Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

F -X C h a n ge F -X C h a n ge

PD PD
Date: 8/22/2017 04:55 PM

!
W

W
O

O
Estimate ID: 2939355-001
N

N
y

y
bu

bu
Estimate Version: 0
to

to
ww

ww
om

om
k

k
lic

lic
Committed
C

C
.c

.c
w

w
tr re tr re
.

.
ac ac
k e r- s o ft w a Profile ID: * NGIC VA k e r- s o ft w a

NATIONAL GENERAL INSURANCE


P.O. BOX 1623, WINSTON-SALEM, NC 27102
(888) 233-4575 ext. 53680
Fax: (800) 924-0273
Email: mickey.douglas@ngic.com

Damage Assessed By: Mickey Douglas Appraised For: ALEXIS SWEENEY


(336) 435-3755
Classification: Virtual

Supplements require photos, a written estimate with all original


repair lines and supplement lines, and prior approval.
Invoices may be requested.
mickey.douglas@ngic.com
Direct: 336-435-3680
Toll Free: 888-233-4575, ext 53680
FAX: 800-924-0273

Type of Loss: Property Damage


Date of Loss: 8/15/2017
Deductible: 0.00
Policy No: 2004770591 Claim Number: 2939355-001

Insured: WALTER MONTGOMERY


Claimant: JAMES STEWART
Address: 13036 GORHAM WAY, WOODBRIDGE, VA 22192-2948
Telephone: Cell Phone: (202) 680-2047
Owner: JAMES STEWART
Address: 13036 GORHAM WAY, WOODBRIDGE, VA 22192-2948
Telephone: Cell Phone: (202) 680-2047

Mitchell Service: 911380

Description: 2014 Jeep Compass Latitude


Body Style: 4D Ut Drive Train: 2.4L Inj 4 Cyl 4WD
VIN: 1C4NJDEB8ED665801 License: VLN-9309 VA
Mileage: 47,442
OEM/ALT: A Search Code: GCVAFALLSC
Color: Deep Cherry Red Crys
Options: PASSENGER AIRBAG, POWER LOCK, POWER WINDOW, POWER STEERING, REAR WINDOW DEFOGGER
AIR CONDITION, REAR WINDOW WIPER, CRUISE CONTROL, TILT STEERING COLUMN
AM/FM STEREO, DRIVER AIRBAG, HEATED EXTERIOR MIRROR
FRONT SIDE AIRBAG WITH HEAD PROTECTION, ANTI-LOCK BRAKE SYS., TRACTION CONTROL
FOG LIGHTS, ALUM/ALLOY WHEELS, TIRE INFLATION/PRESSURE MONITOR, AUXILIARY INPUT
LEATHER STEERING WHEEL, CD PLAYER, POWER ADJUSTABLE EXTERIOR MIRROR
PRIVACY GLASS, FIRST ROW BUCKET SEAT, VINYL SEAT, CLOTH SEAT, 4 WHEEL DRIVE
SIDE AIRBAGS, SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, MP3 PLAYER
ELECTRONIC STABILITY CONTROL, FRONT HEATED SEATS, KEYLESS ENTRY SYSTEM
REAR BENCH SEAT, REAR SPOILER, STEERING WHEEL AUDIO CONTROLS

Line Entry Labor Line Item Part Type/ Dollar Labor


Item Number Type Operation Description Part Number Amount Units
Front Fender
1 100140 BDY REMOVE/REPLACE L Fender Panel ** QRP Certified 159.00 3.0 #
2 REF REFINISH L Fender Outside C 2.0
3 REF REFINISH L Add To Edge Fender C 0.5
4 100142 BDY REMOVE/REPLACE L Fender Seal 5074924AE 28.20
Rocker/Pillars/Floor
5 100213 BDY REMOVE/INSTALL L Frt Rocker Moulding INC #
6 100217 BDY REMOVE/INSTALL L Rear Rocker Moulding 0.1 #
ESTIMATE RECALL NUMBER: 08/22/2017 16:54:51 2939355-001
Mitchell Data Version: OEM: JUL_17_V
MAPP:JUL_17_V Copyright (C) 1994 - 2017 Mitchell International Page 1 of 4
Software Version: 7.1.221 All Rights Reserved
F -X C h a n ge F -X C h a n ge
PD PD
Date: 8/22/2017 04:55 PM

!
W

W
O

O
Estimate ID: 2939355-001
N

N
y

y
bu

bu
Estimate Version: 0
to

to
ww

ww
om

om
k

k
lic

lic
Committed
C

C
.c

.c
w

w
tr re tr re
.

.
ac ac
k e r- s o ft w a Profile ID: * NGIC VA k e r- s o ft w a
Front Door
7 100258 BDY REMOVE/REPLACE L Frt Door Shell 68079387AC 604.00 4.2 #
8 REF REFINISH L Frt Door Outside C 1.9
9 REF REFINISH L Frt Add For Jambs & Interior C 1.0
10 101205 BDY REMOVE/REPLACE L Frt Door Adhesive Nameplate 68079789AA 62.50 0.1
11 101203 BDY REMOVE/REPLACE L Frt Door Adhesive Moulding 5182563AB 140.00 0.1
12 100009 BDY REMOVE/REPLACE L Frt Door Blackout Tape 5116389AA 33.25 0.2 #
Rear Door
13 100052 BDY REPAIR L Rear Door Shell Existing 3.0*
14 REF REFINISH L Rear Door Outside C 1.7
15 101367 BDY REMOVE/INSTALL L Rear Otr Door Belt Moulding 1.6 #
16 100039 BDY REMOVE/INSTALL L Rear Door Adhesive Moulding Existing 0.2 r
Special/Manual Entry
17 900500 BDY * ADD'L LABOR OP Clean & Retape Mldg ** QUAL REPL PART 5.00 * 0.2*
Rear Door
18 100054 BDY REMOVE/INSTALL L Rear Door Trim Panel 0.9
19 100086 BDY REMOVE/INSTALL L Rear Otr Door Handle 0.3 #
Additional Operations
20 REF ADD'L OPR Clear Coat 1.9
Special/Manual Entry
21 900500 BDY * ADD'L LABOR OP Cover Car ** QUAL REPL PART 5.00 * 0.2*
Additional Operations
22 933005 BDY ADD'L OPR Restore Corrosion Protection 10.00 * 0.2*
Additional Costs & Materials
23 ADD'L COST Paint/Materials 288.00 *
24 ADD'L COST Hazardous Waste Disposal 3.00 *

* - Judgment Item
# - Labor Note Applies
** QRP Certified - Quality Replacement Parts - Certified
C - Included in Clear Coat Calc
r - CEG R&R Time Used For This Labor Operation

KEYSTONE KEYSIQ
815 CENTRAL AVE.
LINTHICUM
MD 21090
(800) 390-4600 (410) 636-4600

1 ** CH1240276PP 159.00

Estimate Totals
_________________________________________________________________________________

Add'l
Labor Sublet
I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount
Body 14.3 44.00 10.00 0.00 639.20 Taxable Parts 1,036.95
Refinish 9.0 44.00 0.00 0.00 396.00 Sales Tax @ 6.000% 62.22

Non-Taxable Labor 1,035.20 Total Replacement Parts Amount 1,099.17

Labor Summary 23.3 1,035.20

ESTIMATE RECALL NUMBER: 08/22/2017 16:54:51 2939355-001


Mitchell Data Version: OEM: JUL_17_V
MAPP:JUL_17_V Copyright (C) 1994 - 2017 Mitchell International Page 2 of 4
Software Version: 7.1.221 All Rights Reserved
F -X C h a n ge F -X C h a n ge
PD PD
Date: 8/22/2017 04:55 PM

!
W

W
O

O
Estimate ID: 2939355-001
N

N
y

y
bu

bu
Estimate Version: 0
to

to
ww

ww
om

om
k

k
lic

lic
Committed
C

C
.c

.c
w

w
tr re tr re
.

.
ac ac
k e r- s o ft w a Profile ID: * NGIC VA k e r- s o ft w a

III. Additional Costs Amount IV. Adjustments Amount


Taxable Costs 288.00 Insurance Deductible 0.00
Sales Tax @ 6.000% 17.28
Customer Responsibility 0.00
Non-Taxable Costs 3.00

Total Additional Costs 308.28

Paint Material Method: Rates


Init Rate = 32.00 , Init Max Hours = 99.9, Addl Rate = 0.00

I. Total Labor: 1,035.20


II. Total Replacement Parts: 1,099.17
III. Total Additional Costs: 308.28
Gross Total: 2,442.65

IV. Total Adjustments: 0.00


Net Total: 2,442.65

THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AUTOMOTIVE PARTS NOT
MADE BY THE ORIGINAL MANUFACTURER. PARTS USED IN THE REPAIR OF YOUR
VEHICLE BY OTHER THAN THE ORIGINAL MANUFACTURER ARE REQUIRED TO BE AT
LEAST EQUAL IN LIKE, KIND AND QUALITY IN TERMS OF FIT, QUALITY AND
PERFORMANCE TO THE ORIGINAL MANUFACTURER PARTS THEY ARE REPLACING.

Point(s) of Impact
10 Left Front Side (P), 9 Left Side (S), 8 Left Rear Side (S)

Inspection Site: ESTIMATE FROM PHOTOS


Address: 13036 GORHAM WAY
WOODBRIDGE, VA 22192-2948
Inspection Date: 8/22/2017

NOTE TO REPAIR FACILITY - This is an estimate only, NOT an


authorization to repair. The vehicle owner MUST authorize ALL
repairsand is solely responsible for ALL repair costs. NO SUPPLEMENTS
WILL BE HONORED WITHOUT prior inspection AND authorization by a
NATIONAL GENERAL INSURANCE representative. QRP PARTS PLUS 25% MARKUP
is automatic - see parts adjustment in estimate.
NOTE TO VEHICLE OWNER - National General Insurance does business with
collision repair shops in your area and has developed a preferred
network of shops with proven, high standards. We recognize that you,
the vehicle owner, have the right to select the repair facility of
your choice and are under no obligation to use any of the shops on
thelist. We will pay the amount we determine payable under the policy
regardless of the repair facility chosen. We will attempt to get an
agreed cost of repairs with the shopof your choice. If this is not
possible, we will extend a fair and reasonable offer to repair the
loss related damage to your vehicle based on industry repair
standardsand prevailing market rates. If there are loss related
damages that were not visible at the time of the initial estimate,or
damages not included in the original estimate,the additional damage
will be considered for a supplemental repair estimate.

ESTIMATE RECALL NUMBER: 08/22/2017 16:54:51 2939355-001


Mitchell Data Version: OEM: JUL_17_V
MAPP:JUL_17_V Copyright (C) 1994 - 2017 Mitchell International Page 3 of 4
Software Version: 7.1.221 All Rights Reserved
F -X C h a n ge F -X C h a n ge
PD PD
Date: 8/22/2017 04:55 PM

!
W

W
O

O
Estimate ID: 2939355-001
N

N
y

y
bu

bu
Estimate Version: 0
to

to
ww

ww
om

om
k

k
lic

lic
Committed
C

C
.c

.c
w

w
tr re tr re
.

.
ac ac
k e r- s o ft w a Profile ID: * NGIC VA k e r- s o ft w a
IT IS A CRIME TO KNOWINGLY PROVIDE FALSE, INCOMPLETE OR MISLEADING
INFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING THE
COMPANY, PENALTIES INCLUDE IMPRISIONMENT, FINES AND DENIAL OF
INSURANCE BENEFITS.

ESTIMATE RECALL NUMBER: 08/22/2017 16:54:51 2939355-001


Mitchell Data Version: OEM: JUL_17_V
MAPP:JUL_17_V Copyright (C) 1994 - 2017 Mitchell International Page 4 of 4
Software Version: 7.1.221 All Rights Reserved

You might also like