COLLISIONMAX OF MARLTON

11 LOCATIONS - NATIONWIDE WARRANTY

22 W. MAIN STREET
MARLTON, NJ. 08053
OFFICE (856) 983-1313 FAX: (856) 983-9012 NJ LIC: 00009-A
*** ESTIMATE ***
12/30/2014 08:32 AM
Owner
Owner:
Address:
City State Zip:
Email:

SAILESH PATEL
7811 GOVERNOR PRINTZ BLVD
CLAYMONT, DE 19703-2615
sampatelde@yahoo.com

Home/Day: (609)433-1641
FAX:

Control Information
Claim # : 031190749-01
Loss Date/Time: 12/27/2014 07:00 AM
Deductible: $500.00
Ins. Company: Liberty Mutual
Address: 399 CAMPUS DRIVE
PO BOX 6807
City State Zip: SOMERSET, NJ 08873

Insured Policy # : XXXXX

Loss Type: Collision

Work/Day: (800)500-8061
Home/Evening:
FAX:

Insured: SAILESH PATEL

Claim Rep: Ronalynn Munnell
Loss Payee: Audi Financial Services
Inspection
Inspection Date:
Inspection Location:
Address:
City State Zip:
Primary Impact:
Driveable:

12/29/2014 05:06 PM
CollisionMax of Marlton
22 West Main Street
Marlton, NJ 08053
Left Front Corner
Yes

Assigned Date/Time:
First Contact Date/Time:

Inspection Type:
Contact:
Work/Day:
FAX:
Secondary Impact:
Rental Assisted:

Direct Repair Program

Jim Rush
(856)983-1313x
(856)983-9012x

Received Date/Time: 12/29/2014 12:32 PM

Appointment Date/Time: 12/30/2014 07:00 AM

Appraiser Name: Keith Silva

Appraiser License # :

Repairer
Repairer:
Address:
City State Zip:
License # :

CollisionMax of Marlton
22 West Main Street
Marlton, NJ 08053
00075-A

Contact:
Work/Day:
FAX:
Regulation ID:

Jim Rush
(856)983-1313
(856)983-9012
52-2079443

Remarks
SUPPLEMENTS MUST BE INSPECTED PRIOR TO REPAIR
FAILURE TO NOTIFY LIBERTY MUTUAL COULD RESULT IN NON PAYMENT OF SUPPLEMENT.
12/30/2014 08:48 AM

Page 1 of 6

2014 Audi Q5 2.0T Prem Plus 4 DR Wagon

Claim # : 031190749-01

12/30/2014 08:32 AM

ALL REQUESTS FOR SUPPLEMENT

SUPPLEMENT REQUESTS SHOULD BE FAXED TO (603)334-0374
OR EMAILED TO FX6033340374@LIBERTYMUTUAL.COM
WE DO NOT HAVE A REPAIR APPOINTMENT AT THIS TIME
APU SEARCH COMPLETED
Vehicle
2014 Audi Q5 2.0T Prem Plus 4 DR Wagon
4cyl Gasoline Turbo 2.0
Automatic Tiptronic
Lic.Plate:
Lic Expire:
Prod Date:
Veh Insp# :
Condition:
Ext. Color:
Ext. Refinish:
Ext. Paint Code:

393658

Lic State:
VIN:
Mileage:
Mileage Type:
Code:
Int. Color:
Int. Refinish:
Int. Trim Code:

06/2013
Good
LAVA GRAY PRL
Two-Stage
1R1R,LZ7L

DE
WA1LFAFP6EA012025
27,057
Actual
68764A
GRAU
IE

Options - AudaVIN Information Received

1st Row LCD Monitor(s)
Alarm System
Anti-Lock Brakes
Automatic Dimming Mirror
Center Console
Compact Spare Tire
Daytime Running Lights
Driver Information Sys
Dual Airbags
Electronic Compass
Garage Door Opener
Heated Power Mirrors
IPOD Control
Keyless Access System
LED Brakelights
Leather Steering Wheel
Mirror(s) Memory
Panorama Sunroof
Perimeter Alarm System
Power Liftgate
Power Windows
Pwr Driver Lumbar Supp
Rear Heater
Rear Window Defroster
Side Airbags
Split Folding Rear Seat
Subwoofer
Tilt & Telescopic Steer
Tonneau/Cargo Cover
Wireless Phone Connect

2nd Row Head Airbags

Aluminum/Alloy Wheels
Auto Headlamp Control
Bucket Seats
Chrome Grille
Cruise Control
Digital Clock
Driver Seat Memory
Dual Power Seats
Floor Mats
Head Airbags
Heated W/S Wiper Washers
Illuminated Visor Mirror
Keyless Entry System
Leather Seats
Lighted Entry System
Navigation System
Parking Assist System
Power Brakes
Power Steering
Privacy Glass
Rain-Sensing W/S Wipers
Rear Spoiler
Rear Window Wiper/Washer
SiriusXM Satellite Radio
Stability Cntrl Suspensn
Tachometer
Tinted Glass
Traction Control System
Wood Interior Trim

AM/FM CD Player
Amplifier
Auto-Leveling Headlamps
Carpeting
Color-Keyed Bumper(s)
DVD Player
Digital Signal Processor
Dual Air Conditioning
Dual Zone Auto A/C
Fog Lights
Heated Front Seats
High Definition Radio
Intermittent Wipers
Keyless Ignition System
Leather Shift Knob
MP3 Decoder
Overhead Console
Pearlescent Paint
Power Door Locks
Power Trunk (open/close)
Pwr Accessory Outlet(s)
Rear Fog Lamp
Rear View Camera
Roof/Luggage Rack
Smokers Package
Strg Wheel Radio Control
Theft Deterrent System
Tire Pressure Monitor
Trip Computer
Xenon Headlamps

AudaVIN options are listed in bold-italic fonts

Damages
Line Op

Guide

MC Description

MFR.Part No.

Price

ADJ% B%

Hours

Stripes And Mouldings

12/30/2014 08:48 AM

Page 2 of 6

2014 Audi Q5 2.0T Prem Plus 4 DR Wagon

Claim # : 031190749-01

1 RI
2 RI

500
502

Front Bumper
3 E
47
4 L
47

Mldg,Front Door Lower L/R

Mldg,Rear Door Lower L/R

01 Cover,Front Bumper LT
13 Cover,Front Bumper LT

5 E
6 L

152
152

01 Spoiler,Lower Front
Spoiler,Lower Front

7 E

57

01 Filler,Front Bumper LT

12/30/2014 08:32 AM

R & I Assembly
R & I Assembly

0.3
0.3

SM
SM

$495.00

0.9
2.6

SM
RF

$346.00

0.5
1.2

SM
RF

$123.00

INC

SM

$925.00

1.5

SM

0.4

SM

Repair
Refinish
0.5 Surface
Repair

1.0*
0.5*

SM
RF

5.0*

SM

Refinish
1.8 Surface
0.6 Two-stage

2.4*

RF

2.8
2.8

SM
RF

0.5*

SM

2.0*

RF

0.9
0.4
0.4

SM
SM
SM

5.0*
1.9*

SM
RF

0.6
0.3

SM
SM

8R0807107KGRU
Refinish
1.7 Surface
0.6 Two-stage setup
0.3 Two-stage
8R0807061DGRU
Refinish
1.0 Surface
0.2 Two-stage
8R0807681G01C

Front End Panel And Lamps

8 OE
41
01 Headlamp Assy,Xenon LT
OEM SURPLUS PART
>> 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
Front Body And Windshield
10 I
25
Hood Underside
11 L
25
Hood Underside
12

83

13

83

14 E
15 L

103
103

Panel,Hood
Aluminum
10 Panel,Hood

>> Partial base, full clear coat.

Fender,Front LT
8R0821105A
Fender,Front LT
Refinish
1.9 Surface
0.5 Edge
0.4 Two-stage

Front Doors
16 I

207

17

207

18 RI
19 RI
20 RI

225
253
315

Door Shell,Front LT
Repair
>> Repair door edge (rubbing fender).
10 Door Shell,Front LT
Refinish
1.6 Surface
0.4 Two-stage
>> Partial base, full clear coat.
Mldg,Front Door Belt LT
R & I Assembly
Cover,Frt Door Mirror LT
R & I Assembly
Handle,Front Door Otr LT
R & I Assembly

287
287

Door Shell,Rear LT
10 Door Shell,Rear LT

Rear Doors
21 I
22 L

23 RI
24 RI

471
305

Manual Entries
25 SB
25 Items
12/30/2014 08:48 AM

$347.00

Repair
Refinish
1.5 Surface
0.4 Two-stage

>> Partial base, full clear coat.

Mldg,Rear Door Belt LT
R & I Assembly
Handle,RR Door Outer LT
R & I Assembly

HAZARDOUS WASTE

Sublet Repair

$3.00*

SM*

Page 3 of 6

2014 Audi Q5 2.0T Prem Plus 4 DR Wagon

Claim # : 031190749-01

12/30/2014 08:32 AM

MC

Message

01
10
13

CALL DEALER FOR EXACT PART # / PRICE

INCLUDES AUDATEX TIME TO CLEAR ENTIRE PANEL
INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE

Estimate Total & Entries

Gross Parts
OE Surplus Parts
Paint & Materials
Parts & Material Total
Tax on Parts & Material
Labor

Sheet Metal (SM)

Mech/Elec (ME)
Frame (FR)
Refinish (RF)
Paint & Materials

$1,311.00
$925.00
$361.80
$2,597.80
$181.85

@ 7.000%
Rate

Replace Repair Hrs

Hrs

$47.00
$50.00
$48.00
$47.00
$27.00

Labor Total
Tax on Labor
Sublet Repairs
Tax on Sublet
Gross Total
Less: Deductible
Net Total

8.9

11.9

13.4

Total Hrs

20.8

$977.60

13.4

$629.80

34.2 Hours
@ 7.000%
@ 7.000%

$1,607.40
$112.52
$3.00
$0.21
$4,502.78
$500.00$4,002.78

Alternate Parts Y/00/00/00/00/00 CUM 00/00/00/00/00 Zip Code: 08053 Liberty Mutual
Recycled 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 12/15/2014

Copyright (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
12/30/2014 08:48 AM

Page 4 of 6

2014 Audi Q5 2.0T Prem Plus 4 DR Wagon

Claim # : 031190749-01

12/30/2014 08:32 AM

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 LIKE
KIND AND QUALITY IN TERMS OF FIT, QUALITY AND PERFORMANCE TO REPLACEMENT PARTS
AVAILABLE FROM THE ORIGINAL MANUFACTURER.
IN ACCORDANCE WITH NEW JERSEY REGULATION 11:3-10.3(E), YOU, AS THE INSURED MAY
USE 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
* =
EC =
ET =
TE =
L =
TT =
BR =
CG =
AA =

User-Entered Value
QUALITY REPL. PART
Partial Replace Labor
Partial Replace Price
Refinish
Two-Tone
Blend Refinish
Chipguard
Appearance Allowance

E =
OE =
EP =
PM =
PC =
SB =
I =
RI =
RP =

Replace OEM
OEM SURPLUS PART
QUALITY REPL. PART
Replace PXN Reman/Reblt
Replace PXN Reconditioned
Sublet Repair
Repair
R & I Assembly
Related Prior Damage

NG =
UE =
EU =
UM =
UC =
N =
IT =
P =

Replace NAGS
OEM SURPLUS PART
LIKE KIND & QUALITY
Replace Reman/Rebuilt
Replace Reconditioned
Additional Labor
Partial Repair
Check

This report contains proprietary information of Audatex and may not be disclosed to any third party (other than
the insured, claimant and others on a need to know basis in order to effectuate the claims process) without
Audatex's prior written consent.
Copyright (C) 2014 Audatex North America, Inc.
Audatex Estimating is a trademark of Audatex North America, Inc.

12/30/2014 08:48 AM

Page 5 of 6

2014 Audi Q5 2.0T Prem Plus 4 DR Wagon

Claim # : 031190749-01

12/30/2014 08:32 AM

*** Unrelated Prior Damage Page ***

Administrative
Owner:
Claim # :
Loss Date/Time:
Inspection Date:
Vehicle:

SAILESH PATEL
031190749-01
12/27/2014 07:00 AM
12/29/2014 05:06 PM
2014 Audi Q5 2.0T Prem Plus 4 DR Wagon
4cyl Gasoline Turbo 2.0
Automatic Tiptronic

Damages
Line

Op

Guide

Wheels
1 SB
1

MC

994

Description

MFR.Part No.

Wheel,Front RT
>> Curb rash.

Sublet Repair

Price

ADJ% B%

Hours

SM

Items

Estimate Total & Entries

Replace
Hrs
Labor
Sheet Metal (SM)
Mech/Elec (ME)
Frame (FR)
Refinish (RF)
Paint & Materials

Repair Total Hrs

Hrs

Rate
$47.00
$50.00
$48.00
$47.00
$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.

12/30/2014 08:48 AM

Page 6 of 6