Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS/EGI21006673/R1TF3N2 |
| Date: | 28/06/2021 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | SHB5124M | Insured Vehicle No : | GBA1293K |
| Date of Loss: | 11/06/2021 |
Nature of Claim: | TP |
Claim No: |
CDMFG21001086
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| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SHB5124M |
| Make & Model: | TOYOTA PRIUS HYBRID, 1.8 CVT (A) |
Engine No: | 2ZRS101674 |
| Reg. Date: | 03/11/2017 (Man. Year: 2017) |
Chassis No: |
JTDKB3FU103573616 |
| Colour: | Maroon |
Odometer: | 554405 km |
| Engine Capacity: | 1798 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 195/65R15C |
Rear Tyre Size: | 195/65R15C |
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Front Left Side:
| Sailun 6 mm | |
Rear Left Side:
| Sailun 6 mm | |
| Front Right Side: | Sailun 6 mm | |
Rear Right Side: | Sailun 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
1,373.40 |
0.00
|
1,373.40 |
100.00 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
380.00 |
110.00 |
270.00 |
71.05 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
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| | |
| Calculated Gross Total (S$) |
1,753.40 |
110.00 |
1,643.40 |
93.73 |
| Approved Total (Overridden) (S$) |
|
100.00 |
| | |
| Nett Amount (S$) |
1,753.40 |
100.00 |
1,653.40 |
94.30 |
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| INSPECTION |
| Date of Assignment: | 14/06/2021 |
| Date Inspected: | 15/06/2021 |
Inspected At: | SMRT Automotive Services Pte Ltd (Woodlands)
60 Woodlands Industrial Park E4
Singapore 757705 |
| Estimated Period of Repair: | 1.0 days |
| Adjuster: |
MOHD RASUL |
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Manager:
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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.
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Reference |
| Part Source: | MRM-SG | Version: 1.0 (Last Synchronised: 28 Jun 2021) |
| Parts: | 144 | TOYOTA PRIUS HYBRID 1.8 CVT (A) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for SHB5124M) |
| 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 |
|
*MIRROR ASSY,OUTER REAR VIEW,LH |
Not Necessary |
1,283.90 |
F |
*- |
F |
| 2 |
1 |
|
*COVER OUTER MIRROR LH |
Repair |
89.50 |
F |
*- |
F |
| F=Franchise part. |
|
| Total Parts (S$) |
1,373.40 | | 0.00 | |
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Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
TO RESPRAY VIEW MIRROR |
New |
180.00 | 80.00 |
| 2 |
TO REMOVE AND REFIX WING MIRROR |
New |
200.00 | 30.00 |
| |
|
| Gross Labour Cost (S$) |
380.00 | 110.00 |
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< END OF ESTIMATES >