HomeMy WebLinkAboutMINUTES - 11182008 - C.12 (19) CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
BOARD ACTION: NOVEMBER. 18, 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 tohe copy of this document mailed to
California Government Codes. IVo
u is your notice of the action taken
on your claim by the Board of
[RIM(K6IIT MD Supervisors. (Paragraph IV below);
given Pursuant to Government Code
AMOUNT: UNKNOWN OCT 2 9 2008 Section 913 and 915.4. Please note all
'Warnings'.
EL
CLAIMANT: MIGUEI, MEDIDOZAMART NEZ CAAUR
ATTORNEY: UNKNOWN DATE RECEIVED: OCTOBER 29, 2008
ADDRESS: P.O. BOX 178 BY DELIVERY TO CLERK ON: OCTOBER 29; 2008
CLAYTON, CA 94517
BY MAIL POSTMARKED: HAND DELIVERED
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim. .
OCTOBER '29, 2008 DAVID TWA, Cle
Dated: By: Deputy
II. FROM: County Counsel TO: Clerk of the Board of Su ervisors.
(0, chis claim complies su stantially 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).
O 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 his CJaem 6 -hr-ne% C_14 �- , S D a,--
U�-�r- 19-��-�� 2�, Z oD�: �/eas•� se e /ems fr-�.-►-ti Co v,�r�rr
Dated: /�—S'�is' By: Deputy County Counsel
III. 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. 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.
DatedNo4'�-,'6± AVID TWA, CLERK, ByA7z44�4�eputy 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 court action on this claim.See Government Code Section 945.6 You may
seek the advice of an attorney of your choice in connection with this matter.If you want to consult an
attorney,you should do so immediately. *For Additional Warning See Reverse Side of This Notice.
AFFIDAVIT OF MAILING
I declare under penalty of perjury,that I 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 certified copy of this
Board Order and Notice to Claimant, addressed to the claimant as shown above.
Datedd� ��'/9 tit DAVID TWA, CLERK; By Deputy Clerk
This warning does not apply to claims which
are not subjecUto lte California Tort Claims
Act such as actiods lin inverse condemnation,
actions for specific relief such as mandamus or
injunction, or Federal CiVW Rights claims:;The
above list is not exhaustive and legal
consultation is essential to uui'derstan&all the
separate limitations periods thatmay apply.
The limitations period within which suit must
be filed may be shorter or longer depending on
the nature of the claim. Consult the specific
statutes and cases applicable to your particular
claim.
The County of Contra Costa does not waive any
of its rights under California Tort Claims Act
nor does it waive rights under the statutes of
---.114:,"limitations applicable to actions not subject to
the California Tort Claims Act
,e
s
s * t
OFFICE OF THE COUNTY COUNSEL SZL SILVANO B. MARCHESI
COUNTY OF CONTRA COSTA 4 �' COUNTY COUNSEL
Administration Building _ ;+
651 Pine Street,91"Floor —•,• SHARON L. ANDERSON
Martinez, California 94553-1229 _ CHIEF ASSISTANT
(925)335-1800 M: ,jfr1y11,` 1� GREGORY C. HARVEY
(925)646-1078(fax) VALERIE J. RANCHE
ASSISTANTS
•jos, �-�. 'c3'
1q COU��
NOTICE OF UNTIMELINESS
AS TO A PORTION OF THE CLAIM
November 7, 2008
TO: Miguel Mendoza
PO Box 178
Clayton, CA 94517
Please Take Notice as Follows:
In regards to the claim you submitted on October 29, 2008 on your behalf, portions of the claim
are timely and portions are untimely. The portions of the claim prior to April 29, 2008 that you presented
against the County of Contra Costa governed by the Board of Supervisors fail to comply substantially with
the requirements of California Government Code Sections 901 and 911.2, because they were not presented
within six months after the event or occurrence as provided by law. Because the portions of the claim
prior to April 29, 2008 were not presented within the time allowed by law, no action was taken on those
portions of your claim. The claim was forwarded to the Board for action only on the timely portions of the
claims.
The only recourse at this time is to apply without delay to the County of Contra Costa governed by
the Board of Supervisors for leave to present a late claim as to the claims which are untimely. See
Sections 911.4 to 912.2, inclusive, and Section 946.6 of the Government Code. Under some
circumstances, leave to present a late claim will be granted. See Section 911.6 of the Government Code.
You may seek the advice of an attorney of your choice in connection with this matter. If you
desire to consult an attorney, you should do so immediately.
SILVANO B. MARCHESI
COUNTY COUNSEL
By: " ' �kf
Monika L. Cooper
Deputy County Counsel
Page 1
CERTIFICATE OF SERVICE BY MAIL,
(Code Civ. Proc., §§ 1012, 1013a, 2015.5; Evid. Code, §§ 641, 664)
I am a resident of the State of California, over the age of eighteen years, and not a party to the within action. My
business address is Office of the County Counsel, 651 Pine Street, 9th Floor, Martinez, CA 94553-1229. On
November 7, 2008, I served a true copy of this Notice of Untimeliness as to a Portion of the Claim by placing the
document in a sealed envelope with postage thereon fully prepaid, in the United States mail at Martinez, California
addressed to Miguel Mendoza, PO Box 178, Clayton, CA 94517 as set forth above. I am readily familiar with
Office of County Counsel's practice of collection and processing of correspondence for mailing. Under that
practice, it would be deposited with the U.S. Postal Service on that same day with postage thereon fully prepaid in
the ordinary course of business.
I declare under penalty of perjury under the laws o� t t o alifornia and the United States of America that
the above is true and correct. Executed on I1 at Martinez, Califo a.
Paula ebb
cc: Clerk of the Board of Supervisors (original)
Risk Management
Page 2
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
INSTRUCTIONS TO CLAD ANT
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 than 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 one 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 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 ataaaazaaa■amman■■aaaa■aaaaaaaaaa■aaaaaaaaaaaaaa ■aaa a as ataaaaa■aaaaea■■a as as
RE: Claim By: Reserved for Clerk's filing stamp
RECEIVE®
Against the County of Contra Costa or ) OCT 2 9 2008
CLERK BOARD OF SUPERVISORS
District) CONTRA COSTA CO.
(Fill in the name) )
The undersigned claimant hereby makes 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) Q(IjFoQ XVE /0.45'- 1,Wd
IWOA47VS )*&>.! C:WX,P S,.94 * 141"& 7D �d�Dl�sy srs7, 6sV /71�sv c.P"�/c
kd�4,o A,✓o -*9W&W Mee lily mil* ,9eZ,*- o& cu�,Wr✓
2. Where did the damage or injury occur? (Include city and county)
L��'LO✓�'y/�a8-� PG�7�i'✓� C�rJ>`TL9- �� .c�9r/y✓3r9
3. How did the damage or injury occur? (Give full details; use extra paper if required) 4MXF 6e~Sti
MW"? Ad-+O a4w& J`Ar'07-17iVfr Tit!£ '004 a;✓7'4f( ""2 X442--04.0 �5PW
/;1y C,� eve>*T 00�,7->nv -W&sr�,r.
4. What particular act or omission on the part of county or district officers, servants, or employees
caused the injury or damage? AlpT CG x,¢2,?p/6 L 64ipT, fd xxGc4 s
What are the names of county or district officers, servants, or employees causing the
damage or injury?
6. 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? (include the estimated amount of any
prospective injury or damage.) S S is
8. Names and addresses of witnesses, doctors, and hospitals:
9. List the expenditures you made on account of this accident or injury:
DATE TBAE AMOUNT
a a a as A o ass 2 am ME a ass a■■■MR in a a o o KENNA o a n a K o o a o■a Known as ME a n a n•o n a■l
) .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) 1
Name and address of Attorney )
(C,zimant's Signature)
(Address)
Telephone No. ) Telephone No. z
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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, any
attachments, addendums, or supplements attached to the claim form, including medical records, are also subject to
public disclosure.
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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.
' Qahrer Paint werkz &Aasto@satly
REAPn
3257E 18tltStreet REPA�R ;RDER
Antioch,CA sands:
ptw�es 7544555t)n I,t
` , SHEET NO OF SHEETS
Car Owner Kin.3Pk' �PULIJL9Zbl � '
_._ -_ UTY - Bus,ne Phfihebate
Repair
Address O•. x « C�tLu�n a : CSI Q�S 1Hbinegt fe
No =
IllillTpnC@ Co phone :Order No.
Remm '❑ Customer Initial
I O Adryster Ports
YEAR MODEL s! LICENSE NO SPEEDOMETER
tSCR'IPTION,♦ :•• OR
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vvh,di:maybe required offer the wank:haa-:o6kW.'Wam a dmrwged.parh.,:nal:avidanl on:find -
rnsp0cliarf .may tin docmror•J-mW.you tirdl be�.'[ontcmd far ouflfanmlwn:lar addihaiwl
PAINT
Revised:Wiinote.t MATERIALS
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TE�ADLYS
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Customers O K. By
ACIWOWLEDGEAUW I;hare:--read ami Indersfand: ..ebave' asfimofe ord aotlforize reporc .• .. SUBLET:.
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aaP.e oacbmiei tion ii hereby o&i-wedged on ohi:e osr hock fa seari
m whido e _
17
the,:emounf TAX
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DVANCE
Dili:WORK AUTHORum Br' nwTE Deposit j _ ;CHARGES
WORK:ACCEPTED sr ren ChgS"?d not Repan
TOTAL
• ..-:•'CODE' "--N-NEW ,`-U-USED --RJIEgWTT .
ERO-6642 ...
PR.KMD IN USA ""—"•' 7Y'—""
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ESTIMATE. ANU
3257,E 18th StiEBt REPAIR OR
Antioch,CA 94508!
P1101i@ 9�5,754-0555 SHEET NO. OF' SHEE75 :..: " D` ` 0
CcrOwner-C�\i�JP� l"lCVlfi'79'Z.GI- Business Phone Date
Address Home'.Phone Est. No
'Repoli _ .
.Insurance Co Phone Order:No.
;Q Customer Initial
LD ,- ., "Adjuster` .: sParts .. .
MAKE MODEL LICENSE NO. SPEEDOMETER Destroy :Q
�
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ylre:obcim astiniofe is based on aw impechm and does Mi etre: odditiomi:pons er Iota(- ESTIMATE AMOUNTS
PARTS : ... .
wldcfi irta,.ba required oNx tha work"hos siorted- Worn a domoged.pork, nos.eridont Wigfirst:
PAINT
aupxfion. maybe discovered and you will be oomocted for aWhoeuulion far addithu I MATERIALS
Revised Estimate S
stork:Pens)does -q*ecr to=fl ange wfthour mlke iters.,eshlnale n goad to days :-. :r BODY" .
Customers O:K. B "- MATERIALS ' .
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[�JWS
( hove aand vnde tatd the shove estimate .00repirinddiigsables andoduiowkdge recipt d this:estemte AnTime-: Date Calln , .s heeby idnowlvdgod en obese cur. tmv or vohicle to seciae - .TAX: -- I A' '
eFrepoirs_tro. ADVA WORK AUjii ZEDATEDeposit $ CHA S
ows'ACCEPTED ev - owiE Chgs: if not Repair
TOTAL i3 3c�a
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10/29/2008 at 08 : 50 AM Job Number:
17908
MIKE ROSE' S AUTO BODY INC - FREMONT ST.
License # :BAR AA07SG24 Federal ID # : 942621349
EPA# : CAD981159789
WHERE QUALITY COUNTS
2001 FREMONT STREET
CONCORD, CA 94520-2616
(925) 686-1739 Fax: (925) 686-1744
PRELIMINARY ESTIMATE
Written By: COLIN KENDALL
Adjuster:
i
Insured: Miguel Mendoza Claim #
Owner: Miguel Mendoza Policy #
Address: PO BOX 178 Deductible:
Clayton; CA 94517 Date of Loss :
Day: (000) 000-0000x0001 Type of Loss: Comprehensive
Other: (925) 381-8492 Point of Impact: 16 . Non-Collision
i
Inspect MIKE ROSE ' S AUTO BODY INC - FREM Business: (925) 686-1739
Location: _WHERE QUALITY COUNTS
2001 FREMONT STREET
CONCORD CA 94520-2616
Insurance
Company: Days to Repair
2005 FORD MUSTANG GT 8-4 . 6L-FI 2D CPE BLUE Int :
VIN: 1ZVHT82HX55142309 Lic: N422349 Prod Date: 01/2005 Odometer:
Condition: Excellent
Air Conditioning Rear Defogger Tilt Wheel
Cruise Control Intermittent Wipers Keyless Entry
Dual Mirrors Console/Storage Traction Control
Fog Lamps Rear Spoiler Clear Coat Paint
Metallic Paint Power Steering Power Brakes
Power Windows Power Locks Power Driver Seat
Power Mirrors AM Radio FM Radio
Stereo Search/Seek CD Player
Anti-Lock Brakes I(4) Driver Air Bag Passenger Air Bag
4 Wheel Disc Brakes Cloth Seats Bucket Seats
5 Speed Transmission Overdrive Aluminum/Alloy Wheels
----- ---------- -- ---- - -- - - ----- -- --- ---- -- -------- -- --- -------- --- -- ----- - -----
NO. OP. I DESCRIPTION QTY EXT. PRICE LABOR PAINT
------ ---------------- -- ------- ---- ------- ------- ------- -- --- ----------- -- ---- -
1 I FRONT BUMPER
2* Rpr Bumper Cover GT 0 0 . 00 2 . 0 2 . 8
3 Add for Clear Coat 0 0 . 00 0 . 0 1 . 1
4 O/H bumper assy 00 . 00 2 . 5 0 . 0
5 Repl Add for fog lamps 1 0 . 00 0 . 4 , 0 . 0
6 FRONT LAMPS
7 R&I RT Headlamp assy base, GT 0 0 . 00 0 . 3 0 . 0
8 R&I LT Headlamp assy base, GT 0 0 . 00 0 . 3 0 . 0
1
10/29/2008 at 08 : 50 AM Job Number:
17908
PRELIMINARY ESTIMATE
2005 FORD MUSTANG GT 8-4 . 6L-FI 2D CPE BLUE Int :
- ------ - -- - -- ---- -- - -- - -- ------- - ---- -- ----------- --- -- - ----- --- --- - - --- - - ---- -
NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT
- -- -- -- - -- - -- - --- - -- - - -- - -- - ------ --- - --- -- - -- - - --- - ----- ------- -- --------- - - - -
9 HOOD
10* Rpr Hood Base, GT w/o scoop 0 0 . 00 3 . 0 2 . 8
11 Add for Clear Coat 0 0 . 00 0 . 0 1 . 1
12 FENDER
.13* Rpr RT Fender GT 0 0 . 00 2 . 0 2 . 2
14 Overlap Major Adj . Panel 0 0 . 00 0 . 0 -0 . 4
15 Add for Clear Coat 0 0 . 00 0 . 0 0 . 4
16* Rpr LT Fender GT 0 0 . 00 2 . 0 2 . 2
17 Overlap Major Adj . Panel 0 0 . 00 0 . 0 -0 . 4
18 Add for Clear Coat 0 0 . 00 0 . 0 0 . 4
19 Repl RT Nameplate GT 1 15 . 73 0 . 2 0 . 0
20 Repl LT Nameplate GT 1 15 . 73 0 . 2 0 . 0
21 R&I RT Fender liner GT 0 0 . 00 0 . 3 0 . 0
22 R&I LT Fender liner GT 0 0 . 00 0 . 3 0 . 0
23 R&I RT Liner extension 0 0 . 00 0 . 2 0 . 0
24 R&I LT Liner extension 0 0 . 00 0 . 2 0 . 0
25 PILLARS, ROCKER & FLOOR
26* Rpr RT Rocker molding paint to 0 0 . 00 2_0 1 . 4
match
27 Add for Clear Coat 0 0 . 00 0 . 0 0 . 3
28* Rpr LT Rocker molding paint to 0 0 . 00 2 . 0 1 . 4
match
29 Add for Clear Coat 0 0 . 00 0 . 0 0 . 3
30 R&I RT Rocker molding paint to 0 0 . 00 0 . 6 0 . 0
match
31 R&I LT Rocker molding paint to 0 0 . 00 0 . 6 0 . 0
match
32 DOOR
33* Rpr RT Outer panel 0 0 . 00 1 . 5 2 . 1
34 Overlap Major Adj . Panel 0 0 . 00 0 . 0 -0 . 4
35* Add for Clear Coat 0 0 . 00 0 . 0 0 . 3
36* Rpr LT Outer panel 0 0 . 00 1 . 5 2 . 1
37 Overlap Major Adj . Panel 0 0 . 00 0 . 0 -0 . 4
38* Add for Clear Coat 0 0 . 00 0 . 0 0 . 3
39 R&I RT Belt w' strip 0 0 . 00 0 . 3 0 . 0
40 R&I LT Belt w' strip 0 0 . 00 0 . 3 0 . 0
41 R&I RT Mirror assy 0 0 . 00 0 . 3 0 . 0
42 R&I LT Mirror assy 0 0 . 00 0 . 3 0 . 0
43 R&I RT Handle, outside sonic blue 0 0 . 00 0 . 4 0 . 0
44 R&I LT Handle, outside sonic blue 0 0 . 00 0 . 4 0 . 0
45* R&I RT Door trim panel w/super 0 0 . 00 0 . 7 0 . 0
sound black 1
46* R&I LT Door trim panel w/super 0 0 . 00 0 . 7 0 . 0
sound black
47 QUARTER, PANEL
48* Rpr RT Quarter panel 0 0 . 00 1 . 5 2 . 5
49 Overlap Major Adj . Panel 0 0 . 00 0 . 0 -0 . 4
50* Add for Clear Coat 0 0 . 00 0 . 0 0 . 4
2
10/29/2008 at 08 : 50 AM Job Number:
17908
PRELIMINARY ESTIMATE
2005 FORD MUSTANG GT 8-4 . 6L-FI 2D CPE BLUE Int :
-- - - -- -- -- --- - --- - -- - ---- --- -- - ---- ---- -- - - - -- -- -- --- - -- - - -- -- - - ------ --- - - - - - -
NO . OP. - DESCRIPTION QTY EXT . PRICE LABOR PAINT
- - - - -- - - - --- -- -- - - - - - - - -- - -- --- -- - - ---- ---- -- - -- -- -- - - -- - - -- - -- - ----- - -- -- - --- -
51* Rpr LT Quarter panel 0 0 . 00 1 . 5 2 . 5
52 Overlap Major Adj . Panel 0 0 . 00 0 . 0 -0 . 4
53* Add for Clear Coat 0 0 . 00 0 . 0 0 . 4
54 R&I RT Qtr glass Ford 0 0 . 00 1 . 3 0 . 0
55 R&I LT Qtr glass Ford 0 0 . 00 1 . 3 0 . 0
56# Repl RT QTR URETHANE KIT 1 25 . 00 0 . 0 0 . 0
57# Repl LT QTR URETHANE KIT 1 25 . 00 0 . 0 0 . 0
58 R&I RT Qtr trim panel black 0 0 . 00 Incl . 0 . 0
59 R&I LT Qtr trim panel black 0 0 . 00 Incl . 0 . 0
60 R&I RT Upper trim panel black 0 0 . 00 Incl . 0 . 0
61 R&I LT Upper trim panel black 0 0 . 00 Incl . 0 . 0
62 REAR BUMPER
63* Rpr Bumper cover GT 0 0 . 00 2_0 2 . 6
64 Add for Clear Coat 0 0 . 00 0 . 0 1 . 0
65 O/H bumper assy 0 0 . 00 1 . 9 0 . 0
66 REAR LAMPS
67 R&I RT Tail lamp assy 0 0 . 00 0 . 4 0 . 0
68 R&I LT Tail lamp assy 0 0 . 00 0 . 4 0 . 0
69 ROOF
70 R&I RT Roof molding 0 0 . 00 0 . 3 0 . 0
71 R&I LT Roof molding 0 0 . 00 0 . 3 0 . 0
72# Blnd RT ROOF EDGE OVER DOORS 0 0 . 00 0 . 0 1 . 2
73# Blnd LT ROOF EDGE OVER DOORS 0 0 . 00 0 . 0 1 . 2
74 ELECTRICAL
75 R&I Antenna mast 0 0 . 00 0 . 2 0 . 0
76 WINDSHIELD
77 R&I RT Washer nozzle 0 0 . 00 0 . 2 0 . 0
78 R&I LT Washer nozzle 0 0 . 00 0 . 2 0 . 0
79# Repl CORROSION PROTECTION 1 10 . 00 T 0 . 5 0 . 0
80# Repl FLEX ADDITIVE 1 8 . 00 T 0 . 0 0 . 0
8,1# Repl FLEX ADDITIVE 1 8 . 00 T 0 . 0 0 . 0
82# Subl HAZARDOUS WASTE 1 5 . 00 0 . 0 0 . 0
83# TINT COLOR 1 0 . 00 X 0 . 5 0 . 0
84# TINT COLOR / CUSTOM PAINT 1 0 . 00 X 1 . 0 0 . 0
85# ROPE GLASS 1 8 . 00 T 0 . 5 0 . 0
86# COLOR SAND & POLISH 1 0 . 00 8 . 0 0 . 0
87# Refn CUSTOM FLAME PAINT (FNDRS & 0 0 . 00 0 . 0 50 . 0
DOORS)
88# Refn CUSTOM MASK TIME 0 0 . 00 0 . 0 5 . 0
89# Repl COVER CAR 1 7 . 50 T 0 . 2 0 . 0
- -- -- -- ----- -- -- --- -- -- - -- -- - -- -------- --- - ------ -- - -- --- -- -- - ------- --- -- -- ---
Subtotals =_> 127 . 96 47 . 7 85 . 6
3
10/29/2008 at 08 : 50 AM Job Number:
17908
PRELIMINARY ESTIMATE
2005 FORD MUSTANG GT 8-4 . 6L-FI 2D CPE BLUE Int :.
Parts 86 . 46
Body Labor 47 . 7 hrs @ $ 82 . 00/hr 3911 . 40
Paint Labor 85 . 6 hrs @ $ 82 . 00/hr 7019 . 20
Paint Supplies 999 . 00
Sublet/Misc . 41 . 50
- - -- --- -- - -- - -- - - - -- -- - - --- -- - -- - - ----- --- - ---- - -- --
SUBTOTAL $12057 . 56
Sales Tax $ 1126 . 96 @ 8 . 25000 92 . 97
----- ------- -- - --- - - -- -- --- -- ---- -- - -- - ------ - - --- - -
GRAND TOTAL $12150 . 53
ADJUSTMENTS :
Deductible 0 . 00
-- - -- - -- -- - -- ---- - -- - - - - - - --- - -- - - --- -- - - - - --- - -- - - -
CUSTOMER PAY $ 0 . 00
INSURANCE PAY $12150 . 53
THIS IS A PRELIMINARY ESTIMATE AND ADDITIONAL CHARGES MAY BE REQUIRED FOR THE
ACTUAL REPAIR.
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
LABORS=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.
Estimate calculated using a preset user threshold amount for the paint and
material cost .
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10/29/2008 at 08 : 50 AM Job Number:
17908
PRELIMINARY ESTIMATE
2005 FORD MUSTANG GT 8-4 . 6L-FI 2D CPE BLUE Int :
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from
the Guide DR2JC05, CCC Data Date 09/02/2008, and the parts selected are OEM-parts manufactured by
the vehicles Original Equipment Manufacturer. OEM parts are available at of/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 OEMs 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 (4) 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.
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