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1 Insured: Property: X X X X X X X X X Reference: Company: XXXXX Sample State Insurance Contractor: xxxxxx xxxx Business: (xxx) xxx-xxxx Company: xxxxx xxxxx xxx. xxxxxx@gmail.com Business: Claim Number: xxxlo-xxxxx-xx Policy Number: RT-KO-xxxx-x-x Type of Loss: xxxx Date of Loss: 3/25/2016 Date Entered: 4 /6/ :00 PM Price List: Estimate: LOLA8X_APR16 Restoration/Service/Remodel RECONSTRUCTION_ESTIMATE The following is an estimate for the repair of property damage. Since this quote will be used for insurance claims filing purposes, we have used Xactimate pricing, which is an industry insurance standard. Prices are calculated on the basis of local criteria and the most accurate figures available at the time of this estimate are considered. The estimate will be based on the damage seen or revealed. The repair of covered loss may be greater than these figures due to other undiscovered circumstances. This estimate includes the items that the Contractor considers necessary to return the property to the condition of previous loss. Unseen, undisclosed or non-obvious conditions, if discovered later or during the course of repairs, will be considered not included. If discovered, any additional repair needed will be submitted for supplemental coverage, based on the Xactimate price.

2 RECONSTRUCTION_ESTIMATE Dwelling Basement Stairs Height: Sloped SF Walls SF Walls & Ceiling 6.15 SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor LF Floor Perimeter Missing Wall 3' 1 15/16" X 7' Opens into FINISHED_BAS Missing Wall Goes to neither Floor/Ceiling 4' 2" X 1' 8" Opens into FINISHED_BAS Subroom: Landing (2) Height: 8' SF Walls SF Walls&Ceiling 1.45 SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor 8.70 LF Floor Perimeter Missing Wall 3' 2" X 8' Opens into STAIRS Missing Wall - Goes to Floor 2' 10" X 6' Opens into LAUNDRY_ROOM DESCRIPTION QTY RESET R E M O V E REPLACE TAX O&P TOTAL PREP ITEMS 1. Floor protection - corrugated SF cardboard and tape Protect ceramic tile on landing for work traffic WALLS, CEILING, CABINETS & TRIM 2. R&R- High grade SF Quality: 4' x 8' sheet natural wood veneer with v-cut grooves, 1/8" thick. FINISHES & HARDWARE 3. Handrail - wall mounted - Detach & LF reset To R&R paneling FLOORS & BASE MOLDING 4. Remove Carpet - Standard grade SF RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 2

3 CONTINUED - Stairs DESCRIPTION QTY REMOVE REMOVE REPLACE TAX O&P TOTAL 5. (Material Only) Carpet - Standard SF grade 6. Step charge for "waterfall" carpet EA Installation FINAL CLEANING 7. Clean floor SF Floor below stairs (FBS variable) Totals: Stairs RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 3

4 Finished Basement Height: 7' SF Walls SF Walls&Ceiling SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor LF Floor Perimeter Window 2' 11" X 1' 1" Opens into Exterior Missing Wall - Goes to Floor 2' 6" X 6' 8" Opens into CLOSET Door 2' 6" X 6' 8" Opens into LAUNDRY_ROOM Missing Wall 3' 1 15/16" X 7' Opens into STAIRS Missing Wall - Goes to neither Floor/Ceiling 4' 2" X 1' 8" Opens into STAIRS Window 2' 11" X 1' 1" Opens into Exterior Subroom: Gas Meter Closet (3) Height: 7' SF Walls SF Walls & Ceiling 0.25 SY Flooring 7.73 LF Ceil. Perimeter 2.22 SF Ceiling 2.22 SF Floor 5.55 LF Floor Perimeter Door 1' 6" X 6' 8" Opens into FINISHED_BAS Subroom: Water Meter Closet (2) Height: 7' SF Walls SF Walls & Ceiling 0.38 SY Flooring 9.18 LF Ceil. Perimeter 3.38 SF Floor 3.38 SF Floor 6.77 LF Floor Perimeter Door 1' 8" X 6' 8" Opens into FINISHED_BAS Subroom: Liquor Shelf (1) Height: 3' 2" SF Walls SF Walls & Ceiling 0.70 SY Flooring LF Ceil. Perimeter 6.28 SF Ceiling 6.28 SF Floor 9.18 LF Floor Perimeter RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 4

5 Missing Wall - Goes to neither Floor/Ceiling 4' 4" X 2' 1" Opens into FINISHED_BAS DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL ROUGH ITEMS 8. R&R Vapor barrier - visqueen SF mil WALLS, CEILING, CABINETS & TRIM 9. Suspended ceiling tile - Detach & SF reset To R&R paneling and D&R ceiling grid 10. Suspended ceiling grid - Detach & SF reset To R&R paneling 11. R&R Paneling - High grade SF , Includes 32 sf for sides of bar and 37 sf for sides and bottom of boxed-in beam 12. (Material Only) Bifold door EA lauan/mahogany - Single Door was detached from opening at time of loss 13. R&R Bifold door EA lauan/mahogany Single 14. R&R Bifold door - full louvered EA Single 15. R&R Corner trim - plastic LF Outside corner for paneling = 94' 4" Inside corner for paneling = 67' 7" 16. Detach & Reset Shelving - 12" in 8.70 LF place Bottom shelf under bar to clean floor FINISHES & HARDWARE 17. Stain & finish single bifold door EA slab only - (per side) Both sides of bifold doors are stained 18. Stain & finish full louvered door 5.80 EA slab only - (per side) Both sides of two fully louvered bifold doors 19. Detach & Reset Light fixture - wall 2.90 EA sconce To R&R paneling RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 5

6 CONTINUED - Finished Basement DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL 20. Outlet or switch - Detach & reset EA To R&R paneling 21. Heat/AC register - Mechanically 4.35 EA attached - Detach & reset To R&R paneling & D&R ceiling tiles 22. Window drapery - hardware EA Detach & reset To R&R paneling 23. Remove TV Brackets - Wall 4.35 EA mounted Detach for R&R paneling 24. (Install) TV Brackets Wall 4.35 EA mounted Reset upon completion of restoration work FLOORS & BASE MOLDING 25. Tear out non-salv vinyl,cut & bag SF Category 3 water 26. Clean floor SF Floor preparation for resilient SF flooring 28. Vinyl tile SF , Cove base molding - rubber or LF vinyl, 2 1/2" high FINAL CLEANING 30. Clean window unit (per side) EA SF Totals: Finished Basement , , RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 6

7 Laundry Room Height: 7' SF Walls SF Walls & Ceiling SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor LF Floor Perimete Window 2' 6" X 1' 4" Opens into Exterior Window 2' 6" X 1' 4" Opens into Exterior Missing Wall - Goes to Floor 2' 10" X 6' Opens into LANDING Door 2' 6" X 6' 8" Opens into FINISHED_BAS Missing Wall 4' 5 15/16" X 7' Opens into STORAGE DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL FINAL CLEANING 31. Washing machine - Remove & 1.45 EA Reset 32. Clean washer - exterior 1.45 EA Dryer - Remove & reset - gas 1.45 EA Clean dryer - exterior 1.45 EA Freezer - Remove & reset 1.45 EA Clean freezer - exterior 1.45 EA Clean floor SF Totals: Laundry Room RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 7

8 Bathroom (3/4) Height: 7' SF Walls SF Walls & Ceiling 3.49 SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor LF Floor Perimeter Door Window 2' 8" X 6' 8" 2' 6" X 1' 4" Opens into STORAGE Opens into Exterior Subroom: Shower (1) Height: 7' SF Walls SF Walls&Ceiling 1.54 SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor LF Floor Perimeter Missing Wall - Goes to Ceiling 3' X 6' 8" Opens into BATHROOM_3_ RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 8

9 DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL PREP 38. Floor protection - plastic and tape SF mil Protect floor finish from damage and paint spatter during rep ir work WALLS, CEILING, CABINETS & TRIM 39. R&R AC plywood - 1/4" SF R&R Quarter round - 3/4" LF R&R Vanity 2.18 LF FINISHES & HARDWARE 42. Mask and prep for paint - tape only (per LF) 43. Seal/prime then paint the surface area twice (3 coats) 44. Seal & paint base shoe or quarter round LF SF LF Vanity top - Detach and reset 2.18 LF Medicine cabinet - Detach & reset 2.90 EA To R&R plywood FINAL CLEANING 47. Clean toilet 1.45 EA Clean floor SF Totals: Bathroom (3/4) RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 9

10 Storage Height: 7' SF Walls SF Walls & Ceiling SY Flooring SF Ceiling SF Floor LF Floor Perimeter LF Ceil. Perimeter Window 2' 6" X 1' 4" Opens into Exterior Door 2' 8" X 6' 8" Opens into BATHROOM_3_ Missing Wall 4' 5 15/16" X 7' Opens into LAUNDRY_ROOM Subroom: Closet (1) Height: 7' SF Walls SF Walls&Ceiling 2.22 SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor LF Floor Perimeter Missing Wall 3' 2" X 7' Opens into STORAGE Door 2' 6" X 6' 8" Opens into FINISHED_BAS RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 10

11 DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL WALLS, CEILING, CABINETS & TRIM 49. Shelving - Detach & reset LF Adjustable shelving for R&R of plywood wall paneling 50. R&R AC plywood - 1/2" SF FINAL CLEANING 51. Water heater - Detach & reset 1.45 EA Water level was high enough to extinguish pilot 52. Clean water heater 1.45 EA Refrigerator - Remove & reset 1.45 EA Clean refrigerator - exterior 1.45 EA Clean furnace - forced air 1.45 EA Clean floor SF Totals: Storage Total: Basement , , Total: Dwelling , , GENERAL DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL 57. Taxes, insurance, permits & fees (Bid item) 1.45 EA OPEN ITEM 58. Single axle dump truck - per load - including dump fees 1.45 EA Totals: General RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 11

12 Ordinance & Law Basement 4' 5" 4' 2" 10' 7" 11' 7" 2' 6" Finished Basem 1' e 6 n " t Boxed-in Beam (B2) 3' 1' 10" 1' 7" 4' 4" 4' 9" 4' 5" 3' 11" 4' 7" Bar (B1) 7' 11" 8' 3" 4' 2" 3' 6" Finished Basement Height: 7' 10' 7" 2' 2' 4" 1' 8" 11' 3" SF Walls SF Walls&Ceiling SY Flooring LF Ceil. Perimeter SF Ceiling SF Floor LF Floor Perimeter Door 1' 6" X 6' 8" Opens into Exterior Window 2' 11" X 1' 1" Opens into Exterior Missing Wall - Goes to neither Floor/Ceiling 4' 2" X 1' 8" Opens into Exterior Missing Wall 3' 1 15/16" X 7' Opens into Exterior Door 2' 6" X 6' 8" Opens into Exterior Missing Wall - Goes to Floor 2' 6" X 6' 8" Opens into Exterior Missing Wall - Goes to neither Floor/Ceiling 4' 4" X 2' 1" Opens into Exterior Window 2' 11" X 1' 1" Opens into Exterior Door 1' 8" X 6' 8" Opens into Exterior DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL Includes items only for codes that will be directly violated if the scope of repairs covered under policy are completed. (Example: Batt insulation and electrical outlets on walls where paneling must be replaced.) Ordinance & Law scope does not include required code items unrelated to scope of repairs covered by insurance. (Example: floor joist insulation to meet current energy code and electrical upgrades in unfinished section of basement) Insulation 59. Batt insulation - 4" - R13 - paper SF faced Energy Code / Basement Walls - IRC N1102.1J5 Basement walls. When the basement is a conditioned space, the basement walls shall be insulated in accordance with Table N When insulating basement walls, the required R-value shall be applied from the top of the basement wall to a depth of 10 feet (3048 mm) below grade or to the top of the basement floor, whichever is less. RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 12

13 CONTINUED - Finished Basement DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL 60. Batt insulation replacement per LF LF " - up to 2' tall Rim joist insulation in finished section of basement Electrical volt copper wiring run, box and outlet Receptacle Outlets - IRC E Spacing. - Receptacles shall be installed so that no point along the floor line in any wall space is more than 6 feet (1829 mm), measured horizontally, from an outlet in that space EA Outlet or switch cover EA Totals: Finished Basement , Total: Basement , Total: Ordinance & Law , Labor Minimums Applied DESCRIPTION QTY RESET REMOVE REPLACE TAX O&P TOTAL 63. Wood floor covering labor 1.45 EA minimum 64. Framing labor minimum 1.45 EA Cabinetry labor minimum 1.45 EA Window treatment repair 1.45 EA Carpet labor minimum 1.45 EA Tile / marble labor minimum 1.45 EA Totals: Labor Minimums Applied Line Item Totals: RECONTRUCTION ESTIMATE , , RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 13

14 Grand Total Areas: 3, SF Walls 1, SF Ceiling 4, SF Walls and Ceiling 1, SF Floor SY Flooring LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall LF Ceil. Perimeter 1, Floor Area 1, Total Area 2, Interior Wall Area 2, Exterior Wall Area 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 RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 14

15 Line Item Total Summary 13, Material Sales Tax Subtotal 13, Overhead Profit Replacement Cost Value $16, Net Claim $16, XXX XXX RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 15

16 Recap of Taxes, Overhead and Profit Overhead (10%) Profit (10%) Material Sales Tax (6%) Storage Tax (6%) Line Items Total RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 16

17 Recap by Room Estimate: RECONSTRUCTION Area: Dwelling Area: Basement Stairs % Finished Basement 8, % Laundry Room % Bathroom (3/4) % Storage % Area Subtotal: Basement 10, % Area Subtotal: Dwelling 10, % General % Area: Ordinance & Law Area: Basement Finished Basement 1, % Area Subtotal: Basement 1, % Area Subtotal: Ordinance & Law 1, % Labor Minimums Applied % Subtotal of Areas 13, % Total 13, % RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 17

18 O&P Items Recap by Category Total % ACOUSTICAL TREATMENTS % APPLIANCES % CABINETRY % CONT: CLEAN APPLIANCES % CLEANING % GENERAL DEMOLITION 1, % DOORS % ELECTRICAL % FLOOR COVERING - CARPET % FLOOR COVERING - VINYL 1, % FLOOR COVERING - WOOD % FINISH CARPENTRY / TRIMWORK % FINISH HARDWARE % FRAMING & ROUGH CARPENTRY % INSULATION % LIGHT FIXTURES % MARBLE - CULTURED OR NATURAL % PLUMBING % PANELING & WOOD WALL FINISHES 2, % PAINTING % TIL % WINDOW TREATMENT % O&P Items Subtotal 13, % Material Sales Tax % Overhead 1, % Profit 1, % Total 16, % RECONSTRUCTION_ESTIMATE 4/7/2016 Page: 18

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