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HomeMy WebLinkAboutClerk's files (2) t t: 1. ARBE LLA c I N S U R A N C E GROUP I,. Elizabeth Kim,Claim Manager r1-,), -__, z March 04,2011} -- _ - 1 i. TOWN OF NORTH ANDOVER —7-1 ;.� ti ATTN: TOWN CLERK JOYCE BRADSHA\X% 120 MAIN ST NORTH ANDOVER, 1\L\ 01845 —— r I 4 (:L1ira \.`,.m,htr: 001402((87 - Policy Number: I IC35 11 7 4 Company Name: Arbella Mutual Insurance Company This office represents the interest of Arbella Mutual Insurance Company. By virtue of payment under the Collision portion of a policy of insurance,we have become subrogated to the rights of our insured (CARY ENAIRI:, 14 PRESCOTT ST, NORTFI ANDOVER, MA 01845-1716) for the damage to their I motor vehicle sustained in the accident described below: Place of accident: Brightwood _Ave Type of accident: \L\I'D.\M 1 Date & time: 02/25/2011, 12:00 _AV1 1 uls collision was caused by the negligent operation of a motor vehicle driven by John Slauter, who was an employee of North Andover Public Works,and bore operator's license number 541.4761)65. r They were operating a motor x chicle described as a 1999 G.\IC, bearing.\lass Registration numbei \184998,belonging to North Andover Public Works. Pursuant to Chapter 258 of the Mass. General Laws,notice is given and claim is hereby made arunst the g Town of North Andover, for the damages caused by said collision in the amount of 549921. .Attached for your convenience is a copy of the damage appraisal and our proof of payment. t Please include our file number on all correspondence and send all communications to me at the address , above i Very truly yours, I t 1 Michael 'Taylor Claim Service Specialist Subrogation Department r t 617-328-2800 ext. 2816 Fax 617-773-4760 '. Enclosure: multiple attachments s r iioo Crown Colony Drive P.O.Box 699190 Quincy,MA 02269-9190 ! ( telephone 617)328 ro .2157 www.arbella.com t Date: 3/3/201109:55 AM Estimate ID: 001402087 a" 1. Estimate Version 0 Committed jr Profile ID: Massachusetts Tax jl w. ARBELLA MUTUAL INSURANCE COMPANY 1100 CROWN COLONY DR P.O.BOX 699105,QUINCY,MA 02269-9195 (800)272-3552 Fax: (617)773-4760 Damage Assessed By: Mark Correale Lic.#10795 Claim Handler: STEVE CHARTIER v , Condition Code: Fair Type of Loss: Collision }` Date of Loss: 2/25/2011 Date Assign: 2/28/2011 t' Deductible: UNKNOWN Claim Number. 001402087 is Insured: GARY ENAIRE £ Claimant. GARY ENAIRE 4 Address: 14 PRESCOTT ST,NORTH ANDOVER,MA 01845 i. Telephone: Work Phone: (978)390-7009 Home Phone: (978)390-7009 Owner. GARY ENAIRE Mitchell Service: 910623 `' i , Description: 1999 Lincoln Continental Executive , Body Style: 4D Sed Drive Train 4.6L Inj 8 Cyl AO ?` VIN: 1LNHM97VO'Y634090 License: 75DK25 MA Mileage: 999,999 OEM/ALT: A Search Code: 02269 Color: GRAY Options: VEHICLE ANTI-THEFT,PASSENGER AIRBAG,DRIVER SIDE AIRBAG,POWER LOCK POWER WINDOW,REAR WINDOW DEFOGGER,CRUISE CONTROL,TILT STEERING COLUMN HEATED EXTERIOR MIRROR,LEATHER SEAT,PREMIUM SOUND SYSTEM,ANTI-LOCK BRAKE S1'S. g' TRACTION CONTROL,ALUM/ALLOY WHEELS,MEMORY SEAT,LEATHER STEERING WHEEL t REMOTE FUELDOOR RELEASE,POWER ADJUSTABLE EXTERIOR MIRROR,CASSETTE PLAYER i' TINTED GLASS,AUTO AIR CONDITION,FIRST ROW BUCKET SEAT,SECOND ROW BENCH SEAT KEYLESS ENTRY,REAR HEATING,VENTILATION&AIR CONDITIONING r AUTOMATIC LOAD-LEVELING,VARIABLE ASSISTED STEERING,TACHOMETER,SIDE AIRBAGS q. AUTOMATIC HEADLIGHTS,FRONT SIDE AIRBAG WITH HEAL)PROTECTION ' REMOTE DECKLID OR TAILGATE RELEASE x' e Line Entry Labor Line Item Part Type/ Dollar Labor i Item Number Type Operation Description Part Number Amount I Inits Rear Door 1 000767 BDY REMOVE/REPLACE R Rear Door Adhesive Moulding 1F3Z5425556 JAM.1 119.53 0.4 i` 2 ORDER BY COLOR Quarter Panel ): 3 000905 BDY REPAIR R Quarter Outer Panel Existing 2.0*# l`' 4 REF REFINISH R Quarter Panel Outside C 2.4 5 000930 BDY REMOVE/INSTALL R Upr Quarter Wheel Opening Mldg 0.1 MANUAL ENTRIES 6 900500 BDY* REMOVE/REPLACE MASK JAMBS,PRIMER Sublet 0.3* 7 900500 BDY* REMOVE/REPLACE MASK JAMBS,PAINT Sublet 0.3* Quarter Panel ) 8 001216 BDY REMOVE/REPLACE R Quarter Adhesive Moulding 1F3Z 5429076 PTM 26.75 0.2 (.. 9 936012 ADD'L COST HAZARDOUS WASTE DISPOSAL 1.00 10 900500 REF* ADD'L LABOR OP ANTI CORROSIVE PRIMER Sublet 6.00 * INC* F'' ADDITIONAL OPERATIONS ■ 11 REF AMYL OPR Clear Coat 1.0 t 12 933003 REF ADD'L OPR TINT COLOR 0.5* MANUAL ENTRIES a 13 900500 BDY* REMOVE/REPLACE MISC CLIPS/HARDWARE 'b'QUAL REPL PART 10.00 * 0.0* 14 933005 BDY ADD'L OPR RESTORE CORROSION PR(_)TECTION 5.00 * 0.2* Additional Costs&Materials 15 ADD'L COST Paint/Materials 58.50 * ESTIMATE RECALL NUMBER: 03/03/2011 09:55:03 001402087 w" Mitchell Data Version: OEM:JAN 11V UltraMate is a Trademark of Mitchell International Copyright(C)1994-2011 Mitchell International Page 1 of 3 UltraMate Version: 7.0.226 MI Rights Reserved f ( I Date: 3/3/2011 09:55 AM Estimate ID: 001402087 is iiit Estimate Version 0 Committed Profile ID: Massachusetts Tax x,- *-Judgment Item #-Labor Note Applies C-Included in Clear Coat Cale Remarks RT SIDE DAMAGE DTR 3 E" x Prior Damage: RT AND LT LOWER 1-4 ROTTED-400 k' Estimate Totals t Add"! Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount f- Body 3.5 35.00 5.00 0.00 127.50 Taxable Parts 156.28 :°_ 4. Refinish 3.9 35.00 0.00 6.00 142.50 Sales Tax 61) 6.2504„ 9.77 )' , Non-Taxable Labor 270.00 Total Replacement Parts Amount 166.05 f Labor Summary 7.4 270.00 III. Additional Costs Amount IV. Adjustments Amount Taxable Costs 56.50 Customer Responsibility 0.00 Sales Tax (a; 6.250% 3.66 Non-Taxable Costs 1.00 Total Additional Costs 63.16 Paint Material Method:Rates Init Rate=15.00 ,Iuit Max Hours=99.0,Addl Rate=0.00 I. Total Labor: 270.00 II. Total Replacement Parts: 166.05 III. Total Additional Costs: 63.16 Gross Total: 499.21 IV. Total Adjustments: 0.00 (' Net Total: 499.21 THE REPAIR ESTIMATE IS BASED IN PART ON THE USE OF REPLACEMENT PARTS f WHICH ARE NOT MADE BY THE ORIGINAL MANUFACTURER OF THE DAMAGED PARTS IN YOUR VEHICLE. WARRANTIES, IF ANY, APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THEIR MANUFACTURER OR SUPPLIER RATHER THAN THE MANUFACTURER OF YOUR VEHICLE. s Point(s)of Impact 4 Right Rear Side(P) ESTIMATE RECALL NUMBER: 03/03/2011 09:55:03 001402087 ■ Mitchell Data Version: OEM: JAN 11 V UltraMate is a Trademark of Mitchell International Copyright(C)1994-2011 Mitchell International Page 2 of 3 UltraMate Version: 7.0.226 All Rights Reserved ?: I Date: 3/3/201109:55 AM Estimate ID: 001402087 Estimate Version: 0 Committed Profile ID: Massachusetts Tax Company: Arbella Insurance Address: . .,MA Inspection Site: 14 PRESCOTT ST NORTH ANDOVER Inspection Date: 3/2/2011 This appraisal was prepared and sworn to under the penalties of perjury. p:. ADDITIONAL DAMAGE CALL: MARK CORREALE AT 781-213-6101 X 7568 FAX 978-851-6984 ************************************************************ THIS IS NOT AN AUTHORIZATION FOR REPAIR. Deductible, betterment, and previous damage, if included in this estimate, will be deducted from any settlement agreement with the owner. NOTHING IS TO BE CHARGED TO ARBELLA MUTUAL INSURANCE. f, NO SUPPLEMENTS PAID WITHOUT PRIOR APPROVAL. 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