Allstate Northbrook Indemnity Company
Allstate. BABAS * 75266 PO BOX 660636
You're in good hands.
2024 JUL 18
CITY OF RIALTO
CITY OF RIALTO
150 S WILLOW AVE CITY CLERK RECEIVED
RIALTO CA 923766302
AM1O:49
July 09, 2024
INSURED: JOSE MOLINA PHONE NUMBER: 800-374-4246
DATE OF LOSS: June 14, 2024 FAX NUMBER: 866-447-4293
CLAIM NUMBER: 0759040637 ART OFFICE HOURS:
LOCATION OF LOSS: Riverside Ave, Rialto, CA
AMOUNT OF DAMAGES: $2,758.17
Re: Results of Our Loss Investigation
Dear CITY OF RIALTO,
We are writing to let you know that after investigating our insured's loss (which is listed above), we concluded that you are legally responsible for the damages. We have settled the claim with our insured, and we will now seek reimbursement from you for this claim and for our insured's deductible, if applicable.
Please make all checks payable to Allstate Northbrook Indemnity Company and send your payment to:
Allstate Payment Processing Center
P.O. Box 650271
Dallas, TX 75265-0271
Please feel free to call me if you want to discuss any aspect of this case including this letter. Be sure to refer to the claim number listed below when you call.
0759040637 ART
4000020240709SF003000050002056002159
If corresponding by e-mail, please send to [email protected] and refer to the Allstate claim number on the subject line. Thank you.
Sincerely,
Your Claim Team
Your Claim Team
800-374-4246
Allstate Northbrook Indemnity Company
CITY CLERK RECEIVED 2024 JUL 18 AMIO: 49 CITY OF RIALTO 0759040637 ART
5000020240709SF003000050003056002160
Report Date: 07/09/2024
Payment Ledger
Policy Holder: JOSE MOLINA AND MARIA Total Amount Paid $2,258.17
G DE LA O
Participant: JOSE MOLINA Medical Deductible: $0.00
Date of Loss: 06/14/2024 Co-payment Amount $0.00
Claim Number: 0759040637
Payment/Credit Payee/Payor Check# Amount
Date
07/08/2024 GERBER COLLISION & GLASS -RANCHO CUCAMONGA 14788 1,701.87 06/21/2024 JOSE MOLINA 182963051 $ 556.30
CITY CLERK RECEIVLO 2024 JUL 18 AMIO: 50 CITY OF RIALTO 1000020240709SF003000050004056002161
2000020240709SF003000050005056002162
4000020240709SF003000050007056002164
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ON THE DATE OF MANUFACTURE SI
AND THEFT PREVENTION STANDARI
FEDERAL MOTOR VEHICLE SAFETY,
THIS VEHICLE CONFORMS TO ALL AI
GVWR 1770KG GAWNr 3U
2000020240709SF003000050010056002167
3000020240709SF003000050011056002168
4000020240709SF003000050012056002169
5000020240709SF003000050013056002170
1000020240709SF003000050014056002171
2000020240709SF003000050015056002172
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4000020240709SF003000050017056002174
50000202407095F003000050018056002175
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1000020240709SF003000050019056002176
2000020240709SF003000050020056002177
33 3000020240709SF003000050021056002178
4000020240709SF003000050022056002179
5000020240709SF003000050023056002180
1000020240709SF003000050024056002181
2000020240709SF003000050025056002182
3000020240709SF003000050026056002183
4000020240709SF003000050027056002184
5000020240709SF003000050028056002185
1000020240709SF003000050029056002186
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American Honda Position Statement
HONDA
Issued: October 2017
SUBJECT: POST-COLLISION DIAGNOSTIC SCAN AND CALIBRATION
REQUIREMENTS FOR HONDA AND ACURA VEHICLES
It is the position of American Honda that all vehicles** involved in a collision must have the following minimum diagnostic scans, inspections; and/or calibrations done to avoid improper repair:
• A preliminary diagnostic scan during the repair estimation phase to determine what diagnostic trouble codes DTCs may be present, so proper repairs may be included. See Background on Scan Requirements for more information.
• A post repair diagnostic scan to confim that no DTCs remain..
Any repair that requires disconnection of electrical components in order to perform the repair will require a post-repair diagnostic scan to confirm if the component is reconnected properly and functioning
Damage that requires body parts replacement will always require a post-repair diagnostic scan.
• Some safety and driver assistive systems will require inspections, calibration, and/or aiming after collision or other body repairs. See page 2 för additional information:
*A collision is defined as damage that exceeds minor outer panel cosmetic distortion.
Background on Scan Requirements
**All vehicles indicates any model year Honda or Acura vehicle that is capable of being scanned. This includes all 1996 to current model year vehicles, certain 1994 to 1995 model year vehicles that contain a 16 pin OBD2 connector; and certain 1992-1995 model year vehicles that contain a 3 pin diagnostic connector. Honda and Acura vehicles include numerous electronic control systems, including those that operate safety and driver assist systems. Most of these systems include onboard self-diagnostics that monitor the state of health andfor rationality of input and output circuits
When monitored circuit values fall outside predetermined thresholds, DTCs may be set in one or more electronic control units (ECUs).
The mechanical forces encountered in a collision can damage electrical circuits and components in ways that are not easily diagnosed with visual inspection methods:
Here are some other electronic control system self-diagnostic facts • The proliferation of electronic control systems has increased the number of potential DTOs beyond the point where a dashboard indicator can be installed and/or illuminated for every DTC. Dashboard indicators are intended for driver notification, not vehicle diagnostics. • Therefore, the presence or absence of dashboard indicators/warning lights is not an acceptable method to determine if post collision diagnostic scans are necessary. • Many DTCs do not illuminate any dashboard indicators, but an electronic control system may still operate improperly or be completely inoperative. • Because of the complexities of serial data networking, dashboard indicators that do illuminate may appear unrelated to the actual vehicle problem. • Some self-diagnostics require multiple failures, or other criteria such as a number of drive cycles, to bé met before illuminating any indicators:
3 3000020240709SF003000050031056002188
40000202407095-003000050032056002189
• Three-stage finishes, including base. mica and clear coats. are updated to say flash and wait time between materiai applications added as not included
• Clear coat undamaged panet is updated to say flash and wait times between materal applications are not included.
• Flash process is updated with a note about not force-drying It asks that drying be completed at 68 degrees for 15-20 minutes. An application that says two medium wet coats over Diamont or ONYX HD basecoats are needed was also added It notes five to 15 minutes is needed between the two coats • Color blend adjacent panels updated estimated refinish times for color blending, saying it should defer to the judgment of an estimator on appraiser following an on-the-spot evaluation of the specific vehicie and refinish requirements in question.
• Three stage color blend for adjacent panels is updated to say that estimated refinish times for color biending should defer to the judgment of an estimator or appraiser following an on-the-spot evaluation of the specific vehicle and refinish requirements in question: (Removed any formula regerding blend, such as the old 50% formula.)
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• Low battery voltage and or rapair procedures may inadvertently set muttple DTCs.
Clear the DCs, and determine which ones reset after battery wallage is stabilized Diagnostic Recommendations
The recommended way to accurately determine the post-collision status of ail Honda and Acura vehicle electronic control systems is with the i-HDS. * The i-HDS has an All DTC Check feature that will scan availabie alectronic control systems for DTCs in one operation.
* Amencan Honda does not test other scan tools and cannot comment on their capablities or accuracy.:
NOTE. Not all electronic control systems can be scanned using the i HDS. For example, Honda LaneWatch™™ and earlier model air conditioning and climate control systems have self-contained dagnostics that are not accessible using the -HDS. For systems such as these:
refer to the published diagnoatic procedures in the appropnate service information available on the Honda Independent Repair/ServiceExpress website (tachinfe honda com).
Inspection/Calibration/Aiming Requirements
Salety and driver assistive systems that will require inspections, calibration, and/or aiming after collision or other body repairs include, but are not limited to the following:
After reconnecting the 12-yelt better
After collision repairs are complete and the battery is reconnected, some electral systems may not operate properly. These may include, but are not linted to the following * Navigation systems
• Engine die speed leam :
• Power window, power tailgate, moonroof, power sliding door position andior pich detection
* Keyless access and immobilzer/security systems
Since the reset procedures vary by vehicle and systom, enter the vehicle information into ServiceExpress and search the keyword Reset. This search will retrieve a list of reset procedures required afler parts replacement and or a battery disconnect. Some reset procedures can be done without special tools. Others may require scan tool software, Front Passengers Seat Welcht Sensor - Inspections and Calibration These sensors control passenger's front airbag operation and the PASSENGER AIRBAG OFF indicator based on the occupant's weight. Like any scale, weight sensors are o précision device.
The service information may refer to these sensors as the seat weight sensor (SWS) system or occupant detection system (ODS), depending on model and year. * This inspection requires a scan tool to fully check the seat weight sensor's operation using the following criteria.
Empty front passenger seat veight to confirm the sensors can detect this condition Seat weight with a known calibration weight amount if necessary • This check must be done after any collision, regardless of damage, even if no airbags deployed.
• The check confirma sensor operation and that no binding or damage exists in the relationship between the seat frame, weight sensors, and floor pan. * Weight sensor calbration is also required when front passenger seat comporents have been removed or replaced Refer to the service information for procedures. 4 1000020240709SF003000050039056002196
2000020240709SF003000050040056002197
3000020240709SF003000050041056002198
4000020240709SF003000050042056002199
5000020240709SF003000050043056002200
1000020240709SF003000050044056002201
Gerber Collision & Glass - Rancho Workfile ID: APW8K6E3 Federal ID: 51-0394062
Cucamonga State ID: 260681856-00007
Federal EPA: YES
Highly Wreck - ommended! State EPA: YES
9310 Jersey Bivd, Rancho Cucamonga, CA 91730 BAR: 305532 Phone: (909) 945-1234
Supplement of Record 2 with Summary
RO Number: 1904210595
Written By: Mariano Jimenez, 7/3/2024 1:39:40 PM
Insured: MOLINA, JOSE Policy #: 000967012185 Claim #: 000759040637D01 Type of Loss: Collision Date of Loss: 6/14/2024 11:55 AM Days to Repair: 7 Point of Impact: 06 Rear
Owner: Inspection Location: Insurance Company:
MOLINA, JOSE Gerber Collision & Glass - Rancho ALLSTATE NORTHBROOK INDEMNITY COMPANY Cucamonga
1786 E GRANADA CT 9310 Jersey Blvd Allstate Northbrook Indem ONTARIO, CA 91764 Rancho Cucamonga, CA 91730 AUTO SPECIALTY 100 (323) 522-8230 Cell Repair Facility NORTHBROOK
(909) 945-1234 Business
VEHICLE
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White VIN: Interior Color: Mileage In: 47,988 Vehicle Out: 7/5/2024 License: Exterior Color: Platinum White Mileage Out: 47,988 State: CA Production Date: 6/2020 Condition: Job #: 6
TRANSMISSION Air Conditioning FM Radio SEATS
Automatic Transmission Intermittent Wipers Stereo Cloth Seats POWER Tilt Wheel Search/Seek Bucket Seats
Power Steering Cruise Control Auxiliary Audio Connection Reclining/Lounge Seats Power Brakes Rear Defogger Satellite Radio Heated Seats Power Windows Keyless Entry SAFETY WHEELS
Power Locks Alarm Drivers Side Air Bag Aluminum/Alloy Wheels Power Mirrors Message Center Passenger Air Bag PAINT
Heated Mirrors Steering Wheel Touch Controls Anti-Lock Brakes (4) Three Stage Paint Power Driver Seat Telescopic Wheel 4 Wheel Disc Brakes OTHER DECOR Climate Control Front Side Impact Air Bags Fog Lamps Dual Mirrors Remote Starter Head/Curtain Air Bags Traction Control Tinted Glass Backup Camera Hands Free Device Stability Control Console/Storage Intelligent Cruise Lane Departure Warning Rear Spoiler Overhead Console RADIO ROOF
CONVENIENCE AM Radio Electric Glass Sunroof
7/3/2024 1:39:40 PM 461021 Page 1
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Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White Line Oper Description Part Number Qty Extended Labor Paint Price $
1 # PAYMENT ISSUED TO CUSTOMER 0.00 0.0 0.0
# ESTIMATE SHARE IS THE 0.00 0.0 0.0
FASTEST WAY TO PROCESS
SUPPLEMENTS
REAR BODY & FLOOR
4 * S01 Rpr Rear body panel w/o Si, w/o 0.00 1.0 1.0
Sport US, CAN built
5 S01 Add for Three Stage 0.00 0.0 0.7
6 502 Rpr Tram Measure 0.00 10.5
7 TRUNK LID
8 # S01 Refn Basecoat adjustment 0.00 0.0 -0.2
9 * 501 Rpr Trunk lid w/spoiler, w/o Si 0.00 23
10 S01 Overlap Major Non-Adj. Panel 0.00 0.0 -0.2
11 S01 Add for Three Stage 0 0.00 0.0 0.8
12 * 501 Add for Underside(Complete) 0.00 0.0 0.8
13 S01 R&I R&I finish panel 0.00 0.3 0.0
14 ** S02 Repl Non OEM Finish panel clip US, 91512STKA01 4 13.24 0.0 0.0 CAN built
15 S01 R&I Spoiler US, CAN built rallye red 0.00 0.3 0.0 16 S01 Repl Spoiler clip 91513TBAA01 6 10.50 0.0 0.0
17 501 Repl Spoiler retainer clip 91513TBAA11 6.60 0.0 0.0 18 S02 R&I Trunk lid trim US, CAN built 0.00 0.3 0.0
19 ** S02 Repl Non OEM Trunk lid trim clip US, 90667TCOU01ZM 23.67 0.0 0.0 CAN built
# S02 R&I License Plate 0 0.00 0.2 0.0
......
21 REAR LAMPS
22 S01 R&I RT Combo lamp assy US, CAN 0.00 0.3 0.0
built
23 S01 R&I LT Combo lamp assy US, CAN 0.00 0.3 0.0
built
24 S01 R&I RT LED lamp 0.00 0.2 0.0
25 S01 R&I LT LED lamp 0.00 0.2 0.0
26 S02 Repl LT Socket backup lamp bulb 33304SZW003 1 15.72 0.0 0.0 27 REAR BUMPER
28 # R&I Mud guard 0.00 0.4 0.0
Note: Time includes both sides
29 * S01 Repl USED Impact bar US, CAN built 71530TBAA11 1 228.00 0.4 0.0 (UHS) +20%
30 501 O/H rear bumper 0 0.00 2.0 0.0
31 ** S01 Repl Non OEM CAPA Lower cover w/o 71510TBAA50 1 105.00 Incl. 0.0 Sport US, CAN built
32 501 Repl LT Applique US, CAN built 71508TBAA00 1 12.73 Inct. 0.0 33 ** S01 Repl Non OEM LT Side support 71598TBAA00 1 21.00 0.1 0.0 34 ** S01 Repl Non OEM Bumper cover clip 91505TM8003 5 2.30 0.0 0.0 7/3/2024 1:39:40 PM 461021 Page 2
3000020240709SF003000050046056002203
Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White 35 ** S01 Repl Non OEM LT Cover clip 91505TM8003 1 0.46 0.0 0.0 36 ** S01 Repl Non OEM RT Cover cip 91505TM8003 1 0.46 0.0 0.0 37 ** S01 Repl Non OEM Lower cover dip 91505TM8003 3 1.38 0.0 0.0 38 S01 Repl LT Upper bracket 71555TBAA00 1 7.51 0.1 0.0 39 ** <> S01 Repl Non OEM Bumper cover US, CAN 04715TBAAO0ZZ 1 175.00 Incl. 3.0 built
40 S01 Overlap Major Non-Adj. Panel 0.00 0.0 -0.2
41 S01 Add for Three Stage 0 0.00 0.0
42 VEHICLE DIAGNOSTICS
43 * S01 Rpr Pre-repair scan 0.00 m 0.5 M 0.0
Note: SEE ATTACHED
44 * 502 Subl Calibrate occupant classification 1 164.50 Xm 0.0 0.0 system
Note: PLEASE SEE ATTACHED
45 # S01 Repl Hazardous Waste 3.50 X 0.0 0.0
46 * 501 Rpr Post-repair scan 0.00 m 05 M 0.0
Note: SEE ATTACHED
47 # S01 Cover Car 1 10.00 T 0.0 0.0
48 # S01 Repl Corrosion Protection 1 5.00 0.0 0.0
49 # S01 Rpr Wet sand and buff 0.00 0.0 0.5
50 # S01 Refn Color Tint 0.00 0.0 1.0
51 # S01 Repl Seam Sealer / Caulk 1 4.00 T 0.0 0.0
52 # S01 Rpr D&R Battery 0.00 0.2 0.0
53 # S01 Rpr Reset Electrical Components 0.00 0.3 M 0.0 54 # S01 FLASH TIME 1 0.00 0.5 0.0
Note: SEE ATTACHED
55 # S01 FORMULATE COLOR 1 0.00 0.5 0.0
Note: SEE ATTACHED
56 ** S02 Non OEM DELIVERY FEE 1 5.00 0.0 0.0
C2627544
OTHER CHARGES
58 EPC in Other Charges 1 3.00
SUBTOTALS 818.57 11.1 10.6
7/3/2024 1:39:40 PM 461021 Page 3
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Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White
ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 633.57
Parts Discount $ 53.06 -5.0% -2.65
Body Labor 9.8 hrs @ $ 61.00/hr 597.80
Paint Labor 10.6 hrs @ $61.00 /hr 646.60
Mechanical Labor 1.3 hrs $103.00/hr 133.90
Paint Supplies 10.6 hrs @ $45.00/hr 477.00
Miscellaneous 182.00
Other Charges 3.00
Subtotal 2,671.22
Sales Tax $ 1,121.92 @ 6.0000% 67.32
County Tax $ 1,121.92 @ 1.7500% 19.63
Grand Total 2,758.17
Deductible 500.00
Insurer Prepaid Amount 556.30
CUSTOMER PAY 1,056.30
INSURANCE PAY 1,701.87
7/3/2024 1:39:40 PM 461021 Page 4
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Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White
SUPPLEMENT SUMMARY
Line Oper Description Part Number Qty Extended Labor Paint Price$
Added Items
6 # S02 Rpr Tram Measure 0 0.00 0.5 0.0
14** S02 Repl Non OEM Finish panel clip US, 91512STKA01 4 13.24 0.0 0.0 CAN built
18 502 R&I Trunk lid trim US, CAN built 0 0.00 0.3 0.0
19 ** S02 Repl Non OEM Trunk lid trim clip US, 90667TCOU01ZM 9 23.67 0.0 0.0 CAN built
20 # 502 R&I License Plate 0.00 0.2 0.0
26 S02 Repl LT Socket backup lamp bulb 33304SZW003 1 15.72 0.0 0.0 44 * S02 Subl Calibrate occupant classification 1 164.50 Xm 0.0 0.0 system
NOTE: PLEASE SEE ATTACHED
56 ** S02 Non OEM DELIVERY FEE 1 5.00 0.0 0.0
C2627544
SUBTOTALS 222.13 1.0 0.0
TOTALS SUMMARY
Category Basis Rate Cost $
Parts 57.63
Parts Discount $15.72 -5.0% -0.79
Additional Supplement Adjustments 0.01
Body Labor 1.0 hrs $ 61.00 /hr 61.00
Miscellaneous 164.50
Subtotal 282.35
Sales Tax $ 56.85 @ 6.0000% 3.41
County Tax $ 56.85 1.7500% 0.99
Additional Supplement Taxes 0.01
Total Supplement Amount 286.76
NET COST OF SUPPLEMENT 286.76
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1000020240709SF003000050D49056002206
Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White
CUMULATIVE EFFECTS OF SUPPLEMENTS)
Estimate 1,056.30 RICHARD
CAPORALE
Supplement S01 1,415.11 Mariano Jimenez
Supplement S02 286.76 Mariano Jimenez
Job Total: $ 2,758.17
CUSTOMER PAY: $ 1,056.30
INSURANCE PAY: $ 1,701.87
IMPORTANT INFORMATION ABOUT THE NAMED INSURANCE
COMPANY'S CHOICE OF PARTS POLICY.
THIS ESTIMATE MAY LIST PARTS FOR USE IN THE REPAIR OF
YOUR VEHICLE THAT ARE MANUFACTURED BY A COMPANY
OTHER THAN THE ORIGINAL MANUFACTURER OF YOUR
VEHICLE. THESE PARTS ARE COMMONLY REFERRED TO AS
AFTERMARKET PARTS OR COMPETITIVE PARTS, AND MAY
INCLUDE COSMETIC OUTER BODY CRASH PARTS SUCH AS
HOODS, FENDERS, BUMPER COVERS, ETC. THE INSURANCE
COMPANY GUARANTEES THE FIT AND CORROSION RESISTANCE
OF ANY AFTERMARKET/COMPETITIVE OUTER BODY CRASH
PARTS THAT ARE LISTED ON THIS ESTIMATE AND ACTUALLY
USED IN THE REPAIR OF YOUR VEHICLE FOR AS LONG AS YOU
OWN IT. IF A PROBLEM DEVELOPS WITH THE FIT OR
CORROSION RESISTANCE OF THESE PARTS, THEY WILL BE
REPAIRED OR REPLACED AT THE INSURANCE COMPANY'S
EXPENSE. THIS GUARANTEE IS LIMITED TO THE REPAIR OR
REPLACEMENT OF THE PART. THE INSURANCE COMPANY DOES
NOT SEPARATELY GUARANTEE THE PERFORMANCE OF
ORIGINAL EQUIPMENT MANUFACTURER PARTS AND MAKES
NO REPRESENTATION ABOUT THE AVAILABILITY OF ANY
MANUFACTURER'S GUARANTEE.
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Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White
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.
THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS 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.
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.
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Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White 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 ARG4411, CCC Data Date 07/01/2024, 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 2024 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. 7/3/2024 1:39:40 PM 461021 Page 8
4000020240709SF003000050052056002209
Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White IMPORTANT INFORMATION ABOUT THE NAMED INSURANCE COMPANY'S CHOICE OF PARTS POLICY.
THIS ESTIMATE MAY LIST PARTS FOR USE IN THE REPAIR OF YOUR VEHICLE THAT ARE MANUFACTURED BY A COMPANY OTHER THAN THE ORIGINAL MANUFACTURER OF YOUR VEHICLE. THESE PARTS ARE COMMONLY
REFERRED TO AS NON-ORIGINAL EQUIPMENT (NON-OEM) PARTS, AND MAY INCLUDE COSMETIC OUTER BODY CRASH PARTS SUCH AS HOODS, FENDERS, BUMPER COVERS, ETC. NON-OEM PARTS ARE AT LEAST EQUAL TO THE ORIGINAL EQUIPMENT MANUFACTURER PARTS IN TERMS OF KIND, QUALITY, SAFETY, FIT, AND PERFORMANCE.
THE INSURANCE COMPANY GUARANTEES THE FIT AND CORROSION RESISTANCE OF ANY NON-OEM OUTER BODY
CRASH PARTS THAT ARE LISTED ON THIS ESTIMATE AND ACTUALLY USED IN THE REPAIR OF YOUR VEHICLE FOR AS LONG AS YOU OWN IT. IF A PROBLEM DEVELOPS WITH THE FIT OR CORROSION RESISTANCE OF THESE PARTS, THEY WILL BE REPAIRED OR REPLACED AT THE INSURANCE COMPANY'S EXPENSE. THIS GUARANTEE IS LIMITED TO THE REPAIR OR REPLACEMENT OF THE PART. THE INSURANCE COMPANY DOES NOT SEPARATELY
GUARANTEE THE PERFORMANCE OF ORIGINAL EQUIPMENT MANUFACTURER PARTS AND MAKES NO REPRESENTATION ABOUT THE AVAILABILITY OF ANY MANUFACTURER'S GUARANTEE.
WE ARE PROHIBITED BY LAW FROM REQUIRING THAT REPAIRS BE DONE AT A SPECIFIC AUTOMOTIVE REPAIR DEALER. YOU ARE ENTITLED TO SELECT THE AUTO BODY REPAIR SHOP TO REPAIR DAMAGE COVERED BY US. WE HAVE RECOMMENDED AN AUTOMOTIVE REPAIR DEALER THAT WILL REPAIR YOUR DAMAGED VEHICLE. WE
RECOMMEND YOU CONTACT ANY OTHER AUTOMOTIVE REPAIR DEALER YOU ARE CONSIDERING TO CLARIFY ANY QUESTIONS YOU MAY HAVE REGARDING SERVICES AND BENEFITS. IF YOU AGREE TO USE OUR RECOMMENDED
AUTOMOTIVE REPAIR DEALER, WE WILL CAUSE THE DAMAGED VEHICLE TO BE RESTORED TO ITS CONDITION
PRIOR TO THE LOSS AT NO ADDITIONAL COST TO YOU OTHER THAN AS STATED IN THE INSURANCE POLICY OR AS OTHERWISE ALLOWED BY LAW. IF YOU EXPERIENCE A PROBLEM WITH THE REPAIR OF YOUR VEHICLE, PLEASE
CONTACT US IMMEDIATELY FOR ASSISTANCE
7/3/2024 1:39:40 PM 461021 Page 9
5000020240709SF003000050053056002210
Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White
PARTS SUPPLIER LIST
Line Supplier Description Price
14 Kent Automotive #1481980 $3.31
8770 W. BRYN MAWR Non OEM Finish panel clip US, CAN built CHICAGO IL 60631
(888) 937-5368
(999) 999-9999
19 Kent Automotive #1539812 $2.63
8770 W. BRYN MAWR Non OEM Trunk lid trim clip US, CAN built CHICAGO IL 60631
(888) 937-5368
(999) 999-9999
29 K& P AUTO DISMANTLERS #FTETYQ $190.00
15295 Whittram USED Impact bar US, CAN built (UHS) +20% Fontana CA 92335 BUMPER REIN REAR-RR REBAR*** S#R11.23
(909) 428-6898 Quote: 530673708
Expires: 07/25/24
31 Keystone, Inc #HO1195121C $105.00
15895 VALLEY BLVD, SUITE 100 Non OEM CAPA Lower cover w/o Sport US, CAN built FONTANA CA 92335 Quote: 2557043955
(800) 421-7866 Expires: 08/09/24
33 Keystone, Inc #H01142116 $ 21.00
15895 VALLEY BLVD, SUITE 100 Non OEM LT Side support
FONTANA CA 92335 Quote: 2557050131
(800) 421-7866 Expires: 08/09/24
34 Cliplizard Warehouse-Spencer #10436.4 $ 0.46
226 STATE HWY 43 Non OEM Bumper cover clip
SPENCER IN 47460
(812) 714-8050
(812) 714-8170
35 Cliplizard Warehouse-Spencer #10436.4 $ 0.46
226 STATE HWY 43 Non OEM LT Cover clip
SPENCER IN 47460
(812) 714-8050
(812) 714-8170
36 Cliplizard Warehouse-Spencer #10436.4 $ 0.46
226 STATE HWY 43 Non OEM RT Cover clip
SPENCER IN 47460
(812) 714-8050
7/3/2024 1:39:40 PM 461021 Page 10
1000020240709SF003000050054056002211
Supplement of Record 2 with Summary
RO Number: 1904210595
2020 HOND Civic Sedan EX w/Continuously Variable Transmission 4D SED 4-1.5L Turbocharged Gasoline Gasoline Direct Injection Platinum White (812) 714-8170
37 Cliplizard Warehouse-Spencer #10436.4 $ 0.46
226 STATE HWY 43 Non OEM Lower cover clip
SPENCER IN 47460
(812) 714-8050
(812) 714-8170
39 Keystone, Inc #H01100296 $175.00
15895 VALLEY BLVD, SUITE 100 Non OEM Bumper cover US, CAN built FONTANA CA 92335 Quote: 2557046345
(800) 421-7866 Expires: 08/09/24
7/3/2024 1:39:40 PM 461021 Page 11
2000020240709SF003000050055056002212
* LexisNexis Report Order Summary
RISK SOLUTIONS
Order Data 06/21/2324 Order ID 282847225
Claim Number 0759040637
Ordered By AMUNT01 Adjuster AMUNTO!
Status in Progress - WAIT (Ousending Item Waiting for Response from Agency) Account 537107 Agency RIALTO PD
Roport Type Auto Accident Agency Type PD
Incident Date 06/14/2024 Report Number 932406277
Incident Location
Street Name Riverside Ave Precinct
Cross Street Policy Number
City and Stale Rialto, CA - Policy State CA
Party One MOLINA, JOSE Vehicle Information 2020 HONDA CIVIC Date of Birth VIN
SSN Plate State
License State CA Plate Number
License Number Additional Information Rear-end accident - Other party rear- ended insured
Street
County
City and Stele
Party Two MOLINA, MARIA
Party Three SANDERS, JASON ERIC
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