Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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| |
Our File No: | CS/EGI21006385/UQF3N2 |
| Date: | 28/06/2021 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | GBC8595H | Insured Vehicle No : | GBH2673D |
| Date of Loss: | 02/06/2021 |
Nature of Claim: | TP |
Claim No: |
CDMCG21001015
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | GBC8595H |
| Make & Model: | TOYOTA HIACE, 3.0 D (M) |
Engine No: | 1KD2314596 |
| Reg. Date: | 27/12/2013 (Man. Year: 2013) |
Chassis No: |
JTFHT02P300125151 |
| Colour: | White |
Odometer: | 265356 km |
| Engine Capacity: | 2982 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 195 R15 |
Rear Tyre Size: | 195 R15 |
|
Front Left Side:
| Austone 6 mm | |
Rear Left Side:
| Austone 6 mm | |
| Front Right Side: | Austone 6 mm | |
Rear Right Side: | Austone 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
14,011.90 |
6,028.32
|
7,983.58 |
56.98 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
3,260.00 |
2,480.00 |
780.00 |
23.93 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
17,271.90 |
8,508.32 |
8,763.58 |
50.74 |
| Approved Total (Overridden) (S$) |
|
6,800.00 |
| | |
| Nett Amount (S$) |
17,271.90 |
6,800.00 |
10,471.90 |
60.63 |
| | |
| INSPECTION |
| Date of Assignment: | 03/06/2021 |
| Date Inspected: | 03/06/2021 |
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: | 10.0 days |
| Adjuster: |
MARCUS CHUA |
|
Manager:
|
SHIAU CHAN
|
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|
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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: | | (Last Synchronised: 28 Jun 2021) |
| Parts: | N/A | TOYOTA HIACE 3.0 D (M) (Model not available in database) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for GBC8595H) |
| 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 WINDSCREEN GLASS |
Shattered |
1,311.30 |
F |
*1,115.20 |
FL |
| 2 |
1 |
|
*REAR TAILGATE WINDSCREEN MOULDING |
No such part |
219.00 |
F |
*- |
FL |
| 3 |
1 |
|
*REAR TAILGATE WEATHERSTRIP |
Twisted |
387.90 |
F |
*288.60 |
FL |
| 4 |
1 |
|
*REAR TAILGATE |
Badly Dented |
1,472.50 |
F |
*1,472.50 |
FL |
| 5 |
1 |
|
*REAR TAILGATE TOYOTA LOGO MOTIF |
Necessary |
167.00 |
F |
*68.10 |
FL |
| 6 |
1 |
|
*REAR TAILGATE OUTER HANDLE |
Grazed |
180.70 |
F |
*180.70 |
FL |
| 7 |
1 |
|
*REAR TAILGATE (TOP) SIDE MIRROR |
Not Necessary |
234.80 |
F |
*- |
FL |
| 8 |
1 |
|
*REAR TAILGATE INNER LOCK |
Dented/Jammed |
359.00 |
F |
*286.60 |
FL |
| 9 |
1 |
|
*REAR TAILGATE LOCK STRIKER |
Not Necessary |
30.80 |
F |
*- |
FL |
| 10 |
1 |
|
*REAR TAILGATE INNER TRIM BOARD |
Warped |
165.30 |
F |
*165.30 |
FL |
| 11 |
1 |
|
*SET REAR TAILGATE INNER TRIM BOARD CLIPS |
Necessary |
50.00 |
F |
*50.00 |
FL |
| 12 |
1 |
|
*REAR BUMPER |
Distorted |
496.40 |
F |
*408.10 |
FL |
| 13 |
1 |
|
*REAR BUMPER LOWER BRACKET (4 Pcs) |
Bent (3 Pcs only) |
412.00 |
F |
*75.00 |
FL |
| 14 |
1 |
|
*REAR END PANEL INNER |
Repair |
936.20 |
F |
*- |
FL |
| 15 |
1 |
|
*REAR END PANEL OUTER |
Badly Dented |
566.10 |
F |
*566.10 |
FL |
| 16 |
2 |
|
*REAR TAIL LAMP |
Cracked |
730.20 |
F |
*730.20 |
FL |
| 17 |
1 |
|
*REAR TAIL LAMP LOWER GARNISH |
O/s Deformed |
131.00 |
F |
*65.50 |
FL |
| 18 |
1 |
|
*REAR TAIL LAMP HOUSING PANEL |
O/s Bent |
1,872.40 |
F |
*482.60 |
FL |
| 19 |
1 |
|
*REAR BODY PANEL O/S |
Repair |
1,145.10 |
F |
*- |
FL |
| 20 |
1 |
|
*REAR EXHAUST PIPE |
Dented/Bent |
1,466.60 |
F |
*971.10 |
FL |
| 21 |
2 |
|
*REAR EXHAUST PIPE MOUNTING |
Not Necessary |
85.00 |
F |
*- |
FL |
| 22 |
1 |
|
*REAR SPARE TYRE BRACKET & CHAIN |
Not Necessary |
365.10 |
F |
*- |
FL |
| 23 |
1 |
|
*REAR END PANEL TOP STEEL PLATE |
Bent |
299.50 |
F |
*245.50 |
FL |
| 24 |
1 |
|
*SET REAR BUMPER CLIPS |
Necessary |
48.00 |
FS |
*40.00 |
FS |
| 25 |
1 |
|
*REAR TAILGATE WINDSCREEN SEALANT |
Necessary |
50.00 |
FS |
*40.00 |
FS |
| 26 |
1 |
|
*REAR TAILGATE 70KM/H STICKER |
Necessary |
15.00 |
FS |
*10.00 |
FS |
| 27 |
1 |
|
*REAR TAILGATE 8 PAX STICKER |
Necessary |
15.00 |
FS |
*10.00 |
FS |
| 28 |
1 |
|
*REAR FLOOR PANEL WOODEN |
Cracked |
500.00 |
FS |
*300.00 |
FS |
| 29 |
1 |
|
*SET REAR BUMPER REVERSE SENSOR |
Torn |
250.00 |
FS |
*200.00 |
FS |
| 30 |
1 |
|
*REAR END PANEL SEALANT |
Necessary |
50.00 |
FS |
*50.00 |
FS |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 14,011.90 | |
7,821.10
| |
| - List Item Discount on L Items 0.00/25.00% (S$) |
0.00 | | 1,792.78 | |
| |
|
| Total Parts (S$) |
14,011.90 | | 6,028.32 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TO CHECK ALL WIRING & ELECTRICAL COMPONENT FOR PROPER FUNCTION |
New |
60.00 | 30.00 |
| 2 |
REMOVE & INSTALL WINDSCREEN GLASS TO FACILITATE REPAIRS & PERFORM WATER |
New |
120.00 | 100.00 |
| 3 |
REMOVE AND REFIX REAR TAILGATE COMPONENTS & WIPER MECHANISM |
New |
80.00 | 60.00 |
| 4 |
REMOVE AND REPLACE REAR EXHAUST PIPE SYSTEM TO FACILITATE REPAIRS |
New |
80.00 | 60.00 |
| 5 |
REMOVE AND REFIX REAR BUMPER REVERSE SENSOR |
New |
100.00 | 50.00 |
| 6 |
LABOR FOR PANEL BEATING,CUT,WELD,STRAIGHTEN & REPLACING PARTS ETCS |
New |
1,500.00 | 1,200.00 |
| 7 |
TO PUTTY & SPRAY PAINTING & INCLUDING TOUCH UP PAINT ON ACCIDENT AFFECTED AREAS |
New |
1,200.00 | 900.00 |
| 8 |
TO APPLY RUST PROOFING,RESEAL TUFF-COATING TREATMENT ON ACCIDENT AREA |
New |
120.00 | 80.00 |
| |
|
| Gross Labour Cost (S$) |
3,260.00 | 2,480.00 |
| |
|
< END OF ESTIMATES >