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
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p� bam INANY OW IA*?M
OR COUNYRY WILL tFFICT YOUR LV�R s..
IN we 1114--mm-
iTIONAL ROD
e OFFFOR AN APDMUNAL �`
' I ' iw �■�'x _,..,..,,. • __ _....,a_ :... ,,,.....,_.�_ ._.�N..�...,.
TARGE THE FOLLOWING OPTIONAL
kODUCTS, :DAMAGE WAIVER; a He. m fa x
:ROONAL ACCIDENT INSURANCE; '""" "
JPPLEMENTAL LIABILiT . ....
_ .�.......,,,.._
ZOTECTION AND ROADSIDE NR. . .. _.—...._. "
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
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......,.
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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
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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
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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