HomeMy WebLinkAbout20-21 Policy Premium Billing MICRMPIdaho Counties Risk Management Program
Member Owned,Member Driven 3100 S Vista Ave.,Ste.300BOISe, I D 83705
Member Billing Contact:
Invoice Date:9/1/2020
Gretchen Scott City of Twin Falls Invoice Number.02187-2021 - 1
PO Box 1907 Policy Period:10-1-20 to 9-30-21
Twin Falls , ID 833031907 Policy Number: 40A02187100120
Insurance Billing
DESCRIPTION
10/1/2020-9/30/2021 Policy Year Annual Premium: $452,996.00
Minimum Due 10/1/2020: $226,498.00
Balance Due 4/1/2021: $226,498.00
For proper application, please do not combine other payments with your premium remittance.
Please Detach and Submit with Payment
31CRMPi
Member.
City of Twin Falls Invoice Date: 9/1/2020
PO Box 1907
Twin Falls , ID 833031907 Invoice Number. 02187-2021 - 1
Due Date: 10/1/2020
Make Checks Payable to: Minimum Due: $226,498.00
ICRMP
PO Box 15116 Amount Paid:
Boise, ID 83715
Write Amount Paid Here
Address Corrections? Please make changes on the back of this form and enclose with your payment.