MOTION FOR JUDGMENT MOTION FOR JUDGMENT AND ORDER OF PAYMENTS. ENTRY # 108.00 STILL STANDS. RESULT: Order 6/11/2019 HON ROBERT SHAPIRO March 06, 2019 (2024)

 
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 Docket Number: HHD-CV17-6086251-S File No: 26581842FEISS SICIGI IOI ICICI SIS OIG Rak ak a kk ok ak a ake teak SUPERIOR COURTTHE HERTZ CORPORATION *** HARTFORD* JUDICIAL DISTRICTPlaintiff * March 6, 2019v. cd*ANDRE DAVIS ****Defendant *FE RCSICI ICICI ICIS I ICI IOI IOI ICI i ak kak okaMOTION FOR JUDGMENT AND ORDER FOR PAYMENTSIn the above entitled action, Plaintiff requests that judgment after default be enteredagainst the Defendant in the amount of $18,585.95, with less $200.00 credit for salvage value,plus costs of $425.60, for a total amount due of $18,811.55 in favor of the Plaintiff in accordancewith the Affidavit of Debt and Bill of Costs attached hereto.Plaintiff requests that the Court issue an order of payment in the amount of $75.00 perweek as well as post judgment interest at the rate of 10%. HERTZ CORPORATIONBY: lie B. Solomon, Esq.Solomon and Solomon, P.C.1 Columbia CircleAlbany, NY 12203Firm Juris No. 421261(518) 456-7200This is an attempt to collect a debt; any information obtained will be used for that purpose. This is a communicationfrom a debt collector. Calls are randomly monitored, and may be recorded to ensure quality service. Our generaloffice hours are 8:00 am to 5:00 pm, Monday through Friday, Eastern Standard Time.‘Iiet Number: CV-17-6086251-SSolomon File 26581842FOI III III RII IOI III II oeTHE HERTZ CORPORATION : SUPERIOR COURT: HARTFORD JUDICIALPlaintiff * DISTRICTv. : 03/06/19*ANDRE DAVIS ****Defendant *FOI IIIS III ROTOR I I RA aeM: ary AffidavitSTATE OF NEW YORK ) » being duly sworn, deposes and says:\1. I am overNis years of age and am an employee for the firm of Solomon andSolomon, P.c.2. This affidavit is made Pursuant to the United States Soldiers and Sailor'sRelief Act of 1940, as amended, 50 U.S.C. App. Sec. 501 et seq. for thepurpose of the entry of judgment against ANDRE DAVIS +Defendant in the above entitled action.3. I provided the Department of Defense Manpower Data Center with thepertinent information about the Defendant, such as date of birth and/orsocial security number, which I know because that information is containedon the files and business records provided by the Plaintiff and developedduring the collection of the claim, I requested a military investigationbe conducted.4. Based upon the response I received from the Department of Defense ManpowerData Center dated 03/06/19, I have concluded that the Defendantis not in any branch of the United States miljtary. KAYLA MARIE MARBLENotary Public, State of New rer Solomon and Solomon,Qualified in Rensselaer Cou! PO Box 15019No. 01MA6359311 .Commission Expires May 30,08 Albany, N¥ 12212-5019Sworn to before me this ot day of Mouc dK , 20 1G . This is an attempt to collect a debt. Any information obtained willbe used for that purpose. This communication is from a debt collector.Calls are randomly monitored and may be recorded to ensure quality service.FRHCTHFRICIMFRFCT2 PRIFRM ASTROUD 068281PRIFRM 000002 26581842 01 20190306102242 CIM AS400 BLKI 001973695 0001NDepartment of Defense Manpower Data Center Status ReportPursuant to Servicemembers Civil Relief ActResults as of : Mar-06-2019 10:20:13 AMSCRA 4.10 SSN: XXX-XX-Birth Date: XX-Last Name: DAVISFirst Name: ANDREMiddle Name:Status As Of: — Mar-06-2019Certificate ID: | OY9WCKDMOXH7BFD‘On Active Duiy On Active Duty Status DateActive Duty Start Date Active Duty End Date Status Service ComponentNA NA No. NAThis response reflects the individuals’ active duty status based on the Active Duty Status DateLett Active Duty Within 367 Days of Active Duty Status DateActive Duty Start Date Active Duty End Date Staius Service ComponentNA NA No NAThis response reflects where the individual lefl active duty status wiliin 367 days preceding the Active Duty Status Date‘The Member or His/Her Unit Was Notified of a Future Call-Up io Active Duty on Aciive Duty Status DateOrder Notification Start Date Order Notfication End Date Status Service ComponentNA NA No NAThis response reflects whether the individual or his/her unit has received early notification to report for active duty Upon searching the data banks of the Department of Defense Manpower Data Center, based on the information that you provided, the above is the status ofthe individual on the active duty status date as to all branches of the Uniformed Services (Army, Navy, Marine Corps, Air Force, NOAA, Public Health, andCoast Guard). This status includes information on a Servicemember or his/her unit receiving notification of future orders to report for Active Duty.Michael V. Sorrento, DirectorDepartment of Defense - Manpower Data Center400 Gigling Rd.Seaside, CA 93955The Defense Manpower Data Center (DMDC) is an organization of the Department of Defense (DoD) that maintains the Defense Enrollment and EligibilityReporting System (DEERS) database which is the official source of data on eligibility for military medical care and other eligibility systems.The DoD strongly supports the enforcement of the Servicemembers Civil Relief Act (50 USC App. ? 501 et seq, as amended) (SCRA) (formerly known asthe Soldiers’ and Sailors’ Civil Relief Act of 1940). DMDC has issued hundreds of thousands of "does not possess any information indicating that theindividual is currently on active duty" responses, and has experienced only a small error rate. In the event the individual referenced above, or any familymember, friend, or representative asserts in any manner that the individual was on active duty for the active duty status date, or is otherwise entitled to theProtections of the SCRA, you are strongly encouraged to obtain further verification of the person's status by contacting that person's Service. Service contactinformation can be found on the SCRA website's FAQ page (Q33) via this URL: https://scra.dmdc.osd.mil/faq.xhtmH##Q33. If you have evidence the personwas on active duty for the active duty status date and you fail to obtain this additional Service verification, punitive provisions of the SCRA may be invokedagainst you. See 50 USC App. ? 521(c).This response reflects the following information: (1) The individual's Active Duty status on the Active Duty Status Date (2) Whether the individual left ActiveDuty status within 367 days preceding the Active Duty Status Date (3) Whether the individual or his/her unit received early notification to report for activeduty on the Active Duty Status Date.More information on "Active Duty Status"Active duty status as reported in this certificate is defined in accordance with 10 USC ? 101(d) (1). Prior to 2010 only some of the active duty periods lessthan 30 consecutive days in length were available. In the case of a member of the National Guard, this includes service under a call to active serviceauthorized by the President or the Secretary of Defense under 32 USC ? 502(f) for purposes of responding to a national emergency declared by thePresident and supported by Federal funds. All Active Guard Reserve (AGR) members must be assigned against an authorized mobilization position in theunit they support. This includes Navy Training and Administration of the Reserves (TARs), Marine Corps Active Reserve (ARs) and Coast Guard ReserveProgram Administrator (RPAs). Active Duty status also applies to a Uniformed Service member who is an active duty commissioned officer of the U.S.Public Health Service or the National Oceanic and Atmospheric Administration (NOAA Commissioned Corps).Coverage Under the SCRA is Broader in Some CasesCoverage under the SCRA is broader in some cases and includes some categories of persons on active duty for purposes of the SCRA who would not bereported as on Active Duty under this certificate. SCRA protections are for Title 10 and Title 14 active duty records for all the Uniformed Services periods.Title 32 periods of Active Duty are not covered by SCRA, as defined in accordance with 10 USC ? 101 (d)(1).Many times orders are amended to extend the period of active duty, which would extend SCRA protections. Persons seeking to rely on this websitecertification should check to make sure the orders on which SCRA. protections are based have not been amended to extend the inclusive dates of service.Furthermore, some protections of the SCRA may extend to persons who have received orders to report for active duty or to be inducted, but who have notactually begun active duty or actually reported for induction. The Last Date on Active Duty entry is important because a number of protections of the SCRAextend beyond the last dates of active duty.Those who could rely on this certificate are urged to seek qualified legal counsel to ensure that all rights guaranteed to Service members under the SCRAare protectedWARNING: This certificate was provided based on a last name, SSN/date of birth, and active duty status date provided by the requester. Providingerroneous information will cause an erroneous certificate to be provided.po9 26581842 NOTICE OF JUDGMENT INSTRUCTIONS TO CLERK STATE OF CONNECTICUTAND ORDER FOR Mail copy of this notice and order fo plaintiff/plaintitfs SUPERIOR COURTattorney and retain the original in the court file. www jud.ct.WEEKLY PAYMENTS ueJD-CV-50 Rev. 10-99 INSTRUCTIONS TO PLAINTIFF/PLAINTIFF'S ATTORNEY cusPLB. § 17-23 et seq. 1. Complete Section 1. RETJGOR2, Complete "PAYABLE TO" line in Section if by filing in the nameand address of the person to whom payments are to be made.4, Aternotiteaton offudgmant send Copy to Defenders) AKand return original to Clerk's Office with the certification DOGKET NO.below completed (Section if!). DDRES: i town,95 Washington Street, Hartford, CT 06106 Judicial Housingkl District Session oO GA. No.NAME OF CASE (Plaintiff v. Defendant) THE HERTZ CORPORATION v. ANDRE DAVISNAME(S) OF DEFENDANT'S AGAINST WHOM JUDGMENT WAS RENDEREDANDRE DAVIS The following judgment may be enforced twenty-one days after the clerk receives acertification that a copy of this notice was served on each judgment debtor (defendant),JUDGMENTAfter an examination of the affidavits on file, the court finds that the above-named defendant(s) is/are not in the military ornaval service and that there is owed to the Plaintiff(s} the following:1, Amount Due On Claims $ KG Jc 3H! de 2! ). Interest _ _ S OO. Reasonable Attorney's Fees _ sO.4, OtherLawfulChages $C5. TOTAL AMOUNT OF JUDGMENT ___ $ \S, 285095{Total of lines 1-4)6. Plaintiffs Costs —_—_s SSIL5523. 7. TOTAL AMOUNT OF JUDGMENT AND COSTS(Total of tines 5 and 6) Judgment is rendered for the Piaintiff(s) to recover the Total Amount of Judgment and costs from the above-namedDefendant(s). It is further ordered that the Defendant(s) against whom judgment is entered make weekly payments as follows:AMOUNT OF WEEKLY PAYMENT DATE FIRST PAYMENT DUEWeeklyLgabA\ileh Bie PAYABLE TO (Name end address of person to whom payments are to be made)Solomon and Solomon, P.C., 1 Columbia Circle, Albany Ny 12203BY THE COURT (Name of Judge) SIGNED (Judge/Assistant clerk) DATE SIGNED This is to certify that a copy of this Notice and Judgment has been delivered/mailed via U.S. Mail,below. (Enter name(s) and address(es) of Defendant(s): eS : s zpostage prepaid to the Defendants named SIGNED (Pleintitt/Attorney for Plaintiff) DATE SIGNED. DATE DELIVERED/MAILED FRTPOO PRIFRM = ASTROUD O68381PRTFRM —«0:00002 26581842 01 20190306110905 P99 AS400 PFOO 001973703 0002Np01 26581842 AFFIDAVIT OF DEBT ‘COURT USE ONLY RE: MOTION FOR DEFAULTFOR FAILURE TO APPEAR, STATE OF CONNECTICUTJUDGMENT AND ORDER FOR SUPERIOR COURTWEEKLY PAYMENTSJD-CV-52 Rev. 5-99 INSTRUCTIONSPB. 817-25 4. Complete this affidavit and send original with your completed Motion for Defauit fo Appear, Judgment and Orderfor Weekly Payments (JD-CV-49) and Notice of Judgment and Order: ‘of Payments (JD-CV-50) to the Clerk's Office.2. Attach a copy of the contract, lease or other document, if applicable, to the completed affidavit.3. If interest is being claimed. the period covered and the rate claimed must be stated.4. if claiming attomey’s fees, a copy of the agreement must be attached. 5. Send one copy of the completed Affidevit and Motion to each defendant. RETURN DyDeeTO: The Superior Court POCKET NO. UY)Pi cv-17-dohe etsCOURT nora HOUSING GA. ‘ADDRESS OF COURT (io. steel, fown, and zip code)DISTRICT SESSION O No, ____s|{ 95 Washington Street, Hartford, CT 06106NAME OF CASE (Plaintif v. DefendanfyTHE HERTZ CORPORATION v. ANDRE DAVIS NAME(S) OF (ALL) DEFENDANT(S) AGAINST WHOM MOTION IS FILEDANDRE DAVISAFFIDAVIT OF DEBT.The undersigned deposes and says that (s)he is the Oo Plaintitfor J (title) Attorney ofthePlaintiff and is familiar with the facts stated below. The Defendant(s) is/are indebted to the Plaintiff(s) as follows:1. I am the Attorney of Record for the Plaintiff.2. I am fully familiar with the litigation currently proceeding in the Court.3. Plaintiff has provided a sworn affidavit of debt, annexed hereto, in supportof judgment .KAYLA MARIE MARBLENotary Public, State of New YorkQualified in Rensselaer CountyNo. 01MA6359311Commission Expires May 30, SOAS Continuation of this affidavit of debt.is attached and made a part hereof. ‘SIGNED (Affiant) vi PRINT NAME OF AFFIANTJulie B, Solomon Subscribed and sworn to before me: FZ ip orn Pe. mm LLL. ¢ Qi 2.) qCn Q FRTPOL PRTFRM = ASTROUD «06 8391PRTFRM —«0.00002 26581842 01 20190306111256 POL AS400 PFOO 601973704 000iNRRR RR RE oR HERE bieTHE HERTZ CORPORATIONPLAINTIFFv.ANDRE DAVISDEFENDANTFEA IOI OOO ERESTATE OF OKLAHOMA.COUNTY OF OKLAHOMA SS:SUPERIOR COURTHARTFORD J.D.INDEX NO.AFFIDAVITRichard Hester being duly sworn deposes and says:J am an employee of The Hertz Corporation (hereinafter “Hertz”) and have been anemployee of the company for over 15 years. I am presently a Collection Analyst at thecompany and have been in this position for approximately over five years. Prior to this, Iwas a Receivable Administrator where I was responsible for the supervision and supportof Hertz Account Control Representatives in performing their daily duties.As part of my duties as Collection Analyst, I am responsible for reviewing contracts,damage estimates and other information with relation to any losses due to rental cardamages, past due rent, or related losses arising from any rental.I am familiar with the manner and method by which The Hertz Corporation creates andmaintains its normal books and records.Thave carefully reviewed all documents relating to the claim underlying the above-captioned civil action. From the books and records kept in the regular course of Hertz’sbusiness, the entries in them being made in the regular course of business by a personwhose business duty it was to make the record, and the entries in them having been madeat or near the time of the occurrences, I have personal knowledge of the cause of actionupon which Plaintiff is suing.10.11.On or about 09/26/2015 the Defendant entered into an Agreement with Hertz for therental of a 2015 Nissan Sentra SV model vehicle. The Defendant did not elect to purchasethe optional Loss Damage Waiver at the time of rental. Copies of Rental Record andRental Terms and Conditions are annexed hereto as Exhibit A.Under the Loss Damage Waiver (hereinafter LD W), a renter would not be responsible fordamage caused to the vehicle or any incidental damages arising from its use as long asthe rental vehicle was being operated by an authorized operator and the terms andconditions of the rental agreement had not been violated.Absent LDW, in the event of any loss or damage to the rental vehicle, regardless of fault,the renter’s financial responsibility extends to the full value of the vehicle at the time ofrental, less its salvage value, plus expenses for towing, storage impound fees, anadministrative fee and a reasonable charge for loss of use. See paragraph 4(b) of theterms and condition annexed to Exhibit A.On or about 09/27/2015 the Plaintiff's vehicle was involved in a collision while beingoperated by the unauthorized operator.The Plaintiff's property was significantly damaged as a result of the incident. Eight (8)black and white photographs that depict the damage are annexed hereto as Exhibit B.The estimated cost to repair the vehicle was $32,469.62. A true copy of the estimate ofrepair is annexed hereto as Exhibit C.The vehicle was totaled as a result of the incident. The pre-incident fair market value ofthe vehicle was $16,298.00, using Auto Source Valuation which averages the marketprices of vehicles from multiple sources and Tra National. A true copy. of the valuationsare annexed hereto as Exhibit D.12. Upon my review after the complaint was filed in this matter, I noticed that a salvagecredit was not applied and thus, the damages sought in the complaint should be reducedby $200.00. A true copy of the salvage information is annexed hereto as Exhibit E.13. The Plaintiff also incurred loss of use expenses in the amount of $2,170.20 andadministrative expenses in the amount of $117.75. A true copy of the Hertz SubrogationWorksheet annexed hereto as Exhibit F.14. The Defendant is obligated to pay for the fuli amount of damages based upon the contractbetween the parties.15. Although duly demanded, no portion of the sum owed to the Plaintiff has been paid,leaving an outstanding balance of $18,585.95 less $200.00 credit for salvage value for atotal of $18,385.95.Dated: Lew /S » 2017WZ CLERICHARD HESTERSTATE OF OKLAHOMACOUNTY OF OKLAHOMA SS:SUBSCRIBED and sworn to before me, the undersigned Notary Public in and for thejurisdictionaforesaid, by Lr: Li és — ____, who is personally known to me and whoacknowledged before me his/her signature to the foregoing Affidavit.Given under my hand and seal this_/5 dayof LecenK— __, 2017Notary Public ? : —EXHIBIT AmeioFLCCEZ. Rental Record# 651561072 ANDRE DAVISVehicle: 2015 SENTRALotG Space: 237 License.CT 1AWNF3Rental Rate* 1@§ 3149perday TS 31.49} 76.80 7: Unlimited Mites eo —"Additional Products 42.0012.00; 0Heel aeeponstbilty per day $ 9.00 per hour T $Level (FULL 8/5)vanes tne oi papa amet e§ ice anesCONCESSION F&E RECOVERY 114% Ts 5.00CT SURCHARGE 7.00ENERGY SURCHARGE Ts 149Tax 12.630% On Est. Taxable TH $ 98 § «6.31ADJUSTMENTSTOTAL ESTIMATED CHARGE $ 8&8.WwwoRented by The Hertz z Corporati jona riled #§503909LocNum: CTHAR11 10172011ut 3869 Pian’ MCLE Class: AMeet Location: aa BRADLEY INT'LRental Time. 09/26/15 8: Rt PMReturn Location: PARTEGRD- Bi EY INTLReturn Time: 09/27/15 at 6:40 PMRental Extensions/Changes 1-800-654-4174Energonoy Road ee vate Ylaytes at return.P@1 OF 6#01 RTaon 6Her € Z . Pozors#oirt RR 651861072Aan AeFarther information relating to Your tental charges, and other terms towhich You agrae, appear below. "FUEL & SERVICE CHARGES: PURSUANT TO PARAGRAPH 8 OF THERENTAL AGREEMENT, FUEL & SERVICE CHARGES APPLYAT§ 9.59 FER GALLON OR, IF YOU DO NOT BUY FUEL DURINGTHE RENTAL AT$ 344 PER MILE. BOTH RATES PRODUCEAPPROXIMATELY THE SAME RESULT.YOU AGREE TO OPTIONAL SERVICES OF:Low DECLINED:us DECLINED - OUR LIABILITY PROTECTIONIS SECONDARYPAUPEC DECLINEDPREMRD SVC DECLINEDOTHER FEES AND ASSESSMENTS:CONCESSION FEE RECOVERY T 11.41%CUSTOMER FACILITY CHARGE § 6.00PER DAYCONNECTICUT SURCHARGE $ _1,00PER DAYTAXRATE- 12630%. APPLIES TO ALL CHARGES MARKED TTAX/FEES INCLUDE CT SALES TAX PLUS 3% CAR RENTAL‘SURCHARGE.‘No "Additional Authorized Operators” Without Our Prior WrittenApproval.YOU CERTIFY THAT YOU ARRIVED BY PLANE WITHIN THE PAST72. HOURS,CDP (0#DB9Passenger Capacity: The Passenger Capacity Of This Vehicle IsDetermined By The Number of Seatbelts And, By Law, Must Not BeExceeded. While In Thé Vehicle, Please Fasten Your Seatbelt.It Saves Lives And i's The Law. Should You Require A Larger Vehicle,Please Check At The Counter For Availability,y You Will Be jed An Administrative Fee Along With TExpenses if The Mant Be Toned fa F Ree Cr youra profit ra all ae Gearing fe ree will ereat Basis ey Bes eth in osPare! Ping ‘ieee+ You Are Required To Contact Us To Extend The Rental if The Car WillNot Be Returned By The Due Date On The Rental Record. If TheVehicle {s Sera by More Than 2 Days, And You Fail To Contact Us,An Overdue Admini PE be chrged To. SexAdministrative Efforts And Related Co:RESID: 7054498986 = PLAN- MCLE CLASS-APREPARED BY; 0074/CTHAR1 PRINTED: 09/26/15 18:44651561072onto CZ. po 30Fé#oiRT RR 651561072cca REFUELING OF TONS ;TU po OURS no NR SNR MeeRE NS SeTONS8‘Most Herlz rentals come with a full tank of gas, but that is not always thePER Eo mounenica nePAUSE SUR NHR NDT,‘Youwil not pay @ change for fuela. For ra sel et lpeaton:|FYOU DRIVE 75 MALES OFLESS, as determined by subtracting the Car's odometer reading atdane once eae abet PeeAT ike OF RETR NOH THAT FURLWITHATVED IT.not produce such a receiptd the <=75 mle Fuel andthe Rental Record, to thei@eeaa%x&23uartasisaula seg23ziFR9zBesESihgi3inaesagesa223;sa:=ati;=2s5Hi=Zi#:8£27°etekBe|Bicedez7§gagsaegeerEetez Fesz 5zaciosai25aan==eeziiziBe, times the per. rateNETHOUS ARE USEO FOR R EASE OFCALCULATION, THE PER: MILE/KiLOMETER AND PER-GALLONor you CHOOSE TO Sete FURL FR rat THEBEGNRING OF YOUR RENTAL BY SELECTING THE ELPURCHASE OPTION, You will be charged as ‘on theRecord for thet IF YOU THIS aN you LLNOT II NY eo ee ee BUTYOU WILL NOT RECEIVE ANY. FOR FUEL LEFT IN THETANK Al TIME OF RETURN, except in the following cases:. i, 7 You return the Cer wrth 2 full tank of{uel You wl receive a Gre for the senount previously charged! for0hase of fuel from Hertz.b, If You drive the Car 75 miles or less from select locations, You‘will receive credit for te amount previou: ed forpurchase of fuel from Hertz and wil be ¢hi <=75 mile Fuelat the rate specified on the Rental Record,to the extent law,EXCEPT FOR REN! PS SOA ACH CLAUSE (2), 08 (0) OFSUBPARAGRAPH 8.{3) BECOMES APPLICABLE, GALLONCOST OF THE FUEL OPTION WILL ALWAYS BE LOWERTHAN SERVICE PIF YOU ELECT THE FUELPURCHA ION YOU WILL NOT SNE CRED FOR PULLEFT IN THE TANK AT THE TIME OF RET THEeens IS YOURSELF AT THE LOCAL CESTATION Wit! LTB LOWER TON Te LANDCHARGE OR THE FUEL PURCHASE OPTION HOWEVER,THE FUEL AND CHARGE AND THE FUEL PURCHASEOPTION ALLOW FOR THE CONVENIENCE OF NOT HAVING TOSTOP AND REPUEL THE CAR PRIOR TO RETURN.651561072CZ. pe4orseoirtT RR 651581072ICTIMPORTANT INFORMATION REGARDING TOLLS‘You are responsible to pay all tols. For your convenience. we offerPiatePass, an-electronic tol payment system operated by PlatePassLLC, for use on toll roads in the seas specified below.In the following areas all our vehicles (even without a windshield tolltransponder) nay use any cashless electronic toll lane: The entireStates of FLORIDA, GEORGIA, COLORADO, NORTH CAROLINA, andTEXAS, the SAN FRANCISCO BAY AREA BRIDGES, and In Seattle,the TACOMA NARROWS BRIDGE and the SR 520 BRIDGE.TO USE PLATEPASS IN THESE AREAS, pass througt a cashlesstoll lane. You will be billed automatically as outlined below.IF YOU DO NOT WISH TO USE PLATEPASS IN THESE AREAS,use only traditional cash toll lanes (if available) and make paymentdirectly to the toll authority a{N DELAWARE, ILLINOIS, INDIANA, MAINE, MARYLAND,MASSACHUSETTS, NEW HAMPSHIRE, NEW JERSEY NEW YORK,OHIO, PENNSYLVANA, VIRGINIA AND WEST VIRGINA,only vehicles equipped with a windshield toll transponder mayaccess the cashless toll lanes (The toll authority may allow for an.alternative pay method, such es payment by rail),TO USE PLATEPASS IN THESE STATES, slide the transponder out-of the shield box and pee reve Bonetfens tl ie! ‘You will bebilled automatically as outinedIF YOU DO NOT WISH TO em PLATEPASS.N THESE STATES,keep the transponder fully within the shield box and use onlytraditional cash lanes {if avaltable) to make payment directiy to thetoll authority. tebe ee aeNOTE: Cortain toll roads do not accept cash. If you travel on.‘uch a toil road without a personal transponder that can be usedon the toll road, you will be required to use PlatePaes and be billedautomatically a8 na cel baton cr inet 208, char pes’ or winksfor wehich you weill be responsible. For toil roads in SouthernCalifomnis that do not accept PlatePass, you will also be charged anatininistrative fee of $30.00.‘Where permitted by Toll Authorities, you may opt to use yourpersonal transponder. Follow the instructions above for NOTutiizing PlatePass and install a compatible transponder properly.E PistePasa is used, PlatePass LLC will charge eae1 SC er ene Of Yeer ranial Reetucingaetna thes Iecones tae cv ee op otjenn I} phe incurred tolls at the Tolloll rata or highest undiscounted toll rate. eeP ass LLC wilseparately charge your credit or debit card the applicable chargesafter the close of your rental. Charges typically take 1-3 weeks afterthe rental clases to appear on your statement, but a longer delaymay occur, Gash customers will be invoiced,FAILURE TO PAY ALL TOLLS MAY RESULT IN A TOLL CHARGEAND/OR VIOLATION. You will be charged for any toll/parkingftrafficcharges, violation fines/penalties incurred, plus applicable administrativefees. You authorize us to release your billing/rental Information toPlatéPass LLC and American Traffic Salubons to process and bill all‘such foll, violation, and administrative charges and service fees,651561072ACLARBITRATION PROVISION: THIS AGREEMENT REQUIRES:ARBITRATION OR A SMALL CLAIMS COURT CASE ON ANINDIVIDUAL BASIS, RATHER THAN JURY TRIALS OR CLASS.ACTIONS, BY ENTERING INTO THIS RENTAL AGREEMENT,YOU AGREE TO THIS ARBITRATION PROVISION.Except for claims for propérty damage, personal injury or death, ANYDISPUTES BETWEEN US MUST BE RESOLVED ONLY BYARBITRATION OR IN A SMALL CLAIMS GOURT ON ANINDIVIDUAL BASIS, CLASS ARBITRATIONS AND CLASS ACTIONSARE NOT ALLOWED. YOU AND THE RESPECTIVE HERTZCOMPANY IDENTIFIED ON PAGE ONE OF THS DOCUMENT(HEREINAFTER "HERTZ") EACH WAIVE THE RIGHT TOA TRIALBY JURY OR TO PARTICIPATE IN A CLASS ACTION, EITHER ASA CLASS REPRESENTATIVE OR CLASS MEMBER. You and Hertzremain free to bring any ksues to the attention of governmentagencies.This Arbitration Provision's scope is broad and includes, withoutfirritation, any claims relating to any aspect of the relationship orcommunications between us, whether based in contract, tort, statute,fraud, misrepresentation or any other sitter theory. It is governed bythe Federal Arbitration Act @USC; §In argy arbitration under this Arbitration Provision. all issues are for thearbitrator to decide, including his or her own jurisdiction, and anyobjections with respect tothe existance, scope or validity of thisArbitration Provision. The arbitration will take place in the county of‘Your billing address unless agreed othennise.The American Arbitration Association (AAA) wil administer anyarbitration pureuant to its Consumer Arbitration Rules (the "Rules").‘You can obtain the Rules st www.adr.org.‘You or Hertz may commence an arbitration by providing @ writtendemand for arbiration to the other (to Hertz, The Hertz Corporation,225 Brae Bivd., Park Ridge, NJ 07656, Attn: Arbitration) and twoSOP eanereAl eerie If You seek $10,000 or less throughHertz will reimburse You for any AAA required filing fee.‘The arbitrator may award injunctive rellef as well as money, but only infavor of and 2s warranted by the claim of the Individual party seekingrelief. Ju ‘on the arbitration award may be entered in any courthaving . An arbitration awerd and any judgment confirming itApply the spel pares i that cas ad cant be wed iany other case except fo enforce the award itself. The arbitrator maynat consolidate more than one person's claims, and may not otherwisepreside over any form of representative or class action.IF YOU DO NOT WISH TO AGREE TO TH ARBITRATIONPROVISION, YOU MUST NOTIFY US IN WRITING WITHIN 30DAYS OF YOUR RECEIPT OF THIS AGREEMENT BY EMAILINGUS AT no artitration@hertz.com OR BY MAIL TO The HertzCorporation, 225 Brae Bivd, Park Ridge, NU 07856, Atin. Arbitration.Include Your name, address, the number at the top of this RentalRecord, and a clear statement that You do not agree to this ArbitrationProvision. If you have previously notified Hertz of Your decision to optout of arbitration, You do not need to do so again, 651561072ewe a8)Fi fe ‘2. pg sorexoirT RR 651561072MiTO BE CHARGED To:VISA XKOOKXOOKKKI246 «<< AUTH$ © 263.00/026593Le ee fi care$0 caveat ai ls ‘your réntal Your declining the optional Lil Insurancesh plement en) Pa ob fhe femal ti Terms will applyfey aning % a wi agree that anyAone ope hl play hb evoclaims arising ig from the operation of the Car, suchParry ster pay Sage Oa heers!Fimats of such Saas PNOTICE. This sonlract offers, for an additional charge.a Loss Da {LD |. afich is ophond, io everPar ch Fl lity for a a of the Car -- seereement Teme id Condifions,on the folder (GI N1909005) delivered to Youwie he fd Record er Rental Terms). Your own autoingrances policy ore: ard agree reement may coverision damage, fire and het image and personalny incurred while using @ rental motor vehicle Theides LDW on this vehicle is $29.99 per day35 on an annualized basis).By signing below, you acknowledge that You have read,understand, cl ccepl and agree to the above and the RentalTerms, and You acc pt oF ¢ or getline the Optional Services asshown on Card 4 aniMGLZPIS65156072Our Privacy Policy governs the use of data about you. A copy of thepolicy is available at the rental counter and online et hertz.com.COMMENCEMENTFROM ANY 01 STYPR SOURCE AND, 80, 1H TERS AND ‘OF THE RENTAL,sue Sel a ER eerTO CAR . OAR B BITED USE FT A ASB rane po ezu Suma3 wee ve2 walEXPT BIOLOGICALLY ACTIVE MATE-- Bato Yaar Ae DOUS TO EUMAN FEALDep TO any HOLOGIeALy ASTIN ‘oARADIOACTIVE MATER ol (DEVELOPMENT :' OR PURPOSES NCDENTAL THERETCE .i ij FOR RENTALS IN HAWAIL TAKE On AI TOARE THE CAR Gor THe SANDS OF HAW. 5 ANDANY USE OF THE CAR IN'A MANNER PROHIBITEDABOVE:. b TO THE EXTENT PERMMITED BY APPLICABLE: GE. TO THE CAR, EVEN IF YOU HAVE' ACCEPTED LDW OR POW, ieih, TO: THE EXTENT PERM APPLICABILAW, WILL GAUSE YOU TO. ‘THE BENET OFP COVERAGE HABINTY. INSURANCE SUPPLEMENT \) AND" LIABILITY PROTECTION BROVIDED BN FIERONDER THIS AGREEMENT; ANDii; WILE, CONSTITUTE A BREACH OF THIS AGREE.FulLLEST EXTENT PEAIAITTED.ACTUAL: AND CONSEQUENTIAL DAMAGES, TOtees RETATED COSTE AND ATTORNENS: we ;43reeENT, MAKING YOU: RESPONSIBLE;. TO.FULLEST EXTENT HY LAW FOR THE fLge eeeCie are te manera&az 7 | aul tk of gas, Hut that Is thot ehways the case.aca sinner ppg git mete ANS eee a tn AR AAR, eee! e —earscain ee ene pidGene epee ee i+iii4>LiLES panera |EERIE cannacic at Teaotteeeiatconaalae nied civeragas afced by RERTTZ (LS iid P vie a cupaes See ae aCer cD‘COVERAGE: ;cee aleci Yor te |OEIIABUITY, | sane enon trea of(Sear Sra ca eemateengem mm |os Yow spt PA/ PE Ov is Petal Asood, coverage 1b reve dhtng theEXHIBIT B3102°OL°OhEXHIBIT CMURPHY APPRAISALBRISTOL, CT 06011-0171PHONE: 860-589-0463 FAX: 860-689-9467EMAIL ADDRESS: JMURPHYAPPRAISAL@GMAIL.COM | “ ESTIMATE = |10/25/2015 03:45 AMOwnerOwner: Hertz Rent a CarCity State Zip: ‘Windsor Locks, CT FAX:Control informationClaim #: 1793-6503309 Insured Polity #: 1793W33665ALoss Date/Time: 10/16/2015 Loss Type! CollisionDeductible: UnknownFile #: 10161544 Accounting #:insured: Heriz Rent a CarCity State Zip: Windsor Locks, CT FAX:inspectionInspection Date: 10/14/2015 Inspection Type: FieldInspection Location: Hertz Rent a Car Contact:City State Zip: Windsor Locks, CT FAX:Primary impact: Left Side Secondary Impact: Left Rear ComerDriveabie: No Rental Assisted:Appraiser Name: Jim Murphy Appraiser License #: 919719Address: WorkiDay: (860/589-9463Celt: 7902-2295City Stata Zip: FAX: (860}589-0467Emali; jmurphyappraisal@gmail.comRepairerRepaires: N/A TOTAL LOSS Contact:Target Complete Date/Time: Days To Repair: 35Vehicia2015 Nissan Sentra SV 4 DR Sedan4cyl Gasoline 1.8‘Continuously Variable TrLic.Plate: 1AW NF3. Lic State: CTLic Expi VIN: SN1AB7AP2FL664723Veh inepi : Mileage Type; Non ReadableCondition: Good Code: Z1784GExt. Color: RED PRL Int. Color:Ext. Refinish: Two-Stage Int. Refinish:Ext. Paint Gode: NAH Int. Trim Code:Options40/25/2016 04.03 AM Page Yor?‘2015 Nisear Sentm Sv 4 DR-SocianGone th ‘UZ52015 DBAS AM‘tet Row LCD Monitor(s} ‘2nd Row Head Airbags 5 Passenger SeatingAMFM CD Player Alr Gonditioning Alarm SystemAnt-Lock Brakes Auxillary Audio Input Bucket SeatsCanter Console. Compact Spans Tire cnu*tse ControlDual Airbags Electric Halogen HeadlightsHead Airbags intermittent Wipers Keyless Access SystemKeyless Entry System Keyleas Ignition System LED BrakelightsLeather Shift Knob Leather Steering Wheel Lighted Entry SystemMP3 Decoder Overhead Console Perimeter Alarm SystemPower Brakes Power Door Locks Power MirrorsPower Windows: Pwr Accessory Outlet(s) Rear View CameraRear Window Defroster Rem TrunteL/Gate Release Side Altbags.SiriuaXM Satellite Radio Split Folding Rear Seat Stabillty Cnt4 SuspensnStaal Wheels: Sirg Wheel Radio Control TachometerTheft Deterrent System Tit & Telescopic Steer Tinted Gises‘Tire Pressure Monitor Touch Screen Display. ‘Traction Control SystemTrip Computer VelourCloth Seats Wireless Audio StreamingWheless Phane ConnectDamagesUne Op Guide MC Description MFR.Part No, Price ADS% BY Hours RUnibedviF rams1 { M7 Unibody Frame Repair Repair 6o° FR2 c 6 Cover,Front Bumper 620223SHO) $202.28 06 SM3k & 13 Cover,Front Bumper Refinish a7 RF2.6 Surface08 Two-stage setup0.5 Two-stageaE 5 Ralnf,Front Bumper F20323SHMH $237.74 2.3 SM5 E 446 Chip,Fit Bumper MULTLPART $148 inc | SM68 E 1033 Clip,Frt Bumper LT O16532DR9A, $0.37 inc SM7 E 1034 Clip,.Frt Bumper RT O185320R9A, $0.37 (NC ‘SMaE 12 Grile,Frt Bmpr Cvr 6225438HO0A $78.36 (NG SM@L 11 Prep Raw Fri Bmpr Gur ‘Refinish os RF0.5 Surfacew E 16 ‘Shield.Lower Alr B26834ATOA $102.24 INC SM11 4 Fitler,Front Bumper LT 622573SHOB $34.67 (Nc. SM12 s Filler,Front Bumper RT 622563SHOB 334.21 INC SM13 & 13 Panal,Frt Bmpr License 262103SHOA. $40.41 02 SM14 &€ 7 Absorber,Front Bumper 620903SHOA $88.76 we OSM16 & 16 Gri,Front Bumper Mig LT. 622253SHOA $18.16 INC | 6SM16 £ 17 Brk,Front Bumper MigRT 622243SHCA $14.05 NC) OSM7 E 19 Brkt,Front Bumper MigLT © @51153SHMA $244.10 2 SM18 4 18 Bri,Front Bumper Mig LT Refinish 04 RF04 Surface19 E 20 Brki,Front Bumper Mig RT G51143SHMA $125.74 02 SM204 2 Brk.Front Bumper MigRT = Refinish 04 RF04 Surface21.€ 28 Grille Assembly 623103SHOA $217.19 INC SMae 44 Headlamp Assy,Halogen LT 260603SG2A, $285.84 INC 3M23 € 42 46 Headlamp Assy,Halogen RT 280108SG2A $205.84 INC SMaN O73 Headlamps Alm Additional Labor o4 SM 10/2505 04.208 AM Page 207aay 7 Seats See ADA52075 OSHS AMRadiator Suanort26 E 7 Panel, Upper Rad Mtg LT F25133SGMA $108.19 1.6 SMmL rad Panel,Upper Rad Mtg LT Refinish O4 RF0.4 Surfaceae 14 Baffie,Radiator Panel LT S2B233SHOA $23.76 Inc) | =—-SM28 N 880 ASC Evac Rechrg & Revr Additional Labor 16 ME28 E 83 Panel, Hood FS1003SGMA $510.36 10 SMwk 83 Panel, Hood Refinish 47 RE29 Surface4.2 EdgeTwo-stage.aE 88 Latch,Hood Panel SS6013SC0A, $56.28 ING SM2 EE 1081 Supt,Hood Lock Vert F25603SHMH $40.00 ING SM33 £ 84 Hinge,Hood Panel LT G54013SG0A $33.74 16 SM34k 64 Hinge,Hood Panel LT Refinish 03 RF3 Surface35 E 85 ‘Hinge, Hood Panel RT ‘654003SG0A $32.78 15 SM364 65 Hinge,Hood Panel RT Refinish o3 RF@.3 Surface37 E sO Label,Hood T48053RC0A, $4.73 1 SM38 E 68h Label, Hood 27080C945R $4.05 oA SM3 E 1690 Label,Hood 980633TA0A $0.60 at SM40 € 182 ‘Clip,Hoed Insulator MULTLPART $15.20 SMa & 4103, Fender,Front LT F31013SGMA $260.98. 04 SM42 tb 103 Fender,Fromt LT Refinish 27 RF1.8 Surface06 Edgs0.4 Twostage43 E 104. Fender,Front RT ‘F310G3SGMA $243.95, 04 SMtL 404 Fender,Front RT Refinish: 27 RF1.6 Surface0.6 Edge0.4 Two-stage4 E 128 Brkt,Front Fender LT F31613SGAA $98.76 a4 SM4 E& 120 Brkt,From Fender RT F31603SGAA $34.03 o1 SM47 E 143 Windshield, Tinted T270038RO0A, $613.41 38 «8M48 — 164 Dam,Windshield 727163SG0A $10.90 ING SM49 EC 144 Sealant KitW/Shield QUALITY REPL. PART $23.00° ING 3MSOE 163 Midg,.WiS Reveal Side T27503SG0P. $93.95 ING SMSI E VT Grille, Upper Gow! 888623SG0A $168.00 a6 SMS2 £ 107 ‘Skit Inner Fender LT 638413SHOA $72.21 ING SM§3 E 1029 Retainer,Front Fender LT MULTI-PART $92.85 ING SM64 E 782 Shiew, Engine Lower 758923SHOA. $121.06 04 ME65 E 903 46 Wheel,RearLT 403003RB10 $307.87 04 SM56 E 923 Cover,Rear Wheel LT 4031 8SNFOR $26 67 SM87 N me ‘Susp Align,4 Wheel Additional Labor 21 MEBoot A8 E 940 Altbag,Roof LT SBEPI4ATOA $846.21 ING MEas E 944 Alrbag,Roof RT SBSPO4ATSA $848.21 ING ME@ E 341 Panal,Roof G31123SGMA $277.71 78 SMei L 341 Panel,Roof Refinish 33 RF DIES2O1S 04:09 AM Page 30t7Rane NOzH/015 0345 AM, 3.3 SurfaceINC Two-stage62 E 1168 Midg,Roof Drip LT T3BE33SG0A $87.14 Inc SM63 E 900 O1 Panel,Instrument 682003SG0A $951.69 87 ME64 E 926 01 Ajrbag,Steering Wheel 985103SGBA, $807.62 INC ME‘Genter Console And Sext Tracks66 E ost Module Alrbag Control ‘SBBQ04ATSA $431.57 0.2 ME68 E 203° «01 Alrbag & Seat Assy,Frt LT 876013SB4A $2,807.98 Nc: MEEront Ooore.67 E 207 Door Shell,Front LT ‘HOT01SAMMA $732.29 65 SM68 L 207 Door Shell,Front LT Refiniah 34 RF2.0 Surface.1.0 Edge0.4 Two-stageee E& 245 Tape,Front Door LT 80B1838G1A $22.40 O2 SMTOE 444 Tapé,Front Door LT ‘808173SG1A $21.76 O22 SM1 E& 267 Cover,Frt Door Mirror LT 9B3743TH3A $37.84 4 SM7 287 Cover, Fit Door Mirror LT Refinish 04 RF0.3 Surface0.1 Two-stage73 E 270 Housing,Mirrar Outer LT 963023SGO0B $173.74 ING SM74 E 1272 Gastet,Front Door LT BOBSZONOGA 20.50 woe OSM76 E 1281 ‘Gasket,Front Deor LT BOBS4SN00A, #290 ‘NC SM7% E 227 Handle,Front Door Otr LT B06403SGOA 953.41 INC SM77 E 1364 ‘Supt,Frt Door Handle LT 6061 138G0A, $185.05 INC SM78 E 287 Door Shell,Rear LT H21019AMMA, $045.78 5.0 SM79 Ll 287 Door Shell Rear LT Refiniah 29 RE19 Surface10 EdgeINC. Two-stageaw E 1173 Cover,RR Door HandieLT 826469N00A $14.17 ot SMBi E 516 Tape,Rear Door LT 828173SG1A $22,00 a2 SM62.E 572 Tape,Rear Door LT £28183SG1A $16.10 a2 ‘SM83 E 1338 Gasket,Rear Door LT 806522N00A, $0.50 ING SM84 E 1378 ‘Gasket,Rear Door LT BOBS49NOOA, $2.90 ING SMBE 35 Handie.RR Door Outer LT B2B402N00A $25.86 INC. SM6 E 1305 ‘Supt.RR Door Handie LT 806113SG0A $185.05 INC SM87 Lo 389 Panel,Querter LT Refinish 37 RF22 Surface16 EdgeINC Two-stageas L 320 Panel,Querter RT Refinish 38 RF24 Surface16 EdgeINC Two-stage89 & 389 Pni,Qtr {in Window Cpn LT — GB10138GMA. $779.28 16.0 SM2 E 300 Pnl,Qtr (in Window Opn RT = G81003SGMA $779.26 16.2 SM91 BR 397 Door,Fuel Filer RT Blend Refinish 02 RF0.2 BlandINC Two-stage92 E 448 Reinf,Tilmp Opening LT G814143SGMA $75A0 INC SM9 L 448 Rainf,Tiimp Opening LT Refinish o4 RF04 Surface ‘YOI25/2015.046.03 AM Pages of?2085 | pasta ‘SV 4 DR Sevan an4 E 449 Reinf.Timp Opening RT G81403SGMA $110.72 nc SM95 Ll 44g Reinf,Tiimp Opening RT Refinish 04 RF. 04 Surface96 EC 487 Sealant Kit,Qt Glass LT QUALITY REPL. PART $18.00° INC SMa7 EC 468 Sealant Ki,Gw Glass RT QUALITY. REPL. PART $16.00" Inc. SM96 E 401 07 Pni,Wheelhouse OuterLT — G67113SGMA $337.69 52 SM2 lL 401 Pni,Whealbouse Outer LT Refinish 08 RF08 Surface.100 E 369 Back Giaas,Heated : 3688.84 36 SM101 EC 370 Sealant Kit,Back Glass QUALITY REPL. PART. $23.00" ING SM102 E 434 Dam,Back Glass T97163SG0A $8.22 INC: SM103 E479 Ud,Reer Deck H43003SGMA $503.33 24 SM10a L479 LidRear Deck Refinish 30 RF2.0 Surface1.0 EdgeINC Two-stage105 E 486 N/Plate,Deck Lid 848003SH1A $71.66 o2 su108 E 484 NiPiate,Dack Lid 848853SH7A, $33.38 02 5Mior E 518 Emblem,Deck Lid S48903RAGA $43.33 0.2 SM108 E 481 01 Hinge,Deck Lid LT H44003SGMA $222.64 02 SM108 L481 Hinge,Deck Lid LT Refinish: 03 RF0.3 Surface110, E 482 01 Hinge.Deck Lid RT H44003SGMA, $222.64 O2 ‘SM11 L482 Hinge,Deck Lid RT Refinish 03 RF3 Surface12 € 666 Cover,Rear Bumpar 850223SHOS $345.91 14 8M113, L (566 Cover,Rear Bumper Refinish 3.2 RE2.7 Surface. 0.5 Two-stage114 E 1168 Clip,Rear Gurnper LT MULTI-PART S048 INC SM116 E 1170 Glip,Rear Bumper RT MULTI-PART. $0.48 INC SM118 E 565 Reinf.Rear Bumper $243.76 ING = SM117 E 587 Absorber,Rear Bumper 850803SHDA $95.88 INC SM118 E 570 Brk.Rear Bumper Mig LT $28.10 inc SM119 E871 BrktRear Bumper Mig RT HOA, $26.10 INC. SM120 E 57% Brkt.Rear Bumper Mig LT 8521136HO0A $84.55 ING ‘SM121 L568 Prep Raw RR &mpr Cvr Refinish Os RF0.5 Surface122 E 1089 Refiector,Rear BumperLT 2686050000 $36.33 INC SM123 E 1090 Reflector,Rear BumperRT — 265655C000 $96.33 INC SM124 E 1612 Extn,Floor Pan LT G45353SHMA $207.00 1.0 SM126 L 1612 Extn,Floor Pan LT Refinish 02 RF0.2 Surface128 E 509. Panal,Rear Body GO1103SGMA $748 64 SM127 L509 Panel,Rear Body Refinish Ww RF14 SurfaceG6 Edge128 E 592 Well, Spare Tire G45143SGMA $702.90 135 SM122 592 Well,Spare Tire Refinish 1.3 RF1.3. Surface130 E 533 Taillamp Assembly,Otr LT 285553SG0A, $204.21 INC SM131 E835 Tatlarnp Assembly,Jnr LT 265653SH5A $180.19 ING SM132 EC M03 Flex Additive QUALITY REPL. PART $20.00° sm Page Sot?216 Nsan’ Sent Sy 4 DR SevenAme 10252016 0345 AM133 L Mid Compsion Protection Refinish 0.5" RF134 EG MIT Cover Gar Extetior QUALITY REPL. PART $16.00" aa* SM*>> 2x - Primer & Base/Clear stages135 N M18 ‘Set-Up And Measure Additional Labor 20 FR138 SB M25 Tire-Let Rear,Balance Sublet Repair $15.00" ‘SM137 SB MBO Hazardous Waste Remove! Sublet Repair $3.00 SM138 N MB2 Collision Access Time Additional Labor 7 1 SM132 EG = M6B Caulk QUALITY REPL, PART $45.00" o4* SM140 EG M70 Cover Car Interior QUALITY REPL. PART $10.00" o4* SMP>> 2x » Primer & Base/Clear stages140 temsMG Message01 GALL DEALER FOR EXACT PART#/ PRIGEor STRUCTURAL PART AS IDENTIFIED BY LCAR13 INCLUDES 0.6 HOURS FIRST PANEL T¥¥O-STAGE ALLOWANCE46 PRINTABLE ALTERNATE PARTS COMPAREEstimate Total & EntriesGrose Parte $20,133.51Other Parts $167.00Palnt & Materials 48.6 Hours @ $28.00 $1,304.80Parts & Material Total $21,605.31Tax on Parts & Material @ 6.350% $1,371.04Labor ‘Rate Replace RepalrHre Total HrstireSheet Metal (8M) $52.00 102.1 14 103.5 $5,382.00Mech/Elec (ME) $52.00 9.3 3.9 13.2 9686.40Frame {FR) $52.00 B80 80 $418.00Refinish $52.00 46.6 488 $2,423.20Labor Total | 171.3 Hours. $6,907.60Tax on Labor @ 6.350% $565.83‘Sublet Repairs $18,00Tax on Sublet @ 8.350% 1.14Greas Total $92,400.62Less: Deductible Unknown-Net Tota! $32,468,862 TOTAL LOSSAlternate Parts Y/02/0@00/02/02 CUM 02/00/00/02/02 Zip Code: 68010 LOCALAudatex Estimating 7.0.621 ES 10/25/2018 04:03-AM REL 7.0.621 OT 10/01/2015Copyright (C) 2015 Audatex North America, Inc.3,5 HRS WERE ADDED TO THIS ESTIMATE BASED ON AUDATEX’S TWO-STAGE REFINISH FORMULA,ESTIMATE CALCULATED USING THE 2,5 HOUR MAXIMUM ALLOWANCE FOR TWO-STAGE REFINISH CF NON-FLEX, EXTERIORSURFACES. THIS IS NOT AN AUTHORIZATION TO REPAIR, AUTHORIZATION COMES FROM CWNER,NO SUPPLEMENTS WITHOUT PRIOR APPROVAL. THIS IS AN APPRAISAL FOR VISIBLEDAMAGES ONLY. ALL WEARABLE PARTS MAY BE SUBJECT TO DEPRECIATION AND BETTERMENT $O/25/2015 G48 AMPage bot2055 Micean Senta SV 4 DP SockFlame tas tiay 7 Sem rovestomne 33.45 AneREDUCTIONS. THIS SPECIFIES AND INTENDS THAT ALL REPAIRS AND/OR PARTSREPLACEMENTS LISTED HEREON BE MADE IN STRICT ACCORDANCE WITH THEMANUFACTURER'S SPECIFICATIONS AND RECOMMENDATIONS.NOTICE: THI REPAIR ESTIMATE IS BASED IN PART ON THE USE OF REPLACEMENTPARTS WHICH ARE NOT MADE BY THE ORIGINAL MANUFACTURER OF THE DAMAGED PARTSIN YOUR MOTOR VEHICLE.NOTICE: YOU HAVE THE RIGHT TO CHOOSE THE LICENSED REPAIR SHOP WHERETHE DAMAGE TO YOUR MOTOR VEHICLE WILL BE REPAIRED. Op Codes.# = User-Entered Value E_ = Replace OEM NG = Replace NAGSEC = QUALITY REPL. PART OE = Replace PXN OE Srpls UE = Replace OE SurplusET = Partial Replace Labor EP = QUAL, REPL. PRT. RPT EU = LIKE KIND & QUAL. PRTTE = Partial Replace Price PM= Replace PXN Rerman/Reblt UM= Replace RemanRebuiltL Refinish PC = Replace PXN Reconditioned UC = Replace ReconditionedTT = Two-Tone SB = Sublet Repair N= Additional LaborBR= Blend Refinish ! = Repair (7 = Partial RepairCG= Chipguard RI = R &l Assembly P = CheckAA= Appearance Allowance RP = Related Prion Damage ‘This report contains proprietary information of Audatex and May Nol be diclosad ie any third party (other thanthe insured, claimant and others on a need te know basis in order to effectuate the claims process} withoutA udatex Audatex's prior written consent,* Copyright (C) 2015 Audatex North Amenea, Inc.Audatex Estimating is a trademark of Audatex North America, Ine. 1O25/2015 04.03 AM Page 7 of?EXHIBIT DAugaExpiore, = AULOSOUrCeNiarket-Driven Valuation™ (cmanieosnenea yreaeetancmemperteneretimmenerernr anne hfe ent erp meenaRaranmetse race (ae AN Tt i We es a me Yet ee este ey amma 9Matthew Tilley ClarmantThe Hertz Corporation insured The Hertz Corporation‘Oklahoma City Branch Claim SN1AB7AP2FL68472314501 Hertz Quail Spnngs Puy Loss Date 10/08/2015Oklahoma City OK'73134 Loss Type OtherPolicyOtherVINSOURCE Analysis !VIN SN1AB7AP2FL684723Decodes a5 2015 Nissan Sentra SV 4D SedanAccuracy Decodes CorrectlyHistory No activity was reportedcn Sena EERNSESS TERRES SESE a —E eee The General Market Value. represents an average of asking and selling ‘prices of similar vehicles in a given market area. This‘Gener Market Value report may not have taken all relevant: into consideration, such as condition, packages, equipment, orleage |‘Typical Vehicle YourVehicle AdjustmentVehicle Base Price Ashkum Market $15,713Odometer 12,384 MiCTypical) 4,000 MifActual) 585 Market Driven Value $16,298 j Oris Guide |Engine Options Transmission Options* 4 Cylinder 1.8 Engine STD * Continuously Variable Tr stoOther Optional Equipment Convenience Options*° AnttLock Brakes: sTD * Air Conditioning sTDBodyside Moldings ‘Autornatic Dimming Mirror* Compact Spare Tire STD Armresi{s)Special Factory Paint $395 CargoiTrunk Met* Center Console ‘STD * Crutse Control STO.* Dual Airbags sTD Cargo/Trunk Net $55Electronic CompassFog Lights:* Head Airbags* Halogen Headlights* Intermittent Wipers* Keyless Access System* Keyless Entry System* Keyless ignition System* ‘Ist Row LCD Monitors)* LED Brakelights* Lighted Entry System* Leather Shift Knob* Leather Steering WheetNavigation System* Overhead Consols* Pwr Accessory Outlet(s)2nd Row Héad AirbagsSide Arbags* Stability Crtrl SuspensnRear SpoilerTachometer‘Trip Computer‘Traction Controf SystemTinted Glass‘Wireless Phone Connect* Wireless Audio StreamingSeat Optionses* Bucket SeatsHeated Front Seats.* 5 Passenger Seating* Split Folding Rear Seat* VelourCloth SeatsCold Weather PackageDoor Sill ProtectorsElectronics PackageFieor Mat PackageFog Light PackageMiuminated Kick PlateNavigation PackageProtection PkgStyle Package Editions available for the same body style (in order of original cost, increasing): S, FE* S, FE+ SV, "SV, SR, SLCtadiss SEL 6B7 AFRPL BEATZa HS Hissem Eo 2S aT Se* Rear Window Detroster stD$315 Floor Mats:sTD Ifuminated Visor MirrorSID Mud/Splash Guards $180sTD * Rem Trurik-LiGate Release STDSTD * Rear View Camera. STDsTD * Strg Wheel Radio Control sTDs$TD * Tine Pregsuré Monitor stpstd * Tit & Telescopic Steer ~ STDsTD RadiolPhonefAlarm OptionsSTD “ Auxiliary Audio Input STDsTD. * Alarm System sT0STD Boss Sound System* AMM CD Player sToSTD * MP3 Decoder $TDstb * Perimeter Alarm System stoSTD * SiriusXM Satellite Radio STDSTD * Theft Deterrent System sTDSTD * Touch Screen Display sTD$340 Power AccessoriesSTD Heated Power MinorsSID * Electric Steenng sTDsTD * Power Brakes sTDSTD * Power Dear Locks STDsTD * Power Merors sTDsto * Power Windows. sToWheel Optionsstb 16 inch Alloy Wheels $1,000* Steel Wheels stostp Roof OptionsSTD ‘Power MoonroofstbOption Packages$300 Includes Heated Power Mirrors, Heated Front Seats$75$500 Includes Automstic Dining Mirror, Electronic Compass,Intenor Accent Lighting$180 Includes Cargo/Trunk Mat, Floor Mats$315 Includes Auto On/Of Headiights:$350$720 includes Navigation System, SIRIUS Travel Link, 5.8 InchColor Touch Scresn Display, Nissan Connect WiNavigation$360 Includes. Boryside Moldings, Bumper Protector, TrunkProtector$1,000 Includes 16 Inch Alloy Wheels, iuminated Visor Mirror, Power Moonroof, Rear Spoilst$19,125"$19,125 Penuest 3765908 beyse" una Vay Jedan * Indicates losa vehicle equipment,Report Generated by AudaExplore, a Solera Company€ 2018 AudaExplore North Ametica, Inc. All Rights Reserved.Otam Sh le B7APSPL B47 23. Paquest 2675608 Page 3EXHIBIT ERichard Hester (P 158 148.64 2) dainTABBED VEHICLE SUM 

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