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HVACi Onsite Assessment Report - 2024-01-05 - Claim 836-764513 - 13806 Coit Rd.pdf

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ONSITE ASSESSMENT REPORT Policyholder Copy Report Date: Claim # HVACi File # 01/05/2024 836-764513 24-01312101 Recommended Cost Breakdown The following section provides a breakdown of our recommended cost by individual system. The actions listed below will restore your insured to repaired condition: Replacement Costs System #: 001 Brand: Airtemp Model #: UNAVAILABLE Ton/BTU: 150k PARTS COST INCLUDING TAX $1,384.56 DESCRIPTION Airtemp, 80% Efficiency,130k BTU, Gas Furnace Age: 1995 2 $232.00 LINE

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ONSITE ASSESSMENT REPORT Policyholder Copy Report Date: Claim # HVACi File # 01/05/2024 836-764513 24-01312101 Recommended Cost Breakdown The following section provides a breakdown of our recommended cost by individual system. The actions listed below will restore your insured to repaired condition: Replacement Costs System #: 001 Brand: Airtemp Model #: UNAVAILABLE Ton/BTU: 150k PARTS COST INCLUDING TAX $1,384.56 DESCRIPTION Airtemp, 80% Efficiency,130k BTU, Gas Furnace Age: 1995 2 $232.00 LINE ITEM TOTAL INCLUDING TAX $1,616.56 LABOR HOURS LABOR COST Removal of Existing Equipment $0.00 3 $348.00 $348.00 Electrical / Gas Connections $75.60 1 $116.00 $191.60 Ductwork Transitions $108.00 1 $116.00 $224.00 Miscellaneous Materials $270.00 1 $116.00 $386.00 Thermostat $106.92 0.5 $58.00 $164.92 Affected Ductwork Replacement $810.00 6 $696.00 $1,506.00 Post Installation System Start-Up $0.00 0.5 $58.00 $58.00 $2,755.08 15.00 $1,740.00 $4,495.08 System Total w/Tax: System #: 002 Brand: Rheem Model #: UNAVAILABLE Ton/BTU: 40 gal. PARTS COST INCLUDING TAX $918.00 DESCRIPTION Rheem, 40 Gallon, Electric, Water Heater LABOR HOURS 1.5 Age: 2000 LABOR COST $174.00 LINE ITEM TOTAL INCLUDING TAX