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Home My WebLink About233217 06/04/14 �.C4_q a` "% CITY OF CARMEL, INDIANA VENDOR: 367095 ;; ® it ONE CIVIC SQUARE DAMAGE RECOVERY UNIT CHECK AMOUNT: $ .....362.60* :.- : CARMEL, INDIANA 46032 PO BOX 842264 CHECK NUMBER: 233217 gM1j�lrON Lp` DALLAS TX 25284-2264 CHECK DATE: 06/04/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4347500 102642014 362.60 GENERAL INSURANCE Snyder, Denise W From: Beaver Jr,Lawrence Robert <LRBEAVER@travelers.com> Sent: Monday, June 02, 2014 09:44 To: Snyder, Denise W Subject: Travelers Claim #: EZZ0222 Attachments: 05110185 - DOCS REQUEST EDVITRAVE LERS.pdf Good Morning, Attached is the Enterprise Subrogation Demand we discussed. All of the fees have been waived the total due is$362.60. Please give me a call if you have any questions or concerns. Thanks! Robert Beaver I Commercial and Public Sector Claims Adjuster I Auto Property Damage Claims Travelers P.O. Box 13485 Reading, PA 19612 W:610.371.3898 F: 800.804.3653 TRAVELERS) This communication,including attachments,is confidential,may be subject to legal privileges,and is intended for the sole use of the addressee.Any use, duplication,disclosure or dissemination of this communication,other than by the addressee,is prohibited. If you have received this communication in error,please notify the sender immediately and delete or destroy this communication and all copies. 1 I of 11 Enterprise Rent-A-Car PO BOX 842264 DALLAS,TX 752842264 Wednesday,May 28.2014 TRAVELERS" ONE TOWER SQUARE HARTFORD,CT 06183 Re: Claim No. 05110185 Date of Loss 0510412014 Your Claim No. e<,;,0222 Your Insured THOMAS SMALL Dear Sir/Madam: Enclosed please find the supporting documentation you requested. If you have any feedback regarding the handling of this claim please send an email to ClaimFeedbackCehi.com. Sincerely, Enterprise Rent-A-Car Damage Recovery Unit 866-300-3239 Fax:918-948-6635 DRU1@ehi.com 2of11 1 of 7 Enterprise Rent-A-Car PO BOX 842264 DALLAS.TX 752842264 Wednesday.May 21.2014 TRAVELERS" ONE TOWER SQUARE HARTFORD,CT 06183 Be: Claim N0. 05110185 Lour Iusared TII031.4S SAT,4LL Your Claim No. eZZ0222 Dale of Loss 0510412014 Balance Due $362.60 Dear Snr!Madam: Our review indicates that your insured is responsible for the damages/loss to our vehicle. Enclosed please fund documentation to support our clann. Please review this information and remit payment in fill to the address above. Please include our chain munber on your check. if you have any questions,please contact us at the munber below. Sincerely, Enterprise Rent-A-Car Damage Recovery•Unit 866-300-3239 Pas:918-948-6635 DRri1(a�.ehi.com 4of11 3of7 Estimate Information Repair Facility Estimate ID: ownfT Claim: DX16VI IAl Repair Facility: Superior Collision Center-Manassas Estimator: Addiess: 10458 Colonel Ct File ID: 12313 Platform. CCC Phone: 703-3689600 Date Created: 05/09/2014 Fax: 703-3682984 Federal Tax In: 200378205 State Tax ID: BAR: Vehicle Data Unit 47JVVYC Year:2014 Make:Chevrolet Model: C1500 02 SUBUR13AN VIN: 1GNSCJE05FR198818 Color: BROWN Lic.State:FL License:Ia0-YRV II Body Style:4D U-1 V Engine: 8-5.3L-FI Odometer:24240 Prod.Date: Points of Impact Primary: Front Secondary: Unknown Point of Impact Line Line op Description Type Part# Price Qty Labor Paint 001 FRONT BUMPER 002 O/H O/H bumper assy N 0.00 0 2.5B 003' RPR Bumper cover 2B 3R OOe BLANK Add fol Clear Coal 12R 005' REF wetland and buff 0.5R 006' BLANK flex additive AC 6.00 1 OB 007' BLANK hazardous waste removal AC 5.00 1 OB Totals Parts Parts Total (Labor Type Additional Labor Rate Hours Total Labor-Body 28.00 4.5 126.00 Labor-Refinish 28.00 4.7 131.60 Labor Total 257.60 Materials Materials-Paint 04.00 Materials Total 84.00 Miscellaneous Other-Additional Cost 11.00 Miscellaneous Total 11.00 Adjustment Insurance Pay 362.60 total Claim Before Taxes 362.80 3 of 11 2 of 7 INVOICE Date: 05/21/2014 TRAVELERS** Claim#: 05110185 ONE TONER SQUARE Unit#: 7JVVYC Billing Invoice#: 102642014 HARTFORD.CT 06183 Vehicle Llfonnalion VIN: IGNSCJE06ER198818 Year: 2014 Make: CMEV kfodcl: SUIT 1 Item Total Cost Amount Due Damages $362.60 $:62.60 Administrative Fees $50.00 Waived Loss of Use S163.39 Waived 2 30U days(7'S71.041day.[t?IUO°.6 arupamy Diminishment of Valuc $36.26 Waived Total Amount Due:S 362.60' *Remit payment iu U.S.Dollars. PAY UPON RECEIPT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ALL - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -ALL PAYIVIENTS MIST INCLUDE THIS REMITTANCE TO BE CREDITED PROPERLY! PAYABLE TO: DAMAGE RECOVERY"UNIT Claitn k 05110185 PO BOX 842264 Unit#: 7JVVYC DALLAS,TX 752842264 Billing Invoice#: 102642014 Toll Free it: 866-300-3239 Total Amount Due: S 362.60* *Remit payment in U.S.Dollars. Total Amount Remitted:$ 5of11 4,of 7 Final Total 362.60 Cip Codes BLANK Operation-Blank O;ti Operation-Overhaul REF Operation-Refinish RPR Operation-Repair Part Type Codes AC Other-Additional Cost N Parts-New Labor Codes 6 Labor-Body Paint Type Codes R Labor-Refinish 0 dl ly LOm d� Lil- Y °x °ASS. '$; ^.::�.�'..lT,.'.Et!'•'. ''t:. I y��" • �')..,t y'>1: - '4' a;fes f ` & � - � 0 m ® •�< wawsk ` 90f 11 �.Claim:'161'1DPD81102.85-Winclasa>Internet'E*-k4er tClaiI m Search Diary Search µr.* LlJss 1nfl:r;05f04l`2044 u �Rental DRQ In(r.Daj[y R=_nta((on Contract) Loss into:(:d9o014) — - - Cl� A V1:Unit 2;71NYC CHEYSUcl PP,034N MED 5r�rogatioastams Ueq.of Wag.Entrstaxes wlleg.of Defect states r'Esttnate:SUPERIOR CQLLISiDf^J CENTEF !: 2 " i-_ Nom YeMcle Qanvges f - 't �! tri Tranaaclion Grid Loss Qa.2e{nunfdd}rrr/l Loss Time jhhx=ny Purpose of Trip 347.2 ReenteriDihar.Sls1ALL TH'DAI.eS 5/04/2.014 j'4 Insuiance BeSLoss ContraSubrogation El Accident Location— ----------- -- ---- p-�J"Demand Profiles Notes ancation -- -- -01 Diaries UNK;UNK 86LM Qelm Documents �+1Y — -- County _----_^ CJ ER4C Damages(A J ACrrd=ni RCporL-lContracts Countrr State rl Police Reports USA VA , O J Lass awaroi(2) f� Loss Control Reade El Loss Delatls Common Recycle Loss QcsoipHan ding on left/right bumper.car teas parked in marriot garage Talked to Driver=Y, Accident Type Related claim a Colirston T Road Condition Catastrophe Weather Road Type 1 Rt t @ 2010 Enterprise Holdings Inc.patent Pending. 0nLt r ri s ca o 6ntexprise Rcnt a Car RA f 143042394 Retuxn D.c cnt FACSIMILE Rental Location Ranter Name TEQIAS SMALL RASE DULLES INTL ARPT 29-APR-2014 01.24 I'M 201 COTTONWOOD OR 23330 AUTOPILOT UR ANDERSON IN 46012 DULLES VA 20166-7 ph— (703)6618800 CITY OF CARREL-POLICE DEPT Contract ID CITY OF Return Location HASB DULLES INTL ARPT 04-MAZ-2014 09.50 AM Charges No Unit Price/Unit Amount Vehi.Le i ER198818 TIME & DISTANCE 1 Weeks 355.24 355.24 Mode1 SUBURBAN UNLIMITED MILES/M - TIME L DIST M/r—s 0.00 class D— PRAR DISCOUNT -TIME S DIST 5.008 355.24 -17.76 C12S5 Charge FGAR AIRPORT ACCESS FEE 356.69 39.63 Li-5.0 8 401m AIRPORT ACCESS FEE -17.76 -1.97 State/Province FLORIDA VLF 5 Days 0.29 1.45 M/Ems Driven 35635 VA RENTAL TAE @4.000 6 356.69 14.27 M/mns Out 0579 VA RENTAL FEE @2.000 6 356.69 7.13 M/Ems In 24214 @4.000 B 356.69 14.27 VA RENTAL TAE 04.000 8 -17.76 -0.71 VA RENTAL FEE 92.000 8 -17.76 -0.36 !O 04.000 0 -17.76 -0.71 Rate Info J H.ssagcs * Tazablc Items Sabjcct to Audit Tatal Cl—gcs USD 410.48 Payments Vo all— BUSINESS ACCOUNT-APPLICANT For Reservations/ 1-800-RENT-A-CAR Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 102642014 $362.60 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Damage Recovery Unit IN SUM OF $ PO Box 842264 Dallas, TX 75284-2264 $362.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 102642014 43-475.00 $362.60 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except JUN m 2 2014 t Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund