Automotriz Autocar S.A.
Compañía de Seguros Generales Penta Security S.A.
Claim 10123436 – Folio 255916
ADJUSTMENT REPORT Nº 255916
Branch Marine Transit
Import
Santiago, July 15th 2016
Insurer / Company / Compañía de SegurosGeneralesPenta Security S.A.Claim Number / 10123436 / Insured’s Cert. / REG. 3826
Insurance Broker / Willis Insurance Services S.A.
Policy Number / 10797741 / Certif. Nº / No Certificate
Policy Period / From / 07/31/2015 / To / 07/31/2016
Insured Amount / USD / 190,849.45
Affected Merchandise / 31 units of vehicles brand DFSK
Affected Coverage / Marine Transit Policy for Cargo “A” All Risk (POL 120130700)
Insured / AutomotrizAutocar S.A. / Rut / 96.856.360-2
Beneficiary / AutomotrizAutocar S.A. / Rut / 96.856.360-2
Place of Claim / During transit
Date of Loss / April 12th 2016
Date of Inspection / April 12th / 14th 2016
Date of Assignment / April 6th 2016
Cause of Loss / Dents / Scratches / Theft
Indemnity / USD / 1,219.00 / Gross Loss / USD / 3,740.00
Deductible / USD / 574.00 / Adjustment / USD / 1,793.00
Recovery / The information of the claim will be issued to Barbuss in order to analyse the feasibility of starting legal recovery actions
Salvage / Not applicable
I. GENERAL INFORMATION
Certificate
Certificate / : / No certificatesReference Number / : / Invoices Nº 15-Y-MV16-006E and 15-Y-MV16-0014C dated March 7th 2016
Insured Amount / : / USD 190,849.45 (Premium USD 104.96)
Insured Matter / : / 31 units of vehicles brand DFSK
Deductible: / : / USD 35.00 per vehicle
Carrier: / : / CCNI Cía. Chilena de NavegaciónInteroceánica S.A., B/L Nº CNSHA-000000633-5 and CNSHA-000000634-6 dated March 9th 2016
Ship / : / M/N “Southern Highway V. 0020EB”, dated 9th 2016
Transhipment / : / No
Transit / : / Shanghai, China to Santiago, Chile
Manifest / : / San Antonio, Nº 137138 dated April 12th 2016
Final Destination / : / Santiago, Chile on April 14th 2016
Assignment / : / April 6th 2016
Place and Date of Inspection / : / 1.- Port of San Antonio, April 12th 2016
2.- Warehouse of the consignees in Santiago, April 14th 2016
Inspectors: / : / 1.- José Díaz Chapa from our office in San Antonio –Performed unilaterally as the representatives of the marine haulers did not accepted a jointed inspection
2.- Edmundo Romero jointly with the driver and leaving the observations in the corresponding note tallies.
Cause of Loss / : / Damage for bad treatment during transit, transport, and unloading operations and later handling and transport to Santiago
Commercial Invoice of Sokon Group (Hong Kong) Company Limited Nº 15-Y-MV16-006E and 15-Y-MV16-0014C dated March 7th 2016
Invoice Nº 15-Y-MV16-006E and 15-Y-MV16-0014C for a total of 31 units DFSK / For a value of USD 150,900.00 FOB------
31 units / USD 150,900.00 FOB
Sub Total / USD 150,900.00 FOB
Freight / USD 22,494.54
Insurance / USD 104.96
======
Total CIF San Antonio, Chile / USD 173,499.50 CIF
CIF + Ad Valorem Rights / USD 0.00
------
Documented Cost / USD 173,499.50
Insured Value / USD 190,849.45
01.- INFORMATION:
On June 8th 2016 the Insured presented their claim regarding the inspected units, therefore, we now proceed to issue the respective Adjustment Report
02.- INVOICED VALUE:
Appraisal of damage and/or missing parts confirmed in the shipment in reference during the marine transit and/or unloading operations and/or conveyance and/or later transport in truck to the warehouses in the final destination in Santiago, as per quotations submitted for our consideration by the Insurance Department of AutomotrizAutocar S.A.
A.-LIST OF VEHICLES DAMAGED AT A SIDE OF THE SHIP:
N° / Identification of Vehicle / Description of Damage / Loss / Deductible / Adjustment1 / LVZKN2174GC102612 / Inside light bulb damaged / USD / 21,00
Hood dented / USD / 104,00
USD / 125,00 / 35,00 / 90,00
2 / LVZKN217XGC102615 / Left light bulb scratched / USD / 21,00 / 0,00 / 21,00
3 / LVZKN2175GC102618 / Left rear side dented / USD / 111,00
Left light bulb scratched / USD / 21,00
USD / 132,00 / 35,00 / 97,00
4 / LVZKN2173GC102620 / Left light bulb scratched / USD / 21,00
Fixed beeper missing / USD / 78,00
USD / 99,00 / 35,00 / 64,00
5 / LVZUN2173GC102657 / Left light bulb scratched / USD / 21,00 / 21,00 / 0,00
6 / LVZUN2175GC102658 / Hood scratched / USD / 45,00
Left light bulb scratched / USD / 21,00
USD / 66,00 / 35,00 / 31,00
7 / LVZKN21A7GC103068 / Right front door dented / USD / 78,00
Left light bulb scratched / USD / 21,00
USD / 99,00 / 35,00 / 64,00
8 / LVZKN21A9GC103069 / Inside light bulb scratched / USD / 21,00 / 21,00 / 0,00
9 / LVZKN21A5GC103070 / Left light bulb scratched / USD / 21,00 / 0,00 / 21,00
10 / LVZKN21A9GC103072 / Left front door’s light scratched / USD / 21,00 / 21,00 / 0,00
11 / LVZKN21A0GC103073 / Left light bulb scratched / USD / 21,00
Mirror’s case scratched / USD / 78,00
Left rear side dented / USD / 111,00
Front bumper with paint damage / USD / 36,00
USD / 246,00 / 35,00 / 211,00
12 / LVZX32K72GC883012 / Left rear side dented / USD / 111,00
Left light bulb scratched / USD / 21,00
Hood dented / USD / 104,00
USD / 236,00 / 35,00 / 201,00
13 / LVZX32K77GC883037 / Left light bulb scratched / USD / 21,00
Right front mudguard scratched / USD / 26,00
Hood dented / USD / 104,00
Screwdriver missing / USD / 7,00
USD / 158,00 / 35,00 / 123,00
14 / LVZX32K70GC883042 / Left light bulb scratched / USD / 21,00 / 21,00 / 0,00
15 / LVZX32K78GC883046 / Left light bulb scratched / USD / 21,00 / 21,00 / 0,00
16 / LVZX32K7XGC883047 / Right rear door dented / USD / 78,00
Left rear door dented / USD / 78,00
Left light bulb scratched / USD / 21,00
USD / 177,00 / 35,00 / 142,00
17 / LVZX32K71GC883051 / Left light bulb scratched / USD / 21,00
Left rear door dented / USD / 78,00
USD / 99,00 / 35,00 / 64,00
USD / 1.584,00 / 455,00 / 1.129,00
B.-LIST OF VEHICLES DAMAGED AT THE DELIVERY TO THE LAND CARRIER IN PORT (CONVEYANCE):
No chargeC.- LIST OF VEHICLES NOTED WITH DAMAGE AT THE WAREHOUSE IN THE FINAL DESTINATION (LAND TRANSIT):
No chargeD.- LIST OF ADDITIONAL DAMAGE NOTED AFTER WASHING THE UNITS:
N° / Identification of Vehicle / Description of Damage / Loss / Deductible / Adjustment1 / LVZKN217XGC102615 / Left front tyre broken / USD / 124,00 / 35,00 / 89,00
2 / LVZKN2171GC102616 / Left light bulb scratched / USD / 21,00 / 21,00 / 0,00
3 / LVZKN2173GC102617 / Left light bulb scratched / USD / 21,00 / 21,00 / 0,00
4 / LVZKN21A5GC103070 / Front bumper with paint damage / USD / 36,00 / 35,00 / 1,00
5 / LVZX32K71GC883034 / Screwdriver missing / USD / 7,00 / 7,00 / 0,00
USD / 209,00 / 119,00 / 90,00
Observation: the units marked with aquamarine suffered damage in both stages of the transit, therefore, the deductible will be applied in this later stage
NOTE: The charges for the concept of (MF) “Main Failure” and (Origin) “Damage from Origin” will not be considered in the adjustment of the loss to be indemnified as they did not occurred during the transit covered by the insurance policy hired. Repeated damage is also included in this stage so it will be not considered for obvious reasons.
N° / Identification of Vehicle / Description of Damage / Loss / Deductible / Adjustment1 / LVZKN2174GC102612 / Right front door dented (MF) / USD / 78,00 / 78,00 / 0,00
2 / LVZKN2171GC102616 / Right front door dented (MF) / USD / 78,00 / 78,00 / 0,00
3 / LVZKN2173GC102617 / Right front door dented (MF) / USD / 78,00 / 78,00 / 0,00
4 / LVZKN2173GC102620 / Right front door dented (MF) / USD / 78,00
Right front door dented (MF) / USD / 78,00
USD / 156,00 / 156,00 / 0,00
5 / LVZUN2173GC102657 / Right front door dented (MF) / USD / 78,00
Left front door dented (MF) / USD / 78,00
Left light bulb scratched (Repeated) / USD / 21,00
Left rear door dented (MF) / USD / 78,00
USD / 255,00 / 255,00 / 0,00
6 / LVZKN21A7GC103068 / Exterior pillar dented (MF) / USD / 66,00 / 66,00 / 0,00
7 / LVZKN21A9GC103069 / Right front door dented (MF) / USD / 78,00 / 78,00 / 0,00
8 / LVZKN21A5GC103070 / Right front door dented (MF) / USD / 78,00 / 78,00 / 0,00
9 / LVZKN21A9GC103072 / Right front door dented (MF) / USD / 78,00 / 78,00 / 0,00
10 / LVZKN21A0GC103073 / Exterior pillar dented (MF) / USD / 66,00 / 66,00 / 0,00
11 / LVZX32K72GC883012 / Left rear door dented (MF) / USD / 78,00
Right rear door dented (MF) / USD / 78,00
USD / 156,00 / 156,00 / 0,00
12 / LVZX32K71GC883034 / Left rear door with broken handle (Origin) / USD / 78,00 / 78,00 / 0,00
13 / LVZX32K77GC883037 / Left rear door dented (MF) / USD / 78,00
Right rear door dented (MF) / USD / 78,00
USD / 156,00 / 156,00 / 0,00
14 / LVZX32K70GC883042 / Left front door dented (MF) / USD / 78,00
Right front door dented (MF) / USD / 78,00
USD / 156,00 / 156,00 / 0,00
15 / LVZX32K78GC883046 / Right rear door dented (MF) / USD / 78,00
Left front door dented (MF) / USD / 78,00
Left rear door dented (MF) / USD / 78,00
USD / 234,00 / 234,00 / 0,00
16 / LVZX32K7XGC883047 / Left front door dented (MF) / USD / 78,00 / 78,00 / 0,00
17 / LVZX32K71GC883051 / Right front door dented (MF) / USD / 78,00 / 78,00 / 0,00
USD / 1.947,00 / 1.947,00 / 0,00
03.- ADJUSTED VALUE:
SUMMARY / Claimed Amount / Deductible / Adjusted Valuea) Damage at a side of the ship / 1,584.00 / 455.00 / 1,129.00
b) Damage after washing / 209.00 / 119.00 / 90.00
c) damage from origin / 1,947.00 / 1,947.00 / 0.00
TOTAL / 3,740.00 / 2,521.00 / 1,219.00
04. – INDEMNITY:
From the information collected it is concluded that the Policy N° 10797741, hired by the insured AutomotrizAutocar S.A. in the insurance company Compañía de SegurosGeneralesPenta Security S.A. both in this city, makes applicable the General Conditions of the Marine Transit Policy for Cargo “A” inscribed in the Register of the Superintendence of Securities and Insurances under Code POL 120130700, with a deductible of USD 35 per vehicle.
Therefore, this office estimates the following indemnity shall proceed:
AUTOMOTRIZ AUTOCAR S.A. / RUT: / 96.856.360-2In the amount of / USD / 1,219.00
Deposit in bank account Nº 11078821 BancoCrédito e Inversiones
05.- LEGAL DISPOSITIONS:
Articles 23, 24, 25, 26, and 27 of the Regulation about Insurance Commerce Auxiliaries are attached to this adjustment report.
ViollierAsociadosLiquidadores de Seguros Ltda.Patricio Bustamante Navarro
LiquidadorOficial de Seguros
Invoice: including invoice Nº for fees and expenses incurred.
Analyst / Alfredo Pérez MarambioPhone / 22378 43 53
Email /