HomeMy WebLinkAboutInv# COM#62741-3 - PREFERRED GOVERNMENTAL INSURANCE - 12/16/2020Agent
Acct ID
Date
Program Year
Payment Information
Invoice Summary
Due Date
Amount Enclosed
Invoice Number
Please detach and return with payment
City of Dania Beach
100 West Dania Beach Blvd
Dania Beach, FL 33004
1/1/2021
Thank You
COM#62741-3-01/2021
$ 11,516.25
1/1/2021
WC2FL1 0062001 19-16
Invoice
PRIA - Daytona
P. O. Box 2416
Daytona Beach FL, 32115
Workers' Compensation 2020-2021
Invoice Transaction DescriptionInvoice Date Amount
City of Dania BeachClient:
Agreement #WC2FL1 0062001 19-161/1/2021COM#62741-3-01/2021 11,516.25
$ 11,516.25
Make Check Payable to:Preferred Governmental Insurance Trust
Administered by Public Risk Underwriters of FL, Inc.
P.O. Box 958455, Lake Mary, FL32795-8455
Invoice Notes:
Total Due
WC - 25% Down & 9 Equal Installments
Phone (321) 832-1456 Fax (321) 832-1489
accounting@publicrisk.com
Payments
0.00