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Shelter Insurance PO Box 6008 Columbia, MO 65205-6008 Fax: 888-742-5671 Description Quantity Unit Price Per Dep. Appl. Paid RC Depreciation ACV Claim #DW0000003360349, (LOFTY HOLDING 1090 DIAGONAL ROAD LLC) ESTIMATE: Structure (Shelter Insurance) In progress FLOORPLAN: Floorplan Basement Length: 10' Width: 10' Height: 8' Flat Walls: 320.00 SF Walls-subs: 320.00 SF Walls-subs-cas-bsbd: 308.32 SF Doors: 0.00 SF Windows: 0.00 SF Openings: 0.00 SF Missing Walls: 0.00 SF Floor: 100.00 SF Ceiling: 100

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Shelter Insurance
PO Box 6008
Columbia, MO 65205-6008
Fax: 888-742-5671
Description

Quantity

Unit Price

Per

Dep. Appl.

Paid

RC

Depreciation

ACV

Claim #DW0000003360349, (LOFTY HOLDING 1090 DIAGONAL ROAD LLC)

ESTIMATE: Structure (Shelter Insurance)
In progress

FLOORPLAN: Floorplan
Basement
Length: 10'

Width: 10'

Height: 8' Flat

Walls: 320.00 SF

Walls-subs: 320.00 SF Walls-subs-cas-bsbd: 308.32 SF

Doors: 0.00 SF

Windows: 0.00 SF

Openings: 0.00 SF

Missing Walls: 0.00 SF

Floor: 100.00 SF

Ceiling: 100.00 SF

Perim (F): 40.00 LF

Perim (C): 40.00 LF

1 Replace - Water
Heater, Gas 40
Gallon, 6 Yr Warranty

1

$966.31

EA

MAT LAB EQU
MKT O&P TAX

Unpaid

$966.31

$193.26

$773.05

2 Replace - Furnace,
Forced Air, Gas, Small
Good

1

$1,352.24

EA

MAT LAB EQU
MKT O&P TAX

Unpaid

$1,352.24

$270.45

$1,081.79

3 Bid Item, Plumbing

1

$150.00

EA

Unpaid

$150.00

Basement - Subtotal (3 items)

$150.00

$463.71

$2,004.84

Floorplan - Subtotal (3 items)

$2,468.55 $463.71

$2,004.84

Subtotal

$2,468.55 $463.71

$2,004.84

Claim DW0000003360349

$2,468.55

$0.00

04/27/2023

Shelter Insurance
PO Box 6008
Columbia, MO 65205-6008
Fax: 888-742-5671
ESTIMATE: Structure (Shelter Insurance)

Claim #DW0000003360349, (LOFTY HOLDING 1090 DIAGONAL ROAD LLC)

In progress
Total Materials:
Total Labor:
Subtotal:

Sales Tax 6.750% (applies to materials only, some items overridden):

$1,833.31
$635.24
$2,468.55

$123.75

Replacement Cost Value:

$2,592.30

Replacement Cost on Coverage PROPERTY/DWELLING:

$2,592.30

Less Recoverable Depreciation:

$(488.46)

Net Actual Cash Value on Coverage PROPERTY/DWELLING:

$2,103.84

Coverage PROPERTY/DWELLING Deductible ($1,000.00) applied:

$(1,000.00)

Net Actual Cash Value on Coverage PROPERTY/DWELLING after Deductible:

$1,103.84

Amount Payable on Coverage PROPERTY/DWELLING:

$1,103.84

Recoverable Depreciation:

$488.46

Net Coverage PROPERTY/DWELLING after Deductible if Depreciation Is Recovered:

$1,592.30

Amount Payable on Coverage PROPERTY/DWELLING if Depreciation Is Recovered:

$1,592.30

Net Estimate:

$1,103.84

Total Net Recoverable Depreciation:
Net Estimate if Depreciation Is Recovered:

$488.46
$1,592.30

Erik Hurchanik
Material Claims Adjuster
Cell 765-716-7121
Branch Office 317-842-9443
Branch Address 8891 Allisonville Rd Indianapolis IN 46250
claimsdocuments@shelterinsurance.com
REASONABLE FEES FOR DEBRIS REMOVAL ARE PAID IF INCURRED AND COVERED BY
YOUR POLICY
The “Depreciation” column lists the depreciation amount applied to each item. Depreciation was
applied as our policy and the law directs to certain portions of the overall price, which may
include: MAT (Material), LAB (Labor), EQU (Equipment), MKT (Market Conditions), O&P
(Overhead and Profit), and TAX (Taxes). A checkmark means this amount is recoverable after the
work is completed.

Finalization

Claim DW0000003360349

04/27/2023