T 000001 000

Francisco Mardones
Your vehicle:
247 Boundary Street
2003 MAZDA 323
SPRING HILL QLD 4000
Registration:
178IYS
Insured address:
247 Boundary Street
SPRING HILL QLD 4000
Cover period:
15 January 2019 to
24 June 2019
Policy number:
COMO-7000-8402

15 January 2019

We've made the changes you requested

Thank you for choosing Coles Car Insurance. We’re pleased to confirm we’ve changed your policy as
requested.

Please check the details

On the back of this page you’ll find a policy schedule showing the details of your cover. Please check this
carefully to make sure we’ve got everything right. If you need to change anything, please call us.
For a detailed explanation of what your policy covers, please read the Product Disclosure Statement.
Please note that your premium has not changed.

Any questions?
DAP683227583D

If you have any questions, please give us a call on 1300 265 374, Monday to Friday 8:00 am to 9:00 pm and
Saturday to Sunday 8:00 am to 6:00 pm AEST (AEDT). We’ll be happy to help you.
Yours sincerely,

Chief Operating Officer

1300 265 374 | www.coles.com.au/insurance

Coles Car Insurance issued by Insurance Australia Limited (IAL)
ABN 11 000 016 722 AFSL 227681 PO Box 16042, Collins St West, Victoria 8007 Australia EXL765768
Policy schedule
Policy COMO-7000-8402 Car details
Insurance type Third Party Property Damage Car 2003 MAZDA 323 ASTINA 5D
Period of insurance 15 January 2019 to 24 June 2019 HATCHBACK 5M 1.8L 4
Licence Cancelled/ No Registration 178IYS
Suspended/ Kept overnight 247 Boundary Street
Disqualified SPRING HILL QLD 4000
Claim Refused No Used for business? No, private use only
Policy cancelled No
Previously denied No Drivers
insurance Francisco Mardones Male born on 7 June 1990
Drug / Alcohol related No Licensed less than 1 year
offences Edison Rodriguez Male born on 26 November 1989
Standard excess $550 Licensed less than 1 year
Age excess Driver under the age $800
of 21
Driver aged 21-24 $450
Inexperienced driver $400
excess This excess will not apply if an
age excess has been applied
Optional extras Roadside Assistance No
Policy holder(s) Francisco Mardones
Edison Rodriguez
Postal address 247 Boundary Street
SPRING HILL QLD 4000

REPRESENTATIVES OF COLES INSURANCE

In addition to our employees, Coles Insurance has a network of agents (called 'distributors') that we have authorised to distribute Coles insurance products on our
behalf. Our distributors receive a fixed hourly fee for the services they provide. Our distributors' employees receive a salary and may be eligible for bonuses based
on their sales performance and the quality of service they provide to you. For more information or to make a complaint about the service you receive, please call us
on 1300 265 374.

DISCLAIMER: Standard underwriting criteria apply. Coles Supermarkets Australia Pty Ltd ABN 45 004 189 708 AR 269259 is an authorised representative of the
issuer, Insurance Australia Limited (IAL) ABN 11 000 016 722 AFSL 227681 and receives commission for each insurance policy sold and renewed. Consider the
Product Disclosure Statement available at www.coles.com.au/insurance to see if it's right for you.
*After savings and discounts and excluding gift cards and smoking/tobacco product purchases. Coles means Coles Supermarkets, Bi-Lo and Coles online only. Up to
1,000 EXTRA POINTS per policy per month. No EXTRA POINTS collected on any third party car insurance policies. EXTRA POINTS collected from the date your flybuys
membership is linked to your Coles Insurance policy and for the term of the policy. No EXTRA POINTS will be collected for the month in which your policy
terminates. Standard flybuys Terms and Conditions apply.

Coles Car Insurance issued by Insurance Australia Limited (IAL)

ABN 11 000 016 722 AFSL 227681 PO Box 16042, Collins St West, Victoria 8007 Australia