Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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| |
Our File No: | CS/MSG19021086/EVF3N2 |
| Date: | 22/05/2020 |
REFERENCE |
| Handling Insurer: | MSIG Insurance (Singapore) Pte. Ltd. |
Policy No: | 29135542MKC |
| Claimant Vehicle No : | GBH319R | Insured Vehicle No : | GBF9034M |
| Date of Loss: | 15/11/2019 |
Nature of Claim: | TP |
Claim No: |
612438
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | GBH319R |
| Make & Model: | NISSAN CABSTAR, 3.0 5M/T ABS 2DR 2WD EURO 5 (A) |
Engine No: | ZD30028862N |
| Reg. Date: | 27/12/2017 (Man. Year: 2017) |
Chassis No: |
JN1SC2F24Z0860934 |
| Colour: | Blue |
Odometer: | 35880 km |
| Engine Capacity: | 2953 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 195R15C |
Rear Tyre Size: | 195R15C |
|
Front Left Side:
| Condor 4 mm | |
Rear Left Side:
| Condor 4 mm | |
| Front Right Side: | Condor 4 mm | |
Rear Right Side: | Condor 4 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
2,801.63 |
1,004.34
|
1,797.29 |
64.15 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
2,350.00 |
660.00 |
1,690.00 |
71.91 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Gross Total (S$) |
5,151.63 |
1,664.34 |
3,487.29 |
67.69 |
| +
GST 7.00/7.00% (S$)
|
360.61 |
116.50 |
244.11 |
67.69 |
| | |
| Nett Amount (S$) |
5,512.24 |
1,780.84 |
3,731.40 |
67.69 |
| | |
| INSPECTION |
| Date of Assignment: | 28/11/2019 |
| Date Inspected: | 18/05/2020 |
Inspected At: | Efficient Motor & Engineering Works Pte Ltd (HQ)
56 Loyang Way #06-07, Loyang Enterprise Building
Singapore 508775 |
| Estimated Period of Repair: | 3.0 days |
| Adjuster: |
CHEN TSUE YEE |
|
Manager:
|
VERON CHEN
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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: | | (Last Synchronised: 22 May 2020) |
| Parts: | N/A | NISSAN CABSTAR 3.0 5M/T ABS 2DR 2WD EURO 5 (A) (Model not available in database) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for GBH319R) |
| 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 |
|
*RR TAILLAMP L/H |
Broken |
266.30 |
FL |
*266.30 |
FL |
| 2 |
1 |
|
*RR TAILLAMP R/H |
Broken |
266.30 |
FL |
*266.30 |
FL |
| 3 |
1 |
|
*RR NUMBER PLATE BRACKET |
Not Necessary |
32.50 |
FL |
*- |
FL |
| 4 |
1 |
|
*RR NUMBER PLATE LIGHT |
Not Necessary |
45.60 |
FL |
*- |
FL |
| 5 |
1 |
|
*RR CABIN DOOR L/H (LOCAL REPAIR) |
Bent |
1,620.00 |
FS |
*300.00 |
FS |
| 6 |
1 |
|
*REVERSE SENSOR |
Broken |
250.00 |
FS |
*200.00 |
FS |
| 7 |
1 |
|
*SPEED LIMIT 70/KM |
Necessary |
30.00 |
FS |
*25.00 |
FS |
| 8 |
1 |
|
*RR REGISTER PLATE |
Not Necessary |
40.00 |
FS |
*- |
FS |
| 9 |
4 |
|
*RR BUMPER STOPPER |
Not Necessary |
32.00 |
FS |
*- |
FS |
| 10 |
2 |
|
*RR CABIN DOOR HINGES |
Repair |
110.00 |
FS |
*- |
FS |
| 11 |
2 |
|
*RR CABIN DOOR LOCK |
Repair |
170.00 |
FS |
*- |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 2,862.70 | |
1,057.60
| |
| - List Item Discount on L Items 10.00/10.00% (S$) |
61.07 | | 53.26 | |
| |
|
| Total Parts (S$) |
2,801.63 | | 1,004.34 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TO DISMANTLE AND RE-FIX DAMAGED REAR PORTIONS;AFFECTED DAMAGED PORTION |
New |
600.00 | 0.00 |
| 2 |
TO APPLY ANTI RUST COAT AND TUFF-KOTE AFFECTED AREAS |
New |
70.00 | 30.00 |
| 3 |
TO CHECK LIGHTING & WIRING |
New |
80.00 | 30.00 |
| 4 |
TO PANEL BEAT AFFECTED REAR PORTIONS |
New |
600.00 | 400.00 |
| 5 |
TO SPRAY PAINTING FOR REAR PORTIONS AFFECTED PARTS |
New |
1,000.00 | 200.00 |
| |
|
| Gross Labour Cost (S$) |
2,350.00 | 660.00 |
| |
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< END OF ESTIMATES >