HomeMy WebLinkAboutCity of Diamond Bar - 22_23 ACIP InvoiceInvoice #1973769 Page 1 of 1
ACCOUNT NUMBER DATE
DIAMBAR-01 5/29/2022
BALANCE DUE ON AGENCY CODE
7/25/2022 200
Irvine-Alliant Insurance Services, Inc. AMOUNT PAID AMOUNT DUE
Alliant Insurance Services, Inc. – Irvine Main $1,985.00
PO Box 8473
Pasadena, CA 91109-8473
Phone: (949) 756-0271
Pay your Invoice via ACH
using AlliantPay
City of Diamond Bar https://billpay.alliant.com
21825 Copley Dr
Diamond Bar, CA 91765 Insured Payment Information Only
ACIP-Alliant Crime Insurance Program
Client:City of Diamond Bar Policy:Commercial Crime
Policy Number:14249761
Effective:7/1/2021 to 7/1/2023Insurance Carrier:National Union Fire Insurance
Item #Trans Eff Date Due Date Trans Description Amount
8060164 7/1/2022 7/25/2022 ENDT 22-23 ACIP Crime Renewal $1,985.00
Total Invoice Balance:$1,985.00
PLEASE MAIL A COPY OF THIS INVOICE WITH PAYMENT
REMITTANCE ADDRESS
Alliant Insurance Services, Inc. – Irvine Main
PO Box 8473
Pasadena, CA 91109-8473
OVERNIGHT/COURIER ADDRESS
Alliant Insurance Services, Inc. – Lockbox #8473
Comerica Bank
5th Floor
2321 Rosecrans Ave
El Segundo, CA 90245
ACH/WIRE PAYMENTS
Comerica Bank
333 W. Santa Clara Street
San Jose, CA 95113
ABA/Routing Number: 121137522
SWIFT: MNBDUS33
Account Number: 1894398625
ACH/Wire Reference: Include your ten-digit Client Account Number and Invoice Number (both can be found in the top right of this invoice)
E-mail remittances to accountsreceivable@alliant.com.
Pay your Invoice via ACH using AlliantPay https://billpay.alliant.com
IMPORTANT NOTICE: The Nonadmitted & Reinsurance reform act (NRRA) went into effect July 21, 2011. Accordingly, surplus lines tax rates and regulations are subject to change which
could result in an increase or decrease of the total surplus lines taxes and/or fees owed on this placement. If a change is required, we will promptly notify you. Any additional taxes and/or
fees owed must be promptly remitted to Alliant Insurance Services, Inc.
IMPORTANT NOTICE: The Foreign Account Tax Compliance Act (FATCA) requires the notification of certain financial accounts to the United States Internal Revenue Service. Alliant does
not provide tax advice. Please contact your tax consultant for your obligations regarding FATCA.
Alliant embraces a policy of transparency with respect to its compensation from insurance transactions. Details on our compensation policy, including the types of income Alliant may earn
on a placement, are available at www.alliant.com. For a copy of our policy or for inquiries regarding compensation issues pertaining to your account contact: Alliant Insurance Services, Inc.,
Attn: General Counsel, 701 B St., 6th Floor, San Diego, CA 92101