SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) ACCUSTAFF INCORPORATED 261 Inactive 2/1/1996 6/30/1998 AETNA LIFE & CASUALTY 26 Inactive 4/1/1981 4/1/2001 AFFINITY GAMING 122977 397 Inactive 1/1/2011 1/31/2017 AFFINITY GAMING (ACTIVE) 142274 Active 1/31/2017 ALADDIN GAMING HOLDINGS LLC 360 Inactive 8/17/2000 9/1/2004 ALLIANCE GAMING CORPORATION 145 Inactive 8/1/1992 5/31/1998 ALUSUISSE-LONZA AMERICA INC 276 Inactive 5/1/1996 3/11/1998 AMERICA WEST HOLDINGS CORP 277 Inactive 6/1/1996 1/1/2001 AMERICAN ASPHALT & GRADING COMPANY 146 Inactive 8/1/1992 9/1/2003 AMERICAN BUILDINGS COMPANY 337 Inactive 3/1/1998 8/1/2004 AMERICAN & ENTERTAINMENT PROPERTIES LLC 279 Inactive 6/1/1996 2/20/2008 AMERICAN CASINO AND ENTERTAINMENT PROPERTIES LLC 125420 Inactive 2/20/2014 10/20/2017 AMERICAN STORES COMPANY 54 Inactive 8/1/1982 6/23/1999 AMERISTAR INC 123142 106 Inactive 10/1/1990 8/13/2013 AMOCO MINERALS COMPANY 50 Inactive 6/1/1982 7/1/1985 ANDERSON DAIRY INC 269 Inactive 4/1/1996 6/1/2010 ANGLOGOLD USA INC & ITS NV SUB 151 Inactive 12/1/1992 12/18/2003 APL HEALTHCARE GROUP INC 231 Inactive 1/1/1995 3/1/2001 AQUATIC CO 225 Inactive 10/1/1994 6/1/2005 ARC AMERICA CORPORATION 31 Inactive 5/24/1981 5/23/1990 ARC MATERIALS CORPORATION 102 Inactive 5/24/1990 11/1/1991 ARCBEST CORPORATION 122997 45 Active 12/15/1981 ARCHON CORPORATION & ITS SUB PIONEER HOT 55 Inactive 8/15/1982 9/30/2014 ARIZONA CHARLIE'S INC 367 Inactive 2/1/2002 7/1/2004 ARMSTRONG BROTHERS HOLDING CO 297 Inactive 11/1/1996 10/1/2003 ASPLUNDH TREE EXPERT CO 329 Inactive 1/1/1998 8/1/1999 AT&T CORPORATION 71 Inactive 10/1/1984 7/1/2005 AT&T TECHNOLOGIES 64 Inactive 12/1/1983 1/1/1990 ATLANTIC RICHFIELD COMPANY 61 Inactive 1/15/1983 7/1/2000 AUTONATION INC 353 Inactive 8/27/1997 1/1/2000 B F GOODRICH COMPANY THE 32 Inactive 6/1/1981 7/1/1986 BABY GRAND CORPORATION 66 Inactive 5/1/1984 4/30/1998

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 1 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) BAKER HUGHES INCORPORATED 100 Inactive 5/1/1990 8/20/1990 BALLY'S GRAND INC 14 Inactive 10/1/1980 12/19/1996 BANK OF AMERICA CORPORATION 234 Inactive 2/1/1995 8/1/1999 BARBARY COAST HOTEL & CASINO 156 Inactive 1/1/1993 1/1/1996 BARRICK GOLD CORP/BARRICK GOLDSTRIKE MIN 149 Inactive 10/1/1992 6/1/2004 BARRICK GOLDSTRIKE MINES INC 175 Inactive 7/1/1993 7/31/1999 BATTLE MOUNTAIN GOLD CO 21 Inactive 1/1/1981 1/10/2001 BBB OPERATING COMPANY 20 Inactive 12/16/1980 8/1/2004 BEATRICE COMPANIES INC 1 Inactive 7/1/1980 7/3/1986 BECHTEL NEVADA CORP 259 Inactive 1/1/1996 7/1/2006 BENTLY PRESSURIZED BEARING COMPANY 48 Inactive 3/1/1982 1/24/2002 BERRY-HINCKLEY COMPANIES INC 254 Inactive 11/1/1995 4/1/2003 BEST BUY CO INC 123211 326 Active 12/1/1997 BLACK GAMING LLC 237 Inactive 4/1/1995 8/1/2011 BOARDWALK CASINO INC 315 Inactive 6/1/1997 6/30/1998 BOEING COMPANY (THE) 328 Inactive 1/1/1998 12/31/1999 BOOMTOWN INC 257 Inactive 1/1/1996 6/30/1997 BOYD GAMING CORPORATION 123005 52 Active 7/1/1981 BRINKER INTERANTIONAL INC 322 Inactive 10/1/1997 7/1/1999 BRT INC 86 Inactive 8/17/1987 7/6/1992 BRUCE INDUSTRIES INC 155 Inactive 1/1/1993 1/1/2000 BUILDERS SQUARE INC 250 Inactive 11/1/1995 9/25/1997 BUILDING MATERIALS HOLDING CORP 242 Inactive 7/1/1995 11/11/2003 CAESARS ENTERTAINMENT CORPORATION 123146 11 Active 8/15/1980 CAESARS ENTERTAINMENT INC 7 Inactive 7/12/1980 4/21/2008 CAESARS GROWTH PROPERTIES HOLDINGS LLC 125980 Inactive 5/5/2014 10/6/2017 CAESARS WORLD INC (PARENT) 2 Inactive 7/1/1980 12/30/1999 CAMCO INTERNATIONAL INC 252 Inactive 11/1/1995 7/1/1999 CAMDEN PROPERTY TRUST 296 Inactive 11/1/1996 4/15/2000 CANTEX INC 176 Inactive 7/1/1993 7/1/1999 CARSON CITY 122973 393 Active 7/1/2010 CARSON CITY (INACT) 131 Inactive 7/1/1992 7/1/2003

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 2 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) CARSON CITY SCHOOL DISTRICT 122974 394 Active 7/1/2010 INC 316 Inactive 6/1/1997 7/1/2009 CARTER HAWLEY HALE STORES INC 24 Inactive 2/1/1981 12/31/1987 CASHMAN CADILLAC INC 198 Inactive 1/1/1994 8/8/2000 CASHMAN EQUIPMENT COMPANY 135 Inactive 7/1/1992 6/1/2010 CATHOLIC CHARITIES OF SOUTHERN NEVADA 122963 383 Active 1/1/2006 CDS US INTERMEDIATE HOLDINGS INC 132789 Active 7/8/2015 CEDAR ENTERPRISES INC 123157 199 Inactive 1/1/1994 3/13/2017 CEMEX 121 Inactive 5/24/1981 10/15/2007 CENTURY STEEL INC 258 Inactive 1/1/1996 4/1/2008 CHURCHILL COUNTY SCHOOL DISTRICT 130131 Active 7/1/2015 CITICORP 158 Inactive 1/1/1993 7/1/1999 CITY OF HENDERSON 123103 169 Active 4/1/1993 CITY OF LAS VEGAS 123239 78 Active 12/29/1985 CITY OF NORTH LAS VEGAS 123155 197 Active 1/1/1994 CITY OF RENO 123079 147 Active 9/1/1992 CITY OF SPARKS 123097 163 Active 2/1/1993 CITYCENTER HOLDINGS LLC 122979 399 Active 3/23/2015 CLARK COUNTY 123236 75 Active 7/15/1985 CLARK COUNTY SCHOOL DISTRICT 123140 104 Active 7/1/1990 CLARK COUNTY WATER RECLAMATION DISTRICT 123152 115 Active 4/1/1992 CLEARWATER PAPER CORP 213 Inactive 5/1/1994 12/16/2008 CMS INTERNATIONAL 187 Inactive 9/1/1993 1/1/2004 COAST CASINOS INC 95 Inactive 2/1/1989 1/1/2010 COCA-COLA COMPANY AND/OR COCA-COLA REFRESHMENTS USA 330 Inactive 1/1/1998 5/1/2014 COEUR D'ALENE MINES CORP 235 Inactive 3/1/1995 7/1/2011 COMSTOCK HOTEL CASINO 132 Inactive 7/1/1992 8/4/1999 CONSOLIDATED FREIGHTWAYS CORP 354 Inactive 8/1/1999 12/2/2002 COOPER INDUSTRIES INC 137 Inactive 7/1/1992 7/1/1999 CORRECTIONS CORPORATION OF AMERICA 308 Inactive 4/1/1997 5/1/2000 COSTCO WHOLESALE CORP 123087 154 Active 1/1/1993 CPS SECURITY (USA), INC. & ITS LISTED SU 122988 381 Inactive 6/1/2004 5/26/2013

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 3 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) CREATION MEANDRES INC 347 Inactive 2/1/1999 7/8/2015 CROWN ZELLERBACK CORPORATION 3 Inactive 7/1/1980 7/1/1986 CUMMINS ENGINE COMPANY INC 306 Inactive 3/1/1997 7/1/1999 CVIM, INC. 278 Inactive 6/1/1996 1/14/2010 D I SUB II INC 128 Inactive 6/1/1992 3/21/1994 DEAN FOODS COMPANY 101 Inactive 5/1/1990 9/30/2006 DEAN FOODS COMPANY 358 Inactive 5/1/2000 12/21/2001 DEL WEBB CORPORATION 28 Inactive 4/1/1981 10/1/1988 DELTA AIR LINES INC 284 Inactive 7/1/1996 2/1/2004 DELTA CALIFORNIA INDUSTRIES 51 Inactive 7/1/1982 8/30/1985 DENNY'S INC 4 Inactive 7/1/1980 4/20/1990 DI GIORGIO CORPORATION INC 27 Inactive 3/9/1981 3/9/1981 DIAMOND RESORTS SERVICES LLC 224 Inactive 9/1/1994 12/1/2007 DIGNITY HEALTH (FKA CATHOLIC HEALTHCARE) 123026 361 Active 10/1/2000 DILLARD'S INC & ITS NV SUB 142 Inactive 8/1/1992 2/1/2000 DOUGLAS COUNTY 143601 Active 7/1/2017 DOUGLAS COUNTY SCHOOL DISTRICT 123176 216 Active 7/1/1994 DR HORTON INC 247 Inactive 10/1/1995 7/1/1999 E G & H INC 67 Inactive 7/1/1984 7/1/2001 EAGLE-PICHER HOLDINGS INC 74 Inactive 7/1/1985 2/15/2003 EBSCO INDUSTRIES INC 123208 323 Inactive 10/1/1997 12/29/2017 ECHO BAY MINERALS COMPANY 363 Inactive 12/1/1991 3/31/2004 ECKER ENTERPRISES INC 287 Inactive 9/1/1996 8/1/2000 EG&G INC 183 Inactive 8/1/1993 1/1/1996 ELDORADO RESORTS LLC 123011 58 Active 11/1/1982 ELKO COUNTY SCHOOL DISTRICT 123129 192 Active 11/1/1993 ENCOMPASS HEALTH CORPORATION 123143 107 Active 10/1/1990 ENTERPRISE RENT-A-CAR CO. 346 Inactive 11/1/1998 9/1/2008 ESQUIRE LTD INC 189 Inactive 10/1/1993 9/23/2006 ETHEL M CHOCOLATES INC 196 Inactive 12/1/1993 7/1/1999 F & D ENTERPRISES & WESTWARD HO CASINO 113 Inactive 6/1/1991 11/17/2005 FEDERAL SIGNAL CORPORATION 282 Inactive 7/1/1996 11/1/2000

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 4 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) FEDEX CORPORATION (PARENT) 122931 285 Active 8/1/1996 FEDEX CORPORATION for Federal Express Corporation 122936 29 Active 4/1/1981 FEDEX CORPORATION for Fedex Freight Inc 123050 120 Active 11/1/1991 FIESTA PALMS LLC PALMS CASINO RESORT 241 Inactive 6/1/1995 12/23/2011 FITZGERALDS RENO INC 89 Inactive 7/1/1988 11/1/2007 FLETCHER GENERAL INC 173 Inactive 6/1/1993 9/15/1993 FLYING J INC 122898 255 Inactive 12/1/1995 3/15/2010 FOCUS PLUMBING 122964 384 Active 8/18/2003 FOUR QUEENS LLC 123109 174 Active 6/1/1993 FP HOLDINGS LLP 122980 400 Inactive 11/30/2011 10/1/2016 FR INC 245 Inactive 9/1/1995 9/1/2003 FREEMAN DECORATING CO 206 Inactive 1/1/1994 1/1/2000 FREEPORT MINERALS CORPORATION 98 Inactive 8/1/1989 7/1/2001 FRESCA LLC 368 Inactive 2/1/2002 7/1/2004 FRIAS HOLDING COMPANY LLC 123073 141 Active 7/1/1992 GARRETT FREIGHTLINES INC 68 Inactive 7/1/1984 4/19/1986 GAUGHAN SOUTH LLC 122965 386 Active 10/25/2006 GEMINI INC 150 Inactive 10/1/1992 9/12/2000 GENERAL BINDING CORPORATION 127 Inactive 3/1/1992 5/1/1998 GENERAL DYNAMICS CORPORATION 123 Inactive 12/1/1991 6/30/1993 GEORGIA PACIFIC CORPORATION 49 Inactive 3/1/1982 12/19/2005 GETCHELL GOLD 240 Inactive 6/1/1995 10/1/2003 GOLDEN ENTERTAINMENT INC 145691 Active 10/20/2017 GOLDEN NUGGET INC 122987 380 Active 1/23/2004 GORDON GAMING CORP 249 Inactive 11/1/1995 8/1/2007 GREYHOUND LINES INC 60 Inactive 11/22/1982 3/19/1987 H & O FOODS INC 148 Inactive 10/1/1992 11/1/1995 HAMILTON HOLDING MANAGEMENT CORP 123118 182 Active 7/1/1993 HANCOCK TEXTILE CO INC 53 Inactive 8/1/1982 5/4/1987 HANSEN MECHANICAL CONTRACTORS, INC. 335 Inactive 2/1/1998 2/1/2005 HANSON PLC 167 Inactive 4/1/1993 9/14/2001 HARD ROCK HOTEL & CASINO INC 324 Inactive 11/1/1997 3/1/2011

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 5 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) HARVEY'S CASINO RESORTS 34 Inactive 7/1/1981 7/31/2001 HAT LTD DBA MANPOWER TEMPORARY SERVICES 123151 114 Active 3/1/1992 HBR COMPANIES 274 Inactive 5/1/1996 12/31/2000 HCA HOLDINGS INC (HCA INC -THE HEALTHCAR 123099 165 Active 1/1/1986 HCR MANORCARE INC 123067 136 Active 7/1/1992 HECLA MINING COMPANY 293 Inactive 11/1/1996 2/15/2002 HERBST GAMING LLC 387 Inactive 8/1/2007 1/1/2011 HOLIDAY INNS INC 22 Inactive 1/1/1981 3/15/1990 HOME DEPOT USA INC 123059 129 Active 8/1/1992 HOME SHOPPING NETWORK INC 112 Inactive 6/1/1991 7/1/1995 HOUSEHOLD INTERNATIONAL, INC. 332 Inactive 1/1/1998 1/1/2003 HOWARD HUGHES CORPORATION 40 Inactive 8/1/1981 10/1/1988 HRHH GAMING SENIOR MEZZ LLC 122982 402 Active 3/1/2011 HUMANA INC 12 Inactive 9/1/1980 2/28/1993 HUMBOLDT COUNTY SCHOOL DISTRICT 122983 403 Active 7/1/2012 HYATT HOTELS CORPORATION 122842 338 Active 2/1/1998 HYDRO CONDUIT CORPORATION 103 Inactive 5/24/1990 11/1/1991 IKE GAMING INC 123017 63 Active 10/9/1983 IMPERIAL PALACE CASINO INC 25 Inactive 2/8/1981 4/21/2008 INCLINE VILLAGE GEN IMPROVEMENT DISTRICT 138 Inactive 7/1/1992 7/1/2013 INTEGRATED HEALTH SERVICES INC 350 Inactive 4/1/1999 9/1/2003 INTERNATIONAL GAME TECHNOLOGY 99 Inactive 9/15/1989 6/30/2014 INTERNATIONAL PAPER COMPANY 152 Inactive 1/1/1993 7/1/2014 JACK B KELLEY INC 233 Inactive 1/1/1995 2/9/1998 JACKPOT ENTERPRISES INC 201 Inactive 1/1/1994 1/2/2001 JC PENNEY COMPANY INC 162 Inactive 2/1/1993 2/1/2001 JERRY'S NUGGET INC 270 Inactive 4/1/1996 4/1/2009 JIM'S ENTERPRISES INC 289 Inactive 10/1/1996 8/1/2004 JOHN H BURROWS INC 143 Inactive 8/1/1992 4/1/2000 JOHNSON GROUP INC 157 Inactive 1/1/1993 11/30/2001 JOURNAL COMMUNICATIONS INC 356 Inactive 10/1/1999 4/1/2015 K & D CONSTRUCTION LLC 385 Inactive 5/1/2007 9/17/2009

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 6 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) KAL KAN FOODS INC 265 Inactive 3/1/1996 7/1/1999 KENNAMETAL INC (PARENT) 123048 119 Active 10/1/1991 KENNECOTT HOLDINGS CORP 171 Inactive 4/1/1993 2/1/2006 KIEWIT CORPORATION 123021 357 Active 11/1/1999 KINROSS GOLD CORPORATION 123052 122 Active 12/1/1991 KNIGHT TRANSPORTATION INC - INACTIVE (EXEMPT) 122989 382 Inactive 10/1/2004 9/8/2017 KNIGHT TRANSPORTATION, INC 146761 Active 9/8/2017 KROGER COMPANY 122996 44 Active 11/1/1981 L BRANDS INC 193 Inactive 11/1/1993 2/1/2007 LAIDLAW INC 211 Inactive 4/1/1994 9/1/2001 LAKEVIEW COMPANY 134 Inactive 7/1/1992 4/1/2001 LANDSTAR SYSTEM INC 286 Inactive 9/1/1996 7/1/1999 LAS VEGAS CONVENTION & VISITORS AUTHORITY 123034 369 Active 7/1/2002 LAS VEGAS CONVENTION HOTEL LLC 362 Inactive 11/1/2000 7/1/2001 LAS VEGAS METRO POLICE DEPARTMENT 123092 159 Active 1/1/1993 LAS VEGAS PAVING CORP 272 Inactive 5/1/1996 6/1/2013 LAS VEGAS SANDS 122959 96 Active 4/28/1989 WATER DISTRICT 123037 371 Active 1/1/2003 LEISURE HOMES CORPORATIONS 191 Inactive 11/1/1993 7/25/2003 LES SCHWAB WAREHOUSE CENTER INC 123210 325 Active 12/1/1997 LETICA CORPORATION 336 Inactive 2/1/1998 9/1/1999 LEVI STRAUSS & COMPANY 56 Inactive 10/1/1982 12/1/2008 LIFE CARE CENTERS OF AMERICA INC 341 Inactive 7/1/1998 10/1/2006 LOUISIANA PACIFIC CORPORATION 161 Inactive 2/1/1993 10/1/2001 LVI ENVIRONMENTAL SVCS GROUP INC 283 Inactive 7/1/1996 6/30/1998 LYNCH COMMUNICATIONS SYSTEMS 65 Inactive 3/1/1984 7/2/1987 LYON COUNTY SCHOOL DISTRICT 123040 374 Active 7/1/2003 M & R INVESTMENTS CO 38 Inactive 7/9/1981 9/15/1983 M A HANNA COMPANY 205 Inactive 1/1/1994 6/27/1996 M S CONCRETE CO INC 223 Inactive 9/1/1994 12/1/2009 MACYS INC 122854 349 Active 4/1/1999 MANDALAY RESORT GROUP 19 Inactive 11/15/1980 6/30/2006

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 7 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) MANPOWER HOLDING COMPANY 109 Inactive 1/1/1991 3/1/2013 MARNELL CORRAO ASSOCIATES INC 219 Inactive 8/1/1994 2/1/2001 MARNELL GAMING LLC 135181 Active 4/15/2016 MARRIOTT INTERNATIONAL, INC. 122999 47 Active 2/1/1982 MASCO CORPORATION 309 Inactive 3/27/1997 6/30/2016 MAX GAMING LLC 339 Inactive 5/1/1998 6/5/2000 MAX RIGGS CONSTRUCTION COMPANY INC 275 Inactive 5/1/1996 11/2/1999 MAY DEPARTMENT STORES COMPANY 238 Inactive 5/1/1995 8/30/2005 MCCLASKEY HOLDINGS LLC 170 Inactive 4/1/1993 10/1/2006 MCDONALD'S CORPORATION 123131 194 Active 12/1/1993 MCKESSON CORPORATION 123082 15 Active 10/1/1980 MESQUITE GAMING LLC 122978 398 Active 8/1/2011 MEXICO PLASTIC COMPANY 364 Inactive 9/1/2001 2/1/2003 MGM DESERT INN INC 118 Inactive 2/1/1988 3/1/1992 MGM GRAND INC (SANDS) 88 Inactive 2/1/1988 4/28/1989 MGM MIRAGE FOR NEW YORK-NEW YORK HOTEL 298 Inactive 12/1/1996 5/1/2004 MGM MIRAGE FOR THE MGM GRAND HOTEL INC 195 Inactive 12/1/1993 1/1/2004 MGM MIRAGE FOR THE PRIMADONNA COMPANY LL 144 Inactive 8/1/1992 8/1/2007 MGM RESORTS INTERNATIONAL 122995 43 Active 10/26/1981 MICHELIN NORTH AMERICA INC 310 Inactive 4/1/1997 8/1/2000 MIKOHN GAMING CORPORATION 228 Inactive 12/1/1994 7/15/2003 MISSION OF NEVADA INC 301 Inactive 1/1/1997 9/30/2011 MONARCH CASINO & RESORT INC 123160 200 Active 1/1/1994 MONTGOMERY WARD LLC 57 Inactive 10/15/1982 6/23/2000 MORRISON KNUDSEN CORP 248 Inactive 10/1/1995 7/1/1999 MOTOR CARGO 267 Inactive 3/1/1996 3/1/2002 MYR GROUP 273 Inactive 5/1/1996 9/30/1999 NEIMAN MARCUS GROUP INC 251 Inactive 11/1/1995 8/1/1999 NEVADA BELL 23 Inactive 1/1/1981 7/1/1999 NEVADA READY MIX CORPORATION 123170 210 Active 3/1/1994 NEVADA SYSTEM OF HIGHER EDUCATION 123045 379 Active 1/1/2004 NEW ALBERTSON'S INC 6 Inactive 7/4/1980 3/21/2013

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 8 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) NEW-COM INC AND ITS LISTED SUBSIDIARIES 123039 373 Active 7/29/2003 NEWMONT MINING CORPORATION 139 Inactive 7/1/1992 4/29/2003 NEWMONT MINING CORPORATION 122968 388 Active 4/29/2008 NORTHERN PIPELINE CONSTRUCTION COMPANY 313 Inactive 5/1/1997 4/1/2002 NV ENERGY INC 123064 133 Active 7/1/1992 NV YELLOW NV CHECKER & NV STAR CAB CO 122873 232 Active 1/1/1995 NYE COUNTY SCHOOL DISTRICT 122969 389 Active 7/1/2008 OCEAN SPRAY CRANBERRIES INC 123688 221 Active 9/1/1994 OFFICEMAX INCORPORATED 319 Inactive 8/1/1997 1/1/2014 OFFICEMAX INCORPORATED 320 Inactive 8/1/1997 4/20/2000 OGDEN CORPORATION 304 Inactive 2/1/1997 8/31/1999 OLSTEN CORPORATION 227 Inactive 12/1/1994 3/15/2000 PACCAR INC 122871 230 Active 1/1/1995 PARKER HANNIFIN CORP 355 Inactive 8/1/1999 4/1/2009 PAY 'N SAVE CORPORATION 18 Inactive 11/1/1980 5/21/1986 PAYLESS CASHWAYS INC 69 Inactive 7/1/1984 12/10/2001 PEGASUS GOLD CORPORATION 215 Inactive 6/1/1994 7/1/1999 PEP BOYS: MANNY MOE & JACK OF CALIFORNIA 264 Inactive 3/1/1996 3/1/2009 PEPPERMILL CASINOS INC 122953 90 Active 7/1/1988 PEPSI BOTTLING GROUP INC (THE) 321 Inactive 9/1/1997 1/1/2007 PERINI CORPORATION (PARENT) 108 Inactive 10/1/1990 10/1/2005 PETE KING CORP 268 Inactive 3/1/1996 3/1/2002 PETE KING NEVADA CORPORATION 366 Inactive 1/1/2002 12/1/2010 PETE WHITE CONCRETE INC 281 Inactive 7/1/1996 11/22/2002 PIE NATIONWIDE INC 72 Inactive 2/1/1985 12/1/1986 PILOT TRAVEL CENTERS LLC 122981 401 Active 3/1/2012 PINKERTONS INC 220 Inactive 8/1/1994 8/1/2000 INC 318 Inactive 6/30/1997 7/4/2003 PITTWAY CORPORATION 343 Inactive 7/1/1998 4/1/2000 PLACER DOME INC 303 Inactive 1/1/1997 4/1/2006 PLANET HOLLYWOOD INTERNATIONAL INC 344 Inactive 9/1/1998 7/1/2002 PLAYERS INTERNATIONAL INC 243 Inactive 7/1/1995 9/1/1997

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 9 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) POLY-AMERICA FOR POLY-WEST INC 122971 391 Active 2/1/2009 PRATTE BUILDING SYSTEMS LLC 253 Inactive 11/1/1995 1/1/2006 PRECISION CONCRETE 256 Inactive 1/1/1996 6/13/2009 PRIMEX PLASTICS CORPORATION 181 Inactive 7/1/1993 7/1/1999 PURCELL TIRE & RUBBER COMPANY 123219 333 Active 1/1/1998 QUALITY MECHANICAL CONTRACTORS, LLC 179 Inactive 7/1/1993 3/31/2013 QUEBECOR PRINTING (USA) HOLDINGS 342 Inactive 7/1/1998 7/1/2000 QUEENSTAKE RESOURCES LTD 372 Inactive 7/1/2003 8/12/2008 QUORUM HEALTH GROUP 203 Inactive 1/1/1994 2/1/1998 RAINFOREST CAFE INC 348 Inactive 4/1/1999 1/4/2001 RALCORP HOLDINGS INC 212 Inactive 4/1/1994 10/1/2004 RALEY'S INC 123242 80 Active 7/1/1986 RALSTON PURINA COMPANY 13 Inactive 9/30/1980 10/1/1995 RBT HELMS CONSTRUCTION & DEVEL CO 84 Inactive 2/15/1987 2/11/1991 RENO-SPARKS CONVENTION & VISITORS AUTHORITY 123141 105 Active 7/1/1990 RENOWN HEALTH 123237 76 Active 8/1/1985 REPUBLIC SERVICES INC 97 Inactive 7/1/1989 6/29/2001 RIO HOTEL & CASINO INC AND IT'S NV SUB 130 Inactive 6/1/1992 4/21/2008 RIVERBOAT HOTEL & CASINO (THE) CARNIVAL 204 Inactive 1/1/1994 11/30/1998 RIVERSIDE RESORT HOTEL CASINO 123238 77 Active 9/28/1985 RIVIERA OPERATING CORPORATION 218 Inactive 7/1/1994 5/16/2015 ROBROY INDUSTRIES INC 226 Inactive 11/1/1994 7/1/1999 ROCKY MOUNTAIN FABRICATION INC 260 Inactive 2/1/1996 10/28/2003 ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVIC 345 Inactive 9/1/1998 1/1/2006 RR DONNELLEY & SONS CO 85 Inactive 3/1/1987 5/1/2001 RYKOFF-SEXTON INC 266 Inactive 3/1/1996 4/1/1998 SAFEWAY INC 311 Inactive 4/8/1997 1/30/2015 SAFEWAY STORES, INCORPORATED 5 Inactive 7/1/1980 3/6/1987 SAINT MARY'S HEALTH CARE CORPORATION 17 Inactive 10/24/1980 1/1/2007 SAND REGENT THE (PARENT) 83 Inactive 10/5/1986 1/1/2008 SANTA FE PACIFIC GOLD CORPORATION 209 Inactive 3/1/1994 5/5/1997 SAXTON INCORPORATED 340 Inactive 6/1/1998 9/25/2000

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 10 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) SCHNEIDER NATIONAL INC 123217 331 Active 1/1/1998 SCOLARI'S WAREHOUSE MARKETS INC 91 Inactive 7/1/1988 4/16/2012 SEARS HOLDINGS CORPORATION 30 Inactive 5/1/1981 4/1/2007 SEARS ROEBUCK AND CO 16 Inactive 10/15/1980 10/1/1999 SEASHORE HOLDINGS INC 359 Inactive 8/1/2000 8/1/2006 SEQUA CORPORATION 202 Inactive 1/1/1994 9/14/2009 SERVICEMASTER COMPANY THE 302 Inactive 1/1/1997 7/1/1999 SHELTIE OPCO LLC 124440 Inactive 12/16/2013 5/6/2016 SHERWIN-WILLIAMS COMPANY 123154 117 Active 7/1/1991 SHOWBOAT OPERATING COMPANY 10 Inactive 8/2/1980 3/30/2000 SIERRA DEVELOPMENT COMPANY 62 Inactive 10/3/1983 12/31/2012 SIERRA HEALTH SERVICES INC 153 Inactive 1/1/1993 1/1/2009 SIGMA-ALDRICH CORPORATION 186 Inactive 9/1/1993 5/1/2000 SILVER LEGACY RESORT CASINO 122886 244 Inactive 7/1/1995 12/1/2015 SILVERTON CASINO LLC & MAJESTIC NEVADA PROPERTY HO 123201 317 Active 7/1/1997 SIZZLER INTERNATIONAL INC 172 Inactive 4/1/1993 7/1/1999 SKYLINE RESTAURANT & CASINO 217 Inactive 7/1/1994 7/1/2003 SMITH-CHRISTENSEN ENTERPRISES INC 314 Inactive 6/1/1997 4/1/2012 SOUTHERN CALIFORNIA EDISON 39 Inactive 8/1/1981 5/1/1983 SOUTHERN NEVADA HARLEY DAVIDSON SALES INC & RED RO 123041 375 Active 8/1/1996 SOUTHERN NEVADA HEALTH DISTRICT 376 Inactive 7/1/2005 8/1/2015 SOUTHERN NEVADA TBA SUPPLY CO 263 Inactive 3/1/1996 7/15/2016 SOUTHWEST AIRLINES CO 123167 208 Active 3/1/1994 SOUTHWEST GAS CORPORATION 122955 92 Active 7/1/1988 SPARKS NUGGET INC 42 Inactive 10/1/1981 12/16/2013 SPRINT CORPORATION (PARENT) 9 Inactive 8/1/1980 7/1/1999 STANLEY WORKS (THE) 305 Inactive 4/1/1997 7/1/2008 STATE LINE HOTEL INC 290 Inactive 10/1/1996 8/1/2004 INC & ITS AFFL GV RANCH GAMING LLC 87 Inactive 11/2/1987 6/14/2011 STATION CASINOS LLC 122976 396 Active 6/14/2011 STEEL ENGINEERS INC 185 Inactive 9/1/1993 11/1/2007 STOCKMAN'S BAR RESTAURANT & CASINO 292 Inactive 11/1/1996 1/31/2007

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 11 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) SUPER SHOPS INC & ITS NEVADA SUBSIDIARY 166 Inactive 3/1/1993 4/23/1998 T&R CONSTRUCTION GROUP 327 Inactive 12/1/1997 12/9/2011 TARGET CORPORATION (MERVYNS) 126 Inactive 2/1/1992 8/28/2004 TARGET CORPORATION (TARGET STORES) 123055 125 Active 2/1/1992 TEGNA INC 288 Inactive 10/1/1996 6/29/2015 THI OF BALTIMORE INC & THI OF NEVADA II 377 Inactive 9/1/2003 1/1/2007 THRIFTY CORPORATION 8 Inactive 7/21/1980 7/1/1992 TITANIUM METALS CORPORATION OF AMERICA 124 Inactive 1/1/1992 12/21/2012 TJX COMPANIES INC (THE) 180 Inactive 7/1/1993 7/1/1999 TRANSDEV NORTH AMERICA INC 351 Inactive 4/1/1999 1/1/2006 TRANS-STERLING INC 35 Inactive 7/1/1981 3/1/1985 TREASURE ISLAND LLC 122972 392 Active 8/1/2009 TRONOX LLC 178 Inactive 7/1/1993 1/1/2005 TROPICANA LAS VEGAS HOTEL & CASINO DBA T 395 Inactive 12/2/2010 8/25/2015 TRUE BLUE INC 123180 299 Active 12/1/1996 TYCO INTERNATIONAL LTD 262 Inactive 2/1/1996 7/1/1999 UNBELIEVABLE INC 164 Inactive 3/1/1993 2/1/1998 UNILEVER UNITED STATES INC 184 Inactive 9/1/1993 5/1/2003 UNION PACIFIC CORPORATION 110 Inactive 1/1/1991 1/1/2000 UNION PLAZA HOTEL & CASINO INC 41 Inactive 8/10/1981 3/25/2004 UNITED AIR LINES INC 123234 73 Active 3/1/1985 UNITED FACTORY FURNITURE CORP. 291 Inactive 10/1/1996 11/1/2001 UNITED PARCEL SERVICE INC (OHIO) 140 Inactive 7/1/1992 1/1/2002 UNITEDHEALTH GROUP INC 390 Inactive 1/1/2009 7/1/2009 UNITOG RENTAL SERVICES INC 271 Inactive 5/1/1996 3/25/1999 UNIVERSAL HEALTH SERVICES INC 160 Inactive 1/1/1993 9/29/2000 UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA 82 Inactive 8/1/1986 7/1/1990 US FOODS INC 123102 168 Active 4/1/1993 US HOME CORPORATION 295 Inactive 11/1/1996 11/1/1999 USG CORPORATION 81 Inactive 7/1/1986 7/1/2001 VEGAS GENERAL CONSTRUCTION CO 229 Inactive 12/1/1994 7/1/2005 VENCOR INC 239 Inactive 6/1/1995 11/1/1999

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 12 NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF APRIL 30, 2018

Prior Cert # SELF-INSURED EMPLOYER NAME NV Cert of Auth WC Status Certified Decertified (Company ID) VIAD CORP 123153 116 Active 7/1/1991 VICTORIA PARTNERS 280 Inactive 7/1/1996 6/30/2006 VIKING METALLURGICAL CORP 214 Inactive 6/1/1994 5/30/2002 VONS COMPANIES INC THE 111 Inactive 1/1/1991 4/8/1997 VONS GROCERY COMPANY 59 Inactive 11/15/1982 7/1/1986 WACKENHUT CORPORATION 236 Inactive 4/1/1995 7/1/1999 WASHOE COUNTY 123024 36 Active 7/1/1981 WASHOE COUNTY SCHOOL DISTRICT 123035 37 Active 7/1/1986 WASTE MANAGEMENT INC 93 Inactive 11/2/1988 7/1/2002 WELLS FARGO AND COMPANY 46 Inactive 2/1/1982 7/1/1999 WENDOVER CASINOS INC 123036 370 Active 12/19/2002 WEST EDNA ASSOCIATES LTD 294 Inactive 11/1/1996 3/31/2000 WESTERN CAB COMPANY INC 123030 365 Active 9/1/2001 WESTERN PIPELINE CONSTRUCTION CORPORATION 352 Inactive 4/1/1999 4/1/2002 WESTERN STATES CONTRACTING INC 122888 246 Active 9/1/1995 WESTERN VILLAGE ASSOCIATES 177 Inactive 7/1/1993 3/1/1994 WEYERHAUSER COMPANY 94 Inactive 1/1/1989 11/1/2015 WILLIAMS COMPANIES (THE) 188 Inactive 9/1/1993 9/30/2002 WILLIS ROOF CONSULTING INC 222 Inactive 9/1/1994 10/1/2000 WIMAR OPCO LLC/ 33 Inactive 7/1/1981 1/3/2007 WINCO FOODS INC 378 Inactive 1/1/2004 5/1/2006 WORTHINGTON INDUSTRIES INC 334 Inactive 1/1/1998 12/1/1999 WSR, INC. 312 Inactive 5/1/1997 8/1/2001 WYNN RESORTS LIMITED 190 Inactive 11/1/1993 9/1/2004 YOUNG ELECTRIC SIGN COMPANY (YESCO) 123231 70 Active 7/1/1984 YOUR BEST MANAGEMENT GROUP LLC 307 Inactive 3/1/1997 3/1/2012 YRC INC 123240 79 Active 5/1/1986 YRC WORLDWIDE INC FOR NV SUBSIDIARY YELL 300 Inactive 1/1/1997 10/1/2008

ACTIVE SELF-NSURED EMPLOYERS IN GREEN 13