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

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DANIEL EIZANS STRATEGIC SERVICES LLC ADA 5561051A 419 5/13/2020 8810 JOHNSON HOMES INC ADA 4417810A 750 5/25/2020 5645 LOYL HOMES LLC ADA 5861977A 243 5/3/2020 8810 LUONTO LLC ADA 4356209A 2,604 5/10/2020 9015 MERIDIAN CABLING SOLUTIONS LLC ADA 5862809A 481 5/8/2020 5190 PIZZA PARLIAMENT LLC ADA 5704650A 735 5/10/2020 9058 REIMERSMA BUILDERS ADA 2201550A 1,417 6/21/2020 5645 THREE SEASONS LAWN CARE & MAINTENANCE ADA 3657108A 2,237 5/15/2020 9102 0.95 LLC TIP TOP GRAVEL CO ADA 0824453A 7,769 5/10/2020 4000 1.41 13 % TRI ACOUSTIC CORPORATION ADA 0070602A 750 4/13/2020 5445 WMC SALES LLC ADA 4499743A 1,017 5/6/2020 3724 0.95 WYNN PAINTING ADA 4867777A 800 5/17/2020 5476 GREENLEAF EXPRESS INC ADDISON 5502195B 1,080 5/11/2020 8017 0.95 TOMMYS TEMP SERVICES LLC ADDISON 5722438A 777 6/8/2020 8017 ABLE AUTO TOWING LLC ADRIAN 5845777A 3,020 6/18/2020 7208 ADRIAN FUELS LLC ADRIAN 4977289A 544 4/19/2020 8017 AKERS DAVID ADRIAN 0991112A 1,151 4/26/2020 5476 BROWN AND SONS ROOFING AND SIDING LLC ADRIAN 5715180A 768 5/11/2020 5645 0.95 DOWN UNDER TRENCHING LLC ADRIAN 2692562A 14,718 6/10/2020 7600 1.46 13 % ELITE GROUP INTERNATIONAL INC ADRIAN 4435206A 3,173 4/4/2020 8387 0.95 FASCO EMPLOYMENT INC ADRIAN 0943622A 18,237 5/18/2020 4558 1.00 GERRYS OUTDOOR SERVICES LLC ADRIAN 4971647A 2,150 4/23/2020 0106 0.95 HOWELL HOLDINGS LLC ADRIAN 5735050A 3,369 6/1/2020 7720 0.95 IMAGINEERING AND MORE LLC ADRIAN 5720087A 326 6/12/2020 8810 JORDAN HOME SERVICES LLC ADRIAN 5995205A 751 6/12/2020 0042 L K N TRUCKING LLC ADRIAN 5591767A 750 4/23/2020 7219 RUTTKOFSKY BUILDERS INC ADRIAN 3456218A 750 5/18/2020 5645 SPAULDING AND SONS ADRIAN 5991080A 750 4/24/2020 5462 TORRES DANIEL ADRIAN 5984530A 750 4/12/2020 5476 TWO HUNDRED 56 ROBOTICS LLC ADRIAN 5857619A 311 4/21/2020 5191 MAPLE HILL ADULT FOSTER CARE AFTON 5530318A 504 5/10/2020 9053 MIDWAY SPRING INC AFTON 3650634A 505 6/24/2020 8395 ALANSON SHEET METAL INC ALANSON 0138630A 689 6/9/2020 5550 0.95 BAY FRONT PARK CAFE ALANSON 5865956A 339 6/25/2020 8017

12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 2 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUILT RIGHT CONSTRUCTION AND REMODELING ALANSON 6000509A 3,255 6/16/2020 5437 LLC MURPHY SCOTT ALANSON 5016916A 751 6/7/2020 7208 T D LEMIEUR ROOFING LLC ALANSON 5865050A 18,255 5/16/2020 5551 NELSON LARRY ALBION 1005200A 750 6/3/2020 6217 RUSTY 4 FARMS ALBION 0251267A 17,257 5/4/2020 2731 1.55 30 % YOUNGS GAS SERVICE LLC ALBION 0970263A 3,635 6/1/2020 8350 0.95 GREENWORLD MAINTENANCE LLC ALDEN 2249200A 750 5/4/2020 0042 0.95 ABC SERVICES AND FOXFIRE FARM LLC ALGONAC 3792692A 18,084 4/17/2020 9015 1.58 13 % AHEE MASONRY LLC ALGONAC 3612392A 751 6/3/2020 5022 ALT VACANCY SOLUTIONS INC ALGONAC 5383455A 748 4/4/2020 9015 BLUE WATER MATERIALS LLC ALGONAC 3824993A 2,754 6/25/2020 4000 0.95 DEERBROOK BUILDERS LLC ALGONAC 3185494A 1,557 5/31/2020 5437 0.89 DISCOUNT PEST CONTROL LLC ALGONAC 5984114A 652 4/11/2020 9015 HIGGINS FRAMING ALGONAC 5182166A 5,335 4/16/2020 5645 1.45 13 % POLITO A ALGONAC 3204855A 750 5/16/2020 5645 PRECISION CUT TILE & MARBLE LLC ALGONAC 5127629A 750 4/17/2020 5348 WHITENACK CONSTRUCTION LLC ALGONAC 5872928A 750 6/5/2020 5437 WINNERS CIRCLE BAR INC ALGONAC 0198986A 488 6/4/2020 9058 YOKOM JAMES ALGONAC 3597610A 750 5/6/2020 5437 ALLEGAN COUNTY AGRICULTURAL SOCIETY ALLEGAN 1602829A 5,630 5/1/2020 9015 0.88 ARM SERVICES INC ALLEGAN 5402360A 588 5/8/2020 9015 BIG REDS WRECKER LLC ALLEGAN 5694000A 5,831 4/6/2020 7208 0.91 FIRST PLACEMENT EMPLOYMENT GROUP INC ALLEGAN 2162270A 32,846 5/25/2020 8059 IDR CUSTOM CARPENTRY LLC ALLEGAN 5397790A 750 4/27/2020 5645 MARK P JANKE CONSULTING FORESTER LLC ALLEGAN 5256852A 755 4/3/2020 8601 POPPEMA NATHAN ALLEGAN 5469279A 750 6/13/2020 5020 S AND T SEAMLESS GUTTERS AND COVERS ALLEGAN 5848245A 720 4/2/2020 5538 SKY TRAIL MANAGEMENT AND DEVELOPMENT ALLEGAN 4469941A 3,202 5/4/2020 9015 LLC STARS AND STRIPES ROOFING LLC ALLEGAN 5878454A 800 6/27/2020 5551 TJM SERVICES ALLEGAN 5007046A 750 5/12/2020 8810 BATT CHARLES B ALLEN 3522709A 750 5/31/2020 0106 SENSIBLE CONSTRUCTION LLC ALLEN 1527460A 750 4/30/2020 5551 BIG V LANDSCAPING ALLEN PARK 1829262A 801 6/30/2020 0042

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COSTA ALLEN PARK INC ALLEN PARK 2625075B 756 4/9/2020 9058 0.95 FOURNIER HAL ALLEN PARK 5257239A 750 4/3/2020 5476 GIBSON DAVID ALLEN PARK 3270505A 720 4/4/2020 5538 GNOSIS LLC ALLEN PARK 6008747A 536 6/29/2020 8387 GRAND RIVER BARBER COMPANY LLC ALLEN PARK 5876010A 440 6/9/2020 9586 HERNANDEZ CLEANING SERVICES LLC ALLEN PARK 5984297A 657 4/12/2020 8810 LIVIDINI LANDSCAPING LLC ALLEN PARK 5142440A 750 4/3/2020 0042 0.95 MI LAKES TILE COMPANY ALLEN PARK 5853974A 750 4/12/2020 5348 PHYSICIAN BILLING MANAGEMENT INC ALLEN PARK 3795950A 1,605 6/1/2020 9015 0.95 SLOAN AND SON HOME IMPROVEMENT ALLEN PARK 3206912A 1,442 6/7/2020 5645 T WIN SERVICES ALLEN PARK 0105236A 800 5/19/2020 5476 TUCCINI ORTHODONTIC LABORATORY INC ALLEN PARK 2498880A 451 5/26/2020 4692 BELLMER TERRAN ALLENDALE 5992150A 750 5/3/2020 5476 DAVE BOSCH BUILDER INC ALLENDALE 4358163A 750 6/13/2020 5645 JMB DEMOLITION LLC ALLENDALE 4445600A 4,047 4/26/2020 7380 0.92 KRUZEL BRIAN ALLENDALE 5983819A 750 4/10/2020 5445 LJ HEINLEN TRANSPORTATION LLC ALLENDALE 3103714A 750 5/9/2020 7208 MATT PETERS CONSTRUCTION ALLENDALE 6003656A 750 6/12/2020 5645 NORTHSTAR CONSTRUCTION AND RENOVATION ALLENDALE 5409543A 750 6/30/2020 5645 LLC SMOES GRADING AND CONTRACTING LLC ALLENDALE 5985293A 1,606 4/13/2020 6217 ULBERG BUILDERS LLC ALLENDALE 5269725A 750 5/25/2020 5437 0.95 VICTORY CHEERLEADING COMPANY LLC ALLENDALE 3508269A 681 6/5/2020 9063 W S SERVICES ALLENDALE 2877716A 750 6/7/2020 5437 WIERSEMA JACOB ALLENDALE 5995078A 750 5/14/2020 5645 B M V TRANSPORT INC ALLENTON 2864576A 750 4/28/2020 7208 1.27 13 % COMFORT CARE COMPANION LLC ALLENTON 5993261A 538 5/15/2020 8835 DIVINE FLOOR SERVICES LLC ALLENTON 4882733A 1,636 6/29/2020 5437 0.95 LUNA MASONRY INC ALLENTOWN 3180271A 750 5/29/2020 5022 STURDY BUILT STRUCTURES LLC ALLIANCE, OH 5877466A 4,632 6/18/2020 5040 BJORN EXCAVATING LLC ALLOUEZ 5872367A 2,720 6/1/2020 6217 ALL AMERICAN PEST CONTROL LLC ALMA 4988124A 2,786 5/23/2020 9015 0.95 NEW HORIZONS REALTY INC ALMA 5877741A 354 6/16/2020 8742 RAMON ANTHONY ALMA 5697948A 482 4/4/2020 5190 RJ LOTT CONTRACTING LLC ALMA 5731542A 4,461 6/1/2020 5437

12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 4 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MMH SOLUTIONS INC ALMONT 3021351A 750 5/11/2020 5403 0.93 PERFECTIONIST ALUMINUM ALMONT 5862353A 2,285 5/4/2020 5538 A 1 TREE SERVICE LLC ALPENA 5262720A 2,968 4/17/2020 0106 0.95 A AND L CONSTRUCTION ALPENA 4386779A 1,134 6/15/2020 5645 BIGGBEAN LLC ALPENA 5861691A 1,694 5/9/2020 8017 CAMPERS COVE RV PARK & CANOE LIVERY INC ALPENA 4067908A 2,269 4/1/2020 9015 0.95 ENVIRONMENTAL AND ASBESTOS SERVICES INC ALPENA 4752880A 494 4/20/2020 8601 MORGAN FOREST PRODUCTS ALPENA 4067436A 750 5/10/2020 2702 MURPHY CONTRACTING SERVICES ALPENA 5985803A 750 4/16/2020 5645 BEAVER WOOD TREE SERVICE LLC ALTO 4864441A 9,652 6/30/2020 0106 0.90 BOVERHOF BUILDERS INC ALTO 2714221A 761 5/29/2020 8742 CUTLER JUSTIN ALTO 5856779A 750 4/20/2020 0042 DVB INC ALTO 3453987A 750 4/11/2020 5645 GROOT SERVICES LLC ALTO 5880360A 561 6/28/2020 9102 KEN GRACHAN LLC ALTO 5999537A 333 5/31/2020 8601 LEROUX CONSTRUCTION LLC ALTO 5596580A 750 5/9/2020 5645 IPROLE INC ANAHEIM, CA 5110556A 356 5/8/2020 8742 FIRST CLASS CARPENTRY LLC ANCHORVILLE 5719399A 750 5/24/2020 5437 OARS COMPANIES INC ANGELS CAMP, CA 6004377A 267 6/14/2020 8810 A 2 SUPPLY CHAIN SERVICES LLC ANN ARBOR 5869951A 800 4/19/2020 5645 AARON HAMMER LLC ANN ARBOR 5555418A 1,540 5/11/2020 0042 0.95 ABRAMSON FRANCES ANN ARBOR 5983797A 573 4/16/2020 0913 ADVANCED THERAPEUTIC SOLUTIONS LLC ANN ARBOR 5685516A 812 6/14/2020 8835 AIS CONSTRUCTION INC ANN ARBOR 5732433A 750 4/26/2020 5551 ALI BABA DARI INC ANN ARBOR 0826383A 3,025 5/6/2020 9058 0.95 ANDY KIRSHNER FILMS LLC ANN ARBOR 5856159A 384 4/19/2020 9156 ANN ARBOR BUBBLE SOCCER LLC ANN ARBOR 5672066A 2,030 6/5/2020 9015 ANN ARBOR HOSPITALITY LLC ANN ARBOR 2716194A 2,703 5/4/2020 9052 1.29 13 % ANN ARBOR SHUTTLE SERVICE INC ANN ARBOR 2492504B 8,998 6/30/2020 7212 ANTHONYS GOURMET PIZZA INC ANN ARBOR 0143049A 3,120 6/8/2020 9058 0.95 ATLAS INSTALLERS LLC ANN ARBOR 5987903A 606 4/20/2020 9521 ATP PAINTING LLC ANN ARBOR 4395875A 751 4/24/2020 5476 B SQUARED PAINTING LLC ANN ARBOR 5547873A 1,423 4/19/2020 5437 0.95 BENDIT RACHEL ANN ARBOR 3925587A 723 5/18/2020 0908 0.95 BERGHOF SYSTEMS INC ANN ARBOR 5127270A 269 4/17/2020 8810 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 5 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BIRD CENTER OF WASHTENAW COUNTY INC ANN ARBOR 4228863A 891 6/8/2020 8831 0.95 BLACK STEVEN L ANN ARBOR 1993828A 750 6/20/2020 0042 BULLY CONSTRUCTION LLC ANN ARBOR 6004733A 800 6/15/2020 5645 CLEAN AIR MANAGEMENT INC ANN ARBOR 0346381A 812 5/2/2020 4511 CLOVERLY VILLAGE OWNERS ASSOCIATION ANN ARBOR 4235240A 580 4/17/2020 9015 CROSSINGS OF ANN ARBOR ASSOCIATION ANN ARBOR 3608611A 580 4/3/2020 9015 D AND D CONTRACTING LLC ANN ARBOR 5327431A 800 6/27/2020 5645 DAVID BORNEMAN LLC ANN ARBOR 3910296A 1,880 4/13/2020 0042 0.95 DONE RITE CONTRACTING LLC ANN ARBOR 1499971A 2,634 4/4/2020 5437 0.95 EAGLE RIDGE CONDOMINIUM ASSOCIATION ANN ARBOR 4013387A 581 5/12/2020 9015 EIGHT HUNDRED 20 FULLER LLC ANN ARBOR 5865824A 580 5/18/2020 9015 EILEEN WILKINSON TECHNICAL WRITING ANN ARBOR 3350940A 216 4/28/2020 8810 ELITE POWER WASHING LLC ANN ARBOR 5993431A 769 5/8/2020 9015 ESEARCHVISION INC ANN ARBOR 4618696A 852 5/4/2020 8810 FIELDSTONE VILLAGE CONDOMINIUM ANN ARBOR 3751082A 580 5/4/2020 9015 ASSOCIATION FOUR STIX MANAGEMENT INC ANN ARBOR 4893166A 3,725 4/17/2020 8045 0.95 FUTURE INSURANCE SERVICES LTD ANN ARBOR 2638797A 291 5/16/2020 8810 GAILUNAS HOME SERVICES INC ANN ARBOR 1166140A 750 4/2/2020 8810 GOOD SHEPHERDS INC ANN ARBOR 5980097A 533 5/29/2020 8810 GREEN PLANET LAWN CARE ANN ARBOR 3159868A 561 4/20/2020 9102 GREENVIEW SERVICES LLC ANN ARBOR 5983860A 5,422 4/10/2020 0042 GREGORY LONG LLC ANN ARBOR 5984572A 750 4/12/2020 5437 GS HARDEN & ASSOCIATES LLC ANN ARBOR 5724791A 543 6/15/2020 8601 HANSEN ROOFING & SIDING LLC ANN ARBOR 2124475A 2,103 5/26/2020 5551 1.00 HOUSE SENSIBLE ANN ARBOR 5985102A 3,820 4/16/2020 5437 INTERACTION GAMING LLC ANN ARBOR 5706092A 558 4/19/2020 8810 INTERNATIONAL ASSOCIATION FOR GREAT ANN ARBOR 0425729A 325 6/3/2020 8742 LAKES RESEARCH MICHIGAN J E BROWN BUILDING INC ANN ARBOR 2231875A 844 4/14/2020 5551 JEWEL HEART CORPORATION ANN ARBOR 2840910A 1,350 4/5/2020 8868 0.95 JPC PLASTER AND DRYWALL LLC ANN ARBOR 2469146A 1,818 6/25/2020 5480 0.95 JS TREE TRIMMING & REMOVAL INC ANN ARBOR 4010639A 15,351 6/23/2020 0106 0.83 MARR PROFESSIONAL DEVELOPMENT CORP ANN ARBOR 5763240A 373 6/13/2020 8742 MAULBETSCH TREE SERVICE INC ANN ARBOR 4060180A 750 5/9/2020 0106

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge METAL ONE MECHANICAL LLC ANN ARBOR 3237460A 1,066 6/13/2020 5550 MICHIGAN HR GROUP LLC ANN ARBOR 4412249A 267 4/9/2020 8810 MICHIGAN BUILDING CLEANING & MAINTENANCE ANN ARBOR 1805622A 750 4/17/2020 5551 0.95 INC MICHIGAN ROADSIDE ASSISTANCE GROUP LLC ANN ARBOR 5574196B 2,450 4/28/2020 8387 0.95 MIKES FULL HOUSE FITNESS INC ANN ARBOR 4363680A 584 6/26/2020 9063 MILLMAN DEVELOPMENT GROUP INC ANN ARBOR 5880416A 750 6/28/2020 5645 MUSSIO PAINTING CORP ANN ARBOR 4355865A 3,336 6/7/2020 5476 0.95 NOOR MINI MART LLC ANN ARBOR 4998626A 527 6/18/2020 8017 0.95 NORTHSIDE INC ANN ARBOR 0101869A 642 6/13/2020 8010 0.92 NORTON PAINT & REPAIR ANN ARBOR 5725780A 750 6/21/2020 5476 OBERHEIDE JONATHAN ANN ARBOR 5773598A 573 6/19/2020 0913 ONE MORE REP FITNESS LLC ANN ARBOR 5721857A 338 6/6/2020 8017 PHIRE ADVERTISING & DESIGN LLC ANN ARBOR 3984036A 216 6/6/2020 8810 0.95 PM CONTRACTING LLC ANN ARBOR 5407028A 751 5/22/2020 3040 PRO STAR LLC ANN ARBOR 5348358A 1,044 4/23/2020 9015 PROTECH ENVIRONMENTAL SERVICES INC ANN ARBOR 1325310A 11,435 6/9/2020 5183 0.86 PULICCI BUILDING COMPANY ANN ARBOR 1325230A 800 4/27/2020 5645 RAMSPORT INC ANN ARBOR 4453662A 997 4/4/2020 4484 0.95 RIDECORP INC ANN ARBOR 5606950A 183,017 5/1/2020 7220 2.16 27 % SCHENK KARL H ANN ARBOR 5277930A 1,052 6/19/2020 0128 0.95 SIDIN JG PROS LLC ANN ARBOR 5983274A 2,534 4/18/2020 5645 SLOW FARM LLC ANN ARBOR 6002110A 1,188 6/20/2020 0011 SOOHOO MARTIN ANN ARBOR 5994080A 216 5/17/2020 8810 THERMAL SOLUTIONS LLC ANN ARBOR 5983584A 4,128 4/9/2020 5479 TONCEVICH HUNTER ELIZABETH ANN ARBOR 5860660A 798 5/9/2020 9053 UNDERGROUND ALCHEMY LLC ANN ARBOR 6008178A 339 6/27/2020 8017 UNIQUE CONSTRUCTION AND SERVICES LLC ANN ARBOR 5862752A 825 5/8/2020 5403 UNIVERSITY OF MICHIGAN FLYERS INC ANN ARBOR 1514733A 795 4/29/2020 7423 VANSTON O BRIEN INC ANN ARBOR 1743414A 810 6/24/2020 8742 VICTORY HOMES MANAGEMENT INC ANN ARBOR 4448790A 4,266 4/16/2020 9053 0.90 VILLAS AT NORTHVILLE HILLS ANN ARBOR 3793028A 580 6/14/2020 9015 WESTWARD LLC ANN ARBOR 3001830A 750 4/21/2020 5645 WOLVERINE STEEL ERECTORS INC ANN ARBOR 3583821A 1,107 4/12/2020 5606 0.85 CHANGER AND DRESSER INC ANNISTON, AL 5115329A 1,055 6/3/2020 8742 0.95

12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 7 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BAY LAKES COUNCIL OF BOY SCOUTS OF APPLETON, WI 0539228A 5,811 4/13/2020 8868 0.91 AMERICA INC E AND D RANCH LLP ARCADIA, FL 3377326A 980 6/30/2020 0913 0.95 ANTLER CREEK LLC ARMADA 5408296A 750 5/28/2020 5645 BAYSIDE MARINE CONSTRUCTION INC ARMADA 3923398A 2,447 6/6/2020 6217 0.95 CAROLYNNS CABINETS INC ARMADA 3943186A 752 6/25/2020 5437 FINELINES FINISH CARPENTRY & DESIGN LLC ARMADA 4364473A 800 6/30/2020 5437 HOME IMAGE RENOVATIONS INC ARMADA 5990424A 750 4/27/2020 5437 K AND D WELDON INC ARMADA 5879833A 756 6/21/2020 9058 TIP TOP TIMBER CO ARMADA 5861993A 2,663 5/7/2020 0106 J AND L BUILDING MAINTENANCE INC ARMSTRONG CREEK, WI 5464455A 2,898 4/17/2020 5476 0.95 BECK TED ASHLEY 5880840A 1,240 6/29/2020 0128 GUS LANDSCAPING LLC ASHLEY 5849888A 751 4/6/2020 9102 OUT ON A LIMB TREE AND HIGH REACH ASHLEY 2724383A 775 4/29/2020 0106 SERVICES LLC CAMPER VILLAGE CAMPGROUND ATHENS 4230299A 580 6/9/2020 9015 LON MILLER ATHENS 5333660A 573 4/12/2020 0913 PARKS TREE SERVICE ATHENS 4044410A 980 5/21/2020 0106 0.95 AMERICAN PROCESS ENERGY RECOVERY INC ATLANTA, GA 4859430A 3,660 4/1/2020 4829 1.00 BRANDON WOLTER MASONRY & CONCRETE LLC ATLANTA 2888947A 750 6/12/2020 5022 EHLERS ENTERPRISES ATLANTA 1738674A 750 5/20/2020 2702 G CURRENT CONSTRUCTION LLC ATLANTA 5297575A 750 5/23/2020 5645 0.94 JONOS ROUSTABOUT SERVICES LLC ATLANTA 5981360A 1,798 4/2/2020 6216 ROBERT MARLATT PS ATLANTA 5716896A 240 5/17/2020 8601 BRUCE PORKKA LOGGING ATLANTIC MINE 2589494A 750 4/6/2020 2702 JOHN COPONEN CONTRACTING ATLANTIC MINE 5427746A 751 5/28/2020 5022 KEWEENAW EXPLORATIONS COMPANY ATLANTIC MINE 4069161A 2,585 5/13/2020 9015 0.95 LINDSAY NETTELL INC ATLANTIC MINE 0913855A 750 5/15/2020 2702 NETTELL LONDYN ATLANTIC MINE 4872975A 750 5/22/2020 2702 PAULSON TODD ATLANTIC MINE 5862949A 750 6/11/2020 7208 RUOHONEN LOGGING LLC ATLANTIC MINE 6000266A 750 5/30/2020 2709 ALWAYS DONE RIGHT HOME IMPROVEMENT LLC ATTICA 5705312A 750 5/19/2020 5645 EFFICIENT FOAM INSULATION INC ATTICA 0670383A 1,999 5/20/2020 5479 0.95 LAPEER COUNTY SPORTSMENS CLUB ATTICA 3304663A 411 6/1/2020 9061 MOTOR CITY HOME IMPROVEMENT ATTICA 5284910A 7,455 5/10/2020 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NAUTICAL VENTURES INC ATTICA 3927245A 1,371 4/29/2020 6834 0.95 SALCEDO TRUCKING LLC ATTICA 5991560A 2,644 5/17/2020 7208 STEVE RUSSELL CUSTOM HOMES LLC ATTICA 0766283A 750 6/5/2020 5645 SUTHERBY EXCAVATING LLC ATTICA 5719291A 751 5/24/2020 6217 WEINGARTZ TREE SERVICE LLC ATTICA 3779076A 750 6/22/2020 0106 0.95 NORTHPORT CONDOMINIUM MARINA AU GRES 0213063A 2,054 6/1/2020 6826 ASSOCIATION SHOP ON SHADY LANE LLC AU GRES 6003958A 346 6/14/2020 8008 MAINSTREAM FLOW GROUP AUBURN 2031230A 751 6/10/2020 0042 WINKELMANN AUTOMOTIVE U S LIMITED AUBURN, AL 5723795A 640 6/23/2020 8742 PARTNERSHIP BEACON HILL INC AUBURN HILLS 3068650A 825 5/11/2020 0042 0.95 BELLA HOMES AND ASSOCIATES LLC AUBURN HILLS 5546486A 800 4/27/2020 5645 C AND M TREE SERVICE LLC AUBURN HILLS 2508885A 2,077 6/6/2020 0106 0.95 CAMELOT ESTATE ASSOCIATION AUBURN HILLS 5980445A 580 4/1/2020 9015 CITY RENOVATION & TRIM INC AUBURN HILLS 2562006A 74,292 6/26/2020 5445 1.68 27 % CORAL CONSTRUCTION CO INC AUBURN HILLS 1732277A 18,816 6/17/2020 5551 1.57 13 % EVOLUTION SPORTSPLEX LLC AUBURN HILLS 4987705A 1,097 5/22/2020 9015 EZ HOMES LLC AUBURN HILLS 5999650A 319 6/7/2020 8742 MCCOURY LAWNCARE LLC AUBURN HILLS 5851068A 561 4/7/2020 9102 OXUS AMERICA INC AUBURN HILLS 4759583A 6,820 5/14/2020 8601 0.99 ROOF RESTORATION TECHNOLOGIES INC AUBURN HILLS 4299027A 1,690 4/11/2020 5403 0.95 SABER WINDOW CLEANING LLC AUBURN HILLS 2432455A 655 5/18/2020 9015 SUPERALLOY NORTH AMERICA LLC AUBURN HILLS 5374804A 731 5/2/2020 8810 UNIVERSAL ROPES COURSES LLC AUGUSTA 5698405A 6,053 4/4/2020 5403 0.94 DAN COWHYS EXCAVATION LLC AVOCA 5878047A 751 6/21/2020 6217 KS DINER AVOCA 1627252A 333 5/30/2020 9058 ALTA CITRUS LLC AVON PARK, FL 5565863A 14,720 5/26/2020 0128 1.00 CRAIG MACPHEE CORP BAD AXE 4571657A 1,117 5/11/2020 3724 0.95 COUSINEAU STANLEY L BALDWIN 4446976A 751 4/11/2020 2702 JIM KUTCHINSKI BUILDERS INC BALDWIN 0407828A 750 4/12/2020 5645 DISCOUNT STUMP GRIND AND REMOVAL LLC BANCROFT 5721660A 750 6/3/2020 0106 AMERICAN EAGLE FREIGHT LLC BANGOR 5657377B 3,095 5/11/2020 7208 0.95 R AND S BLUEBERRIES LLC BANGOR 2410648A 595 6/13/2020 0011 0.95 SAYLORS RAILROAD WELDING LLC BANNISTER 3958183A 1,502 4/12/2020 5506 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KINGS KIDS TRANSPORT BARAGA 3186997A 750 4/20/2020 7208 NINE ZERO SIX COMMUNICATIONS LLC BARAGA 5755832A 750 5/29/2020 7600 SCHALLIPS INC BARBEAU 0092886A 571 4/2/2020 3116 BITTNER CORPORATION BARK RIVER 5862825A 751 5/8/2020 6217 CHOLEWA LOGGING BARK RIVER 0354082A 800 6/5/2020 2702 J AND D DEROCHER TRUCKING INC BARK RIVER 3672557A 750 6/3/2020 7208 0.95 JOHNSON WADE BARK RIVER 0911623A 750 4/8/2020 2702 K AND K MATHIAS TRUCKING BARK RIVER 5427975A 800 5/11/2020 7208 SUPERIOR TIMBER MANAGEMENT LLC BARK RIVER 3304701A 750 4/8/2020 2709 TOTO KLEENING INC BARK RIVER 5719100A 963 6/8/2020 9015 VANENKEVORT ALEC BARK RIVER 5874270A 750 6/6/2020 7208 STONEGATE MANOR LLC BARODA 5996511A 749 5/17/2020 9015 MIH LLC BARRYTON 5863503A 897 5/10/2020 6217 ZEEB CONSTRUCTION LLC BATH 5015936A 750 5/29/2020 5645 AMERICAN BUILDING & RESTORATION BATTLE CREEK 5995981A 556 5/16/2020 9521 BATTLE CREEK COMMUNITY FOUNDATION BATTLE CREEK 2300486A 351 4/1/2020 8742 BEAR LAKE TRANSPORTATION BATTLE CREEK 5259134A 688 4/9/2020 7212 BUCKS CRANE INC BATTLE CREEK 3608743A 3,956 6/27/2020 3724 0.92 CROOKED CREEK HOMECARE LLC BATTLE CREEK 5350050A 561 5/6/2020 9102 DOWNEYS LAKEVIEW LOUNGE INC BATTLE CREEK 0218375A 334 5/4/2020 9058 EAST BRANCH SPORTSMENS CLUB BATTLE CREEK 5878411A 634 6/25/2020 9015 EGG DOOR PRODUCTIONS LLC BATTLE CREEK 5984564A 991 4/12/2020 5190 FOUR SEASONS TRAILER PARK BATTLE CREEK 2917700A 581 5/14/2020 9015 GATE WAY HOME IMPROVEMENT LLC BATTLE CREEK 5979250A 825 4/4/2020 5551 GLB COMPANIES LLC BATTLE CREEK 4762843A 355 5/2/2020 9586 HURTADO GARCIA EMANUEL BATTLE CREEK 6005306A 750 6/19/2020 5221 J AND S FAMILY TREE SERVICE LLC BATTLE CREEK 3922901A 921 6/10/2020 0106 0.95 J PITTMAN PAINTING LLC BATTLE CREEK 5149738A 751 4/20/2020 5476 JEWELL CONSTRUCTION BATTLE CREEK 4146964A 1,670 6/8/2020 5190 KECK CONSULTING SERVICES LLC BATTLE CREEK 4002865A 1,092 6/11/2020 8601 KORNS TRANSPORTATION LLC BATTLE CREEK 4201809A 800 5/17/2020 7208 M AND E MAINTENANCE BATTLE CREEK 5981840A 720 4/10/2020 3724 MCNEIL PROPERTIES LLC BATTLE CREEK 5976014A 750 4/1/2020 5645 NEW CHINA MOON OF BATTLE CREEK LLC BATTLE CREEK 5128170A 3,133 4/19/2020 9058 0.95 RAZOR EDGE LAWNCARE BATTLE CREEK 5990483A 612 4/27/2020 9102 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 10 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RIGO AND SONS LLC BATTLE CREEK 6005004A 750 6/18/2020 5221 SECOND WIND HR LLC BATTLE CREEK 5259738A 2,100 4/10/2020 9015 0.95 SELLS AND SON ROOFING BATTLE CREEK 3005526A 1,369 4/19/2020 5551 0.95 SEW UNIQUE THREADS LLC BATTLE CREEK 5551250A 339 5/3/2020 8017 TOMS BUILDING AND REMODELING BATTLE CREEK 4314212A 1,061 4/26/2020 5645 0.95 WEAVER CONSTRUCTION BATTLE CREEK 5418747A 750 6/26/2020 5645 WEISS AMANDA BATTLE CREEK 6005560A 581 6/19/2020 9015 WINN RENTALS BATTLE CREEK 5866880A 2,948 5/22/2020 9015 BAY HARBOR VILLAGE CONDOMINIUM BAY CITY 2671972A 636 4/25/2020 9015 0.95 ASSOCIATION INC BRENDAS ALMOST HEAVEN AFC BAY CITY 5514118A 499 4/11/2020 9053 DORE AND ASSOCIATES CONTRACTING INC BAY CITY 0884383A 119,828 5/15/2020 5403 1.49 10 % EVAN INC BAY CITY 3681904A 1,916 4/15/2020 8395 0.95 FAIRWELLS INC BAY CITY 2620553A 649 5/16/2020 1320 0.95 FREIWALD STAUDACHER DESIGN INC BAY CITY 1120263A 750 6/8/2020 5645 GREATER MICHIGAN DRYWALL LLC BAY CITY 5998697A 750 5/23/2020 5445 KADON ENTERPRISES INC BAY CITY 1481193A 333 4/4/2020 9058 LEPPEK CONSTRUCTION CO BAY CITY 2432480A 3,956 6/25/2020 5645 0.95 M P A GROUP N F P LTD BAY CITY 3930696A 6,574 5/28/2020 8832 0.84 MCINTYRE PROPERTY MANAGEMENT LLC BAY CITY 2283620A 751 4/23/2020 5476 MDL CONSTRUCTION LTD BAY CITY 2434148A 6,648 4/27/2020 5437 0.82 MYCAR TRANSPORT LLC BAY CITY 5869900A 751 6/12/2020 7208 RIVER CONTRACTING INC BAY CITY 3501612A 11,961 6/1/2020 5183 0.94 SAMPLE AND SONS INC BAY CITY 0990876A 911 6/21/2020 8387 0.95 SHIP SHAPE AND SUDS INC BAY CITY 4049659A 1,566 4/13/2020 6826 0.95 SHORKEY HEATING & COOLING LLC BAY CITY 4521463A 701 6/19/2020 5550 SMITH STREET HOME ASSISTED LIVING LLC BAY CITY 3295885A 962 6/28/2020 9053 0.95 SUNSET SHORES YACHT CLUB INC BAY CITY 1499360A 581 6/6/2020 9015 THAT GUYS LLC BAY CITY 3345300A 1,551 5/31/2020 9058 TIMS CUSTOM PAINTING BAY CITY 4094557A 751 4/25/2020 5476 TRI CITY FIRE PROTECTION BAY CITY 3675491A 595 6/14/2020 5188 VALLEY UNITED INSURANCE AGENCY INC BAY CITY 3666018A 1,295 5/19/2020 8742 0.95 WHATS POPPIN LLC BAY CITY 5551234A 339 4/27/2020 8017 WHEELER LANDING INC BAY CITY 1191500A 1,184 4/13/2020 6836 0.95 WINKLES CLEANING LLC BAY CITY 5506620A 1,145 4/16/2020 9015 1.22 13 %

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BAY PORT FISH CO BAY PORT 0553140A 509 4/28/2020 8021 1.00 RAPID REPAINTS LLC BEAR LAKE 6007813A 875 6/26/2020 5476 MARK THOMPSON TREE & STUMP REMOVAL LLC BEAR LAKES 5951127A 7,636 4/10/2020 0106 BDL TESTING & DRIVING SCHOOL LLC BEAVERTON 3936910A 408 6/12/2020 8868 BEAVERTON AREA FIRE DISTRICT BEAVERTON 0680907A 2,902 5/1/2020 7704 0.95 BORDEAU CARPENTRY LLC BEAVERTON 5587557A 750 5/11/2020 5437 JASONS QUALITY SERVICES LLC BEAVERTON 5982715A 1,101 4/5/2020 5476 MID MICHIGAN TREE SERVICE BEAVERTON 3610535A 750 4/2/2020 0106 1.00 MID STATE SEAWALL INC BEAVERTON 3985105A 1,709 5/1/2020 6217 0.95 MITTEN MOWING LLC BEAVERTON 5848253A 562 4/7/2020 9102 QUALITY ENVIRONMENTAL SERVICES INC BEAVERTON 3773760A 57,889 6/1/2020 5183 1.46 13 % RHIS PLAYCARE BEAVERTON 6001467A 277 6/5/2020 8869 WILD PUMPKIN INC BEAVERTON 5406501A 646 5/20/2020 2003 ACE L BUILDERS LLC BELDING 5658870A 750 5/12/2020 5645 BEARS EXCAVATION LTD BELDING 3366049A 2,456 5/1/2020 7208 COLES GERALD H JR BELDING 5861080A 750 5/1/2020 7208 KDS CORNER LLC BELDING 5724740A 478 4/1/2020 8017 PORTER MARISA BELDING 6002307A 337 6/7/2020 8869 AA LOG HOME REPAIR LLC BELLAIRE 5855870A 750 4/17/2020 5476 CYMAN GARDENS LLC BELLAIRE 3781631A 2,057 5/16/2020 0042 0.95 DAVE ROBB CONSTRUCTION LLC BELLAIRE 3056414A 826 6/11/2020 5221 0.95 HELLO VINO LLC BELLAIRE 5862108A 683 5/3/2020 9058 JG CARPENTRY LLC BELLAIRE 3282996A 800 6/26/2020 5645 OTHERSIDE IRRIGATION SERVICES BELLAIRE 5708699A 1,242 4/26/2020 6229 0.95 TORCH LAKE TREE PRO LLC BELLAIRE 5270634A 2,229 6/1/2020 0106 0.95 TRIBUTARY BUILDERS LLC BELLAIRE 5123399A 750 4/29/2020 5645 A PI COMMUNICATONS LLC BELLEVILLE 4652002A 1,074 4/11/2020 5191 BELLEVILLE TRUCKING LLC BELLEVILLE 0178241A 2,130 4/14/2020 7208 0.95 CHARLEBOIS MASONRY BELLEVILLE 2467674A 800 4/28/2020 5022 CHIPPEWA TREE SERVICE INC BELLEVILLE 2134829A 1,386 4/2/2020 0106 0.95 DCP COMMERCIAL CLEANING LLC BELLEVILLE 5715083A 655 5/16/2020 8835 EXECUTIVE TOUCH INC BELLEVILLE 5013992A 1,060 5/18/2020 8387 0.95 FALLON DAVID BELLEVILLE 0170089A 2,893 4/28/2020 5645 0.95 FRIENDS FINE FLOOR COVERING INC BELLEVILLE 3119866A 2,095 4/4/2020 8017 0.95 GD COLLINS TRUCKING LLC BELLEVILLE 5398959A 750 5/1/2020 7208 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 12 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GMS SEALCOATING LLC BELLEVILLE 4897820A 751 5/4/2020 5221 0.95 HOLLOW TRUCKING COMPANY BELLEVILLE 2501457A 1,967 4/15/2020 8232 0.95 IN PARALLEL ARCHITECTS AND BUILDERS LLC BELLEVILLE 5171172A 751 5/19/2020 8810 INTERSTATE AUTO TRANSPORT LLC BELLEVILLE 5567548A 825 5/3/2020 7208 JONATHANS GREENHOUSE LLC BELLEVILLE 5857651A 750 4/21/2020 7208 LAKEVIEW TAVERN INC BELLEVILLE 1218484A 1,147 4/18/2020 9058 0.95 LINZELL HOME IMPROVEMENT INC BELLEVILLE 4286790A 4,922 6/10/2020 5538 0.92 LUCACI FLOORING INC BELLEVILLE 4142853A 750 5/31/2020 5348 MATADOR INC BELLEVILLE 1588427A 255 6/26/2020 9586 METRO ERECTING INC BELLEVILLE 2603039A 755 4/9/2020 3365 MICHIGANS FINEST BELLEVILLE 3408523A 1,557 5/12/2020 5645 0.95 MVAH CONSTRUCTION LLC BELLEVILLE 5987490A 2,534 4/19/2020 5645 PC LOGISTICS BELLEVILLE 5993571A 750 5/23/2020 1624 SANDYS MARINA INC BELLEVILLE 0754579A 871 5/17/2020 6836 0.95 SCOOBYS LAWN CARE LLC BELLEVILLE 5856167A 561 5/1/2020 9102 SELECT SERVICES GROUP INC BELLEVILLE 5292352B 16,983 6/24/2020 7213 0.70 STRATEGIES TO OVERCOME OBSTACLES & BELLEVILLE 4535545A 458 5/16/2020 8868 AVOID RECIDIVISM SUMPTER SOLAR SERVICES LLC BELLEVILLE 5728576A 651 4/5/2020 5550 VANDERSEND CREATIVE LLC BELLEVILLE 5710677A 391 4/29/2020 8742 VICTORIA COMMONS ASSOCIATION BELLEVILLE 3647218A 581 5/1/2020 9015 BELLEVUE FIRE CONTROL BOARD BELLEVUE 1608258A 1,941 6/28/2020 7904 0.95 ERSG US HOLDINGS INC BELLEVUE, WA 5984149A 321 4/22/2020 8601 ONE EYE SQUARE INC BELMONT 3220729A 751 5/9/2020 5437 SUMMIT HOMES OF WEST MICHIGAN LLC BELMONT 4084268A 750 5/17/2020 5645 SUPREME AG CONSTRUCTION INC BELOIT, WI 5998948A 751 6/4/2020 3724 MSG SERVICES GROUP INC BENSENVILLE, IL 4969766A 697 6/23/2020 8292 0.95 AAA POWER WASHERS INC BENTON HARBOR 5850207A 1,115 4/6/2020 9015 COMMERCIAL PAINTERS INC BENTON HARBOR 2842807A 3,806 6/7/2020 5476 0.95 HARRIS NON EMERGENCY MEDICAL BENTON HARBOR 5566649A 689 6/25/2020 7212 TRANSPORTATION LLC HIGHLAND MACHINERY INC BENTON HARBOR 4990188A 561 6/1/2020 8107 KEN DAUGHERTY ROOFING SIDING AND BENTON HARBOR 0845035A 752 5/6/2020 8810 0.95 GUTTERS LLC PERCENTAGE IMPROVEMENT LLC BENTON HARBOR 0107050A 750 6/13/2020 5476 READINESS CENTER INC BENTON HARBOR 2396890A 1,342 5/19/2020 8868 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 13 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SUNSET COAST CLEANING SERVICES BENTON HARBOR 5515076A 924 5/23/2020 9015 SWM BLUEBERRY MANAGEMENT INC BENTON HARBOR 6008607A 5,005 6/28/2020 0011 THOMAS CHRIS BENTON HARBOR 5721580A 800 6/15/2020 7208 WOLFS DIVERS SUPPLY INC BENTON HARBOR 1033450A 763 6/18/2020 8017 CASSELMAN FOREST PRODUCTS BENZONIA 5267757A 750 5/6/2020 2702 NUGENT ORCHARDS LLC BENZONIA 6001254A 676 6/13/2020 0130 WESTBROOK CONSTRUCTION INC BENZONIA 5865085A 2,609 5/16/2020 5645 JRA ENTERPRISES INC BERGLAND 5292247A 1,324 6/4/2020 9058 0.95 LAKE GOGEBIC MOTEL BERGLAND 2067277A 582 6/15/2020 9052 ALBERT C SANOM RESIDENTIAL BUILDER LLC BERKLEY 1874012A 6,499 5/18/2020 5437 0.95 ALPINE CONSTRUCTION BERKLEY 1361570A 1,041 6/25/2020 5645 BUMMER BROTHERS INVESTMENTS LLC BERKLEY 5985277A 504 4/13/2020 9501 D AND E SUPERIOR TILE BERKLEY 2380331A 800 6/14/2020 5348 EAGLE DRYWALL BERKLEY 0470740A 750 4/22/2020 5445 MILAN BUILDING LLC BERKLEY 3259161A 2,417 4/2/2020 5645 0.95 JMB TECH INC BERRIEN CENTER 6008275A 481 6/27/2020 5190 HANDSOME PAINTING LLC BERRIEN SPRINGS 5817765A 3,800 4/19/2020 5476 0.95 K AND J CONSTRUCTION BERRIEN SPRINGS 5320542A 5,743 6/28/2020 5645 0.95 WORKZ GROUP BERRIEN SPRINGS 5147026A 1,651 6/7/2020 6400 0.95 C AND A CONSTRUCTION CO BERVILLE 0029343A 1,180 5/1/2020 5606 0.95 RAMMES AUTO AND RV SALES LLC BESSEMER 0266337A 2,446 4/12/2020 8010 0.95 ADVANTAGE TURF SOLUTIONS LLC BEULAH 6005470A 611 6/19/2020 9102 CRYSTAL LAKE & WATERSHED ASSOCIATION BEULAH 4989139A 870 6/1/2020 8387 CRYSTAL LAKE NURSERY BEULAH 1431340A 330 6/21/2020 8869 ESTATE AT CRYSTAL LAKE LLC BEULAH 5876044A 581 6/9/2020 9015 KK BUILDERS INC BEULAH 5987652A 750 4/19/2020 0042 MR BS ROOFING & SIDING INC BEULAH 3496341A 10,300 5/6/2020 5551 0.88 BJR RENTALS LLC BEVERLY HILLS 5124590A 581 4/5/2020 9015 BLACKBIRD VENDING INC BEVERLY HILLS 0721638A 4,230 5/13/2020 8008 0.89 GREATER HOME SERVICES LLC BEVERLY HILLS 4049543A 750 5/2/2020 3724 0.95 J W DAVIS & ASSOCIATES INC BEVERLY HILLS 2866455A 237 6/27/2020 8810 SCOTT DUCHENE PRODUCTIONS LLC BEVERLY HILLS 5997160A 311 5/18/2020 4361 BECKWITH MATTHEW BIG RAPIDS 5994969A 750 5/14/2020 5645 BIG RAPIDS FREE METHODIST CHURCH BIG RAPIDS 2114461A 241 4/3/2020 8868 C RAY HEATING AND COOLING BIG RAPIDS 5040655A 650 5/29/2020 5550 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 14 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge D AND J ASPHALT CONSTRUCTION BIG RAPIDS 5049032A 750 6/25/2020 5221 DENNIS DAVID BIG RAPIDS 4407237A 750 5/3/2020 2702 NORTHERN ANALYTICAL SERVICES LLC BIG RAPIDS 4206061A 945 4/19/2020 4511 0.95 SILVERNAIL REALTY BIG RAPIDS 2590557A 936 6/29/2020 9015 ANGEL HOSPICE INC BINGHAM FARMS 5326524A 721 6/14/2020 8835 GENERAL INFORMATION SYSTEMS & BINGHAM FARMS 5398142A 291 4/23/2020 8810 TECHNOLOGY LLC HUGHES BUILDING LLC BINGHAM FARMS 5131626A 2,318 4/30/2020 5606 0.95 KANTER AUSTIN A BINGHAM FARMS 1983520A 337 4/10/2020 0908 LEVINE ROBERT BINGHAM FARMS 2267055A 328 6/17/2020 0908 SEQUEL TOUR SOLUTIONS LLC BINGHAM FARMS 3332756A 837 5/1/2020 8810 0.95 SPARSH HEALING LLC BINGHAM FARMS 5993326A 906 5/8/2020 9063 STONEBRIDGE FARMS LLC BINGHAM FARMS 3960420A 1,930 4/15/2020 8279 0.95 WINKELMAN SHELDON P & WINKELMAN RISSA R BINGHAM FARMS 1650157A 573 4/30/2020 0913 AL NAEGELE FLOOR COVERING INC BIRCH RUN 3070476A 557 6/6/2020 9521 FRANKENMUTH AERIAL PARK LLC BIRCH RUN 5728282A 3,614 4/13/2020 9015 0.95 GIBSON ROOFING BIRCH RUN 2696223A 3,996 5/30/2020 5551 0.92 RAPARTLOWCONSTRUCTION LLC BIRCH RUN 6007023A 1,805 6/24/2020 5551 SJ MECHANICAL LLC BIRCH RUN 5707277A 650 4/25/2020 5183 A J CAMPBELL FLOORS INC BIRMINGHAM 3643875A 632 6/22/2020 9521 BAILY SCHMIDT LLC BIRMINGHAM 2656841A 1,024 4/14/2020 9015 BASH EVENTS LLC BIRMINGHAM 5268133A 947 5/24/2020 9058 0.95 BIG RAPIDS BOX COMPANY LLC BIRMINGHAM 5980909A 2,932 4/9/2020 2759 BORMAN PAUL D BIRMINGHAM 0721514A 403 5/23/2020 0908 BUILDING AND HOME INSPECTIONS INC BIRMINGHAM 2626845A 1,638 4/1/2020 5183 BUNTING LEONARD BIRMINGHAM 5397570A 573 5/10/2020 0913 DETROIT MOTORHOME COMPANY LLC BIRMINGHAM 5569907A 1,531 6/4/2020 7380 0.95 FOUR STAR INC BIRMINGHAM 3347095A 6,780 5/9/2020 8392 0.84 GEN ENERGY LLC BIRMINGHAM 5409748A 294 6/2/2020 8810 GREAT LAKES MEDICAL EVALUATIONS PC BIRMINGHAM 3473643A 1,018 6/17/2020 8832 0.95 HENDERSON MITCHELL BIRMINGHAM 4465261A 573 4/26/2020 0913 HIGHGATE LLC BIRMINGHAM 5165601A 1,762 6/4/2020 7421 0.95 KAUFMAN DANIEL BIRMINGHAM 5865034A 378 5/16/2020 0908 MAARKON INC BIRMINGHAM 0378038A 216 4/11/2020 8810 MARKS MANAGEMENT SERVICES INC BIRMINGHAM 2655616A 572 6/22/2020 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NATHAN BERNARD DEVELOPMENT INC BIRMINGHAM 3284735A 800 4/28/2020 5645 NEW HOLLY MANOR LLC BIRMINGHAM 4564111A 581 5/11/2020 9015 0.95 NICHOLAS FREUND BUILDING LLC BIRMINGHAM 5563704A 7,733 6/15/2020 5606 0.93 NICHOLSON ENGINEERING COMPANY BIRMINGHAM 0729264A 286 4/18/2020 8601 NYMAN GEORGE M BIRMINGHAM 1850997A 378 6/10/2020 0908 OAKES BUILDING COMPANY BIRMINGHAM 3653714A 14,310 5/6/2020 5551 0.87 OVERHEAD MAINTENANCE SOLUTIONS LLC BIRMINGHAM 4459504A 2,624 4/5/2020 3724 0.94 PROFESSIONAL FREIGHT SERVICES LLC BIRMINGHAM 5861632A 750 5/2/2020 7208 SAPPHIRE BUILDING INC BIRMINGHAM 5272513A 3,652 5/20/2020 5606 0.95 SBB AND J INVESTMENTS LLC BIRMINGHAM 4481615A 946 6/11/2020 0913 0.95 SCHLACHTER KRIS BIRMINGHAM 5727529A 623 6/27/2020 0913 SIERRA MANAGEMENT LLC BIRMINGHAM 2173859A 283 4/14/2020 8810 SILVERBACK MOVING INC BIRMINGHAM 4790510A 31,764 5/12/2020 8293 1.58 13 % THAL BRUCE E & ILEANE BIRMINGHAM 1485393A 328 6/9/2020 0908 UNITECH IMAGING INC BIRMINGHAM 5712076A 228 4/17/2020 8742 WEISS ROBERT M BIRMINGHAM 1544314A 331 4/28/2020 8820 XPRESS HOLIDAY LIGHTING LLC BIRMINGHAM 5047129A 3,532 6/27/2020 5190 0.95 IRANI CYRUS M BLANCHARD 5795346A 1,446 6/16/2020 0129 D D MITCHELL ENTERPRISES LTD BLISSFIELD 3098346A 2,545 6/29/2020 7208 0.86 ERIC SLUSHER FLOORING LLC BLISSFIELD 2154528A 1,443 4/22/2020 9521 0.95 FLATLANDERS SCULPTURE SUPPLY AND BLISSFIELD 2264331A 800 6/1/2020 3040 0.95 MIDWEST SCULPTURE INITIATIVE LLC NATIONWIDE INFRASTRUCTURE LLC BLISSFIELD 5857805A 28,499 6/6/2020 5102 CURB APPEAL INC BLOOMFIELD 2993864A 750 4/21/2020 8810 HENDERSON JAMES & ROBERTA BLOOMFIELD 5990394A 403 4/27/2020 0908 AMERICAN ELECTRICAL CONTRACTORS INC BLOOMFIELD HILLS 6004164A 482 6/28/2020 5190 ANTONELLI AND ASSOCIATES INC BLOOMFIELD HILLS 0003409A 2,284 5/7/2020 5645 0.95 ATTO CONTRACTING LLC BLOOMFIELD HILLS 6000215A 965 5/30/2020 5606 BARRON GUY & BARRON NORA LEE BLOOMFIELD HILLS 0666890A 775 5/11/2020 0908 BLACKROCK SEALCOATING LLC BLOOMFIELD HILLS 5852510A 800 6/12/2020 5221 BLOOMFIELD HILLS SWIM & TENNIS LLC BLOOMFIELD HILLS 4989279A 1,018 4/19/2020 9061 COLORITE PAINTING LLC BLOOMFIELD HILLS 4231171A 800 4/18/2020 5476 CORPORATE SPECIALTIES LLC BLOOMFIELD HILLS 5706416A 242 4/22/2020 8810 DAVIS HYLTON RADTKE TWM LLC BLOOMFIELD HILLS 4947517A 8,956 4/5/2020 8835 1.00 DETROIT THEATRE ENTERPRISES INC BLOOMFIELD HILLS 0820547B 614 6/21/2020 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DOKAN CONSTRUCTION INC BLOOMFIELD HILLS 5577977A 595 6/23/2020 5606 FITNESS FIX INC BLOOMFIELD HILLS 5324440A 463 5/24/2020 3113 FLEMING THREE LLC BLOOMFIELD HILLS 5981450A 599 4/2/2020 0908 FOPOCO REAL ESTATE II LLC BLOOMFIELD HILLS 5871000A 750 5/31/2020 5403 G O SERVICES INC BLOOMFIELD HILLS 5158680A 826 6/28/2020 5437 GOLDBERG FREDERICK S BLOOMFIELD HILLS 1066110A 378 5/21/2020 0908 GRAYSTONE SECURITY & PROTECTION BLOOMFIELD HILLS 4333896A 7,065 4/22/2020 7720 0.88 SERVICES INC KIRILUK ALAN AND MARILYNNE BLOOMFIELD HILLS 2382598A 531 4/2/2020 0908 LIPSITT CAROL BLOOMFIELD HILLS 1245791A 328 6/16/2020 0908 LMB PROPERTIES LLC BLOOMFIELD HILLS 2970600A 827 5/27/2020 8742 LOCKWOOD CONSTRUCTION COMPANY LLC BLOOMFIELD HILLS 5862795A 9,043 5/8/2020 5437 MARK V LEGACY INC BLOOMFIELD HILLS 5738326A 3,617 4/3/2020 8835 0.93 MCTUMPS LLC BLOOMFIELD HILLS 5394937A 9,924 4/11/2020 7212 0.95 MIDWESTERN JANITORIAL LLC BLOOMFIELD HILLS 5583101A 630 6/19/2020 9015 MUST ALAN BLOOMFIELD HILLS 0470260A 573 6/19/2020 0913 MUST MARY BLOOMFIELD HILLS 1206133A 734 6/18/2020 0908 0.95 PAULUS DENISE BLOOMFIELD HILLS 5993644A 328 5/9/2020 0908 POLARIS CONSTRUCTION INC BLOOMFIELD HILLS 4750985A 800 4/15/2020 5551 POOL DOCTOR SERVICES INC BLOOMFIELD HILLS 2005484A 1,381 4/1/2020 0909 0.95 PRM CONTRACTING LLC BLOOMFIELD HILLS 4651162A 2,230 5/4/2020 5606 PURE HOMES LLC BLOOMFIELD HILLS 5865557A 344 5/17/2020 5606 RMZ CONSTRUCTION MANAGEMENT INC BLOOMFIELD HILLS 1185250A 292 4/29/2020 8810 S AND V EQUITIES LLC BLOOMFIELD HILLS 3623130A 812 6/30/2020 9015 0.95 SPECIALTY EMPLOYMENT SERVICES BLOOMFIELD HILLS 0471763A 479,404 4/12/2020 4484 1.24 TARTAR EXPRESS INC BLOOMFIELD HILLS 2796678A 825 4/25/2020 7208 1.46 13 % UNLIMITED INSTALLATION SERVICE BLOOMFIELD HILLS 2813173A 825 6/18/2020 9521 VELOX DISPOSAL INC BLOOMFIELD HILLS 4756398A 4,945 6/3/2020 7213 0.91 VLASIC MICHAEL & HELEN BLOOMFIELD HILLS 5857694A 403 5/9/2020 0908 WILLS TRUCKING SERVICES INC BLOOMFIELD HILLS 3018059A 14,059 5/31/2020 7208 0.94 FALCON POINTE APARTMENTS LLC BLOOMFIELD TWP 5571103A 630 6/9/2020 9015 0.95 HEIKKINEN DAVID BLOOMFIELD TWP 5413800A 573 6/13/2020 0913 JACOBS ROBERT BLOOMFIELD TWP 4054423A 648 6/16/2020 0908 LENNOX SOULUTIONS LLC BLOOMFIELD VILLAGE 5995043A 763 5/14/2020 8835 HARRIS CONAG LLC BLOOMINGDALE 5716691A 4,298 5/19/2020 6229 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CRISIS LABOR SOLUTIONS INC BLOOMINGTON, MN 6085750A 540 6/1/2020 4484 DISPATCHIT INC BLOOMINGTON, MN 5998816A 10,870 5/23/2020 7202 ROSS DEPASS LLC BOCA RATON, FL 6000487A 5,192 6/8/2020 5476 GREEN CIRCLE CLEANING LLC BOERNE, TX 5857783A 2,368 4/21/2020 9015 0.95 BRENT SHARPE CONSTRUCTION INC BOISE BLANC ISLAND 4382986A 3,328 5/10/2020 6217 1.24 BRD TRUCKING LLC BONITA SPRINGS, FL 3496090A 5,724 5/26/2020 7208 0.92 WETHERELL GORDON D BOON 0296848A 2,852 4/24/2020 5022 0.97 GRASSROOTS CAMPAIGNS INC BOSTON, MA 4079981A 771 5/11/2020 8742 MOVEPLAN USA INC BOSTON, MA 4331907A 428 6/1/2020 8803 HURON TOWERS ASSOCIATES LLC BOULDER, CO 1846205A 12,954 6/10/2020 9015 0.94 SUSAN HAWKES TPSN TRUST BOULDER, CO 5144132A 471 5/29/2020 0909 CHRISTOPHER J KUHN BUILDER BOYNE CITY 1201603A 7,080 4/3/2020 5437 0.95 CROSSROADS CONSTRUCTION SERVICES LP BOYNE CITY 5992427A 4,713 5/4/2020 7720 FIELS CONSTRUCTION BOYNE CITY 1849611A 750 5/18/2020 5645 0.95 GLASSFORD HEATING AIR CONDITIONING AND BOYNE CITY 4898729A 650 6/22/2020 5550 MAINTENANCE LLC JDF CONSTRUCTION LLC BOYNE CITY 5707641A 750 4/22/2020 5645 LEDDY LAWN CARE BOYNE CITY 6000738A 562 6/1/2020 9102 LEGACY CONSTRUCTION SERVICES LLC BOYNE CITY 5239990A 19,392 4/23/2020 5645 0.98 NOS PARTS NOW BOYNE CITY 5997496A 1,312 5/24/2020 8010 ON BELAY PARTNERS LLC BOYNE CITY 4859812A 4,370 4/13/2020 9015 0.90 PERFORMANCE PAINTING BOYNE CITY 2438356A 1,030 6/21/2020 5476 1.00 WHITES TRUCKING & EXCAVATING INC BRANCH 3946312A 750 6/20/2020 6217 LIMRON TRANSPORT INC BRANT 5993660A 750 5/9/2020 7208 BRENNANS BOOKKEEPING LLC BRECKENRIDGE 5927196A 216 4/20/2020 8810 EARLS SPRAY SERVICE INC BRECKENRIDGE 0738107A 3,894 4/1/2020 7422 0.94 MAPLE LEAF AMUSEMENTS LLC BRECKENRIDGE 5273668A 3,838 5/23/2020 9015 0.95 TIM AND JANSCHUTZ LLC BRECKENRIDGE 5553679A 2,572 4/28/2020 9058 0.95 WALLACE MAHLON B III BRENTWOOD, MO 2281287A 623 6/5/2020 0913 FANTASY CARRIAGE COMPANY INC BRIDGEPORT 0142670A 3,194 4/4/2020 7212 0.95 BARODA LAKE TOWNSHIP POLICE DEPARTMENT BRIDGMAN 5847800A 9,086 4/1/2020 7720 1.43 13 % CLEANING FRENZY LLC BRIDGMAN 5306175A 580 5/29/2020 9015 ASARO TENT RENTAL INC BRIGHTON 5568498A 1,389 5/28/2020 5538 0.95 BRIGHTON CENTER INC BRIGHTON 5308429A 278 6/26/2020 8832 CURTIS AND CO LLC BRIGHTON 2339102A 751 6/22/2020 5445

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge D V D INC BRIGHTON 0256803A 850 5/8/2020 9058 0.95 DAVE ELDRED AND SONS BRIGHTON 0416118A 2,389 5/8/2020 6229 0.95 DISCOUNT SKYLIGHT LLC BRIGHTON 5796504A 750 6/25/2020 5551 ENVIRONMENTAL CREATIONS LLC BRIGHTON 3144216A 750 6/12/2020 0042 FOLLMER GORDON BRIGHTON 4607473A 471 4/1/2020 0909 G T NICKERSON PROPERTIES LLC BRIGHTON 6008836A 750 6/29/2020 5437 GENERAL CHEMICAL CORPORATION BRIGHTON 1019767A 415 6/19/2020 4828 GREEN FLAG BRIGHTON 5555302A 750 5/3/2020 5221 GREEN OAK TIRE INC BRIGHTON 1791532A 15,037 4/1/2020 8387 1.49 10 % INNOVATIONS HEALTHCARE STAFFING INC BRIGHTON 5300401A 6,291 6/5/2020 8833 1.32 13 % IVG RESOURCES INC BRIGHTON 5983665A 990 4/9/2020 3629 KO KREW BRIGHTON 5702275A 916 4/12/2020 9521 LEE RD B P INC BRIGHTON 3842177B 641 4/3/2020 8017 0.95 LOGUSZ CONSULTING SERVICES INC BRIGHTON 0078271A 316 4/2/2020 8810 LUBESKI PROPERTY SERVICES LLC BRIGHTON 5700639A 751 4/8/2020 0042 M A D D SERVICES LLC BRIGHTON 5725712A 11,342 5/7/2020 5645 M AND C CONSTRUCTION INC BRIGHTON 1474359A 801 6/17/2020 8810 0.95 MANNIS RESIDENTIAL SERVICES LLC BRIGHTON 6000762A 750 6/1/2020 5645 MAX JUNK REMOVAL BRIGHTON 5989035A 723 4/25/2020 5610 MICHAEL J & JANET M MCGIVNEY REVOCABLE BRIGHTON 1756877A 800 6/13/2020 5222 LIVING TRUST OAKS TREE SERVICE & LANDSCAPE INC BRIGHTON 5026334A 1,366 4/26/2020 0106 PARKER GENERAL CONTRACTING LLC BRIGHTON 5721920A 751 6/9/2020 5476 PERFORMANCE CREATIVE RESOURCES INC BRIGHTON 3829812A 278 6/2/2020 8742 PETER YOUNG BARNS & GARAGES LLC BRIGHTON 0620203A 750 6/12/2020 8810 RELIABLE LIAISON SERVICES LLC BRIGHTON 5418933A 2,533 6/30/2020 3808 0.95 SAFE AND SOUND I INC BRIGHTON 2918340A 599 6/6/2020 5191 SEASIDE SEAWALLS LLC BRIGHTON 4369858A 3,023 5/26/2020 0042 0.95 TDRM LLC BRIGHTON 5722632A 343 6/21/2020 8810 TERRENCE W HARDER INC BRIGHTON 4656938A 751 4/27/2020 5403 VILLAGE GARDENER BRIGHTON 5998522A 750 5/21/2020 0042 VISTA SHINE LLC BRIGHTON 4364902A 963 4/13/2020 9015 WACO STAGE EQUIPMENT INC BRIGHTON 2004330A 1,204 6/7/2020 9154 0.95 WATER MASTERS LLC BRIGHTON 4158458A 750 4/2/2020 5223 WIRELESS APPROVAL CONSULTANTS BRIGHTON 5725550A 887 6/23/2020 8601

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADRIAN ENVIRONMENTAL LLC BRITTON 4630750A 3,061 6/19/2020 5183 0.95 PENNY LEE CLEANING SERVICE INC BRITTON 2684527A 581 5/14/2020 9015 KBA TRUCKING BROCKWAY 5298601A 4,202 5/27/2020 7208 0.92 BROOKLYN PARTY SHOPPE BROOKLYN 5824931A 4,076 6/13/2020 8395 GEISE CONSTRUCTION LLC BROOKLYN 5344166A 2,067 5/30/2020 5221 0.95 OLD HIGHWAY MARKET AND PROPANE INC BROOKLYN 5502195A 1,308 5/14/2020 8017 0.95 STEVE GRODI CONSTRUCTION LLC BROOKLYN 3176894A 1,221 6/2/2020 5437 ASTEC ASPHALT INC BROWN CITY 1729322A 47,171 5/22/2020 5221 1.42 CARLYLE RICHARD BROWN CITY 5994594A 750 5/11/2020 5645 E AND J CONSTRUCTION BROWN CITY 5253152A 800 6/14/2020 5645 0.95 BLUE LINE BUILDING COMPANY LLC BROWNSTOWN 4911067A 2,055 5/16/2020 5645 0.95 BUDGET TIRE COMPANY OF TAYLOR BROWNSTOWN 0022896A 4,101 4/14/2020 8401 0.91 DETROIT GRADALL BROWNSTOWN 0886009A 826 6/20/2020 6217 G J & D CONCRETE INC BROWNSTOWN 6003346A 750 6/12/2020 5221 H DOMINE ENTERPRISES INC BROWNSTOWN 0435910A 2,620 4/17/2020 3724 0.95 JASSO BROTHERS CEMENT LLC BROWNSTOWN 5613779A 9,183 5/1/2020 5221 0.95 KASHIF QURESHI MD PC BROWNSTOWN 4125568A 1,073 5/15/2020 8832 0.95 MEDSTAR STAFFING LLC BROWNSTOWN 5716624A 556 5/18/2020 8832 R AND H GLAZING INC BROWNSTOWN 2557142A 750 6/7/2020 5462 CON EARTH INC BROWNSTOWN TWP 5855829A 1,640 4/18/2020 5213 0.95 DOUG SCHOLL MASONRY BRUCE CROSSING 5862221A 755 5/4/2020 5221 OUTPOST LOG HOMES AND CONSTRUCTION BRUCE CROSSING 0891363A 580 6/14/2020 9015 PRIMROSE ACRES BRUCE CROSSING 3614212A 750 4/9/2020 0042 ESTATE LAWN & LANDSCAPE LLC BRUCE TWP 5981336A 896 4/2/2020 9102 GRF MASONRY LLC BRUCE TWP 5555388A 2,132 5/4/2020 5022 0.95 HURLEY RACING PRODUCTS LLC BRUCE TWP 4990749A 4,428 6/2/2020 4484 0.90 JAR PAINTING LLC BRUCE TWP 2257300A 1,570 5/5/2020 5476 0.95 SERVICEMAXX LLC BRUCE TWP 5125634A 531 4/9/2020 5190 SOULLIERE PEAT FARMS LLC BRUCE TWP 4745680A 724 6/4/2020 4000 BUCHANAN TOWNSHIP BUCHANAN 0435953A 3,403 6/1/2020 9410 0.94 CANFIELD INNOVATIVE PEST MANAGEMENT BUCKLEY 5400546A 581 5/1/2020 9015 DUNSCOMBE AND SONS TREE SERVICES INC BUCKLEY 4999207A 4,519 4/12/2020 0106 OLDS TREES & MORE LLC BUCKLEY 5554977A 3,439 5/3/2020 2702 PRO CUT LOGGING LLC BUCKLEY 5146100A 750 5/29/2020 2702 SIMERSONS LAWN SERVICE LLC BUCKLEY 5880319A 2,198 6/28/2020 9102 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 20 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge D ALI ENTERTAINMENT PAYROLL INC BURBANK, CA 4296796A 1,005 6/23/2020 7610 FINDLEY FEEDS BURR OAK 1646869A 2,760 4/1/2020 8215 0.95 LITTLE FAWNS DAYCARE BURR OAK 5726433A 306 6/23/2020 8869 WE CLIMB 2 AERIAL & TREE SERVICE LLC BURT 5976472A 3,000 5/15/2020 0106 AINSWORTH CUSTOM CONSTRUCTION BURTCHVILLE 5675936A 4,918 4/30/2020 5645 1.34 13 % J AND A TREE SOLUTIONS LLC BURTCHVILLE 4697758A 750 4/26/2020 0106 M AND J PLUMBING & HEATING BURTCHVILLE 2533740A 650 4/3/2020 5183 AMANI GRACE HOMECARE LLC BURTON 5984190A 1,820 5/4/2020 8835 ANYTHING ON SIGHT REPAIR LLC BURTON 5980844A 1,489 4/6/2020 8395 CHAIN PAINT GROUP INC BURTON 1240463A 2,103 6/10/2020 5476 0.95 D AND S FLOOR COVERING BURTON 3453251A 556 5/14/2020 9521 DECK RITE PRESSURE WASHING LLC BURTON 5970466A 580 4/26/2020 9015 DL AND T EXTREME GREEN COMPANY BURTON 3762335B 1,422 6/18/2020 0042 1.00 EMERALD LAWN & LANDSCAPING INC BURTON 0108804A 2,961 4/5/2020 9402 0.95 FLEXIBLE AUTOMATION INC BURTON 2589036A 534 5/1/2020 8810 GOOCH ROBERT BURTON 4989228A 750 5/30/2020 5476 MAYDELL BUILDING CO BURTON 3304825A 750 4/28/2020 5645 MCUNION LLC BURTON 3907929A 217 4/7/2020 8810 PAINTING BY TOM BEARDSLEE LLC BURTON 4262727A 750 5/14/2020 5476 PREMIUM FINISHES LLC BURTON 6004091A 800 6/14/2020 5476 PROFESSIONAL HEARING INC BURTON 4628098A 602 4/6/2020 8013 RANDY LEACH CERAMIC TILE BURTON 0282561A 750 4/12/2020 5348 REDEMPTION SAVINGS INC BURTON 1173456A 1,499 4/11/2020 9058 0.95 RL TRAPPER JOES LLC BURTON 0220825A 1,206 5/27/2020 9058 0.95 ROGERS JEFFREY BURTON 5927099A 557 4/18/2020 9521 SCOTT LARSON AUTO GROUP LLC BURTON 5714605A 345 5/10/2020 8810 SPENCER MANOR LIVING WELL INC BURTON 5396565A 2,625 4/17/2020 9053 0.95 SWAMI SHRIJI LLC BURTON 3175456A 5,396 5/29/2020 8835 0.88 TEGART SEAN BURTON 6006078A 750 6/20/2020 5551 TESTER DARRELL BURTON 5987580A 750 4/19/2020 5645 TJ COMPANY LLC BURTON 5555990A 746 4/12/2020 9058 TS CONSTRUCTION BURTON 3172597A 750 5/15/2020 5645 VITA MEDICAL EQUIPMENT AND SUPPLIES LLC BURTON 4267800A 2,630 5/17/2020 8387 WOODBURY CONSTRUCTION & MAINTENANCE BURTON 0072958A 750 5/9/2020 5645 CO

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge YOUR TEAM LLC BURTON 6006000A 750 6/20/2020 5551 ABSOLUTE FINISHINGS LLC BYRON 5790409A 1,674 5/28/2020 5348 AFFORDABLE HEATING & AIR CONDITIONING BYRON 5995817A 650 5/16/2020 5550 BYRON PLUMBING AND WATER TREATMENT BYRON 2951991A 1,570 6/21/2020 5183 FAIRWAY GUTTERS LLC BYRON 5429463A 800 5/11/2020 5538 0.95 AMBER CREEK NORTH CONDO ASSOCIATION BYRON CENTER 6007678A 631 6/25/2020 9015 AMBER ESTATES CONDOMINIUM ASSOCIATION BYRON CENTER 4865553A 630 5/1/2020 9015 BEN BERKENPAS BUILDER LLC BYRON CENTER 3414655A 750 6/15/2020 5645 BRANDENBURG DONNA BYRON CENTER 6004920A 1,898 6/18/2020 0129 BYRON WINDOW CLEANING LLC BYRON CENTER 5857848A 993 5/1/2020 9015 CENTER PARK CONDOMINIUM ASSOCIATION BYRON CENTER 5989060A 580 5/16/2020 9015 DEFINED CONCRETE BYRON CENTER 2708361A 1,978 4/23/2020 5215 0.95 FISHER EXTERIOR SOLUTIONS LLC BYRON CENTER 5985650A 1,125 4/16/2020 5606 KEITH COOK PLASTERING & DRYWALL INC BYRON CENTER 3523152A 750 6/5/2020 5445 MARIOS PIZZA LLC BYRON CENTER 5798728A 361 6/27/2020 9058 MODERN TRAILER SALES INC BYRON CENTER 0389293A 1,146 5/11/2020 8387 NORTH LAKE CONSTRUCTION INC BYRON CENTER 5298563A 3,428 5/19/2020 5645 0.84 RANDALL L OEVERMAN INC BYRON CENTER 1856081A 750 5/8/2020 5645 1.00 VANDYKE RANDY BYRON CENTER 0980560A 750 6/30/2020 5645 WIER ENTERPRISES LLC BYRON CENTER 5992249A 17,590 5/3/2020 5221 BEEMANS TOWING & RECOVERY LLC CADILLAC 5039029A 3,820 5/10/2020 7208 0.95 BULLDOG ELECTRIC LLC CADILLAC 2020181A 1,946 4/12/2020 5190 CADILLAC SEAMLESS GUTTERS CADILLAC 2685795A 720 5/12/2020 5538 DC CONSTRUCTION & REMODELING LLC CADILLAC 4874048A 750 5/30/2020 5645 DYER DYNAMICS LLC CADILLAC 5861675A 299 5/2/2020 8601 EASY ACCESS LLC CADILLAC 5340012A 750 5/20/2020 5645 J AND H AUTO PARTS CADILLAC 0202452A 4,481 4/6/2020 8264 0.95 M AND H COMMERCIAL CLEANING LLC CADILLAC 6007473A 581 6/25/2020 9015 MARR CONSTRUCTION CADILLAC 4050444A 750 4/12/2020 5645 MICHIGAN WORKFORCE INC CADILLAC 5268141A 287 5/29/2020 8810 NORTH COUNTRY OUTDOOR SERVICE INC CADILLAC 5865107A 3,603 5/15/2020 0106 PILTZ FRANK CADILLAC 0614424A 750 5/11/2020 6204 PINET RAYMOND N CADILLAC 2125048A 750 6/7/2020 5645 PIONEER MANAGEMENT SERVICES INC CADILLAC 2360853A 217 6/11/2020 8810 PUZZLES INSURANCE AGENCY LLC CADILLAC 6008712A 238 6/28/2020 8810 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 22 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RACEWAY HOSPITALITY LLC CADILLAC 0509825A 3,151 6/24/2020 9058 0.90 REDDY BUILDERS INC CADILLAC 1657194A 3,020 5/18/2020 5645 0.95 REININK REPAIR & REBUILD LLC CADILLAC 5281040A 750 6/16/2020 5645 SAT KARTAR INC CADILLAC 5365198B 727 5/21/2020 8017 0.95 SERENITY ADULT FOSTER CARE LLC CADILLAC 5054885A 1,003 5/1/2020 9053 0.95 SERVICEMASTER OF CADILLAC CADILLAC 0961728A 602 4/20/2020 9015 SIMPLY HOME CADILLAC 5879990A 630 6/27/2020 9053 TREE WISE MEN LLC CADILLAC 2345919A 750 4/3/2020 0106 ABSOLUTE TREE SERVICE INC CALEDONIA 3228401A 5,469 4/3/2020 0106 0.91 CHERRY VALLEY RESOURCES LLC CALEDONIA 5410819A 6,844 5/30/2020 4000 0.92 DL MULLER LLC CALEDONIA 2317702A 671 5/19/2020 2802 EMERSON LOFTS LLC CALEDONIA 4695658A 854 6/30/2020 9586 0.95 JRK CONSULTING GROUP LLC CALEDONIA 5720346A 1,441 6/1/2020 5146 KEN RILEY BUILDER CALEDONIA 5988241A 750 4/24/2020 5403 MIKES UNLOADING LLC CALEDONIA 4535197A 618 5/9/2020 8292 ONEIL TREE SERVICE LLC CALEDONIA 5568811A 2,484 6/1/2020 0106 0.95 SLATE BUILDING & DEVELOPMENT LLC CALEDONIA 2159481A 750 5/18/2020 5645 0.95 VANDEWEERT ELECTRIC LLC CALEDONIA 4840453A 481 5/28/2020 5190 WESTRA TILE CALEDONIA 5754615A 750 5/2/2020 5348 WEX 2 MANAGEMENT LLC CALEDONIA 5716098A 10,137 5/30/2020 7214 0.95 CODERE PROPERTY MANAGEMENT LLC CALUMET 5992168A 3,701 5/3/2020 5645 KEWEENAW HOME REPAIRS & MAINTENANCE CALUMET 5862299A 4,367 5/4/2020 5645 LLC RUPPE JAMES A CALUMET 1394258A 599 6/18/2020 0908 G AND D WOOD PRODUCTS INC CAMDEN 2647486A 7,599 6/29/2020 2731 0.88 KOSKI TRUCKING LLC CAMDEN 4185820A 5,840 5/24/2020 7208 SCHAEDLER TRANSPORT LLC CAMDEN 6005535A 801 6/19/2020 7208 STUMPS TRUCKING LLC CAMDEN 6005896A 3,020 6/20/2020 7208 MORRIS PAINTING INC CAMPBELL, OH 3960897A 31,509 5/5/2020 5040 0.77 ALLEN CONTRACTING CANTON 4201361A 800 4/28/2020 5022 ARTS RESIDENTIAL TREE SERVICE INC CANTON 2122782A 5,587 5/19/2020 0106 0.91 BR STAFFING AND CONSULTING INC CANTON 5355958A 3,476 5/11/2020 8835 0.87 CHRISTIAN TENNANT HOMES COMPANY CANTON 1751824A 1,154 6/13/2020 9015 0.95 COMPASS MANAGEMENT PROFESSIONALS INC CANTON 5999677A 501 5/25/2020 8742 CURBSIDE EATERY LLC CANTON 5987806A 333 4/20/2020 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CUSTOM DECK CREATIONS LLC CANTON 5865425A 825 4/1/2020 5645 DOG GROOMER LLC CANTON 5989183A 502 4/24/2020 8831 EW AND S INC CANTON 5481708A 3,515 5/5/2020 9402 0.96 FRESH IMAGE 1 LLC CANTON 5066778A 751 6/26/2020 5476 0.95 GALLEGOS BROTHERS LLC CANTON 5984211A 1,101 4/11/2020 5476 HELPING HANDS TRAINING PROGRAM FOR CANTON 5719321A 474 6/1/2020 8868 CENAS LLC HERITAGE WINDOW CLEANING LLC CANTON 5618649A 1,115 5/23/2020 9015 KPB CONSULTING LLC CANTON 5999189A 413 5/28/2020 8601 LEWIS CONSTRUCTION CANTON 3663370A 6,420 4/13/2020 5551 0.95 MANIBEN MANAGEMENT INC CANTON 0057207A 1,002 4/6/2020 8006 MAP ELECTRIC LLC CANTON 4402448A 2,292 6/18/2020 5190 0.95 NICKS ELECTRIC LLC CANTON 5995140A 1,104 5/14/2020 5190 NOBA LLC CANTON 3544699A 1,414 6/30/2020 5645 PHEASANT RUN ROAD MAINTENANCE CANTON 3269701A 580 4/15/2020 8810 ASSOCIATION INC PPM LANDSCAPE CONTRACTORS INC CANTON 4204557A 12,344 4/26/2020 0106 1.00 PRECISION PIPE CORPORATION CANTON 5148448A 3,047 6/4/2020 5183 PRO FINISH CEMENT LLC CANTON 4159101A 800 4/10/2020 5221 QUALITY WINDOW CLEANING LLC CANTON 5168899A 580 4/21/2020 9015 ROUNDS JEFFREY CANTON 5995825A 750 5/16/2020 5645 RUDOLPH ANTHONY E CANTON 4226801A 750 6/1/2020 5445 WEATHERGUARD ROOFING CANTON 2947790A 754 5/16/2020 8742 KERSHAW JOHN CAPAC 2643448A 1,709 5/13/2020 5476 0.95 MIDWEST MASONRY CAPAC 5711932A 751 5/25/2020 5022 SHL CONTRACTING SERVICES INC CAPAC 4539400A 751 4/27/2020 5437 0.95 TIM QUAIN LICENSED BUILDER INC CAPAC 0525405A 800 4/1/2020 5645 D AND G INTERIORS CARLETON 2430665A 750 4/8/2020 5476 JL TRANSPORTATION CARLETON 5719380A 800 5/24/2020 7208 KAPPY INDUSTRIES INC CARLETON 3952762A 750 5/13/2020 5022 LAKE HAVEN DEVELOPMENT INC CARLETON 1794485A 872 6/16/2020 5645 0.95 LAMBRIX AGGREGATE TRANSPORT CARLETON 5984815A 750 5/6/2020 7208 DEGRAVE DOUG CARNEY 4889010A 750 5/14/2020 9403 EIGHT POINT CONSTRUCTION CARNEY 4633865A 750 6/3/2020 5645 KLINGENMAIER TRUCKING CARNEY 1975994A 750 4/9/2020 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge POUPORE FOREST PRODUCTS CARNEY 4058399A 750 5/5/2020 7219 SJS TRANSPORT LLC CARNEY 4163710A 750 5/2/2020 7208 0.95 SUPERIOR FENCE CARNEY 3925706A 750 5/18/2020 2702 CHRISE ESCKELSON LANDSCAPING & LAWN CARO 4888308A 750 5/21/2020 0042 CARE LLC CHURCH TODD E CARO 5257190A 420 4/4/2020 7720 MIDWEST BUILD CENTER LLC CARO 5711738A 3,330 5/3/2020 7423 0.95 MOORE TEL 1 COM CARO 5717221A 721 5/18/2020 9402 MP 1 FABRICATING AND MACHINING CARO 5861721A 506 5/2/2020 3146 CORPRETEK LLC CARSON CITY 4118529A 633 4/27/2020 8601 0.95 LITWILLER HAULING INC CARSON CITY 4950666A 750 5/11/2020 7208 HEBERLING PAINTING CARSONVILLE 5981328A 1,880 4/2/2020 5476 GREAT LAKES BARRIER NETS LLC CARY, NC 2072360A 1,339 4/16/2020 7016 0.95 C DILES CONSTRUCTION LLC CASCO 5849993A 750 4/5/2020 5645 DITTMAN TREE SERVICE INC CASCO 3902790A 2,211 6/10/2020 0042 0.95 G AND T BUILDERS INC CASCO 2267330A 2,878 6/27/2020 5348 0.95 GREAT OAKS EQUESTRIAN LLC CASCO 5102197B 1,517 5/8/2020 8279 0.95 M L MOORE AND ASSOCIATES INC CASCO 1352008A 750 4/24/2020 5022 ULESKI GENE A CASCO 2976676A 2,972 6/17/2020 5645 0.95 C D SANDBLASTING LLC CASEVILLE 4478533A 751 6/10/2020 3632 CASEVILLE AREA FIRE PROTECTION CASEVILLE 3001741A 3,103 4/9/2020 7904 0.95 ASSOCIATION CASEVILLE TRANSPORT LLC CASEVILLE 5849730A 6,555 4/4/2020 7208 0.95 LASCESKI TERRY CASEVILLE 5541522A 750 4/6/2020 5645 J RAY TREE SERVICE LLC CASNOVIA 5555701A 3,607 5/27/2020 0106 0.95 PD BLACK ENTERPRISES INC CASNOVIA 5367964A 750 4/5/2020 5476 RELIABLE CARPET SERVICE CASNOVIA 5263093A 216 4/12/2020 8810 WHITETAIL ADVISORS LLC CASNOVIA 3212874A 2,417 6/8/2020 5645 0.95 HUTCHINSON DEAN F CASS CITY 0310069A 525 6/18/2020 0128 BLUESKY BUILDERS CASSOPOLIS 5996597A 825 5/24/2020 5645 BRADY CONCRETE CONSTRUCTION CASSOPOLIS 4762290A 751 5/12/2020 5221 DREAM BUILDERS A LOUX & HAYDEN COMPANY CASSOPOLIS 5989000A 750 4/26/2020 5645 LLC R B TRUCKING AND TOWING LLC CASSOPOLIS 5868106A 5,576 5/25/2020 7208 GREEN FARMS CO LLC CASTLE PINES, CO 5982758A 4,220 4/5/2020 0035 ALL ABOUT WATER LLC CEDAR 5578744A 764 6/24/2020 6836 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 25 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LEELANAU COUNTY CUSTOMS LLC CEDAR 5877385A 730 6/14/2020 3365 NORTON CUSTOM HOMES INC CEDAR 3960811A 2,521 4/13/2020 8393 0.95 RULEAU BROTHERS INC CEDAR RIVER 0506052A 6,447 5/22/2020 8021 0.88 ABSOLUTE INTERIORS INC CEDAR SPRINGS 4197666A 750 6/6/2020 5476 ADAMCZAK C R LLC CEDAR SPRINGS 4858301A 750 5/5/2020 5645 0.95 ALL POINT SCREENING LLC CEDAR SPRINGS 5700060A 291 4/16/2020 8832 APPLIED BALLISTICS LLC CEDAR SPRINGS 5702828A 1,613 6/23/2020 4511 AVNIEL BUILDERS LLC CEDAR SPRINGS 5394473A 1,611 4/22/2020 5645 0.95 CEDAR RIDGE CONSTRUCTION CEDAR SPRINGS 3700127A 750 5/6/2020 5645 EMPIE SHAWN CEDAR SPRINGS 6003206A 800 6/11/2020 5645 KOLE ROOFING CEDAR SPRINGS 0716359A 4,705 6/6/2020 5551 0.92 LEWIS LOGGING INC CEDAR SPRINGS 4448952A 750 4/16/2020 2702 0.95 MELVIN BELK ROOFING CONTRACTORS LLC CEDAR SPRINGS 3013863A 5,331 4/13/2020 5538 0.95 MVG HOME IMPROVEMENT CEDAR SPRINGS 0321923A 6,611 6/10/2020 5551 0.95 PIERCE ENTERPRISES CEDAR SPRINGS 5127904A 7,165 4/18/2020 7208 1.36 13 % SLBM RV MANAGEMENT LLC CEDAR SPRINGS 0837288A 630 6/8/2020 9015 BAREFOOTS RESORT INC CEDARVILLE 3927776A 630 5/21/2020 9015 CEDARVILLE RV PARK OWNERS ASSOCIATION CEDARVILLE 5404851A 1,086 5/13/2020 9015 LES CHENEAUX YACHT CLUB INC CEDARVILLE 2109972A 406 5/20/2020 9060 SMITH DONALD D CEDARVILLE 3913333A 750 4/20/2020 2709 BAY HILL CONSTRUCTION CO CELEBRATION, FL 1264613A 750 6/25/2020 5645 ABRASIVE SOLUTIONS LLC CEMENT CITY 5223237A 635 5/10/2020 3632 MIDWEST MARINE SUPPLIES LLC CEMENT CITY 5853818A 228 4/25/2020 8810 ALL EXCLUSIVE TRANSPORTATION SERVICES CENTER LINE 4469135A 2,704 5/15/2020 7212 1.05 LLC ASTRO STEEL SUPPLIES INC CENTERLINE 0132187A 6,776 4/5/2020 8265 0.95 C AND A CONTRACTING CENTRAL LAKE 3986020A 1,314 6/26/2020 5437 M AND TT GENERAL CONSTRUCTION CENTREVILLE 5998824A 6,329 5/23/2020 5645 DALES DONE RIGHT ROOFING LLC CERESCO 2844710A 750 6/19/2020 5551 LARSONS PRECISION PAINT LLC CERESCO 5872421A 15,682 6/1/2020 5476 ACKERT PLUMBING LLC CHARLEVOIX 3369919A 584 4/12/2020 5183 ALBERT L SHINDORF BUILDERS INC CHARLEVOIX 1749668A 750 5/5/2020 5645 ALL AMERICAN WINDOW CLEANERS CHARLEVOIX 2562588A 581 6/7/2020 9015 BEAVER ISLAND BOAT COMPANY CHARLEVOIX 2018420A 31,434 6/2/2020 7350 0.70 CAPITOL CITY SKYDIVING INC CHARLEVOIX 5572894A 419 6/11/2020 7422

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CHARLEVOIX COTTAGE CARE INC CHARLEVOIX 2056755A 1,813 5/17/2020 0042 0.95 CHARLEVOIX MOTORS INC CHARLEVOIX 1843079A 829 6/27/2020 8395 0.95 CONQUEST BUILDERS INC CHARLEVOIX 5720150A 1,111 5/26/2020 5645 FRESH WATER CHARCH LLC CHARLEVOIX 5849942A 800 4/5/2020 5403 LFLAMO AMERICA LLC CHARLEVOIX 5871085A 490 5/31/2020 8018 MARTINS MARKET LLC CHARLEVOIX 5720990A 465 6/1/2020 8033 MICHIGAN FOOD TOURS LLC CHARLEVOIX 6004571A 581 6/25/2020 9015 NORTHERN MICHIGAN EVENTS LLC CHARLEVOIX 3928756A 245 5/25/2020 8742 NORTHWEST MAINTENANCE & REPAIR CHARLEVOIX 6002978A 750 6/11/2020 5476 PRIDE TRANSPORT LLC CHARLEVOIX 5991226A 800 5/1/2020 7208 TMC PAINT CHARLEVOIX 6004660A 2,000 6/15/2020 5476 BULLSEYE PEST SOLUTIONS LLC CHARLOTTE 5262330A 2,937 4/16/2020 9015 1.00 DARK STAR TRANSPORT INC CHARLOTTE 2553040A 750 6/28/2020 7208 GOLDEN DAYS II CHARLOTTE 0755150A 1,682 6/1/2020 9053 0.95 GREG GALBREATH CONSTRUCTION LLC CHARLOTTE 5156475A 751 6/21/2020 8810 HARAG MATTHEW M CHARLOTTE 0425583A 750 6/30/2020 5476 JRT CONSTRUCTION LLC CHARLOTTE 5357098A 1,567 5/31/2020 5221 0.95 L A C LANORES AERIAL CONSTRUCTION LLC CHARLOTTE 5867223A 4,810 5/23/2020 7538 NAGEL BROTHERS LLC CHARLOTTE 5726395A 932 6/23/2020 5551 RDM INDUSTRIAL WELDING LLC CHARLOTTE 4952774A 680 6/28/2020 3365 SHUMAKER ALAN CHARLOTTE 0766372A 720 4/1/2020 0128 BEILFUSS MARCIA CHASE 3795683A 258 6/24/2020 8742 BRUCE DIETEL WELDING CHASE 1358685A 755 4/14/2020 3365 CAM MILLER EXCAVATING LLC CHASE 3231550A 825 6/6/2020 6217 TAPIOLA TRUCKING & TREE SERVICE LLC CHASSEL 5854300A 750 4/13/2020 2702 IRON HORSE RESTAURANT AND BAR TWO LLC CHASSELL 4881109A 436 4/15/2020 9058 N M O FORESTRY LLC CHASSELL 5310849A 240 4/9/2020 8601 PIKE RIVER TRUCKING CHASSELL 5632102A 750 6/14/2020 7208 PRICE LOGGING INC CHASSELL 3853381A 524 4/30/2020 0128 0.95 SAYLES HUNTER CHASSELL 5987520A 750 4/19/2020 6217 USITALO TRUCKING INC CHASSELL 5415330A 825 6/18/2020 7208 0.95 BROWN BUILDERS INC CHEBOYGAN 5540976A 2,486 4/4/2020 5645 0.95 BUNDLING BANDITS LLC CHEBOYGAN 5711266A 1,336 5/2/2020 2731 CHEBOYGAN HOUSING COMMISSION CHEBOYGAN 0790826A 1,254 4/8/2020 9015 0.95 GARY ST AMOUR TIMBER HARVESTING CHEBOYGAN 0656739A 1,498 5/25/2020 2702 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 27 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JOINT ADMINISTRATION FIRE BOARD INVERNESS CHEBOYGAN 1124730A 2,428 6/1/2020 7904 0.95 FIRE DEPT MICS CONSTRUCTION CHEBOYGAN 3356469A 7,118 6/25/2020 5645 MORNING STAR CLEANING CHEBOYGAN 5989140A 581 4/29/2020 9015 O GRADYS GREAT LAKES ELECTRIC INC CHEBOYGAN 3098893A 481 5/28/2020 5190 STRAITS AREA TOWING LLC CHEBOYGAN 5867312A 751 5/23/2020 7208 TOP NOTCH TOTAL TREE SERVICE LLC CHEBOYGAN 5874785A 1,303 6/7/2020 0106 UP NORTH ASSESSING INC CHEBOYGAN 5712661A 601 5/8/2020 8720 UP NORTH GARDENS LLC CHEBOYGAN 5992192A 811 5/3/2020 0042 ARBOR CARE TREE SURGEONS INC CHELSEA 3944433A 10,733 6/27/2020 0106 1.37 13 % BURMANS TREE SERVICE LLC CHELSEA 5854717A 5,372 5/5/2020 0106 CHELSEA PAINT AND CARPENTRY LLC CHELSEA 5456665A 750 4/27/2020 5476 0.96 GATEWAY RESTORATION INC CHELSEA 4732111A 4,954 4/6/2020 9015 0.89 HELPPIE RICHARD AND LESLIE CHELSEA 3331717A 944 4/13/2020 0912 0.95 HOMEOWNER SERVICES OF MICHIGAN LLC CHELSEA 2274060A 2,534 5/24/2020 5645 LEKREM ASSOCIATES LLC CHELSEA 0916552A 750 5/25/2020 5403 RICK VANS STUMP REMOVAL CHELSEA 4998421A 2,638 6/28/2020 0106 0.95 SCHILLER GERALD CHELSEA 5697379A 996 4/11/2020 0913 THREE TREE BUILDERS LLC CHELSEA 5876419A 750 6/12/2020 5645 CHESANING CONSTRUCTION SERVICES INC CHESANING 1685147A 750 4/16/2020 5551 CHESANING RECYCLERS CO CHESANING 0953865A 2,685 6/30/2020 3821 0.95 FLORY LINE CONSTRUCTION LLC CHESANING 5879159A 7,952 6/26/2020 7538 MAXIMUM ROOFING LLC CHESANING 3137937A 3,089 5/1/2020 5551 RADHA RITU LLC CHESANING 0257125A 378 4/10/2020 9052 RPT CONSTRUCTION CHESANING 2384574A 393 4/21/2020 5606 SAGINAW COUNTY AGRICULTURAL SOCIETY CHESANING 0014362A 593 5/1/2020 9015 TFH DESIGN LLC CHESANING 4904567A 1,216 4/4/2020 5645 1.00 A AND G LOGISTICS LLC CHESTERFIELD 6005870A 750 6/20/2020 7208 APEX GROUP CONSTRUCTION AND CONSULTING CHESTERFIELD 5725054A 800 6/23/2020 5645 INC ARY MODERNIZATION LLC CHESTERFIELD 4957121A 2,388 4/6/2020 5437 0.95 AUTUMN WOODS II CONDOMINIUM ASSOCIATION CHESTERFIELD 3312178A 581 6/12/2020 9015 B G M M HOME SERVICES INC CHESTERFIELD 4541880A 26,325 4/24/2020 7202 1.00 BAKER ASPHALT INC CHESTERFIELD 5706181A 1,120 5/11/2020 5506 BIRMINGHAM TILE COMPANY LLC CHESTERFIELD 5697077A 750 4/12/2020 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge C AND CS ELECTRIC LLC CHESTERFIELD 5996554A 1,104 5/17/2020 5190 C AND G EXCAVATING SERVICES INC CHESTERFIELD 3744230A 1,396 5/3/2020 6217 0.95 DELTA ELECTRIC OF MICHIGAN INC CHESTERFIELD 2480735A 481 4/17/2020 5190 DTE CUSTOM CARPENTRY CHESTERFIELD 3935019A 12,173 4/5/2020 5645 0.86 ENDEAVOR ELECTRIC LLC CHESTERFIELD 5786576A 481 5/9/2020 5190 FISHER ELECTRIC LLC CHESTERFIELD 4860560A 1,143 4/15/2020 5190 0.95 GARY PRINDLE LLC CHESTERFIELD 4205111A 481 4/12/2020 5190 GREENWOOD CUSTOM STAIRS INC CHESTERFIELD 4967259A 965 6/17/2020 5437 1.05 HIRE A WIFE LLC CHESTERFIELD 5062861A 1,552 4/22/2020 8835 0.95 IRON HORSE ASPHALT TRUCKING LLC CHESTERFIELD 2402416A 750 4/17/2020 7208 J SAF CONTRACTING INC CHESTERFIELD 3899160A 825 5/24/2020 8810 KELJER PROPERTIES LLC CHESTERFIELD 5564662A 750 5/20/2020 5645 LUBINSKI ELECTRIC INC CHESTERFIELD 3513718A 658 6/22/2020 8810 MARRS CORPORATION CHESTERFIELD 1696017A 10,201 6/28/2020 5606 0.83 MCVEIGH PAINTING LLC CHESTERFIELD 0001058A 750 6/1/2020 5476 NARDO MAINTENANCE LLC CHESTERFIELD 2261502A 750 6/1/2020 6217 NEW CONSTRUCTION INC CHESTERFIELD 2556928A 982 6/26/2020 5221 0.95 OUT SIDE THE BOX SHOES INC CHESTERFIELD 5714575A 1,922 5/8/2020 8008 0.95 RMY CONSTRUCTION LLC CHESTERFIELD 2605791A 825 6/28/2020 5645 0.92 TACHYON CORPORATION CHESTERFIELD 0594997A 5,597 4/1/2020 3628 0.91 TMC HOMES LLC CHESTERFIELD 4777778A 750 6/11/2020 5437 TRANCHIDA STEPHEN CHESTERFIELD 5150221A 750 6/7/2020 5348 TRI COUNTY KITCHEN & BATH LLC CHESTERFIELD 4448243A 750 6/7/2020 5476 UNIVERSAL STAFFING COMPANY LLC CHESTERFIELD 5861780A 6,452 5/2/2020 3131 VALENTI CONSTRUCTION LLC CHESTERFIELD 5113644A 6,642 5/14/2020 5645 1.28 13 % AMERICAN GENERAL SERVICES LLC CHESTERFIELD TWP 5407583A 1,315 5/27/2020 5462 0.95 BIRMINGHAM CONSTRUCTION SERVICES CHESTERFIELD TWP 3924823A 750 5/15/2020 5476 NAT VEND INC CHESTERFIELD TWP 3505294A 2,809 4/12/2020 5192 0.95 CAROL INVESTMENT CORPORATION CHICAGO, IL 5749972A 2,041 5/11/2020 9015 FUTURE MOBILITY COMPANY HOLDINGS INC CHICAGO, IL 5985250A 4,892 4/24/2020 7212 LAKESIDE CABINS RESORT CHICAGO, IL 4613309A 658 5/6/2020 8810 TM PROFESSIONAL PAINTING INC CHICAGO, IL 5990858A 750 4/30/2020 5476 UNITED STATES HOCKEY LEAGUE INC CHICAGO, IL 5254825A 1,529 5/5/2020 9015 0.95 C AND K HEATING AND COOLING CHINA 5975484A 650 4/7/2020 5550 COTTRELL BUILDING COMPANY LLC CHINA 5877539A 8,941 6/15/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 29 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KARAS PLUMBING LLC CHINA 5709784A 1,052 5/1/2020 5183 TIMBERS TREE SERVICE INC CHINA TWP 4719646A 13,142 6/15/2020 0106 0.82 LOEHR JEFFREY CHRISTMAS 4158326A 750 6/12/2020 7208 AZTEC SERVICES GROUP INC CINCINNATI, OH 6000746A 1,771 6/1/2020 5479 INTEGRATED CONSTRUCTION SERVICES INC CINCINNATI, OH 5570700A 12,448 6/22/2020 7600 0.94 HORIZON TREE SERVICE CLARE 1033638A 13,975 6/17/2020 0106 1.45 27 % PADDLEHEAD INC CLARE 0802018A 2,424 6/14/2020 8017 0.95 SUPERIOR ROOFING SYSTEMS LLC CLARE 5716179A 750 5/25/2020 5551 WINTER GOLF LLC CLARE 2155699A 1,372 4/5/2020 9060 ZIEHM LP GAS SALES & SERVICE INC CLARE 0091561A 44,170 4/14/2020 8350 1.64 13 % ELITE CUSTOM BUILDERS LLC CLARK LAKE 5855845A 750 5/22/2020 5437 HILLTOP CONTRACTING INC CLARK LAKE 2881985A 750 6/28/2020 5645 KS CUSTOM INSTALLATION & SERVICE INC CLARK LAKE 2647850A 2,224 6/24/2020 0106 0.95 WYSE TRUCKING CLARK LAKE 4341554A 825 5/1/2020 7208 A HAPPY HOUSE INC CLARKSTON 5985315A 750 4/13/2020 5645 AROUND THE CLOCK HOME CARE INC CLARKSTON 4535286A 946 5/10/2020 0913 AVILA HUMBERTO CLARKSTON 5708940A 750 4/27/2020 5445 CARLINE CONSTRUCTION CLARKSTON 3854167A 1,194 4/3/2020 5437 CERNIGLIA JOHN CLARKSTON 5720931A 340 6/1/2020 8601 CHEAP SPRAY INC CLARKSTON 0896985A 634 5/30/2020 5183 CMG TREE CARE INC CLARKSTON 5716128A 750 5/13/2020 0106 CUSTOM CARPETS CLARKSTON 1978853A 556 4/28/2020 9521 EDWARD F VANDEVELDER INC CLARKSTON 2113104A 750 6/10/2020 0042 0.95 ELITE AUDIO VIDEO LLC CLARKSTON 5223938A 1,444 5/18/2020 9519 EVENT SPECIALIST GROUP LLC CLARKSTON 4974891A 467 4/1/2020 8810 HBL ENTERPRISES LLC CLARKSTON 5870925A 681 6/7/2020 9102 IKONIC BUILDERS LLC CLARKSTON 6005845A 1,619 6/21/2020 5437 JOYCE TODD CONSTRUCTION CLARKSTON 1245651A 750 5/30/2020 5645 JP LAWN SPRINKLERS INC CLARKSTON 0699390A 3,151 4/6/2020 5183 0.95 JUNK JOCKIES LLC CLARKSTON 5893747A 2,502 6/1/2020 5403 LAW OFFICE OF JOHN D MULVIHILL PLLC CLARKSTON 3929825A 226 5/27/2020 8820 MCCLURE HOME IMPROVEMENT CLARKSTON 5578809A 800 5/3/2020 5645 MEINECKE DAVID A CLARKSTON 1899236A 750 5/28/2020 5645 MERK CONSTRUCTION LLC CLARKSTON 0453854A 907 5/2/2020 5022 MIJANGOS PAINTING CLARKSTON 4348265A 750 4/17/2020 5476 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 30 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MMCPS INC CLARKSTON 2634112A 825 4/22/2020 5476 MONKEY BUSINESS FOOD TRUCK LLC CLARKSTON 5687373A 333 4/9/2020 9058 SAVAGE PATRICK CLARKSTON 5833531A 750 6/4/2020 5437 SEACO SPECIAL TOOLING INC CLARKSTON 0644510A 457 4/15/2020 8742 STENTITIES LLC CLARKSTON 5991692A 800 5/6/2020 5476 STONEWOOD PLACE CONDOMINIUM CLARKSTON 5863511A 580 5/10/2020 9015 ASSOCIATION TEETER CONSTRUCTION LLC CLARKSTON 5228832A 750 4/21/2020 5645 TIM KERR DRYWALL CLARKSTON 2606852A 751 4/17/2020 5445 VILLAGE TREE SERVICE LLC CLARKSTON 4857445A 1,044 5/11/2020 0106 0.95 YLVISAKER INVESTMENT CO CLARKSTON 0481556A 750 6/23/2020 5476 BASILIA INC CLAWSON 5495709A 14,456 5/15/2020 9403 1.46 13 % EPIC CONCRETE LLC CLAWSON 5447658A 1,498 4/3/2020 5221 0.95 GILBERT BERGERON CARPENTRY CLAWSON 4197275A 750 4/25/2020 5437 MCQUEEN FINANCIAL ADVISORS II INC CLAWSON 3315819A 278 6/29/2020 8810 RAGGEDY ANNE HOUSE LLC CLAWSON 0729531A 424 4/24/2020 8869 REYNOLDS LAWN CARE CLAWSON 5121868A 830 6/28/2020 9102 0.95 APPLIED PROJECT SOLUTIONS LLC CLAY 4979613A 240 4/26/2020 8601 MR SKYLIGHT CLAY 3177173A 2,417 6/15/2020 5645 0.95 TOM PHILLIP HOMES INC CLAY 0104582A 820 6/8/2020 8742 0.95 NEW WORLD CONSTRUCTION CLAY TWP 3163571A 750 6/11/2020 5551 RYANS CARPET INSTALLATION CLAY TWP 5251958A 772 5/22/2020 9521 THOMAS COREY CLAY TWP 5995019A 750 5/14/2020 5645 REDLIN CALEB CLAYTON 5933676A 836 5/7/2020 5551 OHIO ADDRESSING MACHINE COMPANY CLEVELAND, OH 5118034A 373 4/4/2020 8742 F SCHOEN TRUCKING LLC CLIFFORD 3917452A 6,182 4/16/2020 7208 0.88 G BOREK EXCAVATING LLC CLIFFORD 6008933A 2,625 6/29/2020 6217 STORM TRUCKING LLC CLIFFORD 4072545A 750 5/20/2020 7208 FAIRBANKS DOUGLAS CLINTON 5579864A 750 6/25/2020 5476 KEMPHER CONSTRUCTION COMPANY INC CLINTON 1740229A 800 4/17/2020 6217 MASTERCARE INSTITUTE INC CLINTON 5834279A 228 5/8/2020 8742 PENN ACRES GRAIN INC CLINTON 0344133A 4,370 4/20/2020 8304 0.95 DO REMODELING LLC CLINTON TOWNSHIP 1598244A 750 4/6/2020 7208 PROPERTY MANAGEMENT EXPERTS INC CLINTON TOWNSHIP 5441730A 657 6/28/2020 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL AROUND HOME & COMMERCIAL SERVICES CLINTON TWP 5702160A 790 4/12/2020 9102 LLC AM TILE & MARBLE INSTALLATION LLC CLINTON TWP 5154138A 751 6/14/2020 5348 AMORE PODIATRY ASSOCIATES PC CLINTON TWP 1965832A 295 6/23/2020 8832 AMV PAINTING CLINTON TWP 5983010A 750 4/6/2020 5476 ANWILL CONSTRUCTION CLINTON TWP 5415373A 1,611 6/18/2020 5645 0.95 BERCHIOLLY SAMUEL A CLINTON TWP 3906868A 556 6/8/2020 9521 BLUE WATER RENOVATION LLC CLINTON TWP 4881346A 825 6/6/2020 5476 BNF PAINTING CLINTON TWP 5989205A 1,430 4/24/2020 5476 BRAND NEW DETROIT LLC CLINTON TWP 5125448A 800 4/13/2020 5476 0.95 BRIGHT HOME RENOVATIONS LLC CLINTON TWP 5989698A 800 4/25/2020 5645 CROWN ASSOCIATES LLC CLINTON TWP 4653963A 373 5/22/2020 5606 DANIEL AUTO SALES INC CLINTON TWP 5525330A 354 6/8/2020 8748 DETAIL ORIENTED LLC CLINTON TWP 5707560A 825 4/22/2020 5437 E C TRANSPORT INC CLINTON TWP 5280320A 750 6/13/2020 7208 EASTSIDE METALS LLC CLINTON TWP 5326583A 1,163 5/2/2020 8264 0.95 FACILITIES SECURITY MANAGEMENT INC CLINTON TWP 5725631A 3,810 6/29/2020 7720 0.95 FIRE GUARD INC CLINTON TWP 2286386A 545 4/12/2020 5188 FOUR TS TRANSPORT INC CLINTON TWP 6004636A 750 6/15/2020 7208 FULL HOUSE BUILDERS CLINTON TWP 3247546A 1,578 6/4/2020 5437 G AND E BROTHERS INC CLINTON TWP 5268516A 6,862 5/9/2020 5221 0.95 G AND T PRESSURE WASHING LLC CLINTON TWP 4484908A 1,224 6/25/2020 9015 0.95 GAD HOMES INC CLINTON TWP 4028082A 750 5/10/2020 5645 GREEN TECH LIGHTING LLC CLINTON TWP 4122259A 546 4/16/2020 5190 INNOVATIVE HOME REPAIR LLC CLINTON TWP 5402808A 750 5/8/2020 5437 INTELLIGENT MANAGEMENT SOLUTIONS INC CLINTON TWP 6003486A 294 6/12/2020 8810 JULIAN CONSTRUCTION LLC CLINTON TWP 5865000A 895 4/12/2020 5221 JUST GUTTERS & SHEET METAL INC CLINTON TWP 3178072A 720 4/22/2020 5538 KENNIS AND PROVA LLC CLINTON TWP 4630963A 9,300 5/27/2020 7720 0.84 KIDS LEARNING CENTER LLC CLINTON TWP 5269040A 241 5/9/2020 8868 LIGHTKEEPERS RENTAL SERVICES LLC CLINTON TWP 5581958A 581 6/8/2020 9015 LOW VOLTAGE SYSTEMS L C CLINTON TWP 5393701A 312 4/4/2020 5191 MACOMB OAKLAND GUARDIANSHIP INC CLINTON TWP 2114950A 342 5/4/2020 8820 MASONIC ARMS CONDOMINIUM ASSOCIATION CLINTON TWP 1276506A 580 6/1/2020 9015 MCRC HOMES LLC CLINTON TWP 2841118A 750 4/28/2020 5437 0.90

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MGB CONSULTING GROUP INC CLINTON TWP 5719569A 291 5/11/2020 8810 MICHAEL CAL BROOKS LLC CLINTON TWP 2789388A 770 5/23/2020 5538 MODERN TILE CREATIONS LLC CLINTON TWP 4211936A 750 4/29/2020 5348 MORAVIAN WOODS ASSOCIATION CLINTON TWP 1244370A 630 4/1/2020 9015 MPJK LLC CLINTON TWP 5277868A 1,488 6/6/2020 5445 0.95 MWV ENVIRONMENTAL SERVICES INC CLINTON TWP 5553784A 7,382 5/1/2020 5183 0.94 ONE WAY RENOVATION & CONSTRUCTION INC CLINTON TWP 5672104A 750 4/10/2020 5437 PREMIUM FLOORS LLC CLINTON TWP 1278312A 750 4/15/2020 5437 PRIME TV LLC CLINTON TWP 4874790A 973 6/2/2020 8810 0.95 R AND B SIDING & CONSTRUCTION CLINTON TWP 5861985A 750 6/4/2020 5645 R AND R POWERWASH CLINTON TWP 4047869A 580 6/17/2020 9015 RENOVATIONS MARBLE AND GRANITE INC CLINTON TWP 5020140A 800 6/30/2020 5348 RT INSTALLATIONS LLC CLINTON TWP 4329597A 750 4/4/2020 9015 S AND K GROUP LLC CLINTON TWP 0712035A 68,736 6/1/2020 9058 1.19 S MANSOUR INC CLINTON TWP 4762908A 1,452 5/1/2020 9058 0.95 SBB SERVICES LLC CLINTON TWP 5856205A 347 4/20/2020 8720 SCOTT CONSTRUCTION & MECHANICAL LLC CLINTON TWP 0831832A 650 6/8/2020 5550 SELECTIVE MARINE SERVICES CLINTON TWP 4868846A 581 5/11/2020 6836 SOUND WAVES INC CLINTON TWP 3963608A 1,224 5/5/2020 8387 0.95 STEADY EDDIES HOME IMPROVEMENTS LLC CLINTON TWP 4326903A 750 6/24/2020 5645 STEIN 1 JANITORIAL SERVICES LLC CLINTON TWP 3350444A 1,435 5/21/2020 9015 0.95 STRATFORD VILLAGE MANOR CONDOMINIUM CLINTON TWP 4761294A 701 6/19/2020 9015 ASSOCIATION SUNFLOWER LANDSCAPE AND DESIGN LLC CLINTON TWP 4744993A 3,832 6/24/2020 0042 0.91 TEMP PERSONNEL INC CLINTON TWP 5973384A 369 4/2/2020 8810 THIRTY SIX THOUSAND 315 EXPRESS INC CLINTON TWP 4860764E 647 5/31/2020 8017 0.95 TORCH DEVELOPMENT LLC CLINTON TWP 2644789A 580 5/5/2020 9015 0.95 TOWER SERVICE & MAINTENANCE LLC CLINTON TWP 5272572A 4,433 6/21/2020 5550 TREE SOLUTIONS LLC CLINTON TWP 5864240A 750 5/14/2020 0106 VANI 13 LLC CLINTON TWP 5719585A 584 5/25/2020 5183 WELSHONS MARK CLINTON TWP 5422884A 750 6/5/2020 5645 YOUNG INNOVATIONS INC CLINTON TWP 4409000A 750 5/24/2020 5645 0.95 AH PAINTING CLIO 5986346A 750 4/17/2020 5476 ALKAY CONTRACTING SERVICES LC CLIO 4205073A 1,234 4/14/2020 8829 0.95 AUTO CITY SPEEDWAY INC CLIO 0848026A 752 4/25/2020 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUSY DAY CLEANING CLIO 0049930A 581 5/11/2020 9015 CUSTOM CONCRETE DESIGN LLC CLIO 5695660A 750 5/11/2020 5221 DAVIDSON ENTERPRISES INC CLIO 1811550A 1,130 5/10/2020 9058 0.95 HARMONY HOME SERVICES CLIO 4094883A 750 5/30/2020 5437 HOYT AND COMPANY LLC CLIO 5872308A 1,082 6/1/2020 4299 JD HOME IMPROVEMENT CLIO 5417791A 1,481 6/23/2020 5645 0.95 JEFF THORNTON CONSTRUCTION LLC CLIO 1080334A 750 6/22/2020 5645 KENTS CONSTRUCTION CLIO 4367707A 750 4/2/2020 5645 NATES WINDOWS LLC CLIO 5998735A 750 6/11/2020 5645 STEPHEN BURGESS CONSTRUCTION LLC CLIO 5270642A 750 5/14/2020 5445 0.95 OLD HAT PROPERTY MAINTENANCE LLC CLYDE 6005578A 1,662 6/19/2020 5437 A ROOF ABOVE LLC COLDWATER 5998980A 4,213 5/27/2020 5551 BROADHEADS AND BULLETS LLC COLDWATER 5222052A 850 6/1/2020 8010 LOAD N GO TRUCKING LTD COLDWATER 4812972A 295 5/14/2020 8810 0.92 NICHOLS ACCOUNTING & TAX SERVICE LLC COLDWATER 1230239A 286 5/24/2020 8810 C M RUBBER TECHNOLOGIES INC COLEMAN 4556402A 800 4/14/2020 8264 1.50 13 % ROBERTS AUTO ENTERPRISES INC COLEMAN 1414151A 581 4/30/2020 8395 1.00 BERRYS HARDWOOD FLOORING INC COLOMA 1769006A 755 6/29/2020 8742 BERRYS HARDWOOD FLOORING INC COLOMA 1769006A 296 6/29/2020 8742 DIBBLE RICHARD COLOMA 0886491A 803 6/20/2020 6229 0.95 PAW PAW LAKE GAS AND DOCK LLC COLOMA 5997143A 586 5/18/2020 6836 BOWERS SERVICE LLC COLON 0734373A 754 6/2/2020 8395 BLACK FOREST WOODWORKING LLC COLUMBIAVILLE 4350987A 750 5/26/2020 5437 FIRST CHOICE RV REPAIR LLC COLUMBIAVILLE 3547086A 2,075 5/3/2020 8393 0.95 JG EXTERIORS INC COLUMBIAVILLE 5897726A 825 5/4/2020 5645 MARKS TREE SERVICE LLC COLUMBIAVILLE 3213501A 750 4/22/2020 0106 MCDOWELL CONSTRUCTION LLC COLUMBIAVILLE 1274244A 289 4/4/2020 8810 0.93 MICHAEL BAIER CONSTRUCTION COLUMBIAVILLE 3349233A 750 5/18/2020 5645 0.95 RONNIE BRASHER DRYWALL LLC COLUMBIAVILLE 0203610A 800 5/31/2020 5445 RUNDELL BLACKTOP STRIPING LLC COLUMBIAVILLE 4211707A 750 6/22/2020 5476 TOTAL PACKAGE DRYWALL INC COLUMBIAVILLE 5185254A 825 5/27/2020 5445 WATERMAN CONSTRUCTION COLUMBIAVILLE 1602136A 750 4/6/2020 5551 BARTHELMAS NED K AND JANE L COLUMBUS, OH 3209903A 1,230 6/15/2020 0909 0.95 CENTENNIAL CUSTOM TILE INC COLUMBUS 3267539A 800 5/2/2020 5348 HURON LADY II INC COLUMBUS 4876237A 409 6/24/2020 8810 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 34 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JD MODRICH STAFFING INC COLUMBUS 4098366A 3,181 5/9/2020 8829 0.95 RICHMOND MACHINE AND ENGINEERING INC COLUMBUS 1038630A 597 4/23/2020 8810 S AND S LANDSCAPING INC COLUMBUS 2455188A 800 5/8/2020 0042 AMAZING EVENTS COMMERCE 5413516A 580 6/13/2020 9015 MERIDIAN CONTRACTING AND EXCAVATING LLC COMMERCE 5539986A 5,891 4/1/2020 4000 0.90 MIDWEST SURFACE PREP LLC COMMERCE 5985757A 846 4/16/2020 8810 PRECISION PAINTING COMMERCE 0208264A 2,521 4/20/2020 5476 0.95 SAMS PLUMBING INC COMMERCE 0100498A 754 4/12/2020 8810 SEDONA STONE & TILE LLC COMMERCE 5553288A 751 4/27/2020 5348 SLEIMAN PHARMACEUTICAL CONSULTING PLLC COMMERCE 5993270A 512 5/8/2020 4611 STANTS INSURANCE GROUP INC COMMERCE 5547270A 242 5/1/2020 8810 WAFER AL COMMERCE 5994721A 750 5/11/2020 5437 PAINTING BY EDWARD COMMERCE TS 3096815A 750 6/25/2020 5476 ANDOVER PARK LLC COMMERCE TWP 5269695B 750 5/5/2020 5645 APEX EQUIPMENT REPAIR LLC COMMERCE TWP 5996945A 1,072 5/18/2020 3724 AQUA FLAME LLC COMMERCE TWP 1189409A 705 6/9/2020 5550 ARTISTIC TILE AND STONE INC COMMERCE TWP 5095514A 825 6/16/2020 5348 0.95 BPH COMMUNITIES INC COMMERCE TWP 5269695A 750 5/10/2020 5645 BROWNS CARPENTRY COMMERCE TWP 0992771A 800 5/11/2020 5437 CEI ELECTRIC CO COMMERCE TWP 2309041A 560 5/18/2020 8810 COMET SERVICES LLC COMMERCE TWP 3568075A 750 5/18/2020 5223 CURTIS BOTSFORD COMMERCE LLC COMMERCE TWP 3972631A 519 6/30/2020 8810 DB HOME SOLUTIONS LLC COMMERCE TWP 4977122A 750 4/11/2020 5437 DJJP COMPANY COMMERCE TWP 0174866A 584 6/18/2020 9015 EYECARE OF LIVONIA PLLC COMMERCE TWP 5558158A 304 5/10/2020 8832 HIGH LIGHTING SERVICE COMPANY COMMERCE TWP 2834219A 4,486 4/27/2020 3724 0.94 IRONWOOD PARK PLAZA 1 LLC COMMERCE TWP 0575887A 630 5/8/2020 8810 J F B CONSTRUCTION CO INC COMMERCE TWP 0228885A 815 4/7/2020 5606 0.92 MICHIGAN INDUSTRIAL SHROUD CLEANING LLC COMMERCE TWP 4091345A 644 6/10/2020 3724 OAKLAND HARVESTERS LLC COMMERCE TWP 5840651A 676 5/31/2020 9015 OFFICE FURNITURE SOLUTIONS INC COMMERCE TWP 3024512A 800 6/27/2020 5146 1.06 REESE CONTRACTING INC COMMERCE TWP 4231651A 3,653 6/24/2020 9015 1.00 RIDETROIT LLC COMMERCE TWP 5991030A 1,227 4/30/2020 7380 RODRIGUEZ PAINTING AND POWERWASH COMMERCE TWP 4791002A 750 6/1/2020 5476 SCHAAR MASONRY COMMERCE TWP 5333288A 750 4/13/2020 5022 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 35 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SPENCER WINDOW CLEANING LLC COMMERCE TWP 5989701A 1,969 4/25/2020 9015 SPORTS AROUND TOWN INCORPORATED COMMERCE TWP 2700310A 580 6/25/2020 9015 STARLER STAFFING INC COMMERCE TWP 5559790A 973 5/12/2020 4511 0.95 STORM TAEKWONDO LLC COMMERCE TWP 5563054A 689 5/17/2020 9063 ZAMORA CONSTRUCTION LLC COMMERCE TWP 4338898A 750 4/25/2020 5551 EASTWOOD LITTLE LEAGUE INC COMSTOCK 3777707A 580 5/2/2020 9015 APPLIED BEHAVIORAL SCIENCE INSTITUTION LLC COMSTOCK PARK 5859514A 481 5/11/2020 8835 HAVEMAN BARBARA COMSTOCK PARK 6003303A 871 6/14/2020 2081 JUNK MAN COMSTOCK PARK 4862864A 779 6/22/2020 8264 PATTON DEAN ALLEN COMSTOCK PARK 2815214A 750 5/14/2020 5445 PLATINUM CONSTRUCTION & ASSOCIATES INC COMSTOCK PARK 2959348A 802 6/14/2020 8810 POSEIDON POOL SERVICE LLC COMSTOCK PARK 5540925A 3,093 4/4/2020 5223 0.95 STERLEY LEROY COMSTOCK PARK 5415209A 2,279 6/19/2020 5645 0.95 JUNIORS DRYWALL LLC CONKLIN 4686241A 2,264 6/8/2020 5445 MITTEN CONCRETE LLC CONKLIN 5879892A 750 6/27/2020 5221 CONSTANTINE FLOORING CENTER INC CONSTANTINE 5397960A 1,677 4/20/2020 9521 0.95 TAYLOR CONSTRUCTION CONSTANTINE 4274563A 750 5/23/2020 5551 0.95 GLOBAL DIAGNOSTIC SERVICES INC CONYERS, GA 4697804A 344 4/23/2020 8832 BAUSTERT CONSTRUCTION LLC COOPERSVILLE 4357400A 557 6/12/2020 9521 L P TREE SERVICE LLC COOPERSVILLE 4063694A 5,166 5/3/2020 0106 0.92 MARKS CHRISTOPHER COOPERSVILLE 5726360A 1,667 6/26/2020 7208 NEXT DAY CONSTRUCTION COOPERSVILLE 5111935A 750 6/9/2020 5645 NIELSEN BUILDERS INC COOPERSVILLE 0347361A 750 4/7/2020 5645 OTTAWA CUSTOM HOMES LLC COOPERSVILLE 3066894A 750 5/18/2020 8810 WEST MICHIGAN INSTALLED SALES COOPERSVILLE 4308441A 795 6/27/2020 5538 0.95 ARCHANGEL ANCIENT TREE ARCHIVE COPEMISH 4908864A 3,319 5/20/2020 0005 0.95 MILARCH OUTDOOR SERVICES LLC COPEMISH 5727812A 1,908 6/30/2020 0106 P D SERVICES LLC COPLEY, OH 5862817A 1,053 5/8/2020 9015 COPPER HARBOR TRAILS SOCIETY INC COPPER HARBOR 4543149A 251 6/1/2020 8810 ASSOCIATED PROPERTY SERVICES LLC CORAL 4763343A 4,883 6/10/2020 5022 0.93 SIMON BUILDERS CORAL 4011066A 1,953 4/4/2020 5645 1.00 R AND H LOGGING INC CORNELL 3498395A 4,142 5/24/2020 2709 TRIPLE A GYMNASTICS LLC CORNELL 5156963A 435 6/24/2020 9063 CURB APPEAL PROPERTY MAINTENANCE LLC CORUNNA 1250035A 750 6/23/2020 5403 MRI EXPRESS LLC CORUNNA 4942680A 4,590 6/23/2020 7208 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 36 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NUMERICH TIMOTHY CORUNNA 3925625A 800 6/13/2020 5645 WEAVER CONSTRUCTION CORUNNA 5855292A 891 4/17/2020 5183 DO ALL CARPENTRY LLC COTTRELLVILLE 5593719A 2,462 5/3/2020 5645 0.95 MARINE CITY AVIATION INC COTTRELLVILLE 4642139A 878 6/27/2020 7423 0.95 SAN DIEGO CARPET LLC COVERT 5987768A 556 4/22/2020 9521 A J COOPER CORPORATION CROSWELL 2693909A 686 5/11/2020 6836 RL SHELL TRUCKING CROSWELL 2566117A 2,034 6/28/2020 7208 0.95 WH HOME IMPROVEMENT CROSWELL 1780476A 750 6/5/2020 5645 BRIAN CAROLLO TRUCKING LLC CRYSTAL FALLS 5409950A 750 6/5/2020 7208 CHARLES UREN TRUCKING LLC CRYSTAL FALLS 5521211A 750 5/19/2020 7208 MARINOFF RALPH CRYSTAL FALLS 1367811A 750 5/24/2020 7213 UNCLE JOES LOGGING CURTIS 4228740A 750 5/8/2020 2709 TACTICAL PRODUCTION SUPPORT LLC DACULA, GA 5992451A 11,813 5/16/2020 9154 SMART DELIVERIES & TRANSPORTATION LLC DAFTER 5715989A 750 6/1/2020 7208 LAMPINEN LOG AND TILL DAGGETT 4458532A 750 4/30/2020 7208 VERBA DARELL L DAGGETT 0160342A 750 4/10/2020 2702 VERBA JEFF W DAGGETT 0144428A 750 4/10/2020 2702 VERBISKY TRUCKING LLC DAGGETT 3976548A 750 5/13/2020 7208 BASORE INSPECTIONS LLC DANSVILLE 5125421A 346 4/6/2020 8720 BEACHES TANNING 3 LLC DANSVILLE 4886925A 244 6/23/2020 9586 MMI CONSTRUCTION SVC LLC DANVILLE, KY 5720397A 854 5/27/2020 5183 0.95 A AND J EXCAVATING INC DAVISBURG 3764710A 800 4/8/2020 6217 ARROWHEAD DISCOUNT TREE SERVICE LLC DAVISBURG 3900991A 999 5/24/2020 0042 CTD ELECTRICAL ENTERPRISE LLC DAVISBURG 4892275A 1,296 4/9/2020 5190 0.95 CTM CUSTOM STAIRS & WOODWORKING LLC DAVISBURG 3036570A 750 5/27/2020 5437 FOUR SEASONS PAINTING & DRYWALL LLC DAVISBURG 2701456A 800 4/4/2020 5476 MR CLEAN POWERWASHING INC DAVISBURG 3699250A 2,119 5/24/2020 9015 0.95 NANNOSHI HOLDINGS LLC DAVISBURG 5607418A 1,538 6/12/2020 9058 PREMIER TREE CARE LLC DAVISBURG 5596319A 3,242 6/6/2020 0106 0.95 STRAIGHT UP BUILDING INC DAVISBURG 5813719A 343 4/25/2020 5606 AAA OUTDOOR SERVICES INC DAVISON 4053010A 8,192 6/8/2020 7208 0.88 ALEXANDER WELLPOINT DEWATERING LLC DAVISON 4982924A 2,010 5/5/2020 5183 0.95 B AND L ENTERPRISES INC DAVISON 2618001A 750 4/14/2020 7208 0.95 CENTRAL MICHIGAN CONTRACTING DAVISON 2966883A 750 5/9/2020 5645 COLORFLIP PAINTING LLC DAVISON 5394198A 801 4/8/2020 8810 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 37 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COMPRO PAINTING LLC DAVISON 5559880A 750 5/16/2020 5476 CREATIVE COATINGS LLC DAVISON 3915204A 750 4/23/2020 5476 DYNAMIC HOME SOLUTIONS LLC DAVISON 5404789A 2,670 5/13/2020 5476 0.95 GILMAN TILE CO DAVISON 2298775A 750 6/29/2020 5348 JOHNSTON STONE WORKS INC DAVISON 2253160A 750 4/8/2020 5022 0.95 JPM WOODWORKING INC DAVISON 5998786A 750 5/23/2020 5437 K AND R SERVICE LLC DAVISON 4098609A 624 6/1/2020 2812 KENS CONSTRUCTION DAVISON 5149282A 750 6/5/2020 5551 SCOTTY DOTTY SHORTBREAD COMPANY LLC DAVISON 5406730A 575 5/21/2020 2003 THOMPSON ENTERPRIZES INC DAVISON 3675378A 784 5/25/2020 5645 TIMBERLAND CONSTRUCTION INC DAVISON 3054861A 750 6/14/2020 5645 TMY CONSTRUCTION INC DAVISON 4831357A 4,983 5/16/2020 5437 0.92 WHITNEY LAWN SERVICE LLC DAVISON 5545633A 916 4/28/2020 9102 0.95 R D P CORPORATION DAYTON, OH 1705539A 568 5/28/2020 8742 AL AYN SOCIAL CARE FOUNDATION DEARBORN 5535425A 398 5/5/2020 8810 AL HASSAN MOHAMMED DEARBORN 6007430A 750 6/25/2020 7219 AL QURAGHOLY RAHEEM DEARBORN 6007503A 750 6/25/2020 7208 ALASADI WISSAM DEARBORN 6007619A 750 6/25/2020 7208 ANKOUN FLOORING LLC DEARBORN 4256522A 631 4/5/2020 9521 APPLIED HANDLING INC DEARBORN 6002544A 825 6/11/2020 5102 ARAB AMERICAN LANGUAGE INSTITUTE INC DEARBORN 4556224A 308 6/21/2020 8810 CDPA ARCHITECTS & PLANNERS LLC DEARBORN 5841470A 835 4/24/2020 8601 CREATIVE HABITAT BUILDERS LLC DEARBORN 4057902A 5,078 5/4/2020 5645 DEARBORN 94 TRUCK STOP INC DEARBORN 5715580A 587 5/12/2020 8387 DEARBORN BISTRO LLC DEARBORN 1602748A 2,611 5/15/2020 9058 0.85 DOVER SERVICES INC DEARBORN 4995074A 316 6/18/2020 8810 EASTERN GREAT LAKES WINDOW CLEANING INC DEARBORN 3408280A 1,707 6/28/2020 9015 0.95 FIRST CLASS ROOFING LLC DEARBORN 5992028A 5,065 5/6/2020 5551 FORD ROSEVERE INC DEARBORN 4860764G 516 5/30/2020 8017 0.95 GARRISON SQUARE ASSOCIATES DEARBORN 0998290A 655 5/12/2020 9015 GRANCELL NANCY TERESA DEARBORN 5853788A 573 4/16/2020 0913 GREAT LAKES CONTRACTING TEAM LLC DEARBORN 5994950A 1,649 5/14/2020 5437 GREEN CITY RENOVATION INC DEARBORN 5998964A 825 5/24/2020 5551 HALFACRE AND ASSOCIATES DEARBORN 4039637A 3,393 5/16/2020 7720 0.95 HELLO EXPRESS INC DEARBORN 0537039A 775 5/10/2020 8810 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 38 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JAWANI BUILDING & DEVELOPMENT INC DEARBORN 5439680A 2,858 6/10/2020 5437 0.95 JOE AND RENOS PIZZERIA DEARBORN 1571818A 774 5/31/2020 9058 K AND D ELITE PAINTING LLC DEARBORN 5879477A 750 6/26/2020 5476 KINGS BAKERY LLC DEARBORN 5138906A 575 5/14/2020 8017 0.95 LAYRITE MASONRY DEARBORN 4087100A 751 5/15/2020 5022 LEAK MASTERS ROOFING LLC DEARBORN 5984173A 750 4/11/2020 5551 MAD CARPET LLC DEARBORN 5498163A 632 5/31/2020 9521 MAJED A MOUGHNI P L L C DEARBORN 5705665A 353 4/18/2020 8820 MICHIGAN GREENFIELD URGENT CARE PLLC DEARBORN 5323223A 801 5/29/2020 8832 N C DESIGNERS & CONTRACTING INC DEARBORN 3437787A 756 4/5/2020 8742 NATIONAL FUEL TRANSPORT LLC DEARBORN 5715636A 4,644 6/24/2020 7208 0.95 NEJEM CARPETING LLC DEARBORN 5879370A 655 6/26/2020 9521 NES RESTORATION LLC DEARBORN 5988160A 2,670 6/28/2020 9015 NORTHWEST CONSTRUCTION LLC DEARBORN 3920275A 1,478 4/19/2020 5645 0.95 NOUR CARPET INC DEARBORN 5328721A 606 5/22/2020 9521 PRECISION TRUCKING LLC DEARBORN 5695503A 763 4/6/2020 7212 PROPERTY ONE MANAGEMENT LLC DEARBORN 5358981A 825 4/16/2020 5645 RADAN ENTERPRISES INC DEARBORN 4239172A 1,202 4/9/2020 9521 RED CAP TRANSPORTATION INC DEARBORN 5415861A 750 6/19/2020 7208 RED CARPET LLC DEARBORN 5858631A 556 4/11/2020 9521 ROBOT CAMP LLC DEARBORN 6007953A 372 6/26/2020 7610 RT JOHNSON HOMECARE INC DEARBORN 5850070A 5,872 4/9/2020 8835 RUDNICKI REMODELING DEARBORN 0877638A 750 5/1/2020 5645 SALAH TRANS LLC DEARBORN 6002498A 750 6/8/2020 7208 SCALES CARPETING INC DEARBORN 4339622A 606 4/26/2020 9521 SIMONES EUROPEAN FASHIONS INC DEARBORN 3730417A 562 5/29/2020 8006 SOUTHERN SHADOW FOR HARD FLOORING INC DEARBORN 5881560A 750 6/30/2020 5437 SPIRIT SERVICES LLC DEARBORN 5854660A 1,140 4/30/2020 7208 TEN THOUSAND 001 EXPRESS INC DEARBORN 4860764F 523 5/31/2020 8017 0.95 USA INTERMODAL TRUCKING SERVICES INC DEARBORN 5995795A 751 5/16/2020 8810 UZNIS HOMES LLC DEARBORN 2004585A 750 6/12/2020 5645 VANS MAIL DELIVERY LTD DEARBORN 0893358A 1,880 5/23/2020 8292 0.95 VIP CHAIR COVERS INC DEARBORN 6000789A 860 5/30/2020 9015 W HAMMONS TRUCKING INC DEARBORN 4384350A 2,135 5/15/2020 7208 0.95 WAZA CONSTRUCTION LLC DEARBORN 5719860A 753 5/25/2020 5606 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 39 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge A AND L MASON CONTRACTORS INC DEARBORN HEIGHTS 1852906A 801 4/10/2020 8810 ALL WAYS HEATING AND COOLING LLC DEARBORN HEIGHTS 5394520A 1,276 4/10/2020 5550 0.95 ATM TOWING SERVICES LLC DEARBORN HEIGHTS 5662125A 1,639 6/21/2020 7208 BEIRUT BY NIGHT INC DEARBORN HEIGHTS 3970426A 521 4/12/2020 9058 0.95 CHUCK HARRISON LAWN SPRINKLERS LLC DEARBORN HEIGHTS 4372514A 1,021 4/2/2020 5183 CJ XPRESS LLC DEARBORN HEIGHTS 5997682A 4,431 5/24/2020 7208 DHEINIS CARPET LLC DEARBORN HEIGHTS 5138280A 556 5/3/2020 9521 DREAM CARPET INC DEARBORN HEIGHTS 5290724A 1,019 4/26/2020 9521 ELITE CUSTOM DESIGN AND CONSTRUCTION INC DEARBORN HEIGHTS 5990114A 800 4/27/2020 5022 FOUNTAINE RONALD JR DEARBORN HEIGHTS 5988284A 750 4/23/2020 5645 GARDEN CITY GARAGES INC DEARBORN HEIGHTS 2110245A 750 5/9/2020 5437 0.95 GM FLOORING LLC DEARBORN HEIGHTS 5873835A 750 6/12/2020 5437 H AND Z TRANSPORT LLC DEARBORN HEIGHTS 5277400A 5,896 6/18/2020 7208 HAZIME CARPET PLUS INC DEARBORN HEIGHTS 2630702A 1,960 5/29/2020 9521 JAGX INC DEARBORN HEIGHTS 5555736A 661 6/14/2020 7720 K J PROFESSIONAL SERVICES LLC DEARBORN HEIGHTS 5696151A 810 4/6/2020 9015 KALICO LLC DEARBORN HEIGHTS 6004318A 692 6/27/2020 9063 LASLOS BRICK & BLOCK LLC DEARBORN HEIGHTS 6006698A 4,946 6/21/2020 5022 MRT ENVIRONMENTAL INC DEARBORN HEIGHTS 4478088B 11,652 5/3/2020 5183 0.70 NEXE TILE DEARBORN HEIGHTS 5552184A 750 5/7/2020 5348 NU WAVE AQUARIUMS LTD DEARBORN HEIGHTS 0325309A 699 5/15/2020 8831 OL ALI CARPETS LLC DEARBORN HEIGHTS 3838110A 926 6/9/2020 9521 R W CONSTRUCTION LLC DEARBORN HEIGHTS 2998114A 825 5/2/2020 5022 RIGHT MOVE INC DEARBORN HEIGHTS 4044401A 467 6/15/2020 8868 ROBERT J CASSAR PC DEARBORN HEIGHTS 3334600A 230 5/24/2020 8810 SECURITY EXPERIENCED PROFESSIONALS INC DEARBORN HEIGHTS 4090969A 582 4/1/2020 7720 SEVEN HEAVEN INC DEARBORN HEIGHTS 4882032A 994 4/28/2020 9521 TALL OAKS OF WESTLAND CONDOMINIUM DEARBORN HEIGHTS 2614308A 630 6/1/2020 9015 ASSOCIATION TOTAL HOMECARE SOLUTIONS INC DEARBORN HEIGHTS 4839927A 483 5/23/2020 8835 U SAVE CARPET INSTALLATION LLC DEARBORN HEIGHTS 5401674A 606 5/5/2020 9521 WALIGORSKI THOMAS M DEARBORN HEIGHTS 5242827A 4,213 4/16/2020 5551 0.95 XPRESS 1 SERVICES INC DEARBORN HEIGHTS 5716195A 750 5/13/2020 7208 XPRESS 1 TRANSPORT INC DEARBORN HEIGHTS 6007350A 750 6/25/2020 7208 A E PROGRESSION GROUP LLC DECATUR 5518105A 283 6/15/2020 8810 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HARD TIMES FAMILY RESTAURANT DECATUR 2161320A 1,665 5/17/2020 9058 1.05 ROOP GURLEEN PETROLEUM LLC DECATUR 5441056A 2,939 5/5/2020 8017 0.95 B C TRUCKING OF MARLETTE INC DECKER 2687127A 750 5/2/2020 7208 DANS HOME IMPROVEMENTS DECKER 5273099A 750 5/22/2020 5551 HUDSON TRUCKING LLC DECKER 5205581A 750 6/30/2020 7208 ALL AMERICAN TREE SERVICES DECKERVILLE 4466730A 751 4/30/2020 9102 LARRYS DECORATING INC DECKERVILLE 2171678A 751 5/3/2020 5476 PALMER FARMS INC DECKERVILLE 2363844A 3,397 6/3/2020 0011 0.95 TO OUR DEBBIE ANN YOUNG SOCIETY LLC DECKERVILLE 5397197A 1,125 5/17/2020 7720 CENTURY ARMS INC DELRAY BEACH, FL 5878829A 560 6/29/2020 8810 BACKWOODS BUILDERS LLC DELTON 5711320A 3,031 5/2/2020 5403 0.95 BOULTERS AFC HOME DELTON 5405289A 2,751 5/18/2020 9053 0.95 LA TRANSPORT AND HAULING LLC DELTON 5401100A 3,398 5/2/2020 7380 0.95 DJR MICHIGAN PROPERTIES LLC DENVER, CO 5991862A 7,426 5/2/2020 0035 JACKSON FORK RANCH PERCHERONS LLC DENVER, CO 5989221A 7,126 4/24/2020 8279 A 1 DIESEL REPAIR INC DETROIT 5548004A 1,368 5/2/2020 8395 A 2 EXPRESS INC DETROIT 2671867A 947 4/1/2020 8017 0.95 A AND M CONTRACTING SERVICES LLC DETROIT 5513677A 6,296 5/4/2020 5645 A I TRANSPORT INC DETROIT 5994225A 16,765 5/10/2020 7208 ABOVE AND BEYOND CONSTRUCTION CLEAN UP DETROIT 5867045A 580 5/1/2020 9015 LLC ABRO SIX INC DETROIT 5708079A 503 5/3/2020 8017 ADAMO DEMOLITION COMPANY DETROIT 2207273A 825 6/30/2020 7380 1.00 ADC INC DETROIT 2925850A 825 6/30/2020 5610 AFFORDABLE MANAGEMENT LLC DETROIT 4969049A 577 5/31/2020 9102 AFTERSCHOOL CAFE LLC DETROIT 4199871A 241 6/11/2020 8868 AIR TECHNOLOGY SYSTEMS INC DETROIT 3459420A 1,827 4/4/2020 5183 0.95 AL HAKIM CORPORATION DETROIT 4062108A 832 4/19/2020 8017 ALEXANDERS TOTAL LAWN CARE SERVICES LLC DETROIT 5723809A 562 6/13/2020 9102 ALHALEMI GAS AND MART INC DETROIT 5017700A 1,487 6/15/2020 8017 0.95 ALINOSI FRENCH ICE CREAM CO INC DETROIT 0004375A 814 5/22/2020 2041 0.95 ALL STARS TRUCK DRIVING SCHOOL INC DETROIT 4620992A 676 5/13/2020 8868 ALL TOGETHER SERVICES INC DETROIT 4461665A 723 5/13/2020 8810 ALS PETRO INC DETROIT 0169811A 514 5/4/2020 8017 AMA PLUS INC DETROIT 4891090A 662 4/11/2020 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ANDREW OWENS DESIGNS LLC DETROIT 5756596A 1,548 6/12/2020 3365 ARM PROPERTY MAINTENANCE INC DETROIT 4491165A 800 6/14/2020 5437 0.87 ARROW AUTOMOTIVE GROUP INC DETROIT 6001297A 268 6/14/2020 8601 AT MANAGEMENT SERVICES INC DETROIT 5264790A 339 4/25/2020 8017 B A T S TOWING INC DETROIT 5250749A 750 5/12/2020 7208 0.95 B AND S OIL INC DETROIT 1494775A 919 6/12/2020 8017 0.95 BAYVIEW YACHT CLUB JUNIOR SAILORS INC DETROIT 2400855A 321 5/25/2020 8868 BECKWITH VISION ENTERPRISE LLC DETROIT 6007384A 750 6/25/2020 7208 BEES IN THE D DETROIT 5854245A 559 4/13/2020 0034 BERRY AND SONS RABABEH ISLAMIC DETROIT 1838687A 3,491 4/12/2020 2081 0.95 SLAUGHTER HOUSE INC BIG SAM AUTO PARTS INC DETROIT 5716217A 1,715 5/15/2020 3821 0.95 BIMS LOAN COMPANY INC DETROIT 0161950A 924 5/7/2020 8017 0.95 BLUE LAKE CEMENT LLC DETROIT 4013352A 825 4/16/2020 5215 BOBBYS TCB TOWING SERVICE INC DETROIT 1854186A 9,254 6/20/2020 7208 0.95 BULK INDUSTRIAL SERVICES LLC DETROIT 5406820A 974 6/21/2020 5183 C D D PAINTER LLC DETROIT 6003133A 750 6/11/2020 5476 C H FOOD MART INC DETROIT 5862035A 811 5/31/2020 8017 CANARY INC DETROIT 5867630A 750 5/24/2020 7208 CARLOS AND ALEXANDER CONSTRUCTION CO DETROIT 5707196A 750 5/10/2020 5645 INC CARPENTRY SOLUTIONS LLC DETROIT 5982782A 1,951 5/9/2020 5645 CASEY SIGN CO INC DETROIT 2123169A 1,481 6/9/2020 4299 0.95 CHARBEL MART LLC DETROIT 5724775A 1,021 6/15/2020 8017 CHILDRENS HOSPITAL OF MICHIGAN DETROIT 4830822A 234 4/12/2020 8810 0.95 FOUNDATION CHOICE PAINTING AND WOOD RESTORATION LLC DETROIT 4071875A 1,617 5/18/2020 5476 CHRISTIAN HURTTIENNE ARCHITECTS LLC DETROIT 5412684A 1,187 6/11/2020 8601 0.95 CMJ TRUCKING INC DETROIT 5987857A 800 4/13/2020 7208 COALITION ON TEMPORARY SHELTER DETROIT 1711130A 3,043 5/17/2020 9052 1.00 COMPLETE PLUMBING AND SEWER SERVICES DETROIT 4842596A 663 4/27/2020 5183 INC CONSULATE OF ITALY DETROIT 0977853A 486 4/7/2020 8810 CRANE FIRST INC DETROIT 2877236A 595 4/12/2020 3724 CRUZ TREE REMOVAL LLC DETROIT 6000274A 750 5/30/2020 0106 D AND M TRUCK TIRE & TRAILER REPAIR INC DETROIT 5413710A 7,683 6/15/2020 8395 0.87

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DAILY MART INC DETROIT 3309770A 822 5/22/2020 8017 DANNAOUI BROTHERS INC DETROIT 5263468A 838 4/21/2020 8017 DEADLINE DETROIT INC DETROIT 5015839A 405 4/25/2020 8742 DEEPIKA K PAREKH MD PC DETROIT 1331850A 379 5/14/2020 8832 DETROIT AIRLINES NORTH TERMINAL DETROIT 4479785A 556 6/26/2020 7423 CONSORTIUM INC DETROIT GROUNDS CREW LLC DETROIT 5874017A 7,523 4/18/2020 9102 0.95 DETROIT METROPOLITAN BAR ASSOCIATION DETROIT 0234052A 317 6/28/2020 8810 DETROIT POLICE OFFICERS ASSOC DETROIT 0273325A 954 6/27/2020 8755 0.95 DETROIT RACQUET CLUB DETROIT 0753718A 686 5/7/2020 9058 DETROIT RIVER SPORTS LLC DETROIT 5879671A 1,936 6/26/2020 6826 DETROIT SHOPPERS INC DETROIT 1642685B 1,144 5/14/2020 8017 DETROIT SYNTHETIC PLASTERING DETROIT 5990890A 750 4/30/2020 5022 DETROIT TRANSPORTATION CORPORATION DETROIT 2432366A 223,869 5/30/2020 7720 1.83 27 % DIAMOND GAS LLC DETROIT 6007899A 700 6/26/2020 8017 DSY CORKTOWN LLC DETROIT 5865867A 2,996 5/21/2020 9058 E AND S CARRYOUT INC DETROIT 0501930A 626 5/5/2020 9058 EA PETRO INC DETROIT 5865808A 589 5/25/2020 8017 EAGLE INDUSTRIAL CONTRACTING INC DETROIT 5865549A 669 5/17/2020 3724 EAST VERNOR INC DETROIT 4860764H 516 5/30/2020 8017 0.95 EDS DISCOUNT USED AUTO PARTS INC DETROIT 1663410A 752 4/29/2020 8810 EFG GROUP LLC DETROIT 5824028A 2,193 4/9/2020 9058 0.95 EJVJ ENTERPRISES INC DETROIT 5417821A 1,138 6/23/2020 8017 EMINENT CONTRACTING LLC DETROIT 5711193A 6,765 5/10/2020 5215 0.95 ENVIRONMENTAL GEO TECHNOLOGIES LLC DETROIT 4316029A 17,936 6/15/2020 9403 0.77 EVERETTE EWALD ENTERPRISES DETROIT 2359570A 630 6/25/2020 9015 0.95 FENKELL FUEL & GROCERY INC DETROIT 5721610A 374 6/3/2020 8017 FIFTEEN THOUSAND 140 EXPRESS INC DETROIT 4860764C 651 5/31/2020 8017 0.95 FIFTEEN THOUSAND 439 EXPRESS INC DETROIT 4860764D 577 5/31/2020 8017 0.95 FLIP TURN TRANSPORT LLC DETROIT 5863988A 1,007 5/11/2020 8392 FLOWERS COMMUNITY SERVICE INC DETROIT 3215318A 1,018 6/6/2020 9053 0.95 FOUR AREA CODE HOME REPAIR DETROIT 4616316A 581 4/21/2020 9015 FRANKS TOWING RECOVERY LLC DETROIT 4815394A 1,718 5/14/2020 7208 0.95 FRIENDS OF PARKSIDE INC DETROIT 2400138A 242 5/6/2020 8810 FULL VIEW PRODUCTIONS LLC DETROIT 5400562A 700 6/20/2020 4361

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GALLEGOS FELICIANO DETROIT 5016983A 556 6/22/2020 9521 GARCIA RAUL GASPAR DETROIT 5996562A 556 5/17/2020 9521 GAYANGA CO LLC DETROIT 5657504A 7,026 6/2/2020 5645 0.95 GIBSON TOTAL ELECTRONICS INC DETROIT 1648764A 246 4/20/2020 8810 GIPSON BROTHERS TRUCKING INC DETROIT 0411191A 10,691 5/7/2020 7208 1.00 GLOBAL FINANCIAL MOTORS LLC DETROIT 5852170A 353 4/10/2020 8748 GLOBAL INTERIORS CO AND RENOVATIONS INC DETROIT 5030510A 346 6/1/2020 5606 GLOBAL MOTORS 313 LLC DETROIT 6001262A 261 6/5/2020 8748 GOODCOMPANY AOP INC DETROIT 5579112A 1,075 6/7/2020 8835 0.95 GRATIOT GAS & MINI MART INC DETROIT 4861353A 1,890 4/19/2020 8017 0.95 GREAT LAKES MANAGERS LLC DETROIT 5263964A 1,493 4/23/2020 5606 0.95 H AND R PROCESS SERVING GROUP LLC DETROIT 5994543A 1,528 5/13/2020 7720 HABITAT FOR HUMANITY DETROIT DETROIT 3093174A 411 5/10/2020 8810 0.76 HAN MINI MART INC DETROIT 4462564A 604 4/2/2020 8017 HAPPY FOUR INC DETROIT 0503495A 986 5/11/2020 8017 0.95 HARRIS DESIGN AND TECHNOLOGY SERVICES DETROIT 6001335A 751 6/5/2020 5476 LLC HAT TORRES MASONRY DETROIT 3594793A 750 6/12/2020 5215 HEAVENLY HANDS DETROIT 5216338A 1,024 6/4/2020 9015 HERNANDEZ HOME EXTERIORS LLC DETROIT 5695104A 10,308 4/18/2020 5645 0.93 HOLDEN TRUMBULL VENTURES INCORPORATED DETROIT 5519314A 1,177 5/26/2020 9058 HOLMAN CHRISTOPHER DETROIT 6007376A 750 6/25/2020 7208 HOPE ACADEMY DETROIT 3520978A 315 6/30/2020 8868 1.14 ICZKOVITZ ABIGAIL DETROIT 5862680A 573 5/15/2020 0913 IKES TRANSPORTATION CORP DETROIT 5654211A 688 5/8/2020 7212 INDUSTRIAL ENVIRONMENTAL LLC DETROIT 3018628A 338 5/21/2020 4511 INTEGRITY SHOWS INC DETROIT 4968964A 260 4/3/2020 8742 ISRAEL HOLDING LLC DETROIT 6004997A 750 6/18/2020 5476 IWC SERVICES LLC DETROIT 1247190A 825 4/12/2020 5020 J AND C LANDSCAPING SERVICE INC DETROIT 5869064A 2,550 5/26/2020 0042 J AND M LANDSCAPING LLC DETROIT 5789060A 750 6/21/2020 0042 JIMENEZ CARPETS INC DETROIT 4980948A 658 4/19/2020 9521 JIMS FILL UP INC DETROIT 4533453A 1,250 6/18/2020 8017 0.95 JOE ANNS BAR B QUE INC DETROIT 1138855A 485 5/30/2020 9058 JOHN M BARNWELL MD PLLC DETROIT 4081706A 541 6/11/2020 8832

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JP ROOSEVELT CONSTRUCTION AND DETROIT 5867304A 751 5/23/2020 8810 CONSULTANTS LLC JUMBOS BAR INC DETROIT 0051713A 334 4/15/2020 9058 JUST US TRUCKING INC DETROIT 4088280A 825 4/13/2020 7208 KAMMO AUTO CLINIC INC DETROIT 2837919A 1,821 5/27/2020 8010 0.95 KAPSTONE EMPLOYMENT SERVICES LLC DETROIT 5858437A 1,215 6/14/2020 5190 L AND F MINI MART INC DETROIT 4629400A 991 4/1/2020 8017 L AND L GOLD ASSOCIATES INC DETROIT 1204475A 6,556 4/8/2020 8017 1.35 13 % L B T FLOORING LLC DETROIT 5999944A 944 5/29/2020 9521 L GEORGES CONEY ISLAND NO 7 INC DETROIT 1605887A 1,517 4/3/2020 9058 0.95 LEONARDOS PRODUCE LLC DETROIT 2217090A 34,133 5/15/2020 8018 1.36 LIGHTED HOME PROPERTIES LLC DETROIT 5973201A 581 4/27/2020 9015 LINKOUS MARGARET G C DETROIT 5982774A 573 4/5/2020 0913 LOGICAL OWL LLC DETROIT 5860687A 237 5/1/2020 8810 LUCAS COURIERS LLC DETROIT 5360269A 369 4/19/2020 8742 LYONS BYRON DETROIT 5999901A 750 5/29/2020 7208 M AND M TOWING & RECOVERY LLC DETROIT 5452872A 14,139 4/11/2020 7208 0.91 MACK HAULING LLC DETROIT 3623980A 3,772 6/25/2020 7208 MAKE NO LITTLE PLANS LLC DETROIT 5214459A 3,593 5/8/2020 8395 MARINOS CARPET LLC DETROIT 5997429A 556 5/21/2020 9521 MARKS A EAGLES 4 CONEY ISLAND INC DETROIT 3258840A 1,039 5/21/2020 9058 0.95 MARTIN PLASTERING DETROIT 3220338A 750 5/16/2020 5480 MCGRAW PETRO MART LLC DETROIT 4064488A 864 4/21/2020 8017 0.95 MDM PAINTING DETROIT 5876109A 750 6/17/2020 5476 MERITHALL INC DETROIT 4882741A 93,051 6/28/2020 9015 1.00 METRO TRADES LLC DETROIT 5285194A 1,557 6/28/2020 5476 0.95 METRO TRADES LLC PLUMBING DIVISION DETROIT 5285194B 659 5/1/2020 5183 0.95 MH PLUS INC DETROIT 4891090B 489 4/11/2020 8017 MILITARY ORDER OF THE PURPLE HEART DETROIT 1825852A 1,357 5/13/2020 8868 0.95 SERVICE AND REHABILITATION OFFICE MISAEL MARTINEZ CONSTRUCTION LLC DETROIT 5632706A 750 5/3/2020 5645 MJ REALTY SERVICE PLLC DETROIT 5873045A 303 6/16/2020 8742 MM AUTOMATED SOLUTIONS LLC DETROIT 5789702A 3,440 6/7/2020 3724 MONDRAGON PAINTING LLC DETROIT 5866120A 750 5/21/2020 5476 MOORE BROTHERS PLUMBING HEATING & DETROIT 2335905A 2,461 4/7/2020 5183 0.95 COOLING LLC 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 45 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MR WIGGLE PLUMBING LLC DETROIT 4721233A 663 6/6/2020 5183 MUSCLE TRUCK LIGHT HAULING & MOVING LLC DETROIT 5995302A 3,332 6/1/2020 7206 NAIL RITE CONSTRUCTION COMPANY INC DETROIT 5876559A 750 6/12/2020 5445 NARDIN PARK RECOVERY CENTER INC DETROIT 0386901A 1,474 5/2/2020 8832 0.95 NATIONWIDE RECOVERY INC DETROIT 1784765A 3,720 6/12/2020 7720 0.88 NEW EXECUTIVE TOWING COMPANY INC DETROIT 1731416A 5,563 6/3/2020 7208 0.90 NEXGEN HIGH RISE SERVICES LLC DETROIT 4337514A 581 5/29/2020 9015 0.92 NINETEEN THOUSAND 836 EXPRESS INC DETROIT 4860764A 824 5/31/2020 8017 0.95 OAKLAND SUGAR HOUSE LLC DETROIT 4877063A 1,115 6/8/2020 9058 0.95 ONE THOUSAND 701 EXPRESS INC DETROIT 4860764B 631 5/31/2020 8017 0.95 OZI SERVICES INC DETROIT 3969096A 1,757 6/15/2020 9053 0.95 P I E MANAGEMENT LLC DETROIT 3808017A 35,650 6/6/2020 9015 0.75 PIZZA PLACE DEARBORN LLC DETROIT 0828467A 2,201 6/14/2020 9058 0.95 POLYMATH DEVELOPMENT LLC DETROIT 5390796A 11,322 4/8/2020 5645 0.87 PREMIER GROUP ENVIRONMENTAL LLC DETROIT 4008014A 916 6/27/2020 5403 PRESIDENTIAL CONSTRUCTION INC DETROIT 4887964A 800 4/30/2020 5437 PRESTIGE FILL UP LLC DETROIT 4743490A 927 4/24/2020 8017 0.95 PROCESS CONTROL & INSTRUMENTATION LLC DETROIT 3535487A 8,498 6/27/2020 5191 0.81 PSR CONSTRUCTION DETROIT 1926098A 800 6/16/2020 5645 0.95 PT IN THE D LLC DETROIT 5724929A 377 6/16/2020 9063 PURE PLUS INC DETROIT 5706912A 1,725 4/21/2020 8017 0.95 PYRATECH SECURITY SYSTEMS INC DEBTOR IN DETROIT 2972301A 7,128 6/10/2020 7720 0.88 POSSESSION QUAD LOGISTICS LLC DETROIT 5501482A 800 4/17/2020 7208 RAMOS CONSTRUCTION LLC DETROIT 5510651A 750 6/14/2020 5551 RAZZOOKS SONS INC DETROIT 0246433A 680 4/24/2020 8017 RENU POWER TOOL AND SUPPLY CO DETROIT 0594008A 2,063 4/16/2020 8010 0.95 REYES CORRUGEDO NOEL DETROIT 6001980A 556 6/6/2020 9521 RISE MANAGEMENT LLC DETROIT 5877199A 778 6/22/2020 9058 ROCHA PAINTING DETROIT 4908171A 750 6/21/2020 5476 ROSA PETRO MART LLC DETROIT 5863228A 517 5/13/2020 8017 RUNWAY VALET INC DETROIT 4839048A 516 6/11/2020 8392 SALAMEH CORPORATION INC DETROIT 2934663A 422 5/18/2020 8017 0.95 SANDOVAL ANTONIO RAMOS DETROIT 6001963A 750 6/6/2020 5645 SANTANA STEVEN DETROIT 6007449A 750 6/25/2020 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SECOND CHANCE LIVING SUPPORTIVE DETROIT 4978536A 3,720 4/19/2020 8835 0.91 SERVICES LLC SHONS CORNER LLC DETROIT 5234379A 15,433 5/2/2020 7720 1.00 SHREE SAI RAM CORPORATION DETROIT 4737210A 715 5/29/2020 9052 SINJIL INC DETROIT 3760502B 614 5/24/2020 8017 SKYLINE AUTO SALES INC DETROIT 5879434A 280 6/26/2020 8748 SOCIETY OF ST VINCENT DE PAUL IN THE DETROIT 0475912A 628 5/2/2020 9015 ARCHDIOCESE OF DETROIT SPARKLE COMMERCIAL CLEANING SERVICES INC DETROIT 0866709A 1,107 5/3/2020 9015 0.95 STILLWATER CONSTRUCTION INC DETROIT 1993984A 750 4/27/2020 5645 TEEN STREET SKILLS DETROIT 5994985A 543 5/17/2020 8868 TOBYA INC DETROIT 4566939A 852 4/3/2020 8017 TODDLERS CENTER INC DETROIT 2760681A 606 6/23/2020 8869 TOP QUALITY HOME SOLUTIONS LLC DETROIT 5755964A 1,084 4/20/2020 5403 TOWN PARK COOPERATIVE DETROIT 1755480A 819 5/4/2020 9015 TRUSTWORTHY CONSTRUCTION LLC DETROIT 5868750A 800 5/26/2020 5102 TWO MEN PAINTING LLC DETROIT 5194709A 793 5/4/2020 5476 0.95 UNIQUE SIGN & AWNING INC DETROIT 4843819A 1,014 5/7/2020 3064 UNIVERSAL SPECIAL EVENTS INC DETROIT 5322774A 3,178 4/26/2020 8392 0.95 VARGAS IRMA ORTIZ DETROIT 5545080A 556 4/13/2020 9521 VICKIS FOODS INC DETROIT 0425770A 777 5/11/2020 9058 0.95 VILLATORO CHAVEZ ORVIN F DETROIT 5995272A 750 5/15/2020 5645 W BACON TRUCKING LLC DETROIT 2530376A 750 5/2/2020 7208 WARREN CADIEUX GAS MART INC DETROIT 3129080A 833 6/28/2020 8017 WILLIAMS COMMUNITY LIVING INC DETROIT 0908665A 5,426 6/20/2020 9053 0.86 WOODWARD FUEL INC DETROIT 5990882A 533 5/1/2020 8017 XPERT DUCT CLEANING CLEAN AIR INC DETROIT 5670233A 972 4/18/2020 5550 BRYAN JANES CONSTRUCTION INC DEWITT 2735113A 751 4/27/2020 8810 0.95 COONEY HOMES LLC DEWITT 5146828A 1,612 5/30/2020 5645 GO DENTON TRUCKING DEWITT 5711290A 750 5/2/2020 7208 JIMMERSON ROOFING DEWITT 0382426A 3,659 4/23/2020 5538 0.88 OADE MANAGEMENT CO INC DEWITT 0417238A 1,790 4/12/2020 9058 ROZEN CONSTRUCTION & REMODELING LLC DEWITT 1715143A 238 6/20/2020 8810 0.95 STRONGRICH AND ASSOCIATES INC DEWITT 3848655A 597 5/9/2020 8742 0.92 TPM HOLDINGS LLC DEWITT, IA 5415292A 870 6/25/2020 0912

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ANTHONYS ASPHALT LLC DEXTER 5423414A 1,589 5/1/2020 5221 BMCI CORPORATION DEXTER 4867998A 583 6/6/2020 9015 CARICA INC DEXTER 5863538A 1,692 5/10/2020 8835 GORDON D FELLOWS LLC DEXTER 0969494A 1,327 6/18/2020 5645 0.95 HEINOWSKI APPRAISAL AND CONSULTING LLC DEXTER 5862841A 660 5/8/2020 8720 JD LAWN SERVICE INC DEXTER 5551935A 797 5/3/2020 9102 LAURA SANDERS LMSW LLC DEXTER 5663849A 750 4/28/2020 8279 MBL BUILDERS LLC DEXTER 4090233A 750 6/30/2020 5183 MICHIGAN CUSTOM DECKS INC DEXTER 2567962A 800 6/30/2020 5645 MIKE SHEPARD EXCAVATING INC DEXTER 4977378A 775 4/13/2020 6217 ROBERT STRICKLEN CONSTRUCTION LLC DEXTER 5413125A 750 6/12/2020 5645 SIMPLY GREEN OUTDOOR SERVICES LLC DEXTER 5880807A 2,972 6/29/2020 0042 BOFYSIL CONSTRUCTION LLC DIMONDALE 2135361A 750 5/9/2020 5645 DIMONDALE CANOE & KAYAK LLC DIMONDALE 5991986A 948 5/3/2020 6836 HOLISTIC LANDSCAPE INC DIMONDALE 3167607A 2,433 5/22/2020 0042 0.95 SILVERNAIL CONSULTING INC DIMONDALE 5877733A 333 6/18/2020 8742 TECH PAINTING LLC DIMONDALE 5237084A 750 6/15/2020 5476 BRADWAY ENTERPRISES INC DOLLAR BAY 5281997A 3,627 6/18/2020 9015 0.95 WILDWOOD COATING INC DOLLAR BAY 5981816A 1,018 4/3/2020 9501 BOTTOMLINE ACCOUNTING & FINANCE LLC DORR 5874211A 243 6/6/2020 8810 DH LAWN CARE LLC DORR 5557976A 751 5/10/2020 9402 FEIN FABRICATION INC DORR 6008488A 298 6/28/2020 8810 GRATZ ROOF SYSTEMS LLC DORR 2172968A 1,046 5/5/2020 5551 0.95 HILLIARDS CORNER INC DORR 0785970A 1,035 4/10/2020 9058 HOEKSTRA GEORGE BUILDER DORR 3275728A 750 4/2/2020 5645 HUNT RYAN DORR 5994934A 750 5/14/2020 5437 JOES FLOORING & REMODELING DORR 5869650A 750 5/30/2020 5437 VANS LAWN MAINTENANCE LLC DORR 5850967A 611 4/7/2020 9102 WEST COAST BUILDERS & CONSTRUCTORS INC DORR 4933630A 750 6/9/2020 5645 LAKESHORE LEISURE LLC DOUGLAS 5156769A 1,064 6/21/2020 8017 WISHBONE PET RESCUE ALLIANCE INC DOUGLAS 4887450A 1,816 5/13/2020 8831 0.95 A PLACE CALLED HOME IN DOWAGIAC LLC DOWAGIAC 5853877A 681 4/12/2020 9053 CHI ISHOBAK INC DOWAGIAC 5126967A 352 4/13/2020 8810 DIVISION TIRE AND BATTERY INC DOWAGIAC 1812734A 4,301 6/26/2020 8387 0.95 FRYMAN ROOFING CO DOWAGIAC 5270790A 15,405 5/14/2020 5645 1.25 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 48 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HILLTOP TREES DOWAGIAC 5405920A 1,826 5/4/2020 0130 1.00 ILIA INC DOWAGIAC 2138310A 720 6/1/2020 9402 LAFOND SUMMER SHOP LLC DOWAGIAC 0894613A 444 5/24/2020 8017 LOADED BUCKET INC DOWAGIAC 5991277A 3,543 5/22/2020 0005 PRAKLETS PIERS & LIFTS LLC DOWAGIAC 5707293A 2,399 4/21/2020 6400 0.95 QUALITY SEAMLESS GUTTERS DOWAGIAC 0470201A 845 6/12/2020 5538 ROB NORTHROP LOGGING DOWAGIAC 3662535A 750 4/11/2020 2702 TRINITY FRUIT TREES LLC DOWAGIAC 5862019A 1,557 5/4/2020 0130 WRIGHT ALTERNATIVE LAWN SERVICE DOWAGIAC 5862132A 1,126 5/3/2020 5221 ZINC ROOFING INC DOWAGIAC 5398967B 6,299 5/11/2020 5551 0.79 INDEPENDENCE TRUCK REPAIR LLC DRAYTON PLAINS 2100002A 505 6/17/2020 8395 0.95 DRUMMOND ISLAND YACHT HAVEN INC DRUMMOND ISLAND 3468402A 9,781 4/9/2020 6826 0.81 LAKEVIEW RESORT LLC DRUMMOND ISLAND 0972800A 580 6/24/2020 9015 COMPANION CARE SERVICES INC DRYDEN 5990955A 1,197 4/30/2020 8835 NORTHERN CONCRETE CUTTING OF LAPEER INC DRYDEN 3027023A 750 6/13/2020 5215 RAY EVANS AND SONS EXCAVATING LLC DRYDEN 2813343A 750 5/7/2020 6217 WELLS PEST CONTROL LLC DRYDEN 5985218A 885 4/13/2020 9015 A TO Z HAULZ ALL INC DUNDEE 5569397A 3,362 6/3/2020 7213 0.95 G AND S EXPRESS DUNDEE 5399939A 750 6/27/2020 7208 LAWN TECH SERVICE DUNDEE 4336232A 561 4/2/2020 9102 MIRACLE CONSTRUCTION COMPANY LLC DUNDEE 5878039A 825 6/21/2020 5551 BOTTS DRYWALL AND MORE DURAND 5725534A 1,748 4/27/2020 5445 0.95 FREY AND SONS DURAND 5751705A 757 5/11/2020 5437 JC WELDING DURAND 5278090A 755 6/7/2020 3365 JIMS PIZZA DURAND 1632973A 1,331 5/6/2020 9058 0.95 MICHIGAN CNC TECHNOLOGY INC DURAND 5862418A 299 5/4/2020 8601 MVP HOME SPECIALISTS LLC DURAND 5990815A 750 4/30/2020 5645 NEFF CONSTRUCTION DURAND 5568692A 750 5/2/2020 5437 REGENCY REALTY & PROPERTY MANAGEMENT DURAND 2235900A 580 6/8/2020 9015 INC SF CONSTRUCTION LLC DURAND 5728754A 2,971 4/16/2020 7208 VOORHIES STONEWORK INC DURAND 2167212A 750 6/9/2020 5022 WARREN DAVID A JR DURAND 5990416A 750 4/27/2020 5645 SELLECK ELECTRIC LLC EAGLE 5824958A 1,832 5/2/2020 5190 D AND L OF ST CLAIR INC EAST CHINA 0010812A 333 5/22/2020 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MG HAMMER EAST CHINA 1344919A 1,345 6/13/2020 5645 0.95 HEATHER DOWNS COMMUNITY POOL EAST GRAND RAPIDS 1098411A 720 6/29/2020 9061 ASSOCIATION BIG BEAR DOCK & MARINE SERVICES LLC EAST JORDAN 5863970A 2,153 5/15/2020 6400 CEDAR REST RESORT LLC EAST JORDAN 0790923A 379 6/1/2020 9052 GRIFFIN ROGER EAST JORDAN 2522837A 751 5/16/2020 2702 NEW FENCE OF MICHIGAN LLC EAST JORDAN 5714834A 750 5/9/2020 5645 SUTTON DANIEL EAST JORDAN 6002285A 750 6/7/2020 5645 APHRODITES SECRET LLC EAST LANSING 5420652A 450 5/5/2020 9586 BLUE SKY PAINTING EAST LANSING 4406214A 5,551 4/27/2020 5476 0.95 CARGILL JEANNE EAST LANSING 5849632A 328 5/1/2020 0908 CORBETT CONSTRUCTION COMPANY INC EAST LANSING 1062450A 1,508 5/31/2020 5645 0.95 DOWRICK TODD EAST LANSING 5132517A 581 5/8/2020 9015 GREENE RENTALS LLC EAST LANSING 5981832A 656 4/3/2020 9015 HOMERUN GROUNDSKEEPING LLC EAST LANSING 5854644A 780 5/16/2020 9102 SEVEN HUNDRED 11 BURCHAM APARTMENTS EAST LANSING 0676918A 580 4/15/2020 5191 LLC SPARTAN SWIM CLUB EAST LANSING 5392888A 963 4/1/2020 9015 SPIELBERG BUILDERS LLC EAST LANSING 1859340A 769 6/25/2020 5190 0.95 SUPERIOR BRASS & ALUMINUM CASTING EAST LANSING 0227633A 33,664 4/1/2020 3085 0.70 COMPANY T KNOX INC EAST LANSING 4253990A 2,488 6/8/2020 9015 UNIVERSITY COMMONS CONDOMINIUM EAST LANSING 5982243A 580 5/1/2020 9015 ASSOCIATION WESTBROOK CONDOMINIUM ASSOCIATION EAST LANSING 2068052A 580 4/25/2020 9015 MDS MANAGEMENT LLC EAST LEROY 5548543A 2,881 4/21/2020 0913 0.95 VOYCES ELEVATOR INC EAST LEROY 0325341A 3,800 6/15/2020 8304 0.93 BESSEY INC EAST TAWAS 4867521A 12,212 5/5/2020 7208 0.82 RUDEL JAMES EAST TAWAS 2723140A 2,881 5/25/2020 0042 ARIES BUILDING MAINTENANCE EASTPOINTE 3731987A 580 6/7/2020 9015 BOOS HOME IMPROVEMENT EASTPOINTE 4050460A 750 5/29/2020 5645 COURT VIEW GARDENS INC EASTPOINTE 4069293A 998 5/13/2020 9015 EASTPOINTE PIZZERIA INC EASTPOINTE 5713889B 2,846 5/9/2020 9058 0.95 FPS STAFFING LLC EASTPOINTE 5995922A 3,402 5/16/2020 9015 J R PAINTING LLC EASTPOINTE 3505537A 2,655 6/15/2020 5476 0.95 JEN J CONSTRUCTION EASTPOINTE 4120990A 800 4/9/2020 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JM RESTORATION LLC EASTPOINTE 5875021A 750 6/20/2020 5437 KENNEDY WHOLESALE INC EASTPOINTE 5854407A 583 5/16/2020 8810 MICHAEL BALASH REPAIRS LLC EASTPOINTE 5254663A 580 4/14/2020 9015 N E HOME IMPROVEMENT LLC EASTPOINTE 6000690A 1,732 6/3/2020 5437 ON POINT CONSTRUCTION & DEVELOPMENT EASTPOINTE 5721431A 4,357 6/2/2020 5551 0.95 OPEN DOOR LIVING SERVICES LLC EASTPOINTE 5138736A 533 4/27/2020 8832 PMKS CONSTRUCTION EASTPOINTE 5995124A 750 5/14/2020 5645 RANDYS TOWING SERVICE LLC EASTPOINTE 5264286A 825 4/23/2020 7208 SONG CORPORATION EASTPOINTE 5749360A 362 6/22/2020 8008 TUBBEN JORDAN EASTPOINTE 6004520A 750 6/17/2020 5645 TWO BROTHERS EXTERIORS EASTPOINTE 6000991A 1,120 6/4/2020 5551 WEBBER BRIAN S EASTPOINTE 4565444A 750 4/6/2020 5645 WOOD FLOOR STORE COMPANY INC EASTPOINTE 0587990A 779 6/7/2020 5437 ADAMS BUILDERS EATON RAPIDS 5721407A 5,344 6/2/2020 5403 0.95 CHARLES GATLIN BUILDERS EATON RAPIDS 1226630A 750 6/13/2020 5645 COLORING AND COVERINGS OF MICHIGAN LLC EATON RAPIDS 5698340A 557 4/4/2020 9521 HOME WRECKERS CONSTRUCTION CO EATON RAPIDS 3804569A 800 5/25/2020 5645 J BURGESS BUILDERS LLC EATON RAPIDS 5265487A 2,409 4/26/2020 5645 0.95 M AND M OUTDOOR SERVICES LLC EATON RAPIDS 5125510A 4,844 6/29/2020 0106 0.95 M T BELL EXCAVATING & DIRT WORKS INC EATON RAPIDS 0875422A 1,014 5/18/2020 6217 0.95 MORRIS IVAN EATON RAPIDS 5998840A 750 6/1/2020 5645 OLD MILL FURNITURE LLC EATON RAPIDS 5236452A 1,141 6/8/2020 8044 0.95 NICK FRYMAN CONSTRUCTION EAU CLAIRE 5563100A 8,347 6/1/2020 5645 0.94 SCOTT JASON EAU CLAIRE 5553660A 750 4/29/2020 5645 JOSE R ZAVALA CARPET INSTALLER LLC ECORSE 5988454A 1,015 4/23/2020 9521 MICHIGAN AMMO LLC ECORSE 1635980A 3,217 4/29/2020 3628 0.95 NICK AND JOSE JANITORIAL SERVICES LLC ECORSE 5134129A 1,244 6/20/2020 9015 0.95 PARDEN AND SONS HOME IMPROVEMENTS ECORSE 4357612A 750 5/5/2020 5645 RIVAS JOSE ANTONIO ECORSE 5998557A 750 5/23/2020 5645 BULLINS ENTERPRISES EDEN, NC 6008186A 2,956 6/28/2020 5038 FASTEMPS II INC EDEN PRAIRIE, MN 2864355A 5,289 5/27/2020 8835 0.95 EDENVILLE MARKET INC EDENVILLE 0474959A 6,170 5/1/2020 8033 0.95 APIARIES AND ORCHARD FORKLIFT INC EDMORE 1515543A 1,594 6/1/2020 8395 0.95 JD BEARD CONSTRUCTION LLC EDMORE 5856175A 750 4/19/2020 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EDWARDSBURG FIRE DEPARTMENT JOINT FIRE EDWARDSBURG 0920410A 1,721 5/1/2020 7704 0.95 BOARD HARRIS APPRAISAL SERVICES LLC EDWARDSBURG 5853885A 346 4/12/2020 8720 KWH APPRAISAL SERVICES LLC EDWARDSBURG 5862191A 346 5/4/2020 8720 PREMIER LACROSSE LEAGUE INC EL SEGUNDO, CA 5998654A 1,097 4/6/2020 9015 GILMORE TOWNSHIP ELBERTA 1026011A 376 5/20/2020 9410 ALEUTIAN STAR CORPORATION ELK RAPIDS 0515647A 2,612 5/8/2020 3085 0.95 WATERSIDE PROPERTIES LLC ELK RAPIDS 4929861A 236 5/22/2020 8810 WIEDERHOLD SALES & SERVICE LLC ELKTON 0153729A 481 6/27/2020 8393 FIREWORKS DEPOT INC ELLSWORTH, WI 5257166A 478 4/7/2020 8742 SAY NORTH LLC ELMHURST, IL 1693182A 534 6/2/2020 9058 OLDS LOGGING AND FIREWOOD SALES LLC ELMIRA 6000061A 4,067 5/30/2020 2709 FABUS COMMUNICATIONS LLC ELSIE 4544501A 750 5/24/2020 7600 PRO SURFACES ELSIE 4101197A 1,388 6/8/2020 5221 0.95 B AND B DISTRIBUTORS LLC ELYRIA, OH 4335082A 361 4/17/2020 8742 ROOSE CONTRACTING EMMETT 5708230A 556 6/12/2020 5190 EDGEWATER CONCRETE SOLUTIONS LLC EMPIRE 4858174A 825 5/31/2020 5022 SLEEPING BEAR SOUND LLC EMPIRE 5982138A 501 4/25/2020 5191 KALNBACH SUSTAINABLE FORESTRY LLC ENGADINE 4902980A 750 6/16/2020 2702 OCKO FARMS ENGADINE 2861585A 750 6/24/2020 6217 ROBARGE TRUCKING LLC ENGADINE 5256950A 750 4/3/2020 7208 MR JR HOLDINGS INC ENGLEWOOD, CO 6008542A 331 6/28/2020 8810 PREMIER DRIVING ACADEMY INC ENGLEWOOD, FL 3694810A 1,763 5/10/2020 8868 0.95 BLAIR FISH COMPANY LLC ERIE 3611728A 8,822 5/15/2020 0034 0.83 ADS SEAMLESS GUTTERS & MORE LLC ESCANABA 4220250A 3,283 5/12/2020 5645 0.95 ANNA MARIE BOWLING IRREVOCABLE TRUST ESCANABA 3924416A 1,628 5/13/2020 0908 0.95 BACH MOBILITIES INC ESCANABA 2549522A 2,140 5/10/2020 9519 0.95 CAPPEART TRUCKING ESCANABA 5992079A 750 5/4/2020 7219 ESKY INC ESCANABA 1177311A 404 6/17/2020 9058 GREGORY SCHULTZ MARINE SERVICES LLC ESCANABA 5995809A 692 5/16/2020 3724 GREGS ROOFING & SIDING INC ESCANABA 4754298A 6,500 5/25/2020 5551 0.91 HIAWATHA HEATING AND COOLING LLC ESCANABA 5819679A 650 6/25/2020 5550 HIGH PEAKS PAINTING LLC ESCANABA 4979362A 9,453 4/19/2020 5038 0.91 JOHN CHARLES TRUCKING INC ESCANABA 4808355A 800 5/23/2020 7208 LABUMBARD MARTIN ESCANABA 2777304A 750 6/2/2020 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LIL ANNA EXPRESS LLC ESCANABA 5999952A 750 5/29/2020 7208 MARK NELSON CONSTRUCTION ESCANABA 2602393A 2,320 6/19/2020 5403 0.95 OUR PLACE COMMUNITY CENTER ESCANABA 4408810A 542 5/28/2020 9063 PAMS PETALS LLC ESCANABA 5716560A 657 5/17/2020 8001 RT MANUFACTURING INC ESCANABA 3920984A 259 4/30/2020 8810 SHESKI FOREST PRODUCTS ESCANABA 2501210A 750 6/12/2020 2709 VANENKEVORT TUG AND BARGE INC ESCANABA 2998858A 4,964 5/9/2020 8387 0.88 JIMMYS TREE SERVICE ESSEXVILLE 5856256A 2,274 4/19/2020 0106 0.95 M AND D HOME IMPROVEMENT LLC ESSEXVILLE 4594363A 750 5/20/2020 5645 ROCK GATE CAPITAL LLC EVANSTON, IL 5501229A 2,112 5/1/2020 8868 0.95 ATTITUDE WELLNESS LLC EVART 5996430A 24,077 5/17/2020 0035 CAMPBELL EXCAVATING INC EVART 3033252A 750 4/24/2020 6217 HYLAND TREE LLC EVART 5288940A 2,794 4/23/2020 0042 0.95 OSCEOLA 4 H AND FFA FAIR EVART 2262010A 1,823 4/1/2020 9015 0.95 WAGNER TRUCKING LLC EWEN 5555728A 750 5/5/2020 7208 WILMES JOHN EWEN 5702925A 561 6/22/2020 9102 WOLFES EXCAVATING EWEN 2784114A 750 5/3/2020 6217 ANCHOR BAY COOPERATIVE NURSERY INC FAIR HAVEN 5848210A 293 4/2/2020 8868 BEAR EQUIPMENT CO INC FAIRHAVEN 5703484A 2,824 4/14/2020 8107 0.94 LARRISON PHILLIP FAIRVIEW 3730069A 750 6/27/2020 2702 MT LOGGING LLC FAIRVIEW 2811529A 750 4/11/2020 2702 SMART GRID SOLUTIONS LLC FAIRVIEW 3274179A 290 5/17/2020 8601 WEAVER STEPHEN FAIRVIEW 6004717A 750 6/17/2020 2702 AA 1 HOSKINS TREE SERVICE INC FARMINGTON 2412268A 750 5/5/2020 0042 0.95 BUSINESS BENEFITS RESOURCE LLC FARMINGTON 5157781A 278 6/20/2020 8742 ELITE HUMAN RESOURCE INC FARMINGTON 3169472A 1,100 5/13/2020 9015 0.95 ERIC W PERRY PHOTOGRAPHY LTD FARMINGTON 3789080A 311 4/15/2020 4361 GLO GOLF LTD FARMINGTON 5985331B 808 6/7/2020 8017 HANDYPRO INTERNATIONAL LLC FARMINGTON 4836219A 1,133 4/18/2020 5403 HMG GROUP LLC FARMINGTON 1699660A 260 4/27/2020 8742 HUCKLEBERRY BUILDING LLC FARMINGTON 5698545A 3,660 4/18/2020 5645 0.95 MARTIN ZEMANSKI GROUP LLC FARMINGTON 3055680A 584 5/24/2020 5183 MCDONALD FRANCIS E FARMINGTON 5991331A 531 5/1/2020 0908 MIKE N CONSTRUCTION FARMINGTON 5869919A 750 5/30/2020 5551 R GRAHAM CONSTRUCTION LLC FARMINGTON 4634004A 15,345 4/8/2020 5645 0.97 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 53 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STAND WITH TRANS FARMINGTON 5990432A 292 5/21/2020 8810 A 1 MASONRY LLC FARMINGTON HILLS 4114876A 801 6/26/2020 5022 ACTIVE TILE LLC FARMINGTON HILLS 6001955A 750 6/6/2020 5348 ADVANCE HOME INSPECTION INC FARMINGTON HILLS 0462870A 718 5/11/2020 8720 1.00 ALB CUSTOM PAINTING AND REMODELING LLC FARMINGTON HILLS 4289633A 750 4/4/2020 5476 ALBK PAINTING FARMINGTON HILLS 5982952A 750 4/6/2020 5476 ANGELOS TREE SERVICE FARMINGTON HILLS 5992885A 1,021 5/7/2020 0106 AUTOMATION ELECTRIC CONTROLS INC FARMINGTON HILLS 0505471A 556 6/14/2020 5190 BEAR BUILDERS OF MICHIGAN LLC FARMINGTON HILLS 5990467A 1,593 6/1/2020 5437 BLACK SEDAN LLC FARMINGTON HILLS 5048397A 1,532 4/22/2020 7610 0.95 CALL ON HIM CONSTRUCTION LLC FARMINGTON HILLS 2687828A 801 4/11/2020 5550 CAMBRIDGE COMMONS CONDOMINIUMS FARMINGTON HILLS 4233840A 580 6/10/2020 9015 ASSOCIATION CHEESE STREET LLC FARMINGTON HILLS 5751080A 464 5/20/2020 9058 COSTELS LANDSCAPING FARMINGTON HILLS 5698073A 800 4/1/2020 9402 CREEK RUN ESTATES ASSOCIATION FARMINGTON HILLS 1607006A 580 5/19/2020 9015 CUSTOM BRICK WORK FARMINGTON HILLS 0866954A 1,013 5/1/2020 5022 1.00 DALES CONTRACTING FARMINGTON HILLS 5064350A 750 5/11/2020 5645 DAVID T WUJCZYK AND ASSOCIATES LLC FARMINGTON HILLS 5984742A 278 4/12/2020 8810 DIAMOND BUILDING LLC FARMINGTON HILLS 5218012A 3,742 5/8/2020 5403 DIVISION NINE PRODUCTS INC FARMINGTON HILLS 2661020A 831 5/22/2020 5020 0.87 DUNDEE RIDGE HOMEOWNERS ASSOCIATION FARMINGTON HILLS 5980852A 580 4/1/2020 9015 ET CONSTRUCTION INC FARMINGTON HILLS 5870933A 750 5/31/2020 5551 FUSCO CONSTRUCTION LLC FARMINGTON HILLS 5571391A 825 6/11/2020 5551 GRINSELL HOME SERVICES LLC FARMINGTON HILLS 5992389A 750 5/4/2020 5437 H AND I CONSULTING LLC FARMINGTON HILLS 5258685A 1,502 5/1/2020 7202 0.95 HA LOGISTIC INC FARMINGTON HILLS 5708966A 1,093 5/19/2020 7208 0.95 HALL STEVEN FARMINGTON HILLS 6007767A 747 6/26/2020 5606 HARMER MICHAEL FARMINGTON HILLS 3098117A 750 6/20/2020 5645 HIDDEN RIDGE HOMEOWNERS ASSOCIATION FARMINGTON HILLS 4210972A 630 4/9/2020 9015 HIGH QUALITY PROVISIONING CENTER LLC FARMINGTON HILLS 5421420A 565 4/10/2020 8045 INDIVIDUALIZED HOME HEALTH CARE INC FARMINGTON HILLS 5563810A 1,481 6/30/2020 8835 0.95 JEA INC FARMINGTON HILLS 5264570A 750 4/24/2020 5645 JIMS AFFORDABLE TOWING LLC FARMINGTON HILLS 4982665A 750 5/22/2020 7208 KENS TREE SERVICE LLC FARMINGTON HILLS 5136296A 6,818 4/9/2020 0106 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge L AND P CUSTOM BUILDERS LLC FARMINGTON HILLS 5039169A 1,523 6/18/2020 5437 0.95 LABS MART INC FARMINGTON HILLS 5261503A 1,814 4/15/2020 4511 0.95 LEES TREE REMOVAL & LANDSCAPING LLC FARMINGTON HILLS 5154049A 800 6/13/2020 8810 LEGACY EQUITIES LLC FARMINGTON HILLS 5992206A 580 5/22/2020 9015 LISA LANGFORD DDS PC FARMINGTON HILLS 1277375A 384 6/3/2020 8832 MARION JOSHUA FARMINGTON HILLS 6001688A 532 6/8/2020 5190 MATTHEW KELLY CONSTRUCTION INC FARMINGTON HILLS 3028216A 1,951 6/15/2020 5645 0.95 MERRITT STEVEN L FARMINGTON HILLS 3224074A 581 5/1/2020 9015 METRO LAWN CARE LLC FARMINGTON HILLS 2268825A 562 5/2/2020 9102 MICHIGAN MECHANICAL ABATEMENT INC FARMINGTON HILLS 2492229A 10,499 6/30/2020 5183 0.84 MODEL T PLAZA LLC FARMINGTON HILLS 4745515A 630 5/4/2020 8810 MTA 129 INC FARMINGTON HILLS 5992974A 3,101 5/14/2020 9058 NEW WYOMING LEE BEAUTY SUPPLY INC FARMINGTON HILLS 4821130B 535 6/30/2020 8017 OLD ENGLAND MANAGEMENT & REALTY FARMINGTON HILLS 1766244A 235 6/24/2020 8810 0.95 COMPANY ONSITE MANAGEMENT INC FARMINGTON HILLS 3934438A 695 4/17/2020 8810 PROFESSIONAL FINANCIAL ASSOCIATES LLC FARMINGTON HILLS 2380200A 278 4/30/2020 8803 QCN HOME CARE SYSTEMS INC FARMINGTON HILLS 4020561A 1,353 5/6/2020 8835 0.95 RBC PAYROLL SERVICES LLC FARMINGTON HILLS 5289114A 5,229 6/28/2020 3507 1.00 RBD SERVICES LLC FARMINGTON HILLS 4811305A 825 5/25/2020 5645 RIDE WELL CORP FARMINGTON HILLS 5992966A 787 5/7/2020 7212 ROYALWOOD COOPERATIVE APARTMENTS INC FARMINGTON HILLS 3172406A 2,963 4/30/2020 9015 0.95 SHAYA CAROL M AGREEMENT OF TRUST FARMINGTON HILLS 5145392A 946 5/28/2020 0913 0.95 SOUTHEASTERN MICHIGAN ASSOCIATION OF FARMINGTON HILLS 4455061A 266 4/1/2020 8810 FIRE CHIEFS SPECIALTY MAINTENANCE SERVICE FARMINGTON HILLS 3431045A 750 4/9/2020 0042 SUBURBAN REMODELING LLC FARMINGTON HILLS 5124948A 750 4/5/2020 5437 TDP MANAGEMENT INC FARMINGTON HILLS 3814688A 8,004 4/2/2020 9058 0.83 THOMAS A DUKE COMPANY FARMINGTON HILLS 0407127A 580 4/8/2020 9015 TIMBERCREST CONDOMINIUM ASSOCIATION FARMINGTON HILLS 4969367A 810 4/5/2020 9015 UAP FARMINGTON INC FARMINGTON HILLS 5879523A 879 6/21/2020 9058 0.95 UNIVERSAL SOLUTIONS MANAGEMENT LLC FARMINGTON HILLS 4754751A 2,322 4/23/2020 9015 0.95 USA CONSTRUCTION AND PAINTING LLC FARMINGTON HILLS 5988276A 750 4/23/2020 5476 VAPOR CONTROL SOLUTIONS INC FARMINGTON HILLS 5995485A 2,561 5/15/2020 5183 BALDWIN CHRISTOPHER FARWELL 3016110A 750 6/25/2020 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARK OF ALL TRADES LLC FARWELL 5989990A 1,871 4/26/2020 5437 DAVIDSON ROBERT H FELCH 0995371A 750 6/23/2020 2702 GUSTAFSON LOGGING FELCH 3916855A 750 5/7/2020 2709 JIM ANDERSON TIMBER HARVESTING LLC FELCH 5159954A 750 6/26/2020 2709 SMITH ROBERT FELCH 5400937A 750 6/26/2020 2702 ABOVE ALL SEAMLESS GUTTER SYSTEMS LLC FENNVILLE 6006450A 720 6/21/2020 5538 FENNVILLE AREA FIRE DEPARTMENT FENNVILLE 2144450A 2,389 4/22/2020 7904 0.95 JAMES BUILDING GROUP LLC FENNVILLE 3078531A 750 5/26/2020 5550 LONG TRANSPORTATION FENNVILLE 5708680A 800 4/30/2020 7208 VAN DRAGT LAND IMPROVEMENT LLC FENNVILLE 0299073A 750 4/1/2020 6217 A FRESH START FENTON 4686284A 580 6/21/2020 9015 ARCADIA HOMES INC FENTON 5267412A 750 5/3/2020 5645 BHI HOME IMPROVEMENTS LLC FENTON 5577691A 750 6/22/2020 5645 BLACK RIVER CONSTRUCTION LLC FENTON 5726344A 5,933 5/14/2020 5437 0.95 CLARKSTON PAINTING COMPANY LLC FENTON 3938816A 751 5/13/2020 5476 CLASSIC HARDWOOD FLOORS LLC FENTON 5127858A 750 5/20/2020 5437 CRAWL TEK REVOLUTION LLC FENTON 5565880A 569 6/2/2020 3400 CULTURED CREATIONS FENTON 4987241A 750 6/25/2020 5022 DYNAMIC TESTING INC FENTON 5564514A 304 5/20/2020 8868 ELITE BUILDERS LLC FENTON 5705290A 825 4/18/2020 5645 EXPERT POOL BUILDERS LLC FENTON 5016150A 2,609 6/11/2020 5223 0.95 FERGUSON LAWN AND TREE SERVICE FENTON 2050781A 751 5/27/2020 0042 GEN OAKS ENTERPRISES II INC FENTON 1252119A 1,600 5/11/2020 5645 GILTROP GRASS & LANDSCAPE LLC FENTON 5982103A 787 4/4/2020 0042 HANKS TRENCHING SERVICE FENTON 1082515A 750 4/15/2020 6217 0.95 HOLTSLANDER AND SONS TREE SERVICE LLC FENTON 5542464A 3,250 4/6/2020 0106 1.00 IDA SERVICES LLC FENTON 5732883A 8,897 4/24/2020 5645 KEEN CONTRACTING LLC FENTON 5992508A 6,035 5/4/2020 5645 KEM AND ASSOCIATES INC FENTON 2228955A 750 5/23/2020 5437 0.95 LAKE AND LAND CUSTOM HOMES LLC FENTON 5548624A 343 4/20/2020 5606 LAURICELLA PAINTING LLC FENTON 4189124A 2,620 5/16/2020 5476 0.95 M AND M CONSTRUCTION SERVICES INC FENTON 4746368A 1,695 6/16/2020 5551 0.95 MARGIS DANIEL FENTON 5862272A 800 5/4/2020 5645 MASONRY SOLUTIONS INC FENTON 3948404A 750 4/18/2020 5022 MASTER BUILDERS SUPPLY INC FENTON 1471821A 750 4/3/2020 5160 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 56 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MCK TOOL LLC FENTON 5564379A 322 5/20/2020 8742 MEDICAL RESOURCES LLC FENTON 2878194A 374 4/30/2020 8832 MGM MASONRY INC FENTON 3408094A 750 4/19/2020 5022 MID MICHIGAN CRUSHING & RECYCLING LLC FENTON 4486463A 28,863 6/30/2020 1624 1.30 NELSON LIQUID DRIVE LLC FENTON 0341800A 4,240 5/13/2020 3612 0.92 PEST DOCTOR INC THE FENTON 5856183A 1,775 5/22/2020 9015 PIPETTE PROS LLC FENTON 6005381A 409 6/19/2020 3685 QUALITY OVER QUANTITY INC FENTON 5672139A 750 5/4/2020 5476 SEAN HALLS LAWN CARE FENTON 5864259A 562 5/12/2020 9102 TRUCKING BY WOLF BROTHERS INC FENTON 3208389A 750 6/7/2020 7208 TRUE NORTH CONSCIOUS CONSTRUCTION LLC FENTON 0058920A 800 4/23/2020 5403 VAUTER SCOTT FENTON 4074297A 680 5/30/2020 9521 YOUNGER LINDSEY E FENTON 5985595A 216 4/22/2020 8810 CREEKSIDE DUMPSTERS LLC FENWICK 2689073A 2,938 6/11/2020 7213 TORRES CARPENTERS LLC FENWICK 5586968A 750 4/19/2020 5645 BROTHERS RENOVATIONS LLC FERNDALE 5655420A 284 4/10/2020 8810 CLEANWELL TECHNOLOGIES LLC FERNDALE 5929768A 6,140 5/29/2020 1322 COMMUNITY ARBORIST INC FERNDALE 4233484A 3,230 4/14/2020 0106 0.95 CONREST INC FERNDALE 3165191A 655 5/11/2020 9015 0.95 D AND D RECRUIT US INC FERNDALE 5859891A 30,881 5/8/2020 3146 DETROIT NAME PLATE ETCHING INC FERNDALE 0200905A 469 5/1/2020 3132 HARTEAU INC FERNDALE 5405556A 312 5/16/2020 5191 K TEC SYSTEMS INC FERNDALE 5144817A 1,781 5/20/2020 3179 NEW BEGINNINGS INVESTMENT LLC FERNDALE 5706270A 765 4/18/2020 9521 RENNER BROS CONSTRUCTION INC FERNDALE 4133277A 3,928 4/27/2020 5645 0.89 SALINE SPRINKLER LLC FERNDALE 5994608A 1,432 5/11/2020 5183 ST MICHAELS MEDIA INC FERNDALE 4989112A 1,370 5/25/2020 8810 1.05 TOWSER TOWING SERVICE LLC FERNDALE 5490057A 2,241 5/31/2020 7208 0.95 WINDOWS FULL OF LIGHT LLC FERNDALE 5723760A 581 6/13/2020 9015 ALL AMERICAN GENERAL SERVICES LLC FIFE LAKE 5985374A 496 4/26/2020 7720 COLLINS DENT WERKS LLC FIFE LAKE 4675045A 538 6/16/2020 8387 DOUBLE U FARMS LLC FIFE LAKE 4413628A 750 5/18/2020 2702 TWF SERVICES LLC FIFE LAKE 6001882A 750 6/6/2020 0042 PHOENIX STAFFING LLC FINDLAY, OH 5574390A 12,764 6/13/2020 3076 0.91 ASH CONSTRUCTION LLC FLAT ROCK 5998190A 3,386 5/22/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 57 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge B B D CONTRACTING LLC FLAT ROCK 4921720A 800 4/6/2020 5645 0.92 CARLOS THE GRANITE GUY INC FLAT ROCK 5991587A 1,459 5/2/2020 5348 HOME SOURCE PROPERTY MANAGEMENT INC FLAT ROCK 4340329A 582 4/27/2020 8810 LANDLORD NATION INCORPORATED FLAT ROCK 4471954A 1,068 4/4/2020 9015 MARSO CHEMICAL LLC FLAT ROCK 3822478A 2,453 5/8/2020 3724 0.95 NORTH AMERICAN INDUSTRIAL LLC FLAT ROCK 4320549A 1,270 5/1/2020 3724 0.95 P N J CLEANING LLC FLAT ROCK 5286484A 1,152 6/1/2020 9015 1.00 PEACEPIPE TRUCKING FLAT ROCK 3962873A 750 4/12/2020 7208 PFEIFFER EXTERIOR SOLUTIONS INC FLAT ROCK 5982316A 825 4/3/2020 5645 X CEL INDUSTRIAL SERVICES LLC FLAT ROCK 6005829A 991 6/23/2020 3724 A AND S & SONS HEATING INCORPORATED FLINT 0137294A 1,454 4/28/2020 5550 1.00 A R W PRO SOLUTIONS INC FLINT 5720192A 750 4/23/2020 5645 AARONS ROOFING FLINT 4068068A 750 6/2/2020 5551 ABLETECH INDUSTRIES LLC FLINT 5289165A 405 5/15/2020 8601 0.95 ADVANCED EXTERIOR SOLUTIONS & REPAIRS FLINT 4646398A 750 6/13/2020 5551 AIM TO PLEASE HOME CARE INC FLINT 5708931A 1,327 5/1/2020 9053 ALFORDS TRUCKING INC FLINT 2216043A 825 6/21/2020 7208 ALL STAR CONSTRUCTION FLINT 5186390A 1,367 4/19/2020 5645 ATTIC RENEW INC FLINT 5980780A 2,488 4/3/2020 9015 BMIUS LLC FLINT 4465202A 389 4/19/2020 7422 BOYLE CONSTRUCTION FLINT 4982436A 750 5/5/2020 5645 BUILDING STRONG WOMEN INC FLINT 5623634A 2,395 4/9/2020 9052 CALS MARATHON LLC FLINT 5462525A 489 5/10/2020 8017 CARRIAGE COMMONS CONDOMINIUM FLINT 5854350A 580 4/15/2020 9015 ASSOCIATION COAST TO COAST WIRELESS INC FLINT 5380944A 431 5/17/2020 8017 CREATIVE HAIR SCHOOL OF COSMETOLOGY INC FLINT 5714630A 291 5/10/2020 8868 D AND W AUTO PARTS INC FLINT 1906917A 4,485 4/10/2020 8010 0.90 DEARING HOMES LLC FLINT 4586077A 2,178 4/1/2020 9053 0.95 DEMOTT JON FLINT 5987610A 750 4/19/2020 5645 DL KUSKY SERVICES LLC FLINT 6003869A 219 6/13/2020 8810 DUPREY RENEE FLINT 5704731A 333 4/18/2020 9058 E AND E INVESTMENTS INC FLINT 1400762A 739 6/14/2020 8387 0.95 EVANS HOME IMPROVEMENT FLINT 3778819A 750 4/13/2020 5551 FIRST APPEARANCE PLLC FLINT 5977347A 211 4/1/2020 8820

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FIRST CHOICE RECYCLING FLINT 5707129A 3,991 4/23/2020 8264 0.95 FOUR SEASONS RESTORATION FLINT 4322460A 798 4/12/2020 5610 FRANKENMUTH DRIVING SCHOOL INC FLINT 5407044A 256 5/22/2020 8868 GEORGE CALDWELL FLINT 1045199A 750 5/15/2020 5645 GRANITE IMPACT FLINT 4742265A 750 6/18/2020 5645 GREEN REFLECTIONS LLC FLINT 5549965A 921 4/22/2020 9102 0.95 GROVES AND COMPANY INC FLINT 0098132A 1,111 4/1/2020 8264 GWB TRANSPORT INC FLINT 3007871A 800 4/8/2020 7208 HEATHERCREST AFC FLINT 5040396A 498 6/17/2020 9053 HJC MANAGEMENT LLC FLINT 5307309A 5,297 5/30/2020 5645 0.95 JB CABLE CONTRACTING FLINT 5719372A 800 6/10/2020 7600 JOSES PAINTING FLINT 6007759A 750 6/26/2020 5476 JULES MARKET INC FLINT 1139428A 754 5/27/2020 8033 LAMIELLE INSTALLATION LLC FLINT 5114870A 750 4/24/2020 5645 0.95 LOCKHART ROOFING FLINT 4072634A 1,735 5/20/2020 9015 0.95 MIKES USED CARS INC FLINT 5133610A 1,052 5/7/2020 8748 MRACINE PAINTING AND COATINGS LLC FLINT 6004180A 800 6/14/2020 5476 NEXT LEVEL WELLNESS LLC FLINT 5970881A 3,405 4/2/2020 0035 ORION BUILDERS OF GENESEE COUNTY INC FLINT 5542235A 750 4/6/2020 5437 PEPPERMINT LOUNGE INC FLINT 0501883A 446 5/9/2020 9058 PEPPERWOOD ASSOCIATION FLINT 4519736A 580 4/12/2020 9015 PHILLIPS PORTABLE WELDING FLINT 5852706A 1,001 4/11/2020 3365 PRO SIDE EXTERIORS LLC FLINT 5989639A 800 4/29/2020 5645 QUALITY PRO PAINTERS LLC FLINT 6004229A 750 6/15/2020 5476 RCH ENTERPRISES INC FLINT 5280028A 561 6/12/2020 9102 REFLECTIONS BUILDING SERVICES CORP FLINT 4392060A 916 5/4/2020 9015 0.95 RESEARCH AMERINET INC FLINT 4218078A 828 5/22/2020 8810 SECURITY PLUS FLINT 1414410A 481 5/13/2020 5190 SHAWNS ROOFING AND SIDING FLINT 5294649A 5,015 4/22/2020 5551 SHERMAN AND SONS CONSTRUCTION LLC FLINT 5702186A 750 5/1/2020 5551 SMITH CHRISTOPHER FLINT 6004563A 750 6/15/2020 5476 SOLOMON AND SON SHEET METAL COMPANY FLINT 0194506A 1,380 4/30/2020 5538 0.95 SPARK FIBER LLC FLINT 5573912A 750 6/10/2020 8742 STELLAR BUILDING AND CONSTRUCTION LLC FLINT 5046246A 825 6/1/2020 5645 1.38 13 % TIMBER RIDGE VILLAGE LLC FLINT 4511433A 580 5/1/2020 9015 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 59 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TRIPOINT AUTO MALL INC FLINT 5588022A 332 6/23/2020 8748 VERNDALE CONDOMINIUM OWNERS FLINT 1514270A 580 5/17/2020 8810 ASSOCIATION VICTORIA PARK CONDOMINIUM ASSOCIATION FLINT 3793974A 580 4/1/2020 9015 WINDOWS DOORS & MORE BY DON FLINT 4062604A 1,087 6/27/2020 5645 0.95 YOUR CHOICE RESTORATION INC FLINT 4897412A 753 5/17/2020 5476 CLEANUP MAN LLC FLUSHING 5834554A 580 4/9/2020 9015 HERWEYER CONSULTING FLUSHING 6008402A 382 6/28/2020 8601 K SAT COMMUNICATIONS FLUSHING 1791931A 361 6/24/2020 5191 LUCY HAM GROUP INC FLUSHING 3907309A 216 4/7/2020 8810 MAGIC CARPET & CUSTOM RUG SERVICE FLUSHING 1866249A 910 6/13/2020 9521 0.95 MICHIGAN HOME IMPROVEMENTS LLC FLUSHING 5192234A 2,713 4/16/2020 5348 0.94 MILANOS PIZZA INC FLUSHING 5995108A 10,748 5/14/2020 9058 MOONWALK MAN FLUSHING 5861136A 826 5/15/2020 5538 QUIGLEY JEFFREY FLUSHING 5998069A 216 5/22/2020 8810 STAYTON RICHARD FLUSHING 3539687A 750 4/23/2020 5645 STRICTLAND HOMES INC FLUSHING 3206033A 750 6/13/2020 5645 STUTZMAN BUILDERS INC FLUSHING 3279782A 750 5/27/2020 5645 T AND F COMPANY INC FLUSHING 3558720A 825 4/28/2020 5437 TREE HOUSE CONSTRUCTION LLC FLUSHING 4334086A 750 5/31/2020 5645 FRANK YOUNG CONSTRUCTION FORT GRATIOT 4919459A 750 6/12/2020 5645 JC MASONRY FORT GRATIOT 2784793A 750 5/21/2020 5221 S AND L SERVICES LLC FORT GRATIOT 5993229A 750 5/8/2020 6217 SCHULTZ ROOFING CORP FORT GRATIOT 5988233A 800 4/23/2020 5551 TRS INTERNATIONAL SERVICE GROUP LLC FORT LAUDERDALE, FL 4627687A 362 5/16/2020 8810 AMERICAN EAGLE SUPERSTORE INC FORT MILL, SC 2081059A 8,063 6/25/2020 8010 0.81 SMITH RESIDENTIAL LLC FORT MYERS BEACH, FL 5282292A 580 6/28/2020 9015 BERNIES TEAM LLC FORT WORTH, TX 5556295A 1,527 4/23/2020 8601 0.95 CARLSON RODNEY JR FOSTER CITY 4406150A 751 6/1/2020 6217 MURRAY AUGUST FOSTER CITY 5414229A 750 6/16/2020 2702 TRI TOWNSHIP AMBULANCE AUTHORITY FOSTER CITY 4733665A 936 6/11/2020 7380 ROWBOTHAM JEFFERY FOSTORIA 5406447A 750 5/20/2020 5437 J K FRAMING LLC FOWLER 5555604A 825 5/4/2020 5645 M R W ENTERPRISES LLC FOWLER 5555590A 1,712 5/4/2020 5645 0.95 AMERICAN REC SERVICES LLC FOWLERVILLE 5979897A 8,054 4/1/2020 5183

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AQUA GUARD COMMERCIAL POOL SERVICES LLC FOWLERVILLE 5564336A 580 5/19/2020 9015 ARK FOUNDATION REPAIR & WATERPROOFING FOWLERVILLE 4886356A 2,695 4/26/2020 5183 0.95 LLC CONCRETE FORMWORK MANAGEMENT FOWLERVILLE 5998603A 750 5/23/2020 5213 SOLUTIONS DCL CUSTOM MASONRY LLC FOWLERVILLE 5775655A 750 6/6/2020 5221 KARNA CONSTRUCTION FOWLERVILLE 1401831A 750 5/14/2020 5437 MUNSELLS POULTRY PROCESSING LLC FOWLERVILLE 4880943A 2,679 6/22/2020 0034 0.95 PEDALE TROLLEY LLC FRANKENMUTH 5716764A 1,152 5/17/2020 9015 WAP MOTORS INC FRANKENMUTH 5750075A 1,118 5/23/2020 8387 BRIGHT REMODELING & CONSTRUCTION LLC FRANKFORT 5999600A 750 5/25/2020 5645 CUSTOM CONSTRUCTION CONSULTANTS LLC FRANKFORT 3808521A 750 5/12/2020 5645 BRODY RHEA FRANKLIN 0752339A 1,263 5/22/2020 0913 0.95 FITNESS DRIVEN LLC FRANKLIN 4867742A 1,634 5/6/2020 9063 0.95 FRS PARTNERS LLC FRANKLIN 5815282A 1,920 6/6/2020 7380 GUTMAN STEPHEN L FRANKLIN 1703862A 328 6/20/2020 0908 MANNING MERVYN H FRANKLIN 1272330A 328 6/25/2020 0908 RAIN DANCER LLC FRANKLIN 3920569A 802 5/4/2020 5183 0.95 SEID ENTERPRISES LLC FRANKLIN 5610265A 622 6/17/2020 8387 WIENER JUDITH R FRANKLIN 4994264A 328 6/15/2020 0908 A B RUSGO INC FRASER 1337408A 874 4/25/2020 8810 0.95 APPLIED ROOFING TECHNOLOGIES INC FRASER 1161245A 1,424 4/21/2020 5551 0.95 CONTRACTING SERVICES OF MICHIGAN INC FRASER 2517744A 970 5/5/2020 5221 ICON HOME IMPROVEMENTS FRASER 5980836A 6,501 4/1/2020 5645 JAWORSKI CUSTOM PAINTING FRASER 4010299A 750 6/8/2020 5476 LANE DEVELOPMENT INC FRASER 1848127A 800 5/18/2020 5645 M B COLONIAL FENCE FRASER 5711118A 750 5/8/2020 5645 MACOMB HOME IMPROVEMENT INC FRASER 3318079A 750 5/3/2020 5538 0.95 RUBBER BABY ROOFING INC FRASER 0401463A 6,400 4/16/2020 5552 0.93 UNIVERSAL AUTO RECOVERY INC FRASER 1518305A 3,861 6/5/2020 7720 0.95 VESTA HOMES INC FRASER 5271851A 750 5/17/2020 5437 W 2 GRAPHICS SPECIALISTS LLC FRASER 4595866A 415 4/14/2020 4299 ZI ENTERPRISES INC FRASER 3097218A 992 6/24/2020 8017 0.95 SHAWN THOMAS TREE SERVICE INC FREDERIC 2808030A 3,541 5/21/2020 0106 0.95 LYNCHNUTS INC FREEHOLD, NJ 4989538A 798 4/4/2020 9156

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ACCURATE RECOVERY OF MICHIGAN LLC FREELAND 3600394A 958 5/10/2020 7720 ALL STARR POWERWASHING LLC FREELAND 5120802A 581 4/5/2020 9015 COBBLESTONE COMMERCIAL CONSTRUCTION FREELAND 5721636A 343 6/1/2020 5606 LLC MCKEITH CONSTRUCTION FREELAND 3302644A 801 6/20/2020 5022 0.95 MID STATE LIQUIDATORS LLC FREELAND 3600009A 1,184 6/29/2020 7720 1.00 PROFESSIONAL PROPERTY CONSULTING LLC FREELAND 4398238A 4,049 5/17/2020 9015 0.90 WINDY ACRES KENNELS LLC FREELAND 2588919A 384 4/9/2020 8831 FREEPORT ENTERPRISES INC FREEPORT 1013114A 12,375 4/1/2020 7208 0.84 FREEPORT RURAL FIRE ASSOCIATION FREEPORT 0945382A 842 6/29/2020 7904 0.95 ADVANCE SURVEY PC FREMONT 2147114A 240 5/14/2020 8601 CART RIGHT LLC FREMONT 4363493A 1,348 6/26/2020 7218 0.95 KOZY KORNERS LLC FREMONT 5381622A 677 4/15/2020 8869 WAINRIGHT PAINTING FREMONT 4266757A 825 4/30/2020 5476 WESCOTT CHARLES FRIEND, NE 5406188A 750 5/19/2020 7208 ALL STAR GROOMING AND TRAINING LLC FRUITPORT 4562100A 792 4/1/2020 8831 0.95 CONSTRUCTION SPECIAL TEES INC FRUITPORT 3285677A 1,922 5/30/2020 5437 0.95 EQUITY MARINE CONSTRUCTION LLC FRUITPORT 1936786A 1,271 5/1/2020 4000 0.93 TANNER INSTALLATIONS LLC FRUITPORT 5462240A 2,571 4/18/2020 3724 D AND M TREE SERVICE LLC GAINES 4640616A 2,541 5/4/2020 0106 0.95 FINAL CLEAN UP LLC GAINES 4090500A 581 4/27/2020 9015 GB CONCRETE GAINES 3008959A 750 4/21/2020 5221 ON THE LEVEL INC GAINES 4240839A 751 5/19/2020 5221 0.95 FAMILY FUN TYME AMUSEMENTS LLC GALESBURG 2443198A 667 4/1/2020 9015 TREE REX LLC GALESBURG 5868084A 2,694 6/14/2020 8279 PAYNES EXCAVATING LLC GALIEN 5982456A 2,460 4/2/2020 6217 R AND R TIMBER PRODUCTS GARDEN 2435136A 1,443 4/11/2020 2709 0.95 ADY TRANSPORT INC GARDEN CITY 5403901A 750 5/9/2020 7208 AGAPE CARES INC GARDEN CITY 4339908A 3,900 5/10/2020 9053 0.95 ALL ACCESS EGRESS INC GARDEN CITY 4463676A 800 4/19/2020 5645 ANDREW TREE SERVICE LLC GARDEN CITY 4989023A 11,365 5/25/2020 0106 0.96 C AND J OUTDOOR SERVICES LLC GARDEN CITY 5715504A 800 5/12/2020 0042 GLASSWORKS WINDOW REPAIR GARDEN CITY 2674882A 750 5/2/2020 5645 GOULET CONSTRUCTION INC GARDEN CITY 2775824A 750 6/12/2020 5645 HORTONS TREE SERVICE INC GARDEN CITY 3215903A 13,782 6/28/2020 0106 0.83

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JFN INSTALLATION INC GARDEN CITY 5398770A 769 5/3/2020 5645 0.95 JOHNSON CHARLES GARDEN CITY 6000320A 750 5/30/2020 5645 PETTUS ENTERPRISE LLC GARDEN CITY 5865875A 800 5/18/2020 7208 PICKENS SHAWN GARDEN CITY 3365620A 750 6/10/2020 5462 POWERS TREE SERVICE GARDEN CITY 6008623A 1,226 6/28/2020 0106 RICKS CUSTOM CYCLE LLC GARDEN CITY 5558514A 1,180 4/19/2020 8395 ROWE THOMAS GARDEN CITY 3887596A 825 5/2/2020 5348 UNIQUE FLOORINGS CORP GARDEN CITY 6000568A 973 6/8/2020 9521 ZIELNIK CONSTRUCTION INC GARDEN CITY 3115267A 752 6/4/2020 8810 ALPINE ROOFING INC GAYLORD 3793249A 3,172 5/29/2020 5645 1.00 B K EXCAVATING INC GAYLORD 1982591A 750 5/6/2020 6217 COOK BROTHERS HORSES LLC GAYLORD 5725526A 728 6/20/2020 7212 HIBNER AND SON FOREST PRODUCTS LLC GAYLORD 1797913A 750 5/8/2020 7208 HNL SERVICES LLC GAYLORD 5986982A 750 4/18/2020 7208 MIKES ELECTRIC INC GAYLORD 2626454A 555 6/3/2020 5190 NORTHERN MICHIGAN DRIVING SCHOOL LLC GAYLORD 4006763A 291 4/15/2020 8868 OTSEGO COUNTY ECONOMIC ALLIANCE INC GAYLORD 3922472A 328 4/8/2020 8810 OTSEGO COUNTY UNITED WAY GAYLORD 2745976A 731 6/9/2020 8810 PURE PRECISION LAWN CARE LLC GAYLORD 5393710A 721 4/4/2020 9102 TECH SERVICES INC GAYLORD 0091596A 669 6/11/2020 3724 TIP OF THE MITT CUSTOM GAYLORD 3942716A 750 6/1/2020 5476 0.95 UP NORTH CAMPING LLC GAYLORD 4622464A 631 4/26/2020 9015 VANCO SERVICES GAYLORD 5856051A 580 4/19/2020 9015 DAN C MAINTENANCE LLC GIBRALTAR 5992540A 1,307 5/4/2020 3724 GIBRALTAR BOAT YARD GAS DOCK GIBRALTAR 0796719A 537 5/18/2020 8387 LDC CONSTRUCTION GIBRALTAR 1775316A 630 5/13/2020 9015 TWENTY EIGHT THOUSAND 635 W JEFF INC GIBRALTAR 4315936A 361 4/8/2020 9058 ALASKA WILDLAND ADVENTURES INC GIRDWOOD, AK 4873696A 318 4/19/2020 8810 CM MARENGER TRUCKING GLADSTONE 3754537A 750 6/26/2020 7208 U P CHIMNEY INC GLADSTONE 3812553A 3,628 6/16/2020 5022 1.00 BIERLEIN DENNIS GLADWIN 2029669A 750 4/8/2020 5476 CEDAR FARM LLC GLADWIN 0591220A 2,305 5/1/2020 0129 0.95 FOSTERS SERVICE GLADWIN 3654265A 816 4/18/2020 3365 LAKELIFE MARINA LLC GLADWIN 4750209A 971 5/15/2020 6836 LAKESHORE CONSTRUCTION GLADWIN 4154320A 750 5/8/2020 5645 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 63 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LOYA HOLLY GLADWIN 4903960A 643 6/20/2020 9053 MCCOYS LOGGING GLADWIN 2841860A 750 5/8/2020 2702 MID MICHIGAN FIREWORKS LLC GLADWIN 4753216B 347 5/19/2020 8010 0.95 PATRIOTIC POWERSPORTS LLC GLADWIN 5992923A 710 5/7/2020 8395 FALL STEVE E GLENNIE 1872311A 750 4/5/2020 2702 GRIFF AND SON TREE SERVICE INC GLENNIE 1449265A 3,984 4/26/2020 0106 1.00 JCROWELL IND LLC GLENNIE 5979960A 311 4/9/2020 5191 A AND B LAWNCARE AND LANDSCAPING LLC GOBLES 5399823A 811 4/3/2020 9102 GODS HELPING HANDS GOBLES 0795283A 847 4/5/2020 8868 0.95 RIVER BEND COUNTERTOPS GOBLES 4196341A 750 5/12/2020 1624 TITANS KUSTOMS LLC GOBLES 5845190A 641 6/6/2020 8395 ALLIS BUILDING INC GOODRICH 2269651A 800 5/8/2020 5183 0.95 AQUATIC SERVICES INC GOODRICH 2259486A 4,669 6/2/2020 0005 0.92 BOWMAN OUTDOORS LLC GOODRICH 4615557A 562 5/5/2020 9102 C AND T BRICK CLEANING & CAULKING INC GOODRICH 3802221A 750 4/28/2020 5022 GOODRICH LANDSCAPE CONSTRUCTION LLC GOODRICH 5717582A 750 5/19/2020 0042 J Z ROOFING LLC GOODRICH 5128293A 800 4/23/2020 5551 JUNE BARRY M GOODRICH 2108054A 750 5/23/2020 0128 KOVALICK ROOFING & SIDING COMPANY GOODRICH 4050673A 750 5/15/2020 5645 1.00 R L SLADE CUSTOM HOMES INC GOODRICH 1655574A 12,013 5/7/2020 5645 1.44 13 % SHARPS ROUGH FRAMING LLC GOODRICH 5983525A 750 4/9/2020 5645 SHOEMAKER CONSULTING LLC GOODRICH 6001165A 240 6/4/2020 8601 DAWSON TIRE & WHEEL LLC GOTHENBURG, NE 5563011A 4,373 5/20/2020 8010 BATPRO ANIMAL CONTROL LLC GOWEN 4898737A 927 6/5/2020 5645 NIEDZ REMODELING SERVICES LLC GOWEN 5987172A 750 4/19/2020 5645 CENTRAL INDUSTRIAL ASBESTOS LLC GRAND BLANC 5611385A 1,082 4/6/2020 5183 COMPLETE SUBCONTRACTING LLC GRAND BLANC 4054741A 750 6/15/2020 5645 0.95 COUSINEAU CORY GRAND BLANC 5395100A 750 4/10/2020 5437 CUTTING EDGE CABINETRY GRAND BLANC 3170845A 750 4/18/2020 5645 DIRRELL ANTHONY GRAND BLANC 5990807A 750 5/17/2020 5403 DOMENICK PLLC GRAND BLANC 4360249A 450 6/12/2020 8832 ECONODRY INC GRAND BLANC 3047261A 889 4/8/2020 9015 0.95 ENGINEERED TECHNICAL RECRUITING LLC GRAND BLANC 6008445A 526 6/28/2020 3581 FAST LANE CONSTRUCTION GRAND BLANC 5707617A 9,801 4/22/2020 5645 0.91 FLO RITE LLC GRAND BLANC 5189365A 584 6/15/2020 5183 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 64 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GRACZ CONSTRUCTION GRAND BLANC 3911055A 800 4/15/2020 5645 GRAYS TREE SERVICE INC GRAND BLANC 2788870A 1,544 6/12/2020 0106 0.95 GREG CARTER BUILDERS LLC GRAND BLANC 3484467A 750 4/6/2020 5645 GUTHERIE ROBOTICS INC GRAND BLANC 5263115A 917 4/18/2020 5191 HEALING HANDS NURSING SERVICES LLC GRAND BLANC 5266190A 1,958 4/30/2020 8835 0.95 HOMEZONE IMPROVEMENTS LLC GRAND BLANC 4763793A 2,934 4/9/2020 8742 0.95 INDUSTRY SCOPE LLC GRAND BLANC 3815196A 1,007 6/15/2020 8742 J GRATSCH & ASSOCIATES GRAND BLANC 1902121A 216 6/7/2020 8810 KRIEGER CONSTRUCTION INC GRAND BLANC 3491110A 750 4/5/2020 5437 MERRIT JEFF GRAND BLANC 5863880A 750 5/11/2020 5476 N W A INC GRAND BLANC 5078296A 362 4/14/2020 8810 NOLFF CUSTOM DRYWALL LLC GRAND BLANC 1747630A 750 6/11/2020 5445 PIONEER IMPROVEMENTS GRAND BLANC 0090999A 784 5/22/2020 5645 QUEST HOME IMPROVEMENTS LLC GRAND BLANC 5482089A 750 6/15/2020 5645 REMEDY EXCHANGE INCORPORATED GRAND BLANC 5539366A 664 5/2/2020 8868 ROONEY EDWARD GRAND BLANC 2964538A 753 4/15/2020 8810 SCHAEFER CONSTRUCTION GRAND BLANC 3180301A 750 6/28/2020 5645 WEST CONTROLS INC GRAND BLANC 5052602A 388 5/2/2020 8601 WOODLAND PARK ACADEMY GRAND BLANC 1769600A 4,627 5/29/2020 8868 0.89 ADAM HASS FINE HOMEBUILDING LLC GRAND HAVEN 5383463A 750 4/26/2020 5645 BEECHAM BUILDERS LLC GRAND HAVEN 5544998A 3,594 5/8/2020 5645 0.95 BLACKWELL STABLES LLC GRAND HAVEN 4242971A 2,694 6/28/2020 8279 1.00 BULTHOUSE TRUCKING LLC GRAND HAVEN 5726620A 800 6/24/2020 7208 CB WILSON CONSTRUCTION LLC GRAND HAVEN 5540747A 4,353 4/16/2020 5437 0.94 ESOX ENGINEERING LLC GRAND HAVEN 5130700A 315 4/26/2020 8601 KEYES DRIVING LLC GRAND HAVEN 5873959A 299 6/29/2020 8868 NORTH OTTAWA ROD & GUN CLUB GRAND HAVEN 2801701A 362 6/14/2020 9061 SAFE 2 PLAY LLC GRAND HAVEN 4761235A 1,103 5/3/2020 5146 0.95 THIRD COAST TREE SERVICE LLC GRAND HAVEN 6003923A 801 6/13/2020 0106 TRI CITIES ROOFING & SIDING LLC GRAND HAVEN 3709752A 750 4/15/2020 5551 ABOVE THE TOP ROOFING LLC GRAND JUNCTION 5026571A 5,348 5/1/2020 5551 0.95 GFI ENTERPRISES INC GRAND JUNCTION 1090267A 755 6/21/2020 5645 0.95 UFC TREE CARE LLC GRAND JUNCTION 3899225A 6,852 6/13/2020 0106 0.89 ACTC SERVICES LLC GRAND LEDGE 5864321A 750 5/12/2020 6217 AEROSPACE RISK MANAGEMENT GROUP INC GRAND LEDGE 4437071A 642 4/2/2020 8810 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 65 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ANDRUS BUILDERS GRAND LEDGE 5852196A 2,511 4/10/2020 5645 0.95 AS NEEDED RESOURCES LLC GRAND LEDGE 5875560A 240 6/8/2020 8601 BRANSCUM INSTALLERS OF MICHIGAN LTD GRAND LEDGE 3669700A 800 6/9/2020 5437 BRIDGEWATER SALON & SPA LLC GRAND LEDGE 5575214A 244 6/17/2020 9586 SCHAEFER JACOB A GRAND LEDGE 5284600A 637 6/27/2020 9102 SUNRISE DOUGHNUT CO LLC GRAND MARAIS 5725879A 333 6/21/2020 9058 A Z HIGH QUALITY PAINTING LLC GRAND RAPIDS 5554497A 825 4/30/2020 5476 ADORNO JOSUE MARTINEZ GRAND RAPIDS 5856981A 2,602 5/30/2020 5645 AJZ CONSTRUCTION GRAND RAPIDS 5877806A 3,028 6/19/2020 5221 AL TILE & MARBLE LLC GRAND RAPIDS 3923584A 750 5/11/2020 5348 ALFANOS PIZZA INC GRAND RAPIDS 0220329A 754 5/7/2020 9058 0.95 ALLIED RESIDENTIAL CONSTRUCTION INC GRAND RAPIDS 4341210A 753 6/1/2020 5606 0.95 ANDONI MINELLA GRAND RAPIDS 5849144A 580 4/3/2020 9015 APARICIO RESTORATION & REPAIR LLC GRAND RAPIDS 5279674A 14,316 6/7/2020 5445 0.87 ASBESTOS CONTRACTORS INC GRAND RAPIDS 3860426A 11,096 5/1/2020 5183 0.82 AVALOS CONSTRUCTION GRAND RAPIDS 5721482A 750 6/3/2020 5645 0.95 AVILES ROOFING LLC GRAND RAPIDS 5985544A 10,964 4/17/2020 5551 AWARD WINDOW CLEANING SERVICES INC GRAND RAPIDS 1412639A 2,277 6/23/2020 9015 1.66 13 % BELLA CONSTRUCTION INC GRAND RAPIDS 5126479A 775 5/17/2020 5606 BELMARES ROEL GRAND RAPIDS 5981883A 8,305 4/10/2020 5551 BRANDON GROVE PAINTING GRAND RAPIDS 5711231A 1,160 5/3/2020 5476 BROUWER TREE SERVICE LLC GRAND RAPIDS 0190063A 6,152 6/1/2020 0106 0.89 BRUYN HOMES INC GRAND RAPIDS 3031411A 760 5/14/2020 8810 BULLIT TRANSPORT SERVICES INC GRAND RAPIDS 3355373A 3,070 6/20/2020 7208 0.95 CABIAS GALICIA WILSON GRAND RAPIDS 5998859A 750 5/23/2020 5476 CAMP EAGLES NEST LLC GRAND RAPIDS 5817170A 2,029 4/10/2020 9015 CARIN HANDS 2 LLC GRAND RAPIDS 5830320A 669 4/6/2020 9053 CASPER CONSTRUCTION INC GRAND RAPIDS, MN 5722780A 20,453 6/9/2020 6217 0.90 CHICOS CONSTRUCTION LLC GRAND RAPIDS 5839645A 750 6/25/2020 5551 CHIMNEY SPECIALIST LLC GRAND RAPIDS 4234189A 750 5/7/2020 5022 CHULSKI ELECTRIC GRAND RAPIDS 1951971A 481 6/13/2020 5190 CONTRERAS DELIVERY LLC GRAND RAPIDS 5995744A 1,596 5/16/2020 7202 CURT SHARP CONSULTING LLC GRAND RAPIDS 5981603A 4,900 4/2/2020 7208 CURTISS ANDE GRAND RAPIDS 5721830A 750 6/22/2020 8293 DASH BROTHERS CARPENTRY LLC GRAND RAPIDS 5201748A 750 5/7/2020 5437 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 66 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DEGRAAF DAVID GRAND RAPIDS 4225210A 750 5/31/2020 5183 DEVRIES ENTERPRISES GRAND RAPIDS 3966550A 800 4/17/2020 5437 DIAZ BROTHERS CONSTRUCTION INC GRAND RAPIDS 5988250A 7,202 4/23/2020 5645 DO IT ALL PAINTING LLC GRAND RAPIDS 5706106A 1,981 6/19/2020 5476 0.95 DOMINGUES LUCIANO ROMAN GRAND RAPIDS 5271100A 750 6/13/2020 3821 EAGLECREST CONDOMINIUM ASSOCIATION GRAND RAPIDS 1699504A 630 4/1/2020 9015 ELEMENTAL ARTISTRY LLC GRAND RAPIDS 5711975A 750 5/4/2020 5102 FILLA LIFE MEDIA LLC GRAND RAPIDS 6000010A 356 5/29/2020 8810 FIRST CARE LIVING LLC GRAND RAPIDS 5613531A 1,138 5/11/2020 9053 FREIGHT TODAY LLC GRAND RAPIDS 5982880A 5,896 4/5/2020 7208 FRESH AIR DVC LLP GRAND RAPIDS 5853842A 651 4/13/2020 5550 GA AND EL GOPAR ROOFING GRAND RAPIDS 5989922A 9,830 4/26/2020 5551 GARCIA CONSTRUCTION LLC GRAND RAPIDS 5343003A 3,708 6/2/2020 5403 0.95 GOLDEN WOK INC GRAND RAPIDS 3610004A 1,519 5/17/2020 9058 0.95 GOOD EARTH TREE CARE LLC GRAND RAPIDS 5697034A 6,787 4/20/2020 0106 0.91 GOT IT CONSTRUCTION LLC GRAND RAPIDS 5984025A 2,422 4/10/2020 5552 GR LOVE CLEANING LLC GRAND RAPIDS 5946530A 630 5/23/2020 9015 GRAND RAPIDS LUMPER SERVICE GRAND RAPIDS 2634244A 5,036 5/25/2020 8018 0.92 GREAT LAKES PUB CRUISER LLC GRAND RAPIDS 5694620A 1,123 4/1/2020 7380 HERNANDEZ DONALDO GAMEZ GRAND RAPIDS 6007880A 1,870 6/26/2020 5476 HERNANDEZ EMMANUEL GRAND RAPIDS 5983410A 1,640 4/9/2020 5190 HEYN DAVID GRAND RAPIDS 5983754A 740 4/10/2020 8387 HIGHER GROUND ROCK CLIMBING CENTRE LTD GRAND RAPIDS 2863618A 1,055 5/19/2020 9063 0.95 JET MARKETING LLC GRAND RAPIDS 5567734A 228 6/1/2020 8810 JJR CONSTRUCTION LTD LLC GRAND RAPIDS 5859549A 6,203 4/27/2020 5445 0.95 JLC ROOFING & EXTERIORS GRAND RAPIDS 5996295A 750 5/17/2020 5551 JLV DRYWALL LLC GRAND RAPIDS 6003796A 2,855 6/13/2020 5445 JMA QUALITY FINISHING GRAND RAPIDS 0792080A 750 4/25/2020 5476 JOB POST GRAND RAPIDS 5380219A 39,835 4/9/2020 9501 1.31 15 % JOBSON ROOFING GRAND RAPIDS 5722586A 750 6/17/2020 5551 KEITH POTTER BUILDER INC GRAND RAPIDS 2712350A 750 6/9/2020 5645 KENNEDY FLORAL INC GRAND RAPIDS 1178822A 250 5/17/2020 8810 KENTWOOD VILLAGE CONDOMINIUM GRAND RAPIDS 3180646A 630 4/18/2020 9015 ASSOCIATION KING BUILDERS & MANAGEMENT GROUP LLC GRAND RAPIDS 5638445A 11,947 5/24/2020 5645 0.94

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KNICKERBOCKER SCOTT GRAND RAPIDS 5807115A 750 5/7/2020 5550 KOOPPRIME LLC GRAND RAPIDS 5993601A 1,842 5/9/2020 0106 L AND L CARE SOLUTIONS LLC GRAND RAPIDS 4027639A 9,342 6/1/2020 8835 0.88 LARRYS TREE SERVICE LLC GRAND RAPIDS 1122479A 7,195 6/11/2020 0106 0.89 LIPP AMERICA TANK SYSTEMS LLC GRAND RAPIDS 2778076A 2,778 6/1/2020 5057 LOPEZ SERGIO GRAND RAPIDS 5998727A 750 5/23/2020 5476 MARCELINOS PAINTING GRAND RAPIDS 5853940A 750 4/13/2020 5476 MARTINEZ GABRIEL MARTINEZ GRAND RAPIDS 5985749A 750 4/16/2020 5551 MERIGIANS CARAMEL CORN INC GRAND RAPIDS 5587573A 422 6/21/2020 8017 MERITUS PROPERTIES LLC GRAND RAPIDS 5356431A 2,089 4/1/2020 6826 0.95 MICAH CENTER GRAND RAPIDS 2971348A 326 6/3/2020 8810 MICHIGAN CREDITORS SERVICE INC GRAND RAPIDS 1302132A 6,319 5/18/2020 8387 0.88 MIDDLETON BUILDERS INC GRAND RAPIDS 2070480A 800 6/28/2020 5645 0.95 MN ALL REMODELING LLC GRAND RAPIDS 5206723A 1,411 5/16/2020 5437 0.95 MONSON CONSTRUCTION LLC GRAND RAPIDS 5977860A 750 5/31/2020 5645 MORR PROMOTIONS LLC GRAND RAPIDS 5137276A 350 5/10/2020 8742 MR PLUMBER LLC GRAND RAPIDS 4767578A 659 6/22/2020 5183 NIELSEN CONTRACTING GRAND RAPIDS 5557038A 750 5/10/2020 5645 O AND D L LLC GRAND RAPIDS 5873738A 7,641 6/5/2020 5551 OG PROFESSIONAL CARPET CLEAN GRAND RAPIDS 5872286A 581 6/1/2020 9015 P AND M CONSTRUCTION LLC GRAND RAPIDS 5982219A 750 4/4/2020 5645 PATRIOT CAULKING AND WATER PROOFING LLC GRAND RAPIDS 5132223A 800 5/1/2020 5476 0.95 PATRIOT CAULKING AND WATER PROOFING LLC GRAND RAPIDS 5132223A 801 5/1/2020 5476 0.95 POTTAWATOMIE CLUB GRAND RAPIDS 3316556A 362 5/10/2020 9061 PREMIUM DECORATING INC GRAND RAPIDS 4033639A 750 6/24/2020 5476 PRIVACY LOGIC LLC GRAND RAPIDS 5264278A 563 5/1/2020 2501 RAMIREZ MARVIN GRAND RAPIDS 6003192A 750 6/18/2020 5476 RAMSEY LEWIS GRAND RAPIDS 5540828A 800 4/2/2020 5437 REARDEN DEVELOPMENT CORPORATION GRAND RAPIDS 5986397A 216 4/17/2020 8810 RED LINE SECURITY LLC GRAND RAPIDS 5677912A 1,685 5/31/2020 7720 RELIABLE MEDICAL TRANSPORT LLC GRAND RAPIDS 5559987A 2,066 5/13/2020 7212 0.95 RENAISSANCE ROOFING AND EXTERIORS INC GRAND RAPIDS 6006523A 3,006 6/21/2020 5606 RIDGEMOOR SWIM CLUB INC GRAND RAPIDS 1376888A 626 5/5/2020 9061 RIEKSE HELENA GRAND RAPIDS 5872820A 573 6/2/2020 0913 RODAS ELMER GRAND RAPIDS 5446341A 800 5/16/2020 5476 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 68 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RODRIGUEZ CHRISTIAN GRAND RAPIDS 5981859A 750 4/11/2020 5445 ROSEWOOD FLOORING LLC GRAND RAPIDS 5563089A 751 5/17/2020 5437 ROSS THOMASMA CONSTRUCTION LLC GRAND RAPIDS 5863465A 1,288 5/10/2020 5022 SAYRE CARPET CARE LLC GRAND RAPIDS 4701801A 583 5/10/2020 8810 0.95 SCHAAFSMA PAINTING & POWERWASHING LLC GRAND RAPIDS 4248295A 750 6/7/2020 5476 SEVEN L SPORTS LLC GRAND RAPIDS 5989736A 3,605 4/26/2020 9015 SHANE BROUWER LLC GRAND RAPIDS 5122740A 750 4/2/2020 5437 SHOWROOM AUTO SALES INC GRAND RAPIDS 5548551A 376 6/5/2020 8748 SKIN ENVY LLC GRAND RAPIDS 5878098A 379 6/21/2020 8832 SOLOLA LLC GRAND RAPIDS 5992044A 800 5/12/2020 5476 SPARK PERFORMANCE SOLUTIONS LLC GRAND RAPIDS 5869935A 216 5/30/2020 8810 SPARKLE PROS INC GRAND RAPIDS 5727987A 3,405 6/5/2020 9015 SULLIVAN KENNETH GRAND RAPIDS 5515815A 800 6/8/2020 7600 SWEET HOME GR LLC GRAND RAPIDS 6000290A 1,725 6/12/2020 9015 T AND F ADVENTURES INC GRAND RAPIDS 4911776A 1,035 6/20/2020 9156 TIDY WINDOW CLEANING LLC GRAND RAPIDS 5257255A 1,127 4/4/2020 9015 TOP NOTCH PROS INC GRAND RAPIDS 5720729A 3,339 5/31/2020 6217 0.95 TOWERS CONSTRUCTION LLC GRAND RAPIDS 5866170A 5,516 5/19/2020 5445 TRADEMARK CONSTRUCTION LLC GRAND RAPIDS 5854369A 750 4/13/2020 5645 TRINITY 30 60 100 GRAND RAPIDS 5381673A 2,521 6/6/2020 9053 UDECON LLC GRAND RAPIDS 4162927A 1,902 5/13/2020 9015 0.93 URBANEER INC GRAND RAPIDS 5818648A 808 6/14/2020 8810 VANDENBRINK HOME CARE LLC GRAND RAPIDS 5553504A 1,517 5/2/2020 0908 0.95 WEST MICHIGAN CREDIT UNION GRAND RAPIDS 1627112A 2,593 4/1/2020 8810 1.05 10 % WEST MICHIGAN LANDSCAPE COMPANY LLC GRAND RAPIDS 5985056A 751 4/12/2020 0042 WESTRATE BUILDERS INC GRAND RAPIDS 0567582A 800 4/8/2020 5645 WILBERTO ROOFING GRAND RAPIDS 5980895A 14,829 5/8/2020 5551 WILLINK CONSTRUCTION INC GRAND RAPIDS 5991641A 754 5/3/2020 5437 WOLVERINE HOOSIER ATHLETIC CONFERENCE GRAND RAPIDS 5866898A 475 6/1/2020 8742 INC WOODSHIRE PLACE CONDOMINIUM GRAND RAPIDS 3314898A 630 4/1/2020 9015 ASSOCIATION ZOZO LLC GRAND RAPIDS 5980011A 7,156 6/22/2020 7208 A AND C CAREFUL MOVING LLC GRANDVILLE 3928446A 917 5/16/2020 8293 0.95 AIMS ADVANTAGE INC GRANDVILLE 2337169A 35,676 5/25/2020 6504 0.96

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BELIEVERS LINE INC GRANDVILLE 0398845A 753 5/12/2020 8810 BETHEL PENTECOSTAL CHURCH GRANDVILLE 0697141A 704 6/28/2020 8868 0.95 CHET GLASS BUILDERS LLC GRANDVILLE 3253660A 751 6/16/2020 5437 0.95 DROUIN DRYWALL INCORPORATED GRANDVILLE 5728193A 750 6/30/2020 5445 DUPREE FINANCIAL GROUP LLC GRANDVILLE 6002617A 237 6/10/2020 8810 ELLIS ELECTRIC & CONTRACTING LLC GRANDVILLE 5124549A 1,958 4/5/2020 5190 0.95 GRAND VALLEY TOWING LLC GRANDVILLE 5290880A 4,308 6/6/2020 8395 0.91 GRANDVILLE OPTICAL LLC GRANDVILLE 5972370A 287 6/5/2020 8810 HAMPSHIRE INSTALLATIONS GRANDVILLE 0482234A 800 4/20/2020 5437 IMPACT DYNAMIC TRAINING LLC GRANDVILLE 5392764A 842 4/15/2020 9063 0.95 MAIER HOMES LLC GRANDVILLE 5723361A 800 6/10/2020 5645 RIVERTOWN COMMUNITY FEDERAL CREDIT GRANDVILLE 1646974A 1,338 5/18/2020 8810 0.95 UNION SILHOUETTE WINDOWS GRANDVILLE 5878845A 750 6/23/2020 5403 THOMAS KONYNDYK BUILDER GRANDVILLE 5264227A 750 4/23/2020 5437 TRUECRAFT LLC GRANDVILLE 4995104A 800 6/19/2020 5190 HIGHER GROUND TREE CARE LLC GRANGER, IN 5862590A 3,978 5/5/2020 0106 AMERICAN CLASSIC DUMPSTER SERVICE LLC GRANT 5863180A 12,140 5/4/2020 2731 AMERICAN EAGLES CARPORTS LLC GRANT 5990459A 1,780 4/27/2020 3724 CASTILLO SALVADOR GRANT 5999472A 2,285 5/25/2020 5538 DUANE BOUWKAMP FARM LLC GRANT 5873053A 750 6/2/2020 6217 FOREMOST CONTRACTING GRANT 5992737A 750 5/7/2020 5551 HEARTY ACRES LLC GRANT 3723739A 4,486 4/3/2020 0130 JAYS CONSTRUCTION LLC GRANT 5008751A 750 4/2/2020 5645 LAMPMAN GERALD GRANT 0731129A 750 4/28/2020 7208 PRECISION AG SOLUTIONS LLC GRANT 5866995A 968 5/22/2020 8102 RAMOS INSTALLATIONS LLC GRANT 5914604A 2,285 5/18/2020 5538 RAO CONTRACTING GRANT 5981808A 2,584 4/9/2020 5645 ROBINSON DANIEL GRANT 4432193A 750 6/17/2020 2702 APPLE CREEK CAMPGROUND & RV PARK LLC GRASS LAKE 1678825A 630 6/27/2020 8017 C O C INC GRASS LAKE 3368360A 800 4/14/2020 5437 HERPETOLOGICAL RESOURCE AND GRASS LAKE 5259630A 1,350 4/10/2020 8831 0.95 MANAGEMENT LLC M D U TRANSPORT SERVICE INC GRASS LAKE 6004423A 750 6/14/2020 7208 ANDY NICKERSON ROAD SERVICE LLC GRAWN 4858557A 5,727 6/13/2020 7208 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JAHNER FRANK GRAYLING 2067366A 2,592 5/13/2020 5348 0.95 KELLOGGS BRIDGE GROCERY INC GRAYLING 5991617A 1,454 5/2/2020 8017 NORTHPOINT FISHERIES MANAGEMENT LLC GRAYLING 5148863A 3,576 5/14/2020 0042 0.92 THOMAS H STEFFEN LLC GRAYLING 5997135A 1,250 5/20/2020 5645 TWO RIVER DELI LLC GRAYLING 5994586A 864 5/11/2020 8006 PMI ENTERTAINMENT GROUP INC GREEN BAY, WI 5980860A 315 4/1/2020 8742 SPIELBAUER FIREWORKS CO INC GREEN BAY, WI 3913562A 581 5/23/2020 9015 JOE KIN TRUCKING INC GREENLAND 1970550A 5,282 6/7/2020 7208 0.90 LTC GREENLAND 0427454A 750 5/14/2020 6217 CLIMBIN HIGH TREE SERVICE GREENVILLE 4359305A 1,889 4/27/2020 0106 0.95 COOPERS HOME IMPROVEMENTS LLC GREENVILLE 3457265A 750 6/15/2020 5551 DYNA CLEAN LLC GREENVILLE 2033062A 580 5/14/2020 9015 HUNTS ROOFING GREENVILLE 5991994A 800 5/23/2020 5551 JAIMES HUMBERTO GREENVILLE 5982227A 750 4/4/2020 5445 JRS HOME IMPROVEMENT GREENVILLE 5410363A 899 6/5/2020 5645 ROGERS ADAM GREENVILLE, SC 5879744A 750 6/26/2020 5437 SAGES MEAT PROCESSING & CATERING INC GREENVILLE 0205443A 2,459 5/29/2020 8031 0.92 TOM BUTTERWORTH BUILDERS INC GREENVILLE 4228553A 750 6/9/2020 5645 WELCH KIRK GREENVILLE 3358275A 750 4/19/2020 5645 CREATURE CONTROL LLC GREGORY 4373871A 12,679 4/4/2020 8831 1.53 27 % JACK BURGA DRYWALL GREGORY 0516694A 751 5/15/2020 5445 NEW DESIGN BUILDING CO INC GREGORY 2389614A 1,722 4/1/2020 5606 0.95 RB SUPERVISION LLC GREGORY 5399564A 343 4/29/2020 5606 SMALLTOWN SERVICES LLC GREGORY 6007805A 5,779 6/26/2020 5020 CLAY STREET CENTER GRENNVILLE 5706793A 820 5/1/2020 9063 CENTRAL MARINE LOGISTICS INC GRIFFITH, IN 4402219A 900 4/19/2020 6826 ENERGY NATIONAL DANCE COMPETITIONS LLC GROSSE ILE 5548020A 757 4/30/2020 9063 0.95 PIZZO CONSTRUCTION LLC GROSSE ILE 4463552A 800 6/4/2020 5551 RIVERPOINTE REALTY INC GROSSE ILE 2476100A 430 4/11/2020 8810 SONDRIO BUILDERS INC GROSSE ILE 2779080A 393 5/3/2020 5606 TUTTLE SUPPLY INC GROSSE ILE 0975966A 631 6/20/2020 9015 BROCKETT DANE AND TRICIA GROSSE POINTE 5721172A 403 6/6/2020 0908 CREVIER CONSTRUCTION GROSSE POINTE 4547926A 750 5/17/2020 5437 ESTATE PROPERTY MANAGEMENT GROSSE POINTE 4115880A 561 5/1/2020 9102 GROSSE POINTE YACHT CLUB GROSSE POINTE 0467685A 562 5/25/2020 9060 1.37 27 % 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 71 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HADLEY HOME IMPROVEMENT INC GROSSE POINTE 2629879A 5,652 6/11/2020 5645 HRYCAY CONSULTING LLC GROSSE POINTE 5999634A 1,362 5/25/2020 8601 SUPERIOR PLASTERING & PAINTING INC GROSSE POINTE 1578197A 750 5/19/2020 5476 WINDOW SPARKLER LLC GROSSE POINTE FARMS 4333225A 792 4/12/2020 9015 ZIMMERMAN TODD GROSSE POINTE FARMS 4202317A 750 4/6/2020 5645 COMPLETE CONSTRUCTION PROJECT GROSSE POINTE PARK 5725976A 752 6/20/2020 8810 MANAGEMENT LLC JOHN T SZYMANSKI INC GROSSE POINTE PARK 4361725A 584 6/20/2020 5183 COOPER J LEWIS JR & COOPER JUDITH J GROSSE POINTE WOODS 3772608A 328 4/26/2020 0908 GD BUILDING CO GROSSE POINTE WOODS 2215608A 750 6/19/2020 5645 MICHIGAN HARDWOOD FLOORING GROSSE POINTE WOODS 6001289A 1,649 6/5/2020 5437 CONTRACTORS INC R FROMM COMPANY LLC GROSSE POINTE WOODS 0046957A 825 6/6/2020 5606 0.95 REVOLUTION FLAG SERVICE LLC GROSSE POINTE WOODS 5143730A 770 5/23/2020 5538 SABER 7 LLC HADLEY 2537710A 701 6/16/2020 5550 ADAMS LAWN & NATURE SERVICE LLC HALE 5695449A 561 5/8/2020 9102 J KIMMERERS CONSTRUCTION INC HALE 4532406A 1,124 4/21/2020 5645 0.95 JOHNSON TREE SERVICE HALE 3357082A 750 6/30/2020 0106 ROLLWAY RESORT LLC HALE 5712084A 521 4/15/2020 6836 SAVIN LAKE SERVICES INC HALE 4064780A 6,978 6/5/2020 0005 0.86 DIRECT IRRIGATION LLC HAMBURG 5164362A 634 4/14/2020 5183 BAKKER ROBERT HAMILTON 5987474A 750 4/19/2020 6400 CREEKSIDE CONSTRUCTION AND REMODELING HAMILTON 4828283A 750 4/10/2020 5645 INC DMH SERVICES LLC HAMILTON 5862400A 508 5/7/2020 9530 MLS TRUCKING LLC HAMILTON 3771911A 291 4/25/2020 8810 BILOUS OLHA HAMTRAMCK 5992303A 480 5/4/2020 8835 LAMPART CONSTRUCTION INC HAMTRAMCK 4860268A 896 4/16/2020 5437 0.90 MARTIN BEST ROOFING HAMTRAMCK 3723054A 750 5/15/2020 5645 SHONDHAN ENTERPRISE INC HAMTRAMCK 3788288A 824 6/3/2020 8868 SUPERB HOME CARE INC HAMTRAMCK 4931262A 3,833 5/26/2020 8835 0.95 ASPECT ENVIRONMENTAL LLC HANCOCK 4646770A 584 5/23/2020 5183 0.95 MCKANA MINES & MINERALS HANCOCK 1718118A 801 6/9/2020 8227 ROYALE AIR SERVICE INC HANCOCK 5992443A 3,701 5/4/2020 7422 AFFORDABLE GUTTERMAN LLC HANOVER 5514053A 1,873 4/4/2020 5538 0.95 NIBROC CONCRETE HANOVER 2898357A 1,358 6/9/2020 5221 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 72 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PANGEA TRANSPORT LLC HANOVER 6005055A 800 6/18/2020 7208 TREECORE LLC HARBERT 3775437A 19,412 5/8/2020 0106 0.76 CAPLING CONSTRUCTION LLC HARBOR BEACH 5143926A 916 5/1/2020 5645 FISHERMANS COVE CONDOMINIUM HARBOR BEACH 4441648A 581 6/8/2020 9015 ASSOCIATION G R ROGGENBUCK LLC HARBOR BEACH 5604885A 243 6/21/2020 8810 HB SECURITY LLC HARBOR BEACH 4173864A 806 5/18/2020 7720 ROCHEFORT PETERSON SUSAN HARBOR BEACH 5394910A 216 4/11/2020 8810 SIEMEN SHOP INC HARBOR BEACH 4363051A 806 5/7/2020 8395 0.95 SIGEL TOWNSHIP OF HURON COUNTY HARBOR BEACH 2135566A 754 5/21/2020 7704 BHT PLUMBING & HEATING LLC HARBOR SPRINGS 5124956A 585 4/5/2020 5183 G AND N LANDSCAPING LLC HARBOR SPRINGS 5714990A 920 5/11/2020 0042 GREEN ROOM LANDSCAPE CONSTRUCTION LLC HARBOR SPRINGS 5856515A 750 4/10/2020 0042 HAPPY DAYS AND NIGHTS LLC HARBOR SPRINGS 5782457A 950 5/29/2020 2143 K COLFER SPORTHORSES LLC HARBOR SPRINGS 4745663A 2,431 5/4/2020 8279 0.95 LAZY F FARM HARBOR SPRINGS 6003362A 730 6/12/2020 0129 LITTLE TRAVERSE SAILORS HARBOR SPRINGS 4883420A 1,091 6/30/2020 9060 0.95 ABUNDANT COMMUNITY RECOVERY SERVICES HARPER WOODS 5689708A 1,647 4/7/2020 9052 BRUCE F KOVACH INC HARPER WOODS 0468274A 750 4/28/2020 5476 GREAT LAKES WELLNESS AND HOME HEALTH HARPER WOODS 5290694A 4,237 5/31/2020 8835 0.88 INC J T ADDISON CO HARPER WOODS 1716425A 356 6/24/2020 8803 RAIL CONTAINER SERVICES OF MICHIGAN HARPER WOODS 1329960A 750 5/1/2020 7208 SCOTTS CLEANING COMPANY INC HARPER WOODS 3679136A 667 6/1/2020 9015 DAVIS JOHN HARRIETTA 0774782A 750 5/1/2020 5645 B AND D RYAN TRUCKING LLC HARRIS 4809580A 750 5/21/2020 7208 COLD CREEK SERVICES LLC HARRISON 5868920A 26,933 6/1/2020 9402 DUGGANS CANOE LIVERY & CAMPGROUNDS INC HARRISON 4676696A 580 5/23/2020 9015 HENRYS COMPLETE TREE SERVICE HARRISON 3512207A 2,964 5/11/2020 0106 0.95 KELLYS TREE SERVICE LLC HARRISON 4459520A 2,519 4/27/2020 0106 0.95 M AND M DRYWALL LLC HARRISON 5711207A 750 5/2/2020 5445 MICHAEL HENRY TREE SERVICES LLC HARRISON 5268508A 3,083 5/8/2020 0106 0.95 VAVAVOOM INC HARRISON 5864429A 386 5/10/2020 9058 A 1 SECURITY INC HARRISON TWP 2738120A 561 5/31/2020 9102 0.95 AMERICAN CLASSIC BOAT TRAILERS LLC HARRISON TWP 5984459A 346 4/11/2020 8010

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DONE RITE HANDYMAN HARRISON TWP 2680823A 750 4/7/2020 5645 EXPERIENCED JANITORIAL SERVICE INC HARRISON TWP 5553857A 580 4/29/2020 8835 FIGLIOLI TILE AND STONE LLC HARRISON TWP 2989131A 750 4/29/2020 5348 HARBOR VIEW AT MACRAY ASSOCIATION HARRISON TWP 5994101A 660 6/26/2020 8810 HURON POINTE EXCAVATING LLC HARRISON TWP 5393329A 8,146 6/11/2020 6217 0.95 J AND A VENTURES LLC HARRISON TWP 4975049A 582 4/6/2020 8810 L AND R GLASS BLOCK LLC HARRISON TWP 1957570A 750 6/13/2020 5022 LAKELAND CONSTRUCTION & HOME REPAIR INC HARRISON TWP 2644797A 750 4/24/2020 5221 MICHIGAN MARINE SALVAGE INC HARRISON TWP 3657469A 1,138 5/23/2020 6834 MJR DESIGN SERVICES HARRISON TWP 4469488A 216 5/13/2020 8810 MONROE DESHAWN HARRISON TWP 5987547A 751 4/20/2020 5476 MOTOWN LIMOUSINE LLC HARRISON TWP 4346980A 1,352 5/16/2020 7212 0.95 NORTHERN NIGHTS FAMILY CAMPGROUND LLC HARRISON TWP 5234298A 580 5/5/2020 9015 PETER ANDARY PROPERTIES LLC HARRISON TWP 5862094A 751 5/3/2020 5437 R AND L HOMES OF HARRISON TOWNSHIP INC HARRISON TWP 1963821A 750 4/19/2020 5645 0.95 RESTORYOURHOME INC HARRISON TWP 5724147A 750 6/14/2020 5437 ROSS WALINSKE LLC HARRISON TWP 2252732A 750 6/8/2020 5403 SKYE HOME IMPROVEMENTS INC HARRISON TWP 2707900A 750 5/15/2020 5645 ST CLAIR MARINE SALVAGE INC HARRISON TWP 5201250A 360 5/4/2020 8810 VITOS SALVAGE HARRISON TWP 5990190A 1,047 4/29/2020 8265 WINGS AND WHEELS DELIVERY INC HARRISON TWP 3499588A 800 5/14/2020 7208 DAN WEST CONTRACTING LLC HARRISVILLE 5876583A 804 6/15/2020 5606 CHAMPIONS MARINE SERVICE INC HARSENS ISLAND 0803839A 1,641 4/24/2020 6836 1.00 STONEBACK H NEAL HARSENS ISLAND 4081625A 328 6/10/2020 0908 SKYLINE HELICOPTERS INC HARSHAW, WI 4204719A 336 4/12/2020 7422 CHANNEL HOUSING MINISTRIES INC HART 2923670A 642 4/22/2020 8810 EL CENTRO HISPANO DE OCEANA HART 5545838A 270 4/28/2020 8810 H SECURITY AND INVESTIGATION LLC HART 2202751A 993 5/27/2020 7720 0.95 SPRINGSTEAD LAW OFFICES PC HART 2082560A 430 5/15/2020 8820 ARROW AUTOMOTIVE LLC HARTFORD 4652088A 2,910 4/9/2020 8395 1.00 PINEDA LANDSCAPING HARTFORD 6000363A 1,070 5/30/2020 9102 BROCK HILL MECHANICAL LLC HARTLAND 5722853A 1,197 6/9/2020 5183 HARD ROCK CONSTRUCTION LLC HARTLAND 5695651A 895 5/1/2020 5221 PELOWS HOME IMP INC HARTLAND 6000118A 750 5/29/2020 5645 PREMIER SERVICE LLC HARTLAND 5754569A 750 6/7/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 74 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SCRAPBOOK MEGA MEET LLC HARTLAND 4061896A 511 4/20/2020 8017 TOTAL HARDWARE SOLUTIONS LLC HARTLAND 5983878A 983 4/10/2020 8010 UBERWRITER SOLUTIONS LLC HARTLAND 5708141A 216 4/25/2020 8810 PINE MEADOW CONDOMINIUMS ASSOCIATION HASLET 4081803A 580 5/20/2020 9015 CARRIAGE HILL NORTH CONDOMINIUM HASLETT 0753807A 580 4/5/2020 9015 ASSOCIATION CHATEAU LOUISE CONDOMINIUM ASSOCIATION HASLETT 0768251A 580 6/12/2020 9015 DUMPAROO LLC HASLETT 6005128A 655 6/18/2020 9015 HAMILTON HOUSE CONDOMINIUM ASSOC HASLETT 1173790A 630 4/30/2020 9015 ILEX OUTDOORS LLC HASLETT 5986109A 751 4/17/2020 0042 LAKESIDE VILLAGE WEST ASSOCIATION HASLETT 4920139A 580 4/18/2020 9015 LOCAL LAWN CARE HASLETT 4340469A 750 6/9/2020 0042 PUGH JANICE HASLETT 1682431A 573 4/24/2020 0913 0.95 SUPERIOR PRODUCTS INC OF CHARLOTTE HASLETT 0930342A 3,989 6/8/2020 9058 0.95 THREE LAKES HOMEOWNERS ASSOCIATION HASLETT 5268214A 580 6/15/2020 8810 TWIN OAKS CONDOMINIUM ASSOCIATION HASLETT 2170183A 580 4/27/2020 9015 WHITE BIRCH CONDOMINIUM ASSOCIATION HASLETT 5394147A 580 4/9/2020 9015 WOODSTONE VILLAGE ASSOCIATION HASLETT 1352857A 580 4/1/2020 9015 C AND N HEATING & COOLING LLC HASTINGS 4179889A 650 6/13/2020 5550 GORLEWSKI RESOURCES LLC HASTINGS 5875048A 1,376 6/14/2020 6217 GRUESBECK AGRONOMY SERVICES LLC HASTINGS 4493222A 751 4/2/2020 0128 RB AND SON LLC HASTINGS 5553938A 611 4/29/2020 9102 TAHQUA TREKKER LLC HASTINGS 4525973A 875 6/4/2020 7212 WICKHAM JOSHUA HASTINGS 5875498A 561 6/8/2020 9102 L 3 K FOREST PRODUCTS LLC HAWKS 3906779A 750 4/6/2020 2702 ROMEL WILLIAM F HAWKS 2671875A 750 5/1/2020 2702 SCHEPKE FOREST PRODUCTS HAWKS 0263770A 2,326 6/2/2020 2702 0.95 BARBER KATHLEEN HAZEL PARK 5989167A 231 5/1/2020 8832 ELIAS TRADING COMPANY HAZEL PARK 5133742A 490 4/8/2020 8018 IBB PETROLEUM SERVICES INC HAZEL PARK 5190274A 2,704 4/21/2020 3724 0.95 MASTER PLASTERERS HAZEL PARK 3735109A 750 6/4/2020 5022 0.95 METRO DETROIT MASONRY LLC HAZEL PARK 4865170A 825 5/4/2020 5022 0.95 TRIPLE B HD INSTALLATIONS LLC HAZEL PARK 5865174A 3,821 5/16/2020 5645 WILDS CORPORATION HAZEL PARK 4500989A 1,589 4/24/2020 9058 0.95 ARMSTRONG CONSTRUCTION HEMLOCK 5178525A 1,046 4/6/2020 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CLIMBING HIGHER TREE SERVICE LLC HEMLOCK 5986320A 2,663 4/17/2020 0106 HEMLOCK HOMETOWN BUILDERS LLC HEMLOCK 5315840A 2,507 6/15/2020 5645 0.95 JG BARTLETT TRANSPORT LLC HEMLOCK 5716446A 750 5/16/2020 7219 MEIER CONSTRUCTION HEMLOCK 4464354A 647 5/26/2020 8387 1.00 MONKS TREE SERVICE INC HEMLOCK 4065433A 1,695 4/12/2020 0106 0.95 TRUDELLS NORTHERN TREE CARE LLC HEMLOCK 1744518A 2,837 4/18/2020 0106 0.95 DENZER SCOTT ANTHONY HERMANSVILLE 6007228A 468 6/25/2020 1164 BOYLE ROBERT F HICKORY CORNERS 5998638A 840 5/23/2020 0908 A BETTER EXTERIOR LLC HIGHLAND 4788559A 2,110 4/7/2020 5606 0.95 A ONE SPRINKLERS INC HIGHLAND 3024644A 750 4/12/2020 0042 BAILEY CUSTOM HOMES INC HIGHLAND 1875361A 750 4/5/2020 5645 BOLANDS PRECISION HARDWOOD FLOORS LLC HIGHLAND 4189370A 751 5/21/2020 5437 0.95 BUCKET LIST LLC HIGHLAND 5407834A 751 5/15/2020 0106 C GREENS TREE SERVICE LLC HIGHLAND 4350740A 2,616 5/24/2020 0106 0.95 COMMERCIAL FABRICATING & ENGINEERING INC HIGHLAND 0657581A 756 4/21/2020 8742 DM WILSON CONSTRUCTION HIGHLAND 0851442A 750 4/10/2020 5437 DUKES SERVICES LLC HIGHLAND 5557216A 585 5/10/2020 5183 FIFTY NINE AUTO GLASS LLC HIGHLAND 5619432A 902 5/8/2020 8387 GREENHILL BUILDING INC HIGHLAND 4753917A 1,069 5/2/2020 5437 GYMTACTICS LLC HIGHLAND 5989612A 955 5/1/2020 9063 HDL CONSTRUCTION SERVICES LLC HIGHLAND 4419472A 750 5/5/2020 5645 IMKER BRIAN HIGHLAND 6006086A 750 6/20/2020 5645 LAKESIDE CONTRACTING INC HIGHLAND 0514454A 2,626 5/7/2020 5476 0.95 SCOTT DEMETER INSTALLATION LLC HIGHLAND 1761250A 1,058 5/9/2020 9521 SPECIALISTIC CONSTRUCTION INC HIGHLAND 3229483A 7,628 5/3/2020 5437 0.95 SPENCERS MODERNIZATION LLC HIGHLAND 4641230A 825 5/15/2020 5645 0.95 UNIVERSAL RENOVATIONS LLC HIGHLAND 4461673A 825 4/11/2020 5551 MAHADEV CORPORATION HIGHLAND PARK 3667812A 404 6/30/2020 9052 0.95 RC BRICK CLEANING HIGHLAND PARK 3662179A 750 5/12/2020 5476 SINGING TREE LLC HIGHLAND PARK 4470621A 2,834 5/16/2020 0106 0.95 BRANDTS FOREST PRODUCTS HILLMAN 2008718A 750 5/15/2020 2702 PAINTER INVESTMENTS INC HILLMAN 3511790A 447 6/15/2020 9058 EMERGENCY RESPONSE TECHNOLOGIES INC HILLSDALE 3329119A 469 5/1/2020 8868 HILLSDALE COUNTY TASK FORCE ON FAMILY HILLSDALE 0881104A 850 5/14/2020 9052 0.95 VIOLENCE

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HILLSDALE TOWNSHIP HILLSDALE 1103415A 1,327 4/1/2020 7904 0.95 HOUSE OF REFUGE CHURCH INC HILLSDALE 3498549A 589 5/25/2020 8868 ACUSTRUCT HOME REMODELING & REPAIR LLC HOLLAND 5631440A 750 4/24/2020 5437 ADVANCED HOME IMPROVEMENT COMPANY INC HOLLAND 2063697A 1,213 4/30/2020 5645 ALVERSON MATT HOLLAND 5717574A 750 6/15/2020 5551 BAY MEADOWS ASSOCIATION OF HOLLAND HOLLAND 1329863A 750 4/25/2020 5645 BRV VENTURES LLC HOLLAND 3805360A 993 5/22/2020 9015 CHAMPION CHEERLEADING COMPANY HOLLAND 3485110A 4,015 4/1/2020 9015 1.19 13 % CHINA INN SOUTH EXPRESS LLC HOLLAND 3017494A 3,267 5/5/2020 9058 0.95 CONKLIN ROOFING SYSTEMS OF MICHIGAN LLC HOLLAND 4466420A 6,206 4/24/2020 5551 0.90 D TAYLOR DETAILING LLC HOLLAND 3394492A 740 5/7/2020 8387 DEJONG CONSTRUCTION LLC HOLLAND 5720761A 750 5/31/2020 5645 DETAILED EXTERIORS LLC HOLLAND 4081463A 750 6/29/2020 5645 0.95 ERP 101 LLC HOLLAND 6003842A 269 6/13/2020 8742 FOOD X INSPECTIONS LLC HOLLAND 5877849A 268 6/19/2020 4511 GLASS GERRY HOLLAND 5132533A 750 5/1/2020 7208 GREAT LAKES HELICAL PIERS LLC HOLLAND 5994217A 750 5/17/2020 5213 GUARDIAN JIU JITSU LLC HOLLAND 6001270A 301 6/5/2020 9063 IMOPW LLC HOLLAND 0988413A 1,270 6/28/2020 9058 KAMPHUIS MITCH HOLLAND 4764099A 750 6/30/2020 5221 KEEN LARRY HOLLAND 5418712A 750 6/26/2020 5221 KROEZE BROTHERS ROOFING INC HOLLAND 1818031A 750 5/18/2020 5551 KROEZE BUILDERS LLC HOLLAND 2794365A 750 4/6/2020 5645 L AND L DEVISSER LLC HOLLAND 3617084A 751 4/18/2020 8810 LAKE MICHIGAN CONSTRUCTION LLC HOLLAND 5698413A 750 6/13/2020 5645 LAKESHORE ATHLETIC CENTER LLC HOLLAND 5697352A 376 4/11/2020 9063 LAKESHORE HOME IMPROVEMENT SERVICES HOLLAND 4871774A 802 5/20/2020 8810 LLC LAWRENCE TOWING LLC HOLLAND 5530687A 3,989 6/25/2020 7208 0.95 LED CONSTRUCTION LLC HOLLAND 5991374A 5,015 5/8/2020 5551 LUBBERS DAN HOLLAND 5983070A 750 4/8/2020 5645 MENDEZ LANDSCAPING LLC HOLLAND 5128951A 12,091 4/25/2020 5552 0.95 MIKE STYGSTRA CONSTRUCTION LLC HOLLAND 4476913A 750 6/7/2020 5550 MIKES MECHANICAL LABOR LLC HOLLAND 5879426A 700 6/26/2020 5550 PARKVIEW ADULT FOSTER CARE HOME INC HOLLAND 0549762A 3,724 6/17/2020 9053 0.90

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PILCHER KIRSTEN HOLLAND 4765095A 573 5/28/2020 0913 PLN PARTNERS INC HOLLAND 3533328A 1,190 4/2/2020 8748 1.00 QUASAR WATERS LLC HOLLAND 5993253A 1,145 5/28/2020 9015 R J DEVRIES CONSTRUCTION INC HOLLAND 2458160A 800 4/6/2020 5645 RANDL INTERIORS LLC HOLLAND 4527763A 800 6/7/2020 5445 REPUBLIC LOAD LLC HOLLAND 5984726A 3,020 4/15/2020 7208 VM ROOFING CONSTRUCTION LLC HOLLAND 5985781A 10,763 4/16/2020 5551 WIDGET FARMS LLC HOLLAND 5156106A 239 6/20/2020 8810 A R LANDSCAPE & STONE WORK INC HOLLY 5570883A 1,369 6/4/2020 0042 0.95 ALSUPS CONSTRUCTION LLC HOLLY 4935756A 3,274 6/21/2020 5437 0.95 ARNOLD ROOFING AND CONSTRUCTION INC HOLLY 4592344A 827 6/1/2020 8720 0.95 AT YOUR DISPOSAL INC HOLLY 5140307A 9,804 5/15/2020 7213 0.94 C J W CHIMINEY LLC HOLLY 3004104A 4,747 6/5/2020 9015 0.95 DAVID SKULBRU LLC HOLLY 5718864A 800 6/19/2020 5645 ELEMENTS DAY SPA HOLLY 4166884A 400 4/20/2020 9586 GROUNDS MAINTENANCE LLC HOLLY 4796004A 8,177 6/1/2020 0042 0.92 LIVE YOUR DREAM RENOVATION INC HOLLY 5176069A 784 6/8/2020 5645 LOTUS CONTRACTING LLC HOLLY 5875404A 750 6/11/2020 5221 LUCAS MECHANICAL LLC HOLLY 4480465A 584 6/14/2020 5183 M A SWIASTYN BUILDING CO LLC HOLLY 3914330A 825 6/5/2020 5645 PRECISION PAINTING IMPROVEMENTS LLC HOLLY 5853869A 750 4/13/2020 5476 PRECISION TREE AND SHRUB SERVICES INC HOLLY 4858883A 4,258 4/10/2020 0042 0.92 THIERRY JOSH HOLLY 5998034A 750 5/22/2020 5645 TIMS ROOFING AND SIDING LLC HOLLY 5557054A 2,972 4/26/2020 5551 0.95 WEEDING SOLUTIONS LLC HOLLY 5863015A 751 5/8/2020 0042 WOODEN NAIL LLC HOLLY 2729270A 972 6/19/2020 5437 0.95 ALANTIS CORP HOLT 5397880A 800 4/26/2020 5403 FAIRFIELD PLACE CONDOMINIUM ASSOCIATION HOLT 4081455A 580 5/15/2020 9015 FOUR SEASONS LAWN AND LANDSCAPE LLC HOLT 5857813A 758 4/21/2020 9102 G AND J CONSTRUCTION LLC HOLT 4998642A 750 4/27/2020 5645 JM CONSULTING LLC HOLT 5708206A 1,624 4/28/2020 5437 0.95 MRS CLEAN SERVICES HOLT 2273675A 910 5/27/2020 9015 0.95 PW STAFFING LLC HOLT 4992245A 16,730 6/9/2020 8720 1.45 SIMON ROOFING & CONSTRUCTION LLC HOLT 2123312A 850 4/12/2020 5551 0.95 SONJA AND SASHA INC HOLT 5866847A 1,159 5/22/2020 7208 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 78 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TIMBERLAND DEVELOPMENT GROUP INC HOLT 2857898A 825 4/6/2020 5445 BEATTIE HUNTER HOLTON 5979005A 750 4/5/2020 5437 MATRIX SOLUTIONS LLC HOLTON 6005462A 750 6/19/2020 0106 MESSENGER WILLIAM HOLTON 5991765A 750 5/2/2020 5551 DYNAMIC RECOVERY SERVICE LLC HOMER 3600270A 2,944 5/2/2020 7720 0.95 RONALD J WAGNER CONSTRUCTION HOMER 2796074A 825 4/11/2020 5445 0.95 HANNA OUTDOOR SERVICES LLC HONOR 5544696A 751 4/12/2020 9102 RR CONSTRUCTION SERVICES LLC HONOR 5985560A 800 4/16/2020 5551 CAPITAL MACHINERY TECH HOPKINS 5983142A 669 4/6/2020 3724 HOFFMAN TRUCKING HOPKINS 0455261A 750 4/28/2020 7208 KRUZEL COLTON HOPKINS 5995418A 750 5/22/2020 5437 VANDYKE JOHN HOPKINS 2880008A 669 4/6/2020 3724 0.95 ACKLEYS SEAMLESS GUTTER HORTON 6002293A 750 6/7/2020 5645 PINE HILL FARMS LLC HORTON 5101492A 800 6/12/2020 7208 R E GIBBS CONSTRUCTION LLC HORTON 4767748A 750 6/2/2020 5645 GAST THEO W JR HOUGHTON 1007378A 580 4/14/2020 9015 KEWEENAW WATERWAY RESORT HOUGHTON 2043076A 379 5/28/2020 9052 AIRWAY PAINTING LLC HOUGHTON LAKE 4070909A 800 4/10/2020 5476 AUSABLE VALLEY PROPERTY MANAGEMENT HOUGHTON LAKE 0625221A 779 5/18/2020 5437 H AND H FIREWORKS LLC HOUGHTON LAKE 4972740A 976 6/8/2020 8017 0.95 HILLS TO HARBORS ARBORCULTURE LLC HOUGHTON LAKE 5864658A 1,021 5/15/2020 0106 HLM POWER SPORTS INC HOUGHTON LAKE 5740282A 542 5/19/2020 6836 LAURA N NEACE EXECUTIVE TRANSPORTATION HOUGHTON LAKE 5984181A 3,822 4/11/2020 7220 LLP ROBINSON CONTRACTING HOUGHTON LAKE 2674823A 750 6/14/2020 5645 YUMMY STUFF LLC HOUGHTON LAKE 5887810A 478 5/23/2020 8017 S AND S PROFESSIONAL SERVICES LP HOUSTON, TX 5016550A 4,349 5/6/2020 8292 0.95 DECKER NICHOLAS HOWARD CITY 6001130A 750 6/4/2020 2702 REYNOLDS TOWNSHIP LIBRARY HOWARD CITY 3483932A 400 4/6/2020 8810 ACTION FLOORS LLC HOWELL 3129799A 750 5/12/2020 5437 0.94 ADVANCED COMPUTING AND MANAGEMENT INC HOWELL 3028178A 218 6/14/2020 8810 ALLENS SET UP & SERVICE LLC HOWELL 1851250A 655 5/4/2020 9015 ALPHI INC HOWELL 0703001A 243 6/7/2020 8810 AMERICAN MAINTENANCE OF MI HOWELL 3185990A 1,110 5/20/2020 9015 0.95 AMEZOLA LANDSCAPING HOWELL 5985013A 858 4/23/2020 0042

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BASIC EXCAVATING LLC HOWELL 4740670B 1,049 6/8/2020 6217 0.95 BLUE WATER SOLUTIONS CLEANING LLC HOWELL 4365291A 630 5/15/2020 9015 0.95 BODY WITHIN INC HOWELL 4343301A 575 6/1/2020 9063 BV ENGINEERING ELECTRICAL CONTRACTOR HOWELL 2554194A 481 4/30/2020 5190 C AND D FENCE LLC HOWELL 5276675A 750 5/31/2020 6400 CAMP TALAHI RETREAT & NATURE CENTER HOWELL 4991842A 2,459 6/15/2020 9015 0.95 CHOUINARD CUSTOM HOMES LLC HOWELL 4050720A 750 6/15/2020 5645 CIRCUIT BREAKER RECYCLING LLC HOWELL 5860652A 4,490 5/1/2020 8264 CLEARWATER EROSION CONTROL INC HOWELL 6006116A 1,140 6/20/2020 0042 CLUB CANINE INC HOWELL 3936473A 1,583 5/13/2020 8831 0.95 CONVERSE CONSTRUCTION HOWELL 3829308A 750 6/22/2020 5645 DAUS PAINTING HOWELL 3093590A 812 4/10/2020 5476 DJ DEMOLITION INC HOWELL 5661196A 4,344 4/6/2020 5610 1.51 13 % ESSENTIAL PERSONNEL INC HOWELL 2861640A 15,579 6/21/2020 9501 0.74 ESTATES AT ARCADIA RIDGE CONDOMINIUM HOWELL 5727545A 580 6/27/2020 9015 ASSOCIATION FAMILY TREE DOCTOR LLC HOWELL 5720044A 750 5/26/2020 0106 FIRST RESPONSE PLUMBING LLC HOWELL 5521327A 585 5/18/2020 5183 GM CONSTRUCTION LLC HOWELL 3779050A 750 6/14/2020 5645 HALLMARK SOFTWARE & ENGINEERING LLC HOWELL 3617386A 233 4/19/2020 8810 HOWELL MAIN STREET INC HOWELL 5708214A 390 5/1/2020 8810 JAGLA WINDOW & DOOR INC HOWELL 4086139A 750 6/26/2020 5645 JEFF GARDNER ROOFING HOWELL 3867757A 5,015 5/19/2020 5551 JRM CONSTRUCTION SERVICES LLC HOWELL 4734220A 800 4/6/2020 5437 0.95 KD THOMPSON LLC HOWELL 4842669A 5,459 5/4/2020 9058 1.45 13 % KOZLOFF BUILDING COMPANY INC HOWELL 0545481A 750 5/25/2020 5645 LEGACY FLOORS LLC HOWELL 3320570A 750 4/10/2020 9521 LISTO LLC HOWELL 1169734A 750 5/4/2020 6217 MARHOFER JAMES P HOWELL 6008259A 750 6/27/2020 5437 MICHIGAN LAND WORKS LLC HOWELL 3598683A 750 6/8/2020 6217 MKW CUSTOM TILE HOWELL 5990033A 1,871 5/1/2020 5437 NOBLE DOG INC HOWELL 5724686A 1,476 4/3/2020 8831 NORTHERN STATES WASHING & MAINTENANCE HOWELL 5544629A 1,101 4/30/2020 5476 PARDIAC TOWING & RECOVERY LLC HOWELL 5563739A 12,118 6/7/2020 7208 0.89 PET RITZ KENNELS INC HOWELL 0294799A 1,826 6/21/2020 8831 1.00

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PINE CREEK BLUFFS CONDOMINIUM HOWELL 5544688A 580 4/12/2020 9015 ASSOCIATION R AND M WINDOWS INC HOWELL 4363620A 751 6/26/2020 5462 RESCUE LLC HOWELL 4639006A 580 6/18/2020 9015 RHINO SOFTWASH LLC HOWELL 4480430A 631 5/15/2020 9015 ROOFAL ROOFING COMPANY LLC HOWELL 4972023A 750 4/19/2020 5551 RP ROOFING INC HOWELL 3288790A 1,642 6/19/2020 5606 STAMPER AND SON EXCAVATING LLC HOWELL 5408334A 2,112 5/29/2020 6217 0.95 STAMPER KYLE HOWELL 5980887A 720 4/9/2020 5538 SUNNINGDALE RESTORATION LLC HOWELL 5987008A 2,080 4/23/2020 9015 SUP DOGS LLC HOWELL 5863201A 338 5/9/2020 8017 TASKEY RODNEY HOWELL 5881307A 750 6/30/2020 5221 THERMWRIGHT LLC HOWELL 5867096A 584 6/1/2020 9015 TMB PAINTING LLC HOWELL 5534119A 750 5/23/2020 5476 0.95 TOWLES TRANSPORT INC HOWELL 5276667A 800 6/11/2020 7208 TRADESMAN JOE LLC HOWELL 6005349A 1,153 6/19/2020 5550 TREEMASTER INC HOWELL 1867520A 750 6/18/2020 0106 APEX CONTRACTING HUBBARD LAKE 5999723A 750 5/25/2020 5476 DONAJKOWSKI TRUCKING LLC HUBBARD LAKE 4564413A 750 4/28/2020 7208 0.95 HUBBARD LAKE COMMUNITY ASSOCIATES INC HUBBARD LAKE 1117262A 834 5/19/2020 7704 AMERICAN FIREWORKS COMPANY HUDSON, OH 0634280A 1,137 4/19/2020 9015 0.95 BORCKS OUTDOOR SERVICE LLC HUDSON 3014304A 1,019 5/24/2020 9102 1.00 ISAAC BRO LLC HUDSON 6000100A 836 5/29/2020 5551 LEKO CONSTRUCTION HUDSON 6000037A 836 5/29/2020 5551 RIP IT CONSTRUCTION LLC HUDSON 5992060A 750 5/3/2020 5476 SORGI AMERICAN FIREWORKS MICHIGAN LLC HUDSON, OH 5319072A 445 4/1/2020 8017 ACTION WAKE PARK LLC HUDSONVILLE 5548705A 413 5/7/2020 8017 B AND J MILLER LLC HUDSONVILLE 3262626A 2,752 6/25/2020 9058 0.95 BENCHMARK EQUINE SERVICES LLC HUDSONVILLE 5125812A 1,623 4/9/2020 8279 0.95 BREMONT CONSTRUCTION LLC HUDSONVILLE 5983606A 16,003 4/10/2020 5551 BRUISER VENTURES LLC HUDSONVILLE 5568838A 750 6/20/2020 5476 0.95 CJ CONSTRUCTION HUDSONVILLE 5859700A 750 4/26/2020 5645 CLEARPOINT CONSULTING LLC HUDSONVILLE 3618188A 216 4/3/2020 8810 CUSTOM LANDSCAPE RENOVATIONS LLC HUDSONVILLE 5706866A 750 4/28/2020 0042 DAVE POHLER PAINTING LLC HUDSONVILLE 4617967A 800 4/22/2020 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DE YOUNG LANCE HUDSONVILLE 5282276A 750 6/19/2020 5645 DOUG ULBERG BUILDER & DEVELOPER INC HUDSONVILLE 2244861A 750 6/2/2020 5645 ELITE ELECTRICAL SERVICES LLC HUDSONVILLE 5409144A 1,382 5/30/2020 5190 0.95 GAIL D DIEMERS ACCOUNTING & TAX SERVICE HUDSONVILLE 5258405A 300 4/29/2020 8810 INC GEORGETOWN PAVEMENT SERVICES LLC HUDSONVILLE 5610150A 2,521 4/4/2020 5476 0.95 GRITTERS LAWN & LANDSCAPE LLC HUDSONVILLE 5396131A 1,473 4/16/2020 9102 0.95 HOP EXCAVATING INC HUDSONVILLE 2335158A 800 6/10/2020 6217 JBS BUILDERS LLC HUDSONVILLE 5207126A 750 4/7/2020 5645 0.95 JEFF SCHOLTEN BUILDER LLC HUDSONVILLE 3016013A 750 5/22/2020 5645 JOEL STERK PAINTING LLC HUDSONVILLE 5703700A 1,448 4/14/2020 5476 0.95 KOOIENGA HOME EXTERIORS LLC HUDSONVILLE 1817833A 2,584 6/5/2020 5645 KOTMAN ELECTRIC LLC HUDSONVILLE 5860628A 766 4/28/2020 5190 MAINE WINDOW CLEANING CO INC HUDSONVILLE 4360605A 676 5/22/2020 9015 PERMEATOR DISTRIBUTORS LLC HUDSONVILLE 5019567A 272 5/1/2020 8810 PRESTIGE SIDING AND WINDOW LLC HUDSONVILLE 5536421A 750 4/1/2020 5645 RENOVATE BUILDING SOLUTIONS LLC HUDSONVILLE 5621550A 750 6/10/2020 5476 RIVER CITY TILE AND INSTALLATION LLC HUDSONVILLE 5190088A 750 4/5/2020 5348 SETH VAN KOEVERING BUILDER LLC HUDSONVILLE 5406544A 750 5/21/2020 5645 SHEPARD AND SCHUT DRYWALL CO HUDSONVILLE 0940372A 750 6/28/2020 5445 0.95 SPANKYS COLLISION REPAIR INC HUDSONVILLE 5999960A 1,475 5/29/2020 8393 STERK TREVOR HUDSONVILLE 5725437A 750 6/17/2020 5476 VERDE VALLEY BUILDERS LLC HUDSONVILLE 4863550A 750 6/7/2020 5645 0.95 VERSTRATE CARPENTRY HUDSONVILLE 4055624A 750 4/19/2020 5437 VRUGGINK BROS CONCRETE & CONSTRUCTION HUDSONVILLE 3183289A 801 6/15/2020 5221 0.95 INC WABEKE CONSTRUCTION LLC HUDSONVILLE 5282268A 800 6/19/2020 5645 WAIT CONNOR HUDSONVILLE 5991579A 750 5/2/2020 5437 WELDING COMPANY LLC HUDSONVILLE 5990440A 680 4/27/2020 3365 ZEHNS ENTERPRISE LLC HUDSONVILLE 0915386A 751 4/1/2020 0042 JAHNKE ADAM HUNTINGTON WOODS 5640474A 648 6/14/2020 0913 OPEN CARTAGE LLC HUNTINGTON WOODS 5999553A 294 5/25/2020 8810 RAMTRA MANAGEMENT SERVICES LLC HUNTINGTON WOODS 5275571A 750 5/29/2020 5437 0.95 REYNTJES ANDREW HUNTINGTON WOODS 5275032A 573 6/2/2020 0913 RORKE JACOB IDA 4862899A 634 4/21/2020 5183

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BIG DS KUSTOMZ IMLAY CITY 5143977A 439 5/6/2020 8393 EARL HUMMEL FARMS INC IMLAY CITY 5155592A 525 6/19/2020 0128 IMLAY CITY AUTO SALES LLC IMLAY CITY 5396522A 326 5/8/2020 8748 MURPHYS EXCAVATING LLC IMLAY CITY 4209575A 5,706 4/5/2020 7208 STAMPTECH INCORPORATED IMLAY CITY 5401925A 4,830 5/7/2020 5221 T L C CLEANING IMLAY CITY 5698901A 580 4/5/2020 9015 WARNARS CHIROPRACTIC CENTER PLLC IMLAY CITY 1516051A 546 5/4/2020 8832 WIN LOGISTICS INC IMLAY CITY 5985552A 800 4/16/2020 7208 H 2O MOBILE PRESSURE WASHING INC INDEPENDANCE, OH 5394040A 1,326 4/8/2020 9015 ARBOR LOGIC TREE CARE INDIAN RIVER 6002277A 1,842 6/7/2020 0106 BROTHERS TREE SERVICE OF INDIAN RIVER INC INDIAN RIVER 3782875A 3,345 4/1/2020 0042 0.95 R FURMAN PAINTING & STAINING LLC INDIAN RIVER 5994560A 750 5/13/2020 5476 T B CHAPMAN CONSTRUCTION INC INDIAN RIVER 4059387A 753 4/22/2020 8810 TUSCARORA TOWNSHIP VOLUNTEER FIRE INDIAN RIVER 1478761A 801 6/12/2020 7904 0.95 ASSOCIATION INC VIEAUS TREE SERVICE LLC INDIAN RIVER 4986865A 4,877 5/20/2020 0106 0.92 BISON TRANSPORT USA INC INDIANAPOLIS, IN 5995876A 5,339 5/16/2020 7208 D AND H LABOR INC INDIANAPOLIS, IN 5805805A 1,148 4/3/2020 5020 WATERTON CONSTRUCTION LLC INDIANAPOLIS, IN 5998760A 4,777 5/23/2020 5403 B AND D IMPROVEMENT INC INKSTER 0921734A 3,791 5/1/2020 5022 0.95 BAILEY LAWN SERVICE INKSTER 2133024A 612 6/15/2020 9102 DC INSTALLATION INC INKSTER 4067487A 750 6/1/2020 5645 DR 1 PAINTING AND PLUS LLC INKSTER 5998670A 750 5/23/2020 5476 DRAPERY BY ERNEST LLC INKSTER 0593168A 1,169 5/13/2020 9521 0.95 EA PETRO 3 INC INKSTER 5865808C 589 5/25/2020 8017 GENESIS CREATIVE SOLUTIONS LLC INKSTER 0931349A 800 4/27/2020 5190 MCMILLIAN GROUP INC INKSTER 3473872A 12,491 4/28/2020 7208 0.87 STRENGTH PERSONNEL LLC INKSTER 5539463A 35,839 4/1/2020 9015 0.62 TIME FOR YOU HOMECARE LLC INKSTER 5546001A 1,061 4/23/2020 8835 I SEE COMMUNICATIONS LLC INTERLOCHEN 6001173A 311 6/4/2020 4361 THIRTY TWO NORTH LANDSCAPING INTERLOCHEN 5175747A 751 5/1/2020 0042 WILKINSON ROBERT INTERLOCHEN 3483029A 750 6/1/2020 0042 COVERT CONSTRUCTION LLC IONIA 3128598A 6,035 5/20/2020 5645 1.00 LEPLEY CARPENTRY IONIA 5569893A 750 4/23/2020 5645 SPOTLESS CLEANING SERVICE IONIA 2980703A 580 5/15/2020 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TREVOR MERREN AUTO INC IONIA 5452295A 7,305 4/14/2020 8748 0.87 CUSTOM MICHIGAN BUILDERS INC IRA 4893581A 1,227 4/16/2020 5437 0.92 LAFAVORITE CONSTRUCTION LLC IRA 5863856A 750 5/11/2020 5645 PERFECTION REMOD LLC IRA 3999696A 750 5/11/2020 5645 0.95 SUPERIOR FRAMING LLC IRA 5456797A 750 4/25/2020 5645 1.31 SUPERIOR ROADSIDE SERVICES LLC IRA 5394074A 1,096 4/15/2020 8387 0.95 COMMERCIAL CONSTRUCTION MANAGEMENT IRA TWP 2383659A 1,689 6/16/2020 5437 0.95 LLC CURB SIDE AUTO INC IRON MOUNTAIN 5267030A 845 6/1/2020 8387 JMD FORESTRY LLC IRON MOUNTAIN 5263638A 240 6/11/2020 8601 MILLER TREE SERVICE LLC IRON MOUNTAIN 4872371A 2,918 5/23/2020 0042 0.95 NORTHWOODS ADVENTURES LLC IRON MOUNTAIN 5268176A 1,850 5/29/2020 9015 1.00 SINGLE RUNG LLC IRON MOUNTAIN 5992605A 260 5/6/2020 8742 WENDER LOGGING INC IRON MOUNTAIN 1844156A 750 5/26/2020 2702 ARROW SPLICING LLC IRON RIVER 5853419A 750 4/11/2020 5191 BIG WATER LIMITED IRON RIVER 4518241A 750 6/9/2020 2702 CARLSON LOGGING IRON RIVER 0808806A 750 5/3/2020 2702 D W LOGGING IRON RIVER 1414810A 750 6/3/2020 2709 GREG DONATI TRUCKING INC IRON RIVER 1341014A 750 4/10/2020 7208 J AND J FOREST PRODUCTS IRON RIVER 1125087A 750 6/10/2020 2702 JOHN J GENDZWILL FOREST PRODUCTS INC IRON RIVER 4513266A 750 6/28/2020 2702 M AND J FOREST PRODUCTS IRON RIVER 1600010A 750 6/8/2020 2702 MAIN STREET CAFE IRON RIVER 2704811A 1,014 4/23/2020 9058 0.95 MIKES LOGGING & EXCAVATING IRON RIVER 5714699A 750 6/19/2020 2702 NORTHERN TIMBER TRANSPORT INC IRON RIVER 3720683A 750 5/26/2020 2702 0.95 RAJALA WILLIAM H IRON RIVER 5984793A 750 4/12/2020 2702 RICK CHRISTENSEN TRUCKING LLC IRON RIVER 3789420A 750 6/29/2020 2709 ROBERT STRECKERT LOGGING IRON RIVER 6002404A 750 6/10/2020 2702 S STAFFORD LOGGING LLC IRON RIVER 4892216A 750 5/18/2020 2702 SCHMIDT FOREST PRODUCTS INC IRON RIVER 3209814A 750 4/10/2020 2702 SIERRA SEAMLESS INC IRON RIVER 0291617A 5,435 4/1/2020 5538 0.95 SKI BRULE INC IRON RIVER 0023221A 14,390 4/16/2020 9015 1.00 TIMBER RIDGE FOREST PRODUCTS LLC IRON RIVER 1593684A 750 4/15/2020 2709 TOWNSEND GREG IRON RIVER 2104067A 750 4/21/2020 2702 AHOS NORTHWOODS LOGGING LLC IRONWOOD 3026760A 750 6/1/2020 2709

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AURORA ATHLETIC CLUB IRONWOOD 4854284A 521 4/7/2020 9058 DEAN PEARSON EXCAVATING & LOGGING INC IRONWOOD 0373249A 750 5/30/2020 7208 0.95 GLOBE INDUSTRIES INC IRONWOOD 1064789A 1,649 5/1/2020 1624 1.00 GRETAS CARD AND GIFTS INC IRONWOOD 3064034A 339 4/1/2020 8017 HARDLY OPEN REPAIR IRONWOOD 5986931A 228 4/22/2020 8742 SIBLEY TRUCKING INC IRONWOOD 5992753A 6,780 5/9/2020 7208 WHITECAP KAYAK LLC IRONWOOD 4490568A 545 6/6/2020 6836 0.95 AURORA LOGISTICS LLC ISHPEMING 5997127A 750 5/21/2020 7208 HALLUM CONSULTING INC ISHPEMING 5396794A 509 4/27/2020 8601 JANICE KAYS TRUCKING & EXCAVATING ISHPEMING 0099848A 850 5/23/2020 7208 JESSE PIETRO TIMBER TRUCKING INC ISHPEMING 3839940A 750 6/26/2020 7208 RNS EXCAVATING ISHPEMING 1796380A 800 5/13/2020 7208 UP TREE SERVICES LLC ISHPEMING 5559170A 1,021 6/27/2020 0106 WASKIEWICZ GABRIEL W ISHPEMING 5994039A 556 5/10/2020 9521 MAPLE VIEW ASSISTED LIVING INC ITHACA 1795163A 4,240 6/30/2020 9053 0.95 MID STATE PRINTING INC ITHACA 1881817A 771 6/7/2020 4299 0.95 POWELSON REPAIR ITHACA 5872391A 750 6/1/2020 7208 SEARLES LAWN CARE LLC ITHACA 5055881A 2,418 6/11/2020 9102 0.95 SEI TECH INC ITHACA 5274257A 337 6/21/2020 8810 A WILLIAMS RESTORATION & PAINTING JACKSON 5877636A 800 6/16/2020 9015 ACCUGAS LLC JACKSON 0553654A 1,368 5/4/2020 7380 ACE ROOFING COMPANY LLC JACKSON 0587826A 1,003 4/18/2020 5551 AERIAL FIBER CONTRACTORS JACKSON 5829755A 750 4/10/2020 5102 ANGEL OF MINE HOME CARE LLC JACKSON 5697298A 705 4/14/2020 8835 AWARE INC JACKSON 1132890A 2,039 5/3/2020 8832 0.95 BATEMAN ROOFING LLC JACKSON 5147794A 825 6/1/2020 5551 BEAMAN DERIC JACKSON 3476308A 750 5/4/2020 5221 BLAISDELL TRUCKING INC JACKSON 4743652A 3,290 5/19/2020 7208 1.00 BUCKLE UP DRIVING SCHOOL LLC JACKSON 5981727A 241 4/11/2020 8868 DAUGHERTY TREE SERVICE LLC JACKSON 3801926A 9,016 6/27/2020 0106 0.94 DC SERVICES REMODELING AND MAINTENANCE JACKSON 5994624A 750 5/14/2020 5403 LLC DIVERSIFIED CONSTRUCTION SERVICES OF JACKSON 0887498A 10,120 6/20/2020 5645 0.89 JACKSON LLC EDMONDSON SECURITY SOLUTIONS LLC JACKSON 5947197A 806 4/18/2020 7720

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GT RANCH LLC JACKSON 0184659A 1,394 4/15/2020 0128 0.95 JACKSON JOURNEYS LLC JACKSON 5884306A 228 6/30/2020 8742 JACOBS JOSHUA JACKSON 5421349A 750 4/25/2020 7600 JEFF L BROWN CONSTRUCTION LLC JACKSON 2747537A 5,060 4/8/2020 5146 0.92 JNZ TRANSPORT LLC JACKSON 5697298B 689 5/10/2020 7212 LANSING AFFORDABLE HOMES INC JACKSON 3773310A 580 4/1/2020 9015 MCCOLLUM MICHAEL JACKSON 5994160A 750 5/10/2020 5551 MELNICK MICHAEL JACKSON 5947073A 228 6/13/2020 8742 MODERN MICHIGAN CONSTRUCTION LLC JACKSON 5985838A 750 4/17/2020 5645 PETTY ENTERPRISES LLC JACKSON 4429907A 825 6/7/2020 5551 POWELL MACHINE LLC JACKSON 5862078A 1,164 5/3/2020 3632 RELIANT LLC JACKSON 4739990A 932 4/16/2020 5437 0.95 RG II RESTORATIONS & CLEANING SERVICES LLC JACKSON 5993580A 580 5/10/2020 9015 RUGG SERVICES LLC JACKSON 2369664A 866 6/28/2020 9521 0.95 SLIMS TRIM JACKSON 5727979A 750 6/29/2020 5437 SURGICAL SERVICES OF MICHIGAN LLC JACKSON 0242020A 9,414 4/1/2020 8832 1.37 13 % WOOD PEST PROS LLC JACKSON 5544890A 2,055 4/12/2020 9015 0.95 X CELL TRUCK ENTERPRISES INC JACKSON 4064879A 775 6/9/2020 7208 ACTION RESTORATION INC JENISON 4356306A 6,279 4/13/2020 9015 0.90 BILLS SANDBOX INC JENISON 0531995A 2,819 5/25/2020 4000 0.95 DANIEL J POSTMA TILE INC JENISON 4474325A 750 5/31/2020 5348 DEANS OF ROOFING LLC JENISON 5854326A 5,075 4/16/2020 5551 0.95 DUANE DEVRIES BUILDER LLC JENISON 0255203A 752 4/3/2020 8810 ERAN VAN HORRSEN DRYWALL JENISON 6002196A 750 6/7/2020 5445 JAVO CONSTRUCTION LLC JENISON 3355578A 750 6/20/2020 5183 K AND E SITE PREP LLC JENISON 5984106A 1,426 4/11/2020 6217 KEYSTONE CONSTRUCTION CO LLC JENISON 5862760A 825 5/5/2020 5445 KORNOELJE CONSTRUCTION JENISON 3533115A 750 6/1/2020 5645 LEIN PHIL JENISON 5725470A 750 6/20/2020 5437 LFE JENISON LLC JENISON 5262747A 700 4/17/2020 5550 MIKE TERVOORT CUSTOM HOMES LLC JENISON 4315545A 750 4/11/2020 5645 MITTEN CUSTOM BUILDING LLC JENISON 5864984A 750 5/24/2020 5645 NIR INC JENISON 0720917A 750 5/28/2020 5645 0.97 PEAK ROOFING LLC JENISON 3818799A 852 4/22/2020 5551 0.95 PROSCAPE CONSTRUCTION LLC JENISON 5332842A 720 6/17/2020 9402 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 86 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RELIANT CONSTRUCTION & ROOFING LLC JENISON 4435540A 750 6/1/2020 5551 ROCK RIVER CONSTRUCTION LLC JENISON 5862574A 750 5/5/2020 5645 RVA INC JENISON 5321638A 2,988 5/4/2020 7016 SCOTT MOL DRYWALL INC JENISON 2785811A 800 5/5/2020 5445 SERVISCREEN INCORPORATED JENISON 0433411A 130,722 4/30/2020 4299 1.63 27 % SQUEAKY CLEAN WINDOW CARE AND POWER JENISON 5705690A 605 4/18/2020 9015 WASHING LLC VENTURE DESIGN & CONSTRUCTION INC JENISON 3068560A 750 6/15/2020 5437 0.95 ALPINE PRECISION SURFACE LLC JOHANNESBURG 5850134A 1,652 4/6/2020 5348 DEL THOMAS LOG HOME REPAIR LLC JOHANNESBURG 5273781A 3,535 5/31/2020 5476 0.95 WHITETAIL FORESTRY LLC JOHANNESBURG 5849233A 750 4/3/2020 2702 RIFENBERG EXCAVATING INC JONES 5877431A 1,660 6/15/2020 6217 BLACKS FORKLIFT SALES & SERVICE INC JONESVILLE 0097012A 831 6/28/2020 8387 0.95 CONEY HUT DRIVE INN LLC JONESVILLE 1145010A 435 5/17/2020 9058 TAYLOR PROFESSIONAL SOLUTIONS LLC JONESVILLE 5994942A 283 5/14/2020 8601 ULTIMATE LAWN CARE AND TREE SERVICE JONESVILLE 5181054A 3,346 6/2/2020 0106 0.95 A AND H INVESTIGATION SECURITY KALAMAZOO 4179269A 3,176 5/10/2020 7720 0.95 MANAGEMENT INC A NEW LEAF KALAMAZOO 2457415A 411 6/1/2020 8001 0.95 AVILA SALOMON CASTILLO KALAMAZOO 5994713A 750 5/11/2020 5645 B AND A HOMES LLC KALAMAZOO 5856108A 825 4/20/2020 5437 BEACHS DRYWALL KALAMAZOO 5859107A 750 4/27/2020 5445 BRICK STONE CONSTRUCTION LLC KALAMAZOO 4783794A 750 5/8/2020 5022 BROWN CUSTOM HOMES AND REMODELING INC KALAMAZOO 3187373A 50,276 5/22/2020 5551 0.92 BURKE BUILDERS LLC KALAMAZOO 5519870A 1,788 5/15/2020 5437 0.95 BUTLER FLOORING INC KALAMAZOO 3409171A 1,830 6/5/2020 9521 0.95 C AND M EXTERIORS LLC KALAMAZOO 5985021A 750 4/19/2020 5551 CALDERON ISRAEL KALAMAZOO 5994500A 750 5/11/2020 5645 CHAD RUSSELL CONSTRUCTION KALAMAZOO 5720052A 8,081 5/26/2020 5645 0.95 CHARLES ZAGAR BUILDERS KALAMAZOO 0518670A 750 4/19/2020 5645 COBURN AND SONS FLEET SERVICE LLC KALAMAZOO 4400720A 558 5/31/2020 8395 CORTEZ EDGAR HERNANDEZ KALAMAZOO 5995965A 750 5/16/2020 5645 DANS CUSTOM REMODELING LLC KALAMAZOO 2633060A 750 6/1/2020 5645 DAVE BUNYON & SONS LLC KALAMAZOO 5678838A 750 6/6/2020 0106 DREAM MANAGEMENT LLC KALAMAZOO 5697956A 580 4/17/2020 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DUSTIN LEWIS KALAMAZOO 4793536A 750 6/25/2020 5551 EVENT LABOR INC KALAMAZOO 1451391A 21,162 6/1/2020 9154 1.76 27 % FISCHELL ANNE A KALAMAZOO 4751353A 957 5/18/2020 0908 GARCIA ANDRES ZAMBRANO KALAMAZOO 5994683A 750 5/11/2020 5645 GIGGY NORRIS KALAMAZOO 5244447A 750 4/10/2020 5437 GREAT LAKES FLOORING SOLUTIONS INC KALAMAZOO 5560160A 750 6/20/2020 5348 GREENLINK INC KALAMAZOO 5572436A 602 6/13/2020 8810 HAMILTON ASSOCIATES LLC KALAMAZOO 5986940A 807 4/18/2020 5437 HELIOS SOLAR LLC KALAMAZOO 4661591A 1,870 6/17/2020 5606 0.95 HIGUERA MARCIANO RUIZ KALAMAZOO 5994705A 750 5/11/2020 5645 HOMEWORX CONSTRUCTION LLC KALAMAZOO 6000754A 750 6/11/2020 5645 HYER TRENT KALAMAZOO 3251411A 800 5/17/2020 5403 IMPACT MI KALAMAZOO 5368081A 267 5/9/2020 8810 INTERFAITH STRATEGY FOR ADVOCACY & KALAMAZOO 5001196A 390 5/26/2020 8810 ACTION IN THE COMMUNITY INTERNATIONAL PROFYLE BARBERSHOP KALAMAZOO 5741238A 253 5/2/2020 9586 JD TREE WORKS LLC KALAMAZOO 5878055A 750 6/20/2020 0106 KALAMAZOO IN BLOOM INC KALAMAZOO 2266059A 828 5/6/2020 0042 0.95 KALAMAZOO OPTIMIST HOCKEY ASSOCIATION KALAMAZOO 1980734A 1,947 4/25/2020 9015 0.95 INC KALAMAZOO RIGHT TO LIFE KALAMAZOO 2148927A 229 5/15/2020 8810 KRH LANDSCAPING LLC KALAMAZOO 5708974A 562 4/27/2020 9102 LANDO LLC KALAMAZOO 5752019A 754 4/11/2020 8810 LOCKHART SHANNON KALAMAZOO 5984548A 750 4/15/2020 5437 LUITEN SHADING INC KALAMAZOO 2834251A 3,759 4/23/2020 9521 0.95 LUNA ABEL KALAMAZOO 5983576A 750 4/9/2020 5645 MARTIN AND ASSOCIATES ENVIRONMENTAL LLC KALAMAZOO 3478262A 11,171 4/7/2020 5479 0.86 MARTINEZ ROOFING LLC KALAMAZOO 5427681A 750 6/27/2020 5551 0.95 MIRACLE LAWN MAINTENANCE LLC KALAMAZOO 5250161A 722 4/17/2020 9102 0.95 MITCHELL CONSTRUCTION KALAMAZOO 0915793A 1,417 6/22/2020 5645 NEW GENERATION PLASTERING & STUCCO LLC KALAMAZOO 5821886A 750 6/20/2020 5022 NORTHSTAR HEATING & COOLING LLC KALAMAZOO 6002331A 2,597 6/7/2020 5550 O HALLORAN KENNETH M JR KALAMAZOO 2380706A 750 4/14/2020 5022 OMEGA ROOFING LLC KALAMAZOO 5376998A 750 6/3/2020 5551 ONLY OUTDOOR LIVING LLC KALAMAZOO 5872383A 1,497 6/1/2020 0042

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PALCO ENTERPRISES CORP KALAMAZOO 2518694A 1,205 6/10/2020 5476 0.95 PANDORAS GOLD LLC KALAMAZOO 0544833A 853 6/21/2020 9058 PRECISION ROOFING INC KALAMAZOO 4297679A 1,303 6/12/2020 5645 0.95 PROFESSIONAL PERFECTION HOME SERVICES KALAMAZOO 4601190A 1,318 4/5/2020 9015 QUALITY CASTINGS KALAMAZOO 0104957A 4,382 6/30/2020 3085 0.93 REED ELLEN KALAMAZOO 5995361A 573 5/22/2020 0913 STATEWIDE ROOFING & EXTERIORS LLC KALAMAZOO 5373689A 750 6/30/2020 5551 THINK 50 50 LLC KALAMAZOO 5991234A 241 5/1/2020 8601 TOTAL TREE SERVICE INC KALAMAZOO 3784452A 8,832 4/23/2020 0042 1.39 13 % TRH HOMES LLC KALAMAZOO 6002218A 825 6/7/2020 5403 TRIPLE G TRANSPORT LLC KALAMAZOO 5403340A 800 4/20/2020 7208 TWO THOUSAND 233 N BURDICK INC KALAMAZOO 5876800A 328 6/14/2020 8045 VR DEVELOPMENT LLC KALAMAZOO 4394801A 307 6/8/2020 8810 WITH A SMILE CLEANING SERVICES LLC KALAMAZOO 5866839A 717 5/22/2020 9015 WORLDWIDE LAB IMPROVEMENT INC KALAMAZOO 3790819A 1,061 6/10/2020 5191 DEATERS SERVICES KALKASKA 5994144A 750 5/10/2020 5645 ELN LLC KALKASKA 4990730A 751 6/2/2020 8232 NORTHERN EXTERIORS & DESIGN INC KALKASKA 3111741A 750 5/29/2020 5551 MY BROTHERS BAR INC KAWKAWLIN 4079191A 334 5/18/2020 9058 PAJOT FEED AND SUPPLY LLC KAWKAWLIN 5394201A 1,861 4/12/2020 2014 0.95 WINTERS MARK KAWKAWLIN 5987393A 750 4/18/2020 5437 A C E ANIMAL CONTROL EXPERTS LLC KEEGO HARBOR 5034710A 483 5/5/2020 8831 ALLEN WOODWORKS AND CO INC KEEGO HARBOR 5757843A 2,206 6/7/2020 5437 FAIRLANE WOODS ASSOCIATION KEEGO HARBOR 0261068A 630 4/5/2020 9015 FAIRWOOD VILLAS CONDOMIN ASSOC KEEGO HARBOR 1596934A 580 4/17/2020 9015 FRANKLIN COLONY CLUB ASSOCIATION KEEGO HARBOR 0984124A 630 5/13/2020 9015 HOOST SOCIAL SERVICES LLC KEEGO HARBOR 5803810A 237 6/15/2020 8810 JDS PRO INC KEEGO HARBOR 3492737A 828 4/1/2020 5606 0.92 ORCHARD RIDGE CONDOMINIUM ASSOCIATION KEEGO HARBOR 4343140A 580 5/5/2020 9015 PR 39 INDUSTRIES LLC KEEGO HARBOR 5286220A 2,490 4/27/2020 8010 0.95 PROBST LANDSCAPE SERVICE KEEGO HARBOR 1380010A 750 5/1/2020 0042 SAFES UNLIMITED INC KEEGO HARBOR 5545765A 863 4/15/2020 8010 SQUARE LAKE HILLS ASSOCIATION KEEGO HARBOR 0207667A 655 5/12/2020 9015 TABAK ELLEN KEEGO HARBOR 6003931A 281 6/13/2020 8832 BROWN CONSTRUCTION SERVICES LLC KENT CITY 5993709A 9,070 5/9/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 89 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DLB BUILDERS LLC KENT CITY 3504590A 750 5/5/2020 5213 G AND C CARPORTS OF MICHIGAN INC KENT CITY 4160134A 825 6/14/2020 5645 J AND J CARPORTS INSTALLATIONS LLC KENT CITY 5997224A 2,285 5/18/2020 5538 R AND M CARPET & REMODELING LLC KENT CITY 3745120A 556 4/4/2020 9521 SUMMIT CONSTRUCTION OF WEST MICHIGAN KENT CITY 4725620A 750 6/1/2020 5437 INC AUTOKING LOGISTICS LLC KENTWOOD 5980020A 620 4/10/2020 8810 BRIGHT SKY BUILDERS LLC KENTWOOD 6000460A 750 6/3/2020 5403 BRIGHT SPOT CLEANING LLC KENTWOOD 5653380A 1,101 6/30/2020 9015 COLORS PAINTING SERVICES LLC KENTWOOD 4964381A 750 4/16/2020 5476 0.95 CORNERSTONE PROPERTY GROUP INC KENTWOOD 4371070A 2,258 5/8/2020 9015 FIELDS TOWING LLC KENTWOOD 5981387A 750 4/2/2020 7208 FLOORCOVERING ENGINEERS LLC KENTWOOD 4869010A 606 5/10/2020 9521 FONGERS MICHAEL KENTWOOD 3633306A 750 5/18/2020 5645 FRAMERS CONSTRUCTION LLC KENTWOOD 5994411A 825 5/11/2020 5445 JANM CARRIERS LLC KENTWOOD 6008526A 3,020 6/29/2020 7208 JOEL JOHNSON KENTWOOD 5023092A 618 5/7/2020 8292 KUMBAE CONSTRUCTION KENTWOOD 5876001A 750 6/4/2020 5645 MIGUELS CONSTRUCTION LLC KENTWOOD 5159768A 800 6/29/2020 5445 OASIS CARE SERVICES LLC KENTWOOD 5866820A 654 6/20/2020 9053 SALLY TRUCKING LLC KENTWOOD 5988985A 5,088 4/24/2020 7208 SKIP LOCATORS INC KENTWOOD 5011094A 419 6/30/2020 8810 T AND G TREE SERVICE INC KENTWOOD 3438520A 2,521 6/19/2020 0106 1.00 TURNING POINT SATELLITE LLC KENTWOOD 5993776A 750 5/9/2020 7600 ZZ CUSTOM BUILDERS LLC KENTWOOD 5265622A 1,421 4/28/2020 5645 ANTRIM AREA PEST CONTROL LLC KEWADIN 5701546A 1,152 4/24/2020 9015 JOE YOUNG EXCAVATING LLC KIMBALL 4739868A 750 6/29/2020 0042 THUMB AUTO OF KINDE LLC KINDE 5532663A 1,150 4/1/2020 8395 0.95 MELROSE PYROTECHNICS INC KINGSBURY, IN 2190494A 1,639 4/1/2020 9015 0.95 C W LOGGING INC KINGSFORD 2605872A 750 6/18/2020 2702 LONGEST YARDCARE SERVICE KINGSFORD 6002366A 561 6/19/2020 9102 UPLAND ENTERPRISES INC KINGSFORD 5874157A 465 6/6/2020 6834 WILBANKS SCOTT KINGSFORD 5983568A 750 4/10/2020 7208 BIG BRUSH PAINTING KINGSLEY 5165865A 8,579 5/8/2020 5476 0.95 CEDAR CREEK CROSSINGS LLC KINGSLEY 5245036A 939 6/30/2020 8279

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CONSTRUCTION BY WILSON LC KINGSLEY 3880796A 2,767 5/2/2020 5645 0.95 COUNTRYSIDE SENIOR AFC LLC KINGSLEY 5555744A 874 5/13/2020 9053 DOWN TO FRAME LLC KINGSLEY 6008844A 508 6/29/2020 9530 NORTHBOUND CONSTRUCTION SERVICES LLC KINGSLEY 5847087A 800 5/20/2020 5645 PATON LOGGING LLC KINGSLEY 5419026A 750 6/30/2020 2702 SHERWOOD JOSEPH P KINGSLEY 2740311A 750 6/26/2020 5551 VANDERPOEL TRUCKING INC KINGSTON 2411849A 1,122 4/16/2020 7208 0.95 PATRICK NEWLAND LOGGING LTD L ANSE 2439026A 750 6/28/2020 7208 0.82 E J AND Z TRANSPORT LLC LACHINE 5421276A 11,298 4/27/2020 2702 0.85 JAMES HANSEN FOREST PRODUCTS LLC LACHINE 3665194A 750 4/26/2020 7208 ALL TECH MOTORSPORTS LLC LAINGSBURG 5994691A 1,420 5/11/2020 9015 AUSTIN KYLE LAINGSBURG 4879252A 750 6/16/2020 5645 J GORDON ASSOCIATES INC LAINGSBURG 0771600A 795 6/16/2020 0042 MARK BRINK CONSTRUCTION LAINGSBURG 2426080A 2,417 6/12/2020 5645 MICHQUITOES INC LAINGSBURG 5722829A 2,824 4/20/2020 9015 0.95 OAK RIDGE HOMES LLC LAINGSBURG 6008267A 825 6/27/2020 5645 RHOGE SATCOM CONSULTING LLC LAINGSBURG 5137659A 2,896 5/13/2020 3724 0.95 SUGGATE CONSTRUCTION LLC LAINGSBURG 3943160A 2,915 4/22/2020 5551 1.00 A AND B DRYWALL SAGINAW LLC LAKE 4465423A 750 5/25/2020 5445 G AND C CONSTRUCTION LLC LAKE 2908492A 1,735 6/18/2020 5645 GARFIELD TOWNSHIP OF CLARE COUNTY LAKE 0999857A 6,931 4/1/2020 9410 1.22 10 % BLUE LAKE BUILDERS LLC LAKE ANN 5587123A 750 5/21/2020 5645 DELL CARPENTRY INC LAKE ANN 6004750A 750 6/18/2020 5645 KROPP WELL DRILLING INC LAKE ANN 0181757A 800 4/18/2020 6204 NORTHERN ROOTS LLC LAKE ANN 5990823A 956 4/30/2020 0042 BANNISTER PLUMBING & HOME SERVICES LLC LAKE CITY 5840074A 1,325 5/18/2020 5183 H AND H FOREST PRODUCTS LAKE CITY 5304261A 750 4/4/2020 2702 JOHN MARTIN SIDING & TRIM LAKE CITY 4048865A 750 4/1/2020 5437 JOHNS M 55 AUTO INC LAKE CITY 4464281A 909 5/16/2020 8395 0.94 NAROVICH CHARLES W LAKE CITY 2782740A 750 4/11/2020 2702 PREE THOMAS M LAKE CITY 5859719A 625 4/26/2020 0005 REEDER TOWNSHIP LAKE CITY 1393898A 689 5/4/2020 9220 TC EXCAVATING LAKE CITY 5993598A 750 5/9/2020 6217 MCMANUS MICHAEL A LAKE LEELANAU 0506559A 572 5/28/2020 0130 0.95 MCMANUS OPERATIONS LLC LAKE LEELANAU 5862531A 1,202 5/10/2020 0130 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 91 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STANTON FAMILY ORCHARDS LLC LAKE LEELANAU 5135095A 4,919 5/14/2020 0130 0.92 GAST TIMM LAKE LINDEN 3248887A 481 6/22/2020 5190 JAMES MURPHY TRUCKING LLC LAKE LINDEN 3836690A 750 6/20/2020 7219 ASH N TREES LAKE ODESSA 5931525A 2,540 6/25/2020 0106 B ZELMER TRUCKING LLC LAKE ODESSA 5553512A 750 5/1/2020 7208 ADAPTIVE FITNESS INC LAKE ORION 5880009A 538 6/27/2020 8835 CORINTHIAN STONE RESTORATION LLC LAKE ORION 4858913A 750 4/12/2020 5348 DEANO MACS SERVICES LLC LAKE ORION 3340686A 2,878 5/10/2020 0042 0.94 HAUXWELL SERVICES INC LAKE ORION 3664490A 1,349 6/15/2020 9102 0.95 HOCKENBERRY HOME SOLUTIONS LLC LAKE ORION 5984998A 800 4/12/2020 5645 IRON COMMUNICATIONS LLC LAKE ORION 5990025A 306 4/26/2020 8810 ISLAND POINTE BUILDING COMPANY INC LAKE ORION 5646472A 3,489 5/18/2020 5403 LYMTAL INTERNATIONAL INC LAKE ORION 1504380A 438 6/7/2020 4558 MASTER HOMES INC LAKE ORION 2017849A 800 6/12/2020 5445 MEYER CUSTOM HOMES LLC LAKE ORION 5985714A 750 4/16/2020 5645 MICHIGAN GREENSKEEPER INC LAKE ORION 3337014A 4,608 6/21/2020 9102 0.95 OTC ROOFING & SHEET METAL LLC LAKE ORION 5554586A 800 4/30/2020 5552 POSEY TRANSPORTERS INC LAKE ORION 4419804A 10,962 5/1/2020 7208 0.86 ROCK HOMES LLC LAKE ORION 4982894A 750 5/5/2020 5645 RTB CONSTRUCTION LLC LAKE ORION 5268591A 750 5/9/2020 0042 SALK COMMUNICATIONS INC LAKE ORION 5158940A 1,262 6/28/2020 3681 0.95 SNEARY SERVICES LLC LAKE ORION 5683475A 359 4/26/2020 8810 SQUARE DEAL CONSTRUCTION LLC LAKE ORION 2035324A 750 6/10/2020 5476 STARRS ROOFING & CONSTRUCTION LLC LAKE ORION 5721393A 8,546 6/2/2020 5645 0.95 TEPER ARTHUR II LAKE ORION 5409861A 556 6/3/2020 9521 TURMANS TREE AND LANDSCAPE LLC LAKE ORION 5436664A 12,333 6/10/2020 0106 1.00 VENETIAN PLASTER COMPANY LLC LAKE ORION 5414261A 750 6/17/2020 2881 WORMSBAECHER HANS LAKE ORION 5547962A 240 4/19/2020 8601 BOYLE JOHN LAKEPORT 6000576A 290 5/31/2020 8601 HOLLER TYLER LAKEVIEW 5982090A 750 4/4/2020 5445 LMT REPAIR LLC LAKEVIEW 5579384A 12,626 5/25/2020 7208 0.89 SIFI DRYWALL LAKEVIEW 2893860A 936 6/6/2020 5445 0.95 LAKE RESTORATION ASSOCIATION LAKEVILLE 1207334A 1,146 5/26/2020 0005 GREEN HILLS LOT OWNERS ASSOCIATION LAMBERTVILLE 0903094A 482 4/28/2020 9061 R H TAYLOR MECHANICAL CONTRACTORS CORP LAMBERTVILLE 4885287A 2,174 6/22/2020 5183 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 92 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STEINMAN FAMILY SERVICES LLC LAMBERTVILLE 5895391A 802 5/8/2020 9102 GORSUCH CONSTRUCTION INC LANCAST, OH 5973163A 1,868 4/1/2020 5606 RUTH LLC LAND O LAKES, WI 6005950A 750 6/20/2020 5645 TIKKYS TREE SERVICE LANSE 4363701A 2,540 5/31/2020 0106 0.95 A 1 ALL DRY LLC LANSING 5997615A 1,311 5/21/2020 5183 ABN SAFETY TECHNOLOGIES LLC LANSING 5990386A 290 4/27/2020 8601 ACES GAMING SUPPLY LLC LANSING 4502329A 1,752 5/1/2020 8017 0.95 AGO CONSTRUCTION LLC LANSING 5983150A 8,083 4/8/2020 5645 ALLENS CONTRACTING LANSING 5862280A 750 5/21/2020 5645 B AND V BROTHERS LLC LANSING 5863139A 6,139 5/11/2020 5551 BRUCE KRUGER INC LANSING 1963317A 4,918 6/14/2020 5645 CALDERON DRYWALL LANSING 3770273A 4,894 5/12/2020 5445 CAPITAL CITY VENDING LLC LANSING 5180597A 645 5/29/2020 5192 CASTILLO CESAR RANGEL LANSING 5877776A 750 6/16/2020 5445 CASTILLO RANGEL ANTONIO LANSING 3804348A 750 6/16/2020 5445 CHRISTIE MICHAEL J LANSING 4794796A 751 4/19/2020 5437 CJ CONSULTANTS LLC LANSING 5855802A 752 4/18/2020 8227 CRANBERRY LAKE CAMPGROUND CO LANSING 5878438A 810 6/22/2020 9015 DEO CONSTRUCTION LLC LANSING 5713862A 800 5/9/2020 5551 DTN PROPERTIES LLC LANSING 4001648A 580 4/7/2020 8810 FAWAZ ENTERPRISES INC LANSING 3436160A 750 6/28/2020 0106 FIVE STAR TECH SERVICES LLC LANSING 4778723A 750 6/18/2020 7600 GILES REMODELING SERVICES LANSING 5872278A 750 6/1/2020 5445 GREENWOOD ACRES CONDOMINIUM LANSING 3074560A 580 4/30/2020 8810 ASSOCIATION HEEGAL CORPORATION LANSING 4652797A 396 6/15/2020 9063 HIGHWAY PERMITS LLC LANSING 4872363A 1,120 5/25/2020 9015 0.95 HOMETOWN BUILDERS OF GREATER LANSING LANSING 5998050A 2,658 5/22/2020 5551 LLC HOUSE BOYS LLC LANSING 5981239A 931 4/2/2020 5462 INTEGRITY ROOF REPAIR LANSING 6003222A 750 6/11/2020 5551 JACK C DAVIS PC LANSING 2844850A 211 4/1/2020 8820 JDK RESTORATION CONTRACTORS LLC LANSING 5472423A 750 6/13/2020 5437 0.95 JIM HENSLEYS PAINTING LANSING 0605077A 750 4/12/2020 5476 JK LOGIX INC LANSING 6001416A 9,959 6/14/2020 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KESSLER RENTAL PROPERTY LANSING 2927225A 2,980 5/29/2020 5476 0.95 KINGDOM HOMES INC LANSING 0412937A 753 5/10/2020 5645 LANDINGS AT RAYNER PONDS CONDOMINIUM LANSING 4565584A 580 6/23/2020 9015 ASSOCIATION LEONARDS CARPET INC LANSING 0436070A 557 5/11/2020 9521 0.95 MENDOZA AGUILAR HERACLIO LANSING 5873010A 750 6/2/2020 5445 MENDOZA EDUARDO AGUILAR LANSING 5872960A 750 6/2/2020 5445 MIENTERTAINMENT GROUP INC LANSING 5701716A 1,125 4/10/2020 9058 MILLENNIUM COMPANY LLC LANSING 5986966A 656 5/11/2020 9015 MIRACLE ARC INC LANSING 3515940A 1,171 5/2/2020 3365 0.95 MORAS BROTHERS LLC LANSING 6006876A 5,065 6/22/2020 5551 NELSON TANK ENGINEERING & CONSULTING INC LANSING 1885111A 861 4/11/2020 8601 0.95 NICKS CLEANING SERVICE LLC LANSING 3073238A 580 4/9/2020 9015 NLS BUILDERS LANSING 5993334A 750 5/8/2020 5348 OPEN THE DOOR CONSTRUCTION LLC LANSING 5702461A 750 4/13/2020 5445 PAMELA F R O G LLC LANSING 2198649A 963 6/11/2020 8868 0.95 PERSONNEL WORLD INC LANSING 1676970A 14,585 6/1/2020 4511 1.57 10 % PREMIER ELECTRICAL CONTRACTORS LLC LANSING 5982790A 481 4/5/2020 5190 R AND G TORCHING LLC LANSING 5555558A 2,151 6/7/2020 3365 0.95 R AND R ROOFING LLC LANSING 5979820A 4,373 4/24/2020 5551 REPLAY TAVERN LLC LANSING 5697867A 1,535 4/1/2020 9058 0.95 ROBIN L OMER PLLC LANSING 5552990A 252 4/27/2020 8810 SC ENVIRONMENTAL SERVICES LLC LANSING 4485882A 43,970 6/25/2020 5183 1.63 SCHADLER BRIAN LANSING 2618419A 800 5/15/2020 5551 SMALL FOLKS DEVELOPMENT CENTER INC LANSING 1444123A 753 5/1/2020 8869 SOWASH MEGAN MARIE LANSING 6002501A 573 6/8/2020 0913 SPARTAN MASONRY LLC LANSING 5849977A 3,590 6/7/2020 5022 SPRINGZ LTD LANSING 5986389A 1,226 4/17/2020 9015 SQUARE ONE TRANSPORT INC LANSING 5135176A 2,061 5/7/2020 7208 0.86 TINAJERO FERNANDO MARTINEZ LANSING 6000452A 750 5/31/2020 5445 TJ HANDYMAN LANSING 5652944A 750 4/23/2020 5476 TONY D TRUCKING LLC LANSING 5998956A 750 5/29/2020 7219 UNITED COURIER SERVICE INC LANSING 0907847A 750 6/26/2020 7202 WELLNESS INX LLC LANSING 5726328A 6,639 6/23/2020 8835 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WESTERN TEMPORARY SERVICES OF LANSING LANSING 2641534A 446 4/6/2020 8810 INC WILSON STEPHEN LANSING 1779397A 750 6/22/2020 5645 WOODBRIDGE COMMONS COOPERATIVE LANSING 5158788A 1,446 6/28/2020 9015 AA GENESEE CONTRACTING & CONSULTATION LAPEER 2920751A 750 5/26/2020 5645 LLC ASHLEY CONSTRUCTION LAPEER 4472870A 3,051 5/4/2020 5645 0.95 BAT REMOVAL & PREVENTION INC LAPEER 5142377A 7,533 4/12/2020 9015 0.95 BRITTON ELECTRIC INC LAPEER 2235358A 533 4/14/2020 5190 CARDINAL PROPERTY SERVICES LLC LAPEER 5339634A 1,577 4/10/2020 5437 0.91 CORNERSTONE BRICK & LANDSCAPE INC LAPEER 3996808A 912 5/30/2020 9102 0.95 DEPENDABLE ROOFER LLC LAPEER 2299461A 825 5/25/2020 5551 FICK FARMS LLC LAPEER 3197387A 632 5/21/2020 8006 FOUR STAR ROOFING LAPEER 0436240A 750 5/26/2020 5551 HILL TOP TRANSPORT LLC LAPEER 5402328A 825 5/7/2020 7208 J AND K ELECTRIC INC LAPEER 2467607A 531 6/27/2020 5190 J AND S DRYWALL LLC LAPEER 2170086A 5,617 5/1/2020 5445 0.95 J AND S TRUCKING & CLEANUP LLC LAPEER 3012662A 1,828 5/6/2020 5610 0.95 M AND M TILE & MARBLE LLC LAPEER 5152461A 750 6/8/2020 5348 MASONRY SPECIALIST INC LAPEER 0730726A 800 5/19/2020 5022 0.95 MID VALLEY TRANSPORTATION LLC LAPEER 3493512A 6,351 4/29/2020 7212 0.87 NASSAR AND ASSOCIATES LLC LAPEER 5165520A 224 6/8/2020 8810 REYNOLDS JERIMY LAPEER 6002986A 750 6/11/2020 5437 RNS DETAILING LLC LAPEER 5408229A 280 6/11/2020 8810 SPRAYTIGHT INC LAPEER 4945921A 3,719 6/12/2020 5479 1.00 SUPER TRANSPORT INTERNATIONAL LTD LAREDO, TX 5216290A 18,340 4/1/2020 7208 1.45 13 % CREDIBLE CABLE COMMUNICATIONS LLC LARGO, FL 5843375A 751 4/20/2020 7600 PYROTEK SPECIAL EFFECTS INC LAS VEGAS, NV 5837871A 2,510 4/20/2020 5190 0.95 YOUCANBOOKME INC LAS VEGAS, NV 5591279A 385 4/24/2020 8810 ELEGANCE PAINTING INC LATHRUP VILLAGE 5414156A 751 6/23/2020 8810 0.95 FOUNDATION OF MICHIGAN ASSOCIATION OF LATHRUP VILLAGE 5263085A 2,045 4/18/2020 9015 0.95 PHYSICIANS OF INDIAN HERITAGE LAMA HOME HEALTH CARE LLC LATHRUP VILLAGE 5257646A 480 4/4/2020 8835 THIRD GEN MGT INC LATHRUP VLG 5702410A 6,667 4/12/2020 9015 1.00 HOLT WILBERT LAUREL, MD 5858453A 580 5/2/2020 9015 LOPEZ GERARDO M LAUREL, MD 5859115A 580 5/2/2020 9015 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 95 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RAMIREZ RAFAEL LAUREL, MD 5859980A 580 4/27/2020 9015 REGAL CANINE SECURITY LLC LAUREL, MD 4882709A 4,014 6/29/2020 7720 0.93 ZUNIGA OSCAR LAUREL, MD 5861730A 580 5/2/2020 9015 ARMOR CONSTRUCTION LLC LAWRENCE 6004679A 1,367 6/18/2020 5645 GARDNER JUSTIN LAWRENCE 5863473A 2,977 5/14/2020 5645 LAKESIDE RENOVATIONS LLC LAWRENCE 5974151A 6,919 4/2/2020 5551 LAWRENCE TOWNSHIP LAWRENCE 0340375A 7,026 4/4/2020 7704 0.92 BADGER LAWN CARE LLC LAWTON 2528185A 771 5/2/2020 9402 PREFERRED POURED WALLS & EXCAVATING INC LAWTON 3681351A 750 6/10/2020 5221 TERRY PHILLIPS LLC LAWTON 4996496A 228 6/22/2020 8742 WATERTIGHT ROOFING SYSTEMS LLC LAWTON 3027112A 2,167 6/16/2020 5551 0.95 FAIRBORN EQUIPMENT MIDWEST INC LEBANON, OH 5283485A 5,387 6/24/2020 3724 0.90 ABC GLOBAL CONTRACTING LLC LENOX 6002471A 750 6/10/2020 5645 FINISH LINE HARDWOOD FLOORS LENOX 5877652A 1,053 6/18/2020 5437 TOP NOTCH LABOR LLC LENOX TWP 5012376A 825 4/30/2020 5645 G R HOME IMPROVEMENT L L C LEONARD 5303001A 750 4/7/2020 5348 GLEN VALLEY PLUMBING & HEATING LEONARD 1212788A 584 5/5/2020 5183 J TS CARPET SERVICE LEONARD 0920614A 631 6/6/2020 9521 KEY CONSTRUCTION LEONARD 0615617A 7,793 6/19/2020 5403 0.92 NEVER WET LEONARD 4861850A 584 4/20/2020 5183 PRECISION CRAFT HARDWOOD FLOORS LLC LEONARD 3228037A 785 6/26/2020 5437 TIMBER TREE SERVICE LEONARD 1345575A 878 6/14/2020 0106 0.95 TOTAL HEATING COOLING AND ELECTRICAL LLC LEONARD 5651409A 650 4/21/2020 5550 WESTWOOD BUILDING LLC LEONARD 5409969A 825 6/3/2020 5645 FAVOR FOREST PRODUCTS LEROY 4597311A 1,021 5/30/2020 2702 0.95 LEROY ROSE LAKE FIRE DEPARTMENT LEROY 2118947A 2,189 4/24/2020 7704 0.95 ADVANCED CONSTRUCTION & SERVICES LLC LESLIE 5276900A 2,581 5/31/2020 5645 HENDERSON LANE LESLIE 5991889A 556 5/2/2020 9521 SPARKLE WINDOW CLEANING INC LESLIE 6005810A 580 6/20/2020 9015 TOP NOTCH TREE CARE LLC LESLIE 5547113A 5,083 4/23/2020 0106 0.91 WHITE PINE ACADEMY LESLIE 3193721A 291 5/21/2020 8810 BEE FRIENDLY GARDENING LEVERING 5849128A 1,542 4/3/2020 0042 ALL ABOUT COMPANY LEWISTON 6006680A 1,951 6/21/2020 5645 NORTHLANDER CONSTRUCTION LLC LEWISTON 3355837A 8,441 4/15/2020 5403 1.46 27 % IST OHIO INC LEXINGTON, OH 5709768A 341 4/28/2020 8742 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 96 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JLR GROUP LLC LEXINGTON 5394252A 805 4/9/2020 8742 SURE CUT LAWN & LANDSCAPE LEXINGTON 5405610A 2,067 5/19/2020 9102 1.00 LILLEY TOWNSHIP OF NEWAYGO COUNTY LILLEY 0292877A 1,537 6/1/2020 9410 1.00 CONNECTED STRATEGY ADVISORS LLC LIMA, OH 5405300A 3,419 5/14/2020 8742 0.95 ALCONA DREDGE LLC LINCOLN 4411218A 3,764 4/17/2020 7335 0.95 PACE AND HONG AUCTIONS LLC LINCOLN 4814703A 772 4/15/2020 8017 1.00 ALL AMERICAN HOME REPAIR LINCOLN PARK 5462150A 1,600 4/4/2020 5645 BARRON CONSTRUCTION LINCOLN PARK 4979672A 750 4/27/2020 5551 BILL ROSE HOME IMPROVEMENT LINCOLN PARK 5415268A 750 6/1/2020 5645 BUCKLAND LANDSCAPING LINCOLN PARK 5986958A 750 4/18/2020 0042 COMFORT CARE HOMES INC LINCOLN PARK 4613180A 2,571 6/23/2020 9053 0.95 CRUZ HIDALGO JUAN LINCOLN PARK 5394813A 750 4/11/2020 5022 DACOR CONSTRUCTION LLC LINCOLN PARK 5000785A 15,206 5/24/2020 5645 0.85 DIX CONEY ISLAND INC LINCOLN PARK 1043960A 524 6/11/2020 9058 FLORES SCAPES LLC LINCOLN PARK 5699690A 750 6/9/2020 5215 GEORGE KOUNTOUPES PAINTING COMPANY LINCOLN PARK 1085735A 95,204 4/1/2020 5038 0.87 GONZALEZ SERVICES INC LINCOLN PARK 5727928A 2,931 6/29/2020 0042 J AND M FLOORING INC LINCOLN PARK 5994020A 1,687 5/21/2020 9521 K AND G FENCING LINCOLN PARK 6004741A 750 6/15/2020 6400 LA DIVINA CRUZ FLOORING LLC LINCOLN PARK 6004342A 556 6/14/2020 9521 PRECIOUS PAINTING PLUS LINCOLN PARK 5571650A 750 4/24/2020 5476 SCOTT KYLE LINCOLN PARK 6007236A 750 6/25/2020 7208 SHAFTMASTERS INC LINCOLN PARK 4158024A 2,486 5/28/2020 3632 0.95 SLADE FAMILY CONSTRUCTION INC LINCOLN PARK 1446169A 750 5/11/2020 5022 STIR 2014 INC LINCOLN PARK 5293790A 2,791 6/13/2020 9058 0.91 THREE R HOME IMPROVEMENT LLC LINCOLN PARK 4297814A 1,605 4/30/2020 5022 0.95 TORRES FRAMING LLC LINCOLN PARK 5454115A 3,147 5/24/2020 5645 0.85 UNIVERSAL PAINTING LINCOLN PARK 2972492A 750 4/17/2020 5476 FRILLMAN FARMS LLC LINCOLNSHIRE, IL 5983088A 821 4/8/2020 0011 BUGG BUILDERS LLC LINDEN 3377652A 800 6/20/2020 5645 FIRST CLASS SERVICES OF MICHIGAN INC LINDEN 5344336A 561 4/26/2020 9102 J AND D ENTERPRIZES LLC LINDEN 4132459A 1,414 4/9/2020 8017 0.95 MILLAY CONSTRUCTION LINDEN 2870940A 800 4/14/2020 5551 MONTINI CONSTRUCTION LINDEN 3254909A 750 6/17/2020 5645 NOVINSKI BUILDERS LINDEN 5878187A 750 6/21/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 97 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PARKER GROUP MI LLC LINDEN 6006515A 800 6/24/2020 5645 REDMON CONSTRUCTION LLC LINDEN 5716187A 800 5/11/2020 5551 SMP BUSINESS & TAX SERVICES LLC LINDEN 5540917A 241 4/2/2020 8810 WOODLAND PARK ASSISTED LIVING LLC LINDEN 4364775A 3,400 4/19/2020 9053 0.95 COIL LINE SERVICE INC LISBON, OH 5214629A 1,205 5/26/2020 3724 0.95 CONKLIN CONSTRUCTION LLC LITCHFIELD 5609496A 3,235 4/30/2020 5645 W R ELLIOT & ASSOCIATES LIMITED LITTLE LAKE 5577985A 291 6/23/2020 8810 A AND A DRIVING SCHOOL INC LIVONIA 0608327A 2,426 5/8/2020 8868 0.95 A AND H AMBICA JV LLC LIVONIA 4079442A 508 4/14/2020 8810 0.95 A AND K TREE SERVICE INC LIVONIA 0582123A 750 4/10/2020 0106 A AND M MOVING SERVICES LLC LIVONIA 6004610A 3,525 6/15/2020 7214 ABOVE AND BEYOND INSTALLATION INC LIVONIA 4641540A 750 6/26/2020 9558 ACTION PAINTBALL PARK LLC LIVONIA 5725062A 860 6/27/2020 9015 AIMS GROUP INC LIVONIA 5544840A 985 5/5/2020 8810 0.95 AIRFLOW SCIENCES CORP LIVONIA 0623083A 16,156 4/1/2020 8601 0.87 ALL RENOVATIONS COMPANY LLC LIVONIA 4966368A 5,005 4/21/2020 5403 0.95 ALTON BORING CO INC LIVONIA 1548514A 425 6/5/2020 3629 AMBERJACK CONSTRUCTION INC LIVONIA 3263673A 750 6/9/2020 5221 AMERICAN SOCIETY OF EMPLOYERS LIVONIA 4993012A 4,365 6/30/2020 8810 0.88 ANGEL GARDENS LLC LIVONIA 4949773A 1,873 5/22/2020 9058 0.83 ANTONIOS LEATHER EXPERTS LLC LIVONIA 5071410A 741 4/14/2020 9522 ARMANDOS CONCRETE INC LIVONIA 4106270A 895 6/4/2020 5221 0.95 BAKUN HELEN T LIVONIA 5879418A 328 6/27/2020 0908 BILLYS ROOFING LLC LIVONIA 3001873A 750 5/7/2020 5403 0.95 CANZANO CONTRACTING CORP LIVONIA 0481696A 7,916 4/14/2020 5610 1.44 13 % CENTER MASS INC LIVONIA 4497082A 3,085 5/1/2020 8017 0.95 CLEAN AIR TESTING INC LIVONIA 4354524A 924 4/16/2020 8601 0.95 COLORTECH CONTRACTING LLC LIVONIA 3034640A 800 6/15/2020 5476 CONTRACT KITCHENS & BATH INC LIVONIA 2987953A 750 5/28/2020 5437 CYNTHIA MARTIN LLC LIVONIA 5405343A 1,159 5/15/2020 9521 0.95 DEBY LEBOW DESIGN ASSOCIATES LLC LIVONIA 5414806A 825 6/17/2020 5183 DESCHENES GARY LIVONIA 4986288A 386 5/17/2020 8810 DI MAC LLC LIVONIA 4089081A 228 6/22/2020 8810 DVM CONSTRUCTION COMPANY INC LIVONIA 4753615A 750 5/21/2020 5645 ENERGY SAVERS INC LIVONIA 2017083A 753 5/7/2020 8742 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 98 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ENRICHED LIFE HOME CARE SERVICES LLC LIVONIA 5150841A 11,958 6/7/2020 8835 0.92 ESTELVIN ENTERPRISES INC LIVONIA 5311420A 1,208 5/23/2020 9015 0.95 EUGENE L WILLIAMS LLC LIVONIA 1011855A 775 4/23/2020 5403 EVENTS EXTRAORDINARE INC LIVONIA 4718666A 4,344 5/15/2020 9063 0.95 FINISHING TOUCH CONSTRUCTION CLEANING LIVONIA 5987091A 658 4/18/2020 9015 FIRST CHOICE HOME IMPROVEMENT LIVONIA 5553830A 800 5/10/2020 5645 FIRST STOP HOME CARE INC LIVONIA 5854385A 1,010 4/13/2020 8835 FIVE LITTLE MONKEYS LLC LIVONIA 5988977A 1,451 5/3/2020 5538 FIVE M FOOD INC LIVONIA 5981077A 2,507 4/5/2020 9058 GREENE ENVIRONMENTAL SERVICES INC LIVONIA 5305268A 3,654 4/10/2020 5183 0.95 GUTTERDUDE LLC LIVONIA 3579956A 658 6/14/2020 9015 HEIGHTS CONSTRUCTION INC LIVONIA 5017050A 2,637 5/18/2020 5645 HOLIDAY HUT PARTY STORE LIVONIA 1951513A 580 6/28/2020 8017 HRYCZYK HARRY & CINDY LIVONIA 2346915A 825 6/11/2020 5645 INTELIGENTE SOLUTIONS INC LIVONIA 2189534A 2,962 4/18/2020 3146 0.95 J AND J FLOORS LLC LIVONIA 1478320A 737 4/30/2020 9521 J AND J RESTORATION LLC LIVONIA 4472365A 751 5/22/2020 0042 0.95 J CANADA ROOFING LLC LIVONIA 5723370A 825 6/10/2020 5551 JDM BUILDING COMPANY LLC LIVONIA 2735954A 800 4/11/2020 5645 JOURNEY OF HOPE LLC LIVONIA 5850185A 6,418 4/24/2020 8835 K 2 RESTORATION INC LIVONIA 3174336A 800 5/25/2020 5445 K AND D CONSTRUCTION LIVONIA INC LIVONIA 4408330A 800 6/26/2020 5645 KAPI CONSTRUCTION CO LLC LIVONIA 5652960A 1,484 5/30/2020 5606 0.95 KERNERS WINDOW CLEANING LLC LIVONIA 4866207A 2,693 4/30/2020 9015 1.05 KNEPP FINANCIAL GROUP LLC LIVONIA 2572907A 491 6/29/2020 8810 LANDSCAPE ENVY LLC LIVONIA 2068664A 750 5/30/2020 0042 0.95 LITTLE CRITTER SITTER LLC LIVONIA 4705238A 418 5/26/2020 8831 MACE MARBLE & GRANITE INC LIVONIA 3527565A 6,446 6/12/2020 5348 0.92 MACEK LAWN CARE LIVONIA 5545803A 562 4/14/2020 9102 MAINELLA CONTRACTING LLC LIVONIA 5997267A 3,960 5/17/2020 7208 MARK J MOSS DPM PC LIVONIA 0612464A 287 5/4/2020 8832 MAYFIELD MAINTENANCE LLC LIVONIA 4012780A 750 4/27/2020 5476 0.95 MEDORA BUILDING COMPANY LIVONIA 1739565A 825 4/5/2020 3365 0.95 METRO DETROIT HOME IMPROVEMENT INC LIVONIA 4873530A 1,010 5/27/2020 5645 0.95 METRO FLOOR COVERING INC LIVONIA 0804436A 339 5/2/2020 8017 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 99 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MN EXPRESS INC LIVONIA 4753836A 23,265 4/27/2020 7208 1.00 MOTOWN QUALITY AUTO LLC LIVONIA 5856850A 2,644 4/20/2020 7212 NALARA QUALITY SYSTEM LLC LIVONIA 4918835A 50,626 5/17/2020 8010 1.60 10 % NEWBURGH LAKE CONDOMINIUM ASSOCIATION LIVONIA 1244485A 581 5/25/2020 9015 NEXT JEN CONTRACTORS LLC LIVONIA 2087260A 777 6/20/2020 9015 NO LEAK HOME IMPROVEMENTS LLC LIVONIA 5849594A 825 4/5/2020 5645 NO PLACE LIKE HOME HEALTH LLC LIVONIA 5721423A 1,404 6/5/2020 8835 0.95 OGGER FRED LIVONIA 5989671A 241 4/25/2020 8601 OLYS MARBLE AND TILE LLC LIVONIA 5694701A 750 4/7/2020 5348 ONPOINT CONSTRUCTION GROUP LLC LIVONIA 6007961A 718 6/26/2020 5606 PANTHER ENTERPRISES INC LIVONIA 3513904A 1,149 4/11/2020 8017 0.95 PLI PRO LIFT INC LIVONIA 1733800A 2,039 6/18/2020 8107 0.95 PREMIER RESTORATION INC LIVONIA 4401638A 825 6/15/2020 5645 PROSCAPE PROPERTY SOLUTIONS LLC LIVONIA 4171519A 1,420 4/16/2020 9015 R AND B CONSTRUCTION SERVICES INC LIVONIA 1975749A 425 5/28/2020 5606 RALPH EICKHOFF COMPANY LIVONIA 2613972A 680 4/18/2020 3365 0.95 RBG PROPERTIES LLC LIVONIA 3195368B 581 6/2/2020 9015 REGLAZE AND SAVE LIVONIA 1364677A 606 5/22/2020 9521 ROCK OUT ENTERTAINMENT INC LIVONIA 5390613A 794 6/14/2020 9156 0.95 SAFETY AND TECHNICAL RESCUE ASSOCIATION LIVONIA 3605230A 1,636 4/21/2020 7980 0.95 SCOT CLUGSTON LLC LIVONIA 2250756A 750 6/6/2020 0106 SEAWAY MAINTENANCE SERVICES LLC LIVONIA 3155668A 825 4/7/2020 5476 0.91 SHAIN ROOFING AND SHEET METAL INC LIVONIA 2994712A 13,959 6/26/2020 5538 0.81 SHAWARMA PALACE 2 LLC LIVONIA 5001978A 625 5/3/2020 9058 SIMMONS MEDICAL GROUP PC LIVONIA 0189774B 1,263 6/28/2020 8832 0.95 SOLARSHIELD PAINTSHIELD LLC LIVONIA 5391180A 2,529 6/30/2020 9521 0.95 SPS NORTH INC LIVONIA 5811562A 228 5/17/2020 8742 SRA COMFORT CARE PROVIDERS INC LIVONIA 5722020A 2,307 6/8/2020 8835 STAFF MASTERS INC LIVONIA 5720613A 13,429 5/31/2020 9403 0.92 STEMPINS LAWN CARE LLC LIVONIA 5717191A 1,347 5/18/2020 9102 0.95 SULI INC LIVONIA 4584805A 7,692 6/9/2020 7216 0.92 SUMMIT ROOFING & REMODELING LLC LIVONIA 4989260A 4,497 5/30/2020 5552 0.94 SWANSONS LANDSCAPING LLC LIVONIA 2534819A 800 6/3/2020 0042 SYNERGY REHABILITATION INC LIVONIA 5246717A 3,564 6/11/2020 8835 0.95 TILE PRO INC LIVONIA 5251770A 753 6/5/2020 8810 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 100 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TIMAS HOME IMPROVEMENT LLC LIVONIA 3238008A 800 4/1/2020 5645 TOMASI CARE LLC LIVONIA 5261724A 1,366 4/12/2020 8835 0.95 TONDA CORPORATION LIVONIA 4980093A 1,222 4/26/2020 8018 0.95 TRITON CONSTRUCTION LLC LIVONIA 4798260A 800 4/24/2020 5022 U P MASONRY CONSTRUCTION INC LIVONIA 3012964A 1,778 4/26/2020 5022 0.95 VARTANIAN HOME IMPROVEMENT INC LIVONIA 1864858A 800 6/4/2020 5645 0.95 WEST PAINTING LIVONIA 5267170A 750 4/15/2020 5476 WESTSIDE TRANSPORTATION LLC LIVONIA 3500896A 6,018 6/1/2020 8395 0.85 WISEMAN CARTER LIVONIA 5302552A 328 6/22/2020 0908 ZELEXA LLC LIVONIA 5721385A 639 6/2/2020 8868 WAUCEDAH TOWNSHIP LORETTO 1272519A 634 6/28/2020 9410 GLOBAL ICONS LLC LOS ANGELES, CA 5262348A 793 4/16/2020 8810 VANEGAS ENTERPRISES INC LOUISVILLE, KY 1289748A 342 6/28/2020 8742 ADVANCED BUILDING & CONSTRUCTION LLC LOWELL 3780783A 800 4/10/2020 5022 0.95 BARTS ASPHALT LLC LOWELL 5992109A 877 5/3/2020 5506 BREMBER LLC LOWELL 5980828A 16,706 4/1/2020 0106 COMMERCIAL ABATEMENT SERVICES LLC LOWELL 3906094A 825 4/1/2020 5183 JOSEPH RATHBUN CONTRACTOR LLC LOWELL 5715458A 750 5/15/2020 5645 LEZAN MICHAEL LOWELL 4089723A 750 5/7/2020 5645 SOLUTION WORKFORCE LLC LOWELL 5997275A 278 5/18/2020 8742 STURDAVANT BILLY LOWELL 6008321A 750 6/28/2020 5445 WEST CARPENTRY LOWELL 2146797A 800 4/17/2020 5645 CARLSONS INCORPORATED LUDINGTON 4985737A 1,011 6/26/2020 9058 0.95 DAVKO INC LUDINGTON 1066960A 1,257 6/20/2020 9058 0.95 HARBOR FLOORING OF LUDINGTON LLC LUDINGTON 5852366A 338 4/10/2020 8017 LAKE MICHIGAN TRANS LAKE SHORTCUT INC LUDINGTON 2272334A 15,502 6/23/2020 8017 1.71 13 % LAKEFX MEDIA LLC LUDINGTON 5712572A 505 5/5/2020 7610 LUDINGTON YOUTH SAILING SCHOOL LUDINGTON 5229421A 521 6/1/2020 6836 M D HOME SERVICES LLC LUDINGTON 5994977A 2,534 5/14/2020 5645 STRAIGHT UP TRUCKING LLC LUPTON 4520840A 2,206 4/6/2020 7208 0.95 TALENT SERVICES INTL CORP LYNWOOD, WA 2296896A 349 4/1/2020 8810 MACKINAC HORSEMENS ASSOCIATION MACKINAC ISLAND 5876591A 1,862 6/12/2020 8279 WATERCOLOR CAFE LLC MACKINAC ISLAND 4370171A 478 5/1/2020 8017 0.95 BLACK POINT CAMP & LODGE LLC MACKINAW CITY 6000355A 824 6/1/2020 9015 DEER HEAD INN INC MACKINAW CITY 5865859A 581 5/18/2020 9052 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 101 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LUMBER JACK SHOWS LLC MACKINAW CITY 4516850A 685 6/18/2020 9156 A AND R FLOORS LLC MACOMB 5864704A 800 5/15/2020 5437 A B C CARPENTRY INCORPORATED MACOMB 5697913A 6,211 4/3/2020 5645 0.94 A J SPEZIA COMPANY MACOMB 5272823A 750 5/21/2020 5437 AAA PLUMBING INC MACOMB 4319605A 2,229 4/10/2020 5183 0.95 ADDELIA HARDWOOD PROS INC MACOMB 3034364A 980 4/15/2020 5437 0.95 AG PAINTING GROUP LLC MACOMB 5195403A 750 6/27/2020 5476 ALL PRO HOME IMPROVEMENT INC MACOMB 1547577A 1,140 4/25/2020 5538 0.95 ALL SEASONS COATING MACOMB 5989159A 800 4/24/2020 5476 ALL YOUR NEEDS CONSTRUCTION MACOMB 4114370A 750 5/14/2020 5476 AMERICAN BY SERVICE INC MACOMB 3403874A 750 4/26/2020 5022 ARTISAN PAINTING INC MACOMB 4404270A 800 4/11/2020 5476 ASPEN IMPROVEMENTS INC MACOMB 2624486A 1,017 4/20/2020 5552 0.95 BANDS GALORE ENTERPRISES INC MACOMB 5280273A 434 6/13/2020 8742 BELLA FLOORS INC MACOMB 3117928A 1,577 6/14/2020 5437 0.95 BERRY BILL MACOMB 1111850A 750 5/23/2020 5645 CLEVER TECHNOLOGIES LLC MACOMB 4393244A 228 6/19/2020 8742 COMFORT HOUSE HEATING & COOLING LLC MACOMB 5553130A 650 4/27/2020 5550 D AND J HOME CARE 3 LLC MACOMB 4379721B 720 5/24/2020 9402 1.80 27 % D AND J HOME CARE INC MACOMB 4379721A 720 5/24/2020 9102 1.80 27 % D AND T HOME IMPROVEMENT LLC MACOMB 3682439A 750 4/4/2020 5645 DAKA HOMES LLC MACOMB 5761913A 750 6/7/2020 5437 DBC COMPANY INC MACOMB 3144402A 3,407 4/17/2020 5437 0.95 DENISES HUGGABLE DAYCARE INC MACOMB 5476550A 363 4/19/2020 8869 DGS HOME IMPROVEMENT INC MACOMB 5273196A 800 5/24/2020 5551 0.95 ED ROGERS ENTERPRISES INC MACOMB 0298271A 750 5/1/2020 6217 EZ INSTALLS LLC MACOMB 5865018A 556 6/12/2020 9521 FOUR J CLEANING SERVICE LLC MACOMB 5995116A 580 5/14/2020 9015 FUTURE UNITED LLC MACOMB 5861470A 373 5/1/2020 8742 GAT CONTRACTING LLC MACOMB 5848687A 750 6/8/2020 5645 GMB CONSTRUCTION LLC MACOMB 4029631A 750 6/1/2020 5437 0.95 IMPACT THERAPY SOLUTIONS LLC MACOMB 5707528A 2,690 4/27/2020 8835 0.95 INFINITY BUILDING CO INC MACOMB 3443590A 942 4/3/2020 5610 0.93 J AND J LANDSCAPING LLC MACOMB 5997666A 750 5/21/2020 0042 J E DIXON INC MACOMB 1794396A 16,276 5/1/2020 5551 0.94 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 102 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge J RUS INC MACOMB 6004105A 2,212 6/14/2020 8748 JJ S LAWN CARE LLC MACOMB 5831016A 612 5/2/2020 9102 JMC SERVICES INC MACOMB 5717213A 1,000 5/20/2020 5215 JOES CUSTOM PAINTING MACOMB 6003850A 800 6/13/2020 5476 K AND S PAINTING INC MACOMB 5389178A 750 4/25/2020 5476 KELDEY INC MACOMB 5723256A 346 6/10/2020 8010 KGM PAINTING LLC MACOMB 4991800A 6,486 6/7/2020 5476 0.95 KULLA RENOVATION MACOMB 5490960A 750 5/4/2020 5476 LDS EXTERIORS LLC MACOMB 1825437A 750 6/21/2020 5645 LUCIDO CONSTRUCTION CORP MACOMB 5130220A 750 4/25/2020 5022 LUIGIS CONSTRUCTION LLC MACOMB 5078822A 750 5/4/2020 5645 0.95 MACH DIRECT INC MACOMB 5991250A 825 5/1/2020 7208 MARTINEZ CONSTRUCTION LLC MACOMB 5569850A 5,799 6/6/2020 5645 0.95 MD TILE & MARBLE LLC MACOMB 5727359A 750 6/27/2020 5348 MICHIGAN BUILDING DESIGN AND SERVICES INC MACOMB 4763033A 826 6/26/2020 9558 0.95 MONAS CLEANING SERVICE MACOMB 5721970A 480 6/14/2020 8835 NEW LOOK SOLUTIONS MACOMB 3396550A 826 6/19/2020 5437 0.95 NOBLE PROPERTY SERVICES INC MACOMB 4638697A 796 4/19/2020 9102 NPD CUSTOM PAINTING AND CAULKING LLC MACOMB 6002048A 800 6/7/2020 5476 OLYMPOS ELECTRIC LLC MACOMB 4214609A 481 5/5/2020 5190 OTIV CONSTRUCTION LLC MACOMB 5240611A 750 5/12/2020 5645 PETI TOWING LLC MACOMB 5605865A 825 5/10/2020 7208 PINE LANDSCAPING INC MACOMB 0804088A 751 4/22/2020 0042 0.95 PM TECH REFRIGERATION LLC MACOMB 3690385A 1,327 6/3/2020 9519 PROTECH CONTRACTING INC MACOMB 4308298A 750 6/13/2020 5437 RMH HOME SERVICES LLC MACOMB 2248786A 750 6/7/2020 5645 RON VERCRUYSSE COMPANY INC MACOMB 2130610A 801 5/10/2020 8810 S AND K GUTTER INC MACOMB 3466906A 720 4/16/2020 5538 SERENITY VILLAGE ASSISTED LIVING LLC MACOMB 4379721C 720 5/24/2020 9402 1.80 27 % SHRI HARI INC MACOMB 3679039A 422 4/5/2020 8017 SIXTH PIZZA LLC MACOMB 4885562A 1,952 6/30/2020 9058 0.95 STILLWELL LORI MACOMB 5864712A 338 5/15/2020 8017 T J R CONSTRUCTION SERVICES LLC MACOMB 5998115A 826 5/22/2020 5476 TALLUTO MARIANO MACOMB 2421453A 1,092 4/16/2020 5437 TCL CARPENTRY LLC MACOMB 5992133A 750 5/7/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 103 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TIM SCHAUM BUILDERS INC MACOMB 3736091A 750 4/20/2020 5403 TONY H TRANSPORTATION INC MACOMB 5457920A 750 6/19/2020 7208 TREE TOP TREE SERVICE LLC MACOMB 0495263A 800 6/16/2020 0106 TWO BROTHERS PAINTING LLC MACOMB 6000703A 800 6/1/2020 5476 UPPER LEVEL CONTRACTING LLC MACOMB 5083834A 750 5/4/2020 5645 VANS VETERINARY SERVICES PLLC MACOMB 6005373A 714 6/20/2020 8831 VATAJ PAINTING MACOMB 5083087A 800 4/16/2020 5476 VESA VIOREL MACOMB 4221257A 750 5/26/2020 5348 VITALE REAL ESTATE INC MACOMB 3443590B 522 6/19/2020 8742 0.93 VLADIMIR CORPORATION MACOMB 5576369A 1,946 6/21/2020 7208 0.95 VLAR HOMES MACOMB 6007929A 12,896 6/26/2020 5645 CAR CHOICE LLC MACOMB TWP 5341906A 262 5/17/2020 8748 IMPERIAL PAINTING LLC MACOMB TWP 3237338A 750 4/12/2020 5476 XPERTS PAINTING MACOMB TWP 5725224A 800 6/17/2020 5476 ZAPINSKI MIKE J MACOMB TWP 4085809A 750 6/18/2020 5437 CARING STAFF SOLUTION AGENCY INC MADISON HEIGHTS 5136954A 3,829 5/9/2020 8835 0.95 COCHRANE SUPPLY & ENGINEERING INC MADISON HEIGHTS 0441902A 630 4/15/2020 8010 CREATIVE BUSINESS SOLUTION INC MADISON HEIGHTS 4581300B 1,603 6/1/2020 8832 0.95 ESPINOZA ERASMO MADISON HEIGHTS 6008208A 750 6/27/2020 5445 EXPERT AUTO ACCENTS INC MADISON HEIGHTS 4177878A 3,863 5/8/2020 8387 0.95 FIVE BROTHERS EXPRESS LLC MADISON HEIGHTS 5569877A 750 4/26/2020 7208 GGM TRUCKING LLC MADISON HEIGHTS 6000711A 750 6/1/2020 7208 GLASSXPERT LLC MADISON HEIGHTS 5566991A 753 5/31/2020 8742 HERITAGE HOME HEALTH CARE SERVICES INC MADISON HEIGHTS 4546881A 1,628 5/29/2020 8835 0.95 JFS PROPERTIES LLC MADISON HEIGHTS 3720284A 656 5/21/2020 9015 MANSOORS PARKING INC MADISON HEIGHTS 4070062A 1,211 5/17/2020 8392 0.95 MAYER ALLOYS CORPORATION MADISON HEIGHTS 2839482A 801 5/6/2020 9015 0.95 MICHIGAN CARGO LLC MADISON HEIGHTS 0230618A 750 5/4/2020 7208 ONE HUNDRED 68 KTV & LOUNGE INC MADISON HEIGHTS 5709938A 1,090 4/28/2020 9058 PHO TAI RESTAURANT INC MADISON HEIGHTS 5177219A 976 5/9/2020 9058 R W BAKER INC MADISON HEIGHTS 2331764A 800 4/25/2020 5476 ROYALTY HOME IMPROVEMENTS MADISON HEIGHTS 4080912A 750 6/1/2020 5348 SINA ELTON MADISON HEIGHTS 5992370A 757 5/4/2020 5437 SPECTRUM NEON COMPANY MADISON HEIGHTS 2424169A 2,052 4/28/2020 9559 1.00 STATE LODGE OF MICHIGAN LABOR COUNCIL MADISON HEIGHTS 5148669A 636 6/4/2020 8755 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 104 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge THM MASTER CONSTRUCTION LLC MADISON HEIGHTS 3371824A 801 5/11/2020 5348 0.95 TOM MOLOSKY FLOORING INC MADISON HEIGHTS 1338218A 557 4/2/2020 9521 TRI FLOW PLUMBING INC MADISON HEIGHTS 4114701A 1,074 4/17/2020 5183 0.95 WDEC LLC MADISON HEIGHTS 6003800A 358 6/13/2020 8810 SIGNATURE TRANSPORTATION SERVICES LLC MADISON HTS 5712068A 9,724 5/6/2020 7212 1.00 COMPLETE EXCAVATING SERVICES LLC MANCELONA 5863945A 2,987 5/19/2020 6217 LATA TREE SERVICE LLC MANCELONA 5985706A 1,021 4/24/2020 0106 CLUTCH TRUCKING LLC MANCHESTER 4887581A 16,818 4/17/2020 7208 0.79 ED STAHLEY CONSTRUCTION & EXCAVATING INC MANCHESTER 2841070A 750 6/19/2020 6217 H AND H MONITORING INC MANCHESTER 3191656A 319 5/24/2020 4511 I AND I CONSTRUCTION MANCHESTER 3131297A 800 5/19/2020 5403 TIFFANYS GARDENS LLC MANCHESTER 5556392A 2,070 4/10/2020 0042 0.95 VIP PAINTING MANCHESTER 4741811A 800 5/19/2020 5476 DOUGLAS STATION LLC MANISTEE 4671783A 3,321 4/22/2020 8017 0.95 GAJEWSKIS FIREWOOD & LOGS LLC MANISTEE 5724007A 2,319 6/14/2020 2702 MANISTEE POST 10 AMERICAN LEGION MANISTEE 0635820A 575 4/1/2020 9058 MUNISING WATER SPORTS INC MANISTEE 5559260A 582 5/19/2020 9015 PAPPAW LLC MANISTEE 4178670A 438 5/31/2020 9058 PMAG LLC MANISTEE 4757432A 520 5/14/2020 8017 WOODZWERK FORESTRY MANISTEE 4306309A 750 5/16/2020 2709 ZUPIN CRANE LLC MANISTEE 5543886A 5,425 4/9/2020 3724 0.94 HIDDEN ESTATES INC MANISTIQUE 5131588A 1,168 5/1/2020 9053 0.95 MOSQUITO MOUNTAIN MANAGEMENT INC MANISTIQUE 3148068A 842 6/19/2020 9058 OLD COUNTRY PAINTING & DECORATING INC MANISTIQUE 1665200A 751 5/1/2020 5476 0.95 SCHOOLCRAFT COUNTY POST NO 4420 MANISTIQUE 1029371A 362 4/1/2020 9061 VETERANS OF FOREIGN WARS OF THE UNITED STATES TAYLOR PAINTING MANISTIQUE 5726638A 750 6/24/2020 5476 HELSELS TREE SERVICE INC MANTON 5570565A 1,675 6/23/2020 0106 0.95 IMBIGR HANDYMAN SERVICES LLC MANTON 6002412A 562 6/8/2020 9102 JD LOGGING MANTON 5575680A 750 6/17/2020 2702 JE TIFFANY & SONS LLC MANTON 4765117A 751 6/21/2020 0042 0.95 NORTHWEST CARRIERS LLC MANTON 5059909A 750 4/9/2020 7208 PARK SPENCER MANTON 5878365A 750 6/22/2020 2702 ROPP BRYCE V MANTON 5990041A 1,036 4/26/2020 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TP PLUMBING LLC MANTON 3904300A 1,161 4/1/2020 5183 DUDLEY LLC MAPLE CITY 5862663A 915 5/7/2020 8279 LEELANAU BACKYARD HARVEST LLC MAPLE CITY 5986362A 1,516 4/17/2020 0042 SLEEPING BEAR LIGHTNING PROTECTION LLC MAPLE CITY 3916413A 1,700 4/27/2020 5190 0.95 UP NORTH SHOW JUMPERS LLC MAPLE CITY 4726634A 9,039 6/22/2020 8279 1.00 CASS COUNTY TITLE OFFICE INC MARCELLUS 4055543A 281 4/19/2020 8810 GLASS MICHAEL MARCELLUS 2268086A 2,629 4/13/2020 7208 0.95 HONEY BUNNIES CATERING AND CONCESSIONS MARCELLUS 5982731A 334 4/19/2020 9058 LLC JAKES TREE REMOVAL LLC MARENISCO 4995457A 8,832 6/19/2020 0042 1.40 13 % AVERS CONSTRUCTION LLC MARINE CITY 4051050A 750 4/7/2020 5645 DETROIT BULK SERVICES INC MARINE CITY 5033349A 828 4/25/2020 8810 0.95 SCHWARTZ DRYWALL INC MARINE CITY 0371009A 781 5/24/2020 5445 0.95 WISHIGAN HOMES LLC MARINETTE, WI 5398940A 750 4/28/2020 5645 PLUGER MECHANICAL LLC MARION 5994179A 1,466 5/10/2020 5550 D AND A TRUCKING MARLETTE 2993694A 750 4/10/2020 7208 DONLEY EXC LLC MARLETTE 5065275A 750 6/19/2020 6217 GYOMORY TRUCKING MARLETTE 3773612A 750 5/15/2020 7208 MVP DISC SPORTS LLC MARLETTE 5412730A 6,199 6/11/2020 8018 0.91 RICHARD PLUMPTON CONSTRUCTION MARNE 5356962A 750 4/14/2020 5645 RYAN BERGMAN CONSTRUCTION LLC MARNE 4370775A 750 6/28/2020 5190 ALLEY KATS QUILT SHOP LLC MARQUETTE 5864283A 721 5/12/2020 8008 CLARK PROPERTIES A MICHIGAN CO MARQUETTE 0636517A 757 4/25/2020 9015 PARTNERSHIP DOWN TO EARTH CONTRACTING MARQUETTE 4225953A 800 6/15/2020 6217 GUTZMAN DALE R MARQUETTE 2794853A 800 4/4/2020 7208 HOOVERS TREE SERVICE INC MARQUETTE 1686569A 5,608 4/14/2020 0042 1.18 MARQUETTE COUNTY FAIR MARQUETTE 5715130A 581 5/15/2020 9015 MIDDLE ISLAND POINT CAMPERS ASSOCIATION MARQUETTE 1220063A 630 6/17/2020 9015 NASH CREEK LLC MARQUETTE 6006507A 5,137 6/21/2020 5645 ROOM AT THE INN MARQUETTE 5043930A 511 6/26/2020 8832 TREE RING INC MARQUETTE 4910222A 2,504 4/8/2020 5645 0.95 TROPHY WOOD FLOORS INC MARQUETTE 1222350A 750 4/30/2020 5437 DEFOREST BROS CONCRETE CONSTRUCTION MARSHALL 0884294A 1,040 6/17/2020 5221 0.95 INC FARMER CONSTRUCTION LLC MARSHALL 2478153A 750 4/3/2020 5437 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 106 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GLGC PLUMBING LLC MARSHALL 4148584A 2,736 4/1/2020 5183 1.00 DAVID CURRY MARTIN 5173744A 750 5/7/2020 5645 US 131 MOTORSPORTS PARK INC MARTIN 3468984A 2,453 6/11/2020 9015 0.95 BLUE RIVER ENGINEERING LLC MARYSVILLE 5880769A 286 6/29/2020 8601 BROWN MELODY ANN MARYSVILLE 5724767A 291 6/16/2020 8810 HAGGERTY HOMES MARYSVILLE 2635321A 3,530 5/26/2020 5403 1.05 NICK ANTONELLI CONSTRUCTION LLC MARYSVILLE 5399971A 750 4/30/2020 5022 RCS YACHT REFINISHERS LLC MARYSVILLE 4065654A 852 4/14/2020 6834 0.95 WEATHERGUARD MARYSVILLE 1901443A 750 5/23/2020 5645 BAKER CONSTRUCTION MASON 4520874A 800 6/18/2020 5437 HARPER HILL FORESTRY PRODUCTS LLC MASON 5712041A 2,522 5/4/2020 2731 0.95 JERRY SHUNK SEPTIC SERVICE MASON 1147161A 1,985 4/9/2020 9402 0.95 PROFESSIONAL ROOF CLEANING SERVICES LLC MASON 4754522A 2,065 5/26/2020 9015 0.95 RAS CONTRACTING INC MASON 5704910A 800 4/15/2020 5403 ROTARY INTERNATIONAL DISTRICT 6360 INC MASON 5402212A 259 6/5/2020 8810 SPEEDWAY CONCESSIONS LLC MASON 3528049A 1,044 5/30/2020 9015 0.95 BRAD HOLMSTROM TRUCKING INC MASS CITY 3642739A 1,332 5/4/2020 7380 0.95 OHIO DRILLING COMPANY MASSILLON, OH 0262358A 4,824 6/26/2020 6204 0.92 ALMENA CORPORATION MATTAWAN 5856140A 5,906 4/20/2020 7208 0.95 BELLA TERRA ACRES LLC MATTAWAN 5521866A 750 4/1/2020 8279 BERCHIATTI HOMES LLC MATTAWAN 5398649A 750 4/25/2020 5645 C JOHNSON & SON EXCAVATING CO MATTAWAN 3289478A 9,839 5/12/2020 5507 0.86 COMFORT CONTROL HEATING & COOLING LLC MATTAWAN 4751124A 650 5/18/2020 5550 COMPLETE PRESSURE WASHING MATTAWAN 3980286A 815 6/4/2020 9015 DAVID AND SONS CONTRACTING LLC MATTAWAN 5329760A 800 6/24/2020 5645 FREDERICK BUILDERS CORPORATION MATTAWAN 1130811A 751 5/26/2020 5437 JEAN 2 INVESTMENTS LLC MATTAWAN 0191108A 4,216 4/27/2020 5221 0.89 STRATEGIC NEWS INTERNATIONAL INC MATTAWAN 5129516A 848 5/8/2020 8810 KRAMER PAINTING LLC MAUMEE, OH 5255813A 750 4/4/2020 5476 0.95 ZERO SEVEN THOUSAND BOYNE CITY RD LLC MAUMEE, OH 5258677A 610 5/5/2020 0912 MICHIGAN FARMS LLC MAYBEE 4506944A 684 5/3/2020 7360 HOEKWATER HOME BUILDERS MCBAIN 5553490A 750 4/28/2020 5645 JQ CONSTRUCTION LLC MCBAIN 5271738A 750 5/19/2020 5645 KJR CONSTRUCTION LLC MCBAIN 5855365A 750 4/30/2020 5645 NORTHERN MICHIGAN LIFT SERVICE INC MCBAIN 5398444A 1,457 4/24/2020 3724 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 107 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PRECIOUS GEMS HOME FOR WOMEN MCBAIN 5404835A 500 5/9/2020 9052 DAVIDSON DUSTIN L MCBRIDES 5682410A 750 4/6/2020 5445 COTTAGE CARE COMPANY THE MCMILLAN 5874793A 751 6/11/2020 5476 ROBERT LUSTILA TRUCKING LLC MCMILLAN 5409667A 800 6/2/2020 7208 COURTRIGHT PAINTING AND DECORATING MEARS 2312719A 825 6/7/2020 5476 DUNE SCOOTERS INC MEARS 0207985A 14,335 5/1/2020 7212 0.72 BLOODSWORTH ANNIE MEDFORD, MA 5865166A 648 5/16/2020 0913 DREW ERIC MEDFORD, MA 5867681A 648 5/24/2020 0913 JENKINS ALAN MELVIN 5868238A 800 6/5/2020 5437 ANN ARBOR SAND & GRAVEL INC MELVINDALE 5867320A 1,376 5/23/2020 4000 COOKIE PROJECT MELVINDALE 5553180A 415 5/2/2020 8868 CORREA CESAR MELVINDALE 6007244A 750 6/25/2020 7208 DOUGS FLOOR COVERING SERVICES LLC MELVINDALE 3396444A 556 5/6/2020 9521 SOUTH WEST ATHLETIC CLUB INC MELVINDALE 1441965A 618 5/25/2020 9061 LOEHNIS TRANSPORT LLC MEMPHIS 4737393A 825 4/8/2020 7208 CHRISTOPHER TREE SERVICE MENDON 3647595A 1,185 5/10/2020 0106 L AND L DRIVING SCHOOL INC MENDON 4204158A 586 5/7/2020 8868 BAXA CONTRACTING CO MENOMINEE 2118556A 750 6/1/2020 5645 0.95 GREATER MARINETTE MENOMINEE YMCA INC MENOMINEE 1100289A 15,415 4/1/2020 9063 1.47 27 % J AND B BAUER TRUCKING INC MENOMINEE 5982006A 750 4/4/2020 7208 JOHNSON KENNETH M MENOMINEE 2681919A 750 5/12/2020 7208 MENOMINEE ANIMAL SHELTER MENOMINEE 3186083A 1,716 6/12/2020 8831 0.95 MILLERS TREE SERVICE LLC MENOMINEE 5864348A 750 5/20/2020 0106 NESBITT JEROME ALLEN II MENOMINEE 5982235A 750 4/12/2020 7208 TRUITT ERICKSON PLASTERING LLC MENOMINEE 5547075A 9,021 4/16/2020 5480 0.94 W D M ENTERPRISES INC OF MARINETTE WI MENOMINEE 3637000A 4,849 5/15/2020 5183 0.91 CAMPERS CHOICE RV COLLISION AND REPAIR MERRILL 6001734A 552 6/6/2020 8393 LLC JONESFIELD LAKEFIELD FIRE DISTRICT MERRILL 0512982A 751 6/18/2020 7904 0.95 URBAIN FARMS LLC MERRILL 5987873A 505 4/20/2020 8395 NEUMANN CO CONTRACTORS INC MERRILLAN, WI 1279815A 825 6/1/2020 5476 PATS RV PARK LLC MESICK 5545102B 955 6/10/2020 9015 0.95 AMONG THE HILLS CONSTRUCTION LLC METAMORA 5709725A 750 4/28/2020 5645 ANTONELLI CONSTRUCTION INC METAMORA 1575716A 750 5/22/2020 9015 0.95 BOB SCHMIDT ROOFING METAMORA 3790827A 750 6/12/2020 5022

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge IDEAL CARPENTRY METAMORA 2688654A 800 5/12/2020 5645 JTT INVESTMENTS INC METAMORA 4073843A 2,289 5/10/2020 8017 0.95 KH EXCAVATING LLC METAMORA 5206715A 801 4/7/2020 6217 LEPAC DEVELOPMENT LLC METAMORA 6008925A 750 6/29/2020 5059 MEISTER BUILDING & HOME IMPROVEMENT METAMORA 2827158A 750 4/27/2020 5645 METAMORA BUILDING & DEVELOPMENT LLC METAMORA 5551315A 801 4/25/2020 5183 MOSSING POOLS INC METAMORA, OH 5257204A 801 4/5/2020 5223 PREMIUM METAL WORKS LLC METAMORA 5553814A 1,112 4/29/2020 3365 0.95 RIGGERS INC METAMORA 4448316A 4,533 5/1/2020 8227 1.29 13 % SMART DOG LLC METAMORA 5566681A 491 5/27/2020 8831 MICHIANA SHORES VOLUNTEER FIRE MICHIGAN CITY, IN 3355438A 751 6/18/2020 7704 DEPARTMENT ADVENTURE DEVELOPMENT TEAM LLC MIDDLEBURG, VA 5876508A 2,180 6/12/2020 5403 S YODERS CONSTRUCTION LLC MIDDLEBURY, IN 5577578A 11,040 6/22/2020 5645 0.91 BROOKER CONSTRUCTION LLC MIDDLEVILLE 4384644A 800 6/23/2020 5645 HANDSUMS HANDY SERVICE LLC MIDDLEVILLE 5187036A 750 5/10/2020 5645 INDUSTRIAL SERVICES & MILLWRIGHT LLC MIDDLEVILLE 5564352A 1,336 5/19/2020 3724 0.95 KELLOGG PARKWOOD LLC MIDDLEVILLE 3656837A 630 5/1/2020 8810 0.95 KH CABINET MAKING LLC MIDDLEVILLE 5193311A 750 6/2/2020 5437 A TON TREE & DEBRIS LLC MIDLAND 5411874A 2,971 6/9/2020 0106 0.93 ADIO FAMILY CHIROPRACTOR PLC MIDLAND 5985358A 634 4/15/2020 8832 ALLEN VALERIE MIDLAND 4876857A 240 6/7/2020 8868 ATTENTION TO DETAIL MIDLAND 4802810A 479 5/30/2020 8393 CENTRAL AUDIO VISUAL AND DESIGN LLC MIDLAND 5859840A 386 4/27/2020 5191 CHIMNEY DOCTOR LLC MIDLAND 5869641A 978 5/30/2020 9015 DEGROOT CHRISTIAN MIDLAND 5124514A 1,074 4/4/2020 0913 0.95 FAMILY CREST CONSTRUCTION MIDLAND 4981952A 1,975 5/2/2020 5645 0.95 FIRST CHOICE PAINTING AND REMODELING LLC MIDLAND 5379288A 912 6/6/2020 5476 0.95 GEORGE OWENS BUILDERS LLC MIDLAND 4461410A 801 4/11/2020 5190 JSH UNDERGROUND LLC MIDLAND 3940896A 1,194 6/18/2020 6325 KINGDOM BUILDERS MINISTRIES MIDLAND 5982863A 1,145 4/5/2020 9102 LITTLE ACRES LLC MIDLAND 5696836A 316 4/1/2020 8601 M AND M COMMUNICATIONS LLC MIDLAND 5987067A 2,745 4/18/2020 7600 MARK DITTENBER CUSTOM RESIDENTIAL MIDLAND 3527042A 800 4/8/2020 5645 BUILDER LLC

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MATTHEW ST DENNIS & CO INC MIDLAND 5114527A 810 6/18/2020 5348 1.35 13 % MIDLAND IRON WORKS INC MIDLAND 0551961A 986 4/23/2020 3081 0.95 MIDLAND MOWERS LLC MIDLAND 5984866A 711 4/19/2020 9102 SCHWIND CONSTRUCTION AND CONSULTING MIDLAND 2178893A 750 5/10/2020 5645 TATE MICHAEL MIDLAND 5877474A 573 6/15/2020 0913 TRI STATE PAINTING MIDLAND 4633474A 1,184 6/2/2020 5476 WINDOVER HIGH SCHOOL MIDLAND 2164914A 216 5/23/2020 8810 0.95 WYSONG CORPORATION MIDLAND 0640590A 5,400 4/13/2020 8018 0.95 DREAM RIDES LLC MILAN 5367441A 506 6/29/2020 8748 HECTOR R CONSTRUCTION MILAN 4537297A 5,282 5/17/2020 5476 HORIZON EXPRESS LLC MILAN 4895649A 750 4/21/2020 7208 IRISH HILLS DAIRY BAR & DELICATESSEN LLC MILAN 1276042A 431 6/2/2020 8017 ROD PORTER CONSTRUCTION CO MILAN 5149436A 5,422 6/12/2020 5221 0.92 SP PETROL LLC MILAN 1900749A 1,037 6/21/2020 8017 0.95 SWEET DAVID MILAN 1995618A 630 5/24/2020 9015 0.95 ZANDER TRUCKING LLC MILAN 4882890A 5,641 6/28/2020 8742 0.86 AMERICAN EURO PAINTING INC MILFORD 1805045A 1,394 6/5/2020 5476 0.95 ARMSTRONG CANOE RENTALS LLC MILFORD 4065050A 740 5/27/2020 6836 0.95 BEER AND JESSOP AMUSEMENTS LLC MILFORD, IN 3244601A 728 5/1/2020 9015 BRENTWOOD ASSOCIATION MILFORD 6003540A 580 6/12/2020 9015 BRIANS LAWN MAINTENANCE LLC MILFORD 6005977A 612 6/20/2020 9102 BRICKWORK BY MATREAL INC MILFORD 1130480A 1,199 6/4/2020 5022 ENVISION LANDSCAPE SOLUTIONS LLC MILFORD 5998166A 1,125 5/22/2020 9102 ENVISION LANDSCAPE SOLUTIONS LLC MILFORD 5998166A 562 5/22/2020 9102 EXCLUSIVE CUSTOM HOMES INC MILFORD 5393884A 750 4/7/2020 5437 FOUR D BUILDING INC MILFORD 0023302A 1,802 4/1/2020 8387 0.95 HARTLAND MASONRY & DEVELOPMENT LLC MILFORD 2032252A 750 4/12/2020 5022 IAFRATE CONTRACTING SERVICES LLC MILFORD 5838738A 4,116 4/5/2020 6217 0.95 INNOVATIVE REMODEL INC MILFORD 4501209A 751 6/22/2020 5437 0.95 MAH CONSTRUCTION LLC MILFORD 3474690A 825 4/8/2020 5551 MSR CONSTRUCTION INC MILFORD 3813177A 800 6/15/2020 5645 ONE HUNDRED 80 CONTRACTING LLC MILFORD 3842827A 1,080 5/4/2020 5606 PROFESSIONAL CARE INC MILFORD 3512150A 1,395 5/16/2020 0908 0.95 PROMOZ CONSTRUCTION LLC MILFORD 5990947A 2,142 4/30/2020 5445 PRYJOMSKI ENTERPRISES LLC MILFORD 3783251A 750 5/20/2020 5221 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 110 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge S AND D SERVICES LLC MILFORD 5868866A 750 6/6/2020 7208 SITE CLEARING INC MILFORD 3746755A 2,409 4/2/2020 0106 0.95 SUMMERS RYAN MILFORD 1466909A 2,052 5/10/2020 5221 TAGI INC MILFORD 0259462A 2,701 5/14/2020 5191 0.95 TL COMMUNICATIONS LLC MILFORD 3548139A 750 4/12/2020 7600 WK KRILL & ASSOCIATES INC MILFORD 5086965A 344 5/21/2020 5606 WYATTS TREE REMOVAL AND LANDSCAPING LLC MILFORD 5994675A 2,001 5/15/2020 0042 ZEIMIS INTERNATIONAL LLC MILFORD 5989655A 260 5/11/2020 7610 TNT TREE & STUMP LLC MILFORD TWP 4870280A 1,112 6/20/2020 0106 BAILEY CONSTRUCTION MILLINGTON 0239488A 800 6/8/2020 5645 BAJA MX INC MILLINGTON 2376695A 1,557 4/18/2020 9015 0.95 BRB UNDERGROUND SERVICES INC MILLINGTON 5878284A 750 6/22/2020 7600 DICE JOEL MILLINGTON 5986974A 760 4/18/2020 0129 PM DOWELL CONTRACTING LLC MILLINGTON 5713471A 800 5/6/2020 5403 WIDEVIEW INC MILLINGTON 0466468A 2,650 5/1/2020 8395 WILSON RESIDENTIAL CARE SERVICES INC MILLINGTON 3507556A 6,855 6/12/2020 9053 0.82 MARSHALL ERECTING INC MILWAUKEE, WI 5986338A 1,288 4/23/2020 5057 D K CUTTING MIO 5706050A 750 4/19/2020 2702 NORTHERN POWER SPORTS OF MIO INC MIO 2846578A 3,372 6/10/2020 8748 0.97 RAINBOW RESORT CABINS AND CANOES LLC MIO 4171675A 581 4/4/2020 9015 B AND B PROPERTY MANAGEMENT LLC MONROE 5862884A 1,965 5/8/2020 5645 CONLEY CONSTRUCTION SERVICES LLC MONROE 3232387A 750 5/4/2020 5645 DALE A SHOEMAKER REVOCABLE TRUST MONROE 6005438A 584 6/19/2020 0908 DENHART FRANKLIN MONROE 3585590A 784 4/16/2020 5645 DETROIT BEACH PIZZERIA MONROE 0878529A 754 6/19/2020 9058 0.95 FRIENDS OF THE FAMILY HOME HEALTHCARE MONROE 4976428A 11,617 4/19/2020 8835 0.77 MONROE LLC HADDIX THOMAS E MONROE 2465906A 750 6/23/2020 7208 KMK CONSTRUCTION MONROE 4556518A 750 4/8/2020 5645 KULL BROTHERS TRUCKING & EXCAVATING INC MONROE 1658468A 800 6/28/2020 0042 0.95 LAKE ERIE SECURITY & INVESTIGATIONS INC MONROE 1420097A 8,985 6/28/2020 7720 0.86 MAGNUM FORCE MONROE 3179338A 754 5/1/2020 8017 0.95 MCINTYRE SUSAN MONROE 1283090A 1,224 6/22/2020 0908 MICHIGAN WATERWAY MARINE CONSTRUCTION MONROE 2270668A 750 4/2/2020 5040 MONROE ESCAPE ROOMS MONROE 5734398A 339 6/1/2020 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PHOENIX INDUSTRIAL SERVICES LTD MONROE 5410339A 126,984 6/7/2020 8010 1.47 13 % POPES PIZZERIA LLC MONROE 5787076A 1,345 6/26/2020 9058 RIVERSIDE INVESTMENT COMPANY LLC MONROE 5725399A 581 6/17/2020 9015 TWC CONSTRUCTION MONROE 5713447A 750 5/17/2020 5645 UNSTOPPABLE TRUCKING LLC MONROE 5993628A 2,124 5/13/2020 7219 KOZICKI JOSIAH MONTAGUE 5987440A 750 4/19/2020 2702 MUND GREG MONTAGUE 1673980A 596 4/1/2020 0011 PEREZ TREE SERVICE LLC MONTAGUE 5136911A 3,225 6/6/2020 0106 0.93 ROSE NANCY C MONTAGUE 5407451A 686 5/23/2020 0908 0.95 WOLVERINE CABLE COMMUNICATIONS LLC MONTAGUE 3335615A 2,547 4/23/2020 7600 0.95 E T ENTERPRISE LLC MONTROSE 5401119A 750 5/10/2020 7208 0.95 LONNIES LLC MONTROSE 5708150A 3,660 4/25/2020 7208 0.95 RENEGADE TRANSPORT INC MONTROSE 3982696A 800 5/27/2020 7208 ROBINSON ROOFING MONTROSE 5831067A 750 4/24/2020 5551 ROCK ENTERPRISES INC MONTROSE 2487225A 2,655 5/11/2020 6217 0.95 THIBEAULT CONSTRUCTION MONTROSE 5353971A 750 4/22/2020 5645 ROLLER TIM MORENCI 5198259A 751 4/15/2020 5476 FAVREAU EXTERIOR SOLUTIONS LLC MORLEY 5573572A 771 6/4/2020 5538 LEWIS ERIC MORLEY 5377234A 750 4/10/2020 2702 TRUE MANS TREE SERVICE LLC MORLEY 5780896A 1,842 5/16/2020 0106 DIRECT SALES LLC MORRICE 5261562A 803 4/15/2020 8810 BEHRING BROTHER QUALITY HOME MT CLEMENS 3733017A 766 4/4/2020 5190 IMPROVEMENT CHAMPION EMPLOYMENT INC MT CLEMENS 5654106A 3,756 6/26/2020 0035 CHRISTOPHER HOMES LLC MT CLEMENS 5985528A 418 4/11/2020 5606 CLEAN WATER ACTION MT CLEMENS 0908886A 2,719 5/1/2020 8742 1.05 DETROIT CUSTOM SERVICES INC MT CLEMENS 1261517A 1,958 4/4/2020 2881 0.95 FLY HIGH CONSULTING INC MT CLEMENS 5997453A 995 5/29/2020 5476 FUN FEST PRODUCTIONS INC MT CLEMENS 4918274A 562 6/18/2020 8810 0.95 HIGHFIELD ENTERPRISES INC MT CLEMENS 0442780A 575 5/11/2020 9058 MACOMB COUNTY BAR ASSOCIATION MT CLEMENS 1261398A 216 5/24/2020 8810 NW SERVICES LLC MT CLEMENS 3862640A 993 5/3/2020 9015 PRIMARY COLORS LLC MT CLEMENS 5740215A 750 4/6/2020 5476 SELECT RECOVERY SERVICES INC MT CLEMENS 5255228A 5,631 4/1/2020 7720 0.90 STAHLS TREE SERVICE LLC MT CLEMENS 2668785A 750 6/5/2020 0106

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WILLS CONSTRUCTION INC MT CLEMENS 5246199A 1,926 4/22/2020 5437 0.95 ACE MARINE SERVICE INC MT MORRIS 5707242A 1,902 4/21/2020 6834 0.95 EBS CONSTRUCTION MT MORRIS 3590933A 750 5/22/2020 6325 G AND JS HIGHRISE WINDOW CLEANING LLC MT MORRIS 5530369A 3,382 4/1/2020 9015 0.92 GENESEE COUNTY AGRICULTURAL SOCIETY MT MORRIS 1001680A 678 5/15/2020 9015 JS CONTRACTING MT MORRIS 5708567A 720 5/1/2020 5538 ROSEBUSH KENNETH MT MORRIS 5875471A 750 6/8/2020 5437 TOM CUMMINGS RACING INC MT MORRIS 5728150A 750 6/30/2020 5221 ALLEN ROOFING LLC MT PLEASANT 5709806A 8,563 4/28/2020 5551 0.99 BEVERLY TEN EYCK LLC MT PLEASANT 5271398A 243 5/19/2020 9586 CHIPPEWA PAINTING INC MT PLEASANT 2425483A 4,454 5/22/2020 9015 0.90 EL VAQUERO OF MT PLEASANT INC MT PLEASANT 3633420A 1,593 5/16/2020 9058 0.95 HUBSCHER AND SON INC MT PLEASANT 0397237A 30,676 6/1/2020 4000 0.86 JJZ CONTRACTING LLC MT PLEASANT 5702097A 750 4/20/2020 6217 JUMP STATION LLC MT PLEASANT 5395410A 1,833 5/12/2020 9015 0.95 M DOUBLE K TRANSPORT LLC MT PLEASANT 5563216A 800 6/23/2020 7208 MID MICHIGAN FIELD TILE DRAIN CLEANING MT PLEASANT 5705436A 750 6/21/2020 5183 MUMFORD OIL & GAS SUPPLY LLC MT PLEASANT 5546451A 960 4/15/2020 8010 RUSSELL RANDY MT PLEASANT 0162876A 750 4/1/2020 8279 R WHITES PAINTING & TREE REMOVAL MUIR 5562937A 750 5/1/2020 0106 ADAIR SCOTT MUNISING 5201870A 750 4/10/2020 2702 BALKO WILL MUNISING 5078032A 1,367 5/9/2020 5645 0.95 GRAND ISLAND FERRY SERVICE INC MUNISING 5726417A 990 6/23/2020 8017 LADY KILLERS PEST CONTROL LLC MUNISING 5713935A 580 5/9/2020 9015 NINE HUNDRED AND 6 CONCRETE & MASONARY MUNISING 6006884A 1,218 6/22/2020 5022 RIPTIDE RIDE LLC MUNISING 4763858A 338 6/17/2020 8017 BIG CHUCKS PIZZA PLUS LLC MUNITH 3940055A 2,114 4/26/2020 7380 0.95 FOUR POINTS SERVICES LLC MUNITH 6005144A 650 6/18/2020 5550 AMERICAN CHEMICAL SOLUTIONS LLC MUSKEGON 5982081A 44,365 4/19/2020 4557 BUILDING BLOCK CHILD CARE MUSKEGON 5999910A 557 6/1/2020 8869 BURRINGTON BUILDERS INC MUSKEGON 1911457A 750 4/8/2020 5645 0.95 CERBERUS SECURITY LLC MUSKEGON 5876125A 2,020 6/9/2020 7720 CHETS ELECTRIC INC MUSKEGON 0792845A 1,032 6/1/2020 5190 0.95 CISNEROS GABRIEL MUSKEGON 5289912A 1,101 6/4/2020 5476 DEK CONSTRUCTION LLC MUSKEGON 2751712A 1,179 4/14/2020 5479 1.00 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 113 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DYKSTRA DAVE MUSKEGON 4613147A 750 4/10/2020 5476 FRANK CREWS PAINTING & SANDBLASTING LLC MUSKEGON 4220749A 5,703 5/17/2020 5476 0.95 FREE SPIRIT CONSTRUCTION INC MUSKEGON 4627644A 10,493 5/15/2020 5645 0.85 HOME CARE ON THE LAKESHORE LLC MUSKEGON 5996961A 4,402 5/25/2020 8835 HOPE PROJECT INC MUSKEGON 5142113A 343 5/18/2020 8810 J AND R ROOFING MUSKEGON 5817641A 750 6/21/2020 5551 JON JOHNSON BUILDERS INC MUSKEGON 4200675A 751 5/7/2020 5190 MCFARLAND AND SONS LLC MUSKEGON 0954748A 2,961 5/31/2020 0106 0.95 NAYANA CORP MUSKEGON 1421786A 658 5/23/2020 9052 0.95 RADHAKRISHNA CORPORATION MUSKEGON 1421786B 379 6/3/2020 9052 0.95 SAILOR SOCCER MUSKEGON 5848172A 1,765 4/1/2020 9015 SCHMIDT ROOFING & CONSTRUCTION CO MUSKEGON 0410276A 6,171 5/1/2020 5551 0.95 SCHUITEMA MOVING LLC MUSKEGON 5297010A 7,316 6/18/2020 7214 0.94 SCOTTY BS CONSTRUCTION MUSKEGON 0311588A 5,006 6/7/2020 5437 SILVERWOOD SAWMILL LLC MUSKEGON 5864275A 1,150 5/22/2020 2731 SMITH EVELYN MUSKEGON 5998620A 1,010 6/5/2020 8835 SOLID WASTE SOLUTIONS INC MUSKEGON 5480493A 5,888 4/17/2020 7213 0.93 SONIA GUIKEMA REMODELING MUSKEGON 6004016A 750 6/27/2020 5551 TEETER DAVID II MUSKEGON 5828023A 750 4/11/2020 5645 VANDENBOSCH LARRY MUSKEGON 1551531A 750 6/21/2020 5437 VANDYKE ELECTRIC LLC MUSKEGON 4318951A 652 5/5/2020 5190 VILLAGE COVE ASSOC MUSKEGON 5876532A 521 6/12/2020 6836 WEST MICHIGAN INJURY LAWYERS PLC MUSKEGON 0811556A 462 4/28/2020 8820 WHITWAM CONSTRUCTION INC MUSKEGON 2923300A 750 6/15/2020 5645 0.95 WORKMAN COMMUNICATIONS MUSKEGON 3275841A 825 6/15/2020 7600 WORKMAN TREE SERVICE MUSKEGON 4758676A 1,378 6/11/2020 0106 0.95 MICHIGAN CUSTOM BUILDERS INC MUSSEY 2264765A 750 6/11/2020 5645 0.95 PROCIDA TOWING AND RECOVERY MUSSEY 5923549A 750 4/5/2020 7380 SANTOS CONCRETE LLC MUSSEY 5419069A 2,401 5/30/2020 5221 REAL WORLD SCHOLARS INC NAMPA, ID 5983991A 315 4/17/2020 8810 BURPEE HARDWOODS LLC NASHVILLE 5295432A 750 5/16/2020 2702 KOSKINEN KYLE JOHN NASHVILLE, TN 3785459A 750 6/14/2020 5551 MPK OF MICHIGAN LLC NASHVILLE 5153069A 553 6/21/2020 2081 NOTEBOOM CONSTRUCTION NASHVILLE 5867606A 750 6/5/2020 5403 PROFESSIONAL BASEMENT SERVICES LLC NASHVILLE 5419522A 584 6/30/2020 5183 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 114 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GARLYN ZOO WILDLIFE PARK INC NAUBINWAY 6006590A 998 6/21/2020 9015 LIVERMORE TIMBER NAUBINWAY 0843059A 750 6/1/2020 2702 PETERS SAND AND GRAVEL INC NAUBINWAY 2683792A 750 5/16/2020 7208 BEKKALA DONALD CONSTRUCTION NEGAUNEE 5700647A 680 4/8/2020 3365 DESJARDINS CODY CARTER NEGAUNEE 5998662A 750 5/27/2020 6325 DON LARSON & SONS TRUCKING NEGAUNEE 3777413A 801 4/2/2020 9402 HOLSWORTH MASONRY NEGAUNEE 5865719A 1,556 5/17/2020 5022 KOSONEN CONSULTING INC NEGAUNEE 5270103A 315 5/14/2020 8601 PIERCE CURT NEGAUNEE 5864976A 750 6/13/2020 5551 ABCS AND 123S HOME DAYCARE LLC NEW BALTIMORE 5985668A 455 4/16/2020 8869 BENZ AND BEEMER LLC NEW BALTIMORE 5555035A 1,334 5/3/2020 8395 CAVENDISH CONSTRUCTION NEW BALTIMORE 5708109A 750 4/25/2020 5645 CHAMPION DRYWALL NEW BALTIMORE 2802120A 801 6/19/2020 5445 EKSTROM CONTRACTING LLC NEW BALTIMORE 3915174A 800 4/9/2020 5645 FIRST CLASS XPRESS INC NEW BALTIMORE 3961095A 813 4/1/2020 8810 0.95 FRANKS QUALITY PAINTING MI LLC NEW BALTIMORE 5567300A 825 5/27/2020 5476 J AND D HOME REPAIR NEW BALTIMORE 5984238A 750 4/11/2020 5551 LIL SWEET BOUTIQUE LLC NEW BALTIMORE 5858429A 460 4/24/2020 8017 PREMIER CONCRETE INC NEW BALTIMORE 3155269A 1,163 4/26/2020 5221 RGS EXTERIORS INC NEW BALTIMORE 4194004A 751 5/4/2020 8742 0.95 TDL UNLIMITED INC NEW BALTIMORE 1971697A 751 4/6/2020 5476 THREE HUNDRED 45 CARPENTRY & GENERAL NEW BALTIMORE 4936582A 3,704 5/26/2020 5445 0.95 CONTRACTING LLC B MCGUIRE TRUCKING LLC NEW BOSTON 5607760A 825 5/3/2020 7208 BROSSIA TRUCKING LLC NEW BOSTON 5731151A 801 5/3/2020 7208 D AND T DELIVERY INC NEW BOSTON 2358778A 2,556 4/1/2020 7208 0.95 R AND D IMPROVEMENTS LLC NEW BOSTON 4477006A 800 6/4/2020 5645 RICHARDSON CONTRACTING LLC NEW BOSTON 5713480A 1,374 5/8/2020 5551 CASTLE PAINTING LLC NEW BUFFALO 4184092A 1,760 6/1/2020 5476 PISCES LTD NEW ERA 2268159A 751 4/15/2020 6217 0.95 EVERLAST CONSTRUCTION NEW HAVEN 5999464A 750 5/25/2020 5645 GENERAL TREE SERVICE & LANDSCAPING INC NEW HAVEN 5712777A 6,602 5/12/2020 0106 0.95 MCBRIDE FLOORING SERVICES NEW HAVEN 5657954A 772 6/19/2020 9521 SALS HOME IMPROVEMENTS LLC NEW HAVEN 5264677A 800 4/24/2020 5403 BROWN BRANDON NEW HUDSON 5378893A 825 4/18/2020 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DA BUILDING LLC NEW HUDSON 5462088A 750 5/4/2020 5403 GEOSERV INC NEW HUDSON 3091368A 4,244 4/9/2020 6204 0.94 WALTON VILLAGE PLAZA INC NEW HUDSON 5717493A 630 5/19/2020 8810 WHITE LAKE BUILD LLC NEW HUDSON 5378893B 825 4/25/2020 5645 CREATIVE HANDS CHILDCARE LLC NEW LOTHROP 5697069A 412 4/3/2020 8869 E AND D PAINTING INC NEW LOTHROP 3856909A 751 5/7/2020 5476 ELITE PARTY RENTAL LLC NEW LOTHROP 4908473A 1,501 4/6/2020 5538 1.00 RIMB LLC NEW PALTZ, NY 5994055A 232 5/10/2020 8810 INTERESSE INTERNATIONAL INC NEW YORK, NY 3827224A 228 6/29/2020 8810 MOERS SANDRA NEW YORK, NY 1315536A 2,140 5/25/2020 0913 TIME NOW FILM LLC NEW YORK, NY 5977959A 385 4/1/2020 9156 VARSITY DAY CAMP LLC NEWARK, DE 1522540A 2,329 4/1/2020 9015 0.95 BEERMAN FIREWOOD AND LOGGING NEWAYGO 5158621A 750 6/26/2020 2702 CAM FLOORING LLC NEWAYGO 5590485A 2,472 5/12/2020 5437 CARTER WILLIAM NEWAYGO 5712386A 750 4/6/2020 5403 EDGE CONSTRUCTION & CONCRETE NEWAYGO 2388308A 2,312 4/6/2020 5403 H J AND W LLC NEWAYGO 5274290A 345 5/24/2020 8810 LADD CONSTRUCTION LLC NEWAYGO 5709776A 897 4/28/2020 5645 PARSON JARRET NEWAYGO 5861110A 750 5/1/2020 5645 RIVER COUNTRY BUILDERS AND REMODELERS NEWAYGO 5872863A 750 6/4/2020 5645 LLC ROBS ELECTRICAL MAINTENANCE NEWAYGO 2291100A 481 6/27/2020 5190 TALCOTT CONSULTING INC NEWAYGO 5989280A 477 4/24/2020 8601 MICHAEL BLAKELY LOGGING LLC NEWBERRY 3911128A 750 4/15/2020 2702 NEWBERRY CAMPGROUND LLC NEWBERRY 2233592A 633 4/14/2020 9015 OLIVER LOGGING AND LUMBER LLC NEWBERRY 5211409A 750 5/30/2020 2702 TAHQUAMENON BOAT SERVICE INC NEWBERRY 0265357A 5,340 6/15/2020 7382 1.27 13 % TROOP AUTO CRUSHING NEWBERRY 2264315A 750 5/4/2020 7216 WORLDWIDE COMMUNICATIONS CONSULTANTS NEWBURGH, IN 5742749A 826 5/25/2020 5102 INC A AND K CONSTRUCTION NEWPORT 1366599A 1,653 5/18/2020 5645 0.95 HUFFMAN ALAN NEWPORT 5992419A 750 5/4/2020 5348 MICHIGAN FRAMING LLC NEWPORT 5876869A 3,701 6/28/2020 5645 SWAN BOAT CLUB NEWPORT 1467514A 869 4/12/2020 9060 0.95 ACCUDIG EXCAVATING LLC NILES 6008674A 750 6/28/2020 6217

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADVERTISING USA INC NILES 4649095A 278 6/8/2020 8810 AJL TOTAL PROPERTY MAINTENANCE LLC NILES 5703999A 2,661 4/11/2020 9102 1.00 BLESSED HOME AFC SERVICES LLC NILES 4576950A 920 4/3/2020 9053 0.95 FARINELLA MICHAEL R NILES 4104048A 750 5/30/2020 5645 FAST ACT JUNK REMOVAL & DUMPSTER SERVICE NILES 5991285A 904 5/3/2020 5610 LLC IRON SHOE DISTILLING LLC NILES 6005098A 4,145 6/18/2020 9058 MICHIANA SANITATION SPECIALISTS LLC NILES 6002080A 581 6/7/2020 9015 MILLIN GROUP LLC NILES 5542260A 1,793 4/6/2020 7208 0.95 PIZZATRANSIT YAHOO COM NILES 5982057A 5,258 4/4/2020 9058 R DETWEILER CONSTRUCTION LLC NILES 3332683A 800 6/11/2020 5645 RED ARROW FIRE EXTINGUISHER SERVICE LLC NILES 5570751A 366 6/9/2020 4828 SAYLORS PIZZA PORT INC NILES 0583642A 1,720 4/18/2020 9058 0.95 SHIER SIGNATURE HOME LLC NILES 5850118A 807 4/6/2020 8810 SKINNER CONSTRUCTION NILES 0289825A 1,655 5/29/2020 5645 0.95 STAR TANK CORROSION CONTROL INC NILES 5875501A 5,312 6/9/2020 5476 STARK FARMS NILES 1996754A 2,326 5/1/2020 0128 0.95 WOLFFS FENCING NILES 5734045A 1,502 4/12/2020 6400 A SHIVER TREE SERVICE LLC NORTH BRANCH 4879740A 2,653 4/20/2020 0042 ALL PRIDE HOME INSPECTIONS LLC NORTH BRANCH 5865689A 825 6/26/2020 5551 BURLINGTON TOWNSHIP NORTH BRANCH 0006483A 973 5/24/2020 7904 0.95 BUTTERSCOTCH CASTLE LLC NORTH BRANCH 4743695A 543 4/27/2020 8869 CEDAR CREEK TAX SERVICE NORTH BRANCH 2664135A 216 5/10/2020 8810 J G PAINTING & REMODELING NORTH BRANCH 4695461A 750 4/17/2020 5476 MCINALLY PAINTING LLC NORTH BRANCH 1658913A 750 5/13/2020 5476 RMS WASHING LLC NORTH BRANCH 5862876A 555 5/8/2020 8017 RODRIGUEZ LAWN CARE ENTERPRISE NORTH BRANCH 4106075A 1,244 5/5/2020 9102 SCOT WARDROP CONSTRUCTION NORTH BRANCH 5859000A 750 4/25/2020 5437 TLC EXPRESS TRANSPORT LLC NORTH BRANCH 4338910A 800 6/8/2020 7208 ASHTON MARINE LLC NORTH MUSKEGON 5987628A 250 5/1/2020 8810 NORTH PORT VILLAGES CONDOMINIUM NORTH MUSKEGON 5984947A 242 4/17/2020 8810 ASSOCIATION CAMELOT STUDIOS NORTH STREET 2273608A 369 6/19/2020 4360 TRI COUNTY MARINE LLC NORTHPOINT 4631560A 521 5/18/2020 6836 HALLSTEDT HOMESTEAD LLC NORTHPORT 6003389A 676 6/12/2020 0130

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AAA LEAD TESTING LLC NORTHVILLE 2655233A 346 6/26/2020 8720 ANDREW DAILY REAL ESTATE INC NORTHVILLE 5567556A 283 4/14/2020 8742 BLUFFS AT LAKES OF MILFORD ASSOCIATION NORTHVILLE 4887891A 580 4/20/2020 9015 CROSS XAMINE INVESTIGATIONS INC NORTHVILLE 5702674A 1,380 4/13/2020 7720 0.95 DLM RENOVATIONS LLC NORTHVILLE 5394465A 630 4/10/2020 9015 EQUIPMENTVILLE USA LLC NORTHVILLE 5349257A 636 5/21/2020 8107 ERIC GUIDOBONO BUILDING COMPANY LLC NORTHVILLE 3937879A 2,107 6/15/2020 5606 0.95 EVERGREEN DEVELOPMENT NV LLC NORTHVILLE 4106016A 1,267 5/1/2020 5606 0.95 G AND G PLUMBING INC NORTHVILLE 2918900A 584 5/5/2020 5183 HARD WILLIAM C NORTHVILLE 5277442A 328 6/6/2020 0908 IN THE MITTEN PRODUCTION NORTHVILLE 5501024A 734 5/16/2020 9154 INCH MEMORIALS INC NORTHVILLE 0298565A 217 4/23/2020 8810 INFORMATION WORKS INC NORTHVILLE 2240327A 567 5/15/2020 8742 JON J KIPKE II INC NORTHVILLE 2698030A 650 6/14/2020 5550 KASPER AND SONS INC NORTHVILLE 3361900A 750 5/6/2020 5645 LAVIGNE AND ASSOCIATES INC NORTHVILLE 2502658A 292 6/23/2020 8742 LLOYD H GREEN POST NO 147 THE AMERICAN NORTHVILLE 2740648A 408 4/11/2020 9058 LEGION LUIGIS PAINTING NORTHVILLE 5404932A 750 4/1/2020 5476 REVISIONED LLC NORTHVILLE 5856795A 750 4/20/2020 5476 SCHNUG TYLER NORTHVILLE 5993300A 573 5/8/2020 0913 TOP QUALITY WINDOW LLC NORTHVILLE 3576949A 750 4/22/2020 5645 TROPICAL POOLS INC NORTHVILLE 0040800A 750 4/9/2020 5223 VILLA CONSTRUCTION INC NORTHVILLE 1243535A 750 5/23/2020 5645 WADOWSKI KIMBERLY NORTHVILLE 4131096A 573 5/14/2020 0913 ALPHA GROUP INC NORTON, MA 4821475A 274 6/23/2020 4511 ANDYS PLUMBING LLC NORTON SHORES 5706858A 4,816 4/20/2020 5183 1.00 BELLA MARIAS RISTORANTE & EVENT CENTER NORTON SHORES 4693574B 1,484 4/15/2020 9058 0.95 INC CONRAD VALERIE NORTON SHORES 4705211A 573 6/13/2020 0913 FIRST CLASS TOWING NORTON SHORES 6001750A 3,070 6/6/2020 7208 LUCKY DOG LANDING LLC NORTON SHORES 3702871B 1,958 4/8/2020 6836 0.98 REALITY CONSTRUCTION NORTON SHORES 2022923A 750 4/2/2020 5645 GERALD DUGREE JR LOGGING LLC NORWAY 0897868A 750 6/6/2020 2709 GREAT LAKES RECOVERY INC NORWAY 2774348A 1,723 4/1/2020 7720

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROCHON MICHAEL NORWAY 6007090A 750 6/22/2020 5221 WALKER ZACHARY NORWAY 5864267A 750 5/12/2020 5645 AQUATIC MANAGEMENT SERVICE INC NOVI 2112876A 268 4/11/2020 4511 CHEYENNE EXPRESS INC NOVI 3675467A 41,334 4/21/2020 7208 0.96 DRL BUILDING CO LLC NOVI 5455375A 750 6/6/2020 5645 0.95 DUQUETS LITTLE EAGLE NEST NOVI 0646598A 330 5/10/2020 8868 FRIED PAUL NOVI 3003655A 378 4/28/2020 0908 G AND J HEATING & COOLING INC NOVI 0484105A 700 6/7/2020 5550 GLEN OAKS CONSUMER HOUSING COOPERATIVE NOVI 1787918A 630 4/30/2020 9015 HANSONS PAINTING LLC NOVI 3702340A 801 4/22/2020 5476 HURON HILLS OWNERS ASSOCIATION NOVI 2697432A 750 6/13/2020 0042 HYDRO CHEM LABORATORIES INC NOVI 1162756A 986 5/9/2020 4828 0.95 HYDROBLAST MOBILE WASH INC NOVI 2016591A 2,300 4/5/2020 8387 0.95 INDEPENDENT LEGAL PROCESS SERVING AND NOVI 5543371A 1,263 4/8/2020 7720 COURT SERVICES LLC KEATING CONTRACTING LLC NOVI 4753607A 4,071 5/25/2020 5606 0.93 LEDBETTER OUTDOOR SERVICES NOVI 4277546A 1,060 4/12/2020 9102 0.95 MARY JANE M ELLIOTT PC NOVI 1112660A 2,650 6/16/2020 8820 0.95 MC CARRIER INC NOVI 3766705A 3,230 4/8/2020 7219 0.90 MOTOR CITY SCUBA LLC NOVI 5840716A 639 4/19/2020 8017 NOVI YOUTH ASSISTANCE NOVI 3946002A 414 6/5/2020 9063 OKEEFE TATIGIAN INVESTIGATIONS AND ASSOC NOVI 5419972A 4,034 6/4/2020 7720 0.95 INC PDR 4 INC NOVI 5725593A 788 6/20/2020 8810 PERKINS PAINTING LLC NOVI 4892607A 827 5/4/2020 5476 PINE MEADOW RANCH INC NOVI 1272470A 2,001 4/22/2020 8279 0.95 PLACER RIDGE SERVICES INC NOVI 0290440A 630 4/10/2020 9015 PLYMOUTH LANDING ASSOCIATION NOVI 5262372A 580 5/14/2020 9015 PREMIERE TREE REMOVAL INC NOVI 4869532A 14,452 5/12/2020 0106 1.25 RAMOS MAYNOR NOVI 4338774A 1,309 6/24/2020 5645 0.95 RIZIKON INC NOVI 1992961A 278 6/3/2020 8742 0.95 SIERRA STONE INC NOVI 2584336A 801 6/16/2020 8810 STONEBRIDGE HOMEOWNERS ASSOCIATION NOVI 5219086A 580 4/15/2020 9015 SUTTLE SERVICES LLC NOVI 5348447A 315 5/20/2020 8601 SWEDISH SERVICES CORP NOVI 5997623A 750 6/17/2020 5551

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TOUSSAINT MEADOWS CONDOMINIUM NOVI 5695643A 580 4/1/2020 9015 ASSOCIATION V I P TIRE & AUTOMOTIVE INC NOVI 1838172A 216 6/12/2020 8810 VRP MANAGEMENT INC NOVI 5055164A 750 6/13/2020 5348 0.95 ZAP ZONE M LTD NOVI 5985331A 504 4/13/2020 8810 ZETA CONSTRUCTION LLC NOVI 3472973A 750 6/12/2020 5551 HALAULA SHAVE ICE LLP NUNICA 5870054A 339 5/30/2020 8017 NUNICA PUB LLC NUNICA 5847699A 6,824 6/5/2020 9058 ZERVAS AND SONS LLC NUNICA 5802890B 1,717 6/19/2020 5645 B AND W TRUCKING CO INC OAK PARK 1859307A 750 5/4/2020 7208 BATO INC OAK PARK 4343662A 418 5/11/2020 9058 C AND J GC LLC OAK PARK 2846381A 1,142 6/26/2020 5645 0.95 CRITES ADULT FOSTER CARE INC OAK PARK 2048078A 5,096 4/22/2020 9053 0.88 ML SPECIALTY CARE LLC OAK PARK 5858992A 785 4/26/2020 8835 PEYTONS PAINTING & DRYWALL OAK PARK 1564960A 750 4/25/2020 5476 PRECIOUS AFC HOME INC OAK PARK 4524179A 1,871 6/26/2020 9053 0.95 SR AUDIO INC OAK PARK 4246551A 2,317 6/17/2020 5191 0.95 BROTZKE ELECTRIC CO OAKLAND 5136903A 1,263 5/9/2020 5190 0.95 CHERRY CREEK FARM LLC OAKLAND 3355632A 538 5/10/2020 9061 COLLISTER COMPANY LLC OAKLAND 1842943A 1,499 5/12/2020 5551 0.95 OAKLAND HEAT TRANSFER INC OAKLAND 3608824A 304 5/1/2020 8601 TWIN OAKS HUNT AND GRUNT LLC OAKLAND 0031291A 580 5/13/2020 9015 NEXT LEVEL LAWN CARE SOLUTIONS LLC OAKLEY 6007295A 612 6/25/2020 9102 HALSTEAD PEARCE INVESTMENTS OAKWOOD, GA 3361802B 580 5/7/2020 9015 FASTTRACK STAFFING INC OCALA, FL 5005086A 155,877 4/1/2020 3372 0.90 FRUITMARK USA INC OCEANO, CA 5568560A 424 6/14/2020 8810 ADVANCE II LLC OKEMOS 4168143A 161,229 6/7/2020 7720 1.18 ARMO USA INC OKEMOS 5990165A 2,192 4/26/2020 3632 COHOON BUILDERS OKEMOS 4818652A 1,417 5/3/2020 5645 CONNELLY CAR COMPANY OKEMOS 3228525A 443 5/27/2020 8748 ROCK SOLID MANAGEMENT LLC OKEMOS 5564255A 800 5/19/2020 5645 ROWE STABLES LLC OKEMOS 2054124A 865 4/28/2020 8279 SAF CADIEUX LLC OLD WESTBURY, NY 5862744A 717 5/16/2020 9015 J AND L EXTERIORS INC OLIVET 3804941A 750 4/24/2020 5645 0.95 MOTT RICKEY OLIVET 4252500A 750 4/12/2020 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NORTH FERRY CONDOMINIUM ASSOCIATION OLYMPIA, WA 5542979A 632 4/7/2020 8810 KATHY SCHAEFFER CONSULTING LLC OMENA 5852692A 216 4/17/2020 8810 OMENA TRAVERSE YACHT CLUB INC OMENA 2370743A 518 6/17/2020 9060 MOREHOUSE IMPROVEMENTS LLC ONANDAGA 5695406A 750 4/25/2020 5437 GREAT LAKES POWER & PIPE INC ONAWAY 2863685A 45,667 4/21/2020 7538 1.59 13 % HYDES INC ONAWAY 0903574A 5,560 4/9/2020 6217 1.02 MCLEAN ELECTRIC INC ONAWAY 5865840A 1,615 5/18/2020 5190 BROWNS POPLAR RIDGE ORCHARDS ONEKAMA 5273838A 796 5/23/2020 0130 PORTAGE LAKE MOTEL ONEKAMA 3180557A 379 6/15/2020 9052 ALL SEASONS CONSTRUCTION LLC ONONDAGA 5567254A 801 5/31/2020 5403 KEPLER PAINTING LLC ONONDAGA 4873190A 800 6/2/2020 5476 0.95 KELLEY DRYWALL INC ONSTEAD 2704757A 8,951 5/20/2020 5445 0.91 IRISH HILLS TRUCKING CO ONSTED 5409586A 3,274 6/25/2020 7208 0.95 QUALITY PAINTING ONSTED 5568846A 800 6/29/2020 5476 CLOUD BRANDON ONTANAGON 5489695A 648 5/31/2020 0913 AHMED IBRAHIM ONTONAGON 5797985A 648 6/18/2020 0913 AL KHATIB MARJORIE ONTONAGON 5999618A 648 5/25/2020 0913 B AND D LOGGING LLC ONTONAGON 6003001A 750 6/12/2020 2709 BENNING WILLIE ONTONAGON 5779766A 648 6/18/2020 0913 BIOPHILIA ONTONAGON 5863929A 253 5/14/2020 8601 BOYD CHARLES ONTONAGON 6000045A 651 5/29/2020 0913 BURKE KEVIN ONTONAGON 5736102A 648 6/18/2020 0913 CHAPPELL SHEMIKA ONTONAGON 5797969A 651 6/18/2020 0913 CURENTON PAMELA ONTONAGON 5736072A 648 5/29/2020 0913 FORD JAMIE ONTONAGON 5999669A 651 5/25/2020 0913 GARRISON PEGGIE ONTONAGON 5502446A 648 5/19/2020 0913 HINES SANDRA ONTONAGON 5999863A 648 5/29/2020 0913 JOHNSON GEVIN ONTONAGON 5489750A 648 6/18/2020 0913 MALONE REBECCA ONTONAGON 5736145A 648 6/5/2020 0913 MARTIN CHRISTOPHER ONTONAGON 6000436A 648 5/31/2020 0913 MCNABB ROXIE ONTONAGON 5698456A 648 5/31/2020 0913 MEEKS WILLIE ONTONAGON 5787807A 648 6/18/2020 0913 OTHMAN KHAMISEH ONTONAGON 5999480A 648 5/25/2020 0913 PIERCE BEVERLY ONTONAGON 6000053A 648 5/29/2020 0913 PITTS TANISHA ONTONAGON 5999898A 648 5/29/2020 0913 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 121 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PRINCETTA MCCARY ONTONAGON 6000134A 648 5/29/2020 0913 ROBERTSON LEROY ONTONAGON 5845858A 648 5/31/2020 0913 ROBERTSON ORA ONTONAGON 5867703A 648 5/24/2020 0913 ROMAN AGENOR ONTONAGON 5997151A 648 5/18/2020 0913 RUTLAND KASIB ONTONAGON 5999502A 648 5/25/2020 0913 STROUD SARAH ONTONAGON 6000029A 648 5/29/2020 0913 SUHAYDA RODERICK ONTONAGON 5780128A 648 6/18/2020 0913 TIMBER LINE LAND SURVEYING ONTONAGON 2164167A 278 6/6/2020 8601 TURNER CECIL ONTONAGON 6000126A 648 5/29/2020 0913 UNDERWOOD LINDA ONTONAGON 4695275A 648 5/25/2020 0913 CALVIN NO 3 LLC ORCHARD LAKE 5995167A 3,281 5/14/2020 9058 KIRILUK DEAN ORCHARD LAKE 5983339A 573 4/9/2020 0913 PEARL POWER WASHING INC ORCHARD LAKE 5706033A 1,653 4/19/2020 9015 0.95 STUMPF CONSTRUCTION COMPANY ORCHARD LAKE 0569631A 2,568 4/21/2020 5645 0.95 KEY INTERIORS INC ORION 3906426A 634 5/31/2020 8810 LIRA BROTHERS LLC ORION 3082377A 1,594 4/3/2020 5022 0.95 SOS MECHANICAL & SON INC ORION 1806793A 1,727 4/2/2020 5550 0.95 A AND R DRYWALL ORION TWP 6005543A 800 6/20/2020 5445 GEMINI GRADING & EXCAVATING LLC ORION TWP 3694801A 912 6/26/2020 6217 ALL ABOUT COMFORT LLC ORTONVILLE 5592437A 2,315 4/4/2020 8835 0.95 ALWAYS SHARP LLC ORTONVILLE 4745302A 999 4/10/2020 9102 0.95 ANCELL AND SONS LLC ORTONVILLE 2485982A 825 5/2/2020 7208 BLACKHAWKS AUTO REPAIR INC ORTONVILLE 5211620A 803 5/24/2020 8395 BURD CHARLES ORTONVILLE 5862736A 343 5/7/2020 5606 CUSTOM LAWN CARE SERVICES INC ORTONVILLE 4744357A 750 4/29/2020 0042 ELITE ROOFING AND MAINTENANCE LLC ORTONVILLE 6000541A 959 5/31/2020 5645 HIGH SIDE ORTONVILLE 6002390A 1,017 6/8/2020 5645 HUBBS SERVICES LLC ORTONVILLE 5575915A 2,190 6/17/2020 5476 0.95 MARTIN GLEASON INC ORTONVILLE 1110535A 750 5/26/2020 5645 METROPOLITAN TREE INC ORTONVILLE 0511684A 1,595 4/1/2020 0042 1.00 MICHIGAN OUTDOOR SERVICES LLC ORTONVILLE 3504069A 2,481 5/4/2020 9102 0.95 MORGAN RESTORATION & TRIM INC ORTONVILLE 4636643A 750 6/9/2020 5022 PRIME TIME SERVICES ORTONVILLE 5450853A 750 5/24/2020 5476 RESTORATION ENVIRONMENTAL SAFETY & ORTONVILLE 4926978A 2,977 6/12/2020 9521 0.95 CONSULTING SOLUTIONS LLC

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SUMTHING GREEN METAL RECYCLING INC ORTONVILLE 4981944A 3,126 5/2/2020 8265 0.95 T HILL CONSTRUCTION LLC ORTONVILLE 1424025A 3,235 4/17/2020 5645 THOMPSON PROPERTY TAX CONSULTING LLC ORTONVILLE 5700132A 347 4/7/2020 8720 TOP CHOICE LAWN SERVICE LLC ORTONVILLE 5990513A 1,001 4/29/2020 9102 TRIM WORKS FINISHED CARPENTRY INC ORTONVILLE 3661342A 825 5/6/2020 5437 0.95 OSCODA AREA FIRST RESPONDERS OSCODA 2683911A 529 5/6/2020 7980 SPALLINGER CONSTRUCTION LLC OSCODA 5320852A 800 4/10/2020 5645 0.95 JEFFERSON TOWNSHIP HILLSDALE COUNTY OSSEO 0696641A 4,679 4/1/2020 8264 1.00 MID MICHIGAN LAWN & SNOW OSSEO 4896564A 772 5/6/2020 9102 0.95 GRAITER SERVICES LLC OSSINEKE 5568862A 2,938 6/1/2020 7212 JOHN BOYS INC OSSINEKE 4475127A 1,651 5/14/2020 9058 0.95 INNOVATIVE MODULAR SOLUTIONS INC OSWEGO, IL 3932184A 446 4/15/2020 8810 ENVIRONMENTAL CANINE SERVICES LLC OTISFIELD, ME 5264618A 319 5/1/2020 4511 TKO HOMES LLC OTISVILLE 5781108A 580 4/2/2020 9015 CAPTAIN BOOM FIREWORKS PRODUCTIONS LLC OTSEGO 4228596A 630 6/6/2020 9015 LUMBERJACKS FIREWOOD OTTAWA LAKE 2803569A 2,771 4/27/2020 8232 0.95 BEEBE PUMP AND TANK INC OTTER LAKE 5541689A 2,452 4/5/2020 5183 0.95 KALLER STEVEN OTTER LAKE 0362271A 751 6/20/2020 5645 0.91 CLASSIC CONCESSIONS CO INC OVERLAND PARK, KS 5604168A 334 6/13/2020 9058 0.95 JARBO EMPLOYMENT GROUP LLC OVERLAND PARK, KS 5999286A 1,354 6/18/2020 5183 ARDELEAN MICHAEL OWOSSO 6005594A 800 6/24/2020 5645 B AND C JEFF BARTZ & COMPANY OWOSSO 4345258A 1,193 5/12/2020 6229 0.95 BEBIAK CONSTRUCTION OWOSSO 4627571A 750 5/16/2020 5645 CORDS LAWN COMPANY OWOSSO 0884316A 859 4/17/2020 9102 CURWOOD FESTIVAL INC OWOSSO 1706454A 218 5/4/2020 8810 DAVIS AND SON CONSTRUCTION OWOSSO 2649586A 750 5/18/2020 5645 HUSKA CONSTRUCTION LLC OWOSSO 3302105A 750 5/14/2020 5645 0.92 KELLY BROS INC OWOSSO 2857731A 750 4/16/2020 5645 LSG TRUCKING LLC OWOSSO 0125180A 784 4/28/2020 9102 0.95 MILLS CONSTRUCTION OWOSSO 5986052A 750 4/17/2020 5476 REEVES WHEEL ALIGNMENT INC OWOSSO 0001953A 10,508 4/1/2020 8401 0.90 SHIAWASSEE CONSERVATION ASSOCIATION OWOSSO 3131157A 605 5/15/2020 9058 ZIMMERMAN KIMBERLY LAINE IN CARE OF DAVID OWOSSO 6000380A 1,021 5/29/2020 0913 & LISA HOOD ACCU DRY INC OXFORD 4597508A 655 5/15/2020 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AVERYS TREE SERVICE LLC OXFORD 5992982A 10,453 5/13/2020 0106 BENNETT REMODELING INC OXFORD 3114589A 944 5/20/2020 5645 0.95 BOLTON ZACHARY OXFORD 5878721A 825 6/23/2020 5551 BUCCI MICHAEL OXFORD 4635558A 750 6/6/2020 0042 EXTRA RESOURCES STAFFING OF MICHIGAN LLC OXFORD 2191423A 9,173 6/17/2020 4484 1.23 G 2 CONSTRUCTION LLC OXFORD 5702844A 750 5/6/2020 5437 GRIMALDI ELECTRIC LLC OXFORD 4714440A 482 5/12/2020 5190 HARDSCAPES LANDSCAPE CONSTRUCTION INC OXFORD 5318300A 1,880 5/3/2020 0042 0.95 HIGH QUALITY SIDING & TRIM LLC OXFORD 6004431A 800 6/14/2020 5645 J AND B DOORS INC OXFORD 2209519A 5,307 5/7/2020 3724 0.95 JMT CUSTOM GRADING AND EXCAVATION INC OXFORD 5396212A 800 6/13/2020 6217 0.95 LESSUISE HOME IMPROVEMENT OXFORD 4887980A 751 6/21/2020 5437 0.95 MCCORMACK MOTORSPORTS INC OXFORD 0971766A 839 4/1/2020 8292 NORTH SHORE CONSTRUCTION INC OXFORD 5603340A 750 5/26/2020 5645 OLE ROSEBROOK BUILDING CO LLC OXFORD 4202155A 750 4/6/2020 5190 RPM CONSTRUCTION INC OXFORD 2457482A 825 6/1/2020 5403 SWEETLAND TRANSPORT INC OXFORD 5083133A 844 4/5/2020 8810 0.95 WOLFF DALE OXFORD 6000592A 561 6/3/2020 9102 FELDMAN DEBRA A PACIFIC PALISADES, CA 4752171A 573 5/20/2020 0913 0.95 NATIONAL FILTER SERVICE INC PALMYRA, VA 5394058A 1,300 6/1/2020 5550 0.95 CURRAHEE INSPECTION SERVICES LLC PANAMA CITY, FL 5985994A 19,344 4/17/2020 5403 PADDLES UP PARADISE 6002072A 521 6/7/2020 6836 DM TRUCKING LLC PARIS 5407052A 4,164 5/22/2020 7208 0.95 JOE SATTLER CUSTOM BUILDER LLC PARMA 2715295A 750 6/6/2020 5645 MDK HOME IMPROVEMENTS LLC PARMA 5579490A 3,261 6/25/2020 5645 0.95 NOWICKI CONTRACTING INC PARMA 2858150A 753 5/23/2020 8810 0.84 C AND W BUILDERS LLC PAW PAW 5844991A 8,686 6/26/2020 5645 GLENDALE FOREST PRODUCTS INC PAW PAW 2960176A 1,372 5/5/2020 2731 0.95 MYERS ROOFING & RESTORATION LLC PAW PAW 5214211A 6,994 4/18/2020 5551 0.83 PEAT RANDALL PAW PAW 1607138A 884 5/17/2020 0011 0.95 SLH TRUCKING LLC PAW PAW 5855306A 800 4/19/2020 7208 STRENGTH BEYOND LLC PAW PAW 5984068A 980 4/11/2020 9063 AFRICA INLAND MISSION INTERNATIONAL INC PEACHTREE CITY, GA 1120158A 472 4/3/2020 8868 CCS VILLA LLC PECK 5984122A 1,751 4/11/2020 9053 VILLAGE OF PECK PECK 0122408A 6,882 4/7/2020 5509 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 124 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UNOBE LLC PELKIE 3052478A 750 5/23/2020 8395 BURNS ENTERPRISES INC PELLSTON 0925985A 2,575 6/28/2020 7212 0.95 POLE BARNS PLUS LLC PELLSTON 2706911A 3,176 5/17/2020 5645 ZULSKI LUMBER INC PELLSTON 6002226A 240 6/15/2020 8601 ESAD RECREATION LLC PENTWATER 5864755A 631 5/15/2020 9015 LIGHTHOUSE COMMERCIAL SERVICES INC PEORIA, AZ 5862000A 750 5/3/2020 5645 PRICES CONSTRUCTION LLC PERRINTON 5566630A 3,112 6/7/2020 5403 0.95 WELCH JASON PERRONVILLE 3536521A 750 4/3/2020 2709 HANNAH CONSTRUCTION LLC PERRY 1078577A 750 4/24/2020 5645 HMK LANDSCAPING LLC PERRY 5802725A 1,607 5/22/2020 0042 JONES DAN JR PERRY 5831237A 750 5/14/2020 5645 MAPLE FRONT FARM LLC PERRY 5984130A 720 4/11/2020 0128 P AND M TRUCKING LLC PERRY 4868480A 800 5/10/2020 7208 RICK JOHNSON CONSTRUCTION MANAGEMENT PERRY 3879291A 9,234 4/2/2020 5551 1.48 13 % LLC T AND L TRUCKING OF PERRY INC PERRY 5052963A 750 5/8/2020 7208 OHIOANS HOME HEALTH CARE INC PERRYSBURG, OH 5126568A 7,835 4/12/2020 8835 0.78 HYDE CLINT SR PETERSBURG 3832384A 3,523 6/9/2020 5645 0.93 JEREMY SCHMIDT CONSTRUCTION PETERSBURG 5166845A 4,503 6/26/2020 5437 0.95 LUCAS AUTO PARTS & TOWING LLC PETERSBURG 3553736A 555 6/14/2020 8395 A PLUS CONSTRUCTION PETOSKEY 3264629A 800 6/1/2020 5645 BERRYER DESIGN & MANUFACTURING LLC PETOSKEY 5853761A 418 4/12/2020 8601 BILLS FARM MARKET PETOSKEY 1722735A 7,351 6/7/2020 0011 0.85 BRAD DENOYER RESIDENTIAL BUILDER LLC PETOSKEY 3735745A 750 5/1/2020 8810 BRUIN SLOT BUILDERS LLC PETOSKEY 5910277A 1,951 6/18/2020 5645 CENTER SALON PETOSKEY LLC PETOSKEY 1556789A 300 6/1/2020 9586 0.95 DALE LUTZ MASONRY PETOSKEY 3850846A 750 5/27/2020 5022 J AND R BUILDING MOVERS INC PETOSKEY 1482858A 7,363 4/18/2020 9530 0.92 JIM GRAYS COTTAGE SERVICES LLC PETOSKEY 5575028A 1,718 6/15/2020 9102 0.95 JOY VALLEY COUNSELING & CONSULTATION PC PETOSKEY 3060420A 231 5/16/2020 8832 MBROOFING PLLC PETOSKEY 5749077A 5,015 5/7/2020 5551 MEADOWS OF PETOSKEY ASSOCIATION PETOSKEY 5705720A 630 4/18/2020 9015 OLD FASHIONED SERVICE PETOSKEY 3187195A 750 4/25/2020 5476 PAINTING PLUS DECORATING INC PETOSKEY 4030591A 825 4/9/2020 5476 0.95 PETOSKEY ELECTRIC LLC PETOSKEY 5866758A 1,863 6/4/2020 5190

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PETOSKEY FARMS VINEYARD AND WINERY LLC PETOSKEY 5293146A 2,169 6/18/2020 2143 0.95 RAINEYS LANDSCAPE LLC PETOSKEY 5716039A 1,010 5/4/2020 0042 STUDIO HEALTH AND FITNESS LLC PETOSKEY 6005357A 480 6/19/2020 9586 SUTFIN CONSTRUCTION PETOSKEY 2056321A 928 5/15/2020 5022 TARVUDD CONSTRUCTION LLC PETOSKEY 3924769A 800 6/23/2020 5645 WILDWOOD BUILDERS INC PETOSKEY 3719596A 1,571 4/20/2020 5437 0.95 WILDWOOD COFFEE CO LLC PETOSKEY 5995337A 407 5/15/2020 8006 MAPLE RIVER CAMPGROUND LLC PEWAMO 4219880A 580 5/16/2020 9015 WEST TECH LLC PEWAMO 3377083A 481 4/3/2020 5190 ABOVE AND BEYOND TREE SERVICE LLC PICKFORD 5991307A 1,842 5/1/2020 0106 HARRISON ELECTRIC PICKFORD 1894595A 643 6/26/2020 5190 MICHIGAN WHOLESALE WALLEYE LLC PICKFORD 5996538A 2,781 5/17/2020 6217 QUALITY LAWN CARE PICKFORD 4019130A 890 5/27/2020 9102 0.95 BAILEY BUILDERS PIGEON 5854237A 750 5/21/2020 5645 ADCO HOME IMPROVEMENT LLC PINCKNEY 5605067A 750 4/11/2020 5645 BOHR SERVICES PINCKNEY 5866952A 418 5/22/2020 5606 CERTUS LLC PINCKNEY 4867793A 240 5/5/2020 8601 COMPASSIONATE HEARTS HOME CARE LLC PINCKNEY 5855314A 545 6/2/2020 8835 FLATWORKS CONCRETE COMPANY PINCKNEY 2871025A 750 5/28/2020 5221 JEFFS OUTDOOR AND TREE SERVICES LLC PINCKNEY 0629529A 2,082 5/3/2020 9102 1.05 10 % MCALLISTER DEREK B PINCKNEY 5880335A 650 6/29/2020 5550 OLIVER AND CO LLC PINCKNEY 5715407A 825 5/12/2020 0042 ON THE LAKES CARPENTRY LLC PINCKNEY 5997526A 8,835 5/21/2020 5437 PORTER FAMILY HOLDINGS OF MICHIGAN INC PINCKNEY 5981395A 11,230 4/2/2020 0106 PRO SPRINKLERS AND LIGHTING LLC PINCKNEY 5714532A 584 5/10/2020 5183 PURDYS SERVICES PINCKNEY 5042739A 750 5/28/2020 5645 QUALITY SERVICES CEILINGS & WALLS INC PINCKNEY 5705622A 800 4/18/2020 5445 ROSENBERRY TRUCKING INC PINCKNEY 5983282A 750 4/9/2020 7380 SHORELINE CONCEPTS LLC PINCKNEY 5563267A 1,859 5/17/2020 5437 0.95 TDK CONSTRUCTION PINCKNEY 4760930A 750 6/19/2020 5437 TIMBERLAND TREE CO LLC PINCKNEY 3172643A 750 5/21/2020 6217 TOTAL BUILDING IMPROVEMENTS LLC PINCKNEY 5869617A 800 5/30/2020 5437 BERTHIAUME SLAUGHTERHOUSE INC PINCONNING 0163236A 1,868 4/11/2020 2081 0.95 JOHNSON EXCAVATION INC PINCONNING 4419197A 750 4/7/2020 6217 SHANNON DREAM INC PINCONNING 4950739A 1,162 5/18/2020 5221 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 126 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TIPSY COWBOY FOOD AND SPIRITS LLC PINCONNING 5717558A 742 5/22/2020 9058 LONE STAR MANAGEMENT LLC PITTSBURG, KS 4983505A 1,221 5/9/2020 8017 0.95 AMCON LLC PLAINWELL 4151933A 750 4/30/2020 5437 0.95 BLOOMBERG ENTERPRISES PLAINWELL 3558207A 800 4/12/2020 7208 CHERUB ENTERPRISES LLC PLAINWELL 5714613A 16,255 5/15/2020 8835 0.95 DOUGLAS AUTOS LLC PLAINWELL 4776780A 505 4/12/2020 8395 FINE BUILDING BY TIEFENTHAL LLC PLAINWELL 1888749A 750 5/22/2020 5645 PLAINWELL KAYAK COMPANY LLC PLAINWELL 5870399A 751 5/30/2020 8010 VANDERMEER SHAWN PLAINWELL 5997674A 750 5/21/2020 5645 DIAMOND ASPHALT PAVING LLC PLEASANT LAKE 5866324A 2,645 5/22/2020 5221 HENSONS SERVICES LLC PLEASANT LAKE 5178428A 1,202 5/6/2020 9521 MARTINS TREE SERVICE PLEASANT LAKE 5653002A 750 4/10/2020 0106 ANGELS OF LIVONIA 24 7 INC PLYMOUTH 1521101A 1,290 4/1/2020 8835 0.95 BAY MARINA LLC PLYMOUTH 5995280A 580 5/15/2020 9015 BLIGHT AUTHORITY PLYMOUTH 5153166A 320 6/12/2020 8810 CASE CLOSED PLUMBING PLYMOUTH 5318211A 650 5/13/2020 5550 CENTRAL PARK COMMUNITY ASSOCIATION PLYMOUTH 4762991A 630 5/24/2020 9015 CHARLES A HANLIN CARPENTER LLC PLYMOUTH 5570239A 750 6/7/2020 5183 CULOTTA JOHN PLYMOUTH 6005101A 648 6/18/2020 0913 D S FLOORS LLC PLYMOUTH 4877969A 1,419 4/8/2020 9521 0.95 DETROIT HOT ROD SPORT & CUSTOM LLC PLYMOUTH 5721008A 2,552 6/1/2020 8393 0.95 DGS INC PLYMOUTH 0720852A 750 5/30/2020 5645 DIVISION 8 SOLUTIONS INC PLYMOUTH 5263417A 808 4/19/2020 8742 0.95 ENCORE FACILITIES GROUP LLC PLYMOUTH 3040704A 1,043 6/10/2020 9015 G C M II INC PLYMOUTH 2112353A 819 5/24/2020 9058 GINNARD QUALITY CONSTRUCTION INC PLYMOUTH 3604896A 751 4/15/2020 5437 0.95 HER THINGS HIS JUNK INC PLYMOUTH 5137470A 4,013 5/12/2020 5606 0.95 HIS WAY SERVICES LLC PLYMOUTH 6003605A 2,044 6/8/2020 9015 INNOVATIVE DRYWALL SERVICES INC PLYMOUTH 4350553A 1,068 4/3/2020 5445 INTERIOR DEVELOPMENT GROUP INC PLYMOUTH 4341244A 825 4/28/2020 5022 JOYCE AND DON MASSEY FAMILY FOUNDATION PLYMOUTH 5257611A 378 4/4/2020 8810 KELLY EXPRESS AND LOGISTICS LLC PLYMOUTH 5164931A 3,077 5/21/2020 7208 0.93 KENNYS LAWN SERVICE INC PLYMOUTH 2692155A 1,302 6/13/2020 9102 0.95 MERCY USA FOR AID AND DEVELOPMENT INC PLYMOUTH 1932632A 789 5/15/2020 8810 0.95 MLS INC OF PLYMOUTH PLYMOUTH 1411373A 751 4/1/2020 0106 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 127 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MR MIKES LAWN AND SNOW SERVICE INC PLYMOUTH 3790789A 750 4/11/2020 0042 OMA PIZZA LLC PLYMOUTH 6007015A 333 6/22/2020 9058 PAINTING BY DESIGN LLC PLYMOUTH 3683460A 750 5/26/2020 5476 0.94 PLYMOUTH ROCK AND SUPPLY INC PLYMOUTH 0549002A 721 4/30/2020 8010 0.95 R AND M REMEDIATION INC PLYMOUTH 5980917A 1,573 4/29/2020 9015 REAL INDEPENDENT LIVING PROGRAM INC PLYMOUTH 5032440A 1,163 6/19/2020 8835 0.95 SOVEREIGN DIGITAL GROUP LLC PLYMOUTH 5393299A 1,127 4/3/2020 7610 0.95 SPRING MILL RECLAMATION LLC PLYMOUTH 5844819A 7,401 4/1/2020 4000 0.94 STEPHENS GERALD PLYMOUTH 5716853A 750 5/17/2020 0106 TNT HAULING INC PLYMOUTH 5884144A 6,311 5/8/2020 7208 TRANSFORMATIONAL SERVICES LLC PLYMOUTH 5540062A 2,496 4/1/2020 8832 0.95 VERT VERDE LANDSCAPE ARCHITECTURE LLC PLYMOUTH 5131634A 825 4/27/2020 0042 VIN CON INC PLYMOUTH 6000347A 753 5/30/2020 8810 A HAMILTON PONTIAC 3829154A 750 6/28/2020 5221 ACJ AND SONS CONSTRUCTION LLC PONTIAC 5544050A 750 4/9/2020 5645 AJM CONSTRUCTION PONTIAC 4674006A 750 5/11/2020 5645 ALCOHOLICS ANONYMOUS OF OAKLAND PONTIAC 0617695A 248 5/25/2020 8810 COUNTY ALTERNATIVE TRANSPORTATION SERVICES INC PONTIAC 3608360A 6,749 6/28/2020 7212 0.93 AMA TRANSPORTATION INC PONTIAC 5064090A 720 6/14/2020 7212 0.94 APJ REMODELING PONTIAC 5411807A 750 5/31/2020 5437 ARZABALA CEMENT INC PONTIAC 3181839A 2,223 4/26/2020 5221 0.95 ASD LATINOS UNLIMITED LLC PONTIAC 5737788A 2,871 5/12/2020 8835 B D CONSTRUCTION & CLEANUP PONTIAC 3724336A 9,113 5/31/2020 5022 0.89 COBALT CUSTOM FLOOR COVERING LLC PONTIAC 5984521A 1,263 4/15/2020 9521 DAVID AND CRISTIAN PONTIAC 3617890A 2,077 5/6/2020 5476 0.95 EM PRO DRYWALL FINISHERS PONTIAC 5212154A 750 4/20/2020 5445 0.95 EREBUS ENTERTAINMENT INC PONTIAC 2036371A 5,776 4/30/2020 9156 0.92 FIVE STAR MAINTENANCE GROUP LLC PONTIAC 5276225A 4,774 6/28/2020 5551 0.95 FJ MASONRY PONTIAC 5863260A 750 5/10/2020 5022 FLAGSTAR CONSTRUCTION INC PONTIAC 4388984A 1,218 6/2/2020 5022 GALBAN TONI PONTIAC 5997631A 800 5/21/2020 5022 GET IT DONE CONCRETE PONTIAC 5737834A 2,048 6/5/2020 5221 0.95 GONZALEZ CONTRACT SERVICES INC PONTIAC 5996082A 53,318 5/15/2020 3628 HURON LIQUOR SHOP INC PONTIAC 5523230A 938 4/12/2020 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HZ NEW IMAGE PAINTING PONTIAC 5984556A 1,418 5/15/2020 5445 J AND G NEW FLOOR STYLES AND DESIGN LLC PONTIAC 5545269A 750 6/5/2020 5348 JLR MASON CO PONTIAC 5757398A 1,684 6/18/2020 5022 0.95 JUAN AND SONS MASONRY LLC PONTIAC 5878764A 1,990 6/26/2020 5022 KENNEDY LIQUOR & DELI SHOPPE INC PONTIAC 1280031A 2,248 5/15/2020 8017 LOPEZ AND SONS MASONRY LLC PONTIAC 5705398A 800 4/18/2020 5022 MT OLIVE BAPTIST CHURCH OF PONTIAC PONTIAC 0033529A 286 4/19/2020 8868 OAKLAND HOPE PONTIAC 5992141A 1,962 5/18/2020 8017 PONTIAC SAILING EDUCATION FOUNDATION PONTIAC 4877659A 636 6/20/2020 8868 PONTIAC YACHT CLUB PONTIAC 1364278A 813 4/17/2020 9015 0.95 PRICE CONSTRUCTION SERVICES LLC PONTIAC 0482030A 2,717 6/2/2020 5437 0.95 RAQ LLC PONTIAC 5392047A 738 6/12/2020 3066 0.95 ROCHESTER LIMOUSINE LLC PONTIAC 2064766A 4,855 4/12/2020 7220 RUBIOS CUSTOM PAINTING PONTIAC 1889346A 750 6/14/2020 5476 SILVER LAKE MASONRY PONTIAC 3534740A 2,134 6/13/2020 5022 0.95 SULLIVAN FRANK JR PONTIAC 2327864A 750 6/20/2020 5645 SUPERIOR MASONRY LLC PONTIAC 5046734A 8,140 5/2/2020 5022 0.95 TRITON M CONTRACTING LLC PONTIAC 5541484A 7,967 4/5/2020 7208 0.88 D AND T MANURE HAULING LLC PORT AUSTIN 4858034A 1,193 5/4/2020 0128 1.00 JNSD LLC PORT AUSTIN 6005411A 575 6/20/2020 9058 NEW METHOD CONST & REPAIR INC PORT AUSTIN 0746479A 750 4/18/2020 5437 PORT AUSTIN FIRE DEPARTMENT PORT AUSTIN 0735701A 1,334 6/13/2020 7704 0.95 PORT AUSTIN KAYAK & BIKE RENTAL LLC PORT AUSTIN 5878080A 2,049 6/16/2020 9015 SAND BAR THE PORT AUSTIN 2860651A 333 6/20/2020 9058 PAWLITZ CONSTRUCTION PORT HOPE 0239372A 750 5/9/2020 5022 0.95 A 1 PRECISION PAINTING LLC PORT HURON 5257603A 1,376 4/22/2020 5476 0.95 AMERICAS CABINET OUTLET INC PORT HURON 5102464B 1,392 6/14/2020 8017 1.44 13 % BRCC LLC PORT HURON 4019040A 5,108 5/16/2020 9060 0.95 BRIDGE STREET INN PROPERTIES LLC PORT HURON 5748593B 493 6/1/2020 9052 CAMERA READY CLEANING LLC PORT HURON 5833990A 580 5/7/2020 9015 CHARLES F BARRETT IRREVOCABLE TRUST PORT HURON 4409841A 841 4/10/2020 0909 0.95 FORTONS EXPRESS INC PORT HURON 5975727A 7,913 6/11/2020 8395 GREAT LAKES CRUISING CLUB PORT HURON 4557018A 616 4/5/2020 8810 HURON PHYSICAL ARTS CENTER LLC PORT HURON 0329819A 301 5/22/2020 9063 KINGS CONSTRUCTION & REMODELING LLC PORT HURON 5404819A 750 5/16/2020 5403 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 129 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LOZEN AND KOVAR PC PORT HURON 4359500A 391 5/1/2020 8820 PORT HURON RESTAURANT INC PORT HURON 4700783A 3,244 5/2/2020 9058 0.95 ROBERTS CONSTRUCTION PORT HURON 0160199A 1,370 4/27/2020 5403 0.95 ROUNDLAKE PROPERTY HOLDINGS LLC PORT HURON 5748593A 493 6/1/2020 9052 WORK FORCE WORK CREW LLC PORT HURON 5742242A 806 5/14/2020 7720 PATERSON TREE SERVICE & LAWN CARE INC PORT SANILAC 4658906A 1,062 6/17/2020 0106 0.95 REISNER DEVELOPMENT LLC PORT SANILAC 5276888A 750 6/16/2020 5437 0.95 SANILAC APPRAISERS INC PORT SANILAC 0362883A 346 4/17/2020 8720 DELISLE ASSOCIATES LTD PORTAGE 2264633A 2,760 4/17/2020 8601 0.95 K VLIETSTRA LANDSCAPE SERVICES LLC PORTAGE 5720133A 1,041 5/26/2020 0042 KLOK BRAD PORTAGE 5986214A 612 4/17/2020 9102 MICHIGAN CONSTRUCTION AND REMODELING PORTAGE 5138027A 800 4/24/2020 5645 LLC PROPERTY MANAGEMENT SYSTEMS LLC PORTAGE 0736864A 1,462 6/26/2020 9015 0.95 SHANNONDALE MAHOGANY SWIM CLUB INC PORTAGE 1413163A 1,785 4/9/2020 9061 0.95 STUDENT HAULERS LLC PORTAGE 5609640A 3,047 4/28/2020 9403 0.95 TACTICAL ADVANTAGE GUNS LLC PORTAGE 5553806A 459 6/28/2020 8010 MAY BUILDERS INC PORTLAND 2752735A 750 6/10/2020 5645 PORTLAND PLASTICS CO PORTLAND 2040972A 867 6/4/2020 4459 0.95 PRIME CONTRACTING LLC PORTLAND 5330564A 2,324 5/11/2020 5479 0.95 BIO CLEAN TEAM INC POTTERVILLE 3830756A 899 4/7/2020 9015 0.95 M AND M PAINTING LLC POTTERVILLE 5046580A 1,815 4/3/2020 5476 0.95 GATIEN FARM AND FOREST PRODUCTS LLC POWERS 4069072A 7,818 5/8/2020 2731 0.95 UP FOREST INNOVATIONS POWERS 3323978A 872 4/4/2020 0106 A 1 CONTRACTING AND RESTORATION LLC PRESCOTT 5866804A 4,904 6/28/2020 5645 CAPTIVATING CONCRETE LLC PRESCOTT 5746221A 2,400 6/8/2020 5221 PREFERRED CONCRETE LLC PRESCOTT 5904463A 2,515 6/13/2020 5221 TITAN HOME SERVICES INC PRESCOTT 5248361A 800 4/5/2020 5645 0.95 BENEATH THE SURFACE LLC PRESQUE ISLE 5859867A 1,559 4/27/2020 7600 FTFI LLC PRESQUE ISLE 5282330A 557 6/19/2020 9521 GRAND LAKE MARINA INC PRESQUE ISLE 5863457A 521 5/10/2020 6836 TS UNDERGROUND PRESQUE ISLE 4375068A 750 5/17/2020 7600 BASIL AND MIKE SERVICE PRUDENVILLE 2932792A 1,530 4/1/2020 8395 0.95 DICKS DOCKS AND LIFTS INC PRUDENVILLE 5744806A 926 4/15/2020 3724 T AND P TREE SERVICE LLC PRUDENVILLE 5527988A 969 5/2/2020 0106

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DEER PATH TRUST PUNTA GORDA, FL 1189050A 599 4/6/2020 0908 COTTONWOOD RESORT INC QUINCY 3963063B 973 6/11/2020 9015 0.95 FABULOUS FLOORS AND MORE LLC QUINCY 5145481A 751 6/20/2020 9521 SCHWARTZ BROTHERS CONSTRUCTION LLC QUINCY 5024757A 12,787 4/13/2020 5645 0.96 G AND G LOGGING QUINNESEC 1271598A 750 4/21/2020 2702 BESSEMER TOWNSHIP OF GOGEBIC COUNTY RAMSAY 0163171A 3,497 5/1/2020 9410 0.95 CARGO CO RAPID CITY 1660390A 3,546 4/6/2020 8393 1.00 LOCAL DINER LLC RAPID CITY 5711088A 984 5/2/2020 9058 RON WAY MASONARY RAPID CITY 1073397A 750 5/21/2020 5022 YES INTERIORS AND EXTERIORS CUSTOM RAPID CITY 3898644A 751 6/27/2020 5476 0.95 PAINTING BERGLUND BUILDERS LLC RAPID RIVER 4999584A 1,641 5/18/2020 5645 0.95 BRUCE SUNDBERG TRUCKING LLC RAPID RIVER 1110756A 800 5/1/2020 7208 0.95 CREATIVE COMPOSITES INC RAPID RIVER 2920417A 14,887 6/22/2020 3632 0.84 DIAMOND 45 TRANSPORT LLC RAPID RIVER 4154282A 750 5/21/2020 7208 EDWIN LACOSSE FOREST PRODUCTS RAPID RIVER 1550713A 750 6/12/2020 2702 GA SAYERS CONSTRUCTION CO INC RAPID RIVER 0936235A 750 6/4/2020 5645 0.95 GUDWER TRUCKING SERVICE LLC RAPID RIVER 4877900A 750 6/6/2020 7208 0.95 KORY WILS TRUCKING RAPID RIVER 4695399A 2,626 6/7/2020 7208 LAKESHORE GARAGE AND DECK RAPID RIVER 6001998A 1,076 6/6/2020 5645 AUSTIN PAINTING LLC RAVENNA 3328031A 936 5/28/2020 5476 BECHTEL CUSTOM PAINTING RAVENNA 5397545A 750 4/27/2020 5476 FAMILY AND COMMUNITY SERVICES INC RAVENNA, OH 0083569A 24,213 6/25/2020 8835 0.67 WESTSIDE MOBILE HOMES INC RAVENNA 5347459A 6,702 4/24/2020 8387 1.32 13 % BEAR CONSTRUCTION OF MACOMB INC RAY 5436761A 1,367 4/14/2020 5645 DEAN REINHARDT RAY 2252813A 3,786 5/31/2020 7208 MASTERS MURPHY MAINTENANCE LLC RAY 0647063A 750 4/11/2020 5645 0.91 SHAWNS HEATING & COOLING LLC RAY 5982960A 650 4/6/2020 5550 TRANSMISSIONS UNLIMITED INC RAY 0231100A 2,733 5/30/2020 8395 1.00 VANSTEENKISTE CONSTRUCTION INC RAY 0421413A 803 5/30/2020 8810 Z AND G RENOVATIONS LLC RAY 5850100A 4,310 4/6/2020 5437 0.95 ABLE TREE EXPERTS LLC RAY TWP 4434978A 7,130 6/6/2020 0106 0.92 DDS CARPENTERY INC RAY TWP 3603989A 750 4/23/2020 5437 MEE MAWS TOO CHILDCARE LLC RAY TWP 5992990A 634 5/8/2020 8869 PEAK HOME IMPROVEMENTS LLC RAY TWP 3110753A 1,462 5/21/2020 5645 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CERTIFIED TOWER MAINTENANCE INC READING 4473183A 773 5/22/2020 5102 KTK TRANSPORTATION READING 4699726A 1,986 6/15/2020 7208 0.95 ALBERT A ACKER INC REDFORD 1783300A 502 5/5/2020 9058 ANGLISS PETER REDFORD 4701623A 328 5/23/2020 0908 BALINT ERIK REDFORD 4974387A 946 5/23/2020 0913 BANKABLE ENTERPRISES INC REDFORD 5726689A 835 6/24/2020 9015 BAZZI ALI REDFORD 5702623A 573 4/12/2020 0913 BECK TREVOR REDFORD 5328888A 456 4/12/2020 0908 BEHNE CAITLIN REDFORD 5993423A 573 5/8/2020 0913 BNF PIZZERIA INC REDFORD 5713889A 2,714 5/9/2020 9058 0.95 BOB AND LESLIES LAWN MAINTENANCE REDFORD 3970272A 1,897 4/1/2020 9102 0.95 C AND E BUILDING MAINTENANCE REDFORD 2843641A 580 4/5/2020 9015 CALOS TRUCKING & EXCAVATING LLC REDFORD 4004698A 4,110 4/6/2020 7208 CURTIS STONEWATER LLC REDFORD 5158257A 750 6/25/2020 5348 D D S DELIVERY SERVICE INC REDFORD 2119897A 750 4/12/2020 7208 D W CONSTRUCTION REDFORD 5722551A 1,723 6/10/2020 5645 DCL INSTALLATION REDFORD 5432898A 750 6/13/2020 5645 DOLOT STEVEN REDFORD 4523016A 573 5/29/2020 0913 DOWIER FARAH REDFORD 5543827A 573 4/9/2020 0913 FRABUTT BROTHERS CONSTRUCTION REDFORD 3962342A 750 6/20/2020 5551 GAGNE GREGORY REDFORD 5779626A 328 5/17/2020 0908 HATKOW ANTHONY REDFORD 5878748A 328 6/23/2020 0908 HEJKA SAMUEL REDFORD 5876575A 328 6/12/2020 0908 HOLME PAINTING CO LLC REDFORD 0997781A 750 4/18/2020 5476 IRVIN CONSTRUCTION LLC REDFORD 5981778A 750 4/3/2020 5437 KOSTRZEWA LAURENCE REDFORD 3710599A 5,541 4/30/2020 0913 0.95 LESLIE RANDALL REDFORD 4251911A 328 6/29/2020 0908 LUNN JOSEPH REDFORD 5187915A 573 6/12/2020 0913 MARTIN CLAY REDFORD 5878756A 573 6/23/2020 0913 MCINTEE JENNIFER REDFORD 5262186A 328 5/9/2020 0908 MILLER ALEXANDER REDFORD 5876486A 328 6/12/2020 0908 NOSTRAY CONSTRUCTION LLC REDFORD 5546389A 866 4/18/2020 5610 0.95 PREMIUM DOOR INSTALLATIONS REDFORD 5876796A 750 6/13/2020 5645 PRO TEK POWER WASHING LLC REDFORD 5711991A 581 5/4/2020 9015 REEVES SUNNI REDFORD 5543924A 328 4/9/2020 0908 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 132 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RICHARD DAVID HUNTER LLC REDFORD 3893332A 606 5/30/2020 9521 ROTH TIMOTHY REDFORD 4682726A 328 6/4/2020 0908 S AND J AFFORDABLE HEATING & COOLING LLC REDFORD 5991668A 650 5/2/2020 5550 SAFETY FIRST JANITORIAL SERVICES INC REDFORD 5990009A 630 5/1/2020 9015 SKY HIGH TREE SERVICE LLC REDFORD 4930363A 750 5/9/2020 0106 SMITH BRENT REDFORD 5180007A 573 4/12/2020 0913 SOCKOW CHRISTOPHER REDFORD 5566550A 930 5/25/2020 0908 0.95 SWEEPDREAMS AND MAINTENANCE INC REDFORD 3669556A 1,592 5/17/2020 9402 0.95 T A K SOLUTIONS LLC REDFORD 5567785A 750 6/11/2020 7208 THOMAS HISSONG CONSTRUCTION REDFORD 5711940A 750 5/4/2020 5645 THUMM CAROL REDFORD 5718813A 1,224 5/23/2020 0908 VICTORY HOME CARE INC REDFORD 4684370A 480 5/23/2020 8810 0.95 WASHINGTON RYAN REDFORD 5863147A 328 5/9/2020 0908 CRUDEN PAMELA L TRUST REDWOOD CITY, CA 5154634A 715 6/15/2020 0909 0.95 SAEZ TRUCKING LLC REED CITY 5256801A 2,583 4/13/2020 7208 0.81 SWITZER SAND & GRAVEL INC REED CITY 2696231A 2,611 5/16/2020 4000 0.95 VAUGHNS FLYING SERVICE INC REESE 4204603A 696 5/15/2020 7422 0.95 THOMAS D MORRIS INC REISTERTOWN, MD 5265533A 488 5/7/2020 8742 BRINK EDWARD RHODES 0406368A 750 6/23/2020 5445 BECKMAN DAVID RICHLAND 5859484A 623 4/26/2020 0913 HERGOTT BRAD RICHLAND 5991870A 750 5/17/2020 5645 LORIES EVENTS LLC RICHLAND 5855390A 631 4/27/2020 9015 LUKEMAN PROPERTY MANAGEMENT LLC RICHLAND 5148421A 11,105 6/5/2020 9015 1.48 27 % LYNNE MORGAN GROUP INC RICHLAND 5046297A 1,951 6/27/2020 9521 0.95 SNYDER JIM G RICHLAND 2389657A 750 5/5/2020 5022 STORAGE INNOVATION TECHNOLOGIES INC RICHLAND 4061756A 1,642 4/12/2020 8292 0.95 DUKE INSTALLATIONS LLC RICHMOND 0181579A 825 5/24/2020 5645 0.95 K AND J CONSTRUCTION MANAGEMENT RICHMOND 5082404A 750 6/24/2020 5645 LBJ INC RICHMOND 2660660A 16,767 4/21/2020 5645 0.84 MANUEL CONSTRUCTION RICHMOND 4381297A 750 5/25/2020 5445 0.95 MICHIGAN LAWN SERVICE LLC RICHMOND 5398177A 561 6/13/2020 9102 PATRICK M ROSS CONSTRUCTION CO RICHMOND 2271303A 2,465 6/20/2020 5645 0.95 ROBS SUPER CAR WASH INC RICHMOND 0473898A 537 5/5/2020 8387 SPC CONTRACTING LLC RICHMOND 2690284A 1,348 4/4/2020 5221 0.95 VAN HAVERBECK HOMES INC RICHMOND 1921576A 750 6/7/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 133 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge C AND J BUSH LANDSCAPING RILEY 5205891A 1,281 4/25/2020 9102 0.95 LYLE FLEISCHMANN MEGS HAULING LLC RILEY 5410380A 5,169 5/4/2020 7380 0.95 ROMAN HOMES RILEY TWP 4952383A 10,066 4/24/2020 5645 0.88 CHAIRES HOME IMPROVEMENT LLC RIVER ROUGE 5862345A 800 5/4/2020 5645 ENERGY PLUS HOME IMPROVEMENTS LLC RIVERDALE 3997146A 626 4/25/2020 5606 0.95 GREEN FUEL & ENERGY RIVERDALE 5860636A 3,082 4/28/2020 2709 0.95 J MCGILL TRUCKING INC RIVERDALE 5241421A 35,500 4/17/2020 7208 0.89 R AND M WALRATH TRUCKING LLC RIVERDALE 6003893A 1,270 6/19/2020 4000 RED OAK SEAMLESS EAVESTROUGHING LLC RIVERDALE 5705053A 721 4/14/2020 5538 LAKE MICHIGAN BEACH PROPERTY OWNERS RIVERSIDE 1136380A 1,127 6/3/2020 9015 0.95 ASSOCIATION INC CCM INSTALLATIONS LLC RIVERVIEW 5576652A 750 6/28/2020 5348 0.95 G AND M PAINTING ENTERPRISES INC RIVERVIEW 3648192A 597 6/25/2020 8810 0.89 GREGORYS ROOFING & CONSTRUCTION LLC RIVERVIEW 1969978A 7,345 5/1/2020 5551 0.88 KENCO SUPPLY LLC RIVERVIEW 4636899A 300 6/11/2020 8742 FABERS SANDBLASTING LLC RIVES JUNCTION 5942632A 2,220 4/19/2020 9501 BLOOMINGDALE CONSTRUCTION COMPANY INC ROCHESTER 3785394A 750 5/30/2020 0042 BROOKSIE WAY ROCHESTER 5281083A 2,454 5/16/2020 9015 0.95 BRYDEN DEVELOPMENT CORPORATION ROCHESTER 0675539A 750 4/30/2020 5445 CLEAR CREEK COMMUNITY ASSOCIATION ROCHESTER 4986911A 580 5/18/2020 9015 COOK TREE CARE ROCHESTER 0581178A 750 5/30/2020 0106 CUMBERLAND PINES ASSOCIATION ROCHESTER 4980573A 630 4/27/2020 8810 DIRT MOVERS LLC ROCHESTER 5994578A 1,104 5/15/2020 6217 E AND C PAINTING CO LLC ROCHESTER 4348303A 850 5/19/2020 5476 FINISHED WORKS SIDING AND TRIM ROCHESTER 6001629A 750 6/6/2020 5645 GENERAL SPORTS BASEBALL HOLDINGS LLC ROCHESTER 5562651A 28,655 5/15/2020 9015 0.89 GIO PAINTING LLC ROCHESTER 5877318A 750 6/14/2020 5476 GRANTS PIZZA LLC ROCHESTER 5999570A 3,788 5/25/2020 9058 HEART OF THE HILLS SWIM CLUB INC ROCHESTER 0971103A 1,247 5/19/2020 9063 0.95 INNOVATION PROPERTY INC ROCHESTER 5608317A 963 5/8/2020 9015 LAWN AND GARDENING SOLUTIONS INC ROCHESTER 4494849A 751 4/24/2020 0042 LEES ADAM ROCHESTER 5821894A 751 4/15/2020 8810 LOCHIRCO CONSULTING LLC ROCHESTER 5524113A 266 4/4/2020 8810 METRO PUMP SERVICE LLC ROCHESTER 4618637A 644 4/23/2020 3724 MID MICHIGAN FOOT PRODUCTS LLC ROCHESTER 5992770A 660 5/31/2020 8008

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MINI ANTONIO ROCHESTER 5991633A 750 5/2/2020 5022 NORTHERN STONE & BRICK CONSTRUCTION ROCHESTER 3286509A 750 6/27/2020 5348 0.95 CORP R R D CONSTRUCTION CO ROCHESTER 3293343A 1,319 5/11/2020 5606 0.95 REMEDICA LLC ROCHESTER 5318513A 641 5/23/2020 8832 RILEYS CONSTRUCTION & COMMERCIAL HOME ROCHESTER 3972526A 750 5/13/2020 5221 REPAIR SERVICES INC SHINE LLC ROCHESTER 2201615A 1,180 6/1/2020 9015 SMART LIGHTING LLC ROCHESTER 5399998A 556 5/5/2020 5190 T L JENKINSON LLC ROCHESTER 3000273A 8,044 4/12/2020 0042 0.88 TRI COUNTY COURT REPORTERS INC ROCHESTER 5877989A 253 6/20/2020 8810 USA CUSTOM PAINTING LLC ROCHESTER 6007988A 875 6/24/2020 5476 WOMBAT ENTERPRISES LLC ROCHESTER 5238749A 630 4/2/2020 9015 ABC PAINTING INC ROCHESTER HILLS 5098157A 825 4/12/2020 5476 ALFA SIDING LLC ROCHESTER HILLS 5980801A 825 4/6/2020 5645 ALFREDO EASTWEST TOWING INC ROCHESTER HILLS 5660491A 750 5/9/2020 7208 ARDIAN GJONAJ INC ROCHESTER HILLS 4370970A 750 6/25/2020 5476 BLP PAINTING & CARPENTRY LLC ROCHESTER HILLS 3632423A 1,810 6/28/2020 5476 CASTLE DRYWALL PRODUCTS INC ROCHESTER HILLS 4065395A 750 6/13/2020 5445 COUNTY LINE LANDSCAPERS LLC ROCHESTER HILLS 1815385A 750 6/9/2020 0042 CUSTOMIZED RESIDENTIAL SERVICES LLC ROCHESTER HILLS 3930998A 7,447 6/2/2020 8835 0.83 DAN BROWN BUILDER ROCHESTER HILLS 0243868A 750 5/14/2020 5645 DERANT PRO PAINTING & CONSTRUCTION INC ROCHESTER HILLS 4348419A 1,127 6/6/2020 5476 0.95 ECO SERVICES GROUP INC ROCHESTER HILLS 5376793A 800 6/8/2020 5348 FAT BELLY HANDYMAN LLC ROCHESTER HILLS 4751060A 1,291 5/18/2020 5645 0.95 FIRST CHOICE PAINTING & MAINTENANCE INC ROCHESTER HILLS 3102718A 750 6/6/2020 5476 0.95 GENERAL PAINTING COMPANY LLC ROCHESTER HILLS 3881938A 825 6/7/2020 5476 GLOBAL ENERGY SYSTEMS LLC ROCHESTER HILLS 0235660A 650 5/6/2020 5550 GOG ANTON C ROCHESTER HILLS 5127726A 556 4/17/2020 9521 HEAVENLY HOME CARE ON MADELINE LLC ROCHESTER HILLS 2729180A 1,638 4/17/2020 9053 0.95 INDEPENDENT BEHAVIORAL HEALTH GROUP ROCHESTER HILLS 5996252A 309 5/17/2020 8832 PLLC J BOMMER FLOORING LLC ROCHESTER HILLS 5102766A 1,717 4/11/2020 9521 J T HIGHLANDER INC ROCHESTER HILLS 3368270A 750 4/21/2020 5476 KHURRUM T PIRZADA DO PC ROCHESTER HILLS 4960726A 232 5/15/2020 8832 LA RESTORATION LLC ROCHESTER HILLS 5721881A 750 6/6/2020 5476 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 135 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LEADER CONSTRUCTION LLC ROCHESTER HILLS 5715075A 1,760 6/7/2020 5476 MAXWELL BUILDING SERVICES INC ROCHESTER HILLS 5406528A 825 5/20/2020 5476 MEDIC COMMUNICATIONS LLC ROCHESTER HILLS 4977220A 8,768 4/13/2020 7600 0.80 MGSE SECURITY LLC ROCHESTER HILLS 6004776A 750 6/15/2020 3724 MICHIGAN BRICKSCAPE CO ROCHESTER HILLS 1473506A 753 6/17/2020 8810 MOTOR CITY FENCE CO LLC ROCHESTER HILLS 3783146A 850 5/14/2020 6400 NORTH OAKLAND CONTRACTORS ROCHESTER HILLS 0032891A 750 5/12/2020 7600 NUSBIETEL PAUL ROCHESTER HILLS 2691345A 750 6/4/2020 7208 PEREZ PAINTERS LLC ROCHESTER HILLS 5170826A 825 4/12/2020 5476 PHOTO TRON CORPORATION ROCHESTER HILLS 1081314A 353 4/12/2020 3179 PRECISION FRAMING & BUILDING SYSTEMS LLC ROCHESTER HILLS 4645324B 27,220 4/30/2020 5645 0.79 PREMIER KITCHEN CABINETS INC ROCHESTER HILLS 2540592A 750 5/8/2020 5437 PRO MAINTENANCE INC ROCHESTER HILLS 0174513A 750 5/10/2020 5437 QUEST PRODUCTS CORPORATION ROCHESTER HILLS 3166295A 274 5/4/2020 8810 SESASI CONSTRUCTION & PAINTING LLC ROCHESTER HILLS 5998204A 751 5/22/2020 5403 SK KITCHEN & BATH ROCHESTER HILLS 5542995A 800 4/7/2020 5437 SURFACE RESTORATION TECHNOLOGIES INC ROCHESTER HILLS 3156168A 5,633 4/8/2020 9015 0.95 SWIATKO ENTERPRISES INC ROCHESTER HILLS 4983459A 850 5/8/2020 5403 TOUCH OF CARE LLC ROCHESTER HILLS 5988055A 3,698 4/20/2020 8835 USA LANDSCAPING ROCHESTER HILLS 4941217A 658 5/5/2020 9015 VANDER BROEK ROOFING ROCHESTER HILLS 2101262A 750 4/16/2020 5403 VIVID DESIGN STAFFING INC ROCHESTER HILLS 4530195A 665 6/25/2020 8601 0.95 WALDMANN ROBERT DR ROCHESTER HILLS 3181618A 378 6/11/2020 0908 YIMI PAINTING ROCHESTER HILLS 5982766A 800 4/5/2020 5476 BRYAN MARCUS ROCK 6004911A 800 6/25/2020 7600 MARK WORM CONSTRUCTION INC ROCK 4329490A 750 4/14/2020 5437 V LACOSSE LOGGING ROCK 0549576A 750 6/11/2020 2702 0.95 BRIAN BECKER INTERIORS LLC ROCKFORD 4978005A 750 4/19/2020 5445 BUYZE CUSTOM HOMES ROCKFORD 5880033A 750 6/27/2020 5645 CANNON POOL ROCKFORD 1407074A 439 5/2/2020 9061 0.95 DATA INTEGRITY OF WEST MI INC ROCKFORD 5485878A 240 5/20/2020 8601 DEDICATED ELECTRIC INC ROCKFORD 5576016A 2,421 6/18/2020 5190 0.95 ENGLISH DRYWALL INC ROCKFORD 4321464A 750 5/24/2020 5445 EVERYTHINGERY INC ROCKFORD 5876036A 750 6/11/2020 5645 EVOLVE ELECTRIC LLC ROCKFORD 4399897A 556 4/24/2020 5190 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 136 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FOUR STAR TRANSPORT INC ROCKFORD 2270048A 750 4/7/2020 7208 FULLER DESIGN INC ROCKFORD 4835417A 2,321 5/24/2020 9521 0.95 G R METRO PLUMBING LLC ROCKFORD 4289684A 584 6/25/2020 5183 GILLHESPY OF MICHIGAN INC ROCKFORD 0134570A 1,141 6/13/2020 5191 0.95 J AND B ENTERPRISES OF ROCKFORD LLC ROCKFORD 5160278A 4,299 6/4/2020 0042 0.95 JP SEAMON ENTERPRISES LLC ROCKFORD 5077087A 573 5/2/2020 0913 LEBLANC CUSTOM HOMES INC ROCKFORD 5202787A 750 5/14/2020 5645 ONPOINT SELECT SERVICES LLC ROCKFORD 5852145A 1,519 4/10/2020 2095 0.95 PORTER BRYAN J & MIRANDA L ROCKFORD 5869102A 591 5/26/2020 0128 PRONTO HAIL & DENT INC ROCKFORD 5848610A 429 4/3/2020 8393 TALL BOYS WINDOW CLEANING LLC ROCKFORD 5861071A 656 5/1/2020 9015 THOMAS JOHNSON BUILDER INC ROCKFORD 4991397A 750 6/7/2020 5190 TOWING BY NELSON INC ROCKFORD 5269059A 7,895 5/9/2020 7208 0.87 TRUSS WORTHY CRANE SERVICE LLC ROCKFORD 5369231A 4,559 5/18/2020 9530 0.95 MYLLYLAHTI ROBERT ROCKLAND 5599601A 750 5/8/2020 2702 UNION PAYROLL AGENCY INC ROCKLIN, CA 3429911A 521 5/1/2020 9154 0.95 EVENTACES LLC ROCKVILLE CENTRE, NY 4990242A 2,050 6/14/2020 9058 0.95 HAMMERLE METAL WORK ROCKWOOD 5137489A 996 4/28/2020 3040 IKLEEN ROCKWOOD 5997232A 1,004 5/30/2020 9015 NIGHT OWL TRUCK REPAIR LLC ROCKWOOD 4435532A 10,109 5/16/2020 8395 0.85 PRO CARE TOTAL MAINTENANCE LLC ROCKWOOD 5679869A 5,083 6/8/2020 5476 0.90 Z AND P TRUCKING LLC ROCKWOOD 4435532B 9,404 5/16/2020 7208 0.85 LATTIMORES MOBILE HOME SALES & SERVICE RODNEY 1829599A 6,602 6/30/2020 8387 0.85 INC CONCRETE ALTERNATIVES INC ROGERS CITY 0298948A 750 4/18/2020 5645 DONS BODY SHOP INC OF ROGERS CITY ROGERS CITY 2354349A 1,195 6/20/2020 8393 1.00 GAUTHIER AND SPAULDING FISH COMPANY LLC ROGERS CITY 0713198A 1,223 4/1/2020 8021 0.95 H LUNG TRANSPORT LLC ROGERS CITY 2402840A 750 6/30/2020 7208 HENTKOWSKI LOGAN J ROGERS CITY 5878306A 825 6/22/2020 2702 NOWICKI TRUCKING LLC ROGERS CITY 5411840A 750 6/9/2020 7208 PHILIP F BELLEVILLE THE FAMILY TRUST ROLLING HILLS, CA 2303566A 546 6/18/2020 0909 0.95 ANGEL CONSTRUCTION ROMEO 5866189A 750 5/19/2020 5645 CONCISE ADVANTAGE LLC ROMEO 5848016A 342 4/10/2020 8810 FOWLER CONSTRUCTION INC ROMEO 2655128A 750 4/19/2020 5645 0.95 MESM CONSTRUCTION INC ROMEO 5720451A 8,355 5/27/2020 5645 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WALLACE ROOFING & RENOVATION LLC ROMEO 3342913A 750 4/28/2020 5551 A S A P EXPRESS & LOGISTICS INC ROMULUS 3462102A 3,560 6/23/2020 7202 0.95 AAA LAWN SERVICE & SNOW REMOVAL ROMULUS 4515994A 669 6/13/2020 9102 ALLIED TECHNOLOGY INC ROMULUS 4363850A 1,320 6/26/2020 8010 0.95 ARAMCO FUEL STOP INC ROMULUS 4766512A 3,288 5/3/2020 9058 0.95 ASPHALT COMPANY LLC ROMULUS 4460006A 895 6/1/2020 5221 0.95 CACAU VASILE ROMULUS 5126886A 429 4/30/2020 8393 DAVIS CHRISTOPHER ROMULUS 6007333A 750 6/25/2020 7208 DETROIT INTERMODAL SERVICES INC ROMULUS 3244920A 7,313 5/1/2020 8395 1.32 13 % DOWNRIVER PEST CONTROL INC ROMULUS 4977912A 1,262 4/3/2020 9015 F AND M OF ROMULUS INC ROMULUS 4597559A 801 6/16/2020 9058 GS TREES INC ROMULUS 3634469A 2,799 4/16/2020 0042 0.95 J HILL CLEANING ROMULUS 5789583A 656 5/9/2020 9015 JOHNSON STEVEN ROMULUS 6007341A 750 6/25/2020 7208 KIRKMAN KITCHEN & BATH LLC ROMULUS 4022092A 750 4/6/2020 5102 0.93 LENOS SERVICES LLC ROMULUS 6002935A 825 6/12/2020 5552 LILLY MAE CONSTRUCTION LLC ROMULUS 5987814A 1,367 6/4/2020 5645 METRO FUEL SERVICES LLC ROMULUS 4724089A 1,143 4/22/2020 8017 0.95 PRO SEWER SVC LLC ROMULUS 5611962A 584 5/24/2020 5183 R AND M MANAGEMENT GROUP INC ROMULUS 0083194A 310 5/30/2020 8810 S AND G EXPRESS INC ROMULUS 4442296A 3,899 6/27/2020 8395 0.95 SCHOFIELD TRANSPORT & LOGISTICS LLC ROMULUS 2850036A 762 5/31/2020 8742 TRI STAR CONCRETE LLC ROMULUS 5993768A 750 5/9/2020 5022 TRUMBULL KEVIN J ROMULUS 5997003A 750 5/18/2020 5551 ZOUROB ENTERPRISES INC ROMULUS 3615928A 388 4/17/2020 8017 EICHORN CONSTRUCTION INC ROSCOMMON 3501060A 750 6/4/2020 5403 FOUR RIDER SOLUTIONS LLC ROSCOMMON 5992095A 283 5/3/2020 8601 GREAT CIRCLE CAMPGROUND INC ROSCOMMON 6002951A 630 6/11/2020 9015 GREEN WILLIAM ROSCOMMON 4154304A 750 5/15/2020 5348 KJ WARD LLC ROSCOMMON 2020149A 871 4/6/2020 6836 0.95 MKM TRANSPORT LLC ROSCOMMON 6002021A 4,431 6/7/2020 7208 NORTHERN MICHIGAN METAL ROOFING LLC ROSCOMMON 2728516A 829 6/29/2020 8810 0.95 YE OLDE COUNTRY CLUB INC ROSCOMMON 1343920A 406 4/28/2020 9060 AMERICAN LUMBER & TIE INC ROSE CITY 5948550A 5,100 5/23/2020 2731 BERGS NUISANCE ANIMAL & BUG CONTROL ROSE CITY 5026555A 345 5/2/2020 8831 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 138 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUCKS COUNTRY COOKIN INC ROSE CITY 5707234A 1,544 4/28/2020 9058 J CARD SURVEYING LLC ROSE CITY 5856302A 335 4/19/2020 8601 MIDNIGHT MAGIC CONSTRUCTION COMPANY LLC ROSE CITY 5852331A 750 4/10/2020 5437 HOVEY HEATING & COOLING INC ROSEBUSH 0616052A 2,348 6/12/2020 5550 0.95 MCCONNELL FREEZER PAC INC ROSEBUSH 0866059A 4,567 4/6/2020 8021 0.95 TICES ROSEBUSH FARM MARKET INC ROSEBUSH 1014013A 678 5/24/2020 8006 SMJ CORPORATE LLC ROSEMONT, IL 5991714A 834 5/6/2020 8742 A OK CLEANING SERVICE LLC ROSEVILLE 0432865A 1,567 5/17/2020 9015 0.95 B AND D INNOVATIONS ROSEVILLE 6000231A 2,534 5/30/2020 5645 BLUE LABEL HOME IMPROVEMENT LLC ROSEVILLE 5557984A 750 6/16/2020 5445 C K CORPORATION OF CENTERLINE ROSEVILLE 0768367A 805 4/27/2020 8018 CUSTOMER ONE HOMES LLC ROSEVILLE 5396514A 344 4/17/2020 5606 CUSTOMKRAFT HOME IMPROVEMENT ROSEVILLE 3928012A 750 5/22/2020 5551 DISTINCTIVE INTERIORS LTD ROSEVILLE 1721801A 801 5/13/2020 5610 DOLLS LANDSCAPING ROSEVILLE 5702194A 800 4/2/2020 0042 GRADYS LOUNGE INC ROSEVILLE 0342777A 455 5/4/2020 9058 H BURGETT CONSTRUCTION LLC ROSEVILLE 4218760A 939 4/11/2020 5022 0.96 HMT PROPERTIES LLC ROSEVILLE 3983307A 12,364 5/30/2020 8395 1.48 13 % HOLISTIC INCUBATOR ROSEVILLE 5990408A 750 4/27/2020 9102 J AND J ROOFING CO ROSEVILLE 1697870A 678 4/27/2020 8742 JDS TILE & MARBLE LLC ROSEVILLE 5995132A 751 5/14/2020 5348 JOHN Z DEGRANDCHAMP & SON INC ROSEVILLE 2109700A 750 6/17/2020 5022 JRS DREAM ARABIANS LLC ROSEVILLE 5611210A 2,460 6/17/2020 9015 0.93 KHEMISSI ENTERPRISES LLC ROSEVILLE 6001890A 787 6/6/2020 6217 KNOWLES CONSTRUCTION INC ROSEVILLE 1193597A 750 6/1/2020 5476 L AND R HOME IMPROVEMENT ROSEVILLE 4050479A 750 5/18/2020 5437 MARTINS LAWN SERVICE INC ROSEVILLE 0636541A 612 6/5/2020 9102 MCGUCKIN THOMAS ROSEVILLE 5877369A 750 6/14/2020 5022 MICHIGAN TREE & LANDSCAPING INC ROSEVILLE 2151200A 3,548 6/26/2020 0106 1.00 MODISYS LLC ROSEVILLE 5117968A 338 4/1/2020 8810 N AND B ENTERPRISES INC ROSEVILLE 4474236A 1,636 5/30/2020 8017 0.95 NEW HORIZONS RESPONSE SERVICES LLC ROSEVILLE 4470451A 3,979 5/13/2020 9402 0.91 PASK ROBERT ROSEVILLE 6003419A 751 6/12/2020 5476 PHOENIX EXPRESS INC ROSEVILLE 5988390A 6,353 4/23/2020 7208 REGENT HOME CARE INC ROSEVILLE 3570100A 854 5/26/2020 8835 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 139 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RICKS SERVICES INC ROSEVILLE 5856809A 701 4/20/2020 5550 ROBERT ALTON MCCULLUM III BUILDING CO LLC ROSEVILLE 5447003A 1,152 4/11/2020 9015 ROBERT HARRIS CONTRACTING LLC ROSEVILLE 2674084A 7,911 4/9/2020 5479 1.22 SAFE T TRANSPORTATION LLC ROSEVILLE 5133904A 23,686 5/3/2020 7212 1.54 13 % STEEL DIVISION 1 INC ROSEVILLE 6002439A 256 6/8/2020 8810 TIMS TILES ROSEVILLE 5862779A 750 5/7/2020 5348 TRAPANI TILE INC ROSEVILLE 2249405A 750 5/9/2020 5348 WARREN WOODS CONSTRUCTION LLC ROSEVILLE 5387841A 800 4/5/2020 5551 ZIMMERMAN LAWN AND SNOW ROSEVILLE 2999820A 770 6/30/2020 9102 WESBELL TECHNOLOGIES LIMITED ROXBORO, NC 5129559A 1,188 6/14/2020 7600 ADVOCATE INSTALLATION LLC ROYAL OAK 5849136A 750 4/12/2020 5645 ASHA PATEL MD PLC ROYAL OAK 5074975A 232 5/10/2020 8832 BEACON HILL PROPERTIES INC ROYAL OAK 2108151B 630 4/1/2020 9015 BIRKHOLD ODONNELL & ASSOCIATES ROYAL OAK 0711136A 800 6/17/2020 5476 BLACKETT BUILDERS ROYAL OAK 1211200A 6,023 6/11/2020 5437 0.95 C 3 RENOVATIONS LLC ROYAL OAK 5189080A 2,450 4/19/2020 5437 0.95 CEILINGS UNLIMITED LLC ROYAL OAK 5399556A 825 4/29/2020 5020 CHRISTOPHERS RESIDENTIAL SERVICES LLC ROYAL OAK 1686127A 2,950 4/21/2020 5645 0.95 CHURCH OF THE HOLY CITY ROYAL OAK 0782955A 388 4/22/2020 8868 CONTRACT BUILD LLC ROYAL OAK 5992184A 750 5/3/2020 5645 DAVES SERV TECHS ROYAL OAK 2700557A 580 6/21/2020 9015 DELGIUDICE ANTIQUES INC ROYAL OAK 0869880A 583 6/13/2020 8017 DELGIUDICE REAL ESTATE ENTERPRISES LLC ROYAL OAK 0869880B 306 6/13/2020 8810 DETAILS HANDYMAN AND CONSTRUCTION ROYAL OAK 4686659A 825 4/28/2020 3365 SERVICES INC ENVIRONMENTAL CONSULTING SOLUTIONS LLC ROYAL OAK 5253683A 1,321 4/23/2020 8601 0.95 GRAND SLAM BASEBALL TRAINING CENTER INC ROYAL OAK 1735810A 580 4/1/2020 8017 GREAT LAKES RECOVERY & REPOSSESSIONS ROYAL OAK 4606191A 1,377 6/27/2020 7720 0.95 INC JONES KAREN J ROYAL OAK 2729598A 599 4/24/2020 0908 0.95 KFLO COMPANY ROYAL OAK 5874289A 830 6/11/2020 8017 L AND A CONSTRUCTION INC ROYAL OAK 0972398A 750 4/20/2020 5551 LAMKIN CONSTRUCTION INC ROYAL OAK 1153609A 751 6/28/2020 5221 LOCKWOOD NATALIE JESSICA ROYAL OAK 5877628A 573 6/16/2020 0913 NEWPORT SCOTT ROYAL OAK 2377870A 2,952 5/26/2020 5437 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PERFORMANCE FIRST CONSULTING LLC ROYAL OAK 5960886A 338 4/11/2020 8810 PROPAINT CONSTRUCTION INC ROYAL OAK 5304490A 1,918 5/23/2020 5476 RECREATIONAL DIVING SYSTEMS INC ROYAL OAK 0221503A 1,499 6/6/2020 8017 0.95 SENIOR VISITS LLC ROYAL OAK 6007635A 532 6/25/2020 8810 STAY AND PLAY SOCIAL CLUB INC ROYAL OAK 3456692A 1,942 5/12/2020 9063 0.95 THOMAS REMODELING ROYAL OAK 4142004A 750 5/24/2020 5645 TONY AMOUD & ASSOCIATES INC ROYAL OAK 2242796A 800 5/2/2020 5190 TRESNAK CONSTRUCTION INC ROYAL OAK 3485471A 812 4/21/2020 8742 WYETT TODD A ROYAL OAK 2108151A 712 6/6/2020 0908 BROWN JOHN RUDYARD 5357675A 750 4/24/2020 2702 SANDMANNS GROCERY LLC RUTH 1380346A 1,454 6/9/2020 2003 0.95 ADAMS AND PARKS ENTERPRISES INC SAGINAW 5432960A 2,500 6/25/2020 8835 ALLEN CONTRACTING SERVICES INC SAGINAW 2648202A 1,344 4/26/2020 5221 0.95 AMAZING HOSPICE CARE LLC SAGINAW 5975581A 650 5/3/2020 8835 AMERICAN LAWN AND LANDSCAPE SAGINAW 5702895A 1,641 4/13/2020 0042 0.95 APS EMPLOYMENT SERVICES INC SAGINAW 3618587A 243,745 4/1/2020 8835 2.24 27 % AVIOTT LLC SAGINAW 5867509A 800 5/23/2020 5551 BLUHMS HOME IMPROVEMENT SAGINAW 5409977A 751 6/3/2020 5476 BOB THE BUILDER & SONS LLC SAGINAW 2994089A 2,534 4/20/2020 5645 0.95 BRAD BECKER CONSTRUCTION LLC SAGINAW 2014165A 750 4/14/2020 5645 CHAMPION FENCE COMPANY SAGINAW 5980925A 1,770 4/2/2020 5645 COTY LEE CONSTRUCTION LLC SAGINAW 5864763A 8,765 5/15/2020 5645 CST COUNSELING AND TRANSITIONAL SERVICES SAGINAW 5111889A 398 6/28/2020 8832 INC DANIELS AND SONS SAGINAW 5877482A 750 4/16/2020 5645 DANNEYS TRUCKING LLC SAGINAW 5997046A 750 6/21/2020 7208 DOUD ROOFING SAGINAW 5711967A 750 5/9/2020 5551 DSW FIBER CONSTRUCTION GROUP LLC SAGINAW 4530306A 3,239 4/1/2020 7600 DURUSSEL AND SONS TREE SERVICE SAGINAW 1634518A 750 6/14/2020 0106 EJDALTON LLC SAGINAW 5112990A 916 5/24/2020 9058 0.89 GREAT LAKES CROSSROAD LLC SAGINAW 5596556A 334 5/19/2020 9058 GREENWOOD ENTERPRISE & REMODELING INC SAGINAW 1255096A 5,162 4/22/2020 5645 HIGHER STANDARDS PRESSURE WASHING LLC SAGINAW 5880378A 582 6/28/2020 9015 HYDRAULIC INSTALLATION COMPANY LLC SAGINAW 0120723A 843 5/6/2020 5183 0.95 JACKS TREE SERVICE INC SAGINAW 2002663A 36,931 4/1/2020 0106 0.90

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JEFFCO PAINTING & COATING LLC SAGINAW 4921496A 1,056 5/23/2020 5476 0.95 JM GRAHAM MASONRY SAGINAW 0976067A 801 6/9/2020 5022 KJAYS CARPET SERVICE SAGINAW 2756480A 1,212 4/1/2020 9521 0.95 MICHAEL BUSH CONTRACTING LLC SAGINAW 4163079A 750 6/20/2020 5645 MICHAEL HANLEY & ASSOCIATES LLC SAGINAW 4229436A 785 5/23/2020 9058 0.95 MILANOS PIZZA ONE INC SAGINAW 4928024A 4,976 5/12/2020 9058 1.00 MWN LLC SAGINAW 4580419A 1,277 4/1/2020 7720 0.95 NEXT LEVEL FLOORING SAGINAW 3310264A 590 6/23/2020 9521 NIGHT FLIGHT FIREWORKS LLC SAGINAW 4982932A 916 6/30/2020 8017 PIT AND BALCONY INC SAGINAW 1362780A 794 5/17/2020 9154 PRENZ MAINTENANCE INC SAGINAW 0446351A 865 5/1/2020 9102 REDMOND TRUCK & AUTO SERVICE INC SAGINAW 3058832A 784 5/31/2020 8395 0.95 RIGDA SEALCOATING & ASPHALT LLC SAGINAW 1332619A 751 6/28/2020 5221 SAGINAW CATHOLIC MUSTARD SEED SAGINAW 5559669A 298 5/12/2020 8810 FOUNDATION SAGINAW SYMPHONY ASSOCIATION SAGINAW 0840114A 444 4/7/2020 8810 SEGOVIA MARK SAGINAW 5880440A 240 6/28/2020 8601 SHERIDAN ARMS LLC SAGINAW 5392780A 1,177 4/1/2020 8010 0.95 STEPHEN FLORA BUILDERS INC SAGINAW 4365461A 800 4/6/2020 5645 ULTIMATE EXTERIORS SAGINAW 5307821A 750 5/22/2020 5645 0.95 VALLEY HOSPICE CARE INC SAGINAW 5716500A 711 5/31/2020 8835 VIKING CARPET SERVICES INC SAGINAW 4998332A 1,058 5/5/2020 9521 WOLPERT REFRIGERATION INC SAGINAW 0563021A 324 4/26/2020 8810 ZEROS SHIRLEY SAGINAW 5399882A 328 4/30/2020 0908 U P CUSTOM FORESTRY INC SAGOLA 2357003A 750 5/16/2020 2709 PRO TECH MARINE INC SAINT CHARLES, IL 5988039A 5,986 4/20/2020 6400 SMART SHELF LLC SAINT CLAIR 5725763A 908 4/12/2020 8742 J Q STEEL LLC SAINT CLAIR SHORES 5983789A 2,875 4/10/2020 3040 JDS WOODWORKING LLC SAINT CLAIR SHORES 5995787A 2,707 5/16/2020 5437 FREEDOM FLOOR COVERINGS LLC SAINT JOHNS 6008690A 2,863 6/28/2020 5348 BOUND FOR FREEDOM SAINT JOSEPH 6004962A 632 6/18/2020 8017 GILEAD ELDER CARE LLC SAINT JOSEPH 2331632A 1,058 6/27/2020 9053 0.95 HITCHED WHOLESALE LLC SAINT JOSEPH 5999030A 580 5/24/2020 8742 EUROPEAN CONSTRUCTION CO SALINE 0320250A 908 4/30/2020 5645 1.00 GALLERY PARK HOMEOWNERS ASSOCIATION SALINE 4496426A 580 4/26/2020 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARTINES ELVIN LOBO SALINE 5725720A 800 6/6/2020 5645 MASONRY DESIGN & REPAIR LLC SALINE 4707389A 750 5/1/2020 5221 0.95 MCNAMARA TECHNOLOGY SOLUTIONS LLC SALINE 5411793A 278 4/23/2020 8742 NO BULL TOWING INC SALINE 4768582A 800 4/26/2020 7208 PLATINUM CARE INC SALINE 4425910A 5,154 5/16/2020 9053 0.83 ROGERS AARON SALINE 5876028A 575 6/9/2020 0128 SCHILKE SECURITY SALINE 1508490A 471 5/14/2020 7720 SORENSON ADAM SALINE 6005551A 328 6/19/2020 0908 BROADCAST CONSTRUCTION SOLUTIONS LLC SAN ANTONIO, TX 6000223A 5,048 6/13/2020 7600 CITISHIELD INCORPORATED SAN FRANCISCO, CA 5915503A 330 6/19/2020 8810 HAYDEN CUSTOM CONSTRUCTION LLC SAND LAKE 6001157A 750 6/12/2020 5645 ROUGH CUT FOREST PRODUCTS SAND LAKE 5142091A 750 5/18/2020 2702 WEST RIVER FRAMING SAND LAKE 3389898A 750 6/16/2020 5403 CREATIVE RIDES LLC SANDUSKY 5577993A 486 6/28/2020 8393 HALL MASONRY SANDUSKY 5261619A 958 4/16/2020 5221 0.95 OSWALDS FERTILIZATION LLC SANDUSKY 5725313A 626 6/17/2020 9102 SANILAC FLORIST AND INTERIORS LLC SANDUSKY 1372823A 750 5/25/2020 8001 T AND B NO 1 LLC SANDUSKY 5789737A 751 6/12/2020 5476 THUMB BIOENERGY LLC SANDUSKY 4977025A 1,932 5/14/2020 8601 0.95 WILLIAMS CONSTRUCTION OF MICHIGAN LLC SANDUSKY 5538025A 9,457 4/8/2020 5022 0.88 ASHER ELECTRIC CONSULTING LLC SANTA ROSA BEACH, FL 5558140A 1,561 6/18/2020 5190 AUDIO SECURITY & AUTOMATION PROVIDERS SARANAC 3960927A 1,123 6/1/2020 5190 0.95 INC CENTERLINE MECHANICAL LLC SARANAC 5699614A 725 4/6/2020 5550 PINKNEY HILL MEAT COMPANY LLC SARANAC 4315995A 944 4/10/2020 2081 0.95 PRESTON MASONRY LLC SARANAC 0728284A 750 6/5/2020 5022 SARANAC CHIROPRACTIC CENTER SARANAC 3493628A 231 6/4/2020 8810 AMERICAN PROCESS SERVICE INC SARASOTA, FL 4605519A 1,888 4/1/2020 7720 0.95 LAKE CONSTRUCTION CO SAUGATUCK 0141895A 1,493 4/7/2020 8227 0.95 TEN PLUS DENT REPAIR INC SAUGATUCK 5985579A 479 4/17/2020 8393 CALVIN VELDT TRUCKING SAULT STE MARIE 5553601A 825 5/11/2020 7208 CAPSTONE LEADERSHIP SOLUTIONS INC SAULT STE MARIE 5745411A 247 5/24/2020 8810 FAMOUS SOO LOCKS CRUISES INC SAULT STE MARIE 0315176A 6,003 4/1/2020 8726 0.95 GREAT LAKES SHIPWRECK HISTORICAL SOCIETY SAULT STE MARIE 0940950A 5,869 6/7/2020 8017 0.89 INC

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HOORNSTRA COMMUNICATIONS INC SAULT STE MARIE 3230015A 546 4/14/2020 5191 HUBBARD INTERIORS SAULT STE MARIE 6001017A 9,653 6/4/2020 5645 JG STONE CREATIONS LLC SAULT STE MARIE 5065895A 2,770 6/1/2020 5221 0.95 K AND C MASONRY SAULT STE MARIE 3238520A 1,827 5/31/2020 5022 S AND S MATHEMATICAL & BUSINESS SOLUTIONS SAULT STE MARIE 5706882A 1,515 4/20/2020 0042 0.95 LLC SEA BEES DOCKSIDE CAFE SAULT STE MARIE 1054228A 610 6/25/2020 7038 SMORE MEMORIES LLC SAULT STE MARIE 5262810A 581 5/1/2020 9015 TESTER CONSTRUCTION INSPECTION SERVICES SAULT STE MARIE 5867657A 387 5/24/2020 4511 INC KEY CASTINGS LLC SAWYER 0155993A 723 4/5/2020 3085 0.95 RIVIERA CEDAR HOMES INC SAWYER 2754169A 750 4/7/2020 5645 BAILEY FARMS OPERATIONS INC SCHOOLCRAFT 0674508A 3,018 5/1/2020 0011 0.95 FRED BEAN & SON INC SCHOOLCRAFT 2698129A 750 5/3/2020 5190 MIDLINK LOGISTICS LLC SCHOOLCRAFT 4976746A 997 4/10/2020 8810 0.95 RITCHIE DRYWALL SCHOOLCRAFT 1371304A 750 4/7/2020 5445 0.95 SOUTHWEST HOME IMPROVEMENTS LLC SCHOOLCRAFT 3707970A 750 5/23/2020 5551 RURAL FUTURES INTERNATIONAL SCOTTS 0717762A 3,386 4/7/2020 8868 1.00 SKYLER ENTERPRISES LLC SCOTTS 4633369A 524 5/30/2020 0128 ALUMINATE SKYLIGHTS SYSTEMS INC SCOTTSDALE, AZ 2626462A 7,883 6/6/2020 5403 ADVOCATE INVESTIGATION AND PROTECTION SCOTTVILLE 3511057A 1,655 6/20/2020 7720 0.95 CLH SERVICES LLC SCOTTVILLE 4642546A 750 4/22/2020 5476 CRYSTAL LAKE CAMPGROUND SCOTTVILLE 0588547A 631 5/31/2020 9015 COUNTRY ACRES VILLAGE LLC SEATTLE, WA 6003524A 2,799 6/13/2020 9015 SYNERGY EVENT PRODUCTION INC SEBASTOPOL, CA 5719011A 615 6/7/2020 9154 KUHL CONSTRUCTION COMPANY SEBEWAING 1501798A 6,317 5/26/2020 3365 1.34 27 % SUGAR SHACK LTD SEBEWAING 4822218A 334 5/30/2020 9058 CARPET AND SOMETHING ELSE LLC SHELBY TOWNSHIP 5497264A 556 6/21/2020 9521 GJECAJ CONSTRUCTION SHELBY TOWNSHIP 5854253A 750 4/13/2020 5476 A 1 EAGLE PAINTING LLC SHELBY TWP 3683354A 800 5/30/2020 5476 A AND G LANDSCAPING & TREE SERVICE SHELBY TWP 5712580A 1,054 5/5/2020 0106 A J DEVELOPMENT LLC SHELBY TWP 5854628A 800 4/14/2020 5022 ABLE CONCRETE RAISING INC SHELBY TWP 2913410A 764 4/19/2020 5221 0.95 ACOUSTICAL SYSTEMS SHELBY TWP 2358832A 750 4/1/2020 5020 AGUILARS PREMIER PAINTING & GENERAL SHELBY TWP 5989256A 1,701 4/24/2020 5476 CONTRACTING LLC 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 144 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AK CONSTRUCTIONS LLC SHELBY TWP 5877857A 750 6/19/2020 5437 AKCA CONSTRUCTION LLC SHELBY TWP 5444390A 750 4/2/2020 5445 AMBASSADOR VILLAGE CONDOMINIUM SHELBY TWP 4239660A 580 5/1/2020 9015 ASSOCIATION AMERICAN GYMNASTICS INSTITUTE INC SHELBY TWP 4029194B 3,792 5/12/2020 9063 0.99 ANDREI TRIPA LLC SHELBY TWP 4012666A 750 5/9/2020 5437 BURRELL LAWRENCE C JR SHELBY TWP 2077485A 750 4/29/2020 5403 C AND R PAINTING LLC SHELBY TWP 2806207A 750 6/22/2020 5476 CAPITOL FITNESS SHELBY INC SHELBY TWP 5877342A 496 6/15/2020 9063 CAPPUSO BUILDING LLC SHELBY TWP 5620759A 552 6/7/2020 5606 CASABLANCA HOOKAH LOUNGE 1 LLC SHELBY TWP 5980100A 755 4/29/2020 8017 CC ELECTRICAL COMPANY LLC SHELBY TWP 6003451A 1,375 6/12/2020 5190 CLASSIC REMODELING LLC SHELBY TWP 5637228A 800 5/17/2020 5437 CODY EXPRESS LLC SHELBY TWP 5253020A 1,140 4/17/2020 7208 COLOR WAVE PAINTING LLC SHELBY TWP 5267846A 825 5/6/2020 5476 CURB APPEAL DOOR & WINDOW INC SHELBY TWP 3388778A 825 5/13/2020 5645 D AND D SENIOR LIVING INC SHELBY TWP 0551643A 6,594 4/10/2020 9053 1.31 13 % DEPENDABLE SERVICES GROUP LLC SHELBY TWP 5864780A 1,645 5/11/2020 9102 DNS TRANSPORTATION INC SHELBY TWP 5398100A 2,367 4/27/2020 7208 0.95 DVH CONSTRUCTION INC SHELBY TWP 3576353A 4,383 4/16/2020 5645 0.93 EB MARBLE & TILE LLC SHELBY TWP 4318170A 750 4/20/2020 5348 EUROPEAN CONSTRUCTION AND RESTORATION SHELBY TWP 5181569A 750 4/8/2020 5476 LLC EV CONTRACTING LLC SHELBY TWP 6004210A 750 6/14/2020 5476 F JAVIER RIVADEYNERA LLC SHELBY TWP 5984653A 750 4/12/2020 5476 F S PAINTING SHELBY TWP 4529057A 750 4/4/2020 5476 FACILITY AID LLC SHELBY TWP 4722930A 750 4/6/2020 5022 FARI AND BALI ENTERPRISES LLC SHELBY TWP 3577996B 1,466 6/20/2020 8017 0.95 FELICE MICHAEL A SHELBY TWP 0507652A 750 4/16/2020 5437 FINAL TOUCH CONTRACTING INC SHELBY TWP 4803680A 800 4/10/2020 5437 0.95 FIVE STAR PROPERTY SERVICES & SHELBY TWP 4360540A 1,177 6/16/2020 5022 0.95 MAINTENANCE LLC FMF DEVELOPMENT LLC SHELBY TWP 6001050A 800 6/4/2020 8810 GAMEZ CEMENT LLC SHELBY TWP 5478707A 4,031 5/10/2020 5221 0.95 GATES CONSTRUCTION INC SHELBY TWP 0805815A 2,287 4/22/2020 5403 0.95 GOLD STAR CONSTRUCTION LLC SHELBY TWP 5706068A 800 4/30/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 145 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GOLF VIEW CONDOMINIUM ASSOCIATION SHELBY TWP 2141019A 580 5/28/2020 9015 GRACE MECHANICAL SERVICES LLC SHELBY TWP 5495881A 650 6/26/2020 5550 GREATER METRO RECOVERY INC SHELBY TWP 3940640A 860 6/19/2020 7720 GUY CON BUILDING CORP SHELBY TWP 0477257A 750 6/22/2020 5645 HOPE HOLDINGS LLC SHELBY TWP 3750540A 224 4/17/2020 8810 HUNTCLIFF VILLAGE CONDOMINIUM SHELBY TWP 2470047A 580 6/5/2020 9015 ASSOCIATION JOSEPH LORENZO BUILDING CO SHELBY TWP 5078920A 750 5/18/2020 5645 0.95 JW CLARK CONTRACTING LLC SHELBY TWP 5267927A 347 5/6/2020 8720 KAL ENTERPRISES INC SHELBY TWP 5992214A 800 5/3/2020 5476 KAY BUILDING & LAND DEVELOPMENT LLC SHELBY TWP 3175049A 611 5/26/2020 9102 L AND D UNDERWOOD CONTRACTING LLC SHELBY TWP 4505409A 1,273 6/22/2020 6217 0.94 LJU PAINTING INC SHELBY TWP 2681161A 825 6/8/2020 5476 0.95 LLS FINISH CARPENTRY LLC SHELBY TWP 5059054A 750 4/30/2020 5437 LOUIES QUALITY PAINTING LLC SHELBY TWP 3166210A 750 6/22/2020 5476 LTM CONSTRUCTION INC SHELBY TWP 4473817A 750 6/4/2020 5645 MACOMB SERVICES HEATING & COOLING LLC SHELBY TWP 5277884A 1,246 6/6/2020 5191 MARCEAU ENTERPRISES INC SHELBY TWP 4745221A 7,762 4/27/2020 9015 1.20 MATTIKA TRUCKING LLC SHELBY TWP 5994233A 750 5/10/2020 7208 MDM DANCE PROJECT LLC SHELBY TWP 5190711A 301 5/14/2020 9063 MED MAR GROUP INC SHELBY TWP 1904965A 752 6/30/2020 8810 MICHELLE CORPORATION SHELBY TWP 5719348A 800 5/24/2020 6217 MICHIGAN FLOORING LLC SHELBY TWP 5296137A 1,050 4/22/2020 5348 MID TOWN PARK LLC SHELBY TWP 5723388A 750 6/12/2020 5403 MODERN CABINETS & TRIM LLC SHELBY TWP 5880530A 750 6/28/2020 5437 ND PAINTING AND MAINTENANCE LLC SHELBY TWP 2311135A 750 5/14/2020 5476 NEPTUNE STONE WORKS LLC SHELBY TWP 4463218A 750 4/18/2020 1624 NICHOLAS HOMES INC SHELBY TWP 4496108A 750 5/2/2020 9015 0.95 NICO HOMES LLC SHELBY TWP 3361373B 1,700 5/31/2020 5403 0.95 NORTHWOOD TREE SERVICE INC SHELBY TWP 5312655A 980 6/6/2020 0106 0.95 OLYMPIA HOMES INC SHELBY TWP 1799320A 580 4/1/2020 5606 0.95 ORLANDO CUSTOM HOMES INC SHELBY TWP 3441164A 750 6/27/2020 5437 PINE VALLEY BUILDING LLC SHELBY TWP 4374657A 3,916 6/28/2020 5645 0.95 PREVENTIVE TRUCK REPAIR INC SHELBY TWP 3179044A 505 5/16/2020 8395 PRIME BUILDING COMPANY INC SHELBY TWP 4982444A 6,824 5/9/2020 5610 0.87

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PROFILE BUILDING COMPANY LLC SHELBY TWP 5644747A 750 4/9/2020 5437 PROVINCIAL HOMES LLC SHELBY TWP 5408580A 750 6/28/2020 5645 R AND D TILE LLC SHELBY TWP 5867649A 750 6/1/2020 5348 RAM RESIDENTIAL REMODELING INC SHELBY TWP 1245546A 838 4/25/2020 8742 0.95 RANDAZZO BUILDERS INC SHELBY TWP 5075149A 3,270 4/7/2020 5645 0.95 RECARO CHILD SAFETY LLC SHELBY TWP 4220242A 463 4/1/2020 8810 1.50 13 % RMV TRANSPORTATION INC SHELBY TWP 5705487A 750 5/14/2020 7208 ROZAFA TRANSPORT INC SHELBY TWP 2627540A 15,499 6/17/2020 7208 0.84 SAVANNAH CONSTRUCTION INC SHELBY TWP 2090090A 800 4/14/2020 5437 0.95 SBG PAINTING AND POWERWASHING LLC SHELBY TWP 1848550A 1,550 5/18/2020 5476 SERVICE 1ST MAINTENANCE LLC SHELBY TWP 3127664A 655 4/8/2020 9015 SEVEN BROTHERS PAINTING INC SHELBY TWP 2629585A 69,035 4/1/2020 5476 2.20 13 % SIERRA HOMES LLC SHELBY TWP 5408563A 1,865 6/30/2020 5645 SKY TOWER COATING LLC SHELBY TWP 5932971A 750 4/11/2020 5476 SMILEY FACE PAINTING LLC SHELBY TWP 3979105A 3,292 4/21/2020 5476 0.95 SOKOL PLLUMAJ PAINTING LLC SHELBY TWP 5984939A 750 4/11/2020 5476 STUDENT PAINTERS MICHIGAN LLC SHELBY TWP 2412250A 15,604 5/8/2020 5476 0.92 SUPER STARS PAINTING SHELBY TWP 5988969A 800 5/2/2020 5476 TONIS TILE LLC SHELBY TWP 3574008A 800 6/14/2020 5348 TOP COAT PAINTING LLC SHELBY TWP 5229464A 750 6/30/2020 5476 TOP TIER HOME IMPROVEMENT LLC SHELBY TWP 2745712A 750 4/1/2020 5645 TOUCH OF LIFE PC SHELBY TWP 3628221A 502 4/10/2020 8832 UPSCALE BUILDING AND LANDSCAPING INC SHELBY TWP 5696275A 750 4/15/2020 0042 UTICA CONSULTING LLC SHELBY TWP 6002382A 315 6/8/2020 8601 VILLAGIO DEVELOPMENT LLC SHELBY TWP 5854156A 800 4/13/2020 5022 VISIONARY LANDSCAPING & FERTILIZATION LLC SHELBY TWP 3367649A 243 4/4/2020 8810 VISTA LAKES ASSOCIATION SHELBY TWP 2116626A 1,862 4/13/2020 9015 0.95 VITA PAINTING LLC SHELBY TWP 5877326A 750 6/14/2020 5476 WALCZAK ADAM SHELBY TWP 3607836A 557 6/19/2020 9521 WINDEMERE FARMS II ASSOCIATION SHELBY TWP 5556015A 580 5/5/2020 9015 WOZNIAK UNDERGROUND SHELBY TWP 1885944A 1,042 6/16/2020 6306 ZEFS PAINTING SHELBY TWP 4945980A 750 5/19/2020 5476 ABSOLUTE FLOOR COVERING INC SHELBYVILLE 5160057A 606 4/18/2020 8810 ARD SERVICES LLC SHELBYVILLE 0613495A 582 4/1/2020 9015 B NULL BUILDING & REMODELING SHELBYVILLE 0952664A 3,020 6/18/2020 5645 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 147 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUILDING ENHANCEMENT SERVICES LLC SHELBYVILLE 0613495B 650 6/23/2020 5550 QUALITY AVIATION SERVICES INC SHELBYVILLE 4222482A 1,370 5/23/2020 9015 0.95 SOLAR WINDS POWER SYSTEMS LLC SHELBYVILLE 4910800A 725 5/7/2020 3724 ALL SEASON EXPERTS LLC SHEPHERD 5997690A 795 5/21/2020 9402 J AND L TRUCKING LLC SHEPHERD 5878209A 826 6/22/2020 7208 MID MICHIGAN FRANCON INC SHEPHERD 1370154A 1,126 6/24/2020 5221 SHERIDAN COMMUNITY FIRE DEPARTMENT SHERIDAN 3778991A 1,137 5/11/2020 7704 0.95 SHOENTEL COMMUNICATIONS INC SHERIDAN 5412412A 311 6/10/2020 5191 YAH TIMBER SHERIDAN 5395836A 750 5/15/2020 2702 0.95 SOUTHERN MICHIGAN LOGGING & VENEER SHERWOOD 5541700A 750 4/5/2020 2702 DAVID HILL CONSTRUCTION LLC SHINGLETON 3451550A 1,426 6/3/2020 6217 G AND G LOGGING SHINGLETON 1792830A 750 4/16/2020 2702 DAIRY BARN INC SIDNEY 3788440A 675 5/24/2020 8017 0.95 NATURES CHAIN OF LAKES CAMPGROUND INC SIX LAKES 4642880A 580 6/30/2020 8017 OUTMAN EXCAVATING SIX LAKES 3852156A 751 4/17/2020 6217 0.95 BRIAN ZORZA PAINTING AND WALLPAPER SKANDIA 5402719A 750 5/9/2020 5476 HAPPY DOG GROOMING SALON SKANDIA 5857830A 502 4/21/2020 8831 SCOTT BOYER TRUCKING SKANDIA 2844150A 800 4/6/2020 7208 TIMBERSTONE TILE INC SKANDIA 4145984A 750 6/6/2020 5348 B AND M WELDING INC SNOVER 5821207A 2,240 6/28/2020 3365 RBBR BUILDING & REMODELING LLC SNOVER 5724180A 2,494 6/16/2020 5403 ZAMBRON JEFF SNOVER 5721628A 750 6/18/2020 5022 LAKE SOMERSET PROPERTY OWNERS SOMERSET CENTER 1997289A 768 6/6/2020 9015 0.95 ASSOCIATION INC MR INSTALL HANDYMAN SERVICE LLC SOUTH BOARDMAN 4750969A 556 4/28/2020 9521 NORTHERN GRANITE INSTALLERS LLC SOUTH BOARDMAN 3910393A 1,652 4/1/2020 5348 0.95 MATTHEWS MILL INC SOUTH BRANCH 3973220A 7,060 6/1/2020 8232 0.88 COMPASS MARINE LLC SOUTH HAVEN 5860733A 1,705 4/30/2020 6836 0.95 GLASS WORKS SOUTH HAVEN 5982197A 454 4/11/2020 6834 LAKESHORE LANDSCAPING & EXCAVATION LLC SOUTH HAVEN 5985170A 1,840 4/25/2020 9102 MOORE DRYWALL INC SOUTH HAVEN 2827700A 2,705 6/24/2020 5445 0.95 NATIONAL BLUEBERRY FESTIVAL SOUTH HAVEN 5398223A 463 4/24/2020 9156 PACELINE AUTO GROUP LLC SOUTH HAVEN 6006973A 1,060 6/22/2020 8387 PERSONAL TOUCH LAWN CARE LLC SOUTH HAVEN 5998832A 562 5/23/2020 9102 STEEL SUPPLY CENTER LLC SOUTH HAVEN 0473855A 5,031 6/24/2020 8106 0.92

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL AMERICAN TREE SERVICE INC SOUTH LYON 3163008A 5,255 4/7/2020 0106 0.90 BLEDSOE MATTHEW K SOUTH LYON 5251753A 750 6/11/2020 5645 CREST PERFORMANCE GROUP LLC SOUTH LYON 5271142A 501 5/15/2020 8742 D S HARRIS PAINTING LLC SOUTH LYON 2870312A 1,426 5/24/2020 5476 DIGICOMM ELECTRONICS INC SOUTH LYON 1531174A 800 6/18/2020 9519 DM EXPRESS INC SOUTH LYON 5281580A 750 6/17/2020 7208 EMANUEL B FLOORING INC SOUTH LYON 4941152A 751 6/28/2020 8810 FIRE WRENCH OF MICHIGAN LLC SOUTH LYON 6003818A 536 6/13/2020 8387 HICKORY CREEK LANE LLC SOUTH LYON 0013595A 750 6/23/2020 5645 KEOWN TRAVIS H SOUTH LYON 5880424A 650 6/29/2020 5550 LESS STRESS MOVING LLC SOUTH LYON 5462541A 8,184 4/5/2020 8293 0.87 NORTHERN HOME BUILDERS LLC SOUTH LYON 5714451A 2,043 5/10/2020 5183 0.95 OLYMPIA PAINTING INC SOUTH LYON 3022684A 750 6/25/2020 5403 PETTY TRUCKING INC SOUTH LYON 4356993A 4,950 4/12/2020 7208 PROS FLIGHT SERVICE LLC SOUTH LYON 5714583A 765 5/10/2020 7422 SOUTH LYON HEATING AND COOLING LLC SOUTH LYON 4862457A 802 4/14/2020 5550 0.95 TREEMENDOUS FORESTRY LLC SOUTH LYON 5863872A 750 5/11/2020 0106 VARGO BUILDING & REMODELING SOUTH LYON 4659597A 750 6/12/2020 5645 BENDELOW BUILDING COMPANY SOUTH ROCKWOOD 4717228A 343 4/11/2020 5606 CNV ENTERPRISES LLC SOUTH ROCKWOOD 5842530A 800 5/8/2020 7208 JOLY LEROY APARTMENTS LLC SOUTH ROCKWOOD 4906390A 630 6/2/2020 9015 M AND D KITCHENS LLC SOUTH ROCKWOOD 5700035A 800 4/7/2020 5437 NEW METHODS ROOFING & BUILDING INC SOUTH ROCKWOOD 1195077A 2,596 6/7/2020 5551 0.95 OAK TREE FARMS LLC SOUTH ROCKWOOD 4329457A 3,212 4/3/2020 8831 0.95 A 1 FINGERPRINTS OF MICHIGAN LLC SOUTHFIELD 5710774A 634 5/1/2020 7720 A S K HEALTH CARE SERVICES INC SOUTHFIELD 1655493A 1,018 6/14/2020 8832 0.95 ABA HOME CARE LLC SOUTHFIELD 4450787A 523 4/20/2020 8810 0.83 ABULEBDEH TABASEEM S SOUTHFIELD 5982430A 328 4/4/2020 0908 ACT 1 CLEANING SERVICES LLC SOUTHFIELD 5776589A 658 5/25/2020 9015 ADAMSON CLIFTON G SOUTHFIELD 5500834A 328 4/4/2020 0908 AKINS MARILYN J SOUTHFIELD 6008704A 328 6/29/2020 0908 ALBUSAID THYAB M SOUTHFIELD 5664748A 328 6/29/2020 0908 ALEXANDER AND HORNUNG INC SOUTHFIELD 0305162A 556 4/3/2020 2095 ALI MINARA SOUTHFIELD 5982685A 328 4/4/2020 0908 ALI MOHAMMED R SOUTHFIELD 5830290A 328 4/4/2020 0908 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 149 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL STAR MOTORCOACH INC SOUTHFIELD 4345070A 1,354 5/11/2020 7212 0.95 ALLEN LAQUANDA SOUTHFIELD 5328942A 456 5/19/2020 0908 AMERICAN MOBILE DENTAL PC SOUTHFIELD 3088073A 2,297 5/24/2020 8832 1.05 AMERICAN STANDARD ROOFING LLC SOUTHFIELD 3512193A 1,827 4/9/2020 5606 0.95 ANDRICH VICTORIA SOUTHFIELD 5655455A 328 4/4/2020 0908 ATTO CONSTRUCTION INC SOUTHFIELD 0286508A 825 6/11/2020 5437 0.95 AUSTIN ANDREA K SOUTHFIELD 5688639A 328 4/4/2020 0908 BAKER DENNIS M SOUTHFIELD 6008895A 328 6/29/2020 0908 BARNES ENTERPRISE SOUTHFIELD 5992176A 2,510 5/15/2020 7206 BATES JEANETTE SOUTHFIELD 5830559A 328 4/4/2020 0908 BEAVERDAM CLUB SOUTHFIELD 0688312A 631 4/26/2020 9015 BEECHAM M ANDREA SOUTHFIELD 5689678A 328 4/4/2020 0908 BHAVSAR HEMANTKUMAR C SOUTHFIELD 5982260A 328 4/4/2020 0908 BIG TIME OPERATOR LLC SOUTHFIELD 5397111A 1,697 4/27/2020 9156 BIGHAM SHARON Y SOUTHFIELD 5692890A 328 4/4/2020 0908 BLOOM DOUGLAS AND BARBARA SOUTHFIELD 5556813A 328 5/9/2020 0908 BRASWELL SALENA SOUTHFIELD 5982642A 328 4/4/2020 0908 BRINSON BARBARA J SOUTHFIELD 6008950A 328 6/29/2020 0908 BROWN DELISA R SOUTHFIELD 5500940A 328 4/4/2020 0908 BRYANT ADDA M SOUTHFIELD 5500451A 328 4/4/2020 0908 BRYANT YVONNE SOUTHFIELD 5830230A 328 4/4/2020 0908 BURKS NICOLINE R SOUTHFIELD 5981891A 328 4/4/2020 0908 C AND M INVESTMENT INC SOUTHFIELD 4680324A 678 6/15/2020 9015 CALDWELL GROUP COMPANIES LLC SOUTHFIELD 5850843A 2,780 6/20/2020 9015 CARE MATTERS LLC SOUTHFIELD 5034698A 759 5/24/2020 8832 0.95 CAVER CRYSTAL SOUTHFIELD 5744440A 328 4/4/2020 0908 CHATNAM ANDRE SOUTHFIELD 6000770A 580 6/8/2020 9015 COATS RAYMOND SOUTHFIELD 5470455A 328 6/29/2020 0908 COLE ADINA SOUTHFIELD 5500753A 328 4/4/2020 0908 COLEMAN SANDRA R SOUTHFIELD 5500729A 328 4/4/2020 0908 COLSTON LAKENIA D SOUTHFIELD 5644062A 328 4/4/2020 0908 CONCORDE GROUP LLC SOUTHFIELD 0812528A 250 4/22/2020 8803 COOKE JEFFREY T SOUTHFIELD 5689538A 328 4/4/2020 0908 COX PATRICIA A SOUTHFIELD 5830346A 328 4/4/2020 0908 CREWS JEFFREY SOUTHFIELD 6008860A 328 6/29/2020 0908 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 150 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CROFT ANNORA E SOUTHFIELD 5982278A 328 4/4/2020 0908 CURRIE BRIANA D SOUTHFIELD 6009085A 328 6/29/2020 0908 CURRY DWAYNE L JR SOUTHFIELD 5179319A 328 6/29/2020 0908 DADDYOS INC SOUTHFIELD 2694310A 751 4/11/2020 9058 DETROIT EXPEDITING AND DEVELOPMENT SOUTHFIELD 5708990A 376 4/27/2020 8601 GROUP LLC DOTSON ELLEN Y SOUTHFIELD 5692806A 328 4/4/2020 0908 DOWN TO EARTH LAWN SPRAY INC SOUTHFIELD 0897515A 1,720 5/26/2020 0005 0.95 DYVERSE MANAGEMENT COMPANY LLC SOUTHFIELD 4870557A 2,114 4/10/2020 8835 0.81 EASLEY LEMMIE SOUTHFIELD 5500656A 328 4/4/2020 0908 EDWARDS GEORGIA L SOUTHFIELD 5470463A 328 4/4/2020 0908 EUBANKS SANDRA D SOUTHFIELD 5982294A 328 4/4/2020 0908 FARAJ IKBAL SOUTHFIELD 5744253A 328 4/4/2020 0908 FARSTER IZELLA SOUTHFIELD 5689694A 328 4/4/2020 0908 FIRSTPOINT CONSTRUCTION & RESTORATION SOUTHFIELD 6005390A 242 6/19/2020 8810 LLC FORCE ONE ELECTRIC INC SOUTHFIELD 3943216A 481 6/26/2020 5190 FORD GLORIA L SOUTHFIELD 5470404A 328 6/29/2020 0908 FORD MARGARET K SOUTHFIELD 5982820A 328 4/4/2020 0908 FRAZIER CHARLESETTA SOUTHFIELD 5500702A 328 4/4/2020 0908 FREEMAN DONNA M SOUTHFIELD 5982510A 328 4/4/2020 0908 GAUT CYNTHIA J SOUTHFIELD 5982286A 328 4/4/2020 0908 GOBLE SHERRIE L SOUTHFIELD 6009018A 328 6/29/2020 0908 GREEN ANTHONY D SOUTHFIELD 5690250A 328 4/4/2020 0908 GREGGS CAULKING CO INC SOUTHFIELD 1048708A 800 5/27/2020 5022 GRISSOM CHRISTOPHER C SOUTHFIELD 6008755A 328 6/29/2020 0908 HAMMOND SHAUN A SOUTHFIELD 5690293A 328 4/4/2020 0908 HANNAN ABDUL SOUTHFIELD 5982359A 328 4/4/2020 0908 HELPING HAND TRANSPORTATION SERVICES LLC SOUTHFIELD 5384583A 689 6/1/2020 7212 HILL NORMA J SOUTHFIELD 6009050A 328 6/29/2020 0908 HOLBROOK CYNTHIA SOUTHFIELD 5982391A 328 4/4/2020 0908 HOSKINS MAE CATHERINE SOUTHFIELD 5982693A 328 4/4/2020 0908 HOUSEY PHARMACEUTICAL RESEARCH SOUTHFIELD 3494519A 696 5/24/2020 4511 0.95 LABORATORIES LLC HUTCHISON ANDREW R SOUTHFIELD 5692881A 328 4/4/2020 0908 INGRAM LINDA A SOUTHFIELD 6008720A 328 6/29/2020 0908 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 151 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge INTREPID AUTO CARRIERS INC SOUTHFIELD 5873517A 751 6/2/2020 8810 ISBELL ARNELL L SOUTHFIELD 5690323A 328 4/4/2020 0908 JENKINS MARY V SOUTHFIELD 5982340A 328 4/4/2020 0908 JENNINGS MARTHA N SOUTHFIELD 5548322A 328 4/4/2020 0908 JOHNSON EDWARD D SOUTHFIELD 5690226A 328 4/4/2020 0908 JOHNSON ETHEL L SOUTHFIELD 5982421A 328 4/4/2020 0908 JOHNSON FYFE THELMA L SOUTHFIELD 5591872A 328 4/4/2020 0908 JONES CHERYL D SOUTHFIELD 5982324A 328 4/4/2020 0908 JONES DORIS M SOUTHFIELD 5982367A 328 4/4/2020 0908 JONES GREGORY SOUTHFIELD 4670108A 328 4/4/2020 0908 JONES JAMES SOUTHFIELD 5830583A 328 4/4/2020 0908 JONES SYBIL E SOUTHFIELD 5982855A 328 4/4/2020 0908 JORDAN CAROLYN S SOUTHFIELD 5662010A 328 6/29/2020 0908 KHALIL LINDA M SOUTHFIELD 5982464A 328 4/4/2020 0908 KILLEBREW DAVID SOUTHFIELD 5692377A 328 4/4/2020 0908 KIRBY FATIMA D SOUTHFIELD 6008852A 328 6/29/2020 0908 LAWHORN AUTORIA D SOUTHFIELD 5690170A 328 4/4/2020 0908 LAYS MANAGEMENT 2 LLC SOUTHFIELD 3941043A 1,217 4/21/2020 9053 0.95 LEAH SNIDER GRANDCHILDREN TRUST SOUTHFIELD 0869155A 378 5/12/2020 0908 LEE VALVEETA SOUTHFIELD 6008917A 328 6/29/2020 0908 LINDSEY FRANCINE SOUTHFIELD 6008810A 328 6/29/2020 0908 LOCKHART BENNIE L SOUTHFIELD 6009026A 328 6/29/2020 0908 LONG W LAWRENCE AND LONG CYNTHIA D SOUTHFIELD 4652673A 328 6/8/2020 0908 LOWMAN CAROL L SOUTHFIELD 6008992A 328 6/29/2020 0908 LYLE KENNETH D SOUTHFIELD 5830656A 328 4/4/2020 0908 MAIN ATTRACTION CONTRACTING LLC SOUTHFIELD 5282500B 918 5/2/2020 5221 0.95 MARTIN DAVID A SOUTHFIELD 6008739A 328 6/29/2020 0908 MATTHEWS ANEESAH D SOUTHFIELD 6008879A 328 6/29/2020 0908 MCCONNELL MELVIN O SOUTHFIELD 5982596A 328 4/4/2020 0908 MCCURDY CONSTANCE F SOUTHFIELD 5690315A 328 4/4/2020 0908 MCGREW ANNIE R SOUTHFIELD 5982405A 328 4/4/2020 0908 MCMILLER ROBERT L SOUTHFIELD 5690196A 328 4/4/2020 0908 MIDTOWN POINTE LLC SOUTHFIELD 5865603A 291 5/17/2020 8810 MILESTONE TILE AND MARBLE LLC SOUTHFIELD 5853931A 1,492 4/12/2020 5348 MITCHELL CONSTRUCTION INC SOUTHFIELD 2824418A 584 4/3/2020 5183 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 152 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MJH GROUP LLC SOUTHFIELD 5992087A 2,510 5/15/2020 7206 MOODY HELEN L SOUTHFIELD 6008968A 328 6/29/2020 0908 MOORE BARBARA SOUTHFIELD 5662516A 328 4/4/2020 0908 MOORE CARD OWEDIA G SOUTHFIELD 5830494A 328 4/4/2020 0908 MOORE ETHEL M SOUTHFIELD 5471770A 328 6/29/2020 0908 MORRIS SHEILA M SOUTHFIELD 5692180A 328 4/4/2020 0908 MOSLEY LIGE M SOUTHFIELD 5690200A 328 4/4/2020 0908 MOSS LARRY J SOUTHFIELD 6009069A 328 6/29/2020 0908 MOSS SHIRLEY A SOUTHFIELD 6008801A 328 6/29/2020 0908 NAJOR GEORGE D DDS SOUTHFIELD 1204203A 1,061 6/1/2020 8832 0.95 NEAL GEORGE W JR SOUTHFIELD 6009131A 328 6/29/2020 0908 NELSON STRONG SHARMIN SOUTHFIELD 5690269A 328 4/4/2020 0908 NEW LEE BEAUTY ONE INC SOUTHFIELD 4821130A 748 6/30/2020 8017 NEWTON REGINA R SOUTHFIELD 5830567A 328 4/4/2020 0908 NW OIL INC SOUTHFIELD 4158946A 1,132 6/27/2020 8017 ODOM MARVA L SOUTHFIELD 6008763A 328 6/29/2020 0908 OWENS CORDELL A SOUTHFIELD 5695031A 328 4/4/2020 0908 PARKER FELTON SOUTHFIELD 5690358A 328 4/4/2020 0908 PAYTON LAKESHA S SOUTHFIELD 6008941A 328 6/29/2020 0908 PEDIATRIC STAFF PLLC SOUTHFIELD 3525929A 544 6/20/2020 8832 PHILLIPS TOYA L SOUTHFIELD 5690161A 328 4/4/2020 0908 PITTS REGINA A SOUTHFIELD 5694930A 328 4/4/2020 0908 PORTER HOUSE CONSTRUCTION LLC SOUTHFIELD 4577825A 825 6/23/2020 5645 PRYORS CUSTOM CAULKING LLC SOUTHFIELD 4634780A 750 6/27/2020 5476 PURPOSE DRIVEN LIFE LLC SOUTHFIELD 5864151A 1,397 5/12/2020 9053 RICH AND ASSOCIATES CONSULTING INC SOUTHFIELD 4059530A 291 4/26/2020 8810 ROBERTS VERNETTA L SOUTHFIELD 5798515A 328 6/29/2020 0908 RODGERS ANTHONY M SOUTHFIELD 5776457A 328 4/4/2020 0908 S AND D CARTAGE CO SOUTHFIELD 0493384A 1,948 6/24/2020 7206 0.95 S AND R ENTERPRISE SERVICE INC SOUTHFIELD 4406818A 475 4/7/2020 8017 0.95 SALAS MARIA E SOUTHFIELD 5830575A 328 4/4/2020 0908 SAMUEL REITER PAINTING CO SOUTHFIELD 0471542A 1,760 6/1/2020 5476 0.95 SANDERS MARION R SOUTHFIELD 5695171A 328 4/4/2020 0908 SAWYER JACQUELINE E SOUTHFIELD 5982413A 328 4/4/2020 0908 SDG CONSTRUCTION INC SOUTHFIELD 5982936A 750 4/6/2020 5348 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 153 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SELECTIVE CONSTRUCTION CORPORATION SOUTHFIELD 0766038A 1,586 5/17/2020 5606 0.95 SG CONSTRUCTION GROUP LLC SOUTHFIELD 5473900A 655 4/6/2020 8810 0.95 SHANKLIN LEOLER C SOUTHFIELD 6008798A 328 6/29/2020 0908 SMITH DARLENE SOUTHFIELD 6009000A 328 6/29/2020 0908 SMITH DEBRA SOUTHFIELD 5982804A 328 4/4/2020 0908 SMITH LINDA A SOUTHFIELD 5695040A 328 4/4/2020 0908 SPIRIT BUILDERS LLC SOUTHFIELD 5720389A 825 5/27/2020 5645 STUBBS BALEWA SOUTHFIELD 5692334A 328 4/4/2020 0908 TAIT ROCHELLE M SOUTHFIELD 5695163A 328 4/4/2020 0908 TARRANT BARBARA J SOUTHFIELD 5695120A 328 4/4/2020 0908 TATE LUCINDA SOUTHFIELD 5692342A 328 4/4/2020 0908 TAYLOR CLARICE A SOUTHFIELD 5982847A 328 4/4/2020 0908 TAYLOR DEMETRIS D SOUTHFIELD 6009158A 328 6/29/2020 0908 THOMAS DANNY R SOUTHFIELD 5692164A 328 4/4/2020 0908 THOMAS LOVIE SOUTHFIELD 5982472A 328 4/4/2020 0908 THOMPSON TONETTA R SOUTHFIELD 5830451A 328 4/4/2020 0908 TODDLERTIME EARLY CHILDHOOD CENTER OF SOUTHFIELD 3922022A 400 6/4/2020 8869 SOUTHFIELD INC TRANSNATIONAL STAFFING INC SOUTHFIELD 5875447A 2,621 6/11/2020 8292 TURNER JAMES A III SOUTHFIELD 5982812A 328 4/4/2020 0908 TYNER SUZANNE SOUTHFIELD 5550130A 623 4/25/2020 0913 UNITED STAFFING AGENCY PLUS LLC SOUTHFIELD 5878322A 580 5/11/2020 8829 USSERY ROSHONDA K SOUTHFIELD 5982308A 328 4/4/2020 0908 WALES GREGORY V SOUTHFIELD 5663717A 328 4/4/2020 0908 WALKER JANICE R SOUTHFIELD 5982332A 328 4/4/2020 0908 WALKER LISA L SOUTHFIELD 4657357A 328 4/4/2020 0908 WAY TRUCKING LLC SOUTHFIELD 5991951A 2,510 5/15/2020 7206 WEST CHARLENE SOUTHFIELD 5744725A 328 6/29/2020 0908 WHIPPLE DONNA M SOUTHFIELD 5982588A 328 4/4/2020 0908 WHISENHUNT ARLATTA M SOUTHFIELD 6009077A 328 6/29/2020 0908 WHITE EUNITA SOUTHFIELD 5692229A 328 4/4/2020 0908 WHITFIELD CURTISSTINE SOUTHFIELD 5692172A 328 4/4/2020 0908 WILLIAMS LINDA SOUTHFIELD 5776155A 328 6/29/2020 0908 WILLIAMS WILMA J SOUTHFIELD 5695058A 328 4/4/2020 0908 WILSON THELMA SOUTHFIELD 5692369A 328 4/4/2020 0908

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WILSON THERESA A SOUTHFIELD 5695074A 328 4/4/2020 0908 WOODALL ELIZABETH M SOUTHFIELD 6008771A 328 6/29/2020 0908 WOODRUFF ROSALIND SOUTHFIELD 5692385A 328 4/4/2020 0908 WOODS JOYCE A SOUTHFIELD 6009042A 328 6/29/2020 0908 WTOTW HOMES LLC SOUTHFIELD 4554140A 261 4/20/2020 8810 YOUNG HENRYENE SOUTHFIELD 5719666A 328 4/4/2020 0908 A FORMOSA & SONS LANDSCAPING INC SOUTHGATE 5859034A 1,376 4/25/2020 0042 D G WEST COMMERCIAL CARPENTRY LLC SOUTHGATE 5128455A 826 4/20/2020 5437 EUREKA GAS AND FOOD INC SOUTHGATE 3263495A 755 4/1/2020 8017 JPLS HOME IMPROVEMENTS SOUTHGATE 5980321A 750 5/21/2020 5551 MICHIGANS BEST BASEMENT WATERPROOFING SOUTHGATE 5716535A 2,207 5/16/2020 5480 LLC WHISMAN CHARLES SOUTHGATE 4967836A 914 4/11/2020 9521 COUNTRY LANE ASSOCIATION SPARTA 4627342A 580 5/1/2020 9015 IMKAMP BUILDERS INC SPARTA 3123588A 17,965 4/16/2020 5645 0.84 ISC RESTORATION INCORPORATED SPARTA 1439030A 3,837 6/17/2020 5348 0.95 LEVONDOWSKI ANTHONY SPARTA 5596963A 750 4/11/2020 5645 LUXE CONCRETE CONSTRUCTION LLC SPARTA 6000304A 751 5/30/2020 5221 MURPHY BENJAMIN SPARTA 5999596A 800 5/25/2020 5645 RELIABLE SERVICES LLC SPARTA 5986265A 2,985 4/17/2020 5437 TUINSTRA BENJAMIN SPARTA 5400520A 750 5/1/2020 5437 KEN MOE CONSTRUCTION LLC SPRING ARBOR 2753405A 750 5/10/2020 5645 KP MORROW LANDSCAPING LLC SPRING ARBOR 5587778A 1,140 4/17/2020 0042 POHL BROTHERS ADVERTISING SPRING ARBOR 0765155A 1,095 4/27/2020 9558 0.95 SCREAMING EAGLE CONSULTING LLC SPRING ARBOR 5845297A 402 4/3/2020 8601 ACC GUTTERS LLC SPRING LAKE 1730690B 1,286 5/5/2020 5538 0.93 AG CONSTRUCTION SPRING LAKE 5011620A 825 4/14/2020 5645 BILZ POOLS & SPAS INC SPRING LAKE 1730690A 7,556 4/30/2020 5223 0.93 C DAVID CONSTRUCTION LLC SPRING LAKE 4856520A 750 4/5/2020 5645 CHIEF OFFSHORE LLC SPRING LAKE 5535093A 1,780 5/10/2020 8395 0.95 COMPLETE JANITORIAL SERVICE INC SPRING LAKE 0044440A 1,507 6/8/2020 9015 0.95 DETERS CONSTRUCTION LLC SPRING LAKE 1798154A 1,367 5/2/2020 5645 DOUBLE EAGLE SECURITY SERVICES LLC SPRING LAKE 5997585A 958 5/21/2020 7720 GOODING LLC SPRING LAKE 6002994A 750 6/11/2020 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GREATER SPRING LAKE AREA RECREATION SPRING LAKE 5405777A 1,107 5/16/2020 9015 0.95 COMMISSION HOLIDAY ISLE MARINA ASSOC SPRING LAKE 5865131A 986 5/16/2020 6836 KEMPF CONSTRUCTION INC SPRING LAKE 3637921A 750 6/15/2020 5645 0.95 KR CLEANING SOLUTIONS LLC SPRING LAKE 5411599A 580 6/11/2020 9015 MINKY PROJECT LLC SPRING LAKE 6000720A 338 6/1/2020 8017 PRO TRAVEL INC SPRING LAKE 2957191A 232 6/16/2020 8810 PROV 423 LLC SPRING LAKE 5662087A 322 4/17/2020 8810 RONALD V STROUP BUILDER SPRING LAKE 3513173A 1,023 5/1/2020 5645 THIRD COAST SPRAY FOAM LLC SPRING LAKE 6001238A 750 6/5/2020 5479 VOIMANEN CONSULTING LLC SPRING LAKE 4427130A 228 6/2/2020 8742 D AND K CONSTRUCTION LLC SPRINGFIELD, OH 5132657A 11,818 5/1/2020 5538 0.87 DIMARZO CERAMIC TILE CO SPRUCE 2270986A 750 4/1/2020 5348 R G KENEL LOG BUILDERS LLC ST CHARLES 1560336A 800 6/11/2020 5645 THURSTON LOGGING & TREE SERVICE ST CHARLES 5379415A 750 4/23/2020 2702 BECKER METAL WORKS INC ST CLAIR 2255545A 8,252 6/4/2020 3341 1.27 27 % CZAJKOWSKI NORBERT P MD ST CLAIR 2896508A 573 5/21/2020 0913 KIDS IN DISTRESS SERVICES INC ST CLAIR 4141539A 1,238 6/10/2020 8032 0.95 MALCOLM MARINE INC ST CLAIR 0224154A 5,469 5/2/2020 8227 0.93 OUTSTANDING CUSTOM DESIGN ST CLAIR 0210870A 750 6/21/2020 5476 S A FISCELLI MARINE CONSTRUCTION INC ST CLAIR 0137600A 5,295 4/4/2020 8227 0.92 SAINT CLAIR MANOR COOPERATIVE ST CLAIR 1425374A 2,541 5/28/2020 9015 0.95 SURATTS COMMUNICATIONS LLC ST CLAIR 6000584A 3,658 6/1/2020 7600 ALTEZZA BUILDING LLC ST CLAIR SHORES 5483832A 750 5/24/2020 5437 ANC SHIPPING LLC ST CLAIR SHORES 6007864A 5,953 6/27/2020 7208 ANDERSON RESTORATION INC ST CLAIR SHORES 3000478A 800 5/5/2020 5551 BACH ROOFING COMPANY LLC ST CLAIR SHORES 5981255A 2,683 4/3/2020 5551 BEGINNING OF INDEPENDENCE GROUP LLC ST CLAIR SHORES 6006620A 471 6/28/2020 8832 BLUE GOOSE INN CORP ST CLAIR SHORES 0676403A 983 6/11/2020 9058 1.00 BOMBSHELL BRIDAL BOUTIQUE LLC ST CLAIR SHORES 5560012A 662 4/3/2020 8008 CJF ASSOCIATES LLC ST CLAIR SHORES 4935950A 468 4/30/2020 8601 CONSORTIUM ELECTRIC LLC ST CLAIR SHORES 6000835A 652 6/1/2020 5190 DRY LINE LLC ST CLAIR SHORES 5397782A 750 4/22/2020 5480 EVOLUTIONARY MANAGEMENT INC ST CLAIR SHORES 6005403A 580 6/19/2020 9015 FUN FOODS INC ST CLAIR SHORES 2010097A 526 5/12/2020 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GENOA CONTRACTING LLC ST CLAIR SHORES 5437865A 5,377 6/6/2020 5606 GLACIER BUILDING LLC ST CLAIR SHORES 1030272A 751 6/28/2020 5476 JM ELECTRIC INC ST CLAIR SHORES 0536369A 481 5/28/2020 5190 JM PIZZA LLC ST CLAIR SHORES 5820600A 1,689 6/13/2020 9058 KOLASA REWALT STACI TERESA ST CLAIR SHORES 5569486A 573 6/17/2020 0913 LAKESHORE VILLAGE CONDOMINIUM ST CLAIR SHORES 0611220A 800 6/22/2020 5551 ASSOCIATION LIFEBUILDERS ST CLAIR SHORES 4998847A 2,825 6/30/2020 8868 0.95 M AND N CONSTRUCTION LLC ST CLAIR SHORES 5127785A 720 4/18/2020 5538 MICHIGAN DECK BUILDERS INC ST CLAIR SHORES 2839032A 801 4/13/2020 5538 NORTH STAR JUNIOR SAILING INC ST CLAIR SHORES 1070754A 626 6/12/2020 9060 PHRC INC ST CLAIR SHORES 4196538B 53,112 4/12/2020 7212 0.89 PRIVATE INSTALLATION SERVICES LLC ST CLAIR SHORES 6003443A 750 6/12/2020 9519 S E GRAHAM & ASSOCIATES INC ST CLAIR SHORES 1965271A 750 6/11/2020 5645 0.95 S O S EXPRESS PREMIUM MARINE CARE INC ST CLAIR SHORES 2657236A 570 5/17/2020 6836 T RICH RENOVATIONS ST CLAIR SHORES 4087747A 1,198 6/10/2020 5645 0.95 TEMROWSKI ELDERCARE LLC ST CLAIR SHORES 6002188A 481 6/7/2020 8835 TURF AND TIMBER LLC ST CLAIR SHORES 4257421A 1,799 5/9/2020 0106 0.95 UNDERSTONE LLC ST CLAIR SHORES 5923271A 1,776 5/23/2020 5476 UNITED ENERGY TRANSPORT INC ST CLAIR SHORES 5982669A 4,950 4/5/2020 7208 VERSTRAETE HERMAN ST CLAIR SHORES 4477472A 750 6/10/2020 5476 M S ELECTRICAL ST CLAIR SHRS 5987636A 615 4/16/2020 5190 WEISS PLUMBING & HEATING INC ST HELEN 0339911A 660 6/17/2020 5183 0.95 MACKINAC ECONOMIC ALLIANCE CORP ST IGANCE 5257328A 284 4/1/2020 8810 TIP OF DA MITT LAUNDROMAT LLC ST IGNACE 5547121A 619 4/1/2020 8017 BCW HAPPY HOUR INC ST JOHNS 5568552A 918 6/1/2020 9058 0.95 CARING AND SHARING FAMILY LIFE SERVICES ST JOHNS 5413087A 2,932 6/12/2020 8835 0.95 INC JIMS PAINTING & CULTURED STONE LLC ST JOHNS 5400376A 800 5/1/2020 5476 KEL DAWN CONSTRUCTION INC st JOHNS 5868670A 750 4/12/2020 5645 RUFF RESTORATION & EXCAVATION LLC ST JOHNS 5930715B 1,610 5/22/2020 0042 WEBSTER CONSTRUCTION st JOHNS 5866154A 750 5/19/2020 5645 ANCHORS WAY MARINA LLC ST JOSEPH 5291429A 4,445 5/5/2020 6836 0.95 CONCORD RIDGE EQUESTRIAN CENTER LLC ST JOSEPH 4883268A 7,186 6/30/2020 8279 0.88 GHOSH DEBASREE ST JOSEPH 5714710A 573 5/10/2020 0913

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HUCKINS CONSTRUCTION LLC ST JOSEPH 5996457A 1,281 5/20/2020 5437 KLAUS F ZIELKE JR INC ST JOSEPH 0170607A 3,305 4/30/2020 5022 0.95 MUTTERLY LOVE LLC ST JOSEPH 5044669A 3,169 6/27/2020 8831 0.95 SJRCK LLC ST JOSEPH 5145538A 521 5/24/2020 6836 SOUTHWEST MICHIGAN ASSET MANAGEMENT ST JOSEPH 5718260A 694 5/20/2020 8742 LLC SUPER BOOK BY SOPHIA LLC ST JOSEPH 2844737A 393 5/7/2020 8742 0.95 THIRD COAST SURF SHOP INC ST JOSEPH 4639146A 2,126 6/26/2020 8017 0.95 TYNES RUSSELL NEWMAN ST JOSEPH 4341856A 750 4/19/2020 5645 0.95 WACHTOR VENDING SERVICES LLC ST JOSEPH 5868769A 571 6/1/2020 5192 COTTAGE ON THE STRAITS LLC ST PAUL, MN 5983851A 328 4/10/2020 0908 ANDERSON MIDWAYS LLC STANDISH 4627172A 5,282 5/10/2020 9015 1.38 10 % D AND K CARNIVAL OPERATIONS LLC STANDISH 4632613A 3,226 4/21/2020 9015 1.05 T J SCHMIDT AND COMPANY LLC STANDISH 4623037A 28,666 5/5/2020 9015 1.75 13 % ESCH LOGGING LLC STANTON 2023121A 845 6/8/2020 2702 KIEFFS ROOFING INC STANTON 0336793A 41,701 5/1/2020 5551 0.73 OLMSTEAD EXCAVATING INC STANTON 1343815A 1,021 4/27/2020 6217 0.95 TRIGON ARMAMENT INC STANTON 6004725A 533 6/15/2020 8017 CHERI HILL KENNEL & SUPPLY INC STANWOOD 0787892A 4,538 5/25/2020 8831 0.88 COOK CONSTRUCTION STANWOOD 2797801A 750 6/6/2020 5645 ABCO MAINTENANCE INC STATEN ISLAND, NY 5712718A 295 5/5/2020 8810 ANDERSON LANDSCAPING STEPHENSON 5837901A 636 4/19/2020 9102 D AND S CONSTRUCTION STEPHENSON 1802569A 750 5/7/2020 5645 R V FOREST PRODUCTS LLC STEPHENSON 3638154A 800 5/31/2020 2702 BENCHLEY DONALD C STERLING 0097420A 750 5/28/2020 9015 D AND L CONTRACTING & MAINTENANCE LLC STERLING 2234033A 580 4/2/2020 9015 A AND R LAWN SERVICE STERLING HEIGHTS 2830850A 561 4/7/2020 9102 AC AND EC LOGISTICS INC STERLING HEIGHTS 5714508A 2,522 5/10/2020 7208 0.95 AD TRUCKING LLC STERLING HEIGHTS 4179994A 825 4/1/2020 5221 AINSTECH INC STERLING HEIGHTS 4928237A 2,812 6/1/2020 8010 0.95 ANGLINS PROFESSIONAL WINDOW CLEANING STERLING HEIGHTS 0011886A 1,182 5/4/2020 9015 INC ARTICULATE PAINTING INC STERLING HEIGHTS 3000702A 750 5/23/2020 5476 AWC CUETER INC STERLING HEIGHTS 4987780A 259 6/7/2020 8810 BALDWINS CONSTRUCTION LLC STERLING HEIGHTS 4650093A 750 5/23/2020 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BAQOFA TRUCKING INC STERLING HEIGHTS 5280001A 750 6/1/2020 7208 0.95 BEAR CREEK VILLAGE ASSOCIATION STERLING HEIGHTS 0683035A 580 6/4/2020 9015 0.95 BLACK FOREST BUILDING COMPANY STERLING HEIGHTS 3275698A 750 5/30/2020 5403 0.95 BLUE SKY TRANSPORT LLC STERLING HEIGHTS 5401747A 21,478 5/19/2020 7208 1.28 13 % BORA BORAS BAR & GRILL INC STERLING HEIGHTS 1930001A 334 4/24/2020 9058 BRCKO TRUCKING CO LLC STERLING HEIGHTS 5998611A 2,644 5/23/2020 7208 BUILDIT CONSTRUCTION LLC STERLING HEIGHTS 5563224A 825 5/17/2020 5645 CAR DOC LLC STERLING HEIGHTS 5147760A 505 6/1/2020 8395 CHAMPS CONSTRUCTION INC STERLING HEIGHTS 4068041A 751 5/10/2020 5437 CHRIS CRONIN PAINTING & STAINING INC STERLING HEIGHTS 1839110A 750 5/27/2020 5476 0.95 CLAUDES SPRINKLER REPAIR LLC STERLING HEIGHTS 5255236A 584 4/1/2020 5183 COMPASS BENEFIT GROUP LTD STERLING HEIGHTS 4396111A 382 6/29/2020 8810 CONDUCTIVE EDUCATION CENTER OF METRO STERLING HEIGHTS 3244547A 299 4/3/2020 8868 DETROIT COVES OF STERLING HEIGHTS HOMEOWNERS STERLING HEIGHTS 1953958A 630 6/20/2020 9015 ASSOCIATION CREMATIONCHOICE COM LLC STERLING HEIGHTS 5700086A 371 4/7/2020 9620 CRISAN GRANITE INC STERLING HEIGHTS 4202180A 750 4/6/2020 5348 CRYSTAL PAINTING STERLING HEIGHTS 3570207A 750 6/27/2020 5476 CUETER PROPERTIES INC STERLING HEIGHTS 0985287A 216 6/12/2020 8810 D AND R TECHNOLOGY INC STERLING HEIGHTS 3389383A 1,697 4/1/2020 3632 0.95 DELTA STAFFING LLC STERLING HEIGHTS 3756823A 29,297 6/21/2020 3628 1.58 13 % DESERT EAGLE TRANSPORTATION LLC STERLING HEIGHTS 6007643A 750 6/21/2020 8742 DIRECT PLUS INC STERLING HEIGHTS 5985692A 896 4/18/2020 5437 EAGLE CONCRETE WALLS INC STERLING HEIGHTS 5196035A 750 6/14/2020 5215 EAST POINTE VILLA ASSOCIATION STERLING HEIGHTS 0892831A 750 6/28/2020 5183 EASY HOME IMPROVEMENT LLC STERLING HEIGHTS 5712688A 4,395 5/5/2020 5221 0.95 EFTA DESIGN STERLING HEIGHTS 5397588A 750 4/21/2020 5348 F AND E TRUCKING INC STERLING HEIGHTS 6000959A 750 6/4/2020 7208 FLATROCK CONCRETE CONSTRUCTION INC STERLING HEIGHTS 3049370A 751 6/24/2020 5221 FRANS TRUCKING LLC STERLING HEIGHTS 6003125A 750 6/11/2020 7208 FREEDOM HOME CARE OF MICHIGAN LLC STERLING HEIGHTS 5138728A 8,922 5/24/2020 8835 0.95 FRONT DOOR HOUSE CLEANING STERLING HEIGHTS 5982111A 2,335 4/4/2020 9015 G B TILE MARBLE INSTALLATION STERLING HEIGHTS 3743390A 750 4/4/2020 5348 GATTOS CARPET INSTALLATION STERLING HEIGHTS 0783919A 750 5/1/2020 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GOLDEN LAWNCARE LLC STERLING HEIGHTS 5709164A 1,256 4/27/2020 9102 0.95 GRANITE USA PRO INC STERLING HEIGHTS 5856264A 750 4/19/2020 5437 GREAT LAKES FOOD TRUCK LLC STERLING HEIGHTS 5995930A 333 5/16/2020 9058 GREAT LAKES MASSAGE INC STERLING HEIGHTS 4725018A 301 4/2/2020 9063 GROWING GREEN GARDENS STERLING HEIGHTS 5572843A 840 6/15/2020 0035 HEAVENLY GARDENING SERVICE LLC STERLING HEIGHTS 5848725A 750 4/14/2020 0042 J B IMPROVEMENTS LLC STERLING HEIGHTS 2624249A 750 6/7/2020 5437 J L J TRUCKING INC STERLING HEIGHTS 5997089A 800 5/20/2020 7208 JEFFREY TRUCKING INC STERLING HEIGHTS 5861748A 750 5/2/2020 7208 JFC FLOOR COVERING STERLING HEIGHTS 0873888A 556 6/28/2020 9521 0.95 JIM GROSS DOORS LLC STERLING HEIGHTS 3352730A 750 4/1/2020 5102 JISI GROUP LLC STERLING HEIGHTS 5299462A 1,264 5/28/2020 8010 JOOZ TRANSPORTATION LLC STERLING HEIGHTS 6004130A 750 6/14/2020 7208 JUST JUICE LLC STERLING HEIGHTS 5709741A 1,144 4/28/2020 4828 K P TILE & MARBLE LLC STERLING HEIGHTS 5471575A 1,168 5/19/2020 5348 KOLIS PAINTING STERLING HEIGHTS 5855217A 750 4/17/2020 5476 KRAATZ PLUMBING INC STERLING HEIGHTS 4575350A 584 4/13/2020 5183 KSN STERLING HEIGHTS 5713366A 750 5/16/2020 0042 LAKESIDE VILLAS ASSOCIATION STERLING HEIGHTS 1620916A 580 4/19/2020 9015 LAKEVIEW VILLAGE CONDOMINIUM ASSOC STERLING HEIGHTS 1900811A 580 4/19/2020 9015 LEONARDOS CONSTRUCTION INC STERLING HEIGHTS 5991650A 825 5/25/2020 5606 LI TRUCKING LLC STERLING HEIGHTS 6000240A 9,600 6/1/2020 7208 LICKOLLARI PAINTING LLC STERLING HEIGHTS 5874297A 750 6/6/2020 5476 LINDEN CONSTRUCTION LLC STERLING HEIGHTS 5569184A 1,826 6/2/2020 5221 0.95 LONE STAR TOWING INC STERLING HEIGHTS 5544726A 825 5/27/2020 7208 MALIKS INC STERLING HEIGHTS 1575457A 1,078 6/29/2020 8017 0.95 MARKS RELIABLE TOWING LLC STERLING HEIGHTS 5718430A 826 5/22/2020 7208 MARTINS TRANSPORTATION LLC STERLING HEIGHTS 6000096A 750 5/29/2020 7208 MASTERCRAFT HOMES INC STERLING HEIGHTS 0330000A 3,026 4/23/2020 5645 0.93 MATADOR LOGISTICS LLC STERLING HEIGHTS 6008518A 15,970 6/28/2020 7208 MATRIX PAINTING STERLING HEIGHTS 5648211A 750 4/6/2020 5476 MKR TRUCKING INC STERLING HEIGHTS 6000371A 2,644 5/31/2020 7208 MSB INVESTMENTS LLC STERLING HEIGHTS 4933346A 720 6/25/2020 9102 N 2 M ENTERPRISES INC STERLING HEIGHTS 5409578A 824 6/2/2020 8601 NORMS CARPET AND FLOORCOVERINGS INC STERLING HEIGHTS 1885570A 596 6/29/2020 2380 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 160 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NORTH BLOOMFIELD PROPERTIES INC STERLING HEIGHTS 1299042A 580 4/4/2020 9015 NU BUILT CABINET SHOP INC STERLING HEIGHTS 0067970A 750 6/15/2020 5437 OX SECURITY LLC STERLING HEIGHTS 5982200A 1,312 4/4/2020 7720 PERFECT RESTORATION LLC STERLING HEIGHTS 5298539A 825 5/14/2020 5476 POLISH MANIA LLC STERLING HEIGHTS 5861837A 393 5/1/2020 9058 RAVEN 1 TRUCKING INC STERLING HEIGHTS 5998808A 2,551 5/23/2020 7208 S AND A SOLUTIONS INC STERLING HEIGHTS 4627601A 1,250 4/4/2020 3628 2.34 13 % S AND R TRANSPORT INC STERLING HEIGHTS 5999979A 750 5/29/2020 7208 SERVICO PLUMBING INC STERLING HEIGHTS 1916726A 584 6/19/2020 5183 SHAM TRUCKING LLC STERLING HEIGHTS 5997038A 800 5/20/2020 7208 SHAMI INC STERLING HEIGHTS 3723089A 1,124 6/29/2020 8017 SILVER PINES VILLAGE CONDOMINIUM STERLING HEIGHTS 4240189A 630 4/11/2020 9015 0.95 ASSOCIATION SMART CHOICE CONSTRUCTION LLC STERLING HEIGHTS 5983657A 6,276 4/9/2020 5437 STEEPLECHASE CONDOMINIUMS I ASSOCIATION STERLING HEIGHTS 2640198A 580 4/19/2020 9015 STERLING FLOORS & KITCHENS STERLING HEIGHTS 1277871A 556 6/24/2020 9521 STERLING GYMNASTICS ACADEMY LLC STERLING HEIGHTS 5540780A 861 4/8/2020 9063 0.95 STERLING QUALITY CONSTRUCTION INC STERLING HEIGHTS 5711215A 750 5/2/2020 5437 0.95 SUNBYRNES CONSTRUCTION LLC STERLING HEIGHTS 5988322A 800 4/23/2020 5645 SUPERIOR TITLE AND SETTLEMENT AGENCY LLC STERLING HEIGHTS 4757912A 266 6/21/2020 8810 THERAPEUTIC CONCEPTS LLC STERLING HEIGHTS 1459350A 233 6/11/2020 8810 0.95 TRI COUNTY ELECTRICAL SERVICE LLC STERLING HEIGHTS 5986923A 863 4/18/2020 5190 TRI COUNTY PAINTING COMP LLC STERLING HEIGHTS 5228352A 800 4/24/2020 5476 0.93 V AND C PAINTING COMPANY STERLING HEIGHTS 3330125A 750 6/6/2020 5476 VENDITE HOMES LLC STERLING HEIGHTS 6000606A 750 6/12/2020 5645 VUKAJ CONSTRUCTION LLC STERLING HEIGHTS 5850983A 800 4/7/2020 5476 WWE TRUCKING INC STERLING HEIGHTS 5863899A 2,597 5/30/2020 7208 CALANDRINO FRANK A STERLING HGTS 6006094A 750 6/20/2020 5476 OLIVERS PAINTING LLC STERLING HTS 6000002A 826 5/29/2020 5476 M AND EM SERVICE LLC STEVENSVILLE 5721725A 407 6/3/2020 8006 MERKELS FLOOR COVERING INC STEVENSVILLE 2541947A 556 5/6/2020 9521 OMEGA TREE SERVICE LLC STEVENSVILLE 5392870A 4,174 4/1/2020 0106 0.92 ORIENTAL FOOD SPECIALTIES STEVENSVILLE 0976466A 333 6/29/2020 9058 EMERALD VALLEY SOD & WATERBOY STOCKBRIDGE 3386031A 750 6/9/2020 0042 RED ROCK CAPITAL GROUP LLC STOCKBRIDGE 4307550A 770 5/23/2020 5538

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UNITED TECHNICAL SUPPORT SERVICES INC STREETSBORO, OH 3641244A 1,135 6/30/2020 5191 ALLEN LOGGING LLC STURGIS 5571120A 750 6/9/2020 2709 GEST TREE SERVICE LLC STURGIS 5791510A 12,446 4/6/2020 0106 0.92 MARC TODD CONCRETE INC STURGIS 2478390A 1,067 5/6/2020 5221 PARKERS HOME IMPROVEMENT LLC STURGIS 4517695A 750 5/16/2020 5645 0.95 TRI STATE SECURITY LOCKSMITH LLC STURGIS 5698383A 630 4/4/2020 8010 BLUE WATER STAFFING LLC SUN VALLEY, NV 5989124A 3,933 4/25/2020 8232 PRIME RESOURCES LLC SUSSEX, WI 5803829A 267 6/5/2020 8810 CENTURY FARM LLC SUTTONS BAY 5865662A 719 5/18/2020 9015 DRAGONFLY EVENT DESIGNS LLC SUTTONS BAY 5998751A 1,145 5/26/2020 9015 TLC FARMS INC SUTTONS BAY 3547949A 652 4/10/2020 0035 BLUE STEEL MANAGEMENT LLC SWANTON, OH 5156556A 777 6/18/2020 8017 CH AND ASSOCIATES LEASING INC SWARTZ CREEK 3955516A 1,116 6/22/2020 9058 0.95 CHRISTOPHER S FIX INC SWARTZ CREEK 2551144A 750 4/20/2020 5022 ELMA LLC SWARTZ CREEK 5985110A 630 4/13/2020 9015 HOMER CONRAD CEMENT LLC SWARTZ CREEK 5555132A 750 5/3/2020 5221 LUKE WILLIAM SWARTZ CREEK 5985226A 750 4/13/2020 5645 MEYER SCOTT SWARTZ CREEK 6004709A 750 6/15/2020 5476 P E TRANSPORTATION LLC SWARTZ CREEK 5709792A 752 5/12/2020 8810 PREMIER GROUND SERVICES SWARTZ CREEK 5993733A 750 5/9/2020 0042 SPRINGBROOK EAST CONDOMINIUM SWARTZ CREEK 4241452A 580 6/3/2020 9015 ASSOCIATION OF SWARTZ CREEK TLC TREE & STUMP REMOVAL LLC SWARTZ CREEK 3226204A 1,696 5/6/2020 0042 1.00 POOCHPEOPLE INC SYLVAN LAKE 3915379A 9,044 5/30/2020 8831 0.94 PHOENIX SERVICES ANN ARBOR LLC SYLVANIA, OH 3160769A 193,739 6/7/2020 2501 1.06 TREASURE ISLAND ASSOCIATION SYLVANIA, OH 5853524A 580 6/19/2020 9015 GRUS INC TAMPA, FL 3410684A 29,206 4/1/2020 5040 1.00 BLUE WATER INSULATION TAWAS CITY 5878063A 1,937 6/20/2020 5479 BROOKS AUTO PARTS INC TAWAS CITY 4205219A 1,485 6/4/2020 8264 0.95 FLYNNS LANDSCAPING & SNOW REMOVAL LLC TAWAS CITY 4840534A 1,611 4/26/2020 0042 0.95 FRED STRAUER CONTRACTING TAWAS CITY 1131036A 750 6/21/2020 5221 JACQUES TIMBER LLC TAWAS CITY 5980879A 750 4/1/2020 2709 NORTHERN PAINTING TAWAS CITY 5996279A 1,280 5/17/2020 5476 RA BRUGGER BUILDERS TAWAS CITY 1480952A 4,285 6/21/2020 5645 SHORELINE CONTRACTING CO LLC TAWAS CITY 2870657A 5,133 6/16/2020 5040 0.94

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALL WOOD TREE SERVICE INC TAYLOR 1873571A 3,952 5/2/2020 0106 0.95 ALLORE DOUGLAS TAYLOR 5402115A 556 5/6/2020 9521 ALTIZER CONSTRUCTION INC TAYLOR 5878420A 750 6/22/2020 5437 AUTO AND EQUIPMENT SPECIALIST INC TAYLOR 4390474A 4,267 5/29/2020 7208 0.95 B AND A HOME IMPROVEMENT TAYLOR 3579760A 750 4/22/2020 5645 BREKKE REMODELING CORP TAYLOR 5567661A 825 4/25/2020 5645 BUILT BY BRIAN TAYLOR 5727901A 2,141 6/29/2020 5445 0.95 CACAU SAMUEL TAYLOR 4974581A 429 4/21/2020 8393 CAPITAL ONE COATINGS LLC TAYLOR 4351967A 750 5/9/2020 5476 0.95 CARDINAL ERNEST MICHAEL JR TAYLOR 5706777A 750 5/5/2020 7208 CHOICE ONE MIHP INC TAYLOR 5642710A 2,284 5/9/2020 8835 CIANI TIMOTHY TAYLOR 6006671A 3,818 6/21/2020 5645 CROZIER CONSTRUCTION INC TAYLOR 3507246A 6,264 6/3/2020 5645 0.90 CSI II INC TAYLOR 5981786A 825 4/3/2020 5645 CULLEN MARK TAYLOR 1890050A 2,316 6/13/2020 5437 0.95 DETROIT INTERMODAL TRANSPORT INC TAYLOR 5259002A 1,295 4/6/2020 7208 DOWNRIVER CRUSHED CONCRETE TAYLOR 5657490A 2,331 5/16/2020 1624 0.95 DUPAGE GREEN CONDO ASSOC TAYLOR 0898651A 2,144 6/15/2020 9015 0.95 G AND A BAKING COMPANY LLC TAYLOR 3721566A 395 4/1/2020 8810 0.74 G N J SERVICES LLC TAYLOR 5262763A 2,107 4/17/2020 5445 GARTON RICHARD TAYLOR 5148111A 946 5/21/2020 0913 1.00 GNA JANITORIAL LLC TAYLOR 6002374A 658 6/8/2020 9015 GONZALEZ EDUARDO TAYLOR 5853540A 750 5/25/2020 5445 HOYS CONCRETE REMOVAL CORPORATION TAYLOR 4736745A 801 5/13/2020 5221 0.95 INTERNATIONAL ASSOCIATION OF HEAT & FROST TAYLOR 3211380A 712 5/24/2020 8755 0.95 INSULATORS & ASBESTOS WORKERS LOCAL UNION 207 K 9 ACADEMY TRAINING FACILITY LLC TAYLOR 5714036A 1,047 5/9/2020 8831 M T LEGACY INC TAYLOR 5496829A 1,115 5/10/2020 9058 0.95 MARINAS SELECT SERVICES INC TAYLOR 1261924A 1,343 5/23/2020 9058 MAXIMUM WELDING LLC TAYLOR 3481735A 680 4/14/2020 3365 PASTERN WILLIAM TAYLOR 4635620A 750 6/5/2020 5476 PERFECT PLACE DROP IN CENTER INC TAYLOR 5678056A 562 5/1/2020 8832 RAM ENVIRONMENTAL & CONSULTING SERVICES TAYLOR 5983134A 382 4/6/2020 8601 LLC RUHLIG JOHN TAYLOR 0911828A 750 5/10/2020 5645 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 163 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SIMPSON BROTHERS CONSTRUCTION INC TAYLOR 4215567A 1,087 5/12/2020 5645 0.95 SONS TRUCK AND TRAILER REPAIR LLC TAYLOR 5714494A 2,306 6/20/2020 8387 STERLING HAIR LLP TAYLOR 5874904A 641 6/8/2020 9586 TAILORED ASHALT LANDSCAPING SERVICES LLC TAYLOR 5991790A 825 5/2/2020 0042 TAYLOR AC INC TAYLOR 0071960A 795 4/1/2020 9058 WIX CARPET TAYLOR 4454685A 577 5/16/2020 9521 XG SECURITY SERVICES LLC TAYLOR 5231906A 4,767 4/14/2020 5191 1.00 CLARK LANE APARTMENTS LLC TECUMSEH 1736337A 972 6/13/2020 9015 0.95 MORGAN VALLEY FARM LLC TECUMSEH 0249971A 3,826 5/21/2020 8279 0.95 SUNSHINE POWER SPORTS INC TECUMSEH 5987482A 2,630 4/19/2020 8387 A 1 AFFORDABLE MASONRY LLC TEMPERANCE 5435927A 2,624 5/1/2020 5022 BEDFORD TOWNSHIP LIONS CLUB CHARITIES TEMPERANCE 5572681A 324 6/11/2020 8008 INC BRIGHTON CONSTRUCTION TEMPERANCE 5298628A 801 5/7/2020 5221 HANG IT ALL DRYWALL LLC TEMPERANCE 6004547A 750 6/15/2020 5445 JOHN MARCUM PROMOTIONS INC TEMPERANCE 2669609A 3,313 4/23/2020 8720 0.93 KARAS CRITTER CARE LLC TEMPERANCE 5553873A 395 4/29/2020 8831 LUTHERAN HOUSING SERVICES 8 NON PROFIT TEMPERANCE 2769115A 1,252 5/9/2020 9015 0.95 HOUSING CORPORATION PAUL HUEPENBECKER MASONRY TEMPERANCE 3420400A 825 5/31/2020 5022 SURESEAL TEMPERANCE 3354717A 5,600 4/13/2020 5551 0.92 VINTAGE FINDS & REDESIGN LLC TEMPERANCE 5990068A 414 4/26/2020 8017 LAWN CARE DISTRIBUTORS INC TERRE HILL, PA 5982626A 290 4/5/2020 8742 PROVIDENCE HEALTH CARE STAFFING INC THOMASVILLE, NC 3939308A 788 6/8/2020 8833 COLLINS AND COMPANY OF MICHIGAN THOMPSONVILLE 2105713A 750 5/15/2020 5190 TIGHT AREA TREE REMOVAL LLC THOMPSONVILLE 5987512A 750 4/19/2020 0106 DELT SERVICES LLC THORNTON, CO 6001661A 1,708 6/26/2020 0035 BERKHEIMER ENTERPRISES LLC THORNVILLE, OH 5866278A 1,624 5/19/2020 3365 BROOKWOOD FARMS THREE OAKS MI LLC THREE OAKS 4887867A 524 4/8/2020 0128 GRAHAM SERVICES LLC THREE OAKS 4229517A 2,540 6/17/2020 0106 0.95 THREE OAKS TOWNSHIP THREE OAKS 1452835A 4,275 4/13/2020 7904 0.93 HEV CON BUILDING AND REMODELING INC THREE RIVERS 4254953A 3,946 6/7/2020 5645 0.95 RELIABLE AFFORDABLE DEPENDABLE THREE RIVERS 2990180A 750 5/15/2020 5645 0.95 CONSTRUCTION INC RS SERVICE THREE RIVERS 3742075A 481 5/24/2020 5190 SMILLIE MIKE THREE RIVERS 0397687A 750 4/12/2020 5645 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 164 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADVANTAGE TRANSPORT LLC TIPTON 5697387A 800 4/1/2020 7208 BRANDVOLD BRIAN TIPTON 6001947A 750 6/6/2020 5645 D AND T CONSTRUCTION TIPTON 5859930A 750 4/27/2020 5645 HARDYS LLC TIPTON 0383236A 8,372 6/1/2020 0129 0.85 SAND LAKE VOLUNTEER FIRE DEPARTMENT TIPTON 0891754A 4,159 4/1/2020 7704 0.94 WILLIAMS FARMS TIPTON 2017814A 531 5/15/2020 0129 ALTERNATIVE STAFFING INC TOLEDO, OH 2882574A 84,006 5/30/2020 8392 2.14 13 % CYBERSHED INC TOLEDO, OH 5106877A 1,149 5/8/2020 8017 0.95 DOUGS HANDYMAN SERVICE TOLEDO, OH 5424208A 750 5/9/2020 5551 GREAT LAKES MEDICAL SERVICES LLC TOLEDO, OH 5575010A 317 6/30/2020 8832 IVY DEVELOPMENT AGENCY LLC TOLEDO, OH 5715121A 751 5/11/2020 5213 TOLEDO BUILDING SERVICES CO TOLEDO, OH 2270072A 8,956 6/14/2020 9015 0.90 TOTAL ENVIRONMENTAL SERVICES LLC TOLEDO, OH 3122948A 1,048 6/24/2020 5479 WILLSON INTERNATIONAL INC TONAWANDA, NY 0962546A 1,294 6/22/2020 8810 0.95 EAST COAST METROLOGY LLC TOPSFIELD, MA 4888227A 717 5/10/2020 8601 0.95 AESTHETICS PROFESSIONAL LAWNCARE LLC TRAVERSE CITY 5876524A 561 6/12/2020 9102 ANGEL CARE CHILD CARE INC TRAVERSE CITY 4716540A 3,889 5/1/2020 8869 1.00 ASHER PARK CUSTOM HOMES LLC TRAVERSE CITY 5560918A 11,261 5/13/2020 5645 0.93 BAY SPRAY ENTERPRISES INC TRAVERSE CITY 0430234A 1,434 4/7/2020 9015 0.95 BIG BAY PLUMBING AND HEATING LLC TRAVERSE CITY 5545110A 4,746 4/13/2020 5183 0.95 BRYANS INSURANCE AGENCY & FINANCIAL TRAVERSE CITY 4238672A 302 6/30/2020 8810 SECURITY OFFICE INC BUCS UNLIMITED CUSTOMER SERVICE LLC TRAVERSE CITY 5850002A 800 4/5/2020 5645 BUTCH STRAIT INSPECTIONS PLC TRAVERSE CITY 5391148A 346 6/10/2020 8720 CARLSON TREE SERVICE CO TRAVERSE CITY 5017440A 5,227 4/11/2020 0042 0.91 CEL CONSULTING LLC TRAVERSE CITY 4763416A 825 6/24/2020 6216 CHERRY BAY SPORTING SUPPLY LLC TRAVERSE CITY 4947959A 1,116 5/4/2020 8017 0.95 CHERRY CAPITAL CAB LLC TRAVERSE CITY 4437721A 2,893 5/8/2020 7220 0.95 CHERRYFLEX INC TRAVERSE CITY 0732974A 2,563 6/23/2020 6504 0.95 COAST MARINE DETAILING TRAVERSE CITY 5010063A 536 4/18/2020 8387 COBURN CONSTRUCTION INC TRAVERSE CITY 1095781A 750 5/16/2020 5645 0.95 CONCRETE EVIDENCE INC TRAVERSE CITY 1928759A 751 5/20/2020 5221 CONSTRUCTION MANAGEMENT CORPORATION TRAVERSE CITY 4956540A 750 4/25/2020 5645 COOLED LIGHTING LLC TRAVERSE CITY 5983240A 1,556 4/9/2020 5190 COTTONWOOD SPRINGS FARM LLC TRAVERSE CITY 4282566A 1,530 6/14/2020 0129 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COUNTY LINE FINISHING LLC TRAVERSE CITY 5865794A 750 5/18/2020 5445 CREATIVE DESIGN & SPACES LLC TRAVERSE CITY 5709172A 6,790 4/27/2020 0042 0.92 D AND D SIGNS INC TRAVERSE CITY 0716952A 4,794 4/26/2020 9559 0.92 DAILY STAFFING LLC TRAVERSE CITY 5553008A 5,327 5/1/2020 9015 0.95 E COPIA LLC TRAVERSE CITY 4786254A 216 6/7/2020 8810 EETKO BUILDERS LLC TRAVERSE CITY 5237343A 800 4/1/2020 5645 EL GRUPO NORTE YOUTH CYCLING TRAVERSE CITY 5559871A 1,263 5/12/2020 9015 FEKETE LUKE G TRAVERSE CITY 5725852A 750 6/22/2020 5645 GALLAGHERS CARPET AND FLOORING LLC TRAVERSE CITY 5988314A 556 4/23/2020 9521 GRAND BAY MOVING & STORAGE LLC TRAVERSE CITY 5719313A 2,040 6/6/2020 7214 GRAND TRAVERSE TOURS LLC TRAVERSE CITY 3029115A 4,090 4/22/2020 7212 0.88 GREAT LAKES EXPRESS DELIVERY LLC TRAVERSE CITY 5431115A 825 4/14/2020 8810 0.95 GREAT LAKES FORGE INC TRAVERSE CITY 1420704A 3,135 5/26/2020 3110 0.92 HAMMOND TREE SERVICE LLC TRAVERSE CITY 6000533A 3,418 5/31/2020 0106 HEPNER DRILLING SERVICES LLC TRAVERSE CITY 5999626A 505 6/1/2020 8742 HERITAGE SUSTAINABLE ENERGY LLC TRAVERSE CITY 3569446A 3,337 4/12/2020 7539 0.95 INHABITECT LLC TRAVERSE CITY 5133521A 2,405 5/24/2020 9102 0.95 JAW CONSTRUCTION TRAVERSE CITY 6003214A 800 6/11/2020 5645 JEREMY PAUPORE CONSTRUCTION LLC TRAVERSE CITY 5216990A 750 6/14/2020 5645 KM REAL ESTATE HOLDINGS CO LLC TRAVERSE CITY 5174449A 1,168 5/30/2020 8279 0.95 LAFAIVE RYAN TRAVERSE CITY 5276314A 750 5/12/2020 5645 LAKE ANN ENTERPRISES INCORPORATED TRAVERSE CITY 5126584A 294 4/12/2020 8810 LEO OCANAS FARM TRAVERSE CITY 1358014A 992 5/22/2020 0130 0.95 LINDCRAFT HOMES LLC TRAVERSE CITY 5400961A 903 5/4/2020 5606 0.95 MCLEOD BUSINESS SERVICES LLC TRAVERSE CITY 5989027A 297 5/6/2020 8601 MI WINDOW CLEANING LLC TRAVERSE CITY 6000312A 580 5/30/2020 9015 MILLWARD CUSTOM HOMES LLC TRAVERSE CITY 4765400A 841 4/25/2020 5645 0.92 MONKEY SUE ACRES LLC TRAVERSE CITY 5708591A 3,876 4/26/2020 8279 0.95 MONTERROSO KARINA TRAVERSE CITY 5853400A 750 4/11/2020 5645 MY SECRET STASH LLC TRAVERSE CITY 5990017A 622 4/26/2020 8017 NIELSEN CONSTRUCTION SERVICES LLC TRAVERSE CITY 5333040A 848 5/30/2020 5645 1.77 13 % NORTHERN MICHIGAN HARDSCAPES LLC TRAVERSE CITY 4679024A 2,155 5/7/2020 0042 NORTHWEST MICHIGAN REGIONAL FIRE TRAVERSE CITY 5125480A 753 4/16/2020 8868 TRAINING CENTER NORTHWOODS LANDSCAPING AND SUPPLY LLC TRAVERSE CITY 3196119A 750 6/11/2020 0042

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OHLERT SERVICES LLC TRAVERSE CITY 5706734A 584 4/20/2020 5183 OLIV SUP INC TRAVERSE CITY 6001874A 596 6/5/2020 6836 OTTAWAY OUTFITTERS LLC TRAVERSE CITY 5721814A 3,394 5/1/2020 7380 PAUL OGRADY BUILDER TRAVERSE CITY 1310917A 750 4/18/2020 5190 PETES CUSTOM CONCRETE INC TRAVERSE CITY 5140439A 5,732 5/2/2020 5022 PRECISION CONCRETE CUTTING AND TRAVERSE CITY 5399041A 5,690 6/28/2020 5215 0.93 DEMOLITION LLC PREFERRED ROOFING SERVICES LLC TRAVERSE CITY 5415721A 31,215 6/19/2020 5551 0.82 PREMIER OUTDOORS TRAVERSE CITY 5984440A 1,098 4/11/2020 9402 READ TREE SERVICE INC TRAVERSE CITY 4739884A 9,068 4/16/2020 0106 0.89 SAIL AND POWERBOAT RENTAL TRAVERSE CITY 3181359A 1,578 6/5/2020 6836 0.95 SCHILLINGER FORESTRY LLC TRAVERSE CITY 5404592A 1,822 5/13/2020 0005 SUNSET TREE REMOVAL LLC TRAVERSE CITY 5256437A 9,535 4/1/2020 0106 0.87 SUNSET WATERSPORTS INC TRAVERSE CITY 3030342A 1,738 5/28/2020 6836 0.95 TC WATERSPORTS LLC TRAVERSE CITY 3955133A 1,117 5/30/2020 6836 0.95 THOMAS DANIEL TRAVERSE CITY 5993610A 750 5/9/2020 5551 UNDER COVER OASIS LLC TRAVERSE CITY 5996481A 5,621 5/23/2020 5538 WARREN ORCHARDS LLC TRAVERSE CITY 0080659A 2,327 6/1/2020 0130 0.98 WILLETTE DANIEL J TRAVERSE CITY 2143399A 750 4/25/2020 5476 WOODLAND DESIGNS LLC TRAVERSE CITY 4244680A 750 4/14/2020 5645 ZAK SERVICES LLC TRAVERSE CITY 5632510A 584 6/19/2020 5183 A D E A L LLC TRENTON 4959230A 3,274 4/6/2020 5606 0.95 D AND G TRENTON LLC TRENTON 5376327A 754 6/1/2020 9058 0.95 DICLAUDIO CONSTRUCTION CO INC TRENTON 2443473A 750 6/4/2020 8810 GERISH HOMES LLC TRENTON 5143713A 630 5/24/2020 9015 LIQUID SOLID WASTE REDUCTION INC TRENTON 1615998A 750 4/5/2020 4511 MERRITT INTERIORS TRENTON 1738860A 800 5/2/2020 5476 MHI INC TRENTON 0542466A 750 6/1/2020 3724 PERFECT CUT LAWN CARE INC TRENTON 1073761A 826 5/5/2020 0042 WEP HOLDINGS INC TRENTON 3725332A 654 6/20/2020 0908 JARVI AMY TROUT CREEK 5997658A 561 5/21/2020 9102 WAYBRANT LOGGING TROUT LAKE 0093033A 750 6/27/2020 2702 ADVANCED STOREFRONTS INC TROY 1943251A 1,051 5/2/2020 5462 0.95 ALL SEASONS SUN ROOMS PLUS LLC TROY 5993695A 750 5/9/2020 5645 ALLSTATE CONSTRUCTION COMPANY TROY 0334600A 779 6/18/2020 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AMERICAN CHINESE SCHOOL OF GREATER TROY 5599610A 679 5/10/2020 8868 DETROIT APEX CLEANING SERVICES LLC TROY 6000517A 6,625 6/1/2020 8835 AWECOMM TECHNOLOGIES LLC TROY 3377016A 216 5/7/2020 8810 0.95 BARAN BUILDING COMPANY INC TROY 3032450A 5,954 4/8/2020 5645 1.25 13 % BERRY CHRISTOPHER TROY 1151274A 750 6/10/2020 5645 BLOOMINGDALE CUSTOM HOMES INC TROY 5865220A 393 5/16/2020 5606 BRANHAM ANTHONY J TROY 4209265A 750 6/2/2020 5645 C AND C TILE TROY 0240710A 750 4/21/2020 5348 C J KOMASARA CONSTRUCTION TROY 1477820A 750 4/20/2020 5437 CAPITOL PAINTING INC TROY 3694909A 750 6/12/2020 5476 0.95 CARPENTER CASSANDRA TROY 5534224A 328 6/22/2020 0908 COVAL JEFFREY R TROY 3344029A 261 5/23/2020 8820 D AND M SERVICE & DESIGN INC TROY 4352203A 595 6/7/2020 3724 DEARBORN TOWN & COUNTRY CONDOMINIUM TROY 0857777A 580 4/3/2020 9015 ASSOCIATION DEDICATED FLOOR HOLDINGS LLC TROY 2707470A 800 6/1/2020 5348 DJC PROPERTY MANAGEMENT INC TROY 5974259A 1,190 4/1/2020 0042 DWYER CONSTRUCTION LLC TROY 3918246A 750 4/30/2020 5645 ELEGANCE CLEANING & SOLUTIONS SERVICES TROY 6000088A 655 5/29/2020 9015 LLC EPK CONSTRUCTION CO TROY 3458997A 750 6/28/2020 5551 0.95 FAIRVIEW CONSTRUCTION INC TROY 5127297A 3,274 4/30/2020 5606 0.93 FAITH WORK INC TROY 4465385A 409 4/21/2020 8017 FLO ELE FIL INC TROY 5305837A 750 6/1/2020 7208 G AND B TILE & CARPENTRY TROY 5850053A 750 4/6/2020 5348 G BONKOWSKI BLDG CO TROY 1884786A 750 6/26/2020 5437 GENUINE CONTRACTING COMPANY LLC TROY 5053714A 2,317 4/25/2020 5437 0.95 GLOBAL DIVERSIFIED SOLUTIONS LLC TROY 5406870A 305 5/21/2020 8742 GRAYLING HATCHERY INC TROY 5968224A 543 4/12/2020 0034 HAIDER ENTERPRISES INC TROY 1953656A 1,595 6/28/2020 9058 0.95 HOMEFORM CORP TROY 2838605A 849 4/17/2020 5190 0.95 HOPE MATTHEW TROY 4769090A 1,575 6/2/2020 0913 0.95 HR PAYROLL INC TROY 5797233A 125,438 4/1/2020 4244 IFIX ELECTRICAL ENTERPRISE LLC TROY 5881617A 481 6/30/2020 5190 IFS LOGISTICS LLC TROY 5999871A 750 5/29/2020 7208 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 168 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge INTELLITECH SYSTEMS INC TROY 5411645A 2,049 5/15/2020 5190 0.95 J AND B TRANSPORTATION INC TROY 3210936A 2,067 4/22/2020 7212 0.95 J MICHAEL BUILDING COMPANY TROY 3740900A 750 5/8/2020 5645 JACKSON SARALEE TROY 5998018A 573 5/23/2020 0913 JST ENTERPRISE LLC TROY 3163059A 580 4/1/2020 9015 KIEZI PROPERTIES BG LLC TROY 5981654A 630 5/9/2020 9015 KURTENBACH INVESTMENTS LC TROY 4589866A 1,910 6/2/2020 9015 0.95 LUDOVIK PAINTING LLC TROY 3151336A 1,746 6/14/2020 5476 M J GLYNN INC TROY 1902890A 830 4/13/2020 8810 MAPLE PARK CONDOMINIUM ASSOCIATION TROY 5872340A 580 6/1/2020 9015 MCCOMB CONSTRUCTION CO INC TROY 0467561A 805 4/19/2020 5606 0.95 MIKES CONTRACTING SERVICES LLC TROY 5153085A 750 6/12/2020 5348 0.95 MJ CONSTRUCTION INC TROY 5127750A 750 4/17/2020 5445 MMM MI I LLC TROY 5878772A 8,943 5/4/2020 7214 MPI OF MICHIGAN INC TROY 0764957A 793 5/10/2020 8868 0.95 NORTHERN BUILDING GROUP LLC TROY 5025117A 801 5/16/2020 8810 1.41 NORTHERN LANDSCAPE SERVICES LLC TROY 2090880A 852 5/11/2020 9102 0.95 P AND L REAL ESTATE MANAGEMENT INC TROY 5987601A 829 4/19/2020 7421 PAVLICK MARTIN G TROY 0767476A 276 6/22/2020 8810 PROFESSIONAL THERAPY SOLUTIONS LLC TROY 4569431A 7,065 4/22/2020 8832 0.86 PROMISE CARE SOLUTIONS LLC TROY 5982014A 1,325 4/4/2020 8835 PULSE INDUSTRIES INC TROY 5983304A 472 4/9/2020 5191 R I T A CARPENTRY LLC TROY 4055047A 721 4/15/2020 5538 RELIABLE THERAPY SERVICES LLC TROY 5618339A 4,406 5/23/2020 8835 0.92 RESERVE AT NORTHVILLE RIDGE CONDOMINIUM TROY 5027390A 580 5/1/2020 9015 ASSOCIATION RIDGE HILL ESTATES CONDOMINIUM TROY 5988225A 580 4/23/2020 9015 ASSOCIATION RMR CONSTRUCTION LLC TROY 4978994A 800 4/21/2020 5645 RONS CLEANING LLC TROY 5454450A 580 5/29/2020 9015 0.95 ROZNER CODY TROY 5869625A 1,202 5/30/2020 0913 RYLYNN DIRMER TROY 5988950A 573 5/11/2020 0913 SANDALWOOD SOUTH CONDOMINIUMS TROY 1752871A 580 4/15/2020 9015 ASSOICATION SANDERS LOGAN TROY 5308852A 573 6/22/2020 0913 SIX YS INC TROY 4370384A 2,434 6/29/2020 9058 1.00 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 169 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SWIFT SERVICES 1 LLC TROY 3799867A 750 4/27/2020 5645 T AND T DESIGNS & CONSTRUCTION LLC TROY 3913325A 1,376 5/17/2020 5645 0.95 TG SERVICES LLC TROY 4239555A 694 6/15/2020 9015 0.95 THREE TS MASONRY TROY 5998077A 750 5/22/2020 5022 TROY 18 WIRELESSES INC TROY 5862329A 539 5/4/2020 8017 TROY BLACK BELT ACADEMY INC TROY 0141780A 610 6/22/2020 9063 TROY GYMNASTICS INC TROY 4181808A 10,088 6/27/2020 9063 0.85 U SAVE RENTAL INC TROY 2811774A 536 4/24/2020 8387 0.95 UNITED PROFESSIONAL SOLUTIONS LLC TROY 5987822A 485 4/22/2020 8810 USMFG INC TROY 5539609A 5,693 4/29/2020 4024 0.95 W D BAKER CO TROY 1687611A 750 5/19/2020 5437 WOODSON EDUCATION LLC TROY 5543975A 374 4/9/2020 8868 XIN POINT NORTH AMERICA INC TROY 5126932A 2,224 4/22/2020 8810 0.95 B AND B TRANZ LLC TRUFANT 5857554A 800 5/31/2020 7208 NORTH AMERICAN INSULATION & ENERGY LLC TUSTIN 4779924A 1,341 6/21/2020 5476 0.95 AQUATIC KA MARINE LLC TWIN LAKE 2443961A 1,547 5/1/2020 6834 0.95 J AND I CONSTRUCTION TWIN LAKE 3199282A 2,058 6/18/2020 5645 0.95 PAINTERS EDGE LLC TWIN LAKE 3934772A 1,101 6/20/2020 5476 TWIN LAKE TAVERN LLC TWIN LAKE 0608475A 460 4/6/2020 9058 ATLAS EXTERIORS & INSULATION INC TWINING 5868009A 750 5/25/2020 5645 FOREST CITY ERECTORS INC TWINSBURG, OH 0980056A 3,976 4/1/2020 5040 0.95 HOLBROOK CONSTRUCTION INC UBLY 3187110A 750 4/30/2020 0042 SOUTHEAST PUBLIC SAFETY AUTHORITY UNION 3998738A 13,463 4/1/2020 7904 0.85 GANOS ENTERPRISES UNION LAKE 0720330A 894 4/12/2020 5476 0.95 GOLDBERG JEFFREY UNION PIER 5855748A 829 4/18/2020 0908 ALLEN INSTALLATIONS LLC UTICA 3731499A 825 4/13/2020 3724 BORDATO CO LLC UTICA 4922620A 750 6/19/2020 5479 FRONTGATE VENTURES LLC UTICA 5393086A 5,022 4/2/2020 5606 0.95 GLASS ACT SERVICES INC UTICA 5146747A 767 6/1/2020 9015 0.95 HAGEN INSULATION INC UTICA 2702630A 750 5/1/2020 5479 MY ONE PAINTER UTICA 5725240A 800 6/17/2020 5476 OASIS CUSTOM POOLS AND SPAS INC UTICA 5302102A 3,063 5/11/2020 9015 0.95 PANETTA CONSTRUCTION LLC UTICA 4438574A 948 4/1/2020 5606 STONEWYCK LLC UTICA 6008283A 826 6/27/2020 0042 TRIPA JOHN UTICA 5702127A 750 4/13/2020 5437 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 170 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MILMAR POST BUILDINGS LLC VALPARAISO, IN 6000258A 1,332 5/30/2020 5403 ARCMINUTE MARKETING LLC VAN BUREN TWP 5980062A 446 4/1/2020 8810 SHANES LAWN CARE AND LANDSCAPING LLC VAN BUREN TWP 5856957A 2,316 4/12/2020 0042 KINGDOM HOME BUILDERS LLC VANDALIA 5511496A 750 4/8/2020 5645 0.92 A CUT ABOVE TREE SERVICE VASSAR 5013038A 3,783 6/21/2020 0106 0.92 CALLAHAN ELECTRIC LLC VASSAR 5991366A 1,104 5/3/2020 5190 FRANKENMUTH DRYWALL VASSAR 5990378A 751 4/26/2020 5445 GONDA CUSTOM SIDING & DECKS VASSAR 3496350A 750 5/18/2020 5551 KURT RODAMMER BUILDER VASSAR 4210085A 750 5/10/2020 5645 MID MICHIGAN TREE SERVICE LLC VASSAR 4630998A 1,823 6/30/2020 0106 0.95 RADTECH X RAY INC VASSAR 0357634A 361 4/27/2020 5191 BUILD MASTERS TRUCKING INC VERMONTVILLE 4739396A 7,437 4/14/2020 7208 0.90 KINGS DISPOSAL LLC VESTABURG 3122344A 3,337 5/8/2020 7213 DOG DAYS LLC VICKSBURG 5553946A 345 4/29/2020 8831 NJW ELECTRIC LLC VICKSBURG 5569818A 481 6/4/2020 5190 STRONG TRUCKING LLC VICKSBURG 5715571A 800 5/12/2020 7208 RE RY LLC VIENNA, VA 5702780A 320 4/17/2020 8810 PLZENSKY SOKOL OF CHICAGO INC VILLA PARK, IL 1581899A 658 6/6/2020 9058 COMMUNICATION WORKERS OF AMERICA LOCAL VULCAN 1691309A 260 4/6/2020 8755 NO 4025 DEBAKKER CONSTRUCTION VULCAN 2728206A 750 5/15/2020 5645 J Z NUISANCE CONTROL INC VULCAN 5762901A 720 5/24/2020 9402 JM STEEL INC VULCAN 4947410A 5,851 6/27/2020 5040 0.95 MILLIGAN STEPHEN VULCAN 1519441A 750 6/24/2020 2702 RAYMOND HEWLETT TRUCKING INC VULCAN 4111478A 750 6/21/2020 7208 SENIOR REHAB AND FITNESS LLC VULCAN 4687795A 342 4/3/2020 8832 UNITED ABRASIVE INC VULCAN 0356948A 7,520 4/23/2020 1438 1.14 CJ MISKY TRUCKING INC WAKEFIELD 3940373A 752 5/17/2020 8810 RADOWSKI INCORPORATED WAKEFIELD 5412242A 5,508 6/10/2020 7208 0.95 MARKS MOBILE HOME SERVICE & SUPPLY INC WALBRIDGE, OH 5854679A 606 4/14/2020 8387 FIND IT DETECTION DOGS LLC WALDEN, CO 5271169A 345 5/4/2020 8831 NOLAN CONTRACTING INC WALES 4842685A 750 6/27/2020 6217 0.95 STI CARPENTRY INC WALES 5834260A 750 4/11/2020 5645 A AND K TILE AND INTERIORS LLC WALKER 4952391A 750 5/2/2020 5348 HBR SOLUTIONS LLC WALKER 5871034A 250 5/31/2020 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge J MARTINEZ CONSTRUCTION LLC WALKER 5168953A 7,372 4/5/2020 5551 0.83 LANGLAND JOSHUA WALKER 5995000A 750 5/14/2020 5645 MARKS PROFESSIONAL TREE SERVICE LLC WALKER 4684257A 751 4/19/2020 0106 0.95 FOUR SEASONS LANDSCAPING WALKERVILLE 5993202A 906 5/8/2020 0042 T DIAMOND BAR LLC WALLA WALLA, WA 6001300A 4,032 6/5/2020 5213 ERICKSON PERRY R WALLACE 1849603A 750 6/4/2020 2702 FJ LOGGING WALLACE 5840554A 750 4/18/2020 2702 ALL AMERICAN CEMENT 2 LLC WALLED LAKE 5407443A 2,811 5/25/2020 5221 0.95 ANNABELCOOKS LLC WALLED LAKE 4976592A 497 5/27/2020 9058 1.00 COMPLETE AUTO & TRUCK REPAIR INC WALLED LAKE 6007104A 505 6/22/2020 8395 DYNAMIC HOME SERVICES LLC WALLED LAKE 4763181A 825 4/18/2020 5348 EOTERRA LLC WALLED LAKE 5275075A 385 5/28/2020 8810 INY CONSTRUCTION LLC WALLED LAKE 5148235A 874 6/4/2020 5645 0.95 KARNAKIS CONSTRUCTION & MAINTENANCE WALLED LAKE 3499502A 800 5/1/2020 5476 L AND E MARBLE AND GRANITE LLC WALLED LAKE 5877296A 2,670 6/14/2020 5348 MCINTOSH LTD WALLED LAKE 1817574A 4,126 5/1/2020 5551 0.94 NATHAN CONTRACTING GROUP LLC WALLED LAKE 4840852A 291 4/11/2020 8810 RED AND BLACK PAINTING LLC WALLED LAKE 5700159A 750 4/7/2020 5476 STANDARD HOME BUILDERS OF MICHIGAN INC WALLED LAKE 2821940A 750 4/18/2020 5403 C AND B DRYWALL WALLOON LAKE 3473864A 750 6/13/2020 5445 WALLOON SAILORS INC WALLOON LAKE 2858800A 571 6/17/2020 6836 ACCU RIG INDUSTRIAL SERVICES LLC WARREN 4177169A 804 6/10/2020 3724 0.95 ACOUSTIC FIBER TECHNOLOGIES INC WARREN 5980070A 524 4/1/2020 8810 ADEP CONSTRUCTION WARREN 3814440A 10,192 6/10/2020 5551 0.93 ALBA STONE LLC WARREN 6003940A 580 6/13/2020 9015 ALL AMERICAN ELECTRIC INC WARREN 3880664A 531 6/8/2020 5190 0.95 ALL STAR CONSTRUCTION INC WARREN 3293360A 1,648 5/17/2020 5437 0.95 ALLIED SIDING & WINDOWS INC WARREN 2306263A 1,136 5/29/2020 5403 AMERICAN RESTORATION LLC WARREN 6005942A 779 6/20/2020 5476 APPLE SCREENING LLC WARREN 2705796A 301 5/9/2020 8810 ARD CONSTRUCTION LLC WARREN 5856892A 751 4/23/2020 5437 ASPRA WORLD INC WARREN 5456851A 2,386 4/27/2020 3146 0.95 BAKERS FLOORING WARREN 4605225A 556 4/5/2020 9521 BEL AIR RACING GROUP WARREN 1769383A 1,373 5/6/2020 9015 0.95 BICE AND SONS CONSTRUCTION WARREN 5482909A 750 4/19/2020 5022 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 172 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BLUE SKIES ENERGY LLC WARREN 4459997A 3,041 5/11/2020 7502 0.95 BUTCHER BOY FOODS WARREN 1692003A 560 6/7/2020 8031 C AND J PARKING LOT SWEEPING INC WARREN 1815571A 266 4/30/2020 8810 CC UNITED LLC WARREN 5872324A 1,623 6/1/2020 7600 CHAMPION TREE CARE INC WARREN 5410258A 4,203 6/4/2020 0106 0.95 CHRISTIANS ENTERPRISE WARREN 5991218A 2,471 5/15/2020 7206 DAN MAR CONSTRUCTION WARREN 4202244A 750 4/6/2020 5348 DANA EXPRESS SERVICE WARREN 5398053A 750 4/23/2020 5645 DAVE POMAVILLE & SONS INC WARREN 0486922A 25,244 5/1/2020 5538 1.63 13 % DETROIT AERIAL CLEANING INC WARREN 5422337A 4,160 4/1/2020 9015 0.95 EA PETRO 2 INC WARREN 5865808B 589 5/25/2020 8017 EZEL TRUCKING INC WARREN 5714648A 2,057 5/15/2020 7208 0.95 F AND L CONSTRUCTION LLC WARREN 5142334A 2,633 5/21/2020 5610 0.95 FAS DESIGN WARREN 5405530A 750 6/6/2020 5348 FENCE CONNECTION WARREN 1926047A 750 5/30/2020 6400 FLOORS A GO GO WARREN 4471040A 750 5/17/2020 5437 FRONT PAGE DELI WARREN LLC WARREN 4852095A 847 6/17/2020 9058 FUZZY FRIENDS GROOMING INC WARREN 4508688A 1,173 5/30/2020 8831 1.00 G AND G MASON CONTRACTORS WARREN 3349454A 750 6/28/2020 5022 GOOD CHOICE CONSTRUCTIONS INC WARREN 4357434A 800 6/12/2020 5551 GREEN TURF OUTDOOR SERVICES LLC WARREN 5702208A 561 4/12/2020 9102 H OF F BILLIARDS INC WARREN 1537601A 333 5/16/2020 9058 HALF PINT INDUSTRIES WARREN 4166272A 750 6/14/2020 5437 ICD DRYWALL & PLASTER LLC WARREN 3582701A 2,331 4/21/2020 5445 0.95 ILLYRIAN GLASS & SHELF LLC WARREN 4171330A 802 4/14/2020 8810 INFINITY TRANSPORTATION INC WARREN 5270189A 830 5/13/2020 8810 0.95 INVECAST CORPORATION WARREN 2017369A 286 6/21/2020 3341 JACOBSON PAINTING INC WARREN 4151810A 1,721 5/18/2020 5476 0.95 JOHN R SPRING SERVICE INC WARREN 0576123A 7,184 6/16/2020 9015 0.95 KL RESTORATION INC WARREN 2906708A 750 5/25/2020 5437 M V KULIN HOMES INC WARREN 3778878A 753 5/9/2020 5606 MED CARE HOME HEALTH CARE INC WARREN 5282306A 2,839 6/24/2020 8835 0.95 MERCURIOS FOOD SPECIALTIES INC WARREN 2114763A 528 5/14/2020 9058 METRO METAL CORPORATION WARREN 5146917A 344 5/31/2020 8742 MILLER EVAN WARREN 5877920A 580 6/20/2020 9015 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 173 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MJM RESTORATION LLC WARREN 4651537A 1,280 4/29/2020 9015 0.95 MTP PROPERTY CONSULTING INC WARREN 4928156A 1,717 5/24/2020 9015 0.95 MYV TRANSPORT LLC WARREN 6002129A 750 6/7/2020 7208 NORBERT CONSTRUCTION WARREN 5278210A 750 6/7/2020 5645 PARAMOUNT CONSORTIUM LLC WARREN 4527720A 750 5/16/2020 5551 1.00 PASSMORE 2 LLC WARREN 5997020A 1,516 5/18/2020 7720 PAUL TRUCKING INC WARREN 6001475A 750 6/5/2020 7208 PAYNE IN THE GLASS LLC WARREN 2118211A 750 4/23/2020 5645 PEST TECH SERVICES INC WARREN 4743130A 1,189 4/23/2020 9015 0.95 PFROMM TODD WARREN 5696771A 1,076 4/18/2020 5645 PISANI CONTRACTING WARREN 5286727A 917 5/22/2020 5022 0.95 PRIMARY ELECTRICAL LLC WARREN 4305850A 759 4/4/2020 5190 0.95 RNP ROOFING LLC WARREN 4784510A 11,862 6/4/2020 5551 0.93 ROADSTAR LLC WARREN 4757149A 2,551 6/5/2020 7208 0.89 S A T HOME IMPROVEMENT LLC WARREN 5980402A 750 4/1/2020 5645 SEBASTIAN KRSZYNA LLC WARREN 5455421A 755 6/12/2020 5476 SHAZ ENTERPRISES INC WARREN 3771407A 2,186 5/28/2020 8017 0.95 SUPERIOR BROTHERS WARREN 5822955A 580 6/22/2020 9015 SUPERIOR LIVING INC WARREN 4151607A 580 4/24/2020 9015 SYLLABLE INC WARREN 5409136A 1,648 6/6/2020 8010 0.95 THIRTY THOUSAND 51 SCHOENHERR LLC WARREN 6005624A 630 6/20/2020 9015 TRANS UA LLC WARREN 5982650A 3,020 4/5/2020 7208 W D P INC WARREN 1446991A 750 4/4/2020 5551 WARREN PIZZERIA INC WARREN 5713870A 3,604 5/9/2020 9058 0.95 WARREN THERAPY INC WARREN 4841603B 763 5/6/2020 8832 0.95 WITH LOVE HOMECARE INC WARREN 4606531A 4,161 6/29/2020 8835 0.95 ZZ SERVICES WARREN 5992320A 750 5/4/2020 5476 ALL SEASONS ROOFS LLC WASHINGTON 5738970A 800 5/24/2020 5479 ASSURED SERVICES LLC WASHINGTON 4364864A 751 6/29/2020 0042 BROADSCOPE CONSTRUCTION LLC WASHINGTON 5991242A 750 5/1/2020 5437 CASTLEMARK HOMES INC WASHINGTON 2567172A 750 6/29/2020 5645 DELRAY HOMES INC WASHINGTON 2922916A 837 5/16/2020 5606 DIRT CONNECTION INC WASHINGTON 2817608A 1,077 4/18/2020 5221 ERFOURTH DENNIS M WASHINGTON 4872070A 750 6/26/2020 5645 EURO RA CONSTRUCTION INC WASHINGTON 4076664A 1,036 6/14/2020 5437 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 174 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FIELD TRIPS UNLIMITED INC WASHINGTON, IL 5568730A 334 6/1/2020 8810 GREENPEACE INC WASHINGTON, DC 2525658A 228 4/29/2020 8742 HIDDEN VALLEY BUILDING CO LLC WASHINGTON 5117909A 750 4/5/2020 5645 J T QUALITY PAINTING LLC WASHINGTON 3623254A 750 5/11/2020 5476 JAMES P CONTRACTING INC WASHINGTON 1042238A 2,375 6/2/2020 5606 0.95 KONNIE ROOFING WASHINGTON 4995082A 750 6/19/2020 5551 LEVEL ONE ACOUSTICAL INC WASHINGTON 3301761A 750 4/9/2020 5020 M L P PAINTING INC WASHINGTON 4406508A 751 5/13/2020 8810 PETERS FOR MICHIGAN WASHINGTON, DC 4998782A 441 4/17/2020 8742 0.95 PRECISE CONSTRUCTION LTD WASHINGTON 0791849A 750 6/29/2020 5645 PRESTIGE MASONRY WASHINGTON 5868181A 750 5/25/2020 5022 V AND G BUILDING COMPANY LLC WASHINGTON 1247760A 750 6/20/2020 5645 0.95 WASHINGTON LAWN MAINTENANCE WASHINGTON 5850851A 780 5/1/2020 9102 GARY IOPPOLO TRUCKING LLC WASHINGTON TWP 4069013A 750 5/13/2020 7208 IMMACULAWN LLC WASHINGTON TWP 5720427A 1,098 5/27/2020 9102 M J I QUALITY PAINTING WASHINGTON TWP 0714810A 750 6/27/2020 5476 MARITIME MARINE CONSTRUCTION INC WASHINGTON TWP 4616871A 4,166 4/18/2020 6217 0.94 MICHAELANGELO HOMES LLC WASHINGTON TWP 4646975A 750 6/28/2020 5645 0.95 NATIONWIDE INDUSTRIAL COATINGS WASHINGTON TWP 3093859A 750 6/7/2020 5221 PLUMBING EXPERTS LLC WASHINGTON TWP 5559235A 584 5/11/2020 5183 S AND F ENTERPRISES LLC WASHINGTON TWP 3497712A 5,082 5/9/2020 9058 0.88 T AND C TRIM INC WASHINGTON TWP 1898809A 750 4/30/2020 5437 TNT HOME IMPROVEMENT INC WASHINGTON TWP 2642654A 750 4/13/2020 5645 WILLIAMS HISTORIC RESTORATION INC WASHINGTON TWP 5464293A 5,140 5/15/2020 5437 0.92 ZIENERT SPRINKLERS INC WASHINGTON TWP 1523341A 584 6/11/2020 5183 A F BELLISARIO INC WATERFORD 3829448A 750 4/7/2020 5403 AG DRYWALL LLC WATERFORD 3438112A 1,232 6/17/2020 5445 ALEXANDER STEEL LLC WATERFORD 6005586A 3,378 6/19/2020 5538 AWS AFFORDABLE WINDOWS LLC WATERFORD 2995921A 750 6/28/2020 5645 BAKER BLAKE WATERFORD 6002528A 228 6/8/2020 8742 BRAGG DEMOLITION LLC WATERFORD 6001394A 773 6/5/2020 5610 BRIGHT LOOKS PAINTING & BASEMENT WATERFORD 3222179A 4,255 5/15/2020 5445 0.95 REMODELING INC BURNSFIELD CONSTRUCTION LLC WATERFORD 4901231A 1,401 6/17/2020 5645 0.95 CASILLAS CONSTRUCTION WATERFORD 4856430A 936 4/1/2020 5022 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CJ MOORE CUSTOM HOMES LLC WATERFORD 2876710A 800 4/6/2020 5403 COBOS BARRON IGNACIO WATERFORD 3403831A 800 6/7/2020 5445 COLEMANS PROFESSIONAL LANDSCAPING LLC WATERFORD 5850045A 750 4/6/2020 0042 CORPORATE OPTICS LLC WATERFORD 4355679A 892 4/1/2020 8742 0.84 CREW AND MGT SVCS LLC WATERFORD 5721733A 1,380 6/3/2020 7422 DAVID W LUCIW DDS WATERFORD 1253506A 310 5/16/2020 8832 DCT AVIATION LLC WATERFORD 5489326A 4,648 4/20/2020 7422 0.95 DDA WINDOWS WATERFORD 3458989A 750 5/18/2020 5645 DOING IT RIGHT CLEANING LLC WATERFORD 5439493A 580 6/21/2020 9015 DOUBLE PANE WINDOW CLEANING LLC WATERFORD 5538033A 1,996 5/4/2020 9015 0.95 ELEGANT FLOORS LLC WATERFORD 3884210A 388 4/28/2020 8017 ENVIRONMENTAL AFFAIRS LLC WATERFORD 5256402A 1,595 4/1/2020 9015 0.95 G A SLADE EXCAVATING WATERFORD 1392786A 750 5/13/2020 6217 GD CONSTRUCTION LLC WATERFORD 3171710A 800 6/12/2020 5551 GOOD FELLAS TOWING WATERFORD 5984092A 1,704 4/11/2020 7208 GORAL CONSTRUCTION LLC WATERFORD 4882237A 750 5/21/2020 5645 GRAPES AND HOPS MARKET INC WATERFORD 1210408A 339 6/20/2020 9058 IRONS PLUMBING WATERFORD 4516320A 1,731 4/19/2020 5183 0.95 J CRABB ROOFING WATERFORD 5255805A 825 4/1/2020 5551 0.95 JAKE RYAN LANDSCAPE GROUP LLC WATERFORD 5857880A 965 4/22/2020 0042 JAM CUSTOM CARPENTRY WATERFORD 5396476A 800 5/8/2020 5645 JDO MASONRY WATERFORD 0952923A 750 5/25/2020 5022 JOES GREAT AMERICAN TREE AND LAWN CARE WATERFORD 4272676A 2,697 6/26/2020 0042 1.00 LLC JS FIX WATERFORD 3856682A 750 5/26/2020 5476 K AND J CLEANING INC WATERFORD 3783642A 580 5/20/2020 9015 KELTIC CONSTRUCTION INC WATERFORD 3337499A 750 4/20/2020 5437 KEVIN R ESSIAN INC WATERFORD 4428366A 750 4/15/2020 5476 LAS MEXICANAS INC WATERFORD 5494958A 608 5/1/2020 8006 0.95 MAGNUM HELICOPTERS LLC WATERFORD 5723965A 1,280 6/14/2020 7422 MAPLE ROOFING CONSTRUCTION INC WATERFORD 3636151A 2,541 4/7/2020 5551 0.95 MASTER SWEEP CHIMNEY SERVICE LLC WATERFORD 5835712A 4,353 5/1/2020 5022 MILOS PLASTER RESTORATION LLC WATERFORD 3977803A 750 4/12/2020 5445 NEW CREATION HOMES INC WATERFORD 5156645A 825 6/22/2020 5403 NORTHERN PAINTING COMPANY LLC WATERFORD 5706807A 2,123 4/21/2020 5476 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OAK POINTE WOODS ASSOCIATION WATERFORD 3573370A 581 5/1/2020 9015 OAKLAND FIREPLACE INC WATERFORD 2946980A 750 4/11/2020 5550 OVERHEAD DOOR NORTH RESIDENTIAL INC WATERFORD 1610341A 795 4/16/2020 3724 0.95 OVERHEAD DOOR WEST COMMERCIAL INC WATERFORD 1610341B 644 4/16/2020 3724 0.95 PODCARE PC WATERFORD 3318826A 474 4/30/2020 8832 POHL CATS STUMP GRINDING INC WATERFORD 5392080A 750 4/1/2020 0106 POWER PRO PAINTING WATERFORD 4908058A 750 6/20/2020 5476 R AND P DRAIN CLEANING WATERFORD 5409918A 584 6/4/2020 5183 RELIABLE OUTDOOR MAINTENANCE LLC WATERFORD 5877903A 720 6/19/2020 9102 RLR CONSTRUCTION WATERFORD 2840332A 750 6/25/2020 5551 ROBOCUT WATERFORD 4733819A 720 4/8/2020 9102 ROOFING DEPOT LLC WATERFORD 3036553A 805 6/8/2020 8810 ROOFING SOLUTIONS LLC WATERFORD 4470273A 750 5/14/2020 5551 RSC PAINTING LLC WATERFORD 5604826A 1,820 5/24/2020 5476 SANICK PROPERTIES INC WATERFORD 3769143A 1,064 4/27/2020 5445 STANDISH HOME FOR THE ELDERLY LLC WATERFORD 2367165A 498 5/25/2020 9053 SUNLIGHT CONSTRUCTION WATERFORD 2247674A 750 5/22/2020 5437 SUPERIOR STONEWORK LLC WATERFORD 2252139A 750 5/16/2020 5022 SUSANS WORLD PAINTING INC WATERFORD 5569435A 750 6/3/2020 5476 T E C CONSTRUCTION INC WATERFORD 1873709A 1,659 5/24/2020 5645 TGA ASSOCIATES LLC WATERFORD 2187663A 750 4/11/2020 5645 TRIDENT PLUMBING LLC WATERFORD 4190033A 584 5/31/2020 5183 UNDERCUTTERS TREE REMOVAL LLC WATERFORD 5867690A 8,410 5/24/2020 0106 VELO CAB LLC WATERFORD 5997593A 674 5/21/2020 7220 VESSELIN CONSTRUCTION WATERFORD 3455920A 800 5/8/2020 5403 WATKINS LAKEFRONT OWNERS ASSOC WATERFORD 0948870A 1,182 5/11/2020 0005 0.95 WOODHULLS LAWN CARE WATERFORD 5864399A 720 5/12/2020 9102 CEDAR SWAMP CARPENTRY LLC WAUCEDAH 5566673A 6,003 4/19/2020 5437 MYCO USA LLC WAUWATOSA, WI 4499336A 40,508 5/24/2020 8395 1.42 13 % ALLIED CONCRETE CONSTRUCTION LLC WAYLAND 3195309A 750 4/9/2020 5221 DIAMOND SAHARA EQUESTRIAN SERVICES LLC WAYLAND 5152313A 1,218 6/10/2020 8279 0.95 KZOO RETAILERS LLC WAYLAND 6000070A 3,350 6/7/2020 8045 MOISTURE X AIR SYSTEMS LLC WAYLAND 5262682A 4,707 4/17/2020 3724 0.92 RANDY BOSSE BUILDER WAYLAND 4470788A 3,526 5/15/2020 5645 0.95 RIDGELINE ELECTRIC LLC WAYLAND 5856248A 481 4/19/2020 5190 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 177 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SENNEKER PERFORMANCE LLC WAYLAND 5683424A 2,898 4/1/2020 8393 0.95 TRUGRO LLC WAYLAND 6000282A 10,250 6/7/2020 0035 VANVOLKINBURG BUILDERS WAYLAND 5562015A 752 5/15/2020 5190 BELCHER JAMES WAYNE 2699125A 800 5/21/2020 5551 CAL SIGN COMPANY WAYNE 0132306A 486 4/12/2020 3179 CULMAC INDUSTRIES INC WAYNE 1182900A 655 4/25/2020 8810 LITTLE TREASURES DAYCARE CORPORATION WAYNE 5404002A 1,472 6/11/2020 8869 0.95 R A C REMODELLING PLLC WAYNE 5998689A 1,361 5/23/2020 5348 RMR CONSULTING SERVICES INC WAYNE 5667690A 364 6/9/2020 8810 SECOND TO NUNN MAINTENANCE LLC WAYNE 5998158A 2,946 6/24/2020 5403 T N T TRAILER SALES LLC WAYNE 4097238A 479 6/14/2020 8393 BIG JOES SERVICES WEBBERVILLE 5720079A 751 5/26/2020 6217 WEBSTER AND GRIFFES INC WEBBERVILLE 4333055A 825 4/6/2020 7208 AGGIE WELDING LLC WEIDMAN 5987660A 2,200 4/19/2020 3365 GAMMY WOODS FAMILY CAMPGROUND INC WEIDMAN 5595509A 580 6/19/2020 9015 GENES TREE SERVICE INC WELLS 0603198A 1,203 6/6/2020 0106 0.95 HORINA CANOE LIVERY WELLSTON 1176544A 521 6/15/2020 6836 SELECT CUT LOGGING LLC WELLSTON 0106470A 2,718 4/17/2020 2702 1.00 P AND G POWER COMPANY WESLEY CHAPEL, FL 5992117A 6,660 5/3/2020 7538 AMERICAN STONE INC WEST BLOOMFIELD 4293754A 750 6/26/2020 5348 MED STAT USA LLC WEST ALLIS, WI 6004555A 5,488 6/15/2020 7202 ART CONSTRUCTION INC WEST BLOOMFIELD 5132290A 1,938 4/30/2020 5437 0.95 BOSSOLUTIONS LLC WEST BLOOMFIELD 5703506A 750 5/25/2020 5190 BULL JOHN WEST BLOOMFIELD 5856094A 1,575 4/26/2020 0913 CENTAUR FARM VILLAGES CONDOMINIUM WEST BLOOMFIELD 0782092A 580 5/10/2020 9015 ASSOCIATION INCORPORATED CLEAN AND NEAT WEST BLOOMFIELD 5981875A 750 4/4/2020 5476 DREAMERS HOME CARE & STAFFING LLC WEST BLOOMFIELD 5230128A 7,324 6/28/2020 8835 E H TROY CORPORATION WEST BLOOMFIELD 3777553A 216 6/13/2020 8810 ELITE HARDWOOD FLOORING LLC WEST BLOOMFIELD 2948605A 800 5/1/2020 5437 ENKO BUILDERS INC WEST BLOOMFIELD 5864739A 5,915 5/15/2020 5437 FERBER FRED WEST BLOOMFIELD 4213459A 328 5/3/2020 0908 FIRELLI SPEED INC WEST BLOOMFIELD 5987555A 1,459 4/19/2020 5348 FOUR SEASONS CONTRACTING INC WEST BLOOMFIELD 3408760A 750 6/15/2020 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FOUR SEASONS HARDWOOD FLOORS AND MORE WEST BLOOMFIELD 2804603A 750 4/26/2020 5437 LLC FUNCTIONAL INTEGRATED TRAINING LLC WEST BLOOMFIELD 5710731A 301 4/18/2020 9063 GILBERT HOMES INC WEST BLOOMFIELD 1044036A 757 5/21/2020 8810 0.95 IP MANAGEMENT LLC WEST BLOOMFIELD 4978250A 750 6/25/2020 5445 JEHK LLC WEST BLOOMFIELD 5691150A 750 4/9/2020 5645 JOYNER ROBERT WEST BLOOMFIELD 3908810A 556 4/25/2020 9521 JUMP NATION LLC WEST BLOOMFIELD 5868122A 2,995 5/31/2020 9015 JUNGLE PARADISE LLC WEST BLOOMFIELD 0475300A 410 4/19/2020 8001 LINDA JOAN HACK TRUST WEST BLOOMFIELD 0904082A 378 5/17/2020 0908 LUMA CONSTRUCTION LLC WEST BLOOMFIELD 5412307A 825 6/10/2020 5645 MACOMB BUILDING LLC WEST BLOOMFIELD 1601920A 1,886 5/18/2020 5645 0.95 MAELEIGH INC WEST BLOOMFIELD 3705722A 497 6/9/2020 9060 MARK ADLER HOMES LLC WEST BLOOMFIELD 5279968A 6,612 6/12/2020 5606 0.90 MICHIGAN REMEDIATION SPECIALISTS LLC WEST BLOOMFIELD 5640270A 1,460 6/21/2020 5437 MIDWEST POLICE MOTORCYCLE TRAINING INC WEST BLOOMFIELD 4457951A 316 4/7/2020 8868 MISSION SPRINGS HOMEOWNERS ASSOCIATION WEST BLOOMFIELD 3527689A 580 4/21/2020 9015 MK HOMES LLC WEST BLOOMFIELD 5570581A 800 6/8/2020 5183 MSNTAYLER LLC WEST BLOOMFIELD 5999510A 888 5/25/2020 8017 NEW FINISH DRYWALL INC WEST BLOOMFIELD 1686704A 750 5/4/2020 5445 NU GROUNDS LLC WEST BLOOMFIELD 5720630A 983 5/31/2020 0042 PIERCE ARLENE WEST BLOOMFIELD 5703387A 378 4/14/2020 0908 PIERCE RICHARD WEST BLOOMFIELD 5703662A 378 4/14/2020 0908 PINE LAKE SKI SCHOOL INC WEST BLOOMFIELD 3350266A 6,103 4/4/2020 5645 0.90 PRE CONSTRUCTION MEDIA INC WEST BLOOMFIELD 5135168A 433 5/8/2020 8601 PROJ S N A P INC WEST BLOOMFIELD 4726030A 345 5/1/2020 8810 PROJECT HEALTHY COMMUNITY WEST BLOOMFIELD 5395003A 256 4/11/2020 8810 REACTION TREE LLC WEST BLOOMFIELD 1087720A 5,043 4/15/2020 0042 0.93 ROBERT REIS CONSTRUCTION WEST BLOOMFIELD 2531925A 750 5/3/2020 5645 S 5 M MANAGEMENT LLC WEST BLOOMFIELD 5991722A 801 5/2/2020 5645 SH AND AH ENTERPRISES LLC WEST BLOOMFIELD 5409217A 612 5/30/2020 8742 SINGER CRAIG WEST BLOOMFIELD 0632465A 378 4/12/2020 0908 STEP UP RECRUITING LLC WEST BLOOMFIELD 5441129A 560 5/12/2020 8810 STOLLER NORMA WEST BLOOMFIELD 6000479A 1,742 6/7/2020 0913 THOMPSON DANA WEST BLOOMFIELD 5721792A 750 6/6/2020 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BARTON MOBILE REPAIR & WELDING WEST BRANCH 3403939A 3,955 5/6/2020 3632 0.95 CIRCLE K FARMS TRUCKING LLC WEST BRANCH 6005152A 4,010 6/18/2020 7208 COUNTRYSIDE APPLIANCE LLC WEST BRANCH 5992869A 1,316 5/13/2020 9519 G AND H LAWN SERVICE AND LANDSCAPING INC WEST BRANCH 4742532A 3,365 4/9/2020 9102 0.91 GILLETTE HEATING WEST BRANCH 3779696A 1,103 5/17/2020 5550 GROUT RITE TILE & FLOORING LLC WEST BRANCH 6004628A 750 6/15/2020 5348 H AND K RESOURCES INC WEST BRANCH 5382874A 1,147 4/7/2020 1320 0.95 LUCYNSKI SERVICES LLC WEST BRANCH 5395011A 2,400 4/15/2020 5645 0.91 MARK CURTIS SERVICES LLC WEST BRANCH 0711624A 2,364 4/28/2020 5022 0.95 MID MICHIGAN FIRE PROTECTION LLC WEST BRANCH 2804018A 400 5/27/2020 4828 PREFERRED PLUMBING AND PLUMBING WEST BRANCH 5427690A 584 4/13/2020 5183 SERVICES LLC PUGH MICHAEL WEST BRANCH 5862361A 338 5/4/2020 8017 RAU GARY C WEST BRANCH 3320472A 825 4/15/2020 7208 RIEGLE METALS LLC WEST BRANCH 5985790A 12,969 4/23/2020 5645 SRE PAINTING INC WEST BRANCH 4138589A 800 4/8/2020 5476 0.94 ADVANCED CHIMNEY SWEEP INC WEST OLIVE 5904102A 1,024 6/20/2020 9015 BARRY HAVEMAN BUILDER LLC WEST OLIVE 0061379A 750 6/10/2020 5645 BROUWER DUSTIN WEST OLIVE 4856694A 750 4/5/2020 5645 GERSTENSCHLAGER CONTRACTING INC WEST OLIVE 5994110A 4,900 5/10/2020 7208 M AND A ALL SEASONS PROPERTY WEST OLIVE 5713463A 4,089 5/8/2020 0106 0.95 MANAGEMENT LLC MAPLEBAY BUILDERS LLC WEST OLIVE 4046099A 800 5/3/2020 5645 ALFORD RONALD JR WESTLAND 5267366A 456 5/3/2020 0908 ANDREWS REMODELING LLC WESTLAND 5863546A 800 5/10/2020 5645 APPLE RENOVATION SERVICES LLC WESTLAND 4101359A 15,096 4/2/2020 5437 0.88 BARTRAM DANIEL W WESTLAND 4999487A 750 5/24/2020 5645 CRABTREE BRIAN WESTLAND 4314670A 750 5/30/2020 5645 DEARBORN TREE SERVICE INC WESTLAND 1001639A 9,358 6/1/2020 0042 0.83 DONOVAN SHERMAN A WESTLAND 2631032A 750 6/17/2020 5445 DWG PLUMBING AND EXCAVATING LLC WESTLAND 1282760A 872 6/22/2020 5183 FACE FLAIR LLC WESTLAND 5880343A 1,643 6/28/2020 8017 FENCE GUYS LLC WESTLAND 5838070A 800 4/10/2020 6400 FREEDOM CONTRACTING LLC WESTLAND 5484081A 750 5/25/2020 5645 0.93 G A SERVICES LLC WESTLAND 0392294A 751 4/9/2020 9015 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GLEN DAVIS MAINTENANCE WESTLAND 4062523A 727 4/30/2020 9015 GREENE CONSULTING LLC WESTLAND 5860610A 507 4/28/2020 8720 GRIME FIGHTERS WESTLAND 3708381A 580 6/5/2020 9015 GSS HOME EXTERIORS LLC WESTLAND 3964396A 750 5/11/2020 5403 HAMMERHEAD HOME SOLUTIONS LLC WESTLAND 5863287A 1,951 5/9/2020 5645 HERMATZ DANIEL WESTLAND 5149371A 328 6/6/2020 0908 JODAR LLC WESTLAND 5543991A 766 4/27/2020 8835 KANE CATHERINE WESTLAND 4976991A 328 4/12/2020 0908 KATHYS QUALITY LABOR SERVICES LLC WESTLAND 4699556A 7,502 5/16/2020 4452 0.93 KEVINS ABSOLUTE COMFORT LLC WESTLAND 5289963A 1,740 6/13/2020 5550 1.00 KWIK SITE CORPORATION WESTLAND 0221104A 863 4/11/2020 3629 0.90 L MAYO INC WESTLAND 1639773A 414 4/1/2020 9058 LES MURPHY PAINTING LLC WESTLAND 5130727A 1,389 6/15/2020 5476 0.95 LOPEZ EILEEN DONOVAN WESTLAND 5706726A 573 5/26/2020 0913 MCGREW CHARLES WESTLAND 5552591A 580 5/13/2020 9015 MFH TRUCKING INC WESTLAND 2275708A 751 4/13/2020 7208 MOSS SECURITY WESTLAND 5551412A 421 4/25/2020 7720 0.95 MPD CONSTRUCTION LLC WESTLAND 5984289A 1,682 4/11/2020 5437 NATIONAL TREE SERVICE WESTLAND 1440071A 1,836 6/11/2020 0106 NEWBURGH PETRO MART WESTLAND 1863762A 658 5/11/2020 8017 R AND A TOOL & ENGINEERING COMPANY WESTLAND 0062642A 525 6/28/2020 3096 R AND R XTERIOR INC WESTLAND 4834518A 6,471 5/2/2020 5645 0.95 SC COMMERCIAL CONCEPTS LLC WESTLAND 5023874A 656 4/1/2020 9015 SOLID ROCK CONTRACTING LLC WESTLAND 5718422A 750 6/1/2020 5645 SPARKS AUTO AND TOWING INC WESTLAND 0053678A 15,085 4/3/2020 8395 1.48 13 % SUNRISE TREE SERVICE INC WESTLAND 0982873A 800 4/26/2020 0106 TIME TO PLAY LLC WESTLAND 5386632A 5,560 4/2/2020 9015 0.87 TRI M INC WESTLAND 4749820A 800 5/25/2020 0042 URBAN CORNER STONE MASONRY INC WESTLAND 2211505A 3,001 4/6/2020 5022 0.95 VICTORIAS SECRET GARDENS & CURB APPEAL WESTLAND 0855340A 751 4/26/2020 9402 INC WEIAND JEFFERY WESTLAND 2847248A 750 4/7/2020 5462 WHITE JACOB WESTLAND 5408415A 631 5/29/2020 9521 BIFFS MILITARY SURPLUS LLC WETMORE 4148991A 690 6/4/2020 8395 CHARLTON CONSTRUCTION LLC WETMORE 4366719A 18,715 5/23/2020 5645 0.84

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NEWAYGO COUNTY COUNCIL FOR THE WHITE CLOUD 4083539A 856 6/2/2020 9063 0.95 PREVENTION OF CHILD ABUSE & NEGLECT SALLYS WHATTA PIZZA LLC WHITE CLOUD 2492490A 2,715 6/11/2020 9058 1.00 AC CABLE LLC WHITE LAKE 5563712A 481 5/18/2020 5190 ASPHALT EXPRESS LLC WHITE LAKE 4074114A 1,450 4/14/2020 5221 0.95 B AND R WINDOWS AND SIDING INC WHITE LAKE 2009358A 753 4/19/2020 8810 B AND T GENERAL CONTRACTING & WHITE LAKE 3989496A 750 4/2/2020 5437 CONSTRUCTION MANAGEMENT INC BIRDSALL MELISSA WHITE LAKE 5992710A 480 5/7/2020 8835 BLUE WATER AQUATICS LLC WHITE LAKE 4193016A 2,531 4/17/2020 0005 0.95 CMC CONSTRUCTION INC WHITE LAKE 4357086A 343 6/9/2020 5606 CONWAY CONSTRUCTION WHITE LAKE 1046993A 750 4/1/2020 5437 DARTRIS ENTERPRISES INC WHITE LAKE 3924181A 437 4/13/2020 8868 DEGLORIE BUILDERS LLC WHITE LAKE 2104148A 750 6/23/2020 6217 0.95 EKI RENOVATION & DESIGN LLC WHITE LAKE 4357078A 750 6/9/2020 5645 EPIC PARTY BUS MICHIGAN LLC WHITE LAKE 5774314A 5,502 4/19/2020 7212 EURO KITCHEN PLUS INC WHITE LAKE 0095338A 801 5/2/2020 5348 FOSTER DOUGLAS A WHITE LAKE 4987250A 750 5/19/2020 5437 FREERIDE KOMPONENTS INC WHITE LAKE 5690412A 829 4/11/2020 6836 HARTMANS HOME CARE LLC WHITE LAKE 1928503A 750 4/12/2020 5645 KB ERECTORS LLC WHITE LAKE 5877890A 9,985 6/27/2020 5040 KENTROS ZACHARY WHITE LAKE 6000550A 750 5/31/2020 5645 LAKESIDE WINDOW COMPANY WHITE LAKE 1771965A 701 6/25/2020 8235 LEAD RENOVATOR TRAINING LLC WHITE LAKE 4611276A 421 4/23/2020 8720 M AND M PROFESSIONAL INSTALLATIONS INC WHITE LAKE 1719599A 594 4/26/2020 3724 MALOSH SERVICES MICHIGAN INC WHITE LAKE 1025279A 800 6/5/2020 5645 MICHIGAN COMMERCIAL SERVICES INC WHITE LAKE 4161971A 580 4/10/2020 9015 MK FOOTINGS INC WHITE LAKE 1456032A 1,066 6/11/2020 5215 MRW CUSTOM CARPENTRY LLC WHITE LAKE 6000681A 750 6/1/2020 5437 P AND B BUILDING COMPANY INC WHITE LAKE 3028615A 800 6/28/2020 5645 ROGAN ROLLOFF SERVICE INC WHITE LAKE 2012030A 3,866 4/25/2020 7213 0.93 SPOTLESS WINDOW CLEANING INC WHITE LAKE 6000339A 581 5/30/2020 9015 TOPROOFING LLC WHITE LAKE 4377710A 750 4/5/2020 5551 WELD TECH WHITE LAKE 4214722A 680 4/18/2020 3365 YOYOTRICKSCOM LLC WHITE LAKE 5840783A 933 5/29/2020 8017

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARY M DURNIAN BOICZUK FORD WORLD WHITE LAKE TWP 5576890A 243 6/30/2020 9586 HEADQUARTERS HAIR SALON LLC J AND D MILLWRIGHT AND MAINTENANCE LLC WHITE PIGEON 4984366A 5,036 6/8/2020 3724 0.91 KOMRSKA ROGER R & THERESA C WHITE PIGEON 1753347A 720 4/4/2020 9015 NATES AUTO & CUSTOM LLC WHITE PIGEON 5765781A 2,357 6/1/2020 8395 LEGACY CANVAS AND UPHOLSTERY SERVICE WHITEHALL 6004938A 1,864 6/18/2020 9522 INC FREEDOM SEALCOATING LLC WHITEMORE LAKE 5165369A 750 5/1/2020 5221 BIG PALM LLC WHITMORE LAKE 5982251A 1,400 4/4/2020 5476 GIRAFFE IN A WILLOW LLC WHITMORE LAKE 5999545A 2,602 5/25/2020 8831 LIGHTCRETE COMPANIES INC WHITMORE LAKE 2832844A 2,121 6/4/2020 5221 0.95 SUBURBAN MAINTENANCE LLC WHITMORE LAKE 3090884A 750 5/13/2020 9519 WHITMORE LAKE CLIMATE CONTROLLED WHITMORE LAKE 5539927A 633 4/1/2020 9015 STORAGE LLC ERG DRYWALL WHITTAKER 4155882A 750 5/6/2020 5445 WEIDMAN FAMILY DINER LLC WIEDMAN 5991943A 1,591 5/3/2020 9058 SCIENTIFIC SERVICES PLUS LLC WILLIAMS BAY, WI 5694159A 2,544 4/3/2020 5550 0.95 FIRST IMPRESSIONS LLC WILLIAMSBURG 2199815A 722 4/1/2020 9102 KAREN MCLEAN PT PC WILLIAMSBURG 3188400A 599 6/29/2020 8832 SCHWAB YENSEN WILLIAMSBURG 5856817A 825 4/20/2020 5645 TRU INSTALLATIONS LLC WILLIAMSBURG 4798210A 825 6/13/2020 5437 VERIFIED PATH MACHINING LLC WILLIAMSBURG 5569443A 464 6/3/2020 4484 WILLIAMSBURG DOWN BY THE CREEK LLC WILLIAMSBURG 4880579A 1,205 4/17/2020 8869 CUSTOM ROOFING SOLUTIONS LLC WILLIAMSTON 0408310A 2,129 6/11/2020 5551 1.00 DECOMMISSIONING SERVICES LLC WILLIAMSTON 4723643A 35,930 5/13/2020 5183 1.03 DESIGN WORKS II LLC WILLIAMSTON 5120799A 878 4/5/2020 9521 GORSKI RICHARD WILLIAMSTON 4213939A 723 5/4/2020 5610 HITCHCOCK BROTHERS WILLIAMSTON 5988268A 596 4/23/2020 0011 JORGENSEN FARM ELEVATOR INC WILLIAMSTON 2364158A 8,631 4/19/2020 8304 0.87 LAFOLLETTE CUSTOM HOMES LTD WILLIAMSTON 0900672A 4,495 6/4/2020 5645 0.92 RENEWAL SERVICES WILLIAMSTON 5875064A 750 6/7/2020 5645 RIVER RIDGE FARMS WILLIAMSTON 1060147A 784 5/5/2020 5645 VERTICAL SOLUTION COMPANY WILLIAMSTON 3958388A 1,697 6/25/2020 3507 0.89 STRAIGHTWAY TRANSPORT LLC WILLIS 5997054A 4,188 5/20/2020 7208 VALENTINE TRUCKING WILLIS 4055063A 825 6/23/2020 7208 COUNTY OF WILLIAMS WILLISTON, ND 5998131A 304 5/22/2020 8810 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 183 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CLARK FAMILY LTD WILMETTE, IL 2161079A 573 5/13/2020 0913 TEAM COLLABORATION SOFTWARE LLC WILMINGTON, OH 3898849A 273 6/18/2020 8810 KLEIMAN TRUCKING LLC WILSON 4733649A 750 4/6/2020 7208 SD CONSTRUCTION WILSON 4643194A 750 5/28/2020 5645 OVERLOOK HARVESTING COMPANY LLC WINTER HAVEN, FL 5516200A 64,870 4/1/2020 0011 0.69 CUSTOM LAMINATE CONCEPTS LLC WIXOM 4203070A 623 5/15/2020 2812 GREAT LAKES AMMUNITION LLP WIXOM 5720109A 1,711 6/17/2020 3632 GRISSOM GARAGE BUILDERS INC WIXOM 0335916A 784 6/7/2020 5645 GROWCANN BUILDERS LLC WIXOM 5997933A 343 5/21/2020 5606 MAGNUM TOWING INC WIXOM 5266009A 2,205 5/1/2020 7208 PREVENTIVE MAINTENANCE TECHNOLOGIES LLC WIXOM 4909534A 511 5/1/2020 8107 PRIME CONSULTANTS AND HOLDING LLC WIXOM 6007490A 750 6/25/2020 7208 REYNOLDS CONSTRUCTION LLC WIXOM 4102940A 4,967 5/22/2020 5645 0.95 SAFEWAY DEMOLITION LLC WIXOM 5863597A 750 5/10/2020 5022 SJH HOME IMPROVEMENTS LLC WIXOM 2411059A 3,893 4/28/2020 5551 0.94 WICKER BASKET BALLOON CENTER LTD WIXOM 2547368A 1,024 5/18/2020 7422 D AND M LOGGING WOLVERINE 1722069A 750 5/2/2020 2702 DJ CONTRACT HAULING INC WOLVERINE 3755568A 750 5/15/2020 7219 INTEGRITY BUILDING SOLUTIONS LLC WOLVERINE 5341477A 3,167 6/12/2020 5645 L THOMAS CONSTRUCTION LLC WOLVERINE 5544769A 343 4/12/2020 5606 M LEVERNIER LLC WOLVERINE 3365271A 750 4/3/2020 7208 WOLVERINE JOINT FIRE BOARD WOLVERINE 3336328A 751 5/22/2020 7704 J AND J INTERIORS LLC WOLVERINE LAKE 5524059A 1,755 6/2/2020 5348 0.95 STRATEGIC HEALTHCARE STAFFING INC WOLVERINE LAKE 5849934A 480 4/5/2020 8835 AIR FLO CLEANING SYSTEMS WOODHAVEN 2569744A 1,878 6/13/2020 9015 0.95 D AND V LAWN SERVICE WOODHAVEN 1486411A 826 6/8/2020 9402 0.95 FIVE O SECURITY CONSULTANTS LLC WOODHAVEN 5264812A 8,645 4/26/2020 7720 0.91 J AND K ELITE LAWN CARE LLC WOODHAVEN 5586194B 1,671 4/13/2020 9102 PRIDE FINISHERS LLC WOODHAVEN 6003745A 1,842 6/13/2020 0106 JARED KRIKKE SERVICES WOODLAND 5983746A 750 4/10/2020 5645 PROCLAIM AVIATION MINISTRIES INC WORTHINGTON, MN 4859804A 410 4/13/2020 8868 ADVANCED TECHNOLOGY ENGINEERING GROUP WRENTHAM, MA 5555108A 950 5/3/2020 4484 INC ARC DOWNRIVER INC WYANDOTTE 1665154A 661 4/19/2020 9063 BADALAMENTI CONSTRUCTION CO WYANDOTTE 0014940A 751 5/3/2020 5221

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CITGO GAS & GO INC WYANDOTTE 5696348A 852 4/1/2020 8017 CLASSIC MOVERS LLC WYANDOTTE 5993725A 1,586 5/9/2020 7214 GARCIAS CONSTRUCTION LLC WYANDOTTE 5709814A 4,623 5/1/2020 5476 0.95 GROUND TO CROWN CHIMNEY & FIREPLACE WYANDOTTE 2491214A 750 5/5/2020 5222 SERVICES LLC LABEAU RICHARD WYANDOTTE 4637089A 750 6/14/2020 5476 M J TRANSPORT EXPRESS INC WYANDOTTE 5984084A 4,010 4/12/2020 7208 M K PAINTING INC WYANDOTTE 2940639A 3,032 4/22/2020 8227 0.81 MICRO MANAGEMENT SOLUTIONS LLC WYANDOTTE 4994183A 630 6/14/2020 9015 RICKS COVE INC WYANDOTTE 4882989A 1,532 6/30/2020 6826 0.95 RON MOWRER MOTOR CITY PAINTING WYANDOTTE 1097563A 875 6/4/2020 5476 SERVICES CHRISTMAS LIGHTS INC WYANDOTTE 5987121A 2,641 4/25/2020 9015 TOMS CONSTRUCTION LLC WYANDOTTE 5847761A 800 4/4/2020 5437 TONYS BRICK PAVERS AND RETAINING WALLS WYANDOTTE 4216121A 1,635 4/5/2020 5221 VANS CONCRETE LLC WYANDOTTE 5134773A 12,541 4/24/2020 5215 1.44 40 % BROCKS MOVING LLC WYOMING 5983770A 6,185 4/10/2020 7214 DUMPSTER DIVERS LLC WYOMING 6008470A 750 6/28/2020 7213 DURANGO TRUCKING CONSTRUCTION LLC WYOMING 3914291B 755 5/22/2020 8810 FUNES FIDEL WYOMING 5846978A 750 4/3/2020 5445 GALICIA DIMAS WYOMING 5998573A 750 5/23/2020 5476 GREAT LAKES HEALTHCARE RESOURCES WYOMING 5418097A 4,753 6/24/2020 8835 0.90 LAKESHORE LLC HIGH ROCK LLC WYOMING 4762436A 760 6/24/2020 5606 0.95 ISAK CLEANING SERVICE LLC WYOMING 5878250A 3,737 6/21/2020 9015 J AND M CONSTRUCTION SERVICES LLC WYOMING 5489369A 3,048 6/28/2020 5437 0.72 LEES CLEANING WYOMING 4622944A 630 5/13/2020 9015 LIRIANO GONZALEZ FAUSTINO EURIBIADES WYOMING 5990475A 850 4/27/2020 5476 MP CONCRETE LLC WYOMING 5573408A 2,021 5/23/2020 5221 MUNOZ EXTERIOR SERVICES WYOMING 5438721A 800 4/11/2020 5551 QUEST LAWN CARE WYOMING 6001459A 561 6/5/2020 9102 RICHARD KONYNDYK BUILDER WYOMING 5267315A 750 5/5/2020 5645 RIVER CITY QUALITY CLEANING LLC WYOMING 4297547A 1,481 5/24/2020 9015 1.00 ROBLERO ADELI & PABLO GERARDO WYOMING 5358698A 750 6/1/2020 5445 RODRIGUEZ JOSE WYOMING 5987644A 825 4/19/2020 5645 RUDY PAINT LLC WYOMING 5988306A 750 4/23/2020 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge S AND S CONSTRUCTION LLC WYOMING 3839281A 750 5/7/2020 5437 SCHWARZE ROBITEC AMERICA INC WYOMING 5408288A 7,295 5/28/2020 8107 0.95 SIEN PAINTING CONTRACTORS LLC WYOMING 5571480A 4,145 6/10/2020 5445 0.95 SLY FOX CONSTRUCTION LLC WYOMING 5991706A 4,424 5/10/2020 5403 SMALL SOLUTIONS PROPERTY SERVICES LLC WYOMING 4600835A 580 4/12/2020 9015 STUK JUSTIN WYOMING 5613957A 1,232 5/17/2020 5445 TINOS CONTRACTING LLC WYOMING 5989116A 800 4/24/2020 5551 WORKPLACE RESOURCE LLC WYOMING 5726670A 800 6/26/2020 5645 YMJ LLC WYOMING 6000924A 13,012 6/1/2020 5551 BAILEY WELDING & REPAIR LLC YALE 6008194A 970 6/27/2020 3365 TNT LOGISTICS LLC YALE 5877768A 2,197 6/16/2020 7206 YALE HEATING AND AIR CONDITIONING LLC YALE 5701589A 700 4/11/2020 5550 NATIONAL EVENT SERVICES INC YEADON, PA 5877520A 7,912 6/18/2020 7720 A AND A DELIVERY LLC YPSILANTI 5996988A 2,208 5/18/2020 7206 AJ HOME IMPROVEMENT LLC YPSILANTI 5875706A 4,187 5/10/2020 5437 ALL AROUND LAWN CARE INC YPSILANTI 1688626A 3,670 4/12/2020 9402 0.89 ALLY CLEANING SERVICE LLC YPSILANTI 5708052A 580 6/1/2020 8835 ANN ARBOR LIMOUSINE SERVICE INC YPSILANTI 2492504A 763 4/27/2020 7212 B AND L CONCRETE CONSTRUCTION INC YPSILANTI 1095390A 1,045 4/19/2020 5221 0.95 BASS N SPORT SHOP LLC YPSILANTI 4404130A 338 6/23/2020 8017 BLESSINGS JANITORIAL SERVICES LLC YPSILANTI 4882350A 1,481 4/24/2020 9015 BLUE STAR MARKET INC YPSILANTI 1642685A 1,277 5/18/2020 8017 BOLD PROPERTY SOLUTIONS LLC YPSILANTI 5725488A 811 6/20/2020 5437 BROOMS AND MOPS JANITORIAL LLC YPSILANTI 5272424A 580 5/20/2020 9015 C S TRUCKING LLC YPSILANTI 5570778A 825 4/20/2020 7208 0.95 CLASSIC WOOD FLOORS II YPSILANTI 2267926A 801 6/21/2020 5437 COMMERCIAL DOOR HARDWARE SUPPLY LLC YPSILANTI 5216125A 751 4/19/2020 5102 CRAFTWERKER LC YPSILANTI 4611128A 3,817 4/9/2020 5645 0.95 DEPOT TOWN CARE CENTER INC YPSILANTI 5858410A 8,016 5/4/2020 8045 DKS SERVICES LLC YPSILANTI 5985153A 581 4/15/2020 9015 EAGLES AUTOMOTIVE YPSILANTI 4713370A 731 5/30/2020 8395 FLOOR TILE YPSILANTI 2708639A 750 5/1/2020 5348 GREEN ACRES FERTILIZER COMPANY LLC YPSILANTI 4900677A 1,623 4/20/2020 0005 0.95 GSD CONTRACTING LLC YPSILANTI 5549523A 6,731 4/26/2020 5183 0.91 H F F A HOLDINGS LLC YPSILANTI 3685225B 751 5/21/2020 6400 0.95 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 186 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HOME SWEET HOME CARE SERVICES LLC YPSILANTI 5611881A 1,577 5/5/2020 8835 J F MOORE & ASSOCS LLC YPSILANTI 2696479A 967 5/24/2020 7720 0.95 J JS STAR PAINTING LLC YPSILANTI 5989248A 2,000 4/24/2020 5476 JA DEVELOPMENT YPSILANTI 5992311A 750 5/4/2020 5645 JAZ CONSTRUCTION LLC YPSILANTI 4859057A 3,396 6/4/2020 5645 0.90 JOE HALL QUICK STOP INC YPSILANTI 5146852A 2,187 4/8/2020 8017 0.95 LOBOS CONSTRUCTION INC YPSILANTI 3698955A 11,643 6/16/2020 5645 0.85 MC CONSTRUCTION LLC YPSILANTI 5414300A 10,589 6/16/2020 5645 0.83 MCHEIK OIL COMPANY INC YPSILANTI 0281123A 597 6/13/2020 8017 MICHIGAN SWIM CAMP LLC YPSILANTI 5165814A 2,352 6/1/2020 9063 MIKE FORNERS HOME SERVICES INC YPSILANTI 1912640A 750 5/14/2020 5645 0.95 NASH AND BROTHERS SERVICES LLC YPSILANTI 5855675A 825 6/4/2020 5645 NEW HORIZONS CONSTRUCTION LLC YPSILANTI 4238729A 750 5/29/2020 5645 0.95 PERFECT HELP HOUSE SERVICES LLC YPSILANTI 5282659A 1,164 6/20/2020 9015 0.95 QUICK QUALITY CONSTRUCTION LLC YPSILANTI 5999928A 750 6/6/2020 5538 RE DESIGN TILE INC YPSILANTI 5185149A 800 5/18/2020 5348 RHI INC YPSILANTI 4985451A 9,856 5/5/2020 5480 0.95 RON SMITHS TRUCKING LLC YPSILANTI 4883233A 750 6/30/2020 7208 SASSE AFC LLC YPSILANTI 5543363A 498 4/8/2020 9053 SCHMIDT DRILLING CO YPSILANTI 6001351A 1,394 6/5/2020 6204 SECURITY AND PROTECTIVE SERVICES LLC YPSILANTI 0860816A 1,337 5/15/2020 7720 0.95 SMOLYANOV CONSTRUCTION CO INC YPSILANTI 2743620A 2,985 5/17/2020 5645 0.87 SPENCERS CONTRACTING LLC YPSILANTI 5409896A 3,774 6/3/2020 5645 0.95 TS KAO INC YPSILANTI 3759857A 905 6/21/2020 9058 TWENTY FIRST CENTURY SALVAGE INC YPSILANTI 1704826A 6,322 4/30/2020 7208 0.95 UNITED OUTDOOR SERVICES LLC YPSILANTI 5859166A 8,774 4/25/2020 0106 0.94 VASQUEZ CONSTRUCTION COMPANY LLC YPSILANTI 3922960A 4,928 4/11/2020 5551 0.95 YPSI ARBOR ROOFING INC YPSILANTI 2434539A 1,697 6/13/2020 5551 0.87 YPSILANTI OTTERS SWIM CLUB YPSILANTI 5998026A 672 5/24/2020 9061 BORCULO GARAGE INC ZEELAND 0001155A 800 6/10/2020 7208 C Z CONSTRUCTION LLC ZEELAND 5853907A 750 4/12/2020 5645 COMPLETE I LLC ZEELAND 5872430A 343 6/1/2020 5606 CUSTOM CONTOURS CONSTRUCTION SERVICES ZEELAND 5854652A 751 4/16/2020 5022 LLC DEHAAN DESIGNS LLC ZEELAND 5721113A 750 5/31/2020 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FRAMING SOLUTIONS LLC ZEELAND 6007538A 825 6/25/2020 5645 HOLLAND INSURANCE AGENCY LLC ZEELAND 5511356A 216 4/1/2020 8810 KE CARPENTRY LLC ZEELAND 5988292A 750 4/23/2020 5645 KEN MANSCHESKY ROOFING LLC ZEELAND 3914216A 23,416 4/10/2020 5551 1.34 13 % KUPERUS CONSTRUCTION LLC ZEELAND 6006477A 750 6/21/2020 5645 MITCHELL WAGNER BUILDER LLC ZEELAND 4749693A 750 6/1/2020 5645 MULDER JEFF ZEELAND 4436172A 750 4/5/2020 5645 OVERHEAD UNLIMITED LLC ZEELAND 5031320A 594 5/18/2020 3724 SPORTS TURF MANAGEMENT OF MICHIGAN LLC ZEELAND 4878892A 750 4/17/2020 0042 STEENSMA TRUCKING LLC ZEELAND 5834333A 14,089 5/16/2020 7208 URBAN PLANK LLC ZEELAND 2681587A 750 4/19/2020 5437 V AND A TREE SERVICE LLC ZEELAND 6006906A 1,021 6/24/2020 0106 VAST TILE & STONE LLC ZEELAND 5397219A 750 4/28/2020 5348 COMMLOGIX LLC ZIMMERMAN, MN 5992583A 603 5/4/2020 8810

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