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RPVCCA_CC_SR_2014_09_02_H_Claim_Against_City_Progressive_InsTO: FROM: DATE: SUBJECT: REVIEWED: CITY OF RANCHO PALOS VERDES HONORABLE MAYOR & CITY co~ MEMBERS CARLA MORREALE, CITY CLER~ SEPTEMBER 2, 2014 CLAIM AGAINST THE CITY BYPROGRESSIVE INSURANCE AS SUBROGEE OF KARYN BARRUS CAROLYNN PETRU, ACTING CITY MANAGE~ RECOMMENDATION Reject the claim and direct staff to notify the claimant. BACKGROUND The claimant alleges that she was driving on Via Carrillo when her vehicle struck an unmarked dip in the road, which caused damage to the undercarriage of her vehicle. The alleged incident occurred on May 22, 2014 at 3:00 p.m. The City's Claims Administrator, Carl Warren and Company, has reviewed the claim and advised the City to reject the claim. The City does not have any liability for the accident, as the incident occurred on Via Carrillo, which is in the jurisdiction of the City of Palos Verdes Estates. Attachment: Claim H-1 ~~~ ~:1~K'S OFFICE CLAIM FOR DAMAGES ~:/4~1 H~~~~~::~::.erdes TO PERSON OR PROPERTY Rancho Palos Verdes, CA 90275 INSTRUCTIONS 1. Claims for death, Injury to person or to personal property must be filed not later than six months after the occurrence. (Gov. Code Sec. 911.2.) 2. Clalms for damages to real property must be filed not later than 1 year after the occurrence. (Gov. Code Sec. 911.2.) 3. Read entire clalm form before flllng. 4. See Page 2 for diagram upon which to locate place of accident. 5. THIS CLAIM FORM MUST BE SIGNED ON PAGE 2 AT BOTTOM. 6. Attach separate sheets, If necessary, to give full details. SIGN EACH SHEET. Business Address of Claimant City and State Give address and telephone number to which you desire notices or COl{lmunlcatlo s to be sent regarding this claim: ,. RESERVE FOR FILING STAMP '- .;lo 1 '-\-Da- CLAIM NO. ~E~D GITY OF RANCHO PALOS Vt..: JUL 2 9 2014 CITY CLERK'S OFFK te of Birth of Claimant Occupation of Claimant Home Telephone Number hen did DAMA ii; or IN Y occur? Names of any city employees Involved In INJURY or DAMAGE Date "?11t\~ Time i,\?"" If claim Is for Equitable Indemnity, gve date claimant served with the complaint: Date Where did DAMAGE or INJURY occur? Describe fully, and locate on diagram on Page 2. Where appropriate, give street names and address and measurements from landmarks: V j 4 tA/t'l'l IA Describe In detail how the DAMAGE or INJURY occurred. Why do you clalm the city Is responsible? Describe In detail each INJURY or DAMAGE. This Claim Must Be Signed on Page 2 H-2 The amount claimed, as of the date of presentation of this claim, Is computed as follows: Damages Incurred to date (exact): Estimated prospective damages as far as known: Damage to property .•......•........... $ Future expenses for medical and hospital care . $. ___ _ Expenses for medical and hospital care ... $ Future loss of earnings •.•.....•.........•.. $ ___ _ Loss of earnings ..•............•...... $ Other prospective speclal damages .......•.. $. ___ _ Speclal damages for •....•.......••.... $ Prospactlve general damages .......•.....•• $ ___ _ Total estimate prospective damages ....... $. ___ _ General damages .........•............ $. ___ _ Total damages Incurred to date ........ $ ___ _ Total amount claimed as of date of presentation of this claim: $ Was damage and/or ln)ury Investigated by pollc~ fJO If so, what city? ______________ _ Were paramedics or ambulance called? ~name city or ambulance-------------- If ln)ured, state date, time, name and address of doctor of your first visit----------------- WITNESSES to DAMAGE or INJURY: List all persons and addresses of persons known to have Information: Name Address Phone _______ _ Name Address Phone. _______ _ Name Address Phone _______ _ DOCTORS and HOSPITALS: Hospital ----------~Address'--____________ D.ate Hospltallzed ______ _ Doctor Address Date of Treatment ------ Doctor Address Date of Treatment ------ READ CAREFULL V For all accident claims place on following diagram names your vehicle when you first saw City vehicle; location of of streets, lncludlng North, East, south, and West; Indicate City vehlcle at time of accident by "A·1" and locatlon of place of accident by "X" and by showing house numbers yourself or your vehicle at the time of the accident by or distances to street corners. If City Vehicle was "B·1" and the point of Impact by "X." NOTE: If diagrams Involved, designate by letter "A" location of City Vehicle below do not flt the situation, attach hereto a proper when you first saw It, and by "B" location of yourself or diagram signed by the claimant. CURBJ Signature of Claimant or person flllng on his behalf glvl g relationship to Claimant: SIDEWALK PARKWAY SIDEWALK Typed Name: L CURB Date: H-3 Description of Loss: Our named insured's 2002 Audi A6 was traveling on Via Carillo when our insured's vehicle struck an unmarked dip in the road, causing damage. We are seeking reimbursement from the City of Rancho Palos Verdes for the damages to our insured's vehicle as a result of this loss. H-4 PROGREJ:rlVE" 7/7/201410:18:00 AM Payment Address 24344 Network Place Chicago, IL 60673-1243 Certified Mail 91 7108 2133 3934 2065 8887 Return Receipt Requested CITY OF RANCHO PALOS VERDES ATTN: CITY CLERK 30940 HAWTHORNE BLVD RANCHO PALOS VERDES, CA 90275 Your Client: CITY OF RANCHO PALOS VERDES Your CIEJim Number: N/A Our Insured: BARRUS, KARYN Our Claim Number:14-1124700 Amount Subject to Reimbursement: 6,899.42 Amount of lnsured's Deductible: 250.00 Document Address P.O. Box 512929 Los Angeles, Ca 90051 Phone: (877)818-0139 Fax: (888) 781-6947 Please take this as formal notice of our subrogation rights relative to the above -captioned claim. We have completed our investigation into the facts of the above-captioned loss and find that your insured was the proximate cause of the accident. Location of Loss: VIA CARILLO in PALAS VERDES ESTATES Date and Time of Loss:05-22-14 @ 3:00 PM Description of Loss: Our named insured's 2002 Audi A6 was traveling on Via Carillo when our insured's vehicle struck an unmarked dip in the road, causing damage. We are seeking reimbursement from the City of Rancho Palos Verdes for the damages to our insured's vehicle as a result of this loss. Please make your draft payable to Progressive Select Insurance Co as subrogee of "BARRUS, KARYN ", in the amount stated above and mail it to the attention of the undersigned at your earliest convenience All supporting documentation is enclosed. I have diaried my file ahead fift (15) ays. T nk u for your anticipated, prompt attention to this matter. Richard Berla Subrogation resentati~ Progressive Select Insurance Co Tel. 877-818-0139 Ext 37571 Fax.888-781-6947 Email: Richard_ W _Berlan@progressive.com H-5 Claim Payment Detail Page 1of1 Claim Payment Detail ( 14 .... 1124700 ) -·Payment lnfonnation ·----------------------------------------------------·------------------------------------------······--·--···----------------··--------·-: Disbursement Number: 482545289 Total Amount: $5,729.42 l EFT Trace Number: Invoice Number: i Paid To: KARYN BARRUS, ONLY"'*""*****•••••••••** .. "**************"' i Malllng Address: I RANCHO PALOS VE, CA 90275 USA ! In Payment Of: TOTAL LOSS· 02 AUDI A6 ·OWNER RETAINS ! ................................................................................................................................................................................................................................................................................................................... -...................................................................................................................................... J [-v~:~ Information -·· -·-----------------·-··-·-··--;;;;.-;.:;;;;.;~------··-·--·----------1 .................................................................................................................................................................................................................................................................................................................................................................................................................................................. J -· Revl9'W8d Summary ---------·----------·----·-···------···-···--------···-----·-----·-··---·-------------····-----------------··-·------·--------·-·-·-·-··--···-····-i Issuing Rep: A090282 Approved By: CSH0009 J Issue Date: 06-16-14 Review Date: i Last Updated Rep: A080587 Reviewed By: \ ......................................................................................................................................................................................................................................................................................................................................................................................... ..s ·-·Bank lnfonnation --C---···-···--------··········-·-··--------···--·--·-····-·····-··-····--·--··--··-----··--···-··--··--····-···-··------·----------··----···---·-··---··-··-····----·····-·······--; Type: Loss Bank Code: I .. Stop Reason: Cleared: l ~ i ----.~~~~-~~~~~·--··--···-··-·---···-··---··--···-·-···-········-------------·-·········--··-····--··-····--··--·--···-···-··--····-··--···-··------··--·--····-··-··----··-····-··--··---··-····-····-·········--··__! --· Exposure Detal I: CO LL ···--------···-··-----···-··-···----···-·-----···----··-·-----------··--------------------·----------···--·-·-··--····--···------------···-··------1 Party Name: BARRUS, KARYN Amount Paid: $5, 729.42 J Property Description: 02 AUDI A6 3.0 4D Deductible Taken: $250.00 i Payment Type: SUPPLEMENTAL PAYMENT Properly Damage: $0.00 l Rental: $0.00 j http://claimspayments/Alpha/ClaimsPaymentsWeb/default.aspx?p ... 7/7/2014 H-6 Claim Payment Detail Page 1of1 Claim Payment Detail ( 14-1124700) -·Payment lnfonnation ·-------------------------------------------------------------------------------------------------------------------------------------: I Disbursement Number: 482547712 Total Amount: $920.00 ! EFT Trace Number; Invoice Number; ! ~~ ! Malllng Address: ! ! I In Payment Of: RENT AL REIMBURSEMENT -23 DAYS @$40/DAY I '----------------------------------------------------------------------------------------------------------------------------------------------------------------------J rv=~1-..a11on------------;;;-;:;:;,----------------1 '-------------------------------------------------------------------------------------------------------------------------------------------------------------------J -· Reviewed Sum mary------------------------------------------~------------------------------------------------------------------------------------------1 Issuing Rep: A080587 Approved By: I Issue Date: 06-19-14 Review Date: ! Last Updated Rep: A080587 Reviewed By: ! ........................................ ___ ... _______ .. __ ., ___ ................................................................................................................................................... -.. --------........................................................................................................... .J r==-----~-------------=~~---------: L---~~~-~~~~-------------------------------------------------------------------------------------------------------------------------------------------------.J ..... Exposure Detail: RENTAL ................................................................................................................................................................................................................................................................. 1 Party Name: BARRUS, KARYN Amount Paid: $920.00 ! Property Description: 02 AUDI A6 3.0 4D Deductible Taken: $0.00 I Payment Type: FINAL PAYMENT Properly Damage: $0.00 ! Rental: $920.00 ! -----------------...... -............... _______ .., _______ ................................................................................................ _________ ... __ .,,_,.. ............ _ ... ___ ... __ ... _ ... _, ____ ... __ ... ___ ... _____ ,.._.., ........................................................ _ ..................................................................... J http://claimspayments/ Alpha/ClaimsPayments W eb/default.aspx?p... 7 /7/2014 H-7 Powe11nfo.rmation l\tmwork ~. Claim Information Claim Number: 14·1124 700-01 Policy Number: O)Nller: KARYN BARRUS Vehicle Information 41'mitchell Vehicle Valuation Report Prepared for: Progressive Group Of Insurance Companies (800) 321 -9843 Version#: 1 Coverage Type of Loss: COWSION Loss Date: 05/2212014 Reponed Date: 05/24/2014 Valuation Repon Date: 06103/201410:48:18 Valuation Repon ID: 1004411434 Loss Vehicle: 2002 AUDI A6 3 40 SDN 3.0L 6 Cyl Gae A2WD Location: CA 90275 Exterior Color: VIN::······ Mileage: 101,996mllee TI11e History: No Valuation Summary Title History Comments: License Plate: Baee Value: $6,103.30 LOBS Vehicle Adjustments Condition AdjuS1ment: $0.00 Prior Damage Adjustment: $0.00 After Market Parts Adjustment: $0.00 Refurbishment Adjustment: $0.00 THle History Adjustment: $0.00 Markel Value: $6,103.30 Settlement Adlustmenta Dedu Clible: -$250.00 Settlement Value: $5,853.30 Claim#: 14-1124700-01 I Copyright (c) 2011 -Mitchell International. All Rights Reserved. I Page 1 H-8 Loss vehicle: 2002 AUDI A6 3 40 SON 3.0L 6 Cyl Gas A 2WD Standard Equipment Exterior 5 MPH Body Color Front and Rear Bumpers Diversity 4-Channel Radio Antenna In Rear Window :~~*11-it!tl:H!Hf'. ·.1.; ·~1.~~i~AAitill.i.l~;i:lJJJ. ::: .... ~~~~~~~!.: :::;·~·t: :~~f~l~~l*~i!f!f!~!~!i. '.' Dual Front Sunvisors 5-Spoke Cast Aluminum Alloy Wheels, 16-ln. X 7-ln. Front Passenger Power Seat Adjusts 12 Ways Total Including Recline. Seat Genuine Wood Inlays In Instrument Panel, Center Console and Door Height and Lumbar Panels H~m!~~Wfitt-i#~~~Hl1l1l1i 1!1!'!1l 1l 1l1 /'/1l1!1 !1l+!1l1i1l 1l+l1!1}!1l1 l 1l 1!1 l 1!1!1 !+!;!+!;f.l+l1 !1 l 1l##~+~~H#Bl##!#1+!~/#~+~~#!~B/#f#tl,!1 Pollen and Charcoal Air Filter :~¢liij~~ ~:~·.'. iffli!~~~~ Rear Seat Pass Through Power Windows With Pinch Protection For All 4 Windows Which Reverse Window At A Force Grealer Than 100 N, One-Touch Down and One-Touch Up For All Windows .1.•·idl'd:i~~i~,~~~1&W .. i:Hb~1i·~~u,1,i*i~~·~M,j~,~~i~1tiMWvi1W . ii?hj?!*~l*rl;i;iii+lii*l*i;Hii:JiJ:iiirliJiijiiiif~i;i:/:iiiii;iiliiii*H*~ffl~~?fi~i~~i~i+r~r~~~;~j: :·' Subwoofer Located In Trunk Manually Adjustable Tilt Steering Column Power Servotronic{R) Vehicle Speed Sensitive Rack and Pinion Steering Claim#: 14-1124700-01 I Copyrlghl (c) 2011 -Ml1chell ln1ema11onal. All Rlghls Reserved. I Page 2 H-9 Front and Rear Side lmpad Beams Front Passenger Next Generation Airbag Vehicle Anti-Lockout Device Which Allows Driver Door Only To. Be Locked Using Key or Remote Packages Premium Paekage Front Driver Next Generation Airbag Immobilizer Ill Transponder System ~F.'-rim~~ml~e'~~lii.1~m~[~~~1~~~1:1:m:1:1:~~i~!~~ili~~:~~~m~:oc~~~~mrm1~~1mmmmm1m1m Xenon High Intensity Discharge Headlights Include Automatic Beam Angle Control Optional Equipme!"t •010/PIO= Dealer/Port Installed Option Loss vehicle: 2002 AUDI AG 3 40 SON 3.0L 6 Cyl Gas A 2WD Comparable Vehicle Information Search Radius used 1or this valuation: Typical Mileage 1or this vehicle: Mitchell lilf<t~!k~d::U;.1" Total Loss 75 mllee from lose vehicle zip/postal code. 121,000 mllee Claim#: 14-1124700-01 I Copyright (c) 2011 -Mitchell International. All Rights Reserved. I Page 3 H-10 6 2002 AUDI M AVANT QUATTRO 40 WGN 6 3NORMAL GAS AAWD Base Value: $6,103.30 Loss vehicle: ' 2002 AUDI A& 3 4D SDN 3.0L 6 Cyl Gaa A 2WD Condition Adjustments Condition Adjustment: so.oo Category CARPET SEATS HEADLINER i1!1!1!1W1~®~~~~1pW,e;4~ liillllil!ll!lllll!l!!llllll!lllll!lll!ii!!i Exterior BODY Overall Condition: 3.00·Good Typlcal Vehicle Condition: 3.00 Condition Comments 3Good Significant amount of soiling 3Good Leather seats have permanent creases. 3Good Multiple dime to quarter size dings. lti'lt1'11lfi1NB~miTifl~ff ~tttt1'\'\'11l:\'\1 l '\'i'lti1l1l'ltl1i1Mttttm:ltl'l'l'\'\1l'l1i1(\tl1ltl:\1l1l'l'ltl'i1l'\'\'l'\'ill'i1ltl1l'\1l1l1l1Hil1l1l1l1lit\:M1ltlti'\'l'l1'\'l'\11'\tl'1tltl1ltli'\1l1l'l'\'\'l1 \ 1lt\'ltl1tltl'\'itl' TRIM 3 Good 3 or less minor trim missing ENGINE 3Good Engine Compartment dirty Tire 3Good 50 to 77 percent tread remaining Typical condHion reflects a vehicle that is in ready-for-sale condHion and reflects normal wear and tear forthat vehicle type I age. Cornnents: Claim#: 14-1124700-01-1 Copyrlgh1 (c) 2011 · Mi1chell ln1ema1lonal. All Rlgh1s Reserved. I Page 4 H-11 Loss vehicle: 2002 AUDI A6 3 40 SON 3.0L 6 Cyl Gas A 2WD Comparable Vehicles 1 2002 AUDI A& 3 40 SON 6 3 NORMAL GAS A2WD VIN:····· Stock No: 1853 Listing Date: 03/1512014 ZIP/Postal Code: 90046 Distance from 24 miles Loss Vehicle: Source: DEALER WEB LISTING· AUTOTRADER.COM J T CAR CONNECTION 1201 N FAIRFAX AVE WEST HOLLYWOOD CA 90046 323-SSD-4223 Co8'J&1'8bla Vehicle Option Details: Adjustments Mileage Premium Package Organiaally Tanned Leather Seat Upholstery List Price: $4,996.00 Loss Vehicle ThlsVehlde Amount 101,996 125,681 $499.25 Yes No $169.32 No Yes -$218.71 Total Adjustments: $344.04 Ac:ljusted Price: $5,339.04 Power Sunroof WHh Sunshade, Bose( R) Premium Sound System, Organically Tanned Leather Seat Upholstery 2 2002 AUDI AB 3 40 SDN 6 3 NORMAL GAS A2WD VIN: Stock No: Listing Date: 06/02/2014 ZIP/Postal Code: 91335 Distance from 32 miles Loss Vehicle: Source: DEALER WEB LISTING • VAST.COM AUTO MARKET 6955 RESEDA BLVD RESEDA CA 91335 818-345-0953 Co8'Jarable Vehlcle Option Details: Power Sunroof WHh Sunshade List Price: $8,590.00 Adjustments Loss Vehicle This Vehicle Amount .UJ .. .ij.!.UJ.iJJ.!.iJ.U.U.l.l.J.lJJ.l.iJ.l.l.J.J.i.l.iJJ.i.i.UJ.lJ.1.l.i.i.JJ.JJ.d.JJJJ.i.U.I.U.l.J.U.!.iJJU.J.J.l.l.J.lJ.!.l.JJ.UJ.Li.J.L:.J.UJ.l. Mileage 101,996 59,153 -$1,206.72 Premium Package Yes No $291.18 Total Adjustments. -$915.54 Adjusted Price: $7,674.46 Claim#: 14-1124700-01 I Copyright (c) 2011 -Mitchell International. All Rights Reserved. I Page 5 H-12 3 2002 AUDI A6 QUA TIRO 40 SON 6 3 NORMAL GAS AAWD List Price: $5,999.00 VIN: Stock No: 070868 listing Date: 05/0312014 ZIP/Postal Code: 90840 Distance from 23 miles Loss Vehicle: Source: DEALER WEB \.ISTING • CARS.COM LA AUTO EXCHANGE 7433 TELEGRAPH RD MONTEBELLO CA 90640 323-895-3210 Adjustments Vehicle Configuration Adjustment Equipment Loss Vehicle This Vehicle Amount -$214.16 ~}t:t~~~~t~~~1~~~1~~}t~i~~~;}~)t~;);~~~;~1~t1;~1~t~~~~1~;~1J1~~~i~~*t~~~1~;~~*t~~~t1t~~1'.i1~}~~:~1)~~1~1~r1~H1~}{#~~~ Power Sunroof Wilh Sunshade Yes No $163.42 Total Adjustments: $297.80 Adjusted Price: $6,298.80 4 2002 AUDI A& QUATTRO 40 SON 6 2.7 TURBO GAS AAWD List Price: $5,500.00 VIN: Stqck No: 031112 Listing Date: 03131/2014 ZIP/Post.al Code: 90605 Distance from 24 miles Loss Vehicle: Source: DEALER WEB LISTING • AUTOTRADER.COM RPMCARZ 105&0 CARMENITA RD WHITTIER CA 90605 714-422-5858 Co111>arable Vehicle Option Delalla: Organically Tanned Leather Seat Upholstery Mitchell lilfmikiD~1re1" Total Loss Adjustments Loss Vehicle ThisVehide Amount ! l ! l ! ! i J J ! J l ! ! ! ! l I ! l \ l l ! ! ! J i I ! l i J ; l J ! ! J J l ! J J ! ! J l I ! ! J ! ! l J J ! l l ! l l i ! ! I l ! l \ ! l \ ! ! ! ! ! ! ! l ! ! ! ! ~ ! ! i ! ! ! ! l l ! ! ! Vehicle Configuration Adjustment Equipment -$612.75 ~1l¥~~~1~~mt~~t~Ji~¥J~r¥}~'.:~iJ~r~r(~~~~n~1J~~Jl1~~~1l~!il~~r¥l1];};~~1i1i~:}il~l~~li~~J~}1}i:f~}t}~J~}1~J~;~J;~;~Ji~~~~~ Power Sunroof With Sunshade Yes No $136.06 Total Adjustments: -$154.83 Adjusted Price: $5,345.17 Claim#: 14-1124700-01 I Copyright (c) 2011 -Mitchell International. All Rlgh1s Reserved. I Page 6 H-13 5 2002 AUDI A6 QUA TIRO 40 SON 8 4.2 NORMAL GAS AAWD VIN: Stock No: Listing Date: 0610212014 ZIP/Postal Code: 92805 Distance li"om 26 miles Loss Vehicle: Souroe: DEALER WEB LISTING • VAST.COM ACE MOTORS 601 S ANAHEIM BLVD ANAHEIM CA 92805 714-835-7300 Adjustments Loss Vehicle 6 2002 AUDI A6 AVANT QUATTRO 40 WGN 6 3 NORMAL GAS AAWD VIN: Stock No: 093873 Listing Date: 0413012014 ZIP/Postal Code: 91607 Distance li"om 28 miles Loss Vehicle: Source: DEALER WEB LISTING • CARS.COM RAY'S AUTO SALES 12868 MAGNOLIA BLVD LOS ANGELES CA 91607 818-974-6226 Comparable Vehicle Package Details: Premium Package Comparable Vehlcle Option 081811&: Adjustments Loss Vehicle Mileage 101,996 Premium Package Yes Organically Tanned Leather No Seat Upholstery Power Sunroot WHh Sunshade, (010) Lugg age Basket Attachmenl, Organically Tanned Lealher Seat Upholstery Sub-Model Description Configuration List Price: $6,995.00 This Vehicle Amount Total Adjustments: -$1,321.31 Adjusted Price: $5,673.69 List Price: S7,995.00 This Vehicle Amount 68,000 -$860.47 Yes $4.92 Yes -$329.49 Total Adjustments: -$1, 704.35 Adjusted Price: $6,290.65 Original MSRP ~:~~t;~:~:1:1:ww::*1:::11 :*1*11 1:1:1:wM11:::::1:1 1wwwM:1:;:1:1111 1::+1:w1:1:::1:1:::1:1:: ~~~~~!~),~~~1 ~~~~1!*Yffl!:::1::11*:1111 1:1 1 1w1:w:1 1 1 1:::1::::+11 ::111 1 :11111 ;:;::::111 11 1*1111 1 1 111:111::111 11~m~~~ 2002AUDIA6 QUATTRO 40 SON 63 NORMAL GASAAVllD $37,150.00 2002 AUDI A6 QUATTRO 40 SON 8 4.2 NORMAL GAS AAVllD $49,650.00 ~~~:~~~~~M~~R~~m~~:,:::'.''.'\'.'1 !t+\·!M·W!!\:;:::::;::;'!'W\::0:\::1~~~'~ff:!~1~;~i'i~'!+H:!::\:J,H'.0\;!·;::+!\0 !'.''+H+!d;:''.'\'l'!!0! '!+!'\'!'!'\'!~~~~ Mitchell Wm!k~.,~~001"' Total Loss Claim#: 14-1124700-01 I Copyrlgh1 (c) 2011 -Mi1chell ln1ema11onal. All Rlgh1s Reserved. I Page 7 H-14 Vehicle Valuation Methodology Explanation WorkCenter Total Loss was built through a joint partnership between J .D. Power and Associates vehicle valuation division Power lntormation Network (P.l.N.) and Mitchell International, a leading provider of claims processing solutions to private passenger insurers. WorkCenter Total Loss produces accurate and easy-to-understand vehicle valuations via this tive step process: Step 1 • Locate Comparable Vehtclaa Locate vehicles similar to the loss vehicle in the same market area. WorkCenter Total Loss finds these vehicles in AutoTrader.com, Cars.com, Vastcom and directly from dealerships. Slap 2 • Adluat Comparable Vehlclea Make adjustments to the prices ol the comparable vehicles. The comparable vehicles are identical to 111e loss vehicle except where adjustments are Itemized. There are several types ol comparable vehicle adjustments • Vehicle Configuration Adjustment· an adjustment for differences in configuration belWeen the comparable vehicle and the loss vehicle (e.g differences in trim). • Mileage Adjustment -an adjustment tor differences in mileage between the comparable vehicle and lhe loss vehicle. • Equipment· adjustments for differences in equipment between the comparable vehicle (e.g. equipment packages and options) and the lo~ vehicle. Slap 3 • calculate Baae Vehicle Value The base vehicle value is calculated by averaging Iha adjusted prices 01 the comparable vehicles . .step 4 • C&lculllle Lon Vehicle Adjuatmants There are tour types of loss vehicle adjustmems: • Condition Adjustment: Adjustments to account for Iha condition of the loss vehicle prior to the loss. • Prior Damage Adjustment: Adjustments to account tor any prior damage present on the loss vehicle prior to the loss. • After Market Part Adjustment: Adjustments to account tor any after market parts present on the loss vehicle prior to the loss. • Refurbishment Adjustment: Adjustments to account tor any refurbl shment pertorm ad on the loss vehlcle prior to 1he loss. Step 5 • calculate the Market Value The Market Value is calculated by applying the loss vehicle adjustments to the base value. Mitch!lll Wm!ki!.i>a:uw· Total Loss Claim#: 14-1124700-01 I Copyrlgh1 (c) 2011 • Mi1cheli fn1ema11onal. Ali Rights Reserved. I Page 6 H-15 Total Loss Settlement Report Date: 7/712014 Owner: KARYN BARRUS Vehicle: 02 AUDI AS 3.0 40 VIN: Page 1of4 PROGREIIIVE'~ Progressive Select Insurance Co 4141 RUFFIN ROAD SUITE 150 SAN DIEGO, CA 92123 (760) 710-3149 Prepared by· JACQUELINE . RUMBLES Claim Number: 141124700 Date of Loss: 05/2212014 Adjuster License: Important information regarding your settlement offer and explanation of Actual Cash Value (ACY) We would like to inform you that we have made a determination regarding the total loss of your vehicle. Our settlement is based upon evaluation of your vehicle's actual cash value. If a lien holder is involved, the payment to you may change based upon the exact payoff amount of your loan. In order to determine your vehicle's actual cash value, we have performed a detailed evaluation of the vehicle's condition and probable value immediately prior to the loss. We will demonstrate how we arrived at this amount so you may be confident that our value is fair and reasonable in the current local market. We will include applicable taxes and fees when required by law. Our settlement, less any applicable deductible amount, is contingent upon our receipt of a "clean" title with no liens attached. In most cases, we will also collect and arrange for the disposition of your damaged vehicle. We will need the actual title for the vehicle in order to complete this process. You may retain the vehicle salvage in some instances. Please note we make the appropriate deduction for the salvage amount when presenting our settlement offer to you. Additional titling requirements may also need to be completed. If you disagree with our valuation of your vehicle's actual cash value, we will consider your opinion and may revise our determination if credible information is presented to us. If you are insured with us and the amount of the vehicle's actual cash value remains in dispute, either party may request to proceed under the http://tlaweb/alphaffLA Web/default.aspx?page=PrintViewMenu... 7 /7/2014 H-16 Page2 of4 Appraisal section of your insurance policy contract. Please refer to your policy contract for more detailed information on the Appraisal process. ". -To· determine the Actual Cash Value (ACV) of your vehicle, we will: • Determine the baseline value • Make adjustments to account for any excessive wear and tear and/or prior damage The local market value does not take into consideration your particular vehicle's condition, unrepaired prior damage or excess wear and tear. We will itemize and estimate the cost of repairs and work that would make your vehicle comparable to the market value determined. We may add or subtract for generalized "dealer prep" or reconditioning charges if the vehicle requires adjustment. We may ask you to provide information about the vehicle that is not readily apparent by inspecting it, such as general maintenance and repair history, title history and title status (such as clean or rebuilt salvage). • Include the value of extraordinary refurbishments or repairs Vehicles in exceptionally clean condition may appraise higher than retail value. We also consider the cost and value of recent refurbishments. In general, though, refurbishment or recent replacement of maintenance type items does not increase the value of the vehicle, because those items are assumed in the value; they are expected to be in place and in good condition when a vehicle is sold. 1 Baseline Value $6, 103.30 http://tlaweb/alpha!fLA Web/default.aspx?page=PrintViewMenu... 7/7 /2014 H-17 Page 3 of4 2 Preexisting Damage $0.00 $0.00 x 0.00 % 3 Condition Adjustment $0.00 4 Refurbishment(s) $0.00 5 Custom Parts & Equipment $0.00 6 Actual Cash Value $6,103.30 7 Fees ,. $19.00 8 Taxes --·.· sales tax $6, 103.30X 9.00 % =$549.30 Owner retained taxes $492.12 9 Salvage Value (owner retained) ($635.00) 10 Net Settlement $5,979.42 11 Deductible ($250.00) 12 Total Settlement $5,729.42 http://tlaweb/alpha!TLA Web/default.aspx?page=PrintViewMenu... 7/712014 H-18 Page 4of4 Lien Holder Account Balance {Amount You Owe) $0.00 Net to Owner $5, 729.42 http://tlaweb/alpha/TLA Web/default.aspx?page=PrintViewMenu... 71712014 H-19 Date: 61312014 02:40 PM EsUmale ID: 14-1124700-01 EBdmale Voralon: o Commlttlll Pralle ID: • TORR ALL PARTS .,. .......... ._ ...... *************************** DAMAGE APPRAISAL ************************* Damage A8aessecl by: w. RODGERS 310-650-4457 Claim rep Alyola Mclaren (440) 446-3763 Produot Type Auto Dale d LOBB: !lr.!212014 'DedUOdble: 250.00 •Claim Number: 14-1124700-01 owner KARYN BARRUS Addr91!~: Desortptloo: MllDhellServloe: 916214 Body Style: VIN: 2002AudlA6 4DSed Drive Train: 3.0L In) 6 Cyl A FWD LlomBe: ••i11119 Miieage: OEM/ALT: 101,996 A Searoh Code: ---· Color: BLACK Opdons: PASSENGER AIRBAG, DRIVER AIRBAG, POWER DRIVER SEAT, POW ER LOCK, POWER WINDOW REAR WINDOW DEFOGGER, CRUISE CONTROL, TILT STEERING COLUMN, POWER PASSENGER SEAT TELESCOPIC STEERING COLUMN, ANTI-LOCK BRAKE SYS., TRACTION CONTROL, FOG LIGHTS ALUM/ALLOY WHEELS, LEATHER STEERING WHEEL, FRONT AIR DAM, TINTED GLASS TRIP COMPUTER, SUBWOOFER, SIDE AIRBAGS, ANTI-THEFT SYSTEM SIDE HEAD CURTAIN AIRBAGS, AM/FM STEREO CASSETTE/CD CHANGER ELECTRONIC STABILITY CONTROL, FRONT BUCKET SEATS FRONT SEATS WITH POWER LUMBAR SUPPORT, KEYLESS ENTRY SYSTEM, POWER DISC BRAKES POWER HEATED EXTERIOR MIRRORS, POWER LIFTGATE\TRUNK REAR WINDOW DIVERSITY ANTENNA Une Enliy Laba Item Number Type _o_,_peran __ on ____ _ 600011 BOY 2 900500 BOY' 3 4 5 600012 BOY 6 604949 BOY 7 REF 8 605207 MCH 9 605208 MCH 10 605228 BOY 11 936012 12 900500 MCH' 13 14 900500 MCH • 15 900500 MCH • 16 REF 17 REMOVE/INSTALL REMOVE/REPLACE OVERHAUL REMOVE/REPLACE REFINISH REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE AD01-COST REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD1-0PR ADD1-COST Une Item Desorlpdon Fri Bumper ABBY frant eumpar MAUUAb EffTmES Engine 310-549-3340 nuway auto ref r31 Une Markup %25.00 Front Bumper Frt Bumper Cover ABsy Frt Bumper Ca.ter Frt Bumper Cover Eng Ina/Traps Lwr Engine 011 Pan -M Engine Sensor -M Enalnerrrans Mounts Frt Eng Supt Stopper Base HAZARDOUS WASTE DISPOSAL ENGINE OIL AND FILTER 5W.30 MANUAL TRANSMISSION OIL (QUART) MOTOR OIL (QUART) ADDITIONAL OPERATIONS Clear Coat Additional Costs & Materials Paint/Materials ESTIMATE RECALL NUMBER: 061031201414:40:33 14-1124700-01 Mltohell Data Version: OEM: APR_14_V MAPP:APR_ 14_ V Copyright (C) 1994 -2014 Mitohell lntemallonal SoltwareVerslm: 7.1.164 All Rights Reserved PartType/ Part Number New Re11anufaotured 06C103604C 1J0907660B 8EO 199339 Sublet ••Non-OEM "Non-OEM Dollar Amount Labor Units INC# 1,600.00 • 13.3' 400.00 2.9 # 554.00 INC# c 1.9 258_00 1.3 # 105_10 o_s 45.98 • 0.6 # 4.00. 71.70' INC' 15.00 ' INC' 4.50' INC' 0.8 89.10. Page 1 rt 4 H-20 Date: 61 312014 02:40 PM EsllmaelD: 14-1124700-01 Eadmae Voralon: o Coolmllloo PrOflle ID: • TORR ALL PARTS • -Judgment Item # -Labor Note Applies ••Non-OEM -Non-Original Equipment Manufacturer Replacement Part C -Included in Clear Coat Cale KEYSTONE AUTOMOTIVE 136420RDEN DR. SANTA FE SPRINGS CA 90670 (310) 329-3624 (800) 243-4340 6 •• AU 1000125R !154.00 "All,manufacturers requirements regarding seat belt and supplemental restraint system replacement must be adhered to. If additional parts or operations are necessary to properly accomplish this, please contact the estimating claims rep" hllll• Tlllll Add'I Labor Sublel I. Labar SubtOlals Units Rate Amount Amount Totals II. Part·Replaoement Summary Body 16.8 44.00 0.00 0.00 739.20 Taxable Parts Refinish 2.7 44.00 0.00 0.00 118.80 Parts Adluatmmts Meohanlcal 2.1 125.00 0.00 0.00 262.50 Sales Tax Noo-Taxable Labor 1,120.50 TOlal Replacement Pats Amount Labor Summa-y 21.6 1,120.50 Ill. AddlUooal Costs Amount IV. Adjustments Taxable Costs 89.10 lnsuranoe Deductible Sales Tax @ 9.000% 8.02 Customer Respooslblllty Nm-Taxable Costs 4.00 TOOll Addllonal Costs 101.12 Paint Mall'lal Melhal: Rates lnll Rate = 33.00 I. Total Labor: II. Total Repla:iemmt Parts: Ill. Total AdcllUonal Costs: Gross TOOll: IV. Total Adjustments: Net Total: '.l!H:IS ESTIMl\.'l'B HAS BEEN PREPARED BASED ON THE USE OP' CRASH PAR'.l!S SOPPL:IED BY A SOORCE OTHER '.1!11'.AN THE MANOP'.AC'l'URER OJ!' YO'OR Y:>TOR VllH:ICLE • ANY WARRANT:IES .APPL:ICABLE 'l'O THESE REPLACEMENT PARTS ARE PROVlDED BY THE MANUFACTURER OR D:ISTR:IBO"l'OR OF THE PARTS, RATHER THAN BY THE OR:IG:INAL MANUFACTURER OP' YOO'R VEH:ICLE. ESTIMATE RECALL NUMBER: 061031201414:40:33 14-1124700-01 Mllohell Data Verslm: OEM: APR_14_V @ 9.000% Amount 2,654.28 400.00 274.89 3,329.17 Amount 2!50.00- 250.00- 1,120.50 3,329.17 101.12 4,550.79 250.00- 4,300.79 MAPP:APR_14_V Copyright (C) 1994 -2014 Mltohell lntemational Software Verslm: 7.1.164 All Rights Reserved Page2d4 H-21 Date: 61312014 02:40 PM Esttmae ID: 14-1124700-01 Esdmae Versloo: o Commltta:I Profile ID: • TORR ALL PARTS Alternate Looatloo PROGRESSIVE lnspectloo Site: VALERO Address: 28103 Hawthorne Blvd GRAN VIA AL TAM IRA Rancho Palos Vetdes, CA 90275 (310) 541-8203 Shop agrees to perform the specified repairs at the price indicated. Repair Facility Authorized Signature THIS APPRAISAL HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS SUPPL~ED 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. WE WARRANT THE PARTS ARE AT LEAST EQUAL TO THE ORIGINAL MANUFACTURER PARTS IN TERMS OF KIND, QUALITY, SAFETY, FIT, AND PERFORMANCE. ************* IMPORTANT INFORMATION: READ CAREFULLY ************* The customer has the right to select the repair shop. Pursuant to CA Code of Regulations sec 2695.B(e) Progressive does not require you to have your vehicle repaired at a specific repair shop. The customer has the right to select a repair shop of their choice. This is a damage appraisal only based on damage visible or certain at the time it was written. Per Business & Professions Code section 9884.9 the customer, not Progressive, must give authorization for the repairs before they can begin. This appraisal is not an authorization for repairs. If frame or unibody repair is included on this appraisal, the amount shown includes time or allowance for measuring before, during and after those repairs. To ensure proper and prompt payment for additional damage discovered during the course of repairs, contact Progressive for supplement procedures. Progressive honors the prevailing labor market rate in your area for your property. If you choose a shop that charges in excess of prevailing labor market rates, you will be responsible for the difference. Lifetime guarantee for sheetmetal and plastic parts. The replacement parts written on this appraisal are intended to return your vehicle to its pre-loss condition with proper installation. After repair, if any sheet metal or plastic body part included in this appraisal fails to return your vehicle to its pre-loss condition (assuming proper installation), in terms of form, fit, finish, durability or functionality, Progressive will arrange and pay for the replacement of the part, to the extent not covered by a manufacturer's or other warranty. Thia service will be performed at no cost to you (including associated repair and rental car costs). To obtain service under this Guarantee, call Progressive at 1-800-274-4641. This Guarantee applies as long as you own or lease the vehicle. This Guarantee is not transferable and terminates if you sell or otherwise transfer your vehicle. THIS GUARANTEE DOES NOT COVER NORMAL WEAR AND TEAR OR DAMAGE CAUSED BY IMPROPER MAINTENANCE, NEGLECT, ABUSE OR SUBSEQUENT ACCIDENT. THIS GUARANTEE IS LIMITED TO ARRANGING FOR THE SELECTION OF REPAIR PARTS THAT WILL RETURN YOUR VEHICLE TO ITS PRE-LOSS CONDITION. ACCORDINGLY, PROGRESSIVE WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL OR ESTIMATE RECALL NUMBER: 061031201414:40:33 14-1124700-01 Mitchell Data Versloo: OEM: APR_14_V MAPP:APR_14_V Copyright (C) 1994 -2014 Mltchell lntemadooal Software Verslm: 7.1.164 All Rights Reserved Page3d4 H-22 Date: 6/ 31'2014 02:40 PM EsUmite ID: 14-1124 700-01 EsUm:te Version: o CommlUEll Proflle ID: • TORR ALL PARTS CONSEQUENTIAL DAMAGES THAT RESULT FROM THE INSTALLATION OR USE OF THESE PARTS. Type Terms and Abbreviations NEW and OEM or part number displayed -These refer to a new, original equipment manufacturer part. NON-OEM and A/M and Qual REPL -These refer to an after-market part, which is a new, non-original equipment manufacturer part. USED/RECYCLED and LKQ -These refer to a used OEM part. REMANUFACTURED and RECOND. and RECORE -These refer to used/recycled OEM parts that have been refurbished. Progressive's Lifetime Guarantee does not cover repairs you request the shop to make that are not related to this accident, including but not exclusive to unrelated prior damage and pre-existing damage. "For your protection California law requires the following to appear on t9is 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." Event log Fiie Created: Estimate Started: Estimate Prlnled: Esdmate Committed: Estimate Uploaded: 06/03/2014 09:01 :08 AM 06/03/2014 10:59:02 AM EsHm:te not printed 06/03/2014 02:40:33 PM 06/03/2014 02:40:43 PM ESTIMATE RECALL NUMBER: 06/0:i/201414:40:33 14-1124700-01 Mltohell Data Verslm: OEM: APR_14_V MAPP:APR_ 14_ V Copyright (C) 1994 -2014 Mitchell International SoltWare Verslm: 7.1.164 All Rights Reserved Page 4 of 4 H-23 ('\ (&h) &f -PASSPORT&b&D, &T __ , PA CM AN CMSD3011 /CMSM3011 OPID: A090282 SALVAGE INFORMATION REVISE INSD: BARRUS, KARYN July 07, 2014, 10:16:05 JUL 07 14 -10:16 TERMID: ?OB2 POL#: DOL : MAY 22 14 CA-SANDTL-GRP-CLM: 141124700 ACTIVE REP : J RUMBLES PROP: 02, AUDI, A6 3.0 4D VIN: PROP OWNER: BARRUS, KARYN SALVAGE STAT* C VEHICLE TYPE* 01 AUTOMOBILE SALVAGE METHOD* H OWNER RETAIN POOL STOCK NUMBER: @ SALVAGE VENDOR* AOOO NO VENDOR INITIAL STORAGE BEGAN: MAY 22 14 INITIAL STORAGE ENDED: MAY 22 14 DATE TITLE ORDERED: JUN 23 14 TITLE RECD/TYPE* A REBUILDABLE OR GENERAL TI PRE TAX ACV: 6,103.30 TAX,TAG,TITLE: TOTAL VALUE AMOUNT: 6,103.30 DATE SOLD: JUN 16 14 SALE PRICE 635. 00 SALVAGE END BUYER: TEXT: L/COV DESC L/COV COLL ·· · -2103 TOTAL FEES 0.00 NET RECOVERY 635.00 DC913255 NOTE: PROPERTY/VEHICLE SELECTED HAS MULTIPLE FEATURES COMMAND: SALREV F4=RECADD F5=SALFEA FlO=SALREC F13=SALFEE H-24 (""' \ . . 08/28/2014 11:181\N FAX 7B02Sfr6136 Renter Information RAntwrN11m9 KARYN L BARRUS 111•·!""" n o w 2.cA 111>275 us Vehicle Information ORCfflmOKEI! Lioelteel:C ~~ProVli'ICfl:S: __ Vehlcle Class Drlvan STANDARD SIZE SPORT/UTILITY ---Vehtcfe ci... c~ !tJ!§!!'~Al,'E ~~DOOR AUTOMATIC NC Odometer Mll~elKUom.cer.; Starting: 10067 .0 Ending: 11436.0 Tatel: 1369.0 . Thank you for renting with National Car Rental. Wa appJIKilw your buslnasc. P!Qaar;i do not reply directly 101hl$ email. If you have a 11uaation or comment reaardlnG your rental agreeman1 plsasa sand ltto cuGtamerservice@natlonalcar.com PROGRESSIVE ~0002/0002 Rental Agraerrient # 826722237 Invoice I 80026204241 Trip Information Return Pickup f:.I Sat,May 24 2014 © 4:44 PM LOS ANGELES INTL + AftPT(l.AX> f:I sun,Jun 152014 01:41 PM I.OS ANGELES INTI. +- 9020AVIATION BLVD INGLE.WOOD. CA 9ot01 us Rental Charges RentlllRllte S week atS22S.OO lwu11k ARPT (&.AX) 902.0 AVIATION BLVD INGLEWOOD, CA i!D301 us . 1 da, at$37.~!_day....__ ____ _ Coveraps _ ... ~saOamegaWaiverF1111($0.00/day) MllellSle Unllmllad Milflaga Taxes and Feee Veh LlceNe hecavery 1.06/dclv T,,t&I (Subjeot to audit) Customer Facllll,y Charge !$10.00 f rental) MllortCcnCMSloftF .. 11.tt Pd(11.11%) Toul1sm Fee 2.ao Pct (2.eO%) Salas Tax(9.5~1 AR\QUl\t Wl!ged on Jul\ 15 2014 to VISa- Amo"l\t Out $675.00 $37.50 $0.00 lna!Wed $23.3a $,0.00 $81.75 $18.53 $75.45 $921.55 ($921.55) ($0.00) .... ·-··--- H-25 H-26 H-27 H-28 H-29