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193R Application Spreadsheet

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193R Application Spreadsheet 193R Application Spreadsheet GROUP TOTAL ELIGIBLE NUMBER ORIGINAL PRODUCER OR EXPERIENCE INSURANCE STREET AUTO (A) or RATE EFFECTIVE TYPE NUMBER NUMBER OF CURRENT PLAN PRODUCER OR MARKETING REPRESENTATIVE SUBMITTED COMPANY GROUP NAME ADDRESS CITY/TOWN STATE ZIP CODE HOME (H) DEV. (0.0%) DATE (CU, E, M, U) IN GROUP IN GROUP INSUREDS DATE MARKETING REPRESENTATIVE CONTACT INFORMATION YES OR NO Liberty Mutual Insurance Company 360 Federal Credit Union dba Hamilton Sundstrand FCU 191 Ella Grasso Turnpike Windsor Locks CT 06096 A 5.00% 1/1/2013 CU 17,100 3,596 122 12/1/1998 Cristina Sayre (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company 3balls.com, Inc. 220 Nahatan St West Bridgewater MA 02379 A 5.00% 1/1/2013 E 75 75 4 10/17/2011 Shannon Krappe (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company 3M Inc. 3M Center St. Paul MN 55144 A 5.00% 1/1/2013 E 55,001 668 51 9/30/2009 Kimberly Knecht (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company A123 Systems, Inc. 20 West Street Waltham MA 02451 A 5.00% 1/1/2013 E 1,100 350 1 10/10/2012 Cheryl Mix (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Abbott Laboratories Inc. 4611 N. Ravenswood Ave Chicago IL 60064-6223 A 5.00% 1/1/2013 E 10,000 70 59 5/1/2008 Gail Butler (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Abiomed 22 Cherry Hill Dr Danvers MA 01923 A 8.00% 1/1/2013 E 264 185 61 8/31/2007 Cheryl Mix (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Abt Associates Inc. 55 Wheeler Street Cambridge MA 02138 A 8.00% 1/1/2013 E 390 478 149 3/15/2003 JL Rousseau (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Abundant Life Christian School and Learning Center 173 Church Street Worcester MA 01604 A 5.00% 1/1/2013 E 55 55 5 10/17/2011 Mark Gordon (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Academy of General Dentistry 211 E. Chicago, Suite 900 Chicago IL 60611 A 8.00% 1/1/2013 M 37,800 642 24 11/10/2002 Leslie Rolison (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Accenture LTD 1345 Avenue of the Americas New York NY 10105 A 5.00% 1/1/2013 E 29,171 750 42 8/10/2008 Shawnah Farrell (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Access Northeast, Inc. 34 Saint Martin Drive Marlborough MA 01752 A 5.00% 1/1/2013 E 27 27 2 7/8/2010 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Access TCA, Inc. One Main Street Whitinsville MA 01588 A 5.00% 1/1/2013 E 190 150 7 9/9/2008 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Accounting Management Solutions, Inc. 800 South Street, Suite 195 Waltham MA 02453 A 5.00% 1/1/2013 E 122 122 6 4/2/2010 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company AccuRev, Inc. 10 Maguire Road Building #1 Lexington MA 02421 A 5.00% 1/1/2013 E 61 61 10 5/15/2008 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company ACI Worldwide 880 Winter St. Waltham MA 02460 A 8.00% 1/1/2013 E 171 171 32 12/8/2004 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Aclara Software, Inc. 16 Laurel Avenue Wellesley MA 02481 A 5.00% 1/1/2013 E 106 106 1 5/18/2009 JL Rousseau (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Acordia 125 Summer Street, 16th Floor Boston MA 02110 A 8.00% 1/1/2013 E 35 32 21 6/1/2000 Rousseau, JL (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Acromatic Plastics Corp. 32 Jungle Rd Leominster MA 01453 A 5.00% 1/1/2013 E 25 25 0 4/26/2012 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Acronis, Inc. 300 Trade Center, Ste. 6700 Woburn MA 01801 A 5.00% 1/1/2013 E 102 102 21 7/20/2009 JL Rousseau (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company ACS 2828 North Haskell Dallas TX 75204 A 8.00% 1/1/2013 E 63,130 429 35 9/30/2006 Shawnah Farrell (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company ACS Services Inc. 669 Washington Street South Easton MA 02375 A 5.00% 1/1/2013 E 30 30 0 8/24/2012 JL Rousseau (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Add Inc. 311 Summer Street Boston MA 02210 A 5.00% 1/1/2013 E 130 110 9 8/15/2001 JL Rousseau (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Addgene, Inc. One Kendall Square B7102 Cambridge MA 02139 A 5.00% 1/1/2013 E 26 26 1 7/20/2012 Laraine Finneran (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Adea Solutions Inc 7701 Las Colinas Ridge, 8th Floor Irving TX 75063 A 8.00% 1/1/2013 E 200 35 0 10/14/2004 Danielle Guyot (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Adept Tmp Worldwide 175 Crossing Blvd., Suite 500 Framingham MA 01702 A 8.00% 1/1/2013 E 200 165 2 9/15/2000 Shawn Wilson (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Adler Pollock & Sheehan Pc 2300 Hospital Trust Tower Providence RI 02903 A 8.00% 1/1/2013 E 100 100 2 4/20/2007 Cristina Sayre (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Advanced Math and Science Academy Charter School 210 Forest St Marlboro MA 01752 A 8.00% 1/1/2013 E 55 55 1 12/12/2007 Andy Van Wie (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Advanced Micro Devices (AMD) 90 Central Street Boxborough MA 01752-1978 A 5.00% 1/1/2013 E 600 98 90 7/1/1998 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Adventis Corporation 10 Saint James Avenue - 17th FL. Boston MA 02116 A 5.00% 1/1/2013 E 68 68 1 7/1/2003 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company AECOM Technology Corporation 515 S Flower Street Los Angeles CA 90071 A 5.00% 1/1/2013 E 12,000 799 5 11/1/2009 Lewis Abladian (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Aetna, Inc. 151 Farmington Ave Hartford CT 06156 A 5.00% 1/1/2013 E 30,000 100 17 10/7/2008 Heather Rodrigues (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company AFA Protective Services, Inc. 200 High Street Boston MA 02110 A 5.00% 1/1/2013 E 482 77 2 11/5/2009 Christipher Lamitola (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Affinion Group,Inc. 40 Oakview Drive Trumbull CT 66611 A 5.00% 1/1/2013 E 2,300 170 3 11/9/2011 Michaelesha Godfrey (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company AgaMatrix, Inc. 10 Manor Parkway Salem NH 03079 A 5.00% 1/1/2013 E 60 29 1 11/4/2008 Jacqueline Valley (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company AGILUX LABORATORIES INC 1 Innovation drive Mansfield MA 01605 A 5.00% 1/1/2013 E 50 50 2 10/17/2011 Jamie Berglund (888)538-2146 or call a Liberty Mutual Sales Office. www.libertymutual.com NO Liberty Mutual Insurance Company Agilysys, Inc. 28925 Fountain Parkway Solon OH 44139 A 5.00% 1/1/2013 E 1,214 17 1 10/7/2008 Jennifer Cocker (888)538-2146 or call a Liberty Mutual Sales Office.
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