Estimates

Download as pdf or txt
Download as pdf or txt
You are on page 1of 7

STATE FARM INSURANCE COMPANIES

ALL
Take this initial estimate to the repair facility of your choice. If additional
damage is found have the repair facility use the "Request Supplement" link at
b2b.statefarm.com. **This is not an email address; it is the site to submit a
Supplement**. All supplements must be approved by State Farm.
Claim #: 13-58P5-51W01
Workfile ID: 39a83b79
Rate Table: Default

Estimate of Record

Written By: DWIGHT ELLIS, 11/14/2023 11:22:18 AM


Claim Rep: Team, Express, (855) 341-8184 Business

Insured: JAKUB Owner Policy #: Claim #: 13-58P5-51W01


ZATWARNICKI
Type of Loss: Collision Date of Loss: 11/02/2023 12:00 PM Days to Repair: 0
Point of Impact: 11 Left Front Deductible: 250.00

Owner (Insured): Inspection Location: Repair Facility:


JAKUB ZATWARNICKI RESIDENCE - DOMINIKA MAKSYMIUK
260 BARBERRY RD 260 BARBERRY RD
HIGHLAND PARK, IL 60035-4422 HIGHLAND PARK, IL 60035-4422
(773) 501-4107 Cellular Desk
(773) 501-4107 Other (224) 522-2082 Day
JAKUBAZ@YAHOO.COM

VEHICLE

2012 TOYO Tacoma Doublecab Automatic 4WD 4D P/U 6-4.0L Gasoline Electronic Fuel Injection Magnetic Gray Metall

VIN: 5TFLU4EN0CX037719 Production Date: 03/2012 Interior Color: Graphite


License: 5901 Odometer: 132509 Exterior Color: Magnetic Gray
Metall
State: Condition: Good

TRANSMISSION Air Conditioning Auxiliary Audio Connection WHEELS


Automatic Transmission Intermittent Wipers Satellite Radio Styled Steel Wheels
4 Wheel Drive Tilt Wheel SAFETY PAINT
POWER Cruise Control Drivers Side Air Bag Clear Coat Paint
Power Steering Keyless Entry Passenger Air Bag Metallic Paint
Power Brakes Steering Wheel Touch Controls Anti-Lock Brakes (4) OTHER
Power Windows Telescopic Wheel Traction Control Fog Lamps
Power Locks Backup Camera Stability Control California Emissions
Power Mirrors Home Link Front Side Impact Air Bags TRUCK
DECOR RADIO Head/Curtain Air Bags Rear Sliding Window
Dual Mirrors AM Radio Hands Free Device Bedliner
Privacy Glass FM Radio Positraction Trailer Hitch
Console/Storage Stereo SEATS
Overhead Console Search/Seek Cloth Seats

11/14/2023 11:22:18 AM 465813 | 1.9.02.05150 Page 1


Claim #: 13-58P5-51W01
Workfile ID: 39a83b79
Estimate of Record

2012 TOYO Tacoma Doublecab Automatic 4WD 4D P/U 6-4.0L Gasoline Electronic Fuel Injection Magnetic Gray Metall

CONVENIENCE CD Player Bucket Seats

11/14/2023 11:22:18 AM 465813 | 1.9.02.05150 Page 2


Claim #: 13-58P5-51W01
Workfile ID: 39a83b79
Estimate of Record

2012 TOYO Tacoma Doublecab Automatic 4WD 4D P/U 6-4.0L Gasoline Electronic Fuel Injection Magnetic Gray Metall

Line Oper Description Part Number Qty Extended Labor Paint


Price $
1 FRONT BUMPER
2 O/H front bumper 3.1
3 ** <> Repl Non OEM CAPA Bumper cover SHE8125A-87Q-0 1 138.56 Incl. 3.0
w/o flares
4 Add for Clear Coat 1.2
5 Add for fog lamps 0.4
6 FENDER
7 ** Repl Non OEM CAPA LT Fender w/flare 7106114Q 1 264.00 2.4 2.2
8 Overlap Major Non-Adj. Panel -0.2
9 Add for Clear Coat 0.4
10 Add for Edging 0.5
11 FRONT DOOR
12 Blnd LT Door shell Double Cab 6700204151 1.1
13 ** Repl Non OEM LT Nameplate 7542704010-AT 1 20.00 0.3
"TACOMA"
14 R&I LT Mirror assy w/o signal lamp 8794004201 0.5
w/power
15 R&I LT Handle, outside w/o body 69211AE010 0.3
color
16 R&I LT R&I trim panel 6762004372B1 0.4
17 OTHER CHARGES
18 # E.P.C. 1 3.00
SUBTOTALS 425.56 7.4 8.2

ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 422.56
Body Labor 7.4 hrs @ $ 64.00 /hr 473.60
Paint Labor 8.2 hrs @ $ 64.00 /hr 524.80
Paint Supplies 8.2 hrs @ $ 42.00 /hr 344.40
Other Charges 3.00
Subtotal 1,768.36
Sales Tax $ 769.96 @ 6.2500 % 48.12
Total Cost of Repairs 1,816.48
Deductible 250.00
Total Adjustments 250.00
Net Cost of Repairs 1,566.48

11/14/2023 11:22:18 AM 465813 | 1.9.02.05150 Page 3


Claim #: 13-58P5-51W01
Workfile ID: 39a83b79
Estimate of Record

2012 TOYO Tacoma Doublecab Automatic 4WD 4D P/U 6-4.0L Gasoline Electronic Fuel Injection Magnetic Gray Metall

For more information regarding State Farm’s promise of satisfaction relating to new non-original equipment
manufacturer (non-OEM) and recycled parts, please visit: http://st8.fm/7X4 or QR code.

Register online to check the status of your claim and stay connected with State Farm®. To register, go to http://www.statefarm.com/
and select Check the Status of a Claim. If you are already registered, thank you!

ILLINOIS LAW REQUIRES THAT VEHICLE REPAIRERS MUST BE LICENSED IN ACCORDANCE WITH SECTION 5-301
OF THE ILLINOIS VEHICLE CODE.

This estimate has been prepared based on the use of crash parts supplied by a source other than the manufacturer
of your motor vehicle. Warranties applicable to these replacement parts are provided by the manufacturer or
distributor of these parts rather than the manufacturer of your vehicle.

11/14/2023 11:22:18 AM 465813 | 1.9.02.05150 Page 4


Claim #: 13-58P5-51W01
Workfile ID: 39a83b79
Estimate of Record

2012 TOYO Tacoma Doublecab Automatic 4WD 4D P/U 6-4.0L Gasoline Electronic Fuel Injection Magnetic Gray Metall

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 ARM8512, CCC Data Date 11/08/2023, 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 2023 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. Blnd=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.

11/14/2023 11:22:18 AM 465813 | 1.9.02.05150 Page 5


Claim #: 13-58P5-51W01
Workfile ID: 39a83b79
Estimate of Record

2012 TOYO Tacoma Doublecab Automatic 4WD 4D P/U 6-4.0L Gasoline Electronic Fuel Injection Magnetic Gray Metall

*****INSURANCE COMPANY DISCLOSURES AND CUSTOMER NOTIFICATIONS*****

ILLINOIS LAW REQUIRES THAT VEHICLE REPAIRERS MUST BE LICENSED IN ACCORDANCE WITH
SECTION 5-301 OF THE ILLINOIS VEHICLE CODE.

THE FOLLOWING DISCLOSURE APPLIES TO THOSE PARTS IDENTIFIED AS NON-OEM ON THE


ESTIMATE:

THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE
OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES APPLICABLE TO THESE
REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THESE PARTS
RATHER THAN THE MANUFACTURER OF YOUR VEHICLE.

11/14/2023 11:22:18 AM 465813 | 1.9.02.05150 Page 6


Claim #: 13-58P5-51W01
Workfile ID: 39a83b79
Estimate of Record

2012 TOYO Tacoma Doublecab Automatic 4WD 4D P/U 6-4.0L Gasoline Electronic Fuel Injection Magnetic Gray Metall

ALTERNATE PARTS SUPPLIERS

Line Supplier Description Price


3 Meyer Distributing #SHE8125A-87Q-0 $ 138.56
560 E. 25th St. Non OEM CAPA Bumper cover w/o flares
Jasper IN 47546 Quote: 1687352286
(800) 345-9487 Expires: 11/20/23

7 KSI - CHICAGO, IL #7106114Q $ 264.00


5414A West Roosevelt Road Non OEM CAPA LT Fender w/flare
Chicago IL 60644 Quote: 118048813
(800) 244-2639 Expires: 11/20/23

13 Adhesive Templates (Adhesive Only) #7542704010-AT $ 20.00


4717 CAMPUS DR Non OEM LT Nameplate "TACOMA"
KALAMAZOO MI 49008 Quote: 1687371546
(888) 249-3350 Expires: 11/20/23

11/14/2023 11:22:18 AM 465813 | 1.9.02.05150 Page 7

You might also like