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Claim by Ashley Johnson Copyrig hted February 15, 2021 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUM MARY: Jennifer Connolly for property damage; Dennis Day for property damage;Ashley Johnson for property damage; Biniv Maskay for personal/property damage. SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney DISPOSITION: ATTACHMENTS: Description Type Claim by Jennifer Connolly Supporting Documentation Claim by Dennis Day Supporting Documentation Claim by Ashley Johnson Supporting Documentation Claim by Biniv Maskay Supporting Documentation Confidential This communication and any attachments may contain information which is confidential and privileged by law and is for the use of the designated recipient. If you are not the intended recipient, you are hereby notified that you have received this communication in :i� error, and that any review, clisclosure, dissemination, distribution or copying of its contents I is prohibited. Please notify City of Dubuque immediately by telephone at (563)-589-4120 of � your receipt of these items and destroy the communication and any attachments immediately. Further disclosure of this information may violate state and federal restrictions. Confidential information may include the following: �i 1) Social Security Number(s) i 2) Medical/Health Information 3) Personnel/Disciplinary Information '' 4) Bank Account Information '' 5) Financial Information � '�iJ 6) Credit Card Numbers i� ,a If �n� docurn�ntation �o�a de�ir� to subrnit t� the �ity of I��ab�aq�a� cc�nt�ins any �f th� it�ms ab�ve I� this cover sheet must be attached directly to the confidential information and indicate the type of � information that is included. � I;I , . . . y I, � � y1 . JUVlt�lsC�`n , hereby certify that the attached documents � include the Ilowing protected information: Social Security Number(s) Bank Account Information ; Medical/Health Information Financial Information Personnel/Disciplinary Information Credit Card Number(s) I understand that this infarmation may be distributed within the City organization or to agents of the City for processing and I hereby authorize the City to act accordingly taking all precautions to protect my infor�n��'i°�d'�fi"�ro�,�funnecessary distribution. ' �. '""! '�� � Signat� e Date � �` � ��v� Le�c�� CLAIM AGAINST THE CITY OF DUBUQUE, IOWA Ja �1�'��er+���� � ('�. 5�;���— This written report constitutes your claim against the City of Dubuque, lowa. You should � complete this form in full and attach any additional information that supports your clairn. � i The Claim must be filed with the City Clerk at City Hall, 50 W. 13t" St., Dubuque, IA 52001. It will then be referred by the City Council to the appropriate department for investigation. Once that investigation is completed, a report and recommendation will be submitted to the City Council. You will be provided with a copy of that report and recommendation. � THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE"CITY COUNCIL. NO EMPLOYEE OF � THE CITY OF DUBIJQUE HAS THE AUTFiORITY TO MAKE ANY REPRESENTATION TO YOU ;j AS TO WHETFiER YOUR CLAIIVI WILL OR WILL IVOT BE PAID. ' � � 1. Name of Claimant: G15�9�Ni1Yl ��r1S'G,r'�o 2. Address: °�-��G' �GIKC ��. � City: t� � � State: �� Zip: S�G�� i > i 3. Telephone Number: E,3' �,��' �3�� 4. DMate of Incident: I`_�I"./�� �T j 5. ' Time.qf Incident: • �WlC�' �i * ,Iy� - . .'; . ' , . f �� � �i � �� �� �. ��,� . � T . . Y � ' . � .. �. 6. Locat�on�of.�ncident (Be specific): �Y1 f'T� .1 �',�,: ��, ,�' !°' �," ' ° + , . . �'���„��''_�, a,��p � " ;; � ' o`�l G h �� ��' � a� ����r.r�� ro �� �� �'t��"�� �c� �� . . � 4Ik , I' 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give ! full details upon which you base your claim. If a City employee was involved, give the employee's name.) � � r,�a�° � o►f- �� I iu��s a�- �ti� c.rr�rrr�r-� o� �'FK �r�1' �.saGG�.�ti i ac.J� ��K. [J � � i �'�1 �'P�e°� �n� w4►c� �,s�'ee� �tiC al ffei,SS C� /u/� z �{If v��S�l cl�°,'v-� �� � bc��,o . . . 8. What were weather conditions like? W » k 9. Give name and address of any witnesses. �'�" � �; °e � � ��,, a ' 10. Did police investigat��" �I�'"s� give names of officers.) ° ' �' � ��,:; � � +.g 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). � ` �• GM�1 �2 OlY1 ' ��� �te � e �' rn � �i r � ' Pe • . � r� . e��eD�- SDme��in� ot`urn�� . 2 �� rv't � � �i ��i "n � -� n r-J��- and o�o �► r,o��P. 1,J1�tr� s �s irt -�l�e �ri vt �Fl►r� o�' 9ylcLb�al�ls__1" �Q ke� oti� n� t�i»�o c� ar�� ��� o� �o � ,� n� . � � ar . � �rovQ ���K a�,l �r,� a b'i' t�i v�o O�r YII�2►a1� Y„��G� ft��'i�' L..l�r"� ` . ' ; � _�_____���-� �He u,�r�. _ ��Ilp� „��G . kc o 1 �t r- �' o� n� � nho-bs �v�d vi�J�o. � � 12. Was any damage done to property? (If so, describe property and the extent of � damages. Attach estimates of damages or describe basis for ascertaining extent of � damage.) � � � a � 0' f i v�i' C,�Cr h I� i 13. What other damages do you claim, if any? `�"`�'~ � � '�� �� u 14. Have you been compensated for any part or all of your claim by any insurance � cornpany? (If so, give name and address of insurance company and amount paid.) � a � «►-�------, 15. What a ount do you claim from the City of Dubuque? � ( � 0 C �� . � � ,, 16. Why do you claim the City of Dubuque is responsible? � ' c,�► n n a ' �,�s �r�►� . w cn � �►a �- c� .���'c� da.wn � ub[�'e �,,o� �oo sc�r�';� � �' �j 17. Have you made any claim against anyone eise for da�ages as a result of t is i�icident?�. (If yes, give name and address.) � � f � � �j �l�C� � 18. If the answer to Question 17 is yes, have you received any payment from that source,��`� and if so, in what amount? .;� 'I� Dated at Dubuque, lowa this � day of��1^r�G� , 20�. � r--•-�-�,�� (Signature) �_� �s � � � 's �:.:���:� t°°r� � Il (Print Name) i�= �: �' �* � � � � � � � {$� � �" � �": � ��� � ,�` �; `�' � �� � (Rev. 5/18) � �ilin� � Gtai�» � �Nh�r� �6�v�u1d t �"�1� �Gl�irn? ; tf y�u harre susta�ined�n ir�jury ar d�m�g�fc+r which yc��t�aet�eve the Cbty or c�ne�f i��ert��layees is respernsibt�, ycau I m�y iil��ci�im�gain�t the�ity. H�rw i7�a! �equ��t a Ciairn.�orrrt? � 1�r ord�r tc�obtar`t��c�a"rm farrn,please confi�ct or visit ot�t�r��f��fo(lav,t�rtg�iky affi��s: y i e 's�JJ i�e Cit ita � "�t7"�ice � �ity F•f�ll Ffarb�r Vie+�F�(���,Ste.��� �t�V�l. 1�th St. ,�_,.,�-�,•��ti. �G�C�Mairt �t. � [����a��qr.r�. f,�52t7C�'C Dub�aqu�, f,� 52C}O�t ' �a�a�,5��.4'1�{� ��3.���.d 1'l 3 +��� I ��rtd �n Ac�diti�r�t��irtft�rm�ti�rt wi�Ft tYt�s �1�irn �ar�rt'� li Yes. ft is r�cvrnrm�rtd�d Yh�k you s�rre�in�s rnuc�r trt�arm�ti�n�s prass[�t�v�1th ycsur c7ait�rr Pa�in�rder tca expedite � the trruestig�tiart;c�f t�t��l�im.Th���n�l�d�s, but Ps r�at limited tc�,�siin�����,recei�ts,rrr�di�aC biils, pictur�s�r�d��ty { c�th�r inf"�rrnati�rs yc�at Fe�l m��be rel�vant ta�y�aur ci�irr�. i€is atsr�r�ccsrr�rr��n�i�d fih�t��ru senr�ir��apr���t ih��e I i#�rns�nd keep#h�carigin�is�or yaur recards. �,...._...._.�.��. li �rrc���1�irro#��s���;r�tec�tv�d�n�d�i1e-st a�'�pect by th�Cify Cl�rk, it is far�vv�rti�d ta tik�����9��ttcrrr�ey�"�C�f�`i��far ','� '�ill'��t��� �r7�;4���r! I��I� M �ia��rtt. � inv�sti�atic�n.C�I�irr�s tnvofv€rt�persarral injury csr subs#�s�Et��pr`crperfy dama���r�kt t���"o artied tcr Gtf 'r�1�3s� �� ��erac�r�ar investi�atican,"�''ou wilf rec�Zv�:� I�tter fr�a�the Gify Attarr�e�+"s f�fgG�,� � . t y�th��a�m��b��� �� f�arw�rd�d t�th�claims�gency,"I"hes I�tt�r will a(sca��rrt�in th�cl�irns�gen��'�ccarrt�cE info�m�tt��. I; ,q clalms�d�ust��wil€thet� c r�act±��r�garding yaur c1�im.,t4t th�t�rint,�ny t�u�stic��s r��arc�'in€� �suc�Iairrt Ij �� u��kae�c�P�`s�c�tcs th��s �d��a�r.�� � lai�i ,„�i�� ¢ � �� �e��� �������`�� j r inves r�at�c�n. er ak�rag wiih�r��is��e�s arr n sa�tir�g p�rtnt� �ar s, b��� . ��k� `�'��'��'�u ���►a ���r����i����w�''� er�i�� sh�"� �P� �� � � ,� �o��'•�'3`��s�d�rr��h�t.infr�rnta#"s�n,#he�iky At#csrrr�y w�ti Yh�n mak��r�ccrrrrrrt�ndatian te�tt���ity Gc��rncil as tc�vtir��tFr�r ttt� ! '�a,"��� 9��rr�sh�u��i be approve�<c�r e�er�ied. If tt�e Grty Attor-r�ey r���rrt�nz�ncts tf�ra�the�laEm ias derai�cf,ya�t wilE r�c�:ive a �,�. �y a�t��d�partCr`r,ent mar�ag�r I sup�rvl��t°"�r�p�ar�ai�s��wit�s�C��Git�.4ttc�rC��y"s��epa�tca f�se�ity�aur��lN. �, � ' ; { '��,��"��* !f`th��ity Attarn�y r�c�n�tr��ntls#hat ih��l�1rr��e�ppr�rv�e#,Y�tu uv'sfE rece{v��Ct�Gity,�tEome}�"�r�par�tcr th��ity I �"'rCyt.�il�+"i�'r�5 V�l�.*��'c�S c�1`�'�Gc"!5�'�K7�iT1�Ci�:7�'�`IC,,�#7�C�c'11IC�1"�'.�Ul"i��`.C��C1��"k�'�`rl�)/f���G1Td"6G-��f�.�+. ��6GC�..��`l�'.�w�"�1C�GCB{� ��1 �'�C£fT�dtY1G'I1Z�£��I��IS. �k�S i��10b��C7'��Ct 11t7��'�.�I�'�;t�l�$iC'1����'��51CtI"��}t7��N G��IYF'1,S��C�'�����3�"$�l� .�r����C7Cl(1GIC. I� �o�mpl�ay�e af fh�G�ty h��fh��uth�€�Iky ia��f�e any repres�nf�a�i�r�ia ycsu�s fia whe#tiec y�r�s�'cl�im will ar w�C!nat be��3d. If�Fr��ity�csuncil ��rprc�v��ti��claarn for p�ymertf�fi�ts�Et��c�ur�ci�m��tinc���ehec�.�vit1��rrm�iled tc�y�+u pr�c��rldetl fh��ity l�,ttarrrey'�CJ�€��h�s r�ceiv�d your sigr�e�€c�t�ase i`orrrr, V�l�a��f�Vty Gi�irr� i� �ten��d t��fhe Cf�� �cx�nc[l e' �'h�City�auracii mak�s ifs d�terminatic�n �t�ity��urtciC ra°��etings,�nrk�ich are C��id itt��ir�t and third Mc�rtday of ��G�1 h'iflt'11��.��C�CCItYi(71�C1+�WI'I�ICI�Ef (�'���.'C�t)��1�f���j�'faCFi.�17Ci��f1G�CC��[C1�Vd�'Ijd�dt1C C���tY1��"1C1U{C��"1����t��Ctl�'��f1d �ny additian�E infQrm�tiic�r�that ycau hav��a suppar�yc�car ct�irct. It`ss nof nec�ssary fo ap���t the Cify AtF+�rn�y`s recc�rt�rr��ndati�n for�eniaE�af yaur clairrt beFor�'the Gity�c�un�iM naak�s 9�s d�t�rn�in�#ic�n,h�ausr�v�r,y�u may t�o se�.Y°oes�re tnuit�c[ic��tfend th�Gi�y Gouncil me�tirrg v�hert y��tr claim wi13 t���iecided; h�wev�r,Yaur attenciance is nc�t m�nciaforyF�r��t y�cau sti91 h�ve th�r't�ht to�pp�aC t�t�Gify ��auncil'��lecision�ny time�ff�r Et h�s b��n swr�ad�. � � , 1f ycaur cl�Im car�ppeaE i�deniect,Yo+�a h�ue 2�te a�ptic�r��f fiiin��law�uik in�ecas�r�c�f�ppro�rl�ta jurisdictioer. Hc�w L.vn��+� ( H�ve t�W�it Befic�re �ny Claim i� Re�olved'� The len�ih c�f time it#�ke�ta investigate an�i resc�ive a cf�im�te�er�ds Iarqely on the nafure of tha c(aim anc�tE�� am�suttt of ctamages invc�iv�d.S�m�c9aims may take�few w�e�cs ta resoive,whit�others may t�ke ic�nger. lF yc�u wish tr�ch�:ck csn the status of yc�ur cieim or iF yc�u hav�an�qu�stions or cancern�abcact�the proc�ss, cc�ntact th� Cit�r�t#�rra�y°�t'�ffic�a�a��.583.4113, '(ou rt7ay fli��cl�im at�sc�y tarra�. How�ver,if ycaur�ci�isn Es deniec4 ��fhe�itg�Gouncil and yc�s�v✓ish tc�fi��a 1aws�ait, y�u shc�uld �+��ware th�t skal� Caw m�y(imit the time in wh`sc�t t�file a[aeavvsuiE. � � RICHARDSON MOTORS 5400 WESTSIDE DRIVE DUBUQUE, IA 52003 ;� PHONE: (563)582-5411 FAX: (563)582-4129 a FEDERAL ID:42-0813744 � II ***PRELIMINARY ESTIMATE**"� � 02/01/2021 11:20 AM ' , � , �. �. �.�.� _� � �,,��. r �,.�.��..�,��.,_�_.._..,,,�..,�..�.�..;.....,_ � Owner � ...�.��....�,�.,�..�.��....�.._���.���.�,�,.�_�..��.�� ����..�..��.�,,_..._.��..��,��.�_�.��.�..�A.� �..a_,,,�w_.._�.�..�...�,�.�..�,...�.,� �I Owner: ASHLYNN JOHNSON �.����...�����.�..__�.�_..._�_....��_..�.w.���.�.��.�.�.�,_��_.._____,._�,.�.,�_,�...�_�_._.�..��_�.�.�..��.�.M�_,,�,_��� � Inspection M._._..�.�_�.,�.�__.�..�___.�...�..m..._.........�._�_..�_..�_.__,..��_��..,.�.�.��....__..�. � i Inspection Date: 02/01/2021 11:21 AM Inspection Type: � Primary Impact: Left Side Secondary Impact: h Appraiser Name: Andrew Gillip Appraiser License#: �� Address: 1475 JFK rd Work/Day: (563)582-5411x2021 ' City State Zip: Dubuque, IA 52002 FAX: ; Email: agillip@richardsonmotors.com �� ��, i; �' ��.��,�.�.�_.�...._w�._,�.�,..�._.._._,_._�._.��_�_.._.._._._�.��..�..�.�_.�.�,....�._.�.�..��..._���.. _ ...µ.:�_.�.�____.-�__.�,.�._...�...�.,..._. ....�.. , Re alrer j �,�,.�p�..mm...�_..���n�.�w��..�_�.�.�„�..�,�,�m.��.�..��,�,,�.��.�,,.�.,_aw,�m.,��.���...�..�_��._..,..�..w.�..w�,,.��.�.�.,.�..,,,���..��..�,.��,W..,.��.,..��,.�..��...�.�,..e��.�m.�.�..e.,.�. , Repairer: Richardsonmotors Contact: Andrew Gillip � Address: 1475 JFK RD Work/Day: (563)582-5411 il City State Zip: Dubuque, IA 52002 Work/Day: j Email: agillip@richardsonmotors.com I �� Target Complete Date/Time: Days To Repair: 5 � �__... .� � � �. � . . ' _, �._.__�,_. _..,__...._�. �_ �.� _.._.,�..��._.�..��.,..�.._...__.._._.�..�W..��.�_.�_����.�_m_..m._._.�.m........_�..��.�.__.....�......._.,,_��.�.��._.�.�..�._._.�_�m...._._.,_,._.�_..._.� Vehicle .____.,._..��_�_�_.�.�_.�w.�....�.m._���_m�_�...�.�..�._�..�.�_���.._._.._�.__...�...�..._.�.�.�M.,..�. .� �_,.,_�..._.._�W.._�� �,....__......,.�...__.�.�._�,..�....._.�,.,.._....__�, i OEM Part Price Quote ID: **** 2017 GMC Terrain SLE1 4 DR Wagon 4cyl Gasoline 2.4 � 6-Speed Automatic � Lic Expire: VIN: 2GKALMEK2H6179775 Prod Date: 09/2016 Mileage: 46,729 Veh Insp#: Mileage Type: Actual Condition: Code: U7614B Ext.Color: GRAPHITE GRAY METALLIC int.Color: Jet Black (Availabl Ext. Refinish: Two-Stage Int. Refinish: Two-Stage Ext. Paint Code: G7Q Int.Trim Code: AFA Options -AudaVIN Information Received 1st Row LCD Monitor(s) 2nd Row Head Airbags AM/FM CD Player Air Conditioning Alarm System Aluminum/Alloy Wheels Amplifier Anti-Lock Brakes Auto Headlamp Control Automatic Dimming Mirror Auxiliary Audio Input Bucket Seats Center Console Climate Control For A/C Compact Spare Tire Cruise Control Daytime Running Lights Driver Information Sys Dual Airbags Electric Steering Emergency S.O.S. System Floor Mats Halogen Headlights Head Airbags 02/01/2021 11:29 AM Page 1 of 4 2017 GMC Terrain SLE1 4 DR Wagon Claim#: 02/01/2021 1120 AM Heated Power Mirrors Heated Rear Window Wiper Heated W/S Wiper Washers IPOD Control Illuminated Visor Mirror Intermittent Wipers Keyless Entry System Leather Steering Wheel Lighted Entry System MP3 Decoder Mefallic Paint OnStar System Power Brakes Power poor Locks Power Drivers Seat �� Power Windows Privacy Glass Pwr Accessory Outlet(s) � Pwr Driver Lumbar Supp Rear Spoiler Rear Step Bumper Rear View Camera Rear Window Defroster Rear Window Wiper/Washer Roof/Luggage Rack Side Airbags SiriusXM Satellite Radio Skid Plates Split Folding Rear Seat Stability Cntrl Suspensn j Strg Wheel Radio Control Tachometer Theft Deterrent System i Tilt&Telescopic Steer Tire Pressure Monitor Touch Screen Display � Traction Control System Trip Computer USB Audio Input(s) I Vehicle Tracking Service Velour/Cloth Seats Wheel Locks i Wireless Audio Streaming Wireless Phone Connect i, N AudaVIN options are listed in bold-ifalic fonts � .��. � ._,�_�.�..�_.�.�a�_.._,_,�,�_,��.m._.rc�,��_ ��m. _�,.��. _..._..,�,�..,ry_�_�.�.�,...�,,...����_.,....._..w_._m,�,�.�e�..�...,,��..�.��..�v�_..�,....�..�.._�..� Damages � _w.�,�...�...�,W,�,��.�.��.,�..�.,,�__.,_�...���,.�.�m��,..��_._..w.�rv.��.,�..��....�mw,�.�.,,�,.,M��.�.M�._�.��.,m._�.��....�...e._..._m����._._.�.,.W_.,�_._�.�,�,.�,�...,.�.�.��.�....�,.�,.���.,� I � Line Op Guide MC Description MFR.Part No. Price ADJ°/a B% Hours R I� �tripes And Mouldings '1 u 1 RI 49 MIdg,Front Door Lower LT R&I Assembly 0.5 SM �j 2 RI 293 MIdg,Rear poor Lower LT R&I Assembly 0.5 SM ��� Front Doors i'1 3 I 207 Door SheIl,Front LT Repair 6.0* SM �; 4 L 207 13 Door SheIl,Front LT Refinish 3.5 RF 2.4 Surface 0.6 Two-stage setup i 0.5 Two-stage I 5 RI 231 Pnl,lnner poor Trim LT R&I Assembly 0.4 SM 6 RI 407 MIdg,Front Door Belt LT R& I Assembly 0.2 SM 7 E 321 N/Plate,Front Door LT 23255004 GM Part $46.73 0.1 SM 8 RI 266 Mirror,0uter R/C LT R&I Assembly 0.4 SM I 9 RI 380 Handle,Front Door Otr LT R&i Assembly 0.2 SM 1 Rear poors ' 10 BR 287 Door SheIl,Rear LT Blend Refinish 1.2 RF 0.8 Blend 0.4 Two-stage 11 RI 307 MIdg,Rear poor Belt LT R& I Assembly 0.2 SM 12 RI 422 Handle,RR Door Outer LT R&I Assembly 0.2 SM Manual Entries 13 N Color Tint Additional Labor 0.5* RF' 14 N Corrosion Protection Additional Labor $8.00* 0.2* SM 15 SB Hazardous Waste Removal Sublet Repair $6.00* SM 16 N PRE HEALTH SCAN Additional Labor $100.00* ME* 17 N POST HEALTH SCAN Additional Labor $100.00� ME" 18 N COVID 19 CLEANUP Additional Labor $25.00* 1.0* SM* 18 Items MC Message 13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE �.�.. .�.......��...�..�.�..�.......,����,.,���.�,_,.�..�._��..�.�,�.�..,,.�... �.�.��.Mw,,,.�..w.�..�_�.�..�....,,,.�.,..,�,��,�.�..�,,,w.���.�...�..,,.,,.w„�....�..�.�w� EstimateTotal&Entries _..��.�.�e�..�_M��__..,.w.___�._�.w__....���_.�_��,�. .....,....,..�.._..� ..��.�.��......�. ,.��....�..�_�.�.�.._.��� OEM Parts $46.73 OZ/01/2021 11:29 AM Page 2 of 4 � � 2017 GMC Terrain SLE1 4 DR Wagon 4 Claim#: 02/01/2021 1120 AM � Other Parts $233.00 I� Paint&Materials 5.2 Hours @ $44.00 $228.80 ;� Parts&Material Total $508.53 I� Tax on Parts&Material @ 7.000% $35.60 1 i Labor Rate Replace Repair Hrs Total Hrs ��� H rs ; �i Sheet Metal(SM) $66.00 2.7 7.2 9.9 $653.40 �� Mech/Elec(ME) $75.00 I� Frame(FR) $74.00 ,� Refinish (RF) $66.00 4.7 0.5 5.2 $343.20 Labor Total 15.1 Hours $996.60 � Tax on Labor @ 7.000% $69.76 ' i Sublet Repairs $6.00 � Tax on Sublet @ 7.000% $0.42 � Gross Total $1,616.91 '; Net Total $1,616.91 �i ,, Alternate Parts Y/00/00/00/00/00 Cumulative 00/00/00/00/00 Zip Code:52002 Default I,,� OEM Part Prices DT 02/01/2021 11:21 AM EstimatelD 785556490231488512 QuotelD**** Recycled Parts NOT APPLICABLE `I' Rate Name Default �� :� i 1 'il I Audatex Estimating 8.0.911 Update 2 ES 02/0112021 71:29 AlVI REL 8.0.911 Update 2 DT 01/01/2021 I'� State-�Jisc!osure:lA ,I� O 2021 Audatex.North America, Inc. � I 1.5 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA. �. i � THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. ! ANY WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE ' MANUFACTURER OR DISTRIBUTOR OF THESE PARTS RATHER THAN THE MANUFACTURER i OF YOUR VEHICLE. � �i Op Codes * = User-Entered Value ^ = Labor Matches System Assigned Rates E = Replace OEM NG= Replace NAGS EC= Replace Economy OE= Replace PXN OE Srpls UE= Replace OE Surplus ET = Partial Replace Labor EP= Replace PXN EU= Replace Recycled TE = Partial Replace Price PM= Replace PXN Reman/Reblt UM= Replace Reman/Rebuilt L = Refinish PC= Replace PXN Reconditioned � UC= Replace Reconditioned TT = Two-Tone SB= Sublet Repair N = Additional Labor BR= Blend Refinish I = Repair � IT = Partial Repair CG= Chipguard RI = R& I Assembly P = Check AA= Appearance Allowance RP= Related Prior Damage i 02/01/2021 11:29 AM Page 3 of 4 � !I 2017 GMC Terrain SLE1 4 DR Wagon �� Claim#: 02/01/2021 11:20 AM � This report contains proprietary information of Audatex and may not be disclosed to any third party � (other than the insured,claimant and others on a need to know basis in order to effectuate the claims a � � process)without Audatex's prior written consent. �� ��� �""� ������'� � �,I '�' O 2021 Audatex North America, Inc. ������;� AUDATEX is a trademark owned by Audatex „�,,, �� North America, Inc.All rights reserved. �i� � � �i� �i iI l � I '�I i II � �Ii ;� 'II; I� �i ili 1 % � � � � � � � � � � �; � i1 C ��i ; � � � � 02/01/2021 11:29 AM Page 4 of 4 � � � Y nrt� 1 u' 1 i n �31 � c i 1 , � F 'li 1 t. � t >i tti� � �•V li � �h � r- ��� ''�'t ��t� I���� �i � �y, �� 1J E�v�i �R�1 � rt � �61p1F��11� 1y� � �l'tl �u 111'��i��i i�i 1 � � � • �j�r �� i I�I},J � x �i 4 � 1 � � � � �', ��11 ti Qt�,,, �i����� \� �1y 115a C i i\�I .. � � � �-.. 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