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Home My WebLink About13-6108 Supreme Count of Pennsylvania WR'R 0 20139090 C Y Jer TWI Court,of Common Pleas Civil Cover Sheet For Pmthoiwtan- L'se Only: C UMBERLAND County Docket No: The uaformation collected on this forma is used solely for court administration pinposes. This form does not supplement or replace the filing and service of pleadings or other papers as required btu laiv or rules of court. Commencement of Action: S a 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 INS FREDDIE L ROSE I 0 Are money damages requested? El Yes ❑ No Dollar Amount Requested: ❑ within arbitration limits N (check one) ❑ outside arbitration limits A Is this a Class Action Suit? ❑ Yes Cal No Is this an MDJ Appeal? 13 Yes W No 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 (:I Employment Dispute Mass tort) Discrimination C ❑ Slander /Libel /Defamation ❑ Employment Dispute: Other ❑ Zoning Board 'I' Other: ❑ Other: I Suhro oal -b1) ❑ Other: O 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 ❑ Mortgage Foreclosure: Commercial ❑ Quo Waranto ❑ Partition ❑ Replevin PROFESSIONAL LIABILITY ❑ Quiet Title ❑ Other: ❑ Dental ❑ Other: ❑ Legal ❑ Medical ❑ Other Professional: Updated 1/1/2011 i F 1i. - OFFICE OF TIC` PROTHONOTARY 2013 OCT 17 PH, 2 17 CUMBERLAND COUNTY PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE ADVANCED INS i Q Plaintiff No: Vs. COMPLAINT IN CIVIL ACTION FREDDIE L ROSE AKA FREDDIE LEE ROSE JR ALDRIDGE ELECTRIC Defendants 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 20139090 C Y Jer TWI �Ca3 -�pd CSI 3 s IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PROGRESSIVE ADVANCED INS Plaintiff VS. Civil Action No FREDDIE L ROSE AKA FREDDIE LEE ROSE JR ALDRIDGE ELECTRIC Defendants 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 by the court without further notice for any money claimed in the complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. 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 #20139090 } PROGRESSIVE ADVANCED } INSURANCE COMPANY } Court of Common Pleas } Cumberland County } } vs. } } ALDRIDGE ELECTRIC, INC. } NO. and FREDDIE L. ROSE } 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, Aldridge Electric, Inc. ( "AEI "), is a business organization licensed and authorized to conduct business in the State of Illinois and having as one of its places of business 844 East Rockland Road, Libertyville, Illinois 60048. 3. Defendant, Freddie L. Rose, is an adult individual who at all times pertinent hereto resided at 55141 Lee Road, New Hudson, Michigan 48165. 4. Progressive issued a policy of motor vehicle insurance whereby Progressive agreed to insure the motor involved in this incident ( "Insured Vehicle "), owned by Plaintiff's insured. 5. On or about July 29, 2012 Defendant, Lee, was the operator of a motor vehicle owned by Defendant, AEI, which vehicle did negligently, recklessly and /or carelessly collide with the Plaintiff Insured's vehicle at or near Wesley Drive, Mechanicsburg, Pennsylvania. COUNT PROGRESSIVE v. FREDDIE L. LEE 6. Plaintiff hereby incorporates all preceding and forthcoming averments as if fully set forth at length herein. 7. 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. Traveling too fast for conditions; 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. 8. 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 $2,025.89. See attached as Exhibit "1" a copy of the damage documentation which documents Plaintiff further intends to introduce at the arbitration in this matter. 9. 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 Defendants, joint and severally, in the amount of $2,025.89 plus interest and costs. COUNT If PROGRESSIVE v. AEI 10. Plaintiff hereby incorporates all preceding and forthcoming averments as if fully set forth at length herein. 11. At all times pertinent hereto, Defendant, Lee, was acting as the agent, servant, workman and /or employee of Defendant, AEI, in the course and scope of his employment and /or with the express and /or implied permission of Defendant, AEI. 12. Defendant, AEI, is liable for the acts and /or omissions of Defendant, Lee. 13. 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 $2,025.89. See attached as Exhibit "1" a copy of the damage documentation which documents Plaintiff further intends to introduce at the arbitration in this matter. 14. 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 Defendants, joint and severally, in the amount of $2,025.89 plus interest and costs. WELTMAN, WEINBERG & REIS, CO., L.P.A. Benjami Lawrence, Esquire PA I.D. # 0 032 325 ChestnW Street Suite 501 - Philadelphia, PA 19106 (215) 599 -1500 WWR #09227935 EXHIBIT 1 Claim Payment Detail Page 1 of 1 Claim Payment Detail { 12- 1935002 } Payment Information Disbursement Number: 475574436 Total Amount: $947.56 EFT Trace Number: Invoice Number: Paid To: BRUCE E JUERGENS Mailing Address: 113 GETTYSBURG ST DILLSBURG, PA 17019 USA In Payment Of: COLL 06 CADILLAC DTS LESS 500 DED Vendor Information Name: 1099 Required: Type: Reviewed Summary Issuing Rep: A036126 Approved By: Issue Date: 09 -07 -12 Review Date: Last Updated Rep: A036126 Reviewed By: Bank Information Type: Loss Bank Code: AS2 Stop Reason: Cleared: 09 -25 -12 Stop Date: Exposure Detail: COLL Party Name: JUERGENS, BRUCE E Amount Paid: $947.56 Property Description: 06 CADIL DTS Deductible Taken: $500.00 Payment Type: FINAL PAYMENT Property Damage: $0.00 Rental: $0.00 http: / /claimspayments /Alpha, ClaiinsPayinentsWeb/ default .aspx9page= ClaimPayinentDeta... 4/17/2013 Claim Payment Detail Page 1 of 1 Claim Payment Detail ( 12- 1935002 j Payment Information Disbursement Number: 475608841 Total Amount: $578.33 EFT Trace Number: Invoice Number: Paid To: SUTLIFF CHEVROLET, ONLY Mailing Address: 13TH & PAXTON STS. HARRISBURG, PA 17104 USA In Payment Of: SUPP PY-06 CADILLAC Vendor Information Name: SUTLIFF CHEVROL... 1099 Required: Type: BODYSHOP Reviewed Summary Issuing Rep: MXCO235 Approved By: Issue Date: 09 -18 -12 Review Date: Last Updated Rep: MXCO235 Reviewed By: Bank Information Type: Loss Bank Code: AS2 Stop Reason: Cleared: 09 -25 -12 Stop Date: Exposure Detail COLL Party Name: JUERGENS, BRUCE E Amount Paid: $578.33 Property Description: 06 CADIL DTS Deductible Taken: $0.00 Payment Type: SUPPLEMENTAL PAYMENT Property Damage: $578.33 Rental: $0.00 http://claimspayments /Alpha /ClaimsPayineirtsWeb /default. aspx ?page= ClaimPaymentDeta ... 4/17/2013 Date: 9/18/2012 12:06 PM Estimate ID: 12- 1935002 -01 Estimate Version: 1 Supplement 1 IF F) 9/18/201211:53:26 AM Profile ID: CPA: All Parts PROGRESSIVE 3950 Hartzdale Dr, Camp Hill, PA 17011 (717) 648-0885 Email: DHanor1 @progressive.com Damage Assessed by Lic#429068 David Hanor Claim Rep: JOHN PEREZ (813) 372 -6323 Supplemented By. Lic#442911 Mike Curs For supplements please call Dave Hanor @,717-648-0885 or email to DHanorl @progressive.com Product Type: Auto ` Date of Loss: 7/29/2012 Deductible: 500.00 Claim Number 12- 1935002 -01 Insured: MARGARET JUERGENS Owner. BRUCE JUERGENS Address: 113 GETTYSBURG ST, DILLSBURG, PA 17019 Telephone: Work Phone: (717) 790 -3037 Home Phone: (717) 4324748 Cell Phone: (717) 884 -3674 Contact Phone: (717) 8843674 Mitchell Service: 910590 Description: 2006 Cadillac DTS Luxury 1 Vehicle Production Date: 3/06 Body Style: 40 Sed Drive Train: 4.6L Inj 8 Cyl 4A FWD VIN: 1G6KD57Y76U196609 License: FVW -9984 PA Mileage: 78,772 OEM/ALT: A Search Code: LANCASTERI Color. GOLD Options: PASSENGER AIRBAG, DRIVER AIRBAG, POWER DRIVER SEAT, POWER LOCK, POWER WINDOW REAR WINDOW DEFOGGER, CRUISE CONTROL, LEATHER SEAT, POWER PASSENGER SEAT ANTI -LOCK BRAKE SYS., TRACTION CONTROL, FOG LIGHTS, ALUWALLOY WHEELS REMOTE IGNITION, HIGH INTENSITY DISCHARGE HEADLIGHTS, LEATHER STEERING WHEEL FRONT AIR DAM, TINTED GLASS, AUTO AIR CONDITION, TRIP COMPUTER TELEMATIC SYSTEMS, VARIABLE ASSISTED STEERING, SIDE AIRBAGS, ANTI -THEFT SYSTEM AUTOMATIC HEADLIGHTS, INTERIOR AUTOMATIC DAY/NIGHT OR ELECTROCHROMATIC MIRROR SIDE HEAD CURTAIN AIRBAGS, VEHICLE THEFT TRACKING /NOTIFICATION DAYTIME RUNNING LIGHTS, AM /FM STEREO CD/MP3 PLAYER, FRONT HEATED BUCKET SEATS FRONT SEATS WITH POWER LUMBAR SUPPORT, INTERIOR AIR FILTER, KEYLESS ENTRY SYSTEM POWER DISC BRAKES, POWER HEATED EXTERIOR MIRRORS, POWER LIFTGATaTRUNK REAR WINDOW DIVERSITY ANTENNA, STEERING WHEEL AUDIO CONTROLS Line Entry Labor Line Item Part Typet Dollar Labor Item Number Type Operation Description Part Number Amount Units R oof S1 1 001064 BDY REMOVE/INSTALL R Roof Joint Mldg Existing 0.2 r Back Window S1 2 001112 GLS REPAIR Back Window Glass Existing 0.3'# 3 Time to mask Side Body S1 4 001504 REF REFINISH R Quarter Panel Outside C 2.5 S1 5 001123 BDY REPAIR R Side Body Panel Assembly S Existing 2.0' # 6 001491 BDY REMOVE/INSTALL R Rocker Moulding 0.4' 7 drop rear portion Rear Lamps 8 001332 BDY REMOVE/REPLACE R Rear Combination Lamp '" Non -OEM 280.00 0.3 Rear Bumper 9 001466 BDY OVERHAUL Rear Bumper Cover Assy 2.2 # 10 Inc R &I Wheelhouse Liners & Rear Sill Trim Panel 11 001467 BDY REMOVEIREPLACE Rear Add w/Parking Sensor 0.4 S1 12 001337 BDY REMOVE/REPLACE Rear Bumper Cover " Non -OEM CAPA 572.00 INC # ESTIMATE RECALL NUMBER: 08/01/2012 08:37:03 12- 1935002 -01 Mitchell Data Version: OEM: AUG 12 V MAPP:AUG7_12 V Copyright (C) 1994 - 2012 Mitchell Intemational Page 1 of 5 Software Version: 7.0.480 All Rights Reserved Date: 9/18/2012 12:06 PM Estimate 10: 12- 1935002 -01 Estimate Version: 1 Supplement 1 (F F) 9118/201211:53:26 AM Profile ID: CPA All Parts S1 13 REF REFINISH Rear Bumper Cover C 2.8 14 001342 8DY REMOVE/REPLACE R Rear Bumper Moulding 25767176 GM PART 254.52 INC # 15 BDY REMOVE/INSTALL Rear Bumper Assy INC # 16 936012 ADUL COST HAZARDOUS WASTE DISPOSAL 3.00 * MANUAL ENTRIES 17 900500 BDY ' ADD'L LABOR OP ADHESIVE STRIPES - ONE SIDE Sublet 10.00 ` 0.3' ADDITIONAL OPERATIONS 18 REF ADUL OPR Clear Coat 1.6 19 900500 BDY ' ADUL LABOR OP CAR COVER Sublet 4.00 * 0.2' MANUAL ENTRIES 20 900500 REF " REMOVE/REPLACE FLEX ADDITIVE Sublet 8.00 * 0.0* . Additional Costs & Materials 21 ADD'L COST Paint/Materials 172.50 * * - Judgment Item # - Labor Note Applies *' Non -OEM CAPA - Non - Original Equipment Manufacturer Replacement Part, CAPA Certified ** Non -OEM - Non - Original Equipment Manufacturer Replacement Part C - Included in Clear Coat Calc r - CEG R&R Time Used For This Labor Operation KEYSTONE AUTOMOTIVE JOHNSTOWN BUMPER MART 320 DOBSON ST. WINDBER PA 15963 (800) 438 -2510 (814) 467 -5531 8 `* GM2819181 280.00 12 " GM1100776C 572.00 Prior Damage: rear bumper has been repainted 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 RECALL NUMBER: 08/01/2012 08:37:03 12- 1935002 -01 Mitchell Data Version: OEM: AUG 12 V MAPP:AUG 7 V Copyright (C) 1994 - 2012 Mitchell international Page 2 of 5 Software Version: 7.0.480 All Rights Reserved Date: 9/18/2012 12:06 PM Estimate ID: 12- 1935002 -01 Estimate Version: 1 Supplement 1 (F F) 9/182012 11:53:26 AM Profile ID: CPA: All Parts Estimate Totals Add'I Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount Body 6.0 46.00 0.00 14.00 290.00 T Taxable Parts 1,114.52 Refinish 6.9 46.00 0.00 0.00 317.40 T Sales Tax @ 6.000% 66.87 Glass 0.3 46.00 0.00 0.00 13.80 T Total Replacement Parts Amount 1,181.39 Taxable Labor 621.20 Labor Tax @ 6.000% 37.27 Labor Summary 13.2 658.47 III. Additional Costs Amount IV. Adjustments - Amount Taxable Costs 175.50 Insurance Deductible 500.00 - Sales Tax @ 6.000% 10.53 Customer Responsibility 500.00 - Total Additional Costs 186.03 Paint Material Method: Rates Init Rate = 25.00 I. Total Labor: 658.47 II. Total Replacement Parts: 1,181.39 III. Total Additional Costs: 186.03 Gross Total: 2,025.89 IV. Total Adjustments: 500.00 - Net Total: 1,525.89 Less Original Net Total: 947.56 Net Supplement Amount: 57833 S1: Lic#442911 Mike Curti 578.33 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 5 Right Rear Corner (P) Alt. Location: PROGRESSIVE INSURANCE Inspection Date: 8112012 ESTIMATE RECALL NUMBER: 08/01/2012 08:37:03 12- 1935002 -01 Mitchell Data Version: OEM: AUG 12V MAPP:AUG7_127_V Copyright (C) 1994 - 2012 Mitchell international Page 3 of 5 Software Version: 7.0.480 All Rights Reserved Date: 9/18/2012 12:06 PM Estimate ID: 12- 1935002 -01 Estimate Version: 1 Supplement 1 (F F) 9/1&2012 11:53:26 AM 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 GUARANTEE 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 -B00- 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 WEAR 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. REIJIANUFACTURED and RECOND. and RECORE - These refer to used /recycled OEM parts that have been refurbished. BDY =BODY, BDS =BODY STRUCTURE, REF = 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 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 ESTIMATE RECALL NUMBER: 08/01/2012 08:37:03 12- 1935002 -01 Mitchell Data Version: OEM: AUG 12_V MAPP :AUG 7 - 12_V Copyright (C) 1994 - 2012 Mitchell International Page 4 at 5 Software Version: 7.0.480 All Rights Reserved Date: 9/18/2012 12:06 PM Estimate ID: 12- 1935002 -01 Estimate Version: 1 Supplement 1 (F F) 9/18/201211:53:26 AM Profile ID: CPA: All Parts UP TO $15,000. APPRAISER SIGNATURE ESTIMATE RECALL NUMBER: 08101/2012 08:37:03 12- 1935002 -01 Mitchell Data Version: OEM: AUG 12_V MAPP:AUG V Copyright (C) 1994 - 2012 Mitchell International Page 5 of 5 Software Version: 7.0.480 All Rights Reserved . Date: 9/1 81201 2 12:06 PM Estimate ID: 12- 1935002 -01 Estimate Version: 1 Supplement 1 (F F) .9/18/2012 11:53:26 AM Profile ID: CPA All Parts PROGRESSIVE 3950 Hartzdale Dr, Camp HIII, PA 17011 (717) 648-0885 Email: DHanorl@progressive.com Supplement Delta Report Comparison of Estimate 12- 1935002 -01 Supplement 0 and Supplement 1 Damage Assessed by. Uc#429068 David Hanor Supplemented By. Lic#442911 Mike Curzi Insured: MARGARET JUERGENS Owner. BRUCE JUERGENS Vehicle Description: 2006 Cadillac DTS Luxury 1 Date of Loss: 7/29/2012 Line Labor Line Item Dollar Labor CEG Item Type Operation Description Part Type Amount Units Unit Changed Entries 3 BDY REPAIR R Side Body Panel Assembly -S Existing 1.0" 24.5 S1 5< BDY REPAIR R Side Body Panel Assembly -S Existing 2.0" < 24.5 19 ADD'L COST Paint/Materials 157.50 0.0 T 21< ADD'LCOST Paint/Materials 172.50 '< 0.0 T Deleted Entries 1 REF REFINISH R Quarter Panel Outside C 1.9' 2.5 2 MODIFIED REFINISH WITH FULL CLEAR 0.0 10 BDY REPAIR Rear Bumper Cover. Existing 3.0" 2.2 Added Entries S1 1 BDY REMOVEIINSTALL R Roaf Joint Mldg Existing 0.2 0.2 S12 GLS REPAIR Back Window Glass Existing O.3" 2.0 3 Time to mask 0.0 S1 4 REF REFINISH R Quarter Panel Outside C 2.5 2.5 S1 12 BDY REMOVEIREPLACE Rear Bumper Cover ""Qua[ Repl Part 572.00 INC 2.2T Global Changes No Deductible, Customer Responsibility, Labor Rate, or Part Adjustment changes were made. Amount Original Estimate: 947.56 Supplement 1 578.33 Orig Total Tax 81.94 Supp 1 Total Tax 114.67 Net Supplement Amount 578.33 Net Total 1,525.89 Program Calc Versions Data Versions Supp 0 7.0.442 JUN 12 V0730 Supp 1 7.0.480 AUG_12 V ESTIMATE RECALL NUMBER: 8/ 1/2012 08:37:03 12- 1935002 -01 Software Version: 7.0.480 Copyright (C) 1994 - 2012 Mitchell International Page 1 of i 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 fal i ication to authorities. Benjamin Lawrence Date • 1 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#20139090 PROGRESSIVE ADVANCED INSURANCE COMPANY "' CUMBERLAND County Court of Common Pleas vs. ALDRIDGE ELECTRIC FREDDIE L ROSE No.: 13 6108 CIVIL CERTIFICATE OF SERVICE TO THE PROTHONOTARY: On November 12, 2013 Plaintiff served its Complaint in Civil Action upon Defendant, Aldridge Electric at 844 EAST ROCKLAND RD LIBERTYVILLE, IL 60048 by certified mail, return receipt requested and first class, United States mail, postage-prepaid. The United States Postal Service Track & Confirm receipt number is 71969008904021168476. WELTMAN, WEINB & REIS CO., L.P.A. By Benjamin W. Lawrence, Esquire Attorney for Plaintiff Walz, CertifiedPro NET Page 1 of 1 WALZ CertifiedPro.Net Create Transaction Create Multiple Transactions Tracking Process Retums Relums Look Up security+intogrity hAaa Center Battings Upload Address Book twilliams(LDgout) Home Last Login: 11/22/2013 Overview User Info Recipient: Transaction Information: Help ALDRIDGE ELECTRIC Tracking k: 71969008904021168476 Links 844 EAST ROCKLAND RD Service Options: Return Receipt-Electronic LIBERTYVILLE,IL 60048 Electronic Confirmation Contact Us Mail Service: Certified Reference : 20139090 MUM= r Transaction created by:hvlllfams Postage: 0.46 User ID: 10244 fees: 4.35 Firm Mailing Book ID:None Status: Delivered R Transaction History: Event Description Event Date Detail _......__.._....._ .._ _..._.._----- ._.. USPS®Download 11-05-2013 [WALZ]-ELECTRONIC SHIPPING INFO RECEIVED at TEMECULP CA QUICK TRACKING USPS®Download 11-10-2013 [WALZ]-PROCESSED THROUGH USPS SORT FACILITY at CAROL STREAM,IL Enter the Article Number: USPS®Download 11-10-2013 [WALZ]-DEPART USPS SORT FACILITY at CAROL STREAM,IL Submit USPS®Download 11-10-2013 [WALZ]-PROCESSED THROUGH USPS SORT FACILITY at PALATTNE,IL USPS®Download 11-11-2013 [WALZ]-DEPART USPS SORT FACILITY at PALATINE,IL a USPS®Download 11-12-2013 [WALZ]-ARRIVAL AT UNIT at LIBERTYVILLE,IL pCA6 r USPS®Download 11-12-2013 [WALZ]-DELIVERED at LIBERTYVILLE,IL Download View Description ® RRE Image, https://www.certifiedpro.net/w1/SearchP,esultt)etail.aspx?id=3147502 11/25/2013 i [,a 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#20139090 CIA. ' C3 PROGRESSIVE ADVANCED INSURANCEN.< °N COMPANY �o CUMBERLAND County Court of Common Pleas vs. ALDRIDGE ELECTRIC FREDDIE L ROSE No.: 13 6108 CIVIL CERTIFICATE OF SERVICE TO THE PROTHONOTARY: On November 13, 2013 Plaintiff served its Complaint in Civil Action upon Defendant, Freddie L Rose at 55141 Lee Rd New Hudson, MI 48165 by certified mail, return receipt requested and first class, United States mail, postage-prepaid. The United States Postal Service Track & Confirm receipt number is 71969008904021168711. WELTMAN, WEINBERG & REIS CO., L.P.A. By Benjamin W. Lawrence, Esquire Attorney for Plaintiff Walz, CertifiedPro NET Page 1 of 1 0 WALZ CertifiedPro.Net Create Transaction Create Multiple Transactions Tracking Process Returns Returns Look Up aeccrrity +-Integrity Mail Center Settings Upload Address gook twilliams(L000ut Home Last Login: 11/22/2013 Overview User Info Recipient: Transaction Information: Help FREDDIE L ROSE Tracking 4: 71969008904021168711 Links 55141 LEE RD Service Options: Return Receipt-Electronic NEW HUDSON,MI 48165 Electronic Confirmation Contact Us Mall Service: Certified Reference a: 20139090 lop Transaction created by:twllliams Postage: 0.46 User ID: 10244 Fees: 4.35 =' , . Firm Mailing Book 10:None Status: Delivered T_ransaction History_; _ ..__ ..- _. Event Description Event Date Detail - - .- . _ _ _-_.-_......_.--..........--....-._--......_..--........_....-.........--......._...._.._.-.............._._........................__.......... USPS@ Download 11-05-2013 (WALZ]-ELECTRONIC SHIPPING INFO RECEIVED at TEMECULACA QUICK TRACKING USPS®Download 11-06-2013 (WALZ]-PROCESSED THROUGH USPS SORT FACILITY at PHILADELPHIA,PA Enter the Article Number: USPS@ Download 11-07-2013 (WALZ]-DEPART USPS SORT FACILITY at PHILADELPHIA,PA Submit USPS@ Download 11-07-2013 (WALZ]-PROCESSED THROUGH USPS SORT FACILITY at DETROIT,MI USPS@ Download 11-08-2013 (WALZ)-DEPART USPS SORT FACILITY at DEfROIT,MI USPS@ Download 11-08-2013 (WALZ]-ARRIVAL AT UNIT at NEW HUDSON,MI ® noobeueerurr USPS@ Download 11-08-2013 (WALZ]-FORWARDED at NEW HUDSON,MI USPS@ Download 11-09-2013 (WALZ]-PROCESSED THROUGH USPS SORT FACILITY at DETROIT,MI USPS@ Download 11-12-2013 (WALZ]-ARRIVAL AT UNIT at SOUTH LYON,MI USPS@ Download 11-12-2013 (WALZ]-NOTICE LEFT at SOUTH LYON,MI 12 Download View Description ® (4 RRE Irnage https://www.certifiedpro.net/wl/SearchResultl)etai l.aspx?id=3147526 11/25/2013 Walz, CertifiedPro NET Page 1 of 1 WA LZ CertifiedPro.Net Create Transaction Create Multiple Transactions Tracking Process Returns Returns Look Up security-4,Integrity Mail Center Battings Upload Address Book twilliams(Logout Home Last Login: 11/22/2013 Overview User Info Recipient: Transaction Information: Help FREDDIE L ROSE Tracking 1: 71969008904021168711 Links 55141 LEE RD Service Options: Return Receipt-Electronic NEW HUDSON,1.11 48165 Electronic.Connrmation Contact Us Mail Service: Certified Reference#: 20139090 Transaction created by:twilliams Postage: 0.46 R r User ID: 10244 Fees: 4.35 Firm Mailing Book ID:None Status: Delivered Transaction History; Event Description Event Date Detail LISPS@ Download 11-13-2013 [WALZ]-DELIVERED at SOUTH LYON,MI QUICK TRACKING 12 Enter the Article Number: Submit Download View Description �i a' � l(f� noo&t prnorx ; 3. RRE Image https://www.certifiedpro.net/wl/Searchkesultbetail.aspx?id=3147526 11/25/2013 WELTMAN WEINBERG & REIS CO., L.P.A. I i i f f;' BY: Michael Dougherty Attorney for Plaintiff(s) ��'`� '� l�ti r ) I.D.No. 76046 20 14 FEB 4 P 325 Chestnut Street Suite 501 C(1i`WWE�? . Nt7 Philadelphia, PA 19106 PEPN$1'I.Yq OUNTy; Phone: (21 5) 599-1500 Fax: (215) 599-1505 File# 20139090 MJD/KMH PROGRESSIVE ADVANCED INS CUMBERLAND County Court of Common Pleas vs. No.: 13 6108 CIVIL ALDRIDGE ELECTRIC FREDDIE L ROSE ORDER TO SETTLE, DISCONTINUE AND END TO THE PROTHONOTARY: Kindly mark the above matter settled, discontinued and ended . WELTMAN, WEINBE' & REIS CO., L.P.A. By Michael Doughert , Esquire Attorney for Plaintiff 111111111111111111I1111111111111111111111111111 11111 111111111 1111