AR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 2 Assigned Risk Renewals: April/May/June

Michigan Workers Compensation Placement Facility Depopulation Report Page 1 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AJVV INC ADA 6166083A 4,040 4/25/2021 9102 DANIEL EIZANS STRATEGIC SERVICES LLC ADA 5561051A 410 5/13/2021 8810 HARD WILLIAM C ADA 5277442A 307 6/6/2021 0908 JOBSON ROOFING ADA 5722586A 750 6/17/2021 5551 JOHNSON HOMES INC ADA 4417810A 750 5/25/2021 5645 LOYL HOMES LLC ADA 5861977A 240 5/3/2021 8810 LUONTO LLC ADA 4356209A 2,570 5/10/2021 9015 MERIDIAN CABLING SOLUTIONS LLC ADA 5862809A 470 5/8/2021 5190 PEAK PERFORMANCE ROOF CLEANING LLC ADA 5707269A 10,934 5/14/2021 5538 0.86 REIMERSMA BUILDERS ADA 2201550A 1,350 6/21/2021 5645 THREE SEASONS LAWN CARE & MAINTENANCE ADA 3657108A 2,057 5/15/2021 9102 0.95 LLC TIP TOP GRAVEL CO ADA 0824453A 9,333 5/10/2021 4000 1.41 13 % TRI ACOUSTIC CORPORATION ADA 0070602A 750 4/13/2021 5445 WMC SALES LLC ADA 4499743A 633 5/6/2021 3724 0.95 WYNN PAINTING ADA 4867777A 800 5/17/2021 5476 XERICK LOGISTICS GROUP INC ADA 6201008A 314 6/16/2021 8810 TOMMYS TEMP SERVICES LLC ADDISON 5722438A 752 6/8/2021 8017 ADRIAN FUELS LLC ADRIAN 4977289A 522 4/19/2021 8017 AKERS DAVID ADRIAN 0991112A 1,028 4/26/2021 5476 BROWN AND SONS ROOFING AND SIDING LLC ADRIAN 5715180A 24,532 5/11/2021 5552 0.87 DOWN UNDER TRENCHING LLC ADRIAN 2692562A 5,417 6/10/2021 7600 0.89 FASCO EMPLOYMENT INC ADRIAN 0943622A 14,879 5/18/2021 4558 1.33 GERRYS OUTDOOR SERVICES LLC ADRIAN 4971647A 2,220 4/23/2021 0106 0.95 HMS BUILDERS INC ADRIAN 3674606A 750 5/9/2021 5437 1.00 HOWELL HOLDINGS LLC ADRIAN 5735050A 18,456 5/21/2021 7720 0.95 IMAGINEERING AND MORE LLC ADRIAN 5720087A 348 6/12/2021 8810 JORDAN HOME SERVICES LLC ADRIAN 5995205A 710 6/12/2021 0042 LKN TRUCKING LLC ADRIAN 5591767A 750 5/8/2021 7208 O PATRIAM LLC ADRIAN 6198678A 751 6/12/2021 5437 SPAULDING AND SONS ADRIAN 5991080A 750 4/24/2021 5102 TWO HUNDRED 56 ROBOTICS LLC ADRIAN 5857619A 301 4/21/2021 5191 MAPLE HILL ADULT FOSTER CARE AFTON 5530318A 571 6/3/2021 9053 MIDWAY SPRING INC AFTON 3650634A 481 6/24/2021 8395 BAY FRONT PARK CAFE ALANSON 5865956A 330 6/25/2021 8017

1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 2 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUILT RIGHT CONSTRUCTION AND REMODELING ALANSON 6000509A 1,894 6/16/2021 5645 LLC K COLFER SPORTHORSES LLC ALANSON 4745663A 2,293 5/4/2021 8279 0.95 MURPHY SCOTT ALANSON 5016916A 751 6/7/2021 7208 T D LEMIEUR ROOFING LLC ALANSON 5865050A 19,723 5/16/2021 5551 0.94 NELSON LARRY ALBION 1005200A 739 6/3/2021 6217 RUSTY 4 FARMS ALBION 0251267A 17,970 5/4/2021 2731 1.52 40 % YOUNGS GAS SERVICE LLC ALBION 0970263A 3,738 6/1/2021 8350 0.95 RAPID TEMPS INC ALBUQUERQUE, NM 2758083A 830 4/7/2021 8833 ABC SERVICES AND FOXFIRE FARM LLC ALGONAC 3792692A 16,031 4/17/2021 9015 1.53 13 % AHEE MASONRY LLC ALGONAC 3612392A 751 6/3/2021 5022 ALT VACANCY SOLUTIONS INC ALGONAC 5383455A 1,084 4/4/2021 9015 BLUE WATER MATERIALS LLC ALGONAC 3824993A 1,609 6/25/2021 4000 0.95 DEERBROOK BUILDERS LLC ALGONAC 3185494A 1,769 5/31/2021 5437 0.91 TNT CUSTOM CARPENTRY INC ALGONAC 5017459A 750 5/20/2021 5645 WHITENACK CONSTRUCTION LLC ALGONAC 5872928A 750 6/5/2021 5437 WINNERS CIRCLE BAR INC ALGONAC 0198986A 480 6/4/2021 9058 YOKOM JAMES ALGONAC 3597610A 750 5/6/2021 5437 ALLEGAN COUNTY AGRICULTURAL SOCIETY ALLEGAN 1602829A 6,216 5/1/2021 9015 0.88 ARM SERVICES INC ALLEGAN 5402360A 569 5/8/2021 9015 FIRST PLACEMENT EMPLOYMENT GROUP INC ALLEGAN 2162270A 56,501 5/25/2021 8059 MARK P JANKE CONSULTING FORESTER LLC ALLEGAN 5256852A 755 4/3/2021 8601 POPPEMA NATHAN ALLEGAN 5469279A 750 6/13/2021 5020 S AND T SEAMLESS GUTTERS AND COVERS ALLEGAN 5848245A 706 4/2/2021 5538 SKY TRAIL MANAGEMENT AND DEVELOPMENT ALLEGAN 4469941A 650 5/29/2021 8810 LLC STARS AND STRIPES ROOFING LLC ALLEGAN 5878454A 800 6/27/2021 5551 TJM SERVICES ALLEGAN 5007046A 898 5/12/2021 0042 BATT CHARLES B ALLEN 3522709A 750 5/31/2021 0106 SENSIBLE CONSTRUCTION LLC ALLEN 1527460A 750 4/9/2021 5551 BIG V LANDSCAPING ALLEN PARK 1829262A 760 6/30/2021 0042 COSTA ALLEN PARK INC ALLEN PARK 2625075B 741 4/9/2021 9058 0.95 FOURNIER HAL ALLEN PARK 5257239A 750 4/3/2021 5476 LIVIDINI LANDSCAPING LLC ALLEN PARK 5142440A 709 4/3/2021 0042 0.95 PHYSICIAN BILLING MANAGEMENT INC ALLEN PARK 3795950A 1,505 6/1/2021 9015 0.95

1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 3 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROBLES TREE SERVICE ALLEN PARK 5279941A 750 5/22/2021 0106 SLOAN AND SON HOME IMPROVEMENT ALLEN PARK 3206912A 1,375 6/7/2021 5645 STAR LYTE MANAGEMENT LLC ALLEN PARK 4991095A 751 5/30/2021 7380 T WIN SERVICES ALLEN PARK 0105236A 800 5/19/2021 5476 TUCCINI ORTHODONTIC LABORATORY INC ALLEN PARK 2498880A 593 5/26/2021 4692 DAVE BOSCH BUILDER INC ALLENDALE 4358163A 750 6/13/2021 5645 DAVIDSON SNOW & ICE LLC ALLENDALE 6176658A 657 5/7/2021 9102 JMB DEMOLITION LLC ALLENDALE 4445600A 9,023 4/26/2021 7380 0.97 KRUZEL BRIAN ALLENDALE 5983819A 750 4/10/2021 5445 LANGLAND JOSHUA ALLENDALE 5995000A 750 6/23/2021 5645 LJ HEINLEN TRANSPORTATION LLC ALLENDALE 3103714A 750 5/9/2021 7208 MATT PETERS CONSTRUCTION ALLENDALE 6003656A 750 6/12/2021 5645 NORTHSTAR CONSTRUCTION AND RENOVATION ALLENDALE 5409543A 750 6/30/2021 5645 LLC SHORELINE STAMPCRETE LLC ALLENDALE 5262941A 298 5/9/2021 8742 THOMPSON JUSTIN K ALLENDALE 6180833A 800 5/12/2021 5551 ULBERG BUILDERS LLC ALLENDALE 5269725A 1,554 5/25/2021 5437 0.95 VANGUARD CONSTRUCTION LLC ALLENDALE 6185266A 755 5/19/2021 5606 W S SERVICES ALLENDALE 2877716A 750 6/7/2021 5437 WIERSEMA JACOB ALLENDALE 5995078A 750 5/14/2021 5645 B M V TRANSPORT INC ALLENTON 2864576A 750 4/28/2021 7208 0.95 COMFORT CARE COMPANION LLC ALLENTON 5993261A 526 5/15/2021 8835 DIVINE FLOOR SERVICES LLC ALLENTON 4882733A 750 6/29/2021 5437 0.95 JC CONSTRUCTION ALLENTON 0908690A 825 5/5/2021 5645 ALL AMERICAN PEST CONTROL LLC ALMA 4988124A 3,358 5/23/2021 9015 0.95 DEVIN ENTERPRISES INC ALMA 5125243A 1,404 4/2/2021 9058 0.95 NEW HORIZONS REALTY INC ALMA 5877741A 355 6/16/2021 8742 RAMON ANTHONY ALMA 5697948A 471 4/4/2021 5190 MMH SOLUTIONS INC ALMONT 3021351A 750 5/11/2021 5403 0.95 ON POINT PROPERTY RESTORATION LLC ALMONT 1701061A 5,190 6/2/2021 5645 0.88 POLISH MANIA LLC ALMONT 5861837A 387 5/1/2021 9058 A 1 TREE SERVICE LLC ALPENA 5262720A 4,158 4/17/2021 0106 0.95 AARON OGG CONSTRUCTION ALPENA 6201717A 750 6/18/2021 5645 BELLA ROSE SKIN CARE PLLC ALPENA 5593425A 323 5/23/2021 9586 BIGGBEAN LLC ALPENA 5861691A 1,629 5/9/2021 8017

1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 4 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CAMPERS COVE RV PARK & CANOE LIVERY INC ALPENA 4067908A 1,172 4/1/2021 9015 0.95 ENVIRONMENTAL AND ASBESTOS SERVICES INC ALPENA 4752880A 480 4/20/2021 8601 LEES MINITURE GOLF ALPENA 3365832A 568 6/5/2021 9015 MATUZAK CONCRETE CREATIONS LLC ALPENA 6198660A 880 6/12/2021 5022 MORGAN FOREST PRODUCTS ALPENA 4067436A 750 5/10/2021 2702 MURPHY CONTRACTING SERVICES LLC ALPENA 5985803A 750 4/16/2021 5645 BEAVER WOOD TREE SERVICE LLC ALTO 4864441A 7,379 6/30/2021 0106 0.87 BOVERHOF BUILDERS INC ALTO 2714221A 761 5/29/2021 8742 CUTLER JUSTIN ALTO 5856779A 709 4/20/2021 0042 DVB INC ALTO 3453987A 750 4/11/2021 5645 GROOT SERVICES LLC ALTO 5880360A 523 6/28/2021 9102 LEROUX CONSTRUCTION LLC ALTO 5596580A 750 5/9/2021 5645 VERBURG BUILDERS LLC ALTO 5272769A 750 5/23/2021 5645 0.95 FIRST CLASS CARPENTRY LLC ANCHORVILLE 5719399A 4,053 5/24/2021 5437 0.95 OARS COMPANIES INC ANGELS CAMP, CA 6004377A 263 6/14/2021 8810 A 2 SUPPLY CHAIN SERVICES LLC ANN ARBOR 5869951A 800 4/19/2021 5645 AARON HAMMER LLC ANN ARBOR 5555418A 1,363 5/11/2021 0042 0.95 ABRAMSON FRANCES ANN ARBOR 5983797A 530 4/16/2021 0913 ACKENHAUSEN THOMAS AND SHANNON ANN ARBOR 6182666A 307 5/14/2021 0908 AIS CONSTRUCTION INC ANN ARBOR 5732433A 750 4/26/2021 0106 ALLAN MARGARET ANN ARBOR 6197540A 382 6/22/2021 0908 ALLGOOD JASON ANN ARBOR 6186742A 530 5/21/2021 0913 ANTHONYS GOURMET PIZZA INC ANN ARBOR 0143049A 3,084 6/8/2021 9058 0.95 APPROPRIATE TECHNOLOGY COLLABORATIVE ANN ARBOR 6193463A 265 6/11/2021 8868 ASSISTED LIVING LLC ANN ARBOR 3671488A 7,681 5/8/2021 9053 ATLAS INSTALLERS LLC ANN ARBOR 5987903A 590 4/20/2021 9521 ATP PAINTING LLC ANN ARBOR 4395875A 751 4/24/2021 5476 B SQUARED PAINTING LLC ANN ARBOR 5547873A 4,236 4/19/2021 5437 0.95 BENDIT RACHEL ANN ARBOR 3925587A 663 5/18/2021 0908 0.95 BERGHOF SYSTEMS INC ANN ARBOR 5127270A 264 4/17/2021 8810 BIRD CENTER OF WASHTENAW COUNTY INC ANN ARBOR 4228863A 874 6/8/2021 8831 0.95 BLUE CHIP PLAYER DEVELOPMENT ANN ARBOR 6192173A 761 6/11/2021 9063 BOURNE TO MOW LLC ANN ARBOR 5263107A 1,754 6/27/2021 9102 CHECKMATE TACTICAL LLC ANN ARBOR 6193412A 2,710 6/4/2021 7720 CLOVERLY VILLAGE OWNERS ASSOCIATION ANN ARBOR 4235240A 568 4/17/2021 9015 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 5 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COMMITTEE TO RE ELECT CHIEF JUSTICE ANN ARBOR 6156878A 405 4/15/2021 8742 BRIDGET MARY MCCORMACK CONSTANT MOTION PRODUCTIONS LLC ANN ARBOR 5480531A 1,366 6/11/2021 7610 CROSSINGS OF ANN ARBOR ASSOCIATION ANN ARBOR 3608611A 568 4/3/2021 9015 DAVID BORNEMAN LLC ANN ARBOR 3910296A 872 4/13/2021 0042 0.95 DONE RITE CONTRACTING LLC ANN ARBOR 1499971A 3,066 4/4/2021 5437 0.95 DUNDEE RIDGE HOMEOWNERS ASSOCIATION ANN ARBOR 5980852A 568 4/1/2021 9015 EILEEN WILKINSON TECHNICAL WRITING ANN ARBOR 3350940A 215 4/28/2021 8810 FIELDSTONE VILLAGE CONDOMINIUM ANN ARBOR 3751082A 568 5/4/2021 9015 ASSOCIATION FOREST HILL CEMETERY CO ANN ARBOR 3396690A 717 4/10/2021 9220 GOOD SHEPHERDS INC ANN ARBOR 5980097A 998 5/29/2021 0129 GREEN PLANET LAWN CARE ANN ARBOR 3159868A 523 4/20/2021 9102 GREENTECH ENTERPRISES LLC ANN ARBOR 6089917A 800 5/28/2021 7213 GREENVIEW SERVICES LLC ANN ARBOR 5983860A 4,828 4/10/2021 0042 0.95 HANSEN ROOFING & SIDING LLC ANN ARBOR 2124475A 2,501 5/26/2021 5551 1.00 HECKENKAMP BRYAN ANN ARBOR 6190596A 750 5/29/2021 5645 HOUSE SENSIBLE ANN ARBOR 5985102A 3,773 4/16/2021 5437 0.95 INTERNATIONAL ASSOCIATION FOR GREAT ANN ARBOR 0425729A 331 6/3/2021 8742 LAKES RESEARCH MICHIGAN J E BROWN BUILDING INC ANN ARBOR 2231875A 953 4/14/2021 5551 JEWEL HEART CORPORATION ANN ARBOR 2840910A 1,338 4/5/2021 8868 0.95 JPC PLASTER AND DRYWALL LLC ANN ARBOR 2469146A 1,835 6/25/2021 5480 0.95 JS TREE TRIMMING & REMOVAL INC ANN ARBOR 4010639A 13,644 6/23/2021 0106 0.81 MARR PROFESSIONAL DEVELOPMENT CORP ANN ARBOR 5763240A 381 6/13/2021 8742 MEKELBURG DAVID NATHANIEL ANN ARBOR 6159842A 530 4/18/2021 0913 METAL ONE MECHANICAL LLC ANN ARBOR 3237460A 1,130 6/13/2021 5550 MICHIGAN HR GROUP LLC ANN ARBOR 4412249A 315 4/9/2021 8810 MICHIGAN ROADSIDE ASSISTANCE GROUP LLC ANN ARBOR 5574196B 2,162 4/28/2021 8387 0.92 MIKES FULL HOUSE FITNESS INC ANN ARBOR 4363680A 757 6/26/2021 9063 MUSSIO PAINTING CORP ANN ARBOR 4355865A 4,185 6/7/2021 5476 1.23 13 % NAJAH CLEANING SERVICES LLC ANN ARBOR 6164870A 1,059 4/23/2021 9015 NOOR MINI MART LLC ANN ARBOR 4998626A 505 6/18/2021 8017 0.95 NORTHSIDE INC ANN ARBOR 0101869A 652 6/13/2021 8010 0.95 OBERHEIDE JONATHAN ANN ARBOR 5773598A 530 6/19/2021 0913 PHIRE ADVERTISING & DESIGN LLC ANN ARBOR 3984036A 215 6/6/2021 8810 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 6 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PRO STAR LLC ANN ARBOR 5348358A 1,033 4/23/2021 9015 PROTECH ENVIRONMENTAL SERVICES INC ANN ARBOR 1325310A 10,963 6/9/2021 5183 0.87 PULICCI BUILDING COMPANY ANN ARBOR 1325230A 800 4/27/2021 5645 RAMSPORT INC ANN ARBOR 4453662A 962 4/4/2021 4484 0.95 RIDECORP INC ANN ARBOR 5606950A 86,032 5/1/2021 7220 1.89 27 % SCHENK KARL H ANN ARBOR 5277930A 1,004 6/19/2021 0128 0.95 SEVEN THOUSAND 288 PROPERTIES LLC ANN ARBOR 6202250A 734 6/19/2021 9015 SLOW FARM LLC ANN ARBOR 6002110A 1,152 6/20/2021 0011 SOOHOO MARTIN ANN ARBOR 5994080A 215 5/17/2021 8810 SOUTHEASTERN MICHIGAN ASSOCIATION OF ANN ARBOR 4455061A 265 4/1/2021 8810 FIRE CHIEFS THERMAL SOLUTIONS LLC ANN ARBOR 5983584A 4,148 4/9/2021 5479 TONCEVICH HUNTER ELIZABETH ANN ARBOR 5860660A 746 5/9/2021 9053 UNIQUE CONSTRUCTION AND SERVICES LLC ANN ARBOR 5862752A 825 5/8/2021 5403 UNIVERSITY OF MICHIGAN FLYERS INC ANN ARBOR 1514733A 715 4/29/2021 7423 0.95 VANDERPOOL LUCAS MICHAEL ANN ARBOR 6205402A 580 6/29/2021 0913 VANSTON O BRIEN INC ANN ARBOR 1743414A 812 6/24/2021 9015 0.95 VERHINES CUSTOMER BUILDERS ANN ARBOR 4244273A 750 5/21/2021 5645 INCORPORATED VICTORY HOMES MANAGEMENT INC ANN ARBOR 4448790A 3,873 4/16/2021 9053 0.90 VILLAS AT NORTHVILLE HILLS ANN ARBOR 3793028A 568 6/14/2021 9015 WESTWARD LLC ANN ARBOR 3001830A 750 4/21/2021 5645 CHANGER AND DRESSER INC ANNISTON, AL 5115329A 1,287 6/3/2021 8601 0.95 BAY LAKES COUNCIL OF BOY SCOUTS OF APPLETON, WI 0539228A 6,014 4/13/2021 8868 0.91 AMERICA INC E AND D RANCH LLP ARCADIA, FL 3377326A 898 6/30/2021 0913 0.95 BAYSIDE MARINE CONSTRUCTION INC ARMADA 3923398A 3,365 6/6/2021 6217 0.95 CAROLYNNS CABINETS INC ARMADA 3943186A 752 6/25/2021 5437 FINELINES FINISH CARPENTRY & DESIGN LLC ARMADA 4364473A 800 6/30/2021 5437 HOME IMAGE RENOVATIONS INC ARMADA 5990424A 750 4/27/2021 5437 K AND D WELDON INC ARMADA 5879833A 869 6/21/2021 9058 TIP TOP TIMBER CO ARMADA 5861993A 5,300 5/19/2021 0106 J AND L BUILDING MAINTENANCE INC ARMSTRONG CREEK, WI 5464455A 2,535 4/17/2021 5476 0.95 FELICE MICHAEL A ARNADA 0507652A 750 4/16/2021 5437 GUS LANDSCAPING LLC ASHLEY 5849888A 710 4/6/2021 9102

1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 7 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OUT ON A LIMB TREE AND HIGH REACH ASHLEY 2724383A 807 4/29/2021 0106 SERVICES LLC CAMPER VILLAGE CAMPGROUND ATHENS 4230299A 568 6/9/2021 9015 PARKS TREE SERVICE ATHENS 4044410A 1,050 5/21/2021 0106 0.95 AMERICAN PROCESS ENERGY RECOVERY INC ATLANTA, GA 4859430A 3,820 4/1/2021 4829 1.00 EHLERS ENTERPRISES ATLANTA 1738674A 750 5/20/2021 2702 G CURRENT CONSTRUCTION LLC ATLANTA 5297575A 2,233 5/23/2021 5645 0.95 ROBERT MARLATT PS ATLANTA 5716896A 238 5/17/2021 8601 BRUCE PORKKA LOGGING ATLANTIC MINE 2589494A 750 4/6/2021 2702 JOHN COPONEN CONTRACTING ATLANTIC MINE 5427746A 751 5/28/2021 5022 KEWEENAW EXPLORATIONS COMPANY ATLANTIC MINE 4069161A 2,480 5/13/2021 9015 0.95 LINDSAY NETTELL INC ATLANTIC MINE 0913855A 750 5/15/2021 2702 NETTELL LONDYN ATLANTIC MINE 4872975A 750 5/22/2021 2702 ALWAYS DONE RIGHT HOME IMPROVEMENT LLC ATTICA 5705312A 750 5/19/2021 5645 EFFICIENT FOAM INSULATION INC ATTICA 0670383A 3,419 5/20/2021 5479 1.00 LAPEER COUNTY SPORTSMENS CLUB ATTICA 3304663A 393 6/1/2021 9061 PAUL FRANKS TRUCKING INC ATTICA 6186793A 2,939 5/21/2021 7208 SALCEDO TRUCKING LLC ATTICA 5991560A 2,574 5/17/2021 7208 STEVE RUSSELL CUSTOM HOMES LLC ATTICA 0766283A 750 6/5/2021 5645 SUTHERBY EXCAVATING LLC ATTICA 5719291A 740 5/24/2021 6217 WEINGARTZ TREE SERVICE LLC ATTICA 3779076A 750 6/22/2021 0042 0.95 NORTHPORT CONDOMINIUM MARINA AU GRES 0213063A 1,912 6/1/2021 6826 0.95 ASSOCIATION SHOP ON SHADY LANE LLC AU GRES 6003958A 349 6/14/2021 8008 MAINSTREAM FLOW GROUP AUBURN 2031230A 710 6/10/2021 0042 WINKELMANN AUTOMOTIVE U S LIMITED AUBURN, AL 5723795A 669 6/23/2021 8742 PARTNERSHIP AG HANDYMAN LLC AUBURN HILLS 6172679A 800 5/2/2021 5476 BEACON HILL INC AUBURN HILLS 3068650A 825 5/11/2021 0042 0.95 BELLA HOMES AND ASSOCIATES LLC AUBURN HILLS 5546486A 800 4/27/2021 5645 BELLA TERRA OF NOVI CONDOMINIUM AUBURN HILLS 6070639A 568 4/1/2021 9015 ASSOCIATION C AND M TREE SERVICE LLC AUBURN HILLS 2508885A 3,711 6/6/2021 0106 0.95 CAMELOT ESTATE ASSOCIATION AUBURN HILLS 5980445A 568 4/1/2021 9015 CORAL CONSTRUCTION CO INC AUBURN HILLS 1732277A 6,781 6/17/2021 5551 1.56 13 % ISMAT AND RABIA INC AUBURN HILLS 5191890A 668 6/24/2021 8006

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JAC BILT CONSTRUCTION INC AUBURN HILLS 3677907A 751 6/19/2021 5221 M 1 CONCOURSE PRIVATE GARAGE COMMUNITY AUBURN HILLS 5520843A 643 5/13/2021 9015 ASSOCIATION MATA CONSTRUCTION LLC AUBURN HILLS 5910790A 750 4/8/2021 5551 MR DRYWALL COMPANY AUBURN HILLS 6179240A 750 5/9/2021 5445 ND CONSTRUCTION PRO LLC AUBURN HILLS 6175430A 800 5/6/2021 5476 OXUS AMERICA INC AUBURN HILLS 4759583A 17,134 5/14/2021 3685 1.47 27 % RITA HOMES OF SE MI LLC AUBURN HILLS 6041531A 750 5/13/2021 5538 ROOF RESTORATION TECHNOLOGIES INC AUBURN HILLS 4299027A 1,711 4/11/2021 5403 0.95 SABER WINDOW CLEANING LLC AUBURN HILLS 2432455A 643 5/18/2021 9015 KS DINER AVOCA 1627252A 329 5/30/2021 9058 ALTA CITRUS LLC AVON PARK, FL 5565863A 14,176 5/26/2021 0128 0.94 AMERICAN CLASSIC DUMPSTER SERVICE LLC BAILEY 5863180A 12,724 5/4/2021 2731 0.92 COUSINEAU STANLEY L BALDWIN 4446976A 751 4/11/2021 2702 DISCOUNT STUMP GRIND AND REMOVAL LLC BANCROFT 5721660A 3,603 6/3/2021 0106 0.95 AMERICAN EAGLE FREIGHT LLC BANGOR 5657377B 2,873 5/11/2021 7208 0.88 ENF DRYWALL LC BANGOR 6186238A 3,686 5/22/2021 5445 MEDINA EDUAR BANGOR 6176798A 750 5/7/2021 5645 SAYLORS RAILROAD WELDING LLC BANNISTER 3958183A 1,343 4/12/2021 5506 1.00 KINGS KIDS TRANSPORT BARAGA 3186997A 750 4/20/2021 7208 NINE ZERO SIX COMMUNICATIONS LLC BARAGA 5755832A 750 5/29/2021 7600 0.95 SCHALLIPS INC BARBEAU 0092886A 570 4/2/2021 3116 BITTNER CORPORATION BARK RIVER 5862825A 740 5/8/2021 6217 CHOLEWA LOGGING BARK RIVER 0354082A 800 6/5/2021 2702 J AND D DEROCHER TRUCKING INC BARK RIVER 3672557A 750 6/3/2021 7208 JOHNSON WADE BARK RIVER 0911623A 750 4/8/2021 2702 K AND K MATHIAS TRUCKING BARK RIVER 5427975A 800 5/11/2021 7208 SUPERIOR TIMBER MANAGEMENT LLC BARK RIVER 3304701A 750 4/8/2021 2709 STONEGATE MANOR LLC BARODA 5996511A 742 5/17/2021 9015 ZELMER WELDING LLC BARODA 6145221A 773 4/1/2021 3365 MIH LLC BARRYTON 5863503A 881 5/10/2021 6217 ALLENS SET UP & SERVICE LLC BARTON CITY 1851250A 643 5/4/2021 9015 A AND A WILLIAMS BUILDING LLC BATTLE CREEK 6190154A 750 5/28/2021 5551 AUTOMOTIVE SERVICE ENTERPRISE INC BATTLE CREEK 4926242A 366 5/6/2021 8742 BATTLE CREEK COMMUNITY FOUNDATION BATTLE CREEK 2300486A 350 4/1/2021 8742

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CONSTRUCTION DEMOLITION & BATTLE CREEK 4763980A 750 5/22/2021 5403 0.95 ENVIRONMENTAL CONTRACTING INC E AND L AUTO PARTS & RECYCLING LLC BATTLE CREEK 6176712A 2,624 5/8/2021 3821 EAST BRANCH SPORTSMENS CLUB BATTLE CREEK 5878411A 622 6/25/2021 9015 HURTADO GARCIA EMANUEL BATTLE CREEK 6005306A 750 6/19/2021 5221 ISAACSON HOME IMPROVEMENT BATTLE CREEK 6201555A 750 6/20/2021 5645 J AND S FAMILY TREE SERVICE LLC BATTLE CREEK 3922901A 985 6/10/2021 0106 0.95 J PITTMAN PAINTING LLC BATTLE CREEK 5149738A 751 4/20/2021 5476 0.95 KERAK ASSISTED LIVING INC BATTLE CREEK 6201369A 2,969 6/17/2021 9053 KORNS TRANSPORTATION LLC BATTLE CREEK 4201809A 800 5/17/2021 7208 M AND E MAINTENANCE BATTLE CREEK 5981840A 656 5/14/2021 3724 MCNEIL PROPERTIES LLC BATTLE CREEK 5976014A 750 4/1/2021 5645 RIGO AND SONS LLC BATTLE CREEK 6005004A 750 6/18/2021 5221 SECOND WIND HR LLC BATTLE CREEK 5259738A 1,097 4/10/2021 9015 0.95 SELLS AND SON ROOFING BATTLE CREEK 3005526A 1,540 4/19/2021 5551 0.95 SEW UNIQUE THREADS LLC BATTLE CREEK 5551250A 330 5/3/2021 8017 SHACKELFORD TRANSPORT LLC BATTLE CREEK 5895758A 4,765 5/9/2021 7208 TOMS BUILDING AND REMODELING BATTLE CREEK 4314212A 1,084 4/26/2021 5645 0.95 WILSON RENTALS LLC BATTLE CREEK 1608550A 1,722 5/6/2021 9015 0.95 WINN RENTALS BATTLE CREEK 5866880A 3,944 5/22/2021 9015 0.95 BAY HARBOR VILLAGE CONDOMINIUM BAY CITY 2671972A 914 4/25/2021 9015 0.95 ASSOCIATION INC BRENDAS ALMOST HEAVEN AFC BAY CITY 5514118A 472 4/11/2021 9053 CONANT PATRICK BAY CITY 6181708A 1,164 5/13/2021 5348 DORE AND ASSOCIATES CONTRACTING INC BAY CITY 0884383A 149,127 5/15/2021 5403 1.70 40 % DORE AND ASSOCIATES INC BAY CITY 6181791A 405 5/13/2021 8810 EVAN INC BAY CITY 3681904A 887 6/20/2021 8395 0.95 GREATER BAY TRANSPORT COMPANY BAY CITY 6182267A 3,461 6/4/2021 7212 GREATER MICHIGAN DRYWALL LLC BAY CITY 5998697A 750 5/23/2021 5445 LEPPEK CONSTRUCTION CO BAY CITY 2432480A 3,739 6/25/2021 5645 0.95 M P A GROUP N F P LTD BAY CITY 3930696A 6,400 5/28/2021 8832 0.85 MCINTYRE PROPERTY MANAGEMENT LLC BAY CITY 2283620A 751 4/23/2021 5476 MDL CONSTRUCTION LTD BAY CITY 2434148A 7,830 6/13/2021 5437 0.82 RIVER CONTRACTING INC BAY CITY 3501612A 828 6/1/2021 5606 0.95 SAMPLE AND SONS INC BAY CITY 0990876A 1,551 6/21/2021 8387 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SMITH STREET HOME ASSISTED LIVING LLC BAY CITY 3295885A 1,637 6/28/2021 9053 0.95 SUNSET SHORES YACHT CLUB INC BAY CITY 1499360A 569 6/6/2021 9015 TRI CITY FIRE PROTECTION BAY CITY 3675491A 560 6/14/2021 5188 VALLEY UNITED INSURANCE AGENCY INC BAY CITY 3666018A 1,320 5/19/2021 8742 0.95 WHATS POPPIN LLC BAY CITY 5551234A 330 4/27/2021 8017 WHEELER LANDING INC BAY CITY 1191500A 871 4/13/2021 6836 0.95 WINKLES CLEANING LLC BAY CITY 5506620A 1,114 4/16/2021 9015 1.00 BAY PORT FISH CO BAY PORT 0553140A 488 4/28/2021 8021 RAPID REPAINTS LLC BEAR LAKE 6007813A 826 6/26/2021 5476 MARK THOMPSON TREE & STUMP REMOVAL LLC BEAR LAKES 5951127A 8,061 4/10/2021 0106 0.95 BDL TESTING & DRIVING SCHOOL LLC BEAVERTON 3936910A 408 6/12/2021 8868 BEAVERTON AREA FIRE DISTRICT BEAVERTON 0680907A 2,074 5/1/2021 7704 0.95 BORDEAU CARPENTRY LLC BEAVERTON 5587557A 750 6/4/2021 5437 MID MICHIGAN TREE SERVICE BEAVERTON 3610535A 1,206 4/2/2021 0106 1.00 MID STATE SEAWALL INC BEAVERTON 3985105A 1,642 5/1/2021 6217 0.95 MITTEN MOWING LLC BEAVERTON 5848253A 1,029 4/7/2021 9102 QUALITY ENVIRONMENTAL SERVICES INC BEAVERTON 3773760A 66,515 6/1/2021 5183 1.86 27 % RHIS PLAYCARE BEAVERTON 6001467A 283 6/5/2021 8869 WILD PUMPKIN INC BEAVERTON 5406501A 632 5/20/2021 2003 ACE L BUILDERS LLC BELDING 5658870A 750 5/12/2021 5645 BARGAIN CORNER DIV ANTCLIFF AUTO LLC BELDING 3194329A 4,991 6/30/2021 3821 0.95 BEARS EXCAVATION LTD BELDING 3366049A 2,435 5/1/2021 7208 COLES GERALD H JR BELDING 5861080A 750 5/1/2021 7208 KDS CORNER LLC BELDING 5724740A 461 4/1/2021 8017 TOM HEFFRON ORCHARDS BELDING 0419966A 3,454 5/16/2021 0130 0.94 AA LOG HOME REPAIR LLC BELLAIRE 5855870A 750 4/17/2021 5476 CYMAN GARDENS LLC BELLAIRE 3781631A 1,833 5/16/2021 0042 0.95 DAVE ROBB CONSTRUCTION LLC BELLAIRE 3056414A 826 6/11/2021 5221 0.95 HELLO VINO LLC BELLAIRE 5862108A 670 5/3/2021 9058 JG CARPENTRY LLC BELLAIRE 3282996A 800 6/26/2021 5645 OTHERSIDE IRRIGATION SERVICES BELLAIRE 5708699A 1,223 4/26/2021 6229 0.95 TORCH LAKE TREE PRO LLC BELLAIRE 5270634A 2,342 6/1/2021 0106 0.95 TRIBUTARY BUILDERS LLC BELLAIRE 5123399A 750 4/29/2021 5645 CHARLEBOIS MASONRY BELLEVILLE 2467674A 800 5/26/2021 5022 CHIPPEWA TREE SERVICE INC BELLEVILLE 2134829A 831 4/2/2021 0106 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 11 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DCP COMMERCIAL CLEANING LLC BELLEVILLE 5715083A 643 5/16/2021 9015 FRIENDS FINE FLOOR COVERING INC BELLEVILLE 3119866A 2,099 4/4/2021 8017 0.95 HOLLOW TRUCKING COMPANY BELLEVILLE 2501457A 1,086 4/15/2021 8810 0.95 IN PARALLEL ARCHITECTS PLUS BUILDERS LLC BELLEVILLE 5171172A 2,595 5/19/2021 8601 INTERSTATE AUTO TRANSPORT LLC BELLEVILLE 5567548A 825 5/3/2021 7208 JONATHANS GREENHOUSE LLC BELLEVILLE 5857651A 750 4/21/2021 7208 LINZELL HOME IMPROVEMENT INC BELLEVILLE 4286790A 4,602 6/10/2021 5538 0.92 LUCACI FLOORING INC BELLEVILLE 4142853A 750 5/31/2021 5348 0.95 MATADOR INC BELLEVILLE 1588427A 255 6/26/2021 9586 METRO ERECTING INC BELLEVILLE 2603039A 773 4/9/2021 3365 PC LOGISTICS BELLEVILLE 5993571A 750 5/23/2021 5437 PERIBAMBINI SERVICES LLC BELLEVILLE 5653894A 5,100 4/8/2021 8059 0.95 RELIABLE CONSTRUCTION INC BELLEVILLE 5582989A 750 5/16/2021 5645 0.93 SANDYS MARINA INC BELLEVILLE 0754579A 814 5/17/2021 6836 0.95 SCOOBYS LAWN CARE LLC BELLEVILLE 5856167A 523 5/1/2021 9102 SELECT SERVICES GROUP INC BELLEVILLE 5532671A 6,741 6/24/2021 9402 0.86 STRATEGIES TO OVERCOME OBSTACLES & BELLEVILLE 4535545A 463 5/16/2021 8868 AVOID RECIDIVISM TOE JOE LLC BELLEVILLE 5070139A 2,375 4/8/2021 9058 0.95 VANDERSEND CREATIVE LLC BELLEVILLE 5710677A 403 4/29/2021 8742 VICTORIA COMMONS ASSOCIATION BELLEVILLE 3647218A 569 5/1/2021 9015 BELLEVUE FIRE CONTROL BOARD BELLEVUE 1608258A 2,122 6/28/2021 7904 1.00 ERSG US HOLDINGS INC BELLEVUE, WA 5984149A 635 4/22/2021 8601 FALLON DAVID BELLVILLE 0170089A 2,766 4/28/2021 5645 0.95 ONE EYE SQUARE INC BELMONT 3220729A 751 5/9/2021 5437 SUMMIT HOMES OF WEST MICHIGAN LLC BELMONT 4084268A 750 5/17/2021 5645 TALL BOYS WINDOW CLEANING LLC BELMONT 5861071A 644 5/1/2021 9015 WILSON CONSTRUCTION BELMONT 5186633A 750 5/5/2021 5437 SUPREME AG CONSTRUCTION INC BELOIT, WI 5998948A 751 6/4/2021 3724 AAA POWER WASHERS INC BENTON HARBOR 5850207A 1,085 4/6/2021 9015 CALDWELL LAWN SERVICE BENTON HARBOR 6023967A 599 4/12/2021 9102 COMMERCIAL PAINTERS INC BENTON HARBOR 2842807A 826 6/7/2021 5476 0.95 HARBORTOWN TREATMENT CENTER PLLC BENTON HARBOR 6170315A 1,347 4/25/2021 8832 0.95 HIGHLAND MACHINERY INC BENTON HARBOR 4990188A 554 6/1/2021 3628

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KEN DAUGHERTY ROOFING SIDING AND BENTON HARBOR 0845035A 752 5/6/2021 8810 0.95 GUTTERS LLC PERCENTAGE IMPROVEMENT LLC BENTON HARBOR 0107050A 750 6/13/2021 5476 READINESS CENTER INC BENTON HARBOR 2396890A 2,729 5/19/2021 8868 0.95 SUNSET COAST CLEANING SERVICES BENTON HARBOR 5515076A 648 5/23/2021 9015 0.95 WOLFS DIVERS SUPPLY INC BENTON HARBOR 1033450A 727 6/18/2021 8017 CASSELMAN FOREST PRODUCTS BENZONIA 5267757A 750 5/6/2021 2702 MIDORI PRODUCTS LLC BENZONIA 6188028A 5,129 6/30/2021 8045 SCOTT NUGENT FARMS BENZONIA 6001254A 642 6/13/2021 0130 JRA ENTERPRISES INC BERGLAND 5292247A 1,293 6/4/2021 9058 LAKE GOGEBIC MOTEL LLC BERGLAND 2067277A 570 6/15/2021 9052 ALPINE CONSTRUCTION BERKLEY 1361570A 952 6/25/2021 5645 0.95 D AND E SUPERIOR TILE BERKLEY 2380331A 800 6/14/2021 5348 EAGLE DRYWALL BERKLEY 0470740A 750 4/22/2021 5445 MILAN BUILDING LLC BERKLEY 3259161A 2,290 4/2/2021 5645 0.95 SMART FELLERS BERKLEY 6168213A 825 4/28/2021 0106 ADVENTIST FRONTIER MISSIONS INC BERRIEN SPRINGS 1144618A 4,163 4/9/2021 8868 0.92 EB WELDING INC BERRIEN SPRINGS 0214787A 23,008 5/28/2021 3365 0.75 WORKZ GROUP BERRIEN SPRINGS 5147026A 1,573 6/7/2021 6400 0.95 C AND A CONSTRUCTION CO BERVILLE 0029343A 1,121 5/1/2021 5606 0.95 NINE 06 TREE SERVICE LLC BESSEMER 6178359A 880 5/11/2021 0106 RAMMES AUTO AND RV SALES LLC BESSEMER 0266337A 2,436 4/12/2021 8010 0.95 ADVANTAGE TURF SOLUTIONS LLC BEULAH 6005470A 573 6/19/2021 9102 BRIGHT REMODELING & CONSTRUCTION LLC BEULAH 5999600A 3,269 6/10/2021 5645 CRYSTAL LAKE & WATERSHED ASSOCIATION BEULAH 4989139A 839 6/1/2021 8387 CRYSTAL LAKE NURSERY BEULAH 1431340A 340 6/21/2021 8869 MR BS ROOFING & SIDING INC BEULAH 3496341A 5,461 5/6/2021 5551 0.88 BJR RENTALS LLC BEVERLY HILLS 5124590A 569 4/5/2021 9015 BLACKBIRD VENDING INC BEVERLY HILLS 0721638A 2,404 5/13/2021 8008 0.95 GREATER HOME SERVICES LLC BEVERLY HILLS 4049543A 750 6/10/2021 3724 J W DAVIS & ASSOCIATES INC BEVERLY HILLS 2866455A 235 6/27/2021 8810 UPADHYAYA RADHIKA BEVERLY HILLS 5955440A 530 6/12/2021 0913 BIG RAPIDS FREE METHODIST CHURCH BIG RAPIDS 2114461A 241 4/3/2021 8868 BIG RAPIDS PROFESSIONAL CLEANING BIG RAPIDS 1649035A 901 4/9/2021 9015 0.95 D AND J ASPHALT CONSTRUCTION BIG RAPIDS 5049032A 750 6/25/2021 5221

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DENNIS DAVID BIG RAPIDS 4407237A 750 5/3/2021 2702 NORTHERN ANALYTICAL SERVICES LLC BIG RAPIDS 4206061A 907 4/19/2021 4511 0.95 SILVERNAIL REALTY BIG RAPIDS 2590557A 949 6/29/2021 9015 YOUNGS CONSULTING INC BIG RAPIDS 5680611A 313 4/1/2021 8601 ANGEL HOSPICE INC BINGHAM FARMS 5326524A 711 6/14/2021 8835 HUGHES BUILDING LLC BINGHAM FARMS 5131626A 6,647 4/30/2021 5606 0.93 KANTER AUSTIN A BINGHAM FARMS 1983520A 315 4/10/2021 0908 LEDWIDGE ROSEMARY BINGHAM FARMS 6186033A 530 5/20/2021 0913 LEVINE ROBERT BINGHAM FARMS 2267055A 307 6/17/2021 0908 SEQUEL TOUR SOLUTIONS LLC BINGHAM FARMS 3332756A 834 5/1/2021 8810 0.95 STONEBRIDGE FARMS LLC BINGHAM FARMS 3960420A 1,942 4/15/2021 8279 0.95 WINKELMAN SHELDON P & WINKELMAN RISSA R BINGHAM FARMS 1650157A 530 4/30/2021 0913 AL NAEGELE FLOOR COVERING INC BIRCH RUN 3070476A 541 6/6/2021 9521 FRANKENMUTH AERIAL PARK LLC BIRCH RUN 5728282A 1,961 4/13/2021 9015 0.95 GIBSON ROOFING BIRCH RUN 2696223A 1,023 5/30/2021 5551 0.94 HERITAGE HOME INSPECTION LLC BIRCH RUN 6180787A 765 5/12/2021 8720 HIS AND HER WINDOW & GLASS INSTALLATION BIRCH RUN 6207685A 1,350 6/29/2021 5645 LLC RAPARTLOWCONSTRUCTION LLC BIRCH RUN 6007023A 2,102 6/24/2021 5551 RLA TRUCKING LLC BIRCH RUN 6080871A 4,765 5/1/2021 7208 SJ MECHANICAL LLC BIRCH RUN 5707277A 1,729 4/25/2021 5183 BORMAN PAUL D BIRMINGHAM 0721514A 382 5/23/2021 0908 BUILDING AND HOME INSPECTIONS INC BIRMINGHAM 2626845A 756 4/1/2021 8810 DETROIT MOTORHOME COMPANY LLC BIRMINGHAM 5569907A 1,066 6/4/2021 7380 0.95 FOUR STAR INC BIRMINGHAM 3347095A 4,617 5/9/2021 8392 0.86 GREAT LAKES MEDICAL EVALUATIONS PC BIRMINGHAM 3473643A 980 6/17/2021 8832 0.95 HENDERSON MITCHELL BIRMINGHAM 4465261A 530 4/26/2021 0908 HERITAGE LIMEWASH LLC BIRMINGHAM 6194605A 751 6/5/2021 5476 HIGHGATE LLC BIRMINGHAM 5165601A 1,496 6/4/2021 7421 0.95 LUXE HOMES DESIGN BUILD LLC BIRMINGHAM 5450861A 338 6/7/2021 5606 MAARKON INC BIRMINGHAM 0378038A 215 4/11/2021 8810 MACDONALD JULIA BIRMINGHAM 6192572A 530 6/3/2021 0913 MARKS MANAGEMENT SERVICES INC BIRMINGHAM 2655616A 568 6/22/2021 8810 MATH CORPS BIRMINGHAM 5951062A 335 4/15/2021 8810 NATHAN BERNARD DEVELOPMENT INC BIRMINGHAM 3284735A 800 4/28/2021 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NELSON DOVER LLC BIRMINGHAM 6178430A 825 5/8/2021 5645 NEW HOLLY MANOR LLC BIRMINGHAM 4564111A 569 5/11/2021 9015 0.95 NICHOLAS FREUND BUILDING LLC BIRMINGHAM 5563704A 7,315 6/23/2021 5606 0.91 NICHOLSON ENGINEERING COMPANY BIRMINGHAM 0729264A 283 4/18/2021 8601 NYMAN GEORGE M BIRMINGHAM 1850997A 357 6/10/2021 0908 OAKES BUILDING COMPANY BIRMINGHAM 3653714A 16,686 5/6/2021 5551 0.89 OVERHEAD MAINTENANCE SOLUTIONS LLC BIRMINGHAM 4459504A 6,381 4/5/2021 3724 0.93 SAPPHIRE BUILDING INC BIRMINGHAM 5272513A 3,102 5/20/2021 5606 0.95 SBB AND J INVESTMENTS LLC BIRMINGHAM 4481615A 530 6/11/2021 0913 0.95 SIERRA MANAGEMENT LLC BIRMINGHAM 2173859A 280 4/14/2021 8810 THAL BRUCE E & ILEANE BIRMINGHAM 1485393A 307 6/9/2021 0908 UNITECH IMAGING INC BIRMINGHAM 5712076A 229 4/17/2021 8742 WEISS ROBERT M BIRMINGHAM 1544314A 344 4/28/2021 8820 XPRESS HOLIDAY LIGHTING LLC BIRMINGHAM 5047129A 3,397 6/27/2021 5190 0.95 IRANI CYRUS M BLANCHARD 5795346A 918 6/18/2021 0129 STANTON AND SON FARM SERVICES LLC BLANCHARD 5830443A 750 5/16/2021 7208 TS DRILLING CONSULTANT LLC BLANCHARD 5713498A 313 6/23/2021 8601 D D MITCHELL ENTERPRISES LTD BLISSFIELD 3098346A 2,577 6/29/2021 7208 0.88 ERIC SLUSHER FLOORING LLC BLISSFIELD 2154528A 801 4/22/2021 9521 0.95 FLATLANDERS SCULPTURE SUPPLY AND BLISSFIELD 2264331A 800 6/1/2021 3040 0.95 MIDWEST SCULPTURE INITIATIVE LLC HIGH STREET ATHLETICS LLC BLISSFIELD 6184243A 879 5/20/2021 4299 CURB APPEAL INC BLOOMFIELD 2993864A 750 4/21/2021 8810 HENDERSON JAMES & ROBERTA BLOOMFIELD 5990394A 382 4/27/2021 0908 HOME REMODELING & TILING PRO LLC BLOOMFIELD 6200273A 751 6/16/2021 5348 MARANGON BUILDERS LLC BLOOMFIELD 6182585A 825 5/14/2021 5403 ANALYTICAL CLEAN LLC BLOOMFIELD HILLS 5920558A 1,085 4/1/2021 9015 ANTONELLI AND ASSOCIATES INC BLOOMFIELD HILLS 0003409A 2,168 5/7/2021 5645 0.95 APPOINTED TRANSPORTATION CORPORATION BLOOMFIELD HILLS 6199674A 1,324 6/15/2021 7212 ATTO CONTRACTING LLC BLOOMFIELD HILLS 6000215A 954 5/30/2021 5606 AXIOM MUTUAL LLC BLOOMFIELD HILLS 6144390A 568 4/1/2021 9015 BARRON GUY & BARRON NORA LEE BLOOMFIELD HILLS 0666890A 706 5/11/2021 0908 BLOOMFIELD HILLS SWIM & TENNIS LLC BLOOMFIELD HILLS 4989279A 888 4/19/2021 9061 0.95 BOWERS RYAN BLOOMFIELD HILLS 6188559A 530 5/27/2021 0913 COLORITE PAINTING LLC BLOOMFIELD HILLS 4231171A 800 4/18/2021 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CORPORATE SPECIALTIES LLC BLOOMFIELD HILLS 5706416A 239 4/22/2021 8810 DAVIS HYLTON RADTKE TWM LLC BLOOMFIELD HILLS 4947517A 755 6/18/2021 8835 1.00 DETROIT THEATRE ENTERPRISES INC BLOOMFIELD HILLS 0820547A 595 6/21/2021 8810 DOKAN CONSTRUCTION INC BLOOMFIELD HILLS 5577977A 583 6/23/2021 5606 ECKERLY ASHLEY BLOOMFIELD HILLS 6197558A 580 6/11/2021 0913 FITNESS FIX INC BLOOMFIELD HILLS 5324440A 461 5/24/2021 3113 G O SERVICES INC BLOOMFIELD HILLS 5158680A 826 6/28/2021 5437 GOLDBERG FREDERICK S BLOOMFIELD HILLS 1066110A 357 5/21/2021 0908 HUMAN CAPITAL STAFFING L L C BLOOMFIELD HILLS 2738767A 3,313 5/1/2021 8395 0.78 KIRILUK ALAN AND MARILYNNE BLOOMFIELD HILLS 2382598A 489 4/2/2021 0908 LOCKWOOD CONSTRUCTION COMPANY LLC BLOOMFIELD HILLS 5862795A 10,063 5/8/2021 5437 0.95 MCTUMPS LLC BLOOMFIELD HILLS 5394937A 5,174 4/11/2021 7212 0.95 MUST ALAN BLOOMFIELD HILLS 0470260A 530 6/19/2021 0913 MUST MARY BLOOMFIELD HILLS 1206133A 678 6/18/2021 0908 0.95 PAULUS DENISE BLOOMFIELD HILLS 5993644A 307 5/9/2021 0908 POOL DOCTOR SERVICES INC BLOOMFIELD HILLS 2005484A 741 4/1/2021 0909 0.95 PRM CONTRACTING LLC BLOOMFIELD HILLS 4651162A 3,748 5/4/2021 5606 0.95 RISHI REHABILITATION LLC BLOOMFIELD HILLS 5980054A 1,692 5/13/2021 8835 RMZ CONSTRUCTION MANAGEMENT INC BLOOMFIELD HILLS 1185250A 291 4/29/2021 8810 SMART BIZ CONSULTING LLC BLOOMFIELD HILLS 6206840A 3,275 6/26/2021 7720 SPECIALTY EMPLOYMENT SERVICES BLOOMFIELD HILLS 0471763A 214,994 4/12/2021 3146 1.43 20 % UNLIMITED INSTALLATION SERVICE BLOOMFIELD HILLS 2813173A 825 6/18/2021 9521 VLASIC MICHAEL & HELEN BLOOMFIELD HILLS 5857694A 605 5/9/2021 0913 ZAKS SNOW REMOVAL LLC BLOOMFIELD HILLS 6172202A 1,055 5/1/2021 9102 FALCON POINTE APARTMENTS LLC BLOOMFIELD TWP 5571103A 618 6/9/2021 9015 0.95 JACOBS ROBERT BLOOMFIELD TWP 4054423A 605 6/16/2021 0908 LENNOX SOULUTIONS LLC BLOOMFIELD VILLAGE 5995043A 1,189 5/14/2021 8835 BRENT SHARPE CONSTRUCTION INC BOISE BLANC ISLAND 4382986A 2,405 5/10/2021 6217 0.92 BRD TRUCKING LLC BONITA SPRINGS, FL 3496090A 3,380 5/26/2021 7208 0.93 GRASSROOTS CAMPAIGNS INC BOSTON, MA 4079981A 795 5/11/2021 8742 MOVEPLAN USA INC BOSTON, MA 4331907A 428 6/1/2021 8803 SUSAN HAWKES TPSN TRUST BOULDER, CO 5144132A 459 5/29/2021 0909 CHRISTOPHER J KUHN BUILDER BOYNE CITY 1201603A 7,957 4/3/2021 5437 0.95 CROSSROADS CONSTRUCTION SERVICES LP BOYNE CITY 5992427A 5,300 5/4/2021 7720 FIELS CONSTRUCTION BOYNE CITY 1849611A 750 5/18/2021 5645 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 16 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GLASSFORD HEATING AIR CONDITIONING AND BOYNE CITY 4898729A 674 6/22/2021 5550 MAINTENANCE LLC JDF CONSTRUCTION LLC BOYNE CITY 5707641A 800 4/22/2021 5645 LAKE PLACE CHILD CARE LLC BOYNE CITY 5295092A 385 5/18/2021 8869 LEGACY CONSTRUCTION SERVICES LLC BOYNE CITY 5239990A 18,125 4/23/2021 5437 0.81 NOS PARTS NOW BOYNE CITY 5997496A 1,416 5/24/2021 8010 ON BELAY PARTNERS LLC BOYNE CITY 4859812A 3,698 4/13/2021 9015 0.95 PERFORMANCE PAINTING BOYNE CITY 2438356A 937 6/21/2021 5476 0.95 ALL STAR KIDS CLUB LLC BOYNE FALLS 6196233A 1,130 6/15/2021 8869 BRENNANS BOOKKEEPING LLC BRECKENRIDGE 5927196A 750 4/20/2021 8810 EARLS SPRAY SERVICE INC BRECKENRIDGE 0738107A 3,439 4/1/2021 7422 0.95 WALLACE MAHLON B III BRENTWOOD, MO 2281287A 580 6/5/2021 0913 FANTASY CARRIAGE COMPANY INC BRIDGEPORT 0142670A 3,336 4/4/2021 7212 1.00 BARODA LAKE TOWNSHIP POLICE DEPARTMENT BRIDGMAN 5847800A 9,162 4/1/2021 7720 0.89 BRIAN THOMAS CONSTRUCTION LLC BRIDGMAN 2865807A 978 6/2/2021 6217 GREAT LAKES MARINE SERVICES LLC BRIDGMAN 6180582A 700 5/12/2021 8810 ASARO TENT RENTAL INC BRIGHTON 5568498A 1,357 5/28/2021 5538 0.95 BRIGHTON CENTER INC BRIGHTON 5308429A 275 6/26/2021 8832 CADET PAINTING LLC BRIGHTON 5896509A 1,496 6/2/2021 5476 D V D INC BRIGHTON 0256803A 830 5/8/2021 9058 0.95 DAVE ELDRED AND SONS BRIGHTON 0416118A 2,383 5/8/2021 6229 0.95 FOLLMER GORDON BRIGHTON 4607473A 459 4/1/2021 0909 GENERAL CHEMICAL CORPORATION BRIGHTON 1019767A 416 6/19/2021 4828 GREEN FLAG BRIGHTON 5555302A 750 5/3/2021 5221 GREEN OAK TIRE INC BRIGHTON 1791532A 15,629 4/1/2021 8387 1.45 10 % GRS SOLUTIONS LLC BRIGHTON 5265762A 800 5/24/2021 5645 0.95 HAMILTON HOUSE CONDOMINIUM ASSOC BRIGHTON 1173790A 618 4/30/2021 9015 HUMMINGBIRD CARE SERVICES LLC BRIGHTON 5746493A 6,548 6/12/2021 9053 0.95 IVG RESOURCES INC BRIGHTON 5983665A 923 4/9/2021 3629 LEE RD B P INC BRIGHTON 3842177B 613 4/3/2021 8017 0.95 LOGUSZ CONSULTING SERVICES INC BRIGHTON 0078271A 314 4/2/2021 8810 LUBESKI PROPERTY SERVICES LLC BRIGHTON 5700639A 710 4/8/2021 0042 M A D D SERVICES LLC BRIGHTON 5725712A 10,877 5/7/2021 5645 M AND C CONSTRUCTION INC BRIGHTON 1474359A 800 6/17/2021 5445 PETER YOUNG BARNS & GARAGES LLC BRIGHTON 0620203A 750 6/12/2021 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PHD MAINTENANCE GROUP INC BRIGHTON 4069358A 6,417 5/14/2021 5645 0.95 SEASIDE SEAWALLS LLC BRIGHTON 4369858A 2,788 5/26/2021 0042 0.95 TDRM LLC BRIGHTON 5722632A 338 6/21/2021 8810 TERRENCE W HARDER INC BRIGHTON 4656938A 751 4/27/2021 5403 VISTA SHINE LLC BRIGHTON 4364902A 901 4/13/2021 9015 0.95 VON SIMPSON COMMUNICATIONS BRIGHTON 3848531A 750 6/3/2021 7600 WARBIRDS OF GLORY MUSEUM BRIGHTON 6191851A 1,208 5/30/2021 8395 WATER MASTERS LLC BRIGHTON 4158458A 750 4/2/2021 5223 WIRELESS APPROVAL CONSULTANTS BRIGHTON 5725550A 858 6/23/2021 8601 ZASTROW KEITH BRIGHTON 2889722A 750 6/20/2021 5403 ADRIAN ENVIRONMENTAL LLC BRITTON 4630750A 2,898 6/19/2021 5183 0.95 PENNY LEE CLEANING SERVICE INC BRITTON 2684527A 733 5/14/2021 9015 ALL GREEN LAWN CARE INC BROCKWAY 4970373A 681 4/8/2021 0005 KBA TRUCKING BROCKWAY 5298601A 4,157 5/27/2021 7208 0.92 BROOKLYN PARTY SHOPPE BROOKLYN 5824931A 3,610 6/13/2021 8395 0.95 EMERSON ROSS BROOKLYN 6203060A 801 6/22/2021 5221 INNOVATIVE CEILING SOLUTIONS LLC BROOKLYN 4996860A 751 6/30/2021 5020 STEVE GRODI CONSTRUCTION LLC BROOKLYN 3176894A 1,686 6/2/2021 5437 0.95 WINERY NORTH OF 12 LLC BROOKLYN 6197930A 836 6/11/2021 8017 ASTEC ASPHALT INC BROWN CITY 1729322A 130,298 5/22/2021 5221 2.05 40 % CARLYLE RICHARD BROWN CITY 5994594A 750 5/11/2021 5645 E AND J CONSTRUCTION OF MID MICHIGAN BROWN CITY 5253152A 800 6/14/2021 5645 0.95 ACCURATE GROUND MAINTENANCE LLC BROWNSTOWN 6103316A 656 5/7/2021 9402 BLUE LINE BUILDING COMPANY LLC BROWNSTOWN 4911067A 1,985 5/16/2021 5645 0.95 BUDGET TIRE COMPANY OF TAYLOR BROWNSTOWN 0022896A 4,507 4/14/2021 8401 0.91 G J & D CONCRETE INC BROWNSTOWN 6003346A 750 6/12/2021 5221 KASHIF QURESHI MD PC BROWNSTOWN 4125568A 1,055 5/15/2021 8832 0.95 MEDSTAR STAFFING LLC BROWNSTOWN 5716624A 551 5/18/2021 8832 R AND H GLAZING INC BROWNSTOWN 2557142A 750 6/7/2021 5462 ULTIMATE MOVERS LLC BROWNSTOWN 6183654A 1,287 5/15/2021 7214 CON EARTH INC BROWNSTOWN TWP 5855829A 2,424 4/18/2021 5213 0.95 M J TRANSPORT EXPRESS INC BROWNSTWN TWP 5984084A 3,975 4/12/2021 7208 0.95 DOUG SCHOLL MASONRY BRUCE CROSSING 5862221A 764 5/4/2021 5221 OUTPOST LOG HOMES AND CONSTRUCTION BRUCE CROSSING 0891363A 568 6/14/2021 9015 POPPS BUILDERS INC BRUCE CROSSING 2288648A 3,942 5/22/2021 5645 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 18 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ESTATE LAWN & LANDSCAPE LLC BRUCE TWP 5981336A 834 4/2/2021 9102 HURLEY RACING PRODUCTS LLC BRUCE TWP 4990749A 4,053 6/2/2021 4484 0.91 JAR PAINTING LLC BRUCE TWP 2257300A 837 5/5/2021 5476 0.96 L AND D UNDERWOOD CONTRACTING LLC BRUCE TWP 4505409A 2,820 6/22/2021 6217 0.95 LENNON DESIGN BUILD INC BRUCE TWP 6187919A 1,550 5/25/2021 5022 SERVICEMAXX LLC BRUCE TWP 5125634A 520 4/9/2021 5190 SOULLIERE PEAT FARMS LLC BRUCE TWP 4745680A 731 6/4/2021 4000 KRUEGER JERRY BRUTUS 6153488A 750 4/11/2021 0106 BUCHANAN TOWNSHIP BUCHANAN 0435953A 5,143 6/1/2021 9410 0.94 CANFIELD INNOVATIVE PEST CONTROL BUCKLEY 5400546A 569 5/1/2021 9015 MANAGEMENT DUNSCOMBE AND SONS TREE SERVICES INC BUCKLEY 4999207A 4,670 4/12/2021 0106 1.00 OLDS TREE SERVICE LLC BUCKLEY 5554977A 2,091 5/3/2021 2731 0.95 PRO CUT LOGGING LLC BUCKLEY 5146100A 750 5/29/2021 2702 0.95 D ALI ENTERTAINMENT PAYROLL INC BURBANK, CA 4296796A 359 6/23/2021 7610 BARULICH DUGONI & SUTTMANN LAW GROUP BURLINGAME, CA 6156100A 508 4/15/2021 8820 INC FINDLEY FEEDS BURR OAK 1646869A 1,490 4/1/2021 8215 0.95 LITTLE FAWNS DAYCARE BURR OAK 5726433A 317 6/23/2021 8869 WE CLIMB 2 AERIAL & TREE SERVICE LLC BURT 5976472A 3,158 5/15/2021 0106 AINSWORTH CUSTOM CONSTRUCTION BURTCHVILLE 5675936A 6,963 4/30/2021 5645 1.39 13 % AMANI GRACE HOMECARE LLC BURTON 5984190A 1,762 5/4/2021 8835 ANYTHING ON SIGHT REPAIR LLC BURTON 5980844A 1,393 4/6/2021 8395 ASB LAWN AND SNOW SERVICES LLC BURTON 6009204A 731 6/4/2021 9402 CHAIN PAINT GROUP INC BURTON 1240463A 1,887 6/10/2021 5476 0.95 D AND S FLOOR COVERING BURTON 3453251A 540 5/14/2021 9521 DECK RITE PRESSURE WASHING LLC BURTON 5970466A 568 4/26/2021 9015 DUNTON TENNYSON BURTON 6186050A 750 5/20/2021 5022 EMERALD LAWN & LANDSCAPING INC BURTON 0108804A 1,845 4/5/2021 9102 0.95 FLEXIBLE AUTOMATION INC BURTON 2589036A 533 5/1/2021 8810 GOOCH ROBERT BURTON 4989228A 750 5/30/2021 5476 IG COMM LLC BURTON 6182496A 750 5/20/2021 7600 INSTRUMENTAL HOME IMPROVEMENT BURTON 6198228A 750 6/12/2021 5645 J HOHMAN LLC BURTON 5219590A 4,728 5/23/2021 7720 1.05 20 % MCUNION LLC BURTON 3907929A 216 4/7/2021 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ME MYSELF AND I CHILDCARE PRESCHOOL BURTON 5724597A 1,503 6/24/2021 8869 0.95 CENTER LLC PREMIUM FINISHES LLC BURTON 6004091A 800 6/14/2021 5476 PROFESSIONAL HEARING INC BURTON 4628098A 599 4/6/2021 8013 RANDY LEACH CERAMIC TILE BURTON 0282561A 750 4/12/2021 5348 REDEMPTION SAVINGS INC BURTON 1173456A 1,463 4/11/2021 9058 0.95 RL TRAPPER JOES LLC BURTON 0220825A 1,196 5/27/2021 9058 0.95 SCOTT LARSON AUTO GROUP LLC BURTON 5714605A 267 5/10/2021 8810 TEGART SEAN BURTON 6006078A 750 6/20/2021 5551 TJ COMPANY LLC BURTON 5555990A 1,069 4/12/2021 9058 TS CONSTRUCTION BURTON 3172597A 750 5/15/2021 5645 VITA MEDICAL EQUIPMENT AND SUPPLIES LLC BURTON 4267800A 2,477 5/17/2021 8387 WOODBURY CONSTRUCTION & MAINTENANCE BURTON 0072958A 750 5/9/2021 5645 CO YOUR TEAM LLC BURTON 6006000A 750 6/20/2021 5551 DJW RESTORATION LLC BYRON 5793343A 750 5/9/2021 5022 FAIRWAY GUTTERS LLC BYRON 5429463A 1,339 5/11/2021 5538 0.95 NAC CONSTRUCTION BYRON 6156843A 800 4/15/2021 5551 PARAMOUNT BRICK AND LANDSCAPE SERVICES BYRON 4227794A 750 6/6/2021 5221 LLC AMBER ESTATES CONDOMINIUM ASSOCIATION BYRON CENTER 4865553A 618 5/1/2021 9015 BEN BERKENPAS BUILDER LLC BYRON CENTER 3414655A 750 6/15/2021 5645 BRANDENBURG DONNA BYRON CENTER 6004920A 1,865 6/18/2021 0129 BRUISER VENTURES LLC BYRON CENTER 5568838A 750 6/20/2021 5476 0.95 CENTER PARK CONDOMINIUM ASSOCIATION BYRON CENTER 5989060A 568 5/16/2021 9015 DEFINED CONCRETE BYRON CENTER 2708361A 1,939 4/23/2021 5215 0.95 KEITH COOK PLASTERING & DRYWALL INC BYRON CENTER 3523152A 750 6/5/2021 5445 MARIOS PIZZA LLC BYRON CENTER 5798728A 853 6/27/2021 9058 MODERN TRAILER SALES INC BYRON CENTER 0389293A 1,104 5/11/2021 8387 OTTAWA FENCE WORKS INC BYRON CENTER 1888498A 800 6/18/2021 6400 RANDALL L OEVERMAN INC BYRON CENTER 1856081A 3,104 5/8/2021 5645 0.88 VANDYKE RANDY BYRON CENTER 0980560A 750 6/30/2021 5645 BEEMANS TOWING & RECOVERY LLC CADILLAC 5039029A 2,850 5/10/2021 7208 0.95 BULLDOG ELECTRIC LLC CADILLAC 2020181A 1,878 4/12/2021 5190 CADILLAC SEAMLESS GUTTERS CADILLAC 2685795A 706 5/12/2021 5538 DYER DYNAMICS LLC CADILLAC 5861675A 750 5/2/2021 5645 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 20 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EASY ACCESS LLC CADILLAC 5340012A 750 5/20/2021 5645 J AND H AUTO PARTS CADILLAC 0202452A 3,094 4/6/2021 8264 0.95 M AND H COMMERCIAL CLEANING LLC CADILLAC 6007473A 852 6/25/2021 9015 MARR CONSTRUCTION CADILLAC 4050444A 750 4/12/2021 5645 MICHIGAN WORKFORCE INC CADILLAC 5268141A 285 5/29/2021 8810 PINET RAYMOND N CADILLAC 2125048A 750 6/7/2021 5645 PIONEER MANAGEMENT SERVICES INC CADILLAC 2360853A 216 6/11/2021 8810 RACEWAY HOSPITALITY LLC CADILLAC 0509825A 2,789 6/24/2021 9058 0.92 RED MAPLE VILLA CADILLAC 5879990A 636 6/9/2021 9053 TREE WISE MEN LLC CADILLAC 2345919A 750 4/3/2021 0106 DOORNBOS ELECTRIC LLC CALDONIA 6169945A 520 4/29/2021 5190 ABSOLUTE TREE SERVICE INC CALEDONIA 3228401A 7,508 4/3/2021 0106 0.91 CALEDONIA FARMERS ELEVATOR CALEDONIA 0021555A 76,298 4/1/2021 0005 1.23 13 % EMERSON LOFTS LLC CALEDONIA 4695658A 882 6/30/2021 9586 0.95 GRUDVINSKAS BRIAN R CALEDONIA 6208401A 800 6/30/2021 5551 KEN RILEY BUILDER CALEDONIA 5988241A 750 4/24/2021 5403 KRYSTAL KLEAR LLC CALEDONIA 6181686A 2,073 5/13/2021 9015 LWJ TRUCKING LLC CALEDONIA 6196764A 7,185 6/11/2021 7208 MIKES UNLOADING LLC CALEDONIA 4535197A 586 5/9/2021 8292 ONEIL TREE SERVICE LLC CALEDONIA 5568811A 3,421 6/1/2021 0106 0.95 REKLEINERY LLC CALEDONIA 5840082A 4,131 5/2/2021 5437 SLATE BUILDING & DEVELOPMENT LLC CALEDONIA 2159481A 750 5/18/2021 5645 0.95 WESTRA TILE LLC CALEDONIA 5754615A 750 5/2/2021 5348 COPPER RANGE ROOFING AND CONTRACTING CALUMET 5992168A 11,863 6/23/2021 5645 INC KEWEENAW HOME REPAIRS & MAINTENANCE CALUMET 5862299A 4,750 5/4/2021 5645 0.95 LLC RUPPE JAMES A CALUMET 1394258A 566 6/18/2021 0908 G AND D WOOD PRODUCTS INC CAMDEN 2647486A 11,290 6/29/2021 2759 0.86 SCHAEDLER TRANSPORT LLC CAMDEN 6005535A 801 6/19/2021 7208 STUMPS TRUCKING LLC CAMDEN 6005896A 2,994 6/20/2021 7208 ABRAHAM LANDSCAPE GROUP LLC CANTON 6016898A 793 4/1/2021 9102 ADVANCED CONSULTING ENGINEERING INC CANTON 5355796A 285 6/27/2021 8810 0.95 ALLEN CONTRACTING CO LLC CANTON 4201361A 800 4/28/2021 5022 ARCK LLC CANTON 6193064A 750 6/4/2021 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ARTS RESIDENTIAL TREE SERVICE INC CANTON 2122782A 5,777 5/19/2021 0106 0.91 BR STAFFING AND CONSULTING INC CANTON 5355958A 5,230 5/11/2021 8835 0.87 CHRISTIAN TENNANT HOMES COMPANY CANTON 1751824A 1,124 6/13/2021 9015 0.95 CUSTOM DECK CREATIONS LLC CANTON 5865425A 825 4/1/2021 5645 0.95 DENNIS G STAMPER TRUCKING INC CANTON 6169848A 825 5/5/2021 7208 EAGLE EXPRESS INC CANTON 3765504A 55,028 4/1/2021 7208 1.06 EW AND S INC CANTON 5481708A 4,437 5/5/2021 9402 0.94 FRESH IMAGE 1 LLC CANTON 5066778A 751 6/26/2021 5476 GALLEGOS BROTHERS LLC CANTON 5984211A 978 4/11/2021 5476 HERITAGE WINDOW CLEANING LLC CANTON 5618649A 1,085 5/23/2021 9015 MANIBEN MANAGEMENT INC CANTON 0057207A 969 4/6/2021 8006 0.95 MAP ELECTRIC LLC CANTON 4402448A 2,843 6/18/2021 5190 0.95 NOBA LLC CANTON 3544699A 1,367 6/30/2021 5645 0.95 NR TRUCKING LLC CANTON 6196306A 2,954 6/9/2021 7208 PHEASANT RUN ROAD MAINTENANCE CANTON 3269701A 568 4/15/2021 8810 ASSOCIATION INC PRO FINISH CEMENT LLC CANTON 4159101A 825 4/10/2021 5221 QUALITY WINDOW CLEANING LLC CANTON 5168899A 568 4/21/2021 9015 SERENITY MANOR OF CANTON LLC CANTON 6187757A 1,885 5/22/2021 8829 TCO TRANSPORT LLC CANTON 6205534A 750 6/24/2021 7208 TNT HAULING INC CANTON 5884144A 6,194 5/8/2021 7208 TRUCARE LLC CANTON 5755751A 470 5/12/2021 8835 WEATHERGUARD ROOFING CANTON 2947790A 754 5/16/2021 8742 KERSHAW JOHN CAPAC 2643448A 1,509 5/13/2021 5476 0.95 MIDWEST MASONRY CAPAC 5711932A 751 5/25/2021 5022 SHL CONTRACTING SERVICES INC CAPAC 4539400A 751 4/27/2021 5437 TIM QUAIN LICENSED BUILDER INC CAPAC 0525405A 800 4/1/2021 5645 PARKOR COMPONENTS LLC CAPE ELIZABETH, ME 6156622A 368 4/17/2021 8742 ANGELS HELPFUL HANDS LLC CARLETON 6193099A 1,949 6/4/2021 8835 D AND G INTERIORS CARLETON 2430665A 1,617 4/8/2021 5476 0.95 HOLLISTER DRYWALL INC CARLETON 0395420A 750 5/28/2021 5445 KAPPY INDUSTRIES INC CARLETON 3952762A 750 5/13/2021 5022 LAKE HAVEN DEVELOPMENT INC CARLETON 1794485A 1,407 6/16/2021 5645 0.95 VICKERS FARM INC CARLETON 5650526A 750 6/11/2021 7208 0.93 BERTO TRUCKING LLC CARNEY 6204147A 750 6/23/2021 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EIGHT POINT CONSTRUCTION CARNEY 4633865A 750 6/3/2021 5645 KLINGENMAIER TRUCKING CARNEY 1975994A 750 4/9/2021 7208 LENCA TRUCKING CARNEY 4668847A 750 6/23/2021 7208 POUPORE FOREST PRODUCTS CARNEY 4058399A 750 5/5/2021 7219 SJS TRANSPORT LLC CARNEY 4163710A 750 6/13/2021 7208 0.95 SUPERIOR FENCE CARNEY 3925706A 750 5/18/2021 2702 CHRISE ESCKELSON LANDSCAPING & LAWN CARO 4888308A 709 5/21/2021 0042 CARE LLC CHURCH TODD E CARO 5257190A 449 4/4/2021 7720 MIDWEST BUILD CENTER LLC CARO 5711738A 3,899 5/3/2021 7423 0.95 MOORE TEL 1 COM CARO 5717221A 657 5/18/2021 9402 MP 1 FABRICATING AND MACHINING CARO 5861721A 538 5/2/2021 3146 CORPRETEK LLC CARSON CITY 4118529A 837 4/27/2021 8601 0.95 LITWILLER HAULING INC CARSON CITY 4950666A 823 5/11/2021 8395 PINKSTON CONSTRUCTION LLC CARSON CITY 5332222A 3,335 5/22/2021 5645 0.95 HEBERLING PAINTING CARSONVILLE 5981328A 1,680 4/2/2021 5476 RICKETT TRANSPORT LLC CARSONVILLE 4238460A 1,301 6/29/2021 5040 GREAT LAKES BARRIER NETS LLC CARY, NC 2072360A 846 4/16/2021 7016 0.95 G AND T BUILDERS INC CASCO 2267330A 2,919 6/27/2021 5348 0.95 M L MOORE AND ASSOCIATES INC CASCO 1352008A 750 4/24/2021 5022 ULESKI GENE A CASCO 2976676A 2,814 6/17/2021 5645 0.95 C D SANDBLASTING LLC CASEVILLE 4478533A 747 6/10/2021 3632 CASEVILLE AREA FIRE PROTECTION CASEVILLE 3001741A 3,216 4/9/2021 7904 0.95 ASSOCIATION CASEVILLE TRANSPORT LLC CASEVILLE 5849730A 6,064 4/4/2021 7208 0.93 LASCESKI TERRY CASEVILLE 5541522A 750 4/6/2021 5645 J RAY TREE SERVICE LLC CASNOVIA 5555701A 3,803 5/27/2021 0106 0.95 PD BLACK ENTERPRISES INC CASNOVIA 5367964A 750 4/5/2021 5476 RELIABLE CARPET SERVICE CASNOVIA 5263093A 215 4/12/2021 8810 HUTCHINSON DEAN F CASS CITY 0310069A 506 6/18/2021 0128 ROBINSON SEELYE FARMS CASSAPOLIS 1690795A 961 5/27/2021 0129 0.95 ALDRICH MICHAEL CASSOPOLIS 6195245A 751 6/6/2021 9102 BACKUS BOBCAT & EXCAVATING SERVICES LLC CASSOPOLIS 4291220A 800 5/27/2021 6217 CASS COUNTY TRANSPORTATION AUTHORITY CASSOPOLIS 6208959A 8,432 6/30/2021 7212 SUAREZ CUSTOM CONSTRUCTION LLC CASSOPOLIS 6171028A 750 4/30/2021 5551

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ZONING SOLUTIONS LLC CASSOPOLIS 6176496A 888 5/7/2021 7720 GREEN FARMS CO LLC CASTLE PINES, CO 5982758A 6,835 4/5/2021 0035 0.95 ALL ABOUT WATER LLC CEDAR 5578744A 1,239 6/24/2021 6836 0.95 LEELANAU COUNTY CUSTOMS LLC CEDAR 5877385A 748 6/14/2021 3365 LITTLE FOOTS INC CEDAR 6200486A 720 6/16/2021 9058 NORTON CUSTOM HOMES INC CEDAR 3960811A 2,452 4/13/2021 8393 0.95 HILL COUNTRY CLASS 3 LLC CEDAR PARK, TX 6178596A 215 5/15/2021 8810 CRAIG NILES LLC CEDAR RIVER 5847192A 720 6/10/2021 9058 RULEAU BROTHERS INC CEDAR RIVER 0506052A 6,414 5/22/2021 8021 0.88 ABSOLUTE INTERIORS INC CEDAR SPRINGS 4197666A 750 6/6/2021 5476 ADAMCZAK C R LLC CEDAR SPRINGS 4858301A 750 5/5/2021 5645 0.95 ALL POINT SCREENING LLC CEDAR SPRINGS 5700060A 290 4/16/2021 8832 APPLIED BALLISTICS LLC CEDAR SPRINGS 5702828A 2,213 6/23/2021 4511 0.95 AVNIEL BUILDERS LLC CEDAR SPRINGS 5394473A 750 4/22/2021 5645 0.95 CARDENAS HERRERA JULIA CEDAR SPRINGS 5876761A 10,725 5/13/2021 5551 0.95 CEDAR RIDGE CONSTRUCTION CEDAR SPRINGS 3700127A 750 5/6/2021 5645 KOLE ROOFING CEDAR SPRINGS 0716359A 10,699 6/6/2021 5551 1.43 13 % LEWIS LOGGING INC CEDAR SPRINGS 4448952A 750 4/16/2021 2702 0.95 MELVIN BELK ROOFING CONTRACTORS LLC CEDAR SPRINGS 3013863A 5,420 4/13/2021 5538 0.95 PIERCE ENTERPRISES CEDAR SPRINGS 5127904A 6,724 4/18/2021 7208 0.95 SLBM RV MANAGEMENT LLC CEDAR SPRINGS 0837288A 618 6/8/2021 9015 SULLIVAN KENNETH CEDAR SPRINGS 5515815A 800 6/8/2021 7600 THAT GUY TREE SERVICE LLC CEDAR SPRINGS 5898226A 1,050 4/1/2021 0106 LES CHENEAUX YACHT CLUB INC CEDARVILLE 2109972A 409 5/20/2021 9060 SMITH DONALD D CEDARVILLE 3913333A 750 4/20/2021 2709 ABRASIVE SOLUTIONS LLC CEMENT CITY 5223237A 611 5/10/2021 9501 MIDWEST MARINE SUPPLIES LLC CEMENT CITY 5853818A 1,120 4/25/2021 6400 ASTRO STEEL SUPPLIES INC CENTERLINE 0132187A 6,405 4/5/2021 8265 0.94 ELITE ENVIRONMENTAL INC CENTERLINE 4981910A 310 5/2/2021 8742 0.79 C AND A CONTRACTING CENTRAL LAKE 3986020A 1,493 6/26/2021 5437 RALPH HINES TREE SERVICES LLC CENTRAL LAKE 0091685A 5,300 5/22/2021 0106 ATLAS LLC CENTREVILLE 6180698A 750 5/13/2021 5645 PLEASANT PINES LLC CENTREVILLE 5490936B 3,970 5/27/2021 9053 0.90 DALES DONE RIGHT ROOFING LLC CERESCO 2844710A 750 6/19/2021 5551 ACKERT PLUMBING LLC CHARLEVOIX 3369919A 561 4/12/2021 5183 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 24 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL AMERICAN WINDOW CLEANERS CHARLEVOIX 2562588A 569 6/7/2021 9015 BEAVER ISLAND BOAT COMPANY CHARLEVOIX 2018420A 29,333 6/2/2021 7350 0.71 CAPITOL CITY SKYDIVING INC CHARLEVOIX 5572894A 400 6/11/2021 7422 CHARLEVOIX MOTORS INC CHARLEVOIX 1843079A 1,278 6/27/2021 8395 0.95 CONQUEST BUILDERS INC CHARLEVOIX 5720150A 1,795 5/26/2021 5645 0.83 FOREST SHORES SERVICES LLC CHARLEVOIX 6188117A 751 5/26/2021 5221 FRESH WATER CHARCH LLC CHARLEVOIX 5849942A 800 4/5/2021 5403 MIGHTY MOUSE DETAILING LLC CHARLEVOIX 6193757A 670 6/4/2021 6836 NORTHERN MICHIGAN EVENTS LLC CHARLEVOIX 3928756A 246 5/25/2021 8742 NORTHWEST MAINTENANCE & REPAIR CHARLEVOIX 6002978A 750 6/11/2021 5476 PRIDE TRANSPORT LLC CHARLEVOIX 5991226A 800 5/1/2021 7208 B ZELMER TRUCKING LLC CHARLOTTE 5553512A 750 5/1/2021 7208 GREG GALBREATH CONSTRUCTION LLC CHARLOTTE 5156475A 751 6/21/2021 8810 KYLE KIPLINGER TRUCKING CHARLOTTE 6203027A 8,417 6/20/2021 7208 LAKE STATE RESTORATION CHARLOTTE 5870895A 750 5/29/2021 5403 NAGEL BROTHERS LLC CHARLOTTE 5726395A 1,078 6/23/2021 5551 PERFECTION CLEANING SERVICE LLC CHARLOTTE 6181660A 569 5/13/2021 9015 RDM INDUSTRIAL WELDING LLC CHARLOTTE 4952774A 698 6/28/2021 3365 0.95 SHUMAKER ALAN F CHARLOTTE 0766372A 690 4/1/2021 0128 BEILFUSS MARCIA CHASE 3795683A 260 6/24/2021 8742 BRUCE DIETEL WELDING CHASE 1358685A 773 4/14/2021 3365 CAM MILLER EXCAVATING LLC CHASE 3231550A 814 6/6/2021 6217 N M O FORESTRY LLC CHASSELL 5310849A 238 4/9/2021 8601 PRICE LOGGING INC CHASSELL 3853381A 505 4/30/2021 0128 0.95 USITALO TRUCKING INC CHASSELL 5415330A 825 6/18/2021 7208 0.95 BUNDLING BANDITS LLC CHEBOYGAN 5711266A 1,249 5/2/2021 2731 0.95 GARY ST AMOUR TIMBER HARVESTING CHEBOYGAN 0656739A 750 5/25/2021 2702 0.95 JOINT ADMINISTRATION FIRE BOARD INVERNESS CHEBOYGAN 1124730A 2,657 6/1/2021 7904 0.95 FIRE DEPT O GRADYS GREAT LAKES ELECTRIC INC CHEBOYGAN 3098893A 470 5/28/2021 5190 TOP NOTCH TOTAL TREE SERVICE LLC CHEBOYGAN 5874785A 1,342 6/7/2021 0106 ARBOR CARE TREE SURGEONS INC CHELSEA 3944433A 12,181 6/27/2021 0106 1.43 10 % BURMANS TREE SERVICE LLC CHELSEA 5854717A 2,220 5/5/2021 0106 0.95 GATEWAY RESTORATION INC CHELSEA 4732111A 4,807 4/6/2021 9015 0.90 HELPPIE RICHARD AND LESLIE CHELSEA 3331717A 915 4/13/2021 0912 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LEKREM ASSOCIATES LLC CHELSEA 0916552A 750 5/25/2021 5403 RICK VANS STUMP REMOVAL CHELSEA 4998421A 3,301 6/28/2021 0106 0.95 SCHILLER GERALD CHELSEA 5697379A 910 4/11/2021 0913 0.95 THREE TREE BUILDERS LLC CHELSEA 5876419A 1,701 6/12/2021 5645 CHESANING CONSTRUCTION SERVICES INC CHESANING 1685147A 750 4/16/2021 5551 CHESANING RECYCLERS CO CHESANING 0953865A 2,580 6/30/2021 3821 0.95 MAXIMUM ROOFING LLC CHESANING 3137937A 3,367 5/1/2021 5551 0.95 RADHA RITU LLC CHESANING 0257125A 373 4/10/2021 9052 RPT CONSTRUCTION CHESANING 2384574A 388 4/21/2021 5606 SAGINAW COUNTY AGRICULTURAL SOCIETY CHESANING 0014362A 581 5/1/2021 9015 A AND G LOGISTICS LLC CHESTERFIELD 6005870A 750 6/20/2021 7208 APEX GROUP CONSTRUCTION AND CONSULTING CHESTERFIELD 5725054A 800 6/23/2021 5645 INC B G M M HOME SERVICES INC CHESTERFIELD 4541880A 15,689 5/9/2021 7208 1.11 BN TRANS LLC CHESTERFIELD 5874874A 8,783 6/22/2021 7208 0.94 C AND CS ELECTRIC LLC CHESTERFIELD 5996554A 1,068 5/17/2021 5190 C AND G EXCAVATING SERVICES INC CHESTERFIELD 3744230A 1,347 5/3/2021 6217 0.95 DTE CUSTOM CARPENTRY CHESTERFIELD 3935019A 11,072 4/5/2021 5645 0.87 ENDEAVOR ELECTRIC LLC CHESTERFIELD 5786576A 470 5/9/2021 5190 FISHER ELECTRIC LLC CHESTERFIELD 4860560A 1,105 4/15/2021 5190 0.95 GARY PRINDLE LLC CHESTERFIELD 4205111A 470 4/12/2021 5190 GRAZIO PLUMBING INC CHESTERFIELD 2117070A 636 5/14/2021 5183 1.00 GREENWOOD CUSTOM STAIRS INC CHESTERFIELD 4967259A 1,031 6/17/2021 5437 1.00 HIRE A WIFE LLC CHESTERFIELD 5062861A 1,529 4/22/2021 8835 0.95 IRON HORSE ASPHALT TRUCKING LLC CHESTERFIELD 2402416A 750 4/17/2021 7208 J AND K INDUSTRIES LLC CHESTERFIELD 6168817A 591 4/29/2021 9521 J SAF CONTRACTING INC CHESTERFIELD 3899160A 825 6/9/2021 5551 JLI LLC CHESTERFIELD 4993560A 750 4/15/2021 7208 KELJER PROPERTIES LLC CHESTERFIELD 5564662A 750 5/20/2021 5645 LUBINSKI ELECTRIC INC CHESTERFIELD 3513718A 1,450 6/22/2021 5190 MARRS CORPORATION CHESTERFIELD 1696017A 9,924 6/28/2021 5606 0.84 MCVEIGH PAINTING LLC CHESTERFIELD 0001058A 750 6/1/2021 5476 NEW CONSTRUCTION INC CHESTERFIELD 2556928A 1,035 6/26/2021 5221 0.95 TRANCHIDA STEPHEN CHESTERFIELD 5150221A 750 6/7/2021 5348 TRI COUNTY KITCHEN & BATH LLC CHESTERFIELD 4448243A 750 6/7/2021 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UNIVERSAL STAFFING COMPANY LLC CHESTERFIELD 5861780A 27,311 5/2/2021 3146 0.84 AMERICAN GENERAL SERVICES LLC CHESTERFIELD TWP 5407583A 1,289 5/27/2021 5462 0.95 NAT VEND INC CHESTERFIELD TWP 3505294A 2,585 4/12/2021 5192 0.95 CAROL INVESTMENT CORPORATION CHICAGO, IL 5749972A 1,892 5/11/2021 9015 0.95 LAKESIDE CABINS RESORT CHICAGO, IL 4613309A 646 5/6/2021 8810 RENEWAL CARE PARTNERS LLC CHICAGO, IL 6161219A 328 5/1/2021 8810 UNITED STATES HOCKEY LEAGUE INC CHICAGO, IL 5254825A 1,511 5/5/2021 9015 0.95 C AND K HEATING AND COOLING LLC CHINA 5975484A 749 4/7/2021 5550 COTTRELL BUILDING COMPANY LLC CHINA 5877539A 8,110 6/15/2021 5645 0.95 KARAS PLUMBING LLC CHINA 5709784A 2,065 5/1/2021 5183 TIMBERS TREE SERVICE INC CHINA TWP 4719646A 14,990 6/15/2021 0106 0.91 J AND E SONS TRUCKING LLC CHRISTMAS 4158326A 2,676 6/12/2021 7208 A 1 QUALITY LOGISTICAL SOLUTIONS LLC CINCINNATI, OH 6202365A 1,981 6/17/2021 8292 AZTEC SERVICES GROUP INC CINCINNATI, OH 6000746A 1,750 6/1/2021 5479 BAUERS LAWN SERVICE CLARE 6167292A 615 4/28/2021 9102 HORIZON TREE SERVICE CLARE 1033638A 14,708 6/17/2021 0106 1.45 27 % PADDLEHEAD INC CLARE 0802018A 3,096 6/14/2021 8017 0.95 SKY TO LAND LLC CLARE 4381580A 551 6/17/2021 7423 WINTER GOLF LLC CLARE 2155699A 1,377 4/5/2021 9060 ELITE CUSTOM BUILDERS LLC CLARK LAKE 5855845A 750 5/22/2021 5437 0.95 KS CUSTOM INSTALLATION & SERVICE INC CLARK LAKE 2647850A 3,082 6/24/2021 0106 0.95 WYSE TRUCKING CLARK LAKE 4341554A 800 5/1/2021 7208 AROUND THE CLOCK HOME CARE INC CLARKSTON 4535286A 860 5/10/2021 0913 AVILA HUMBERTO CLARKSTON 5708940A 750 4/27/2021 5445 BANDS GALORE ENTERPRISES INC CLARKSTON 5280273A 4,312 6/13/2021 9156 0.95 BOSTWICK EXCAVATING INC CLARKSTON 2465752A 6,511 6/16/2021 6217 1.30 13 % BRIGHT LOOKS PAINTING & BASEMENT CLARKSTON 3222179A 4,115 5/15/2021 5445 0.95 REMODELING INC CERNIGLIA JOHN CLARKSTON 5720931A 338 6/1/2021 8601 CHEAP SPRAY INC CLARKSTON 0896985A 611 5/30/2021 5183 CUSTOM CARPETS CLARKSTON 1978853A 540 4/28/2021 9521 DELTA STAFFING LLC CLARKSTON 3756823A 344 6/21/2021 8810 1.39 13 % DMA CONSTRUCTION LLC CLARKSTON 6186980A 800 5/22/2021 5476 EDIS PAINTING LLC CLARKSTON 6153011A 800 4/10/2021 5476 EDWARD F VANDEVELDER INC CLARKSTON 2113104A 709 6/10/2021 0042

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JP LAWN SPRINKLERS INC CLARKSTON 0699390A 3,059 4/6/2021 5183 0.95 JRS DREAM ARABIANS LLC CLARKSTON 5611210A 3,371 6/17/2021 9015 0.95 KRAFTWOOD HOMES LLC CLARKSTON 1189913A 750 6/12/2021 5645 LAW OFFICE OF JOHN D MULVIHILL PLLC CLARKSTON 3929825A 230 5/27/2021 8820 MASTER SWEEP CHIMNEY SERVICE LLC CLARKSTON 5835712A 751 5/18/2021 9015 MEINECKE DAVID A CLARKSTON 1899236A 750 5/28/2021 5645 MERK CONSTRUCTION LLC CLARKSTON 0453854A 844 5/2/2021 5022 MI BRICK LLC CLARKSTON 6180531A 755 5/9/2021 5022 MIJANGOS PAINTING CLARKSTON 4348265A 750 4/17/2021 5476 MMCPS INC CLARKSTON 2634112A 825 4/22/2021 5476 MONKEY BUSINESS FOOD TRUCK LLC CLARKSTON 5687373A 329 4/9/2021 9058 OAKLAND STORAGE LLC CLARKSTON 6182062A 1,096 5/13/2021 5146 SAVAGE PATRICK CLARKSTON 5833531A 750 6/4/2021 5437 SEACO SPECIAL TOOLING INC CLARKSTON 0644510A 464 4/15/2021 8742 STONEWOOD PLACE CONDOMINIUM CLARKSTON 5863511A 568 5/10/2021 9015 ASSOCIATION TACTICAL PRODUCTION SUPPORT LLC CLARKSTON 5992451A 349 6/10/2021 8810 TEETER CONSTRUCTION LLC CLARKSTON 5228832A 750 4/21/2021 5645 TIM KERR DRYWALL CLARKSTON 2606852A 751 4/17/2021 5445 YLVISAKER INVESTMENT CO CLARKSTON 0481556A 750 6/23/2021 5476 R L H CARPENTRY LLC CLARKSVILLE 5749328A 801 5/15/2021 5645 EPIC CONCRETE LLC CLAWSON 5447658A 1,518 4/3/2021 5221 0.95 SHRUM CARPENTRY CLAWSON 6185649A 750 5/20/2021 5437 APPLIED PROJECT SOLUTIONS LLC CLAY 4979613A 238 4/26/2021 8601 MR SKYLIGHT CLAY 3177173A 2,290 6/15/2021 5645 0.95 THOMAS COREY CLAY 5995019A 750 5/14/2021 5551 TOM PHILLIP HOMES INC CLAY 0104582A 820 6/8/2021 8742 0.95 NEW WORLD CONSTRUCTION CLAY TWP 3163571A 750 6/11/2021 5551 RYANS CARPET INSTALLATION CLAY TWP 5251958A 746 5/22/2021 9521 SOUTHERN MICHIGAN EXTERIORS LLC CLAYTON 5766788A 800 6/17/2021 5437 0.90 OHIO ADDRESSING MACHINE COMPANY CLEVELAND, OH 5118034A 381 4/4/2021 8742 G BOREK EXCAVATING LLC CLIFFORD 6008933A 2,521 6/29/2021 6217 STORM TRUCKING LLC CLIFFORD 4072545A 750 5/20/2021 7208 FAIRBANKS DOUGLAS C CLINTON 5579864A 800 6/25/2021 8279 KEMPHER CONSTRUCTION COMPANY INC CLINTON 1740229A 789 4/17/2021 6217

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PENN ACRES GRAIN INC CLINTON 0344133A 2,240 4/20/2021 8304 0.95 DO REMODELING LLC CLINTON TOWNSHIP 1598244A 750 4/6/2021 7208 HIGH RISE CARPET CLEANING LLC CLINTON TOWNSHIP 6187609A 2,560 5/22/2021 9015 J AND A VENTURES LLC CLINTON TOWNSHIP 4975049A 570 4/6/2021 8810 PROPERTY MANAGEMENT EXPERTS INC CLINTON TOWNSHIP 5441730A 645 6/28/2021 8810 RISE MANAGEMENT LLC CLINTON TOWNSHIP 5877199A 527 6/22/2021 9058 WOODWARD TRANSPORTATION LLC CLINTON TOWNSHIP 6161120A 3,972 4/25/2021 7212 ACCORD ENTERPRISES LLC CLINTON TWP 5919762A 750 6/25/2021 5403 ALL AROUND HOME & COMMERCIAL SERVICES CLINTON TWP 5702160A 762 4/12/2021 9102 LLC ANDOVER HEIGHTS CONDOMINIUM CLINTON TWP 0638609A 586 6/5/2021 8810 ASSOCIATION ANWILL CONSTRUCTION CLINTON TWP 5415373A 750 6/18/2021 5476 0.95 B AND B PAINTING LLC CLINTON TWP 6204899A 1,577 6/23/2021 5476 BERCHIOLLY SAMUEL A CLINTON TWP 3906868A 540 6/8/2021 9521 BLUE WATER RENOVATION LLC CLINTON TWP 4881346A 825 6/6/2021 5476 BRAND NEW DETROIT LLC CLINTON TWP 5125448A 800 4/13/2021 5476 0.95 BRIGHT HOME RENOVATIONS LLC CLINTON TWP 5989698A 800 4/25/2021 5645 CHAMPION REMODELING GROUP LLC CLINTON TWP 6191436A 1,630 5/30/2021 5645 COMPETITIVE HOISTING SERVICES INC CLINTON TWP 4845765A 3,516 4/5/2021 9530 1.12 DETAIL ORIENTED LLC CLINTON TWP 5707560A 750 4/22/2021 5437 E C TRANSPORT INC CLINTON TWP 5280320A 750 6/13/2021 7208 EASTSIDE METALS LLC CLINTON TWP 5326583A 2,340 5/2/2021 8264 0.95 FABIANS TILE & MARBLE LLC CLINTON TWP 6197698A 751 6/11/2021 5348 FACILITIES SECURITY MANAGEMENT INC CLINTON TWP 5725631A 8,382 6/29/2021 7720 0.93 FIGLIOLI TILE AND STONE LLC CLINTON TWP 2989131A 750 4/29/2021 5348 FIRE GUARD INC CLINTON TWP 2286386A 510 4/12/2021 5188 FOUR TS TRANSPORT INC CLINTON TWP 6004636A 750 6/15/2021 7208 G AND T PRESSURE WASHING LLC CLINTON TWP 4484908A 1,144 6/25/2021 9015 0.95 GAD HOMES INC CLINTON TWP 4028082A 750 5/10/2021 5645 GREEN TECH LIGHTING LLC CLINTON TWP 4122259A 539 4/16/2021 5190 INNOVATIVE HOME REPAIR LLC CLINTON TWP 5402808A 750 5/8/2021 5437 INTELLIGENT MANAGEMENT SOLUTIONS INC CLINTON TWP 6003486A 315 6/12/2021 8810 JUST GUTTERS & SHEET METAL INC CLINTON TWP 3178072A 706 4/22/2021 5538 KENNIS AND PROVA LLC CLINTON TWP 4630963A 9,549 5/27/2021 7720 0.84

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KIDS LEARNING CENTER LLC CLINTON TWP 5269040A 241 5/9/2021 8868 LOW VOLTAGE SYSTEMS L C CLINTON TWP 5393701A 302 4/4/2021 5191 M AND N CONSTRUCTION LLC CLINTON TWP 5127785A 706 4/18/2021 5538 MACOMB OAKLAND GUARDIANSHIP INC CLINTON TWP 2114950A 350 5/4/2021 8820 MANIC CONTRACTING INC CLINTON TWP 3513513A 55,282 5/6/2021 5403 1.39 13 % MASONIC ARMS CONDOMINIUM ASSOCIATION CLINTON TWP 1276506A 568 6/1/2021 9015 MICHAEL CAL BROOKS LLC CLINTON TWP 2789388A 756 5/23/2021 5538 MODERN TILE CREATIONS LLC CLINTON TWP 4211936A 750 4/29/2021 5348 MORAVIAN WOODS ASSOCIATION CLINTON TWP 1244370A 618 4/1/2021 9015 MPJK LLC CLINTON TWP 5277868A 829 6/6/2021 5445 0.95 MWV ENVIRONMENTAL SERVICES INC CLINTON TWP 5553784A 6,745 5/1/2021 5183 0.91 ONE WAY RENOVATION & CONSTRUCTION INC CLINTON TWP 5672104A 750 6/17/2021 5437 PREMIUM FLOORS LLC CLINTON TWP 1278312A 750 4/15/2021 5437 PRIME TV LLC CLINTON TWP 4874790A 445 6/2/2021 8810 QUALITY TILE COMPANY LLC CLINTON TWP 3636739A 751 5/30/2021 5476 R AND R POWERWASH CLINTON TWP 4047869A 568 6/17/2021 9015 RAY SPORTS LLC CLINTON TWP 5128986A 416 5/8/2021 9058 ROBERT ALTON MCCULLUM III BUILDING CO LLC CLINTON TWP 5447003A 1,139 4/11/2021 9015 RT INSTALLATIONS LLC CLINTON TWP 4329597A 719 4/4/2021 9015 RUEHLEN JEFF CLINTON TWP 2146029A 825 5/5/2021 5645 S AND K GROUP LLC CLINTON TWP 0712035A 53,939 6/1/2021 9058 0.96 S MANSOUR INC CLINTON TWP 4762908A 1,474 5/1/2021 9058 0.95 SBB SERVICES LLC CLINTON TWP 5856205A 341 4/20/2021 8720 SCOTT CONSTRUCTION & MECHANICAL LLC CLINTON TWP 0831832A 674 6/8/2021 5550 SELECTIVE MARINE SERVICES CLINTON TWP 4868846A 548 5/11/2021 6836 STEADY EDDIES HOME IMPROVEMENTS LLC CLINTON TWP 4326903A 750 6/24/2021 5645 STEIN 1 JANITORIAL SERVICES LLC CLINTON TWP 3350444A 1,442 5/21/2021 9015 0.95 STRATFORD VILLAGE MANOR CONDOMINIUM CLINTON TWP 4761294A 725 6/19/2021 9015 ASSOCIATION THIRTY SIX THOUSAND 315 EXPRESS INC CLINTON TWP 4860764E 819 5/31/2021 8017 0.95 TORCH DEVELOPMENT LLC CLINTON TWP 2644789A 568 5/5/2021 9015 0.95 TOWER SERVICE & MAINTENANCE LLC CLINTON TWP 5272572A 4,505 6/21/2021 5550 TREE SOLUTIONS LLC CLINTON TWP 5864240A 750 5/14/2021 0106 WILLIAMS HISTORIC RESTORATION INC CLINTON TWP 5464293A 5,685 5/15/2021 5437 0.90 YOUNG INNOVATIONS INC CLINTON TWP 4409000A 750 5/24/2021 5645 0.96

1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 30 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALKAY CONTRACTING SERVICES LC CLIO 4205073A 1,152 4/14/2021 8829 0.95 BUSY DAY CLEANING CLIO 0049930A 569 5/11/2021 9015 CUSTOM CONCRETE DESIGN LLC CLIO 5695660A 750 5/11/2021 5221 DAVIDSON ENTERPRISES INC CLIO 1811550A 1,170 5/10/2021 9058 0.95 FIRST CLASS TIRE SHREDDERS INC CLIO 2490030A 18,219 6/19/2021 4410 1.00 HOYT AND COMPANY LLC CLIO 5872308A 1,069 6/1/2021 4299 JD HOME IMPROVEMENT CLIO 5417791A 2,029 6/23/2021 5645 0.95 JEFF THORNTON CONSTRUCTION LLC CLIO 1080334A 750 6/22/2021 5645 KENTS CONSTRUCTION CLIO 4367707A 750 4/2/2021 5645 STEPHEN BURGESS CONSTRUCTION LLC CLIO 5270642A 783 5/14/2021 5403 DEER CREEK RIGGING & MICROWAVE INC CLOVERDALE, IN 6177956A 3,440 5/8/2021 7600 OLD HAT PROPERTY MAINTENANCE LLC CLYDE 6005578A 1,727 6/19/2021 5437 BROADHEADS AND BULLETS LLC COLDWATER 5222052A 899 6/1/2021 8010 NICHOLS ACCOUNTING & TAX SERVICE LLC COLDWATER 1230239A 280 5/24/2021 8810 C M RUBBER TECHNOLOGIES INC COLEMAN 4556402A 800 4/14/2021 8810 ROBERTS AUTO ENTERPRISES INC COLEMAN 1414151A 569 4/30/2021 8395 1.00 BERRYS HARDWOOD FLOORING INC COLOMA 1769006A 298 6/29/2021 8742 DIBBLE RICHARD COLOMA 0886491A 812 6/20/2021 6229 0.95 PAW PAW LAKE GAS AND DOCK LLC COLOMA 5997143A 494 5/18/2021 6836 SIMMONS DAVID COLOMA 6195091A 386 6/6/2021 8601 BOWERS SERVICE LLC COLON 0734373A 1,806 6/2/2021 8395 0.95 FRISBIE LOREN COLON 3974995A 505 6/5/2021 0128 TRIPLE G TRANSPORT LLC COLON 5403340A 800 4/20/2021 7208 ATYPICAL ASSISTANCE LLC COLUMBIAVILLE 6187021A 1,016 5/25/2021 0042 BLACK FOREST WOODWORKING LLC COLUMBIAVILLE 4350987A 750 5/26/2021 5437 FIRST CHOICE RV REPAIR LLC COLUMBIAVILLE 3547086A 1,984 5/3/2021 8393 0.95 MCDOWELL CONSTRUCTION LLC COLUMBIAVILLE 1274244A 292 4/4/2021 8810 0.95 RONNIE BRASHER DRYWALL LLC COLUMBIAVILLE 0203610A 800 5/31/2021 5445 RUNDELL BLACKTOP STRIPING LLC COLUMBIAVILLE 4211707A 750 6/22/2021 5476 SPRAYTIGHT INC COLUMBIAVILLE 4945921A 9,621 6/12/2021 5479 1.32 27 % WATERMAN CONSTRUCTION COLUMBIAVILLE 1602136A 800 4/6/2021 5551 CENTENNIAL CUSTOM TILE INC COLUMBUS 3267539A 800 5/2/2021 5348 HURON LADY II INC COLUMBUS 4876237A 398 6/24/2021 8810 JD MODRICH STAFFING INC COLUMBUS 4098366A 2,096 5/9/2021 8829 0.95 S AND S LANDSCAPING INC COLUMBUS 2455188A 759 5/8/2021 0042 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 31 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MERIDIAN CONTRACTING AND EXCAVATING LLC COMMERCE 5539986A 806 4/1/2021 4000 0.94 SAMS PLUMBING INC COMMERCE 0100498A 754 4/12/2021 8810 SEDONA STONE & TILE LLC COMMERCE 5553288A 751 4/27/2021 5348 SLEIMAN PHARMACEUTICAL CONSULTING PLLC COMMERCE 5993270A 516 5/8/2021 4611 STANTS INSURANCE GROUP INC COMMERCE 5547270A 239 5/1/2021 8810 WAFER AL COMMERCE 5994721A 750 5/11/2021 5437 PAINTING BY EDWARD COMMERCE TS 3096815A 750 6/25/2021 5476 ANDOVER PARK LLC COMMERCE TWP 5269695B 750 5/5/2021 5645 AQUA FLAME LLC COMMERCE TWP 1189409A 732 6/9/2021 5550 ARTISTIC TILE AND STONE INC COMMERCE TWP 5095514A 825 6/16/2021 5348 0.95 BROWNS CARPENTRY COMMERCE TWP 0992771A 800 5/11/2021 5437 CCM CONCRETE & MASONRY LLC COMMERCE TWP 4888103A 750 6/17/2021 5022 CEI ELECTRIC CO COMMERCE TWP 2309041A 828 5/18/2021 8810 COMET SERVICES LLC COMMERCE TWP 3568075A 751 5/18/2021 5223 CURTIS BOTSFORD COMMERCE LLC COMMERCE TWP 3972631A 825 6/30/2021 8810 DB HOME SOLUTIONS LLC COMMERCE TWP 4977122A 750 4/11/2021 5437 DJJP COMPANY COMMERCE TWP 0174866A 572 6/18/2021 9015 EYECARE OF LIVONIA PLLC COMMERCE TWP 5558158A 300 5/10/2021 8832 HIGH LIGHTING SERVICE COMPANY COMMERCE TWP 2834219A 4,352 4/27/2021 3724 0.93 IRONWOOD PARK PLAZA 1 LLC COMMERCE TWP 0575887A 618 5/8/2021 8810 J F B CONSTRUCTION CO INC COMMERCE TWP 0228885A 813 4/7/2021 5606 0.95 JK CONSTRUCTION MANAGEMENT LLC COMMERCE TWP 5441870A 570 4/15/2021 5606 MICHIGAN INDUSTRIAL SHROUD CLEANING LLC COMMERCE TWP 4091345A 631 6/10/2021 3724 OAKLAND HARVESTERS LLC COMMERCE TWP 5840651A 657 5/31/2021 9015 0.95 ONE EXPRESS BUILDERS LLC COMMERCE TWP 6187714A 750 5/22/2021 5437 PLLUMBAJ PAINTING LLC COMMERCE TWP 4782593A 751 6/1/2021 5476 REESE CONTRACTING INC COMMERCE TWP 4231651A 11,180 6/24/2021 5445 1.33 13 % RODRIGUEZ PAINTING AND POWERWASH COMMERCE TWP 4791002A 750 6/1/2021 5476 SCHAAR MASONRY COMMERCE TWP 5333288A 752 4/13/2021 8742 ZAMORA CONSTRUCTION LLC COMMERCE TWP 4338898A 750 4/25/2021 5551 APPLIED BEHAVIORAL SCIENCE INSTITUTION LLC COMSTOCK PARK 5859514A 882 5/11/2021 8835 DUARTE LUDIN E CUBIAS COMSTOCK PARK 6189636A 750 5/28/2021 5476 JUNK MAN COMSTOCK PARK 4862864A 755 6/22/2021 8264 PATTON DEAN ALLEN COMSTOCK PARK 2815214A 750 5/14/2021 5445 0.95 POSEIDON POOL SERVICE LLC COMSTOCK PARK 5540925A 2,767 4/4/2021 9015 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 32 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CUSTOM REHAB SOLUTION INC CONCORD 5838460A 230 4/21/2021 8832 TAYLOR CONSTRUCTION CONSTANTINE 4274563A 3,745 5/23/2021 5551 GLOBAL DIAGNOSTIC SERVICES INC CONYERS, GA 4697804A 340 4/23/2021 8832 BAUSTERT CONSTRUCTION LLC COOPERSVILLE 4357400A 541 6/12/2021 9521 L P TREE SERVICE LLC COOPERSVILLE 4063694A 5,286 5/3/2021 0106 0.91 MARKS CHRISTOPHER COOPERSVILLE 5726360A 1,654 6/26/2021 7208 NIELSEN BUILDERS INC COOPERSVILLE 0347361A 750 4/7/2021 5645 OTTAWA CUSTOM HOMES LLC COOPERSVILLE 3066894A 750 5/18/2021 8810 SUPERIOR DIVE SERVICE LLC COOPERSVILLE 6191460A 1,056 5/30/2021 1164 WEST MICHIGAN INSTALLED SALES COOPERSVILLE 4308441A 791 6/27/2021 5538 0.95 ARCHANGEL ANCIENT TREE ARCHIVE COPEMISH 4908864A 3,260 5/1/2021 0005 0.95 CANFIELD METAL CRAFT COPEMISH 4418816A 1,770 5/19/2021 5550 MILARCH OUTDOOR SERVICES LLC COPEMISH 5727812A 4,972 6/30/2021 0106 0.95 COPPER HARBOR TRAILS SOCIETY INC COPPER HARBOR 4543149A 249 6/1/2021 8810 ASSOCIATED PROPERTY SERVICES LLC CORAL 4763343A 7,129 6/10/2021 5022 0.92 SIMON BUILDERS CORAL 4011066A 1,853 4/4/2021 5645 0.95 R AND H LOGGING INC CORNELL 3498395A 4,719 5/24/2021 2709 0.95 TRIPLE A GYMNASTICS LLC CORNELL 5156963A 432 6/24/2021 9063 CURB APPEAL PROPERTY MAINTENANCE LLC CORUNNA 1250035A 750 6/23/2021 5403 FREEDOM FLOOR COVERINGS LLC CORUNNA 6008690A 5,341 6/28/2021 5348 MRI EXPRESS LLC CORUNNA 4942680A 1,750 6/23/2021 7208 0.95 NUMERICH TIMOTHY CORUNNA 3925625A 800 6/13/2021 5645 ALL AROUND FENCING LLC COTTRELLVILLE 3628876A 1,450 4/22/2021 6400 0.95 DO ALL CARPENTRY LLC COTTRELLVILLE 5593719A 4,330 5/3/2021 5645 0.95 MARINE CITY AVIATION INC COTTRELLVILLE 4642139A 1,119 6/27/2021 7423 0.95 MJW CARPENTRY LLC COTTRELLVILLE 5396166A 800 5/20/2021 5645 0.95 W 2 GRAPHICS SPECIALISTS LLC COTTRELLVILLE 4595866A 408 4/14/2021 4299 A J COOPER CORPORATION CROSWELL 2693909A 654 5/11/2021 6836 FIRST CALL SECURITY SERVICES INC CROSWELL 5846803A 776 6/4/2021 7720 HINOJOSA CONTRACTING CROSWELL 6042538A 3,960 5/15/2021 5221 RL SHELL TRUCKING CROSWELL 2566117A 1,982 6/28/2021 7208 0.95 WH HOME IMPROVEMENT CROSWELL 1780476A 750 6/5/2021 5645 JACKS RESTORATION CRYSTAL 6197825A 750 6/11/2021 5645 BRIAN CAROLLO TRUCKING LLC CRYSTAL FALLS 5409950A 750 6/5/2021 7208 CHARLES UREN TRUCKING LLC CRYSTAL FALLS 5521211A 750 5/19/2021 7208 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 33 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GALICA TRUCKING LLC CRYSTAL FALLS 5648432A 800 5/15/2021 2702 MARINOFF RALPH CRYSTAL FALLS 1367811A 750 5/24/2021 7213 TASTY REX BAKERY LLC CRYSTAL FALLS 6202187A 560 6/19/2021 8017 WORKING CLASS IRONWORKS INC CURRAN 5382432A 7,782 5/27/2021 3365 0.95 UNCLE JOES LOGGING CURTIS 4228740A 750 5/8/2021 2709 SMART DELIVERIES & TRANSPORTATION LLC DAFTER 5715989A 815 6/1/2021 7206 LAMPINEN LOG AND TILL DAGGETT 4458532A 750 4/30/2021 7208 VERBA DARELL L DAGGETT 0160342A 750 4/10/2021 2702 VERBA JEFF W DAGGETT 0144428A 750 4/10/2021 2702 VERBISKY TRUCKING LLC DAGGETT 3976548A 750 5/13/2021 7208 BASORE INSPECTIONS LLC DANSVILLE 5125421A 340 4/6/2021 8720 MMI CONSTRUCTION SVC LLC DANVILLE, KY 5720397A 5,233 5/27/2021 3724 0.95 A AND J EXCAVATING INC DAVISBURG 3764710A 789 4/8/2021 6217 ARROWHEAD DISCOUNT TREE SERVICE LLC DAVISBURG 3900991A 894 5/24/2021 0042 CTM CUSTOM STAIRS & WOODWORKING LLC DAVISBURG 3036570A 750 5/27/2021 5437 FOUR SEASONS PAINTING & DRYWALL LLC DAVISBURG 2701456A 800 4/4/2021 5476 MARCOS AND CARLOS DAVISBURG 6181619A 750 5/13/2021 9015 MR CLEAN POWERWASHING INC DAVISBURG 3699250A 2,094 5/24/2021 9015 0.95 PRECISION PAINTING IMPROVEMENTS LLC DAVISBURG 5853869A 750 6/16/2021 5476 WEB PRESS OF MICHIGAN INC DAVISBURG 3837947C 408 5/1/2021 4299 AAA OUTDOOR SERVICES INC DAVISON 4053010A 6,811 6/8/2021 7208 1.55 13 % CENTRAL MICHIGAN CONTRACTING DAVISON 2966883A 750 5/9/2021 5645 COLORFLIP PAINTING LLC DAVISON 5394198A 1,018 4/8/2021 5645 CREATIVE COATINGS LLC DAVISON 3915204A 750 4/23/2021 5476 DYNAMIC HOME SOLUTIONS LLC DAVISON 5404789A 2,864 5/13/2021 5476 0.95 GILMAN TILE CO DAVISON 2298775A 750 6/29/2021 5348 INTERGRATED FLOORING DAVISON 5927099A 541 5/6/2021 9521 JOHNSTON STONE WORKS INC DAVISON 2253160A 750 4/8/2021 5022 0.95 JPM WOODWORKING INC DAVISON 5998786A 750 5/23/2021 5437 KENS CONSTRUCTION DAVISON 5149282A 750 6/5/2021 5551 THOMPSON ENTERPRIZES INC DAVISON 3675378A 750 5/25/2021 5645 TMY CONSTRUCTION INC DAVISON 4831357A 5,525 5/16/2021 5437 0.90 WHITNEY LAWN SERVICE LLC DAVISON 5545633A 855 4/28/2021 9102 0.95 CONSOLIDATED RIGGERS INC DAYTON, OH 4023340A 762 6/29/2021 3724 R D P CORPORATION DAYTON, OH 1705539A 584 5/28/2021 8742 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 34 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AL AYN SOCIAL CARE FOUNDATION DEARBORN 5535425A 496 5/5/2021 8810 AMALIAS FUEL LLC DEARBORN 5946859A 928 4/9/2021 8017 APPLIED HANDLING INC DEARBORN 6002544A 825 6/7/2021 5102 ARAB AMERICAN LANGUAGE INSTITUTE INC DEARBORN 4556224A 304 6/21/2021 8810 CDPA ARCHITECTS & PLANNERS LLC DEARBORN 5841470A 835 4/24/2021 8601 CLEAN AIR MANAGEMENT INC DEARBORN 0346381A 773 5/2/2021 4511 DEARBORN 94 TRUCK STOP INC DEARBORN 5715580A 836 5/12/2021 8387 EASTERN GREAT LAKES WINDOW CLEANING INC DEARBORN 3408280A 1,734 6/28/2021 9015 1.00 EDX TRANSPORT LLC DEARBORN 5632927A 803 5/2/2021 8810 ELEGANT HOMES REALTY INC DEARBORN 6182119A 272 5/13/2021 8742 FIRST CLASS ROOFING LLC DEARBORN 5992028A 5,812 5/6/2021 5551 FORD ROSEVERE INC DEARBORN 4860764G 502 5/30/2021 8017 0.95 GARRISON SQUARE ASSOCIATES DEARBORN 0998290A 643 5/12/2021 9015 GEMINI TRANSPORT LLC DEARBORN 4166701A 31,464 4/28/2021 7208 1.51 10 % HALFACRE AND ASSOCIATES DEARBORN 4039637A 3,856 5/16/2021 7720 0.95 HELLO EXPRESS INC DEARBORN 0537039A 776 5/10/2021 8810 0.95 JAWANI BUILDING & DEVELOPMENT INC DEARBORN 5439680A 3,278 6/10/2021 5437 0.95 KINGS BAKERY LLC DEARBORN 5138906A 560 5/14/2021 8017 0.95 LAYRITE MASONRY DEARBORN 4087100A 751 5/15/2021 5022 LEAK MASTERS ROOFING LLC DEARBORN 5984173A 750 4/24/2021 5551 M AND M TOWING & RECOVERY LLC DEARBORN 5452872A 13,330 4/11/2021 7208 0.88 MAJED A MOUGHNI P L L C DEARBORN 5705665A 389 4/18/2021 8820 N C DESIGNERS & CONTRACTING INC DEARBORN 3437787A 831 4/5/2021 8742 NATIONAL FUEL TRANSPORT LLC DEARBORN 5715636A 7,846 6/24/2021 7208 0.95 NORTHWEST CONSTRUCTION LLC DEARBORN 3920275A 755 4/19/2021 8742 0.95 PATRIOT FLOORING & CARPET LLC DEARBORN 3822885A 590 6/17/2021 9521 PRECISION TRUCKING LLC DEARBORN 5695503A 786 4/6/2021 7212 RED CAP TRANSPORTATION INC DEARBORN 5415861A 750 6/19/2021 7208 ROBOT CAMP LLC DEARBORN 6007953A 358 6/26/2021 7610 RT JOHNSON HOMECARE INC DEARBORN 5850070A 5,670 4/9/2021 8835 0.95 RUDNICKI REMODELING DEARBORN 0877638A 750 5/1/2021 5645 S M A FLOORING INC DEARBORN 4984854A 594 4/10/2021 8810 SCALES CARPETING INC DEARBORN 4339622A 590 4/26/2021 9521 SIMONES EUROPEAN FASHIONS INC DEARBORN 3730417A 541 5/29/2021 8006 TEN THOUSAND 001 EXPRESS INC DEARBORN 4860764F 524 5/31/2021 8017 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 35 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UNITED TOWING INC DEARBORN 2709562A 48,406 5/24/2021 7208 0.75 USA INTERMODAL TRUCKING SERVICES INC DEARBORN 5318190B 801 5/16/2021 8810 1.60 13 % UZNIS HOMES LLC DEARBORN 2004585A 750 6/12/2021 5645 VANS MAIL DELIVERY LTD DEARBORN 0893358A 1,483 5/23/2021 8292 0.95 VIP CHAIR COVERS INC DEARBORN 6000789A 865 5/30/2021 9015 W HAMMONS TRUCKING INC DEARBORN 4384350A 2,081 5/15/2021 7208 0.95 WATERFRONT FUEL LLC DEARBORN 6196110A 2,137 6/9/2021 6826 WAZA CONSTRUCTION LLC DEARBORN 5719860A 1,119 5/25/2021 5606 A AND A IMAGING CO DEARBORN HEIGHTS 6199615A 2,350 6/14/2021 9558 A AND L MASON CONTRACTORS INC DEARBORN HEIGHTS 1852906A 801 4/10/2021 8810 ALL WAYS HEATING AND COOLING LLC DEARBORN HEIGHTS 5394520A 1,331 4/10/2021 5550 0.95 ARROW AUTOMOTIVE GROUP INC DEARBORN HEIGHTS 6001297A 438 6/14/2021 8810 BERTS TESTING & TRAINING SERVICES INC DEARBORN HEIGHTS 2707225A 701 6/5/2021 8868 BLUE MOON HOOKAH CAFE & LOUNGE LLC DEARBORN HEIGHTS 6207740A 1,394 6/29/2021 8017 CHOICE CARPENTRY DEARBORN HEIGHTS 4344170A 800 5/24/2021 5437 0.95 CHUCK HARRISON LAWN SPRINKLERS LLC DEARBORN HEIGHTS 4372514A 937 4/2/2021 5183 0.95 DHEINIS CARPET LLC DEARBORN HEIGHTS 5138280A 540 5/3/2021 9521 DREAM CARPET INC DEARBORN HEIGHTS 5290724A 903 5/12/2021 9521 ECO GREEN ENVIRONMENTAL SERVICES LLC DEARBORN HEIGHTS 5399610A 1,677 4/1/2021 9015 0.95 EMPIRE AUTO TRANSPORT LLC DEARBORN HEIGHTS 5846781A 750 5/21/2021 7208 FA TIMAS KITCHEN LLC DEARBORN HEIGHTS 6207707A 666 6/29/2021 9058 FUTURE TRANSPORTATION OF US INC DEARBORN HEIGHTS 5469813A 2,653 5/19/2021 7212 0.87 GARDEN CITY GARAGES INC DEARBORN HEIGHTS 2110245A 2,455 5/9/2021 5437 0.95 H AND Z TRANSPORT LLC DEARBORN HEIGHTS 5277400A 5,733 6/18/2021 7208 HAZIME CARPET PLUS INC DEARBORN HEIGHTS 2630702A 1,880 5/29/2021 9521 0.95 IOS COMMERCIAL LLC DEARBORN HEIGHTS 6156150A 750 4/15/2021 5476 JAGX INC DEARBORN HEIGHTS 5555736A 732 6/14/2021 7720 K AND N CARPETING INC DEARBORN HEIGHTS 6205380A 590 6/24/2021 9521 KALICO LLC DEARBORN HEIGHTS 6004318A 736 6/27/2021 9063 MRT ENVIRONMENTAL INC DEARBORN HEIGHTS 4478088B 15,412 5/3/2021 5183 0.71 NEXE TILE DEARBORN HEIGHTS 5552184A 750 5/7/2021 5348 NU WAVE AQUARIUMS LTD DEARBORN HEIGHTS 0325309A 695 5/15/2021 8831 OL ALI CARPETS LLC DEARBORN HEIGHTS 3838110A 896 6/9/2021 9521 R W CONSTRUCTION LLC DEARBORN HEIGHTS 2998114A 825 5/2/2021 5022 RIGHT MOVE INC DEARBORN HEIGHTS 4044401A 472 6/15/2021 8868 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 36 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROBERT J CASSAR PC DEARBORN HEIGHTS 3334600A 228 5/24/2021 8810 SEVEN HEAVEN INC DEARBORN HEIGHTS 4882032A 976 4/28/2021 9521 TALL OAKS OF WESTLAND CONDOMINIUM DEARBORN HEIGHTS 2614308A 618 6/1/2021 9015 ASSOCIATION TOTAL HOMECARE SOLUTIONS INC DEARBORN HEIGHTS 4839927A 1,152 5/23/2021 8835 U SAVE CARPET INSTALLATION LLC DEARBORN HEIGHTS 5401674A 590 5/5/2021 9521 WALIGORSKI THOMAS M DEARBORN HEIGHTS 5242827A 3,646 4/16/2021 5551 0.95 A E PROGRESSION GROUP LLC DECATUR 5518105A 284 6/15/2021 8810 0.95 HARD TIMES FAMILY RESTAURANT DECATUR 2161320A 2,103 5/17/2021 9058 1.00 ROOP GURLEEN PETROLEUM LLC DECATUR 5441056A 1,457 5/5/2021 8017 0.95 B C TRUCKING OF MARLETTE INC DECKER 2687127A 750 5/2/2021 7208 DANS HOME IMPROVEMENTS DECKER 5273099A 750 5/22/2021 5551 ALL AMERICAN TREE SERVICES DECKERVILLE 4466730A 751 4/30/2021 9102 LARRYS DECORATING INC DECKERVILLE 2171678A 1,366 5/3/2021 5476 0.95 PALMER FARMS INC DECKERVILLE 2363844A 3,082 6/3/2021 0011 0.95 AFFORDABLE HOME MAINTENANCE LLC DELTON 3556514A 750 6/4/2021 5437 BOULTERS AFC HOME DELTON 5405289A 3,368 5/18/2021 9053 0.95 DELTON SUDS LLC DELTON 6206190A 720 6/20/2021 8017 LA TRANSPORT AND HAULING LLC DELTON 5401100A 3,418 5/2/2021 7380 0.95 DJR MICHIGAN PROPERTIES LLC DENVER, CO 5991862A 7,476 5/2/2021 0035 JACKSON FORK RANCH PERCHERONS LLC DENVER, CO 5989221A 7,175 4/24/2021 8279 0.95 A 1 DIESEL REPAIR INC DETROIT 5548004A 1,224 5/2/2021 8395 0.95 A AND V CONSTRUCTION AND MAINTENANCE LLC DETROIT 5722659A 750 6/3/2021 5437 0.95 AAA USED AUTO SALES & PARTS LLC DETROIT 5402344A 706 5/5/2021 8264 0.95 ADAMO DEMOLITION COMPANY DETROIT 2207273A 825 6/30/2021 7380 1.00 ADC INC DETROIT 2925850A 825 6/30/2021 5610 AEVITAS SPECIALTY SERVICES CORP DETROIT 4955765A 21,073 6/15/2021 4712 0.76 AFFORDABLE MANAGEMENT LLC DETROIT 4969049A 4,425 5/31/2021 7208 AFTERSCHOOL CAFE LLC DETROIT 4199871A 241 6/11/2021 8868 AIR TECHNOLOGY SYSTEMS INC DETROIT 3459420A 1,815 4/4/2021 5183 0.95 AL HAKIM CORPORATION DETROIT 4062108A 792 4/19/2021 8017 ALEXANDERS TOTAL LAWN CARE SERVICES LLC DETROIT 5723809A 524 6/13/2021 9102 ALINOSI FRENCH ICE CREAM CO INC DETROIT 0004375A 1,086 5/22/2021 2041 0.95 ALL INCLUSIVE SECURITY & INVESTIGATION LLC DETROIT 4457498A 1,764 6/6/2021 7720 0.95 ALL STARS TRUCK DRIVING SCHOOL INC DETROIT 4620992A 673 5/13/2021 8868

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL TOGETHER SERVICES INC DETROIT 4461665A 689 5/13/2021 8810 ALS PETRO INC DETROIT 0169811A 497 5/4/2021 8017 ANDRADE DRYWALL LLC DETROIT 6186734A 750 5/21/2021 5445 ANGEL PATIENT INC DETROIT 6200176A 1,182 6/16/2021 9053 ANGELS GROUP LLC DETROIT 6186203A 1,119 5/19/2021 8010 AT MANAGEMENT SERVICES INC DETROIT 5264790A 380 4/25/2021 8017 B A T S TOWING INC DETROIT 5250749A 750 5/12/2021 7208 0.95 B AND S OIL INC DETROIT 1494775A 874 6/12/2021 8017 0.95 BAYVIEW YACHT CLUB JUNIOR SAILORS INC DETROIT 2400855A 323 5/25/2021 8868 BEES IN THE D DETROIT 5854245A 543 4/13/2021 0034 BERRY AND SONS RABABEH ISLAMIC DETROIT 1838687A 3,237 4/12/2021 2081 0.95 SLAUGHTER HOUSE INC BIG SAM AUTO PARTS INC DETROIT 5716217A 3,432 6/12/2021 8010 0.95 BIMS LOAN COMPANY INC DETROIT 0161950A 878 5/7/2021 8017 BOBBYS TCB TOWING SERVICE INC DETROIT 1854186A 9,077 6/20/2021 7208 0.91 BULK INDUSTRIAL SERVICES LLC DETROIT 5406820A 3,029 6/21/2021 5183 0.95 C D D PAINTER LLC DETROIT 6003133A 750 6/11/2021 5476 C H FOOD MART INC DETROIT 5862035A 773 5/31/2021 8017 CAPSTONE RENOVATIONS LLC DETROIT 6087833A 750 5/19/2021 5437 CARLOS AND ALEXANDER CONSTRUCTION CO DETROIT 5707196A 750 5/10/2021 5645 0.95 INC CARRIE MORRIS ARTS PRODUCTION DETROIT 5960932A 1,375 5/1/2021 9156 CASEY SIGN CO INC DETROIT 2123169A 1,430 6/9/2021 4299 0.95 CHARBEL MART LLC DETROIT 5724775A 985 6/15/2021 8017 CHILDRENS HOSPITAL OF MICHIGAN DETROIT 4830822A 232 4/12/2021 8810 0.95 FOUNDATION CMJ TRUCKING INC DETROIT 5987857A 800 4/13/2021 7208 COALITION ON TEMPORARY SHELTER DETROIT 1711130A 28,625 5/17/2021 9052 1.18 CONSULATE OF ITALY DETROIT 0977853A 561 4/7/2021 8810 CORBETT CARPET INSTALLATION INC DETROIT 6208509A 594 6/30/2021 8017 CRANE FIRST INC DETROIT 2877236A 582 4/12/2021 3724 CRUZ HECTOR LOPEZ DETROIT 6180558A 750 5/12/2021 5445 D AND C AUTO COLLISION LLC DETROIT 6174680A 468 5/5/2021 8393 DAILY MART INC DETROIT 3309770A 782 5/22/2021 8017 DAN SKWIRA CONSTRUCTION DETROIT 5966957A 750 5/15/2021 5645 DANNAOUI BROTHERS INC DETROIT 5263468A 798 4/21/2021 8017 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 38 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DEADLINE DETROIT INC DETROIT 5015839A 405 4/25/2021 8742 DETROIT AIRLINES NORTH TERMINAL DETROIT 4479785A 531 6/26/2021 7423 CONSORTIUM INC DETROIT BRICK MASONS DETROIT 5979285A 751 5/14/2021 5022 DETROIT GROUNDS CREW LLC DETROIT 5874017A 6,940 4/18/2021 9102 0.91 DETROIT METROPOLITAN BAR ASSOCIATION DETROIT 0234052A 312 6/28/2021 8810 DETROIT RACQUET CLUB DETROIT 0753718A 666 5/7/2021 9058 DETROIT RIVER SPORTS LLC DETROIT 5879671A 1,920 6/26/2021 6826 DETROIT SHOPPERS INC DETROIT 1642685B 1,085 5/14/2021 8017 DETROIT TRANSPORTATION CORPORATION DETROIT 2432366A 251,238 5/30/2021 7720 2.06 27 % DIAMOND GAS LLC DETROIT 6007899A 678 6/26/2021 8017 DSY CORKTOWN LLC DETROIT 5865867A 952 5/21/2021 9058 0.95 DUMAS CONSTRUCTION SERVICES INC DETROIT 0895725A 825 6/26/2021 5403 1.00 E AND S CARRYOUT INC DETROIT 0501930A 614 5/5/2021 9058 EA PETRO INC DETROIT 5865808A 565 5/25/2021 8017 EAST VERNOR INC DETROIT 4860764H 502 5/30/2021 8017 0.95 EDS DISCOUNT USED AUTO PARTS INC DETROIT 1663410A 752 4/29/2021 8810 EFG GROUP LLC DETROIT 5824028A 2,064 4/9/2021 9058 0.95 EJVJ ENTERPRISES INC DETROIT 5417821A 1,038 6/23/2021 8017 0.95 EVERETTE EWALD ENTERPRISES DETROIT 2359570A 618 6/25/2021 9015 0.95 FA AUTOMOTIVE LLC DETROIT 5236274A 1,220 6/11/2021 8395 FIFTEEN THOUSAND 140 EXPRESS INC DETROIT 4860764C 654 5/31/2021 8017 0.95 FIFTEEN THOUSAND 439 EXPRESS INC DETROIT 4860764D 579 5/31/2021 8017 0.95 FLIP TURN TRANSPORT LLC DETROIT 5863988A 2,152 5/11/2021 8392 0.95 FLOWERS COMMUNITY SERVICE INC DETROIT 3215318A 946 6/6/2021 9053 0.95 FOUR AREA CODE HOME REPAIR DETROIT 4616316A 569 4/21/2021 9015 FOX CONSTRUCTION INC DETROIT 3364631A 750 6/23/2021 5221 0.95 FRIENDS OF PARKSIDE INC DETROIT 2400138A 240 5/6/2021 8810 GALLEGOS FELICIANO DETROIT 5016983A 540 6/22/2021 9521 GARCIA RAUL GASPAR DETROIT 5996562A 540 6/17/2021 9521 GIBSON TOTAL ELECTRONICS INC DETROIT 1648764A 244 4/20/2021 8810 GIPSON BROTHERS TRUCKING INC DETROIT 0411191A 10,350 5/7/2021 7208 1.00 GLOBAL FINANCIAL MOTORS LLC DETROIT 5852170A 350 4/10/2021 8748 GOAT YARD MARINE LLC DETROIT 6203221A 1,042 6/22/2021 6834 GRATIOT GAS & MINI MART INC DETROIT 4861353A 976 4/19/2021 8017 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GREAT LAKES MANAGERS LLC DETROIT 5263964A 1,238 4/23/2021 5606 0.95 GSP GLOBAL LLC DETROIT 6181163A 712 5/12/2021 7212 H AND H GLASS & METAL INC DETROIT 5580943A 1,016 5/20/2021 5462 0.95 H AND M GENERAL SERVICES LLC DETROIT 5844550A 976 5/20/2021 9521 HABITAT FOR HUMANITY DETROIT DETROIT 3093174A 6,178 5/10/2021 5645 0.83 HAN MINI MART INC DETROIT 4462564A 579 4/2/2021 8017 HAPPY FOUR INC DETROIT 0503495A 939 5/11/2021 8017 0.95 HEAVENLY HANDS DETROIT 5216338A 1,013 6/4/2021 9015 HERNANDEZ HOME EXTERIORS LLC DETROIT 5695104A 4,374 4/30/2021 5645 0.93 HOLDEN TRUMBULL VENTURES INCORPORATED DETROIT 5519314A 1,150 5/26/2021 9058 HOPE ACADEMY DETROIT 3520978A 315 6/30/2021 8868 ICZKOVITZ ABIGAIL DETROIT 5862680A 530 5/15/2021 0913 IDA L ENTERPRISE LLC DETROIT 6187617A 2,701 6/11/2021 7208 IKES TRANSPORTATION CORP DETROIT 5654211A 761 5/15/2021 7212 IN THE D CONSTRUCTION LLC DETROIT 6179096A 8,284 6/9/2021 5437 INDUSTRIAL ENVIRONMENTAL LLC DETROIT 3018628A 328 5/21/2021 4511 INNOVATIVE ENVIRONMENTAL SOLUTIONS & DETROIT 5257905A 3,184 6/30/2021 5183 0.95 SERVICES INC INTEGRITY SHOWS INC DETROIT 4968964A 264 4/3/2021 8742 J AND C LANDSCAPING SERVICE INC DETROIT 5869064A 2,240 5/26/2021 0042 J AND M LANDSCAPING LLC DETROIT 5789060A 709 6/21/2021 0042 JIMS FILL UP INC DETROIT 4533453A 1,184 6/18/2021 8017 0.95 JMH GROUP INC DETROIT 4829808A 730 4/14/2021 8017 JOE ANNS BAR B QUE INC DETROIT 1138855A 477 5/30/2021 9058 JUMBOS BAR INC DETROIT 0051713A 330 4/15/2021 9058 JUST US TRUCKING INC DETROIT 4088280A 825 4/13/2021 7208 JYT MANSORY INC DETROIT 5982707A 750 5/21/2021 5022 KAMMO AUTO CLINIC INC DETROIT 2837919A 1,826 5/27/2021 8010 0.95 KAPSTONE EMPLOYMENT SERVICES LLC DETROIT 5858437A 963 6/6/2021 8107 L AND L ADULT DAYCARE INC DETROIT 3671631A 1,291 5/20/2021 9063 0.95 L AND L GOLD ASSOCIATES INC DETROIT 1204475A 6,724 4/8/2021 8017 1.00 LEGACY DEVELOPMENT GROUP LLC DETROIT 6197590A 919 6/11/2021 5437 LFM LLC DETROIT 5765927A 1,720 6/18/2021 7720 LINKOUS MARGARET G C DETROIT 5982774A 530 4/5/2021 0913 LOGICAL OWL LLC DETROIT 5860687A 381 5/1/2021 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LUCAS COURIERS LLC DETROIT 5360269A 325 6/23/2021 8742 MARINE POLLUTION CONTROL CORPORATION DETROIT 0361011A 75,576 6/30/2021 9402 0.77 MARKS A EAGLES 4 CONEY ISLAND INC DETROIT 3258840A 1,015 5/21/2021 9058 0.95 MARTIN PLASTERING DETROIT 3220338A 750 5/16/2021 5480 MCGRAW PETRO MART LLC DETROIT 4064488A 855 4/21/2021 8017 0.95 MDM PAINTING DETROIT 5876109A 750 6/17/2021 5476 METRO DETROIT & REGIONAL DELIVERY DETROIT 6176739A 3,944 5/7/2021 7206 SERVICES LLC METRO TRADES LLC DETROIT 5285194A 1,401 6/28/2021 5476 0.95 MICHIGAN PEDALER INC DETROIT 6034659A 2,785 6/13/2021 8810 MIGHTY WING SHOP LLC DETROIT 5961998A 2,143 4/25/2021 9058 MILITARY ORDER OF THE PURPLE HEART DETROIT 1825852A 1,167 5/13/2021 8868 0.95 SERVICE AND REHABILITATION OFFICE MJ REALTY SERVICE PLLC DETROIT 5873045A 304 6/16/2021 8742 MOORE BROTHERS PLUMBING HEATING & DETROIT 2335905A 1,293 4/7/2021 5183 0.95 COOLING LLC MOTOR CITY BUILDING COMPANY LLC DETROIT 3580962A 5,082 6/25/2021 9015 0.88 MOTOR CITY CONCRETE REMOVAL AND HAULING DETROIT 4839048B 1,846 6/9/2021 5221 LLC MR WIGGLE PLUMBING LLC DETROIT 4721233A 636 6/6/2021 5183 NASA AUTO SALES INC DETROIT 6193080A 344 6/4/2021 8748 NATIONWIDE RECOVERY INC DETROIT 1784765A 3,833 6/12/2021 7720 0.89 NEW EXECUTIVE TOWING COMPANY INC DETROIT 1731416A 5,495 6/3/2021 7208 0.90 NEXGEN HIGH RISE SERVICES LLC DETROIT 4337514A 569 5/29/2021 9015 0.92 NINETEEN THOUSAND 836 EXPRESS INC DETROIT 4860764A 828 5/31/2021 8017 0.95 NORFLEET TOWING LLC DETROIT 6126049A 750 4/30/2021 7208 OAKLAND SUGAR HOUSE LLC DETROIT 4877063A 1,090 6/8/2021 9058 0.95 ONE THOUSAND 701 EXPRESS INC DETROIT 4860764B 633 5/31/2021 8017 0.95 OZI SERVICES INC DETROIT 3969096A 1,624 6/15/2021 9053 0.95 P I E MANAGEMENT LLC DETROIT 3808017A 52,712 6/6/2021 9015 1.14 PHELT BRANDON DETROIT 6164358A 801 4/23/2021 5645 PIZZA PLACE DEARBORN LLC DETROIT 0828467A 2,169 6/14/2021 9058 0.95 PRESIDENTIAL CONSTRUCTION INC DETROIT 4887964A 800 4/30/2021 5437 PRESTIGE FILL UP LLC DETROIT 4743490A 1,115 4/24/2021 8017 0.95 PSR CONSTRUCTION DETROIT 1926098A 800 6/16/2021 5645 0.95 PURE PLUS INC DETROIT 5706912A 1,736 4/21/2021 8017 1.00

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PYRATECH SECURITY SYSTEMS INC DEBTOR IN DETROIT 2972301A 8,323 6/10/2021 7720 0.90 POSSESSION QUAD LOGISTICS LLC DETROIT 5501482A 804 4/17/2021 8810 RAMOS CONSTRUCTION LLC DETROIT 5510651A 750 6/14/2021 5551 RAZZOOKS SONS INC DETROIT 0246433A 649 4/24/2021 8017 RENU POWER TOOL AND SUPPLY CO DETROIT 0594008A 2,216 4/16/2021 8010 0.95 REYES CORRUGEDO NOEL DETROIT 6001980A 540 6/6/2021 9521 RUNWAY VALET INC DETROIT 4839048A 530 6/11/2021 8392 S 3 STAY HEALTHY LLC DETROIT 6160514A 5,860 4/20/2021 8833 SECOND CHANCE LIVING SUPPORTIVE DETROIT 4978536A 5,118 4/19/2021 8835 0.89 SERVICES LLC SEIU HEALTHCARE MICHIGAN DETROIT 0118311A 1,616 4/18/2021 8755 1.21 13 % SHONS CORNER LLC DETROIT 5234379A 14,239 5/2/2021 7720 0.82 SHREE SAI RAM CORPORATION DETROIT 4737210A 701 5/29/2021 9052 SINJIL INC DETROIT 3760502B 588 5/24/2021 8017 SKYLINE AUTO SALES INC DETROIT 5879434A 275 6/26/2021 8748 SOCIETY OF ST VINCENT DE PAUL IN THE DETROIT 0475912A 627 5/2/2021 9015 ARCHDIOCESE OF DETROIT SPECIALIZED OVERSEAS SHIPPING DETROIT 5667100A 459 4/21/2021 8392 INCORPORATED SWINT LOGISTICS GROUP INC DETROIT 6181740A 750 5/13/2021 7208 THREE 11 PROPERTY MANAGEMENT LLC DETROIT 6207618A 327 6/27/2021 8810 TOBYA INC DETROIT 4566939A 827 4/3/2021 8017 TODDLERS CENTER INC DETROIT 2760681A 1,079 6/23/2021 8869 TREADWELL TRANSPORTATION INC DETROIT 6172695A 750 5/2/2021 7208 TRIP WIPES LLC DETROIT 6197671A 360 6/11/2021 8742 TWO MEN PAINTING LLC DETROIT 5194709A 751 5/4/2021 5476 0.95 UNDERRATED CARRIERS INC DETROIT 6190855A 750 6/25/2021 7208 UNIQUE SIGN & AWNING INC DETROIT 4843819A 1,009 5/7/2021 3064 VICKIS FOODS INC DETROIT 0425770A 772 5/11/2021 9058 0.95 VILLATORO CHAVEZ ORVIN F DETROIT 5995272A 750 5/15/2021 5645 W BACON TRUCKING LLC DETROIT 2530376A 750 5/2/2021 7208 WARREN CADIEUX GAS MART INC DETROIT 3129080A 793 6/28/2021 8017 WHY NOT REHAB DETROIT LLC DETROIT 6175457A 1,120 6/8/2021 9015 WIRENET ELECTRICAL & INVESTMENTS INC DETROIT 6014577A 3,629 5/27/2021 5190 WOODWARD FUEL INC DETROIT 5990882A 512 5/1/2021 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BRYAN JANES CONSTRUCTION INC DEWITT 2735113A 751 4/27/2021 8810 COONEY HOMES LLC DEWITT 5146828A 750 5/30/2021 5645 GO DENTON TRUCKING DEWITT 5711290A 750 5/2/2021 7208 OADE MANAGEMENT CO INC DEWITT 0417238A 1,748 4/12/2021 9058 0.95 P AND S EXPRESS LLC DEWITT 6175686A 750 5/6/2021 7208 ROZEN CONSTRUCTION & REMODELING LLC DEWITT 1715143A 233 6/20/2021 8810 0.95 STRONGRICH AND ASSOCIATES INC DEWITT 3848655A 443 5/9/2021 8742 0.95 TPM HOLDINGS LLC DEWITT, IA 5415292A 820 6/25/2021 0912 WHISPERING RIVER AFC LLC DEWITT 4028902A 1,901 4/25/2021 9053 ABLETECH INDUSTRIES LLC DEXTER 5289165A 377 5/15/2021 8601 0.95 ANTHONYS ASPHALT LLC DEXTER 5423414A 1,638 5/1/2021 5221 CARICA INC DEXTER 5863538A 1,668 5/10/2021 8835 GORDON D FELLOWS LLC DEXTER 0969494A 1,262 6/18/2021 5645 0.95 LAURA SANDERS LMSW LLC DEXTER 5663849A 750 4/28/2021 8279 MBL BUILDERS LLC DEXTER 4090233A 750 6/30/2021 5183 MICHIGAN CUSTOM DECKS INC DEXTER 2567962A 800 6/30/2021 5645 MIKE SHEPARD EXCAVATING INC DEXTER 4977378A 764 4/13/2021 6217 ROBERT STRICKLEN CONSTRUCTION LLC DEXTER 5413125A 750 6/12/2021 5645 BOFYSIL CONSTRUCTION LLC DIMONDALE 2135361A 750 5/9/2021 5645 HOLISTIC LANDSCAPE INC DIMONDALE 3167607A 2,138 5/22/2021 0042 0.95 RIVER ROCK PROPERTY MANAGEMENT LLC DIMONDALE 6179398A 524 5/15/2021 9102 TECH PAINTING LLC DIMONDALE 5237084A 750 6/15/2021 5476 BRADWAY ENTERPRISES INC DOLLAR BAY 5281997A 3,514 6/18/2021 9015 0.95 BOTTOMLINE ACCOUNTING & FINANCE LLC DORR 5874211A 240 6/6/2021 8810 FEIN FABRICATION INC DORR 6008488A 291 6/28/2021 8810 GRATZ ROOF SYSTEMS LLC DORR 2172968A 1,177 5/5/2021 5551 0.95 HILLIARDS CORNER INC DORR 0785970A 1,011 4/10/2021 9058 HOEKSTRA GEORGE BUILDER DORR 3275728A 750 4/2/2021 5645 HUNT RYAN DORR 5994934A 750 5/14/2021 5437 JOES FLOORING & REMODELING DORR 5869650A 750 5/30/2021 5437 RED 66 MARKETING LLC DORR 5978807A 285 5/1/2021 8810 VANS LAWN MAINTENANCE LLC DORR 5850967A 573 4/7/2021 9102 WISHBONE PET RESCUE ALLIANCE INC DOUGLAS 4887450A 1,767 5/13/2021 8831 0.95 A PLACE CALLED HOME IN DOWAGIAC LLC DOWAGIAC 5853877A 651 4/12/2021 9053 CHI ISHOBAK INC DOWAGIAC 5126967A 341 4/13/2021 8810 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 43 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CLEAR WATER MARINA INC DOWAGIAC 6174132A 1,325 5/5/2021 8395 FRYMAN ROOFING CO DOWAGIAC 5270790A 12,045 5/14/2021 5551 1.13 HILLTOP TREES DOWAGIAC 5405920A 1,635 5/4/2021 0130 0.95 ILIA INC DOWAGIAC 2138310A 656 6/1/2021 9402 LAFOND SUMMER SHOP LLC DOWAGIAC 0894613A 433 5/24/2021 8017 PRAKLETS PIERS & LIFTS LLC DOWAGIAC 5707293A 7,591 4/21/2021 6400 0.91 QUALITY SEAMLESS GUTTERS DOWAGIAC 0470201A 823 6/12/2021 5538 ROB NORTHROP LOGGING DOWAGIAC 3662535A 750 4/11/2021 2702 SISTER LAKES FIRE DEPARTMENT DOWAGIAC 0072516A 4,215 4/1/2021 7904 0.95 ZINC ROOFING INC DOWAGIAC 5398967B 7,238 5/11/2021 5551 0.92 INDEPENDENCE TRUCK REPAIR LLC DRAYTON PLAINS 2100002A 481 6/17/2021 8395 DRUMMOND ISLAND YACHT HAVEN INC DRUMMOND ISLAND 3468402A 9,814 4/9/2021 6826 0.81 LAKEVIEW RESORT LLC DRUMMOND ISLAND 0972800A 568 6/24/2021 9015 NORTHERN CONCRETE CUTTING OF LAPEER INC DRYDEN 3027023A 750 6/13/2021 5215 WELLS PEST CONTROL LLC DRYDEN 5985218A 877 4/13/2021 9015 MIRACLE CONSTRUCTION COMPANY LLC DUNDEE 5878039A 3,688 6/21/2021 5645 0.95 MT DRAINS PLUMBING INC DUNDEE 5941695A 636 6/19/2021 5183 JC WELDING DURAND 5278090A 773 6/7/2021 3365 MICHIGAN CNC TECHNOLOGY INC DURAND 5862418A 293 5/4/2021 8601 MVP HOME SPECIALISTS LLC DURAND 5990815A 750 4/30/2021 5645 NEFF CONSTRUCTION DURAND 5568692A 750 5/2/2021 5437 REGENCY REALTY & PROPERTY MANAGEMENT DURAND 2235900A 568 6/8/2021 9015 INC SF CONSTRUCTION LLC DURAND 5728754A 4,606 4/16/2021 7208 0.95 VOORHIES STONEWORK INC DURAND 2167212A 750 6/9/2021 5022 APPLEGROVE MHP LLC DURANGO, CO 3621286A 1,334 4/28/2021 9015 KALKASKA MHP LLC DURANGO, CO 6168396A 644 4/28/2021 9015 PIERCE CONSTRUCTION LLC EAGLE 6175694A 3,452 5/12/2021 5645 SELLECK ELECTRIC LLC EAGLE 5824958A 1,769 5/2/2021 5190 CHARLES E JARRELL CONTRACTING CO INC EARTH CITY, MO 6196756A 2,175 6/15/2021 5550 D AND L OF ST CLAIR INC EAST CHINA 0010812A 329 5/22/2021 9058 MG HAMMER EAST CHINA 1344919A 2,194 6/13/2021 5645 0.95 HEATHER DOWNS COMMUNITY POOL EAST GRAND RAPIDS 1098411A 660 6/29/2021 9061 ASSOCIATION CEDAR REST RESORT LLC EAST JORDAN 0790923A 377 6/1/2021 9052

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CARGILL JEANNE EAST LANSING 5849632A 307 5/1/2021 0908 CORBETT CONSTRUCTION COMPANY INC EAST LANSING 1062450A 751 5/31/2021 5645 0.95 FIVE STAR TECH SERVICES LLC EAST LANSING 4778723A 750 6/18/2021 7600 GREENE RENTALS LLC EAST LANSING 5981832A 644 4/3/2021 9015 SEVEN HUNDRED 11 BURCHAM APARTMENTS EAST LANSING 0676918A 568 4/15/2021 5191 LLC SPARTAN SWIM CLUB EAST LANSING 5392888A 938 4/1/2021 9015 SUPERIOR BRASS & ALUMINUM CASTING EAST LANSING 0227633A 34,002 4/1/2021 3085 0.70 COMPANY TWIN STAR MANAGEMENT INC EAST LANSING 3462374A 855 5/13/2021 8810 UNIVERSITY COMMONS CONDOMINIUM EAST LANSING 5982243A 568 5/1/2021 9015 ASSOCIATION WALDMAN SPEECH THERAPY LLC EAST LANSING 6191479A 325 6/1/2021 8832 MDS MANAGEMENT LLC EAST LEROY 5548543A 615 4/21/2021 0908 0.95 VOYCES ELEVATOR INC EAST LEROY 0325341A 3,915 6/15/2021 8304 0.94 BESSEY INC EAST TAWAS 4867521A 12,292 5/5/2021 7208 0.85 RUDEL JAMES EAST TAWAS 2723140A 8,684 5/25/2021 5645 0.95 STA TRANSPORTATION LLC EASTPOINT 6042171A 408 6/20/2021 8810 ARIES BUILDING MAINTENANCE EASTPOINTE 3731987A 568 6/7/2021 9015 BOOS HOME IMPROVEMENT EASTPOINTE 4050460A 750 5/29/2021 5645 COURT VIEW GARDENS INC EASTPOINTE 4069293A 984 5/13/2021 9015 0.95 EASTPOINTE PIZZERIA INC EASTPOINTE 5713889B 2,743 5/9/2021 9058 0.95 J R PAINTING LLC EASTPOINTE 3505537A 2,302 6/15/2021 5476 0.95 JLV LANDSCAPING LLC EASTPOINTE 5890420A 3,786 5/8/2021 0042 JOSHUA HOME IMPROVEMENT LLC EASTPOINTE 5571570A 800 6/4/2021 5645 KENNEDY WHOLESALE INC EASTPOINTE 5854407A 571 5/16/2021 8810 MACARTHUR MASONRY & RESTORATION LLC EASTPOINTE 6148298A 1,288 4/11/2021 5022 MICHAEL BALASH REPAIRS LLC EASTPOINTE 5254663A 568 4/14/2021 9015 N E HOME IMPROVEMENT LLC EASTPOINTE 6000690A 1,944 6/3/2021 5437 ON POINT CONSTRUCTION & DEVELOPMENT EASTPOINTE 5721431A 4,711 6/2/2021 5645 0.95 OPEN DOOR LIVING SERVICES LLC EASTPOINTE 5138736A 523 4/27/2021 8832 RANDYS TOWING SERVICE LLC EASTPOINTE 5264286A 825 4/23/2021 7208 SONG RETAIL CORPORATION EASTPOINTE 5749360A 366 6/22/2021 8008 WEBBER BRIAN S EASTPOINTE 4565444A 750 4/6/2021 5645 ADAMS BUILDERS EATON RAPIDS 5721407A 5,463 6/2/2021 5403 0.94 CHARLES GATLIN BUILDERS EATON RAPIDS 1226630A 750 6/13/2021 5645 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 45 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COLORING AND COVERINGS OF MICHIGAN LLC EATON RAPIDS 5698340A 541 4/4/2021 9521 J BURGESS BUILDERS LLC EATON RAPIDS 5265487A 750 4/26/2021 5645 0.95 M AND M OUTDOOR SERVICES LLC EATON RAPIDS 5125510A 5,103 6/29/2021 0106 0.95 M T BELL EXCAVATING & DIRT WORKS INC EATON RAPIDS 0875422A 1,662 5/18/2021 6217 0.95 OLD MILL FURNITURE LLC EATON RAPIDS 5236452A 1,075 6/8/2021 8044 0.95 NICK FRYMAN CONSTRUCTION EAU CLAIRE 5563100A 8,865 6/1/2021 5645 0.91 SCOTT JASON EAU CLAIRE 5553660A 750 4/29/2021 5645 JOSE R ZAVALA CARPET INSTALLER LLC ECORSE 5988454A 1,003 4/23/2021 9521 MICHIGAN AMMO LLC ECORSE 1635980A 3,259 4/29/2021 3628 0.95 RIVAS JOSE ANTONIO ECORSE 5998557A 750 5/23/2021 5645 FASTEMPS II INC EDEN PRAIRIE, MN 2864355A 7,160 5/27/2021 8835 0.92 APIARIES AND ORCHARD FORKLIFT INC EDMORE 1515543A 1,486 6/1/2021 8395 0.95 LUMBERT DRYWALL EDMORE 3745180A 2,566 6/29/2021 5445 0.95 ECO ADVANTAGE INC EDWARDSBURG 6181228A 2,525 5/12/2021 9015 EDWARDSBURG FIRE DEPARTMENT JOINT FIRE EDWARDSBURG 0920410A 1,623 5/1/2021 7704 0.95 BOARD HARRIS APPRAISAL SERVICES LLC EDWARDSBURG 5853885A 340 4/12/2021 8720 KWH APPRAISAL SERVICES LLC EDWARDSBURG 5862191A 340 5/4/2021 8720 GILMORE TOWNSHIP ELBERTA 1026011A 376 5/20/2021 9410 ALEUTIAN STAR CORPORATION ELK RAPIDS 0515647A 2,539 5/8/2021 3085 0.95 WATERSIDE PROPERTIES LLC ELK RAPIDS 4929861A 234 5/22/2021 8810 WIEDERHOLD SALES & SERVICE LLC ELKTON 0153729A 810 6/27/2021 8393 FIREWORKS DEPOT INC ELLSWORTH, WI 5257166A 490 4/7/2021 8742 SAY NORTH LLC ELMHURST, IL 1693182A 531 6/2/2021 9058 OLDS LOGGING AND FIREWOOD SALES LLC ELMIRA 6000061A 3,693 5/30/2021 2709 FABUS COMMUNICATIONS LLC ELSIE 4544501A 750 5/24/2021 7600 ROOSE CONTRACTING EMMETT 5708230A 545 6/12/2021 5190 SLEEPING BEAR SOUND LLC EMPIRE 5982138A 692 4/25/2021 5191 KALNBACH SUSTAINABLE FORESTRY LLC ENGADINE 4902980A 750 6/16/2021 2702 MPS BUTKOVICH EXPRESS LLC ENGADINE 5969107A 750 4/4/2021 7208 OCKO FARMS ENGADINE 2861585A 739 6/24/2021 6217 PREMIER DRIVING ACADEMY INC ENGLEWOOD, FL 3694810A 834 5/10/2021 8868 0.95 BLAIR FISH COMPANY LLC ERIE 3611728A 10,424 5/15/2021 0034 1.00 ANNA MARIE BOWLING IRREVOCABLE TRUST ESCANABA 3924416A 1,445 5/13/2021 0908 0.95 BACH MOBILITIES INC ESCANABA 2549522A 1,937 5/10/2021 9519 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CAPPEART TRUCKING ESCANABA 5992079A 750 5/4/2021 7219 ESKY INC ESCANABA 1177311A 403 6/17/2021 9058 GREGS ROOFING & SIDING INC ESCANABA 4754298A 7,310 5/25/2021 5551 0.89 HIAWATHA HEATING AND COOLING LLC ESCANABA 5819679A 674 6/25/2021 5550 HIGH PEAKS PAINTING LLC ESCANABA 4979362A 9,742 4/19/2021 5038 0.91 JOHN CHARLES TRUCKING INC ESCANABA 4808355A 800 5/23/2021 7208 KING SHANE ESCANABA 6150012A 750 4/8/2021 7210 LABUMBARD MARTIN ESCANABA 2777304A 750 6/2/2021 7208 LIL ANNA EXPRESS LLC ESCANABA 5999952A 750 5/29/2021 7208 MARK NELSON CONSTRUCTION ESCANABA 2602393A 2,353 6/19/2021 5403 0.95 OUR PLACE COMMUNITY CENTER ESCANABA 4408810A 538 5/28/2021 9063 PAMS PETALS LLC ESCANABA 5716560A 655 5/17/2021 8001 RT MANUFACTURING INC ESCANABA 3920984A 254 4/30/2021 8810 SHESKI FOREST PRODUCTS ESCANABA 2501210A 750 6/12/2021 2709 VANENKEVORT TUG AND BARGE INC ESCANABA 2998858A 6,501 5/9/2021 8387 0.88 USA FULGER TRANSPORT INC ESSEX 5726816A 6,455 5/30/2021 7208 0.95 M AND D HOME IMPROVEMENT LLC ESSEXVILLE 4594363A 750 5/20/2021 5645 HYLAND TREE COMPANY LLC EVART 5288940A 2,720 4/23/2021 0042 0.95 OSCEOLA 4 H AND FFA FAIR EVART 2262010A 1,026 4/1/2021 9015 WAGNER TRUCKING LLC EWEN 5555728A 750 5/5/2021 7208 WILMES JOHN EWEN 5702925A 523 6/22/2021 9102 WOLFES EXCAVATING EWEN 2784114A 750 5/3/2021 6217 ANCHOR BAY COOPERATIVE NURSERY INC FAIR HAVEN 5848210A 293 4/2/2021 8868 BEAR EQUIPMENT CO INC FAIRHAVEN 5703484A 8,271 4/14/2021 7208 0.91 LARRISON PHILLIP FAIRVIEW 3730069A 750 6/27/2021 2702 MT LOGGING LLC FAIRVIEW 2811529A 750 4/11/2021 2702 SMART GRID SOLUTIONS LLC FAIRVIEW 3274179A 288 5/17/2021 8601 DAYLIGHT TO DARK LTD FALMOUTH 3427790A 750 5/24/2021 2709 AA 1 HOSKINS TREE SERVICE INC FARMINGTON 2412268A 750 5/5/2021 0042 0.95 AB 6 INC FARMINGTON 5291330A 13,387 5/7/2021 5348 0.78 BUSINESS BENEFITS RESOURCE LLC FARMINGTON 5157781A 279 6/20/2021 8742 DALES CONTRACTING FARMINGTON 5064350A 750 6/4/2021 5645 ELITE HUMAN RESOURCE INC FARMINGTON 3169472A 1,965 5/13/2021 8810 0.95 ERIC W PERRY PHOTOGRAPHY LTD FARMINGTON 3789080A 478 4/15/2021 4361 EZ EXPRESS INC FARMINGTON 6190677A 750 5/29/2021 7208 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 47 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HANDYPRO INTERNATIONAL LLC FARMINGTON 4836219A 1,162 4/18/2021 5403 HMG GROUP LLC FARMINGTON 1699660A 264 4/27/2021 8742 MCDONALD FRANCES E FARMINGTON 5991331A 489 5/1/2021 0908 PREMIER HARD SURFACE SOLUTIONS LLC FARMINGTON 5460760A 1,861 6/10/2021 5437 1.00 R GRAHAM CONSTRUCTION LLC FARMINGTON 4634004A 16,909 4/8/2021 5645 1.00 STAND WITH TRANS FARMINGTON 5990432A 289 5/21/2021 8810 ALB CUSTOM PAINTING AND REMODELING LLC FARMINGTON HILLS 4289633A 750 4/4/2021 5476 AUTOMATION ELECTRIC CONTROLS INC FARMINGTON HILLS 0505471A 545 6/14/2021 5190 BEAR BUILDERS OF MICHIGAN LLC FARMINGTON HILLS 5990467A 1,786 6/1/2021 5437 BLACK SEDAN LLC FARMINGTON HILLS 5048397A 1,408 4/22/2021 7610 0.95 BLUE SKY PRO PAINTING LLC FARMINGTON HILLS 4345312A 751 5/27/2021 5476 CALL ON HIM CONSTRUCTION LLC FARMINGTON HILLS 2687828A 801 4/11/2021 5550 CAMBRIDGE COMMONS CONDOMINIUMS FARMINGTON HILLS 4233840A 568 6/10/2021 9015 ASSOCIATION CAMERON DEVELOPMENT COMPANY LLC FARMINGTON HILLS 3940594A 825 5/25/2021 5645 CAROL M SHAYA AGREEMENT OF TRUST FARMINGTON HILLS 5145392A 860 5/28/2021 0913 0.95 CHEESE STREET LLC FARMINGTON HILLS 5751080A 458 5/20/2021 9058 CREEK RUN ESTATES ASSOCIATION FARMINGTON HILLS 1607006A 568 5/19/2021 9015 CUSTOM BRICK WORK FARMINGTON HILLS 0866954A 1,016 5/1/2021 5022 1.00 DAVID T WUJCZYK AND ASSOCIATES LLC FARMINGTON HILLS 5984742A 273 4/12/2021 8810 DEVELOP AND ADAPT LLC FARMINGTON HILLS 6001688A 521 6/8/2021 5190 DIAMOND BUILDING LLC FARMINGTON HILLS 5218012A 7,082 5/8/2021 5403 0.91 DIVISION NINE PRODUCTS INC FARMINGTON HILLS 2661020A 831 5/22/2021 5020 0.87 ESTRA AUTOMOTIVE SYSTEMS COMPANY LTD FARMINGTON HILLS 4865286A 215 4/10/2021 8810 0.91 FUSCO CONSTRUCTION LLC FARMINGTON HILLS 5571391A 825 6/11/2021 5645 GRAYLING GAME CLUB INC FARMINGTON HILLS 2912740A 569 6/1/2021 9015 GRINSELL HOME SERVICES LLC FARMINGTON HILLS 5992389A 750 5/4/2021 5437 H AND I CONSULTING LLC FARMINGTON HILLS 5258685A 1,493 5/1/2021 7202 0.95 HIDDEN RIDGE HOMEOWNERS ASSOCIATION FARMINGTON HILLS 4210972A 618 4/9/2021 9015 HIGH QUALITY PROVISIONING CENTER LLC FARMINGTON HILLS 5421420A 561 4/10/2021 8045 HOUSTON SERVICES FARMINGTON HILLS 6188087A 750 5/26/2021 5022 INDIVIDUALIZED HOME HEALTH CARE INC FARMINGTON HILLS 5563810A 1,459 6/30/2021 8835 0.95 JIMS AFFORDABLE TOWING LLC FARMINGTON HILLS 4982665A 750 5/22/2021 7208 KENS TREE SERVICE LLC FARMINGTON HILLS 5136296A 5,277 4/9/2021 0106 0.92 L AND P CUSTOM BUILDERS LLC FARMINGTON HILLS 5039169A 1,817 6/18/2021 5437 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LEES TREE REMOVAL & LANDSCAPING LLC FARMINGTON HILLS 5154049A 800 6/13/2021 8810 0.95 LEGACY EQUITIES LLC FARMINGTON HILLS 5992206A 568 5/22/2021 9015 LISA LANGFORD DDS PC FARMINGTON HILLS 1277375A 377 6/3/2021 8832 MATTHEW KELLY CONSTRUCTION INC FARMINGTON HILLS 3028216A 1,851 6/15/2021 5645 0.95 METRO LAWN CARE LLC FARMINGTON HILLS 2268825A 524 5/2/2021 9102 MICHIGAN MECHANICAL ABATEMENT INC FARMINGTON HILLS 2492229A 10,178 6/30/2021 5183 0.86 MILENA HOME CARE COMPANY LLC FARMINGTON HILLS 5880890A 471 6/23/2021 8835 0.95 MLJ PIZZA LLC FARMINGTON HILLS 5320461A 10,386 5/7/2021 9058 1.33 13 % MODEL T PLAZA LLC FARMINGTON HILLS 4745515A 618 5/4/2021 8810 NEW WYOMING LEE BEAUTY SUPPLY INC FARMINGTON HILLS 4821130B 520 6/30/2021 8017 0.95 ONSITE MANAGEMENT INC FARMINGTON HILLS 3934438A 681 4/17/2021 8810 PAPAS PIZZA FARMINGTON HILLS LLC FARMINGTON HILLS 6175333A 1,761 5/6/2021 9058 PARAMOUNT BUILDING & DEVELOPMENT INC FARMINGTON HILLS 2721317A 388 4/1/2021 5606 PROFESSIONAL FINANCIAL ASSOCIATES LLC FARMINGTON HILLS 2380200A 278 4/30/2021 8803 RBC PAYROLL SERVICES LLC FARMINGTON HILLS 5289114A 4,316 6/28/2021 3507 1.00 RBD SERVICES LLC FARMINGTON HILLS 4811305A 828 5/25/2021 8810 RIDE WELL CORP FARMINGTON HILLS 5992966A 816 5/7/2021 7212 THOMAS A DUKE COMPANY FARMINGTON HILLS 0407127A 568 4/8/2021 9015 TWENTY 4 7 EXPEDITE INC FARMINGTON HILLS 2684489B 503 6/1/2021 8810 0.92 WINDOWS DIVERSE SERVICES INC FARMINGTON HILLS 6074022A 1,034 5/12/2021 9015 BROKENBRANCH CONSTRUCTION LLC FARWELL 5794293A 800 5/27/2021 5645 0.95 C AND C CARPENTRY FARWELL 3016110A 800 6/25/2021 5645 MARK OF ALL TRADES LLC FARWELL 5989990A 2,102 4/26/2021 5437 DAVIDSON ROBERT H FELCH 0995371A 750 6/23/2021 2702 GUSTAFSON LOGGING FELCH 3916855A 750 5/7/2021 2709 JIM ANDERSON TIMBER HARVESTING LLC FELCH 5159954A 750 6/26/2021 2709 NICHOLAS HARWATH TRUCKING LLC FELCH 4540603A 750 5/19/2021 7208 DONE RIGHT CARPET LLC FENNVILLE 5847044A 590 5/8/2021 9521 FENNVILLE AREA FIRE DEPARTMENT FENNVILLE 2144450A 2,146 4/22/2021 7904 0.95 GALLARDO TREE SERVICE FENNVILLE 6059732A 795 6/3/2021 0106 JAMES BUILDING GROUP LLC FENNVILLE 3078531A 750 5/26/2021 5550 LAKESIDE LAWNCARE MANAGEMENT LLC FENNVILLE 6200087A 523 6/13/2021 9102 LOS TRES AMIGOS FENNVILLE 5705266A 4,831 6/16/2021 5551 VAN DRAGT LAND IMPROVEMENT LLC FENNVILLE 0299073A 739 4/1/2021 6217 A FRESH START FENTON 4686284A 568 6/21/2021 9015 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 49 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ARCADIA HOMES INC FENTON 5267412A 750 5/3/2021 5645 BHI HOME IMPROVEMENTS LLC FENTON 5577691A 750 6/22/2021 5645 BLACK RIVER CONSTRUCTION LLC FENTON 5726344A 5,846 5/14/2021 5437 0.93 CLARKSTON PAINTING COMPANY LLC FENTON 3938816A 751 5/13/2021 5476 CLASSIC HARDWOOD FLOORS LLC FENTON 5127858A 2,354 5/20/2021 5437 CULTURED CREATIONS FENTON 4987241A 1,451 6/25/2021 5022 DONAHUE FLOORING LLC FENTON 5248140A 750 5/26/2021 5437 0.95 ELITE BUILDERS LLC FENTON 5705290A 4,205 4/18/2021 5645 0.95 FERGUSON LAWN AND TREE SERVICE FENTON 2050781A 710 5/27/2021 0042 GEN OAKS ENTERPRISES II INC FENTON 1252119A 1,454 5/11/2021 5645 0.95 HANKS TRENCHING SERVICE FENTON 1082515A 739 4/15/2021 6217 0.95 HW IRON WORKS LLC FENTON 6124127A 1,311 4/11/2021 3365 JEA INC FENTON 5264570A 750 4/24/2021 5645 KEM AND ASSOCIATES INC FENTON 2228955A 1,081 5/23/2021 9015 0.95 LAKE AND LAND CUSTOM HOMES LLC FENTON 5548624A 338 4/30/2021 5606 LAURICELLA PAINTING LLC FENTON 4189124A 2,337 5/16/2021 5476 0.95 LIVING EAGLE ORGANIZATION FENTON 5894824A 348 6/2/2021 8810 MARGIS DANIEL FENTON 5862272A 800 5/4/2021 5645 MASONRY SOLUTIONS INC FENTON 3948404A 750 4/18/2021 5022 MASTER BUILDERS SUPPLY INC FENTON 1471821A 750 4/3/2021 5022 0.95 MAYFIELD MAINTENANCE LLC FENTON 4012780A 750 4/27/2021 5476 0.95 MCK TOOL LLC FENTON 5564379A 329 5/20/2021 8742 MEDICAL RESOURCES LLC FENTON 2878194A 367 4/30/2021 8832 MGM MASONRY INC FENTON 3408094A 750 4/19/2021 5022 MID MICHIGAN CRUSHING & RECYCLING LLC FENTON 4486463A 16,901 6/30/2021 1624 0.80 NELSON LIQUID DRIVE LLC FENTON 0341800A 5,057 5/13/2021 3612 0.91 ONE DAY CUSTOM FLOORS LLC FENTON 6095836A 1,846 5/13/2021 5221 PATTISON ROBERT FENTON 1333682A 470 6/1/2021 5190 QUINLAN TREE SERVICE INC FENTON 2313197A 11,188 4/2/2021 0106 1.52 13 % R AND T CONSTRUCTION LLC FENTON 5346320A 388 6/26/2021 5606 SEAN HALLS LAWN CARE FENTON 5864259A 524 5/12/2021 9102 STEADFAST SERVICES LLC FENTON 6192530A 1,708 6/3/2021 9015 TASKEY RODNEY FENTON 5881307A 750 6/30/2021 5221 TRUE NORTH CONSCIOUS CONSTRUCTION LLC FENTON 0058920A 800 4/23/2021 5403 VAUTER SCOTT FENTON 4074297A 668 5/30/2021 9521 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 50 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge YOUNGER LINDSEY E FENTON 5985595A 215 4/22/2021 8810 TORRES CARPENTERS LLC FENWICK 5586968A 750 4/19/2021 5645 BROTHERS RENOVATIONS LLC FERNDALE 5655420A 279 4/10/2021 8810 COMMUNITY ARBORIST INC FERNDALE 4233484A 3,337 4/14/2021 0106 0.95 CONREST INC FERNDALE 3165191A 668 5/11/2021 9015 0.95 DEREKS GUTTER CLEANING LLC FERNDALE 5469309A 619 5/15/2021 9015 DETROIT NAME PLATE ETCHING INC FERNDALE 0200905A 464 5/1/2021 3132 FRIENDS OF DAVE COULTER FERNDALE 6147798A 301 4/17/2021 8742 HARTEAU INC FERNDALE 5405556A 302 5/16/2021 5191 HYATT SA LLC FERNDALE 5654416A 1,235 6/10/2021 8017 K TEC SYSTEMS INC FERNDALE 5144817A 992 5/20/2021 3179 KENDALL PROJECT MANAGEMENT SERVICES FERNDALE 6158609A 700 4/17/2021 5606 LLC RENNER BROS CONSTRUCTION INC FERNDALE 4133277A 6,313 4/27/2021 5645 0.92 SALINE SPRINKLER LLC FERNDALE 5994608A 1,410 5/11/2021 5183 ST MICHAELS MEDIA INC FERNDALE 4989112A 2,169 5/25/2021 8810 1.05 ALL AMERICAN GENERAL SERVICES LLC FIFE LAKE 5985374A 525 4/26/2021 7720 PHOENIX STAFFING LLC FINDLAY, OH 5574390A 14,242 6/13/2021 2131 1.41 A THRU Z EXCAVATING & HOME REPAIR FLAT ROCK 5568854A 515 6/19/2021 8387 B B D CONTRACTING LLC FLAT ROCK 4921720A 800 4/6/2021 5645 0.95 HARLEYS CONSTRUCTION & RESTORATION INC FLAT ROCK 4393872A 225 6/20/2021 8810 HOME SOURCE PROPERTY MANAGEMENT INC FLAT ROCK 4340329A 573 4/27/2021 8810 MARSO CHEMICAL LLC FLAT ROCK 3822478A 2,382 5/8/2021 3724 0.95 P N J CLEANING LLC FLAT ROCK 5286484A 1,139 6/1/2021 9015 1.00 PEACEPIPE TRUCKING FLAT ROCK 3962873A 750 4/12/2021 7208 QUALITY CARE PLUS SERVICES LLC FLAT ROCK 4156838A 4,781 6/6/2021 8835 0.95 A R W PRO SOLUTIONS INC FLINT 5720192A 1,306 6/8/2021 6325 AARONS ROOFING FLINT 4068068A 750 6/2/2021 5551 ADVANCED EXTERIOR SOLUTIONS & REPAIRS FLINT 4646398A 750 6/13/2021 5551 AIM TO PLEASE HOME CARE INC FLINT 5708931A 1,256 5/1/2021 9053 ALFORDS TRUCKING INC FLINT 2216043A 825 6/21/2021 7208 ALL STAR CONSTRUCTION FLINT 5186390A 1,300 4/19/2021 5645 ATTIC RENEW INC FLINT 5980780A 2,413 4/3/2021 9015 0.95 BMIUS LLC FLINT 4465202A 377 4/19/2021 7422 BOYLE CONSTRUCTION FLINT 4982436A 750 5/5/2021 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CALS MARATHON LLC FLINT 5462525A 471 5/10/2021 8017 CARRIAGE COMMONS CONDOMINIUM FLINT 5854350A 568 4/15/2021 9015 ASSOCIATION COAST TO COAST WIRELESS INC FLINT 5380944A 416 5/17/2021 8017 CONTRACTING AND EXTERIOR SPECIALIST FLINT 6196209A 750 6/10/2021 5645 D AND W AUTO PARTS INC FLINT 1906917A 4,385 4/10/2021 8010 0.91 DEARING HOMES LLC FLINT 4586077A 1,714 5/13/2021 9053 0.95 DUPREY RENEE FLINT 5704731A 329 4/18/2021 9058 E AND E INVESTMENTS INC FLINT 1400762A 705 6/14/2021 8387 0.95 ELITE RENOVATIONS FLINT 3758877A 1,786 6/26/2021 5437 EVANS HOME IMPROVEMENT FLINT 3778819A 750 4/13/2021 5551 FIRST APPEARANCE PLLC FLINT 5977347A 213 4/1/2021 8820 FIRST CHOICE RECYCLING FLINT 5707129A 3,890 4/23/2021 8264 0.95 FRANKENMUTH DRIVING SCHOOL INC FLINT 5407044A 256 5/22/2021 8868 G W B TRANSPORT INC FLINT 3007871A 800 4/8/2021 7208 GEORGE CALDWELL FLINT 1045199A 750 5/15/2021 5645 GREEN REFLECTIONS LLC FLINT 5549965A 878 4/22/2021 9102 0.95 HJC MANAGEMENT LLC FLINT 5307309A 5,580 5/30/2021 5645 0.94 JB CABLE CONTRACTING FLINT 5719372A 800 6/10/2021 7600 JULES MARKET INC FLINT 1139428A 728 5/27/2021 8033 LAMIELLE INSTALLATION LLC FLINT 5114870A 750 4/24/2021 5645 0.95 LANDINGS AT RAYNER PONDS CONDOMINIUM FLINT 4565584A 568 6/23/2021 9015 ASSOCIATION LAW OFFICES OF HEATHER V BURNASH PLLC FLINT 6179460A 215 5/15/2021 8810 LOCKHART ROOFING FLINT 4072634A 6,666 5/20/2021 9015 0.95 METAL WORKS CONSTRUCTION FLINT 4168542A 825 6/23/2021 5403 MIKES USED CARS INC FLINT 5133610A 1,018 5/7/2021 8748 MRACINE PAINTING AND COATINGS LLC FLINT 6004180A 800 6/14/2021 5476 NEXT LEVEL WELLNESS LLC FLINT 5970881A 3,382 4/2/2021 0035 0.95 ORION BUILDERS OF GENESEE COUNTY INC FLINT 5542235A 750 4/6/2021 5437 PEPPERMINT LOUNGE INC FLINT 0501883A 439 5/9/2021 9058 PEPPERWOOD ASSOCIATION FLINT 4519736A 568 4/12/2021 9015 RCH ENTERPRISES INC FLINT 5280028A 523 6/12/2021 9102 REFORMATION HOME HEALTH LLC FLINT 5432235A 14,897 5/30/2021 8835 0.95 RELIABLE COMMERCIAL CLEANING LLC FLINT 6184553A 655 5/27/2021 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RESEARCH AMERINET INC FLINT 4218078A 828 5/22/2021 8810 RUDYS LAWN & SNOW SERVICE LLC FLINT 5620651A 718 4/30/2021 9102 SECURITY PLUS FLINT 1414410A 470 5/13/2021 5190 SHAWNS ROOFING AND SIDING FLINT 5294649A 5,867 4/22/2021 5551 0.95 SOLOMON AND SON SHEET METAL COMPANY FLINT 0194506A 1,386 4/30/2021 5538 0.95 TIMBER RIDGE VILLAGE LLC FLINT 4511433A 568 5/1/2021 9015 TRIPOINT AUTO MALL INC FLINT 5588022A 327 6/23/2021 8748 VERNDALE CONDOMINIUM OWNERS FLINT 1514270A 568 5/17/2021 8810 ASSOCIATION VICTORIA PARK CONDOMINIUM ASSOCIATION FLINT 3793974A 568 4/1/2021 9015 WINDOWS DOORS & MORE BY DON FLINT 4062604A 1,053 6/27/2021 5645 0.95 WINGS AND WHEELS DELIVERY INC FLINT 3499588A 800 5/14/2021 7208 WYNWOOD CONDOMINIUM ASSOCIATION FLINT 0704318A 568 4/1/2021 9015 YOUR CHOICE RESTORATION INC FLINT 4897412A 759 5/17/2021 8742 ANM SERVICES LLC FLOWOOD, MS 4939662A 8,357 6/4/2021 3808 1.73 13 % ALLGOOD CONSTRUCTION FLUSHING 3824985A 751 6/4/2021 5437 CLEANUP MAN LLC FLUSHING 5834554A 568 4/9/2021 9015 HERWEYER CONSULTING FLUSHING 6008402A 374 6/28/2021 8601 K SAT COMMUNICATIONS FLUSHING 1791931A 351 6/24/2021 5191 LUCY HAM GROUP INC FLUSHING 3907309A 215 4/7/2021 8810 MOONWALK MAN FLUSHING 5861136A 810 5/15/2021 5538 STUTZMAN BUILDERS INC FLUSHING 3279782A 750 5/27/2021 5645 T AND F COMPANY INC FLUSHING 3558720A 825 4/28/2021 5437 TREE HOUSE CONSTRUCTION LLC FLUSHING 4334086A 750 5/31/2021 5645 JC MASONRY FORT GRATIOT 2784793A 750 5/21/2021 5221 S AND L SERVICES LLC FORT GRATIOT 5993229A 739 5/8/2021 6217 SCHULTZ ROOFING CORP FORT GRATIOT 5988233A 800 4/23/2021 5551 TRS INTERNATIONAL SERVICE GROUP LLC FORT LAUDERDALE, FL 4627687A 350 5/16/2021 8810 AMERICAN EAGLE SUPERSTORE INC FORT MILL, SC 2081059A 8,280 6/25/2021 8010 0.80 SMITH RESIDENTIAL LLC FORT MYERS BEACH, FL 5282292A 568 6/28/2021 9015 CARLSON RODNEY JR FOSTER CITY 4406150A 740 6/1/2021 6217 MURRAY AUGUST FOSTER CITY 5414229A 750 6/16/2021 2702 TRI TOWNSHIP AMBULANCE AUTHORITY FOSTER CITY 4733665A 940 6/11/2021 7380 ROWBOTHAM JEFFERY FOSTORIA 5406447A 750 5/20/2021 5437 J K FRAMING LLC FOWLER 5555604A 825 5/4/2021 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LEIBY CONSTRUCTION LLC FOWLER 6192122A 5,155 6/4/2021 5645 TITUSKUSTOMS LLC FOWLERVILE 6186343A 596 5/20/2021 8010 AMERICAN REC SERVICES LLC FOWLERVILLE 5979897A 7,595 4/1/2021 5183 0.95 AQUA GUARD COMMERCIAL POOL SVCS INC FOWLERVILLE 5564336A 568 4/7/2021 9015 ARK FOUNDATION REPAIR & WATERPROOFING FOWLERVILLE 4886356A 2,444 4/26/2021 5183 0.95 LLC CALMAT CARTAGE LLC FOWLERVILLE 6146821A 4,359 4/4/2021 7208 DCL CUSTOM MASONRY LLC FOWLERVILLE 5775655A 750 6/6/2021 5221 KARNA CONSTRUCTION FOWLERVILLE 1401831A 750 5/14/2021 5437 KENSINGTON VALLEY EXCAVATING LLC FOWLERVILLE 3904792A 24,977 4/26/2021 6217 1.93 27 % KO KREW FOWLERVILLE 5702275A 883 4/12/2021 9521 MUNSELLS POULTRY PROCESSING LLC FOWLERVILLE 4880943A 2,537 6/22/2021 0034 0.95 RECON TREE SERVICE LLC FOWLERVILLE 6184278A 5,300 5/15/2021 0106 AGANS EAVESTROUGH LLC FRANKENMUTH 5933722A 1,160 6/16/2021 9015 EAGLE CONSTRUCTION LLC FRANKENMUTH 5887046A 2,625 5/16/2021 5221 KAT BUILDERS LLC FRANKENMUTH 5568765A 800 6/5/2021 5645 0.95 PEDALE TROLLEY LLC FRANKENMUTH 5716764A 2,517 5/17/2021 9015 TRI CITY CONCRETE LLC FRANKENMUTH 6192114A 751 6/2/2021 5221 WAP MOTORS INC FRANKENMUTH 5750075A 1,077 5/23/2021 8387 CUSTOM CONSTRUCTION CONSULTANTS LLC FRANKFORT 3808521A 750 5/12/2021 5645 BRODY RHEA FRANKLIN 0752339A 1,140 5/22/2021 0913 0.95 FITNESS DRIVEN LLC FRANKLIN 4867742A 1,616 5/6/2021 9063 0.95 FRS PARTNERS LLC FRANKLIN 5815282A 1,842 6/6/2021 7380 0.95 MANNING MERVYN H FRANKLIN 1272330A 307 6/25/2021 0908 RAIN DANCER LLC FRANKLIN 3920569A 761 5/4/2021 5183 SEID ENTERPRISES LLC FRANKLIN 5610265A 1,912 6/17/2021 8387 WERTHEIMER RANDY FRANKLIN 5331935A 920 5/14/2021 0908 0.95 A B RUSGO INC FRASER 1337408A 902 4/25/2021 8810 0.95 APPLIED ROOFING TECHNOLOGIES INC FRASER 1161245A 2,931 4/21/2021 5551 0.95 CONSECUTIVE CONSTRUCTION FRASER 6145175A 750 4/1/2021 5437 CONTRACTING SERVICES OF MICHIGAN INC FRASER 2517744A 981 5/5/2021 5221 ICON HOME IMPROVEMENTS FRASER 5980836A 6,140 4/16/2021 5645 0.95 JAWORSKI CUSTOM PAINTING FRASER 4010299A 750 6/8/2021 5476 LANE DEVELOPMENT INC FRASER 1848127A 800 5/18/2021 5645 M B COLONIAL FENCE FRASER 5711118A 750 5/8/2021 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MACOMB HOME IMPROVEMENT INC FRASER 3318079A 750 5/3/2021 5538 0.95 RUBBER BABY ROOFING INC FRASER 0401463A 8,422 4/16/2021 5552 0.91 VESTA HOMES INC FRASER 5271851A 800 5/17/2021 5437 ZI ENTERPRISES INC FRASER 3097218A 981 6/24/2021 8017 0.95 SHAWN THOMAS TREE SERVICE INC FREDERIC 2808030A 3,728 5/21/2021 0106 0.95 LYNCHNUTS INC FREEHOLD, NJ 4989538A 913 4/4/2021 9156 ACCURATE RECOVERY OF MICHIGAN LLC FREELAND 3600394A 1,050 5/10/2021 7720 COBBLESTONE COMMERCIAL CONSTRUCTION FREELAND 5721636A 338 6/1/2021 5606 LLC MCKEITH CONSTRUCTION FREELAND 3302644A 801 6/20/2021 5022 0.95 MDS CONTRACTING LLC FREELAND 5538041A 750 5/5/2021 5645 MID STATE LIQUIDATORS LLC FREELAND 3600009A 1,312 6/29/2021 7720 1.00 PAULS OF BRECKENRIDGE LIMITED FREELAND 6195105A 408 6/5/2021 9058 PROFESSIONAL PROPERTY CONSULTING LLC FREELAND 4398238A 4,866 5/17/2021 9015 1.00 WINDY ACRES KENNELS LLC FREELAND 2588919A 341 6/10/2021 8831 FREEPORT ENTERPRISES INC FREEPORT 1013114A 12,127 4/1/2021 7208 0.84 FREEPORT RURAL FIRE ASSOCIATION FREEPORT 0945382A 865 6/29/2021 7904 0.95 ADVANCE SURVEY PC FREMONT 2147114A 238 5/14/2021 8601 CART RIGHT LLC FREMONT 4363493A 4,369 6/26/2021 7218 0.95 KOZY KORNERS LLC FREMONT 5381622A 714 4/15/2021 8869 SCHAFER ALICIA L FREMONT 6202195A 605 6/24/2021 0913 WAINRIGHT PAINTING FREMONT 4266757A 825 4/30/2021 5476 WESCOTT CHARLES FRIEND, NE 5406188A 750 5/19/2021 7208 CONSTRUCTION SPECIAL TEES INC FRUITPORT 3285677A 2,188 5/30/2021 5437 0.95 EQUITY MARINE CONSTRUCTION LLC FRUITPORT 1936786A 2,818 5/1/2021 4000 0.95 TANNER INSTALLATIONS LLC FRUITPORT 5462240A 3,382 4/18/2021 3724 GREENGARD ROBERT FT WAYNE, IN 6187595A 1,208 5/22/2021 5476 D AND M TREE SERVICE LLC GAINES 4640616A 4,224 5/4/2021 0106 1.00 FINAL CLEAN UP LLC GAINES 4090500A 874 4/27/2021 9015 GB CONCRETE GAINES 3008959A 750 4/21/2021 5221 ON THE LEVEL INC GAINES 4240839A 751 5/19/2021 5221 PAYNES EXCAVATING LLC GALIEN 5982456A 2,360 4/2/2021 6217 0.95 SHEARSCAPE LLC GALIEN 6180663A 1,138 5/12/2021 0042 R AND R TIMBER PRODUCTS GARDEN 2435136A 1,322 4/11/2021 2709 0.95 ADY TRANSPORT INC GARDEN CITY 5403901A 750 5/9/2021 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AGAPE CARES INC GARDEN CITY 4339908A 3,643 5/10/2021 9053 0.95 ALL ACCESS EGRESS INC GARDEN CITY 4463676A 800 4/19/2021 5645 ANDREW TREE SERVICE LLC GARDEN CITY 4989023A 15,745 5/25/2021 0106 1.31 C AND J OUTDOOR SERVICES LLC GARDEN CITY 5715504A 2,017 5/12/2021 0042 GOULET CONSTRUCTION INC GARDEN CITY 2775824A 751 6/12/2021 5645 HORTONS TREE SERVICE INC GARDEN CITY 3215903A 14,073 6/28/2021 0106 0.82 JFN INSTALLATION INC GARDEN CITY 5398770A 764 5/3/2021 5645 0.95 PETTUS ENTERPRISE LLC GARDEN CITY 5865875A 800 5/18/2021 7208 PICKENS SHAWN GARDEN CITY 3365620A 750 6/10/2021 5462 POWERS TREE SERVICE GARDEN CITY 6008623A 1,283 6/28/2021 0106 ROWE THOMAS GARDEN CITY 3887596A 825 5/2/2021 5348 SMC CONTRACTING LLC GARDEN CITY 6188664A 750 5/27/2021 5645 ZIELNIK CONSTRUCTION INC GARDEN CITY 3115267A 752 6/4/2021 8810 ALPINE ROOFING INC GAYLORD 3793249A 3,296 5/29/2021 5645 1.00 B K EXCAVATING INC GAYLORD 1982591A 739 5/6/2021 6217 CLUB VILLAS AT THE LOON CONDOMINIUM GAYLORD 6200206A 618 6/17/2021 9015 ASSOCIATION HIBNER AND SON FOREST PRODUCTS LLC GAYLORD 1797913A 750 5/8/2021 7208 MIKES ELECTRIC INC GAYLORD 2626454A 541 6/3/2021 5190 NORTHERN MICHIGAN DRIVING SCHOOL LLC GAYLORD 4006763A 291 4/15/2021 8868 OTSEGO COUNTY ECONOMIC ALLIANCE INC GAYLORD 3922472A 319 4/8/2021 8810 OTSEGO COUNTY UNITED WAY GAYLORD 2745976A 667 6/9/2021 8810 PURE PRECISION LAWN CARE LLC GAYLORD 5393710A 688 4/4/2021 9102 T C PAINTBALL AT BOYNE LLC GAYLORD 5147786A 568 6/30/2021 9015 TECH SERVICES INC GAYLORD 0091596A 656 6/11/2021 3724 DAN C MAINTENANCE LLC GIBRALTAR 5992540A 1,272 5/4/2021 3724 GIBRALTAR BOAT YARD GAS DOCK GIBRALTAR 0796719A 1,165 5/18/2021 8387 LDC CONSTRUCTION GIBRALTAR 1775316A 618 5/13/2021 9015 PUMP N GO PARTY STORE LLC GIBRALTAR 6197574A 505 6/10/2021 6836 ALASKA WILDLAND ADVENTURES INC GIRDWOOD, AK 4873696A 309 4/19/2021 8810 ASBURY TRUCKING GLADSTONE 6185878A 750 5/20/2021 7208 CM MARENGER TRUCKING GLADSTONE 3754537A 750 6/26/2021 7208 PAT VALIQUETTE CONSTRUCTION GLADSTONE 0840335A 750 4/6/2021 5645 ROGER K TRUCKING LLC GLADSTONE 6175619A 825 5/6/2021 7206 U P CHIMNEY INC GLADSTONE 3812553A 2,675 6/16/2021 5022 1.00

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CEDAR FARM LLC GLADWIN 0591220A 2,321 5/1/2021 0129 0.95 FAIRWELLS INC GLADWIN 2620553A 675 5/16/2021 1320 0.95 LAKESHORE CONSTRUCTION GLADWIN 4154320A 750 5/8/2021 5645 LOYA HOLLY GLADWIN 4903960A 645 6/20/2021 9053 MCCOYS LOGGING GLADWIN 2841860A 750 5/8/2021 2702 MID MICHIGAN FIREWORKS LLC GLADWIN 4753216B 359 5/19/2021 8010 0.95 ADAMS AUDREY GLEN ALLEN, VA 6159818A 935 5/15/2021 0913 FALL STEVE E GLENNIE 1872311A 750 4/5/2021 2702 GRIFF AND SON TREE SERVICE INC GLENNIE 1449265A 4,118 4/26/2021 0106 0.95 JCROWELL IND LLC GLENNIE 5979960A 301 4/9/2021 5191 RIVER BEND COUNTERTOPS GOBLES 4196341A 750 5/12/2021 1624 TITANS KUSTOMS LLC GOBLES 5845190A 607 6/6/2021 8395 ALLIS BUILDING INC GOODRICH 2269651A 800 5/8/2021 5183 0.95 AQUATIC SERVICES INC GOODRICH 2259486A 4,611 6/2/2021 0005 0.95 BOWMAN OUTDOORS LLC GOODRICH 4615557A 1,148 5/5/2021 9102 C AND T BRICK CLEANING & CAULKING INC GOODRICH 3802221A 750 4/28/2021 5022 J Z ROOFING LLC GOODRICH 5128293A 6,136 4/23/2021 5551 0.92 JUNE BARRY M GOODRICH 2108054A 750 5/23/2021 0128 KOVALICK ROOFING & SIDING COMPANY GOODRICH 4050673A 750 5/15/2021 5551 1.00 R L SLADE CUSTOM HOMES INC GOODRICH 1655574A 11,359 5/7/2021 5645 1.44 13 % SHOEMAKER CONSULTING LLC GOODRICH 6001165A 238 6/4/2021 8601 BATPRO ANIMAL CONTROL LLC GOWEN 4898737A 886 6/5/2021 5645 NIEDZ REMODELING SERVICES LLC GOWEN 5987172A 750 4/19/2021 5645 T AND G TREE SERVICE INC GOWEN 3438520A 2,600 6/19/2021 0106 1.00 BY THE SQUARE LLC GRAND BLANC 5422108A 3,283 5/14/2021 5437 0.95 CENTRAL INDUSTRIAL ASBESTOS LLC GRAND BLANC 5611385A 1,042 4/6/2021 5479 COMPLETE SUBCONTRACTING LLC GRAND BLANC 4054741A 750 6/15/2021 5645 0.95 COUSINEAU CORY GRAND BLANC 5395100A 750 4/10/2021 5437 CUTTING EDGE CABINETRY GRAND BLANC 3170845A 750 4/18/2021 5645 ECONODRY INC GRAND BLANC 3047261A 901 4/8/2021 9015 0.95 ENGINEERED TECHNICAL RECRUITING LLC GRAND BLANC 6008445A 615 6/28/2021 3581 FAST LANE CONSTRUCTION GRAND BLANC 5707617A 11,997 4/22/2021 5645 1.57 13 % FLO RITE LLC GRAND BLANC 5189365A 561 6/15/2021 5183 GRACZ CONSTRUCTION GRAND BLANC 3911055A 800 4/15/2021 5645 GUTHERIE ROBOTICS INC GRAND BLANC 5263115A 853 4/18/2021 5191 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 57 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HEALING HANDS NURSING SERVICES LLC GRAND BLANC 5266190A 2,651 4/30/2021 8835 0.95 HOMEZONE IMPROVEMENTS LLC GRAND BLANC 4763793A 2,892 4/9/2021 8742 0.95 INDUSTRY SCOPE LLC GRAND BLANC 3815196A 1,055 6/15/2021 8742 J GRATSCH & ASSOCIATES GRAND BLANC 1902121A 215 6/7/2021 8810 JE GIZINSKI INC GRAND BLANC 5973546A 750 4/21/2021 5645 KC SOLUTIONS LLC GRAND BLANC 6170293A 750 4/30/2021 5645 KRIEGER CONSTRUCTION INC GRAND BLANC 3491110A 750 4/5/2021 5437 MAXIMUS PROTECTION GROUP LLC GRAND BLANC 6154425A 14,814 4/14/2021 7720 N W A INC GRAND BLANC 5078296A 350 4/14/2021 8810 NOLFF CUSTOM DRYWALL LLC GRAND BLANC 1747630A 750 6/11/2021 5445 REMEDY EXCHANGE INCORPORATED GRAND BLANC 5539366A 664 5/2/2021 8868 ROONEY EDWARD GRAND BLANC 2964538A 753 4/15/2021 8810 SCHAEFER CONSTRUCTION GRAND BLANC 3180301A 750 6/28/2021 5645 SIGNET RESIDENTIAL INC GRAND BLANC 3949257A 4,101 6/25/2021 5645 WEST CONTROLS INC GRAND BLANC 5052602A 377 5/2/2021 8601 WOODLAND PARK ACADEMY GRAND BLANC 1769600A 4,616 5/29/2021 8868 0.89 ADAM HASS FINE HOMEBUILDING LLC GRAND HAVEN 5383463A 1,199 4/26/2021 5645 0.80 BEECHAM BUILDERS LLC GRAND HAVEN 5544998A 3,430 5/8/2021 5645 0.94 BLACKWELL STABLES LLC GRAND HAVEN 4242971A 2,539 6/28/2021 8279 0.95 BULTHOUSE TRUCKING LLC GRAND HAVEN 5726620A 800 6/24/2021 7208 CB WILSON CONSTRUCTION LLC GRAND HAVEN 5540747A 4,965 4/16/2021 5437 0.92 COONS QUALITY CARE LAWN SERVICE LLC GRAND HAVEN 4331699A 524 6/26/2021 9102 KEYS DRIVING LLC GRAND HAVEN 5873959A 299 6/29/2021 8868 NORTH OTTAWA ROD & GUN CLUB GRAND HAVEN 2801701A 344 6/14/2021 9061 STUBBS ERIC GRAND HAVEN 5955459A 750 6/23/2021 5445 THIRD COAST TREE SERVICE LLC GRAND HAVEN 6003923A 801 6/13/2021 0106 TRI CITIES ROOFING & SIDING LLC GRAND HAVEN 3709752A 750 4/15/2021 5551 ABOVE THE TOP ROOFING LLC GRAND JUNCTION 5026571A 6,259 5/1/2021 5551 0.95 UFC TREE CARE LLC GRAND JUNCTION 6230989A 7,025 6/13/2021 0106 ACTC SERVICES LLC GRAND LEDGE 5864321A 750 5/12/2021 6217 AEROSPACE RISK MANAGEMENT GROUP INC GRAND LEDGE 4437071A 635 4/2/2021 8810 0.95 BRANSCUM INSTALLERS OF MICHIGAN LTD GRAND LEDGE 3669700A 800 6/9/2021 5437 CAPITAL ROOFING LLC GRAND LEDGE 4586050B 800 4/21/2021 5551 FIRE AND ICE LAWN SNOW CARE LLC GRAND LEDGE 6203019A 739 6/20/2021 9102 SCHAEFER JACOB A GRAND LEDGE 5284600A 599 6/27/2021 9102 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 58 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SUNRISE DOUGHNUT CO LLC GRAND MARAIS 5725879A 329 6/21/2021 9058 A Z HIGH QUALITY PAINTING LLC GRAND RAPIDS 5554497A 825 4/30/2021 5476 ACACIA GROUP LLC GRAND RAPIDS 6156029A 2,861 5/1/2021 0042 AJZ CONSTRUCTION GRAND RAPIDS 5877806A 3,070 6/19/2021 5221 AL TILE & MARBLE LLC GRAND RAPIDS 3923584A 750 5/11/2021 5348 ALAN THOMAS ACQUISITIONS LLC GRAND RAPIDS 0321923A 750 5/20/2021 5403 0.95 ALL STYLES RELIABLE HOME IMPROVEMENT LLC GRAND RAPIDS 6192548A 750 6/3/2021 5551 ALLIED RESIDENTIAL CONSTRUCTION INC GRAND RAPIDS 4341210A 753 6/1/2021 5606 0.95 APARICIO RESTORATION & REPAIR LLC GRAND RAPIDS 5279674A 15,921 6/7/2021 5445 0.85 ASBESTOS CONTRACTORS INC GRAND RAPIDS 3860426A 11,395 5/1/2021 5020 0.84 AWARD WINDOW CLEANING SERVICES INC GRAND RAPIDS 1412639A 708 6/23/2021 8810 1.43 13 % BELLA CONSTRUCTION INC GRAND RAPIDS 5126479A 755 5/17/2021 5606 BEYOND BLESSED SERVICES LLC GRAND RAPIDS 6171508A 1,118 5/1/2021 8835 BLACK FALCON LLC GRAND RAPIDS 2483378A 1,681 5/13/2021 8279 0.95 BRANDON GROVE PAINTING GRAND RAPIDS 5711231A 1,046 5/3/2021 5476 0.95 BROUWER TREE SERVICE LLC GRAND RAPIDS 0190063A 4,886 6/1/2021 0106 0.90 BRUYN HOMES INC GRAND RAPIDS 3031411A 760 5/14/2021 8810 CABIAS GALICIA WILSON GRAND RAPIDS 5998859A 750 5/23/2021 5476 CAMP EAGLES NEST LLC GRAND RAPIDS 5817170A 1,638 4/10/2021 9015 0.95 CANO CECILIA GRAND RAPIDS 5403090A 751 5/7/2021 5445 CARIN HANDS 2 LLC GRAND RAPIDS 5830320A 1,072 4/6/2021 9053 CASPER CONSTRUCTION INC GRAND RAPIDS, MN 5722780A 20,514 6/9/2021 6217 0.90 CHIMNEY SPECIALIST LLC GRAND RAPIDS 4234189A 750 5/7/2021 5022 CHRIS WOOLDRIDGE LLC GRAND RAPIDS 6195644A 470 6/6/2021 5190 CHULSKI ELECTRIC GRAND RAPIDS 1951971A 470 6/13/2021 5190 CONTRERAS DELIVERY LLC GRAND RAPIDS 5995744A 1,584 5/16/2021 7202 CURT SHARP CONSULTING LLC GRAND RAPIDS 5981603A 4,765 4/2/2021 7208 0.95 DASH BROTHERS CARPENTRY LLC GRAND RAPIDS 5201748A 750 5/7/2021 5437 DEGRAAF DAVID GRAND RAPIDS 4225210A 750 5/31/2021 5183 DEVRIES ENTERPRISES GRAND RAPIDS 3966550A 800 4/17/2021 5437 DEVRIES PAINTING & POWERWASHING LLC GRAND RAPIDS 6183832A 750 5/15/2021 5476 DJY CONSTRUCTION LLC GRAND RAPIDS 5910412A 750 6/18/2021 5403 DO IT ALL PAINTING LLC GRAND RAPIDS 5706106A 2,190 6/19/2021 5476 0.95 DOMINGUES LUCIANO ROMAN GRAND RAPIDS 5271100A 750 6/13/2021 3821 DOUGHRUNTS LLC GRAND RAPIDS 5907004A 632 6/25/2021 9058 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 59 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EAGLECREST CONDOMINIUM ASSOCIATION GRAND RAPIDS 1699504A 618 4/1/2021 9015 EASE CONSTRUCTION LLC GRAND RAPIDS 6190766A 2,546 5/29/2021 5437 EEE QUALITY PAINTING LLC GRAND RAPIDS 6182011A 750 5/13/2021 5476 ELEMENTAL ARTISTRY LLC GRAND RAPIDS 5711975A 1,046 5/4/2021 3400 EVERYDAY CHEF LLC GRAND RAPIDS 5717280A 330 6/16/2021 9058 EXCEL ROOFING LLC GRAND RAPIDS 5942101A 3,904 4/21/2021 5551 FILLA LIFE MEDIA LLC GRAND RAPIDS 6000010A 350 5/29/2021 8810 FRAMERS CONSTRUCTION LLC GRAND RAPIDS 5994411A 825 5/11/2021 5445 GA AND EL GOPAR ROOFING GRAND RAPIDS 5989922A 11,356 4/26/2021 5551 0.88 GARCIA SANTOS ALEJANDRO OROZCO GRAND RAPIDS 6207715A 750 6/27/2021 5476 GNC FINISHING LLC GRAND RAPIDS 6208452A 2,690 6/30/2021 5445 GONZALEZ JR PALLETS LLC GRAND RAPIDS 6177964A 7,868 5/8/2021 7214 GOOD HANDS SECURITY SERVICES LLC GRAND RAPIDS 6147100A 525 4/2/2021 7720 GOT IT CONSTRUCTION LLC GRAND RAPIDS 5984025A 1,968 4/10/2021 5552 0.95 HEYN DAVID GRAND RAPIDS 5983754A 706 4/10/2021 8387 HIGHER GROUND ROCK CLIMBING CENTRE LTD GRAND RAPIDS 2863618A 1,044 5/19/2021 9063 0.95 J AND F LAWN AND SNOW SERVICE LLC GRAND RAPIDS 6171621A 524 5/1/2021 9102 JET MARKETING LLC GRAND RAPIDS 5567734A 226 6/1/2021 8810 JMA QUALITY FINISHING GRAND RAPIDS 0792080A 750 4/25/2021 5476 JOB POST GRAND RAPIDS 5380219A 89,712 4/9/2021 9501 1.25 15 % KENNEDY FLORAL INC GRAND RAPIDS 1178822A 246 5/17/2021 8810 KENTWOOD VILLAGE CONDOMINIUM GRAND RAPIDS 3180646A 618 4/18/2021 9015 ASSOCIATION KOOPPRIME LLC GRAND RAPIDS 5993601A 1,900 5/9/2021 0106 KYLES HAULING SERVICE LLC GRAND RAPIDS 6203388A 813 6/20/2021 9403 LABR INC GRAND RAPIDS 6199534A 644 6/17/2021 9015 LARRYS TREE SERVICE LLC GRAND RAPIDS 1122479A 7,753 6/11/2021 0106 0.91 LIPP AMERICA TANK SYSTEMS LLC GRAND RAPIDS 2778076A 2,802 6/1/2021 5057 LIVING WATER MINISTRY NETWORK GRAND RAPIDS 6155995A 378 4/15/2021 9052 LOPEZ SERGIO GRAND RAPIDS 5998727A 750 6/9/2021 5476 MARTINEZ GABRIEL MARTINEZ GRAND RAPIDS 5985749A 750 5/16/2021 5552 MERITUS PROPERTIES LLC GRAND RAPIDS 5356431A 2,390 4/1/2021 6826 0.95 MICAH CENTER GRAND RAPIDS 2971348A 317 6/3/2021 8810 MIDDLETON BUILDERS INC GRAND RAPIDS 2070480A 800 6/28/2021 5645 0.93 MN ALL REMODELING LLC GRAND RAPIDS 5206723A 1,579 5/16/2021 5437 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MORR PROMOTIONS LLC GRAND RAPIDS 5137276A 357 5/10/2021 8742 NIELSEN CONTRACTING GRAND RAPIDS 5557038A 750 5/10/2021 5645 O AND D L LLC GRAND RAPIDS 5873738A 29,943 6/5/2021 5551 0.95 P AND M CONSTRUCTION LLC GRAND RAPIDS 5982219A 750 5/16/2021 5645 PATRIOT CAULKING AND WATER PROOFING LLC GRAND RAPIDS 5132223A 800 5/1/2021 5476 0.95 PEAK REAL ESTATE AND MANAGEMENT LLC GRAND RAPIDS 6000290A 2,560 6/12/2021 9015 PET AGREE LLC GRAND RAPIDS 4946219A 1,713 4/17/2021 8831 0.95 POTTAWATOMIE CLUB GRAND RAPIDS 3316556A 344 5/10/2021 9061 PREMIUM DECORATING INC GRAND RAPIDS 4033639A 750 6/24/2021 5476 PRIVACY LOGIC LLC GRAND RAPIDS 5264278A 546 5/1/2021 2501 RAMSEY LEWIS GRAND RAPIDS 5540828A 800 4/2/2021 5437 RAYMUNDO JAIME TOMAS GRAND RAPIDS 6207570A 750 6/27/2021 5476 RED LINE SECURITY LLC GRAND RAPIDS 5677912A 1,913 5/31/2021 7720 0.95 RELIABLE MEDICAL TRANSPORT LLC GRAND RAPIDS 5559987A 3,290 5/13/2021 7212 0.95 RENAISSANCE ROOFING AND EXTERIORS INC GRAND RAPIDS 6006523A 3,022 6/21/2021 5606 REYES FERNANDO GARCIA GRAND RAPIDS 6207553A 750 6/27/2021 5476 REYNOSO SIDING LLC GRAND RAPIDS 6193137A 5,700 6/4/2021 5645 RIDGEMOOR SWIM CLUB INC GRAND RAPIDS 1376888A 586 5/5/2021 9061 RIOS CONSTRUCTION SERVICES LLC GRAND RAPIDS 6133746A 5,573 5/16/2021 5445 RIVERTOWN FITNESS LLC GRAND RAPIDS 6046517A 887 6/30/2021 9063 ROOTS WILD GARDEN DESIGN LLC GRAND RAPIDS 6187579A 760 5/25/2021 0042 ROSEWOOD FLOORING LLC GRAND RAPIDS 5563089A 751 5/17/2021 5437 ROSS THOMASMA CONSTRUCTION LLC GRAND RAPIDS 5863465A 1,215 5/10/2021 5022 SAYRE CARPET CARE LLC GRAND RAPIDS 4701801A 571 5/10/2021 8810 0.95 SCHAAFSMA PAINTING & POWERWASHING LLC GRAND RAPIDS 4248295A 750 6/7/2021 5476 SCHMIDT GUTTER SYSTEMS LLC GRAND RAPIDS 3969622A 750 4/16/2021 5645 SEVEN L SPORTS LLC GRAND RAPIDS 5989736A 3,560 4/26/2021 9015 0.95 SHANE BROUWER LLC GRAND RAPIDS 5122740A 750 4/2/2021 5437 SHOWROOM AUTO SALES INC GRAND RAPIDS 5548551A 369 6/5/2021 8748 SOLOLA LLC GRAND RAPIDS 5992044A 801 5/12/2021 5476 SPARROW HOMES LLC GRAND RAPIDS 5227232A 800 5/18/2021 5645 STORM CLEANING LLC GRAND RAPIDS 6179290A 569 5/11/2021 9015 STUK JUSTIN GRAND RAPIDS 5613957A 750 6/27/2021 5445 THOMPSON TRANSPORT LLC GRAND RAPIDS 6148883A 3,852 4/7/2021 7208 TOC PAINTING GRAND RAPIDS 4465938A 750 6/18/2021 5476 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 61 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TRADEMARK CONSTRUCTION LLC GRAND RAPIDS 5854369A 750 4/13/2021 5645 TRINITY 30 60 100 GRAND RAPIDS 5381673A 2,216 6/6/2021 9053 0.95 URBANEER INC GRAND RAPIDS 5818648A 844 6/14/2021 8810 VANDENBRINK HOME CARE LLC GRAND RAPIDS 5553504A 1,335 5/2/2021 0908 0.95 VELAS HOME IMPROVEMENT LLC GRAND RAPIDS 6133150A 750 6/4/2021 5551 VENEGAS ROOFING LLC GRAND RAPIDS 6184375A 750 5/25/2021 5551 VILLAGOMEZ CONSTRUCTION LLC GRAND RAPIDS 5871409A 750 5/20/2021 5445 WEST MICHIGAN LANDSCAPE COMPANY LLC GRAND RAPIDS 5985056A 710 4/12/2021 0042 WESTRATE BUILDERS INC GRAND RAPIDS 0567582A 800 4/8/2021 5645 WOLVERINE HOOSIER ATHLETIC CONFERENCE GRAND RAPIDS 5866898A 488 6/1/2021 8742 INC WOODSHIRE PLACE CONDOMINIUM GRAND RAPIDS 3314898A 618 4/1/2021 9015 ASSOCIATION AIMS ADVANTAGE INC GRANDVILLE 2337169A 25,498 5/25/2021 6504 0.67 APEX CONTRACTING COMPANY LLC GRANDVILLE 6201733A 470 6/18/2021 5190 BELIEVERS LINE INC GRANDVILLE 0398845A 753 5/12/2021 8810 CHET GLASS BUILDERS LLC GRANDVILLE 3253660A 3,154 6/16/2021 5437 0.95 DUPREE FINANCIAL GROUP LLC GRANDVILLE 6002617A 235 6/10/2021 8810 ELLIS ELECTRIC & CONTRACTING LLC GRANDVILLE 5124549A 1,888 4/5/2021 5190 0.95 FOSTER CHRISTOPHER GRANDVILLE 6135382A 750 5/5/2021 5476 GRAND VALLEY TOWING LLC GRANDVILLE 5290880A 10,647 6/6/2021 8395 0.89 HAMPSHIRE INSTALLATIONS GRANDVILLE 0482234A 800 4/20/2021 5437 HYONG PAK SERVICES LLC GRANDVILLE 6189610A 800 5/28/2021 5645 IMPACT DYNAMIC TRAINING LLC GRANDVILLE 5392764A 868 4/15/2021 9063 0.95 MAIER HOMES LLC GRANDVILLE 5723361A 1,243 6/10/2021 5645 THOMAS KONYNDYK BUILDER GRANDVILLE 5264227A 750 4/23/2021 5437 TRUECRAFT LLC GRANDVILLE 4995104A 800 6/19/2021 5190 R B TRUCKING AND TOWING LLC GRANGER, IN 5868106A 5,577 5/25/2021 7208 0.95 DUANE BOUWKAMP FARM LLC GRANT 5873053A 739 6/2/2021 6217 JAYS CONSTRUCTION LLC GRANT 5008751A 750 4/2/2021 5645 PRECISION AG SOLUTIONS LLC GRANT 5866995A 1,336 5/22/2021 8102 ROBINSON DANIEL GRANT 4432193A 750 6/18/2021 2702 APPLE CREEK CAMPGROUND & RV PARK LLC GRASS LAKE 1678825A 618 6/27/2021 8017 C O C INC GRASS LAKE 3368360A 800 4/14/2021 5437 HERPETOLOGICAL RESOURCE AND GRASS LAKE 5259630A 1,321 4/10/2021 8831 0.95 MANAGEMENT LLC 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 62 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge M D U TRANSPORT SERVICE INC GRASS LAKE 6004423A 750 6/14/2021 7208 ANDY NICKERSON ROAD SERVICE LLC GRAWN 4858557A 5,561 6/13/2021 7208 0.93 NORTHWESTERN MICHIGAN FAIR ASSOCIATION GRAWN 0390445A 966 4/3/2021 9015 GRAYLING HATCHERY INC GRAYLING 5968224A 523 4/12/2021 0034 JAHNER FRANK GRAYLING 2067366A 2,677 5/13/2021 5348 0.95 JOHNS OIL FIELD CONSULTING LLC GRAYLING 6172598A 313 5/2/2021 8601 NORTHPOINT FISHERIES MANAGEMENT LLC GRAYLING 5148863A 3,195 5/14/2021 0042 0.94 TWO RIVER DELI LLC GRAYLING 5994586A 824 5/11/2021 8006 WOODLAND MOTOR LODGE INC GRAYLING 2298864A 373 6/26/2021 9052 SPIELBAUER FIREWORKS CO INC GREEN BAY, WI 3913562A 569 5/23/2021 9015 BUTLER DID IT GREENVILLE 3489043A 750 5/19/2021 5551 COOPERS HOME IMPROVEMENTS LLC GREENVILLE 3457265A 800 6/15/2021 5551 DYNA CLEAN LLC GREENVILLE 2033062A 568 5/14/2021 9015 ECKLEY RACING LLC GREENVILLE 5721547A 750 6/18/2021 8279 FUNCTIONAL CONSULTING SERVICES LLC GREENVILLE 6145159A 288 4/1/2021 8601 JRS HOME IMPROVEMENT GREENVILLE 5410363A 1,009 6/5/2021 5645 SAGES MEAT PROCESSING & CATERING INC GREENVILLE 0205443A 2,443 5/29/2021 8031 0.95 TNJ ENTERPRISES LLC GREENVILLE 4993314A 330 5/12/2021 8017 TOM BUTTERWORTH BUILDERS INC GREENVILLE 4228553A 750 6/9/2021 5645 CREATURE CONTROL LLC GREGORY 4373871A 17,691 4/4/2021 8831 1.57 40 % NEW DESIGN BUILDING CO INC GREGORY 2389614A 4,795 4/1/2021 5645 0.95 RB SUPERVISION LLC GREGORY 5399564A 338 4/29/2021 5606 CLAY STREET CENTER GRENNVILLE 5706793A 825 5/1/2021 9063 CENTRAL MARINE LOGISTICS INC GRIFFITH, IN 4402219A 881 4/19/2021 6826 ENERGY NATIONAL DANCE COMPETITIONS LLC GROSSE ILE 5548020A 4,243 4/30/2021 9063 0.95 PIZZO CONSTRUCTION LLC GROSSE ILE 4463552A 800 6/4/2021 5437 RIVERPOINTE REALTY INC GROSSE ILE 2476100A 417 4/11/2021 8810 TUTTLE SUPPLY INC GROSSE ILE 0975966A 693 6/20/2021 9015 ANDREW OWENS DESIGNS LLC GROSSE POINTE 5756596A 1,597 6/12/2021 3365 ESTATE PROPERTY MANAGEMENT GROSSE POINTE 4115880A 523 5/1/2021 9102 LA CONTRACTING GROUP INC GROSSE POINTE 5265576A 1,348 4/22/2021 5403 MCSKIMMING INC GROSSE POINTE 6186483A 1,866 5/28/2021 9015 SUPERIOR PLASTERING & PAINTING INC GROSSE POINTE 1578197A 750 5/19/2021 5476 THOMAS DEGROOD & WITENOFF PC GROSSE POINTE 2565056A 302 5/28/2021 8810 FOUNDATION BUILDERS LLC GROSSE POINTE FARMS 6158404A 2,216 5/8/2021 5437 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 63 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HUDSON JEAN WRIGHT GROSSE POINTE FARMS 1117912A 2,670 5/5/2021 0913 0.95 SEAJAY MARINE GROUP LLC GROSSE POINTE FARMS 6171630A 506 5/1/2021 6834 WINDOW SPARKLER LLC GROSSE POINTE FARMS 4333225A 773 4/12/2021 9015 ZIMMERMAN TODD GROSSE POINTE FARMS 4202317A 750 4/6/2021 5645 JOHN T SZYMANSKI INC GROSSE POINTE PARK 4361725A 561 6/20/2021 5183 COOPER J LEWIS JR & COOPER JUDITH J GROSSE POINTE WOODS 3772608A 307 4/26/2021 0908 CREVIER CONSTRUCTION LTD GROSSE POINTE WOODS 4547926A 2,178 5/17/2021 5437 GD BUILDING CO GROSSE POINTE WOODS 2215608A 750 6/19/2021 5645 HADLEY HOME IMPROVEMENT INC GROSSE POINTE WOODS 2629879A 5,357 6/13/2021 5645 1.00 R FROMM COMPANY LLC GROSSE POINTE WOODS 0046957A 805 6/6/2021 5606 REVOLUTION FLAG SERVICE LLC GROSSE POINTE WOODS 5143730A 756 5/23/2021 5538 SABER 7 LLC HADLEY 2537710A 2,381 6/16/2021 5550 0.95 ADAMS LAWN & NATURE SERVICE LLC HALE 5695449A 523 5/8/2021 9102 SAVIN LAKE SERVICES INC HALE 4064780A 6,805 6/5/2021 0005 0.87 DIRECT IRRIGATION LLC HAMBURG 5164362A 611 4/14/2021 5183 ACORN SOUND TECHNOLOGIES LLC HAMILTON 6195164A 856 6/6/2021 5191 CREEKSIDE CONSTRUCTION AND REMODELING HAMILTON 4828283A 750 4/10/2021 5645 INC DMH SERVICES LLC HAMILTON 5862400A 476 5/7/2021 9530 JR LEAF SERVICES LLC HAMILTON 6184308A 573 5/16/2021 9102 MLS TRUCKING LLC HAMILTON 3771911A 265 4/25/2021 8810 CHUK CONSTRUCTION LLC HAMTRAMCK 5358400A 750 5/27/2021 5645 GOLOVA CONSTRUCTION LLC HAMTRAMCK 5596700A 750 6/18/2021 5645 MARTIN BEST ROOFING HAMTRAMCK 3723054A 750 5/15/2021 5645 SHONDHAN ENTERPRISE INC HAMTRAMCK 3788288A 824 6/3/2021 8868 DEFABB INC HANCOCK 1307207A 565 5/29/2021 9058 MCKANA MINES & MINERALS HANCOCK 1718118A 801 6/9/2021 8227 RIUTTA CONTRACTING HANCOCK 1412230A 2,290 5/9/2021 5645 0.95 SMART FOAM INDUSTRIAL COATINGS LLC HANCOCK 5607205A 2,112 6/1/2021 5479 PANGEA TRANSPORT LLC HANOVER 6005055A 800 6/18/2021 7208 TREECORE LLC HARBERT 3775437A 20,328 5/8/2021 0106 0.77 CAPLING CONSTRUCTION LLC HARBOR BEACH 5143926A 800 5/1/2021 5645 FISHERMANS COVE CONDOMINIUM HARBOR BEACH 4441648A 569 6/8/2021 9015 ASSOCIATION G R ROGGENBUCK LLC HARBOR BEACH 5604885A 240 6/21/2021 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HB SECURITY LLC HARBOR BEACH 4173864A 7,339 5/18/2021 7720 KARENS PLACE AFC HARBOR BEACH 5063256A 547 5/22/2021 9053 1.00 NEYS AUTO SERVICE INC HARBOR BEACH 4033043A 973 5/1/2021 8395 ROCHEFORT PETERSON SUSAN HARBOR BEACH 5394910A 215 4/11/2021 8810 SIEMEN SHOP INC HARBOR BEACH 4363051A 770 5/7/2021 8395 0.95 SIGEL TOWNSHIP OF HURON COUNTY HARBOR BEACH 2135566A 754 5/21/2021 7704 BHT PLUMBING & HEATING LLC HARBOR SPRINGS 5124956A 562 4/5/2021 5183 GREEN ROOM LANDSCAPE LLC HARBOR SPRINGS 5856515A 750 5/16/2021 5221 HAPPY DAYS AND NIGHTS LLC HARBOR SPRINGS 5782457A 910 5/29/2021 2143 LITTLE TRAVERSE SAILORS HARBOR SPRINGS 4883420A 1,102 6/30/2021 9060 0.95 ABUNDANT COMMUNITY RECOVERY SERVICES HARPER WOODS 5689708A 1,632 4/7/2021 9052 BRUCE F KOVACH INC HARPER WOODS 0468274A 750 4/28/2021 5476 FUSION HOME HEALTH CARE AGENCY INC HARPER WOODS 4219236A 470 6/30/2021 8835 0.95 J T ADDISON CO HARPER WOODS 1716425A 356 6/24/2021 8803 LIL ACHIEVERS DAY CARE CENTER LLC HARPER WOODS 5796350A 583 6/3/2021 8869 RAIL CONTAINER SERVICES OF MICHIGAN HARPER WOODS 1329960A 750 5/1/2021 7208 B AND D RYAN TRUCKING LLC HARRIS 4809580A 750 5/21/2021 7208 COLD CREEK SERVICES LLC HARRISON 5868920A 24,984 6/1/2021 9402 0.88 DUGGANS CANOE LIVERY & CAMPGROUNDS INC HARRISON 4676696A 568 5/23/2021 9015 HANG MANAGEMENT LLC HARRISON 4738500A 1,214 4/23/2021 9058 0.95 M AND M DRYWALL LLC HARRISON 5711207A 750 5/2/2021 5445 MICHAEL HENRY TREE SERVICES LLC HARRISON 5268508A 3,184 5/8/2021 0106 0.95 MOORE DIVERSIFIE HARRISON 6165044A 825 4/30/2021 5645 MULDER DON II HARRISON 5950384A 750 5/13/2021 5445 VAVAVOOM INC HARRISON 5864429A 417 5/10/2021 9058 A AND A DELIVERY LLC HARRISON TOWNSHIP 5996988A 4,228 5/18/2021 7206 A 1 SECURITY INC HARRISON TWP 2738120A 523 5/31/2021 9102 0.95 AMERICAN CLASSIC BOAT TRAILERS LLC HARRISON TWP 5984459A 358 4/11/2021 8010 DONE RITE HANDYMAN HARRISON TWP 2680823A 750 4/7/2021 5645 EXPERIENCED JANITORIAL SERVICE INC HARRISON TWP 5553857A 568 4/29/2021 9015 GERM PATROL LLC HARRISON TWP 6184340A 1,154 5/20/2021 8835 HARBOR VIEW AT MACRAY ASSOCIATION HARRISON TWP 5994101A 648 6/26/2021 8810 HURON POINTE EXCAVATING LLC HARRISON TWP 5393329A 8,440 6/11/2021 6217 0.95 L AND R GLASS BLOCK LLC HARRISON TWP 1957570A 750 6/17/2021 5022 LAKELAND CONSTRUCTION & HOME REPAIR INC HARRISON TWP 2644797A 750 4/24/2021 5221 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 65 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LAKESHORE VILLAGE MOBILE HOME PARK HARRISON TWP 1653300A 568 5/23/2021 9015 LUKAS FAMILY LLC HARRISON TWP 0693740A 802 6/1/2021 6836 MICHIGAN MARINE SALVAGE INC HARRISON TWP 3657469A 1,139 5/23/2021 6834 MJR DESIGN SERVICES HARRISON TWP 4469488A 215 5/13/2021 8810 MOTOWN LIMOUSINE LLC HARRISON TWP 4346980A 1,429 5/16/2021 7212 0.95 PETER ANDARY PROPERTIES LLC HARRISON TWP 5862094A 751 5/3/2021 5437 R AND L HOMES OF HARRISON TOWNSHIP INC HARRISON TWP 1963821A 750 4/19/2021 5645 0.95 RESTORYOURHOME INC HARRISON TWP 5724147A 750 6/14/2021 5437 ROSS WALINSKE LLC HARRISON TWP 2252732A 750 6/8/2021 5403 SKYE HOME IMPROVEMENTS INC HARRISON TWP 2707900A 750 5/15/2021 5645 VITOS SALVAGE HARRISON TWP 5990190A 978 4/29/2021 8265 DAN WEST CONTRACTING LLC HARRISVILLE 5876583A 804 6/15/2021 5606 CHAMPIONS MARINE SERVICE INC HARSENS ISLAND 0803839A 1,451 4/24/2021 6836 0.95 STONEBACK H NEAL HARSENS ISLAND 4081625A 307 6/10/2021 0908 SKYLINE HELICOPTERS INC HARSHAW, WI 4204719A 324 4/12/2021 7422 CHANNEL HOUSING MINISTRIES INC HART 2923670A 619 4/22/2021 8810 ARROW AUTOMOTIVE LLC HARTFORD 4652088A 2,035 4/9/2021 8395 1.00 WE TRUCK FREIGHT LLC HARTFORD 6161200A 800 4/21/2021 7208 PELOWS HOME IMP INC HARTLAND 6000118A 750 5/29/2021 5645 PREMIER SERVICE LLC HARTLAND 5754569A 750 6/7/2021 5645 SCRAPBOOK MEGA MEET LLC HARTLAND 4061896A 496 4/20/2021 8017 TOTAL HARDWARE SOLUTIONS LLC HARTLAND 5983878A 1,037 4/10/2021 8010 UBERWRITER SOLUTIONS LLC HARTLAND 5708141A 215 4/25/2021 8810 PINE MEADOW CONDOMINIUMS ASSOCIATION HASLET 4081803A 568 5/20/2021 9015 CARRIAGE HILL NORTH CONDOMINIUM HASLETT 0753807A 568 4/5/2021 9015 ASSOCIATION CHATEAU LOUISE CONDOMINIUM ASSOCIATION HASLETT 0768251A 574 6/12/2021 9015 DUMPAROO LLC HASLETT 6005128A 643 6/18/2021 9015 LAKESIDE VILLAGE WEST ASSOCIATION HASLETT 4920139A 568 4/18/2021 9015 LOCAL LAWN CARE HASLETT 4340469A 709 6/9/2021 0042 SUPERIOR PRODUCTS INC OF CHARLOTTE HASLETT 0930342A 4,047 6/8/2021 9058 0.95 THREE LAKES HOMEOWNERS ASSOCIATION HASLETT 5268214A 568 6/15/2021 8810 TWIN OAKS CONDOMINIUM ASSOCIATION HASLETT 2170183A 568 4/27/2021 9015 WHITE BIRCH CONDOMINIUM ASSOCIATION HASLETT 5394147A 568 4/9/2021 9015 WOODSTONE VILLAGE ASSOCIATION HASLETT 1352857A 568 4/1/2021 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GRUESBECK AGRONOMY SERVICES LLC HASTINGS 4493222A 751 4/2/2021 0128 RB AND SON LLC HASTINGS 5553938A 573 4/29/2021 9102 L 3 K FOREST PRODUCTS LLC HAWKS 3906779A 750 4/6/2021 2702 SCHEPKE FOREST PRODUCTS HAWKS 0263770A 1,898 6/2/2021 2702 0.95 ELERA STAFFING LLC HAWTHORNE, CA 6171311A 525 5/4/2021 8832 BARBER KATHLEEN HAZEL PARK 5989167A 230 5/1/2021 8832 DOCK AND DOOR HOLDINGS LLC HAZEL PARK 4452011A 1,100 5/1/2021 5403 ELIAS TRADING COMPANY HAZEL PARK 5133742A 491 4/8/2021 8018 IBB PETROLEUM SERVICES INC HAZEL PARK 5190274A 2,625 4/21/2021 3724 0.95 METRO DETROIT MASONRY LLC HAZEL PARK 4865170A 825 5/4/2021 5221 0.95 CLIMBING HIGHER TREE SERVICE LLC HEMLOCK 5986320A 2,750 4/17/2021 0106 HEMLOCK HOMETOWN BUILDERS LLC HEMLOCK 5315840A 2,690 6/15/2021 5645 0.95 MEIER CONSTRUCTION HEMLOCK 4464354A 627 5/26/2021 8387 MONKS TREE SERVICE INC HEMLOCK 4065433A 1,668 4/12/2021 0106 0.95 TRUDELLS NORTHERN TREE CARE LLC HEMLOCK 1744518A 3,357 4/18/2021 0106 0.95 BELLMORE SHARON A HERMANSVILLE 4133404A 750 5/8/2021 2702 DENZER SCOTT ANTHONY HERMANSVILLE 6007228A 435 6/25/2021 1164 DAVID ARIS TRUCKING LLC HERSEY 6185347A 5,678 5/19/2021 7208 BOYLE ROBERT F HICKORY CORNERS 5998638A 735 5/23/2021 0908 A BETTER EXTERIOR LLC HIGHLAND 4788559A 2,132 4/7/2021 5606 0.95 A ONE SPRINKLERS INC HIGHLAND 3024644A 709 4/12/2021 0042 BAILEY CUSTOM HOMES INC HIGHLAND 1875361A 750 4/5/2021 5645 BOLANDS PRECISION HARDWOOD FLOORS LLC HIGHLAND 4189370A 751 5/21/2021 5437 BUCKET LIST LLC HIGHLAND 5407834A 751 5/15/2021 0106 C GREENS TREE SERVICE LLC HIGHLAND 4350740A 2,701 5/24/2021 0106 0.95 CHAMBERLAIN TREE CORP HIGHLAND 5415322A 5,895 5/11/2021 0106 COMMERCIAL FABRICATING & ENGINEERING INC HIGHLAND 0657581A 756 4/21/2021 8742 DM WILSON CONSTRUCTION HIGHLAND 0851442A 750 4/10/2021 5437 DUKES SERVICES LLC HIGHLAND 5557216A 562 5/10/2021 5183 FISK FAMILY CLEANING LLC HIGHLAND 5571618A 569 5/22/2021 9015 GREENHILL BUILDING INC HIGHLAND 4753917A 750 5/2/2021 5437 GROUNDED LLC HIGHLAND 6195121A 238 6/6/2021 8601 LAKESIDE CONTRACTING INC HIGHLAND 0514454A 2,959 5/7/2021 5476 0.95 PERFORMANCE CREATIVE RESOURCES INC HIGHLAND 3829812A 279 6/2/2021 8742 POOL BUSTERS INC HIGHLAND 6167420A 4,193 4/28/2021 6217 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 67 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SPECIALISTIC CONSTRUCTION INC HIGHLAND 3229483A 4,286 5/3/2021 5437 0.95 UNIVERSAL RENOVATIONS LLC HIGHLAND 4461673A 825 5/17/2021 5645 CITGO FUEL INC HIGHLAND PARK 3478742A 616 4/8/2021 8017 0.95 MAHADEV CORPORATION HIGHLAND PARK 3667812A 399 6/30/2021 9052 0.95 MODERN TRIBE COMMUNICATIONS INC HIGHLAND PARK 6190685A 408 5/29/2021 7610 SINGING TREE LLC HIGHLAND PARK 4470621A 7,567 5/16/2021 0106 0.97 BILLYS PAINTING HILLMAN 6202209A 1,496 6/19/2021 5476 DEBOER DRYWALL AND TEXTURING HILLMAN 6193102A 750 6/4/2021 5445 PAINTER INVESTMENTS INC HILLMAN 3511790A 440 6/15/2021 9058 EMERGENCY RESPONSE TECHNOLOGIES INC HILLSDALE 3329119A 469 5/1/2021 8868 HILLSDALE COUNTY TASK FORCE ON FAMILY HILLSDALE 0881104A 864 5/14/2021 9052 0.95 VIOLENCE HILLSDALE TOWNSHIP HILLSDALE 1103415A 2,168 4/1/2021 7904 0.95 HOUSE OF REFUGE CHURCH INC HILLSDALE 3498549A 577 5/25/2021 8868 K A HODGE CONSTRUCTION INC HILLSDALE 1976737A 1,960 5/15/2021 5645 MAR VO MINERAL CO INC HILLSDALE 2639955A 6,214 5/10/2021 6504 1.41 27 % NATIONWIDE INFRASTRUCTURE LLC HILLSDALE 5857805A 10,958 6/6/2021 5102 0.88 DIVERSIFIED RECRUITMENT SERVICES LLC HOLIDAY, FL 6190170A 354 5/28/2021 8810 ACUSTRUCT HOME REMODELING & REPAIR LLC HOLLAND 5631440A 750 4/24/2021 5437 ADVANCED HOME IMPROVEMENT COMPANY INC HOLLAND 2063697A 1,158 4/30/2021 5645 ALVERSON MATT HOLLAND 5717574A 750 6/15/2021 5551 BAY MEADOWS ASSOCIATION OF HOLLAND HOLLAND 1329863A 750 4/25/2021 5645 BRANDERHORST TOM HOLLAND 1939920A 751 5/12/2021 5221 BRIAN C BURCH INC HOLLAND 5629144A 512 5/2/2021 8742 CHAMPION CHEERLEADING COMPANY HOLLAND 3485110A 5,729 4/1/2021 9015 1.16 10 % CHINA INN SOUTH EXPRESS LLC HOLLAND 3017494A 554 5/5/2021 9058 0.95 CONKLIN ROOFING SYSTEMS OF MICHIGAN LLC HOLLAND 4466420A 7,122 4/24/2021 5551 0.88 CONVENTION COMPONENTS INC HOLLAND 6190715A 343 6/1/2021 8810 DEJONG CONSTRUCTION LLC HOLLAND 5720761A 750 5/31/2021 5645 ERP 101 LLC HOLLAND 6003842A 272 6/13/2021 8742 GLASS GERRY HOLLAND 5132533A 750 5/1/2021 7208 GREAT LAKES HELICAL PIERS LLC HOLLAND 5994217A 746 5/17/2021 5213 GREAT LAKES PRECISION LLC HOLLAND 6184545A 750 5/16/2021 5645 GUARDIAN JIU JITSU LLC HOLLAND 6001270A 300 6/5/2021 9063 HOLKEBOER BUILDERS INC HOLLAND 3075931A 750 4/3/2021 5645 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge IMOPW LLC HOLLAND 0988413A 1,127 6/28/2021 9058 KAMPHUIS MITCH HOLLAND 4764099A 750 6/30/2021 5221 KEEN LARRY HOLLAND 5418712A 750 6/26/2021 5221 KROEZE BROTHERS ROOFING INC HOLLAND 1818031A 750 5/18/2021 5551 KROEZE BUILDERS LLC HOLLAND 2794365A 750 4/6/2021 5645 L AND L DEVISSER LLC HOLLAND 3617084A 751 4/18/2021 8810 LAKE MICHIGAN CONSTRUCTION LLC HOLLAND 5698413A 3,221 6/13/2021 9015 LAKESHORE ATHLETIC CENTER LLC HOLLAND 5697352A 400 4/11/2021 9063 LAKESHORE HOME IMPROVEMENT SERVICES HOLLAND 4871774A 802 5/20/2021 8810 LLC LAWRENCE TOWING LLC HOLLAND 5530687A 3,954 6/25/2021 7208 0.95 LED CONSTRUCTION LLC HOLLAND 5991374A 15,055 4/30/2021 5551 0.95 LUBBERS DAN HOLLAND 5983070A 750 4/8/2021 5645 MENDEZ LANDSCAPING LLC HOLLAND 5128951A 11,117 5/14/2021 5552 0.95 MIDWEST ANTIMICROBIALS LLC HOLLAND 6207472A 855 6/30/2021 9015 MIKES MECHANICAL LABOR LLC HOLLAND 5879426A 724 6/26/2021 5550 NO WASTE BARK & WOOD PRODUCTS LLC HOLLAND 2616661A 750 4/27/2021 0106 0.95 PARKVIEW ADULT FOSTER CARE HOME INC HOLLAND 0549762A 3,488 6/17/2021 9053 0.91 PILCHER KIRSTEN HOLLAND 4765095A 530 5/28/2021 0913 PLN PARTNERS INC HOLLAND 3533328A 1,151 4/2/2021 8748 1.00 QUASAR WATERS LLC HOLLAND 5993253A 1,114 5/28/2021 9015 R J DEVRIES CONSTRUCTION INC HOLLAND 2458160A 800 4/6/2021 5645 RANDL INTERIORS LLC HOLLAND 4527763A 800 6/7/2021 5445 SPARKLING MAIDS LLC HOLLAND 3598519A 569 6/30/2021 9015 VM ROOFING CONSTRUCTION LLC HOLLAND 5985781A 12,542 4/16/2021 5551 0.93 WIDGET FARMS LLC HOLLAND 5156106A 309 6/20/2021 8810 A R LANDSCAPE & STONE WORK INC HOLLY 5570883A 1,214 6/4/2021 0042 0.95 ARNOLD ROOFING AND CONSTRUCTION INC HOLLY 4592344A 827 6/1/2021 8720 BIG GREEN LLC HOLLY 6160760A 789 4/18/2021 0042 C J W CHIMINEY LLC HOLLY 3004104A 5,802 6/5/2021 9015 0.90 CMS SMT LLC HOLLY 6203086A 8,315 6/27/2021 7213 DAVID SKULBRU LLC HOLLY 5718864A 800 6/19/2021 5645 ELEMENTS DAY SPA HOLLY 4166884A 399 4/20/2021 9586 FULGHUM JASON HOLLY 6202144A 750 6/20/2021 5437 GRAYS TREE SERVICE INC HOLLY 2788870A 3,530 6/12/2021 0106 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GROUNDS MAINTENANCE LLC HOLLY 4796004A 7,049 6/1/2021 0042 0.91 LIVE YOUR DREAM RENOVATION INC HOLLY 5176069A 751 6/8/2021 5645 1.00 LUCAS MECHANICAL LLC HOLLY 4480465A 561 6/14/2021 5183 NAILED CONSTRUCTION AND REMODELING LLC HOLLY 5607442A 750 5/20/2021 5403 PRECISION TREE AND SHRUB SERVICES INC HOLLY 4858883A 4,073 4/10/2021 0042 0.92 TEMPLETON HOME ENHANCEMENTS LLC HOLLY 6195482A 750 6/8/2021 5437 TIMS ROOFING AND SIDING LLC HOLLY 5557054A 1,608 4/26/2021 5551 0.95 TOP CHOICE LAWN SERVICE LLC HOLLY 5990513A 936 4/29/2021 9102 WEEDING SOLUTIONS LLC HOLLY 5863015A 710 5/8/2021 0042 WOODEN NAIL LLC HOLLY 2729270A 1,078 6/19/2021 5437 ELITE BUILDING GROUP LLC HOLT 6198201A 826 6/11/2021 8810 FAIRFIELD PLACE CONDOMINIUM ASSOCIATION HOLT 4081455A 568 5/15/2021 9015 NEXT CHAPTER CONSTRUCTION LLC HOLT 6191410A 802 5/30/2021 5437 SIMON ROOFING & CONSTRUCTION LLC HOLT 2123312A 825 4/12/2021 5551 SONJA AND SASHA INC HOLT 5866847A 1,150 5/22/2021 7208 TIMBERLAND DEVELOPMENT GROUP INC HOLT 2857898A 825 4/6/2021 5445 MATRIX SOLUTIONS LLC HOLTON 6005462A 750 6/19/2021 0106 OUTDOORSMEN PROPERTY IMPROVEMENTS LLC HOLTON 6157076A 1,334 4/16/2021 0042 RONALD J WAGNER CONSTRUCTION HOMER 2796074A 1,889 4/11/2021 5403 0.95 HANNA OUTDOOR SERVICES LLC HONOR 5544696A 710 4/12/2021 9102 CAPITAL MACHINERY TECH HOPKINS 5983142A 656 4/6/2021 3724 COAD JARED HOPKINS 6205410A 370 6/24/2021 8720 HOFFMAN TRUCKING HOPKINS 0455261A 750 4/28/2021 7208 STOP SHOP & ROLL ENTERPRISES LLC HOPKINS 5945895A 502 6/26/2021 8017 VANDYKE JOHN HOPKINS 2880008A 656 4/6/2021 3724 0.95 ACKLEYS SEAMLESS GUTTER HORTON 6002293A 750 6/7/2021 5645 PINE HILL FARMS LLC HORTON 5101492A 800 6/12/2021 7208 KEWEENAW WATERWAY RESORT HOUGHTON 2043076A 374 5/28/2021 9052 PIKE RIVER TRUCKING HOUGHTON 5632102A 750 6/14/2021 7208 RP OLSON ELECTRIC INC HOUGHTON 6186726A 1,177 5/21/2021 5190 AIRWAY PAINTING LLC HOUGHTON LAKE 4070909A 800 4/10/2021 5476 H AND H FIREWORKS LLC HOUGHTON LAKE 4972740A 926 6/8/2021 8017 0.95 HLM POWER SPORTS INC HOUGHTON LAKE 5740282A 519 5/19/2021 6836 LAURA N NEACE EXECUTIVE TRANSPORTATION HOUGHTON LAKE 5984181A 1,014 4/11/2021 7220 LLP

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROBINSON CONTRACTING HOUGHTON LAKE 2674823A 750 6/14/2021 5645 YUMMY STUFF LLC HOUGHTON LAKE 5887810A 408 5/10/2021 8017 S AND S PROFESSIONAL SERVICES LP HOUSTON, TX 5016550A 5,365 5/6/2021 8292 0.95 DECKER NICHOLAS HOWARD CITY 6001130A 750 6/4/2021 2702 PICTURE PERFECT HOWARD CITY 6196837A 750 6/10/2021 5476 REYNOLDS TOWNSHIP LIBRARY HOWARD CITY 3483932A 386 4/6/2021 8810 ACTION FLOORS LLC HOWELL 3129799A 750 5/12/2021 5437 0.95 ADVANCED COMPUTING AND MANAGEMENT INC HOWELL 3028178A 216 6/14/2021 8810 ALPHI INC HOWELL 0703001A 241 6/7/2021 8810 AMEZOLA LANDSCAPING HOWELL 5985013A 771 4/23/2021 0042 BASIC EXCAVATING LLC HOWELL 4740670B 1,085 6/8/2021 6217 0.95 BODY WITHIN INC HOWELL 4343301A 570 6/1/2021 9063 BRADLEY SINGLETON EXTIORERS LLC HOWELL 5909155A 800 5/9/2021 5645 0.95 BV ENGINEERING ELECTRICAL CONTRACTOR HOWELL 2554194A 470 4/30/2021 5190 C AND D FENCE LLC HOWELL 5276675A 750 5/31/2021 6400 CAMP TALAHI RETREAT & NATURE CENTER HOWELL 4991842A 2,385 6/15/2021 9015 0.95 CIRCUIT BREAKER RECYCLING LLC HOWELL 5860652A 4,300 5/1/2021 8264 CLEARWATER EROSION CONTROL INC HOWELL 6006116A 1,091 6/20/2021 0042 COLUMBIA LAKES CONDOMIMIUM ASSOCIATION HOWELL 6202152A 568 6/19/2021 9015 COMMAND CONSULTING GROUP LLC HOWELL 6147836A 825 5/1/2021 6325 CONVERSE CONSTRUCTION HOWELL 3829308A 750 6/22/2021 5645 DAUS PAINTING HOWELL 3093590A 750 4/22/2021 5476 ESSENTIAL PERSONNEL INC HOWELL 2861640A 15,421 6/21/2021 9501 0.77 ESTATES AT ARCADIA RIDGE CONDOMINIUM HOWELL 5727545A 568 6/27/2021 9015 ASSOCIATION FAMILY TREE DOCTOR LLC HOWELL 5720044A 800 5/26/2021 0106 FIRST RESPONSE PLUMBING LLC HOWELL 5521327A 612 5/18/2021 5183 GM CONSTRUCTION LLC HOWELL 3779050A 750 6/14/2021 5645 HALLMARK SOFTWARE & ENGINEERING LLC HOWELL 3617386A 234 4/19/2021 8810 HOWELL MAIN STREET INC HOWELL 5708214A 386 5/1/2021 8810 JAGLA WINDOW & DOOR INC HOWELL 4086139A 750 6/26/2021 5645 JEFF GARDNER ROOFING HOWELL 3867757A 5,756 5/19/2021 5551 JL COLLAR CONSTRUCTION CORPORATION HOWELL 5652847A 2,177 4/16/2021 5437 JRM CONSTRUCTION SERVICES LLC HOWELL 4734220A 800 4/6/2021 5437 0.95 LISTO LLC HOWELL 1169734A 739 5/4/2021 6217

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARHOFER JAMES P HOWELL 6008259A 750 6/27/2021 5437 MICHIGAN LAND WORKS LLC HOWELL 3598683A 739 6/8/2021 6217 NEXGEN HOMES LLC HOWELL 6192556A 338 6/3/2021 5606 NICKMERCS LLC HOWELL 5966876A 475 6/23/2021 8810 NOBLE DOG INC HOWELL 5724686A 1,468 4/3/2021 8831 1.00 PARDIAC TOWING & RECOVERY LLC HOWELL 5563739A 10,333 6/7/2021 7208 0.86 PET RITZ KENNELS INC HOWELL 0294799A 1,781 6/21/2021 8831 1.00 PINE CREEK BLUFFS CONDOMINIUM HOWELL 5544688A 568 4/12/2021 9015 ASSOCIATION R AND M WINDOWS INC HOWELL 4363620A 751 6/26/2021 5462 RESCUE LLC HOWELL 4639006A 568 6/18/2021 9015 ROOFAL ROOFING COMPANY LLC HOWELL 4972023A 750 4/19/2021 5551 ROOFING PD LLC HOWELL 5943710A 25,559 5/20/2021 5551 RP ROOFING INC HOWELL 3288790A 1,575 6/19/2021 5606 SMUGGS INDOOR BOAT STORAGE LLC HOWELL 4575385A 494 5/22/2021 6836 STANDARD ROOF COMPANY LLC HOWELL 6166407A 5,756 4/25/2021 5551 SUNNINGDALE RESTORATION LLC HOWELL 5987008A 2,020 4/23/2021 9015 SUP DOGS LLC HOWELL 5863201A 329 5/9/2021 8017 TANTRUM PROPERTIES LLC HOWELL 6192777A 771 6/3/2021 5550 THERMWRIGHT LLC HOWELL 5867096A 571 6/1/2021 9015 TOWLES TRANSPORT INC HOWELL 5276667A 800 6/11/2021 9015 TRADESMAN JOE LLC HOWELL 6005349A 1,216 6/19/2021 5550 TREEMASTER INC HOWELL 1867520A 750 6/18/2021 0106 TWO LAKES AQUATIC WEED HARVESTING LLC HOWELL 6202985A 607 6/30/2021 0005 APEX CONTRACTING HUBBARD LAKE 5999723A 750 5/25/2021 5476 DONAJKOWSKI TRUCKING LLC HUBBARD LAKE 4564413A 750 4/28/2021 7208 0.95 HUBBARD LAKE COMMUNITY ASSOCIATES INC HUBBARD LAKE 1117262A 793 5/19/2021 7704 AMERICAN FIREWORKS COMPANY HUDSON, OH 0634280A 1,125 4/19/2021 9015 0.95 BORCKS OUTDOOR SERVICE LLC HUDSON 3014304A 951 5/24/2021 9102 1.00 GARY MICHAEL HUDSON 6178030A 750 5/8/2021 5221 RIP IT CONSTRUCTION LLC HUDSON 5992060A 750 5/3/2021 5476 SORGI AMERICAN FIREWORKS MICHIGAN LLC HUDSON, OH 5319072A 438 4/1/2021 8017 ACTION WAKE PARK LLC HUDSONVILLE 5548705A 404 5/7/2021 8017 AVINK RYAN HUDSONVILLE 6190600A 860 5/29/2021 5645 B AND J MILLER LLC HUDSONVILLE 3262626A 2,741 6/25/2021 9058 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BIO ONE WEST MICHIGAN LLC HUDSONVILLE 6147682A 739 4/6/2021 6217 BREMONT CONSTRUCTION LLC HUDSONVILLE 5983606A 18,336 4/10/2021 5551 0.92 CJ CONSTRUCTION HUDSONVILLE 5859700A 750 4/26/2021 5645 CLEARPOINT CONSULTING LLC HUDSONVILLE 3618188A 215 4/3/2021 8810 CUSTOM LANDSCAPE RENOVATIONS LLC HUDSONVILLE 5706866A 709 4/28/2021 0042 DAVE POHLER PAINTING LLC HUDSONVILLE 4617967A 800 4/22/2021 5476 DE YOUNG LANCE HUDSONVILLE 5282276A 750 6/19/2021 5645 DOUG ULBERG BUILDER & DEVELOPER INC HUDSONVILLE 2244861A 750 6/2/2021 5645 ELITE ELECTRICAL SERVICES LLC HUDSONVILLE 5409144A 3,712 5/30/2021 5190 0.95 ESSENTIAL SLEEP SOLUTIONS LLC HUDSONVILLE 6201679A 304 6/18/2021 8742 GAIL D DIEMERS ACCOUNTING & TAX SERVICE HUDSONVILLE 5258405A 297 4/29/2021 8810 INC GEORGETOWN PAVEMENT SERVICES LLC HUDSONVILLE 5610150A 2,110 4/4/2021 5476 0.95 GRITTERS LAWN & LANDSCAPE LLC HUDSONVILLE 5396131A 2,907 4/16/2021 9102 0.95 HOP EXCAVATING INC HUDSONVILLE 2335158A 1,320 6/10/2021 6217 0.95 J DEYOUNG CONCRETE HUDSONVILLE 0807400A 750 5/22/2021 5221 JD SNIP BUILDERS LLC HUDSONVILLE 4417828A 750 5/19/2021 5645 0.95 JDV HARDWOOD FLOORING LLC HUDSONVILLE 4676335A 751 4/7/2021 5437 JEFF SCHOLTEN BUILDER LLC HUDSONVILLE 3016013A 750 5/22/2021 5645 JOEL STERK PAINTING LLC HUDSONVILLE 5703700A 1,766 4/14/2021 5476 0.95 KARSTEN FRAMING HUDSONVILLE 2464713A 750 6/26/2021 5645 KOOIENGA HOME EXTERIORS LLC HUDSONVILLE 1817833A 2,450 6/5/2021 5645 KOTMAN ELECTRIC LLC HUDSONVILLE 5860628A 754 4/28/2021 5190 MAINE WINDOW CLEANING CO INC HUDSONVILLE 4360605A 670 5/22/2021 9015 PERMEATOR DISTRIBUTORS LLC HUDSONVILLE 5019567A 270 5/1/2021 8810 PRESTIGE SIDING AND WINDOW LLC HUDSONVILLE 5536421A 750 4/1/2021 5645 RENOVATE BUILDING SOLUTIONS LLC HUDSONVILLE 5621550A 750 6/10/2021 5476 SCHELHAAS LLC HUDSONVILLE 3190307A 18,817 5/2/2021 0106 SETH VAN KOEVERING BUILDER LLC HUDSONVILLE 5406544A 750 5/21/2021 5645 SHEPARD AND SCHUT DRYWALL CO HUDSONVILLE 0940372A 750 6/28/2021 5445 0.95 STERK TREVOR HUDSONVILLE 5725437A 750 6/17/2021 5476 VERDE VALLEY BUILDERS LLC HUDSONVILLE 4863550A 750 6/7/2021 5645 0.93 VERSTRATE CARPENTRY HUDSONVILLE 4055624A 750 4/19/2021 5437 VP CONSTRUCTION LLC HUDSONVILLE 1658174A 750 5/28/2021 5645 WABEKE CONSTRUCTION LLC HUDSONVILLE 5282268A 800 6/19/2021 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WAIT CONNOR HUDSONVILLE 5991579A 750 5/2/2021 5437 JAHNKE ADAM HUNTINGTON WOODS 5640474A 605 6/14/2021 0913 RAMTRA MANAGEMENT SERVICES LLC HUNTINGTON WOODS 5275571A 750 5/29/2021 5183 0.95 REYNTJES ANDREW HUNTINGTON WOODS 5275032A 530 6/2/2021 0913 BERNIES TEAM LLC HURST, TX 5556295A 1,746 4/23/2021 8601 0.95 RORKE JACOB IDA 4862899A 611 4/21/2021 5183 BIG DS KUSTOMZ IMLAY CITY 5143977A 427 5/6/2021 8393 CC ELECTRICAL COMPANY LLC IMLAY CITY 6003451A 1,353 6/12/2021 5190 EARL HUMMEL FARMS INC IMLAY CITY 5155592A 506 6/19/2021 0128 IMLAY CITY AUTO SALES LLC IMLAY CITY 5396522A 321 5/8/2021 8748 MURPHYS EXCAVATING LLC IMLAY CITY 4209575A 5,655 4/5/2021 7208 0.95 RAW CONSTRUCTION IMLAY CITY 6165915A 750 4/24/2021 5645 STAMPTECH INCORPORATED IMLAY CITY 5401925A 944 5/7/2021 5221 T L C CLEANING IMLAY CITY 5698901A 568 4/5/2021 9015 TOTAL URGENT CARE PLLC IMLAY CITY 5989094A 825 6/25/2021 8832 WIN LOGISTICS INC IMLAY CITY 5985552A 800 4/16/2021 7208 MENONAQUA INN LLC INDIAN HILL, OH 6191991A 1,101 6/26/2021 9015 ARBOR LOGIC TREE CARE INDIAN RIVER 6002277A 1,900 6/7/2021 0106 BROTHERS TREE SERVICE OF INDIAN RIVER INC INDIAN RIVER 3782875A 3,311 4/1/2021 0042 0.95 R FURMAN PAINTING & STAINING LLC INDIAN RIVER 5994560A 750 5/13/2021 5476 T B CHAPMAN CONSTRUCTION INC INDIAN RIVER 4059387A 753 4/22/2021 8810 TUSCARORA TOWNSHIP VOLUNTEER FIRE INDIAN RIVER 1478761A 801 6/12/2021 7904 0.95 ASSOCIATION INC VIEAUS TREE SERVICE LLC INDIAN RIVER 4986865A 6,939 5/20/2021 0106 0.92 WILDWOOD COFFEE CO LLC INDIAN RIVER 5995337A 395 5/15/2021 8006 VI SYSTEMS INC INDIAN WELLS, CA 5122074A 1,192 4/16/2021 5550 0.95 D AND H LABOR INC INDIANAPOLIS, IN 5805805A 1,100 4/24/2021 5020 WATERTON CONSTRUCTION LLC INDIANAPOLIS, IN 5998760A 4,848 4/3/2021 5403 B AND D IMPROVEMENT INC INKSTER 0921734A 3,541 5/1/2021 5022 0.95 DC INSTALLATION INC INKSTER 4067487A 750 6/1/2021 5645 DRAPERY BY ERNEST LLC INKSTER 0593168A 1,195 5/13/2021 9521 0.95 EA PETRO 3 INC INKSTER 5865808C 565 5/25/2021 8017 GENESIS CREATIVE SOLUTIONS LLC INKSTER 0931349A 800 4/27/2021 5190 HAMILTON STAFFING II INC INKSTER 4313798A 2,549 6/25/2021 9058 0.88 MCMILLIAN GROUP INC INKSTER 3473872A 11,983 4/28/2021 7208 0.84

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TIME FOR YOU HOMECARE LLC INKSTER 5546001A 1,048 4/23/2021 8835 WRIGHT KENNETH III INKSTER 6173934A 750 5/5/2021 7208 AMERICAN BOAT RENTALS LLC INTERLOCHEN 4390946A 1,629 6/18/2021 7380 0.95 I SEE COMMUNICATIONS LLC INTERLOCHEN 6001173A 296 6/4/2021 4361 THIRTY TWO NORTH LANDSCAPING INTERLOCHEN 5175747A 760 5/1/2021 0042 WILKINSON ROBERT INTERLOCHEN 3483029A 709 6/1/2021 0042 GAONA SERVANDO INVER GROVE HEIGHTS, 6201210A 750 6/16/2021 5551 MN LEPLEY CARPENTRY IONIA 5569893A 750 4/23/2021 5645 SPOTLESS CLEANING SERVICE IONIA 2980703A 568 5/15/2021 9015 CUSTOM MICHIGAN BUILDERS INC IRA 4893581A 1,662 4/16/2021 5476 0.95 LAFAVORITE CONSTRUCTION LLC IRA 5863856A 750 5/11/2021 5645 PERFECTION REMOD LLC IRA 3999696A 750 5/11/2021 5551 1.00 BAKER SIGN COMPANY LLC IRON MOUNTAIN 3452344A 2,844 4/29/2021 9501 0.95 CURB SIDE AUTO INC IRON MOUNTAIN 5267030A 805 6/1/2021 8387 JMD FORESTRY LLC IRON MOUNTAIN 5263638A 238 6/11/2021 8601 MILLER TREE SERVICE LLC IRON MOUNTAIN 4872371A 2,642 5/23/2021 0042 0.95 SINGLE RUNG LLC IRON MOUNTAIN 5992605A 264 5/6/2021 8742 VINCENT AARON IRON MOUNTAIN 6175163A 750 5/5/2021 7208 WENDER LOGGING INC IRON MOUNTAIN 1844156A 750 5/26/2021 2702 ARROW SPLICING LLC IRON RIVER 5853419A 750 4/11/2021 5191 BIG WATER LIMITED IRON RIVER 4518241A 750 6/9/2021 2702 GREG DONATI TRUCKING INC IRON RIVER 1341014A 750 4/10/2021 7208 JOHN J GENDZWILL FOREST PRODUCTS INC IRON RIVER 4513266A 750 6/28/2021 2702 M AND J FOREST PRODUCTS IRON RIVER 1600010A 750 6/8/2021 2702 MAIN STREET CAFE IRON RIVER 2704811A 991 4/23/2021 9058 0.95 MANY WATERS LLC IRON RIVER 6150063A 435 4/8/2021 1164 RICK CHRISTENSEN TRUCKING LLC IRON RIVER 3789420A 750 6/29/2021 2709 S STAFFORD LOGGING LLC IRON RIVER 4892216A 750 5/18/2021 2702 SCHMIDT FOREST PRODUCTS INC IRON RIVER 3209814A 750 4/10/2021 2702 SIERRA SEAMLESS INC IRON RIVER 0291617A 3,987 4/1/2021 5538 0.95 SKI BRULE INC IRON RIVER 0023221A 278 4/16/2021 8810 0.98 TIMBER RIDGE FOREST PRODUCTS LLC IRON RIVER 1593684A 750 4/15/2021 2709 TOWNSEND GREG IRON RIVER 2104067A 750 4/21/2021 2702 AHOS NORTHWOODS LOGGING LLC IRONWOOD 3026760A 750 6/1/2021 2709

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AURORA ATHLETIC CLUB IRONWOOD 4854284A 464 4/7/2021 9058 DEAN PEARSON EXCAVATING & LOGGING INC IRONWOOD 0373249A 750 5/30/2021 7208 GLOBE INDUSTRIES INC IRONWOOD 1064789A 1,083 5/1/2021 1624 1.00 HARDLY OPEN REPAIR IRONWOOD 5986931A 229 4/22/2021 8742 SIBLEY TRUCKING INC IRONWOOD 5992753A 6,591 5/9/2021 7208 JANICE KAYS TRUCKING & EXCAVATING ISHPEMING 0099848A 850 5/23/2021 7208 JESSE PIETRO TIMBER TRUCKING INC ISHPEMING 3839940A 750 6/26/2021 7208 RNS EXCAVATING ISHPEMING 1796380A 800 5/13/2021 7208 UP TREE SERVICES LLC ISHPEMING 5559170A 3,401 6/27/2021 0106 MID STATE PRINTING INC ITHACA 1881817A 754 6/7/2021 4299 OSWALD TRANSPORT LLC ITHACA 6192661A 8,916 6/3/2021 7208 SEI TECH INC ITHACA 5274257A 403 6/21/2021 8810 A WILLIAMS RESTORATION & PAINTING JACKSON 5877636A 800 6/16/2021 9015 ACCUGAS LLC JACKSON 0553654A 1,376 5/4/2021 7380 ACE ROOFING COMPANY LLC JACKSON 0587826A 1,127 4/18/2021 5551 AWARE INC JACKSON 1132890A 1,970 5/3/2021 8832 0.95 BARTS ASPHALT LLC JACKSON 5992109A 795 5/3/2021 5506 BATEMAN ROOFING LLC JACKSON 5147794A 825 6/1/2021 5551 BEAMAN DERIC JACKSON 3476308A 750 5/4/2021 5221 BLAISDELL TRUCKING INC JACKSON 4743652A 1,968 5/19/2021 7208 1.00 BUCKLE UP DRIVING SCHOOL LLC JACKSON 5981727A 241 4/11/2021 8868 DIVERSIFIED CONSTRUCTION SERVICES OF JACKSON 0887498A 9,695 6/20/2021 5645 0.89 JACKSON LLC EDMONDSON SECURITY SOLUTIONS LLC JACKSON 5947197A 2,719 4/18/2021 7720 0.95 GT RANCH LLC JACKSON 0184659A 1,327 4/15/2021 0128 JACKSON JOURNEYS LLC JACKSON 5884306A 229 6/30/2021 8742 JACOBS JOSHUA JACKSON 5421349A 750 4/25/2021 7600 JASON KELLOGG ENTERPRISES LLC JACKSON 5934079A 1,346 4/28/2021 0042 JEFF L BROWN CONSTRUCTION LLC JACKSON 2747537A 5,279 4/8/2021 5146 0.90 JNZ TRANSPORT LLC JACKSON 5697298B 712 5/10/2021 7212 0.95 LOS CHANCLITAS ROOFING LLC JACKSON 6198953A 750 6/20/2021 5551 MICHIGAN HEARTLAND RECLAIMED LUMBER AND JACKSON 5476518A 751 5/9/2021 5403 SALVAGE LLC PETTY ENTERPRISES LLC JACKSON 4429907A 825 6/7/2021 5551 POWELL MACHINE LLC JACKSON 5862078A 1,398 5/3/2021 3632

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RELIANT LLC JACKSON 4739990A 1,033 4/16/2021 5437 RUGG SERVICES LLC JACKSON 2369664A 804 6/28/2021 9521 0.95 SLIMS TRIM JACKSON 5727979A 750 6/29/2021 5437 SURGICAL SERVICES OF MICHIGAN LLC JACKSON 0242020A 8,776 4/1/2021 8832 1.35 13 % TOREN INVESTMENTS LLC JACKSON 6156177A 229 4/15/2021 8742 WOOD PEST PROS LLC JACKSON 5544890A 2,030 4/12/2021 9015 0.95 CATARACT HYDRO LLC JACKSONVILLE, FL 6207596A 646 6/30/2021 7539 UP SIDE MANAGEMENT COMPANY JACKSONVILLE, FL 6146805A 545 4/3/2021 5190 ACTION RESTORATION INC JENISON 4356306A 3,140 4/13/2021 9015 0.95 BILLS SANDBOX INC JENISON 0531995A 2,857 5/25/2021 4000 0.95 DANIEL J POSTMA TILE INC JENISON 4474325A 750 5/31/2021 5348 DEANS OF ROOFING LLC JENISON 5854326A 5,538 4/16/2021 5551 0.95 DUANE DEVRIES BUILDER LLC JENISON 0255203A 752 4/3/2021 8810 ERAN VAN HORRSEN DRYWALL JENISON 6002196A 750 6/7/2021 5445 JAVO CONSTRUCTION LLC JENISON 3355578A 750 6/20/2021 5183 K AND E SITE PREP LLC JENISON 5984106A 1,374 4/11/2021 6217 0.95 KORNOELJE CONSTRUCTION JENISON 3533115A 750 6/1/2021 5645 LEIN PHIL JENISON 5725470A 750 6/20/2021 5437 LFE JENISON LLC JENISON 5262747A 724 4/17/2021 5550 MIKE TERVOORT CUSTOM HOMES LLC JENISON 4315545A 750 4/11/2021 5645 NIR INC JENISON 0720917A 750 5/28/2021 5445 0.97 PEAK ROOFING LLC JENISON 3818799A 750 4/22/2021 5551 0.95 PROSCAPE CONSTRUCTION LLC JENISON 5332842A 656 6/17/2021 9402 RAP SERVICES LLC JENISON 6186262A 2,639 5/20/2021 9015 ROCK RIVER CONSTRUCTION LLC JENISON 5862574A 750 5/5/2021 5645 RVA INC JENISON 5321638A 5,742 5/4/2021 7016 0.95 SCOTT MOL DRYWALL INC JENISON 2785811A 800 5/5/2021 5445 0.93 VENTURE DESIGN & CONSTRUCTION INC JENISON 3068560A 750 6/15/2021 5437 0.95 EGA ASSOCIATES JENKINTOWN, PA 6183042A 754 5/15/2021 8833 DEL THOMAS LOG HOME REPAIR LLC JOHANNESBURG 5273781A 4,916 5/31/2021 5476 0.94 WHITETAIL FORESTRY LLC JOHANNESBURG 5849233A 750 4/3/2021 2702 RIFENBERG EXCAVATING INC JONES 5877431A 1,552 6/15/2021 6217 0.95 CONEY HUT DRIVE INN LLC JONESVILLE 1145010A 429 5/17/2021 9058 ULTIMATE LAWN CARE AND TREE SERVICE JONESVILLE 5181054A 4,155 6/2/2021 0106 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge A AND H INVESTIGATION SECURITY KALAMAZOO 4179269A 4,340 5/10/2021 7720 0.95 MANAGEMENT INC A NEW LEAF KALAMAZOO 2457415A 410 6/1/2021 8001 0.95 AREVALO GERMAN KALAMAZOO 6176593A 750 5/7/2021 5645 ASPEN WEST LLC KALAMAZOO 6152210A 750 4/10/2021 5437 BRICK STONE CONSTRUCTION LLC KALAMAZOO 4783794A 750 5/8/2021 5022 BURKE BUILDERS LLC KALAMAZOO 5519870A 2,007 5/15/2021 5437 0.95 BUTLER FLOORING INC KALAMAZOO 3409171A 1,788 6/5/2021 9521 0.95 C AND M EXTERIORS LLC KALAMAZOO 5985021A 750 4/19/2021 5551 CHAD RUSSELL CONSTRUCTION KALAMAZOO 5720052A 9,607 5/26/2021 5645 0.90 COBURN AND SONS FLEET SERVICES LLC KALAMAZOO 4400720A 534 5/31/2021 8395 DAVE BUNYON & SONS LLC KALAMAZOO 5678838A 750 6/6/2021 0106 DOUBLEWIDE ENTERPRISES INC KALAMAZOO 5395186A 1,833 4/1/2021 9015 0.95 DREAM MANAGEMENT LLC KALAMAZOO 5697956A 568 4/17/2021 9015 EVENT LABOR INC KALAMAZOO 1451391A 5,417 6/1/2021 9154 1.00 FISCHELL ANNE A KALAMAZOO 4751353A 851 5/18/2021 0908 GEMBE JORGE MACIAS KALAMAZOO 6200133A 750 6/16/2021 5551 GOLDEN RESIDENTIAL FACILITY LLC KALAMAZOO 6016073A 2,467 4/21/2021 9053 GOOD SAMARITAN SPECIALIZED CARE LLC KALAMAZOO 6166059A 1,932 4/25/2021 9053 GREAT LAKES FLOORING SOLUTIONS INC KALAMAZOO 5560160A 750 6/20/2021 5348 GREENLINK INC KALAMAZOO 5572436A 998 6/13/2021 8010 HAMILTON ASSOCIATES LLC KALAMAZOO 5986940A 884 4/18/2021 5437 HELIOS SOLAR LLC KALAMAZOO 4661591A 1,790 6/17/2021 5606 0.95 INTERFAITH STRATEGY FOR ADVOCACY & KALAMAZOO 5001196A 377 5/26/2021 8810 ACTION IN THE COMMUNITY JD TREE WORKS LLC KALAMAZOO 5878055A 750 6/20/2021 0106 JULIO CONSTRUCTIONS KALAMAZOO 5778514A 800 6/20/2021 5645 KALAMAZOO FLOORWORKS KALAMAZOO 5515866A 750 5/27/2021 5348 0.95 KALAMAZOO IN BLOOM INC KALAMAZOO 2266059A 787 5/6/2021 0042 0.95 KALAMAZOO OPTIMIST HOCKEY ASSOCIATION KALAMAZOO 1980734A 5,306 4/25/2021 9015 0.90 INC KRH LANDSCAPING LLC KALAMAZOO 5708974A 1,092 4/27/2021 9102 L L LEASING INC KALAMAZOO 3185028A 7,946 5/1/2021 7208 LEWIS DUSTIN S KALAMAZOO 4793536A 750 6/25/2021 5551 LIGHTHOUSE AFC LLC THE KALAMAZOO 6175139A 471 5/5/2021 9053 LOCKHART SHANNON KALAMAZOO 5984548A 750 4/15/2021 5437 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 78 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LUITEN SHADING INC KALAMAZOO 2834251A 3,667 4/23/2021 9521 0.92 MARTIN AND ASSOCIATES ENVIRONMENTAL LLC KALAMAZOO 3478262A 7,946 4/7/2021 5020 1.23 MARTINEZ JASSO OSCAR KALAMAZOO 6200141A 750 6/16/2021 5551 MARTINEZ ROOFING LLC KALAMAZOO 5427681A 750 6/27/2021 5551 0.95 MIRACLE LAWN MAINTENANCE LLC KALAMAZOO 5250161A 658 4/17/2021 9102 MITCHELL CONSTRUCTION KALAMAZOO 0915793A 1,372 6/22/2021 5645 0.95 MONKEY SUE ACRES LLC KALAMAZOO 5708591A 4,592 4/26/2021 8279 0.95 NORTHSTAR HEATING & COOLING LLC KALAMAZOO 6002331A 2,721 6/7/2021 5550 NYUMBANI AFC LLC KALAMAZOO 6167160A 1,508 4/25/2021 9053 O HALLORAN KENNETH M JR KALAMAZOO 2380706A 750 4/14/2021 5022 ONLY OUTDOOR LIVING LLC KALAMAZOO 5872383A 1,567 6/1/2021 0042 PANDORAS GOLD LLC KALAMAZOO 0544833A 848 6/21/2021 9058 PRECISION ROOFING INC KALAMAZOO 4297679A 1,327 6/12/2021 5645 0.95 QUALITY CASTINGS KALAMAZOO 0104957A 3,807 6/30/2021 3085 0.93 REED ELLEN KALAMAZOO 5995361A 530 5/22/2021 0913 STATEWIDE ROOFING & EXTERIORS LLC KALAMAZOO 5373689A 750 6/30/2021 5551 TORRES JUSTINO HERNANDEZ KALAMAZOO 6200249A 750 6/16/2021 5551 TOTAL TREE SERVICE INC KALAMAZOO 3784452A 8,767 4/23/2021 0042 0.90 TWO THOUSAND 233 N BURDICK INC KALAMAZOO 5876800A 325 6/14/2021 8045 VALENTIN ROOFING LLC KALAMAZOO 6207480A 800 6/27/2021 5551 VILLANUEVA MIGUEL KALAMAZOO 5862183A 750 5/19/2021 5551 WORLDWIDE LAB IMPROVEMENT INC KALAMAZOO 3790819A 993 6/10/2021 5191 GREEN LAWNS MATTER LLC KALEVA 6178103A 1,148 5/8/2021 9102 BAYFRONT PARTNERS LLC KALKASKA 6165150A 1,450 4/24/2021 7422 ELN LLC KALKASKA 4990730A 725 6/2/2021 8232 NORTHERN EXTERIORS & DESIGN INC KALKASKA 3111741A 750 5/29/2021 5645 MY BROTHERS BAR INC KAWKAWLIN 4079191A 332 5/18/2021 9058 PAJOT FEED AND SUPPLY LLC KAWKAWLIN 5394201A 1,898 4/12/2021 2014 0.95 A C E ANIMAL CONTROL EXPERTS LLC KEEGO HARBOR 5034710A 481 5/5/2021 8831 FAIRLANE WOODS ASSOCIATION KEEGO HARBOR 0261068A 618 4/5/2021 9015 FRANKLIN COLONY CLUB ASSOCIATION KEEGO HARBOR 0984124A 618 5/13/2021 9015 HOOST SOCIAL SERVICES LLC KEEGO HARBOR 5803810A 235 6/15/2021 8810 MAIN STREET TRUCKING LLC KEEGO HARBOR 6149731A 1,296 4/7/2021 5221 ORCHARD RIDGE CONDOMINIUM ASSOCIATION KEEGO HARBOR 4343140A 568 5/5/2021 9015 PR 39 INDUSTRIES LLC KEEGO HARBOR 5286220A 3,288 4/27/2021 8010 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 79 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PROBST LANDSCAPE SERVICE KEEGO HARBOR 1380010A 709 5/1/2021 0042 RIDGE HILL ESTATES CONDOMINIUM KEEGO HARBOR 5988225A 568 4/23/2021 9015 ASSOCIATION SAFES UNLIMITED INC KEEGO HARBOR 5545765A 922 4/15/2021 8010 SQUARE LAKE HILLS ASSOCIATION KEEGO HARBOR 0207667A 643 5/12/2021 9015 TABAK ELLEN KEEGO HARBOR 6003931A 280 6/13/2021 8832 AMERICAN EAGLE CARPORTS LLC KENT CITY 5990459A 3,165 4/27/2021 3724 0.95 BROWN CONSTRUCTION SERVICES LLC KENT CITY 5993709A 8,560 5/9/2021 5645 R AND M CARPET & REMODELING LLC KENT CITY 3745120A 540 4/4/2021 8810 AUTOKING LOGISTICS LLC KENTWOOD 5980020A 598 4/10/2021 8810 BRIGHT SPOT CLEANING LLC KENTWOOD 5653380A 1,072 6/30/2021 9015 CORNERSTONE PROPERTY GROUP INC KENTWOOD 4371070A 2,094 5/8/2021 9015 0.95 FIELDS TOWING LLC KENTWOOD 5981387A 750 4/2/2021 7208 FLOORCOVERING ENGINEERS LLC KENTWOOD 4869010A 590 5/10/2021 9521 FONGERS MICHAEL KENTWOOD 3633306A 750 5/18/2021 5645 JIN CONSTRUCTION LLC KENTWOOD 5876001A 750 6/4/2021 5645 JOEL JOHNSON KENTWOOD 5023092A 586 5/7/2021 8292 MIGUELS CONSTRUCTION LLC KENTWOOD 5159768A 800 6/29/2021 5445 MITTEN MOSQUITO CONTROL LLC KENTWOOD 6185088A 840 5/18/2021 9015 OASIS CARE SERVICES LLC KENTWOOD 5866820A 614 6/20/2021 9053 SKIP LOCATORS INC KENTWOOD 5011094A 404 6/30/2021 8810 TURNING POINT SATELLITE LLC KENTWOOD 5993776A 750 5/9/2021 7600 ANTRIM AREA PEST CONTROL LLC KEWADIN 5701546A 1,139 4/24/2021 9015 ALEXANDERS INSTALLATION KIMBALL 4889096A 707 5/8/2021 5538 JOE YOUNG EXCAVATING LLC KIMBALL 4739868A 750 6/29/2021 0042 THUMB AUTO OF KINDE LLC KINDE 5532663A 1,064 4/1/2021 8395 0.95 MELROSE PYROTECHNICS INC KINGSBURY, IN 2190494A 830 4/1/2021 8742 0.95 C W LOGGING INC KINGSFORD 2605872A 750 6/18/2021 2702 IN SANITY SANITIZING SERVICES LLC KINGSFORD 6160034A 643 4/17/2021 9015 UPLAND ENTERPRISES KINGSFORD 5874157A 587 6/6/2021 6834 WILBANKS SCOTT KINGSFORD 5983568A 750 4/10/2021 7208 CEDAR CREEK CROSSINGS LLC KINGSLEY 5245036A 927 6/30/2021 8279 CONSTRUCTION BY WILSON LC KINGSLEY 3880796A 2,499 5/2/2021 5645 0.95 COUNTRYSIDE SENIOR AFC LLC KINGSLEY 5555744A 815 5/13/2021 9053 DOWN TO FRAME LLC KINGSLEY 6008844A 476 6/29/2021 9530

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GINGRAS ELECTRIC INC KINGSLEY 2834502A 545 5/13/2021 5190 SHERWOOD JOSEPH P KINGSLEY 2740311A 750 6/26/2021 5551 THOMAS BUILDERS LLC KINGSLEY 5679710A 750 6/9/2021 5551 VANDERPOEL TRUCKING INC KINGSTON 2411849A 1,097 4/16/2021 7208 COOK WILLIAM LACHINE 6146813A 750 4/6/2021 2702 E J AND Z TRANSPORT LLC LACHINE 5421276A 11,405 4/27/2021 2702 0.83 JAMES HANSEN FOREST PRODUCTS LLC LACHINE 3665194A 750 4/26/2021 7208 AUSTIN KYLE LAINGSBURG 4879252A 750 6/16/2021 5645 MARK BRINK CONSTRUCTION LAINGSBURG 2426080A 3,223 6/12/2021 5645 0.95 MICHQUITOES INC LAINGSBURG 5722829A 2,737 4/20/2021 9015 0.95 OAK RIDGE HOMES LLC LAINGSBURG 6008267A 825 6/27/2021 5645 RHOGE SATCOM CONSULTING LLC LAINGSBURG 5137659A 2,810 5/13/2021 3724 0.95 SUGGATE CONSTRUCTION LLC LAINGSBURG 3943160A 3,220 4/22/2021 5551 1.00 A AND B DRYWALL SAGINAW LLC LAKE 4465423A 750 5/25/2021 5445 G AND C CONSTRUCTION LLC LAKE 2908492A 1,675 6/18/2021 5645 BLUE LAKE BUILDERS LLC LAKE ANN 5587123A 750 5/21/2021 5645 DELL CARPENTRY INC LAKE ANN 6004750A 750 6/18/2021 5645 KROPP WELL DRILLING INC LAKE ANN 0181757A 800 4/18/2021 6204 NORTHERN ROOTS LLC LAKE ANN 5990823A 875 4/30/2021 0042 BRENT ROZEVELD CONSTRUCTION LAKE CITY 6208380A 750 6/30/2021 5645 H AND H FOREST PRODUCTS LAKE CITY 5304261A 750 4/4/2021 2702 JOHN MARTIN SIDING & TRIM LAKE CITY 4048865A 750 4/1/2021 5437 NAROVICH CHARLES W LAKE CITY 2782740A 750 4/11/2021 2702 NORTHERN MICHIGAN CERAMIC TILE INC LAKE CITY 1499734A 750 6/22/2021 5348 PREE THOMAS M LAKE CITY 5859719A 606 4/26/2021 0005 REEDER TOWNSHIP LAKE CITY 1393898A 716 5/4/2021 9220 MCMANUS MICHAEL A LAKE LEELANAU 0506559A 551 5/28/2021 0130 0.95 MCMANUS OPERATIONS LLC LAKE LEELANAU 5862531A 1,152 5/10/2021 0130 JAMES MURPHY TRUCKING LLC LAKE LINDEN 3836690A 750 6/20/2021 7219 ADAPTIVE FITNESS INC LAKE ORION 5880009A 526 6/27/2021 8835 CHAMPION WINDOW CLEANING LLC LAKE ORION 6202160A 1,308 6/20/2021 9015 CORINTHIAN STONE RESTORATION LLC LAKE ORION 4858913A 750 4/12/2021 5348 ENVIRONMENTAL AFFAIRS LLC LAKE ORION 5256402A 1,552 4/1/2021 9015 0.95 H 2 INTEGRATED SOLUTIONS LLC LAKE ORION 5892082A 290 5/25/2021 8810 HUTCHISON ENTERPRISES LLC LAKE ORION 4926650A 750 5/28/2021 5437 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 81 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge IRON COMMUNICATIONS LLC LAKE ORION 5990025A 327 4/26/2021 8810 LIRA BROTHERS LLC LAKE ORION 3082377A 2,041 4/3/2021 5022 0.95 LYMTAL INTERNATIONAL INC LAKE ORION 1504380A 441 6/7/2021 4558 MASTER HOMES INC LAKE ORION 2017849A 800 6/12/2021 5445 MEYER CUSTOM HOMES LLC LAKE ORION 5985714A 750 4/16/2021 5645 OLD WORLD PLASTERING LLC LAKE ORION 5632498A 750 5/8/2021 5480 OTC ROOFING & SHEET METAL LLC LAKE ORION 5554586A 800 4/30/2021 5552 POSEY TRANSPORTERS INC LAKE ORION 4419804A 8,033 5/1/2021 7208 0.86 RL VANTAGE POINT LLC LAKE ORION 6153496A 501 4/11/2021 8720 RTB CONSTRUCTION LLC LAKE ORION 5268591A 709 5/9/2021 0042 SALK COMMUNICATIONS INC LAKE ORION 5158940A 986 6/28/2021 3681 0.95 SERENITY GARDENS LLC LAKE ORION 4969405A 710 5/8/2021 0042 SNEARY SERVICES LLC LAKE ORION 5683475A 353 4/26/2021 8810 SQUARE DEAL CONSTRUCTION LLC LAKE ORION 2035324A 750 6/10/2021 5476 STARRS ROOFING & CONSTRUCTION LLC LAKE ORION 5721393A 8,852 6/2/2021 5645 0.91 TEPER ARTHUR II LAKE ORION 5409861A 540 6/3/2021 9521 TURMANS TREE AND LANDSCAPE LLC LAKE ORION 5436664A 11,967 6/10/2021 0106 0.95 TURNBULL CONSTRUCTION LAKE ORION 3792994A 750 4/16/2021 5437 WORMSBAECHER HANS LAKE ORION 5547962A 238 4/19/2021 8601 J C KAMPS LIGHT TRUCK AND AUTO LLC LAKEVIEW 5860504A 1,064 5/1/2021 8395 0.95 LAKE RESTORATION ASSOCIATION LAKEVILLE 1207334A 1,106 5/26/2021 0005 GREEN HILLS LOT OWNERS ASSOCIATION LAMBERTVILLE 0903094A 449 4/28/2021 9061 R H TAYLOR MECHANICAL CONTRACTORS CORP LAMBERTVILLE 4885287A 2,198 6/22/2021 5183 0.95 STEINMAN FAMILY SERVICES LLC LAMBERTVILLE 5895391A 761 5/8/2021 9102 RUTH LLC LAND O LAKES, WI 6005950A 750 6/20/2021 5645 PAULSON TODD LANSE 5862949A 750 6/11/2021 7208 TIKKYS TREE SERVICE LANSE 4363701A 2,671 5/31/2021 0106 0.95 ABN SAFETY TECHNOLOGIES LLC LANSING 5990386A 288 4/27/2021 8601 ACES GAMING SUPPLY LLC LANSING 4502329A 1,699 5/1/2021 8017 0.95 B AND V BROTHERS LLC LANSING 5863139A 6,711 5/11/2021 5551 0.95 BRUCE KRUGER INC LANSING 1963317A 1,630 6/9/2021 5645 CALDERON DRYWALL LANSING 3770273A 27,096 5/12/2021 5445 0.95 CJ CONSULTANTS LLC LANSING 5855802A 752 4/18/2021 8227 CLM TRUCKING LLC LANSING 6181716A 800 5/13/2021 7208 CRANBERRY LAKE CAMPGROUND CO LANSING 5878438A 790 6/22/2021 9015 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 82 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DC PRO PAINTING LANSING 5642388A 800 6/2/2021 5476 DTN PROPERTIES LLC LANSING 4001648A 568 4/7/2021 8810 ESMERS CLEANING SERVICE LANSING 6176542A 1,177 5/7/2021 8835 FAWAZ ENTERPRISES INC LANSING 3436160A 750 6/28/2021 0106 FOUR SEASONS LAWN AND LANDSCAPE LLC LANSING 5857813A 711 4/21/2021 9102 GAMBOAS PAINTING LLC LANSING 6191533A 1,702 6/10/2021 5476 GILES REMODELING SERVICES LANSING 5872278A 750 6/1/2021 5476 HEEGAL CORPORATION LANSING 4652797A 394 6/15/2021 9063 HERNANDEZ HERNAN RANGEL LANSING 3842738A 825 5/21/2021 5445 HG LANSING LLC LANSING 6187854A 3,776 5/28/2021 8045 HIGHWAY PERMITS LLC LANSING 4872363A 1,071 5/25/2021 9015 0.95 J AND D CONSTRUCTION LANSING 6189652A 6,370 5/28/2021 5645 JACK C DAVIS PC LANSING 2844850A 213 4/1/2021 8820 JIM HENSLEYS PAINTING LANSING 0605077A 750 4/12/2021 5476 JK LOGIX INC LANSING 6001416A 9,671 6/14/2021 7208 KESSLER RENTAL PROPERTY LANSING 2927225A 4,985 5/29/2021 5645 0.95 KINGDOM HOMES INC LANSING 0412937A 753 5/10/2021 5645 LEONARDS CARPET INC LANSING 0436070A 540 5/11/2021 9521 0.95 MIENTERTAINMENT GROUP INC LANSING 5701716A 1,440 4/10/2021 9015 0.95 MIRACLE ARC INC LANSING 3515940A 1,205 5/2/2021 3365 0.95 MORAS BROTHERS LLC LANSING 6006876A 9,732 6/22/2021 5551 NATIONAL WILDLIFE CONTROL LLC LANSING 5124131A 426 6/26/2021 8831 NELSON TANK ENGINEERING & CONSULTING INC LANSING 1885111A 823 4/11/2021 8601 0.95 NICKS CLEANING SERVICE LLC LANSING 3073238A 568 4/9/2021 9015 PAMELA F R O G LLC LANSING 2198649A 999 6/11/2021 8868 0.95 PEREZ PRIMTIVO OROZCO LANSING 6197612A 18,456 6/11/2021 5551 PREMIER ELECTRICAL CONTRACTORS LLC LANSING 5982790A 470 4/5/2021 5190 R AND R ROOFING LLC LANSING 5979820A 5,121 4/24/2021 5551 0.95 RICARDO LOPEZ JR LANSING 5614724A 2,317 6/10/2021 5445 0.85 RODRIGUEZ JAIR LANSING 6185835A 800 5/20/2021 7208 SC ENVIRONMENTAL SERVICES LLC LANSING 4485882A 30,282 6/25/2021 5606 0.69 SMALL FOLKS DEVELOPMENT CENTER INC LANSING 1444123A 786 5/1/2021 8869 SQUARE ONE TRANSPORT INC LANSING 5135176A 2,465 5/7/2021 7208 0.95 STAR CONTRACTING LLC LANSING 6129854A 19,966 6/26/2021 8018 TINAJERO FERNANDO MARTINEZ LANSING 6000452A 750 5/31/2021 5445 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 83 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TJ HANDYMAN LANSING 5652944A 750 4/23/2021 5476 TOP OF THE LINE CLEANING SERVICE LLC LANSING 6183859A 1,502 5/15/2021 8835 UNITED COURIER SERVICE INC LANSING 0907847A 750 6/26/2021 7202 WELLNESS INX LLC LANSING 5726328A 1,238 6/23/2021 8832 0.90 WOODBRIDGE COMMONS COOPERATIVE LANSING 5158788A 568 6/28/2021 8810 YOUR FRIENDS MOVING LLC LANSING 5955475A 750 6/12/2021 7214 AA GENESEE CONTRACTING & CONSULTATION LAPEER 2920751A 750 5/26/2021 5645 LLC ASHLEY CONSTRUCTION LAPEER 4472870A 2,753 5/4/2021 5645 0.95 BAT REMOVAL & PREVENTION INC LAPEER 5142377A 3,109 4/12/2021 9015 0.95 BRANDONS CONSTRUCTION LLC LAPEER 6184286A 750 5/16/2021 5445 BRITTON ELECTRIC INC LAPEER 2235358A 522 4/14/2021 5190 CARDINAL PROPERTY SERVICES LLC LAPEER 5339634A 1,734 4/10/2021 5437 0.92 DEPENDABLE ROOFER LLC LAPEER 2299461A 825 5/25/2021 5551 EAVESTEC INC LAPEER 3697100A 419 5/20/2021 8742 0.90 EXTERIOR ZONE LLC LAPEER 6190588A 750 6/1/2021 5645 FICK FARMS LLC LAPEER 3197387A 606 5/21/2021 8006 FOUR STAR ROOFING LAPEER 0436240A 750 5/26/2021 5551 GAS MONEY LLC LAPEER 6170226A 1,001 4/30/2021 9102 HILL TOP TRANSPORT LLC LAPEER 5402328A 825 5/7/2021 7208 J AND K ELECTRIC INC LAPEER 2467607A 520 6/27/2021 5190 J AND S DRYWALL LLC LAPEER 2170086A 6,191 5/1/2021 5445 1.28 13 % KLINE SEAN LAPEER 6204139A 825 6/23/2021 5551 M AND M TILE & MARBLE LLC LAPEER 5152461A 750 6/8/2021 5348 MASONRY SPECIALIST INC LAPEER 0730726A 800 5/19/2021 5022 0.95 MID VALLEY TRANSPORTATION LLC LAPEER 3493512A 4,499 4/29/2021 7212 0.86 RNS DETAILING LLC LAPEER 5408229A 274 6/11/2021 8810 ROB HALL INSURANCE AGENCY CO LAPEER 1913255A 321 5/12/2021 8742 SUNNYSIDE PROPERTY SOLUTIONS LLC LAPEER 6170250A 750 4/30/2021 5476 SUPER TRANSPORT INTERNATIONAL LTD LAREDO, TX 5216290A 7,320 4/1/2021 7208 0.90 ELEGANCE PAINTING INC LATHRUP VILLAGE 5414156A 1,854 6/23/2021 5476 0.95 FOUNDATION OF MICHIGAN ASSOCIATION OF LATHRUP VILLAGE 5263085A 570 4/18/2021 8832 0.95 PHYSICIANS OF INDIAN HERITAGE LAMA HOME HEALTH CARE LLC LATHRUP VILLAGE 5257646A 470 4/4/2021 8835 THIRD GEN MGT INC LATHRUP VLG 5702410A 6,912 4/12/2021 9015 0.97

1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 84 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LOPEZ GERARDO M LAUREL, MD 5859115A 568 5/2/2021 9015 RAMIREZ RAFAEL LAUREL, MD 5859980A 568 4/27/2021 9015 ZUNIGA OSCAR LAUREL, MD 5861730A 568 5/2/2021 9015 ARMOR CONSTRUCTION LLC LAWRENCE 6004679A 1,300 6/18/2021 5645 GARDNER JUSTIN LAWRENCE 5863473A 2,687 5/14/2021 5645 0.95 LAWRENCE TOWNSHIP LAWRENCE 0340375A 8,616 4/4/2021 7704 0.89 BADGER LAWN CARE LLC LAWTON 2528185A 707 5/2/2021 9402 PREFERRED POURED WALLS & EXCAVATING INC LAWTON 3681351A 2,436 6/10/2021 5221 0.95 TERRY PHILLIPS LLC LAWTON 4996496A 229 6/22/2021 8742 WATERTIGHT ROOFING SYSTEMS LLC LAWTON 3027112A 945 6/16/2021 5551 0.95 TUSEN TAKK FOUNDATION INC LELAND 6176569A 490 5/14/2021 8742 ABC GLOBAL CONTRACTING LLC LENOX 6002471A 750 6/10/2021 5645 AXPERT TREE SERVICES LLC LENOX 6173322A 750 5/2/2021 0106 FINISH LINE HARDWOOD FLOORS LENOX 5877652A 1,190 6/18/2021 5437 KUHN EXCAVATING LLC LENOX 6191452A 1,822 5/30/2021 5215 SC CONSTRUCTION LLC LENOX 2834960A 2,000 6/27/2021 5022 0.95 TOP NOTCH LABOR LLC LENOX TWP 5012376A 825 4/30/2021 5645 G R HOME IMPROVEMENT L L C LEONARD 5303001A 750 4/7/2021 5348 GLEN VALLEY PLUMBING & HEATING LEONARD 1212788A 561 5/5/2021 5183 KEY CONSTRUCTION LEONARD 0615617A 7,051 6/19/2021 5403 0.89 NEVER WET LEONARD 4861850A 561 4/20/2021 5183 PRECISION CRAFT HARDWOOD FLOORS LLC LEONARD 3228037A 866 6/26/2021 5437 TIMBER TREE SERVICE LEONARD 1345575A 939 6/14/2021 0106 0.95 WESTWOOD BUILDING LLC LEONARD 5409969A 825 6/3/2021 5645 STORAGE SQUAD LLC LEOPOLD, IN 5398045A 1,631 5/20/2021 8293 0.91 CANNROSE INC LEROY 6200265A 3,156 6/16/2021 0035 DETAILED EXTERIORS LLC LEROY 4081463A 750 6/29/2021 5645 0.95 FAVOR FOREST PRODUCTS LEROY 4597311A 1,101 5/30/2021 2702 0.95 LEROY ROSE LAKE FIRE DEPARTMENT LEROY 2118947A 2,061 4/24/2021 7704 0.95 HENDERSON LANE LESLIE 5991889A 540 5/2/2021 9521 K B TREE SERVICE LLC LESLIE 6155839A 2,459 4/16/2021 0106 SPARKLE WINDOW CLEANING INC LESLIE 6005810A 568 6/20/2021 9015 TOP NOTCH TREE CARE LLC LESLIE 5547113A 9,787 4/23/2021 0106 0.87 WHITE PINE ACADEMY LESLIE 3193721A 290 5/21/2021 8810 BEE FRIENDLY GARDENING LEVERING 5849128A 1,389 4/3/2021 0042 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 85 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NORTHLANDER CONSTRUCTION LLC LEWISTON 3355837A 8,988 4/15/2021 5403 1.44 27 % IST OHIO INC LEXINGTON, OH 5709768A 350 4/28/2021 8742 JLR GROUP LLC LEXINGTON 5394252A 805 4/9/2021 8742 0.95 SURE CUT LAWN & LANDSCAPE LEXINGTON 5405610A 2,464 5/19/2021 9102 1.00 LILLEY TOWNSHIP OF NEWAYGO COUNTY LILLEY 0292877A 2,740 6/1/2021 9410 1.00 CONNECTED STRATEGY ADVISORS LLC LIMA, OH 5405300A 1,871 5/14/2021 8742 0.95 ALCONA DREDGE LLC LINCOLN 4411218A 750 4/17/2021 7335 0.95 PACE AND HONG AUCTIONS LLC LINCOLN 4814703A 772 4/15/2021 8017 1.00 AMBER DAWN CONTRACTING LLC LINCOLN PARK 6139981A 750 4/15/2021 5645 CRISIS RESTORATION INC LINCOLN PARK 6011403A 568 6/25/2021 2585 CRUZ HIDALGO JUAN P LINCOLN PARK 5394813A 750 4/11/2021 5022 DIX CONEY ISLAND INC LINCOLN PARK 1043960A 515 6/11/2021 9058 GEORGE KOUNTOUPES PAINTING COMPANY LINCOLN PARK 1085735A 102,377 4/1/2021 5038 0.87 GONZALEZ SERVICES INC LINCOLN PARK 5727928A 2,988 6/29/2021 0042 0.95 JRM CONTRACTING LLC LINCOLN PARK 5863295A 16,156 5/8/2021 5437 K AND G FENCE LINCOLN PARK 6004741A 750 6/15/2021 6400 REYES FRAMING LLC LINCOLN PARK 6189687A 4,051 5/28/2021 5645 SHAFTMASTERS INC LINCOLN PARK 4158024A 2,346 5/28/2021 3632 0.95 SLADE FAMILY CONSTRUCTION INC LINCOLN PARK 1446169A 750 5/11/2021 5022 T AND T AERIAL CONSTRUCTION LLC LINCOLN PARK 6203167A 1,635 6/20/2021 7600 UNIVERSAL PAINTING LINCOLN PARK 2972492A 750 4/17/2021 5476 BUGG BUILDERS LLC LINDEN 3377652A 800 6/20/2021 5645 MARKOVICH CUSTOM CONCRETE LLC LINDEN 5909473A 1,140 5/5/2021 5221 MONTINI CONSTRUCTION LINDEN 3254909A 750 6/17/2021 5645 NOVINSKI BUILDERS LINDEN 5878187A 750 6/21/2021 5645 PARKER GROUP MI LLC LINDEN 6006515A 825 6/24/2021 5445 QUEST HOME IMPROVEMENTS LLC LINDEN 5482089A 750 6/15/2021 5645 REDMON CONSTRUCTION LLC LINDEN 5716187A 800 5/11/2021 5551 SMP BUSINESS & TAX SERVICES LLC LINDEN 5540917A 238 4/2/2021 8810 CONKLIN CONSTRUCTION LLC LITCHFIELD 5609496A 750 4/30/2021 5551 LUKIS RESTORATION COMPANY LLC LITTLE CHUTE, WI 5187591A 825 6/24/2021 5551 W R ELLIOT & ASSOCIATES LIMITED LITTLE LAKE 5577985A 290 6/23/2021 8810 A AND A DRIVING SCHOOL INC LIVONIA 0608327A 1,298 5/8/2021 8868 0.95 A AND H AMBICA JV LLC LIVONIA 4079442A 473 4/14/2021 8810 A AND K TREE SERVICE INC LIVONIA 0582123A 800 4/10/2021 0106 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 86 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ABOVE AND BEYOND INSTALLATION INC LIVONIA 4641540A 750 6/26/2021 9558 ACTION PAINTBALL PARK LLC LIVONIA 5725062A 1,198 6/27/2021 9015 0.95 AIMS GROUP INC LIVONIA 5544840A 1,539 5/5/2021 8810 0.95 AIRFLOW SCIENCES CORP LIVONIA 0623083A 8,635 4/1/2021 8601 0.88 AMBERJACK CONSTRUCTION INC LIVONIA 3263673A 750 6/9/2021 5221 ANDREWS REMODELING LLC LIVONIA 5863546A 800 5/10/2021 5645 ANGEL GARDENS LLC LIVONIA 4949773A 1,879 5/1/2021 9058 0.86 ARMANDOS CONCRETE INC LIVONIA 4106270A 940 6/4/2021 5221 0.95 BAKUN HELEN T LIVONIA 5879418A 307 6/27/2021 0908 BILLYS ROOFING LLC LIVONIA 3001873A 750 5/7/2021 8810 0.95 BRIAN MITTER INSTALLATIONS & REMODELING LIVONIA 6189784A 750 5/28/2021 5645 LLC CANZANO CONTRACTING CORP LIVONIA 0481696A 8,626 4/14/2021 5610 0.92 CENTER MASS INC LIVONIA 4497082A 2,921 5/1/2021 8017 0.95 CLEAN AIR TESTING INC LIVONIA 4354524A 1,708 4/16/2021 8601 0.95 CONTRACT KITCHENS & BATH INC LIVONIA 2987953A 750 5/28/2021 5437 CYNTHIA MARTIN LLC LIVONIA 5405343A 1,116 5/15/2021 9521 0.95 DEBY LEBOW DESIGN ASSOCIATES LLC LIVONIA 5414806A 825 6/17/2021 5183 DESCHENES GARY LIVONIA 4986288A 383 5/17/2021 8810 DVM CONSTRUCTION COMPANY INC LIVONIA 4753615A 750 5/21/2021 5645 EMANUEL B FLOORING INC LIVONIA 4941152A 752 6/28/2021 8810 ENERGY SAVERS INC LIVONIA 2017083A 753 5/7/2021 8742 ENRICHED LIFE HOME CARE SERVICES LLC LIVONIA 5150841A 11,447 6/7/2021 8835 0.91 EUGENE L WILLIAMS LLC LIVONIA 1011855A 775 4/23/2021 5403 EVENTS EXTRAORDINARE INC LIVONIA 4718666A 4,416 5/15/2021 9063 0.95 FINISHING TOUCH CONSTRUCTION CLEANING LIVONIA 5987091A 652 4/18/2021 9015 FIRST CHOICE HOME IMPROVEMENT LIVONIA 5553830A 800 5/10/2021 5645 FIRST STOP HOME CARE INC LIVONIA 5854385A 1,662 4/13/2021 8835 0.95 GUTTERDUDE LLC LIVONIA 3579956A 643 6/14/2021 9015 HOLIDAY HUT PARTY STORE LIVONIA 1951513A 560 6/28/2021 8017 HOUSEWAY CONSTRUCTION LLC LIVONIA 4364503A 3,302 5/5/2021 5645 0.94 INNOVATIVE DRYWALL SERVICES INC LIVONIA 4350553A 850 4/3/2021 5445 INTELIGENTE SOLUTIONS INC LIVONIA 2189534A 5,316 4/18/2021 3146 0.95 J AND J FLOORS LLC LIVONIA 1478320A 739 4/30/2021 9521 J AND J RESTORATION LLC LIVONIA 4472365A 751 5/22/2021 0042 0.95

1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 87 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge J CANADA ROOFING LLC LIVONIA 5723370A 825 6/10/2021 5551 JDM BUILDING COMPANY LLC LIVONIA 2735954A 800 4/11/2021 5645 K 2 RESTORATION INC LIVONIA 3174336A 800 5/25/2021 5445 K AND D CONSTRUCTION LIVONIA INC LIVONIA 4408330A 800 6/26/2021 5645 KAPI CONSTRUCTION CO LLC LIVONIA 5652960A 1,452 5/30/2021 5606 0.93 KERNERS WINDOW CLEANING LLC LIVONIA 4866207A 2,455 6/8/2021 9015 1.05 LAGALO FLOOR COVERING LIVONIA 2296128A 751 6/25/2021 5437 LANDSCAPE ENVY LLC LIVONIA 2068664A 709 5/30/2021 0042 0.95 LITTLE CRITTER SITTER LLC LIVONIA 4705238A 412 5/26/2021 8831 LUCAJ GJOK LIVONIA 3471420A 800 6/25/2021 5476 MACE MARBLE & GRANITE INC LIVONIA 3527565A 8,841 6/12/2021 5348 1.28 13 % MACEK LAWN CARE LIVONIA 5545803A 524 4/14/2021 9102 MEDORA BUILDING COMPANY LIVONIA 1739565A 825 4/5/2021 3365 0.95 MERITHALL INC LIVONIA 4882741A 99,156 6/28/2021 9015 1.08 MN EXPRESS INC LIVONIA 4753836A 37,576 4/27/2021 7208 1.00 MRK PEST CONTROL LLC LIVONIA 6150128A 568 4/8/2021 9015 NALARA QUALITY SYSTEM LLC LIVONIA 4918835A 17,355 5/17/2021 8010 0.96 NEWBURGH LAKE CONDOMINIUM ASSOCIATION LIVONIA 1244485A 569 5/25/2021 9015 NEXT JEN CONTRACTORS LLC LIVONIA 2087260A 751 6/23/2021 5437 NO PLACE LIKE HOME HEALTH LLC LIVONIA 5721423A 1,845 6/5/2021 8835 0.95 ONPOINT CONSTRUCTION GROUP LLC LIVONIA 6007961A 1,255 6/26/2021 5606 PLI PRO LIFT INC LIVONIA 1733800A 2,044 6/18/2021 8107 0.95 R AND B CONSTRUCTION SERVICES INC LIVONIA 1975749A 750 5/28/2021 5437 RBG PROPERTIES LLC LIVONIA 3195368B 569 6/2/2021 9015 REGLAZE AND SAVE LIVONIA 1364677A 590 5/22/2021 9521 ROCK OUT ENTERTAINMENT INC LIVONIA 5390613A 1,284 6/14/2021 9156 0.95 ROLADER HOME IMPROVEMENT LLC LIVONIA 3063496A 750 4/23/2021 5437 0.95 SAFETY AND TECHNICAL RESCUE ASSOCIATION LIVONIA 3605230A 1,652 4/21/2021 7980 0.95 SCOT CLUGSTON LLC LIVONIA 2250756A 850 6/6/2021 0106 SHAIN ROOFING AND SHEET METAL INC LIVONIA 2994712A 8,719 6/26/2021 5538 0.83 SOLARSHIELD PAINTSHIELD LLC LIVONIA 5391180A 2,467 6/30/2021 9521 0.95 SRA COMFORT CARE PROVIDERS INC LIVONIA 5722020A 2,274 6/8/2021 8835 0.95 SRI SHIRIDI SAI SAMSTHAN MICHIGAN LIVONIA 4834305A 418 6/23/2021 8868 STEMPINS LAWN CARE LLC LIVONIA 5717191A 2,386 5/18/2021 9102 0.95 SUMMIT ROOFING & REMODELING LLC LIVONIA 4989260A 7,163 5/30/2021 5552 0.92 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 88 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SUNRISE BUILDING GROUP INC LIVONIA 0696188A 392 4/29/2021 8742 SWANSONS LANDSCAPING LLC LIVONIA 2534819A 759 6/3/2021 0042 SYNERGY REHABILITATION INC LIVONIA 5246717A 3,440 6/11/2021 8835 0.95 TIMAS HOME IMPROVEMENT LLC LIVONIA 3238008A 800 4/1/2021 5645 TOMASI CARE LLC LIVONIA 5261724A 1,322 4/12/2021 8835 0.95 TONDA CORPORATION LIVONIA 4980093A 1,226 4/26/2021 8018 0.95 TRITON CONSTRUCTION LLC LIVONIA 4798260A 800 4/24/2021 5022 U P MASONRY CONSTRUCTION INC LIVONIA 3012964A 2,592 4/26/2021 5022 0.95 UNIQUE AMBICA JV LLC LIVONIA 5749239A 740 5/27/2021 8810 VARTANIAN HOME IMPROVEMENT INC LIVONIA 1864858A 800 6/4/2021 5645 WEST PAINTING LIVONIA 5267170A 750 4/15/2021 5476 WESTSIDE TRANSPORTATION LLC LIVONIA 3500896A 6,083 6/1/2021 8395 0.87 WHALE WINDOW WASHING LIVONIA 6165010A 619 4/24/2021 9015 ZELEXA LLC LIVONIA 5721385A 1,476 6/2/2021 8868 0.95 ARMO USA INC LONDON, ON 5990165A 2,069 4/26/2021 3632 0.95 WAUCEDAH TOWNSHIP LORETTO 1272519A 622 6/28/2021 9410 GLOBAL ICONS LLC LOS ANGELES, CA 5262348A 754 4/16/2021 8810 VANEGAS ENTERPRISES INC LOUISVILLE, KY 1289748A 349 6/28/2021 8742 ESPINOZA AND SONS MASONRY CONTRACTOR LOVELAND, OH 6186076A 750 5/20/2021 5022 ADVANCED BUILDING & CONSTRUCTION LLC LOWELL 3780783A 3,383 4/10/2021 5645 0.95 BREMBER LLC LOWELL 5980828A 17,603 4/1/2021 0106 0.95 COMMERCIAL ABATEMENT SERVICES LLC LOWELL 3906094A 825 4/1/2021 5183 JOSEPH RATHBUN CONTRACTOR LLC LOWELL 5715458A 750 5/15/2021 5645 STURDAVANT BILLY LOWELL 6008321A 750 6/28/2021 5445 WEST CARPENTRY LOWELL 2146797A 804 4/17/2021 5606 D TROJ PAINTING LLC LUDINGTON 6203116A 1,674 6/20/2021 5476 DAVKO INC LUDINGTON 1066960A 1,303 6/20/2021 9058 0.95 HARBOR FLOORING OF LUDINGTON LLC LUDINGTON 5852366A 329 4/10/2021 8017 LAKE MICHIGAN TRANS LAKE SHORTCUT INC LUDINGTON 2272334A 6,724 6/23/2021 8017 0.84 LAKEFX MEDIA LLC LUDINGTON 5712572A 925 5/5/2021 7610 LUDINGTON YOUTH SAILING SCHOOL LUDINGTON 5229421A 493 6/1/2021 6836 R BOGNER TREE FARMS SERVICE LLC LUDINGTON 5370515A 750 4/4/2021 0106 STARVING ARTIST BREWING CO LLC LUDINGTON 2223317A 424 6/9/2021 2121 NEW SUNRISE CAFE LUPTON 2566575A 1,575 4/25/2021 9058 0.95 STRAIGHT UP TRUCKING LLC LUPTON 4520840A 2,188 4/6/2021 7208 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 89 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TALENT SERVICES INTL CORP LYNWOOD, WA 2296896A 341 4/1/2021 8810 MACKINAC HORSEMENS ASSOCIATION MACKINAC ISLAND 5876591A 1,841 5/23/2021 8279 WATERCOLOR CAFE LLC MACKINAC ISLAND 4370171A 461 5/1/2021 8017 0.95 BLUE FLAMINGOS AN IDEA COMPANY LLC MACKINAW CITY 6153305A 460 4/10/2021 8810 DEER HEAD INN INC MACKINAW CITY 5865859A 569 5/18/2021 9052 DK GREGORY ENTERPRISES INC MACKINAW CITY 1219952A 1,472 5/12/2021 8017 LUMBER JACK SHOWS LLC MACKINAW CITY 4516850A 760 6/18/2021 9156 A AND R FLOORS LLC MACOMB 5864704A 800 5/15/2021 5437 A B C CARPENTRY INCORPORATED MACOMB 5697913A 7,198 6/24/2021 5645 0.94 A J SPEZIA COMPANY MACOMB 5272823A 750 5/21/2021 5437 ADDELIA HARDWOOD PROS INC MACOMB 3034364A 1,159 4/15/2021 5437 0.95 AG PAINTING GROUP LLC MACOMB 5195403A 750 6/27/2021 5476 ALL PRO HOME IMPROVEMENT INC MACOMB 1547577A 753 4/25/2021 5538 0.95 AMERICAN BY SERVICE INC MACOMB 3403874A 750 4/26/2021 5022 ARTISAN PAINTING INC MACOMB 4404270A 800 4/11/2021 5476 ASPEN IMPROVEMENTS INC MACOMB 2624486A 750 4/20/2021 5551 0.95 BELLA FLOORS INC MACOMB 3117928A 1,798 6/14/2021 5437 0.95 BERRY BILL MACOMB 1111850A 750 5/23/2021 5645 CLEVER TECHNOLOGIES LLC MACOMB 4393244A 229 6/19/2021 8742 COMFORT HOUSE HEATING & COOLING LLC MACOMB 5553130A 749 4/27/2021 5550 D AND J HOME CARE 3 LLC MACOMB 4379721B 656 5/24/2021 9402 D AND J HOME CARE INC MACOMB 4379721A 656 5/24/2021 9402 D AND T HOME IMPROVEMENT LLC MACOMB 3682439A 750 4/4/2021 5645 DAKA HOMES LLC MACOMB 5761913A 825 6/7/2021 5437 DENISES HUGGABLE DAYCARE INC MACOMB 5476550A 376 4/19/2021 8869 DGS HOME IMPROVEMENT INC MACOMB 5273196A 800 5/24/2021 5551 0.95 ED ROGERS ENTERPRISES INC MACOMB 0298271A 739 5/1/2021 6217 ELITE PRO SERVICES LLC MACOMB 6185860A 656 5/20/2021 9402 ELITE TILE MARBLE & STONE LLC MACOMB 5691630A 751 6/18/2021 5348 0.95 FUTURE UNITED LLC MACOMB 5861470A 381 5/1/2021 8742 GAT CONTRACTING LLC MACOMB 5848687A 750 6/8/2021 5645 GMB CONSTRUCTION LLC MACOMB 4029631A 750 6/1/2021 5437 INTERSTAR INC MACOMB 5315786A 674 6/23/2021 5183 ITALIA TILE INC MACOMB 3219712A 750 6/11/2021 5348 J AND J LANDSCAPING LLC MACOMB 5997666A 709 5/21/2021 0042 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 90 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge J E DIXON INC MACOMB 1794396A 20,305 5/1/2021 5538 0.92 JEKA PAINTING LLC MACOMB 6147739A 800 4/4/2021 5476 JJ S LAWN CARE LLC MACOMB 5831016A 574 5/2/2021 9102 K AND S PAINTING INC MACOMB 5389178A 750 4/25/2021 5476 KGM PAINTING LLC MACOMB 4991800A 9,103 6/7/2021 5476 0.92 LUCIDO CONSTRUCTION CORP MACOMB 5130220A 750 4/25/2021 5022 M D TILE & MARBLE LLC MACOMB 5727359A 751 5/1/2021 5348 MICHIGAN BUILDING DESIGN AND SERVICES INC MACOMB 4763033A 826 6/26/2021 9558 0.95 MJP LLC MACOMB 6184421A 750 5/16/2021 5437 NEW LOOK SOLUTIONS MACOMB 3396550A 922 6/19/2021 5437 0.95 NOBLE PROPERTY SERVICES INC MACOMB 4638697A 732 4/19/2021 9102 NPD CUSTOM PAINTING AND CAULKING LLC MACOMB 6002048A 1,804 6/7/2021 5476 OLYMPOS ELECTRIC LLC MACOMB 4214609A 470 5/5/2021 5190 PETI TOWING LLC MACOMB 5605865A 825 5/10/2021 7208 PM TECH REFRIGERATION LLC MACOMB 3690385A 1,159 6/3/2021 9519 0.95 RMH HOME SERVICES LLC MACOMB 2248786A 750 6/7/2021 5645 RON VERCRUYSSE COMPANY INC MACOMB 2130610A 801 5/10/2021 8810 S AND K GUTTER INC MACOMB 3466906A 706 6/4/2021 5538 SERENITY VILLAGE ASSISTED LIVING LLC MACOMB 4379721C 656 5/24/2021 9102 STILLWELL LORI MACOMB 5864712A 329 5/15/2021 8017 T J R CONSTRUCTION SERVICES LLC MACOMB 5998115A 826 5/22/2021 5476 TCL CARPENTRY LLC MACOMB 5992133A 750 5/7/2021 5645 TIM SCHAUM BUILDERS INC MACOMB 3736091A 1,630 4/20/2021 5403 TREASURE ISLAND ASSOCIATION MACOMB 5853524A 568 6/19/2021 9015 TREE TOP TREE SERVICE LLC MACOMB 0495263A 800 6/16/2021 0106 TWO BROTHERS PAINTING LLC MACOMB 6000703A 800 6/1/2021 5476 UPPER LEVEL CONTRACTING LLC MACOMB 5083834A 750 5/4/2021 5645 VATAJ PAINTING MACOMB 5083087A 751 4/16/2021 5476 VESA VIOREL MACOMB 4221257A 750 5/26/2021 5348 VIP EXPRESS LOGISTICS LLC MACOMB 5373018A 800 5/14/2021 7208 0.95 VLADIMIR CORPORATION MACOMB 5576369A 1,897 6/21/2021 7208 0.95 CAR CHOICE LLC MACOMB TWP 5341906A 260 5/17/2021 8748 IMPERIAL PAINTING LLC MACOMB TWP 3237338A 750 4/12/2021 5476 ZAPINSKI MIKE J MACOMB TWP 4085809A 750 6/18/2021 5437 COCHRANE SUPPLY & ENGINEERING INC MADISON HEIGHTS 0441902A 618 4/15/2021 8010 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 91 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CREATIVE BUSINESS SOLUTION INC MADISON HEIGHTS 6198040A 1,575 6/1/2021 8832 0.95 EXPERT AUTO ACCENTS INC MADISON HEIGHTS 4177878A 3,637 5/8/2021 8387 0.95 GLASSXPERT LLC MADISON HEIGHTS 5566991A 753 5/31/2021 8742 HERITAGE HOME HEALTH CARE SERVICES INC MADISON HEIGHTS 4546881A 1,574 5/29/2021 8835 0.95 MANSOORS PARKING INC MADISON HEIGHTS 4070062A 1,325 5/17/2021 8392 0.95 R W BAKER INC MADISON HEIGHTS 2331764A 800 4/25/2021 5476 ROYALTY HOME IMPROVEMENTS MADISON HEIGHTS 4080912A 750 6/1/2021 5348 SINA ELTON MADISON HEIGHTS 5992370A 834 5/4/2021 5437 SPECTRUM NEON COMPANY MADISON HEIGHTS 2424169A 2,068 4/28/2021 9559 1.00 STATE LODGE OF MICHIGAN LABOR COUNCIL MADISON HEIGHTS 5148669A 576 6/4/2021 8755 THM MASTER CONSTRUCTION LLC MADISON HEIGHTS 3371824A 1,295 5/11/2021 5445 0.95 TOM MOLOSKY FLOORING INC MADISON HEIGHTS 1338218A 541 4/2/2021 9521 TRI FLOW PLUMBING INC MADISON HEIGHTS 4114701A 1,027 4/17/2021 5183 0.95 WDEC LLC MADISON HEIGHTS 6003800A 359 6/13/2021 8810 NEW BEGINNINGS INVESTMENT LLC MADISON HTS 5706270A 750 4/18/2021 9521 COMPLETE EXCAVATING SERVICES LLC MANCELONA 5863945A 2,734 5/19/2021 6217 0.95 GREAT LAKES GROUP MANCELONA 5314399A 3,308 6/24/2021 5476 KINGS CONSTRUCTION & REMODELING LLC MANCELONA 5404819A 800 5/16/2021 5476 LATA TREE SERVICE LLC MANCELONA 5985706A 1,050 4/24/2021 0106 SPIRES WOOD PRODUCTS MANCELONA 6179100A 750 5/15/2021 2702 FUTURE INSURANCE SERVICES LTD MANCHESTER 2638797A 290 5/16/2021 8810 I AND I CONSTRUCTION MANCHESTER 3131297A 800 5/19/2021 5403 TIFFANYS GARDENS LLC MANCHESTER 5556392A 1,861 4/10/2021 0042 0.95 VIP PAINTING MANCHESTER 4741811A 800 5/19/2021 5476 AJS TREES AND SERVICES MANISTEE 6181678A 5,640 5/13/2021 0042 DOUGLAS STATION LLC MANISTEE 4671783A 2,648 4/22/2021 8017 0.95 MANISTEE OUTFITTERS LLC MANISTEE 5474299A 545 6/10/2021 6836 MANISTEE POST 10 AMERICAN LEGION MANISTEE 0635820A 565 4/1/2021 9058 MUNISING WATER SPORTS INC MANISTEE 5559260A 581 5/19/2021 8810 0.95 PAPPAW LLC MANISTEE 4178670A 436 5/31/2021 9058 PMAG LLC MANISTEE 4757432A 503 5/14/2021 8017 SJO CONSTRUCTION INC MANISTEE 2925974A 750 6/20/2021 5645 0.95 UP NORTH MANISTEE INC MANISTEE 2009617A 568 4/7/2021 9015 0.95 WOODZWERK FORESTRY MANISTEE 4306309A 750 5/16/2021 2709 ZUPIN CRANE LLC MANISTEE 5543886A 5,110 4/9/2021 3724 0.92 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 92 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HIDDEN ESTATES INC MANISTIQUE 5131588A 1,083 5/1/2021 9053 0.95 OLD COUNTRY PAINTING & DECORATING INC MANISTIQUE 1665200A 751 5/1/2021 5476 0.95 SCHOOLCRAFT COUNTY POST NO 4420 MANISTIQUE 1029371A 344 4/1/2021 9061 VETERANS OF FOREIGN WARS OF THE UNITED STATES WILLIAMS PHILLIP MANISTIQUE 0099260A 750 6/25/2021 7208 HELSELS TREE SERVICE INC MANTON 5570565A 2,623 6/23/2021 0106 0.95 IMBIGR HANDYMAN SERVICES LLC MANTON 6002412A 524 6/8/2021 9102 JD LOGGING MANTON 5575680A 750 6/17/2021 2702 NORTHWEST CARRIERS LLC MANTON 5059909A 850 4/9/2021 7208 PARK SPENCER MANTON 5878365A 750 6/22/2021 2702 TP PLUMBING LLC MANTON 3904300A 1,123 4/1/2021 5183 KASSON CONTRACTING INC MAPLE CITY 0501603A 750 5/20/2021 6217 LEELANAU BACKYARD HARVEST LLC MAPLE CITY 5986362A 1,343 4/17/2021 0042 SLEEPING BEAR LIGHTNING PROTECTION LLC MAPLE CITY 3916413A 1,593 4/27/2021 5190 0.95 UP NORTH SHOW JUMPERS LLC MAPLE CITY 4726634A 7,005 6/22/2021 8279 0.93 CASS COUNTY TITLE OFFICE INC MARCELLUS 4055543A 275 4/19/2021 8810 CROPSEY BRETT MARCELLUS 6176607A 226 5/7/2021 8810 GLASS MICHAEL MARCELLUS 2268086A 2,560 4/13/2021 7208 0.95 HONEY BUNNIES CATERING AND CONCESSIONS MARCELLUS 5982731A 330 4/19/2021 9058 LLC JAKES TREE REMOVAL LLC MARENISCO 4995457A 6,476 6/19/2021 0106 0.91 AVERS CONSTRUCTION LLC MARINE CITY 4051050A 750 4/7/2021 5645 DETROIT BULK SERVICES INC MARINE CITY 2230348B 828 4/25/2021 8810 0.79 MUSYK ROMAN MARINE CITY 6205518A 750 6/24/2021 7208 SCHWARTZ DRYWALL INC MARINE CITY 0371009A 761 5/24/2021 5445 0.95 WARUNEK NICK MARINE CITY 6178952A 800 5/8/2021 5645 WISHIGAN HOMES LLC MARINETTE, WI 5398940A 750 4/28/2021 5645 NORTHERN SKY TRUCKING MARION 6159680A 4,765 4/17/2021 7208 PLUGER MECHANICAL LLC MARION 5994179A 2,294 5/10/2021 5550 D AND A TRUCKING MARLETTE 2993694A 750 4/10/2021 7208 DONLEY EXC LLC MARLETTE 5065275A 739 6/19/2021 6217 GYOMORY TRUCKING MARLETTE 3773612A 750 5/15/2021 7208 MVP DISC SPORTS LLC MARLETTE 5412730A 6,192 6/11/2021 8018 0.89 S AND W HUGGETT HOLDINGS INC MARLETTE 4205197A 18,402 4/1/2021 0011 1.57 13 % TO OUR DEBBIE ANN YOUNG SOCIETY LLC MARLETTE 5397197A 1,475 5/17/2021 7720 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 93 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MITTEN CONCRETE LLC MARNE 5879892A 750 6/27/2021 5221 RYAN BERGMAN CONSTRUCTION LLC MARNE 4370775A 750 6/28/2021 5190 ALLEY KATS QUILT SHOP MARQUETTE 5864283A 734 5/12/2021 8008 CHOCOLAY IRONWORKS LLC MARQUETTE 6043704A 5,871 6/2/2021 3030 DOWN TO EARTH CONTRACTING MARQUETTE 4225953A 789 6/15/2021 6217 GUTZMAN DALE R MARQUETTE 2794853A 800 4/4/2021 7208 HOOVERS TREE SERVICE INC MARQUETTE 1686569A 5,279 4/14/2021 0042 0.92 MARQUETTE COUNTY FAIR MARQUETTE 5715130A 569 5/15/2021 9015 MARQUETTE MISSIONARY CHURCH MARQUETTE 0344214A 288 5/15/2021 8868 MIDDLE ISLAND POINT CAMPERS ASSOCIATION MARQUETTE 1220063A 618 6/17/2021 9015 NASH CREEK LLC MARQUETTE 6006507A 5,027 6/21/2021 5645 ROOM AT THE INN MARQUETTE 5043930A 693 6/26/2021 8832 TREE RING INC MARQUETTE 4910222A 2,579 4/8/2021 5645 0.95 TROPHY WOOD FLOORS INC MARQUETTE 1222350A 750 4/30/2021 5437 ALLEN RUSSELL MARSHALL 6196780A 751 6/10/2021 6229 BIG MAX TREE REMOVAL SERVICE MARSHALL 6201431A 2,376 6/17/2021 0106 SWAT CONSULTING INC MARSHALL 4953673A 799 5/29/2021 8601 0.96 DAVID CURRY MARTIN 5173744A 750 5/7/2021 5645 US 131 MOTORSPORTS PARK INC MARTIN 3468984A 3,030 6/11/2021 9015 0.95 WEEDALL DONALD C MARTIN 6200257A 800 6/16/2021 5645 BLUE RIVER ENGINEERING LLC MARYSVILLE 5880769A 359 6/29/2021 8601 HAGGERTY HOMES MARYSVILLE 2635321A 1,630 5/26/2021 5403 1.00 NICK ANTONELLI CONSTRUCTION LLC MARYSVILLE 5399971A 750 4/30/2021 5022 RCS YACHT REFINISHERS LLC MARYSVILLE 4065654A 1,595 4/14/2021 6834 0.95 WEATHERGUARD MARYSVILLE 1901443A 800 5/23/2021 5645 BAKER CONSTRUCTION MASON 4520874A 800 6/18/2021 5437 HARPER HILL FORESTRY PRODUCTS LLC MASON 5712041A 2,453 5/4/2021 2731 0.95 PROFESSIONAL ROOF CLEANING SERVICES LLC MASON 4754522A 2,005 5/26/2021 9015 0.95 RAS CONTRACTING INC MASON 5704910A 800 4/15/2021 5403 ROTARY INTERNATIONAL DISTRICT 6360 INC MASON 5402212A 255 6/5/2021 8810 SPEEDWAY CONCESSIONS LLC MASON 3528049A 1,063 5/30/2021 9015 0.95 BRAD HOLMSTROM TRUCKING INC MASS CITY 3642739A 1,362 5/4/2021 7380 0.95 SULLIVAN JEREMY F MASS CITY 1933213A 750 5/27/2021 2702 OHIO DRILLING COMPANY MASSILLON, OH 0262358A 4,474 6/26/2021 6204 0.95 ENVIRONMENTAL STAFFING ACQUISITION CORP MATHEWS, NC 6166148A 1,428 4/25/2021 5479 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 94 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALMENA CORPORATION MATTAWAN 5856140A 6,087 4/20/2021 7208 0.93 BELLA TERRA ACRES LLC MATTAWAN 5521866A 750 4/1/2021 8279 BERCHIATTI HOMES LLC MATTAWAN 5398649A 750 4/25/2021 5645 C JOHNSON & SON EXCAVATING CO MATTAWAN 3289478A 7,388 5/12/2021 6217 0.88 COMFORT CONTROL HEATING & COOLING LLC MATTAWAN 4751124A 674 5/18/2021 5550 COMPLETE PRESSURE WASHING MATTAWAN 3980286A 796 6/4/2021 9015 DAVID AND SONS CONTRACTING LLC MATTAWAN 5329760A 800 6/24/2021 5645 FARMLAND FRIENDS DAYCARE LLC MATTAWAN 5079063A 268 5/9/2021 8869 FREDERICK BUILDERS CORPORATION MATTAWAN 1130811A 751 5/26/2021 5437 STRATEGIC NEWS INTERNATIONAL INC MATTAWAN 5129516A 805 5/8/2021 8810 CAPSTONE ONE INC MAUMEE, OH 5688361A 647 6/24/2021 5191 KRAMER PAINTING LLC MAUMEE, OH 5255813A 750 4/4/2021 5476 0.95 ZERO 7000 BOYNE CITY RD LLC MAUMEE, OH 5258677A 585 5/5/2021 0912 MICHIGAN FARMS LLC MAYBEE 4506944A 674 5/3/2021 8810 CHUTES AND LADDERS LLC MAYVILLE 5139465A 520 6/19/2021 8835 HOEKWATER HOME BUILDERS MCBAIN 5553490A 750 4/28/2021 5645 JQ CONSTRUCTION LLC MCBAIN 5271738A 750 5/19/2021 5645 KJR CONSTRUCTION LLC MCBAIN 5855365A 750 4/30/2021 5645 NORTHERN MICHIGAN LIFT SERVICE INC MCBAIN 5398444A 669 4/24/2021 3724 SCHOLTEN CUSTOM LLC MCBAIN 6196292A 568 6/9/2021 0128 DAVIDSON DUSTIN L MCBRIDE 5682410A 751 6/10/2021 5445 GRACE CONTRACTING SERVICES LLC MCMILLAN 6166024A 750 4/25/2021 5645 JDM FOREST PRODUCTS LLC MCMILLAN 6133819A 1,851 4/17/2021 2709 ROBERT LUSTILA TRUCKING LLC MCMILLAN 5409667A 800 6/2/2021 7208 TAYLOR DELBERT MCMILLAN 5726638A 750 6/24/2021 5476 DUNE SCOOTERS INC MEARS 0207985A 15,276 5/1/2021 7212 0.73 DREW ERIC MEDFORD, MA 5867681A 605 5/24/2021 0913 JENKINS ALAN MELVIN 5868238A 800 6/5/2021 5437 ANN ARBOR SAND & GRAVEL INC MELVINDALE 5867320A 2,628 5/23/2021 4000 0.95 COOKIE PROJECT MELVINDALE 5553180A 415 5/2/2021 8868 DOUGS FLOOR COVERING SERVICES LLC MELVINDALE 3396444A 540 5/6/2021 9521 MC RESTORATION SERVICES LLC MELVINDALE 6071791A 709 6/30/2021 0042 SOUTH WEST ATHLETIC CLUB INC MELVINDALE 1441965A 575 5/25/2021 9061 LOEHNIS TRANSPORT LLC MEMPHIS 4737393A 825 4/8/2021 7208 CHRISTOPHER TREE SERVICE MENDON 3647595A 1,240 5/10/2021 0106 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 95 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge L AND L DRIVING SCHOOL INC MENDON 4204158A 574 5/7/2021 8868 GREATER MARINETTE MENOMINEE YMCA INC MENOMINEE 1100289A 11,701 4/1/2021 9063 1.45 13 % J AND B BAUER TRUCKING INC MENOMINEE 5982006A 750 4/4/2021 7208 JOHNSON KENNETH M MENOMINEE 2681919A 750 5/12/2021 7208 MENOMINEE ANIMAL SHELTER MENOMINEE 3186083A 1,676 6/12/2021 8831 0.95 MILLERS TREE SERVICE LLC MENOMINEE 5864348A 750 5/20/2021 0106 TRUITT ERICKSON PLASTERING LLC MENOMINEE 5547075A 4,502 4/16/2021 5480 1.34 13 % W D M ENTERPRISES INC OF MARINETTE WI MENOMINEE 3637000A 4,705 5/15/2021 5183 0.92 CAMPERS CHOICE RV COLLISION AND REPAIR MERRILL 6001734A 543 6/6/2021 8393 LLC JONESFIELD LAKEFIELD FIRE DISTRICT MERRILL 0512982A 751 6/18/2021 7904 0.95 MJAT LLC MERRILL 6193625A 756 6/5/2021 8810 URBAIN FARMS LLC MERRILL 5987873A 481 6/3/2021 8395 PATS RV PARK LLC MESICK 2091992A 931 6/10/2021 9015 AMONG THE HILLS CONSTRUCTION LLC METAMORA 5709725A 750 4/28/2021 5645 ARMORCOAT ASPHALT SEALING METAMORA 4899563A 751 5/19/2021 5221 BOB SCHMIDT ROOFING METAMORA 3790827A 750 6/12/2021 5022 IDEAL CARPENTRY METAMORA 2688654A 800 5/12/2021 5645 JTT INVESTMENTS INC METAMORA 4073843A 2,157 5/10/2021 8017 0.95 KH EXCAVATING LLC METAMORA 5206715A 790 4/7/2021 6217 LEVON TECH PROPERTIES LLC METAMORA 6008925A 750 6/29/2021 5059 M AND K OUTDOOR SERVICES LLC METAMORA 6143245A 899 4/16/2021 6217 MEISTER BUILDING & HOME IMPROVEMENT METAMORA 2827158A 750 4/27/2021 5645 METAMORA BUILDING & DEVELOPMENT LLC METAMORA 5551315A 801 4/25/2021 5183 PARKS SHOW CATTLE METAMORA 6187544A 2,520 5/22/2021 0129 PREMIUM METAL WORKS LLC METAMORA 5553814A 1,466 4/29/2021 3365 0.95 QUALICARE COMMERCIAL CLEANING METAMORA 2637197A 568 5/2/2021 9015 RIGGERS INC METAMORA 4448316A 6,015 5/1/2021 8227 1.34 13 % SMART DOG LLC METAMORA 5566681A 483 5/27/2021 8831 TIMS POWER WASHING AND PAINTING LLC MICHIGAN CENTER 5524660A 568 5/21/2021 9015 0.95 MICHIANA SHORES VOLUNTEER FIRE MICHIGAN CITY, IN 3355438A 751 6/18/2021 7704 DEPARTMENT H 2O MOBILE PRESSURE WASHING INC MIDDLEBURG HEIGHTS, 5394040A 1,289 5/21/2021 9015 OH S YODERS CONSTRUCTION LLC MIDDLEBURY, IN 5577578A 10,448 6/22/2021 5645 0.91 HANDSUMS HANDY SERVICE LLC MIDDLEVILLE 5187036A 750 5/10/2021 5645 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 96 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge INDUSTRIAL SERVICES & MILLWRIGHT LLC MIDDLEVILLE 5564352A 2,963 5/20/2021 3724 0.95 KELLOGG PARKWOOD LLC MIDDLEVILLE 3656837A 618 5/1/2021 8810 0.95 VANDEWEERT ELECTRIC LLC MIDDLEVILLE 4840453A 470 5/28/2021 5190 VOS RENOVATIONS MIDDLEVILLE 6168787A 750 4/29/2021 5645 WEX 2 MANAGEMENT LLC MIDDLEVILLE 5716098A 9,836 5/30/2021 7214 0.95 A TON TREE & DEBRIS LLC MIDLAND 5411874A 3,127 6/9/2021 0106 0.95 ADIO FAMILY CHIROPRACTOR PLC MIDLAND 5985358A 620 4/15/2021 8832 ALL AMERICAN LANDSCAPING LLC MIDLAND 6185240A 1,474 5/16/2021 0042 ATTENTION TO DETAIL MIDLAND 4802810A 468 5/30/2021 8393 BROTHERS QUALITY ROOFING MIDLAND 6188656A 6,539 5/27/2021 5552 CHIMNEY DOCTOR LLC MIDLAND 5869641A 1,330 5/30/2021 9015 DALE ROBINSON CONSTRUCTION MIDLAND 0073555A 801 5/15/2021 5645 0.95 DEGROOT CHRISTIAN MIDLAND 5124514A 1,327 4/4/2021 0908 0.95 DLW PARTNERS LLC MIDLAND 6207731A 266 6/29/2021 8810 FAMILY CREST CONSTRUCTION MIDLAND 4981952A 1,872 5/2/2021 5645 0.95 FAUXPLAY DECORATIVE PAINTING MIDLAND 6184405A 751 5/18/2021 5476 GEORGE OWENS BUILDERS LLC MIDLAND 4461410A 801 4/11/2021 5190 MARK DITTENBER CUSTOM RESIDENTIAL MIDLAND 3527042A 800 4/8/2021 5645 BUILDER LLC MATTHEW ST DENNIS & CO INC MIDLAND 5114527A 800 6/18/2021 5348 1.34 13 % MIDLAND IRON WORKS INC MIDLAND 0551961A 998 4/23/2021 3081 0.95 O M SUPERIOR ROOFING SERVICES OF AMERICA MIDLAND 6204236A 5,121 6/23/2021 5551 LLC SCHWIND CONSTRUCTION COMPANY LLC MIDLAND 2178893A 750 5/10/2021 5645 TATE MICHAEL MIDLAND 5877474A 530 6/15/2021 0913 TRI STATE PAINTING MIDLAND 4633474A 1,057 6/2/2021 5476 WINDOVER HIGH SCHOOL MIDLAND 2164914A 215 5/23/2021 8810 DREAM RIDES LLC MILAN 5367441A 499 6/29/2021 8748 HECTOR R CONSTRUCTION MILAN 4537297A 4,587 5/17/2021 5476 SWEET DAVID MILAN 1995618A 618 5/24/2021 9015 0.95 ZANDER TRUCKING LLC MILAN 4882890A 5,810 6/28/2021 8742 0.88 AMERICAN EURO PAINTING INC MILFORD 1805045A 1,231 6/5/2021 5476 0.95 ARMSTRONG CANOE RENTALS LLC MILFORD 4065050A 761 5/27/2021 6836 0.95 BEER AND JESSOP AMUSEMENTS LLC MILFORD, IN 3244601A 723 5/1/2021 9015 BRENTWOOD ASSOCIATION MILFORD 6003540A 568 6/12/2021 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BRIANS LAWN MAINTENANCE LLC MILFORD 6005977A 574 6/20/2021 9102 BRICKWORK BY MATREAL INC MILFORD 1130480A 1,065 6/4/2021 5022 0.95 ENVISION LANDSCAPE SOLUTIONS LLC MILFORD 5998166A 524 5/22/2021 9102 EXCLUSIVE CUSTOM HOMES INC MILFORD 5393884A 750 4/7/2021 5437 FOUR D BUILDING INC MILFORD 0023302A 1,949 4/1/2021 8387 0.95 HARTLAND MASONRY & DEVELOPMENT LLC MILFORD 2032252A 750 4/12/2021 5022 IAFRATE CONTRACTING SERVICES LLC MILFORD 5838738A 3,756 4/5/2021 6217 0.95 INNOVATIVE REMODEL INC MILFORD 4501209A 751 6/22/2021 5437 0.95 MAH CONSTRUCTION LLC MILFORD 3474690A 825 4/8/2021 5551 MSR CONSTRUCTION INC MILFORD 3813177A 800 6/15/2021 5645 PROFESSIONAL CARE INC MILFORD 3512150A 1,234 5/16/2021 0908 0.95 PROMOZ CONSTRUCTION LLC MILFORD 5990947A 2,048 4/30/2021 5445 0.95 PRYJOMSKI ENTERPRISES LLC MILFORD 3783251A 750 5/20/2021 5221 S AND D SERVICES LLC MILFORD 5868866A 750 6/6/2021 7208 SITE CLEARING INC MILFORD 3746755A 2,795 4/2/2021 0106 0.95 SUMMERS RYAN MILFORD 1466909A 2,080 5/10/2021 5221 TAGI INC MILFORD 0259462A 3,058 5/14/2021 8017 0.95 TL COMMUNICATIONS LLC MILFORD 3548139A 825 4/12/2021 7600 WYATTS TREE REMOVAL AND LANDSCAPING LLC MILFORD 5994675A 1,897 5/15/2021 0042 TNT TREE & STUMP LLC MILFORD TWP 4870280A 2,551 6/20/2021 0106 GREAT LAKES POWER & PIPE INC MILLERSBURG 2863685A 49,874 4/21/2021 7538 0.86 BAILEY CONSTRUCTION MILLINGTON 0239488A 800 6/8/2021 5645 BAJA MX INC MILLINGTON 2376695A 1,519 4/18/2021 9015 0.95 BLUE RESTORATION LLC MILLINGTON 1055445A 790 4/13/2021 6217 0.95 BRB UNDERGROUND SERVICES INC MILLINGTON 5878284A 750 6/22/2021 7600 PM DOWELL CONTRACTING LLC MILLINGTON 5713471A 800 5/6/2021 5403 RENDER HARVEY MILLINGTON 6118992A 751 4/20/2021 6400 NORTHERN POWER SPORTS OF MIO INC MIO 2846578A 4,077 6/10/2021 8748 1.25 13 % RAINBOW RESORT CABINS AND CANOES LLC MIO 4171675A 569 4/4/2021 9015 BILL POLHAMUS BUILDERS MONROE 2490781A 750 6/4/2021 3724 CONLEY CONSTRUCTION SERVICES LLC MONROE 3232387A 750 5/4/2021 5645 DALE A SHOEMAKER REVOCABLE TRUST MONROE 6005438A 521 6/19/2021 0908 DENHART FRANKLIN MONROE 3585590A 761 4/16/2021 5645 DETROIT BEACH PIZZERIA MONROE 0878529A 754 6/19/2021 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FRIENDS OF THE FAMILY HOME HEALTHCARE MONROE 4976428A 14,690 4/19/2021 8835 0.82 MONROE LLC J CRUZ CONSTRUCTION LLC MONROE 6189644A 750 5/28/2021 5551 KMK CONSTRUCTION MONROE 4556518A 750 4/8/2021 5645 LAKE ERIE SECURITY & INVESTIGATIONS INC MONROE 1420097A 10,012 6/28/2021 7720 0.85 MAGNUM FORCE MONROE 3179338A 724 5/1/2021 8017 0.95 MCINTYRE SUSAN MONROE 1283090A 1,056 6/22/2021 0908 0.95 METRO LANDSCAPE MONROE LLC MONROE 4019148A 911 6/23/2021 0042 MONROE ESCAPE ROOMS MONROE 5734398A 330 6/1/2021 8017 PHOENIX INDUSTRIAL SERVICES LTD MONROE 5410339A 52,377 6/7/2021 8010 0.68 POPES PIZZERIA LLC MONROE 5787076A 1,347 6/26/2021 9058 RIVERSIDE INVESTMENT COMPANY LLC MONROE 5725399A 569 6/17/2021 9015 LOHMAN ENTERPRISES LLC MONTAGUE 6172377A 750 5/1/2021 7213 MUND GREG MONTAGUE 1673980A 582 4/1/2021 0011 PEREZ TREE SERVICE LLC MONTAGUE 5136911A 3,397 6/6/2021 0106 0.95 WOLVERINE CABLE COMMUNICATIONS LLC MONTAGUE 3335615A 2,900 4/23/2021 7600 0.95 E T ENTERPRISE LLC MONTROSE 5401119A 750 5/10/2021 7208 0.95 RENEGADE TRANSPORT INC MONTROSE 3982696A 800 5/27/2021 7208 ROCK ENTERPRISES INC MONTROSE 2487225A 2,547 5/11/2021 6217 0.95 SIMPLY GREEN LAWN CARE MONTROSE 6206204A 523 6/26/2021 9102 ROLLER TIM MORENCI 5198259A 751 4/15/2021 5476 FAVREAU EXTERIOR SOLUTIONS LLC MORLEY 5573572A 757 6/4/2021 5538 LEWIS ERIC MORLEY 5377234A 750 4/10/2021 2702 TRUE MANS TREE SERVICE LLC MORLEY 5780896A 1,900 5/16/2021 0106 BUILDERS WHOLESALE FINISHES INC MORRICE 2369664B 841 6/17/2021 8017 0.95 AUTUMN WOODS II CONDOMINIUM ASSOCIATION MOUNT CLEMENS 3312178A 569 6/12/2021 9015 CHAMPION EMPLOYMENT INC MT CLEMENS 5654106A 4,445 6/26/2021 8820 0.95 CHRISTOPHER HOMES LLC MT CLEMENS 5985528A 413 4/11/2021 5606 CLEAN WATER ACTION MT CLEMENS 0908886A 2,749 5/1/2021 8742 1.05 DETROIT CUSTOM SERVICES INC MT CLEMENS 1261517A 1,885 4/4/2021 2881 0.95 FLY HIGH CONSULTING INC MT CLEMENS 5997453A 921 5/29/2021 5476 HIGHFIELD ENTERPRISES INC MT CLEMENS 0442780A 330 5/11/2021 9058 JOSEPH PEARSON HOME IMPROVEMENT MT CLEMENS 5609607A 750 5/2/2021 5437 MACOMB COUNTY BAR ASSOCIATION MT CLEMENS 1261398A 215 5/24/2021 8810 NW SERVICES LLC MT CLEMENS 3862640A 983 5/3/2021 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SELECT RECOVERY SERVICES INC MT CLEMENS 5255228A 6,191 4/1/2021 7720 0.87 ST CLAIR MARINE SALVAGE INC MT CLEMENS 5201250A 706 5/4/2021 6834 STAHLS TREE SERVICE LLC MT CLEMENS 2668785A 750 6/5/2021 0106 WILLS CONSTRUCTION INC MT CLEMENS 5246199A 1,121 4/22/2021 5437 0.95 EBS CONSTRUCTION MT MORRIS 3590933A 750 5/22/2021 6325 G AND JS HIGHRISE WINDOW CLEANING LLC MT MORRIS 5530369A 5,947 4/1/2021 9015 0.88 GENESEE COUNTY AGRICULTURAL SOCIETY MT MORRIS 1001680A 668 5/15/2021 9015 JS CONTRACTING MT MORRIS 5708567A 706 5/1/2021 5538 MICHIGAN CENTRAL SERVICES LLC MT MORRIS 3068749A 569 5/18/2021 9015 EL VAQUERO OF MT PLEASANT INC MT PLEASANT 3633420A 2,244 5/16/2021 9058 0.95 M DOUBLE K TRANSPORT LLC MT PLEASANT 5563216A 800 6/23/2021 8810 MID MICHIGAN FIELD TILE DRAIN CLEANING MT PLEASANT 5705436A 750 6/21/2021 5183 NISCO INC MT PLEASANT 0268372A 4,466 6/28/2021 9058 1.26 27 % RUSSELL RANDY MT PLEASANT 0162876A 750 4/1/2021 8279 ADAIR SCOTT MUNISING 5201870A 750 4/10/2021 2702 GRAND ISLAND FERRY SERVICE INC MUNISING 5726417A 955 6/23/2021 8017 LADY KILLERS PEST CONTROL LLC MUNISING 5713935A 568 5/9/2021 9015 RIPTIDE RIDE LLC MUNISING 4763858A 329 6/17/2021 8017 PJ S CAFE LLC MUNITH 3940055A 2,127 4/26/2021 7380 0.95 AMERICAN CHEMICAL SOLUTIONS LLC MUSKEGON 5982081A 40,726 4/26/2021 4557 0.82 BOWER JACK MUSKEGON 6202268A 825 6/19/2021 5645 BURRINGTON BUILDERS INC MUSKEGON 1911457A 750 4/8/2021 5645 0.95 CERBERUS SECURITY LLC MUSKEGON 5876125A 2,250 6/9/2021 7720 CHETS ELECTRIC INC MUSKEGON 0792845A 1,015 6/1/2021 5190 0.95 DEK CONSTRUCTION LLC MUSKEGON 2751712A 750 4/14/2021 5479 1.00 DEPUNG BLAIR MUSKEGON 5288533A 750 6/17/2021 5645 DYKSTRA DAVE MUSKEGON 4613147A 750 4/10/2021 5476 FRANK CREWS PAINTING & SANDBLASTING LLC MUSKEGON 4220749A 5,409 5/17/2021 5476 1.00 FREE SPIRIT CONSTRUCTION INC MUSKEGON 4627644A 10,966 5/15/2021 5645 0.87 HOME CARE ON THE LAKESHORE LLC MUSKEGON 5996961A 4,250 5/25/2021 8835 HOPE PROJECT INC MUSKEGON 5142113A 334 5/18/2021 8810 JON JOHNSON BUILDERS INC MUSKEGON 4200675A 751 5/7/2021 5190 JR MICHELLI CONSTRUCTION LLC MUSKEGON 4356136A 2,444 5/12/2021 5645 MCFARLAND AND SONS LLC MUSKEGON 0954748A 3,059 5/31/2021 0106 0.95 R R DANNY CONSTRUCTION LLC MUSKEGON 6205500A 4,650 6/24/2021 5645 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 100 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SAILOR SOCCER MUSKEGON 5848172A 1,714 4/1/2021 9015 0.95 SCHUITEMA MOVING LLC MUSKEGON 5297010A 8,117 6/18/2021 7214 0.95 SONIA GUIKEMA REMODELING MUSKEGON 6004016A 750 6/27/2021 5551 VANDENBOSCH LARRY MUSKEGON 1551531A 750 6/21/2021 5437 VEGA GERARDO MUSKEGON 6208363A 750 6/30/2021 5445 VILLAGE COVE ASSOC MUSKEGON 5876532A 494 6/12/2021 6836 WEST MICHIGAN INJURY LAWYERS PLC MUSKEGON 0811556A 1,072 4/28/2021 8820 WHITWAM CONSTRUCTION INC MUSKEGON 2923300A 750 6/15/2021 5645 0.95 WORKMAN TREE SERVICE MUSKEGON 4758676A 1,482 6/11/2021 0106 0.95 GOT THE LEAD OUT LLC MUSKEGON HEIGHTS 6067476A 750 6/1/2021 5183 MICHIGAN CUSTOM BUILDERS INC MUSSEY 2264765A 1,491 6/11/2021 6217 0.95 PROCIDA TOWING AND RECOVERY MUSSEY 5923549A 825 4/5/2021 7208 MPK OF MICHIGAN LLC NASHVILLE 5153069A 519 6/21/2021 2081 PROFESSIONAL BASEMENT SERVICES LLC NASHVILLE 5419522A 561 6/30/2021 5183 GARLYN ZOO WILDLIFE PARK INC NAUBINWAY 6006590A 970 6/21/2021 9015 LIVERMORE TIMBER NAUBINWAY 0843059A 750 6/1/2021 2702 PETERS SAND AND GRAVEL INC NAUBINWAY 2683792A 750 5/16/2021 7208 BEKKALA DONALD CONSTRUCTION NEGAUNEE 5700647A 698 4/8/2021 3365 DON LARSON & SONS TRUCKING NEGAUNEE 3777413A 801 4/2/2021 9402 KOSONEN CONSULTING INC NEGAUNEE 5270103A 313 5/14/2021 8601 PIERCE CURT NEGAUNEE 5864976A 750 6/13/2021 5551 SUPERIOR SPLICING LLC NEGAUNEE 5998662A 750 5/27/2021 6325 ABCS AND 123S HOME DAYCARE LLC NEW BALTIMORE 5985668A 481 4/16/2021 8869 BENZ AND BEEMER LLC NEW BALTIMORE 5555035A 1,267 5/3/2021 8395 0.95 CAVENDISH CONSTRUCTION NEW BALTIMORE 5708109A 750 4/25/2021 5551 EKSTROM CONTRACTING LLC NEW BALTIMORE 3915174A 800 4/9/2021 5645 FENCE CONNECTION NEW BALTIMORE 1926047A 750 5/30/2021 6400 FIRST CLASS XPRESS INC NEW BALTIMORE 3961095A 848 4/1/2021 8810 0.95 FRANKS QUALITY PAINTING MI LLC NEW BALTIMORE 5567300A 1,239 5/27/2021 5476 J AND D HOME REPAIR NEW BALTIMORE 5984238A 750 4/11/2021 5538 LIL SWEET BOUTIQUE LLC NEW BALTIMORE 5858429A 448 4/24/2021 8017 RGS EXTERIORS INC NEW BALTIMORE 4194004A 751 5/4/2021 8742 0.95 SYNERGISTIC INC NEW BALTIMORE 5572240A 572 6/6/2021 8601 TDL UNLIMITED INC NEW BALTIMORE 1971697A 751 4/6/2021 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge THREE HUNDRED 45 CARPENTRY & GENERAL NEW BALTIMORE 4936582A 1,197 5/30/2021 5445 0.95 CONTRACTING LLC B MCGUIRE TRUCKING LLC NEW BOSTON 5607760A 825 5/3/2021 7208 BREATHE EASY AIR DUCT CLEANING BY PRIME NEW BOSTON 3794512A 1,855 6/26/2021 5550 DESIGN LLC D AND T DELIVERY INC NEW BOSTON 2358778A 2,537 4/1/2021 7208 0.95 R AND D IMPROVEMENTS LLC NEW BOSTON 4477006A 800 6/4/2021 5645 DIAMOND PAINTING & DECORATING NEW BUFFALO 3244075A 750 5/22/2021 5476 PISCES LTD NEW ERA 2268159A 751 4/15/2021 6217 GENERAL TREE SERVICE & LANDSCAPING INC NEW HAVEN 5712777A 6,568 5/12/2021 0042 0.95 SALS HOME IMPROVEMENTS LLC NEW HAVEN 5264677A 800 4/24/2021 5403 TRIFECTA CONTRACTING INC NEW HAVEN 6183905A 825 5/15/2021 5645 A 1 MASONRY LLC NEW HUDSON 4114876A 801 6/26/2021 5022 BROWN BRANDON NEW HUDSON 5378893A 2,585 4/18/2021 5645 GEOSERV INC NEW HUDSON 3091368A 3,724 5/28/2021 6204 0.95 MIDWEST PROPERTY MAINTENANCE LLC NEW HUDSON 5393949A 750 5/13/2021 5645 0.95 WALTON VILLAGE PLAZA INC NEW HUDSON 5717493A 1,234 5/19/2021 9402 CREATIVE HANDS CHILDCARE LLC NEW LOTHROP 5697069A 433 4/3/2021 8869 ELITE PARTY RENTAL LLC NEW LOTHROP 4908473A 1,492 4/6/2021 5538 0.95 GROSS MOWER SALES LLC NEW LOTHROP 4074513A 706 5/16/2021 8387 RIMB LLC NEW PALTZ, NY 5994055A 230 5/10/2021 8810 MOERS SANDRA NEW YORK, NY 1315536A 1,925 5/25/2021 0913 VARSITY DAY CAMP LLC NEWARK, DE 1522540A 2,466 4/1/2021 9015 0.95 BEERMAN FIREWOOD AND LOGGING NEWAYGO 5158621A 750 6/26/2021 2702 GM CONTRACTING NEWAYGO 6205453A 739 6/24/2021 6217 H J AND W LLC NEWAYGO 5274290A 335 5/24/2021 8810 LADD CONSTRUCTION LLC NEWAYGO 5709776A 874 4/28/2021 5645 PRESLER JONNI NEWAYGO 6158412A 568 4/17/2021 9015 RIVER COUNTRY BUILDERS AND REMODELERS NEWAYGO 5872863A 750 6/4/2021 5645 LLC ROBS ELECTRICAL MAINTENANCE NEWAYGO 2291100A 470 6/27/2021 5190 TALCOTT CONSULTING INC NEWAYGO 5989280A 460 4/24/2021 8601 LAVACQUE ROOFING LLC NEWBERRY 6136907A 2,052 4/23/2021 5551 MICHAEL BLAKELY LOGGING LLC NEWBERRY 3911128A 750 4/15/2021 2702 NEWBERRY CAMPGROUND LLC NEWBERRY 2233592A 620 4/14/2021 9015 OLIVER LOGGING AND LUMBER LLC NEWBERRY 5211409A 750 5/30/2021 2702 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 102 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TAHQUAMENON BOAT SERVICE INC NEWBERRY 0265357A 4,458 6/15/2021 7382 1.28 13 % TROOP AUTO CRUSHING NEWBERRY 2264315A 750 5/4/2021 7216 WORLDWIDE COMMUNICATIONS CONSULTANTS NEWBURGH, IN 5742749A 826 5/25/2021 5102 INC A AND K CONSTRUCTION NEWPORT 1366599A 1,597 5/18/2021 5645 0.95 AUTO AND EQUIPMENT SPECIALIST INC NEWPORT 4390474A 4,581 5/29/2021 7208 0.93 MICHIGAN FRAMING LLC NEWPORT 5876869A 7,515 6/28/2021 5645 0.95 SWAN BOAT CLUB NEWPORT 1467514A 877 4/12/2021 9060 0.95 ADVERTISING USA INC NILES 4649095A 272 6/8/2021 8810 AJL TOTAL PROPERTY MAINTENANCE LLC NILES 5703999A 2,429 4/11/2021 9102 1.00 BLESSED HOME AFC SERVICES LLC NILES 4576950A 861 4/3/2021 9053 0.95 FAST ACT JUNK REMOVAL & DUMPSTER SERVICE NILES 5991285A 875 5/3/2021 5610 LLC HUCKINS CONSTRUCTION LLC NILES 5996457A 8,634 5/20/2021 5645 IRON SHOE DISTILLING LLC NILES 6005098A 4,091 6/18/2021 9058 PIZZA TRANSIT NILES 5982057A 5,206 4/4/2021 9058 0.95 R DETWEILER CONSTRUCTION LLC NILES 3332683A 800 6/11/2021 5645 RED ARROW FIRE EXTINGUISHER SERVICE LLC NILES 5570751A 367 6/9/2021 4828 SAYLORS PIZZA PORT INC NILES 0583642A 1,702 4/18/2021 9058 0.95 STAR TANK CORROSION CONTROL INC NILES 5875501A 4,417 6/9/2021 5476 0.95 STARK FARMS NILES 1996754A 2,752 5/1/2021 0128 0.95 KEN SHAW EXCAVATING NORTH ADAMS 6206212A 1,150 6/26/2021 6217 A SHIVER TREE SERVICE LLC NORTH BRANCH 4879740A 1,118 4/20/2021 0106 ALL PRIDE HOME INSPECTIONS LLC NORTH BRANCH 5865689A 825 6/26/2021 5551 BURLINGTON TOWNSHIP NORTH BRANCH 0006483A 1,015 5/24/2021 7904 0.95 BUTTERSCOTCH CASTLE LLC NORTH BRANCH 4743695A 570 4/27/2021 8869 CEDAR CREEK TAX SERVICE NORTH BRANCH 2664135A 216 5/10/2021 8810 J G PAINTING & REMODELING NORTH BRANCH 4695461A 750 6/19/2021 5476 MCINALLY PAINTING LLC NORTH BRANCH 1658913A 750 5/13/2021 5476 MNR SEAMLESS NORTH BRANCH 4068050A 706 6/6/2021 5538 MYERS ELECTRIC LLC NORTH BRANCH 6199658A 1,010 6/15/2021 5190 SCOT WARDROP CONSTRUCTION NORTH BRANCH 5859000A 750 4/25/2021 5437 ASHTON MARINE LLC NORTH MUSKEGON 5987628A 246 5/1/2021 8810 NORTH PORT VILLAGES CONDOMINIUM NORTH MUSKEGON 5984947A 239 4/17/2021 8810 ASSOCIATION CAMELOT STUDIOS NORTH STREET 2273608A 346 6/19/2021 4360 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 103 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TRI COUNTY MARINE LLC NORTHPOINT 4631560A 494 5/18/2021 6836 HALLSTEDT HOMESTEAD LLC NORTHPORT 6003389A 554 6/12/2021 0130 AAA LEAD TESTING LLC NORTHVILLE 2655233A 340 6/26/2021 8720 ANDREW DAILY REAL ESTATE INC NORTHVILLE 5567556A 288 4/14/2021 8742 CROSS XAMINE INVESTIGATIONS INC NORTHVILLE 5702674A 6,592 4/13/2021 7720 0.95 DOABA TRUCKING LLC NORTHVILLE 5974232A 800 4/28/2021 7208 EQUIPMENTVILLE USA LLC NORTHVILLE 5349257A 636 5/21/2021 8107 ERIC GUIDOBONO BUILDING COMPANY LLC NORTHVILLE 3937879A 2,043 6/15/2021 5606 0.95 FIVE H FARMS INC NORTHVILLE 6149995A 2,895 4/9/2021 0128 G AND G PLUMBING INC NORTHVILLE 2918900A 561 5/5/2021 5183 GREEN KNIGHT LLC NORTHVILLE 6196187A 709 6/9/2021 0042 IN THE MITTEN PRODUCTION NORTHVILLE 5501024A 773 5/16/2021 9154 INCH MEMORIALS INC NORTHVILLE 0298565A 216 4/23/2021 8810 INFORMATION WORKS INC NORTHVILLE 2240327A 583 5/15/2021 8742 JON J KIPKE II INC NORTHVILLE 2698030A 674 6/14/2021 5550 KASPER AND SONS INC NORTHVILLE 3361900A 750 5/6/2021 5645 KOCIAN EXCAVATING LLC NORTHVILLE 0137650A 1,667 6/24/2021 6217 0.95 LAVIGNE AND ASSOCIATES INC NORTHVILLE 2502658A 296 6/23/2021 8742 LUCACIO ENTERPRISE INC NORTHVILLE 5973970A 750 6/30/2021 5348 REVISIONED LLC NORTHVILLE 5856795A 750 4/20/2021 5476 S TILE & MARBLE INC NORTHVILLE 6186807A 750 5/21/2021 5348 SCHNUG TYLER NORTHVILLE 5993300A 530 5/8/2021 0913 THOMSONS CHOO CHOO CAR WASH LLC NORTHVILLE 6198767A 619 6/12/2021 9015 TOP QUALITY WINDOW LLC NORTHVILLE 3576949A 750 4/22/2021 5645 TROPICAL POOLS INC NORTHVILLE 0040800A 750 4/9/2021 5223 VILLA CONSTRUCTION INC NORTHVILLE 1243535A 750 5/23/2021 5645 WADOWSKI KIMBERLY NORTHVILLE 4131096A 530 5/14/2021 0913 ALPHA GROUP INC NORTON, MA 4821475A 270 6/23/2021 4511 CONRAD VALERIE NORTON SHORES 4705211A 530 6/13/2021 0913 LUCKY DOG LANDING LLC NORTON SHORES 3702871B 1,873 4/8/2021 6836 0.99 GERALD DUGREE JR LOGGING LLC NORWAY 0897868A 750 6/6/2021 2709 TRUE NORTH OUTPOST INC NORWAY 5268176A 1,263 4/22/2021 9015 0.95 AQUATIC MANAGEMENT SERVICE INC NOVI 2112876A 263 4/11/2021 4511 CHEYENNE EXPRESS INC NOVI 3675467A 1,719 5/18/2021 8395 0.95 DRL BUILDING CO LLC NOVI 5455375A 750 6/6/2021 5645 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 104 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FRIED PAUL NOVI 3003655A 357 4/28/2021 0908 G AND J HEATING & COOLING INC NOVI 0484105A 724 6/7/2021 5550 GLEN OAKS CONSUMER HOUSING COOPERATIVE NOVI 1787918A 619 4/30/2021 9015 HURON HILLS OWNERS ASSOCIATION NOVI 2697432A 709 6/13/2021 0042 HYDRO CHEM LABORATORIES INC NOVI 1162756A 1,000 5/9/2021 4828 0.95 KEATING CONTRACTING LLC NOVI 4753607A 3,841 5/25/2021 5606 0.93 LEDBETTER OUTDOOR SERVICES NOVI 4277546A 1,062 4/30/2021 9102 0.95 MARY JANE M ELLIOTT PC NOVI 1112660A 2,560 6/16/2021 8820 0.95 MC CARRIER INC NOVI 3766705A 838 4/8/2021 8810 0.92 NEPTUNE PROPERTY MANAGEMENT LLC NOVI 5005876A 568 6/20/2021 9015 OKEEFE TATIGIAN INVESTIGATIONS AND ASSOC NOVI 5419972A 3,141 6/4/2021 7720 0.95 INC PERKINS PAINTING LLC NOVI 4892607A 827 5/4/2021 5476 PINE MEADOW RANCH INC NOVI 1272470A 2,658 4/22/2021 8279 0.95 PLACER RIDGE SERVICES INC NOVI 0290440A 618 4/10/2021 9015 PREMIERE TREE REMOVAL INC NOVI 4869532A 10,727 5/12/2021 0106 0.88 RAMOS MAYNOR NOVI 4338774A 1,245 6/24/2021 5645 0.95 RAVENSFIELD CONDOMINIUM ASSOCIATION NOVI 4905954A 568 5/21/2021 9015 SIERRA STONE INC NOVI 2584336A 801 6/16/2021 8810 SMITH WOOD FLOORS INC NOVI 0672335A 800 5/28/2021 5437 0.95 STONEBRIDGE HOMEOWNERS ASSOCIATION NOVI 5219086A 568 4/15/2021 9015 SUTTLE SERVICES LLC NOVI 5348447A 313 5/20/2021 8601 TOUSSAINT MEADOWS CONDOMINIUM NOVI 5695643A 568 4/1/2021 9015 ASSOCIATION USA CONSTRUCTION AND PAINTING LLC NOVI 5988276A 750 5/19/2021 5476 V I P TIRE & AUTOMOTIVE INC NOVI 1838172A 215 6/12/2021 8810 VRP MANAGEMENT INC NOVI 5055164A 750 6/13/2021 5348 0.95 ZAP ZONE M LTD NOVI 5985331A 505 4/13/2021 8810 ZETA CONSTRUCTION LLC NOVI 3472973A 750 6/12/2021 5551 BATO INC OAK PARK 4343662A 412 5/11/2021 9058 C AND J GC LLC OAK PARK 2846381A 1,137 6/26/2021 5645 CRITES ADULT FOSTER CARE INC OAK PARK 2048078A 4,836 4/22/2021 9053 0.88 ML SPECIALTY CARE LLC OAK PARK 5858992A 777 4/26/2021 8835 PEYTONS PAINTING & DRYWALL OAK PARK 1564960A 750 4/25/2021 5476 PRECIOUS AFC HOME INC OAK PARK 4524179A 1,755 6/26/2021 9053 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge A AND ALL WASTE LLC OAKLAND 3698483A 568 6/24/2021 9015 BROTZKE ELECTRIC CO OAKLAND 5136903A 1,221 5/9/2021 5190 0.95 CHERRY CREEK FARM LLC OAKLAND 3355632A 644 5/10/2021 9061 COLLISTER COMPANY LLC OAKLAND 1842943A 825 5/29/2021 5551 0.95 DIVINE SAFETY LLC OAKLAND TWP 6196810A 313 6/10/2021 8601 HIDDEN VALLEY BUILDING CO LLC OAKLAND TWP 5117909A 750 4/5/2021 5645 MEHI INC OAKLAND TWP 4456319A 1,043 4/14/2021 5215 FASTTRACK STAFFING INC OCALA, FL 5005086A 81,688 4/1/2021 9501 1.25 MELEEO LLC ODESSA, FL 6156118A 2,495 4/15/2021 8833 ADVANCE II LLC OKEMOS 4168143A 145,061 6/7/2021 7720 1.13 BETTER HEALTH THERAPY CENTER LLC OKEMOS 6180566A 1,775 5/12/2021 8832 COHOON BUILDERS OKEMOS 4818652A 1,350 5/3/2021 5645 LJ TRUCKING OF MASON MICHIGAN LLC OKEMOS 5956900A 800 5/5/2021 7208 ROCK SOLID MANAGEMENT LLC OKEMOS 5564255A 825 5/19/2021 5645 ROOF TECHNOLOGIES INC OKEMOS 4040333A 825 4/20/2021 5551 0.93 ROWE STABLES LLC OKEMOS 2054124A 856 4/28/2021 8279 SAF CADIEUX LLC OLD WESTBURY, NY 5862744A 711 5/16/2021 9015 ODELL BROTHERS CONSTRUCTION LLC OLIVET 5532612A 1,819 5/11/2021 5190 0.95 NORTH FERRY CONDOMINIUM ASSOCIATION OLYMPIA, WA 5542979A 620 4/7/2021 8810 KATHY SCHAEFFER CONSULTING LLC OMENA 5852692A 215 4/17/2021 8810 OMENA TRAVERSE YACHT CLUB INC OMENA 2370743A 799 6/17/2021 9015 MOREHOUSE IMPROVEMENTS LLC ONANDAGA 5695406A 750 4/25/2021 5437 BRASSEUR FOREST PRODUCTS ONAWAY 0748560A 750 5/1/2021 2702 HYDES INC ONAWAY 0903574A 6,216 4/9/2021 6217 0.96 MCLEAN ELECTRIC INC ONAWAY 5865840A 2,825 5/18/2021 5190 RELIANCE APPRAISAL LLC ONAWAY 6180620A 416 5/15/2021 8810 BROWNS POPLAR RIDGE ORCHARDS ONEKAMA 5273838A 753 5/23/2021 0130 PORTAGE LAKE MOTEL ONEKAMA 3180557A 374 6/15/2021 9052 ALL SEASONS CONSTRUCTION LLC ONONDAGA 5567254A 801 5/31/2021 5403 STUMP BUSTERS TREE SERVICE LLC ONONDAGA 6182534A 4,300 6/2/2021 0106 KELLEY DRYWALL INC ONSTEAD 2704757A 8,552 5/20/2021 5445 0.90 IRISH HILLS TRUCKING CO ONSTED 5409586A 3,188 6/25/2021 7208 0.95 AHMED IBRAHIM ONTONAGON 5797985A 605 6/18/2021 0913 AREVALO GUSTAVO ONTONAGON 6198708A 605 6/13/2021 0913 B AND D LOGGING LLC ONTONAGON 6003001A 750 6/12/2021 2709 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 106 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BIOPHILIA ONTONAGON 5863929A 250 5/14/2021 8601 BLOODSWORTH ANNIE ONTONAGON 5865166A 605 5/16/2021 0913 BURKE KEVIN ONTONAGON 5736102A 605 6/18/2021 0913 CHAPPELL SHEMIKA ONTONAGON 5797969A 608 6/18/2021 0913 CLOUD BRANDON ONTONAGON 5489695A 605 5/31/2021 0913 CURENTON PAMELA ONTONAGON 5736072A 605 5/29/2021 0913 DOMITROVICH MARY J ONTONAGON 5672520A 1,508 6/23/2021 9053 DREW ANTONIO ONTONAGON 5936055A 605 6/26/2021 0913 GARRISON PEGGIE ONTONAGON 5502446A 605 5/19/2021 0913 HINES SANDRA ONTONAGON 5999863A 605 5/29/2021 0913 HOGANS DEBORAH ONTONAGON 6189628A 605 5/28/2021 0913 JOHNSON GEVIN ONTONAGON 5489750A 605 6/18/2021 0913 JORDAN GREGORY ONTONAGON 6198775A 605 6/13/2021 0913 MAZYCK RICHARD III ONTONAGON 6189679A 605 5/28/2021 0913 MCCARTHA WALTER JR ONTONAGON 6206220A 935 6/25/2021 0913 MCNABB ROXIE ONTONAGON 5698456A 605 5/31/2021 0913 MEEKS WILLIE ONTONAGON 5787807A 605 6/18/2021 0913 PATTERSON RICHARD ONTONAGON 6173209A 605 5/2/2021 0913 PIERCE BEVERLY ONTONAGON 6000053A 605 5/29/2021 0913 PITTS TANISHA ONTONAGON 5999898A 605 5/29/2021 0913 PRICE DONNA ONTONAGON 6172466A 605 5/2/2021 0913 PRINCETTA MCCARY ONTONAGON 6000134A 605 5/29/2021 0913 ROBERTSON ORA ONTONAGON 5867703A 605 5/24/2021 0913 RUTLAND KASIB ONTONAGON 5999502A 605 5/25/2021 0913 SUHAYDA RODERICK ONTONAGON 5780128A 605 6/18/2021 0913 THOMAS LUCIAN ONTONAGON 6147763A 605 4/4/2021 0913 TIMBER LINE LAND SURVEYING ONTONAGON 2164167A 273 6/6/2021 8601 TURNER CECIL ONTONAGON 6000126A 605 5/29/2021 0913 BOJI RONNIE ORCHARD LAKE 6200419A 509 6/16/2021 0908 KIRILUK DEAN ORCHARD LAKE 5983339A 530 4/9/2021 0913 PEARL POWER WASHING INC ORCHARD LAKE 5706033A 1,634 4/19/2021 9015 0.95 STUMPF CONSTRUCTION COMPANY ORCHARD LAKE 0569631A 1,286 4/21/2021 5645 0.95 CHIEF PONTIAC EXPRESS LLC ORION 6168914A 750 5/7/2021 7208 KEY INTERIORS INC ORION 3906426A 3,135 5/31/2021 9521 0.95 SOS MECHANICAL & SON INC ORION 1806793A 1,849 4/2/2021 5550 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 107 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GEMINI GRADING & EXCAVATING LLC ORION TWP 3694801A 881 6/26/2021 6217 ALL ABOUT COMFORT LLC ORTONVILLE 5592437A 2,137 4/4/2021 8835 0.95 ALWAYS SHARP LLC ORTONVILLE 4745302A 881 4/10/2021 9102 0.95 ANCELL AND SONS LLC ORTONVILLE 2485982A 800 5/2/2021 7208 CUSTOM LAWN CARE SERVICES INC ORTONVILLE 4744357A 709 4/29/2021 0042 ELITE ROOFING AND MAINTENANCE LLC ORTONVILLE 6000541A 990 5/31/2021 5645 HUBBS SERVICES LLC ORTONVILLE 5575915A 803 6/17/2021 5476 0.95 MARTIN GLEASON INC ORTONVILLE 1110535A 750 5/26/2021 5645 METROPOLITAN TREE INC ORTONVILLE 0511684A 1,487 4/1/2021 0042 1.00 MICHIGAN OUTDOOR SERVICES LLC ORTONVILLE 3504069A 2,217 5/4/2021 9102 0.95 MORGAN RESTORATION & TRIM INC ORTONVILLE 4636643A 750 6/9/2021 5022 PRIME TIME SERVICES ORTONVILLE 5450853A 750 5/24/2021 5476 RESTORATION ENVIRONMENTAL SAFETY & ORTONVILLE 4926978A 2,909 6/16/2021 9521 0.95 CONSULTING SOLUTIONS LLC SULLIVANS NUISANCE ANIMAL CONTROL LLC ORTONVILLE 4661532A 435 6/12/2021 8831 SUMTHING GREEN METAL RECYCLING INC ORTONVILLE 4981944A 1,487 5/2/2021 8265 0.95 T HILL CONSTRUCTION LLC ORTONVILLE 1424025A 3,060 4/17/2021 5645 0.95 THERMALPRO MECHANICAL INSULATION LLC ORTONVILLE 6189768A 751 5/28/2021 5479 THOMPSON PROPERTY TAX CONSULTING LLC ORTONVILLE 5700132A 340 5/19/2021 8720 TRIM WORKS FINISHED CARPENTRY INC ORTONVILLE 3661342A 825 5/6/2021 5437 0.95 BC WOODWORKS LLC OSCODA 5296374A 825 5/15/2021 5645 HEARNS PLUMBING AND HEATING LLC OSCODA 6194419A 1,491 6/8/2021 5550 SPALLINGER CONSTRUCTION LLC OSCODA 5320852A 800 4/10/2021 5645 0.95 JEFFERSON TOWNSHIP HILLSDALE COUNTY OSSEO 0696641A 4,636 4/1/2021 8264 0.95 JOHN BOYS INC OSSINEKE 4475127A 1,709 5/14/2021 9058 1.00 INNOVATIVE MODULAR SOLUTIONS INC OSWEGO, IL 3932184A 432 4/15/2021 8810 ADVANCE AND LTV FUNDING INC OTSEGO 6206905A 230 6/26/2021 8742 ARD SERVICES LLC OTSEGO 0613495A 975 4/1/2021 9015 0.95 CAPTAIN BOOM FIREWORKS PRODUCTIONS LLC OTSEGO 4228596A 618 6/6/2021 9015 BENNETTS LAWN CARE AND LANDSCAPE LLC OTTAWA LAKE 5194113A 709 6/11/2021 0042 LUMBERJACKS FIREWOOD OTTAWA LAKE 2803569A 2,642 4/27/2021 8232 0.95 BEEBE PUMP AND TANK INC OTTER LAKE 5541689A 4,192 4/5/2021 5183 0.95 DO RIGHT AUTO DETAILING OTTER LAKE 6206433A 590 6/25/2021 8387 SANDHILL DAIRY LLC OVID 4935055A 610 6/22/2021 0129 0.85 B AND C JEFF BARTZ & COMPANY OWOSSO 4345258A 1,807 5/12/2021 6229 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BEBIAK CONSTRUCTION OWOSSO 4627571A 750 5/16/2021 5645 CORDS LAWN COMPANY OWOSSO 0884316A 794 4/17/2021 9102 KELLY BROS INC OWOSSO 2857731A 750 4/16/2021 5645 LSG TRUCKING LLC OWOSSO 0125180A 733 4/28/2021 9102 0.95 SHIAWASSEE CONSERVATION ASSOCIATION OWOSSO 3131157A 602 5/15/2021 9058 T J SMITH SAND & GRAVEL INC OWOSSO 1982940A 731 5/28/2021 4000 TREBOR INDUSTRIES LLC OWOSSO 4871596A 3,940 5/8/2021 3632 0.91 VFW OWOSSO MEMORIAL POST 9455 OWOSSO 1506200A 379 5/28/2021 9058 ZIMMERMAN KIMBERLY LAINE IN CARE OF DAVID OWOSSO 6000380A 935 5/29/2021 0913 & LISA HOOD ACCU DRY INC OXFORD 4597508A 643 5/15/2021 9015 AVERYS TREE SERVICE LLC OXFORD 5992982A 10,794 5/13/2021 0106 BALLOR JOSEPH R OXFORD 6182518A 750 5/14/2021 5221 BENNETT REMODELING INC OXFORD 3114589A 750 5/20/2021 5645 BRADLEY DUANE LLC OXFORD 5434637A 750 6/18/2021 5476 0.95 BROGANS LAWN AND HOUSE CARE LLC OXFORD 6205445A 710 6/24/2021 0042 EXTRA RESOURCES STAFFING OF MICHIGAN LLC OXFORD 2191423A 8,470 6/17/2021 4484 1.24 GRIMALDI ELECTRIC LLC OXFORD 4714440A 471 5/12/2021 5190 HARDSCAPES LANDSCAPE CONSTRUCTION INC OXFORD 5318300A 1,694 5/3/2021 0042 0.95 HIGH QUALITY SIDING & TRIM LLC OXFORD 6004431A 800 6/14/2021 5645 J AND B DOORS INC OXFORD 2209519A 2,613 5/7/2021 3724 0.95 LESSUISE HOME IMPROVEMENT OXFORD 4887980A 751 6/21/2021 5437 0.95 MCCORMACK MOTORSPORTS INC OXFORD 0971766A 839 4/1/2021 8742 MK KEENE AND ASSOCIATES LLC OXFORD 5925274A 750 6/8/2021 5437 NORTH SHORE CONSTRUCTION INC OXFORD 5603340A 750 5/26/2021 5645 OLE ROSEBROOK BUILDING CO LLC OXFORD 4202155A 750 4/6/2021 5190 PATRIOT FIRE EXTINGUISHERS LLC OXFORD 6199135A 477 6/14/2021 4828 POWER VAC CARPET AND AIR DUCT CLEANING OXFORD 5820898A 1,390 6/3/2021 5550 INC RPM CONSTRUCTION INC OXFORD 2457482A 825 6/1/2021 5403 SWEETLAND TRANSPORT INC OXFORD 5083133A 844 4/5/2021 8810 GROMEX MASONRY INC PALATINE, IL 6186750A 751 5/26/2021 5022 ADVENTURE MARINE AND OUTDOOR SPORTS PARADISE 6002072A 494 6/7/2021 6836 INC DM TRUCKING LLC PARIS 5407052A 4,051 5/22/2021 7208 0.95 JOE SATTLER CUSTOM BUILDER LLC PARMA 2715295A 750 6/6/2021 5645 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 109 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge C AND W BUILDERS LLC PAW PAW 5844991A 8,439 6/26/2021 5645 0.95 GLENDALE FOREST PRODUCTS INC PAW PAW 2960176A 2,455 5/5/2021 2731 0.95 JBS MARINE CONTRACTING LLC PAW PAW 6182542A 2,619 5/14/2021 6217 PEAT RANDALL PAW PAW 1607138A 1,322 5/17/2021 0011 0.95 SLH TRUCKING LLC PAW PAW 5855306A 800 4/19/2021 7208 STRENGTH BEYOND LLC PAW PAW 5984068A 970 4/11/2021 9063 BOWERS TRUCKING LLC PECK 5441897A 3,852 4/30/2021 7208 VILLAGE OF PECK PECK 0122408A 6,411 4/7/2021 5509 0.91 UNOBE LLC PELKIE 3052478A 4,958 5/23/2021 7208 BLUE BAY TILE AND CONSTRUCTION LLC PELLSTON 6187650A 800 5/22/2021 5348 BURNS ENTERPRISES INC PELLSTON 0925985A 3,242 6/28/2021 7212 0.95 POLE BARNS PLUS LLC PELLSTON 2706911A 2,564 5/17/2021 5645 0.95 ESAD RECREATION LLC PENTWATER 5864755A 619 5/15/2021 9015 LUNDBERG IRRIGATION LLC PENTWATER 0985619A 611 5/22/2021 5183 LIGHTHOUSE COMMERCIAL SERVICES INC PEORIA, AZ 5862000A 750 5/3/2021 5645 MCNUTT AND SONS TRUCKING PERKINS 4903200A 4,947 4/18/2021 7208 PRICES CONSTRUCTION LLC PERRINTON 5566630A 1,388 6/7/2021 5221 0.95 WELCH CODY PERRONVILLE 6206883A 750 6/26/2021 2702 WELCH JASON PERRONVILLE 3536521A 750 4/3/2021 2709 HANNAH CONSTRUCTION LLC PERRY 1078577A 750 4/24/2021 5645 MAPLE FRONT FARM LLC PERRY 5984130A 690 4/11/2021 0128 P AND M TRUCKING LLC PERRY 4868480A 800 5/10/2021 7208 STURM CONSTRUCTION LLC PERRY 4014006A 800 4/12/2021 5403 T AND L TRUCKING OF PERRY INC PERRY 5052963A 750 5/8/2021 7208 0.95 TIM A SMITH TRUCKING LLC PERRY 4897110A 3,852 4/18/2021 7208 0.95 YORK ANDREW PERRY 6148794A 750 4/6/2021 5645 OHIOANS HOME HEALTH CARE INC PERRYSBURG, OH 5126568A 17,319 4/12/2021 8835 0.73 HYDE CLINT SR PETERSBURG 3832384A 2,630 6/9/2021 5645 0.95 LUCAS AUTO PARTS & TOWING LLC PETERSBURG 3553736A 531 6/14/2021 8395 A CONSTRUCTION PETOSKEY 3264629A 800 6/1/2021 5645 BERRYER DESIGN & MANUFACTURING LLC PETOSKEY 5853761A 411 4/12/2021 8601 BILLS FARM MARKET PETOSKEY 1722735A 7,652 6/7/2021 0011 0.85 BRAD DENOYER RESIDENTIAL BUILDER LLC PETOSKEY 3735745A 750 5/1/2021 8810 BRUIN SLOT BUILDERS LLC PETOSKEY 5910277A 1,851 6/18/2021 5645 CENTER SALON PETOSKEY LLC PETOSKEY 1556789A 297 6/1/2021 9586 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 110 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EDGEWATER ROOFING COMPANY INC PETOSKEY 2863880A 18,145 6/2/2021 5551 0.91 J AND R BUILDING MOVERS INC PETOSKEY 1482858A 3,788 4/18/2021 9530 0.93 JIM GRAYS COTTAGE SERVICES LLC PETOSKEY 5575028A 2,059 6/15/2021 9402 0.95 JOY VALLEY COUNSELING & CONSULTATION PC PETOSKEY 3060420A 232 5/16/2021 8810 MBROOFING PLLC PETOSKEY 5749077A 5,478 5/7/2021 5551 0.95 MEADOWS OF PETOSKEY ASSOCIATION PETOSKEY 5705720A 618 4/18/2021 9015 OLD FASHIONED SERVICE PETOSKEY 3187195A 750 4/25/2021 5476 PAINTING PLUS DECORATING INC PETOSKEY 4030591A 825 4/9/2021 5476 0.95 PETOSKEY ELECTRIC LLC PETOSKEY 5866758A 2,249 6/4/2021 5190 PETOSKEY LAKEVIEW CONDOMINIUM PETOSKEY 6166091A 568 4/28/2021 9015 ASSOCIATION INC SKOP POWDER COATING INC PETOSKEY 6206557A 899 6/25/2021 9015 TRIPPS PAINTING INC PETOSKEY 4382862A 750 5/20/2021 5476 TRUE DETAIL LLC PETOSKEY 6001971A 1,136 6/17/2021 8387 WILDWOOD BUILDERS INC PETOSKEY 3719596A 880 4/20/2021 5476 0.95 MAPLE RIVER CAMPGROUND LLC PEWAMO 4219880A 568 5/16/2021 9015 WEST TECH LLC PEWAMO 3377083A 470 4/3/2021 5190 INTEGRITY CONTENTS SERVICES LLC PHOENIX, AZ 6193307A 2,568 6/5/2021 2585 ABOVE AND BEYOND TREE SERVICE LLC PICKFORD 5991307A 3,668 5/1/2021 0106 HARRISON ELECTRIC PICKFORD 1894595A 625 6/26/2021 5190 MICHIGAN WHOLESALE WALLEYE LLC PICKFORD 5996538A 2,676 5/17/2021 6217 QUALITY LAWN CARE PICKFORD 4019130A 523 4/2/2021 9102 0.95 SIMMONS AND SONS SERVICE LLC PIGEON 5948649A 1,445 6/2/2021 8395 T AND J TOWING LLC PIGEON 5948649B 1,260 6/2/2021 7208 BIG PALM LLC PINCKNEY 5982251A 1,257 4/4/2021 5476 FLATWORKS CONCRETE COMPANY PINCKNEY 2871025A 750 5/28/2021 5221 JEFFS OUTDOOR AND TREE SERVICES LLC PINCKNEY 0629529A 1,077 5/3/2021 9102 0.95 PORTER FAMILY HOLDINGS OF MICHIGAN INC PINCKNEY 5981395A 11,598 4/2/2021 0106 0.95 PURDYS SERVICES PINCKNEY 5042739A 750 5/28/2021 5645 RWGEIST CONSULTING LLC PINCKNEY 6197787A 510 6/27/2021 8601 SHORELINE CONCEPTS LLC PINCKNEY 5563267A 4,890 5/17/2021 5437 0.95 TDK CONSTRUCTION PINCKNEY 4760930A 750 6/19/2021 5437 TOTAL BUILDING IMPROVEMENTS LLC PINCKNEY 5869617A 800 5/30/2021 5437 BERTHIAUME SLAUGHTERHOUSE INC PINCONNING 0163236A 4,217 4/11/2021 2081 0.95 TIPSY COWBOY FOOD AND SPIRITS LLC PINCONNING 5717558A 905 5/22/2021 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge A AND D SEALCOATING & STRIPING LLC PINKNEY 6192190A 750 6/2/2021 5221 LONE STAR MANAGEMENT LLC PITTSBURG, KS 4983505A 1,164 5/9/2021 8017 0.95 AMCON LLC PLAINWELL 4151933A 750 4/30/2021 5437 0.95 BLOOMBERG ENTERPRISES PLAINWELL 3558207A 800 4/12/2021 7208 CHERUB ENTERPRISES LLC PLAINWELL 5714613A 15,353 5/15/2021 8835 0.91 COX WEST MICHIGAN WATERPROOFING LLC PLAINWELL 6193439A 750 6/13/2021 5215 DIVERSIFIED FOGGING SOLUTIONS LLC PLAINWELL 6186173A 569 5/20/2021 9015 MIKE BLOOMBERG TKG PLAINWELL 6167381A 800 4/28/2021 7208 DIAMOND ASPHALT PAVING LLC PLEASANT LAKE 5866324A 2,674 5/22/2021 5221 HENSONS SERVICES LLC PLEASANT LAKE 5178428A 1,156 5/6/2021 9521 A AND M HOME CARE INC PLYMOUTH 6147194A 4,540 4/3/2021 8835 ANGELS OF LIVONIA 24 7 INC PLYMOUTH 1521101A 1,390 4/1/2021 8835 0.95 AXIOM CONSULTING GROUP LLC PLYMOUTH 6187072A 288 5/21/2021 8601 BARSOTTI JOHN PLYMOUTH 6181635A 605 5/18/2021 0913 BAY MARINA LLC PLYMOUTH 5995280A 568 5/15/2021 9015 BLIGHT AUTHORITY PLYMOUTH 5153166A 315 6/12/2021 8810 CENTRAL PARK COMMUNITY ASSOCIATION PLYMOUTH 4762991A 618 5/24/2021 9015 CHARLES A HANLIN CARPENTER LLC PLYMOUTH 5570239A 750 6/7/2021 5183 COMPASS MANAGEMENT PROFESSIONALS INC PLYMOUTH 5999677A 508 5/25/2021 8742 CULOTTA JOHN PLYMOUTH 6005101A 605 6/18/2021 0913 DETROIT HOT ROD SPORT & CUSTOM LLC PLYMOUTH 5721008A 4,383 6/1/2021 8393 0.95 DGS INC PLYMOUTH 0720852A 750 5/30/2021 5645 DIVISION 8 SOLUTIONS INC PLYMOUTH 5263417A 808 4/19/2021 8742 0.95 ENCORE FACILITIES GROUP LLC PLYMOUTH 3040704A 1,034 6/10/2021 9015 EVERGREEN DEVELOPMENT NV LLC PLYMOUTH 4106016A 1,377 5/1/2021 5606 0.95 G C M II INC PLYMOUTH 2112353A 799 5/24/2021 9058 GINNARD QUALITY CONSTRUCTION INC PLYMOUTH 3604896A 751 4/15/2021 5437 0.95 HIS WAY SERVICES LLC PLYMOUTH 6003605A 1,983 6/8/2021 9015 INTEGRITY CONTRACTING SERVICES LLC PLYMOUTH 6201695A 1,300 6/18/2021 5645 INTERIOR DEVELOPMENT GROUP INC PLYMOUTH 4341244A 825 4/28/2021 5022 JOYCE AND DON MASSEY FAMILY FOUNDATION PLYMOUTH 5257611A 366 4/4/2021 8810 KELLY EXPRESS AND LOGISTICS LLC PLYMOUTH 5164931A 2,636 5/21/2021 7208 0.95 MERCY USA FOR AID AND DEVELOPMENT INC PLYMOUTH 1932632A 970 5/15/2021 8810 0.95 MJ KITCHEN & BATH INC PLYMOUTH 5137470A 15,680 5/12/2021 5437 0.94 MLS INC OF PLYMOUTH PLYMOUTH 1411373A 751 4/1/2021 0106 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 112 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MR MIKES LAWN AND SNOW SERVICE INC PLYMOUTH 3790789A 709 4/11/2021 0042 NINE LIVES HEALTH & MIND LLC PLYMOUTH 6172431A 727 5/2/2021 8017 PAINTING BY DESIGN LLC PLYMOUTH 3683460A 3,442 5/26/2021 5476 0.94 PLYMOUTH ROCK AND SUPPLY INC PLYMOUTH 0549002A 657 4/30/2021 8010 PRNONDEMAND LLC PLYMOUTH 6153577A 545 4/11/2021 8835 PROPERTY LOSS EXPERTS LLC PLYMOUTH 5767385A 800 5/21/2021 7214 0.93 R AND M REMEDIATION INC PLYMOUTH 5980917A 1,536 4/29/2021 9015 R O C EXPRESS INC PLYMOUTH 4805089A 752 4/24/2021 8810 REAL INDEPENDENT LIVING PROGRAM INC PLYMOUTH 5032440A 1,176 6/19/2021 8835 0.95 SOVEREIGN DIGITAL GROUP LLC PLYMOUTH 5393299A 1,052 4/3/2021 7610 0.95 SPRING MILL RECLAMATION LLC PLYMOUTH 5844819A 800 4/1/2021 7380 0.87 STEPHENS GERALD PLYMOUTH 5716853A 750 5/17/2021 0106 TRANSFORMATIONAL SERVICES LLC PLYMOUTH 5540062A 2,645 4/1/2021 8832 0.95 VERT VERDE LANDSCAPE ARCHITECTURE LLC PLYMOUTH 5131634A 784 4/27/2021 0042 AJM CONSTRUCTION PONTIAC 4674006A 750 5/11/2021 5645 ALCOHOLICS ANONYMOUS OF OAKLAND PONTIAC 0617695A 244 5/25/2021 8810 COUNTY ALTERNATIVE TRANSPORTATION SERVICES INC PONTIAC 3608360A 10,936 6/28/2021 7212 0.78 APJ REMODELING PONTIAC 5411807A 750 5/31/2021 5437 ARZABALA CEMENT INC PONTIAC 3181839A 4,364 4/26/2021 5221 0.95 ASD LATINOS UNLIMITED LLC PONTIAC 5737788A 3,338 5/12/2021 8835 0.95 B D CONSTRUCTION & CLEANUP PONTIAC 3724336A 8,395 5/31/2021 5022 0.88 CARREON MASONRY INC PONTIAC 6187501A 818 5/21/2021 5022 COBALT CUSTOM FLOOR COVERING LLC PONTIAC 5984521A 1,226 6/17/2021 9521 EM PRO DRYWALL FINISHERS PONTIAC 5212154A 750 4/20/2021 5445 0.95 EREBUS ENTERTAINMENT INC PONTIAC 2036371A 6,198 4/30/2021 9156 0.92 FIVE STAR MAINTENANCE GROUP LLC PONTIAC 5276225A 5,423 6/28/2021 5551 0.94 FLAGSTAR CONSTRUCTION INC PONTIAC 4388984A 1,128 6/2/2021 5022 GONZALEZ CONTRACT SERVICES INC PONTIAC 5996082A 52,612 5/15/2021 3628 JLR MASON CO PONTIAC 5757398A 1,579 6/18/2021 5022 0.95 LOPEZ AND SONS MASONRY LLC PONTIAC 5705398A 800 4/18/2021 5022 M 1 CONCOURSE LLC PONTIAC 5926173B 6,671 5/15/2021 9015 0.81 MT OLIVE BAPTIST CHURCH OF PONTIAC PONTIAC 0033529A 288 4/19/2021 8868 OAKLAND HOPE PONTIAC 5992141A 1,850 5/18/2021 8017 PONTIAC SAILING EDUCATION FOUNDATION PONTIAC 4877659A 624 6/20/2021 8868

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PONTIAC YACHT CLUB PONTIAC 1364278A 794 4/17/2021 9015 PRICE CONSTRUCTION SERVICES LLC PONTIAC 0482030A 2,751 6/2/2021 5437 0.95 RUBIOS CUSTOM PAINTING PONTIAC 1889346A 750 6/14/2021 5476 SILVER LAKE MASONRY PONTIAC 3534740A 2,004 6/13/2021 5022 0.95 SUPERIOR MASONRY LLC PONTIAC 5046734A 3,730 5/2/2021 5022 0.95 D AND T MANURE HAULING LLC PORT AUSTIN 4858034A 1,162 5/4/2021 0128 1.00 JNSD LLC PORT AUSTIN 6005411A 572 6/20/2021 9058 NEW METHOD CONST & REPAIR INC PORT AUSTIN 0746479A 750 4/18/2021 5437 PORT AUSTIN FIRE DEPARTMENT PORT AUSTIN 0735701A 1,156 6/13/2021 7704 0.95 PORT AUSTIN KAYAK & BIKE RENTAL LLC PORT AUSTIN 5878080A 1,798 6/16/2021 8017 PAWLITZ CONSTRUCTION PORT HOPE 0239372A 750 5/9/2021 5022 A 1 PRECISION PAINTING LLC PORT HURON 5257603A 2,271 4/22/2021 5476 0.95 BODDY CONSTRUCTION COMPANY INC MARTIN J PORT HURON 6152520A 742 4/17/2021 8810 0.92 CONCRETE INC AJV BRCC LLC PORT HURON 4019040A 5,370 5/16/2021 9060 0.95 BRIDGE STREET INN PROPERTIES LLC PORT HURON 5748593B 487 6/1/2021 9052 CAMERA READY CLEANING LLC PORT HURON 5833990A 568 5/7/2021 9015 GREAT LAKES CRUISING CLUB PORT HURON 4557018A 607 4/5/2021 8810 JEFF ROBERTS CONSTRUCTION PORT HURON 0160199A 8,352 6/11/2021 5403 0.95 KCP PAINTING LLC PORT HURON 6197680A 2,014 6/11/2021 5476 ROUNDLAKE PROPERTY HOLDINGS LLC PORT HURON 5748593A 487 6/1/2021 9052 WORK FORCE WORK CREW LLC PORT HURON 5742242A 875 5/14/2021 7720 PATERSON TREE SERVICE & LAWN CARE INC PORT SANILAC 4658906A 1,092 6/17/2021 0106 REISNER DEVELOPMENT LLC PORT SANILAC 5276888A 750 6/16/2021 5437 0.95 SANILAC APPRAISERS INC PORT SANILAC 0362883A 340 4/17/2021 8720 DELISLE ASSOCIATES LTD PORTAGE 2264633A 4,116 4/17/2021 8601 0.95 HAFFNER NORTH AMERICA LLC PORTAGE 6144195A 2,855 4/1/2021 8107 HARDY JILLIAN PORTAGE 6207189A 910 6/29/2021 0913 K 4 TRUCKING PORTAGE 6156010A 2,989 4/21/2021 7208 KLOK BRAD PORTAGE 5986214A 574 4/17/2021 9102 MICHIGAN CONSTRUCTION AND REMODELING PORTAGE 5138027A 800 4/24/2021 5551 LLC PROPERTY MANAGEMENT SYSTEMS LLC PORTAGE 0736864A 2,331 6/26/2021 9015 0.95 SHANNONDALE MAHOGANY SWIM CLUB INC PORTAGE 1413163A 886 4/9/2021 9061 0.95 TACTICAL ADVANTAGE GUNS LLC PORTAGE 5553806A 479 6/28/2021 8010

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MAY BUILDERS INC PORTLAND 2752735A 1,103 6/10/2021 5645 PORTLAND PLASTICS CO PORTLAND 2040972A 805 6/4/2021 4459 1.00 PRIME CONTRACTING LLC PORTLAND 5330564A 2,988 5/11/2021 5479 0.95 R T TIMBER TRANSPORT LLC POSEN 5130000A 1,788 5/22/2021 6217 BIO CLEAN TEAM INC POTTERVILLE 3830756A 876 4/7/2021 9015 0.95 COUNTRY WOODS ASSISTED LIVING LLC POTTERVILLE 6135668A 2,380 6/23/2021 9053 M AND M PAINTING LLC POTTERVILLE 5046580A 750 4/3/2021 5476 0.95 TERWILLIGER CONTRACTING LLC POTTERVILLE 4990668A 800 5/1/2021 5645 GATIEN FARM AND FOREST PRODUCTS LLC POWERS 4069072A 10,369 5/8/2021 2731 1.31 27 % UP FOREST INNOVATIONS POWERS 3323978A 750 4/4/2021 0042 K AND R HAULING PRESCOTT 6167691A 1,462 5/1/2021 7208 PREFERRED CONCRETE LLC PRESCOTT 5904463A 2,597 6/13/2021 5221 TITAN HOME SERVICES INC PRESCOTT 5248361A 800 4/5/2021 5645 0.95 BENEATH THE SURFACE LLC PRESQUE ISLE 5859867A 1,685 4/27/2021 7600 0.95 BOULDER RIDGE FARMS LLC PRESQUE ISLE 6178146A 3,635 5/8/2021 0128 FTFI LLC PRESQUE ISLE 5282330A 541 6/19/2021 9521 GRAND LAKE MARINA INC PRESQUE ISLE 5863457A 494 5/10/2021 6836 TS UNDERGROUND PRESQUE ISLE 4375068A 750 5/17/2021 7600 BASIL AND MIKE SERVICE PRUDENVILLE 2932792A 1,451 4/1/2021 8395 0.95 DICKS DOCKS AND LIFTS INC PRUDENVILLE 5744806A 896 4/15/2021 3724 T AND P TREE SERVICE LLC PRUDENVILLE 5527988A 1,012 5/2/2021 0106 DEER PATH TRUST PUNTA GORDA, FL 1189050A 566 4/6/2021 0908 COTTONWOOD RESORT INC QUINCY 3963063B 1,438 6/11/2021 9015 0.95 FABULOUS FLOORS AND MORE LLC QUINCY 5145481A 751 6/20/2021 9521 BESSEMER TOWNSHIP OF GOGEBIC COUNTY RAMSAY 0163171A 3,503 5/1/2021 9410 0.95 CARGO CO RAPID CITY 1660390A 3,877 4/6/2021 8393 0.95 RON WAY MASONARY RAPID CITY 1073397A 750 5/21/2021 5022 BERGLUND BUILDERS LLC RAPID RIVER 4999584A 1,585 5/18/2021 5645 0.95 BRUCE SUNDBERG TRUCKING LLC RAPID RIVER 1110756A 800 6/10/2021 7208 0.95 CREATIVE COMPOSITES INC RAPID RIVER 2920417A 21,891 6/22/2021 4484 0.77 DIAMOND 45 TRANSPORT LLC RAPID RIVER 4154282A 750 5/21/2021 7208 EDWIN LACOSSE FOREST PRODUCTS RAPID RIVER 1550713A 750 6/12/2021 2702 GA SAYERS CONSTRUCTION CO INC RAPID RIVER 0936235A 750 6/4/2021 5645 0.95 GUDWER TRUCKING SERVICE LLC RAPID RIVER 4877900A 750 6/6/2021 7208 KORY WILS TRUCKING RAPID RIVER 4695399A 2,440 6/7/2021 7208 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 115 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AUSTIN PAINTING LLC RAVENNA 3328031A 836 5/28/2021 5476 BECHTEL CUSTOM PAINTING RAVENNA 5397545A 1,423 4/27/2021 5476 0.95 FAMILY AND COMMUNITY SERVICES INC RAVENNA, OH 0083569A 24,896 6/25/2021 8835 0.66 BEAR CONSTRUCTION OF MACOMB INC RAY 5436761A 1,300 4/21/2021 5645 DEAN REINHARDT RAY 2252813A 3,753 5/31/2021 7208 0.95 MASTERS MURPHY MAINTENANCE LLC RAY 0647063A 750 4/11/2021 5645 0.94 TRANSMISSIONS UNLIMITED INC RAY 0231100A 2,587 5/30/2021 8395 1.00 VANSTEENKISTE CONSTRUCTION INC RAY 0421413A 803 5/30/2021 8810 Z AND G RENOVATIONS LLC RAY 5850100A 3,290 4/6/2021 5437 0.95 A 1 ECO BLASTING LLC RAY TWP 3263703A 489 6/4/2021 9501 ABLE TREE EXPERTS LLC RAY TWP 4434978A 7,376 6/6/2021 0106 0.92 GREATER METRO RECOVERY INC RAY TWP 3940640A 807 6/19/2021 7720 PEAK HOME IMPROVEMENTS LLC RAY TWP 3110753A 1,389 5/21/2021 5645 0.95 CERTIFIED TOWER MAINTENANCE INC READING 4473183A 795 5/22/2021 5102 KTK TRANSPORTATION READING 4699726A 2,532 6/15/2021 7208 0.95 LEGENDARY LOGGING LLC READING 6158463A 7,186 4/17/2021 2702 ALBERT A ACKER INC REDFORD 1783300A 494 5/5/2021 9058 ANGLISS PETER REDFORD 4701623A 307 5/23/2021 0908 BALINT ERIK REDFORD 4974387A 860 5/23/2021 0913 BANKABLE ENTERPRISES INC REDFORD 5726689A 2,201 6/24/2021 9015 0.95 BECK TREVOR REDFORD 5328888A 414 4/12/2021 0908 BEHNE CAITLIN REDFORD 5993423A 530 5/8/2021 0913 BNF PIZZERIA INC REDFORD 5713889A 2,964 5/9/2021 9058 0.95 BOB AND LESLIES LAWN MAINTENANCE REDFORD 3970272A 2,484 4/1/2021 9402 0.95 C AND E BUILDING MAINTENANCE REDFORD 2843641A 568 4/5/2021 9015 CAMPANELLI WILLIAM REDFORD 6182488A 750 5/14/2021 5645 CURTIS STONEWATER LLC REDFORD 5158257A 750 6/25/2021 5348 D D S DELIVERY SERVICE INC REDFORD 2119897A 750 4/12/2021 7208 D W CONSTRUCTION REDFORD 5722551A 1,667 6/10/2021 5645 1.05 DOLOT STEVEN REDFORD 4523016A 530 5/29/2021 0913 DOWIER FARAH REDFORD 5543827A 530 4/9/2021 0913 DURATECH SYSTEMS LLC REDFORD 4831829A 31,218 4/11/2021 4410 0.77 FRABUTT BROTHERS CONSTRUCTION REDFORD 3962342A 750 6/20/2021 5551 GAGNE GREGORY REDFORD 5779626A 307 5/17/2021 0908 HATKOW ANTHONY REDFORD 5878748A 307 6/23/2021 0908 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 116 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HEJKA SAMUEL REDFORD 5876575A 307 6/12/2021 0908 HOGAN ENTERPRISES INC REDFORD 2144735A 740 4/27/2021 6217 HOLME PAINTING CO LLC REDFORD 0997781A 750 4/18/2021 5476 KOSTRZEWA LAURENCE REDFORD 3710599A 2,496 4/30/2021 0913 0.95 LESLIE RANDALL REDFORD 4251911A 307 6/29/2021 0908 LUNN JOSEPH REDFORD 5187915A 530 6/12/2021 0913 MARTIN CLAY REDFORD 5878756A 530 6/23/2021 0913 PRETTY GIRL STUDIOS INC REDFORD 6189660A 365 5/29/2021 9586 PRO TEK POWER WASHING LLC REDFORD 5711991A 569 5/4/2021 9015 REEVES SUNNI REDFORD 5543924A 307 4/9/2021 0908 RICHARD DAVID HUNTER LLC REDFORD 3893332A 590 5/30/2021 9521 SAFETY FIRST JANITORIAL SERVICES INC REDFORD 5990009A 618 5/1/2021 9015 SKY HIGH TREE SERVICE LLC REDFORD 4930363A 750 5/9/2021 0106 SMITH BRENT REDFORD 5180007A 530 4/12/2021 0913 SOCKOW CHRISTOPHER REDFORD 5566550A 810 5/25/2021 0908 0.95 SWEEP DREAMS AND MAINTENANCE INC REDFORD 3669556A 1,436 5/17/2021 9402 0.95 T A K SOLUTIONS LLC REDFORD 5567785A 750 6/11/2021 7208 THOMAS HISSONG CONSTRUCTION REDFORD 5711940A 750 5/4/2021 5645 THOMAS LANE PLUMBING LLC REDFORD 2268620A 1,070 5/16/2021 5183 THUMM CAROL REDFORD 5718813A 1,395 5/23/2021 0908 0.95 VICTORY HOME CARE INC REDFORD 4684370A 470 5/23/2021 8810 0.95 WASHINGTON RYAN REDFORD 5863147A 307 5/9/2021 0908 CRUDEN PAMELA L TRUST REDWOOD CITY, CA 5154634A 692 6/15/2021 0909 0.95 SAEZ TRUCKING LLC REED CITY 5256801A 3,319 4/13/2021 7208 0.80 SWITZER SAND & GRAVEL INC REED CITY 2696231A 2,627 5/16/2021 4000 0.95 U TURN PAINTING LLC REED CITY 6208584A 750 6/30/2021 5476 LE ZARAZUA CONSULTANTS LLC REESE 6193110A 517 6/4/2021 8601 VAUGHNS FLYING SERVICE INC REESE 4204603A 1,321 5/15/2021 7422 0.95 THOMAS D MORRIS INC REISTERTOWN, MD 5265533A 449 5/7/2021 8742 HILLMAN MICHAEL REMUS 3386422A 751 4/3/2021 5445 BRINK EDWARD RHODES 0406368A 910 6/23/2021 5445 HOMEWORX CONSTRUCTION LLC RICHLAND 6000754A 750 6/12/2021 5645 LORIES EVENTS LLC RICHLAND 5855390A 619 4/27/2021 9015 LUKEMAN PROPERTY MANAGEMENT LLC RICHLAND 5148421A 7,150 6/5/2021 9015 1.06 LYNNE MORGAN GROUP INC RICHLAND 5046297A 1,871 6/27/2021 9521 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 117 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SNYDER JIM G RICHLAND 2389657A 750 5/5/2021 5022 BACKYARD LIVING COMPANY RICHMOND 6207723A 1,096 6/27/2021 5146 DUKE INSTALLATIONS LLC RICHMOND 0181579A 825 5/24/2021 5645 0.95 MANUEL CONSTRUCTION RICHMOND 4381297A 7,535 5/25/2021 5551 0.95 MICHIGAN LAWN SERVICE LLC RICHMOND 5398177A 523 6/13/2021 9102 ROBS SUPER CAR WASH INC RICHMOND 0473898A 516 5/5/2021 8387 SPC CONTRACTING LLC RICHMOND 2690284A 3,238 4/4/2021 5221 0.95 VAN HAVERBECK HOMES INC RICHMOND 1921576A 750 6/7/2021 5645 ROMAN HOMES LLC RILEY TWP 4952383A 9,395 4/24/2021 5645 0.88 CAMPOS CONSTRUCTION INC RIVER ROUGE 5991595A 750 6/16/2021 5348 CHAIRES HOME IMPROVEMENT LLC RIVER ROUGE 5862345A 4,205 5/4/2021 5645 0.95 ENERGY PLUS HOME IMPROVEMENTS LLC RIVERDALE 3997146A 634 4/25/2021 5606 0.95 R AND M WALRATH TRUCKING LLC RIVERDALE 6003893A 3,048 4/24/2021 7208 RED OAK SEAMLESS EAVESTROUGHING LLC RIVERDALE 5705053A 1,222 4/14/2021 5538 0.95 LAKE MICHIGAN BEACH PROPERTY OWNERS RIVERSIDE 1136380A 1,068 6/3/2021 9015 0.95 ASSOCIATION INC EXO CONTRACTING INC RIVERVIEW 6060102A 6,043 6/23/2021 5476 GREGORYS ROOFING & CONSTRUCTION LLC RIVERVIEW 1969978A 4,376 5/1/2021 5551 0.89 KENCO SUPPLY LLC RIVERVIEW 4636899A 305 6/11/2021 8742 FABERS SANDBLASTING LLC RIVES JUNCTION 5942632A 2,159 4/19/2021 9501 0.95 BLOOMINGDALE HOMES INC ROCHESTER 3785394A 750 5/30/2021 0042 BROOKSIE WAY ROCHESTER 5281083A 2,371 5/16/2021 9015 0.95 CLEAR CREEK COMMUNITY ASSOCIATION ROCHESTER 4986911A 568 5/18/2021 9015 COOK TREE CARE ROCHESTER 0581178A 750 5/30/2021 0106 CUMBERLAND PINES ASSOCIATION ROCHESTER 4980573A 618 4/27/2021 8810 DNH SERVICES LLC ROCHESTER 5913780A 643 6/18/2021 9015 E AND C PAINTING CO LLC ROCHESTER 4348303A 850 5/19/2021 5476 GENERAL SPORTS BASEBALL HOLDINGS LLC ROCHESTER 5562651A 51,469 5/15/2021 9015 1.42 GIO PAINTING LLC ROCHESTER 5877318A 750 6/14/2021 5476 GRANTS PIZZA LLC ROCHESTER 5999570A 3,791 5/25/2021 9058 INNOVATION PROPERTY INC ROCHESTER 5608317A 938 5/8/2021 9015 LEES ADAM ROCHESTER 5821894A 751 4/15/2021 8810 LOCHIRCO CONSULTING LLC ROCHESTER 5524113A 388 4/4/2021 8810 METRO PUMP SERVICE LLC ROCHESTER 4618637A 631 4/23/2021 3724 REINHOLD CUSTOM HOMES LLC ROCHESTER 6188443A 393 5/25/2021 5606

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge REMEDICA LLC ROCHESTER 5318513A 629 5/23/2021 8832 RILEYS CONSTRUCTION & COMMERCIAL HOME ROCHESTER 3972526A 750 5/13/2021 5221 REPAIR SERVICES INC STREAMWOOD CONDOMINIUM ASSOCIATION ROCHESTER 1728440A 568 4/10/2021 9015 T L JENKINSON LLC ROCHESTER 3000273A 6,494 4/12/2021 0042 1.05 TRI COUNTY COURT REPORTERS INC ROCHESTER 5877989A 307 6/20/2021 8810 USA CUSTOM PAINTING LLC ROCHESTER 6007988A 826 6/24/2021 5476 WOMBAT ENTERPRISES LLC ROCHESTER 5238749A 618 4/2/2021 9015 ALFREDO EASTWEST TOWING INC ROCHESTER HILLS 5660491A 750 5/9/2021 7208 ARDIAN GJONAJ INC ROCHESTER HILLS 4370970A 750 6/25/2021 5476 BLP PAINTING & CARPENTRY LLC ROCHESTER HILLS 3632423A 1,688 6/28/2021 5476 CASTLE DRYWALL PRODUCTS INC ROCHESTER HILLS 4065395A 750 6/13/2021 5445 CH FREIGHT LINE LLC ROCHESTER HILLS 6141692A 36,849 4/1/2021 7208 CONTINENTAL BUILDING COMPANY INC ROCHESTER HILLS 4082630A 800 6/18/2021 5645 CUSTOMIZED RESIDENTIAL SERVICES LLC ROCHESTER HILLS 3930998A 6,368 6/2/2021 8835 0.85 DAN BROWN BUILDER ROCHESTER HILLS 0243868A 750 5/14/2021 5645 DIAMOND PAINTING LLC ROCHESTER HILLS 6200869A 751 6/16/2021 5476 ECO SERVICES GROUP INC ROCHESTER HILLS 5376793A 800 6/8/2021 5476 FAT BELLY HANDYMAN LLC ROCHESTER HILLS 4751060A 1,231 5/18/2021 5645 0.95 FIRST CHOICE PAINTING & MAINTENANCE INC ROCHESTER HILLS 3102718A 750 6/6/2021 5476 0.95 GENERAL PAINTING COMPANY LLC ROCHESTER HILLS 3881938A 825 6/7/2021 5476 GLOBAL ENERGY SYSTEMS LLC ROCHESTER HILLS 0235660A 674 5/6/2021 5550 GOG ANTON C ROCHESTER HILLS 5127726A 540 4/17/2021 9521 HEAVENLY HOME CARE ON MADELINE LLC ROCHESTER HILLS 2729180A 1,515 4/17/2021 9053 0.95 INDEPENDENT BEHAVIORAL HEALTH GROUP ROCHESTER HILLS 5996252A 305 5/17/2021 8832 PLLC J BOMMER FLOORING LLC ROCHESTER HILLS 5102766A 1,677 4/11/2021 9521 J T HIGHLANDER INC ROCHESTER HILLS 3368270A 750 4/21/2021 5476 KHURRUM T PIRZADA DO PC ROCHESTER HILLS 4960726A 232 5/15/2021 8810 MASTER REMODELING LLC ROCHESTER HILLS 6204430A 800 6/23/2021 5645 MAXWELL BUILDING SERVICES INC ROCHESTER HILLS 5406528A 2,446 5/20/2021 9015 0.95 MGSE SECURITY LLC ROCHESTER HILLS 6004776A 750 6/15/2021 3724 MICHIGAN BRICKSCAPE CO ROCHESTER HILLS 1473506A 753 6/17/2021 8810 MOTOR CITY FENCE CO LLC ROCHESTER HILLS 3783146A 925 5/14/2021 6400 NATURAL FREEDOM INC ROCHESTER HILLS 3181804A 23,031 5/1/2021 8835 0.89

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NORTH OAKLAND CONTRACTORS ROCHESTER HILLS 0032891A 750 5/12/2021 7600 NUSBIETEL PAUL ROCHESTER HILLS 2691345A 750 6/4/2021 7208 OAKLAND MANAGEMENT GROUP LIMITED ROCHESTER HILLS 6191401A 1,468 6/15/2021 5538 PHOTO TRON CORPORATION ROCHESTER HILLS 1081314A 343 4/12/2021 3179 PRECISION FRAMING & BUILDING SYSTEMS LLC ROCHESTER HILLS 4645324B 25,695 4/30/2021 5645 0.76 PREMIER KITCHEN CABINETS INC ROCHESTER HILLS 2540592A 750 5/8/2021 5437 PRO MAINTENANCE INC ROCHESTER HILLS 0174513A 750 5/10/2021 5437 QUEST PRODUCTS CORPORATION ROCHESTER HILLS 3166295A 269 5/4/2021 8810 ROCHESTER AREA YOUTH ASSISTANCE ROCHESTER HILLS 1636022A 230 6/12/2021 8810 SESASI CONSTRUCTION & PAINTING LLC ROCHESTER HILLS 5998204A 751 5/22/2021 5403 SK KITCHEN & BATH ROCHESTER HILLS 5542995A 800 4/7/2021 5437 SURFACE RESTORATION TECHNOLOGIES INC ROCHESTER HILLS 3156168A 2,812 4/8/2021 9015 0.95 SWIATKO ENTERPRISES INC ROCHESTER HILLS 4983459A 850 5/8/2021 5403 TOUCH OF CARE LLC ROCHESTER HILLS 5988055A 3,640 4/20/2021 8835 0.95 USA LANDSCAPING ROCHESTER HILLS 4941217A 917 5/20/2021 0042 VANDER BROEK ROOFING ROCHESTER HILLS 2101262A 750 4/16/2021 5403 VIVID DESIGN STAFFING INC ROCHESTER HILLS 4530195A 649 6/25/2021 8601 0.95 WALDMANN ROBERT DR ROCHESTER HILLS 3181618A 357 6/11/2021 0908 YIMI PAINTING ROCHESTER HILLS 5982766A 800 4/5/2021 5476 MONAS CLEANING SERVICE ROCHESTER HLS 5721970A 470 6/14/2021 8835 BRYAN MARCUS ROCK 6004911A 800 6/25/2021 7600 MARK WORM CONSTRUCTION INC ROCK 4329490A 750 4/14/2021 5437 V LACOSSE LOGGING ROCK 0549576A 750 6/11/2021 2702 0.95 BRIAN BECKER INTERIORS LLC ROCKFORD 4978005A 750 4/19/2021 5445 CANNON POOL ROCKFORD 1407074A 417 5/2/2021 9061 0.95 CLOVERS LLC ROCKFORD 6158480A 4,300 4/17/2021 7208 DEDICATED ELECTRIC INC ROCKFORD 5576016A 735 6/18/2021 5190 0.95 ELMERS PAINTING LLC ROCKFORD 5446341A 800 5/16/2021 5476 ENGLISH DRYWALL INC ROCKFORD 4321464A 750 5/24/2021 5445 EVERYTHINGERY INC ROCKFORD 5876036A 750 6/11/2021 5645 EVOLVE ELECTRIC LLC ROCKFORD 4399897A 545 4/24/2021 5190 EXTERIOR REFRESH LLC ROCKFORD 5904200A 4,272 5/1/2021 0042 0.98 FOUR STAR TRANSPORT INC ROCKFORD 2270048A 750 4/7/2021 7208 FULLER DESIGN INC ROCKFORD 4835417A 2,287 5/24/2021 9521 0.95 G R METRO PLUMBING LLC ROCKFORD 4289684A 561 6/25/2021 5183 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 120 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GILLHESPY OF MICHIGAN INC ROCKFORD 0134570A 1,204 6/13/2021 5191 0.95 LEBLANC CUSTOM HOMES INC ROCKFORD 5202787A 750 5/14/2021 5645 MONSON CONSTRUCTION LLC ROCKFORD 5977860A 750 5/31/2021 5645 ONPOINT SELECT SERVICES LLC ROCKFORD 5852145A 8,058 4/10/2021 2095 0.95 PORTER BRYAN J & MIRANDA L ROCKFORD 5869102A 568 5/26/2021 0128 PRONTO HAIL & DENT INC ROCKFORD 5848610A 418 4/3/2021 8393 SHANNA LOUS CLEANING SERVICE LLC ROCKFORD 6187897A 568 5/23/2021 9015 THOMAS JOHNSON BUILDER INC ROCKFORD 4991397A 750 6/7/2021 5190 TRUSS WORTHY CRANE SERVICE LLC ROCKFORD 5369231A 6,433 5/18/2021 9530 0.95 MYLLYLAHTI ROBERT ROCKLAND 5599601A 750 5/8/2021 2702 UNION PAYROLL AGENCY INC ROCKLIN, CA 3429911A 534 5/1/2021 9154 0.95 EVENTACES LLC ROCKVILLE CENTRE, NY 4990242A 329 6/14/2021 9058 0.95 C E DOOR & HARDWARE LLC ROCKWOOD 6191380A 845 6/13/2021 5102 IKLEEN ROCKWOOD 5997232A 980 5/30/2021 9015 NIGHT OWL TRUCK REPAIR LLC ROCKWOOD 4435532A 8,915 5/16/2021 8395 0.81 Z AND P TRUCKING LLC ROCKWOOD 4435532B 8,738 5/16/2021 7208 0.81 LATTIMORES MOBILE HOME SALES & SERVICE RODNEY 1829599A 6,704 6/30/2021 8387 0.85 INC DONS BODY SHOP INC OF ROGERS CITY ROGERS CITY 2354349A 1,146 6/20/2021 8393 1.00 GAUTHIER AND SPAULDING FISH COMPANY LLC ROGERS CITY 0713198A 1,197 4/1/2021 8021 0.95 HENTKOWSKI LOGAN J ROGERS CITY 5878306A 825 6/22/2021 2702 JENS AFC ROGERS CITY 6170277A 2,129 5/1/2021 9053 PHILIP F BELLEVILLE THE FAMILY TRUST ROLLING HILLS, CA 2303566A 534 6/18/2021 0909 CONCISE ADVANTAGE LLC ROMEO 5848016A 335 4/10/2021 8810 FOWLER CONSTRUCTION INC ROMEO 2655128A 2,825 4/19/2021 5645 0.95 GREEN BEE NATURAL CLEANING LLC ROMEO 6205372A 619 6/24/2021 9015 MESM CONSTRUCTION INC ROMEO 5720451A 7,958 5/27/2021 5645 0.94 PROSPECT BUILDERS LLC ROMEO 5912130A 6,311 5/23/2021 5645 WALLACE ROOFING & RENOVATION LLC ROMEO 3342913A 750 4/28/2021 5551 A S A P EXPRESS & LOGISTICS INC ROMULUS 3462102A 27,897 6/23/2021 7202 0.92 AAA LAWN SERVICE & SNOW REMOVAL ROMULUS 4515994A 619 6/13/2021 9102 ALLIED TECHNOLOGY INC ROMULUS 4363850A 1,348 6/26/2021 8010 0.95 ARAMCO FUEL STOP INC ROMULUS 4766512A 1,670 5/3/2021 9058 0.95 ASPHALT COMPANY LLC ROMULUS 4460006A 1,317 6/1/2021 5221 0.95 CACAU VASILE ROMULUS 5126886A 418 4/30/2021 8393

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DETROIT INTERMODAL SERVICES INC ROMULUS 3244920A 4,681 5/1/2021 8395 1.00 DOWNRIVER PEST CONTROL INC ROMULUS 4977912A 2,114 4/3/2021 9015 0.95 GADSON CONTRACTING AND TRANSPORTING ROMULUS 1739905A 5,787 6/15/2021 7208 INC GREAT LAKES TIRE RECYCLING & RECOVERY ROMULUS 6099009A 3,878 6/30/2021 9403 LLC ICONIC LANDSCAPE LLC ROMULUS 4722884A 1,829 5/12/2021 9102 METRO FUEL SERVICES LLC ROMULUS 4724089A 1,083 4/22/2021 8017 0.95 MVAH CONSTRUCTION LLC ROMULUS 5987490A 2,444 4/19/2021 5645 0.95 PEAK QUALITY CONSTRUCTION ROMULUS 5745462A 755 5/30/2021 5551 PRO SEWER SVC LLC ROMULUS 5611962A 561 5/24/2021 5183 R AND M MANAGEMENT GROUP INC ROMULUS 0083194A 304 5/30/2021 8810 S AND G EXPRESS INC ROMULUS 4442296A 5,659 6/27/2021 8395 0.92 SCHOFIELD TRANSPORT & LOGISTICS LLC ROMULUS 2850036A 763 5/31/2021 8742 VIBRANT SITE SERVICES LLC ROMULUS 6017193A 800 4/14/2021 7208 WARTECH ENGINEERING LLC ROMULUS 3295699A 7,497 6/1/2021 3400 1.00 ZOUROB ENTERPRISES INC ROMULUS 3615928A 924 4/17/2021 8017 ANDYS PIZZERIA INC ROSCOMMON 3810771A 330 6/27/2021 9058 DEWITT JOSHUA ROSCOMMON 6185193A 1,511 5/20/2021 5022 EICHORN CONSTRUCTION INC ROSCOMMON 3501060A 750 6/4/2021 5403 FOUR RIDER SOLUTIONS LLC ROSCOMMON 5992095A 280 5/3/2021 8601 GREEN WILLIAM ROSCOMMON 4154304A 750 5/15/2021 5348 KJ WARD LLC ROSCOMMON 2020149A 1,268 4/6/2021 6836 0.95 NORTHERN MICHIGAN METAL ROOFING LLC ROSCOMMON 2728516A 1,965 6/29/2021 8017 0.95 WENDIGO FOREST PRODUCTS LLC ROSCOMMON 3382028A 750 6/23/2021 2702 YE OLDE COUNTRY CLUB INC ROSCOMMON 1343920A 409 4/28/2021 9060 AMERICAN LUMBER & TIE INC ROSE CITY 5948550A 6,043 5/23/2021 2731 BERGS NUISANCE ANIMAL & BUG CONTROL ROSE CITY 5026555A 341 5/2/2021 8831 J CARD SURVEYING LLC ROSE CITY 5856302A 329 4/19/2021 8601 MCCONNELL FREEZER PAC INC ROSEBUSH 0866059A 2,182 4/6/2021 8021 0.95 TICES ROSEBUSH FARM MARKET INC ROSEBUSH 1014013A 661 5/24/2021 8006 A OK CLEANING SERVICE LLC ROSEVILLE 0432865A 1,523 5/17/2021 9015 0.95 C K CORPORATION OF CENTERLINE ROSEVILLE 0768367A 805 4/27/2021 8018 CAUCUS CLUB CATERING LLC ROSEVILLE 5311160A 836 5/23/2021 9058 CUSTOMER ONE HOMES LLC ROSEVILLE 5396514A 339 4/17/2021 5606

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CUSTOMKRAFT HOME IMPROVEMENT ROSEVILLE 3928012A 750 5/22/2021 5551 DEER CREEK EVENT RENTALS LLC ROSEVILLE 1214306A 3,092 6/1/2021 5538 DISTINCTIVE INTERIORS LTD ROSEVILLE 1721801A 801 5/13/2021 5610 DOLLS LANDSCAPING ROSEVILLE 5702194A 759 4/2/2021 0042 GRADYS LOUNGE INC ROSEVILLE 0342777A 448 6/3/2021 9058 H BURGETT CONSTRUCTION LLC ROSEVILLE 4218760A 2,229 4/11/2021 5022 0.95 HMT PROPERTIES LLC ROSEVILLE 3983307A 8,786 5/30/2021 8395 1.45 13 % JOHN Z DEGRANDCHAMP & SON INC ROSEVILLE 2109700A 750 6/17/2021 5022 KNOWLES CONSTRUCTION INC ROSEVILLE 1193597A 750 6/1/2021 5476 L AND R HOME IMPROVEMENT ROSEVILLE 4050479A 750 5/18/2021 5437 MCGUCKIN THOMAS J ROSEVILLE 5877369A 750 6/14/2021 5022 MICHIGAN TREE & LANDSCAPING INC ROSEVILLE 2151200A 3,386 6/26/2021 0106 0.92 MJH GROUP LLC ROSEVILLE 5992087A 2,501 5/15/2021 7206 MODISYS LLC ROSEVILLE 5117968A 328 4/1/2021 8810 N AND B ENTERPRISES INC ROSEVILLE 4474236A 955 5/30/2021 8017 0.95 NEW HORIZONS RESPONSE SERVICES LLC ROSEVILLE 4470451A 3,854 5/13/2021 9402 0.95 RICKS SERVICES INC ROSEVILLE 5856809A 725 4/20/2021 5550 ROBERT HARRIS CONTRACTING LLC ROSEVILLE 2674084A 8,922 4/9/2021 5479 1.42 27 % STEEL DIVISION 1 INC ROSEVILLE 6002439A 328 6/8/2021 8810 TIMS TILES ROSEVILLE 5862779A 750 5/7/2021 5348 TRAPANI TILE INC ROSEVILLE 2249405A 750 5/9/2021 5348 ZIMMERMAN LAWN AND SNOW ROSEVILLE 2999820A 706 6/30/2021 9102 CALIBER FLEXIBLE STAFFING LLC ROSSFORD, OH 6191428A 304 6/17/2021 8810 WESBELL TECHNOLOGIES LIMITED ROXBORO, NC 5129559A 1,302 6/14/2021 7600 AAA MEDICAL BILLING SOLUTIONS INC ROYAL OAK 3905446A 374 5/2/2021 8832 ANDREW AND CLARK JOURNEYS LLC ROYAL OAK 5850550A 349 4/1/2021 8742 ASCENT CONSTRUCTION SERVICES LLC ROYAL OAK 6192696A 545 6/9/2021 5606 BEACON HILL PROPERTIES INC ROYAL OAK 2108151B 618 4/1/2021 9015 CEILINGS UNLIMITED LLC ROYAL OAK 5399556A 825 4/29/2021 5020 CHURCH OF THE HOLY CITY ROYAL OAK 0782955A 388 4/22/2021 8868 CONTRACT BUILD LLC ROYAL OAK 5992184A 825 5/3/2021 5645 DASGUPTA SARAH AND RYAN ROYAL OAK 6180841A 530 5/12/2021 0913 DAVES SERV TECHS ROYAL OAK 2700557A 568 6/21/2021 9015 DELGIUDICE ANTIQUES INC ROYAL OAK 0869880A 568 6/13/2021 8017 DELGIUDICE REAL ESTATE ENTERPRISES LLC ROYAL OAK 0869880B 303 6/13/2021 8810 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 123 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DETAILS HANDYMAN AND CONSTRUCTION ROYAL OAK 4686659A 825 4/28/2021 3365 SERVICES INC ENVIRONMENTAL CONSULTING SOLUTIONS LLC ROYAL OAK 5253683A 1,911 4/23/2021 8601 0.95 GCM PARTNERS LLC ROYAL OAK 6197493A 568 6/10/2021 9015 GRAND SLAM BASEBALL TRAINING CENTER INC ROYAL OAK 1735810A 556 4/1/2021 8017 JONES KAREN J ROYAL OAK 2729598A 566 4/24/2021 0908 KFLO COMPANY ROYAL OAK 5874289A 795 6/11/2021 8017 L AND A CONSTRUCTION INC ROYAL OAK 0972398A 750 4/20/2021 5551 LAMKIN CONSTRUCTION INC ROYAL OAK 1153609A 751 6/28/2021 5221 LOCKWOOD NATALIE JESSICA ROYAL OAK 5877628A 530 6/16/2021 0913 M J GLYNN INC ROYAL OAK 1902890A 832 4/13/2021 8810 NEWPORT SCOTT ROYAL OAK 2377870A 3,189 5/26/2021 5437 0.95 PERFORMANCE FIRST CONSULTING LLC ROYAL OAK 5960886A 329 4/11/2021 8810 PPR CONSTRUCTION LLC ROYAL OAK 6171656A 801 5/1/2021 5221 PT IN THE D LLC ROYAL OAK 5724929A 376 6/16/2021 9063 RECREATIONAL DIVING SYSTEMS INC ROYAL OAK 0221503A 2,148 6/6/2021 8017 0.95 SENIOR VISITS LLC ROYAL OAK 6007635A 522 6/25/2021 8810 STAY AND PLAY SOCIAL CLUB INC ROYAL OAK 3456692A 1,920 5/12/2021 9063 0.95 TONY AMOUD & ASSOCIATES INC ROYAL OAK 2242796A 800 5/2/2021 5190 TRESNAK CONSTRUCTION INC ROYAL OAK 3485471A 812 4/21/2021 8742 WYETT TODD A ROYAL OAK 2108151A 628 6/6/2021 0908 SANDMANNS GROCERY LLC RUTH 1380346A 1,404 6/9/2021 2003 0.95 ADAMS AND PARKS ENTERPRISES INC SAGINAW 5432960A 2,463 6/25/2021 8835 ALLEN CONTRACTING SERVICES INC SAGINAW 2648202A 1,387 4/26/2021 5221 0.95 APS EMPLOYMENT SERVICES INC SAGINAW 3618587A 212,167 4/1/2021 8835 2.36 13 % BLUHMS HOME IMPROVEMENT SAGINAW 5409977A 751 6/3/2021 5476 BRAD BECKER CONSTRUCTION LLC SAGINAW 2014165A 750 4/14/2021 5645 CST COUNSELING AND TRANSITIONAL SERVICES SAGINAW 5111889A 394 6/28/2021 8832 INC DANNEYS TRUCKING LLC SAGINAW 5997046A 750 6/21/2021 7208 DUBAY SERVICES LLC SAGINAW 6145213A 867 4/1/2021 9220 DURUSSEL AND SONS TREE SERVICE SAGINAW 1634518A 750 6/14/2021 0106 EJDALTON LLC SAGINAW 5112990A 904 5/24/2021 9058 0.90 FIRST HOME HEALTH AND HOSPICE CARE LLC SAGINAW 5108969A 2,082 4/4/2021 8835 0.95 GREAT LAKES CROSSROAD LLC SAGINAW 5596556A 330 5/19/2021 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HIGHER STANDARDS PRESSURE WASHING LLC SAGINAW 5880378A 620 6/28/2021 9015 HYDRAULIC INSTALLATION COMPANY LLC SAGINAW 0120723A 806 5/6/2021 5183 0.95 JACKS TREE SERVICE INC SAGINAW 2002663A 25,565 4/1/2021 0106 0.77 JM GRAHAM MASONRY SAGINAW 0976067A 801 6/9/2021 5022 KJAYS CARPET SERVICE SAGINAW 2756480A 1,166 4/1/2021 9521 0.95 MICHAEL HANLEY & ASSOCIATES LLC SAGINAW 4229436A 780 5/23/2021 9058 MWN LLC SAGINAW 4580419A 1,480 4/1/2021 7720 0.95 NEXT LEVEL FLOORING SAGINAW 3310264A 742 6/30/2021 9521 NIGHT FLIGHT FIREWORKS LLC SAGINAW 4982932A 458 6/30/2021 8017 PIT AND BALCONY INC SAGINAW 1362780A 840 5/17/2021 9154 PRENZ MAINTENANCE INC SAGINAW 0446351A 811 5/1/2021 9102 SAGINAW CATHOLIC MUSTARD SEED SAGINAW 5559669A 291 5/12/2021 8810 FOUNDATION SAGINAW SYMPHONY ASSOCIATION SAGINAW 0840114A 475 4/7/2021 8810 SALDIVAR IMPERIAL SERVICES LLC SAGINAW 6182003A 606 5/13/2021 0005 SEGOVIA MARK SAGINAW 5880440A 238 6/28/2021 8601 SHERIDAN ARMS LLC SAGINAW 5392780A 1,233 4/1/2021 8010 0.95 ULTIMATE EXTERIORS SAGINAW 5307821A 750 5/22/2021 5645 0.95 VALLEY HOSPICE CARE INC SAGINAW 5716500A 6,703 5/31/2021 8835 0.95 WOLPERT REFRIGERATION INC SAGINAW 0563021A 396 4/26/2021 8810 U P CUSTOM FORESTRY INC SAGOLA 2357003A 750 5/16/2021 2709 PRO TECH MARINE INC SAINT CHARLES, IL 5988039A 5,589 4/20/2021 6400 0.95 INN BOUTIQUE LLC SAINT CLAIR 6144039A 358 4/1/2021 8008 SMART SHELF LLC SAINT CLAIR 5725763A 936 4/12/2021 8742 J Q STEEL LLC SAINT CLAIR SHORES 5983789A 3,000 4/10/2021 3040 0.95 JDS WOODWORKING LLC SAINT CLAIR SHORES 5995787A 3,054 5/16/2021 5437 AJ S OUTDOOR SERVICES SAINT JOHNS 6178480A 709 5/8/2021 0042 BOUND FOR FREEDOM LLC SAINT JOSEPH 6004962A 620 6/18/2021 8017 GILEAD ELDER CARE LLC SAINT JOSEPH 2331632A 1,008 6/27/2021 9053 0.95 HITCHED WHOLESALE LLC SAINT JOSEPH 5999030A 604 5/24/2021 8742 MEMORIES OF INDIA LLC SAINT JOSEPH 6191975A 575 6/9/2021 9058 MID MICHIGAN EXCAVATING LLC SAINT LOUIS 6166008A 815 4/25/2021 6217 EUROPEAN CONSTRUCTION CO SALINE 0320250A 859 4/30/2021 5645 1.00 GALLERY PARK HOMEOWNERS ASSOCIATION SALINE 4496426A 568 4/26/2021 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PARADISE MEXICAN RESTAURANT BAKERY & SALINE 6175392A 770 5/6/2021 9058 MARKET LLC SCHILKE SECURITY SALINE 1508490A 500 5/14/2021 7720 VALIANT SECURITY LLC SALINE 6171524A 511 5/1/2021 5188 PRIDE RESOURCE PARTNERS LLC SAN DIEGO, CA 6201270A 605 6/20/2021 8810 CITISHIELD INCORPORATED SAN FRANCISCO, CA 5915503A 324 6/19/2021 8810 CREATIVE RIDES LLC SANDUSKY 5577993A 472 6/28/2021 8393 HALL MASONRY SANDUSKY 5261619A 1,010 4/16/2021 5221 0.95 MTH LANDSCAPING INC SANDUSKY 6154310A 2,689 4/13/2021 0042 SANILAC FLORIST AND INTERIORS LLC SANDUSKY 1372823A 750 5/25/2021 8001 THUMB BIOENERGY LLC SANDUSKY 4977025A 1,880 5/14/2021 8601 0.95 VENANTIUS CONSULTING INC SANDUSKY 6198783A 560 6/12/2021 8601 WILLIAMS CONSTRUCTION OF MICHIGAN LLC SANDUSKY 5538025A 8,452 4/8/2021 5022 0.88 KLEINERT ALAN KEITH SANFORD 6184367A 530 5/18/2021 0913 AUDIO SECURITY & AUTOMATION PROVIDERS SARANAC 3960927A 1,602 6/1/2021 5190 0.95 INC CENTERLINE MECHANICAL LLC SARANAC 5699614A 749 4/6/2021 5550 PRESTON MASONRY LLC SARANAC 0728284A 750 6/5/2021 5022 SARANAC CHIROPRACTIC CENTER SARANAC 3493628A 230 6/4/2021 8810 US GUYS LLC SARANAC 6150071A 881 4/14/2021 2081 AMERICAN PROCESS SERVICE INC SARASOTA, FL 4605519A 1,935 4/1/2021 7720 0.95 TEN PLUS DENT REPAIR INC SAUGATUCK 5985579A 468 4/17/2021 8393 CALVIN VELDT TRUCKING SAULT STE MARIE 5553601A 825 5/11/2021 7208 FAMOUS SOO LOCKS CRUISES INC SAULT STE MARIE 0315176A 6,251 4/1/2021 8726 0.95 GREAT LAKES SHIPWRECK HISTORICAL SOCIETY SAULT STE MARIE 0940950A 6,280 6/7/2021 8017 0.91 INC HOORNSTRA COMMUNICATIONS INC SAULT STE MARIE 3230015A 519 4/14/2021 5191 SMORE MEMORIES LLC SAULT STE MARIE 5262810A 569 5/1/2021 9015 TESTER CONSTRUCTION INSPECTION SERVICES SAULT STE MARIE 5867657A 381 5/24/2021 4511 INC KEY CASTINGS LLC SAWYER 0155993A 706 4/5/2021 3085 0.95 RIVIERA CEDAR HOMES INC SAWYER 2754169A 750 4/7/2021 5645 BAILEY FARMS OPERATIONS INC SCHOOLCRAFT 0674508A 2,919 5/1/2021 0011 0.95 ECO KLEEN COMPANY LLC SCHOOLCRAFT 6197701A 618 6/11/2021 9015 FRED BEAN & SON INC SCHOOLCRAFT 2698129A 750 5/3/2021 5476 MIDLINK LOGISTICS LLC SCHOOLCRAFT 4976746A 968 4/10/2021 8810 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RITCHIE DRYWALL SCHOOLCRAFT 1371304A 750 4/7/2021 5445 0.95 SOUTHWEST HOME IMPROVEMENTS LLC SCHOOLCRAFT 3707970A 800 5/23/2021 5551 RURAL FUTURES INTERNATIONAL SCOTTS 0717762A 3,465 4/7/2021 8868 1.00 SCOTTS HOOK AND CLEAVER INC SCOTTS 0327581A 12,892 4/9/2021 8031 1.00 SKYLER ENTERPRISES LLC SCOTTS 4633369A 505 5/30/2021 0128 ADVOCATE INVESTIGATION AND PROTECTION SCOTTVILLE 3511057A 1,958 6/20/2021 7720 0.95 CLH SERVICES LLC SCOTTVILLE 4642546A 750 4/22/2021 5476 CRYSTAL LAKE CAMPGROUND SCOTTVILLE 0588547A 619 5/31/2021 9015 GREEN CUTTING EDGE INC SCOTTVILLE 6182917A 898 6/5/2021 9102 HABITAT FOR HUMANITY OF MASON COUNTY SCOTTVILLE 4857666A 3,241 4/1/2021 8044 0.95 MICHIGAN JASON REED BUILDERS SCOTTVILLE 6181724A 750 5/13/2021 5645 FR GUBLO LLC SEBEWAING 6151124A 6,135 5/12/2021 7208 KUHL CONSTRUCTION COMPANY SEBEWAING 1501798A 6,348 5/26/2021 3365 1.28 27 % KUNDINGER TRANSPORT LLC SEBEWAING 6166270A 2,701 4/27/2021 7208 SUGAR SHACK LTD SEBEWAING 4822218A 330 5/30/2021 9058 JONES DAN JR SHAFTSBURG 5831237A 750 5/14/2021 5645 CAPPUSO BUILDING LLC SHELBY TOWNSHIP 5620759A 750 5/20/2021 5645 CARPET AND SOMETHING ELSE LLC SHELBY TOWNSHIP 5497264A 540 6/21/2021 9521 CRISTIAN ENTERPRISES LLC SHELBY TOWNSHIP 6203035A 750 6/22/2021 5348 MACH DIRECT INC SHELBY TOWNSHIP 5991250A 2,592 5/1/2021 7208 SOLDIER BUILDING LLC SHELBY TOWNSHIP 6121080A 338 4/22/2021 5606 A 1 EAGLE PAINTING LLC SHELBY TWP 3683354A 800 5/30/2021 5476 A AND G LANDSCAPING & TREE SERVICE SHELBY TWP 5712580A 1,102 5/5/2021 0106 A J DEVELOPMENT LLC SHELBY TWP 5854628A 800 4/14/2021 5022 ACOUSTICAL SYSTEMS SHELBY TWP 2358832A 750 4/1/2021 5020 AMBASSADOR VILLAGE CONDOMINIUM SHELBY TWP 4239660A 568 5/1/2021 9015 ASSOCIATION ANBS MAINTENANCE CONTRACTING LLC SHELBY TWP 6150101A 643 4/8/2021 9015 ARTICULATE PAINTING INC SHELBY TWP 3000702A 750 5/23/2021 5476 BURRELL LAWRENCE C JR SHELBY TWP 2077485A 750 4/29/2021 5403 COLOR WAVE PAINTING LLC SHELBY TWP 5267846A 825 5/6/2021 5476 CURB APPEAL DOOR & WINDOW INC SHELBY TWP 3388778A 825 5/13/2021 5645 D AND D SENIOR LIVING INC SHELBY TWP 0551643A 7,128 4/10/2021 9053 0.90 DVH CONSTRUCTION INC SHELBY TWP 3576353A 5,133 4/16/2021 5645 0.92

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EB MARBLE & TILE LLC SHELBY TWP 4318170A 750 4/20/2021 5348 EUROPEAN CONSTRUCTION AND RESTORATION SHELBY TWP 5181569A 750 4/8/2021 5476 LLC F JAVIER RIVADEYNERA LLC SHELBY TWP 5984653A 750 6/18/2021 5476 FACILITY AID LLC SHELBY TWP 4722930A 750 4/6/2021 5022 FINAL TOUCH CONTRACTING INC SHELBY TWP 4803680A 800 4/10/2021 5437 0.95 FIVE STAR PROPERTY SERVICES & SHELBY TWP 4360540A 1,090 6/16/2021 5022 0.95 MAINTENANCE LLC FMF DEVELOPMENT LLC SHELBY TWP 6001050A 800 6/4/2021 5645 GOLD STAR CONSTRUCTION LLC SHELBY TWP 5706068A 800 4/30/2021 5645 GOLF VIEW CONDOMINIUM ASSOCIATION SHELBY TWP 2141019A 568 5/28/2021 9015 GRACE MECHANICAL SERVICES LLC SHELBY TWP 5495881A 674 6/26/2021 5550 GUY CON BUILDING CORP SHELBY TWP 0477257A 750 6/22/2021 5645 HALO TREE SERVICE LLC SHELBY TWP 5388660A 2,267 4/15/2021 0106 0.95 HAYLOFT WEST INC SHELBY TWP 1989650A 1,754 6/10/2021 9058 0.95 HOPE HOLDINGS LLC SHELBY TWP 3750540A 222 4/17/2021 8810 HUNTCLIFF VILLAGE CONDOMINIUM SHELBY TWP 2470047A 568 6/5/2021 9015 ASSOCIATION JOSEPH LORENZO BUILDING CO SHELBY TWP 5078920A 750 5/18/2021 5645 JW CLARK CONTRACTING LLC SHELBY TWP 5267927A 341 5/6/2021 8720 KAL ENTERPRISES INC SHELBY TWP 5992214A 751 5/3/2021 5476 KAY BUILDING & LAND DEVELOPMENT LLC SHELBY TWP 3175049A 1,336 5/26/2021 9102 LLS FINISH CARPENTRY LLC SHELBY TWP 5059054A 750 4/30/2021 5437 LOUIES QUALITY PAINTING LLC SHELBY TWP 3166210A 750 6/22/2021 5476 LTM CONSTRUCTION INC SHELBY TWP 4473817A 750 6/4/2021 5645 MACOMB SERVICES HEATING & COOLING LLC SHELBY TWP 5277884A 1,165 6/6/2021 5191 1.00 MARCEAU ENTERPRISES INC SHELBY TWP 4745221A 7,837 4/27/2021 9015 1.47 27 % MARITIME MARINE CONSTRUCTION INC SHELBY TWP 4616871A 2,547 4/18/2021 5606 0.95 MATRIX PAINTING SHELBY TWP 5983185B 750 4/6/2021 5476 MED MAR GROUP INC SHELBY TWP 1904965A 752 6/30/2021 8810 MICHELLE CORPORATION SHELBY TWP 5719348A 789 5/24/2021 6217 MICHIGAN FLOORING LLC SHELBY TWP 5296137A 1,047 4/22/2021 5348 MID TOWN PARK LLC SHELBY TWP 5723388A 750 6/12/2021 5403 MODERN CABINETS & TRIM LLC SHELBY TWP 5880530A 750 6/28/2021 5437 ND PAINTING AND MAINTENANCE LLC SHELBY TWP 2311135A 750 5/14/2021 5476 NEPTUNE STONE WORKS LLC SHELBY TWP 4463218A 750 4/18/2021 1624 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 128 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NICHOLAS HOMES INC SHELBY TWP 4496108A 750 5/2/2021 5183 0.95 NICO HOMES LLC SHELBY TWP 3361373B 1,687 5/31/2021 5403 0.95 OJRZYNSKI INTERIOR EXTERIOR FINISHING INC SHELBY TWP 6194818A 750 6/5/2021 5437 ORLANDO CUSTOM HOMES INC SHELBY TWP 3441164A 750 6/27/2021 5437 PAR 4 LAWN & LANDSCAPE LLC SHELBY TWP 4517199A 569 5/28/2021 9102 PINE VALLEY BUILDING LLC SHELBY TWP 4374657A 7,318 6/28/2021 5645 0.94 PREVENTIVE TRUCK REPAIR INC SHELBY TWP 3179044A 481 5/16/2021 8395 PRIME BUILDING COMPANY INC SHELBY TWP 4982444A 6,672 5/9/2021 5610 0.89 RANDAZZO BUILDERS INC SHELBY TWP 5075149A 1,611 4/7/2021 5645 0.95 RECARO CHILD SAFETY LLC SHELBY TWP 4220242A 461 4/1/2021 8810 0.95 RMV TRANSPORTATION INC SHELBY TWP 5705487A 750 5/14/2021 7208 SAVANNAH CONSTRUCTION INC SHELBY TWP 2090090A 800 4/14/2021 5437 0.95 SEVEN BROTHERS PAINTING INC SHELBY TWP 2629585A 56,546 4/1/2021 5040 1.73 13 % SIERRA HOMES LLC SHELBY TWP 5408563A 1,770 6/30/2021 5645 SOKOL PLLUMAJ PAINTING LLC SHELBY TWP 5984939A 750 4/11/2021 5476 STIRNEMANN BUILDING LLC SHELBY TWP 6199542A 1,181 6/16/2021 5610 STUDENT PAINTERS MICHIGAN LLC SHELBY TWP 2412250A 6,538 5/8/2021 5476 0.95 TEEN STREET SKILLS SHELBY TWP 5994985A 539 5/17/2021 8868 TONIS TILE LLC SHELBY TWP 3574008A 800 6/14/2021 5348 TOP TIER HOME IMPROVEMENT LLC SHELBY TWP 2745712A 750 4/1/2021 5645 TOUCH OF LIFE PC SHELBY TWP 3628221A 489 4/10/2021 8832 UTICA CONSULTING LLC SHELBY TWP 6002382A 313 6/8/2021 8601 VILLAS OF VILLAGIO LLC SHELBY TWP 5854156A 800 4/13/2021 5022 VISIONARY LANDSCAPING & FERTILIZATION LLC SHELBY TWP 3367649A 609 4/4/2021 8810 VISTA LAKES ASSOCIATION SHELBY TWP 2116626A 985 4/13/2021 9015 0.95 VITALE REAL ESTATE INC SHELBY TWP 3443590B 517 6/19/2021 8742 0.94 WINDEMERE FARMS II ASSOCIATION SHELBY TWP 5556015A 568 5/5/2021 9015 WOZNIAK AND ASSOCIATES LLC SHELBY TWP 6172660A 238 5/2/2021 8601 WOZNIAK UNDERGROUND SHELBY TWP 1885944A 1,824 6/16/2021 6306 XPERTS PAINTING LLC SHELBY TWP 5725224A 800 6/17/2021 5476 ZEFS PAINTING SHELBY TWP 4945980A 750 5/19/2021 5476 BUILDING ENHANCEMENT SERVICES LLC SHELBYVILLE 0613495B 674 6/23/2021 5550 0.95 QUALITY AVIATION SERVICES INC SHELBYVILLE 4222482A 1,332 5/23/2021 9015 0.95 J AND L TRUCKING LLC SHEPHERD 5878209A 826 6/22/2021 7208 SMITH DEVON SHEPHERD 6190774A 746 5/29/2021 9521 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 129 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SHERIDAN COMMUNITY FIRE DEPARTMENT SHERIDAN 3778991A 1,076 5/11/2021 7704 0.95 SHOENTEL COMMUNICATIONS INC SHERIDAN 5412412A 301 6/10/2021 5191 SOUTHERN MICHIGAN LOGGING & VENEER SHERWOOD 5541700A 750 4/5/2021 2702 DAVID HILL CONSTRUCTION LLC SHINGLETON 3451550A 1,398 6/3/2021 6217 DAIRY BARN INC SIDNEY 3788440A 669 5/24/2021 8017 0.95 NATURES CHAIN OF LAKES CAMPGROUND INC SIX LAKES 4642880A 568 6/30/2021 8017 BRIAN ZORZA PAINTING AND WALLPAPER SKANDIA 5402719A 750 5/9/2021 5476 HAPPY DOG GROOMING SALON SKANDIA 5857830A 494 4/21/2021 8831 SCOTT BOYER TRUCKING SKANDIA 2844150A 800 4/6/2021 7208 TIMBERSTONE TILE INC SKANDIA 4145984A 750 6/6/2021 5348 B AND M WELDING INC SNOVER 5821207A 2,357 6/28/2021 3365 RBBR BUILDING & REMODELING LLC SNOVER 5724180A 2,530 6/16/2021 5645 0.95 ZAMBRON JEFF SNOVER 5721628A 750 6/18/2021 5022 LAKE SOMERSET PROPERTY OWNERS SOMERSET CENTER 1997289A 748 6/6/2021 9015 0.95 ASSOCIATION INC RELIABLE ROOFING AND CONSTRUCTION LLC SOUTH BEND, IN 6203485A 806 6/20/2021 8742 NORTHERN GRANITE INSTALLERS LLC SOUTH BOARDMAN 3910393A 1,574 4/1/2021 5348 0.95 MATTHEWS MILL INC SOUTH BRANCH 3973220A 6,911 6/1/2021 8232 1.20 SPARK PERFORMANCE SOLUTIONS LLC SOUTH BRANCH 5869935A 215 5/30/2021 8810 COMPASS MARINE LLC SOUTH HAVEN 5860733A 2,134 4/30/2021 6836 0.95 E AND H AUTO REPAIR SOUTH HAVEN 1675737A 2,074 5/16/2021 8395 1.05 MOORE DRYWALL INC SOUTH HAVEN 2827700A 2,796 6/24/2021 5445 0.95 NATIONAL BLUEBERRY FESTIVAL SOUTH HAVEN 5398223A 503 4/24/2021 9156 PERSONAL TOUCH LAWN CARE LLC SOUTH HAVEN 5998832A 524 5/23/2021 9102 STEEL SUPPLY CENTER LLC SOUTH HAVEN 0473855A 4,749 6/24/2021 8106 0.93 USMFG INC SOUTH HAVEN 5539609A 7,064 4/29/2021 4024 0.92 ALL AMERICAN TREE SERVICE INC SOUTH LYON 3163008A 7,153 4/7/2021 0106 0.90 BLEDSOE MATTHEW K SOUTH LYON 5251753A 750 6/11/2021 5645 CREST PERFORMANCE GROUP LLC SOUTH LYON 5271142A 511 5/15/2021 8742 D S HARRIS PAINTING LLC SOUTH LYON 2870312A 801 5/24/2021 5476 DIGICOMM ELECTRONICS INC SOUTH LYON 1531174A 769 6/18/2021 9519 DM EXPRESS INC SOUTH LYON 5281580A 750 6/17/2021 7208 FIRE WRENCH OF MICHIGAN LLC SOUTH LYON 6003818A 515 6/13/2021 8387 HICKORY CREEK LANE LLC SOUTH LYON 0013595A 750 6/23/2021 5645 KEOWN TRAVIS H SOUTH LYON 5880424A 674 6/29/2021 5550

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LESS STRESS MOVING LLC SOUTH LYON 5462541A 826 4/5/2021 8810 0.90 NORTHERN HOME BUILDERS LLC SOUTH LYON 5714451A 2,313 5/10/2021 5183 0.95 OLYMPIA PAINTING INC SOUTH LYON 3022684A 750 6/25/2021 5403 ONE 7 CONSTRUCTION CO SOUTH LYON 6207537A 931 6/27/2021 5606 PROS FLIGHT SERVICE LLC SOUTH LYON 5714583A 724 5/10/2021 7422 SOUTH LYON HEATING AND COOLING LLC SOUTH LYON 4862457A 724 4/14/2021 5550 0.95 SUBURBAN MAINTENANCE LLC SOUTH LYON 3090884A 719 5/13/2021 9519 TREEMENDOUS FORESTRY LLC SOUTH LYON 5863872A 751 6/19/2021 0106 VARGO BUILDING & REMODELING SOUTH LYON 4659597A 750 6/12/2021 5645 BENDELOW BUILDING COMPANY SOUTH ROCKWOOD 4717228A 338 4/11/2021 5606 JOLY LEROY APARTMENTS LLC SOUTH ROCKWOOD 4906390A 1,212 6/2/2021 9015 M AND D KITCHENS LLC SOUTH ROCKWOOD 5700035A 800 4/7/2021 5437 OAK TREE FARMS LLC SOUTH ROCKWOOD 4329457A 3,154 4/3/2021 8831 0.95 A 1 FINGERPRINTS OF MICHIGAN LLC SOUTHFIELD 5710774A 689 5/1/2021 7720 A S K HEALTH CARE SERVICES INC SOUTHFIELD 1655493A 986 6/14/2021 8832 ACT 1 CLEANING SERVICES LLC SOUTHFIELD 5776589A 643 5/25/2021 9015 ALL SPARK MECHANICAL LLC SOUTHFIELD 5836530A 674 5/1/2021 5550 ALLEN LAQUANDA SOUTHFIELD 5328942A 530 5/19/2021 0908 AMERICAN MOBILE DENTAL PC SOUTHFIELD 3088073A 2,543 5/24/2021 8832 1.05 10 % AMERICAN STANDARD ROOFING LLC SOUTHFIELD 3512193A 3,971 4/9/2021 5606 1.00 ARTHUR ENTERPRISE LLC SOUTHFIELD 6179223A 2,151 5/9/2021 7206 BEAVERDAM CLUB SOUTHFIELD 0688312A 619 4/26/2021 9015 BLOOM DOUGLAS AND BARBARA SOUTHFIELD 5556813A 307 5/9/2021 0908 BLUE WATER ENGINEERED STORAGE SYSTEMS SOUTHFIELD 5276241A 25,073 6/11/2021 5040 0.80 INC CARE MATTERS LLC SOUTHFIELD 5034698A 781 5/24/2021 8832 0.95 COMPLETE BUILDING RESTORATION SERVICES SOUTHFIELD 4606850A 750 6/23/2021 5022 LLC CONCORDE GROUP LLC SOUTHFIELD 0812528A 251 4/22/2021 8803 CRYSTAL CLEAR COMMERCIAL CLEANING LLC SOUTHFIELD 6203191A 2,324 6/22/2021 9015 DADDYOS INC SOUTHFIELD 2694310A 751 4/11/2021 9058 DEALER ADVERTISING COOPERATIVE SOUTHFIELD 0974188A 891 5/26/2021 8810 0.95 CORPORATION DETROIT EXPEDITING AND DEVELOPMENT SOUTHFIELD 5708990A 1,003 4/27/2021 8601 GROUP LLC DETROIT PROPERTY COLLECTIVE LLC SOUTHFIELD 4554140A 256 5/7/2021 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DF SERVICE LLC SOUTHFIELD 6216749A 2,331 6/14/2021 8010 0.95 DOWN TO EARTH LAWN SPRAY INC SOUTHFIELD 0897515A 1,728 5/26/2021 0005 1.00 DYVERSE MANAGEMENT COMPANY LLC SOUTHFIELD 4870557A 10,430 4/10/2021 8835 0.83 ELLIS PAINTING & PROPERTY MAINTENANCE INC SOUTHFIELD 5812852A 1,676 6/20/2021 5476 0.95 FIRSTPOINT CONSTRUCTION & RESTORATION SOUTHFIELD 6005390A 240 6/19/2021 8810 LLC FORCE ONE ELECTRIC INC SOUTHFIELD 3943216A 470 6/26/2021 5190 GREGGS CAULKING CO INC SOUTHFIELD 1048708A 800 5/27/2021 5022 HELPING HAND TRANSPORTATION SERVICES LLC SOUTHFIELD 5384583A 712 6/1/2021 7212 IMPACT THERAPY SOLUTIONS LLC SOUTHFIELD 5707528A 5,561 4/27/2021 8835 0.88 IPP LOGISTIC LLC SOUTHFIELD 6207693A 3,852 6/27/2021 7208 LAYS MANAGEMENT 2 LLC SOUTHFIELD 3941043A 1,599 4/21/2021 9053 0.95 LEAH SNIDER GRANDCHILDREN TRUST SOUTHFIELD 0869155A 357 5/12/2021 0908 LONG W LAWRENCE AND LONG CYNTHIA D SOUTHFIELD 4652673A 307 6/8/2021 0908 MIDTOWN POINTE LLC SOUTHFIELD 5865603A 290 5/17/2021 8810 MIDWESTERN JANITORIAL LLC SOUTHFIELD 5583101A 623 6/19/2021 8810 0.95 MILESTONE TILE AND MARBLE LLC SOUTHFIELD 5853931A 1,487 4/12/2021 5348 0.95 MITCHELL CONSTRUCTION INC SOUTHFIELD 2824418A 561 4/3/2021 5183 0.95 NAJOR GEORGE D DDS SOUTHFIELD 1204203A 685 6/1/2021 8832 0.95 NEW LEE BEAUTY ONE INC SOUTHFIELD 4821130A 1,011 6/30/2021 8017 0.95 PEDIATRIC STAFF PLLC SOUTHFIELD 3525929A 531 6/20/2021 8832 PRYORS CUSTOM CAULKING LLC SOUTHFIELD 4634780A 750 6/27/2021 5476 REEDS COMPANY SOUTHFIELD 6201253A 984 6/17/2021 9015 RICH AND ASSOCIATES CONSULTING INC SOUTHFIELD 4059530A 290 4/26/2021 8810 RNHD ENTERPRISES SOUTHFIELD 6179380A 2,151 5/15/2021 7206 S AND D CARTAGE CO SOUTHFIELD 0493384A 1,832 6/24/2021 7206 0.89 S AND R ENTERPRISE SERVICE INC SOUTHFIELD 4406818A 471 4/7/2021 8017 0.95 TAN LLC SOUTHFIELD 6179428A 2,151 5/15/2021 7206 THE HUMAN RESOURCE COMPANY INC SOUTHFIELD 6200397A 28,666 6/21/2021 0005 TYNER SUZANNE SOUTHFIELD 5550130A 580 4/25/2021 0913 UNITED STAFFING AGENCY PLUS LLC SOUTHFIELD 5878322A 744 5/11/2021 8829 WILKINS WAY CONSTRUCTION LLC SOUTHFIELD 5039304A 750 4/8/2021 5221 A FORMOSA & SONS LANDSCAPING INC SOUTHGATE 5859034A 1,050 4/25/2021 0042 AMA PLUS INC SOUTHGATE 4891090A 632 4/11/2021 8017 D G WEST COMMERCIAL CARPENTRY LLC SOUTHGATE 5128455A 4,508 4/20/2021 5437 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EUREKA GAS AND FOOD INC SOUTHGATE 3263495A 720 4/1/2021 8017 MH PLUS INC SOUTHGATE 4891090B 471 4/11/2021 8017 MICHIGANS BEST BASEMENT WATERPROOFING SOUTHGATE 5716535A 2,269 5/16/2021 5480 0.95 LLC S VITALE CONTRACTING LLC SOUTHGATE 4704061A 825 4/25/2021 5183 VICTORY CARPET LLC SOUTHGATE 5666880A 610 6/9/2021 9521 CB FLOORS LLC SPARTA 5357225A 540 6/16/2021 9521 0.95 COUNTRY LANE ASSOCIATION SPARTA 4627342A 568 5/1/2021 9015 IMKAMP BUILDERS INC SPARTA 3123588A 13,050 4/16/2021 5645 0.86 JAIMES HUMBERTO SPARTA 5982227A 750 5/30/2021 5445 LEVONDOWSKI ANTHONY SPARTA 5596963A 750 4/11/2021 5645 QUALITY UNDERDECKING LLC SPARTA 6197728A 562 6/11/2021 5183 TUINSTRA BENJAMIN SPARTA 5400520A 750 5/1/2021 5437 KEN MOE CONSTRUCTION LLC SPRING ARBOR 2753405A 750 5/10/2021 5645 POHL BROTHERS ADVERTISING SPRING ARBOR 0765155A 1,163 4/27/2021 9558 0.95 SCREAMING EAGLE CONSULTING LLC SPRING ARBOR 5845297A 393 4/3/2021 8601 ACC GUTTERS LLC SPRING LAKE 1730690B 1,523 5/30/2021 5538 0.93 AG CONSTRUCTION SPRING LAKE 5011620A 825 4/14/2021 5645 BEARD KATHERINE SPRING LAKE 6193188A 530 6/4/2021 0913 BILZ POOLS & SPAS INC SPRING LAKE 1730690A 2,340 5/30/2021 5223 0.93 C DAVID CONSTRUCTION LLC SPRING LAKE 4856520A 750 4/5/2021 5645 COMPLETE JANITORIAL SERVICE INC SPRING LAKE 0044440A 2,209 6/8/2021 9015 0.95 DOUBLE EAGLE SECURITY SERVICES LLC SPRING LAKE 5997585A 1,050 5/21/2021 7720 GREAT LAKES OPTICAL INC SPRING LAKE 6187633A 331 5/22/2021 8013 GREATER SPRING LAKE AREA RECREATION SPRING LAKE 5405777A 1,093 5/16/2021 9015 0.95 COMMISSION HOLIDAY ISLE MARINA ASSOC SPRING LAKE 5865131A 494 5/16/2021 6836 MINKY PROJECT LLC SPRING LAKE 6000720A 329 6/1/2021 8017 PRO TRAVEL INC SPRING LAKE 2957191A 230 6/16/2021 8810 PROV 423 LLC SPRING LAKE 5662087A 315 4/17/2021 8810 RONALD V STROUP BUILDER SPRING LAKE 3513173A 989 5/1/2021 5645 VOIMANEN CONSULTING LLC SPRING LAKE 4427130A 229 6/2/2021 8742 D AND K CONSTRUCTION LLC SPRINGFIELD, OH 5132657A 9,138 5/1/2021 5538 0.87 R G KENEL LOG BUILDERS LLC ST CHARLES 1560336A 800 6/11/2021 5645 THURSTON LOGGING & TREE SERVICE ST CHARLES 5379415A 750 4/23/2021 2702

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL AMERICAN REMODELING ST CLAIR 6172474A 1,190 5/2/2021 5645 BECKER METAL WORKS INC ST CLAIR 2255545A 833 6/4/2021 3341 1.25 15 % CZAJKOWSKI NORBERT P MD ST CLAIR 2896508A 530 5/21/2021 0913 KIDS IN DISTRESS SERVICES INC ST CLAIR 4141539A 1,114 6/10/2021 8032 0.95 MALCOLM MARINE INC ST CLAIR 0224154A 5,143 5/2/2021 8227 0.93 OUTSTANDING CUSTOM DESIGN ST CLAIR 0210870A 750 6/21/2021 5476 S A FISCELLI MARINE CONSTRUCTION INC ST CLAIR 0137600A 5,047 4/4/2021 8227 0.93 SAINT CLAIR MANOR COOPERATIVE ST CLAIR 1425374A 1,305 5/28/2021 9015 0.95 ANDERSON RESTORATION INC ST CLAIR SHORES 3000478A 800 5/5/2021 5551 BACH ROOFING COMPANY LLC ST CLAIR SHORES 5981255A 5,017 4/3/2021 5551 0.95 BACKERS CONSTRUCTION INC ST CLAIR SHORES 3873668A 3,123 6/26/2021 5645 BEGINNING OF INDEPENDENCE GROUP LLC ST CLAIR SHORES 6006620A 467 6/28/2021 8832 BLUE GOOSE INN CORP ST CLAIR SHORES 0676403A 990 6/11/2021 9058 0.95 BOMBSHELL BRIDAL BOUTIQUE LLC ST CLAIR SHORES 5560012A 1,204 4/3/2021 8008 CJF ASSOCIATES LLC ST CLAIR SHORES 4935950A 455 4/30/2021 8601 CONSORTIUM ELECTRIC LLC ST CLAIR SHORES 6000835A 643 6/1/2021 5190 DIVISION BUILDING COMPANY ST CLAIR SHORES 5457963A 1,365 6/1/2021 5221 0.95 DRY LINE LLC ST CLAIR SHORES 5397782A 750 4/22/2021 5480 EVOLUTIONARY MANAGEMENT INC ST CLAIR SHORES 6005403A 568 6/19/2021 9015 GENOA CONTRACTING LLC ST CLAIR SHORES 5437865A 4,886 6/6/2021 5606 0.95 GLACIER BUILDING LLC ST CLAIR SHORES 1030272A 751 6/28/2021 5476 GREAT LAKES SEAWALL EXTENSION WELDING & ST CLAIR SHORES 4355890A 2,410 5/22/2021 6217 FABRICATION SERVICES LLC JM PIZZA LLC ST CLAIR SHORES 5820600A 1,688 6/13/2021 9058 LAKESHORE VILLAGE CONDOMINIUM ST CLAIR SHORES 0611220A 911 6/22/2021 5437 ASSOCIATION MILES LAWN & SNOW SERVICE LLC ST CLAIR SHORES 6182569A 709 5/14/2021 0042 MORRIS FAMILY WINDOW & GUTTER CLEANING ST CLAIR SHORES 6192637A 1,675 6/3/2021 9015 LLC NORTH STAR JUNIOR SAILING INC ST CLAIR SHORES 1070754A 631 6/12/2021 9060 PHRC INC ST CLAIR SHORES 4196538B 63,474 4/12/2021 7212 0.94 PRIVATE INSTALLATION SERVICES LLC ST CLAIR SHORES 6003443A 769 6/19/2021 9519 S E GRAHAM & ASSOCIATES INC ST CLAIR SHORES 1965271A 750 6/11/2021 5437 0.95 S O S EXPRESS PREMIUM MARINE CARE INC ST CLAIR SHORES 2657236A 543 5/17/2021 6836 SHORE POINT ELECTRIC LLC ST CLAIR SHORES 4446658A 1,612 5/16/2021 5190 0.95 T RICH RENOVATIONS ST CLAIR SHORES 4087747A 1,141 6/10/2021 5645 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 134 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TEMROWSKI ELDERCARE LLC ST CLAIR SHORES 6002188A 14,502 6/7/2021 8835 TURF AND TIMBER LLC ST CLAIR SHORES 4257421A 3,470 5/9/2021 0106 0.95 UNITED ENERGY TRANSPORT INC ST CLAIR SHORES 5982669A 4,906 4/5/2021 7208 0.95 VERSTRAETE HERMAN ST CLAIR SHORES 4477472A 750 6/10/2021 5476 WARREN WOODS CONSTRUCTION LLC ST CLAIR SHORES 5387841A 750 5/15/2021 5551 MM AUTOMATED SOLUTIONS LLC ST CLAIRE SHORES 5789702A 3,337 6/7/2021 3724 MACKINAC ECONOMIC ALLIANCE CORP ST IGANCE 5257328A 278 4/1/2021 8810 TAMLYN TILE AND FLOORING LLC ST IGNACE 5522579A 1,693 4/1/2021 5348 0.95 BCW HAPPY HOUR INC ST JOHNS 5568552A 1,374 6/1/2021 9058 0.95 JIMS PAINTING & CULTURED STONE LLC ST JOHNS 5400376A 800 5/1/2021 5476 SEARLES CONSTRUCTION COMPANY INC ST JOHNS 0133140A 12,064 5/25/2021 4000 0.90 WEBSTER CONSTRUCTION st JOHNS 5866154A 750 5/19/2021 5645 0.95 CONCORD RIDGE EQUESTRIAN CENTER LLC ST JOSEPH 4883268A 7,098 6/30/2021 8279 0.88 GAIPA AIRCRAFT INC ST JOSEPH 6207634A 1,280 6/27/2021 7423 KLAUS F ZIELKE JR INC ST JOSEPH 0170607A 3,060 4/30/2021 5022 0.95 MSE INC ST JOSEPH 5434750A 341 5/13/2021 8720 MUTTERLY LOVE LLC ST JOSEPH 5044669A 3,243 6/27/2021 8831 1.00 SJRCK LLC ST JOSEPH 5145538A 494 5/24/2021 6836 SOUTHWEST MICHIGAN ASSET MANAGEMENT ST JOSEPH 5718260A 716 5/20/2021 8742 LLC SUPER BOOK BY SOPHIA LLC ST JOSEPH 2844737A 396 5/7/2021 8742 0.95 THIRD COAST SURF SHOP INC ST JOSEPH 4639146A 1,656 6/26/2021 8017 0.95 COTTAGE ON THE STRAITS LLC ST PAUL, MN 5983851A 307 4/10/2021 0908 CARLSON LOGGING STAMBAUGH 0808806A 750 5/3/2021 2702 CHARITYS CHOP SHOP LLC STANDISH 6066003A 1,104 6/1/2021 8395 ALMARAZ AND COMPANY STANTON 6016642A 750 5/21/2021 5645 ESCH LOGGING LLC STANTON 2023121A 874 6/8/2021 2702 KIEFFS ROOFING INC STANTON 0336793A 52,111 5/1/2021 5551 0.71 OLMSTEAD EXCAVATING INC STANTON 1343815A 985 4/27/2021 6217 0.95 TRIGON ARMAMENT INC STANTON 6004725A 512 6/15/2021 8017 CHERI HILL KENNEL & SUPPLY INC STANWOOD 0787892A 4,592 5/25/2021 8831 0.88 ANDERSON LANDSCAPING STEPHENSON 5837901A 598 4/19/2021 9102 D AND S CONSTRUCTION STEPHENSON 1802569A 750 5/7/2021 5645 R V FOREST PRODUCTS LLC STEPHENSON 3638154A 800 5/31/2021 2702 THOUNE AND SONS LAWN CARE STEPHENSON 6183360A 598 6/1/2021 9102

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BENCHLEY DONALD C STERLING 0097420A 750 5/28/2021 9015 D AND L CONTRACTING & MAINTENANCE LLC STERLING 2234033A 568 4/2/2021 9015 A AND R LAWN SERVICE STERLING HEIGHTS 2830850A 523 4/7/2021 9102 AC AND EC LOGISTICS INC STERLING HEIGHTS 5714508A 2,505 5/10/2021 7208 0.95 AINSTECH INC STERLING HEIGHTS 4928237A 3,210 6/1/2021 8010 1.00 AM TILE & MARBLE INSTALLATION LLC STERLING HEIGHTS 5154138A 751 6/14/2021 5348 ANGLINS PROFESSIONAL WINDOW CLEANING STERLING HEIGHTS 0011886A 1,150 5/4/2021 9015 0.95 INC AWC CUETER INC STERLING HEIGHTS 4987780A 254 6/7/2021 8810 BEAR CREEK VILLAGE ASSOCIATION STERLING HEIGHTS 0683035A 568 6/4/2021 9015 0.95 BELIEVE INDUSTRIES LLC STERLING HEIGHTS 6203299A 800 6/20/2021 5403 BELLA HOME CARE AGENCY LLC STERLING HEIGHTS 6034543A 2,999 6/23/2021 8835 BLACK FOREST BUILDING COMPANY STERLING HEIGHTS 3275698A 750 5/30/2021 5403 0.95 BLUE SKY TRANSPORT LLC STERLING HEIGHTS 5401747A 12,113 5/19/2021 7208 0.82 BORA BORAS BAR & GRILL INC STERLING HEIGHTS 1930001A 330 4/24/2021 9058 BRCKO TRUCKING CO LLC STERLING HEIGHTS 5998611A 2,574 5/23/2021 7208 BUILDIT CONSTRUCTION LLC STERLING HEIGHTS 5563224A 825 6/30/2021 5645 CAR DOC LLC STERLING HEIGHTS 5147760A 481 6/1/2021 8395 CHAMPS CONSTRUCTION INC STERLING HEIGHTS 4068041A 751 5/10/2021 5437 CHRIS CRONIN PAINTING & STAINING INC STERLING HEIGHTS 1839110A 750 5/27/2021 5476 0.95 CLAUDES SPRINKLER REPAIR LLC STERLING HEIGHTS 5255236A 561 4/1/2021 5183 COMPASS BENEFIT GROUP LTD STERLING HEIGHTS 4396111A 265 6/29/2021 8810 COVES OF STERLING HEIGHTS HOMEOWNERS STERLING HEIGHTS 1953958A 618 6/20/2021 9015 ASSOCIATION CREMATIONCHOICE COM LLC STERLING HEIGHTS 5700086A 380 4/7/2021 9620 CRISAN GRANITE INC STERLING HEIGHTS 4202180A 750 4/6/2021 5348 CUETER PROPERTIES INC STERLING HEIGHTS 0985287A 215 6/12/2021 8810 D AND R TECHNOLOGY INC STERLING HEIGHTS 3389383A 1,633 4/1/2021 3632 0.95 DEER TRAIL ASSOCIATION STERLING HEIGHTS 6200125A 643 6/13/2021 9015 DIAMOND EDGE LAWN AND TURF SERVICES LLC STERLING HEIGHTS 6204155A 523 6/23/2021 9102 DIRECT PLUS INC STERLING HEIGHTS 5985692A 1,042 4/18/2021 5437 EAGLE CONCRETE WALLS INC STERLING HEIGHTS 5196035A 750 6/14/2021 5215 EAST POINTE VILLA ASSOCIATION STERLING HEIGHTS 0892831A 750 6/28/2021 5183 EASY HOME IMPROVEMENT LLC STERLING HEIGHTS 5712688A 4,551 5/5/2021 5221 0.95 EFTA DESIGN STERLING HEIGHTS 5397588A 750 4/21/2021 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ELITE CUSTOM DESIGN AND CONSTRUCTION INC STERLING HEIGHTS 5990114A 800 4/27/2021 5022 F AND E TRUCKING INC STERLING HEIGHTS 6000959A 750 6/4/2021 7208 FLATROCK CONCRETE CONSTRUCTION INC STERLING HEIGHTS 3049370A 751 6/24/2021 5221 FRONT DOOR HOUSEKEEPING LLC STERLING HEIGHTS 5982111A 2,265 4/4/2021 9015 0.95 G B TILE MARBLE INSTALLATION STERLING HEIGHTS 3743390A 750 4/4/2021 5348 GATTOS CARPET INSTALLATION STERLING HEIGHTS 0783919A 750 5/1/2021 5348 GIGLIO ALDO STERLING HEIGHTS 6187587A 285 5/22/2021 8013 GODO TRUCKING LLC STERLING HEIGHTS 4733185A 3,077 4/2/2021 7208 0.92 GOLDEN LAWNCARE LLC STERLING HEIGHTS 5709164A 1,162 4/27/2021 9102 0.95 GROWING GREEN GARDENS STERLING HEIGHTS 5572843A 837 6/15/2021 0035 HEAVENLY GARDENING SERVICE LLC STERLING HEIGHTS 5848725A 1,200 4/14/2021 0042 HENDERSON COLORS LLC STERLING HEIGHTS 6201245A 1,652 6/17/2021 5476 HINSKE APPLICATIONS LLC STERLING HEIGHTS 6190707A 1,095 5/29/2021 5191 J B IMPROVEMENTS LLC STERLING HEIGHTS 2624249A 750 6/7/2021 5437 JFC FLOOR COVERING STERLING HEIGHTS 0873888A 540 6/28/2021 9521 JIM GROSS DOORS LLC STERLING HEIGHTS 3352730A 750 4/1/2021 5102 JISI GROUP LLC STERLING HEIGHTS 5299462A 1,254 5/28/2021 8010 0.95 K P TILE & MARBLE LLC STERLING HEIGHTS 5471575A 751 6/3/2021 5348 KRAATZ PLUMBING INC STERLING HEIGHTS 4575350A 561 4/13/2021 5183 KSN STERLING HEIGHTS 5713366A 709 5/16/2021 0042 LAKESIDE VILLAS ASSOCIATION STERLING HEIGHTS 1620916A 568 4/19/2021 9015 LAKEVIEW VILLAGE CONDOMINIUM ASSOC STERLING HEIGHTS 1900811A 568 4/19/2021 9015 LEONARDOS CONSTRUCTION INC STERLING HEIGHTS 5991650A 825 5/25/2021 5606 LINDEN CONSTRUCTION LLC STERLING HEIGHTS 5569184A 1,850 6/2/2021 5221 0.95 LONE STAR TOWING INC STERLING HEIGHTS 5544726A 825 5/27/2021 7208 MALIKS INC STERLING HEIGHTS 1575457A 1,038 6/29/2021 8017 0.95 MASTERCRAFT HOMES INC STERLING HEIGHTS 0330000A 2,950 4/23/2021 5645 0.95 MICHIGAN GUTTER MAN LLC STERLING HEIGHTS 6206891A 1,344 6/26/2021 9015 MSB INVESTMENTS LLC STERLING HEIGHTS 4933346A 656 6/25/2021 9102 NAAY TRUCKING INC STERLING HEIGHTS 6190804A 750 5/29/2021 7208 NORMS CARPET AND FLOORCOVERINGS INC STERLING HEIGHTS 1885570A 598 6/29/2021 2380 NORTH BLOOMFIELD PROPERTIES INC STERLING HEIGHTS 1299042A 568 4/4/2021 8810 OX SECURITY LLC STERLING HEIGHTS 5982200A 1,456 4/4/2021 7720 PLATINUM COATINGS LLC STERLING HEIGHTS 5831113A 800 4/3/2021 5476 RELIABLE CARE LLC STERLING HEIGHTS 5673690A 6,976 5/16/2021 8835 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 137 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RIC MAN DETROIT INC STERLING HEIGHTS 6114113A 18,843 6/30/2021 6319 SELECTIVE CONSTRUCTION CORPORATION STERLING HEIGHTS 0766038A 2,749 5/17/2021 5606 0.95 SERVICO PLUMBING INC STERLING HEIGHTS 1916726A 561 6/19/2021 5183 SHAMI INC STERLING HEIGHTS 3723089A 1,082 6/29/2021 8017 0.95 SILVER PINES VILLAGE CONDOMINIUM STERLING HEIGHTS 4240189A 618 4/11/2021 9015 ASSOCIATION SIMONE CONTRACTING CORPORATION STERLING HEIGHTS 0224910A 2,829 6/30/2021 8227 1.91 13 % STEEPLECHASE CONDOMINIUMS I ASSOCIATION STERLING HEIGHTS 2640198A 568 4/19/2021 9015 STERLING FLOORS & KITCHENS STERLING HEIGHTS 1277871A 540 6/24/2021 9521 SUPERIOR TITLE AND SETTLEMENT AGENCY LLC STERLING HEIGHTS 4757912A 265 6/21/2021 8810 THERAPEUTIC CONCEPTS LLC STERLING HEIGHTS 1459350A 231 6/11/2021 8810 0.95 TOMS PAINTING AND HOME IMPROVEMENT CO STERLING HEIGHTS 2915553A 750 6/2/2021 5476 INC TRI COUNTY ELECTRICAL SERVICE LLC STERLING HEIGHTS 5986923A 886 4/18/2021 5190 V AND G PAINTING LLC STERLING HEIGHTS 5983185A 801 5/19/2021 5476 VENDITE HOMES LLC STERLING HEIGHTS 6000606A 750 6/2/2021 5437 VUKAJ CONSTRUCTION LLC STERLING HEIGHTS 5850983A 800 4/7/2021 5476 WINNERZ CIRCLE LLC STERLING HEIGHTS 6199682A 825 6/13/2021 7208 Z AND N LOGISTIC INC STERLING HEIGHTS 6197655A 750 6/11/2021 7208 M AND EM SERVICE LLC STEVENSVILLE 5721725A 395 6/3/2021 8006 MERKELS FLOOR COVERING INC STEVENSVILLE 2541947A 540 5/6/2021 9521 OMEGA TREE SERVICE LLC STEVENSVILLE 5392870A 4,360 4/1/2021 0106 0.95 ORIENTAL FOOD SPECIALTIES STEVENSVILLE 0976466A 329 6/29/2021 9058 EMERALD VALLEY SOD & WATERBOY STOCKBRIDGE 3386031A 709 6/9/2021 0042 ALLEN LOGGING LLC STURGIS 5571120A 750 6/9/2021 2709 GARCIA TRUCKING LLC STURGIS 5986990A 2,841 4/18/2021 5445 GEST TREE SERVICE LLC STURGIS 5791510A 12,279 4/6/2021 0106 1.50 13 % MINGUS BRENT STURGIS 6172687A 506 5/2/2021 0128 PARKERS HOME IMPROVEMENT LLC STURGIS 4517695A 750 5/16/2021 5645 0.95 RAY OF SUNSHINE COMPANIONS LLC SUPERIOR TOWNSHIP 6183549A 851 5/14/2021 8835 CENTURY FARM LLC SUTTONS BAY 5865662A 702 5/18/2021 9015 TORRES PAINTING SUTTONS BAY 6198643A 1,443 6/12/2021 5476 BRADLEY BILL SWARTZ CREEK 3550842A 751 5/13/2021 5221 CHRISTOPHER S FIX INC SWARTZ CREEK 2551144A 750 4/20/2021 5022 ELMA LLC SWARTZ CREEK 5985110A 618 4/13/2021 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HATCH ENTERPRISES INC SWARTZ CREEK 3955516A 1,126 6/22/2021 9058 0.95 HOMER CONRAD CEMENT LLC SWARTZ CREEK 5555132A 750 5/3/2021 5221 MEYER SCOTT SWARTZ CREEK 6004709A 750 6/15/2021 5476 SPRINGBROOK EAST CONDOMINIUM SWARTZ CREEK 4241452A 568 6/3/2021 9015 ASSOCIATION OF SWARTZ CREEK TLC TREE & STUMP REMOVAL LLC SWARTZ CREEK 3226204A 1,459 5/6/2021 0042 0.95 PHOENIX SERVICES ANN ARBOR LLC SYLVANIA, OH 3160769A 50,692 6/7/2021 3400 0.96 A AND G ENVIRONMENTAL SOLUTIONS LLC SYRACUSE, IN 6184332A 750 5/22/2021 5183 GRUS INC TAMPA, FL 3410684A 16,610 4/1/2021 5040 0.95 BLUE WATER INSULATION TAWAS CITY 5878063A 1,377 6/20/2021 5479 FRED STRAUER CONTRACTING TAWAS CITY 1131036A 750 6/21/2021 5221 0.95 JACQUES TIMBER LLC TAWAS CITY 5980879A 1,470 4/1/2021 2709 NORTHERN PAINTING TAWAS CITY 5996279A 1,133 5/17/2021 5476 SHORELINE CONTRACTING CO LLC TAWAS CITY 2870657A 3,698 6/16/2021 6217 0.94 ALEXA TRUCKING LLC TAYLOR 6157041A 751 4/16/2021 7208 ALL WOOD TREE SERVICE INC TAYLOR 1873571A 3,124 5/2/2021 0106 0.95 ALLORE DOUGLAS TAYLOR 5402115A 540 5/6/2021 9521 ALTIZER CONSTRUCTION INC TAYLOR 5878420A 750 6/22/2021 5437 B AND A HOME IMPROVEMENT TAYLOR 3579760A 750 4/22/2021 5645 BARRON CONSTRUCTION TAYLOR 4979672A 750 4/27/2021 5551 BREKKE REMODELING CORP TAYLOR 5567661A 825 4/25/2021 5645 BUILT BY BRIAN TAYLOR 5727901A 2,111 6/29/2021 5445 0.95 CARDINAL ERNEST MICHAEL JR TAYLOR 5706777A 750 5/5/2021 7208 CIANI TIMOTHY TAYLOR 6006671A 3,660 6/21/2021 5645 DABROWSKI INVESTMENTS INC TAYLOR 5971764A 2,045 6/2/2021 9015 DETROIT INTERMODAL TRANSPORT INC TAYLOR 5259002A 1,266 4/6/2021 7208 DIAZ BRICK PAVERS TAYLOR 5978114A 751 5/15/2021 5221 ESSEX HYBRID SEED COMPANY INC TAYLOR 6150829A 328 5/16/2021 8810 G N J SERVICES LLC TAYLOR 5262763A 2,044 4/17/2021 5445 HOTEL FURNITURE LIQUIDATORS INC TAYLOR 5068495A 2,005 6/26/2021 8044 0.95 HOYS CONCRETE REMOVAL CORPORATION TAYLOR 4736745A 801 5/13/2021 5221 0.95 HUTCHISON LLC TAYLOR 4988876A 656 4/19/2021 9402 INTERNATIONAL ASSOCIATION OF HEAT & FROST TAYLOR 3211380A 652 5/24/2021 8755 0.95 INSULATORS & ASBESTOS WORKERS LOCAL UNION 207 K 9 ACADEMY TRAINING FACILITY LLC TAYLOR 5714036A 1,220 5/9/2021 8831 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 139 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARINAS SELECT SERVICES INC TAYLOR 1261924A 1,276 5/23/2021 9058 0.95 MARTINES ELVIN LOBO TAYLOR 5725720A 800 6/6/2021 5645 MAXIMUM WELDING LLC TAYLOR 3481735A 698 4/14/2021 3365 PASTERN WILLIAM TAYLOR 4635620A 750 6/5/2021 5476 PERFECT PLACE DROP IN CENTER INC TAYLOR 5678056A 556 5/1/2021 8832 PRECIOUS PAINTING PLUS TAYLOR 5571650A 750 4/24/2021 5476 RUHLIG JOHN TAYLOR 0911828A 800 5/10/2021 5645 SILVER TOUCH LANDSCAPING LLC TAYLOR 4824407A 1,286 6/2/2021 9102 SIMPSON BROTHERS CONSTRUCTION INC TAYLOR 4215567A 1,080 5/12/2021 5645 0.95 SONS TRUCK AND TRAILER REPAIR LLC TAYLOR 5714494A 2,076 6/20/2021 8387 0.95 STERLING HAIR LLP TAYLOR 5874904A 637 6/8/2021 9586 TAYLOR AC INC TAYLOR 0071960A 778 4/1/2021 9058 TRUE DREAMS INC TAYLOR 4256204A 1,577 5/21/2021 8835 0.95 WIX CARPET TAYLOR 4454685A 560 5/16/2021 9521 LOGOS DISTRIBUTION SERVICES INC TECUMSEH 4351371A 5,045 5/21/2021 7208 SUNSHINE POWER SPORTS INC TECUMSEH 5987482A 1,278 4/19/2021 8387 GUTTER TECHS LLC TEKONSHA 6203078A 757 6/20/2021 5538 BEDFORD TOWNSHIP LIONS CLUB CHARITIES TEMPERANCE 5572681A 327 6/11/2021 8008 INC JOHN MARCUM PROMOTIONS INC TEMPERANCE 2669609A 4,103 4/23/2021 8720 0.95 KARAS CRITTER CARE LLC TEMPERANCE 5553873A 391 4/29/2021 8831 LUTHERAN HOUSING SERVICES 8 NON PROFIT TEMPERANCE 2769115A 1,215 5/9/2021 9015 HOUSING CORPORATION SURESEAL TEMPERANCE 3354717A 6,342 4/13/2021 5551 0.90 VINTAGE FINDS & REDESIGN LLC TEMPERANCE 5990068A 405 4/26/2021 8017 COLLINS AND COMPANY OF MICHIGAN THOMPSONVILLE 2105713A 750 5/15/2021 5645 DAK BUILDERS INC THOMPSONVILLE 3149900A 338 4/1/2021 5606 0.95 DELT SERVICES LLC THORNTON, CO 6001661A 1,671 6/26/2021 0035 LIVWELL MICHIGAN LLC THORNTON, CO 6192793A 11,190 6/3/2021 0035 BERKHEIMER ENTERPRISES LLC THORNVILLE, OH 5866278A 1,656 5/19/2021 3365 BROOKWOOD FARMS THREE OAKS MI LLC THREE OAKS 4887867A 505 4/8/2021 0128 GRAHAM SERVICES LLC THREE OAKS 4229517A 2,623 6/17/2021 0106 0.95 THREE OAKS TOWNSHIP THREE OAKS 1452835A 4,489 4/13/2021 7904 0.95 RELIABLE AFFORDABLE DEPENDABLE THREE RIVERS 2990180A 750 5/15/2021 5645 0.95 CONSTRUCTION INC SMILLIE MIKE THREE RIVERS 0397687A 800 4/12/2021 5645 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 140 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ST JOSEPH COUNTY TRANSPORTATION THREE RIVERS 4334680A 77,919 4/1/2021 7212 2.01 30 % AUTHORITY ADVANTAGE TRANSPORT LLC TIPTON 5697387A 800 4/1/2021 7208 SAND LAKE VOLUNTEER FIRE DEPARTMENT TIPTON 0891754A 4,024 4/1/2021 7704 0.94 WILLIAMS FARMS TIPTON 2017814A 534 5/15/2021 0129 ALTERNATIVE STAFFING INC TOLEDO, OH 2882574A 32,219 5/30/2021 8392 0.81 CYBERSHED INC TOLEDO, OH 5106877A 1,090 5/8/2021 8017 0.95 DOUGS HANDYMAN SERVICE TOLEDO, OH 5424208A 750 5/9/2021 5445 GREAT LAKES MEDICAL SERVICES LLC TOLEDO, OH 5575010A 315 6/30/2021 8832 IVY DEVELOPMENT AGENCY LLC TOLEDO, OH 5715121A 797 5/11/2021 5213 QUEST DEVELOPMENT OF OHIO INC TOLEDO, OH 6013546A 907 5/25/2021 9015 TOLEDO BUILDING SERVICES CO TOLEDO, OH 2270072A 8,763 6/14/2021 9015 0.91 TOTAL ENVIRONMENTAL SERVICES LLC TOLEDO, OH 3122948A 1,036 6/24/2021 5479 WILLSON INTERNATIONAL INC TONAWANDA, NY 0962546A 1,216 6/22/2021 8810 0.95 EAST COAST METROLOGY LLC TOPSFIELD, MA 4888227A 690 5/10/2021 8601 0.95 ANGEL CARE CHILD CARE INC TRAVERSE CITY 4716540A 4,241 5/1/2021 8869 1.00 BAY AREA HOODS LLC TRAVERSE CITY 6047009A 568 4/23/2021 9015 BAY SPRAY ENTERPRISES INC TRAVERSE CITY 0430234A 783 4/7/2021 9015 0.95 BCK VENTURES LLC TRAVERSE CITY 6078940A 265 6/27/2021 8810 BEAN RIDGE RESOURCES LLC TRAVERSE CITY 6191576A 313 5/30/2021 8601 BIG BAY PLUMBING AND HEATING LLC TRAVERSE CITY 5545110A 4,579 4/13/2021 5183 0.95 BREAK N WAVES INC TRAVERSE CITY 2722763A 1,258 5/27/2021 6836 BRYANS INSURANCE AGENCY & FINANCIAL TRAVERSE CITY 4238672A 295 6/30/2021 8810 SECURITY OFFICE INC BUCS UNLIMITED CUSTOMER SERVICE LLC TRAVERSE CITY 5850002A 800 4/5/2021 5645 BUTCH STRAIT INSPECTIONS PLC TRAVERSE CITY 5391148A 340 6/10/2021 8720 CARLSON TREE SERVICE CO TRAVERSE CITY 5017440A 3,823 4/11/2021 0042 0.92 CHERRYFLEX INC TRAVERSE CITY 0732974A 1,242 6/23/2021 6504 0.95 E COPIA LLC TRAVERSE CITY 4786254A 215 6/7/2021 8810 EL GRUPO NORTE YOUTH CYCLING TRAVERSE CITY 5559871A 1,246 5/12/2021 9015 GRAND BAY MOVING & STORAGE LLC TRAVERSE CITY 5719313A 2,007 6/6/2021 7214 0.95 GRAND TRAVERSE SEALCOATING & STRIPING TRAVERSE CITY 6180604A 2,014 6/1/2021 5476 LLC GREAT LAKES EXPRESS DELIVERY LLC TRAVERSE CITY 5431115A 825 4/14/2021 7208 0.95 GREAT LAKES FORGE INC TRAVERSE CITY 1420704A 3,104 5/26/2021 3110 0.95 GREAT LAKES UNDERWATER EXPLORERS LLC TRAVERSE CITY 1412817A 583 5/15/2021 8017 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 141 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge H AND H CO LLC TRAVERSE CITY 1773062A 1,860 5/29/2021 8279 0.95 HAMMOND TREE SERVICE LLC TRAVERSE CITY 6000533A 3,532 5/31/2021 0106 HENNRICK KENNETH TRAVERSE CITY 0785261A 568 6/16/2021 9015 HEPNER DRILLING SERVICES LLC TRAVERSE CITY 5999626A 520 6/1/2021 8742 HERITAGE SUSTAINABLE ENERGY LLC TRAVERSE CITY 3569446A 3,658 4/12/2021 7539 0.95 INHABITECT LLC TRAVERSE CITY 5133521A 2,883 5/24/2021 9102 0.95 J W FARMS TRAVERSE CITY 5726603A 800 5/27/2021 2702 JAW CONSTRUCTION GROUP LLC TRAVERSE CITY 6003214A 800 6/11/2021 5645 JEREMY PAUPORE CONSTRUCTION LLC TRAVERSE CITY 5216990A 750 6/14/2021 5645 KRC TRUCKING LLC TRAVERSE CITY 5903769A 4,815 6/18/2021 7208 LAKE ANN ENTERPRISES INCORPORATED TRAVERSE CITY 5126584A 291 4/12/2021 8810 LKS BUILDERS AND PROPERTY MANAGEMENT TRAVERSE CITY 6188303A 825 5/23/2021 5538 LLC MAYBELL OUTDOORS LLC TRAVERSE CITY 5783143A 1,336 5/16/2021 0042 MCLEOD BUSINESS SERVICES LLC TRAVERSE CITY 5989027A 293 5/6/2021 8601 MILLWARD CUSTOM HOMES LLC TRAVERSE CITY 4765400A 813 4/25/2021 5645 0.95 MONTERROSO KARINA TRAVERSE CITY 5853400A 750 4/11/2021 5645 NIELSEN CONSTRUCTION SERVICES LLC TRAVERSE CITY 5333040A 848 5/30/2021 5645 1.71 13 % NORTHERN MICHIGAN HARDSCAPES LLC TRAVERSE CITY 4679024A 1,953 5/26/2021 0042 0.95 NORTHWEST MICHIGAN REGIONAL FIRE TRAVERSE CITY 5125480A 753 4/16/2021 8868 TRAINING CENTER NORTHWEST MICHIGAN RURAL HOUSING TRAVERSE CITY 6153453A 389 4/14/2021 8810 PARTNERSHIP INC NORTHWOODS LANDSCAPING AND SUPPLY LLC TRAVERSE CITY 3196119A 750 6/11/2021 0042 OHLERT SERVICES LLC TRAVERSE CITY 5706734A 561 4/20/2021 5183 ORCHARD CLEANING SERVICES LLC TRAVERSE CITY 6183662A 4,330 5/15/2021 9015 OTTAWAY OUTFITTERS LLC TRAVERSE CITY 5721814A 2,130 5/1/2021 7380 0.95 PETES CUSTOM CONCRETE INC TRAVERSE CITY 5140439A 2,439 5/2/2021 5022 PREFERRED ROOFING SERVICES LLC TRAVERSE CITY 5415721A 16,518 6/19/2021 5552 0.79 RIPS RENTALS LLC TRAVERSE CITY 4248651A 2,640 6/30/2021 6826 ROYAL STAG FARM LLC TRAVERSE CITY 6168922A 753 4/29/2021 0130 SCHILLINGER FORESTRY LLC TRAVERSE CITY 5404592A 1,676 5/13/2021 0005 0.95 SHINE OF LANSING LLC TRAVERSE CITY 5690579A 4,902 4/15/2021 9015 0.95 SUNSET TREE REMOVAL LLC TRAVERSE CITY 5256437A 10,194 4/1/2021 0106 0.89 SUNSET WATERSPORTS INC TRAVERSE CITY 3030342A 2,234 5/28/2021 6836 0.95 TC WATERSPORTS LLC TRAVERSE CITY 3955133A 1,391 5/30/2021 6836 0.95 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 142 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge THOMAS DANIEL TRAVERSE CITY 5993610A 750 5/9/2021 5551 TRAVERSE CITY GARAGE LLC TRAVERSE CITY 4875079A 2,047 5/4/2021 8395 0.95 WALTON CONTRACTING INC TRAVERSE CITY 6091997A 3,337 6/16/2021 6217 WARREN ORCHARDS LLC TRAVERSE CITY 0080659A 2,180 6/1/2021 0130 0.98 WATCHILL LLC TRAVERSE CITY 3305600A 239 5/20/2021 8810 WILLETTE DANIEL J TRAVERSE CITY 2143399A 750 4/25/2021 5476 A AND M PAINTING AND CARPENTRY INC TRENTON 5915210A 993 6/18/2021 5476 A D E A L LLC TRENTON 4959230A 1,324 4/6/2021 5606 0.95 D AND G TRENTON LLC TRENTON 5376327A 754 6/1/2021 9058 0.95 GERISH HOMES LLC TRENTON 5143713A 618 5/24/2021 9015 GIBRALTAR RECYCLING LLC TRENTON 4978889A 758 5/16/2021 8107 LIQUID SOLID WASTE REDUCTION INC TRENTON 1615998A 750 4/5/2021 4511 MERRITT INTERIORS TRENTON 1738860A 800 5/2/2021 5476 MHI INC TRENTON 0542466A 750 6/1/2021 3724 PERFECT CUT LAWN CARE INC TRENTON 1073761A 785 5/5/2021 0042 SWADE MADELINE TRENTON 6199470A 619 6/13/2021 9015 WEP HOLDINGS INC TRENTON 3725332A 611 6/20/2021 0908 WAYBRANT LOGGING TROUT LAKE 0093033A 750 6/27/2021 2702 ALL SEASONS SUN ROOMS PLUS LLC TROY 5993695A 750 5/9/2021 5645 AMERICAN SOCIETY OF EMPLOYERS TROY 4993012A 4,298 6/30/2021 8810 0.89 APEX CLEANING SERVICES LLC TROY 6000517A 6,397 6/1/2021 8835 BASILIA INC TROY 5495709A 750 5/15/2021 7213 1.62 13 % BRANHAM ANTHONY J TROY 4209265A 750 6/2/2021 5645 C AND C TILE TROY 0240710A 750 4/21/2021 5348 C J KOMASARA CONSTRUCTION TROY 1477820A 750 4/20/2021 5437 CAPITOL PAINTING INC TROY 3694909A 752 6/12/2021 5476 D AND M SERVICE & DESIGN INC TROY 4352203A 582 6/7/2021 3724 DEARBORN TOWN & COUNTRY CONDOMINIUM TROY 0857777A 568 4/3/2021 9015 ASSOCIATION DEDICATED FLOOR HOLDINGS LLC TROY 2707470A 800 6/1/2021 5348 0.95 DJC PROPERTY MANAGEMENT INC TROY 5974259A 1,066 4/1/2021 0042 DWYER CONSTRUCTION LLC TROY 3918246A 750 4/30/2021 5645 ELEGANCE CLEANING & SOLUTIONS SERVICES TROY 6000088A 643 5/29/2021 9015 LLC ELMAR FLOORING LLC TROY 5915554A 750 6/16/2021 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EPK CONSTRUCTION CO TROY 3458997A 750 6/28/2021 5551 FAIRVIEW CONSTRUCTION INC TROY 5127297A 2,096 4/30/2021 5606 0.95 FAITH WORK INC TROY 4465385A 396 4/21/2021 8017 G BONKOWSKI BLDG CO TROY 1884786A 750 6/26/2021 5437 GENUINE CONTRACTING COMPANY LLC TROY 5053714A 2,581 4/25/2021 5437 0.95 GLOBAL DIVERSIFIED SOLUTIONS LLC TROY 5406870A 313 5/21/2021 8742 HANDY MAKSIM LLC TROY 5899176A 750 5/19/2021 5102 HOMEFORM CORP TROY 2838605A 820 4/17/2021 5190 0.95 HR PAYROLL INC TROY 5797233A 283,017 4/1/2021 4244 1.51 J AND B TRANSPORTATION INC TROY 3210936A 2,193 4/22/2021 7212 0.95 JM BELL CONSTRUCTION LLC TROY 5132274A 800 5/21/2021 5645 JST ENTERPRISE LLC TROY 3163059A 568 4/1/2021 9015 KURTENBACH INVESTMENTS LC TROY 4589866A 1,855 6/2/2021 9015 0.95 LEWIS KENDRA TROY 5577268A 307 6/4/2021 0908 LUDOVIK PAINTING LLC TROY 3151336A 1,481 6/14/2021 5476 0.95 MAPLE PARK CONDOMINIUM ASSOCIATION TROY 5872340A 568 6/1/2021 9015 MCCOMB CONSTRUCTION CO INC TROY 0467561A 805 4/19/2021 5606 0.95 MIKES CONTRACTING SERVICES LLC TROY 5153085A 750 6/12/2021 5348 MJ CONSTRUCTION INC TROY 5127750A 750 4/17/2021 5445 MPI OF MICHIGAN INC TROY 0764957A 790 5/10/2021 8868 NORTHERN LANDSCAPE SERVICES LLC TROY 2090880A 812 5/11/2021 9102 0.95 P AND L REAL ESTATE MANAGEMENT INC TROY 5987601A 825 4/19/2021 7421 PAVLICK MARTIN G TROY 0767476A 350 6/22/2021 8742 PROMISE CARE SOLUTIONS LLC TROY 5982014A 1,285 4/4/2021 8835 PULSE INDUSTRIES INC TROY 5983304A 450 4/9/2021 5191 R I T A CARPENTRY LLC TROY 4055047A 757 4/15/2021 5538 RESERVE AT NORTHVILLE RIDGE CONDOMINIUM TROY 5027390A 568 5/1/2021 9015 ASSOCIATION RK INVESTMENTS CO INC TROY 5821231A 1,185 6/27/2021 8810 RMR CONSTRUCTION LLC TROY 4978994A 800 4/21/2021 5645 RONS CLEANING LLC TROY 5454450A 568 5/29/2021 9015 0.95 RYLYNN DITMER TROY 5988950A 530 6/4/2021 0913 SANDALWOOD SOUTH CONDOMINIUMS TROY 1752871A 984 4/15/2021 9015 ASSOICATION SANDERS LOGAN TROY 5308852A 530 6/22/2021 0913

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SDJV INC TROY 6138080A 2,646 5/6/2021 8835 SIX YS INC TROY 4370384A 2,440 6/29/2021 9058 1.00 SWIFT SERVICES 1 LLC TROY 3799867A 800 4/27/2021 5645 T AND T DESIGNS & CONSTRUCTION LLC TROY 3913325A 2,193 5/17/2021 5645 0.95 T G HOMES LLC TROY 6192246A 825 6/25/2021 5645 TG SERVICES LLC TROY 4239555A 712 6/15/2021 9015 0.95 THAI CAFE INC TROY 6172741A 1,769 5/12/2021 9058 TROY 18 WIRELESSES INC TROY 5862329A 527 5/4/2021 8017 TROY LANDSCAPE LLC TROY 3257274A 641 4/27/2021 9102 TRUCENTA LLC TROY 4229096A 801 4/1/2021 7202 TRUSTED TRADESMAN LLC TROY 5484022A 800 6/26/2021 5645 0.95 U SAVE RENTAL INC TROY 2811774A 515 4/24/2021 8387 UNITED PROFESSIONAL SOLUTIONS LLC TROY 5987822A 2,057 6/9/2021 8835 VILLAS OF OAK POINTE ASSOCIATION TROY 4175280A 568 4/1/2021 9015 W D BAKER CO TROY 1687611A 750 5/19/2021 5437 WALNUT GROVE HOMES LLC TROY 6202357A 690 6/19/2021 5610 WEMOVEPEOPLE USA LTD TROY 5442907A 997 6/11/2021 4484 0.95 WOOD LEWIS TROY 5702585A 307 4/4/2021 0908 WOODSON EDUCATION LLC TROY 5543975A 624 4/9/2021 8868 XIN POINT NORTH AMERICA INC TROY 5126932A 2,080 4/22/2021 8810 0.95 B AND B TRANZ LLC TRUFANT 5857554A 800 5/31/2021 7208 DOUBLE A LAWN CARE & SNOW REMOVAL LLC TRUFANT 6207499A 768 6/27/2021 9102 NORTH AMERICAN INSULATION & ENERGY LLC TUSTIN 4779924A 834 6/21/2021 5476 0.95 AQUATIC KA MARINE LLC TWIN LAKE 2443961A 1,553 5/1/2021 6834 1.00 ASAP HOME HEALTH CARE LLC TWIN LAKE 6201261A 1,360 6/30/2021 8835 GUY STANHOPE BUILDERS LLC TWIN LAKE 1463594A 750 5/22/2021 9521 0.95 J AND I CONSTRUCTION TWIN LAKE 3199282A 1,955 6/18/2021 5645 0.95 PAINTERS EDGE LLC TWIN LAKE 3934772A 1,053 6/20/2021 5476 TWIN LAKE TAVERN LLC TWIN LAKE 0608475A 491 4/6/2021 9058 WESTERN MICHIGAN BOAT RENTAL LLC TWIN LAKE 6201814A 750 6/18/2021 7380 ATLAS EXTERIORS & INSULATION INC TWINING 5868009A 800 5/25/2021 5645 FOREST CITY ERECTORS INC TWINSBURG, OH 0980056A 1,783 4/1/2021 5040 0.96 HOLBROOK CONSTRUCTION INC UBLY 3187110A 739 4/30/2021 0042 P AND P CONSULTING LLC UBLY 6148476A 800 4/7/2021 5476 GARRETT POWER CONSTRUCTORS CORP UNION, MO 6198724A 689 6/12/2021 7538 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 145 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SOUTHEAST PUBLIC SAFETY AUTHORITY UNION 3998738A 13,094 4/1/2021 7904 0.84 GOLDBERG JEFFREY M UNION PIER 5855748A 744 4/18/2021 0908 FRONTGATE VENTURES LLC UTICA 5393086A 859 4/2/2021 5606 0.95 GE CONTRACTORS LLC UTICA 6187005A 825 5/21/2021 5437 GLASS ACT SERVICES INC UTICA 5146747A 748 6/1/2021 9015 HAGEN INSULATION INC UTICA 2702630A 750 5/1/2021 5479 MY ONE PAINTER LLC UTICA 5725240A 800 6/17/2021 5476 SUNBYRNES CONSTRUCTION LLC UTICA 5988322A 802 4/23/2021 5606 UTICA SHELBY AUTOMOTIVE INC UTICA 0593990A 6,603 4/1/2021 8010 0.88 ARCMINUTE MARKETING LLC VAN BUREN 5980062A 428 4/1/2021 8810 GD COLLINS TRUCKING LLC VAN BUREN TWP 5398959A 2,737 5/1/2021 7208 0.95 SHANES LAWN CARE AND LANDSCAPING LLC VAN BUREN TWP 5856957A 2,037 4/12/2021 0042 0.95 MOUNT MORRIS MOBILE HOME PARK LLC VANCOUVER, WA 6180744A 755 5/12/2021 9015 A CUT ABOVE TREE SERVICE VASSAR 5013038A 4,066 6/21/2021 0106 0.94 CALLAHAN ELECTRIC LLC VASSAR 5991366A 1,085 5/3/2021 5190 GONDA CUSTOM SIDING & DECKS VASSAR 3496350A 750 5/18/2021 5551 JOSEPHS CONSTRUCTION LLC VASSAR 4006470A 2,014 6/22/2021 5645 0.95 KURT RODAMMER BUILDER VASSAR 4210085A 750 5/10/2021 5645 MID MICHIGAN TREE SERVICE LLC VASSAR 4630998A 1,914 6/30/2021 0106 0.95 RADTECH X RAY INC VASSAR 0357634A 351 4/27/2021 5191 COMPRO PAINTING LLC VENICE, FL 5559880A 825 5/16/2021 5476 BUILD MASTERS TRUCKING INC VERMONTVILLE 4739396A 6,128 4/14/2021 7208 0.89 BULLSEYE PEST SOLUTIONS LLC VERMONTVILLE 5262330A 3,697 4/16/2021 9015 0.95 PIONEER LOGGING LLC VERMONTVILLE 5917646A 750 6/26/2021 2702 ERM HOLLY LLC VERONA, WI 5863554A 1,716 5/10/2021 9015 0.95 KINGS DISPOSAL LLC VESTABURG 3122344A 3,522 5/8/2021 7213 DOG DAYS LLC VICKSBURG 5553946A 341 4/29/2021 8831 KH EXTERIORS LLC VICKSBURG 6192130A 3,123 6/2/2021 5645 NJW ELECTRIC LLC VICKSBURG 5569818A 470 6/4/2021 5190 RC PRECISION ROOFING LLC VICKSBURG 6201750A 7,182 6/18/2021 5551 STRONG TRUCKING LLC VICKSBURG 5715571A 800 5/12/2021 7208 RE RY LLC VIENNA, VA 5702780A 311 4/17/2021 8810 PLZENSKY SOKOL OF CHICAGO INC VILLA PARK, IL 1581899A 646 6/6/2021 9058 HAGER DEVELOPMENT GROUP LLC VIRGINIA BEACH, VA 6198872A 478 6/12/2021 8742

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COMMUNICATION WORKERS OF AMERICA LOCAL VULCAN 1691309A 251 4/6/2021 8755 NO 4025 DEBAKKER CONSTRUCTION VULCAN 2728206A 750 5/15/2021 5645 J Z NUISANCE CONTROL INC VULCAN 5762901A 656 5/24/2021 9402 JM STEEL INC VULCAN 4947410A 14,592 6/27/2021 5040 0.94 MILLIGAN STEPHEN M VULCAN 1519441A 750 6/24/2021 2702 RAYMOND HEWLETT TRUCKING INC VULCAN 4111478A 750 6/21/2021 7208 UNITED ABRASIVE INC VULCAN 0356948A 8,899 4/23/2021 1438 1.47 27 % DG TILE INC W BLOOMFIELD 6143202A 750 4/3/2021 5348 CJ MISKY TRUCKING INC WAKEFIELD 3940373A 752 5/17/2021 8810 MARKS MOBILE HOME SERVICE & SUPPLY INC WALBRIDGE, OH 5854679A 580 4/14/2021 8387 NOLAN CONTRACTING INC WALES 4842685A 750 6/27/2021 5022 0.95 A AND K TILE AND INTERIORS LLC WALKER 4952391A 750 5/2/2021 5348 J MARTINEZ CONSTRUCTION LLC WALKER 5168953A 11,114 4/5/2021 5551 0.85 MARKS PROFESSIONAL TREE SERVICE LLC WALKER 4684257A 1,065 4/19/2021 0106 0.95 MICHIGAN CREDITORS SERVICE LLC WALKER 1302132A 1,038 6/3/2021 8748 0.90 FOUR SEASONS LANDSCAPING WALKERVILLE 5993202A 825 5/8/2021 0042 ERICKSON PERRY R WALLACE 1849603A 750 6/4/2021 2702 FJ LOGGING WALLACE 5840554A 750 4/18/2021 2702 ALL AMERICAN CEMENT 2 LLC WALLED LAKE 5407443A 4,069 5/25/2021 5221 0.95 COPPER MUG BATTING CAGES INC WALLED LAKE 6194524A 619 6/8/2021 9015 DYNAMIC HOME SERVICES LLC WALLED LAKE 4763181A 825 4/18/2021 5348 EOTERRA LLC WALLED LAKE 5275075A 376 5/28/2021 8810 INY CONSTRUCTION LLC WALLED LAKE 5148235A 1,135 6/11/2021 5645 KARNAKIS CONSTRUCTION & MAINTENANCE WALLED LAKE 3499502A 800 5/1/2021 5476 MCINTOSH LTD WALLED LAKE 1817574A 4,667 5/1/2021 5551 0.93 NATHAN CONTRACTING GROUP LLC WALLED LAKE 4840852A 290 4/11/2021 8810 RED AND BLACK PAINTING LLC WALLED LAKE 5700159A 750 4/7/2021 5476 STANDARD HOME BUILDERS OF MICHIGAN INC WALLED LAKE 2821940A 750 4/18/2021 5403 C AND B DRYWALL WALLOON LAKE 3473864A 750 6/13/2021 5445 WALLOON SAILORS INC WALLOON LAKE 2858800A 544 6/17/2021 6836 ACOUSTIC FIBER TECHNOLOGIES INC WARREN 5980070A 522 4/1/2021 8810 ALBA STONE LLC WARREN 6003940A 568 6/13/2021 9015 ALL AMERICAN ELECTRIC INC WARREN 3880664A 520 6/8/2021 5190 0.95 ALL AROUND TOWING & RECOVERY INC WARREN 6167454A 801 4/28/2021 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL STAR CONSTRUCTION INC WARREN 3293360A 1,872 5/17/2021 5437 0.95 ALLIED SIDING & WINDOWS INC WARREN 2306263A 1,103 5/29/2021 5403 0.95 APPLE SCREENING LLC WARREN 2705796A 294 5/9/2021 8810 ARD CONSTRUCTION LLC WARREN 5856892A 1,740 4/23/2021 5437 0.95 ARROW FLEET REPAIR & MAINTENANCE LLC WARREN 6207650A 9,473 6/27/2021 8395 BAKERS FLOORING WARREN 4605225A 540 4/5/2021 9521 BEL AIR RACING GROUP WARREN 1769383A 1,328 5/6/2021 9015 0.95 BLUE SKIES ENERGY LLC WARREN 4459997A 3,032 5/11/2021 7502 0.95 C AND J PARKING LOT SWEEPING INC WARREN 1815571A 265 4/30/2021 8810 CHRISTIANS ENTERPRISE WARREN 5991218A 2,462 5/15/2021 7206 CONSERVATION TREE SERVICE WARREN 4961269A 1,227 4/2/2021 0106 1.00 DAN MAR CONSTRUCTION WARREN 4202244A 750 4/6/2021 5348 DANA EXPRESS SERVICE WARREN 5398053A 750 4/23/2021 5645 DETROIT AERIAL CLEANING INC WARREN 5422337A 4,137 4/1/2021 9015 0.95 DOUBLE TREE SERVICES AND LANDSCAPING INC WARREN 5422744A 750 5/28/2021 0106 0.95 EA PETRO 2 INC WARREN 5865808B 565 5/25/2021 8017 EUROPEAN TRUCKING CORP WARREN 3918289A 1,935 5/19/2021 7208 0.95 EZEL TRUCKING INC WARREN 5714648A 2,040 5/15/2021 7208 0.95 F AND L CONSTRUCTION LLC WARREN 5142334A 2,479 5/21/2021 5610 0.95 FRONT PAGE DELI WARREN LLC WARREN 4852095A 847 6/17/2021 9058 FUZZY FRIENDS GROOMING INC WARREN 4508688A 1,148 5/30/2021 8831 1.00 G AND G MASON CONTRACTORS WARREN 3349454A 750 6/28/2021 5022 GOOD CHOICE CONSTRUCTIONS INC WARREN 4357434A 800 6/12/2021 5551 GREEN TURF OUTDOOR SERVICES LLC WARREN 5702208A 891 4/12/2021 9102 HARDWOOD FLOORS BY DESIGN WARREN 4471040A 750 5/17/2021 5437 HURST GLEN WARREN 6175279A 215 5/9/2021 8810 ICD DRYWALL & PLASTER LLC WARREN 3582701A 826 6/5/2021 5445 0.95 ILLYRIAN GLASS & SHELF LLC WARREN 4171330A 802 4/14/2021 8810 INFINITY TRANSPORTATION INC WARREN 5270189A 2,455 5/13/2021 7208 0.95 INVECAST CORPORATION WARREN 2017369A 289 6/21/2021 3341 JACOBSON PAINTING INC WARREN 4151810A 1,526 5/18/2021 5476 0.95 JOHN R SPRING SERVICE INC WARREN 0576123A 7,454 6/16/2021 9015 0.95 KL RESTORATION INC WARREN 2906708A 750 5/25/2021 5437 M V KULIN HOMES INC WARREN 3778878A 750 5/9/2021 5183 MACOMB TOWING LLC WARREN 5241430A 5,954 5/2/2021 7208 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 148 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MED CARE HOME HEALTH CARE INC WARREN 5282306A 2,748 6/24/2021 8835 0.95 MERCURIOS FOOD SPECIALTIES INC WARREN 2114763A 519 5/14/2021 9058 METRO METAL CORPORATION WARREN 5146917A 349 5/31/2021 8742 MILLER EVAN WARREN 5877920A 568 6/20/2021 9015 MJM RESTORATION LLC WARREN 4651537A 1,254 4/29/2021 9015 0.95 NORBERT CONSTRUCTION WARREN 5278210A 750 6/7/2021 5645 OLD WORLD FINISHING INC WARREN 6196861A 740 6/10/2021 2881 PASSMORE 2 LLC WARREN 5997020A 1,688 5/18/2021 7720 PAYNE IN THE GLASS LLC WARREN 2118211A 800 4/23/2021 5645 PISANI CONTRACTING WARREN 5286727A 1,313 5/22/2021 5022 0.95 REAL DEEL FLOORING WARREN 6178987A 540 5/16/2021 9521 RNP ROOFING LLC WARREN 4784510A 10,101 6/4/2021 5551 0.89 ROADSTAR LLC WARREN 4757149A 2,483 6/5/2021 7208 S A T HOME IMPROVEMENT LLC WARREN 5980402A 750 4/1/2021 5645 SHAZ ENTERPRISES INC WARREN 3771407A 1,111 5/28/2021 8017 0.95 STS CONSTRUCTION LLC WARREN 4349016A 825 6/3/2021 5476 SUPERIOR BROTHERS WARREN 5822955A 568 6/22/2021 9015 SUPERIOR LIVING INC WARREN 4151607A 1,647 4/24/2021 9015 0.95 SYLLABLE INC WARREN 5409136A 2,757 6/6/2021 8010 0.95 THIRTY THOUSAND 51 SCHOENHERR LLC WARREN 6005624A 618 6/20/2021 9015 TIN MASTER INC WARREN 0014150A 9,877 4/26/2021 3066 1.56 27 % TRANS UA LLC WARREN 5982650A 2,939 4/5/2021 7208 0.95 WARREN PIZZERIA INC WARREN 5713870A 3,165 5/9/2021 9058 1.00 WARREN THERAPY INC WARREN 4841603A 743 5/6/2021 8832 0.95 WAY TRUCKING LLC WARREN 5991951A 2,501 5/15/2021 7206 WITH LOVE HOMECARE INC WARREN 4606531A 4,092 6/29/2021 8835 0.95 WOODWARD PAINTING LLC WARREN 6186920A 750 5/21/2021 5476 ZZ SERVICES WARREN 5992320A 750 5/4/2021 5476 ALL SEASONS ROOFS LLC WASHINGTON 5738970A 750 6/17/2021 5551 ASSURED SERVICES LLC WASHINGTON 4364864A 710 6/29/2021 0042 BROADSCOPE CONSTRUCTION LLC WASHINGTON 5991242A 750 5/1/2021 5437 C AND R PAINTING LLC WASHINGTON 2806207A 750 6/22/2021 5476 CASTLEMARK HOMES INC WASHINGTON 2567172A 750 6/29/2021 5645 DELRAY HOMES INC WASHINGTON 2922916A 815 5/16/2021 5606 DIRT CONNECTION INC WASHINGTON 2817608A 1,337 4/18/2021 5221 0.93 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 149 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ERFOURTH DENNIS M WASHINGTON 4872070A 750 6/26/2021 5645 J T QUALITY PAINTING LLC WASHINGTON 3623254A 750 5/11/2021 5476 JMC SERVICES INC WASHINGTON 5717213A 786 5/20/2021 5213 KONNIE ROOFING WASHINGTON 4995082A 750 6/19/2021 5551 LANDSCAPEONE INC WASHINGTON 4528069A 1,420 6/16/2021 0042 LEVEL ONE ACOUSTICAL INC WASHINGTON 3301761A 750 4/9/2021 5020 M L P PAINTING INC WASHINGTON 4406508A 751 5/13/2021 8810 MINI ANTONIO WASHINGTON 5991633A 750 5/2/2021 5022 NORTHERN STONE & BRICK CONSTRUCTION WASHINGTON 3286509A 750 6/27/2021 5348 0.95 CORP PRECISE CONSTRUCTION LTD WASHINGTON 0791849A 750 6/29/2021 5551 PREMIER PAINTING AND REMODELING INC WASHINGTON 1524615A 800 5/9/2021 5476 V AND G BUILDING COMPANY LLC WASHINGTON 1247760A 750 6/20/2021 5645 0.95 WASHINGTON LAWN MAINTENANCE WASHINGTON 5850851A 718 5/1/2021 9102 DEDJA CONSTRUCTION LLC WASHINGTON TWP 5396867A 800 5/15/2021 5437 GARY IOPPOLO TRUCKING LLC WASHINGTON TWP 4069013A 750 5/13/2021 7208 M J I QUALITY PAINTING WASHINGTON TWP 0714810A 750 6/27/2021 5476 MICHAELANGELO HOMES LLC WASHINGTON TWP 4646975A 750 6/28/2021 5645 0.95 NATIONWIDE INDUSTRIAL COATINGS WASHINGTON TWP 3093859A 750 6/7/2021 5221 PLUMBING EXPERTS LLC WASHINGTON TWP 5559235A 561 5/11/2021 5183 PRESTIGE MASONRY WASHINGTON TWP 5868181A 750 5/25/2021 5022 S AND F ENTERPRISES LLC WASHINGTON TWP 3497712A 5,105 5/9/2021 9058 0.89 T AND C TRIM INC WASHINGTON TWP 1898809A 750 4/30/2021 5437 TNT HOME IMPROVEMENT INC WASHINGTON TWP 2642654A 750 4/13/2021 5645 VENTON AND ASSOCIATES INC WASHNGTON 6148123A 304 4/6/2021 8742 A F BELLISARIO INC WATERFORD 3829448A 750 4/7/2021 5403 ADVANCED PLUMBING LLC WATERFORD 5804566A 611 5/2/2021 5183 AG DRYWALL LLC WATERFORD 3438112A 2,684 6/17/2021 5445 0.95 ARBOL TREE SERVICE WATERFORD 5738717A 5,142 5/23/2021 0106 0.95 AWS AFFORDABLE WINDOWS LLC WATERFORD 2995921A 750 6/28/2021 5645 BREAKOUT DEMOLITION LLC WATERFORD 6001394A 739 6/5/2021 5610 BURNSFIELD CONSTRUCTION LLC WATERFORD 4901231A 1,417 6/17/2021 5645 0.95 CASILLAS CONSTRUCTION WATERFORD 4856430A 1,502 4/1/2021 5022 0.95 CJ MOORE CUSTOM HOMES LLC WATERFORD 2876710A 800 4/6/2021 5403 CREW AND MGT SVCS LLC WATERFORD 5721733A 1,290 6/3/2021 7422 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DAVID W LUCIW DDS WATERFORD 1253506A 306 5/16/2021 8832 DDA WINDOWS WATERFORD 3458989A 750 5/18/2021 5645 DOING IT RIGHT CLEANING LLC WATERFORD 5439493A 568 6/21/2021 9015 DSL SERVICES INC WATERFORD 4055225A 830 4/17/2021 6834 1.00 ELEGANT FLOORS LLC WATERFORD 3884210A 379 4/28/2021 8017 G A SLADE EXCAVATING WATERFORD 1392786A 739 5/13/2021 6217 GD CONSTRUCTION LLC WATERFORD 3171710A 800 6/12/2021 5551 GOOD FELLAS TOWING WATERFORD 5984092A 1,661 4/11/2021 7208 GORAL CONSTRUCTION LLC WATERFORD 4882237A 750 5/21/2021 5645 IRONS PLUMBING WATERFORD 4516320A 1,864 4/19/2021 5183 0.95 J CRABB ROOFING WATERFORD 5255805A 825 4/1/2021 5551 0.95 JAKE RYAN LANDSCAPE GROUP LLC WATERFORD 5857880A 712 4/22/2021 0042 JOES GREAT AMERICAN TREE AND LAWN CARE WATERFORD 4272676A 2,377 6/26/2021 0042 1.00 LLC JS FIX WATERFORD 3856682A 750 5/26/2021 5476 K AND J CLEANING INC WATERFORD 3783642A 568 5/20/2021 9015 KELTIC CONSTRUCTION INC WATERFORD 3337499A 750 4/20/2021 5437 KEVIN R ESSIAN INC WATERFORD 4428366A 750 4/15/2021 5476 LAS MEXICANAS INC WATERFORD 5494958A 607 5/1/2021 8006 0.95 LINT LIFTER INC WATERFORD 5044847A 781 6/6/2021 9015 0.95 MAGNUM HELICOPTERS LLC WATERFORD 5723965A 1,209 6/14/2021 7422 0.95 MAHLAU ENTERPRISES LLC WATERFORD 6202136A 532 6/24/2021 8395 MAPLE ROOFING CONSTRUCTION INC WATERFORD 3636151A 2,032 4/7/2021 5551 0.95 MILOS PLASTER RESTORATION LLC WATERFORD 3977803A 750 4/12/2021 5445 NEW CREATION HOMES INC WATERFORD 5156645A 825 6/22/2021 5403 OAK POINTE WOODS ASSOCIATION WATERFORD 3573370A 569 5/1/2021 9015 OAKLAND FIREPLACE INC WATERFORD 2946980A 750 4/11/2021 5550 OVERHEAD DOOR NORTH RESIDENTIAL INC WATERFORD 1610341A 632 4/16/2021 3724 0.95 OVERHEAD DOOR WEST COMMERCIAL INC WATERFORD 1610341B 631 4/16/2021 3724 0.95 POHL CATS STUMP GRINDING INC WATERFORD 5392080A 750 4/1/2021 0106 RLR CONSTRUCTION WATERFORD 2840332A 750 6/25/2021 5551 ROBOCUT WATERFORD 4733819A 656 4/8/2021 9102 ROOFING DEPOT LLC WATERFORD 3036553A 805 6/8/2021 8810 ROOFING SOLUTIONS LLC WATERFORD 4470273A 750 5/14/2021 5551 RSC PAINTING LLC WATERFORD 5604826A 1,529 5/24/2021 5476 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SANICK PROPERTIES INC WATERFORD 3769143A 1,041 4/27/2021 5445 SKY HIGH HIGHRISE SERVICE WATERFORD 4226925A 801 4/29/2021 5476 STANDISH HOME FOR THE ELDERLY LLC WATERFORD 2367165A 471 5/25/2021 9053 SUNLIGHT CONSTRUCTION WATERFORD 2247674A 750 5/22/2021 5437 SUPERIOR STONEWORK LLC WATERFORD 2252139A 750 5/16/2021 5022 T E C CONSTRUCTION INC WATERFORD 1873709A 750 5/24/2021 5645 TGA ASSOCIATES LLC WATERFORD 2187663A 800 4/11/2021 5645 TRIDENT PLUMBING LLC WATERFORD 4190033A 561 5/31/2021 5183 UNDERCUTTERS TREE REMOVAL LLC WATERFORD 5867690A 16,741 5/24/2021 0106 0.91 VESSELIN CONSTRUCTION WATERFORD 3455920A 800 5/8/2021 5403 WATKINS LAKEFRONT OWNERS ASSOC WATERFORD 0948870A 1,188 5/11/2021 0005 0.95 WOODHULLS LAWN CARE WATERFORD 5864399A 706 5/12/2021 9102 DANCA LANDSCAPE AND BRICK DESIGN LLC WATERFORD TWP 4750268A 709 6/1/2021 0042 0.92 MYCO USA LLC WAUWATOSA, WI 4499336A 26,228 5/24/2021 7208 1.44 13 % ALLIED CONCRETE CONSTRUCTION LLC WAYLAND 3195309A 750 4/9/2021 5221 DIAMOND SAHARA EQUESTRIAN SERVICES LLC WAYLAND 5152313A 1,258 6/10/2021 8279 0.95 FARMERS TRUCKING WAYLAND 2256037A 825 4/23/2021 7208 KENNETH THOMPSON TILE INC WAYLAND 5424216A 750 6/5/2021 5348 MOISTURE X AIR SYSTEMS LLC WAYLAND 5262682A 6,206 4/17/2021 3724 0.92 RIDGELINE ELECTRIC LLC WAYLAND 5856248A 470 4/19/2021 5190 VANVOLKINBURG BUILDERS WAYLAND 5562015A 750 6/5/2021 5645 0.95 BELCHER JAMES WAYNE 2699125A 800 5/21/2021 5551 BNW HOME IMPROVEMENTS WAYNE 3378438A 2,840 5/7/2021 5645 CAL SIGN COMPANY WAYNE 0132306A 471 4/12/2021 3179 CUL MAC INDUSTRIES INC WAYNE 1182900A 626 4/25/2021 8810 LITTLE TREASURES DAYCARE CORPORATION WAYNE 5404002A 1,600 6/11/2021 8869 0.95 R A C REMODELLING PLLC WAYNE 5998689A 1,356 5/23/2021 5348 SANUM TRANSPORTATION LLC WAYNE 6184391A 263 5/16/2021 8810 SO CUSTOM PAINTING LLC WAYNE 6172270A 826 5/1/2021 5476 T N T TRAILER SALES LLC WAYNE 4097238A 468 6/14/2021 8393 BIG JOES SERVICES WEBBERVILLE 5720079A 740 5/26/2021 6217 NORTHFORK FARMS & OUTBACK LLC WEBBERVILLE 5712033A 751 5/29/2021 8279 TATUM TRANSPORT LLC WEBBERVILLE 5864356A 750 5/19/2021 7208 WEBSTER AND GRIFFES INC WEBBERVILLE 4333055A 2,263 4/6/2021 7208 AGGIE WELDING LLC WEIDMAN 5987660A 774 4/19/2021 3365 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 152 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GENES TREE SERVICE INC WELLS 0603198A 1,256 6/6/2021 0106 0.95 HORINA CANOE LIVERY WELLSTON 1176544A 494 6/15/2021 6836 J SEA CONSTRUCTION WELLSTON 5442788A 750 6/20/2021 5645 SELECT CUT LOGGING LLC WELLSTON 0106470A 3,024 4/17/2021 2702 1.00 AMERICAN STONE INC WEST BLOOMFIELD 4293754A 750 6/26/2021 5348 MED STAT USA LLC WEST ALLIS, WI 6004555A 5,443 6/15/2021 7202 AEROLUX LLC WEST BLOOMFIELD 6200311A 4,600 6/16/2021 5645 BOSSOLUTIONS LLC WEST BLOOMFIELD 5703506A 750 6/19/2021 5190 BULL JOHN WEST BLOOMFIELD 5856094A 1,404 4/26/2021 0913 0.95 CENTAUR FARM VILLAGES CONDOMINIUM WEST BLOOMFIELD 0782092A 568 5/10/2021 9015 ASSOCIATION INCORPORATED CETNER MANFORD WEST BLOOMFIELD 0961108A 229 5/28/2021 8742 CREEKSIDE PLACE INC WEST BLOOMFIELD 4637496A 2,673 5/20/2021 9053 0.95 DISTINCTIVELY OLIVER HOMES INC WEST BLOOMFIELD 0109339A 800 5/28/2021 5645 E AND M TRANSPORT LLC WEST BLOOMFIELD 6196616A 756 6/9/2021 8810 E H TROY CORPORATION WEST BLOOMFIELD 3777553A 215 6/13/2021 8810 ELITE HARDWOOD FLOORING LLC WEST BLOOMFIELD 2948605A 800 5/1/2021 5437 EVANS LANDSCAPING AND UPGRADES WEST BLOOMFIELD 6207545A 718 6/27/2021 9102 FERBER FRED WEST BLOOMFIELD 4213459A 307 5/3/2021 0908 FOUR SEASONS CONTRACTING INC WEST BLOOMFIELD 3408760A 750 6/15/2021 5476 0.95 GILBERT HOMES INC WEST BLOOMFIELD 1044036A 757 5/21/2021 8810 0.95 IP MANAGEMENT LLC WEST BLOOMFIELD 4978250A 750 6/25/2021 5445 JEHK LLC WEST BLOOMFIELD 5691150A 750 4/9/2021 5645 JK CONSTRUCTION INC WEST BLOOMFIELD 0849588A 751 6/16/2021 9521 0.95 JOYNER ROBERT WEST BLOOMFIELD 3908810A 540 4/25/2021 9521 JUMP NATION LLC WEST BLOOMFIELD 5868122A 2,770 6/20/2021 9015 0.95 LINDA JOAN HACK TRUST WEST BLOOMFIELD 0904082A 357 5/17/2021 0908 LUMA CONSTRUCTION LLC WEST BLOOMFIELD 5412307A 825 6/10/2021 5645 MARK ADLER HOMES LLC WEST BLOOMFIELD 5279968A 2,288 6/12/2021 5606 0.88 MIAMI TRANSPORT INC WEST BLOOMFIELD 6159893A 800 5/29/2021 7208 MICHIGAN PEDIATRIC ENT ASSOCIATES PLLC WEST BLOOMFIELD 3442012A 3,366 6/3/2021 8832 0.95 MIDWEST POLICE MOTORCYCLE TRAINING INC WEST BLOOMFIELD 4457951A 316 4/7/2021 8868 MISSION SPRINGS HOMEOWNERS ASSOCIATION WEST BLOOMFIELD 3527689A 568 4/21/2021 9015 MK HOMES LLC WEST BLOOMFIELD 5570581A 800 6/8/2021 5183 MSNTAYLER LLC WEST BLOOMFIELD 5999510A 860 5/25/2021 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NEW FINISH DRYWALL INC WEST BLOOMFIELD 1686704A 750 5/4/2021 5445 NOTHING BUT EDUCATION LLC WEST BLOOMFIELD 6161146A 313 4/21/2021 8601 NU GROUNDS LLC WEST BLOOMFIELD 5720630A 709 5/31/2021 0042 0.95 PEMBROKE SECURITY GROUP LLC WEST BLOOMFIELD 4849876A 2,001 4/13/2021 7720 0.90 PIERCE ARLENE WEST BLOOMFIELD 5703387A 357 4/14/2021 0908 PIERCE RICHARD WEST BLOOMFIELD 5703662A 357 4/14/2021 0908 PRE CONSTRUCTION MEDIA INC WEST BLOOMFIELD 5135168A 419 5/8/2021 8601 PROGRESSIVE DOCK SERVICE LLC WEST BLOOMFIELD 3350266A 5,287 4/4/2021 5645 0.91 PROJ S N A P INC WEST BLOOMFIELD 4726030A 410 5/1/2021 8810 PROJECT HEALTHY COMMUNITY WEST BLOOMFIELD 5395003A 252 4/11/2021 8810 REACTION TREE LLC WEST BLOOMFIELD 1087720A 6,385 4/15/2021 0042 0.91 ROBERT REIS CONSTRUCTION WEST BLOOMFIELD 2531925A 750 5/3/2021 5645 SH AND AH ENTERPRISES LLC WEST BLOOMFIELD 5409217A 623 5/30/2021 8742 STEP UP RECRUITING LLC WEST BLOOMFIELD 5441129A 405 5/12/2021 8810 THOMPSON DANA WEST BLOOMFIELD 5721792A 750 6/6/2021 5437 UNITED CONSULTING SERVICES LLC WEST BLOOMFIELD 3410587A 413 6/13/2021 5606 WAGNER PAUL WEST BLOOMFIELD 6183786A 548 5/18/2021 0908 CIRCLE K FARMS TRUCKING LLC WEST BRANCH 6005152A 3,902 6/18/2021 7208 G AND H LAWN SERVICE AND LANDSCAPING INC WEST BRANCH 4742532A 3,098 4/9/2021 9102 0.93 MARK CURTIS SERVICES LLC WEST BRANCH 0711624A 2,172 4/28/2021 5022 0.95 MID MICHIGAN FIRE PROTECTION LLC WEST BRANCH 2804018A 402 5/27/2021 4828 PREFERRED PLUMBING AND PLUMBING WEST BRANCH 5427690A 561 4/13/2021 5183 SERVICES LLC RAU GARY C WEST BRANCH 3320472A 800 4/15/2021 7208 REDS PROPERTY MAINTENANCE LLC WEST BRANCH 6192785A 524 6/5/2021 9102 RIEGLE METALS LLC WEST BRANCH 5985790A 12,740 4/23/2021 5645 0.95 SRE PAINTING INC WEST BRANCH 4138589A 800 4/8/2021 5476 0.95 GERSTENSCHLAGER CONTRACTING INC WEST OLIVE 5994110A 4,765 5/10/2021 7208 MAPLEBAY BUILDERS LLC WEST OLIVE 4046099A 800 5/3/2021 5645 TURNQUIST ROBERT HENRY II WEST OLIVE 6180523A 800 5/12/2021 5551 ALFORD RONALD JR WESTLAND 5267366A 414 5/3/2021 0908 APPLE RENOVATION SERVICES LLC WESTLAND 4101359A 1,053 4/2/2021 5437 0.90 CHRISTOPHER MICHAELS CONSTRUCTION LLC WESTLAND 5846633A 388 6/9/2021 5606 CHRISTY TRANSPORT LLC WESTLAND 6201350A 5,678 6/17/2021 7208 CRABTREE BRIAN C WESTLAND 4314670A 750 5/30/2021 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge D S FLOORS LLC WESTLAND 4877969A 1,832 4/8/2021 9521 0.95 DEARBORN TREE SERVICE INC WESTLAND 1001639A 9,337 6/1/2021 0042 0.87 DONOVAN SHERMAN A WESTLAND 2631032A 750 6/17/2021 5445 DWG PLUMBING AND EXCAVATING LLC WESTLAND 1282760A 836 6/22/2021 5183 FACE FLAIR LLC WESTLAND 5880343A 1,581 6/28/2021 8017 FENCE GUYS LLC WESTLAND 5838070A 800 4/10/2021 6400 G A SERVICES LLC WESTLAND 0392294A 710 4/9/2021 9015 0.95 G N R SNOW REMOVAL LLC WESTLAND 3765121A 7,060 6/2/2021 0042 GLEN DAVIS MAINTENANCE WESTLAND 4062523A 593 4/30/2021 9015 GRIME FIGHTERS WESTLAND 3708381A 568 6/5/2021 9015 GSS HOME EXTERIORS LLC WESTLAND 3964396A 750 5/11/2021 5403 HILL TOP TREE SERVICE INC WESTLAND 0356280A 3,959 4/2/2021 0106 0.93 J AND E PICKENS FAMILY LLC WESTLAND 5688213A 851 4/1/2021 8835 KANE CATHERINE WESTLAND 4976991A 307 4/12/2021 0908 KANES CARPENTRY WESTLAND 6146155A 750 4/1/2021 5437 KATHYS QUALITY LABOR SERVICES LLC WESTLAND 4699556A 5,674 5/16/2021 4452 1.25 KWIK SITE CORPORATION WESTLAND 0221104A 801 4/11/2021 3629 0.95 L MAYO INC WESTLAND 1639773A 408 4/1/2021 9058 LES MURPHY PAINTING LLC WESTLAND 5130727A 2,049 6/15/2021 5476 0.95 MCGREW CHARLES WESTLAND 5552591A 568 5/13/2021 9015 MFH TRUCKING INC WESTLAND 2275708A 751 4/13/2021 7208 MOSS SECURITY WESTLAND 5551412A 450 4/25/2021 7720 0.95 NATIONAL TREE SERVICE WESTLAND 1440071A 1,893 6/11/2021 0106 NEW DIMENSIONS GENERAL CONTRACTORS WESTLAND 3389499A 750 5/12/2021 5551 NEWBURGH PETRO MART WESTLAND 1863762A 629 5/11/2021 8017 PPM LANDSCAPE CONTRACTORS INC WESTLAND 4204557A 12,268 4/26/2021 0106 1.28 R AND A TOOL & ENGINEERING COMPANY WESTLAND 0062642A 498 6/28/2021 3096 SPARKS AUTO AND TOWING INC WESTLAND 0053678A 5,573 4/3/2021 8395 0.91 SUNRISE TREE SERVICE INC WESTLAND 0982873A 800 4/26/2021 0106 TCF CONSULTANTS INC WESTLAND 4884620A 419 4/16/2021 8601 URBAN CORNER STONE MASONRY INC WESTLAND 2211505A 2,699 4/6/2021 5022 0.95 VICTORIAS SECRET GARDENS & CURB APPEAL WESTLAND 0855340A 710 4/26/2021 9402 INC BIFFS MILITARY SURPLUS LLC WETMORE 4148991A 652 6/4/2021 8395 CHARLTON CONSTRUCTION LLC WETMORE 4366719A 19,481 5/23/2021 2797 0.81

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NEWAYGO COUNTY COUNCIL FOR THE WHITE CLOUD 4083539A 845 6/2/2021 9063 0.95 PREVENTION OF CHILD ABUSE & NEGLECT SALLYS WHATTA PIZZA LLC WHITE CLOUD 2492490A 1,549 6/11/2021 9058 0.95 AC CABLE LLC WHITE LAKE 5563712A 470 5/18/2021 5190 B AND R WINDOWS AND SIDING INC WHITE LAKE 2009358A 753 4/19/2021 8810 BLUE WATER AQUATICS LLC WHITE LAKE 4193016A 2,431 4/17/2021 0005 0.95 CATALFIO PASQUALE WHITE LAKE 2564378A 825 5/22/2021 5645 CMC CONSTRUCTION INC WHITE LAKE 4357086A 338 6/9/2021 5606 DEGLORIE BUILDERS LLC WHITE LAKE 2104148A 739 6/23/2021 6217 0.95 EURO KITCHEN PLUS INC WHITE LAKE 0095338A 801 5/2/2021 5348 FOSTER DOUGLAS A WHITE LAKE 4987250A 750 5/19/2021 5437 FREERIDE KOMPONENTS INC WHITE LAKE 5690412A 786 4/11/2021 6836 GANOS ENTERPRISES WHITE LAKE 0720330A 799 4/12/2021 5476 0.95 HARTMANS HOME CARE LLC WHITE LAKE 1928503A 750 4/12/2021 5645 KB ERECTORS LLC WHITE LAKE 5877890A 20,000 6/27/2021 5040 0.91 LEAD RENOVATOR TRAINING LLC WHITE LAKE 4611276A 390 4/23/2021 8720 M AND M PROFESSIONAL INSTALLATIONS INC WHITE LAKE 1719599A 581 4/26/2021 3724 MALOSH SERVICES MICHIGAN INC WHITE LAKE 1025279A 800 6/5/2021 5645 MICHIGAN COMMERCIAL SERVICES INC WHITE LAKE 4161971A 568 4/10/2021 9015 MICHIGAN DEER TRACK N HOUNDS LLC WHITE LAKE 6198635A 568 6/12/2021 9015 MK FOOTINGS INC WHITE LAKE 1456032A 751 6/11/2021 5215 MTM CONSTRUCTION II LLC WHITE LAKE 5867614A 750 6/30/2021 5551 0.92 P AND B BUILDING COMPANY INC WHITE LAKE 3028615A 800 6/28/2021 5645 0.93 RENO MI LLC WHITE LAKE 6196217A 750 6/9/2021 5437 ROGAN ROLLOFF SERVICE INC WHITE LAKE 2012030A 4,922 4/25/2021 7213 0.93 SPOTLESS WINDOW CLEANING INC WHITE LAKE 6000339A 569 5/30/2021 9015 STREAMLINE CONTRACTING LLC WHITE LAKE 6191398A 702 6/1/2021 6229 WELD TECH WHITE LAKE 4214722A 698 4/18/2021 3365 YOYOTRICKSCOM LLC WHITE LAKE 5840783A 903 5/29/2021 8017 0.95 KOMRSKA ROGER R & THERESA C WHITE PIGEON 1753347A 703 4/4/2021 9015 NATES AUTO & CUSTOM LLC WHITE PIGEON 5765781A 2,194 6/1/2021 8395 ALP TRADING CO INC WHITEHALL 6191487A 494 5/30/2021 6836 DIGNITY DUNES IN HOME CARE AND WHITEHALL 6174183A 1,285 5/5/2021 8835 CONSULTING LLC LEGACY CANVAS AND UPHOLSTERY SERVICE WHITEHALL 6004938A 1,848 6/18/2021 9522 INC 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 156 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BARNES ENTERPRISE WHITELAKE 5992176A 2,501 5/15/2021 7206 FREEDOM SEALCOATING LLC WHITEMORE LAKE 5165369A 750 5/1/2021 5221 HOME HEALTH CARE FOR PETS PLC WHITMORE LAKE 4630785A 1,879 5/6/2021 8831 0.95 LIGHTCRETE COMPANIES INC WHITMORE LAKE 2832844A 1,655 6/4/2021 5221 0.95 WHITMORE LAKE CLIMATE CONTROLLED WHITMORE LAKE 5539927A 1,046 4/1/2021 9015 STORAGE LLC ERG DRYWALL WHITTAKER 4155882A 750 5/6/2021 5445 SCIENTIFIC SERVICES PLUS LLC WILLIAMS BAY, WI 5694159A 2,716 4/3/2021 5550 0.95 FIRST IMPRESSIONS LLC WILLIAMSBURG 2199815A 676 4/1/2021 9102 KAREN MCLEAN PT PC WILLIAMSBURG 3188400A 584 6/29/2021 8832 SCHWAB YENSEN WILLIAMSBURG 5856817A 825 4/20/2021 5645 TRU INSTALLATIONS LLC WILLIAMSBURG 4798210A 825 6/13/2021 5437 CUSTOM ROOFING SOLUTIONS LLC WILLIAMSTON 0408310A 5,865 6/11/2021 5551 1.00 DECOMMISSIONING SERVICES LLC WILLIAMSTON 4723643A 25,351 5/13/2021 5183 0.72 DESIGN WORKS II LLC WILLIAMSTON 5120799A 850 4/5/2021 9521 GORSKI RICHARD WILLIAMSTON 4213939A 689 5/4/2021 5610 JORGENSEN FARM ELEVATOR INC WILLIAMSTON 2364158A 8,876 5/27/2021 8304 0.87 VERTICAL SOLUTION COMPANY WILLIAMSTON 3958388A 1,408 6/25/2021 3507 0.91 STRAIGHTWAY TRANSPORT LLC WILLIS 5997054A 825 5/20/2021 7208 VALENTINE TRUCKING WILLIS 4055063A 825 6/23/2021 7208 CLARK FAMILY LTD WILMETTE, IL 2161079A 530 5/13/2021 0913 KLEIMAN TRUCKING LLC WILSON 4733649A 750 4/6/2021 7208 SD CONSTRUCTION WILSON 4643194A 750 5/28/2021 5645 CENTURY GROUP HOLDINGS INC WIXOM 1144901A 1,044 5/19/2021 8742 CUSTOM LAMINATE CONCEPTS LLC WIXOM 4203070A 650 5/15/2021 2812 D M WALLTECH INC WIXOM 3042669A 800 4/20/2021 5476 GREAT LAKES AMMUNITION LLP WIXOM 5720109A 1,646 6/17/2021 3632 0.95 GRISSOM GARAGE BUILDERS INC WIXOM 0335916A 751 6/7/2021 5645 GROWCANN BUILDERS LLC WIXOM 5997933A 413 5/21/2021 5606 MAGNUM TOWING INC WIXOM 5266009A 2,149 5/1/2021 7208 PREVENTIVE MAINTENANCE TECHNOLOGIES LLC WIXOM 4909534A 511 5/1/2021 8107 REYNOLDS CONSTRUCTION LLC WIXOM 4102940A 4,694 5/22/2021 5645 0.95 SAFEWAY DEMOLITION LLC WIXOM 5863597A 750 5/10/2021 5022 SJH HOME IMPROVEMENTS LLC WIXOM 2411059A 5,607 4/28/2021 5551 0.91 D AND M LOGGING WOLVERINE 1722069A 750 5/2/2021 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DJ CONTRACT HAULING INC WOLVERINE 3755568A 750 5/15/2021 7219 L THOMAS CONSTRUCTION LLC WOLVERINE 5544769A 338 4/12/2021 5606 WOLVERINE JOINT FIRE BOARD WOLVERINE 3336328A 751 5/22/2021 7704 J AND J INTERIORS LLC WOLVERINE LAKE 5524059A 3,450 6/2/2021 5348 0.95 STRATEGIC HEALTHCARE STAFFING INC WOLVERINE LAKE 5849934A 1,001 4/5/2021 8835 AIR FLO CLEANING SYSTEMS WOODHAVEN 2569744A 2,357 6/13/2021 9015 0.95 FIVE O SECURITY CONSULTANTS LLC WOODHAVEN 5264812A 9,625 4/26/2021 7720 0.83 PROCLAIM AVIATION MINISTRIES INC WORTHINGTON, MN 4859804A 410 4/13/2021 8868 ADVANCED TECHNOLOGY ENGINEERING GROUP WRENTHAM, MA 5555108A 2,072 5/3/2021 4484 0.95 INC ARC DOWNRIVER INC WYANDOTTE 1665154A 649 4/19/2021 9063 BLUFFS AT LAKES OF MILFORD ASSOCIATION WYANDOTTE 4887891A 568 4/20/2021 9015 GJC CLEANING WYANDOTTE 6161170A 619 4/21/2021 9015 GROUND TO CROWN CHIMNEY & FIREPLACE WYANDOTTE 2491214A 800 6/17/2021 5551 SERVICES LLC LABEAU RICHARD WYANDOTTE 4637089A 750 6/14/2021 5476 M K PAINTING INC WYANDOTTE 2940639A 2,521 4/22/2021 8227 0.83 MICRO MANAGEMENT SOLUTIONS LLC WYANDOTTE 4994183A 1,516 6/14/2021 9015 RICKS COVE INC WYANDOTTE 4882989A 1,495 6/30/2021 6826 0.95 THREE R HOME IMPROVEMENT LLC WYANDOTTE 4297814A 2,237 4/30/2021 5022 0.95 A NEW VIEW LANDSCAPING LLC WYOMING 6175759A 1,066 5/6/2021 0042 COLORS PAINTING SERVICES LLC WYOMING 4964381A 751 6/10/2021 5476 0.95 FHC PAINTING LLC WYOMING 6137709A 801 5/2/2021 5476 GALICIA DIMAS WYOMING 5998573A 750 5/23/2021 5476 GARCIA SHINGLE ROOFS & SIDING LLC WYOMING 6178332A 750 5/8/2021 5551 HIGH ROCK LLC WYOMING 4762436A 1,033 6/24/2021 5606 0.95 ISAK CLEANING SERVICE LLC WYOMING 5878250A 4,828 6/21/2021 9015 0.95 ISMAEL C CONSTRUCTION LLC WYOMING 6180760A 800 5/12/2021 5551 J AND M CONSTRUCTION SERVICES LLC WYOMING 5489369A 6,081 6/28/2021 5437 0.71 KONYNDYK JOHNATHAN WYOMING 6171540A 750 5/1/2021 5437 LEES CLEANING WYOMING 4622944A 618 5/13/2021 9015 MI WEST CONSTRUCTION LLC WYOMING 6131050A 800 4/2/2021 5645 MIEDEMA DALE WYOMING 1299760A 750 4/28/2021 5645 MJ MOTORSPORTS LLC WYOMING 5976715A 1,035 6/22/2021 8387 MONAS CLEANERS LLC WYOMING 5714753A 330 5/1/2021 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MP CONCRETE LLC WYOMING 5573408A 2,086 5/23/2021 5221 MUNOZ EXTERIOR SERVICES WYOMING 5438721A 800 4/11/2021 5551 RICHARD KONYNDYK BUILDER WYOMING 5267315A 750 5/5/2021 5645 RIGOS CLEANING & PAINTING LLC WYOMING 6185223A 751 5/19/2021 5476 RIVER CITY QUALITY CLEANING LLC WYOMING 4297547A 1,439 5/24/2021 9015 1.00 RUDY PAINT LLC WYOMING 5988306A 750 4/23/2021 5476 S AND S CONSTRUCTION LLC WYOMING 3839281A 750 5/7/2021 5437 SCHWARZE ROBITEC AMERICA INC WYOMING 5408288A 3,802 5/28/2021 8107 0.95 SLY FOX CONSTRUCTION LLC WYOMING 5991706A 4,490 5/10/2021 5403 SPECIFIED COATING TECHNOLOGIES LLC WYOMING 6114075A 1,469 6/9/2021 4720 TINOS CONTRACTING LLC WYOMING 5989116A 800 4/24/2021 5551 WORKPLACE RESOURCE LLC WYOMING 5726670A 800 6/26/2021 5645 BAILEY WELDING & REPAIR LLC YALE 6008194A 1,073 6/27/2021 3365 YALE HEATING AND AIR CONDITIONING LLC YALE 5701589A 724 4/11/2021 5550 JE TIFFANY & SONS LLC YANKEE HILL, CA 4765117A 751 6/21/2021 0042 0.95 A 2 OUTDOOR CREATIONS LLC YPSILANTI 5012724A 1,027 6/10/2021 9102 AGILE ZONE LLC YPSILANTI 5909856B 265 4/23/2021 8810 0.95 AJ HOME IMPROVEMENT LLC YPSILANTI 5875706A 4,154 5/10/2021 5437 AV CONSTRUCTION LLC YPSILANTI 4973909A 11,469 6/2/2021 5437 0.86 B AND L CONCRETE CONSTRUCTION INC YPSILANTI 1095390A 1,074 4/19/2021 5221 0.95 BEDSIDE ANGELS HOME CARE LLC YPSILANTI 5850711A 3,053 4/15/2021 8835 BOLD PROPERTY SOLUTIONS LLC YPSILANTI 5725488A 903 6/20/2021 5437 BROOMS AND MOPS JANITORIAL LLC YPSILANTI 5272424A 568 5/20/2021 9015 COMMERCIAL DOOR HARDWARE SUPPLY LLC YPSILANTI 5216125A 751 4/19/2021 5102 CRAFTWERKER LC YPSILANTI 4611128A 2,678 4/9/2021 5645 0.95 DEPOT TOWN CARE CENTER INC YPSILANTI 5858410A 7,768 5/4/2021 8045 EAGLES AUTOMOTIVE YPSILANTI 4713370A 689 6/3/2021 8395 FLOOR TILE YPSILANTI 2708639A 750 5/1/2021 5348 G AND A CONSTRUCTION LLC YPSILANTI 5969875A 750 6/19/2021 5551 GARDNER TRANSPORT LLC YPSILANTI 6191649A 800 5/30/2021 7208 GSD CONTRACTING LLC YPSILANTI 5549523A 4,494 4/26/2021 5183 0.92 J AND L CONSTRUCTION LLC YPSILANTI 6185495A 4,738 5/21/2021 5403 J CHRISTOPHER SALON INC YPSILANTI 5955920A 1,646 6/16/2021 9586 J F MOORE & ASSOCS LLC YPSILANTI 2696479A 1,109 5/24/2021 7720 0.95 J JS STAR PAINTING LLC YPSILANTI 5989248A 1,804 4/24/2021 5476 1.26 13 % 1/4/2021 7:47:08 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 159 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JJ AND S KITCHEN AND BATH LLC YPSILANTI 6152279A 1,986 4/16/2021 5183 JOE HALL QUICK STOP INC YPSILANTI 5146852A 1,557 4/8/2021 8017 0.95 LOBOS CONSTRUCTION INC YPSILANTI 3698955A 8,254 6/16/2021 5645 0.88 MC CONSTRUCTION LLC YPSILANTI 5414300A 5,458 6/16/2021 5445 0.87 MIKE FORNERS HOME SERVICES INC YPSILANTI 1912640A 750 5/14/2021 5645 0.95 QUICK QUALITY CONSTRUCTION LLC YPSILANTI 5999928A 750 6/6/2021 5445 RE DESIGN TILE INC YPSILANTI 5185149A 3,641 5/18/2021 5348 0.95 RON SMITHS TRUCKING LLC YPSILANTI 4883233A 750 6/30/2021 7208 SASSE AFC LLC YPSILANTI 5543363A 528 4/8/2021 9053 SCHMIDT DRILLING CO YPSILANTI 6001351A 1,295 6/5/2021 6204 SMOLYANOV CONSTRUCTION CO INC YPSILANTI 2743620A 2,818 5/17/2021 5645 0.87 SPENCERS CONTRACTING LLC YPSILANTI 5409896A 5,922 6/3/2021 5645 0.94 TC MI LLC YPSILANTI 5859360A 488 5/16/2021 8742 TS KAO INC YPSILANTI 3759857A 912 6/21/2021 9058 TWENTY FIRST CENTURY SALVAGE INC YPSILANTI 1704826A 6,092 4/30/2021 7208 0.95 UNITED OUTDOOR SERVICES LLC YPSILANTI 5859166A 4,467 6/4/2021 0042 0.94 YPSILANTI OTTERS SWIM CLUB YPSILANTI 5998026A 631 5/24/2021 9061 BORCULO GARAGE INC ZEELAND 0001155A 825 6/10/2021 7208 C Z CONSTRUCTION LLC ZEELAND 5853907A 750 4/12/2021 5645 COMPLETE I LLC ZEELAND 5872430A 338 6/1/2021 5606 CUSTOM CONTOURS CONSTRUCTION SERVICES ZEELAND 5854652A 751 4/16/2021 5022 LLC DEHAAN DESIGNS LLC ZEELAND 5721113A 750 5/31/2021 5645 E 3 INTEGRATED ENGINEERING LLC ZEELAND 6170897A 313 4/30/2021 8810 FRAMING SOLUTIONS LLC ZEELAND 6007538A 825 6/25/2021 5645 IDR CUSTOM CARPENTRY LLC ZEELAND 5397790A 750 4/27/2021 5645 KE CARPENTRY LLC ZEELAND 5988292A 750 4/23/2021 5645 KUPERUS CONSTRUCTION LLC ZEELAND 6006477A 750 6/21/2021 5645 MITCHELL WAGNER BUILDER LLC ZEELAND 4749693A 750 6/1/2021 5645 MURRAY PROFESSIONAL PAINTING ZEELAND 6199526A 1,496 6/13/2021 5476 OTT KIMBERLY ZEELAND 6145795A 580 4/2/2021 0913 OVERHEAD UNLIMITED LLC ZEELAND 5031320A 581 5/18/2021 3724 SPORTS TURF MANAGEMENT OF MICHIGAN LLC ZEELAND 4878892A 709 4/17/2021 0042 V AND A TREE SERVICE LLC ZEELAND 6006906A 1,067 6/24/2021 0106 VAST TILE & STONE LLC ZEELAND 5397219A 750 4/28/2021 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WASHTENAW COUNTY WINDOW CLEANING LLC ZEELAND 6034683A 3,778 5/1/2021 9015

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