Private Self-Insured Employers

ACTIVE PRIVATE SELF INSURED ROSTER 03/24/2021

2207-012-90 BROADSPIRE SERVICES, INC., BREA Ms. Mary Kasper Chief Legal Officer 99 CENTS ONLY STORES LLC 4000 Union Pacific Ave Commerce,CA 90023 Phone: (323) 881-5748

1920-048-01 ATHENS ADMINISTRATORS, CONCORD Ms. Lynette Baker-Woodie Manager, Administration and Loss Control Workers' Compensation ABF FREIGHT SYSTEM, INC. P.O. Box 10048 Fort Smith,AR 72917 Phone: (479) 785-6047 Fax: (479) 785-6396

1013-005-21 ESIS, INC., CHATSWORTH 1013-005-38 ESIS, INC., FREMONT Mr. Chris Ridge Senior Risk Management Analyst ABM INDUSTRIES INCORPORATED 4151 Ashford Dunwoody Rd, Ste 600 Atlanta,GA 30319 Phone: (770) 850-3521

2061-011-10 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ROSEVILLE Ms. Dei Singletary Director/Workers' Compensation ADVENTIST HEALTH SYSTEM/WEST One Adventist Health Way Roseville,CA 95661 Phone: (916) 406-1876 Fax: (916) 406-2330

2351-99-81 Self Administered 2351-011-03 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA 2351-99-01 Self Administered Chi Nguyen Financial Analyst Corporate Risk Management ALBERTSONS COMPANIES, INC. 5918 Stoneridge Mall Rd Pleasanton,CA 94588 Phone: (925) 469-7208

2076-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Andy Tharp WC Administrator AMERICAN HONDA MOTOR CO., INC. 24000 Honda Parkway Marysville,OH 43040 Phone: (937) 243-1276 1186-170-39 SPECIALTY RISK SERVICES, LLC, RIVERSIDE 1186-011-03 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA Kristin Hinchman Claims Manager AMERISOURCEBERGEN CORPORATION 1300 Morris Drive Chesterbrook,PA 19087 Phone: (610) 727-2545 Fax: (845) 483-4888

2189-025-05 GALLAGHER BASSETT SERVICES INC., CORONA 2189-132-10 YORK RISK SERVICES GROUP, INC., RANCHO CUCAMONGA Mary A. Evancavich Corporate Insurance/Treasury AMGEN INC. 2202 N. Westshore Blvd Tampa,FL 33607 Phone: (813) 605-7916

1216-048-02 ATHENS ADMINISTRATORS, ORANGE Cole Gehrung Director of Finance & Administration ANGELUS BLOCK CO., INC. 11374 Tuxford Street Sun Valley,CA 91352 Phone: (818) 767-8576

2248-362-02 CERVUS CLAIM SOLUTIONS, LLC, ELK GROVE 2248-323-02 ST. PAUL FIRE AND MARINE INSURANCE CO., DIAMOND BAR 2248-086-38 HELMSMAN MANAGEMENT SERVICES LLC, GLENDALE Mr. John M. Perisich ARB, INC. 26000 Commercentre Dr Lake Forest,CA 92630 Phone: (949) 595-5532 Fax: (949) 595-5532

2075-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN 2075-012-93 BROADSPIRE SERVICES, INC., FRESNO Brian C. Acker Risk Analyst ASPLUNDH TREE EXPERT, LLC 708 Blair Mill Rd Willow Grove,PA 19090 Phone: (215) 784-4487

2289-096-51 MURPHY AND BEANE INC., CULVER CITY Alisa Berdnik-Kaplan Director of Management Services & Compliance B.V. GENERAL, INC. 1506 S. Glendale Ave Glendale,CA 91205 Phone: (818) 247-6200 1960-012-90 BROADSPIRE SERVICES, INC., BREA Andrea Bonney Risk Analyst BALL CORPORATION 5600 W 83rd Street, Ste 1100 Minneapolis,MN 55437 Phone: (952) 807-0871 Fax: (847) 953-2851

2106-195-09 TRISTAR RISK MANAGEMENT, FRESNO Casey Razma CFO BASIC RESOURCES, INC. 928 12th Street, Ste 700 Modesto,CA 95354 Phone: (209) 521-9771 Fax: (209) 579-9502

2199-316-02 CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA Ms. Karen Nash HR Manager BIG 5 CORP. 2525 E El Segundo Blvd. El Segundo,CA 90245 Phone: (310) 536-0611 Fax: (310) 297-7628

2386-316-03 CORVEL ENTERPRISE COMP, INC., SAN DIEGO Mr. David Ziebarth CFO BURKE WILLIAMS, INC. 450 N. Oak Street Inglewood,CA 90302 Phone: (310) 651-9866

2010-195-07 TRISTAR RISK MANAGEMENT, CONCORD Ron Webb Vice President Human Resources CALIFORNIA WATER SERVICE COMPANY 1720 N. 1st Street San Jose,CA 95112 Phone: (408) 367-8546 Fax: (408) 367-8437

1893-096-51 MURPHY AND BEANE INC., CULVER CITY 1893-011-05 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ORANGE Ms. Barrie Wexler Senior Vice President, Risk Management CBS OPERATIONS INC. 1515 Broadway New York,NY 10036 Phone: (212) 846-7201 2011-169-11 BETA HEALTHCARE GROUP, GRANITE BAY Kelly Moss Workers' Compensation Manager CEDARS-SINAI MEDICAL CENTER 8700 Beverly Blvd., TSB, Ste 130 Los Angeles,CA 90048 Phone: (310) 423-5935 Fax: (310) 423-0164

2287-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Dana Glover-Smith Director of Safety CENTRAL CONCRETE SUPPLY CO., INC. 331 N Main Street Euless,TX 76039 Phone: (817) 835-4128

2390-195-09 TRISTAR RISK MANAGEMENT, FRESNO Kirby Ford VP, Workers Compensation CERES MARINE TERMINALS INC. 565 Marriott Drive, #400 Nashville,TN 37214 Phone: (800) 293-1420

1777-005-38 ESIS, INC., FREMONT 1777-005-21 ESIS, INC., CHATSWORTH Lynne Watt Mgr-Risk Mgmt & Insurance CERTAINTEED LLC 20 Moores Rd Malvern,PA 19355 Phone: (610) 893-5535

0381-012-93 BROADSPIRE SERVICES, INC., FRESNO Megan O'Boyle-Paraiso Work Comp Senior Program Manager CHEVRON CORPORATION 6001 Bollinger Canyon Rd, A2114 San Ramon,CA 94583 Phone: (925) 842-8161 Fax: (925) 842-8185

1135-048-01 ATHENS ADMINISTRATORS, CONCORD Oliverdonn R. Lingao Workers Compensation & Employee Health Coordinator CHILDREN'S HOSPITAL LOS ANGELES 4650 Sunset Blvd. Los Angeles,CA 90027 Phone: (323) 203-5993 Fax: (323) 361-8095 1448-195-01 TRISTAR RISK MANAGEMENT, SIGNAL HILL 1448-108-52 AIG CLAIMS, INC., SAN DIEGO Gregory Wren Director Financial Risk and Insurance CHILDREN'S HOSPITAL OF ORANGE COUNTY 1201 W La Veta Ave Orange,CA 92868 Phone: (714) 509-4937 Fax: (714) 509-4023

1662-092-09 ADMINSURE, INC., COVINA 1662-092-60 ADMINSURE, INC., ONTARIO Ms. Cynthia Avila Insurance and Corporate Risk Management CITY OF HOPE NATIONAL MEDICAL CENTER 1500 East Duarte Rd Duarte,CA 91010 Phone: (626) 218-3841

2058-005-21 ESIS, INC., CHATSWORTH 2058-005-58 ESIS, INC., SAN DIEGO 2058-005-38 ESIS, INC., FREMONT Juventino Sanchez V.P. of Finance CLOUGHERTY PACKING, LLC 3049 E. Vernon Ave LOS ANGELES,CA 90058 Phone: (323) 583-4621 Fax: (323) 586-9885

2029-316-05 CORVEL ENTERPRISE COMP, INC., FOLSOM Mr. Jeremiah L. Paul Director, Workers' Compensation Operations COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1630 E Shaw Ave, Ste 163 Fresno,CA 93710 Phone: (559) 724-4564 Fax: (559) 724-4298

2328-096-51 MURPHY AND BEANE INC., CULVER CITY Timothy Hodge General COMPASS HEALTH, INC. 200 South 13th Street Grover Beach,CA 93433 Phone: (805) 474-7010 Fax: (805) 474-7013

2191-348-01 RANCHO RISK SERVICES, IRVINE Robert S. Hurtt Jr. CONTAINER SUPPLY COMPANY, INCORPORATED 12571 Western Ave Garden Grove,CA 92841 Phone: (714) 892-8321 Fax: (714) 892-3824 2060-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN Mr. Uyen Nguyen Supervisor, Integrated Leave Data Analyst COSTCO WHOLESALE CORPORATION 999 Lake Drive Issaquah,WA 98027 Phone: (425) 313-2874 Fax: (425) 416-2171

1562-048-01 ATHENS ADMINISTRATORS, CONCORD Ms. Diana Jamison Chief Financial Officer COVIA COMMUNITIES 2185 N. California Blvd. Ste 215 Walnut Creek,CA 94596 Phone: (925) 956-7446 Fax: (925) 871-4030

2387-343-02 PACIFIC CLAIMS MANAGEMENT, FRESNO Mr. Jerry Laval President CREAM OF THE CROP AG SERVICE, INC. 7060 N. Marks Ave, Ste 118 Fresno,CA 93711 Phone: (559) 558-4800

2366-025-05 GALLAGHER BASSETT SERVICES INC., CORONA Mr. Jeff Wofford CFO CROWN ENERGY SERVICES, INC. 868 Folsom Street San Francisco,CA 94107 Phone: (415) 981-7080 Fax: (415) 651-9423

2361-350-01 COTTINGHAM & BUTLER CLAIMS SERVICES, INC., WEST COVINA Jason M. Steffens Director of Risk Management CRST EXPEDITED, INC. 201 1st St. SE Cedar Rapids,IA 52401 Phone: (319) 390-2761

2094-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK William Wiedemann Finance Consultant DAMERON HOSPITAL ASSOCIATION 525 West Acacia Street Stockton,CA 95203 Phone: (209) 242-7006 2140-132-22 YORK RISK SERVICES GROUP, INC., WEST HILLS Marina Takayan Human Resources Manager DANSK INVESTMENT GROUP, INC. 6591 Collins Drive Ste E-11 Moorpark,CA 93021 Phone: (805) 299-8269 Fax: (818) 475-5236

2021-011-23 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA Alan McVay, ARM, ARe, AIS, AIT Insurance Specialist DIGNITY HEALTH 3900 Olympic Blvd., Ste 400 Erlanger,KY 41018 Phone: (859) 594-3039 Fax: (589) 594-3093

1032-011-01 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA Joe Crace Director, Risk Management DOLE FOOD COMPANY, INC. 200 South Tryon St. Ste 600 Charlotte,NC 28202 Phone: (704) 249-6908

2337-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Patricia L. Usry Risk Manager DOLE PACKAGED FOODS, LLC 7916 W. Bellevue Rd Atwater,CA 95301 Phone: (209) 356-6112

2383-132-11 YORK RISK SERVICES GROUP, INC., ORANGE Ms. Cheryl Kabes Consultant DOLGEN CALIFORNIA, LLC 5600 West 83rd Street, Ste 1100 Minneapolis,MN 55437 Phone: (952) 807-0661 Fax: (847) 953-2851

1746-99-19 Self Administered Becky Castro Senior Claims Mgr E. & J. GALLO WINERY P.O Box 1130 Modesto,CA 95354 Phone: (209) 341-3782 Fax: (209) 341-3127 2134-048-01 ATHENS ADMINISTRATORS, CONCORD Sarah Olson Assistant Controller Corporate EISENHOWER MEDICAL CENTER 39000 BOB HOPE DRIVE RANCHO MIRAGE,CA 92270 Phone: (760) 837-8219 Fax: (760) 837-8690

2221-334-01 AMERICAN CLAIMS MANAGEMENT, INC., SAN DIEGO Michael Walsh Controller EL CAMINO HOSPITAL 2500 Grant Rd Mountain View,CA 94040 Phone: (650) 940-7240

2340-316-02 CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA Deborah L. Cooper Vice President Finance EMANATE HEALTH 140 W. College Street Covina,CA 91722 Phone: (626) 858-8541 Fax: (626) 966-9185

2311-132-11 YORK RISK SERVICES GROUP, INC., ORANGE Ms. Suzanne Snapper CFO ENSIGN SERVICES, INC. 29222 Rancho Viejo Rd, Ste 127 San Juan Capistrano,CA 92675 Phone: (949) 487-9500

2182-132-01 YORK RISK SERVICES GROUP, INC., ROSEVILLE Kenneth J. Fisher Workers' Compensation Director ESKATON PROPERTIES, INCORPORATED 5105 Manzanita Ave Carmichael,CA 95608 Phone: (916) 334-0810

2299-343-02 PACIFIC CLAIMS MANAGEMENT, FRESNO Luis M. Esparza CEO/President ESPARZA ENTERPRISES, INC. 3851 Fruitvale Ave Bakersfield,CA 93308 Phone: (661) 831-0002 2356-190-03 THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA 2356-025-04 GALLAGHER BASSETT SERVICES INC., RANCHO CUCAMONGA 2356-190-01 THE ZURICH SERVICES CORPORATION, WOODLAND HILLS Mary Ann Clarke Director of Risk Management EXPRESS MESSENGER SYSTEMS, INC. 2501 S. Price Rd Ste 201 Chandler,AZ 85286 Phone: (602) 333-4470 Fax: (602) 333-4530

1530-011-09 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH Lynda Shue Director Risk Management FARMER BROS. CO. 1912 Farmer Brothers Drive Northlake,TX 76262 Phone: (682) 549-6667 Fax: (682) 730-9756

1956-269-02 INNOVATIVE CLAIM SOLUTIONS, SAN RAMON Bill Tanimoto CFO FARMERS' RICE COOPERATIVE PO Box 15223 Sacramento,CA 95851 Phone: (916) 923-5100 Fax: (916) 923-5100

2091-011-01 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA 2091-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK Gael R. Johnson Sr. Risk Analyst FEDERAL EXPRESS CORPORATION 3620 Hacks Cross Rd, Bldg. B, 3rd Floor Memphis,TN 38125 Phone: (901) 434-4557 Fax: (901) 434-4585

2203-086-35 HELMSMAN MANAGEMENT SERVICES LLC, ORANGE 2203-025-11 GALLAGHER BASSETT SERVICES INC., SACRAMENTO-REGIONAL Brenda Gillum Administrative Services Assistant FLYERS ENERGY, LLC 2360 Lindbergh Street Auburn,CA 95602 Phone: (530) 885-0401 Fax: (530) 885-2257 0611-005-38 ESIS, INC., FREMONT 0611-99-03 Self Administered 0611-005-21 ESIS, INC., CHATSWORTH 0611-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN Alan S. Gorosh Managing Counsel FORD MOTOR COMPANY 16800 Executive Plaza Drive South 6th Floor Dearborn,MI 48126 Phone: (313) 248-7880 Fax: (313) 322-9168

1541-025-04 GALLAGHER BASSETT SERVICES INC., RANCHO CUCAMONGA Sandra Schroeder Workers' Compensation Program Manager FOSTER POULTRY FARMS 1000 Davis St Livingston,CA 95334 Phone: (209) 668-6673 Fax: (209) 398-6028

2288-361-01 ELITE CLAIMS MANAGEMENT, INC., TEMECULA Cheryl Roskamp CFO FREEDOM PROPERTIES-HEMET, LLC 27122 B Paseo Espada, #1024 San Juan Capistrano,CA 92675 Phone: (949) 489-0430

2278-096-51 MURPHY AND BEANE INC., CULVER CITY Ms. Desiree Burton Human Resources FRONT PORCH COMMUNITIES AND SERVICES 800 North Brand Blvd. 19th Floor Glendale,CA 91203 Phone: (818) 254-4160 Fax: (818) 254-4161

2367-048-02 ATHENS ADMINISTRATORS, ORANGE Norman G. Hainlen Director Alternative Risk Financing GAR LABORATORIES INC. 15901 Red Hill Ave, Ste 100 Tustin,CA 92780 Phone: (714) 824-8382 Fax: (714) 573-1770

0857-005-21 ESIS, INC., CHATSWORTH 0857-99-01 Self Administered Louise Holleran Workers' Compensation Manager GENERAL DYNAMICS CORPORATION P.O. Box 85278 SAN DIEGO,CA 92186 Phone: (619) 544-8862 Fax: (619) 544-8708 0291-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Jared Carlisle Compliance Management GENERAL MOTORS LLC 5600 West 83rd Street, Ste 1100 Minneapolis,MN 55437 Phone: (952) 807-0881

2329-197-05 JT2 INTEGRATED RESOURCES, OAKLAND Kathryn Morrison Assistant Controller GILLIG LLC 451 Discovery Drive Livermore,CA 94551 Phone: (510) 264-5067 Fax: (510) 781-0718

2379-005-21 ESIS, INC., CHATSWORTH Mr. Norman G. Hainlen Dir., Alternative Risk Financing GLORIA MCNEIL, A SOLE PROPRIETORSHIP, DBA CORDOVA CONSULTING 15901 Red Hill Ave #100 Tustin,CA 92780 Phone: (714) 824-8382

2335-236-01 ACCELERATED CLAIMS SERVICES, INC., ORANGE Dan Ukkestad President/CEO GOLDEN EAGLE MANAGEMENT, LLC 2775 Via de la Valle, Ste 200 Del Mar,CA 92014 Phone: (858) 755-1069 Fax: (858) 755-1802

2043-011-03 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA David Carl Risk Analyst GOLDEN STATE WATER COMPANY 630 E. Foothill Blvd. San Dimas,CA 91773 Phone: (909) 394-3600 Fax: (909) 394-1382

1040-316-03 CORVEL ENTERPRISE COMP, INC., SAN DIEGO Mr. Scott Fyson Controller GOODWILL INDUSTRIES OF SAN DIEGO COUNTY 3663 Rosecrans St San Diego,CA 92110 Phone: (619) 225-2200 Fax: (619) 523-0438 2344-048-01 ATHENS ADMINISTRATORS, CONCORD Ivoree Reinaldo Vice President, Property & Casualty GOODWILL INDUSTRIES OF SAN FRANCISCO, SAN MATEO, AND MARIN COUNTIES, INC. 777 Mariners Island Blvd., Ste 250 San Mateo,CA 94404 Phone: (415) 243-6265

0820-092-60 ADMINSURE, INC., ONTARIO Jillian Soto Director, Leaves of Absence & Workers' Compensation GOODWILL INDUSTRIES OF SOUTHERN CALIFORNIA 342 N. San Fernando Rd Los Angeles,CA 90031 Phone: (323) 539-2074 Fax: (323) 987-1029

2384-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Clarke La Vine Chief Financial Officer GOTHIC LANDSCAPING, INC. 27413 Tourney Rd Valencia,CA 91355 Phone: (661) 678-1414

2160-195-09 TRISTAR RISK MANAGEMENT, FRESNO Ms. Cherie W. Johnson Workers' Compensation Manager GRIMMWAY ENTERPRISES, INC. P. O. Box 81498 Bakersfield,CA 93380 Phone: (661) 855-8526 Fax: (661) 854-5149

2277-195-09 TRISTAR RISK MANAGEMENT, FRESNO Sue Bohigian Human Resource Manager GRUNDFOS PUMPS MANUFACTURING CORPORATION 5900 E Shields Ave Fresno,CA 93727 Phone: (559) 294-3003

2358-361-01 ELITE CLAIMS MANAGEMENT, INC., TEMECULA Janice Tessier Administrative Assistant GUY YOCOM CONSTRUCTION, INC. 3299 Horseless Carriage Lane, Ste H Norco,CA 92860 Phone: (951) 284-3456 Fax: (866) 482-2129 2385-195-09 TRISTAR RISK MANAGEMENT, FRESNO Mike Casey VP Human Resources/Risk Mgmt HARRIS RANCH BEEF COMPANY 16277 S. McCall Ave Selma,CA 93622 Phone: (559) 896-3081

2301-152-11 LWP CLAIMS SOLUTIONS, INC., GLENDALE Yutopia K. Essex Benefits Administrator HARVARD-WESTLAKE SCHOOL 3700 Coldwater Canyon Studio City,CA 91604 Phone: (818) 487-6606 Fax: (818) 487-5402

2298-254-03 CONSTITUTION STATE SERVICES LLC, DIAMOND BAR Tina Gemlo Benefits Manager HAZELDEN BETTY FORD FOUNDATION 15251 Pleasant Valley Rd Center City,MN 55012 Phone: (651) 213-4210 Fax: (760) 837-8353

2177-025-04 GALLAGHER BASSETT SERVICES INC., RANCHO CUCAMONGA 2177-012-87 BROADSPIRE SERVICES, INC., FOLSOM Bruce M. Helberg Director-Risk Financing HEARTLAND EMPLOYMENT SERVICES, LLC 100 Madison Ave MSC S29932 Toledo,OH 43604 Phone: (567) 585-0292 Fax: (567) 585-9640

2291-011-01 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA 2291-190-03 THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA Jerry Suther Director of Workers' Compensation HEARTLAND EXPRESS INC. OF IOWA 901 N. Kansas Ave North Liberty,IA 52317 Phone: (877) 240-0413 Fax: (319) 626-3392

2305-011-01 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA Thomas C. Nix Director, Insurance HEAVENLY VALLEY, LIMITED PARTNERSHIP 390 Interlocken Crescent Broomfield,CO 80021 Phone: (303) 404-1945 2360-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK Dipti Solanki Global Risk Management HEWLETT PACKARD ENTERPRISE COMPANY 6280 America Center Drive, MS L5-011 San Jose,CA 95002 Phone: (650) 236-7078

2230-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN Mr. Matt Ward Director, Risk Management HOME DEPOT U.S.A., INC. 2455 Paces Ferry Rd C-20 Atlanta,GA 30339 Phone: (770) 384-3353

1747-025-11 GALLAGHER BASSETT SERVICES INC., SACRAMENTO-REGIONAL Ivar Cuellar Program Manager-Claims HP INC. WHICH WILL DO BUSINESS IN CA AS HP COMPUTING AND PRINTING INC. 10300 Energy Drive Spring,TX 77389 Phone: (281) 927-8610

2078-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Angie Cadiente Risk Management Analyst INTEL CORPORATION 2200 Mission College Blvd, RN6-46 Santa Clara,CA 95054 Phone: (408) 765-3494

2025-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Jim Razor Division Manager of Processing J. G. BOSWELL COMPANY 710 Bainum Ave Corcoran,CA 93212 Phone: (559) 762-3608

2334-048-02 ATHENS ADMINISTRATORS, ORANGE Lee Segura CFO J.T. WIMSATT CONTRACTING CO., INC. 28064 Ave Stanford, Ste B Valencia,CA 91355 Phone: (661) 775-8090 Fax: (661) 775-8099 1799-291-01 CANNON COCHRAN MANAGEMENT SERVICES, INC., CONCORD Lisa Foust SVP Human Resources JOHN MUIR HEALTH 1400 Treat Blvd. Walnut Creek,CA 94597 Phone: (925) 947-4490

1760-005-21 ESIS, INC., CHATSWORTH 1760-005-38 ESIS, INC., FREMONT Kristin L. Jacobs Insurance Manager JOHNS MANVILLE 717 17th Street Denver,CO 80202 Phone: (303) 229-6782

1054-011-09 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH 1054-011-10 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ROSEVILLE 1054-011-20 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., OAKLAND-GRAND Debbie Ehsan Sr. Manager KAISER FOUNDATION HOSPITALS One Kaiser Plaza 25th Floor Oakland,CA 94612 Phone: (510) 267-5394 Fax: (510) 271-6339

2312-146-02 ACCLAMATION INSURANCE MANAGEMENT SERVICES, FRESNO Nick Giragosian Controller KERN RIDGE GROWERS, LLC 14322 DiGiorgio Rd Arvin,CA 93203 Phone: (661) 854-3141 Fax: (661) 854-7229

2157-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Ms. Melissa Woitalewicz Claims Analyst KIEWIT INFRASTRUCTURE WEST CO. Kiewit Plaza Omaha,NE 68131 Phone: (402) 536-3641

2365-048-02 ATHENS ADMINISTRATORS, ORANGE Ellie Liu Account Manager KING'S SEAFOOD COMPANY, LLC 600 Corporate Pointe, Ste 600 Culver City,CA 90230 Phone: (301) 568-7629 Fax: (301) 425-3221 2129-291-02 CANNON COCHRAN MANAGEMENT SERVICES, INC., IRVINE Terry Thornton CFO KLLM TRANSPORT SERVICES, LLC 134 Riverview Drive Richland,MS 39218 Phone: (601) 933-4928 Fax: (601) 936-5638

2257-152-11 LWP CLAIMS SOLUTIONS, INC., GLENDALE Julia Sipowicz Assistant Account Manager KNIGHT TRANSPORTATION, INC. WHICH WILL DO BUSINESS IN CALIFORNIA AS ARIZONA KNIGHT TRANSPORTATION, INC. 5450 E. High Street, Ste 230 Phoenix,AZ 85054 Phone: (480) 579-2422 Fax: (480) 579-2414

2233-025-04 GALLAGHER BASSETT SERVICES INC., RANCHO CUCAMONGA Paula Greve Sr. Compliance Consultant L BRANDS, INC. 5600 W 83rd Street, Ste 1100 Minneapolis,MN 55437 Phone: (952) 807-0671 Fax: (847) 953-2851

2281-316-02 CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA Lauren Fast Head of Human Resources L.F.P., INC. 8484 Wilshire Blvd., Ste 900 Beverly Hills,CA 90211 Phone: (323) 651-5400 Fax: (323) 651-1148

2320-361-01 ELITE CLAIMS MANAGEMENT, INC., TEMECULA Mr. Charles Folkner Risk Manager LBC LIMITED PARTNERSHIP 234 Quadrum Dr. Oklahoma City,OK 73108 Phone: (405) 951-1392 Fax: (405) 671-2763

1986-128-15 MATRIX ABSENCE MANAGEMENT, INC., SAN JOSE Doug Jones Assoc. Dir. Enterprise Risk Mgmt. LEPRINO FOODS COMPANY 1830 W. 38th Ave Denver,CO 80211 Phone: (303) 480-2834 Fax: (303) 480-2874 2302-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Mr. Corey J. Parks Executive Vice President & CAO LES SCHWAB TIRE CENTERS OF CALIFORNIA, LLC PO Box 5350 Bend,OR 97708 Phone: (541) 416-5412 Fax: (541) 416-5367

1605-005-21 ESIS, INC., CHATSWORTH 1605-005-38 ESIS, INC., FREMONT Natalie K. Szot Manager Global Risk Management LEVI STRAUSS & CO. 1155 Battery Street San Francisco,CA 94111 Phone: (415) 501-1554

2380-343-02 PACIFIC CLAIMS MANAGEMENT, FRESNO Ms. Lois Mastrocola Chief Financial Officer LIFE GENERATIONS HEALTHCARE LLC 6 Hutton Centre #400 Santa Ana,CA 92707 Phone: (714) 241-5600

2331-298-01 RISICO CLAIMS MANAGEMENT, INC., FRESNO Suzie Keller Controller LION FARMS L.L.C. P.O. Box 1350 Selma,CA 93662 Phone: (559) 834-6677

2308-298-01 RISICO CLAIMS MANAGEMENT, INC., FRESNO Ms. Suzie Keller Controller LION RAISINS, INC. P.O. Box 1350 Selma,CA 93662 Phone: (559) 834-6677

1821-254-03 CONSTITUTION STATE SERVICES LLC, DIAMOND BAR 1821-005-21 ESIS, INC., CHATSWORTH 1821-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN Susan Benjamin Sr. Casualty Risk Manager LOCKHEED MARTIN CORPORATION 1011 Lockheed Way MZ 1045 Palmdale,CA 93599 Phone: (301) 897-6277 Fax: (301) 897-6557 1095-99-01 Self Administered 1095-108-52 AIG CLAIMS, INC., SAN DIEGO Mark Hubbard Sr. VP Administration Risk Mgmt LOMA LINDA UNIVERSITY 101 E. Redlands Blvd San Bernardino,CA 92408 Phone: (909) 651-4014 Fax: (909) 651-4107

2005-343-02 PACIFIC CLAIMS MANAGEMENT, FRESNO Alyssa Alderman Director of Human Resources LOS ANGELES JEWISH HOME FOR THE AGING 7150 Tampa Ave Reseda,CA 91335 Phone: (818) 757-4455

1439-291-01 CANNON COCHRAN MANAGEMENT SERVICES, INC., CONCORD Bob Hopkins Treasurer LOUISIANA-PACIFIC CORPORATION 414 Union Street, Ste 2000 Nashville,TN 37219 Phone: (615) 986-5803

2284-011-09 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH Mr. Darren Charles Risk Management Administrator LOWE'S HOME CENTERS, LLC 1000 Lowes Blvd Mail Code NB3RM Mooresville,NC 28117 Phone: (704) 758-5582

2353-005-21 ESIS, INC., CHATSWORTH 2353-025-01 GALLAGHER BASSETT SERVICES INC., FOLSOM 2353-005-38 ESIS, INC., FREMONT Calvin Mang Manager Risk Solutions LYFT, INC. 185 Berry Street, Ste 5000 San Francisco,CA 94107 Phone: (847) 977-8805

2096-190-03 THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA Alfred A. Anderson Treasurer/Controller M. C. M. CONSTRUCTION, INC. P.O. Box 620 North Highlands,CA 95660 Phone: (916) 334-1221 Fax: (916) 334-1221 0911-011-09 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH 0911-351-01 OAK RIVER INSURANCE COMPANY, SAN DIEGO Jack Heckmuller Manager-Acctg Services-Risk Management MACY'S RETAIL HOLDINGS, LLC 145 Progress Place Cincinnati,OH 45246 Phone: (513) 579-7896

2376-025-05 GALLAGHER BASSETT SERVICES INC., CORONA Mr. Salvatore Anthony Di Maria Managing Member MANNING'S BEEF, LLC 9531 Beverly Rd Pico Rivera,CA 90660 Phone: (718) 360-6085

2120-012-87 BROADSPIRE SERVICES, INC., FOLSOM Ms. Denise Pulver VP/Admin MARKSTEIN BEVERAGE CO. OF SACRAMENTO 60 Main Ave Sacramento,CA 95838 Phone: (916) 920-9070 Fax: (916) 920-4875

1830-025-02 GALLAGHER BASSETT SERVICES INC., ORANGE 1830-99-99 Self Administered Steve Huy Compliance Analyst MARRIOTT INTERNATIONAL, INC. 10400 Fernwood Rd, Dept. 52/924.36 Bethesda,MD 20817 Phone: (301) 370-4450 Fax: (301) 644-7518

1780-254-03 CONSTITUTION STATE SERVICES LLC, DIAMOND BAR 1780-011-03 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA 1780-195-04 TRISTAR RISK MANAGEMENT, SAN DIEGO (CONVOY) Bonita Felder Manager - Casualty Risk MASCO CORPORATION 17450 College Parkway Livonia,MI 48152 Phone: (313) 792-6059 Fax: (313) 792-6613

2392-005-21 ESIS, INC., CHATSWORTH 2392-005-38 ESIS, INC., FREMONT Andres Llop Director of Risk Management MASTEC NORTH AMERICA, INC. 800 South Douglas Rd, PH Coral Gables,FL 33134 Phone: (305) 406-1870 2143-132-01 YORK RISK SERVICES GROUP, INC., ROSEVILLE Launa Schrecongost Risk Manager MCCLATCHY NEWSPAPERS, INC. 2100 Q Street Sacramento,CA 95816 Phone: (916) 321-1838 Fax: (916) 321-1964

1787-005-21 ESIS, INC., CHATSWORTH Julie E. Radford Risk Manager MCWANE, INC. 2900 Highway 280, Ste 300 Birmingham,AL 35223 Phone: (205) 414-3151 Fax: (205) 414-3170

1052-062-01 KEENAN & ASSOCIATES, TORRANCE Judie Tsanopoulos Director of Workers Compensation, Employees Safety, Lead Management MEMORIAL HEALTH SERVICES 17360 Brookhurst Street Fountain Valley,CA 92708 Phone: (949) 607-6675 Fax: (714) 377-3269

1793-271-01 CLAIMQUEST, INC., WALNUT Krista Haas Chairwoman MERCHANTS BUILDING MAINTENANCE COMPANY 1190 Monterey Pass Rd Monterey Park,CA 91754 Phone: (323) 881-6701

1086-271-01 CLAIMQUEST, INC., WALNUT William Grigg SVP & CFO METHODIST HOSPITAL OF SOUTHERN CALIFORNIA 300 W Huntington Drive Arcadia,CA 91007 Phone: (626) 821-2310 Fax: (626) 574-3767

1698-048-01 ATHENS ADMINISTRATORS, CONCORD Mr. Tim Nylen Vice President MONTAGE HEALTH 23625 Holman Highway Monterey,CA 93940 Phone: (831) 625-4500 2188-146-02 ACCLAMATION INSURANCE MANAGEMENT SERVICES, FRESNO Robert Jenkins CFO MONTEREY MUSHROOMS, INC. 260 Westgate Dr. Watsonville,CA 95076 Phone: (831) 763-5300 Fax: (831) 763-9300

2350-012-93 BROADSPIRE SERVICES, INC., FRESNO Adrian Chapa Insurance Analyst, Risk Management MV TRANSPORTATION, INC. 2711 North Haskell Ave STE 1500 Dallas,TX 75204 Phone: (972) 391-4652

2368-048-01 ATHENS ADMINISTRATORS, CONCORD Jeff Daly Chief Financial Officer NAHS HOLDING, INC. 25910 Acero Rd, Ste 350 Mission Viejo,CA 92691 Phone: (949) 240-2423

0767-291-01 CANNON COCHRAN MANAGEMENT SERVICES, INC., CONCORD Rosalind Turner Manager Health Care NATIONAL TECHNOLOGY & ENGINEERING SOLUTIONS OF SANDIA, LLC P.O. Box 696, MS 9112 Livermore,CA 94551 Phone: (925) 294-6083 Fax: (925) 294-2392

2378-096-51 MURPHY AND BEANE INC., CULVER CITY Ms. Pankti Patel Compliance Analyst, Workers Compensation NETFLIX, INC. 5808 W. Sunset Blvd Los Angeles,CA 90028 Phone: (877) 214-4243

2015-108-31 AIG CLAIMS, INC., SANTA ANA 2015-99-01 Self Administered Sarah K. Johnson Vice President, Associate General Counsel NORDSTROM, INC. 1700 7th Ave Seattle,WA 98101 Phone: (206) 303-2712 1237-025-13 GALLAGHER BASSETT SERVICES INC., SAN DIEGO Mindi Walton Global Mgr, Loss Control & Analytics O-I GLASS, INC. One Michael Owens Way, Plaza Four Perrysburg,OH 43551 Phone: (567) 336-2064 Fax: (567) 336-7602

1804-025-01 GALLAGHER BASSETT SERVICES INC., FOLSOM Diana L. Boettcher EHS Specialist OPTICAL COATING LABORATORY, LLC 2789 Northpoint Parkway Santa Rosa,CA 95407 Phone: (170) 752-5777

1882-048-02 ATHENS ADMINISTRATORS, ORANGE Cristina Cook Director, Environmental Health & Safety ORORA PACKAGING SOLUTIONS 660 N. Twin Oaks Valley Rd San Marcos,CA 92069 Phone: (760) 510-7084

2342-092-60 ADMINSURE, INC., ONTARIO Bing Yang President OUT OF THE SHELL, LLC 9646 Remer Street South El Monte,CA 91733 Phone: (626) 401-1923 Fax: (626) 401-1925

1655-011-05 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ORANGE DeeAnne Flegel Mgr. Workplace Absence Programs PACCAR INC. 777 106th Ave NE Bellevue,WA 98004 Phone: (425) 468-7939 Fax: (425) 468-8206

0012-99-05 Self Administered 0012-99-01 Self Administered James P. McMorrow Manager IDM Compliance QA PACIFIC GAS AND ELECTRIC COMPANY 77 Beale St Mail Code BJ6, Room 643D San Francisco,CA 94105 Phone: (415) 973-6155 Fax: (415) 973-7828 2362-343-02 PACIFIC CLAIMS MANAGEMENT, FRESNO Jerry Laval PACIFIC RISK MANAGEMENT, LLC 7060 N. Marks Ave, #118 Fresno,CA 93711 Phone: (559) 432-9400

2042-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK Mr. Arthur F. Blinci Plan Administrator PACIFIC UNION CONFERENCE OF SEVENTH-DAY ADVENTISTS P. O. Box 1052 Redlands,CA 92373 Phone: (909) 556-2279

1944-271-01 CLAIMQUEST, INC., WALNUT Kevin Fremgen Controller PARCO, INC. 1801 S Archibald Ave Ontario,CA 91761 Phone: (909) 947-3540

0912-146-08 ACCLAMATION INSURANCE MANAGEMENT SERVICES, VALENCIA Jim Meehan Risk Manager PARKER-HANNIFIN CORPORATION 6035 Parkland Blvd Cleveland,OH 44124 Phone: (216) 896-2486 Fax: (216) 896-4043

2354-128-17 MATRIX ABSENCE MANAGEMENT, INC., ROSEVILLE Robert Erickson Controller PARKING CONCEPTS, INC. 12 Mauchly, Building I Irvine,CA 92618 Phone: (949) 864-3486

1663-048-02 ATHENS ADMINISTRATORS, ORANGE Ms. Mary T. Ruiz Manager, Leave & Disability Management PASADENA HOSPITAL ASSOCIATION, LTD. 100 W California Blvd Pasadena,CA 91109 Phone: (626) 397-8060 Fax: (626) 397-7153

2249-239-09 INTERCARE HOLDINGS INSURANCE SERVICES, INC., SALINAS David Heuck Executive Vice President and Chief Administrative Officer PEBBLE BEACH COMPANY P. O. Box 1767 Pebble Beach,CA 93953 Phone: (831) 649-2756 Fax: (831) 277-7709 2391-048-03 ATHENS ADMINISTRATORS, SACRAMENTO Howard Weinberg CEO PELORIA BRIDGE BAY LLC 2550 Via Tejon, Ste 2B Palos Verdes Estates,CA 90274 Phone: (310) 363-7775

2326-361-01 ELITE CLAIMS MANAGEMENT, INC., TEMECULA Ms. Hillary Moore Admin Manager PETERSON BROTHERS CONSTRUCTION, INC. 1560 W. Lambert Rd Brea,CA 92821 Phone: (714) 989-2934 Fax: (714) 784-3548

0829-048-01 ATHENS ADMINISTRATORS, CONCORD Anup Patel Vice President, Enterprise Risk Management/Corporate Compliance PIH HEALTH GOOD SAMARITAN HOSPITAL 1225 Wilshire Boulevard Los Angeles,CA 90017 Phone: (562) 698-0811 Fax: (562) 464-5007

2072-048-02 ATHENS ADMINISTRATORS, ORANGE Anup Patel Vice President PIH HEALTH HOSPITAL - DOWNEY 12401 Washington Blvd. Whittier,CA 90602 Phone: (562) 698-0811 Fax: (562) 789-4350

1457-048-02 ATHENS ADMINISTRATORS, ORANGE Anup Patel Vice President PIH HEALTH HOSPITAL - WHITTIER 12401 Washington Blvd. Whittier,CA 90602 Phone: (562) 698-0811 Fax: (562) 789-4350

2179-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Denise Wingate Accountant - NSG Group PILKINGTON NORTH AMERICA, INC. 2401 East Broadway Street Northwood,OH 43619 Phone: (419) 247-3943 2338-298-01 RISICO CLAIMS MANAGEMENT, INC., FRESNO Richard Pitman President PITMAN FAMILY FARMS 1075 North Ave Sanger,CA 93657 Phone: (559) 250-0258

2372-239-06 INTERCARE HOLDINGS INSURANCE SERVICES, INC., GLENDALE Ms. Tamar Akhoian Controller PLUMBER HERO, INC. 11150 Sepulveda Blvd., Ste 2A Mission Hills,CA 91345 Phone: (818) 384-2288

1581-092-60 ADMINSURE, INC., ONTARIO Ms. Jennifer Bell Workers Comp Manager POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 N. Garey Ave Pomona,CA 91767 Phone: (909) 469-9342 Fax: (909) 397-0453

2375-316-02 CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA Claudette Groenendaal National Director of Insurance Services PROSPECT MEDICAL HOLDINGS, INC. 3415 S. Sepulveda Blvd., 9th Floor Los Angeles,CA 90034 Phone: (424) 369-8450

2245-011-05 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ORANGE Schandra Wiltse Compliance Analyst PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA 2001 Lind Ave SW - 5th Floor Renton,WA 98057 Phone: (425) 525-3134

1788-195-01 TRISTAR RISK MANAGEMENT, SIGNAL HILL Ms. Jana Comer Vice President of Finance PRUDENTIAL OVERALL SUPPLY 1661 Alton Pkwy Irvine,CA 92606 Phone: (949) 250-4855 2054-316-05 CORVEL ENTERPRISE COMP, INC., FOLSOM Fiona Williams Senior Risk Manager RALEY'S 500 West Capitol Ave Sacramento,CA 95605 Phone: (916) 373-6214

2239-316-05 CORVEL ENTERPRISE COMP, INC., FOLSOM Mr. William P. Lyons Vice President & Senior Director RECOLOGY INC. 50 California St., 24th Floor San Francisco,CA 94111 Phone: (415) 875-1111 Fax: (415) 875-1134

1841-239-06 INTERCARE HOLDINGS INSURANCE SERVICES, INC., GLENDALE Lisa K. Guzman Vice President Human Resources REDLANDS COMMUNITY HOSPITAL 350 Terracina Blvd Redlands,CA 92373 Phone: (909) 335-6440 Fax: (909) 335-6440

2173-132-10 YORK RISK SERVICES GROUP, INC., RANCHO CUCAMONGA Syed Kazmi ROBERTSON'S READY MIX, LTD. 200 South Main Street, Ste 200 Corona,CA 92882 Phone: (951) 493-6531 Fax: (951) 493-6532

1400-152-10 LWP CLAIMS SOLUTIONS, INC., SACRAMENTO Mr. Thomas J. McNamara Chief Financial Officer ROMAN CATHOLIC BISHOP OF SACRAMENTO 2110 Broadway Sacramento,CA 95818 Phone: (916) 733-0288 Fax: (916) 733-0295

2114-316-04 CORVEL ENTERPRISE COMP, INC., CAMARILLO Marty Daley Sr. VP of Finance/CFO ROSEBURG FOREST PRODUCTS CO. 3660 Gateway St. Springfield,OR 97477 Phone: (541) 679-3311

2285-195-01 TRISTAR RISK MANAGEMENT, SIGNAL HILL Steve Kottman CEO S.K.B. CORPORATION 434 W. Levers Place Orange,CA 92867 Phone: (714) 306-7199 1674-271-01 CLAIMQUEST, INC., WALNUT Wah-Chung Hsu Vice President - Finance CFO SAN ANTONIO REGIONAL HOSPITAL 999 San Bernardino Rd Upland,CA 91786 Phone: (909) 920-6103 Fax: (909) 949-1774

1579-011-22 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WEST HILLS Mitch Rosenbaum Director of Corporate Treasury SANTA BARBARA COTTAGE HOSPITAL P.O. Box 689 Santa Barbara,CA 93102 Phone: (805) 879-8949

1812-316-05 CORVEL ENTERPRISE COMP, INC., FOLSOM Hai Ngo Director Risk Management SAVE MART SUPERMARKETS 1600 Yosemite Blvd. Modesto,CA 95354 Phone: (209) 574-6299

2049-132-01 YORK RISK SERVICES GROUP, INC., ROSEVILLE Mr. Patrick Shanahan Controller SCHMIDBAUER LUMBER, INC. P.O. Box 152 Eureka,CA 95502 Phone: (707) 443-7024 Fax: (707) 443-2356

2240-254-04 CONSTITUTION STATE SERVICES LLC, RANCHO CORDOVA 2240-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN 2240-254-01 CONSTITUTION STATE SERVICES LLC, WALNUT CREEK 2240-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK Amy Sawyer Risk Insurance Analyst SCHNEIDER NATIONAL CARRIERS, INC. 3101 S. Packerland Dr. Green Bay,WI 54313 Phone: (920) 592-3071 Fax: (920) 403-8984

2141-005-21 ESIS, INC., CHATSWORTH 2141-005-38 ESIS, INC., FREMONT Stephanie Roe WC Manager SCHNITZER STEEL INDUSTRIES, INC. 299 SW Clay st, STE 350 Portland,OR 97201 Phone: (503) 323-2812 Fax: (503) 471-4613 1739-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Ms. Susanna Walden Dir, Workers Compensation SCRIPPS HEALTH 4275 Campus Point Ct. San Diego,CA 92121 Phone: (858) 678-6521 Fax: (858) 678-6565

1532-005-21 ESIS, INC., CHATSWORTH 1532-012-90 BROADSPIRE SERVICES, INC., BREA 1532-011-22 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WEST HILLS Ms. Mae Asuncion A. Agawin Senior Financial Analyst SECURITAS SECURITY SERVICES USA, INC. 17336 Halona Ct. College Station,TX 77845 Phone: (818) 706-4253 Fax: (818) 706-5601

0133-99-03 Self Administered 0133-99-02 Self Administered 0133-99-01 Self Administered Ms. Sheri Y. Lawrence ECS Manager SEMPRA ENERGY 555 W. 5th Street, GT16C0 Los Angeles,CA 90013 Phone: (213) 244-3099 Fax: (213) 536-2231

2341-048-01 ATHENS ADMINISTRATORS, CONCORD Ms. Jackie Harris Director of Underwriting SENECA FAMILY OF AGENCIES 255 Great Valley Parkway, Ste 200 Malvern,PA 19355 Phone: (610) 647-4466 Fax: (610) 647-0662

1287-99-01 Self Administered Ms. Janet Jennings Workers' Compensation Manager SIERRA PACIFIC INDUSTRIES PO Box 496011 Redding,CA 96049 Phone: (530) 378-8290 Fax: (530) 378-8285

1840-128-15 MATRIX ABSENCE MANAGEMENT, INC., SAN JOSE Sandy Mach Senior HR Analyst SIMPSON MANUFACTURING CO., INC. 5956 W. Las Positas Blvd Pleasanton,CA 94588 Phone: (925) 560-9169 0797-011-09 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH Eugene M. Smith Vice President & Treasurer SMART & FINAL INC. 600 Citadel Drive Commerce,CA 90040 Phone: (323) 869-7751

2355-190-01 THE ZURICH SERVICES CORPORATION, WOODLAND HILLS 2355-190-03 THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA Mary Gabriel Director of Finance SOCIAL VOCATIONAL SERVICES, INC. 3555 Torrance Blvd. Torrance,CA 90503 Phone: (310) 944-3303 Fax: (310) 944-3947

0990-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN 0990-99-28 Self Administered Frank M. Totton U.S. Workers Comp Manager SOLAR TURBINES, INCORPORATED 100 NE Adams St. Peoria,IL 61629 Phone: (309) 675-0967

0014-99-01 Self Administered John A. Smolk Principal Manager SOUTHERN CALIFORNIA EDISON COMPANY P.O. Box 5038 Rosemead,CA 91770 Phone: (626) 302-5685 Fax: (626) 571-4259

2369-048-01 ATHENS ADMINISTRATORS, CONCORD Ms. Jackie Harris Director of Underwriting SOUTHERN CALIFORNIA PIZZA COMPANY, LLC 255 Great Valley Parkway, Ste 200 Malvern,PA 19355 Phone: (610) 647-4466 Fax: (610) 647-0662

1166-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Anika Hartounian VP of Finance SOUTHERN CALIFORNIA PRESBYTERIAN HOMES 516 Burchett Street Glendale,CA 91203 Phone: (818) 638-4571 Fax: (818) 549-0761 2102-195-04 TRISTAR RISK MANAGEMENT, SAN DIEGO (CONVOY) Brad Anderson Manager/Risk Management SOUTHWEST GAS CORPORATION 5241 Spring Mountain Rd Las Vegas,NV 89150 Phone: (702) 876-7017 Fax: (702) 367-8164

2352-316-02 CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA 2352-316-04 CORVEL ENTERPRISE COMP, INC., CAMARILLO Candace Lee SPACE EXPLORATION TECHNOLOGIES CORP. 1 Rocket Rd Hawthorne,CA 90250 Phone: (310) 682-1818 Fax: (310) 363-6001

2215-151-10 CHARLES TAYLOR, TPA, LONG BEACH 2215-337-01 TUELL & ASSOCIATES, INC., OAKLAND Tom Scherting Risk Manager SSA CONTAINERS, INC. 1131 S.W. Klickitat Way Seattle,WA 98134 Phone: (206) 623-0304

2268-011-05 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ORANGE Vianney Muse Senior Risk Analyst STARBUCKS CORPORATION 2401 Utah Ave South Seattle,WA 98134 Phone: (206) 318-4850

2286-195-04 TRISTAR RISK MANAGEMENT, SAN DIEGO (CONVOY) Mr. Arnold L. Veldkamp Secretary SUPERIOR READY MIX CONCRETE L.P. 1508 W. Mission Rd Escondido,CA 92029 Phone: (760) 745-0556

1993-189-01 SUTTER HEALTH TOTAL HEALTH & PRODUCTIVITY MANAGEMENT, SACRAMENTO Hsu Ling Tan Risk Financing Director SUTTER HEALTH P.O. Box 160066 Sacramento,CA 95816 Phone: (916) 561-6550 2321-025-11 GALLAGHER BASSETT SERVICES INC., SACRAMENTO-REGIONAL 2321-005-38 ESIS, INC., FREMONT 2321-316-02 CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA Ms. Julia Sipowicz Assistant Account Manager SWIFT TRANSPORTATION CO. OF ARIZONA, LLC 5450 E. High St., Ste 230 Phoenix,AZ 85054 Phone: (480) 579-2422 Fax: (480) 579-2422

2138-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK Laurene Dufault Senior Risk Consultant TARGET CORPORATION 5600 W. 83rd St. Ste 1100 Minneapolis,MN 55437 Phone: (952) 807-0701 Fax: (847) 953-2851

2310-092-60 ADMINSURE, INC., ONTARIO Mr. Albert Senella President/Chief Executive Officer TARZANA TREATMENT CENTER, INC. 18646 Oxnard Street Tarzana,CA 91356 Phone: (818) 996-1051 Fax: (818) 996-3051

1867-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN Annette Bast Risk Manager TEICHERT, INC. 3500 American River Drive Sacramento,CA 95851 Phone: (916) 480-5543

2152-011-13 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON Michael L. DeWitt Vice President TENET HEALTHCARE CORPORATION 14201 Dallas Parkway Dallas,TX 75254 Phone: (469) 893-6545 Fax: (469) 893-7545

2357-190-01 THE ZURICH SERVICES CORPORATION, WOODLAND HILLS 2357-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN 2357-190-03 THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA Roberto Benzan Sr. Risk & Insurance Manager TESLA ENERGY OPERATIONS, INC. 45500 Fremont Blvd Fremont,CA 94538 Phone: (949) 709-6388 1359-012-90 BROADSPIRE SERVICES, INC., BREA Sarah Woodward Risk Analyst TEXTRON INC. 5600 W 83rd Street - Ste 1100 Minneapolis,MN 55437 Phone: (952) 807-0720 Fax: (847) 953-2851

2181-012-93 BROADSPIRE SERVICES, INC., FRESNO 2181-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK Mark Sherman Lead Analyst-Risk Management THE AMERICAN NATIONAL RED CROSS 431 18th Street NW Washington,DC 20006 Phone: (202) 303-7815

2290-336-01 ALLIANT SPECIALTY INSURANCE SERVICES, INC., SAN DIEGO Ms. Jasmin Lucy VP of HR & CHRO THE ARC OF SAN DIEGO 3030 Market Street San Diego,CA 92102 Phone: (619) 685-1175

2200-005-21 ESIS, INC., CHATSWORTH Ms. Elizabeth A. Heritage Administration Manager Corp Safety THE DAVEY TREE EXPERT COMPANY 1500 N Mantua St Kent,OH 44240 Phone: (330) 673-9515 Fax: (330) 676-6711

1952-152-11 LWP CLAIMS SOLUTIONS, INC., GLENDALE William D. Davis VP-Human Resources THE DIXIE GROUP, INC. P. O. Box 2007 Dalton,GA 30722 Phone: (706) 876-5804 Fax: (706) 876-5898

1967-005-21 ESIS, INC., CHATSWORTH 1967-005-38 ESIS, INC., FREMONT 1967-012-90 BROADSPIRE SERVICES, INC., BREA Shawn Gray Corporate Risk Management THE DOW CHEMICAL COMPANY Sylvia Stoesser Center, 2211 H.H. Dow Way Midland,MI 48674 Phone: (989) 638-9818 1966-316-05 CORVEL ENTERPRISE COMP, INC., FOLSOM Amy Rose Workers' Compensation Administrator THE EGGO COMPANY One Kellogg Square Battle Creek,MI 49017 Phone: (269) 961-6709

2314-152-03 LWP CLAIMS SOLUTIONS, INC., DUBLIN Ivoree Robinson Vice President, Property & Casualty THE HARKER SCHOOL 4525 Union Ave San Jose,CA 95124 Phone: (415) 243-6265 Fax: (408) 553-5774

2103-128-15 MATRIX ABSENCE MANAGEMENT, INC., SAN JOSE Mr. Leland Heywood CFO THE HERRICK CORPORATION P.O. Box 8429 Stockton,CA 95208 Phone: (209) 956-4751 Fax: (209) 956-1004

1274-316-02 CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA Benjamin Huang Director of Accounting THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN 2975 Red Hill Ave #250 Costa Mesa,CA 92626 Phone: (949) 764-1429

1695-011-09 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH Nathan Fraley Corporate Claims Manager THE KROGER CO. 1014 Vine Street Cincinnati,OH 45202 Phone: (513) 762-4360

1858-254-01 CONSTITUTION STATE SERVICES LLC, WALNUT CREEK 1858-316-04 CORVEL ENTERPRISE COMP, INC., CAMARILLO Stacy Chryssofos Director of Risk Management THE PEP BOYS MANNY MOE & JACK OF CALIFORNIA 3111 West Allegheny Ave Philadelphia,PA 19132 Phone: (215) 430-9426 0984-048-01 ATHENS ADMINISTRATORS, CONCORD Mike McClure Director THE PERMANENTE MEDICAL GROUP, INC. 1800 Harrison St. 7th Floor Oakland,CA 94612 Phone: (510) 625-6237

2105-086-35 HELMSMAN MANAGEMENT SERVICES LLC, ORANGE 2105-195-01 TRISTAR RISK MANAGEMENT, SIGNAL HILL Mr. Frederick B. Pipkin Risk Manager THE PICTSWEET COMPANY Ten Pictsweet Drive Bells,TN 38006 Phone: (731) 663-6472 Fax: (800) 561-8810

0558-011-46 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK Terri R. Donahue Administrator THE PROCTER AND GAMBLE MANUFACTURING COMPANY 2 Procter & Gamble Plaza - TN-3 Cincinnati,OH 45202 Phone: (513) 634-3885 Fax: (513) 277-2090

1656-011-22 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WEST HILLS Charles Lenz Principal & Consulting Actuary THE ROMAN CATHOLIC ARCHBISHOP OF LOS ANGELES 401 Wilshire Blvd., Ste 300 Santa Monica,CA 90401 Phone: (310) 889-0948

1918-012-93 BROADSPIRE SERVICES, INC., FRESNO Denise McKenzie Risk Manager THE ROMAN CATHOLIC BISHOP OF FRESNO 1550 N Fresno St Fresno,CA 93703 Phone: (559) 488-7473 Fax: (559) 488-7479

1987-152-10 LWP CLAIMS SOLUTIONS, INC., SACRAMENTO Clancy D'Angelo Director of Finance THE ROMAN CATHOLIC BISHOP OF MONTEREY, CALIFORNIA 425 Church Street Monterey,CA 93940 Phone: (831) 373-4345 2266-195-04 TRISTAR RISK MANAGEMENT, SAN DIEGO (CONVOY) Shirley Pajanor CFO THE ROMAN CATHOLIC BISHOP OF SAN DIEGO 3888 Paducah Drive San Diego,CA 92117 Phone: (858) 490-8207

2364-048-01 ATHENS ADMINISTRATORS, CONCORD Christina Dickson Human Resources Manager THE ROMAN CATHOLIC BISHOP OF SAN JOSE 1150 N. First Street, #100 San Jose,CA 95112 Phone: (408) 983-0153

0566-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Major Frank Desplancke Territorial Risk Management Secretary THE SALVATION ARMY 30840 Hawthorne Blvd. Rancho Palos Verdes,CA 90275 Phone: (562) 491-8380 Fax: (562) 491-8580

1977-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN 1977-108-52 AIG CLAIMS, INC., SAN DIEGO 1977-025-11 GALLAGHER BASSETT SERVICES INC., SACRAMENTO-REGIONAL Matt Flynn Analyst THE SHERWIN-WILLIAMS COMPANY 101 W. Prospect Ave Cleveland,OH 44115 Phone: (216) 566-3717 Fax: (216) 348-1004

1322-99-76 Self Administered 1322-025-02 GALLAGHER BASSETT SERVICES INC., ORANGE 1322-086-38 HELMSMAN MANAGEMENT SERVICES LLC, GLENDALE Stephanie Conner THE WALT DISNEY COMPANY 500 S. Buena Vista St. Burbank,CA 91521 Phone: (818) 553-7439

2055-012-93 BROADSPIRE SERVICES, INC., FRESNO Drue Rutledge Director Risk Management THE WONDERFUL COMPANY LLC 11444 W. Olympic Blvd., 5th Floor Los Angeles,CA 90064 Phone: (310) 966-5790 2280-352-01 AMERICAN RISK ADMINISTRATORS, NEWPORT BEACH Ramzi Chamoun Controller TOWER ENERGY GROUP 1983 West 190th Torrance,CA 90504 Phone: (310) 878-8421

2370-092-60 ADMINSURE, INC., ONTARIO Michele I. Gryniewicz Corporate Counsel TRADEMARK CONSTRUCTION CO., INC. WHICH WILL DO BUSINESS IN CALIFORNIA AS J.M.W. TRUSS AND COMPONENTS 15916 Bernardo Center Drive San Diego,CA 92127 Phone: (760) 489-5647 Fax: (760) 489-9563

2283-005-21 ESIS, INC., CHATSWORTH 2283-005-38 ESIS, INC., FREMONT Ms. Barbara J. Cook Risk Finance Manager TRINITY HEALTH CORPORATION 20555 Victor Parkway Livonia,MI 48152 Phone: (734) 343-2004 Fax: (248) 347-5350

2324-236-01 ACCELERATED CLAIMS SERVICES, INC., ORANGE Trina Kearns Bookkeeper TRM MANUFACTURING INC. PO Box 77520 Corona,CA 92877 Phone: (951) 256-8550 Fax: (951) 256-8575

2066-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN Tamara Geller Specialist Workers Compensation USA, HSE U.S. BORAX INC. 400-1190 Ave des Canadiens-de-Montreal, Montreal,QU H3BoE Phone: (438) 355-6552 Fax: (514) 848-6552

1360-011-03 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA Rosemary McAleer Senior Analyst Corporate Insurance UNITED AIRLINES, INC. 233 South Wacker Drive - 14th Floor HDQCI Chicago,IL 60606 Phone: (872) 825-2707 2333-316-05 CORVEL ENTERPRISE COMP, INC., FOLSOM Aludia Noguera CFO UNITED CEREBRAL PALSY OF THE NORTH BAY, INC. 1425 North McDowell Blvd., Ste 115 Petaluma,CA 94954 Phone: (707) 766-9990 Fax: (707) 559-2466

2170-132-11 YORK RISK SERVICES GROUP, INC., ORANGE 2170-011-01 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA Lori Anderson CFO/President UNITED CEREBRAL PALSY/SPASTIC CHILDREN'S FOUNDATION OF LOS ANGELES AND VENTURA COUNTIES 6430 Independence Ave Woodland Hills,CA 91367 Phone: (818) 782-2211

1928-025-05 GALLAGHER BASSETT SERVICES INC., CORONA 1928-011-03 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA William H. Gray Leave Manager UNIVAR USA INC. 3075 Highland Parkway Ste 200 Downers Grove,IL 60515 Phone: (331) 777-6180

2345-005-21 ESIS, INC., CHATSWORTH 2345-005-38 ESIS, INC., FREMONT Jeffrey M. Quinn Director of Risk Management UNIVERSAL SERVICES OF AMERICA, LP 161 Washington Street, Ste 600 Conshohocken,PA 19428 Phone: (484) 351-1430

1420-012-90 BROADSPIRE SERVICES, INC., BREA Guadalupe Del Rio Director Workers Comp Disability UNIVERSITY OF SOUTHERN CALIFORNIA 1150 Olive Street, SCT1340 Los Angeles,CA 90015 Phone: (213) 821-8149 Fax: (213) 740-7305

1917-128-17 MATRIX ABSENCE MANAGEMENT, INC., ROSEVILLE Roberta Martoza Director, Enterprise Risk Management UNIVERSITY OF THE PACIFIC 3601 Pacific Ave, Bannister Hall Stockton,CA 95212 Phone: (209) 932-2933 2090-048-01 ATHENS ADMINISTRATORS, CONCORD Mariane Smith Human Resources Director USS-POSCO INDUSTRIES 900 Loveridge Rd Pittsburg,CA 94565 Phone: (925) 439-6159

2303-152-10 LWP CLAIMS SOLUTIONS, INC., SACRAMENTO Leticia Ridaura Chief Operating Officer VALLEY HARVESTING & PACKING, INC. 101 E. Main Street Heber,CA 92249 Phone: (760) 352-5212 Fax: (760) 352-5212

1835-048-01 ATHENS ADMINISTRATORS, CONCORD Lori Cardle Chief Operations Officer VALLEY PRESBYTERIAN HOSPITAL 15107 Vanowen Street Van Nuys,CA 91405 Phone: (818) 902-2902

1931-011-03 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA David K. Collins Sr. Manager Risk Management VARIAN MEDICAL SYSTEMS, INC. 3100 Hansen Way, M/S E327 Palo Alto,CA 94304 Phone: (650) 424-5959

2323-096-51 MURPHY AND BEANE INC., CULVER CITY 2323-011-22 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WEST HILLS Ms. Barrie Wexler Senior Vice President VIACOM INC. 1515 Broadway New York,NY 10036 Phone: (212) 846-7201

2093-316-03 CORVEL ENTERPRISE COMP, INC., SAN DIEGO 2093-086-34 HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN 2093-239-05 INTERCARE HOLDINGS INSURANCE SERVICES, INC., ORANGE 2093-086-38 HELMSMAN MANAGEMENT SERVICES LLC, GLENDALE Annette Granata Senior Client Manager VIAD CORP 16220 N Scottsdale Rd, Ste 600 Scottsdale,AZ 85254 Phone: (602) 787-6195 Fax: (602) 787-8040 2168-271-01 CLAIMQUEST, INC., WALNUT Mr. Eddie R. Fischer President VISTA PAINT CORPORATION 2020 E. Orangethorpe Ave, Ste 210 Fullerton,CA 92831 Phone: (714) 680-3800 Fax: (714) 509-0288

1337-99-01 Self Administered Miriam Levario Claims Director WARNER BROS. ENTERTAINMENT INC. 4000 Warner Blvd Burbank,CA 91522 Phone: (818) 977-3232 Fax: (818) 977-6787

2224-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Emily Powell Sr Analyst - Risk Mgt WENDY'S INTERNATIONAL, INC. One Dave Thomas Blvd Dublin,OH 43017 Phone: (614) 764-3385

2112-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE Mr. Kevin C. Risse Director Risk Management WESTERN DIGITAL CORPORATION 3355 Michelson Drive, Ste 100 Irvine,CA 92612 Phone: (949) 672-7000

2274-005-38 ESIS, INC., FREMONT 2274-005-21 ESIS, INC., CHATSWORTH Timothy R. Bastian VP Risk Management WESTERN OILFIELDS SUPPLY COMPANY 5101 Office Park Drive Bakersfield,CA 93309 Phone: (661) 399-9128 Fax: (661) 391-3570

2296-239-05 INTERCARE HOLDINGS INSURANCE SERVICES, INC., ORANGE Al Yamamoto Compliance Supervisor WESTLAKE SERVICES, LLC 4751 Wilshire Blvd, Ste 110 Los Angeles,CA 90010 Phone: (323) 973-7607 2163-108-31 AIG CLAIMS, INC., SANTA ANA 2163-011-07 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE 2163-012-93 BROADSPIRE SERVICES, INC., FRESNO Cheryl A. Malawy Casualty and SI Specialist WESTROCK SERVICES, LLC (SUCCESSOR TO WESTROCK SERVICES, INC.) 1000 Abernathy Rd NE Atlanta,GA 30328 Phone: (314) 656-5434 Fax: (314) 787-6182

2272-132-10 YORK RISK SERVICES GROUP, INC., RANCHO CUCAMONGA Gina Pascucci Benefit Specialist WESTVIEW SERVICES, INC. 10522 Katella Ave Anaheim,CA 92804 Phone: (714) 517-6606 Fax: (714) 517-6613

0784-011-01 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA Lisa A. Wysocki WC Program Mgr/Corp. Asst. Sec WEYERHAEUSER COMPANY 220 Occidental Ave S Seattle,WA 98104 Phone: (206) 539-4449 Fax: (206) 621-5720

2382-011-10 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ROSEVILLE Mr. Matt Somers Director, Risk Services WORLDPAC, INC. 2635 E. Millbrook Rd, Graham Bldg., 2nd Fl. Raleigh,NC 27604 Phone: (919) 227-5302

2300-074-74 ZENITH INSURANCE COMPANY, WOODLAND HILLS Mr. Jonathan Hall EVP/CFO YMCA OF SAN DIEGO COUNTY 3708 Ruffin Rd San Diego,CA 92123 Phone: (858) 292-9622 Fax: (858) 292-0045

2185-048-02 ATHENS ADMINISTRATORS, ORANGE Jennifer P. Chan EVP/CFO YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN LOS ANGELES 4301 West 3rd Street Los Angeles,CA 90020 Phone: (213) 351-2254 Fax: (213) 251-9724 2339-092-60 ADMINSURE, INC., ONTARIO Tracy Kitagawa CFO YUM YUM DONUT SHOPS, INC. 18830 E San Jose Ave City of Industry,CA 91748 Phone: (626) 964-1478 Fax: (626) 964-0140