Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
AIG Asia Pacific Insurance Pte. Ltd.
AIG Building, 78 Shenton Way #07-16
Singapore 079120 |
Our File No: | CS/AIG20014242/EQF3N2 |
| Date: | 15/04/2021 |
REFERENCE |
| Insured/Claimant: | LIM EILYN |
Policy No: | 2070010017 |
| Date of Loss: | 03/10/2020 |
Nature of Claim: | OD |
Claim No: |
0069446879SG
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SMS3376S |
| Make & Model: | MITSUBISHI SPACE STAR, 1.2 (A) |
Engine No: | 3A92UJB8609 |
| Reg. Date: | 21/02/2020 (Man. Year: 2019) |
Chassis No: |
MMBXTA03ALH000277 |
| Colour: | Red |
Odometer: | 9735 km |
| Engine Capacity: | 1193 cc |
| Market Value/New Car Price: | S$70,000.00 |
| Sum Insured (S$): | 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: | 175/55R15 |
Rear Tyre Size: | 175/55R15 |
|
Front Left Side:
| Bridgestone 4 mm | |
Rear Left Side:
| Bridgestone 4 mm | |
| Front Right Side: | Bridgestone 4 mm | |
Rear Right Side: | Bridgestone 4 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
5,462.45 |
2,467.06
|
2,995.39 |
54.84 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
3,880.00 |
1,525.00 |
2,355.00 |
60.70 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
|
Calculated Gross Total
(S$)
|
9,342.45 |
3,992.06 |
5,350.39 |
57.27 |
| - Excess (S$) |
600.00 |
600.00 |
0.00 |
0.00 |
| | |
| (S$) |
8,742.45 |
3,392.06 |
5,350.39 |
61.20 |
| +
GST 7.00/7.00% (S$)
|
611.97 |
237.44 |
374.53 |
61.20 |
| | |
| Nett Amount (S$) |
9,354.42 |
3,629.50 |
5,724.92 |
61.20 |
| | |
| INSPECTION |
| Date of Assignment: | 21/12/2020 |
| Date Inspected: | 25/03/2021 |
Inspected At: | Cycle & Carriage Automotive Pte Ltd (Pandan Gardens)
209 Pandan Gardens
Singapore 609339 |
| Estimated Period of Repair: | 4.0 days |
| Adjuster: |
CHEN TSUE YEE |
|
Manager:
|
SHIAU CHAN
|
|
|
|
|
|
|
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.
|
Recommended Parts
| Report was unsubmitted during this print-out. |
| No. | Qty |
Part No. |
Particulars |
Condition | Repairer's | |
Amount |
|
| 1 |
1 |
|
*FACE,FR BUMPER |
Dented |
751.00 |
FL |
*751.00 |
FL |
| 2 |
5 |
|
*CLIP,FR BUMPER |
Necessary |
20.00 |
FL |
*20.00 |
FL |
| 3 |
1 |
|
*BRACKET,FR BUMPER SIDE LH |
Not Necessary |
7.00 |
FL |
*- |
FL |
| 4 |
1 |
|
*GRILLE ASSY,RADIATOR |
Not Necessary |
404.00 |
FL |
*- |
FL |
| 5 |
1 |
|
*MARK,THREE-DIA |
Not Necessary |
69.00 |
FL |
*- |
FL |
| 6 |
1 |
|
*GARNISH,FR BUMPER SIDE,LH |
Not Necessary |
173.00 |
FL |
*- |
FL |
| 7 |
1 |
|
*GARNISH,FR BUMPER,CTR |
Not Necessary |
190.00 |
FL |
*- |
FL |
| 8 |
1 |
|
*GARNISH,FR BUMPER,LH |
Not Necessary |
53.00 |
FL |
*- |
FL |
| 9 |
1 |
|
*HOOD |
Not Necessary |
615.00 |
FL |
*- |
FL |
| 10 |
8 |
|
*CLIP,HOOD INSULATOR |
Not Necessary |
24.00 |
FL |
*- |
FL |
| 11 |
1 |
|
*HEADLAMP ASSY,LH |
Broken |
1,842.00 |
FL |
*1,842.00 |
FL |
| 12 |
1 |
|
*BODY KIT,SPACE STAR,A66 |
Not Necessary |
1,776.00 |
FN |
*- |
FN |
| 13 |
1 |
|
*REINFORCEMENT,FR BUMPER |
Not Necessary |
432.00 |
FL |
*- |
FL |
| 14 |
1 |
|
*SUNDRIES |
Necessary |
30.00 |
FS |
*20.00 |
FS |
| 15 |
1 |
|
*FRT NUMBER PLATE WITH CASING |
Not Necessary |
50.00 |
FS |
*- |
FS |
| 16 |
1 |
|
*FENDER, FR LH
(Supplementary) |
Dented |
435.00 |
FL |
*435.00 |
FL |
| 17 |
1 |
|
*PANEL, AIR GUIDE
(Supplementary) |
Broken |
100.00 |
FL |
*100.00 |
FL |
| 18 |
6 |
|
*RIVET, FR BUMPER
(Supplementary) |
Necessary |
30.00 |
FL |
*30.00 |
FL |
| F=Franchise part. S=SpcNett. L=ListItemDisc. N=NettItemDisc. |
|
| Sub Total (S$) | 7,001.00 | |
3,198.00
| |
| - List Item Discount on L Items 23.00/23.00% (S$) |
1,183.35 | | 730.94 | |
| - Nett Item Discount on N Items 20.00/20.00% (S$) |
355.20 | | 0.00 | |
| |
|
| Total Parts (S$) |
5,462.45 | | 2,467.06 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
RENEW FRT BUMPER & BONNET.REPAIR LHF FENDER & FRT SUPPORT PNL |
New |
2,250.00 | 675.00 |
| 2 |
RESPRAY FRT BUMPER,BONNET.LHF FENDER & FRT SUPPORT PNL |
New |
1,400.00 | 700.00 |
| 3 |
CHECK WIRING ELECTRICAL SYSTEM & ADJUST HEADLAMP AIM |
New |
30.00 | 30.00 |
| 4 |
TO CARRY OUT DIAGNOSTIC CHECK USING HI-SCAN PRO TEST USING HI-SCAN PRO TEST |
New |
120.00 | 120.00 |
| 5 |
APPLY ANTI CORROSION ON AFFECTED AREAS |
New |
80.00 | 0.00 |
| |
|
| Gross Labour Cost (S$) |
3,880.00 | 1,525.00 |
| |
|
< END OF ESTIMATES >