Michigan Workers Compensation Placement Facility Depopulation Report Page 1 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BOB LEVERING ROOFING ADA 2257017A 750 7/6/2016 5551 LA ISLA FOUNDATION INC ADA 5300797A 514 8/7/2016 8742 R J DEVRIES CONSTRUCTION INC ADA 2458160A 1,231 9/25/2016 5445 STAFFING SOLUTIONS INC ADA 4535219A 73,828 9/26/2016 5102 0.92 THREE D PROSCAPES LLC ADA 5422094A 787 7/9/2016 9102 BURKE DOUG ADDISON 5447801A 750 9/14/2016 7208 LEE GROUP LLC ADDISON 5114098A 753 8/19/2016 5606 0.95 MCAULIFFES PROCESSING INC ADDISON 3724638A 5,111 9/18/2016 2081 0.90 AC 3 LLC ADRIAN 4899571A 383 8/13/2016 8045 ANNAS ADULT NOVELTIES LLC ADRIAN 5447674A 447 9/17/2016 8017 LENAWEE EMERGENCY AND AFFORDABLE ADRIAN 1991728A 1,084 7/16/2016 9015 0.95 HOUSING CORPORATION SAFEWAY MOVING & STORAGE INC ADRIAN 4662890A 2,084 9/9/2016 7214 0.95 SANDY PEBBLES GOLF COURSE LLC AHMEEK 5428556A 941 7/29/2016 9060 JERRY PESARCYK BUILDERS LLC ALANSON 0620300A 750 8/25/2016 5645 0.95 KRE TRUCKING ALANSON 5422655A 750 7/11/2016 7208 DLC ENTERPRISES INC ALBION 0375268A 800 7/21/2016 9015 1.23 WASHINGTON AND ASSOCIATES HOME HEALTH ALBION 2977125A 2,247 8/22/2016 8835 0.95 SYSTEMS INC ANCHOR BAY PAINTING ALGONAC 5426502A 750 7/22/2016 5476 CHRISS CUSTOM CUTS ALGONAC 4792742A 1,007 7/21/2016 9102 COMPLETE MAINTENANCE & CABINETRY LLC ALGONAC 3702260A 750 7/11/2016 5221 E J SIDING INC ALGONAC 2725690A 750 7/2/2016 5403 0.95 ENTERPRISE FACILITY SERVICES LLC ALGONAC 5001072A 750 9/13/2016 9015 SOLAR VIEW ALGONAC 1513400A 750 7/3/2016 5645 0.95 SUPERIOR HOME BUILDING ALGONAC 5430437A 750 8/3/2016 5645 FRESH TOUCH LLC ALLEGAN 5420393A 750 7/3/2016 9015 SAFE HARBOR CHILDRENS ADVOCACY CENTER ALLEGAN 2371340A 635 7/13/2016 8832 WINGS HOME ALLEGAN 4797043A 2,264 8/26/2016 8835 0.95 ALL POINT CONSTRUCTION LLC ALLEN PARK 5420334A 7,477 7/2/2016 5437 BOVE CONSTRUCTION CO ALLEN PARK 1776070A 750 9/9/2016 5645 COMPADRES INC ALLEN PARK 5425344A 951 7/21/2016 8387 CUSTOM HOLIDAYS LLC ALLEN PARK 5276659A 753 9/1/2016 9015 D AND J HOME ALLEN PARK 3592880A 750 8/2/2016 5645 E CREW LLC ALLEN PARK 4384890A 978 9/1/2016 9058 0.95

3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 2 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge K DAWG PROPERTIES LLC ALLEN PARK 5191858A 751 9/24/2016 3365 REALTY TRANSITION LLC ALLEN PARK 5435749A 750 8/14/2016 5645 S A EXPRESS INC ALLEN PARK 5300827A 802 8/7/2016 8810 STAR LYTE MANAGEMENT LLC ALLEN PARK 4991095A 419 8/1/2016 8748 STAY AT HOME CARE LLC ALLEN PARK 4883896A 7,698 7/6/2016 8835 0.89 SUNRISE 2 SUNSET CONTRACTORS INC ALLEN PARK 5427312A 750 7/31/2016 5645 U S CONSTRUCTION INC ALLEN PARK 4190017A 750 7/24/2016 5645 VAIL GEORGE ALLEN PARK 4779142A 750 8/4/2016 5476 Y G AND L CORPORATION ALLEN PARK 3063593A 868 9/16/2016 8017 0.95 BJS MASONRY INC ALLENDALE 2120178A 750 9/14/2016 5022 0.95 DEVOS PRUNING ALLENDALE 1802550A 750 9/25/2016 0106 DUTTON CALEB ALLENDALE 5449685A 750 9/15/2016 5437 KOOISTRA DURK ALLENDALE 5230047A 750 9/22/2016 7208 KUZEE BUILDERS LLC ALLENDALE 4125169A 750 9/29/2016 5437 0.95 MARTIN DRYWALL INC ALLENDALE 2749009A 750 7/11/2016 5445 ROUTE 45 BREWING COMPANY LLC ALLENDALE 5445540A 791 9/5/2016 2121 SKYLINE SYSTEMS LLC ALLENDALE 5229499A 836 9/8/2016 8601 STONE CREEK PROPERTIES LLC ALLENDALE 4874013A 750 7/6/2016 9015 WES KNOPER BUILDER ALLENDALE 3330133A 750 8/3/2016 5645 ROGAN JUSTIN P ALLOUEZ 5421314A 750 7/7/2016 2702 C AND M FENCE ALMA 5435587A 750 8/13/2016 5403 DUHADWAY DANCE DIMENSIONS LLC ALMA 3892603A 711 9/14/2016 9063 ENERGYFIRST HOME IMPROVEMENTS LLC ALMA 5420075A 13,773 7/1/2016 5645 JG ANESTHESIA SERVICES PC ALMA 3207811A 750 8/25/2016 8833 BUSH CONTRACTING INC ALMONT 3367037A 750 8/7/2016 6217 0.95 CLEVER CARPENTRY ALMONT 4106440A 825 7/29/2016 5403 DEBMAR INC ALMONT 4782712A 637 8/13/2016 8810 K AND R GARAGE DOOR SERVICE LLC ALMONT 2899728A 750 8/1/2016 3724 DGI ROOFING & BUILDING INC ALPENA 4996518A 4,492 7/3/2016 5403 0.95 NOWAKOWSKI BENJAMIN ALPENA 4487575A 750 9/23/2016 2702 PHELPS COLLINS AVIATION INC ALPENA 0797170A 3,291 9/16/2016 7422 0.95 ROMEL TRUCKING INC ALPENA 0719765A 750 7/16/2016 2702 X TREME TIMBER CUTTING LLC ALPENA 5305780A 750 8/20/2016 2709 BAIRDS FLOORING LLC ALTO 5297222A 750 7/29/2016 5437 BOULDER RIDGE RANCH LLC ALTO 2731509B 5,016 9/1/2016 9015 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 3 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BOWMAN MICHAEL ALTO 0030490A 749 9/5/2016 0129 JACKSON AVIATION SERVICES LLC ALTO 4113349A 2,079 8/26/2016 7422 0.95 CARE TEAM SOLUTIONS LLC AMHERST, NY 5454123A 324 9/23/2016 8832 VERMILION TREE AND LANDCLEARING SERVICE AMHERST, OH 5454611A 8,075 9/28/2016 2709 INC ADAMS TREE SERVICE LLC ANN ARBOR 3063801A 1,099 9/1/2016 0042 0.95 AJ NIMER LLC ANN ARBOR 5295386A 3,950 8/11/2016 5445 ALL PHASES PAINTING INTERIOR & EXTERIOR ANN ARBOR 4661338A 942 9/1/2016 5476 0.95 INC ALL WAYS PAINT & DRYWALL ANN ARBOR 2807939A 750 8/1/2016 5476 ALPINE CONDOMINIUM ASSOCIATION ANN ARBOR 3792790A 750 9/15/2016 9015 0.95 ARBOR LANDSCAPING AND LAWN CARE INC ANN ARBOR 4752937A 801 8/25/2016 0042 ARBORSIDE CONSUMER PROTECTION SERVICES ANN ARBOR 4893166A 717 8/24/2016 8045 L3C AUSTIN COMMONS CONDOMINIUM ASSOCIATION ANN ARBOR 4022076A 750 9/12/2016 9015 B R STOUFFER LLC ANN ARBOR 4806778A 750 8/28/2016 5437 BABY SENIOR CARE SERVICES ANN ARBOR 5442311A 1,367 8/29/2016 8835 BACKYARD BRAINS INCORPORATED ANN ARBOR 4889215A 2,895 7/26/2016 3179 0.95 BLACKSHEAR BOOKS INC ANN ARBOR 5167213A 405 7/17/2016 8017 BUILDING ARTS AND CONSERVATION LLC ANN ARBOR 3996913A 1,831 8/18/2016 8720 0.95 CAMERON COTTAGE LLC ANN ARBOR 5420938A 7,168 7/3/2016 3726 CLAIMS INC ANN ARBOR 0151394A 755 8/7/2016 8742 CLASS REUNION CREATOR LLC ANN ARBOR 4709632A 295 8/29/2016 8810 D AND E PLUMBING ANN ARBOR 5441854A 3,350 8/28/2016 5183 DONALD J WURTZEL DDS PLLC ANN ARBOR 1724355A 6,132 7/15/2016 8832 1.39 27 % DOUGHTY MONTESSORI SCHOOL LTD ANN ARBOR 1204769A 1,060 7/17/2016 8869 0.95 ECO HOUSE PAINTERS ANN ARBOR 2519925A 750 9/10/2016 5476 ENVIRONMENTAL CONSULTING GROUP INC ANN ARBOR 4890469A 284 7/27/2016 8601 GENDRON CATHY ANN ARBOR 5418089A 811 7/1/2016 5476 GREAT LAKES PERFORMING ARTIST ASSOCIATES ANN ARBOR 2334747A 244 7/16/2016 8810 GREENSTREET INC ANN ARBOR 0138126A 27,510 9/20/2016 0106 1.27 HARRIS HOMES CARPENTRY INC ANN ARBOR 0345687A 800 8/20/2016 5645 HEALTHCARE DURABLE MEDICAL EQUIPMENTS ANN ARBOR 4446127A 1,082 8/23/2016 8810 0.91 LLC I AND I CONSTRUCTION ANN ARBOR 3131297A 750 8/28/2016 5645 J WEIL GOLDSMITH & ASSOC LLC ANN ARBOR 3028453A 441 7/7/2016 0908

3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 4 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JOHN E ROBBINS THE ROBBINS TRUST ANN ARBOR 5443008A 756 9/1/2016 0913 JOHNSON JEREMIAH ANN ARBOR 5239311A 706 8/4/2016 0913 KITE NETWORK ANN ARBOR 5443830A 284 9/23/2016 8810 LAKE IMPROVEMENT ASSOCIATION ANN ARBOR 0597244A 750 7/3/2016 9015 LEGACY FINANCIAL INC ANN ARBOR 3817598A 405 7/15/2016 8810 LENSKI SHOSHANNAH ANN ARBOR 4893646A 706 8/3/2016 0913 LIBERTY HEIGHTS CONDOMINIUM ASSOCIATION ANN ARBOR 5316260A 750 9/15/2016 9015 MAVEN DEVELOPMENT LLC ANN ARBOR 3763919A 800 8/28/2016 5645 MR ROOF ANN ARBOR LLC ANN ARBOR 3974090A 10,547 7/1/2016 8227 0.81 NAZARIO JOSE ANN ARBOR 5012970A 706 8/20/2016 0913 OAK MEADOWS ASSOCIATION ANN ARBOR 2016176A 800 8/8/2016 9015 ONE THOUSAND 316 S WESTERN LLC ANN ARBOR 0818852A 1,483 7/1/2016 9015 0.95 PHI RHO SIGMA MEDICAL ASSN ANN ARBOR 1355139A 563 9/15/2016 9061 RICHARD THOMPSON LLC ANN ARBOR 4796691A 605 8/27/2016 8742 SCHULTZ LINDSAY ANN ARBOR 5430240A 706 8/3/2016 0913 SKG CONSULTING LLC ANN ARBOR 5285593A 226 7/2/2016 8810 SMG SERVICES LLC ANN ARBOR 5286743A 750 7/4/2016 9015 SNOW X INC ANN ARBOR 0277983A 5,418 8/15/2016 9402 0.94 SUNTECH INDUSTRIALS LLC ANN ARBOR 5452350A 1,699 9/18/2016 8018 TONYS ROOF REPAIR LLC ANN ARBOR 2906287A 750 9/4/2016 5551 URBAN FORESTERS INC ANN ARBOR 2192047A 47,728 9/14/2016 0042 1.56 13 % VECTOR ELECTRIC INC ANN ARBOR 2033151A 1,804 8/6/2016 5190 0.95 VINCENT RE PLLC ANN ARBOR 5319102A 225 9/20/2016 8810 WATSON HEALTH CARE INC ANN ARBOR 2305437A 88,060 8/17/2016 8835 1.61 27 % WHITMAN MARINA & ROBERT ANN ARBOR 2493667A 1,014 8/1/2016 0908 0.95 WOODS AND WATER ECOTOURS LLC ANN ARBOR 4356209A 751 7/21/2016 9015 ZAMPERLA BROTHERS LLC ANN ARBOR 4703014A 772 9/22/2016 5437 ZEEB INC ANN ARBOR 2785340B 889 7/2/2016 8017 0.89 COMFORT IN HOME CARE LLC APPLEGATE 3951189A 2,928 7/20/2016 8835 0.95 ARMADA CONTROLS LLC ARMADA 4774035A 300 7/27/2016 8810 CROWN CONSTRUCTION INC ARMADA 0052760A 2,051 7/10/2016 5221 0.95 MICHIGAN MILLWORKS ARMADA 5422167A 750 7/10/2016 5437 P AND V MASONRY LLC ARMADA 0037478A 1,226 7/25/2016 5022 0.95 SANDRA N MICHAEL INC ARMADA 5022851A 800 9/11/2016 7208 0.95 TREE GUYS ARMADA 5435765A 1,234 9/30/2016 0106 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 5 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TWENTY SECOND CENTURY STAFFING INC ASHBURN, VA 5292115A 1,765 9/22/2016 8292 ONPROCESS TECHNOLOGY INC ASHLAND, MA 4977815A 395 8/21/2016 8810 GREENLAND ENGINEERING LLC ASHLEY 0191248A 750 8/25/2016 5645 HUNTOON CHAD ASHLEY 4083938A 750 9/18/2016 5645 WILLIAMS BUILDING MOVING & RAISING LLC ASHLEY 4907612A 751 7/10/2016 9530 FISHER CONSTRUCTION ATLANTA 3724743A 884 7/18/2016 5437 COPONEN JOHN ATLANTIC MINE 5427746A 1,563 7/25/2016 5022 TIMS EXCAVATING AND SKID STEER SERVICE LLC ATLANTIC MINE 5182743A 860 8/29/2016 6217 DALLAS TRUCKING ATTICA 2642514A 750 9/23/2016 6217 JIMS RECYCLING INC ATTICA 0502910A 22,794 9/1/2016 3821 0.80 JOE HERR EXCAVATING INC ATTICA 1699245A 753 9/21/2016 6217 0.95 KLEES MASONRY INC ATTICA 5193338A 825 9/28/2016 5022 VANDERCOOK BRYAN ATTICA 2537621A 750 9/1/2016 5437 AUBURN WILLIAMS FIRE DISTRICT AUBURN 0653438A 1,023 7/18/2016 7704 1.00 BAY GROUP VENTURES INC AUBURN 3134288A 87,007 8/1/2016 8832 1.81 27 % BAY TRANSPORT INC AUBURN 5300924A 31,527 9/6/2016 7208 JERRY PUTT AND SON ELECTRICAL LLC AUBURN 5433975A 699 9/18/2016 5190 DOBLE RENTALS LLC AUBURN HILLS 4242106A 9,547 8/20/2016 8044 1.24 MODERN MOLD & REMEDIATION LLC AUBURN HILLS 4312724A 3,584 9/1/2016 9015 0.95 NATIONAL EXTERIORS AUBURN HILLS 3114430A 800 7/7/2016 5022 PRO STAR SERVICES INC AUBURN HILLS 2091518A 4,766 9/1/2016 5550 0.95 REB CONSTRUCTION SERVICES INC AUBURN HILLS 2175690A 993 7/12/2016 5606 0.95 CLEAR VIEW WINDOW CLEANING AUGRES 4927249A 801 9/2/2016 9015 PNEUMATIC MEDICAL INC AUGRES 5029058A 1,208 9/24/2016 5191 LEVEL 4 STAFFING LLC AUSTIN, MN 5426286A 1,071 7/21/2016 7600 KROUPAS LOGGING INC AUTRAIN 1435302A 750 8/31/2016 2702 THUMB RADIO INC BAD AXE 0140902A 14,114 8/10/2016 5102 1.00 STRACUZZI BRANDON BAILEY 5322278A 750 9/27/2016 2702 TOMBSTONE TEAR DOWN LLC BALDWIN 5405327A 12,430 9/14/2016 2802 DANNDESIGN ENGINEERING SERVICES LLC BANCROFT 5300614A 359 8/6/2016 8601 EZINGA CONSTRUCTION LLC BANCROFT 3748170A 750 9/11/2016 5437 GALAN HELIODORO BANCROFT 5083311A 1,029 7/15/2016 5645 BANGOR COMMUNITY FIRE DEPARTMENT BANGOR 1867709A 6,869 7/19/2016 7704 0.93 RUMAS TRUCKING INC BANGOR 2729881A 7,205 7/31/2016 7208 WIRT DONALD BANNISTER 4643062A 800 9/12/2016 2702 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 6 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WIRT MARVALEE BANNISTER 1890751A 3,593 8/6/2016 2702 0.95 KINGS KIDS TRANSPORTS BARAGA 3186997A 750 7/12/2016 7208 WARE BUILDERS LLC BARBEAU 3485838A 4,577 8/1/2016 5645 0.88 FULLY LOADED DISPATCH LLC BARDSTOWN, KY 5317762A 286 9/18/2016 8810 CANNON FORESTRY RESOURCES LLC BARK RIVER 4995813A 284 7/19/2016 8601 MSP CONSTRUCTION BARK RIVER 1344960A 3,706 7/1/2016 5645 0.95 KLUSACK JULIANNE BATH 5446899A 275 9/14/2016 8810 MARK GARFIELD CONSTRUCTION BATH 2571641A 750 7/10/2016 5437 BOYS AND GIRLS CLUB OF BATTLE CREEK BATTLE CREEK 4348192A 1,814 8/30/2016 9063 0.95 CHAIB FAMILY BUSINESS LLC BATTLE CREEK 4658868A 420 8/12/2016 9058 CUSTOM TILE BATTLE CREEK 4434587A 750 7/1/2016 5348 0.95 D AND D EXCAVATING BATTLE CREEK 2755696A 750 9/24/2016 6217 EXECUTIVE SOLUTIONS INC BATTLE CREEK 2738856A 10,258 7/10/2016 9058 0.86 FEAR THE FARM INC BATTLE CREEK 5309921A 2,144 7/8/2016 9015 IN HIS STEPS DANCE STUDIO LLC BATTLE CREEK 5125847A 373 8/13/2016 9063 KALCHIK STEPHEN J BATTLE CREEK 1733460A 1,310 7/14/2016 0128 0.95 LAVERNES FAMILY RESTAURANT BATTLE CREEK 5301726A 4,776 8/9/2016 9058 MORGAN CONCRETE AND CONSTRUCTION BATTLE CREEK 4359909A 750 9/29/2016 5221 NICHOLS SCOTT BATTLE CREEK 5426219A 750 7/29/2016 2702 PROPERTY SERVICES OF SOUTHERN MICHIGAN BATTLE CREEK 5423554A 1,666 7/14/2016 5550 INC SUB AQUATIC SPORTS & SERVICES INC BATTLE CREEK 0266574A 871 9/9/2016 8017 0.95 SUMMIT INVESTMENT GROUP INC BATTLE CREEK 4296826A 3,233 8/15/2016 5606 0.94 VISUAL RESOURCES LLC BATTLE CREEK 4862678A 688 7/2/2016 8742 BAY SAIL BAY CITY 4772296A 887 7/22/2016 8810 BOATHOUSE CONDOMINIUM OWNERS BAY CITY 5290716A 966 7/16/2016 9015 ASSOCIATION BURK JOHN A BAY CITY 4501055A 1,069 9/12/2016 0011 0.95 BURK JOHN P BAY CITY 5451523A 1,069 9/12/2016 0011 CAUSLEY MARINE CONTRACTING LLC BAY CITY 0394211A 2,535 7/28/2016 5645 0.95 COSENS MMA LLC BAY CITY 5267790A 642 8/11/2016 9063 DISABILITY SERVICES RESOURCE CENTER BAY CITY 0678325A 285 8/18/2016 8810 DLR DEVELOPMENT LLC BAY CITY 5424771A 420 7/17/2016 5606 GOHM AND SON ROOFING & HOME BAY CITY 0510556A 750 8/20/2016 5551 0.95 IMPROVEMENTS KERRYS PAINTING INC BAY CITY 2919656A 802 8/13/2016 5476 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 7 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LARACEY HOUSE MOVERS BAY CITY 2559544A 751 7/13/2016 9530 0.95 METRO BUILDERS BAY CITY 2422956A 750 9/24/2016 5645 PERRY WOODARD SCHOOL OF DANCE LLC BAY CITY 3077454A 762 9/29/2016 8868 SAGINAW RIVER LAND COMPANY INC BAY CITY 3788687A 746 7/29/2016 6836 SCHLAUD FRANCIS AND ANDREA BAY CITY 5434564A 403 9/1/2016 0908 SHIP SHAPE AND SUDS INC BAY CITY 4049659A 750 9/4/2016 6826 0.95 SUN GLO ENTERPRISES LLC BAY CITY 3271030A 750 9/20/2016 5645 TONY DURUSSEL INC BAY CITY 2092581A 2,564 8/1/2016 0106 0.95 WALTER MACHINE BAY CITY 5440777A 1,100 8/25/2016 3632 WHEELER BUILDERS LLC BAY CITY 3167470A 800 7/29/2016 5645 PERFORMANCE BUILDING CONSTRUCTION LLC BEACHWOOD, OH 5426880A 750 7/23/2016 9015 PORTAGE LAKE YACHT CLUB BEAR LAKE 5283655A 508 9/30/2016 9060 FOGG TOWING & MARINE LLC BEAVER ISLAND 5163013A 750 7/10/2016 7309 RAUSCH PLUMBING LLC BEAVERTON 3659666A 800 8/21/2016 5183 BELDING BLEACHER ERECTORS INC BELDING 2841681A 750 7/8/2016 5645 ELITE WIRING SERVICES LLC BELDING 5228166A 632 9/10/2016 5191 EUREKA RESULTS COM INC BELDING 4896882A 284 8/12/2016 8601 FINK MICHAEL BELLAIRE 3169901A 750 7/16/2016 9102 SHAFER JAMIE BELLAIRE 3403815A 750 8/8/2016 9102 TODDS TREE SERVICES INC BELLAIRE 3212408A 3,956 7/11/2016 0106 0.96 B AND A AUTO SALES & PARTS LLC BELLEVILLE 2783142A 3,987 8/7/2016 3821 0.95 BASS HOME IMPROVEMENT LLC BELLEVILLE 5047030A 750 9/6/2016 5437 BELLEVILLE AREA DISTRICT LIBRARY BELLEVILLE 4776623A 1,994 7/31/2016 9015 0.95 DAVID A GATES BUILDERS BELLEVILLE 3190579A 800 7/19/2016 5645 GEISLER AUTO SERVICE LLC BELLEVILLE 2211696A 1,628 8/14/2016 8395 0.95 HAWKINS FORMAN WILLIE MAY BELLEVILLE 4721853A 5,070 9/23/2016 9053 HERO CONNECTOR BELLEVILLE 5291739A 751 7/18/2016 5102 JP CABLE BELLEVILLE 3594289A 750 7/9/2016 7600 RESPONSIBLE TRANSPORTATION LLC BELLEVILLE 5306469A 751 8/21/2016 7212 RK AUTOMOTIVE LLC BELLEVILLE 5443652A 6,534 9/2/2016 8395 SIN WAGON TRANSPORT LTD BELLEVILLE 5442559A 7,205 9/1/2016 7208 TORRES JASON D BELLEVILLE 4055438A 825 8/22/2016 5437 U S A DEMOLITION DERBY INC BELLEVILLE 2565196A 1,882 9/7/2016 9015 0.95 WIXOM GAS LLC BELLEVILLE 3291197A 1,135 9/18/2016 8017 0.95 Z AND Z CONTRACTING INC BELLEVILLE 2999560A 825 8/23/2016 5022 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 8 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BRANDT LOGGING BELLEVUE 2545039A 750 7/23/2016 2702 EXTERIOR DYNAMICS LLC BELLEVUE 5426936A 3,643 7/23/2016 5645 STONERIDGE AFC LLC BELLEVUE 5289734A 2,657 7/12/2016 9053 0.95 BUETTNER CONSTRUCTION INC BELMONT 2484536A 750 7/30/2016 5437 0.95 DENHERDER SUBCONTRACTOR BELMONT 5445515A 750 9/5/2016 5476 TOMPKINS ADVERTISING LLC BELMONT 5430275A 225 8/1/2016 8810 TRU INSTALLATIONS LLC BELMONT 4798210A 750 7/18/2016 5437 VIERWEG MACHINING CO BELMONT 2225638A 789 8/21/2016 5191 0.95 DK CHAPMAN & ASSOCIATES PLLC BENTLEY 5024480A 754 9/17/2016 9015 A 1 AUTO SALVAGE COMPANY BENTON 0228982A 1,078 9/16/2016 3821 0.95 A AND A TREE SERVICE LLC BENTON HARBOR 4365879A 1,598 9/24/2016 0106 0.95 TOMAR INDUSTRIES BENTON HARBOR 3782093A 1,447 9/12/2016 3632 0.95 A PLUS CONCRETE BENZONIA 4096100A 750 7/16/2016 5022 ANTONIOS T & P INC BERGLAND 5292247A 993 8/10/2016 9058 0.95 ATEX BUILDERS LLC BERKLEY 4999142A 750 8/1/2016 5645 BALDWIN HOWARD INDUSTRIAL COMPLEX BERKLEY 5016568A 800 8/21/2016 8292 C AND N PRESS WOOD ENHANCEMENTS LLC BERKLEY 5425670A 3,050 7/18/2016 5437 J AND N PIZZA LLC BERKLEY 5182999A 1,183 8/30/2016 9058 LEVEY MICHAEL BERKLEY 5434858A 403 8/29/2016 0908 MIDWEST GUTTER CLEANING LLC BERKLEY 5059267A 1,564 8/7/2016 5538 0.95 MURRAY BUILT CONSTRUCTION CO INC BERKLEY 2497050A 750 7/4/2016 5551 RANGA STORE INC BERKLEY 5440637A 1,890 8/25/2016 8017 ROBERT E BORSON DPM PC BERKLEY 0711080A 351 9/6/2016 8810 SAMMUT CONSTRUCTION INC BERKLEY 4134818A 750 9/25/2016 5437 LUMBERJAX TREE SERVICE BERRIEN SPRINGS 3583198A 750 7/23/2016 0106 PROFESSIONAL ROOFING BERRIEN SPRINGS 2395800A 5,674 7/9/2016 5538 0.91 SUNSET COAST HOMES LLC BERRIEN SPRINGS 3796809A 750 9/13/2016 8395 TOUCH OF COLOR BERRIEN SPRINGS 1137638A 2,256 9/10/2016 5476 TWIN SPRINGS AGGREGATE INC BERRIEN SPRINGS 5171784A 3,509 9/27/2016 4000 0.95 CONNOR FOREST INDUSTRIES INC BESSEMER 0797898A 826 7/18/2016 8810 ERICKSON ROOFING & SIDING INC BESSEMER 2187108A 8,168 8/17/2016 5551 0.90 MARKOS BAR & GRILL BESSEMER 5322227A 465 9/30/2016 9058 MELDRUM PHILIP BESSEMER 5020409A 750 9/5/2016 5645 NORTHWOODS FIREWOOD PROCESSING LLC BESSEMER 5455065A 2,171 9/25/2016 8232 RICHARD GHELLER CONSTRUCTION BESSEMER 2906562A 933 9/10/2016 5645 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 9 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SPECTRUM ENTERTAINMENT OF UPPER MICH BESSEMER 0662100A 1,005 8/19/2016 9015 LLC AMERATHON LLC BETHEL, OH 5069130A 4,523 7/12/2016 4511 1.32 40 % ALS AGGREGATE PROCESSOR BEULAH 1960482A 1,283 8/28/2016 7380 CHAPMAN HELEN BEVERLY HILLS 5185211A 2,123 9/6/2016 0913 0.95 KUHN SPECIALTY FLOORING LLC BEVERLY HILLS 4650417A 833 7/29/2016 8742 MIRABITO KENT J BEVERLY HILLS 0684279A 750 7/19/2016 0042 STUCKEYS CORPORATION BEVERLY HILLS 4774060A 421 7/27/2016 8010 ALL STAR PAYDAY LOANS LLC BIG RAPIDS 3964116A 266 7/8/2016 8810 HARRYS RENTALS BIG RAPIDS 2645009A 4,373 7/1/2016 9015 0.93 JARRED BOWMAN CONSTRUCTION BIG RAPIDS 4515765A 750 8/11/2016 5645 RIVERTOWN REAL ESTATE LLC BIG RAPIDS 4518250A 226 8/27/2016 8810 TWAZ ENTERPRISES LLC BIG RAPIDS 5439760A 791 8/22/2016 8017 ADAMS DEVELOPMENT CORPORATION BINGHAM FARMS 1704150A 750 7/27/2016 9015 DANIEL ENTERPRISES LLC BINGHAM FARMS 4774272A 859 7/9/2016 8835 LANGBERG HENRY PC BINGHAM FARMS 1367978A 369 9/9/2016 8820 NORTH PARK COOPERATIVE BINGHAM FARMS 1310887A 1,766 9/1/2016 9015 0.92 KSC CONSTRUCTION INC BIRCH RUN 0603139A 1,077 9/5/2016 5645 ACCENT ON STAFFING INC BIRMINGHAM 5022673A 276 9/21/2016 8810 ARIZONA SADDLERY OF BIRMINGHAM BIRMINGHAM 3178510A 535 7/7/2016 8008 BARNETT RARITIES CORPORATION BIRMINGHAM 0117730A 338 8/7/2016 8013 BASE TACTICAL DISASTER RECOVERY INC BIRMINGHAM 4517857A 613 8/27/2016 8601 BINGHAM DEVELOPMENT LLC BIRMINGHAM 3267512A 800 7/19/2016 9015 DETROIT URBAN DESIGN STUDIO LLC BIRMINGHAM 5434580A 329 8/11/2016 8742 HALPRIN CONSTRUCTION INC BIRMINGHAM 3212882A 750 8/19/2016 5190 LIEBERMAN ARTHUR & ROCHELLE BIRMINGHAM 2252910A 453 9/7/2016 0908 LUTZ FINANCIAL SERVICES LLC BIRMINGHAM 3821226A 275 8/20/2016 8810 LUXE HOMES DESIGN BUILD LLC BIRMINGHAM 5450861A 1,780 9/16/2016 5606 MAJESTIC TRANSPORTATION LLC BIRMINGHAM 5421420A 1,055 7/8/2016 7212 MICHIGAMA COOPERATIVE CORPORATION BIRMINGHAM 2076241A 751 8/28/2016 9015 OAKLAND RHYTHMICS BIRMINGHAM 2925621A 1,265 9/15/2016 9063 0.95 PACIFIC MANAGEMENT INC BIRMINGHAM 2173859A 276 8/3/2016 8810 RJN VENTURES SKATING CENTER LLC BIRMINGHAM 3246205A 800 8/8/2016 8017 SETH E WALKER & CO BIRMINGHAM 1501879A 751 7/17/2016 9015 SIMPLE SUPPLEMENTAL FOODS LLC BIRMINGHAM 5452341A 711 9/30/2016 6504

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WYNNESTONE COMMUNITIES CORPORATION BIRMINGHAM 0146889A 1,572 8/31/2016 8810 1.19 13 % GREAT LAKES SEASONAL LLC BLISSFIELD 5246172A 4,099 8/26/2016 9058 BEES AND TREES LLC BLOOMFIELD 5422922A 3,410 7/11/2016 9015 DRYMEDIC RESTORATION TROY LLC BLOOMFIELD 5297621A 3,624 7/29/2016 5445 0.95 PR 39 INDUSTRIES LLC BLOOMFIELD 5286220A 1,852 7/3/2016 8010 0.95 SOUTH BOULEVARD & OPDYKE STATION INC BLOOMFIELD 4239725A 2,248 7/1/2016 8395 0.95 A PLUS PAINTING LLC BLOOMFIELD HILLS 3040097A 8,102 7/18/2016 5476 1.41 13 % BASLER CONSTRUCTION CONSULTANTS LLC BLOOMFIELD HILLS 5431930A 1,613 8/5/2016 5606 BHAVNAGRI SHARUKH J BLOOMFIELD HILLS 5020883A 756 9/5/2016 0913 BLAMY LAWN AND LANDSCAPING BLOOMFIELD HILLS 2686333A 1,641 9/12/2016 9102 0.95 BOYKANSKY STANLEY BLOOMFIELD HILLS 2050943A 403 9/14/2016 0908 C M MADSEN COMPANY BLOOMFIELD HILLS 1307037A 750 8/1/2016 5476 COMPREHENSIVE SERVICES FOR THE BLOOMFIELD HILLS 1950193A 52,187 7/1/2016 8868 1.73 20 % DEVELOPMENTALLY DISABLED INC DAWSON JAMES M BLOOMFIELD HILLS 1891260A 2,797 9/23/2016 5551 0.95 DOGDOUGH LLC BLOOMFIELD HILLS 5170249A 1,543 7/25/2016 8017 1.00 DUNCAN ALEX BLOOMFIELD HILLS 5307589A 809 8/25/2016 0908 FARIA INC BLOOMFIELD HILLS 2825058A 3,683 9/30/2016 9058 0.95 FISHMAN DAVID BLOOMFIELD HILLS 1188330A 606 8/15/2016 0908 FRANK RUTH BLOOMFIELD HILLS 0124710A 1,336 8/10/2016 0908 0.95 GARDEN AND PLOW LLC BLOOMFIELD HILLS 3849392A 750 7/29/2016 0042 GOLDBERG THOM J BLOOMFIELD HILLS 1058118A 921 9/1/2016 0908 0.95 H A SUN HEATING & COOLING INC BLOOMFIELD HILLS 1547909A 800 8/21/2016 5550 HAMMOND THOMAS J & JANET G BLOOMFIELD HILLS 3955060A 2,744 7/6/2016 0913 0.95 HASCALL ALLAN PERRY JR BLOOMFIELD HILLS 1097105A 706 9/28/2016 0913 HURWITZ STEPHEN BLOOMFIELD HILLS 3607704A 706 7/16/2016 0913 IMPERIAL GROUP INC BLOOMFIELD HILLS 2988453A 225 7/6/2016 8810 0.95 J R MANAGEMENT INC BLOOMFIELD HILLS 0051861A 802 7/1/2016 5606 0.95 JANICE PURCELL INTERIORS LLC BLOOMFIELD HILLS 2957922A 685 9/18/2016 9521 K L CONSTRUCTORS INC BLOOMFIELD HILLS 5088445A 800 8/1/2016 5437 KAARIN AVERILL EDUCATIONAL SERVICES LLC BLOOMFIELD HILLS 5428718A 334 8/24/2016 8601 LAMBERT S OKMA LLC BLOOMFIELD HILLS 4650760A 334 7/30/2016 8601 LEWIS A BART & LEWIS SUSAN BLOOMFIELD HILLS 0960152A 606 7/31/2016 0908 MAXWELL HOME HEALTH CARE INC BLOOMFIELD HILLS 4353935A 620 7/17/2016 8835 0.95 MENTAL ILLNESS RESEARCH ASSOCIATION BLOOMFIELD HILLS 5431891A 246 8/5/2016 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ORLEY RANDALL BLOOMFIELD HILLS 1459805A 403 8/7/2016 0908 PARLOVECCHIO BUILDERS INC BLOOMFIELD HILLS 2248433A 750 8/18/2016 5403 SHACKET CONSTRUCTION COMPANY INC BLOOMFIELD HILLS 2221624A 750 7/22/2016 5645 SHAEVSKY MARK BLOOMFIELD HILLS 1066722A 478 7/1/2016 0908 SINGER ZENIA BLOOMFIELD HILLS 2108178A 453 8/28/2016 0908 SQUARE LAKE PIZZA AND PITA INC BLOOMFIELD HILLS 0518174A 2,689 9/1/2016 9058 1.00 STRUMBOS CHRISTINE BLOOMFIELD HILLS 4095715A 706 7/15/2016 0908 SWEDLER AARON BLOOMFIELD HILLS 5020026A 706 8/31/2016 0913 TESSLER DOROTHY BLOOMFIELD HILLS 5192315A 478 9/25/2016 0908 THOMSON ALLISON BLOOMFIELD HILLS 3417980A 874 8/15/2016 0908 0.95 WINSTON STEVEN BLOOMFIELD HILLS 5031877A 403 9/29/2016 0908 ASG MANAGEMENT CO BLOOMFIELD TWP 3387062A 1,161 9/27/2016 0913 0.95 DRYMEDIC RESTORATION BLOOMFIELD LLC BLOOMFIELD TWP 5285666A 3,624 7/1/2016 5445 0.95 DRYMEDIC RESTORATION NOVI LLC BLOOMFIELD TWP 5297613A 3,624 7/29/2016 5445 0.95 EAGER BEAVER ARBOR SPECIALISTS BLOOMFIELD TWP 4722701A 750 7/26/2016 0106 OAKFORD CAPITAL LLC BLOOMFIELD TWP 5316731A 1,280 9/16/2016 5606 R F HOME IMPROVEMENT BLOOMFIELD TWP 4865294A 750 9/10/2016 5645 BLOOMFIELD VILLAGE ASSOCIATION BLOOMFIELD VILLAGE 0727806A 4,006 8/22/2016 7704 0.95 BEMIS MARK BLOOMINGDALE 4826264A 750 9/27/2016 5221 POWER TRAIN TRUCK & AUTO PARTS INC BOHEMIA, NY 4762126A 1,248 8/25/2016 8010 0.95 TOWNSEND LOGGING BOON 4878353A 750 7/14/2016 2702 FAIR SHARE EDUCATION FUND INC BOSTON, MA 5291003A 412 7/21/2016 8742 FUND FOR THE PUBLIC INTEREST INC BOSTON, MA 2552213A 976 7/1/2016 8742 0.95 ABOVE ALL CONSTRUCTION LLC BOYNE CITY 3354741A 3,696 9/27/2016 5437 0.95 ALL ASPECTS FORESTRY LLC BOYNE CITY 5024021A 750 9/14/2016 0106 AMMERMAN JENNIFER CLASMAN BOYNE CITY 5135028A 750 8/4/2016 5645 T AND M OF BOYNE INC BOYNE CITY 2854414A 753 7/7/2016 8810 FOGGY MOUNTAIN WOODWORKS BOYNE FALLS 5322260A 801 9/27/2016 5437 GOLDSMITH WELL DRILLING BOYNE FALLS 0862606A 2,365 7/25/2016 5183 0.92 NORTHERN SPRINGS MANAGEMENT CO BOYNE FALLS 0749303A 23,962 7/17/2016 9053 0.93 WEIGOLD ADAM BRANT 5070287A 750 9/17/2016 2702 ALL PURPOSE CONSTRUCTION BRECKENRIDGE 5441773A 750 8/27/2016 5645 CJ EVANS CONTRACTING LLC BRIDGEPORT 3958639A 750 8/22/2016 0042 SCHLUCKEBIER BROTHERS TRUCKING INC BRIDGEPORT 5300312A 3,282 8/12/2016 7208 THOMAS GERKEN BUILDERS LLC BRIDGEPORT 0476641A 750 9/10/2016 5645 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 12 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALLEGIANCE HOMES LLC BRIGHTON 4794869A 750 9/25/2016 5183 BARTON BUILDING COMPANY BRIGHTON 2230909A 750 9/14/2016 5645 BOUNCERS AND MORE LLC BRIGHTON 4871472A 2,183 9/8/2016 9015 0.95 BRIGHTON DRILLING BRIGHTON 0040339A 3,006 9/7/2016 6204 0.90 CALKINS MARKETING LLC BRIGHTON 4350324A 527 7/19/2016 8742 CHRISS TREE SERVICE LLC BRIGHTON 3876080A 6,326 9/23/2016 0042 1.44 13 % CRANE CONSTRUCTION INC BRIGHTON 1663321A 940 8/15/2016 5606 0.96 DESIGN DEVELOP CONSTRUCT ENTERPRISES BRIGHTON 5439426A 358 8/31/2016 8810 LLC EMPIRE LAWN & LANDSCAPING LLC BRIGHTON 5284864A 750 7/29/2016 9102 ENVIRONMENTAL PROBE SERVICES INC BRIGHTON 2727633A 850 8/14/2016 4511 0.95 FISHER REMODELING LLC BRIGHTON 3614689A 750 7/11/2016 5645 0.95 FLOORING DESIGN SPECIALTIES LLC BRIGHTON 5031559A 2,643 7/21/2016 9521 0.95 FONDA ISLAND AND BRIGGS LAKE JOINT WATER BRIGHTON 2451662A 760 9/26/2016 7520 0.95 AUTHORITY FOUR D DESIGN LLC BRIGHTON 5283108A 1,197 9/15/2016 9015 FRESH WATER PHYSICIANS INC BRIGHTON 0594326A 529 7/18/2016 8601 GENERAL CHEMICAL CORPORATION BRIGHTON 1019767A 628 9/1/2016 4828 GREEN TECH STYLES INC DEBTOR IN BRIGHTON 0288160A 2,105 7/20/2016 3632 0.85 POSSESSION HEGEDUS WILLIAM J BRIGHTON 0492337A 750 8/18/2016 5551 HOME REMEDY CONSTRUCTION LLC BRIGHTON 5428831A 750 7/29/2016 5645 J AND J LAMINATE CONNECTION INC BRIGHTON 0143847A 750 9/27/2016 2812 0.95 JBL WELDING BRIGHTON 3622673A 750 7/18/2016 5102 K AND J PIZZA INC BRIGHTON 4367804A 3,272 9/10/2016 9058 0.95 LAWNS AND LANDSCAPING CONTRACTORS LLC BRIGHTON 0463965A 1,226 8/7/2016 9102 0.95 MICHIGAN EMPLOYMENT GROUP INC BRIGHTON 5417813A 3,439 7/2/2016 7422 MURRAY MICHAEL BRIGHTON 3556964A 750 7/19/2016 5645 OBSIDEO ENERGY LLC BRIGHTON 5115388A 582 8/20/2016 8601 PAUL LONG PRODUCTIONS LLC BRIGHTON 2899850A 1,321 8/7/2016 7610 PREGNANCY HELPLINE BRIGHTON 3771024A 398 9/20/2016 8810 STONE MAN MARK BRIGHTON 5173795A 750 8/6/2016 5022 SUMMIT RIDGE CONDOMINIUM ASSOCIATION BRIGHTON 1102516A 752 8/14/2016 9015 TERRENCE W HARDER INC BRIGHTON 4656938A 750 9/3/2016 5476 0.95 THRIFTY SERVICES INC BRIGHTON 2199173A 16,999 7/8/2016 9015 0.81

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TOWN CENTER REFRIGERATION HEATING AND BRIGHTON 1699423A 54,862 9/17/2016 5606 1.85 40 % AIR CONDITIONING INC VANSICKLE KATHLEEN BRIGHTON 5160030A 909 7/2/2016 0908 WATTS CONSTRUCTION BRIGHTON 5454131A 750 9/23/2016 5645 SZUMA PROPERTIES LLC BRITTON 5438713A 750 8/21/2016 5476 FULTON RANDY BROHMAN 2083060A 2,750 7/10/2016 5645 0.95 BRANCH COUNTY PAINT DOCTOR LLC BRONSON 3375072A 2,030 8/25/2016 5476 1.00 GRODI CUSTOM TRIM AND DESIGN LLC BROOKLYN 5161274A 750 7/5/2016 5437 ISLE RESTORATION INC BROOKLYN 3840220A 751 8/30/2016 8810 0.95 JAMES BUONO GRADING & EXCAVATION LLC BROOKLYN 5285658A 4,434 7/1/2016 6217 0.95 HARRINGTON INN BROWN CITY 2930595A 483 8/21/2016 9058 LYNX CONSTRUCTION BROWN CITY 5284210A 750 8/20/2016 5645 LYNX TOWING LLC BROWN CITY 5284210B 825 9/12/2016 7208 NO LIMIT CONSTRUCTION BROWN CITY 5024960A 750 9/15/2016 5437 RAYMONDS TREE SERVICE INC BROWN CITY 4040562A 8,638 9/30/2016 0042 0.88 TUNDRA EXPRESS LLC BROWN CITY 4823923A 750 7/9/2016 7208 0.95 WOOD LAWN INCORPORATED BROWN CITY 2275910A 750 7/16/2016 0042 ADAMARK CORPORATION BROWNSTOWN 0218758A 1,808 7/18/2016 9058 0.95 DAVID L WILLIAMS CONTRACTOR LLC BROWNSTOWN 4079825A 750 9/27/2016 6217 LANRACORP INC BROWNSTOWN, IL 5039096A 826 8/18/2016 9102 T AND R INVESTMENTS INC BROWNSTOWN 5003890A 751 7/19/2016 8810 TOP CHOICE HOME IMPROVEMENT LLC BROWNSTOWN 5290996A 750 7/16/2016 5022 UNIQUE FINISHERS OF MICHIGAN INC BROWNSTOWN 3197867A 4,828 8/14/2016 5476 C MAC TRANSPORTATION LLC BROWNSTOWN 3771822A 750 9/29/2016 7208 TOWNSHIP BLAINS TREE SERVICE INC BROWNSTOWN TWP 2538083A 1,298 9/23/2016 0042 0.95 NCA TRANSPORT INC BROWNSTOWN TWP 5019184A 11,353 9/1/2016 7208 0.90 PINE ARBOR CONDOMINIUM LLC BROWNSTOWN TWP 3972160A 800 9/15/2016 5645 SMARTY PANTS PRESCHOOL AND DAYCARE LLC BRUCE 4137051A 411 9/4/2016 8869 NIPPA EXCAVATING LLC BRUCE CROSSING 3848507A 750 7/19/2016 5507 0.95 PLATSKE JED BRUCE CROSSING 2291592A 750 8/15/2016 2702 A AND G FLOORS & WALLS INC BRUCE TWP 3411311A 800 9/6/2016 5348 ARC REMODELING AND BUILDING BRUCE TWP 5454646A 4,186 9/24/2016 5645 GNYP DESIGN LLC BRUCE TWP 5427720A 998 7/25/2016 5645 SOUTH CHANNEL CONSTRUCTION LLC BRUCE TWP 3986403A 750 7/25/2016 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge THERMAL DYNAMICS HEATING AND COOLING BRUCE TWP 5184401A 3,683 8/22/2016 5550 0.95 LLC REDBUD RECREATION INC BUCHANAN 2120208A 5,109 9/6/2016 9015 0.96 SNOWBUSTERS LLC BUCHANAN 3931919A 17,539 7/2/2016 9402 0.86 WAYNE BANCROFT AUCTION SERVICE BUCKLEY 0040290A 1,060 8/22/2016 8017 0.95 TRANS AMERICAN CUSTOMHOUSE BROKERS INC BUFFALO, NY 2602296A 1,121 9/10/2016 8810 0.95 AFFORDABLE QUALITY CARE LLC BURTON 4507894A 1,049 8/13/2016 8835 0.95 ALL AMERICAN DECORATORS BURTON 2436825A 750 7/8/2016 5476 ALL STAR CONSTRUCTION BURTON 5186390A 750 9/10/2016 5645 BURGHARDT ENTERPRISES LLC BURTON 3549542A 635 9/29/2016 9521 DANIEL VANCE LLC BURTON 3664767A 4,800 7/16/2016 3724 0.95 DENNIS GRAY BUILDER BURTON 4787471A 2,592 9/23/2016 5645 F AND L OF FLINT INC BURTON 1837281A 420 7/10/2016 9058 FRYES PAINTING BURTON 4381602A 750 8/13/2016 5476 J AND CS HOME IMPROVEMENT BURTON 1343157A 800 9/5/2016 5551 KEVCO BUILDING SERVICES INC BURTON 5434629A 750 8/11/2016 5437 KPR CONSULTING LLC BURTON 5423678A 284 7/14/2016 8601 PREMIER VINYL SIDING BURTON 4779622A 1,789 9/15/2016 5645 0.95 R Y CONSTRUCTION INC BURTON 2856239A 750 9/2/2016 5645 REIDS HOME IMPROVEMENT BURTON 4603974A 750 8/26/2016 5437 VETCON INC BURTON 5449090A 5,659 9/12/2016 5190 WHALEN BROTHERS PAINTING COMPANY BURTON 2674262A 750 9/10/2016 5476 BRAY ELECTRIC LLC BYRON 5441978A 3,841 9/1/2016 5190 CDS 3 COMMUNICATIONS LLC BYRON 5263409A 752 8/15/2016 5191 MRAZIK CONSTRUCTION BYRON 5429463A 750 7/30/2016 5538 NELSON ROOFING BYRON 1326570A 750 9/1/2016 5551 SHEER PAINTING BYRON 2256304A 750 9/26/2016 5476 TRI COUNTY SERVICES BYRON 3721094A 2,752 7/7/2016 0042 AAA IRISH TREE SERVICE BYRON CENTER 3049965A 3,218 8/3/2016 0106 0.95 DAN VIS BUILDERS LLC BYRON CENTER 5429455A 242 7/31/2016 8810 ERSKINE AND SONS INC BYRON CENTER 2818795A 750 8/6/2016 5462 LEWIS LATESHA BYRON CENTER 5428203A 750 8/18/2016 9015 TIMS CARPET SERVICE BYRON CENTER 4113926A 635 9/1/2016 9521 UNIQUE EQUIPMENT MI LLC BYRON CENTER 5435560A 305 8/13/2016 8742 VISIONSCAPING LLC BYRON CENTER 0374571A 2,253 9/1/2016 0042 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EJORE INC CADILLAC 2717190A 750 7/23/2016 5645 GARDEN CENTER LLC CADILLAC 0770213A 2,839 9/9/2016 0042 0.95 MATTISON JERRY CADILLAC 3817814A 750 8/1/2016 2702 NIXON CARPET CADILLAC 2344025A 635 8/3/2016 9521 NORTHERN DISTRICT FAIR ASSOCIATION CADILLAC 1223666A 750 9/12/2016 8810 PICTURE PERFECT CUSTOM INTERIORS CADILLAC 2840715A 750 9/29/2016 5348 RAY E BOSTICK AMERICAN LEGION POST 94 THE CADILLAC 0635685A 884 9/26/2016 9061 0.95 AMERICAN LEGION DEPARTMENT OF MICHIGAN REALCARE ADULT FOSTER CARE LLC CADILLAC 5313775A 850 9/9/2016 9053 REININK HOMES CO CADILLAC 0308609A 750 9/17/2016 5645 0.95 WEXFORD AUTOMATION LLC CADILLAC 4945042A 7,319 9/26/2016 3628 0.93 SOCIAL AND ENVIRONMENTAL ENTREPRENEURS CALABASAS, CA 5176832A 235 7/31/2016 8810 INC ANCHOR REALTY LLC CALEDONIA 5428645A 288 7/29/2016 8742 BRIAN KAISERLIAN BUILDER INC CALEDONIA 4652975A 750 8/6/2016 5645 GLENNS IRRIGATION SERVICES LLC CALEDONIA 2425700A 1,563 8/15/2016 5183 0.95 INTEGRITY PROJECT MANAGEMENT II LLC CALEDONIA 3986284A 225 7/16/2016 8810 JLCARE LLC CALEDONIA 5170079A 3,754 7/24/2016 8835 0.95 JOHNSON VINCENT CALEDONIA 4763432A 800 9/10/2016 5645 MORREN ROSS CALEDONIA 0559938A 750 9/20/2016 5645 NEW GROWTH TREE & SNOW SERVICE LLC CALEDONIA 5442516A 939 8/29/2016 0106 PRIME FOCUS CONSTRUCTION AND CALEDONIA 4950291A 750 8/5/2016 5445 0.95 REMODELING LLC SURFACE TECHS LLC CALEDONIA 3231534A 800 7/1/2016 5476 0.95 DONALD BUKEMA INC CALUMET 0745030A 1,572 7/1/2016 9403 0.95 NORTH SPECIALITY ELECTRIC INC CALUMET 2730669A 699 7/24/2016 5190 UPLAND CONTRACTING CALUMET 3962393A 2,592 9/1/2016 5645 TOM CLAYTON ERECTORS LLC CAMBRIDGE, OH 5309727A 1,585 8/28/2016 5040 A ONE VALET INC CANTON 4260007A 965 8/26/2016 8392 0.95 ADVANCED DRIVING ACADEMY INC CANTON 3044319A 2,749 7/21/2016 8868 0.95 CHARLIES PIZZA OF SOUTH CANTON INC CANTON 3447014A 1,111 9/11/2016 9058 COAST 2 COAST TILE INC CANTON 5298938A 750 8/1/2016 5348 COMPUTER ENTERPRISE SOLUTIONS LLC CANTON 4254694A 254 8/17/2016 8742 DIEGO SANTOS MARTINEZ INC CANTON 5445400A 750 9/5/2016 5348 DJT DEVELOPMENT INC CANTON 5428173A 825 7/28/2016 5645 DREPS LEE CANTON 5135362A 261 9/3/2016 8832 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 16 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EMBRACE GROUP HOME LLC CANTON 5322197A 3,628 9/27/2016 9053 EXTREME CERAMIC AND STONE LLC CANTON 4048709A 2,502 9/9/2016 5348 0.95 FACILITY MANAGEMENT SPECIALISTS INC CANTON 4004906A 15,758 8/7/2016 9015 0.82 FRANKS HOME IMPROVEMENTS LLC CANTON 5442478A 750 8/29/2016 5645 HANES PLUMBING LLC CANTON 4218574A 750 8/3/2016 5183 HELP YOU BUILD YOUR HOME INC CANTON 5301025A 750 8/8/2016 5645 IMAGE CUSTOM CARPENTRY LLC CANTON 4890515A 750 7/28/2016 5645 INNOVATIVE REHAB SERVICES INC CANTON 4609190A 299 8/9/2016 8832 JACOBS JOSHUA N CANTON 5421349A 750 7/7/2016 7600 JJM EXTERIOR DESIGNS LLC CANTON 5432421A 836 8/17/2016 8601 KEYA ENTERPRISES LLC CANTON 1494546A 1,423 9/22/2016 8017 1.00 LITTLE OAK ENTERPRISES INC CANTON 0842362A 980 9/4/2016 8017 0.95 MAP ELECTRIC LLC CANTON 4402448A 749 8/15/2016 5190 0.95 MARLIN TRANSPORT INC CANTON 3237443A 752 8/21/2016 8810 METROWAY TRANSPORTATION LLC CANTON 5436516A 751 8/15/2016 7212 MILONEE INC CANTON 5289750A 1,480 7/12/2016 8017 0.95 MISS BECKYS HOUSE INC CANTON 3889874A 502 9/9/2016 8868 PARINISHA INC CANTON 5289750B 1,481 7/12/2016 8017 0.95 SMOLYANOV HOME IMPROVEMENT LLC CANTON 4548213A 3,440 7/10/2016 5551 0.86 SPEARS TREE EXPERTS INC CANTON 3329224A 1,431 8/27/2016 0042 TARLEA CONSTRUCTION LLC CANTON 4502868A 750 8/22/2016 5645 0.95 TCF CONSULTANTS INC CANTON 4884620A 1,226 7/12/2016 8601 0.95 TRADEMARK DRYWALL LLC CANTON 4438485A 1,976 9/17/2016 9015 0.95 WILLOW HOMES ASSOCIATION CANTON 3679390A 750 9/7/2016 9015 CASEY SCHAFFER TRUCKING INC CARLETON 4107390A 1,743 9/17/2016 7380 1.00 DAN BAKER LAWN SERVICE INC CARLETON 5188148A 800 9/1/2016 0042 HOLLISTER DRYWALL INC CARLETON 0395420A 750 7/25/2016 5445 0.95 HOMRICH WRECKING INC CARLETON 0026832A 4,174 7/1/2016 5606 0.95 PHOENIX PARTNERS LLC CARLETON 3944905A 614 8/31/2016 3634 SINCLAIR SCOTT CARLETON 5419174A 750 7/27/2016 9015 TEPER CARE LLC CARLETON 5452708A 941 9/19/2016 8835 ERIC JANOFSKI LLC CARNEY 5456347A 226 9/29/2016 8810 FADROSKI KEITH CARNEY 4321448A 750 7/16/2016 7208 DRIFTWOOD ENTERPRISES LLC CARO 3140377A 6,110 7/11/2016 7208 0.95 MICHELLES HOUSE CARO 2920654A 3,512 9/15/2016 9052 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 17 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MY CARPENTER CARO 1198688A 750 9/11/2016 5645 TUSCOLA COUNTY FAIR ASSOCIATION CARO 1478214A 1,257 7/28/2016 9015 0.95 WARJUS FLOORING INC CARO 2151227A 638 7/19/2016 8810 0.95 DECKER JAMES CARSONVILLE 1283804A 750 7/30/2016 5221 SALOWITZ ENTERPRISES INC CARSONVILLE 5312990A 2,809 8/30/2016 7502 0.95 LOOKING OUT WITH JULIE HUIZING LLC CASCADE 4910796A 635 9/29/2016 9521 CASCO MOBILE HOME SERVICE INC CASCO 3067300A 750 9/26/2016 5645 0.95 CERVI GROUP LLC CASCO 2765268A 420 7/21/2016 5606 PATRICK J SCHWEIGER CONSTRUCTION INC CASCO 3036464A 752 8/14/2016 8810 WILLIAMS HOME IMPROVEMENT CASCO 2944979A 750 8/21/2016 5403 TIMOTHY LALLEY KITCHENS LLC CASEVILLE 5147255A 1,322 7/18/2016 2812 0.95 ANTHES BROTHERS BUILDING MOVERS INC CASS CITY 0632600A 825 7/10/2016 9530 D PARROTT CONSTRUCTION LLC CASS CITY 1505823A 825 7/28/2016 5645 0.95 TDM CONSTRUCTION CASS CITY 4640640A 750 8/7/2016 5645 WALLY KAPPEN SAWMILL CASS CITY 2378850A 4,051 8/26/2016 2702 0.95 CASS COUNTY FAIR ASSOCIATION CASSOPOLIS 1696432A 863 9/16/2016 9015 CENTRAL CASS INTERLOCAL FIRE DEPARTMENT CASSOPOLIS 4885058A 1,595 7/15/2016 7904 0.95 BARKOW FARMS INC CEDAR SPRINGS 2936712A 750 9/28/2016 9015 COMMERCIAL COATING SYSTEMS LLC CEDAR SPRINGS 5282640A 4,729 8/20/2016 5476 GILBERT FRANK CEDAR SPRINGS 5031397A 2,505 9/27/2016 0129 1.00 J VRIELING DRYWALL CONTRACTOR CEDAR SPRINGS 1883313A 750 8/2/2016 5445 RICHS RESIDENTIAL REPAIR CEDAR SPRINGS 2940191A 750 9/13/2016 5437 KOZMA STEVEN N CEDARVILLE 3716023A 4,695 8/23/2016 5645 0.94 ADVANCED AUTOMATION AND ROBOTICS INC CENTER LINE 5420784A 771 7/3/2016 8601 ST CLAIR MECHANICAL LLC CENTER LINE 5204119A 1,861 9/29/2016 8601 SUPERIOR SECURITY SERVICES LLC CENTER LINE 3939537A 2,269 7/1/2016 7720 0.95 EASTSIDE PERIODONTICS PLLC CENTERLINE 5171318A 1,960 7/26/2016 8832 0.95 KALTZ ANDREW CENTERLINE 5435552A 750 8/13/2016 5022 VERSATILE HVAC & COMFORT LLC CENTERLINE 4659562A 2,237 7/8/2016 5550 0.95 WAFFLE ADULT FOSTER CARE HOME CENTRAL LAKE 4378610A 825 8/11/2016 9053 LABOR GUYS LLC CHAMBLEE, GA 5305314A 3,214 8/19/2016 9015 MIDWEST HOLDINGS LLC CHANHASSEN, MN 5333113A 2,193 8/20/2016 9015 A M MANUFACTURING INC CHARLEVOIX 5299519A 3,606 8/6/2016 3040 ALL IN ONE PAINT & STAIN LLC CHARLEVOIX 5266181A 800 7/22/2016 5476 BEHAN WINDOW CLEANING CHARLEVOIX 4215435A 894 9/13/2016 9015 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 18 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CHARLEVOIX YACHT CLUB INC CHARLEVOIX 2138980A 558 7/3/2016 9060 FDB COMPANY CHARLEVOIX 0114286A 749 9/22/2016 9058 FRESH AIR AVIATION INC CHARLEVOIX 4263162A 2,365 9/2/2016 7405 0.95 GRAMS ARMED SECURITY ESCORT SERVICE CHARLEVOIX 2589907A 2,624 8/22/2016 7720 0.95 PHELPS SAWMILL CHARLEVOIX 2875292A 750 7/22/2016 2731 AEMMER PROPERTY SERVICES LLC CHARLOTTE 5413940A 3,971 7/11/2016 5476 CASA FOR KIDS INC CHARLOTTE 3371115A 385 8/27/2016 8810 DEDICATED CLEANING & LAWNCARE LLC CHARLOTTE 4999517A 750 7/4/2016 9015 FLEET SERVICE INC CHARLOTTE 5315808A 706 9/13/2016 8395 IPD COMPANY INC CHARLOTTE, NC 5440653A 2,776 8/25/2016 5146 JS BUILDING & RENOVATION INC CHARLOTTE 1579428A 800 8/19/2016 5445 0.92 KLAISS STAGE LIGHTING CHARLOTTE 1847210A 407 7/30/2016 9154 WHITE NORTH COMMUNICATION CHARLOTTE 1259733A 800 8/1/2016 7600 H AND S MANUFACTURED HOMES INC CHASE 4282965A 750 7/9/2016 8387 GAGNON JASON CHASSELL 5310849A 284 9/3/2016 8601 KARI BRENT CHASSELL 5431956A 750 8/10/2016 2702 PRICE LOGGING INC CHASSELL 3853381A 753 7/25/2016 0128 0.95 WALITALO LUKE CHASSELL 5446295A 750 9/9/2016 2702 MAX FISHER LOGGING LLC CHATHAM 3637034A 750 7/14/2016 2702 WHITMARSH BUILDERS INC CHATHAM 2120933A 2,472 9/5/2016 5645 0.95 EXCALIBUR II LLC CHEBOYGAN 5421888A 750 7/7/2016 9558 JOINT ADMINISTRATION FIRE BOARD CHEBOYGAN 1124730A 2,153 9/1/2016 7704 0.95 KLINGS AUTO RECYCLING LLC CHEBOYGAN 4076842A 796 7/10/2016 8010 0.93 MAGNUSSON RACING LLC CHEBOYGAN 4252330A 735 9/4/2016 8831 PERRY PAINTING CHEBOYGAN 5445531A 750 9/5/2016 5476 RON BARRETTE BUILDING & MASONRY LLC CHEBOYGAN 5314186A 750 9/9/2016 5645 SCHWARTZ BOILER SHOP INC CHEBOYGAN 0630497A 12,669 9/4/2016 3724 0.84 ALL IN CUSTOM INC CHELSEA 5011825A 1,475 9/3/2016 5645 CHELSEA AREA PLAYERS CHELSEA 0874671A 430 7/21/2016 9154 CHRISTOPHER J LUSSIER CONSTRUCTION LLC CHELSEA 2270706A 750 7/20/2016 5645 DOROTHY MAY ATTIC LLC CHELSEA 5314887A 631 9/12/2016 8017 ENCO INVESTMENT OF ANN ARBOR LLC CHELSEA 3398668A 750 8/4/2016 5022 FU MONEY LLC CHELSEA 4100360A 384 7/26/2016 8810 FULTANK LLC CHELSEA 4617657A 751 7/10/2016 9015 0.95 JAMES BAUER CONSTRUCTION INC CHELSEA 1344811A 750 7/7/2016 5645 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 19 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JASONS PAINTING INC CHELSEA 4643267A 750 8/14/2016 5476 MIDWEST MASONRY SERVICES LLC CHELSEA 5448760A 750 9/12/2016 5022 PNS PANDYA PC CHELSEA 3217388A 1,934 8/1/2016 8832 1.00 SUPERIOR DRYWALL LLC CHELSEA 3915654A 750 8/24/2016 5445 TNT DIVERSIFIED LLC CHELSEA 3559920A 826 7/19/2016 6217 JP LOGGING & HANDYMAN SERVICES CHESANING 5442370A 750 8/29/2016 2702 PREMIER PAINTING SEAMLESS GUTTERS CHESANING 2833743A 750 7/30/2016 5645 AHERN CONTRACTING INC CHESTERFIELD 3121399A 801 9/1/2016 6217 ALEN INC CHESTERFIELD 5454972A 4,453 9/25/2016 7208 AMX EXPRESS INC CHESTERFIELD 5017033A 750 8/21/2016 7208 ARY MODERNIZATION LLC CHESTERFIELD 4957121A 1,361 9/16/2016 5437 0.95 B AND D SOLUTIONS INC CHESTERFIELD 3506169A 284 7/10/2016 8601 BALOK JOHN CHESTERFIELD 0580449A 635 7/20/2016 9521 CALIFORNIA CUSTOM PAINTING LLC CHESTERFIELD 3636364A 750 9/1/2016 5476 E M P CUSTOM CONSTRUCTION LLC CHESTERFIELD 4376323A 750 8/7/2016 5645 EAST COAST BUILDING INC CHESTERFIELD 0692000A 800 7/22/2016 5221 INNOVATIVE XERCISE SOLUTIONS LLC CHESTERFIELD 5425506A 552 7/20/2016 8742 K AND K CONSTANTINE CONSTRUCTION INC CHESTERFIELD 3619281A 750 8/1/2016 5551 LYNK ELECTRIC LLC CHESTERFIELD 3313913A 698 7/1/2016 5190 MAINTENANCE PRO CHESTERFIELD 4000960A 800 9/24/2016 5645 NON STOP INTERIORS LLC CHESTERFIELD 5434599A 750 8/11/2016 9015 PHENEY INC CONSTRUCTION SERVICES CHESTERFIELD 0986011A 753 7/16/2016 5606 PRO SERVICE CARPENTRY LLC CHESTERFIELD 3032418A 750 7/6/2016 5403 PROTECH CONCRETE COATINGS LLC CHESTERFIELD 5321590A 750 9/25/2016 5476 SAMS PAINTING INC CHESTERFIELD 0573680A 6,241 9/10/2016 5476 0.96 STEVES DEPENDABLE PAINTING CHESTERFIELD 1956744A 750 7/14/2016 5476 STORE SIXTY LLC CHESTERFIELD 3701417A 378 8/15/2016 8810 GREAT LAKES SYSTEMS & TECHNOLOGY LLC CHESTERFIELD TWP 5444624A 284 9/4/2016 8601 DOOR AND WINDOW GUARD SYSTEMS INC CHICAGO, IL 5448905A 5,987 9/13/2016 5102 IRI ISG INC CHICAGO, IL 4933893A 2,261 9/30/2016 8742 0.95 KEY TOWER LLC CHICAGO, IL 5456223A 10,840 9/29/2016 5102 C AND S ICE RESURFACING SERVICES INC CHINA 5179408A 848 8/20/2016 8107 FLEET STAFFING OF OHIO LLC CINCINNATI, OH 4872878A 1,416,574 8/15/2016 8829 1.34 COPS AND DOUGHNUTS LLC CLARE 4666003A 55,565 7/1/2016 2003 1.33 13 % WARNER COLOMA L CLARE 4766423A 1,718 7/9/2016 0913 1.00 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 20 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LIL PEPPI PIZZA LLC CLARK LAKE 4013000A 2,016 8/30/2016 9058 A PLUS CONSTRUCTION LLC CLARKSTON 4810910A 4,959 8/15/2016 5645 0.83 ACCESS ABILITY INC CLARKSTON 4788869A 1,254 9/4/2016 5221 ADVANCED TREE SOLUTIONS INC CLARKSTON 4200497A 750 8/25/2016 0042 ARIZONA SADDLERY OF CLARKSTON CLARKSTON 3178498A 351 8/14/2016 8008 BURGESS BROTHERS DRYWALL INC CLARKSTON 2692864A 750 8/19/2016 5445 CAMPBELL RICHMOND AMERICAN LEGION POST CLARKSTON 0637289A 1,305 7/19/2016 9058 63 CMG PARTNERS PC CLARKSTON 0454923A 825 9/10/2016 8832 0.76 CREEKSIDE SALON INC CLARKSTON 2860465A 522 9/18/2016 9586 CURTIS RACHEL CLARKSTON 5160235A 606 7/16/2016 0908 DIXIE BAPTIST CHURCH CLARKSTON 0412201A 4,321 9/23/2016 8868 1.00 DMA CONSTRUCTION CLARKSTON 5066808A 3,229 7/24/2016 5645 0.95 FANGELS PLUMBING & HEATING LLC CLARKSTON 5181550A 924 8/24/2016 5550 GAS BRIDGE INVESTMENTS LLC CLARKSTON 5007488A 4,406 7/30/2016 8107 1.00 HARDWOOD FLOORS BY HICKMAN LLC CLARKSTON 3129454A 750 9/14/2016 5437 HEADRICK CLARK AND HEADRICK DARA CLARKSTON 3687759A 706 7/10/2016 0913 ID SOCCER SOLUTIONS INC CLARKSTON 5447780A 7,043 9/23/2016 9015 JCQ CONSTRUCTION LLC CLARKSTON 5307619A 750 8/23/2016 5022 JEFFREY HARRELL BUILDER INC CLARKSTON 0739995A 1,743 7/1/2016 5606 0.95 KMA DESIGN BUILD CLARKSTON 1760432A 750 9/1/2016 5645 M AND C SERVICES CLARKSTON 4647866A 825 7/22/2016 5476 0.95 NORTHERN CONSTRUCTION CLARKSTON 0892882A 750 8/4/2016 5403 ORCHARD PLACE CONDOMINIUM ASSOC CLARKSTON 0628530A 1,521 7/23/2016 9015 0.95 PERFECT CLIMATE LLC CLARKSTON 3833348A 800 9/26/2016 5550 PRESTIGE CUSTOM WOOD FLOORS INC CLARKSTON 4007549A 750 7/11/2016 5437 ROYAL REMEDIATION AND RESTORATION LLC CLARKSTON 3347982A 1,123 9/10/2016 9015 0.95 SANTI BUILDING COMPANY CLARKSTON 1036238A 750 7/14/2016 5645 SMG BUILDING CO AND LOCK SMITH CLARKSTON 5440580A 750 9/1/2016 5645 STRATEGIC HOLDINGS & REAL ESTATE INC CLARKSTON 5455022A 2,642 9/25/2016 5645 STRIVE RECREATIONAL THERAPY SERVICES INC CLARKSTON 4534018A 765 9/26/2016 8835 T F WARNER CUSTOM BUILDERS LLC CLARKSTON 1696688A 750 8/12/2016 5437 TANNER BUILDING AND REMODELING INC CLARKSTON 1938002A 827 7/7/2016 8810 THOMSON MASONRY LLC CLARKSTON 1941577A 750 9/25/2016 5022 TLS PAINTING CLARKSTON 4683560A 750 7/14/2016 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UNIVERSAL INVESTORS LLC CLARKSTON 2634112C 225 8/25/2016 8810 WILSON RENTALS CLARKSTON 3449530A 1,700 7/29/2016 9015 0.95 WRW CARPENTRY LLC CLARKSTON 2604566A 800 9/11/2016 5645 BT COMMERCIAL SERVICES LLC CLAWSON 5047625A 800 9/10/2016 5610 CUSTER SHARON CLAWSON 5420318A 800 7/2/2016 9015 HINER CONSTRUCTION INC CLAWSON 2716224A 750 7/3/2016 5645 REAL STYLE LLC CLAWSON 5161282A 429 7/4/2016 9156 0.95 SIMONS TILE & HARDWOOD INC CLAWSON 5036470A 750 9/16/2016 5348 B AND G CONTRACTING INC CLAY 0082406A 801 9/5/2016 5445 0.94 NATIONAL ELEVATOR CONSULTANTS INC CLAY 1248120A 2,526 8/17/2016 8720 0.95 THOMAS ERIK CLAY 5019044A 750 9/19/2016 5645 SWEPPY MARK CLAY TWP 0991937A 839 7/28/2016 5190 T JS HAULING COMPANY CLAY TWP 5421322A 3,581 7/7/2016 5610 PEOPLE PREMIER II LLC CLEARWATER, FL 0498041A 20,618 8/12/2016 8395 1.71 13 % ACAC INC CLEVELAND, TN 4098838A 13,828 8/16/2016 8810 1.51 27 % JAMES HILL CONTRACTING CLIFFORD 3868150A 750 8/30/2016 5645 SOS INSULATION CLIFFORD 4167902A 5,900 9/20/2016 5479 0.89 WILLIAMS PAINTING LLC CLIFFORD 4460553A 750 9/14/2016 5476 PACETERS SETTERS LLC CLIMAX 5304636A 750 8/16/2016 5645 FREEMAN BUILDERS LLC CLINTON 3923630A 750 9/3/2016 5437 ARC SERVICES OF MACOMB INC CLINTON TOWNSHIP 1252283A 31,960 7/12/2016 8868 1.83 40 % BOLTON NICHOLAS CLINTON TOWNSHIP 5293537A 706 7/22/2016 0913 BOTTOM OF THE 9TH INC CLINTON TOWNSHIP 4798465A 751 9/1/2016 9015 0.95 CATCHO MARIANNA CLINTON TOWNSHIP 5427215A 909 7/23/2016 0908 CATINELLA CASSIDY CLINTON TOWNSHIP 5426952A 403 7/23/2016 0908 CUTTING EDGE ATHLETICS LLC CLINTON TOWNSHIP 4541391A 3,839 9/12/2016 9063 0.95 EMERALD CONSTRUCTION LLC CLINTON TOWNSHIP 0970735A 9,764 8/27/2016 5645 HALBERT JOHN CLINTON TOWNSHIP 5426960A 403 7/23/2016 0908 HOPPER ROBERT CLINTON TOWNSHIP 5293553A 403 7/22/2016 0908 KNOCHE PAUL CLINTON TOWNSHIP 5150302A 809 7/22/2016 0908 LLOYD ERICQUINTA CLINTON TOWNSHIP 5108888A 403 7/23/2016 0908 MCNEELEY MERITA CLINTON TOWNSHIP 4725948A 706 7/16/2016 0913 MICHIGAN HOME RENOVATIONS AND CLINTON TOWNSHIP 5337275A 750 9/30/2016 5645 CONSTRUCTION LLC MILLER KYLE CLINTON TOWNSHIP 5426979A 403 7/23/2016 0908

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OBRECHT JORDAN CLINTON TOWNSHIP 4513550A 909 8/22/2016 0908 PILSON HELEN CLINTON TOWNSHIP 4769244A 809 7/16/2016 0908 ROSS MEGAN CLINTON TOWNSHIP 5265452A 809 7/21/2016 0908 SIDEBOTTOM CLAY CLINTON TOWNSHIP 4888006A 706 7/22/2016 0913 TOBIA NAZHAT CLINTON TOWNSHIP 5427193A 706 7/23/2016 0913 WESTMORELAND BRADLEY CLINTON TOWNSHIP 5313627A 706 9/6/2016 0913 ADAMSKI DAVID CLINTON TWP 5456312A 750 9/29/2016 3400 ALAS EXPRESS INC CLINTON TWP 3291758A 750 7/2/2016 7208 AMERICAN EAGLE CONSULTING INC CLINTON TWP 5288843A 963 7/10/2016 3628 ATLANTIC HOMES INC CLINTON TWP 5434874A 420 8/12/2016 5606 BACHLER MELISSA CLINTON TWP 5313767A 706 9/6/2016 0913 BALDWIN ESTATES MANAGEMENT LLC CLINTON TWP 1454447A 520 7/2/2016 9586 BASHAW SELENA CLINTON TWP 3652742A 909 7/4/2016 0908 BBS BRICKS CLINTON TWP 5448069A 2,472 9/12/2016 5022 BRUNET MICHELLE CLINTON TWP 5019710A 706 8/30/2016 0913 BUILD A WAY LLC CLINTON TWP 5296137A 750 7/28/2016 5437 BYRD AMANDA CLINTON TWP 5427100A 909 7/23/2016 0908 C AND C CEMENT CORPORATION CLINTON TWP 3044840A 750 9/21/2016 5221 CANGEMI TILE AND MARBLE CLINTON TWP 5316642A 750 9/16/2016 5348 CREATIVE CARPENTRY CONCEPTS & CLINTON TWP 4437250A 750 9/20/2016 5437 0.95 CONSTRUCTION LLC CUTTERS TREE AND LANDSCAPE LLC CLINTON TWP 4796063A 750 9/29/2016 0106 DAVEY AND DAVEY LLC CLINTON TWP 3627640A 7,855 9/23/2016 8835 1.00 DAVIS KHIYAE CLINTON TWP 5293570A 403 7/22/2016 0908 DECOSTE DERRICK CLINTON TWP 5427010A 706 7/23/2016 0913 DIMSON JOHN CLINTON TWP 5293545A 809 7/22/2016 0908 DONS PLUMBING INC CLINTON TWP 2719550A 750 7/23/2016 5183 DOOGE PENNY CLINTON TWP 5004284A 706 7/20/2016 0913 DRAGER ALEX CLINTON TWP 5427126A 403 7/23/2016 0908 DUVAL JENSEN CLINTON TWP 5427185A 403 7/23/2016 0908 FISCELLI ANTON CLINTON TWP 5427207A 403 7/23/2016 0908 FORD ELIJAH CLINTON TWP 5427045A 403 7/23/2016 0908 FREDERICK NICHOLAS CLINTON TWP 5019702A 606 8/30/2016 0908 GROSE LISA D CLINTON TWP 3390047A 706 8/31/2016 0913 HANNA LINDA CLINTON TWP 3655334A 1,066 7/12/2016 0908 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HARBORTOWN PIZZA & SUBS INC CLINTON TWP 4324900A 13,118 9/1/2016 9058 1.52 13 % HARBOUR IN THE PINES ASSOCIATION CLINTON TWP 4007689A 800 7/29/2016 9015 HARD DRIVE EXPRESS INC CLINTON TWP 4062140A 778 9/5/2016 8810 0.95 HARVARD VILLAGE CONDOMINIUM ASSOCIATION CLINTON TWP 4081960A 800 7/21/2016 9015 HOLIDAY CONDOMINIUM ASSOCIATION CLINTON TWP 2005859A 751 8/16/2016 9015 HOVERLA CONSTRUCTION COMPANY CLINTON TWP 4057880A 750 7/23/2016 5445 HYPER AUTOMATION INC CLINTON TWP 4101340A 651 8/18/2016 3628 0.95 J AND J SIDING & WINDOWS CLINTON TWP 5074754A 750 8/28/2016 5645 J B FENCE INSTALLATION CLINTON TWP 0859079A 750 9/4/2016 6400 JAMES BOHRER HOME MAINTENANCE CLINTON TWP 5433010A 750 8/7/2016 0042 JLJ PROPERTY PRESERVATION CORP CLINTON TWP 5130204A 750 7/2/2016 9015 0.95 K AND K EQUIPMENT RENTALS INC CLINTON TWP 1042432A 1,005 8/21/2016 8010 KLEEN SWEEP REMOVAL LLC CLINTON TWP 4364139A 3,365 9/30/2016 9015 1.05 LEWIS JAMES CLINTON TWP 4887239A 1,161 7/21/2016 0913 0.95 LINSDEAU ROBERT CLINTON TWP 4515307A 606 8/26/2016 0908 LOHRER JACOB CLINTON TWP 5137519A 909 9/3/2016 0908 LOZENS TREE SERVICE INC CLINTON TWP 5288584A 5,818 7/9/2016 0106 0.95 MALKI ISSA CLINTON TWP 5427223A 403 7/23/2016 0908 MALKI SCARLETT CLINTON TWP 5427002A 403 7/23/2016 0908 MARINO PETER CLINTON TWP 5427088A 706 7/23/2016 0913 MASONRY PRO INC CLINTON TWP 0130419A 750 9/9/2016 5022 MAWER MATTHEW G CLINTON TWP 5170648A 1,835 7/26/2016 0913 0.95 MDL TREE SERVICE INC CLINTON TWP 2425920A 4,879 8/21/2016 0042 0.93 MILLENIUM ONE CONCRETE LLC CLINTON TWP 5426375A 750 7/21/2016 5221 MOLINO ADELA CLINTON TWP 4887174A 779 7/21/2016 0908 0.95 MONKOWSKI LEANNE CLINTON TWP 5313694A 909 9/6/2016 0908 MORAVIAN MEADOWS ASSOCIATION CLINTON TWP 2573873A 1,355 7/20/2016 9015 0.95 NICK AND JOHN PIZZA INC CLINTON TWP 5007100A 2,800 9/12/2016 9058 0.95 NORTHEAST SURGICAL SPECIALISTS PC CLINTON TWP 1912488A 359 9/30/2016 8832 NOTTINGHAM COVE ASSOCIATION CLINTON TWP 4224779A 750 8/28/2016 9015 OLD CROWD INC CLINTON TWP 1280562A 419 9/1/2016 9058 PALMIERI AND SONS CONSTRUCTION LLC CLINTON TWP 0920592A 750 7/16/2016 5221 0.95 PEAK FERNANDO CLINTON TWP 5426987A 403 7/23/2016 0908 PEAK PAINTING CLINTON TWP 5454700A 750 9/24/2016 5476 PENZ RENA CLINTON TWP 4507681A 971 8/12/2016 0908 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 24 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PEREX CONSTRUCTION LLC CLINTON TWP 4247140A 750 7/31/2016 5551 0.94 PERFECT TEMP HEATING & COOLING INC CLINTON TWP 2728010A 750 7/26/2016 5550 PERKINS TODD CLINTON TWP 4658248A 1,212 8/22/2016 0913 1.00 PIERCE CHRISTINE CLINTON TWP 4513533A 706 8/22/2016 0913 PROPERTY MANAGEMENT EXPERTS INC CLINTON TWP 5441730A 345 8/27/2016 8810 RAINTREE CONDOMINIUMS OF CHESTERFIELD CLINTON TWP 3669963A 750 8/15/2016 9015 0.95 ASSOCIATION REDWICK MARTINA CLINTON TWP 5427029A 403 7/23/2016 0908 REECE NICOLE CLINTON TWP 5170532A 606 7/26/2016 0908 RELIABLE FLOORS CLINTON TWP 1709437A 635 8/23/2016 9521 RYTERSKI SHARON CLINTON TWP 4513614A 706 8/22/2016 0913 S AND D GUTTERS INC CLINTON TWP 4429060A 750 8/22/2016 5538 0.95 SAFETY SOURCE LLC CLINTON TWP 4751825A 3,911 9/20/2016 5190 0.95 SANDERS JAZMARAE CLINTON TWP 5427258A 403 7/23/2016 0908 SBL CONSTRUCTION LLC CLINTON TWP 5002095A 800 7/13/2016 5476 SCHANBECK MATTHEW CLINTON TWP 5427053A 606 7/23/2016 0908 SET IN STONE HOME IMPROVEMENT LLC CLINTON TWP 5170540A 3,772 8/29/2016 5437 SMITH ROBERT CLINTON TWP 4513665A 706 8/22/2016 0913 SOKOLOWSKI MELANIE CLINTON TWP 4658230A 403 8/22/2016 0908 SOUTHEAST MICHIGAN CONTRACTORS INC CLINTON TWP 3634787A 5,119 9/8/2016 9015 0.93 STANEK ROSA CLINTON TWP 5004918A 1,066 7/24/2016 0908 0.95 STANLEYS ROOFING COMPANY CLINTON TWP 0260193A 14,724 7/9/2016 5552 0.90 STEINLE CHRISTOPHER CLINTON TWP 4476999A 1,066 7/4/2016 0908 0.95 STEPP ABBY GAYLE CLINTON TWP 5427096A 403 7/23/2016 0908 STEPP LAYTHUM CLINTON TWP 5427231A 403 7/23/2016 0908 SUMMIT WINDOW CLEANING LLC CLINTON TWP 3888266A 3,116 7/22/2016 9015 TAVOLACCI CRUZ CLINTON TWP 5313619A 706 9/6/2016 0913 VELIC TRANSPORTATION INC CLINTON TWP 4788834A 54,792 8/8/2016 7208 1.60 13 % VINEYARD SPRINGS CUSTOM HOMES INC CLINTON TWP 4149556A 750 7/22/2016 5645 VOGT PAUL CLINTON TWP 5293596A 706 7/22/2016 0913 VOGT WILLIAM CLINTON TWP 5293332A 706 7/22/2016 0913 WALKER DAN CLINTON TWP 5019680A 606 8/30/2016 0908 WELSHONS MARK CLINTON TWP 5422884A 3,388 7/11/2016 5645 WILSON ADRIANE CLINTON TWP 4783204A 909 8/17/2016 0908 ACCURATE EXTERIORS CLIO 4419057A 750 9/21/2016 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ASHBAKER BROTHERS MASONRY LTD CLIO 4525949A 750 9/11/2016 5022 CENTILLI STANLEY CLIO 3388786A 750 7/22/2016 5221 D AND D EXTERIORS CLIO 2803747A 750 8/19/2016 5645 DONE RIGHT WATERPROOFING CLIO 5422035A 750 7/9/2016 5476 FOURNIER JASON CLIO 3115968A 635 9/26/2016 9521 0.95 JAMES SWETT SIDING CLIO 4501845A 750 8/31/2016 5645 MAGNIFICENT WORKS 1 LLC CLIO 1113470A 750 7/16/2016 5476 MCKENZIE DRYWALL LLC CLIO 4650220A 751 7/28/2016 5445 OLYMPIC AUTO SALES LC CLIO 3863603A 830 8/26/2016 8395 PREMIER SECURITY SOLUTIONS LLC CLIO 5182832A 2,324 9/3/2016 7720 0.95 RILEY CONSTRUCTION CO INC CLIO 3250130A 750 9/4/2016 5645 S AND S AUTO PARTS & SALVAGE INC CLIO 1392590A 801 8/17/2016 8010 0.95 INTELLIGENT STRUCTURES INC COHASSET, MN 5430402A 284 8/29/2016 8810 ALBRIGHT AND LOWDER CONSTRUCTION LLC COLDWATER 4477464A 750 7/24/2016 5437 BRANCH COUNTY FAIR COLDWATER 0713481A 1,267 8/11/2016 9015 0.95 HADDEN INC COLDWATER 2216442A 496 7/14/2016 9058 INTERNATIONAL TRUCKING SCHOOL INC COLDWATER 1782495A 1,589 9/17/2016 8868 0.95 N AND R BUILDING AND CONSTRUCTION LLC COLDWATER 5431980A 10,541 8/14/2016 5645 HANDS HELPING JULIE LLC COLEMAN 5181909A 1,212 9/4/2016 0913 LEE RANCK EXCAVATING COLEMAN 1190229A 751 8/11/2016 7380 ONWELLER CHRISTOPHER COLEMAN 5290554A 750 7/15/2016 2702 HIMEBAUCH FOAM INSULATION INC COLUMBIAVILLE 2901587A 750 9/9/2016 5479 MJ TORCHING COLUMBIAVILLE 2740176A 750 9/4/2016 3365 0.95 CARRIGAN BRICK PAVING INC COLUMBUD 2691965A 750 7/7/2016 3724 COLUMBUS TOWNSHIP OF ST CLAIR COLUMBUS 0794198A 1,741 9/25/2016 9410 0.95 G AND B SPENCER LLC COLUMBUS 5420822A 750 7/7/2016 5479 J P CONSTRUCTION COLUMBUS 5435072A 4,982 8/13/2016 5645 KCA SERVICES COLUMBUS 4253221A 800 8/5/2016 0106 MT CLEMENS TREE SERVICE INC COLUMBUS 2360896A 750 9/22/2016 0106 FORESTREE INC COMIN 4529952A 750 9/13/2016 2702 AL SWISHER EXCAVATING & SEPTIC SERVICE LLC COMMERCE 2373068A 2,631 9/2/2016 6217 C AND J ENTERPRISES INC COMMERCE 2286890A 417 8/23/2016 8017 CRAWFORD CONTRACTING & MASONRY LLC COMMERCE 4458443A 750 7/22/2016 5022 PLLUMBAJ PAINTING COMMERCE 4782593A 750 9/6/2016 5476 SUSAN SEMAN DR PLLC COMMERCE 4770978A 225 7/20/2016 8810 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 26 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge USA MASONRY RESTORATION COMMERCE 5456819A 750 9/30/2016 5022 MM 3 INC COMMERCE TOWNSHIP 3599116F 4,721 8/15/2016 3629 1.00 NALARA CORPORATION COMMERCE TOWNSHIP 4918835B 2,126 9/10/2016 8010 1.00 AQUA BIO TECHNOLOGIES LLC COMMERCE TWP 3541185A 750 7/18/2016 5183 BLOOMFIELD GLENS LLC COMMERCE TWP 3964841A 1,143 8/25/2016 0912 0.95 COMMERCE PEDIATRIC ASSOCIATES PC COMMERCE TWP 3946789A 533 8/13/2016 8832 DETROIT GUN CLUB COMMERCE TWP 0335207A 4,723 7/29/2016 9061 0.89 DINVERNO HARDWOOD INSTALLATION LLC COMMERCE TWP 3673758A 750 7/17/2016 5437 EXECUTIVE BUILDING SERVICES COMMERCE TWP 0309729A 4,168 9/9/2016 9015 0.88 FLOOD TEAM LLC COMMERCE TWP 4651413A 800 8/1/2016 5437 GORDONS TREE & SHRUB INC COMMERCE TWP 1117920A 3,800 7/26/2016 0042 0.93 HORIZON PLUMBING & HEATING INC COMMERCE TWP 0991201A 750 9/28/2016 5183 METAL TECH SYSTEMS INC COMMERCE TWP 4368401A 2,675 7/2/2016 3628 0.95 MIDWEST SCHOOL SERVICES INC COMMERCE TWP 3599116K 8,050 7/1/2016 8868 1.00 MIDWEST SUBSTITUTE STAFFING INC COMMERCE TWP 3599116G 3,094 8/15/2016 8868 1.00 MILLS ELECTRIC LLC COMMERCE TWP 0068330A 698 7/18/2016 5190 MOLDQUEST INTERNATIONAL LLC COMMERCE TWP 5018579A 827 8/28/2016 8810 PLATINUM DEVELOPMENT CORPORATION COMMERCE TWP 2745690A 753 9/21/2016 8810 POOCHPEOPLE II INC COMMERCE TWP 3915379A 7,920 7/30/2016 8831 1.06 RANDALL C ESSIAN INC COMMERCE TWP 0341185A 750 8/7/2016 5476 RESTAURANT VENTILATION SPECIALISTS INC COMMERCE TWP 2882540A 761 8/2/2016 8720 RODRIQUEZ PAINTING AND POWERWASH COMMERCE TWP 4791002A 800 9/15/2016 5476 0.95 THERAPY CONNECTION INC COMMERCE TWP 5171148A 598 8/26/2016 8835 TUB TRANSFORMATIONS LLC COMMERCE TWP 5175976A 635 8/9/2016 9521 WILLSONS EXPEDITING LLC COMMERCE TWP 5287642A 750 7/8/2016 9102 SANFORD PLUMBING INC COMSTOCK 4363353A 750 9/26/2016 5183 SLEVATS ANTHONY COMSTOCK 4883950A 1,642 7/7/2016 0913 0.95 B PITSCH INDUSTRIES LLC COMSTOCK PARK 5319994A 825 9/23/2016 6217 CHEM BRITE COMSTOCK PARK 4115457A 1,090 8/15/2016 9015 KENOWA HILLS LAWNCARE LLC COMSTOCK PARK 5418780A 750 7/1/2016 9102 WALKONS CHARLES COMSTOCK PARK 5297389A 825 7/29/2016 5645 COMPLETE INDUSTRIAL SERVICES LLC CONCORD 4155505A 1,674 8/15/2016 3724 0.95 JACKSON INDUSTRIAL CONSTRUCTION INC CONCORD 3627691A 52,018 7/16/2016 3724 1.03 10 % BIG RED ELECTRIC CONKLIN 5424160A 748 7/15/2016 5190 WILLIAMS ELECTRIC LLC CONKLIN 5421845A 698 7/8/2016 5190 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 27 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STONEHEARTH OPEN LEARNING CONWAY, NH 5024323A 274 9/15/2016 8868 OPPORTUNITIES INC WILDLIFE MANAGEMENT & NUISANCE REMOVAL CONWAY 4356691A 1,201 8/30/2016 8831 1.00 INC COOPERSVILLE HEATING & COOLING LLC COOPERSVILLE 4661478A 1,105 9/1/2016 5550 GRANDVIEW SERVICES LLC COOPERSVILLE 4799739A 825 7/23/2016 5551 0.95 WILSONS LOGGING SERVICE COPEMISH 5006562A 750 8/3/2016 2702 0.95 KEWEENAW ADVENTURE COMPANY LLC COPPER HARBOR 3528847A 1,355 7/27/2016 6836 0.95 ERICKSON LOGGING CORNELL 2197960A 750 8/4/2016 2709 WATSON DISPOSAL LLC CORNELL 4859596A 1,788 7/24/2016 9403 0.95 VPI ACQUISITION CORP CORRY, PA 4268555A 734 8/3/2016 8742 0.95 J S INSTALLATIONS CORUNNA 2546027A 2,653 9/1/2016 5538 1.05 LAWCOCK INC CORUNNA 2966328A 5,603 9/4/2016 8395 1.29 13 % TENDER CARE HOME HEALTH CARE LLC CORUNNA 3492249A 6,300 9/12/2016 8835 1.12 AIMEE SZABELSKI LLC COTTRELLVILLE 5420830A 210 7/6/2016 8803 EAGLE EYE CONCRETE & CONSTRUCTION COTTRELLVILLE 5449693A 1,174 9/15/2016 5221 ST CLAIR ROOFING LLC COTTRELLVILLE 4119711A 800 9/14/2016 5190 0.95 BLUE DIAMOND POOLS LLC CROSWELL 5055687A 1,512 7/15/2016 5538 0.95 PARRAGHI ROOFING & SHEET METAL LLC CROSWELL 4481097A 750 9/5/2016 5403 1.00 PEDLER ELECTRIC LLC CROSWELL 5298075A 2,429 7/30/2016 5190 J AND M CUSTOM BUILDERS LTD CRYSTAL FALLS 2257297A 800 8/5/2016 5645 JOANIES BEAUTY SHOP CRYSTAL FALLS 1136739A 294 9/1/2016 9586 YODER WILLIAM L CURRAN 5016169A 750 8/17/2016 2702 MASON COUNTY RURAL FIRE AUTHORITY CUSTER 2642069A 8,627 7/7/2016 7704 0.88 KEVIN BIRD DAGGETT 5132436A 777 7/23/2016 2702 SENIOR COUNTRY CARE LLC DANSVILLE 5024455A 5,966 9/14/2016 9053 0.94 QUALITY NUCLEAR SERVICES INC DARDANELLE, AR 4265521A 2,216 9/13/2016 8601 0.94 BUGS BEE GONE LLC DAVISBURG 5426944A 1,518 7/23/2016 9015 CRAIG OTIS SCOTT DAVISBURG 4360524A 491 9/25/2016 8720 DPW AND SON LLC DAVISBURG 5185076A 1,904 9/13/2016 6319 0.95 GIRARDS PAINTING LLC DAVISBURG 5434947A 750 8/12/2016 5476 GREG PROSE EXCAVATING LLC DAVISBURG 0150533A 800 8/3/2016 6217 L AND R CONSTRUCTION SERVICES INC DAVISBURG 2823160A 465 8/6/2016 8810 0.95 OAKLAND COUNTY 4 H FAIR ASSOCIATION DAVISBURG 2140756A 1,043 8/17/2016 9015 0.95 OLD MCDONALD TREE SERVICE LLC DAVISBURG 3833550A 750 9/22/2016 0106

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RLH CONTRACTING DAVISBURG 4064453A 750 9/1/2016 5348 A 1 MOBILE STORAGE LEASING LLC DAVISON 0570885A 1,705 7/27/2016 8395 0.95 A PLACE TO REMEMBER DAVISON 5448840A 772 9/12/2016 9053 ALTA VISTA BUILDERS INC DAVISON 3275680A 750 9/25/2016 5645 ANTHONY JOSEPH PROPERTIES LLC DAVISON 5439655A 750 8/24/2016 5645 ARDELEAN CONSTRUCTION DAVISON 4665651A 750 9/16/2016 5645 BEAM BUILDERS & MAINTENANCE LLC DAVISON 5246695A 3,803 9/19/2016 9015 BT HOME INSPECTION COMPANY INC DAVISON 5421802A 441 7/25/2016 8720 CRIMINAL DEFENSE ATTORNEYS OF MICHIGAN DAVISON 5303648A 259 8/14/2016 8820 DIGITAL AGE TECHNOLOGIES INC DAVISON 3604756A 429 7/23/2016 5191 0.95 EFFICIENT DEMOLITION INC DAVISON 3355675A 945 9/6/2016 8227 FITZGERALD PAINTING DAVISON 4545320A 750 9/18/2016 5476 GUDEMOOS CARPENTRY INC DAVISON 3237257A 750 9/21/2016 5437 HUGHES CUSTOM BUILDER LLC DAVISON 3673456A 750 9/17/2016 5645 MAKI TREE SERVICE LLC DAVISON 3465012A 6,783 7/18/2016 0042 0.93 MIKE ROBBINS PAINTING DAVISON 2956721A 1,343 9/11/2016 5476 0.95 OJACON INC DAVISON 3266664A 5,301 7/1/2016 5645 0.95 ONE WAY DESIGN BUILD LLC DAVISON 5160510A 750 7/3/2016 0042 TRUST CONSTRUCTION GROUP LLC DAVISON 5429978A 495 7/31/2016 5606 WOLVERINE CCTV INC DAVISON 5306817A 226 8/22/2016 8810 A AND H ACCOUNTING & TAX SERVICES INC DEARBORN 1649272A 347 9/27/2016 8803 ACTION TIRE SERVICE CO DEARBORN 1451928A 8,975 9/1/2016 8387 1.00 AFFORDABLE AND RELIABLE SERVICES LLC DEARBORN 5432146A 3,268 8/6/2016 5022 BERKSHIRE DEVELOPMENT INC DEARBORN 4447638A 825 9/4/2016 5645 BEYDOUN SERVICES INC DEARBORN 2709562A 61,267 7/31/2016 7208 1.38 27 % BUSINESS AND TRADE CORPORATION DEARBORN 5452856A 681 9/19/2016 8018 CARTERS RESTAURANT INC DEARBORN 2333058A 1,404 9/23/2016 9058 1.00 CRYSTAL AUTO PARTS COMPANY DEARBORN 0043338A 5,139 7/1/2016 8010 1.00 DECORA CONSTRUCTION INC DEARBORN 5288541A 751 7/17/2016 5437 DHS EXPRESS INC DEARBORN 5453631A 750 9/22/2016 7208 DLG CAULKING COMPANY DEARBORN 5192439A 750 9/26/2016 5476 DREAM CARPET INC DEARBORN 5290724A 635 7/16/2016 9521 EATON GEOFFREY M DEARBORN 1683217A 706 9/2/2016 0913 ENCORE BUILDING COMPANY INC DEARBORN 0110663A 750 8/7/2016 5645 1.00 EXPERT ACCOUNTING SERVICES INC DEARBORN 4490070A 347 7/10/2016 8810 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 29 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EXPRESS JEWELRY ENTERPRISES INC DEARBORN 2912791A 470 9/4/2016 8013 F AND M CARPET DEARBORN 4765125A 836 7/2/2016 9521 0.95 FARID M SAAD COMPANY INC DEARBORN 1763504A 3,540 7/20/2016 8006 1.05 GLOBAL TRANSIT INC DEARBORN 5424119A 16,189 7/16/2016 7208 H AND B FLOORING INC DEARBORN 3909573A 685 7/16/2016 9521 HITI LEASING LLC DEARBORN 2435195A 1,640 9/13/2016 8810 0.95 HOMECRAFT BUILDERS LLC DEARBORN 5294428A 2,672 7/23/2016 5437 0.95 INDUSTRIAL MACHINERY MOVERS INC DEARBORN 1744194A 4,824 9/15/2016 3724 0.94 J I T STEEL CORPORATION DEARBORN 3897915A 708 7/1/2016 8742 JADE SALON LLC DEARBORN 5297435A 791 8/6/2016 9586 JAWANI BUILDING & DEVELOPMENT INC DEARBORN 5439680A 885 8/24/2016 5437 JDW CONSTRUCTION LLC DEARBORN 4366476A 750 9/11/2016 3724 0.95 KORKMAZ IBRAHIM DEARBORN 2731924A 685 9/8/2016 9521 LIBERTA CLEANING TEAM LLC DEARBORN 5421330A 1,027 7/7/2016 9015 MARIOS GRANITE INSTALLATION LLC DEARBORN 5369223A 1,769 7/23/2016 5348 MARTIN MARK & MICHEAL INC DEARBORN 0092851A 6,514 9/30/2016 8017 0.90 MASTERS TOUCH CLEANING LLC DEARBORN 5073260A 825 8/11/2016 9015 MDM RESTAURANTS INC DEARBORN 1407465A 2,527 7/27/2016 9058 0.95 MERCIFUL HEARTS HOME HEALTH CARE LLC DEARBORN 5288983A 454 7/22/2016 8810 MURRAY HOME IMPROVEMENT LLC DEARBORN 4387740A 1,396 8/30/2016 5476 NATION EXPRESS LLC DEARBORN 5317533A 389 9/17/2016 8810 P G ELECTRIC INC DEARBORN 4321618A 698 9/15/2016 5190 0.95 PISTONS TRANS INC DEARBORN 5451558A 3,703 9/19/2016 7208 QUALITY INSTALLATION & CONSTRUCTION INC DEARBORN 0889881A 750 9/22/2016 5645 S AND D TRUCKING GROUP INC DEARBORN 5262771A 800 9/27/2016 7219 SOUTH EAST MICHIGAN IMAGING SERVICES LLC DEARBORN 5455057A 440 9/25/2016 8832 T MAC ENTERPRISES INC DEARBORN 5429498A 1,073 7/30/2016 5645 UNION CAISSON INC DEARBORN 4141938A 1,645 9/5/2016 5213 0.95 UNITED DRIVING SCHOOL INC DEARBORN 4923260A 412 9/25/2016 8868 WOODBRIDGE GAS INC DEARBORN 5318181A 469 9/19/2016 8017 BB TRANSGROUP INC DEARBORN HEIGHTS 5423562A 7,258 7/21/2016 7208 DRVIN ASSOCIATES LLC DEARBORN HEIGHTS 4887387A 3,692 7/20/2016 9402 0.94 F S JIORDANO CUSTOM CARPENTRY DEARBORN HEIGHTS 2137712A 750 7/17/2016 5403 GLOBAL GREEN SERVICE GROUP LLC DEARBORN HEIGHTS 4478088A 35,346 7/8/2016 5183 1.06 JUKIA ENTERPRISES INC DEARBORN HEIGHTS 5160138A 3,217 7/16/2016 8033 1.00 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 30 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KOSKELA TIMOTHY DEARBORN HEIGHTS 3697991A 636 9/5/2016 9521 L AND J FILL UP INC DEARBORN HEIGHTS 3711820A 1,083 7/15/2016 8017 0.95 LAFAYETTE CEMENT COMPANY DEARBORN HEIGHTS 2869004A 2,581 7/5/2016 5221 0.95 LONGO AUTO SALES LLC DEARBORN HEIGHTS 5435676A 313 8/11/2016 8748 M L MASON CONTRACTOR INC DEARBORN HEIGHTS 4400313A 7,106 7/27/2016 5022 0.93 MENDEZ LAURIANO DEARBORN HEIGHTS 0330701A 2,656 9/7/2016 5437 0.95 MVM CONSTRUCTION INC DEARBORN HEIGHTS 0547999A 750 7/16/2016 5022 NADACO STEEL INC DEARBORN HEIGHTS 0595608A 552 7/17/2016 8810 NORTHWOOD ELECTRIC COMPANY DEARBORN HEIGHTS 3799930A 698 7/4/2016 5190 NOVA HOME IMPROVEMENT CO DEARBORN HEIGHTS 4476921A 750 7/16/2016 5645 PAINTING PLUS LLC DEARBORN HEIGHTS 5190002A 750 7/16/2016 5476 SDB INC DEARBORN HEIGHTS 0069361A 1,477 8/29/2016 9058 0.95 SOUEIDAN CAR WASH INC DEARBORN HEIGHTS 4071905A 2,148 9/10/2016 8387 0.95 T J LONCHAR HOME IMPROVEMENT LLC DEARBORN HEIGHTS 5434033A 800 8/8/2016 5645 TEDS CARPET SERVICE DEARBORN HEIGHTS 4468813A 635 8/7/2016 9521 WE HUMBLE OURSELVES INC DEARBORN HEIGHTS 5437512A 750 8/26/2016 8742 WORLDWIDE PAINTING DEARBORN HEIGHTS 3133389A 750 8/24/2016 5476 AL HADI CHILD CARE CENTER INC DEARBORN HTS 5301777A 469 8/7/2016 8869 ASHTON RESTORATION LLC DEARBORN HTS 5008212A 1,977 8/1/2016 9015 HARRIET PROPERTY MANAGEMENT LLC DEARBORN HTS 5451566A 469 9/17/2016 9058 MJL HOME IMPROVEMENT LLC DEARBORN HTS 4237072A 750 9/17/2016 5551 RUSTED CROW SPIRITS LLC DEARBORN HTS 5444845A 885 9/4/2016 9058 D AND R DIRT WORKS LLC DECATUR 4653726A 750 8/8/2016 6217 DECATUR HAMILTON FIRE ADMINISTRATIVE DECATUR 2016516A 3,287 8/29/2016 7904 0.95 BOARD HAMMEL CONSTRUCTION DECATUR 5183316A 792 8/31/2016 5645 TIMBER TRAILS RV PARK INC DECATUR 2848970A 751 7/18/2016 9015 LAMOTTE COACH LIGHT CORP DECKER 1231634A 1,388 9/19/2016 8748 0.95 DECOCKERS INC DEERFIELD 1618989A 709 8/8/2016 8395 BARTNIK PROPANE INC DEFORD 3809927A 2,519 7/3/2016 7502 0.95 WEST MICHIGAN GENERAL CONSTRUCTION DELTON 4175719A 7,820 8/4/2016 5022 0.83 SRVCS LLC CRS MANAGEMENT GROUP LLC DENVER, CO 5169526A 2,382 7/23/2016 8742 1.05 FIRST PACIFIC GROUP INC DENVER, CO 5235170A 14,232 8/1/2016 9015 A JS TRANSPORTATION LLC DETROIT 5454077A 751 9/23/2016 7380

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge A R BOONE CONSTRUCTION LLC DETROIT 5426308A 420 7/21/2016 5606 ABBYS PARTY STORE DETROIT 3125157A 634 9/10/2016 8017 ADAM SHAKOOR & ASSOCIATES PC DETROIT 2957612A 289 8/1/2016 8810 AFTER SCHOOL KIDZ ZONE LLC DETROIT 4902874A 1,299 9/29/2016 8869 ALANS FOSTER CARE HOMES INC DETROIT 1755048A 3,549 7/26/2016 9053 0.95 ALDEWIN ROSE CONTRACTORS LLC DETROIT 5318165A 750 9/19/2016 5403 ALS LOAN OFFICE INC DETROIT 0377716A 2,928 9/24/2016 8017 0.95 AM PROFESSIONAL WATERPROOFERS & DETROIT 5422817A 750 7/11/2016 5022 CONCRETE CONTRACTOR INC AMEENAH CARE HOME INC DETROIT 3915115A 1,591 8/30/2016 9053 1.00 ARCHITECTURAL SALVAGE WAREHOUSE OF DETROIT 4039688A 12,542 7/15/2016 8232 1.00 DETROIT ASHTAR HAIR CARE INC DETROIT 4348885A 618 7/15/2016 9586 B A M JANITORIAL DETROIT 4077857A 750 8/8/2016 9015 B F C MANAGEMENT COMPANY DETROIT 0765511A 8,752 8/2/2016 9058 1.35 13 % BACKSTREET AT LARGE INC DETROIT 0930610A 1,314 9/25/2016 9058 0.95 BANKS ELECTRICAL LLC DETROIT 4091485A 698 8/20/2016 5190 BESSMORE GROUP LLC DETROIT 5443750A 1,455 9/2/2016 5476 BEST BUY SERVICE INC DETROIT 0882194A 1,679 7/21/2016 8017 0.95 BFDI EDUCATIONAL SERVICES LC3 DETROIT 5438772A 10,562 8/21/2016 8868 BLACK MOTHERS BREASTFEEDING ASSOCIATION DETROIT 5156424A 1,628 8/6/2016 8835 BLAKES PAINTING DETROIT 5424593A 1,509 7/30/2016 5476 BRM HOLDINGS LLC DETROIT 5278309A 825 7/14/2016 5403 BROTHERS PETRO MART INC DETROIT 3664759A 1,190 8/3/2016 8017 0.95 CARTERS AFC DETROIT 2116570A 2,648 8/27/2016 9053 0.95 CENTURY LIVING INC DETROIT 5420059A 752 7/1/2016 9053 CHARITY MOTORS INC DETROIT 2111233A 2,953 8/20/2016 8748 1.00 CHARLES M JOHNSON PODIATRIST PC DETROIT 2248379A 423 9/20/2016 8832 CHAVEZ HENRY DETROIT 5286697A 750 8/14/2016 5022 CITY RECYCLERS INC DETROIT 5065747A 3,281 9/15/2016 8018 1.05 COMMUNICATIONS WORKERS OF AMERICA OF DETROIT 4114779A 485 8/27/2016 8810 LOCAL 4004 CONTINENTAL CHARTERS LLC DETROIT 3607356A 11,865 9/20/2016 7212 0.83 COUNCIL DETECTIVE & SECURITY AGENCY INC DETROIT 1934236A 2,936 8/9/2016 7720 COURVILLE CONCERT CHOIR INC DETROIT 3148564A 691 8/7/2016 9063 COVENANT CONNECTIONS HOME CARE LLC DETROIT 4505751A 3,108 8/2/2016 8835 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 32 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CRISTOBAL CONSTRUCTION DETROIT 4511913A 10,925 9/24/2016 5437 0.92 CRUZ CONCEPCION DETROIT 4488741A 750 7/8/2016 5022 CURTIS INDUSTRIAL SERVICES INC DETROIT 0385190A 5,395 9/22/2016 9501 0.92 D B SECURITY INC DETROIT 2171821A 2,511 9/20/2016 7720 0.95 DELRAY UNITED ACTION COUNCIL DETROIT 2027909A 3,215 7/23/2016 9015 DEMMY VENTURES INC DETROIT 5451507A 788 9/17/2016 8395 DETROIT CAB COMPANY DETROIT 0878197A 528 9/16/2016 8810 DETROIT NON PROFIT HOUSING CORPORATION DETROIT 0886750A 372 8/7/2016 8832 0.95 DETROIT PUBLIC THEATER DETROIT 5409853A 1,803 8/21/2016 9154 DEUTSCHES HAUS LLC DETROIT 5422671A 750 7/24/2016 9015 DIVISION X SUPPLY LLC DETROIT 4885147A 568 7/15/2016 8111 DMC CONSULTANTS INC DETROIT 4246209A 38,167 7/22/2016 5606 1.65 27 % DOLLAR JOY PLUS INC DETROIT 5163838A 1,089 7/12/2016 8017 DON BOSCO HALL DETROIT 5151538A 29,964 7/1/2016 8833 0.84 DOUBLE TREE SERVICES AND LANDSCAPING INC DETROIT 5422744A 750 7/11/2016 0042 DOWNER DEVELOPMENT LLC DETROIT 5015090A 275 8/16/2016 8810 DUST FREE ABATEMENT LLC DETROIT 5284570A 4,377 8/12/2016 5479 E AND B BREWERY LOFTS INC DETROIT 4090560A 753 7/4/2016 8810 E AND H PACKING CO DETROIT 0030198A 659 7/10/2016 8031 0.95 EDEN GROUP ENTERPRISES LLC DETROIT 5286468A 3,069 9/10/2016 5191 EIRRAC LLC DETROIT 0856878A 825 8/6/2016 5550 ELIAS DONUTS INC DETROIT 1660730A 736 7/10/2016 8017 ELITE PROFESSIONAL PROTECTIVE SERVICES DETROIT 5308569A 1,377 8/26/2016 7720 LLC ELITE SCHOOL STAFFING LLC DETROIT 5301068A 1,620 8/13/2016 8868 ENERGY PROS CONSTRUCTION LLC DETROIT 5277124A 750 8/15/2016 5645 EQUI STEM BIOTECHNOLOGIES LLC DETROIT 4990986B 581 9/3/2016 8742 0.95 FACTORY STEEL & METAL SUPPLY CO LLC DETROIT 0223840A 25,477 9/26/2016 8106 1.47 13 % FAIRMONT SIGN COMPANY INC DETROIT 1326589A 212,970 9/27/2016 3064 1.87 40 % FEDERATION OF YOUTH SERVICES DETROIT 0367621A 4,927 7/25/2016 8832 0.95 FIDDLERS CREEK STABLES LLC DETROIT 4990986A 766 7/9/2016 8810 0.95 FIRST CLASS CONTRACTOR INC DETROIT 5425450A 2,236 9/5/2016 5437 FOUR WAY CEMENT INC DETROIT 4569962A 825 9/23/2016 5213 GIOVANNIS USED CARS INC DETROIT 4242807A 751 9/29/2016 9015 GOD SPEED TRANSPORTATION LLC DETROIT 5306035A 1,055 9/18/2016 7212

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HAVANA CONSTRUCTION LLC DETROIT 4518160A 800 7/30/2016 5645 HELPING HAND FOR RELIEF AND DEVELOPMENT DETROIT 4572424A 950 7/4/2016 8810 0.95 INC HOLBROOK AUTO REPAIR INC DETROIT 5171334A 7,190 7/27/2016 8395 1.42 13 % HOSTEL DETROIT DETROIT 4872410A 1,097 7/21/2016 9052 HUBERTS TOWING AND AUTO SERVICE LLC DETROIT 4501802A 1,433 8/25/2016 8395 0.95 HULET BODY CO INC DETROIT 0248517A 5,727 7/1/2016 8393 0.97 INDUSTRIAL ENVIRONMENTAL LLC DETROIT 3018628A 298 9/5/2016 4511 1.00 INSTALLATION SPECIALIST LLC DETROIT 5167817A 750 8/2/2016 9519 J A HARRIS & ASSOCIATES LLC DETROIT 4927176A 750 9/20/2016 9015 J M S INC DETROIT 0976555A 895 7/6/2016 8017 0.95 J R EMPIRE TILE DETROIT 5431387A 750 8/4/2016 5348 J R PAINTING DETROIT 5275296A 750 9/9/2016 5476 JACKETS FOR JOBS INC DETROIT 3727726A 751 7/1/2016 8832 JAI SAI BABA CORP DETROIT 4915380A 554 7/28/2016 9052 JAKES AUTO PARTS INC DETROIT 5027438A 750 9/21/2016 3821 JEFFERSON EAST INC DETROIT 3168522A 4,204 7/17/2016 7720 0.95 JM INSULATION INC DETROIT 4499930A 751 9/10/2016 5445 JOE JONES TRUCKING INC DETROIT 1281119A 16,751 7/12/2016 7208 0.86 JOY AND GREEN MART LLC DETROIT 4713303A 914 9/20/2016 8017 K HILL CONSTRUCTION DETROIT 3593720A 800 7/3/2016 5645 KARLI AND RONS FIRST CLASS CLEANING LLC DETROIT 5452333A 3,311 9/18/2016 0042 KOPER CONSTRUCTION LLC DETROIT 5306426A 750 8/21/2016 5476 L AND L USED PARTS INC DETROIT 5440548A 1,307 8/25/2016 3821 LEZAMA CONSTRUCTION DETROIT 3214982A 750 7/1/2016 5445 LGC GLOBAL INC DETROIT 5174872A 48,141 8/7/2016 3724 0.74 LIBERAL MANOR INC DETROIT 3080390A 3,725 7/31/2016 9053 0.95 LIFE DIRECTIONS USA DETROIT 3084515A 478 9/1/2016 8832 LIVERNOIS OIL INC DETROIT 4757661A 750 9/5/2016 8017 LOCAL 1700 UAW DETROIT 2314487A 7,190 8/15/2016 8755 1.37 13 % LODGE AND GREENFIELD LLC DETROIT 5433037A 749 9/29/2016 8017 LOPEZ LUIS DETROIT 4439538A 635 8/11/2016 9521 LOUISIANA HOME INC DETROIT 1347381A 42,945 7/7/2016 9053 1.85 LOYOLA WORK EXPERIENCE PROGRAM INC DETROIT 3943470A 234 7/1/2016 8810 LUCERO CONSTRUCTION LLC DETROIT 5262135A 11,383 9/10/2016 5445

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LUCEROS CARPET LLC DETROIT 3644987A 1,313 9/22/2016 9521 M AND M MINI MART INC DETROIT 3668690B 480 7/26/2016 8017 1.00 MACK AVENUE FESTIVAL PRODUCTIONS INC DETROIT 4387619A 38,603 8/30/2016 9156 1.33 13 % MARKS CARPET DETROIT 5437105A 635 8/18/2016 9521 MENDOA RUIZ EDUARDO DETROIT 5440521A 750 8/25/2016 5445 METROPOLITAN ALLOYS CORP DETROIT 0415723A 134,563 7/1/2016 1925 0.93 METROPOLITAN CHILDREN & YOUTH INC DETROIT 2149559A 19,939 7/26/2016 8869 1.63 27 % RENAISSANCE HEADSTART MFH TRUCKING INC DETROIT 2275708A 750 9/2/2016 7208 MICHIGAN LIVERNOIS STATION INC DETROIT 3386090A 856 9/15/2016 8017 MJM DETROIT INC DETROIT 2544555A 1,267 9/22/2016 8017 MR WIGGLE PLUMBING LLC DETROIT 4721233A 856 7/6/2016 5183 MRA CONSTRUCTION LLC DETROIT 5422310A 750 7/10/2016 5645 NAVA BROTHERS PAINTING SPECIALISTS LLC DETROIT 5455529A 750 9/26/2016 5476 NEW AEON PAINTING DETROIT 5286611A 751 7/4/2016 5476 NEXGEN HIGH RISE SERVICES LLC DETROIT 4337514A 62,704 8/16/2016 9015 1.94 27 % NINI TRANSPORTATION DETROIT 5302919A 751 8/13/2016 7212 NORTH FILMS LLC DETROIT 5422329A 1,543 7/10/2016 7610 NOVA CONTRACTING CORP DETROIT 1289969A 757 8/11/2016 8810 0.95 O AND V PRESERVATION LLC DETROIT 5438829A 751 8/22/2016 9015 ORDER MY STEPS LLC DETROIT 5425352A 296 7/18/2016 8832 PEGGY YOUNG & ASSOCIATES INC DETROIT 2031884A 563 9/17/2016 8810 PERFECTING COMMUNITY DEVELOPMENT DETROIT 0034576A 919 8/22/2016 8810 CORPORATION PETES ROOFING INC DETROIT 0985813A 750 8/10/2016 5551 PIZARRO JESUS DETROIT 3946169A 635 7/22/2016 9521 PRESIDENTIAL PROPERTY PRESERVATION INC DETROIT 4588932A 750 7/16/2016 9015 PRIORITY SOURCE LLC DETROIT 5452155A 599 9/19/2016 8835 PULLOM CALVIN L DETROIT 5441927A 750 8/29/2016 5221 R DAVIDSON CONSTRUCTION II INC DETROIT 4890450A 750 7/27/2016 5645 REALTYFLO INC DETROIT 5078369A 372 9/15/2016 8810 RIGHTWAY PLUMBING LLC DETROIT 5427665A 1,040 7/25/2016 5183 RIVERAS CONSTRUCTION LLC DETROIT 5428700A 750 7/29/2016 5221 ROCK N RUBBLE TRUCKING INC DETROIT 4467817A 825 7/1/2016 7208 0.86 RONS MAINTENANCE DETROIT 5453801A 635 9/22/2016 9521

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RUIZ LUIS ANTON JOSE DETROIT 5447950A 635 9/10/2016 9521 SAAD AUTO PARTS INC DETROIT 4422120A 2,771 7/16/2016 8010 0.95 SALES AND SERVICE TIRE & SUSPENSION INC DETROIT 2247615A 2,351 7/31/2016 8387 0.95 SANCHEZ JESSE GENE DETROIT 4189981A 710 9/22/2016 9521 SANTA BARBARA MARKET INC DETROIT 2084163A 1,737 8/17/2016 8017 1.00 SCHOOLCRAFT GAS AND MART INC DETROIT 5166616A 1,684 7/12/2016 8017 0.95 SEVEN AND SOUTHFIELD LLC DETROIT 1651285A 1,061 9/4/2016 8017 SHAMROCK DEMOLITION INC DETROIT 5449642A 750 9/16/2016 5022 SHREE SUN INC DETROIT 5154154A 2,279 7/1/2016 9015 0.95 SITE MAINTENANCE GROUP LLC DETROIT 5426545A 750 7/31/2016 0042 SOTO GONZALEZ DAVID DETROIT 5296080A 750 7/26/2016 7208 SRL CONSTRUCTION LLC DETROIT 5422213A 750 7/10/2016 5645 T BUELLS SUPERIOR FENCE DETROIT 5293499A 750 7/23/2016 6400 TAYLORONE LLC DETROIT 5299500A 562 8/4/2016 4361 TEMPLE PLAZA HOTEL INC DETROIT 4393716A 2,802 8/19/2016 9058 1.66 13 % THREE D WRECKING LLC DETROIT 0619299A 3,753 9/10/2016 7208 TORRES ENRIQUE MADRIGAL DETROIT 4625161A 635 8/12/2016 9521 TOWN PARK COOPERATIVE DETROIT 1755480A 1,137 8/17/2016 9015 0.95 TREJOS CONSTRUCTION DETROIT 4974778A 750 7/11/2016 5445 TRILLIUM TRANSPORT LLC DETROIT 5442281A 1,053 9/3/2016 8810 TURNER TOURS LLC DETROIT 3161064A 3,389 9/4/2016 7212 0.95 TWENTY THOUSAND 400 GRAND RIVER LLC DETROIT 2076560A 1,135 9/18/2016 8017 0.95 TWINS PETRO MART INC DETROIT 4783182A 1,356 8/17/2016 8017 0.95 TWO 1 LLC DETROIT 5282497A 3,917 9/14/2016 9058 VERDELLS LOUNGE INC DETROIT 2209390A 419 8/23/2016 9058 VETBUILT BUILDING GROUP INC DETROIT 4784103A 10,618 7/9/2016 5606 0.96 VOYAGER EXPRESS ONE INC DETROIT 4931653A 260 8/23/2016 8810 0.95 WAY ACADEMY DETROIT 5072662A 349 9/16/2016 8868 WAYNE PARKING LLC DETROIT 5431913A 750 8/15/2016 8392 WEST VERNOR & SPRINGWELLS BUSINESS DETROIT 4899857A 1,331 8/18/2016 7720 0.95 IMPROVEMENT DISTRICT WIMBERLEY HOME INC DETROIT 1123831A 878 9/25/2016 9053 0.95 WRIGHTWAY TRANSPORTATION LLC DETROIT 5201004A 751 7/19/2016 7212 ZAC CRUSE CONSTRUCTION COMPANY INC DETROIT 4597710A 825 7/7/2016 5645 ZMC MASONRY CO DETROIT 5359350B 1,905 7/2/2016 5022

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADVANCED FIRE PROTECTION INC DEWITT 2205386A 800 9/1/2016 5188 0.95 COLE DALLAS DEWITT 2643782A 750 8/16/2016 5645 HALO BUILDING MAINTENANCE SERVICES LLC DEWITT 4934695A 800 7/14/2016 9015 J A CURTIS TRUCKING CO DEWITT 2883732A 750 9/20/2016 7208 LEWIS FARMS DEWITT 1077864A 751 8/7/2016 8279 0.95 MAJESTIC TREE CARE SPECIALISTS LLC DEWITT 3500233A 4,258 7/1/2016 0106 0.91 MGW PROGRAM MANAGEMENT LOGISTICS DEWITT 5433983A 470 8/8/2016 5606 SPEER ELECTRIC LLC DEWITT 5429838A 698 7/31/2016 5190 TOPSIDE HOME CARE LLC DEWITT 5434009A 4,149 8/8/2016 8835 CHANDLER METAL ROOFING DEXTER 4896440A 800 8/10/2016 5551 CHELSEA AREA CONSTRUCTION AGENCY DEXTER 3390594A 3,979 9/6/2016 9410 0.93 CUTTING EDGE DRYWALL DEXTER 2980908A 4,260 8/27/2016 5445 0.95 FIRESIDE HOME CONSTRUCTION LLC DEXTER 3976505A 750 9/5/2016 5645 0.95 MARITIME RESEARCH ASSOCIATES LLC DEXTER 4242513A 1,513 7/14/2016 8601 0.95 MIDWEST PIZZERIA LLC DEXTER 2599295A 3,295 7/30/2016 9058 0.95 TFF INC DEXTER 5182875A 1,315 8/29/2016 7422 WEST METALS LLC DEXTER 0892637A 750 9/27/2016 5645 APPLIED FINISH & TEXTURE DORR 5170206A 800 7/25/2016 5445 CENTERSHOT GUN RANGE INC DORR 5193192A 3,744 9/30/2016 8010 0.95 GODLEY MASONRY DORR 1518569A 750 8/18/2016 5022 K W SIDING DORR 3088863A 750 8/28/2016 5645 PRECISION STEEL CONTRACTORS INC DORR 5424836A 34,865 7/17/2016 5040 ROOF ENFORCEMENTS LLC DORR 5431212A 750 8/17/2016 5551 CUSTOM CARPENTRY INC DOUGLAS 4499000A 750 7/29/2016 5403 REBO ENTERPRISES INC DOUGLAS 4682211A 991 9/4/2016 9058 0.95 BERNER TRUCKING INC DOVER, OH 4130308A 20,386 9/8/2016 7208 0.76 ARMOR PEST CONTROL INC DOWAGIAC 5398967A 1,902 7/28/2016 9015 BILL ROSS & SON TRUCKING INC DOWAGIAC 1404075A 7,252 7/25/2016 2759 1.29 13 % KEESLER TRUCKING INC DOWAGIAC 4211235A 750 8/24/2016 7208 0.95 RUSTY TREE SERVICE LLC DOWAGIAC 4464400A 750 8/14/2016 0106 0.95 DRUMMOND ISLAND LODGE NO 2381 LOYAL DRUMMOND ISLAND 2665476A 1,124 7/11/2016 9061 ORDER OF MOOSE INCORPORATED AMELL INC DRYDEN 3657779A 752 7/19/2016 8810 RAY RECKLING CONSTRUCTION DRYDEN 2306379A 750 7/18/2016 5437 RELIABLE HARDWOOD FLOORS INC DRYDEN 2637278A 750 7/18/2016 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SEVENEX GROUP LLC DUBLIN, OH 4894634A 620 8/27/2016 8810 BELAND RICHARD A DUNDEE 0688231A 751 8/3/2016 0011 BUCKINGHAM CONSTRUCTION DUNDEE 5140188A 750 8/8/2016 5551 DUNDEE MANUFACTURING COMPANY INC DUNDEE 0382418A 24,491 9/1/2016 3131 1.93 27 % LAWN TECH SERVICE DUNDEE 4336232A 750 9/23/2016 9102 ROECO ROE CONSTRUCTION DUNDEE 3993736A 14,475 8/1/2016 5645 1.25 13 % INVISALINK WIRELESS ENTERPRISES LLC DURAND 4048148A 3,180 8/7/2016 5191 0.95 HELZER AND ASSOCIATES LLC EAGLE 5442354A 540 8/29/2016 8601 DOERR DAVID M EAST CHINA 5421306A 750 7/7/2016 5348 WAITMAN MARK EAST CHINA 5443725A 420 9/2/2016 9058 BECKER JULIA & AGERSON ASHLEY EAST GRAND RAPIDS 5306418A 706 8/21/2016 0913 MCGUIRE TRACY J EAST GRAND RAPIDS 5422000A 326 7/9/2016 8810 KENNEY DAVID L EAST JORDAN 5172551A 750 8/1/2016 2702 S J C SALES INC EAST JORDAN 2026724A 573 7/1/2016 8742 T C PAINTBALL AT BOYNE LLC EAST JORDAN 5147786A 800 7/3/2016 9015 THOMAS WELL DRILLING CO EAST JORDAN 2108119A 1,756 7/28/2016 6204 0.95 ASPEN CIRCLE CONDOMINIUM ASSOCIATION EAST LANSING 4764684A 750 7/1/2016 9015 HUNKY MONKEY LLC EAST LANSING 5426685A 6,531 7/22/2016 9403 ITTNER ILSA AND TAYLOR ANDREW EAST LANSING 5426340A 706 8/17/2016 0913 RICHARD A PITTSLEY MD PC EAST LANSING 5430534A 846 8/1/2016 8832 SALMA CORP EAST LANSING 0289264A 1,623 9/13/2016 9058 0.95 SPAGNUOLO MARK M EAST LANSING 2058723A 750 8/23/2016 9015 SULLIVAN BERNARD E EAST LANSING 3528901A 403 7/27/2016 0908 T KNOX INC EAST LANSING 4253990A 1,172 7/17/2016 9015 0.95 TWIN STAR MANAGEMENT INC EAST LANSING 3462374A 526 9/9/2016 8810 DUCKWORTH CONSTRUCTION & CONCRETE LLC EAST LEROY 5425603A 750 8/11/2016 5645 CHOICE CARE SERVICES INC EAST POINT 4296079A 15,584 7/3/2016 8835 1.10 DRYTECH CONSTRUCTION EAST POINTE 4134230A 800 8/22/2016 5476 DAN DUGGAN COURT SERVICES INC EASTPOINTE 3790010A 501 9/5/2016 8810 HIBBERT HOME SERVICES INC EASTPOINTE 4651456A 800 7/29/2016 5437 TRUSTED THERAPEUTICS LLC EASTPOINTE 5001102A 249 7/10/2016 8832 ANEW KIND OF CLEAN INCORPORATED EATON RAPIDS 4664612A 2,551 7/10/2016 9015 0.95 HALL GREG EATON RAPIDS 3010902A 750 7/21/2016 9102 KEITH DEHNERT RESIDENTIAL CONSTRUCTION EATON RAPIDS 5431395A 4,186 8/4/2016 5645 LLC

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RICHARD BERRY HOME BLDRS LLC EATON RAPIDS 4056400A 800 8/26/2016 3724 0.95 RIVER CITY INTERIORS EATON RAPIDS 2932148A 750 9/2/2016 5445 TRI STATE LIGHTING MAINTENANCE INC EATON RAPIDS 0509272A 751 7/23/2016 9015 D AND T TRUCKING & EXCAVATION EAU CLAIRE 1593218A 750 7/22/2016 6217 LEWIS TRUCKING LLC ECKERMAN 4199324A 750 7/23/2016 7208 MARS TRANSPORT & TOWING INC ECORSE 3103692A 3,954 7/8/2016 7208 0.90 RIMACO INC ECORSE 5456240A 783 9/29/2016 8017 SUPERIOR WINDOWS & SIDING ECORSE 3870227A 750 7/31/2016 5645 ALICE M SIAS TRUST EDENVILLE 5313783A 1,493 9/6/2016 0908 EMPLOYER SOLUTIONS STAFFING GROUP IV LLC EDINA, MN 4214390A 457,545 8/1/2016 6504 1.78 10 % A MAZING ACRES LLC EDWARDSBURG 4275756A 751 9/16/2016 9015 BROWNS TREE SERVICE LLC EDWARDSBURG 5444721A 1,234 9/4/2016 0106 WILDWOOD CUSTOM BUILDERS INC EDWARDSBURG 2486733A 5,200 7/31/2016 5645 0.94 BOKHARA PET RESORT LLC ELK RAPIDS 0886475A 574 7/8/2016 8831 0.95 KINGMAN STORAGE LLC ELKHART, IN 4010140A 253 7/15/2016 8810 0.95 Q MED TRANSCRIPTION SERVICES LLC ELLSWORTH 1609246A 314 8/23/2016 8810 MALBURG CONSTRUCTION ELMONT 1489739A 750 9/26/2016 5645 0.95 FABUS COMMUNICATIONS LLC ELSIE 4544501A 750 7/23/2016 7600 HUFNAGEL LOGGING LLC ELSIE 5178452A 750 8/17/2016 2702 NEW GROWTH TIMBERCUTTING ELSIE 4436210A 750 8/6/2016 2702 RELIABLE TIRE & AUTO SERVICE LLC ELSIE 4553896A 707 8/15/2016 8395 0.95 TIMCO 10 INC ELSIE 2417561A 8,142 9/1/2016 9058 1.14 A AND L MANAGEMENT CO ELWELL 4686675B 248 8/18/2016 8810 0.92 ACCURATE DRYWALL ELWELL 3208222A 750 8/19/2016 5445 0.95 BISCOS INC EMMETT 0022683A 1,010 8/14/2016 8006 KAHN MARK ENCINO, CA 1704958A 403 8/12/2016 0908 GRASIEWICZ AMY ENGADINE 5420300A 225 7/6/2016 8810 METCALF KASSIE ENGADINE 5421373A 750 7/7/2016 7208 SCHROEDER AARON ENGADINE 5367026A 3,002 7/14/2016 7208 CONGRESS MANUFACTURING LLC ENNIS, TX 5179440A 566 8/20/2016 8742 DELTA ANIMAL SHELTER ESCANABA 4896343A 731 8/15/2016 8831 JORGENSEN WILLIAMS FLOORING & WINDOW ESCANABA 3158063A 404 9/19/2016 8017 TREATMENTS K AND M INDUSTRIAL LLC ESCANABA 4785711A 1,529 8/9/2016 3612 0.95 LEIGHS GARDEN WINERY INC ESCANABA 5447747A 670 9/11/2016 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MCNEIL JIM ESCANABA 5433967A 2,552 8/8/2016 7720 RICHARD F MCINERNEY TRUCKING INC ESCANABA 1708112A 750 7/9/2016 7208 ROBERT IVERSON TRUCKING ESCANABA 0463604A 750 7/13/2016 7208 SUPERIOR MANPOWER INC ESCANABA 0187208A 8,212 7/24/2016 3620 0.92 UNITED WAY OF DELTA COUNTY ESCANABA 1475649A 276 9/1/2016 8810 WOLFE SISTERS INC THE ESCANABA 1338080A 326 7/21/2016 9586 YOUNG DALE ESCANABA 5312833A 750 9/5/2016 7208 RX TECHWRITE LLC ESSEXVILLE 3833941A 359 7/10/2016 8601 MEDICAL STAFFING SOLUTIONS LLC EVANSVILLE, IN 5029066A 634 9/18/2016 8833 D AND R MAINTENANCE EVART 5288967A 750 7/10/2016 9015 FLOORING IN MOTION EVART 2901889A 636 9/12/2016 9521 LIGHT VENTURES LLC EVART 5317720A 1,124 9/22/2016 9058 MUSKEGON RIVER PATHWAY OF HOPE LLC EVART 3606201A 6,092 9/13/2016 8833 1.55 13 % L AND L LOGGING EWEN 2526697A 750 9/21/2016 2702 0.95 PRO PHAZE ELECTRIC INC EWEN 4493370A 699 7/7/2016 5190 DU AULL CONSTRUCTION FAIR HAVEN 2156350A 750 8/10/2016 5645 JMJ SIDING LLC FAIR HAVEN 3950174A 750 7/4/2016 5645 KIRCHHOFF DECORATING FAIR HAVEN 1602322A 750 7/14/2016 5476 SOUTHSIDE TOWING AND RECOVERY FAIRHAVEN 2684373A 750 8/21/2016 7208 L AND N QUALITY BUILT CONSTRUCTION FALMOUTH 5424844A 750 7/17/2016 5645 AA 1 HOSKINS TREE SERVICE INC FARMINGTON 2412268A 750 9/24/2016 0042 ADOBE HOME HEALTH CARE INC FARMINGTON 4914813A 2,308 9/29/2016 8835 0.95 FARMINGTON CONTRACTING INC FARMINGTON 1986864A 2,636 8/6/2016 5437 0.95 FARMINGTON VISION CLINIC FARMINGTON 1659340A 248 9/29/2016 8013 HILLEL DAY SCHOOL OF METROPOLITAN FARMINGTON 0439258A 171,050 7/1/2016 8868 1.50 13 % DETROIT J AND B GAS MART INC FARMINGTON 5443695A 1,223 9/2/2016 8017 LAKES FORESTRY LLC FARMINGTON 5187419A 2,776 9/11/2016 0106 0.95 MEADOWS PARTY STORE INC FARMINGTON 1282085A 889 9/4/2016 8017 0.95 MOSER MACHINE SERVICES INC FARMINGTON 3653897A 750 7/10/2016 3724 NORTH CHANNEL GRAPHICS INC FARMINGTON 5287626A 820 7/8/2016 4299 SEMIRS CUSTOM PAINTING INC FARMINGTON 3199584A 750 9/1/2016 5476 0.95 TRIKES SIGN COMPANY FARMINGTON 0157872A 698 8/5/2016 9501 0.95 A T C C F LLC FARMINGTON HILLS 3182177A 750 9/17/2016 5476 AB PAINTING SERVICES LLC FARMINGTON HILLS 5011957A 750 8/8/2016 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALEARDIS LILAC INN LLC FH FARMINGTON HILLS 3730662A 3,538 7/30/2016 9053 0.95 ALL AND ALL SERVICE HEATING AND AIR FARMINGTON HILLS 3057364A 750 8/23/2016 5550 CONDITIONING ALL METRO TREE SERVICE LLC FARMINGTON HILLS 4462556A 10,058 9/10/2016 0042 0.95 AMMAR STATION INVESTORS INC FARMINGTON HILLS 4265181A 823 9/1/2016 8017 0.95 ASMAR CONSTRUCTION LLC FARMINGTON HILLS 5287618A 420 7/1/2016 5606 ASW AMERICA INC FARMINGTON HILLS 5377463A 3,204 8/27/2016 3628 BEECHVIEW SWIM CLUB INC FARMINGTON HILLS 0678791A 1,180 7/11/2016 9063 0.95 BKS ASSOCIATES LLC FARMINGTON HILLS 3498409A 800 9/3/2016 9015 0.95 CHANTICLEER CONDOMINIUM ASSOCIATION FARMINGTON HILLS 1693115A 800 9/21/2016 0042 CLAUDIOS PAINTING CO FARMINGTON HILLS 4104579A 750 9/17/2016 5476 0.95 CONTINENTAL HOME SERVICES LLC FARMINGTON HILLS 2932369A 1,786 7/20/2016 5645 0.95 CONTINUING CARE SERVICES LLC FARMINGTON HILLS 3730662C 4,415 7/30/2016 9053 0.95 COOLIDGE TERRACE COOPERATIVE FARMINGTON HILLS 3148823A 750 8/20/2016 9015 COUNTRYSIDE GROUP INVESTMENTS INC FARMINGTON HILLS 1003410A 8,493 7/23/2016 9015 0.85 CREATIVE CONCEPTS OF MICHIGAN LLC FARMINGTON HILLS 4759036A 750 8/12/2016 5476 DASILVA MARKET READY PAINT LLC FARMINGTON HILLS 3545547A 800 9/7/2016 5476 0.95 FAIRFIELD CONDOMINIUM OWNERS FARMINGTON HILLS 4915313A 750 9/29/2016 9015 ASSOCIATION INC FARMINGTON GREEN WEST HOMEOWNERS FARMINGTON HILLS 5424801A 751 7/17/2016 9015 ASSOCIATION OF FARMINGTON HILLS INC FARMINGTON MAINTENANCE LLC FARMINGTON HILLS 5427657A 1,005 7/27/2016 9015 FERRARI CONSTRUCTION INC FARMINGTON HILLS 2362279A 800 7/10/2016 5551 FLAMINGO TRAILER COURT INC FARMINGTON HILLS 0240257A 4,792 7/1/2016 9015 1.05 FRENCHTOWN SHOPPING CENTER LLC FARMINGTON HILLS 2210495A 800 8/18/2016 9015 FROGGYS OUTDOOR SERVICES INC FARMINGTON HILLS 4104226A 1,866 8/1/2016 9102 0.95 G W DAVIS & COMPANY FARMINGTON HILLS 3049159A 748 9/28/2016 8742 GENERAL CONTRACTING AND MASONERY LLC FARMINGTON HILLS 5454662A 750 9/25/2016 5022 GENTLE TOUCH HOME HEALTH CARE INC FARMINGTON HILLS 4939417A 1,217 8/21/2016 8835 0.95 GERARD CUSTOM HOMES INC FARMINGTON HILLS 5312124A 908 9/4/2016 5606 GREEN CASTLE FAMILY CARE LLC FARMINGTON HILLS 5288479A 897 7/9/2016 9053 GREENFIELD PLAZA INC FARMINGTON HILLS 1886231A 751 8/11/2016 9015 GREGG CRYSTAL FARMINGTON HILLS 5307520A 706 8/25/2016 0913 HARVITH ERWIN AND HARVITH SYLVIA AND FARMINGTON HILLS 4251822A 802 8/1/2016 9015 LOCKE SIDNEY AND FISHMAN HIMAN GROUP INC FARMINGTON HILLS 5306485A 1,941 8/25/2016 8835

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HOFFMANS ACCOUNTING & TAX FARMINGTON HILLS 3834360A 225 9/30/2016 8810 HOSPITALITY INVESTMENT GROUP INC FARMINGTON HILLS 5319005A 750 9/22/2016 5403 HUTCHESON FREDERICK A FARMINGTON HILLS 1325477A 750 9/19/2016 5551 ICONA HOMECARE SERVICES LLC FARMINGTON HILLS 4398475A 2,648 7/31/2016 9053 0.95 IGB NDT SYSTEMS CORP FARMINGTON HILLS 2443430A 2,540 7/24/2016 5191 0.95 JAMIL BROTHERS INC FARMINGTON HILLS 5181119A 1,356 9/1/2016 8017 1.05 LAW OFFICE OF GLENN A SALTSMAN PLC FARMINGTON HILLS 3672220A 285 8/20/2016 8820 LAW OFFICES OF GREEN AND GREEN PLLC FARMINGTON HILLS 3578208A 555 8/22/2016 8820 LIBERTY SQUARE CONDOMINIUMS ASSOCIATION FARMINGTON HILLS 3367592A 750 7/18/2016 5183 M S CONSTRUCTION FARMINGTON HILLS 4117107A 750 9/7/2016 5437 MAPLE CREEK III CONDOMINIUM ASSOCIATION FARMINGTON HILLS 5424194A 750 8/7/2016 9015 MARSELLIS TILE LLC FARMINGTON HILLS 2697424A 750 7/10/2016 5348 MCGLINCH AND SONS COMPANY FARMINGTON HILLS 0318396A 1,691 8/5/2016 5606 0.86 MICHAEL CHERRIN ATTORNEY AT LAW FARMINGTON HILLS 3652173A 278 8/6/2016 8820 MICHIGAN HARDWOOD FLOORS SERVICES LLC FARMINGTON HILLS 5144620A 750 7/25/2016 5437 MILES BRADLEY BUILDING AND REMODELING INC FARMINGTON HILLS 0315559A 558 7/11/2016 8742 0.95 MORT SIGN INC FARMINGTON HILLS 3545970A 342 9/13/2016 8810 NOSAN HOMES INC FARMINGTON HILLS 2291762A 751 7/18/2016 5476 NOSAN VENTURES LLC FARMINGTON HILLS 4901070A 750 8/28/2016 5403 ORIGINAL BUDGET TREE SERVICE LLC FARMINGTON HILLS 2824396A 9,700 8/26/2016 0106 0.87 PAX CORPORATION FARMINGTON HILLS 2888327B 276 7/23/2016 8810 0.95 PROVO ALLAN J FARMINGTON HILLS 1346768A 750 8/13/2016 5190 RANCHWOOD VILLAS CONDOMINIUM FARMINGTON HILLS 3510956A 750 8/25/2016 9015 ASSOCIATION RASHID CONSTRUCTION COMPANY FARMINGTON HILLS 1702394A 803 9/19/2016 5645 0.95 RBK ASSOCIATES LLC FARMINGTON HILLS 2888327A 800 7/23/2016 5221 0.95 S B S CONSTRUCTION CO FARMINGTON HILLS 5290970A 750 7/17/2016 5437 SRF ENTERPRISES INC FARMINGTON HILLS 0941743A 825 8/19/2016 5476 0.95 STAR PAINTING CO INC FARMINGTON HILLS 1653075A 1,650 7/27/2016 5476 0.95 STORAGE PRODUCTS CO FARMINGTON HILLS 3746410A 825 9/5/2016 5146 TOP GUN INC FARMINGTON HILLS 1213350A 590 8/7/2016 8393 UPTOWN VILLAGE ASSOCIATION FARMINGTON HILLS 4733827A 750 9/4/2016 9015 VANDERBILT AT KINGS POINTE CONDOMINIUM FARMINGTON HILLS 4778995A 750 8/6/2016 9015 ASSOCIATION VICTORIA PLACE CONDOMINIUM ASSOCIATION FARMINGTON HILLS 4427823A 750 7/16/2016 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WORLD STONE & TILE LLC FARMINGTON HILLS 2727790A 800 7/10/2016 5348 BOUCHEY TRANSPORT INC FARWELL 5415802A 7,896 7/1/2016 7208 COUNTRY CARE ASSISTED LIVING LLC FARWELL 5175801A 672 8/8/2016 9053 BLUE CHIP SALES FENNVILLE 0904520A 2,176 9/25/2016 8395 0.95 MORALES POULTRY COMPANY LLC FENNVILLE 5439647A 11,978 9/18/2016 0034 WATERFRONT BUILDERS LLC FENNVILLE 5429960A 750 7/31/2016 5645 ALLIED HOME RESTORATION INC FENTON 5434548A 2,642 8/14/2016 5645 AUTOMARK SALES INC FENTON 1300946A 860 8/18/2016 8742 BONE DRY WATERPROOFING INC FENTON 4200446A 801 8/30/2016 5476 CREATIVE WOOD PRODUCTS LLC FENTON 4765150A 750 7/2/2016 5645 CRYSTAL CUSTOM CARPENTRY FENTON 5294843A 750 7/24/2016 5146 DETROIT CRUSHING LLC FENTON 5432022A 1,529 8/5/2016 1624 DR BOOM CRANE SERVICES INC FENTON 5308950A 750 8/27/2016 7208 EXPERT POOL BUILDERS LLC FENTON 5016150A 3,384 8/17/2016 5223 0.95 FRONTSTREET RECORDS LLC FENTON 5286638A 248 7/4/2016 8810 GALAXY PROPERTIES FENTON 3343995A 1,422 7/4/2016 9015 0.95 JACKSON STEEL ERECTORS LLC FENTON 5300185A 750 8/5/2016 5102 JDS DECKS FENTON 4898656A 750 8/16/2016 5645 JRC HAULING & DRYWALL INC FENTON 3317579A 750 7/31/2016 5445 0.95 KRUPP EQUIPMENT INC FENTON 2102455A 1,771 8/8/2016 7208 MAXIM HOMES INC FENTON 4652029A 825 7/28/2016 5437 MCJ WINDOWS INC FENTON 5291607A 750 7/29/2016 5645 MCNEILL CONSTRUCTION LLC FENTON 3131912A 750 8/11/2016 5645 0.95 OOL PARDI INC FENTON 2253313A 750 9/10/2016 5022 ORIGINS RESEARCH LLC FENTON 5002486A 580 7/14/2016 7720 PREMIER ENVIRONMENTAL & CONSTRUCTION FENTON 0634484A 1,361 8/19/2016 5183 0.95 SERVICES LLC R C INTERIORS LLC FENTON 2373840A 750 8/28/2016 5445 SERVICE PRO FENTON 5003938A 800 7/19/2016 9015 STANS FIREPLACE & CHIMNEY SVC FENTON 2442809A 2,727 9/29/2016 9015 STEVE PAYTER COMPANY FENTON 3217132A 750 7/3/2016 5437 SURE RIDE TRANSPORTATION LLC FENTON 1116088A 2,565 8/31/2016 7380 0.95 TOM WALKERS GRIST MILL INC FENTON 1505602A 802 9/7/2016 8017 MATT S MAINTENANCE FENWICK 5299632A 750 8/4/2016 5403 AMERICAN POSTAL WORKERS AFL CIO FERNDALE 0638528A 2,383 7/16/2016 8755 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ASPEN RIDGE CONDOMINIUM ASSOCIATION FERNDALE 1277952A 800 7/25/2016 9015 BEVERLY MANOR ASSOCIATION FERNDALE 4068556A 800 9/6/2016 9015 CHRISTIAN BROTHERS ROOFING INC FERNDALE 2447029A 750 7/18/2016 5551 CRANE JASON FERNDALE 4819020A 698 9/19/2016 5190 DETROIT METROPOLITAN CONSTRUCTION INC FERNDALE 2398532A 4,979 9/26/2016 5445 1.43 13 % J F MODERNIZATION FERNDALE 4535200A 750 8/28/2016 5645 JOE JONES CONSTRUCTION INC FERNDALE 5003547A 751 7/18/2016 5183 LAWRENCE JACOB FERNDALE 5294657A 750 7/24/2016 5645 MEDITRANS INC FERNDALE 4938399A 8,907 8/30/2016 7212 0.89 MICHIGAN SERVICE OFFICE FERNDALE 1400894A 284 9/28/2016 8810 ONE THOUSAND 987 PRODUCTION LLC FERNDALE 5434939A 745 8/12/2016 7610 SHADES OF GREY CONSTRUCTION LLC FERNDALE 4332431A 1,377 8/15/2016 9015 0.95 TWO CONTINENTS LLC FERNDALE 5427711A 998 8/1/2016 5645 UNITED FOOD CORPORATION FERNDALE 4184696A 942 8/20/2016 9058 VICTORY MANAGEMENT FAMILY HOMES LLC FERNDALE 5355001A 428 7/17/2016 8833 WETMORES INC FERNDALE 0500739A 706 7/17/2016 8395 K AND N SERVICES LLC FERRYSBURG 3154467A 751 7/14/2016 6217 0.95 NORTHSHORE EXTERIORS LLC FIFE LAKE 3510620A 226 9/1/2016 8810 TALLMAN INDUSTRIES INC FIFE LAKE 4899733A 2,614 8/19/2016 1320 0.95 A G MAINTENANCE INC FLAT ROCK 4811755A 8,932 8/26/2016 9015 1.16 ARBOR AMERICANA LLC FLAT ROCK 3882667A 292 9/11/2016 8810 0.95 BRUCE BENNETT MECHANICAL INC FLAT ROCK 3891755A 750 7/24/2016 5183 0.95 L AND J CLEANING FLAT ROCK 3572633A 750 7/23/2016 9015 SISBRO CONTRACTING LLC FLAT ROCK 5284295A 750 7/9/2016 9015 AKA OF FLINT LLC FLINT 3113388A 1,138 9/15/2016 8017 0.95 ALL AMERICANS HOSPICE CARE INC FLINT 5290058A 608 7/11/2016 8835 ASF OF FLINT INC FLINT 3156419A 1,640 8/12/2016 8017 ASSURE MAINTENANCE AND PRESERVATION FLINT 5321557A 750 9/26/2016 5645 BETTER BUILDERS LLC FLINT 0203505A 1,437 8/3/2016 5190 CH AND ASSOCIATES LEASING INC FLINT 3955516A 2,677 9/12/2016 5221 1.05 COLES CONTRACTING FLINT 1160435A 750 7/15/2016 5645 DEBRA GOODMAN SERVICES INC FLINT 0745073A 4,099 9/29/2016 0908 0.95 DELTA FAMILY CLINIC SOUTH FLINT PC FLINT 2785676A 1,180 9/29/2016 8832 0.95 DISCOUNT RX LLC FLINT 5292298A 285 7/19/2016 8045 EAGLES NEST ACADEMY FLINT 5442605A 300 9/8/2016 8810 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 44 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EJ CONSTRUCTION & HOME REPAIR FLINT 5435463A 750 8/13/2016 5645 EL BALLET FOLKLORICO ESTUDIANTIL FLINT 4486790A 554 7/11/2016 9063 FENTON ROAD COLLISION FLINT 5420466A 2,316 7/1/2016 8393 FNT HOSPITALITY LLC FLINT 5177634A 4,057 8/15/2016 9058 0.95 GENESEE COUNTY COMPASSION CLUB FLINT 5192218A 4,745 9/25/2016 8017 0.95 GREAT LAKES CAR CARRIER INC FLINT 5426022A 24,637 7/22/2016 7208 GYPSUM INTERIORS LLC FLINT 3599329A 750 8/15/2016 5445 HARDROCK CONSTRUCTION SERVICES FLINT 3176290A 750 7/3/2016 5645 0.95 HOWE BOYD FLINT 5251214A 750 7/23/2016 5476 IGRAM ENVIRONMENTAL LLC FLINT 3749150A 730 9/11/2016 2841 INTERNATIONAL ACADEMY OF FLINT FLINT 3216721A 349 7/24/2016 8868 JOBSITE MANAGEMENT LLC FLINT 2013649A 750 7/28/2016 3724 JOHN B BUILDING FLINT 1708104A 750 7/31/2016 5445 JULIES PAWN SHOP INC FLINT 2833905A 4,300 9/15/2016 8017 0.95 MANSOUR DEVELOPMENTS INC FLINT 0307050A 255 8/28/2016 8742 MARTIN ELECTRIC FLINT 3964205A 699 8/24/2016 5190 MBR CONSTRUCTION FLINT 3948382A 7,290 7/13/2016 5645 0.94 MICHIGAN HIGH RISE SPECIALTY SERVICES INC FLINT 0508160A 9,482 8/16/2016 9015 0.88 MOYE LLC FLINT 4909925A 750 8/1/2016 5437 MS CLEAN FLINT 5017068A 750 8/21/2016 9015 MYERS CHARLES FLINT 5456800A 750 9/30/2016 5437 NATIONAL MICROBIOLOGICAL MANAGEMENT LLC FLINT 3815579A 1,061 8/21/2016 9015 NEW PATHS INC FLINT 4716132A 8,373 7/17/2016 9058 0.75 NORTH WAREHOUSE INC FLINT 2475693A 594 9/29/2016 8032 OAKS FAMILY FLOORING FLINT 4720059A 635 9/13/2016 9521 PARAMOUNT HOME REMODELING FLINT 5444861A 753 9/2/2016 5645 PEPPERMINT LOUNGE INC FLINT 0501883A 605 8/24/2016 9058 RASPBERRIES RYTHM CAFE INC FLINT 4651170A 728 7/31/2016 9058 RAWSONS WOOD FLOORS & TRIM FLINT 3542912A 2,955 9/10/2016 5437 0.95 RED INK FLINT INC FLINT 4885449A 750 7/16/2016 9015 RENSHAW CONSTRUCTION INC FLINT 0484822A 4,101 8/21/2016 5645 0.91 RICHFIELD PUBLIC SCHOOL ACADEMY FLINT 4883403A 751 7/1/2016 9015 RONS DISCOUNT CARPET FLINT 3032809A 635 8/27/2016 9521 SAGINAW LEASE INC FLINT 3046095A 843 9/22/2016 8381 SAMS TIRE STORE INC FLINT 3920534A 3,422 9/10/2016 8395 0.94 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 45 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SHAWNS ROOFING AND SIDING FLINT 5294649A 750 9/29/2016 5551 STERLING INDUSTRIAL SERVICES INC FLINT 3103560A 3,117 8/31/2016 9015 1.00 TAMMANY HILLS CONDOMINIUM OWNERS FLINT 4908228A 750 9/13/2016 9015 ASSOCIATION TOMS REPAIR SERVICE FLINT 5301700A 750 8/9/2016 5645 TOWN CENTER PHARMACY LLC FLINT 4520971A 2,187 7/31/2016 8045 0.95 UNIFIED STAFFING INC FLINT 4667654A 170,925 9/18/2016 3146 1.52 27 % URBAN BUILDERS & DEVELOPERS INC FLINT 4893565A 750 8/6/2016 5645 0.95 VELOSO AFC HOME LLC FLINT 4118766A 1,193 9/13/2016 9052 WASFIE TARIK DR MD FLINT 1920502A 621 9/28/2016 8832 WELLNESS AIDS SERVICES INC FLINT 2454572A 1,353 8/15/2016 8832 0.95 WILLIE SMITH SHOW FLINT 5020875A 750 9/22/2016 5645 WORLD WIDE PAGER & PHONE CO FLINT 2527820A 865 8/1/2016 8810 1.00 YAYAS SOUTH DORT HWY INC FLINT 2564688A 19,252 8/7/2016 9058 1.50 YES DEER HUNTING CLUB FLINT 4999363A 808 7/4/2016 9058 ZINNS COMPLETE FLOOR COVERING FLINT 3059316A 1,596 8/12/2016 9521 A PLUS SIDING FLUSHING 3785408A 750 9/19/2016 5645 BLACKFORD RICHARD AND FAYE FLUSHING 5314763A 706 9/11/2016 0913 JAYS CUT ABOVE THE REST LLC FLUSHING 4796535A 750 9/30/2016 9102 JOHN F OMARA CPA PC FLUSHING 4791835A 242 9/16/2016 8810 KG CONSTRUCTION FLUSHING 5128471A 750 9/12/2016 5437 OAKS HOME SOLUTIONS FLUSHING 5443555A 750 9/2/2016 5645 WHEELER TRUCKING INC FLUSHING 4884167A 216,828 7/1/2016 7208 0.80 GREAT LAKES ITALIAN RESTAURANT LLC FORT GRATIOT 5441714A 2,312 8/28/2016 9058 LAMAY DELBERT J FORT GRATIOT 3959007A 750 8/27/2016 5437 MARK L GILLIHAN AGENCY LLC FORT GRATIOT 0786500A 328 8/28/2016 8810 PALMATEER SHERWOOD H FORT GRATIOT 1323784A 815 7/26/2016 0128 RICKS PAINTING FORT GRATIOT 0704938A 750 7/20/2016 5476 JOHNSON STEVEN EDWARD FOSTER CITY 4999541A 750 7/4/2016 2702 BUCKEL CONSTRUCTION LLC FOSTORIA 3347680A 750 7/2/2016 5645 QUALITY ROOFING & REPAIR INC FOSTORIA 4130367A 875 9/11/2016 5551 TKLOGIC FOSTORIA 5294410A 359 7/30/2016 8601 UP FRONT TRANSPORT INC FOUNTAIN 4494695A 1,300 7/22/2016 7208 0.95 SIMON TREE SERVICE LLC FOWLER 5309670A 750 8/28/2016 2702 ALYQUIN CONSTRUCTION INC FOWLERVILLE 2266709A 1,476 8/6/2016 5445 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BRIDEAU HEATING AND COOLING LLC FOWLERVILLE 5429340A 750 7/30/2016 5550 CITY WIDE BUILDING & MAINTENANCE INC FOWLERVILLE 1717995A 750 7/18/2016 5645 DEFEVER CARPENTRY FOWLERVILLE 3957756A 750 9/9/2016 5645 FINISHING TOUCH FOWLERVILLE 1243764A 800 9/6/2016 5645 G AND A SIDING LLC FOWLERVILLE 3298663A 750 9/20/2016 5645 HARGRAVES DAVID FOWLERVILLE 0824933A 635 9/12/2016 9521 JP TREE & LAWN FOWLERVILLE 5313686A 750 9/23/2016 0106 RPM ELECTRIC LLC FOWLERVILLE 5267854A 698 9/17/2016 5190 SIERACKI TIMOTHY M FOWLERVILLE 1071750A 750 8/11/2016 5476 SOUTHEASTERN SHOWER DOOR & MIRROR INC FOWLERVILLE 3048357A 685 7/25/2016 9521 FRANKENMUTH FUNSHIPS TASTING & TOURS FRANKENMUTH 2129620A 2,752 8/7/2016 8017 0.95 LLC JD BLOCK & ASSOCIATES LLC FRANKENMUTH 4790642A 1,315 9/7/2016 8017 1.05 BLUFFS OF FRANKFORT ASSOCIATION FRANKFORT 5315760A 750 9/15/2016 9015 FKM USA LLC FRANKFORT, IL 5271223A 575 9/1/2016 8742 NORTHWEST CONTRACTING FRANKFORT 5435773A 750 8/14/2016 5020 DISHELL GAIL FRANKLIN 0884308A 453 8/7/2016 0908 DONNELLY RECYCLING LLC FRANKLIN 5267773A 3,339 9/16/2016 3821 EPSTEIN ABRAM FRANKLIN 0924458A 1,718 8/20/2016 0913 GORGE MICHAEL FRANKLIN 0030171A 706 8/25/2016 0913 GURWIN JUNE H FRANKLIN 1039628A 403 9/27/2016 0908 HOLD IT COMPANY LLC FRANKLIN 5021820A 254 9/7/2016 8742 WING LAKE FARMS INC FRANKLIN 0948497A 750 9/4/2016 9015 EASY MOVING LLC FRASER 5420105A 2,793 7/1/2016 8293 GROSSE POINTE DRIVING SCHOOL INC FRASER 3776654A 321 7/30/2016 8868 HYDRAULIC PRESS SERVICE LLC FRASER 1742310A 2,263 8/3/2016 3612 INDUSTRIAL ASSET RECYCLING L L C FRASER 4643895A 4,204 8/6/2016 9015 0.79 O C D ORGANIZE CLEAN DE CLUTTER FRASER 5320763A 599 9/24/2016 8835 OAKES ROOFING SIDING & WINDOWS INC FRASER 3653714A 5,228 9/24/2016 5645 0.95 REGAL CONSTRUCTION INCORPORATED FRASER 4795989A 850 9/19/2016 5403 0.95 S R RESIDENTIAL DEVELOPMENT LLC FRASER 4382625A 800 7/5/2016 0042 F FEDAK CORPORATION FREDERIC 3571068A 638 8/20/2016 5606 KASPER CONTRACTING LLC FREELAND 5434920A 750 8/12/2016 5403 MOELLER BUILDERS INC FREELAND 2775344A 801 8/2/2016 9402 0.92 TIM KATZ PLUMBING AND HEATING CO FREELAND 1204505A 826 7/6/2016 5550

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WARMBIER FARMS LLC FREELAND 3708616A 1,530 9/13/2016 8017 0.95 SALT N PEPPER LLC FREEPORT 1412159A 939 8/6/2016 9058 SAND MAN TRUCKING INC FREEPORT 3326837A 750 8/31/2016 4000 KD METAL SALES LLC FREMONT 5318238A 1,972 9/26/2016 5538 RESTAURANT RECYCLING LLC FREMONT 4525426A 19,118 7/4/2016 4712 1.50 13 % SKIVERS EXTERIORS AND REPAIR LLC FREMONT 5437075A 750 9/18/2016 5551 TENPAS MARILYN OOSTING FREMONT 4913370A 751 9/26/2016 8279 TOMS DONUTS OF ANGOLA LLC FREMONT, IN 2237938A 8,597 9/1/2016 8017 1.28 13 % TWO FEATHERS ENTERPRISE LLC FREMONT 4880366A 4,983 8/5/2016 5221 0.95 BENKERT BRUCE FRUITPORT 0351008A 918 8/13/2016 5022 BROCKS FAMILY AUTOMOTIVE LLC FRUITPORT 5342562A 5,079 8/20/2016 8395 JD FISHER BUILDERS LLC FRUITPORT 5022177A 3,300 8/12/2016 5606 KENTLYS PIZZA AND SUB SHOP LLC FRUITPORT 5349060A 552 9/30/2016 9058 K AND K EXCAVATING CONSTRUCTION AND FT MYERS, FL 2432056A 5,843 7/15/2016 6217 0.95 RENTALS INC SCOTT WESNEY CONSTRUCTION LLC GAHANNA, OH 5309913A 1,225 8/29/2016 5437 BIG AND LITTLE FARMS GAINES 5433878A 750 8/8/2016 5645 MJR BULLET LINER & UNDERCOATING GAINES 5372682A 701 8/6/2016 8393 BRIERLY RICHARD GALESBURG 5184681A 750 9/10/2016 5213 EXACT PEST CONTROL SOLUTIONS LLC GALESBURG 5426910A 2,388 7/23/2016 9015 SMITH RICK GALESBURG 5429820A 750 8/4/2016 5645 BIG BAY DE NOC FISHERIES INC GARDEN 0215236A 4,101 8/26/2016 8021 0.92 ADVANCED FUEL STOP INC GARDEN CITY 3613321A 1,085 8/4/2016 8017 0.95 ARTESIAN CONTRACTORS INC GARDEN CITY 5428491A 750 7/29/2016 5645 BODYSNATCHERZ REPOSSESSION GARDEN CITY 5420091A 808 7/1/2016 7720 BORG BUILDERS LLC GARDEN CITY 4796551A 750 9/30/2016 5645 D AND R PAINTING GARDEN CITY 3202364A 2,161 8/28/2016 5476 0.95 GARDEN CITY TRANSPORT INC GARDEN CITY 1387871A 962 7/29/2016 7212 OHMTEMP INTERNATIONAL INC GARDEN CITY 1007491A 1,407 9/15/2016 3179 0.95 STRAWSER CHARLES GARDEN CITY 2159899A 750 9/8/2016 5645 WALLACE DUANE GARDEN CITY 1963449A 635 9/30/2016 9521 WIGLE KEVIN GARDEN CITY 5118280A 750 8/14/2016 5645 ALPENA RECYCLING BOARD GAYLORD 5422159A 8,957 7/9/2016 8264 ALPINE LANDSCAPE & SNOW LLC GAYLORD 4161955A 750 9/24/2016 0042 BROWNWOOD COMPANY GAYLORD 1025619A 750 9/18/2016 2731

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge C AND C LOGGING GAYLORD 1297937A 750 9/26/2016 2702 GTM STEAMER SERVICE INC GAYLORD 0594636A 1,376 7/21/2016 6216 MARTELL FORESTRY INC GAYLORD 5300916A 555 8/7/2016 8601 MITCHELL TREE REMOVAL GAYLORD 4238680A 750 9/19/2016 0106 NORTHEAST MICHIGAN COUNCIL OF GAYLORD 0336416A 726 7/15/2016 8810 1.39 13 % GOVERNMENTS PATTERSON PAINTING COMPANY GAYLORD 1333283A 750 8/13/2016 5476 POSTLEWAIT CATHERINE GAYLORD 2223635A 811 8/23/2016 9402 0.95 SIRCELY CONSTRUCTION LLC GAYLORD 5452171A 4,966 9/21/2016 5551 SMITHS TRUCKING SERVICE GAYLORD 4234499A 800 7/31/2016 7208 T III LOGGING GAYLORD 1586874A 968 8/24/2016 2702 VISIONS FOR YOUR COMMUNITY HOME HEALTH GAYLORD 5030200A 4,200 9/30/2016 8835 0.95 CARE AGENCY LLC CRIPPA USA LLC GENEVA, IL 5426588A 9,285 9/24/2016 3724 R AND M LOGGING GERMFASK 2980576A 1,451 8/17/2016 7208 0.95 MOR MAD LAWN CARE GIBRALTAR 3712621A 750 9/29/2016 9102 CARIGNAN FAMILY TRUCKING GLADSTONE 5285607A 750 7/1/2016 7208 CLARK SEAN LEE GLADSTONE 5428092A 750 7/28/2016 5645 R AND S LOGGING GLADSTONE 3211800A 750 7/23/2016 2702 COLDWELL BANKER KIGAR GLADWIN 1197096A 256 8/3/2016 8810 HOSPICE OF GLADWIN AREA INC GLADWIN 2903024A 232 9/9/2016 8810 J AND I PROPERTIES LLC GLADWIN 5422825A 226 7/22/2016 8810 MARSHALLS PAINTING GLADWIN 2065436A 750 9/16/2016 5476 PETE BIERLEIN PAINTING & DECORATING GLADWIN 0813133A 750 8/18/2016 5476 ROE CINDY KAY GLADWIN 3386074A 750 8/27/2016 5476 D AND J FOREST PRODUCTS GLENNIE 5302811A 750 8/13/2016 2702 P AND J CONCRETE SAWING & CORE DRILLING GLENNIE 0909700A 750 8/21/2016 5221 INC FELLOWSHIP OF CATHOLIC UNIVERSITY GOLDEN, CO 3623688A 2,343 7/1/2016 8868 0.95 STUDENTS BWTS LLC GOODRICH 5414288B 6,712 8/15/2016 5191 CONSIGLIO COLIN MICHAEL GOODRICH 5310768A 706 9/3/2016 0913 MULLANE CONSTRUCTION LLC GOODRICH 5019761A 750 8/30/2016 5645 RHB ELECTRIC INC GOODRICH 4653939A 2,495 8/8/2016 5190 0.95 DAY THOMAS GOWEN 5291631A 750 8/1/2016 5645 SITETECH INC GRAFTON, OH 5308992A 47,953 9/1/2016 5057

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HUMANOMICS INSURANCE SERVICES INC GRANADA HILLS, CA 4645642A 498 7/14/2016 8742 ALLSAFE DRIVERS ED LLC GRAND BLANC 4386965A 755 9/26/2016 8868 AMERICAN OUTDOOR ADVERTISING LLC GRAND BLANC 3444724A 754 7/4/2016 8810 AMPED ELECTRIC LLC GRAND BLANC 5170583A 698 7/26/2016 5190 BASIC EARTH ELEMENTS GRAND BLANC 5306027A 750 8/20/2016 5403 BLUE RIBBON CONSTRUCTION SERVICES GRAND BLANC 5291780A 2,188 7/21/2016 5476 0.95 CUSTOM CRAFT CONTRACTING LLC GRAND BLANC 3016072A 775 8/1/2016 5645 DEMARCO CONSULTING LLC GRAND BLANC 5420377A 284 7/6/2016 8601 DURAGUARD LLC GRAND BLANC 3824624A 31,497 8/8/2016 5552 0.89 ELDON L AUKER TRUST PARTNERSHIP GRAND BLANC 4115511A 800 8/30/2016 9015 0.93 EZ PAY CORP GRAND BLANC 3955290A 253 7/30/2016 8810 FLO RITE LLC GRAND BLANC 5189365A 779 9/16/2016 5183 GRACE CONSTRUCTION SERVICES LLC GRAND BLANC 5029562A 10,305 9/25/2016 5645 GREG CARTER BUILDERS LLC GRAND BLANC 3484467A 750 7/21/2016 5645 HANI INC GRAND BLANC 4808762A 627 9/16/2016 8033 JACOBSENS TREE SERVICE GRAND BLANC 4391861A 3,603 7/12/2016 0106 0.95 L AND L DANCE STUDIO LLC GRAND BLANC 5312051A 503 9/4/2016 9063 LABELLE HOME IMPROVEMENTS LLC GRAND BLANC 4661729A 750 7/1/2016 5645 0.95 LODGE MARK J DDS GRAND BLANC 4354664A 1,017 7/31/2016 8832 0.95 MAJED A NOUNOU MD GRAND BLANC 5291550A 403 7/18/2016 0908 MONTE PHILLIP GRAND BLANC 3727696A 750 7/31/2016 5645 MSG PAINTING & CONSTRUCTION LLC GRAND BLANC 5427304A 750 7/24/2016 5476 MURRAY MECHANICAL LLC GRAND BLANC 5285690A 906 7/1/2016 2802 PREFERRED BATH LLC GRAND BLANC 4294424A 1,203 7/1/2016 9521 SEAN ENTERPRISES CO INC GRAND BLANC 4239725B 1,040 9/25/2016 8017 0.95 SOLAK ASSOCIATES LLC GRAND BLANC 1682350A 750 7/28/2016 5403 SORRELLS HOME IMPROVEMENT GRAND BLANC 5447810A 750 9/11/2016 5645 SYCRON CORPORATION GRAND BLANC 1711989A 769 7/23/2016 8832 0.84 TOM MOODY BUILDERS GRAND BLANC 2784319A 750 8/1/2016 5645 WITNAUER DRYWALL CO LLC GRAND BLANC 3702073A 3,531 7/18/2016 5445 XTREME AIR LLC GRAND BLANC 5441617A 750 8/27/2016 5550 ARTIOS ACADEMIES OF GRAND HAVEN LLC GRAND HAVEN 5448875A 296 9/12/2016 8868 BOBELDYK AND ASSOCIATES INC GRAND HAVEN 1668919A 5,054 7/15/2016 7720 1.40 13 % BRADLEY CONSTRUCTION GRAND HAVEN 5455367A 750 9/26/2016 5645 KLO ENTERPRISES LLC GRAND HAVEN 5304237A 11,035 9/6/2016 8835 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 50 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MANCILLA SALOMON GRAND HAVEN 3071677A 750 8/17/2016 5645 MERA INC GRAND HAVEN 0334952A 3,237 8/5/2016 7423 0.95 BRUSH REMODELING LLC GRAND LEDGE 4279506A 750 9/14/2016 5403 CLINTS BUILDING & HOME REPAIR INC GRAND LEDGE 4198336A 800 7/20/2016 5645 0.95 DOUGLAS SPALDING LLC GRAND LEDGE 1349457A 750 8/18/2016 3724 0.91 ESP COMPANIES LLC GRAND LEDGE 4958241A 825 8/19/2016 5437 1.00 GREEN CARE GRAND LEDGE 5437040A 750 8/18/2016 0042 KATZ ROOFING & SIDING INC GRAND LEDGE 0918547A 837 9/25/2016 8742 0.95 MULLINS WELDING REPAIR AND CONSULTING GRAND LEDGE 5163005A 800 7/10/2016 3365 LLC PAINTERS HELPING PEOPLE LLC GRAND LEDGE 5414814A 750 7/1/2016 5476 SUNDANCE RIDING STABLE INC GRAND LEDGE 1370278A 4,938 7/7/2016 8279 0.98 A AND T DECORATING PAINT CONTRACTORS LLC GRAND RAPIDS 1050800A 1,857 9/11/2016 5476 0.95 A LINE AUTO TRANSPORT LLC GRAND RAPIDS 4774183A 7,275 8/1/2016 7208 ALPHA LIFE LLC GRAND RAPIDS 5179416A 4,746 9/25/2016 8835 0.95 APPLEWOOD II ASSOCIATION GRAND RAPIDS 4645928A 800 7/14/2016 9015 ASSET RECOVERY MANAGEMENT INC GRAND RAPIDS 3545873A 7,489 9/12/2016 7720 0.85 BARRACKS 616 LLC GRAND RAPIDS 5174406A 4,253 8/7/2016 8010 BAYER KENNETH G III GRAND RAPIDS 5422116A 750 7/9/2016 5645 BERGSMA JASON GRAND RAPIDS 1628690A 750 8/8/2016 5437 BONANZA INC GRAND RAPIDS 5285143A 1,523 7/1/2016 8017 BRANDON BOUMA CONSTRUCTION GRAND RAPIDS 5322189A 750 9/30/2016 5645 BRENNAN RENOVATION LLC GRAND RAPIDS 5320712A 750 9/24/2016 5645 COMPLETE FURNITURE INSTALLATIONS LLC GRAND RAPIDS 5394996A 2,388 7/1/2016 5146 COZZA AND SONS PAINTING GRAND RAPIDS 3968944A 750 7/1/2016 5476 CR VENTURES LLC GRAND RAPIDS 5434556A 751 8/11/2016 9015 CREEKSIDE AFC LLC GRAND RAPIDS 5453844B 2,449 9/22/2016 9053 CUNNINGHAM LANDSCAPE LIGHTING LLC GRAND RAPIDS 4999223A 750 7/3/2016 0042 D A D D S MAGIC BUS INC GRAND RAPIDS 2931605A 4,414 7/24/2016 9015 1.31 13 % D D E T INC GRAND RAPIDS 5421837A 16,006 7/8/2016 7208 DAVREN INC GRAND RAPIDS 5297427A 731 8/11/2016 5192 DELTA TRANS LLC GRAND RAPIDS 5452880A 30,611 9/19/2016 7208 DZ PAINTING & DRYWALL LLC GRAND RAPIDS 3733718A 750 8/12/2016 5437 0.95 EARLY LEARNING NEIGHBORHOOD GRAND RAPIDS 5299039A 3,765 8/1/2016 8868 COLLABORATIVE

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ENDLESS COMPASSION LLC GRAND RAPIDS 5453844A 3,020 9/22/2016 9053 FISHLADDER INC GRAND RAPIDS 3538290A 508 8/24/2016 8742 FREY DAVID G GRAND RAPIDS 2030365A 403 7/4/2016 0908 FRIENDS OF GRAND RAPIDS PARKS GRAND RAPIDS 5298920A 3,173 8/1/2016 9015 GRAND CONNECTION LLC GRAND RAPIDS 4864450A 304 8/24/2016 8742 GRAND INSTALLATIONS LLC GRAND RAPIDS 0704164A 750 9/29/2016 5146 0.95 GRAND RAPIDS LODGE NO 48 OF THE GRAND RAPIDS 0382515A 687 9/3/2016 9058 0.95 BENEVOLENT AND PROTECTIVE ORDER OF ELKS HEART OF DANCE GRAND RAPIDS 3816389A 1,163 8/21/2016 8868 0.95 HENDRICKSON DRYWALLING LLC GRAND RAPIDS 2064286A 750 8/13/2016 5445 JAMES SPRICH ENTERPRISES LLC GRAND RAPIDS 5282705A 800 7/21/2016 5476 JCJ PAINTING LLC GRAND RAPIDS 5436583A 6,741 8/15/2016 5476 JIM DUTY ENGINEERING SERVICES GRAND RAPIDS 3037673A 254 9/19/2016 8742 KAS COMMUNICATIONS LLC GRAND RAPIDS 3885380A 3,956 8/28/2016 7600 0.95 KEIDA AARON GRAND RAPIDS 5436508A 750 8/15/2016 5645 LANNING HEATING AND COOLING LLC GRAND RAPIDS 5285682A 750 7/2/2016 5550 LITTLE ROOFER GRAND RAPIDS 3417840A 750 8/8/2016 5551 LOPEZ KEVIN B GRAND RAPIDS 5430364A 800 8/1/2016 5645 MARTINEZ CONSTRUCTION GRAND RAPIDS 5168953A 6,098 8/28/2016 5645 MICHELOTTI CONTRACTING LLC GRAND RAPIDS 5071127A 804 9/25/2016 8742 MILLBROOK COMPANIES LLC GRAND RAPIDS 1659219A 225 9/10/2016 8810 0.95 MIXEDMI LLC GRAND RAPIDS 4986687A 22,707 9/1/2016 6504 0.91 MOE REY LLC GRAND RAPIDS 4776364A 1,791 8/29/2016 8017 0.95 NEW CITY NEIGHBORS GRAND RAPIDS 4358309A 1,066 9/4/2016 8832 0.95 NEWCASTLE LLC ASCENSION HEALTH II AFC GRAND RAPIDS 5160120A 3,020 9/22/2016 9053 NICK NICOLA CONSTRUCTION SERVICES GRAND RAPIDS 3276481A 420 8/28/2016 5606 0.95 OAKES CHRIS GRAND RAPIDS 5435439A 379 8/20/2016 5191 POLISH NATIONAL AID SOCIETY GRAND RAPIDS 1358359A 441 8/2/2016 9061 RADIANT SPORTZ LLC GRAND RAPIDS 4801024A 1,492 7/21/2016 9063 0.95 REDS ON THE RIVER LLC GRAND RAPIDS 4264401A 469 7/2/2016 9058 0.95 REFLECTIVE CHOICE LLC GRAND RAPIDS 5422043A 750 7/9/2016 5348 RIPMASTER CONSTRUCTION INC GRAND RAPIDS 5456770A 3,707 9/30/2016 5221 RK CLEANING GRAND RAPIDS 4667859A 750 9/19/2016 9015 RODAS ELMER GRAND RAPIDS 5446341A 800 9/9/2016 5476 RODGERS FRANK JR GRAND RAPIDS 3466230A 622 7/11/2016 7423

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RULER CONSTRUCTION INC GRAND RAPIDS 2628309A 750 9/19/2016 5645 SCHWARZ EILEEN DUTY GRAND RAPIDS 3739490A 225 9/14/2016 8810 SEAN DAVID CRAFTSMAN INC GRAND RAPIDS 5297583A 750 7/29/2016 5645 SIJENITOS DRYWALL GRAND RAPIDS 5321670A 2,826 8/27/2016 5445 SIMPLE MECHANICAL SERVICES LLC GRAND RAPIDS 5300622A 750 8/6/2016 5183 STRONG FOUNDATIONS RESTORATION & GRAND RAPIDS 5291674A 750 7/17/2016 5221 CONCRETE THREE D GAME ON LLC GRAND RAPIDS 5446422A 800 9/8/2016 5645 TKL ENTERPRISES LLC GRAND RAPIDS 4886550A 1,462 7/19/2016 3724 0.95 TOWNSEND CORINNE GRAND RAPIDS 5173620A 706 8/6/2016 0913 TPL CUSTOM PAINTING GRAND RAPIDS 5444195A 750 9/3/2016 5476 TULETT PETER GRAND RAPIDS 5441650A 751 8/27/2016 5476 TYSONS CONSTRUCTION GRAND RAPIDS 3017729A 750 8/24/2016 5645 VERBURG BUILDING LLC GRAND RAPIDS 4127900A 750 7/1/2016 5403 WEATHER SHIELD ROOFING SYSTEMS INC GRAND RAPIDS 2942879A 750 7/12/2016 5552 1.05 WESTSHORE FIRE PROTECTION LLC GRAND RAPIDS 4496302A 1,696 7/10/2016 5183 0.95 WRIGHT TALLMADGE FIRE DEPARTMENT GRAND RAPIDS 0477095A 8,312 9/11/2016 7704 0.90 XTREME TUMBLING COMPANY LLC GRAND RAPIDS 5177090A 373 8/13/2016 9063 AARON GUNNINK CONSTRUCTION GRANDVILLE 4777042A 750 8/3/2016 5403 AMERICAN TRADING INTERNATONAL INC GRANDVILLE 4526864A 255 9/13/2016 8810 0.95 DOORNBOS CRAIG GRANDVILLE 0479748A 635 8/11/2016 9521 EDWARD MESSENGER BUILDER LLC GRANDVILLE 2949431A 750 8/19/2016 5437 JOTTO CONSTRUCTION INC GRANDVILLE 3826996A 5,357 8/28/2016 5022 0.89 MARKS PROFESSIONAL TREE SERVICE LLC GRANDVILLE 4684257A 1,286 7/15/2016 0106 AAA CONCRETE CONSTRUCTION GRANT 5445523A 3,154 9/5/2016 5022 ALL AMERICAN INTERIOR CONTRACT GRANT 5442621A 752 8/31/2016 8742 BIJL PAINTING & FINISHING LLC GRANT 5442575A 750 8/29/2016 5476 DAVISON AND SONS CONTRACTING LLC GRANT 5420423A 750 7/2/2016 5437 P R C G INC GRANT 5456754A 800 9/30/2016 5437 RODIES WALLS AND CEILINGS GRANT 5442486A 750 8/29/2016 5020 ACCOLADE PAINTING GRANT TWP 3451429A 1,028 9/4/2016 5476 0.95 C S ROOFING CO LLC GRASS LAKE 2858312A 4,123 7/25/2016 5645 0.95 COMPASSIONATE DAUGHTERS HOME CARE LLC GRASS LAKE 4903277A 3,623 9/17/2016 8835 0.95 M M MAINTENANCE LLC GRASS LAKE 5438705A 751 8/21/2016 3724 GREAT LAKES TREE REMOVAL INC GRAYLING 0912883A 752 9/9/2016 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SUPERIOR RESOURCE GROUP INC GREEN BAY, WI 0963135A 666 7/5/2016 8810 GREENVILLE HOMETOWN FITNESS LLC GREENVILLE 5318947A 751 9/20/2016 9015 HOMESTEAD SHOP INC GREENVILLE 2394359A 635 7/18/2016 9521 KAMPS SIDING AND EXTERIORS LLC GREENVILLE 5437385A 750 8/19/2016 5645 LYNDRUP CONSTRUCTION LLC GREENVILLE 1223100A 750 9/21/2016 5403 MID MICHIGAN FIRE & SAFETY SUPPLY INC GREENVILLE 2477076A 2,366 9/30/2016 5188 0.95 MONTCALM AREA READING COUNCIL GREENVILLE 3679640A 329 8/29/2016 8742 SNYDERS ROOFING LLC GREENVILLE 0653896A 36,131 8/26/2016 5551 1.44 13 % YOUNT TILE & STONE LLC GREENVILLE 5031419A 750 9/27/2016 5348 DAVES TREE SERVICE LLC GREGORY 4145011A 750 9/11/2016 0106 IMPACT OUTSOURCING SOLUTIONS INC GRIFFIN, GA 5253454A 349 7/3/2016 8810 AJ S LAWN CARE AND SNOW REMOVAL GROSSE ILE 5125502A 751 8/12/2016 9102 BRITTINGHAM MARY M GROSSE ILE 5296110A 756 7/26/2016 0913 EAST SHORE CONDOMINIUM APARTMENT GROSSE ILE 0907650A 800 9/23/2016 9015 FRISCH ROBERT J GROSSE ILE 5445493A 1,212 9/5/2016 0913 IN VENUE MOBILE LLC GROSSE ILE 5160090A 526 7/3/2016 8742 JDS TREE SERVICE GROSSE ILE 4049241A 750 8/12/2016 0106 0.95 JP TREE SERVICE LLC GROSSE ILE 5298644A 800 7/28/2016 0106 PARKER SETH GROSSE ILE 4885244A 706 7/14/2016 0913 TRIAD TRANSPORTATION INC GROSSE ILE 1840908A 750 9/24/2016 7208 SOLAS PLC GROSSE POINT 2071975A 286 7/20/2016 8832 BRICKHOUSE DEVELOPMENT GROUP LLC GROSSE POINTE 5432472A 3,703 8/20/2016 7208 BROWNING BUILDING LLC GROSSE POINTE 2285150A 750 9/26/2016 5645 0.95 D J QUALITY CLEANING INC GROSSE POINTE 2241714A 1,322 8/12/2016 9015 DALE N SCRACE ASSOCIATES INC GROSSE POINTE 4921208A 546 9/14/2016 8601 DBC COMPANIES LLC GROSSE POINTE 4393317A 2,509 7/9/2016 9015 0.95 FAST WUNDERBUN LLC GROSSE POINTE 5454590A 747 9/24/2016 9058 GROSSE POINTE COMPANION CARE LLC GROSSE POINTE 5448867A 3,390 9/19/2016 8835 HOPE INC GROSSE POINTE 0306665A 2,641 9/10/2016 9015 0.92 JAMES LEAMON LANDSCAPING DESIGN GROSSE POINTE 2764687A 750 7/23/2016 0042 JEWEL CONSTRUCTION & REMODELING GROSSE POINTE 4724593A 750 7/23/2016 5645 1.16 10 % SERVICES INC JORDAN THOMAS G GROSSE POINTE 1176536A 656 7/15/2016 0908 NOAH GROUP LLC GROSSE POINTE 5442591A 1,537 8/31/2016 7720 POTTER AND ASSOCIATES INC GROSSE POINTE 3056481A 226 8/14/2016 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RIVARD PARK ASSOCIATION INC GROSSE POINTE 5290651A 298 8/1/2016 8810 RUSSELL LANDSCAPING INC GROSSE POINTE 2405237B 1,975 9/11/2016 0042 0.89 SUTTON JILL E GROSSE POINTE 5455545A 756 9/29/2016 0913 MILNER LUCILLE C GROSSE POINTE DR 5430224A 681 8/1/2016 0908 GRAVES RICHARD J GROSSE POINTE FARMS 1014773A 470 9/15/2016 9058 ROSE ELIZABETH GROSSE POINTE FARMS 5074070A 656 9/5/2016 0908 AAA MCDONALD TREE SERVICE INC GROSSE POINTE PARK 3737918A 800 8/15/2016 0106 JOHN KING FILMS LLC GROSSE POINTE PARK 4488466A 1,170 9/16/2016 4361 0.95 WILSON MCLEAN MARY GROSSE POINTE SHORES 5315891A 2,261 9/20/2016 0912 A PLUS TUMBLING LLC GROSSE POINTE WOODS 5436613A 669 8/15/2016 9063 MIKE THOMPSON CONSTRUCTION GROSSE POINTE WOODS 1378953A 750 9/24/2016 5022 0.95 WING GROUP LLC GROSSE POINTE WOODS 5020190A 1,455 9/21/2016 9058 0.95 BABCOCK HARPER WOODS COOPERATIVE INC GROSSE PTE 0667145A 750 9/22/2016 9015 BRAND PATRICIA J GROSSE PTE PARK 4488245A 453 7/4/2016 0908 NORD TRUCKING LLC GULLIVER 5420440A 750 7/6/2016 7208 TUTTLES FOREST PRODUCTS GULLIVER 0369217A 2,451 9/12/2016 0129 0.95 TURNKEY INTELLIGENCE LLC HADDONFIELD, NJ 5432979A 695 8/7/2016 8810 DENNIS IRONS CARPENTRY LLC HADLEY 3297047A 750 9/4/2016 5645 ASSET MANAGEMENT SERVICES LLC HAMILTON 4665279A 887 9/15/2016 9015 0.95 CALIBER CONSTRUCTION INC HAMILTON 2839105A 753 9/15/2016 5403 0.95 FIRST CHOICE TRANSPORT LLC HAMILTON 5266130A 6,820 9/29/2016 7208 IMAGE CONCEPTS LLC HAMILTON 3542688A 750 9/3/2016 5645 0.95 ISRAELS PLASTERING HAMILTON 2553996A 750 7/21/2016 5480 JR ELECTRIC LLC HAMILTON 5420326A 2,195 7/2/2016 5190 LAAKSONEN BUILDERS INC HAMILTON 4492200A 750 7/15/2016 5213 NIELSEN CONSTRUCTION LLC HAMILTON 5290686A 750 7/15/2016 5645 SECURE ROOFING & CONSTRUCTION INC HAMILTON 3292711A 6,262 7/28/2016 5551 0.91 STRATELINE CONTRACTING HAMILTON 4195639A 750 9/19/2016 5476 BAZ PROPERTIES LLC HAMTRAMCK 5429994A 752 7/31/2016 9015 FAMILY CARE CENTER OF HAMTRAMCK PC HAMTRAMCK 4308875A 851 8/19/2016 8832 0.95 KANYAK OLEKSANDR HAMTRAMCK 5191980A 750 9/24/2016 5551 KINTSUGI LLC HAMTRAMCK 5446937A 4,610 9/22/2016 5476 MICHIGAN MODERN CLEANING HAMTRAMCK 5302161A 801 8/12/2016 9015 VENUS BRONZE WORKS INC HAMTRAMCK 0220434A 800 8/25/2016 1624 0.95 K AND G LOGGING HANCOCK 5315875A 1,163 9/16/2016 2702 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 55 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HURON LAUNDRY & CLEANERS HARBOR BEACH 0495204A 2,655 7/1/2016 2585 1.00 P AND C WOLSCHLEGER TRUCKING CO HARBOR BEACH 0820199A 7,275 8/6/2016 7208 BUCHANAN AND COMPANY LLC HARBOR SPRINGS 3385132A 751 9/6/2016 5437 DANS GREEN SIDE UP LLC HARBOR SPRINGS 5427673A 1,933 7/25/2016 9102 HARBOR STRAITS INC HARBOR SPRINGS 3390560A 750 9/12/2016 7380 0.96 RAHALEY ROBERT M HARBOR SPRINGS 2900203A 902 8/13/2016 8017 0.95 READMOND FRIENDSHIP FIRE FIGHTERS HARBOR SPRINGS 1382802A 3,987 8/30/2016 7704 1.00 ASSOCIATION INC CARY LOGGING HARDWOOD 3571220A 750 8/12/2016 2702 CHERRY HOMES INC HARPER WOODS 4659996A 800 8/28/2016 5551 JRB CONSTRUCTION HARPER WOODS 4649141A 750 7/23/2016 5645 N AND J PROFESSIONAL PAINTING LLC HARPER WOODS 5100445A 750 9/1/2016 5476 0.95 BRITTON ROOFING SUPPLY CO HARRISON 0432075A 10,742 9/24/2016 5551 1.35 13 % HEATH MARTY HARRISON 5422345A 750 7/10/2016 2702 J PLUS J AND R ENTERPRISES HARRISON 4542401A 750 9/20/2016 2702 KTW ENTERPRISES LLC HARRISON 5290902A 1,909 7/16/2016 8232 S AND R CONNECTIONS LLC HARRISON 4253388A 800 8/8/2016 7600 UNIQUE MAINTENANCE CORPORATION HARRISON 2028166A 750 7/19/2016 9015 MARINE PURCHASING GROUP INC HARRISON TOWNSHIP 4879791A 749 8/25/2016 6836 ATLAKE MARINE INC HARRISON TWP 3193462A 750 7/9/2016 6217 BRIDGEVIEW HOME HEALTH CARE LLC HARRISON TWP 5431344A 962 8/4/2016 8835 ENVIRONMENTAL LIGHTING MAINTENANCE LTD HARRISON TWP 2028956A 750 7/31/2016 5403 HURON POINTE EXCAVATING LLC HARRISON TWP 5393329A 825 7/15/2016 6217 ISLAND COVE MARINA ASSOCIATION HARRISON TWP 2017296A 1,165 8/27/2016 9015 0.95 MACRAY HARBOR LAKEVIEW CONDOMINIUM HARRISON TWP 2699249A 800 8/25/2016 9015 ASSOCIATION ON TIME HOME IMPROVEMENTS LLC HARRISON TWP 4612019A 750 8/13/2016 5645 PRIORITY EXPRESS INC HARRISON TWP 4775686A 800 7/28/2016 7208 RELIABLE GLASS BLOCK HARRISON TWP 3119068A 750 7/14/2016 5022 SUPERIOR MARINE INC HARRISON TWP 1653016A 2,380 8/14/2016 6834 0.95 ARK PLUMBING HARRISVILLE 3024547A 959 7/19/2016 5183 0.95 HIGH STANDARD CONSTRUCTION LLC HARSENS ISLAND 2817420A 6,634 9/23/2016 5606 SANS SOUCI MARKET LLC HARSENS ISLAND 1174541A 1,652 9/17/2016 8033 1.00 BEDROOM CENTER INC HART 1603493A 13,072 8/24/2016 8044 1.41 27 % HART AREA FIRE ADMINISTRATIVE BOARD HART 0540323A 2,816 7/11/2016 7704 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KOKX FARMS INC HART 0233277A 1,937 7/11/2016 0011 0.95 ROUTLEY VICTOR HART 0331490A 750 9/29/2016 2702 CORE FARMS LLC HARTFORD 4293061A 67,725 9/29/2016 2105 1.46 13 % KLETT CONTRACTING COMPANY HARTFORD 4887840A 2,562 9/22/2016 7208 BIG SKY DEVELOPMENT INC HARTLAND 3404706A 751 7/6/2016 5645 0.95 CARDS 4HEROES COM LLC HARTLAND 4639294A 379 7/28/2016 8015 CHUCK IT JUNK REMOVAL LLC HARTLAND 4784464A 4,240 8/20/2016 7218 0.95 CONNECTED CARE SERVICES LLC HARTLAND 5007020A 2,978 7/28/2016 8835 0.95 CREATIVE DESIGN FLOORING HARTLAND 3479323A 750 8/4/2016 5437 DAISY SQAURE TOWNHOMES CONDOMINIUM HARTLAND 2971186A 800 8/17/2016 9015 ASSOCIATION WRIGHT DESIGN & REMODELING LLC HARTLAND 4904222A 750 8/27/2016 5645 CHOOSE HOME CARE INC HARTSDALE, NY 5166322A 1,157 7/16/2016 8835 EMBASSY TRANSPORTATION LLC HASLETT 5149452A 5,029 9/9/2016 7212 0.95 HIS HAND HOME HEALTH CARE INC HASLETT 5307503A 1,048 8/23/2016 8835 VILLAS AT STRATFORD PLACE ASSOCIATION HASLETT 5312086A 750 9/17/2016 9015 ALLEN RODNEY HASTINGS 1808761A 750 9/5/2016 5645 CABRAL CONSTRUCTION HASTINGS 4670337A 800 9/23/2016 5022 CORNWELL ERIC HASTINGS 3213455A 710 8/19/2016 9521 HAMILTON LAWN PREP LLC HASTINGS 5429889A 1,386 7/31/2016 9102 HAWTHORNE MASONRY AND DESIGN LLC HASTINGS 5421748A 800 7/17/2016 5215 ROUSH GORDON K HASTINGS 5008794A 750 8/2/2016 9220 ROUSH SUE L HASTINGS 5008883A 750 8/2/2016 9220 THORNAPPLE FLYING SERVICES LLC HASTINGS 5309620A 564 9/1/2016 7422 DOCK AND DOOR HOLDINGS LLC HAZEL PARK 4452011A 850 8/24/2016 5403 0.95 ELECTRONIC MONITORING SYSTEMS INC HAZEL PARK 5455502A 579 9/26/2016 7720 FINAL COAT HAZEL PARK 4824563A 750 8/19/2016 5476 JOEYS JEWELRY & LOAN LLC HAZEL PARK 4537602A 319 9/27/2016 8013 MCPHERSON LEGAL PROCESS SERVICES HAZEL PARK 5026482A 3,120 9/26/2016 7720 0.95 REDWING HOME IMPROVEMENTS INC HAZEL PARK 0463566A 750 9/4/2016 5645 0.95 STONEGATE EQUESTRIAN CENTER LLC HAZELHURST, WI 5440564A 751 8/31/2016 8279 AAA SEWER SERVICES INC HEMLOCK 3293220A 759 7/30/2016 5183 0.95 LAKENET CONSTRUCTION LLC HEMLOCK 5315174A 996 9/13/2016 6325 TALON TREE SERVICE LLC HEMLOCK 5306841A 2,216 8/23/2016 0106 PATROIT WELD INSPECTION LLC HERSEY 5446430A 396 9/16/2016 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RIDGEWOOD STOVES LLC HERSEY 3797708A 1,939 8/9/2016 3169 0.95 IMAGIGRAPHICS EQUIPMENT COMPANY LLC HICKORY CORNERS 4515986A 700 8/19/2016 8107 B AND B WILDLIFE REMOVAL INC HIGHLAND 4647777A 1,624 7/22/2016 8831 0.95 CLEAR IMAGE CONSTRUCTION INC HIGHLAND 4748476A 226 9/25/2016 8810 0.95 DRY BASEMENTS LLC HIGHLAND 3091490A 1,250 7/25/2016 5183 FYI CSI LLC HIGHLAND 5317797A 3,662 9/26/2016 8868 HARRISON HEATING & COOLING INC HIGHLAND 2559099A 750 7/2/2016 5183 HEYN CONSTRUCTION HIGHLAND 5301602A 750 8/9/2016 0042 LAIN JAMES MODERNIZATION INC HIGHLAND 5309905A 800 8/29/2016 5645 MAXONS TREE SERVICE HIGHLAND 1045628A 3,821 9/30/2016 0042 0.91 Q H R LLC HIGHLAND 0810258A 2,333 7/20/2016 5606 0.95 RENOVATIONS ROOFING & REMODELING INC HIGHLAND 2559510A 750 8/2/2016 5551 SACKNER FARM LLC HIGHLAND 2783037A 750 7/3/2016 0128 SUMMER SONG OF KALAMAZOO INC HIGHLAND, IN 1182625A 2,605 7/1/2016 8017 0.95 TOMS CHAMPION POOL SERVICE LLC HIGHLAND 5012953A 750 8/10/2016 9015 URBAN GREEN SERVICES LLC HIGHLAND 5421357A 800 7/16/2016 9102 VON SIMPSON COMMUNICATION HIGHLAND 3848531A 750 8/27/2016 7600 BOSCO TOWING LLC HIGHLAND PARK 5112907A 1,863 8/8/2016 7208 0.95 ABERDEEN VAN LINES INC HIGHLAND TWP 1805363A 1,247 7/28/2016 8293 A USED TIRE SPECIALIST INC HILLSDALE 5431204A 2,800 8/4/2016 8387 CRISIS PREGNANCY CENTER OF HILLSDALE HILLSDALE 5442842A 300 9/1/2016 8742 COUNTY INC LABANIS WASH ON WHEELS HILLSDALE 5282420A 4,560 7/2/2016 5476 0.95 TRANSTEWART TRUCKING INC HILLSDALE 3965066A 950 8/25/2016 8810 0.95 A J M SERVICES LLC HOLLAND 5422027A 750 7/10/2016 5645 ACE ROOFING LLC HOLLAND 5420032A 750 7/1/2016 5551 BAUER AND GOODING SHOW HORSES LLC HOLLAND 3552080A 2,077 9/25/2016 8279 0.95 BIG RED STOP HOLLAND 5432006A 419 8/5/2016 9058 CENTURY DRIVING GROUP LLC HOLLAND 2956454A 11,507 8/9/2016 8868 0.96 COEMPLOYER GROUP LLC HOLLAND 5284031A 75,874 7/3/2016 5606 1.55 13 % DE JONGE KITCHENS LLC HOLLAND 3916596A 750 7/26/2016 5437 ELECTRICAL INSPECTION SERVICE LLC HOLLAND 3223620A 441 7/26/2016 8720 0.95 HARDENBERG MARTHA HOLLAND 5424585A 751 7/16/2016 5437 HOWARDS LAWN SERVICE LLC HOLLAND 3341062A 4,030 9/21/2016 9102 0.95 MC LEOD CARPENTRY HOLLAND 5226325A 516 7/28/2016 6834

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MILLER ROBERT HOLLAND 5077966A 750 8/11/2016 5476 NORTH SHORE ASPHALT MAINTENANCE LLC HOLLAND 4751078A 800 8/11/2016 5221 PILCHER KIRSTEN HOLLAND 4765095A 706 7/2/2016 0913 0.95 PIPE MONSTER PLUMBING LLC HOLLAND 4943830A 750 9/2/2016 5183 PREMIER HOME BUILDERS LLC HOLLAND 5450888A 998 9/16/2016 5645 RE CONSTRUCT LLC HOLLAND 5170214A 750 8/1/2016 5645 SPECTRUM FABRICATION INC HOLLAND 5040531A 6,709 9/1/2016 3146 0.88 STEVE AND TOMS TREE WORKS HOLLAND 2777886A 750 9/25/2016 0106 0.95 VANHUIS CRISTI HOLLAND 4511956A 750 8/19/2016 9015 WABEKE GARRY HOLLAND 4643445A 750 7/3/2016 5645 BAVARIAN WOODS HOMEOWNERS ASSOCIATION HOLLY 5417899A 750 7/28/2016 9015 INC BEASLEY FOREIGN PARTS INC HOLLY 0092916A 3,420 8/6/2016 3821 BOARDSPORT LLC HOLLY 4343212A 801 8/1/2016 9015 BRENDEL BUILDING SERVICES LLC HOLLY 4899202A 750 8/18/2016 5645 BRUCE LOWE EXCAVATING INC HOLLY 3019713A 1,521 7/18/2016 6217 0.95 DIRIENZO DANIEL JR HOLLY 5433991A 750 8/11/2016 5403 GRANDVIEW PAINTING HOLLY 5059771A 750 9/7/2016 5476 HARDENS ULTIMATE HARDWOOD FLOORING LLC HOLLY 5297400A 750 9/25/2016 5437 INSTANT ROOFING LLC HOLLY 4797256A 800 9/26/2016 5551 MJB ELECTRIC LLC HOLLY 3731294A 1,397 9/15/2016 5190 NEUWIRTH CONSTRUCTION HOLLY 3184293A 750 7/27/2016 5403 PRO ROOFING INC HOLLY 3934381A 750 8/13/2016 5551 0.87 QUANTUM INDUSTRIAL SUPPLY INC HOLLY 5171750A 3,987 8/1/2016 8018 0.95 R G GRACE INC HOLLY 2724456A 750 9/16/2016 0042 RJH TILE & MARBLE HOLLY 5446236A 750 9/9/2016 5348 SIGNATURE SIDING AND TRIM LLC HOLLY 2910462A 750 7/14/2016 5437 T T H P CONSTRUCTION LLC HOLLY 4341589A 750 8/14/2016 5645 TRY ALL HANDYMAN SERVICE LLC HOLLY 3325270A 750 9/7/2016 5183 CRAIG DEWITT INSTALLATIONS LLC HOLT 1234315A 636 8/13/2016 8810 EARTH ENVIRONMENTAL ENGINEERING LLC HOLT 3922324A 507 8/14/2016 8601 FRISCOS MECHANICAL & FABRICATING INC HOLT 5422051A 750 7/9/2016 9519 HOLT PHARMACY LLC HOLT 5309883A 345 8/25/2016 8045 JBS CROSS COMMUNICATIONS LLC HOMER 4880099A 776 8/14/2016 5191 BRADLEY SAND AND GRAVEL INC HONOR 5435757A 800 8/14/2016 0042

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EVANS CHAD HONOR 5430283A 750 8/3/2016 5645 HOFFMAN KURT HOPKINS 5428181A 1,162 7/28/2016 0011 PETRA BUILDING INCORPORATED HOPKINS 2719401A 750 7/25/2016 5645 RICHMOND INVESTMENT CO II LLC HORTON 3544397A 801 9/6/2016 9015 HUPP TRUCKING LLC HOUGHTON 5454522A 750 9/24/2016 7208 NEIL WHITMAN REPAIR MAINTENANCE AND HOUGHTON 5441749A 1,794 8/27/2016 5645 FINISH LLC EXPERIENCE ROOFING HOUGHTON LAKE 4522060A 750 9/5/2016 5551 H AND H FIREWORKS LLC HOUGHTON LAKE 4972740A 1,291 7/3/2016 8017 0.95 AMBLE ENTERTAINMENT LLC HOWARD CITY 2944332A 420 9/20/2016 9058 DEWEY DANIEL HOWARD CITY 3758516A 750 9/29/2016 2702 HARING BUILDERS INC HOWARD CITY 5019974A 750 9/23/2016 5645 J I S TIRE INCORPORATED HOWARD CITY 1887904A 12,435 8/2/2016 8387 1.28 RYANS EXTERIORS LLC HOWARD CITY 5451515A 750 9/29/2016 5645 A J MILLER MECHANICAL INC HOWELL 5182913A 800 8/31/2016 5550 ABFALTER HOME IMPROVEMENT HOWELL 3584879A 750 7/22/2016 5645 ACCESS EQUIPMENT INC HOWELL 2357470A 751 7/31/2016 8387 ADVANCED ENGINEERING SOLUTIONS LLC HOWELL 5309719A 359 8/28/2016 8601 AVEN INTERIORS HOWELL 4398610A 750 7/15/2016 5437 BLUE WATER SOLUTIONS CLEANING LLC HOWELL 4365291A 800 9/25/2016 9015 BUCKINGHAM HOMES INC HOWELL 1833693A 8,927 7/10/2016 5645 1.67 27 % CELEDA LADISLAV HOWELL 5020921A 750 9/5/2016 5645 D AND M TREE SERVICE LLC HOWELL 4640616A 1,651 8/3/2016 0106 0.94 DAUS ANDREW HOWELL 3093590A 750 9/10/2016 5476 EASTBROOK CONSTRUCTION LLC HOWELL 1080881A 1,378 8/15/2016 5551 FIRST CLASS PROPERTY MAINTENANCE INC HOWELL 4338715A 1,437 9/7/2016 0042 0.95 HORIZON BROS PAINTING CORP HOWELL 2980100A 25,403 9/17/2016 5476 0.90 HOSPITAL STORAGE SOLUTIONS LLC HOWELL 4798031A 329 7/19/2016 8742 0.95 HOWELL AREA PARKS AND RECREATION HOWELL 4526562A 13,489 7/1/2016 9015 1.54 10 % AUTHORITY KOPPERT BIOLOGICAL SYSTEMS INC HOWELL 0405728A 826 7/30/2016 9015 0.95 MICHIGAN PIANO MOVING LLC HOWELL 4905792A 750 9/10/2016 8293 MICHIGAN PROPERTY PRESERVATION SERVICES HOWELL 4740254A 1,247 9/29/2016 9015 LLC MONTAGE II INC HOWELL 4769996A 750 8/11/2016 5645 NEWCASTLE CONSTRUCTION INC HOWELL 2499703A 750 7/7/2016 5645 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 60 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NORTH POINT LOGISTICS INC HOWELL 2726394A 1,345 8/6/2016 8810 0.95 NUMBER ONE CONSTRUCTION CO HOWELL 0524026A 750 9/3/2016 5645 OAKHURST OWNERS ASSOCIATION HOWELL 3104923A 837 8/24/2016 8810 PROFESSIONAL SIDING INSTALLERS HOWELL 3140784A 750 9/9/2016 5645 READY TO ROLL PAINTING LLC HOWELL 2442906A 750 8/4/2016 5476 0.95 RICHARD SISSON TRUCKING INC HOWELL 2574756A 6,485 7/11/2016 7208 0.89 RIDSDALE CUSTOM HOMES INC HOWELL 1784188A 750 9/18/2016 5645 SEMKE MARY ANN E HOWELL 4650522A 293 7/30/2016 9586 T H STEEL INC HOWELL 2682427A 3,650 9/7/2016 3365 0.95 WEATHERVANE ROOFING HOWELL 5305853A 750 8/20/2016 5551 CEDAR GROVE INC HUBBARD LAKE 0791636A 1,008 9/26/2016 9058 SHINABERY EQUIPMENT CO HUDSON 0131920A 1,679 9/1/2016 8107 1.54 13 % THREE D COMMUNICATIONS HUDSON 5434882A 804 8/12/2016 7600 ALLIED FOREST PRODUCTS INC HUDSONVILLE 4062744A 7,793 7/16/2016 2731 0.94 ARTWORK LANDSCAPE CONTRACTORS LTD HUDSONVILLE 2574616A 750 7/8/2016 5437 BRAD KUIPER BUILDER LLC HUDSONVILLE 4898664A 750 8/16/2016 5437 BROUWER SEAMLESS GUTTERS LLC HUDSONVILLE 5303540A 750 8/14/2016 5645 CLASSIC HOME CONSTRUCTION LLC HUDSONVILLE 5022738A 750 9/22/2016 5437 CONSTRUCTION BY KOETJE LLC HUDSONVILLE 5297338A 334 7/29/2016 8601 DANIEL L HELMS BUILDER HUDSONVILLE 2699150A 750 8/4/2016 5645 ELMWOOD LAKE CONDOMINIUM ASSOCIATION HUDSONVILLE 5431409A 750 8/4/2016 9015 GRUPPEN AND HAVEMAN DRYWALL INC HUDSONVILLE 1969668A 750 9/22/2016 5445 HAMILTON MANUFACTURING INC HUDSONVILLE 4785584A 314 8/21/2016 8810 KEN WESTHUIS DRYWALL INC HUDSONVILLE 0995142A 750 7/12/2016 5445 KOSTER TIMOTHY HUDSONVILLE 3961052A 750 8/17/2016 5437 LADEWIG TREVOR HUDSONVILLE 5431379A 750 8/4/2016 5445 MARC ELLIOTT PAINTING LLC HUDSONVILLE 3948412A 750 7/13/2016 5476 MASSERANG DONALD HUDSONVILLE 5432448A 825 8/6/2016 5550 MIEDEMA ANTHONY JOHN HUDSONVILLE 5314720A 750 9/11/2016 5645 ROBB TALSMA BUILDER LLC HUDSONVILLE 4653653A 750 8/7/2016 5403 TIMES PAST DINER LLC HUDSONVILLE 3973743A 869 9/1/2016 9058 0.95 TROOST MICHAEL HUDSONVILLE 5444373A 750 9/3/2016 5645 WOHLFORD JOSH HUDSONVILLE 5289220A 750 7/11/2016 5645 ZOODSMA BUILDERS LLC HUDSONVILLE 3287335A 750 8/17/2016 5645 BERNSTEIN BRADLEY & COHEN AVIVA HUNTINGTON WOODS 5421780A 706 7/8/2016 0913 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 61 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OTT TIMOTHY IDA 2651890A 750 9/27/2016 5022 PHOENIX MASONRY & CONSTRUCTION LLC IDA 4808312A 750 9/27/2016 5022 1.00 WILLIAMS ROOFING IDA 3317714A 3,465 8/30/2016 5551 0.92 J T EXPRESS LTD IMLAY CITY 2067358A 3,113 9/7/2016 8395 0.95 MARTINEZ PRO LANDSCAPE LLC IMLAY CITY 5300886A 1,109 8/8/2016 0042 OSTROWSKI ALICIA IMLAY CITY 4891503A 750 8/2/2016 9015 PNM TRUCKING INC IMLAY CITY 5159555A 8,833 8/1/2016 2802 0.95 STC RIGGING CO IMLAY CITY 2211270A 2,470 9/26/2016 3724 0.94 ATHEY RONALD INDIAN RIVER 5420806A 750 7/3/2016 2702 S AND L MARINE CONSTRUCTION INDIAN RIVER 5291500A 750 7/18/2016 5645 CROUCHING TIGERS INC INDIANAPOLIS, IN 5420903A 617 7/3/2016 9063 B AND M CLEANING SERVICE LLC INKSTER 5442940A 751 9/1/2016 9015 PONCE DE LEON BROS INKSTER 5429919A 800 7/31/2016 5476 UVS ELECTRONICS INKSTER 2460475A 748 9/18/2016 5190 WHITE REGINA INKSTER 4569024A 1,000 9/17/2016 9015 DIRT WORX LLC INTERLOCHEN 5173094A 1,324 7/1/2016 9102 INLAND TOWNSHIP INTERLOCHEN 1117114A 2,110 7/24/2016 7704 0.95 LUTHER MICHAEL J INTERLOCHEN 5192447A 750 9/26/2016 2702 LILLYS TREE SERVICE LLC IONIA 4240162A 2,564 8/9/2016 0106 1.00 C KING CARPENTRY & STONE IRA 3417964A 750 9/28/2016 5022 ROPING J RANCH IRA 0278211A 2,683 8/2/2016 8279 0.93 FDS ELECTRIC LLC IRON MOUNTAIN 5432880A 799 8/7/2016 5190 GOULETTE AND CAROLLO INC IRON MOUNTAIN 0580104A 1,272 7/25/2016 8017 0.95 HEARTS AND HANDS INC IRON MOUNTAIN 0136026A 853 9/16/2016 8835 KINGDOM KIDS CHRISTIAN CHILDCARE CENTER IRON MOUNTAIN 5441633A 1,018 9/1/2016 8869 LLC MAPLE LEAF KENNELS INC IRON MOUNTAIN 2898861A 684 8/29/2016 8831 OEM EQUIPMENT PARTS INTERCHANGE SERVICE IRON MOUNTAIN 3935507A 254 7/21/2016 8810 INC SUPERIOR ASSET MANAGEMENT LLC IRON MOUNTAIN 5290562A 750 9/12/2016 9015 ALL SEASONS TRUCKING IRON RIVER 5024056A 750 9/13/2016 7208 AUTIO CONTRACTING LLC IRON RIVER 5425468A 750 7/18/2016 2702 BATES TOWNSHIP OF IRON COUNTY IRON RIVER 0336467A 4,091 7/21/2016 9410 0.95 BEN TART & SONS LOGGING IRON RIVER 3641600A 750 8/31/2016 2709 E D R FORESTRY LLC IRON RIVER 5439663A 750 8/25/2016 2709

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GARY SMITH TRUCKING IRON RIVER 5438730A 750 8/21/2016 7208 PONOZZO LOGGING IRON RIVER 1431587A 800 9/1/2016 2702 SV LOGGING LLC IRON RIVER 4386558A 750 9/9/2016 2709 LILLIE NATHAN IRONS 5437059A 750 8/18/2016 2709 SAUBLE ELK & EDEN TWPS FIRE DEPT IRONS 1395467A 2,117 9/1/2016 7704 0.95 GREATER NORTHWOODS TILE IRONWOOD 5419557A 1,023 7/1/2016 5348 MAIN STREET FITNESS INC IRONWOOD 1289403A 373 7/21/2016 9063 NORTHERN MASTER BUILDERS INC IRONWOOD 5422663A 3,232 7/21/2016 5437 WHITECAP KAYAK LLC IRONWOOD 4490568A 1,723 7/11/2016 8017 0.95 DONALD A MEYER TRUCKING ISHPEMING 2307863A 800 9/26/2016 7208 APPLE BARREL CIDER MILL LLC ITHACA 4898753A 862 8/17/2016 8017 KIMMEL PROPANE INC ITHACA 3019896A 18,928 7/22/2016 8350 1.57 13 % MORRISON SHELLY ITHACA 5299470A 750 8/5/2016 9015 SEILER EXCAVATING LLC ITHACA 5442451A 2,144 9/1/2016 6217 SHERMAN BUILDERS ITHACA 3833321A 4,179 7/4/2016 5437 1.00 A M CUSTOM PAINTING LLC JACKSON 5162106A 750 7/10/2016 5476 ASBESTOS AND LEAD ABATEMENT OF MICHIGAN JACKSON 2311658A 11,135 8/29/2016 5183 0.86 INC BECK SIGN JACKSON 0312843A 800 7/15/2016 9558 BECKWITH TREE SERVICE JACKSON 5437431A 750 8/19/2016 0106 BOBBY MOBILE SERVICES LLC JACKSON 5446414A 3,498 9/9/2016 8395 BOYDS PROPERTY MANAGEMENT INC JACKSON 5449847A 750 9/22/2016 9102 BRITTAIN TRUCKING CO JACKSON 3477428A 753 7/12/2016 8810 CE BRITTAIN BRICK AND SUPPLY CO JACKSON 0035564A 750 9/10/2016 7380 0.95 COUNSELING SERVICES LLC JACKSON 1298534A 283 7/10/2016 8810 DAUGHERTY TREE SERVICE LLC JACKSON 3801926A 12,355 7/14/2016 0042 0.83 GREAT LAKES BURN CAMP JACKSON 4658507A 836 8/10/2016 9015 0.95 H AND S WHITE INC JACKSON 1335723A 4,109 8/17/2016 9058 0.95 MURACK CORPORATION JACKSON 3598420A 3,965 9/15/2016 8833 0.95 RAPID TRANSPORT INC JACKSON 0069850A 820 8/4/2016 8810 RENDEL KELLY J JACKSON 2887193A 750 8/8/2016 7202 0.95 SCOTTLAND YARD LAWN CARE INC JACKSON 0677060A 2,861 9/4/2016 9102 0.90 SKYWAY AVIATION INC JACKSON 0143782A 3,032 9/30/2016 7423 0.95 WHITE WILLIAM L III JACKSON 4272129B 1,112 7/24/2016 5645 0.79 LIGHTMASTERS AND ELECTRICAL SERVICES LLC JEDDO 5016177A 773 8/28/2016 5190

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AARON JARRETT LLC JENISON 5434572A 750 8/12/2016 5551 ACCURATE MODEL LLC JENISON 4977661A 1,199 9/10/2016 2812 GEMMENS CAULKING LLC JENISON 4505158A 3,141 9/25/2016 5476 0.95 GREAT LAKES PETROLEUM PRODUCERS INC JENISON 5001897A 4,345 7/12/2016 1320 0.95 J AND B CLEANING SERVICE INC JENISON 1796879A 3,252 7/20/2016 9015 1.05 PRINS CARPENTRY LLC JENISON 5297320A 750 7/29/2016 5645 RENEW HOME IMPROVEMENT LLC JENISON 3512851A 750 7/29/2016 5645 RICK ELZINGA BUILDER JENISON 3547850A 750 9/15/2016 5645 RIVER CITY STEAMBOAT COMPANY LLC JENISON 5321638A 226 9/26/2016 8810 SCHIPPER DIRK JENISON 4756495A 750 7/1/2016 5476 WILDERNESS PAINTING & DESIGN LLC JENISON 1757105A 750 9/23/2016 5476 WSB HEATING & COOLING LLC JENISON 2177293A 225 9/13/2016 8810 GREEN ENERGY LP LLC JEROME 5314771A 3,561 9/15/2016 7380 WOSTMANN AND ASSOCIATES INC JUNEAU, AK 5292166A 522 7/19/2016 8810 ABOUT YOU BUILDERS INC KALAMAZOO 3883213A 750 7/25/2016 5645 0.95 ALCHEMIST SCULPTURE FOUNDRY INC KALAMAZOO 0027120A 1,054 8/15/2016 3341 1.00 ANDERSON NATHANIEL KALAMAZOO 5432499A 750 8/6/2016 5645 BRIAN KEENAN ESC LLC KALAMAZOO 5432391A 683 8/6/2016 8601 CARPETECH INC KALAMAZOO 2968673A 750 9/9/2016 9015 CARRIES FITNESS STUDIO LLC KALAMAZOO 4781716A 574 8/12/2016 9063 DESIGN PROBUILD KALAMAZOO 5420407A 1,014 7/2/2016 5437 DMS MOTOR SERVICES LLC KALAMAZOO 0314358A 609 7/30/2016 3643 0.81 DONOVAN MAXWELL KALAMAZOO 5447925A 750 9/11/2016 5645 DOUGLASS COMMUNITY ASSOCIATION KALAMAZOO 0574422A 15,448 9/6/2016 8835 1.40 13 % ELEVENTH ST LEASING LLC KALAMAZOO 5318963A 1,046 9/20/2016 8810 FAFF PLACE LLC KALAMAZOO 5315735A 1,077 9/13/2016 8833 FREDERICK LIBIN KALAMAZOO 5319048A 3,339 9/23/2016 0913 GK CONVENIENCE STORE INC KALAMAZOO 4520530A 791 9/23/2016 8017 HOYLE AND MEYER ASPHALT REPAIR INC KALAMAZOO 2323982A 10,709 7/7/2016 5221 1.57 13 % HUNEKE ROBERT KALAMAZOO 3178382A 750 8/13/2016 5551 IMPACT MI KALAMAZOO 5368081A 276 8/18/2016 8810 INTERNATIONAL CHILD CARE USA INC KALAMAZOO 4553985A 1,334 7/1/2016 8742 0.95 KALAMAZOO ATHLETIC WELLNESS LLC KALAMAZOO 5191467A 449 9/21/2016 9063 KALAMAZOO CIVIC THEATRE KALAMAZOO 0243639A 15,251 9/1/2016 9154 1.03 KALAMAZOO COUNTY HUMANE SOCIETY KALAMAZOO 1195301A 5,713 9/8/2016 8831 0.99 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 64 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KALAMAZOO OPTIMIST HOCKEY ASSOCIATION KALAMAZOO 1980734A 3,419 8/28/2016 9015 0.91 INC KINNEY RONALD AND EVA KALAMAZOO 4084608A 909 7/13/2016 0908 LUITEN SHADING INC KALAMAZOO 2834251A 4,107 7/2/2016 9521 1.23 13 % MAIN STREET CAFE KALAMAZOO 3074447A 656 8/27/2016 9058 MARTINEZ ROOFING LLC KALAMAZOO 5427681A 750 7/25/2016 5551 MCCURTIS OUTREACH MINISTRY KALAMAZOO 4779363A 750 9/23/2016 5476 MOTIVATED CLEANING KALAMAZOO 3245730A 801 8/20/2016 9015 PARCHMENT METHODIST COOPERATIVE KALAMAZOO 2046237A 275 9/17/2016 8868 PRESCHOOL INC PETERSON CONSTRUCTION & RESTORATION KALAMAZOO 5445469A 750 9/5/2016 5645 SADLER STAN KALAMAZOO 1254812A 750 9/3/2016 5645 SAGAMORE DEVELOPMENT LLC KALAMAZOO 5433002A 750 8/7/2016 5645 STAR NAIL SPA KALAMAZOO 5232520A 875 7/29/2016 9586 STORE 108 B KALAMAZOO 3891038A 1,267 8/13/2016 8017 1.00 SUN GREEN LLC KALAMAZOO 2778696A 896 8/7/2016 9063 TRAFFIC TECH SERVICES LLC KALAMAZOO 5161525A 334 7/10/2016 8601 VAN BECKS LLC KALAMAZOO 2109891A 4,982 9/30/2016 5645 0.95 VICTORY CLINICAL SERVICES LLC KALAMAZOO 3230384A 3,514 9/26/2016 8832 0.95 WOODBRIDGE AFC CORPORATION KALAMAZOO 5167230A 2,035 7/3/2016 9053 AMG SERVICES INC KALKASKA 5121078A 825 7/22/2016 5606 CRAFT CASSIE A KALKASKA 4193504A 1,354 7/13/2016 0913 0.95 CRS RENTALS LLC KALKASKA 5432057A 2,642 8/5/2016 5437 D D M ENTERPRISES INC KALKASKA 4655362A 827 8/14/2016 8810 J 5 WELDING KALKASKA 5278244A 825 8/26/2016 3365 JACKS SPORT SHOP INC KALKASKA 1214128A 1,233 7/25/2016 8017 0.95 MAPLE RIDGE CONSTRUCTION LLC KALKASKA 4699319A 4,221 7/24/2016 5437 0.90 NORTH MICHIGAN CONSTRUCTION COMPANY KALKASKA 4257553A 750 8/19/2016 5645 LLC TIMS COMPRESSION SERVICE LLC KALKASKA 4600878A 3,520 9/25/2016 6216 0.95 TOWNSHIP OF BEAR LAKE KALKASKA COUNTY KALKASKA 0683485A 2,568 9/3/2016 9410 0.95 ALL STATES MARKETING INC KANSAS CITY, MO 5189853A 809 9/19/2016 8017 ADAMS LANDING CONDOMINIUMS ASSOCIATION KEEGO HARBOR 1298550A 800 7/25/2016 9015 INDO MEX LLC KEEGO HARBOR 5302196A 1,256 8/21/2016 9058 PARO CONSTRUCTION LLC KEEGO HARBOR 3947432A 750 8/3/2016 5645 ROEMA INC KEEGO HARBOR 3918980A 420 8/29/2016 9058 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 65 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WABEEK HOLLOW ASSOCIATION KEEGO HARBOR 4308697A 750 7/17/2016 9015 WABEEK OAKS ASSOCIATION KEEGO HARBOR 1495887A 800 7/31/2016 9015 WOODCLIFF ON THE PARK ASSOCIATION KEEGO HARBOR 2544326A 750 9/3/2016 9015 J MUSTEE HOME IMPROVEMENT LLC KENT CITY 5183022A 750 8/30/2016 5437 R L R CONSTRUCTION LLC KENT CITY 4469992A 750 8/29/2016 5645 HOPPYS BAR KENTON 2753065A 420 8/22/2016 9058 A M LA PENNA AND ASSOCIATES INC KENTWOOD 3611434A 668 7/24/2016 8803 ACCURATE GUTTERS KENTWOOD 5426251A 751 7/21/2016 5538 ALIAND BUILDING SERVICES KENTWOOD 4614658A 751 8/5/2016 9015 BLB HOME IMPROVEMENT KENTWOOD 4500822A 1,706 7/30/2016 5221 0.95 CREATIVE BRICKSCAPES INC KENTWOOD 2713292A 750 9/16/2016 5221 DAMSTRA ELECTRIC LLC KENTWOOD 5285259A 698 7/1/2016 5190 VALOREM CONSTRUCTION GROUP LLC KENTWOOD 4777271A 1,714 7/6/2016 5645 0.95 TORCH BAY MARINE SERVICE CENTER LLC KEWADIN 4769635A 1,053 7/7/2016 6834 0.95 ALEXANDERS INSTALLATION KIMBALL 4889096A 751 8/2/2016 5538 FIRST AID HOME REPAIR LLC KIMBALL 5456746A 750 9/30/2016 5403 HURON AVIONICS INC KIMBALL 3048551A 625 7/6/2016 7423 MIKE DAVID PAINTING KIMBALL 3287157A 750 7/11/2016 5476 NANCYS CLEANING SERVICE KIMBALL 4650298A 750 7/28/2016 9015 VICS PAINTING KIMBALL 5263387A 750 7/21/2016 5476 TRI COUNTY TREE SERVICE LLC KINDE 1038982A 750 9/27/2016 0106 JDM CONCRETE & CONSTRUCTION KINGSFORD 5429471A 1,174 8/5/2016 5221 KOLLER LARRY J KINGSFORD 5430267A 750 8/1/2016 7208 U P DANCE ACADEMY LLC KINGSFORD 5016924A 529 8/24/2016 9063 BROOKS TREE SERVICE & FOREST PRODUCTS KINGSLEY 4417461A 3,951 7/20/2016 2702 0.95 INC CONCRETE ARTISANS INC KINGSLEY 4668855A 750 9/23/2016 5221 0.95 KINGSLEY CHILDRENS CENTER KINGSLEY 4786351A 1,151 8/27/2016 8869 0.95 MCM ELECTRIC KINGSLEY 1372300A 750 7/31/2016 5190 R CUBED LLC KINGSLEY 5097002A 256 9/15/2016 8810 SCHECK SIGN SYSTEMS INC KINGSLEY 0471356A 2,015 9/11/2016 4299 1.05 STOCKMAN BUILDERS INC KINGSLEY 3064425A 750 8/9/2016 5645 DESROCHERS CORPORATION L ANSE 0639249A 750 8/30/2016 7208 M AND M PHOTO INC LA CROSSE, WI 3219356A 609 7/1/2016 8742 MOYER WELDING AND FABRICATION LLC LA SALLE 4747674A 750 8/17/2016 3365

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADKINS CLIFF LACHINE 0789186A 750 9/24/2016 5645 JOSEY EVAN LACHINE 5447682A 750 9/11/2016 2702 BARNETTCO INC LAINGSBURG 1837370A 441 9/30/2016 3827 HUNNICUTT AND SON PLUMBING INC LAINGSBURG 5441170A 800 8/26/2016 5183 GREEN INDUSTRIAL SERVICES INC LAINSBURG 5358221A 751 9/10/2016 9015 RICKS EXCAVATING INC LAKE 2679604A 750 9/2/2016 6217 KNYSZ WALTER JR LAKE ANGELES 1785150A 606 7/7/2016 0908 CONCRETE DETAILS LAKE ANN 5286557A 750 7/4/2016 5221 TRAVERSE BAY LANDSCAPING LAKE ANN 4757599A 1,389 8/1/2016 0042 0.95 BOOMS LOGGING LAKE CITY 4593650A 750 7/25/2016 2702 BOOMS MICHAEL LAKE CITY 0976083A 750 9/23/2016 2702 EISING TERRY LAKE CITY 4463269A 750 9/19/2016 2702 H AND K FOREST PRODUCTS LAKE CITY 5304261A 750 8/15/2016 2702 HD MOVERS LLC LAKE CITY 3207340A 4,707 8/12/2016 8227 0.95 J H CABLE LAKE CITY 4060563A 750 9/10/2016 7600 LAKE CITY CHAMBER OF COMMERCE LAKE CITY 1201131A 264 9/29/2016 8810 MILLERS CONCRETE CONSTRUCTION LAKE CITY 2513730A 1,652 7/23/2016 5215 0.95 NIETLING BUILDERS LAKE CITY 2705613A 1,152 7/21/2016 5645 PARK COLLIN LAKE CITY 4958233A 750 7/10/2016 2702 PARK TRAVIS LAKE CITY 4958250A 750 8/20/2016 2702 PHELPS SERVICES LAKE CITY 2199980A 750 8/28/2016 2702 SHUR CARE ADULT FOSTER CARE LLC LAKE CITY 5435790A 2,392 8/15/2016 9053 SMITHVILLE LANDING LLP LAKE CITY 1433741A 746 7/17/2016 6836 WETZELS AUTO SALES LLC LAKE CITY 4245660A 6,189 9/3/2016 8748 0.90 PENINSULA COPPER INDUSTRIES INC LAKE LINDEN 1812092A 652 8/15/2016 8810 0.91 H C TRANSPORTATION LLC LAKE ODESSA 3438791A 5,812 8/4/2016 7208 0.89 JOHN J ELDRIDGE TRUCKING INC LAKE ODESSA 0841498A 750 9/10/2016 7208 LAKE ODESSA FIRE DEPARTMENT AUXILIARY LAKE ODESSA 4218930A 3,142 7/16/2016 7704 0.95 VAZQUEZ LLC LAKE ODESSA 5433860A 4,420 8/8/2016 0034 ALL PRO MAINTENANCE LLC LAKE ORION 3900444A 750 7/24/2016 5476 BLANGO ENTERPRISES LTD LAKE ORION 4473531A 661 9/16/2016 6504 BUNNY RUN COUNTRY CLUB LAKE ORION 2868610A 751 7/8/2016 9061 CORE THERMAL CORP LAKE ORION 5017009A 5,666 8/21/2016 9015 0.94 CTL CONSTRUCTION LAKE ORION 1290460A 750 8/4/2016 5476 DEANO MACS SERVICES LLC LAKE ORION 3340686A 5,092 8/29/2016 0042 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 67 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EXCELL PAINTING LLC LAKE ORION 4555805A 825 7/24/2016 5476 FATHER AND SON TREE SERVICE INC LAKE ORION 2984725A 2,707 8/20/2016 0106 0.95 G AND G DPS LAKE ORION 1020447A 750 9/11/2016 5445 GRANNIS INC LAKE ORION 2940647A 1,529 8/3/2016 9058 1.00 HUTCHISON ENTERPRISES LLC LAKE ORION 4926650A 750 8/13/2016 5437 1.14 INDEPENDENT LIFE SUPPORTIVE SERVICES INC LAKE ORION 3893456A 1,373 7/18/2016 8835 KJ CONSTRUCTION LAKE ORION 5426642A 750 7/22/2016 5645 MEDINA DRYWALL INC LAKE ORION 3828131A 826 9/9/2016 5445 0.95 NORTHERN MICHIGAN MOVING & STORAGE INC LAKE ORION 4108868A 750 9/13/2016 7214 0.95 ORIONN ENGINEERING CORPORATION LAKE ORION 2723000A 9,312 7/18/2016 3724 0.95 TRIANGLE TRUCKING LLC LAKE ORION 3694917A 750 8/16/2016 6306 MLD HOLDINGS LLC LAKE STEVENS, WA 5428211A 480 7/28/2016 8017 KATHYS CLEANING LAKEVIEW 5453810A 598 9/22/2016 8835 KEY CONSTRUCTION LAKEVILLE 0615617A 10,364 9/25/2016 5403 SUNRISE SERVICES LAKEVILLE 3175677A 825 9/22/2016 0042 ACCESS AND ALARMS INC LAMBERTVILLE 5284627A 926 7/16/2016 5191 RH TAYLOR MECHANICAL CONTRACTORS LLC LAMBERTVILLE 4885287A 1,696 8/31/2016 5183 0.95 ACACIA AUSABLE ASSCS ELECTRIC LLC LANSING 5423597A 698 7/25/2016 5190 AJ CONSTRUCTION LANSING 4650727A 750 9/16/2016 5403 ALL COMMUNICATION SERVICES LLC LANSING 5046793A 390 7/11/2016 5191 BERGMAN JAMES LANSING 5301599A 706 8/9/2016 0913 BUILDTECH LTD CONSTRUCTION DEVELOPMENT LANSING 4501128A 3,561 8/15/2016 5057 0.97 CAPITAL AUTO CARE LLC LANSING 5432456A 463 8/10/2016 8401 COLLEGE BIKE SHOP INC LANSING 0099104A 709 8/23/2016 8010 0.95 COMPLETE CONCRETE AND MASONRY LLC LANSING 5204712A 750 7/17/2016 5022 COUNTRY MANOR APARTMENTS LLC LANSING 2447703A 803 9/20/2016 9015 DJV PROPERTIES LLC LANSING 5002478A 1,987 7/17/2016 9015 0.95 DOMEYER AND BACK STAFFING LLC LANSING 5167159A 420 8/11/2016 8810 DREW JAMES LANSING 5433959A 750 8/8/2016 2702 DTN CONSTRUCTION COMPANY LANSING 3689409A 750 9/27/2016 5403 EISEN ELECTRIC CORPORATION LANSING 3607135A 603 9/15/2016 8010 0.95 FRANCESCO FREIGHT INC LANSING 5304288A 750 8/15/2016 7219 GARWAY CORP LANSING 5444268A 825 9/3/2016 7380 GRAND LIMOUSINE INC LANSING 5456827A 4,467 9/30/2016 7212 GREAT LAKES ENGINEERING GROUP LLC LANSING 3476553A 7,537 8/10/2016 8601 0.90 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 68 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GREENWOOD CONDOMINIUM OWNERS LANSING 3882985A 750 7/28/2016 9015 ASSOCIATION HOME WRECKERS CONSTRUCTION CO LANSING 3804569A 750 8/18/2016 5645 0.95 IQFIT FITNESS & WELLNESS CENTER INC LANSING 5310636A 1,939 9/1/2016 9063 J ANDREW PAINTING LANSING 5290449A 750 7/15/2016 5476 JAFFEE CLEAN POWER WASH LANSING 4633601A 751 9/3/2016 9015 JONER LLC LANSING 5300835A 1,453 8/7/2016 5610 L H R LLC LANSING 5281091A 800 8/8/2016 5645 LANSING CHIROPRACTIC CLINIC PC LANSING 2384450A 226 8/19/2016 8810 LANSING RECYCLING CENTER LLC LANSING 4925467A 2,098 8/5/2016 8264 0.89 MCKNIGHT CONSTRUCTION LLC LANSING 5311187A 750 9/3/2016 5645 MICHIGAN FOOD SERVICE INC LANSING 2408333A 750 8/31/2016 5550 0.95 MICHIGAN HIGH RISE WINDOW CLEANING INC LANSING 1245104A 4,584 8/30/2016 9015 0.92 MICHIGAN PROPANE GAS ASSOCIATION LANSING 4252004A 802 8/1/2016 8868 0.95 MICHIGAN STATE BAR FOUNDATION LANSING 3547698A 279 9/14/2016 8742 NIMBLE SPORTS LLC LANSING 5027225A 1,803 8/26/2016 8017 0.93 PIONEER HEATING AND COOLING LLC LANSING 5421977A 750 7/9/2016 5550 RENCOR INC LANSING 3946649A 1,189 7/3/2016 5403 0.95 RIVERS CONSTRUCTION LLC LANSING 4599110A 750 7/26/2016 5403 SAFE HANDS WARM HEARTS INC LANSING 5184231A 4,188 9/4/2016 8835 0.95 SOUTHERN GROUP CORPORATION LANSING 0059048A 256 7/3/2016 8810 SOUTHSIDE COMMUNITY KITCHEN LANSING 4223012A 768 8/25/2016 9058 STERRETT CONSULTING SERVICES SCS LANSING 2309610A 750 9/10/2016 0042 INCORPORATED TALIAFERRO GRAU ASSOCIATES INC LANSING 5425409A 441 7/20/2016 8601 TENPOINT EXPEDITING SERVICES INC LANSING 5026520A 756 9/19/2016 8810 TIMO DRYWALL LANSING 5246261A 750 7/16/2016 5445 TOPDUCK PRODUCTS LLC LANSING 5184134A 1,632 9/4/2016 4712 0.95 TOTAL SECURITY LANSING 3010279A 1,011 7/1/2016 7720 TOZIERS CHIMNEY SWEEP LANSING 4272714A 1,016 9/30/2016 9015 USHER ROBERT A LANSING 5180864A 750 8/23/2016 5645 W AND A BURGERS LLC LANSING 5452260A 419 9/18/2016 9058 B AND D BUILDERS INC LAPEER 1899066A 751 8/29/2016 5348 BRENTZ TREE AND LANDSCAPE INC LAPEER 4660960A 909 9/1/2016 0042 BUHL PAINTING SERVICE LAPEER 3675238A 750 8/31/2016 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CURRENT ELECTRIC INC LAPEER 2114500A 698 7/27/2016 5190 DELONG MARBLE N TILE LAPEER 3364240A 750 9/16/2016 5348 DES INC LAPEER 3809510A 246 8/5/2016 8810 ESE LLC LAPEER 3400727A 3,795 8/10/2016 3113 FOUR AYS CONSTRUCTION LAPEER 5456231A 2,592 9/29/2016 5645 GARY OZDOWSKI BUILDERS LAPEER 0817619A 750 7/31/2016 5645 HAVE TRACTOR WILL TRAVEL INC LAPEER 5028108A 750 9/30/2016 5606 1.38 13 % J AND N ADVENTURES LLC LAPEER 5454956A 2,251 9/25/2016 9058 J G PAINTING & REMODELING LAPEER 4695461A 750 7/14/2016 5476 JDM TREE SERVICE LAPEER 4918142A 750 8/29/2016 0106 K AND K WELDING & SERVICES INC LAPEER 2896273A 825 7/18/2016 9558 0.95 K AND R ALMONDS LAPEER 3145417A 469 9/18/2016 9058 KH CONSTRUCTION LAPEER 5422264A 800 7/10/2016 5403 LAPEER LUBE EXPRESS INC LAPEER 5143063A 3,430 8/29/2016 8387 1.00 LUCKY VOLVO XPRESS LLC LAPEER 5285623A 750 7/1/2016 7208 MARK CHRISTOPHER LAPEER 5305292A 750 8/19/2016 5102 MENTORS FOR KIDS LAPEER 0700819A 343 7/16/2016 8832 MUSZYNSKI KENNETH F LAPEER 0629251A 750 9/22/2016 5551 NEUVILLE COACH COMPANY LLC LAPEER 5448883A 803 9/12/2016 7212 NORTHERN TRANSPORT INC LAPEER 4155874A 21,576 8/1/2016 7208 0.84 SEVERNS CONSTRUCTION CLEAN UP LAPEER 5299454A 750 8/6/2016 5645 SHARKEY CONSTRUCTION CORPORATION LAPEER 1291840A 750 7/26/2016 5645 STANGE BUILDERS LAPEER 2578697A 891 9/27/2016 5476 LEROYS WORK CREW INC LASALLE 3603296A 800 8/7/2016 5645 LEE BOND COMMUNICATIONS LLC LATHRUP VILLAGE 5426260A 750 8/5/2016 7600 SOUTH OAKLAND SHELTER INC LATHRUP VILLAGE 0992941A 1,484 8/1/2016 8832 0.95 DUROCHER JOHN LAURIUM 2901927A 284 7/30/2016 8601 JOHNSON MICHAEL R LAWRENCE 2208814A 750 8/20/2016 5437 ENERGY SUPPLIERS LLC LAWTON 5020239A 2,272 9/1/2016 4712 0.96 PREFERRED POURED WALLS & EXCAVATING INC LAWTON 3681351A 750 9/24/2016 5221 RNA COMMUNICATIONS LLC LAWTON 5045444A 750 9/1/2016 7600 DAHMER CONTRACTING GROUP LLC LEES SUMMIT, MO 5429420A 4,025 7/31/2016 5445 AQUARIUS PLUMBING & HEATING INC LENNON 1585002A 750 7/22/2016 5550 0.95 R FACTOR SPRAY FOAM INSULATION LLC LENNON 5291666A 750 7/17/2016 5479 SATISFACTION LIMOUSINE SERVICE INC LENOX 2417286A 752 7/3/2016 7212 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 70 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EVANSON EXCAVATING LLC LEONARD 2438500A 884 8/25/2016 5215 NATIONAL CRANE & HOIST SERVICE INC LEONARD 3077160A 3,886 9/26/2016 8107 0.94 STONEY CREEK LANDSCAPING LEONARD 1646141A 750 9/10/2016 0042 WEBER CARPENTRY LEONARD 4896874A 750 8/12/2016 5645 KINGS CARPET CLEANING INC LEONIDAS 4758986A 750 8/25/2016 9015 RICHTERS STAKE & LATH LEROY 3687716A 1,371 9/3/2016 2731 RITEWAY MACHINING INC LESLIE 4396855A 2,621 7/12/2016 3724 0.94 STUDENTS FOR LIFE OF MICHIGAN LESLIE 5296102A 310 7/26/2016 8810 GEORGE PARKER CONSTRUCTION LEVERING 2266229A 3,161 7/23/2016 5645 0.93 G AND G FOREST PRODUCTS LLC LEWISTON 1438603A 750 8/23/2016 2702 RIGHI ANNA LEWISTON 5435579A 2,833 8/17/2016 0913 BILLYS LAWN SERVICE LLC LEXINGTON 5024331A 5,562 9/15/2016 9102 1.00 FASSEEL CONSTRUCTION LEXINGTON 4552687A 750 8/20/2016 8387 PATTON TOOL AND DIE INC LEXINGTON 1164872A 2,502 9/25/2016 3146 0.91 WATERTOWER SPORTS PUB INC LEXINGTON 5292832A 1,064 8/6/2016 9058 RON GONYEA FOREST PRODUCTS LINCOLN 2222825A 750 7/17/2016 2709 A R V PAINTING LINCOLN PARK 5285798A 1,866 7/1/2016 5476 0.95 BARRON CONSTRUCTION LINCOLN PARK 4979672A 750 8/25/2016 5551 DAVIS BRYAN KELLY LINCOLN PARK 5434530A 750 8/11/2016 5476 DOWNRIVER FLEET LEASING CO LINCOLN PARK 0498602A 687 9/24/2016 8810 0.95 E AND J TREE SERVICE LINCOLN PARK 4124073A 1,043 9/6/2016 0106 0.95 EXTREME SOLUTIONS II INC LINCOLN PARK 4681509A 800 9/6/2016 5645 0.95 HUSKY CONSTRUCTION LLC LINCOLN PARK 5454115A 750 9/23/2016 5645 KERR ENTERPRISES INC LINCOLN PARK 1298186A 1,795 8/20/2016 9058 0.95 STAR GAS & GO INC LINCOLN PARK 5166616B 640 8/20/2016 8017 0.95 TALAN CONSTRUCTION COMPANY LINCOLN PARK 0772500A 13,553 9/22/2016 5445 0.95 A A & M RESTORATION & BUILDING SOLUTIONS LINDEN 5011736A 750 8/12/2016 5221 LLC BRETTON VILLAGE COOPERATIVE INC LINDEN 0040444A 275 8/15/2016 8810 DVM ENTERPRISE LINDEN 5286239A 750 7/3/2016 2881 HOBSON ULTRA SHINE OF MICHIGAN INC LINDEN 2882221A 750 7/6/2016 5476 ICS HOIST REPAIR LLC LINDEN 4999533A 650 7/4/2016 8107 MATTHEWS DRIVE LLC LINDEN 5431921A 750 8/5/2016 9015 QCQ DESIGN & FAB INC LINDEN 3559769A 4,606 9/16/2016 3400 RUSHLOW AND SONS LINDEN 1685201A 800 9/16/2016 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TINSMAN PAINTING SERVICES LLC LINDEN 2252724A 800 8/9/2016 5476 TRANQUIL SURROUNDINGS INC LINDEN 4524390A 751 7/1/2016 0042 TREE COWBOYS LLC LINDEN 5320615A 6,847 9/24/2016 0106 WELCH LYNN LINDEN 1817060A 750 7/4/2016 5022 BEITLER SHERRY LINWOOD 5019222A 606 8/30/2016 0908 BEVAN JAMIE LINWOOD 4912845A 779 9/22/2016 0908 0.95 DEWEY NATHAN LINWOOD 3909506A 2,028 9/24/2016 0913 0.95 SENCHUK MARY LINWOOD 4773993A 606 7/27/2016 0908 SHERRILL MIX SHANNON LINWOOD 4840585A 403 7/17/2016 0908 SMITH KYLE LINWOOD 5178355A 403 8/17/2016 0908 T N A CATTLE CO CORP LINWOOD 5016525A 750 8/20/2016 7208 VORE REBECCA LINWOOD 4645030A 606 7/27/2016 0908 WALSH JAMES LINWOOD 5424666A 403 7/17/2016 0908 MICHIGAN SOUTH CENTRAL POWER AGENCY INC LITCHFIELD 1297961A 57,916 7/1/2016 7539 0.75 ACADEMIC PATHWAYS A CO OPERATIVE LIVONIA 1210173A 317 9/21/2016 8868 PRESCHOOL INC ADVANCED BUILDING & DESIGN INC LIVONIA 4652649A 750 7/1/2016 5551 ADVANCED INVESTIGATION SERVICES LLC LIVONIA 5029104A 932 9/25/2016 7720 AIM CONSTRUCTION INC LIVONIA 0127795A 843 9/23/2016 8742 0.95 ALB EXPRESS INC LIVONIA 5287553A 755 7/8/2016 8810 ALPHACOPY SYSTEMS INC LIVONIA 3196046A 379 8/13/2016 5191 AMERICON CONSTRUCTION USA LLC LIVONIA 5428165A 1,911 7/28/2016 5445 AMP TRANSPORTATION INC LIVONIA 5232139A 12,120 8/1/2016 7208 ANGRY BEAR LAWN CARE INC LIVONIA 0052345A 14,410 7/25/2016 9102 1.00 ARG PROPERTIES LLC LIVONIA 3195368A 751 7/14/2016 9015 0.95 ARROWHEAD GENERAL CONTRACTING LLC LIVONIA 5427347A 750 7/24/2016 5606 B AND M CONTRACTING LLC LIVONIA 2034689A 825 9/11/2016 5183 BLACK OX CORPORATION LIVONIA 4450140A 1,684 7/11/2016 3372 0.95 BY YOUR SIDE HOME CARE LIVONIA 5191408A 801 9/24/2016 8835 CARDINAL CART RETRIEVAL LLC LIVONIA 5154057A 419 8/1/2016 8039 CCLR SERVICES LLC LIVONIA 4075897A 750 8/28/2016 9015 CHARIOT TRANSPORT LLC LIVONIA 5399580A 1,047 9/15/2016 7212 CMC CONSTRUCTION & REMODELING LLC LIVONIA 5436567A 750 8/15/2016 5645 COMPASS STONEWORKS INC LIVONIA 4103360A 284 8/21/2016 8601 CRUZ INC LIVONIA 3960307A 750 8/2/2016 5645 0.71

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge D L GARDNER CONSTRUCTION LIVONIA 2724995A 750 8/9/2016 5645 EQS BROKERAGE & LOGISTICS LLC LIVONIA 0012130A 830 8/10/2016 8810 0.95 EXERCISE WAREHOUSE INC LIVONIA 3442667A 3,751 7/15/2016 8017 1.00 FARE TO FREEDOM INC LIVONIA 5004225A 1,839 7/23/2016 7212 0.95 FINE WINE SOURCE LIVONIA 0481904A 1,805 7/27/2016 8017 0.95 GOLDEN HOME HEALTH CARE INC LIVONIA 4682882A 4,986 7/9/2016 8835 0.95 HALE JAKE LIVONIA 5444586A 750 9/4/2016 5476 HERB SLAYTON INSTALLATION SERVICE LIVONIA 0359289A 635 7/13/2016 9521 INTERNATIONAL MEDICAL EQUIPMENT INC LIVONIA 5198810A 2,712 8/12/2016 5191 J AND P PLUMBING LLC LIVONIA 5288991A 750 7/10/2016 5183 J ROMO TREE SERVICE INC LIVONIA 4376471A 7,216 8/6/2016 0106 0.95 JAY LELAND CLEANING LIVONIA 1224484A 750 8/2/2016 9015 KCS ADVANCED MACHINE SERVICES INC LIVONIA 5422868A 1,468 7/11/2016 3628 KMG CONSTRUCTION LLC LIVONIA 5213657A 37,784 8/20/2016 5552 KRAKEN CRUSHED CONCRETE AND RECYCLING LIVONIA 5052513A 14,644 7/26/2016 1624 1.54 27 % LLC LUTZ CONSTRUCTION LLC LIVONIA 5287634A 750 7/8/2016 5102 M AND M TOWING LLC LIVONIA 5452872A 901 9/19/2016 7208 MACKINTOSH TREES & LANDSCAPING INC LIVONIA 5411700A 2,702 7/1/2016 0042 MASTANTUONO AND ASSOC INC LIVONIA 0037605A 2,248 8/30/2016 8810 0.95 MIDWEST MAINTENANCE INC LIVONIA 2694107A 14,831 8/15/2016 5221 1.48 13 % MISLEH DAVID LIVONIA 3480720A 635 8/1/2016 9521 MORAN MECHANICAL INC LIVONIA 5008336A 861 8/1/2016 5550 0.95 ONEGENE AMERICA INC LIVONIA 4615700A 546 8/30/2016 8810 PACHOTAS CONSTRUCTION LLC LIVONIA 2290839A 2,759 7/7/2016 5437 0.95 PANTHER ENTERPRISES INC LIVONIA 3513904A 1,496 7/29/2016 8017 0.95 PDS SERVICES LLC LIVONIA 4573374A 300 7/17/2016 8810 PONCIANO SANJUAN CORPORATION LIVONIA 1875779A 1,152 9/23/2016 5022 0.95 PREFERRED CHOICE HOME HEALTH CARE LIVONIA 4554566A 2,602 7/1/2016 8835 0.86 SERVICES LLC PRINCIPAL CONSTRUCTION SERVICES INC LIVONIA 3059243A 750 8/12/2016 8810 0.95 RELIABLE CONSTRUCTION SERVICES LLC LIVONIA 5286581A 750 7/23/2016 5437 RIGHT WAY CARPET & TEXTILE SERVICES LLC LIVONIA 5319960A 826 9/23/2016 9015 ROTUNDA MOBILE HOMES LLC LIVONIA 2446103A 752 7/17/2016 9015 SEAWAY PAINTING LLC LIVONIA 0189812A 901 9/1/2016 8810 2.06 13 %

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SERVAL CLEANING LLC LIVONIA 4093518A 750 7/12/2016 9015 STEVE TRUCKING INC LIVONIA 5157102A 1,780 9/11/2016 7219 0.81 STRAIGHT LINE LANDSCAPE AND DESIGN LLC LIVONIA 5453658A 750 9/22/2016 5645 SUNRISE USA INC LIVONIA 5427266A 389 7/24/2016 8810 SURE CURE LLC LIVONIA 5024951A 598 9/18/2016 8835 TRIGON METAL PRODUCTS INC LIVONIA 0086150A 9,125 7/17/2016 3179 1.39 40 % TWIZTID LLC LIVONIA 3815790A 916 8/8/2016 8008 TWO THOUSAND 222 PURITAN LLC LIVONIA 4279786A 1,658 8/11/2016 9015 0.95 WOODGATE CONDOMINIUM ASSOCIATION LIVONIA 1747800A 800 8/1/2016 9015 BILLS ENTERPRISES INC LOWELL 2259478A 750 9/6/2016 9015 0.95 BORDER WARS WRESTLING LLC LOWELL 5425778B 926 7/20/2016 9015 DEMMINKS MOBILE SERVICE LLC LOWELL 1182200A 2,562 8/2/2016 8387 1.00 FASE APIARIES LOWELL 2055147A 1,028 7/4/2016 0034 MICHIGAN YOUTH WRESTLING ASSOCIATION LOWELL 5426510A 1,971 9/2/2016 9015 NATIONAL UNITED WRESTLING ASSOCIATION LLC LOWELL 5425778A 1,540 7/20/2016 9015 PUR FORMS INC LOWELL 2652609A 1,015 8/20/2016 4484 LAKE MICHIGAN TRANS LAKE SHORTCUT INC LUDINGTON 2272334A 9,433 8/3/2016 8017 0.82 MERKSIN AND MERSKIN TAX AND ACCOUNTING LUDINGTON 1169688A 786 8/4/2016 8803 INC PRECISION GRADING & TRENCH INC LUDINGTON 4777395A 750 8/3/2016 6217 HARPER MASONRY LLC LUNA PIER 5441951A 3,608 8/27/2016 5022 BUCKS FOREST SERVICE LUPTON 1586890A 750 7/9/2016 2702 J LYNN AND ASSOCIATES LLC LUTHER 4771800A 893 7/21/2016 3116 0.95 LUZERNE FOREST PRODUCTS LLC LUZERNE 5169569A 4,435 7/23/2016 2731 0.95 RJK CONSTRUCTION LYONS 5425484A 750 7/18/2016 5645 A AND D PAINTING & DRYWALL MACOMB 4252772A 750 7/7/2016 5476 0.95 AAAS TRUCKING INC MACOMB 4337816A 3,175 8/12/2016 7208 0.95 ADVANCED MASTER BUILDERS INC MACOMB 3369196A 750 8/29/2016 5437 ALETHEIA SERVICES LLC MACOMB 5428130A 750 7/28/2016 5645 ALLIED PAINTING MACOMB 4925475A 750 7/9/2016 5476 ARM CONSTRUCTION INC MACOMB 3928080A 750 7/26/2016 5645 0.95 BILLS LAWN MAINTENANCE LLC MACOMB 4057295A 751 8/28/2016 9102 CARBILL REAL ESTATE MANAGEMENT LLC MACOMB 5426529A 661 7/22/2016 5606 CONCEPT ONE SIDING AND WINDOWS MACOMB 5174953A 750 8/7/2016 5645 CONCORDE ASSOCIATES LLC MACOMB 2682877A 825 8/27/2016 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CONCRETE INC MACOMB 5426162A 750 7/21/2016 5221 CONQUEST TILE MACOMB 1842714A 750 7/24/2016 5348 CURIO ENTERPRISES LLC MACOMB 5422680A 750 7/11/2016 9015 D AND J HOME CARE INC MACOMB 4379721A 1,010 8/14/2016 9053 2.55 40 % DYNAMIC CARPENTRY LLC MACOMB 5301130A 1,105 8/8/2016 5437 FAMILY CONSTRUCTION LLC MACOMB 3850730A 750 7/16/2016 6217 GRAY AND SONS FENCE MACOMB 5420067A 750 7/1/2016 6400 ILEA IOSIF CHRISTIAN MACOMB 4982398A 750 9/10/2016 5348 J A F MANAGEMENT & CONSULTING SERVICES MACOMB 4746597A 756 8/6/2016 8810 INC J J EXPRESS TRANSPORT INC MACOMB 4672275A 3,327 8/10/2016 7208 0.95 J P PAINTING LLC MACOMB 3603997A 802 9/23/2016 8810 0.95 JBERNAL INC MACOMB 5303192A 750 8/13/2016 5221 JESSES PAINTING LLC MACOMB 5160049A 750 7/2/2016 5476 JOHN LEONE INTERIOR & EXTERIOR PAINTING MACOMB 1248413A 750 9/1/2016 5476 JSL ELECTRIC LLC MACOMB 5178479A 698 8/20/2016 5190 JUENGELS TREE SERVICE LLC MACOMB 4487117A 3,822 7/1/2016 0106 0.95 KAL CONST LLC MACOMB 4487370A 800 7/1/2016 5059 0.95 KEL RAY CONSTRUCTION LLC MACOMB 0942561A 751 9/2/2016 9521 0.95 KRIVDIC INC CORPORATION MACOMB 4935888A 3,327 8/18/2016 7208 0.95 LVE SERVICES LLC MACOMB 4986040A 5,511 9/17/2016 5437 MARINA TILE INC MACOMB 2063980A 1,064 7/29/2016 5348 0.95 MAY FOOD INVESTMENTS INC MACOMB 5291178A 5,059 7/18/2016 9058 1.05 MOTOR CITY TILE COMPANY LLC MACOMB 3720187A 750 8/1/2016 5348 NATIONWIDE WINDOW FILM CREW LLC MACOMB 5275555A 4,175 9/9/2016 9521 NESA MACOMB 3384969A 635 8/22/2016 9521 NEW HORIZONS AFC LLC MACOMB 5170036A 4,965 7/25/2016 9053 0.95 NORTHWEST TRANSPORTATION SYSTEMS INC MACOMB 5440980A 750 8/26/2016 7208 PARADISE FLOORING INC MACOMB 5027560A 750 9/21/2016 5437 PRIDE STEAM CLEANING INC MACOMB 1953575A 750 9/7/2016 9015 PRISM PAINTING LLC MACOMB 5065771A 3,346 9/11/2016 5476 PYRAMID CONTRACTING LLC MACOMB 4090306A 750 7/3/2016 5348 R J PROJECTS INC MACOMB 3807231A 414 7/26/2016 8810 ROMERO CLEANING SERVICES MACOMB 3410862A 750 9/29/2016 9015 ROSS CONSTRUCTION INC MACOMB 0791547A 750 9/5/2016 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SELITA PAINTING INC MACOMB 3407543A 750 7/13/2016 5476 SHELBY SCIENTIFIC INC MACOMB 3643972A 1,337 7/1/2016 8047 0.95 SKYWAY ELECTRIC LLC MACOMB 4791789A 1,793 7/9/2016 5190 0.95 SOLID CAGE INC MACOMB 5191521A 229 8/19/2016 8810 TOTAL SITE WORX LC MACOMB 5435803A 1,659 8/26/2016 6217 UNITED REHAB SOLUTIONS LLC MACOMB 5017556A 4,473 8/1/2016 8835 WALKER WORKS LLC MACOMB 5409454A 6,090 7/22/2016 6217 WALL TECH WALLCOVERING INC MACOMB 3813606A 800 8/16/2016 5476 WOOD CREEK HOME BUILDERS LLC MACOMB 2682877B 750 9/6/2016 5645 RB ENTERPRIZES INC MACOMB TOWNSHIP 2392038A 7,375 8/12/2016 7208 0.91 MAC XPRESS LLC MACOMB TWNSHP 5450667A 8,090 9/16/2016 7208 ACG SERVICES INC MACOMB TWP 4926943A 1,213 7/26/2016 3629 1.00 CALIN INC MACOMB TWP 4506804A 5,261 7/30/2016 7208 0.95 D AND T HOME IMPROVEMENT LLC MACOMB TWP 3682439A 750 9/13/2016 5645 FERRARO CONSTRUCTION INC MACOMB TWP 4785614A 790 8/26/2016 5445 WESTERN FRESH MARKETING SERVICES INC MADERA, CA 5167833A 389 7/18/2016 8810 BUILDCOM LLC MADISON HEIGHTS 3671593A 750 8/17/2016 8810 0.95 CD STONE MADISON HEIGHTS 4028058A 750 7/4/2016 1624 DOT DEVELOPMENT COMPANY LLC MADISON HEIGHTS 3231720A 750 9/25/2016 5403 ESHRED LLC MADISON HEIGHTS 4450965A 17,090 7/29/2016 7218 1.54 13 % G J MATEN BUILDERS INC MADISON HEIGHTS 1680927A 750 9/14/2016 5437 GOODWILL HOME CARE SERVICES INC MADISON HEIGHTS 4508459A 2,528 8/11/2016 8835 0.93 KEMP AND SHERMAN COMPANY MADISON HEIGHTS 3232107A 756 9/28/2016 8810 LUBO USA INC MADISON HEIGHTS 5006708A 1,307 8/1/2016 8010 0.95 MACKERS CARPENTRY SERVICES LLC MADISON HEIGHTS 4535189A 794 9/10/2016 9521 MORESIZE CONSTRUCTION MADISON HEIGHTS 3365565A 751 9/17/2016 5445 SUCIU TOADER IULIAN MADISON HEIGHTS 5185700A 750 9/10/2016 5348 ARTISANS GROUP LLC MADISON HTS 4329430A 804 7/23/2016 5606 0.95 K L JACOBS CONSTRUCTION MADISON HTS 3586820A 750 9/15/2016 5437 METRO CONTRACTING SERVICES LLC MADISON HTS 4592760A 801 9/15/2016 9015 SIMPLE PAINTING MADISON HTS 4779940A 800 8/7/2016 5476 COMMUNITIES IN SCHOOLS OF MANCELONA MANCELONA 4883349A 1,204 7/2/2016 8868 0.95 GARDINERS LANDSCAPING LLC MANCELONA 1612565A 1,659 7/14/2016 6217 0.95 T JS ELECTRICAL SERVICES LLC MANCELONA 3964515A 748 8/24/2016 5190 TC BUILT LLC MANCELONA 2668505A 750 8/15/2016 5437 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 76 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ACE WINDOW & GUTTER CLEANING INC MANCHESTER 5013828A 3,146 8/13/2016 9015 0.95 BRUSHABER BUILDERS INC MANCHESTER 0734101A 3,388 7/23/2016 5645 IRISH HILLS MEAT COMPANY OF MICHIGAN LLC MANCHESTER 4104412A 957 8/4/2016 8021 0.95 JANDM SERVICES OF MANCHESTER LLC MANCHESTER 5424798A 2,747 7/17/2016 5479 MAYBURY RIDING STABLES LLC MANCHESTER 1149652A 750 8/17/2016 8279 0.95 SCRAP MASTERS INC MANCHESTER 1511262A 21,267 7/8/2016 4459 1.00 J J ADVANTAGE ENTERPRISES INC MANHATTAN, IL 5442540A 749 9/1/2016 5190 GUINAN TROY MANISTEE 5285615A 750 7/1/2016 5215 TOMPKE RICHARD W MANISTEE 2145901A 750 9/29/2016 2702 F AND G ROOFING AND SIDING MANISTIQUE 5429366A 1,157 7/30/2016 5645 MACGREGOR SARA MANISTIQUE 5288886A 216 7/23/2016 8820 RAPID RESPONSE ONE EMS INC MANISTIQUE 5241472A 14,133 7/8/2016 7380 0.91 ANG WATER TECHNOLOGIES INC MANITOU BEACH 4645502A 1,302 7/11/2016 5183 NATURALLY D A S H & DREDGE LLC MANITOU BEACH 4774825A 741 7/24/2016 0005 0.95 DAN WOODCOCK BUILDER MANTON 0078646A 750 8/3/2016 5645 FIELDS MIKE MANTON 5422230A 750 7/10/2016 2702 A COUNTER REVOLUTION LLC MAPLE CITY 1530577A 1,826 9/11/2016 2812 FELIX M RICE MASONRY MAPLE CITY 0401765A 1,215 9/2/2016 5221 0.92 FLOORS BY FRED MARCELLUS 4526570A 636 8/20/2016 9521 FRANCOYS RESORT LLC MARCELLUS 5312140A 1,119 9/4/2016 9015 HEMLOCK LAKE CAMPGROUND INC MARCELLUS 1752006A 1,075 7/27/2016 9015 0.95 MARCELLUS AREA EMERGENCY SERVICE MARCELLUS 1951343A 2,047 7/9/2016 7980 0.95 ASSOCIATION RESTORATION DIESEL LLC MARCELLUS 5420865A 2,686 7/7/2016 8395 WHITEARROW FARM MARCELLUS 5435641A 750 8/14/2016 0011 HARTMAN TRUCKING MARENISCO 2043262A 750 7/25/2016 4000 FURST HOMES LLC MARINE CITY 5192455A 750 9/26/2016 9015 AFFORDABLE TREE SERVICE MARINETTE, WI 5444217A 1,456 9/3/2016 0106 WRIGHT TIME TREE LLC MARION 4989120A 1,752 9/15/2016 0106 CENTRAL PEST & TERMITE CONTROL MARLETTE 5170290A 800 7/25/2016 9015 MARLETTE FIRE AUTHORITY MARLETTE 5166446A 1,439 8/15/2016 7704 P AND T LEASING COMPANY OF MARLETTE MARLETTE 3655431A 64,261 8/13/2016 7208 1.19 13 % SCRIMGER JOE MARLETTE 1888161A 757 7/9/2016 4511 THIRTY ONE MOTORSPORTS LLC MARLETTE 5447771A 2,328 9/11/2016 3821 ASHCRAFT DRYWALL MARNE 3492273A 750 9/17/2016 5445

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AIM PROPERTY MANAGEMENT LLC MARQUETTE 5422205A 750 7/10/2016 9015 ALTERNATIVE HEALTH CENTER MARQUETTE 4397622A 226 9/19/2016 8810 C AND E ENTERPRISES OF MARQUETTE INC MARQUETTE 0296546A 750 8/12/2016 7208 CARRIERE DISTRIBUTING LLC MARQUETTE 5454484A 750 9/24/2016 7202 DAGENAIS DAN MARQUETTE 5432413A 2,069 8/6/2016 5437 DISCOVERY HUT INC MARQUETTE 4931793A 280 9/6/2016 8869 FAIRBANKS PAINTING & DECORATING MARQUETTE 0539333A 750 7/12/2016 5476 JASON FRALEY LOGGING MARQUETTE 5419590A 750 7/1/2016 2702 LASTING FLOORS LLC MARQUETTE 4771869A 750 7/21/2016 5437 RANGE CORPORATION MARQUETTE 0229229A 6,442 9/19/2016 5191 0.90 STUDIO DANCE ARTS INC MARQUETTE 5289025A 580 7/19/2016 9063 SUPERIORLAND SOCCER ASSOCIATION MARQUETTE 5395704A 3,043 7/1/2016 9015 UNCLE DUCKY OUTDOOR ADVENTURES INC MARQUETTE 4631722A 5,931 7/2/2016 6826 0.83 BRASS BAND OF BATTLE CREEK MARSHALL 3531040A 2,043 8/1/2016 9156 SIGNWORLD CONCEPTS MARSHALL 3844692A 552 9/18/2016 4299 0.95 EDS TRUCK REPAIR LLC MARTIN 5456835A 1,418 9/28/2016 8395 LANGFORD GARY JOHN MARTIN 4419391A 1,021 8/1/2016 8387 PEPPERONI JOE MARYSVILLE 0754633A 841 7/20/2016 9058 RDCO INC MARYSVILLE 3181677A 1,167 9/24/2016 9058 RIVERVIEW PLAZA ASSOCIATION INC MARYSVILLE 1401785A 1,852 7/17/2016 9015 1.00 DW CONTRACTING L L C MASON 5418453A 800 7/6/2016 5645 M L C BUILDERS LLC MASON 4610385A 1,487 9/15/2016 5437 0.93 R AND R RICHARDSON REMODELING LLC MASON 5318220A 1,822 9/19/2016 5403 REVITALIZE LLC MASON 5311470A 285 9/3/2016 8601 ROYALTY TRUCKING INC MASON, OH 2228009A 886 9/1/2016 8810 1.81 27 % MARTY DEHAAN TRUCKING MASS CITY 4749138A 750 7/26/2016 7208 FORMULA K EQUIPMENT LLC MATTAWAN 2056402A 2,536 7/21/2016 8010 1.45 27 % NUNS ON TRAMPOLINES INC MATTAWAN 4235614A 1,398 8/8/2016 9058 0.89 ADVANCED ROOFING SERVICES INC MAUMEE, OH 5192471A 25,321 9/26/2016 5552 0.88 TRY HOURS INC MAUMEE, OH 5182573A 753 8/28/2016 8742 WATTS ROOFING & REPAIR LLC MAYBEE 3702359A 4,847 8/24/2016 5610 0.95 FRANK BUHL INTERIORS MAYVILLE 2897555A 1,614 9/15/2016 5445 0.95 STEMAR TRANSPORT INC MAYVILLE 3784525A 750 9/21/2016 7208 ILER CONSTRUCTION MCBAIN 1121251A 750 8/30/2016 5551 BROW WADE MCMILLAN 5310695A 750 8/30/2016 7208 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 78 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TOP NOTCH BUILDERS LLC MEARS 5428190A 26,956 7/27/2016 5403 MIKE MILLER BUILDER MECOSTA 3246639A 2,592 9/25/2016 5645 UNITED RISK SOLUTIONS INC MEDFORD, OR 4892208A 334 9/30/2016 8810 MONITORING CONTROL & COMPLIANCE INC MEDINA, OH 4108256A 2,844 7/24/2016 4511 1.00 BROOKSTONE FINANCIAL LLC MELVILLE, NY 5449880A 751 9/15/2016 9015 MATRIX ASSOCIATES INC MELVILLE, NY 5426928A 751 9/15/2016 9015 PROFESSIONAL ASBESTOS SERVICES INC MELVINDALE 5284325A 26,388 7/3/2016 5183 0.87 RKT CONSTRUCTION MELVINDALE 4366042A 750 7/10/2016 5645 ALL AMERICAN CONSTRUCTION MEMPHIS 4171373A 750 9/23/2016 5437 SERAFIN CONSTRUCTION LLC MEMPHIS 5277825A 23,393 8/29/2016 5645 TODD MELDRUM INC MEMPHIS 0965782A 1,133 9/13/2016 7208 BAY VIEW BOWL LLC MENOMINEE 4919483A 715 9/10/2016 9058 0.95 GREAT LAKES EXPLORATION INC MENOMINEE 5183839A 457 9/4/2016 7421 GREATER MARINETTE MENOMINEE YMCA INC MENOMINEE 1100289A 18,449 7/1/2016 9063 1.66 40 % MMC WELDING SERVICES MENOMINEE 4246268A 800 8/10/2016 3365 PORTSIDE HOMES MENOMINEE 2343240A 1,794 7/1/2016 5645 GUTHRIES MESICK 1687425A 3,536 9/15/2016 5040 HOLDEN CONSTRUCTION INC MESICK 3666921A 750 9/9/2016 5645 0.95 B J FORREST TRUCKING INC METAMORA 1893890A 13,584 8/31/2016 8395 1.37 13 % N AND J CONSTRUCTION METAMORA 1937502A 3,347 8/21/2016 5022 0.95 WADE MASONRY METAMORA 5167728A 750 7/18/2016 5022 ALTO SERVICES LLC MIDDLEVILLE 4046420A 800 9/1/2016 6400 GYMNASTICS IN MOTION INC MIDDLEVILLE 1864610A 701 9/4/2016 9063 KENNETH E NOVAK BUILDER LLC MIDDLEVILLE 4364007A 752 9/9/2016 5403 PATTON MECHANICAL LLC MIDDLEVILLE 3395162A 750 9/6/2016 5550 TODDS CARPET SERVICE MIDDLEVILLE 4111290A 635 8/19/2016 9521 ALL SEASONS INSULATION OF MICHIGAN LLC MIDLAND 4660064A 1,629 7/2/2016 5479 0.95 DEER VIEW CONSTRUCTION LLC MIDLAND 5058546A 825 7/17/2016 5645 0.95 EQUITY SEARCH OF MICHIGAN INC MIDLAND 3857344C 26,234 9/14/2016 3632 0.75 ITH OF MICHIGAN LLC MIDLAND 3857344A 45,306 9/14/2016 8235 0.75 JEFFRIES TREE REMOVAL LLC MIDLAND 5173809A 4,534 8/3/2016 0106 0.95 MIDLAND AREA TRANSPORTATION STUDY MIDLAND 5167264A 410 8/15/2016 8810 AID IN MILAN INC MILAN 2312522A 291 9/29/2016 8832 B K F CORPORATION MILAN 4248511A 750 7/24/2016 5645 C AND J CONSTRUCTION MILAN 2760347A 1,003 8/15/2016 5552 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 79 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MILAN SENIORS FOR HEALTHY LIVING MILAN 4762207A 2,657 7/1/2016 9063 0.95 ANIMAL PRO INC MILFORD 2682249A 2,004 8/21/2016 9015 0.95 APEX ROOFING INC MILFORD 1263315A 7,275 7/1/2016 5551 0.92 BROPHY ENTERPRISES MILFORD 1977768A 750 8/1/2016 6217 0.95 DIMENSIONAL ENGINEERING INC MILFORD 4454227A 2,517 9/28/2016 8601 0.95 ESTATE SALES AND BEYOND LLC MILFORD 5444250A 1,729 9/3/2016 8017 GOUGH MICHAEL MILFORD 4509790A 750 7/23/2016 5146 JOHN STEWART & ASSOCIATES MILFORD 1672835A 1,405 7/21/2016 5606 0.95 MILL POINTE HOMEOWNERS ASSOCIATION MILFORD 5421381A 825 7/13/2016 9015 NOVA PAINTING INC MILFORD 5111862A 750 8/13/2016 5476 R AND J MACHINERY SALES INC MILFORD 4434056A 1,357 9/11/2016 9015 1.00 S AND S CONTRACTORS LLC MILFORD 4280393A 750 7/14/2016 5437 0.95 STONE HOLLOW PROPERTIES & DEVELOPMENT MILFORD 4495586A 750 7/19/2016 5190 LLC TROPICAL LAWN IRRIGATION INC MILFORD 2413000A 750 7/14/2016 5183 UTG INC MILFORD 4391110A 987 7/9/2016 8810 0.95 VALERI LAWN & SNOW MILFORD 5440513A 751 8/25/2016 9102 BROOKS INDEPENDENT CONSULTING LLC MILLERSBURG 4897269A 274 8/13/2016 8868 R AND M WOOD PRODUCTS MILLERSBURG 4979117A 3,729 9/30/2016 2731 0.95 COMPLETE ACOUSTICAL MILLINGTON 5300657A 801 8/6/2016 5480 R AND Z PROPERTY MAINTENANCE LLC MILLINGTON 5428114A 750 7/28/2016 5610 SHERMAN DAVID MILLINGTON 1576941A 750 9/7/2016 5022 0.95 ENDEAVOR TREE MINDEN CITY 5421756A 3,154 7/8/2016 0106 PIERSON PILING INC MINDEN CITY 0515922A 2,658 8/18/2016 5403 STROM ENGINEERING CORPORATION MINNETONKA, MN 3913635A 11,386 9/23/2016 3507 ALVIN C GREWE BUILDER LLC MIO 1049747A 750 7/6/2016 5645 DAVE RICKETT CONSTRUCTION MIO 4231902A 750 9/24/2016 5645 INTEGRITY ADJUSTERS LLC MOBILE, AL 5097355A 495 9/22/2016 8720 WELLS MASONRY MOLINE 4201221A 750 8/18/2016 5022 AERIAL EXPRESS INC MONROE 4398343A 1,065 9/7/2016 9063 0.95 C AND L HOME CARE INC MONROE 5414857A 10,585 7/14/2016 8835 CENTER FOR COMMUNITY GROWTH LLC MONROE 5314739A 847 9/11/2016 8832 CRYSTAL KLEAN FLOORS & OFFICES INC MONROE 3607801A 1,205 7/30/2016 9015 0.95 FAITHWAY TRANSPORT INC MONROE 4788540A 750 9/4/2016 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FRENCHTOWN CHARTER TOWNSHIP RESORT MONROE 2468255A 262 8/10/2016 8810 DISTRICT AUTHORITY FRG CORP MONROE 2721627A 1,385 9/1/2016 8601 0.95 GFYM SERVICES MONROE 3693228A 750 7/23/2016 5437 P AND F CUSTOM TILE WORK INC MONROE 3640264A 750 7/10/2016 5348 RIVER RAISIN NATIONAL BATTLEFIELD PARK MONROE 5442966A 368 9/1/2016 8810 FOUNDATION INC THORNTON TRUCKING INC MONROE 5424682A 750 7/16/2016 7208 AEM SOLAR LLC MONTAGUE 5436591A 750 8/15/2016 5550 FESSENDEN ADULT FOSTER CARE LLC MONTAGUE 1767526A 1,759 9/6/2016 9053 NORTHSHORE MECHANICAL LLC MONTAGUE 5442222A 7,227 8/31/2016 5550 WHITE LAKE DOCK & DREDGE INC MONTAGUE 3702871A 7,499 8/4/2016 5606 0.98 TOP NOTCH TREE & LAWN SERVICE LLP MONTROSE 3156435A 1,775 7/1/2016 0106 ACTON JOHN II MORLEY 5454190A 800 9/23/2016 2702 FOR US TREE MORLEY 4012712A 750 9/23/2016 2702 RINEHART HOME IMPROVEMENT INC MORLEY 2863359A 750 7/3/2016 5437 SCHMID CLINT C MORLEY 5030617A 750 9/27/2016 2702 U K E CAST ENGINEERING INC MORRISTOWN, NJ 3196259A 254 9/17/2016 8742 CITY CENTER SQUARE NO 4 ASSOCIATION MOUNT CLEMENS 0807940A 750 8/7/2016 8810 MADISON PROPERTIES LLC MOUNT CLEMENS 4262654A 750 8/21/2016 9015 NORTH RIVER AMOCO INC MOUNT CLEMENS 4345797B 957 7/3/2016 8017 0.95 SCHAF BRIAN J ATTORNEY AT LAW MOUNT CLEMENS 4953371A 246 7/1/2016 8810 WELL CHURCH THE MOUNT CLEMENS 1563513A 286 8/19/2016 8868 SEAN HASKE CARE MOUNT PLEASANT 4263286A 706 9/1/2016 0913 BEL AIR PAINTING LLC MT CLEMENS 5428157A 750 7/28/2016 5476 BLACKOUT PAINTING MT CLEMENS 5078830A 750 7/18/2016 5476 CARGO HEAVY DUTY INC MT CLEMENS 0037257A 706 7/3/2016 8395 1.54 13 % CLINTON RIVER CRUISE COMPANY MT CLEMENS 4883616A 2,506 8/10/2016 9058 0.95 DEAN MARINE & EXCAVATING INC MT CLEMENS 4393813A 48,970 9/30/2016 7333 1.81 13 % HP 23 LLC MT CLEMENS 4699700A 2,676 7/7/2016 9058 0.89 KOESTER BUILT MT CLEMENS 5320720A 750 9/24/2016 5437 LAKEPOINTE CONDOMINIUMS AT LAKESIDE MT CLEMENS 5273218A 800 7/9/2016 9015 ASSOCIATION LIVE OAK TREE COMPANY INC MT CLEMENS 4467035A 7,585 8/14/2016 0106 MACOMB TRANSPORTATION SERVICES LLC MT CLEMENS 4356934A 2,951 9/22/2016 7212 1.00 PACE JILL MT CLEMENS 5313791A 706 9/6/2016 0913 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 81 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PALMER WOODS ESTATES ASSOCIATION MT CLEMENS 5161401A 800 7/9/2016 9015 PRIME GREEN SCAPE INC MT CLEMENS 4632761A 4,026 9/24/2016 9102 0.94 RPK OF MICHIGAN INC MT CLEMENS 1828789A 781 8/27/2016 9058 SARNACKI HENRY E MT CLEMENS 2098830A 345 8/4/2016 8810 UPTON JONATHAN WAYNE MT CLEMENS 3786480A 1,002 7/18/2016 9521 WALLEMAN LAWN CARE LLC MT CLEMENS 4209761A 3,547 8/30/2016 9102 1.49 13 % DECORATIVE FINISH LLC MT MORRIS 4142861A 750 8/9/2016 5221 FINISHING TOUCHES DRYWALL LLC MT MORRIS 1866281A 750 9/15/2016 5445 KC HALE CERAMIC TILE MT MORRIS 5433916A 1,846 8/10/2016 5348 PANTER MASTER CONTROLS INC MT MORRIS 3807894C 659 8/30/2016 3643 0.71 PERRYS TRUCKING MT MORRIS 0914649A 750 9/25/2016 7208 SYSTEMATIC STRUCTURE SOLUTIONS MT MORRIS 0687065A 750 7/14/2016 5645 TODD KINGSBURYS DRYWALL MT MORRIS 3136990A 750 9/13/2016 5445 ACTUAL REHAB LLC MT PLEASANT 5190630A 842 9/20/2016 8835 APOLLO EXPLORATION AND DEVELOPMENT INC MT PLEASANT 1740822A 1,476 9/1/2016 6216 DOUGLAS A MCDONALD CPA PC MT PLEASANT 0542814A 418 9/16/2016 8810 FISHER IMPROVEMENTS INC MT PLEASANT 4481623A 750 9/11/2016 5437 HAYDEN LLOYD MT PLEASANT 4376048A 1,740 8/3/2016 0908 0.95 HUTCHINS CORA MT PLEASANT 5191947A 1,721 9/24/2016 0908 HYDE ANITA MT PLEASANT 5177910A 706 8/15/2016 0913 MICHIGAN HYDROCARBONS INC MT PLEASANT 2424371A 750 7/16/2016 3724 MID MICHIGAN AREA CABLE CONSORTIUM MT PLEASANT 4530187A 1,733 9/19/2016 7610 0.95 MILLER LARRY MT PLEASANT 4788494A 403 9/8/2016 0908 MITCHELL THOMAS MT PLEASANT 5121094A 2,330 8/6/2016 0908 NANO SYTHONS LLC MT PLEASANT 4913671A 329 7/21/2016 8742 BURCHAM ENTERPRISES MULLIKEN 3553914A 339 7/23/2016 8868 RESOUNDING JOY INC MULLIKEN 5424577A 1,198 8/6/2016 5190 HIAWATHA INTERPRETIVE ASSOCIATION MUNISING 5418402A 405 7/1/2016 8017 MACS TREE REMOVAL INC MUNISING 0273392A 13,732 7/10/2016 2702 0.93 MUNISING BAY SHIPWRECK TOURS INC MUNISING 3204685A 1,994 7/27/2016 8017 1.00 RICHARDSON LAND MANAGEMENT MUNISING 4675355A 750 8/5/2016 2702 VANLANDSCHOOT AND SONS INC MUNISING 5289793A 7,086 7/12/2016 7016 0.97 A C STAFFORD & SONS LLC MUSKEGON 2099047A 939 7/11/2016 0106 0.95 AMANDA FAMILY INC MUSKEGON 2078910A 59,445 7/7/2016 9053 2.03 13 % BLOOMSTROM SERVICES LLC MUSKEGON 5426626A 750 7/22/2016 5645 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 82 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUDDS CUSTOM HOME SERVICES LLC MUSKEGON 3835901A 750 7/17/2016 5437 C AND K CONVENIENCE STORE LLC MUSKEGON 5312035A 405 9/4/2016 8017 DEITZ HOUSE MOVING ENGINEERS INC MUSKEGON 0138789A 10,793 9/10/2016 5645 0.94 DEPUNG BLAIR MUSKEGON 5288533A 750 7/30/2016 5551 GRAY SPACE CONSTRUCTION MUSKEGON 3292010A 800 7/26/2016 5645 K AND K LOGISTICS LLC MUSKEGON 3179141A 751 8/19/2016 8810 KAYLA K LLC MUSKEGON 1046543A 749 7/11/2016 9058 KIRKSEY AND ASSOCIATES INC MUSKEGON 1273604A 3,820 7/3/2016 6826 0.89 MICHAEL A NIEUSMA BUILDER LLC MUSKEGON 0178551A 750 8/26/2016 5190 ONE THOUSAND 420 HOLTON ROAD LLC MUSKEGON 5300207A 544 8/25/2016 8017 POT 118 INC MUSKEGON 2327449A 2,887 7/19/2016 8395 1.00 PROCTORS CUSTOM CHROME PLATING LLC MUSKEGON 1514440A 4,079 9/4/2016 3372 1.22 10 % SECURITY STEELCRAFT CORPORATION MUSKEGON 0412724A 2,247 7/3/2016 3076 0.95 SELLE BUILDERS LLC MUSKEGON 4531833A 750 9/23/2016 5183 ALPHA COMPANY 101 LLC NAPLES, FL 5192285A 1,313 9/25/2016 5606 STEELE RAY NASHVILLE 5237122A 750 8/5/2016 2702 ANDREW HILL AND COMPANY LLC NEGAUNEE 5426294A 750 7/21/2016 2702 EARL INC NEGAUNEE 1768417A 18,425 9/6/2016 5038 0.84 METHOD LUCILLE NEGAUNEE 5441668A 1,795 8/27/2016 8835 PENINSULA ARTS APPRECIATION COUNCIL NEGAUNEE 5429439A 8,827 7/30/2016 5437 UPPER PENINSULA ABATEMENT COMPANY INC NEGAUNEE 4650190A 1,933 7/28/2016 5183 0.92 ALL ABOUT CATERING LLC NEW BALTIMORE 5454948A 1,658 9/25/2016 9058 CHESTERFIELD DESIGN NEW BALTIMORE 3947700A 284 7/10/2016 8601 COVER ALL CONSTRUCTION INC NEW BALTIMORE 2982765A 1,617 7/8/2016 5437 0.95 EXTREME HOME IMPROVEMENT INC NEW BALTIMORE 2821311A 750 8/20/2016 5437 0.95 FOX IMPROVEMENTS LLC NEW BALTIMORE 1465317A 1,512 9/3/2016 5538 FRAME 2 FINISH LLC NEW BALTIMORE 4822358A 750 9/18/2016 5348 GLASS BLOCK CONCEPTS NEW BALTIMORE 2230151A 750 9/13/2016 5022 PAR LANDSCAPING NEW BALTIMORE 5139678A 750 9/9/2016 9102 SRC ELECTRIC LLC NEW BALTIMORE 5261422A 698 8/28/2016 5190 ELKS LLC NEW BOSTON 4524993A 750 9/6/2016 5445 PIPES R US LLC NEW BOSTON 1639994A 750 7/17/2016 5183 SINCLAIR DONALD NEW BOSTON 2836416A 226 7/7/2016 8810 BERRIEN COUNTY GREEK ORTHODOX NEW BUFFALO 3535703A 275 7/28/2016 8868 COMMUNITY

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge REGINA HOMES INC NEW BUFFALO 5177820A 759 8/17/2016 5645 0.95 V I P POOL SERVICES LLC NEW BUFFALO 5430232A 4,574 8/11/2016 9015 C AND K ROOFING SYSTEMS NEW HAVEN 3392414A 750 9/17/2016 5552 GREAT LAKES TRANSPORTATION INC NEW HUDSON 2252716A 840 9/6/2016 8810 0.95 MAXWELL IRRIGATION INC NEW HUDSON 0772909A 3,030 7/1/2016 5183 COOKINGHAM GARY NEW LOTHROP 5450870A 751 9/16/2016 5437 JT PAINTING NEW LOTHROP 4543491A 750 7/7/2016 5476 MED PREP CONSULTING GROUP LLC NEW YORK, NY 5443628A 250 9/21/2016 8832 SOHO EXPERIENTIAL LLC NEW YORK, NY 5192510A 786 9/27/2016 8742 ACTON STORM NEWAYGO 5429447A 800 7/30/2016 2702 ALPINE TREE SERVICE LLC NEWAYGO 3504840A 5,419 9/30/2016 0042 1.31 13 % BEAVER TREE SERVICE LLC NEWAYGO 3069494A 3,708 8/3/2016 0106 0.95 STEVE GOERKE BUILDER NEWAYGO 3463281A 750 7/25/2016 5645 WYN LARRY NEWAYGO 4909313A 750 9/16/2016 5348 ANDERSON BRIAN DALE NEWBERRY 3637131A 3,842 9/27/2016 7208 0.93 BROWN JOHN D NEWBERRY 2199696A 750 9/26/2016 3365 GINNEVER ELECTRIC LLC NEWBERRY 5437873A 2,993 8/20/2016 5190 KENS LOGGING NEWBERRY 4968999A 750 9/17/2016 2702 KIMBLER LOGGING NEWBERRY 4885228A 750 7/15/2016 2702 MATTSON TRUCKING NEWBERRY 5424810A 750 7/17/2016 7208 NEWHOUSE CONSTRUCTION NEWBERRY 0556831A 750 8/9/2016 5645 OBERLE JAMES F NEWBERRY 5012392A 635 8/10/2016 9521 PIZZA PLACE NEWBERRY 0997390A 752 9/29/2016 9058 HOUSING SPECIALISTS INC NEWPORT 2014580A 2,779 9/22/2016 8387 NEWPORT BP GAS INC NEWPORT 4415426A 821 9/15/2016 8017 0.95 STAELGRAEVE PROPERTIES INC NEWPORT 5294886A 750 7/24/2016 5645 TOUCH OF GLASS COMPANY NEWPORT 3163610A 750 9/14/2016 9015 WIGGINS DEVELOPMENT GROUP INC NEWPORT 4737652A 750 9/29/2016 0042 0.92 NAVNEET INC NEWTOWN, PA 3980545A 1,789 9/8/2016 8017 0.95 BITTERSWEET FARM ENTERPRISES LLC NILES 3086119A 2,214 8/7/2016 8831 0.95 BRUSKY TRUCKING & CONSTRUCTION NILES 0733903A 37,316 7/23/2016 8395 1.49 13 % C AND B TREE NILES 3151174A 6,249 7/10/2016 0106 0.93 COLBY EVENT SERVICES LLC NILES 5298091A 2,630 8/16/2016 9015 DOWLING LAW OFFICE NILES 2369982A 308 8/26/2016 8810 F AND F ALL SEASONS INC NILES 3055418A 750 8/8/2016 9015 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 84 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PAUSTIAN TRANSPORT SERVICES LLC NILES 3686256A 1,811 9/23/2016 7208 STARBUCK CONSTRUCTION INC NILES 0514900A 2,800 8/1/2016 5645 0.95 TUCKER JIM NILES 3106233A 750 7/17/2016 8279 NORTH ADAMS VILLAGE OF NORTH ADAMS 0619930A 3,706 9/7/2016 5509 0.94 A D BARNS BLDGS & MORE LLC NORTH BRANCH 2064863A 4,592 7/22/2016 5645 0.95 CUSTOM EXTERIORS NORTH BRANCH 3536157A 750 9/1/2016 5645 NATURAL CONNECTION LLC NORTH BRANCH 4903234A 801 8/30/2016 9015 NORTH BRANCH TOWNSHIP NORTH BRANCH 0298905A 3,679 7/1/2016 9410 1.05 SESTRA COMMUNICATIONS CORP NORTH BRANCH 5293464A 750 7/22/2016 7600 MICKEY WINTER INC NORTH LIBERTY, IN 5181097A 800 8/23/2016 5551 GYM IN MUSKEGON INC NORTH MUSKEGON 3684300A 374 7/15/2016 9063 LADAS HOOPES MCNEILL LAW PLC NORTH MUSKEGON 1231073A 769 7/27/2016 8820 1.00 IMPERIAL HOMES MI INC NORTHBROOK, IL 4773055A 906 7/13/2016 5645 0.95 CARLSON SHARON NORTHPORT 1682954A 1,319 7/5/2016 0130 1.00 AMBE ENGINEERING LLC NORTHVILLE 3599337A 448 8/3/2016 8810 AMBULATORY ANESTHESIA SOLUTIONS LLC NORTHVILLE 5417716A 431 7/2/2016 8810 BAIRD LINDSEY T NORTHVILLE 4785029A 706 8/24/2016 0913 BOOKER CONTRACTING LLC NORTHVILLE 5435781A 1,616 8/14/2016 3365 CHIRRI BUILDING & REMODELING INC NORTHVILLE 4854217A 750 8/11/2016 5437 DAZZLING DESIGNS LLC NORTHVILLE 5313759A 750 9/6/2016 5645 FRANK SINELLI CEMENT COMPANY INC NORTHVILLE 0360040A 1,046 9/12/2016 5221 GARY K BAILEY INC NORTHVILLE 3203786A 396 7/30/2016 8810 HIGGS ENGINEERING INC NORTHVILLE 5007437A 581 8/1/2016 8010 0.95 JOHN MUIR LLC NORTHVILLE 3354962A 750 7/17/2016 5190 MCKNIGHT DANIEL A NORTHVILLE 5294916A 909 7/25/2016 0908 MEM DEVELOPING LLC NORTHVILLE 3812146A 750 8/8/2016 5022 METRO ALARM SYSTEMS LLC NORTHVILLE 3773582A 862 8/16/2016 5191 MORRIS PAINTING INC NORTHVILLE 1998366A 2,607 9/11/2016 5476 0.92 PC INFORMATION TECHNOLOGIES INC NORTHVILLE 0796735A 225 7/12/2016 8810 POINT WEST DEVELOPMENT NORTHVILLE 0072427A 750 9/7/2016 5437 S AND C CAULKING LLC NORTHVILLE 5178347A 800 8/16/2016 5022 TREETOPS NORTH ESTATES CONDOMINIUM NORTHVILLE 5296145A 752 8/1/2016 8810 ASSOCIATION INC VINES JAMES M NORTHVILLE 1973827A 750 7/23/2016 5645 VINES MICHAEL V NORTHVILLE 5294673A 750 7/24/2016 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge W M CONSULTING LLC NORTHVILLE 4994256A 2,211 9/13/2016 7720 LIVE GLUTEN FREE BAKERY LLC NORTON SHORES 5442923A 1,302 9/1/2016 2003 SMBM INC NORTON SHORES 1571982A 2,456 8/12/2016 9058 0.95 PETERSON WELDING NORWAY 0196410A 750 8/29/2016 3365 ABBOUD ABBOUD LTD NOVI 3453529A 326 8/27/2016 8810 ABC CONSTRUCTION LLC NOVI 5314232A 800 9/9/2016 5403 ABLE MAINTENANCE INC NOVI 4218590A 750 7/17/2016 9015 ALEX ROOFING NOVI 5431263A 750 8/4/2016 5551 DOLLAR SEASON INC NOVI 5264839A 1,318 8/28/2016 8010 DRL BUILDING CO LLC NOVI 5455375A 750 9/26/2016 5645 FIDELITY COMMUNICATIONS CORP NOVI 0800996A 1,650 8/15/2016 5191 1.00 GERTLEYS LAWN & GARDEN CARE LLC NOVI 5421292A 750 7/7/2016 0042 GET BACK UP INC NOVI 4511719A 5,584 9/9/2016 9015 0.87 GORDON B HALL AND SONS INC NOVI 0276073A 920 7/1/2016 5606 0.95 HARBOR COVE CONDOMINIUM NOVI 2267594A 751 7/24/2016 9015 ISCM LLC NOVI 5437881A 5,758 8/20/2016 8292 JOHN C LAKSO MEMORIAL REAL ESTATE LLC NOVI 5446945A 750 9/10/2016 9015 JULIANA AND SHAIDA INC NOVI 5378290B 405 7/25/2016 8017 LAKEVIEW CONTRACTING COMPANY NOVI 3936546A 800 9/20/2016 5437 LEO GROUP LLC NOVI 3067459A 800 9/7/2016 9015 MAGNETECH CORPORATION NOVI 4100565A 417 9/13/2016 3179 MAPLES OF NOVI MAPLE HILLS ASSOCIATION NOVI 3257363A 800 7/16/2016 9015 MINASIAN DEVELOPMENT CORP NOVI 0448699A 254 8/24/2016 8742 NORTHBROOK PSYCHOLOGICAL CLINIC PLC NOVI 3706117A 467 9/10/2016 8832 NOVI LIQUOR & WINE INC NOVI 4453220A 1,322 9/12/2016 8017 0.95 NOVI OFFICE CENTRE LLC NOVI 3969649A 751 9/10/2016 9015 NOVI PARK INC NOVI 4801415A 3,181 9/27/2016 9058 1.00 PATTERSON DANIELL R & NICOLE M NOVI 5291542A 1,262 7/17/2016 0913 PINNACLE NORTH LLC NOVI 3215229B 800 8/14/2016 9015 PYPER PLACEMENTS LLC NOVI 0639605A 758 9/1/2016 8810 0.93 SCI SERVICES LLC NOVI 5407800A 906 8/19/2016 7720 MELCHING INC NUNICA 0003301A 800 7/4/2016 5183 1.35 13 % DOWLING CREEK CAMP LLC OAK LAWN, IL 5438799A 3,388 8/26/2016 5645 ACF BUILDING CO LLC OAK PARK 5434890A 750 8/12/2016 5645 AIR DUCT CLEANING INC OAK PARK 2266679A 750 9/3/2016 5550 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 86 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BRICCO EXCAVATING COMPANY LLC OAK PARK 2765730A 129,171 9/1/2016 6319 1.81 27 % CULINARY ASSOCIATES A TASTE OF ELEGANCE OAK PARK 5437474A 767 8/19/2016 9058 INC FORGOTTEN HARVEST FARMS LLC OAK PARK 5156084A 5,000 7/1/2016 0011 0.94 FRANKLIN PAVING INC OAK PARK 5441790A 1,662 8/27/2016 5221 IMPACT MEDIA CONSTRUCTION INC OAK PARK 0215694A 4,192 8/7/2016 9015 1.00 MAPLE HOME HEALTH CARE INC OAK PARK 5160065A 599 7/2/2016 8835 SCHWARCZ MIRJAM AND GARY OAK PARK 5352932A 809 9/19/2016 0908 THERMAL SYSTEMS CONSTRUCTION INC OAK PARK 2658682A 750 8/20/2016 5476 0.95 WILLIAMS SPRINKLER SERVICES OAK PARK 3813630A 750 7/24/2016 0042 WOODWARD RENOVATIONS LLC OAK PARK 5438004A 18,584 8/21/2016 5551 RS LOGISTICS CORPORATION OAKLAND 4894642A 750 8/9/2016 7208 MODERN BUILDING SERVICES INC OAKLAND TWP 1587170A 1,588 7/17/2016 9015 1.00 AUBURN HEATHER DOWNS APTS OAKWOOD, GA 2501317A 750 9/29/2016 9015 H AND P ENTERPRISES OAKWOOD, GA 3361802A 751 7/27/2016 9015 0.95 ROYAL COMMUNICATIONS INTERNATIONAL INC OCEANSIDE, CA 5191955A 368 9/24/2016 8810 BRADY BRIAN OKEMOS 5430453A 1,933 8/4/2016 0128 DWIGHT COOK BUILDERS OKEMOS 1867245A 750 8/27/2016 5645 0.95 HARRINGTON LOGISTICS LLC OKEMOS 5286107A 330 7/2/2016 8742 LIGHT OF DAY CONSTRUCTION LLC OKEMOS 4856384A 2,175 9/30/2016 5645 MICHIGAN DEMOLITION & EXCAVATION LLC OKEMOS 4861566A 4,656 9/16/2016 6217 0.95 NATIONAL BRIDGE LLC OKEMOS 4551133A 1,247 7/1/2016 3365 J AND L EXTERIORS INC OLIVET 3804941A 940 7/14/2016 5551 0.95 ROBINSON AND SONS TRUCKING OLIVET 4236343A 750 9/30/2016 7208 SHANNON APARTMENTS LLC OLIVET 4935063A 1,793 9/6/2016 9015 1.00 SCHLEEF ELIZABETH OMENA 5430313A 2,327 8/1/2016 0908 OMER ROOFING AND INSULATION OMER 0325040A 4,544 7/20/2016 5479 1.17 13 % C AND M MASONRY ONAWAY 3053091A 1,901 9/4/2016 5221 0.95 CROAD SALVAGE ONAWAY 4919270B 3,915 9/6/2016 3821 0.91 FOREST WAVERLY TOWNSHIP FIRE DEPARTMENT ONAWAY 1052977A 2,110 9/3/2016 7904 0.95 WHITE TAIL DRILLING LLC ONAWAY 5168961A 1,599 7/12/2016 6319 0.95 OHEARON LOGGING INC ONONDAGA 0570931A 800 7/3/2016 2702 ANTARES ENGINEERING LLC ONSTED 4927052A 359 7/27/2016 8601 BOSHART ENGINEERING INC ONTARIO, CA 3599027A 479 7/10/2016 4511

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BOTTOMLINE BOOKKEEPING & TAX SERVICES ONTONAGON 1626590A 225 7/8/2016 8810 INC NORTHERN LAND & SALES II LLC ONTONAGON 2641437A 257 9/5/2016 8810 CREATIVE RT LLC OPELIKA, AL 4879937A 2,409 7/25/2016 8017 0.95 KAPPY IRVIN J DR ORCHARD LAKE 2589800A 453 8/16/2016 0908 KOJAIAN MIKE ORCHARD LAKE 0324108A 403 7/25/2016 0908 MCINTYRE BRUCE H ORCHARD LAKE 2625113A 750 7/14/2016 5645 BORETECH INC OREGON CITY, OR 5241561A 3,926 9/19/2016 6325 NORTHSTAR ALARM SERVICES LLC OREM, UT 3773990A 7,582 8/27/2016 5191 0.91 ACTIN INC ORION 1971239A 750 7/26/2016 5022 JIMCO CONSTRUCTION COMPANY LLC ORION 2077531A 750 9/15/2016 5645 WELLCRAFT INTERIORS LLC ORION 1224476A 750 7/21/2016 5645 GET NAILED CONSTRUCTION LLC ORLEANS 5435528A 800 8/13/2016 5645 BIG D CONSTRUCTION INC ORTONVILLE 1812068A 825 7/21/2016 5550 COLORSCAPE DESIGNS INC ORTONVILLE 5287669A 751 7/8/2016 0042 COUNTRY COUNTER TOPS INC ORTONVILLE 2311500A 825 8/20/2016 2812 DARREN BROWN CONSTRUCTION LLC ORTONVILLE 4202864A 750 8/22/2016 5645 0.95 G F WOODWORKS LLC ORTONVILLE 3541126A 800 7/14/2016 5437 ICR ON SITE LLC ORTONVILLE 4982428A 825 9/2/2016 8264 INTEGRITY CONTRACTING INC ORTONVILLE 5313716A 8,719 9/8/2016 5476 KENS CONEY ISLAND ORTONVILLE 3029026A 420 7/28/2016 9058 MDTS LLC ORTONVILLE 4465474A 56,839 7/30/2016 5102 0.85 MID MICHIGAN SEAL COATING LLC ORTONVILLE 4897846A 3,260 7/25/2016 5221 0.95 SHERER CONSTRUCTION INC ORTONVILLE 1959344A 750 7/17/2016 5551 TRIM WORKS CARPENTRY INC ORTONVILLE 3661342A 750 9/2/2016 5437 TRITON SERVICES ORTONVILLE 2281007A 750 8/28/2016 5445 TUCKERS TREE AND LANDSCAPE ORTONVILLE 2218410A 3,038 8/23/2016 0106 0.95 CONSTRUCTION LLC CURTIS FIRST RESPONDERS INC OSCODA 3805107A 680 7/22/2016 7980 SURF N SAND CONDOMINIUM ASSN OSCODA 1043536A 750 7/7/2016 9015 BLACKJACK LLC OSHKOSH, WI 0001767A 2,662 7/16/2016 9015 1.52 13 % SEA OF GLASS INC OSHTEMO 4673794A 16,022 8/10/2016 9015 1.00 SCHWARTZ EXCAVATING AND CONTRACTING INC OSSINEKE 3308464A 750 9/12/2016 6217 GARLS CONSTRUCTION LLC OTISVILLE 5306809A 750 8/22/2016 8810 HAGEN ENTERPRISES LLC OTSEGO 4514076A 284 7/28/2016 8601 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NOWAKOWSKI HENRY OTTAWA LAKE 5441641A 334 8/27/2016 8601 R J GUTTERING OTTER LAKE 3958230A 750 8/11/2016 5437 1.00 N L WILSON MOVING INC OVERLAND PARK, KS 5455081A 800 9/25/2016 8293 DAVES GENERAL REPAIR OVID 5447909A 750 9/12/2016 5550 VINCENTS UNDERGROUND OVID 5436559A 1,902 8/15/2016 7600 BRANDT CONSTRUCTION OWOSSO 5456290A 750 9/29/2016 5538 CONSTINE TRANSPORT CO LLC OWOSSO 5448778A 825 9/14/2016 7208 DUNNING TRANSIT LLC OWOSSO 5456711A 750 9/30/2016 7219 HALL BARBARA OWOSSO 2538881A 5,841 9/18/2016 9053 0.94 HUMAN INVESTMENT & DEVELOPMENT OWOSSO 1103326A 568 8/30/2016 8810 0.95 CORPORATION KAP CONTROLS INC OWOSSO 3717402A 284 7/8/2016 8601 MICHAELS DRYWALL CO OWOSSO 3611531A 7,794 7/3/2016 5445 0.91 PRIME TIME PIZZA & DELI LLC OWOSSO 4162293A 1,392 7/12/2016 9058 0.95 SAGE VALLEY BUILDERS LLC OWOSSO 3585832A 1,048 9/30/2016 5645 TELECOM TOWER & POWER SERVICES LLC OWOSSO 4624343A 825 8/8/2016 5102 0.95 TRECHA MATTHIES ENTERPRISES LLC OWOSSO 4672216A 2,450 9/30/2016 9058 0.95 BLUE PILLAR CONSTRUCTION LLC OXFORD 5424631A 3,438 7/16/2016 5551 BRADLEY DUANE LLC OXFORD 5434637A 2,431 8/8/2016 5476 DISTINCT DEVELOPMENTS LLC OXFORD 4440730A 750 9/11/2016 5645 DIXON ROBERT OXFORD 5437113A 750 8/18/2016 5645 GREENER CLEANER CARPET CLEANING AND OXFORD 5207118A 1,708 7/22/2016 9015 MORE LLC HASKE HOME SERVICES INC OXFORD 4618556A 862 8/20/2016 5183 0.95 HILTON CONSTRUCTION LLC OXFORD 5176727A 750 9/15/2016 5437 1.00 JCN PROPERTIES LLC OXFORD 5027470A 825 9/20/2016 5645 JET AIRE SERVICE INC OXFORD 3488802A 1,912 7/27/2016 5550 0.95 KERSON CONCRETE LLC OXFORD 1791796A 3,660 7/30/2016 5221 0.95 PERSONAL TOUCH MOVING INC OXFORD 3813380A 15,449 8/24/2016 7214 0.84 PRODUCTION FIRM OF DAVID ZAVOLTA INC OXFORD 3071332A 479 7/22/2016 7610 SUREGUARD CONSTRUCTION COMPANY INC OXFORD 2435403A 750 9/22/2016 5645 TLG HANDYMAN OXFORD 3590330A 6,119 9/26/2016 5551 0.95 DIAMOND 45 TRANSPORT LLC PAINESDALE 4154282A 750 8/7/2016 7208 MORIARTY ADAM AND CHARLOTTE PARCHMENT 5170605A 706 7/27/2016 0913 SA BUILDERS PARMA 5453569A 750 9/22/2016 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PEAT RANDALL PAW PAW 1607138A 850 7/15/2016 0011 BOWERS TRUCKING LLC PECK 5441897A 1,881 8/28/2016 7208 BEN JOHNSON CONTRACTING LLC PELKIE 4766890A 800 7/10/2016 6217 KOSTAMO LOGGING PELKIE 0430323A 750 7/28/2016 7216 KRAKER WILLIAM PELKIE 2503140A 284 9/25/2016 8601 VAN PELT CONSTRUCTION CO PELLSTON 2470098A 825 7/31/2016 8810 0.95 FIVE STAR TECHNICAL SERVICES INC PENSACOLA, FL 3536661A 463 9/13/2016 8810 ADAMS MARINE CONSTRUCTION INC PENTWATER 5297672A 5,885 7/29/2016 6217 0.95 C N M ENTERPRISES INC PENTWATER 1086898A 1,137 7/17/2016 9058 0.95 ADVANCED CORRECTIONAL HEALTHCARE PEORIA, IL 4246241A 1,421 8/1/2016 8832 DEBS TRUCKING INC PERRY 5063612A 9,916 9/6/2016 7208 0.95 GREENE ENVIRONMENTAL SERVICES LLC PERRY 5305268A 750 8/20/2016 5183 TOMPKINS NICHOLAS PERRY 2657317A 750 8/7/2016 5445 BEDFORD LAWN AND SNOW INC PETERSBURG 5424640A 1,228 7/16/2016 9102 DECORATIVE WINDOW & FABRICATION LLC PETERSBURG 4534581A 635 9/30/2016 9521 CONLIN FOREST PRODUCTS PETOSKEY 0888052A 750 9/19/2016 2702 ELLIOTT INVESTMENT CO INC PETOSKEY 4717309A 750 7/24/2016 9015 GRAND PA JOES CONSTRUCTION LLC PETOSKEY 1492756A 750 8/19/2016 5645 JOSH SWISS BUILDING & REMODELING LLC PETOSKEY 5312698A 750 9/5/2016 5645 PERFORMANCE UNLIMITED SALES INC PETOSKEY 4534603A 313 9/26/2016 8748 PRESTON KLOSS ENTERPRISES L L C PETOSKEY 3305392A 334 7/25/2016 8601 THEMETECH CUSTOM COMPONENTS PHOENIX, AZ 5434840A 431 8/12/2016 8810 NEWELL CHARLES PICKFORD 0282448A 750 8/20/2016 2702 SKINNER WILLIAM PICKFORD 4367952A 750 9/25/2016 7208 METAL TITE PRODUCTS A CORP PICO RIVERA, CA 3704777A 999 7/1/2016 8742 BEST REPAIR SERVICE LLC PIERSON 5425492A 750 8/8/2016 5645 VAN HAREN PAINTING & DECORATING PIERSON 4362934A 750 7/29/2016 5476 AEROSCAPE LANDSCAPING INC PINCKNEY 1996720A 750 9/17/2016 0042 ALL POINT BUILDERS PINCKNEY 1824457A 800 7/15/2016 5022 ARBANAS CONTRACTING PINCKNEY 4021070A 750 9/14/2016 5476 EDDIES POOL SERVICES LLC PINCKNEY 5286603A 750 7/4/2016 5223 KERNICKYS DRYWALL PINCKNEY 5013780A 751 8/11/2016 5445 LIGHT OF THE WORLD ACADEMY PINCKNEY 5446902A 349 9/10/2016 8868 MJ WINDOW CLEANING CO INC PINCKNEY 3186270A 4,216 7/19/2016 9015 0.95 PINCKNEY TRUCKING & EXCAVATING INC PINCKNEY 2842530A 3,116 8/4/2016 6217 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 90 Assigned Risk Renewals: July/August/September

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3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 91 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STAFFORCE LLC PLYMOUTH 3522636A 932 7/13/2016 8810 0.95 STELLA CONTRACTING INC PLYMOUTH 0222569A 750 7/10/2016 5645 VARIATION REDUCTION SOLUTIONS INC PLYMOUTH 3445216A 825 7/3/2016 3724 0.89 VIADERM LLC PLYMOUTH 5182778A 1,025 8/30/2016 4511 VILLAS ASSOCIATION PLYMOUTH 3356280A 750 7/15/2016 9015 AFFORDABLE AUTO SALES OF MICHIGAN INC PONTIAC 4788737A 275 9/23/2016 8810 0.95 AGS FRAMING PONTIAC 5446252A 750 9/9/2016 5445 ARCH PAINT PONTIAC 4044975A 750 9/30/2016 5476 0.95 ART EXPERIENCE INC PONTIAC 5291658A 503 7/17/2016 8868 C AND T BRICK CLEANING & CAULKING INC PONTIAC 3802221A 825 7/21/2016 5022 CASTILLO CARMELO MORA PONTIAC 5431239A 750 8/4/2016 5445 DANIELS MASONRY INC PONTIAC 5453747A 2,472 9/30/2016 5022 DIXS ELECTRICAL SERVICES INC PONTIAC 4980778A 698 7/24/2016 5190 0.95 FRIENDS ASSISTING IN RECOVERY INC PONTIAC 2427486A 1,330 7/30/2016 9063 0.95 GARZA MASONRY BROTHERS INC PONTIAC 5025290A 12,426 9/18/2016 5022 0.95 GONZALEZ DRYWALL PONTIAC 5419689A 750 7/7/2016 5445 H AND R LOPEZ MASONRY CO PONTIAC 3371913A 4,008 7/16/2016 5022 0.95 HARRIS HAROLD PONTIAC 5289335A 2,430 7/18/2016 0908 0.95 HAVEL HOME IMPROVEMENT PONTIAC 2994240A 750 7/25/2016 5645 0.95 HERIBERTO MASONRY PONTIAC 2807971A 2,586 7/29/2016 5022 HERIBERTO PAINTING & LANDSCAPING INC PONTIAC 5472075A 750 8/15/2016 0042 HOME IMPROVEMENT BY JOSE PONTIAC 4059654A 750 8/25/2016 5445 JML CONSTRUCTION CO PONTIAC 3497933A 3,924 8/6/2016 5022 1.31 13 % JUNIORS ROOFING COMPANY PONTIAC 5434610A 7,440 8/11/2016 5551 MI RELIABLE CARE LLC PONTIAC 5424607A 750 7/20/2016 7212 MICHIGAN ANIMAL RESCUE LEAGUE INC PONTIAC 1291661A 5,397 8/30/2016 8831 0.91 MIKE AND LOUIS PIANO MOVING ENGINEERS INC PONTIAC 2080605A 5,224 7/1/2016 8293 0.89 OAKLAND OFFICE INTERIORS LLC PONTIAC 3829472A 5,977 7/16/2016 5146 1.41 27 % OYARVIDE SEBASTIAN PONTIAC 5301076A 800 8/19/2016 5437 PRIME TIME SERVICES PONTIAC 5450853A 750 9/17/2016 5476 RONEEF TROUTMAN TRUCKING PONTIAC 5120780A 750 7/1/2016 7216 ROOF ONE LLC PONTIAC 3548600A 4,210 9/18/2016 5645 0.93 SALMER ORCHARD ASSOCIATES LLC PONTIAC 0977098A 1,610 9/25/2016 9015 0.95 SIMPLY CLEAN JANITORIAL SERVICES LLC PONTIAC 5422736A 750 9/29/2016 9015 SKYLINE CRANE SERVICE INC PONTIAC 3271684A 2,915 8/1/2016 9530 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 92 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TWO BROTHERS PAINTING COMPANY PONTIAC 5441889A 6,304 8/28/2016 5476 VINNYS LANDSCAPING INC PONTIAC 3826163A 21,558 7/2/2016 0042 0.83 WALNUT TREE SERVICES PONTIAC 4490541A 750 9/9/2016 0106 EXPERIENCE MISSION INC PORT HADLOCK, WA 5031400A 799 9/27/2016 8742 ACE ANSWERING SERVICE INC PORT HURON 1809490A 226 9/13/2016 8810 BLACK RIVER PARTY STORE OF PORT HURON PORT HURON 4889134A 872 7/26/2016 8017 LLC CHARLES MILLER BUILDER INC PORT HURON 1566091A 750 8/2/2016 5645 COLETTA BUILDING INC PORT HURON 2523396A 750 8/25/2016 5645 DORTMANN ENGINEERING ASSOCIATES PC PORT HURON 3059227A 225 8/18/2016 8810 GEORGE AND KATHERYN CORDAN PORT HURON 5293502A 706 7/22/2016 0913 IRREVOCABLE TRUST NATIONAL TOWER AND TELCO LLC PORT HURON 4423054A 29,230 8/26/2016 5102 0.76 PORT HURON YACHT CLUB INC PORT HURON 2350580A 558 8/5/2016 8810 S A TORELLO DEMOLITION INC PORT HURON 4274458A 13,824 7/16/2016 5645 0.84 VINCENTS HEATING & PLUMBING INC PORT HURON 0084158A 19,642 7/1/2016 5550 2.14 13 % WAYNECO CONSTRUCTION LLC PORT HURON 4180704A 934 7/12/2016 5645 0.95 AGAIN PAINTING LLC PORTAGE 4647840A 750 7/21/2016 5476 DAVID AND SONS CONTRACTING LLC PORTAGE 5329760A 750 9/18/2016 5645 DISASTER RESTORATION INC PORTAGE 3589420A 751 8/20/2016 9015 0.95 J W HOME MAINTENANCE & REPAIR LLC PORTAGE 5454697A 750 9/24/2016 5645 MICHIGAN PERSONALIZED HOME CARE LLC PORTAGE 5285100A 7,247 7/11/2016 8835 0.95 PALMATIER ENTERPRISES INC PORTAGE 5421870A 596 7/8/2016 4511 PARAGON HOME HEALTHCARE INC PORTAGE 4460375A 13,527 8/27/2016 8835 0.77 WONDERS SERVICE LLC PORTAGE 3745155A 750 9/22/2016 5550 GALT USA LTD PORTLAND, OR 5303621A 393 8/14/2016 8601 MID MICHIGAN WELDING LLC PORTLAND 4053281A 750 9/14/2016 3365 WINDY BROOK COMPANIES INC PORTLAND 5429706A 750 7/31/2016 5348 MJB MOBILE & MODULAR INC POSEN 3167810A 2,038 7/15/2016 8387 0.95 POSEN AREA FIRE AUTHORITY POSEN 1026313A 1,396 7/8/2016 7704 TERWILLIGER CONTRACTING LLC POTTERVILLE 4990668A 800 9/5/2016 5645 0.95 KEITH STONE BUILDERS PRESCOTT 4123816A 750 8/18/2016 5551 RJS COMPLETE BARN SERVICE PRESCOTT 4474929A 2,678 9/29/2016 5403 0.93 MID MICHIGAN TRANSPORTATION CONNECTION PRUDENVILLE 5318254A 850 9/19/2016 7212 INC LEE TOWNSHIP OF ALLEGAN COUNTY PULLMAN 0428825A 10,929 8/17/2016 7904 0.88 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 93 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CPS LLC QUINCY 4551346A 6,501 9/4/2016 5476 0.95 ANTHONY P BELLMORE INC QUINNESEC 2295156A 750 8/23/2016 7208 S AND S FARMS RAMONA, CA 4789644A 3,378 9/9/2016 0129 0.95 FNG MECHANICAL LLC RAPID CITY 1273612A 850 8/7/2016 5550 UNLIMITED OUTDOORS LLC RAPID CITY 3009149A 3,779 8/9/2016 0042 0.95 CAM TELECOM RAVENNA 4647084A 800 7/17/2016 7600 HENDGES FOREST PRODUCTS RAVENNA 1964348A 750 7/29/2016 2702 SHENKENBERG JOHN RAVENNA 4774906A 750 7/28/2016 2702 WAGNER GAS AND OIL LLC RAVENNA 4640128A 539 9/29/2016 1320 0.95 PELLERITO CONTRACTING CORP RAY 3285529A 750 9/18/2016 5022 SLANEC ZACHARY RAY 5007011A 606 7/28/2016 0908 VANHAVERBECK CUSTOM BUILDER INC RAY 4506642A 750 8/20/2016 5437 MEE MAWS LLC RAY TWP 5309948A 758 8/29/2016 8869 TUCHO CONSTRUCTION INC RAY TWP 0500860A 893 8/20/2016 5022 ALEX CAULKING INC REDFORD 3894797A 750 9/19/2016 5022 0.95 ALWAYS CARING HOME HEALTH CARE LLC REDFORD 5441676A 599 8/27/2016 8835 ARCIERO GIOVANNI REDFORD 4243188A 1,161 8/2/2016 0913 0.95 AVICHOUSER GRETCHEN REDFORD 5289068A 706 7/10/2016 0913 BALAKA HOLLY REDFORD 4012674A 909 8/20/2016 0908 BARNABAS HEALTH CARE INC REDFORD 4611136A 645 7/30/2016 9053 BARNES REGINA REDFORD 5289041A 909 7/10/2016 0908 BELL IYONNA REDFORD 5425441A 706 7/18/2016 0913 BERLINGIERI GEORDI REDFORD 5179297A 403 8/20/2016 0908 BRANDT BRIAN REDFORD 4248953A 403 8/2/2016 0908 BURGERS N STUFF REDFORD 1927159A 419 8/21/2016 9058 CBN CARPENTRY LLC REDFORD 5432987A 2,723 8/7/2016 5437 COPE SHANNON REDFORD 4565517A 750 7/15/2016 5645 CURRY ALEXANDRIA REDFORD 5425662A 706 7/18/2016 0913 CURTIS DORCHESTER LLC REDFORD 5291496A 750 7/18/2016 5645 DETROIT HOME HEALTH CARE INC REDFORD 4827341A 978 7/1/2016 8835 0.95 EDWARDS CONTRACTING REDFORD 2832178A 748 9/10/2016 5190 EDWARDS DALE REDFORD 5179203A 403 8/20/2016 0908 FARDOUN NOUR REDFORD 5425298A 403 7/18/2016 0908 FENECH MEGAN REDFORD 5288916A 403 7/10/2016 0908 GARDNER JEREMIAH REDFORD 5288975A 403 7/10/2016 0908 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 94 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GERGES DAVID REDFORD 5288860A 403 7/10/2016 0908 HOKETT MARY REDFORD 5288819A 706 7/10/2016 0913 HUGHES CONNELLY JR REDFORD 5179467A 403 8/20/2016 0908 HUGHES TANISHA REDFORD 5425387A 403 7/18/2016 0908 HUNGRY HOWIES 6 INC REDFORD 1116762A 17,235 9/21/2016 9058 1.70 13 % JOHNSON CECIL III REDFORD 5179181A 403 8/20/2016 0908 JOHNSON STEVEN REDFORD 4561058A 909 7/10/2016 0908 K AND J PROPERTY PRESERVATION GROUP INC REDFORD 4586964A 7,394 8/25/2016 9015 0.89 KIMBROUGH LORI REDFORD 5288827A 706 7/10/2016 0913 KONARZ ANNA LAURA REDFORD 5179351A 606 8/20/2016 0908 LAWLESS CRISTIAN REDFORD 5179998A 1,315 8/21/2016 0908 LINDLBAUER JESSE REDFORD 5179939A 1,212 8/21/2016 0913 MARSH AUTUMN REDFORD 5288894A 403 7/10/2016 0908 METHODIST CHILDRENS HOME SOCIETY REDFORD 0284890A 187,063 7/31/2016 8833 1.95 20 % MITCHELL HANNAH REDFORD 5288851A 403 7/10/2016 0908 NABOZNY CONSTRUCTION REDFORD 4891546A 750 9/8/2016 5476 NEW H AND H CORP REDFORD 0088617A 1,492 7/26/2016 8395 0.95 NORWOOD BOYLE CONSTRUCTION SERVICES REDFORD 3979458A 3,971 8/18/2016 5606 0.92 LLC OLIVAS DEAN JR REDFORD 5180015A 606 8/21/2016 0908 PALAZZOLO AMANDA REDFORD 5179947A 606 8/21/2016 0908 PAUL GRIWICKI WINDOW TREATMENT REDFORD 4776593A 635 8/4/2016 9521 INSTALLATION PEOPLES ZACHARY REDFORD 4988019A 1,012 7/14/2016 0908 PLYMOUTH GAS & GO INC REDFORD 3123324A 960 7/30/2016 8017 POLICE OFFICERS ASSOCIATION OF MICHIGAN REDFORD 0513113A 4,514 7/1/2016 8820 0.90 INC RIGGIO ROXANNE REDFORD 5179971A 606 8/21/2016 0908 ROBINSON JOHN REDFORD 4329660A 1,354 8/13/2016 0913 0.95 SANDLES RYAN REDFORD 5289076A 403 7/14/2016 0908 SCHERER LYNN REDFORD 5179920A 909 8/21/2016 0908 SMITH BRENT REDFORD 5180007A 403 8/21/2016 0908 STROTHER MARTHA REDFORD 5288835A 706 7/10/2016 0913 T W ROBINSON CONSTRUCTION REDFORD 1618652A 800 9/19/2016 5437 UNLIMITED TRUCK LOADS LLC REDFORD 5431964A 805 8/7/2016 8810 VIP AUTO CENTER INC REDFORD 5169577A 1,705 7/23/2016 8395 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 95 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WADRZYK LAUREN REDFORD 5288908A 3,642 7/10/2016 0913 0.95 WILLIAMS MYRON REDFORD 5425476A 403 7/18/2016 0908 AJ CAMPBELL CONSTRUCTION REDFORD TWP 4766288A 750 7/9/2016 5645 CHAD SPRINGER FOREST PRODUCTS REED CITY 2781000A 750 8/7/2016 2702 FROST MASONRY REESE 0127582A 750 9/18/2016 5022 VANDER MEER LOUIS MOVING COMPANY INC RICHLAND 1955128A 9,393 9/6/2016 7214 0.94 LARRY A JOHN GRADING CONTRACTOR INC RICHMOND 1515675A 1,447 8/28/2016 5183 0.95 NORTH WIND ELECTRIC LLC RICHMOND 3777995A 698 9/30/2016 5190 RON VANHUYSE CONSTRUCTION COMPANY RICHMOND 0623270A 750 7/11/2016 5437 THIRTY TWO NORTH CONSTRUCTION LLC RICHMOND 5421985A 750 7/20/2016 5213 DENECKER MAURICE RIGA 0860999A 800 9/10/2016 0011 HOUSE OF AUTO PARTS INC RIVER ROUGE 2826224A 485 7/28/2016 8010 0.95 ARROW FREIGHT SYSTEMS INC RIVERVIEW 4006488A 806 9/9/2016 8810 BIG 4 INCORPORATED RIVERVIEW 0444707A 9,953 7/20/2016 3821 1.45 13 % RIVERVIEW ADULT DAY & HEALTH CENTER INC RIVERVIEW 3085813A 614 8/28/2016 9063 0.84 VINJON INC RIVERVIEW 2258633A 750 7/1/2016 8810 ACS ELECTRIC LLC ROCHESTER 4075846A 698 7/25/2016 5190 ESSEX HOMES LLC ROCHESTER 3641660A 1,128 9/21/2016 5645 0.85 HARMAN CORPORATION ROCHESTER 0013196A 750 9/16/2016 3724 HAVENS CARE LLC ROCHESTER 5441919A 756 9/11/2016 0913 HILLS BROTHERS PROPERTY MANAGEMENT LLC ROCHESTER 5434645A 750 8/11/2016 9015 JJB SALES LLC ROCHESTER 2440792A 803 8/6/2016 5146 JONES AND SONS HOME IMPROVEMENT LLC ROCHESTER 5456355A 379 9/29/2016 5191 NEAL BARTHOLOMEW ENTERPRISES INC ROCHESTER 2163586A 751 8/14/2016 9015 PAINT A MIRACLE ROCHESTER 3689433A 769 9/27/2016 8868 PARK PLACE BUILDING COMPANY LLC ROCHESTER 5218349A 750 8/27/2016 5645 RCG CONSTRUCTION LLC ROCHESTER 5066972A 750 7/2/2016 5183 RIVIERA HOMES INC ROCHESTER 2451220A 753 9/22/2016 5606 ROCHESTER PARK II ASSOCIATION ROCHESTER 2952963A 750 7/9/2016 9015 SHERWOOD MANOR EAST ASSOCIATION ROCHESTER 2674203A 750 7/3/2016 9015 T E A RESTORATION COMPANY ROCHESTER 1692089A 750 9/10/2016 5022 VISTAS CONDOMINIUM ASSOCIATION ROCHESTER 4063880A 800 7/7/2016 9015 WATSON CUSTOM BUILDERS INC ROCHESTER 0213292A 770 7/9/2016 5645 XS GROUP LLC ROCHESTER 5300266A 1,663 8/6/2016 9586 ADVANCED DUST COLLECTION INC ROCHESTER HILLS 5442702A 750 9/2/2016 5550 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 96 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AFFINITY HUMAN RESOURCES LLC ROCHESTER HILLS 4990900A 30,173 7/26/2016 7208 0.83 ALL FLOOR CLEANING LLC ROCHESTER HILLS 4665775A 750 9/16/2016 9015 ATTIA CONSTRUCTION ROCHESTER HILLS 1001728A 750 8/18/2016 5645 BITRAJ ALBERT ROCHESTER HILLS 4837720A 750 7/10/2016 5348 COLOR YOUR WORLD PAINTERS LLC ROCHESTER HILLS 2611350A 751 9/10/2016 5476 COUNTRY CLUB VILLAGE OF PLYMOUTH ROCHESTER HILLS 4273893A 800 8/22/2016 9015 CONDOMINIUM ASSOCIATION CREEKVIEW ESTATES LLC ROCHESTER HILLS 0666254A 751 8/2/2016 9015 CUSTOM CREATIONS BY DENNIS ROCHESTER HILLS 5305306A 936 8/19/2016 5610 D M TILES ROCHESTER HILLS 3812359A 750 8/12/2016 5348 DEPENDABLE BUILDERS INC ROCHESTER HILLS 2314371A 750 9/10/2016 0042 DETROIT RESOURCES INC ROCHESTER HILLS 5429900A 4,965 8/3/2016 3628 EXCELLENT WINDOW CLEANING INCORPORATED ROCHESTER HILLS 2888807A 8,209 8/10/2016 9015 1.21 G AND J PAINTING ROCHESTER HILLS 4509412A 750 7/8/2016 5476 GEMINI PLUMBING & HOME IMPROVEMENTS LLC ROCHESTER HILLS 4357043A 825 7/31/2016 5183 GREEN ELECTRICAL SYSTEMS LLC ROCHESTER HILLS 5026466A 698 9/19/2016 5190 JK CONSTRUCTION MANAGEMENT LLC ROCHESTER HILLS 5441870A 611 9/1/2016 5606 KARGILIS BUSINESS SOLUTIONS LLC ROCHESTER HILLS 4219333A 254 7/10/2016 8742 KIRBY CONSTRUCTION COMPANY ROCHESTER HILLS 2979543A 750 8/4/2016 5403 KLEVES CUSTOM CARPENTRY INC ROCHESTER HILLS 3902650A 750 7/1/2016 5437 L AND R HOMES INC ROCHESTER HILLS 2888742A 764 8/9/2016 8810 LUXURY TILE AND MARBLE LLC ROCHESTER HILLS 2821290A 800 8/11/2016 7380 MERAM CONSTRUCTION LLC ROCHESTER HILLS 2519593A 1,135 8/3/2016 5606 MOWTOWN LAWN SERVICES LLC ROCHESTER HILLS 4829620A 750 9/1/2016 0042 NEW VISION CONTRACTING CORP ROCHESTER HILLS 3652599A 1,072 8/8/2016 5476 OCD PROFESSIONAL CLEANING SERVICE LLC ROCHESTER HILLS 5292271A 750 7/20/2016 9015 R 4 SERVICES LLC ROCHESTER HILLS 5426316A 7,775 7/24/2016 7213 ROGERS ALTHERR KATHERINE M ROCHESTER HILLS 0524344A 706 8/15/2016 0913 SAURO JAKE ROCHESTER HILLS 5454689A 909 9/24/2016 0908 SLAVIK BUILDING & DEVELOPMENT LLC ROCHESTER HILLS 3134121A 825 7/18/2016 5403 SUBURBAN ROOFING CO ROCHESTER HILLS 2050242A 1,563 9/2/2016 5552 0.95 SYNERGY CONSTRUCTION GROUP LLC ROCHESTER HILLS 4770560A 3,425 7/25/2016 5479 1.24 TRADEMARK BUILDING COMPANY INC ROCHESTER HILLS 5192269A 800 8/28/2016 5610 0.95 WASTE FREE LLC ROCHESTER HILLS 4848683A 8,284 7/29/2016 4459 1.46 10 % LACOSSE ALLEN JON ROCK 5316600A 706 9/16/2016 8395

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge REDD DOGG TRANSPORT ROCK 5247233A 750 9/15/2016 7208 TJJ VANDAMME FARMS ROCK 1037811A 3,444 7/1/2016 0129 0.95 BRADS WINDOW CLEANING LLC ROCKFORD 4357914A 1,385 7/7/2016 9015 0.95 C J L HOMES LLC ROCKFORD 5295017A 750 8/2/2016 5645 KNAPP ANDREW ROCKFORD 5166098A 685 7/16/2016 9521 LEIGH SHEETS DRYWALL ROCKFORD 3122980A 800 9/11/2016 5445 LHID LLC ROCKFORD 4982401A 448 7/10/2016 8810 MARTIN JEFFREY ROCKFORD 4779398A 750 9/29/2016 5645 MAY CONSTRUCTION ROCKFORD 4974620A 750 8/20/2016 5645 0.95 MY HOME RENOVATIONS LLC ROCKFORD 5297290A 750 7/29/2016 5645 NIKODEMSKI BUILDERS INC ROCKFORD 0435074A 750 8/12/2016 5645 PANELBOY CONTROLS LLC ROCKFORD 5422809A 1,638 7/13/2016 3724 ROCKFORD INVESTMENTS LLC ROCKFORD 5429501A 750 7/30/2016 5645 SMART ROOFING SYSTEMS INC ROCKFORD 4639472A 750 8/28/2016 5551 0.95 STREET JUSTIN ROCKFORD 5134404A 750 7/23/2016 5445 0.95 WEST MICHIGAN WAREHOUSE OUTFITTERS INC ROCKFORD 3928403A 271 9/1/2016 8810 BOURGEOIS ERNEST ROCKWOOD 5431867A 750 8/5/2016 5476 GIBRALTAR GRILL INC ROCKWOOD 5435838A 641 9/1/2016 9058 J J SHAG INC ROCKWOOD 3311228A 1,240 7/11/2016 9058 0.95 NIGHT OWL TRUCK REPAIR ROCKWOOD 4435532A 7,159 8/6/2016 8395 0.96 CF CONTRACTING LLC RODNEY 4056892A 1,794 8/14/2016 5645 ANNMARG INC ROGERS CITY 5013771A 2,773 8/11/2016 9053 0.95 MAMP SAWMILL LLC ROGERS CITY 0534900A 2,182 7/20/2016 2731 0.95 LUTTRELL STAFFING INC ROGERSVILLE, TN 5437458A 751 8/20/2016 8304 BEAUFAIT BUILDING SERVICES LLC ROMEO 5219787A 6,712 8/22/2016 5437 CHERRY CREEK BUILDING LLC ROMEO 4796586A 2,480 7/1/2016 5606 0.89 CONSTRUCTION VIDEO MEDIA INC ROMEO 1626256A 1,341 9/18/2016 7610 1.00 DIRECT LABOR FORCE LLC ROMEO 5239893A 24,887 8/6/2016 9015 FOWLER CONSTRUCTION INC ROMEO 2655128A 750 7/7/2016 5645 MT VERNON TREE & LANDSCAPE SERVICE INC ROMEO 2133466A 15,462 9/30/2016 0042 0.80 OAKLAND TREE SERVICE LLC ROMEO 1223038A 8,943 9/30/2016 0042 0.87 AMERICAN LOGITRAN CARGO INC ROMULUS 5455464A 827 9/26/2016 8810 AUTO AND EQUIPMENT SPECIALIST AUTO SALES ROMULUS 4390474A 6,447 9/29/2016 3821 0.95 LLC BLUE WATER ENVIRONMENTAL INC ROMULUS 1744658A 825 7/7/2016 3724 1.28

3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 98 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge D AND N TILE & MARBLE CO ROMULUS 4152816A 750 9/17/2016 5348 DANS OUTDOOR SERVICE INC ROMULUS 4994280A 750 9/5/2016 9102 DOULANI LLC ROMULUS 4908139A 769 9/12/2016 8017 F M OF ROMULUS INC ROMULUS 4597559A 1,288 7/24/2016 9058 0.95 LYNN TRUCKING INC ROMULUS 3820220A 10,553 7/26/2016 8292 0.86 NEW BEGINNING LANDSCAPE SERVICE LLC ROMULUS 4365097A 750 9/24/2016 0042 0.95 NINE THOUSAND 215 GAS & GO INC ROMULUS 4343921B 483 7/22/2016 8017 0.95 NR TUBBYS LLC ROMULUS 5297397A 1,384 8/1/2016 9058 QUALITY TRUCK SERVICE INC ROMULUS 5446147A 2,230 9/10/2016 8395 R JS HOME IMPROVEMENT ROMULUS 2127709A 750 8/20/2016 5538 SB RIDGE CONSTRUCTION LLC ROMULUS 3950344A 895 7/22/2016 5606 0.95 VBAWC INC ROMULUS 0402508A 11,686 7/23/2016 3821 1.57 13 % HIGGINS LAKE FOUNDATION ROSCOMMON 1388843A 1,234 7/23/2016 7394 QUALITY COATING & INSULATION LLC ROSCOMMON 2845040A 12,075 8/20/2016 5479 1.00 ROOFS OF THE NORTH ROSCOMMON 3796019A 800 7/13/2016 5551 SCHILBE MARTIN L ROSCOMMON 2160145A 750 7/4/2016 0106 US CATERING INC ROSCOMMON 1325035A 751 9/2/2016 9015 W AND W USED AUTO PARTS INC ROSCOMMON 0234850A 3,247 9/30/2016 8010 0.91 BERGS NUISANCE ANIMAL & BUG CONTROL ROSE CITY 5026555A 673 9/21/2016 8831 DC CONSTRUCTION & ROOFING ROSE CITY 1067168A 750 9/4/2016 5645 FOUNTAIN OF LOVE LLC ROSEBUSH 5064830A 1,198 9/18/2016 9053 GRAHAMS ORGANIC MEATS AND PROCESSING ROSEBUSH 4146000A 4,321 9/27/2016 8031 0.95 LLC ANTO GLASS BLOCK INC ROSEVILLE 0876585A 804 9/1/2016 8810 AQUA BAY CONCEPTS INC ROSEVILLE 0714143A 401 8/30/2016 8008 0.95 BONNER HILLS BUILDING CO LLC ROSEVILLE 0392014B 750 7/25/2016 5645 1.37 10 % CAMPBELL BRYAN ROSEVILLE 5177529A 750 8/14/2016 5022 CRF PRO HOME IMPROVEMENT ROSEVILLE 1856715A 750 8/28/2016 5645 D AND J OFFICE CLEANING LLC ROSEVILLE 5424178A 750 7/15/2016 9015 DOUGS SKATE CENTER INC ROSEVILLE 4269241A 4,163 9/22/2016 9015 1.05 FRANCOS MASONRY LLC ROSEVILLE 5302242A 2,522 8/14/2016 5022 FRANK GENNERO CONSTRUCTION ROSEVILLE 1017780A 750 9/24/2016 5022 GONZALEZ INSULATION ROSEVILLE 5452740A 750 9/21/2016 5479 HIT EM UP TRANSPORTATION INC ROSEVILLE 5289360A 3,878 7/12/2016 7208 0.95 JAY BOYD SERVICES ROSEVILLE 4365046A 751 8/27/2016 5437 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LIL EDS CONSTRUCTION ROSEVILLE 5452830A 751 9/19/2016 5437 MERCER JOHN A JR ROSEVILLE 5443199A 750 9/2/2016 9015 MHB CUSTOM CONSTRUCTION LLC ROSEVILLE 5443342A 825 9/1/2016 5645 MHB RENOVATION & DESIGN LLC ROSEVILLE 5162190A 827 7/9/2016 8810 MICHIGAN HOME BUILDERS INC ROSEVILLE 0167720A 825 8/8/2016 5645 MOON ROOF CORPORATION OF AMERICA ROSEVILLE 0392014A 734 7/22/2016 8810 1.37 10 % MTM INSTALLS LLC ROSEVILLE 5426570A 255 7/24/2016 8742 PRIT INC ROSEVILLE 3625613A 1,047 7/26/2016 8017 RAYCO SERVICES LLC ROSEVILLE 2868695A 750 7/29/2016 5183 RECREATIONAL AUTHORITY OF ROSEVILLE AND ROSEVILLE 4996739A 16,151 7/1/2016 9063 1.00 EASTPOINTE ROBERT ALTON MCCULLUM III BUILDING CO LLC ROSEVILLE 5447003A 930 9/10/2016 9015 ROME BUILDING CORPORATION ROSEVILLE 0575003A 765 9/3/2016 8810 0.95 ROSEVILLE LUBE EXPRESS INC ROSEVILLE 5143063B 2,050 9/5/2016 8387 1.00 S AND J CATERING INC ROSEVILLE 4637534A 419 8/18/2016 9058 TOPP SERVICES LLC ROSEVILLE 5285739A 751 7/1/2016 9015 WARNER BROS FOUNDRY CO ROSEVILLE 0436771A 10,129 8/4/2016 3085 0.86 WARNER COMMUNICATIONS LLC ROSEVILLE 5289050A 300 7/10/2016 8810 WOODS STEVEN ROSEVILLE 5429315A 750 7/30/2016 5645 BUSHMANS INC ROSHOLT, WI 3190161A 367 7/10/2016 8742 DUBOIS TREE AND LAND MANAGEMENT LLC ROTHBURY 5271185A 4,336 9/24/2016 0106 BACKEREI LLC ROYAL OAK 5429927A 1,905 7/31/2016 5022 COMPRESSOR ENGINEERING CORPORATION ROYAL OAK 0325686A 700 9/5/2016 8107 0.91 CRAIGS LAWN CARE SERVICE INC ROYAL OAK 1650092A 1,200 7/31/2016 9102 0.95 CREATIVE GALLERIES ROYAL OAK 3523470A 800 7/18/2016 5476 DETROIT DOG ROYAL OAK LLC ROYAL OAK 5410347A 566 7/9/2016 9058 EDGEMONT CREATIVE INC ROYAL OAK 5176034A 1,983 8/9/2016 4299 0.95 GRB ENTERPRISES LLC ROYAL OAK 3512070A 1,272 9/25/2016 9058 HOME PHYSICIANS GROUP PLLC ROYAL OAK 5174481A 3,453 8/6/2016 8832 0.95 JUDSON CENTER STAFFING SOLUTIONS INC ROYAL OAK 5172187A 11,792 7/31/2016 8837 0.90 KG PROPERTY LLC ROYAL OAK 2530953A 750 9/8/2016 9015 KIRCHNER JAIME ROYAL OAK 5022711A 809 9/11/2016 0908 LANDSCAPEONE INC ROYAL OAK 4528069A 750 9/16/2016 0042 0.95 LITTLE RASCALS DAYCARE ROYAL OAK 4811488A 409 9/7/2016 8869 MEGHAN MARION LLC ROYAL OAK 5312728A 351 9/5/2016 8008

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MIDWEST HOME HEALTH CARE SERVICES INC ROYAL OAK 4905490A 3,158 9/2/2016 8835 0.95 MYERS THOMAS D JR ROYAL OAK 5420385A 300 7/2/2016 8810 OAKLAND CONSTRUCTION CO LLC ROYAL OAK 5160448A 825 7/4/2016 5183 0.95 OSULLIVAN MOVING & STORAGE CO INC ROYAL OAK 2060388A 46,101 9/13/2016 7214 1.00 PREVALIS LLC ROYAL OAK 4343042A 750 8/20/2016 5476 RFG PRODUCTIONS INC ROYAL OAK 1998277A 335 7/17/2016 7610 SEMMCO LLC ROYAL OAK 4369416A 802 7/17/2016 5606 SEVONTY RESTORATION LLC ROYAL OAK 4785061A 750 8/24/2016 5462 SULLIVAN WILLIAM J ROYAL OAK 3343952A 606 7/24/2016 0908 WHEEL WORKS DETROIT INC ROYAL OAK 5419581A 983 7/1/2016 8393 ZIEGLER MATTHEW & KATHRYN ROYAL OAK 5320666A 403 9/24/2016 0908 MICHIGAN ROOFING & REMODELING RUBY 5191432A 750 9/24/2016 5551 STRAUCHMAN WELDING & FABRICATION LLC RUBY 5451540A 750 9/17/2016 3365 GAYLOR TRUCKING LLC RUDYARD 3292681B 14,062 9/12/2016 7208 0.94 JOLY ROBERT JR S ROCKWOOD 4906390A 756 9/7/2016 0913 AMERICAN INSULATION LLC SAGINAW 5277914A 750 7/9/2016 5183 DEAN CONTRACTING SAGINAW 5435536A 1,475 8/13/2016 5645 DREW GULLIVER BUILDERS INC SAGINAW 3773345A 750 9/29/2016 5645 HADDAD OF SAGINAW INC SAGINAW 3937160A 589 7/30/2016 8017 HEINZ TREE SERVICE INC SAGINAW 0619710A 16,423 7/15/2016 9102 2.12 40 % HOLT TRANSPORT SERVICES LLC SAGINAW 4910150A 14,064 9/17/2016 7212 1.43 27 % INTERNATIONAL ACADEMY OF SAGINAW SAGINAW 4393589A 709 7/1/2016 8868 0.95 JAIME AND JENNA INC SAGINAW 5300894A 1,794 8/7/2016 5645 KOSKI EQUIPMENT SALES & SERVICE SAGINAW 2875306A 750 7/22/2016 3724 KRAUSE BRAD SAGINAW 5454204A 750 9/24/2016 5645 MEAN ERECTORS INC SAGINAW 3631826A 751 8/20/2016 3040 0.77 MRS CLEANS CLEANING SERVICE SAGINAW 5303443A 751 9/9/2016 9015 OPEN ARMS INC SAGINAW 4446100A 5,189 8/30/2016 9053 0.94 PHAT CAT GUITARS LLC SAGINAW 5426537A 581 7/17/2016 8017 RIGHTWAY REMEDIATION LLC SAGINAW 4777646A 22,843 8/3/2016 5479 0.81 RJM CONTRACTORS INC SAGINAW 5166802A 2,725 7/23/2016 5437 0.95 SAGINAW BAY CONSTRUCTION COMPANY LLC SAGINAW 5476593A 4,263 9/14/2016 5606 SAGINAW HOCKEY CLUB LLC SAGINAW 4016718A 12,024 9/6/2016 9015 0.82 SAGINAW LEARN TO EARN ACADEMY SAGINAW 4092031A 274 7/6/2016 8868 SANCHEZ INDUSTRIES INC SAGINAW 5286263A 879 7/7/2016 8387 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 101 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STRATTON BUILDERS LLC SAGINAW 5172446A 750 8/1/2016 5645 TOMCO INC SAGINAW 0387010A 1,520 8/6/2016 8010 0.95 VERDUSCO KYLE SAGINAW 5454069A 750 9/24/2016 5645 WOOD BUILDING SAGINAW 3548554A 750 8/18/2016 5645 OWSA RAIL CAR INC SAINT CLAIR 3400832A 3,416 9/26/2016 7382 0.95 DIFRANCO JAMES SAINT CLAIR SHORES 3193055A 750 8/25/2016 5348 WADE PROMOTIONS LLC SAINT HELEN 3939251A 687 8/29/2016 9522 KARL YODER TRUCKING LLC SAINT IGNACE 2919168A 750 7/22/2016 7208 PROGRESSIVE CAMPAIGN LEADERSHIP SAINT PAUL, MN 5290546A 596 7/24/2016 8742 ABOUTCATSNDOGS LLC SALINE 5288509A 581 7/9/2016 8831 ANDY SMITH BUILDING COMPANY SALINE 4922468A 4,126 9/4/2016 5645 0.95 DIVERSIFIED ROOFING AND REPAIR INC SALINE 3234908A 52,983 9/22/2016 5551 0.70 EASTOVER PROFESSIONAL CENTER SALINE 3710629A 750 9/16/2016 9015 CONDOMINIUM ASSOCIATION ECOVENTRIX LLC SALINE 1165542A 801 7/4/2016 5190 EXPRESS WAY INC SALINE 3970027A 829 9/8/2016 8810 FLETCHER INSPECTIONS INC SALINE 3917576A 5,234 9/14/2016 8720 0.90 LIEBERT MICHAEL SALINE 2738473A 750 9/24/2016 5645 MCNAMARA TECHNOLOGY SOLUTIONS LLC SALINE 5411793A 361 7/1/2016 8742 STEPHEN B ST CLAIR INC SALINE 0682187A 750 7/14/2016 5645 THREE G DRYWALL LLC SALINE 5441960A 750 8/28/2016 5445 KCOM FLEX FORCE LLC SAN DIEGO, CA 5428530A 407 7/31/2016 8742 PREFERRED HEALTHCARE REGISTRY INC SAN DIEGO, CA 5440661A 4,485 8/25/2016 9040 EASTWEST PAYROLL SERVICES LTD SAN FRANCISCO, CA 4787161A 478 7/19/2016 7610 MICHIGAN SPORTS CAMPS INC SAN RAFAEL, CA 3223124A 2,700 7/5/2016 9015 0.95 KOWALCZYK CODY SAND LAKE 4844815A 750 9/6/2016 2702 J RADLOFF CONSTRUCTION SANDUSKY 5176662A 750 8/13/2016 5403 MARKS INSTALLATION SANDUSKY 3212084A 842 8/21/2016 9521 RADLOFF JUSTIN VINCENT SANDUSKY 5185114A 750 9/7/2016 5645 PTM AND W INDUSTRIES INC SANTA FE SPRINGS, CA 3955281A 617 7/30/2016 8742 HOME EXTERIORS BY COLLINS BUILDERS INC SARANAC 4659007A 7,322 8/26/2016 5551 1.25 13 % BRIDE AND GROOM PUBLICATIONS LLC SARASOTA, FL 4016971A 751 9/5/2016 9015 LAKESHORE CARPENTRY LLC SAUGATUCK 5441722A 750 8/27/2016 5645 SAUGATUCK Y C SAILING PROGRAM SAUGATUCK 4483472A 1,251 8/17/2016 6836 0.95 A AND M VEGETATION PEST CONTROL SAULT STE MARIE 4373383A 751 7/24/2016 0042

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARTS CONSTRUCTION SAULT STE MARIE 3646084A 758 8/2/2016 5645 MOOSE LODGE 717 SAULT STE MARIE 3499251A 465 8/5/2016 9058 SOO AIR INC SAULT STE MARIE 3955168A 1,308 7/31/2016 7423 0.95 WILDS CONSTRUCTION INC SAULT STE MARIE 3027490A 998 9/19/2016 5645 SEAWORKS GROUP LIMITED LIABILITY COMPANY SAWYER 5421993A 970 7/22/2016 8601 GARLOW PROPERTY MAINTENANCE LLC SCHOOLCRAFT 4839501A 1,449 8/27/2016 9102 MULLINS BUSINESS SERVICE LLC SCHOOLCRAFT 3436764A 248 7/25/2016 8810 RIGHT WAY SERVICE SCHOOLCRAFT 5425425A 801 7/20/2016 5476 SEGERDAHL FARMS LLC SCHOOLCRAFT 5427290A 750 7/25/2016 0128 NRK CONTRACTING LLC SCOTT 5402620A 750 7/31/2016 5221 CLARK DRYWALL LLC SCOTTS 2668270A 800 8/6/2016 5445 0.95 OFFICE INSTALLATION PLUS LLP SCOTTS 4299035A 5,660 7/3/2016 5146 0.93 PRECISION CONTROL INTEGRATORS INC SCOTTS 4409680A 451 9/19/2016 8742 RASMUSSEN TRANSPORT INC SEBEWAING 0469572A 425 8/13/2016 8810 1.11 13 % MONRIAL OCTAVIANO MORALES SHELBY 5443849A 800 9/2/2016 5445 RELIABLE MAINTENANCE & CONSTRUCTION SHELBY 3248305A 750 7/27/2016 5213 SHELBY BENONA FIRE DEPARTMENT SHELBY 0433373A 2,751 9/8/2016 7704 0.95 AVARA CONSTRUCTION INC SHELBY TOWNSHIP 3530299A 1,948 9/15/2016 5022 0.95 J B J CONCRETE REMOVAL LLC SHELBY TOWNSHIP 4652576A 750 8/5/2016 7208 T AND T SERVICES GROUP LLC SHELBY TOWNSHIP 5285828A 750 9/22/2016 5476 ADDINGTON CORNERS HOMEOWNERS SHELBY TWP 4501993A 750 8/1/2016 9015 ASSOCIATION ADVANCED ELECTRONIC RESTORATION LLC SHELBY TWP 4186575A 828 8/26/2016 9519 0.95 AN PAINTING SHELBY TWP 5441706A 750 8/27/2016 5476 ANGEL PROPERTIES LLC SHELBY TWP 4907140A 750 9/16/2016 8810 AVANTI POURED WALLS INC SHELBY TWP 0590355A 5,912 7/15/2016 5215 0.95 BERZ FLIGHT TRAINING INC SHELBY TWP 3815307A 1,203 8/19/2016 7422 0.95 BRASILE AND SON CONSTRUCTION SHELBY TWP 5454573A 750 9/24/2016 5437 CABALLA MICHAEL SHELBY TWP 5435544A 706 8/14/2016 0913 CALI BESMIR SHELBY TWP 5182921A 750 8/31/2016 5476 CASELLI CULTURED STONE & CHIMNEY LLC SHELBY TWP 5308631A 1,203 8/27/2016 5610 CHROUCH CARL C SHELBY TWP 4895711A 635 9/22/2016 9521 CITY CENTER SQUARE NO 2 ASSOCIATION SHELBY TWP 0808164A 750 7/8/2016 9015 CJK PAINTING SHELBY TWP 4241673A 750 8/26/2016 5476 CLEARWATER CONSTRUCTION LLC SHELBY TWP 4982355A 750 9/20/2016 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CONSTANTINE INC SHELBY TWP 4451147A 804 8/1/2016 8810 1.43 13 % CORNERSTONE REMODELING COMPANY LLC SHELBY TWP 5182905A 3,394 8/29/2016 5437 0.95 D VERSIFIED CONTRACTING INC SHELBY TWP 5182751A 750 8/30/2016 5645 0.95 DESIGNS BY SOLOMON SHELBY TWP 5002508A 825 7/17/2016 5645 DJS LANDSCAPE INC SHELBY TWP 4636201A 752 7/28/2016 0042 DYNAMIC CONSTRUCTION CO SHELBY TWP 0112550A 750 8/8/2016 5183 E G M SHELBY TWP 5444390A 750 9/29/2016 5476 EASTLAND FAMILY DENTISTRY SHELBY TWP 3466795A 567 9/22/2016 8832 EUROPEAN CONSTRUCTION AND RESTORATION SHELBY TWP 5181569A 750 8/11/2016 5221 LLC GAVCAM LLC SHELBY TWP 3485501A 1,349 9/24/2016 5437 GLENWOOD ESTATES NORTH ASSOC SHELBY TWP 3671607A 750 8/21/2016 9015 GREG THOMAS SERVICES SHELBY TWP 5098688A 750 9/4/2016 5645 GREYFIELD HOMES INC SHELBY TWP 0929549A 800 9/13/2016 5645 HERITAGE SERVICES LLC SHELBY TWP 3883086A 7,913 9/9/2016 7380 0.93 HIDDEN WOODS CONDOMINIUM ASSOCIATION SHELBY TWP 5027616A 800 9/21/2016 9015 HOJNA MICHAEL SHELBY TWP 2169894A 698 8/3/2016 5190 HUSCH CONSTRUCTION SHELBY TWP 5172373A 750 7/31/2016 5645 INSTALL TECH INC SHELBY TWP 5265436A 609 7/1/2016 5191 J AND D PROPERTY MAINTENANCE LLC SHELBY TWP 4248082A 750 9/17/2016 5476 JANKOWSKI MARY SHELBY TWP 5427169A 606 7/23/2016 0908 JOES FAMILY TREE REMOVAL SHELBY TWP 4872525A 5,038 7/9/2016 0106 1.00 K LIN ENTERPRISES LLC SHELBY TWP 2245310A 750 9/28/2016 9015 KBS CLEANING SERVICES SHELBY TWP 4184564A 703 7/24/2016 8835 L M MASONRY INC SHELBY TWP 0171549A 297 8/13/2016 8742 0.95 LD QUALITY CAULKING & PAINTING SHELBY TWP 5032695A 2,816 9/29/2016 5476 LIBERTY STEEL PROCESSING CORP SHELBY TWP 4538315A 39,036 8/12/2016 8106 1.57 13 % LILE PAINTING SHELBY TWP 3518299A 750 7/16/2016 5476 0.95 M AND A ROOFING SIDING GUTTERS & WINDOWS SHELBY TWP 4926307A 802 8/12/2016 8810 0.95 LLC MACOMB BENEFITS INSURANCE AGENCY LLC SHELBY TWP 4103602A 298 9/26/2016 8810 MARIO U PAINTING SHELBY TWP 5146798A 750 7/23/2016 5476 MARKU CONSTRUCTION SHELBY TWP 4099397A 800 9/4/2016 5022 MESSINA AND LOMBARDO LLC SHELBY TWP 3941388A 825 8/16/2016 5645 MICHIGAN CEMENT CONTRACTORS INC SHELBY TWP 1969730A 750 9/23/2016 5221

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MILES ROOFING LLC SHELBY TWP 5297265A 800 7/29/2016 5551 MYSTIC PAINTING COMPANY SHELBY TWP 2686325A 750 9/9/2016 5476 NORTH STAR CARPET PLUS INC SHELBY TWP 1813897A 635 7/12/2016 9521 NU WAY CONSTRUCTION CO LLC SHELBY TWP 1265024A 750 9/7/2016 5645 O AND D INVESTEMENTS LLC SHELBY TWP 4465857A 1,375 9/24/2016 9053 0.95 PAINTING FX LLC SHELBY TWP 5442958A 4,175 9/1/2016 5476 PRAIOLAS CONSTRUCTION CORPORATION SHELBY TWP 2195240A 800 9/10/2016 8810 0.95 RANCE CONSTRUCTION INC SHELBY TWP 2709457A 750 9/30/2016 5645 RICHMOND IV LLC SHELBY TWP 3799794A 750 9/29/2016 5403 RIVERVIEW MACOMB HOME & ATTENDANT CARE SHELBY TWP 5022436A 42,330 9/8/2016 8835 0.71 LLC RJ AND SONS LLC SHELBY TWP 4975367A 6,882 8/26/2016 7208 0.91 ROBERT RONCELLI PLUMBING SHELBY TWP 5303605A 750 8/14/2016 5183 ROMEO MICHELE SHELBY TWP 3214168A 750 9/6/2016 5476 RYAN ROCHE SHELBY TWP 5454506A 750 9/24/2016 5348 SBM MASONARY CO SHELBY TWP 2534711A 750 7/9/2016 5022 SILVER PINES VILLAGE CONDOMINIUM SHELBY TWP 4240189A 750 7/29/2016 5551 0.95 ASSOCIATION SUNRISE WASTE & RECYCLING SERVICES INC SHELBY TWP 4886569A 329 7/20/2016 8742 THREE D HEATING & COOLING INC SHELBY TWP 4413563A 750 9/26/2016 5550 THREE KINGS BUILDING INC SHELBY TWP 5425727A 800 7/18/2016 5645 TMC ELECTRIC LLC SHELBY TWP 4844904A 1,871 8/16/2016 5190 0.95 TRINITY COMMUNITY CARE INC SHELBY TWP 5421411A 355 7/7/2016 8810 WALLYS CLEANING SERVICE SHELBY TWP 4365054A 751 7/11/2016 9015 WASTE REDUCTION TEAM INC SHELBY TWP 3968189A 304 9/1/2016 8742 WATKINS BROTHERS INC SHELBY TWP 5012414A 33,782 9/24/2016 7208 0.76 WEBER ELECTRIC MANUFACTURING CO SHELBY TWP 0148270A 750 9/4/2016 3628 WOLVERINE MACOMB LLC SHELBY TWP 5057701A 825 8/16/2016 5437 HORIZON PLUMBING & MECHANICAL SERVICES SHELBYVILLE 4900154A 1,469 9/26/2016 5183 INC ARMOCKS AUTO INC SHERIDAN 1523961A 750 7/12/2016 3821 0.95 LUND SAND GRAVEL & EXCAVATING LLC SHERIDAN 5442885A 1,651 9/1/2016 7208 SENIOR SERVICE AMERICA INC SILVER SPRINGS, MD 2175053A 13,173 7/12/2016 3632 0.94 RUNNING EXCAVATING LLC SILVERWOOD 0121339A 750 7/21/2016 6217 0.95 SADLERS GREAT OUTDOORS LLC SIX LAKES 5448921A 405 9/12/2016 8017 MKORPI INC SKANDIA 0796565A 2,375 7/12/2016 5645 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 105 Assigned Risk Renewals: July/August/September

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CSL TREE LANDSCAPING AND SNOW SERVICE SOUTHFIELD 5454603A 750 9/24/2016 0042 LLC DAPT ENTERPRISES LLC SOUTHFIELD 5436460A 1,115 8/15/2016 7202 DEAD PIXEL GROUP LTD SOUTHFIELD 5422078A 1,340 7/10/2016 7610 DENBOS CARE SERVICES INC SOUTHFIELD 4749839A 601 7/27/2016 8810 0.95 DERBY MAGIC COMPANY SOUTHFIELD 5298911A 1,250 8/1/2016 4459 DESIGNER CONCRETE SERVICES LLC SOUTHFIELD 5418100A 750 7/8/2016 5476 DETROIT TREE RECYCLING INC SOUTHFIELD 5227739A 8,309 8/28/2016 0042 DUANES MOBILE HOME SERVICE SOUTHFIELD 2303230A 2,078 9/29/2016 8387 0.95 EISENHOWER DANCE ENSEMBLE SOUTHFIELD 5017025A 11,260 8/21/2016 9156 1.33 13 % EKKLESIA BUILDING CORPORATION SOUTHFIELD 3036200A 831 8/20/2016 8601 EXFINITY HOME CARE INC SOUTHFIELD 4982525A 5,165 9/30/2016 8835 0.95 FAMILY CARE CHOICE & SERVICES INC SOUTHFIELD 1912445A 7,694 7/20/2016 8835 0.85 FILBO INC SOUTHFIELD 4784871A 679 8/24/2016 8742 FIRE ROVER LLC SOUTHFIELD 5434602A 1,146 9/1/2016 5191 FISHER PHILLIP WM SOUTHFIELD 2155796A 1,440 8/17/2016 0908 0.95 FORBES NATHAN SOUTHFIELD 3652793A 1,209 7/4/2016 0913 0.95 GABEL PETER SOUTHFIELD 4110285A 4,526 8/18/2016 0913 0.95 GARDNER BUILDERS INC SOUTHFIELD 1981471A 1,237 7/23/2016 5645 HAMILTON ACADEMY SOUTHFIELD 4928067A 300 8/1/2016 8810 HELPS LANDSCAPING & SNOW REMOVAL INC SOUTHFIELD 4372344A 751 7/31/2016 9102 HERR GEORGE JR SOUTHFIELD 5289343A 2,430 7/18/2016 0908 J HADLEY CONSULTING INC SOUTHFIELD 4513835A 478 8/23/2016 8810 JOB SOLUTIONS INC SOUTHFIELD 5420962A 367 7/18/2016 8810 K AND K FARMS GROUP LLC SOUTHFIELD 5440602A 4,820 7/30/2016 0128 KLINE HI TECH HOME & COMMERCIAL SOUTHFIELD 0718564A 750 8/12/2016 5445 IMPROVEMENTS LLC L W NORMAN & ASSOCIATES INC SOUTHFIELD 1075578A 302 9/3/2016 8742 LAWNMAN SOUTHFIELD 5431360A 1,228 8/5/2016 9102 MAIN ATTRACTION LLC SOUTHFIELD 5282500A 1,466 8/22/2016 7720 MEDA ENGINEERING & TECHNICAL SERVICES SOUTHFIELD 2065410A 32,116 7/19/2016 8601 LLC METROPOLITAN PROCESS SERVICE INC SOUTHFIELD 2509822A 613 8/8/2016 7720 0.95 MILLENNIUM HEALTHCARE STAFFING LLC SOUTHFIELD 5168503A 1,036 9/26/2016 8833 MILTON ROBERTS COMPANY INC SOUTHFIELD 0215864A 750 8/31/2016 0042 0.95 MITCHELL CONSTRUCTION INC SOUTHFIELD 2824418A 2,113 8/13/2016 5645 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 107 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NEW GROWTH DEVELOPMENT LLC SOUTHFIELD 5401690A 750 9/19/2016 5437 NJ HOLDINGS INC SOUTHFIELD 3877175A 2,456 8/15/2016 9058 1.00 OCIE DRAKE JR DDS PC SOUTHFIELD 0891720A 306 7/2/2016 8810 OMEGA HOME HEALTH CARE LLC SOUTHFIELD 5299560A 4,175 9/6/2016 8835 OXBOW CONSERVATION AND FISHING CLUB SOUTHFIELD 1327429A 509 7/25/2016 9060 PATIENT CARE HOME HEALTH SPECIALIST INC SOUTHFIELD 5424240A 1,398 7/22/2016 8835 PAULS TREE SERVICE INC SOUTHFIELD 2298635A 24,651 9/30/2016 2731 1.66 27 % PEARLSTEIN SOPHIE SOUTHFIELD 1338226A 1,012 9/16/2016 0908 PROPER TECH INC SOUTHFIELD 2929740A 750 9/29/2016 5645 R WIEGAND HOME IMPROVEMENTS SOUTHFIELD 3670937A 750 9/30/2016 5645 0.95 REVIVAL HOME HEALTH CARE LLC SOUTHFIELD 5020271A 965 9/1/2016 8835 RIGHTSIZE FACILITY PERFORMANCE OF SOUTHFIELD 5454093A 925 9/23/2016 8742 MICHIGAN LLC ROLLING ACRES LANDSCAPING LAWN SERVICE & SOUTHFIELD 3735532A 2,197 7/18/2016 0042 0.95 SNOW REMOVAL SAFE DEVELOPMENT INC SOUTHFIELD 0717673A 453 7/25/2016 0908 SECOND SLICE PIZZA LLC SOUTHFIELD 3735281A 1,823 8/5/2016 9058 0.93 SOSNICK SUSAN M SOUTHFIELD 1406248A 478 8/16/2016 0908 STERN ELAINE REVOCABLE TRUST SOUTHFIELD 4428510A 2,299 7/17/2016 0913 0.95 TOTAL CARE HOME HEALTH SERVICES INC SOUTHFIELD 5162084A 3,558 7/25/2016 8835 0.95 VITAL HOME HEALTH CARE INC SOUTHFIELD 4193407A 1,747 8/20/2016 8835 0.85 WALK THE LINE TO SCI RECOVERY INC SOUTHFIELD 4417194A 4,092 7/11/2016 8832 1.00 WILLIAM L RAND COMPANY SOUTHFIELD 2634368A 465 9/13/2016 8810 WOODWARD ASSET CAPITAL LLC SOUTHFIELD 4644719A 772 7/9/2016 5645 0.95 A CLASSIC CONSTRUCTION AND REMODELING SOUTHGATE 5005540A 750 7/26/2016 5551 AGB PAINTING INC SOUTHGATE 4825918A 800 8/8/2016 5476 CORRAL DRYWALL INSTALLATION INC SOUTHGATE 3453430A 1,750 8/22/2016 5445 EPIC SOLUTIONS LLC SOUTHGATE 5169119A 583 7/20/2016 8742 INTERNATIONAL QUALITY CONTROL INC SOUTHGATE 3585395A 6,309 9/16/2016 4511 0.90 JUSTICE CAR SPA LLC SOUTHGATE 5429935A 1,200 8/1/2016 8387 QUALITY TRUCK & TRAILER REPAIR INC SOUTHGATE 4692063A 4,514 9/15/2016 8395 V I P CAMP CONNECT SOUTHGATE 5438780A 803 9/1/2016 9015 D GRAHAM TRANSPORT INC SPALDING 0567787A 45,977 7/17/2016 7208 0.83 CINDYS TRUCKING SPARTA 3640019A 3,644 8/20/2016 7380 0.95 GREAT LAKES FIREARMS & AMMUNITION LLC SPARTA 5187770A 826 9/12/2016 8010

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge IMKAMP BUILDERS INC SPARTA 3123588A 750 8/26/2016 5551 0.92 KUTZLI ENTERPRISES INCORPORATED SPARTA 0054305A 5,053 8/6/2016 8393 PRO COATINGS INC SPARTA 1352865A 288 9/27/2016 8742 0.95 RB SUBCONTRACTORS SPARTA 2773198B 7,596 9/22/2016 5551 0.95 CATI ARMOR SPIRIT LAKE, ID 5426197A 3,451 7/21/2016 3632 AAA TERMITE & PEST CONTROL INC SPRING LAKE 2444330A 2,047 8/6/2016 9015 0.95 COMPLETE JANITORIAL SERVICE INC SPRING LAKE 0044440A 2,348 8/10/2016 9015 MAINE WINDOW CLEANING CO INC SPRING LAKE 4360605A 751 7/17/2016 9015 DIGILUBE SYSTEMS INC SPRINGBORO, OH 4897226A 2,404 8/13/2016 3724 0.95 ALL COLLEGE INC SPRINGFIELD, MA 5418666A 754 7/24/2016 8293 TREE REMOVAL SERVICES LLC SPRINGPORT 1077333A 3,427 9/15/2016 0106 0.94 LEVENS TRANSPORTATION ST CHARLES 5437890A 750 8/20/2016 7208 TOP NOTCH TIMBER ST CHARLES 5266726A 800 7/23/2016 2702 AUBURN ORCHARD CIDERMILL INC ST CLAIR 2892014A 750 8/21/2016 7380 CHRISTOPHERS FLOOR COVERING INC ST CLAIR 0162620A 635 8/13/2016 9521 I AM SUNSET IND LTD ST CLAIR 4026136A 7,595 7/3/2016 3365 MDG ENTERPRISES INC ST CLAIR 1174126A 16,690 8/3/2016 5645 1.40 27 % OCEANVIEW EXCAVATING ST CLAIR 2389665A 750 7/10/2016 6217 STEVES PAINTING ST CLAIR 4248937A 1,246 7/28/2016 5476 TAK TOWING AND TRANSPORT LLC ST CLAIR 5432871A 750 9/9/2016 7208 TREE GUYZ LLC ST CLAIR 4647262A 800 7/21/2016 0106 VCM OF MICHIGAN INC ST CLAIR 4390130A 21,249 8/5/2016 9053 1.59 27 % AMERICAN CUSTOM FINISHERS ST CLAIR SHORES 5433835A 751 8/8/2016 5476 ANDERSON HOME IMPROVEMENT ST CLAIR SHORES 4635922A 1,518 7/20/2016 5645 ASPHALT SERVICES INC ST CLAIR SHORES 4528433A 750 7/18/2016 5221 BALANCE CONSTRUCTION LLC ST CLAIR SHORES 3406776A 750 8/14/2016 5645 BROWN BUILD LLC ST CLAIR SHORES 0719986A 750 9/9/2016 5538 COUNTRY TRIM CARPENTRY LLC ST CLAIR SHORES 1792148A 750 7/23/2016 5437 COVER UP PLASTIC ST CLAIR SHORES 2742993A 717 9/12/2016 6834 CUSTOM WOODWORKS LLC ST CLAIR SHORES 3202992A 804 7/30/2016 5437 DB CONTRACTING SERVICES INC ST CLAIR SHORES 5447755A 750 9/11/2016 5437 DEFINITE IMPROVEMENTS LLC ST CLAIR SHORES 0877620A 750 9/26/2016 5437 DEMEYERE RICHARD ST CLAIR SHORES 5317339A 420 9/17/2016 5606 FIRST IMPRESSION WINDOW CLEANING ST CLAIR SHORES 3997294A 750 9/29/2016 9015 GARVEY FARM & WEDDING BARN LLC ST CLAIR SHORES 4262670A 750 8/23/2016 8279 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 109 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GRIZZLY EXECUTIVE LANDSCAPING LLC ST CLAIR SHORES 5426243A 750 9/10/2016 0042 HAVE A NICE DAY CONSTRUCTION LLC ST CLAIR SHORES 4122925A 750 7/21/2016 5437 0.95 I AND M SERVICES LLC ST CLAIR SHORES 5292190A 750 7/19/2016 9015 JAM RESTORATION LLC ST CLAIR SHORES 0201936A 1,962 9/19/2016 5445 JIM BOMMARITO DOLCERIA PALERMO MICHIGAN ST CLAIR SHORES 4104951A 3,048 7/19/2016 8017 1.00 ITALIAN BAKERY INC JOHN R CLOUSE CONSTRUCTION ST CLAIR SHORES 2028654A 800 7/14/2016 5437 KALICH WINDOW & HOME IMPROVEMENT INC ST CLAIR SHORES 2376393A 3,757 7/9/2016 5437 0.95 LOSADA PHILLIP ST CLAIR SHORES 3848353A 635 7/17/2016 9521 MANNING JOHN ST CLAIR SHORES 2904144A 750 8/18/2016 5645 PERSONALIZED CLEANING LLC ST CLAIR SHORES 4796071A 751 9/26/2016 9015 ROBERT R SFIRE & ASSOCIATES INC ST CLAIR SHORES 2589559A 379 7/9/2016 8810 SHORE POINTE BUILD LLC ST CLAIR SHORES 4001710A 750 8/28/2016 5183 SHORIAN PAINTING INC ST CLAIR SHORES 4352033A 751 8/28/2016 5476 SUNNY GROVE CONDOMINIUM ASSOC ST CLAIR SHORES 1550691A 750 7/20/2016 9015 SUPREME FLOOR COVERING INC ST CLAIR SHORES 1739123A 1,624 9/25/2016 9521 0.95 SUZANA COMMERCIAL CLEANING ST CLAIR SHORES 3815072A 750 9/25/2016 9015 TIMS WALLPAPER REMOVING LLC ST CLAIR SHORES 2549417A 750 8/7/2016 5476 0.95 YOUNG NICHOLAS ST CLAIR SHORES 5456797A 750 9/30/2016 5645 B N B SERVICES LLC ST CLAIR SHRS 5023955A 750 9/14/2016 5403 CHESTERFIELD CONSTRUCTION & HOME ST CLAIR SHRS 5190223A 750 9/18/2016 5437 IMPROVEMENT E AND M REMODELING INC ST CLAIR SHRS 4991303A 1,923 9/7/2016 5479 0.95 MACKINAC ENVIRONMENTAL TECHNOLOGY INC ST IGNACE 0889733A 2,244 7/8/2016 8601 0.95 SHEPARDS FORESTRY ENTERPRISE INC ST IGNACE 1387316A 833 9/13/2016 8601 0.95 SONFLOWER LLC ST IGNACE 3529487A 854 7/28/2016 9058 B AND B CONSTRUCTION & TRUCKING LLC ST JOHNS 4019679A 1,843 8/14/2016 8264 1.00 B AND G TRANSPORTATION LLC ST JOHNS 0492990A 4,193 7/27/2016 7208 0.78 BEC TON CONSTRUCTION LLC ST JOHNS 5435455A 943 8/13/2016 5437 GETBIGFITNESS INC ST JOHNS 5416728A 1,396 8/19/2016 9063 GRUBAUGH RANDY ST JOHNS 5010187A 750 8/14/2016 2702 GRUBAUGH TODD ST JOHNS 5431883A 750 8/5/2016 2702 ACTIVE HOME HEALTH CARE SERVICES INC ST JOSEPH 4385314A 1,605 8/15/2016 8835 0.95 FISKARS EQUIPMENT CO ST JOSEPH 1299352F 937 7/2/2016 7422 0.94 TOLBERT TORREY ST JOSEPH 5434831A 1,871 8/12/2016 0908

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UPTON LINDA L ST JOSEPH 1519409A 4,039 7/28/2016 0913 0.95 CRIPPEN MANUFACTURING CO ST LOUIS 0414417A 35,846 7/12/2016 3507 1.30 13 % MID STATE ASBESTOS REMOVAL INC ST LOUIS 0461202A 19,225 7/26/2016 8227 0.90 INFINITY ACCESS INC ST PAUL, MN 5009405A 750 9/10/2016 5057 NBC INC ST PAUL, MN 4315820A 1,697 9/16/2016 5606 SEABORN HEALTH CARE INC ST PETERSBURG, FL 4846222A 412 8/28/2016 8832 FAMILY GASTROENTEROLOGY PLLC STANDISH 5163048A 310 7/10/2016 8832 JAMES GATH TRUCKING INC STANDISH 0037567A 72,238 8/1/2016 7208 1.84 LALONDE TRANSPORTATION INC STANDISH 1660810A 3,002 9/16/2016 7208 BUCK STOP LURE COMPANY INC STANTON 0618632A 459 9/1/2016 4825 0.95 RAEJON LLC STANTON 3767981A 1,288 8/11/2016 9058 0.95 J G CONSTRUCTION STANWOOD 5442613A 750 9/1/2016 5645 CEDERVILLE TOWNSHIP OF MENOMINEE STEPHENSON 1580647A 1,133 7/10/2016 7904 0.95 COUNTY DELAURELLE CUSTOM SKIDDING STEPHENSON 1335448A 750 9/23/2016 2702 QUALITY FOAM SYSTEMS STEPHENSON 2342766A 854 7/13/2016 5551 RYE SHARRI STEPHENSON 5442818A 405 9/1/2016 8831 YOOPER NUTS STEPHENSON 5167833B 741 9/5/2016 0130 DESHAIS MASONRY STERLING 4931076A 750 9/12/2016 5022 ATTIC INSULATION & VENTILATION PROS LLC STERLING HEIGHTS 5019770A 11,783 8/30/2016 5479 0.88 AVATAR HR SERVICES LLC STERLING HEIGHTS 4891074A 148,904 9/1/2016 3076 1.10 BRITTANY PARC SUBDIVISION ASSOCIATION STERLING HEIGHTS 3335429A 750 8/7/2016 9015 CLEARVIEW HOMES LLC STERLING HEIGHTS 4645324A 800 7/10/2016 5645 0.84 COBB EXPRESS LLC STERLING HEIGHTS 4938917A 829 7/9/2016 8810 CVET LLC STERLING HEIGHTS 2362449A 928 8/13/2016 8017 DIAMOND UNIVERSAL CLEANING STERLING HEIGHTS 5012988A 750 8/10/2016 8835 EUROTRUCK INC STERLING HEIGHTS 5148308A 3,427 8/29/2016 7208 FAB PAINTING STERLING HEIGHTS 4750349A 750 7/30/2016 5445 G SARGENT INC STERLING HEIGHTS 4208978A 1,295 9/1/2016 5610 0.95 GEORGIA G BRODZIK INC STERLING HEIGHTS 4660013A 263 8/28/2016 8810 GOJCAJ MARKO STERLING HEIGHTS 4114370A 800 7/21/2016 5437 GOOD HOPE HOME HEALTH SERVICES INC STERLING HEIGHTS 5108969A 696 7/1/2016 8835 0.95 GRAND VIEW CONSTRUCTION INC STERLING HEIGHTS 2946050A 1,242 9/25/2016 5606 0.85 GREAT LAKES TITLE OF MICHIGAN INC STERLING HEIGHTS 0068055A 397 9/10/2016 8810 1.00 GREENSTONE DEVELOPMENT LLC STERLING HEIGHTS 2312611A 800 7/13/2016 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HAM MER HOME IMPROVEMENTS INC STERLING HEIGHTS 3282619A 750 7/10/2016 5645 HIDDEN HILLS CONDOMINIUM ASSOCIATION STERLING HEIGHTS 1264125A 865 8/1/2016 9015 0.95 HOLISTIC HEALTH SERVICES INC STERLING HEIGHTS 2912430A 4,986 9/6/2016 9063 0.93 INDEPENDENCE SQUARE ASSOCIATION STERLING HEIGHTS 4112105A 750 8/23/2016 9015 INTERNATIONAL FINANCE CORPORATION STERLING HEIGHTS 5182794A 134,993 9/1/2016 9521 1.52 13 % J A LESLIE & SONS LTD STERLING HEIGHTS 0232750A 382 7/8/2016 8742 J J OCONNELL & ASSOCIATES INC STERLING HEIGHTS 1333186A 275 7/24/2016 8810 JAMES LANTAGNE STERLING HEIGHTS 4276949A 751 9/6/2016 9402 0.95 KOSLOWSKI DAVID STERLING HEIGHTS 0322504A 800 8/1/2016 5437 LASSALE HOMES OF MACOMB INC STERLING HEIGHTS 4886143A 750 7/18/2016 5022 LIQUID RUBBER SIDING OF MICHIGAN INC STERLING HEIGHTS 4520300A 7,613 7/7/2016 5476 0.87 MALTESE BUILDING CONTRACTORS LLC STERLING HEIGHTS 2880512A 800 8/31/2016 5437 MATHEW TRANSPORTATION INC STERLING HEIGHTS 5446929A 750 9/10/2016 7208 MAXIMUM PAINTING LLC STERLING HEIGHTS 5162971A 750 9/25/2016 5476 MEDTEC CONSULTING & STAFFING INC STERLING HEIGHTS 5449863A 1,587 9/15/2016 8833 MICHAEL MOCERI INC STERLING HEIGHTS 3070310A 750 8/12/2016 5645 MJP FLOORCOVERING STERLING HEIGHTS 4252934A 750 8/9/2016 5437 MZ TILE AND MARBLE STERLING HEIGHTS 4756177A 750 9/16/2016 5348 NOSIS CONSTRUCTION SERVICES LLC STERLING HEIGHTS 5292204A 2,096 7/19/2016 5348 PANE VIEW WINDOW CLEANING LLC STERLING HEIGHTS 5160529A 1,294 7/3/2016 9015 0.95 PING PING LLC STERLING HEIGHTS 5435447A 1,056 8/20/2016 9058 PLK SERVICE INC STERLING HEIGHTS 4296087A 751 8/5/2016 9015 PLUMBROOK VILLAGE ASSOCIATION STERLING HEIGHTS 1606468A 750 7/17/2016 9015 POLYSERVICE INC STERLING HEIGHTS 4112237A 275 8/23/2016 8868 PRESTIGE ELECTRIC LLC STERLING HEIGHTS 4104560A 698 8/3/2016 5190 PROFESSIONAL MEDICAL PROPERTIES LLC STERLING HEIGHTS 4569270A 825 9/2/2016 5403 PROFESSIONAL RECRUITERS GROUP LLC STERLING HEIGHTS 1262688A 12,563 8/1/2016 8868 0.95 QUICK DUMPSTER LLC STERLING HEIGHTS 4254643B 750 7/8/2016 7213 RED LINE CONTRACTING LLC STERLING HEIGHTS 4068700A 800 8/4/2016 6217 RESALINE INC STERLING HEIGHTS 4428200A 682 7/17/2016 8018 RICARDO CONSTRUCTION COMPANY INC STERLING HEIGHTS 5299624A 750 8/11/2016 5645 RIVER BEND CONDOMINIUM ASSOCIATION STERLING HEIGHTS 0473502A 750 9/13/2016 9015 ROSEWOOD VILLAGE CONDOMINIUM ASSOC STERLING HEIGHTS 2740443A 800 9/13/2016 9015 S AND S STRIPPING INC STERLING HEIGHTS 4283619A 24,315 9/21/2016 3632 1.76 27 % S AND W EXCAVATING CO INC STERLING HEIGHTS 1613073A 2,886 8/25/2016 5183 0.95 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 112 Assigned Risk Renewals: July/August/September

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SPENCER FOR HIRE INC TAYLOR 3662209A 750 7/27/2016 5476 TYLER MARY ANN TAYLOR 4787099A 706 9/1/2016 0913 VANTAGE SERVICE & REPAIR INC TAYLOR 3221407A 750 9/10/2016 3724 WESTWIND COMPANIES LLC TAYLOR 2167590A 1,158 9/4/2016 5437 WHITE PROPERTY PRESERVATION TAYLOR 5444241A 750 9/3/2016 9015 HEALTH SPECIALISTS OF LENAWEE PC TECUMSEH 2459019A 20,565 8/1/2016 8832 1.54 13 % HITCHING POST ANTIQUES INC TECUMSEH 2548020A 406 7/31/2016 8810 NEILLS TOWING & AUTOMOTIVE SERVICE LLC TECUMSEH 4794028A 3,710 7/20/2016 7208 0.88 R AND R CUSTOMS LLC TECUMSEH 5021448A 750 9/19/2016 9102 BERONS TREE SERVICE LLC TEKONSHA 1939068A 3,420 9/29/2016 0106 0.94 CANTEEN SERVICES INC TEKONSHA 0337420A 1,312 8/24/2016 7380 1.84 13 % GREENS FLOOR INSTALLATION TEKONSHA 1413759A 635 9/3/2016 9521 SORTOR KEITH TEMPERANCE 3251756A 750 9/9/2016 5551 TCB NEW CONSTRUCTION AND REMODELING THOMPSONVILLE 5439671A 2,325 8/22/2016 5606 BRUSSEE BRADY INC THREE RIVERS 2879425A 12,643 9/15/2016 5403 0.85 INTEGRAL ROOFING LLC THREE RIVERS 5306728A 812 8/22/2016 5552 TREVARROW STEVEN TOIVOLA 5285186A 750 9/2/2016 8232 ADVANCE TEMPORARY SERVICES INC TOLEDO, OH 1491733A 67,130 7/1/2016 3372 1.43 15 % C AND J SERVICES N W O LLC TOLEDO, OH 5227844A 14,621 9/24/2016 3724 MORSE DOUG TOLEDO, OH 5424208A 750 8/4/2016 5445 WE STAFF U LLC TOLEDO, OH 4643011A 178,875 7/1/2016 2759 1.18 10 % ADAPTIVE COUNSELING AND CASE TRAVERSE CITY 5446201A 690 9/9/2016 8832 MANAGEMENT LLC AERIAL BUCKET SERVICES INC TRAVERSE CITY 1213245A 3,237 9/17/2016 0042 1.00 ARBOR OPERATING LLC TRAVERSE CITY 4420241A 1,193 8/26/2016 1320 0.95 ARCHIPELAGO INC TRAVERSE CITY 5441781A 301 9/15/2016 8742 ASB SERVICES INC TRAVERSE CITY 5132509A 254 8/19/2016 8742 BP I CO OWNERS ASSOCIATION INC TRAVERSE CITY 4679997A 800 9/1/2016 9015 BUSSINEAU GREGORY B TRAVERSE CITY 0298166A 453 7/11/2016 0908 CARE TAKER LLC TRAVERSE CITY 5192790A 750 9/27/2016 5645 CC CONTRACTORS TRAVERSE CITY 5449006A 750 9/15/2016 5645 DESANTIS PAINTING LLC TRAVERSE CITY 4820193A 750 9/22/2016 5476 FANTASIES FANTASIES UNLIMITED LLC TRAVERSE CITY 4041186A 4,252 8/31/2016 8017 0.95 FANTASYS TC INC TRAVERSE CITY 4269063A 2,306 8/1/2016 9058 0.95 GORE RIDGE FARMS INC TRAVERSE CITY 1022717A 665 8/20/2016 0130

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GPM PLUMBING & MECHANICAL TRAVERSE CITY 4259378A 750 8/24/2016 5183 GRAND TRAVERSE BALLOONS INC TRAVERSE CITY 3029115A 672 7/16/2016 7423 0.95 HALL JOHN TRAVERSE CITY 5302773A 706 8/26/2016 0913 HARDWICK CONSTRUCTION LLC TRAVERSE CITY 2483220A 800 9/24/2016 5445 HENNRICK KENNETH TRAVERSE CITY 0785261A 750 8/14/2016 9015 HORIZON GEOLOGIC LLC TRAVERSE CITY 2363313A 1,799 9/22/2016 8601 0.95 INTERIOR CONTRACTING INC TRAVERSE CITY 5189896A 800 9/18/2016 5445 J KIME HOMES LLC TRAVERSE CITY 5305799A 750 8/20/2016 5645 K D CLARK SERVICES INC TRAVERSE CITY 0176940A 674 8/25/2016 8835 0.95 KRAMERS BATHTUBS & BOATS LLC TRAVERSE CITY 3349705A 1,213 7/1/2016 6836 0.95 LUCE REALTY LLC TRAVERSE CITY 5422175A 726 7/10/2016 8742 MAISON BUILDERS LLC TRAVERSE CITY 5422248A 750 7/10/2016 5645 MARTINHOUSE INC TRAVERSE CITY 2367629A 800 7/17/2016 5645 MBC INSULATION INC TRAVERSE CITY 5447828A 825 9/11/2016 5479 MCM 1 LLC TRAVERSE CITY 5289378A 1,692 7/18/2016 7380 0.95 MUNSON HOUSE LLC TRAVERSE CITY 4765354A 1,339 8/8/2016 9053 0.95 PRECISE CONCRETE PUMPING INC TRAVERSE CITY 4365453A 750 7/3/2016 5221 SERVO KINETICS INC TRAVERSE CITY 1760599A 606 8/28/2016 3612 SLCV SERVICES LLC TRAVERSE CITY 5420920A 752 7/3/2016 9015 SPECIALIZED PERSONAL RECOVERY SERVICES TRAVERSE CITY 5126401A 4,348 7/22/2016 8835 0.95 LLC SWEAT SHOP TANNING CENTER INC TRAVERSE CITY 2485605A 773 9/18/2016 9586 TCWC LLC TRAVERSE CITY 5386497A 1,237 8/5/2016 2131 TEDDY BEAR DAYCARE & PRESCHOOL LLC TRAVERSE CITY 4104498A 407 8/4/2016 8869 WEST BAY XPRESS LUBE AND TUNE LLC TRAVERSE CITY 5232694A 3,367 8/19/2016 8395 WILDLIFE AND WETLANDS SOLUTIONS LLC TRAVERSE CITY 4787650A 9,361 9/3/2016 0005 0.90 A ACCESS PC TRENTON 5418771A 748 7/20/2016 8832 A AND M AUTO BODY REPAIR INC TRENTON 3239047A 1,278 9/14/2016 8393 0.95 DOVES POINTE HOMEOWNERS ASSOCIATION TRENTON 5086884A 800 7/29/2016 9015 EFFECIENT PRACTICE MANAGEMENT INC TRENTON 3377962A 748 7/20/2016 8832 ENERGY EFFICIENT CONSTRUCTION CO INC TRENTON 0920550A 833 9/1/2016 8742 0.95 GAVIN PROPERTIES LLC TRENTON 5455456A 405 9/26/2016 8017 KINGS CARE INC TRENTON 4390369A 3,968 8/7/2016 9053 0.95 M C M SERVICES INC TRENTON 2238578A 12,623 7/8/2016 5551 0.86 PINOSH GROUP LLC TRENTON 4400747A 1,282 9/28/2016 9015 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SNOW GARTH VICKSBURG 0611956A 635 7/2/2016 9521 FAITHORN RESCUE SQUAD VULCAN 3397173A 680 7/10/2016 7980 J A L GLOBAL VULCAN 5420369A 751 7/2/2016 5479 PARADISE BROKERAGE LLC VULCAN 5286182A 275 7/3/2016 8810 MARSHBANK MANOR LLC W BLOOMFIELD 5158982A 600 7/2/2016 9063 PMS PACKING INC W BLOOMFIELD 3499197A 750 9/1/2016 8293 0.95 DELICH MITCHELL J WAKEFIELD 4236203A 4,769 7/14/2016 2709 0.95 STEVES GRAIN DRYER SERVICE LLC WALDRON 4462726A 2,693 7/30/2016 5538 0.95 JOHN JONGSMA BUILDERS INC WALKER 3653927A 750 8/28/2016 5645 THERMAL SEAL ROOF SYSTEMS INC WALKERTON, IN 4765230A 1,180 7/1/2016 5552 ERICKSON LOGGING WALLACE 4993292A 750 7/21/2016 2702 HAVELKA CONSTRUCTION & TRUCK REPAIR WALLACE 1066072A 1,311 9/18/2016 6217 WALCHER ROBBIE WALLACE 4672488A 750 7/30/2016 7219 A P W C C A PROFESSIONAL WINDOW CLEANING WALLED LAKE 4784502A 7,399 8/21/2016 9015 0.90 CORPORATION INC APOLLO MANAGEMENT AND CONSTRUCTION LLC WALLED LAKE 5295173A 739 7/25/2016 5606 CAULKING UNLIMITED WALLED LAKE 1247913A 750 8/17/2016 5022 COPPER CREEK CONDOMINIUM ASSOCIATION WALLED LAKE 3129314A 800 9/24/2016 9015 EVOLUTION POOLS LLC WALLED LAKE 4890213A 750 9/17/2016 5223 IGY SERVICES LLC WALLED LAKE 3649202A 2,140 7/14/2016 5610 0.95 JACOB PAUL CONSTRUCTION WALLED LAKE 5450756A 750 9/16/2016 5645 LANEXPRESS LOGISTICS LLC WALLED LAKE 5454549A 7,345 9/25/2016 7208 ROOF RITE INC WALLED LAKE 3201538A 4,400 7/24/2016 5606 0.95 SELECT MANAGEMENT II INC WALLED LAKE 3599116D 35,541 8/15/2016 5221 1.00 SPECIALTY MODIFICATIONS INC WALLED LAKE 1531042A 750 9/20/2016 5437 0.95 V COATINGS WALLED LAKE 2873680A 750 7/17/2016 5476 WALLED LAKE CENTRAL HIGH SCHOOL MUSIC WALLED LAKE 3820130A 469 7/1/2016 8868 BOOSTERS YERKE FLOORS INC WALLED LAKE 2443520A 7,950 8/2/2016 5437 0.89 GREAT LAKES SEAMLESS GUTTERS WALLOON LAKE 3087115A 964 9/10/2016 5538 MAUSOLEUM CONSTRUCTORS OF AMERICA INC WARNER ROBINS, GA 3553264A 750 9/8/2016 5022 A AND R AUTO SALE INC WARREN 4650743A 757 9/1/2016 8395 ADVANCE MAINTENANCE INC WARREN 0326909A 750 9/11/2016 5538 AG ELECTRIC LLC WARREN 5026393A 698 9/19/2016 5190 ALLIANCE TOOL & MACHINE CO WARREN 0451304A 12,081 9/1/2016 3095 1.38 40 %

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge C AND J TRUCKING INC WARREN 1892789A 120,575 8/24/2016 7208 1.65 27 % CON CO PLUMBING INC WARREN 0212440A 801 8/7/2016 5183 0.95 CRATE TO FREIGHT LLC WARREN 5426898A 3,120 7/23/2016 2759 DETROIT AERIAL CLEANING INC WARREN 5422337A 2,144 7/10/2016 9015 DUPLICAST CORPORATION WARREN 0296791A 11,697 7/1/2016 3082 0.85 DYNASTY TILE WARREN 4405315A 750 9/19/2016 5348 EMB SOLUTIONS LLC WARREN 5016959A 8,200 8/24/2016 3400 0.94 EPOXY KING LLC WARREN 5432995A 685 8/7/2016 8810 ERIC KUHNHENN CONSTRUCTION CO WARREN 5174490A 750 8/6/2016 5645 FLENER COREY WARREN 2645971A 750 7/15/2016 5437 GENOA CONTRACTING LLC WARREN 5437865A 820 8/20/2016 5606 GREAT LAKES GEOMATICS LLC WARREN 4847504A 2,903 9/18/2016 8601 0.95 GREAT LAKES VACUUM SERVICES LLC WARREN 5420342A 4,553 7/2/2016 9015 GREG HOME IMPROVEMENT INC WARREN 3942457A 750 9/5/2016 5645 GUTTER MEN LLC WARREN 5161304A 750 7/31/2016 5538 HUGHES DANIELLE WARREN 3653790A 801 7/3/2016 9015 JAZVAC CUSTOM FLOORING LLC WARREN 1702980A 685 8/5/2016 9521 LAKESHORE ROOFING SERVICE INC WARREN 2311828A 3,976 7/25/2016 5645 0.94 M 97 AUTO INC WARREN 0459658A 3,894 8/9/2016 8395 1.00 M AND B CONSTRUCTION WARREN 3809064A 750 9/16/2016 5403 MAB CLEANING SERVICE INC WARREN 5426871A 750 8/6/2016 9015 MACOMB CONCRETE CUTTING INC WARREN 4374029A 3,576 7/28/2016 5221 0.95 MAPLE LANE VALLEY NO 4 ASSOCIATION WARREN 2222221A 762 8/20/2016 8810 MIDWEST FUEL INC WARREN 5045215A 889 8/21/2016 8017 NASHS CONSTRUCTION WARREN 5169496A 750 7/23/2016 5551 NAULT CONSTRUCTION LLC WARREN 4280350A 750 7/27/2016 5476 0.95 OLO PRO SERVICES LLC WARREN 5307570A 750 8/24/2016 3724 P AND J CASH LLC WARREN 4262174A 1,358 9/1/2016 8810 0.95 PJP CONSTRUCTION INC WARREN 4645880A 750 7/14/2016 5476 POL CONSTRUCTION WARREN 3132390A 750 8/12/2016 5437 QUALITY FREIGHT LOGISTICS INC WARREN 5421764A 1,040 7/8/2016 8810 R D S CERAMIC TILE & MARBLE WARREN 1873873A 750 7/7/2016 5348 RAYCO UTILITY SERVICES INC WARREN 1980092A 9,524 8/9/2016 6217 0.95 RICHARD MEDUVSKY BUILDERS WARREN 4514246A 750 8/23/2016 5645 RON OLTERMAN FENCE CONNECTION WARREN 1926047A 750 7/17/2016 6400 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 122 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SEBASTIAN KRSZYNA LLC WARREN 5455421A 751 9/26/2016 5476 SHANKIN ROBERT WARREN 1975633A 750 7/13/2016 5437 SMART RECOVERY SERVICE LLC WARREN 4023498A 351 8/20/2016 8810 1.00 SPL LEASING INC WARREN 3928764A 800 9/26/2016 9015 STEVENSON HEATING & COOLING INC WARREN 4105990A 750 8/9/2016 5550 TONYS PARKING WARREN 2485044A 622 7/28/2016 8392 TROY SPORTS RESTAURANT LLC WARREN 5302617A 494 8/9/2016 9058 TRUST TOWING LLC WARREN 5426723A 3,703 7/24/2016 7208 UNITED CONTRACTING LLC WARREN 5054095A 226 8/2/2016 8810 VITALIY LLC WARREN 3928497A 827 9/15/2016 8810 WESSEL GUN SHOP INC WARREN 0570630A 1,012 7/20/2016 8010 0.95 YOUR CHOICE HOME IMPROVEMENT INC WARREN 0235032A 2,942 7/15/2016 5437 1.28 13 % ESENCO CORPORATION WASHINGTON 1993917A 506 7/23/2016 8601 EXPEDITERS INTERNATIONAL INC WASHINGTON 4785010A 750 8/22/2016 7208 KINTECH INC WASHINGTON 5287693A 472 9/1/2016 8010 MR TILEMAN COMPANY WASHINGTON 2853299A 750 8/10/2016 5348 0.95 R AND R TRUCKING INC WASHINGTON 4369890A 2,461 7/18/2016 7208 0.95 RAFAEL FLORES CONSTRUCTION WASHINGTON 5432359A 750 8/6/2016 5403 ROCHESTER ELECTRIC INC WASHINGTON 5446988A 748 9/10/2016 5190 RODRIGUEZ JUAN LEON WASHINGTON 5162262A 750 7/10/2016 5610 SCOTTS GLASS BLOCK INSTALLERS WASHINGTON 2569604A 750 7/1/2016 5022 TRAFFIC DATA COLLECTION LLC WASHINGTON 4910761A 618 9/20/2016 8601 WEYMOUTH LAWRENCE JR WASHINGTON 3361667A 453 7/8/2016 0908 KEY SECURITY GROUP LLC WASHINGTON TOWNSHIP 5435510A 488 8/13/2016 5191 BIONDO PAINTING LLC WASHINGTON TWP 4913361A 750 9/24/2016 5476 D M CLEAR CREEK LLC WASHINGTON TWP 3830470A 800 9/23/2016 5645 DIEBOLD ELECTRIC INC WASHINGTON TWP 2191695A 698 8/13/2016 5190 JDR UNLIMITED WASHINGTON TWP 3542947A 804 8/30/2016 8810 RAINMAN IRRIGATION & LANDSCAPING INC WASHINGTON TWP 3227901A 750 7/22/2016 0042 TAMARACK ENVIRONMENTAL LABORATORIES WASHINGTON TWP 5291593A 284 8/22/2016 8601 LLC A WALL CARPENTRY LLC WATERFORD 4501152A 750 8/7/2016 5645 0.73 ABELL PEST CONTROL INC WATERFORD 0547131A 18,628 9/10/2016 9015 0.75 ALL PHASES ASPHALT PAVING LLC WATERFORD 3777723A 750 7/11/2016 5221 0.93 ALTA GROUP LLC WATERFORD 5276586A 1,846 7/21/2016 5190

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ANGUEL K CONSTRUCTION WATERFORD 3496171A 800 9/7/2016 5551 AVANTGARDE AVIATION INC WATERFORD 0375845A 2,908 7/18/2016 7423 0.95 B D & E GROUP LLC WATERFORD 3110168A 1,085 8/27/2016 5606 B T MASONRY LLC WATERFORD 3697215A 750 7/17/2016 5022 BRC WELDING INC WATERFORD 3622657A 751 7/18/2016 5102 CARE NETWORK LLC WATERFORD 5009537A 5,864 8/4/2016 8835 1.00 DARRELL CRANE STRUCTURAL STEEL LLC WATERFORD 2252856A 752 8/30/2016 9501 0.95 DENO PAPPAS & SON PLUMBING INC WATERFORD 2601699A 750 8/10/2016 5183 DESIGN FOR A DAY LLC WATERFORD 4860535A 2,577 8/20/2016 9521 1.00 DMANS CONSTRUCTION LLC WATERFORD 5419662A 1,014 7/1/2016 5437 DS CONSTRUCTION WATERFORD 3539350A 750 8/22/2016 5551 DYNAMIC DECORATING SERVICE WATERFORD 1961799A 750 9/29/2016 5476 GALLATY PAINTING WATERFORD 1616242A 825 7/12/2016 5476 0.95 GARVEYS LANDSCAPE WATERFORD 1818074A 800 8/19/2016 0042 GLADSTONE FREDERICK H WATERFORD 1769723A 750 7/20/2016 5476 GREAT LAKES RESIDENTIAL MAINTENANCE INC WATERFORD 2824183A 750 7/10/2016 5476 GUTTER CHIEF WATERFORD 2899574A 750 7/29/2016 5538 J AND M WINDOW CLEANING LLC WATERFORD 4646355A 2,430 7/16/2016 9015 0.95 JHDS LLC WATERFORD 0326720A 751 7/18/2016 5183 K AND M RENOVATION LLC WATERFORD 5437440A 750 8/19/2016 5645 LAMPHERES TREE SERVICE WATERFORD 1232827A 11,405 7/9/2016 0106 0.91 LUCIOL SYSTEMS COMPANY LLC WATERFORD 5304296A 800 8/15/2016 3064 M AND M TREE SERVICE WATERFORD 2932113A 767 7/15/2016 0106 0.95 MAYNARD SERVICES LLC WATERFORD 5283914A 800 7/30/2016 5610 MD RENOVATIONS LLC WATERFORD 3735060A 750 8/11/2016 5445 MNM SERVICES WATERFORD 2864720A 800 8/12/2016 5403 MODERN CRAFT HOMES INC WATERFORD 0768502A 750 7/11/2016 5645 0.95 MOORE ERIC WATERFORD 5435471A 750 8/13/2016 7208 OUTDOOR LIVING LAWN AND LANDSCAPING LLC WATERFORD 5019311A 3,517 9/26/2016 9102 0.95 PALM SPRINGS TANNING LLC WATERFORD 5446350A 350 9/9/2016 9586 PRO SERVICES WATERFORD 0569780A 750 9/25/2016 5645 0.95 R AND S FRAMING INC WATERFORD 0136395A 6,640 7/25/2016 5645 0.94 SELECTIVE RESTORATION & CLEANING LLC WATERFORD 5314852A 1,775 9/18/2016 9015 SUBURBAN FABRICATION LLC WATERFORD 5191882A 829 9/25/2016 8810 SUPERIOR CARPENTRY OF MICHIGAN INC WATERFORD 5296277A 750 7/28/2016 5645 3/31/2016 1:19:10 PM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 124 Assigned Risk Renewals: July/August/September

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TIM SCHMITT PAINTING WATERFORD 5435498A 750 8/13/2016 5476 TIMBERLINE FRAMING LLC WATERFORD 3456480A 750 8/12/2016 5645 TOP NOTCH TILE INC WATERFORD 5424224A 1,846 7/15/2016 5348 TTO ENTERPRISES LLC WATERFORD 5188164A 649 9/12/2016 8835 VINICA WATERFORD 3948480A 825 8/15/2016 5551 WAX ON WHEELS MOBILE DETAILING LLC WATERFORD 5422710A 750 7/13/2016 8387 WORRY FREE TRANSPORTATION INC WATERFORD 4124650A 20,071 9/1/2016 7212 1.00 XTREME HANDYMAN LLC WATERFORD 4671171A 750 9/29/2016 5437 T AND W SIKKILA LOGGING WATTON 3040968A 750 9/24/2016 2702 TEMPORARY OFFICE PERSONNEL INC WAUWATOSA, WI 1461834A 406 8/17/2016 8742 WESTLAND VETERINARY HOSPITAL OF MICHIGAN WAUWATOSA, WI 4024117C 9,848 8/17/2016 8831 1.00 LLC ARTISAN WOODWORKING LLC WAYLAND 2597187A 750 9/21/2016 5645 B AND B TRANSPORTATION SERVICES LLC WAYLAND 3712630A 3,542 8/8/2016 8835 0.95 BEAVER CREEK TILE LLC WAYLAND 5010357A 750 8/15/2016 5348 BURNS RECOVERY LLC WAYLAND 2461684A 8,749 7/23/2016 7208 0.89 JEPLAWY BUILDERS WAYLAND 3592308A 750 7/5/2016 5645 KLUMPS HOMECARE LLC WAYLAND 5029627A 1,774 9/25/2016 8835 0.95 R AND T TRANSPORTATION LLC WAYLAND 5434866A 10,007 8/12/2016 7208 A AND M FRANCHISE INC WAYNE 1628518A 1,842 7/2/2016 8017 0.95 DANS ENTERPRISES LLC WAYNE 1797298A 1,289 8/27/2016 5462 0.95 DUKE AND SONS FLOORING LLC WAYNE 2018942A 635 8/27/2016 9521 0.95 EXPRESS CUSTOM EXTERIORS WAYNE 5449871A 800 9/15/2016 5645 GRACE POINT LLC WAYNE 5449103A 598 9/19/2016 8835 HIS AND HERS PROFESSIONAL HOME WAYNE 5427282A 1,446 7/24/2016 5645 IMPROVEMENT NYS LLC WAYNE 5317444A 716 9/17/2016 8017 PARK PHYSICAL THERAPY & REHAB INC WAYNE 4259297A 598 8/24/2016 8742 PREMIER STAFFS SERVICES INC WAYNE 5456460A 5,665 9/25/2016 9052 ROAD RUNNER AUTO SALES INC WAYNE 3810844A 790 7/10/2016 8748 SUPERIOR INSULATION AND SOUND PROOFING WAYNE 2366223A 10,674 9/11/2016 5479 0.89 HINES JUDITH A & LADRIERE MARY LAVERN WAYNESBORO, TN 5299551A 2,230 8/5/2016 0908 BATES HORSE PARK LLC WELLINGTON, FL 3428680A 3,099 7/12/2016 9102 0.95 BRENT OCONNELL CONSTRUCTION INC WELLS 4376358A 1,583 8/8/2016 5437 0.95 GENES TREE SERVICE INC WELLS 0603198A 1,379 8/26/2016 0106 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JOHN RIAN CONTRACTING INC WELLS 2543079A 750 9/12/2016 6217 MF ENTERPRISES INC WELLSTON 4668448A 63,902 7/20/2016 8350 2.36 40 % BUILDERS CHOICE CONSTRUCTION COMPANY WEST BLOOMFIELD 1886045A 750 9/15/2016 5645 LLC TOBIAS CONSTRUCTION INC WEST BLOOMFIELD 2030489A 750 9/26/2016 5645 EULERT ACCOUNTING WEST BEND, WI 0097772A 237 9/29/2016 8803 ADCO CONSTRUCTION SERVICES LLC WEST BLOOMFIELD 4866304A 1,017 9/5/2016 5610 0.95 ANDREA L CAMPBELL PC WEST BLOOMFIELD 0587273A 227 8/3/2016 8803 APHRODITE SPA & SALON LLC WEST BLOOMFIELD 5173639A 355 8/5/2016 9586 C Z CONSTRUCTION WEST BLOOMFIELD 4360761A 750 7/3/2016 5645 COMPLETE PLUMBING SYSTEMS LLC WEST BLOOMFIELD 2340186A 988 9/9/2016 5183 DANCE ELITE BALLROOM STUDIO INC WEST BLOOMFIELD 5155932A 478 9/6/2016 9063 DEE DEE HOFFMAN PARTY DESIGN INC WEST BLOOMFIELD 0500992A 2,003 8/13/2016 9156 0.95 DETROIT MAINTENANCE & REPAIR SERVICES INC WEST BLOOMFIELD 4866258A 1,613 7/14/2016 9015 0.95 GRANT ALLAN M WEST BLOOMFIELD 1879170A 403 8/17/2016 0908 HONEY LOCUST PRODUCTIONS L L C WEST BLOOMFIELD 5444233A 284 9/9/2016 8601 HYGIENIC NAIL CARE WEST BLOOMFIELD 5305845A 294 8/20/2016 9586 JC TOWER AND ASSOCIATES INC WEST BLOOMFIELD 5322090A 9,453 9/30/2016 5191 JK CONSTRUCTION INC WEST BLOOMFIELD 0849588A 1,394 7/16/2016 5645 0.95 JOANNE MANSFIELD LEGAL PERSONNEL INC WEST BLOOMFIELD 1715119A 954 7/12/2016 8810 JOE JAMES TENNIS & GOLF ACADEMY LTD WEST BLOOMFIELD 3668649A 508 8/10/2016 9060 L TAVA INC WEST BLOOMFIELD 0427500A 750 8/7/2016 5476 LEE DRIVING SCHOOL INC WEST BLOOMFIELD 1225464A 843 8/20/2016 8868 LULAJ PRECISE PAINTING WEST BLOOMFIELD 3588700A 1,248 9/24/2016 5476 0.95 LUNETTA HOMES INC WEST BLOOMFIELD 2020220A 750 9/22/2016 5437 MASHAWII ENTERPRISES INC WEST BLOOMFIELD 5298660A 419 8/12/2016 9058 MASON PATRICIA WEST BLOOMFIELD 4659970A 750 8/28/2016 9015 MICHAEL BOYD LANDSCAPING INC WEST BLOOMFIELD 2322056A 1,452 7/1/2016 0042 OLIVER CONSTRUCTION INC WEST BLOOMFIELD 1726986A 750 8/12/2016 5213 ROBERT SHERMAN HOME IMPROVEMENTS WEST BLOOMFIELD 5296307A 750 9/29/2016 5645 ROSENBLUM IDA WEST BLOOMFIELD 4267087A 781 9/15/2016 0913 SOSNOWSKI CONSTRUCTION LLC WEST BLOOMFIELD 1852370A 750 9/11/2016 5437 SPARTAN FISHMAN RECYCLING LLC WEST BLOOMFIELD 0397881A 800 8/1/2016 7216 STEP UP RECRUITING LLC WEST BLOOMFIELD 5441129A 1,706 8/26/2016 9015 TANA HILL II CONDOMINIUM ASSOCIATION WEST BLOOMFIELD 2707314A 750 9/9/2016 9015 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TOTAL TRANSPORT & CONSTRUCTION LLC WEST BLOOMFIELD 3510328A 750 7/24/2016 5146 0.95 TROWBRIDGE RESTORATIONS INC WEST BLOOMFIELD 2193493A 801 7/25/2016 9015 TWENTY FOUR SEVEN EXPEDITE INC WEST BLOOMFIELD 4669860A 761 9/23/2016 8810 UNIVERSAL BUILDING SERVICES INC WEST BLOOMFIELD 3741460A 750 9/1/2016 9015 WATERFORD REFRIGERATION WEST BLOOMFIELD 1047760A 800 9/6/2016 3724 ZUCKERMAN FANNY WEST BLOOMFIELD 1551493A 1,262 8/7/2016 0913 CUSTOM MASONRY WEST BRANCH 4997387A 1,349 8/8/2016 5221 0.95 MASLEN FREDERICK WEST BRANCH 5441820A 2,721 8/28/2016 5645 PREFERRED PLUMBING AND PLUMBING WEST BRANCH 5427690A 750 7/28/2016 5183 SERVICES LLC TROLL LANDING CAMPGROUND & CANOE LIVERY WEST BRANCH 4502663A 787 7/31/2016 6836 LLC ZIMMERMAN EXCAVATING COMPANY INC WEST BRANCH 0290092A 2,130 9/5/2016 6217 0.95 JET SET STUDIO LLC WEST DES MOINES, IA 5301769A 479 8/1/2016 8017 J AND M SERVICE AND EQUIPMENT INC WEST OLIVE 0329487A 4,225 9/16/2016 3724 1.00 PORT SHELDON PLUMBING INC WEST OLIVE 4172787A 750 8/7/2016 5183 SANDY HILL FARM LLC WEST OLIVE 5414415A 1,162 8/25/2016 0011 TRUE NORTH PAINTING INC WEST OLIVE 5191556A 750 9/21/2016 5476 MAXTOWN MEDICAL CORPORATION LLC WESTERVILLE, OH 4867475A 292 9/7/2016 8742 REDMANS ASSOCIATION WESTLAKE, OH 5305241A 750 8/19/2016 0106 A J VARNER CONSTRUCTION WESTLAND 1589008A 750 8/8/2016 5645 0.95 AKERLIND CARL WESTLAND 5427703A 403 7/25/2016 0908 ALWAYS GAS LLC WESTLAND 5169151A 1,155 7/18/2016 8017 AMERISTAR PAINTING PLUS LLC WESTLAND 5441838A 1,072 8/28/2016 5476 BARTRAM DANIEL W WESTLAND 4999487A 750 7/6/2016 5645 BUILDER BOB LLC WESTLAND 5437032A 3,069 8/18/2016 5645 BULLOCK ISABELLA WESTLAND 5315751A 403 9/13/2016 0908 CARPET MECHANIC INC WESTLAND 3683974A 635 9/21/2016 9521 COMPLETE CONTRACTING LLC WESTLAND 2300621A 800 9/9/2016 5215 CORUM CHAD C WESTLAND 5158516A 750 7/21/2016 5022 DEARBORN TREE SERVICE INC WESTLAND 1001639A 58,563 7/2/2016 0042 1.53 13 % DONAHUE DIANA WESTLAND 4658957A 606 8/28/2016 0908 DPI GRAPHICS INC WESTLAND 4998499A 958 7/18/2016 4299 0.95 FODELL AMY WESTLAND 4658884A 606 8/28/2016 0908 GREEN PAUL WESTLAND 5306973A 403 8/22/2016 0908

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GWIZDAK CARLETTE WESTLAND 3850293A 706 8/25/2016 0913 JPM LAWN MAINTENANCE LLC WESTLAND 4508963A 801 8/14/2016 9102 KELLETT ANN WESTLAND 4658949A 809 8/25/2016 0908 0.95 KNILL ERICA WESTLAND 4658914A 403 8/25/2016 0908 LATOUR SHAWN WESTLAND 4888405A 706 7/22/2016 0913 LOCAL 163 BUILDING CORPORATION WESTLAND 0055824A 3,238 9/17/2016 8755 0.95 MAR LIVONIA INC WESTLAND 3441296A 685 9/20/2016 9521 0.95 MERRIMAN BP INC WESTLAND 5445370A 582 9/5/2016 8017 O SULLIVAN RYAN WESTLAND 4496990A 706 7/23/2016 0913 PREMIER TILE DESIGN INC WESTLAND 5294622A 750 7/24/2016 5348 QUALITY ONE CONSTRUCTION & DEVELOPMENT WESTLAND 4663560A 801 7/18/2016 5445 INC REHAGEN RACING INC WESTLAND 5184746A 3,103 9/5/2016 8395 0.95 SHAN SYED WESTLAND 5007690A 403 7/31/2016 0908 T AND C JANITORIAL WESTLAND 1461842A 750 9/27/2016 9015 TEDDERS HARDWOOD LLC WESTLAND 4116763A 750 9/3/2016 5437 TOTAL LANDSCAPING & SPRINKLER WESTLAND 3946096A 751 7/14/2016 5183 TRI CITY BUILDERS LLC WESTLAND 2738538A 825 9/4/2016 5645 TUGGLE GARRY WESTLAND 5425689A 651 7/18/2016 3628 TYSKIEWICZ THERESA A WESTLAND 3802248A 606 7/15/2016 0908 WARREN BP INC WESTLAND 5446023A 549 9/5/2016 8017 WESTLAND CHAMBER OF COMMERCE WESTLAND 1542028A 308 7/3/2016 8810 YOUNG MARK WESTLAND 5019834A 403 8/31/2016 0908 P AND M OBSTRUCTION LIGHTING INC WHEELER 4044045A 7,553 9/22/2016 7538 0.92 ST DILAUS INC WHITE CLOUD 3413250A 9,026 8/15/2016 9053 0.83 ALPINE VALLEY SKI AREA LEASING CO WHITE LAKE 0035637A 17,891 7/31/2016 9015 0.73 ARMSTRONG TECHNICAL SERVICES LTD WHITE LAKE 2358891A 284 8/13/2016 8601 BY THE SQUARE WHITE LAKE 5422108A 826 7/10/2016 5437 CEDAR VALLEY FUN PARK INC WHITE LAKE 5431280A 930 8/5/2016 9015 LAFLAMME BUILDING & CONTRACTING LLC WHITE LAKE 3262936A 800 7/5/2016 5437 0.95 LAYMOR ASPHALT PAVING COMPANY WHITE LAKE 4884973A 920 7/14/2016 5221 LIGHT IN WINDOW CLEANING LLC WHITE LAKE 5450772A 751 9/16/2016 9015 MATT SPRADER LLC WHITE LAKE 3336433A 750 8/19/2016 5437 MAXIMUM PERSONAL CARE LLC WHITE LAKE 2964210A 3,096 8/6/2016 9053 0.95 RICKS PLUMBING WHITE LAKE 2246260A 750 8/29/2016 5183

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROBERT L LEWIS INC WHITE LAKE 1294032A 3,225 9/23/2016 9058 0.95 SHEW CONSTRUCTION COMPANY INC WHITE LAKE 1716379A 421 7/15/2016 5606 WHITE LAKE VIEW MOTEL INC WHITE LAKE 5426901A 1,191 7/23/2016 9052 KITCHEN CRAFT INC WHITE LAKE TWP 0369403A 750 8/25/2016 5437 0.95 PROFESSIONAL CLIMBERS TREE SERVICE WHITE PIGEON 1573160A 18,964 8/18/2016 0106 1.33 BUSH CREEK MANOR INC WHITEHALL 2798840A 646 7/9/2016 9053 FRUITLAND TOWNSHIP WHITEHALL 1017977A 3,009 8/21/2016 9410 0.95 STEVE GREEN INC WHITEHALL 1030663A 750 7/14/2016 5645 UNITED AUTOMOBILE WORKERS UNION LOCAL WHITEHALL 1627805A 1,203 8/24/2016 8755 1243 ANN ARBOR YOUNG ACTORS GUILD INC WHITMORE LAKE 5001455A 706 7/11/2016 8868 GARY L MELCHI INC WHITMORE LAKE 1855182A 750 7/29/2016 9015 KIRKS CONSTRUCTION INC WHITMORE LAKE 2036797A 750 9/22/2016 6217 0.95 LITTLE PORKYS ON MAIN INC WHITMORE LAKE 4228251A 902 8/29/2016 8017 0.95 LIVINGSTON CEILING AND PARTITIONS INC WHITMORE LAKE 3334139A 4,066 8/11/2016 5445 0.95 ROBOTIC GUIDANCE LLC WHITMORE LAKE 5289297A 359 7/11/2016 8601 TORCH SURFACE TECHNOLOGIES LLC WHITMORE LAKE 4428544A 3,586 9/30/2016 4829 0.89 TRILLIUM DIVERSIFIED SERVICES LLC WHITMORE LAKE 4465717A 750 7/4/2016 5476 TRUE NORTH TELECOMMUNICATIONS SERVICES WHITMORE LAKE 5134668A 35,075 7/11/2016 7600 0.85 LLC WILBUR DOUGLAS WHITMORE LAKE 1960008A 698 7/7/2016 5190 0.94 CAMILLERI A ONE PAINTING CO LLC WHITMORE LK 1417568A 750 7/16/2016 5476 LC INC WICHITA, KS 1796909A 27,751 8/1/2016 8017 1.65 13 % WOODEN PONY PRESCHOOL WILLIAMBURG 3229165A 368 9/27/2016 8869 ACTION CLEANING WILLIAMSBURG 4013115A 825 7/31/2016 8835 CHARLES STARKS LICENSED BUILDER WILLIAMSBURG 3669459A 750 8/14/2016 5645 CHERRY SUITE AFC LLC WILLIAMSBURG 5303885A 1,138 8/15/2016 9053 JMWEST LLC WILLIAMSBURG 4020880A 286 7/28/2016 8810 MARK MIKOWSKI ELECTRICAL SERVICES LLC WILLIAMSBURG 2965550A 698 9/19/2016 5190 PATRICK DONAHUE BUILDERS INC WILLIAMSBURG 3285936A 800 7/16/2016 5606 DERRICK W TOONE INC WILLIAMSTON 3933890A 750 8/19/2016 5645 JDS CONSTRUCTION & REMODELING LLC WILLIAMSTON 5437903A 5,167 8/20/2016 5645 STORY ROOFING & CONSTRUCTION LLC WILLIAMSTON 2837277A 3,809 9/24/2016 5551 0.95 THREE TS PROPERTIES LLC WILLIAMSTON 5419565A 1,421 7/10/2016 9015 DUST DEVILS CLEANING SERVICE WILLIS 5025311A 800 9/19/2016 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARTIN J COBB LLC WILLIS 4099419A 227 7/21/2016 8810 SPEEDY CARPET CO WILLIS 2698420A 863 7/21/2016 9521 0.95 VARMINT POLICE INC WILLIS 4344405A 406 8/6/2016 8831 MDM MECHANICAL INSTALLATION USA LLC WILMINGTON, DE 5427320A 10,136 7/24/2016 3724 HOME TEAM MAINTENANCE INC WINDERMERE, FL 5319986A 751 9/23/2016 5476 ANGELS ROOFING WIXOM 4479181A 825 9/21/2016 5551 CDC AMERICA INC WIXOM 2134144A 530 7/25/2016 2790 0.95 FIX MY CRAWL LLC WIXOM 4915240A 2,785 8/12/2016 5479 0.95 FLAGG DISTRIBUTION LLC WIXOM 5007399A 1,359 7/30/2016 3724 0.91 GREAT STAFF SOLUTIONS LLC WIXOM 4651561A 25,961 7/25/2016 8393 0.94 HARTLEYS CUSTOM TILE WIXOM 5421772A 800 7/8/2016 5348 KEVIN HOMOLA MASONRY WIXOM 2892561A 750 8/19/2016 5022 METRO GENERAL CONTRACTORS CO INC WIXOM 4690567A 800 9/19/2016 5403 PREVENTIVE MAINTENANCE TECHNOLOGIES LLC WIXOM 4909534A 699 9/15/2016 8107 ROYAL BUILDING SERVICES INC WIXOM 2359006A 2,401 9/6/2016 9015 0.95 VENTURE GRAFIX LLC WIXOM 4377613A 1,414 8/8/2016 4299 0.95 XTREME CONCRETE & CONTRACTING INC WIXOM 5277833A 2,148 8/15/2016 5221 FOCUS CARE INC WOBURN, MA 5128366A 620 8/20/2016 8835 GREENLIGHT PROFESSIONAL SERVICES INC WOBURN, MA 4242602A 407 7/15/2016 8810 DANS EXCAVATING AND TRUCKING INC WOLVERINE 2489198A 750 8/30/2016 6217 J AND B LOGGING WOLVERINE 5426200A 750 7/21/2016 2709 LANDOWNERS TIMBER CO WOLVERINE 3242757A 750 8/5/2016 2702 SCOTT DAN WOLVERINE 5422841A 750 7/24/2016 2702 STRICTLY FX LLC WOOD DALE, IL 5162980A 407 7/10/2016 9154 JEFFERY DAVID M WOODHAVEN 2273012A 750 9/8/2016 7208 SEVENTY FIVE AND WEST ROAD INC WOODHAVEN 5417694A 897 7/7/2016 8017 STOR ROOM LLC WOODHAVEN 4980891A 492 9/27/2016 8810 J 2 LLC WOODINVILLE, WA 5190614A 300 9/19/2016 8810 RUNYAN INDUSTRIAL GAS ANALYZERS INC WOOSTER, OH 5058317A 750 7/1/2016 3724 AMERICAN PLUMBING INC WYANDOTTE 5026539A 800 9/29/2016 5183 ASHLEY OAKS CONDOMINIUM HOMEOWNERS WYANDOTTE 4968948A 800 7/29/2016 9015 ASSOCIATION CLEAN CUT ABATEMENT INC WYANDOTTE 5199735A 1,023 9/25/2016 5183 COUNTRY LANE CONDOMINIUM ASSOCIATION WYANDOTTE 1068113A 750 9/4/2016 9015 COUNTRY VILLAGE CONDOMINIUM ASSOCIATION WYANDOTTE 1348507A 750 7/14/2016 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DEAD ON INC WYANDOTTE 4265823A 750 8/1/2016 5645 KING ELECTRIC WYANDOTTE 0134325A 699 9/28/2016 5190 RANDY AND SON CONSTRUCTION INC WYANDOTTE 4478789A 750 8/18/2016 5645 0.95 SCHAFFNER GENERAL CONTRACTING WYANDOTTE 4632427A 750 7/24/2016 9015 SOUTHEASTERN DRYWALL COMPANY WYANDOTTE 5427274A 750 7/24/2016 5445 WYANDOTTE FILL & GO INC WYANDOTTE 5225949B 745 7/7/2016 8017 AIM HIGH YOUTH INC WYOMING 3980774A 374 9/22/2016 9063 AL CAM INC WYOMING 0741744A 750 7/27/2016 9558 CAPITAL ADVANTAGE LEASING COMPANY WYOMING 1436287A 226 9/12/2016 8810 CHIHUAHUA DRYWALL WYOMING 4257600A 750 8/19/2016 5445 DOVE FOUNDATION WYOMING 1762680A 664 9/17/2016 8810 ECOTURF LAWN SERVICE LLC WYOMING 3937348A 750 8/11/2016 9102 EIGHT LAYER INC WYOMING 4779126A 10,113 8/31/2016 3146 0.87 FOR THE KIDZ LLC WYOMING 4211014A 2,636 8/24/2016 9063 0.95 FUSSMAN TRUCKING LLC WYOMING 2870169A 16,659 7/13/2016 7208 J AND J DRYWALLING WYOMING 5315905A 750 9/13/2016 5445 MUNOZ EXTERIOR SERVICES WYOMING 5438721A 750 8/21/2016 5551 PEACELAB YOGA LLC WYOMING 5018200A 373 8/28/2016 9063 QUICK AND CAREFUL MOVING LLC WYOMING 5298903A 9,352 8/1/2016 7214 RIVERTOWN MASONRY INC WYOMING 0658758A 750 9/15/2016 5022 RUBIO ISIDRO PEREZ WYOMING 5438748A 750 8/21/2016 5551 TURBO TRUCK & TRAILER SERVICES LLC WYOMING 4823052A 4,056 8/16/2016 8395 0.95 WALTERS AND SON CONSTRUCTION INC WYOMING 3081745A 2,537 7/7/2016 5645 0.95 WEBB MANAGED DELIVERY SERVICE INC WYOMING 5456339A 3,328 9/30/2016 7202 WILDER INSTALLATION WYOMING 0345784A 635 8/19/2016 9521 DETROIT JANITORIAL AND CLEANING LLC YACOLT, WA 5306914A 750 9/15/2016 9015 BADLANDS INSPECTION SERVICES LLC YAKIMA, WA 5418720A 1,540 7/9/2016 8601 CAPE CONSTRUCTION LLC YAKIMA, WA 5418720B 33,719 9/1/2016 0042 D MCCLELLAND CONSTRUCTION LLC YALE 1104870A 750 9/22/2016 5645 0.95 KAATZ FUNERAL HOME INC YALE 2339439A 1,405 9/20/2016 9015 0.95 SCHOEN JEREMY D YALE 5321565A 750 9/26/2016 7208 A H CONSTRUCTION COMPANY INC YPSILANTI 2483041A 750 9/1/2016 5645 ADAM K LACCA PLASTER STUCCO & TEXTURE YPSILANTI 1824732A 750 9/28/2016 5480 0.95 LLC

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AFFORDABLE RIGGING TRANSPORTATION & YPSILANTI 4384571A 1,739 7/10/2016 3724 0.95 CONSULTING LLC ALL AMERICAN RESTORATION SERVICES YPSILANTI 1944240A 750 9/30/2016 5022 ARBOR GLASS & MIRROR LLC YPSILANTI 4733266A 751 7/28/2016 4130 BRIMAR EXTERIORS LLC YPSILANTI 5004276A 750 8/21/2016 5645 0.95 CLOR BRIAN YPSILANTI 5306906A 606 8/23/2016 0908 CLOR STEPHEN YPSILANTI 5306833A 606 8/23/2016 0908 CONTINUUM HEALTH MANAGEMENT SERVICES YPSILANTI 5395453A 3,566 9/9/2016 8835 LLC DON SUDDUTH PAINTING LLC YPSILANTI 2914867A 750 9/18/2016 5476 EZPZ CONSTRUCTION LLC YPSILANTI 5454182A 800 9/23/2016 5645 HERMAN STUART C YPSILANTI 5172721A 1,212 8/2/2016 0913 HILLSIDE LAWN LANDSCAPE YPSILANTI 4879449A 2,577 8/26/2016 0042 0.95 LOOKING GOOD LAWNS LLC YPSILANTI 4236076A 15,109 8/8/2016 9102 1.39 13 % MC HOME SERVICES LLC YPSILANTI 5205751A 1,263 8/26/2016 5476 MICH CONSTRUCTION INC YPSILANTI 4630424A 750 8/12/2016 5645 0.95 MITTEN MAINTENANCE LLC YPSILANTI 5446910A 2,520 9/10/2016 5437 PUBLISHERS STORAGE & SHIPPING YPSILANTI 1582569A 39,249 8/11/2016 8018 1.54 27 % PVL ROOFING YPSILANTI 3559050A 750 9/19/2016 5551 QUALITY HOME IMPROVEMENT LLC YPSILANTI 5435005A 28,973 8/12/2016 5645 SERVANT 2 U LLC YPSILANTI 4193911A 750 7/7/2016 9015 0.95 BIRCHWOOD LANDSCAPING LLC ZEELAND 4466462A 4,921 8/12/2016 8395 1.15 BLENDON CATTLE LLC ZEELAND 5314410A 18,272 9/15/2016 7208 BLUE SUN AIR LLC ZEELAND 4507053A 5,979 8/9/2016 7423 0.91 BOGARD SCOTT ZEELAND 4023781A 750 7/2/2016 5645 DAVE DEZWAAN BUILDERS LLC ZEELAND 4386507A 750 9/5/2016 5348 EAGLECREST ALASKA MISSIONS ZEELAND 5172667A 362 9/1/2016 8742 ELK RIDGE LLC ZEELAND 4873548A 750 9/18/2016 5645 FLUHARTY CURT ZEELAND 5188130A 750 9/13/2016 5221 QUALITY HOME WORKS OF WEST MICHIGAN LLC ZEELAND 4376439A 750 8/7/2016 5476 REFINISHER LLC ZEELAND 0703990A 1,143 7/23/2016 8393 0.95 TERRACON LLC ZEELAND 4906314A 750 9/7/2016 6217 VANDYKE BUILDERS LLC ZEELAND 5429390A 750 8/1/2016 5645

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