California Casualty Indemnity Exchange FINAL

PO Box 39700, Colorado Springs, CO 80949-3970 Estimate ID

Fax: (800) 406-3278 20750613
Original
Claim Number
50000680894-01

*********************************************************** ATTENTION REPAIR FACILITY ****************************************************

THIS IS NOT AN AUTHORIZATION TO REPAIR. YOU MUST OBTAIN THE VEHICLE OWNER'S AUTHORIZATION FOR THIS PURPOSE. ANY
ADDITIONAL PARTS, LABOR, OR MATERIALS OTHER THAN WHAT APPEARS ON THIS ESTIMATE MUST BE PRE-APPROVED BY THE APPRAISER
OR OTHER CALIFORNIA CASUALTY CLAIMS EMPLOYEE IN ORDER TO BE CONSIDERED FOR PAYMENT.
** ESTIMATE AUDIT ONLY - THIS DOCUMENT IS NOT AN APPRAISAL **

** FOR QUESTIONS REGARDING PAYMENT, RENTAL COVERAGE, OR LIABILITY STATUS: PLEASE CONTACT THE ADJUSTER WITH THE NUMBER
PROVIDED **

*** ATTENTION BODY SHOP ***

NO SUPPLEMENT WILL BE APPROVED WITHOUT PRIOR AUTHORIZATION. PLEASE SEND ADDITIONAL PHOTOS, INVOICES, AND THE
SUPPLEMENT REQUEST TO THE APPRAISER EMAIL ADDRESS BELOW, OR FAX TO 1-800-406-3278. MAKE SURE THE CLAIM NUMBER IS
INCLUDED IN YOUR EMAIL OR ON YOUR FAX COVER SHEET.

Owner Insured Appraiser

TIMOTHY MINDER TIMOTHY MINDER Dan Heup
PO Box 391 (719) 532-8772 (Work)
Bridgeport, CA 93517-0391 [email protected]
(760) 932-9123 (Work)
(760) 616-4188 (Home) Classification
(760) 616-4205 (Mobile) Audit
[email protected]

CALIFORNIA CASUALTY INSURANCE CO

Payer Loss Type Claim Number Policy Number
Customer Comprehensive 50000680894-01 102-6216523

Adjuster Deductible Reported Date Loss Date

Michael Herron 250.00 - Not Waived 10/29/2024 10/22/2024
(719) 532-8713 (Work)
Inspection Site
Not Available
, CA 95661

2020 Toyota Tacoma SR5 4 Door Crew Cab 141" WB 6 Foot Bed 3.5L 6 Cyl Gas Injected 4WD
Exterior Color VIN Drivable Odometer
GREY 3TMDZ5BN6LM094075 Unknown 62028

Mitchell Service Code

911810

Committed On Version Printed On Profile (Modified)

Mitchell Cloud EstimatingTM Page 1 of 3
11/4/2024 Mitchell Estimating 24.3 Copyright 1994-2024 Mitchell International, Inc. 11/4/2024 CALIF-Cal Cas Indemnity
11:30 AM OEM OCT_24_V All Rights Reserved 11:30 AM Exchange
Profile Version
8.0
 Options
4 Wheel Drive 4WD or AWD Air Conditioning Alum/Alloy Wheels AM-FM Stereo
Anti-Lock Brake Sys. (ABS) Automatic Headlights Auxiliary Input Bluetooth Wireless Cloth Seat
Connectivity
Cruise Control Daytime Running Lights Driver Seat With Power Driver-Front Air Bag Electronic Stability Control
Lumbar Support
First Row Bucket Seat Fog Lights Interior Automatic Keyless Entry System Leather Steering Wheel
Day/Night Or
Electrochromatic Mirror
Left-Curtain Air Bag MP3 Player Passenger-Front Air Bag Power Door Locks Power Driver Seat
Power Remote Mirror Power Steering Power Windows Privacy Glass Rear Bench Seat
Rearview Camera Satellite Radio Second Row Side Airbag With Side Airbags Skid Plate
Head Protection
Smart Key System Steering Wheel Mounted Telematic Systems Tilt Steering Wheel Tire Pressure Monitoring
Audio Control System
Traction Control/Electronic Trailer Hitch Trip Computer

TIMOTHY MINDER 2020 Toyota Tacoma SR5

Parts Profile Parts Profile Version
Western States Parts Profile 4.0

LABOR PART
Line # Description Operation Type Total Units Type Number Qty Total Price Tax
Additional Costs & Materials
1 936012 Hazardous Waste Disposal Additional $5.00*
Cost
Special / Manual Entry
2 900500 Diag and Clear codes Additional Mechanical* 1.0* Existing
Labor
3 900500 Driver intake Camshaft pos Additional Body* 0.0* Sublet $707.00*
sensor wiring Labor
* Judgment Item C Included in Clear Coat Calculation
T Included 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 [ ] Verify the part number and price before ordering
Estimate Totals
Labor Units Rate Sublet Add'l Amount Totals
Body Labor 0.0 $209.00 $707.00 $707.00
Mechanical Labor 1.0 $209.00 $209.00
Total Labor 1.0 $707.00 $916.00
Taxable $0.00
Tax 0.0000% $0.00
Non-Taxable $916.00
Pre-Tax Discount 0.00% $0.00
Labor Total $916.00
Parts Amount
Taxable Parts $0.00 $0.00
Parts Adjustments $0.00
Tax 7.7500% $0.00
Non-Taxable $0.00
Pre-Tax Discount 0.00% $0.00
Parts Total $0.00

Committed On Version Printed On Profile (Modified)

Mitchell Cloud EstimatingTM Page 2 of 3
11/4/2024 Mitchell Estimating 24.3 Copyright 1994-2024 Mitchell International, Inc. 11/4/2024 CALIF-Cal Cas Indemnity
11:30 AM OEM OCT_24_V All Rights Reserved 11:30 AM Exchange
Profile Version
8.0
 Estimate Totals
Costs Amount
Paint Materials $0.00 $0.00
Shop Materials $0.00 $0.00
Other Additional Costs $5.00 $5.00
Taxable $0.00
Tax 7.7500% $0.00
Non-Taxable $5.00
Pre-Tax Discount 0.00% $0.00
Costs Total $5.00
Gross Totals Amount
Gross Total $921.00 $921.00
Taxable $0.00
Tax $0.00
Non-Taxable $921.00
Pre-Tax Discount 0.00% $0.00
Gross Total $921.00
Adjustments Amount
Deductible -$250.00 -$250.00
Total Customer -$250.00
Responsibility
Net Estimate Total $671.00

ATTENTION VEHICLE OWNER & REPAIR FACILITY: THE LAW PROVIDES YOU THE RIGHT TO HAVE YOUR VEHICLE REPAIRED AT A REPAIR
FACILITY OF YOUR CHOICE. AS AN INSURER, WE ARE PROVIDED THE RIGHT TO REASONABLY ADJUST ANY SUCH ESTIMATE.
*****************************************************************************************************************************************************
NOTICE TO THE VEHICLE OWNER & REPAIR FACILITY: YOU HAVE THE RIGHT TO PURCHASE THESE PARTS FROM THE VENDOR OF YOUR
CHOICE. CALIFORNIA CASUALTY ESTIMATES USE ONLY CERTIFIED AFTERMARKET PARTS.

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.

Committed On Version Printed On Profile (Modified)

Mitchell Cloud EstimatingTM Page 3 of 3
11/4/2024 Mitchell Estimating 24.3 Copyright 1994-2024 Mitchell International, Inc. 11/4/2024 CALIF-Cal Cas Indemnity
11:30 AM OEM OCT_24_V All Rights Reserved 11:30 AM Exchange
Profile Version
8.0