ENCOMPASS INDEPENDENT INSURANCE COMPANY

VIRTUAL CLAIMS OFFICE

SUPPLEMENTS ** Refer to Disclaimer
Below for Instructions **
PO Box 1623
WINSTON SALEM, NC 27102 Claim #: 230881286-1
Phone: (800) 468-3466 Workfile ID: 77ff524f

Estimate of Record

Written By: KEITH CHANCE, 10/23/2023 10:16:38 AM

Adjuster: ELDRIDGE, ALEXIS, (678) 325-7557 Business

Insured: REYNA AND MIGUEL Owner Policy #: Claim #: 230881286-1

CONTRERAS
Type of Loss: Liability Date of Loss: 10/20/2023 09:45 AM Days to Repair: 3
Point of Impact: 12 Front Deductible:

Owner (Claimant): Inspection Location: Appraiser Information: Repair Facility:

STEVE LEDEZMA TX 76028-7557 [email protected] OWNER'S CHOICE
12341 SILVER MIST TRL Virtual (336) 435-3641
BURLESON, TX 76028-7557
(817) 751-5562 Cellular
(817) 751-5562 Evening
[email protected]
M

VEHICLE

2017 HOND Pilot Touring AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection CRYSTAL BLACK PEARL

VIN: 5FNYF6H91HB033500 Production Date: 04/2017 Interior Color:

License: PWG2627 Odometer: 93431 Exterior Color: CRYSTAL BLACK
PEARL
State: TX Condition:

TRANSMISSION Intermittent Wipers AM Radio Luggage/Roof Rack

Automatic Transmission Tilt Wheel FM Radio Electric Glass Sunroof
4 Wheel Drive Cruise Control Stereo SEATS
POWER Rear Defogger Search/Seek Bucket Seats
Power Steering Keyless Entry Auxiliary Audio Connection Leather Seats
Power Brakes Alarm Premium Radio Heated Seats
Power Windows Message Center Satellite Radio 3rd Row Seat
Power Locks Steering Wheel Touch Controls SAFETY WHEELS
Power Mirrors Rear Window Wiper Drivers Side Air Bag 20" Or Larger Wheels
Heated Mirrors Telescopic Wheel Passenger Air Bag PAINT
Power Driver Seat Climate Control Anti-Lock Brakes (4) Clear Coat Paint
Power Passenger Seat Dual Air Condition 4 Wheel Disc Brakes OTHER
Memory Package Navigation System Traction Control Fog Lamps
DECOR Backup Camera Stability Control Rear Spoiler
Dual Mirrors Parking Sensors Front Side Impact Air Bags Signal Integrated Mirrors

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 Claim #: 230881286-1
Workfile ID: 77ff524f
Estimate of Record

2017 HOND Pilot Touring AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection CRYSTAL BLACK PEARL

Privacy Glass Entertainment Center Head/Curtain Air Bags TRUCK

Console/Storage Remote Starter Hands Free Device Power Trunk/Liftgate
Overhead Console Intelligent Cruise Positraction
CONVENIENCE Home Link Lane Departure Warning
Air Conditioning RADIO ROOF

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 Claim #: 230881286-1
Workfile ID: 77ff524f
Estimate of Record

2017 HOND Pilot Touring AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection CRYSTAL BLACK PEARL

Line Oper Description Part Number Qty Extended Labor Paint

Price $
1 FRONT BUMPER
2 R&I R&I bumper cover 04711TG7A90ZZ 1.3
NOTE: LABOR: Time is after fender wheel flares are removed.
3 * <> Rpr Bumper cover 04711TG7A90ZZ 1.0 3.0
4 Add for Clear Coat 1.2
5 Repl Add for fog lamps 1 0.3
6 Repl RT Add for park sensor 1 m 0.1
7 Repl LT Add for park sensor 1 m 0.1
8 R&I Lower grille 71113TG7A00 0.2
9 ** Repl A/M Lower cover w/chrome strip 101-60089 1 198.00 0.4
10 ** Repl A/M Lower molding chrome 07147.25 1 79.00 0.2
11 R&I RT Side panel black 71102TG7A10 0.1
12 R&I LT Side panel black 71107TG7A10 0.1
13 R&I Air deflector 71111TG7A01 0.2
14 R&I License frame 71180TG7A00 0.2
15 VEHICLE DIAGNOSTICS
16 Pre-repair scan 1 m 0.5 M
17 Post-repair scan 1 m 0.5 M
18 MISCELLANEOUS OPERATIONS
19 # Subl Hazardous waste 1 3.00
SUBTOTALS 280.00 5.2 4.2

ESTIMATE TOTALS
Category Basis Rate Cost $
Parts 280.00
Body Labor 4.2 hrs @ $ 54.00 /hr 226.80
Paint Labor 4.2 hrs @ $ 54.00 /hr 226.80
Mechanical Labor 1.0 hrs @ $ 105.00 /hr 105.00
Paint Supplies 4.2 hrs @ $ 39.00 /hr 163.80
Subtotal 1,002.40
Sales Tax $ 443.80 @ 8.2500 % 36.61
Total Cost of Repairs 1,039.01
Total Adjustments 0.00
Net Cost of Repairs 1,039.01

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 Claim #: 230881286-1
Workfile ID: 77ff524f
Estimate of Record

2017 HOND Pilot Touring AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection CRYSTAL BLACK PEARL

NOTE TO VEHICLE OWNER - National General Insurance does business with collision repair shops in your area and
has developed a preferred network of shops with proven, high standards. We recognize that you, the vehicle owner,
have the right to select the repair facility of your choice and are under no obligation to use any of the shops on the
list. We will pay the amount we determine payable under the policy regardless of the repair facility chosen. We will
attempt to get an agreed cost of repairs with the shop of your choice. If this is not possible, we will extend a fair and
reasonable offer to repair the loss related damage to your vehicle based on industry repair standards and prevailing
market rates. If there are loss related damages that were not visible at the time of the initial estimate, or damages
not included in the original estimate, the additional damage will be considered for a supplemental repair estimate.

*** THIS IS NOT AN AUTHORIZATION TO REPAIR. VEHICLE OWNER MUST GIVE PERMISSION FOR REPAIRS TO
BEGIN. ***

SUPPLEMENT PROCESS INSTRUCTIONS:

Please be aware that any additional damage must be inspected by a National General representative while the vehicle
is at the shop and torn down (when reasonably appropriate), prior to the repairs being completed. If National General
is not informed of supplemental damage, it may not be covered under the claim. In addition, all invoices will be
requested and reviewed.

1. VIRTUAL ASSIST: 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: National General / Encompass.
*Available in all states except MA and RI*

2. 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
* Photos and supporting documents should accompany submitted supplemental estimate considerations.

3. For all other repair shops: Send your supplement request with supporting photos and documents to
[email protected].

PA license - 804865
LA license - 707194
NM license - 432794
NC license - 3585161
WY license - 3585161
FL license - A044949
TX license - 2971131
KY license - 1259190
OK license - 3002403982

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 Claim #: 230881286-1
Workfile ID: 77ff524f
Estimate of Record

2017 HOND Pilot Touring AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection CRYSTAL BLACK PEARL

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 ARG4457, CCC Data Date 08/09/2023, 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.

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 Claim #: 230881286-1
Workfile ID: 77ff524f
Estimate of Record

2017 HOND Pilot Touring AWD 4D UTV 6-3.5L Gasoline Gasoline Direct Injection CRYSTAL BLACK PEARL

ALTERNATE PARTS SUPPLIERS

Line Supplier Description Price

9 Highway 70 Auto Parts Inc #101-60089 $ 198.00
1912 U.S. 70 A/M Lower cover w/chrome strip
Kingston Springs TN 37082 Quote: 1665895222
(615) 952-9349 Expires: 10/29/23

10 EAGLE AUTO BODY PARTS W/H #07147.25 $ 79.00

1628 E.MAIN STREET A/M Lower molding chrome
GRAND PRAIRIE TX 75050 Quote: 1665895222
(972) 263-1986 Expires: 10/29/23

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