CC SR 20210316 D - Claim Against the City Mercury-Aratani
RANCHO PALOS VERDES CITY COUNCIL MEETING DATE: 03/16/2021
AGENDA REPORT AGENDA HEADING: Consent Calendar
AGENDA TITLE:
Consideration and possible action regarding a claim against the City by Mercury
Insurance (insured Linda Aratani)
RECOMMENDED COUNCIL ACTION:
1) Reject the claim and direct Staff to notify the claimant, Mercury Insurance.
FISCAL IMPACT: None
Amount Budgeted: N/A
Additional Appropriation: N/A
Account Number(s): N/A
ORIGINATED BY: Teresa Takaoka, Deputy City Clerk
REVIEWED BY: Karina Bañales, Deputy City Manager
APPROVED BY: Ara Mihranian, City Manager
ATTACHED SUPPORTING DOCUMENTS:
A. Mercury Insurance claim (page A-1)
BACKGROUND AND DISCUSSION:
The City of Rancho Palos Verdes (City) is a member of the California Joint Powers
Insurance Authority (Authority), which provides risk management services and handles
any liability claims received by the City. Under the current practice, claims presented to
the City Clerk are forwarded by the Authority to a third-party claims administrator, Carl
Warren and Company (Carl Warren) for adjusting.
Carl Warren’s staff reviews each claim on its merits and contacts the City with any
requested action pertaining to the disposition of the claim. The City Clerk and the City
Attorney review each claim when received and work closely with Carl Warren
throughout the claims process.
1
Claimant:
On February 16, 2021, the City received a claim for damages from Dana Aratani, and
subsequently, a similar claim was received from Mercury Insurance as Subrogee for
Linda Aratani. For clarity, the claims initially filed separately were combined into one file,
as Linda Aratani is the insured. The claim was referred to Carl Warren for review and
investigation. The claimant’s insurance representative states that on January 25, 2021,
a city tree fell and damaged the insured’s vehicle’s rear door. The claim alleges the City
is at fault due to a lack of maintenance of the tree.
Deposition:
Carl Warren has reviewed the claim and found no liability for the City as the tree was
adequately maintained, tree standards for trimming were met, and the records
established proved the tree to be in good health. Carl Warren recommends denying the
claim for damages.
2
ILE WITH: CLAIM FOR DAMAGES RESERVE FOR FILING STAMP
CITY CLERK'S OFFICE
City of Rancho Palos Verdes
TO PERSON OR PROPERTY30940HawthorneBlvd.
CLAIM NO.
Rancho Palos Verdes, CA 90275
VRECEIEDVINSTRUCTIONS
1. Claims for death, injury to person or to personal property must be filed not CITY OF RANCHO PALOS VERDE
later than six months after the occurrence. (Gov. Code Sec. 911.2.)
2. Claims for damages to real property must be filed not later than 1 year after FEB 2 2 2021
the occurrence. (Gov. Code Sec. 911.2.)
3. Read entire claim form before filing.
CIT' CLERK UIFhICI
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.
TO: CITY OF RANCHO PALOS VERDES Date of Birth of Claimant
11/01/1958
Name of Claimant Occupation of Claimant
Mercury Insurance Company As Subrogee of Linda Aratani
Home Address of Claimant City and State Home Telephone Number
P.O. Box 10730 Santa Ana CA 92711 888-263-7287
Business Address of Claimant City and State Business Telephone Number
Give address and telephone number to which you desire notices or Claimant's Social Security No.
communications to be sent regarding this claim.
Same as above
When did DAMAGE or INJURY occur? Names of any city employees involved in INJURY or DAMAGE
Date 01/25/2021 Time 6:00 A.M.
If claim is for Equitable Indemnity, give 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:
6548 Via Lorenzo Rancho Palos Verdes, CA 92075
Describe in detail how the DAMAGE or INJURY occurred.
City tree fell on insured vehicle.
Why do you claim the city is responsible?
Tree on city property.
Describe In detail each INJURY or DAMAGE.
Spare tire pushed down, rear door will not close.
This Claim Must Be Signed on Page 2 A-1
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 .................... 3626.26 Future expenses for medical and hospital care .
Expenses for medical and hospital care ... Future loss of earnings .....................
Loss of earnings ...................... Other prospective special damages ..........
Special damages for ................... Prospective general damages ...............
Total estimate prospective damages.......
General damages ......................
Total damages incurred to date ........ 3626.26
Total amount claimed as of date of presentation of this claim: $
Was damage and/or injury investigated by police? If so, what city?_
Were paramedics or ambulance called? If so, name city or ambulance
If injured, 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 Date Hospitalized
Doctor Address Date of Treatment
Doctor Address Date of Treatment
READ CAREFULLY
For all accident claims place on following diagram names
of streets, including North, East, South, and West; indicate
place of accident by 'T' and by showing house numbers
or distances to street corners. If City Vehicle was
involved, designate by letter "A" location of City Vehicle
when you first saw it, and by "B" location of yourself or
RM
your vehicle when you first saw City vehicle; location of
City vehicle at time of accident by "A-1" and location of
yourself or your vehicle at the time of the accident by
B-1" and the point of impact by "X." NOTE: If diagrams
below do not fit the situation, attach hereto a proper
diagram signed by the claimant.
SIDEWALK
SIDEWALK
Signature of Claimant or person filing on Typed Name:I Date:
his behalf giving relationship to Claimant:
Na'e-r3aiEa2 eG??1.an.cuay, c'ru r a c a, L'en yon+ay Edward Machorro on behalf of Mercury Insurance Company I 02/19/2021
NOTE: CLAIMS MUST BE FILED WITH CITY CLERK (Gov. Code Sec. 915a). Presentation of a false claim is a felony (Pen. Codi
THIS DOCUMENT IS A PUBLIC RECORD AND MAY BE PROVIDED TO A REQUESTOR UPON DEMAND.
111:1;1
A-2
esktop T Claim (CAPA-01556824) • Search I Address Book
eD Pot: 040107150306055 (MIC) Insd: LINDAAPATAN) DOL: 01/25/2021 Adj: Natalie I
Financials (Tota[ InCUrred: $3,126.26): Sumaiar
Issue Date ' Check Number Check Type
02/18/2021 E001461744 Indemnity
02/16/2021 E001460305 Indemnity
Pay To
ENTERPRISE RENT -A -CAR
Y & S AUTO BODY SHOP
Amount ". Status
505,74 Cleared
X2 020,5Z Cleared
A-3
AMERCURY INSURANCE SERVICES
Bill To: MER32CC
MERCURY INSURANCE SERVICES
ATTN:UNIT .RENTAL
PO BOX 1150
BREA, CA 928221150
RENTER INFORMATION:
Renter: ARATANI,DANA
Address: 6548 VIA LORENZO
RPV, CA 90275
Home Phone: (310) 738-2424
Office Phone: (310) 738-8721
RENTAL INFORMATION:
Rental Branch Location:
ENTERPRISE RENT-A-CAR(32D6)
235 W 6TH ST
SAN PEDRO, CA 907313315
ADDITIONAL CLAIM INFORMATION:
Claim Number: CAPA-01556824
Claim Type: Insured
Vehicle Condition: Driveable
Date Of Loss: 01/25/2021
Insured Name:
Owner's Vehicle: 2008 TOYOTA
Department Code:
Branch/ Unit#: 3102
Best Contact #:
Claimant # for Payment:
Application: GWCC
CARS Shop Type: Yes
Repair Facility:
Y&S AUTO BODY SHOP -32D6
SAN PEDRO, CA 90731
310) 548-1120
VEHICLES RENTED:
Effective Date I Time Year Make
01/26/2021 8:57 AM 12020 1 HYUN
Rental Company:
Invoice:
Alternate Invoice
Number:
Enterprise Rent-A-Car
32D6D2C5QRS
2C5QRS
RENTAL DETAIL:
Rental Period: 01/26/2021 to 02/12/2021 (18 days)
Billed Period: 01/26/2021 to 02/12/2021 (18 days)
Description Quantity Rate Amount
TIME & DISTANCE 18 24.49 440.82
VEHICLE LICENSE 18 1.28 23. 04RECOVERYFEE
SALES TAX 1 9.50% 41.88
Total Charges: 505.74
Less Amount Received: 0.00
Total Amount Due: 505.74
Model IVIN _
ACNT 13KPC24A66LE116025 250
Please Return This Portion with Remittance
Make Payment To: Total Charges: $505.74
ENTERPRISE RENT -A -CAR (32LB) Less Amount Received: $0.00
FILE 50727 Total Amount Due........... $505.74
LOS ANGELES, CA 900740727 Please Include on your Check:
Federal ID: 95-3475810 Invoice:32D6D2C5QRS
A-4
S AUTO BODY SHOP
nL n 1441 N GAFFEY ST, SAN PEDRO, CA 90731-1325
Office: (310) 548-1120
Fax: (310) 519-8120
jerry@yandsautobody.com
y&s autobody.com
EPA: CAL000061025 License: ARD00149983 Tax ID: 330328404
Owner
LINDAARATANI
6548 Via Lorenzo
Rancho Palos Verdes, CA 90275
310) 738-8721(Mobile)
aralinda610@gmail.com
Supplemented By
JERRYSAFAR
jerry@yandsautobody.com
Classification
None
MERCURY INSURANCE GROUP
Loss Type
Comprehensive
Deductible
500.00 - Not Waived
Insured
LINDAARATANI
Claim NUrnber
CAPA-0155682400101
Reported Date
01/25/2021
Estimate ID
6532178
51
Claim Number
CAPA-0155682400
101
Appraiser
JERRYSAFAR
jerry@yandsautobody.com
Classification
None
Policy Number Adjuster
040107150306055 Desiree Forteville
888) 263-7287+22936 (Wor
k)
Loss Date Inspection Site
01/25/2021 Y & S AUTO BODY SHOP
1441 N GAFFEY ST
SAN PEDRO, CA 90731-1325
2008 Toyota FJ Cruiser 4 Door Utility 4.OL 6 Cyl Gas I njected 4WD
Exterior Color License VIN Condition
2JY CA-6HYE771 JTEBU11F88K048234 Good
Drivable Odometer
No 192266
Primary Point of Impact
Rear (6)
Options
4 Wheel Drive Air Conditioning
Cloth Seat Driver -Front Air Bag
MP3 Player Passenger -Front Air Bag
Second Row Side Airbag With Side Airbags
Head Protection
Production Date Mitchell Service Code
06/2008 910699
AM -FM Stereo Anti -Lock Brake Sys, (ABS) CD Player
Electric Defogger Electronic Stability Control Left -Curtain Air Bag
Power Door Locks Power Steering Power Windows
Skid Plate Tilt Steering Wheel Traction Control/Electronic
LINDAARATANI 1 2008 Toyota FJ Cruiser
xnmitt'd Vers n TM Prince On Profile Pae 1 of 7
2/12/2021 Mitchell Estimating20.4
Mitchell Cloud Estimating
2/12/2021 MercuryCARS
g
Copyright 1994-2021 Mitchell International, Inc.
Prorlle Versi« 11:46 AM OEM JAN -21 V All Rights Reserved
11:46 AM
8.0
A-5
Parts Profile Parts Profile Version
CA CARS Shop Profile 23. 0
LABOR ...
Line# Description Operation Type Total
Units
PART..............
CEG Type Number Qty Total Price Tax
Wheel
1 002039 Alloy Wheel Remove/Install Body 0.3r 0.3 Existing
2 000411 Spare Wheel Carrier Remove/ReplaceBody INC# 0.3 Qua Recycled 1 195.00* Yes
Part
3 900510 Line Markup 20.0% 39.00
4 002251 Spare Wheel Cover Remove/ReplaceBody 0.0 0.0 New 64771-35030 1 253.94 Yes
Quarter Panel
5 001450 R Rear Quarter Reinforcement Repair Body 3.0* 4.7 Existing
6 935000 R Rear Quarter Reinforcement Refinish Labor Refinish 0.5* 0.0
Back Door
S1 7 001529 Back Door Shell Remove/ReplaceBody 5. 5# 5.5 New ORDER FROM 1 995.00 Yes
DEALER
8 900501 HONDA FOREIGN GATE
CAME IN DAMAGED TWICE
WHICH WAS NEW THEY DID
NOT HAVE ANOTHERONE
S1 9 AUTO Back Door Outside Refinish Only Refinish 2.6 A 2. 6
S1 10 AUTO Add For Jambs & Interior Refinish Only Refinish 1.3 C 1.3
11 001531 R Lwr Back Door Moulding Remove/ReplaceBody INC 0.2 New 75815-35012 1 116.85 Yes
12 001532 L Lwr Back Door Moulding Remove/ReplaceBody INC 0.2 New 75816-35012 1 165.07 Yes
13 001533 R Back Door Clip (3 @ $0.00) Remove/ReplaceBody INC 0.0 New 75495- 35010 3 INC Yes
14 900501 Per Toyota Non -Reusable Part
15 001534 L Back Door Clip (3 @ $0.00) Remove/ReplaceBody INC 0.0 New 75495-35010 3 INC Yes
16 900501 Per Toyota Non -Reusable Part
17 001535 R Back Door Clip (3 @ $0.00) Remove/ Replace Body INC 0.0 New 75397-35010 3 INC Yes
18 900501 Per Toyota Non -Reusable Part
19 001536 L Back Door Clip (3 @ $0.00) Rem ove/Replace Body INC 0.0 New 75397-35010 3 INC Yes
20 900501 Per Toyota Non -Reusable Part
21 001542 Back Door Adhesive Emblem Remove/ReplaceBody 0.1 0.2 New 75471-42030 1 28. 79 Yes
22 900501 Per Toyota Non -Reusable Part
23 001543 Back Door Adhesive Nameplate Remove/ReplaceBody 0.1 0.2 New 75445-35080 1 43.73 Yes
24 900501 Per Toyota Non -Reusable Part
25 001544 Back Door Adhesive Nameplate Remove/ReplaceBody 0.1 0.2 New 75446-52050 1 30.94 Yes
26 900501 Per Toyota Non -Reusable Part
27 001937 Rear Door Trim Panel Remove/Install Body INC 0.4 Existing
28 001553 Back Door Moisture Shield Remove/ReplaceBody 0.0# 0.0 New 67847-35030 1 16.98 Yes
29 900501 insulation is one time use
30 900501 Per Toyota Non -Reusable Part
31 001554 Back Door Latch Remove/Install Body INC# 0.3 Existing
32 001556 Back Door Glass Latch Remove/Install Body INC# 0.3 Existing
33 001561 Back Door Damper Remove/Install Body O.Or 0.0 Existing
34 001958 Door Moveable Glass Remove/Install Glass INC# 1.0 Existing
35 001581 R Back Door Stay Remove/Install Body O.Or 0.0 Existing
36 001582 L Back Door Stay Remove/Install Body O.Or 0.0 Existing
C ofttod0o Version TMMitchellCloudEstimating
Printed 0, Profile Page 2 of
2/12/2021 Mitchell Estinnating20.4 Copyright 1994-2021 Mitchell International, Inc.
2/12/2021 MercuryCARS
11;46 AM OEM JAN 21 V All Rights Reserved
11;46 AM Profileversion
8.0
A-6
Remarks From Appraiser:
shop computer got corrupted original pictures could not be uploaded
Disclaimer: Recycled part pricing may represent either actual pricing (the price at which the recycler is willing to sell the
part for in its existing condition) or undamaged pricing (the price at which the recycler would sell the part if it was in
undamaged condition). If you are unsure, please contact the automotive recycler.
Estimate Totals
Labor Units Rate Sublet Add'IAmount Totals
Body Labor 10.9 $44.00 $479.60
Refinish Labor 7.3 $44.00 $321.20
Glass Labor 0.0 $44.00 $0.00
Mechanical Labor 1.0 $63.00 $63. 00
Total Labor 19.2 $863.80
Taxable $0.00
Tax (0. 000)% $0.00
Non -Taxable $863.80
Labor Total $863.80
Parts Amount
Taxable Parts $1,856.30 $1,856.30
Committed Chi VersionTM Printed On Profile Pae 3 of
2/12/2021 Mitchell Est! mati n g 20.4
Mitchell Cloud Estimating 2/ 12/2021 MercuryCARS
g
Copyright 1994-2021 Mitchell International, Inc.
11:46 AM OEM JAN 21 V All Rights Reserved 11:46 AM
8.
0ileversiwi
8.0
LABOR PART
Line# Description Operation Type Total CEG Type Number (qty Total Price Tax
Units
37 001594 Back Door Wiper Arm Remove/Install Body INC# 0.2 Existing
38 001597 Back Door Wiper Motor Remove/Install Body INC# 0.5 Existing
Rear Lamps
39 001934 R Rear Combination Lamp Remove/Install Body 0.3# 0.3 Existing
40 001936 License Lamp Remove/Install Body INC# 0.2 Existing
Additional Costs & Materials
41 AUTO Paint/Materials Additional Cost 248.20* Yes
Additional Operations
S1 42 933000 Two Tone Additional Refinish 1. 3# 0. 0 0.00
Operation
43 933003 Tint Color Additional Body* 0.5* 0.0 0.00
Operation
44 933017 Finish Sand And Buff Additional Body* 0.5* 0.0 0.00
Operation
45 AUTO Clear Coat Additional Refinish 1.6 0. 0 0.00
Operation
Special/ Manual Entry
S1 46 900500 tint color 2nd color white Repair Body* 0.5* 0.0 Existing
47 900500 POST SCAN VEHICLE Repair Mechanica10.5* 0. 0 Existing 0
4e 900500 PRE SCAN VEHICLE Repair MechanicalO.5* 0. 0 Existing 0
49 900500 COVERCAR Remove/Re place Body* 0.0* 0.0 Aftermarket 1 $10.00* Yes
New
Judgment item C Included in Clear Coat Calculation
T included in Two Tone Calculation A included in Clear Coatand Two Tone Calculation
Labor Note Applies r CEG R&R Time Used for this Labor Operation
d Discontinued by Manufacturer
Remarks From Appraiser:
shop computer got corrupted original pictures could not be uploaded
Disclaimer: Recycled part pricing may represent either actual pricing (the price at which the recycler is willing to sell the
part for in its existing condition) or undamaged pricing (the price at which the recycler would sell the part if it was in
undamaged condition). If you are unsure, please contact the automotive recycler.
Estimate Totals
Labor Units Rate Sublet Add'IAmount Totals
Body Labor 10.9 $44.00 $479.60
Refinish Labor 7.3 $44.00 $321.20
Glass Labor 0.0 $44.00 $0.00
Mechanical Labor 1.0 $63. 00 $63. 00
Total Labor 19.2 $863. 80
Taxable $0.00
Tax (0.000)% $0.00
Non -Taxable $863.80
Labor Total $863.80
Parts Amount
Taxable Parts $1,856.30 $1,856.30
Committed Chi VersionTM Printed On Profile Pae 3 of
2/12/2021 Mitchell Est! mati n g 20.4
Mitchell Cloud Estimating
2/ 12/2021 MercuryCARS
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Copyright 1994-2021 Mitchell International, Inc.
11:46 AM OEM JAN 21 V
All Rights Reserved 11:46 AM
8.
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Estimate Totals
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS
SUPPLIED BYA SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR
VEHICLE. ANY WARRANTIES APPLICABLE TOTHESE REPIACEM ENT PARTS ARE
PROVIDED BYTHE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, RATHER THAN
BYTHEORIGINAI MANUFACTURER OF YOUR VEHICLE.
PURSUANT TO CALIFORNIA CODE OF REGULATIONS, TITLE 10, CHAPTER 5,
SUBCHAPTER 7.5, SECTION 2695.8THE INSURER WARRANTS THAT ANY
NON -ORIGINAL EQUIPMENT MANUFACTURER PARTS SPECIFIED IN THIS ESTIMATE
ARE AT LEAST EQUALTO TH E ORIGI NAL EQUI PM ENT MANUFACTURER PARTS IN
CSxnmittedo, version TM Printed On Profile Page 4 of
2/12/2021 Mitchell Estimating 20.4
Mitchell Cloud Estimating 2/ 12/2021 Mercury CA RsCopyright1994- 2021 Mitchel International, Inc. Profile version11:46 AM OEM JAN 21 V All Rights Reserved 11:46 AM
8. 0
Parts Adjustments 43.57
Tax (9.500)% 172.21
Non -Taxable 0.00
Parts Total 1,984.94
Costs Amount
Other Additional Costs 0.00 0.00
Paint Materials 248.20 248.20
Taxable 248.20
Paint Materials Rate: $34.00 Tax (9.500)% 23.58
Rate Max: 99.9 units Non -Taxable 0.00
Additional Rate: $0.00 Costs Total 271.78
Gross Totals Amount
Gross Total 3,120.52 3,120.52
Taxable 2,060.93
Tax 195.79
Non -Taxable 863. 80
Gross Total 3,120.52
Adjustments Amount
Deductible 500.00 500.00
Total Customer 500.00
Responsibility
Net Estimate Total 2,620.52
Less Original Net Total 2,377.67
Net Supplement Amount 242.85
S 1: JERRY SAFAR 242.85
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS
SUPPLIED BYA SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR
VEHICLE. ANY WARRANTIES APPLICABLE TOTHESE REPIACEM ENT PARTS ARE
PROVIDED BYTHE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, RATHER THAN
BYTHEORIGINAI MANUFACTURER OF YOUR VEHICLE.
PURSUANT TO CALIFORNIA CODE OF REGULATIONS, TITLE 10, CHAPTER 5,
SUBCHAPTER 7.5, SECTION 2695.8THE INSURER WARRANTS THAT ANY
NON -ORIGINAL EQUIPMENT MANUFACTURER PARTS SPECIFIED IN THIS ESTIMATE
ARE AT LEAST EQUALTO TH E ORIGI NAL EQUI PM ENT MANUFACTURER PARTS IN
CSxnmittedo, version TM Printed On Profile Page 4 of
2/12/2021 Mitchell Estimating 20.4
Mitchell Cloud Estimating 2/ 12/2021 Mercury CA RsCopyright1994-2021 Mitchel International, Inc. Profile version11:46 AM OEM JAN 21 V All Rights Reserved 11:46 AM
8. 0
A-8
TERMS OF KIND, QUALITY, SAFETY, FIT AND PERFORMANCE.
Vehicle arrival date? 01/26/ 21
Was vehicle driven in, towed in or delivered by Road America? driven
I nspection date? 01/28/21
Number of business days to repair? 10
Target date? 02/11/21
Number of photos? 94
Was the estimate given to the owner? emailed
Send payment to facility? yes
Is thevehicle a Partial Loss or a Total Loss? partial loss at the shop
CARS Alternate Part Summary*****************
Were Alternate Parts available - yes
LKQ/Lakenor phone number :562-944-6422
LKQ/Lakenor reference number: Ikq
2nd Alternate Part source and phone number: yes honda foreign
2nd Alternate Part reference number: 818 8342000
Cycle Time Information
Arrived At Shop 1/26/2021
Ready for Delivery 2/12/2021
Delivered 2/12/2021
Estimate Event Log
Job Created
Supplement 1 Started
Supplement 1 Printed
Supplement 1 Committed
1/25/202112:58 PM
1/28/202103:41 PM
2/12/202111:46 AM
2/12/202111:46 AM
Committedon version TM PrinteiOn Profile
Pae 5 o1`72/12/2021 Mitchell Esti mati n g 20.4
Mitchell Cloud Estimating 2/12/2021 Mercury CARS
g
Copyright 1994- 2021 Mitchell International, Inc.
Profile Wrsion11:46 AM OEM JAN 21 V All Rights Reserved 11:46 AM
8.0
A-9
Date: 2/12/202111:46:48 AM
Estimate ID: 6532178
Supplement: 1- 2/12/202111:46:47 AM
Profile ID: Mercury CARS
Supplement Delta Report
Comparison of Estimate 6532178 Supplement 0 and Supplement 1
Damage Assessed By: JERRY SAFAR
Supplemented By: JERRY SAFAR
Insured: LINDA ARATANI
Owner: LINDA ARATANI
Vehicle Description: 2008 Toyota FJ Cruiser
Date of Loss: 01/25/2021
Line Labor Line Item Part
Item Type Operation Description Type/Num
Changed Entries
Recycled
7 Body REMOVE/REPLACE Back Door Shell Qual Recycled
Part
New<
7 Body REMOVE/REPLACE Back Door Shell ORDER FROM
DEALER
42 ADD'L COST Paint/Materials
41< ADD'L COST Paint/Materials
Deleted Entries
8 LINE MARKUP
Added Entries
42 Refinish ADD'L OPR
46 Body REPAIR
Line Markup 20.0%
Two Tone
tint color 2nd color white Existing
Existing
Dollar Labor CEG
Amount Units Unit
700.00* 5.5 5.5T
995.00< 5. 5 5.5T
204.00* T
248.20*
T
140.00
0.00 1.3 0.0
0.00* 0.5* 0.0
Global Changes
No Deductible, Deductible Reduction Credit, Customer Responsibility, Labor Rate, or Part Adjustment changes
were made.
Committed On VersionTM Printed Chi Profile Pae 6 of
2/12/2021 Mitchell Estimating 20.4 -
Mitchell Cloud Estimating 2/12/2021 MercuryCARS
g
11:46AM OEMIAN 21 V
Copyright 1994-2021 Mitchell International, Inc.
11:46 AM Profileversim
All Rights Reserved 80
A-10
Amount
Original
2,377.67Estimate
Supplement
242.85
1
Orig Total 181.59Tax
Supp 1 195.79TotalTax
Net
Supplement 242.85
Amount
Net Total 2,620.52
Program Calc
Data Versions
Version
Supp 0 17 JAN -21 V
Supp 1 17 JAN -21 V
Software
20.4 Copyright (C) 1994 - 2021 Mitchell InternationalVersion:
All Rights Reserved
C—mitted On Versirxi TM Printed Orf Profile Pae 7 of
2/12/2021 Mitchell Estimating 20.4 Mitchell Cloud Estimating 2/12/2021 MercuryCARS
g
Copyright 1994-2021 Mitchel International, Inc.
11:46 AM OEM JAN 21 V
All Rights Reserved 11:46 AM Profile Versim
8.0
A-11
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MERCURY
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INSURANCE
February 19, 2021
CITY CLERK'S OFFICE CITY OF RANCHO PALOS VERDES
30940 HAWTHORNE BLVD
Rancho Palos Verdes, CA 90275
RE: OUR INSURED:
OUR CLAIM NUMBER:
DATE OF LOSS:
YOUR INSURED:
YOUR FILE NUMBER:
LINDA ARATANI
CAPA-01556824
JANUARY 2.5, 2021
DEAR CITY CLERK'S OFFICE CITY OF RANCHO PALOS VERDES:
P.O. Box 10730
Santa Ana, CA 92711-0730
We have obtained information suggesting that the damages incurred from the above -referenced loss were caused by your
insured's negligence.
Enclosed for your review, please find copies of our supporting documentation. The breakdown of our payments is as follows:
Initial Repairs 2,620.52
Deductible 500.00
Supplements
Rental Expense 505.74
Out of Pocket Expense
Other
Salvage
VLF, if applicable
Total 3,626. 26
Total Amount Due 3,626.26
Other:
Please review for payment.
If we receive a payment that is less than the amount shown above, it will be processed and applied as a partial payment only.
This will not indicate any acceptance of liability or agreement to compromise the claim amount. Note that "Full or final
settlement" or similar wording, whether on the payment itself or on accompanying correspondence, does not function as a
release.
Should you have any questions or need additional information, please do not hesitate to contact me. Thank you for your
cooperation.
Sincerely,
Mercury Insurance Company
Claims Department
888-263-7287
Encl.
C21 07/2015 A-38