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HomeMy WebLinkAboutMINUTES - 08052008 - C.23 (4) CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: AUGUST 05 , 2008 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to OThe copy of this document mailed to California Government Codes. �/j you is your notice of the action taken ur claim by the Board of CLAIM AGAINST CITY OF MARTI rvisors. (Paragraph IV below), MT. DIABLO JUL'O 33 20088 Pursuant to Government Code AMOUNT: $5 , 211 . 44 Section 913 and 915.4. Please note all COUNTY NN COUNSFLWarnings". CLAIMANT: CALIFORNIA STATE AUTRARIWGT*&N ATTORNEY: UNKNOWN DATE RECEIVED: JULY 03, 2008 ADDRESS: P.O. BOX 920 BY DELIVERY TO CLERK ON: JULY 03, 2008 SUISUN CITY, CA. 94585 BY MAIL POSTMARKED: JUNE 309 2008 FROM: Clerk of the Board of Supervisors T0: County Counsel Attached is.a copy of the above-noted claim. JOHN CULLEN, rk Dated: JULY 03, 2008 By: Deputy IF 11. FROM.: County Counsel TO: Clerk of the Board of Supervisors (44 This claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). (�/Other: i e2 011d -,A- al-e- �o l<ce JZ�etl-fl v it o �a 94ii Dated: 7--7-06Y/ By: � Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V. BOARD ORDER: By unanimous vote of the Supervisors present: (� This Claim is rejected in full. O Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Datea �-vV_JA 'JK)HN CULLEN, CLERK, By eputy Clerk WARNAG (Gov. code section 913). Subject to certain exceptions,you have only six(6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection wide this matter. If you want to consult an attorney,you should do so immediately. *For Additional Warning See Reverse Side ofThis Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that t am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certifled copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated !! o �0HN CULLEN, CLERK By Deputy Clerk MAY. 28. 2008 9. 30AM CCC RISK MANAGEMENT 4d mac"" P 2 BOARD OF SUPERVISORS OF CONTRA COSTA. COUNTY INSTRUCTIONS TO CL 4DIANT A. A claim relating to a cause of action for death or for injury to person or to personal property or growing crops shall be presented not later t1= six months after the accrual of the cause of action. A claim relating to any other cause of action shall be.presented not later than cre year after the accrual of the cause of action. (Gov. Code § 911.2,) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration.Building, 651 Fine Street,Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. Lf the claim is against more than one public eutity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this farm. RE MR Q Y a R a l a Y c■■!■=a■i W a■k•■z■KKK Kt■Y i d a■amaze aMEN■XX 11 R■1 E L a K■■t R■■■w Elks ME E R X1 RE: Claim By: Reserved for Clerk's dliag stamp Against the County of Contra Costa or ) J U L 0 3 2008 Ctl CLERK BOARD OF SUPERVISORS 1 I CONTRA COSTA CO. (Fit nano ) ). The ulndersigzed claimant here y es claim against the County of Contra Costa or the above-named district is the sum of$ and in Support of this claim represents as follows: 1. 'When did the damage or injury occur? (Give exact date and hour) 2. -V+7here did the damage or injury occur? (Include city and county) 3. How did the damage or injury occur? Give full details;use extm paper if required) pp\,c� V� i Cl I��5 Fz�l�o�►�l� o�,2 �,��1 ; �I siov.� alouJN '�-- StrLvcic, out2 iti ci �� fiH� lid � 4. Vlat particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? V;o IafiO� 0-� Cif G - �35o 5 What are the names of county or district officers, servants, or employees causing the damage or iztjury? 'D 0-oA" ovyb�jt4y MAY, 28. 2008 9: 31AM CCC RISK MANAGEMENT N0. 380 P. 3 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) 7. How was the amount claimed above computed? elude the estimated amoumt of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors, and hospitals: 9. List the expenditures you made on account of this accident or injury. DATE TUOE AMOUNT /-I C) cOA 7-J2) z/4 Jo �o�. \ '� !//]�) ,�`/�/y[�''��•/�{' ass a 1■■■■■7�"ft■■i aka akta l■saa a an&BRO■s Ron I MERRIER F■■■e■SAA�r���s�sxs�s��■wf■a■■■tkY1\Li R11 ) Gov. Code Sec. 910.2 provides "The claim shall be ) signed by the claimant or by some person on his behalf:" SEND NOTICES TO: Attornevl Name and address of Attorney ) (Claimant's Sipature) ) p (Address) CA �-� Telephone No. )Telephone No. X (P-2 a sill■w w w a s s s s■s Eggs■s s l a a=s■s A s s i w i■ ■1 w R s■i s s R■■ ■known A.■ass 11 k■s■am an MEN ENARRINI1 PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with the County under the Tort Claims Act, is subject to public disclosure under the California Public Records Act. (Gov. Code, §9 6500 et seq.) Furthermore, auy attachments,addendums, or supplements attached to the claim form, including medical records, are also subject to public disclosure. a a k MR k a a■■■a=■■a■■a■■w U a■■■■■■■k■■k■k k a k■■■■a Y k k Y s a a■■■l a X s s s a s A IS s a a a a s s s s s s a s l NOTICE: Section 72 of the Penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to auy state board or officer, or to any coarity, city, or district board or officer, authorized to allow, or ,pay the same if genuiue, any false or fraudulent claim, bill, account voucher, or writing, is puaishable either by imprisonment is the County jail for a period of not more than one year, by a fine of not exceeding one thousand dollars (51,000.00), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fuze of not exceeding ten thousand dollars ($10,000), or by both such imprisonment and fixe. O . O N CO O ` L0 O N CHECK NO.: 712 L223009-5—R U m DATE: 05-06-2008 W > NAME AND ADDRESS INFORMATION: W U W HOGLUND,ERIC/JILL P 0 BOX 2 BENICIA CA 94510 — INSURED: HOGLUND ,ERIC/JILL PAYMENT INFORMATION/DESCRIPTION: REIMBURSEMENT FOR RENTAL DATE OF LOSS: 03-19-08 CLAIM NO.: 02-6X4516-5 CLAIMANT: HOGLUND ,ERIC/JILL PAYEE: HOGLUND ,ERIC/JILL AMOUNT: $105 .02 IN PAYMENT OF: REIMBURSEMENT FOR RENTAL ADJUSTER: KATHY TORREZ ADJUSTER NO.: 35374 KIND OF LOSS: COL 16610702 DETACH AND RETAIN FOR YOUR RECORDS No. 712 L223009-6-R DATE OF LOSS CLAIM INSURED'S NAME DATE 03-19-08 02-6X4516-5 HOGLUND,ERIC/JILL 105-06-2008 POLICY TYPE KIND OF LOSS SUFFIX CLAIMANT'S NAME PAY AUTO COL 01S I HOGLUND,ERIC/JILL $105 . 02 D.O. ADJUSTER NO. IN PAYMENT OF BANK OF AMERICA 6a-1278 CR1 35374 REIMBURSEMENT FOR RENTAL Bank or America Customer Connection Bank of Arrlerloa. N.A. Atlanta. Dokalb County, Goorgia PAY *ONE HUNDRED FIVE 02/100* This check must be properly endorsed on the reverse side by all payees. HOGLUND,ERIC/JILL TO THE ORDER OF o 0 N iq N 4 O N CHECK NO.: 712 L200153-9—R U m DATE: 04-22-2008 G > NAME AND ADDRESS INFORMATION: W U W ENTERPRISE RENT A CAR PO BOX 840086 KANSAS CITY MO 64184-0085 INSURED: HOGLUND,ERIC/JILL PAYMENT INFORMATION/DESCRIPTION: ERAC DATE OF LOSS: 03-19-08 CLAIM NO.: 02-6X4516-5 CLAIMANT: HOGLUND,ERIC/JILL PAYEE: ENTERPRISE RENT A CAR AMOUNT: $750 . 00 IN PAYMENT OF: D514386-2312 , ADJUSTER: GERRYLYN DE LEON ADJUSTER NO.: 36772 KIND OF LOSS: XLU 16610702 DETACH AND RETAIN FOR YOUR RECORDS No. 712 L200153-9-R DATE OF LOSS CLAIM INSURED'S NAME DATE 03-19-08 02-6X4516-5 HOGLUND,ERIC/JILL 04-22-2008 POLICY TYPE KIND OF LOSS SUFFIX CLAIMANT'S NAME PAY AUTO XLU 02F I HOGLUND,ERIC/JILL $750 . 00 D.O. ADJUSTER NO. IN PAYMENT OF BANK OF AMERICA +- LRW 36772 D514386-2312 , Bank of America Customer Connection Bank of America, N.A. TIN: 43-0724835-00 Atlanta. Dokalb County. Georgia PAY *SEVEN HUNDRED FIFTY 00/100* This check must be properly endorsed on the reverse side by all payees ENTERPRISE RENT A CAR TO THE ORDER OF 04/18/2008 14:44 15103517300 2 3R PAGE 13/47 7%• - ARMSO - Automated Rental Management y$tem(Patent Pending) Page 1 of 1 Rental Company:ENTERPRISE RENT-A-CAR 00 p� AAA NORTHER14 Invoice: 0514386-2312 o CAL N 1 C> Dili To: Billing Detail: Q AAA CALIF STATE AUTO GRP(NORTH CA Rental Period: 3120108 to 417/08(19 days) ATTN: ERAC REP Billed Period: 3/20/08 to 4/5/08(17 days) BOX 920 >_ SUISUN CITY, CA 94565 Rate: Amount: m Description p 19 DAYS @ $41.91 $796,29 LL RENTER INFORMATION: 1 SALES TAX% 0/&7.37 $58.73 > Renter: HOGLUND,JILL W W RENTAL INFORMATION: TOTAL CHARGES- $655.02 Rental Branch Location: Less Amount Received: $105.02 EN'T'ERPRISE RENT-A-CAR(2312) 1225 SONOMA BLVD AMOUNT DUE.......,.. $750,00 VALLEJO, CA 945906954 (707)554-8200 ADDITIONAL CLAIM INFORMATION: Claim Number:026X45165 Claim Type: in u�ureM Vehicle Condition:Unknown Date Of Loss: Insured Name- Owner's Vehicle: 4DDYSSEY Additional Driver: SPOUSE Repair Facility: SIMPKINS AUTO BODY BENECIA, CA 94510 (707)746-0535 VEHICLES RENTED: Effective DateStarting Ending Mileage and Time Year Make Model VIN Mileage Mileage 3120/08 12.58 PM 2007 DODG GCA, 1 D4GP24R678185611 35047 35420 373 411108 1:36 PM 2008 CHRY ASP 1 1 A8HW58N48F1 42092 1500 1661 161 Rental Invoice Please Return This Portion with Remittance Make Payment To: Total Charges: $855.02 ENTERPRISE RENT-A-CAR Less Amount Received: $105.02 P.O.BOX 840086 Total Amount Due...................• $754.00 KANSAS CITY, MO 64184 Federal ID:43-0724835 Please include on your check- Invoice: D514386 2312 httvs,//wwtiv.enterprise.com/anmsweb/pa 'nvoice 4l18/Z008 00 a 0 r N Cn M O U CHECK NO.: 712 L 142635-4—R m DATE: 03-21-2008 D W > NAME AND ADDRESS INFORMATION: W U lL HOGLUND,ERIC/JILL P 0 BOX 2 BENICIA CA 94510 INSURED: HOGLUND,ERIC/JILL PAYMENT INFORMATION/DESCRIPTION: 2 CAR SEATS EDDIE BOWER TARGET DATE OF LOSS: 03-19-08 CLAIM NO.: 02-6X4516-5 CLAIMANT: HOGLUND ,ERIC/JILL PAYEE: HOGLUND,ERIC/JILL AMOUNT: $424-40 IN PAYMENT OF: REIMBURSEMENT ADJUSTER: JUDITH GORDON ADJUSTER NO.: 35162 KIND OF LOSS: COL 166 107C2 DETACH AND RETAIN FOR YOUR RECORDS No. 712 Ll 42636-4-R DATE OF LOSS CLAIM INSURED'S NAME DATE 03-19-08 02-6X4516-5 HOGLUND,ERIC/JILL 03-21-2008 POLICY TYPE KIND OF LOSS SUFFIX CLAIMANT'S NAME PAY AUTO COL I HOGLUND,ERIC/JILL $424.40 D.O. ADJUSTER NO. IN PAYMENT OF BANK OF AMERICA E1-1_h CRII 35162 REIMBURSEMENT Bank of America Customer Connection 11 Bank of America. N.A. Atlanta. Dekalb County, Georgia PAY *FOUR HUNDRED TWENTY FOUR 40/100* This check must be properly endorsed on The reverse side by all payees. HOGLUND ,ERIC/JILL TO THE ORDER OF o •. o 0 N N co O N CHECK NO.: 712 L301239-4-R U } m DATE. 06-21-2008 D NAME AND ADDRESS INFORMATION: W U SIMPKINS AUTO CARE CENTER INC 980 ADAMS ST BENICIA CA 94510 INSURED: HOGLUND,ERIC/JILL PAYMENT INFORMATION/DESCRIPTION: SUPPLIMENT DATE OF LOSS: 03-19-08 JOB Jt3436 CLAIM NO.: 02-6X4516-5 CLAIMANT: HOGLUND,ERIC/JILL PAYEE: SIMPKINS AUTO CARE CENTER INC AMOUNT: $359 . 15 IN PAYMENT OF: SUPPLAMENT ADJUSTER: ROBERT E SMITH ADJUSTER NO.: 34619 KIND OF LOSS: COL 165107CZ DETACH AND RETAIN FOR YOUR RECORDS No. 712 L301 239-4-R DATE OF LOSS CLAIM INSUP.ED'S NAME DATE 03-19-08 02-6X4516-5 HOGLUND,ERIC/JILL 06-21-2008 POLICY TYPE KIND OF LOSS SUFFIX CLAIMANT'S NAME PAY AUTO COL 01S HOGLUND,ERIC/JILL $359 . 15 D.C. ADJUSTER NO. IN PAYMENT OF BANK OF AMERICA ba-1 78 Bank of America Customer Connection bli CR 1 34619 SUPPLAMENT Bank of America. N.A. TIN: 03-0413976-00 Atlanta Dekalb County. Georgia PAY *THREE HUNDRED FIFTY NINE 16/100* This check must be properly endorsed on the reverse side by all payees. SIMPKINS AUTO CARE CENTER INC TO THE ORDER OF w o ' Q N N N M O U CHECK NO.: 712 L 144862-4-R Im DATE: 03-22-2008 NAME AND ADDRESS INFORMATION: SIMPKINS AUTO CARE CENTER INC 980 ADAMS ST BENICIA CA 94510 — INSURED: HOGLUND,ER 1 C/JILL PAYMENT INFORMATION/DESCRIPTION: COLLISION REPAIRS DATE OF LOSS: 03-19-08 CLAIM NO.: 02-6X4516-5 CLAIMANT: HOGLUND,ERIC/JILL PAYEE: SIMPKINS AUTO CARE CENTER INC AMOUNT: $3 ,572 -85 IN PAYMENT OF: SIMPKINSAUTOCARE, COLL REPAIRS ADJUSTER: JAMES MORROW ADJUSTER NO.: 32938 KIND OF LOSS: COL 16610702 DETACH AND RETAIN FOR YOUR RECORDS No. 712 Ll 44862-4-R DATE OF LOSS CLAIM INSURED'S NAME DATE 03-19-08 02-6X4516-5 HOGLUND,ERIC/JILL 03-22-2008 POLICY TYPE KIND OF LOSS SUFFIX CLAIMANT'S NAME PAY AUTO COL 01F HOGLUND,ERIC/JILL $3 ,572 .85 D.O. ADJUSTER NO. IN PAYMENT OF BANK OF AMERICA r9- " CPU 32938 S IMPK I NSAUTOCARE , COLL REPAIRS Bank of America customer connect on Bank of America, N.A. T I N: 03-0413975-00 Atlanta. Dekam county. Georgia PAY *THREE THOUSAND FIVE HUNDRED SEVENTY TWO 86/100* This check must be properly endorsed on the reverse side by all payees. SIMPKINS AUTO CARE CENTER INC TO THE AND ERIC OR JILL HOGLUND ORDER OF • 6/9/2008 2:54 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 003 OF 010 4/16/2008 2:36 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 002 OF 009 04/16/2008 at 02:36 PM Job Nunioer: 3436 13023 SIMPKINS AUTO CARE, INC. License #:AE 221709 Federal ID 4:030413976 SIMPKINS AUTO CARE, INC. WWW.SIMPKINSAUTOCARE.COM 980 ADAMS ST BENICIA, CA 94510-2943 (707) 746-053 Fax: (707)746-7825 PRELIMINARY SUPPLEMENT 1 WITH SUMMARY Written By: Francine Welsh Adjuster: Judith Gordin Insured: Eric or Jill Hoglund Claim #C2-6X4516-S Owner: Eric or Jill Hoglund Policy # Address: 537 East I Street Deductible: Benicia, CA 94510 Date of Loss: 03/19/2008 Evening: (707) 748-7678 Type of Loss: Collision Cellular: (707) 246-2942 Point of Impact: 6. Rear Inspect SIMPKINS AUTO CARE, INC. Business: (7C7) 746-0535 Location: WWW.SIMPKINSAUTOCARE.COM 980 ADAMS ST BENICIA, CA 94510-2943 Insurance CALIFORNIA STATE AUTO ASSOCIATIO Business: (888) 900-6520x5033 Company: Days to Repair 2005 HOND ODYSSEY TOURING 6-3.5L-FI 4D VAN BLK PRL Int: VIN: 5FNRL38835BO16132 Lic: lUBB032 CA Prod Date: _0/20C4 Odometer: 33819 Air Conditioning Rea- Defogger Tilt Wheel Cruise Control Intermittent Wipers Keyless Entry Theft Deterren_/Alarm Dual Air Condition Rear Wiper Steering Wheel Controls Body Side Moldings Dual Mirrors Privacy Glass Luggage/Roo-- Rack Electric Glass Sunroof Rear Spoiler Clear Coat Paint Metallic Paint Power Steering Power Brakes Power Windows Power --ocks Power Driver Seat Power Mirrors AM Radio F4 Radio Stereo Search/Seek CD Changer/Stacker Anti-Lock Brakes (4) Driver Air Bag Passenger Air Bac Front Side Impact Air Bag 4 Wheel Disc Brakes Leather Seats Bucket Seats Heated Seats Trailering Package 7 Passenger Option Automa-ic Transmission Overdrive Aluminum/Alloy Wheels ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1# Frame/Unibody Rack Setup & 1 1.0 F Mea su--e 2 WINDSHIELD 3* R&I RT Side molding 0.2 4 ROOF 6/9/2008 2:54 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 004 OF 010 4!16/2008 2:36 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 003 OF 009 04/16/2008 at 02:36 PM Job Numoer: 3436 13023 PRELIMINARY SUPPLEMENT 1 WITH SUMMARY 2005 HOND CDYSSEY TOURING 6-3.5L-FI 4D VAN BLK PRL Int: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 6* R&I RT Roof molding EX, Tourinc 0.2 7 R&I RT Rail EX, Tourinc 0.5 8* R&I RT Rail cover front Incl. 9* R&I RT Rail cover center Incl. 10* R&I RT Rail cover rear Incl. 11 PILLARS, ROCKER & FLOOR 12 R&I RT Pillar cover 0.3 13* R&I RT Rocker molding EX, Touring 0.4 black 14 SIDE PANEL 15* Rpr RT Side panel Ex, Touring 5.0 2.8 w/navigat. 16 Add for Clear Coat 1.1 17 Refn RT Rail cover 0.5 18# Refn Blend RT Rail Cover 0.3 19* R&I RT Protector 3.2 20* R&I RT Side glass Honda 1.8 G 21 R&I RT Pillar trim front gray Incl. 22 R&I RT Pillar trim rear, EX, LX Incl. gray 23 LIFT GATE 24* Rpr Lift gate 1.5 2.5 25 Overlap Major Adj . Panel -3.4 26 Add for Clear Coat 3.4 27# Rpr Polish Lower Gate 0.3 28# R&I Lift gate License Plate 0.2 Molding 29 R&I Upper molding EX, LX black Incl. 30* R&I Handle, outside w/power 0.2 31 Repl Emblem 1 20.17 0.2 32* R&I Lock w/power 0.5 33 R&I Lift gate glass Honda 2.0 G 34 R&I Wiper arm 0.2 35* R&I Spoiler assy EX, Touring black 0.5 36 R&I Window trim upper black 3.2 37 R&I RT Window trim side, EX, LX 0.2 gray 38 R&I LT Window trim side, EX, LX 0.2 gray 39* R&I R&I t-im panel Incl. 40 REAR LAMPS 41* Repl RT Lens & housing on liftgate 1 106.20 0.3 42 S01 0/H rear bumper 1 .8 43* Repl RT Lens & housing on Side 1 1_6.48 Incl. Panel 44 R&I LT Lens & housing 0.3 45* R&I High mount lamp 0.3 6/9/2008 2:54 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 005 OF 010 4/16/2008 2:36 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 004 OF 009 04/16/2008 at 02 :36 PM Job Number: 3436 13023 PRELIMINARY SUPPLEMENT 1 WITH SUMMARY 2005 HOND CDYSSEY TOURING 6-3.5L-FI 4D VAN BLK PRL Int: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 47 REAR BUMPER 48**SO1 Repl RECOND Bumper cover EX, LX 1 304 .30 Incl. 3.0 49 Add for Clear Coat 1 .2 50* Add for park sensor 3.0 51 Repl Step pad 1 24 .92 In:l . 52 Repl RT Pa--k sensor Touring, outer 1 236.83 Incl. black 53 S01 Repl Absorber 1 35.32 Incl . 54 S01 Repl Reinf beam 1 187 .32 Incl. 3.8 55 S01 Repl Bumpe- cover cap black 1 5.42 Incl . 56 S01 Repl RT Pa--k sensor retainer outer 1 4 .47 Incl. & inner 57 S01 Repl RT Spacer 1 8 .12 Incl. 58# R&I Hitch Assy 0. 5 59# COLOR MATCH 1 3.5 60# PREVENT OVERSPRAY 1 3.2 DAMAGE-SUBSEQUENT BAGGING 61# Repl Restofe Corrosion Protection 1 10.30 X 3. 1 62# Repl Flex Additive 1 8 .00 63# Subl Hazardous Waste Removal 1 3.30 X ------------------------------------------------------------------------------- Subtotals =_> 1069.95 20. 1 12 .8 Parts 1056. 95 Body Labor 15.3 hrs @ $ 72 .00/hr 1101. 60 Paint Labor 12.8 hrs @ $ 72 .30/hr 921.60 Frame Labor 1 .0 hrs @ $ 72.30/hr 72.00 Glass Labor 3.8 hrs @ $ 72.00/hr 273.60 Paint Supplies 12.8 hrs @ $ 30.00/hr 384 .00 Sublet/Misc. 13.00 ---------------------------------------------------- SUBTOTAL $ 3322.75 Sales Tax $ 1440.95 @ 7.37500 106.27 ---------------------------------------------------- GRAND TOTAL $ 3929.02 ADJUSTMENTS: Deductible 0.00 ---------------------------------------------------- CUSTOMER PAY $ 0.00 INSURANCE PAY $ 3929.02 6/9/2008 2:54 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 008 OF 010 4!16/2008 2:36 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 007 OF 009 04/16/2008 at 02:36 PM Job Numoer: 3436 13023 PRELIMINARY SUPPLEMENT 1 WITH SUMMARY 2005 HOND CDYSSEY TOURING 6-3.5L-FI 4D VAN BLK PRL Int: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- ------- CHANGED ITEMS ------- 46** Repl RECOND Bumper cover EX, LX 1 -297.30 -1 .4 -3.0 48**SO1 Repl RECOND Bumper cover EX, LX 1 304 .30 Incl . 3.0 49 Repl Step pad 1 -24 .92 -3.3 51 S01 Repl Step pad 1 24 .92 Incl . ------- ADDED ITEMS ------- 42 S01 O/H rear bumper 1 .8 53 S01 Repl Absorber 1 35.32 Incl . 54 S01 Repl Reinf beam 1 187.32 Incl. 3.8 55 S01 Repl Bumper cover cap black 1 5.42 Incl. 56 S01 Repl RT Park sensor retainer outer 1 & inner 4 .47 Incl. 57 S01 Repl RT Spacer 1 8 .12 Incl . ------------------------------------------------------------------------------- Subtotals =_> 247 .35 3. 1 3.8 Parts 247.35 Body Labor 0.1 hrs @ $ 72 .30/hr 7.20 Paint Labor 0.8 hrs @ $ 72.30/hr 57. 60 Paint Supplies 0.8 hrs @ $ 30.30/hr 24 .00 ---------------------------------------------------- SUBTOTAL $ 336. 15 Sales Tax $ 271. 35 @ 7.3750% 20.03 Additional Supplement Taxes -0.02 ---------------------------------------------------- TOTAL SUPPLEMENT AMOUNT $ 356. 16 NET COST OF SUPPLEMENT $ 356. 16 Estima-e 3572 .86 Francine Welsh Supplement S01 356. 16 Francine Welsh Job To-al $ 3929.02 INSURANCE PAY $ 3929.010- CONGRATULATIONS 929.02CONGRATULATIONS ON SEEKING OUT OUR "GOLD CLASS I-CAR CEF.TF=ED FACILITY. BESIDES OUR FULL "NATIONAL LIMITED LIFETIME WARRANTY" FOR WORKMANSHIP, INCLUDING REFINISHING, FOR ALL COMPLETED REPAIRS FOR AS LONG AS YOU THE CUSTOMER OWNS THE VEHICLE. WE STAND BEHIND OUR 10- POINT INSPECTION TO INSURE YOUR SATISFACTION. WE CERTAINLY HOPE YOU TILL BE PLEASED WITH OUR PFRFORMANCE. ALL SUBLET WORK IS COVERED BY A FULL ONE YEAR WARRANTY. WE WILL S:JPFLY YOU WITH A WRITTEN COPY UPON REQUEST. WE SINCERELY THANK YOU FOR YOUR PATRONAGE'. ! 6/9/2008 2:54 PM FROM: Fax TO: +1 (707) 8639052 PAGE: 010 OF 010 4/16/2008 2:36 PM FROM: Fax TO: +1 (107) 8639052 PAGE: 009 OF 009 04/16/2008 at 02 :36 PM Job Number: 3436 13023 PRELIMINARY SUPPLEMENT 1 WITH SUMMARY 2005 HOND CDYSSEY TOURING 6-3.5L-FI 4D VAN BLK PRL Int: ALTERNATE PARTS SUPPLIERS 48 RECOND Bumper cover EX, LX Part No. H01100220 Price $304 .30 Faith Bumper Service (408) 986-_226 1085 DI GIULIO SANTA CLARA, CA 95050 Y k �b P� �G i� .�s y. wx d - a _ cer- ', . � � � , � � , j � � � . � . . . �y> . . . . . < . . « ?���/ ?\�±\ \ . � � . . . . � : « . . . . : \\\���\\?d\/: � � . . � . � . . . . \« � \�«?y w <�����{�\�\ � . . \ � � . � <« «y© ?�����������/� d\ . . . . . , . . ..�xy � :�: ���«���. . : . . . . : a . . . . � .G,��wa .w. : . � . y � <w \\�«���\�������\§ ^ � . . . . . . , , . . w w . � : :�««\w v . 3 , : z��\ �y2 ^�:� � � � \����������/, ���:��\<.�»�a � . . ��- a:. �, �� Y, �t s� j ,,; :aNMy Cr"i �3r�: �. r T�� d.� f nP'���: k � � E �. c .y � .. _ ..: n.. �A ;� t„ �. n,Y!. �v,xr .w. 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