Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
| |
Our File No: | CC4/FWD19017618/APA3N2 |
| Date: | 20/04/2020 |
REFERENCE |
| Handling Insurer: | FWD Singapore Pte. Ltd. |
Policy No: | PNPV2019-00012516 |
| Claimant Vehicle No : | SMJ826C | Insured Vehicle No : | SKE453U |
| Date of Loss: | 03/10/2019 |
Nature of Claim: | TP |
Claim No: |
1201900029662
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SMJ826C |
| Make & Model: | MERCEDES-BENZ A180, 1.6 FL STYLE (R17 HLG) (A) |
Engine No: | 27091030852144 |
| Reg. Date: | 02/03/2016 (Man. Year: 2015) |
Chassis No: |
WDD1760422J425853 |
| Colour: | Grey |
Odometer: | 50943 km |
| Engine Capacity: | 1595 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 225/45 R17 |
Rear Tyre Size: | 225/45 R17 |
|
Front Left Side:
| Continental 6 mm | |
Rear Left Side:
| Continental 6 mm | |
| Front Right Side: | Continental 6 mm | |
Rear Right Side: | Continental 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
4,549.59 |
2,917.35
|
1,632.24 |
35.88 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
2,350.00 |
860.00 |
1,490.00 |
63.40 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
6,899.59 |
3,777.35 |
3,122.24 |
45.25 |
| Approved Total (Overridden) (S$) |
|
3,000.00 |
| | |
| Nett Amount (S$) |
6,899.59 |
3,000.00 |
3,899.59 |
56.52 |
| | |
| + Loss of Use (3.0 x S$60.00/day) (S$) | 180.00 |
| | |
| (S$) | 3,180.00 | |
| | |
| Liable Amount (50.00%) (S$) | 1,590.00 |
| + Doc/Search Fee (S$) | 7.45 |
| |
| | |
| Nett Liability (S$) |
1,597.45 | |
| | |
| Global Sum Settlement (S$) |
1,590.00 |
| | |
| INSPECTION |
| Date of Assignment: | 04/10/2019 |
| Date Inspected: | 08/10/2019 |
Inspected At: | Hua Meng Spray Painting Workshop (HQ)
No 1 Kaki Bukit Avenue 6, #01-61 Autobay@Kaki Bukit
Singapore 417883 |
| Estimated Period of Repair: | 3.0 days |
| Adjuster: |
ADRIAN LING |
|
Manager:
|
CHEW HSIAO TONG
|
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NOTE: This report represents our findings at the time and place of inspection stated herein. Such inspection has been carried out to the best of our knowledge and ability but any other liability under any other circumstances is hereby expressly excluded.
|
Reference |
| Part Source: | MRM-SG | Version: 1.0 (Last Synchronised: 17 Apr 2020) |
| Parts: | 144 | MERCEDES-BENZ A180 1.6 FL STYLE (R17 HLG) (A) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for SMJ826C) |
| Validity: | These estimates are valid only if they contain the print code (above) on all estimate pages, running page numbers with the END OF ESTIMATES marker on the last estimate page |
| Further Info: | Items/values not in reference catalogue are prefixed with an asterisk *. |
Recommended Parts
| Report was unsubmitted during this print-out. |
| No. | Qty |
Part No. |
Particulars |
Condition | Repairer's | |
Amount |
|
| 1 |
1 |
|
*FRONT BUMPER |
Torn |
1,298.00 |
FL |
*1,298.00 |
FL |
| 2 |
1 |
|
*FRONT BUMPER SIDE HOLDER |
N/S Necessary |
132.00 |
FL |
*66.00 |
FL |
| 3 |
2 |
|
*FRONT BUMPER SENSOR |
Damaged (1 PCS ONLY) |
627.00 |
FL |
*313.50 |
FL |
| 4 |
1 |
|
*FRONT BUMPER LH SIDE LOWER GRILLE |
Not Necessary |
57.20 |
FL |
*- |
FL |
| 5 |
1 |
|
*SET FRONT BUMPER CLIPS |
Necessary |
66.00 |
FL |
*30.00 |
FL |
| 6 |
1 |
|
*FRONT LH HEADLAMP |
Cut |
1,534.00 |
FL |
*1,534.00 |
FL |
| 7 |
1 |
|
*FRONT LH FENDER |
Repair |
726.00 |
FL |
*- |
FL |
| 8 |
1 |
|
*FRONT LH FENDER INNER SHIELD |
Not Necessary |
165.00 |
FL |
*- |
FL |
| 9 |
1 |
|
*SET FRONT LH FENDER INNER SHIELD CLIPS |
Not Necessary |
66.00 |
FL |
*- |
FL |
| 10 |
1 |
|
*FRONT BUMPER LOWER CENTRE GRILLE |
Not Necessary |
357.50 |
FL |
*- |
FL |
| 11 |
1 |
|
*FRONT LH HEADLAMP TOP RUBBER |
Not Necessary |
26.40 |
FL |
*- |
FL |
| F=Franchise part. L=ListItemDisc. |
|
| Sub Total (S$) | 5,055.10 | |
3,241.50
| |
| - List Item Discount on L Items 10.00/10.00% (S$) |
505.51 | | 324.15 | |
| |
|
| Total Parts (S$) |
4,549.59 | | 2,917.35 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
REMOVE & REINSTALL SENSOR |
New |
150.00 | 60.00 |
| 2 |
REMOVE,REPLACE & REPAIR CONSISTENT TO THE ACCIDENT |
New |
1,200.00 | 300.00 |
| 3 |
RESPRAY PAINTING |
New |
1,000.00 | 500.00 |
| |
|
| Gross Labour Cost (S$) |
2,350.00 | 860.00 |
| |
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< END OF ESTIMATES >