Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS3/AIG20014794/BVD3N2 |
| Date: | 29/07/2021 |
REFERENCE |
| Handling Insurer: | AIG Asia Pacific Insurance Pte. Ltd. |
Policy No: | 2100490677 |
| Claimant Vehicle No : | SBW5509Y | Insured Vehicle No : | SLJ8348A |
| Date of Loss: | 21/12/2020 |
Nature of Claim: | TP |
Claim No: |
4881942976SG
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| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SBW5509Y |
| Make & Model: | MERCEDES-BENZ E200, 1.8 (A) |
Engine No: | 11194022001817 |
| Reg. Date: | 20/01/1993 (Man. Year: 1992) |
Chassis No: |
WDB1240192B901325 |
| Colour: | Blue |
Odometer: | 380969 km |
| Engine Capacity: | 1998 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 205/65R15 |
Rear Tyre Size: | 205/65R15 |
|
Front Left Side:
| Michelin 5 mm | |
Rear Left Side:
| Michelin 5 mm | |
| Front Right Side: | Michelin 5 mm | |
Rear Right Side: | Michelin 5 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
0.00 |
0.00
|
0.00 |
|
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
0.00 |
0.00 |
0.00 |
|
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Nett Amount (S$) |
0.00 |
0.00 |
0.00 |
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| INSPECTION |
| Date of Assignment: | 30/12/2020 |
| Date Inspected: | 04/01/2021 |
Inspected At: | RS AUTOMOTIVE WORKSHOP
BLK 3006 UBI ROAD 1
#01-394
SINGAPORE 408700 |
| Estimated Period of Repair: | 5.0 days |
| Adjuster: |
Lim Teow Guan |
|
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.
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MARKET VALUE: $11,000.00 (EST)
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Recommended Parts
| Report was unsubmitted during this print-out. |
| No. | Qty |
Part No. |
Particulars |
Condition | Repairer's | |
Amount |
|
| 1 |
1 |
|
*FRT LH DOOR |
Dented |
0.00 |
F |
*- |
F |
| 2 |
1 |
|
*FRT LH DOOR PROTECTOR |
Bent |
0.00 |
F |
*- |
F |
| 3 |
1 |
|
*FRT LH DOOR GLASS OUTER MOULDING |
Necessary |
0.00 |
F |
*- |
F |
| 4 |
1 |
|
*FRT LH DOOR GLASS INNER MOULDING |
Necessary |
0.00 |
F |
*- |
F |
| 5 |
1 |
|
*REAR LH DOOR |
Dented |
0.00 |
F |
*- |
F |
| 6 |
1 |
|
*REAR LH DOOR PROTECTOR |
Dented |
0.00 |
F |
*- |
F |
| 7 |
1 |
|
*REAR LH DOOR GLASS OUTER MOULDING |
Necessary |
0.00 |
F |
*- |
F |
| 8 |
1 |
|
*REAR LH DOOR GLASS INNER MOULDING |
Necessary |
0.00 |
F |
*- |
F |
| 9 |
1 |
|
*REAR LH DOOR GLASS REGULATOR |
Bent |
0.00 |
F |
*- |
F |
| 10 |
1 |
|
*REAR LH DOOR LOCK |
Jammed |
0.00 |
F |
*- |
F |
| 11 |
1 |
|
*REAR BUMPER |
Cracked |
0.00 |
F |
*- |
F |
| 12 |
2 |
|
*REAR BUMPER SIDE RETAINER |
Necessary |
0.00 |
F |
*- |
F |
| 13 |
1 |
|
*REAR LH FENDER |
Dented |
0.00 |
F |
*- |
F |
| 14 |
1 |
|
*REAR LH FENDER PROTECTOR |
Dented |
0.00 |
F |
*- |
F |
| F=Franchise part. |
|
| Total Parts (S$) |
0.00 | | 0.00 | |
| |
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Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
There are no labour items selected. |
< END OF ESTIMATES >