I certify that this vehicle has undergone inspection, and if necessary, repair and/or reconditioning in accordance with the

CBG Certified Pre-Owned

Reference Number: Vehicles process. Upon final inspection, I have determined that the vehicle is eligible to be certified and is not subject to any open safety or
Inspection Date __________/_________/________ VIN # ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
non-compliance recall(s). Required Signatures:

Stock #_________________________ R.O.#______________________ Vehicle Original In-Service Date_______/_______/________ CERTIFIED TECHNICIAN (PRINT) ___________________________________Signature ____________________________________Date:____/____/____
Cross-reference this number on R.O. SERVICE MANAGER (PRINT) ______________________________________Signature ____________________________________Date:____/____/____
Year________________ Make______________________________________ Model____________________________________
GM FrontLine Ready: GM CPO Compliant USED VEHICLE MANAGER (PRINT) _________________________________Signature ____________________________________Date:____/____/____

172-POINT
Ext. Color _______________________ Int. Color_______________________ Mileage____________________________________ The authorized Service Manager and Used Vehicle Manager signatures certify that this vehicle has been carefully inspected and currently meets the
WHITE COPY: Purchaser GOLD COPY: Dealer Service requirements of the CBG Certified Pre-Owned Vehicles program. No claim is made that this vehicle is in new condition.

Dealer BAC ______________________________ Dealership Name ____________________________________________________ YELLOW COPY: Dealer Sales IMPORTANT: Before Certified Pre-Owned vehicles are listed or sold, GM requires dealers to complete all safety recalls. The dealer acknowledges that the
appropriate systems have been checked, and that any open recalls have been addressed. The customer understands that the recall status of any vehicle
GM reserves the right to disqualify a vehicle from the is available at recalls.gm.com or safercars.gov, and that he/she has received a copy of this vehicle’s report dated ____/____/____.
VEHICLE INSPECTION City _________________________________________ State___________________________ ZIP Code _______________________ CBG Certified Pre-Owned Vehicles program for failure
to meet program standards based on service history files, CUSTOMER INITIAL ________ DEALERSHIP INITIAL ________
AND RECONDITIONING
Note: Guidelines for completing this form are available as a free downloadable an independent vehicle history report, and/or information
file on the DWD Store or by going to www.GMCertifiedResourceCenter.com. Radio ID# ___ ___ ___ ___ ___ ___ ___ ___ CUSTOMER NAME (PRINT) ________________________________________Signature ____________________________________Date:____/____/____

INVESTIGATE VEHICLE HISTORY MAINTENANCE, CONT. ROAD TEST FUNCTIONAL, CONT. INTERIOR EXTERIOR
INSP. SVC. SVC. INSPECTION CHECK POINTS TO BE COMPLETED AFTER DRIVING VEHICLE. INSP. SVC. SVC. INSPECT THE OPERATION/CONDITION OF ALL COMPONENTS;
THIS CERTIFIED INSPECTION PROCESS IS REQUIRED CHECK, TOP OFF OR CHANGE COMPLETED REQUIRED COMPLETED COMPLETED REQUIRED COMPLETED N/A REPLACE OR REPAIR AS NECESSARY.
REVIEW EXTERIOR ITEMS TO ENSURE THEY ARE CLEAN AND
DAMAGE-FREE.
FOR ALL CERTIFIED PRE-OWNED VEHICLES. ALL 172 IN- 13 Power Steering Fluid ENGINE INSP. SVC. SVC. 75 Weather Stripping   
   COMPLETED REQUIRED COMPLETED
SPECTION POINTS MUST BE COMPLETED. LIGHTING INSP. SVC. SVC. INSP. SVC. SVC.
14 Transmission Fluid    37 Start-Up 76 Door Reflectors/Child Safety     COMPLETED REQUIRED COMPLETED N/A GLASS COMPLETED REQUIRED COMPLETED N/A
YES NO    Locks
15 Windshield Fluid    111 Interior/Ambient     149 Windshield   
1 Is this vehicle still covered by its original 38 Idle Quality    77 Fuel Door and Cap   
factory warranty?   16 Engine Coolant    112 Visor/Map/Glove Box     All Side Glass Panels   
39 Sound Quality    78 Spare Tire/Jack/Tools    
17 Brake Fluid    113 Instrument Cluster/ Dash     Panoramic & Sunroof    
2 Owner’s Manual/Warranty Booklet Present   40 Service/Warning Lights    79 Spare Tire Cover or Retractor    
Rear    
41 Acceleration    80 Alarm/Theft Deterrent     114 Rear Compartment/    
REVIEW THE VEHICLE’S HISTORY: PASS FAIL CHECK TIRES AND BRAKE PADS INSP. SVC. SVC.
81 Safety Belts/Retractors   
Cargo/Storage Net
All lamp assemblies and bulbs must be working.
Mirrors    
3 GWM – Investigate Vehicle History Report   TRANSMISSION N/A Replace glass if damage exists or crack larger than 3/16" exists.
COMPLETED REQUIRED COMPLETED 82 Auxiliary/Cigarette Outlet    
MINIMUM TIRE TREAD DEPTH REQUIRED ON ALL TIRES IS Must be aligned and sealed properly.
Open Recalls   INSP. SVC. SVC.
5/32NDS ACROSS THE TREAD PLANE. ALL FOUR TIRES MUST 42 Shift Interlock     83 Key Fob/Keys/     SEATING COMPLETED REQUIRED COMPLETED N/A
BE MATCHING BRANDS AND SIZE. Remote Start
Branded Title   43 Shifting 1st-2nd-3rd...OD INSP. SVC. SVC.
    115 Driver Seat/     LIGHTS COMPLETED REQUIRED COMPLETED N/A
18 RIGHT FRONT 19 RIGHT REAR Functioning Controls
Warranty Block   44 Manual    
________ /32nds ________ /32nds 45 AWD/2WD/4WD     ENGINE COMPARTMENT 116 Passenger Seat/
Functioning Controls     150 Headlamps   
4 Vehicle History Report (Check One)   151 High Beams   
Tire Tread Depth Tire Tread Depth INSPECT OPERATION OF ALL COMPONENTS; REPLACE OR REPAIR AS 117 Rear    
INSP. SVC. SVC. 152 Parking   
VEHICLE STABILITY NECESSARY.
 COMPLETED REQUIRED COMPLETED 118 Third Row    
______ mm remaining ______ mm remaining 46 Alignment/Drift    INSP. SVC. SVC. 153 Fog    
COMPLETED REQUIRED COMPLETED 119 Lumbar (All)    
Brake Pad Thickness Brake Pad Thickness 47 Vibration    154 Turn Signals   
 84 Brake System    120 Head Restraints (All)    
48 Squeaks/Rattles    155 Hazards    
 Other____________________________ 85 Cooling System    121 Heated/Cooling Seats    
49 Wind Noise    156 Side Marker    
122 Seat
86 Ignition System    Adjustment
PASS FAIL Power/Manual     157 License Plate    
50 Anti-Lock Brakes   
87 AC Compressor   
5 Check for Vehicle Trouble Codes   51 Smooth Stop    158 Back-up/Reverse   
88 Vacuum System    TRIM/CONTROLS
159 Brake & High
  
123 Door/Trim/Armrest/
INSP. SVC. SVC. 89 Engine Insulator/Blanket Mount Stop
STEERING COMPLETED REQUIRED COMPLETED    Speaker Grilles (All)   
YES NO 160 Daytime Running Lamps    
52 Steering Wheel Centered    90 Fuel System    124 Floor Mats & Retainers    
6 Is this vehicle free of any aftermarket modifications like   All lamp assemblies and bulbs must be working.
20 LEFT FRONT 21 LEFT REAR 53 Ease of Turning    91 Power Steering System    125 Headliner/Pillar Trim
body/chassis lift kits, engine performance chips?    
Certain modifications may cause the vehicle to be ineligible for 54 Steering Wheel Alignment    92 Check for Proper Labels/Decals    126 Sill Plate/Kick Panel INSP. SVC. SVC.
    BODY PANELS
Certification. Refer to the Certified Pre-Owned ________ /32nds ________ /32nds COMPLETED REQUIRED COMPLETED N/A
INSP. SVC. SVC. 127 Pull/Assist Handles    
Operations Guide.
Acceptable Aftermarket Items:
Tire Tread Depth Tire Tread Depth HVAC
55 Air Conditioning
COMPLETED REQUIRED COMPLETED
  
N/A

UNDER VEHICLE 161 Bumper & Fascias Front
/Rear   
______ mm remaining ______ mm remaining STEERING WHEEL
______________________________________________
56 Heat    INSPECT OPERATION AND INTEGRITY OF ALL COMPONENTS; REPLACE 162 Grille/Hood/Trunk/   
Brake Pad Thickness Brake Pad Thickness 128 Overall Condition     Roof
______________________________________________ OR REPAIR AS NECESSARY.
57 Fan/Speeds    INSP. SVC. SVC. 129 Horn     163 Emblems/Name Plates   
22 Tire Manufacturer & Brand:__________________________
______________________________________________
58 Defrost     COMPLETED REQUIRED COMPLETED N/A 164 Bedliner (Trucks Only)    
130 Touch Controls    
__________________________________________________ Visual Inspection Clean, 165 Moldings/Applique
PASS FAIL 59 Rear Defrost     93 No Leaks    131 Tilt/Telescoping       
7 Is this vehicle a good candidate to be Certified?   23 Tire Size/Specifications:_____________________________
60 Air Inlet Grilles/Louvers    132 Audio Controls     166 Fender/Panels Front/   
BRAKES Back (All)
61 Recirculation    
Pass / Yes checked boxes, continue with Inspection process. __________________________________________________ AUDIO/VIDEO 167 Doors (All)   
62 Climate Control 94 Calipers    
   
Fail / No checked boxes, notify Certified Pre-Owned Manager MINIMUM OF 5mm ON FRONT/3mm ON REAR REMAINING 95 Rotors/Drums     133 Radio 168 Running Boards/    
WEAR OF FRICTION MATERIAL ON PADS/SHOES IS REQUIRED. INSP. SVC. SVC. Side Steps
and discontinue the Inspection process. OTHER N/A Buttons/Knobs Clean
COMPLETED REQUIRED COMPLETED 96 Hydraulic Lines     & Clear    169 Liftgate    
63 Wipers (Front/Rear)   
DETAILING 64 Speedometer/Odometer   
97 Parking Brake Cable     All Features Function
Properly    170 Door or Pull Handles   

MAINTENANCE INSPECT AND CLEAN THOROUGHLY TO ENSURE THE CUSTOMER

65 Headlamps/Fog Lamp   
SUSPENSION 134 CD/Cassette     OTHER
IS SATISFIED WITH OVERALL VEHICLE APPEARANCE. Aiming 98 Control Arms 171 Wheels (All)
    135 Speakers (All)      
ALL REQUIRED MAINTENANCE NECESSARY WITHIN THE NEXT INTERIOR COMPLETED 66 Turn Signals/Hazards    99 Springs/Sway Bars    136 Sync System (Reset)     172 Covers/Center Caps    
SCHEDULED INTERVAL HAS BEEN COMPLETED. 67 Mirrors/Defrost    
INSP. SVC. SVC.
24 Carpet/Floor Mats/Seat Covers  100 Shock Absorbers/Struts/    137 Navigation System/Disc    
Air Suspension
CHANGE / REPLACE COMPLETED REQUIRED COMPLETED 25 Headliner/Dash Pad 
68 Cruise/Resume
69 Traction Control







 101 Gear/Rack & Pinion     138 DVD Player/Headsets    
HYBRID VEHICLES
8 Engine Oil and Filter    26 Interior Trim Panels  MEETS SVC.
139 Antenna    TRANSMISSION
27 All Glass Surfaces  70 Dash Panel Gauges/     STD. REQ’D
INSP. SVC. SVC. Compass DRIVETRAIN
9 INSPECT / CHECK OTHER
COMPLETED REQUIRED COMPLETED 28 Trunk Compartment/Spare Cover  H1 Hybrid Battery (Inspect Air Intake)
102 Engine/Transmission  
Air/Cabin Filter (if equipped)    29 Instrument Panel/Cover/Pad  FUNCTIONAL Mounts   
140 Trunk & Gas Cover
Release    
103 CV Joints/Boots     Battery Energy Control Module
Hoses/Clamps    30 Storage Compartments/Ashtray  INSPECT AND/OR VERIFY OPERATION OF ALL COMPONENTS; REPLACE 141 Inside Rearview Mirror     H2  
(Check Using Scan Tool)
Drive/Serpentine Belt OR REPAIR AS NECESSARY. 104 Axles/Differentials   
   31 Remove Foreign Odors  142 Power Sunroof    
YES NO N/A Starter/Generator Control Module
Wiper Blades (Front /Back)    105 Driveshaft/Universal Joints     H3  
(Check for Codes and Software Updates)
71 Pre-activation Completed    143 Dash Controls/Driver    
EXTERIOR COMPLETED Information Center
INSP. SVC. SVC. H4 Confirm Auto Stop  
LOAD TEST READING Equipped OTHER 144 Clock (Check/Reset)    
COMPLETED REQUIRED COMPLETED  
32 Wash or Wax  H5 Confirm Auto Restart  
Battery Status: (If yes, fill in Radio ID above) 106 Frame    145 Sun Visors/Coat Hooks    
10    33 Reasonably Free of Dents 
___________________________ Volts 107 Tow Hooks     146 Cargo Area/Trunk
INSP. SVC. SVC.    
11 Clean and Secure Battery Connections   
34 Remove Road Tar/Oil/Stains  COMPLETED REQUIRED COMPLETED N/A 108 Exhaust System
NOTES
   147 Accessory Power
35 Tires/Wheels Free of Dirt & Brake Dust  72 Air Bags (All)     Outlets    
12 Battery Tray, Retainer, & Vent Tubes    109 Wheel Lugs (All)   
36 Recondition Surface Chips/Scratches  73 Parking Brake     148 Cupholders/Map Pockets/ ©2016 General Motors. All rights reserved.
110 Air Deflector     Storage    
CPO172INSCHCKLST1016
74 Convertible Top     Last Revision 10/16