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Home My WebLink About315162 8/22/2017 W��'"• CITY OF CARMEL, INDIANA VENDOR: 369505 CHECK AMOUNT: S**...2,101.12* ABRA AUTO BODY &GLASS CHECK NUMBER: 315162 e �` ONE CIVIC SQUARE 7225 NORTHLAND DRIVE SUITE 210 CARMEL, INDIANA 46032 BROOKLYN PARK MN 55428 CHECK DATE: 08122117 �''':oN'�a AMOUNT DESCRIPTION DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER M UNT AUTO REPAIR & MAINTEN 2200 4351000 2336491 _ / > < « \ 0 9 / % \ O E # 9 Z / ? 0 O qX ® ^ m O I 2 / 2 \ \ cn k k / Cil . 2 m m O � I O « # - 2 = e 0 5 - . / m > CD 2 % ? « y m > 5 § e ` § q / C5 CL � C) I o 2 O ® 2 z 7 > � O § z |G ¥ a 4 \ § E } ^ m E o i / k § m H m , ) a m 6 Q 7 - ¥ / `CD CD k a 2 \ § k Q 3 ƒ + § & 7 k 7 \ ! \ § E a CD N E J g C 0 m a o ] E & ; / q CDZ E E \ % / / & - - D ƒ § % & B o / @G ® / f m o c 7 / / \ -j mCD =7 CDwmCD m � 7 { > \ \� ) / U) R \ U c < ° 0 z Q a ] k� C:) =L kL C ( D # C) Z / � \ ° / F § 2 %E _ % \ c & a0 a f \f 5 , / \ D \ [ ) 9 // \ ) 0 E § qCD CL 2 0 \ K O ° ~CD� / \ 7 CD c \ r O CD CD ¥ q ® § = E C » ® c § / 0 n CD CD 03 ° 0 ur j / z \ \ \ 91 / CD 0 2 ; CL 7 2 D } \ / k E CD / Z co L= j t I y� K s � A r v 41, FileEdit Claimant Engineering,City Of Carmel Policy AI02283862 coverage Property Damage Coverage Deductible 1" Coverage Limit 1100000 Payment Type I Payment Expense Code Address Information Mail to: ' Pay To: CITY OF CARMELName ICITY OF CARMEL ENGINEERING Address 1 11 CIVIC SQ.CARMEL CITY HALL Address 2 5il D Tax ID FayFa List City,State,Zip ICARMEL,IN 46032 Tax ID Contact i Payment 2101.12 lV Final Payment Approved Process Date 05/1012017 Check Number 14495285 Print Location Stub Information Green Bay ATTENTION: KATE LUSTICK A THIS PMENT HAS WX ISSUED OMER THE PROPERTY DAMAIGiE COVEnGE FOR YOM SIW1TTED CLAIM. � v r Estimate Separate T y„ f r Estimate Enclosed r Enclosure r Overnight r Closed File Subro Brochure r Hold Check in Office Close s r Ver:13,0,6.8210 E3-PRODUCTION 108/16/20171 Time:9:26 AMI V:07115/201710:05:04 PM :e . .. . Sincerely, Sean King Customer Professional Claims Service Center ............................... 0:800.872.5246 x 3282 1 F:888.269.8408 4Ameriprise Auto&Home Insurance Ameriprise Insurance Company 2 ABRA Auto Body &Glass - Carmel, Workfile ID: d9e5e61e Federal ID: 41-1484683 IN Right the First Time...On Time WM BW$ans 503 West Carmel Drive, Carmel, IN 46032 Phone: (317) 569-9884 FAX: (317) 569-9885 Supplement of Record 2 with Summary Customer: CARMEL ENGINEERING DEPT Written By:Joseph Jones,6/8/2017 1:24:03 PM Insured: CARMEL ENGINEERING Policy#: Claim#: 2336491 DEPT Type of Loss: Liability Date of Loss: 4/21/2017 1:00 PM Days to Repair: 4 Point of Impact: 06 Rear Owner: Inspection Location: Insurance Company: CARMEL ENGINEERING DEPT ABRA Auto Body&Glass-Carmel,IN AMERIPRISE AUTO&HOME INSURANCE 1 CIVIC SQUARE 503 West Carmel Drive CARMEL,IN 46032 Carmel,IN 46032 (317)571-2441 Business Repair Facility (317)569-9884 Business VEHICLE 2010 FORD Escape Hybrid 4WD 4D UTV 4-2.5L Hybrid SMPI WHITE VIN: 1FMCU5K38AKB40806 Interior Color: Mileage In: 61,994 Vehicle Out: License: 67113 Exterior Color: WHITE Mileage Out: State: IN Production Date: 12/2009 Condition: Job#: 9995 TRANSMISSION Overhead Console AM Radio Head/Curtain Air Bags Automatic Transmission CONVENIENCE FM Radio Hands Free Device 4 Wheel Drive Air Conditioning Stereo ROOF POWER Intermittent Wipers Search/Seek Luggage/Roof Rack Power Steering Tilt Wheel CD Player SEATS Power Brakes Cruise Control Auxiliary Audio Connection Cloth Seats Power Windows Rear Defogger Satellite Radio Bucket Seats Power Locks Keyless Entry SAFETY WHEELS Power Mirrors Alarm Drivers Side Air Bag Aluminum/Alloy Wheels Power Driver Seat Message Center Passenger Air Bag PAINT DECOR Steering Wheel Touch Controls Anti-Lock Brakes(4) Clear Coat Paint Dual Mirrors Rear Window Wiper Traction Control OTHER Privacy Glass Climate Control Stability Control Fog Lamps Console/Storage RADIO Front Side Impact Air Bags California Emissions 6/12/2017 11:24:51 AM 307327 Page 1 Supplement of Record 2 with Summary Customer: CARMEL ENGINEERING DEPT 2010 FORD Escape Hybrid 4WD 4D UTV 4-2.5L Hybrid SMPI WHITE Line Oper Description Part Number Qty Extended Labor Paint Price$ 1 ELECTRICAL 2 S02 Repl High voltage system 1 m 0.4 M deactivate/activate 3 S02 R&I Battery m 2.1 M 4 EXHAUST SYSTEM 5 S02 Repl Muffler gasket 9L8Z5E241A 1 29.82 6 S02 Repl Resonator w/pipe 9L8Z5A212A 1 430.24 m 0.5 M 7 WHEELS 8 * S01 R&I Spare Wheel,spare 9 QUARTER PANEL 10 S01 R&I RT Lower qtr trim w/4 speakers 0.5 11 SO1 R&I LT Lower qtr trim w/4 speakers 0.5 12 * S02 Rpr RT Rear pillar 2.4 0.7 13 * S02 Rpr LT Rear pillar 2.Q 0.7 14 S02 Overlap Minor Panel 0.2 ._.................... 15 REAR BODY&FLOOR 16 S01 Repl Rear crossmember 5L8Z78107A52AA 1 535.78 13.0 17 S01 Repl Rear body panel 8L8Z7810928A 1 172.22 Incl. 1.5 18 SO1 Add for Clear Coat 0.6 19 * S02 Rpr RT Rail assy s 4�a 20 * S02 Rpr LT Rail assy s 4�Q 21 S01 R&I Scuff plate Incl. 22 * S01 R&I Floor cover 01 23 S02 Repl RT Extension YL8Z78110A26AA 1 41.63 Incl. 0.2 24 S02 Add for Clear Coat 0.1 25 S02 Repl LT Extension YL8Z78110A27AA 1 42.15 Incl. 0.2 26 S02 Add for Clear Coat 0.1 27 * S02 Rpr Floor pan assy 28 LIFT GATE 29 S01 Repl Lift gate AL8Z7840010A 1 957.38 4.9 3.3 Note:estimate notes have RECY quote info. 30 SO1 Overlap Major Non-Adj.Panel -0.2 31 S01 Add for Clear Coat 0.6 32 * R&I Nameplate"ESCAPE" IOLL 33 R&I R&I lift glass 0.9 34 * R&I Molding chrome w/rear camera IOLL 35 # Rpr 'Clean&Retape Molding 0.3 36 * Repl Nameplate"HYBRID" 5M6Z7842528AA 1 50.13 hicl. 37 S01 R&I Weatherstrip Incl. 38 S01 R&I Molding primed w/o rr camera Incl. 39 S01 R&I RT Support cylinder Incl. 40 S01 R&I Latch Incl. 41 SO1 R&I Striker Incl. 6/12/2017 11:24:51 AM 307327 Page 2 Supplement of Record 2 with Summary Customer: CARMEL ENGINEERING DEPT 2010 FORD Escape Hybrid 4WD 4D UTV 4-2.5L Hybrid SMPI WHITE 42 S01 R&I Weatherstrip Incl. 43 S01 R&I LT Support cylinder Incl. 44 S01 R&I Wiper arm Incl. 45 * Sol R&I Wiper motor assy DA 46 Sol R&I Washer nozzle Incl. 47 S01 R&I Lift gate trim Incl. 48 REAR LAMPS 49 S01 R&I RT Tail lamp asst' 0.3 50 S01 R&I LT Tail lamp assy 0.3 51 S01 R&I High mount lamp Incl. 52 REAR BUMPER 53 Sol 0/H rear bumper 1.5 54 ** <> S01 Repl A/M KEYSIQ Bumper cover 8L8Z17K835APTM 1 189.00 Incl. 2.8 55 Overlap Major Non-Adj.Panel -0.2 56 Add for Clear Coat 0.5 57 ** Repl A/M KEYSIQ Top pad 8L8Z17B807AA 1 43.00 Incl. 58 S01 Rep[ Reinforcement 9L8Z17D942A 1 135.55 Incl. 59 S01 R&I Absorber Incl 60 MISCELLANEOUS OPERATIONS 61 # S01 Repl 'Car Cover 1 5.00 T 0.2 62 # S01 Refn 'Corrosion Protection 0'2 63 # Rep[ 'Flex Additive/Adhesion Promoter 1 8.50 T 64 # 'Hazardous Waste 1 5.00 X 65 # S02 Rpr 'Body Pull 2.0 SUBTOTALS 2,645.40 44.4 10.9 NOTES Estimate Notes: RECY Quotes: LKQ-Part is not cost effective Quote#9140948 Brothers- Rust present-not insurance quality-RUBY Prior Damage Notes: ft cover 6/12/2017 11:24:51 AM 307327 Page 3 Supplement of Record 2 with Summary Customer: CARMEL ENGINEERING DEPT 2010 FORD Escape Hybrid 4WD 4D UTV 4-2.51-Hybrid SMPI WHITE ESTIMATE TOTALS Category Basis Rate Cost$ Parts 2,626.90 Body Labor 41.4 hrs @ $46.00/hr 1,904.40 Paint Labor 10.9 hrs @ $46.00/hr 501.40 Mechanical Labor 3.0 hrs @ $75.00/hr 225.00 Paint Supplies 10.9 hrs @ $30.00/hr 327.00 Miscellaneous 18.50 Subtotal 5,603.20 Sales Tax $2,967.40 @ 7.0000% 207.72 Grand Total 5,810.92 Deductible 0.00 CUSTOMER PAY 0.00 INSURANCE PAY 5,810.92 6/12/2017 11:24:51 AM 307327 Page 4 Supplement of Record 2 with Summary Customer: CARMEL ENGINEERING DEPT 2010 FORD Escape Hybrid 4WD 41)UTV 4-2.51-Hybrid SMPI WHITE SUPPLEMENT SUMMARY Line Oper Description Part Number Qty Extended Labor Paint Price$ 9 * S01 Rpr RT Rail assy s 19 * S02 Rpr RT Rail assy s 10 * S01 Rpr LT Rail assy s 1.4 20 * S02 Rpr LT Rail assy '"Wine-ns a3ez d 1 ELECTRICAL 2 S02 Repl High voltage system 1 m 0.4 M deactivate/activate 3 S02 R&I Battery m 2.1 M 4 EXHAUST SYSTEM 5 S02 Repl Muffler gasket 9L8Z5E241A 1 29.82 6 S02 Repl Resonator w/pipe 9L8Z5A212A 1 430.24 m 0.5 M 12 * S02 Rpr RT Rear pillar 2.4 0.7 13 * S02 Rpr LT Rear pillar ?_,4 0.7 14 S02 Overlap Minor Panel -0.2 23 S02 Repl RT Extension YL8Z78110A26AA 1 41.63 Incl. 0.2 24 S02 Add for Clear Coat 0.1 25 S02 Repl LT Extension YL8Z78110A27AA 1 42.15 Incl. 0.2 26 S02 Add for Clear Coat 0.1 27 * S02 Rpr Floor pan assy 4�a 65 # S02 Rpr 'Body Pull 2.0 SUBTOTALS 543.84 19.0 1.8 TOTALS SUMMARY Category Basis Rate Cost$ Parts 543.84 Body Labor 16.0 hrs @ $46.00/hr 736.00 Paint Labor 1.8 hrs @ $46.00/hr 82.80 Mechanical Labor 3.0 hrs @ $75.00/hr 225.00 Paint Supplies 1.8 hrs @ $30.00/hr 54.00 Subtotal 1,641.64 Sales Tax $597.84 @ 7.0000% 41.85 Total Supplement Amount 1,683.49 NET COST OF SUPPLEMENT 1,683.49 6/12/2017 11:24:51 AM 307327 Page 5 Supplement of Record 2 with Summary Customer: CARMEL ENGINEERING DEPT 2010 FORD Escape Hybrid 4WD 4D UTV 4-2.51-Hybrid SMPI WHITE CUMULATIVE EFFECTS OF SUPPLEMENT(S) Estimate 2,101.12 Joseph Jones Supplement S01 2,026.31 Joseph Jones Supplement S02 1,683.49 Joseph Jones Job Total: $ 5,810.92 INSURANCE PAY: $ 5,810.92 A PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD AN INSURER FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION COMMITS A FELONY. THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE REPLACEMENT PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THE REPLACEMENT PARTS RATHER THAN BY THE MANUFACTURER OF YOUR MOTOR VEHICLE. 6/12/2017 11:24:51 AM 307327 Page 6