Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
| |
Our File No: | CS/EGI21002903/T1TF3N2 |
| Date: | 16/06/2021 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | SBW54A | Insured Vehicle No : | GBJ4229E |
| Date of Loss: | 02/03/2021 |
Nature of Claim: | TP |
Claim No: |
CDMCG21000395
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SBW54A |
| Make & Model: | SUBARU FORESTER, 2.0 I-L CVT AWD SR (A) |
Engine No: | FB20YE50257 |
| Reg. Date: | 20/11/2018 (Man. Year: 2018) |
Chassis No: |
JF1SJ5KC5JG112545 |
| Colour: | Grey |
Odometer: | 55226 km |
| Engine Capacity: | 1995 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 225/60R17 |
Rear Tyre Size: | 225/60R17 |
|
Front Left Side:
| Yokohama 6 mm | |
Rear Left Side:
| Yokohama 6 mm | |
| Front Right Side: | Yokohama 6 mm | |
Rear Right Side: | Yokohama 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
3,740.80 |
2,096.48
|
1,644.32 |
43.96 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
10,285.00 |
2,735.00 |
7,550.00 |
73.41 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Gross Total (S$) |
14,025.80 |
4,831.48 |
9,194.32 |
65.55 |
| +
GST 7.00/7.00% (S$)
|
981.81 |
338.20 |
643.61 |
65.55 |
| | |
| Nett Amount (S$) |
15,007.61 |
5,169.68 |
9,837.93 |
65.55 |
| | |
| INSPECTION |
| Date of Assignment: | 03/03/2021 |
| Date Inspected: | 23/03/2021 |
Inspected At: | Motor Image Enterprises Pte Ltd (Toa Payoh)
19 Lorong 8 Toa Payoh
Singapore 319255 |
| Estimated Period of Repair: | 5.0 days |
| Adjuster: |
MOHD TAUFIKH BIN HAMID |
|
Manager:
|
DENISE TAY KWEE CHENG
|
|
|
|
|
|
|
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: 16 Jun 2021) |
| Parts: | M1-SUV | SUBARU FORESTER 2.0 I-L CVT AWD SR (A) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for SBW54A) |
| 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 |
|
*GLASS-REAR GATE |
Necessary |
799.20 |
F |
*799.20 |
FL |
| 2 |
1 |
|
*RUBBER-REAR GATE |
Necessary |
12.60 |
F |
*12.60 |
FL |
| 3 |
2 |
|
*DAM RUBBER-REAR GATE GLASS |
Necessary |
7.20 |
F |
*7.20 |
FL |
| 4 |
1 |
|
*PANEL-REAR GATE |
Bent |
1,072.80 |
F |
*1,072.80 |
FL |
| 5 |
1 |
|
*LATCH & ACTUATOR-REAR GATE |
Not Necessary |
144.00 |
F |
*- |
FL |
| 6 |
1 |
|
*STRIKER-REAR GATE |
Not Necessary |
21.60 |
F |
*- |
FL |
| 7 |
1 |
|
*MUD GUARD,REAR RIGHT |
Not Necessary |
57.60 |
F |
*- |
FL |
| 8 |
1 |
|
*MUD GUARD,REAR LEFT |
Not Necessary |
57.60 |
F |
*- |
FL |
| 9 |
1 |
|
*WEATHER STRIP-REAR GATE |
Not Necessary |
111.60 |
F |
*- |
FL |
| 10 |
1 |
|
*TRIM PANEL-REAR SKIRT |
Not Necessary |
36.00 |
F |
*- |
FL |
| 11 |
1 |
|
*BUMPER-FACE,REAR |
Deformed |
540.00 |
F |
*540.00 |
FL |
| 12 |
1 |
|
*BACK BEAM COMPLETE-REAR |
Not Necessary |
288.00 |
F |
*- |
FL |
| 13 |
1 |
|
*BRACKET-REAR BUMPER SIDE ,RIGHT |
Not Necessary |
14.40 |
F |
*- |
FL |
| 14 |
1 |
|
*BRACKET-REAR BUMPER SIDE ,LEFT |
Necessary |
14.40 |
F |
*14.40 |
FL |
| 15 |
1 |
|
*BRACKET-REAR BUMPER CORNER RIGHT |
Not Necessary |
18.00 |
F |
*- |
FL |
| 16 |
1 |
|
*BRACKET-REAR BUMPER CORNER LEFT |
Necessary |
18.00 |
F |
*18.00 |
FL |
| 17 |
1 |
|
*COVER-REAR BUMPER |
Cut |
12.60 |
F |
*12.60 |
FL |
| 18 |
1 |
|
*COVER-REAR BUMPER |
Deformed |
14.40 |
F |
*14.40 |
FL |
| 19 |
1 |
|
*REFLEX REFLECTOR ASSEMBLY-RIGHT |
Not Necessary |
20.40 |
F |
*- |
FL |
| 20 |
1 |
|
*REFLEX REFLECTOR ASSEMBLY-LEFT |
Not Necessary |
20.40 |
F |
*- |
FL |
| 21 |
1 |
|
*GARNISH ASSEMBLY-REAR GATE,B |
Not Necessary |
144.00 |
F |
*- |
FL |
| 22 |
1 |
|
*PROTECTOR-REAR GARNISH |
Not Necessary |
21.60 |
F |
*- |
FL |
| 23 |
2 |
|
*PROTECTOR-REAR GARNISH |
Not Necessary |
10.80 |
F |
*- |
FL |
| 24 |
1 |
|
*ORNAMENT |
Not Necessary |
79.20 |
F |
*- |
FL |
| 25 |
1 |
|
*LETTER MARK-REAR |
Necessary |
39.60 |
F |
*39.60 |
FL |
| 26 |
1 |
|
*LETTER MARK-REAR |
Necessary |
64.80 |
F |
*64.80 |
FL |
| 27 |
1 |
|
*SUNDRIES |
Necessary |
100.00 |
FS |
*20.00 |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 3,740.80 | |
2,615.60
| |
| - List Item Discount on L Items 0.00/20.00% (S$) |
0.00 | | 519.12 | |
| |
|
| Total Parts (S$) |
3,740.80 | | 2,096.48 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
REPAIR/REPLACE REAR BUMPER,TAILGATE,BEAM & END PANEL |
New |
3,360.00 | 1,120.00 |
| 2 |
RESPRAY REAR BUMPER,TAILGATE,BEAM & END PANEL |
New |
2,620.00 | 840.00 |
| 3 |
DISMANTLE & REFIX UNDERCARRIAGE TO FACILITATE REPAIR |
New |
900.00 | 0.00 |
| 4 |
REMOVE & REFIX EXHAUST |
New |
150.00 | 0.00 |
| 5 |
TRANSFER TAILGATE MECHANISM |
New |
150.00 | 150.00 |
| 6 |
WHEEL ALIGNMENT |
New |
200.00 | 0.00 |
| 7 |
REMOVE & REFIX CARPET,SEATS TO FACILITATE REPAIR |
New |
400.00 | 0.00 |
| 8 |
REMOVE & REFIX REAR BOOT GARNISH & TRIM TO FACILITATE REPAIRS |
New |
150.00 | 150.00 |
| 9 |
FAULT DIAGNOSTIC |
New |
280.00 | 0.00 |
| 10 |
REMOVE & INSTALL REAR WINDSCREEN |
New |
300.00 | 300.00 |
| 11 |
TO REMOVE & REFIX FUEL TANK |
New |
200.00 | 0.00 |
| 12 |
TO CONDUCT REAR LIGHTING TEST |
New |
50.00 | 30.00 |
| 13 |
TO CONDUCT REAR PROTECTANT COATING |
New |
500.00 | 0.00 |
| 14 |
TO CONDUCT REAR ANTI RUST COATING |
New |
580.00 | 0.00 |
| 15 |
TO SUPPLY & INSTALL REVERSE SENSOR-2 EYES |
New |
300.00 | 0.00 |
| 16 |
TO SUPPLY & INSTALL REAR WINDSCREEN TINTED FILM |
New |
145.00 | 145.00 |
| |
|
| Gross Labour Cost (S$) |
10,285.00 | 2,735.00 |
| |
|
< END OF ESTIMATES >