Bill To
INVOICE
Description Amount
Invoice Date
Total Due
Delinquent Date
Customer # Invoice #
RMA 2022-0228
12/17/2021
$239,389.00
CRI090
2021/2022 3RD QUARTER DEPOSITS
CITY OF RIPON
259 NORTH WILMA AVENUE
RIPON, CA 95366
CENTRAL SAN JOAQUIN VALLEY
RISK MANAGEMENT AUTHORITY
1750 Creekside Oaks Drive, Suite 200
Sacramento, CA 95833
800.541.4591
916.244.1199 Fax
01/31/2022
Liability Program 78,987.00
2021 Liability Retrospective Adjustment 29,263.00
Workers' Compensation Program 131,139.00
TOTAL AMOUNT DUE $239,389.00
Please make check payable to CSJVRMA and remit payment to the above address.
Delinquent amounts shall be assessed a 1% penalty plus interest at the rate of 10% per annum.
CSJVRMA ACCEPTS ELECTRONIC PAYMENTS
To obtain ACH/wiring instructions, please contact Katie O’Brien, Finance Manager.
[email protected] ~ (916) 244-1192 (Direct)