Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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| |
Our File No: | CS/MSG21001416/DQD3N2 |
| Date: | 14/05/2021 |
REFERENCE |
| Handling Insurer: | MSIG Insurance (Singapore) Pte. Ltd. |
Policy No: | 1001568515 |
| Claimant Vehicle No : | FBB3815L | Insured Vehicle No : | PC6786X |
| Date of Loss: | 25/01/2021 |
Nature of Claim: | TP |
Claim No: |
252572
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | FBB3815L |
| Make & Model: | YAMAHA RXZ, 133cc (M) |
Engine No: | 5PV018315 |
| Reg. Date: | 15/03/2007 (Man. Year: 2007) |
Chassis No: |
PMY5PV10070018315 |
| Colour: | Yellow |
Odometer: | 61509 km |
| Engine Capacity: | 133 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 80/80R18 |
Rear Tyre Size: | 80/80R18 |
|
Front Left Side:
| Dunlop 2 mm | |
Rear Left Side:
| Dunlop 2 mm | |
| Front Right Side: | 0 mm | |
Rear Right Side: | 0 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
4,237.20 |
2,222.10
|
2,015.10 |
47.56 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
620.00 |
290.00 |
330.00 |
53.23 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
4,857.20 |
2,512.10 |
2,345.10 |
48.28 |
| Approved Total (Overridden) (S$) |
|
2,000.00 |
| | |
| Nett Amount (S$) |
4,857.20 |
2,000.00 |
2,857.20 |
58.82 |
| | |
| INSPECTION |
| Date of Assignment: | 29/01/2021 |
| Date Inspected: | 29/01/2021 |
Inspected At: | Sg 98 Motor Pte Ltd (HQ)
BLK 4001 ANG MO KIO INDUSTRIAL PARK 1 #01-21
Singapore 569622 |
| Estimated Period of Repair: | 4.0 days |
| Adjuster: |
BRYAN TANI |
|
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: | | (Last Synchronised: 14 May 2021) |
| Parts: | N/A | YAMAHA RXZ 133cc (M) (Model not available in database) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for FBB3815L) |
| 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 |
2 |
|
*HANDLE BAR L/RH |
Bent |
180.00 |
FL |
*180.00 |
FL |
| 2 |
1 |
|
*CLUTCH LEVER |
Not Necessary |
75.00 |
FL |
*- |
FL |
| 3 |
1 |
|
*BRAKE LEVER |
Cut |
68.00 |
FL |
*68.00 |
FL |
| 4 |
1 |
|
*SET FORK TUBE |
Bent |
480.00 |
FL |
*480.00 |
FL |
| 5 |
1 |
|
*FORK UNDER BRACKET |
Damaged |
230.00 |
FL |
*230.00 |
FL |
| 6 |
1 |
|
*FORK OIL SEAL |
Necessary |
120.00 |
FL |
*120.00 |
FL |
| 7 |
1 |
|
*FRONT MUDGUARD |
Repair |
150.00 |
FL |
*- |
FL |
| 8 |
1 |
|
*HEAD LAMP |
Dislodged/Broken |
580.00 |
FL |
*268.00 |
FL |
| 9 |
1 |
|
*HEAD COWLING |
Dislodged/Broken |
230.00 |
FL |
*230.00 |
FL |
| 10 |
2 |
|
*FRONT SIGNAL L/RH |
Dislodged/Broken |
130.00 |
FL |
*110.00 |
FL |
| 11 |
1 |
|
*LAMP STAY |
Bent |
160.00 |
FL |
*98.00 |
FL |
| 12 |
1 |
|
*FRONT BRAKE DISC |
Not Necessary |
250.00 |
FL |
*- |
FL |
| 13 |
1 |
|
*FRONT RIM |
Repair |
320.00 |
FL |
*- |
FL |
| 14 |
1 |
|
*EXHAUST PIPE |
Repair |
550.00 |
FL |
*- |
FL |
| 15 |
1 |
|
*FRONT FOOTREST RH |
Cut/Torn |
85.00 |
FL |
*85.00 |
FL |
| 16 |
1 |
|
*FOOTREST BRACKET |
Not Necessary |
190.00 |
FL |
*- |
FL |
| 17 |
1 |
|
*BRAKE RESERVOIR |
Serviceable |
150.00 |
FL |
*- |
FL |
| 18 |
2 |
|
*MIRROR |
Not fitted |
160.00 |
FL |
*- |
FL |
| 19 |
1 |
|
*METER ASSY |
Broken |
540.00 |
FS |
*540.00 |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 4,648.00 | |
2,409.00
| |
| - List Item Discount on L Items 10.00/10.00% (S$) |
410.80 | | 186.90 | |
| |
|
| Total Parts (S$) |
4,237.20 | | 2,222.10 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TOWING FEE |
New |
40.00 | 0.00 |
| 2 |
REMOVE & REPLACE PARTS,ALIGN & ETC |
New |
250.00 | 150.00 |
| 3 |
REMOVE & REPLACE FORK TUBE,TOP UP FORK OIL |
New |
150.00 | 80.00 |
| 4 |
REMOVE & REPLACE FRONT DISC,FRONT RIM & EXHAUST PIPE |
New |
120.00 | 30.00 |
| 5 |
RE-CONNECT ELECTRICAL WIRING |
New |
60.00 | 30.00 |
| |
|
| Gross Labour Cost (S$) |
620.00 | 290.00 |
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< END OF ESTIMATES >