Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS3/AIG21005323/GQF3N2 |
| Date: | 19/05/2021 |
REFERENCE |
| Handling Insurer: | AIG Asia Pacific Insurance Pte. Ltd. |
Policy No: | 0999993682 |
| Claimant Vehicle No : | SGX5237S | Insured Vehicle No : | GBK2805A |
| Date of Loss: | 28/04/2021 |
Nature of Claim: | TP |
Claim No: |
1641133875SG
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SGX5237S |
| Make & Model: | MERCEDES-BENZ C180, 1.6 Kompressor (A) |
Engine No: | 27191031355706 |
| Reg. Date: | 11/06/2012 (Man. Year: 2012) |
Chassis No: |
WDD2040452A722367 |
| Colour: | Silver |
Odometer: | 139059 km |
| Engine Capacity: | 1597 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 225/45R17 |
Rear Tyre Size: | 225/45R17 |
|
Front Left Side:
| Continental 6 mm | |
Rear Left Side:
| Continental 6 mm | |
| Front Right Side: | Continental 6 mm | |
Rear Right Side: | Continental 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
0.00 |
0.00
|
0.00 |
|
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
0.00 |
0.00 |
0.00 |
|
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Nett Amount (S$) |
0.00 |
0.00 |
0.00 |
|
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| INSPECTION |
| Date of Assignment: | 30/04/2021 |
| Date Inspected: | 30/04/2021 |
Inspected At: | Jementah Motor Works (HQ)
14 Defu Lane 10, #01-406
Singapore 539195 |
| Estimated Period of Repair: | 4.0 days |
| Adjuster: |
XING GUO QIANG |
|
Manager:
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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.
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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 BUMPER |
Dented |
0.00 |
F |
*- |
F |
| 2 |
1 |
|
*FRT BUMPER CLIPS |
Necessary |
0.00 |
F |
*- |
F |
| 3 |
1 |
|
*FRT BUMPER SIDE RETAINER RH |
Distorted |
0.00 |
F |
*- |
F |
| 4 |
1 |
|
*FRT BUMPER DAY RUNNING LIGHT |
Cut |
0.00 |
F |
*- |
F |
| 5 |
2 |
|
*FRT BUMPER MOULDING |
Necessary |
0.00 |
F |
*- |
F |
| 6 |
1 |
|
*FRT GRILLE |
Cracked |
0.00 |
F |
*- |
F |
| 7 |
1 |
|
*FRT GRILLE EMBLEM |
Necessary |
0.00 |
F |
*- |
F |
| 8 |
1 |
|
*FRT SUPPORT PANEL TOP GARNISH COVER |
Torn |
0.00 |
F |
*- |
F |
| 9 |
1 |
|
*FRT RH HEADLAMP ASSY |
Cracked |
0.00 |
F |
*- |
F |
| 10 |
1 |
|
*BONNET |
Buckled |
0.00 |
F |
*- |
F |
| 11 |
1 |
|
*FRT RH FENDER |
Repair |
0.00 |
F |
*- |
F |
| F=Franchise part. |
|
| Total Parts (S$) |
0.00 | | 0.00 | |
| |
|
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 >