Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS/EGI21005996/UTF3N2 |
| Date: | 07/06/2021 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | GBJ6113S | Insured Vehicle No : | XD7987B |
| Date of Loss: | 18/05/2021 |
Nature of Claim: | TP |
Claim No: |
CDMCG21000940
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | GBJ6113S |
| Make & Model: | TOYOTA HIACE, 3.0 D TURBO 5 DR (M) |
Engine No: | 1KD2851841 |
| Reg. Date: | 21/06/2019 (Man. Year: 2019) |
Chassis No: |
JTFHT02PX00248882 |
| Colour: | White |
Odometer: | 86913 km |
| Engine Capacity: | 2982 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 195R15 |
Rear Tyre Size: | 195R15 |
|
Front Left Side:
| Double Star 6 mm | |
Rear Left Side:
| Double Star 6 mm | |
| Front Right Side: | Double Star 6 mm | |
Rear Right Side: | Double Star 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
4,434.00 |
1,747.72
|
2,686.28 |
60.58 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
1,130.00 |
610.00 |
520.00 |
46.02 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
5,564.00 |
2,357.72 |
3,206.28 |
57.63 |
| Approved Total (Overridden) (S$) |
|
1,850.00 |
| | |
| Nett Amount (S$) |
5,564.00 |
1,850.00 |
3,714.00 |
66.75 |
| | |
| INSPECTION |
| Date of Assignment: | 20/05/2021 |
| Date Inspected: | 20/05/2021 |
Inspected At: | Liu's Brother Auto Engineering Workshop (HQ)
BLK 1 KAKI BUKIT AVE 6, #01-01 AUTO BAY @ KAKI BUKIT
Singapore 417883 |
| Estimated Period of Repair: | 2.0 days |
| Adjuster: |
MARCUS CHUA |
|
Manager:
|
DENISE TAY KWEE CHENG
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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: 02 Jun 2021) |
| Parts: | 213 | TOYOTA HIACE 3.0 D TURBO 5 DR (M) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for GBJ6113S) |
| 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 |
|
*REAR TAILGATE |
Badly Dented |
2,051.70 |
F |
*2,051.70 |
FL |
| 2 |
1 |
|
*REAR TAILGATE LOCK |
Not Necessary |
394.90 |
F |
*- |
FL |
| 3 |
1 |
|
*REAR TAILGATE RUBBER |
Not Necessary |
455.00 |
F |
*- |
FL |
| 4 |
2 |
|
*REAR TAILGATE SUSPENSION |
Serviceable |
670.40 |
F |
*- |
FL |
| 5 |
2 |
|
*REAR TAILGATE HINGES |
Serviceable |
196.00 |
F |
*- |
FL |
| 6 |
1 |
|
*REAR TAILGATE TOYOTA LOGO MOTIF |
Necessary |
167.00 |
F |
*68.50 |
FL |
| 7 |
1 |
|
*REAR TAILGATE TOYOTA STICKER |
Necessary |
95.00 |
F |
*68.10 |
FL |
| 8 |
1 |
|
*REAR TAILGATE HIACE STICKER |
Necessary |
105.00 |
F |
*62.00 |
FL |
| 9 |
1 |
|
*REAR TAILGATE WINDSCREEN MOULDING |
No such part |
219.00 |
F |
*- |
FL |
| 10 |
1 |
|
*REAR TAILGATE WINDSCREEN SEALANT |
Necessary |
50.00 |
FS |
*40.00 |
FS |
| 11 |
1 |
|
*REAR TAILGATE 70KM/H STICKER |
Necessary |
15.00 |
FS |
*10.00 |
FS |
| 12 |
1 |
|
*REAR TAILGATE 8 PAX STICKER |
Necessary |
15.00 |
FS |
*10.00 |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 4,434.00 | |
2,310.30
| |
| - List Item Discount on L Items 0.00/25.00% (S$) |
0.00 | | 562.58 | |
| |
|
| Total Parts (S$) |
4,434.00 | | 1,747.72 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TO CHECK ALL WIRING & ELECTRICAL COMPONENT FOR PROPER FUNCTION |
New |
80.00 | 20.00 |
| 2 |
REMOVE AND REFIX REAR TAILGATE COMPONENTS & WIPER MECHANISM |
New |
80.00 | 60.00 |
| 3 |
LABOR FOR PANEL BEATING,CUT,WELD,STRAIGHTEN & REPLACING PARTS ETCS |
New |
400.00 | 100.00 |
| 4 |
TO PUTTY & SPRAY PAINTING & INCLUDING TOUCH UP PAINT ON ACCIDENT AFFECTED AREAS |
New |
400.00 | 300.00 |
| 5 |
REMOVE & REINSTALL WINDSCREEN GLASS TO FACILITATE REPAIRS & PERFORM WATER |
New |
120.00 | 100.00 |
| 6 |
TO APPLY RUST PROOFING,RESEAL TUFF-COATING TREATMENT ON ACCIDENT AREA |
New |
50.00 | 30.00 |
| |
|
| Gross Labour Cost (S$) |
1,130.00 | 610.00 |
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< END OF ESTIMATES >