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Home My WebLink About2025-07-01 Grual, Charles - 959Claim Against the City of Palm Desert For Damage(s) to Person(s) or Personal Property Instructions: Please ﬁll out this form completely. Failure to provide suﬃcient information may result in delays in claim processing. If you need an accommodation to complete or submit this form, please contact the City Clerk's Oﬃce Claims Coordinator at cityclerk@palmdesert.gov or (760) 346-0611. Important Information: 1. Claims for death, injury to person or to personal property must be ﬁ led no later than six(6) months after the occurrence. 2. Claims for damages to real property must be ﬁ led no later than one (1) year after theoccurrence. See California Government Code §911.2. 3. Be sure claim is against the City of Palm Desert, not another public entity. 4. Claimant is advised to consult a private attorney if legal advice is desired. No employeeof the City may give legal advice to any claimant relating to private claims. Instrucciones: Complete este formulario en su totalidad. Si no brinda informaciónsuﬁ ciente, pueden producirse demoras en el procesamiento del reclamo. Si necesita algunaacomodación para completar o enviar este formulario, comuníquese con el Coordinador deADA a la dirección de correo electrónico cityclerk@palmdesert.gov o al teléfono (760) 346-0611. Información importante: 1. Los reclamos por muerte, lesiones personales o daños a la propiedad debenpresentarse a más tardar seis (6) meses después de haberse producido el hecho. 2. Los reclamos por daños a bienes inmuebles deben presentarse a más tardar un (1) añodespués de haberse producido el hecho. (Consulte §911.2 del Código de Gobierno). 3. Asegúrese de dirigir su reclamo a la ciudad de Palm Springs, no a otro organismopúblico. 4. Se aconseja a los reclamantes consultar con un abogado privado si así lo desean.Ningún empleado de la ciudad puede. Claimant First Name CSM OBO USAA ASO Claimant Last Name Graul, Charles Home Address / Domicilio Street Address 2929 North Central Expressway Address Line 2 Suite 320 City Richardson State/Province/Region TX Postal/Zip Code 75080 Country U.S.A Preferred Phone Number / Número de teléfono preferido 619-308-6550 Email / Correo electrónico MMassey@clerkinlaw.com Are you currently represented by an attorney? / ¿Está actualmenterepresentado por un abogado? Yes No If represented by an attorney, provide name / Si cuenta con la representación de un abogado, indique su nombre Clerkin, Sinclair & Mahfouz, LLP Attorney Phone / Número de teléfono del abogado 619-308-6550 Attorney Email / Correo electrónico del abogado MMassey@clerkinlaw.com Attorney Address / dirección postal del abogado Street Address 2929 North Central Expressway Address Line 2 Suite 320 City Richardson State/Province/Region TX Postal/Zip Code 75080 Country U.S.A Date and time of damage/injury/loss - Fecha y hora deldaño/lesión/pérdida 06/19/2025 10:00:00 AM Did any other person experience an injury/damage/loss? - ¿Alguna otrapersona experimentó una lesión/daño/pérdida? Yes No Are there any witnesses? - ¿Hay algún testigo? Yes No Location of damage/injury/loss (if known, include speciﬁc address) - Lugar donde se produjo el daño, la lesión o la pérdida (si conoce el domicilio especíﬁco, indíquelo) Washington St & Country Club Dr parking lot, Palm Desert, CA Provide a general description of the damage/injury/loss as the time of this claim - Describa el daño, la lesión o la pérdida al momento de este reclamo 2021 Tesla Model S, CA license plate number: 8YCE762, damage to the right rear side. Please see attached supports. Specify how the damage/injury/loss occurred - Especiﬁque cómo se produjo el daño, la lesión o la pérdida On June 19, 2025, at approximately 10:00 AM, United Services Automobile Association (A Reciprocal Inter-Insurance Exchange)’s insured was near Washington St & Country Club Dr Parking lot in Palm desert, CA when their vehicle was hit on the right rear side by a City of Palm Desert vehicle (License plate number: 1529958), driven by Rafael Muniz, resulting in property damage. USAA File No.: 001381608-801 Were paramedics/ambulance called? / ¿Se llamó a los paramédicos/ambulancia? Yes No Did you seek medical treatment? / ¿Buscaste tratamiento médico? Yes No What particular action/omission by the City, or its employee(s) caused the damage/injury/loss? - ¿Qué acción u omisión especíﬁca de la ciudad o sus empleados ocasionaron el daño, la lesión o la pérdida? The City of Palm Desert employee failed to maintain a proper lookout while backing, causing a collision with the United Services Automobile Association (A Reciprocal Inter-Insurance Exchange)'s insured vehicle. Provide the name of the City employee involved in the damage/injury/loss, if known - Si lo conoce, indique el nombre de los empleados de la ciudad involucrados en el daño, la lesión o la pérdida Rafael Muniz Was a police report ﬁled? / ¿Se presentó un informe policial? Yes No Any additional information that might be helpful in considering claim / Cualquier información adicional que pueda ser útil al considerar el reclamo: DAMAGES CLAIMED - If the amount claimed exceeds $10,000, it is not required that a dollar amount be provided. However, your claim must indicate whether it would be a Limited Civil Case. A Limited Civil Case is one where the recovery sought, exclusive of attorney fees, interest, and court costs, does not exceed $25,000. An Unlimited Civil Case is one in which the recovery sought is more than $25,000. / Si el monto reclamado supera los $10.000, no es necesario indicar el importe en dólares. Sin embargo, el reclamo debe indicar si se trataría de una Acción civil limitada. Una acción civil limitada es una acción en la que el resarcimiento pretendido no supera los $25.000, sin incluir honorarios de abogados, intereses y costas del tribunal. En una acción civil sin límite, el resarcimiento pretendido supera los $25.000. Limited Civil Case (damages between $10,000 to $25,000) - Acción civil limitada (los daños ascienden a $10.000 - $25.000) Unlimited Civil Case (damages exceed $25,000) - Acción civil sin límite (los daños superan los $25.000) Claimed totals less than $10,000 / Total reclamado menos de $10,000 If the amount claimed is under $10,000, state amount claimed / Si el monto reclamado es inferior a $10,000, indique el monto reclamado $1,698.06 Basis for Computation of amount claimed (include estimate/bills as an attachment, if possible) - Base para el cálculo del monto reclamado (incluya estimaciones/facturas como anexo, si es posible) Estimate: $1,698.06 Document Uploads Assembled Supports250701.PDF 761.24KB Picture Uploads WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM. (CALIFORNIA PENAL CODE 72 AND CALIFORNIA INSURANCE CODE) I hereby certify under penalty of perjury that the facts hereinabove set forth are true and correct to the best of my knowledge. / ADVERTENCIA: ES UN DELITO PENAL PRESENTAR UNA RECLAMACIÓN FALSA. (CÓDIGO PENAL DE CALIFORNIA 72 Y CÓDIGO DE SEGUROS DE CALIFORNIA) Por la presente certiﬁco bajo pena de perjurio que los hechos establecidos anteriormente son verdaderos y correctos a mi leal saber y entender. Signature Signee Date 07/01/2025 Assigned Claim Number 959 Signature*Date 07/01/2025 Additional Information (If Necessary) File Upload July 1, 2025 VIA ELECTRONIC MAIL ONLY risk@palmdesert.gov Risk Management City of Palm Desert 73510 Fred Waring Drive Palm Desert, CA 92260 Re: TORT CLAIM FOR DAMAGES Date of Loss: 6/19/2025 Our File No.: 001381608-801 Our Client’s Insured: Charles Graul Tort Claim Amount: $1,698.06 Dear Sir or Madam: This firm has been retained by United Services Automobile Association (A Reciprocal Inter-Insurance Exchange)to pursue a tort claim for damages arising from the negligence of Rafael Muniz in a motor vehicle collision that occurred during the course and scope of their employment with City of Palm Desert. As of the date of this letter, United Services Automobile Association (A Reciprocal Inter-Insurance Exchange)has incurred damages in the amount of $1,698.06, and it intends to seek the amount of that loss. On behalf of United Services Automobile Association (A Reciprocal Inter-Insurance Exchange), we are seeking repayment of $1,698.06, which includes any deductible paid by its policyholder Charles Graul. Payment should be made payable only to “CSM in trust for United Services Automobile Association (A Reciprocal Inter-Insurance Exchange)”.Please mail all payments to our TX office at: 2929 North Central Expressway,Ste 320,Richardson, TX 75080. The firm’s tax identification number is: 20-3335151. All future correspondence on the referenced claim MUST come to this firm. Please do not communicate with my client concerning this matter without prior written authorization from our firm. If you believe there are other responsible parties, or if you wish to discuss this tort claim, please contact Michael Massey at mmassey@clerkinlaw.com or (858) 859-8049. Sincerely yours, Clerkin, Sinclair, & Mahfouz, LLP LIMITED POWER OF ATTORNEY United Services Automobile Association, on behalf of itself and its subsidiaries and affiliates ("USAA") hereby appoints Clerkin, Sinclair & Mahfouz, LLP ("Law Firm") to act as its attorney-in-fact for the for the sole and limited purpose of executing settlement agreement documents, including Settlement Agreements, Stipulations for Settlement, Stipulations for Judgment, Installment Agreements, and Releases, in the name of and on behalf of USAA and its subsidiaries and affiliates, received from the responsible party or their insurer on subrogation claim files placed with Law Firm for collection and/or litigation. Law Firm is herein authorized by and on behalf of USAA to bind USAA to enter into settlement agreements by settlement or stipulation in regards to collection and/or litigation of the subrogation claim files USAA has placed with Law Firm. This Limited Power of Attorney is executed in connection with the Master Engagement Agreement for Legal Services # 0000012231 entered into between USAA and Law Firm. Except as expressly stated herein, no other rights, powers duties, or authority is extended to Law Firm by the terms of this Limited Power of Attorney. This Limited Power of Attorney will remain in effect until written revocation of the Limited Power of Attorney by USAA, but in no event shall it remain in effect after written notification to terminate the Master Engagement Agreement described above. Dated: ______________________ UNITED SERVICES AUTOMOBILE ASSOCIATION BY: __________________________________ __________Yolanda Monsivais_________________ Recovery Litigation Manager Subscribed and sworn before me this ______ day of __________, 20____. State of: _______________________________ County of: _____________________________ ______________________________________ (Notary Public) DocVerify ID: 392F84B7-6FFC-435F-B584-ED198C43C2D1 www.docverify.com 39 2 F 8 4 B 7 - 6 F F C - 4 3 5 F - B 5 8 4 - E D 1 9 8 C 4 3 C 2 D 1 - - - 2 0 2 4 / 0 8 / 0 6 0 8 : 0 5 : 5 7 - 8 : 0 0 - - - R e m o t e N o t a r y Page 1 of 1 1ED198C43C2D1 Notarial act performed by audio-visual communication 08/06/2024 B33AF5BCD854 Signed on 2024/08/06 08:15:25 -8:00 Yolanda H Monsivais 08/06/2024 7EF781853A1D Signed on 2024/08/06 08:15:25 -8:00 Do c V e r i f y Bobbi Kaup Commission # 2020-RE-817219 Electronic Notary Public State of Ohio My Comm Exp. Jul 16, 2025 7EF781853A1DNotary Stamp 2024/08/06 08:15:25 PST       Co Us   Su LI Tr Ch EI Re         Filter By :Cancel All Exposures All Cost Types All Line Category Reasons  Click to Total Type Issued Date Amount Payment Details Exposure Vehicle/Party Coverage Cost Type Cost Category Line Category Line Category Reason Payee/Payer Payment Status  Payment 06/23/2025 $698.06 (1) 1st Party Vehicle - CHARLES GRAUL 2021 TESLA MDL S (5YJSA1E66MF439638)Collision Indemnity Collision Vehicle Standard indemnity CHARLES GRAUL Not Cleared Selected Total $698.06 Activity Activity Assignment Status  Pol:001381608-7104 Ins:Mr Graul DoL:06/19/2025 Adj:Nadege Istain-Brooks (Core COS - Stevens)Policy Based Location:California Financials: Line Items Desktop Claim (001381608-801)Search Address Book Team Go to (Alt+/) UNITED SERVICES AUTOMOBILE ASSOCIATION USAA 5163 - CA Please Visit Us at USAA.com P.O. Box 33490 San Antonio, TX 78265 Phone: (800) 531-8722 Claim #: Workfile ID: 001381608000000801001 4aafaa75 Estimate of Record Written By: VICTORIA CHAVEZ, License Number: 485280, 6/23/2025 12:50:14 PM Insured:CHARLES GRAUL Owner Policy #:001381608 Claim #:001381608000000801001 Type of Loss:Collision Date of Loss:06/19/2025 12:00 AM Days to Repair:5 Point of Impact:04 Right Qtr Post (Right Side) Deductible:1000.00 Owner (Insured):Inspection Location:Appraiser Information:Repair Facility: CHARLES GRAUL 116 OLD RANCH RD PALM DESERT, CA 92211-3210 (310) 800-4706 Cellular cmgraul1@yahoo.com 116 OLD RANCH RD PALM DESERT, CA 92211-3210 Virtual Victoria.Chavez@usaa.com (602) 520-2511 OWNERS CHOICE CA VEHICLE 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE VIN: 5YJSA1E66MF439638 Production Date: Interior Color: License: Odometer: 57128 Exterior Color: BLUE State: CA Condition: TRANSMISSION Intermittent Wipers RADIO SEATS Automatic Transmission Tilt Wheel AM Radio Bucket Seats 4 Wheel Drive Cruise Control FM Radio Reclining/Lounge Seats POWER Rear Defogger Stereo Leather Seats Power Steering Keyless Entry Search/Seek Heated Seats Power Brakes Alarm Auxiliary Audio Connection Rear Heated Seats Power Windows Message Center Satellite Radio Ventilated Seats Power Locks Steering Wheel Touch Controls SAFETY WHEELS Power Mirrors Telescopic Wheel Drivers Side Air Bag Aluminum/Alloy Wheels Heated Mirrors Heated Steering Wheel Passenger Air Bag PAINT Power Driver Seat Climate Control Anti-Lock Brakes (4)Clear Coat Paint Power Passenger Seat Navigation System 4 Wheel Disc Brakes OTHER Memory Package Remote Starter Front Side Impact Air Bags Fog Lamps DECOR Backup Camera Head/Curtain Air Bags Traction Control Dual Mirrors Parking Sensors Hands Free Device Stability Control Tinted Glass Surround View Camera Blind Spot Detection Rear Spoiler Console/Storage Entertainment Center Lane Departure Warning Xenon or L.E.D. Headlamps CONVENIENCE Intelligent Cruise ROOF Power Trunk/Liftgate Air Conditioning Home Link Skyview Roof 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 1 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE Line Oper Description Part Number Qty Extended Price $ Labor Paint 1 #For Supplements Use CCC 1 0.00 0.0 0.0 2 #Estimate Share - Questions 1 0.00 0.0 0.0 3 #Call CCC 800.637.8511 1 0.00 0.0 0.0 4 #Non CCC Users Contact 1 0.00 0.0 0.0 5 #Appraiser Via Email or Phone 1 0.00 0.0 0.0 6 #Shops can use the following link to check payment status: 1 0.00 0.0 0.0 7 #https://www.usaa.com/insurance /partner-claim-details 1 0.00 0.0 0.0 8 REAR DOOR 9 *Rpr RT Door shell (ALU)1584772E0A 0 0.00 4.0 2.0 10 Add for Clear Coat 0 0.00 0.0 0.8 11 R&I RT Belt molding 160017800A 0 0.00 0.5 0.0 12 R&I RT Handle, outside 1100300S0A 0 0.00 0.4 0.0 13 R&I RT Door glass Tesla 158835400D 0 0.00 0.5 0.0 14 R&I RT R&I trim panel 163394201I 0 0.00 0.5 0.0 15 QUARTER PANEL 16 *Rpr RT Outer qtr panel (ALU)1613684S0A 0 0.00 3.0 2.7 17 Overlap Major Adj. Panel 0 0.00 0.0 -0.4 18 Add for Clear Coat 0 0.00 0.0 0.5 19 R&I RT Quarter glass Tesla 160015600C 0 0.00 1.0 0.0 20 REAR BODY & FLOOR 21 R&I RT Side trim panel 160653300E 0 0.00 0.4 0.0 22 REAR LAMPS 23 R&I RT Tail lamp assy 600591900G 0 0.00 0.4 0.0 24 REAR BUMPER 25 *R&I Drop - bumper cover 1750102S0A 0 0.00 0.6 0.0 26 MISCELLANEOUS OPERATIONS 27 #Corrosion Protection 1 10.00 T 0.2 0.0 28 #Cover Car 1 5.00 T 0.2 0.0 29 #Urethane Kit 1 20.00 T 0.0 0.0 30 #Rpr Tesla toolbox 0 0.00 1.0 M 0.0 SUBTOTALS 35.00 12.7 5.6 NOTES Prior Damage Notes: Rear 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 2 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE ESTIMATE TOTALS Category Basis Rate Cost $ Parts 0.00 Body Labor 11.7 hrs @ $ 70.00 /hr 819.00 Paint Labor 5.6 hrs @ $ 70.00 /hr 392.00 Mechanical Labor 1.0 hrs @ $ 136.00 /hr 136.00 Paint Supplies 5.6 hrs @ $ 51.00 /hr 285.60 Miscellaneous 35.00 Subtotal 1,667.60 Sales Tax $ 320.60 @ 9.5000 %30.46 Total Cost of Repairs 1,698.06 Deductible 1,000.00 Total Adjustments 1,000.00 Net Cost of Repairs 698.06 AVOID DELAYS BY GETTING CLAIM AND PAYMENT INFORMATION IN JUST A FEW CLICKS! VISIT: http://www.usaa.com/bodyshop MEMBER NUMBER: Use Policy Number LOSS NUMBER: Use digits 16, 17, & 18 of the claim number (Ex. 012345670000000[003]001) LOSS DATE: Use Date of Loss If you choose to repair your vehicle at a STARS facility, please visit the following link for information regarding the USAA STARS Limited Lifetime Warranty: https://content.usaa.com/mcontent/static_assets/Media/usaa-stars-limited-lifetime-warranty.pdf If you do not choose to repair your vehicle at a STARS facility, please note that USAA STARS Limited Lifetime Warranty will not apply to repairs to your vehicle. Please Present A Copy Of This Estimate To A Repair Facility Of Your Choice *USAA Subsidiaries include: United Services Automobile Association(USAA), USAA Casualty Insurance Company(CIC), USAA General Indemnity Company(GIC) USAA County Mutual Insurance(CMI) and Garrison Property Casualty Insurance Company. Garrison Property and Casualty Insurance Company, a subsidiary of USAA Casualty Insurance Company, is authorized to use the USAA logo, a registered trademark of United Services Automobile Association. This is not an authorization to repair. Failing to present this estimate to the repairing garage before repair may result in additional expenses to you. A USAA appraiser must authorize any supplement to this estimate. Repairs to this vehicle may require specific welding equipment as recommended by the manufacturer. 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 3 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM. ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR FRAUDULENT INFORMATION TO OBTAIN OR AMEND INSURANCE COVERAGE OR TO MAKE A CLAIM FOR THE PAYMENT OF A LOSS IS GUILTY OF A CRIME AND MAY BE SUBJECT TO FINES AND CONFINEMENT IN STATE PRISON. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART, A=APPROXIMATE PRICE. LABOR TYPES: B=BODY LABOR, D=DIAGNOSTIC, E=ELECTRICAL, F=FRAME, G=GLASS, M=MECHANICAL, P=PAINT LABOR, S=STRUCTURAL, T=TAXED MISCELLANEOUS, X=NON TAXED MISCELLANEOUS. CCC ONE: ADJ=ADJACENT, ALGN=ALIGN, A/M=AFTERMARKET, BLND=BLEND, CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION, D&R=DISCONNECT AND RECONNECT, EST=ESTIMATE, EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY, INCL=INCLUDED, MISC=MISCELLANEOUS, NAGS=NATIONAL AUTO GLASS SPECIFICATIONS, NON-ADJ=NON ADJACENT, O/H=OVERHAUL, OP=OPERATION, NO=LINE NUMBER, QTY=QUANTITY, RECOND=RECONDITION, REFN=REFINISH, REPL=REPLACE, R&I=REMOVE AND INSTALL, R&R=REMOVE AND REPLACE, RPR=REPAIR, RT=RIGHT, SECT=SECTION, SUBL=SUBLET, LT=LEFT, W/O=WITHOUT, W/_=WITH/_ SYMBOLS: #=MANUAL LINE ENTRY, *=OTHER [IE..MOTORS DATABASE INFORMATION WAS CHANGED], **=DATABASE LINE WITH AFTERMARKET, N=NOTES ATTACHED TO LINE. OPT OEM=ORIGINAL EQUIPMENT MANUFACTURER PARTS EITHER OPTIONALLY SOURCED OR OTHERWISE PROVIDED WITH SOME UNIQUE PRICING OR DISCOUNT. ""CURE TIME"" MEANS THE LENGTH OF TIME THAT, PER THE ADHESIVE MANUFACTURER, THE WINDSHIELD ADHESIVE NEEDS TO CURE UNTIL THE WINDSHIELD CAN PROPERLY FUNCTION AS A SAFETY DEVICE PURSUANT TO THE FEDERAL MOTOR VEHICLE SAFETY STANDARDS AND THE VEHICLE MANUFACTURER'S SPECIFICATIONS. 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 4 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE Estimate based on MOTOR CRASH ESTIMATING GUIDE and potentially other third party sources of data. Unless otherwise noted, (a) all items are derived from the Guide DR7QA13, CCC Data Date 06/16/2025, and potentially other third party sources of data; and (b) the parts presented are OEM-parts. OEM parts are manufactured by or for the vehicle's Original Equipment Manufacturer (OEM) according to OEM's specifications for U.S. distribution. OEM parts are available at OE/Vehicle dealerships or the specified supplier. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships with discounted pricing. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor data provided by third party sources of data may have been modified or may have come from an alternate data source. Tilde sign (~) items indicate MOTOR Not-Included Labor operations. The symbol (<>) indicates the refinish operation WILL NOT be performed as a separate procedure from the other panels in the estimate. Non-Original Equipment Manufacturer aftermarket parts are described as Non OEM, A/M or NAGS. Used parts are described as LKQ, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Pound sign (#) items indicate manual entries. Some 2024 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated data from the vehicle manufacturer, labor and parts data from the previous year may be used. The CCC ONE estimator has a list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to be repaired or replaced: SYMBOLS FOLLOWING PART PRICE: m=MOTOR Mechanical component. s=MOTOR Structural component. T=Miscellaneous Taxed charge category. X=Miscellaneous Non-Taxed charge category. SYMBOLS FOLLOWING LABOR: D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category. M=Mechanical labor category. S=Structural labor category. (numbers) 1 through 4=User Defined Labor Categories. OTHER SYMBOLS AND ABBREVIATIONS: Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. Blnd=Blend. BOR=Boron steel. CAPA=Certified Automotive Parts Association. CFC=Carbon Fiber. D&R=Disconnect and Reconnect. HSS=High Strength Steel. HYD=Hydroformed Steel. Incl.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non Adjacent. NSF=NSF International Certified Part. O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace. R&I=Remove and Install. R&R=Remove and Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel. Sect=Section. STS=Stainless Steel. Subl=Sublet. UHS=Ultra High Strength Steel. N=Note(s) associated with the estimate line. CCC ONE Estimating - A product of CCC Intelligent Solutions Inc. The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR CRASH ESTIMATING GUIDE: BAR=Bureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number. 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 5 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE USAAs Quality Replacement Parts Program The following information summarizes USAAs Quality Replacement Parts program: USAA utilizes a Quality Replacement Parts (QRP) program to help manage repair costs while maintaining a high standard of quality and safety for vehicle repairs. USAAs QRP program includes parts that are required to be equivalent in quality, safety, fit, and performance of the part(s) being replaced on your vehicle. The application of USAAs QRP program will comply with all state/federal laws where applicable and may be superseded by policy/endorsement language when applicable. USAA provides a Limited Parts Warranty on Quality Replacement Parts that are authorized for use on USAA approved repair estimates and installed during vehicle repairs. USAAs warranty on sheet metal, and plastic QRP body parts is valid for the greater of the following time periods: (1) the remaining period of the Original Equipment Manufacturer (OEM) vehicle factory warranty; or (2) three years from the date of the repair completion. USAAs warranty on mechanical and electrical QRP parts is valid for the greater of the following time periods: (1) the remaining period of the Original Equipment Manufacturer (OEM) vehicle factory warranty; or (2) the same warranty period that would be provided by the Original Equipment Manufacturer (OEM) for an equivalent OEM replacement part. Excluded from USAAs QRP warranty are the following conditions: (1) normal wear and tear; (2) damage caused by accident and/or acts of nature; (3) intentional acts; (4) improper use or modification; (5) improper installation; and/or (6) improper maintenance of the vehicle. Any express warranty not provided herein is hereby excluded and disclaimed. Any implied warranties of merchantability and fitness for any particular purpose which may exist are expressly limited to the QRP warranty period(s) as cited above. The USAA QRP warranty period(s) will comply with and be superseded by state/federal law where applicable. USAA shall not be liable to any person for any special, incidental, or consequential damages, whether arising out of breach of warranty, breach of contract or otherwise. Limitations or exclusions of liability may be superseded by state/federal law where applicable. The following questions and answers may help you understand more about USAAs QRP program: Q. What types of parts are utilized in the QRP Program? A. In addition to the use of OEM parts in certain instances, the following types of parts may be utilized in the QRP Program: New aftermarket parts: Parts provided by manufacturers and distributors other than the Original Equipment Manufacturer. Recycled parts: Parts from a vehicle of the same make and model. Reconditioned, remanufactured, and rebuilt parts: Parts that are rebuilt or repaired to OEM specifications. Optional OEM parts: New OEM or OEM equivalent parts provided by distributors other than the Original Equipment Manufacturer. Q. What assurances do I have that QRP parts are of high quality? A. USAAs QRP program maintains high standards to utilize parts that are equivalent in quality, safety, fit, and performance of the part(s) being replaced on your vehicle. QRP parts carry an equal or better warranty when compared to OEM parts and are backed by USAAs Limited Parts Warranty. Q. Do I have a choice of which parts are used to repair my vehicle? A. As the owner of the vehicle, you have the right to choose the types of parts that are utilized in the repairs to your 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 6 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE vehicle. If you choose to utilize parts that differ from USAAs approved estimate, you will be responsible for any additional part costs and labor differences. As well, USAAs Limited Parts Warranty will not be applicable to parts that deviate from USAAs approved estimate. Q. Will using a non-OEM part void the warranty on my vehicle? A. QRP parts utilized in your vehicles repair carry an equal or better warranty when compared to OEM parts. Additionally, QRP parts are backed by USAAs Limited Parts Warranty, which includes the duration of the OEM warranty period. Q. If an issue arises with a QRP part utilized in the repair to my vehicle, what is the resolution process? A. If you experience a problem, contact your repair shop to discuss the concern. The shop will assess the situation and can work directly with the QRP supplier and/or USAA where necessary to resolve the issue. Q. What should I do if my repair shop refuses to use QRP parts? A. You have the right to choose where, how, and by whom your vehicle will be repaired. Repair shops have the right to conduct business in accordance with their own practices, including charging more than a competitive cost for repairs. Should you choose a repair shop that refuses to utilize the QRP parts listed on the USAA approved estimate, you will be responsible for any additional part costs and labor differences in the final repair bill. As well, the USAA Limited Parts Warranty will not apply. If you have questions about the program or warranty, log on to http://usaa.com or call 1-800-531-USAA (8722). 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 7 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE ALTERNATE PARTS USAGE 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE VIN: 5YJSA1E66MF439638 Production Date: Interior Color: License: Odometer: 57128 Exterior Color: BLUE State: CA Condition: Alternate Part Type # Of Available Parts # Of Parts Selected Aftermarket 0 0 Optional OEM 0 0 Reconditioned 0 0 Recycled 0 0 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 8 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE RECALL INFO 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE VIN: 5YJSA1E66MF439638 Production Date: Interior Color: License: Odometer: 57128 Exterior Color: BLUE State: CA Condition: The National Highway Transportation and Safety Administration (NHTSA) has issued 24 safety-related recall notice(s) that may apply to the selected vehicle. NHTSA ID: 25V172000 Issued: Mar 3, 25 Number of Vehicles: 00000091 AIR BAGS Tesla, Inc. (Tesla) is recalling certain 2021-2024 Model S and 2021-2025 Model X vehicles. An air bag with the incorrect horn pad may have been installed, preventing the horn from sounding. An inoperative horn may prevent the driver from alerting other drivers, increasing the risk of a collision. Tesla service will inspect and install an air bag with the correct horn pad as necessary, free of charge. Owner notification letters are expected to be mailed May 20, 2025. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-25-20-001. NHTSA ID: 24V967000 Issued: Dec 12, 24 Number of Vehicles: 00000487 AIR BAGS:FRONTAL:DRIVER SIDE:CUSHION Tesla, Inc. (Tesla) is recalling certain 2021-2025 Model S and Model X vehicles. The driver''s air bag could tear during deployment. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard (FMVSS) numbers 208, "Occupant Crash Protection" and 212, "Windshield Mounting." A torn air bag may not adequately protect an occupant in a crash, increasing the risk of injury. Tesla service will replace the air bag assembly, free of charge. Owner notification letters were mailed February 21, 2025. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-24-20-001. NHTSA ID: 24V554000 Issued: Jul 7, 24 Number of Vehicles: 01849638 LATCHES/LOCKS/LINKAGES:HOOD:LATCH Tesla, Inc. (Tesla) is recalling certain 2021-2024 Model 3, Model S, Model X, and 2020-2024 Model Y vehicles. The hood latch assembly may fail to detect an unlatched hood condition after the hood has been opened. An unlatched hood can fully open, obstructing the driver''s view and increasing the risk of a crash. Tesla has released an over-the-air (OTA) software update, free of charge. Owner notification letters were mailed September 24, 2024. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-24-00-012. NHTSA ID: 24V376000 Issued: May 5, 24 Number of Vehicles: 00125233 SEAT BELTS:FRONT:WARNING LIGHT/DEVICES Tesla, Inc. (Tesla) is recalling certain 2012-2024 Model S, 2015-2024 Model X, 2017-2023 Model 3, and 2020-2023 Model Y vehicles. In the event of an unbelted driver, the seat belt warning light and audible chime may not activate as intended. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 208, "Occupant Crash Protection." A seat belt warning system that fails to alert occupants of an unbelted seat belt can increase the risk of injury during a crash. Tesla will release an over-the-air (OTA) software update. Owner notification letters were mailed July 26, 2024. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-24-00-008. NHTSA ID: 24V376000 Issued: May 5, 24 Number of Vehicles: 00125227 SEAT BELTS Tesla, Inc. (Tesla) is recalling certain 2012-2024 Model S, 2015-2024 Model X, 2017-2023 Model 3, and 2020-2023 Model Y vehicles. In the event of an unbelted driver, the seat belt warning light and audible chime may not activate as intended. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 208, "Occupant Crash Protection." A seat belt warning system that fails to alert occupants of an unbelted seat belt can increase the risk of injury during a crash. Tesla will release an over-the-air (OTA) software update. Owner notification letters are expected to be mailed July 27, 2024. Owners may contact Tesla customer service at 1-877-798-3752. 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 9 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE Tesla''s number for this recall is SB-24-00-008. NHTSA ID: 24V153000 Issued: Feb 2, 24 Number of Vehicles: 00006557 ELECTRICAL SYSTEM:SOFTWARE Tesla, Inc. (Tesla) is recalling certain 2013, 2018-2021 Model S, 2020-2021 Model X, 2018-2022 Model 3, and 2020-2022 Model Y vehicles. A factory reset muted the Pedestrian Warning System (PWS) sounds. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 141, "Minimum Sound Requirements for Hybrid and Electric Vehicles." Pedestrians may be unaware of an approaching vehicle if the PWS sounds are muted, increasing the risk of a crash. Tesla released an over-the-air (OTA) software update, release 2023.44.30.14, free of charge. Owner notification letters were mailed April 27, 2024. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-24-00-006. NHTSA ID: 24V051000 Issued: Jan 1, 24 Number of Vehicles: 02193869 ELECTRICAL SYSTEM Tesla, Inc. (Tesla) is recalling certain 2012-2023 Model S, 2016-2024 Model X, 2017-2023 Model 3, 2019-2024 Model Y, and 2024 Cybertruck vehicles. An incorrect font size is displayed on the instrument panel for the Brake, Park, and Antilock Brake System (ABS) warning lights. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 105, "Hydraulic and Electric Brake Systems" and 135, "Light Vehicle Brake Systems." Warning lights with a smaller font size can make critical safety information on the instrument panel difficult to read, increasing the risk of a crash. Tesla began releasing an over-the-air (OTA) software update, free of charge. Owner notification letters are expected to be mailed March 30, 2024. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-24-00-003. NHTSA ID: 23V838000 Issued: Dec 12, 23 Number of Vehicles: 02031220 ELECTRICAL SYSTEM:ADAS:AUTONOMOUS/SELF DRIVING:SOFTWARE Tesla, Inc. (Tesla) is recalling 2012-2023 Model S, 2016-2023 Model X, 2017-2023 Model 3, and 2020-2023 Model Y vehicles equipped with all versions of Autosteer leading up to the version(s) that contains the recall remedy. In certain circumstances when Autosteer is engaged, the prominence and scope of the feature''s controls may not be sufficient to prevent driver misuse of the SAE Level 2 advanced driver-assistance feature. In certain circumstances when Autosteer is engaged, and the driver does not maintain responsibility for vehicle operation and is unprepared to intervene as necessary or fails to recognize when Autosteer is canceled or not engaged, there may be an increased risk of a crash. Tesla will release an over-the-air (OTA) software update, free of charge. Owner notification letters were mailed February 10, 2024. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-23-00-008. NHTSA ID: 23V743000 Issued: Nov 11, 23 Number of Vehicles: 00000194 STEERING: STEERING WHEEL/HANDLE BAR Tesla, Inc. (Tesla) is recalling certain 2021-2024 Model S and Model X vehicles. An incorrect air bag may have been installed when the steering yoke or round steering wheel was replaced with a different style of yoke or steering wheel. An air bag that is not designed to function with the replacement steering yoke or wheel may deploy incorrectly, increasing the risk of injury during a crash. Tesla Service will inspect and replace the driver air bag as necessary, free of charge. Owner notification letters were mailed January 2, 2024. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-23-20-005. NHTSA ID: 23V488000 Issued: Jul 7, 23 Number of Vehicles: 00015869 SEAT BELTS:FRONT Tesla, Inc. (Tesla) is recalling certain 2021-2023 Model S and Model X vehicles. The front-row seat belts may not be connected properly to the pretensioner anchors, which can cause the seat belts to detach. A detached seat belt may not properly restrain an occupant during a crash, increasing the risk of injury. Tesla Service will inspect the front-row seat belts and connect the seat belts to pretensioner anchors, or replace the seat belt assemblies, as necessary, free of charge. Owner notification letters were mailed September 12, 2023. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-23-20-004. NHTSA ID: 23V085000 Issued: Feb 2, 23 Number of Vehicles: 00362758 STEERING:AUTOMATED/ADAPTIVE STEERING Tesla, Inc. (Tesla) is recalling certain 2016-2023 Model S, Model X, 2017-2023 Model 3, and 2020-2023 Model Y vehicles equipped with Full Self-Driving Beta (FSD Beta) software or pending installation. The FSD Beta system may allow the vehicle to act unsafe around intersections, such as traveling straight through an intersection while in a turn-only lane, entering a stop 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 10 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE sign-controlled intersection without coming to a complete stop, or proceeding into an intersection during a steady yellow traffic signal without due caution. In addition, the system may respond insufficiently to changes in posted speed limits or not adequately account for the driver''s adjustment of the vehicle''s speed to exceed posted speed limits. FSD Beta software that allows a vehicle to exceed speed limits or travel through intersections in an unlawful or unpredictable manner increases the risk of a crash. Tesla will release an over-the-air (OTA) software update, free of charge. Owner notification letters were mailed April 15, 2023. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-23-00-001. NHTSA ID: 22V818000 Issued: Oct 10, 22 Number of Vehicles: 00040168 STEERING:ELECTRIC POWER ASSIST SYSTEM Tesla, Inc. (Tesla) is recalling certain 2017-2021 Model S and Model X vehicles. The electronic power assist steering (EPAS) system may experience a loss of power steering assist when driving on rough roads or after hitting a pothole. A loss of power steering assist can require greater steering effort, especially at low speeds, increasing the risk of a crash. Tesla has released an over-the-air (OTA) software update to recalibrate the EPAS system, free of charge. Owner notification letters were mailed December 31, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-00-014. NHTSA ID: 22E092000 Issued: Oct 10, 22 Number of Vehicles: 00000053 VISIBILITY:REARVIEW MIRRORS/DEVICES:EXTERIOR Tesla, Inc. (Tesla) is recalling certain 2021 Model S exterior side rearview mirrors, part numbers: 1622232-00-B and 1622233-00-B. The driver side exterior rearview mirrors are convex (curved glass) and the passenger side mirrors do not include the "Objects in Mirror Are Closer Than They Appear" etched warning. As such, these mirrors fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 111, "Rear Visibility." When using the incorrect mirrors, the driver may misjudge the distance of other vehicles, increasing the risk of a crash. Tesla Service will replace the mirrors, free of charge. Owner notification letters were mailed December 31, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-12-002. NHTSA ID: 22V702000 Issued: Sep 9, 22 Number of Vehicles: 01096762 VISIBILITY:POWER WINDOW DEVICES AND CONTROLS Tesla, Inc. (Tesla) is recalling certain 2017-2022 Model 3, 2020-2022 Model Y, and 2021-2022 Model S and Model X vehicles. The window automatic reversal system may not react correctly after detecting an obstruction. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 118, "Power-Operated Window Systems." A closing window may exert excessive force by pinching a driver or passenger before retracting, increasing the risk of injury. Tesla will perform an over-the-air (OTA) software update of the automatic window reversal system, free of charge. Owner notification letters were mailed March 31, 2032. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-00-013. NHTSA ID: 22V296000 Issued: May 5, 22 Number of Vehicles: 00129960 BACK OVER PREVENTION:DISPLAY FUNCTION Tesla, Inc. (Tesla) is recalling certain 2021-2022 Model S, Model X, and 2022 Model 3 and Model Y vehicles operating certain firmware releases. The infotainment central processing unit (CPU) may overheat during the preparation or process of fast-charging, causing the CPU to lag or restart. A lagging or restarting CPU may prevent the center screen from displaying the rearview camera image, gear selection, windshield visibility control settings, and warning lights, increasing the risk of a crash. Tesla will perform an over-the-air (OTA) software update that will improve CPU temperature management, free of charge. Owner notification letters were mailed July 1, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-00-009. NHTSA ID: 22V235000 Issued: Apr 4, 22 Number of Vehicles: 00594894 ELECTRICAL SYSTEM:SOFTWARE Tesla, Inc. (Tesla) is recalling certain 2020-2022 Model Y, Model X, Model S, and 2017-2022 Model 3 vehicles. The Boombox function allows sounds to be played through an external speaker while the vehicle is in motion, which may obscure the Pedestrian Warning System (PWS) sounds. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 141, "Minimum Sound Requirements for Hybrid and Electric Vehicles." Pedestrians may be unaware of an approaching vehicle if the PWS sounds are obscured, increasing the risk of a crash. Tesla will perform an over-the-air (OTA) software update that will disable the Boombox functionality when the vehicle is in Drive, Neutral and Reverse modes, including Summon and Smart Summon, free of charge. Owner notification letters were mailed June 6, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-00-003. Note: This recall supersedes recall 22V-063. Vehicles configured with Summon or Smart Summon and already remedied under 22V-063 will need to have the new remedy software installed. 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 11 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE NHTSA ID: 22V104000 Issued: Feb 2, 22 Number of Vehicles: 00000009 AIR BAGS:SIDE/WINDOW:CURTAIN:INFLATOR Tesla, Inc. (Tesla) is recalling certain 2021-2022 Model S vehicles. The right or left side curtain air bag inflators may have been assembled incorrectly. An incorrectly assembled inflator can cause a delayed or improper deployment of the side curtain air bag, increasing the risk of injury during a crash. Tesla Service Centers will replace the side curtain air bags, free of charge. Owner notification letters were mailed April 28, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-20-001. NHTSA ID: 22V063000 Issued: Feb 2, 22 Number of Vehicles: 00578607 ELECTRICAL SYSTEM:SOFTWARE Tesla, Inc. (Tesla) is recalling certain 2020-2022 Model S, Model X, Model Y, and 2017-2022 Model 3 vehicles. The Boombox function allows sounds to be played through an external speaker while the vehicle is in motion, which may obscure the Pedestrian Warning System (PWS) sounds. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 141, "Minimum Sound Requirements for Hybrid and Electric Vehicles." Pedestrians may be unaware of an approaching vehicle if the PWS sounds are obscured, increasing the risk of a crash. Tesla will perform an over-the-air (OTA) software update that will disable the Boombox functionality when the vehicle is in Drive, Neutral and Reverse modes, free of charge. Owner notification letters are expected to be mailed April 5, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-00-003. Note: This recall has been superseded by Recall 22V-235. Tesla''s number for the new recall is SB-22-00-003. NHTSA ID: 22V050000 Issued: Feb 2, 22 Number of Vehicles: 00026681 ELECTRICAL SYSTEM:SOFTWARE Tesla, Inc. (Tesla) is recalling certain 2021-2022 Model 3, Model S, Model X, and 2020-2022 Model Y vehicles. A software error may cause a valve in the heat pump to open unintentionally and trap the refrigerant inside the evaporator, resulting in decreased defrosting performance. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 103, "Windshield Defrosting and Defogging Systems." Decreased defrosting performance may reduce the driver''s visibility, increasing the risk of a crash. Tesla will perform an over-the-air (OTA) software update, free of charge. Owner notification letters were mailed April 1, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-18-002. NHTSA ID: 22V045000 Issued: Jan 1, 22 Number of Vehicles: 00817143 SEAT BELTS:FRONT Tesla, Inc. (Tesla) is recalling certain 2021-2022 Model S and Model X, 2017-2022 Model 3, and 2020-2022 Model Y vehicles. The audible chime may not activate when the vehicle starts and the driver has not buckled their seat belt. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 208, "Occupant Crash Protection." The driver may be unaware that their seat belt is not fastened, increasing the risk of injury during a crash. Tesla will perform an over-the-air (OTA) software update, free of charge. Owner notification letters were mailed April 1, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-00-002. NHTSA ID: 22V037000 Issued: Jan 1, 22 Number of Vehicles: 00053822 ELECTRICAL SYSTEM:ADAS:AUTONOMOUS/SELF DRIVING:SOFTWARE Tesla, Inc. (Tesla) is recalling certain 2016-2022 Model S and Model X, 2017-2022 Model 3, and 2020-2022 Model Y vehicles. The "rolling stop" functionality available as part of the Full Self-Driving (Beta) software may allow the vehicle to travel through an all-way stop intersection without first coming to a stop. Failing to stop at a stop sign can increase the risk of a crash. Tesla will perform an over-the-air (OTA) software update that disables the "rolling stop" functionality, free of charge. Owner notification letters were mailed March 28, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-22-00-001. NHTSA ID: 21V00B000 Issued: Dec 12, 21 Number of Vehicles: 00130441 LATCHES/LOCKS/LINKAGES:HOOD:LATCH Tesla, Inc. (Tesla) is recalling certain 2014-2021 Model S vehicles. The front trunk latch assembly may be misaligned, preventing the secondary hood latch from engaging. As such, these vehicles fail to comply with the requirements of Federal Motor Vehicle Safety Standard number 113, "Hood Latch System." If the primary latch is inadvertently released and the secondary latch is not engaged, the hood could open unexpectedly, obstructing the driver''s view and increasing the risk of a crash. Tesla Service will inspect and reposition the latch assembly as necessary, free of charge. Owner notification letters were mailed February 18, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-21-11-003. 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 12 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 Claim #:001381608000000801001 Workfile ID:4aafaa75 Estimate of Record 2021 TESL Model S Plaid AWD 4D SED Electric- Electric BLUE NHTSA ID: 21V868000 Issued: Nov 11, 21 Number of Vehicles: 00007600 AIR BAGS Tesla, Inc. (Tesla) is recalling certain 2021 Model X and Model S vehicles. The driver''s air bag cushion may tear during deployment. A torn air bag may not adequately protect an occupant in a crash, increasing their risk of injury. Tesla Service will replace the driver''s air bag, free of charge. Owner notification letters were mailed January 7, 2022. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-21-20-007. NHTSA ID: 21V846000 Issued: Oct 10, 21 Number of Vehicles: 00011728 FORWARD COLLISION AVOIDANCE: WARNINGS Tesla, Inc. (Tesla) is recalling certain 2017-2021 Model S, Model 3, Model X, and 2020-2021 Model Y vehicles operating software version 2021.36.5.2. A communication error may cause false forward-collision warning (FCW) or unexpected activation of the automatic emergency brake (AEB) system. Unexpected activation of the AEB system may cause the car to stop suddenly, increasing the risk of a crash. Tesla Service has released an over-the-air (OTA) software update, free of charge. The recall began October 25, 2021. Owners may contact Tesla customer service at 1-877-798-3752. Tesla''s number for this recall is SB-21-00-004. 6/23/2025 12:50:14 PM 485280 | 1.9.09.09160 Page 13 USAA Confidential7a1141c3-79e5-1019-9b14-e33186067661 VIN Claim Reference Id :001381608000000801001 File Name :VIN File Date :06/21/2025 Label :VIN VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Odometer Claim Reference Id :001381608000000801001 File Name :Odometer File Date :06/21/2025 Label :Odometer VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Driver Side Front Claim Reference Id :001381608000000801001 File Name :Driver Side Front File Date :06/21/2025 Label :Driver Side Front VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Passenger Side Rear Claim Reference Id :001381608000000801001 File Name :Passenger Side Rear File Date :06/21/2025 Label :Passenger Side Rear VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Driver Side Rear Claim Reference Id :001381608000000801001 File Name :Driver Side Rear File Date :06/21/2025 Label :Driver Side Rear VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Passenger Side Front Claim Reference Id :001381608000000801001 File Name :Passenger Side Front File Date :06/21/2025 Label :Passenger Side Front VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Damage - Left Angle Claim Reference Id :001381608000000801001 File Name :Damage - Left Angle File Date :06/21/2025 Label :Damage - Left Angle VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Damage - Center Claim Reference Id :001381608000000801001 File Name :Damage - Center File Date :06/21/2025 Label :Damage - Center VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Damage - Right Angle Claim Reference Id :001381608000000801001 File Name :Damage - Right Angle File Date :06/21/2025 Label :Damage - Right Angle VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Rear Claim Reference Id :001381608000000801001 File Name :Rear File Date :06/21/2025 Label :Rear VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead Passenger's Side Claim Reference Id :001381608000000801001 File Name :Passenger's Side File Date :06/21/2025 Label :Passenger's Side VIN :5YJSA1E66MF439638 Note : Photo Location :0.0 (Lat), 0.0 (Lon) Photo Taken By :GRAUL, CHARLES USAA Confidentiala694105f-78fd-1019-9e1a-3b78fc195ead