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13 1000 | allianz.com.au

Date of generation: 10 April 2023

Allianz Comprehensive
Car Insurance
Policy Details
S205AOR

Customer ID Your car

32423063 S205AOR

Cover Policy number Excess Period of insurance

Comprehensive BC8006346911 $600 Basic excess 10/04/2023 to
plus $1,800 Under 25 09/04/2024
Driver excess until midnight

Policy holders Car

Name JORGE ENRIQUE BERNAL Car details 2005 SUZUKI, SWIFT EZ,
OME 5D HATCHBACK, 1.5L
MPFI 4, Manual
In the last 3 years, have No Registration number S205AOR
you or any policy holder
Agreed value $4,500
to be insured under this
policy had: Car usage The car is primarily used
for private use only.
• a claim refused
The car travels
• insurance declined approximately 0 km –
• a special condition 7,500 km per year
imposed on Overnight parking HECTORVILLE SA 5073
insurance, or
Is the car registered, Yes
• been convicted roadworthy and safe to
of any criminal
drive?
act in relation to
Does the car have any No
drugs, dishonesty,
unrepaired damage
arson, theft, fraud,
(excluding minor
burglary, criminal,
scratches and general
malicious or wilful
wear and tear)?
damage?
Do you have No
comprehensive insurance
for this or any other car?

01/03
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Drivers Premium summary

Main driver JORGE ENRIQUE BERNAL Annual premium $714.35
OME
Gender Male Date of birth 07/06/1987 Government taxes and levies
Age licence received 25 Emergency and/or fire services $0.00
Any car claims in the past 5 None levies (ESL)
years? Goods & services tax (GST) $71.44
In the last 3 years, has No
this driver had their Stamp duty $86.44
licence disqualified,
cancelled, suspended or Total annual premium $872.23
had restrictions imposed for Your first month’s premium* $72.53
any driving offences? (including GST of $5.88)
Your ongoing monthly premium* $72.70
We cover anyone who has your permission to drive, (including GST of $5.96)
use, or is in charge of your car – subject to the full
driver, usage and other exclusions provided under *Monthly payments may be subject to minor
“What’s not covered” in your Product Disclosure adjustments (upwards or downwards) due to rounding
Statement (PDS). and financial institution fees may apply.

Excess
Basic excess $600
Under 25 driver excess $1,800
The Under 25 Driver excess is added to the Basic
excess if the driver of your car is under 25 at the time of
the incident.

Optional benefits
Removal of basic excess for one
windscreen replacement and two
damage only claims
Not Selected
You won’t have to pay the excess
on a claim to replace or repair your
windscreen, window glass or sunroof if
that’s the only damage to your car.

Rental car after any covered incident

Rental car after covered incidents such
Not Selected
as weather events or a collision that is
your fault. If we can't get you a rental
car, we'll pay you a travel allowance
of $50 a day, for as long as we would
have given you a rental car.
The PDS explains how this optional
benefit works and how long you will
get a rental car.

02/03
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Premium breakdown for tax purposes

Base premium Emergency and / Goods & services Stamp duty Premium
or fire services tax (GST)
Cover levies (ESL)

Own damage $475.80 $0.00 $47.58 $57.57 $580.95

(including any
optional benefits)
Third party property $238.55 $0.00 $23.86 $28.87 $291.28
liability
Total $714.35 $0.00 $71.44 $86.44 $872.23
Total annual premium $872.23
Your first month’s premium* $72.53
(including GST of $5.88)
Your ongoing monthly premium* $72.70
(including GST of $5.96)

This document is a tax invoice for GST purposes, for each of the monthly payments as applicable.

*Monthly payments may be subject to minor adjustments (upwards or downwards) due to rounding and financial
institution fees may apply.

Your duty to take reasonable care not to make a misrepresentation

You must take reasonable care not to make a misrepresentation to us. This responsibility applies until we issue you with
a policy for the first time or agree to renew, extend, vary/change, or reinstate your policy.

You must answer our questions honestly, accurately and to the best of your knowledge. A misrepresentation includes a
statement that is false, partially false, or which does not fairly reflect the truth. It is not misrepresentation if you do not
answer a question or if your answer is obviously incomplete or irrelevant to the question asked.

The responsibility to take reasonable care not to make a misrepresentation applies to everyone who will be insured
under the policy. If you are answering questions on behalf of anyone, we will treat your answers or representations as
theirs.

Whether or not you have taken reasonable care not to make a misrepresentation is to be determined having regard to
all relevant circumstances, including the type of insurance, who it is intended to be sold to, whether you are represented
by a broker, your particular characteristics and circumstances we are aware of.

If you do not meet the above duty, we may reject or not fully pay your claim and/or cancel your policy. If the
misrepresentation was deliberate or reckless, this is an act of fraud, and we may treat your policy as if it never existed.
If our information or questions are unclear, you can contact us on 13 1000 or visit allianz.com.au.

Other things you should know

See the Product Disclosure Statement (PDS) for the terms, conditions, limits and exclusions that apply. The PDS should
be read together with this Policy Details document and any other document we tell you forms part of your policy.
Insurance is issued by Allianz Australia Insurance Limited ABN 15 000 122 850 AFSL 234708

Customer Service Claims Assistance 03/03

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