MERCURY P.O. Box 10730
Santa Ana, CA 92711-0730
INSURANCE
June 28, 2023
2023 JUL
RIALTO CITY CLERK'S OFFICE
150 S PALM AVE - 3 CITY OF RIALTO
RIALTO, CA 92376 RECEIVED
CLERK AMI: 27
RE: OUR INSURED: GERARDO ALANIS
OUR CLAIM NUMBER CAPA-02144511
DATE OF LOSS JUNE 11, 2023
DEAR RIALTO CITY CLERK'S OFFICE:
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 $8,083.60
Deductible $500.00
Supplements
Rental Expense
Out of Pocket Expense
Other Tow $1,620.98
Salvage
VLF, if applicable
Total $10,204.58
Total Amount Due $10,204.58
Other:
Salvage sale pending.
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 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
888-917-6372
Encl.
C21 04/2021
CITY OF RIALTO CITY CLERK'S DATE STAMP
LIABILITY
CLAIM FOR DAMAGES
TO PERSON OR PROPERTY
RIAG
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). =
2. Claims for damages to real property must be filed not later than one (1) year afler the occurrence (Gov. Code §911.2). RETURN TO:
3.READ ENTIRE CLAIM FOR BEFORE FILING
Rialto City Clerk's Office
4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Mail: 150 S. Palm Ave., Rialto, CA 92376 Address: 290 W. Rialto Avé., Rialto, CA 92376
CLAIMANT INFORMATION:
Mercury Insurance as subrogee of Omar Alanis
FULL NAME DATE OF BIRTH
PO Box 10730, Santa Ana, CA 92711 (888) 917 - 6372
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO.
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: 06/11/2023 TIME: 2:00 AM XAM • 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.
Foothill Blvd and Cactus Ave, Rialto, CA.
3. HOW DID DAMAGE OR INJURY OCCUR?
While driving on city road, our insured struck a pothole in road. Pothole caused damages to vehicle.
Damages resulted in a total loss. Salvage sale pending.
4. WERE POLICE AT THE SCENE? • YES X NO WERE PARAMEDICS AT THE SCENE? •YES NO
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.
Pothole in city road. Road not maintained.
6. GIVE TOTAL AMOUNT OF CLAIM include estimate of amount of any prospective injury or damage $_10,204.58 HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.
DAMAGES INCURRED TO DATE:
Item/Date: Total loss/ 6/27/23 Amount: $8,083.60
Item/Date: Tow/ 6/27/23 Amount: $1,620.98
Our insured is out of pocket $500 for deductible.
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $ 10,204.58 ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:
Item/Date: Amount: $
Item/Date: Amount: $
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES:
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: | ) TELEPHONE: | )
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITALS) VISITED:
NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: ( TELEPHONE: ()
DATE: TIME: ПАМ ПРМ DATE: TIME: • АМ • PM
9. PLEASE READ THE FOLLOWING CAREFULLY:
For all vehide 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.
CURB
2023
PARKWAY
7/F SIDEWALK
CITY OF RIA
LAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF; AND CERTIFY THAT THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT AS T HOSE MATTERS WHICH ARE HEREIN STATED UPON MY INFORMATION AND BELIEF; AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRL I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. on behalf of Mercury A nsurance
SIGNATURE OF CLAIMANT OR AGENT
Tiffany Pinnell 6/28/2023
TYPE OR PRINT NAME DATE
Insurance Company
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 Check Number - Check Type Pay To : Amount = Status ÷ Issue Date :
Indemnity Omar Alanis $8,083.60 Cleared 06/27/2023
Indemnity NATION SAFE DRIVERS $1,620.98 Cleared 06/27/2023 L2::W E- 700 C20Z
Case Number: 11958365
InvoiceNumber: 4821024
Invoice Date: 06/14/2023
Producer Code: 79023
NSL
VIN: Desc: : 2005 IS 300 N/A Mileage Name
(Vehicle Identification Number) (Vehicle Year Model Color) Omar Alanis Task Id 4821024
Incident Type LDR
Provider Name D&A Towing
Provider ID 149405
Purchase Order 9652254
Disablement / Impound Business Name other
(scalem entered is disabled) RIVERSIDE, CA 92504
Tow To Address
(Destination where vehicle is towed to) REDLANDS, CA 92373 Drop Off Delivery Date/Time 6/15/2023 3:14:00PM
Impound Reason n/a 2023 JUL - 3 Atill: 27 CITY OF RIALTO Miles To Scene
(Unloaded driving miles)
CLERK
Miles To Scene to drop off
(Loaded driving miles)
SERVICED PERFORMED
Service Description
Actual service type performed in Townet system Light Duty Recovery
ITEMIZED CHARGES
Dispatch Fee $29.00
Task LM Fee
Loaded mile fee $0.00
Task UM Fee
Unloaded mile fee $0.00
Task DM Fee
Deadhead mile fee $0.00
Task Fuel Surcharge Fee $0.00
Task Hook Fee $0.00
Impound Fee Breakup
Initial Tow $0.00
Cleanup Fee $0.00
Yard Fee $0.00
Dollies Fee $0.00
Title Fee $0.00
Admin Fee $0.00
Labor Fee $0.00
Extra Miles Fee $0.00
Winching Fee $0.00
Other Fees $1,411.98
Benifits Over Miles $-
Storage Fee
Sum of storage per day times Days in storage $0.00
Storage Per Day $0.00
Days In Storage
Service Fee $180.00
Task Amount
Total amount for the Task Id $1,620.98
Total Billed Amount
Total of Task Amounts in a CaselD $1,620.98
THANK YOU FOR YOUR BUSINESS
Settlement Details Go to Settlement
Save to History
History
MIG RETAINED - ALANIS Retained CAPA-02144511 Claim Number $8083.60 Total Payment 2005 LEXUS IS300 Yr/Make/Model Coverage/Loan! ase Gap Coverage Repair/Replace Lienholder Payoff 5329.87 Gross Estimate $8083.60 Registered Owner Payment 6127 Estimated Value 7840 ACV
Coverage Policy/PD Limit
249,948 Mileage
$7840.00 Adjusted Cash Value
7840 Agreed Settlement
| Salvage Retention
$7840.00 Taxable Amount
$607.60 Sales Tax [7.75%
Lease Tax
15 Transfer Fees
121 VLF
$8583.60 Gross Settlement
| Deductible
| Storage or Shop Fees
$8083.60 Net Settlement
CITY CLERK RECEIVEU 2023 JOL - 3 A..: 28 CITY OF RIALTO Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
= SOLERA | Autosource
Vehicle Claims by Audatex
Market-Driven Valuation ™
Mercury Insurance is dedicated to delivering
exceptional service to you in reference to your
claim CAPA-02144511 from loss date
06/11/2023 on a 2005 Lexus IS300 STD 4D
Sedan. Mercury Insurance has selected
Audatex, an independent vehicle valuation Market Value
company, to prepare a comprehensive vehicle
valuation for your vehicle. This valuation report $7,840 was prepared specifically for your vehicle and
represents a fair and accurate value driven by
2023 JUL
the retail used vehicle market.
In these pages, you will find:
= Vehicle Inspection CITY OF RIALTO
=> Market Overview
= Valuation Detail
The Valuation Process
The breadth and depth of the Audatex used vehicle database makes Autosource the most comprehensive market-driven valuation process available. Audatex has been determining locally sensitive, fair, and accurate market values for vehicles since 1985, with more than 30 million vehicles valued. The Autosource Market Value includes vehicles for sale at dealerships and private party sellers, starting right in the local market.
Market Overview
• What is my Vehicle Market Value based on?
92376, Rialto California-Research for your vehicle was based on market analysis originating from your zip/postal code.
air and accurate market valuations must balance geographic location with comparability of on ehicle to others. Having the largest and most current database of vehicles for sale provides Rialto
Valuation Detail
Comparable Vehicle 1 Your Vehicle Adjustment
Price Tucker, Ga $7,895
Claim CAPA-02144511 Request 58190875 Page 1
•
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
Odometer 220,100 Mi(Actual) 249,948 Mi(Actual) -150
Convenience Options Cargo/Trunk Mat 5
Cargo/Trunk Net 5
Other Optional Equipment Rear Spoiler 45
Wheel Locks 5
Roof Options Power Moonroof 50
Seat Options Velour/Cloth Seats Leather Seats 415
Packages Power & Leather Package 50
Market Driven Value Comparable 1 $8,320
Comparable Vehicle 2 Your Vehicle Adjustment
Price Smyrna, Ga $6,900
Odometer 227,241 Mi(Actual) 249,948 Mi(Actual) -115
Convenience Options Cargo/Trunk Mat 5
Cargo/Trunk Net 5
Other Optional Equipment Rear Spoiler
Wheel Locks 5
Roof Options Power Moonroof 50
Seat Options Velour/Cloth Seats Leather Seats 415
Packages Power & Leather Package 50
Market Driven Value Comparable 2 $7,360
Final Market Value Calculation
Market Value Based on Comparable 1 $8,320
Market Value Based on Comparable 2 $7,360
Average Condition Adjusted Market Value $7,840
Total Adjusted Average Market Value $7,840
Vehicle Description
VIN: [
2005 Lexus IS300 STD 4D Sedan
249,948 Miles Actual
6cyl Gasoline 3.0 2023 JUL CITY OF
5 Speed Automatic
Interior Air Conditioning Alarm System Armrests). -
Climate Control For A/C Cruise Control Digital Clock
Carpeting Center Console Electronic Compass
Bucket Seats Interior Lighting Intermittent Wipers
Lighted Entry System Floor Mats Pwr Accessory Outlets)
Power Door Locks Power Windows Rear Bench Seat
Leather Steering Wheel Tachometer Trip Computer
Temperature Gauge(s) Tilt Steering Wheel
Exterior Auto Dim Ext. Mirrors) Rear Window Defroster High Intensity Headlamps Claim CAPA-02144511 Request 58190875 Page 2
•
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
Keyless Entry System Heated Power Mirrors Rem Trunk-L/Gate Release Rear Spoiler Tinted Glass Aluminum/Alloy Wheels
Mechanical Power Brakes Power Steering Full Size Spare Tire Sport Suspension
Safety Automatic Dimming Mirror Auto Headlamp Control Auto-Leveling Headlamps Dual Airbags Anti-Lock Brakes Courtesy/Warning Lights
Daytime Running Lights Fog Lights Head Airbags
Side Airbags Traction Control System Theft Deterrent System Entertainment Compact Disc Changer In-Dash CD Changer & Tape Packages Power & Leather Package, Driver Seat Memory, Dual Power Seats, Garage Door Opener, Leather Seats, Power Moonroof
Preferred Accessory Pkg., Cargo/Trunk Mat, Cargo/Trunk Net, Wheel Locks Trim Levels *STD * Indicates your trim level
A detailed description of your vehicle was provided to Autosource by a trained appraiser. Contact Mercury Insurance if revisions are necessary.
Vehicle Condition
Seats Moderate Wear
Carpets Moderate Wear
Int Trim Moderate Damage
Glass Good
Headliner Good
Body Moderate Damage
Paint Moderate Damage
Ext Trim Moderate Damage
Engine Minor Work
Transmission Minor Work
Front Tires Good
Rear Tires Good
Administrative Data
Icsel Galindo Claimant
Mercury Insurance Insured Alanis 0023 JUL
Rancho Cucamonga Branch Claim CAPA-02144511
555W Imperial Hwy Loss Date 06/11/2023 CITY CLERK RECEIVED - 3 CITY OF RIALTO Brea CA 92821-4839 Loss Type Collision
Policy
Other AMII: 28
VINSOURCE Analysis
VIN L
Claim CAPA-02144511 Request 58190875 Page 3
•
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
Decodes as 2005 Lexus IS300 STD 4D Sedan
Accuracy Decodes Correctly
History Activity was reported
AudaVIN No
• Autosource activity: (NONE).
• Autotrak activity: (NONE).
• Audatex/Estimating activity: (NONE)
• Sales history activity: (NONE)
NICB Report
NICB/ISO MOO8 MERCURY CASUALTY COMPANY
Member
Claim CAPA02144511 Loss Date 06/11/23
Type of Loss PROPERTY/CASUALTY Phone 8882637287
Vehicle Salvage Title Summary
Event Date Event Location Odometer Reading Event Detail 06/02/22 CA 242059 Passed Emission Inspection
05/06/20 CA 227002 Passed Emission Inspection
05/02/20 CA 226983 Emission Inspection
03/13/18 CA 209701 Passed Emission Inspection
04/07/16 CA 187752 Passed Emission Inspection
05/28/15 RIALTO, CA Registration Event/Renewal
05/20/15 RIALTO, CA Title
02/24/14 CA 155141 Passed Emission inspection
05/06/12 RIALTO, CA Title
04/26/12 RIALTO, CA Registration Event/Renewal
04/20/12 CA 123704 Passed Emission Inspection
02/23/12 CA 120997 Odometer Reading From DMV
01/12/12 PHOENIX, AZ Registration Event/Renewal
12/31/11 PHOENIX, AZ Registration Event/Renewal
01/18/11 PHOENIX, AZ Registration Event/Renewal 2023
01/18/11 AZ 105000 Passed Emission Inspection
01/19/10 PHOENIX, AZ Registration Event/Renewal r JUL
01/04/09 PHOENIX, AZ Registration Event/Renewal, iT
- 3
01/18/08 PHOENIX, AZ Registration Event/Renewal- CITY OF RIALTO 01/15/07 PHOENIX, AZ Registration Event/Renewal
03/16/06 PHOENIX, AZ Registration Event/Renewal AMI1: 28 01/22/05 PHOENIX, AZ 45 Title(Title #:078H005021002)
01/21/05 PHOENIX, AZ Registration Event/Renewal
12/03/04 AZ
Auto Check
i part of Experian
Claim CAPA-02144511 Request 58190875 Page 4
•
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
Vehicle Title History Detail
Experian Title Check
THIS VEHICLE CHECKS OUT! AutoCheck's results for this 2005 Lexus IS300 STD 4D Sedan (JTHBD192050096631) show no significant Title Events. When found, events often indicate past automotive damage or warnings associated with the vehicle title.
Problems Checked Results Found
Abandoned No Abandoned Record Found
Damaged No Damaged Record Found
Fire Damage Incident No Fire Damage Incident Record Found Grey Market No Grey Market Record Found
Hail Damage No Hail Damage Record Found
Insurance Loss No Insurance Loss Record Found
Junk No Junk Record Found
Rebuilt/Rebuildable No Rebuilt/Rebuildable Record Found Salvage No Salvage Record Found
Experian Problem Check
THIS VEHICLE CHECKS OUT! AutoCheck's results for this 2005 Lexus IS300 STD 4D Sedan (JTHBD192050096631) show no historical events that indicate a significant automotive problem. These problems can indicate previous car damage, theft, or other significant problem.
Problems Checked Results Found
NHTSA Crash Test Vehicle No NHTSA Crash Test Vehicle Record Found Frame Damage No Frame Damage Record Found
Major Damage Incident No Major Damage Incident Record Found 2023 JUL - 77
Manufacturer Buyback/Lemon No Manufacturer Buyback/Lemon Record Found - 3
Odometer Problem No Odometer Problem Record Found CLERK CEIVED CITY OF RIALTO Recycled No Recycled Record Found
AMI: 28
Salvage Auction No Salvage Auction Record Found
Water Damage No Water Damage Record Found
Experian Odometer Check
THIS VEHICLE CHECKS OUT! For this 2005 Lexus IS300 STD 4D Sedan (JTHBD192050096631), no indication of an odometer rollback or tampering was found. Experian determines odometer rollbacks by searching for records that Claim CAPA-02144511 Request 58190875 Page 5
•
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
indicate odometer reading that are less than a previously reported value. Other odometer events can report events of tampering, or possible odometer breakage.
Date Reported Odometer Reading
06/02/22 242,059
05/06/20 227,002
05/02/20 226,983
03/13/18 209,701
04/07/16 187,752
02/24/14 155,141
04/20/12 123,704
02/23/12 120,997
01/18/11 105,000
01/22/05 45
Experian Vehicle Information
INFORMATION FOUND! AutoCheck found additional information on this vehicle. These records will provide you with more past history for this 2005 Lexus IS300 STD 4D Sedan (JTHBD192050096631).
Problems Checked Results Found
Accident Data No Accident Data Record Found
Corrected Title No Corrected Title Record Found
Driver Education No Driver Education Record Found
Duplicate Title No Duplicate Title Record Found
Emission/Safety Inspection Emission/Safety Inspection Record(s) Found Fire Damage Incident No Fire Damage Incident Record Found Fleet No Fleet Record Found
Fleet/Lease No Fleet/Lease Record Found
Fleet/Rental No Fleet/Rental Record Found
Lease No Lease Record Found
Lien y Lien Records) Found
CITY CLERX RECEIVED 2023 JUL - 3 AII: 28
Livery Use No Livery Use Record Found CITY OF RIALTO
Government Use No Government Use Record Found
Police Use No Police Use Record Found
Rental No Rental Record Found
Repossessed No Repossessed Record Found
Taxi Use No Taxi Use Record Found
Claim CAPA-02144511 Request 58190875 Page 6
•
Report Date 06/23/23 2005 Lexus IS300 STD 4D Secar:
Problems Checked Results Found
Theft No Theft Record Found
Experian Full History
Title History events are listed in reverse chronological order: Bolded items represent unusual events.
Date Location Odometer Data Source Event Detail
06/02/22 CA 242,059 Motor Vehicle Dept. Passed Emission Inspection 05/06/20 CA 227,002 Motor Vehicle Dept. Passed Emission Inspection 05/02/20 CA 226,983 Motor Vehicle Dept. Emission Inspection 03/13/18 CA 209,701 Motor Vehicle Dept. Passed Emission Inspection 04/07/16 CA 187,752 Motor Vehicle Dept. Passed Emission Inspection 05/28/15 RIALTO, CA Motor Vehicle Dept. Registration Event/Renewal 05/20/15 RIALTO, CA Motor Vehicle Dept. Title (Lien Reported) 02/24/14 CA 155, 141 State Agency Passed Emission Inspection 05/06/12 RIALTO, CA Motor Vehicle Dept. Title (Lien Reported) 04/26/12 RIALTO, CA Motor Vehicle Dept. Registration Event/Renewal 04/20/12 CA 123,704 State Agency Passed Emission Inspection 02/23/12 CA 120,997 Motor Vehicle Dept. Odometer Reading From DMV 01/12/12 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 12/31/11 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 01/18/11 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 01/18/11 AZ 105,000 Independent Emission Passed Emission Inspection Source
01/19/10 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 01/04/09 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 01/18/08 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 01/15/07 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 03/16/06 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 01/22/05 PHOENIX, AZ 45 Motor Vehicle Dept. Title (Lien Reported) (Title#: 078H005021002) 01/21/05 PHOENIX, AZ Motor Vehicle Dept. Registration Event/Renewal 12/03/04 AZ Independent Source
Icon Legend = No Problem Found V = Information Found = Problem Found Processed on 06/23/23 3:10 PM. Vehicle Title History is based on data provided by Experian.
The Experian data contained in this report involves the conveyance of information provided to AutoCheck? Experian by other sources. Accordingly, neither Experian nor Audatex North America LLC can, o vill, be a n insurer or guarantor of the accuracy or reliability of the Experian data Try Vehicle Description
VIN: |
2005 Lexus IS300 STD 4D Sedan
249,948 Miles Actual
6cyl Gasoline 3.0
5 Speed Automatic
Interior Air Conditioning Alarm System Armrests)
Claim CAPA-02144511 Request 58190875 Page 7
•
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
Climate Control For A/C Cruise Control Digital Clock
Carpeting Center Console Electronic Compass
Bucket Seats Interior Lighting Intermittent Wipers
Lighted Entry System Floor Mats Pwr Accessory Outlets)
Power Door Locks Power Windows Rear Bench Seat
Leather Steering Wheel Tachometer Trip Computer
Temperature Gauge(s) Tilt Steering Wheel
Exterior Auto Dim Ext. Mirrors) Rear Window Defroster High Intensity Headlamps Keyless Entry System Heated Power Mirrors Rem Trunk-L/Gate Release Rear Spoiler Tinted Glass Aluminum/Alloy Wheels
Mechanical Power Brakes Power Steering Full Size Spare Tire Sport Suspension
Safety Automatic Dimming Mirror Auto Headlamp Control Auto-Leveling Headlamps Dual Airbags Anti-Lock Brakes Courtesy/Warning Lights
Daytime Running Lights Fog Lights Head Airbags
Side Airbags Traction Control System Theft Deterrent System Entertainment Compact Disc Changer In-Dash CD Changer & Tape Packages Power & Leather Package, Driver Seat Memory, Dual Power Seats, Garage Door Opener, Leather Seats, Power Moonroof
Preferred Accessory Pkg., Cargo/Trunk Mat, Cargo/Trunk Net, Wheel Locks Trim Levels *STD * Indicates your trim lével
A detailed description of your vehicle was provided to Autosource by a trained appraiser. Contact Mercury Insurance if revisions are necessary.
Comparable Vehicle Details *0
The following information provides the details for the vehicle(s) used to calculate the Autosource Value. The market area may have imited due toe in unique to ture e sue loss vehicable vehicles. I's necessary to extend the search in cases where market data is 1 2005 Lexus IS300 STD 4D Sedan JTHBD192350094758 $7,895 Stock# 50094758. 220100 Miles. 6 Cylinder 3.0 Engine, 5 Speed Automatic, Climate Control For A/C, Anti-Lock Brakes, Air Conditioning, Auto Dim Ext. Mirrors), Automatic Dimming Mirror, Auto Headlamp Control, Auto-Leveling Headlamps, Alarm System, Aluminum/Alloy Wheels, Armrests), Bucket Seats, Cruise Control, In-Dash CD Changer &Tape, Compact Disc Changer, Digital Clock, Courtesy/Warning Lights, Carpeting, Center Console, Dual Airbags, Rear Window Defroster, Heated Power Mirrors, Daytime Running Lights, Electronic Compass, Floor Mats, Fog Lights, Full Size Spare Tire, Head Airbags, High Intensity leadlamps, Interior Lighting, Intermittent Wipers, Keyless Entry System, Lighted Entry System, Leather Steering Wheel, Pwr Accessory Outlets), Power Brakes, Power Door Locks, Power Steering, Power Windows, Rear Bench Seat, Rem Trunk-L/Gate Release, Side Airbags, Sport Suspension, Tachometer, Trip Computer, Traction Control System, Theft Deterrent System, Temperature Gauge(s), Tinted Glass, Tilt Steering Wheel, Velour/Cloth Seats, Overdrive.
Offered for sale by Dealer (678) 672-2727, 1896 miles away in Tucker, GA. Vehicle information by *Leading Internet Auto Site on 06/20/23.
2 2005 Lexus IS300 STD 4D Sedan JTHBD192750100707 $6,900 Stock# 5828. 227241 Miles. 6 Cylinder 3.0 Engine, 5 Speed Automatic, Climate Control For A/C, Anti-Lock Brakes, Air Conditioning, Auto Dim Ext. Mirrors), Automatic Dimming Mirror, Auto Headlamp Control, Auto-Leveling Headlamps, Alarm Claim CAPA-02144511 Request 58190875 Page 8
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
System, Aluminum/Alloy Wheels, Armrests), Bucket Seats, Cruise Control, In-Dash CD Changer & Tape, Compact Disc Changer, Release, Side Airbags,
Temperature Gauge(s), Tinted Glass, Tilt Steering Wheel, Velour/Cloth Seats, Auto Dimming Mirror, Child Safety Locks, First-Aid Kit, Side Curtain Airbags.
Offered for sale by Promace Imports (770) 850-3821, 1879 miles away in Smyrna, GA. Vehicle information by Vast on 05/15/23. • How did Autosource make adjustments for my vehicle?
The main factors that affect the retail selling price and marketability of a vehicle are odometer, equipment and condition Therefore, Autosource valuations include adjustments that fairly consider the differences between your vehicle and the typica vehicle found in the market.
• Odometer
• Adjustments are made to account for the odometer differences between the loss vehicle and comparable(s). * The odometer adjustment is based on $0.0050 cents per mile specific to the 2005 Lexus IS300 STD 4D Sedan in the state of California. Odometer adjustments are capped at 40% of the vehicle's starting value. • Equipment
. Adjustments are made to account for the differences in equipment between the loss vehicle and comparables). CITY OF * Equipment adjustments aré based on the manufacturer's retail price, adjusted for depreciation • Condition co
• Typical condition is based on hundreds of inspected vehicles • Condition adjustments are based on a percentage of the vehicle's value LERK RIALT Original Equipment Guide
Engine Options Transmission Options
* 6 Cylinder 3.0 Engine STD 5 Speed Manual STD
* 5 Speed Automatic $1,370
Other Optional Equipment Convenience Options
* Anti-Lock Brakes STD * Climate Control For A/C STD
* Auto Dim Ext. Mirror(s) STD * Air Conditioning STD
* Digital Clock STD * Automatic Dimming Mirror STD
* Carpeting STD * Auto Headlamp Control STD
* Center Console STD * Auto-Leveling Headlamps STD
* Dual Airbags STD Armrest(s) STD
* Electronic Compass STD * Cargo/Trunk Mat $69
* Fog Lights STD * Cruise Control STD
* Head Airbags STD * Cargo/Trunk Net $59
* High Intensity Headlamps STD Courtesy/Warning Lights STD * Interior Lighting STD * Rear Window Defroster STD
* Intermittent Wipers STD Daytime Running Lights STD
* Keyless Entry System STD * Floor Mats STD
Limited SIp Differential $390 * Garage Door Opener TYP
* Lighted Entry System STD Rem Trunk-L/Gate Release STD * Leather Steering Wheel STD Tilt Steering Wheel STD
Navigation System $2,000 Power Accessories
* Pwr Accessory Outlets) STD * Heated Power Mirrors STD Claim CAPA-02144511 Request 58190875 Page 9
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
Paint Protection Film $385 * Dual Power Seats TYP
* Side Airbags STD * Power Brakes STD
Stability Cntri Suspensn $350 * Power Door Locks STD
* Rear Spoiler $440 * Power Steering STD
* Sport Suspension STD * Power Windows STD
* Tachometer STD Seat Options
* Trip Computer STD * Bucket Seats STD
* Traction Control System STD * Driver Seat Memory
* Temperature Gauge(s) STD Heated Front Seats $440
* Tinted Glass STD * Leather Seats TYP
* Wheel Locks $66 * Rear Bench Seat STD
Radio/Phone/Alarm Options Velour/Cloth Seats STD
* Alarm System STD Wheel Options
* In-Dash CD Changer &Tape STD * Aluminum/Alloy Wheels STD * Compact Disc Changer STD Polished Alloy Wheels $400
* Theft Deterrent System STD Roof Options
Tires * Power Moonroof $500
* Full Size Spare Tire STD
Option Packages
Alcantara Package $1,065 Includes Driver Seat Memory, Dual Power Seats, Garage Leather/Acantara Interior Trim Seats, Door Opener, Leather Power Moonroof, Leather Package $2,465 Includes Leather/Escatine Seat Trim; Dual 8-Way Power Seats; Garage Door Opener.
Leather/Alcantara Int Pkg $2,065 Door Opener, Lester Metory. Dual Power Seals, Garage * Power & Leather Package $1,465 cludes Driver Seat Memory, Dual Power Seats, Garag oor Opener, Leather Seats, Power Moonroo!
* Preferred Accessory Pkg. $194 Includes Cargo/Trunk Mat, Cargo/Trunk Net, Wheel Locks Wood Switch Plates $100
Base retail price $30,280
Loss Vehicle manufacturer's suggested retail price as reported $33,749 Editions available for the same body style (in order of original cost, increasing): *STD * Indicates loss vehicle equipment.
Recall Bulletins
No recall bulletins have been issued that apply to this vehicle Valuation Notes
• Loss vehicle description was provided by Mercury Insurance • Adjustments of Special Note
• Comparison: $480 Leather Seats with comparable #1 $65 Velour/Cloth Seats • Comparison: $480 Leather Seats with comparable #2 $65 Velour/Cloth Seats A mileage adjustment of $0.0050 cents per mile/kilometer has been applied. This adjustment is based on the vehic ar, vehicle category and market area. Mileage adjustments are capped at 40% of the vehicle's starting valu • Typical miles for this 2005 Lexus IS300 in California is 159,712. • No special adjustments were made for this vehicle.
Claim CAPA-02144511 Request 58190875 Page 10
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
• All values are in U.S. dollars.
• Autosource Valuation Process
• Over 7,000,000 vehicles are entered weekly into the database used for researching this value. This database includes dealer inspected, dealer inventory, dealer advertised, phone verified and advertised private party vehicles. • The originating search area for this valuation was Rialto, California. * The value of the Package adjustments displayed include only those items that cannot be purchased individually. Other equipment items included in the package that can be purchased separately are adjusted with the vehicle equipment, and these adjustments are noted by the applicable options.
Loss Vehicle Valuation
Autosource has been chosen by Mercury Insurance to assist in establishing a fair and reasonable market value for your vehicle We are proud to offer you the most current and comprehensive automotive valuations available today.
Your vehicle was inspected and/or described to Autosource by a trained representative of Mercury Insurance. Autosource has evaluated all aspects of your vehicle provided by Mercury Insurance as well as those features identified by the Vehicle Identificatior Number (VIN) or known to be standard equipment for your vehicle.
The market value of your vehicle is determined by comparing it to other vehicles in your area of similar make, model, equipment odometer and condition that have been offered for sale or sold. The sources for this comparison include new and used car dealers newspapers, traders, specialty journals and the Internet. Our exclusive Dealer Access program provides us with electronic inventories from thousands of affiliated dealers in North America.
Each week, over 7,000,000 vehicles are listed from these sources, representing over 100,000 dealerships and 3400 publications making our database the largest in the industry. We utilize the industry's largest electronic network and leading edge technology to provide you with the most current inspected, surveyed or advertised market data. We will find the closest vehicle matches in the area nearest your home.
About Your Valuation
This report contains proprietary information of Audatex and its partners and shall not be disclosed to any third party (other than the insurer or insured, or their legal representative; or claimant or claimants insurer for purposes of subrogation) without Audatex's prior ritten consent. If vou are the insured or claimant and have questions regarding the description of your vehicle, please contact tr surance company that is handling vour claim. Information within VINsource/NICB is provided solely to identify potential dunlicati claims activity. User agrees to use such information solely for lawful purposes.
Tax rates contained herein are based on general sales tax data provided by Vertex Inc. Excise, use, registration, licensing anc other taxes and fees that may be applicable are not included. Audatex makes no representations or warranties concerning the applicability or accuracy of such tax data.
California Regulatory Statement
or your protection California law requires the following to appear on this form: Any person who knowingly presents false o raudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. Fals representations made on a signed auto theft claim form subject the insured to a penalty of perjury.
CITY CLERK RECEIVED 2023 JUL - 3
CITY OF RIALTO
AMII: 28
Claim CAPA-02144511 Request 58190875 Page 11
Report Date 06/23/23 2005 Lexus IS300 STD 4D Sedan
Report Generated by Audatex, a Solera Company
÷ SOLERA
US Pat. No 7912740B2
US Pat. No 8200513B2
US Pat. No 8468038B2
US Pat. No 8725544
© 2023 Audatex North America, LLC. SOLERA & Design,
Audatex, and Autosource are trademarks owned by Solera
Global Technology Ltd., and Audatex North America, LLC. All other trademarks are the property of their respective owners. All CITY CLERA RECEIVED 2023 JUL - 3 AMII: 28 CITY OF RIALTO Claim CAPA-02144511 Request 58190875
SambaSafety PO Box 1970 Rancho Cordova, CA 95741-1970
CALIFORNIA Vehicle Record - 59313 Order Date: 06/23/2023 Seq #: 0 Host Used: Online Bill Code:
Rec Type: WITH PARKING Reference: CAPA-02144511
VIN: JTHBD192050096631
Plate:
Vehicle Section
Vin # Plate #
Model Year # : 2005 Model : 4D
Make # : LEXS Style AUTO NON-RESIDENT
Body Type AND MOTORCYCLE PASSENGER VEHICLE Motive Power : G Horsepower Engine # Cylinders Type REGULAR AUTO
Asterisk Year : 2012 Length : Net Weight
VLF : CZ
Purchased Year Sold : 2000 Receipt
Reg. Issued : 03/02/2023 Reg. Expires : 02/24/2024
Title Issued : 05/20/2015 Title Expires Title Brand
Sticker
Title Number :
Number
Registered and Legal Owner
Reg. Owner: ALANIS OMAR I Legal Owner:
RIALTO, CA 92376
Miscellaneous State Data
06/02/22 SMOG DUE 02/24/24
NO MAILING ADDRESS
04/26/12 PREV LIC 146987Y
02/23/2012-ODOMETER: 120,997 MILES ACTUAL MILEAGE
RECEIV
END OF REPORT FOR, (CONTROL NUMBER: ET78T8)
Fees Breakdown - Received as part of response from Samba Safety
SETTLEMENT
Period 02/24/2023 to 02/24/2024
Registration Fee 68.00
CHP Fee 30.00
Transportation Improvement Fee 59.00
VLF 13.00
Air Quality Fee 7.00
SAFE Fee 1.00
Fingerprint Fee 2.00
Auto Theft Fee 2.00
TOTAL REGISTRATION FEES PAID 182.00
•
Less Registration Fees Used (4 Mos.) 61.00
TOTAL REGISTRATION FEES UNUSED 121.00
Transfer Fee 15.00
TOTAL DUE FOR PERIOD: $136.00
LICENSE FEE REFUND
Period 02/24/2023 to 02/24/2024
VLF 13.00
VLF Used (4 Mos.) 4.00
VLF Refund Service Fee 25.00
TOTAL LICENSE FEE REFUND: S0.00
FEES PAID
Period 02/24/2023 to 02/24/2024
Registration Fee 68.00
CHP Fee 30.00
Transportation Improvement Fee 59.00
VLF 13.00
Air Quality Fee 7.00
SAFE Fee 1.00
Fingerprint Fee 2.00
Auto Theft Fee 2.00
TOTAL PAID FOR PERIOD: $182.00
TOTAL DUE FOR PERIOD (SETTLEMENT) : S136.00
TOTAL LICENSE FEE REFUND (LICENSE FEE REFUND): $0.00
TOTAL PAID FOR PERIOD (FEES PAID) : $182.00
CITY CLERK RECEITED 2023 JUL - 3 AMII: 28 CITY OF RIALTO •
MB Collision TOTAL LOSS
335 lowa St, Redlands, CA 92373-8087 Estimate ID
Office: (909) 335-0005 CАPA-0214451100101
[email protected] Original
Claim Number
CAPA-0214451100101
Owner Insured Appraiser
Omar Alanis GERARDO ALANIS BLAKE KRAUSS
(909) 552-3244 (Mobile)
rialto. CA 92376 [email protected]
(Mobile)
CA license
Classification
None
MERCURY INSURANCE GROUP
Loss Type Claim Number Policy Number Adjuster
Collision CAPA-0214451100101 040109190126748 Jacob Aragon (888) 917-6372+27813 (Wor
k)
Deductible Reported Date Loss Date Inspection Site
500.00 - Not Waived 06/12/2023 06/11/2023 MB COLLISION CENTER RE DLANDS
335 IOWA ST
REDLANDS, CA 92373-8087
Repair Facility
MB Collision
335 lowa St
Redlands, CA 92373-8087
2005 Lexus IS 300 4 Door Sedan 3.0L 6 Cyl Gas Injected 5 Speed Auto Trans RWD JUL
Exterior Color License VIN Drivable
10 202 (Black Onyx) No OF
Odometer Production Date Mitchell Service Code
249948 11/2004 918767 RIALTO
Primary Point of Impact
Left Front Corner (11)
Options
Air Conditioning Alum/Alloy Wheels AM-FM Stereo Anti-Lock Brake Sys. (ABS) Auto Air Condition Automatic Headlights Cassette Player CD Player CD Player (Multi) Cloth Seat Cruise Control Daytime Running Lights Driver-Front Air Bag Electric Defogger First Row Bucket Seat Fog Lights Heated Mirror High Intensity Discharge Interior Automatic Keyless Entry System Headlights Day/Night Or
Electrochramatic Mirror
Left-Curtain Air Bag Passenger-Front Air Bag Power Door Locks Power Remote Mirror Power Steering Committed On Version Mitchell Cloud Estimating ™ Printed On Profile Page 1 of8 6/22/2023 itchell Estimating 2: 6/22/2023 CA CARS MASTER PROFILE 02:18 PM EM JUN 23 Copyright 1994-2023 Mitchell International, Inc. 02:18 PM 070722 All Rights Reserved Profile Version
30.0 Power Windows Rear Bench Seat Side Airbags Tilt Steering Wheel Traction Control/Electronic GERARDO ALANIS | 2005 Lexus IS 300
Parts Profile Parts Profile Version
CA CARS SOUTH QRP 5.0
LABOR PART
Line# Description Operation Type Total Units CEG Type Number Qty Total Price Tax Front Bumper
1 800031 Frt Bumper Cover Remove / Body 2.7# 2.4 Aftermarket 12329-5PC Yes Replace Certified 809000
2 AUTO Frt Bumper Cover Refinish Refinish 2.1C 2.1
Only
Front Fender
3 800244 L Fender Panel Remove / Body 1.9# 26 NEW GEU34201- 1 Yes Replace 41001
4 AUTO L Fender Outside Refinish Refinish 2.0C 2.0
Only =
5 AUTO L Add To Edge Fender Refinish Refinish 0.5 C 0.5 Only
6 803227 L Fender Liner Remove / Body INC 0.4 NEW [GEU34203- 1 $100.81 Yes Replace 41201]
Front Suspension
7 800426 L Frt Susp Wheel Hub-M Remove / Mechanical INC# 2.4 New 43502-22080 1$238.94 Yes Replace
8 800430 L Frt Susp Shaft Seal -M Remove / Mechanical INC# 2.4 New 90311-48013 1 $11.11 Yes Replace
9 800432 L Frt Susp Snap Ring -M Remove / Mechanical INC# 2.4 New 90521-770011 $3.85 Yes Replace
10 800434 L Frt Susp Wheel Bearing - Remove / Mechanical INC# 2.4 New 90363-32035 1 $133.97 Yes Replace
11 800436 Lt Susp Sensor Rotor- Remove/ Mechanical INC# 2.4 New 43515-22030 1 $37.97 Yes Replace
12 800438 L Frt Susp Nut -M Remove / Mechanical INC# 2.4 New 90179-22022 1 $8.79 Yes Replace
13 800440 L Frt Susp Grease Cap-M Replace Mechanical INC# 2.4 New 43514-53010 1 $21.31 Yes 14 800444 L Frt Susp Steering Remove/ Mechanical 2.4# 2.4 USED 011918 1 $50.00 Yes Knuckle -M Replace
15 900510 Line Markup 20.0% $10.00
16 800453 L Frt Susp Shock Absorber Remove / Mechanical 0.9# 1.4 New 48510-59315 1 $243.99 Yes Replace
17 800465 L Upr Frt Susp Control Remove / Mechanical 0.5# 1.4 New 48630-59025 1 $422.93 Yes Arm Assy-M Replace
18 800467 L Lwr Frt Susp Control Remove / Mechanical 0.6# 2.6 New 48069-53010 1 $367.35 Yes Arm Assy -M Replace
19800475 LLwr Frt Susp Ball Joint - Replave Mechanical INC# 0.9 New 43340-59135 1 $127.86 Yes 20 800479 L Lwr Frt Susp Arm Link - Remove/ Mechanical INC 2.6 New 48670-53010 1$213.06 Yes Replace
Front Steering Linkage / Gear
21 802274 L Inr Steering Tie Rod -M Remove / Mechanical 3.3# 3.3 New 45503-29785 1 $225.98 Yes Replace
22 802280 L Steering Tie Rod End-M Remove / Mechanical INC 0.3 New 45470-59035 1 $94.34 Yes Replace
Front Door
Committed On Version Mitchell Cloud Estimating™M Printed On Page 2 of8 6/22/2023 tchell Estimating 2: Copyright 1994-2023 Mitchell International, Inc. 6/22/2023 CA CARS MASTER PROFILE 02:18 PM EMJUN _23 All Rights Reserved 02:18 PM 070722
Profile Version
30.0 LABOR PART
Line # Description Operation Type Total Units CEG Type Number Qty Total Price Tax 23 801147 L Frt Door Repair Panel Repair Body 1.0*# 7.0 Existing (HSS)
24 AUTO L Frt Door Outside Refinish Refinish 1.6 C 2.0 Existing Only
25 801153 L Frt Otr Door Belt Remove / Body 0.5# 1.0 Existing Moulding Install
26 801155 L Frt Door Mirror Remove / Body INC# 0.7 Existing Install
27 802616 L Frt Door Adhesive Remove / Body 0.2r 0.2 Existing Moulding Install
28 900501 addl laor to clean and
tape
29 935003 L Frt Door Adhesive Additional Body 0.5* 0.0
Moulding Labor
30 801261 L Frt Door Handle Remove / Body 0.8# 0.8 Existing Install
Additional Costs & Materials
31 AUTO Paint/Materials Additional $316.00* Yes
Cost
Additional Operations
32 AUTO Clear Coat Additional Refinish 1.7 0.0 $0.00
Operation
33 933003 Tint Color Additional Body" 0.5° 0.0 $0.00
Operation
34 933017 Finish Sand And Buff Additional Body* 1.0° 0.0 $0.00 Operation
35 900501 5 per panel (not to exceed
3.0hrs)
36 933018 Mask For Overspray Additional Body" 0.0 0.0 $10.00° Operation
Special/ Manual Entry
37 900500 Wheel Recondition Remove / Body® 0.0° 0.0 Remanufacture 1 $125.00° Replace
38 900510 Line Markup 20.0% $25.00
39 900501 It frt
40 900500 Mount & Balance Additional Body* 0.0° 0.0 Sublet 1 $20.00" Labor
41 900501 (per standard wheel)
42 900500 Flex Additive Remove / Body" 0.0* 0.0 Aftermarket 1 $8.00° Replace New
43 900500 Wheel Alignment - 2 whl Additional Body" 0.0* 0.0 Sublet 1 $60.00° Labor
* Judgment Item C Included in Clear Coat Calculation
T Included in Two Tone Calculation A Included in Clear Coat and Two Tone Calculation 2023 JUL - 3 # Labor Note Applies r CEG R&R Time Used for this Labor Operation d Discontinued by Manufacturer 1] Verify the part number and pricebefore ordering
FEELER CITY OF RIALTO
Parts Vendors
NATIONAL AUTO PARTS PLATINUM AUTO TRENDS OE AMII: 28
8701 SIEMPRE VIVA RD. 14434 BEST AVE.
SAN DIEGO CA 92154 SANTA FE SPRINGS CA 90670
(619) 661-6881 (Work) (562) 229-7691 (Work)
(877) 470-0341 (Work) (877) 727-8890 (Work)
Committed On Version Mitchell Cloud Estimating ™ Printed On Page 3 of 6/22/2023 itchell Estimating 23 6/22/2023 CACARS MASTER PROFILE 02:18 PM EM JUN 23] Copyright 1994-2023 Mitchell International, Inc. 02:18 PM 070722
All Rights Reserved Profile Version
30.0 Total Total
Line Part# Price Line Part # Price
1 12329-5PC $390.00 3 GEU34201-41001 $418.41
6 GEU34203-41201 $100.81
Disclaimer: 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.
Recycled Part Vendors 2023 JUL - 3
Advance Auto Wrecking - SCADA CITY OF RIALTO
777 Energy Way Suite C
Chula Vista CA 91911
(619) 216-6012 (Work) =
Line Part# Total Price Vehicle Description VIN
14 011918 $50.00 2005 Lexus LEXUS IS300 L.
Supplier Notes: LH
Dartiner: Rey tied part rin or ay representerther actual ring the price rich there ter pari i rel the undamaged condition) If you are unsure, please contact the automotive recycler.
Estimate Totals
Labor Units Rate Sublet Add'l Amount Totals
Body Labor 9.1 $52.00 $80.00 $10.00 $563.20
Refinish Labor 7.9 $52.00 $410.80
Mechanical Labor 7.7 $75.00 $577.50
Total Labor 24.7 $1,551.50
Taxable $0.00
Tax 0.0000% $0.00
Non-Taxable $1,551.50
Labor Total $1,551.50
Parts Amount
Taxable Parts $3,110.67 $3,110.67
Parts Adjustments -$72.59
Tax 8.7500% $263.64
Non-Taxable $133.00
Parts Total $3,434.72
Costs Amount
Other Additional Costs $0.00 $0.00
Paint Materials $316.00 $316.00
Taxable $316.00
Paint Materials Rate: $40.00 Tax 8.7500% $27.65
Rate Max: 99.9 units Non-Taxable $0.00
Additional Rate: $0.00 Costs Total $343.65
Committed On Version Mitchell Cloud Estimating TM Printed On Page 4 of8 6/22/2023 Mitchell Estimating 23.1 6/22/2023 CA CARS MASTER PROFILE 02:18 PM OEM JUN 23_V Copyright 1994-2023 Mitchell International, Inc. 070722 All Rights Reserved 02:18 PM
Profile Versien
30.0 Estimate Totals
Gross Totals Amount
Gross Total $5,329.87 $5,329.87
Taxable $3,329.08
Tax $291.29
Non-Taxable $1,709.50
Gross Total $5,329.87
Adjustments Amount
Deductible -$500.00 -$500.00
Total Customer -$500.00
Responsibility
Net Estimate Total $4,829.87
PURSUANT TO CALIFORNIA CODE OF REGULATIONS, TITLE 10, CHAPTER 5, SUBCHAPTER 7.5, SECTION 2695.8
THE INSURER WARRANTS THAT ANY NON-ORIGINAL EQUIPMENT MANUFACTURER PARTS SPECIFIED IN THIS
ESTIMATEARE AT LEAST EQUAL TO THEORIGINAL EQUIPMENT MANUFACTURER PARTS IN TERMS OF KIND, QUALITY, SAFETY, FIT AND PERFORMANCE.
Disclaimer: For your protection California law requires the following statement 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.
CITY CLERK RECEIVED 2023 JUL - 3
AMIl: 29 CITY OF RIALTO
Committed On Version Printed On
Mitchell Cloud Estimating™ CA CARS MASTER PROFILE Page 5 of8 6/22/2023 Mitchell Estimating 23.1 Copyricht 1994-2023 Mitchell International, Inc. 6/22/2023 02:18 PM EM JUN_23_V 02:18 PM 070722
All Rights Reserved
Profile Version
30,0
MB Collision TOTAL LOSS
335 lowa St, Redlands, CA 92373-8087 Estimate ID
Office: (909) 335-0005 CAPA-0214451100101
[email protected] Original
Claim Number
CAPA-0214451100101
Unrelated Prior Damage Estimate
Owner Insured Appraiser
Omar Alanis GERARDO ALANIS BLAKE KRAUSS
(Mobile)
rialto, CA 92376 [email protected]
(Mobile)
CA License
Classification
None
MERCURY INSURANCE GROUP
Loss Type Claim Number Policy Number Adjuster
Collision CAPA-0214451100101 040109190126748 Jacob Aragon (888) 917-6372+27813 (Wor
k)
Deductible Reported Date Loss Date Inspection Site
500.00 - Not Waived 06/12/2023 06/11/2023 MB COLLISION CENTER RE DLANDS
335 IOWA ST
REDLANDS, CA 92373-8087
Repair Facility
MB Collision
335 lowa St
Redlands, CA 92373-8087
2005 Lexus IS 300 4 Door Sedan 3.0L 6 Cyl Gas Injected 5 Speed Auto Trans RWD Exterior Color License VIN Drivable
202 (Black Onyx) No
2023 JUL - 3 CITY OF
Odometer Production Date Mitchell Service Code
249948 11/2004 918767 CITY CLERK RECEIVED
Primary Point of Impact
Left Front Corner (11) AMII: 29 RIALTO
Options
Air Conditioning Alum/Alloy Wheels AM-FM Stereo Anti-Lock Brake Sys. (ABS) Auto Air Condition Automatic Headlights Cassette Player CD Player CD Player (Multi) Cloth Seat Cruise Control Daytime Running Lights Driver-Front Air Bag Electric Defogger First Row Bucket Seat Committed On Version Mitchell Cloud Estimating™ Printed On Page 6 ofg 6/22/2023 6/22/2023 PA CARS MASTER PROFILE
02:18 PM Copyright 1994-2023 Mitchell International, Inc. 02:18 PM All Rights Reserved 070722
Profile Version
30.0 •
Fog Lights Heated Mirror High Intensity Discharge Interior Automatic Keyless Entry System Headlights Day/Night Or
Electrochromatic Mirror
Left-Curtain Air Bag Passenger-Front Air Bag Power Door Locks Power Remote Mirror Power Steering Power Windows Rear Bench Seat Side Airbags Tilt Steering Wheel Traction Control/Electronic GERARDO ALANIS | 2005 Lexus IS 300
Parts Profile Parts Profile Version
CA CARS SOUTH QRP 5.0
LABOR PART
Line # Description Operation Type Total Units CEG Type Number Oty Total Price Tax Hood
1 800139 Hood Outside Refinish Refinish 2.9 C 2.9 Existing Only
Rear Door
2 801364 L Rear Otr Door Belt Remove / Body 0.3# 0.3 New 75740-53011 1 $112.52 Yes Moulding Replace
3 AUTO L Rear Door Trim Panel Remove / Body 0.5 0.5
Install
Luggage Lid
4 803247 Spoiler Refinish Refinish 1.4 C 1.4 Existing
Only
Rear Lamps
5 802011 RRear Side Marker Lamp Remave / Body 0.2# 0.2 New 81751-480101 $30.90 Yes Lens & Housing Replace
Additional Costs & Materials
6 AUTO Paint/Materials Additional $228.00° Yes
Cost
Additional Operations
7 AUTO Clear Coat Additional Refinish 1.4 0.0 $0.00 Cl
Operation 2m S
• JudgmentItem CIncluded in Clear Coat Calculation
TIncluded in Two Tone Calculation A Included in Clear Coat and Two Tone Calculation # Labor Note Applies r CEG R&R Time Used for this Labor Operation d Discontinued by Manufacturer [1 Verify the part number and price before ordering 70 Disclaimer: 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.
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'l Amount Totals
Body Labor 1.0 $52.00 $52.00
Refinish Labor 5.7 $52.00 $296.40
Total Labor 6.7 $348.40
Committed On Versian Mitchelt Cloud Estimating™ Printed On Page 7 off 6/22/2023 Mitchell Estimating 23.1 6/22/2023 CA CARS MASTER PROFILE Copyrieht 1994-2023 Mitchell International. Inc.
02:18 PM OEM JUN 23 V All Rights Reserved 02:18 PM 070722 Profile Version
30.0 •
Estimate Totals
Taxable $0.00
Tax 0.0000% $0.00
Non-Taxable $348.40
Labor Total $348.40
Parts Amount
Taxable Parts $143.42 $143.42
Parts Adjustments -$7.18
Tax 8.7500% $11.92
Non-Taxable $0.00
Parts Total $148.16
Costs Amount
Other Additional Costs $0.00 $0.00
Paint Materials $228.00 $228.00
Taxable $228.00
Paint Materials Rate: $40.00 Tax 8.7500% $19.95
Rate Max: 99.9 units Non-Taxable $0.00
Additional Rate: $0.00 Costs Total $247.95
Gross Totals Amount
Gross Total $744.51 $744.51
Taxable $364.24
Tax $31.87
Non-Taxable $348.40
Gross Total $744.51
Adjustments Amount
Total Customer $0.00
Responsibility
Net Estimate Total $744.51
PURSUANT TO CALIFORNIA CODE OF REGULATIONS, TITLE 10, CHAPTER 5, SUBCHAPTER 7.5, SECTION 2695.8
THE INSURER WARRANTS THAT ANY NON-ORIGINAL EQUIPMENT MANUFACTURER PARTS SPECIFIED IN THIS
ESTIMATEAREAT LEAST EQUALTO THE ORIGINAL EQUIPMENT MANUFACTURER PARTS IN TERMS OF KIND, QUALITY, SAFETY, FIT AND PERFORMANCE.
Disclaimer: For your protection California law requires the following statement 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. 200 2023 JUL CITY
ERK AMI1: OF RIALTO
Committedon Version Mitchell Cloud Estimating ™M Printed On 6/22/2023 Mitchell Estimating 23. 6/22/2023 PA CARS MASTER PROFILE Copvrieht 1994-2023 Mitchell International. Inc
02:18 PM DEM JUN 23 1 All Rights Reserved 02:18 PM 070722 Profile Version
30.0 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
Photo 01 jpg Photo 02.jpg
Photo 03.jpg Photo 04.jpg
CITY
CLERK RECEIVED 2023 JUL - 3 AMII: 29 CITY OF RIALTO
https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02... 1/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
Photo 05.jpg Photo 06.jpg
Photo 07.jpg Photo 08.jpg
CITY CLERK RECEIVED 2023 JUL - 3 AMII: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02.. 2/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
Photo 09.jpg Photo 10.jpg
Photo 11.jpg Photo 12.jpg
CITY CLERA RECEIVED 2023 JUL - 3 AMI: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02.. 3/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
Photo 13.jpg Photo 14.jpg
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CITY CLERK RECEIVED 2023 JUL - 3 AMI1: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02. 4/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVED 2023 JUL - 3
AMI1: 29 CITY OF RIALTO
https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02. 5/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVEG 2023 JUL - 3 AMII: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02... 6/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVED 2023 JUL - 3 ANII: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02. 7/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVED 2023 JUL - 3
AM 11: 29 CITY OF RIALTO
https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02... 8/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK. RECEIVED 2023 JUL - 3 AMII: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-02... 9/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERA RECEIVED 2023 JUL - 3
AM!!: 23 CITY OF RIALTO
https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O.. 10/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVED 2023 JUL - 3 AMII: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 11/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERX RECEIVEL 2023 JUL - 3 AMII: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 12/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVLO 2023 JUL - 3 AMII: 29 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 13/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
VUT-
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Đ215/45
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CITY CLERK RECEIVEU 2023 JUL - 3
AM 11: 29 CITY OF RIALTO
https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 14/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVEU 2023 JUL - 3 CITY OF RIALTO
AMII: 29
https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O. 15/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVEU 2023 JUL - 3 CITY OF RIALTO
AM II: 30
https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O.. 16/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERA RECEIYEO 2023 JUL - 3 AMII: 30 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 17/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVEL 2023 JUL -3 AMII: 30 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 18/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVEL 2023 JUL -3 AMII: 30 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 19/20 6/28/23, 8:31 AM Claim: CAPA-0214451100101 01
Claim: CAPA-0214451100101 01 OMAR ALANIS
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CITY CLERK RECEIVEL 2023 JUL - 3 AMI: 30 CITY OF RIALTO https://www.mymitchell.com/Claim/ClaimFileViewer/PhotoThumbnailView.aspx?CID=70782009&SID=75830318&FID=322437389&CNUM=CAPA-O... 20/20
USPOSTAGE PITNEYS
2P 92821 $ 003.' 02 4W
0000383073 JUN 28|
• Box 10730 Santa Ana, California 92711-0730
FIRST CLASS
CITY CLERK RECEIVE- 2023 JUL - 3 AMI: 27 CITY OF RIALTO