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Order Information

Client

LIBERTY MUTUAL/SAFECO PERSONAL LINES

Claim ID

045424920-0001

Order Date

5/20/2021 2:00:33 PM

Inspector

DA901

Contract Number

045424920-0001

Insured Party

JACK MILLER

Vehicle Year

2008

Vehicle Make

FOREST RIVER

Vehicle Model

ROCKWOOD

Vehicle VIN Number

4X4TRL32X81820815

Vehicle Mileage

UNK

Inspection Location

Name

SPRING VALLEY CAMPSITE

Address

8000 DOZER RD

City

CAMBRIDGE

State, Zip

OH, 43725

Phone

7408686127

Contact(s)

JACK MILLER

Adjuster Name

MICHAEL RANGE

Extension

407-391-2199

Email

MICHAEL.RANGE@LIBERTYMUTUAL.COM; NICHOLAS.MIGLIORI@LIBERTYMUTUAL.COM; MICHAEL.LEMIESZEWSKI@LIBERTYMUTUAL.COM

Reason For Inspection

PLEASE INSPECT THE DAMAGE TO VERIFY LOCATION OF WATER LEAK WILL NEED ROOF INSPECTION TO VERIFY AND UNDERCARRIAGE. LOCATED SPRING VALLEY 8000 DOZER RD, CAMBRIDGE OH 43725. CAMP SPOT 39 AND 41. CHECK FOR PHYSICAL DAMAGE, IMPACT, CHECK FOR ROOF SEAL AND OR MEMBRANE DETERIORATION

Report Information

Location Contact

JACK MILLER

Contact Title

JACK MILLER

Inspection Date

5/26/2021 5:00:00 PM

Vehicle Year

2008

Vehicle Make

FOREST RIVER

Vehicle Model

ROCKWOOD<

Current VIN Number

4X4TRL32X81820815

Vehicle Production Date

01/08

Current Mileage

N/A

Vehicle Mileage Originally Submitted as

UNK

Vehicle Trim

Labor Rate / Type

0.0000 PROVIDED VERBALLY

Engine Type

N/A

Engine Emissions

N/A

Transmission / Model

N/A

Wheel Drive Type

N/A

Vehicle Plate #

SRW 7648 OHIO 8/21

Engine Oil Level

N/A

Engine Oil Condition

N/A

Coolant Level

N/A

Coolant Condition

N/A

Transmission Level

N/A

Transmission Condition

N/A

Power Steering Level

N/A

Power Steering Condition

N/A

Brake fluid Level

N/A

Brake Fluid Condition

N/A

Front Differential Fluid Level

N/A

Front Differential Fluid Condition

N/A

Rear Differential Fluid Level

N/A

Rear Differential Fluid Condition

N/A

Transfer Case Level

N/A

Transfer Case Condition

N/A

Oil Filter Brand

N/A

Sample Taken

Sample Type

Miscellaneous Comments

INSPECTOR JIM DIMAURO 614-940-2665

Commercial Use

Signage

Modifications

Collision

Tow Hitch

Towed or Driven In

TOWED

Belts

N/A

Hoses

N/A

Tire Size

ST205/17

Factory Tire Size

ST205/17

Overall Condition

AVERAGE

Customer Complaint, Date Opened, Shop Name on Repair Order

N/A

Facility Repair Order

N/A

State of Assembly (be specific)

FULLY ASSEMBLED

Related Recalls, TSB's, or Service History

Failed Components and Extent of Damage

PERFORMED INSPECTION INSIDE THE CAMPER. THERE IS NO EVIDENCE OF ANY INTERIOR LEAKS COMING FROM THE ROOF. IN THE MASTER BEDROOM, THE OWNER ALREADY REPLACED A PARTIAL SECTION OF THE PASSENGER SIDE/RIGHT SIDE SUBFLOOR, WHICH I VERIFIED. THE DRIVER SIDE OR THE LEFT SIDE OF THE SUBFLOOR IS VERY WEAK AND SPONGY WHICH IS AN INDICATION THAT THE SUBFLOOR IS ROTTED UNDERNEATH. THE OWNER LIFTED UP THE MASTER BED, THE SUBFLOOR UNDER THE MASTER BED IS IN THE SAME CONDITION. WITH THE CARPET AND PLACE COULD NOT GET AN ACTUAL VISUAL OF THE FLOORING. NONE OF THE WALLS OR CEILINGS INSIDE THE CAMPER HAVE EVIDENCE OF WATER INTRUSION OR ANY COMPROMISING DUE TO WATER INTRUSION. THE OWNER BEGAN TELLING ME ABOUT AN INCIDENT ON THE HIGHWAY. HE STATED THAT HE WAS DRIVING DOWN THE ROAD WHEN A TRACTOR-TRAILER TRUCK BLEW A TIRE, THE TRACTOR-TRAILER TIRE BLEW UNDER THE CAMPER MAKING CONTACT WITH THE CAMPER TAKING OUT THE LEFT FRONT TIRE. I STATED THAT I WAS NOT THE CLAIM ADJUSTER FOR THIS CLAIM I AM A THIRD-PARTY INSPECTOR LOOKING FOR ANY MECHANICAL FAILURES, OR CAUSES OF FAILURES THAT WOULD CAUSE WATER INTRUSION. HE SHOULD SUPPLY ANY RECEIPTS AND IMPORTANT INFORMATION ABOUT THIS INCIDENT TO HIS INSURANCE AGENT/ CLAIM ADJUSTER. WHEN LOOKING UNDER THE CAMPER, THERE IS EVIDENCE OF IMPACT IN THE LEFT FRONT CORNER LOWER SECTION. THERE ARE SEVERAL SMALL DINGS ON THE ALUMINUM, AS WELL AS A GOOD SIZE SCUFF ON THE UNDERCARRIAGE COVERING THAT PROTECTS UNDERNEATH THE CAMPER. THIS UNDERLAYMENT/ COVER HAS A GAP THAT IS APPROXIMATELY 3" WHICH IS HANGING DOWN. UNFORTUNATELY, I CANNOT SEE THE SUBFLOOR FROM THAT POSITION. I OPENED UP THE STORAGE COMPARTMENT ON THE LEFT SIDE IN FRONT OF THE CAMPER. THE SUBFLOOR IS COMPLETELY ROTTED OUT. THIS IS THE SAME LEVEL OF THE MAIN FLOOR/SUBFLOOR OF THE CAMPER. THERE IS NO EVIDENCE OF LEAKING INSIDE FROM THE SIDES OR THE FRONT OF THE CAMPER WHAT COULD CAUSE WATER INTRUSION INSIDE THE STORAGE AREA. THE ONLY AREA THAT HAS ANY INDICATION WHICH WOULD ALLOW WATER INTRUSION IS UNDER THE CAMPER. THE OWNER ONLY HAD A 6-FOOT LADDER SO I WAS ONLY ABLE TO GET PICTURES OF THE ROOF FROM THE SIDES OF THE VEHICLE/CAMPER. THE ONLY SEAL AREA THAT SHOWS ANY CRACKING OR DETERIORATION IS AT THE VERY REAR OF THE VEHICLE/CAMPER WHICH IS ON THE OPPOSITE SIDE OF THE AFFECTED AREA. OVERALL THE MEMBRANE OF THE ROOF LOOKS IN GOOD CONDITION. THERE'S NO SEVERE DELAMINATING OF THE SIDING. THERE IS ONE VERY SMALL SECTION APPROXIMATELY 3 INCHES IN DIAMETER APPROXIMATELY IN THE MIDDLE OF THE FRONT OF THE LEFT SIDE.

Measurements

Cause of failure

CONSISTENT WITH SOME TYPE OF IMPACT TO THE LEFT FRONT SIDE AND UNDERCARRIAGE OF THE VEHICLE/CAMPER WITH SUBSEQUENT DAMAGE TO THE UNDERLAYMENT ALLOWING A WATER INTRUSION INTO THE SUBFLOOR AREA OF THE CAMPER DUE TO CONTINUOUS OPERATION AND EXPOSURE.

Recommendations for Repair

BRING TO A CERTIFIED FOREST RIVER SERVICE LOCATION TO DISASSEMBLE TO VERIFY THE EXTENT OF THE DAMAGE, SO A PROPER ESTIMATE COULD BE GIVEN.

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