Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
| |
Our File No: | CS/EGI21005971/EQCN2 |
| Date: | 04/06/2021 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | XB8687X | Insured Vehicle No : | YP9554D |
| Date of Loss: | 16/05/2021 |
Nature of Claim: | TP |
Claim No: |
CDMCG21000929
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | XB8687X |
| Make & Model: | ISUZU CXZ50K, 12.1 D (M) |
Engine No: | 6WA1121680 |
| Reg. Date: | 25/03/2004 (Man. Year: 2000) |
Chassis No: |
JALCXZ50LY3000005 |
| Colour: | Blue |
Odometer: | 657306 km |
| Engine Capacity: | 12068 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 295/80R22.5 |
Rear Tyre Size: | 295/80R22.5 |
|
Front Left Side:
| Hankook 4 mm | |
Rear Left Side:
| Hankook 4 mm | |
| Front Right Side: | Hankook 4 mm | |
Rear Right Side: | Hankook 4 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
3,684.17 |
3,109.65
|
574.52 |
15.59 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
2,740.00 |
1,510.00 |
1,230.00 |
44.89 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
6,424.17 |
4,619.65 |
1,804.52 |
28.09 |
| Approved Total (Overridden) (S$) |
|
3,700.00 |
| | |
| (S$) |
6,424.17 |
3,700.00 |
2,724.17 |
42.41 |
| +
GST 7.00/7.00% (S$)
|
449.69 |
259.00 |
190.69 |
42.40 |
| | |
| Nett Amount (S$) |
6,873.86 |
3,959.00 |
2,914.86 |
42.40 |
| | |
| INSPECTION |
| Date of Assignment: | 19/05/2021 |
| Date Inspected: | 19/05/2021 |
Inspected At: | 20 BAH SOON PAH ROAD
SINGAPORE 769966
REPAIRER: CONVINCE AUTO PTE LTD |
| Estimated Period of Repair: | 5.0 days |
| Adjuster: |
CHEN TSUE YEE |
|
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: 03 Jun 2021) |
| Parts: | N/A | ISUZU CXZ50K 12.1 D (M) (Model not available in database) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for XB8687X) |
| 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 DOOR LOWER PROTECTOR RH |
Missing |
456.00 |
FL |
*360.00 |
FL |
| 2 |
1 |
|
*FRONT DOOR LOWER PROTECTOR INNER BRACKET RH |
Broken |
182.40 |
FL |
*182.40 |
FL |
| 3 |
1 |
|
*FRONT DOOR LOWER INNER GARNISH RH |
Broken |
482.60 |
FL |
*396.00 |
FL |
| 4 |
1 |
|
*FRONT DOOR SIGNAL LAMP RH |
Missing |
163.80 |
FL |
*60.00 |
FL |
| 5 |
1 |
|
*FRONT DOOR OUTER HANDLE RH |
Cut |
293.80 |
FL |
*180.00 |
FL |
| 6 |
1 |
|
*FRONT WHEEL ARCH GARNISH RH |
Crushed |
351.20 |
FL |
*351.20 |
FL |
| 7 |
1 |
|
*FRONT WHEEL MUDFLAP RH |
Broken |
521.60 |
FL |
*521.60 |
FL |
| 8 |
1 |
|
*REAR CABIN PANEL LOWER PROTECTOR RH |
Missing |
468.20 |
FL |
*468.20 |
FL |
| 9 |
1 |
|
*REAR CABIN PANEL LOWER PROTECTOR GARNISH RH |
Missing |
231.50 |
FL |
*231.50 |
FL |
| 10 |
1 |
|
*REAR CABIN PANEL LOWER PROTECTOR BRACKET RH |
Bent |
283.50 |
FL |
*283.50 |
FL |
| 11 |
1 |
|
*SIDE MIRROR ARM RH |
Bent |
359.00 |
FL |
*298.00 |
FL |
| 12 |
1 |
|
*SIDE MIRROR RH |
Missing |
196.60 |
FL |
*196.60 |
FL |
| 13 |
15 |
|
*FRONT DOOR LOWER PROTECTOR CLIP RH |
Necessary |
67.50 |
FS |
*15.00 |
FS |
| 14 |
10 |
|
*REAR CABIN PANEL LOWER PROTECTOR CLIP RH |
Necessary |
45.00 |
FS |
*15.00 |
FS |
| 15 |
1 |
|
*FRONT DOOR COMPANY LOGO RH |
Necessary |
180.00 |
FS |
*80.00 |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 4,282.70 | |
3,639.00
| |
| - List Item Discount on L Items 15.00/15.00% (S$) |
598.53 | | 529.35 | |
| |
|
| Total Parts (S$) |
3,684.17 | | 3,109.65 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TO REPAIR PANEL BEATING,CUT,WELDING & STRAIGHTEN DAMAGED PARTS AND REPLACE ABOVE PARTS ON DAMAGED AREA |
New |
1,000.00 | 750.00 |
| 2 |
TO SPRAY PAINTING AFFECTED AREA |
New |
1,200.00 | 600.00 |
| 3 |
TO APPLY ANTI-RUST |
New |
120.00 | 30.00 |
| 4 |
TO CHECK WIRING FUNCTION |
New |
120.00 | 30.00 |
| 5 |
TO REMOVE & REFIX FRONT DOOR BOARD RH FOR REPLACE FRONT OUTER HANDLE RH |
New |
150.00 | 50.00 |
| 6 |
TO REMOVE & REFIX CABIN UPHOLSTERY |
New |
150.00 | 50.00 |
| |
|
| Gross Labour Cost (S$) |
2,740.00 | 1,510.00 |
| |
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< END OF ESTIMATES >