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Attachment A Attachment A ADJ No. IW NAME EMPLOYER CLAIMS_ADMINISTRA TOR ADJ10210413 SANDOVAL SHAKEYS USA INC INSURANCE CO OF THE WEST SAN DIEGO ADJ9902296 FERRIS AAF INTERNATIONAL TRAVELERS DIAMOND BAR ADJ7211785 RODRIGUEZ GEORGIA PACIFIC CORP ESIS CHATSWORTH ADJ10013649 CEJA UNITED FABRICS HELMSMAN INTERNATIONAL MANAGEMENT ROCKLIN ADJ4028452 VASQUEZ COUNTY OF LA/PROBATIN TRISTAR SANTA ANA DEPT. ADJ9852769 FLORES BLOOMFIELD FOOD INC HARTFORD SACRAMENTO ADJ9897548 NAVA GENERAL DICOUNT EMPLOYERS COMP GLENDALE ADJ10222432 PADILLA AMERICA WOOD FINISHES SCIF INSURED GLENDALE ADJ8968654 HERNANDEZ JOES PIZZA PATRIOT RISK SERVICES WOODLAND HILLS ADJ10091426 VELAZQUEZ CHOICE HOME CARE INC CARE WEST PEGASUS MODESTO ADJ9994337 SANCHEZ TY INVESTMENT INC DBA LIBERTY MUTUAL OAKS BAR AND GRILL ROCKLIN ADJ10070181 CONTRERAS ARAUJO AMERICAN INTERNATIONAL INSURANCE CO OF THE INDUSTRIES WEST SAN DIEGO ADJ10045893 ORTIZ AEROTEK INC ESIS CHATSWORTH ADJ10082629 THAN HOWARD CHUDLER & THE HARTFORD ASSOCIATES SYRACUSE ADJ9920956 MASAYA NORMANDIE CASINO INSURANCE CO OF THE WEST SAN DIEGO ADJ9736084 JAMES LACUSC TRISTAR SANTA ANA ADJ10017408 LYNN ARK FLOORS SEDGWICK PLEASANTON ADJ9843629 BECERRA MARTINEZ SERVISAIR LLC LIBERTY MUTUAL BEAVERTON ADJ10006170 CARNALLA EMPLOYERS PACKARD CLAIMS ADMIN ADMINISTRATIVE TARPON SPRINGS RESOURCE INC ADJ9777620 VELASCO DIAZ COLUMBIA FABRICATING CO SCIF INSURED GLENDALE ADJ9895504 UMANA WEST COAST ARBORISTS LIBERTY MUTUAL 29073 GLENDALE ADJ9955488 HERNANDEZ BABLOT INVESTMENTS STATE FARM BAKERSFIELD ADJ9914633 CANO UNIVERSAL PROTECTION SEDGWICK 14442 SERVICE ORANGE ADJ3083367 JACKSON CEDAR SINAI MEDICAL TRISTAR SAN DIEGO CENTER ADJ9941151 BARLAS FARMERS AND MERCHANTS CHUBB GROUP LOS BANK OF LONG BEACH ANGELES ADJ9789022 RODRIGUEZ SILVA GLORIOUS AG SERVICES INC CARL WARREN TUSTIN DECEASED ADJ8616705 NEGRETE CITY WIDE MAINTENANCE AMERICAN CLAIMS SAN DIEGO ADJ10048295 SEO ITALEE OPTICS INC AMTRUST CONCORD ADJ9908300 MENDIOLA JACQUELINE NICOLAS AMTRUST CONCORD ARCHITECTURAL ADJ1448547 DEDMON CONTRACTORS LABOR POOL BROADSPIRE BREA pg. 1 Attachment A ADJ10153148 LOPEZ MORENO TACOS EL GAVILAN INC EMPLOYERS COMP GLENDALE ADJ10064132 FLORES DECTON INC GALLAGHER BASSETT CALABASAS ADJ9332994 ESPINOZA CROWNE PLAZA ZURICH LOS ANGELES ADJ10172588 RECINOS FOREST LAWN TRAVELERS DIAMOND BAR ADJ9833884 DUARTE STRATEGIC OUTSOURCING TRAVELERS WALNUT INC DBA EL MATATE FOODS CREEK INC ADJ9928803 PINON COASTLINE FOOD SERVICES GALLAGHER BASSETT ORANGE ADJ10179239 ZACARIAS SUN LITE METALS INC INSURANCE CO OF THE WEST SAN DIEGO ADJ10128534 CEJA ROMERO L L PRECISION SHEET INSURANCE CO OF THE METAL INC WEST SAN DIEGO ADJ10405103 GALVEZ LARA STRATEGIC OUTSOURCING CANNON COCHRAN INC IRVINE ADJ10069818 MONTERROSO OVERHILL FARMS LIBERTY MUTUAL BEAVERTON ADJ9981808 LARRAINZAR HOME RESTAURANT SEDGWICK 14779 SAN DIEGO ADJ10083622 URIBE ANGELICA TEXTILE GALLAGHER BASSETT SERVICES BURBANK ADJ10030163 CANOVAS PACIFIC COACHWORKS INC LWP CLAIMS SACRAMENTO ADJ10051803 TRAN CARLSBAD TECHNOLOGY AIG CLAIMS COSTA INC MESA ADJ10157192 CASIMIRO MIGUEL S JR EMPLOYERS COMP GLENDALE ADJ10205815 YOUNGS ORANGE COUNTY YORK ROSEVILLE HEALTHCARE AGENCY ADJ9872458 TAMAYO NORTH POINTE HEALTH TRISTAR FRESNO CARE ADJ10183334 RIOS FLORES MORAS BEST BUY PALLETS SCIF INSURED INC. GLENDALE ADJ8954467 MANCILLA JENCO PRODUCTIONS LIBERTY MUTUAL ORANGE ADJ9984645 SOSA ADT SECURITY SERVICES ZURICH LOS ANGELES INC ADJ9945999 TOVAR 99 CENTS ONLY LLC BROADSPIRE 24016 FRESNO ADJ9495239 MOLINA ADIR RESTAURANTS GALLAGHER BASSETT BURBANK ADJ9906978 WILSON SINGLE ROOM OCCUPANCY YORK ROSEVILLE HOUSING CORP ADJ10212360 GAMEZ PACIFIC BMW INSURANCE CO OF THE WEST SAN DIEGO ADJ9745673 ALVAREZ WARNER BROS WARNER BROS BURBANK ENTERTAINMENT ADJ10046430 AGUILAR SELECT STAFFING CORVEL SACRAMENTO ADJ9167017 FORT COUNTY OF SAN COUNTY OF SAN BERNARDINO PROBATION BERNARDINO DEPARTMENT ADJ9944833 ALDAY MARQUEZ DENIM CARE GUARD INSURANCE WILKES BARRE ADJ9202952 LOPEZ KELLERMEYER BERGENSONS GALLAGHER BASSETT SERVICES 4040 SACRAMENTO pg. 2 Attachment A ADJ10113969 TORREZ REAL TIME STAFFING ESIS CHATSWORTH SERVICES ADJ9593554 BELTRAN SOTO A A FOOD SERVICES DBA MI EMPLOYERS COMP GUADALAJARA MEXICAN GLENDALE CUISINE ADJ9838743 GOODWIN A MAN INC DBA STEM INTERNATIONAL DISCOVERY AND LEARNING ADJ10219749 CORREA CAMPOS VEST INC. MITSUI SUMITOMO UNIVERSAL CITY ADJ10052956 CERVANTES HEHR INTERNATIONAL TRAVELERS DIAMOND BAR ADJ9549772 FUENTES AETNA GALLAGHER BASSETT ORANGE ADJ10172569 RAYGA KIA OF CERRITOS SENTRY SELECT STEVENS POINT ADJ9717827 MENDEZ CITY OF AVALON SCIF INSURED SAN DIEGO ADJ9727276 CAREY LOS ANGELES SUPERIOR INTERCARE 14243 COURT SOUTH CENTRAL ORANGE ADJ10095275 FRANDO JIMS AUTO SALES INC SCIF INSURED FRESNO ADJ9828819 PEREZ SOLORIO CBCI CONSTRUCTION INC SCIF INSURED GLENDALE ADJ10199276 AGUIRRE FOUR SEASONS BUILDING AND REMODELING ADJ9902472 GONZALEZ THE BOEING CO SEDGWICK 14450 LONG BEACH ADJ9825809 BANDA FLYING FOOD GROUP, LLC TRAVELERS DIAMOND BAR ADJ8905934 GUSMAN SEVEN BROTHERS CORVEL OXNARD INCORPORATED ADJ10197648 MARTINEZ CALIFORNIA PIZZA KITCHEN TRAVELERS DIAMOND BAR ADJ9917235 ARANA 9 TO 5 SEATING SCIF INSURED GLENDALE ADJ10028948 TRUONG PHO 54 AIG CLAIMS COSTA MESA ADJ9986893 ORELLANA SERVION SYSTEMS CARL WARREN TUSTIN ADJ9968170 HERNANDEZ SOL PAK THERMOFORMING PREFERRED EMPLOYERS INC SAN DIEGO ADJ9334936 MELENDEZ REGENCY WILSHIRE HOA BERKSHIRE HATHAWAY SAN FRANCISCO ADJ9988507 LOVATO COPAC CORP AIG CLAIMS COSTA MESA ADJ9807224 MARTINEZ TYCO ELECTRONICS SEDGWICK 14154 CORPORATION SACRAMENTO ADJ10090540 MOYA RAY CAMMACK SHOWS INC SCIF STATE EMPLOYEES DBA TRINITY CONCESSIONS RIVERSIDE LLC ADJ10132376 LEON CARDENAS AMERIJEANS INC EMPLOYERS COMP GLENDALE ADJ9695853 ZAMORA WAWONA FROZEN FOODS TRAVELERS WALNUT CREEK ADJ8891058 GONZALEZ FED EX ADJ9843221 JACO MARMOL RADZINER AMERICAN CLAIMS SAN DIEGO ADJ8866397 GARCIA ALLIED STEEL CO INC LIBERTY MUTUAL BEAVERTON ADJ9961026 ZAMORA REYES AMI SUSHI AMTRUST IRVINE pg. 3 Attachment A ADJ10107046 CHRISTOPHER LARGO CONCRETE INC ADJ10126366 CRUZ ANGELS BRIDAL ADJ1234472 VALDEZ CALIFORNIA TRENDS CIGA TRISTAR RANCHO CORDOVA ADJ9992768 MENDEZ ACEVES SCOT GASKET COMPANY INC PRAETORIAN INSURANCE CO SACRAMENTO ADJ9015578 AREVALO MAGARRO FARMS SEDGWICK 14779 SAN DIEGO ADJ9761082 MCGEE L A COUNTY PROBATION SEDGWICK COLA ONTARIO ADJ7404314 HILL PRECISION CIRCUIT SENTRY SELECT MASTERS STEVENS POINT ADJ9154769 GONZALEZ MAI TAI BAR AIG CLAIMS COSTA MESA ADJ10095979 GUEVARA KINDRED HEALTHCARE INC SEDGWICK 14442 ORANGE ADJ9547992 FAJARDO PARA LOS NINOS AIG CLAIMS SAN DIEGO ADJ9574652 BONILLA CALIFORNIA INSTITUTION SCIF INSURED FRESNO FOR WOMEN ADJ593843 PARTIDA JG BOSWELL CO ACCLAMATION FRESNO ADJ10247871 LOPEZ WALSH-SHEA ESIS CHATSWORTH ADJ9994922 CHACON TRANSPORT TECH CHEROKEE INSURANCE WARREN ADJ10013130 ZETINO MAISON METRO REPUBLIC INDEMNITY ENCINO ADJ9070479 PONCE LOWES SEDGWICK 14450 LONG BEACH ADJ10332328 ITZEP SOUTH EAST EMPLOYEE PACKARD CLAIMS ADMIN LEASING SERVICES TARPON SPRINGS ADJ10104395 CALLES ARYZTA LLC ADJ9217035 GILES CHROMALLOY GALLAGHER BASSETT RANCHO CUCAMONGA ADJ9067819 GOODE LAC USC MEDICAL CENTER TRISTAR SANTA ANA ADJ9264476 GUTIERREZ TRADEMARK CONSTRUCTION CO ADJ9250093 MARTINEZ SETHI MANAGEMENT EMPLOYERS COMP GLENDALE ADJ9893806 DIAZ THE FACTORY KITCHEN ADJ9372529 REED CARE AMBULANCE SERVICES AIG CLAIMS SAN DIEGO ADJ9950044 PADILLA HARRIS FARMS INC TRISTAR FRESNO ADJ9647013 MARTINEZ KAMRAN STAFFING PACKARD CLAIMS ADMIN TARPON SPRINGS ADJ10026755 GAYTAN SANCHEZ PANDA EXPRESS LLC GALLAGHER BASSETT ORANGE ADJ9205333 LUNA PACIFIC AWARD METALS LIBERTY MUTUAL ROCKLIN ADJ9919559 NAVARRO KIMBERLYS CLEANING SERVICE LLC ADJ10256362 HARRIS THE BOEING CO SEDGWICK 14450 LONG BEACH ADJ10026514 LEBOW BED BATH BEYOND CORVEL CHINO ADJ9568265 VELASCO RODRIGUEZ HOSPITALITY STAFFING ESIS CHATSWORTH SOLUTIONS ADJ9836447 CARABANTES SHEA REHABILITATION GALLAGHER BASSETT HEALTH CARE ONTARIO pg. 4 Attachment A ADJ9537412 MCMILLAN ZEREP MANAGEMENT CRUM FORSTER ORANGE ADJ8299565 CAMPISTA CALIFORNIA HIGHWAY SCIF INSURED SAN JOSE PATROL IMPERIAL VALLEY ADJ9503300 CABRERA AIDEN MANAGEMENT EMPLOYERS COMP GROUP INC GLENDALE ADJ9834580 ALEMAN STAPLES CORPORATE ESIS CHATSWORTH OFFICE ADJ9985879 SUAREZ LEON ACETEK ROOFING ADJ10189205 GUERRERO ITALIAN MIRACLE PASTA HANOVER INSURANCE INC GROUP WORCESTER ADJ10037280 NAVARRO DOMINGUEZ TS EMPLOYMENT INC LUMBERMENS UNDERWRITING BOCA RATON ADJ9973086 BANUELOS GBC CONCRETE AND ZURICH LOS ANGELES MASONARY CONSTRUCTION ADJ9425864 VALLE K N ENGINEERING HARTFORD SACRAMENTO ADJ10121518 SERNA CLARCOR AIR FILTRATION TRAVELERS PRODUCTS SACRAMENTO ADJ8629025 SANCHEZ MCKESSON CORP SEDGWICK WALNUT CREEK ADJ9917428 ROMERO LA JEANS AND SPORTWEAR INC ADJ9917589 PATINO VAN & HINES RACING INC TRAVELERS DIAMOND BAR ADJ10158460 MENDOZA JOE`S JEANS INC EMPLOYERS COMP GLENDALE ADJ10175478 THOEUM HARBOR PARTY RENTALS SCIF INSURED FRESNO ADJ10048313 CONTRERAS TONYS EXPRESS NATIONAL INTERSTATE RICHFIELD ADJ10110161 ORELLANA WESTIN BONAVENTURE AIG CLAIMS CONCORD HOTELINTERSTATE HOTELS LLC ADJ9541909 NAQVI GOLDSTAR HEALTH CARE PATRIOT RISK SERVICES WOODLAND HILLS ADJ10004597 CORTEZ ABRA MANAGEMENT INC ADJ10138327 ISLAS VARGAS CHOSUN GALBEE AMTRUST IRVINE RESTAURANT INC ADJ9616513 CHABIB TERRANEA WAY CHUBB GROUP LOS ANGELES ADJ10188564 VELEZ RAMOS AUTO SALES AMGUARD INS WILKES BARRE ADJ9494962 LESPRON BAILEY JACK IN THE BOX GALLAGHER BASSETT SAN DIEGO ADJ10161049 DE LEON MOUNTAIN VALLEY EXPRESS NATIONAL INTERSTATE RICHFIELD ADJ10381203 HERNANDEZ BLEUZ INC SEDGWICK 14442 ORANGE ADJ9873450 CHAVEZ OASIS OUTSOURCING INC ESIS CHATSWORTH ADJ10155366 FLOWERS AEROTEK ADJ9898838
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