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 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 Service IMPORTANT: Before Certified Pre-Owned vehicles are listed or sold, Cadillac 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 is available at recalls.gm.com, and that he/she has received a copy of this vehicle’s report from recalls.gm.com dated ____/____/____
VEHICLE INSPECTION
GM reserves the right to disqualify a vehicle from the
City _________________________________________ State___________________________ Zipcode ________________________ 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# ___ ___ ___ ___ ___ ___ ___ ___ obtained by GM Global warranty management systems. 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 13 Power Steering Fluid ENGINE INSP. SVC. SVC. 75 Weather Stripping £ ™ £
£ ™ £ COMPLETED REQUIRED COMPLETED
INSPECTION POINTS MUST BE COMPLETED. LIGHTING INSP. SVC. SVC. INSP. SVC. SVC.
14 Transmission Fluid £ ™ £ 37 Start Up 76 Door Reflectors / Child
£ ™ £ ™ COMPLETED REQUIRED COMPLETED N/A GLASS COMPLETED REQUIRED COMPLETED N/A
YES NO £ ™ £ Safety 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 £ ™ £ ™
113 Instrument
17 Brake Fluid Cluster / Panoramic & Sunroof £ ™ £ ™
2 Owner’s Manual/Warranty Booklet Present £ ™ £ ™ £ 40 Service / Warning Lights £ ™ £ 79 Spare Tire Cover or Retractor £ ™ £ ™ Dash £ ™ £ ™
Rear £ ™ £ ™
114 Rear
41 Acceleration £ ™ £ 80 Alarm / Theft Deterrent £ ™ £ ™ Compartment /
£ ™ £ ™
REVIEW THE VEHICLE’S HISTORY: PASS FAIL CHECK TIRES AND BRAKE PADS INSP. SVC. SVC.
81 Seat 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.
83 Key
5/32NDS ACROSS THE TREAD PLANE. ALL FOUR TIRES MUST 42 Shift Interlock £ ™ £ ™ FOB / Keys / SEATING
BE MATCHING BRANDS AND SIZE. Remote Start £ ™ £ ™ COMPLETED REQUIRED COMPLETED N/A
Branded Title £ ™ 43 Shifting 1st-2nd-3rd...OD INSP. SVC. SVC.
115 Driver
£ ™ £ ™ Seat / LIGHTS
18 RIGHT FRONT 19 RIGHT REAR Functioning Controls £ ™ £ ™ COMPLETED REQUIRED COMPLETED N/A
Warranty Block £ ™ 44 Manual £ ™ £ ™
________ /32nds ________ /32nds 45 AWD/2WD/4WD £ ™ £ ™ ENGINE COMPARTMENT 116 Passenger Seat /
Functioning Controls £ ™ £ ™ 150 Head Lamps £ ™ £
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 Rests (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
INSP. SVC. SVC. £ ™ £
123 Door
89 Engine Insulator / Blanket / Trim / Armrest / Mount Stop
STEERING COMPLETED REQUIRED COMPLETED £ ™ £ Speaker Grilles (All) £ ™ £
YES NO 160 Daytime Running Lights £ ™ £ ™
52 Steering Wheel Centered £ ™ £ 90 Fuel System £ ™ £ 124 Floor Mats & Retainers £ ™ £ ™
6 Is this vehicle free of any aftermarket modifications £ ™ 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
like Body/Chassis lift kits, engine performance chips? £ ™ £ ™
Certain modifications may cause the vehicle to be ineligible 54 Steering Wheel Alignment £ ™ £ 92 Check for Proper Labels / Decals £ ™ £ 126 Sill Plate / Kick Panel INSP. SVC. SVC.
£ ™ £ ™ BODY PANELS
for Certification. Refer to the Certified Pre-Owned ________ /32nds ________ /32nds COMPLETED REQUIRED COMPLETED N/A
INSP. SVC. SVC. 127 Pull / Assist Handles £ ™ £ ™
Operations Manual.
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 Grille / Hood / Trunk /
______________________________________________ INSPECT OPERATION AND INTEGRITY OF ALL COMPONENTS, REPLACE 162 Roof £ ™ £
Brake Pad Thickness Brake Pad Thickness 56 Heat £ ™ £ 128 Overall Condition £ ™ £ ™
______________________________________________ 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 £ ™ £ ™ £ ™ £
166 Fender
60 Air Inlet Grilles / Louvers £ ™ £ / Panels Front /
7 Is this vehicle a good candidate to be Certified? £ ™ 23 Tire Size / Specifications:_____________________________ 132 Audio Controls £ ™ £ ™ Back (All) £ ™ £
61 Recirculation BRAKES
£ ™ £ ™
Pass / Yes checked boxes, continue with Inspection process. __________________________________________________ AUDIO/VIDEO 167 Doors (All) £ ™ £
62 Climate Control 94 Calipers £ ™ £ ™
£ ™ £ ™
168 Running
MINIMUM OF 50% REMAINING WEAR OF FRICTION MATERIAL 133 Radio Boards /
Fail / No checked boxes, notify Certified Pre-Owned Manager 95 Rotors / Drums £ ™ £ ™ Side Steps £ ™ £ ™
and discontinue the Inspection process. ON PADS/SHOES IS REQUIRED. INSP. SVC. SVC. Buttons / Knobs Clean
OTHER N/A 96 Hydraulic Lines £ ™ £
COMPLETED REQUIRED COMPLETED £ ™ £ ™ & Clear 169 Lift Gate £ ™ £ ™
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 Headlights / 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 £ ™ £ ™
100 Shock Absorbers / Struts /
137 Navigation
24 Carpet / Floor Mats / Seat Covers £ System /
INSP. SVC. SVC. Air Suspension £ ™ £ Disc £ ™ £ ™
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
70 Dash Panel Gauges / STD. REQ’D
27 All Glass Surfaces £ Compass £ ™ £ ™
INSP. SVC. SVC. 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 Rear View Mirror £ ™ £ ™ H2 £ ™
(Check Using Scan Tool)
Drive / Serpentine Belt OR REPAIR AS NECESSARY. 104 Axles / Differentials £ ™ £
£ ™ £ 31 Remove Foreign Odors £ 142 Power Sunroof £ ™ £ ™ Starter / Generator Control Module
105 Driveshaft
YES NO N/A / Universal H3 £ ™
Wiper Blades (Front / Back) £ ™ £ Joints £ ™ £ ™ (Check for Codes and Software Updates)
143 Dash Controls / Driver
71 Pre-activation Completed £ ™ ¯ Information Center £ ™ £ ™
INSP. SVC. SVC. EXTERIOR COMPLETED H4 Confirm Auto Stop
LOAD TEST READING OTHER
£ ™
COMPLETED REQUIRED COMPLETED Equipped £ ™ 144 Clock (Check / Reset) £ ™ £ ™
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 £ ™ £ ™ Cup Holders / Map
110 Air Deflector £ ™ £ ™ 148 Pockets / Storage £ ™ £ ™ ©2015 General Motors all rights reserved.
CPO172INSCHCKLST0113
74 Convertible Top £ ™ £ ™ Last Revision 1/17