Vehicle Total Loss Claim Summary
Vehicle Total Loss Claim Summary
Email: docs@[Link]
Please include your claim # on any correspondence
Bristol West Insurance
P.O. Box 258806
Oklahoma City, OK 73125-8806
October 2, 2024
[Link]/home/claims
JENNA E TAYLOR
96 ORCHARD ST
LYNN MA 01905
Delivered by email to: jemtaylor09@[Link]
We have been notified of the above-referenced loss. Please contact CoPart about submitting the title to receive
payment, their phone number for questions is 844-777-7622.
The damage to your vehicle has resulted in a total loss. The evaluation of your claim was made by comparing
your 2013 NISSAN ALTIMA 2.5 S SV to vehicles that are of the same year, make and model. The comparison
also considered similar equipment, mileage and conditions. The value of your vehicle is $3,096.00. Our
settlement amount is detailed as follows:
Amount if Foremost Insurance Company Grand Rapids, Michigan takes possession of the vehicle:
Actual Cash Value: $3,096.00
Sales Tax: + $193.50
License/Transfer Fee: + $100.00
Less Deductible: - $1,000.00
Net Total: $2,389.50
If you have Gap coverage, your Gap carrier may require you to provide copies of the valuation and estimate.
Therefore, please retain these documents for your records.
I am committed to earning your satisfaction with the claims process. If you have any questions or concerns
regarding your total loss, please feel free to contact me at (302) 416-8142.
Sincerely,
Molly Wyman
Field Claims Representative
(302) 416-8142
Foremost Insurance Company Grand Rapids, Michigan
Email communications are preferred and should be sent to docs@[Link]. If hard copies of communications are
required, they should be sent to our National Document Center at P.O. Box 258806, Oklahoma City, OK 73125-8806.
62X5SZ773
Enclosure(s):
Total Loss/Salvage -
62X5SZ773
Prepared for FOREMOST INS. CO. GRAND RAPIDS, MI.
REPORT SUMMARY
The CCC ONE® Market Valuation
CLAIM INFORMATION Report reflects CCC Intelligent Solutions
Inc.’s opinion as to the value of the loss
Owner Taylor, Jenna
vehicle, based on information provided to
Lynn, MA 01905-2840 CCC by FOREMOST INS. CO. GRAND
Loss Vehicle 2013 Nissan Altima SV RAPIDS, MI..
INSURANCE INFORMATION
Report Reference Number 121511555
Claim Reference 7008138790-1_A4391898
Adjuster Wyman, Molly
Appraiser Trask, Paul
Odometer 221,557
Last Updated 10/02/2024 09:40 AM
The total may not represent the total of the settlement as other factors (i.e. other
Any applicable title, registration and
applicable fees) may need to be taken into account.
other fees owed to the claimant are
calculated separately by FOREMOST
INS. CO. GRAND RAPIDS, MI. and may
not be reflected here.
Valuation Methodology............................. 3
Vehicle Information...................................4
Vehicle Condition......................................7
Taxes and Fees........................................8
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 1 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
REPORT SUMMARY
Comparable Vehicles............................... 9
Valuation Notes...................................... 11
Supplemental Information.......................12
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 2 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
VALUATION METHODOLOGY
How was the valuation determined?
CLAIM INSPECTION
FOREMOST INS. CO. GRAND RAPIDS, MI. has provided CCC with the zip code where the loss
vehicle is garaged, loss vehicle VIN, mileage, equipment, as well as loss vehicle condition, which is
used to assist in determining the value of the loss vehicle.
DATABASE REVIEW
CCC maintains an extensive database of vehicles that currently are
or recently were available for sale in the U.S. This database includes
vehicles that CCC employees have physically inspected, as well as
vehicles advertised for sale by dealerships or private parties. All of
these sources are updated regularly.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 3 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
VEHICLE INFORMATION
VEHICLE DETAILS
Vehicles sold in the United States
Location LYNN, MA 01905-2840 are required to have a manufacturer
assigned Vehicle Identification
VIN 1N4AL3AP2DC131658
Number(VIN). This number provides
Year 2013 certain specifications of the vehicle.
Make Nissan
Please review the information in the
Model Altima Vehicle Information Section to confirm
Trim SV the reported mileage and to verify that
the information accurately reflects the
Body Type Sedan
options, additional equipment or other
Engine - aspects of the loss vehicle that may
Cylinders 4 impact the value.
Displacement 2.5L
Fuel Type Gasoline
Carburation Electronic Fuel Injection
Transmission Automatic Transmission
Curb Weight 3121 lbs
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 4 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
VEHICLE INFORMATION
VEHICLE EQUIPMENT
To the left is the equipment of the loss
Odometer 221,557 vehicle that FOREMOST INS. CO.
GRAND RAPIDS, MI. provided to CCC.
Transmission Automatic Transmission
Standard This equipment is
Power Power Steering
included in the base configuration of
Power Brakes the vehicle at time of purchase.
Power Windows
Additional Equipment that is not
Power Locks Standard but was noted to be on the
loss vehicle.
Power Mirrors
Power Trunk/Liftgate
Climate Control
Tilt Wheel
Cruise Control
Rear Defogger
Intermittent Wipers
Console/Storage
Overhead Console
Navigation System
Keyless Entry
Telescopic Wheel
Message Center
Home Link
Remote Starter
Bucket Seats
Radio AM Radio
FM Radio
Stereo
Search/Seek
CD Player
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 5 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
VEHICLE INFORMATION
VEHICLE EQUIPMENT
Satellite Radio
Backup Camera
Hands Free
Alarm
Traction Control
Stability Control
Tinted Glass
Fog Lamps
Metallic Paint
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 6 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
VEHICLE CONDITION
COMPONENT CONDITION
FOREMOST INS. CO. GRAND RAPIDS,
Condition Inspection Notes Value Impact MI. uses condition inspection guidelines
to determine the condition of key
Mechanical NORMAL Normal wear of belts and hoses $0
components of the loss vehicle prior
WEAR
to the loss. The guidelines describe
Tires NORMAL L/F 7/32, L/R 8/32, R/F 8/32, R/R 5/32 $0 physical characteristics for these key
WEAR components, for the condition selected
based upon age. Inspection Notes
Paint MAJOR WEAR R bumper collision. R & L Rocker - $ 134
reflect observations from the appraiser
Body MAJOR WEAR R bumper collision. R & L Rocker - $ 208 regarding the loss vehicle’s condition.
Glass NORMAL normal pitting. Windshield part of loss $0 CCC makes dollar adjustments that
WEAR reflect the impact the reported condition
has on the value of the loss vehicle as
Interior MAJOR WEAR heavily soiled carpets and seats. - $ 462 compared to Normal Wear condition.
cigarettes in vehicle These dollar adjustments are based
upon interviews with dealerships across
Total Condition Adjustments - $ 804 the United States.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 7 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 8 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
COMPARABLE VEHICLES
Options Loss Comp 1 Comp 2
Comp 1 Updated Date: 09/09/2024
Vehicle
2013 Nissan Altima S 4 2.5l Gasoline
Odometer 221,557 201,000 217,378 Electronic Fuel Injection
Automatic Transmission VIN 1N4AL3AP7DN563683
Dealership Bob Graham Auto Sales &
Power Steering
Services
Power Brakes Telephone (508) 378-2214
Power Windows Source Dealer Ad
Power Locks Distance from Lynn, MA
Power Mirrors 29 Miles - East Bridgewater, MA
Comp 2 Updated Date: 08/26/2024
Power Driver Seat
2013 Nissan Altima Sl 6 3.5l Gasoline
Power Trunk/Liftgate Electronic Fuel Injection
Air Conditioning VIN 1N4BL3AP2DN574949
Climate Control Dealership Stateline Auto & Sales Llc
Tilt Wheel Telephone (401) 434-1099
Source Dealer Ad
Cruise Control
Distance from Lynn, MA
Rear Defogger 49 Miles - East Providence, RI
Intermittent Wipers
Comparable vehicles used in the
Console/Storage
determination of the Base Vehicle Value
Overhead Console are not intended to be replacement
Navigation System vehicles but are reflective of the market
Keyless Entry value, and may no longer be available
Telescopic Wheel for sale.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 9 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
COMPARABLE VEHICLES
Options Loss Comp 1 Comp 2
Vehicle
Adjustments:
Make/Model/Trim + $ 250 - $ 1,100
Options + $ 629 + $ 629
Mileage - $ 247 - $ 50
Condition¹ - $ 1,209 - $ 1,209
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 10 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
VALUATION NOTES
This Market Valuation Report has been prepared exclusively for use by FOREMOST INS. Regulations concerning vehicle value
CO. GRAND RAPIDS, MI., and no other person or entity is entitled to or should rely upon include Code of Massachusetts
this Market Valuation Report and/or any of its contents. CCC is one source of vehicle Regulation 211-133.00.
valuations, and there are other valuation sources available.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 11 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 12 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
CCC provides FOREMOST INS. CO.
EXPERIAN® AUTOCHECK® VEHICLE HISTORY REPORT
GRAND RAPIDS, MI. information reported
by Experian regarding the 2013 Nissan
TITLE CHECK RESULTS FOUND Altima (1N4AL3AP2DC131658). This data
is provided for informational purposes.
Abandoned No Abandoned Record Found
Unless otherwise noted in this Valuation
Damaged No Damaged Record Found Detail, CCC does not adjust the value of the
Fire Damage No Fire Damage Record Found loss vehicle based upon this information.
Grey Market No Grey Market Record Found LEGEND :
Hail Damage No Hail Damage Record Found No Event Found
Insurance Loss No Insurance Loss Record Found Event Found
VEHICLE INFORMATION
Accident No Accident Record Found
THIS VEHICLE CHECKS OUT
Corrected Title No Corrected Title Record Found
AutoCheck's result for this loss vehicle
Driver Education No Driver Education Record Found show no vehicle information that indicate
Fire Damage Incident No Fire Damage Incident Record Found a significant automotive problem. These
Lease No Lease Record Found problems can indicate past previous
car damage, theft, or other significant
Lien No Lien Record Found
problems.
Livery Use No Livery Use Record Found
ODOMETER CHECK
Government Use No Government Use Record Found
THIS VEHICLE CHECKS OUT
Police Use No Police Use Record Found
AutoCheck's result for this loss vehicle
Fleet No Fleet Record Found show no indication of odometer rollback
Rental No Rental Record Found or tampering was found. AutoCheck
Fleet and/or Rental determines odometer rollbacks by
No Fleet and/or Rental Record Found
searching for records that indicate
Repossessed No Repossessed Record Found
odometer readings less than a previously
Taxi use No Taxi use Record Found reported value. Other odometer events
Theft No Theft Record Found can report events of tampering, or possible
Fleet and/or Lease odometer breakage.
No Fleet and/or Lease Record Found
Emissions Safety Inspection No Emissions Safety Inspection Record Found
Duplicate Title No Duplicate Title Record Found
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 13 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
FULL HISTORY REPORT RUN DATE: 10/02/2024
Below are the historical events for this vehicle listed in chronological order.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 14 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
EVENT RESULTS ODOMETER DATA EVENT
DATE FOUND READING SOURCE DETAIL
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 15 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
EVENT RESULTS ODOMETER DATA EVENT
DATE FOUND READING SOURCE DETAIL
SUPPLEMENTAL INFORMATION
EVENT RESULTS ODOMETER DATA EVENT
DATE FOUND READING SOURCE DETAIL
Experian's Reports are compiled from multiple sources. It is not always possible for Experian to obtain complete discrepancy information on all vehicles; therefore, there may
be other title brands, odometer readings or discrepancies that apply to a vehicle that are not reflected on that vehicle's Report. Experian searches data from additional sources
where possible, but all discrepancies may not be reflected on the Report.
These Reports are based on information supplied to Experian by external sources believed to be reliable, BUT NO RESPONSIBILITY IS ASSUMED BY EXPERIAN OR
ITS AGENTS FOR ERRORS, INACCURACIES OR OMISSIONS. THE REPORTS ARE PROVIDED STRICTLY ON AN "AS IS WHERE IS" BASIS, AND EXPERIAN
FURTHER EXPRESSLY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE REGARDING THIS REPORT.
YOU AGREE TO INDEMNIFY EXPERIAN FOR ANY CLAIMS OR LOSSES, INCLUDING COSTS, EXPENSES AND ATTORNEYS FEES, INCURRED BY EXPERIAN
ARISING DIRECTLY OR INDIRECTLY FROM YOUR IMPROPER OR UNAUTHORIZED USE OF AUTOCHECK VEHICLE HISTORY REPORTS.
Experian shall not be liable for any delay or failure to provide an accurate report if and to the extent which such delay or failure is caused by events beyond the reasonable
control of Experian, including, without limitation, "acts of God", terrorism, or public enemies, labor disputes, equipment malfunctions, material or component shortages,
supplier failures, embargoes, rationing, acts of local, state or national governments, or public agencies, utility or communication failures or delays, fire, earthquakes, flood,
epidemics, riots and strikes.
These terms and the relationship between you and Experian shall be governed by the laws of the State of Illinois (USA) without regard to its conflict of law provisions. You and
Experian agree to submit to the personal and exclusive jurisdiction of the courts located within the county of Cook, Illinois.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 17 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
The National Highway Traffic Safety
NHTSA VEHICLE RECALL Administration has issued 10 safety
related recall notices that may apply to the
above valued vehicle.
NHTSA Campaign ID : 12V494000
Mfg's Report Date : OCT 10, 2012
Component : SUSPENSION
Potential Number Of Units Affected : 13,919
Summary : Nissan is recalling certain model year 2012-2013 Altima vehicles
manufactured from May 10, 2012, through July 26, 2012. These vehicles may have been
equipped with transverse link bolts and power steering rack bolts that were not torqued to
proper specification.
Consequence : The affected bolts could become loose and fall out which may lead to a
loss of vehicle control, increasing the risk of a vehicle crash.
Remedy : Nissan will notify owners, and dealers will tighten the bolts to the proper torque
specifications. The safety recall is expected to begin on, or about October 29, 2012.
Owners may contact Nissan Customer Service at 1-800-647-7261.
Notes : Owners may also contact the National Highway Traffic Safety Administration
Vehicle Safety Hotline at 1-888-327-4236 (TTY 1-800-424-9153), or go to
[Link].
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 18 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
Consequence : Tires that are significantly over- or under-inflated may fail without
warning, increasing the risk of a crash.
Remedy : Nissan will notify owners, and dealers will inspect and adjust the spare tire
pressure, as necessary, free of charge. The recall began on April 29, 2013. Owners may
contact Nissan at 1-800-647-7261.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 19 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
Potential Number Of Units Affected : 846,000
Summary : Nissan North America, Inc. (Nissan) is recalling certain model year 2013-2015
Nissan Altima vehicles manufactured March 6, 2012, to December 31, 2014. In the
affected vehicles, the secondary hood latch may bind and remain in the unlatched position
when the hood is closed.
Remedy : These vehicles were previously included in recalls 14V-565 and 15V-116,
however the previous remedy plan may not have been performed consistently to remove
the safety risk. To correct this issue, Nissan will re-notify all affected owners and dealers
will replace the hood latch with a new one, free of charge. The recall is expected to begin
in mid-February. Owners may contact Nissan customer service at 1-800-647-7261. Note:
This recall supersedes recalls 14V-565 and 15V-116.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 20 of 21
Owner: Taylor, Jenna
Claim: 7008138790-1_A4391898
SUPPLEMENTAL INFORMATION
Remedy : Nissan will notify owners, and dealers will replace the ECU and update the
OCS software free of charge. The is expected to begin by February 12, 2017. Owners
may contact Nissan customer service at 1-800-647-7261.
© Copyright 2021 CCC Intelligent Solutions Inc. All Rights Reserved. Page 21 of 21