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HomeMy WebLinkAbout14-3875'R Suprerle CourtpfPennsyl anis R'R'R# 20404025 C Y Jer HOH Cour.15f Commo'Pleas L'/il" � IN For Pmthonotan•Use Only: Cn- C;o c�er.�Sh eet CUMBERLAND, t % ,,� �. �� COunt<' Docket No: 14-,38q5 �_601_16M }r The h?forntation collected on this form is used solely for court administration purposes. This form does not supplement or replace the,f ling and service of pleadings or other papers as required br lou.,or rules of court. Commencement of Action: S 13 Complaint ❑ Writ of Summons ❑ Petition E Transfer from Another Jurisdiction Declaration of Taking C Progressive Specialty Lead Defendant's Name: T Insurance Company DAVAN DODRILL _Plaintiff C Are money damages requested? El Yes ❑ No Dollar Amount Requested: ® within arbitration limits N (check one) ❑outside arbitration limits Is this a Class Action Suit? ❑ Yes 12 No Is this an MDJ Appeal? ❑ Yes 63 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 ❑ Product Liability(does not include ❑ Employment Dispute Mass tort) Discrimination C ❑ /slander/Libel/Defamation ❑ Employment Dispute: Other ❑ Zoning Board T IV Other: ❑ Other: I `JJbf0!31t.I`i (J✓\ O ❑ Other: 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 OF T .. R'.' 231, -2try , n ` PENN' YLVAIi!A IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION Progressive Specialty Insurance Company Plaintiff No: 14- 567-5 IVES I ►' vs . COMPLAINT IN CIVIL ACTION DAVAN DODRILL Defendant FILED ON BEHALF OF Plaintiff COUNSEL OF RECORD OF THIS PARTY: Benjamin W. Lawrence, 2.09032 WELTMAN, WEINBERG & REIS CO. , L. P.A. 325 CHESTNUT STREET SUITE 501 PHILADELPHIA, PA 19106-2614 215-599-1500 FAX: 215-599-1505 20404025 C Y Jer HOH G 103.`75 Pp PT'ry I I toIts'78(o �# 307W7 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION Progressive Specialty Insurance Company Plaintiff VS . Civil Action No DAVAN DODRILL 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 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 #20404025 PROGRESSIVE SPECIALTY INSURANCE COMPANY Court of Common Pleas CUMBERLAND County vs. DAVAN DODRILL 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 DR, MAYFIELD HTS, OH 44124. 2. Defendant is an adult individual who at all time pertinent hereto resided at 1964 BEDFORD RD, COLUMBUS, OH 43212. 3. Plaintiff issued a policy of motor vehicle insurance whereby Plaintiff agreed to insure the motor vehicle involved in this incident ("Insured Vehicle"), owned by Plaintiff's insured. 4. On or about December 27, 2012 Defendant was the operator of a motor vehicle which vehicle did negligently, recklessly and/or carelessly collide with the Plaintiff Insured's vehicle at or near Interstate 76, Carlisle, 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 Plaintiff's 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. 6. As a direct and proximate result of Defendant's negligence, the Plaintiff Insured's vehicle sustained property damage and/or incurred rental charges in the total amount of$4,201.17. See attached as Exhibit 1" 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 Plaintiff and as a result of the aforesaid payment, Plaintiff became subrogated to the claim of its Insured against Defendant. WHEREFORE, Plaintiff demands Judgment against Defendant in the amount of $4,201.17 plus interest and costs. WELTMAN, WEINBERG & REIS, CO., L.P.A. /V Benjami rence, Esquire PA LDV2 4032 325 C tnut Street Suite 501 Philadelphia, PA 19106 (215) 599-1500 WW R#20404025 EXHIBIT 1 11/06/2013 11:36 FAX f{1j002/016 aft OF VEHICLE: ISE, NoW,. .�:,Iaiii'ii or rIi' hS�ll l'i l��;1i.i• t, 1 .ii'•: _._�wZ f t.. :1 L .Si! ��y,!t''QI.�.�ri �`I�, �'r,'.i�;.;r'�-•sem... t�.': 'i1;IK.." �. ..i�!�. wck 1ADoaSss; TYP! laHTTIFt i, l 40ma PHO . _Qe v „1rLi .},s::..,..,»ya.., Zr........._........, .....,,•.._,. RTATt Z11, pp+N7!M,DTR ORIGINAL VEHICLE .1l�1 '4' :1z _._..,,. • .,_.... ___ . ........,.,_.. ...._. . ..,. y0A ORfv�Ri WCENs[N0. CTAT! •Ix :'• 1. I 5H, ._.....�•. ,_. ._........-:.. . ......... ...... ,1 blLl. .100WANYIN • , '. 1 :.L;. }u»I�;: rf.K r'':::.Y ., .....',u��lS''e��.i,...�'�, i. .t�:.... ................ ......... ........... . NOW- �n A04 ...... •, t� " '.'..�Li � t' Fie•.f .. ._,. 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" iSISTANCE PRO CTION.BEFORE 1 L rtr AT �CIDING TO PU�CHASE ANY OF aH' n. ,_...,. ...�. .. 1ESE PRODUCTS, YOU MAY WISHr ., a �. _.. .........,.... ...,._... ......... ...... ...,�_.. ..,_..._., D IDE'fERMINE WHETHER YOUR , uL;o ERSONAL INSURANCE, CREDIT �, �k• .........__.........___........ ....._._..._....... ._. .. ARD OR OTHER C.OVERAO ROVIOES YOU PROTECTION URING THE RENTAL PERIOD. .,..,.,,.�. THE r " URCNASE OF p,NY OF THESE --..,....." _ ......,...._. _.. .. RODUCTS IS NOT REQUIREDIDATS TO _...... ._ ENT VEHICLE. REPLACEMENT VEH 10LE 0 oymgm OMIti ,. _,Ir;r3 J`JF''L' „.,,..,......., '.... .._.It` ,,,r: '. .............0 V R P UCEemCNO. 1 1L RETURN CARG .r. DAT! MOUNT rAIQ6Y ........,...._.........__,... ...... ......,. rhvy„ A:r`�l .t. NILS• IN ....._. .._...._ ..__.....,. ,..,,.,.w._... . ..,......_,,._., AWE DIST A0DMW0L Vr4PMATIpN -,. ._......u.,,... WRN N • A r'�� ,�,„ �}n e ' TOTAL CHARQES, r wcmNs"rel ' To x A'4— �_ -- DIPOSITS 0 O REFUNDS0 + CCHMECK OH wa , PAID 6Y f70.�1�M AAMItC141tlNIMI �'M M 94T ,n ,>•'� ,« �• �+' T" F VLF REC is the Vehicle License Fee Recovery—Ser page 2 Mau R t wgnitllo Refund parogr6ph 3 b 9. 7WNQR RR ANAffl11ATe OF ENRRPRI9ENOI.AINat IND.,WHICN O1M�ALL hOKTSTO ENTBRPRIs6 NAMC4 AND NU►A4Ss- ENTERPRISE RAC CCiMPANIY OF CINCINNATI, LLC, .7 i S1 �...1. rr �t.P1',Yrer'M;�riTC ..�.�._•,�.�..�^""�" _ "ter."'i.raw.+`�.�� -r -al Xd3 13r83SHI dH Wd*etOT E102 'bO uer Pram EMS Estimate and Im6af9ages Yaira 1 of 4 FAULKNER COLLISION CENTER OF CARLIS Admin Data Owner Insured Address Address Home Phone Home Phone 111 111 11 t 1 Work Phone Work Phone Insurance Company A dluster ENTERPRISE HOLDINGS,INC Adjuster Add-ess Phone Email Phone Inspeellon Locatlon Fax Address 2 ROADWAY DR CARLISLE.PA 17013 Phone Fax 717-254-0046 Repair Facility Estimator Information Repair Facility FAULKNER COLLISION CENTER OF Estimator Name CARLIS Office Address 2 ROADWAY UR Address CARLISLE,PA 17013 Phone 717-254.0041 Email Fax 717-254-0045 Phone Federal Tax tD 23-2330427 Fax - State =_ BAR Estimate Information Claim Informatton File ID 05333e12 Sup No. E01 Claim 9 DX384ST26 Policy Number %GK7YR Plaronn C 5.2 7 Transmit Date 1122013 Deductible S000 Deductbte Paid Yes Loss Assignment Date, Inspection Date Loss Type ehicleData Year 12 Make NISS Model SENTRA BodyStyle 4D SED Color VIN 3N1A86AP3CC755506 Engine 4.2 OL-FI Type Car Odometer 9485 Procudion Dale Primary Paint Of Impact 11 License Secondary Point Of Impact6 License State Line Items Line Operation Description Prise QTY tabor Paint Lbr TTL Other 1 FRONT DOOR 2 RenlovelReplace LT Mirror 9ssywlo power $152.78 1 0 3 B $10.50 3 Removellnstall LT R&t trim panel 0.5 B S17.50 4 FRONTLAMPS 5 RemovefReplace LT Headlamp asst'Base,S,SL $279.83 1 6 Am headlamps 0.5 B S17.50 7 FRONT BUMPER 8 RemovcfReplace AIM Bumper cover w/o fog lamps $174.00 1 1 9 B S66-50 20404025 bttps/`«%u-,t getclaun.coiniclaim!PnntElbfSDoc aspx7cid=94599708Bccid=&roid 1101258. 1/14'2013 Print EMS E.gtimate and 7Qf9 Iniages Page 2 of 4 8 Remove/Replace AAA Bumper cover w10 fog lamps 2.6 R 598.00 9 Add for Clear Coat 1 1 R $38.50 10 Remove/Replace Reinf beam. $478.97 1 0.4 B S11400 11 Remove/Replece LT Side bracket $23.97 1 0 1 B S3.50 12 Remove/Install License bracket Base,S.SL 0.2 B 57.00 13 WHEELS 14 Remove/Replace LTiFront Wheel raver Base $72.63 1 15 Remove/Replace LT*ront Wheel steel Base $220.07 1 0 3 B 510.50 16 Sublel Two wheel alignment 549.95 17 REAR BUMPER is Repair Bumper cover all 2'8 S70-00 18 Repair Bumper cover all 3 R S105 0D 19 Overlap Major Non-Ad! Panel -0:2 R ($7.00) 20 Add for Clear Coal 0 6 R $21 00 21 FENDER 22 Remove/Reptace LT render Base.S.SL $246.63 1 1.8 B SG3.00 22 Remove/Replace LT Fender Base,S,SL 2.3 R 580.50 23 Oveflap Major Non-Adj.Panel -0.2R ($700) 24 Add for Clear Coat 0.4 R $14.00 25 Add for Edging 0.5 R S17.50 26 Deduct for Overlap -0.38 (510 50) 27 WINDSHIELD 28 Remove/Replace Washer reservoir $104.73 1 0 7 B S24.50 29 RADIATOR SUPPORT 30 RemwelReplace Radiator support $349.33 1 648 $224 00 30 Remove/Replece Radiator support 1 5R S52.5D 31 Evacuate&recharge 1.4s 549.00 32 Add for auto trans 0.2 B 57.00 33 Add for AC option 0.6 B $21.00 34 Remove/Replace Splash shield 2.0 liter $65.37 1 35 FRONT SUSPENSION 36 Remove/Replace Engine cradle 2 0liter $540.68 1 5.5 B S192.50 = 37 ENGINE/TRANSAXLE _ 3B RemovelReplece Resnralar $78.23 1 0.3 B S10_150 39 Remove/Replace Flex Additive $800 1 40 Remove/Replace Corrosion Protection $10.00 1 41 RemovelReplace Hazardous Waste Removal $3,00 1 42 RemwelReplace Clean Car for Delivery $1000 1 Totals Parts Part 11sub,Total AdJ% AdJ 4 Tata) New Parts 1152.635.42 20.00% �}($527 10) 11 $2,108.32 Aftermarket Parts JIS17400 0.00 n/o 50 00 11 $174.00 Sutrlel _ _ S49.95 0.00-% -----J 80 00^ 549.95 Otrer IIS31.0010 00% $'0 00 $3-10-01 Parts Total $2,363.27 Leber Typo _ AddltionarLabor Rate Hours t4'M I-u Sub Total ®so Do $3s.Do 22 8 s/sa Do V7 a oD Pant.................... Q._ .................................................................................................... 3.5.00............................ 11.:8................._.............. ..._.........................._ ......................-..................._......_$41.-'.'. Labor Total $1,211.00 20404025 1lttps!l%v%,v%.gctclaini.cont.claimTnntEMSDoc aspx?eid=94599708&cid=&roid=1101258 1/14,12013 Print EMS EA-nn8of9ate and Images Page 3 of 4 I I Mal orials Paint Materials $174.60 2 Rage Paint $37.80 Materials Tutal $2.12.40 Miscellaneous Towing $41:4700 Miscellaneous Total $414.00 Adjustments QedudWe �Seles Tax Orig Totat FInaf Tota4 $4,200.69 C 20404025 littps f,.vv-w.gctclaim convdaim!PnntEMSDoc aspx'?eid=94599708&cid=&roid=1101258 111412013 Claim Payment Detail Page 1 of 1 Claim Payment Detail ( 12-3459845 ) Payment Information Disbursement Number: 478866782 Total Amount: $3,701.17 EFT Trace Number: Invoice Number: Paid To: DAMAGE RECOVERY UNIT,ONLY Mailing Address: PO BOX 405738 ATLANTA, GA 30384-5738 USA In Payment Of: COLLISION DAMAGE TO'12 NISSAN LESS 500 DEDUCTIBLE 03446776 Vendor Information Name: 1099 Required: Type: Reviewed Summary Issuing Rep: AMA0018 Approved By: Issue Date: 07-15-13 Review Date: Last Updated Rep: AMA0018 Reviewed By: Bank Information Type: Loss Bank Code: AS2 Stop Reason: Cleared: 07-21-13 Stop Date: Exposure Detail:COLL Party Name: ENTERPRISE RENTAL, Amount Paid: $3,701.17 Property Description: 12 NISSAN SENTRA Deductible Taken: $500.00 Payment Type: FINAL PAYMENT Property Damage: $0.00 Rental: $0.00 http://claimspayments/Alpha/ClaimsPaymentsWeb/default.aspx?page=ClaimPaymentDeta... 12/9/2013 4 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. Be ''amin W. Lawrence Date WELTMAN, WEINBERG & REIS CO., L.P.A. BY: Michael Dougherty I.D. No. 76046 325 Chestnut Street Suite 501 Philadelphia, PA 19106 Phone: (215) 599-1500 Fax: (215) 599-1505 File # 20404025 MJD/KMH Attorney for Plaintiff(s) PROGRESSIVE SPECIALTY INSURANCE COMPANY Cumberland County Court of Common Pleas vs. DAVAN DODRILL No.: 14-3875 PRAECIPE TO DISMISS WITHOUT PREJUDICE - 71 SCO G �n � r C r to .17 per, C .-, .fi %3 TO THE PROTHONOTARY: Kindly dismiss the above matter without prejudice . WELTMAN, WEINBERG & REIS CO., L.P.A. By Michael Dougherty, :squire Attorney for Plaintif 111111111111 IIIII IIII 11111111111 IIIII IIIII IIIII IIIII IIIII IIII IIIII IIII