Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
| |
Our File No: | CS/MSG21003908/AGVF3N2 |
| Date: | 12/08/2021 |
REFERENCE |
| Handling Insurer: | MSIG Insurance (Singapore) Pte. Ltd. |
Policy No: | 1001409671 |
| Claimant Vehicle No : | GBL580E | Insured Vehicle No : | GW3794T |
| Date of Loss: | 19/03/2021 |
Nature of Claim: | TP |
Claim No: |
254875
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | GBL580E |
| Make & Model: | TOYOTA HIACE, 3.0 TURBO 4DR AT (A) |
Engine No: | 1KDB071325 |
| Reg. Date: | 09/03/2021 (Man. Year: 2021) |
Chassis No: |
JTFHT02P100251637 |
| Colour: | Silver |
Odometer: | 1551 km |
| Engine Capacity: | 2982 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 195R15C |
Rear Tyre Size: | 195R15C |
|
Front Left Side:
| Bridgestone 8 mm | |
Rear Left Side:
| Bridgestone 8 mm | |
| Front Right Side: | Bridgestone 8 mm | |
Rear Right Side: | Bridgestone 8 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
4,581.92 |
3,229.00
|
1,352.92 |
29.53 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
1,710.00 |
1,110.00 |
600.00 |
35.09 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
6,291.92 |
4,339.00 |
1,952.92 |
31.04 |
| Approved Total (Overridden) (S$) |
|
3,450.00 |
| | |
| (S$) |
6,291.92 |
3,450.00 |
2,841.92 |
45.17 |
| +
GST 7.00/7.00% (S$)
|
440.43 |
241.50 |
198.93 |
45.17 |
| | |
| Nett Amount (S$) |
6,732.35 |
3,691.50 |
3,040.85 |
45.17 |
| | |
| INSPECTION |
| Date of Assignment: | 25/03/2021 |
| Date Inspected: | 26/03/2021 |
Inspected At: | J-mart Motor Pte Ltd (HQ)
Blk 5 Defu Lane 10, #01-578
Singapore 539186 |
| Estimated Period of Repair: | 5.0 days |
| Adjuster: |
XING GUO QIANG |
|
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.
|
Reference |
| Part Source: | | (Last Synchronised: 11 Aug 2021) |
| Parts: | N/A | TOYOTA HIACE 3.0 TURBO 4DR AT (A) (Model not available in database) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for GBL580E) |
| 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 RH DOOR |
Dented |
1,867.90 |
FL |
*1,716.00 |
FL |
| 2 |
2 |
|
*FRT RH DOOR HINGES |
Not Necessary |
190.00 |
FL |
*- |
FL |
| 3 |
1 |
|
*FRT RH CORNER PANEL |
Dented |
265.00 |
FL |
*265.00 |
FL |
| 4 |
1 |
|
*RH HEADLAMP |
Cut |
898.00 |
FL |
*782.00 |
FL |
| 5 |
2 |
|
*RH HEADLAMP CLIPS |
Not Necessary |
50.00 |
FL |
*- |
FL |
| 6 |
1 |
|
*FRT BUMPER |
Deformed |
595.00 |
FL |
*595.00 |
FL |
| 7 |
1 |
|
*FRT BUMPER RH RETAINER |
Cracked |
150.00 |
FL |
*150.00 |
FL |
| 8 |
1 |
|
*FRT BUMPER RH FOG LAMP COVER |
Not Necessary |
50.00 |
FL |
*- |
FL |
| 9 |
1 |
|
*FRT RH WING MIRROR |
Cut |
1,150.00 |
FL |
*569.00 |
FL |
| 10 |
1 |
|
*FRT RH STEP GARNISH |
Cracked |
155.00 |
FL |
*155.00 |
FL |
| 11 |
8 |
|
*FRT BUMPER CLIPS |
Necessary |
40.00 |
FL |
*40.00 |
FL |
| 12 |
1 |
|
*AIR CLEANER |
Not Necessary |
665.00 |
FL |
*- |
FL |
| 13 |
1 |
|
*BODY STICKER |
Necessary |
25.00 |
FS |
*25.00 |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 6,100.90 | |
4,297.00
| |
| - List Item Discount on L Items 25.00/25.00% (S$) |
1,518.98 | | 1,068.00 | |
| |
|
| Total Parts (S$) |
4,581.92 | | 3,229.00 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
PANEL BEATING |
New |
800.00 | 500.00 |
| 2 |
SPRAY PAINTING |
New |
800.00 | 500.00 |
| 3 |
TRANSFER DOOR PARTS |
New |
80.00 | 80.00 |
| 4 |
WIRING |
New |
30.00 | 30.00 |
| |
|
| Gross Labour Cost (S$) |
1,710.00 | 1,110.00 |
| |
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< END OF ESTIMATES >