HomeMy WebLinkAbout2022-23 Annual Contribution invoice Lake Elsinore California JPIA
8081 Moody Street Member ID LAKEE01
La Palma,CA 90623 Invoice# PRIM02050
CALIFORNIA (562)467-8727 Invoice Date 05/16/2022
. P , I , A (562)724-6045 fax Due Date 07/15/2022
City of Lake Elsinore
130 South Main Street
Lake Elsinore,CA 92530-4109
Attention:
Ms.Nancy Lassey
Finance Manager
Invoice Amount
Annual Contribution: 2022-23
Liability Program $397,503
Workers' Compensation Program $245,409
Subtotal $642,912
Retrospective Adjustment Due
Liability Program: Retrospective adjustment $18,497
Payment Plan Installment Fee -
Payment Plan Installment Principal -
Workers' Compensation Program:Retrospective adjustment ($1,613)
Payment Plan Installment Fee -
Payment Plan Installment Principal -
Subtotal $16,884
Excess Pool Distribution: 2022-23 ($33,132)
Total Due $626,664
If you prefer to pay by ACH transfer please send electronic payment to:
Bank Name:Wells Fargo Bank Address:550 California,10'Floor;San Francisco,CA 94104
Account Name:California Joint Powers Insurance Authority
ABA Number:121000248 Account Number:4121172332
More detailed information about the annual contribution and retrospective adjustment is available on the Authority's website.
Payments received after July 23 will be charged an annual interest fee of 6.0%. This is 5%above the 1.0%yield to maturity at cost for all investments as shown in
the Treasurer's report as of April 30,2022. Interest fees will be calculated from July 15,2022.
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