01/01/2012 AT 03:18 PM 01234567890101-01 12456 1YYY1ZZZ GEICO GEICO DIRECT E-MAIL SUPPLEMENTS TO GASUPP@GEICO.COM "VIST US AT GEICO.COM" ONE GEICO CENTER MACON, GA 31296 SUPPLEMENT OF RECORD 1 WITH SUMMARY WRITTEN BY: ADJUSTER NAME 01/01/2012 03:15 PM ADJUSTER: A000 INSURED: JOHN Q PUBLIC CLAIM #01234567890101-01 OWNER: JOHN Q PUBLIC POLICY #123456789 ADDRESS: 2500 MAIN STREET DATE OF LOSS: 01/01/2012 AT 04:00 AM ATLANTA, GA 30062 TYPE OF LOSS: UCOLLISION BUSINESS: (770)678-4045 POINT OF IMPACT: 8. LEFT QTR POST EVENING: (404)770-6789 INSPECT BODY SHOP DAY: (770)678-4045X0000 LOCATION: 123 MAIN RD W DRIVE_IN MARIETTA, GA 30008 REPAIR FACILITY: FAST COLLISION 12 DAYS TO REPAIR 2009 BMW 330I 6-3.0L-FI 4D SED BLUE INT: VIN: WBAVB33549123456789 LIC: ABC123 YMY GA PROD DATE: ODOMETER: 25,123 AIR CONDITIONING REAR DEFOGGER TILT WHEEL CRUISE CONTROL TELESCOPIC WHEEL INTERMITTENT WIPERS KEYLESS ENTRY STEERING WHEEL CONTROLS WOOD INTERIOR TRIM DUAL MIRRORS ELECTRIC GLASS SUNROOF TRACTION CONTROL STABILITY CONTROL FOG LAMPS XENON HEADLAMPS CLEAR COAT PAINT POWER STEERING POWER BRAKES POWER WINDOWS POWER LOCKS POWER DRIVER SEAT POWER PASSENGER SEAT POWER MIRRORS HEATED MIRRORS POWER TRUNK/GATE RELEASE MEMORY PACKAGE AM RADIO FM RADIO STEREO SEARCH/SEEK CD PLAYER ANTI-LOCK BRAKES (4) DRIVER AIR BAG PASSENGER AIR BAG HEAD/CURTAIN AIR BAGS FRONT SIDE IMPACT AIR BAG 4 WHEEL DISC BRAKES CLOTH SEATS BUCKET SEATS 6 SPEED TRANSMISSION ALUMINUM/ALLOY WHEELS ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 REAR BUMPER 2 S01 O/H REAR BUMPER 2.2 3 R&I R&I BUMPER COVER INCL. N 4* S01 RPR BUMPER COVER W/O PARK SENSOR, 3.5* 2.0* W/O TURBO SEDAN 5* S01 ADD FOR CLEAR COAT 1.1* 6 S01 R&I RT VENT COVER INCL. 1 01/01/2012 AT 03:18 PM 01234567890101-01 12456 1YYY1ZZZ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2009 BMW 330I 6-3.0L-FI 4D SED BLUE INT: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 7 S01 R&I LT VENT COVER INCL. 8 S01 R&I CENTER SUPPORT SEDAN INCL. 9 S01 R&I LT OUTER SUPPORT SEDAN INCL. 10 S01 R&I RT OUTER SUPPORT SEDAN INCL. 11 REAR LAMPS 12 R&I LT TAIL LAMP 0.4 13 S01 R&I RT TAIL LAMP 0.4 14 QUARTER PANEL N 15* S01 RPR LT QUARTER PANEL 10.0* 2.0* 16* ADD FOR CLEAR COAT 0.9* 17 ADD FOR LOCK PILLAR 0.5 18 S01 R&I LT SPLASH SHIELD 0.3 N 19* S01 RPR LT OUTER WHEELHOUSE S 3.0* 0.3* 20 REAR DOOR N 21 S01 REPL LT DOOR SHELL 1 618.71 6.4 2.9 22 S01 OVERLAP MAJOR ADJ. PANEL -0.4 23 S01 ADD FOR CLEAR COAT 0.5 N 24 S01 REPL LT BELT MOLDING W/HIGH GLOSS 1 62.98 INCL. 25 R&I LT HANDLE, OUTSIDE BLACK INCL. 26 R&I LT R&I TRIM PANEL INCL. 27 S01 REPL LT SEAL 1 11.47 INCL. 28 S01 R&I LT FIXED GLASS BMW INCL. 29 S01 R&I LT MOVEABLE GLASS BMW INCL. W/SUNSHADE N 30 S01 REPL LT SURROUND W'STRIP 1 87.03 INCL. 31 FRONT DOOR N 32* S01 RPR LT DOOR SHELL 8.0* 2.0 33 OVERLAP MAJOR ADJ. PANEL -0.4 34 ADD FOR CLEAR COAT 0.3 35 R&I LT R&I MIRROR AS AN ASSY 0.3 36 R&I LT HANDLE, OUTSIDE W/KEYLESS 0.4 ENTR 37 R&I LT R&I TRIM PANEL 0.6 38# COVER/BAG VEHICLE FOR 1 0.2 OVERSPRAY 39# S01 REPL URETHANE GLASS KIT 1 15.00 T N 40 S01 REPL LT BELT MOLDING W/HIGH GLOSS 1 62.98 0.3 41 S01 ROOF 42 S01 R&I LT ROOF MOLDING 0.5 43 S01 PILLARS, ROCKER & FLOOR 44 S01 R&I LT ROCKER MOLDING W/O SPORT 0.4 PACK 45# S01 REPL MASK JAMBS 1 3.00 0.3 N 46# S01 RPR COLOR, SAND, AND BUFF 1.6 47# S01 RPR SET UP/TIE DOWN 1.0 N 48# S01 RPR ROUGH/BODY PULL 2.0 49 OTHER CHARGES 50# E.P.C. 1 3.00 2 01/01/2012 AT 03:18 PM 01234567890101-01 12456 1YYY1ZZZ SUPPLEMENT OF RECORD 1 WITH SUMMARY 2009 BMW 330I 6-3.0L-FI 4D SED BLUE INT: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- SUBTOTALS ==> 864.17 41.6 11.9 LINE 4 : TIME IS TO REPAIR DENTS, CREASES, AND SCRATCHES/GOUGES ON THE LT SIDE. BLEND WITHIN PANEL, FULL CLEAR. LINE 15 : ADDITIONAL LABOR TIME DUE TO CREASES AND BUCKLES THROUGHOUT. LABOR TIME AGREED WITH CURTIS AT MAGNUM. LINE 19 : TIME IS TO REPAIR DENTS AND BENDS. PARTIAL PANEL REFINISH. LINE 21 : LKQ SHELL IS NOT COST EFFECTIVE PER JIMMY AT MCDONOUGH, SHERRY AT LKQ, CHRIS AT WEAVERS, AND CAR-PART.COM SEARCH. DOOR IS TWISTED FROM IMPACT. LINE 24 : BOWED AND WARPS WHEN REMOVED. LINE 30 : TWO-SIDED TAPE. UNABLE TO REUSE. LINE 32 : ADDITIONAL TIME IS TO REPIAR BUCKLES ON THE DOOR. LINE 40 : BOWED AND WARPS WHEN REMOVED. LINE 46 : NEEDED FOR PROPER REFINISH OF THE LT FRONT DOOR, LT REAR DOOR, LT QTR PANEL, AND REAR BUMPER. LINE 48 : TIME IS TO REPAIR MASH AND SWAY FROM IMPACT. ------------------------------------------------------------------------------- ESTIMATE NOTES: TOW/NO RENTAL/NOT AVA LKQ/CARPARTS AM/KEYSTONE,HAYES CHK TO PH ------------------------------------------------------------------------------- PRIOR DAMAGE NOTES: MINOR SCRATCHES ON REAR COVER, MINOR DOOR DINGS, MINOR ROCK CHIPS FRONT COVER HOOD PARTS 846.00 BODY LABOR 41.6 HRS @$ 40.00/HR 1664.00 PAINT LABOR 11.9 HRS @$ 40.00/HR 476.00 PAINT SUPPLIES 11.9 HRS @$ 26.00/HR 309.40 SUBLET/MISC. 15.00 OTHER CHARGES 3.00 ---------------------------------------------------- SUBTOTAL $ 3313.40 SALES TAX TIER 1 $ 1172.00 @ 6.0000% 70.00 ---------------------------------------------------- TOTAL COST OF REPAIRS $ 3383.40 ADJUSTMENTS: DEDUCTIBLE 100.00 ---------------------------------------------------- TOTAL ADJUSTMENTS $ 100.00 NET COST OF REPAIRS $ 3283.40