Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS3/AIG21005984/R1QCN2 |
| Date: | 27/05/2021 |
REFERENCE |
| Handling Insurer: | AIG Asia Pacific Insurance Pte. Ltd. |
Policy No: | 1900010448 |
| Claimant Vehicle No : | SKB5245L | Insured Vehicle No : | SGD2423X |
| Date of Loss: | 01/05/2021 |
Nature of Claim: | TP |
Claim No: |
4150352593SG
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| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SKB5245L |
| Make & Model: | MERCEDES-BENZ 200E, 2.0 (A) |
Engine No: | 26492030321744 |
| Reg. Date: | 30/03/2021 (Man. Year: 2020) |
Chassis No: |
W1K2130802A879469 |
| Colour: | Blue |
Odometer: | 4483 km |
| Engine Capacity: | 1991 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 245/40R19 |
Rear Tyre Size: | 245/40R19 |
|
Front Left Side:
| Continental 6 mm | |
Rear Left Side:
| Continental 6 mm | |
| Front Right Side: | Continental 6 mm | |
Rear Right Side: | Continental 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
0.00 |
0.00
|
0.00 |
|
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
0.00 |
0.00 |
0.00 |
|
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Nett Amount (S$) |
0.00 |
0.00 |
0.00 |
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| INSPECTION |
| Date of Assignment: | 19/05/2021 |
| Date Inspected: | 19/05/2021 |
Inspected At: | Richmotor Auto Services (HQ)
35 Upper Bukit Timah Road, Shell Service Station
Singapore 588166 |
| Estimated Period of Repair: | 5.0 days |
| Adjuster: |
MOHD RASUL |
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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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MARKET VALUE: $250,000.00
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Recommended Parts
| Report was unsubmitted during this print-out. |
| No. | Qty |
Part No. |
Particulars |
Condition | Repairer's | |
Amount |
|
| 1 |
1 |
|
*FRT BUMPER |
Cut |
0.00 |
F |
*- |
F |
| 2 |
1 |
|
*FRT BUMPER CLIPS |
Necessary |
0.00 |
F |
*- |
F |
| 3 |
1 |
|
*FRT RH HEADLAMP ASSY |
Broken |
0.00 |
F |
*- |
F |
| 4 |
1 |
|
*BONNET |
Repair |
0.00 |
F |
*- |
F |
| 5 |
1 |
|
*FRT RH FENDER |
Bent |
0.00 |
F |
*- |
F |
| F=Franchise part. |
|
| Total Parts (S$) |
0.00 | | 0.00 | |
| |
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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 >