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Claim - Christian Rincon del Castillo.pdf

Rialto City Council
February 22, 2022

Document
Claim - Christian Rincon del Castillo.pdf
Meeting
February 22, 2022
Body
Rialto City Council
Original file
5.7 MB
Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

CITY OF RIALTO CITY CLERK'S DATE STAMP

LIABILITY

CITY OF RIALTO

CLAIM FOR DAMAGES
TO PERSON OR PROPERTY 2022 FEB -7 AM 8:58

RECEIVED

1. Claims for death, injury to person, or to personal property must be filed not later than six (6) months after the occurrence (Gov. Code §911.2). CITY CLERK

2. Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov. Code §911.2).

3.READ ENTIRE CLAIM FOR BEFORE FILING RETURN TO:

4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Rialto City Clerk's Office Mail: 150S. Palm Ave., Rialto, CA 92376
Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:

Christian Rincon del Castillo

FULL NAME

DATE OF BIRTH
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO.

Rialto, CA 92376
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.

ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE

NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above):

1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: 01 - 22-2022 _ TIME: 08:00 XAM O PM

2. PLACE OF ACCIDENT (OCCURRENCE) BE SPECIFIC - Describe fully and (if applicable) locate on diagram on reverse side of this sheet.

Where appropriate, give street names and addresses, measurements and landmarks. 561 N Clifford Ave Rialto CA, 92376

3. HOW DID DAMAGE OR INJURY OCCUR?
That saturday morning it was very windy which bused abranch to fall on ToP of my Car.

4. WERE POLICE AT THE SCENE? • YES NO WERE PARAMEDICS AT THE SCENE? •YES ENO

5. WHAT PARTICULAR ACT OR OMISSION DO YOU CLAIM CAUSED THE INJURY OR DAMAGES? Give the name of the city/town employee causing the injury or damage, if known.

As a Conseful of no giving service corresponding to tree froning, This caused the wind to Knock down a branch in mi Car.

6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $ 6000 HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.

DAMAGES INCURRED TO DATE:

Item/Date: Repair Stimute Amount: $ 5246
Item/Date: Rafair Stimate Amount: $ 4736
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $ 6000 ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:

Item/Date: RePair STimate 5246
Amount: $.

Item/Date: Rent a 765
Amount: $
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: $ 6011

7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: FLoY Sanchez
NAME:

ADDRESS: ADDRESS:

Rialto CA 92376
TELEPHONE: TELEPHONE:

8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:

NAME: NAME:

ADDRESS: ADDRESS:

TELEPHONE: TELEPHONE:

DATE: _ TIME: •AM • PM DATE: TIME: • AM • PM

9. PLEASE READ THE FOLLOWING CAREFULLY:

For all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate place of accident by "X" and by showing house numbers or distances to street corners.

If a city/town vehicle was involved, designate by letter "A" location of the City/Town vehicle when you first saw it, and by "B" location of yourself or your vehicle when you first saw City/Town vehicle; location of City/Town 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 THE DIAGRAM BELOW DOES NOT FIT THE SITUATION, PLEASE ATTACH A PROPER DIAGRAM SIGNED BY THE CLAIMANT. 2022 FEB - 1

CURB Y CL CEI CITY OF RIALTO
PARKWAY ED AM 8:
7 SIDEWALK
сл
I HAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF; AND CERTIFY THAT THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT AS TO THOSE MATTERS WHICH ARE HEREIN STATED UPON MY INFORMATION AND BELIEF: AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRUE I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.

SIGNATURE OF CLAIMANT OR AGENT
Christian Rincon del Castido 02-07-2022

TYPE OR PRINT NAME DATE

RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72) RETURN CLAIM TO: RIALTO CITY CLERK'S OFFICE - 150 S. PALM AVE., RIALTO, CA 92376 (8FBP813
8FBP813
1/31/22, 1:22 PM
Reservation Confirmed

RESERVATION CONFIRMED
Confirmation Number: 1968777298

PICK-UP RETURN
Feb 28, 2022 Mar 10, 2022
10:00 AM 12:00 PM
Rialto Bloomington →
Rialto Bloomington
585 W Valley Blvd 585 W Valley Blvd
Bloomington, CA 92316 Bloomington, CA 92316
+1 909-879-7930 +1 909-879-7930
Rental Details Rental Checklist
RENTER
• Familiarize yourself with your Pick-Up
and Return location(s).

Driver Name: CHRISTIAN RINCON
Email Adress: [email protected] • Bring a valid driving license for each driver.

Phone Number: ......8231
• Provide an acceptable method of payment
Age: 25+
in the renter's name. See your pick-up
location's policies for details.

VEHICLE • For additional policy or deposit
information, please refer to the Rental
Vehicle Class: Midsize Policies section below, or within your email confirmation.
• Toyota Corolla or similar
• Automatic
Time & Distance 1.0 Week(s) @ $ 456.99 / Week $456.99
Extra - Time & Distance 3.0 Day(s) @ $65.38 / Day $196.14 Extra - Time & Distance 2.0 Hour(s) @ $ 21.79 / $43.58
Hour
Vehicle Mileage: Untimited Mileage Included

TAXES & FEES
VEH LIC RECOVERY $15.18
SALES TAX (7.75%) $ 53.99
https://www.enterprise.com/en/reserve.html#confirmed 1/2 1/31/22, 1:22 PM Reservation Confirmed

ESTIMATED TOTAL
Estimated Total due at the counter
$ 765.88
https://www.enterprise.com/en/reserve.html#confirmed 2/2 Daves Auto Body
1224 W Merrill Ave
Rialto, CA 92376
Phone: (909) 820-6466
*** FINAL BILL ***
01/30/2022 12:13 PM
Owner
Owner:

Address: Work/Day:

Email:

Control Information
Loss Date/Time: Loss Type: Collision
Deductible: None
Inspection
Inspection Date: 01/30/2022 12:14 PM Inspection Type:

Primary Impact: Front Secondary Impact: Hood
Repairer
Target Complete Date/Time: Days To Repair: 10*
Vehicle
2019 Kia Optima LX 4 DR Sedan
4cyl Gasoline 2.4
6-Speed Automatic
Lic.Plate: Lic State: CA
Lic Expire: VIN: 5XXGT4L31KG299017
Prod Date: Mileage: 52,434
Veh Insp# : Mileage Type: Actual
Condition: Good Code: KA353A
Ext. Color: EBONY BLACK PRIMER
Ext. Refinish: Two-Stage
Ext. Paint Code: EB
Options
1st Row LCD Monitors) 2nd Row Head Airbags AM/FM Stereo Air Conditioning Aluminum/Alloy Wheels Anti-Lock Brakes Auto Headlamp Control Automatic High Beam Auxiliary Audio Input Bucket Seats Center Console Collision Avoidance Sys
Color-Keyed Bumper(s) Corrective Lane Assist Courtesy/Warning Light Cross Traffic Alert Daytime Running Light
Driver Knee Airbag Dual Airbags Elect. Stability Control Electric Steering Ext Mirror Turn Signals Fwd. Collision Alert Halogen Headlights Head Airbags Heated Power Mirrors
Illuminated Visor Mirror Intermittent Wipers Keyless Entry System Knee Air Bags Laminated Glass Lane Departure Alert
Lighted Entry System Overhead Console
01/30/2022 12:52 PM Page 1 of 4
019 Kia Optima LX 4 DR Seda
laim #
01/30/2022 12:13 PM
Perimeter Alarm System Power Brakes Power Door Locks
Power Windows Pwr Accessory Outlet(s) wr Driver Lumbar Supp Rear View Camera Rear Window Defroster Rem Trunk-L/Gate Release Reverse Sensing System Side Airbags Side Blind Zone Warning Split Folding Rear Seat Strg Wheel Radio Control Tachometer Tilt & Telescopic Steer Tinted Glass Tire Pressure Monitor Touch Screen Display Traction Control System Trip Computer U.S.A. Built Vehicle USB Audio Input(s) Velour/Cloth Seats Wireless Phone Connect
Damages
Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R Front Bumper
2 L Cover, Front Bumper Repair 4.0* SM
13 Cover, Front Bumper Refinish 4.1 RF

2.9 Surface

0.6 Two-stage setup

0.6 Two-stage
3 E 827 Grille, Frt Bumper Lwr 86560D5520 $293.33 0.3 SM Front End Panel And Lamps
4 E Headlamp Assy, Halogen LT 92101D5500 $1,143.33 0.9 SM 5 N 973 Headlamps Aim Additional Labor 0.4 SM
Front Body And Windshield
6 1 83 Panel,Hood Repair 7.0* SM
7 L 83 Panel,Hood Refinish 3.6 RF

3.0 Surface

0.6 Two-stage
8 E 1264 Midg,W/S Reveal Side LT 86131D4000 $82.32 0.1 SM Roof
9 1 341 Panel, Roof Repair 4.0* SM
10 L 341 Panel,Roof Refinish 3.5 RF

3.3 Surface

0.2 Two-stage
Erent Doors 208 Door Shell, Front RT 4.0*
Repair SM
12 L 208 Door Shell, Front RT Refinish 2.8 RF

2.3 Surface

0.5 Two-stage
13 | 209 Pnl, Front Door Outer LT Repair 3.0* SM
14 L 209 Pnl, Front Door Outer LT Refinish 2.8 RF

2.3 Surface

0.5 Two-stage
15 E 309 Cover, Frt Door Mirror LT 87616D5000 $46.70 0.2 SM 16 L 309 Cover,Frt Door Mirror LT Refinish 0.4 RF

0.3 Surface

0.1 Two-stage
Quarter And Rocker Panel
264 07 Pillar, Center LT Repair 3.0* SM
18 L 264 Pillar, Center LT Refinish 1.0 RF

1.0 Surface
19 E 468 Duct, Quarter Panel LT 97510D4000 $29.47 1.5 SM 19 Items
01/30/2022 12:52 PM Page 2 of 4
2019 Kia Optima LX 4 DR Sedan
Claim # :
01/30/2022 12:13 PM
MC Message
07 STRUCTURAL PART AS IDENTIFIED BY I-CAR
INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
Estimate Total & Entries
OEM Parts $1,595.15
Paint & Materials 18.2 Hours @ $52.00 $946.40
Parts & Material Total $2,541.55
Tax on Parts & Material @ 7.750% $196.97
Labor Rate Replace Repair Hrs Total Hrs
Sheet Metal (SM) $55.00 3.0 25.4 28.4 $1,562.00
Mech/Elec (ME) $90.00
Frame (FR) $90.00
Refinish (RF) $52.00 18.2 18.2 $946.40
Labor Total 46.6 Hours $2,508.40
Gross Total $5,246.92
Less: Deductible None-
Net Total (Final Bill) $5,246.92
Alternate Parts Y/00/00/00/00/00 Cumulative 00/00/00/00/00 Zip Code: 92376 Default Rate Name Default
Audatex Estimating 10.12.106 ES 01/30/2022 12:52 PM REL 10.12.106 DT 01/01/2022 DB 01/15/2022 State Disclosure:CA
© 2022 Audatex North America, Inc.

3.1 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA.

ESTIMATE CALCULATED USING THE 2.5 HOUR MAXIMUM ALLOWANCE FOR TWO-STAGE REFINISH OF NON-FLEX, EXTERIOR SURFACES.

THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. ANY WARRANTIES

APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR

DISTRIBUTOR OF THE PARTS, RATHER THAN BY THE ORIGINAL MANUFACTURER OF YOUR VEHICLE.

FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM: ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR FRAUDULENT INFORMATION

TO OBTAIN OR AMEND INSURANCE COVERAGE OR TO MAKE A CLAIM FOR THE PAYMENT

OF A LOSS IS GUILTY OF A CRIME AND MAY BE SUBJECT TO FINES AND CONFINEMENT IN STATE PRISON. FALSE REPRESENTATIONS MADE ON A SIGNED AUTO THEFT CLAIM FORM SUBJECTS THE INSURED TO A PENALTY OF PERJURY.

PURSUANT TO CALIFORNIA CODE OF REGULATIONS, TITLE 10, CHAPTER 5, SUBCHAPTER 01/30/2022 12:52 PM Page 3 of 4
2019 Kia Optima LX 4 DR Sedan
Claim # :
01/30/2022 12:13 PM

7.5, SECTION 2695.8 THE INSURER WARRANTS THAT ANY NON-ORIGINAL EQUIPMENT

MANUFACTURER PARTS SPECIFIED IN THIS ESTIMATE ARE AT LEAST EQUAL TO THE

ORIGINAL EQUIPMENT MANUFACTURER PARTS IN TERMS OF KIND, QUALITY, SAFETY, FIT AND PERFORMANCE.

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 1 = Repair
IT = Partial Repair CG= Chipguard RI = R & I Assembly
P = Check AA = Appearance Allowance RP = Related Prior Damage 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 Solera AudatexProcess) without Audatex's prior written consent. © 2022 Audatex North America, Inc. SoTera
AUDATEX is a trademark owned by Audatex
North America, Inc. All rights reserved.
01/30/202212:52 PM Page 4 of 4
CALIBER - RIALTO Workfile ID:

CALIBER Federal ID:

RESTORING THE RHYTHM OF YOUR LIFE State ID:

Federal EPA:
421 WEST RIALTO AVE., RIALTO, CA 92376 State EPA:

COLLISION Phone: (909) 874-4470
BAR:

FAX: (909) 874-4561
Preliminary Estimate
Customer: Rincon, Christian
Written By: scott gauthier
Insured: Rincon, Christian Policy #: Claim #: 5XXGT4L31KG299017 Type of Loss: Collision Date of Loss: Days to Repair: 0 Point of Impact: 11 Left Front
Owner: Inspection Location: Insurance Company:

Rincon, Christian online CUSTOMER PAY
Other

VEHICLE
2019 KIA Optima S Automatic 4D SED 4-2.4L Gasoline Gasoline Direct Injection VIN: 5XXGT4L31KG299017 Interior Color: Mileage In: Vehicle Out:

License: Exterior Color: Mileage Out:

State: Production Date: Condition: Job #:

TRANSMISSION CONVENIENCE AM Radio Lane Departure Warning Automatic Transmission Air Conditioning FM Radio SEATS
POWER Intermittent Wipers Stereo Cloth Seats
Power Steering Tilt Wheel Search/Seek Bucket Seats
Power Brakes Cruise Control Auxiliary Audio Connection WHEELS Power Windows Rear Defogger Satellite Radio Aluminum/Alloy Wheels Power Locks Keyless Entry SAFETY PAINT
Power Mirrors Alarm Drivers Side Air Bag Clear Coat Paint Heated Mirrors Message Center Passenger Air Bag OTHER
Power Driver Seat Steering Wheel Touch Controls Anti-Lock Brakes (4) Fog Lamps DECOR Telescopic Wheel 4 Wheel Disc Brakes Traction Control Dual Mirrors Climate Control Front Side Impact Air Bags Stability Control Tinted Glass Backup Camera Head/Curtain Air Bags Rear Spoiler Console/Storage Parking Sensors Hands Free Device Signal Integrated Mirrors Overhead Console RADIO Blind Spot Detection Power Trunk/Liftgate Get live updates at www.carwise.com/e/4b5otb
1/28/2022 8:11:25 AM 036535 Page 1
Preliminary Estimate
Customer: Rincon, Christian
2019 KIA Optima S Automatic 4D SED 4-2.4L Gasoline Gasoline Direct Injection Line Oper Description Part Number Qty Extended Labor Paint Price $
1 # ***Preliminary online estimate 1
only***
2 # ***Cost of repairs could change 1
after physical inspection***

FRONT BUMPER & GRILLE
4 * Rpr Bumper cover 4.5 2.6
5 Add for Clear Coat 1.0
0/H bumper assy 2.8
* R&I Emblem Incl.
8 R&I License bracket 0.1

FRONT LAMPS
10 R&I RT Headlamp assy w/o auto level 0.3
11 R&I LT Headlamp assy w/o auto level 0.3
12 HOOD
13 * Rpr Hood w/o hybrid (HSS) 6.5 3.0
Note: sand down completely to eliminate all rock chips & scratches Add for Clear Coat 1.2
R&I Insulator w/o hybrid 0.3
R&I Front w'strip 0.2
FENDER
18 Bind RT Fender 0.9
19 Bind LT Fender 0.9
20 R&I RT Fender liner 0.4
21 R&I LT Fender liner 0.4
22 * R&I RT Vent grille w/o turbo emblem 0.2
23 # Clean and Retape 1 2.50 x 0.3
Molding/Emblem
24 * R&I LT Vent grille w/o turbo emblem 0.2
25 # Clean and Retape 1 2.50 x 0.3
Molding/Emblem
26 ROOF
27 # Refn Right Roof Rail Clear Only 0.5
28 * Rpr Panoramic assy black 6.0
Note: sand down completely to eliminate a scratches
O/H sunroof assy 2.6
30 R&I RT Roof molding 0.3
31 R&I LT Roof molding 0.3
32 PILARS, ROCKER & FLOOR 3.8
33 Rpr RT Aperture panel(WS Pillar) 4.5
34 Overlap Major Non-Adj. Panel -0.2
Add for Clear Coat 0.7
36 R&I RT Rocker molding US built 0.9
painted
37 # Clean and Retape 1 2.50 X 0.3
1/28/2022 8:11:25 AM 036535 Page 2
Preliminary Estimate
Customer: Rincon, Christian
2019 KIA Optima S Automatic 4D SED 4-2.4L Gasoline Gasoline Direct Injection Molding/Emblem
38 R&I LT Rocker molding US built 0.9
painted
39 # Color Sand and Buff
1 15.00 T
40 QUARTEr PANEL
41 R&I RT Upper molding 0.4
42 # Clean and Retape
1 2.50 X 0.3
Molding/Emblem
43 MISCELLANEOUS OPERATIONS
44 Repl Cover car/bag 1 0.2
45 # Repl Corrosion Protection Primer 1 12.00 T 0.3
46 # Flex Additive 1 10.00 T
47 # Mask Jambs, Opening, Entry 1 10.00 X 0.3
48 # Refn Tint Color to Match 0.5
49 # Rope Glass(WS & BG) 1 10.00 X 1.0
50 VEHICLE DIAGNOSTICS
51 # Pre-repair scan 1 40.00 X 0.5
52 # Post-repair scan 1 80.00 x 0.5
53 OTHER CHARGES
54 # E.P.C. 1 20.00
SUBTOTALS 207.00 36.6 14.9

ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 0.00
Body Labor 36.6 hrs @ $ 72.00/hr 2,635.20
Paint Labor 14.9 hrs @ $ 72.00 /hr 1,072.80
Paint Supplies 14.9 hrs @ $ 51.00 /hr 759.90
Miscellaneous 187.00
Other Charges 20.00
Subtotal 4,674.90
Sales Tax $ 796.90 @ 7.7500 % 61.76
Grand Total 4,736.66
1/28/2022 8:11:25 AM 036535 Page 3
Preliminary Estimate
Customer: Rincon, Christian
2019 KIA Optima S Automatic 4D SED 4-2.4L Gasoline Gasoline Direct Injection ==========
======
Caliber Collision is the industry leader in quality collision repair. Since day one, our highest purpose has been to get people just like you back on the road as quickly as possible and fully restored to the rhythm of your life. You can be sure we do everything possible to ensure your complete satisfaction including:
•Personalized, high quality service from the largest collision repair company in the U.S. •Consistently ranked among the highest customer satisfaction scores in the industry. •Approved by every major insurance company in the U.S.

Expedited car rental and towing services to get you back on the road again in no time. •Repair work backed by a written, lifetime warranty honored at every location. •24/7/365 customer service to answer questions and put your mind at ease.

This is a preliminary estimate based on visible damage. There may be additional repairs needed once the vehicle is taken apart by our I-CAR Gold Class technicians to identify any additional damage.

If an insurance company has written an estimate for you, please provide us with a copy. Properly endorsed insurance company checks are welcome as payment for the repair of your vehicle. Caliber Collision gladly accepts all major credit cards, debit cards, cashier's and traveler's checks. See your Caliber Collision center for details on acceptance of personal checks.

Before leaving your vehicle with us, please remove all important personal and valuable items from your vehicle.

Caliber Collision is not responsible for belongings left in your vehicle.

Please let us know how we can be of further assistance, and when we can schedule an appointment for your vehicle to be repaired.

Caliber Collision - Restoring The Rhythm Of Your Life®
======
1/28/2022 8:11:25 AM 036535 Page 4
Preliminary Estimate
Customer: Rincon, Christian
2019 KIA Optima S Automatic 4D SED 4-2.4L Gasoline Gasoline Direct Injection 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 SYMBOL THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED:

MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART, A=APPROXIMATE PRICE. LABOR TYPES: B=BODY LABOR, D=DIAGNOSTIC, E=ELECTRICAL, F=FRAME, G=GLASS, M=MECHANICAL, P=PAINT LABOR, S=STRUCTURAL, T=TAXED MISCELLANEOUS, X=NON TAXED MISCELLANEOUS. CCC ONE: 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, 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. OPT OEM=ORIGINAL EQUIPMENT MANUFACTURER PARTS EITHER OPTIONALLY SOURCED OR OTHERWISE PROVIDED WITH SOME UNIQUE PRICING OR DISCOUNT. "CURE TIME" MEANS THE LENGTH OF TIME THAT, PER THE ADHESIVE MANUFACTURER, THE WINDSHIELD

ADHESIVE NEEDS TO CURE UNTIL THE WINDSHIELD CAN PROPERLY FUNCTION AS A SAFETY DEVICE PURSUANT TO THE FEDERAL MOTOR VEHICLE SAFETY STANDARDS AND THE VEHICLE MANUFACTURER'S SPECIFICATIONS. 1/28/2022 8:11:25 AM 036535 Page 5
Preliminary Estimate
Customer: Rincon, Christian
2019 KIA Optima S Automatic 4D SED 4-2.4L Gasoline Gasoline Direct Injection Estimate based on MOTOR CRASH ESTIMATING GUIDE and potentially other third party sources of data. Unless otherwise noted, (a) all items are derived from the Guide ARY2436, CCC Data Date 01/17/2022, and potentially other third party sources of data; and b) the parts presented are OEM-parts. OEM parts are manufactured by or for the vehicle's Original Equipment Manufacturer (OEM) according to OEM's specifications for U.S. distribution. OEM parts are available at OE/Vehicle dealerships or the specified supplier. 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 with discounted pricing. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor data provided by third party sources of data may have been modified or may have come from an alternate data source.

Tilde sign (~) items indicate MOTOR Not-Included Labor operations. The symbol (<>) indicates the refinish operation WILL NOT be performed as a separate procedure from the other panels in the estimate. Non-Original Equipment Manufacturer aftermarket parts are described as Non OEM, A/M or NAGS. Used parts are described as LKQ, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Pound sign (#) items indicate manual entries.

Some 2022 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 CCC ONE estimator has a list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership.

The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to be repaired or replaced:

SYMBOLS FOLLOWING PART PRICE:
m=MOTOR Mechanical component. s=MOTOR Structural component. T=Miscellaneous Taxed charge category.

X=Miscellaneous Non-Taxed charge category.

SYMBOLS FOLLOWING LABOR:

D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category.

M=Mechanical labor category. S=Structural labor category. (numbers) 1 through 4=User Defined Labor Categories.

OTHER SYMBOLS AND ABBREVIATIONS:

Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. BInd=Blend. BOR=Boron steel.

CAPA=Certified Automotive Parts Association. D&R=Disconnect and Reconnect. HSS=High Strength Steel.

HYD=Hydroformed Steel. Incl.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non Adjacent. NSF=NSF International Certified Part. O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace.

R&I=Remove and Install. R&R=Remove and Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel.

Sect=Section. Subl=Sublet. UHS=Ultra High Strength Steel. N=Note(s) associated with the estimate line.

CCC ONE Estimating - A product of CCC Intelligent Services Inc.

The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR CRASH ESTIMATING GUIDE:

BAR=Bureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number. 1/28/2022 8:11:25 AM 036535 Page 6

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