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Home >> Mercedes Benz >> 2021 >> GLA250 4Matic >> Repair and Diagnosis >> Restraints >> Seat Belts >> Seats, Bunks, Restraint Systems -- 247 Chassis (2 Of 2) >> Forms >> Customer Declaration, Replacement Of Front Passenger Seat, Deactivation Of SBE [Seat Occupied Recognition], Side AIRBAG, Certification - OF91.00-P-1000-04A

Customer Declaration, Replacement Of Front Passenger Seat, Deactivation Of SBE [Seat Occupied Recognition], Side AIRBAG, Certification - OF91.00-P-1000-04A

Model All 

Due to an express customer request as of..... the function of the side airbag and the seat occupied recognition (SBE) on the passenger-side have been deactivated. There is an increased risk of injury for occupants due to this measure. There may, in particular, be

as a consequence.

This is expressly pointed out to the customer who undertakes Likewise to inform other users of the vehicle.

_____

(Copy sheet, cut off here and stick the upper section into the operator's manual at the start of the chapter on safety)

Exclusion of liability, exemption and measures 

  1. I hereby renounce all claims against Daimler AG, its associated subsidiaries and its sales partners, which arise - directly or indirectly-as a result of the modifications listed above and the associated increased risk of injury.
  2. I hereby release Daimler AG from all third-party claims and indemnification as stated under (1).
  3. Furthermore, I hereby commit myself to:
    1. Ensuring that
      • the above-separated specification is always kept with the operator's manual and
      • The user/purchaser of the vehicle are informed about this; and
    2. That any changes are immediately registered in the vehicle documents; and
    3. To inform the user/purchaser of the vehicle about the modification and the increased risk of injury associated with that.

Process customer request - standard 

Replacement of front passenger seat

Date/signature of customer

____________

Date/stamp and signature of Mercedes-Benz service operation

Name and address of customer:

________________

________________

________________

________________

________________

Chassis identification number FIN

________________

G16053519Courtesy of MERCEDES-BENZ USA