Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
| |
Our File No: | CS/EGI21004040/AVF3N2 |
| Date: | 18/06/2021 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | SBX8860G | Insured Vehicle No : | GBC4515R |
| Date of Loss: | 26/03/2021 |
Nature of Claim: | TP |
Claim No: |
N/A
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SBX8860G |
| Make & Model: | MERCEDES-BENZ GLB200, 1.3 AMG LINE PREMIUM PLUS (A) |
Engine No: | 28291480318153 |
| Reg. Date: | 26/01/2021 (Man. Year: 2020) |
Chassis No: |
W1N2476872W054320 |
| Colour: | Grey |
Odometer: | 4653 km |
| Engine Capacity: | 1332 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 235/55R18 |
Rear Tyre Size: | 235/55R18 |
|
Front Left Side:
| Bridgestone 6 mm | |
Rear Left Side:
| Bridgestone 6 mm | |
| Front Right Side: | Bridgestone 6 mm | |
Rear Right Side: | Bridgestone 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
12,209.20 |
3,509.28
|
8,699.92 |
71.26 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
4,100.00 |
700.00 |
3,400.00 |
82.93 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Gross Total (S$) |
16,309.20 |
4,209.28 |
12,099.92 |
74.19 |
| +
GST 7.00/7.00% (S$)
|
1,141.64 |
294.65 |
846.99 |
74.19 |
| | |
| Nett Amount (S$) |
17,450.84 |
4,503.93 |
12,946.91 |
74.19 |
| | |
| INSPECTION |
| Date of Assignment: | 29/03/2021 |
| Date Inspected: | 03/05/2021 |
Inspected At: | New Hock Teck Motor Pte Ltd (HQ)
1 Kaki Bukit Ave 6, Blk C #01-43 Autobay@Kaki Bukit
Singapore 417883 |
| Estimated Period of Repair: | 3.0 days |
| Adjuster: |
ADRIAN LING |
|
Manager:
|
VERON CHEN
|
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|
|
|
|
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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: | MRM-SG | Version: 1.0 (Last Synchronised: 17 Jun 2021) |
| Parts: | M1-SUV | MERCEDES-BENZ GLB200 1.3 AMG LINE PREMIUM PLUS (A) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for SBX8860G) |
| 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 |
|
*FRONT R/H DOOR |
Not Necessary |
3,120.00 |
F |
*- |
FL |
| 2 |
1 |
|
*FRONT R/H DOOR HINGE |
Not Necessary |
185.00 |
F |
*- |
FL |
| 3 |
2 |
|
*FRONT R/H DOOR FRAME STICKER |
Not Necessary |
300.00 |
F |
*- |
FL |
| 4 |
1 |
|
*REAR R/H DOOR |
Dented |
2,920.00 |
F |
*2,800.00 |
FL |
| 5 |
2 |
|
*REAR R/H DOOR HINGE |
Not Necessary |
370.00 |
F |
*- |
FL |
| 6 |
2 |
|
*REAR R/H DOOR FRAME STICKER |
Necessary |
300.00 |
F |
*60.00 |
FL |
| 7 |
1 |
|
*REAR R/H DOOR OUTER HANDLE |
Not Necessary |
480.00 |
F |
*- |
FL |
| 8 |
1 |
|
*REAR R/H DOOR SIDE ARCH GARNISH |
Cut |
235.00 |
F |
*235.00 |
FL |
| 9 |
1 |
|
*REAR R/H DOOR LOWER PROTECTOR |
Deformed |
524.20 |
F |
*524.20 |
FL |
| 10 |
1 |
|
*REAR R/H DOOR INNER LOCK |
Not Necessary |
328.00 |
F |
*- |
FL |
| 11 |
1 |
|
*REAR R/H DOOR INNER TRIM BOARD |
Not Necessary |
1,985.00 |
F |
*- |
FL |
| 12 |
8 |
|
*REAR R/H DOOR INNER TRIM BOARD CLIP |
Not Necessary |
52.00 |
F |
*- |
FL |
| 13 |
1 |
|
*REAR R/H DOOR WEATHERSTRIP |
Necessary |
325.00 |
F |
*280.00 |
FL |
| 14 |
1 |
|
*REAR R/H DOOR WINDOW REGULATOR MOTOR ASSY |
Not Necessary |
1,085.00 |
F |
*- |
FL |
| F=Franchise part. L=ListItemDisc. |
|
| Sub Total (S$) | 12,209.20 | |
3,899.20
| |
| - List Item Discount on L Items 0.00/10.00% (S$) |
0.00 | | 389.92 | |
| |
|
| Total Parts (S$) |
12,209.20 | | 3,509.28 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TO REMOVE & REFIT REAR R/H DOOR,LOCK,GLASS,WEATHERSTRIP,TRIM BOARD,FRAME STICKER & WINDOW MOTOR REGULATOR |
New |
450.00 | 120.00 |
| 2 |
TO REMOVE & REFIT FRONT R/H DOOR,LOCK,GLASS,WEATHERSTRIP,TRIM BOARD,FRAME STICKER & WINDOW MOTOR REGULATOR |
New |
450.00 | 0.00 |
| 3 |
TO CHECK WIRING |
New |
100.00 | 30.00 |
| 4 |
TUFF KOTE |
New |
100.00 | 0.00 |
| 5 |
PANEL BEATING |
New |
1,600.00 | 300.00 |
| 6 |
SPRAY PAINTING |
New |
1,400.00 | 250.00 |
| |
|
| Gross Labour Cost (S$) |
4,100.00 | 700.00 |
| |
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< END OF ESTIMATES >