Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
| |
Our File No: | CS/EGI20005118/KQF3N2 |
| Date: | 29/04/2020 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | SMF9412A | Insured Vehicle No : | GBG9165M |
| Date of Loss: | 05/04/2020 |
Nature of Claim: | TP |
Claim No: |
CDMCG20000567
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SMF9412A |
| Make & Model: | MAZDA 3, 1.5 HATCHBACK DELUXE EU6 (A) |
Engine No: | P520559055 |
| Reg. Date: | 29/11/2018 (Man. Year: 2018) |
Chassis No: |
JM6BN24A8K0258453 |
| Colour: | Metallic Grey |
Odometer: | 12331 km |
| Engine Capacity: | 1496 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 215/50 ZR17 |
Rear Tyre Size: | 215/50 ZR17 |
|
Front Left Side:
| Michelin 8 mm | |
Rear Left Side:
| Michelin 8 mm | |
| Front Right Side: | Michelin 8 mm | |
Rear Right Side: | Michelin 8 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
5,611.92 |
4,739.36
|
872.56 |
15.55 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
1,370.00 |
910.00 |
460.00 |
33.58 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
6,981.92 |
5,649.36 |
1,332.56 |
19.09 |
| Approved Total (Overridden) (S$) |
|
4,500.00 |
| | |
| (S$) |
6,981.92 |
4,500.00 |
2,481.92 |
35.55 |
| +
GST 7.00/7.00% (S$)
|
488.73 |
315.00 |
173.73 |
35.55 |
| | |
| Nett Amount (S$) |
7,470.65 |
4,815.00 |
2,655.65 |
35.55 |
| | |
| INSPECTION |
| Date of Assignment: | 09/04/2020 |
| Date Inspected: | 09/04/2020 |
Inspected At: | 160 SIN MING DRIVE
#05-08 SIN MING AUTOCITY
SINGAPORE 575722
REPAIRER: KUM CHEW MOTOR WORKSHOP |
| Estimated Period of Repair: | 4.0 days |
| Adjuster: |
KENNETH KONG |
|
Manager:
|
SHIAU CHAN
|
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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: 29 Apr 2020) |
| Parts: | 144 | MAZDA 3 1.5 HATCHBACK DELUXE EU6 (A) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for SMF9412A) |
| 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 |
|
*FRT BUMPER |
Cracked |
866.80 |
FL |
*866.80 |
FL |
| 2 |
8 |
|
*FRT BUMPER CLIPS |
Necessary |
71.20 |
FL |
*71.20 |
FL |
| 3 |
1 |
|
*FRT BUMPER SIDE RETAINER |
Distorted |
29.70 |
FL |
*29.70 |
FL |
| 4 |
1 |
|
*FRT BUMPER REINFORCEMENT |
Repair |
502.80 |
FL |
*- |
FL |
| 5 |
1 |
|
*FRT BUMPER TOP BRACKET |
Repair |
95.40 |
FL |
*- |
FL |
| 6 |
1 |
|
*FRT FOG LAMP COVER |
Cut |
191.70 |
FL |
*191.70 |
FL |
| 7 |
1 |
|
*FRT FENDER-RH |
Bent |
350.60 |
FL |
*350.60 |
FL |
| 8 |
1 |
|
*FRT FENDER DUST COVER-RH |
Cracked |
181.90 |
FL |
*181.90 |
FL |
| 9 |
8 |
|
*FRT FENDER DUST COVER CLIPS |
Necessary |
71.20 |
FL |
*71.20 |
FL |
| 10 |
1 |
|
*FRT HEADLAMP |
Mtg Cracked |
3,778.60 |
FL |
*3,598.60 |
FL |
| 11 |
1 |
|
*FRT SPORT RIM-RH |
Dented |
450.00 |
FS |
*450.00 |
FS |
| 12 |
1 |
|
*FRT TYRE-RH |
Serviceable |
250.00 |
FS |
*- |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 6,839.90 | |
5,811.70
| |
| - List Item Discount on L Items 20.00/20.00% (S$) |
1,227.98 | | 1,072.34 | |
| |
|
| Total Parts (S$) |
5,611.92 | | 4,739.36 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TO PULL,KNOCK ON ACCIDENT PORTION & CHANGE ABOVE PART |
New |
480.00 | 400.00 |
| 2 |
TO SPRAY & PAINT ON ACCIDENT PORTION |
New |
580.00 | 400.00 |
| 3 |
TO CHECK WIRING FUNCTIONS |
New |
80.00 | 20.00 |
| 4 |
TO ANTI-RUST AFFECTED AREAS |
New |
80.00 | 30.00 |
| 5 |
TO WHEEL ALIGNMENT |
New |
150.00 | 60.00 |
| |
|
| Gross Labour Cost (S$) |
1,370.00 | 910.00 |
| |
|
< END OF ESTIMATES >