ageevoonen FF Date: 9792013 10:14 AM Estimate ID: 75-23X0-64501 Estimate Version: 0 Profle D: * (01602) GREATER L. State Farm Insurance Companies P.0.80e57110, nine, CA 82619 Damage Assessed By: Greg Matheny Appraied For: ACC CR Team 69 (200) 754.8135 Supplement FAX (866) 566-6595, Type of Loss: Date of Loss Deductible: ‘Claim Number: sure: Owner Aderass: “Telephone Description: Body Sve: “IN: Mi eage: OEMALT: Color Options: ny Number 101086 101004 101103 103313 01638 101639 100187 AUTO AUTO 100189 00191 100020 100193 100199 00800 Boy Boy BOY apy Boy Boy * Cation (Spec) 91312013 500.00 75-23x9-64501 ‘STEVEN MELENDEZ ‘STEVEN MELENDEZ 5217 RIDEQUT WAY, WHITTIER, CA 90601-2215 Work Phone: (582) 897-6608 Home Phone: (562) 897-6608 Michell Service: 911016 2009 Cadilac CTS Vehicle Production Date: 9108 40Sed Drive Train: 3.6L In) Cyl 6ARWO 1680J577390141028 sense: 6KPC210 CA 64,120 a Search Code: COSTAMESA Gray PASSENGER AIRBAG, ORIVER AIRBAG, POWER DRIVER SEAT, POWER LOCK, POWER WINDOW REAR WINDOW DEFOGGER, CRUISE CONTROL, TILT STEERING COLUMN TELESCOPIC STEERING COLUMN, PREMIUM SGUND SYSTEM, ANTLLOCK BRAKE SYS, TRACTION CONTROL. FOG LIGHTS, ALUWALLOY WHEELS, LEATHER STEERING WHEEL SATELLITE RADIO, AUTOMATIC TRANSMISSION, FRONT AIR DAM, REAR AIR DAM TINTED GLASS, AUTO AIR CONDITION, TRIP COMPUTER. SUBWOOFER, TELEMATIC SYSTEMS VARIABLE ASSISTED STEERING, AUTOMATIC HEADLIGHTS INTERIOR AUTOMATIC DAYINIGHT OR ELECTROCHROMATIC MIRROR SIDE HEAD CURTAIN AIRBAGS, VEHICLE THEFT TRACKINGINOTIFICATION DAYTIME RUNNING LIGHTS, ANUFM STEREO COIMP3 PLAYER, ELECTRONIC STABILITY CONTROL FRONT BUCKET SEATS, KEYLESS ENTRY SYSTEM, POWER DISC BRAKES POWER HEATED EXTERIOR MIRRORS, POWER LIFTGATE\TRUNK, ‘STEERING WHEEL AUDIO CONTROLS Line nm Pan Type! Dotlar Labor Operation Description Pan Nomber ‘Amount — Unis REMOVE/NSTALL Ft Bumpor Cover ine # REMOVE/INSTALL _L Front Combination Lamp Inc # BLEND Hood Outside eu REMOVEMNSTALL Hood Mouiging 03 REMOVEMNSTALL Hood Washer Nozzle o4e REMOVEMNSTALL Hood Washer Nozzle. 028 REMOVEIREPLACE _L Fonder Panel Recycled s0000* 39 # REFINISH Fender Outside e241 REFINISH Ladd To Edge Fender cos (One Way Auto 626-289-6128 Rett90860 Line Markup %28.00 75.00 REMOVEIREPLACE | Fender Grile 20849249 GMPART 148,70 INC REMOVEIREPLACE Fender insulator 22834329, GM PART 175 REMOVE/INSTALL {Fender Panel Extension Existing Inc REMOVEREPLACE | Fender Liner 20851001 GMPART 57.72 INC REMOVEREPLACE _L Fender Adhesive Emblem 18223484 GM PART 828 on REMOVEREPLACE Back Tape Roof Edge New 300° os ESTIMATE RECALL NUMBER: 09/09/2013 10:13:19 75-23X8-64601 ‘Machel Data Version Sottware Version ‘OEM: AUG. 13_VO905 MAPP:AUG_ISLV Copyright(C) 1994 2013 Nttehel Intemational Pogo 1 of 4 74.140 ‘AIRighs Reservesa ~ Date: Estimate 1D: Estimate Version: ‘Commited Profi 1D: 18 900500 BDY* REMOVE/REPLACE Restore Corosion Protecton Now 48 900500 BOY" ADDLLABOR OP Mask For Overspray New 20 900500 BDY* REMOVEIREPLACE Mask door opening New 21 800500 BY * REMOVEIREPLACE Seam SealeriCaukking New 22 100282 BOY —_REMOVEIREPLACE Alloy Wheel Sublet 23 KEYSTONE AUTO 200-421-7866 24 900500 BDY* ADDLLABOROP Mount & Balance TreWheels) ‘Sublet 25 $0050 NCH* ADDLLABOROP Four Wheel Alignment ‘Sublet 25 100818 BDY REPAIR LF Door Shell Existing 27 AUTO. REF REFINISH LF Door Outside 28 100817 BOY REMOVEIREPLACE —_L Ft Door Repair Panel 15880695 GM PART 29 AUTO. REF REFINISH (CF Add For Jams 30 ‘Need to remove sin in order to repair frome. 31 101673 BOY —_REMOVE/INSTALL —_L Ft OtrBelt Moulding 32 101671 BOY —REMOVEINSTALL Ft Rear View Miror 3 1096 REMOVEINSTALL Ft OtrDoor Handle 34 100823 BDY REPAIR {Rese Door Repair Panel Existing 35 AUTO. REF REFINISH LL Rear Door Outside 36 900500 REF‘ REFINISHIREPAIR Blend within panal ir door Existing 37 101675 GDY —REMOVEINSTALL Lear Ot Belt Moulding 38 101698 BOY —REMOVEIINSTALL Rear Ot, Door Handle 39 101721 REF BLEND {Quarter Panel Outsite 40° 101733 REF BLEND {Roof Ra 41° 101737 BOY REPAIR \USeeton Hinge Par 42 AUTO. REF REFINISH [Cinge Paar “8 “Time ines Sheet meal set up & pull 44 102074 BOY —_REMOVEIREPLACE —_L Upr Cow\Dash Bracket 25925443 GM PART 45 102076 BOY REMOVEIREPLACE —_L Lwr CowiDash Bracket 25724779 GM PART 46 102016 BOY —_REMOVEIREPLACE —_L Fender Bracket 48270553 GM PART 47 101756 BOY —REMOVE/INSTALL LF Gamish Moutiing 48° 101758 DY —REMOVEIINSTALL —_L Rear Garnish Moulding 49° 101762 BOY —REMOVEIINSTALL Rocker Moulding 50 101778 BDY —REMOVEINSTALL_ Rear Combination Lamp 51 101787 BDY —REMOVEINSTALL Rear Bumper Cover 52 900500 BD REMOVEIREPLACE TucllMask Front Glass Rubbesnidg(s) Now 53 900500 BOY * REMOVEIREPLACE Tuck/Mask Back Glass Rubberg(s) Now 54 936012 ADDL COST Hazardous Waste Disposal 55 939003 8DY- ADDL OPR Tint Color 55 AUTO REF — ADDLOPR e-Nib And Finesse 57 AUTO REF — ADDLOPR lear Coat 58 AUTO ‘ADDL COST PainvMaterits * - Judgment item #- Labor Note Applies C- Included in Clear Coat Cale CEG RAR Time Used For This Labor Operation Poe Damage Wiedstl, ire, & rim, ESTIMATE RECALL NUMBER: 09/09/2013 10:13:19 75-28K0-64501 Mizhell Data Vereion’ OEM: AUG.13_oD0S MAPP-AUG_12_V Copyright(C) 1994 -2013 Mitchel Intemational ‘Software Version: Taso ‘AI Righis Reserved 97972013 10:14 AM 15.23K964501 ° (01602) GREATER L, 5.00 * 5.00 * 200 * 400 * 19200 150° 85.00 * ° 48023, c ce ce ce ce 438 620 958 3.00" 300° 300° 4ato0* Page 2 or oor oz oo os oo 00" 208 7 628 05. Ine # Wwe # Wwe 208 18 or 028 07 6 09 os # 808 190 os 03 03 03 inc. 04 e 13 ox ox os 25 27 a4Date: 9192013 10:14 AM Estimate: 75-23x0-64501 ° Estate Vorion ‘Commits ProfieD: *(01602) GREATER L. Estimate Totals at Ger suet 1. Labersubtias Units _Rate_ Amount _Amoum__‘Tos_—_—Part Replacement Summary pont Body 759 “000 ~ 000 1500 7.36000 Taxabi Pans cor Rofish 481 5000 © 00000075500 Parts Aajusmnents 7500 Mocrancel 00 10000 © «0008500 88.0 ‘Sales Tox @ 900% 10188 Non- Taxable Labor 220000 Non-Texable Parts 15200 Labor Summary #20 2200.00 Tota Replacement Pas Amount 1.38858 ML Addtona Cots ‘Amount. Adjustments srount arabe Cots 44400 Insurance Deduct 500.00 Sale Tax @ 9.000% 3088 ‘customer Responsity 500.00. oat Adina Costs 483.98 Tota tater: 220000 IL Tela Replacement Pans: 138553 Total Aitonal Cont 83.93 Gross To: 08749 1. Total Agusiments: 500.00. Net Toa 356749 For more information regarding State Farm’s promise of satisfaction relating to new non-original equipment manufacturer (non-OEM) and recycled parts, please visit: http://st8.fm/7x4 or OR oe me Bak Register online to check the status of your claim and stay connected with state Farm®. To register, go to w.statefarm.com and select Check the Status of a Claim. If you are already registered, thank youl Not available in New Mexico. Insuance Co: STATE FARM INSURANCE COMPANIES ESTIMATE RECALL NUMBER: OanBOT9 101349 7504064501 Went Ona Vorson" OEM. AUG 12 808 NAPPAUGLISIV Copan (€) 994-2018 iced omatonal Pose ‘ ‘Software Version; 71.140 ‘All Rights Reserved wl~ ~ out etna orn: ‘Sond rd Inspection Sle: PENSKE COLLISION CENTER “Adar@88: 9136 Firestone Bla Downey, CA 90241 +00 Inspection Dawe: 9/972013, ‘Body Shop: Penske Colson Center (Downey) ‘Address: 9196 Frasione Blvd Downey, CA 80241-5319 Telephone: (562) 04-5694 For your protection California Law requires the following to appear on this form: Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. This is an estimate. Repair facilities must inspect the vehicle to determine if any repairs not listed are required, and to contact State Farm before making such repairs. Repairer is also responsible for conducting any necessary inspection and safety checks prior to and after completing repairs. ESTIMATE RECALL NUMBER: 09/08/2013 10:19:19 76-23%9-64501, ‘Mich Data Version: OEM: AUG. 13_Vo90s MAPP-AUG_13_V Copyright (C) 1994-2013 michel Intemational ‘Software Version: 7.140 ‘AIRighis Reserves ‘972013 10:14 AM 75.23%9-64501 * (01002) GREATER L Page 4 of 4