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' Case # 05-2021 -CA024 713-XXXX-XX
“en
! *33305672*IN THE CIRCUIT COURT, EIGHTEENTH JUDICIAL CIRCUIT,
BREVARD COUNTY, FLORIDA
DIVISION: CIVIL Case Number: 05-2021- CA - 021713 -X XXX-XX
PLAINTIFF/In Re:
HOMESAVIOR CONSULTANTS INC
DEFENDANT
ALBERTA JACKSON
WILLIAM JACKSON
To: HOMESAVIOR CONSULTANTS INC
C/O DAVID WATSON
408 PLANTATION DR.
TITUSVILLE FL 32780 °
NOTICE OF PAYMENT DUE
On MARCH 23 20.21, lJ you filed_COMPLAINT /ANSWER TO.
CONTEST LIEN
C1 were ordered to pay costs. The total fees assess for this activity are listed below.
Initial Filing Fee
Reopen Filing Fee
Pro Hac Vice
Recording Fee
Indexing Fee (Over 4 Parties)
Additional Defendant’s Fee - (Over 5 Defendants)
Summons Issuance Fee
Counter Petition Fee ~
Partial Payment Fee (for current payment)
Guardianship Audit Fee ~
Sheriff Service Fee
$
$
$
$
$
$
Postage $
$
$
$
$
$
$
$
Law 932 / Rev. 08-31-2017
2CFN ‘2021030858, OR BK 9008 Page 2055, Recorded 02/08/2021 at 05:11 PM Rachel M.
Sadoff, Clerk of Courts, Brevard County
RACHEL M. SADOFF
EIGHTEENTH JUDICIAL CIRCUIT
BREVARD COUNTY, FLORIDA . e021 FEB~8 PS 10
FILED | -
Administrative Number: _05-202+CA-014909-XXXX-XX. CLERK ‘OF ce aa
BRFVARD CO FL.
‘CERTIFICATE OF LIEN TO BOND CASH
I, RACHEL M SADOFF, Clerk of the Circult Court do hereby certify that | have received this
date a bond to transfer the following described lien on real property to security in
accordance with Chapter 713.24, F.S,
Lienor's Name HOMESAVIOR CONSULTANTS ING GO DAVID WATSON
Lienor’s Address 408 PLANTATION DR
TITUSVILLE, FL 32780
Lienee's Name ALBERTA M JACKSON
Lienee's Address 3500 N RIVERSIDE DR
INDIALANTIC, FL_32903
Official Record Book 8978
Official Record Page 2688
Recording Date 01/12/2021
Lien Amount $ 35,438.72
Cash Bond Amount $ 50,160.89
Payment Received from_}| WILLIAM JACKSON
3500 N RIVERSIDE DR
INDIALANTIC, FL 32903
Dated: 2/8/2024
|, Rachel M. Sadoff, Clerk of the Circult Court, do hereby certify that a copy of this Lien To
Bond Cash has been sent by certified mail this 8 day of February, 2021.
RACI
‘LM. SADOFF
Deputy Clerk
Note: Security presented includes 4 81% interest for 3 years, court costs necessary to
enforce sald lien if such action Is required, Clerk's fees, and Registry of Court fees,
pursuant to Sec. 713.24, F.S, and Sec. 28.24, F.S.
Return to: WILLIAM JACKSON
3500 N RIVERSIDE DR
INDIALANTIC, FL 32903
STATE OF FLORIDA, COUNTY OF BREVARD
| HEREBY CERTIFY that the foregoing Is a true copy 9
the original filed in this officg-4n}
as required by law.
Bas nseaore 7Johnny T. Wiedmann Roofing Inc.
125 Bel Aire Drive S '
Merritt Island , Florida 32952 1
Phone: (321) 806-7663 .
Email: johnny@wiedmannroofing.com
Web: www.wiedmannroofing.com
Estimate #
Date
Description
Albaea Jackson
3500 North Riverside Drive
Indianlantic, Florida 32903-4422
+Dave Rep 321-298-7754
+Bill Jackson 321-313-1836
001325
11/03/2020
Total
3/4" HAND SPLIT CEDAR SHAKE ROOF SYSTEM
*Does not include unforeseen wood damage.
All wood to be completed on a time and material basis, meaning the price of wood is not included
and would be an additional charge beyond the quoted price. $80.00 per sheet of plywood - 15.00
per LF Fascia/truss work. Replacement of damage and rotted wood consist of, but not limited to ;
fascia-subfascia-trusses-decking-etc...
Dog House #1 INCLUDED IN PROPOSAL
DOG hOUSE #2 INCLUDED IN PROPOSAL
Re-nailing as Required by Florida Building Code
Refasten Entire deck sheathing \ .
Once roofing debris had been removed roof deck was inspected and It was determined that every
truss in its entirety needed to be shot off and refastened with 8d ring shank decking nails. Labor
intensive. :
Install Off Ridge Ventilation
Install off ridge vents to provide proper attic ventilation to help extend roof longevity. INCLUDED
Installation of low slope roof system
Install peel and stick base sheet SA and Granulated Cap Sheet.
Standard Operating Procedures
Cost associated with permitting documentation and debris relocation included in proposal.
Consulting Povided by HomeSavior Consultants Inc
Compensation to be paid for by the homeowner on any supplements and Contractors 20% Over
Head and profits on the claim. ,
Initial to accept terms: AY. :
| Page 1 of 8
$78,682.24
$0.00
$0.00
$2,040.96
$0.00
$0.00NOT INCLUDED IN THIS QUOTED PRICE OF $80,723.20
Subtotal $80,723.20
Total $80,723.20
: Deposit Due $50,000. 00
| \ t Si 6,008
' + Bea a these fo e Bb, o23,~°
Payment Schedule
Deposit (62%) $50,000.00
At dry in (19%) $15,361.60
Upon completion (19%) $15,361.60
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Page 2 of 8United Services Automobile Association CL. AIM INF ORMATION
Exh bel AL2.
_
S
5;
ALBERTA M JACKSON
3500 N RIVERSIDE DR
INDIALANTIC FL 32903-4422
> _ Review Information About Your Claim
December 15, 2020
Dear Mr Jackson,
I’m writing regarding the claim referenced below.
.USAA.policyholder:- Alberta M Jackson
Claim number: - 005245214-006
Date of loss: March 26, 2019
Loss location: Indialantic, Florida
Attached you will find the settlement letter and estimate for the $24,217.54 check, and the information | emailed this
morning on the supplement and final payment.
The information from the revised estimate today is as follows:
The total for the roofing, siding and the deck railing is $144,906,94. | have sent a supplemental payment the release of
the recoverable depreciation via check, being mailed to your home in the amount of $84,091.80.
The remaining recoverable depreciation on the claim is $7,932.78 for the replacement of the window screens, security
storm shutter (roll up) and the interior work to the entry/foyer and dining room
You may submit correspondence or questions to me using one of the following options:
Co usaa.com or our mobile app: Upload documents or post a secure message to your claim file
through the Claim Communication Center.
SR Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
By Fax: 1-800-531-8669
KG Phone: 1-800-531-8722
005245214 - 006 - 1243 - 06 54577-1020
Page 1 of 2Thank you,
United Services Automobile Association
Attached. Settlement Letter-1310
General Correspondence-S200
005245214 - 006 - 1243 - 06 54577-1020
Page 2 of 2Thank you for agreeing to accept messages and documents electronically for the duration of this
claim. Here are the terms and conditions for electronic communication with you.
USAA Reference Number: 005245214 - 6
Dear Mrs. Jackson,
Please see attached for additional information.
You may reply to this message. If you need to provide documentation, you can attach documents
to your email. We cannot guarantee the security of any medical, financial or other personally
identifiable information sent by email.
[01243:006:51]
0901119ca98££936From: USAA Claims<55vbwzg7dbdd@claims.usaa.com>
Sent: Friday, September 04, 2020 07:14 AM
To: JBertJack@live.com
Subject: USAA Property Claim Settlement
0901119ca98££936as United Services Automobile Association PROPERTY CLAIM
USAA° SETTLEMENT
ALBERTA M JACKSON
3500 N RIVERSIDE DR
INDIALANTIC FL 32903-4422
> _ Review Your Claim Settlement Details
September 4, 2020
Dear Mrs. Jackson,
We've issued a check in the amount of $24,217.54 for the following claim:
_Claim number: = 005245214-006
. Date of loss: March 26, 2019 ~ on
‘ Loss location: Indialantic, Florida |‘ _ . va
Here's how we determined your payment:
Replacement cost $147,839.07,
Less recoverable depreciation - -$-63,486.07
Less non=recoverable depreciation ~ © $6,159.73
Less Amount Above Limits $-51,975.73
Less deductible
‘Actual cash value settlement
What Is Recoverable Depreciation?
The Loss Settlement Provision of your policy provides payment for the reasonable and necessary cost to repair or
replace property involved in a covered loss. Because this policy benefit depends upon actual restoration of the property,
your initial payment may consist of the actual cash value only, such as the amount after deduction for depreciation.
Recoverable depreciation refers to the potential reimbursement amount upon completion of repair or replacement.
After repair or replacement is complete, we calculate your recoverable depreciation as the lesser of the amount
necessary to repair or replace the damaged property or the amount you actually spent, minus your deductible and any
amount already paid for the damaged property.
What Documentation Is Required to Claim Recoverable Depreciation?
Please send us copies of the repair contract, invoice, repair bill and any receipts. These documents should provide.
« Anitemized list of the work done and description of any items replaced.
* Documentation of all costs.
The completion date for work done and replacement date of any items replaced.
005245214 - 006 - 1243 - 06 54582-0820
Page 1 of 2
0901119ca98F£936How Is Non-Recoverable Depreciation Different?
The Loss Settlement Provision also defines damaged property for which the policy provides coverage for only the actual
cash value. We won’t reimburse you for the non-recoverable depreciation upon repair or replacement.
What Happens if the Repair Cost Exceeds the Insurance Estimate?
You must provide us a copy of your estimate if the expected cost of repair or replacement is greater than our estimate.
We must agree to any increased amount before you have the repair or replacement completed; otherwise, you may pay
more out of pocket than necessary to repair or replace your damaged property.
Mortgagee Clause
All policies insuring a dwelling contain a mortgagee clause that requires protection of a lender’s interest in the
mortgaged property. Accordingly, your mortgage company Is being included as a payee on the check. Because lenders
differ in their criteria for ensuring repairs to the property, please contact your mortgage company’s insurance division for
further instructions and provide them a copy of the repair estimate. We can’t intervene with your lender on your behalf
due to privacy laws.
Important Legal Information
Your policy's Suit Against Us Provision prohibits you from taking any action against us unless you've given us notice of
the loss, complied with all policy provisions and started legal action within five (5) years after the date of loss.
How to Contact Us
Please send any correspondence or questions to us using one of the following options and include the claim number
above on each page mailed or faxed:
mC Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
& Fax: 1-800-531-8669
Phone: 1-800-531-8722.
Sincerely,
scthengy- Feehan
Sherry A Rocha
CAT Claims Operations
United Services Automobile Association
Attached: REVISED IA ESTIMATE -CHRIS THOMAS
cc : Alberta M Jackson
005245214 - 006 - 1243 - 06 54582-0820
Page 2 of 2
0901119ca98££936ALLCAT
A USAA Service Provider
PO BOX 33490
San Antonio, TX 78265
800-531-8722
9/3/2020
Insured: JACKSON, ALBERTA Home: (321) 773-2401
Property: 3500 N RIVERSIDE DR Cell: (321) 543-5019
INDIALANTIC, FL 32903 , Other: (321) 313-1836
Home: 3500 N RIVERSIDE DR E-mail: JBertJack@hive.com
INDIALANTIC, FL 32903
Claim Rep.. Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Estimator: Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Member Number: 005245214 Policy Number: 005245214/90A L/R Number: 006
Type of Loss: Hail Cause of Loss: Other
Coverage Deductible Policy Limit
Dwelling $2,000.00 $719,000.00
Contents $000 $359,500.00
Other Structures $0.00 $71,900.00
Code Upgrade $0.00 $35,950.00
Date Contacted. 4/26/2019 4:45 PM
Date of Loss: 3/26/2019 Date Received: 4/26/2019 2:00 AM
Date Inspected: 4/29/2019 9:30 AM Date Entered: 4/26/2019 4:31 PM
Date Est. Completed: 9/3/2020 8:13 AM
Price List; FLME8X_APR19
Restoration/Service/Remodel
Summary for Dwelling
Line Item Total 103,455.47
Material Sales Tax 3,607 43
Subtotal 107,062.90
Overhead 10,706.34
Profit 10,706.34
Replacement Cost Value $128,475.58
Less Depreciation (59,859.72)
Actual Cash Value $68,615.86
Less Deductible (2,000.00)
Less Prior Payment(s) (43,982.58)
0901119ca98éH838ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 2
Net Claim Remaining $22,633.28
Total Recoverable Depreciation 59,859.72
Net Claim Remaining if Depreciation is Recovered $82,493.00
Chris Thomas
"ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE
ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY
FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE
THIRD DEGREE." FL STAT. §817.234
Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
0901119ca98£6938ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 3
Insured: JACKSON, ALBERTA Home: (321) 773-2401
Property: 3500 N RIVERSIDE DR Cell: (321) 543-5019
INDIALANTIC, FL 32903 Other: (321) 313-1836
Home: 3500 N RIVERSIDE DR E-mail: JBertJack@live.com
INDIALANTIC, FL 32903
Claim Rep.: Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Estimator: | Chns Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Member Number: 005245214 Policy Number: 005245214/90A L/R Number: 006
Type of Loss: Hail Cause of Loss: Other
Coverage Deductible Policy Limit
Dwelling $2,000.00 $719,000.00
Contents $0.00 $359,500.00
Other Structures $0.00 $71,900.00
Code Upgrade $0.00 $35,950.00
Date Contacted: 4/26/2019 4:45 PM
Date of Loss: 3/26/2019 Date Received: 4/26/2019 2:00 AM
Date Inspected. 4/29/2019 9:30 AM Date Entered: 4/26/2019 4:31 PM
Date Est. Completed: 9/3/2020 8.13 AM
Price List! | FLME8X_APR19
Restoration/Service/Remodel
Summary for Other Structures
Line Item Total 13,848.70
Material Sales Tax 438.54
Subtotal 14,287.24
Overhead 1,428.75
Profit 1,428.75
Replacement Cost Value $17,144.74
Less Depreciation (7,567.33)
Actual Cash Value $9,577.41
Less Prior Payment(s) (7,993.15)
Net Claim Remaining $1,584.26
Total Depreciation 7,567.33
0901119ca98é68938ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 4
Less Non-Recoverable Depreciation <6,159.73>
Total Recoverable Depreciation 1,407.60
Net Claim Remaining if Depreciation is Recovered $2,991.86
Chris Thomas
“ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE
ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY
FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE
THIRD DEGREE." FL STAT. §817.234
Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
090111 9ca9sene38ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 5
Insured: JACKSON, ALBERTA Home: (321) 773-2401
Property: 3500 N RIVERSIDE DR Cell: (321) 543-5019
INDIALANTIC, FL 32903 Other: (321) 313-1836
Home: 3500 N RIVERSIDE DR E-mail: JBertJack@live.com
INDIALANTIC, FL 32903
Clam Rep.: Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Estimator: Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Member Number: 005245214 Policy Number: 005245214/90A L/R Number: 006
Type of Loss: Hail Cause of Loss: Other
Coverage Deductible Policy Limit
Dwelling $2,000 00 $719,000.00
Contents $0.00 $359,500.00
Other Structures $0.00 $71,900.00
Code Upgrade $0.00 $35,950.00
Date Contacted: 4/26/2019 4:45 PM
Date of Loss: 3/26/2019 Date Received: 4/26/2019 2:00 AM
Date Inspected 4/29/2019 9:30 AM Date Entered: 4/26/2019 4:31 PM
Date Est. Completed. _ 9/3/2020 8:13 AM
Price List: |. FLME8X_APR19
Restoration/Service/Remodel
Summary for Code Upgrade
Line Item Total 000
Replacement Cost Value $0.00
Net Claim $0.00
Total Recoverable Depreciation 0.00
Total Paid When Incurred 2,218.75
Net Claim if Additional Amounts are Recovered $2,218.75
Additional Amounts include depreciation that has been recovered and Paid When Incurred (PWI) items. Paid When Incurred (PWI)
items refer to tems, which may not be necessary in the repair of your property damaged by a covered loss. If incurred, or completed,
reimbursement of reasonable costs will be made up to the maximum amounts identified as eligible for PWI in the estimate.
Code Upgrade Paid When Incurred
0901119ca986935ALLCAT
JACKSON, ALBERTA 9/3/2020
Line Item Total
Material Sales Tax
Subtotal
Overhead
Profit
Replacement Cost Value
Total Paid When Incurred
Net Claim
Net Claim if Additional Amounts are Recovered
Chris Thomas
Page: 6
1,839,46
9.53
1,848.99
184.88
184 88
$2,218.75
$2,218.75
$0.00
$2,218.75
"ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE
ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY
FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE
THIRD DEGREE." FL STAT. §817.234
Please contact our adjuster if you believe a supplement to this estimate 1s needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
0901119ca98é6938ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 7
Recap of Taxes, Overhead and Profit
Overhead (10%) Profit (10%) Material Sales Tax Laundering Tax (2%) Manuf.Home Tax Storage Rental Tax
(1%) 6%) (1%)
Line Items
12,135.09 12,135.09 4,045.97 0.00 0.00 000
Total
12,135.09 12,135.09 4,045.97 0.00 0.00 0.00
0901119ca98e8038ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 8
JACKSON__ALBERTA
Source - Geomni Roof
Source - Geomni Roof
Roof
5744.53 Surface Area 57.45 Number of Squares
455.50 Total Perimeter Length 155.64 Total Ridge Length
116.12 Total Hip Length
Description Quantity Unit Price RCV Depreciation ACV
1. Remove Wood shakes - heavy (3/4") hand split - fire resistant
sQ 57.45 SQ 62.01 3,562.47 (0.00) 3,562.47
2, Wood shakes - heavy (3/4") hand split - fire resistant
SQ*1.15 66.06 SQ 802.42 53,007.87 (31,804.72) 21,203.15
12% waste was added. Gable roof with an attached hip on the garage.
3. Ridge cap - wood shake shingles
R+HIP 271.76 LF 8.84 2,402.36 (1,441.42) 960.94
4, Remove Additional charge for steep roof - 7/12 to 9/12 slope
0.97 0.97SQ 14.80 14.36 (0.00) 14.36
5. Additional charge for steep roof - 7/12 to 9/12 slope
0.97 0.97SQ 49.28 47.80 (0.00) 47.80
6. Remove Additional charge for steep roof - 10/12 - 12/12 slope
56.47 56.47SQ 23.25 1,312.93 (0.00) 1,312.93
7. Additional charge for steep roof - 10/12 - 12/12 slope
56.47 56.47SQ 7145 4,373.60 (0.00) 4,373.60
8. Additional charge for high roof (2 stories or greater)
10.92 10.92 SQ 6.32 69.01 (0.00) 69.01
9. Additional charge for high roof (2 stories or greater)
10.92 10.92 SQ 21.76 237.62 (0.00) 237.62
10. R&R Drip edge - copper
P 455.50 LF 9.34 4,254.38 (655.19) 3,599.19
11 R&R Valley metal - copper
VAL 212.47 LF 20.16 4,283.39 (664.27) 3,619.12
12. Flashing - pipe jack - lead
5 5.00 EA 72.79 363.95 (249.57) 114.38
13. Roof vent - off ridge type - 4"
5 5.00 EA 125.41 627.05 (429.98) 197.07
14 Flashing - pipe jack - split boot
1 1.00 EA 71.65 71.65 (53.25) 24.40
PERMITS ARE PAID AS A SUPPLEMENT FOR ACTUAL COST
INCURRED IF A COPY ISSUBMITTED ALONGWITH A CONTRACTOR'S
CERTIFICATE OF COMPLETION. NOTE - THE ROOFING PRICE PER
SQUARE FOR TEAR OFF, INCLUDES DEBRIS REMOVAL/HAUL OFF.
0901119ca98Eé6038ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 9
CONTINUED - Roof
Description Quantity Unit Price RCV Depreciation ACV
+5—Re-nathng-of roof sheathing—complete re=natt
This item did not previously exist or expands the scope of repairs, but is required by current building codes. The code upgrade cost 1s
payable when incurred, subject to limits.
16. R&R Chimney flashing - average (32" x 36") - copper
3
3.00 EA 680.55 2,041.65 17.14) 1,724.51
Totals: Roof 76,676.09 35,615.54 41,060.55
Porch
349.46 Surface Area 3.49 Number of Squares
(ee _F ; 59.32 Total Perimeter Length
Description Quantity Unit Price RCV Depreciation ACV
17. R&R Modified bitumen roof
sQ 3.49SQ 426.05 1,486.91 (979.76) $07.15
18. R&R Drip edge - copper
P $9.32 LF 9.34 554.05 (85.33) 468.72
Totals: Porch 2,040.96 1,065.09 975.87
Total: Source - Geomni Roof 78,717.05 36,680.63 42,036.42
Total: Source - Geomni Roof 78,717.05 36,680.63 42,036.42
Exterior
Front Elevation
Description Quantity Unit Price RCV Depreciation ACV
No visible/apparent storm related damages.
Totals: Front Elevation 0.00 0.00 0.00
0901119ca98e68938ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 10
Right Elevation
Description Quantity Unit Price RCV Depreciation ACV
No visible/apparent storm related damages.
Totals: Right Elevation 0.00 0.00 0.00
Rear Elevation
Description Quantity Unit Price RCV Depreciation ACV
19. R&R Window screen, 17 - 25 SF
1 1,00EA 60.80 60.80 (42.60) 18.20
20. R&R Security/storm shutter - roll-up type
242.5 242.50 SF 40.69 9,867.33 (4,740.88) 5,126.45
4- 6x7
1x 8x7
1x 5x8
3-3.5x7
all showed hail dents
Totals: Rear Elevation 9,928.13 4,783.48 5,144.65
Left Elevation
Description Quantity Unit Price RCV Depreciation ACV
No visible/apparent storm related damages.
Totals: Left Elevation 0.00 0.00 0.00
Total: Exterior 9,928.13 4,783.48 5,144.65
Boat Dock
Main Level
0901119ca9se6838ALLCAT
JACKSON, ALBERTA 9/3/2020 Page. 11
br] Roof
878.92 Surface Area 8.79 Number of Squares
106.35 Total Perimeter Length 15.36 Total Ridge Length
63.73 Total Hip Length
K
Leora)
Description Quantity Unit Price RCV Depreciation ACV
21, Remove Wood shakes - heavy (3/4") hand split
sQ 8.79 SQ 62.01 545.07 (0.00) 545.07
22. Wood shakes - heavy (3/4") hand split
SQ*1.12 10.00 SQ 763.32 7,633.20 (4,579.92) 3,053.28
12% waste was added. Gable roof with an attached hip on the garage.
23. Ridge cap - wood shake shingles
R+HIP 79.09 LF 8.84 699.16 (419.50) 279.66
24. Remove Additional charge for steep roof - 10/12 - 12/12 slope
sQ 8.79 SQ 23.25 204.37 (0.00) 204.37
25. Additional charge for steep roof - 10/12 - 12/12 slope
sQ 8.79 SQ TIAS 680.79 (0.00) 680.79
26. R&R Drip edge - copper
P 106.35 LF 9.34 993.31” (152.97) 840.34
27. Roofing - General Laborer - per hour
24 24.00 HR 35.25 846.00 (0.00) 846.00
6 guys half a day to carry materials back and forth
PERMITS ARE PAID AS A SUPPLEMENT FOR ACTUAL COST
INCURRED IF A COPY ISSUBMITTED ALONGWITH A CONTRACTOR'S
CERTIFICATE OF COMPLETION. NOTE - THE ROOFING PRICE PER
SQUARE FOR TEAR OFF, INCLUDES DEBRIS REMOVAL/HAUL OFF.
28 -Re-nathng-of roof sheathmmg=eompletere-nait
This item did not previously exist or expands the scope of repairs. The upgrade cost 1s payable when incurred, subject to limits.
Totals: Roof 11,601.90 5,152.39 6,449.51
Total: Main Level 11,601.90 5,152.39 6,449.51
Total: Boat Dock 11,601.90 5,152.39 6,449.51
Outbuildings
Main Level
0901119ca9866938ALLCAT
JACKSON, ALBERTA 9/3/2020 Page. 12
Dog House 1
94.43 Surface Area 0.94 Number of Squares
34.33 Total Permeter Length 4.83 Total Ridge Length
21.14 Total Hip Length
Description Quantity Unit Price RCV Depreciation ACV
29. Remove Wood shakes - medium (1/2") hand split
sQ 0.94SQ 62.01 58.29 (0.00) 58.29
30. Wood shakes - medium (1/2") hand split
sQ 1.00SQ 714.55 714.55 (428.73) 285.82,
31. Ridge cap - wood shake shingles
RtHIP 25.97 LF 8.84 229.57 (137.74) 91.83
32-Re-nathng- of roof sheathing—eomptetete-natt
This item did not previously exist or expands the scope of repairs, but is required by current building codes. The code upgrade cost 1s
payable when incurred, subject to limits.
Totals: Dog House 1 1,002.41 566.47 435.94
Wn Dog House 2
] E 94.93 Surface Area 0.95 Number of Squares
a 7 LO. s~, a Ff 34.33 Total Perimeter Length 4.83 Total Ridge Length
els Nese 21.21 Total Hip Length
k TOBY ra
Description Quantity Unit Price RCV Depreciation ACV
33. Remove Wood shakes - medium (1/2") hand split
SQ 0.95SQ 62.01 58.91 (0.00) 58.91
34, Wood shakes - medium (1/2") hand split
sQ 1.00SQ 714.55 714,55 (428.73) 285.82
35. Ridge cap - wood shake shingles
R+HIP 26.05 LF 8.84 230.28 (138.17) 92.1
36—Re-narhing of roof sheathing complete te-natt
This item did not previously exist or expands the scope of repairs, but is required by current building codes. The code upgrade cost is
payable when incurred, subject to limits.
Totals: Dog House 2 1,003.74 566.90 436.84
0901119ca98£6935ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 13
Total: Main Level 2,006.15 1,133.37 872.78
Fence
4 Ft Wood Picket Fence Height: 8"
8273.61 SF Walls 60987.17 SF Ceiling
ciuceefhe 69260.77 SF Walls & Ceiling 60987.17 SF Floor
* g 6776.35 SY Flooring 1034.20 LF Floor Permmeter
ae 1034.20 LF Ceil. Perimeter
H
Missing Wall 164' 10 1/16" X8' Opens into Exterior
Description Quantity Unit Price RCV Depreciation ACV
FRONT RUN OF FENCE
37. R&R Picket fence, 3' to 4' high
184 184.00 LF 27.35 5,032.40 <2,860.74> 2,171.66
RIGHT RUN OF FENCE
38. R&R Picket fence, 3' to 4' high
133 133.00 LF 27.35 3,637.55 <2,067.82> 1,569.73
LEFT RUN OF FENCE
39. R&R Picket fence, 3' to 4' high
36+80 116.00 LF 27.35 3,172.60 (0.00) 3,172.60
Totals: 4 Ft Wood Picket Fence 11,842.55 <4,928,56> 6,913.99
Total: Fence 11,842.55 <4,928,56> 6,913.99
Total: Outbuildings 13,848.70 6,061.93 7,786.77
Debris Removal
Description Quantity Unit Price RCV Depreciation ACV
40. Haul debris - per pickup truck load - includmg dump fees
25 0.25EA 132.58 33.15 (0.00) 33.15
Debris removal is for the non-roofing items.
Totals: Debris Removal 33.15 0.00 33.15
0901119ca98é6838ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 14
SKETCH5
Main Level
Entry/Foyer Height: 9'
559.00 SF Walls 177.65 SF Ceiling
736.65 SF Walls & Ceiling 177.65 SF Floor
19.74 SY Flooring 61.33 LF Floor Perimeter
64.33 LF Ceil. Perimeter
Missing Wall - Goes to Floor 3°x6's8" Opens into DINNING_ROOM
Description Quantity Unit Price RCV Depreciation ACV
41. R&R 5/8" drywall - hung, taped, with smooth wall finish
8 8.00 SF 3.64 29.12 (0.00) 29.12
42, Floor protection - plastic and tape - 10 mil
F 177.65 SF 0.24 42.64 (0.00) 42.64
43. Mask and prep for paint - plastic, paper, tape (per LF)
PC 64.33 LF 1.02 65.62 (0.00) 65.62
44, Seal the ceiling w/latex based stain blocker - one coat
Cc 177.65 SF 0.45 79.94 (0.00) 79.94
45. Paint the ceiling - two coats
c 177.65 SF 0.71 126.13 (94.60) 31.53
46. Detach & Reset Light fixture
1 1.00EA 44.36 44.36 (0.00) 44.36
Totals: Entry/Foyer 387.81 94.60 293.21
dinning room Height: 9"
750.19 SF Walls
1347.94 SF Walls & Ceiling
66.42 SY Floonng
99.77 LF Ceil. Perimeter
597.75 SF Ceiling
597.75 SF Floor
82.86 LF Floor Permeter
Missing Wall - Goes to Floor 3"X6'8" Opens into ENTRY_FOYER
Missing Wall - Goes to Floor 3°11" X 6's" Opens into Exterior
Missing Wall - Goes to Floor 311" X's" Opens into Exterior
Window Txs' Opens into Exterior
Missing Wall - Goes to Floor 61" X6's" Opens into Exterior
Description Quantity Unit Price RCV Depreciation ACV
0901119ca98éG938 USAA ConfidentialALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 15
CONTINUED - dinning room
Description Quantity Unit Price RCV Depreciation ACV
47. Contents - move out then reset - Extra large room
1 1.00EA 144,24 144,24 (0.00) 144.24
48. Floor protection - plastic and tape - 10 mil
F 597.75 SF 0.24 143.46 (0.00) 143.46
49. Seal the ceiling w/latex based stain blocker - one coat
c 597,75 SF 0.45 268.99 (201.74) 67.25
50. Paint the ceiling - two coats
Cc 597.75 SF 0.71 424.40 (318.30) 106.10
51. R&R Wallpaper
W-3*PF 501.62 SF 2.81 1,409.56 (786.29) 623.27
chair rail at 3' pamted below that
52, Haul debris - per pickup truck load - including dump fees
1
1.00 EA 132.58 132.58 (0.00) 132.58
53. Light fixture - Detach & reset
2 2.00EA 44.36 88.72 (0.00) 88.72
Totals: dinning room 2,611.95 1,306.33 1,305.62
Total: Main Level 2,999.76 1,400.93 1,598.83
Total: SKETCHS 2,999.76 1,400.93 1,598.83
Labor Minimums Applied
Description Quantity Unit Price RCV Depreciation ACV
54, Window labor minimum
1 1.00 EA 175.48 175.48 (0.00) 175.48
Totals: Labor Minimums Applied 175.48 0.00 175.48
Line Item Totals: JACKSON__ALBERTA 117,304.17 54,079.36 63,224.81
0901119ca98£6938JACKSON, ALBERTA
Grand Total Areas:
11,620.27 SF Walls
63,980.21 SF Floor
0.00 SF Long Wall
63,980.21 Floor Area
13,783 95 Exterior Wall Area
19,724.91 Surface Area
180.67 Total Ridge Length
ALLCAT
63,980.21 SF Ceiling
7,108.91 SY Flooring
0.00 SF Short Wall
64,404.16 Total Area
1,253.50 Exterior Perimeter of
Walls
77.69 Number of Squares
222.20 Total Hip Length
9/3/2020
Page: 16
75,600.48 SF Walls and Ceiling
1,433.08 LF Floor Perimeter
1,452.99 LF Ceil. Perimeter
11,620.27 Interior Wall Area
778.30 Total Perimeter Length
Coverage Item Total % ACV Total %
Dwelling 103,455.47 88.19% 68,615.86 87.75%
Contents 0.00 0.00% 0.00 000%
Other Structures 13,848.70 11.81% 9,577.41 12.25%
Code Upgrade 0.00 0.00% 0.00 0.00%
Total 117,304 17 100.00% 78,193.27 100.00%
0901119ca9866938ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 17
Recap by Room
Estimate: JACKSON__ALBERTA
Area: Source - Geomni Roof
Area: Source - Geomni Roof
Roof 76,676.09 65.37%
Coverage: Dwelling 100.00% = 76,676.09
Porch 2,040.96 1.74%
Coverage: Dwelling 100.00% = 2,040.96
Area Subtotal: Source ~ Geomni Roof 78,717.05 67.11%
Coverage: Dwelling 100.00% = 78,717.05
Area Subtotal: Source - Geomni Roof 78,717.05 67.11%
Coverage: Dwelling 100.00% = 78,717.05
Area: Exterior
Rear Elevation 9,928.13 8.46%
Coverage: Dwelling 100.00% = 9,928.13
Area Subtotal: Exterior 9,928.13 8.46%
Coverage: Dwelling 100.00% = 9,928.13
Area: Boat Dock
Area: Main Level
Roof 11,601.90 9.89%
Coverage: Dwelling 100.00% = 11,601.90
Area Subtotal: Main Level 11,601.90 9.89%
Coverage: Dwelling 100.00% = 11,601.90
Area Subtotal: Boat Dock 11,601.90 9.89%
Coverage: Dwelling 100.00% = 11,601 90
Area: Outbuildings
Area: Main Level
Dog House 1 1,002.41 0.85%
Coverage: Other Structures 100.00% = 1,002.41
Dog House 2 1,003.74 0.86%
Coverage: Other Structures 100.00% = 1,003.74
Area Subtotal: Main Level 2,006.15 1.71%
Coverage: Other Structures 100.00% = 2,006.15
0901119ca98é8935JACKSON, ALBERTA
Area: Fence
4 Ft Wood Picket Fence
Coverage: Other Structures
ALLCAT
Area Subtotal: Fence
Coverage: Other Structures
Area Subtotal: Outbuildings
Coverage: Other Structures
Debris Removal
Coverage: Dwelling
Area: SKETCH5S
Area: Main Level
Entry/Foyer
Coverage: Dwelling
dinning room
Coverage: Dwelling
Area Subtotal: Main Level
Coverage: Dwelling
Area Subtotal: SKETCHS
Coverage: Dwelling
Labor Minimums Applied
Coverage: Dwelling
Subtotal of Areas
Coverage: Dwelling
Coverage: Other Structures
Total
0901119ca9868938
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
88.19%
11.81%
io
9/3/2020 Page: 18
11,842.55 10.10%
11,842.55
11,842.55 10.10%
11,842.55
13,848.70 11.81%
13,848.70
33.15 0.03%
33.15
387.81 0.33%
387.81
2,611.95 2.23%
2,611.95
2,999.76 2.56%
2,999.76
2,999.76 2.56%
2,999.76
175.48 0.15%
175.48
117,304.17 100.00%
103,455.47
13,848.70
117,304.17 100.00%ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 19
Recap by Category with Depreciation
O&P Items RCV Deprec. ACV
CONTENT MANIPULATION 144.24 144.24
Coverage’ Dwelling @ 100.00% = 144.24
GENERAL DEMOLITION 165.73 165.73
Coverage: Dwelling @ 100.00% = 165.73
DRYWALL 29.12 29.12
Coverage. Dwelling @ 100.00% = 29.12
FENCING 11,842.55 4,928.56 6,913.99
Coverage: Other Structures @ 100.00% = 11,842.55
LIGHT FIXTURES 133.08 133.08
Coverage: Dwelling @ 100.00% = 133.08
PAINTING 1,151.18 614.64 536.54
Coverage: Dwelling @ 100.00% = 1,151.18
ROOFING 92,325.10 42,966.39 49,358.71
Coverage: Dwelling @ 97 83% = 90,318.95
Coverage: Other Structures @ 217% = 2,006.15
SIDING 9,867.33 4,740.88 5,126.45
Coverage’ Dwelling @ 100.00% = 9,867.33
WINDOW REGLAZING & REPAIR 60.80 42.60 18.20
Coverage: Dwelling @ 100.00% = 60.80
WINDOWS - WOOD 175.48 175.48
Coverage. Dwelling @ 100 00% = 175.48
WALLPAPER 1,409.56 786.29 623.27
Coverage: Dwelling @ 100.00% = 1,409.56
O&P Items Subtotal 117,304.17 54,079.36 63,224.81
Material Sales Tax 4,045.97 2,109.77 1,936.20
Coverage: Dwelling @ 89.16% = 3,607.43
Coverage: Other Structures @ 10.84% = 438.54
Overhead 12,135.09 5,618.96 6,516.13
Coverage: Dwelling @ 88.23% = 10,706.34
Coverage: Other Structures @ 11.77% = 1,428.75
Profit 12,135.09 5,618.96 6,516.13
Coverage: Dwelling @ 88.23% = 10,706.34
Coverage: Other Structures @ 11.77% = 1,428.75
Total 145,620.32 67,427.05 78,193.27
FREQUENTLY ASKED QUESTIONS
The FAQ's and answers below will be helpful in the claim process. If there is any conflict between these answers and the policy,
your policy controls. Please read your policy.
How is my initial Dwelling payment determined?
Subject to the applicable deductible and policy conditions, Dwelling payments are generally based on the cost to repair or replace
the damaged property with similar construction and for the same use on the same premises. When the cost to repair or replace the
damaged dwelling exceeds $5000, USAA will pay a portion of the claim up front (the actual cash value of the loss), and the
0901119ca98é8838ALLCAT
JACKSON, ALBERTA 9/3/2020 Page: 20
balance (recoverable depreciation) when the repairs are complete.
How do I collect the recoverable depreciation?
Where mitial payment for Dwelling loss is in the amount of Actual Cash Value, to receive additional amounts (recoverable
depreciation), you must complete the actual repair or replacement of the damaged part of the property. When repair or
replacement is actually completed, the policy will pay the covered additional amount you actually and necessarily incurred to
repair or replace the property, but not to exceed the approved replacement cost of your claim (our cost). In no case will USAA
pay more than the total amount of the actual repairs less your policy deductible.
Why is the check made out to me and someone else (or some other company)?
If your check includes the name of your mortgage company it is because we are required to include their name on our payment to
you, per the mortgage clause on your policy. The check must be presented to them for their endorsement prior to submitting it to
our bank for payment. Incomplete endorsements will result in the check being returned without payment. Please contact us if the
mortgagee information is incorrect so that we may update that information and issue a correct payment to you.
What if I'm not going to repair or replace my damaged property using the same material?
Please contact us if you choose to repair or replace the damaged building part with a different material or type of ‘construction
from what is on our estimate. Replacement or repair differing from the original estimate could affect any replacement cost claim
you are otherwise eligible to collect.
What if my contractor's estimate is different from USAA's estimate?
Show the USAA estimate to your contractor. If your contractor's estimate is higher, please contact USAA prior to starting the
repairs to your home as the additional charges may not be covered.
0901119ca9866938Thank you for agreeing to accept messages and documents electronically for the duration of this
claim, Here are the terms and conditions for electronic communication with you.
USAA Reference Number: 005245214 - 6
Dear Mrs. Jackson,
Please see attached for additional information.
You may reply to this message. If you need to provide documentation, you can attach documents
to your email. We cannot guarantee the security of any medical, financial or other personally
identifiable information sent by email.
[01243:006:51]
SAA, 9800 Fredericksburg Road, San Antonio, Texas, 78288
0901119caabfdce6From: USAA Claims<55vbwzg7dbdd@claims.usaa.com>
Sent: Tuesday, December 15, 2020 08:18 AM
To: JBertJack@live.com
Subject: Information About Your USAA Claim
0901119caabfdceéSN United Services Automobile Association CLAIM INF ORMATI ON
USAA?’
-
ALBERTA M JACKSON
3500 N RIVERSIDE DR
INDIALANTIC FL 32903-4422
> Review Information About Your Claim
December 15, 2020
Dear Mrs. Jackson,
I'm writing regarding the claim referenced below.
“USAA ‘policyholder: Alberta M Jackson
_ Claim number: 005245214-006 .
Date ofloss:’ . - March 26, 2019
Loss location: Indialantic, Florida
Attached you will find the revised estimate for storm damage repairs. The total for the roofing, siding and the deck
railing is $144,906,94. | have sent a supplemental payment the release of the recoverable depreciation via check, being
mailed to your home in the amount of $84,091.80.
The remaining recoverable depreciation on the claim is $7,932.78 for the replacement of the window screens, security
storm shutter (roll up) and the interior work to the entry/foyer and dining room.
If you have any questions, please let me know.
You may submit correspondence or questions to me using one of the following options:
Ci usaa.com or our mobile app: Upload documents or post a secure message to your claim file
through the Claim Communication Center.
fA Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
hy Fax: 1-800-531-8669
XQ, Phone: 1-800-531-8722
005245214 - 006 - 1243 - 06 54577-1020
Page 1 of 2
0901119caabfdee6Thank you,
United Services Automobile Association
Attached’ REVISED PROPERTY ESTIMATE
PAYMENT TRACKER SHOWING AMT ALLOWED
cc: Alberta M Jackson
005245214 - 006 - 1243 - 06 54577-1020
Page 2 of 2
0901119caabfdceséALLCAT
A USAA Service Provider
PO BOX 33490
San Antonio, TX 78265
800-531-8722
12/15/2020
Insured: JACKSON, ALBERTAere go Home: (321) 773-2401
Property: 3500 N RIVERSIDE DR Cell: (321) 543-5019
INDIALANTIC, FL 32903 Other: (321) 313-1836
Home: 3500 N RIVERSIDE DR E-mail: JBertJack@live.com
INDIALANTIC, FL 32903
Claim Rep: Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Estimator: Chns Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Member Number: 005245214 Policy Number: 005245214/90A L/R Number: 006
Type of Loss: Hail Cause of Loss: Other
Coverage Deductible Policy Limit
Dwelling $2,000.00 $719,000.00
Dwelling - Building Ordinance or Law Coverage $0.00 $35,950.00
Contents $0.00 $359,500.00
Other Structures $0.00 $71,900.00
Other Structures - Building Ordinance or Law Coverage $0.00 $35,950.00
Code Upgrade $0.00 $35,950.00
Date Contacted: 4/26/2019 4:45 PM
Date of Loss: 3/26/2019 Date Received: 4/26/2019 2:00 AM
Date Inspected: 4/29/2019 9:30 AM Date Entered: 4/26/2019 4:31 PM
Date Est. Completed: 12/15/2020 8:47 AM
Price List: | FLME8X_DEC20
Restoration/Service/Remodel
Summary for Dwelling
Line Item Total 111,945.87
Matenal Sales Tax 4,132.54
Subtotal 116,078.41
Overhead 11,607.88
Profit 11,607.88
Replacement Cost Value $139,294.17
Less Depreciation (56,526.46)
Actual Cash Value $82,767.71
0901119caabfdeaéALLCAT
JACKSON, ALBERTAere go
Less Deductible
Less Prior Payment(s)
Net Claim Remaining
Total Recoverable Depreciation
Net Claim Remaining if Depreciation is Recovered
Chris Thomas
12/15/2020
Page: 2
(2,000.00)
(66,615.86)
$14,151.85
56,526.46
$70,678.31
“ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE
ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY
FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE
THIRD DEGREE.” FL STAT. §817.234
Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
0901119caabfddaéALLCAT
JACKSON, ALBERTAere go 12/15/2020
Insured’ JACKSON, ALBERTAere go Home: (321) 773-2401
Property: 3500 N RIVERSIDE DR Cell: (321) 543-5019
INDIALANTIC, FL 32903 Other: (321) 313-1836
Home: 3500 N RIVERSIDE DR E-mail: JBertJack@live.com
INDIALANTIC, FL 32903
Clam Rep Chris Thomas Busmess: (866) 625-5228
Cellular: (972) 839-0774
Estimator: Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Member Number: 005245214 Policy Number: 005245214/90A L/R Number: 006
Type of Loss: Hail Cause of Loss: Other
Coverage Deductible Policy Limit
Dwelling $2,000.00 $719,000.00
Dwelling - Building Ordinance or Law Coverage $0.00 $35,950.00
Contents $0.00 $359,500.00
Other Structures $0.00 $71,900.00
Other Structures - Building Ordinance or Law Coverage $0.00 $35,950.00
Code Upgrade $0.00 $35,950.00
Date Contacted: 4/26/2019 4:45 PM
Date of Loss’ 3/26/2019 Date Received 4/26/2019 2:00 AM
Date Inspected’ 4/29/2019 9:30 AM Date Entered: 4/26/2019 4:31 PM
Date Est. Completed: 12/15/2020 8:47 AM
Price List: | FLME8X_DEC20
Restoration/Service/Remodel
Summary for Dwelling - Building Ordinance or Law Coverage
Line Item Total
Replacement Cost Value
Net Claim
Dwelling - Building Ordinance or Law Coverage Paid When Incurred
Line Item Total
Material Sales Tax
Subtotal
Overhead
Profit
0901119caabfdéaé
Page: 3
000
$0.00
$0.00
1,665.91
804
1,673.95
167.39
167.39ALLCAT
JACKSON, ALBERTAere go 12/15/2020 Page: 4
Replacement Cost Value $2,008.73
Total Paid When Incurred $2,008.73
Net Claim $0.00
Net Claim if Additional Amounts are Recovered $2,008.73
Dwelling - Additional Coverage Limit Recap
Description Single Item Limit Aggregate Limit RCV Overage
Dwelling - Building Ordinance or Law Coverage $35,950.00 $35,950.00 $2,008.73 $0.00
$2,008 73 $0 00
Chris Thomas
“ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE
ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY
FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE
THIRD DEGREE.” FL STAT. §817.234
Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
0901119caabfdéaé USAA ConfidentialALLCAT
JACKSON, ALBERTAere go 12/15/2020 Page: 5
Insured. JACKSON, ALBERTAere go Home: (321) 773-2401
Property: 3500 N RIVERSIDE DR Cell: (321) 543-5019
INDIALANTIC, FL 32903 Other: (821) 313-1836
Home, 3500 N RIVERSIDE DR E-mail: JBertJack@live.com
INDIALANTIC, FL 32903
Claim Rep- Chris Thomas Business: (866) 625-5228
Cellular. (972) 839-0774
Estimator: Chris Thomas Busmess: (866) 625-5228
Cellular: (972) 839-0774
Member Number: 005245214 Policy Number: 005245214/90A L/R Number: 006
Type of Loss: Hail Cause of Loss: Other
Coverage Deductible Policy Limit
Dwelling $2,000.00 $719,000.00
Dwelling - Building Ordinance or Law Coverage $0.00 $35,950.00
Contents $0.00 $359,500.00
Other Structures $0.00 $71,900.00
Other Structures - Building Ordinance or Law Coverage $0.00 $35,950.00
Code Upgrade $0.00 $35,950.00
Date Contacted: 4/26/2019 4:45 PM
Date ofLoss: 3/26/2019 Date Received: 4/26/2019 2:00 AM
Date Inspected: 4/29/2019 9:30 AM Date Entered: 4/26/2019 4:31 PM
Date Est. Completed: 12/15/2020 8:47 AM
Price List! FLME8X_DEC20
Restoration/Service/Remodel
Summary for Other Structures
Line Item Total 28,142.71
Material Sales Tax 887.49
Subtotal 29,030.20
Overhead 2,903.06
Profit 2,903 06
Replacement Cost Value $34,836.32
Less Depreciation (14,546.94)
Actual Cash Value $20,289.38
Less Prior Payment(s) (9,577.41)
Net Claim Remaining $10,711.97
0901119caabfaaaéALLCAT
JACKSON, ALBERTAere go 12/15/2020 Page: 6
Total Depreciation 14,546 94
Less Non-Recoverable Depreciation <6,294.90>
Total Recoverable Depreciation 8,252.04.
Net Claim Remaining if Depreciation is Recovered $18,964.01
Chris Thomas
“ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE
ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY
FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE
THIRD DEGREE.” FL STAT. §817.234
Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
0901119caabfddaéALLCAT
JACKSON, ALBERTAere go
12/15/2020
Insured: JACKSON, ALBERTAere go Home: (321) 773-2401
Property: 3500 N RIVERSIDE DR Cell: (321) 543-5019
INDIALANTIC, FL 32903 Other: (321) 313-1836
Home: 3500 N RIVERSIDE DR E-mail: JBertJack@live com
INDIALANTIC, FL 32903
Claim Rep.. Chris Thomas Business: (866) 625-5228
Cellular. (972) 839-0774
Estimator: Chris Thomas Business: (866) 625-5228
Cellular: (972) 839-0774
Member Number: 005245214 Policy Number: 005245214/90A L/R Number: 006
Type of Loss: Hail Cause of Loss: Other
Coverage Deductible Policy Limit
Dwelling $2,000.00 $719,000.00
Dwelling - Building Ordinance or Law Coverage $0.00 $35,950 00
Contents $0.00 $359,500 00
Other Structures $0.00 $71,900.00
Other Structures - Building Ordimance or Law Coverage $0.00 $35,950.00
Code Upgrade $0.00 $35,950.00
Date Contacted: 4/26/2019 4.45 PM
Date of Loss: 3/26/2019 Date Received: 4/26/2019 2:00 AM
Date Inspected: 4/29/2019 9:30 AM. Date Entered: 4/26/2019 4:31 PM
Date Est. Completed: 12/15/2020 8:47 AM
Price List: FLME8X_DEC20
Restoration/Service/Remodel
Summary for Other Structures - Building Ordinance or Law Coverage
Line Item Total
Replacement Cost Value
Net Claim
Other Structures - Building Ordinance or Law Coverage Paid When Incurred
Line Item Total
Material Sales Tax
Subtotal
Overhead
Profit
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000
$0.00
$0.00
309 80
1.49
311.29
31.12
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Replacement Cost Value $373.53
Total Paid When Incurred $373.53
Net Claim $0.00
Net Claim if Additional Amounts are Recovered $373.53
Other Structures - Additional Coverage Limit Recap
Description Single Item Limit Aggregate Limit RCV Overage
Other Structures - Building Ordinance or Law $35,950.00 $35,950.00 $373.53 $0.00
Coverage
$373 53 $0.00
Chris Thomas
“ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD OR DECEIVE
ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY
FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE
THIRD DEGREE.” FL STAT. §817.234
Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re-inspect the damages prior to the supplemental work being done.
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Recap of Taxes, Overhead and Profit
Overhead (10%) Profit (10%) | Material Sales Tax Laundering Tax (2%) | Manuf.Home Tax Storage Rental Tax
(Th) 6%) a)
Line Items
14,510.94 14,510.94 5,020.03 0.00 0.00 000
Total
14,510.94 14,510.94 5,020.03 0.00 0.00 0.00
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JACKSON__ALBERTA11
Source - Geomni Roof
Source - Geomni Roof
Roof
5744.53 Surface Area 57.45 Number of Squares
455.50 Total Perimeter Length 155.64 Total Ridge Length
116.12 Total Hip Length
Description Quantity Unit Price RCV Depreciation ACV
1. Remove Wood shakes - heavy (3/4") hand split - fire resistant
sQ 57.45SQ 64.26 3,691.74 (0.00) 3,691.74
2. Wood shakes - heavy (3/4") hand split - fire resistant
SQ*115 66.06 SQ 850.70 56,197.24 (33,718.34) 22,478.90
12% waste was added. Gable roof with an attached hip on the garage.
3. Ridge cap - wood shake shingles
R+HIP 271.76 LF 10.23 2,780.10 (1,668.06) 1,112.04
4, Remove Additional charge for steep roof - 7/12 to 9/12 slope
0.97 0.97SQ 1537 14.91 (0.00) 14.91
5. Additional charge for steep toof - 7/12 to 9/12 slope
0.97 0.97SQ 52.49 50.92 (0.00) 50.92
6. Remove Additional charge for steep roof - 10/12 - 12/12 slope
56.47 56.47SQ 24.16 1,364.32 (0.00) 1,364.32
7. Additional charge for steep roof - 10/12 - 12/12 slope
56.47 56.47SQ 82.50 4,658.78 (0.00) 4,658.78
8, Remove Additional charge for high roof (2 stories or greater)
20.87 20.87 SQ 6.32 131.90 (0.00) 131.90
9, Additional, charge for high roof (2 stories or greater)
20.87 20.87SQ 23.18 483.77 (0.00) 483.77
10, R&R Drip edge - copper
P 455.50 LF 9.47 4,313.59 (663.94) 3,649.65
11. R&R Valley metal - copper
VAL 212.54 LF 22.33 4,746.02 (737.26) 4,008.76
12 Flashing - pipe jack - lead
5 5.00 EA 16.37 381.85 (261.84) 120.01
13. Roof vent - off ridge type - 4"
5 5.00 EA 131.82 659.10 (451.95) 207.15
14. Flashing - pipe jack - split boot
1 1.00 EA 80.83 80.83 (55.43) 25.40
+5—Re-nathng-of roof sheathmg—completete-nait
This item did not previously exist or expands the scope of repairs, but is required by current building codes The code upgrade cost is
payable when incurred, subject to limits.
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CONTINUED - Roof
Description Quantity Unit Price RCV Depreciation ACV
16 R&R Chimney flashing - average (32" x 36") - copper
3 3.00 EA 728.15 2184.45 (339.61) 1,844.84
17. Material Only Battens - 2x4
SQ 57.45 SQ 126.84 7,286.96 (0.00) 7,286.96
18. Wood shake/shingle starter
P 455.50 LF 7.88 3,589.34 (0.00) 3,589.34
19. Roofing felt - 30 Ib.
sQ 57.45 SQ 44.39 2,550.21 (0.00) 2,550.21
Additional layer found as removal was being comple