State Farm Insurance Companies
Take this initial estimate to the repair facility of your choice. If
additional damage is found have the repair facility use the Request Supplement
link at b2b.statefarm.com. **This is not an email address; it is the site to
submit a Supplement**. All supplements must be approved by State Farm®.
*** ESTIMATE ***
11/27/2021 08:05 PM
Owner
Owner: ROBERT JACKINSKI
Address: 1121 W CHELAN AVE
City State Zip: SPOKANE, WA 99205-3421
Work/Day:
Home/Evening: (509)981-9901
FAX:
Control Information
Claim # : 47-27M4-42L01
Loss Date/Time: 11/22/2021
Deductible: $500.00
Insured Policy # :
Loss Type: Collision
Ins. Company: State Farm
Insured: ROBERT JACKINSKI
Claim Rep: Prop B T1 CS Team
Address:
Work/Day: (844)292-8615
Inspection
Inspection Date:
Inspection Location:
City State Zip:
Primary Impact:
Driveable:
11/27/2021 08:00 PM
RESIDENCE
Spokane, WA 99205
Right Front Side
Yes
Assigned Date/Time:
Appraiser Name: TRACY DTY9
Inspection Type: Virtual
Contact:
FAX:
Secondary Impact:
Rental Assisted:
Received Date/Time: 11/27/2021 08:00 PM
Appraiser License # :
Vehicle
2000 Toyota 4Runner Limited 4 DR Wagon
6cyl Gasoline 3.4
4 Speed Automatic
Lic.Plate: BXY9272
Lic Expire:
Prod Date:
Veh Insp# :
Condition:
DESERT DUNE PRL MET /
Ext. Color:
BLUISH SI
Ext. Refinish: Two-Stage
Ext. Paint Code: K84=1A5+181
11/27/2021 08:49 PM
Lic State:
VIN:
Mileage:
Mileage Type:
Code:
WA
JT3HN87R7Y0270656
228,000
Actual
Y6624A
Int. Color:
Int. Refinish: Two-Stage
Int. Trim Code:
Page 1 of 5
2000 Toyota 4Runner Limited 4 DR Wagon
Claim # : 47-27M4-42L01
11/27/2021 08:05 PM
Options - AudaVIN Information Received
4-Wheel Drive
Aluminum/Alloy Wheels
Automatic Trans
Chrome Grille
Compact Disc W/Tape
Digital Clock
Fender Flares
Halogen Headlights
Intermittent Wipers
Leather Shift Knob
Mud/Splash Guards
Power Brakes
Power Steering
Pwr Accessory Outlet(s)
Rear Heater
Rear Window Defroster
Roof/Luggage Rack
Split Folding Rear Seat
Theft Deterrent System
Trailer Hitch
Air Conditioning
Anti-Lock Brakes
Bodyside Cladding
Climate Control For A/C
Cruise Control
Dual Airbags
Fog Lights
Heated Power Mirrors
Keyless Entry System
Leather Steering Wheel
Overhead Console
Power Door Locks
Power Windows
Pwr Driver Lumbar Supp
Rear Step Bumper
Rear Window Wiper/Washer
Running Boards
Sport Seats
Tilt Steering Wheel
Tutone Paint
Alarm System
Auto Locking Hubs (4WD)
Center Console
Compact Disc Changer
Daytime Running Lights
Dual Power Seats
Full Size Spare Tire
Illuminated Visor Mirror
Leather Seats
Limited Slp Differential
Power Antenna
Power Moonroof
Privacy Glass
Pwr Sliding Rear Window
Rear Wind Deflector
Rearview Camera Mirror
Skid Plates
Tachometer
Tonneau/Cargo Cover
AudaVIN options are listed in bold-italic fonts
Damages
Line Op
Guide
MC Description
Stripes And Mouldings
1 E
127
2
1021
Front Bumper
3 E
57
Mldg,Wheel Opening RT
Clip,Fender Mldg RT
01 Cvr,Front Bumper Lwr
MFR.Part No.
Price
ADJ% B%
R
7508535020
New Part
$145.99
INC
0.3
SM
SM
5391135911
$298.87
1.1
SM
0.7
SM
0.4
0.2
SM
SM
1.5
SM
4.1
RF
1.0
SM
Front End Panel And Lamps
4 EU
44
Headlamp Assy,Halogen RT RECYCLED PART
$50.00
+25.00
>> Spalding Auto Parts 800-366-2070
>> 10708 E Knox Ave
>> Spokane WA 99206
>> APU Quote# 141637730543784, Stock# MSPA, Pat, Shorty, Mike, Kevin, All
5 N
973
Headlamps Aim
ADDITIONAL OPERATION
6 EU
52
Parklamp Assembly RT
RECYCLED PART
$40.00
+25.00
>> LKQ Washington 800-547-4851
>> 28520 SR 410 E
>> Buckley WA 98321
>> APU Quote# 141637730543784, Stock# LKQ# 1085722533
Front Body And Windshield
7 EU
104
Fender,Front RT
RECYCLED PART
>> B & R Auto Wrecking - Washington 855-259-7379
>> 20011 Meridian Ave. E.
>> Graham WA 98338
>> APU Quote# 141637730543784, Stock# NKJ608
8 L
104
13 Fender,Front RT
Refinish
2.4 Surface
0.5 Edge
0.6 Two-stage setup
0.6 Two-stage
9 RI
135
Antenna,Electric RT
R & I Assembly
11/27/2021 08:49 PM
Hours
$70.03
+25.00
Page 2 of 5
2000 Toyota 4Runner Limited 4 DR Wagon
Claim # : 47-27M4-42L01
10 E
11 E
455
457
Front Suspension
12 E
664
13 EU
652
14 EU
654
Steering
15 E
709
Rear Suspension
16 EU
814
17 EU
816
18 E
19 EU
1764
828
20 E
21 E
1924
691
11/27/2021 08:05 PM
Brkt,Flare Mounting RT
01 Brkt,Flare Mounting RT
5385735020
5384535010
0.5
INC
SM
SM
Ball Joint,Lower Arm RT
4333039585
$160.96
Arm,Upper Control R/F
RECYCLED PART
$22.00
+25.00
>> Spalding Auto Parts 800-366-2070
>> 10708 E Knox Ave
>> Spokane WA 99206
>> APU Quote# 141637730543784, Stock# DUJ8, Pat, Shorty, Mike, Kevin, All
Arm,Lower Control R/F
RECYCLED PART
$30.00
+25.00
>> LKQ Washington 800-547-4851
>> 28520 SR 410 E
>> Buckley WA 98321
>> APU Quote# 141637730543784, Stock# LKQ# 1085722533
0.3
1.1
ME
ME
3.6
ME
End,Tie Rod Outer R/F
0.1
ME
0.4
ME
0.4
ME
0.4
0.3
ME
ME
INC
0.7
ME
ME
4504639335
$19.60
$19.60
$90.66
Arm,Rear Suspension RT
RECYCLED PART
$21.00
+25.00
>> Spalding Auto Parts 800-366-2070
>> 10708 E Knox Ave
>> Spokane WA 99206
>> APU Quote# 141637730543784, Stock# DLW5, Pat, Shorty, Mike, Kevin, All
Arm,Rear Suspension RT
RECYCLED PART
$21.00
+25.00
>> Spalding Auto Parts 800-366-2070
>> 10708 E Knox Ave
>> Spokane WA 99206
>> APU Quote# 141637730543784, Stock# DUM8, Pat, Shorty, Mike, Kevin, All
01 Spring,Rear Coil RT
4823135210
$153.65
Bar,Rear Stabilizer
RECYCLED PART
$37.00
+25.00
>> Spalding Auto Parts 800-366-2070
>> 10708 E Knox Ave
>> Spokane WA 99206
>> APU Quote# 141637730543784, Stock# DUM8, Pat, Shorty, Mike, Kevin, All
Bshg,Rear Stabilizer RT
4881510090
$14.62
Rod,RR Stabilizer Bar RT
4883035020
$116.85
Manual Entries
22 L
23 N
24 N
24 Items
Corrosion Protection
Car Cover
Hazardous Waste Removal
Refinish
ADDITIONAL OPERATION
ADDITIONAL OPERATION
0.2*
$5.00*
$3.00*
MC
Message
01
13
CALL DEALER FOR EXACT PART # / PRICE
INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
RF*
SM
SM
Estimate Total & Entries
OEM Parts
Other Parts
Paint & Materials
Line Item Markup
Parts & Material Total
Tax on Parts & Material
Labor
11/27/2021 08:49 PM
4.3 Hours @ $36.00
@ 8.900%
Rate
Replace Repair Hrs
Hrs
$1,020.80
$299.03
$154.80
$72.76
$1,547.39
$137.72
Total Hrs
Page 3 of 5
2000 Toyota 4Runner Limited 4 DR Wagon
Claim # : 47-27M4-42L01
Sheet Metal (SM)
Mech/Elec (ME)
Frame (FR)
Refinish (RF)
11/27/2021 08:05 PM
$58.00
$58.00
$70.00
$58.00
5.3
7.3
0.4
4.3
Labor Total
Gross Total
Less: Deductible
Net Total
5.7
7.3
$330.60
$423.40
4.3
$249.40
17.3 Hours
$1,003.40
$2,688.51
$500.00$2,188.51
For more information regarding State Farm's promise of satisfaction relating to new non-original
equipment manufacturer (non-OEM) and recycled parts, please visit: http://st8.fm/7X4 or QR code.
Register online to check the status of your claim and stay connected with State Farm®. To register, go to statefarm.com and select Check the
Status of a Claim. If you are already registered, thank you!
Alternate Parts Y/00/00/00/00/00 Cumulative 00/00/00/00/00 Zip Code: 60666 PXN Region 6
Recycled Parts Y/0/0 Zip Code: 99205 INV DATE: 11/27/2021
Rate Name (02514) WA SPOKANE SPOKANE VALLEY
Audatex Estimating 8.1.209 ES 11/27/2021 08:49 PM REL 8.1.209 DT 11/01/2021
State Disclosure:WA
Department of Insurance Disclosure:WA
© 2021 Audatex North America, Inc.
1.2 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX'S TWO-STAGE REFINISH FORMULA.
IT IS A CRIME TO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING
INFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING THE COMPANY.
PENALTIES INCLUDE IMPRISONMENT, FINES, AND DENIAL OF INSURANCE BENEFITS.
THIS IS AN ESTIMATE. REPAIR FACILITIES MUST INSPECT THE VEHICLE TO DETERMINE
IF ANY REPAIRS NOT LISTED ARE REQUIRED, AND TO CONTACT STATE FARM BEFORE
MAKING SUCH REPAIRS. REPAIRER ALSO IS RESPONSIBLE FOR CONDUCTING ANY
NECESSARY INSPECTION AND SAFETY CHECKS PRIOR TO AND AFTER COMPLETING REPAIRS.
-THIS IS NOT AN AUTHORIZATION TO REPAIROWNER PAYS TOTAL REPAIR COST
Op Codes
* = User-Entered Value
NG = Replace NAGS
11/27/2021 08:49 PM
^ = Labor Matches System Assigned Rates E = New Part
EC = ** NON-OEM PART
OE = Replace PXN OE Srpls
Page 4 of 5
2000 Toyota 4Runner Limited 4 DR Wagon
Claim # : 47-27M4-42L01
UE =
EU =
UM =
UC =
N =
IT =
P =
Replace OE Surplus
RECYCLED PART
REMAN/REBUILT PART
RECOND PART
ADDITIONAL OPERATION
Partial Repair
Check
11/27/2021 08:05 PM
ET =
TE =
L =
TT =
BR =
CG =
RP =
Partial Replace Labor
Partial Replace Price
Refinish
Two-Tone
Blend Refinish
Chipguard
RP-RELATED PRIOR
EP =
PM =
PC =
SB =
I =
RI =
** NON-OEM PART
REMAN/REBUILT PART
RECOND PART
Sublet Repair
Repair
R & I Assembly
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.
© 2021 Audatex North America, Inc.
AUDATEX is a trademark owned by Audatex
North America, Inc. All rights reserved.
11/27/2021 08:49 PM
Page 5 of 5
State Farm Insurance Companies
Take this initial estimate to the repair facility of your choice. If
additional damage is found have the repair facility use the Request Supplement
link at b2b.statefarm.com. **This is not an email address; it is the site to
submit a Supplement**. All supplements must be approved by State Farm®.
Recycled Real Steel Locate Report
Owner Name: ROBERT JACKINSKI
Claim # : 47-27M4-42L01
Vehicle
2000 Toyota 4Runner Limited 4 DR Wagon
6cyl Gasoline 3.4
4 Speed Automatic
Options
4-Wheel Drive
Aluminum/Alloy Wheels
Automatic Trans
Chrome Grille
Compact Disc W/Tape
Digital Clock
Fender Flares
Halogen Headlights
Intermittent Wipers
Leather Shift Knob
Mud/Splash Guards
Power Brakes
Power Steering
Pwr Accessory Outlet(s)
Rear Heater
Rear Window Defroster
Roof/Luggage Rack
Split Folding Rear Seat
Theft Deterrent System
Trailer Hitch
Air Conditioning
Anti-Lock Brakes
Bodyside Cladding
Climate Control For A/C
Cruise Control
Dual Airbags
Fog Lights
Heated Power Mirrors
Keyless Entry System
Leather Steering Wheel
Overhead Console
Power Door Locks
Power Windows
Pwr Driver Lumbar Supp
Rear Step Bumper
Rear Window Wiper/Washer
Running Boards
Sport Seats
Tilt Steering Wheel
Tutone Paint
Line
Part Description
Year/Make / Notes
4
6
7
13
14
16
17
19
Headlamp Assy,Halogen RT
Parklamp Assembly RT
Fender,Front RT
Arm,Upper Control R/F
Arm,Lower Control R/F
Arm,Rear Suspension RT
Arm,Rear Suspension RT
Bar,Rear Stabilizer
VIN?
Y
Y
Y
Y
Y
Y
Y
Y
Alarm System
Auto Locking Hubs (4WD)
Center Console
Compact Disc Changer
Daytime Running Lights
Dual Power Seats
Full Size Spare Tire
Illuminated Visor Mirror
Leather Seats
Limited Slp Differential
Power Antenna
Power Moonroof
Privacy Glass
Pwr Sliding Rear Window
Rear Wind Deflector
Rearview Camera Mirror
Skid Plates
Tachometer
Tonneau/Cargo Cover
Cleanup
Supplier ID
APU100377
APU211289009560731
APU121549178253992
APU100377
APU211289009560731
APU100377
APU100377
APU100377
Stock #
MSPA
LKQ# 1085722533
NKJ608
DUJ8
LKQ# 1085722533
DLW5
DUM8
DUM8
> = ESTIMATE TOTAL IS BASED ON PRICE QUOTED BY THIS SUPPLIER. REPAIRERS MAY USE THE SUPPLIER OF THEIR CHOICE AND MAY
NEGOTIATE SPECIFIC TERMS OF PURCHASE WITH THAT SUPPLIER.
Detailed Distributor List
APU100377
Spalding Auto Parts 800-366-2070
APU Quote# 141637730543784, Stock# MSPA, Pat, Shorty,
Mike, Kevin, All
10708 E Knox Ave
Spokane WA 99206
APU211289009560731
LKQ Washington 800-547-4851
APU Quote# 141637730543784, Stock# LKQ# 1085722533
28520 SR 410 E
Buckley WA 98321
APU121549178253992
B & R Auto Wrecking - Washington 855-259-7379
APU Quote# 141637730543784, Stock# NKJ608
20011 Meridian Ave. E.
11/27/2021 08:49 PM
Page 1 of 2
2000 Toyota 4Runner Limited 4 DR Wagon
Claim # : 47-27M4-42L01
Graham WA 98338
Audatex Estimating 8.1.209 ES 11/27/2021 08:49 PM REL 8.1.209 DT 11/01/2021
Zip Code: 99205
Search Area:
© 2021 Audatex North America, Inc.
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.
© 2021 Audatex North America, Inc.
AUDATEX is a trademark owned by Audatex North America, Inc. All rights reserved.
11/27/2021 08:49 PM
Page 2 of 2