Preview
Filing # 100067431 E-Filed 12/10/2019 11:56:39 AM
IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT
IN AND FOR BAY COUNTY, FLORIDA
CIVIL DIVISION
DONNA BODNER,
Plaintiff, Case No. 19004473CA
vs.
TOWER HILL SELECT
INSURANCE COMPANY,
Defendant.
|
COMPLAINT FOR BREACH OF CONTRACT
AND DEMAND FOR JURY TRIAL
COMES NOW the Plaintiff, DONNA BODNER (hereinafter "MS. BODNER’), by
and through the undersigned counsel, and hereby files her Complaint for Breach of
Contract and Demand for Jury Trial against the Defendant, TOWER HILL SELECT
INSURANCE COMPANY (“TOWER HILL”), and as grounds therefore, state as follows:
GENERAL ALLEGATIONS
1. The amount in controversy in this action exceeds the sum of Fifteen
Thousand and 00/100 ($15,000.00) Dollars, exclusive of pre-judgment interest, court
costs and attorney's fees.
2. At all times relevant hereto, MS. BODNER, was and is the owner of the
insured property located at 410 E. Beach Street, Panama City, Bay County, Florida and
as such this Court has proper jurisdiction.
3. Upon information and belief, at all times relevant hereto, TOWER HILL is
and was a Florida Corporation doing business in the State of Florida, including Bay
County.
T2385291.DOCX;14. Upon information and belief, TOWER HILL is an authorized insurance
carrier by the State of Florida to engage in the business of insurance with the Plaintiff.
5. TOWER HILL, while engaging in the business of insurance in the State of
Florida, is required to follow and/or comply with all Florida Insurance Code Statutes and
regulations promulgated by the legislature and the Florida Department of Financial
Services.
6. In consideration of the premium paid to it by the MS. BODNER, TOWER
HILL issued to the MS. BODNER in Bay County, Florida, a Homeowners policy, Renewal
Policy No. H003714354 (hereinafter referred to as “The Policy”), which was in full force
and effect (effective dates December 23, 2017 to December 27, 2018) at the time the
damage occurred as a result of Hurricane Michael and/or hurricane-force winds, and
ensuing damages that occurred on or about October 10, 2018. MS. BODNER has
attached as Exhibit “A” the evidence of The Policy in her possession; a certified copy of
The Policy is herein requested.
7. Damages from substantial wind damage, and ensuing damages as a direct
result thereof, are covered damages under The Policy.
8. MS. BODNER timely reported her damage to TOWER HILL, and opened a
claim pursuant to the terms and conditions of The Policy.
9. In response, TOWER HILL assigned the claim to its representative, Jessica
Sickler, to adjust and investigate the loss.
10. Onor about October 17, 2018, nothwithstanding the substantial damage to
MS. BODNER’S home, TOWER HILL only tendered undisputed insurance benefits in the
amount of $5,000.00; therefor TOWER HILL acknowledged coverage. (See attached
T2385291.DOCX;1Exhibit “B”).
11. In an effort to mitigate her damages, MS. BODNER retained the services of
Safeway Restoration to perform water mitigation and mold remediation services. MS.
BODNER incurred out-of-pocket costs in the total amount of $43,196.71, for Safeway
Restoration’s services. (See attached composite Exhibit “C”).
12. On or about January 7, 2019, TOWER HILL estimated MS. BODNER’S
damages totaled only $74,599.60, and after depreciation ($16,556.91) and policy
deductible ($6,440.00), undisputed insurance benefits in the amount $51,602.69, would
be tendered. (See attached Exhibit “D”).
13. On or about February 26, 2019, concerned that TOWER HILL had no
intention to thoroughly investigate the full extent and nature of the damages, MS.
BODNER retained the services of insurance claim professional, Sentry Public Adjusting,
to assist in submitting her claim to TOWER HILL which would adequately and objectively
detail all the damages sustained as a result of the loss.
14. On or about May 7, 2019, MS. BODNER provided TOWER HILL with her
estimate of damages in the total amount of $269,405.48 (Coverage A Dwelling). (See
attached Exhibit “E”).
15. On or about May 9, 2019, MS. BODNER provided TOWER HILL with her
executed Demand Package and Sworn Statement in Proof of Loss in the total amount of
$269,405.48. (See attached Exhibit “F”).
16. TOWER HIll then retained one of its preferred vendors, Neil Weghorst, P.E.
of U.S. Forensic, LLC, to inspect the insured property to determine the extent of damage.
On or about July 30, 2019, Neil Weghorst, P.E. of U.S. Forensic, LLC, inspected the
T2385291.DOCX;1insured property wherein he opined there was no wind damages.
17. Todate, TOWER HILL has failed and/or refused to tender any supplemental
dwelling insurance benefits to MS. BODNER.
18. MS. BODNER has provided TOWER HILL with all requested
documentation and/or information needed TOWER HILL to tender owed insurance
benefits.
19. MS. BODNER has provided TOWER HILL with access to the insured
property so that it may have inspected all claimed damages.
20. Upon information and belief, TOWER HILL used preferred vendor(s) in its
investigation of the loss.
21. TOWER HILL is contractually and statutorily required to timely tender owed
insurance benefits.
22. MS. BODNER has cooperated with all reasonable and relevant requests
made by TOWER HILL in its investigation of the loss.
23. TOWER HILL’S denial was a wrongful material breach of The Policy. A
material breach by one party excuses the other party from further performance under the
contract. Insurance contracts follow this general principle from the maxim that "the law
does not compel a man to do a useless act." In the context of insurance contracts, a
coverage denial waives an insured's duty to comply with contract conditions precedent
such as submission to execution of repair contracts, submit to examinations, satisfaction
of proof of loss requirements, loss payment provisions, notice, and other contract
requirements.
T2385291.DOCX;124. Where a contract vests a party with discretion, but provides no standards
for exercising discretion, Florida law requires that the party exercise that discretion in a
reasonable manner.
COUNTI
(BREACH OF CONTRACT)
25. MS. BODNER re-alleges Paragraph No.’s 1-24 as if fully set forth herein.
26. Onor about October 10, 2018, MS. BODNER’S insured property sustained
substantial wind damage as a result of severe storm, and ensuing damages.
27. TOWER HILL sent and/or assigned insurance adjusters and/or
representative, to investigate and provide a coverage opinion, and evaluate the extent
and nature of the claimed damages.
28. MS.BODNER suffered a loss regarding her insured property and continues
to suffer the loss.
29. TOWER HILL’S obligation to tender owed insurance benefits is continuing
in nature. A party's ongoing nonperformance constitutes a continuing breach while the
contract remains in effect.
30. TOWER HILL’S breach is a continuing breach of The Policy.
31. TOWER HILL has failed and/or refused to tender all owed insurance
proceeds, undisputed or otherwise, to MS. BODNER that are due and owing to MS.
BODNER.
32. MS. BODNER has requested that TOWER HILL pay her damages; TOWER
HILL has failed and/or refused, and continues to refuse to pay the full damages despite
knowing it is required to do so.
33. MS. BODNER has done and performed all those matters and things
T2385291.DOCX;1properly required of it under The Policy, or alternatively, has been excused from
performance of the acts, representations, omissions, and/or conduct of TOWER HILL.
34. Notwithstanding the foregoing, TOWER HILL has failed and/or refused to
provide full coverage under The Policy for the damages to MS. BODNER’S insured
property TOWER HILL has failed to promptly pay all the amounts due and has thereby
breached its contract of insurance.
35. Asa direct result of TOWER HILL’S breach of its insurance contract, MS.
BODNER has lost benefits of her insured property, and continues to suffer the loss.
36. Asa direct result of TOWER HILL’S breach of its insurance contract, MS.
BODNER was required to become obligated for attorney’s fees and costs in connection
with the prosecution of this action, and Florida Statute §627.428 provides for the payment
of attorney’s fees in the event of such need.
WHEREFORE, the Plaintiff, DONNA BODNER, prays this Court enter an award of
compensatory damages, consequential damages, pre-judgment interest, post judgment
interest, costs of this action, attorney fees; and such other and further relief as this Court
may deem just and proper.
DEMAND FOR JURY TRIAL
DONNA BODNER hereby requests a trial by jury on all issues so triable.
Respectfully submitted this 10 day of December, 2019.
T2385291.DOCX;1lit Davia [, Pettinato-
DAVID J. PETTINATO, ESQUIRE
Florida Bar Number: 062324
MERLIN LAW GROUP, P.A.
777 S. Harbour Island Blvd., Suite 950
Tampa, Florida 33602
Telephone: (813) 229-1000
Fax: (813) 229-3692
Attorney for Plaintiff
dpettinato@merlinlawgroup.com
smerriett@merlinlawgroup.com
trodriguez@merlinlawgroup.com
T2385291.DOCX;1EXHIBIT “A”Fs
00100500000 H003714354 598978 SDEC
To
Tower Hill
Insurance
Your Homeowners insurance Policy
Donna Bodner
410 E BEACH DR
PANAMA CITY, FL 32401-5821This page is intentionally left blank00200500000 H003714354 598978 SDEC
Insurance
Dear Donna Bodner,
Thank you for renewing your policy with Tower Hill Insurance Group.
You are a valued member of a growing community of more than
350,000 Florida homeowners who trust Tower Hill's Family of
Companies to protect their homes.
Since 1872, Tower Hill has weathered every Florida storm and been
there when our customers need us the most — when it’s time to
rebuild. We appreciate your business, and assure you that our
employees, in partnership with your insurance agent, will work
tirelessly to deserve the trust you have placed in us.
To Protect Your Castle, Look to the Tower.
Tower Hill Insurance Group, LLC
How to Contact Tower Hill
CALL Our Customer Service Center at 800.342.3407
Monday - Friday, 8:00 a.m. to 6:00 p.m. (ET)
+ Find out about available payment plans or receive help with billing
questions
+ Pay by phone (American Express, Discover, MasterCard, Visa, or
from your bank account)
Visit Us ONLINE at THIG.com
Register at Customer Login to:
View your Tower Hill policy documents
Review your account balance
Make an online payment
Go paperless
Report a CLAIM
* Call our 24-hour hotline at 800.216.3711 as soon as possible after
@ loss occurs.
Reach Us by MAIL
« If you pay your bill by mail, please use the payment coupon and
envelope included with your invoice.
+ Write the policy number in the memo field of your check. If you are
sending a money order or cashier's check, include your name as it
is listed on your policy.
* Mail payments to Tower Hill Insurance Group, PO Box 865001,
Orlando, FL 32886-5001.
* To send other correspondence regarding your policy, please mail
to PO Box 147018, Gainesville, FL 32614-7018.
Your Policy Number:
003714354
Insurance Company:
Tower Hill Select
Policy Effective Date:
December 23, 2017
Your Insurance Agency:
Peoples First Insurance Services
LLC
(850) 770-7047
Agency Code: FL6492
Your renewal.offer contains
important information about
deductible options that may
help reduce your premium.
Please contact your insurance
agent to discuss these options,
or with any coverage
questions.
Save the
Trees
0
Manage your Tower Hill policy
documents and payments
online at THIG.com,
GO PAPERLESS.
Why choose paperless?
* Convenience. All policy
and payment documents
will be stored in one place,
securely online.
«¢ Go Green. Reducing
paper use is good for the
environment.
Tower Hill Insurance | PO Box 147018, Gainesville, FL 32614 | customerservice@thig.com | THIG.comIMPORTANT INFORMATION ABOUT YOUR POLICY PREMIUM
Want more
coverage %..
premium dollars?
Ask your agent about our
broadened coverage options
with Emerald or Emerald
Deluxe. The Emeraid options
provide additional coverage,
including personal property
replacement cost, increased
personal liability, personal injury
protection - and more.
Get extra protection |
you Most
valuable oO
Property.
The Scheduled Personal
Property Endorsement
provides coverage for certain
categories such as jewelry,
silverware, golf equipment,
coin collections, or fine art at
higher limits than your base
policy allows.
Your renewal premium amount reflects the following
changes:
+ Policy changes made prior to or during the renewal process (if
applicable);
+ Any recent rate changes implemented by your insurance
company.
You can also reduce your policy premium by changing
deductibles.
Deductible credits depend on your Coverage A (Dwelling
Structure Coverage) amount, your current deductible and your
home's location.
For example, an Orange County home with Coverage A equal to
$200,000, with a $1,000 All Other Perils deductible and 2%
Hurricane deductible could save 2.5% by changing to a
$1,000/5% deductible. For this home you could save as much as
14% by switching to a $2,500/5% deductible.
Selecting a higher deductible option will result in a premium
credit; however, in the event of a covered loss, you will be
responsible for higher out-of-pocket expenses. Conversely,
selecting a lower deductible will result in a higher premium,
though your out-of-pocket expenses would be lower in the event
of a covered loss.
Hurricane deductible changes can only be made at your policy
renewal. All Other Perils (AQP) deductible changes can be
made during the policy term. Please contact your agent for details
on other conditions that may apply.
Be sure to discuss these options with your insurance agent, who
can help you decide which one best suits your individual situation.
Your agent will be able to request changes on your behalf.
Tower Hill Insurance | P.O, Box 147018, Gainesville, FL 32614 | customerservice@thig.com | THIG.com00300500000 H003714354 598978 SDEC
Tower Hill
Insurance
NOTICE OF CHANGE IN POLICY TERMS
IMPORTANT NOTICE ~ PLEASE READ CAREFULLY
The purpose of this Notice of Change in Policy Terms is to inform you of changes to the terms, coverages, duties
and/or conditions of your renewal policy as described below:
You may access a copy of your policy forms and endorsements through our secure Customer Login portal on
www.THIG.com.
if you have not already created an account on Customer Login, you will need the following information to register:
your policy number; agent iD; and Insured Location ZIP Code. This information is available both on your policy
declarations page and on your Tower Hill customer identification card,
The following provisions in the Special Provisions — Florida (HP-0109-09) form have changed:
The definitions for hovercraft, aircraft and drone have been added and the terms unoccupied and
vacant have been explicitly defined in your policy.
Your Reasonable Repairs provision has been revised to Reasonable Emergency Measures. In case
of a loss to covered property, you must take reasonable emergency measures solely to protect the
property from further damage and you may not exceed the greater of $3,000 or 1% of your Coverage
_ A limit to do so, unless you call us first and receive our approval. Please review Reasonable
Emergency Measures under Section | - Additional Coverages.
Coverage for damage by water. Please review Section | — Additional Coverages, Section | — Perils
Insured Against — Coverage A and Coverage B, Section | - Perils Insured Against - Coverage C and
Section /- Exclusions.
The Collapse provision in your policy has been revised, under Section | - Additional Coverages and
Section | - Perils Insured Against - Coverage A and Coverage B.
Your policy now excludes:
Property coverage for drones and water or steam under Coverage C — Property Not Covered,
Coverage for loss caused by: squirrels, ants, bats, bees and wasps, under Section /— Perils Insured
Against — Coverage A and Coverage B.
Coverage for damage caused by rain, snow, sleet, sand or dust to the interior of a bullding unless a
covered peril first damages the building causing an opening, under Section | — Perils Insured Against
— Coverage A and Coverage B and Section | ~ Perils Insured Against — Coverage C.
Coverage for bodily injury or property damage arising out of ownership, maintenance, use, loading of
a drone or hovercraft, under Section 1 - Exclusions.
Your policy Conditions have been revised:
Under Duties After Loss, your policy requires that you give us, or your insurance agent, prompt
notification of the loss. Please note, except for reasonable emergency measures under Additional
Coverages, there is no coverage for repairs that begin before the earlier of: (a) 72 hours after we are
notified of the loss, (b) the time of loss inspection by us, or (c) the time of other approval by us.
Under Loss Settlement, a statement has been added that allows us to exercise our right to repair
damaged property. The provision regarding not requiring advance payments for repairs and expenses
has been removed.
Under Mediation Or Appraisal and Suit Against Us, your policy now includes the requirement that if
you and we fail to agree on a settlement, scope of repair, or method of repalr regarding the loss, you
must notify us of your disagreement in writing prior to filing a suit.
Under Our Option, the options which we, as your insurance company, have when settling a claim
have been expanded.
Under Subrogation, all rights of recovery against any person or entity for your damages are
automatically transferred to us upon our payment to you under any coverage of this policy.
The following provisions in the Catastrophic Ground Cover Collapse (IL-0503-00) Endorsement have
changed:
NOCPT (10/12) Page 1* The definition for principal building has been revised to include decks.
The descriptions in this notice are intended to be for informational purposes only. Please review your policy and
endorsement language carefully. In the event of a conflict, the language in your policy and its endorsements will
be controlling.
To accept the renewal offer, simply pay the renewal premium as provided in the accompanying notice. If
applicable, your mortgage company will receive the renewal offer and make payment on your behalf. Our receipt
of the premium payment for the renewal policy is deemed to be your acceptance of the new policy terms.
If you have any questions concerning this notice or any other policy matter, please contact your insurance agent
for assistance.
Thank you for choosing Tower Hill for your home insurance needs. We appreciate your business.
Tower Hill Insurance Group, LLC
cc: policyholder file
Page 2Ee
00400500000 H003714354 598978 SDEC
Tower Hill Select
Insurance Compa:
jo P.O. Box 147018 Gainesville, FL 32614-7018
HOMEOWNERS
DECLARATIONS
THIS IS NOT A BILL.
Payment notice will be sent separately
to: The Insured
Insured
Donna Bodner
410 E BEACH DR
PANAMA CITY, FL 32401-5821
POLICY NUMBER
H003714354
Renewal
Issued On:
10/26/2017
AGENCY FL6492
Peoples First Insurance Services LLC
1002 W 23RD STREET SUITE 130
PANAMA CITY, FL 32405
PHONE NUMBER: (850) 770-7047
POLICY PERIOD: 12/23/2017 to 12/23/2018. Each period begins and ends at 12:01 AM standard time at the insured location.
INSURED LOCATION: Same as address shown under Insured.
Coverage is provided where a premium or limit is shown for the coverage.
SECTION | - PROPERTY COVERAGE
COVERAGE A - Dwelling
LIMIT SECTION Il - LIABILITY COVERAGE LIMIT
$322,000 COVERAGE E - Personal Liability $300,000
COVERAGE B - Other Structures $6,440 Each Occurrence
COVERAGE C - Personal Property $161,000 COVERAGE F - Medical Payments to Others $5,000
COVERAGE D - Lass of Use $64,400 Each Person
BREAKDOWN OF PREMIUM:
Charges Limit = Premium
Section | and {| Premium $2,720.00
Age of Dwelling Surcharge $146.00
Catastrophic Ground Cover Collapse Coverage Incl
Emerald Coverage . $348.00
Credit Card, Forgery and Counterfeit Money $10,000 Incl
Damage to Property of Others $1,000 Incl
Earth Movement Coverage for Personal Property Incl
Fire Department Service Charge $1,000 Incl
Lock Replacement Coverage $500 Incl
Loss of Use Due to Power Shortage Incl
Personal Injury Coverage Incl
Personal Property Replacement Cost Without Holdback Incl
Refrigerated Property Coverage $500 Incl
Special Personal Property Incl
Water Backup/Sump Overflow $5,000 Incl
Water Damage for Contents Away from Premises Incl
Watercraft Liability - 50hp Incl
Special Limits of Liability
Money $1,000 "Inet
Securities $5,000 Incl
Watercraft $5,000 Inct
Trailers Not Used with Watercraft $5,000 Inct
Jewelry & Furs $5,000 (Theft) $2,500 (Misplace) Inct
Firearms $5,000 (Theft) $2,500 (Misplace) Incl
Silverware $5,000 (Theft) $2,500 (Misplace) Incl
Business Property on Premises $10,000 Inch
Business Property off Premises $1,000 incl
Limited Fungi, Wet or Dry Rot, or Bacteria Coverage (Each Loss / Aggregate) $10,000/$20,000 Ancl
Coverage E Aggregate Sublimit $50,000
Ordinance or Law Coverage 25% Incl
Screened Enclosure Special Limitation (Total Limit) $10,000 Incl
HO-DEC (02/17)
Page: 1POLICY NUMBER
H003714354
Emergency Management Preparedness and Assistance Trust Fund (EMPAT) Fee $2.00
Managing General Agency (MGA) Fee $25.00
Credits Premium
Building Code Effectiveness Grading Schedule (BCEGS) Credit -$107.00
Loss Free Credit $102.00
Residential Windstorm Loss Mitigation Devices Credit $1,432.00
Sinkhole Exclusion $22.00
Unscheduled Other Structures - Decreased Limit Incl
(Total Policy Premium: $1,578.00)
DEDUCTIBLE (Section I Only):
The Calendar Year Hurricane Deductible is $6,440 (2% of Coverage A).
The All Other Perils Deductible is $1,000.
~ In case of loss under Section |, we cover only that part of the covered loss over the deductible stated.
Mortgagee Information:
CC: TYNDALL FEDERAL CREDIT UNION
PO BOX 59750
PANAMA CITY, FL 32442
Loan Id: 57039081
Important: Please notify your agent immediately if the mortgage company shown is incorrect.
BASIC RATING INFORMATION:
PROGRAM FORM CODE — TERRITORY COUNTY CONSTRUCTION CONSTRUCTION
YEAR TYPE
THSFLHO HO-3 024 BAY 2003 Masonry
FIRE PROTECTION BUILDING CODE WIND PROTECTIVE
Class ROOF TYPE TacEG) GRADE NO eves PROTECTIVE DEVICE
3 Hip 4 None None
PREMIUM SUMMARY: Hurricane Premium: $403.00
Non-hurricane Premium: $1,175.00
Section Il Other Location(s):
NONE
APPLICABLE FORMS AND ENDORSEMENTS:
THS001 (04/08), HO 00 03 (04/91), HO 04 96 (04/91), HP-0057-00 (09/16), HP-0075-00 (09/05), HP-0076-00 (07/04),
HP-0077-00 (07/04), HP-0087-00 (10/10), HP-0088-00 (07/04), HP-0091-00 (02/05), HP-0094-00 (09/07), HP-0109-09
(10/16), HP-0351-00 (05/05), HP-0433-00 (09/16), HP-0477-00 (01/09), IL-0001 (11/01), IL-0010 (02/11), IL-0012 (09/05),
IL-0301-00 (09/11), IL-0503-00 (09/16), IL-0506-00 (06/07), IL-CKLS (02/11), IL-P-001 (01/04), IL-WMCA (04/11), Privacy
Notice (05/13), THS-OHO3 (04/16)
HO-DEC (02/17) Page: 2oO
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POLICY NUMBER
H003714354
NOTICES:
* This policy does not include the peril of "Sinkhole Loss".
* This policy does not provide Flood coverage.
* Your Building Code Effectiveness Grading schedule adjustment is -5.8%. The adjustments can range from a surcharge of
0% to a discount of -9.9%.
* — This Declarations replaces all previously issued policy Declarations, if any. This Declarations together with your policy
and endorsements completes your policy. Refer to your policy and endorsements for details regarding your coverages,
limits, and exclusions,
* To request the complete copy of your policy including all forms, endorsements, terms and conditions, please contact
our Customer Service Center at (800) 342-3407 between the hours of 8:00 am and 6:00 pm, Monday through Friday
(Eastern Time), excluding holidays.
RENEWAL NOTICES:
« Premium change due to coverage change $58.00.
* Premium change due to rate increase/decrease $0.00.
THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE FOR
HURRICANE LOSSES, WHICH MAY RESULT IN HIGH
OUT-OF-POCKET EXPENSES TO YOU.
LAW AND ORDINANCE COVERAGE IS AN IMPORTANT
COVERAGE THAT YOU MAY WISH TO PURCHASE. YOU
MAY ALSO NEED TO CONSIDER THE PURCHASE OF
FLOOD INSURANCE FROM THE NATIONAL FLOOD
INSURANCE PROGRAM. WITHOUT THIS COVERAGE, YOU
MAY HAVE UNCOVERED LOSSES. PLEASE DISCUSS
THESE COVERAGES WITH YOUR INSURANCE AGENT.
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Date of teas Email Address:
Restoration Contract and Assignment of insurance Benefits
1. Perform any and all necessary services to mitigate and or restore the property at the address listed above.
Provide a detailed BILL to be submitted to the INSURANCE COMPANY named above. If client has no insurance
company then BILL will be submitted directly to client/owner.
3. Deal Direct with the ADJUSTER representing the INSURANCE COMPANY on any and all issues of scope and
Price.
NTAN:
1. Undertakes to provide access to the property and grants SAFEWAY RES’
the restoration work.
P 2. Authorizes direct payment by the INSURANCE COMPANY to SAFEWAY RESTORATION LLC for all services
rendered.
3. Undertakes to cooperate with SAFEWAY RESTORATION LLC to ensure that payment is made by the INSURANCE
COMPANY immediately upon completion of the work. Should the Client’s Insurance Company fail to honor this
agreement, the Client will pay SAF} EWAY RESTORATION LLC any balance due within fifteen (15) days of Client’s
receipt of invoice. It is understood that the Client is personally responsible for any and all deductibles, charges, or
costs not covered by their insurance company. Payments received after 30 days are subject to a penalty of 1 1/2% per
month, If this account is placed for collection.
Declares that he/she is the owner of the property at which work will be performed or that he/she is the owner’s
representative legally authorized to contract such work.
Allows and instructs SAFEWAY RESTORATION LLC to disinfect, antisepticize, cleanse, decontaminate, deodorize,
fumigate, purify, sanitize, and sterilize any of the premises. The Client understands that it is beyond the expertise of
Safeway Restoration LLC to determine if someone is sensitive to their application and will hold Safeway Restoration
LLC harmless for their use,
ASSIGNMENT OF INSURANCE BENEFITS ONLY PERTAINING TO
‘THE UNPAID BALANCE DUE ON THIS CONTRACT
Client/Insured hereby assigns to SAFEWAY RESTORATION LLC any and all insurance proceeds and all other bencfits
and rights pertaining to the restoration service performed to mitigate/restore the property at the address listed above.
Including the right to recover attorney's fees and costs from my insurance company pursuant to Florida State Law and
this contract for any unpaid portion of this contract. Client/Insured hereby directs his/her insurance carrier to release any
and all information requested b¥ SAFEWAY RESTORATION LLC. In this regard, Client/Insured waives his/her privacy
smn EY Ls
Speen pobctones Gliebt's J Insured’s Signat ye to pagin work
SY taf WAC,
Name
Ls hE lE ;
Date
STORATION LLC first right of refusal onSAFEWAY EY Safeway Restoration
RESTORATION
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
Insured: Donna Bodner
Property: 410 E Beach Dr
Panama City, FL 32401
Estimator; CATHY FELTON
Company: SAFEWAY RESTORATION
Claim Number: 3300298394 Policy Number: H003714354
Date of Loss: 10/10/2018 Date Received:
Date Inspected: Date Entered:
Price List! FLKW8X_JANI9
Estimate:
Restoration/Service/Remodel
DONNA_BODNER
Home: (850) 624-3039
E-mail: donnabidner@yahoo.com
E-mail: Cathy@SafewayRestoration.
com
Type of Loss: Hurricane
2/11/2019 11:26 AMY » Safeway Restoration
EW,
BAFEWAY
13275 SW 136 ST #16
Miami, FI. 33186
305-741-4335
DONNA_BODNER
Living Room LxWxH 15' x 15" x 8"
Subroom 1: Closet LxWxH 4' x 2'x 8!
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out wet carpet pad, cut/bag - after business hours 233.00 SF@ 0.77 = 179.41
Tear out tackless strip and bag for disposal - after hours 72,00 LF@ 97.20
Tear out wet non-salvage cpt, cut/bag - after business hrs 233.00 SF @ 193,39
Tear out wet drywall, cleanup, bag - Cat 3 - after hours 175.00 SF@ 334.25
Containment Barrier/Airlock/Decon, Chamber - after hours 21.00 SF@ 23.52
Baseboard - Detach 33.00 LF@ 37.29
Clean the walls and ceiling - Heavy 809.00 SF@ 299,33
Clean ductwork - Interior - Heavy clean (PER REGISTER) 2.00 EA@ 84.40
Tear out and bag wet insulation - after hours 175.00 SF@ 196.00
Deodorize building - Hot thermal fog 1,864.00 CF @ 111.84
Dining Room
LxWxH 12'x 10'x 8"
DESCRIPTION QTY UNIT PRICE TOTAL
Clean the walls and ceiling - Heavy 472.00 SF @ 0.37= 174.64
Clean ductwork - Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42.20 = 42.20
Containment Barrier/Airlock/Decon. Chamber - after hours 150.00 SF @ 112= 168.00
Deodorize building - Hot thermal fog 960.00 CF @ 0.06 = 57.60
Kitchen LxWxH 11'x 8'x 8"
DESCRIPTION QTY UNIT PRICE TOTAL
Remove Crown molding - 2 1/4" 1,00 LF@ 0.74
Remove Cabinetry - upper (wall) units 2.00 LF@ 16.54
Clean the walls and ceiling - Heavy 392,00 SF@ 145.04
Clean ductwork - Interior - Heavy clean (PER REGISTER) 1,00 EA@ 42.20
Tear out wet drywall, cleanup, bag - Cat 3 - after hours 44,00 SF@ 84.04
Tear out and bag wet insulation - after hours 44.00 SF@ 49.28
Containment Barrier/Airlock/Decon, Chamber - after hours 44.00 SF@ 49.28
Deodorize building - Hot thermal fog 704.00 CF @ 42.24
Hallway
DONNA_BODNER
LxWxH 12' x 3'x 8"
2/13/2019 Page: 2SAFEWAY) Safeway Restoration
13275 SW 136 ST #16
Miami, FI, 33186
305-741-4335
DESCRIPTION QTY UNIT PRICE TOTAL
Clean the walls and ceiling - Heavy 276.00 SF@ 0.37= 102.12
Baseboard ~ Detach . 16.00 LF @ 1.13= 18.08
Deodorize building - Hot thermal fog 288.00 CF @ 0.06 = 17.28
Master Bedroom LxWxH 17' x 13'x 9"
Subroom 1: Closet LxWxH 13' x 2'x 9"
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out wet drywall, cleanup, bag - Cat 3 - after hours 223.00 SF@ 425.93
Tear out and bag wet insulation - after hours 221.00 SF@ 247,52
Containment Barrier/Airlock/Decon. Chamber - after hours 221.00 SF@ 247,52
Tear out wet carpet pad, cut/bag - after business hours 247.00 SF @ 190.19
Tear out tackless strip and bag for disposal - after hours 90.00 LF@ 121.50
Tear out wet non-salvage cpt, cut/bag - after business hrs 247.00 SF @ 205.01
Baseboard - Detach - after business hours 17.00 LF @ 28.90
Remove Window sill 6.00 LF @ 4.62
Content Manipulation charge - per hour 1.00 HR@ 36.06
Remove Ceiling fan & light 1.00 EA@ 20.79
Clean more than the walls and ceiling - Heavy 1,304.00 SF@ 482.48
Clean ductwork - Interior - Heavy clean (PER REGISTER) 2.00 EA@ 84.40
Deodorize building - Hot thermal fog 2,223.00 CF @ 133.38
Master Bathroom LxWxH 8'x 7' x 9°
DESCRIPTION QTY UNIT PRICE TOTAL
Remove Jetted tub - Acrylic - Standard grade 1.00 EA@ 118.03
Remove Fiberglass shower unit - Standard grade 1.00 EA@ 82.63
Tear out wet drywall, cleanup, bag - Cat 3 - after hours 200.00 SF@ 382.00
Tear out and bag wet insulation - after hours 200.00 SF @ 224.00
Baseboard - Detach - after business hours 4.00 LF @ 6.80
Remove Light fixture 1.00 EA@ 9.18
Containment Barrier/Airlock/Decon. Chamber - after hours 56.00 SF@ 62.72
Remove Shower faucet 1.00 EA@ 20.65
R&R Tub/shower faucet 1.00 EA@ 329,29
Clean more than the walls and ceiling - Heavy 382.00 SF@ 141.34
Clean ductwork ~ Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42.20
Deodorize building - Hot thermal fog 504.00 CF @ 30.24
DONNA_BODNER
2/13/2019
Page: 3SAFEWAY) Safeway Restoration
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
2nd Hallway LxWxH 16'x 7'x 9"
Subroom 1: Closet LxWxH 2' x 2'x 9!
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out and bag wet insulation - after hours 112.00 SF@ 125.44
Tear out wet carpet pad, cut/bag - after business hours 116.00 SF@ 89.32
Tear out tackless strip and bag for disposal - after hours 54.00 LF@ 72,90
Tear out wet non-salvage cpt, cut/bag - after business hrs 116.00 SF@ 96.28
Tear out wet drywall, cleanup, bag - Cat 3 - after hours 20.00 SF@ 38.20
Containment Barrier/Airlock/Decon. Chamber - after hours 18.00 SF@ 20.16
Clean more than the walls and ceiling - Heavy 718.00 SF@ 265,66
Deodorize building - Hot thermal fog 1,044.00 CF @ 62.64
Laundry closet LxWxH 8' x 3'x 9!
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out and bag wet insulation - after hours 24.00 SF@ 1.12= 26.88
Dryer - electric - Detach 1,00 EA@ 20.16 = 20.16
Washing machine - Detach 1.00 EA@ 22.38 = 22.38
Clean more than the walls and ceiling - Heavy 246,00 SF@ 0.37= 91.02
Deodorize building - Hot thermal fog 216.00 CF @ 0.06 = 12.96
Cat closet LxWxH 4! x 3' x 9"
DESCRIPTION QTY UNIT PRICE TOTAL
Clean the walls and ceiling - Heavy 138.00 SF @ 0.37= 51.06
Deodorize building - Hot thermal fog 108.00 CF @ 0.06 = 6.48
Guest Room LxWxH 13' x 10'x 9"
Subroom 1: Closet LxWxH 9" x 2'x 9°
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out wet carpet pad, cut/bag - after business hours 148.00 SF@ 113.96
Tear out tackless strip and bag for disposal - after hours 68.00 LF @ 91.80
Tear out wet non-salvage cpt, cut/bag - after business hrs 148.00 SF@ 122.84
Clean more than the walls and ceiling - Heavy 908.00 SF@ 335.96
Clean ductwork - Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42.20
DONNA_BODNER.
2/13/2019 Page: 4SAF EWAY() Safeway Restoration
RESTORATION
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
CONTINUED - Guest Room
DESCRIPTION QTY UNIT PRICE TOTAL
Deodorize building - Hot thermal fog 1,332.00 CF@ | 0.06 = 79.92
Guest Room 2 LxWxH 8' x 5'x 9!
Subroom 1: Closet : LxWxH 7' x 2'x9"
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out and bag wet insulation - after hours 40.00 SF@ 44.80
Clean more than the walls and ceiling - Heavy 504.00 SF@ 186.48
Clean ductwork - Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42,20
Deodorize building - Hot thermal fog 486.00 CF @ 29,16
Landing LxWxH 18’ x 3' x 8"
DESCRIPTION QTY UNIT PRICE TOTAL
Clean more than the walls and ceiling - Heavy 444.00 SF@ 0.37 = 164,28
Tear out wet carpet pad, cut/bag - after business hours 54.00 SF@ 0.77= 41.58
Tear out tackless strip and bag for disposal - after hours 42,00 LF@ 1.35= 56.70
Tear out wet non-salvage cpt, cut/bag - after business hrs 54,00 SF@ 0.83 = 44.82
Deodorize building - Hot thermal fog 432,00 CF @ 0.06 = 25.92
Guest Bath LxWxH 5' x 5'x 8"
DESCRIPTION QTY UNIT PRICE TOTAL
Clean the walls and ceiling - Heavy 185,00 SF @ - 0.37= 68.45
Clean ductwork - Interior - Heavy clean (PER REGISTER) 1,00 EA@ 42.20 = 42.20
Deodorize building - Hot thermal fog 200.00 CF @ 0.06 = 12.00
DONNA_BODNER 2/13/2019 Page: 5SAFEWAY, 0 Safeway Restoration
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
AC Closet LxWxH 2' x 2'x 8°
DESCRIPTION QTY UNIT PRICE TOTAL
Clean the walls and ceiling - Heavy 68.00 SF @ 0.37= 25.16
Deodorize building - Hot thermal fog 32.00 CF@ 0.06 = 1,92
Stairwell LxWxH 16' x 3' x 6°
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out wet carpet pad, cut/bag - after business hours 48.00 SF@ 36.96
Tear out tackless strip and bag for disposal - after hours 38.00 LF@ 51.30
Tear out wet non-salvage cpt, cut/bag - after business hrs 48.00 SF@ 39.84
Tear out wet drywall, cleanup, bag - Cat 3 - after hours 30.00 SF@ 57.30
Tear out and bag wet insulation - after hours 30.00 SF@ 33.60
Remove Stair tread - up to 4' 2.00 EA@ 11.02
Remove Stair riser - up to 4" 2.00 EA@ 7.50
Clean the walls and ceiling - Heavy 276.00 SF@ 102.12
Deodorize building - Hot thermal fog 288.00 CF@ 17.28
Garage LxWxH 38'x 15'x 8'
DESCRIPTION QTY UNIT PRICE TOTAL
Tear out wet drywall, cleanup, bag - Cat 3 - after hours 95.00 SF@ 181.45
Containment Barrier/Airlock/Decon, Chamber - after hours 89.00 SF@ 99.68
Remove Cabinetry - lower (base) units 9.00 LF@ 74.43
Tear out and bag wet insulation - after hours 95.00 SF@ 106.40
Clean the walls and ceiling - Heavy 1,418.00 SF@ 524.66
Deodorize building - Hot thermal fog 4,560.00 CF @ 273.60
General
DESCRIPTION QTY UNIT PRICE TOTAL
Negative air fan/Air scrubber (24 hr period) - No monit. 28.00 DA@ 70.00 = 1,960.00
Dehumidifier (per 24 hour period) - XLarge - No monitoring 14.00 EA@ 115,00 = 1,610.00
Add for HEPA filter (for negative air exhaust fan) 2.00 EA @ 186,62 = 373.24
Add for personal protective equipment (hazardous cleanup) 22.00 EA@ 8.00 = 176.00
Generator - 6,000 watt - portable (per day) 7.00 DA@ 91.00= 637.00
DONNA_BODNER
2/13/2019 Page: 6SAFEWAY)S Safeway Restoration
RESTORATION
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
CONTINUED - General
DESCRIPTION QTY UNIT PRICE TOTAL
Fuel surcharge 40.00 GL@ 2.79 = 111.60
Equipment setup, take down, and monitoring (hourly charge) 18.00 HR @ 56.62 = 1,019.16
Equipment decontamination charge - per piece of equipment 400 EA@ 32.71= 130.84
Cleaning Technician - per hour 8.00 HR@ 35.85 = 286.80
Labor to pull nails
Dumpster load - Approx. 30 yards, 5-7 tons of debris 1.00 EA@ 800.00 = 800.00
Cleaning & Remediation - Supervisory - after hrs. 36.00 HR @ 90.09 = 3,243.24
Labor Minimums Applied
DESCRIPTION QTY UNIT PRICE TOTAL
Finish carpentry labor minimum 1.00 EA@ 207.25
General labor - labor minimum 1,00 EA@ 18.09
Electrical labor minimum 1.00 EA@ 207.54
Cabinetry labor minimum 1,00 EA@ 121.64
Stairway labor minimum 1,00 EA@ 202.51
Grand Total Areas:
6,006.00 SF Walls 1,835.00 SF Ceiling 7,841.00 SF Walls and Ceiling
1,835.00 SF Floor 203.89 SY Flooring 720.00 LF Floor Perimeter
1,977.00 SF Long Wall 1,026.00 SF Short Wall 720.00 LF Ceil. Perimeter
0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area
0.00 Exterior Wall Area 9.00 Exterior Perimeter of
‘Walls
0.00 Surface Area 0:00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length
DONNA, BODNER
0.00
Total Hip Length
2/13/2019
Page: 7SAFEWAY GY Safeway Restoration
RESTORATION
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
Summary for Dwelling
Line Item Total 21,539.23
Overhead 3,230.93
Profit _ 3,230.93
Replacement Cost Value $28,001.09
Net Claim $28,001.09
CATHY FELTON
DONNA_BODNER 2/13/2019 Page: 8SAFEWAY|
RESTORATION
~ Safeway Restoration
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
: DONNA_BODNER
Living Room
Dining Room
Kitchen
Hallway
Master Bedroom
Master Bathroom
2nd Hallway
Laundry closet
Cat closet
Guest Room
Guest Room 2
Landing
Guest Bath
AC Closet
Stairwell
Garage
General
Labor Minimums Applied
Recap by Room
Subtotal of Areas
Total
DONNA_BODNER
1,556.63
442,44
429,36
137.48
2,228.30
1,449.08
770.60
173.40
57.54
786.68
- 302.64
333.30
122.65
27.08
356.92
1,260.22
10,347.88
757.03
21,539.23
21,539.23
2/13/2019
7.23%
2.05%
1.99%
0.64%
10.35%
6.73%
3.58%
0.81%
0.27%
3.65%
1.41%
1.55%
0.57%
0.13%
1.66%
5.85%
48.04%
3.51%
100.00%
100.00%
Page: 9SAFEWAY) Safeway Restoration
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
Insured: Donna Bodner
Property: 410 E Beach Dr
Panama City, FL 32401
Estimator: CATHY FELTON
Company: SAFEWAY RESTORATION
Claim Number: 3300298394 Policy Number: 003714354
Date of Loss: — 10/J0/2018 Date Received:
Date Inspected: Date Entered:
Price List!) FLKW8X_JAN19
Restoration/Service/Remodel
Estimate; © DONNA_BODNER-MOLD
Home: (850) 624-3039
E-mail: donnabidner@yahoo.com
E-mail: Cathy@SafewayRestoration.
com
Type of Loss: Hurricane
2/11/2019 11:26 AMSAFEWAYED Safeway Restoration
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
DONNA_BODNER-MOLD
Living Room
Subroom I: Closet
LxWxH 15' x 15" x 8!
LxWxH 4' x 2'x 8"
DESCRIPTION QTy UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 1,042.00 SF @ 0.65= 677.30
Apply plant-based anti-microbial agent to more than the walls and 1,042.00 SF @ 0.27= 281.34
ceiling :
Dining Room LxWxH 12' x 10° x 8"
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 592.00 SF@ 0.65 = 384,80
Apply plant-based anti-microbial agent to more than the walls and 592.00 SF@ 0.27 = 159.84
ceiling
Kitchen LxWxH 11'x 8'x 8"
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 480.00 SF@ 0.65= 312.00
Apply plant-based anti-microbial agent to more than the walls and 480.00 SF@ 0.27= 129.60
ceiling
Hallway LxWxH 12’ x 3'x 8!
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 312.00 SF@ 0.65 = 202.80
Apply plant-based anti-microbial agent to more than the walls and 312.00 SF@ 0.27 = 84,24
ceiling
Master Bedroom LxWxH 17' x 13'x 9"
Subroom 1: Closet LxWxH 13' x 2"x 9"
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 1,304.00 SF @ 0.65 = 847.60
DONNA_BODNER-MOLD 2/13/2019 Page: 2SAFEW) ve) Safeway Restoration
A
RESTORATION
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
CONTINUED - Master Bedroom
DESCRIPTION QTY UNIT PRICE TOTAL
Apply plant-based anti-microbial agent to more than the walls and 1,304.00 SF@ 0.27= 352.08
ceiling
Master Bathroom LxWxH 8'x 7'x 9"
DESCRIPTION _ QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 382,00 SF@ 0.65 = 248.30
Apply plant-based anti-microbial agent to more than the walls and 382.00 SF@ 0.27= 103.14
ceiling
2nd Hallway LxWxH 16'x 7'x 9"
Subroom 1: Closet LxWxH 2'x 2'x 9!
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 718.00 SF@ 0.65 = 466.70
Apply plant-based anti-microbial agent to more than the walls and 718.00 SF@ 0.27= 193.86
ceiling
Laundry closet LxWxH 8' x 3' x 9°
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 246.00 SF@ 0.65 = 159.90
Apply plant-based anti-microbial agent to more than the walls and 246.00 SF @ 0.27= 66,42
ceiling
Cat closet LxWxH 4' x 3'x 9!
, DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 150.00 SF@ 0.65 = 97.50
DONNA_BODNER-MOLD 2/13/2019 Page: 3SAFEWAY SS Safeway Restoration
RESTORATION
13275 SW 136 ST #16
Miami, FI. 33186
305-741-4335
CONTINUED - Cat closet
DESCRIPTION QTY UNIT PRICE TOTAL
Apply plant-based anti-microbial agent to more than the walls and 150.00 SF@ 0.27= 40.50
ceiling
Guest Room LxWxH 13' x 10'x 9
Subroom 1: Closet LxWxH 9" x 2'x9"
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 908.00 SF@ 590.20
Apply plant-based anti-microbial agent to more than the walls and 908.00 SF@ 245.16
ceiling
Guest Room 2 LxWxH 8' x 5'x 9"
Subroom 1; Closet LxWxH 7' x 2'x 9"
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming ~ Detailed - (PER SF) 504.00 SF @ 0.65 = 327.60
Apply plant-based anti-microbial agent to more than the walls and 504.00 SF@ 0.27= 136.08
ceiling
Landing LxWxH 18'x 3'x 8
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 444.00 SF@ 0,65 = 288.60
Apply plant-based anti-microbial agent to more than the walls and 444.00 SF@ 0.27 = 119.88
ceiling
Guest Bath LxWxH 5'x 5'x 8'
DESCRIPTION QTY UNIT PRICE TOTAL
DONNA_BODNER-MOLD 2/13/2019 Page: 4SAFEWAY SS Safeway Restoration
RESTORATION
. 13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
CONTINUED - Guest Bath
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 210.00 SF@ 0.65 = 136.50
Apply plant-based anti-microbial agent to more than the walls and 210,00 SF@ 0.27= 56.70
ceiling
AC Closet LxWxH 2' x 2'x 8"
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 72.00 SF@ 0.65 = 46.80
Apply plant-based anti-microbial agent to more than the walls and 72.00 SF@ 0.27= 19.44
ceiling
Stairwell . LxWxH 16’ x 3'x 6"
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 324.00 SF@ 0.65 = 210.60
Apply plant-based anti-microbial agent to more than the walls and 324.00 SF@ 0.27 = 87.48
ceiling
Garage LxWxH 38' x 15' x 8'
DESCRIPTION QTY UNIT PRICE TOTAL
HEPA Vacuuming - Detailed - (PER SF) 1,988.00 SF @ 0.65 = 1,292.20
Apply plant-based anti-microbial agent to more than the walls and 1,988.00 SF @ 0.27 = 536.76
ceiling
Clean truss system - up to 5/12 570.00 SF@ 1.16= 661.20
General
DESCRIPTION QTY UNIT PRICE TOTAL
DONNA_BODNER-MOLD 2/13/2019 Page: 5SAFEWAY) Safeway Restoration
RESTORATION
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
CONTINUED - General
DESCRIPTION QTY UNIT PRICE TOTAL
Hazardous Material/Mold Evaluation (Bid Item) 2.00 EA@ 800.00 = 1,600.00
Hazardous Waste/Mold Cleaning- Supervisory/Admin- per hour 6.00 HR@ 87.50 = 525.00
Grand Total Areas:
6,006.00 SF Walls 1,835.00 SF Ceiling 7,841.00 SF Walls and Ceiling
1,835.00 SF Floor 203.89 SY Flooring 720.00 LF Floor Perimeter
1,977.00 SF Long Wall 1,026.00 SF Short Wall 720.00 LF Ceil. Perimeter
0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area
0.00 Exterior Wall Area 0.00 Exterior Perimeter of
‘Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0,00 Total Ridge Length 0.00 Total Hip Length
DONNA_BODNER-MOLD 2/13/2019 Page: 6SAFEWAY AS Safeway Restoration
13275 SW 136 ST #16
Miami, Fl. 33186
305-741-4335
Summary for Dwelling
Line Item Total 11,688.12
Overhead 1,753.25
Profit 1,753.25
Replacement Cost Value $15,194.62
Net Claim $15,194.62
CATHY FELTON
DONNA_BODNER-MOLD 2/13/2019 Page: 7Par EWAN
Safeway Restoration
13275 SW 136 ST #16
Miami, FI. 33186
305-741-4335
Estimate: DONNA_BODNER-MOLD
Living Room
Dining Room
Kitchen
Hallway
Master Bedroom
Master Bathroom
2nd Hallway
Laundry closet
Cat closet
Guest Room
Guest Room 2
Landing
Guest Bath
AC Closet
Stairwell
Garage
General
Recap by Room
Subtotal of Areas
Total
DONNA_BODNER-MOLD
958.64 8.20%
544.64 4.66%
441.60 3.78%
287.04 2.46%
1,199.68 10.26%
351.44 3.01%
660.56 5.65%
226.32 1.94%
138.00 1.18%
835.36 715%
463.68 3.97%
408.48 3.49%
193.20 1.65%
66.24 0.57%
298.08 2.55%
2,490.16 21.31%
2,125.00 18.18%
11,688.12 100.00%
11,688.12 100.00%
2/13/2019 Page: 8EXHIBIT “D” |Tower Hill Claims Service
P.O. Box 142230
Gainesville, Florida 32614
im
Foyer Ht
Description Coverage
Unit Price
RC ‘Depreciation | ACV
ESTIMATE: Structure (A to Z Adjusting)
B comptes -
Claim 43300298394, Donna Bodner
=] ROOFPLAN: Roofplan
8 Roof
Roof area: 5,131.55 SF Squares: 51.3 SQ
Gutters: 279.84 LF Ridge: 82.08 LF
Soffit: 585.53 SF
GENERAL
1 Overtime Labor, Roofing Fiberglass
3-Tab Shinlges
Coverage A 12.75
"2 Sheathing, Roof, Re-nail ‘Coverage 1,275.00
SHINGLES
$32.94
$0.11
sQ $419.99
$0.00
SF $140.25 $0.00
3 Remove - Shingles,
Laminated/Architectural Very Good
Coverage A 12.75
4 Replace - Shingles,
Laminated/Architectural Very Good
Coverage A 14.03
{@l Includes 10% waste on quantity.
5 Replace - Shingles, Starter Row,
Continuous
Coverage A 78.10
Includes 10% waste on quantity.
6 Remove - Ridge Shingles, Fiberglass, Coverage A
Laminated
44.00
"7 Replace - Ridge Shingles, Fiberglass, Coverage A 48.40
Laminated
{@ Includes 10% waste on quantity.
UNDERLAYMENT
$39.16 SQ
$215.41
$499.29 $0.00
$499.29
$3,022.21 $1,192.26 % $1,829.95
$95.28 $71.464 "$23.82
~” $39.60 $0.00 "$39.60
$191.66 $100.81 “$90.85
8 Replace - Felt, 30LB
VENT, FLASHINGS & ACCESSORIES
Coverage A 12.75
$25.52
$325.38 $81.34
9 Tear Out - Drip Edge (Rake + Eave)
Aluminum, Pre-Finish Color
Coverage A 78.00
10 Replace - Drip Edge (Rake + Eave) CoverageA 81.90
Aluminum, Pre-Finish Cofor
___ Ea] Includes 5% waste on quanti
11 Tear Out - Flashing, Plumbing Vent
d
12. Replace - Flashing, Plumbing Vent
Lead
13 Tear Out - Height Allowance, Roof
Covering 2 Story
Coverage A 12.75
14 Replace - Height Allowance, Roof “12.75
Covering 2 Story
Coverage A.
Claim 3300298394 Page 14 of 71
$0.35
$2.22
$4.54
$64.28
$10.20 SQ
$13.05 SQ
$27.30 $27.30
$181.82 $136.374 $45.45
$9.08 $0.00 «$9.08
$128.56 $40.57 4 $87.99
$130.05 $0.00 $130.05
$166.39 $0.00 $166.39
01/07/2019Tower Hill Claims Service
. P.O, Box 142230
Teyer HiT Gainesville, Florida 32614
Description Coverage Quantity Unit Price Per | RC Depreciation | ACV
ESTIMATE: Structure. (Ato Z Adjusting) Claim #3300298394, Donna Bodner
Bp Conaiatet ‘ :
15 Remove - Roof Exhaust Vent, Coverage A 1 $10.99 EA $10.99 $0.00 $10.95
Galvanized Medium
16 Replace - Roof Exhaust Vent, Coverage A 1 $60.30 EA $60.30 938.06 % $22.24
Galvanized Medium
17 Roof Cement, per LF, 8" Wide Coverage A 81.90 $0.78 LF $63.89 $0.00 $63.89
{GJ Includes 5% waste on quantity.
DEBRIS REMOVAL
18 Dumpster 10 Yard Coverage A 1 $398.67 EA $398.67 $0.00 $398.67
Roof - Subtotal (23 items) $5,910.74 $1,823.57 $4,087.14
___Roofplan - Subtotal (23 items) 7 - $5,910.71$1,823.57 $4,087.14
[nf EXTERIOR PLAN: Exterior Plan
1 Exterior Pian
Exterior: 13,947.28 SF
Footprint: 0.00 SF
Subtractions: 4,988.35 SF
Building perimeter (ground): 289.11 LF
ELEVATION
19 Tear Out - EIFS Wall System 1" Thick Coverage A 2,180.00 $0.41 SF $893.80 $893.80
20 Replace - EIFS Wall System 1" Thick eA 2,180.00 $10.95 SF $23,871.00 "$16,337.31
21 Tear Out - EIFS Decorative “CoverageA 180.77 $0.33 LF $59.65 $59.65
Molding/Trim 1" To 6"
22 Replace - EIFS Decorative CoverageA 180.77 $9.69 LF $1,751.66 $552.82 $1,198.84
Molding/Trim 1” To 6"
23 Remove - Garage Doors, Metal 9'x7' Coverage A 2 $61.98 EA $123.96 $0.00 $123.96
{J Allowance for the garage doors on the front and rear elevation.
24 Replace - Garage Doors, Metal 9'x7' Coverage A 2 $757.23 EA $1,514.46 $796.61 v $717.85
Gq Allowance for the garage doors on the front and rear ele
25 Remove - Fascia, Aluminum 8" Coverage 84.00 $0.76 LF $0.00 “$63.84
“26 Replace - Fascia, Aluminum 8" Coverage A 88.20 $3.83
Preview
Filing # 100067431 E-Filed 12/10/2019 11:56:39 AM IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT IN AND FOR BAY COUNTY, FLORIDA CIVIL DIVISION DONNA BODNER, Plaintiff, Case No. 19004473CA vs. TOWER HILL SELECT INSURANCE COMPANY, Defendant. | COMPLAINT FOR BREACH OF CONTRACT AND DEMAND FOR JURY TRIAL COMES NOW the Plaintiff, DONNA BODNER (hereinafter "MS. BODNER’), by and through the undersigned counsel, and hereby files her Complaint for Breach of Contract and Demand for Jury Trial against the Defendant, TOWER HILL SELECT INSURANCE COMPANY (“TOWER HILL”), and as grounds therefore, state as follows: GENERAL ALLEGATIONS 1. The amount in controversy in this action exceeds the sum of Fifteen Thousand and 00/100 ($15,000.00) Dollars, exclusive of pre-judgment interest, court costs and attorney's fees. 2. At all times relevant hereto, MS. BODNER, was and is the owner of the insured property located at 410 E. Beach Street, Panama City, Bay County, Florida and as such this Court has proper jurisdiction. 3. Upon information and belief, at all times relevant hereto, TOWER HILL is and was a Florida Corporation doing business in the State of Florida, including Bay County. T2385291.DOCX;14. Upon information and belief, TOWER HILL is an authorized insurance carrier by the State of Florida to engage in the business of insurance with the Plaintiff. 5. TOWER HILL, while engaging in the business of insurance in the State of Florida, is required to follow and/or comply with all Florida Insurance Code Statutes and regulations promulgated by the legislature and the Florida Department of Financial Services. 6. In consideration of the premium paid to it by the MS. BODNER, TOWER HILL issued to the MS. BODNER in Bay County, Florida, a Homeowners policy, Renewal Policy No. H003714354 (hereinafter referred to as “The Policy”), which was in full force and effect (effective dates December 23, 2017 to December 27, 2018) at the time the damage occurred as a result of Hurricane Michael and/or hurricane-force winds, and ensuing damages that occurred on or about October 10, 2018. MS. BODNER has attached as Exhibit “A” the evidence of The Policy in her possession; a certified copy of The Policy is herein requested. 7. Damages from substantial wind damage, and ensuing damages as a direct result thereof, are covered damages under The Policy. 8. MS. BODNER timely reported her damage to TOWER HILL, and opened a claim pursuant to the terms and conditions of The Policy. 9. In response, TOWER HILL assigned the claim to its representative, Jessica Sickler, to adjust and investigate the loss. 10. Onor about October 17, 2018, nothwithstanding the substantial damage to MS. BODNER’S home, TOWER HILL only tendered undisputed insurance benefits in the amount of $5,000.00; therefor TOWER HILL acknowledged coverage. (See attached T2385291.DOCX;1Exhibit “B”). 11. In an effort to mitigate her damages, MS. BODNER retained the services of Safeway Restoration to perform water mitigation and mold remediation services. MS. BODNER incurred out-of-pocket costs in the total amount of $43,196.71, for Safeway Restoration’s services. (See attached composite Exhibit “C”). 12. On or about January 7, 2019, TOWER HILL estimated MS. BODNER’S damages totaled only $74,599.60, and after depreciation ($16,556.91) and policy deductible ($6,440.00), undisputed insurance benefits in the amount $51,602.69, would be tendered. (See attached Exhibit “D”). 13. On or about February 26, 2019, concerned that TOWER HILL had no intention to thoroughly investigate the full extent and nature of the damages, MS. BODNER retained the services of insurance claim professional, Sentry Public Adjusting, to assist in submitting her claim to TOWER HILL which would adequately and objectively detail all the damages sustained as a result of the loss. 14. On or about May 7, 2019, MS. BODNER provided TOWER HILL with her estimate of damages in the total amount of $269,405.48 (Coverage A Dwelling). (See attached Exhibit “E”). 15. On or about May 9, 2019, MS. BODNER provided TOWER HILL with her executed Demand Package and Sworn Statement in Proof of Loss in the total amount of $269,405.48. (See attached Exhibit “F”). 16. TOWER HIll then retained one of its preferred vendors, Neil Weghorst, P.E. of U.S. Forensic, LLC, to inspect the insured property to determine the extent of damage. On or about July 30, 2019, Neil Weghorst, P.E. of U.S. Forensic, LLC, inspected the T2385291.DOCX;1insured property wherein he opined there was no wind damages. 17. Todate, TOWER HILL has failed and/or refused to tender any supplemental dwelling insurance benefits to MS. BODNER. 18. MS. BODNER has provided TOWER HILL with all requested documentation and/or information needed TOWER HILL to tender owed insurance benefits. 19. MS. BODNER has provided TOWER HILL with access to the insured property so that it may have inspected all claimed damages. 20. Upon information and belief, TOWER HILL used preferred vendor(s) in its investigation of the loss. 21. TOWER HILL is contractually and statutorily required to timely tender owed insurance benefits. 22. MS. BODNER has cooperated with all reasonable and relevant requests made by TOWER HILL in its investigation of the loss. 23. TOWER HILL’S denial was a wrongful material breach of The Policy. A material breach by one party excuses the other party from further performance under the contract. Insurance contracts follow this general principle from the maxim that "the law does not compel a man to do a useless act." In the context of insurance contracts, a coverage denial waives an insured's duty to comply with contract conditions precedent such as submission to execution of repair contracts, submit to examinations, satisfaction of proof of loss requirements, loss payment provisions, notice, and other contract requirements. T2385291.DOCX;124. Where a contract vests a party with discretion, but provides no standards for exercising discretion, Florida law requires that the party exercise that discretion in a reasonable manner. COUNTI (BREACH OF CONTRACT) 25. MS. BODNER re-alleges Paragraph No.’s 1-24 as if fully set forth herein. 26. Onor about October 10, 2018, MS. BODNER’S insured property sustained substantial wind damage as a result of severe storm, and ensuing damages. 27. TOWER HILL sent and/or assigned insurance adjusters and/or representative, to investigate and provide a coverage opinion, and evaluate the extent and nature of the claimed damages. 28. MS.BODNER suffered a loss regarding her insured property and continues to suffer the loss. 29. TOWER HILL’S obligation to tender owed insurance benefits is continuing in nature. A party's ongoing nonperformance constitutes a continuing breach while the contract remains in effect. 30. TOWER HILL’S breach is a continuing breach of The Policy. 31. TOWER HILL has failed and/or refused to tender all owed insurance proceeds, undisputed or otherwise, to MS. BODNER that are due and owing to MS. BODNER. 32. MS. BODNER has requested that TOWER HILL pay her damages; TOWER HILL has failed and/or refused, and continues to refuse to pay the full damages despite knowing it is required to do so. 33. MS. BODNER has done and performed all those matters and things T2385291.DOCX;1properly required of it under The Policy, or alternatively, has been excused from performance of the acts, representations, omissions, and/or conduct of TOWER HILL. 34. Notwithstanding the foregoing, TOWER HILL has failed and/or refused to provide full coverage under The Policy for the damages to MS. BODNER’S insured property TOWER HILL has failed to promptly pay all the amounts due and has thereby breached its contract of insurance. 35. Asa direct result of TOWER HILL’S breach of its insurance contract, MS. BODNER has lost benefits of her insured property, and continues to suffer the loss. 36. Asa direct result of TOWER HILL’S breach of its insurance contract, MS. BODNER was required to become obligated for attorney’s fees and costs in connection with the prosecution of this action, and Florida Statute §627.428 provides for the payment of attorney’s fees in the event of such need. WHEREFORE, the Plaintiff, DONNA BODNER, prays this Court enter an award of compensatory damages, consequential damages, pre-judgment interest, post judgment interest, costs of this action, attorney fees; and such other and further relief as this Court may deem just and proper. DEMAND FOR JURY TRIAL DONNA BODNER hereby requests a trial by jury on all issues so triable. Respectfully submitted this 10 day of December, 2019. T2385291.DOCX;1lit Davia [, Pettinato- DAVID J. PETTINATO, ESQUIRE Florida Bar Number: 062324 MERLIN LAW GROUP, P.A. 777 S. Harbour Island Blvd., Suite 950 Tampa, Florida 33602 Telephone: (813) 229-1000 Fax: (813) 229-3692 Attorney for Plaintiff dpettinato@merlinlawgroup.com smerriett@merlinlawgroup.com trodriguez@merlinlawgroup.com T2385291.DOCX;1EXHIBIT “A”Fs 00100500000 H003714354 598978 SDEC To Tower Hill Insurance Your Homeowners insurance Policy Donna Bodner 410 E BEACH DR PANAMA CITY, FL 32401-5821This page is intentionally left blank00200500000 H003714354 598978 SDEC Insurance Dear Donna Bodner, Thank you for renewing your policy with Tower Hill Insurance Group. You are a valued member of a growing community of more than 350,000 Florida homeowners who trust Tower Hill's Family of Companies to protect their homes. Since 1872, Tower Hill has weathered every Florida storm and been there when our customers need us the most — when it’s time to rebuild. We appreciate your business, and assure you that our employees, in partnership with your insurance agent, will work tirelessly to deserve the trust you have placed in us. To Protect Your Castle, Look to the Tower. Tower Hill Insurance Group, LLC How to Contact Tower Hill CALL Our Customer Service Center at 800.342.3407 Monday - Friday, 8:00 a.m. to 6:00 p.m. (ET) + Find out about available payment plans or receive help with billing questions + Pay by phone (American Express, Discover, MasterCard, Visa, or from your bank account) Visit Us ONLINE at THIG.com Register at Customer Login to: View your Tower Hill policy documents Review your account balance Make an online payment Go paperless Report a CLAIM * Call our 24-hour hotline at 800.216.3711 as soon as possible after @ loss occurs. Reach Us by MAIL « If you pay your bill by mail, please use the payment coupon and envelope included with your invoice. + Write the policy number in the memo field of your check. If you are sending a money order or cashier's check, include your name as it is listed on your policy. * Mail payments to Tower Hill Insurance Group, PO Box 865001, Orlando, FL 32886-5001. * To send other correspondence regarding your policy, please mail to PO Box 147018, Gainesville, FL 32614-7018. Your Policy Number: 003714354 Insurance Company: Tower Hill Select Policy Effective Date: December 23, 2017 Your Insurance Agency: Peoples First Insurance Services LLC (850) 770-7047 Agency Code: FL6492 Your renewal.offer contains important information about deductible options that may help reduce your premium. Please contact your insurance agent to discuss these options, or with any coverage questions. Save the Trees 0 Manage your Tower Hill policy documents and payments online at THIG.com, GO PAPERLESS. Why choose paperless? * Convenience. All policy and payment documents will be stored in one place, securely online. «¢ Go Green. Reducing paper use is good for the environment. Tower Hill Insurance | PO Box 147018, Gainesville, FL 32614 | customerservice@thig.com | THIG.comIMPORTANT INFORMATION ABOUT YOUR POLICY PREMIUM Want more coverage %.. premium dollars? Ask your agent about our broadened coverage options with Emerald or Emerald Deluxe. The Emeraid options provide additional coverage, including personal property replacement cost, increased personal liability, personal injury protection - and more. Get extra protection | you Most valuable oO Property. The Scheduled Personal Property Endorsement provides coverage for certain categories such as jewelry, silverware, golf equipment, coin collections, or fine art at higher limits than your base policy allows. Your renewal premium amount reflects the following changes: + Policy changes made prior to or during the renewal process (if applicable); + Any recent rate changes implemented by your insurance company. You can also reduce your policy premium by changing deductibles. Deductible credits depend on your Coverage A (Dwelling Structure Coverage) amount, your current deductible and your home's location. For example, an Orange County home with Coverage A equal to $200,000, with a $1,000 All Other Perils deductible and 2% Hurricane deductible could save 2.5% by changing to a $1,000/5% deductible. For this home you could save as much as 14% by switching to a $2,500/5% deductible. Selecting a higher deductible option will result in a premium credit; however, in the event of a covered loss, you will be responsible for higher out-of-pocket expenses. Conversely, selecting a lower deductible will result in a higher premium, though your out-of-pocket expenses would be lower in the event of a covered loss. Hurricane deductible changes can only be made at your policy renewal. All Other Perils (AQP) deductible changes can be made during the policy term. Please contact your agent for details on other conditions that may apply. Be sure to discuss these options with your insurance agent, who can help you decide which one best suits your individual situation. Your agent will be able to request changes on your behalf. Tower Hill Insurance | P.O, Box 147018, Gainesville, FL 32614 | customerservice@thig.com | THIG.com00300500000 H003714354 598978 SDEC Tower Hill Insurance NOTICE OF CHANGE IN POLICY TERMS IMPORTANT NOTICE ~ PLEASE READ CAREFULLY The purpose of this Notice of Change in Policy Terms is to inform you of changes to the terms, coverages, duties and/or conditions of your renewal policy as described below: You may access a copy of your policy forms and endorsements through our secure Customer Login portal on www.THIG.com. if you have not already created an account on Customer Login, you will need the following information to register: your policy number; agent iD; and Insured Location ZIP Code. This information is available both on your policy declarations page and on your Tower Hill customer identification card, The following provisions in the Special Provisions — Florida (HP-0109-09) form have changed: The definitions for hovercraft, aircraft and drone have been added and the terms unoccupied and vacant have been explicitly defined in your policy. Your Reasonable Repairs provision has been revised to Reasonable Emergency Measures. In case of a loss to covered property, you must take reasonable emergency measures solely to protect the property from further damage and you may not exceed the greater of $3,000 or 1% of your Coverage _ A limit to do so, unless you call us first and receive our approval. Please review Reasonable Emergency Measures under Section | - Additional Coverages. Coverage for damage by water. Please review Section | — Additional Coverages, Section | — Perils Insured Against — Coverage A and Coverage B, Section | - Perils Insured Against - Coverage C and Section /- Exclusions. The Collapse provision in your policy has been revised, under Section | - Additional Coverages and Section | - Perils Insured Against - Coverage A and Coverage B. Your policy now excludes: Property coverage for drones and water or steam under Coverage C — Property Not Covered, Coverage for loss caused by: squirrels, ants, bats, bees and wasps, under Section /— Perils Insured Against — Coverage A and Coverage B. Coverage for damage caused by rain, snow, sleet, sand or dust to the interior of a bullding unless a covered peril first damages the building causing an opening, under Section | — Perils Insured Against — Coverage A and Coverage B and Section | ~ Perils Insured Against — Coverage C. Coverage for bodily injury or property damage arising out of ownership, maintenance, use, loading of a drone or hovercraft, under Section 1 - Exclusions. Your policy Conditions have been revised: Under Duties After Loss, your policy requires that you give us, or your insurance agent, prompt notification of the loss. Please note, except for reasonable emergency measures under Additional Coverages, there is no coverage for repairs that begin before the earlier of: (a) 72 hours after we are notified of the loss, (b) the time of loss inspection by us, or (c) the time of other approval by us. Under Loss Settlement, a statement has been added that allows us to exercise our right to repair damaged property. The provision regarding not requiring advance payments for repairs and expenses has been removed. Under Mediation Or Appraisal and Suit Against Us, your policy now includes the requirement that if you and we fail to agree on a settlement, scope of repair, or method of repalr regarding the loss, you must notify us of your disagreement in writing prior to filing a suit. Under Our Option, the options which we, as your insurance company, have when settling a claim have been expanded. Under Subrogation, all rights of recovery against any person or entity for your damages are automatically transferred to us upon our payment to you under any coverage of this policy. The following provisions in the Catastrophic Ground Cover Collapse (IL-0503-00) Endorsement have changed: NOCPT (10/12) Page 1* The definition for principal building has been revised to include decks. The descriptions in this notice are intended to be for informational purposes only. Please review your policy and endorsement language carefully. In the event of a conflict, the language in your policy and its endorsements will be controlling. To accept the renewal offer, simply pay the renewal premium as provided in the accompanying notice. If applicable, your mortgage company will receive the renewal offer and make payment on your behalf. Our receipt of the premium payment for the renewal policy is deemed to be your acceptance of the new policy terms. If you have any questions concerning this notice or any other policy matter, please contact your insurance agent for assistance. Thank you for choosing Tower Hill for your home insurance needs. We appreciate your business. Tower Hill Insurance Group, LLC cc: policyholder file Page 2Ee 00400500000 H003714354 598978 SDEC Tower Hill Select Insurance Compa: jo P.O. Box 147018 Gainesville, FL 32614-7018 HOMEOWNERS DECLARATIONS THIS IS NOT A BILL. Payment notice will be sent separately to: The Insured Insured Donna Bodner 410 E BEACH DR PANAMA CITY, FL 32401-5821 POLICY NUMBER H003714354 Renewal Issued On: 10/26/2017 AGENCY FL6492 Peoples First Insurance Services LLC 1002 W 23RD STREET SUITE 130 PANAMA CITY, FL 32405 PHONE NUMBER: (850) 770-7047 POLICY PERIOD: 12/23/2017 to 12/23/2018. Each period begins and ends at 12:01 AM standard time at the insured location. INSURED LOCATION: Same as address shown under Insured. Coverage is provided where a premium or limit is shown for the coverage. SECTION | - PROPERTY COVERAGE COVERAGE A - Dwelling LIMIT SECTION Il - LIABILITY COVERAGE LIMIT $322,000 COVERAGE E - Personal Liability $300,000 COVERAGE B - Other Structures $6,440 Each Occurrence COVERAGE C - Personal Property $161,000 COVERAGE F - Medical Payments to Others $5,000 COVERAGE D - Lass of Use $64,400 Each Person BREAKDOWN OF PREMIUM: Charges Limit = Premium Section | and {| Premium $2,720.00 Age of Dwelling Surcharge $146.00 Catastrophic Ground Cover Collapse Coverage Incl Emerald Coverage . $348.00 Credit Card, Forgery and Counterfeit Money $10,000 Incl Damage to Property of Others $1,000 Incl Earth Movement Coverage for Personal Property Incl Fire Department Service Charge $1,000 Incl Lock Replacement Coverage $500 Incl Loss of Use Due to Power Shortage Incl Personal Injury Coverage Incl Personal Property Replacement Cost Without Holdback Incl Refrigerated Property Coverage $500 Incl Special Personal Property Incl Water Backup/Sump Overflow $5,000 Incl Water Damage for Contents Away from Premises Incl Watercraft Liability - 50hp Incl Special Limits of Liability Money $1,000 "Inet Securities $5,000 Incl Watercraft $5,000 Inct Trailers Not Used with Watercraft $5,000 Inct Jewelry & Furs $5,000 (Theft) $2,500 (Misplace) Inct Firearms $5,000 (Theft) $2,500 (Misplace) Incl Silverware $5,000 (Theft) $2,500 (Misplace) Incl Business Property on Premises $10,000 Inch Business Property off Premises $1,000 incl Limited Fungi, Wet or Dry Rot, or Bacteria Coverage (Each Loss / Aggregate) $10,000/$20,000 Ancl Coverage E Aggregate Sublimit $50,000 Ordinance or Law Coverage 25% Incl Screened Enclosure Special Limitation (Total Limit) $10,000 Incl HO-DEC (02/17) Page: 1POLICY NUMBER H003714354 Emergency Management Preparedness and Assistance Trust Fund (EMPAT) Fee $2.00 Managing General Agency (MGA) Fee $25.00 Credits Premium Building Code Effectiveness Grading Schedule (BCEGS) Credit -$107.00 Loss Free Credit $102.00 Residential Windstorm Loss Mitigation Devices Credit $1,432.00 Sinkhole Exclusion $22.00 Unscheduled Other Structures - Decreased Limit Incl (Total Policy Premium: $1,578.00) DEDUCTIBLE (Section I Only): The Calendar Year Hurricane Deductible is $6,440 (2% of Coverage A). The All Other Perils Deductible is $1,000. ~ In case of loss under Section |, we cover only that part of the covered loss over the deductible stated. Mortgagee Information: CC: TYNDALL FEDERAL CREDIT UNION PO BOX 59750 PANAMA CITY, FL 32442 Loan Id: 57039081 Important: Please notify your agent immediately if the mortgage company shown is incorrect. BASIC RATING INFORMATION: PROGRAM FORM CODE — TERRITORY COUNTY CONSTRUCTION CONSTRUCTION YEAR TYPE THSFLHO HO-3 024 BAY 2003 Masonry FIRE PROTECTION BUILDING CODE WIND PROTECTIVE Class ROOF TYPE TacEG) GRADE NO eves PROTECTIVE DEVICE 3 Hip 4 None None PREMIUM SUMMARY: Hurricane Premium: $403.00 Non-hurricane Premium: $1,175.00 Section Il Other Location(s): NONE APPLICABLE FORMS AND ENDORSEMENTS: THS001 (04/08), HO 00 03 (04/91), HO 04 96 (04/91), HP-0057-00 (09/16), HP-0075-00 (09/05), HP-0076-00 (07/04), HP-0077-00 (07/04), HP-0087-00 (10/10), HP-0088-00 (07/04), HP-0091-00 (02/05), HP-0094-00 (09/07), HP-0109-09 (10/16), HP-0351-00 (05/05), HP-0433-00 (09/16), HP-0477-00 (01/09), IL-0001 (11/01), IL-0010 (02/11), IL-0012 (09/05), IL-0301-00 (09/11), IL-0503-00 (09/16), IL-0506-00 (06/07), IL-CKLS (02/11), IL-P-001 (01/04), IL-WMCA (04/11), Privacy Notice (05/13), THS-OHO3 (04/16) HO-DEC (02/17) Page: 2oO mo a n ry zg 2 D B + 3 oO = oO 3 3S = ° 3 S s B 3S 3 B oS Ss POLICY NUMBER H003714354 NOTICES: * This policy does not include the peril of "Sinkhole Loss". * This policy does not provide Flood coverage. * Your Building Code Effectiveness Grading schedule adjustment is -5.8%. The adjustments can range from a surcharge of 0% to a discount of -9.9%. * — This Declarations replaces all previously issued policy Declarations, if any. This Declarations together with your policy and endorsements completes your policy. Refer to your policy and endorsements for details regarding your coverages, limits, and exclusions, * To request the complete copy of your policy including all forms, endorsements, terms and conditions, please contact our Customer Service Center at (800) 342-3407 between the hours of 8:00 am and 6:00 pm, Monday through Friday (Eastern Time), excluding holidays. RENEWAL NOTICES: « Premium change due to coverage change $58.00. * Premium change due to rate increase/decrease $0.00. THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE FOR HURRICANE LOSSES, WHICH MAY RESULT IN HIGH OUT-OF-POCKET EXPENSES TO YOU. LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT. Lge: 5E 062000019< ' 2045 '213004891 3205 1249 | . > Regens Sank >062000019< RK ' : » ALEXHIBIT “C”ven Danna Bodner ROC-Hd-BACH AIG E_BPacn OF WA BR0CoO gaG4 Tone Lit, 2 SAS EMON OD SO (oA 2030 ThButrze Water » Mold ¢ Fire ¢ Smoke BOSS 14aSt ad 203i 1 J1o [18 Donna Pednec B \dhan sem eonsoessee \ c NOD 2 Sop ecoree Date of teas Email Address: Restoration Contract and Assignment of insurance Benefits 1. Perform any and all necessary services to mitigate and or restore the property at the address listed above. Provide a detailed BILL to be submitted to the INSURANCE COMPANY named above. If client has no insurance company then BILL will be submitted directly to client/owner. 3. Deal Direct with the ADJUSTER representing the INSURANCE COMPANY on any and all issues of scope and Price. NTAN: 1. Undertakes to provide access to the property and grants SAFEWAY RES’ the restoration work. P 2. Authorizes direct payment by the INSURANCE COMPANY to SAFEWAY RESTORATION LLC for all services rendered. 3. Undertakes to cooperate with SAFEWAY RESTORATION LLC to ensure that payment is made by the INSURANCE COMPANY immediately upon completion of the work. Should the Client’s Insurance Company fail to honor this agreement, the Client will pay SAF} EWAY RESTORATION LLC any balance due within fifteen (15) days of Client’s receipt of invoice. It is understood that the Client is personally responsible for any and all deductibles, charges, or costs not covered by their insurance company. Payments received after 30 days are subject to a penalty of 1 1/2% per month, If this account is placed for collection. Declares that he/she is the owner of the property at which work will be performed or that he/she is the owner’s representative legally authorized to contract such work. Allows and instructs SAFEWAY RESTORATION LLC to disinfect, antisepticize, cleanse, decontaminate, deodorize, fumigate, purify, sanitize, and sterilize any of the premises. The Client understands that it is beyond the expertise of Safeway Restoration LLC to determine if someone is sensitive to their application and will hold Safeway Restoration LLC harmless for their use, ASSIGNMENT OF INSURANCE BENEFITS ONLY PERTAINING TO ‘THE UNPAID BALANCE DUE ON THIS CONTRACT Client/Insured hereby assigns to SAFEWAY RESTORATION LLC any and all insurance proceeds and all other bencfits and rights pertaining to the restoration service performed to mitigate/restore the property at the address listed above. Including the right to recover attorney's fees and costs from my insurance company pursuant to Florida State Law and this contract for any unpaid portion of this contract. Client/Insured hereby directs his/her insurance carrier to release any and all information requested b¥ SAFEWAY RESTORATION LLC. In this regard, Client/Insured waives his/her privacy smn EY Ls Speen pobctones Gliebt's J Insured’s Signat ye to pagin work SY taf WAC, Name Ls hE lE ; Date STORATION LLC first right of refusal onSAFEWAY EY Safeway Restoration RESTORATION 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 Insured: Donna Bodner Property: 410 E Beach Dr Panama City, FL 32401 Estimator; CATHY FELTON Company: SAFEWAY RESTORATION Claim Number: 3300298394 Policy Number: H003714354 Date of Loss: 10/10/2018 Date Received: Date Inspected: Date Entered: Price List! FLKW8X_JANI9 Estimate: Restoration/Service/Remodel DONNA_BODNER Home: (850) 624-3039 E-mail: donnabidner@yahoo.com E-mail: Cathy@SafewayRestoration. com Type of Loss: Hurricane 2/11/2019 11:26 AMY » Safeway Restoration EW, BAFEWAY 13275 SW 136 ST #16 Miami, FI. 33186 305-741-4335 DONNA_BODNER Living Room LxWxH 15' x 15" x 8" Subroom 1: Closet LxWxH 4' x 2'x 8! DESCRIPTION QTY UNIT PRICE TOTAL Tear out wet carpet pad, cut/bag - after business hours 233.00 SF@ 0.77 = 179.41 Tear out tackless strip and bag for disposal - after hours 72,00 LF@ 97.20 Tear out wet non-salvage cpt, cut/bag - after business hrs 233.00 SF @ 193,39 Tear out wet drywall, cleanup, bag - Cat 3 - after hours 175.00 SF@ 334.25 Containment Barrier/Airlock/Decon, Chamber - after hours 21.00 SF@ 23.52 Baseboard - Detach 33.00 LF@ 37.29 Clean the walls and ceiling - Heavy 809.00 SF@ 299,33 Clean ductwork - Interior - Heavy clean (PER REGISTER) 2.00 EA@ 84.40 Tear out and bag wet insulation - after hours 175.00 SF@ 196.00 Deodorize building - Hot thermal fog 1,864.00 CF @ 111.84 Dining Room LxWxH 12'x 10'x 8" DESCRIPTION QTY UNIT PRICE TOTAL Clean the walls and ceiling - Heavy 472.00 SF @ 0.37= 174.64 Clean ductwork - Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42.20 = 42.20 Containment Barrier/Airlock/Decon. Chamber - after hours 150.00 SF @ 112= 168.00 Deodorize building - Hot thermal fog 960.00 CF @ 0.06 = 57.60 Kitchen LxWxH 11'x 8'x 8" DESCRIPTION QTY UNIT PRICE TOTAL Remove Crown molding - 2 1/4" 1,00 LF@ 0.74 Remove Cabinetry - upper (wall) units 2.00 LF@ 16.54 Clean the walls and ceiling - Heavy 392,00 SF@ 145.04 Clean ductwork - Interior - Heavy clean (PER REGISTER) 1,00 EA@ 42.20 Tear out wet drywall, cleanup, bag - Cat 3 - after hours 44,00 SF@ 84.04 Tear out and bag wet insulation - after hours 44.00 SF@ 49.28 Containment Barrier/Airlock/Decon, Chamber - after hours 44.00 SF@ 49.28 Deodorize building - Hot thermal fog 704.00 CF @ 42.24 Hallway DONNA_BODNER LxWxH 12' x 3'x 8" 2/13/2019 Page: 2SAFEWAY) Safeway Restoration 13275 SW 136 ST #16 Miami, FI, 33186 305-741-4335 DESCRIPTION QTY UNIT PRICE TOTAL Clean the walls and ceiling - Heavy 276.00 SF@ 0.37= 102.12 Baseboard ~ Detach . 16.00 LF @ 1.13= 18.08 Deodorize building - Hot thermal fog 288.00 CF @ 0.06 = 17.28 Master Bedroom LxWxH 17' x 13'x 9" Subroom 1: Closet LxWxH 13' x 2'x 9" DESCRIPTION QTY UNIT PRICE TOTAL Tear out wet drywall, cleanup, bag - Cat 3 - after hours 223.00 SF@ 425.93 Tear out and bag wet insulation - after hours 221.00 SF@ 247,52 Containment Barrier/Airlock/Decon. Chamber - after hours 221.00 SF@ 247,52 Tear out wet carpet pad, cut/bag - after business hours 247.00 SF @ 190.19 Tear out tackless strip and bag for disposal - after hours 90.00 LF@ 121.50 Tear out wet non-salvage cpt, cut/bag - after business hrs 247.00 SF @ 205.01 Baseboard - Detach - after business hours 17.00 LF @ 28.90 Remove Window sill 6.00 LF @ 4.62 Content Manipulation charge - per hour 1.00 HR@ 36.06 Remove Ceiling fan & light 1.00 EA@ 20.79 Clean more than the walls and ceiling - Heavy 1,304.00 SF@ 482.48 Clean ductwork - Interior - Heavy clean (PER REGISTER) 2.00 EA@ 84.40 Deodorize building - Hot thermal fog 2,223.00 CF @ 133.38 Master Bathroom LxWxH 8'x 7' x 9° DESCRIPTION QTY UNIT PRICE TOTAL Remove Jetted tub - Acrylic - Standard grade 1.00 EA@ 118.03 Remove Fiberglass shower unit - Standard grade 1.00 EA@ 82.63 Tear out wet drywall, cleanup, bag - Cat 3 - after hours 200.00 SF@ 382.00 Tear out and bag wet insulation - after hours 200.00 SF @ 224.00 Baseboard - Detach - after business hours 4.00 LF @ 6.80 Remove Light fixture 1.00 EA@ 9.18 Containment Barrier/Airlock/Decon. Chamber - after hours 56.00 SF@ 62.72 Remove Shower faucet 1.00 EA@ 20.65 R&R Tub/shower faucet 1.00 EA@ 329,29 Clean more than the walls and ceiling - Heavy 382.00 SF@ 141.34 Clean ductwork ~ Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42.20 Deodorize building - Hot thermal fog 504.00 CF @ 30.24 DONNA_BODNER 2/13/2019 Page: 3SAFEWAY) Safeway Restoration 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 2nd Hallway LxWxH 16'x 7'x 9" Subroom 1: Closet LxWxH 2' x 2'x 9! DESCRIPTION QTY UNIT PRICE TOTAL Tear out and bag wet insulation - after hours 112.00 SF@ 125.44 Tear out wet carpet pad, cut/bag - after business hours 116.00 SF@ 89.32 Tear out tackless strip and bag for disposal - after hours 54.00 LF@ 72,90 Tear out wet non-salvage cpt, cut/bag - after business hrs 116.00 SF@ 96.28 Tear out wet drywall, cleanup, bag - Cat 3 - after hours 20.00 SF@ 38.20 Containment Barrier/Airlock/Decon. Chamber - after hours 18.00 SF@ 20.16 Clean more than the walls and ceiling - Heavy 718.00 SF@ 265,66 Deodorize building - Hot thermal fog 1,044.00 CF @ 62.64 Laundry closet LxWxH 8' x 3'x 9! DESCRIPTION QTY UNIT PRICE TOTAL Tear out and bag wet insulation - after hours 24.00 SF@ 1.12= 26.88 Dryer - electric - Detach 1,00 EA@ 20.16 = 20.16 Washing machine - Detach 1.00 EA@ 22.38 = 22.38 Clean more than the walls and ceiling - Heavy 246,00 SF@ 0.37= 91.02 Deodorize building - Hot thermal fog 216.00 CF @ 0.06 = 12.96 Cat closet LxWxH 4! x 3' x 9" DESCRIPTION QTY UNIT PRICE TOTAL Clean the walls and ceiling - Heavy 138.00 SF @ 0.37= 51.06 Deodorize building - Hot thermal fog 108.00 CF @ 0.06 = 6.48 Guest Room LxWxH 13' x 10'x 9" Subroom 1: Closet LxWxH 9" x 2'x 9° DESCRIPTION QTY UNIT PRICE TOTAL Tear out wet carpet pad, cut/bag - after business hours 148.00 SF@ 113.96 Tear out tackless strip and bag for disposal - after hours 68.00 LF @ 91.80 Tear out wet non-salvage cpt, cut/bag - after business hrs 148.00 SF@ 122.84 Clean more than the walls and ceiling - Heavy 908.00 SF@ 335.96 Clean ductwork - Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42.20 DONNA_BODNER. 2/13/2019 Page: 4SAF EWAY() Safeway Restoration RESTORATION 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 CONTINUED - Guest Room DESCRIPTION QTY UNIT PRICE TOTAL Deodorize building - Hot thermal fog 1,332.00 CF@ | 0.06 = 79.92 Guest Room 2 LxWxH 8' x 5'x 9! Subroom 1: Closet : LxWxH 7' x 2'x9" DESCRIPTION QTY UNIT PRICE TOTAL Tear out and bag wet insulation - after hours 40.00 SF@ 44.80 Clean more than the walls and ceiling - Heavy 504.00 SF@ 186.48 Clean ductwork - Interior - Heavy clean (PER REGISTER) 1.00 EA@ 42,20 Deodorize building - Hot thermal fog 486.00 CF @ 29,16 Landing LxWxH 18’ x 3' x 8" DESCRIPTION QTY UNIT PRICE TOTAL Clean more than the walls and ceiling - Heavy 444.00 SF@ 0.37 = 164,28 Tear out wet carpet pad, cut/bag - after business hours 54.00 SF@ 0.77= 41.58 Tear out tackless strip and bag for disposal - after hours 42,00 LF@ 1.35= 56.70 Tear out wet non-salvage cpt, cut/bag - after business hrs 54,00 SF@ 0.83 = 44.82 Deodorize building - Hot thermal fog 432,00 CF @ 0.06 = 25.92 Guest Bath LxWxH 5' x 5'x 8" DESCRIPTION QTY UNIT PRICE TOTAL Clean the walls and ceiling - Heavy 185,00 SF @ - 0.37= 68.45 Clean ductwork - Interior - Heavy clean (PER REGISTER) 1,00 EA@ 42.20 = 42.20 Deodorize building - Hot thermal fog 200.00 CF @ 0.06 = 12.00 DONNA_BODNER 2/13/2019 Page: 5SAFEWAY, 0 Safeway Restoration 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 AC Closet LxWxH 2' x 2'x 8° DESCRIPTION QTY UNIT PRICE TOTAL Clean the walls and ceiling - Heavy 68.00 SF @ 0.37= 25.16 Deodorize building - Hot thermal fog 32.00 CF@ 0.06 = 1,92 Stairwell LxWxH 16' x 3' x 6° DESCRIPTION QTY UNIT PRICE TOTAL Tear out wet carpet pad, cut/bag - after business hours 48.00 SF@ 36.96 Tear out tackless strip and bag for disposal - after hours 38.00 LF@ 51.30 Tear out wet non-salvage cpt, cut/bag - after business hrs 48.00 SF@ 39.84 Tear out wet drywall, cleanup, bag - Cat 3 - after hours 30.00 SF@ 57.30 Tear out and bag wet insulation - after hours 30.00 SF@ 33.60 Remove Stair tread - up to 4' 2.00 EA@ 11.02 Remove Stair riser - up to 4" 2.00 EA@ 7.50 Clean the walls and ceiling - Heavy 276.00 SF@ 102.12 Deodorize building - Hot thermal fog 288.00 CF@ 17.28 Garage LxWxH 38'x 15'x 8' DESCRIPTION QTY UNIT PRICE TOTAL Tear out wet drywall, cleanup, bag - Cat 3 - after hours 95.00 SF@ 181.45 Containment Barrier/Airlock/Decon, Chamber - after hours 89.00 SF@ 99.68 Remove Cabinetry - lower (base) units 9.00 LF@ 74.43 Tear out and bag wet insulation - after hours 95.00 SF@ 106.40 Clean the walls and ceiling - Heavy 1,418.00 SF@ 524.66 Deodorize building - Hot thermal fog 4,560.00 CF @ 273.60 General DESCRIPTION QTY UNIT PRICE TOTAL Negative air fan/Air scrubber (24 hr period) - No monit. 28.00 DA@ 70.00 = 1,960.00 Dehumidifier (per 24 hour period) - XLarge - No monitoring 14.00 EA@ 115,00 = 1,610.00 Add for HEPA filter (for negative air exhaust fan) 2.00 EA @ 186,62 = 373.24 Add for personal protective equipment (hazardous cleanup) 22.00 EA@ 8.00 = 176.00 Generator - 6,000 watt - portable (per day) 7.00 DA@ 91.00= 637.00 DONNA_BODNER 2/13/2019 Page: 6SAFEWAY)S Safeway Restoration RESTORATION 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 CONTINUED - General DESCRIPTION QTY UNIT PRICE TOTAL Fuel surcharge 40.00 GL@ 2.79 = 111.60 Equipment setup, take down, and monitoring (hourly charge) 18.00 HR @ 56.62 = 1,019.16 Equipment decontamination charge - per piece of equipment 400 EA@ 32.71= 130.84 Cleaning Technician - per hour 8.00 HR@ 35.85 = 286.80 Labor to pull nails Dumpster load - Approx. 30 yards, 5-7 tons of debris 1.00 EA@ 800.00 = 800.00 Cleaning & Remediation - Supervisory - after hrs. 36.00 HR @ 90.09 = 3,243.24 Labor Minimums Applied DESCRIPTION QTY UNIT PRICE TOTAL Finish carpentry labor minimum 1.00 EA@ 207.25 General labor - labor minimum 1,00 EA@ 18.09 Electrical labor minimum 1.00 EA@ 207.54 Cabinetry labor minimum 1,00 EA@ 121.64 Stairway labor minimum 1,00 EA@ 202.51 Grand Total Areas: 6,006.00 SF Walls 1,835.00 SF Ceiling 7,841.00 SF Walls and Ceiling 1,835.00 SF Floor 203.89 SY Flooring 720.00 LF Floor Perimeter 1,977.00 SF Long Wall 1,026.00 SF Short Wall 720.00 LF Ceil. Perimeter 0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area 0.00 Exterior Wall Area 9.00 Exterior Perimeter of ‘Walls 0.00 Surface Area 0:00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length DONNA, BODNER 0.00 Total Hip Length 2/13/2019 Page: 7SAFEWAY GY Safeway Restoration RESTORATION 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 Summary for Dwelling Line Item Total 21,539.23 Overhead 3,230.93 Profit _ 3,230.93 Replacement Cost Value $28,001.09 Net Claim $28,001.09 CATHY FELTON DONNA_BODNER 2/13/2019 Page: 8SAFEWAY| RESTORATION ~ Safeway Restoration 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 : DONNA_BODNER Living Room Dining Room Kitchen Hallway Master Bedroom Master Bathroom 2nd Hallway Laundry closet Cat closet Guest Room Guest Room 2 Landing Guest Bath AC Closet Stairwell Garage General Labor Minimums Applied Recap by Room Subtotal of Areas Total DONNA_BODNER 1,556.63 442,44 429,36 137.48 2,228.30 1,449.08 770.60 173.40 57.54 786.68 - 302.64 333.30 122.65 27.08 356.92 1,260.22 10,347.88 757.03 21,539.23 21,539.23 2/13/2019 7.23% 2.05% 1.99% 0.64% 10.35% 6.73% 3.58% 0.81% 0.27% 3.65% 1.41% 1.55% 0.57% 0.13% 1.66% 5.85% 48.04% 3.51% 100.00% 100.00% Page: 9SAFEWAY) Safeway Restoration 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 Insured: Donna Bodner Property: 410 E Beach Dr Panama City, FL 32401 Estimator: CATHY FELTON Company: SAFEWAY RESTORATION Claim Number: 3300298394 Policy Number: 003714354 Date of Loss: — 10/J0/2018 Date Received: Date Inspected: Date Entered: Price List!) FLKW8X_JAN19 Restoration/Service/Remodel Estimate; © DONNA_BODNER-MOLD Home: (850) 624-3039 E-mail: donnabidner@yahoo.com E-mail: Cathy@SafewayRestoration. com Type of Loss: Hurricane 2/11/2019 11:26 AMSAFEWAYED Safeway Restoration 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 DONNA_BODNER-MOLD Living Room Subroom I: Closet LxWxH 15' x 15" x 8! LxWxH 4' x 2'x 8" DESCRIPTION QTy UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 1,042.00 SF @ 0.65= 677.30 Apply plant-based anti-microbial agent to more than the walls and 1,042.00 SF @ 0.27= 281.34 ceiling : Dining Room LxWxH 12' x 10° x 8" DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 592.00 SF@ 0.65 = 384,80 Apply plant-based anti-microbial agent to more than the walls and 592.00 SF@ 0.27 = 159.84 ceiling Kitchen LxWxH 11'x 8'x 8" DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 480.00 SF@ 0.65= 312.00 Apply plant-based anti-microbial agent to more than the walls and 480.00 SF@ 0.27= 129.60 ceiling Hallway LxWxH 12’ x 3'x 8! DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 312.00 SF@ 0.65 = 202.80 Apply plant-based anti-microbial agent to more than the walls and 312.00 SF@ 0.27 = 84,24 ceiling Master Bedroom LxWxH 17' x 13'x 9" Subroom 1: Closet LxWxH 13' x 2"x 9" DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 1,304.00 SF @ 0.65 = 847.60 DONNA_BODNER-MOLD 2/13/2019 Page: 2SAFEW) ve) Safeway Restoration A RESTORATION 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 CONTINUED - Master Bedroom DESCRIPTION QTY UNIT PRICE TOTAL Apply plant-based anti-microbial agent to more than the walls and 1,304.00 SF@ 0.27= 352.08 ceiling Master Bathroom LxWxH 8'x 7'x 9" DESCRIPTION _ QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 382,00 SF@ 0.65 = 248.30 Apply plant-based anti-microbial agent to more than the walls and 382.00 SF@ 0.27= 103.14 ceiling 2nd Hallway LxWxH 16'x 7'x 9" Subroom 1: Closet LxWxH 2'x 2'x 9! DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 718.00 SF@ 0.65 = 466.70 Apply plant-based anti-microbial agent to more than the walls and 718.00 SF@ 0.27= 193.86 ceiling Laundry closet LxWxH 8' x 3' x 9° DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 246.00 SF@ 0.65 = 159.90 Apply plant-based anti-microbial agent to more than the walls and 246.00 SF @ 0.27= 66,42 ceiling Cat closet LxWxH 4' x 3'x 9! , DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 150.00 SF@ 0.65 = 97.50 DONNA_BODNER-MOLD 2/13/2019 Page: 3SAFEWAY SS Safeway Restoration RESTORATION 13275 SW 136 ST #16 Miami, FI. 33186 305-741-4335 CONTINUED - Cat closet DESCRIPTION QTY UNIT PRICE TOTAL Apply plant-based anti-microbial agent to more than the walls and 150.00 SF@ 0.27= 40.50 ceiling Guest Room LxWxH 13' x 10'x 9 Subroom 1: Closet LxWxH 9" x 2'x9" DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 908.00 SF@ 590.20 Apply plant-based anti-microbial agent to more than the walls and 908.00 SF@ 245.16 ceiling Guest Room 2 LxWxH 8' x 5'x 9" Subroom 1; Closet LxWxH 7' x 2'x 9" DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming ~ Detailed - (PER SF) 504.00 SF @ 0.65 = 327.60 Apply plant-based anti-microbial agent to more than the walls and 504.00 SF@ 0.27= 136.08 ceiling Landing LxWxH 18'x 3'x 8 DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 444.00 SF@ 0,65 = 288.60 Apply plant-based anti-microbial agent to more than the walls and 444.00 SF@ 0.27 = 119.88 ceiling Guest Bath LxWxH 5'x 5'x 8' DESCRIPTION QTY UNIT PRICE TOTAL DONNA_BODNER-MOLD 2/13/2019 Page: 4SAFEWAY SS Safeway Restoration RESTORATION . 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 CONTINUED - Guest Bath DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 210.00 SF@ 0.65 = 136.50 Apply plant-based anti-microbial agent to more than the walls and 210,00 SF@ 0.27= 56.70 ceiling AC Closet LxWxH 2' x 2'x 8" DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 72.00 SF@ 0.65 = 46.80 Apply plant-based anti-microbial agent to more than the walls and 72.00 SF@ 0.27= 19.44 ceiling Stairwell . LxWxH 16’ x 3'x 6" DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 324.00 SF@ 0.65 = 210.60 Apply plant-based anti-microbial agent to more than the walls and 324.00 SF@ 0.27 = 87.48 ceiling Garage LxWxH 38' x 15' x 8' DESCRIPTION QTY UNIT PRICE TOTAL HEPA Vacuuming - Detailed - (PER SF) 1,988.00 SF @ 0.65 = 1,292.20 Apply plant-based anti-microbial agent to more than the walls and 1,988.00 SF @ 0.27 = 536.76 ceiling Clean truss system - up to 5/12 570.00 SF@ 1.16= 661.20 General DESCRIPTION QTY UNIT PRICE TOTAL DONNA_BODNER-MOLD 2/13/2019 Page: 5SAFEWAY) Safeway Restoration RESTORATION 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 CONTINUED - General DESCRIPTION QTY UNIT PRICE TOTAL Hazardous Material/Mold Evaluation (Bid Item) 2.00 EA@ 800.00 = 1,600.00 Hazardous Waste/Mold Cleaning- Supervisory/Admin- per hour 6.00 HR@ 87.50 = 525.00 Grand Total Areas: 6,006.00 SF Walls 1,835.00 SF Ceiling 7,841.00 SF Walls and Ceiling 1,835.00 SF Floor 203.89 SY Flooring 720.00 LF Floor Perimeter 1,977.00 SF Long Wall 1,026.00 SF Short Wall 720.00 LF Ceil. Perimeter 0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area 0.00 Exterior Wall Area 0.00 Exterior Perimeter of ‘Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0,00 Total Ridge Length 0.00 Total Hip Length DONNA_BODNER-MOLD 2/13/2019 Page: 6SAFEWAY AS Safeway Restoration 13275 SW 136 ST #16 Miami, Fl. 33186 305-741-4335 Summary for Dwelling Line Item Total 11,688.12 Overhead 1,753.25 Profit 1,753.25 Replacement Cost Value $15,194.62 Net Claim $15,194.62 CATHY FELTON DONNA_BODNER-MOLD 2/13/2019 Page: 7Par EWAN Safeway Restoration 13275 SW 136 ST #16 Miami, FI. 33186 305-741-4335 Estimate: DONNA_BODNER-MOLD Living Room Dining Room Kitchen Hallway Master Bedroom Master Bathroom 2nd Hallway Laundry closet Cat closet Guest Room Guest Room 2 Landing Guest Bath AC Closet Stairwell Garage General Recap by Room Subtotal of Areas Total DONNA_BODNER-MOLD 958.64 8.20% 544.64 4.66% 441.60 3.78% 287.04 2.46% 1,199.68 10.26% 351.44 3.01% 660.56 5.65% 226.32 1.94% 138.00 1.18% 835.36 715% 463.68 3.97% 408.48 3.49% 193.20 1.65% 66.24 0.57% 298.08 2.55% 2,490.16 21.31% 2,125.00 18.18% 11,688.12 100.00% 11,688.12 100.00% 2/13/2019 Page: 8EXHIBIT “D” |Tower Hill Claims Service P.O. Box 142230 Gainesville, Florida 32614 im Foyer Ht Description Coverage Unit Price RC ‘Depreciation | ACV ESTIMATE: Structure (A to Z Adjusting) B comptes - Claim 43300298394, Donna Bodner =] ROOFPLAN: Roofplan 8 Roof Roof area: 5,131.55 SF Squares: 51.3 SQ Gutters: 279.84 LF Ridge: 82.08 LF Soffit: 585.53 SF GENERAL 1 Overtime Labor, Roofing Fiberglass 3-Tab Shinlges Coverage A 12.75 "2 Sheathing, Roof, Re-nail ‘Coverage 1,275.00 SHINGLES $32.94 $0.11 sQ $419.99 $0.00 SF $140.25 $0.00 3 Remove - Shingles, Laminated/Architectural Very Good Coverage A 12.75 4 Replace - Shingles, Laminated/Architectural Very Good Coverage A 14.03 {@l Includes 10% waste on quantity. 5 Replace - Shingles, Starter Row, Continuous Coverage A 78.10 Includes 10% waste on quantity. 6 Remove - Ridge Shingles, Fiberglass, Coverage A Laminated 44.00 "7 Replace - Ridge Shingles, Fiberglass, Coverage A 48.40 Laminated {@ Includes 10% waste on quantity. UNDERLAYMENT $39.16 SQ $215.41 $499.29 $0.00 $499.29 $3,022.21 $1,192.26 % $1,829.95 $95.28 $71.464 "$23.82 ~” $39.60 $0.00 "$39.60 $191.66 $100.81 “$90.85 8 Replace - Felt, 30LB VENT, FLASHINGS & ACCESSORIES Coverage A 12.75 $25.52 $325.38 $81.34 9 Tear Out - Drip Edge (Rake + Eave) Aluminum, Pre-Finish Color Coverage A 78.00 10 Replace - Drip Edge (Rake + Eave) CoverageA 81.90 Aluminum, Pre-Finish Cofor ___ Ea] Includes 5% waste on quanti 11 Tear Out - Flashing, Plumbing Vent d 12. Replace - Flashing, Plumbing Vent Lead 13 Tear Out - Height Allowance, Roof Covering 2 Story Coverage A 12.75 14 Replace - Height Allowance, Roof “12.75 Covering 2 Story Coverage A. Claim 3300298394 Page 14 of 71 $0.35 $2.22 $4.54 $64.28 $10.20 SQ $13.05 SQ $27.30 $27.30 $181.82 $136.374 $45.45 $9.08 $0.00 «$9.08 $128.56 $40.57 4 $87.99 $130.05 $0.00 $130.05 $166.39 $0.00 $166.39 01/07/2019Tower Hill Claims Service . P.O, Box 142230 Teyer HiT Gainesville, Florida 32614 Description Coverage Quantity Unit Price Per | RC Depreciation | ACV ESTIMATE: Structure. (Ato Z Adjusting) Claim #3300298394, Donna Bodner Bp Conaiatet ‘ : 15 Remove - Roof Exhaust Vent, Coverage A 1 $10.99 EA $10.99 $0.00 $10.95 Galvanized Medium 16 Replace - Roof Exhaust Vent, Coverage A 1 $60.30 EA $60.30 938.06 % $22.24 Galvanized Medium 17 Roof Cement, per LF, 8" Wide Coverage A 81.90 $0.78 LF $63.89 $0.00 $63.89 {GJ Includes 5% waste on quantity. DEBRIS REMOVAL 18 Dumpster 10 Yard Coverage A 1 $398.67 EA $398.67 $0.00 $398.67 Roof - Subtotal (23 items) $5,910.74 $1,823.57 $4,087.14 ___Roofplan - Subtotal (23 items) 7 - $5,910.71$1,823.57 $4,087.14 [nf EXTERIOR PLAN: Exterior Plan 1 Exterior Pian Exterior: 13,947.28 SF Footprint: 0.00 SF Subtractions: 4,988.35 SF Building perimeter (ground): 289.11 LF ELEVATION 19 Tear Out - EIFS Wall System 1" Thick Coverage A 2,180.00 $0.41 SF $893.80 $893.80 20 Replace - EIFS Wall System 1" Thick eA 2,180.00 $10.95 SF $23,871.00 "$16,337.31 21 Tear Out - EIFS Decorative “CoverageA 180.77 $0.33 LF $59.65 $59.65 Molding/Trim 1" To 6" 22 Replace - EIFS Decorative CoverageA 180.77 $9.69 LF $1,751.66 $552.82 $1,198.84 Molding/Trim 1” To 6" 23 Remove - Garage Doors, Metal 9'x7' Coverage A 2 $61.98 EA $123.96 $0.00 $123.96 {J Allowance for the garage doors on the front and rear elevation. 24 Replace - Garage Doors, Metal 9'x7' Coverage A 2 $757.23 EA $1,514.46 $796.61 v $717.85 Gq Allowance for the garage doors on the front and rear ele 25 Remove - Fascia, Aluminum 8" Coverage 84.00 $0.76 LF $0.00 “$63.84 “26 Replace - Fascia, Aluminum 8" Coverage A 88.20 $3.83