Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
AIG Asia Pacific Insurance Pte. Ltd.
AIG Building, 78 Shenton Way #07-16
Singapore 079120 |
Our File No: | CS/AIG21007077/EVF3N2 |
| Date: | 16/07/2021 |
REFERENCE |
| Insured/Claimant: | GOH CHYAN YEE |
Policy No: | 1800155273 |
| Date of Loss: | 27/06/2021 |
Nature of Claim: | OD |
Claim No: |
9288291822SG
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SJP5420K |
| Make & Model: | CITROEN C4, 1.2 1.2 PURETECH EAT6 (A) |
Engine No: | 10XTA41173070 |
| Reg. Date: | 27/12/2018 (Man. Year: 2018) |
Chassis No: |
VF73AHNYTJJ793471 |
| Colour: | Blue |
Odometer: | 14287 km |
| Engine Capacity: | 1199 cc |
| Market Value/New Car Price: | S$92,000.00 |
| Sum Insured (S$): | 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: | 205/60R16 |
Rear Tyre Size: | 205/60R16 |
|
Front Left Side:
| Yokohama 5 mm | |
Rear Left Side:
| Yokohama 5 mm | |
| Front Right Side: | Yokohama 5 mm | |
Rear Right Side: | Yokohama 5 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
9,686.00 |
4,857.20
|
4,828.80 |
49.85 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
6,015.00 |
3,545.00 |
2,470.00 |
41.06 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
|
Calculated Gross Total
(S$)
|
15,701.00 |
8,402.20 |
7,298.80 |
46.49 |
| - Excess (S$) |
300.00 |
300.00 |
0.00 |
0.00 |
| | |
| (S$) |
15,401.00 |
8,102.20 |
7,298.80 |
47.39 |
| +
GST 7.00/7.00% (S$)
|
1,078.07 |
567.15 |
510.92 |
47.39 |
| | |
| Nett Amount (S$) |
16,479.07 |
8,669.35 |
7,809.72 |
47.39 |
| | |
| INSPECTION |
| Date of Assignment: | 28/06/2021 |
| Date Inspected: | 28/06/2021 |
Inspected At: | Cycle & Carriage France Pte Ltd (Pandan Gardens) (HQ)
209 PANDAN GARDENS
Singapore 609339 |
| Estimated Period of Repair: | 6.0 days |
| Adjuster: |
CHEN TSUE YEE |
|
Manager:
|
VERON CHEN
|
|
|
|
|
|
|
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.
|
Recommended Parts
| Report was unsubmitted during this print-out. |
| No. | Qty |
Part No. |
Particulars |
Condition | Repairer's | |
Amount |
|
| 1 |
1 |
|
*FRONT BUMPER |
Broken |
1,031.00 |
F |
*1,031.00 |
FL |
| 2 |
1 |
|
*BUMPER BRACKET |
Broken |
330.00 |
F |
*330.00 |
FL |
| 3 |
1 |
|
*BUMPER MOULDING |
Broken |
207.00 |
F |
*207.00 |
FL |
| 4 |
1 |
|
*BUMPER MOULDING |
Broken |
227.00 |
F |
*227.00 |
FL |
| 5 |
1 |
|
*BMPR RUBBR BOOT |
Cut |
276.00 |
F |
*276.00 |
FL |
| 6 |
1 |
|
*GUARD GRILLE INFERIEUR |
Broken |
311.00 |
F |
*311.00 |
FL |
| 7 |
1 |
|
*BADGE SUPPORT |
Not Necesary |
205.00 |
F |
*- |
FL |
| 8 |
1 |
|
*CHEVRON EMBLEM INFERIEUR |
Broken |
161.00 |
F |
*161.00 |
FL |
| 9 |
1 |
|
*CHEVRON EMBLEM SUPERIEUR |
Broken |
161.00 |
F |
*161.00 |
FL |
| 10 |
1 |
|
*BRACKET SET |
Broken |
125.00 |
F |
*125.00 |
FL |
| 11 |
1 |
|
*BUMPER MOULDING |
Not Necessary |
173.00 |
F |
*- |
FL |
| 12 |
1 |
|
*BRACKET SET LAT |
Broken |
125.00 |
F |
*125.00 |
FL |
| 13 |
1 |
|
*ABSORBERS SET |
Not Necessary |
92.00 |
F |
*- |
FL |
| 14 |
1 |
|
*BUMPER BRACKET |
Not Necessary |
516.00 |
F |
*- |
FL |
| 15 |
1 |
|
*PLUG LH |
Cut |
96.00 |
F |
*96.00 |
FL |
| 16 |
1 |
|
*FACE CROSSMEMBER SUP |
Not Necessary |
226.00 |
F |
*- |
FL |
| 17 |
1 |
|
*AIR BULKHEAD LH |
Not Necessary |
108.00 |
F |
*- |
FL |
| 18 |
1 |
|
*AIR BULKHEAD |
Not Necesary |
154.00 |
F |
*- |
FL |
| 19 |
1 |
|
*BRACKET CROSSME LH ASS |
Not Necessary |
196.00 |
F |
*- |
FL |
| 20 |
1 |
|
*FACING SUPPORT LH ASS |
Not Necessary |
90.00 |
F |
*- |
FL |
| 21 |
1 |
|
*FRONT WING LH ASS |
Dented |
571.00 |
F |
*571.00 |
FL |
| 22 |
1 |
|
*MUDGUARD LH ASS |
Not Necesssary |
194.00 |
F |
*- |
FL |
| 23 |
1 |
|
*ENGINE BONNET ASS |
Dented |
1,042.00 |
F |
*1,042.00 |
FL |
| 24 |
1 |
|
*BONNET HINGE LH |
Not Necessary |
178.00 |
F |
*- |
FL |
| 25 |
1 |
|
*FRONT LIGHT LH |
Broken |
409.00 |
F |
*409.00 |
FL |
| 26 |
1 |
|
*HEADLIGHT ASSY LH |
Broken |
718.00 |
F |
*718.00 |
FL |
| 27 |
1 |
|
*SPACETOURER 2018-BODY KIT |
Not Necessary |
1,500.00 |
F |
*- |
FL |
| 28 |
1 |
|
*SUNDRY |
Necessary |
20.00 |
FS |
*20.00 |
FS |
| 29 |
1 |
|
*FRT NUMBER PLATE WITH FRAME |
Cut |
50.00 |
FS |
*50.00 |
FS |
| 30 |
1 |
|
*BUMPER BRACKET (C16175368XT)
(Supplementary) |
Broken |
194.00 |
F |
*194.00 |
FL |
| F=Franchise part. S=SpcNett. L=ListItemDisc. |
|
| Sub Total (S$) | 9,686.00 | |
6,054.00
| |
| - List Item Discount on L Items 0.00/20.00% (S$) |
0.00 | | 1,196.80 | |
| |
|
| Total Parts (S$) |
9,686.00 | | 4,857.20 | |
| |
|
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 |
RENEW BONNET,FRT BUMPER,FRT AIRDAM,FRT FENDER LH,FRT SUPPORT PANEL.REPAIR FRT DOOR LH |
New |
2,500.00 | 1,250.00 |
| 2 |
SPRAY PAINT FOR FRT AIRDAM,FRT FENDER LH,FRT BUMPER,BONNET FRT SUPPORT,FRT DOOR LH |
New |
3,120.00 | 1,900.00 |
| 3 |
REMOVE & INSTALL FRT AIRDAM |
New |
100.00 | 100.00 |
| 4 |
CHECK WIRING & ELECTRICAL SYSTEM |
New |
30.00 | 30.00 |
| 5 |
TO CARRY OUT DIAGNOSTIC CHECK USING HI-SCAN PRO TEST USING HI-SCAN PRO TEST |
New |
225.00 | 225.00 |
| 6 |
APPLY SEALANT FORACCIDENT PORTION |
New |
40.00 | 40.00 |
| |
|
| Gross Labour Cost (S$) |
6,015.00 | 3,545.00 |
| |
|
< END OF ESTIMATES >