CITY OF RIALTO CITY CLERK'S DATE STAMP
LIABILITY CITY OF RIALTO
CLAIM FOR DAMAGES 2024 OCT 16 AMII: 50
TO PERSON OR PROPERTY
KECEIY
CITY CLERK
1. Claims for death, injury to person, ar to personal property must be filed not later than six (6) months after the occurence (Gov. Code §911.2).
2. Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov. Code §911.2). RETURN TO:
3.READ ENTIRE CLAIM FOR BEFORE FILING
4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Rialto City Clerk's Office Mail: 150 S. Palm Ave., Rialto, CA 92376
Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:
Allstate aso Irma Gamboa n/a
FULL NAME DATE OF BIRTH
1 HOME ADDRESS INCLUDING CITY, STATE & ZIP
HOME TELEPHONE NO.
PO Box 660636 Dallas, TX 75266 ( 972) 915-5920
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP
BUSINESS TELEPHONE NO.
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE PO Box 660636 Dallas, TX 75266
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above):
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: 9/3/2024 TIME: 4:05 • AM DIPM
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. 348 S Riverside Ave Rialto, CA
3. HOW DID DAMAGE OR INJURY OCCUR?
Your driver Rolando Soto in Rialto Police vehicle hit our insured's parked vehicle causing damages.
4. WERE POLICE AT THE SCENE? • YES • 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.
Your driver Rolando Soto in Rialto Police vehicle hit our insured's parked vehicle causing damages.
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $1,492.49 HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.
DAMAGES INCURRED TO DATE:
Item/Date:
Amount: $.
Item/Date:
Amount: $_
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $1,492.49 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: L. ) TELEPHONE: |_ 1
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:
NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: |) TELEPHONE: | )
DATE: TIME: L AM 0 PM DATE: TIME:
• АМ • PM
9. PLEASE READ THE FOLLOWING CAREFULLY:
or all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate plac f accident by "X" and by showing house numbers or distances to street comer 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 → NOTE: IF THE DIAGRAM BELOW DOES NOT FIT THE SITUATION, PLEASE ATTACH A PROPER DIAGRAM SIGNED BY THE CLAIMANT.
CURB CITY OF
1 Г:
PARKWAY FEY
7 SIDEWALK AMII: RIALTO
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
Nicholas Murrell 9/13/2024
TYPE OR PRINT NAME DATE
Insurance Representative
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 Allstate Northbrook Indemnity Company
All State DA.AS x 9526 PO BOX 660636
You're in good hands. CITY OF RIALTO
2024 OCT 16 AM||: 51
RECEIVEL
RIALTO POLICE DEPT CITY CLERK
150 S PALM AVE
RIALTO CA 923766406
September 13, 2024
CLAIM NUMBER: 0767768922 G10 PHONE NUMBER: 972-915-5920 DATE OF LOSS: September 03, 2024 FAX NUMBER: 866-447-4293 OUR INSURED: IRMA GAMBOA OFFICE HOURS:
YOUR FILE NUMBER:
YOUR INSURED: ROLANDO SOTO
ADDRESS:
CITY STATE ZIP:,,
LOSS LOCATION: 348 S Riverside Ave, Rialto,, CA
AMOUNT OF LOSS: $1,492.49
Re: Subrogation Claim Notice
Dear RIALTO POLICE DEPT,
Our investigation indicates your insured was responsible for the loss referenced above.
Please accept this letter as notice of our subrogation claim. Enclosed, you will find copies of the supporting documents for which we are seeking reimbursement. To assist you in your review, the following is a breakdown of our subrogation Auto Damage (Company Paid): $492.49
Rental:
Towing:
Other:
Deductible (Customer Paid): $1,000.00
Salvage Recovery: $
Insured Out of Pocket (please send directly to our Insured): $ Please forward your payment with our claim number to:
Allstate Payment Processing Center
P.O. BOX 650271
Dallas, TX 75265 0271
e advised that any amounts received from you for less than the amount demanded will be considered an undisputed parti ayment amount only, and we retain the right to pursue full paymer We ask that you direct any future correspondence to the address listed at the top of this letter.
If corresponding by e-mail, please send to [email protected] and refer to the Allstate claim number on the subject line. Thank you.
0767768922 G10
Sincerely,
NICHOLAS MURRELL
972-915-5920
Allstate Northbrook Indemnity Company
0767768922 G10
Report Date: 09/13/2024
Payment Ledger
Policy Holder: IRMA GAMBOA Total Amount Paid $492.49
Participant: IRMA GAMBOA Medical Deductible: $0.00
Date of Loss: 09/03/2024 Co-payment Amount $0.00
Claim Number: 0767768922
Payment/Credit
Date Payee/Payor Check# Amount
09/09/2024 IRMA GAMBOA 186835341
$ 492.49
Cleaners
L79 006
sen
ODO 7413 miles
ima
M6L7
RX350
RX350
OM6LT
Cleaners
22 LEXUS RX 350 SDR LUV
2T2HZMAA3NC258268 STOC
UCS BAR SYSTEM 6N0001
L79
once mazing
-2024
s 1430324
9DQM647
CROWr US
22 LEXUS RX 350 SDR LUV
2T2HZMAA3NC258268 STOCI
UCS BAR SYSTEM 6N0001
T Cleaners
ALLSTATE NORTHBROOK INDEMNITY COMPANY
Allstate Northbrook Indem
CALIFORNIA
For Self Service Customer Inquiries:
www.myclaim.com
Mailing Address:
P.O. Box 660636
Dallas, TX 75266 Claim #: 000767768922D01
Workfile ID: f86c75aa
Estimate of Record
Written By: JEREMY KIESER, License Number: TX2165305, 9/5/2024 12:59:18 PM Insured: IRMA GAMBOA Owner Policy #: 000999719064 Claim #:
000767768922D01
Type of Loss: Collision Date of Loss: 09/03/2024 04:05 AM Days to Repair: 3 Point of Impact: 06 Rear Deductible: 1000.00
Owner (Insured): Inspection Location: Appraiser Information: Repair Facility:
IRMA GAMBOA 213 W VAN KOEVERING ST (888) 706-3686
RIALTO, CA 92376-5021
CA 92376-5021 Non Drive-in
(909) 855-8405 Cellular (909) 855-8405 Cellular
EDUARDOIRMA1964@GMAIL.
VEHICLE
2022 LEXU RX 350 FWD 4D UTV 6-3.5L Gasoline Port/Direct Injection Atomic Silver VIN: 2T2HZMAA3NC258268 Production Date: 09/2022
Interior Color: BLACK
License: 9DQM647 Odometer: 7413
Exterior Color: Atomic Silver
State: CA Condition: Good
TRANSMISSION Intermittent Wipers AM Radio
Automatic Transmission Lane Departure Warning
Tilt Wheel FM Radio ROOF
POWER Cruise Control
Stereo Electric Glass Sunroof
Power Steering Rear Defogger Search/Seek
SEATS
Power Brakes Keyless Entry CD Player Bucket Seats
Power Windows Alarm Auxiliary Audio Connection
Reclining/Lounge Seats
Power Locks Message Center Satellite Radio Leather Seats Power Mirrors Steering Wheel Touch Controls SAFETY
Heated Seats
Heated Mirrors Rear Window Wiper Drivers Side Air Bag
Ventilated Seats
Power Driver Seat Telescopic Wheel Passenger Air Bag WHEELS Power Passenger Seat Heated Steering Wheel Anti-Lock Brakes (4) 20" Or Larger Wheels Memory Package Climate Control 4 Wheel Disc Brakes
PAINT
DECOR Navigation System Traction Control
Clear Coat Paint
Dual Mirrors Backup Camera Stability Control OTHER
Privacy Glass Parking Sensors Front Side Impact Air Bags Rear Spoiler Console/Storage Surround View Camera Head/Curtain Air Bags Signal Integrated Mirrors
Overhead Console Remote Starter Rear Side Impact Air Bags TRUCK
9/5/2024 12:59:18 PM 134011 | 1.9.06.12060
Claim #: 000767768922D01
Workfile ID: f86c75aa
Estimate of Record
2022 LEXU RX 350 FWD 4D UTV 6-3.5L Gasoline Port/Direct Injection Atomic Silver Wood Interior Trim Intelligent Cruise Hands Free Device Power Trunk/Liftgate
CONVENIENCE Home Link Xenon or L.E.D. Headlamps
Air Conditioning RADIO Blind Spot Detection
9/5/2024 12:59:18 PM 134011 |
1.9.06.12060
Claim #: 000767768922D01
Workfile ID: f86c75aa
Estimate of Record
2022 LEXU RX 350 FWD 4D UTV 6-3.5L. Gasoline Port/Direct Injection Atomic Silver Line Oper Description Part Number Qty Extended
Labor Paint
Price$
# ESTIMATE SHARE IS THE 1
0.00 0.0 0.0
FASTEST WAY TO PROCESS
SUPPLEMENTS
2 PAYMENT ISSUED TO CUSTOMER
1 0.00 0.0 0.0
3 REAR BUMPER
4 R&I R&T bumper cover
0.00 2.3 0.0
5 *< Rpr Bumper cover NAP built w/park
0.00 1.5 3.0
sens
6 Add for Clear Coat
0.00 0.0 1.2
# Refn Partial Refinish w Full Clear 0.00 0.0
-1.5
8 Repl Add for park sensor 1 0.00 m
0.4 0.0
9 R&I RT Reflector
0 0.00 0.2 0.0
10 R&I LT Reflector 0.00
0 0.2 0.0
11 * R&I Protector black
0.00 0.3 0.0
12 Repl Lower cover w/o F Sport 521080E230
1 462.06 0.7 0.0
13 R&I RT Extension panel 0.00 0.3
0.0 14 R&I LT Extension panel
0 0.00 0.3 0.0
15 R&I RT Extension insert
0 0.00 0.3 0.0
16 R& LT Extension insert 0.00
0.3 0.0
17 VEHICLE DIAGNOSTICS
18 * Rpr Pre-repair scan
0.00 m 0.5 M 0.0
19 * Rpr Post-repair scan
0.00 m 0.5 M 0.0
20 OTHER CHARGES
21 # EPC in Other Charges 1
3.00 SUBTOTALS 465.06 7.8 2.7
9/5/2024 12:59:18 PM 1340111
1.9.06.12060
Claim #: 000767768922D01
Workfile ID: f86c75aa
Estimate of Record
2022 LEXU RX 350 FWD 4D UTV 6-3.5L Gasoline Port/Direct Injection Atomic Silver
ESTIMATE TOTALS
Category Basis
Rate Cost $
Parts 462.06
Parts Discount $462.06 -5.0% -23.10
Body Labor 6.8 hrs @ $ 75.00 /hr 510.00
Paint Labor 2.7 hrs @ $ 75.00/hr 202.50
Mechanical Labor 1.0 hrs
@ $144.00 /hr 144.00
Paint Supplies 2.7 hrs
@ $ 55.00 /hr 148.50
Other Charges 3.00
Subtotal
1,446.96
Sales Tax $587.46 6.0000% 35.25
County Tax $ 587.46 @ 1.7500 % 10.28
Total Cost of Repairs 1,492.49
Deductible 1,000.00
Total Adjustments 1,000.00
Net Cost of Repairs
492.49
THIS ESTIMATE WAS GENERATED BY AN ARTIFICIAL INTELLIGENCE APPLICATION BASED ON PHOTOGRAPHIC DATA AND REVIEWED BY A HUMAN ADJUSTER. YOUR INSURANCE POLICY MAY PROVIDE YOU A RIGHT TO APPEAL THIS ESTIMATE OR TO REQUEST ADDITIONAL REVIEW. PLEASE REFER TO YOUR INSURANCE POLICY OR CONTACT YOUR INSURANCE COMPANY FOR ADDITIONAL INFORMATION.
SUPPLEMENT PROCESS INSTRUCTIONS:
Please be aware that any additional damage must be inspected by an Allstate technician while the vehicle is at the shop and torn down (when reasonably appropriate), prior to the repairs being completed. If Allstate is not informed of supplemental damage, it may not be covered under the claim. In addition, all invoices will be requested and For repair shops using CCC One Estimating, supplement requests can be submitted using Estimate Share. The claim number and work file Id located at the top of this document will be needed to proceed. Instructions for using Estimate Share can be found at
https://help.cccis.com/static/ccc_one/training/EstimateShare/RequestingEstimateShareStaffRF.pdf For all other repair shops, please follow the Virtual Assist App process for future supplement requests. The Virtual Assist App can be downloaded at no charge by visiting the Apple App store or the Google Play store. Search, download and install: Virtual Assist Allstate Insurance Co Current Version: CALIFORNIA Updated 04.12.23
9/5/2024 12:59:18 PM 134011 | 1.9.06.12060
Claim #: 000767768922D01
Workfile ID: f86c75aa
Estimate of Record
2022 LEXU RX 350 FWD 4D UTV 6-3.5L Gasoline Port/Direct Injection Atomic Silver
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.
9/5/2024 12:59:18 PM 134011 | 1.9.06.12060
Claim # 000767768922D01
Workfile ID: f86c75aa
Estimate of Record
2022 LEXU RX 350 FWD 4D UTV 6-3.5L Gasoline Port/Direct Injection Atomic Silver 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 ARB8980, CCC Data Date 08/16/2024, 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. CFC=Carbon Fiber.
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. STS=Stainless Steel. 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. 9/5/2024 12:59:18 PM
134011 | 1.9.06.12060 Page 6
Claim #: 000767768922D01
Workfile ID: f86c75aa
Estimate of Record
2022 LEXU RX 350 FWD 4D UTV 6-3.5L Gasoline Port/Direct Injection Atomic Silver 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
9/5/2024 12:59:18 PM 134011 | 1.9.06.12060
Allstate Northbrook Indemnity Com
Allstate. PO BOX 660636
DALLAS TX 75266
You're in
Ath
RIALTO POLICE DEPT
150 S PALM AVE any
RIALTO CA 923766406 Clerk's
offle
Important Document Enclosed
Open Immediately.
CliY CLEMA "CUL 2074 OCT 16 AM11:50
MOR THE
CERTIFIED MAIL
9489 0090 0027 6601 8050 57