHIA, PA 19106 -2614
215- 599 -1500
FAX: 215- 599 -1505
09820950 C Y Jer DKM
f 03 75 PD ATT
at 1Ia4aDa
p
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
PROGRESSIVE ADVANCED INSfjg Ae4Ct CC
Plaintiff
VS. Civil Action No
GUER M APONTE
Defendant
COMPLAINT AND NOTICE TO DEFEND
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 an 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 b 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.
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 ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
LAWYER REFERRAL SERVICE
CUMBERLAND COUNTY BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249 -3166
WELTMAN, WEINBERG & REIS CO., L.P.A.
BY: Benjamin W. Lawrence, Esquire Attorney for Plaintiff(s)
Pa. Identification No.209032
325 Chestnut Street, Suite 501
Philadelphia, PA 19106
Phone: 215.599.1500
Fax: 215.599.1505
File #09820950
}
PROGRESSIVE ADVANCED }
INSURANCE COMPANY } Court of Common Pleas
} Cumberland County
}
}
vs. }
}
GUER M. APONTE } NO.
CIVIL ACTION — COMPLAINT
1. Plaintiff is a business organization licensed and authorized to conduct
business in the State of Ohio with a place of business located at 5920 Landerbrook
Drive, Mayfield Heights, Ohio 44124.
2. Defendant, Guer M. Aponte, is an adult individual who at all time pertinent
hereto resided at 8900 57th Avenue, College Park, Maryland 20740.
3. Progressive issued a policy of motor vehicle insurance whereby
Progressive agreed to insure the motor vehicle involved in this incident ( "Insured
Vehicle "), owned by Plaintiffs insured.
4. On or about July 14, 2012 Defendant was the owner and operator of a
motor vehicle which was illegally parked, creating a traffic hazard and causing a collision
with the Plaintiff Insured's vehicle at or near Market Street, Camp Hill, Pennsylvania.
5. The negligence and /or carelessness of the Defendant consisted of the
following:
a. Failing to have his motor vehicle under such control as the situation
warranted;
b. Operating his motor vehicle in complete disregard of the point and
position of Plaintiffs vehicle;
c. Failing to keep a proper lookout;
d. Failing to legally park his vehicle;
e. Disregarding traffic control devices;
f. Failing to abide by the Rules of the Road and the Motor Vehicle Code of
Pennsylvania;
g. Being otherwise negligent under the circumstances; and,
h. Being negligent as a matter of law as may be relevant through discovery
and/or at the time of trial.
6. As a direct and proximate result of Defendant's negligence, the
Progressive Insured's vehicle sustained property damage and /or incurred rental charges
in the total amount of $5,860.40. See attached as Exhibit 'T' a copy of the damage
documentation which documents Plaintiff further intends to introduce at the arbitration in
this matter.
7. Pursuant to the insurance policy issued by Progressive and as a result of
the aforesaid payment, Progressive became subrogated to the claim of its Insured
against Defendant.
WHEREFORE, Plaintiff demands Judgment against Defendant in the amount of
$5,860.40 plus interest and costs.
WELTMAN, WEINBERG & REIS, CO., L.P.A.
Benjamin W. Lawrence, Esquire
PA I. D. # 209032
325 Chestnut Street
Suite 501
Philadelphia, PA 19106
(215) 599 -1500
WWR#09820950
EXHIBIT 1
Claim Payment Detail Page 1 of l
Claim Payment Detail ( 12- 3132528 )
r--Payment Information
Disbursement Number: 766182791 Total Amount: $357.59
EFT Trace Number: Invoice Number:
Paid To: ENTERPRISE RENT -A -CAR
} Mailing Address: ENTERPRISE RENT -A -CAR
3950 HARTZDALE DR
CAMP HILL, PA 1 701 1 -7828
In Payment Of: ENTERPRISE RENT -A -CAR RENTAL INVOICE # 57PRD009338
-- -Vendor Information
Name: ENTERPRISE RENT... 1099 Required:
Type: GLASS SHOP
Reviewed Summary
Issuing Rep: A085656 Approved By:
Issue Date: 08 -05 -12 Review Date:
3 Last Updated Rep: A085656 Reviewed By:
Bank Information
Type: Loss Bank Code: CTB
" Stop Reason: Cleared: 08 -08 -12
Stop Date:
,—Exposure Detail: RENTAL
Parry Name: KENNEDY, CAROL Amount Paid: $357.59
Property Description: 08 HONDA CIVIC EX Deductible Taken: $0.00
i
Payment Type: FINAL PAYMENT Property Damage: $0.00
Rental: $357.59
http: / /cl ai mspayments web/ Bravo /ClaimsPaymentsWeb /default.aspx ?page= ClaimPaymen ... 10/15/2012
Claim Payment Detail Page 1 of 1.
Claim Payment Detail ( 12- 3132528 )
-- Payment Information
Disbursement Number: 766143826 Total Amount: $5,252.81 }
EFT Trace Number: 711221273 Invoice Number: 7012917 `
Paid To: BIKS AUTO COLLISION LLC
Mailing Address: 1101 BERRYHILL ST
HARRISBURG, PA 17104 USA
In Payment Of: Progressive Invoice Number: 7012917
r- Vendor Information
Name: 1099 Required: No
Type: 9
— Reviewed Summary
Issuing Rep: SDW0004 Approved By:
Issue Date: 07 -31 -12 Review Date:
Last Updated Rep: SDW0004 Reviewed By:
- Bank Information
Type: Loss Bank Code: CTS
Stop Reason: Cleared: 08 -01 -12
i
Stop Date:
r- Exposure Detail: COLL
Party Name: KENNEDY, CAROL Amount Paid: $5,252.81
Property Description: 08 HONDA CIVIC EX Deductible Taken: $250.00
Payment Type: FINAL PAYMENT Property Damage: $5,252.81
t
Rental: $0.00
http:// claimspaymentswebBravo /C`laimsPaymentsWeb /default.aspx ?page= ClaimPaymen... 10/15/2012
Date: 7127/2012 08:13 AM
Estimate ID: 12- 3132528 -01
Estimate Version: 2
Supplement: 1 (F F) 7/2312012 02:11:14 PM
Profile ID: CPA: All Parts
BIKS AUTO COLLISION
1101 BERRYHILL STREET, HARRISBURG, PA 17104
(717) 234.5615
Damage Assessed By: 135817- Mike Nagurney Appraised For: PROGRESSIVE
Supplemented By: 135817- Mike Nagurney
Type of Loss: Property Damage
Date of Loss: 7/14/2012
Deductible: 250.00
Claim Number: 12- 3132528 -01
Insured: CAROL KENNEDY
Owner: CAROL KENNEDY
Address: 500 3RD STREET, NEW CUMBERLAND, PA 17070
Telephone: Work Phone: (717) 774 -7080 Home Phone: (717) 7743734
Mitchell Service: 910607
Description: 2008 Honda Civic EX Vehicle Production Date: 11107
Body Style: 40 god Drive Train: 1.81- Inj 4 Cyl 5A FWD
VIN: 2HGFA16878H310195 License: HFS -2076 PA
Mileage: 31,789
OEM /ALT: A Search Code: B995974
Color: SILVER
Options: PASSENGER AIRBAG, DRIVER AIRBAG, POWER LOCK, POWER WINDOW, REAR WINDOW DEFOGGER
MANUAL AIR CONDITION, CRUISE CONTROL, TILT STEERING COLUMN
TELESCOPIC STEERING COLUMN, ANTI -LOCK BRAKE SYS., FOG LIGHTS, ALUM /ALLOY WHEELS
AUXILIARY INPUT, FRONT AIR DAM, TINTED GLASS, VARIABLE ASSISTED STEERING
SIDE AIRBAGS, ANTI -THEFT SYSTEM, SIDE HEAD CURTAIN AIRBAGS
DAYTIME RUNNING LIGHTS, AM/FM STEREO CD/MP3 PLAYER, FRONT BUCKET SEATS
INTERIOR AIR FILTER, KEYLESS ENTRY SYSTEM, POWER DISC BRAKES
POWER LIFTGATEITRUNK, STEERING WHEEL AUDIO CONTROLS, SUNROOF/MOONROOF (POWER)
Line Entry Labor Line Item Part Type/ Dollar Labor
Item Number Type Operation Description Part Number Amount Units
MANUAL ENTRIES
1 900500 FRM * ALIGN SETUP & MEASURE Existing 2.0*
2 900500 FRM * REPAIR PULL/ALIGN SIDE UNIBODY Existing 2.0*
Front Bumper
3 002311 BOY OVERHAUL Frt Bumper Cover Assy 2.6 #
4 000007 BOY REPAIR Frt Bumper Cover Existing 1.0* #
5 Includes Rbi Grille & RRI /R&R Closing Panel Assy
6 REF REFINISH /REPAIR Frt Bumper Cover C 2.0*
7 MODIFIED REFINISH WITH FULL CLEAR COAT
S1 8 000011 BDY REMOVEIREPLACE Frt Bumper Clip 10@2.23 91506- $9A -003 22.30 INC
Front Lamps
9 002316 BDY REMOVEIINSTALL R Front Combination Lamp INC #
10 WITH COVER OFF
Front Fender
11 002341 BOY REMOVEIINSTALL R Fender Mudguard 0.2
12 000244 BOY REMOVEIREPLACE R Fender Panel ** Non -OEM 98.46 1.8 #
13 REF REFINISH R Fender Outside C 2.0
14 REF REFINISH R Add To Edge Fender C 0.5
15 WITH COVER AND HEADLIGHT OUT
16 000262 BOY REMOVEIINSTALL R Fender Liner Existing INC #r
S1 17 000264 BOY REMOVEIREPLACE R Fender Splash Shield Clip 5@1.40 ORDER FROM DEALER 7.00
Rocker/Pillars/Floor
ESTIMATE RECALL NUMBER: 07/171201212:06:12 12- 3132528 -01
Mitchell Data Version: OEM: MAY
Copyright (C) 1994 - 2012 Mitchell International Page 1 of 7
Software Version: 7.0.472 All Rights Reserved
Date: 712712012 08:13 AM
Estimate ID: 12- 3132528 -01
Estimate Version: 2
Supplement: 1 (F F) 7/23/2012 02:11:14 PM
Profile ID: CPA: All Parts
18 002397 REF REFINISH R Hinge Pillar C 1.4
19 004686 REF BLEND R Center Pillar & Rocker Complete C 110
20 002679 REF BLEND R Roof Rail C 0.6 #
21 001066 BOY REPAIR R Door Opening Frame Existing 4.0* #
22 AFTER PULL
23 003099 BOY REMOVEIINSTALL R Rear Door Opening Welt Existing 0.3 r
Front Door
24 003649 BOY REMOVEIREPLACE R Frt Door Shell Qual Recycled Part 625.00 * 4.8 #
25 REF REFINISH R Frt Door Outside C 1.7
26 REF REFINISH R Frt Add For Jambs & Interior C 1.0
Y7 Includes R &IIR &R Rear View Mirror Assy
28 Line Markup X25.00 156.25
S1 29 900500 BOY * AOD'L LABOR OP REPAIR USED OR /HANDLE/FRAME Existing 1.5*
30 900500 BOY * ADO'L LABOR OP TRANSFER INTERNAL PARTS ETC Existing 2.0*
31 002893 REF REFINISH R Frt Door Mirror C 0.7
32 003121 REF REFINISH R Frt Door Moulding C 015
33 001531 BOY REMOVE/INSTALL R Frt Door Adhesive Moulding Existing 0.1 #r
34 BOY REMOVEIINSTALL R Frt Door Trim Panel INC
MANUAL ENTRIES
35 900500 BOY * REMOVE/INSTALL CLEAN AND RETAPE DOOR MOLDING Sublet 2.00 * 0.3*
Front Door
S1 36 001551 BOY REMOVEIREPLACE R Frt Door Blackout Tape 67324- SNE -A00ZA 15.27 0.2 #
37 001577 BOY REMOVE/REPLACE R Frt Door Rear View Mirror Qual Recycled Part 55.00 * INC
38 Line Markup %25.00 13.75
S1 39 900500 BOY * ADO'L LABOR OP REPAIR STONE CHIPS Existing 0.5*
40 002701 REF REFINISH R Frt Otr Handle C 0.5
Rear Door
41 002713 REF REFINISH R Rear Add For Jambs C 0.5
42 001808 BOY REPAIR R Rear Door Shell Existing 1.0*
43 001810 BOY REMOVE/REPLACE R Rear Door Repair Panel 67611- SNA -305ZZ 234.38 6.8 #
44 002717 REF REFINISH R Rear Door Moulding C 0.5
45 001834 BOY REPAIR R Rear Door Adhesive Moulding Existing 0.5* #
MANUAL ENTRIES
46 900500 BOY * REMOVEIINSTALL CLEAN AND RETAPE DOOR MOLDING Sublet 2.00 * 0.3*
Rear Door
S1 47 001854 BOY REMOVE/REPLACE R Rear Door Blackout Tape 67824SNE -A00ZA 15.62 0.2 #
48 Time is for Installation only
S1 49 900500 BDY * ADD'L LABOR OP CLEAN AND REMOVE BLKOUT TAPE FRTIREAR Existing 0.5*
50 002725 REF REFINISH R Rear Otr Handle C 0.5
51 001902 BOY REMOVEIINSTALL R Rear Door Latch Striker Existing 0.4*
52 INC DOOR SWITCH FOR LIGHT WISTRIKER
53 001928 BOY REPAIR R Rear Door Outside Handle Existing 0.5* #
Si 54 900500 BOY * ADO'L LABOR OP BREAKDOWN DOORS HANDLE TO REFINISH- FRTIRE Existing 1.0*
Quarter Panel
55 002745 REF REFINISH R Add For Pillar C 0.5
56 002147 BOY REPAIR R Quarter Outer Panel Existing 910* #
57 REF REFINISH R Quarter Panel Outside C 2.0
58 INC LOCK PILLAR
59 002164 BOY REPAIR R Quarter inner Panel S Existing 1.0*
60 900500 BOY * ADD'L LABOR OP CUT ACCESS PANEL Existing 2.0*
Rear Lamps
61 002774 BOY REMOVEIINSTALL R Rear Combination Lamp 0.3 #
62 w/Bumper Cover Removed
Rear Bumper
63 002792 BOY REMOVEIINSTALL Rear Bumper Assy 0.8
64 004658 BOY REMOVE/INSTALL R Rear Bumper Mudguard 0.2
65 004659 BOY REMOVEIINSTALL L Rear Bumper Mudguard 0.2
66 002647 BOY REPAIR Rear Bumper Cover Existing 1.0*
67 REF REFINISWREPAIR Rear Bumper Cover C 2.1*
68 MODIFIED REFINISH WITH FULL CLEAR COAT
69 936012 ADD'L COST HAZARDOUS WASTE DISPOSAL 3.00
ADDITIONAL OPERATIONS
ESTIMATE RECALL NUMBER: 07/17/201212:06:12 12- 3132528 -01
Mitchell Data Version: OEM: MAY
Copyright (C) 1984 - 2012 Mitchell International Page 2 of 7
Software Version: 7.0.472 All Rights Reserved
Date: 712712012 0613 AM
Estimate ID: 12- 3132528 -01
Estimate Version: 2
Supplement: 1 (F F) 7123/2012 02:11:14 PM
Profile ID: CPA: All Parts
70 REF AWL OPR Clear Coat 4.5
MANUAL ENTRIES
71 900500 BOY * ADD'L LABOR OP UNDERCOATING Sublet 10.00 * 0.2*
72 900500 BDY * ADWL LABOR OP CAR COVER Sublet 4.00 * 0.2*
73 900500 BOY * ADD'L LABOR OP WELD THRU PRIMER Sublet 8.00 * 0.2*
74 900500 BOY * ADO'L LABOR OP CORROSION PROTECTION Sublet 15.00 * 0.2*
75 900500 REF * REMOVE/REPLACE FLEX ADDITIVE Sublet 8.00 * 0.0*
Additional Costs & Materials
76 ADD'L COST Paint/Materials 562.50 *
* - Judgment Item
# - Labor Note Applies
** Non -OEM - Non - Original Equipment Manufacturer Replacement Part
C - Included in Clear Coat Calc
r - CEO R&R Time Used For This Labor Operation
EMPIRE AUTO PARTS, INC.
8870 GREENWOOD PL.
SAVAGE
MD 20763
(888) 700 -8074
12 ** H0742 98.46
Recycler Information Section:
LKQ - Triplett ASAP
P.O. Box 7667
Akron OH 44306
800.622- 5555;630- 563.4022
24 2008 Honda Civic RIGHT FRONT DOOR $JE182 VNA 640.00
Description: (ELEC), CPE (2 OR), RH,EX,RPNT,5P1,
37 2008 Honda Civic RIGHT DOOR MIRROR $UN579 VA 65.00
Descriptron: RH,ELE,SDN,NO HEAT,RED,
Disclaimer: The price indications on recycled parts are real or composite
values, based on the pricing option selected with QRP. Prices are the
latest available at time of inventory download and are subject to change
and availability.
To determine actual repairer net or wholesale price, call the automotive
recycler of your choice.
Certain parts located for this quote are interchangeable but are not an exact
match. Call the automotive recycler of your choice.
ESTIMATE RECALL NUMBER: 071171201212:06:12 12- 3132528-01
Mitchell Data Version: OEM: MAY V
Copyright (C) 1994 - 2012 Mitchell International Page 3 of 7
Software Version: 7.0.472 All Rights Reserved
Date: 712712012 08:13 AM
Estimate ID: 12- 3132528 -01
Estimate Version: 2
Supplement: 1 (F F) 712312012 02:11:14 PM
Profile ID: CPA: All Parts
Prior Damage:
STONE CHIPS TO HEADLIGHTS,GRILLE ASSY AND W/SMAMAGES TO FRT.
COVER AND RUNS IN CLEAR ALONG WITH OVER SPRAY,HOOD,ENTIRE LF SIDE OF
CAR.RT SIDE WHEELS,TRUNK AND REAR
COVER.NOTE:THIS CAR WAS REPAIRED AND PAINTED BEFORE.INTERIOR- DRIVER
SEAT AND DOOR TRIM BURN MARKS AND/OR STAINS AND RT SIDE DOOR
TRIMS.SEE
MARKS ALONG WITH DASH.SEE PICTURES
ALL MANUFACTURERS REQUIREMENTS REGARDING SEATBELT AND SUPPLEMENTAL
RESTRAINT SYSTEM REPLACEMENT MUST BE ADHERED TO. IF ADDITIONAL PARTS
OR OPERATIONS ARE NECESSARY TO PROPERLY ACCOMPLISH THIS, PLEASE
CONTACT THE ESTIMATING CLAIMS REPRESENTATIVE.
THIS IS A DAMAGE ASSESSMENT ONLY — NOT AN AUTHORIZATION TO REPAIR
—BASED ON DAMAGE VISIBLE OR CERTAIN AT THE TIME IT WAS WRITTEN.
IF FRAME OR UNIBODY REPAIR IS INCLUDED ON THIS ESTIMATE, THE AMOUNT
SHOWN INCLUDES TIME OR ALLOWANCE FOR MEASURING BEFORE, DURING AND
AFTER THOSE REPAIRS.
YOU ARE UNDER NO REQUIREMENT TO USE ANY SPECIFIED REPAIR SHOP.
INFORMATION REGARDING REPAIR FACILITIES WHICH WILL BE ABLE TO REPAIR
THE VEHICLE FOR THE APPRAISED AMOUNT IS AVAILABLE FROM THE INSURANCE
COMPANY.
TO ENSURE PROPER AND PROMPT PAYMENT FOR ADDITIONAL DAMAGE DISCOVERED
DURING THE COURSE OF REPAIRS, CONTACT PROGRESSIVE FOR SUPPLEMENT
HANDLING PROCEDURES.
Estimate Totals
Add'I
Labor Sublet
1. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount
Body 45.8 45.00 0.00 41.00 2,147.80 T Taxable Parts 1,081.03
Refinish 22.5 46.00 0.00 0.00 1,035.00 T Parts Adjustments 170.00
Frame 4.0 48.00 0.00 0.00 192.00 T Sales Tax @ 6.000% 75.06
Taxable Labor 3,374.80 Total Replacement Parts Amount 1,326.09
Labor Tax @ 5.000% 202.49
Labor Summary 72.3 3,577.29
ESTIMATE RECALL NUMBER: 07/171201212:06:12 12- 3132528 -01
Mitchell Data Version: OEM: MAY
Copyright (C) 1994 - 2012 Mitchell international Page 4 of 7
Software Version: 7.0.472 All Rights Reserved
Date: 7127/2012 08:13 AM
Estimate ID: 12- 3132528-01
Estimate Version: 2
Supplement: 1 (F F) 7/23/2012 02:11:14 PM
Profile ID: CPA: All Parts
III. Additional Costs Amount W. Adjustments Amount
Taxable Casts 565.50 Insurance Deductible 250.00 -
Sales Tax 6.000 33.93
Customer Responsibility 250.00 -
Total Additional Costs 599A3
Paint Material Method: Rates
Init Rate a 25.00
I. Total Labor: 3,577.29
Il. Total Replacement Parts: 1,326.09
111. Total Additional Costs: 599A3
Gross Total: 5,502.81
IV. Total Adjustments: 250.00 -
Net Total: 5,252.81
Less Original Not Total: 4,998.84
Net Supplement Amount: 253.97
S1: 135817- Mike Nagurney 253.97
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH
PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR VEHICLE.
THE AFTERMARKET CRASH PARTS USED IN THE PREPARATION OF THIS ESTIMATE ARE
WARRANTED BY THE MANUFACTURER OR DISTRIBUTOR OF SUCH PARTS, RATHER THAN
THE MANUFACTURER OF YOUR MOTOR VEHICLE.
Point(s) of Impact
3 Right Side (P)
Insurance Co: PROGRESSIVE
Inspection Date: 7/17/2012
ESTIMATE RECALL NUMBER: 071171201212:06:12 12- 3132528 -01
Mitchell Data Version: OEM: MAY_12_V
Copyright (C)1994 - 2012 Mitchell International Page 5 of 7
Software Version: 7.0.472 All Rights Reserved
Date: 712712012 08:13 AM
Estimate ID: 12- 3132528 -01
Estimate Version: 2
Supplement: 1 (F F) 7/23/2012 02:11:14 PM
Profile ID: CPA: All Parts
PROGRESSIVE HONORS THE PREVAILING LABOR MARKET RATE IN YOUR AREA FOR
YOUR PROPERTY. IF YOU CHOOSE A SHOP THAT CHARGES IN EXCESS OF
PREVAILING LABOR MARKET RATES OR ADDITIONAL COSTS ABOVE THE APPRAISED
AMOUNT, YOU WILL BE RESPONSIBLE FOR THE DIFFERENCE.
LIFETIME eUARANTEE FOR SHEET METAL AND PLASTIC BODY PARTS
The replacement parts written on the estimate are intended to return
your vehicle to its pre -loss condition with proper installation. After
repair, if any sheet metal or plastic body part included in the
estimate fails to return your vehicle to its pre -loss condition
(assuming proper installation), in terms of form, fit, finish,
durability or functionality, Progressive will arrange and pay for the
replacement of the part, to the extent not covered by a manufacturer's
or other warranty. This service will be performed at
no cost to you (including associated repair and rental car costs). To
obtain service under this Guarantee, call Progressive at
1 -800- 274 -4641. This Guarantee applies as long as you own or lease the
vehicle. This Guarantee is not transferable and terminates if you
sell or otherwise transfer your vehicle.
THIS GUARANTEE DOES NOT COVER NORMAL NEAR AND TEAR OR DAMAGE CAUSED BY
IMPROPER MAINTENANCE, NEGLECT, ABUSE OR SUBSEQUENT ACCIDENT. THIS
GUARANTEE IS LIMITED TO ARRANGING FOR THE SELECTION OF REPAIR PARTS
THAT WILL RETURN YOUR VEHICLE TO ITS PRE -LOSS CONDITION. ACCORDINGLY,
PROGRESSIVE WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL OR
CONSEQUENTIAL DAMAGES THAT RESULT FROM THE INSTALLATION OR USE OF
THESE PARTS.
Part Type Terms and Abbreviations
NEW and OEM or part number displayed - These refer to a new, original
equipment manufacturer part.
NON -OEM and A/M and Qual REPL - These refer to an after - market part,
which is a new, non - original equipment manufacturer part.
USED /RECYCLED and LKQ - These refer to a used OEM part.
REMANUFACTURED and RECOND. and RECORE - These refer to used /recycled
OEM parts that have been refurbished. BDY =BODY, BDS =BODY STRUCTURE,
REP'=REFINISH, GLS =GLASS, FRM- FRAME, MCH =MECHANICAL, ADD'L
COST =ADDITIONAL COST, ADD'L OPR =ADDITIONAL
OPERATION, FRT- FRONT, RR =REAR, L -LEFT, R- RIGHT,UPR- UPPER,LWR- LOWER,
OTR- OUTER, INR =INNER, ASSY- ASSEMBLY, SUSP =SUSPENSION, EXT- EXTENSION,
BRK- BRACKET, INST- INSTRUMENT, ATG- ASSEMBLY TIME GUIDE.
IF THIS APPRAISAL HAS BEEN PREPARED BASED UPON THE USE OF AFTERMARKET
CRASH PARTS, AND IF THE USE OF AN AFTERMARKET CRASH PART VOIDS THE
EXISTING WARRANTY ON THE PART BEING REPLACED OR ANY OTHER PART, THE
AFTERMARKET CRASH PART SHALL HAVE A WARRANTY EQUAL TO OR BETTER THAN
THE REMAINDER OF THE EXISTING WARRANTY.
REPAIR SHOP'S AUTHORIZED REPRESENTATIVE'S SIGNATURE INDICATING
AGREEMENT ON COST TO RETURN THE VEHICLE TO PRE -LOSS CONDITION
ESTIMATE RECALL NUMBER: 071171201212:06:12 12- 3132528 -01
Mitchell Data Version: OEM: MAY
Copyright (C) 1994 - 2012 Mitchell International Page 6 of 7
Software Version: 7.0.472 All Rights Reserved
Date: 7/27/2012 08:13 AM
Estimate ID: 12- 3132528 -01
Estimate Version: 2
Supplement: 1 (F F) 712312012 02:11:14 PM
Profile ID: CPA: All Parts
INCLUDING TOW /STORAGE CHARGES:
SHOP SIGNATURE:
EST. COMPLETION DATE:
ANY PERSON WHO KNOWINGLY AND WITH THE INTENT TO INJURE OR DEFRAUD ANY
INSURER FILES AN APPLICATION OR CLAIM CONTAINING ANY FALSE,
INCOMPLETE, OR MISLEADING INFORMATION SHALL, UPON CONVICTION, BE
SUBJECT TO IMPRISONMENT FOR UP TO SEVEN YEARS AND PAYMENT OF A FINE OF
UP TO $15,000.
APPRAISER
SIGNATURE
ESTflNATE RECALL NUMBER: 07117/201212:06:12 12- 3132528 -01
Mitchell Data Version: OEM: MAY-12_V
Copyright (C)1994.2012 Mitchell International Page 7 of 7
Software Version: 7.0.472 All Rights Reserved
VERIFICATION
I, Benjamin W. Lawrence, Esquire, attorney for the Plaintiff(s) do hereby swear
and affirm that the averments in the attached Complaint are true and correct to the best
of my knowledge, information and /or belief. These averments are made subject to the
penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities.
//v
Benjam W. Lawrence
Date / h
WELTMAN,WEINBERG &REIS CO.,L.P.A.
BY: Benjamin W. Lawrence, Esquire Attorney for Plaintiff(s)
I.D. No. 209032
325 Chestnut Street, Suite 501
Philadelphia, PA 19106
Phone: 215.599.1500 Y
Fax: 215.599.1505
File# 9820950
PROGRESSIVE ADVANCED INSURANCE CO
P,c") —°
..,
CUMBERLAND County e°.-_
Court of Common Pleas
vs.
GUER M APONTE
NO. 13-1805 CIVIL
PRAECIPE TO REINSTATE
TO THE PROTHONOTARY:
Kindly reinstate the Complaint in Civil Action in the above-captioned matter.
WELTMAN, WEINBERG & REIS CO., L.P.A.
By
Benjamin W. Lawrence, Esquire
Attorney for Plaintiff
AD
a9����
WELTMAN,WEINBERG & REIS CO.,L.P.A.
BY: Benjamin W Lawrence, Esquire Attorney for Plaintiff(s)
I.D. No. 209032
325 Chestnut Street, Suite 501
Philadelphia, PA 19106
Phone: 215.599.1500
Fax: 215.599.1505
File# 9820950
PROGRESSIVE ADVANCED INSURANCE
COMPANY
CUMBERLAND County
Court of Common Pleas
vs. -
-m rn
GUER M APONTE -- r `F
7.�,
NO. 13-1805 CIVIL
L.-. --
PRAECIPE TO REINSTATE c '.
TO THE PROTHONOTARY:
Kindly reinstate the Complaint in Civil Action in the above-captioned matter.
WELTMAN, WEINBERG & REIS CO., L.P.A.
/41/
By
Benjamin W Lawrence, Esquire
Attorney for Plaintiff
CIL- Il 'J a3
WELTMAN, WEINBERG & REIS
BY: Benjamin W. Lawrence
I.D. No. 209032
325 Chestnut Street Suite 501
Philadelphia, PA 19106
Phone: (215) 599-1500
Fax: (215) 599-1505
File # 9820950 BWL/KMH
OF THFELED-OFFici:
1°14 JUL _9 pfl 1.3
CU NBERL AND
CO.,
L, YLVANI ry
Attorney for Plaintiff(s)
PROGRESSIVE ADVANCED INS
vs.
GUER M APONTE
Cumberland County
Court of Common Pleas
No.: 13-1805 CIVIL
PRAECIPE TO DISMISS WITHOUT PREJUDICE
TO THE PROTHONOTARY:
Kindly dismiss the above matter without prejudice .
WELTMAN, WEINBERG & REIS CO., L.P.A.
By
Benjamin W. Lawrence, Esquire
Attorney for Plaintiff
111111111111111111111111111111111111111111111111111111111 IIII IIIII IIII