Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
|
| |
Our File No: | CS3/CTI21007875/GVCN2 |
| Date: | 27/07/2021 |
REFERENCE |
| Handling Insurer: | China Taiping Insurance (Singapore) Pte. Ltd. |
Policy No: | DMHCSNA00004942001 |
| Claimant Vehicle No : | SLT1088T | Insured Vehicle No : | SGZ1414M |
| Date of Loss: | 19/07/2021 |
Nature of Claim: | TP |
Claim No: |
SNM21D204038/C2/IRENE
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | SLT1088T |
| Make & Model: | MERCEDES-BENZ C180, 1.5 (A) |
Engine No: | 27182030441373 |
| Reg. Date: | 26/03/2012 (Man. Year: 2012) |
Chassis No: |
WDD2040492A687705 |
| Colour: | Brown |
Odometer: | 122995 km |
| Engine Capacity: | 1796 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 225/45 ZR17 |
Rear Tyre Size: | 225/45 ZR17 |
|
Front Left Side:
| Michelin 6 mm | |
Rear Left Side:
| Michelin 6 mm | |
| Front Right Side: | Michelin 6 mm | |
Rear Right Side: | Michelin 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
0.00 |
0.00
|
0.00 |
|
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
0.00 |
0.00 |
0.00 |
|
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Nett Amount (S$) |
0.00 |
0.00 |
0.00 |
|
| | |
| INSPECTION |
| Date of Assignment: | 23/07/2021 |
| Date Inspected: | 23/07/2021 |
Inspected At: | Eclipse Auto Pte Ltd (HQ)
155 Kaki Bukit Avenue 1, Shun Li Industrial Park #01-01
Singapore 416012 |
| Estimated Period of Repair: | 5.0 days |
| Adjuster: |
XING GUO QIANG |
|
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.
|
|
|
A)THE INSPECTION WAS CONDUCTED ON A "WITHOUT PREJUDICE" BASIS.
B) THE REPAIR ESTIMATE WAS NOT PRESENTED AT THE TIME OF INSPECTION.
THE REPAIRER WAS TOLD TO PREPARE THE ESTIMATE.
C) ENCLOSED PLEASE FIND DAMAGED VEHICLE PHOTOGRAPHS.
THE ESTIMATED REPAIR COST OF THE DAMAGED VEHICLE IS IN THE REGION OF $4,000.00 -$5,000.00
|
| |
Reference |
| Part Source: | MRM-SG | Version: 1.0 (Last Synchronised: 26 Jul 2021) |
| Parts: | 143 | MERCEDES-BENZ C180 1.5 (A) (Catalogue:Merimen Singapore 1.0) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for SLT1088T) |
| 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. |
There are no new parts selected. |
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
There are no labour items selected. |
< END OF ESTIMATES >