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Attachment A Attachment A ADJ No. IW NAME EMPLOYER CLAIMS_ADMINISTRATOR ADJ7987321 ABAD CURTIS CARE SCIF INSURED GLENDALE DEVELOPMENT CENTER ADJ9921690 ABAKAR SECURE NATIONAL UNION FIRE INSURANCE PITTSBURG TRANSPORTATION ADJ10120323 ABANTO EDD SDI SCIF INSURED SAN DIEGO ADJ10120323 ABANTO EDD SDI SCIF STATE EMPLOYEES RIVERSIDE ADJ9645198 ABBOTT BIG LOTS SEDGWICK ROSEVILLE ADJ9908373 ABDU CHICK FIL A SEDGWICK 14153 RIVERSIDE ADJ10841044 ABELLA KAISER SEDGWICK KAISER LEXINGTON ADJ8806682 ACEVEDO VALLARTA SEDGWICK 14522 VAN NUYS SUPERMARKET ADJ9569476 ACEVEDO WNA COMET WEST INC TRAVELERS DIAMOND BAR ADJ9569476 ACEVEDO WNA COMET WEST INC ZURICH LOS ANGELES ADJ10213357 ACEVES SURE GRIP AMTRUST SAN DIEGO INTERNATIONAL INC ADJ10213357 ACEVES SURE GRIP SECURITY NATIONAL INSURANCE DALLAS INTERNATIONAL INC ADJ10445649 ACEVES WALLNER EXPAC EVEREST NATIONAL INSURANCE OAKLAND ADJ10445649 ACEVES WALLNER EXPAC SEDGWICK 14442 ORANGE ADJ9073358 ACHTMANN GONZALEZ NORGATE ESIS PORTLAND MARKET ADJ10506758 ACOSTA HOUSE OF SPICES APPLIED RISK OMAHA INDIA ADJ10543039 ACOSTA GARDEN GROVE GARDEN GROVE UNIFIED SCHOOL DISTRICT SCHOOL DISTRICT ADJ8864156 ACOSTA SEQUIERA YAMA S ENTERPRISES UEBTF LOS ANGELES ADJ8864156 ACOSTA SEQUIERA YAMAS ENTERPRISES UEBTF LOS ANGELES INC ADJ9843172 ACUNA CRR CARL WARREN TUSTIN ADJ10015699 ADAMS TENSION ENVELOPE LIBERTY MUTUAL ROCKLIN ADJ10312757 ADAMS CALIF DEPT OF SCIF INSURED FRESNO CORRECTIONS ADJ10391395 AFFOGNON GLENDALE ADVENTIST ADVENTIST HEALTH ROSEVILLE MEDICAL CENTER ADJ10066861 AGAMALIAN BUELL APPLEONE ESIS CHATSWORTH ADJ10066861 AGAMALIAN BUELL APPLEONE GALLAGHER BASSETT ORANGE ADJ9838753 AGUAYO JS AND S SCIF INSURED FRESNO CONSTRUCTION ADJ10412158 AGUIAR PEREZ HOLIDAY INN MOTEL PREFERRED EMPLOYERS SAN DIEGO ADJ10690207 AGUILAR THE WALT DISNEY CHUBB GROUP LOS ANGELES COMPANY ADJ8979416 AGUILAR MACDONALDS BROADSPIRE BREA ADJ8979416 AGUILAR MACDONALDS SEDGWICK ROSEVILLE ADJ10308267 AGUILAR MEGSON ROWE DELIVERY INC ADJ10258177 AGUILAR WOODLAND PARK INC. INSURANCE CO OF THE WEST SAN DIEGO ELM PARK, INC ADJ10490546 AGUILAR AMWEST AMBULANCE NATIONAL INTERSTATE RICHFIELD ADJ10529287 AGUILAR UNITED EMPLOYMENT SOLUTIONS INC ADJ10300562 AGUILAR CONTRACTORS AMTRUST IRVINE FLOORING SERVICE OF CA INC ADJ10300562 AGUILAR CONTRACTORS AMTRUST IRVINE FLOORING SERVICES OF CA INC pg. 1 Attachment A ADJ10541184 AGUILAR BUNKER HILL LIBERTY MUTUAL RCG PORTLAND RESTAURANT INC ADJ10541184 AGUILAR BUNKER HILL OHIO CASUALTY PORTLAND RESTAURANT INC ADJ10723515 AGUILAR BAKED IN THE SUN LIBERTY MUTUAL RCG PORTLAND ADJ10294929 AGUILAR PAN PACIFIC FIBER INC BROADSPIRE 24016 FRESNO ADJ8128149 AGUILAR IMPERIAL VALLEY ADVANTAGE ROCKLIN CHEESE ADJ10291703 AGUILAR CARAVAN FASHION FARMERS PLEASANTON ENTERPRISES ADJ10291703 AGUILAR CARAVAN FASHION FARMERS PLEASANTON ENTERPRISES INC ADJ8501685 AGUILAR IMPERIAL VALLEY SELF INSURED SCHOOLS BAKERSFIELD REGIONAL OCCUPATIONAL PROGRAM ADJ9828030 AGUILAR SENIOR RESOURCE MATRIX RANCHO CUCAMONGA GROUP LLC ADJ9828030 AGUILAR SENIOR RESOURCE MATRIX ROSEVILLE GROUP LLC ADJ9828030 AGUILAR SENIOR RESOURCE SAFETY NATIONAL CASUALTY ST LOUIS GROUP LLC ADJ9828030 AGUILAR SENIOR RESOURCE TOKIO MARINE PASADENA GROUP LLC ADJ9828030 AGUILAR SENIOR RESOURCE MATRIX RANCHO CUCAMONGA GROUP, LLC ADJ9828030 AGUILAR SENIOR RESOURCE MATRIX ROSEVILLE GROUP, LLC ADJ9828030 AGUILAR SENIOR RESOURCE SAFETY NATIONAL CASUALTY ST LOUIS GROUP, LLC ADJ9828030 AGUILAR SENIOR RESOURCE TOKIO MARINE PASADENA GROUP, LLC ADJ9541946 AGUILAR BUCOLA LAMDSCAPE APPLIED RISK OMAHA SERVICES INC ADJ10514768 AGUILAR GALVEZ 99 CENTS ONLY STORE BROADSPIRE BREA ADJ9843288 AGUILAR NUNEZ ATM DETAILING SCIF INSURED FRESNO SERVICES ADJ10594361 AGUILERA THE HERTZ SEDGWICK BREA CORPORATION ADJ9871363 AGUILERA EMPIRE ON DEMAND ESIS CHATSWORTH LLC ADJ10506655 AGUINALDO KAISER SEDGWICK KAISER LEXINGTON ADJ10043104 AGUIRRE CARDENAS MARKET CARL WARREN TUSTIN ADJ10043104 AGUIRRE CARDENAS MARKET SEDGWICK RIVERSIDE ADJ10043104 AGUIRRE CARDENAS MARKET UEBTF LOS ANGELES ADJ10043104 AGUIRRE LUZ MARIA CONTRERAS CARL WARREN TUSTIN ADJ10043104 AGUIRRE LUZ MARIA CONTRERAS SEDGWICK RIVERSIDE ADJ10043104 AGUIRRE LUZ MARIA CONTRERAS UEBTF LOS ANGELES ADJ10043104 AGUIRRE RANCHO CARDENAS CARL WARREN TUSTIN LLC ADJ10043104 AGUIRRE RANCHO CARDENAS SEDGWICK RIVERSIDE LLC ADJ10043104 AGUIRRE RANCHO CARDENAS UEBTF LOS ANGELES LLC ADJ9701758 AGUIRRE ENTERPRISE CAR YORK ANAHEIM RENTAL ADJ10506900 AGUIRRE MARK COMPANY ZURICH SACRAMENTO ADJ10378898 AGUIRRE CHARTWELL STAFFING GALLAGHER BASSETT GOLD RIVER SERVICES ADJ10483492 AGUIRRE DESIGN KNIT INC COMPWEST SAN FRANCISCO ADJ9765779 AGUIRRE SILVERADO SENIOR AIG CLAIMS COSTA MESA LIVING CALABASAS INC pg. 2 Attachment A ADJ10395580 AGUIRRE FRAMETENT INC EMPLOYERS COMP GLENDALE ADJ10395580 AGUIRRE FRAMETENT INC EMPLOYERS COMP SAN FRANCISCO ADJ10395580 AGUIRRE FRAMETENT INC INSURANCE CO OF THE WEST PLEASANTON ADJ10322682 AGUIRRE TARGET SEDGWICK 14424 ORANGE ADJ8804543 AGUIRRE CONRACTOR TRAVELERS WALNUT CREEK WARDROBE ADJ9796764 AJAMIAN STARBUCKS SEDGWICK 14424 ORANGE ADJ9962021 AJUNGO M A MORTENSON GALLAGHER BASSETT 255397 SACRAMENTO COMPANIES INC ADJ10677982 ALANIS HOLGUIN HOLGUIN FALLS LAKE INSUR RANCHO SANTA MARGARITA ADJ9981601 ALARCON BARON HR AIG CLAIMS CONCORD ADJ9981601 ALARCON BARON HR AIG CLAIMS COSTA MESA ADJ9981601 ALARCON BARON HR PACKARD CLAIMS ADMIN TARPON SPRINGS ADJ9981601 ALARCON BARON HR SAFETY NATIONAL CASUALTY ST LOUIS ADJ9981601 ALARCON BARON HR TRAVELERS DIAMOND BAR ADJ9981601 ALARCON SOUTHEAST AIG CLAIMS CONCORD PERSONNEL LEASING ADJ9981601 ALARCON SOUTHEAST AIG CLAIMS COSTA MESA PERSONNEL LEASING ADJ9981601 ALARCON SOUTHEAST PACKARD CLAIMS ADMIN TARPON SPRINGS PERSONNEL LEASING ADJ9981601 ALARCON SOUTHEAST SAFETY NATIONAL CASUALTY ST LOUIS PERSONNEL LEASING ADJ9981601 ALARCON SOUTHEAST TRAVELERS DIAMOND BAR PERSONNEL LEASING ADJ9981601 ALARCON TITAN PERSONNEL INC AIG CLAIMS CONCORD ADJ9981601 ALARCON TITAN PERSONNEL INC AIG CLAIMS COSTA MESA ADJ9981601 ALARCON TITAN PERSONNEL INC PACKARD CLAIMS ADMIN TARPON SPRINGS ADJ9981601 ALARCON TITAN PERSONNEL INC SAFETY NATIONAL CASUALTY ST LOUIS ADJ9981601 ALARCON TITAN PERSONNEL INC TRAVELERS DIAMOND BAR ADJ3563193 ALARCON DARRELL LUTTMAN SCIF INSURED INLAND EMPIRE ADJ10550534 ALAVEZ JK BEJING TASTY AMTRUST CONCORD HOUSE INC ADJ9980523 ALBA T Y NURSERY YORK ANAHEIM ADJ10703517 ALBARENGA DE GONZALEZ RANCHEROS TACOS FARMERS WESTLAKE VILLAGE INC ADJ9869150 ALCALA THE PENINSULA SEDGWICK 14442 ORANGE BEVERLY HILLS ADJ9307926 ALCALA CLOUGHERTY PACKING CORVEL CHINO ADJ10390393 ALCANTAR CARDENAS MARKET SEDGWICK RIVERSIDE INC ADJ10004922 ALCANTAR THE CARLSTAR GROUP ADJ10275282 ALCANTAR NEW BAR A LLC SEDGWICK 3110 RANCHO CORDOVA ADJ10275282 ALCANTAR NEW BAR A LLC STATE FARM BAKERSFIELD ADJ10520048 ALCANTAR SALAZAR PRL GLASS SYSTEMS TRAVELERS DIAMOND BAR INC ADJ10520048 ALCANTAR SALAZAR PRL GLASS SYSTEMS TRAVELERS ORANGE INC ADJ8673590 ALCANTARA ISABEL PULVERS AN SEDGWICK 3110 RANCHO CORDOVA INDIVIDUAL ADJ8673590 ALCANTARA ISABEL PULVERS AN STATE FARM BAKERSFIELD INDIVIDUAL ADJ10122451 ALCARAZ DAK CONSTRUCTION BENCHMARK ONTARIO ADJ9158194 ALCARAZ CALIFORNIA SCIF INSURED FRESNO LANDWORK ENTERPRISES INC pg. 3 Attachment A ADJ10428507 ALCARAZ DE SALAZAR PACTIV PACKAGING ESIS CHATSWORTH INC ADJ9785032 ALCAZAR BANH CUON TAYHO REPUBLIC INDEMNITY ENCINO RESTAURANTS ADJ8446332 ALCORTA LKQ SEDGWICK WALNUT CREEK ADJ9412891 ALCUAZ MINUTEMAN HOLDINGS YORK ROSEVILLE COMPANY LLC ADJ10249256 ALDACO SUN PACIFIC FARMING ESIS CHATSWORTH ADJ9766537 ALDANA CROWER CAMS GALLAGHER BASSETT 255397 SACRAMENTO EQUIPMENT COMPANY ADJ9766537 ALDANA CROWER CAMS INS CO OF THE WEST WOODLAND HILLS EQUIPMENT COMPANY ADJ9766537 ALDANA CROWER CAMS INSURANCE CO OF THE WEST SAN DIEGO EQUIPMENT COMPANY ADJ9766537 ALDANA CROWER CAMS ZENITH SAN DIEGO EQUIPMENT COMPANY ADJ10272015 ALDAPE VILLAGE NURSERIES APPLIED RISK OMAHA LLC ADJ9456239 ALDRETE ACE HOTEL AMTRUST IRVINE ADJ2604813 ALEGRE STANDARD FASHION SCIF INSURED GLENDALE ADJ10679602 ALEGRIA KOO`S APPLIED RISK OMAHA MANUFACTURING INC. ADJ10679602 ALEGRIA KOO`S MATRIX RANCHO CUCAMONGA MANUFACTURING INC. ADJ10679602 ALEGRIA KOOS APPLIED RISK OMAHA MANUFACTURING ADJ10679602 ALEGRIA KOOS MATRIX RANCHO CUCAMONGA MANUFACTURING ADJ10620019 ALEGRIA MIRANDA BARON HR LLC CASTLEPOINT NATIONAL INS IRVINE ADJ10620019 ALEGRIA MIRANDA BARON HR LLC UNINSURED EMPLOYERS FUND ADJ8490457 ALEJANDRE RJ DONOVAN FACILITY SCIF STATE EMPLOYEES RIVERSIDE ADJ9568186 ALEJANDRO T B T EXPRESS SCIF INSURED GLENDALE ADJ9222957 ALEKHUOGIE LOS ANGELES COUNTY ACCLAMATION SANTA CLARITA DEPT OF CHILDREN AND FAMILY SERVICES ADJ9222957 ALEKHUOGIE LOS ANGELES COUNTY SEDGWICK COLA ONTARIO DEPT OF CHILDREN AND FAMILY SERVICES ADJ9222957 ALEKHUOGIE LOS ANGELES ACCLAMATION SANTA CLARITA COUNTY/DCFS ADJ9222957 ALEKHUOGIE LOS ANGELES SEDGWICK COLA ONTARIO COUNTY/DCFS ADJ10577746 ALEMAN BRISTOL FIBERLITE AMTRUST CONCORD INDUSTRIES INC ADJ10577746 ALEMAN BRISTOL SKYLIGHTS AMTRUST CONCORD INC ADJ9340932 ALEMAN UPS ADJ10211947 ALEMAN GONZALEZ SHIRALIAN YORK EL DORADO HILLS ENTERPRISES ADJ10211947 ALEMAN GONZALEZ SHIRALIAN YORK ROSEVILLE ENTERPRISES ADJ1955478 ALEX CALIPATRIA STATE SCIF STATE EMPLOYEES RIVERSIDE PRISON ADJ10888987 ALFARO KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ10317872 ALFARO SLADE INDUSTRIAL LANDSCAPE INCORPORATED ADJ10461506 ALFARO WALKER SPRINGS AND CHUBB GROUP LOS ANGELES STAMPING LLC ADJ10501043 ALFARO JH GENERAL SCIF INSURED GLENDALE CONTRACTOR pg. 4 Attachment A ADJ10501043 ALFARO EDWIN L ROMERO DBA SCIF INSURED GLENDALE ER LANDSCAPE AND MAINTENANCE ADJ10501043 ALFARO ER MASONRY AND SCIF INSURED GLENDALE
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