COLLISIONMAX OF MARLTON11 LOCATIONS - NATIONWIDE WARRANTY

22 W. MAIN STREETMARLTON, NJ. 08053

OFFICE (856) 983-1313 FAX: (856) 983-9012 NJ LIC: 00009-A

*** ESTIMATE ***

12/30/2014 08:32 AM

Owner

Owner: SAILESH PATELAddress: 7811 GOVERNOR PRINTZ BLVD Home/Day: (609)433-1641

City State Zip: CLAYMONT, DE 19703-2615 FAX:Email: sampatelde@yahoo.com

Control Information

Claim # : 031190749-01 Insured Policy # : XXXXXLoss Date/Time: 12/27/2014 07:00 AM Loss Type: Collision

Deductible: $500.00

Ins. Company: Liberty MutualAddress: 399 CAMPUS DRIVE Work/Day: (800)500-8061

PO BOX 6807 Home/Evening:City State Zip: SOMERSET, NJ 08873 FAX:

Insured: SAILESH PATEL

Claim Rep: Ronalynn Munnell

Loss Payee: Audi Financial Services

Inspection

Inspection Date: 12/29/2014 05:06 PM Inspection Type: Direct Repair ProgramInspection Location: CollisionMax of Marlton Contact: Jim Rush

Address: 22 West Main Street Work/Day: (856)983-1313xCity State Zip: Marlton, NJ 08053 FAX: (856)983-9012x

Primary Impact: Left Front Corner Secondary Impact:Driveable: Yes Rental Assisted:

Assigned Date/Time: Received Date/Time: 12/29/2014 12:32 PMFirst Contact Date/Time: Appointment Date/Time: 12/30/2014 07:00 AM

Appraiser Name: Keith Silva Appraiser License # :

RepairerRepairer: CollisionMax of Marlton Contact: Jim RushAddress: 22 West Main Street Work/Day: (856)983-1313

City State Zip: Marlton, NJ 08053 FAX: (856)983-9012License # : 00075-A Regulation ID: 52-2079443

Remarks

SUPPLEMENTS MUST BE INSPECTED PRIOR TO REPAIRFAILURE TO NOTIFY LIBERTY MUTUAL COULD RESULT IN NON PAYMENT OF SUPPLEMENT.12/30/2014 08:48 AM Page 1 of 6

ALL REQUESTS FOR SUPPLEMENTSUPPLEMENT REQUESTS SHOULD BE FAXED TO (603)334-0374OR EMAILED TO FX6033340374@LIBERTYMUTUAL.COMWE DO NOT HAVE A REPAIR APPOINTMENT AT THIS TIMEAPU SEARCH COMPLETED

Vehicle

2014 Audi Q5 2.0T Prem Plus 4 DR Wagon4cyl Gasoline Turbo 2.0Automatic Tiptronic

Lic.Plate: 393658 Lic State: DELic Expire: VIN: WA1LFAFP6EA012025Prod Date: 06/2013 Mileage: 27,057

Veh Insp# : Mileage Type: ActualCondition: Good Code: 68764AExt. Color: LAVA GRAY PRL Int. Color: GRAU

Ext. Refinish: Two-Stage Int. Refinish:Ext. Paint Code: 1R1R,LZ7L Int. Trim Code: IE

Options - AudaVIN Information Received

1st Row LCD Monitor(s) 2nd Row Head Airbags AM/FM CD PlayerAlarm System Aluminum/Alloy Wheels AmplifierAnti-Lock Brakes Auto Headlamp Control Auto-Leveling HeadlampsAutomatic Dimming Mirror Bucket Seats CarpetingCenter Console Chrome Grille Color-Keyed Bumper(s)Compact Spare Tire Cruise Control DVD PlayerDaytime Running Lights Digital Clock Digital Signal ProcessorDriver Information Sys Driver Seat Memory Dual Air ConditioningDual Airbags Dual Power Seats Dual Zone Auto A/CElectronic Compass Floor Mats Fog LightsGarage Door Opener Head Airbags Heated Front SeatsHeated Power Mirrors Heated W/S Wiper Washers High Definition RadioIPOD Control Illuminated Visor Mirror Intermittent WipersKeyless Access System Keyless Entry System Keyless Ignition SystemLED Brakelights Leather Seats Leather Shift KnobLeather Steering Wheel Lighted Entry System MP3 DecoderMirror(s) Memory Navigation System Overhead ConsolePanorama Sunroof Parking Assist System Pearlescent PaintPerimeter Alarm System Power Brakes Power Door LocksPower Liftgate Power Steering Power Trunk (open/close)Power Windows Privacy Glass Pwr Accessory Outlet(s)Pwr Driver Lumbar Supp Rain-Sensing W/S Wipers Rear Fog LampRear Heater Rear Spoiler Rear View CameraRear Window Defroster Rear Window Wiper/Washer Roof/Luggage RackSide Airbags SiriusXM Satellite Radio Smokers PackageSplit Folding Rear Seat Stability Cntrl Suspensn Strg Wheel Radio ControlSubwoofer Tachometer Theft Deterrent SystemTilt & Telescopic Steer Tinted Glass Tire Pressure MonitorTonneau/Cargo Cover Traction Control System Trip ComputerWireless Phone Connect Wood Interior Trim Xenon Headlamps

AudaVIN options are listed in bold-italic fonts

Damages

Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R

Stripes And Mouldings

2014 Audi Q5 2.0T Prem Plus 4 DR WagonClaim # : 031190749-01 12/30/2014 08:32 AM

12/30/2014 08:48 AM Page 2 of 6

1 RI 500 Mldg,Front Door Lower L/R R & I Assembly 0.3 SM2 RI 502 Mldg,Rear Door Lower L/R R & I Assembly 0.3 SM

Front Bumper3 E 47 01 Cover,Front Bumper LT 8R0807107KGRU $495.00 0.9 SM4 L 47 13 Cover,Front Bumper LT Refinish 2.6 RF

1.7 Surface 0.6 Two-stage setup 0.3 Two-stage

5 E 152 01 Spoiler,Lower Front 8R0807061DGRU $346.00 0.5 SM6 L 152 Spoiler,Lower Front Refinish 1.2 RF

1.0 Surface 0.2 Two-stage

7 E 57 01 Filler,Front Bumper LT 8R0807681G01C $123.00 INC SM

Front End Panel And Lamps8 OE 41 01 Headlamp Assy,Xenon LT OEM SURPLUS PART $925.00 1.5 SM

>> Brite Auto Lites 516-351-2121>> 59 Sammis Street>> Coldspring Harbor NY 11743>> Quote# 231419920070567, Stock# nostocknum, Chris

9 N 973 Headlamps Aim Additional Labor 0.4 SM

Front Body And Windshield10 I 25 Hood Underside Repair 1.0* SM11 L 25 Hood Underside Refinish 0.5* RF

0.5 Surface12 I 83 Panel,Hood Repair 5.0* SM

Aluminum13 L 83 10 Panel,Hood Refinish 2.4* RF

1.8 Surface 0.6 Two-stage

>> Partial base, full clear coat.14 E 103 Fender,Front LT 8R0821105A $347.00 2.8 SM15 L 103 Fender,Front LT Refinish 2.8 RF

1.9 Surface 0.5 Edge 0.4 Two-stage

Front Doors16 I 207 Door Shell,Front LT Repair 0.5* SM

>> Repair door edge (rubbing fender).17 L 207 10 Door Shell,Front LT Refinish 2.0* RF

1.6 Surface 0.4 Two-stage

>> Partial base, full clear coat.18 RI 225 Mldg,Front Door Belt LT R & I Assembly 0.9 SM19 RI 253 Cover,Frt Door Mirror LT R & I Assembly 0.4 SM20 RI 315 Handle,Front Door Otr LT R & I Assembly 0.4 SM

Rear Doors21 I 287 Door Shell,Rear LT Repair 5.0* SM22 L 287 10 Door Shell,Rear LT Refinish 1.9* RF

1.5 Surface 0.4 Two-stage

>> Partial base, full clear coat.23 RI 471 Mldg,Rear Door Belt LT R & I Assembly 0.6 SM24 RI 305 Handle,RR Door Outer LT R & I Assembly 0.3 SM

Manual Entries25 SB HAZARDOUS WASTE Sublet Repair $3.00* SM*

25 Items

2014 Audi Q5 2.0T Prem Plus 4 DR WagonClaim # : 031190749-01 12/30/2014 08:32 AM

12/30/2014 08:48 AM Page 3 of 6

MC Message

01 CALL DEALER FOR EXACT PART # / PRICE10 INCLUDES AUDATEX TIME TO CLEAR ENTIRE PANEL13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE

Estimate Total & Entries

Gross Parts $1,311.00OE Surplus Parts $925.00Paint & Materials $361.80Parts & Material Total $2,597.80Tax on Parts & Material @ 7.000% $181.85

Labor Rate ReplaceHrs

Repair Hrs Total Hrs

Sheet Metal (SM) $47.00 8.9 11.9 20.8 $977.60Mech/Elec (ME) $50.00Frame (FR) $48.00Refinish (RF) $47.00 13.4 13.4 $629.80Paint & Materials $27.00

Labor Total 34.2 Hours $1,607.40Tax on Labor @ 7.000% $112.52Sublet Repairs $3.00Tax on Sublet @ 7.000% $0.21Gross Total $4,502.78 Less: Deductible $500.00-Net Total $4,002.78

Alternate Parts Y/00/00/00/00/00 CUM 00/00/00/00/00 Zip Code: 08053 Liberty MutualRecycled Parts Y/0/0 Zip Code: 08053

Audatex Estimating 7.0.417 ES 12/30/2014 08:48 AM REL 7.0.417 DT 12/01/2014 DB 12/15/2014Copyright (C) 2014 Audatex North America, Inc.

2.9 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA.

THIS IS NOT AN AUTHORIZATION TO REPAIR.

THE INSURER GUARANTEES THAT ALL PARTS IDENTIFIED IN THIS ESTIMATE ARE CERTIFIED AS QUALITY REPLACEMENT PARTS BY AN INDUSTRY CERTIFICATION ORGANIZATION. THE INSURER FURTHER GUARANTEES THAT IT WILL REPLACE ANY QUALITY REPLACEMENT PART IDENTIFIED IN THIS ESTIMATE (A RECYCLED PART MANUFACTURED BY THE ORIGINAL EQUIPMENT MANUFACTURER OR A NEW PART NOT MANUFACTURED BY THE ORIGINAL EQUIPMENT MANUFACTURER) IF A DEFECT IS DISCOVERED. THIS GUARANTEE WILL BE IN EFFECT FOR AS LONG AS YOU OWN THE VEHICLE DESCRIBED IN THIS ESTIMATE, BUT IT IS NOT TRANSFERABLE TO ANY OTHER PARTY AT ANY TIME. THIS GUARANTEE COVERS THE COST OF THE PART, LABOR TO INSTALL, AND PAINT AND MATERIALS, IF REQUIRED, AS WELL AS THE COST OF RENTAL OF A TEMPORARY REPLACEMENT VEHICLE DURING THE REPAIRS. THIS GUARANTEE DOES NOT COVER CONSEQUENTIAL DAMAGES. IF A

2014 Audi Q5 2.0T Prem Plus 4 DR WagonClaim # : 031190749-01 12/30/2014 08:32 AM

12/30/2014 08:48 AM Page 4 of 6

DEFECT IN A QUALITY REPLACEMENT PART IS DISCOVERED, CONTACT YOUR ADJUSTER OR AGENT IMMEDIATELY, AND WE WILL REPLACE THE PART WITH A NEW ORIGINAL EQUIPMENT MANUFACTURER PART.

THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AUTOMOBILE PARTS NOT MADE BY THE ORIGINAL MANUFACTURER. PARTS USED IN THE REPAIR OF YOUR VEHICLE BY OTHER THAN THE ORIGINAL MANUFACTURER ARE REQUIRED TO BE AT LEAST EQUAL IN LIKEKIND AND QUALITY IN TERMS OF FIT, QUALITY AND PERFORMANCE TO REPLACEMENT PARTSAVAILABLE FROM THE ORIGINAL MANUFACTURER.

IN ACCORDANCE WITH NEW JERSEY REGULATION 11:3-10.3(E), YOU, AS THE INSURED MAYUSE ANY REPAIR FACILITY OF YOUR OWN CHOICE. WITH RESPECT TO AUTOMOBILE DAMAGE CLAIMS, WHEN YOU ELECT TO USE A REPAIR FACILITY OF YOUR CHOICE, THE LAW REQUIRES THAT THE ENTITY ENGAGED IN THE BUSINESS OF AUTO BODY REPAIR MUST BE DULY LICENSED. IN ADDITION, LIBERTY MUTUAL IS PROHIBITED BY LAW FROM NEGOTIATING, ADJUSTING OR SETTLING ANY AUTOMOBILE DAMAGE CLAIM WITH AN UNLICENSED FACILITY.

Op Codes

* = User-Entered Value E = Replace OEM NG = Replace NAGSEC = QUALITY REPL. PART OE = OEM SURPLUS PART UE = OEM SURPLUS PARTET = Partial Replace Labor EP = QUALITY REPL. PART EU = LIKE KIND & QUALITYTE = Partial Replace Price PM= Replace PXN Reman/Reblt UM= Replace Reman/RebuiltL = Refinish PC = Replace PXN Reconditioned UC = Replace ReconditionedTT = Two-Tone SB = Sublet Repair N = Additional LaborBR = Blend Refinish I = Repair IT = Partial RepairCG= Chipguard RI = R & I Assembly P = CheckAA = Appearance Allowance RP = Related Prior Damage

This report contains proprietary information of Audatex and may not be disclosed to any third party (other thanthe insured, claimant and others on a need to know basis in order to effectuate the claims process) withoutAudatex's prior written consent.

Copyright (C) 2014 Audatex North America, Inc.Audatex Estimating is a trademark of Audatex North America, Inc.

2014 Audi Q5 2.0T Prem Plus 4 DR WagonClaim # : 031190749-01 12/30/2014 08:32 AM

12/30/2014 08:48 AM Page 5 of 6

*** Unrelated Prior Damage Page ***

Administrative

Owner: SAILESH PATELClaim # : 031190749-01

Loss Date/Time: 12/27/2014 07:00 AMInspection Date: 12/29/2014 05:06 PM

Vehicle: 2014 Audi Q5 2.0T Prem Plus 4 DR Wagon 4cyl Gasoline Turbo 2.0 Automatic Tiptronic

Damages

Line Op Guide MC Description MFR.Part No. Price ADJ% B% Hours R

Wheels1 SB 994 Wheel,Front RT Sublet Repair SM

>> Curb rash.1 Items

Estimate Total & Entries

ReplaceHrs

RepairHrs

Total Hrs

Labor Rate

Sheet Metal (SM) $47.00Mech/Elec (ME) $50.00Frame (FR) $48.00Refinish (RF) $47.00Paint & Materials $27.00

Unrelated Prior Damage Gross Total (excludes taxes) $0.00

These damages are unrelated to the stated loss incident. The stated costs are representative only and may differ based upon such factors as the involved incident facts, completion of the damages estimate and/or actual repair.

2014 Audi Q5 2.0T Prem Plus 4 DR WagonClaim # : 031190749-01 12/30/2014 08:32 AM

12/30/2014 08:48 AM Page 6 of 6

Report-09A9E45C-7F3B-49D9-895A-1E92225C9D4A.htm