HomeMy WebLinkAbout06-6130
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CNIL DNISION
PROGRESSNE NORTHERN INS. CO.
AS SUBROGEE OF JANETREBHUN
Plaintiff,
CASE NO: C>l. -/"136 (It.u,:Li €.R.."'1
v.
TYPE OF PLEADING:
COMPLAINT IN CIVIL ACTION
DAVID JOHNSON AND
TRANSPORT CORPORATION OF AMERICA, INC.
Defendants.
FILED ON BEHALF OF:
Plaintiff
COUNSEL OF RECORD OF
THIS PARTY:
MICHAEL J. DOUGHERTY, ESQUIRE
Pa. LD. #76046
WELTMAN, WEINBERG & REIS CO., L.P.A.
325 Chestnut Street
Suite 1120
Philadelphia, P A 19106
(215) 599-1500
WWR #05210118
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CNIL DNISION
PROGRESSNE NORTHERN INS. CO.
AS SUBROGEE OF JANETREBHVN
Plaintiff,
v.
DAVID JOHNSON AND
TRANSPORT CORPORA nON OF AMERICA, INC.
Defendants.
CASE NO:
TYPE OF PLEADING:
COMPLAINT IN CIVIL ACTION
NOTICE TO DEFEND
NOTICE
YOU HA VB BEEN SUED IN COURT. If you wish to
defend against the claim 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 in filing in
writing with the Court your defenses or objections to
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 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
ALA WYER OR CANNOT AFFORD ONE,
GO TO OR TELEPHONE THE OFFICE SET FORTH
BELOW TO FIND OUT WHERE YOU
CAN GET LEGAL HELP:
A VISO
LE HAN DEMANDADO A USTED EN LA
CORTE. Si usted quiere defenderse de estas
demanddeas expuestas en las paginas siguientes,
usted tiene veinte (20) dias de plazo al partir de la
fecha dela demanda y la notificacion. Hace falta
asentar una comparencia escrita 0 en persona 0 con
un abogado y entregar a la corte en forma escrita
sus defensas 0 sus objeciones alas demandas en
contra de su persona. Sea avisado que si usted no
se defiende, la corte tomara medidas y puede
continuar la demanda en contra suya sin previo
aviso 0 notificacion. Ademas, la corte puede
decidir a favor del demandante y requiere que usted
cumpla con todas las provisiones de esta demanda.
usted puede perder dinero 0 sus propiedadas u
otros drechos importantes para usted.
LLEVE ESTA DEMANDA A UN ABOGADO
INMEDIATAMENTA. SI NO TIENE ABOGADO
o SINO TIENE EL DINERO SUFFICIENTE DE
PAGAR TAL SERVICO, VAYA EN PERSONA 0
LLAME FOR TELEFONO A LA OFICINA CUY A
DIRECCION SE ENCUENTRA ESCRITA ADAJO
PARA A VERIGUAR DONDE SE PUEDE CONSEGUIR
ASISTENCIA LEGAL.
Court Administrator
4th Floor, Cumberland County Courthouse
Carlisle, PA 17013
(717) 240-6200
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
PROGRESSIVE NORTHERN INS. CO.
AS SUBROGEE OF JANET REBHUN
Plaintiff,
CASE NO: Dl.. -l.IJ C e,u~L'--r-~
v.
TYPE OF PLEADING:
COMPLAINT IN CIVIL ACTION
DAVID JOHNSON AND
TRANSPORT CORPORATION OF AMERICA, INC.
Defendants.
COMPLAINT IN CIVIL ACTION
AND NOW COMES, Plaintiff by and through its counsel, WELTMAN, WEINBERG & REIS, CO.,
L.P.A., and hereby files this Complaint against Defendants, jointly and severally. In support thereof, Plaintiff avers
as follows:
1. Plaintiff, Progressive Northern Insurance Company ("Progressive"), IS a corporation with a
registered office located at P.O. Box 43258, Richmond Heights, Ohio.
2. Defendant, David Johnson, is an adult individual with a last known address of 8435 West 9th Street,
North, Wichita, Kansas 67212.
3. Defendant, Transport Corporation of America, Inc., is a business organization licensed and
authorized to conduct business in the State of Minnesota and having as one of its places of business 1715 Yankee
Doodle Road, Eagan, Minnesota 55121.
4. Progressive issued a policy of insurance where Progressive agreed to insure a 2001 Ford Escape
("Insured Vehicle"), owned by Plaintiff s insured.
5. On or about June 24, 2005 the motor vehicle owned by Defendant, deft business, and operated by
Defendant, deft person, did negligently, carelessly and/or recklessly collide with the Progressive Insured's vehicle
at or near Interstate 76 at or near mile marker 221, North Middletown, Pennsylvania.
6. At all times material hereto Defendant, deft person, was acting individually and/or as the agent,
servant, workman and/or employee of Defendant, deft business, within the course and scope of his agency and/or
with the express and/or implied consent of Defendant, deft business.
7. As a direct and proximate result of Defendants' negligence, the Progressive's Insured vehicle
sustained property damage in the amount of$16,518.75.
8. Pursuant to the terms and conditions of the insurance policy, Progressive paid the sum of
$16,268.75. A true and correct copy of the payment and damage documentation is attached hereto and marked as
Exhibit "I".
9. The insured also sustained damages of$250.00 representing his deductible.
10. Pursuant to the insurance policy issued by Progressive and as a result of said aforesaid payment,
Progressive became subrogated to the claim of its Insured against Defendants.
11. Pursuant to Progressive's right of subrogation, Progressive is presently due and owed from
Defendants the sum of$16,518.75.
12. Repeated demands have been made upon Defendants for payment of the aforesaid sum; however,
Defendants have willfully failed and refused to pay the sum due and owing to Progressive.
WHEREFORE, Plaintiff demands Judgment against Defendants jointly and severally the amount of
$16,518.75 and costs.
TIDS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED SHALL BE
USED FOR THAT PURPOSE.
"
Respectfully Submitted:
I . '
WELTMAN, wEINB~G &j REIS, CO., L.P.A.
Michael J. i~Ughe~~.ESqUire
P ALD. # 76046
325 Chestnut Street
Suite 1120
Philadelphia, P A 19106
(215) 599-1500
WWR#05210118
..IGIEIIIIE
5053 RITTER ROAD SUITE 101 MECHANICSBURG, PA 17055
(717) 697-8298
Fax: (717) 697-6711
Damage Assessed By: L1CENSE#417010 MATT VEREB
. Product Type Auto
. Date of Loss: 06/24/2005
Contact Date: 06/27/2005
. Deductible: 250.00
Policy No: 60539709-006
Claim Rep: E COOPER
Date: 06/28/200512:17 PM
Estimate ID: 05-6151079-01
Estimate Version: 0
Committed
Profile ID: Mech:all part types
. Claim Number: 05-6151079-01
Insured: JANET REBHUN
Address: 4096 SURREY DR ALLISON PARK, PA 15101
Telephone: Work Phone: (412) 667-0101 Home Phone: (412) 486-4482
Description:
Body Style:
VIN:
Mileage:
OEM/AL T:
Color:
Options:
Mitchell Service: 917626
2001 Ford Escape XL T
4D Ut
1 FMYU04191 KA44851
51,903
A
GOLD
ALUM/ALLOY WHEELS, AIR CONDITIONING, POWER STEERING, POWER BRAKES, POWER WINDOWS
POWER DOOR LOCKS, CRUISE CONTROL, ELECTRIC DEFOGGER, AUTOMATIC TRANSMISSION
AM-FM STEREO/CDPLAYER(SINGLE), CENTER CONSOLE, REAR GATE WIPER
PASSENGER-FRONT AIR BAG, POWER REMOTE MIRROR, 4-DOOR, DRIVER-FRONT AIR BAG
Line Entry Labor
Item Number Type Operation
701365 BDY
2
3
700024 BDY
BDY
4
5
6
700045 BDY
REF
REF
7 700142 BDY
8 REF
9 REF
10 700146 BDY
11 703222 BDY
12 REF
13 703285 BDY
14 700598 BDY
15 REF
16 700781 BDY
REMOVE/REPLACE
REMOVE/REPLACE
CHECK/ADJUST
REMOVE/REPLACE
REFINISH
REFINISH
REMOVE/REPLACE
REFINISH
REFINISH
REMOVE/REPLACE
REMOVE/REPLACE
REFINISH
REMOVE/REPLACE
REMOVE/REPLACE
REFINISH
REMOVE/REPLACE
Vehicle Production Date: 1/01
Drive Train: 3.0L Inj 6 Cyl 4WD
License: FLV3897 PA
Search Code: MECHANICS1
Line Item
Description
FRONT BUMPER
FRT BUMPER COVER
FRONT LAMPS
R FRONT COMBINATION LAMP ASSEMBLY
HEADLAMPS
HOOD
HOOD PANEL
HOOD OUTSIDE
HOOD UNDERSIDE
FRONT FENDER
R FENDER PANEL
R FENDER OUTSIDE
R FENDER EDGE
R FENDER LINER
FRONT INNER STRUCTURE
R FRONT BODY APRON ASSY -S
R APRON ASSEMBLY COMPLETE
WHEEL
WHEEL
ROCKER/PILLARS/FLOOR
R COWUDASH HINGE PILLAR -S
R HINGE PILLAR
FRONT DOOR
R FRT DOOR SHELL
ESTIMATE RECALL NUMBER: 06/28/200512:17:22 05-6151079-01
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: MAY _05_A Copyright (C) 1994 - 2004 Mitchell International
UltraMate Version: 5.5.021 All Rights Reserved
Part Type/
Part Number
Remanufactured
.. Non-OEM
.. Non-OEM CAPA
.. Non-OEM CAPA
.. Non-OEM
5L8Z 16C100 AA
Remanufactured
YL8Z 7802500 BA
5L8Z 7820124 AA
Dollar Labor
Amount Units
211.00 1.2
125.00 0.2 #
0.4
275.00 0.9
C 2.9
C 1.5
174.00 1.7
C 1.6
C 0.5
21.00 INC #
1,116.57 8.5 #
2.0
150.00 0.3
149.17 4.3
C 1.0
763.67 4.0 #
Page 1 of 5
Date: 06/28/200512:17 PM
Estimate 10: 05-6151079-01
Estimate Version: 0
Committed
Profile 10: Mech:all part types
17 REF REFINISH R FRT DOOR OUTSIDE C 1.9
18 REF REFINISH R FRT ADD FOR JAMBS & INSIDE C 1.0
ROOF
19 700965 BOY REMOVE/REPLACE ROOF PANEL YL8Z 7850202 BA 615.00 INC #
20 REF REFINISH ROOF PANEL C 3.2
QUARTER PANEL
21 BOY REMOVE/REPLACE ROOF/BOTH QTR PANELS 35.0
22 701018 BOY REMOVE/REPLACE R QUARTER OUTER PANEL YL8Z 7827840 CA 632.63 INC #
23 REF REFINISH R QUARTER PANEL OUTSIDE C 1.6
24 REF REFINISH R ADD FOR PILLAR C 0.5
25 REF REFINISH R QUARTER PANEL EDGE C 0.5
26 701019 BOY REMOVE/REPLACE L QUARTER OUTER PANEL YL8Z 7827841 CA 603.75 INC #
27 REF REFINISH L QUARTER PANEL OUTSIDE C 1.6
28 REF REFINISH L ADD FOR PILLAR C 0.5
29 REF REFINISH L QUARTER PANEL EDGE C 0.5
L1FTGATE
30 701064 BOY REMOVE/REPLACE L1FTGATE SHELL 1L8Z 7840010 AA 573.15 3.5
31 REF REFINISH L1FTGATE OUTSIDE C 2.2
32 REF REFINISH ADD FOR JAMBS & INSIDE C 1.0
33 701072 BOY REMOVE/REPLACE OTR L1FTGATE PULL HANDLE 5L8Z 7843400 DAA 71.70 INC #
34 701085 BOY REMOVE/REPLACE L1FTGATE INNER TRIM PANEL YL8Z 7846404 AAA 138.10 INC
REAR BODY
35 701165 BOY REMOVE/REPLACE R REAR BODY BUMPER BRACKET YL8Z 17787 AA 14.50
36 701166 BOY REMOVE/REPLACE L REAR BODY BUMPER BRACKET YL8Z 17788 AA 14.57
37 702331 BOY REMOVE/REPLACE REAR BODY FLOOR CROSSMEMBER YL8Z 7810608 AA 64.73
38 705038 BOY REMOVE/REPLACE REAR BODY CROSSMEMBER YL8Z 7810786 AA . 178.27 7.0 #
39 701167 BOY REMOVE/REPLACE REAR BODY PANEL YL8Z 7810928 AA 41.32 2.3 #
40 REF REFINISH REAR BODY PANEL C 1.2
41 705040 BOY REMOVE/REPLACE REAR BODY REAR PANEL SUPPORT YL8Z 7811 L52 AA 53.27 INC
42 702332 BOY REMOVE/REPLACE R REAR BODY PANEL EXTENSION YL8Z 7811 0A26 AA 31.77
43 702333 BOY REMOVE/REPLACE L REAR BODY PANEL EXTENSION YL8Z 78110A27 AA 31.77
44 701168 BOY REMOVE/REPLACE REAR BODY FLOOR PAN YL8Z 7811215 AA 1,481.55 14.5 #
45 REF REFINISH FLOOR PAN ASSY 2.0
REAR LAMPS
46 701178 BOY REMOVE/REPLACE R REAR COMBINATION LAMP ASSEMBLY ** Non-OEM 97.00 INC #
47 701179 BOY REMOVE/REPLACE L REAR COMBINATION LAMP ASSEMBLY ** Non-OEM 97.00 INC #
48 701195 BOY REMOVE/REPLACE STOP LAMP ASSEMBL Y 5L8Z 13A613 AA 38.68 INC #
REAR BUMPER
49 BOY OVERHAUL REAR COVER ASSY 0.4
50 701356 BOY REMOVE/REPLACE REAR BUMPER COVER Remanufactured 207.00 INC
51 701213 BOY REMOVE/REPLACE R REAR LWR BUMPER COVER MOULDING YL8Z 7829164 CAA 24.10 INC
52 701214 BOY REMOVE/REPLACE L REAR LWR BUMPER COVER MOULDING YL8Z 7829165 CAA 24.10 INC
53 701217 BOY REMOVE/REPLACE REAR BUMPER REINFORCEMENT YL8Z 17906 DA 86.80 INC
54 701218 BOY REMOVE/REPLACE REAR BUMPER IMPACT ABSORBER YL8Z 17C829 BA 34.90 INC
ADDITIONAL COSTS & MATERIALS
55 936012 ADD'L COST HAZARDOUS WASTE DISPOSAL 3.00 .
ADDITIONAL OPERATIONS
56 REF ADD'L OPR CLEAR COAT 4.2
57 933024 BDS' ADD'L OPR BROKEN GLASS CLEANUP OS
58 ADD'L COST PAINT/MATERIALS 472.00 *
SPECIAL ENTRY
59 900500 BDS * ALIGN CAR COVER Sublet 3.00 . 0.3*
60 900500 BDY* REMOVE/REPLACE 4 WHEEL ALIGNMENT Sublet 49.99 . 0.0*
61 900500 MCH* REMOVE/REPLACE MOUNT & BALANCE Sublet 8.00 . 0.0*
ESTIMATE RECALL NUMBER: 06/28/200512:17:22 05-6151079-01
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: MAY _05_A Copyright (C) 1994 - 2004 Mitchell International
UltraMate Version: 5.5.021 All Rights Reserved
Page 2 of 5
Date: 06/28/200512:17 PM
Estimate 10: 05-6151079-01
Estimate Version: 0
Committed
Profile 10: Mech:all part types
* - Judgement 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
WHEELS TO THE WORLD
FREE SHIPPING
NO CORE CHARGE
FAX (410) 295-5604
(800) 334-9433
13 ** 3459
150.00
KEYSTONE AUTOMOTIVE
575 MARYLAND AVE.
YORK
PA 17404
(717) 843-8927 (800) 524-4349
1 ** F01000520R
2 .. F02519101
4 ** F01230202PP
7 ** F01241219C
10 ** F01249110
46 ** F02819102
47 ** F02819102
50 **F01100318R
211.00
125.00
275.00
174.00
21.00
97.00
97.00
207.00
** PART TYPE TERMS AND ABBREVIATIONS **
NEW OR OEM OR PART NUMBER DISPLAYED--THESE REFER TO A NEW ORIGINAL
EQUIPMENT MANUFACTURER PART. NON-OEM, A/M AND QUAL REPL--THESE REFER
TO AN AFTERMARKET PART, WHICH IS A NEW, NON-ORIGINAL EQUIPMENT MANUFACTURER
PART.
USED/RECYCLED AND LKQ--THESE REFER TO A USED/RECYCLED OEM PARTS THAT HAVE BEEN
REFURBISHED. BDY=BODY,
BDS=BODY STRUCTURE, REF=REFINISH, GLS=GLASS,
FRM=FRAME,MCH=MECHANICAL, ADD'L C ST=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.
Add'l
Labor Sublet
I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount
-
Body 84.2 40.00 0.00 0.00 3,368.00 T Taxable Parts 8,141.07
Bdy-S 0.8 40.00 0.00 3.00 35.00 T Sales Tax @ 6.000% 488.46
Refinish 31.4 40.00 0.00 0.00 1,256.00 T
Non-Taxable Parts 57.99
Taxable Labor 4,659.00
Labor Tax @ 6.000 % 279.54 Total Replacement Parts Amount 8,687.52
Labor Summary 116.4 4,938.54
III. Additional Costs Amount IV. Adjustments Amount
Taxable Costs 475.00 Insurance Deductible 250.00-
Sales Tax @ 6.000% 28.50
Customer Responsibility 250.00-
Total Additional Costs 503.50
ESTIMATE RECALL NUMBER: 06/28/200512:17:22 05-6151079-01
UltraMate is a Trademark of Mitchelllntemational
Mitchell Data Version: MAY _05_A Copyright (C) 1994 - 2004 Mitchelllntemational
UltraMate Version: 5.5.021 All Rights Reserved
Page 3 of 5
Date: 06/28/200512:17 PM
Estimate 10: 05-6151079-01
Estimate Version: 0
Committed
Profile 10: Mech:all part types
I. Total Labor: 4,938.54
II. Total Replacement Parts: 8,687.52
III. Total Additional Costs: 503.50
Gross Total: 14,129.56
IV. Total Adjustments: 250.00-
Net Total: 13,879.56
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
6 Rear Center (P), 15 Total Loss (5)
Inspection Date: 06/27/2005
THE VEHICLE OWNER MAY BE RESPONSIBLE FOR ADDITIONAL COST ABOVE THE
APPRAISED' AMOUNT. THERE IS NO REQUIREMENT TO USE A SPECIFIC REPAIR
SHOP, HOWEVER, THE INSURER CAN PROVIDE A LIST OF REPAIR SHOPS THAT
WILL BE ABLE TO REPAIR THE VEHICLE TO ITS PRE-DAMAGE CONDITION.
THIS APPRAISAL MAY INCLUDE AFTERMARKET CRASH PARTS AS REPLACEMENT
PARTS. IF THE USE OF AN AFTERMARKET CRASH PART VOIDS THE EXISTING
WARRANTY ON THE PART THAT IT REPLACES, OR ANY OTHER PART, THAN THE
AFTERMARKET PART LISTED ON THIS ESTIMATE WILL HAVE A WARRANTY THAT
MEETS OR EXCEEDS THE WARRANTY OF THE ORIGINAL MANUFACTURER.
AFTERMARKET PART DESCRIPTIONS ON THIS APPRAISAL ARE PRECEDED WITH
AIM. AN AFTERMARKET CRASH PART IS A NON-ORIGINAL EQUIPMENT
MANUFACTURER (NON-OEM) REPLACEMENT PART, EITHER NEW OR USED, FOR ANY
OF THE NON-MECHANICAL PARTS THAT GENERALLY CONSTITUTE THE EXTERIOR OF
THE MOTOR VEHICLE, INCLUDING INNER AND OUTER PANELS.
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.
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 1-800-274-4641.
ESTIMATE RECALL NUMBER: 06/28/200512:17:22 05-6151079-01
Ultra Mate is a Trademark of Mitchell International
Mitchell Data Version: MAY _05_A Copyright (C) 1994 - 2004 Mitchell International Page 4 of 5
Ultra Mate Version: 5.5.021 All Rights Reserved
This Guarantee applies as long as you own or
Guarantee is not transferable and terminates
rwise 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.
Date:
Estimate 10:
Estimate Version:
Committed
Profile 10:
lease the vehicle.
if you sell or oth
06/28/200512:17 PM
05-6151079-01
o
Mech:all part types
This
THIS ESTIMATE REPRESENTS AN AGREED PRICE BASED ON ALL KNOWN DAMAGES
AT THIS TIME. THE REPAIRER AGREES TO COMPLETE AND GUARANTEE ALL
LISTED REPAIRS, AND ALL TOWING AND STORAGE CHARGES INCLUDED IN THIS
ESTIMATE.
***THIS IS NOT AN AUTHORIZATION OF REPAIR.***
***NO SUPPLEMENTS WITHOUT PRIOR AUTHORIZATION OR REINSPECTION.***
PROGRESSIVE WILL ONLY BE RESPONSIBLE FOR ADDITIONAL STORAGE OR MISC. HANDLING
CHARGES WHEN
WARRANTED UP TO TWO DAYS POST THIS'APPRAISAL DATE IN BOTH REPAIRABLE AND TOTAL
LOSS SITUATIONS.
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR
OTHER PERSON FILES
AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM CONTAINING ANY MATERIALLY
FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION
CONCERNING ANY FACT MATERIAL THERETO COMMITS A FRAUDULENT INSURANCE ACT, WHICH
IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND CIVIL PENALTIES.
;iit' ..w~V~
APPRAISER SIGNATURE
REPAIR SHOP MANAGER'S SIGNATURE
Event Log
File Created:
Estimate Started:
Estimate Printed:
Estimate Committed:
Estimate Uploaded:
06/27/200503:12:51 PM
06/27/200503:16:43 PM
06/27/2005 03:36:38 PM
06/28/2005 12:17:22 PM
Estimate not uploaded
ESTIMATE RECALL NUMBER: 06/28/200512:17:22 05-6151079-01
UltraMate is a Trademark of Mitchelllntemational
Mitchell Data Version: MAY _05_A Copyright (C) 1994 - 2004 Mitchell International
UltraMate Version: 5.5.021 All Rights Reserved
Page 5 of 5
Vehicle Appraisal Report
PII/1IIIIE1JlYE"
11279 PERRY HIGHWAY STE 201 WEXFORD, PA 15090
724-742-5038
Date: 07/06/2005 8:27:04 AM
Owner Name: JANET REBHUN
State: PA - Pennsylvania
Vehicle Year: 2001
Make: FORD Model: ESCAPE
Vehicle VIN: 1FMYU04191KA44851
Prepared By: ED COOPER
Claim Number: 05-6151079-01
Date of Loss: 06/2412005
Policy Number: 60539709-5
Insured Name: JANET REBHUN
To determine the ACV(Actual Cash Value) of your vehicle, we will:
1. Prepare the retail Valuation Report
The N.A.D.A. Official Used Car Guide<ID and NMR Blue Book@ provide a " Retail Value" for vehicles of the same year,
make and model as your vehicle. The value is based on a vehicle in clean, dealer-ready condition. The retail value
also takes into consideration the options, trim level package and mileage on your vehicle. Only the options listed
in those guides that affect value are shown in the Valuation Report. You should know that the guide editors believe
that most optional equipment has little or no value on older vehicles, especially if the optional equipment was
inexpensive or tends to deteriorate with age or use. We take the average of the two retail values, as mandated by
state law, and provide you with a detailed copy of the Mitchell Valuation Report.
2. Adjust the average retail value by the amount needed to bring your vehicle to the retail standard
The retail value does not take into consideration your particular vehicle's condition, unrepaired prior damage or
excess wear and tear. We will itemize and estimate the cost of repairs and 'NOrk that 'NOuld make your vehicle comparable
to the retail standard assumed by the N.A.D.A. Official Used Car Guide<ID and NMR Blue Book@. Progressive does not add
or subtract for generalized "dealer prep" or reconditioning charges as part of the adjustment. There is no absolute
value for a particular vehicle. We may ask you to provide information about the vehicle that's not readily apparent by
inspecting it, such as general maintenance and repair history, whether you are the original owner, title history and
title status (such as clean or rebuilt salvage).
3. Include the value of extraordinary refurbishments or repairs
Vehicles in exceptionally clean condition may appraise at higher than retail value. We also consider the cost and value
of recent refurbishments. In general, though, refurbishment or recent replacement of maintenance type items do not increase
the value of the vehicle, because those items are assumed in the retail value; they are expected to be in place and in
good condition when a vehicle is sold.
1. Average Retail Value
(See Report for details)
$15,325.00
2. Adjustment for prior damage
(See itemized damage estimates
Unrepaired Damage
Windshield/Glass Damage
Lights/Lens Damage
Tires
Total deductions from Retail
for details)
$0.00 x 0%
$0.00 x 100%
$0.00 x 100%
$0.00 x 25%
Value:
$0.00
$0.00
$0.00
$0.00
$0.00
3. Addition for extraordinary refurbishments or repairs
Refurbishments
Custom parts or non-factory equipment
Total additions to Retail Value:
$0.00
$0.00
+
$0.00
ACTUAL CASH VALUE:
Add Fees
Add Tax $15,325.00 x
Total post-ACV additions:
$15,325.00
7%
$0.00
$1,072.75
+ $1,072.75
Subtract deductible amount if applicable
Subtract salvage value if owner is retaining vehicle
Total post-ACV deductions:
$250.00
$0.00
$250.00
NET AMOUNT:
~ /7~
~~~~
- $16,147.75
Vehicle Appraisal Report
PII/II/IIE1JlYE"
Date: 07/06/2005 8:27:04 AM
Claim Number: 05-6151079-01
Vehicle Condition Description
(Considering the age and type of vehicle, if excessive wear and tear is noted, repairs necessary to bring the vehicle to the
retail value standard will be shown in a separate, itemized estimate of unrepaired prior damage.)
Interior condition:
Clean/Normal Wear and Tear - Observations:
NORMAL WEAR AND TEAR OBSERVED ON THIS VEHICLE.
Exterior condition:
Clean/Normal Wear and Tear - Observations:
NORMAL WEAR AND TEAR OBSERVED ON THIS VEHICLE
Tire wear:
(Tread depth less than 3/32" is excessive. See estimate of unrepaired prior damage for deduction).
Actual tread depth: LF 7/32" RF 8/32" LR 5/32" RR 7/32"
Refurbishment Value Estimate
(Only extraordinary refurbishments or repairs add value, because the retail value assumes good
condition of all vehicle components).
Date
Refurbishment installed
Original
cost
Mileage on
vehicle at time
of refurbishment
Mileage
on the
refurbishment
Addition
to retail
value
-------------------------- ----------
NO refurbishments noted.
Custom Parts/Non-Factory Equipment Value Estimate
Date
Custom/non-factory parts installed
Original
cost
Mileage on
vehicle at time
of installation
Mileage
on the
custom part
Addition
to retail
value
-------------------------- ----------
No custom parts or non-factory equipment noted.
progressive. com
Vehicle Appraisal Report
PII/1IIIIE1JlYE"
KEYS to understanding actual cash value and your settlement:
* Total loss appraisals are based on a case-by-case assessment of the damaged or stolen
property, its condition, its salability and its probable price in the marketplace immediately
prior to the loss.
* A fair and accurate settlement is based on the vehicle's actual cash value (ACV),
which is determined by considering pre-loss condition.
* Appropriate N.A.D.A. retail value and NMR Blue Book retail value reference sources are
used to determine the range of prices for substantially similar vehicles.
SETTLEMENT
Our settlement (less applicable deductible if you're insured with Progressive) is contingent upon our receipt of a "clean"
title with the lien released. Additionally, we'll show you how we arrived at the amount so you can be confident that the
settlement is realistic and fair in the local market. Sales tax and other fees (based on the settlement amount) will be
included in the settlement when required by state regulations.
In most cases, we take care of picking up your damaged vehicle and handling its processing, which is why we need the title.
In some instances, you may retain the salvage, but an appropriate deduction based on the value of the salvage will be made
and there may be additional titling requirements to be completed.
If you feel that your vehicle is 'NOrth more or less than our determination, we'll consider what you provide to support your
opinion of actual cash value. If a change in the amount is warranted based on credible evidence, then we will revise
our offer.
If you are a Progressive policyholder and there is still disagreement on the actual cash value, either you or we may request
to proceed under the Appraisal section of the insurance policy contract. You and Progressive each select and pay for a
competent appraiser who will inspect the vehicle, conduct market research about comparable vehicles, and reach an
agreement on actual cash value. The decision of the appraisers will be binding.
progressive. com
GN\ G
Page 1 of2
Salvage Direct, Inc.
42336 Gilbert Drive
Titusville, PA 16354
Phone:(814) 827-0300
Fax: (814) 827-9724
www.salvagedirect.com
~
SALVAGEDIREeT
09/09/2005
SDA# 92696
RECENED
SEP 3 0 2001
Claim #
Loss Type:
Insured:
Owner:
056151079
Collision
Janet Rebhun
Janet Rebhun
FINAL STATEMENT
Supplier:
1,
VIN:
Vehicle:
Color:
Mileage:
Fax:
Barbara Zekas
Progressive Casualty Insurance
Company
Wexford East
2200 Stafford Ave Ste 300
Scranton, P A 18505
(570) 969-1008
Rep:
Edward Cooper
Auction Item #
Sale Amount:
ACV:
Gross Return:
1 FMYU04191 KA44851
2001 Ford ESCAPE
Tan
51,903
579986
$1,100.00
$15,325.00
7.18%
Location:
Pickup:
SO Harrisburg
John's Mobile Service
1511 East Commerce Ave
Carlisle, P A 17013
Buyer:
The Car Lot
80 N. Main St.
Red Lion, PA 17356
Loss Date:
Storage Start Date:
Assignment Date:
06/24/2005
06/24/2005
06/29/2005
Invoice Date:
Pickup Deadline:
Pickup Date:
09/09/2005
07/01/2005
06/30/2005
Title Rcv'd Date:
Cert Rcv'd Date:
Sale Date:
08/26/2005
08/30/2005
09/06/2005
PROCEEDS FROM SALE
$-1,100.00
FIELD CHARGES PAID BY SALVAGE DIRECT
TOWING
STORAGE
TOTAL FIELD CHARGES
$926.00 ~ /
$105.00 ..,/
$1,031.00
SALVAGE DIRECT CHARGES
ASSIGNMENT Online Salvage Sale and Transaction
LOGISTICS Logistics
PRESERVATION Full vehicle wrap
TITLING Certificate of Salvage Processing
TOT AL SALVAGE DIRECT CHARGES
$25.00
$95.00
$65.00
$5.00
$190.00
NET SALVAGE PROCEEDS
$121.00
CURRENT BALANCE
PAYMENT DUE
$121.00
http://salvage.salvagedirect.comlprint/printem.asp ?sda=92696
9/8/2005
.CMSD2340 /CMSM2340
OPID: SMS0046
INSD: REBHUN, JANET E
DOL : JUN 24 05 PA-PITTNE-GRP-
PACMAN
CLAIM PAYMENT INQUIRY
CLM:
056151079
APR 11 06 - 13:06
TERMID: VT620171
POL: 60539709-6
ACTIVE REP: E COOPER
PAY TO THE ORDER OF:
TOTAL DRAFT AMOUNT:
4,499.70
LINE 1: JANET E REBHUN, ONLY****************************************
LINE 2:
LINE 3:
ADDRESS: 4096 SURREY DR
CITY: ALLISON PARK
ST/PR* PA ZIP/CPC: 15101
CNTRY* USA
IN PAYMENT OF: T/L OF 01 ESCAPE LESS $250 DED. PROG RETAINS SALVAGE
1099 ? N FEDERAL TAX ID:
CDS CODE * 12 PCL EFT TRACE #:
BANK CODE* AS2 ISSUE DATE
STATE * PA AREA
STOP RSN * DRAFT #
JUL 07 05
* 704
440705565
LAST UPDT REP: ENC0001
ISSUING REP: E COOPER
APPROVED BY:
REVIEW DATE: 00 00
REVIEWED BY:
COMMAND:
.CMSD~340 /CMSM2340
OPID: SMS0046
INSD: REBHUN, JANET E
DOL : JON 24 05 PA-PITTNE-GRP-
PACMAN
CLAIM PAYMENT INQUIRY
CLM:
056151079
APR 11 06 - 13:05
TERMID: VT620171
POL: 60539709-6
ACTIVE REP: E COOPER
PAY TO THE ORDER OF:
TOTAL DRAFT AMOUNT:
11,648.05
LINE 1: US BANK ONLY************************************************
LINE 2: OS-WI-FCIN
LINE 3:
ADDRESS: PO BOX 2928
CITY: OSHKOSH
ST/PR* WI ZIP/CPC: 54903
CNTRY* USA
IN PAYMENT OF: PAYOFF TO 2001 ESCAPE ACCT#510316985
1099 ? N FEDERAL TAX ID:
CDS CODE * 12 PCL EFT TRACE #:
BANK CODE* AS2 ISSUE DATE
STATE * PA AREA
STOP RSN * DRAFT #
JUL 08 05
* 704
440705807
LAST UPDT REP: MBR0002
ISSUING REP: M RACETTE
APPROVED BY: BROSE
REVIEW DATE: 00 00
REVIEWED BY:
COMMAND:
.CMSD)340 /CMSM2340
OPID: SMS0046
INSD: REBHUN, JANET E
DOL : JON 24 05 PA-PITTNE-GRP-
PACMAN
CLAIM PAYMENT INQUIRY
CLM:
056151079
APR 11 06 - 13:05
TERMID: VT620171
POL: 60539709-6
ACTIVE REP: E COOPER
PAY TO THE ORDER OF:
TOTAL DRAFT AMOUNT:
121. 00
LINE 1: SALVAGE DIRECT INC (ONLY}***********************************
LINE 2: ************************************************************
LINE 3: ************************************************************
ADDRESS: 42336 GILBERT DRIVE
CITY: TITUSVILLE
ST/PR* PA ZIP/CPC: 16354
CNTRY* USA
IN PAYMENT OF: SDA # 92696
1099 ? N FEDERAL TAX ID:
CDS CODE * 12 PCL EFT TRACE #:
BANK CODE* AS2 ISSUE DATE
STATE * PA AREA
STOP RSN * DRAFT #
SEP 20 05
* 194
441871625
LAST UPDT REP: CMGOOI0
ISSUING REP: C GREGORY
APPROVED BY:
REVIEW DATE: 00 00
REVIEWED BY:
COMMAND:
VERIFICATION
I, Michael J. Dougherty, 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 falsificaf n to authorities.
Date
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
PROGRESSIVE NORTHERN INS. CO.
AS SUBROGEE OF JANET REBHUN,
Plaintiff
v.
DAVID JOHNSON AND TRANSPORT
CORPORATION OF AMERICA, INC.,
Defendants
CIVIL DIVISION
CASE NUMBER: 06-6130
ISSUE NUMBER:
PLEADING:
PRAECIPE FOR APPEARANCE
CODE AND CLASSIFICATION:
FILED ON BEHALF OF:
DA VID JOHNSON AND TRANSPORT
CORPORATION OF AMERICA, INC.,
Defendants.
COUNSEL OF RECORD:
DENNIS J. BONETTI, ESQUIRE
Pa. ID# 34329
CIPRIANI & WERNER, P.C.
1011 Mumma Road, Suite 201
Lemoyne, P A 17043
(717) 975-9600
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
PROGRESSIVE NORTHERN INS. CO.
AS SUBROGEE OF JANET REBHUN
CASE NO.: 06-6130
CIVIL TERM
Plaintiff,
v.
DAVID JOHNSON AND TRANSPORT
CORPORATION OF AMERICA, INC.,
JURY TRIAL DEMANDED
Defendants
PRAECIPE FOR APPEARANCE
TO: PROTHONOTARY OF CUMBERLAND COUNTY:
Kindly enter my appearance on behalf of the Defendants, DAVID JOHNSON AND
TRANSPORT CORPORATION OF AMERICA, INC., in the above-captioned matter.
Respectfully submitted,
CIPRIANI & WERNER, P.C.
BY:
IS J. BONETTI, ESQUIRE
CO sel for the Defendants
DAVID JOHNSON AND TRANSPORT
CORPORATION OF AMERICA, INC.
A JURY TRIAL IS DEMANDED
CERTIFICATE OF SERVICE
That counsel for the Defendants, DAVID JOHNSON AND TRANSPORT
CORPORATION OF AMERICA, INC., hereby certifies that a true and correct copy of its
PRAECIPE FOR APPEARANCE has been served on all counsel of record, by first class mail,
postage pre-paid, according to the Pennsylvania Rules of Civil Procedure, on the b day
of1~^- ,2006.
Michael 1. Dougherty, Esquire
Weltman, Weinberg & Reis Co., L.P.A.
325 Chestnut Street, Suite 1120
Philadelphia, P A 19106
Respectfully submitted,
CIPRIANI & WERNER, P.c.
BY:
DENN J. BONETTI, ESQUIRE
Couns 1 for the Defendants,
DAVID JOHNSON AND TRANSPORT
CORPORATION OF AMERICA, INC.
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WELTMAN, WEINBERG & REIS CO., L.P.A.
BY: Michael J. Dougherty, Esquire
I.D. No. 76046
325 Chestnut Street, Suite 1120
Philadelphia, PA 19106
Phone: 215.599.1500
Fax: 215.599.1505
File # 05210118
Attorney for Plaintiff(s)
PROGRESSIVE NORTHERN INSURANCE
COMPANY, SUBROGEE OF
JANET E REBHUN
CUMBERLAND County
Court of Common Pleas
vs.
DAVID JOHNSON AND
TRANSPORT CORP OF AMERICA
NO. 06-6130 CIVIL TERM
ORDER TO SETTLE. DISCONTINUE AND END
TO THE PROTHONOTARY:
Kindly mark the above matter settled, discontinued and ended.
By
REIS CO., L.P.A.
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