AUTO CLUB INSURANCE ASSOCIATION

Michigan Region
1 Auto Club Dr.
Dearborn, MI 48126
Phone: (586) 747-1082
Fax: (313) 417-1311
Claim #:
Workfile ID:
400421537ZCOL002-03
04538b70
Estimate of Record
Written By: CONNIE SELLECK, 9/11/2014 8:31:51 AM
Adjuster: Selleck, Connie
Insured: MICHELLE KRUG Policy #: AUT029673118 Claim #: 400421537ZCOL002-03
Type of Loss: Collision Date of Loss: 09/09/2014 04:22 PM Days to Repair: 30
Point of Impact: 15 Total Loss Deductible: 1000.00
Owner: Inspection Location: Appraiser Information: Repair Facility:
MICHELLE KRUG
15784 REGENT ST
MACOMB, MI 48044
(586) 943-8486 Evening
(248) 808-8708 Day
205 NORTHBOUND GRATIOT
AVE
MOUNT CLEMENS, MI 48043
Repair Facility
cqselleck@aaamichigan.com
(586) 747-1082
VEHICLE
Year: 2014 Color: BLACK Int: License: *removed Production Date:
Make: FORD Body Style: 4D SED State: MI Odometer: 7037
Model: FOCUS SE Engine: 4-2.0L-FI VIN: 1FADP3F21EL258871 Condition:
TRANSMISSION Intermittent Wipers Auxiliary Audio Connection Bucket Seats
Automatic Transmission Tilt Wheel Satellite Radio Reclining/Lounge Seats
POWER Cruise Control Equalizer Heated Seats
Power Steering Rear Defogger SAFETY WHEELS
Power Brakes Keyless Entry Drivers Side Air Bag Aluminum/Alloy Wheels
Power Windows Message Center Passenger Air Bag PAINT
Power Locks Steering Wheel Touch Controls Anti-Lock Brakes (4) Clear Coat Paint
Power Mirrors Telescopic Wheel Front Side Impact Air Bags OTHER
DECOR RADIO Head/Curtain Air Bags Traction Control
Dual Mirrors AM Radio Positraction Stability Control
Tinted Glass FM Radio Communications System Power Trunk/Gate Release
Console/Storage Stereo Hands Free Device
CONVENIENCE Search/Seek SEATS
Air Conditioning CD Player Cloth Seats
9/11/2014 8:31:52 AM 104574 Page 1
Claim #: 400421537ZCOL002-03
Workfile ID: 04538b70
Estimate of Record
2014 FORD FOCUS SE 4D SED 4-2.0L-FI BLACK
Line Oper Description Part Number Qty Extended
Price $
Labor Paint
1 FRONT BUMPER
2 O/H front bumper 0 0.00 2.9 0.0
3 Repl Bumper cover BM5Z17D957CAPTM 1 410.30 Incl. 2.8
4 Add for Clear Coat 0 0.00 0.0 1.1
5 Repl Support CP9Z17C897A 1 177.08 Incl. 0.0
6 Repl RT Side retainer CP9Z17C947A 1 21.10 0.1 0.0
7 Repl LT Side retainer CP9Z17C947B 1 21.10 0.1 0.0
8 Repl Energy absorber CP9Z17C882A 1 57.32 Incl. 0.0
9 Repl Impact bar (BOR) CP9Z17757A 1 268.20 1.3 0.0
10 Repl Lower grille S & SE, w/o upgrade
pkg.
CP9Z17K945B 1 54.47 Incl. 0.0
11 Repl RT Outer grille w/S, SE CP9Z17K946B 1 39.45 Incl. 0.0
12 Repl LT Outer grille w/S, SE CP9Z17K946A 1 39.45 Incl. 0.0
13 Repl RT Air deflector CP9Z17626A 1 48.30 Incl. 0.0
14 Repl LT Air deflector CP9Z17626B 1 48.30 Incl. 0.0
15 Repl Grille assy S, SE w/o upgraded
pkg.
BM5Z8200A 1 114.85 Incl. 0.0
16 RADIATOR SUPPORT
17 Repl RT Mount bracket BM5Z16054A 1 25.33 Incl. 0.0
18 Repl Radiator support CP9Z8A284A 1 274.27 1.3 1.6
19 Evacuate & recharge 0 0.00 m 1.4 M 0.0
20 Refrigerant recovery 0 0.00 m 0.4 M 0.0
21 Add for auto trans 0 0.00 m 0.2 M 0.0
22 Aim headlamps 0 0.00 m 0.5 0.0
23 Repl LT Mount bracket BM5Z16055A 1 35.78 Incl. 0.0
24 Repl RT Support bracket CP9Z8182B 1 13.58 0.0 0.0
25 Repl LT Support bracket CP9Z8182B 1 13.58 0.0 0.0
26 Repl Lower tie bar (HSS) CP9Z16138A 1 106.67 Incl. 0.0
27 Repl Lower deflector w/o ST CM5Z8327A 1 96.65 0.2 0.0
28 Repl Upper deflector w/o ST CP9Z8312B 1 141.10 0.2 0.0
29 Repl Shutter w/o ST CM5Z8475A 1 563.77 Incl. 0.0
30 Repl Lower shield w/o ST CP9Z8310A 1 70.65 0.3 0.0
31 Repl Under cover w/2.0 liter DOHC AV6Z6P013A 1 147.32 0.3 0.0
32 COOLING
33 Repl Radiator CV6Z8005A 1 183.28 m 2.3 0.0
34 Repl Upper hose CV6Z8260K 1 23.42 m 0.5 0.0
35 Deduct for Overlap 0 0.00 -0.4 0.0
36 Repl Lower hose CV6Z8286K 1 23.96 m 0.6 0.0
37 Deduct for Overlap 0 0.00 -0.4 0.0
38 Repl Outlet tube CP9Z8597A 1 22.02 m 0.3 0.0
39 Repl Outlet hose 1S7Z8597AK 1 19.82 0.0 0.0
40 Repl Fan assy BV6Z8C607K 1 289.87 m Incl. 0.0
9/11/2014 8:31:52 AM 104574 Page 2
Claim #: 400421537ZCOL002-03
Workfile ID: 04538b70
Estimate of Record
2014 FORD FOCUS SE 4D SED 4-2.0L-FI BLACK
41 Repl Reservoir CV6Z8A080A 1 56.38 0.3 0.0
42 AIR CONDITIONER & HEATER
43 Repl Condenser CV6Z19712J 1 183.98 m Incl. 0.0
44 HOOD
45 Repl Hood CP9Z16612B 1 700.53 1.3 2.8
46 Add for Clear Coat 0 0.00 0.0 1.1
47 Add for Underside(Complete) 0 0.00 0.0 1.3
48 Repl RT Hinge CP9Z16796A 1 57.80 0.2 0.3
49 Add for Clear Coat 0 0.00 0.0 0.1
50 Repl LT Hinge BM5Z16797A 1 57.80 0.2 0.3
51 Add for Clear Coat 0 0.00 0.0 0.1
52 Repl RT Front seal CV6Z16B990A 1 31.90 0.1 0.0
53 Repl LT Front seal CV6Z16B990A 1 31.90 0.1 0.0
54 Repl Latch w/o alarm from 8/10/12 BM5Z16700C 1 61.32 Incl. 0.0
55 FENDER
56 Repl RT Fender BM5Z16005A 1 227.38 2.5 1.8
57 Overlap Major Adj. Panel 0 0.00 0.0 -0.4
58 Add for Clear Coat 0 0.00 0.0 0.3
59 Add for Edging 0 0.00 0.0 0.5
60 Deduct for Overlap 0 0.00 -0.4 0.0
61 Repl LT Fender BM5Z16006A 1 225.97 2.5 1.8
62 Overlap Major Adj. Panel 0 0.00 0.0 -0.4
63 Add for Clear Coat 0 0.00 0.0 0.3
64 Add for Edging 0 0.00 0.0 0.5
65 Deduct for Overlap 0 0.00 -0.4 0.0
66 Repl RT Fender bracket CP9Z16C076A 1 5.08 0.0 0.0
67 Repl RT Fender liner S & SE AM5Z16102A 1 64.87 Incl. 0.0
68 Repl RT Apron/rail assy (HSS) CV9Z16054B 1 707.60 s 10.3 1.5
NOTE: COMPLETE REPLACEMENT NECESSARY
69 Overlap Major Non-Adj. Panel 0 0.00 0.0 -0.2
70 * Rpr LT Apron/rail assy (HSS) CV9Z16055B 0 0.00 s 2.0 0.5
71 Overlap Major Non-Adj. Panel 0 0.00 0.0 -0.2
72 ELECTRICAL
73 Repl Junction block DV6Z14A068JA 1 266.70 0.0 0.0
74 Repl Wire harness w/2.0 liter DOHC,
w/auto trans w/o fog lamps
DM5Z14290TA 1 507.75 0.0 0.0
75 RESTRAINT SYSTEMS
76 Repl Driver air bag w/sync w/o
navigation
EM5Z58043B13AA 1 609.42 m Incl. M 0.0
77 Air bag system diagnosis ck sys.
operation
0 0.00 m 0.5 M 0.0
78 Air bag system diagnosis pinpoint
test
0 0.00 m 1.1 M 0.0
79 Repl LT Knee air bag charcoal DM5Z78045J77AB 1 318.10 0.6 0.0
80 Repl RT Head air bag DM5Z54042D95A 1 494.10 m 0.8 M 0.0
9/11/2014 8:31:52 AM 104574 Page 3
Claim #: 400421537ZCOL002-03
Workfile ID: 04538b70
Estimate of Record
2014 FORD FOCUS SE 4D SED 4-2.0L-FI BLACK
81 Repl Clockspring CV6Z14A664A 1 181.63 m 1.4 M 0.0
82 Repl Diagnostic unit w/o ST DM5Z14B321L 1 440.17 m 0.6 M 0.0
83 Repl RT Ft impact sensor CP9Z14B004A 1 69.95 m 0.2 M 0.0
84 Repl LT Ft impact sensor CP9Z14B004A 1 69.95 m 0.2 M 0.0
85 Repl LT Seat belt assy DM5Z54611B09DB 1 324.17 0.7 0.0
86 # Rpr PULL FRONT 0 0.00 4.0 F 0.0
87 # Front end alignment 1 49.95 0.0 0.0
88 ** A/M Freon 1 15.00 0.0 0.0
89 ** A/M Anti Freeze 1 10.00 0.0 0.0
90 # Corrosion Protection 1 0.00 0.0 0.3
91 # FRAME SET UP 1 0.00 1.0 0.0
92 ** A/M Hazardous Waste Removal 1 2.00 X 0.0 0.0
93 ** A/M One time use clips 1 5.00 0.0 0.0
94 RECYCLED ASSEMBLIES
95 * Repl RCY R&I engine/trans assy +25% 1 0.00 m 9.8 M 0.0
96 OTHER CHARGES
97 # Towing 1 235.00
98 # Storage 2 40.00
SUBTOTALS 9,402.39 51.7 17.8
NOTES
Estimate Notes:
HNOTES RE: SRS DEPLOYMENT
FRONT DEPLOYMENT
Deployed air bag
module(s)
Clockspring, with
driver air bag
deployment
Instrument panel
Deployed seat
pretensioner(s)
Diagnostic unit
Front sensor
INS HAS OEM ENDORSEMENT
non salvagable -parts
a
b
e
o
9/11/2014 8:31:52 AM 104574 Page 4
Claim #: 400421537ZCOL002-03
Workfile ID: 04538b70
Estimate of Record
2014 FORD FOCUS SE 4D SED 4-2.0L-FI BLACK
ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 9,125.39
Body Labor 31.1 hrs @ $ 40.00 /hr 1,244.00
Paint Labor 17.8 hrs @ $ 40.00 /hr 712.00
Mechanical Labor 16.6 hrs @ $ 75.00 /hr 1,245.00
Frame Labor 4.0 hrs @ $ 45.00 /hr 180.00
Paint Supplies 17.8 hrs @ $ 26.00 /hr 462.80
Miscellaneous 2.00
Other Charges 275.00
Subtotal 13,246.19
Sales Tax $ 9,588.19 @ 6.0000 % 575.29
Total Cost of Repairs 13,821.48
Deductible 1,000.00
Total Adjustments 1,000.00
Net Cost of Repairs 12,821.48
AUTO CLUB INSURANCE ASSOCIATION, MEMBERSELECT INSURANCE COMPANY OR AUTO CLUB GROUP INSURANCE
COMPANY (HEREIN INDIVIDUALLY AND COLLECTIVELY REFERRED TO AS ACIA) GUARANTEES THAT IT WILL
REPLACE THE QUALITY REPLACEMENT PARTS (PARTS NOT MANUFACTURED BY THE ORIGINAL EQUIPMENT
MANUFACTURER) IDENTIFIED ON THE VEHICLE ESTIMATE ASSOCIATED WITH THIS GUARANTEE IF A DEFECT IS
DISCOVERED.
ACIA FURTHER GUARANTEES THAT THE QUALITY REPLACEMENT PARTS, EXCLUDING GLASS AND MECHANICAL
PARTS, ARE CERTIFIED OR VALIDATED TO BE OF OEM QUALITY IN ALL INSTANCES WHEN THIS CERTIFICATION
OR VALIDATION IS AVAILABLE FOR THE PART. THIS GUARANTEE IS IN EFFECT FOR AS LONG AS YOU OWN THE
REPAIR VEHICLE AND IS NOT TRANSFERABLE TO ANOTHER PARTY AT ANY TIME. THIS GUARANTEE COVERS THE
COST OF THE PART, LABOR TO INSTALL, PAINT AND MATERIALS IF REQUIRED, AND REASONABLE RENTAL COST
OF A SIMILAR TEMPORARY REPLACEMENT VEHICLE DURING THE REPAIRS. THIS GUARANTEE DOES NOT COVER
CLAIMS FOR DIMINUTION IN VALUE OR CONSEQUENTIAL DAMAGES.
IF A DEFECT IN A QUALITY REPLACEMENT PART IS DISCOVERED, CONTACT YOUR LOCAL ACIA CLAIMS
DEPARTMENT IMMEDIATELY AND ACIA WILL REPLACE THE PART WITH A NEW ORIGINAL EQUIPMENT
MANUFACTURER PART. IF AN ORIGINAL EQUIPMENT MANUFACTURER PART IS NOT REASONABLY COMMERCIALLY
AVAILABLE, ACIA WILL REPLACE THE DEFECTIVE PART WITH ANOTHER QUALITY REPLACEMENT PART.
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH PARTS SUPPLIED BY A
SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES THAT APPLY TO THESE
REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER, DISTRIBUTOR, OR INSURER OF THESE PARTS.
9/11/2014 8:31:52 AM 104574 Page 5
Claim #: 400421537ZCOL002-03
Workfile ID: 04538b70
Estimate of Record
2014 FORD FOCUS SE 4D SED 4-2.0L-FI BLACK
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide
DR2JK12, CCC Data Date 8/15/2014, and the parts selected are OEM-parts manufactured by the vehicles Original
Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM
(Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM
vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount.
OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships.
Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have
been modified or may have come from an alternate data source. Tilde sign (~) items indicate MOTOR Not-Included
Labor operations. The symbol (<>) indicates the refinish operation WILL NOT be performed as a separate procedure
from the other panels in the estimate. Non-Original Equipment Manufacturer aftermarket parts are described as Non
OEM or A/M. Used parts are described as LKQ, RCY, or USED. Reconditioned parts are described as Recond.
Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto
Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor
operation times. NAGS labor operation times are not included. Pound sign (#) items indicate manual entries.
Some 2015 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated
data from the vehicle manufacturer, labor and parts data from the previous year may be used. The CCC ONE
estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local
dealership.
The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to
be repaired or replaced:
SYMBOLS FOLLOWING PART PRICE:
m=MOTOR Mechanical component. s=MOTOR Structural component. T=Miscellaneous Taxed charge category.
X=Miscellaneous Non-Taxed charge category.
SYMBOLS FOLLOWING LABOR:
D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category.
M=Mechanical labor category. S=Structural labor category. (numbers) 1 through 4=User Defined Labor Categories.
OTHER SYMBOLS AND ABBREVIATIONS:
Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. Blnd=Blend. BOR=Boron steel.
CAPA=Certified Automotive Parts Association. D&R=Disconnect and Reconnect. HSS=High Strength Steel.
HYD=Hydroformed Steel. Incl.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non
Adjacent. NSF=NSF International Certified Part. O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace.
R&I=Remove and Install. R&R=Remove and Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel.
Sect=Section. Subl=Sublet. UHS=Ultra High Strength Steel. N=Note(s) associated with the estimate line.
CCC ONE Estimating - A product of CCC Information Services Inc.
The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR
CRASH ESTIMATING GUIDE:
BAR=Bureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway
Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number.
9/11/2014 8:31:52 AM 104574 Page 6
Claim #: 400421537ZCOL002-03
Workfile ID: 04538b70
Estimate of Record
2014 FORD FOCUS SE 4D SED 4-2.0L-FI BLACK
ALTERNATE PARTS USAGE
Year: 2014 Color: BLACK Int: License: *removed Production Date:
Make: FORD Body Style: 4D SED State: MI Odometer: 7037
Model: FOCUS SE Engine: 4-2.0L-FI VIN: 1FADP3F21EL258871 Condition:
Alternate Part Type # Of Available Parts # Of Parts Selected
Aftermarket 0 4
Optional OEM 0 0
Reconditioned 0 0
Recycled 0 1
9/11/2014 8:31:52 AM 104574 Page 7