MERCURY INSURANCE COMPANY
*** * ******** ***, ****, CA 92821
Office: 714-***-****
Fax: 714-***-****
TOTAL LOSS
Estimate ID
12820756
Original
Claim Number
CAPA-020**********
TOTAL LOSS TOTAL LOSS TOTAL LOSS
NO SUPPLEMENTS WILL BE HONORED WITHOUT PRIOR INSPECTION OR APPROVAL
CALL FILE ADJUSTER TO CONFIRM COVERAGE Owner
FIDEL GARCIA LOPEZ
9728 ARLETA AVE
Arleta, CA 91331
818-***-**** (Mobile)
Claimant
FIDEL GARCIA LOPEZ
9728 ARLETA AVE
Arleta, CA 91331
818-***-**** (Mobile)
Insured
DAVID RAMIREZ
Appraiser
JORGE RAMIREZ
714-***-**** (Work)
ad4s49@r.postjobfree.com
Classification
Photo
MERCURY INSURANCE GROUP
Loss Type
Unknown
Claim Number
CAPA-020**********
Policy Number
Adjuster
Carolina Romero
888-***-****+24252 (Wor
k)
Deductible
Unknown
Reported Date
01/25/2023
Loss Date
01/25/2023
Inspection Site
PBE
Inspection Date
2/6/2023
2013 Hyundai Sonata Limited 4 Door Sedan 2.0L 4 Cyl Gas Injected Turbocharged 6 Speed Auto Trans FWD Exterior Color
Silver
License
CA-8WHE645
VIN
5NPEC4AB9DH706123
Drivable
No
Committed On
2/6/2023
02:53 PM
Version
Mitchell Estimating 22.4
OEM FEB_23_V
Mitchell Cloud EstimatingTM
Copyright 1994-2023 Mitchell International, Inc.
All Rights Reserved
Printed On
2/6/2023
02:53 PM
Profile
PBE CALIFORNIA
Profile Version
8.0
Page 1 of 7
Odometer
154851
Mitchell Service Code
911313
Primary Point of Impact
Front (12)
Prior Damage Notes
Rear bumper cover
Options
Air Conditioning Alum/Alloy Wheels AM-FM Stereo Anti-Lock Brake Sys. (ABS) Auto Air Condition Automatic Headlights Automatic Transmission Auxiliary Input Bluetooth Wireless Connectivity CD Player
Cruise Control Daytime Running Lights Driver Seat With Power Lumbar Support Driver-Front Air Bag Dual A/C
Electric Defogger Electronic Stability Control First Row Bucket Seat Fog Lights Front Heated Seats Genuine Wood Trim HD Radio Heated Mirror Heated Seats Interior Automatic Day/Night Or
Electrochromatic Mirror
Keyless Entry System Leather Seats Leather Steering Wheel Left-Curtain Air Bag Manual Sunroof MP3 Player Passenger-Front Air Bag Power Door Locks Power Driver Seat Power Remote Mirror Power Steering Power Windows Rear Bench Seat Rear Heating, Ventilation & Air Conditioning Satellite Radio
Second Row Side Airbag With
Head Protection Side Airbags Steering Wheel Mounted Audio Control Telematic Systems Theft Deterrent Sys. Tilt Steering Wheel Tire Pressure Monitoring
System Traction Control/Electronic Trip Computer Universal Garage Door Opener
FIDEL GARCIA LOPEZ 2013 Hyundai Sonata Limited
Parts Profile
BREAAQRP
Parts Profile Version
42.0
LABOR PART
Line # Description Operation Type Total Units Type Number Qty Total Price Tax Front Bumper
1 101702 Frt Bumper Cover Assy Overhaul Body 1.4# Existing 2 100434 Frt Bumper Cover Remove /
Replace
Body INC# Aftermarket
Certified
HY1000183PP 1 $357.00 Yes
3 AUTO Frt Bumper Cover Refinish
Only
Refinish 2.6 C
4 102872 Frt Lwr Bumper Grille Remove /
Replace
Body INC# New 86561-3S000 1 $38.56 Yes
5 AUTO Frt Bumper Cover Remove /
Install
Body INC
6 100410 Frt Bumper Energy
Absorber
Remove /
Replace
Body INC Aftermarket
Certified
HY1070129C 1 $78.00 Yes
7 100413 Frt Bumper Impact Bar Remove /
Replace
Body 0.4# Aftermarket
Certified
HY1006133N 1 $226.00 Yes
Grille
8 100415 Grille Assembly Remove /
Replace
Body INC Qual Recycled
Part
26478 1 $450.00 Yes
9 900510 Line Markup 20.0% $90.00
Front Lamps
10 102603 R Frt Combination Lamp
Assembly
Remove /
Replace
Body INC# Qual Recycled
Part
RE1626 1 $643.00 Yes
Committed On
2/6/2023
02:53 PM
Version
Mitchell Estimating 22.4
OEM FEB_23_V
Mitchell Cloud EstimatingTM
Copyright 1994-2023 Mitchell International, Inc.
All Rights Reserved
Printed On
2/6/2023
02:53 PM
Profile
PBE CALIFORNIA
Profile Version
8.0
Page 2 of 7
11 900510 Line Markup 20.0% $128.60
12 AUTO Headlamps Check /
Adjust
Body 0.4
13 102604 L Frt Combination Lamp
Assembly
Remove /
Replace
Body INC# Qual Recycled
Part
RE1626 1 $643.00 Yes
14 900510 Line Markup 20.0% $128.60
Hood
15 101542 Hood Panel Remove /
Replace
Body 1.3 Aftermarket
Certified
HY1230147PP 1 $909.00 Yes
16 AUTO Hood Outside Refinish
Only
Refinish 2.8 C
17 AUTO Add For Hood Underside Refinish
Only
Refinish 1.4 C
18 101543 Hood Moulding Remove /
Replace
Body INC New 86355-3S101 1 $304.47 Yes
19 101902 Hood Insulator Remove /
Replace
Body INC New 81125-3Q000 1 $248.67 Yes
20 101561 R Hood Hinge Remove /
Replace
Body 0.2# New 79120-3S000 1 $75.40 Yes
21 AUTO R Hinge Refinish
Only
Refinish 0.5 C
22 AUTO Hood Assy Remove /
Install
Body INC
23 101562 L Hood Hinge Remove /
Replace
Body 0.2# New 79110-3S000 1 $75.40 Yes
24 AUTO L Hinge Refinish
Only
Refinish 0.5 C
25 101567 Hood Latch Remove /
Replace
Body INC New 81130-3S000 1 $71.76 Yes
26 101568 Hood Lock Cover Remove /
Replace
Body 0.0 New 81195-3S000 1 $8.95 Yes
Cooling
27 101906 Radiator Remove /
Install
Body 1.8 Existing
A/C / Heater / Ventilation
28 101276 A/C Condenser -M Remove /
Install
Mechanical 1.5# Existing
29 AUTO Evacuate & Recharge A/C -
M
Remove /
Replace
Mechanical 1.4
30 101278 A/C Refrigerant Recovery -
M
Remove /
Replace
Mechanical 0.3
Front Fender
31 101315 R Fender Outside Blend Refinish 0.8 C Existing 32 101323 L Fender Panel Remove /
Replace
Body 1.6# Aftermarket
Certified
HY1240150C 1 $247.98 Yes
33 AUTO L Fender Outside Refinish
Only
Refinish 1.6 C
34 AUTO L Add To Edge Fender Refinish
Only
Refinish 0.5 C
35 101324 R Fender Liner Remove /
Install
Body 0.3r Existing
36 101325 L Fender Liner Remove /
Replace
Body INC Aftermarket
Certified
HY1248124C 1 $123.00 Yes
Front Inner Structure
LABOR PART
Line # Description Operation Type Total Units Type Number Qty Total Price Tax Committed On
2/6/2023
02:53 PM
Version
Mitchell Estimating 22.4
OEM FEB_23_V
Mitchell Cloud EstimatingTM
Copyright 1994-2023 Mitchell International, Inc.
All Rights Reserved
Printed On
2/6/2023
02:53 PM
Profile
PBE CALIFORNIA
Profile Version
8.0
Page 3 of 7
37 101948 Frt Body Radiator Support
(Com/Steel)
Remove /
Replace
Body 5.2# New 64101-3Q200 1 $848.05 Yes
38 AUTO Add To R&R Mechanical
Components -M
Remove /
Replace
Mechanical 0.4#
39 101964 L Frt Body Frt Sidemember -
S
Remove /
Replace
Body 12.5# New 64601-3Q010 1 $988.82 Yes
40 AUTO L Front Sidemember Refinish
Only
Refinish 1.0
Front Door
41 100067 L Frt Door Outside Blend Refinish 0.9 C Existing 42 101106 L Frt Otr Door Belt Moulding Remove /
Install
Body 0.2 Existing
43 101108 L Frt Door Mirror Remove /
Install
Body 0.7# Existing
44 101110 L Frt Door Trim Panel Remove /
Install
Body INC Existing
45 101120 L Frt Otr Door Handle Remove /
Install
Body 0.3 Existing
Additional Costs & Materials
46 AUTO Paint/Materials Additional
Cost
$620.00* Yes
47 936014 Flex Additive Additional
Cost
$8.00* Yes
48 936012 Hazardous Waste Disposal Additional
Cost
$5.00* Yes
Additional Operations
49 AUTO Clear Coat Additional
Operation
Refinish 2.9 $0.00
50 933003 Tint Color Additional
Operation
Body* 0.5* $0.00
51 933017 Finish Sand And Buff Additional
Operation
Body* 2.0* $0.00
52 933018 Mask For Overspray Additional
Operation
Refinish 0.0 $10.00*
LABOR PART
Line # Description Operation Type Total Units Type Number Qty Total Price Tax
*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 Parts Vendors
EXPRESS BODY PARTS
7295 COLDWATER CYN.
NORTH HOLLYWOOD CA 91605
818-***-**** (Work)
Line Part #
Total
Price
32 HY1240150C $247.98
KEYSTONE KEYSIQ
13603 FOSTER RD.
SANTA FE SPRINGS CA 90670
562-***-**** (Work)
800-***-**** (Work)
Line Part #
Total
Price
7 HY1006133N $226.00
KEYSTONE KEYSIQ
1627 ARMY CT. UNIT #7
STOCKTON CA 95206
800-***-**** (Work)
KEYSTONE MERC KEYSIQ
15895 VALLEY BLVD. #100
FONTANA CA 91761
800-***-**** (Work)
Committed On
2/6/2023
02:53 PM
Version
Mitchell Estimating 22.4
OEM FEB_23_V
Mitchell Cloud EstimatingTM
Copyright 1994-2023 Mitchell International, Inc.
All Rights Reserved
Printed On
2/6/2023
02:53 PM
Profile
PBE CALIFORNIA
Profile Version
8.0
Page 4 of 7
209-***-**** (Work)
Line Part #
Total
Price
2 HY1000183PP $357.00
6 HY1070129C $78.00
909-***-**** (Work)
Line Part #
Total
Price
36 HY1248124C $123.00
KEYSTONE-INS QUALITY PRT
13603 FOSTER RD.
SANTA FE SPRINGS CA 90670
562-***-**** (Work)
800-***-**** (Work)
Line Part #
Total
Price
15 HY1230147PP $909.00
Disclaimer: This estimate has been prepared based on the use of crash parts supplied by a source other than the manufacturer of your motor vehicle. Any warranties applicable to these replacement parts are provided by the manufacturer or distributor of the parts, rather than by the original manufacturer of your vehicle. Recycled Part Vendors
LKQ-Keystone- Northern California
2850 Viking Way
Redding CA 96003
800-***-**** (Work)
630-***-**** (Work)
Line Part # Total Price Vehicle Description VIN
10 RE1626 $643.00 2015 Hyundai SONATA R. KMHEC4A42FA120323 Supplier Notes: RH,LENS PEEL-VIN C (5TH DIGIT, HYBRID), 13 RE1626 $643.00 2015 Hyundai SONATA L. KMHEC4A42FA120323 Supplier Notes: LH,LENS PEEL-VIN C (5TH DIGIT, HYBRID), One Way Auto Salvage
3117 W. Mission Rd.
Alhambra CA 91803
626-***-**** (Work)
626-***-**** (Work)
Line Part # Total Price Vehicle Description VIN
8 26478 $450.00 2014 Hyundai SONATA (INCLUDES ACTIVE GRILLE SHUTTER)
KMHEC4A44EA110763
Supplier Notes: (INCLUDES ACTIVE GRILLE SHUTTER)
Disclaimer: Recycled part pricing may represent either actual pricing (the price at which the recycler is willing to sell the part for in its existing condition) or undamaged pricing (the price at which the recycler would sell the part if it was in undamaged condition). If you are unsure, please contact the automotive recycler. Some parts located for this quote may be Committed On
2/6/2023
02:53 PM
Version
Mitchell Estimating 22.4
OEM FEB_23_V
Mitchell Cloud EstimatingTM
Copyright 1994-2023 Mitchell International, Inc.
All Rights Reserved
Printed On
2/6/2023
02:53 PM
Profile
PBE CALIFORNIA
Profile Version
8.0
Page 5 of 7
interchangeable but may not be an exact match. If you are unsure, please contact the automotive recycler. Estimate Totals
Labor Units Rate Sublet Add'l Amount Totals
Body Labor 29.0 $52.00 $1,508.00
Refinish Labor 15.5 $52.00 $10.00 $816.00
Mechanical Labor 3.6 $75.00 $270.00
Total Labor 48.1 $2,594.00
Taxable $2,594.00
Tax 0.0000% $0.00
Non-Taxable $0.00
Labor Total $2,594.00
Parts Amount
Taxable Parts $6,337.06 $6,337.06
Parts Adjustments $347.20
Tax 9.5000% $635.00
Non-Taxable $0.00
Parts Total $7,319.26
Costs Amount
Other Additional Costs $13.00 $13.00
Paint Materials $620.00 $620.00
Paint Materials Rate: $40.00
Rate Max: 99.9 units
Additional Rate: $0.00
Taxable $633.00
Tax 9.5000% $60.14
Non-Taxable $0.00
Costs Total $693.14
Gross Totals Amount
Gross Total $10,606.40 $10,606.40
Taxable $9,911.26
Tax $695.14
Non-Taxable $0.00
Gross Total $10,606.40
Adjustments Amount
Total Customer
Responsibility
$0.00
Net Estimate Total $10,606.40
Disclaimers-
*** PURSUANT TO CALIFORNIA CODE OF REGULATIONS, TITLE 10, CHAPTER 5, SUB-CHAPTER 7.5, SECTION 2695.8 THE INSURER WARRANTS THAT ANY NON-ORIGINAL EQUIPMENT MANUFACTURER PARTS SPECIFIED IN THIS ESTIMATE ARE AT LEAST EQUAL TO THE ORIGINAL EQUIPMENT MANUFACTURER PARTS IN TERMS OF KIND, QUALITY, SAFETY, FIT AND PERFORMANCE *** THIS IS NOT AN AUTHORIZATION TO REPAIR. THE UNDERSIGNED REPAIR FACILITY AGREES TO REPAIR THIS VEHICLE USING INDUSTRY ACCEPTED EQUIPMENT AND METHODS, AND TO COMPLETE AND GUARANTEE SAFE REPAIRS AT A PRICE OF $, INCLUDING ALL CHARGES. NO SUPPLEMENTS Committed On
2/6/2023
02:53 PM
Version
Mitchell Estimating 22.4
OEM FEB_23_V
Mitchell Cloud EstimatingTM
Copyright 1994-2023 Mitchell International, Inc.
All Rights Reserved
Printed On
2/6/2023
02:53 PM
Profile
PBE CALIFORNIA
Profile Version
8.0
Page 6 of 7
WILL BE HONORED WITHOUT PRIOR APPROVAL.
SIGNED: IN THE EVENT THAT REPAIRS ARE COMMENCED, AND DURING SUCH REPAIRS IT IS DETERMINED BY MERCURY THAT THE VEHICLE IS A TOTAL LOSS, THE UNDERSIGNED SHOP AGREES NOT TO CHARGE STORAGE FEES FROM THE TIME THE VEHICLE ARRIVES AT THE SHOP UNTIL THE TIME THAT REPAIRS ARE STOPPED DUE TO MERCURY'S TOTAL LOSS DETERMINATION.
SIGNED: PRINT NAME: 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. Estimate Event Log
Job Created 1/30/2023 03:07 PM
Estimate Started 2/6/2023 11:25 AM
Estimate Printed 2/6/2023 02:53 PM
Estimate Committed 2/6/2023 02:53 PM
Estimate Version 0
Committed On
2/6/2023
02:53 PM
Version
Mitchell Estimating 22.4
OEM FEB_23_V
Mitchell Cloud EstimatingTM
Copyright 1994-2023 Mitchell International, Inc.
All Rights Reserved
Printed On
2/6/2023
02:53 PM
Profile
PBE CALIFORNIA
Profile Version
8.0
Page 7 of 7