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HomeMy WebLinkAboutMINUTES - 10072008 - C.12 (21) j AMENDED CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: OCTOBER 07, 2008 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) t NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to California Government Codes. �) you is your notice of the action taken on your claim by the Board of j�iLoQv�� Supervisors. (Paragraph IV below), J,�1tb given Pursuant to Government Code Section 913 and 915.4. Please note all ANIOUNT: $4,836.65 SEP n ?008 "Warnings". GEICO SUBROGEE FORCOUNTY EL .,CLAIMANT: SHERI GAMBA MARTINEZ, CALIF ,,ATTORNEY: UNKNOWN DATE RECEIVED: SEPTEMBER 03, 2008 ADDRESS: P.0. BOX 509119, BY DELIVERY TO CLERIC ON: SEPTEMBER 03, 2008 SAN DIEGO, CA 92150 RECEIVED FROM BY MAIL POSTMARKED: COUNTY COUNSEL FROM: Clerk of the Board of Supervisors TO: County Counsel 4s Attached is a copy of the above-noted claim. JOHN CULLEN, ler Dated: SEPTEMBER 03, 2008 By: Deputy Il. FROM: County Counsel TO: Clerk of the Board of pervisors This claiiii 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). O Other: Dated: /` / O 017-,— By: �L® _Deputy County Counsel 11I. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) O Claim was returned.as untimely with notice to claimant (Section 911.3). IV ROARD ORDER: By unanimous vote of the Supervisors present: ( This Claim is rejected in full. O Other: 1 certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. 01 DatedA#5'-6&/eA 1, 000 s CULLEN, CLERK, By zec� Deputy Clerk WARNING (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 covet action on this claim.See Governmelrt Code Section 945.6.You may seek the advice of an attorney of your choice ill connection with this matier. If you want to consult an attorney,you should do so i►un►ediately. *For Additional Wan►iug See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of pel jury that I am now, and at all tithes herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the Ullited States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the clainraut as shown move. Dieted Op`��J,P' .��p,O4V/1N CULLEN, CLERK By eputy Clerk This warning does iibt`�applY to elaitns whiel) are not subject to #be California Tort Claims Act such as icstiQ s in inN4erse cc�ndetX►nation, actions f0r. specific relief+sitchAs; mandamus or injunctign, or Federal Civil Rights claimis, The above list is not ex,hatrstive and legal consultation is essential to tlnclerstand all the separate limitationsfperiods'that''gray apply, The limitations period within whicli.suit ninst be filed may t>e shorter or longer depeodipg an the nature of the claim. Consult the specitic stattites and cases applicable to your particular claim, The County of Contra Costa clops not waive,any of its rights tinder- California Tart Claims Apt nor does'it waive rights under the statutes of Ili MOO oris_applicable to actions not subject to , the California Tort Claims Act BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY A � INSTRUCTIONS TO CLAIMANT #0// 3 5$V0 A. A claim relating to a cause of action for death or for injury to person or to personal property or ��40 growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be presented not an later thone year QW7 ager 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 R000m 106, County Administration Building,651 Pine 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. If the claim is against more than one public entity, 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 form. a■a■■aa ataala at ittt a■Matta■•[aslcatot[Matlattaaa•aaaaLaaalal[eteaa■itt[[[[■am Kai RE: Claim By: Reserved for Clerk's filing stamp RECEIVED 51�.r ' Against the County of Contra tosta or ) SEP 0 3 .12008 CLERK BOARD OF SUPERVISORS District) CONTRA COSTA Co. (Fill in the name) ) The undersigned claimant hereby nines claim against the County of Contra Costa or the above-named district in 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) 4-� �-o I - f2afyyl 2. Where did the damage or injury occur? (Include city and county) �h sct�vn 0f eachc(.V crj lg 1'�i i✓1 �a,�,kt cA C,f� 3. How did the damage or injury occur? (Give full details;use extra paper if required) f 1cC'5c' 5rc cloeNdzy 4. What particular act or omission on the part of county or district officerss,, servants, or employees caused the injury or damage? l b� t e<�1 Ct' 56iG>ambUs e o ' 5 What are the names of county or district officers,servants,or employees causing the damage or injury? 6. W.-a! damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed Attach two estimates for auto damage.) r-v,r C,/o c�a mage 7. How was the amount claimed above computed? (Include the estimated amount 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 TIME AMOUNT RRiIR[sr.Cll R[■.kt"Imaz!l[r t[ll[l[R[lr[lr[[[R[r Ramon lrl� [[e■[R■1Kanr[RR r[rt[[[r Rl .Gov. Code Sec. 910.2 provides "The claim shall be signed by the claimant or by some person on his behalf" SEND NOTICES TO: (Attorney) r1 5vb"m Cvr SlwriCawM T Name and address of Attorney ) k4e;(n (Claiman ignature) (Address) } Telephone No. Telephone No. ■RRRlrrRmomimmm Mugu Xmas alts as tt[RR[n[Rnnrin[ottR[[[rrmlrt[lmlli■[R[tiak[R Rum RRRRrRWKI 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 Art (Gov. Code, H 6500 et seq.) Furthermore, any attachments,addendums, or supplements attached to the claim form,including medical records, are also subject to public disclosure. f■WIN or,![■■nmaazml nom an m rm[tlmmiRrlrtrRa Rrnr■■t■rnamRm trnatm[[![aRatR man am a■naRt Raml NOTICE: Section 72 of the Penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer,or to any county, city, or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account voucher, or writing, is punishable either by imprisonment in the County jail for a period of not more than one year, by a fine of not exceeding one thousand dollars ($1,000.00), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000), or by both such imprisonment and fine. Claim# 0113358400101065 This loss occurred on 6/11/08 at approximately 1:00 pm at the intersection of Pacheco Blvd and 2nd Ave. Sheri Gamba was stopped at a red light and Jose Beltran was directly behind her. The light turned green and as Sheri proceeded forward, Jose rear-ended her vehicle. Photos for claim no 0113358400101065-01 Page 1 of 7 Photo 1 from Estimate for Claim no 0113358400101065-01 Photo date: 26/06/2008 13:42:26:00. Size: 28573 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok aasasroa 1Ef 1p .z MO k N�e il A. s 4 t a P t _ ri nam. - '•�1 "t1,.. 9yy::t}�y j� ��414 k l � ; kl'i71} 1"iL -k ��` g' > At "' NE IELr K-11 �+51t� �?Z!` .CS R9 Aki 050,;1- X sW S # ,� qy � t - a a +� a•` a r%�Volt C� gKLYSb'I LI �e+e' �,y.�'�{� '�✓a�y"rr1��r sl�.e3�a%�e s -'y, M]ry'ce`gz�)x ,� 4 " � a�re �+���°����„� asp Photo 2 from Estimate for Claim no 0113358400101065-01 Photo date: 26/06/2008 13:42:27:00. Size: 30777 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\Ol 13358400101065-0... 08/15/2008 Photos,for claim no 0113358400101065-01 Page 2 of 7 µ w� I � a 4 a Photo 3 from Estimate for Claim no 0113358400101065-01 Photo date: 26/06/2008 13:42:27:00. Size: 23246 Description: Insured: GAMBA, SHERI. Policy_no: 0108926.106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 3 of 7 t lig b 7 rw sa. Photo 4 from Estimate for Claim no 0113358400101065-01 Photo date: 26/06/2008 13:42:27:00. Size: 23038 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 4 of 7 " I r s nm ¢ Photo 5 from Estimate for Claim no 0113358400101065-01 Photo date: 26/06/2008 13:42:27:00. Size: 17342 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\Ol 13358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 5 of 7 �W e a fir+ � - '°� �• x Photo 6 from Estimate for Claim no 0113358400101065-01 Photo date: 26/06/2008 13:42:27:00. Size: 14203 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524, Loss date: 06/11/08. Estimator: Brian Torok file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 6 of 7 z� a sa3 f i 9 g r Photo 7 from Estimate for Claim no 0113358400101065-01 Photo date: 26/06/2008 13:42:27:00. Size: 20329 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 7 of 7 } a� a X�liys 64 k Tb A T W i 20 F f# p � � :..r� � �' tea• �` I I i i i file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 1 of 9 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ GEICO CONTRA COSTA NORTHERN CALIFORNIA VISIT US AT GEICO.COM P. 0. BOX 10601 PLEASANTON, CA 94588 (510) 520-8677 ESTIMATE OF RECORD WRITTEN BY: BRIAN TOROK 06/26/2008 01: 44 PM ADJUSTER: FCC: 03 (510) 520-8677 INSURED: SHERI GAMBA CLAIM #0113358400101065-01 OWNER: SHERI GAMBA POLICY #0108926106 ADDRESS: 2214 BEGONIA CT DATE OF LOSS: 06/11/2008 AT 12:00 AM PITTSBURG, CA 94565-4424 TYPE OF LOSS: COLLISION EVENING: (925) 432-7584 POINT OF IMPACT: 6. REAR BUSINESS: (925) 550-8945 INSPECT MIKES AUTO BODY DAY: (925) 432-9910 LOCATION: MIKE ROSE AUTO BODY DRIVE-IN 3001 N PARK BLVD PITTSBURG, CA 94565-0000 REPAIR MIKES AUTO BODY-PIT BUSINESS: (925) 432-9910 FACILITY: 3001 N. PARK BLVD 3 DAYS TO REPAIR PITTSBURG, CA 94565 LICENSE # 942621349 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: VIN: 5GZCZ63455S838524 LIC: 5NTP930 CA PROD DATE: ODOMETER: 46858 AIR CONDITIONING REAR DEFOGGER TILT WHEEL CRUISE CONTROL INTERMITTENT WIPERS KEYLESS ENTRY THEFT DETERRENT/ALARM REAR WINDOW WIPER DUAL MIRRORS FOG LAMPS CLEAR COAT PAINT POWER STEERING POWER BRAKES POWER WINDOWS POWER LOCKS POWER MIRRORS AM RADIO FM RADIO STEREO SEARCH/SEEK CD PLAYER ANTI-LOCK BRAKES (4) DRIVER AIR BAG PASSENGER AIR BAG CLOTH SEATS BUCKET SEATS RECLINE/LOUNGE SEATS AUTOMATIC TRANSMISSION 4 WHEEL DRIVE ALUMINUM/ALLOY WHEELS ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 REAR BUMPER 2** REPL RECOND BUMPER COVER BASE 1 244 .00 1.4 0. 0* 3 REPL LT REFLECTOR 1 13.08 INCL. N 4 REPL ENERGY ABSORBER 1 102. 67 0.1 5 LIFT GATE 6 REPL NAMEPLATE "VUE" 1 23. 05 0.2 7* REPL QUAL RECY PARTS LIFT GATE +25% 1 625.00 4.2* 3. 9* 8 ADD FOR CLEAR COAT 1. 6 9 REPL NAMEPLATE "AWD" 1 29. 60 0.2 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 2 of 9 10 REPL NAMEPLATE "V6" 1 13.49 0.2 1 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ ESTIMATE OF RECORD 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 11# RPR COLOR MATCH 0.3 12 OTHER CHARGES 13# E.P.C. 1 3.00 ------------------------------------------------------------------------------- SUBTOTALS =_> 1053.89 6.6 5.5 LINE 4 : CALLED KEYSTONE AND KAPA-NOT AVAIL A/M LINE 7 : SUPPLIERS PART DESCRIPTION: LID -4SW, 0702, 000, -RED - ------------------------------------------------------------------------------- PRIOR DAMAGE NOTES: NONE PARTS 1050. 89 BODY LABOR 6. 6 HRS @$ 72.00/HR 475.20 PAINT LABOR 5.5 HRS @$ 72.00/HR 396.00 PAINT SUPPLIES 5.5 HRS .@$ 32.00/HR 176. 00 OTHER CHARGES 3. 00 ---------------------------------------------------- SUBTOTAL $ 2101. 09 SALES TAX $ 1226.89 @ 8.2500% 101.22 ---------------------------------------------------- TOTAL COST OF REPAIRS $ 2202.31 ADJUSTMENTS: DEDUCTIBLE 500. 00 ---------------------------------------------------- TOTAL ADJUSTMENTS $ 500.00 NET COST OF REPAIRS $ 1702.31 "WE ARE PROHIBITED BY LAW FROM REQUIRING THAT REPAIRS BE DONE AT A SPECIFIC AUTOMOTIVE REPAIR DEALER. YOU ARE ENTITLED TO SELECT THE AUTO BODY REPAIR SHOP TO REPAIR DAMAGE COVERED BY US. WE HAVE RECOMMENDED AN AUTOMOTIVE REPAIR DEALER THAT WILL REPAIR YOUR DAMAGED VEHICLE. IF YOU AGREE TO USE OUR RECOMMENDED AUTOMOTIVE REPAIR DEALER, WE WILL CAUSE THE DAMAGED VEHICLE TO BE RESTORED TO ITS CONDITION PRIOR TO THE LOSS AT NO ADDITIONAL COST TO YOU OTHER THAN AS STATED IN THE INSURANCE POLICY OR AS OTHERWISE ALLOWED BY LAW. IF YOU EXPERIENCE A PROBLEM WITH THE REPAIR OF YOUR VEHICLE, PLEASE CONTACT US IMMEDIATELY FOR ASSISTANCE. " file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 3 of 9 THIS IS NOT AN AUTHORIZATION TO REPAIR NO SUPPLEMENT WILL BE HONORED UNLESS AUTHORIZED NOTICE: NEW HIGH STRENGTH STEELS MAY REQUIRE THE USE OF A MIG WELDER FOR PROPER REPAIRS. NEW DESIGNS REQUIRE MEASUREMENT TO PROPERLY ALIGN THE VEHICLE. MAKE SURE YOUR SHOP HAS THE RIGHT EQUIPMENT TO REPAIR YOUR VEHICLE. 2 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ ESTIMATE OF RECORD 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM: ANY PERSON WHO KNOWINGLY PRESENTS 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. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES: B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS: ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART COMP REPL PARTS=COMPETITIVE REPLACEMENT PARTS RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/ =WITH/ SYMBOLS: #=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. MQVP=MANUFACTURER'S QUALIFICATION AND VALIDATION PROGRAM. OPT OEM=ORIGINAL EQUIPMENT MANUFACTURER PARTS EITHER OPTIONALLY SOURCED OR OTHERWISE PROVIDED WITH SOME UNIQUE PRICING OR DISCOUNT. NWCPP=NATIONWIDE CRASH PARTS PROGRAM. file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 4 of 9 3 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ ESTIMATE OF RECORD 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ALTERNATE PARTS DISCLAIMER IF QUALITY REPLACEMENT PART (QRP) APPEARS ON THIS ESTIMATE, IT INDICATES THAT THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES, IF ANY, APPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE PROVIDED BY THE PART MANUFACTURER OR DISTRIBUTOR RATHER THAN BY THE MANUFACTURER OF YOUR VEHICLE. *** IN ADDITION TO ANY SUCH WARRANTIES, WE PROVIDE THE FOLLOWING: **** OWNER LIMITED WARRANTY **** WE WARRANT THAT ALL QUALITY REPLACEMENT BODY PARTS (PARTS NOT MANUFACTURED BY THE MANUFACTURER) IDENTIFIED ON YOUR ESTIMATE, ARE FREE OF DEFECTS IN MATERIAL AND WORKMANSHIP AND MEET GENERALLY ACCEPTED INDUSTRY STANDARDS. THIS PARTS AND LABOR WARRANTY WILL BE IN EFFECT FOR AS LONG AS YOU OWN THE VEHICLE DESCRIBED IN THE ESTIMATE. THIS WARRANTY COVERS THE COST OF THE PART, LABOR TO INSTALL, AND INCIDENTALS SUCH AS PAINT AND MATERIALS AND IS SPECIFICALLY LIMITED TO THOSE ITEMS. THIS WARRANTY DOES NOT COVER LOSS OR DAMAGE THAT IS UNRELATED TO DEFECTS IN THE QUALITY REPLACEMENT PARTS. THIS IS NOT TRANSFERABLE. IF ANY QUALITY REPLACEMENT PARTS ARE DEFECTIVE IN EITHER MATERIAL OR WORKMANSHIP, CONTACT YOUR LOCAL GEICO REPRESENTATIVE. NO SUPPLEMENT WILL BE HONORED UNLESS AUTHORIZED NOTICE: NEW HIGH STRENGTH STEELS MAY REQUIRE THE USE OF A MIG WELDER FOR PROPER REPAIRS. NEW DESIGNS REQUIRE MEASUREMENT TO PROPERLY ALIGN THE VEHICLE. MAKE SURE YOUR SHOP HAS THE RIGHT EQUIPMENT TO REPAIR YOUR VEHICLE. RECYCLED PART COSTS BASED ON INFORMATION PROVIDED BY CAR-PART.COM. FOR ASSISTANCE, CALL CCC AT 800-637-8511. file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 5 of 9 4 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ ESTIMATE OF RECORD 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ESTIMATE BASED ON MOTOR CRASH ESTIMATING GUIDE. UNLESS OTHERWISE NOTED ALL ITEMS ARE DERIVED FROM THE GUIDE DR81D02, CCC DATA DATE 06/01/2008, 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.' NON-ORIGINAL EQUIPMENT MANUFACTURER AFTERMARKET PARTS ARE DESCRIBED AS AM, QUAL REPL PARTS OR COMP REPL PARTS WHICH STANDS FOR COMPETITIVE REPLACEMENT PARTS. USED PARTS ARE DESCRIBED AS LKQ, QUAL RECY PARTS, 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 2006 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 PATHWAYS ESTIMATOR HAS A COMPLETE LIST OF APPLICABLE VEHICLES. PARTS file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 6 of 9 NUMBERS AND PRICES SHOULD BE CONFIRMED WITH THE LOCAL DEALERSHIP. CCC PATHWAYS - A PRODUCT OF CCC INFORMATION SERVICES INC. 5 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ ESTIMATE OF RECORD 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: RECYCLED PART SUPPLIERS LINE LINE DESCRIPTION PRICE 7 QUAL RECY PARTS LIFT GATE +25% STOCK NO. : V70660 $ 625.00 LKQ - WEST (866) 557-2677 AZ,NV,CA,UT SANTA FE SPRING, CA 90670 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 7 of 9 6 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ ESTIMATE OF RECORD 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ALTERNATE PARTS SUPPLIERS 2 RECOND BUMPER COVER BASE PART NO. GM1100655R PRICE 244 .00 KEYSTONE - COMPLETE (800) 264-7560 3615 NE. 109TH AVE (360) 260-8400 VANCOUVER, WA 98682 KEYSTONE - COMPLETE (800) 421-7866 2530 LINDSAY PRIVADO #C (909) 986-4586 ONTARIO, CA 91761 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 8 of 9 KEYSTONE - COMPLETE (800) 263-9727 1627 ARMY COURT (209) 948-1101 STOCKTON, CA 95206 7 06/26/2008 AT 01:56 PM 0113358400101065-01 49795 12F71CPJ ESTIMATE OF RECORD 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ALTERNATE PARTS USAGE AFTERMARKET PARTS AFTERMARKET SELECTION METHOD: AUTOMATICALLY LIST file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 9 of 9 NO. OF TIMES USER WAS NOTIFIED THAT AN AFTERMARKET PART WAS AVAILABLE: 0 NO. OF AFTERMARKET PARTS THAT APPEAR IN THE FINAL ESTIMATE: 0 OPTIONAL OEM PARTS OPTIONAL OEM SELECTION METHOD: AUTOMATICALLY LIST NO. OF TIMES USER WAS NOTIFIED THAT AN OPTIONAL OEM PART WAS AVAILABLE: 0 NO. OF OPTIONAL OEM PARTS THAT APPEAR IN THE FINAL ESTIMATE: 0 RECONDITIONED PARTS RECONDITIONED SELECTION METHOD: AUTOMATICALLY LIST NO. OF TIMES USER WAS NOTIFIED THAT A RECONDITIONED PART WAS AVAILABLE: 2 NO. OF RECONDITIONED PARTS THAT APPEAR IN THE FINAL ESTIMATE: I RECYCLED PARTS NO. OF TIMES USER WAS NOTIFIED THAT A RECYCLED PART WAS AVAILABLE: 5 NO. OF RECYCLED PARTS THAT APPEAR IN THE FINAL ESTIMATE: 1 8 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 1 of 5 Photo 1 from Estimate for Claim no 0113358400101065-01 Photo date: 08/07/2008 12:44:18:00. Size: 28272 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok C�r, p m m 4 il n Hw_ a } Gam. d } as �f a n_ 4 a r p � ms a Photo 2 from Estimate for Claim no 0113358400101065-01 Photo date: 08/07/2008 12:44:18:00. Size: 27707 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok 1 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 2 of 5 FS _ w Me IN + 5 FC V Y I III F m �t� 4n kp iIR fi Ii s e s a �; pe yip Y � s Photo 3 from Estimate for Claim no 0113358400101065-01 Photo date: 08/07/2008 12:44:18:00. Size: 26514 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 3 of 5 A=:• � �3Y�m.m.aP b. `$,a,:;.d�S+A ..d .a`sY.�_# �,�., .. P Y�� "s'�§ 9 x �1 y.A..r'� IN vi y3 ' �� �� .e ..� e •� fin. K M �, mmAry r� t 2 a> a m � ► b tt Photo 4 from Estimate for Claim no 0113358400101065-01 Photo date: 08/07/2008 12:44:18:00. Size: 28410 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0113358400101065-01 Page 4 of 5 q m s. RR R Y w xµ ( x' aR F M 7° 4 311 Photo 5 from Estimate for Claim no 0113358400101065-01 Photo date: 08/07/2008 12:44:18:00. Size: 23660 Description: Insured: GAMBA, SHERI. Policy_no: 0108926106. Claimant: . Vehicle: 5, SATU, VUE 4X4. VIN: 5GZCZ63455S838524. Loss date: 06/11/08. Estimator: Brian Torok file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Photos for claim no 0 11335800101065a1 Page 5o5 . _ . . 5", - � % v:. �y�y . . . . . . . ! ?at2!#t ° ? ¥ ■ » » ge«c:«am n mase a7\u y5£L c S mm§T mypi Qg5gmlm0!$. 08/19204 Page 1 of 16 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ GEICO CONTRA COSTA NORTHERN CALIFORNIA VISIT US AT GEICO.COM P.0 BOX 509060 SAN DIEGO, CA 92150 (925) 698-2672 SUPPLEMENT OF RECORD 1 WITH SUMMARY WRITTEN BY: ROBERTO ALCALA 07/09/2008 12:24 AM ADJUSTER: FCC: 03 (510) 520-8677 INSURED: SHERI GAMBA CLAIM #0113358400101065-01 OWNER: SHERI GAMBA POLICY #0108926106 ADDRESS: 2214 BEGONIA CT DATE OF LOSS: 06/11/2008 AT 12:00 AM PITTSBURG, CA 94565-4424 TYPE OF LOSS: COLLISION EVENING: (925) 432-7584 POINT OF IMPACT: 6. REAR BUSINESS: (925) 550-8945 INSPECT MIKES AUTO BODY DAY: (925) 432-9910 LOCATION: MIKE ROSE AUTO BODY DRIVE-IN 3001 N PARK BLVD PITTSBURG, CA 94565-0000 REPAIR MIKES AUTO BODY-PIT BUSINESS: (925) 432-9910 FACILITY: 3001 N. PARK BLVD 3 DAYS TO REPAIR PITTSBURG, CA 94565 LICENSE # 942621349 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: VIN: 5GZCZ63455S838524 LIC: 5NTP930 CA PROD DATE: ODOMETER: 46858 AIR CONDITIONING REAR DEFOGGER TILT WHEEL CRUISE CONTROL INTERMITTENT WIPERS KEYLESS ENTRY THEFT DETERRENT/ALARM REAR WINDOW WIPER DUAL MIRRORS FOG LAMPS CLEAR COAT PAINT POWER STEERING POWER BRAKES POWER WINDOWS POWER LOCKS POWER MIRRORS AM RADIO FM RADIO STEREO SEARCH/SEEK CD PLAYER ANTI-LOCK BRAKES (4) DRIVER AIR BAG PASSENGER AIR BAG CLOTH SEATS BUCKET SEATS RECLINE/LOUNGE SEATS AUTOMATIC TRANSMISSION 4 WHEEL DRIVE ALUMINUM/ALLOY WHEELS ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 REAR BUMPER 2 S01 O/H REAR BUMPER 1.8 N 3* S01 REPL BUMPER COVER BASE 1 375. 93* INCL. 0. 0* N 4* S01 REPL LT REFLECTOR 1 23. 62* INCL. N 5**S01 REPL QUAL REPL PARTS IMPACT BAR 1 161.26* INCL. N 6* S01 REPL RT ENERGY ABSORBER RETAINER 1 3. 00* INCL. N 7* S01 REPL LT ENERGY ABSORBER RETAINER 1 3.00* INCL. 8* S01 REPL ENERGY ABSORBER 1 148.88* INCL. 9 LIFT GATE file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 2 of 16 N 10* S01 REPL NAMEPLATE "VUE" 1 40. 14* 0.2 1 07/09/2008 AT 12: 30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- N 11* S01 REPL QUAL RECY PARTS LIFT GATE +250 1 631.25* 4 .2* 3. 9* 12 ADD FOR CLEAR COAT 1. 6 N 13* S01 REPL NAMEPLATE "AWD 1 49.26* 0.2 N 14* S01 REPL. NAMEPLATE "V6" 1 25.02* 0.2 15# RPR COLOR MATCH 0.3 16 Sol REAR BODY & FLOOR N 17* S01 REPL REAR BODY PANEL 1 329.17* INCL. 1.2 18 S01 - OVERLAP MAJOR NON-ADJ. PANEL -0.2 19 Sol ADD FOR CLEAR COAT 0.2 20 S01 ADD FOR INSIDE 0. 6 N 21* S01 REPL REAR CROSS BAR 1 276. 12* 10.0 N 22* S01 RPR LT CORNER REINF 1.5* 23 S01 R&I TRIM PANEL ASSY NEUTRAL FROM INCL. VIN# 35876565 24 S01 R&I RT CORNER TRIM INCL. 25 S01 R&I LT CORNER TRIM INCL. 26 S01 R&I RT TRAY NEUTRAL INCL. 27 S01 R&I LT TRAY NEUTRAL INCL. 28 S01 QUARTER PANEL 29 S01 R&I RT QTR TRIM PANEL 0.2 30 S01 R&I LT QTR TRIM PANEL 0.2 31 S01 PILLARS, ROCKER & FLOOR 32 Sol R&I RT ROCKER MOLDING BASE 0.7 33 S01 R&I LT ROCKER MOLDING BASE 0.7 34 Sol ROOF 35 S01 R&I REAR HEADER TRIM 0.3 36 SOL RESTRAINT SYSTEMS 37* Sol R&I RT SEAT BELT ASSY * 0. 4* NEUTRAL--LOOSEN 38* S01 R&I LT SEAT BELT ASSY NEUTRAL * 0.4* --LOOSEN 39 S01 WHEELS 40 Sol R&I SPARE R&I WHEEL M 0. 1 41# S01 RESTORE CORROSION PROTECTION 1 10. 00 0.2 42# S01 SET UP & MEASURE FRAME 1 1.5 F 43# S01 PULL TO SQUARE REAR BODY 1 2.0 44 OTHER CHARGES 45# E.P.C. 1 3.00 ------------------------------------------------------------------------------- SUBTOTALS =_> 2079. 65 25. 1 7.3 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 3 of 16 LINE 3 : OEM APRVD DUE TO OEM TXTR AND PART COMES PAINTED. LINE 4 : PPI LINE 5 : PUSHED IN LINE 6 : A/M NOT COST EFFECTIVE. PPI LINE 7 : A/M NOT COST EFFECTIVE.PPI LINE 10 : PPI LINE 11 : PPI SUPPLIERS PART DESCRIPTION: LID -4SW, 0702, 000,-RED 2 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: LINE 13 : PPI LINE 14 : PPI LINE 17 : PUSHED IN. PPI LINE 21 : PPI LINE 22 : DENTED IN W/REAR BODY ------------------------------------------------------------------------------- PRIOR DAMAGE NOTES: NONE PARTS 2076. 65 BODY LABOR 23.6 HRS @$ 72.00/HR 1699.20 PAINT LABOR 7.3 HRS @$ 72.00/HR 525. 60 FRAME LABOR 1.5 HRS @$ 72.00/HR 108.00 PAINT SUPPLIES 7.3 HRS @$ 32.00/HR 233. 60 OTHER CHARGES 3.00 ---------------------------------------------------- SUBTOTAL $ 4646.05 SALES TAX $ 2310.25 @ 8.25000 190. 60 ---------------------------------------------------- TOTAL COST OF REPAIRS $ 4836. 65 ADJUSTMENTS: DEDUCTIBLE 500. 00 ---------------------------------------------------- TOTAL ADJUSTMENTS $ 500.00 NET COST OF REPAIRS $ 4336. 65 "WE ARE PROHIBITED BY LAW FROM REQUIRING THAT REPAIRS BE DONE AT A SPECIFIC AUTOMOTIVE REPAIR DEALER. YOU ARE ENTITLED TO SELECT THE AUTO BODY REPAIR SHOP TO REPAIR DAMAGE COVERED BY US. WE HAVE RECOMMENDED AN AUTOMOTIVE REPAIR DEALER THAT WILL REPAIR YOUR DAMAGED VEHICLE. IF YOU AGREE TO USE OUR RECOMMENDED AUTOMOTIVE REPAIR DEALER, WE WILL CAUSE THE DAMAGED VEHICLE TO BE RESTORED TO ITS CONDITION PRIOR TO THE LOSS AT NO ADDITIONAL COST TO YOU OTHER THAN AS STATED IN THE INSURANCE POLICY OR AS OTHERWISE ALLOWED BY LAW. IF YOU EXPERIENCE A PROBLEM WITH THE REPAIR OF YOUR VEHICLE, PLEASE CONTACT US IMMEDIATELY FOR ASSISTANCE. " file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 4 of 16 THIS IS NOT AN AUTHORIZATION TO REPAIR NO SUPPLEMENT WILL BE HONORED UNLESS AUTHORIZED NOTICE: NEW HIGH STRENGTH STEELS MAY REQUIRE THE USE OF A MIG WELDER FOR PROPER REPAIRS. NEW DESIGNS REQUIRE MEASUREMENT TO PROPERLY ALIGN THE VEHICLE. MAKE SURE YOUR SHOP HAS THE RIGHT EQUIPMENT TO REPAIR YOUR VEHICLE. 3 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM: ANY PERSON WHO KNOWINGLY PRESENTS 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. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES: B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS: ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT 0/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART COMP REPL PARTS=COMPETITIVE REPLACEMENT PARTS RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/ =WITH/ SYMBOLS: #=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED) **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. MQVP=MANUFACTURER'S QUALIFICATION AND VALIDATION PROGRAM. OPT OEM=ORIGINAL EQUIPMENT MANUFACTURER PARTS EITHER OPTIONALLY SOURCED OR OTHERWISE PROVIDED WITH SOME UNIQUE PRICING OR DISCOUNT. NWCPP=NATIONWIDE CRASH PARTS PROGRAM. THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. ANY WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, RATHER THAN BY THE ORIGINAL MANUFACTURER OF YOUR VEHICLE. file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 5 of 16 4 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ALTERNATE PARTS DISCLAIMER IF QUALITY REPLACEMENT PART (QRP) APPEARS ON THIS ESTIMATE, IT INDICATES THAT THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES, IF ANY, APPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE PROVIDED BY THE PART MANUFACTURER OR DISTRIBUTOR RATHER THAN BY THE MANUFACTURER OF YOUR VEHICLE. *** IN ADDITION TO ANY SUCH WARRANTIES, WE PROVIDE THE FOLLOWING: **** OWNER LIMITED WARRANTY **** WE WARRANT THAT ALL QUALITY REPLACEMENT BODY PARTS (PARTS NOT MANUFACTURED BY THE MANUFACTURER) IDENTIFIED ON YOUR ESTIMATE, ARE FREE OF DEFECTS IN MATERIAL AND WORKMANSHIP AND MEET GENERALLY ACCEPTED INDUSTRY STANDARDS. THIS PARTS AND LABOR WARRANTY WILL BE IN EFFECT FOR AS LONG AS YOU OWN THE VEHICLE DESCRIBED IN THE ESTIMATE. THIS WARRANTY COVERS THE COST OF THE PART, LABOR TO INSTALL, AND INCIDENTALS SUCH AS PAINT AND MATERIALS AND IS SPECIFICALLY LIMITED TO THOSE ITEMS. THIS WARRANTY DOES NOT COVER LOSS OR DAMAGE THAT IS UNRELATED TO DEFECTS IN THE QUALITY REPLACEMENT PARTS. THIS IS NOT TRANSFERABLE. IF ANY QUALITY REPLACEMENT PARTS ARE DEFECTIVE IN EITHER MATERIAL OR WORKMANSHIP, CONTACT YOUR LOCAL GEICO REPRESENTATIVE. NO SUPPLEMENT WILL BE HONORED UNLESS AUTHORIZED NOTICE: NEW HIGH STRENGTH STEELS MAY REQUIRE THE USE OF A MIG WELDER FOR file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 6 of 16 PROPER REPAIRS. NEW DESIGNS REQUIRE MEASUREMENT TO PROPERLY ALIGN THE VEHICLE. MAKE .SURE YOUR SHOP HAS THE RIGHT EQUIPMENT TO REPAIR YOUR VEHICLE. 5 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ESTIMATE BASED ON MOTOR CRASH ESTIMATING GUIDE. UNLESS OTHERWISE NOTED ALL ITEMS ARE DERIVED FROM THE GUIDE DR8ID02, CCC DATA DATE 06/01/2008, 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. NON-ORIGINAL EQUIPMENT MANUFACTURER AFTERMARKET PARTS ARE DESCRIBED AS AM, QUAL REPL PARTS OR COMP REPL PARTS WHICH STANDS FOR COMPETITIVE REPLACEMENT PARTS. USED PARTS ARE DESCRIBED AS LKQ, QUAL RECY PARTS, 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 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 7 of 16 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 2006 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 PATHWAYS ESTIMATOR HAS A COMPLETE LIST OF APPLICABLE VEHICLES. PARTS NUMBERS AND PRICES SHOULD BE CONFIRMED WITH THE LOCAL DEALERSHIP. CCC PATHWAYS - A PRODUCT OF CCC INFORMATION SERVICES INC. 6 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- ------- CHANGED ITEMS------- 2 REPL LT REFLECTOR 1 -13. 08 INCL. N 4* S01 REPL LT REFLECTOR 1 23. 62* INCL. 5 REPL NAMEPLATE "VUE" 1 -23.05 -0.2 N 10* S01 REPL NAMEPLATE "VUE" 1 40.14* 0.2 6* REPL QUAL RECY PARTS LIFT GATE +25% 1 -625.00 -4 .2* -3.9* N 11* S01 REPL QUAL RECY PARTS LIFT GATE +25% 1 631.25* 4.2* 3. 9* 8 REPL NAMEPLATE "AWD" 1 -29. 60 -0.2 N 13* S01 REPL NAMEPLATE "AWD" 1 49.26* 0.2 fileWCADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 8 of 16 9 REPL NAMEPLATE "V6" 1 -13.49 -0.2 N 14* S01 REPL NAMEPLATE "V6" 1 25.02* 0.2 ------- DELETED ITEMS------- 2** REPL RECOND BUMPER COVER BASE 1 -244 .00 -1.4 0.0* N 4 REPL ENERGY ABSORBER 1 -102. 67 -0. 1 ------- ADDED ITEMS ------- 2 S01 O/H REAR BUMPER 1. 8 N 3* S01 REPL BUMPER COVER BASE 1 375.93* INCL. 0.0* N 5**SO1 REPL QUAL REPL PARTS IMPACT BAR 1 161.26* INCL. N 6* S01 REPL RT ENERGY ABSORBER RETAINER 1 3.00* INCL. N 7* S01 REPL LT ENERGY ABSORBER RETAINER 1 3.00* INCL. 8* S01 REPL ENERGY ABSORBER 1 148.88* INCL. 16 S01 REAR BODY & FLOOR N 17* S01 REPL REAR BODY PANEL 1 329.17* INCL. 1.2 18 SO1 OVERLAP MAJOR NON-ADJ. PANEL -0.2 19 SOl ADD FOR CLEAR COAT 0.2 20 S01 ADD FOR INSIDE 0.6 N 21* S01 REPL REAR CROSS BAR 1 276.12* 10.0 N 22* S01 RPR LT CORNER REINF 1.5* 23 S01 R&I TRIM PANEL ASSY NEUTRAL FROM VIN# 35876565 INCL. 24 S01 R&I RT CORNER TRIM INCL. 25 S01 R&I LT CORNER TRIM INCL. 26 S01 R&I RT TRAY NEUTRAL INCL. 27 S01 R&I LT TRAY NEUTRAL INCL. 28 S01 QUARTER PANEL 29 S01 R&I RT QTR TRIM PANEL 0.2 30 S01 R&I LT QTR TRIM PANEL 0.2 31 S01 PILLARS, ROCKER & FLOOR 32 S01 R&I RT ROCKER MOLDING BASE 0. 7 33 S01 R&I LT ROCKER MOLDING BASE 0.7 34 S01 ROOF 35 S01 R&I REAR HEADER TRIM 0.3 36 S01 RESTRAINT SYSTEMS 37* S01 R&I RT SEAT BELT ASSY NEUTRAL--LOOSEN * 0. 4* 38* S01 R&I LT SEAT BELT ASSY NEUTRAL --LOOSEN * 0.4* 39 S01 WHEELS 7 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- - 40 S01 R&I SPARE R&I WHEEL M 0.1 41# S01 RESTORE CORROSION PROTECTION 1 10.00 0.2 42# S01 SET UP & MEASURE FRAME 1 1.5 F file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 9 of 16 43# S01 PULL TO SQUARE REAR BODY 1 2.0 ------------------------------------------------------------------------------- SUBTOTALS =_> 1025.76 18.5 1.8 LINE 4 : PPI LINE 5 : PUSHED IN LINE 10 : PPI LINE 6 :. A/M NOT COST EFFECTIVE. PPI LINE 11 : PPI SUPPLIERS PART DESCRIPTION: LID -4SW, 0702, 000, -RED LINE 13 : PPI LINE 14 : PPI LINE 3 : OEM APRVD DUE TO OEM TXTR AND PART COMES PAINTED. LINE 5 : PUSHED IN LINE 6 : A/M NOT COST EFFECTIVE. PPI LINE 7 : A/M NOT COST EFFECTIVE.PPI LINE 17 : PUSHED IN. PPI LINE 21 : PPI LINE 22 : DENTED IN W/REAR BODY ------------------------------------------------------------------------------- PRIOR DAMAGE NOTES: NONE PARTS 1025.76 BODY LABOR 17.0 HRS @$ 72.00/HR 1224 .00 PAINT LABOR 1.8 HRS @$ 72.00/HR 129. 60 FRAME LABOR 1.5 HRS @$ 72.00/HR 108.00 PAINT SUPPLIES 1.8 HRS @$ 32.00/HR 57. 60 ---------------------------------------------------- SUBTOTAL $ 2544 . 96 SALES TAX $ 1083.36 @ 8.2500% 89.38 ---------------------------------------------------- TOTAL SUPPLEMENT AMOUNT $ 2634 .34 NET COST OF SUPPLEMENT $ 2634 .34 ESTIMATE 2202.31 BRIAN TOROK SUPPLEMENT S01 2634.34 ROBERTO ALCALA -------- TOTAL ADJUSTMENTS $ 500.00 WORKFILE TOTAL $ 4836. 65 NET COST OF REPAIRS $ 4336. 65 8 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 10 of 16 "WE ARE PROHIBITED BY LAW FROM REQUIRING THAT REPAIRS BE DONE AT A SPECIFIC AUTOMOTIVE REPAIR DEALER. YOU ARE ENTITLED TO SELECT THE AUTO BODY REPAIR SHOP TO REPAIR DAMAGE COVERED BY US. WE HAVE RECOMMENDED AN AUTOMOTIVE REPAIR DEALER THAT WILL REPAIR YOUR DAMAGED VEHICLE. IF YOU AGREE TO USE OUR RECOMMENDED AUTOMOTIVE REPAIR DEALER, WE WILL CAUSE THE DAMAGED VEHICLE TO BE RESTORED TO ITS CONDITION PRIOR TO THE LOSS AT NO ADDITIONAL COST TO YOU OTHER THAN AS STATED IN THE INSURANCE POLICY OR AS OTHERWISE ALLOWED BY LAW. IF YOU EXPERIENCE A PROBLEM WITH THE REPAIR OF YOUR VEHICLE, PLEASE CONTACT US IMMEDIATELY FOR ASSISTANCE. " THIS IS NOT AN AUTHORIZATION TO REPAIR NO SUPPLEMENT WILL BE HONORED UNLESS AUTHORIZED NOTICE: NEW HIGH STRENGTH STEELS MAY REQUIRE THE USE OF A MIG WELDER FOR PROPER REPAIRS. NEW DESIGNS REQUIRE MEASUREMENT TO PROPERLY ALIGN THE VEHICLE. MAKE SURE YOUR SHOP HAS THE RIGHT EQUIPMENT TO REPAIR YOUR VEHICLE. FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM: ANY PERSON WHO KNOWINGLY PRESENTS 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. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES: B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS: ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART COMP REPL PARTS=COMPETITIVE REPLACEMENT PARTS RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/ =WITH/ SYMBOLS: #=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. MQVP=MANUFACTURER'S QUALIFICATION AND VALIDATION PROGRAM. OPT OEM=ORIGINAL EQUIPMENT MANUFACTURER PARTS EITHER OPTIONALLY SOURCED OR OTHERWISE PROVIDED WITH SOME UNIQUE PRICING OR DISCOUNT. NWCPP=NATIONWIDE CRASH PARTS PROGRAM. 9 file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 11 of 16 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. ANY WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, RATHER THAN BY THE ORIGINAL MANUFACTURER OF YOUR VEHICLE. ALTERNATE PARTS DISCLAIMER IF QUALITY REPLACEMENT PART (QRP) APPEARS ON THIS ESTIMATE, IT INDICATES THAT THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES, IF ANY, APPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE PROVIDED BY THE PART MANUFACTURER OR DISTRIBUTOR RATHER THAN BY THE MANUFACTURER OF YOUR VEHICLE. *** IN ADDITION TO ANY SUCH WARRANTIES, WE PROVIDE THE FOLLOWING: **** OWNER LIMITED WARRANTY **** WE WARRANT THAT ALL QUALITY REPLACEMENT BODY PARTS (PARTS NOT MANUFACTURED BY THE MANUFACTURER) IDENTIFIED ON YOUR ESTIMATE, ARE FREE OF DEFECTS IN MATERIAL AND WORKMANSHIP AND MEET GENERALLY ACCEPTED INDUSTRY STANDARDS. THIS PARTS AND LABOR WARRANTY WILL BE IN EFFECT FOR AS LONG AS YOU OWN THE VEHICLE DESCRIBED IN THE ESTIMATE. THIS WARRANTY COVERS THE COST OF THE PART, LABOR TO INSTALL, AND INCIDENTALS SUCH AS PAINT AND MATERIALS AND IS SPECIFICALLY LIMITED TO THOSE ITEMS. THIS WARRANTY DOES NOT COVER LOSS OR DAMAGE THAT IS UNRELATED TO DEFECTS IN THE QUALITY REPLACEMENT PARTS. THIS IS NOT TRANSFERABLE. IF ANY QUALITY REPLACEMENT PARTS ARE DEFECTIVE IN EITHER MATERIAL OR WORKMANSHIP, CONTACT YOUR LOCAL GEICO REPRESENTATIVE. NO SUPPLEMENT WILL BE HONORED UNLESS AUTHORIZED NOTICE: NEW HIGH STRENGTH STEELS MAY REQUIRE THE USE OF A MIG WELDER FOR PROPER REPAIRS. NEW DESIGNS REQUIRE MEASUREMENT TO PROPERLY ALIGN THE VEHICLE. MAKE SURE YOUR SHOP HAS THE RIGHT EQUIPMENT TO REPAIR YOUR VEHICLE. file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 12 of 16 10 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ESTIMATE BASED ON MOTOR CRASH ESTIMATING GUIDE. UNLESS OTHERWISE NOTED ALL ITEMS ARE DERIVED FROM THE GUIDE DR8ID02, CCC DATA DATE 06/01/2008, 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. NON-ORIGINAL EQUIPMENT MANUFACTURER AFTERMARKET PARTS ARE DESCRIBED AS AM, QUAL REPL PARTS OR COMP REPL PARTS WHICH STANDS FOR COMPETITIVE REPLACEMENT PARTS. USED PARTS ARE DESCRIBED AS LKQ, QUAL RECY PARTS, 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 2006 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 PATHWAYS ESTIMATOR HAS A COMPLETE LIST OF APPLICABLE VEHICLES. PARTS NUMBERS AND PRICES SHOULD BE CONFIRMED WITH THE LOCAL DEALERSHIP. CCC PATHWAYS - A PRODUCT OF CCC INFORMATION SERVICES INC. file://C:\Documents and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 13 of 16 11 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: RECYCLED PART SUPPLIERS LINE LINE DESCRIPTION PRICE 11 QUAL RECY PARTS LIFT GATE +25% STOCK NO. : V70660 $ 631.25 LKQ - WEST (866) 557-2677 AZ,NV,CA,UT SANTA FE SPRING, CA 90670 file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 14 of 16 12 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ALTERNATE PARTS SUPPLIERS 5 QUAL REPL PARTS IMPACT BAR PART NO. GM1106573 PRICE 161.26 KEYSTONE - COMPLETE (800) 264-7560 3615 NE. 109TH AVE (360) 260-8400 VANCOUVER, WA 98682 KEYSTONE - COMPLETE (800) 421-7866 2530 LINDSAY PRIVADO #C (909) 986-4586 ONTARIO, CA 91761 KEYSTONE - COMPLETE (800) 263-9727 1627 ARMY COURT (209) 948-1101 STOCKTON, CA 95206 file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 15 of 16 13 07/09/2008 AT 12:30 AM 0113358400101065-01 1330 12F71CPJ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2005 SATU VUE 4X4 6-3.5L-FI 4D UTV SILVER INT: ALTERNATE PARTS USAGE AFTERMARKET PARTS AFTERMARKET SELECTION METHOD: AUTOMATICALLY LIST NO. OF TIMES USER WAS NOTIFIED THAT AN AFTERMARKET PART WAS AVAILABLE: 9 NO. OF AFTERMARKET PARTS THAT APPEAR IN THE FINAL ESTIMATE: 1 OPTIONAL OEM PARTS OPTIONAL OEM SELECTION METHOD: AUTOMATICALLY LIST NO. OF TIMES USER WAS NOTIFIED THAT AN OPTIONAL OEM PART WAS AVAILABLE: 0 NO. OF OPTIONAL OEM PARTS THAT APPEAR IN THE FINAL ESTIMATE: 0 RECONDITIONED PARTS RECONDITIONED SELECTION METHOD: AUTOMATICALLY LIST NO. OF TIMES USER WAS NOTIFIED THAT A RECONDITIONED PART WAS AVAILABLE: 8 NO. OF RECONDITIONED PARTS THAT APPEAR IN THE FINAL ESTIMATE: 0 file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 Page 16 of 16 RECYCLED PARTS NO. OF TIMES USER WAS NOTIFIED THAT A RECYCLED PART WAS AVAILABLE: 11 NO. OF RECYCLED PARTS THAT APPEAR IN THE FINAL ESTIMATE: 1 14 file://CADocuments and Settings\u79155\Local Settings\Temp\pdi\0113358400101065-0... 08/15/2008 GIC®® `.J^+�9JL.c�IJ.�J7IV P.O. Box 509119 ' a LL it m r2 San Diego,CA 92150-9119 066 '� Q8. • P Mailed From 9,2064 US POSTAGE Contents Meichaodise—'This parcel may be opened for postal inspection if necessary. "Mom 14.111 DANIELSON STREET,POWAY,CA 92064 SAM A 0-103-AWW f0e-041 }1 lq l �T 1 �� I -5 e `e• =e •e rr