Bill To:


Ascot Specialty Insurance
825 Town & Country Ln Suite 500
Houston, TX 77024

Services Rendered To:


Hook & Book Towing
POLICY# ASC-833686600

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-06-209-24-224 03/02/2024 03/05/2024 On Receipt New Site Fire & Rescue

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  2. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00
  3. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    2
    $200.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  7. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  8. 202 Oil Absorbent Sheet (# Used)

    $2.50
    2
    $5.00
  9. 312 Portable Pump (# Used)

    $50.00
    1
    $50.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  11. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00
  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 22 E & 49 S- Daviston, AL

Subtotal $1,648.50
Total Due $1,648.50


Updated
March 5, 2024 @ 1:19 pm

Invoice updated by Geoffrey.

Status Update
March 5, 2024 @ 1:19 pm

Status changed: Draft to Pending.