Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS/EGI21007410/UTF3N2 |
| Date: | 12/07/2021 |
REFERENCE |
| Handling Insurer: | ERGO Insurance Pte. Ltd. |
Policy No: | |
| Claimant Vehicle No : | SMN1784L | Insured Vehicle No : | SLU317J |
| Date of Loss: | 04/07/2021 |
Nature of Claim: | TP |
Claim No: |
CDMPG21001229
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SMN1784L |
| Make & Model: | MERCEDES-BENZ CLA 220, 2.1 (A) |
Engine No: | 65193031738808 |
| Reg. Date: | 20/03/2014 (Man. Year: 2013) |
Chassis No: |
WDD1173032N020658 |
| Colour: | Purple |
Odometer: | 98544 km |
| Engine Capacity: | 2143 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 225/40R18 |
Rear Tyre Size: | 225/40R18 |
|
Front Left Side:
| Michelin 6 mm | |
Rear Left Side:
| Yokohama 6 mm | |
| Front Right Side: | Michelin 6 mm | |
Rear Right Side: | Yokohama 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
5,531.78 |
2,938.93
|
2,592.85 |
46.87 |
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
2,300.00 |
940.00 |
1,360.00 |
59.13 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Calculated Gross Total (S$) |
7,831.78 |
3,878.93 |
3,952.85 |
50.47 |
| Approved Total (Overridden) (S$) |
|
3,100.00 |
| | |
| Nett Amount (S$) |
7,831.78 |
3,100.00 |
4,731.78 |
60.42 |
| | |
| INSPECTION |
| Date of Assignment: | 07/07/2021 |
| Date Inspected: | 07/07/2021 |
Inspected At: | Imperium Automotive - Kaki Bukit (HQ)
25 Kaki Bukit Road 4, #01-49 Synergy@KB
Singapore 417800 |
| Estimated Period of Repair: | 3.0 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.
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Reference |
| Part Source: | MRM-SG | Version: 1.0 (Last Synchronised: 12 Jul 2021) |
| Parts: | 143 | MERCEDES-BENZ CLA 220 2.1 (A) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for SMN1784L) |
| 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 |
|
*FRONT FENDER-L |
Repair |
1,021.25 |
FL |
*- |
FL |
| 2 |
1 |
|
*FRONT DOOR-L |
Dented/Bent |
2,018.42 |
FL |
*1,918.45 |
FL |
| 3 |
2 |
|
*FRONT DOOR HINGE-L |
Not Necessary |
224.00 |
FL |
*- |
FL |
| 4 |
1 |
|
*FRONT DOOR CHECKER-L |
Not Necessary |
161.00 |
FL |
*- |
FL |
| 5 |
1 |
|
*FRONT DOOR INNER RUBBER-L |
Necessary |
305.97 |
FL |
*301.22 |
FL |
| 6 |
1 |
|
*FRONT DOOR GLASS MOULDING-L |
Not Necessary |
168.35 |
FL |
*- |
FL |
| 7 |
1 |
|
*FRONT DOOR MIRROR ASSY-L |
Shorted/Damaged |
1,367.32 |
FL |
*1,045.81 |
FL |
| 8 |
1 |
|
*ROCKET PANEL GARNISH-L |
Not Necessary |
820.11 |
FL |
*- |
FL |
| 9 |
1 |
|
*ROCKET PANEL GARNISH CLIPS-L |
Not Necessary |
60.00 |
FL |
*- |
FL |
| F=Franchise part. L=ListItemDisc. |
|
| Sub Total (S$) | 6,146.42 | |
3,265.48
| |
| - List Item Discount on L Items 10.00/10.00% (S$) |
614.64 | | 326.55 | |
| |
|
| Total Parts (S$) |
5,531.78 | | 2,938.93 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
|
| Labour Items |
| 1 |
PANEL BEATING |
New |
1,000.00 | 420.00 |
| 2 |
TO RESPRAY PAINTING ON AFFECTED AREAS |
New |
1,000.00 | 500.00 |
| 3 |
WIRING CHECK |
New |
100.00 | 20.00 |
| 4 |
DIAGNOSTIC CHECK & CLEARING OFF FAULT CODE |
New |
200.00 | 0.00 |
| |
|
| Gross Labour Cost (S$) |
2,300.00 | 940.00 |
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< END OF ESTIMATES >