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HVACi Onsite Assessment Report - 2024-01-05 - Claim 836-764513 - 13806 Coit Rd - 13806 Coit Rd, Cleveland, OH 44110.pdf

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Dropbox path05 - Insurance/HVACi Onsite Assessment Report - 2024-01-05 - Claim 836-764513 - 13806 Coit Rd - 13806 Coit Rd, Cleveland, OH 44110.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
$1,092.00

Drain System and Disconnect Utilities

$0.00

0.5

$58.00

$58.00

Remove and Disposal of Existing Tank

$0.00

1.5

$174.00

$174.00

Install Piping and Fittings

$54.00

1

$116.00

$170.00

Post Installation System Start-Up

$0.00

0.5

$58.00

$58.00

$972.00

5.00

$580.00

$1,552.00

System Total w/Tax:
System #: 003

Brand: Rheem
DESCRIPTION

Rheem, 40 Gallon, Electric, Water Heater

Model #: UNAVAILABLE

Ton/BTU: 40 gal.

PARTS COST
INCLUDING
TAX
$918.00

LABOR
HOURS
1.5

Age: 2000
LABOR COST
$174.00

LINE ITEM
TOTAL
INCLUDING TAX
$1,092.00

Drain System and Disconnect Utilities

$0.00

0.5

$58.00

$58.00

Remove and Disposal of Existing Tank

$0.00

1.5

$174.00

$174.00

Our calculation of applicable sales tax is provided for general information purposes only. Any final determination of sales tax applicability should be made by the
adjuster after consultation with their internal tax professionals. HVACi does not interpret language or whether any, or all coverage may apply. We therefore
defer coverage determinations to your organization.

hvaci.com

Page 6 of 8

(888) 407-5224

ONSITE ASSESSMENT REPORT
Policyholder Copy
Report Date:
Claim #
HVACi File #

01/05/2024
836-764513
24-01312101

Install Piping and Fittings

$54.00

1

$116.00

$170.00

Post Installation System Start-Up

$0.00

0.5

$58.00

$58.00

$972.00

5.00

$580.00

$1,552.00

System Total w/Tax:
System #: 004

Brand: Chrysler

Model #: UNAVAILABLE

Ton/BTU: 60k

Age: 1980

LABOR
HOURS

LABOR COST

2

$232.00

LINE ITEM
TOTAL
INCLUDING TAX
$1,196.44

$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

$594.00

4

$464.00

$1,058.00

Post Installation System Start-Up

$0.00

0.5

$58.00

$58.00

$2,118.96

13.00

$1,508.00

$3,626.96

Parts Sub Total w/o Tax:
Labor Sub Total w/o Tax:
Sales Tax:
Total Recommended Cost:

$6,313.00
$4,408.00
$505.04
$11,226.04

DESCRIPTION
Airtemp, 80% Efficiency, 60k BTU, Gas Furnace

PARTS COST
INCLUDING
TAX
$964.44

Removal of Existing Equipment

System Total w/Tax:

State Sales Tax Rate:
Technician Rate Per Hour:

$

8.00%
116.00

Please note that the above Recommended Cost Breakdown includes:
• All Miscellaneous Parts and Materials for Repair of HVAC Equipment
• Crane Fees Where Applicable
• Disposal of Existing Equipment Net of Salvage Value, If Any
• System Start-Up & Performance Checks
The above Recommended Cost Breakdown does not include cutting, patching, painting, roofing or responsibilities required from a general
contractor.
Repair and replacement costs are based on average market rates at the time this report was prepared. Market prices can, and often do,
substantially change over time, and therefore these costs are only valid for 30 days from the date of report issuance.
Our calculation of applicable sales tax is provided for general information purposes only. Any final determination of sales tax applicability
should be made by the adjuster after consultation with their internal tax professionals.

Our calculation of applicable sales tax is provided for general information purposes only. Any final determination of sales tax applicability should be made by the
adjuster after consultation with their internal tax professionals. HVACi does not interpret language or whether any, or all coverage may apply. We therefore
defer coverage determinations to your organization.

hvaci.com

Page 7 of 8

(888) 407-5224