A B C D E F G H I J K L M

1 American American Crawford & GAB

Item Description Units Base Bid AIG Allstate Family National Co. Farmers Robbins Hartford
2 Tear Off SQ $17.54 $41.00 $24.75 $23.76 $34.41 $25.00 $25.20 $25.00 $30.00
3 Additional Layers SQ $17.54 $20.00 $23.76 $13.00 $18.00 $20.00
4 Additional Layers - Wood SQ $17.54 $35.00 $37.80
5 Decking - Overlay SF $1.05 $1.85 $1.23
6 Decking - Remove & Replace SF
7 Felt - 15 LB SQ $5.26 $15.00 $12.86 $10.11 $13.98 $15.00 $12.86 $0.00 $0.00
8 Felt - 30 LB SQ $10.52 $18.00 $18.49 $9.00
9
10 Replace 20 Year 3-Tab SQ $114.03 $156.00 $100.00 $53.30 $100.00 $80.00 $81.00 $100.00 $100.00 $100.00
11 Replace 25 Year 3-Tab SQ $118.42 $166.00 $105.00 $60.94 $92.22 $105.00 $105.00 $105.00 $105.00 $110.00
12 Replace 30 Year 3-Tab SQ $139.47 $175.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00
13 Replace 25 Year Arch SQ $141.22 $130.00 $130.00 $130.00 $123.10 $123.10 $130.00 $130.00 $130.00 $130.00
14 Replace 30 Year Arch SQ $139.47 $206.00 $140.00 $140.00 $142.68 $142.68 $140.00 $140.00 $140.00 $140.00
15 Replace 40 Year Arch SQ $190.35 $242.00 $180.00 $180.00 $180.00 $180.00 $180.00 $180.00 $180.00 $180.00
16 Replace Lifetime Arch SQ $327.19 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00
17 Replace Cedar (Shingles) SQ
18 Replace Cedar (Medium) SQ $375.00
19 Replace Cedar (Heavy) SQ $420.00
20 Replace Cedar (Jumbo) SQ $450.00
21 90 Lb Rolled Roofing SQ
22 90 Lb Half-Lap Rolled Roofing SQ
23 Modified Bitimum Roofing SQ
24
25
26 Steep 7/12 SQ $0.00 $25.00 $12.00 $20.00
27 Steep 8/12 SQ $18.00 $25.00 $12.00 $35.00
28 Steep 9/12 SQ $27.00 $25.00 $12.00 $80.00
29 Steep 10/12 SQ $36.00 $50.00 $125.00
30 Steep 11/12 SQ $45.00 $50.00 $125.00
31 Steep 12/12 SQ $54.00 $50.00 $125.00
32 Steep >12/12 SQ $54.00 $50.00 $125.00
33 Mansard SQ $70.00
34 Toe Boards SQ $54.00 $20.00 $125.00
35 Roof Loading SQ $36.00 $3.00
36 Roof Loading - Steep SQ $52.00 $5.00
37 2-Story SQ $8.77 $20.00 $10.00 $14.00
38 3-Story SQ $40.00
39 Difficult Access SQ $7.00
40 R
41 O Ice & Water Shield LF $1.75 $3.00
42 O Drip Edge LF $0.52 $1.75 $1.81 $1.15 $0.82 $1.81 $1.14
43 F Valley Metal LF $2.63 $3.50 $2.95 $3.59 $4.11
I
44 N
Ridge Cap LF $0.00 $2.50 $1.29
45 G Flashing - Step (Base) LF $2.63 $4.50 $2.95 $4.28
46 Flashing - Reglet (Cap) LF $5.40
47
48 Chimney- Flash EA $114.03 $150.00 $150.00
49 EA
50 Chimney - Cap EA $87.71 $100.00 $121.67 $60.00
51
52 Flu - Cap EA $95.00 $102.67
53
54 Off Ridge Vent EA $21.05 $53.00 $11.02 $30.81 $30.00 $11.02 $32.69 $30.00
55 Vent - Turbine EA $61.04 $60.00 $18.32 $55.00 $18.32 $58.26
56 Vent - Ridge LF $3.50 $4.50 $5.89 $5.00
57 Vent - Goose Neck EA $21.05 $35.00
58 Vent - Power EA $122.80 $165.00 $186.29 $100.74 $120.00
59 Vent - Power Vent Elec (MIN) EA $131.57 $131.57
60 Vent - Cut In EA $10.00
61 Vent - Ridge Vent Cut In LF $1.50
62
63 Neo Boot EA $24.56 $25.00 $15.57 $25.00 $19.92
64 Frost Free EA
65 Lead Stack EA $24.56 $25.00 $15.57 $25.00 $19.92
66
67 Satelite Dish - D&R EA $208.77 $150.00
68 Satelite Dish - R&R EA
69 TV Antenna - D&R EA $25.00 $21.43 $21.00
70 TV Antenna - R&R EA $210.52 $210.00 $237.12 $125.43 $125.00 $228.00
71 Lightning Rod - D&R EA $87.71 $150.00
72 Skylight Flash EA $140.35 $150.00
73 Skylight - R&R (9.1-12.5SF) EA $333.33 $416.20 $286.41
74 Skylight - R&R (12.6-15.5SF) EA $491.22 $600.86
75
76 Cleanup / Lanscape Protection EA $270.00 $270.00
77 Cleanup / Lanscape Protection HR $36.00
78 Dumpster EA $450.00 $450.00 $250.00 $450.00
79 Debris Removal SQ $8.77 $15.00 $10.80 Supplement
80 Debris Removal - 2nd Layer SQ
 A B C D E N O P Q R S T U
1 Horace Liberty Nixon
Item Description Units Base Bid Mann Mutual Met Life Adjustors Safeco Shelter State Farm Travelers
2 Tear Off SQ $17.54 $41.00 $0.00 $35.00 $18.90 $23.00 $30.00 $34.00 $33.60
3 Additional Layers SQ $17.54 $20.00 $0.00 $10.00 $16.00 $17.00
4 Additional Layers - Wood SQ $17.54 $35.00 $35.00
5 Decking - Overlay SF $1.05 $1.85 $1.26
6 Decking - Remove & Replace SF
7 Felt - 15 LB SQ $5.26 $15.00 $0.00 $0.00 $8.23 $0.00 $0.00 $10.72 $9.14
8 Felt - 30 LB SQ $10.52 $18.00
9
10 Replace 20 Year 3-Tab SQ $114.03 $156.00 $100.00 $113.00 $100.00 $100.00 $102.00 $100.00 $72.97 $100.00
11 Replace 25 Year 3-Tab SQ $118.42 $166.00 $105.00 $105.00 $130.00 $105.00 $102.00 $95.00 $77.67 $108.88
12 Replace 30 Year 3-Tab SQ $139.47 $175.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00
13 Replace 25 Year Arch SQ $141.22 $130.00 $130.00 $130.00 $130.00 $130.00 $130.00 $130.00 $130.00 $130.00
14 Replace 30 Year Arch SQ $139.47 $206.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00 $140.00
15 Replace 40 Year Arch SQ $190.35 $242.00 $180.00 $180.00 $180.00 $180.00 $180.00 $180.00 $180.00 $180.00
16 Replace Lifetime Arch SQ $327.19 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00 $320.00
17 Replace Cedar (Shingles) SQ
18 Replace Cedar (Medium) SQ $375.00
19 Replace Cedar (Heavy) SQ $420.00
20 Replace Cedar (Jumbo) SQ $450.00
21 90 Lb Rolled Roofing SQ
22 90 Lb Half-Lap Rolled Roofing SQ
23 Modified Bitimum Roofing SQ
24
25
26 Steep 7/12 SQ $0.00 $25.00 $10.00 $27.00
27 Steep 8/12 SQ $18.00 $25.00
28 Steep 9/12 SQ $27.00 $25.00
29 Steep 10/12 SQ $36.00 $50.00
30 Steep 11/12 SQ $45.00 $50.00
31 Steep 12/12 SQ $54.00 $50.00
32 Steep >12/12 SQ $54.00 $50.00
33 Mansard SQ $70.00
34 Toe Boards SQ $54.00 $20.00
35 Roof Loading SQ $36.00
36 Roof Loading - Steep SQ $52.00
37 2-Story SQ $8.77 $20.00 $15.80 $10.00 $20.00
38 3-Story SQ $40.00
39 Difficult Access SQ $7.00
40 R
41 O Ice & Water Shield LF $1.75 $3.00
42 O Drip Edge LF $0.52 $1.75 $0.00 $1.19
43 F Valley Metal LF $2.63 $3.50 $2.74
I
44 N
Ridge Cap LF $0.00 $2.50 $0.00 $0.00
45 G Flashing - Step (Base) LF $2.63 $4.50
46 Flashing - Reglet (Cap) LF $5.40
47
48 Chimney- Flash EA $114.03 $150.00
49 EA
50 Chimney - Cap EA $87.71 $100.00 $92.44 $184.00
51
52 Flu - Cap EA $95.00 $102.67
53
54 Off Ridge Vent EA $21.05 $53.00 $35.00 $33.69 $33.69
55 Vent - Turbine EA $61.04 $60.00 $60.00 $59.41 $50.75
56 Vent - Ridge LF $3.50 $4.50
57 Vent - Goose Neck EA $21.05 $35.00
58 Vent - Power EA $122.80 $165.00
59 Vent - Power Vent Elec (MIN) EA $131.57 $131.57
60 Vent - Cut In EA $10.00
61 Vent - Ridge Vent Cut In LF $1.50
62
63 Neo Boot EA $24.56 $25.00 $0.00 $19.30 $29.48
64 Frost Free EA
65 Lead Stack EA $24.56 $25.00 $0.00 $19.30 $29.48
66
67 Satelite Dish - D&R EA $208.77 $150.00 $75.00
68 Satelite Dish - R&R EA
69 TV Antenna - D&R EA $25.00 $26.72
70 TV Antenna - R&R EA $210.52 $210.00 $155.58 $145.11 $160.87
71 Lightning Rod - D&R EA $87.71 $150.00 $110.00
72 Skylight Flash EA $140.35 $150.00
73 Skylight - R&R (9.1-12.5SF) EA $333.33 $416.20 $416.20 $416.19
74 Skylight - R&R (12.6-15.5SF) EA $491.22 $600.86 $600.86 $600.86
75
76 Cleanup / Lanscape Protection EA $270.00 $80.00 $70.00
77 Cleanup / Lanscape Protection HR $36.00
78 Dumpster EA $450.00 $222.75 $472.50 $295.00 $295.00 $295.08 $222.75
79 Debris Removal SQ $8.77 $15.00 $10.00
80 Debris Removal - 2nd Layer SQ $5.00
 A B C D E F G H I J K L M
1 American American Crawford & GAB
Item Description Units Base Bid AIG Allstate Family National Co. Farmers Robbins Hartford
81 Trucking & Dump Fees SQ $0.00 $23.48
82 Permit Fee EA $125.00
 A B C D E N O P Q R S T U
1 Horace Liberty Nixon
Item Description Units Base Bid Mann Mutual Met Life Adjustors Safeco Shelter State Farm Travelers
81 Trucking & Dump Fees SQ $0.00
82 Permit Fee EA $125.00
 A B C D E F G H I J K L M
1 American American Crawford & GAB
Item Description Units Base Bid AIG Allstate Family National Co. Farmers Robbins Hartford
83 Gutters LF $4.57 $5.97 $4.71 $4.56 $4.66 $4.50 $4.71 $4.35 $5.50
84 G Gutter - Downspouts LF $4.57 $5.97 $4.34 $4.59 $4.00 $4.35 $5.00
U
85 T Gutter - Screens LF $1.75 $2.48 $2.16 $1.00 $2.16 $1.99 $1.00
86 T Gutter - Apron LF $0.53 $1.15
E
87 R
Gutter - Debris Removal EA $0.00 $0.00
88 S
89
90 Siding - Aluminum SF $4.21 $4.50 $3.33 $4.50 $4.00
91 Siding - Vinyl SF $2.47 $3.75 $3.02 $2.81 $2.95 $4.33 $3.50
92 Siding - Steel SF $3.87
93 Siding - Masonite SF $4.57 $4.00 $2.81
94 Siding - Wood SF
95 Siding - Minimum Charge EA $250.00
96 Siding - Redwood SF $9.01
97 Siding - Cedar SF $4.82
98 Siding - Pine SF $4.41
99
100 Tyvek SF $0.29 $0.29
101 Insulation Backer SF $0.47 $0.61 $0.61
102 Soffit <=6" LF $7.17 $5.98
103 Soffit 7"-22" LF
104 Soffit >22" SF $3.01
105 Fascia <=6" LF $5.26 $5.98 $3.01 $3.22 $6.25 $4.00
106 Fascia >6" LF
107
108
109 Wrap - Window Small EA $61.00 $75.00 $60.00 $99.80
110 Wrap - Window Large LF $5.26 $6.50 $80.00
111 Wrap - Garage Door LF $5.26 $6.50 $134.90
112 Wrap - Minimum Charge EA $192.00 $225.00
113
114
115 Dryer Vent - R&R EA $30.57 $35.00 $24.00
116 Gabel Vent - R&R EA $67.54 $75.00 $104.44 $125.00
117 Shutters - R&R EA $17.54 $21.00
118
119 S
120 I Electrical - D&R EA $17.54 $21.00 $225.00 $259.12
D
121 I
Cable - D&R EA $17.54 $50.00
122 N Phone - D&R EA $17.54 $50.00
123 G Shutters - D&R EA $69.98 $75.00
124 Meter Base - D&R EA $43.81 $50.00
125 Light Fixture - R&R EA $150.00 $128.95 $53.77
126 Electrical - Min Charge EA
127 Plumbing - Min Charge EA
128
129
130 Sill Plate LF $3.49 $4.50 $3.49
131 A/C - Comb EA $125.00 $85.00
132 A/C - R&R EA $1,600.00
133 Patio Roof - Aluminum SF $6.51
134 Patio Roof - Aluminum Insulated SF $19.29 $20.00
135 Patio Roof - Fiberglass SF $4.50
136
137 Screens - Small EA $25.00 $41.64 $50.00
138 Screens - Large EA $50.00 $50.00
139 Screens w/ Frames EA $95.00
140
141 Screen Door EA $200.00 $132.33 $119.52
142 Storm Door EA $325.00 $170.01
143 Garage Door - Single EA $1,030.00 $552.45
144 Garage Door - Double EA $1,580.00 $824.65 $700.00
145 Aluminum Awning - R&R SF/LF $10.00 $71.81
146
147
148 Ladder Jacks DY $91.00
149 Scaffolding DY $175.00
150 Debris Removal EA $375.00 $187.43
151 Dumpster EA $0.00 $0.00
152 Permit Fee EA $0.00
 A B C D E N O P Q R S T U
1 Horace Liberty Nixon
Item Description Units Base Bid Mann Mutual Met Life Adjustors Safeco Shelter State Farm Travelers
83 Gutters LF $4.57 $5.97 $4.03 $4.50 $5.25 $4.00 $3.60 $4.96
84 G Gutter - Downspouts LF $4.57 $5.97 $4.03 $3.90 $5.25 $4.00 $3.60 $4.96
U
85 T Gutter - Screens LF $1.75 $2.48 $2.00
86 T Gutter - Apron LF $0.53 $1.15
E
87 R
Gutter - Debris Removal EA $0.00 $0.00 $92.38
88 S
89
90 Siding - Aluminum SF $4.21 $4.50 $2.00 $3.66
91 Siding - Vinyl SF $2.47 $3.75 $2.55 $4.50 $2.86
92 Siding - Steel SF
93 Siding - Masonite SF $4.57 $4.00 $1.76 $3.06
94 Siding - Wood SF
95 Siding - Minimum Charge EA $250.00
96 Siding - Redwood SF
97 Siding - Cedar SF
98 Siding - Pine SF
99
100 Tyvek SF $0.29 $0.29
101 Insulation Backer SF $0.47 $0.61 $0.60
102 Soffit <=6" LF $7.17 $5.98 $2.76
103 Soffit 7"-22" LF
104 Soffit >22" SF $3.01
105 Fascia <=6" LF $5.26 $5.98 $4.00 $3.91 $2.75 $2.99
106 Fascia >6" LF
107
108
109 Wrap - Window Small EA $61.00 $75.00 $86.10 $68.32
110 Wrap - Window Large LF $5.26 $6.50 $137.84
111 Wrap - Garage Door LF $5.26 $6.50
112 Wrap - Minimum Charge EA $192.00 $225.00
113
114
115 Dryer Vent - R&R EA $30.57 $35.00 $24.00 $42.09
116 Gabel Vent - R&R EA $67.54 $75.00 $40.96
117 Shutters - R&R EA $17.54 $21.00 $13.49
118
119 S
120 I Electrical - D&R EA $17.54 $21.00 $30.31
D
121 I
Cable - D&R EA $17.54 $50.00 $150.00
122 N Phone - D&R EA $17.54 $50.00
123 G Shutters - D&R EA $69.98 $75.00
124 Meter Base - D&R EA $43.81 $50.00 $169.25
125 Light Fixture - R&R EA $150.00
126 Electrical - Min Charge EA
127 Plumbing - Min Charge EA
128
129
130 Sill Plate LF $3.49 $4.50
131 A/C - Comb EA $125.00 $150.00 $125.00
132 A/C - R&R EA $1,600.00
133 Patio Roof - Aluminum SF $6.51
134 Patio Roof - Aluminum Insulated SF $19.29 $20.00 $6.57
135 Patio Roof - Fiberglass SF $4.50
136
137 Screens - Small EA $25.00 $40.00 $17.13 $15.77
138 Screens - Large EA $50.00 $26.43 $31.18
139 Screens w/ Frames EA $95.00
140
141 Screen Door EA $200.00
142 Storm Door EA $325.00 $224.63
143 Garage Door - Single EA $1,030.00 $897.93
144 Garage Door - Double EA $1,580.00 $941.39
145 Aluminum Awning - R&R SF/LF $71.81
146
147
148 Ladder Jacks DY $91.00 $90.01
149 Scaffolding DY $175.00
150 Debris Removal EA $375.00 $295.08
151 Dumpster EA $0.00 $0.00 $295.08
152 Permit Fee EA $0.00
 A B C D E F G H I J K L M
1 American American Crawford & GAB
Item Description Units Base Bid AIG Allstate Family National Co. Farmers Robbins Hartford
153 Contents EA $35.00 $33.00
154 Grill EA $70.00
155 Metal Sheds EA $966.00 $965.67
156 Yard Light EA $165.00 $85.00
157 Mail Box EA $30.00 $25.00 $50.00
158 Mail Box - Large EA $50.00
159 Glass Thermo SF $16.00 $13.96
160 O Reglaze Single Glass SF $6.00
T
161 H
Aluminum Sliding Window - R&R EA
162 E Window Well Cover EA
163 R
164
165
166
167
168 Decking - R&R SF $4.25
169 Raiing - R&R LF $8.00
170 Posts - R&R EA
171 Paint - Siding SF $3.00 $0.73
172 Paint - Trim LF
173 Paint - Soffit LF
174 Paint - Fascia LF
175 Paint - Shutters EA
176 Paint - Window EA
177 Paint - Door EA
178 Paint - Opening EA
179 Paint - Post EA
180 Paint - Garage Door EA $73.47
181 Paint - Garage Door Opening EA
182 P
A
183 I
184 N Paint - Stain Blocker SF $0.21
185 T Paint - Ceiling SF $0.39
I
186 N
Paint - Wall SF $0.39
187 G Paint - Interior SF $2.52 $0.73
188 Paint - Minimum Charge EA 250 150
189
190 Power Wash Deck SF $0.30
191 Stain - Deck SF
192 Stain - Railing LF
193
194
195 Sheetrock (Drywall) SF $3.49 $225.00
196 Cabinets - D&R LF $88.80
197 Wallpaper - R&R SF $2.29
198 Acoustic Tile - R&R SF $2.80
199 Tax (2.7%) Y/N YES YES NO
200 N
Overhead & Profit (20%) Y/N NO YES YES YES NO
201 O Will They Match Siding Y/N YES NO
202 T
203 E
S
204
205
 A B C D E N O P Q R S T U
1 Horace Liberty Nixon
Item Description Units Base Bid Mann Mutual Met Life Adjustors Safeco Shelter State Farm Travelers
153 Contents EA $35.00
154 Grill EA $70.00
155 Metal Sheds EA $966.00 $653.88
156 Yard Light EA $165.00
157 Mail Box EA $30.00 $25.00
158 Mail Box - Large EA $50.00 $50.00
159 Glass Thermo SF $16.00
160 O Reglaze Single Glass SF $6.00 $4.79 $43.10
T
161 H
Aluminum Sliding Window - R&R EA $231.72
162 E Window Well Cover EA
163 R
164
165
166
167
168 Decking - R&R SF
169 Raiing - R&R LF $6.64
170 Posts - R&R EA
171 Paint - Siding SF $3.00
172 Paint - Trim LF $0.67
173 Paint - Soffit LF
174 Paint - Fascia LF
175 Paint - Shutters EA $15.07
176 Paint - Window EA $19.13
177 Paint - Door EA $21.35
178 Paint - Opening EA $14.13
179 Paint - Post EA $15.07
180 Paint - Garage Door EA $79.58
181 Paint - Garage Door Opening EA $45.62
182 P
A
183 I
184 N Paint - Stain Blocker SF
185 T Paint - Ceiling SF
I
186 N
Paint - Wall SF
187 G Paint - Interior SF $2.52 $125.00
188 Paint - Minimum Charge EA 250
189
190 Power Wash Deck SF $0.24
191 Stain - Deck SF $0.42
192 Stain - Railing LF $2.97
193
194
195 Sheetrock (Drywall) SF $3.49
196 Cabinets - D&R LF
197 Wallpaper - R&R SF
198 Acoustic Tile - R&R SF
199 Tax (2.7%) Y/N YES YES YES YES
200 N
Overhead & Profit (20%) Y/N NO YES YES 10 & 10 YES YES
201 O Will They Match Siding Y/N YES YES
202 T
203 E
S
204
205
 Roofing Take Off
QHI-Roofing Customer: Date:
1555 Rockdale Industrial Blvd Address: Home:
Conyers, GA 30012 City/State/Zip: Work:
404-627-3000 Fax: (770)483-8800 Insurance Co.: Bid Office:
Project Manager Brett Craw Adjuster: Fax:
Cell Phone: 770-274-8268 Claim #:

BACK

R
L
I
E
G
F
H
T
T

FRONT

(Put a "1" in the Applicable Boxes) Roof Waste

Type of Shingle 1 3 -Tab Arch Wood Factor: Waste Factor determined by how cut up
Year of Shingle 20 1 25 30 10% the roof is along with the size of the roof.

Enter area dimensions. Enter a "1" in all applicable boxes. Ice Shield (LF)
ROOF CALCULATIONS (W x H) Pitch Layers 8/12 10/12 2 Story Access Decking Starter (LF)
A Valley (LF)
B Ridge Cap (LF)
C Drip Edge (LF)
D Vent-Low Profile (#)
E Vent-Ridge (LF)
F Vent-Power (#)
G Flue Stack (#) 4 5 6
H Flue Cap (#) 4 5 6
I Chimney Cap (#) S M L
J Chimney Reflash (#) S M L
Total Squares 0 #REF! #REF! 53 53 3 Metal Chimney (#) R / D
Skylight R&R (#) S M L
2" 3" 4" 5" Total S L Total Skylight Reflash (#)
Neo Boots NA Broan Step Flashing (LF)
Lead Jacks Turbine Satelite Dish (#) R / D
TV Antenna (#) R / D
GUTTERS Front Right Back Left Total
R&R Gutters (LF) (LF)
R&R Downspouts (LF) (LF)
R&R Gutter Screen (LF) (LF)
Install Gutter Apron (LF) (LF)
 Siding Take Off
Customer: 0
Facia
Rake Address: 0
Rake City/State/Zip: 0
Insurance Co.: Bid

Soffit Adjuster: 0
Claim #: 0
(Put a "1" in the Applicable Boxes)
Existing Siding Type: Aluminum 1 Vinyl Steel Masonite Wood Shingle Paint
Style: Lap 1 Dutch Shake
Size: 3" 1 4" 4.5" 5" 8" 10" 12"

Front Right Personal Property

WxH WxH /2 Total WxH Total WxH /2 Total
/2 /2
/2 /2
/2 /2
/2 /2
/2 /2
/2 /2

Back Left Siding Replacement

WxH Total WxH /2 Total WxH Total WxH /2 Total Front Right Back Left
/2 /2
/2 /2 D=Damaged
/2 /2 M=Matching Issue
/2 /2 Siding Totals
/2 /2 Front Right Back Left
/2 /2
Total

Items for Siding Breakdown Painting / Other

Front Right Back Left Total Front Right Back Left Total
D Shutters PR Paint Soffit LF
E P
Electrical EA Paint Fascia LF
T R
A A/C Electrical EA E Window Trim LF
C Cable Box EA P Stain Deck SF
H
Meter Base EA / Stain Railing LF
& Telephone Box EA Power Wash Deck SF
P
R Light Fixture EA A
E I
S N
E T
T

Shutters PR A/C Comb EA

Dryer Vent EA Storm Door EA
R Gable Vent EA Screen Door EA
E
M Soffit Size LF Garage Door (Sgl) EA
O Facia Size LF Garage Door (Dbl) EA
V
E Rake LF Yard Shed EA
O
Window Screen EA T Mail Box EA
&
Window Wrap (S) EA H Awning (SF/LF) *
E
R Window Wrap (L) EA R
E
P Gargage Door Wrap EA
L Window Well Cover EA
A
C
E
 Breakdown
Mike Preibe Roofing Name: ` Date: 12/8/2021
869 canterbury rd. Unit 1 Address: Home:
westlake, OH 44145 Cell:
P. 319-277-1120 F. 319-277-7262 Insurance Office:
Project Manager: Steven Epperson Adjuster: Fax:
Phone: 440-336-7146 Claim #:

Actual Squares 46.35 Actual Square Feet

Roof Areas Waste Factor (%) 15% Siding Areas Waste Factor (%) 0.00
Total SQs w/Waste 53.30 Total SF w/Waste 0.00

Roof Breakdown Siding Breakdown

Description QTY Amount Total Vinyl Siding SQ $ -
Additional Layers T/O SQ $ 27.62 $ - Siding Aluminum .024 SQ $ -
R&R 25yr Inc. Felt SQ $ 211.05 $ - Fan fold !/4 SQ $ -
REPLACE 30yr inc. felt SQ 53.33 $ 227.18 $ 12,115.51 W Wrap LF Small LF $ -
Steep 7/12 to 9/12 SQ 53.33 $ 34.67 $ 1,848.95 W Wrap LF large LF $ -
Steep 10/12 SQ $ 54.50 $ - Window Wraps (m) EA $ -
Steep 12/12 SQ $ 68.55 $ - Dryer Vent EA $ -
2 story charge SQ 53.33 $ 15.68 $ 836.21 Gable vents SF $ -
R&R Drip Edge/Gutter apron LF 287.00 $ 1.84 $ 528.08 EA $ -
R&R Turtle vent EA $ 44.17 $ - Cable D&R EA $ -
Ice and water shield SF 800.00 $ 1.27 $ 1,016.00 Shutters D&R EA $ -
Flashing Pipe Jacks EA 1.00 $ 45.10 $ 45.10 Shutters small EA $ -
Ridge Vent LF 124.00 $ 7.91 $ 980.84 Shutters large EA $ -
Exhaust cap 6" EA $ 46.10 $ - Dump Fee EA $ -
Flashing - Rain Diverter EA $ 31.59 $ - Two ladders with jacks EA $ -
Average Chimney Flash EA $ 227.55 $ - Siding Min Charge LF $ -
Detach and Reset power attic vent EA $ 263.72 $ - Fascia 6" LF $ -
Skylight Reflash EA 2.00 $ 150.00 $ 300.00 Siding Subtotal $ -
Valley Metal W profile LF $ 4.68 $ - Painting / Other Trades
Satelite D&R EA $ 114.02 $ - Paint - Trim LF $ -
Step Flash LF $ 6.37 $ - Paint - Soffit LF $ -
Wall flashing LF $ 7.71 $ - Paint - Fascia LF $ -
Ridge cap Comp shingle LF $ 4.10 $ - Paint - Stain Blocker SF $ -
Furnace cap 15 in EA $ 68.51 $ - Paint - Ceiling SF $ -
R&R Rolled bitumen roof SQ $ 311.46 $ - Paint - Wall SF $ -
Winow Reglaze EA $ -
Dumpster & Dump Fee EA $ 256.40 $ - Pressure Wash Deck SF $ -
Stain - Deck SF $ -
Roof Subtotal $ 17,670.69 Stain - Railing LF $ -
Screens EA $ -
Exterior Lighting EA $ -
Gutter Breakdown $ - Comb A/C Units EA $ -
Gutters and Down's 5in LF $ 5.26 Awnings EA $ -
Gutters and Down's 6in LF $ 5.35 $ - Painter EA $ -
Detach and reset LF $ 2.12 $ - Siding Installer EA $ -
Painting / Other Trades Subtotal $ -
Base Service Charges
Gutter Subtotal LF $ - $ - Roofer EA $ 244.68 $ -
FS Approval: SUPPLEMENTS Siding Installer EA $ 104.66 $ -
$ - Heating A/C Mechanic EA $ 134.60 $ -
NOTE: This is only an estimate and $ - Carpenter - Finish,Trim/Cabinet EA $ 97.10 $ -
is subject to insurance approval $ - Carpenter - Mechanic EA $ 114.44 $ -
and shall not exceed the $ - Wood flooring Installer EA $ 101.90 $ -
insurance specification and $ - Drywall Installer/Finisher EA $ -
scope. $ - Painter EA $ 105.48 $ -
Final pricing is determined by $ - Base Service Charges Total $ -
your insurance company. We $ - Trades Subtotal $ 17,670.69
will do the work for the $ - Material Tax $ 408.19
insurance pricing. $ - 10% overhead & 10% profit as allowed by insurance std.

FIELD AGENT Date: / / Total Price $ 18,078.89

1st payment due on completion of 1st phase

Prices determined by 3rd Quarter Xactimate prices Final payment due on completion of trades
Total collected $0.00
 Contract Amounts
In House Use Only: Do Not Fax
Field
Customer: 0 Supervisor: Brett Craw
#REF! 0.00 SQ $ -
Gutter Subtotal LF $ -
Siding Subtotal #DIV/0! SF $ -
Painting / Other Trades Subtotal $ -
Base Service Charges Total $ -
Material Tax $ 408.19
General Contractor O & P $ -
Back To Homeowner $ -
Total Being Collected $ 408.19
Additional Work From Homeowner $ -
Total Being Paid to ABC $ 408.19
Fax QHI-Roofing
1555 Rockdale Industrial Blvd
404-627-300
Conyers, GA 30012

To: From: Wayne Galligan

Attn: Phone: 770-990-9180
Phone: - Pages: 2
Fax: - Date:
Re: Claim # 0