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 423 5/13/2019 8810 EARLY MENTORING PARTNERS ADA 5394830A 334 4/14/2019 8601 JOHNSON HOMES INC ADA 4417810A 750 5/25/2019 5645 MERIDIAN CABLING SOLUTIONS LLC ADA 5862809A 529 5/8/2019 5190 METRIC STRUCTURES LLC ADA 5864330A 1,184 5/14/2019 5606 SUMMIT POINT ROOFING LLC ADA 5412226A 20,801 6/10/2019 5551 0.95 TIP TOP GRAVEL CO ADA 0824453A 9,382 5/10/2019 4000 1.42 13 % TRI ACOUSTIC CORPORATION ADA 0070602A 750 4/13/2019 5445 VAN VOLKINBURG BONNIE ADA 5853745A 283 4/12/2019 8742 WMC SALES LLC ADA 4499743A 1,224 5/6/2019 3724 0.95 WYNN PAINTING ADA 4867777A 800 5/17/2019 5476 SPRINGBROOK CONSTRUCTION LLC ADDISON 3413713A 530 6/2/2019 5190 TOMMYS TEMP SERVICES LLC ADDISON 5722438A 832 6/8/2019 8017 ADRIAN FUELS LLC ADRIAN 4977289A 584 4/19/2019 8017 AKERS DAVID ADRIAN 0991112A 1,310 4/26/2019 5476 AM CONCESSIONS LLC ADRIAN 5723779A 424 6/13/2019 9058 BROWN AND SONS ROOFING AND SIDING LLC ADRIAN 5715180A 768 5/11/2019 5645 CTS SEARCH GROUP INC ADRIAN 5648190A 275 6/7/2019 8810 DOWN UNDER TRENCHING LLC ADRIAN 2692562A 10,567 6/10/2019 7600 1.37 13 % ELITE GROUP INTERNATIONAL INC ADRIAN 4435206A 1,167 4/4/2019 8387 0.95 FASCO EMPLOYMENT INC ADRIAN 0943622A 37,362 5/18/2019 4558 2.04 20 % GERRYS OUTDOOR SERVICES LLC ADRIAN 4971647A 2,408 4/23/2019 0106 0.95 HOWELL HOLDINGS LLC ADRIAN 5735050A 3,768 6/1/2019 7720 IMAGINEERING AND MORE LLC ADRIAN 5720087A 329 6/12/2019 8810 L K N TRUCKING LLC ADRIAN 5591767A 750 4/19/2019 7208 RUTTKOFSKY BUILDERS INC ADRIAN 3456218A 750 5/18/2019 5645 TWO HUNDRED 56 ROBOTICS LLC ADRIAN 5857619A 331 4/21/2019 5191 MAPLE HILL ADULT FOSTER CARE AFTON 5530318A 545 5/10/2019 9053 MIDWAY SPRING INC AFTON 3650634A 543 6/24/2019 8395 CAMP QUALITY USA INCORPORATED AKRON, OH 2642840A 318 4/10/2019 8810 HOUTHOOFD BUILDERS LLC AKRON 2230917A 750 5/13/2019 5437 ALANSON SHEET METAL INC ALANSON 0138630A 742 6/9/2019 5550 0.95 MURPHY SCOTT ALANSON 5016916A 751 6/7/2019 7208 T D LEMIEUR ROOFING LLC ALANSON 5865050A 11,002 5/16/2019 5551 BERLEUE DAVID ALBION 5727227A 749 6/27/2019 7212 1/3/2019 11:00:13 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 NELSON LARRY ALBION 1005200A 750 6/3/2019 6217 RUSTY 4 FARMS ALBION 0251267A 13,674 5/4/2019 2731 1.44 YOUNGS GAS SERVICE LLC ALBION 0970263A 2,526 6/1/2019 8350 0.95 COMPLETE EXCAVATING SERVICES LLC ALDEN 5863945A 3,737 5/19/2019 6217 GREENWORLD MAINTENANCE LLC ALDEN 2249200A 750 5/4/2019 0042 0.95 NORTHERN SKYLIGHTS LLC ALDEN 4340051A 750 6/27/2019 5550 ABC SERVICES AND FOXFIRE FARM LLC ALGONAC 3792692A 11,761 4/17/2019 9015 1.58 13 % AHEE MASONRY LLC ALGONAC 3612392A 751 6/3/2019 5022 ALT VACANCY SOLUTIONS INC ALGONAC 5383455A 633 4/4/2019 9015 BLUE WATER MATERIALS LLC ALGONAC 3824993A 3,170 6/25/2019 4000 0.95 COLLINS HARDLINE CONSTRUCTION ALGONAC 5877946A 1,340 6/20/2019 7600 POLITO A ALGONAC 3204855A 750 5/16/2019 5645 WHITENACK CONSTRUCTION LLC ALGONAC 5872928A 750 6/5/2019 5437 WINNERS CIRCLE BAR INC ALGONAC 0198986A 523 6/4/2019 9058 YOKOM JAMES ALGONAC 3597610A 750 5/6/2019 5437 ALLEGAN COUNTY AGRICULTURAL SOCIETY ALLEGAN 1602829A 9,542 5/1/2019 9015 1.24 ARM SERVICES INC ALLEGAN 5402360A 634 5/8/2019 9015 BIG REDS WRECKER LLC ALLEGAN 5694000A 6,938 4/6/2019 7208 MARK P JANKE CONSULTING FORESTER LLC ALLEGAN 5256852A 755 4/3/2019 8601 S AND T SEAMLESS GUTTERS AND COVERS ALLEGAN 5848245A 750 4/2/2019 5538 SKY TRAIL MANAGEMENT AND DEVELOPMENT ALLEGAN 4469941A 935 5/4/2019 8810 LLC STARS AND STRIPES ROOFING LLC ALLEGAN 5878454A 800 6/22/2019 5551 TJM SERVICES ALLEGAN 5007046A 750 5/12/2019 8810 BATT CHARLES B ALLEN 3522709A 750 5/31/2019 0106 BIG V LANDSCAPING ALLEN PARK 1829262A 801 6/30/2019 0042 0.95 COSTA ALLEN PARK INC ALLEN PARK 2625075B 823 4/9/2019 9058 0.95 FOURNIER HAL ALLEN PARK 5257239A 750 4/3/2019 5476 GRAND RIVER BARBER COMPANY LLC ALLEN PARK 5876010A 455 6/9/2019 9586 GUTIERREZ CARPENTRY LTD INC ALLEN PARK 5555159A 750 4/27/2019 5645 HAMMERTIME LLC ALLEN PARK 5395747A 750 5/26/2019 5437 LIVIDINI LANDSCAPING LLC ALLEN PARK 5142440A 750 4/3/2019 0042 0.95 MI LAKES TILE COMPANY ALLEN PARK 5853974A 750 4/12/2019 5348 MITTEN CONTRACTING LLC ALLEN PARK 4875214A 7,834 4/5/2019 5645 0.92 STAY AT HOME CARE LLC ALLEN PARK 4883896A 18,849 4/12/2019 8835 1.53 13 %
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 3 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge T WIN SERVICES ALLEN PARK 0105236A 800 5/19/2019 5476 TUCCINI ORTHODONTIC LABORATORY INC ALLEN PARK 2498880A 473 5/26/2019 4692 DAVE BOSCH BUILDER INC ALLENDALE 4358163A 750 6/13/2019 5645 HARWOOD MACHINE REPAIR & DIAGNOSTIC INC ALLENDALE 5409039A 700 5/30/2019 3724 JMB DEMOLITION LLC ALLENDALE 4445600A 4,452 4/26/2019 7380 0.95 KOOISTRA DURK ALLENDALE 5230047A 750 5/20/2019 7208 MILES ULBERG BUILDERS LLC ALLENDALE 5269725A 1,579 5/25/2019 5437 NORTHSTAR CONSTRUCTION AND RENOVATION ALLENDALE 5409543A 750 6/30/2019 5645 LLC RELIABLE UNDERGROUND SERVICE ALLENDALE 4646690A 1,512 6/7/2019 8601 0.95 TECHNICIANS INC VICTORY CHEERLEADING COMPANY LLC ALLENDALE 3508269A 763 6/5/2019 9063 W S SERVICES ALLENDALE 2877716A 750 6/7/2019 5437 DIVINE FLOOR SERVICES LLC ALLENTON 4882733A 1,876 6/29/2019 5437 0.95 M AND A HOME IMPROVEMENTS ALLENTON 5693667A 750 4/24/2019 5551 MESA REMODELING AND CONTRACTING INC ALLENTON 5859913A 750 4/27/2019 5348 LUNA MASONRY INC ALLENTOWN 3180271A 750 4/10/2019 5022 STURDY BUILT STRUCTURES LLC ALLIANCE, OH 5877466A 4,255 6/18/2019 5040 BJORN EXCAVATING LLC ALLOUEZ 5872367A 3,187 6/1/2019 6217 AFFORDABLE DRYWALL ALMA 5266700A 750 5/1/2019 5445 ALL AMERICAN PEST CONTROL LLC ALMA 4988124A 3,142 5/23/2019 9015 0.95 GUIETT PORTAJOHN RENTALS & SERVICE LLC ALMA 5547130A 1,033 4/18/2019 9402 LOTT BUILDERS LLC ALMA 3851354A 2,709 5/19/2019 5645 0.95 NEW HORIZONS REALTY INC ALMA 5877741A 362 6/16/2019 8742 RAMON ANTHONY ALMA 5697948A 530 4/4/2019 5190 RJ LOTT CONTRACTING LLC ALMA 5731542A 5,076 6/1/2019 5437 JT POWER INC ALMONT 4550897A 3,450 5/18/2019 5190 0.95 LESNIAK AND SONS CARPENTRY LLC ALMONT 4276060A 1,186 5/30/2019 5437 MMH SOLUTIONS INC ALMONT 3021351A 750 6/10/2019 5645 0.93 ORLANDOS MASONRY & CONSTRUCTION LLC ALMONT 5341787A 1,966 4/23/2019 5022 0.95 PERFECTIONIST ALUMINUM ALMONT 5862353A 2,595 5/4/2019 5538 A 1 TREE SERVICE LLC ALPENA 5262720A 3,176 4/17/2019 0106 0.95 ALPENA MAINTENANCE SERVICE ALPENA 3193098A 750 5/25/2019 5476 BIGGBEAN LLC ALPENA 5861691A 1,837 5/9/2019 8017 CAMPERS COVE RV PARK & CANOE LIVERY INC ALPENA 4067908A 1,346 4/1/2019 9015 0.95
1/3/2019 11:00:13 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 ENVIRONMENTAL AND ASBESTOS SERVICES INC ALPENA 4752880A 593 4/20/2019 8601 KENDZIORSKI PHILIP ALPENA 5881579A 750 6/30/2019 5645 MORGAN FOREST PRODUCTS ALPENA 4067436A 750 5/10/2019 2702 NORTHSTAR EXECUTIVE PROTECTION ALPENA 5335434A 665 5/11/2019 7720 SEVEN ELEVEN NO 36916 ALPENA 1993151A 1,523 4/24/2019 8017 0.95 THUNDER BAY ROOF CO ALPENA 5865182A 10,520 5/18/2019 5551 TRAVIS AND SONS TRUCKING LLC ALPENA 3849120A 2,215 6/12/2019 7208 0.88 BEAVER WOOD TREE SERVICE LLC ALTO 4864441A 10,477 6/30/2019 0106 0.91 BOVERHOF BUILDERS INC ALTO 2714221A 761 5/29/2019 8742 CUTLER JUSTIN ALTO 5856779A 750 4/20/2019 0042 DVB INC ALTO 3453987A 750 4/11/2019 5645 GROOT SERVICES LLC ALTO 5880360A 684 6/28/2019 9102 INTEGRITY FLOORING LLC ALTO 5570972A 750 5/24/2019 5437 LEROUX CONSTRUCTION LLC ALTO 5596580A 750 5/9/2019 5645 VERBURG BUILDERS LLC ALTO 5272769A 750 5/23/2019 5645 IPROLE INC ANAHEIM, CA 5110556A 379 5/8/2019 8742 FIRST CLASS CARPENTRY LLC ANCHORVILLE 5719399A 750 5/24/2019 5437 A 2 SUPPLY CHAIN SERVICES LLC ANN ARBOR 5869951A 2,404 6/1/2019 9015 AARON HAMMER LLC ANN ARBOR 5555418A 1,770 5/11/2019 0042 0.95 ALI BABA DARI INC ANN ARBOR 0826383A 1,988 5/6/2019 9058 0.95 ALLEN LEIGH ENTERPRISES LLC ANN ARBOR 4682653A 1,020 5/20/2019 9063 0.95 ANDY KIRSHNER FILMS LLC ANN ARBOR 5856159A 408 4/19/2019 9156 ANN ARBOR HOSPITALITY LLC ANN ARBOR 2716194A 1,233 5/4/2019 9052 0.95 ANN ARBOR SHUTTLE SERVICE INC ANN ARBOR 2492504B 10,078 6/30/2019 7212 ANTHONYS GOURMET PIZZA INC ANN ARBOR 0143049A 1,764 6/8/2019 9058 0.95 B SQUARED PAINTING LLC ANN ARBOR 5547873A 801 4/19/2019 5437 BENDIT RACHEL ANN ARBOR 3925587A 841 5/18/2019 0908 BERGHOF SYSTEMS INC ANN ARBOR 5127270A 274 4/17/2019 8810 BIRD CENTER OF WASHTENAW COUNTY INC ANN ARBOR 4228863A 963 6/8/2019 8831 0.95 BLACK STEVEN L ANN ARBOR 1993828A 750 6/20/2019 0042 CLEAN AIR MANAGEMENT INC ANN ARBOR 0346381A 832 5/2/2019 4511 CLOVERLY VILLAGE OWNERS ASSOCIATION ANN ARBOR 4235240A 633 4/17/2019 9015 CROSSINGS OF ANN ARBOR ASSOCIATION ANN ARBOR 3608611A 633 4/3/2019 9015 D AND D CONTRACTING LLC ANN ARBOR 5327431A 855 6/6/2019 5645 DAVID BORNEMAN LLC ANN ARBOR 3910296A 1,152 4/13/2019 0042 0.95 1/3/2019 11:00:13 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 DONE RITE CONTRACTING LLC ANN ARBOR 1499971A 3,431 4/4/2019 5437 0.93 EAGLE RIDGE CONDOMINIUM ASSOCIATION ANN ARBOR 4013387A 634 5/12/2019 9015 EIGHT HUNDRED 20 FULLER LLC ANN ARBOR 5865824A 633 5/18/2019 9015 EILEEN WILKINSON TECHNICAL WRITING ANN ARBOR 3350940A 218 4/28/2019 8810 FERRELL ROBERT ANN ARBOR 5570212A 640 6/7/2019 0908 0.95 FIELDSTONE VILLAGE CONDOMINIUM ANN ARBOR 3751082A 633 5/4/2019 9015 ASSOCIATION FOUR STIX MANAGEMENT INC ANN ARBOR 4893166A 2,097 4/17/2019 8045 0.95 FUTURE INSURANCE SERVICES LTD ANN ARBOR 2638797A 293 5/16/2019 8810 GAILUNAS HOME SERVICES INC ANN ARBOR 1166140A 750 4/2/2019 8810 GRAYS PLUMBING INC ANN ARBOR 3790983A 644 4/7/2019 5183 GREEN PLANET LAWN CARE ANN ARBOR 3159868A 659 4/20/2019 9102 GRIME AND SHINE CLEANING SERVICES LLC ANN ARBOR 5862248A 969 5/4/2019 9015 GS HARDEN & ASSOCIATES LLC ANN ARBOR 5724791A 689 6/15/2019 8601 HANSEN ROOFING & SIDING LLC ANN ARBOR 2124475A 1,893 5/26/2019 5551 0.95 HELLO FUTURE FILMS LLC ANN ARBOR 5433908A 758 5/28/2019 7610 0.95 I AND I CONSTRUCTION ANN ARBOR 3131297A 750 5/19/2019 5403 INTERACTION GAMING LLC ANN ARBOR 5706092A 293 4/19/2019 8810 INTERNATIONAL ASSOCIATION FOR GREAT ANN ARBOR 0425729A 347 6/3/2019 8742 LAKES RESEARCH MICHIGAN J E BROWN BUILDING INC ANN ARBOR 2231875A 752 4/14/2019 5645 JEWEL HEART CORPORATION ANN ARBOR 2840910A 1,643 4/5/2019 8868 0.95 JPC PLASTER AND DRYWALL LLC ANN ARBOR 2469146A 1,975 6/25/2019 5480 0.95 JS TREE TRIMMING & REMOVAL INC ANN ARBOR 4010639A 29,522 6/23/2019 0106 1.71 13 % KASE BUILDERS LLC ANN ARBOR 5171172A 751 5/19/2019 8810 KYTE METALWERKS LLC ANN ARBOR 5503132A 636 4/11/2019 3632 LYNDON WELCH IRREVOCABLE TRUST ANN ARBOR 5547229A 2,350 4/16/2019 0908 1.00 MAULBETSCH TREE SERVICE INC ANN ARBOR 4060180A 750 5/9/2019 0106 0.95 MEICIGAMA ENERGY LLC ANN ARBOR 5877911A 397 6/16/2019 1320 MICHIGAN HR GROUP LLC ANN ARBOR 4412249A 269 4/9/2019 8810 MICHIGAN BUILDING CLEANING & MAINTENANCE ANN ARBOR 1805622A 750 4/17/2019 5551 0.95 INC MICHIGAN ROADSIDE ASSISTANCE GROUP LLC ANN ARBOR 5574196B 750 4/28/2019 8387 0.95 MIKES FULL HOUSE FITNESS INC ANN ARBOR 4363680A 642 6/26/2019 9063 MILLMAN DEVELOPMENT GROUP INC ANN ARBOR 5880416A 385 6/28/2019 5606 MILLS EMILY ANN ARBOR 5862060A 219 5/3/2019 8810 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 6 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MOBILE AUTO TRIM INC ANN ARBOR 2207230A 1,163 5/2/2019 8393 NOOR MINI MART LLC ANN ARBOR 4998626A 545 6/18/2019 8017 0.95 NORTON PAINT & REPAIR ANN ARBOR 5725780A 750 6/21/2019 5476 ONE MORE REP FITNESS LLC ANN ARBOR 5721857A 354 6/6/2019 8017 PHIRE ADVERTISING & DESIGN LLC ANN ARBOR 3984036A 218 6/6/2019 8810 0.95 PM CONTRACTING LLC ANN ARBOR 5407028A 768 5/22/2019 3040 POP PAVEL ANN ARBOR 5853737A 1,573 4/19/2019 5190 PRO STAR LLC ANN ARBOR 5348358A 1,085 4/23/2019 9015 PROTECH ENVIRONMENTAL SERVICES INC ANN ARBOR 1325310A 12,944 6/9/2019 5183 0.85 PULICCI BUILDING COMPANY ANN ARBOR 1325230A 750 4/27/2019 5645 RAMSPORT INC ANN ARBOR 4453662A 806 4/4/2019 4511 0.95 RIDECORP INC ANN ARBOR 5606950A 149,371 5/1/2019 7220 1.98 13 % SALLIE HAMILTON PERSONNEL INC ANN ARBOR 0855863A 1,055 6/20/2019 8835 SCHENK KARL H ANN ARBOR 5277930A 1,164 6/19/2019 0128 0.95 SINGER SCOTT M ANN ARBOR 5852293A 791 4/10/2019 0908 TONCEVICH HUNTER ELIZABETH ANN ARBOR 5860660A 891 5/9/2019 9053 UNIQUE CONSTRUCTION AND SERVICES LLC ANN ARBOR 5862752A 825 5/8/2019 5403 UNIVERSITY OF MICHIGAN FLYERS INC ANN ARBOR 1514733A 952 4/29/2019 7423 VANSTON O BRIEN INC ANN ARBOR 1743414A 810 6/24/2019 8742 0.95 VICTORY CONCRETE LLC ANN ARBOR 5344573A 750 4/8/2019 5506 VICTORY HOMES MANAGEMENT INC ANN ARBOR 4448790A 4,884 4/16/2019 9053 0.91 VILLAS AT NORTHVILLE HILLS ANN ARBOR 3793028A 633 6/14/2019 9015 WESTWARD LLC ANN ARBOR 3001830A 750 4/21/2019 5645 WOLVERINE STEEL ERECTORS INC ANN ARBOR 3583821A 908 4/12/2019 5606 0.72 WORKFORCE CONTINGENT STAFFING INC ANN ARBOR 5142512A 478 5/22/2019 3629 ZELEXA LLC ANN ARBOR 5721385A 751 6/2/2019 8868 CHANGER AND DRESSER INC ANNISTON, AL 5115329A 814 6/3/2019 8742 0.95 FRENAK JIM PHOTOGRAPHY INC ANTHEM, AZ 3724220A 348 4/21/2019 4361 BAY LAKES COUNCIL OF BOY SCOUTS OF APPLETON, WI 0539228A 7,599 4/13/2019 8868 0.93 AMERICA INC E AND D RANCH LLP ARCADIA, FL 3377326A 1,107 6/30/2019 0913 0.95 ANTLER CREEK LLC ARMADA 5408296A 750 5/28/2019 5645 BAYSIDE MARINE CONSTRUCTION INC ARMADA 3923398A 2,993 6/6/2019 6217 0.94 CAROLYNNS CABINETS INC ARMADA 3943186A 752 6/25/2019 5437 FINELINES FINISH CARPENTRY & DESIGN LLC ARMADA 4364473A 800 6/30/2019 5437
1/3/2019 11:00:13 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 GONZALEZ JOSE ARMADA 5723345A 750 6/10/2019 9102 K AND D WELDON INC ARMADA 5879833A 742 6/21/2019 9058 PRATT HOLDINGS INC ARMADA 4534425A 715 6/11/2019 3064 0.95 SCHRAMM FARMS LLC ARMADA 5035260A 2,602 4/4/2019 0128 0.95 TIP TOP TIMBER CO ARMADA 5861993A 9,030 5/4/2019 0106 CUSIC INC ASHEVILLE, NC 5539668A 219 5/18/2019 8810 BECK TED ASHLEY 5880840A 1,376 6/29/2019 0128 GUS LANDSCAPING LLC ASHLEY 5849888A 751 4/6/2019 9102 CAMPER VILLAGE CAMPGROUND ATHENS 4230299A 633 6/9/2019 9015 LON MILLER ATHENS 5333660A 640 4/12/2019 0913 PARKS TREE SERVICE ATHENS 4044410A 1,259 4/28/2019 0106 0.95 E AND A CONSTRUCTION & SIDING ATICA 5861799A 750 5/2/2019 5437 AMERICAN PROCESS ENERGY RECOVERY INC ATLANTA, GA 4859430A 4,117 4/1/2019 4829 0.93 EHLERS ENTERPRISES ATLANTA 1738674A 750 5/20/2019 2702 G CURRENT CONSTRUCTION LLC ATLANTA 5297575A 750 5/23/2019 5645 0.94 ROBERT MARLATT PS ATLANTA 5716896A 259 5/17/2019 8601 BRUCE PORKKA LOGGING ATLANTIC MINE 2589494A 750 4/6/2019 7208 KEWEENAW EXPLORATIONS COMPANY ATLANTIC MINE 4069161A 2,195 5/13/2019 9015 0.95 LINDSAY NETTELL INC ATLANTIC MINE 0913855A 750 5/15/2019 2702 NETTELL LONDYN ATLANTIC MINE 4872975A 750 5/22/2019 2702 PAULSON TODD ATLANTIC MINE 5862949A 750 5/8/2019 7208 ALWAYS DONE RIGHT HOME IMPROVEMENT LLC ATTICA 5705312A 2,766 5/19/2019 5645 EFFICIENT FOAM INSULATION INC ATTICA 0670383A 2,344 5/20/2019 5479 0.95 JUDD MITCH ATTICA 5727081A 750 6/27/2019 5445 LAPEER COUNTY SPORTSMENS CLUB ATTICA 3304663A 450 6/1/2019 9061 MITTEN HOME MAINTENANCE LLC ATTICA 5875986A 750 6/9/2019 0042 MOTOR CITY HOME IMPROVEMENT ATTICA 5284910A 8,486 5/10/2019 5437 NAUTICAL VENTURES INC ATTICA 3927245A 1,546 4/29/2019 6834 0.95 STEVE RUSSELL CUSTOM HOMES LLC ATTICA 0766283A 750 6/5/2019 5645 SUTHERBY EXCAVATING LLC ATTICA 5719291A 751 5/24/2019 6217 WEINGARTZ TREE SERVICE LLC ATTICA 3779076A 983 5/13/2019 0042 0.95 NORTHPORT CONDOMINIUM MARINA AU GRES 0213063A 2,016 6/1/2019 6826 ASSOCIATION LEXIS PAINTING AUBURN 0431460A 1,342 4/16/2019 5476 0.95 MAINSTREAM FLOW GROUP AUBURN 2031230A 779 6/10/2019 0042
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 8 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MIDSTATE SERVICES LLC AUBURN 5862892A 1,653 5/8/2019 0042 AMERICAN PROCESS SERVICE INC AUBURN HILLS 4605519A 1,425 4/1/2019 7720 0.95 BEACON HILL INC AUBURN HILLS 3068650A 5,020 5/11/2019 9015 0.95 BELLA HOMES AND ASSOCIATES LLC AUBURN HILLS 5546486A 800 4/27/2019 5645 C AND M TREE SERVICE LLC AUBURN HILLS 2508885A 2,219 6/6/2019 0106 0.95 CORAL CONSTRUCTION CO INC AUBURN HILLS 1732277A 9,565 6/17/2019 5538 0.87 EVOLUTION SPORTSPLEX LLC AUBURN HILLS 4987705A 686 5/22/2019 9015 FIELDSTONE CONSTRUCTION SERVICES INC AUBURN HILLS 5393167A 4,479 4/3/2019 5606 0.95 LOPEZ ANAHI AUBURN HILLS 5852501A 800 4/10/2019 5645 MCCOURY LAWNCARE LLC AUBURN HILLS 5851068A 659 4/7/2019 9102 MOTOR CITY ROBOTICS LLC AUBURN HILLS 5711959A 218 5/4/2019 8810 OAKLAND COUNTY DOCK AND HOIST LLC AUBURN HILLS 5706017A 751 4/19/2019 6400 OXUS AMERICA INC AUBURN HILLS 4759583A 11,469 5/14/2019 8601 1.38 13 % RESTORATION ENVIRONMENTAL SAFETY & AUBURN HILLS 4926978A 3,188 6/12/2019 9521 0.95 CONSULTING SOLUTIONS LLC ROOF RESTORATION TECHNOLOGIES INC AUBURN HILLS 4299027A 752 4/11/2019 8810 SABER WINDOW CLEANING LLC AUBURN HILLS 2432455A 708 5/18/2019 9015 TOTALSCAPE LLC AUBURN HILLS 3480801A 1,987 6/16/2019 0042 0.95 TOVAR 111 CONSTRUCTION LLC AUBURN HILLS 5539250A 825 4/5/2019 5645 FLYNNS LANDSCAPING & SNOW REMOVAL LLC AUGRES 4840534A 1,780 5/31/2019 0042 0.95 BARN THEATRE SCHOOL FOR ADVANCED AUGUSTA 5088038A 3,922 6/26/2019 9154 0.93 THEATRE TRAINING UNIVERSAL ROPES COURSES LLC AUGUSTA 5698405A 7,880 4/4/2019 5403 DAN COWHYS EXCAVATION LLC AVOCA 5878047A 777 6/21/2019 6217 KS DINER AVOCA 1627252A 349 5/30/2019 9058 GAMEZ ENTERPRISES INC AVON PARK, FL 5565863A 17,027 5/26/2019 0128 1.06 PROLINE TOOL & SUPPLY LLC BAD AXE 5021740A 613 5/22/2019 8018 COUSINEAU STANLEY L BALDWIN 4446976A 751 4/11/2019 2702 DISCOUNT STUMP GRIND AND REMOVAL LLC BANCROFT 5721660A 750 6/3/2019 0106 JAMES CARPENTER HOME IMPROVEMENT BANGOR 5699746A 750 5/2/2019 5645 R AND S BLUEBERRIES LLC BANGOR 2410648A 625 6/13/2019 0011 0.95 STRUBLE TRUCKING LLC BANGOR 5559715A 800 6/28/2019 7208 SAYLORS RAILROAD WELDING LLC BANNISTER 3958183A 837 4/12/2019 5506 0.95 KINGS KIDS TRANSPORT BARAGA 3186997A 750 4/20/2019 7208 SCHALLIPS INC BARBEAU 0092886A 624 4/2/2019 3116
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 9 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BITTNER CORPORATION BARK RIVER 5862825A 750 5/8/2019 6217 CHOLEWA LOGGING BARK RIVER 0354082A 800 6/5/2019 2702 J AND D DEROCHER TRUCKING INC BARK RIVER 3672557A 750 6/3/2019 7208 0.95 JOHNSON WADE BARK RIVER 0911623A 750 4/8/2019 2702 K AND K MATHIAS TRUCKING BARK RIVER 5427975A 800 5/11/2019 7208 SUPERIOR TIMBER MANAGEMENT LLC BARK RIVER 3304701A 750 4/8/2019 2709 VANENKEVORT ALEC BARK RIVER 5874270A 750 6/6/2019 7208 MIH LLC BARRYTON 5863503A 1,054 5/10/2019 6217 AGUILAR TRUCKING & CONCRETE LLC BATH 2728257A 3,491 5/1/2019 7208 0.95 ADM ENGINEERING LLC BATTLE CREEK 5569370A 475 6/3/2019 8601 BATTLE CREEK COMMUNITY FOUNDATION BATTLE CREEK 2300486A 369 4/1/2019 8742 BEAR LAKE TRANSPORTATION BATTLE CREEK 5259134A 748 4/9/2019 7212 BILL JONES ROOFING AND SIDING LLC BATTLE CREEK 5707110B 750 6/20/2019 5551 BIOPRO ROOF CLEANING INC BATTLE CREEK 5144388A 684 5/24/2019 9015 BUCKS CRANE INC BATTLE CREEK 3608743A 5,111 6/27/2019 3724 0.95 CDO WASHING BATTLE CREEK 5855225A 683 4/26/2019 9015 CONTRACT FOOD SERVICES INC BATTLE CREEK 1937332A 350 4/13/2019 9058 COVAULT CONSTRUCTION BATTLE CREEK 5697328A 750 6/5/2019 5348 CROOKED CREEK HOMECARE BATTLE CREEK 5350050A 659 5/6/2019 9102 DOWNEYS LAKEVIEW LOUNGE INC BATTLE CREEK 0218375A 350 5/4/2019 9058 EAST BRANCH SPORTMENS CLUB BATTLE CREEK 5878411A 686 6/25/2019 9015 FOUR SEASONS TRAILER PARK BATTLE CREEK 2917700A 634 5/14/2019 9015 FULTON GOODWILL ENTERPRISES INC BATTLE CREEK 5264758A 2,090 4/25/2019 8010 0.95 J AND S FAMILY TREE SERVICE LLC BATTLE CREEK 3922901A 975 6/10/2019 0106 0.95 JRS DEVELOPMENT LLC BATTLE CREEK 3646858A 660 6/18/2019 9015 KECK CONSULTING SERVICES LLC BATTLE CREEK 4002865A 1,466 6/11/2019 8601 KEVIN GRAHAM CONCRETE CONSTRUCTION BATTLE CREEK 5582997A 2,855 6/29/2019 5221 KORNS TRANSPORTATION BATTLE CREEK 4201809A 800 5/17/2019 7208 NEW CHINA MOON OF BATTLE CREEK LLC BATTLE CREEK 5128170A 2,295 4/19/2019 9058 0.95 RELIABLE AFFORDABLE DEPENDABLE BATTLE CREEK 2990180A 750 5/15/2019 5645 CONSTRUCTION INC SECOND WIND HR LLC BATTLE CREEK 5259738A 1,255 4/10/2019 9015 0.95 SELLS AND SON ROOFING BATTLE CREEK 3005526A 1,662 4/19/2019 5551 0.95 SEW UNIQUE THREADS LLC BATTLE CREEK 5551250A 355 5/3/2019 8017 TOMS BUILDING AND REMODELING BATTLE CREEK 4314212A 868 4/26/2019 5645
1/3/2019 11:00:13 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 WEAVER CONSTRUCTION BATTLE CREEK 5418747A 750 6/26/2019 5645 WINN RENTALS BATTLE CREEK 5866880A 3,337 5/22/2019 9015 BAY AREA RENOVATIONS LLC BAY CITY 5694167A 1,375 5/11/2019 5476 BAY HARBOR VILLAGE CONDOMINIUM BAY CITY 2671972A 689 4/25/2019 9015 0.95 ASSOCIATION INC DORE AND ASSOCIATES CONTRACTING INC BAY CITY 0884383A 156,286 5/15/2019 5403 1.66 27 % EVAN INC BAY CITY 3681904A 1,141 4/15/2019 8395 0.95 FAIRWELLS INC BAY CITY 2620553A 711 5/16/2019 1320 0.95 HACKER BUILDERS LLC BAY CITY 5449910A 800 4/23/2019 5645 KTC INDUSTRIES LLC BAY CITY 5870976A 1,235 5/31/2019 8045 LEPPEK CONSTRUCTION CO BAY CITY 2432480A 2,363 5/16/2019 5645 0.95 M P A GROUP N F P LTD BAY CITY 3930696A 7,645 5/28/2019 8832 0.84 MAC SAL INC BAY CITY 1623893A 2,518 4/3/2019 9156 0.95 MARIMO LLC BAY CITY 5302978A 1,737 5/5/2019 9058 0.95 MCINTYRE PROPERTY MANAGEMENT LLC BAY CITY 2283620A 751 4/23/2019 5476 MDL CONSTRUCTION LTD BAY CITY 2434148A 7,793 4/27/2019 5437 0.89 MYCAR TRANSPORT LLC BAY CITY 5869900A 751 6/12/2019 7208 RTD HOME IMPROVEMENT BAY CITY 5706769A 750 4/20/2019 5445 SAMPLE AND SONS INC BAY CITY 0990876A 1,016 6/21/2019 8387 0.95 SHIP SHAPE AND SUDS INC BAY CITY 4049659A 1,564 4/13/2019 6826 0.95 SHORKEY HEATING & COOLING LLC BAY CITY 4521463A 760 6/19/2019 5550 SMITH STREET HOME ASSISTED LIVING LLC BAY CITY 3295885A 997 6/28/2019 9053 0.95 SUNSET SHORES YACHT CLUB INC BAY CITY 1499360A 634 6/6/2019 9015 THAT GUYS LLC BAY CITY 3345300A 1,642 5/31/2019 9058 VALLEY UNITED INSURANCE AGENCY INC BAY CITY 3666018A 1,464 5/19/2019 8742 0.95 WEBER BRAD BAY CITY 5640423A 592 6/5/2019 9521 WHATS POPPIN LLC BAY CITY 5551234A 355 4/27/2019 8017 WHEELER LANDING INC BAY CITY 1191500A 983 4/13/2019 6836 0.95 WILSON MOTORSPORTS LLC BAY CITY 1184717A 1,232 4/4/2019 8387 0.95 BAY PORT FISH CO BAY PORT 0553140A 543 4/28/2019 8021 1.00 GALAXY ELECTRIC INC BEAR LAKE 3755959A 604 4/3/2019 5190 SCHWARTZFISHER STONE WORKS BEAVER ISLAND 3517977A 750 4/20/2019 6217 BDL TESTING & DRIVING SCHOOL LLC BEAVERTON 3936910A 477 6/12/2019 8868 BEAVERTON AREA FIRE DISTRICT BEAVERTON 0680907A 1,836 5/1/2019 7704 0.95 MID MICHIGAN TREE SERVICE BEAVERTON 3610535A 1,265 4/2/2019 0106 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 11 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MID STATE SEAWALL INC BEAVERTON 3985105A 1,914 5/1/2019 6217 0.95 MITTEN MOWING LLC BEAVERTON 5848253A 660 4/7/2019 9102 WILD PUMPKIN INC BEAVERTON 5406501A 634 5/20/2019 2003 ACE L BUILDERS LLC BELDING 5658870A 750 5/12/2019 5645 COLES GERALD H JR BELDING 5861080A 750 5/1/2019 7208 KDS CORNER LLC BELDING 5724740A 511 4/1/2019 8017 AA LOG HOME REPAIR LLC BELLAIRE 5855870A 750 4/17/2019 5476 CYMAN GARDENS LLC BELLAIRE 3781631A 2,084 5/16/2019 0042 0.95 DAVE ROBB CONSTRUCTION LLC BELLAIRE 3056414A 1,713 4/20/2019 5221 0.95 HELLO VINO LLC BELLAIRE 5862108A 742 5/3/2019 9058 LAKE LIVING SERVICES INC BELLAIRE 5864747A 3,408 5/15/2019 5645 OTHERSIDE IRRIGATION SERVICES BELLAIRE 5708699A 1,136 4/26/2019 6229 TORCH LAKE TREE PRO LLC BELLAIRE 5270634A 2,340 6/1/2019 0106 0.95 TRIBUTARY BUILDERS LLC BELLAIRE 5123399A 750 4/29/2019 5645 A AND S SEALCOATING LLC BELLEVILLE 4901100A 825 5/24/2019 5221 ALTIZER CONSTRUCTION INC BELLEVILLE 5878420A 750 6/22/2019 5437 BELLEVILLE TRUCKING LLC BELLEVILLE 0178241A 2,319 4/14/2019 7208 0.95 CHARLEBOIS MASONRY BELLEVILLE 2467674A 800 4/28/2019 5022 CHIPPEWA TREE SERVICE INC BELLEVILLE 2134829A 822 4/2/2019 0106 0.95 CU 29 SHINE LLC BELLEVILLE 3240096A 750 5/22/2019 5476 DAK HAULAGE LLC BELLEVILLE 5547148A 750 4/16/2019 7208 DCP COMMERICAL CLEANING LLC BELLEVILLE 5715083A 708 5/16/2019 8835 DW TRANSPORT INC BELLEVILLE 5276870A 750 6/26/2019 6217 EUROSPEED LLC BELLEVILLE 3161099A 750 6/16/2019 5437 EXACT QUALITY SERVICES INC BELLEVILLE 5862370A 1,778 5/4/2019 3808 EXECUTIVE PROTECTION SERVICES INC BELLEVILLE 4942167A 444 6/14/2019 7720 FAIRPLAY HOME MAINTENANCE LLC BELLEVILLE 1617370A 3,815 5/15/2019 5551 0.95 FALLON DAVID BELLEVILLE 0170089A 3,074 4/28/2019 5645 0.95 GD COLLINS TRUCKING LLC BELLEVILLE 5398959A 5,650 5/1/2019 7208 GET FLOOR INC BELLEVILLE 5543576A 1,064 6/15/2019 9521 HOLLOW TRUCKING COMPANY BELLEVILLE 2501457A 1,219 4/15/2019 8232 0.95 INTERSTATE AUTO TRANSPORT LLC BELLEVILLE 5567548A 825 5/3/2019 7208 JACKS HOUSE LLC BELLEVILLE 4865227A 1,032 4/23/2019 9015 JONATHANS GREENHOUSE LLC BELLEVILLE 5857651A 750 4/21/2019 7208 LAKEVIEW TAVERN INC BELLEVILLE 1218484A 1,097 6/21/2019 9058 0.95 1/3/2019 11:00:13 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 LINZELL HOME IMPROVEMENT INC BELLEVILLE 4286790A 5,517 6/10/2019 5538 0.91 MATADOR INC BELLEVILLE 1588427A 260 6/26/2019 9586 METRO ERECTING INC BELLEVILLE 2603039A 768 4/9/2019 3365 MICHIGANS FINEST BELLEVILLE 3408523A 1,662 5/12/2019 5645 0.95 PRECISION RENOVATIONS UNLIMITED INC BELLEVILLE 5721440A 800 6/3/2019 5551 SANDYS MARINA INC BELLEVILLE 0754579A 979 5/17/2019 6836 0.95 STRATEGIES TO OVERCOME OBSTACLES & BELLEVILLE 4535545A 339 5/16/2019 8868 AVOID RECIDIVISM SUMPTER SOLAR SERVICES LLC BELLEVILLE 5728576A 710 4/5/2019 5550 TRI COUNTY MILLWORK INC BELLEVILLE 4746945A 750 6/20/2019 5437 0.81 TURNER KEITH BELLEVILLE 5878870A 385 6/23/2019 5606 VANDERSEND CREATIVE LLC BELLEVILLE 5710677A 420 4/29/2019 8742 CTI OF BATTLE CREEK LLC BELLEVUE 5875358A 1,862 6/8/2019 3066 DOUBLE WIDE ENTERPRISES INC BELLEVUE 5395186A 1,648 4/13/2019 9015 0.95 SPECIALTY PROTOTYPES LLC BELLEVUE 4693450A 1,275 4/13/2019 3400 0.95 ONE EYE SQUARE INC BELMONT 3220729A 751 5/9/2019 5437 SUMMIT HOMES OF WEST MICHIGAN LLC BELMONT 4084268A 750 5/17/2019 5645 MSG SERVICES GROUP INC BENSENVILLE, IL 4969766A 876 6/23/2019 8292 0.95 AAA POWER WASHERS INC BENTON HARBOR 5850207A 1,241 4/6/2019 9015 ALS CONSTRUCTION SERVICES LLC BENTON HARBOR 5855713A 1,739 4/18/2019 5645 COMMERCIAL PAINTERS INC BENTON HARBOR 2842807A 3,299 6/7/2019 5476 0.96 HARRIS NON EMERGENCY MEDICAL BENTON HARBOR 5566649A 749 6/25/2019 7212 TRANSPORTATION LLC HIGHLAND MACHINERY INC BENTON HARBOR 4990188A 581 6/1/2019 8107 KEN DAUGHERTY ROOFING SIDING AND BENTON HARBOR 0845035A 2,504 5/6/2019 5645 0.95 GUTTERS LLC LEMUS PAINTING SERVICE BENTON HARBOR 4321863A 750 4/24/2019 5476 READINESS CENTER INC BENTON HARBOR 2396890A 898 5/19/2019 8868 0.95 SUNSET COAST CLEANING SERVICES BENTON HARBOR 5515076A 634 5/23/2019 9015 THOMAS CHRIS BENTON HARBOR 5721580A 800 6/15/2019 7208 WOLFS DIVERS SUPPLY INC BENTON HARBOR 1033450A 829 6/18/2019 8017 CASSELMAN FOREST PRODUCTS BENZONIA 5267757A 750 5/6/2019 2702 CRYSTAL RIDGE CONDOMINIUM ASSOCIATION BENZONIA 1603230A 684 5/17/2019 9015 WESTBROOK CONSTRUCTION INC BENZONIA 5865085A 2,841 5/16/2019 5645 STAFFWORX SEARCH GROUP LLC BEREA, OH 5876087A 5,717 6/11/2019 5645 ALBERT C SANOM RESIDENTIAL BUILDER LLC BERKLEY 1874012A 922 5/18/2019 5437 1/3/2019 11:00:13 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 ALPINE CONSTRUCTION BERKLEY 1361570A 842 6/25/2019 5645 C 3 RENOVATIONS LLC BERKLEY 5189080A 2,767 4/19/2019 5437 0.95 D AND E SUPERIOR TILE BERKLEY 2380331A 800 6/14/2019 5348 EAGLE DRYWALL BERKLEY 0470740A 750 4/22/2019 5445 GARUDA HEALTH LLC BERKLEY 5847630A 403 4/1/2019 8832 PAUSTIAN BROTHERS LLC BERRIEN CENTER 3262812A 5,741 5/1/2019 7208 0.92 ADVENTIST FRONTIER MISSIONS INC BERRIEN SPRINGS 1144618A 5,279 4/9/2019 8868 0.94 ANTONOV TRUCKING LLC BERRIEN SPRINGS 5721504A 800 6/3/2019 7208 JOLLYS CARE BERRIEN SPRINGS 5861489A 595 5/8/2019 9053 WORKZ GROUP BERRIEN SPRINGS 5147026A 984 6/7/2019 6400 0.95 C AND A CONSTRUCTION CO BERVILLE 0029343A 1,351 5/1/2019 9530 0.95 RAMMES AUTO AND RV SALES LLC BESSEMER 0266337A 2,842 4/12/2019 8010 0.95 COTTAGE PROS LLC BEULAH 5549540A 1,358 4/21/2019 9102 1.34 13 % CRYSTAL LAKE & WATERSHED ASSOCIATION BEULAH 4989139A 750 6/1/2019 8387 CRYSTAL LAKE NURSERY BEULAH 1431340A 330 6/21/2019 8869 DREAM WORKS CUSTOM HOMES LLC BEULAH 4515633A 800 5/3/2019 5645 ESTATE AT CRYSTAL LAKE LLC BEULAH 5876044A 634 6/9/2019 9015 JEFF LOUWSMA RESIDENTIAL BUILDER LLC BEULAH 3582205A 969 6/25/2019 5645 MR BS ROOFING & SIDING INC BEULAH 3496341A 10,713 5/6/2019 5645 0.90 BJR RENTALS LLC BEVERLY HILLS 5124590A 634 4/5/2019 9015 BLACKBIRD VENDING INC BEVERLY HILLS 0721638A 4,243 5/13/2019 8008 0.90 C AND C QUALITY SERVICES INC BEVERLY HILLS 5850037A 750 4/14/2019 9402 GREATER HOME SERVICES LLC BEVERLY HILLS 4049543A 750 5/2/2019 3724 0.95 J W DAVIS & ASSOCIATES INC BEVERLY HILLS 2866455A 240 6/27/2019 8810 BIG RAPIDS FREE METHODIST CHURCH BIG RAPIDS 2114461A 255 4/3/2019 8868 D AND J ASPHALT CONSTRUCTION BIG RAPIDS 5049032A 750 6/25/2019 5221 NORTHERN ANALYTICAL SERVICES LLC BIG RAPIDS 4206061A 923 4/19/2019 4511 0.95 SILVERNAIL REALTY BIG RAPIDS 2590557A 714 6/29/2019 9015 ANGEL HOSPICE INC BINGHAM FARMS 5326524A 755 5/6/2019 8835 COOLIDGE TERRACE COOPERATIVE BINGHAM FARMS 3148823A 633 5/2/2019 9015 GENERAL INFORMATION SYSTEMS & BINGHAM FARMS 5398142A 293 4/23/2019 8810 TECHNOLOGY LLC HUGHES BUILDING LLC BINGHAM FARMS 5131626A 2,928 4/30/2019 5606 0.95 JUMP NATION LLC BINGHAM FARMS 5868122A 2,556 5/25/2019 9015 KANTER AUSTIN A BINGHAM FARMS 1983520A 1,004 4/10/2019 0908
1/3/2019 11:00:13 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 LEVINE ROBERT BINGHAM FARMS 2267055A 351 6/17/2019 0908 SEQUEL TOUR SOLUTIONS LLC BINGHAM FARMS 3332756A 911 5/1/2019 8810 0.95 STONEBRIDGE FARMS LLC BINGHAM FARMS 3960420A 1,942 4/15/2019 8279 0.95 SUPERALLOY NORTH AMERICA LLC BINGHAM FARMS 5374804A 725 5/2/2019 8810 WINKELMAN SHELDON P & WINKELMAN RISSA R BINGHAM FARMS 1650157A 640 4/30/2019 0913 AL NAEGELE FLOOR COVERING INC BIRCH RUN 3070476A 592 6/6/2019 9521 FRANKENMUTH AERIAL PARK LLC BIRCH RUN 5728282A 4,278 4/13/2019 9015 GIBSON ROOFING BIRCH RUN 2696223A 9,020 5/30/2019 5551 0.91 PM DOWELL CONTRACTING LLC BIRCH RUN 5713471A 800 5/6/2019 5403 SJ MECHANICAL LLC BIRCH RUN 5707277A 704 4/25/2019 5183 A J CAMPBELL FLOORS INC BIRMINGHAM 3643875A 591 6/22/2019 9521 BAILY SCHMIDT LLC BIRMINGHAM 2656841A 1,137 4/14/2019 9015 BASH EVENTS LLC BIRMINGHAM 5268133A 1,060 5/24/2019 9058 0.95 BERNIES TEAM LLC BIRMINGHAM, AL 5556295A 1,212 5/6/2019 8601 0.95 BORMAN PAUL D BIRMINGHAM 0721514A 426 5/23/2019 0908 BUILDING AND ESTIMATING SERVICES INC BIRMINGHAM 5203228A 2,268 6/3/2019 8720 0.95 BUILDING AND HOME INSPECTIONS INC BIRMINGHAM 2626845A 750 4/1/2019 0042 BUNTING LEONARD BIRMINGHAM 5397570A 640 5/10/2019 0913 DETROIT MOTORHOME COMPANY LLC BIRMINGHAM 5569907A 1,671 6/4/2019 7380 0.95 EMILIO CONSTRUCTION LLC BIRMINGHAM 4666267A 825 4/25/2019 5645 FOUR STAR INC BIRMINGHAM 3347095A 8,568 5/9/2019 8392 0.82 GEN ENERGY LLC BIRMINGHAM 5409748A 297 6/2/2019 8810 HENDERSON MITCHELL BIRMINGHAM 4465261A 640 4/26/2019 0913 HIGHGATE LLC BIRMINGHAM 5165601A 1,839 6/4/2019 7421 0.95 HOFFA DAVID BIRMINGHAM 5848318A 577 4/13/2019 0908 KAUFMAN DANIEL BIRMINGHAM 5865034A 351 5/16/2019 0908 MAARKON INC BIRMINGHAM 0378038A 218 4/11/2019 8810 MARKS MANAGEMENT SERVICES INC BIRMINGHAM 2655616A 619 6/22/2019 8810 NATHAN BERNARD DEVELOPMENT INC BIRMINGHAM 3284735A 800 4/28/2019 5645 NEW HOLLY MANOR LLC BIRMINGHAM 4564111A 633 5/11/2019 8810 0.95 NICHOLAS FREUND BUILDING LLC BIRMINGHAM 5563704A 2,254 6/15/2019 5606 0.95 NICHOLSON ENGINEERING COMPANY BIRMINGHAM 0729264A 317 4/18/2019 8601 NYMAN GEORGE M BIRMINGHAM 1850997A 401 6/10/2019 0908 OAKES BUILDING COMPANY BIRMINGHAM 3653714A 20,387 5/6/2019 5551 0.89 OVERHEAD MAINTENANCE SOLUTIONS LLC BIRMINGHAM 4459504A 3,294 4/5/2019 3724 0.94 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 15 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PINNACLE HOMES LLC BIRMINGHAM 3353257A 825 6/10/2019 5645 PROFESSIONAL FREIGHT SERVICES LLC BIRMINGHAM 5861632A 750 5/2/2019 7208 SAPPHIRE BUILDING INC BIRMINGHAM 5272513A 4,364 5/20/2019 5606 0.95 SCHLACHTER KRIS BIRMINGHAM 5727529A 690 6/27/2019 0913 SIERRA MANAGEMENT LLC BIRMINGHAM 2173859A 285 4/14/2019 8810 SILVERBACK MOVING INC BIRMINGHAM 4790510A 35,524 5/12/2019 8293 1.41 13 % THAL BRUCE E & ILEANE BIRMINGHAM 1485393A 351 6/9/2019 0908 UNITECH IMAGING INC BIRMINGHAM 5712076A 233 5/8/2019 8742 WEISS ROBERT M BIRMINGHAM 1544314A 384 4/28/2019 8820 XPRESS HOLIDAY LIGHTING LLC BIRMINGHAM 5047129A 1,541 6/27/2019 5190 0.95 IRANI CYRUS M BLANCHARD 5795346A 1,587 6/16/2019 0129 MID MICHIGAN FIELD TILE DRAIN CLEANING BLANCHARD 5705436A 644 6/21/2019 5183 TS DRILLING CONSULTANT LLC BLANCHARD 5713498A 393 5/10/2019 8601 D D MITCHELL ENTERPRISES LTD BLISSFIELD 3098346A 8,732 5/28/2019 7208 0.86 ERIC SLUSHER FLOORING LLC BLISSFIELD 2154528A 750 4/22/2019 5437 NATIONWIDE INFRASTRUCTURE LLC BLISSFIELD 5857805A 2,056 6/6/2019 5102 CURB APPEAL INC BLOOMFIELD 2993864A 750 4/21/2019 8810 ADVOCARE HOME HEALTH INC BLOOMFIELD HILLS 4486765A 1,200 4/12/2019 8835 0.90 ALL TIME HOME IMPROVEMENT LLC BLOOMFIELD HILLS 5851076A 1,001 5/4/2019 5437 ANTONELLI AND ASSOCIATES INC BLOOMFIELD HILLS 0003409A 2,488 5/7/2019 5645 0.95 ATTO CONSTRUCTION INC BLOOMFIELD HILLS 0286508A 831 5/20/2019 8742 0.95 BARRON GUY & BARRON NORA LEE BLOOMFIELD HILLS 0666890A 870 5/11/2019 0908 BLACKROCK SEALCOATING LLC BLOOMFIELD HILLS 5852510A 800 4/10/2019 5221 BLOOMFIELD HILLS SWIM & TENNIS LLC BLOOMFIELD HILLS 4989279A 823 4/19/2019 9061 BLUE DIAMOND TRUCKING II LLC BLOOMFIELD HILLS 5731151A 801 5/3/2019 7208 COLORITE PAINTING LLC BLOOMFIELD HILLS 4231171A 800 4/5/2019 5476 DETROIT THEATRE ENTERPRISES INC BLOOMFIELD HILLS 0820547B 633 6/21/2019 8810 DOKAN CONSTRUCTION INC BLOOMFIELD HILLS 5577977A 647 6/23/2019 5606 FALCON POINTE APARTMENTS LLC BLOOMFIELD HILLS 5571103A 683 6/9/2019 9015 0.95 FITNESS FIX INC BLOOMFIELD HILLS 5324440A 513 5/24/2019 3113 FOPOCO REAL ESTATE II LLC BLOOMFIELD HILLS 5871000A 750 5/31/2019 5403 G O SERVICES INC BLOOMFIELD HILLS 5158680A 751 6/28/2019 5437 GILLIHAN PAUL W BLOOMFIELD HILLS 3017001A 690 5/27/2019 0913 GOLDBERG FREDERICK S BLOOMFIELD HILLS 1066110A 401 5/21/2019 0908
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GRAYSTONE SECURITY & PROTECTION BLOOMFIELD HILLS 4333896A 6,127 4/22/2019 7720 0.89 SERVICES INC H A SUN HEATING & COOLING INC BLOOMFIELD HILLS 1547909A 784 6/20/2019 5550 LIPSITT CAROL BLOOMFIELD HILLS 1245791A 351 6/16/2019 0908 LMB PROPERTIES LLC BLOOMFIELD HILLS 2970600A 752 5/27/2019 8742 MCTUMPS LLC BLOOMFIELD HILLS 5394937A 5,524 4/11/2019 7212 0.95 MIDWESTERN JANITORIAL LLC BLOOMFIELD HILLS 5583101A 683 6/19/2019 9015 MUST ALAN BLOOMFIELD HILLS 0470260A 640 6/19/2019 0913 MUST JAY BLOOMFIELD HILLS 3801314A 739 5/3/2019 0908 POOL DOCTOR SERVICES INC BLOOMFIELD HILLS 2005484A 872 4/1/2019 0909 0.95 PRM CONTRACTING LLC BLOOMFIELD HILLS 4651162A 2,808 5/4/2019 5606 PURE HOMES LLC BLOOMFIELD HILLS 5865557A 386 5/17/2019 5606 RMZ CONSTRUCTION MANAGEMENT INC BLOOMFIELD HILLS 1185250A 294 4/29/2019 8810 S AND V EQUITIES LLC BLOOMFIELD HILLS 3623130A 896 6/30/2019 9015 0.95 SBB AND J INVESTMENTS LLC BLOOMFIELD HILLS 4481615A 1,036 6/11/2019 0913 0.95 SPECIALTY EMPLOYMENT SERVICES INC BLOOMFIELD HILLS 0471763A 545,492 4/12/2019 4484 1.00 UNLIMITED INSTALLATION SERVICE BLOOMFIELD HILLS 2813173A 825 6/18/2019 9521 VELOX DISPOSAL INC BLOOMFIELD HILLS 4756398A 5,422 6/3/2019 7213 0.91 VLASIC MICHAEL & HELEN BLOOMFIELD HILLS 5857694A 426 5/9/2019 0908 WILLS TRUCKING SERVICES INC BLOOMFIELD HILLS 3018059A 16,853 5/31/2019 7208 HEIKKINEN DAVID BLOOMFIELD TWP 5413800A 640 6/13/2019 0913 JACOBS ROBERT & LESLIE BLOOMFIELD TWP 4054423A 715 6/16/2019 0908 ELLIS PAUL WENDELL COREY BLOOMINGDALE 5878837A 800 6/25/2019 5551 HARRIS CONAG LLC BLOOMINGDALE 5716691A 800 5/19/2019 6229 TIMBER TREE SERVICE BLOOMINGDALE 5873789A 750 6/5/2019 0042 BRD TRUCKING LLC BONITA SPRINGS, FL 3496090A 3,612 5/26/2019 7208 0.95 GRASSROOTS CAMPAIGNS INC BOSTON, MA 4079981A 870 5/11/2019 8742 MOVEPLAN USA INC BOSTON, MA 4331907A 459 6/1/2019 8803 HURON TOWERS ASSOCIATES LLC BOULDER, CO 1846205A 12,168 6/10/2019 9015 0.77 SUSAN HAWKES TPSN TRUST BOULDER, CO 5144132A 513 5/29/2019 0909 BELFORD AND BELFORD LLC BOYNE CITY 5877695A 633 6/16/2019 9015 BELFORD PAINTING & STAINING LLC BOYNE CITY 5877270A 750 6/14/2019 5476 CHRISTOPHER J KUHN BUILDER BOYNE CITY 1201603A 8,058 4/3/2019 5437 0.95 FIELS CONSTRUCTION BOYNE CITY 1849611A 750 5/18/2019 5645 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 17 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GLASSFORD HEATING AIR CONDITIONING AND BOYNE CITY 4898729A 709 6/22/2019 5550 MAINTENANCE LLC JDF CONSTRUCTION LLC BOYNE CITY 5707641A 750 4/22/2019 5645 ON BELAY PARTNERS LLC BOYNE CITY 4859812A 4,890 4/13/2019 9015 0.89 PERFORMANCE PAINTING BOYNE CITY 2438356A 1,100 6/21/2019 5476 1.00 SUNRISE HOME SPECIALIST BOYNE CITY 5853923A 3,020 5/1/2019 5348 FITZPATRICK WILLIAM BOYNE FALLS 1340808A 751 4/10/2019 8265 RINOCK RONALD BOYNE FALLS 1264303A 750 5/20/2019 5645 WHITES TRUCKING & EXCAVATING INC BRANCH 3946312A 750 6/20/2019 6217 EARLS SPRAY SERVICE INC BRECKENRIDGE 0738107A 4,808 4/1/2019 7422 0.94 MAPLE LEAF AMUSEMENTS LLC BRECKENRIDGE 5273668A 3,065 5/23/2019 9015 0.95 RIVER RIDGE CAMPGROUND INC BRECKENRIDGE 1880187A 265 6/28/2019 8810 0.95 TIM AND JANSCHUTZ LLC BRECKENRIDGE 5553679A 1,896 4/28/2019 9058 0.95 JG BARTLETT TRANSPORT LLC BRECKINGRIDGE 5716446A 750 5/16/2019 7219 WALLACE MAHLON B III BRENTWOOD, MO 2281287A 690 6/5/2019 0913 FANTASY CARRIAGE COMPANY INC BRIDGEPORT 0142670A 3,555 4/4/2019 7212 0.95 BARODA LAKE TOWNSHIP POLICE DEPARTMENT BRIDGMAN 5847800A 5,608 4/1/2019 7720 1.42 27 % ASARO TENT RENTAL INC BRIGHTON 5568498A 1,637 5/28/2019 5538 ASSURED CONSTRUCTION GROUP LLC BRIGHTON 5400058A 825 5/1/2019 5645 BRIGHTON CENTER INC BRIGHTON 5308429A 299 6/26/2019 8832 CREATIVE CONSTRUCTION LLC BRIGHTON 2346834A 800 6/7/2019 5437 CURTIS AND CO LLC BRIGHTON 2339102A 751 6/22/2019 5445 D V D INC BRIGHTON 0256803A 927 5/8/2019 9058 0.95 ENVIRONMENTAL CREATIONS LLC BRIGHTON 3144216A 750 6/12/2019 0042 FOLLMER GORDON BRIGHTON 4607473A 513 4/1/2019 0909 GERKIN AND DECKER PC BRIGHTON 5180481A 477 5/2/2019 8820 GREEN FLAG BRIGHTON 5555302A 750 5/3/2019 5221 GREEN OAK TIRE INC BRIGHTON 1791532A 13,719 4/1/2019 8010 1.53 13 % GV EXCAVATING LLC BRIGHTON 5877881A 750 6/27/2019 6217 INNOVATIONS HEALTHCARE STAFFING INC BRIGHTON 5300401A 8,691 6/5/2019 8833 1.45 13 % KARMA SERVICES LLC BRIGHTON 5409870A 2,103 6/23/2019 8833 0.95 KO KREW BRIGHTON 5702275A 591 4/12/2019 9521 LEE RD B P INC BRIGHTON 3842177B 693 4/3/2019 8017 0.95 LUBESKI PROPERTY SERVICES LLC BRIGHTON 5700639A 751 4/8/2019 0042 M A D D SERVICES LLC BRIGHTON 5725712A 750 6/21/2019 5645
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 18 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge M AND C CONSTRUCTION INC BRIGHTON 1474359A 800 6/17/2019 5445 0.95 M AND D TRANSPORTATION INC BRIGHTON 5273803A 749 5/15/2019 7212 MURRAYS ROOFING & SIDING INC BRIGHTON 3343774A 905 4/14/2019 5606 0.95 NORTH STAR JUNIOR SAILING INC BRIGHTON 1070754A 678 6/12/2019 9060 OAK POINTE MARINA ASSOCIATION BRIGHTON 1984187A 683 6/5/2019 9015 PERFORMANCE CREATIVE RESOURCES INC BRIGHTON 3829812A 283 6/2/2019 8742 PETER M YOUNG CARPENTRY BRIGHTON 0620203A 750 6/12/2019 8810 PROPERTY BIZ INC BRIGHTON 5852641A 750 4/10/2019 5645 RELIABLE LIAISON SERVICES LLC BRIGHTON 5418933A 2,748 6/30/2019 3808 0.95 SEASIDE SEAWALLS LLC BRIGHTON 4369858A 3,525 5/26/2019 0042 0.95 TDRM LLC BRIGHTON 5722632A 385 6/21/2019 8810 TERRENCE W HARDER INC BRIGHTON 4656938A 751 4/27/2019 5403 TOPNOTCH TREE & LANDSCAPE LLC BRIGHTON 5026334A 1,476 4/26/2019 0106 VISTA SHINE LLC BRIGHTON 4364902A 1,068 4/13/2019 9015 WACO STAGE EQUIPMENT INC BRIGHTON 2004330A 1,207 6/7/2019 9154 0.95 WATER MASTERS LLC BRIGHTON 4158458A 750 4/2/2019 5223 WIRELESS APPROVAL CONSULTANTS BRIGHTON 5725550A 1,179 6/23/2019 8601 CG LOGGING BRIMLEY 5412218A 750 6/12/2019 2702 ADRIAN ENVIRONMENTAL LLC BRITTON 4630750A 3,461 6/19/2019 5183 0.94 PENNY LEE CLEANING SERVICE INC BRITTON 2684527A 634 5/14/2019 9015 KBA TRUCKING BROCKWAY 5298601A 3,926 5/27/2019 7208 0.94 ALDERMAN LUCE MEMORIAL HOME ASSOC BRONSON 0632708A 450 6/1/2019 9061 ALMOST LIKE HOME OF BRANCH COUNTY LLC BRONSON 5144175A 862 5/23/2019 9053 GEISE CONSTRUCTION LLC BROOKLYN 5344166A 1,433 5/30/2019 5221 0.95 STEVE GRODI CONSTRUCTION LLC BROOKLYN 3176894A 801 6/2/2019 5437 E AND J CONSTRUCTION BROWN CITY 5253152A 800 6/14/2019 5645 0.95 M AND A HOME SOLUTIONS BROWN CITY 5873681A 750 6/5/2019 5551 PLAYLANDS LLC BROWN CITY 5725330A 5,076 6/17/2019 6400 BLUE LINE BUILDING COMPANY LLC BROWNSTOWN 4911067A 2,195 5/16/2019 5645 0.95 BUDGET TIRE COMPANY OF TAYLOR BROWNSTOWN 0022896A 4,558 4/14/2019 8401 0.91 CONTRIVANCE BUILDERS LLC BROWNSTOWN 5810752A 825 4/28/2019 5403 DOLENCE AND DOLENCE LLC BROWNSTOWN 3166775A 1,822 4/1/2019 5437 0.95 H DOMINE ENTERPRISES INC BROWNSTOWN 0435910A 4,124 4/17/2019 3724 0.95 MCLAUGHLIN VETERINARY HOSPITAL INC BROWNSTOWN 1504274A 2,024 4/25/2019 8831 0.95 MEDSTAR STAFFING LLC BROWNSTOWN 5716624A 625 5/18/2019 8832 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 19 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge R AND H GLAZING INC BROWNSTOWN 2557142A 750 6/7/2019 5462 DETROIT GRADALL BROWNSTOWN TS 0886009A 751 6/20/2019 6217 CON EARTH INC BROWNSTOWN TWP 5855829A 1,865 4/18/2019 5213 DOUG SCHOLL MASONRY BRUCE CROSSING 5862221A 837 5/4/2019 5221 LINDBERG CLIFFORD BRUCE CROSSING 5628768A 660 6/13/2019 9102 OUTPOST LOG HOMES AND CONSTRUCTION BRUCE CROSSING 0891363A 633 6/14/2019 9015 PRIMROSE ACRES BRUCE CROSSING 3614212A 750 4/9/2019 0042 GRF MASONRY LLC BRUCE TWP 5555388A 2,440 5/4/2019 5022 0.95 HURLEY RACING PRODUCTS LLC BRUCE TWP 4990749A 4,978 6/2/2019 4484 0.91 JAR PAINTING LLC BRUCE TWP 2257300A 750 5/5/2019 5476 LARSON BRYAN BRUCE TWP 5867290A 750 5/23/2019 5476 SERVICEMAXX LLC BRUCE TWP 5125634A 579 4/9/2019 5190 SHOAN GROUP LLC BRUCE TWP 5265932A 3,044 4/29/2019 5022 0.95 SOULLIERE PEAT FARMS LLC BRUCE TWP 4745680A 750 6/4/2019 4000 T AND S LIFTING LLC BRUCE TWP 5877512A 1,970 6/15/2019 9530 AFFORDABLE ASPHALT BUCHANAN 4673158A 1,602 6/27/2019 5221 BUCHANAN TOWNSHIP BUCHANAN 0435953A 3,650 6/1/2019 9410 0.94 COMPU MED CONSULTING BUCHANAN 3015858A 233 6/11/2019 8742 LOCKER MAN OF MICHIGAN INC BUCHANAN 5723833A 750 6/13/2019 5146 BUELL CONSTRUCTION LLC BUCKLEY 5856299A 750 4/18/2019 5645 CANFIELD INNOVATIVE PEST MANAGEMENT BUCKLEY 5400546A 634 5/1/2019 9015 DUNSCOMBE AND SONS TREE SERVICE BUCKLEY 4999207A 750 4/12/2019 0106 OLDS TREES & MORE LLC BUCKLEY 5554977A 750 5/3/2019 2702 PRO CUT LOGGING LLC BUCKLEY 5146100A 750 5/29/2019 2702 SIMERSONS LAWN SERVICE LLC BUCKLEY 5880319A 2,668 6/28/2019 9102 D ALI ENTERTAINMENT PAYROLL INC BURBANK, CA 4296796A 1,362 6/23/2019 7610 FINDLEY FEEDS BURR OAK 1646869A 1,642 4/1/2019 8215 0.95 LITTLE FAWNS DAYCARE BURR OAK 5726433A 304 6/23/2019 8869 PRESTIGE POLE BUILDINGS BURT 5539404A 1,036 4/28/2019 5645 J AND A TREE SOLUTIONS LLC BURTCHVILLE 4697758A 750 4/26/2019 0106 M AND J PLUMBING & HEATING BURTCHVILLE 2533740A 709 4/3/2019 5183 ALL AMERICAN LANDSCAPE LLC BURTON 4869826A 4,031 6/28/2019 0042 0.95 ALL STAR CONSTRUCTION BURTON 5186390A 1,483 4/19/2019 5645 BATES CLEANING BURTON 5359376A 633 5/31/2019 9015 BOWMAN OUTDOORS LLC BURTON 4615557A 660 5/5/2019 9102 1/3/2019 11:00:13 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 BRIDGE STREET ENTERPRISES LLC BURTON 5863490A 355 5/12/2019 8017 CHAIN PAINT GROUP INC BURTON 1240463A 1,966 6/10/2019 5476 D AND S FLOOR COVERING BURTON 3453251A 591 5/14/2019 9521 DENAMI SOLUTIONS LLC BURTON 5726794A 863 6/26/2019 5437 EMERALD LAWN & LANDSCAPING INC BURTON 0108804A 3,367 4/5/2019 9402 0.95 FLEXIBLE AUTOMATION INC BURTON 2589036A 579 5/1/2019 8810 GOOCH ROBERT BURTON 4989228A 750 5/30/2019 5476 HICKS CRAIG BURTON 5862957A 750 5/8/2019 5476 M B C CONSTRUCTION BURTON 3304825A 750 4/28/2019 5645 MCUNION LLC BURTON 3907929A 219 4/7/2019 8810 OVERCASHIER CONTRACTING LLC BURTON 5741734A 750 6/20/2019 5645 PARADISE CONSTRUCTION & REMODELING LLC BURTON 3793885A 750 5/15/2019 5645 PROFESSIONAL HEARING INC BURTON 4628098A 635 4/6/2019 8013 RANDY LEACH CERAMIC TILE BURTON 0282561A 750 4/12/2019 5348 REDEMPTION SAVINGS INC BURTON 1173456A 1,013 4/11/2019 9058 0.95 RL TRAPPER JOES LLC BURTON 0220825A 1,363 5/27/2019 9058 0.95 SCOTT LARSON AUTO GROUP LLC BURTON 5714605A 356 5/10/2019 8810 SIGNATURE LAWN SERVICES BURTON 5545811A 750 4/14/2019 0042 SPENCER MANOR LIVING WELL INC BURTON 5396565A 3,001 4/17/2019 9053 1.00 SWAMI SHRIJI LLC BURTON 3175456A 5,992 5/29/2019 8835 0.89 TJ COMPANY LLC BURTON 5555990A 800 4/12/2019 9058 TNT INTERIOR CONSTRUCTION BURTON 5850215A 1,176 4/6/2019 5437 WOODBURY CONSTRUCTION & MAINTENANCE BURTON 0072958A 750 5/9/2019 5645 CO FAIRWAY GUTTERS LLC BYRON 5429463A 800 5/11/2019 5645 AMBER ESTATES CONDOMINIUM ASSOCIATION BYRON CENTER 4865553A 683 5/1/2019 9015 BEN BERKENPAS BUILDER LLC BYRON CENTER 3414655A 750 6/15/2019 5645 BYRON WINDOW CLEANING LLC BYRON CENTER 5857848A 1,103 5/1/2019 9015 DEFINED CONCRETE BYRON CENTER 2708361A 983 4/23/2019 5215 0.95 DH LAWN CARE LLC BYRON CENTER 5557976A 750 5/10/2019 0042 KEITH COOK PLASTERING & DRYWALL INC BYRON CENTER 3523152A 750 6/5/2019 5445 NK BUILDS LLC BYRON CENTER 5695740A 750 4/20/2019 5437 NORTH LAKE CONSTRUCTION INC BYRON CENTER 5298563A 3,608 5/19/2019 5645 0.83 SENIOR SUPPORT LTD LLC BYRON CENTER 4873980A 1,468 6/9/2019 8835 0.95 VANDYKE RANDY BYRON CENTER 0980560A 750 6/30/2019 5645
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BANNISTER PLUMBING & HOME SERVICES LLC CADILLAC 5840074A 644 5/18/2019 5183 BOARDMAN VIDEO PRODUCTIONS LLC CADILLAC 5716888A 408 6/7/2019 4360 CADILLAC SEAMLESS GUTTERS CADILLAC 2685795A 750 5/12/2019 5538 DYER DYNAMICS LLC CADILLAC 5861675A 344 5/2/2019 8601 J AND H AUTO PARTS CADILLAC 0202452A 2,731 4/6/2019 8264 0.95 LON REDDY BUILDERS INC CADILLAC 1657194A 3,300 5/18/2019 5645 0.95 MARR CONSTRUCTION CADILLAC 4050444A 750 4/12/2019 5645 PILTZ FRANK CADILLAC 0614424A 750 5/5/2019 6204 PINET RAYMOND N CADILLAC 2125048A 750 6/7/2019 5645 PIONEER MANAGEMENT SERVICES INC CADILLAC 2360853A 219 6/11/2019 8810 REININK REPAIR & REBUILD LLC CADILLAC 5281040A 750 6/16/2019 5645 SERENITY ADULT FOSTER CARE LLC CADILLAC 5054885A 1,081 4/11/2019 9053 0.95 SERVICEMASTER OF CADILLAC CADILLAC 0961728A 657 4/20/2019 9015 SIMPLY HOME CADILLAC 5879990A 697 6/27/2019 9053 TREE WISE MEN LLC CADILLAC 2345919A 750 4/3/2019 0106 ABSOLUTE TREE SERVICE INC CALEDONIA 3228401A 3,815 4/3/2019 0106 0.92 APOLS LANDSCAPING LLC CALEDONIA 4877853A 1,308 6/11/2019 0042 0.95 CHERRY VALLEY RESOURCES LLC CALEDONIA 5410819A 8,195 5/30/2019 4000 0.93 CVL BUILDERS LLC CALEDONIA 3208540A 800 4/14/2019 5645 DAN WILTJER BUILDER LLC CALEDONIA 5200989A 800 4/26/2019 5645 DL MULLER LLC CALEDONIA 2317702A 718 5/19/2019 2802 JRK CONSULTING GROUP LLC CALEDONIA 5720346A 779 6/1/2019 5146 NEWHOF TED CALEDONIA 5862612A 750 5/16/2019 5348 ONEIL TREE SERVICE LLC CALEDONIA 5568811A 2,657 6/1/2019 0106 0.95 OUTDOOR LOGISTICS LLC CALEDONIA 5856280A 800 4/19/2019 0042 SLATE BUILDING & DEVELOPMENT LLC CALEDONIA 2159481A 750 5/18/2019 5645 VANDEWEERT ELECTRIC LLC CALEDONIA 4840453A 529 5/28/2019 5190 WHITNEY ELECTRIC LC CALEDONIA 4953622A 759 4/14/2019 5183 KEWEENAW HOME REPAIRS & MAINTENANCE CALUMET 5862299A 4,691 5/4/2019 5645 LLC RUPPE JAMES A CALUMET 1394258A 664 6/18/2019 0908 G AND D WOOD PRODUCTS INC CAMDEN 2647486A 4,841 6/29/2019 2731 0.95 ALLEN CONTRACTING CANTON 4201361A 800 4/28/2019 5022 APEX DECORATIVE CONCRETE LLC CANTON 5721512A 825 6/3/2019 5221 ARTS RESIDENTIAL TREE SERVICE INC CANTON 2122782A 6,121 5/19/2019 0106 0.93
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BOND BAILEY & SMITH COMPANY CANTON 0726400A 1,334 4/5/2019 3629 0.95 BR STAFFING AND CONSULTING INC CANTON 5355958A 4,057 5/11/2019 8835 0.93 CANTON REMODELING INC CANTON 2229331A 297 5/31/2019 8742 CHRISTIAN TENNANT HOMES COMPANY CANTON 1751824A 1,226 6/13/2019 9015 0.95 EW AND S INC CANTON 5481708A 2,909 5/5/2019 9402 0.95 FRESH IMAGE 1 LLC CANTON 5066778A 751 6/26/2019 5476 0.95 HELPING HANDS TRAINING PROGRAM FOR CANTON 5719321A 559 6/1/2019 8868 CENAS LLC LEWIS CONSTRUCTION CANTON 3663370A 750 4/13/2019 5551 0.95 MAN PAL CORPORATION CANTON 1098195A 2,918 5/28/2019 9058 1.00 MANIBEN MANAGEMENT INC CANTON 0057207A 1,081 4/6/2019 8006 MAP ELECTRIC LLC CANTON 4402448A 1,108 6/18/2019 5190 0.95 METROWAY TRANSPORTATION LLC CANTON 5436516A 809 6/29/2019 7212 0.95 MONARCH INVESTMENT CO INC CANTON 3860884A 633 5/3/2019 9015 NOBA LLC CANTON 3544699A 1,509 6/30/2019 5645 PERFECT STROKES LLC CANTON 5876141A 750 6/9/2019 5476 PHEASANT RUN ROAD MAINTENANCE CANTON 3269701A 633 4/15/2019 8810 ASSOCIATION INC PIVOT STAFFING LLC CANTON, OH 4205340A 4,364 4/21/2019 9015 PPM LANDSCAPE CONTRACTORS INC CANTON 4204557A 13,669 4/26/2019 0106 1.00 PRECISION PIPE CORPORATION CANTON 5148448A 2,055 6/4/2019 5183 PRO FINISH CEMENT LLC CANTON 4159101A 800 4/10/2019 5221 QUALITY WINDOW CLEANING LLC CANTON 5168899A 633 4/21/2019 9015 RUDOLPH ANTHONY E CANTON 4226801A 750 6/1/2019 5445 WEATHERGUARD ROOFING CANTON 2947790A 754 5/16/2019 8742 H AND C LAWN SERVICE INC CAPAC 3916790A 710 6/20/2019 9102 KERSHAW JOHN CAPAC 2643448A 1,966 5/13/2019 5476 0.95 RODRIGUEZ JUAN LEON CAPAC 5162262A 750 5/19/2019 5610 TIM QUAIN LICENSED BUILDER INC CAPAC 0525405A 800 4/1/2019 5645 D AND G INTERIORS CARLETON 2430665A 750 4/8/2019 5476 JL TRANSPORTATION CARLETON 5719380A 800 5/24/2019 7208 LAKE HAVEN DEVELOPMENT INC CARLETON 1794485A 938 6/16/2019 5645 0.95 NEW HOPE YOUTH SERVICES LLC CARMEL, IN 4440536A 1,956 5/19/2019 8833 0.95 DEGRAVE DOUG CARNEY 4889010A 750 5/14/2019 0106 DEGRAVE DUSTIN CARNEY 5863082A 750 5/14/2019 0106
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EIGHT POINT CONSTRUCTION CARNEY 4633865A 750 6/3/2019 5645 EVAN MACK CUSTOM HARVESTING CARNEY 5844371A 750 6/15/2019 2702 JOHNSON CLARK CARNEY 5859905A 750 4/27/2019 7208 KLINGENMAIER TRUCKING CARNEY 1975994A 750 4/9/2019 7208 MOREAU LEONARD G CARNEY 2253038A 750 4/12/2019 7208 POUPORE FOREST PRODUCTS CARNEY 4058399A 750 5/5/2019 7219 SJS TRANSPORT LLC CARNEY 4163710A 750 4/22/2019 7208 0.95 SUPERIOR FENCE CARNEY 3925706A 750 5/18/2019 2702 WEBBER DAVID CARNEY 5863163A 750 5/14/2019 0106 CHILD ADVOCACY CENTER OF TUSCOLA CARO 5294614A 304 4/14/2019 8810 CHURCH TODD E CARO 5257190A 443 4/4/2019 7720 MIDWEST BUILD CENTER LLC CARO 5711738A 3,567 5/3/2019 7423 MOORE TEL 1 COM CARO 5717221A 751 5/18/2019 9402 MP 1 FABRICATING AND MACHINING CARO 5861721A 540 5/2/2019 3146 VAUGHNS FLYING SERVICE INC CARO 4204603A 810 5/15/2019 7422 0.95 CORPRETEK LLC CARSON CITY 4118529A 797 4/27/2019 8601 0.95 J C KOHN TRUCKING LLC CARSON CITY 1797557A 800 5/9/2019 7208 LITWILLER HAULING INC CARSON CITY 4950666A 750 5/11/2019 7208 SOFTWARE AND ENGINEERING ASSOCIATES INC CARSON CITY, NV 5407869A 247 5/27/2019 8810 GREAT LAKES BARRIER NETS LLC CARY, NC 2072360A 804 4/16/2019 7016 0.95 C DILES CONSTRUCTION LLC CASCO 5849993A 750 4/5/2019 5645 G AND T BUILDERS INC CASCO 2267330A 2,851 5/21/2019 5348 0.95 GREAT OAKS EQUESTRIAN LLC CASCO 5102197B 1,552 5/8/2019 8279 0.95 M L MOORE AND ASSOCIATES INC CASCO 1352008A 750 4/24/2019 5022 MICHIGAN ROOFING & REMODELING INC CASCO 5383617A 805 5/8/2019 8742 0.94 ULESKI GENE A CASCO 2976676A 3,248 6/17/2019 5645 0.95 BEE LINE PEST CONTROL LLC CASEVILLE 4632664A 633 5/30/2019 8810 0.95 C D SANDBLASTING LLC CASEVILLE 4478533A 751 6/10/2019 3632 CASEVILLE AREA FIRE PROTECTION CASEVILLE 3001741A 3,887 4/9/2019 7904 0.94 ASSOCIATION CASEVILLE TRANSPORT LLC CASEVILLE 5849730A 7,569 4/4/2019 7208 LASCESKI TERRY CASEVILLE 5541522A 750 4/6/2019 5645 J RAY TREE SERVICE LLC CASNOVIA 5555701A 3,949 5/27/2019 0106 PD BLACK ENTERPRISES INC CASNOVIA 5367964A 750 4/5/2019 5476 RELIABLE CARPET SERVICE CASNOVIA 5263093A 218 4/12/2019 8810
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WHITETAIL ADVISORS LLC CASNOVIA 3212874A 2,638 6/8/2019 5645 0.95 EVAN LAURIE FARMS CASS CITY 5725941A 1,175 6/22/2019 0128 HOARD DAVID W CASS CITY 5569303A 750 6/2/2019 5645 TOWNSHIP OF GREENLEAF SANILAC COUNTY CASS CITY 5709733A 417 5/1/2019 9410 HERSHBERGER MASONRY CASSOPOLIS 3782352A 2,166 4/19/2019 5022 R B TRUCKING AND TOWING LLC CASSOPOLIS 5868106A 6,308 5/25/2019 7208 SKID WORLD LLC CASSOPOLIS 5571723A 7,093 6/10/2019 2759 0.95 ALL ABOUT WATER LLC CEDAR 5578744A 878 6/24/2019 6836 DTW PAINTING AND WALL COVERINGS INC CEDAR 4013247A 2,252 5/30/2019 5476 0.95 LEELANAU COUNTY CUSTOMS LLC CEDAR 5877385A 743 6/14/2019 3365 RULEAU BROTHERS INC CEDAR RIVER 0506052A 5,641 5/22/2019 7016 0.89 ABSOLUTE INTERIORS INC CEDAR SPRINGS 4197666A 750 6/14/2019 5476 ADAMCZAK C R LLC CEDAR SPRINGS 4858301A 750 5/5/2019 5645 0.95 ALL POINT SCREENING LLC CEDAR SPRINGS 5700060A 301 4/16/2019 8832 APPLIED BALLISTICS LLC CEDAR SPRINGS 5702828A 1,675 6/23/2019 4511 AVNIEL BUILDERS LLC CEDAR SPRINGS 5394473A 1,673 4/22/2019 5645 0.95 CEDAR CUSTOM CARPENTRY LLC CEDAR SPRINGS 5578205A 750 6/23/2019 5437 CEDAR RIDGE CONSTRUCTION CEDAR SPRINGS 3700127A 750 5/6/2019 5645 CEDAR SPRINGS HEATING & COOLING LLC CEDAR SPRINGS 5865093A 1,424 5/24/2019 5550 HUDDLESTON LAWRENCE CEDAR SPRINGS 5835739A 750 4/17/2019 5645 JK FOREST PRODUCTS INC CEDAR SPRINGS 4745914A 750 5/5/2019 2702 KOLE ROOFING CEDAR SPRINGS 0716359A 5,824 6/6/2019 5551 0.91 LEWIS LOGGING INC CEDAR SPRINGS 4448952A 750 4/16/2019 2702 0.95 MELVIN BELK ROOFING CONTRACTORS LLC CEDAR SPRINGS 3013863A 4,083 4/13/2019 8742 0.95 MVG HOME IMPROVEMENT CEDAR SPRINGS 0321923A 8,292 6/10/2019 5551 0.95 PIERCE ENTERPRISES CEDAR SPRINGS 5127904A 10,613 4/18/2019 7208 1.41 13 % RADEBACH BUILDERS CEDAR SPRINGS 2958716A 750 5/13/2019 5645 SLBM RV MANAGEMENT LLC CEDAR SPRINGS 0837288A 683 6/8/2019 9015 BAREFOOTS RESORT INC CEDARVILLE 3927776A 683 5/21/2019 9015 CEDARVILLE RV PARK OWNERS ASSOCIATION CEDARVILLE 5404851A 1,197 5/13/2019 9015 LES CHENEAUX PRESCHOOL INC CEDARVILLE 2970732A 258 5/24/2019 8868 LES CHENEAUX YACHT CLUB INC CEDARVILLE 2109972A 431 5/20/2019 9060 SMITH DONALD D CEDARVILLE 3913333A 750 4/20/2019 2709 BAY HILL CONSTRUCTION CO CELEBRATION, FL 1264613A 750 6/25/2019 5645 ABRASIVE SOLUTIONS LLC CEMENT CITY 5223237A 685 5/10/2019 3632 1/3/2019 11:00:13 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 MIDWEST MARINE SUPPLIES LLC CEMENT CITY 5853818A 230 4/25/2019 8810 ALL EXCLUSIVE TRANSPORTATION SERVICES CENTER LINE 4469135A 7,944 5/15/2019 7212 1.34 13 % LLC C K CORPORATION OF CENTERLINE CENTER LINE 0768367A 833 4/27/2019 8018 STORM DAMAGE RESOLUTION SPECIALIST LLC CENTER LINE 5580846A 676 6/30/2019 8720 J AND J QUALITY ROOF REPAIR & INSTALLATION CENTRAL LAKE 5702917A 750 4/13/2019 5551 DALES DONE RIGHT ROOFING LLC CERESCO 2844710A 750 6/19/2019 5551 LARSONS PRECISION PAINT LLC CERESCO 5872421A 1,662 6/1/2019 5476 ACKERT PLUMBING LLC CHARLEVOIX 3369919A 644 4/12/2019 5183 ALBERT L SHINDORF BUILDERS INC CHARLEVOIX 1749668A 750 5/5/2019 5645 BEAVER ISLAND BOAT COMPANY CHARLEVOIX 2018420A 31,100 6/2/2019 7350 0.72 BROWN AND WHITE BUILDERS CHARLEVOIX 0226335A 11,898 5/8/2019 5645 CAPITOL CITY SKYDIVING INC CHARLEVOIX 5572894A 466 6/11/2019 7422 CHARLEVOIX COTTAGE CARE INC CHARLEVOIX 2056755A 2,091 5/17/2019 0042 0.95 CHARLEVOIX MOTORS INC CHARLEVOIX 1843079A 906 6/27/2019 8395 0.95 CONQUEST BUILDERS INC CHARLEVOIX 5720150A 1,182 5/26/2019 5645 FRESH WATER CHARCH LLC CHARLEVOIX 5849942A 750 4/5/2019 5403 LFLAMO AMERICA LLC CHARLEVOIX 5871085A 529 5/31/2019 8018 MARTINS MARKET LLC CHARLEVOIX 5720990A 696 6/1/2019 8033 NORTHERN MICHIGAN EVENTS LLC CHARLEVOIX 3928756A 252 5/25/2019 8742 NORTHERN SAWMILLS INC CHARLEVOIX 2522101A 803 5/15/2019 8810 BULLSEYE PEST SOLUTIONS LLC CHARLOTTE 5262330A 3,481 4/16/2019 9015 1.00 CADC LLC CHARLOTTE, NC 5863325A 335 6/1/2019 8742 CHUCKS CHARIOTS LLC CHARLOTTE 5852684A 640 4/10/2019 8395 CLEAN ENERGY HEALTHY MICHIGAN CHARLOTTE 5854741A 2,630 4/16/2019 8810 DARK STAR TRANSPORT INC CHARLOTTE 2553040A 750 6/28/2019 7208 GOLDEN DAYS II CHARLOTTE 0755150A 2,001 6/1/2019 9053 1.00 GREG GALBREATH CONSTRUCTION LLC CHARLOTTE 5156475A 751 6/21/2019 8810 HARAG MATTHEW M CHARLOTTE 0425583A 750 6/30/2019 5476 L A C LANORES AERIAL CONSTRUCTION LLC CHARLOTTE 5867223A 6,032 5/23/2019 7538 LAKE STATE RESTORATION CHARLOTTE 5870895A 750 5/31/2019 5403 M DYBAS & ASSOCIATES LLC CHARLOTTE 4910648A 645 6/9/2019 4511 NAGEL BROTHERS LLC CHARLOTTE 5726395A 800 6/23/2019 5551 BEILFUSS MARCIA CHASE 3795683A 267 6/24/2019 8742 BRUCE DIETEL WELDING CHASE 1358685A 768 4/14/2019 3365
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CAM MILLER EXCAVATING LLC CHASE 3231550A 825 6/6/2019 6217 TAPIOLA TRUCKING & TREE SERVICE LLC CHASSEL 5854300A 750 4/13/2019 2702 GAGNON JASON CHASSELL 5310849A 259 4/9/2019 8601 IRON HORSE RESTAURANT AND BAR TWO LLC CHASSELL 4881109A 465 4/15/2019 9058 1.05 PIKE RIVER TRUCKING CHASSELL 5632102A 750 6/14/2019 7208 USITALO TRUCKING INC CHASSELL 5415330A 825 6/18/2019 7208 BROWN BUILDERS INC CHEBOYGAN 5540976A 2,706 4/4/2019 5645 0.95 BUNDLING BANDITS LLC CHEBOYGAN 5711266A 885 5/2/2019 2731 CHEBOYGAN HOUSING COMMISSION CHEBOYGAN 0790826A 1,393 4/8/2019 9015 0.95 GARY ST AMOUR TIMBER HARVESTING CHEBOYGAN 0656739A 1,530 5/25/2019 2702 0.95 JOINT ADMINISTRATION FIRE BOARD INVERNESS CHEBOYGAN 1124730A 1,927 6/1/2019 7904 0.95 FIRE DEPT REINHARDT JAHN CHEBOYGAN 0501891A 633 6/29/2019 9015 STRAITS AREA TOWING LLC CHEBOYGAN 5867312A 1,290 5/23/2019 7208 TOP NOTCH TOTAL TREE SERVICE LLC CHEBOYGAN 5874785A 1,386 6/7/2019 0106 UP NORTH ASSESSING INC CHEBOYGAN 5712661A 450 5/8/2019 8720 ARBOR CARE TREE SURGEONS INC CHELSEA 3944433A 5,715 6/27/2019 0106 1.28 13 % BURMAN TREE SERVICE CHELSEA 5854717A 2,849 5/5/2019 0106 CHELSEA PAINT AND CARPENTRY LLC CHELSEA 5456665A 750 4/27/2019 5476 FLOORING CONSULTANTS OF MICHIGAN LLC CHELSEA 5489440A 259 6/1/2019 8601 GATEWAY RESTORATION INC CHELSEA 4732111A 4,906 4/6/2019 9015 0.89 GORMAN BUILDERS LLC CHELSEA 3366839A 3,369 6/28/2019 5645 0.95 HELPPIE RICHARD AND LESLIE CHELSEA 3331717A 1,064 4/13/2019 0912 0.95 LEKREM ASSOCIATES LLC CHELSEA 0916552A 750 5/25/2019 5403 MCCLEAR SANDRA CHELSEA 5877970A 750 6/20/2019 5476 QUALITY LAWN INC CHELSEA 3487580A 2,719 6/29/2019 9102 1.00 RICK VANS STUMP REMOVAL CHELSEA 4998421A 2,683 6/28/2019 0106 0.95 SCHILLER GERALD CHELSEA 5697379A 1,570 4/11/2019 0913 THREE TREE BUILDERS LLC CHELSEA 5876419A 750 6/12/2019 5645 CHESANING CONSTRUCTION SERVICES INC CHESANING 1685147A 750 4/16/2019 5551 CONKLIN DONALD P II CHESANING 5853427A 750 4/12/2019 7600 FLORY LINE CONSTRUCTION LLC CHESANING 5879159A 2,630 6/26/2019 7538 MAXIMUM ROOFING LLC CHESANING 3137937A 3,847 5/1/2019 5551 RADHA RITU LLC CHESANING 0257125A 411 4/10/2019 9052 RPT CONSTRUCTION CHESANING 2384574A 435 4/21/2019 5606
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SAGINAW COUNTY AGRICULTURAL SOCIETY CHESANING 0014362A 646 5/1/2019 9015 TFH DESIGN LLC CHESANING 4904567A 3,214 4/4/2019 5645 1.00 TS LOGGING CHESANING 5098203A 750 6/22/2019 2702 ALS LANDSCAPING CHESTERFIELD 5545609A 660 4/14/2019 9102 AUTUMN WOODS II CONDOMINIUM ASSOCIATION CHESTERFIELD 3312178A 634 6/12/2019 9015 BAKER ASPHALT INC CHESTERFIELD 5706181A 1,334 5/11/2019 5506 BIRMINGHAM TILE COMPANY LLC CHESTERFIELD 5697077A 750 4/12/2019 5348 BN TRANS LLC CHESTERFIELD 5874874A 11,055 6/7/2019 7208 C AND G EXCAVATING SERVICES INC CHESTERFIELD 3744230A 1,707 5/3/2019 6217 0.95 CHRIS FORMANCZYK CUSTOM CARPENTRY INC CHESTERFIELD 2850320A 753 6/2/2019 5445 DITTMAN TREE SERVICE INC CHESTERFIELD 3902790A 2,550 6/10/2019 0042 0.95 DTE CUSTOM CARPENTRY CHESTERFIELD 3935019A 19,896 4/5/2019 5645 0.84 ELITE EVENTS BY LISA LLC CHESTERFIELD 5865786A 349 6/9/2019 9058 FISHER ELECTRIC LLC CHESTERFIELD 4860560A 1,301 4/15/2019 5190 0.95 GARY PRINDLE LLC CHESTERFIELD 4205111A 529 4/12/2019 5190 GENERAL TREE SERVICE & LANDSCAPING INC CHESTERFIELD 5712777A 6,690 5/12/2019 0042 GREENWOOD CUSTOM STAIRS INC CHESTERFIELD 4967259A 1,638 6/17/2019 5437 1.32 27 % HIRE A WIFE LLC CHESTERFIELD 5062861A 1,498 4/22/2019 8835 0.95 IRON HORSE ASPHALT TRUCKING LLC CHESTERFIELD 2402416A 750 4/17/2019 7208 J SAF CONTRACTING INC CHESTERFIELD 3899160A 825 5/24/2019 8810 JM RESTORATION LLC CHESTERFIELD 5875021A 750 6/7/2019 5437 KELJER PROPERTIES LLC CHESTERFIELD 5564662A 750 5/20/2019 5645 LUBINSKI ELECTRIC INC CHESTERFIELD 3513718A 711 6/22/2019 8810 MARRS CORPORATION CHESTERFIELD 1696017A 16,328 6/28/2019 5606 0.84 MCVEIGH PAINTING LLC CHESTERFIELD 0001058A 750 6/1/2019 5476 MI ELECTRIC COMPANY CHESTERFIELD 4220455A 529 5/18/2019 5190 NARDO MAINTENANCE LLC CHESTERFIELD 2261502A 750 6/1/2019 6217 NEW CONSTRUCTION INC CHESTERFIELD 2556928A 1,089 6/26/2019 5221 0.95 OSBORN KYLE CHESTERFIELD 4609344A 1,466 6/13/2019 5551 OUT SIDE THE BOX SHOES INC CHESTERFIELD 5714575A 2,209 6/10/2019 8008 ROSEVILLE ICE CREAM LTD CHESTERFIELD 2137372A 354 5/1/2019 8017 SUBURBAN TRANSIT INC CHESTERFIELD 3068730A 6,135 5/6/2019 7220 0.89 TACHYON CORPORATION CHESTERFIELD 0594997A 6,686 4/1/2019 3628 0.90 TMC HOMES LLC CHESTERFIELD 4777778A 750 6/11/2019 5437 TRANCHIDA STEPHEN CHESTERFIELD 5150221A 750 6/7/2019 5348 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 28 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TRICOUNTY DEVELOPMENT LLC CHESTERFIELD 4448243A 750 6/7/2019 5445 UNIVERSAL STAFFING COMPANY LLC CHESTERFIELD 5861780A 633 5/2/2019 3131 VALENTI CONSTRUCTION LLC CHESTERFIELD 5113644A 825 5/14/2019 5645 1.00 AMERICAN GENERAL SERVICES LLC CHESTERFIELD TWP 5407583A 1,380 5/27/2019 5462 0.95 CAROL INVESTMENT CORPORATION CHICAGO, IL 5749972A 2,295 5/11/2019 9015 LAKESIDE CABINS RESORT CHICAGO, IL 4613309A 710 5/6/2019 8810 UNITED STATES HOCKEY LEAGUE INC CHICAGO, IL 5254825A 922 5/5/2019 9015 J AND L BUILDING MAINTENANCE INC CHICAGO RIDGE, IL 5464455A 3,366 4/17/2019 5476 0.95 COTTRELL BUILDING COMPANY LLC CHINA 5877539A 4,446 6/15/2019 5645 KARAS PLUMBING LLC CHINA 5709784A 1,108 5/1/2019 5183 TIMBERS TREE SERVICE INC CHINA TWP 4719646A 12,713 6/15/2019 0106 0.83 LOEHR JEFFREY CHRISTMAS 4158326A 750 6/12/2019 7208 MUNISING WATER SPORTS INC CHRISTMAS 5559260A 635 5/19/2019 9015 SISCO SERVICES CHRISTMAS 5866928A 750 5/22/2019 0106 AKKO FASTENER INC CINCINNATI, OH 5719550A 640 5/26/2019 8742 INTEGRATED CONSTRUCTION SERVICES INC CINCINNATI, OH 5570700A 14,426 6/22/2019 7600 PROLINK RESOURCES LLC CINCINNATI, OH 5111897A 8,258 5/11/2019 6204 1.48 13 % STEP CG LLC CINCINNATI, OH 5569230A 415 6/2/2019 8742 HORIZON TREE SERVICE CLARE 1033638A 13,071 6/17/2019 0106 1.45 13 % PADDLEHEAD INC CLARE 0802018A 1,698 6/14/2019 8017 0.95 SARGENT SENIOR SERVICES LLC CLARE 5558239A 3,522 5/24/2019 8835 0.95 SUPERIOR ROOFING SYSTEMS LLC CLARE 5716179A 750 5/25/2019 5551 ZIEHM LP GAS SALES & SERVICE INC CLARE 0091561A 21,122 4/14/2019 8350 1.66 13 % CRAFTSMAN WORKSHOP CLARK LAKE 1345850A 3,288 4/21/2019 5645 0.95 HILLTOP CONTRACTING INC CLARK LAKE 2881985A 750 6/28/2019 5645 1.00 KS CUSTOM INSTALLATION & SERVICE INC CLARK LAKE 2647850A 2,020 6/24/2019 8232 0.95 WYSE TRUCKING CLARK LAKE 4341554A 800 5/1/2019 7208 AL SHEIKH INC CLARKSTON 2124670A 745 6/22/2019 8017 0.95 ARMS LENGTH LAWN CARE CLARKSTON 4985060A 4,933 6/11/2019 9102 0.91 CASSAVOY NORMAN BRUCE CLARKSTON 0622192A 591 4/11/2019 9521 CERNIGLIA JOHN CLARKSTON 5720931A 359 6/1/2019 8601 CLASSIC TOUCH PAINTING LLC CLARKSTON 3784940A 751 5/1/2019 5476 0.95 CMG TREE CARE INC CLARKSTON 5716128A 750 5/13/2019 0106 CUSTOM CARPETS CLARKSTON 1978853A 591 4/28/2019 9521 DYNAMIC PAINTING II INC CLARKSTON 5727030A 2,177 6/21/2019 5476 1/3/2019 11:00:13 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 EDWARD F VANDEVELDER INC CLARKSTON 2113104A 750 6/10/2019 0042 0.95 ELITE AUDIO VIDEO LLC CLARKSTON 5223938A 1,692 5/18/2019 9519 EVENT SPECIALIST GROUP LLC CLARKSTON 4974891A 491 4/1/2019 8810 HBL ENTERPRISES LLC CLARKSTON 5870925A 790 6/7/2019 9102 JOYCE TODD CONSTRUCTION CLARKSTON 1245651A 750 5/30/2019 5645 JP LAWN SPRINKLERS INC CLARKSTON 0699390A 3,573 4/6/2019 5183 0.94 KAIZEN PROPERTY MANAGEMENT LLC CLARKSTON 5253144A 633 5/22/2019 9015 0.95 LADD ASSEMBLY LLC CLARKSTON 5600928A 886 4/11/2019 3146 LAW OFFICE OF JOHN D MULVIHILL PLLC CLARKSTON 3929825A 237 5/27/2019 8820 MCCLURE HOME IMPROVEMENT CLARKSTON 5578809A 800 5/3/2019 5645 MEINECKE DAVID A CLARKSTON 1899236A 750 5/28/2019 5645 MERK CONSTRUCTION LLC CLARKSTON 0453854A 1,019 5/2/2019 5022 MIJANGOS PAINTING CLARKSTON 4348265A 750 4/17/2019 5476 MILLENIUM PRODUCTS INC CLARKSTON 5276195A 398 5/30/2019 8742 MMCPS INC CLARKSTON 2634112A 825 4/22/2019 5476 PALLOTTA HEATING & COOLING LLC CLARKSTON 4159730A 710 6/21/2019 5550 RENTON SCOT CLARKSTON 4870794A 750 6/5/2019 5645 RIVERHOUSE BOATHOUSE CONDOMINIUM CLARKSTON 1968092A 750 6/28/2019 6826 ASSOCIATION SAVAGE PATRICK CLARKSTON 5833531A 750 6/4/2019 5437 SEACO SPECIAL TOOLING INC CLARKSTON 0644510A 498 4/15/2019 8742 STONEWOOD PLACE CONDOMINIUM CLARKSTON 5863511A 633 5/10/2019 9015 ASSOCIATION SUSANS WORLD PAINTING INC CLARKSTON 5569435A 750 6/3/2019 5476 TEETER CONSTRUCTION LLC CLARKSTON 5228832A 750 4/21/2019 5645 TERRY MARTIN ENTERPRISES INC CLARKSTON 4578554A 679 4/1/2019 7720 TIM KERR DRYWALL CLARKSTON 2606852A 751 4/17/2019 5445 VILLAGE TREE SERVICE LLC CLARKSTON 4857445A 1,065 5/11/2019 0106 0.95 YLVISAKER INVESTMENT CO CLARKSTON 0481556A 750 6/23/2019 5476 GILBERT BERGERON CARPENTRY CLAWSON 4197275A 750 4/25/2019 5437 HR SYSTEMS AND STRATEGIES LLC CLAWSON 5531420A 475 4/19/2019 8810 KRISTEL SECURITY INC CLAWSON 3697207A 1,370 6/13/2019 7720 RAGGEDY ANNE HOUSE LLC CLAWSON 0729531A 424 4/24/2019 8869 REYNOLDS LAWN CARE CLAWSON 5121868A 1,026 6/28/2019 9102 SIGNATURE TRANSPORTATION SERVICES LLC CLAWSON 5712068A 10,657 5/6/2019 7212
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge APPLIED PROJECT SOLUTIONS LLC CLAY 4979613A 259 4/26/2019 8601 BATES CARPENTRY CLAY 5725933A 800 6/13/2019 5437 GREGS DOCKSIDE MARINE SERVICE LLC CLAY 5725917A 529 6/22/2019 6834 RENOWN RENOVATIONS LLC CLAY 5143527A 7,640 5/15/2019 5645 0.92 RPC CONSTRUCTION SERVICES CLAY 1611801A 800 5/10/2019 5476 RYDAN CONSTRUCTION & RESTORATION LLC CLAY 5100224A 750 6/15/2019 5645 SKYLINE GLASS LLC CLAY 5715490A 2,451 5/12/2019 5403 TOM PHILLIP HOMES INC CLAY 0104582A 819 6/8/2019 8742 0.95 YAROCH ELECTRIC LLC CLAY 4392604A 530 5/9/2019 5190 NEW WORLD CONSTRUCTION CLAY TWP 3163571A 750 6/11/2019 5551 OHIO ADDRESSING MACHINE COMPANY CLEVELAND, OH 5118034A 403 4/4/2019 8742 F SCHOEN TRUCKING LLC CLIFFORD 3917452A 7,182 4/16/2019 7208 0.91 STORM TRUCKING LLC CLIFFORD 4072545A 750 5/20/2019 7208 PRYOR TREE SERVICE CLIMAX 5865735A 1,525 5/18/2019 0106 BLUE WATER CARPENTRY INC CLINTON 1248480A 750 5/19/2019 5645 FAIRBANKS DOUGLAS CLINTON 5579864A 750 6/25/2019 5476 KEMPHER CONSTRUCTION COMPANY INC CLINTON 1740229A 750 4/17/2019 6217 MASTERCARE INSTITUTE INC CLINTON 5834279A 233 5/8/2019 8742 PENN ACRES GRAIN INC CLINTON 0344133A 2,358 4/20/2019 8304 0.95 ABT AUTO CLINTON TWP 5716101A 449 5/13/2019 8748 ACCU RIG INDUSTRIAL SERVICES LLC CLINTON TWP 4177169A 825 6/10/2019 3724 0.95 ALL AROUND HOME & COMMERCIAL SERVICES CLINTON TWP 5702160A 911 4/12/2019 9102 LLC AM TILE & MARBLE INSTALLATION LLC CLINTON TWP 5154138A 751 6/14/2019 5348 AMERICAN INK USA PRINTING & GRAPHICS INC CLINTON TWP 5006163A 753 6/8/2019 4299 0.95 ANWILL CONSTRUCTION CLINTON TWP 5415373A 1,163 6/18/2019 5645 BERCHIOLLY SAMUEL A CLINTON TWP 3906868A 591 6/8/2019 9521 BLUE WATER RENOVATION LLC CLINTON TWP 4881346A 825 6/6/2019 5476 0.95 BRAND NEW DETROIT LLC CLINTON TWP 5125448A 800 4/13/2019 5476 0.95 BROWN RYAN CLINTON TWP 3917487A 592 6/15/2019 9521 BURCH CONSTRUCTION & HOME IMPROVEMENT CLINTON TWP 2322552A 750 5/30/2019 5645 LLC COMMERCIAL CARPENTRY CONTRACTING CLINTON TWP 5866723A 750 5/22/2019 5437 CORNER HAIR STUDIO CLINTON TWP 5859050A 324 5/2/2019 9586 D AND W CONCRETE WALLS & FOUNDATIONS INC CLINTON TWP 2940710B 5,435 4/28/2019 5215 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DANIEL AUTO SALES INC CLINTON TWP 5525330A 380 6/8/2019 8748 DETAIL ORIENTED LLC CLINTON TWP 5707560A 750 4/22/2019 5437 E C TRANSPORT INC CLINTON TWP 5280320A 750 6/13/2019 7208 EASTSIDE METALS LLC CLINTON TWP 5326583A 1,405 5/2/2019 8264 0.95 FACILITIES SECURITY MANAGEMENT INC CLINTON TWP 5725631A 4,308 6/29/2019 7720 G AND T PRESSURE WASHING LLC CLINTON TWP 4484908A 1,126 6/25/2019 9015 0.95 GAD HOMES INC CLINTON TWP 4028082A 750 5/10/2019 5645 GJECAJ CONSTRUCTION CLINTON TWP 5854253A 750 4/13/2019 5476 GLENDALE RIVERVIEW ASSOCIATES LLC CLINTON TWP 5859077A 223 5/5/2019 8810 GREEN TECH LIGHTING LLC CLINTON TWP 4122259A 597 4/16/2019 5190 INNOVATIVE HOME REPAIR LLC CLINTON TWP 5402808A 750 5/8/2019 5437 J AND N CARPET INSTALLATION INC CLINTON TWP 1977628A 751 6/15/2019 9521 JULIAN CONSTRUCTION LLC CLINTON TWP 5865000A 800 5/16/2019 5645 JUST GUTTERS & SHEET METAL INC CLINTON TWP 3178072A 750 4/22/2019 5538 KENNIS AND PROVA LLC CLINTON TWP 4630963A 9,776 5/27/2019 7720 0.85 KIDS LEARNING CENTER LLC CLINTON TWP 5269040A 255 5/9/2019 8868 LIGHTKEEPERS RENTAL SERVICES LLC CLINTON TWP 5581958A 634 6/8/2019 9015 LOW VOLTAGE SYSTEMS L C CLINTON TWP 5393701A 332 4/4/2019 5191 MACOMB OAKLAND GUARDIANSHIP INC CLINTON TWP 2114950A 388 5/4/2019 8820 MCRC HOMES LLC CLINTON TWP 2841118A 750 4/28/2019 5437 0.90 MGB CONSULTING GROUP INC CLINTON TWP 5719569A 293 5/11/2019 8810 MICHIGAN FLOORING LLC CLINTON TWP 5296137A 1,250 4/22/2019 5348 MODERN TILE CREATIONS LLC CLINTON TWP 4211936A 750 4/29/2019 5348 MORAVIAN WOODS ASSOCIATION CLINTON TWP 1244370A 683 4/1/2019 9015 MPJK LLC CLINTON TWP 5277868A 801 6/6/2019 5445 MWV ENVIRONMENTAL SERVICES INC CLINTON TWP 5553784A 2,010 5/1/2019 5183 0.95 O BRIEN BUILDING CO INC CLINTON TWP 5555000A 825 5/3/2019 5645 ONEAL LANDSCAPING LLC CLINTON TWP 5416183A 859 6/20/2019 0042 0.95 PREMIUM FLOORS LLC CLINTON TWP 1278312A 750 4/15/2019 5437 0.95 PRIME TV LLC CLINTON TWP 4874790A 1,060 6/2/2019 8810 0.95 R AND B SIDING & CONSTRUCTION CLINTON TWP 5861985A 750 5/3/2019 5645 R AND R POWERWASH CLINTON TWP 4047869A 633 6/17/2019 9015 RAY SPORTS LLC CLINTON TWP 5128986A 440 5/8/2019 9058 RENOVATIONS MARBLE AND GRANITE INC CLINTON TWP 5020140A 800 6/30/2019 5348 RT INSTALLATIONS LLC CLINTON TWP 4329597A 750 4/4/2019 9015 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 32 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RYAN OAKES CONSTRUCTION LLC CLINTON TWP 4932080A 750 6/23/2019 5437 S AND F ENTERPRISES LLC CLINTON TWP 3497712A 5,563 5/9/2019 9058 0.87 S AND K GROUP LLC CLINTON TWP 0712035A 75,700 6/1/2019 9058 1.16 SBB SERVICES LLC CLINTON TWP 5856205A 375 4/20/2019 8720 SCOTT CONSTRUCTION & MECHANICAL LLC CLINTON TWP 0831832A 709 6/8/2019 5550 SELECTIVE MARINE SERVICES CLINTON TWP 4868846A 665 5/11/2019 6836 SOUND WAVES INC CLINTON TWP 3963608A 1,023 5/5/2019 8387 0.95 STEADY EDDIES HOME IMPROVEMENTS LLC CLINTON TWP 4326903A 750 6/24/2019 5645 STEIN 1 JANITORIAL SERVICES LLC CLINTON TWP 3350444A 1,572 5/21/2019 9015 0.95 STRATFORD VILLAGE MANOR CONDOMINIUM CLINTON TWP 4761294A 759 6/19/2019 5183 ASSOCIATION SUNFLOWER LANDSCAPE AND DESIGN LLC CLINTON TWP 4744993A 5,012 6/24/2019 0042 0.93 THIRTY SIX THOUSAND 315 EXPRESS INC CLINTON TWP 4860764E 688 5/31/2019 8017 0.95 TORCH DEVELOPMENT LLC CLINTON TWP 2644789A 343 5/5/2019 8810 0.95 TORRE AND BRUGLIO INC CLINTON TWP 0121460A 800 5/3/2019 0042 1.58 27 % TREE SOLUTIONS LLC CLINTON TWP 5864240A 750 5/14/2019 0106 VANI 13 LLC CLINTON TWP 5719585A 644 5/25/2019 5183 WENDT KEVIN CLINTON TWP 1761064A 592 6/5/2019 9521 ALKAY CONTRACTING SERVICES LC CLIO 4205073A 1,361 4/14/2019 8829 0.95 AUTO CITY SPEEDWAY INC CLIO 0848026A 752 4/25/2019 9058 BUSY DAY CLEANING CLIO 0049930A 634 5/11/2019 9015 0.95 CMG AMERICA INC CLIO 5089336A 1,944 5/31/2019 8107 0.95 CUSTOM CONCRETE DESIGN LLC CLIO 5695660A 750 5/11/2019 5221 DAVIDSON ENTERPRISES INC CLIO 1811550A 945 5/10/2019 9058 0.95 HARMONY HOME SERVICES CLIO 4094883A 750 5/30/2019 5437 HOYT AND COMPANY LLC CLIO 5872308A 1,160 6/1/2019 4299 JD HOME IMPROVEMENT CLIO 5417791A 1,580 6/23/2019 5645 0.95 JEFF THORNTON CONSTRUCTION LLC CLIO 1080334A 750 6/22/2019 5645 STEPHEN BURGESS CONSTRUCTION LLC CLIO 5270642A 1,159 5/14/2019 5403 0.95 ALL WEATHER GUTTER SYSTEMS COHOCTAH 3302580A 800 4/27/2019 5538 A ONE HOMES & DEVELOPMENT LLC COLDWATER 3834883A 389 5/5/2019 8742 AKERS PEST CONTROL LLC COLDWATER 5854695A 694 4/16/2019 9015 BAKERS LAWN CARE LLC COLDWATER 4472659A 830 5/20/2019 9102 0.95 BROADHEADS AND BULLETS LLC COLDWATER 5222052A 883 6/1/2019 8010 DIVINE GROUP LLC COLDWATER 5555680A 2,271 5/6/2019 9053
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FRAME WORKS LLC COLDWATER 5185840A 16,400 6/17/2019 5645 1.63 27 % LOAD N GO TRUCKING LTD COLDWATER 4812972A 295 5/14/2019 8810 0.83 NICHOLS ACCOUNTING & TAX SERVICE LLC COLDWATER 1230239A 292 5/24/2019 8810 C M RUBBER TECHNOLOGIES INC COLEMAN 4556402A 904 4/14/2019 7218 1.50 13 % ROBERTS AUTO ENTERPRISES INC COLEMAN 1414151A 634 4/30/2019 8395 1.00 BERRYS HARDWOOD FLOORING INC COLOMA 1769006A 755 6/29/2019 8742 DIBBLE RICHARD COLOMA 0886491A 899 6/20/2019 6229 0.95 ATLAS MOBILITY LLC COLON 5726662A 1,373 6/24/2019 7212 BOWERS SERVICE LLC COLON 0734373A 759 6/2/2019 8395 BLACK FOREST WOODWORKING LLC COLUMBIAVILLE 4350987A 750 5/26/2019 5437 CEDAR WOODS & ASSOCIATES LLC COLUMBIAVILLE 5722128A 800 6/3/2019 5645 FIRST CHOICE RV REPAIR LLC COLUMBIAVILLE 3547086A 1,792 5/3/2019 8393 0.95 MARKS TREE SERVICE LLC COLUMBIAVILLE 3213501A 750 4/22/2019 0106 MCDOWELL CONSTRUCTION LLC COLUMBIAVILLE 1274244A 289 4/4/2019 8810 0.87 MICHAEL BAIER CONSTRUCTION COLUMBIAVILLE 3349233A 750 5/18/2019 5645 0.95 RONNIE BRASHER DRYWALL LLC COLUMBIAVILLE 0203610A 800 5/31/2019 5445 TOTAL PACKAGE DRYWALL INC COLUMBIAVILLE 5185254A 825 5/27/2019 5445 BARTHELMAS NED K AND JANE L COLUMBUS, OH 3209903A 1,389 6/15/2019 0909 0.95 HURON LADY II INC COLUMBUS 4876237A 421 6/24/2019 8810 JD MODRICH STAFFING INC COLUMBUS 4098366A 3,548 5/9/2019 8829 0.95 NORMAN VICK CONSTRUCTION INC COLUMBUS, WI 5879400A 3,609 6/26/2019 3724 RICHMOND MACHINE AND ENGINEERING INC COLUMBUS 1038630A 703 4/23/2019 8810 AMAZING EVENTS COMMERCE 5413516A 633 6/13/2019 9015 MERIDIAN CONTRACTING AND EXCAVATING LLC COMMERCE 5539986A 7,336 4/1/2019 4000 0.92 PRECISION PAINTING COMMERCE 0208264A 825 4/20/2019 5476 0.95 SAMS PLUMBING INC COMMERCE 0100498A 754 4/12/2019 8810 SEDONA STONE & TILE LLC COMMERCE 5553288A 751 4/27/2019 5348 STANTS INSURANCE GROUP INC COMMERCE 5547270A 245 5/1/2019 8810 PAINTING BY EDWARD COMMERCE TS 3096815A 750 6/25/2019 5476 ANDOVER PARK LLC COMMERCE TWP 5269695B 750 5/5/2019 5645 AQUA FLAME LLC COMMERCE TWP 1189409A 771 6/9/2019 5550 ARTISTIC TILE AND STONE INC COMMERCE TWP 5095514A 825 6/16/2019 5348 0.95 BPH COMMUNITIES INC COMMERCE TWP 5269695A 750 5/10/2019 5645 BROWNS CARPENTRY COMMERCE TWP 0992771A 800 5/11/2019 5437 COMET SERVICES LLC COMMERCE TWP 3568075A 750 5/18/2019 5223 1/3/2019 11:00:13 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 CURTIS BOTSFORD COMMERCE LLC COMMERCE TWP 3972631A 531 6/30/2019 8810 DB HOME SOLUTIONS LLC COMMERCE TWP 4977122A 750 4/11/2019 5437 EYECARE OF LIVONIA PLLC COMMERCE TWP 5558158A 332 5/10/2019 8832 FALCON PROPERTY MANAGEMENT LLC COMMERCE TWP 5862213A 708 5/4/2019 9015 HIGH LIGHTING SERVICE COMPANY COMMERCE TWP 2834219A 3,892 4/27/2019 3724 0.94 J F B CONSTRUCTION CO INC COMMERCE TWP 0228885A 987 4/7/2019 5606 0.89 JOHN H STRINE BUILDING LLC COMMERCE TWP 2263963A 750 5/18/2019 5183 MICHIGAN INDUSTRIAL SHROUD CLEANING LLC COMMERCE TWP 4091345A 750 6/10/2019 3724 POWERTEL LLC COMMERCE TWP 3628060A 309 4/26/2019 8601 0.95 REESE CONTRACTING INC COMMERCE TWP 4231651A 2,390 6/24/2019 9015 0.90 SPORTS AROUND TOWN INCORPORATED COMMERCE TWP 2700310A 633 6/25/2019 9015 STARLER STAFFING INC COMMERCE TWP 5559790A 645 5/12/2019 4511 STORM TAEKWONDO LLC COMMERCE TWP 5563054A 760 5/17/2019 9063 ZAMORA CONSTRUCTION LLC COMMERCE TWP 4338898A 750 4/25/2019 5551 EASTWOOD LITTLE LEAGUE INC COMSTOCK 3777707A 633 5/2/2019 9015 APPLIED BEHAVIORAL SCIENCE INSTITUTION LLC COMSTOCK PARK 5859514A 510 5/11/2019 8835 ELEVEN SERIES LTD COMSTOCK PARK 5877644A 860 6/26/2019 7720 HEEREN LLC COMSTOCK PARK 5803004B 8,290 6/6/2019 0130 JUNK MAN COMSTOCK PARK 4862864A 800 6/22/2019 8264 PLATINUM CONSTRUCTION & ASSOCIATES INC COMSTOCK PARK 2959348A 802 6/14/2019 8810 0.95 POSEIDON POOL SERVICE LLC COMSTOCK PARK 5540925A 2,641 4/4/2019 5223 0.95 STERLEY LEROY COMSTOCK PARK 5415209A 2,486 6/19/2019 5645 0.95 HUBBARD MEMORIAL MUSEUM FOUNDATION CONCORD 0532967A 639 5/22/2019 9015 JUNIORS DRYWALL LLC CONKLIN 4686241A 2,528 6/8/2019 5445 MITTEN CONCRETE LLC CONKLIN 5879892A 750 6/27/2019 5221 WILLIAMS ELECTRIC LLC CONKLIN 5421845A 529 4/14/2019 5190 CONSTANTINE FLOORING CENTER INC CONSTANTINE 5397960A 1,520 4/20/2019 9521 0.95 ROSE MATTHEW PAUL CONSTANTINE 5878780A 800 6/25/2019 5551 TAYLOR CONSTRUCTION CONSTANTINE 4274563A 750 5/23/2019 5551 0.95 GLOBAL DIAGNOSTIC SERVICES INC CONYERS, GA 4697804A 369 4/23/2019 8832 BAUSTERT CONSTRUCTION LLC COOPERSVILLE 4357400A 592 6/12/2019 9521 L P TREE SERVICE LLC COOPERSVILLE 4063694A 5,132 5/3/2019 0106 0.95 LYTLES LANDSCAPING LLC COOPERSVILLE 2835681A 1,853 5/4/2019 0042 MARKS CHRISTOPHER COOPERSVILLE 5726360A 1,868 6/26/2019 7208 NEW LIFE TRUCK SALES LLC COOPERSVILLE 4625137A 3,080 6/13/2019 8395 1/3/2019 11:00:13 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 NEXT DAY CONSTRUCTION COOPERSVILLE 5111935A 750 6/9/2019 5645 NIELSEN BUILDERS INC COOPERSVILLE 0347361A 750 4/7/2019 5645 OTTAWA CUSTOM HOMES LLC COOPERSVILLE 3066894A 750 5/18/2019 8810 SCB ENTERPRISES INC COOPERSVILLE 4986660A 651 6/14/2019 4299 MILARCH OUTDOOR SERVICES LLC COPEMISH 5727812A 2,001 6/30/2019 0106 P D SERVICES LLC COPLEY, OH 5862817A 1,068 5/8/2019 9015 COPPER HARBOR TRAILS SOCIETY INC COPPER HARBOR 4543149A 254 6/1/2019 8810 ALBERTA ADAM CORAL 5707226A 751 4/21/2019 5445 SIMON BUILDERS CORAL 4011066A 1,501 4/4/2019 5645 1.00 R AND H LOGGING INC CORNELL 3498395A 5,126 5/24/2019 2709 TRIPLE A GYMNASTICS LLC CORNELL 5156963A 475 6/24/2019 9063 CURB APPEAL PROPERTY MAINTENANCE LLC CORUNNA 1250035A 750 6/23/2019 5645 0.93 MRI EXPRESS LLC CORUNNA 4942680A 4,981 6/23/2019 7208 0.91 NUMERICH TIMOTHY CORUNNA 3925625A 800 6/13/2019 5645 WEAVER CONSTRUCTION CORUNNA 5855292A 987 4/17/2019 5183 MARINE CITY AVIATION INC COTTRELLVILLE 4642139A 978 6/27/2019 7423 0.95 A J COOPER CORPORATION CROSWELL 2693909A 776 5/11/2019 6836 RL SHELL TRUCKING CROSWELL 2566117A 2,252 6/28/2019 7208 0.92 WH HOME IMPROVEMENT CROSWELL 1780476A 750 6/5/2019 5551 ELITE LLC CROWN POINT, IN 5703719A 717 4/14/2019 6836 BRIAN CAROLLO TRUCKING LLC CRYSTAL FALLS 5409950A 750 6/5/2019 7208 CHARLES UREN TRUCKING LLC CRYSTAL FALLS 5521211A 750 5/19/2019 7208 MARINOFF RALPH CRYSTAL FALLS 1367811A 750 5/24/2019 7213 UREN DIRTWORKS LLC CRYSTAL FALLS 5740932A 750 5/26/2019 2709 ROGER BUGG TIMBER HAULING CURRAN 5355834A 750 5/4/2019 7208 UNCLE JOES LOGGING CURTIS 4228740A 750 5/8/2019 2709 NET TEL INTELLIGENT SOLUTIONS LLC CUYAHOGA FALLS, OH 5867258A 518 5/23/2019 5191 SMART DELIVERIES & TRANSPORTATION LLC DAFTER 5715989A 750 6/1/2019 7208 LAMPINEN LOG AND TILL DAGGETT 4458532A 750 4/30/2019 7208 VERBA DARELL L DAGGETT 0160342A 750 4/10/2019 2702 VERBA JEFF W DAGGETT 0144428A 750 4/10/2019 2702 VERBISKY TRUCKING LLC DAGGETT 3976548A 750 5/13/2019 7208 BASORE INSPECTIONS LLC DANSVILLE 5125421A 374 4/6/2019 8720 BEACHES TANNING 3 LLC DANSVILLE 4886925A 249 6/23/2019 9586 MMI CONSTRUCTION SVC LLC DANVILLE, KY 5720397A 720 5/27/2019 5183 1/3/2019 11:00:13 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 A AND J EXCAVATING INC DAVISBURG 3764710A 800 4/8/2019 6217 ARROWHEAD DISCOUNT TREE SERVICE LLC DAVISBURG 3900991A 1,137 5/24/2019 0042 BID RITE CONTRACTING LLC DAVISBURG 5867215A 750 6/2/2019 5645 BLACKETT DESIGN & DEVELOPMENT DAVISBURG 0945498A 488 6/15/2019 2881 CLARKSTON PAINTING COMPANY LLC DAVISBURG 3938816A 751 5/13/2019 5476 CTM CUSTOM STAIRS & WOODWORKING LLC DAVISBURG 3036570A 750 5/27/2019 5437 FOUR SEASONS PAINTING & DRYWALL LLC DAVISBURG 2701456A 800 4/4/2019 5445 GWT WOOD FLOORS DAVISBURG 3189082A 750 4/5/2019 5437 MR CLEAN POWERWASHING INC DAVISBURG 3699250A 1,727 5/24/2019 9015 0.95 NANNOSHI HOLDINGS LLC DAVISBURG 5607418A 1,701 5/30/2019 9058 NEW CREATIONS LLC DAVISBURG 5266793A 431 5/7/2019 8001 PREMIER TREE CARE LLC DAVISBURG 5596319A 3,472 6/6/2019 0106 0.95 STRAIGHT UP BUILDING INC DAVISBURG 5813719A 385 4/25/2019 5606 WAYNES ASPHALT MAINTENANCE DAVISBURG 5289319A 750 6/21/2019 5221 A T R COMPUTERS INC DAVISON 3188140A 633 6/12/2019 5191 AAA OUTDOOR SERVICES INC DAVISON 4053010A 11,475 6/8/2019 7208 0.92 ALEXANDER WELLPOINT DEWATERING LLC DAVISON 4982924A 644 5/5/2019 5183 B AND L ENTERPRISES INC DAVISON 2618001A 750 4/14/2019 7208 0.95 BLUE SKY THERAPY SERVICES LLC DAVISON 5631521A 11,114 6/7/2019 8835 C R & R CONSTRUCTION LLC DAVISON 3335380A 750 4/29/2019 5403 CAMPBELL PERSONAL CARE HOME 4 INC DAVISON 5653711A 5,164 5/24/2019 9053 1.05 CENTRAL MICHIGAN CONTRACTING DAVISON 2966883A 750 5/9/2019 5645 COLORFLIP PAINTING LLC DAVISON 5394198A 801 4/8/2019 8810 COMPRO PAINTING LLC DAVISON 5559880A 775 5/16/2019 5476 CREATIVE COATINGS LLC DAVISON 3915204A 750 4/23/2019 5476 DAVISON CARE N ASSIST LLC DAVISON 5378320A 5,736 4/1/2019 8835 0.90 DYNAMIC HOME SOLUTIONS LLC DAVISON 5404789A 1,319 5/13/2019 5476 FIRST CHOICE PEST CONTROL INC DAVISON 5865158A 4,297 5/16/2019 9015 GENESEE COMMUNITY HOSPICE CARE LLC DAVISON 5725275A 509 6/17/2019 8835 GILMAN TILE CO DAVISON 2298775A 750 6/29/2019 5348 HILLIER AND SONS CONSTRUCTION INC DAVISON 5795907A 750 4/14/2019 5437 JOHNSTON STONE WORKS INC DAVISON 2253160A 750 4/8/2019 5022 0.95 KALUSH AND SONS DELIVERY LLC DAVISON 4644077A 1,142 5/5/2019 8058 0.95 KENS CONSTRUCTION DAVISON 5149282A 750 6/5/2019 5551 PAT MILLER CONCRETE DAVISON 5721873A 750 6/6/2019 5221 1/3/2019 11:00:13 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 SCOTTY DOTTY SHORTBREAD COMPANY LLC DAVISON 5406730A 605 5/21/2019 2003 THOMPSON ENTERPRIZES INC DAVISON 3675378A 842 5/25/2019 5645 TIMBERLAND CONSTRUCTION INC DAVISON 3054861A 750 6/14/2019 5645 TMY CONSTRUCTION INC DAVISON 4831357A 6,508 5/16/2019 5437 0.92 WHITNEY LAWN SERVICE LLC DAVISON 5545633A 1,070 4/28/2019 9102 WOLVERINE CCTV INC DAVISON 5306817A 331 6/14/2019 5191 R D P CORPORATION DAYTON, OH 1705539A 631 5/28/2019 8742 A ONE INC DEARBORN 3981096A 986 4/25/2019 9521 0.95 AKP RESTAURANT COMPANY DEARBORN 5401844A 1,920 6/17/2019 9058 0.95 AL AYN SOCIAL CARE FOUNDATION DEARBORN 5535425A 408 5/5/2019 8810 ANKOUN FLOORING LLC DEARBORN 4256522A 1,064 5/6/2019 9521 ARAB AMERICAN LANGUAGE INSTITUTE INC DEARBORN 4556224A 312 6/21/2019 8810 BRIGHT TRANSPORTATION LLC DEARBORN 5171695B 853 6/9/2019 7212 CITY PETROLEUM INC DEARBORN 0402397A 10,342 5/11/2019 8010 1.41 13 % DEARBORN 94 TRUCK STOP INC DEARBORN 5715580A 2,622 5/12/2019 8387 DOVER SERVICES INC DEARBORN 4995074A 318 6/18/2019 8810 EASTERN GREAT LAKES WINDOW CLEANING INC DEARBORN 3408280A 1,938 6/28/2019 9015 0.95 FIELDCREW INC DEARBORN 2961024A 341 5/8/2019 7610 GARRISON SQUARE ASSOCIATES DEARBORN 0998290A 708 5/12/2019 9015 GEMINI TRANSPORT LLC DEARBORN 4166701A 19,540 4/28/2019 7208 0.81 GLOBAL TRUCKING LLC DEARBORN 5867720A 750 5/24/2019 7208 GRANCELL NANCY TERESA DEARBORN 5853788A 640 4/16/2019 0913 HALFACRE AND ASSOCIATES DEARBORN 4039637A 3,569 5/16/2019 7720 0.93 HASS CARPET LLC DEARBORN 5277973A 1,845 5/3/2019 9521 JAWANI BUILDING & DEVELOPMENT INC DEARBORN 5439680A 3,235 6/10/2019 5437 0.95 JIM MCMAHON PAINTING DEARBORN 2338904A 750 4/6/2019 5476 K AND D ELITE PAINTING LLC DEARBORN 5879477A 750 6/26/2019 5476 KINGS BAKERY LLC DEARBORN 5138906A 605 5/14/2019 8017 0.95 LAYRITE MASONRY DEARBORN 4087100A 751 5/15/2019 5022 LE CHEF CATERING INC DEARBORN 5865646A 875 5/17/2019 9058 MAD CARPET LLC DEARBORN 5498163A 667 5/31/2019 9521 MAJED A MOUGHNI P L L C DEARBORN 5705665A 388 4/18/2019 8820 MMM CLEANING LLC DEARBORN 5447100A 908 5/27/2019 9015 N C DESIGNERS & CONTRACTING INC DEARBORN 3437787A 756 4/5/2019 8742 NATIONAL FUEL TRANSPORT LLC DEARBORN 5715636A 5,509 6/24/2019 7208 1/3/2019 11:00:13 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 NEJEM CARPETING LLC DEARBORN 5879370A 690 6/26/2019 9521 NORTHWEST CONSTRUCTION LLC DEARBORN 3920275A 752 4/19/2019 5645 0.94 OAKMAN CHILD CARE & DEVELOPMENT LLC DEARBORN 5405335A 1,095 5/14/2019 8869 0.95 RAYDAN TRANSPORTATION INC DEARBORN 5646898A 2,543 4/12/2019 7208 RED CAP TRANSPORTATION INC DEARBORN 5415861A 750 6/19/2019 7208 RT JOHNSON HOMECARE INC DEARBORN 5850070A 6,452 4/9/2019 8835 RUDNICKI REMODELING DEARBORN 0877638A 750 5/1/2019 5645 SAFETY FIRST SECURITY SOLUTIONS LLC DEARBORN 5867746A 381 5/24/2019 5191 SCALES CARPETING INC DEARBORN 4339622A 641 4/26/2019 9521 SIMONES EUROPEAN FASHIONS INC DEARBORN 3730417A 606 5/29/2019 8006 SOUTHERN SHADOW FOR HARD FLOORING INC DEARBORN 5881560A 750 6/30/2019 5437 SPIRIT SERVICES LLC DEARBORN 5854660A 1,290 4/30/2019 7208 TEN THOUSAND 001 EXPRESS INC DEARBORN 4860764F 554 5/31/2019 8017 0.95 UZNIS HOMES LLC DEARBORN 2004585A 750 6/12/2019 5645 VANS MAIL DELIVERY LTD DEARBORN 0893358A 1,442 5/23/2019 8292 0.95 W HAMMONS TRUCKING INC DEARBORN 4384350A 2,460 4/6/2019 7208 0.95 WAZA CONSTRUCTION LLC DEARBORN 5719860A 1,415 5/25/2019 5606 WIX CARPET DEARBORN 4454685A 614 5/16/2019 9521 YES EXPRESS INC DEARBORN 0537039A 2,503 6/9/2019 8395 0.95 A AND L MASON CONTRACTORS INC DEARBORN HEIGHTS 1852906A 801 4/10/2019 8810 ADRI CONSTRUCTION LLC DEARBORN HEIGHTS 5878357A 750 6/22/2019 5437 ALL WAYS HEATING AND COOLING LLC DEARBORN HEIGHTS 5394520A 1,474 4/10/2019 5550 0.95 ANDRUS NICHOLAS DEARBORN HEIGHTS 5865727A 750 5/18/2019 7208 ASHTON RESTORATION LLC DEARBORN HEIGHTS 5008212A 683 6/10/2019 9015 ATM TOWING SERVICES LLC DEARBORN HEIGHTS 5662125A 1,836 6/21/2019 7208 BEIRUT BY NIGHT INC DEARBORN HEIGHTS 3970426A 542 4/12/2019 9058 0.95 CHUCK HARRISON LAWN SPRINKLERS LLC DEARBORN HEIGHTS 4372514A 1,141 4/2/2019 5183 CONSTRUCTIVE DRYWALL DEARBORN HEIGHTS 5132541A 750 5/1/2019 5445 DHEINIS CARPET LLC DEARBORN HEIGHTS 5138280A 591 5/3/2019 9521 ELECTRICAL AND MECHANICAL CONSULTANT INC DEARBORN HEIGHTS 5128919A 492 4/23/2019 8810 EMPIRE AUTO TRANSPORT LLC DEARBORN HEIGHTS 5846781A 825 4/1/2019 7208 FIRST CHOICE PLUS LLC DEARBORN HEIGHTS 5721520A 825 6/23/2019 5437 GARDEN CITY GARAGES INC DEARBORN HEIGHTS 2110245A 750 5/9/2019 5437 0.95 GM FLOORING LLC DEARBORN HEIGHTS 5873835A 750 6/12/2019 5437 GREAT LAKES MEDICAL EVALUATIONS PC DEARBORN HEIGHTS 3473643A 1,083 6/17/2019 8832 0.95 1/3/2019 11:00:13 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 HAZIME CARPET PLUS INC DEARBORN HEIGHTS 2630702A 873 5/29/2019 9521 JAGX INC DEARBORN HEIGHTS 5555736A 493 5/5/2019 7720 K J PROFESSIONAL SERVICES LLC DEARBORN HEIGHTS 5696151A 894 4/6/2019 9015 LGH CONSTRUCTION LLC DEARBORN HEIGHTS 5867959A 750 6/5/2019 5645 MIGHTY OAK CAFE & BISTRO DEARBORN HEIGHTS 5861160A 1,941 5/1/2019 9058 MIKES ALUMINUM VINYL AND SIDING DEARBORN HEIGHTS 5492238A 750 6/17/2019 5645 MRT ENVIRONMENTAL INC DEARBORN HEIGHTS 4478088B 25,193 5/3/2019 5183 1.00 NEXE TILE DEARBORN HEIGHTS 5552184A 750 5/7/2019 5348 OL ALI CARPETS LLC DEARBORN HEIGHTS 3838110A 993 6/9/2019 9521 QUALITY ASSURANCE TRANSPORTATION LLC DEARBORN HEIGHTS 5725674A 809 6/21/2019 7212 RIGHT MOVE INC DEARBORN HEIGHTS 4044401A 549 6/15/2019 8868 ROBERT J CASSAR PC DEARBORN HEIGHTS 3334600A 231 5/24/2019 8810 ROYAL GAS PETROLEUM INC DEARBORN HEIGHTS 5001498A 1,272 4/12/2019 8017 SEVEN HEAVEN INC DEARBORN HEIGHTS 4882032A 1,519 4/28/2019 9521 TALL OAKS OF WESTLAND CONDOMINIUM DEARBORN HEIGHTS 2614308A 683 6/1/2019 9015 ASSOCIATION TOTAL HOMECARE SOLUTIONS INC DEARBORN HEIGHTS 4839927A 1,220 5/23/2019 8835 U SAVE CARPET INSTALLATION LLC DEARBORN HEIGHTS 5401674A 641 5/5/2019 9521 WALIGORSKI THOMAS M DEARBORN HEIGHTS 5242827A 5,266 4/16/2019 5551 XPRESS 1 SERVICES INC DEARBORN HEIGHTS 5716195A 750 5/13/2019 7208 HARD TIMES FAMILY RESTAURANT DECATUR 2161320A 1,811 5/17/2019 9058 1.05 ROOP GURLEEN PETROLEUM LLC DECATUR 5441056A 1,025 5/5/2019 8017 0.95 B C TRUCKING OF MARLETTE INC DECKER 2687127A 750 5/2/2019 7208 DANS HOME IMPROVEMENTS DECKER 5273099A 750 5/22/2019 5551 HUDSON TRUCKING LLC DECKER 5205581A 750 6/30/2019 7208 ALL AMERICAN TREE SERVICES DECKERVILLE 4466730A 751 4/30/2019 9102 LARRYS DECORATING INC DECKERVILLE 2171678A 751 5/3/2019 5476 PALMER FARMS INC DECKERVILLE 2363844A 2,832 6/3/2019 0011 0.95 CENTURY ARMS INC DELRAY BEACH, FL 5878829A 596 6/29/2019 8810 STAY WIRED UP LLC DELTA, OH 5872898A 3,034 6/2/2019 7600 BACKWOODS BUILDERS LLC DELTON 5711320A 3,906 5/2/2019 5403 BOULTERS AFC HOME DELTON 5405289A 545 5/18/2019 9053 0.95 LA TRANSPORT AND HAULING LLC DELTON 5401100A 3,729 5/2/2019 7380 0.95 RITCHIES TREE SERVICE INC DELTON 3483860A 1,472 4/14/2019 0106 0.95 HISTORICORPS DENVER, CO 5398347A 1,177 6/1/2019 5403
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge A 1 DIESEL REPAIR INC DETROIT 5548004A 2,202 5/2/2019 8395 A 2 Z ENTERPRISE LLC DETROIT 0593427A 3,792 4/1/2019 8392 0.95 A AND M CONTRACTING SERVICES LLC DETROIT 5513677A 6,901 5/4/2019 5645 ADAMO DEMOLITION COMPANY DETROIT 2207273A 825 6/30/2019 7380 1.51 13 % ADC INC DETROIT 2925850A 825 6/30/2019 5610 AFFORDABLE MANAGEMENT LLC DETROIT 4969049A 678 5/31/2019 9102 AIR TECHNOLOGY SYSTEMS INC DETROIT 3459420A 2,070 4/4/2019 5183 0.95 AJ PLUS INC DETROIT 5853290A 716 4/11/2019 8017 AL BROTHERN DETROIT 5854334A 750 4/13/2019 5476 AL HAKIM CORPORATION DETROIT 4062108A 906 4/19/2019 8017 ALEXANDERS TOTAL LAWN CARE SERVICES LLC DETROIT 5723809A 660 6/13/2019 9102 ALHALEMI GAS AND MART INC DETROIT 5017700A 1,635 6/30/2019 8017 0.95 ALINOSI FRENCH ICE CREAM CO INC DETROIT 0004375A 1,183 5/22/2019 2041 0.95 ALL STARS TRUCK DRIVING SCHOOL INC DETROIT 4620992A 825 5/13/2019 8868 ALL TOGETHER SERVICES INC DETROIT 4461665A 750 5/13/2019 8810 ALS PETRO INC DETROIT 0169811A 545 5/4/2019 8017 ANDREA DESIGNS LLC DETROIT 5862558A 489 5/5/2019 4299 AQUARIAN CONSTRUCTION INC DETROIT 5127920A 435 4/25/2019 5606 0.95 ARAWANA CONSTRUCTION TRUCKING INC DETROIT 5865212A 3,520 5/11/2019 7208 ARCADIUS PRODUCTIONS INC DETROIT 5732514A 837 6/12/2019 4360 ASAP CLEANING SERVICE LLC DETROIT 4797310A 709 5/23/2019 9015 AT MANAGEMENT SERVICES INC DETROIT 5264790A 355 4/25/2019 8017 AUTO PROS TOWING LLC DETROIT 4945999A 825 6/12/2019 7208 B A T S TOWING INC DETROIT 5250749A 750 5/12/2019 7208 0.95 B AND G AUTO DETAIL SPECIALIST LLC DETROIT 5267404A 750 6/1/2019 5476 B AND S OIL INC DETROIT 1494775A 1,004 6/12/2019 8017 0.95 BANGKOK CROSSING INC DETROIT 4192273A 1,332 6/2/2019 9058 0.95 BAYVIEW YACHT CLUB JUNIOR SAILORS INC DETROIT 2400855A 358 5/25/2019 8868 BE WIRELESS INC DETROIT 5721296A 390 6/2/2019 8017 BECKWITH LAURA DETROIT 5701708A 1,262 4/11/2019 9015 BEES IN THE D DETROIT 5854245A 586 4/13/2019 0034 BERRY AND SONS RABABEH ISLAMIC DETROIT 1838687A 1,376 4/12/2019 2081 0.95 SLAUGHTER HOUSE INC BG TRUCKING DETROIT 5549477A 825 5/14/2019 4000 BIG SAM AUTO PARTS INC DETROIT 5716217A 1,562 5/15/2019 8010
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BIMS LOAN COMPANY INC DETROIT 0161950A 966 5/7/2019 8017 0.95 BOBBYS TCB TOWING SERVICE INC DETROIT 1854186A 10,572 6/20/2019 7208 0.95 BROWNS CONCRETE AND EPOXY LLC DETROIT 5859085A 750 5/10/2019 5221 BULK INDUSTRIAL SERVICES LLC DETROIT 5406820A 1,095 6/21/2019 5183 C H FOOD MART INC DETROIT 5862035A 883 5/31/2019 8017 C S FARMER CONSTRUCTION INC DETROIT 4372719A 800 4/17/2019 8232 CANARY INC DETROIT 5867630A 750 5/24/2019 7208 CARLOS AND ALEXANDER CONSTRUCTION CO DETROIT 5707196A 750 4/21/2019 5645 INC CARRANZA AND COMPANY LLC DETROIT 5444420A 8,045 5/4/2019 5645 0.91 CASEY SIGN COMPANY INC DETROIT 2123169A 750 6/9/2019 9501 CHARBEL MART LLC DETROIT 5724775A 807 6/15/2019 8017 CHENE CENTRE CARDS AND GIFTS DETROIT 0901717A 2,095 4/14/2019 8044 0.95 CHI CHI GROUP HOME INCORPORATED DETROIT 4529480A 855 4/20/2019 9053 0.95 CHILDRENS HOSPITAL OF MICHIGAN DETROIT 4830822A 218 4/12/2019 8810 0.95 FOUNDATION CHOICE PAINTING AND WOOD RESTORATION LLC DETROIT 4071875A 1,842 5/18/2019 5476 CHRISTIAN HURTTIENNE ARCHITECTS LLC DETROIT 5412684A 1,100 6/11/2019 8601 0.95 CHURCH OF THE MESSIAH HOUSING DETROIT 5393930A 3,581 6/13/2019 8868 0.95 CORPORATION COALITION ON TEMPORARY SHELTER DETROIT 1711130A 21,478 5/17/2019 9052 0.74 COMPLETE PLUMBING AND SEWER SERVICES DETROIT 4842596A 1,943 4/11/2019 5183 INC CONSULATE OF ITALY DETROIT 0977853A 506 4/7/2019 8810 CRANE FIRST INC DETROIT 2877236A 701 4/12/2019 3724 D AND M TRUCK TIRE & TRAILER REPAIR INC DETROIT 5413710A 6,746 6/15/2019 8395 0.91 DAILY MART INC DETROIT 3309770A 894 5/22/2019 8017 DANNAOUI BROTHERS INC DETROIT 5263468A 913 4/21/2019 8017 DEADLINE DETROIT INC DETROIT 5015839A 422 4/25/2019 8742 DEEPIKA K PAREKH MD PC DETROIT 1331850A 408 5/14/2019 8832 DETROIT AIRLINES NORTH TERMINAL DETROIT 4479785A 631 6/26/2019 7423 CONSORTIUM INC DETROIT METROPOLITAN BAR ASSOCIATION DETROIT 0234052A 218 6/28/2019 8810 DETROIT POLICE OFFICERS ASSOC DETROIT 0273325A 1,186 6/27/2019 8755 0.95 DETROIT RACQUET CLUB DETROIT 0753718A 737 5/7/2019 9058 DETROIT RIVER SPORTS LLC DETROIT 5879671A 1,822 6/26/2019 6826
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DETROIT TRANSPORTATION CORPORATION DETROIT 2432366A 99,422 5/30/2019 7720 0.92 DSY CORKTOWN LLC DETROIT 5865867A 3,277 5/21/2019 9058 DZCONTRACTINGMI LLC DETROIT 4943864A 750 6/9/2019 5551 E AND S CARRYOUT INC DETROIT 0501930A 678 5/5/2019 9058 EA PETRO INC DETROIT 5865808A 635 5/25/2019 8017 EAGLE INDUSTRIAL CONTRACTING INC DETROIT 5865549A 775 5/17/2019 3724 EDS DISCOUNT USED AUTO PARTS INC DETROIT 1663410A 752 4/29/2019 8810 EDUCATION FIRST MMD EDUCATIONAL DETROIT 5724058A 384 6/14/2019 8868 CONSULTING FIRM LLC EIGHT THOUSAND 820 WYOMING GAS MART INC DETROIT 3969835B 518 6/1/2019 8017 0.95 EJVJ ENTERPRISES INC DETROIT 5417821A 1,242 6/23/2019 8017 EMINENT CONTRACTING LLC DETROIT 5711193A 1,068 5/2/2019 5215 ENVIRONMENTAL GEO TECHNOLOGIES LLC DETROIT 4316029A 16,805 6/15/2019 9403 0.78 ESM DRYWALL SERVICES LLC DETROIT 5720672A 750 6/8/2019 5445 FACE 2 FACE HOMES SERVICE LLC DETROIT 5725623A 959 6/20/2019 8835 FENKELL FUEL & GROCERY INC DETROIT 5721610A 390 6/3/2019 8017 FERT ONE COMPANY DETROIT 5852048A 750 4/10/2019 0042 FIFTEEN THOUSAND 439 EXPRESS INC DETROIT 4860764D 613 5/31/2019 8017 0.95 FINCH PROPERTY SERVICES DETROIT 5853770A 2,565 4/12/2019 5476 FLIP TURN TRANSPORT LLC DETROIT 5863988A 1,069 5/11/2019 8392 FLORES CASTILLO OSCAR N DETROIT 5859735A 2,891 4/28/2019 7208 FORD ROAD BISTRO LLC DETROIT 4749642A 2,000 5/22/2019 9058 FOUR AREA CODE HOME REPAIR DETROIT 4616316A 634 4/21/2019 9015 FOX JAEGER ENTERPRISES DETROIT 4254899A 369 4/15/2019 9063 FREDA CARE HOME HEALTH SERVICES DETROIT 5505356A 1,043 5/11/2019 8835 FULL VIEW PRODUCTIONS LLC DETROIT 5400562A 845 6/20/2019 4361 GAYANGA CO LLC DETROIT 5657504A 8,098 6/2/2019 5645 GENERIC HOLDING COMPANY DETROIT 5872413A 20,724 6/1/2019 8264 GIBSON TOTAL ELECTRONICS INC DETROIT 1648764A 249 4/20/2019 8810 GIPSON BROTHERS TRUCKING INC DETROIT 0411191A 10,862 5/7/2019 7208 0.88 GLOBAL FINANCIAL MOTORS LLC DETROIT 5852170A 383 4/10/2019 8748 GLOBAL HOLDINGS & INVESTMENTS INC DETROIT 3617300A 800 5/19/2019 5437 GLOBAL INTERIORS CO AND RENOVATIONS INC DETROIT 5030510A 388 6/1/2019 5606 GOODCOMPANY AOP INC DETROIT 5579112A 1,145 6/7/2019 8835 GRATIOT GAS & MINI MART INC DETROIT 4861353A 1,125 4/19/2019 8017 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GREAT LAKES MANAGERS LLC DETROIT 5263964A 2,728 4/23/2019 5606 0.95 GROUP 7 STAFFING LLC DETROIT 5552320A 714 4/26/2019 8742 HABITAT FOR HUMANITY DETROIT DETROIT 3093174A 416 5/10/2019 8810 0.74 HAN MINI MART INC DETROIT 4462564A 652 4/2/2019 8017 0.95 HOPE ACADEMY DETROIT 3520978A 329 4/30/2019 8868 1.14 HOUSE OF LIQUOR & WINE SHOP INC DETROIT 4999436A 1,153 6/16/2019 8017 0.95 ICZKOVITZ ABIGAIL DETROIT 5862680A 640 5/15/2019 0913 IFTEEN THOUSAND 140 EXPRESS INC DETROIT 4860764C 695 5/31/2019 8017 0.95 IKES TRANSPORTATION CORP DETROIT 5654211A 823 5/4/2019 7212 J AND C LANDSCAPING DETROIT 5869064A 751 5/26/2019 0042 J KEITH CONSTRUCTION INC DETROIT 5459958A 2,886 5/11/2019 5645 JABER FUEL MART INC DETROIT 5853290B 523 4/11/2019 8017 JACKSON ACCURATE DELIVERY INC DETROIT 4420527A 4,309 4/13/2019 7206 0.95 JAMES BURLETT CONSTRUCTION LLC DETROIT 3567281A 750 6/6/2019 5645 JDE CONSULTING LLC DETROIT 5792932A 11,796 5/26/2019 5403 JIMENEZ CARPETS INC DETROIT 4980948A 703 4/19/2019 9521 JIMS FILL UP INC DETROIT 4533453A 1,373 6/18/2019 8017 0.95 JOE ANNS BAR B QUE INC DETROIT 1138855A 519 5/30/2019 9058 JOHN M BARNWELL MD PLLC DETROIT 4081706A 619 6/11/2019 8832 JONESANDSON LLC DETROIT 5863317A 800 5/1/2019 5476 JP ROOSEVELT CONSTRUCTION AND DETROIT 5867304A 751 5/23/2019 8810 CONSULTANTS LLC JUAREZ HOME IMPROVEMENT INC DETROIT 5293677A 825 5/26/2019 5645 JUMBOS BAR INC DETROIT 0051713A 350 4/15/2019 9058 JUNIORS JRS CONSTRUCTION LLC DETROIT 5874963A 1,009 6/7/2019 5213 JUST US TRUCKING INC DETROIT 4088280A 750 4/13/2019 7208 K AND J DISTRIBUTOR LLC DETROIT 5860717A 1,290 4/30/2019 7208 KAJHNIQUE TYSON IRREVOCABLE TRUST DETROIT 3937950A 1,036 6/15/2019 0913 0.95 KAMMO AUTO CLINIC INC DETROIT 2837919A 1,419 5/27/2019 3821 0.95 KAPSTONE EMPLOYMENT SERVICES LLC DETROIT 5858437A 1,363 6/14/2019 5190 L AND F MINI MART INC DETROIT 4629400A 823 4/1/2019 8017 L AND L GOLD ASSOCIATES INC DETROIT 1204475A 7,157 4/8/2019 8017 1.37 13 % L GEORGES CONEY ISLAND NO 7 INC DETROIT 1605887A 873 4/3/2019 9058 0.95 LIBARES CONSTRUCTION INC DETROIT 5802075A 800 5/17/2019 5551 LOCKETT ROBIN DETROIT 5877610A 771 6/16/2019 9015
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 44 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LUCAS COURIERS LLC DETROIT 5360269A 394 4/19/2019 8742 MACK AND VAN DYKE MINI MART INC DETROIT 1709011A 554 6/1/2019 8017 0.95 MARKS A EAGLES 4 CONEY ISLAND INC DETROIT 3258840A 1,586 5/21/2019 9058 0.95 MARTIN PLASTERING DETROIT 3220338A 750 5/16/2019 5480 MCGRAW PETRO MART LLC DETROIT 4064488A 942 4/21/2019 8017 0.95 MERITHALL INC DETROIT 4882741A 90,941 6/28/2019 9015 1.00 METRO TRADES LLC DETROIT 5285194A 2,324 6/28/2019 5476 0.95 MILITARY ORDER OF THE PURPLE HEART DETROIT 1825852A 1,743 5/13/2019 8868 0.95 SERVICE AND REHABILITATION OFFICE MISAEL MARTINEZ CONSTRUCTION LLC DETROIT 5632706A 750 5/3/2019 5645 MJ REALTY SERVICE PLLC DETROIT 5873045A 308 6/16/2019 8742 MLD CONSTRUCTION INC DETROIT 4806891A 4,856 4/7/2019 5445 0.95 MONDRAGON PAINTING LLC DETROIT 5866120A 750 5/21/2019 5476 MOORE BROTHERS PLUMBING HEATING & DETROIT 2335905A 710 4/7/2019 5183 0.95 COOLING LLC MOTOR CITY CONCRETE CUTTING LLC DETROIT 3026434A 2,905 5/2/2019 5221 MR DOCTOR CONSTRUCTION INC DETROIT 5878888A 750 6/23/2019 5348 MR WIGGLE PLUMBING LLC DETROIT 4721233A 735 6/6/2019 5183 NAIL RITE CONSTRUCTION COMPANY INC DETROIT 5876559A 750 6/12/2019 5445 NEW EXECUTIVE TOWING COMPANY INC DETROIT 1731416A 5,057 6/3/2019 7208 0.91 NEXGEN HIGH RISE SERVICES LLC DETROIT 4337514A 634 5/29/2019 9015 1.61 13 % NINETEEN THOUSAND 836 EXPRESS INC DETROIT 4860764A 883 5/31/2019 8017 0.95 NURSING MANAGEMENT SOLUTIONS LLC DETROIT 5853443A 6,400 5/5/2019 8835 OAKLAND SUGAR HOUSE LLC DETROIT 4877063A 1,226 6/8/2019 9058 0.95 ONE THOUSAND 701 EXPRESS INC DETROIT 4860764B 671 5/31/2019 8017 0.95 OROZCO TILE LLC DETROIT 5878730A 750 6/23/2019 5348 OZI SERVICES INC DETROIT 3969096A 1,003 6/15/2019 9053 0.95 PHOENIX WINGS INC DETROIT 5876494A 1,813 6/12/2019 8835 PIZZA PLACE DEARBORN LLC DETROIT 0828467A 2,426 6/14/2019 9058 0.95 POLYMATH DEVELOPMENT LLC DETROIT 5390796A 12,585 4/8/2019 5403 0.86 PRESIDENTIAL CONSTRUCTION INC DETROIT 4887964A 800 4/30/2019 5437 PRESTIGE FILL UP LLC DETROIT 4743490A 1,012 4/24/2019 8017 0.95 PSR CONSTRUCTION DETROIT 1926098A 800 6/16/2019 5645 0.95 PT IN THE D LLC DETROIT 5724929A 395 6/16/2019 9063 PURE PLUS INC DETROIT 5706912A 1,465 4/21/2019 8017
1/3/2019 11:00:13 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 PYRATECH SECURITY SYSTEMS INC DETROIT 2972301A 7,533 6/10/2019 7720 0.86 QUAD LOGISTICS LLC DETROIT 5501482A 800 4/17/2019 7208 RAMLO ROOFING SERVICES LLC DETROIT 5168910A 750 4/19/2019 5551 0.94 RAMOS CONSTRUCTION LLC DETROIT 5510651A 750 6/14/2019 5551 RAZZOOKS SONS INC DETROIT 0246433A 736 4/24/2019 8017 READING WORKS DETROIT 5555710A 560 5/14/2019 8810 REILLY CRAFT CREAMERY LLC DETROIT 5720940A 404 6/5/2019 8017 RENU POWER TOOL AND SUPPLY CO DETROIT 0594008A 2,158 4/16/2019 8010 0.95 REYNOLDS RENOVATIONS CO DETROIT 5867207A 825 6/2/2019 2802 RIGHT PRODUCTIONS INC DETROIT 3892913A 8,148 5/7/2019 9058 0.84 RISE MANAGEMENT LLC DETROIT 5877199A 826 6/22/2019 9058 ROCHA PAINTING DETROIT 4908171A 750 6/21/2019 5476 ROSA PETRO MART LLC DETROIT 5863228A 547 5/13/2019 8017 S AND J USED AUTO PARTS INC DETROIT 5707552A 355 5/9/2019 8010 SAAB PETRO MART INC DETROIT 5283167A 752 6/24/2019 8017 SABAH LLC DETROIT 3421422A 1,822 4/27/2019 8017 SALAMEH CORPORATION INC DETROIT 2934663A 448 5/18/2019 8017 0.95 SAMONA MARKET INC DETROIT 0976555B 1,311 5/16/2019 8017 0.95 SECOND CHANCE LIVING SUPPORTIVE DETROIT 4978536A 2,981 4/19/2019 8835 0.95 SERVICES LLC SELBY SOLAR LLC DETROIT 5858500A 1,368 4/21/2019 5606 SESSION AND SON LLC DETROIT 5848709A 6,124 4/2/2019 7213 SHONS CORNER LLC DETROIT 5234379A 14,328 5/2/2019 7720 1.00 SINJIL INC DETROIT 3760502B 597 5/24/2019 8017 0.95 SKYLINE AUTO SALES INC DETROIT 5879434A 295 6/26/2019 8748 SMITH WA INC DETROIT 5262496A 3,512 4/16/2019 4712 0.92 SOCIETY OF ST VINCENT DE PAUL IN THE DETROIT 0475912A 636 5/2/2019 8810 1.81 13 % ARCHDIOCESE OF DETROIT STAR WELDING AND STEEL INC DETROIT 5697336A 694 5/10/2019 3365 STILLWATER CONSTRUCTION INC DETROIT 1993984A 750 4/27/2019 5645 SUPER STONE INC DETROIT 5721377A 750 6/2/2019 5437 SUPERIOR METAL FINISHING & RUSTPROOF DETROIT 0131679A 19,524 6/17/2019 3372 1.42 10 % CORPORATION THREE HUNDRED 13 CONSTRUCTION LLC DETROIT 5330793A 825 4/23/2019 5645 TODDLERS CENTER INC DETROIT 2760681A 598 6/23/2019 8869 TOWN PARK COOPERATIVE DETROIT 1755480A 904 5/4/2019 9015 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 46 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TRIPLE CS CARE INC DETROIT 4525353A 2,117 4/11/2019 9053 0.95 TRIPLE PROPERTIES DETROIT LLC DETROIT 4773616A 465 5/19/2019 8810 TRUSTWORTHY CONSTRUCTION LLC DETROIT 5868750A 800 5/26/2019 5102 TWO MEN PAINTING LLC DETROIT 5194709A 884 5/4/2019 5476 0.95 URBAN S INC DETROIT 5268524A 3,567 5/24/2019 9058 0.90 VARGAS IRMA ORTIZ DETROIT 5545080A 591 4/13/2019 9521 VICKIS FOODS INC DETROIT 0425770A 868 5/11/2019 9058 W BACON TRUCKING LLC DETROIT 2530376A 750 5/2/2019 7208 WARREN CADIEUX GAS MART INC DETROIT 3129080A 910 5/2/2019 8017 WILLIAMS COMMUNITY LIVING INC DETROIT 0908665A 6,177 6/20/2019 9053 0.87 XPERT DUCT CLEANING CLEAN AIR INC DETROIT 5670233A 1,066 4/18/2019 5550 COONEY HOMES LLC DEWITT 5146828A 750 5/30/2019 5645 GO DENTON TRUCKING DEWITT 5711290A 750 5/2/2019 7208 HAMILTON ALL WEATHER MAINTENANCE DEWITT 1932365A 825 4/25/2019 5645 JIMMERSON ROOFING DEWITT 0382426A 4,096 4/23/2019 8227 0.91 OADE MANAGEMENT CO INC DEWITT 0417238A 400 4/12/2019 9058 SNOW TIMOTHY & SHERRY DEWITT 5865581A 825 5/21/2019 5645 STRONGRICH AND ASSOCIATES INC DEWITT 3848655A 648 5/9/2019 8742 1.37 13 % TPM HOLDINGS LLC DEWITT, IA 5415292A 988 6/25/2019 0912 WALKER CONSTRUCTION DEWITT 5854687A 2,150 4/27/2019 5437 ABLETECH INDUSTRIES LLC DEXTER 5289165A 470 5/15/2019 8601 0.95 ANTHONYS ASPHALT LLC DEXTER 5423414A 1,028 6/17/2019 5221 BMCI CORPORATION DEXTER 4867998A 867 5/10/2019 9015 0.95 CARICA INC DEXTER 5863538A 1,813 5/10/2019 8835 GORDON D FELLOWS LLC DEXTER 0969494A 750 6/18/2019 5645 HEINOWSKI APPRAISAL AND CONSULTING LLC DEXTER 5862841A 746 5/8/2019 8720 JD LAWN SERVICE INC DEXTER 5551935A 828 5/3/2019 9102 LAURA SANDERS LMSW LLC DEXTER 5663849A 750 4/28/2019 8279 MBL BUILDERS LLC DEXTER 4090233A 752 6/30/2019 8810 MICHIGAN CUSTOM DECKS INC DEXTER 2567962A 800 6/30/2019 5645 MIKE SHEPARD EXCAVATING INC DEXTER 4977378A 775 4/13/2019 6217 RAYERS FIELD MOWING DEXTER 1667998A 750 5/1/2019 0042 ROBERT STRICKLEN CONSTRUCTION LLC DEXTER 5413125A 750 6/12/2019 5645 SIMPLY GREEN OUTDOOR SERVICES LLC DEXTER 5880807A 3,281 6/29/2019 0042 BOFYSIL CONSTRUCTION LLC DIMONDALE 2135361A 750 5/9/2019 5645 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 47 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HOLISTIC LANDSCAPE INC DIMONDALE 3167607A 2,817 5/22/2019 0042 0.95 SHELTON NATHAN DIMONDALE 5848636A 750 4/1/2019 5645 SILVERNAIL CONSULTING INC DIMONDALE 5877733A 348 6/18/2019 8742 TECH PAINTING LLC DIMONDALE 5237084A 750 6/15/2019 5476 BRADWAY ENTERPRISES INC DOLLAR BAY 5281997A 2,876 6/18/2019 9015 0.95 BOTTOMLINE ACCOUNTING & FINANCE LLC DORR 5874211A 245 6/6/2019 8810 CAPSON RYAN DORR 5859026A 970 4/25/2019 5645 GRATZ ROOF SYSTEMS LLC DORR 2172968A 1,269 5/5/2019 5551 0.95 HOEKSTRA GEORGE BUILDER DORR 3275728A 750 4/2/2019 5645 JOES FLOORING & REMODELING DORR 5869650A 750 5/30/2019 5437 VANS LAWN MAINTENANCE LLC DORR 5850967A 659 4/7/2019 9102 WEST COAST BUILDERS & CONSTRUCTORS INC DORR 4933630A 750 6/9/2019 5645 0.95 LAKESHORE LEISURE LLC DOUGLAS 5156769A 511 6/21/2019 8017 A PLACE CALLED HOME IN DOWAGIAC LLC DOWAGIAC 5853877A 634 4/12/2019 9053 CHI ISHOBAK INC DOWAGIAC 5126967A 363 4/13/2019 8810 DIVISION TIRE AND BATTERY INC DOWAGIAC 1812734A 4,817 6/26/2019 8387 0.93 FRYMAN ROOFING CO DOWAGIAC 5270790A 18,051 5/14/2019 5645 1.26 HILLTOP TREES DOWAGIAC 5405920A 2,024 5/4/2019 0130 1.00 ILIA INC DOWAGIAC 2138310A 750 6/1/2019 9402 INDIAN LAKE YACHT CLUB DOWAGIAC 1011251A 430 6/19/2019 9060 PRAKLETS PIERS & LIFTS LLC DOWAGIAC 5707293A 2,950 4/21/2019 6400 QUALITY SEAMLESS GUTTERS DOWAGIAC 0470201A 957 6/12/2019 5538 RICK RANKEL EXCAVATING LLC DOWAGIAC 3596460A 750 4/6/2019 6217 ROB NORTHROP LOGGING DOWAGIAC 3662535A 750 4/11/2019 2702 SISTER LAKES FIRE DEPARTMENT DOWAGIAC 0072516A 4,371 4/1/2019 7904 0.95 TRINITY FRUIT TREES LLC DOWAGIAC 5862019A 1,722 5/4/2019 0130 WRIGHT ALTERNATIVE LAWN SERVICE DOWAGIAC 5862132A 1,262 5/3/2019 5221 INDEPENDENCE TRUCK REPAIR LLC DRAYTON PLAINS 2100002A 543 6/17/2019 8395 0.95 DRUMMOND ISLAND YACHT HAVEN INC DRUMMOND ISLAND 3468402A 10,095 4/5/2019 6826 0.79 LAKEVIEW RESORT LLC DRUMMOND ISLAND 0972800A 633 6/24/2019 9015 A PLUS TREE SERVICE INC DRYDEN 4394119A 5,021 5/8/2019 0106 0.93 CLUBHOUSE TRANSPORT LLC DRYDEN 5869927A 750 5/30/2019 7208 NORTHERN CONCRETE CUTTING OF LAPEER INC DRYDEN 3027023A 750 6/13/2019 5215 A TO Z HAULZ ALL INC DUNDEE 5569397A 3,791 6/3/2019 7213 0.95 G AND S EXPRESS DUNDEE 5399939A 750 6/27/2019 7208 1/3/2019 11:00:13 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 LAWN TECH SERVICE DUNDEE 4336232A 659 4/2/2019 9102 MIRACLE CONSTRUCTION COMPANY LLC DUNDEE 5878039A 825 6/21/2019 5551 ROLLINS BUILDERS DUNDEE 4463595A 800 4/24/2019 5645 ALFRED W FOERSTER AND FRANCES M DURAND 5392772A 4,756 4/3/2019 0913 0.95 FOERSTER JOINT TRUST BOTTS DRYWALL & MORE DURAND 5725534A 1,946 4/13/2019 5445 JC WELDING DURAND 5278090A 768 6/7/2019 3365 JIMS PIZZA DURAND 1632973A 843 5/6/2019 9058 MCEWEN ELECTRIC LLC DURAND 5401860A 1,932 6/7/2019 5190 0.95 MICHIGAN CNC TECHNOLOGY INC DURAND 5862418A 344 5/4/2019 8601 REGENCY REALTY & PROPERTY MANAGEMENT DURAND 2235900A 633 6/8/2019 9015 INC RN CONSTRUCTION INC DURAND 2864401A 750 6/1/2019 5437 VOORHIES STONEWORK INC DURAND 2167212A 750 6/9/2019 5022 D AND L OF ST CLAIR INC EAST CHINA 0010812A 349 5/22/2019 9058 MG HAMMER EAST CHINA 1344919A 750 6/13/2019 5645 0.95 HEATHER DOWNS COMMUNITY POOL EAST GRAND RAPIDS 1098411A 844 6/29/2019 9061 ASSOCIATION BIG BEAR DOCK & MARINE SERVICES LLC EAST JORDAN 5863970A 2,579 5/15/2019 6400 CEDAR REST RESORT LLC EAST JORDAN 0790923A 412 6/1/2019 9052 GRIFFIN ROGER EAST JORDAN 2522837A 751 5/16/2019 2702 JOE SHEAR SERVICES LLC EAST JORDAN 5702860A 2,204 4/13/2019 0042 NEW FENCE OF MICHIGAN LLC EAST JORDAN 5714834A 750 5/9/2019 5645 APHRODITES SECRET LLC EAST LANSING 5420652A 470 5/5/2019 9586 ASSOCIATION FOR CHILD DEVELOPMENT EAST LANSING 0383910A 1,797 4/13/2019 8810 0.95 BLUE SKY PAINTING EAST LANSING 4406214A 750 4/27/2019 5476 CARGILL JEANNE EAST LANSING 5849632A 351 4/4/2019 0908 COMMUNITY RELATIONS COALITION EAST LANSING 3627098A 267 6/10/2019 8742 DESIGN AND BUILD RESIDENTIAL & COMMERCIAL EAST LANSING 1040588A 750 5/12/2019 5645 LLC DOWRICK TODD EAST LANSING 5132517A 634 5/8/2019 9015 FLORES VERONICA LEE EAST LANSING 5716586A 234 5/16/2019 8742 HOMERUN GROUNDSKEEPING LLC EAST LANSING 5854644A 1,451 4/16/2019 9102 KAREN THOMPSON PLLC EAST LANSING 5393922A 497 4/16/2019 8832 PREVENTION MICHIGAN EAST LANSING 2094320A 3,457 5/14/2019 8017 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 49 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SEVEN HUNDRED 11 BURCHAM APARTMENTS EAST LANSING 0676918A 633 4/15/2019 5191 LLC SPARTAN SWIM CLUB EAST LANSING 5392888A 1,068 4/1/2019 9015 SPIELBERG BUILDERS LLC EAST LANSING 1859340A 750 6/25/2019 5403 0.95 SUPERIOR BRASS & ALUMINUM CASTING EAST LANSING 0227633A 36,239 4/1/2019 3085 0.71 COMPANY TZONE TRUCKING LLC EAST LANSING 5612438A 756 4/28/2019 8810 WESTBROOK CONDOMINIUM ASSOCIATION EAST LANSING 2068052A 633 4/25/2019 9015 DOOLITTLE DANIEL EAST LEROY 1587145A 750 5/5/2019 7208 MDS MANAGEMENT LLC EAST LEROY 5548543A 1,048 4/21/2019 0908 0.95 VOYCES ELEVATOR INC EAST LEROY 0325341A 4,075 6/15/2019 8304 0.93 BESSEY INC EAST TAWAS 4867521A 13,888 5/5/2019 7208 0.81 RUDEL JAMES EAST TAWAS 2723140A 3,195 5/25/2019 0042 ABOVE STANDARD TRANSPORT LLC EASTPOINTE 5861810A 750 5/2/2019 7208 BOOS HOME IMPROVEMENT EASTPOINTE 4050460A 750 5/29/2019 5645 COURTVIEW GARDENS INC EASTPOINTE 4069293A 1,108 5/13/2019 9015 0.95 EASTPOINTE PIZZERIA INC EASTPOINTE 5713889B 3,078 5/9/2019 9058 GREAT LAKES FIREWORKS LLC EASTPOINTE 1746537A 12,649 6/25/2019 9015 1.49 13 % J R PAINTING LLC EASTPOINTE 3505537A 750 6/15/2019 5476 0.95 JEN J CONSTRUCTION EASTPOINTE 4120990A 800 4/9/2019 5645 KENNEDY WHOLESALE INC EASTPOINTE 5854407A 636 5/16/2019 8810 LAWN THERAPIST CORP EASTPOINTE 5863848A 750 5/11/2019 0042 MICHAEL BALASH REPAIRS LLC EASTPOINTE 5254663A 633 4/14/2019 9015 ON POINT CONSTRUCTION & DEVELOPMENT EASTPOINTE 5721431A 5,313 6/2/2019 5551 OPEN DOOR LIVING SERVICES LLC EASTPOINTE 5138736A 562 4/27/2019 8832 RANDYS TOWING SERVICE LLC EASTPOINTE 5264286A 825 4/23/2019 7208 WOOD FLOOR STORE COMPANY INC EASTPOINTE 0587990A 863 6/7/2019 5437 ADAMS BUILDERS EATON RAPIDS 5721407A 7,329 6/2/2019 5403 CHARLES GATLIN BUILDERS EATON RAPIDS 1226630A 750 6/13/2019 5645 COLORING AND COVERINGS OF MICHIGAN LLC EATON RAPIDS 5698340A 592 4/4/2019 9521 J BURGESS BUILDERS LLC EATON RAPIDS 5265487A 750 4/26/2019 5645 M AND M OUTDOOR SERVICES LLC EATON RAPIDS 5125510A 5,097 6/29/2019 0106 0.95 M T BELL EXCAVATING & DIRT WORKS INC EATON RAPIDS 0875422A 1,219 5/18/2019 6217 0.95 OLD MILL FURNITURE LLC EATON RAPIDS 5236452A 1,270 6/8/2019 8044 0.95 NICK FRYMAN CONSTRUCTION EAU CLAIRE 5563100A 5,106 6/1/2019 5645 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 50 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SCOTT JASON EAU CLAIRE 5553660A 750 4/29/2019 5645 HOLDEN TRUMBULL VENTURES INCORPORATED ECORSE 5519314A 1,296 5/26/2019 9058 JEFFERSON GAS & FOOD MART INC ECORSE 5307929A 812 4/18/2019 8017 MICHIGAN AMMO LLC ECORSE 1635980A 4,427 4/29/2019 3628 0.93 NICK AND JOSE JANITORIAL SERVICES LLC ECORSE 5134129A 1,379 6/20/2019 9015 0.95 PARDEN AND SONS HOME IMPROVEMENTS ECORSE 4357612A 750 5/5/2019 5645 EDENVILLE MARKET INC EDENVILLE 0474959A 1,932 5/1/2019 8017 1.00 APIARIES AND ORCHARD FORKLIFT INC EDMORE 1515543A 1,763 6/1/2019 8395 0.95 JD BEARD CONSTRUCTION LLC EDMORE 5856175A 750 4/19/2019 5645 EDWARDSBURG FIRE DEPARTMENT EDWARDSBURG 0920410A 2,087 5/1/2019 7704 0.95 HARRIS APPRAISAL SERVICES LLC EDWARDSBURG 5853885A 374 4/12/2019 8720 KWH APPRAISAL SERVICES LLC EDWARDSBURG 5862191A 374 5/4/2019 8720 ALEUTIAN STAR CORPORATION ELK RAPIDS 0515647A 1,926 5/8/2019 3085 0.95 WIEDERHOLD SALES & SERVICE LLC ELKTON 0153729A 538 6/27/2019 8393 DETROIT WORX CO LLC ELLENTON, FL 5864941A 750 5/16/2019 5437 FIREWORKS DEPOT INC ELLSWORTH, WI 5257166A 526 4/7/2019 8742 SAY NORTH LLC ELMHURST, IL 1693182A 567 6/2/2019 9058 FABUS COMMUNICATIONS LLC ELSIE 4544501A 750 5/24/2019 7600 B AND B DISTRIBUTORS LLC ELYRIA, OH 4335082A 389 4/17/2019 8742 ROOSE CONTRACTING EMMETT 5708230A 529 4/25/2019 5190 EDGEWATER CONCRETE SOLUTIONS LLC EMPIRE 4858174A 825 5/31/2019 5022 KALNBACH SUSTAINABLE FORESTRY LLC ENGADINE 4902980A 750 6/16/2019 2702 OCKO FARMS ENGADINE 2861585A 750 6/24/2019 6217 ROBARGE TRUCKING LLC ENGADINE 5256950A 750 4/3/2019 7208 BLAIR FISH COMPANY LLC ERIE 3611728A 9,359 5/15/2019 0034 0.80 KOEPKE NICHOLAS ERIE 4530713B 351 6/6/2019 0908 ADS SEAMLESS GUTTERS & MORE LLC ESCANABA 4220250A 2,471 5/12/2019 5645 0.95 ANNA MARIE BOWLING IRREVOCABLE TRUST ESCANABA 3924416A 1,884 5/13/2019 0908 0.95 BACH MOBILITIES INC ESCANABA 2549522A 2,298 5/10/2019 9519 0.95 DELTA CONCRETE DESIGN INC ESCANABA 3682080A 7,845 5/1/2019 5221 0.90 ESKY INC ESCANABA 1177311A 427 6/17/2019 9058 GREGS ROOFING & SIDING INC ESCANABA 4754298A 8,153 5/25/2019 5551 0.91 HIGH PEAKS PAINTING LLC ESCANABA 4979362A 22,628 5/9/2019 5038 1.49 13 % LABUMBARD MARTIN ESCANABA 2777304A 750 6/2/2019 7208 MARK NELSON CONSTRUCTION ESCANABA 2602393A 1,742 6/19/2019 5403 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 51 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OUR PLACE COMMUNITY CENTER ESCANABA 4408810A 601 5/28/2019 9063 PAMS PETALS LLC ESCANABA 5716560A 691 5/17/2019 8001 RT MANUFACTURING INC ESCANABA 3920984A 263 4/30/2019 8810 SHESKI FOREST PRODUCTS ESCANABA 2501210A 750 6/12/2019 2709 VANENKEVORT TUG AND BARGE INC ESCANABA 2998858A 5,610 5/9/2019 8387 0.88 JIMMYS TREE SERVICE ESSEXVILLE 5856256A 2,517 4/19/2019 0106 M AND D HOME IMPROVEMENT LLC ESSEXVILLE 4594363A 750 5/20/2019 5645 TRICO ATM LEASING INC EUCLID, OH 5553210A 354 4/27/2019 5191 ROCK GATE CAPITAL LLC EVANSTON, IL 5501229A 1,521 5/1/2019 8868 0.95 CAMPBELL EXCAVATING INC EVART 3033252A 750 4/24/2019 6217 HYLAND TREE LLC EVART 5288940A 3,025 4/23/2019 0042 0.95 OSCEOLA 4 H AND FFA FAIR EVART 2262010A 792 4/1/2019 9015 0.95 WAGNER TRUCKING LLC EWEN 5555728A 750 5/5/2019 7208 WILMES JOHN EWEN 5702925A 659 6/22/2019 9102 ANCHOR BAY COOPERATIVE NURSERY INC FAIR HAVEN 5848210A 323 4/2/2019 8868 MT LOGGING LLC FAIRVIEW 2811529A 750 4/11/2019 2702 SMART GRID SOLUTIONS LLC FAIRVIEW 3274179A 309 5/17/2019 8601 AA 1 HOSKINS TREE SERVICE INC FARMINGTON 2412268A 750 5/5/2019 0042 0.95 BUSINESS BENEFITS RESOURCE LLC FARMINGTON 5157781A 283 6/20/2019 8742 ELITE HUMAN RESOURCE INC FARMINGTON 3169472A 1,214 5/13/2019 9015 0.95 ERIC W PERRY PHOTOGRAPHY LTD FARMINGTON 3789080A 348 4/15/2019 4361 FARMINGTON YOUTH ASSISTANCE FARMINGTON 1680811A 754 4/4/2019 8810 FTW PROPERTY MAINTENANCE LLC FARMINGTON 5713943A 633 5/9/2019 9015 HANDYPRO INTERNATIONAL LLC FARMINGTON 4836219A 644 4/18/2019 8810 HMG GROUP LLC FARMINGTON 1699660A 270 4/27/2019 8742 HUCKLEBERRY BUILDING LLC FARMINGTON 5698545A 4,126 4/18/2019 5645 MARTIN ZEMANSKI GROUP LLC FARMINGTON 3055680A 644 5/24/2019 5183 MAS BUILDING & RENOVATIONS LLC FARMINGTON 3012557A 1,890 4/27/2019 5437 0.95 MIKE N CONSTRUCTION FARMINGTON 5869919A 750 5/30/2019 5551 MULLIGAN CONSTRUCTION & WINDOW FARMINGTON 1910396A 1,719 6/7/2019 8742 0.95 REPLACEMENT CO MUTUAL PROPERTY MANAGEMENT LLC FARMINGTON 1608100A 4,016 4/25/2019 9015 0.89 R GRAHAM CONSTRUCTION LLC FARMINGTON 4634004A 11,048 4/8/2019 5645 0.83 A 1 MASONRY LLC FARMINGTON HILLS 4114876A 808 6/26/2019 5022 ADS BUILDING CO LLC FARMINGTON HILLS 3323323A 750 4/1/2019 5403
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 52 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADVANCE HOME INSPECTION INC FARMINGTON HILLS 0462870A 1,085 5/11/2019 8720 1.00 ALB CUSTOM PAINTING AND REMODELING LLC FARMINGTON HILLS 4289633A 750 4/4/2019 5476 AUTOMATION ELECTRIC CONTROLS INC FARMINGTON HILLS 0505471A 604 6/14/2019 5190 BEECHVIEW SWIM CLUB INC FARMINGTON HILLS 0678791A 1,836 5/1/2019 9063 BLACK SEDAN LLC FARMINGTON HILLS 5048397A 2,138 4/22/2019 7610 0.95 CALL ON HIM CONSTRUCTION LLC FARMINGTON HILLS 2687828A 808 4/11/2019 5550 CAMBRIDGE COMMONS CONDOMINIUMS FARMINGTON HILLS 4233840A 633 6/10/2019 9015 ASSOCIATION CARRASCO GROUP LLC FARMINGTON HILLS 5863902A 708 5/22/2019 9015 COSTELS LANDSCAPING FARMINGTON HILLS 5698073A 800 4/1/2019 9402 COUNTRY OAKS CONDOMINIUM ASSOCIATION FARMINGTON HILLS 0476552A 683 5/26/2019 9015 CRAWFORD DIRT X LLC FARMINGTON HILLS 1596152A 1,722 5/15/2019 6217 CREEK RUN ESTATES ASSOCIATION FARMINGTON HILLS 1607006A 633 5/19/2019 9015 D AND P SPECIALIZED LIVING INC FARMINGTON HILLS 5400040A 1,543 5/17/2019 9053 DALES CONTRACTING FARMINGTON HILLS 5064350A 750 5/11/2019 5645 DAN WEST CONTRACTING LLC FARMINGTON HILLS 5876583A 754 6/15/2019 5606 DIVISION NINE PRODUCTS INC FARMINGTON HILLS 2661020A 833 4/4/2019 8742 0.89 ECI ENVIRONMENTAL CONSULTANTS AND FARMINGTON HILLS 2744147A 259 4/4/2019 8601 ENGINEERS LLC ECONOMY DISPOSAL LLC FARMINGTON HILLS 3234460A 750 4/4/2019 5403 ELITE MANAGEMENT TRANSPORTATION CORP FARMINGTON HILLS 5403359A 2,273 5/23/2019 7212 0.95 ENURESIS TREATMENT CENTER INC FARMINGTON HILLS 4700945A 661 5/10/2019 8832 0.95 ET CONSTRUCTION INC FARMINGTON HILLS 5870933A 750 5/31/2019 5551 FUSCO CONSTRUCTION LLC FARMINGTON HILLS 5571391A 825 6/11/2019 5645 H AND I CONSULTING LLC FARMINGTON HILLS 5258685A 1,685 5/1/2019 7202 0.95 HA LOGISTIC INC FARMINGTON HILLS 5708966A 1,290 5/19/2019 7208 HARMER MICHAEL FARMINGTON HILLS 3098117A 750 6/20/2019 5645 HIDDEN RIDGE HOMEOWNERS ASSOCIATION FARMINGTON HILLS 4210972A 683 4/9/2019 9015 INDIVIDUALIZED HOME HEALTH CARE INC FARMINGTON HILLS 5563810A 1,656 6/30/2019 8835 JEA INC FARMINGTON HILLS 5264570A 750 4/24/2019 5645 JIMS AFFORDABLE TOWING LLC FARMINGTON HILLS 4982665A 750 5/22/2019 7208 JMS LANDSCAPING SERVICES LLC FARMINGTON HILLS 5539331A 1,516 4/1/2019 9102 0.95 KENS TREE SERVICE LLC FARMINGTON HILLS 5136296A 2,298 4/9/2019 0106 0.95 LABS MART INC FARMINGTON HILLS 5261503A 1,871 4/15/2019 4511 0.95 LEES TREE REMOVAL & LANDSCAPING LLC FARMINGTON HILLS 5154049A 800 6/13/2019 8810
1/3/2019 11:00:13 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 LISA LANGFORD DDS PC FARMINGTON HILLS 1277375A 434 6/3/2019 8832 MATTHEW KELLY CONSTRUCTION INC FARMINGTON HILLS 3028216A 750 6/15/2019 5645 0.95 MERRIWOOD PARK CONDOMINIUM ASSOCIATION FARMINGTON HILLS 4361270A 633 5/28/2019 8810 INC METRO LAWN CARE LLC FARMINGTON HILLS 2268825A 660 5/2/2019 9102 MICHELANGELO PAINTING AND CONSTRUCTION FARMINGTON HILLS 5661471A 1,612 4/28/2019 5476 LLC MICHIGAN MECHANICAL ABATEMENT INC FARMINGTON HILLS 2492229A 11,944 6/30/2019 5183 0.83 MODEL T PLAZA LLC FARMINGTON HILLS 4745515A 683 5/4/2019 8810 NEW WYOMING LEE BEAUTY SUPPLY INC FARMINGTON HILLS 4821130B 567 6/30/2019 8017 0.95 OLD ENGLAND MANAGEMENT & REALTY FARMINGTON HILLS 1766244A 227 6/24/2019 8810 0.95 COMPANY ONSITE MANAGEMENT INC FARMINGTON HILLS 3934438A 436 4/17/2019 8742 0.95 ORCHARD 10 ROOF COATING SYSTEMS LLC FARMINGTON HILLS 5714540A 3,291 5/10/2019 5552 PROFESSIONAL FINANCIAL ASSOCIATES LLC FARMINGTON HILLS 2380200A 294 4/30/2019 8803 QCN HOME CARE SYSTEMS INC FARMINGTON HILLS 4020561A 1,463 5/6/2019 8835 0.95 RBC PAYROLL SERVICES LLC FARMINGTON HILLS 5289114A 5,082 6/28/2019 3507 0.89 RBD SERVICES LLC FARMINGTON HILLS 4811305A 825 5/25/2019 5645 RIVERGATE ASSOCIATION FARMINGTON HILLS 3310906A 683 5/16/2019 9015 ROYALWOOD COOPERATIVE APARTMENTS INC FARMINGTON HILLS 3172406A 2,301 4/30/2019 9015 0.95 SHAYA CAROL M AGREEMENT OF TRUST FARMINGTON HILLS 5145392A 1,036 5/28/2019 0913 0.95 SOUTHEASTERN MICHIGAN ASSOCIATION OF FARMINGTON HILLS 4455061A 268 4/1/2019 8810 FIRE CHIEFS SPECIALTY MAINTENANCE SERVICE FARMINGTON HILLS 3431045A 751 4/9/2019 9402 SUBURBAN REMODELING LLC FARMINGTON HILLS 5124948A 750 4/5/2019 5437 TATIANA GUTSU LLC FARMINGTON HILLS 5862140A 624 5/5/2019 9063 TDP MANAGEMENT INC FARMINGTON HILLS 3814688A 12,758 4/2/2019 9058 0.69 THOMAS A DUKE COMPANY FARMINGTON HILLS 0407127A 633 4/8/2019 9015 TIMBERCREST CONDOMINIUM ASSOCIATION FARMINGTON HILLS 4969367A 894 4/5/2019 9015 UAP FARMINGTON INC FARMINGTON HILLS 5879523A 936 6/21/2019 9058 0.95 UNIVERSAL SOLUTIONS MANAGEMENT INC FARMINGTON HILLS 4754751A 2,720 4/23/2019 9015 0.95 J AND E LOGGING FARWELL 5393264A 1,258 4/3/2019 7380 0.95 DAVIDSON ROBERT H FELCH 0995371A 750 6/23/2019 2702 GUSTAFSON LOGGING FELCH 3916855A 750 5/7/2019 2709 JIM ANDERSON TIMBER HARVESTING LLC FELCH 5159954A 750 6/26/2019 2709 SMITH ROBERT FELCH 5400937A 750 6/26/2019 2702
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 54 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FENNVILLE AREA FIRE DEPARTMENT FENNVILLE 2144450A 2,760 4/22/2019 7904 0.95 JAMES BUILDING GROUP LLC FENNVILLE 3078531A 750 5/26/2019 5550 JIMMIE WELLS CARPENTRY LLC FENNVILLE 5849225A 800 4/3/2019 5645 LONG TRANSPORTATION FENNVILLE 5708680A 750 4/26/2019 7208 VAN DRAGT LAND IMPROVEMENT LLC FENNVILLE 0299073A 750 4/1/2019 6217 0.95 A FRESH START FENTON 4686284A 633 6/21/2019 9015 ALLIED HOME RESTORATION INC FENTON 5434548A 1,315 6/20/2019 5437 ARCADIA HOMES INC FENTON 5267412A 750 5/3/2019 5645 ARLYN CONSTRUCTION LLC FENTON 5873827A 4,736 6/7/2019 5348 BAYVIEW ELECTRIC LLC FENTON 4736141A 1,000 4/25/2019 5190 0.95 BHI HOME IMPROVEMENTS LLC FENTON 5577691A 750 6/22/2019 5645 CLASSIC HARDWOOD FLOORS LLC FENTON 5127858A 750 5/20/2019 5437 CRAWL TEK REVOLUTION LLC FENTON 5565880A 608 6/2/2019 3400 CULTURED CREATIONS FENTON 4987241A 750 6/25/2019 5022 DYNAMIC TESTING INC FENTON 5564514A 334 5/20/2019 8868 ELITE BUILDERS LLC FENTON 5705290A 750 4/18/2019 5645 FERGUSON LAWN AND TREE SERVICE FENTON 2050781A 751 5/27/2019 0042 GEN OAKS ENTERPRISES II INC FENTON 1252119A 750 5/11/2019 5645 GREEN HORIZONS LAWN CARE LLC FENTON 1952374A 750 6/1/2019 0042 HANKS TRENCHING SERVICE FENTON 1082515A 750 4/15/2019 6217 0.95 KEM AND ASSOCIATES INC FENTON 2228955A 750 5/23/2019 5437 0.95 KRW CLEANING SERVICES LLC FENTON 5854636A 633 4/15/2019 9015 LAKE AND LAND CUSTOM HOMES LLC FENTON 5548624A 385 4/20/2019 5606 LAURICELLA PAINTING LLC FENTON 4189124A 1,690 5/16/2019 5476 M AND M CONSTRUCTION SERVICES INC FENTON 4746368A 800 6/16/2019 5645 0.95 MANCUSO TRUCKING LLC FENTON 5864607A 750 5/15/2019 7208 MARGIS DANIEL FENTON 5862272A 800 5/4/2019 5645 MASONRY SOLUTIONS INC FENTON 3948404A 750 4/18/2019 5022 MASTER BUILDERS SUPPLY INC FENTON 1471821A 750 4/3/2019 5645 0.95 MAZUREK CONSTRUCTION LLC FENTON 5273102A 2,558 6/27/2019 5022 MCK TOOL LLC FENTON 5564379A 340 5/20/2019 8742 MCNEILL CONSTRUCTION LLC FENTON 3131912A 810 4/19/2019 5645 0.95 MEDICAL RESOURCES LLC FENTON 2878194A 420 4/30/2019 8832 MGM MASONRY INC FENTON 3408094A 750 4/19/2019 5022 MID MICHIGAN CRUSHING & RECYCLING LLC FENTON 4486463A 25,592 6/30/2019 1624 1.40 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 55 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NELSON LIQUID DRIVE LLC FENTON 0341800A 5,006 5/13/2019 3612 0.93 OUTDOOR CONTRACTING CORPORATION FENTON 5575737A 750 5/3/2019 1463 P AND S QUALITY CONSTRUCTION INC FENTON 4856600A 800 4/5/2019 5645 0.95 PEST DOCTOR INC THE FENTON 5856183A 1,985 5/22/2019 9015 QUALITY OVER QUANTITY INC FENTON 5672139A 750 5/4/2019 5476 SEAN HALLS LAWN CARE FENTON 5864259A 660 5/12/2019 9102 SHAW EXTERIORS INC FENTON 3585247A 750 6/15/2019 5437 T AND C LAWN CARE PROPERTY MAINTENANCE FENTON 5542421A 750 4/6/2019 0042 TIM HEDGLEN CONSTRUCTION LLC FENTON 4326440A 850 6/29/2019 5437 TREMAINE LUMBER COMPANY INC FENTON 2741717A 683 4/3/2019 9015 TRUCKING BY WOLF BROTHERS INC FENTON 3208389A 750 6/7/2019 7208 TRUE NORTH CONSCIOUS CONSTRUCTION LLC FENTON 0058920A 800 4/23/2019 5403 WEBBERBUILT FENTON 3790690A 750 5/25/2019 5551 WONDERMOVE TRANSPORTATION INC FENTON 5864143A 9,094 5/14/2019 7208 TORRES CARPENTERS LLC FENWICK 5586968A 750 4/19/2019 5645 A D R CONTRACTORS LLC FERNDALE 5715563A 2,721 5/12/2019 5476 COMMUNITY ARBORIST INC FERNDALE 4233484A 2,884 4/14/2019 0106 0.95 CONREST INC FERNDALE 3165191A 708 5/11/2019 9015 0.95 D AND D RECRUIT US INC FERNDALE 5859891A 31,245 5/8/2019 3146 DETROIT NAME PLATE ETCHING INC FERNDALE 0200905A 484 5/1/2019 3132 ESPLANADE CONDO ASSN INC FERNDALE 0933295A 683 6/29/2019 9015 FLOORESTORATIONS INC FERNDALE 5723787A 2,587 6/13/2019 5437 HARTEAU INC FERNDALE 5405556A 332 5/16/2019 5191 HEIGHTS FOOD CENTER INC FERNDALE 5289300A 622 4/7/2019 8017 HUNTINGTON HOME LLC FERNDALE 3739872A 750 6/30/2019 5645 LOGICAL OWL LLC FERNDALE 5860687A 238 5/1/2019 8810 MILKS TIMOTHY FERNDALE 5728240A 750 6/30/2019 5645 NEW BEGINNINGS INVESTMENT LLC FERNDALE 5706270A 809 4/18/2019 9521 NEW HARVEST HOMES INC FERNDALE 5877601A 750 6/16/2019 5645 PROFESSIONAL REPAIR SOLUTIONS LLC FERNDALE 5859123A 1,954 4/25/2019 5437 RENNER BROS CONSTRUCTION INC FERNDALE 4133277A 5,554 4/27/2019 5645 0.79 RESTORATION MANAGEMENT INC FERNDALE 3929655A 634 5/26/2019 9015 0.95 ST MICHAELS MEDIA INC FERNDALE 4989112A 1,342 5/25/2019 8810 0.95 TOW SER TOWING SERVICE LLC FERNDALE 5490057A 750 5/31/2019 7208 WINDOWS FULL OF LIGHT LLC FERNDALE 5723760A 634 6/13/2019 9015 1/3/2019 11:00:13 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 COLLINS DENT WERKS LLC FIFE LAKE 4675045A 588 6/16/2019 8387 PHOENIX STAFFING LLC FINDLAY, OH 5574390A 14,712 6/13/2019 3076 0.95 ASFR ENTERPRISES INC FLAT ROCK 5377471A 1,426 6/26/2019 8017 0.95 GRAFF CONSTRUCTION FLAT ROCK 4108124A 2,125 5/15/2019 5645 HOME SOURCE PROPERTY MANAGEMENT INC FLAT ROCK 4340329A 635 4/27/2019 8810 NORTH AMERICAN INDUSTRIAL LLC FLAT ROCK 4320549A 1,540 5/1/2019 3724 0.95 P N J CLEANING LLC FLAT ROCK 5286484A 1,262 6/1/2019 9015 1.00 AARONS ROOFING FLINT 4068068A 750 6/2/2019 5551 ADVANCED EXTERIOR SOLUTIONS & REPAIRS FLINT 4646398A 750 6/13/2019 5551 AIM TO PLEASE HOME CARE INC FLINT 5708931A 1,473 5/1/2019 9053 ALFORDS TRUCKING INC FLINT 2216043A 825 6/21/2019 7208 ALL CATALYTIC CONVERTERS INC FLINT 4498461A 11,136 4/30/2019 8264 0.87 AZ HOME HEALTH CARE INC FLINT 4505867A 13,729 5/23/2019 8835 0.72 BMIUS LLC FLINT 4465202A 426 4/19/2019 7422 BOYLE CONSTRUCTION FLINT 4982436A 750 5/5/2019 5645 CAPITOL CONSTRUCTION MANAGEMENT INC FLINT 5127033A 1,614 4/17/2019 5610 0.95 CARRIAGE COMMONS CONDOMINIUM FLINT 5854350A 633 4/15/2019 9015 ASSOCIATION COAST TO COAST WIRELESS INC FLINT 5380944A 458 5/17/2019 8017 CREATIVE HAIR SCHOOL OF COSMETOLOGY INC FLINT 5714630A 305 5/10/2019 8868 CURTIS LANDSCAPE & LAWNCARE FLINT 5716152A 715 5/25/2019 9102 D AND N DEVELOPMENT INC FLINT 3378365A 1,000 4/30/2019 5645 D AND W AUTO PARTS INC FLINT 1906917A 5,296 4/10/2019 8010 0.90 DUPREY RENEE FLINT 5704731A 349 4/18/2019 9058 E AND E INVESTMENTS INC FLINT 1400762A 819 6/14/2019 8387 0.95 EVANS HOME IMPROVEMENT FLINT 3778819A 750 4/13/2019 5551 0.95 EVENS JEREMY FLINT 5810035A 750 4/10/2019 5645 FIRST CHOICE RECYCLING FLINT 5707129A 4,922 4/23/2019 8264 FRANKENMUTH DRIVING SCHOOL INC FLINT 5407044A 274 5/22/2019 8868 GEORGE CALDWELL FLINT 1045199A 750 5/15/2019 5645 GOMEZ KEN FLINT 5861624A 894 5/2/2019 9015 GREEN REFLECTIONS LLC FLINT 5549965A 1,121 4/22/2019 9102 GROVES AND COMPANY INC FLINT 0098132A 1,300 4/1/2019 8264 GWB TRANSPORT INC FLINT 3007871A 800 4/8/2019 7208 HEATHERCREST AFC FLINT 5040396A 544 6/17/2019 9053
1/3/2019 11:00:13 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 HJC MANAGEMENT LLC FLINT 5307309A 226 5/30/2019 8810 0.95 IN AND OUT COMPLETE SERVICES LLC FLINT 5874181A 721 6/6/2019 9015 JB CABLE CONTRACTING FLINT 5719372A 800 6/10/2019 7600 JRM ENTERPRISES INC FLINT 0043176A 750 6/7/2019 9102 0.95 JULES MARKET INC FLINT 1139428A 816 5/27/2019 8033 LAMIELLE INSTALLATION LLC FLINT 5114870A 750 4/24/2019 5645 0.95 LCP MANAGEMENT INC FLINT 3008762A 275 4/30/2019 8810 0.90 LITTLE OWL LLC FLINT 5399980A 750 5/1/2019 3040 LOCKHART ROOFING FLINT 4072634A 1,957 5/20/2019 9015 0.95 MICHIGAN ORGANIC SOLUTIONS FLINT 5251990B 856 5/4/2019 8045 MIKES BEST SERVICES FLINT 4211359A 659 6/5/2019 9102 MIKES USED CARS INC FLINT 5133610A 346 5/7/2019 8810 ORION BUILDERS OF GENESEE COUNTY INC FLINT 5542235A 750 4/6/2019 5437 PEPPERWOOD ASSOCIATION FLINT 4519736A 633 4/12/2019 9015 PHILLIPS PORTABLE WELDING FLINT 5852706A 1,022 4/11/2019 3365 RCH ENTERPRISES INC FLINT 5280028A 659 6/12/2019 9102 REFLECTIONS BUILDING SERVICES CORP FLINT 4392060A 1,848 5/4/2019 9015 0.95 RESEARCH AMERINET INC FLINT 4218078A 827 5/22/2019 8810 RMB CONSTRUCTION FLINT 5716136A 750 5/16/2019 5645 SECURITY PLUS FLINT 1414410A 529 5/13/2019 5190 SHERMAN AND SONS CONSTRUCTION LLC FLINT 5702186A 750 5/12/2019 5645 SKYPOINT MANAGEMENT LLC FLINT 5000580A 8,452 6/5/2019 7421 0.86 SOLOMON AND SON SHEET METAL COMPANY FLINT 0194506A 1,568 4/30/2019 5538 0.95 SPARK FIBER LLC FLINT 5573912A 750 6/10/2019 7600 STEPHENSON TREE SERVICE LLC FLINT 0222593A 5,233 5/16/2019 0106 0.95 TAYLOR BROTHERS DOORLOCKS LLC FLINT 5876060A 3,383 6/9/2019 8010 TIMBER RIDGE VILLAGE LLC FLINT 4511433A 633 5/1/2019 9015 TRAVEL 9 TAXI LLC FLINT 5399629A 749 5/1/2019 7212 TRIPOINT AUTO MALL INC FLINT 5588022A 361 6/23/2019 8748 TROBAUGH DONALD FLINT 5861055A 1,176 5/1/2019 9102 URBAN RENAISSANCE CENTER FLINT 5855276A 1,825 4/17/2019 5645 VERNDALE CONDOMINIUM OWNERS FLINT 1514270A 633 5/17/2019 9015 ASSOCIATION VICTORIA PARK CONDOMINIUM ASSOCIATION FLINT 3793974A 633 4/1/2019 9015 WOODLAND PARK ASSISTED LIVING LLC FLINT 4364775A 3,889 4/19/2019 9053 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 58 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge YAYAS SOUTH DORT HWY INC FLINT 2564688A 8,845 4/26/2019 9058 0.84 YOUR CHOICE RESTORATION INC FLINT 4897412A 753 5/17/2019 5476 TWO THOUSAND 540 RP LLC FLOWER MOUND, TX 5843308A 4,154 4/12/2019 5403 B AND M FUN FOODS CONCESSIONS INC FLUSHING 5725690A 429 6/21/2019 9058 BRAD SKUTT CONSTRUCTION FLUSHING 4360923A 750 4/29/2019 5221 0.95 CRONIN ENTERPRISES INC FLUSHING 0200611A 10,838 5/1/2019 5552 0.95 DANTASTIC WOODWORKING FLUSHING 3350720A 750 6/10/2019 5645 GENE BOYER ROOFING FLUSHING 5282322A 750 6/20/2019 5551 LUCY HAM GROUP INC FLUSHING 3907309A 218 4/7/2019 8810 NATIONAL BANK OF NEW YORK CITY FLUSHING, NY 5712734A 219 5/8/2019 8810 POWELL AND SONS TREE SERVICE LLC FLUSHING 5858496A 2,924 4/24/2019 0106 STRICTLAND HOMES INC FLUSHING 3206033A 750 6/13/2019 5645 STUTZMAN BUILDERS INC FLUSHING 3279782A 750 5/27/2019 5645 T AND F COMPANY INC FLUSHING 3558720A 825 4/28/2019 5437 VALIANT CONSTRUCTION FLUSHING 4329694A 750 5/25/2019 5645 A AND R CONTRACTING FORT GRATIOT 5539897A 750 4/1/2019 5022 FRANK YOUNG CONSTRUCTION FORT GRATIOT 4919459A 750 6/12/2019 5645 SKYLINE FRAMERS LLC FORT GRATIOT 5781795A 3,125 6/9/2019 5645 TRS INTERNATIONAL SERVICE GROUP LLC FORT LAUDERDALE, FL 4627687A 373 5/16/2019 8810 AMERICAN EAGLE SUPERSTORE INC FORT MILL, SC 2081059A 8,836 6/25/2019 8010 0.83 DYNAMIC AUDIO SOLUTIONS LLC FORT WAYNE, IN 5878390A 2,538 6/22/2019 9519 INDUSTRIAL ONE CLEANING INC FORT WAYNE, IN 5829488A 634 6/24/2019 9015 CARLSON RODNEY JR FOSTER CITY 4406150A 751 6/1/2019 6217 MURRAY AUGUST FOSTER CITY 5414229A 750 6/16/2019 2702 TRI TOWNSHIP AMBULANCE AUTHORITY FOSTER CITY 4733665A 801 6/11/2019 7380 ROWBOTHAM JEFFERY FOSTORIA 5406447A 750 5/20/2019 5437 J K FRAMING LLC FOWLER 5555604A 825 5/4/2019 5645 M R W ENTERPRISES LLC FOWLER 5555590A 1,943 5/4/2019 5645 THELEN DANIEL FOWLER 5698499A 751 4/4/2019 5221 AQUA GUARD COMMERCIAL POOL SERVICES LLC FOWLERVILLE 5564336A 633 5/19/2019 9015 ARK FOUNDATION REPAIR & WATERPROOFING FOWLERVILLE 4886356A 2,091 4/26/2019 5183 0.95 LLC KARNA CONSTRUCTION FOWLERVILLE 1401831A 750 5/14/2019 5437 MUNSELLS POULTRY PROCESSING LLC FOWLERVILLE 4880943A 2,918 6/21/2019 0034 0.95 PEDALE TROLLEY LLC FRANKENMUTH 5716764A 1,262 5/17/2019 9015
1/3/2019 11:00:13 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 PJL MANAGEMENT FRANKENMUTH 5880750A 1,500 6/29/2019 5437 WAP MOTORS INC FRANKENMUTH 5750075A 1,231 5/23/2019 8387 ADVOCATES FOR BENZIE COUNTY FRANKFORT 5878233A 2,200 6/21/2019 5645 BRODY RHEA FRANKLIN 0752339A 1,454 5/22/2019 0913 0.95 FITNESS DRIVEN LLC FRANKLIN 4867742A 1,879 5/6/2019 9063 0.95 GUTMAN STEPHEN L FRANKLIN 1703862A 351 6/20/2019 0908 MANNING MERVYN H FRANKLIN 1272330A 351 6/25/2019 0908 MOHINDRA AMIT FRANKLIN 4221443A 640 5/31/2019 0913 RAIN DANCER LLC FRANKLIN 3920569A 802 5/4/2019 5183 0.95 SEID ENTERPRISES LLC FRANKLIN 5610265A 675 6/17/2019 8387 TIMLIN GROUP INC FRANKLIN 1120093B 589 5/12/2019 8742 TRIEX CORPORATION FRANKLIN 1970224A 1,449 6/28/2019 3315 0.95 WIENER JUDITH R FRANKLIN 4994264A 351 6/15/2019 0908 A B RUSGO INC FRASER 1337408A 950 4/25/2019 8810 0.95 ANTREV RECOVERY AND TOWING INC FRASER 5290465A 15,402 4/7/2019 7208 1.49 13 % APPLIED ROOFING TECHNOLOGIES INC FRASER 1161245A 750 4/21/2019 5551 0.95 CAVEYS COMPLETE CONSTRUCTION CO FRASER 5714028A 1,868 5/3/2019 5645 CONTRACTING SERVICES OF MICHIGAN INC FRASER 2517744A 1,047 5/5/2019 5221 CZAJKOWSKI NORBERT P MD FRASER 2896508A 640 5/21/2019 0913 JAWORSKI CUSTOM PAINTING FRASER 4010299A 750 6/8/2019 5476 0.95 LANE DEVELOPMENT INC FRASER 1848127A 800 5/18/2019 5645 M B COLONIAL FENCE FRASER 5711118A 750 5/8/2019 5645 MACOMB HOME IMPROVEMENT INC FRASER 3318079A 750 5/3/2019 5538 0.95 MICHIGAN CLIMATE CONTROL INC FRASER 1774255A 710 6/30/2019 5550 MJR DESIGN SERVICES FRASER 4469488A 218 5/13/2019 8810 OVERHEAD CRANE AND DOOR INC FRASER 5854342A 6,450 4/13/2019 3724 RUBBER BABY ROOFING INC FRASER 0401463A 8,745 4/16/2019 5552 0.93 RUSSO MICHAEL FRASER 5329418A 750 6/14/2019 5645 SEVEN LAKES VINEYARD LLC FRASER 1887785A 625 5/8/2019 0011 UNIVERSAL AUTO RECOVERY INC FRASER 1518305A 4,152 6/5/2019 7720 0.95 VESTA HOMES INC FRASER 5271851A 750 5/17/2019 5437 W 2 GRAPHICS SPECIALISTS LLC FRASER 4595866A 439 4/14/2019 4299 ZI ENTERPRISES INC FRASER 3097218A 1,085 6/24/2019 8017 0.95 SHAWN THOMAS TREE SERVICE INC FREDERIC 2808030A 4,393 5/21/2019 0106 0.95 CORNER STONES CONSTRUCTION LLC FREE SOIL 4816021A 750 4/21/2019 5645 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 60 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LYNCHNUTS INC FREEHOLD, NJ 4989538A 861 4/4/2019 9156 ACCURATE RECOVERY OF MICHIGAN LLC FREELAND 3600394A 1,030 5/10/2019 7720 ALL STARR POWERWASHING LLC FREELAND 5120802A 634 4/5/2019 9015 CAIRY JACK R FREELAND 5551331A 640 5/25/2019 0913 COBBLESTONE COMMERCIAL CONSTRUCTION FREELAND 5721636A 385 6/1/2019 5606 LLC MCKEITH CONSTRUCTION FREELAND 3302644A 801 6/20/2019 5022 0.95 MID STATE LIQUIDATORS LLC FREELAND 3600009A 1,231 6/29/2019 7720 0.95 WINDY ACRES KENNELS LLC FREELAND 2588919A 403 4/9/2019 8831 FREEPORT ENTERPRISES INC FREEPORT 1013114A 14,031 4/1/2019 7208 0.83 FREEPORT RURAL FIRE ASSOCIATION FREEPORT 0945382A 951 6/29/2019 7904 0.95 SEXTON TRUCKING FREESOIL 4087704A 750 6/5/2019 7208 ADVANCE SURVEY PC FREMONT 2147114A 259 5/14/2019 8601 CART RIGHT LLC FREMONT 4363493A 1,532 6/26/2019 7218 0.95 KOZY KORNERS LLC FREMONT 5381622A 677 4/15/2019 8869 WESCOTT CHARLES FRIEND, NE 5406188A 750 5/19/2019 7208 CONSTRUCTION SPECIAL TEES INC FRUITPORT 3285677A 2,161 5/30/2019 5437 0.95 ENTERPRISE DOOR LLC FRUITPORT 4879279A 1,466 6/16/2019 3724 0.95 MAINE WINDOW CLEANING CO INC FRUITPORT 4360605A 731 5/22/2019 9015 RV TREES LLC FRUITPORT 3836711A 17,658 6/9/2019 0106 1.43 13 % ZIMMER THOMAS L FRUITPORT 3164667A 750 4/27/2019 8279 D AND M TREE SERVICE LLC GAINES 4640616A 1,096 5/4/2019 0106 0.95 FINAL CLEAN UP LLC GAINES 4090500A 634 4/27/2019 9015 GB CONCRETE GAINES 3008959A 750 4/21/2019 5221 ON THE LEVEL INC GAINES 4240839A 751 5/19/2019 5221 0.95 TERRYS MECHANICAL & FABRICATION LLC GAINES 5849713A 775 4/4/2019 3400 FAMILY FUN TYME AMUSEMENTS LLC GALESBURG 2443198A 721 4/1/2019 9015 TREE REX LLC GALESBURG 5868084A 1,071 5/25/2019 0106 R AND R TIMBER PRODUCTS GARDEN 2435136A 1,759 4/11/2019 2709 0.95 ADY TRANSPORT INC GARDEN CITY 5403901A 751 5/9/2019 8810 ALL ACCESS EGRESS INC GARDEN CITY 4463676A 800 4/19/2019 5645 ANDREW TREE SERVICE LLC GARDEN CITY 4989023A 13,681 5/25/2019 0106 0.98 ARBOR WRIGHT ENTERPRISES LLC GARDEN CITY 5694566A 826 4/25/2019 0106 C AND J OUTDOOR SERVICES LLC GARDEN CITY 5715504A 800 5/12/2019 0042 CORY CONSTRUCTION INC GARDEN CITY 5873967A 750 6/7/2019 5645
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 61 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GLASSWORKS WINDOW REPAIR GARDEN CITY 2674882A 750 5/2/2019 5645 GOULET CONSTRUCTION INC GARDEN CITY 2775824A 750 6/11/2019 5645 HORTONS TREE SERVICE LLC GARDEN CITY 3215903A 14,945 6/28/2019 0106 0.84 J BROTHERS CONSTRUCTION LLC GARDEN CITY 5717205A 13,585 5/18/2019 5551 JFN INSTALLATION INC GARDEN CITY 5398770A 825 5/3/2019 5645 0.95 KINGS HOME HEALTHCARE INC GARDEN CITY 5645239A 2,061 5/24/2019 8835 MARKEN DONALD GARDEN CITY 3482910A 750 5/12/2019 5437 PETTUS ENTERPRISE LLC GARDEN CITY 5865875A 800 5/18/2019 7208 PICKENS SHAWN GARDEN CITY 3365620A 750 6/10/2019 5462 RICKS CUSTOM CYCLE LLC GARDEN CITY 5558514A 1,300 4/19/2019 8395 ROLF RON GARDEN CITY 5878071A 800 6/20/2019 5645 SPR FIBER SOLUTIONS LLC GARDEN CITY 5850223A 1,619 4/6/2019 7600 STIMMEL CONSTRUCTION LLC GARDEN CITY 4493338A 750 4/25/2019 5479 ZIELNIK CONSTRUCTION INC GARDEN CITY 3115267A 752 6/4/2019 8810 ALPINE ROOFING INC GAYLORD 3793249A 3,421 5/29/2019 5645 1.00 B K EXCAVATING INC GAYLORD 1982591A 750 5/6/2019 6217 COOK BROTHERS HORSES LLC GAYLORD 5725526A 782 6/20/2019 7212 HIBNER AND SON FOREST PRODUCTS LLC GAYLORD 1797913A 750 5/8/2019 7208 MIKES ELECTRIC INC GAYLORD 2626454A 615 6/3/2019 5190 NORTHERN MICHIGAN DRIVING SCHOOL LLC GAYLORD 4006763A 322 4/15/2019 8868 OTSEGO COUNTY ECONOMIC ALLIANCE INC GAYLORD 3922472A 337 4/8/2019 8810 OTSEGO COUNTY UNITED WAY GAYLORD 2745976A 761 6/9/2019 9402 PURE PRECISION LAWN CARE LLC GAYLORD 5393710A 751 4/4/2019 9102 TECH SERVICES INC GAYLORD 0091596A 700 6/11/2019 3724 TIP OF THE MITT CUSTOM GAYLORD 3942716A 3,821 6/1/2019 0042 0.95 UP NORTH CAMPING LLC GAYLORD 4622464A 684 4/26/2019 9015 VANCO SERVICES GAYLORD 5856051A 633 4/19/2019 9015 GIBRALTAR BOAT YARD GAS DOCK GIBRALTAR 0796719A 587 5/18/2019 8387 LDC CONSTRUCTION GIBRALTAR 1775316A 683 5/13/2019 9015 ALASKA WILDLAND ADVENTURES INC GIRDWOOD, AK 4873696A 326 4/19/2019 8810 CM MARENGER TRUCKING GLADSTONE 3754537A 750 6/26/2019 7208 DELTA PRODUCTION MACHINING INC GLADSTONE 5570638A 635 6/8/2019 3632 M AND N FOREST PRODUCTS LLC GLADSTONE 5295378A 1,170 6/22/2019 2709 PELTIER HOME SOLUTIONS GLADSTONE 5755123A 6,230 6/20/2019 5645 U P CHIMNEY INC GLADSTONE 3812553A 4,171 6/16/2019 5022 1.00 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 62 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BARNWOOD RANCH LLC GLADWIN 5861306A 2,530 5/1/2019 5403 BIERLEIN DENNIS GLADWIN 2029669A 750 4/8/2019 5476 CEDAR FARM LLC GLADWIN 0591220A 2,543 5/1/2019 0129 0.95 LOYA HOLLY GLADWIN 4903960A 704 6/20/2019 9053 MCCOYS LOGGING GLADWIN 2841860A 750 5/8/2019 2702 MID MICHIGAN FIREWORKS LLC GLADWIN 4753216B 355 5/19/2019 8010 POLE BUILDINGS LLC GLADWIN 5720842A 3,211 6/1/2019 5437 QUALITY ENVIRONMENTAL SERVICES INC GLADWIN 3773760A 37,127 6/1/2019 5183 0.93 ADVOCATE CONSTRUCTION INC GLENDALE HEIGHTS, IL 5863937A 843 5/11/2019 8742 FALL STEVE E GLENNIE 1872311A 750 4/5/2019 2702 GRIFF AND SON TREE SERVICE INC GLENNIE 1449265A 2,817 4/26/2019 0106 1.00 HARDWOOD CONSTRUCTION KZO LLC GOBLES 5873797A 750 6/5/2019 5437 MICHIGAN ONLINE SCHOOL GOBLES 5855810A 329 5/16/2019 8868 MK CONCRETE CONSTRUCTION LLC GOBLES 5720699A 751 6/1/2019 5221 RIVER BEND COUNTERTOPS GOBLES 4196341A 621 5/12/2019 1624 TOO GLOW COMPANY GOOD YEAR, AZ 5876907A 354 6/13/2019 8017 ALLIS BUILDING INC GOODRICH 2269651A 800 5/8/2019 5183 0.95 AQUATIC SERVICES INC GOODRICH 2259486A 5,202 6/2/2019 0005 0.88 C AND T BRICK CLEANING & CAULKING INC GOODRICH 3802221A 750 4/28/2019 5022 GOODRICH LANDSCAPE CONSTRUCTION LLC GOODRICH 5717582A 750 5/19/2019 0042 J Z ROOFING LLC GOODRICH 5128293A 800 4/23/2019 5551 JUNE BARRY M GOODRICH 2108054A 750 5/23/2019 0128 KOVALICK ROOFING & SIDING COMPANY GOODRICH 4050673A 750 5/15/2019 5645 1.00 R L SLADE CUSTOM HOMES INC GOODRICH 1655574A 7,545 5/7/2019 5645 0.92 RICKS REMODELING AND REPAIRS GOODRICH 1628887A 750 4/26/2019 5445 DAWSON TIRE & WHEEL LLC GOTHENBURG, NE 5563011A 385 5/20/2019 8742 BATPRO ANIMAL CONTROL LLC GOWEN 4898737A 999 6/5/2019 5645 BROTHERS N E W CONSTRUCTION LLC GOWEN 5878403A 750 6/21/2019 5645 MID MICHIGAN MACHINE & TOOLING LLC GOWEN 5853850A 1,236 4/12/2019 3096 C COOK BUILDING & REMODELING GRAND BLANC 4867980A 750 4/20/2019 5437 CENTRAL INDUSTRIAL ASBESTOS LLC GRAND BLANC 5611385A 1,243 4/6/2019 5479 CHATEAUX DU LAC CONDOMINIUM ASSOCIATION GRAND BLANC 5724945A 683 6/25/2019 9015 CJD REMODELING GRAND BLANC 4673182A 750 5/4/2019 5645 COMPLETE SUBCONTRACTING LLC GRAND BLANC 4054741A 750 6/15/2019 5645 COUSINEAU CORY GRAND BLANC 5395100A 750 4/10/2019 5437 1/3/2019 11:00:13 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 CUTTING EDGE CABINETRY GRAND BLANC 3170845A 750 4/18/2019 5645 DOMENICK PLLC GRAND BLANC 4360249A 496 6/12/2019 8832 FAST LANE CONSTRUCTION GRAND BLANC 5707617A 750 4/22/2019 5645 FLO RITE LLC GRAND BLANC 5189365A 644 6/15/2019 5183 FOUR SEASONS RESTORATION GRAND BLANC 4322460A 825 4/12/2019 5610 GRACZ CONSTRUCTION GRAND BLANC 3911055A 800 4/15/2019 5645 GRAYS TREE SERVICE INC GRAND BLANC 2788870A 1,722 6/12/2019 0106 1.00 GREG CARTER BUILDERS LLC GRAND BLANC 3484467A 750 4/6/2019 5645 GUTHERIE ROBOTICS INC GRAND BLANC 5263115A 1,038 4/18/2019 5191 HEALING HANDS NURSING SERVICES LLC GRAND BLANC 5266190A 2,133 4/30/2019 8835 0.95 J GRATSCH & ASSOCIATES GRAND BLANC 1902121A 218 6/7/2019 8810 KRIEGER CONSTRUCTION INC GRAND BLANC 3491110A 750 4/5/2019 5437 MERRIT JEFF GRAND BLANC 5863880A 750 5/11/2019 5476 N W A INC GRAND BLANC 5078296A 373 4/14/2019 8810 OTEVWA HOMES INC GRAND BLANC 5859158A 744 6/1/2019 8835 PIZZA MIA INC GRAND BLANC 4417186A 3,659 6/22/2019 9058 0.95 PRIMEGROUP FM SOLUTIONS LLC GRAND BLANC 4225317A 362 5/31/2019 8810 QUEST HOME IMPROVEMENTS LLC GRAND BLANC 5482089A 750 6/1/2019 5645 REMEDY EXCHANGE INCORPORATED GRAND BLANC 5539366A 254 5/2/2019 8868 ROONEY EDWARD GRAND BLANC 2964538A 753 4/15/2019 8810 SCHAEFER CONSTRUCTION GRAND BLANC 3180301A 750 6/28/2019 5645 STEEL ERECTORS INC GRAND BLANC 1848208A 1,990 5/31/2019 5102 0.95 WEST CONTROLS INC GRAND BLANC 5052602A 473 5/2/2019 8601 WOODLAND PARK ACADEMY GRAND BLANC 1769600A 5,786 5/29/2019 8868 0.85 ADAM HASS FINE HOMEBUILDING LLC GRAND HAVEN 5383463A 750 4/26/2019 5645 BEECHAM BUILDERS LLC GRAND HAVEN 5544998A 752 5/8/2019 8810 BLACKWELL STABLES LLC GRAND HAVEN 4242971A 3,301 6/28/2019 8279 1.14 10 % BULTHOUSE TRUCKING LLC GRAND HAVEN 5726620A 800 6/24/2019 7208 CB WILSON CONSTRUCTION LLC GRAND HAVEN 5540747A 2,199 4/16/2019 5437 0.94 ESOX ENGINEERING LLC GRAND HAVEN 5130700A 309 4/26/2019 8601 KEYES DRIVING LLC GRAND HAVEN 5873959A 332 6/29/2019 8868 NORTH OTTAWA ROD & GUN CLUB GRAND HAVEN 2801701A 401 6/14/2019 9061 ROGERS ADAM GRAND HAVEN 5879744A 750 6/26/2019 5437 RWM TECHNOLOGIES LLC GRAND HAVEN 4874021A 825 4/18/2019 7600 VANDUTCHMAN CONSTRUCTION LLC GRAND HAVEN 5870992A 750 5/31/2019 5645 1/3/2019 11:00:13 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 WESTERN SHORES LLC GRAND HAVEN 5278775A 750 6/10/2019 6217 WISSNER JARED GRAND HAVEN 5858399A 750 4/24/2019 5476 ABOVE THE TOP ROOFING LLC GRAND JUNCTION 5026571A 6,571 5/1/2019 5551 0.95 G F I ENTERPRISES INC GRAND JUNCTION 1090267A 1,978 6/21/2019 5645 0.95 ACTC SERVICES LLC GRAND LEDGE 5864321A 750 5/12/2019 6217 AEROSPACE RISK MANAGEMENT GROUP INC GRAND LEDGE 4437071A 694 4/2/2019 8810 0.95 ANDRUS BUILDERS GRAND LEDGE 5852196A 2,740 4/10/2019 5645 AS NEEDED RESOURCES LLC GRAND LEDGE 5875560A 259 6/8/2019 8601 BOZZOS COMPANY LLC GRAND LEDGE 2784165A 751 5/15/2019 5476 BRANSCUM INSTALLERS OF MICHIGAN LTD GRAND LEDGE 3669700A 800 6/9/2019 5437 BRIDGEWATER SALON & SPA LLC GRAND LEDGE 5575214A 249 6/17/2019 9586 GASOLINE ALLEY OF MID MICHIGAN LLC GRAND LEDGE 5849900A 543 4/5/2019 8395 SCHAEFER JACOB A GRAND LEDGE 5284600A 660 6/27/2019 9102 SUNRISE DOUGHNUT CO LLC GRAND MARAIS 5725879A 349 6/21/2019 9058 A Z HIGH QUALITY PAINTING LLC GRAND RAPIDS 5554497A 825 4/30/2019 5476 ACE HI CRANE LLC GRAND RAPIDS 0434086A 1,491 4/7/2019 7380 ADORNO JOSUE MARTINEZ GRAND RAPIDS 5856981A 2,932 5/30/2019 5645 AJZ CONSTRUCTION GRAND RAPIDS 5877806A 3,436 6/19/2019 5221 AL TILE & MARBLE LLC GRAND RAPIDS 3923584A 750 5/11/2019 5348 ALFANOS PIZZA INC GRAND RAPIDS 0220329A 752 5/7/2019 9058 0.95 ALL BELT INSTALLATIONS LLC GRAND RAPIDS 3562514A 1,804 5/8/2019 3724 ALLIED RESIDENTIAL CONSTRUCTION INC GRAND RAPIDS 4341210A 753 6/1/2019 5606 0.95 AMERICAN PEST SOLUTIONS INC GRAND RAPIDS 5553547A 986 4/28/2019 9015 ANDONI MINELLA GRAND RAPIDS 5849144A 633 4/3/2019 9015 APARICIO RESTORATION & REPAIR LLC GRAND RAPIDS 5279674A 11,594 6/6/2019 5445 0.88 ASBESTOS CONTRACTORS INC GRAND RAPIDS 3860426A 10,408 5/1/2019 5020 0.81 AVALOS CONSTRUCTION GRAND RAPIDS 5721482A 750 6/3/2019 5645 AWARD WINDOW CLEANING SERVICES INC GRAND RAPIDS 1412639A 5,542 6/23/2019 9015 1.84 27 % AYALAS CONSTRUCTION GRAND RAPIDS 5853508A 750 4/11/2019 5645 BELLA CONSTRUCTION INC GRAND RAPIDS 5126479A 945 5/17/2019 5606 BIRDHOUSE BITES LLC GRAND RAPIDS 5857600A 490 4/21/2019 9058 BRANDON GROVE PAINTING GRAND RAPIDS 5711231A 956 5/3/2019 5476 BRIGHT SPOT CLEANING LLC GRAND RAPIDS 5653380A 633 6/30/2019 9015 BROUWER TREE SERVICE LLC GRAND RAPIDS 0190063A 8,309 6/1/2019 0106 1.15 BRUYN HOMES INC GRAND RAPIDS 3031411A 760 5/14/2019 8810 1/3/2019 11:00:13 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 CABRERA NOE QUINONES GRAND RAPIDS 5711185A 750 5/2/2019 5476 CALDERON CONTRACTING GRAND RAPIDS 5859093A 6,679 4/25/2019 5645 CAMP EAGLES NEST LLC GRAND RAPIDS 5817170A 1,935 4/10/2019 9015 CASPER CONSTRUCTION INC GRAND RAPIDS, MN 5722780A 28,157 6/9/2019 6217 CHINOS CONSTRUCTION GRAND RAPIDS 5850177A 750 4/19/2019 5403 COMPTECHS LLC GRAND RAPIDS 5703433A 233 4/14/2019 8742 CURTISS ANDE GRAND RAPIDS 5721830A 750 6/22/2019 8293 D AND D PRINTING COMPANY GRAND RAPIDS 0345504A 439 6/9/2019 4299 0.86 DASH BROTHERS CARPENTRY LLC GRAND RAPIDS 5201748A 750 5/7/2019 5437 DEGRAAF DAVID GRAND RAPIDS 4225210A 750 5/31/2019 5183 DEVRIES ENTERPRISES GRAND RAPIDS 3966550A 800 4/17/2019 5437 DO IT ALL PAINTING LLC GRAND RAPIDS 5706106A 3,080 4/19/2019 5476 DOMINGUES LUCIANO ROMAN GRAND RAPIDS 5271100A 750 6/13/2019 3821 DOTY CASS GRAND RAPIDS 5856116A 800 4/19/2019 5645 EAGLECREST CONDOMINIUM ASSOCIATION GRAND RAPIDS 1699504A 683 4/1/2019 9015 ELEMENTAL ARTISTRY LLC GRAND RAPIDS 5711975A 750 5/4/2019 3400 EVERYDAY CHEF LLC GRAND RAPIDS 5717280A 350 6/28/2019 9058 FIRST CARE LIVING GRAND RAPIDS 5613531A 894 5/2/2019 9053 FLORES MARTINEZ ALEX JOSE GRAND RAPIDS 5721717A 750 6/3/2019 5645 FOREST GREEN TREE SERVICE LLC GRAND RAPIDS 5332648A 3,777 4/6/2019 0106 FORTE CONSTRUCTION SOLUTIONS GRAND RAPIDS 5562643A 750 4/27/2019 5645 FRESH AIR DVC LLP GRAND RAPIDS 5853842A 709 4/13/2019 5550 GARCIA CONSTRUCTION LLC GRAND RAPIDS 5343003A 4,689 6/2/2019 5020 GOMEZ MANUEL GRAND RAPIDS 5879701A 1,330 6/26/2019 5476 GOOD EARTH TREE CARE LLC GRAND RAPIDS 5697034A 7,515 4/20/2019 0106 GRAND RAPIDS LUMPER SERVICE GRAND RAPIDS 2634244A 2,458 5/25/2019 8018 0.95 GREAT LAKES PUB CRUISER LLC GRAND RAPIDS 5694620A 1,200 4/1/2019 7380 HECTOGON LLC GRAND RAPIDS 5722594A 2,942 6/9/2019 5403 HIGHER GROUND ROCK CLIMBING CENTRE LTD GRAND RAPIDS 2863618A 1,201 5/19/2019 9063 0.95 HL PRODUCTIONS & MANAGEMENT INC GRAND RAPIDS 3541959A 350 5/23/2019 9058 0.95 HOLY SPIRIT MORE DELIVERY CO GRAND RAPIDS 5866944A 3,470 6/1/2019 7208 JET MARKETING LLC GRAND RAPIDS 5567734A 230 6/1/2019 8810 JJR CONSTRUCTION LTD LLC GRAND RAPIDS 5859549A 7,120 4/27/2019 5445 JMA QUALITY FINISHING GRAND RAPIDS 0792080A 750 4/25/2019 5476 JOB POST GRAND RAPIDS 5380219A 23,360 4/9/2019 8059 1.00 1/3/2019 11:00:13 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 JOBSON ROOFING GRAND RAPIDS 5722586A 750 6/17/2019 5551 JOHSA DRYWALL GRAND RAPIDS 5864305A 750 5/12/2019 5645 KEITH POTTER BUILDER INC GRAND RAPIDS 2712350A 750 6/9/2019 5645 0.95 KEN KOOISTRA LLC GRAND RAPIDS 5555116A 750 5/3/2019 0042 KENNEDY FLORAL INC GRAND RAPIDS 1178822A 253 5/17/2019 8810 KENTWOOD VILLAGE CONDOMINIUM GRAND RAPIDS 3180646A 683 4/18/2019 9015 ASSOCIATION L AND L CARE SOLUTIONS LLC GRAND RAPIDS 4027639A 9,969 6/1/2019 8835 0.85 LARRYS TREE SERVICE LLC GRAND RAPIDS 1122479A 7,741 6/11/2019 0106 0.91 LITTS INVESTMENTS LLC GRAND RAPIDS 5405564A 1,025 6/1/2019 8832 LOYL HOMES LLC GRAND RAPIDS 5861977A 246 5/3/2019 8810 MERIGIANS CARAMEL CORN INC GRAND RAPIDS 5587573A 448 6/21/2019 8017 MERITUS PROPERTIES LLC GRAND RAPIDS 5356431A 1,151 4/1/2019 6826 MICAH CENTER GRAND RAPIDS 2971348A 335 6/3/2019 8810 MICHIGAN CREDITORS SERVICE INC GRAND RAPIDS 1302132A 7,107 5/18/2019 8387 0.88 MIKES UNLOADING GRAND RAPIDS 4535197A 750 4/24/2019 8292 MN ALL REMODELING LLC GRAND RAPIDS 5206723A 750 5/16/2019 5437 0.95 MORR PROMOTIONS LLC GRAND RAPIDS 5137276A 313 5/10/2019 8810 MR PLUMBER LLC GRAND RAPIDS 4767578A 719 6/22/2019 5183 NES TRUCKING LLC GRAND RAPIDS 5705584A 4,953 5/30/2019 7208 NIELSEN CONTRACTING GRAND RAPIDS 5557038A 750 5/10/2019 5645 O AND D L LLC GRAND RAPIDS 5873738A 9,318 6/5/2019 5551 OG PROFESSIONAL CARPET CLEAN GRAND RAPIDS 5872286A 634 6/1/2019 9015 PATRIOT CAULKING AND WATERPROOFING LLC GRAND RAPIDS 5132223A 801 5/1/2019 5476 0.95 POTTAWATOMIE CLUB GRAND RAPIDS 3316556A 401 5/10/2019 9061 PREMIER HOME PAINTING GRAND RAPIDS 4924908A 750 4/21/2019 5476 PREMIUM DECORATING INC GRAND RAPIDS 4033639A 750 6/24/2019 5476 PRIVACY LOGIC LLC GRAND RAPIDS 5264278A 629 5/1/2019 2501 RAMSEY LEWIS GRAND RAPIDS 5540828A 800 4/2/2019 5437 RED LINE SECURITY LLC GRAND RAPIDS 5677912A 1,797 5/31/2019 7720 RELIABLE MEDICAL TRANSPORT LLC GRAND RAPIDS 5559987A 1,570 5/13/2019 7212 RIDGEMOOR SWIM CLUB INC GRAND RAPIDS 1376888A 710 5/5/2019 9061 0.95 RIEKSE HELENA GRAND RAPIDS 5872820A 640 6/2/2019 0913 RIVER CITY ROOFING GRAND RAPIDS 5845831A 4,252 4/12/2019 5551 ROSEWOOD FLOORING LLC GRAND RAPIDS 5563089A 751 5/17/2019 5437
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 67 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROSS THOMASMA CONSTRUCTION LLC GRAND RAPIDS 5863465A 1,430 5/10/2019 5022 S AND J TREE SERVICES GRAND RAPIDS 3366189A 6,823 5/14/2019 0106 SANCHEZ EDUARDO CALVO GRAND RAPIDS 5849179A 750 4/3/2019 5476 SAYRE CARPET CARE LLC GRAND RAPIDS 4701801A 633 5/10/2019 9015 0.95 SCHAAFSMA PAINTING & POWERWASHING LLC GRAND RAPIDS 4248295A 750 6/7/2019 5476 SHANE BROUWER LLC GRAND RAPIDS 5122740A 750 4/2/2019 5437 SHORT SOUTH REALTY GROUP INC GRAND RAPIDS 5719518A 5,136 6/1/2019 5437 SHOWROOM AUTO SALES INC GRAND RAPIDS 5548551A 414 4/20/2019 8748 SILK FINISHES PAINTING INC GRAND RAPIDS 1501577A 1,068 4/26/2019 9015 0.95 SKIN ENVY LLC GRAND RAPIDS 5878098A 407 6/21/2019 8832 SPARK PERFORMANCE SOLUTIONS LLC GRAND RAPIDS 5869935A 218 5/30/2019 8810 SPARKLE PROS INC GRAND RAPIDS 5727987A 3,774 6/5/2019 9015 SULLIVAN KENNETH GRAND RAPIDS 5515815A 750 6/8/2019 7600 T AND F ADVENTURES INC GRAND RAPIDS 4911776A 1,121 6/20/2019 9156 TEEN BIBLE CHALLENGE INC GRAND RAPIDS 4990161A 219 6/2/2019 8810 THOMAS STREET CONSTRUCTION DESIGN GRAND RAPIDS 5474868A 750 6/23/2019 5645 TIDY WINDOW CLEANING LLC GRAND RAPIDS 5257255A 1,072 4/4/2019 9015 TITAN LAWN & HOME LLC GRAND RAPIDS 5709113A 709 5/4/2019 9102 TOL MATTHEW CLINTON GRAND RAPIDS 5282330A 592 6/19/2019 9521 TOP NOTCH PROS INC GRAND RAPIDS 5720729A 4,306 5/31/2019 0042 TOWERS CONSTRUCTION LLC GRAND RAPIDS 5866170A 6,078 5/19/2019 5445 TRADEMARK CONSTRUCTION LLC GRAND RAPIDS 5854369A 750 4/13/2019 5645 UDECON LLC GRAND RAPIDS 4162927A 4,959 4/10/2019 9015 0.93 VANDENBRINK HOME CARE LLC GRAND RAPIDS 5553504A 1,835 5/2/2019 0908 VERDIN ACEVES RAUL GRAND RAPIDS 4546571A 4,906 5/22/2019 5445 WEST MICHIGAN CREDIT UNION GRAND RAPIDS 1627112A 1,925 4/1/2019 8810 1.05 WESTRATE BUILDERS INC GRAND RAPIDS 0567582A 800 4/8/2019 5645 WOLVERINE HOOSIER ATHLETIC CONFERENCE GRAND RAPIDS 5866898A 504 6/1/2019 8742 INC WOODSHIRE PLACE CONDOMINIUM GRAND RAPIDS 3314898A 683 4/1/2019 9015 ASSOCIATION A AND C CAREFUL MOVING LLC GRANDVILLE 3928446A 1,081 5/16/2019 8293 0.94 BD WASH LLC GRANDVILLE 5226473A 4,852 5/25/2019 8387 0.95 BELIEVERS LINE INC GRANDVILLE 0398845A 753 5/12/2019 8810 BETHEL PENTECOSTAL CHURCH GRANDVILLE 0697141A 834 6/28/2019 8868 0.95
1/3/2019 11:00:13 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 CHET GLASS BUILDERS LLC GRANDVILLE 3253660A 751 6/16/2019 5437 0.95 DROUIN DRYWALL INCORPORATED GRANDVILLE 5728193A 750 6/30/2019 5445 ELLIS ELECTRIC & CONTRACTING LLC GRANDVILLE 5124549A 1,588 4/5/2019 5190 0.95 GRAND VALLEY TOWING LLC GRANDVILLE 5290880A 4,914 6/6/2019 8395 0.93 HAMPSHIRE INSTALLATIONS GRANDVILLE 0482234A 800 4/20/2019 5437 IMPACT DYNAMIC TRAINING LLC GRANDVILLE 5392764A 943 4/15/2019 9063 0.95 MAIER HOMES LLC GRANDVILLE 5723361A 800 6/10/2019 5645 MAVERICKS HOME STYLES GRANDVILLE 4678389A 825 5/23/2019 5645 POLEY KYLE GRANDVILLE 4856686A 750 4/21/2019 5437 RIVERTOWN COMMUNITY FEDERAL CREDIT GRANDVILLE 1646974A 1,418 5/18/2019 8810 0.95 UNION SILHOUETTE GRANDVILLE 5878845A 750 6/23/2019 5403 THOMAS KONYNDYK BUILDER GRANDVILLE 5264227A 750 4/23/2019 5437 TRUECRAFT LLC GRANDVILLE 4995104A 800 6/19/2019 5190 HIGHER GROUND TREE CARE LLC GRANGER, IN 5862590A 4,184 5/5/2019 0106 AMERICAN CLASSIC DUMPSTER SERVICE LLC GRANT 5863180A 13,268 5/4/2019 2731 DUANE BOUWKAMP FARM LLC GRANT 5873053A 750 6/2/2019 6217 HUTCHINS MICHAEL STEPHAN GRANT 5855381A 750 4/17/2019 5551 JAYS CONSTRUCTION LLC GRANT 5008751A 750 4/2/2019 5645 0.95 LAMPMAN GERALD GRANT 0731129A 750 4/28/2019 7208 PRECISION AG SOLUTIONS LLC GRANT 5866995A 1,104 5/22/2019 8102 ROBINSON DANIEL GRANT 4432193A 750 6/17/2019 2702 VINTAGE TRUCKING LLC GRANT 5415845A 11,154 4/21/2019 7208 0.94 C O C INC GRASS LAKE 3368360A 800 4/14/2019 5437 FIVE STAR FLOORING LLC GRASS LAKE 4808924A 827 6/21/2019 5348 GRASS LAKE CONCRETE CO INC GRASS LAKE 5857821A 9,758 4/23/2019 5221 HERPETOLOGICAL RESOURCE AND GRASS LAKE 5259630A 1,464 4/10/2019 8831 0.95 MANAGEMENT LLC ANDY NICKERSON ROAD SERVICE LLC GRAWN 4858557A 5,336 6/13/2019 7208 JJS HANDYMAN GRAWN 5859069A 659 4/25/2019 9102 CALVIN JAMES GRAYLING 5699649A 633 4/6/2019 9015 JAHNER FRANK GRAYLING 2067366A 800 5/13/2019 5348 0.96 PECKAT ANDREW GRAYLING 5872260A 529 6/1/2019 5190 SPIELBAUER FIREWORKS CO INC GREEN BAY, WI 3913562A 634 5/23/2019 9015 JOE KIN TRUCKING INC GREENLAND 1970550A 5,824 6/7/2019 7208 0.89
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 69 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LTC GREENLAND 0427454A 750 5/14/2019 6217 COOPERS HOME IMPROVEMENTS LLC GREENVILLE 3457265A 750 6/15/2019 5551 COPELAND JOHN R AND RICK A GREENVILLE 2415950A 568 6/14/2019 0129 DUNHAM SIDING GREENVILLE 2660938A 750 6/25/2019 5645 0.95 DYNA CLEAN LLC GREENVILLE 2033062A 633 5/14/2019 9015 FIRESIDE TRUCKING GREENVILLE 4983629A 750 6/24/2019 7208 JRS HOME IMPROVEMENT GREENVILLE 5410363A 800 6/5/2019 5645 SAGES MEAT PROCESSING & CATERING INC GREENVILLE 0205443A 2,550 5/29/2019 8031 0.92 SMITH JASON GREENVILLE 5575672A 800 6/20/2019 7600 SUPERIOR CLEANROOM SOLUTIONS GREENVILLE 5877261A 750 6/14/2019 5146 TNJ ENTERPRISES LLC GREENVILLE 4993314A 354 6/22/2019 8017 TOM BUTTERWORTH BUILDERS INC GREENVILLE 4228553A 750 6/9/2019 5645 WELCH KIRK GREENVILLE 3358275A 750 4/19/2019 5645 BOTTLELESS WATER SOLUTIONS LLC GREENWOOD, IN 3722503A 2,390 5/15/2019 5183 0.95 JMC CONTRACTING GREENWOOD 5880351A 750 6/28/2019 5551 CREATURE CONTROL LLC GREGORY 4373871A 10,902 4/4/2019 8831 1.47 13 % JACK BURGA DRYWALL GREGORY 0516694A 751 5/15/2019 5445 NEW DESIGN BUILDING CO INC GREGORY 2389614A 6,832 4/1/2019 5645 0.91 RB SUPERVISION LLC GREGORY 5399564A 385 4/29/2019 5606 SECURE PROTOCOL LLC GREGORY 5877253A 542 6/14/2019 5191 CLAY STREET CENTER GRENNVILLE 5706793A 911 5/1/2019 9063 ENERGY NATIONAL DANCE COMPETITIONS LLC GROSSE ILE 5548020A 537 4/30/2019 9063 JDS TREE SERVICE GROSSE ILE 4049241A 750 5/19/2019 0106 PIZZO CONSTRUCTION LLC GROSSE ILE 4463552A 800 6/4/2019 5022 RIVERPOINTE REALTY INC GROSSE ILE 2476100A 468 4/11/2019 8810 SONDRIO BUILDERS INC GROSSE ILE 2779080A 435 5/3/2019 5606 TUTTLE SUPPLY INC GROSSE ILE 0975966A 684 6/20/2019 9015 COYRO LANDSCAPING INC GROSSE POINTE 3493148A 8,144 6/18/2019 9102 1.24 10 % CREVIER CONSTRUCTION GROSSE POINTE 4547926A 750 5/17/2019 5437 DANE WARNER CONSTRUCTION SERVICES LLC GROSSE POINTE 5867231A 825 5/23/2019 5645 SUPERIOR PLASTERING & PAINTING INC GROSSE POINTE 1578197A 750 5/19/2019 5476 WISE DECISION LLC GROSSE POINTE 5546435A 319 4/15/2019 9063 BROCKETT DANE AND TRICIA GROSSE POINTE FARMS 5721172A 426 6/6/2019 0908 WINDOW SPARKLER LLC GROSSE POINTE FARMS 4333225A 874 4/12/2019 9015 0.95 ZIMMERMAN TODD GROSSE POINTE FARMS 4202317A 750 4/6/2019 5645 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 70 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COMPLETE CONSTRUCTION PROJECT GROSSE POINTE PARK 5725976A 752 6/20/2019 8810 MANAGEMENT LLC CTM CONTRACTING GROSSE POINTE PARK 0727237A 750 5/18/2019 5645 JOHN T SZYMANSKI INC GROSSE POINTE PARK 4361725A 644 6/20/2019 5183 ARC GROSSE POINTE HARPER WOODS INC GROSSE POINTE WOODS 4776470A 565 6/16/2019 9063 BARRETT BUILDING COMPANY GROSSE POINTE WOODS 4191340A 750 5/30/2019 5437 COOPER J LEWIS JR & COOPER JUDITH J GROSSE POINTE WOODS 3772608A 351 4/26/2019 0908 EUGENIO INDUSTRIAL SERVICES INC GROSSE POINTE WOODS 5281270A 750 4/8/2019 3724 0.95 FULL LOTUS LLC GROSSE POINTE WOODS 5147239A 788 6/8/2019 9063 0.95 GD BUILDING CO GROSSE POINTE WOODS 2215608A 750 6/19/2019 5645 R FROMM COMPANY LLC GROSSE POINTE WOODS 0046957A 995 6/6/2019 5606 0.95 REVOLUTION FLAG SERVICE LLC GROSSE POINTE WOODS 5143730A 800 5/23/2019 5538 MIKE LUND TRUCKING LLC GULLIVER 1972995A 750 5/8/2019 7208 CORKIN TERRY GWINN 5723701A 750 6/13/2019 2709 SABER 7 LLC HADLEY 2537710A 760 6/16/2019 5550 ADAMS LAWN & NATURE SERVICE LLC HALE 5695449A 659 5/8/2019 9102 J KIMMERERS CONSTRUCTION INC HALE 4532406A 1,165 4/21/2019 5645 0.95 JOHNSON TREE SERVICE HALE 3357082A 750 6/30/2019 0106 MAIN STREET PIZZERIA LLC HALE 5133491A 3,132 5/2/2019 9058 0.95 SAVIN LAKE SERVICES INC HALE 4064780A 6,038 5/23/2019 0005 0.86 COUNTY PLUMBING & HEATING LLC HAMBURG 5187664A 694 6/2/2019 5183 DIRECT IRRIGATION LLC HAMBURG 5164362A 694 4/14/2019 5183 BURNIPS BUILDERS LLC HAMILTON 5856086A 5,332 4/19/2019 5645 CREEKSIDE CONSTRUCTION AND REMODELING HAMILTON 4828283A 750 4/10/2019 5645 INC DMH SERVICES LLC HAMILTON 5862400A 568 5/7/2019 9530 GRINDSTONE TRANSPORT LLC HAMILTON 5847672A 752 4/2/2019 8810 MLS TRUCKING LLC HAMILTON 3771911A 293 4/25/2019 8810 REDBUD LANDSCAPE MANAGEMENT LLC HAMILTON 5405475A 1,951 5/15/2019 0042 0.95 RICK SCHROTENBOER BUILDER LLC HAMILTON 4887050A 750 4/22/2019 5645 CARING HOME HEALTH SERVICES INC HAMTRAMCK 5003830A 4,365 5/21/2019 8835 0.95 MARTIN BEST ROOF HAMTRAMCK 3723054A 750 5/15/2019 5645 SHONDHAN ENTERPRISE INC HAMTRAMCK 3788288A 464 6/3/2019 8868 SUPERB HOME CARE INC HAMTRAMCK 4931262A 772 5/26/2019 8835 0.95 ASPECT ENVIRONMENTAL LLC HANCOCK 4646770A 644 5/23/2019 5183 0.94
1/3/2019 11:00:13 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 MCKANA MINES & MINERALS HANCOCK 1718118A 801 6/9/2019 8227 NORTHERN DRYWALL INC HANCOCK 0164429A 8,612 6/8/2019 5445 0.95 JACKSON MAINTENANCE SERVICES LLC HANOVER 5315859A 969 6/21/2019 9102 0.95 NIBROC CONCRETE HANOVER 2898357A 1,528 6/9/2019 5221 TREECORE LLC HARBERT 3775437A 21,610 5/8/2019 0106 0.79 CAPLING CONSTRUCTION LLC HARBOR BEACH 5143926A 982 5/1/2019 5645 FISHERMANS COVE CONDOMINIUM HARBOR BEACH 4441648A 634 6/8/2019 9015 ASSOCIATION G R ROGGENBUCK LLC HARBOR BEACH 5604885A 246 6/21/2019 8810 ROCHEFORT PETERSON SUSAN HARBOR BEACH 5394910A 218 4/11/2019 8810 SIEMEN SHOP INC HARBOR BEACH 4363051A 867 5/7/2019 8395 0.95 SIGEL TOWNSHIP OF HURON COUNTY HARBOR BEACH 2135566A 754 5/21/2019 7704 BHT PLUMBING & HEATING LLC HARBOR SPRINGS 5124956A 645 4/5/2019 5183 G AND N LANDSCAPING LLC HARBOR SPRINGS 5714990A 1,027 5/11/2019 0042 K COLFER SPORTHORSES LLC HARBOR SPRINGS 4745663A 1,165 5/4/2019 8279 0.95 KCM OUTDOOR SERVICES INC HARBOR SPRINGS 4579402A 638 4/1/2019 9015 LITTLE TRAVERSE SAILORS HARBOR SPRINGS 4883420A 1,200 6/30/2019 9060 0.95 ABUNDANT COMMUNITY RECOVERY SERVICES HARPER WOODS 5689708A 1,877 4/7/2019 9052 BRUCE F KOVACH INC HARPER WOODS 0468274A 750 4/28/2019 5476 HEAVENLY COMFORT LLC HARPER WOODS 5856760A 2,684 4/28/2019 9053 J T ADDISON CO HARPER WOODS 1716425A 387 6/24/2019 8803 MY WAY CLEANING SERVICES LLC HARPER WOODS 5855772A 1,415 4/18/2019 9015 RAIL CONTAINER SERVICES OF MICHIGAN HARPER WOODS 1329960A 750 5/1/2019 7208 SCOTTS CLEANING COMPANY INC HARPER WOODS 3679136A 721 6/1/2019 9015 0.95 TECHNICAL ELECTRICIAN CONSULTANTS HARPER WOODS 5716969A 712 5/17/2019 5190 B AND D RYAN TRUCKING LLC HARRIS 4809580A 750 5/21/2019 7208 BADGER PIPE AND PILING LLC HARRISON 5103380A 1,677 5/4/2019 6319 0.95 COLD CREEK SERVICES LLC HARRISON 5868920A 30,822 6/1/2019 9402 DUGGANS CANOE LIVERY & CAMPGROUNDS INC HARRISON 4676696A 633 5/23/2019 9015 FOUR X ADVENTURELAND INC HARRISON 5720583A 993 5/27/2019 9015 HEINTZ LIFTING INC HARRISON 5879442A 1,188 6/26/2019 9530 HENRYS COMPLETE TREE SERVICE HARRISON 3512207A 1,334 5/11/2019 0106 KELLYS TREE SERVICE LLC HARRISON 4459520A 2,811 4/27/2019 0106 M AND M DRYWALL LLC HARRISON 5711207A 750 5/2/2019 5445 MICHAEL HENRY TREE SERVICES LLC HARRISON 5268508A 2,202 5/8/2019 0106 0.95
1/3/2019 11:00:13 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 VAVAVOOM INC HARRISON 5864429A 410 5/10/2019 9058 CALANDRA AND SONS CONSTRUCTION CO HARRISON TWP 0785369A 800 6/1/2019 5221 0.95 DONE RITE HANDYMAN HARRISON TWP 2680823A 750 4/7/2019 5645 EXPERIENCED JANITORIAL SERVICE INC HARRISON TWP 5553857A 633 4/29/2019 8835 FIGLIOLI TILE AND STONE LLC HARRISON TWP 2989131A 750 4/29/2019 5348 IDEAL BUSINESS ASSOCIATES LLC HARRISON TWP 4494920A 781 6/6/2019 9015 J AND A VENTURES LLC HARRISON TWP 4975049A 635 4/6/2019 8810 L AND R GLASS BLOCK LLC HARRISON TWP 1957570A 750 6/13/2019 5022 LAKELAND CONSTRUCTION & HOME REPAIR INC HARRISON TWP 2644797A 750 4/24/2019 5221 MARATHON POWER WASH & PAINTING INC HARRISON TWP 4691156A 1,207 4/21/2019 5476 0.95 MOTOWN LIMOUSINE LLC HARRISON TWP 4346980A 1,467 5/16/2019 7212 0.95 NORTHERN NIGHTS FAMILY CAMPGROUND LLC HARRISON TWP 5234298A 633 5/5/2019 9015 PETER ANDARY PROPERTIES LLC HARRISON TWP 5862094A 751 5/3/2019 5437 R AND L HOMES OF HARRISON TOWNSHIP INC HARRISON TWP 1963821A 750 4/19/2019 5645 0.88 R AND S MAINTENANCE INC HARRISON TWP 4252829A 2,318 5/18/2019 5476 RESTORYOURHOME INC HARRISON TWP 5724147A 750 6/14/2019 5437 ROSS WALINSKE LLC HARRISON TWP 2252732A 750 6/8/2019 5403 SKYE HOME IMPROVEMENTS INC HARRISON TWP 2707900A 750 5/15/2019 5645 ST CLAIR MARINE SALVAGE INC HARRISON TWP 5201250A 365 5/4/2019 8810 STRUCTURE HOME IMPROVEMENTS LLC HARRISON TWP 5569346A 750 6/23/2019 5551 WINGS AND WHEELS DELIVERY INC HARRISON TWP 3499588A 800 5/14/2019 7208 GONZALES JOE HARRISVILLE 3428540A 1,509 6/1/2019 5645 CHAMPIONS MARINE SERVICE INC HARSENS ISLAND 0803839A 1,944 4/24/2019 6836 1.00 STONEBACK H NEAL HARSENS ISLAND 4081625A 351 6/10/2019 0908 SKYLINE HELICOPTERS INC HARSHAW, WI 4204719A 373 4/12/2019 7422 CHANNEL HOUSING MINISTRIES INC HART 2923670A 702 4/22/2019 8810 EL CENTRO HISPANO DE OCEANA HART 5545838A 275 4/28/2019 8810 H SECURITY AND INVESTIGATION LLC HART 2202751A 1,073 5/27/2019 7720 0.95 J AND L HANDY WORX HART 4486650A 750 6/24/2019 5645 MIDWEST TIMBER HART 4474481A 750 5/19/2019 2702 SPRINGSTEAD LAW OFFICES PC HART 2082560A 502 5/15/2019 8820 ARROW AUTOMOTIVE LLC HARTFORD 4652088A 2,869 4/9/2019 8395 1.00 BROCK HILL MECHANICAL LLC HARTLAND 5722853A 719 6/9/2019 5183 HARD ROCK CONSTRUCTION LLC HARTLAND 5695651A 1,474 6/13/2019 5221 SCRAPBOOK MEGA MEET LLC HARTLAND 4061896A 539 4/20/2019 8017 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 73 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UBERWRITER SOLUTIONS LLC HARTLAND 5708141A 218 4/25/2019 8810 PINE MEADOW CONDOMINIUMS ASSOCIATION HASLET 4081803A 633 5/20/2019 9015 CHATEAU LOUISE CONDOMINIUM ASSOCIATION HASLETT 0768251A 633 6/12/2019 9015 HAMILTON HOUSE CONDOMINIUM ASSOC HASLETT 1173790A 683 4/30/2019 9015 LOCAL LAWN CARE HASLETT 4340469A 750 6/9/2019 0042 PUGH JANICE HASLETT 1682431A 640 4/24/2019 0913 1.00 SUPERIOR PRODUCTS INC OF CHARLOTTE HASLETT 0930342A 3,429 6/8/2019 9058 0.95 THREE LAKES HOMEOWNERS ASSOCIATION HASLETT 5268214A 633 6/15/2019 8810 TWIN OAKS CONDOMINIUM ASSOCIATION HASLETT 2170183A 633 4/27/2019 9015 WHITE BIRCH CONDOMINIUM ASSOCIATION HASLETT 5394147A 633 4/9/2019 9015 WOODSTONE VILLAGE ASSOCIATION HASLETT 1352857A 633 4/1/2019 9015 BRUCE ROBERT HASTINGS 5553938A 709 4/29/2019 9102 C AND N HEATING & COOLING LLC HASTINGS 4179889A 709 6/13/2019 5550 GORLEWSKI RESOURCES LLC HASTINGS 5875048A 1,650 6/14/2019 6217 GRUESBECK AGRONOMY SERVICES LLC HASTINGS 4493222A 751 4/2/2019 0128 HAWTHORNE MASONRY LLC HASTINGS 5863279A 1,072 5/9/2019 5221 MICHIGAN CAMPER RENTAL LLC HASTINGS 5728320A 1,567 6/30/2019 9015 SAMPSON ODD JOBS HASTINGS 5556325A 529 5/17/2019 5190 TAHQUA TREKKER LLC HASTINGS 4525973A 957 6/4/2019 7212 WICKHAM JOSHUA HASTINGS 5875498A 659 6/8/2019 9102 L 3 K FOREST PRODUCTS LLC HAWKS 3906779A 750 4/6/2019 2702 ROMEL WILLIAM F HAWKS 2671875A 750 5/1/2019 2702 SCHEPKE FOREST PRODUCTS HAWKS 0263770A 2,188 6/2/2019 2702 1.00 ACG INSTALLATIONS LLC HAZEL PARK 5849683A 750 4/4/2019 5645 ELIAS TRADING COMPANY HAZEL PARK 5133742A 529 4/8/2019 8018 EMG PROPERTIES LLC HAZEL PARK 5456371A 800 5/6/2019 5645 IBB PETROLEUM SERVICES INC HAZEL PARK 5190274A 3,377 4/21/2019 3724 0.95 METRO DETROIT MASONRY LLC HAZEL PARK 4865170A 825 5/4/2019 5022 0.95 TRIPLE B HD INSTALLATIONS LLC HAZEL PARK 5865174A 4,099 5/16/2019 5645 WILDS CORPORATION HAZEL PARK 4500989A 980 4/24/2019 9058 WILLIAM B CALVERLEY & SONS INC HAZEL PARK 0423360A 750 6/16/2019 8810 ARMSTRONG CONSTRUCTION HEMLOCK 5178525A 750 4/6/2019 8227 HEMLOCK HOMETOWN BUILDERS LLC HEMLOCK 5315840A 2,686 6/15/2019 5645 0.95 MEIER CONSTRUCTION HEMLOCK 4464354A 698 5/26/2019 8387 1.00 MONKS TREE SERVICE INC HEMLOCK 4065433A 825 4/12/2019 0106 1.00 1/3/2019 11:00:13 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 TRUDELLS NORTHERN TREE CARE LLC HEMLOCK 1744518A 2,696 4/18/2019 0106 0.95 A BETTER EXTERIOR LLC HIGHLAND 4788559A 4,742 4/7/2019 5606 0.92 A ONE SPRINKLERS INC HIGHLAND 3024644A 750 4/12/2019 0042 ALL PHASES REMODELING LLC HIGHLAND 5360846A 1,599 6/21/2019 5645 ATLAS ASPHALT PAVING LLC HIGHLAND 1470213A 2,037 4/28/2019 5221 0.95 BOLANDS PRECISION HARDWOOD FLOORS LLC HIGHLAND 4189370A 751 5/21/2019 5437 0.95 BRUSHWORKS PAINTING COMPANY LLC HIGHLAND 2579545A 750 5/25/2019 5476 BUCKET LIST LLC HIGHLAND 5407834A 751 5/15/2019 0106 C GREENS TREE SERVICE LLC HIGHLAND 4350740A 1,878 5/24/2019 0106 0.95 COMMERCIAL FABRICATING & ENGINEERING INC HIGHLAND 0657581A 756 4/21/2019 8742 DM WILSON CONSTRUCTION HIGHLAND 0851442A 750 4/10/2019 5437 DUKES SERVICES LLC HIGHLAND 5557216A 645 5/10/2019 5183 ECONODRY INC HIGHLAND 3047261A 984 4/8/2019 9015 0.95 GREENHILL BUILDING INC HIGHLAND 4753917A 750 5/2/2019 5437 0.95 HDL CONSTRUCTION SERVICES LLC HIGHLAND 4419472A 750 5/5/2019 5645 LAKESIDE CONTRACTING INC HIGHLAND 0514454A 2,596 5/7/2019 5476 0.95 LOW VOLTAGE APPLICATIONS INC HIGHLAND 5155266A 331 4/16/2019 5191 PMAG LLC HIGHLAND 4757432A 552 5/14/2019 8017 SCOTT DEMETER INSTALLATION LLC HIGHLAND 1761250A 1,142 5/9/2019 9521 SPECIALISTIC CONSTRUCTION INC HIGHLAND 3229483A 4,327 5/3/2019 5437 0.93 UNIVERSAL RENOVATIONS LLC HIGHLAND 4461673A 825 4/11/2019 5551 ARSMAR INC HIGHLAND PARK 5343712A 827 5/13/2019 8010 MAHADEV CORPORATION HIGHLAND PARK 3667812A 456 6/30/2019 9052 RC BRICK CLEANING HIGHLAND PARK 3662179A 750 5/12/2019 5476 SINGING TREE LLC HIGHLAND PARK 4470621A 3,847 5/16/2019 0106 0.98 CLIFFS PAINTING HILLMAN 1019422A 5,663 6/23/2019 5476 1.29 13 % PAINTER INVESTMENTS INC HILLMAN 3511790A 478 6/15/2019 9058 EMERGENCY RESPONSE TECHNOLOGIES INC HILLSDALE 3329119A 558 5/1/2019 8868 HILLSDALE COUNTY TASK FORCE ON FAMILY HILLSDALE 0881104A 950 5/14/2019 9052 0.95 VIOLENCE HILLSDALE TOWNSHIP HILLSDALE 1103415A 1,462 4/1/2019 7904 0.95 HOUSE OF REFUGE CHURCH INC HILLSDALE 3498549A 637 5/25/2019 8868 OPEN ROAD RV REPAIR LLC HILLSDALE 5875013A 260 6/7/2019 8810 ACUSTRUCT HOME REMODELING & REPAIR LLC HOLLAND 5631440A 750 4/24/2019 5437 ALVERSON MATT HOLLAND 5717574A 750 6/15/2019 5551
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 75 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BAY MEADOWS ASSOCIATION OF HOLLAND HOLLAND 1329863A 634 4/25/2019 9015 BRV VENTURES LLC HOLLAND 3805360A 1,072 5/22/2019 9015 CHINA INN SOUTH EXPRESS LLC HOLLAND 3017494A 1,861 5/5/2019 9058 0.95 CONKLIN ROOFING SYSTEMS OF MICHIGAN LLC HOLLAND 4466420A 7,782 4/24/2019 5551 0.91 D TAYLOR DETAILING LLC HOLLAND 3394492A 820 4/13/2019 8387 DEJONG CONSTRUCTION LLC HOLLAND 5720761A 750 5/31/2019 5645 DETAILED EXTERIORS LLC HOLLAND 4081463A 750 6/29/2019 5645 0.95 ELMWOOD LAKE CONDOMINIUM ASSOCIATION HOLLAND 5431409A 634 5/11/2019 9015 FOOD X INSPECTIONS LLC HOLLAND 5877849A 270 6/19/2019 4511 GLASS GERRY HOLLAND 5132533A 750 5/1/2019 7208 GREENE CONSTRUCTION GROUP LLC HOLLAND, OH 5715156A 876 5/11/2019 5606 IMOPW LLC HOLLAND 0988413A 1,400 6/28/2019 9058 KAMPHUIS MITCH HOLLAND 4764099A 750 6/30/2019 5221 KEEN LARRY HOLLAND 5418712A 750 6/26/2019 5221 KLYK LLC HOLLAND 5854296A 541 4/13/2019 3146 KROEZE BROTHERS ROOFING INC HOLLAND 1818031A 750 5/18/2019 5551 KROEZE BUILDERS LLC HOLLAND 2794365A 750 4/6/2019 5645 L AND E WALLS LLC HOLLAND 5854261A 750 4/13/2019 5403 L AND L DEVISSER LLC HOLLAND 3617084A 751 4/18/2019 8810 0.95 LAKE MICHIGAN CONSTRUCTION LLC HOLLAND 5698413A 750 4/4/2019 5645 LAKESHORE ATHLETIC CENTER LLC HOLLAND 5697352A 394 4/11/2019 9063 LAKESHORE HOME IMPROVEMENT SERVICES HOLLAND 4871774A 802 5/20/2019 8810 LLC LAWRENCE TOWING LLC HOLLAND 5530687A 750 6/25/2019 7208 0.95 MARZEC CHOCOLATES LLC HOLLAND 5863562A 387 5/10/2019 8017 MICHIGAN SNOW REMOVAL LLC HOLLAND 5149304A 2,770 6/25/2019 5506 0.95 MIKE STYGSTRA CONSTRUCTION LLC HOLLAND 4476913A 750 6/7/2019 5550 MIKES MECHANICAL LABOR LLC HOLLAND 5879426A 759 6/26/2019 5550 PARKVIEW ADULT FOSTER CARE HOME INC HOLLAND 0549762A 4,254 6/17/2019 9053 0.90 PILCHER KIRSTEN HOLLAND 4765095A 640 5/28/2019 0913 PLN PARTNERS INC HOLLAND 3533328A 1,272 4/2/2019 8748 1.00 RANDL INTERIORS LLC HOLLAND 4527763A 800 6/7/2019 5445 SAFE HOME HEALTH CARE LLC HOLLAND 4643100A 7,811 6/19/2019 8835 0.94 SM CARPENTRY LLC HOLLAND 5722616A 750 6/9/2019 5645 STAR RIGGING AND CRANE LLC HOLLAND 4981391A 700 5/2/2019 3724
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 76 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SUPERMERCADO LA EXCELENCIA LLC HOLLAND 5116058A 3,877 6/19/2019 8031 0.95 TADTEMP INC OF GRAND RAPIDS HOLLAND 2672189A 39,256 4/26/2019 2881 1.00 TRIPLE C CARPENTRY LLC HOLLAND 5479274A 750 5/24/2019 5645 WIDGET FARMS LLC HOLLAND 5156106A 242 6/20/2019 8810 A R LANDSCAPE & STONE WORK INC HOLLY 5570883A 1,569 6/4/2019 0042 0.95 ARNOLD ROOFING AND CONSTRUCTION INC HOLLY 4592344A 827 6/1/2019 8720 0.95 AT YOUR DISPOSAL INC HOLLY 5140307A 9,074 5/15/2019 7213 C J W CHIMINEY LLC HOLLY 3004104A 3,127 6/5/2019 9015 0.95 DAVID SKULBRU LLC HOLLY 5718864A 800 5/23/2019 5645 DENNIS FRANCIS ROOFING HOLLY 2531321A 800 5/14/2019 5551 EMPIRE EQUINE SERVICES LLC HOLLY 5868173A 5,378 5/25/2019 8279 GROUNDS MAINTENANCE LLC HOLLY 4796004A 6,676 6/1/2019 0042 0.93 HONEST MICHIGAN EXTERIORS LLC HOLLY 5671248A 2,342 4/14/2019 5551 INSTANT ROOFING LLC HOLLY 4797256A 750 4/7/2019 5551 LOTUS CONTRACTING LLC HOLLY 5875404A 750 6/11/2019 5221 LUCAS MECHANICAL LLC HOLLY 4480465A 644 6/14/2019 5183 M A SWIASTYN BUILDING CO LLC HOLLY 3914330A 825 6/5/2019 5645 PRECISION PAINTING IMPROVEMENTS HOLLY 5853869A 750 4/13/2019 5476 SCHAVAL ERECTORS LLC HOLLY 5707544A 5,563 4/24/2019 3365 TIMS ROOFING AND SIDING LLC HOLLY 5557054A 2,483 5/7/2019 5551 0.95 WEEDING SOLUTIONS LLC HOLLY 5863015A 751 5/8/2019 0042 WOODEN NAIL LLC HOLLY 2729270A 1,101 6/19/2019 5437 0.95 ALANTIS CORP HOLT 5397880A 802 4/22/2019 8810 FOUR SEASONS LAWN AND LANDSCAPE LLC HOLT 5857813A 899 4/21/2019 9102 G AND J CONSTRUCTION LLC HOLT 4998642A 750 4/27/2019 5645 0.95 JM CONSULTING LLC HOLT 5708206A 1,908 4/28/2019 5437 MRS CLEAN SERVICES HOLT 2273675A 1,001 5/27/2019 9015 0.95 PW STAFFING LLC HOLT 4992245A 18,266 6/9/2019 8720 1.38 RAS CONTRACTING INC HOLT 5704910A 800 4/15/2019 5403 SIMON ROOFING & CONSTRUCTION LLC HOLT 2123312A 825 4/12/2019 5551 0.95 SONJA AND SASHA INC HOLT 5866847A 1,290 5/22/2019 7208 TIMBERLAND DEVELOPMENT GROUP INC HOLT 2857898A 825 4/6/2019 5445 CROSSROADS MASONRY HOLTON 5873851A 751 6/5/2019 5022 MURPHY DENNIS HOLTON 5879124A 800 6/23/2019 5645 DYNAMIC RECOVERY SERVICE LLC HOMER 3600270A 2,214 5/2/2019 7720 0.95 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 77 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RONALD J WAGNER CONSTRUCTION HOMER 2796074A 825 4/11/2019 5645 0.95 BULL ROCK EXCAVATING LLC HOPKINS 5719402A 2,514 6/19/2019 6217 HOFFMAN TRUCKING HOPKINS 0455261A 750 4/28/2019 7208 DOCKSIDE ICE CREAM SHOP LLC HORTON 5436346A 355 4/22/2019 8017 PINE HILL FARMS LLC HORTON 5101492A 800 6/12/2019 7208 R E GIBBS CONSTRUCTION LLC HORTON 4767748A 750 6/2/2019 5645 KEWEENAW WATERWAY RESORT HOUGHTON 2043076A 412 5/28/2019 9052 WRZOS FINISHING LLC HOUGHTON 5416698A 750 6/6/2019 5445 AIRWAY PAINTING LLC HOUGHTON LAKE 4070909A 800 4/10/2019 5476 AUSABLE VALLEY PROPERTY MANAGEMENT HOUGHTON LAKE 0625221A 876 5/18/2019 5437 GREAT LAKES METALWORX HOUGHTON LAKE 5566053A 750 6/9/2019 5552 H AND H FIREWORKS LLC HOUGHTON LAKE 4972740A 1,066 6/8/2019 8017 0.95 HILLS TO HARBORS ARBORICULTURE LLC HOUGHTON LAKE 5864658A 1,083 5/15/2019 0106 ROBINSON CONTRACTING HOUGHTON LAKE 2674823A 750 6/14/2019 5645 S AND S PROFESSIONAL SERVICES LP HOUSTON, TX 5016550A 5,585 5/6/2019 8292 0.95 FAVREAU ROBERT HOWARD CITY 5709628A 751 4/28/2019 5445 REYNOLDS TOWNSHIP LIBRARY HOWARD CITY 3483932A 414 4/6/2019 8810 ACTION FLOORS LLC HOWELL 3129799A 750 5/12/2019 5437 0.94 ADVANCED COMPUTING AND MANAGEMENT INC HOWELL 3028178A 219 6/14/2019 8810 ALLENS SET UP & SERVICE LLC HOWELL 1851250A 708 5/4/2019 9015 AMERICAN MAINTENANCE OF MI HOWELL 3185990A 1,215 5/20/2019 9015 0.95 BLUE WATER SOLUTIONS CLEANING LLC HOWELL 4365291A 683 5/15/2019 9015 BODY WITHIN INC HOWELL 4343301A 639 6/1/2019 9063 BV ENGINEERING ELECTRICAL CONTRACTOR HOWELL 2554194A 529 4/30/2019 5190 C AND D FENCE LLC HOWELL 5276675A 750 5/31/2019 6400 C D CONTRACTING LLC HOWELL 1831380A 6,425 4/29/2019 5645 0.94 CAMO CREEK HYDROGRAPHICS LLC HOWELL 5270510A 721 4/28/2019 8010 CAMP TALAHI RETREAT & NATURE CENTER HOWELL 4991842A 2,093 6/15/2019 9015 0.95 CHAMPION CHEERLEADING COMPANY HOWELL 3485110A 3,757 4/1/2019 9015 0.90 CHESTNUT DEVELOPMENT LLC HOWELL 1667211A 806 5/21/2019 6217 0.88 CIRCUIT BREAKER RECYCLING LLC HOWELL 5860652A 5,391 5/1/2019 8264 CLUB CANINE INC HOWELL 3936473A 1,725 5/13/2019 8831 0.95 CONVERSE CONSTRUCTION HOWELL 3829308A 750 6/22/2019 5645 DAUS PAINTING HOWELL 3093590A 906 4/10/2019 5476 DJ DEMOLITION INC HOWELL 5661196A 18,269 4/6/2019 5645 1/3/2019 11:00:13 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 EASTBROOK CONSTRUCTION LLC HOWELL 1080881A 825 4/28/2019 5551 ESSENTIAL PERSONNEL INC HOWELL 2861640A 18,157 6/21/2019 9501 0.77 ESTATES AT ARCADIA RIDGE CONDOMINIUM HOWELL 5727545A 633 6/27/2019 9015 ASSOCIATION FAMILY TREE DOCTOR LLC HOWELL 5720044A 750 5/26/2019 0106 FARMLAND SERVICES INC HOWELL 5602653A 1,470 5/26/2019 8232 FIRST RESPONSE PLUMBING LLC HOWELL 5521327A 645 5/18/2019 5183 GM CONSTRUCTION LLC HOWELL 3779050A 750 6/14/2019 5645 HALLMARK SOFTWARE & ENGINEERING LLC HOWELL 3617386A 235 4/19/2019 8810 HOSPITAL STORAGE SOLUTIONS LLC HOWELL 4798031A 283 4/26/2019 8742 HOWELL MAIN STREET INC HOWELL 5708214A 400 5/1/2019 8810 JAGLA WINDOW & DOOR INC HOWELL 4086139A 750 6/26/2019 5645 JEFF GARDNER ROOFING HOWELL 3867757A 750 5/19/2019 5551 JRM CONSTRUCTION SERVICES LLC HOWELL 4734220A 750 6/15/2019 5437 0.95 K AND S CONSTRUCTION HOWELL 2091895A 1,987 5/6/2019 5645 0.95 KOZLOFF BUILDING COMPANY INC HOWELL 0545481A 3,408 5/25/2019 5645 KSR HOME IMPROVEMENTS LLC HOWELL 0421006A 750 4/3/2019 5645 LISTO LLC HOWELL 1169734A 1,612 5/4/2019 6217 NOBLE DOG INC HOWELL 5724686A 1,109 6/16/2019 8831 PARDIAC TOWING & RECOVERY LLC HOWELL 5563739A 7,355 6/7/2019 7208 0.95 PET RITZ KENNELS INC HOWELL 0294799A 1,983 6/21/2019 8831 1.00 PINE CREEK BLUFFS CONDOMINIUM HOWELL 5544688A 633 4/12/2019 9015 ASSOCIATION PLATINUM DESIGNS INC HOWELL 3648141A 219 4/26/2019 8810 0.95 R AND M WINDOWS INC HOWELL 4363620A 751 6/26/2019 5462 RESCUE LLC HOWELL 4639006A 633 6/18/2019 9015 ROOFAL ROOFING COMPANY LLC HOWELL 4972023A 750 4/19/2019 5551 RP ROOFING INC HOWELL 3288790A 1,893 6/19/2019 5606 STAMPER AND SON EXCAVATING LLC HOWELL 5408334A 2,474 5/29/2019 6217 0.95 SUP DOGS LLC HOWELL 5863201A 354 5/9/2019 8017 TASKEY RODNEY HOWELL 5881307A 750 6/30/2019 5221 THERMWRIGHT LLC HOWELL 5867096A 637 6/1/2019 9015 TOWLES TRANSPORT INC HOWELL 5276667A 800 6/11/2019 7208 TREEMASTER INC HOWELL 1867520A 750 6/18/2019 0106 TWO STUDIO GYM LLC HOWELL 5632501A 623 6/14/2019 9063 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 79 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge YENGLIN GARY L HOWELL 3777669A 1,055 4/15/2019 0042 DONAJKOWSKI TRUCKING LLC HUBBARD LAKE 4564413A 750 4/28/2019 7208 0.94 HUBBARD LAKE COMMUNITY ASSOCIATES INC HUBBARD LAKE 1117262A 987 5/19/2019 7704 AMERICAN FIREWORKS COMPANY HUDSON, OH 0634280A 1,238 4/19/2019 9015 0.95 BORCKS OUTDOOR SERVICE LLC HUDSON 3014304A 1,207 5/24/2019 9102 1.00 SORGI AMERICAN FIREWORKS MICHIGAN LLC HUDSON, OH 5319072A 462 4/1/2019 8017 ACTION WAKE PARK LLC HUDSONVILLE 5548705A 429 5/7/2019 8017 B AND J MILLER LLC HUDSONVILLE 3262626A 3,034 6/25/2019 9058 0.95 BENCHMARK EQUINE SERVICES LLC HUDSONVILLE 5125812A 1,662 4/9/2019 8279 0.95 BRUISER VENTURES LLC HUDSONVILLE 5568838A 750 6/20/2019 5476 0.95 C AND R MOBILE WASH LLC HUDSONVILLE 5751578A 1,072 5/9/2019 9015 CJ CONSTRUCTION HUDSONVILLE 5859700A 750 4/26/2019 5645 CLEARPOINT CONSULTING LLC HUDSONVILLE 3618188A 218 4/3/2019 8810 CUSTOM LANDSCAPE RENOVATIONS LLC HUDSONVILLE 5706866A 750 4/28/2019 0042 DAVE POHLER PAINTING LLC HUDSONVILLE 4617967A 800 4/22/2019 5476 DE YOUNG LANCE HUDSONVILLE 5282276A 750 6/19/2019 5645 DEFINITION BUILDERS LLC HUDSONVILLE 4347358A 750 5/30/2019 5645 DOUG ULBERG BUILDER & DEVELOPER INC HUDSONVILLE 2244861A 750 6/2/2019 5645 ELITE ELECTRICAL SERVICES LLC HUDSONVILLE 5409144A 529 5/30/2019 5190 FAULKNER JON HUDSONVILLE 5860601A 750 4/30/2019 5645 GAIL D DIEMERS ACCOUNTING & TAX SERVICE HUDSONVILLE 5258405A 304 4/29/2019 8810 INC GEORGETOWN PAVEMENT SERVICES LLC HUDSONVILLE 5610150A 800 4/4/2019 5476 GO GREEN LAWN CARE LLC HUDSONVILLE 5548713A 660 4/20/2019 9102 GRITTERS LAWN & LANDSCAPE LLC HUDSONVILLE 5396131A 1,497 4/16/2019 9102 0.95 HOP EXCAVATING INC HUDSONVILLE 2335158A 800 6/10/2019 6217 J AND I FLOOR COATINGS LLC HUDSONVILLE 5862205A 2,509 5/4/2019 5476 JBS BUILDERS LLC HUDSONVILLE 5207126A 750 4/7/2019 5645 0.95 JEFF SCHOLTEN BUILDER LLC HUDSONVILLE 3016013A 750 5/22/2019 5645 KOTMAN ELECTRIC LLC HUDSONVILLE 5860628A 597 4/28/2019 5190 MARCUSSE CONSTRUCTION COMPANY LLC HUDSONVILLE 4844122A 825 6/1/2019 5645 0.95 PERMEATOR DISTRIBUTORS LLC HUDSONVILLE 5019567A 280 5/1/2019 8810 PRESTIGE SIDING AND WINDOW LLC HUDSONVILLE 5536421A 750 4/1/2019 5645 SETH VAN KOEVERING BUILDER LLC HUDSONVILLE 5406544A 750 5/21/2019 5645 SHEPARD AND SCHUT DRYWALL CO HUDSONVILLE 0940372A 750 6/28/2019 5445 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 80 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STERK TREVOR HUDSONVILLE 5725437A 750 6/17/2019 5476 TRINITY HOME IMPROVEMENT LLC HUDSONVILLE 5441994A 4,841 5/11/2019 5437 TRIPLE K DEVELOPMENT LLC HUDSONVILLE 4763645A 800 5/5/2019 5645 VERSTRATE CARPENTRY HUDSONVILLE 4055624A 750 4/19/2019 5437 VRUGGINK BROS CONCRETE & CONSTRUCTION HUDSONVILLE 3183289A 801 6/15/2019 5221 0.95 INC WABEKE CONSTRUCTION LLC HUDSONVILLE 5282268A 800 6/19/2019 5645 ZEHNS ENTERPRISE LLC HUDSONVILLE 0915386A 751 4/1/2019 0042 RAMTRA MANAGEMENT SERVICES LLC HUNTINGTON WOODS 5275571A 878 5/29/2019 5437 0.95 REYNTJES ANDREW HUNTINGTON WOODS 5275032A 640 6/2/2019 0913 RORKE JACOB IDA 4862899A 694 4/21/2019 5183 ALL CITIES RESTORATION LLC IMLAY 5574730A 825 6/30/2019 5645 BIG DS KUSTOMZ IMLAY CITY 5143977A 499 5/6/2019 8393 EARL HUMMEL FARMS INC IMLAY CITY 5155592A 567 6/19/2019 0128 IMLAY CITY AUTO SALES LLC IMLAY CITY 5396522A 353 5/8/2019 8748 M V KULIN HOMES INC IMLAY CITY 3778878A 750 5/9/2019 5183 STAMPTECH INCORPORATED IMLAY CITY 5401925A 5,510 5/7/2019 5221 T L C CLEANING IMLAY CITY 5698901A 633 4/5/2019 9015 WARNARS CHIROPRACTIC CENTER PLLC IMLAY CITY 1516051A 619 5/4/2019 8832 H 2O MOBILE PRESSURE WASHING INC INDEPENDANCE, OH 5394040A 1,481 4/8/2019 9015 BROTHERS TREE SERVICE OF INDIAN RIVER INC INDIAN RIVER 3782875A 3,705 4/1/2019 0042 0.93 ERC INSULATION INDIAN RIVER 2456877A 644 6/9/2019 5183 T B CHAPMAN CONSTRUCTION INC INDIAN RIVER 4059387A 753 4/22/2019 8810 TUSCARORA TOWNSHIP VOLUNTEER FIRE INDIAN RIVER 1478761A 801 6/12/2019 7904 0.95 ASSOCIATION INC LGR MULTI SERVICES LLC INDIANAPOLIS, IN 5848156A 1,196 4/2/2019 5020 USA HALLOWEEN PLANET INC INDIANAPOLIS, IN 4946839A 1,301 6/5/2019 8017 0.95 WALKER INTERNATIONAL CAPITAL LLC INDIANAPOLIS, IN 5128137A 7,486 4/1/2019 9015 0.92 ADVANCED PERSONNEL LLC INKSTER 5539463A 153,256 4/1/2019 9015 0.63 API COMMUNICATIONS LLC INKSTER 4652002A 655 4/14/2019 5191 BAILEY LAWN SERVICE INKSTER 2133024A 710 6/15/2019 9102 DC INSTALLATION INC INKSTER 4067487A 750 6/1/2019 5645 DRAPERY BY ERNEST LLC INKSTER 0593168A 1,240 5/13/2019 9521 0.95 EA PETRO 3 INC INKSTER 5865808C 635 5/25/2019 8017 GENESIS CREATIVE SOLUTIONS LLC INKSTER 0931349A 800 4/27/2019 5190
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 81 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HANKINS PLASTERING INKSTER 1337483A 2,159 6/17/2019 5480 1.00 MCMILLIAN GROUP INC INKSTER 3473872A 7,921 4/28/2019 7208 0.89 AMERICAN BOAT RENTALS LLC INTERLOCHEN 4390946A 1,306 5/15/2019 9015 0.95 C AND C LAWN AND LANDSCAPE LLC IONIA 5839262A 1,021 6/11/2019 0042 MOORE MASONRY LLC IONIA 5422574A 1,741 5/4/2019 5022 0.95 S AND R ROOFING & SIDING LLC IONIA 5548276A 750 5/31/2019 5551 TREVOR MERREN AUTO INC IONIA 5452295A 7,891 4/14/2019 8748 0.91 BEAR EQUIPMENT CO INC IRA 5703484A 969 4/14/2019 8107 CUSTOM MICHIGAN BUILDERS INC IRA 4893581A 750 4/16/2019 5551 0.92 LAFAVORITE CONSTRUCTION LLC IRA 5863856A 750 5/11/2019 5645 PERFECTION REMOD LLC IRA 3999696A 750 5/11/2019 5645 SUPERIOR FRAMING LLC IRA 5456797A 750 4/25/2019 5645 1.30 SUPERIOR ROADSIDE SERVICES LLC IRA 5394074A 1,228 4/15/2019 8387 0.95 COMMERCIAL CONSTRUCTION MANAGEMENT IRA TWP 2383659A 828 6/16/2019 8810 0.95 LLC CAGLE TREE SERVICE LLC IRON MOUNTAIN 5143640A 1,878 5/22/2019 0106 0.95 CURB SIDE AUTO INC IRON MOUNTAIN 5267030A 939 6/1/2019 8387 JMD FORESTRY LLC IRON MOUNTAIN 5263638A 259 5/1/2019 8601 MILLER TREE SERVICE LLC IRON MOUNTAIN 4872371A 2,705 5/23/2019 0042 0.95 NORTHWOODS ADVENTURES LLC IRON MOUNTAIN 5268176A 2,077 5/29/2019 9015 1.00 WENDER LOGGING INC IRON MOUNTAIN 1844156A 750 5/26/2019 2702 ARROW SPLICING LLC IRON RIVER 5853419A 750 4/11/2019 5191 BIG WATER LIMITED IRON RIVER 4518241A 750 6/9/2019 2702 CARLSON LOGGING IRON RIVER 0808806A 750 5/3/2019 2702 D W LOGGING IRON RIVER 1414810A 750 6/3/2019 2702 FORESTRY CONSULTING INC IRON RIVER 0099309A 750 4/23/2019 7208 GREG DONATI TRUCKING INC IRON RIVER 1341014A 750 4/10/2019 7208 J AND J FOREST PRODUCTS IRON RIVER 1125087A 750 6/10/2019 2702 JOHN J GENDZWILL FOREST PRODUCTS INC IRON RIVER 4513266A 750 6/28/2019 2702 LADU TRUCKING IRON RIVER 5544068A 750 4/9/2019 7208 LAWRENCE J WIEGAND EXCAVATING IRON RIVER 3913228A 750 5/31/2019 6217 M AND J FOREST PRODUCTS IRON RIVER 1600010A 750 6/8/2019 2702 MAIN STREET CAFE IRON RIVER 2704811A 1,112 4/23/2019 9058 0.95 MIKES LOGGING & EXCAVATING IRON RIVER 5714699A 750 6/9/2019 2702 NORTHERN TIMBER TRANSPORT INC IRON RIVER 3720683A 750 5/26/2019 2702 0.96
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge S STAFFORD LOGGING LLC IRON RIVER 4892216A 750 5/18/2019 2702 SCHMIDT FOREST PRODUCTS INC IRON RIVER 3209814A 750 4/10/2019 2702 SIERRA SEAMLESS INC IRON RIVER 0291617A 2,402 4/1/2019 5538 0.95 TIMBER RIDGE FOREST PRODUCTS LLC IRON RIVER 1593684A 750 4/15/2019 2709 TOWNSEND GREG IRON RIVER 2104067A 750 4/21/2019 2702 AHOS NORTHWOODS LOGGING LLC IRONWOOD 3026760A 750 6/1/2019 2709 AURORA ATHLETIC CLUB IRONWOOD 4854284A 560 4/7/2019 9058 DEAN PEARSON EXCAVATING & LOGGING INC IRONWOOD 0373249A 750 5/30/2019 2702 0.95 GLOBE INDUSTRIES INC IRONWOOD 1064789A 1,973 5/1/2019 1624 1.05 JIM BOCK LOGGING LLC IRONWOOD 5570255A 750 6/7/2019 2709 MOUSIE INC IRONWOOD 4086252A 340 6/18/2019 9063 SPRING CREEK HOMES IRONWOOD 3943860A 350 5/24/2019 9058 WHITECAP KAYAK LLC IRONWOOD 4490568A 616 6/6/2019 6836 0.95 HALLUM CONSULTING INC ISHPEMING 5396794A 649 4/27/2019 8601 JANICE KAYS TRUCKING & EXCAVATING ISHPEMING 0099848A 850 5/23/2019 7208 JESSE PIETRO TIMBER TRUCKING INC ISHPEMING 3839940A 750 6/26/2019 2709 RNS EXCAVATING ISHPEMING 1796380A 800 5/13/2019 7208 MAPLE VIEW ASSISTED LIVING INC ITHACA 1795163A 3,749 6/30/2019 9053 0.89 MID STATE PRINTING INC ITHACA 1881817A 836 6/7/2019 4299 0.95 POWELSON REPAIR ITHACA 5872391A 750 6/1/2019 7208 SEI TECH INC ITHACA 5274257A 353 6/21/2019 8810 A WILLIAMS RESTORATION & PAINTING JACKSON 5877636A 750 6/16/2019 5476 ACE ROOFING COMPANY LLC JACKSON 0587826A 1,214 4/18/2019 5551 ANGEL OF MINE HOME CARE LLC JACKSON 5697298A 745 4/14/2019 8835 AWARE INC JACKSON 1132890A 2,474 5/3/2019 8832 0.95 BATEMAN ROOFING LLC JACKSON 5147794A 825 6/1/2019 5551 BEAMAN DERIC JACKSON 3476308A 750 5/4/2019 5221 BLAISDELL TRUCKING INC JACKSON 4743652A 2,835 5/19/2019 8395 1.00 CRC CHAZ ROOFING & CONTRACTING LLC JACKSON 5853451A 825 4/18/2019 5551 DG CONSTRUCTION JACKSON 5782775A 825 4/11/2019 5551 DIAMOND ASPHALT PAVING LLC JACKSON 5866324A 2,989 5/19/2019 5221 DIVERSIFIED CONSTRUCTION SERVICES OF JACKSON 0887498A 5,818 6/20/2019 5645 0.92 JACKSON LLC DREAM SCAPES LANDSCAPING JACKSON 5863481A 1,050 5/10/2019 5221 F N D CONSTRUCTION LLC JACKSON 5539340A 870 4/12/2019 5645 0.95
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 83 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FARR OUT ENTERPRISE JACKSON 5852110A 825 4/18/2019 5551 GT RANCH LLC JACKSON 0184659A 1,736 4/15/2019 0128 0.95 JACKSON JOURNEYS LLC JACKSON 5884306A 233 6/30/2019 8742 JEFF L BROWN CONSTRUCTION LLC JACKSON 2747537A 5,154 4/8/2019 5146 0.91 LANSING AFFORDABLE HOMES INC JACKSON 3773310A 633 4/1/2019 9015 MERIT COMMERCIAL CONTRACTING LLC JACKSON 3883876A 4,144 6/21/2019 5403 0.89 MTB WAYNE LLC JACKSON 5555086A 750 5/3/2019 5645 PETTY ENTERPRISES LLC JACKSON 4429907A 800 6/7/2019 5551 POWELL MACHINE LLC JACKSON 5862078A 1,286 5/3/2019 3632 RELIANT LLC JACKSON 4739990A 1,054 4/16/2019 5437 0.95 RUGG SERVICES LLC JACKSON 2369664A 932 6/28/2019 9521 0.95 SCHELL JERRED JACKSON 5862582A 825 5/5/2019 5551 SLIMS TRIM JACKSON 5727979A 750 6/29/2019 5437 SURGICAL SERVICES OF MICHIGAN LLC JACKSON 0242020A 11,301 4/1/2019 8832 1.39 27 % TOWN BAR INC JACKSON 0298522A 406 5/1/2019 9058 WOOD PEST PROS LLC JACKSON 5544890A 2,263 4/12/2019 9015 0.95 X CELL TRUCK ENTERPRISES INC JACKSON 4064879A 750 6/9/2019 7208 Z TECH LLC JACKSON 5720141A 4,128 5/26/2019 5190 ACTION RESTORATION INC JENISON 4356306A 7,627 4/13/2019 9015 1.25 BILLS SANDBOX INC JENISON 0531995A 2,312 5/25/2019 4000 0.95 CHASES LLC JENISON 5877717A 233 6/18/2019 8742 DANIEL J POSTMA TILE INC JENISON 4474325A 750 5/31/2019 5348 DEANS OF ROOFING LLC JENISON 5854326A 6,346 4/16/2019 5551 DUANE DEVRIES BUILDER LLC JENISON 0255203A 752 4/3/2019 8810 EMERSON LOFTS LLC JENISON 4695658A 910 6/30/2019 9586 0.95 INTEGRITY STAFFING LLC JENISON 5255694A 48,421 5/28/2019 0106 0.94 JAVO CONSTRUCTION LLC JENISON 3355578A 750 6/20/2019 5183 JOEL STERK PAINTING LLC JENISON 5703700A 1,640 4/14/2019 5476 KARSTEN FRAMING JENISON 2464713A 750 5/23/2019 5645 KEYSTONE CONSTRUCTION CO LLC JENISON 5862760A 750 5/5/2019 5645 LEIN PHIL JENISON 5725470A 750 6/20/2019 5437 LFE JENISON LLC JENISON 5262747A 759 4/17/2019 5550 MIKE TERVOORT CUSTOM HOMES LLC JENISON 4315545A 750 4/11/2019 5645 MITTEN CUSTOM BUILDING LLC JENISON 5864984A 750 5/24/2019 5645 NIR INC JENISON 0720917A 750 5/28/2019 5645 0.97 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 84 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PEAK ROOFING LLC JENISON 3818799A 1,024 4/22/2019 5551 0.95 PROSCAPE CONSTRUCTION LLC JENISON 5332842A 750 6/17/2019 9102 RELIABLE ROOFING & EXTERIORS LLC JENISON 5722462A 755 6/8/2019 8810 RELIANT CONSTRUCTION & ROOFING LLC JENISON 4435540A 750 6/1/2019 5551 RIDGELINE ELECTRIC LLC JENISON 5856248A 529 4/19/2019 5190 ROCK RIVER CONSTRUCTION LLC JENISON 5862574A 750 5/5/2019 5645 RVA INC JENISON 5321638A 3,203 5/4/2019 7016 SCOTT MOL DRYWALL INC JENISON 2785811A 800 5/5/2019 5445 SERVISCREEN INCORPORATED JENISON 0433411A 139,809 4/30/2019 4299 2.11 40 % SQUEAKY CLEAN WINDOW CARE AND POWER JENISON 5705690A 633 4/18/2019 9015 WASHING LLC VEENSTRA TODD JENISON 5879396A 800 6/26/2019 5437 VENTURE DESIGN & CONSTRUCTION INC JENISON 3068560A 750 6/15/2019 5437 0.92 VUGTEVEEN BRANDON JENISON 5553059A 750 4/27/2019 5645 WHITE DOG ENTERPRISES INC JENISON 2483378A 1,681 5/13/2019 8279 0.95 JENNIFER LYNN EVANS LLC JEROME 5393353A 374 4/24/2019 8720 ALPINE PRECISION SURFACE LLC JOHANNESBURG 5850134A 2,039 4/6/2019 5348 DEL THOMAS LOG HOME REPAIR LLC JOHANNESBURG 5273781A 4,033 5/31/2019 5476 0.93 WHITETAIL FORESTRY LLC JOHANNESBURG 5849233A 750 4/3/2019 2702 RIFENBERG EXCAVATING INC JONES 5877431A 2,050 6/15/2019 6217 BABLE BOB JONESVILLE 5725755A 750 6/24/2019 2702 CERTIFIED MAINTENANCE LLC JONESVILLE 2230747A 2,567 5/3/2019 9015 0.96 CONEY HUT DRIVE INN LLC JONESVILLE 1145010A 464 5/17/2019 9058 HAYES TRUCKING JONESVILLE 5707200A 750 5/6/2019 7208 STOLL CONSTRUCTION LLC JONESVILLE 1883712A 13,526 4/13/2019 5645 0.86 ULTIMATE LAWN CARE & TREE SERVICE JONESVILLE 5181054A 2,647 6/2/2019 0106 0.95 A AND H INVESTIGATION SECURITY KALAMAZOO 4179269A 1,768 5/10/2019 7720 0.95 MANAGEMENT INC A NEW LEAF KALAMAZOO 2457415A 431 6/1/2019 8001 0.95 ACE EXCAVATING AND GRAVEL INC KALAMAZOO 3198693A 1,931 6/2/2019 6217 BEACHS DRYWALL KALAMAZOO 5859107A 750 4/27/2019 5445 BRICKSTONE CONSTRUCTION LLC KALAMAZOO 4783794A 750 4/23/2019 5022 BROWN CUSTOM HOMES AND REMODELING INC KALAMAZOO 3187373A 37,890 5/22/2019 5538 BROWN CUSTOM HOMES AND REMODELING INC KALAMAZOO 3187373A 40,991 5/22/2019 5551 BUTLER FLOORING INC KALAMAZOO 3409171A 1,990 5/14/2019 9521 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge C AND C AUTO & TRUCK SERVICE INC KALAMAZOO 4400720A 596 5/31/2019 8395 0.95 CHAD RUSSELL CONSTRUCTION KALAMAZOO 5720052A 5,720 5/26/2019 5645 CHARLES ZAGAR BUILDERS KALAMAZOO 0518670A 750 4/19/2019 5645 CHERUB ENTERPRISES LLC KALAMAZOO 5714613A 2,234 5/15/2019 8835 COMMUNITY AIDS RESOURCE AND EDUCATION KALAMAZOO 0694436A 2,783 6/28/2019 8832 0.96 SERVICES OF SW MI DANS CUSTOM REMODELING LLC KALAMAZOO 2633060A 750 6/1/2019 5645 DMA EMPLOYMENT GROUP LLC KALAMAZOO 3512169A 591 4/27/2019 4511 0.95 DREAM MANAGEMENT LLC KALAMAZOO 5697956A 633 4/17/2019 9015 DUSTIN LEWIS KALAMAZOO 4793536A 750 6/25/2019 5551 ELEGANCE CLEANING LLC KALAMAZOO 5865190A 708 5/16/2019 9015 EVENT LABOR INC KALAMAZOO 1451391A 24,940 6/1/2019 9154 1.71 27 % FIRST CHOICE INSPECTIONS LLC KALAMAZOO 5872294A 1,251 6/1/2019 8720 FISCHELL ANNE A KALAMAZOO 4751353A 1,093 5/18/2019 0908 0.95 FREDERICK LIBIN KALAMAZOO 5319048A 4,292 4/27/2019 0913 0.90 GIGGY NORRIS KALAMAZOO 5244447A 750 4/10/2019 5437 GREAT LAKES FLOORING SOLUTIONS INC KALAMAZOO 5560160A 775 6/20/2019 5348 GREENLINK INC KALAMAZOO 5572436A 625 6/13/2019 8810 HASSAN MAHMOUD KALAMAZOO 5877598A 800 6/16/2019 7208 HELIOS SOLAR LLC KALAMAZOO 4661591A 846 6/17/2019 7538 0.95 HOWARD JOHN KALAMAZOO 5849721A 1,302 4/4/2019 0042 HYER TRENT KALAMAZOO 3251411A 800 5/17/2019 5403 IMPACT MI KALAMAZOO 5368081A 269 5/9/2019 8810 INTERFAITH STRATEGY FOR ADVOCACY & KALAMAZOO 5001196A 404 5/26/2019 8810 ACTION IN THE COMMUNITY JD TREE WORKS LLC KALAMAZOO 5878055A 750 6/20/2019 0106 JOHNSON PEST CONTROL LLC KALAMAZOO 5849667A 633 4/4/2019 9015 JORGE ARMANDO GARCIA RAMIREZ KALAMAZOO 5862256A 750 5/4/2019 5551 KALAMAZOO IN BLOOM INC KALAMAZOO 2266059A 874 5/6/2019 0042 0.95 KALAMAZOO OPTIMIST HOCKEY ASSOCIATION KALAMAZOO 1980734A 2,155 4/25/2019 9015 0.95 INC KALAMAZOO RIGHT TO LIFE KALAMAZOO 2148927A 234 5/15/2019 8810 KARAH ADIB KALAMAZOO 5877679A 800 6/16/2019 7208 KRH LANDSCAPING LLC KALAMAZOO 5708974A 660 4/27/2019 9102 KUSTER BUILDING AND DESIGN LLC KALAMAZOO 5413150A 2,867 4/6/2019 5645 LANDO LLC KALAMAZOO 5752019A 754 4/11/2019 8810 1/3/2019 11:00:13 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 MAGIC BUBBLES KALAMAZOO 5695678A 633 4/20/2019 9015 MARTIN AND ASSOCIATES ENVIRONMENTAL LLC KALAMAZOO 3478262A 9,575 4/7/2019 5348 0.85 MLS BUILDERS LLC KALAMAZOO 5867126A 750 5/23/2019 5645 O HALLORAN KENNETH M JR KALAMAZOO 2380706A 750 4/14/2019 5022 OMEGA ROOFING LLC KALAMAZOO 5376998A 750 6/3/2019 8810 ONLY OUTDOOR LIVING LLC KALAMAZOO 5872383A 1,659 6/1/2019 0042 PALCO ENTERPRISES CORP KALAMAZOO 2518694A 1,373 6/10/2019 5476 0.95 PANDORAS GOLD LLC KALAMAZOO 0544833A 913 6/21/2019 9058 PRECISION ROOFING INC KALAMAZOO 4297679A 2,228 6/12/2019 5645 1.36 13 % QUALITY CASTINGS KALAMAZOO 0104957A 6,677 6/30/2019 3085 1.31 13 % ROCK AND GARDEN LANDSCAPING KALAMAZOO 4764404A 750 5/12/2019 0042 ROOFS N MORE KALAMAZOO 2493683A 4,126 5/25/2019 5645 0.93 SINGLETON GREGORY KALAMAZOO 4885040A 750 5/4/2019 5645 STATE APPROVED INSPECTION SERVICES LLC KALAMAZOO 5251818A 259 5/31/2019 8601 STATEWIDE ROOFING & EXTERIORS LLC KALAMAZOO 5373689A 750 6/30/2019 5551 STEELCON INC KALAMAZOO 0594059A 1,190 4/15/2019 5606 0.95 TOTAL TREE SERVICE INC KALAMAZOO 3784452A 6,409 4/23/2019 0042 1.39 13 % TRIPLE G TRANSPORT LLC KALAMAZOO 5403340A 800 4/20/2019 7208 TWO THOUSAND 233 N BURDICK INC KALAMAZOO 5876800A 335 6/14/2019 8045 VILLANUEVA ANGEL AROS MIGUEL KALAMAZOO 5862183A 750 5/4/2019 5551 VR DEVELOPMENT LLC KALAMAZOO 4394801A 314 6/8/2019 8810 WITH A SMILE CLEANING SERVICES LLC KALAMAZOO 5866839A 634 5/22/2019 9015 WLP EXECUTIVE PROTECTION GROUP LLC KALAMAZOO 5408695A 1,229 5/24/2019 7720 WORLDWIDE LAB IMPROVEMENT INC KALAMAZOO 3790819A 1,190 6/10/2019 5191 B P LOGGING KALKASKA 4455886A 800 5/10/2019 2702 BRETT GALLAGHER LICENSED BUILDER KALKASKA 0289639A 750 4/18/2019 5437 ELN LLC KALKASKA 4990730A 751 6/2/2019 8232 MARTINDALE QUALITY LINERS LLC KALKASKA 4677897A 825 5/8/2019 6216 0.95 NORTHERN EXTERIORS & DESIGN INC KALKASKA 3111741A 750 5/29/2019 5551 NRG FLOOR COVERING SERVICES LLC KALKASKA 5853753A 591 4/12/2019 9521 HUSKINS FLOOR COVERING LLC KAWKAWLIN 2390868A 13,251 4/13/2019 9521 1.47 13 % MY BROTHERS BAR INC KAWKAWLIN 4079191A 350 5/18/2019 9058 GLENN HYRKAS LOGGING LLC KEARSARGE 5867924A 3,728 5/25/2019 2709 A C E ANIMAL CONTROL EXPERTS LLC KEEGO HARBOR 5034710A 506 5/5/2019 8831 FAIRWOOD VILLAS CONDOMINIUM ASSOCIATION KEEGO HARBOR 1596934A 633 4/17/2019 9015 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 87 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FRANKLIN COLONY CLUB ASSOCIATION KEEGO HARBOR 0984124A 683 5/13/2019 9015 JDS PRO INC KEEGO HARBOR 3492737A 7,320 4/1/2019 5022 0.95 ORCHARD RIDGE CONDOMINIUM ASSOCIATION KEEGO HARBOR 4343140A 633 5/5/2019 9015 PR 39 INDUSTRIES LLC KEEGO HARBOR 5286220A 2,604 4/27/2019 8010 0.95 PROBST LANDSCAPE SERVICE KEEGO HARBOR 1380010A 750 5/1/2019 0042 SAFES UNLIMITED INC KEEGO HARBOR 5545765A 883 4/15/2019 8010 SQUARE LAKE HILLS ASSOCIATION KEEGO HARBOR 0207667A 708 5/12/2019 9015 L KESTNER 24 7 PROPERTY MAINTENANCE LLC KENOCKEE 5121990A 825 4/25/2019 5022 ADVANCED HOME IMPROVEMENT COMPANY INC KENT CITY 2063697A 1,309 4/30/2019 5645 APPLELAND PLANTS & LANDSCAPING LLC KENT CITY 1543458A 751 4/7/2019 0042 DLB BUILDERS LLC KENT CITY 3504590A 750 5/5/2019 5213 HILBRAND LUKE KENT CITY 5876850A 750 6/13/2019 5348 LUTZ LOGGING KENT CITY 4926323A 750 4/23/2019 2702 MTW TRUCKING LLC KENT CITY 5866871A 16,227 5/29/2019 7208 PRECISION INTERIORS LLP KENT CITY 5350093A 591 4/14/2019 9521 0.95 R AND M CARPET & REMODELING LLC KENT CITY 3745120A 591 4/4/2019 9521 SUMMIT CONSTRUCTION OF WEST MICHIGAN KENT CITY 4725620A 750 6/1/2019 5437 INC TNT PLUMBING KENT CITY 5744954A 644 6/13/2019 5183 CORNERSTONE PROPERTY GROUP INC KENTWOOD 4371070A 2,456 5/8/2019 9015 FLOORCOVERING ENGINEERS LLC KENTWOOD 4869010A 641 5/10/2019 9521 FONGERS MICHAEL KENTWOOD 3633306A 750 5/18/2019 5645 HAPPY HOMES KENTWOOD 5728304A 800 6/30/2019 5645 JOEL JOHNSON KENTWOOD 5023092A 750 5/7/2019 8292 MIGUELS CONSTRUCTION LLC KENTWOOD 5159768A 800 6/29/2019 5445 OASIS CARE SERVICES LLC KENTWOOD 5866820A 725 6/20/2019 9053 SKIP LOCATORS INC KENTWOOD 5011094A 435 6/30/2019 8810 T AND G TREE SERVICE INC KENTWOOD 3438520A 890 6/19/2019 0106 0.95 ZZ CUSTOM BUILDERS LLC KENTWOOD 5265622A 1,542 4/28/2019 5645 GOOD NATURE FARMS KEWADIN 1054864A 1,318 6/10/2019 0130 DONE RITE KIMBALL 5028256A 2,150 6/6/2019 5437 JOE YOUNG EXCAVATING LLC KIMBALL 4739868A 750 6/29/2019 0042 THUMB AUTO OF KINDE LLC KINDE 5532663A 1,322 4/1/2019 8395 0.95 MELROSE PYROTECHNICS INC KINGSBURY, IN 2190494A 1,833 4/1/2019 9015 0.95 C W LOGGING INC KINGSFORD 2605872A 750 6/18/2019 2702
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UPLAND ENTERPRISES INC KINGSFORD 5874157A 1,003 6/6/2019 6834 BIG BRUSH PAINTING KINGSLEY 5165865A 2,883 5/8/2019 5476 0.95 CEDAR CREEK CROSSINGS LLC KINGSLEY 5245036A 944 6/30/2019 8279 COUNTRYSIDE SENIOR AFC LLC KINGSLEY 5555744A 607 5/13/2019 9053 NORTHBOUND CONSTRUCTION SERVICES LLC KINGSLEY 5847087A 800 5/20/2019 5645 PATON LOGGING LLC KINGSLEY 5419026A 750 6/30/2019 2702 SHERWOOD JOSEPH P KINGSLEY 2740311A 750 6/26/2019 5551 TEAM WANDO INC KINGSLEY 5723981A 803 6/15/2019 5445 VANDERPOEL TRUCKING INC KINGSTON 2411849A 1,261 4/16/2019 7208 0.95 E J AND Z TRANSPORT LLC LACHINE 5421276A 12,649 4/27/2019 2702 0.86 JAMES HANSEN FOREST PRODUCTS LLC LACHINE 3665194A 750 4/26/2019 7208 BORKHOLDERS CUSTOM LOGGING LLC LAGRANGE, IN 5865352A 2,451 5/16/2019 2702 AUSTIN KYLE LAINGSBURG 4879252A 750 6/16/2019 5645 J GORDON ASSOCIATES INC LAINGSBURG 0771600A 751 6/16/2019 0042 MARK BRINK CONSTRUCTION LAINGSBURG 2426080A 2,638 6/12/2019 5645 MICHQUITOES INC LAINGSBURG 5722829A 3,341 5/4/2019 9015 RHOGE SATCOM CONSULTING LLC LAINGSBURG 5137659A 3,088 5/13/2019 3724 0.95 SE GROWTH INC LAINGSBURG 5401828A 3,704 5/19/2019 9015 SUGGATE CONSTRUCTION LLC LAINGSBURG 3943160A 3,507 4/22/2019 5551 1.00 A AND B DRYWALL SAGINAW LLC LAKE 4465423A 750 5/25/2019 5445 GARFIELD TOWNSHIP OF CLARE COUNTY LAKE 0999857A 5,225 4/1/2019 9410 1.22 10 % TOTAL SERVICE ELECTRIC LLC LAKE ANN 5050456A 2,079 6/18/2019 5190 0.95 BLAIR CONTRACTING LAKE CITY 5876117A 750 6/9/2019 5645 H AND H FOREST PRODUCTS LAKE CITY 5304261A 750 4/4/2019 2702 JOHN MARTIN SIDING & TRIM LAKE CITY 4048865A 750 4/1/2019 5437 JOHNS M 55 AUTO INC LAKE CITY 4464281A 962 5/16/2019 8395 0.91 NAROVICH CHARLES W LAKE CITY 2782740A 750 4/11/2019 2702 PREE THOMAS M LAKE CITY 5859719A 698 4/26/2019 0005 REEDER TOWNSHIP LAKE CITY 1393898A 709 5/4/2019 9220 JAMES MURPHY TRUCKING LLC LAKE LINDEN 3836690A 750 6/20/2019 7219 B ZELMER TRUCKING LLC LAKE ODESSA 5553512A 750 5/1/2019 7208 TRUTE CONSTRUCTION LLC LAKE ODESSA 2181592A 750 4/1/2019 5479 A AND D ANIMAL CONTROL INC LAKE ORION 3169413A 1,894 5/8/2019 8831 0.95 ADAPTIVE FITNESS INC LAKE ORION 5880009A 573 6/27/2019 8835 AJ MUELLER PHOTOGRAPHY LLC LAKE ORION 5069076A 1,284 6/14/2019 4361 0.95 1/3/2019 11:00:13 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 CORINTHIAN STONE RESTORATION LLC LAKE ORION 4858913A 750 4/12/2019 5348 DEANO MACS SERVICES LLC LAKE ORION 3340686A 3,352 5/10/2019 0042 0.96 DUNRITE ROOFING & SIDING COMPANY INC LAKE ORION 3080897A 520 4/22/2019 8742 0.95 EXTRA RESOURCES INC LAKE ORION 2191423A 10,013 6/17/2019 4484 1.21 FIVE HUNDRED 11 HEIGHTS LLC LAKE ORION 5545897A 882 4/20/2019 8006 HRABINA LAWN SERVICES LAKE ORION 5868025A 801 5/25/2019 9102 INTERIOR PERFECTION LAKE ORION 4884612A 750 4/14/2019 5476 J 5 CONSULTING & CONSTRUCTION SERVICES LAKE ORION 5717060A 4,732 5/13/2019 5476 LLC KEATINGTON HOMEOWNERS ASSOC INC LAKE ORION 1047647A 953 4/29/2019 9015 LYMTAL INTERNATIONAL INC LAKE ORION 1504380A 453 6/7/2019 4558 MASTER HOMES INC LAKE ORION 2017849A 800 6/12/2019 5445 N D M INC LAKE ORION 2534460A 750 5/15/2019 0106 ORION HOMES INC LAKE ORION 0909530A 750 6/20/2019 5645 OTC ROOFING & SHEET METAL LLC LAKE ORION 5554586A 825 4/30/2019 5551 PARRISH LAWN AND SNOW LLC LAKE ORION 3913830A 750 5/18/2019 9102 POSEY TRANSPORTERS INC LAKE ORION 4419804A 4,618 5/1/2019 7208 0.94 ROCK HOMES LLC LAKE ORION 4982894A 750 5/5/2019 5645 RTB CONSTRUCTION LLC LAKE ORION 5268591A 750 5/9/2019 0042 SALK COMMUNICATIONS INC LAKE ORION 5158940A 852 6/28/2019 3681 1.00 SNEARY SERVICES LLC LAKE ORION 5683475A 365 4/26/2019 8810 SQUARE DEAL CONSTRUCTION LLC LAKE ORION 2035324A 750 6/10/2019 5437 STARRS ROOFING & CONSTRUCTION LLC LAKE ORION 5721393A 8,462 6/2/2019 5645 TEPER ARTHUR II LAKE ORION 5409861A 591 6/3/2019 9521 TURMANS TREE AND LANDSCAPE LLC LAKE ORION 5436664A 5,361 6/10/2019 0106 0.95 VENETIAN PLASTER COMPANY LLC LAKE ORION 5414261A 750 6/17/2019 2881 WORMSBAECHER HANS LAKE ORION 5547962A 259 4/19/2019 8601 BRAD WERNETTE CONSTRUCTION LLC LAKEVIEW 5486440A 3,408 4/27/2019 5645 TAYLOR DENNIS K LAKEVIEW 0206326A 750 4/25/2019 5476 LAKE RESTORATION ASSOCIATION LAKEVILLE 1207334A 1,298 5/26/2019 0005 0.95 GREEN HILLS LOT OWNERS ASSOCIATION LAMBERTVILLE 0903094A 549 4/28/2019 9061 R H TAYLOR MECHANICAL CONTRACTORS CORP LAMBERTVILLE 4885287A 1,739 6/20/2019 5183 0.95 TIKKYS TREE SERVICE LANSE 4363701A 2,717 5/12/2019 0106 0.95 ACES GAMING SUPPLY LLC LANSING 4502329A 429 5/1/2019 8017 1.00 ALL STAR DRYWALL & PAINTING LLC LANSING 5725216A 750 6/17/2019 5445
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALLENS CONTRACTING LANSING 5862280A 750 5/21/2019 5645 B AND V BROTHERS LLC LANSING 5863139A 7,697 5/11/2019 5551 BREWER IRON & METAL LLC LANSING 5167787A 33,691 6/12/2019 7216 0.90 BRUCE KRUGER INC LANSING 1963317A 1,533 6/14/2019 5645 CASTILLO CESAR RANGEL LANSING 5877776A 750 6/16/2019 5445 CASTILLO RANGEL ANTONIO LANSING 3804348A 750 6/16/2019 5445 CHRISTIE MICHAEL J LANSING 4794796A 751 4/19/2019 5437 CJ CONSULTANTS LLC LANSING 5855802A 750 4/18/2019 5645 COMPLETE RESTORATION LANSING 5855209A 1,364 4/17/2019 5445 CRANBERRY LAKE CAMPGROUND INC LANSING 5878438A 894 6/22/2019 9015 DELPHI GLASS CORPORATION LANSING 0267821A 23,461 4/18/2019 8017 1.72 27 % DEO CONSTRUCTION LLC LANSING 5713862A 750 5/9/2019 5551 DTN PROPERTIES LLC LANSING 4001648A 633 4/7/2019 8810 ENROLL MICHIGAN LANSING 5491690A 743 5/18/2019 8810 FAWAZ ENTERPRISES INC LANSING 3436160A 750 6/28/2019 0106 FIANNA GROUP LLC LANSING 5859662A 1,760 4/26/2019 7720 FIVE STAR TECH SERVICES LLC LANSING 4778723A 750 6/18/2019 7600 GILES REMODELING SERVICES LANSING 5872278A 750 6/1/2019 5445 GREENWOOD ACRES CONDOMINIUM LANSING 3074560A 633 4/30/2019 8810 ASSOCIATION HEEGAL CORPORATION LANSING 4652797A 430 6/15/2019 9063 HIGHWAY PERMITS LLC LANSING 4872363A 1,151 5/25/2019 9015 0.95 JACK C DAVIS PC LANSING 2844850A 216 4/1/2019 8820 JDK RESTORATION CONTRACTORS LLC LANSING 5472423A 750 6/13/2019 5437 JIM HENSLEYS PAINTING LANSING 0605077A 750 4/12/2019 5476 JOYRIDE PEDAL TOURS LLC LANSING 5326290A 1,594 6/3/2019 7380 K AND B SMITH ENTERPRISES LLC LANSING 5141982A 752 5/18/2019 5183 KESSLER RENTAL PROPERTY LANSING 2927225A 1,153 5/29/2019 0042 0.95 KINGDOM HOMES INC LANSING 0412937A 753 5/10/2019 5645 LANDINGS AT RAYNER PONDS CONDOMINIUM LANSING 4565584A 633 6/23/2019 9015 ASSOCIATION LEONARDS CARPET INC LANSING 0436070A 592 5/11/2019 9521 0.95 LORENCEN BRIAN LANSING 5848199A 640 4/2/2019 0913 LUKE FREUND BUILDER LANSING 4734254A 751 6/22/2019 8810 MANS BEST FRIEND LLC LANSING 5867711A 640 5/24/2019 7610
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MENDOZA AGUILAR HERACLIO LANSING 5873010A 750 6/2/2019 5445 MENDOZA EDUARDO AGUILAR LANSING 5872960A 750 6/2/2019 5445 MESSNER THOMAS LANSING 5279690A 351 6/12/2019 0908 MICHIGAN INSTALLERS INC LANSING 2678241A 5,219 4/18/2019 9519 0.94 MIENTERTAINMENT GROUP INC LANSING 5701716A 1,215 4/10/2019 9058 MIRACLE ARC INC LANSING 3515940A 1,198 5/2/2019 3365 0.95 MTC JANITOR SERVICES LLC LANSING 5853478A 1,534 4/11/2019 9015 NELSON TANK ENGINEERING & CONSULTING INC LANSING 1885111A 1,135 4/11/2019 8601 0.95 NICKS CLEANING SERVICE LLC LANSING 3073238A 633 4/9/2019 9015 NORTHERN EXPOSURE PROPERTY LANSING 5027322A 751 6/22/2019 5476 MAINTENANCE LLC PAMELA F R O G LLC LANSING 2198649A 1,169 6/11/2019 8868 0.95 PLATINUM PAINT COATINGS LLC LANSING 4323157A 750 5/14/2019 5476 0.95 PNC PUNCH OUT LANSING 5864313A 1,047 5/16/2019 5476 PURE PROMOTIONS LLC LANSING 5515726B 312 6/16/2019 7610 R AND G TORCHING LLC LANSING 5555558A 2,264 6/7/2019 3365 REPLAY TAVERN LLC LANSING 5697867A 1,669 4/1/2019 9058 ROBIN L OMER PLLC LANSING 5552990A 255 4/27/2019 8810 RT PRO PAINTING LANSING 5642388A 750 6/19/2019 5476 SC ENVIRONMENTAL SERVICES LLC LANSING 4485882A 42,395 6/25/2019 5183 1.39 SHINGLE POINT LLC LANSING 1866907A 9,318 5/14/2019 5551 SIMPLE ELEGANCE INC LANSING 4299680A 697 5/13/2019 9053 SMALL FOLKS DEVELOPMENT CENTER INC LANSING 1444123A 731 5/1/2019 8869 SPARTAN MASONRY LLC LANSING 5849977A 4,130 4/5/2019 5022 SQUARE ONE TRANSPORT INC LANSING 5135176A 9,214 5/7/2019 7208 1.49 WELLNESS INX LLC LANSING 5726328A 7,573 6/23/2019 8835 WESTERN TEMPORARY SERVICES OF LANSING LANSING 2641534A 463 4/6/2019 8810 INC WILSON STEPHEN LANSING 1779397A 750 6/22/2019 5645 WOODBRIDGE COMMONS COOPERATIVE LANSING 5158788A 1,618 6/28/2019 9015 AA GENESEE CONTRACTING & CONSULTATION LAPEER 2920751A 750 5/26/2019 5645 LLC ASHLEY CONSTRUCTION LAPEER 4472870A 3,178 5/4/2019 5645 0.95 BRITTON ELECTRIC INC LAPEER 2235358A 581 4/14/2019 5190 CHIPPEWA RIDGE FLOORING LLC LAPEER 5323436A 750 5/3/2019 5348 CORNERSTONE BRICK & LANDSCAPE INC LAPEER 3996808A 1,150 5/30/2019 9102 1/3/2019 11:00:13 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 DEPENDABLE ROOFER LLC LAPEER 2299461A 825 5/25/2019 5551 DYNAMIC HOME SERVICES LLC LAPEER 4763181A 825 4/14/2019 5348 FICK FARMS LLC LAPEER 3197387A 684 5/21/2019 8006 FOUR STAR ROOFING LAPEER 0436240A 750 5/26/2019 5551 HILL TOP TRANSPORT LLC LAPEER 5402328A 825 5/7/2019 7208 J AND K ELECTRIC INC LAPEER 2467607A 579 6/27/2019 5190 J AND S TRUCKING & CLEANUP LLC LAPEER 3012662A 2,046 5/6/2019 5610 0.95 KRYSTOFICK BUILDING COMPANY LLC LAPEER 5743486A 6,651 5/25/2019 5403 LAPEER LAWN CARE LLC LAPEER 5227178A 659 4/25/2019 9102 M AND M TILE & MARBLE LLC LAPEER 5152461A 750 6/8/2019 5348 MASONRY SPECIALIST INC LAPEER 0730726A 800 5/19/2019 5022 0.95 MID VALLEY TRANSPORTATION LLC LAPEER 3493512A 6,432 4/29/2019 7212 0.86 NASSAR AND ASSOCIATES LLC LAPEER 5165520A 225 6/8/2019 8810 PAUL PARSCH PAINTING LAPEER 0022039A 750 4/18/2019 5476 RNS DETAILING LLC LAPEER 5408229A 286 6/11/2019 8810 ROSS POOL PLASTERING LLC LAPEER 5872332A 750 6/1/2019 5223 RW CLIMATE CONTROL LLC LAPEER 5859727A 709 4/26/2019 5550 SPRAYTIGHT INC LAPEER 4945921A 4,046 6/12/2019 5479 0.92 STREAMLINE RENOVATIONS LLC LAPEER 5716802A 750 5/22/2019 5437 WATERMAN CONSTRUCTION LAPEER 1602136A 750 4/6/2019 5551 SUPER TRANSPORT INTERNATIONAL LTD LAREDO, TX 5216290A 9,357 4/1/2019 7208 1.53 13 % PYROTEK SPECIAL EFFECTS INC LAS VEGAS, NV 5837871A 2,840 4/20/2019 5190 ELEGANCE PAINTING INC LATHRUP VILLAGE 5414156A 751 6/23/2019 8810 FOUNDATION OF MICHIGAN ASSOCIATION OF LATHRUP VILLAGE 5263085A 634 4/18/2019 8832 PHYSICIANS OF INDIAN HERITAGE LAMA HOME HEALTH CARE LLC LATHRUP VILLAGE 5257646A 854 4/4/2019 8835 THIRD GEN MGT INC LATHRUP VLG 5702410A 6,549 4/12/2019 9015 HEALTHCARE RESOLUTION SERVICES INC LAUREL, MD 5465915A 247 6/15/2019 8810 HOLT WILBERT LAUREL, MD 5858453A 633 5/2/2019 9015 LOPEZ GERARDO M LAUREL, MD 5859115A 633 5/2/2019 9015 RAMIREZ RAFAEL LAUREL, MD 5859980A 633 4/27/2019 9015 REGAL CANINE SECURITY LLC LAUREL, MD 4882709A 3,800 6/29/2019 7720 0.93 ZUNIGA OSCAR LAUREL, MD 5861730A 633 5/2/2019 9015 GARDNER JUSTIN LAWRENCE 5863473A 3,202 5/14/2019 5645 LAWRENCE TOWNSHIP LAWRENCE 0340375A 8,360 4/4/2019 7704 0.97
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BADGER LAWN CARE LLC LAWTON 2528185A 801 5/2/2019 9402 JEWELL METAL FINISHING INC LAWTON 5562988A 1,671 5/17/2019 3365 0.95 PREFERRED POURED WALLS & EXCAVATING INC LAWTON 3681351A 750 6/10/2019 5221 TERRY PHILLIPS LLC LAWTON 4996496A 233 6/22/2019 8742 WATERTIGHT ROOFING SYSTEMS LLC LAWTON 3027112A 2,686 6/16/2019 5551 0.95 TRISON BUSINESS SOLUTIONS INC LE ROY, NY 3946541A 413 5/31/2019 8810 FAIRBORN EQUIPMENT MIDWEST INC LEBANON, OH 5283485A 6,685 6/24/2019 3724 0.89 GOOD HARBOR BUILDERS INC LELAND 2765497A 1,355 5/8/2019 5645 0.90 DLM DRYWALL LENNON 5169518A 750 6/17/2019 5445 FINISH LINE HARDWOOD FLOORS LENOX 5877652A 1,176 6/18/2019 5437 NU VIEW CONSTRUCTION LLC LENOX 3795616A 750 6/24/2019 5190 ADDISON TREE & OUTDOOR SERVICES LLC LEONARD 5079071A 3,747 4/5/2019 0106 0.95 ASBESTOS MOLD & ENVIRONMENTAL SERVICES LEONARD 5877229A 694 6/14/2019 5183 LLC G R HOME IMPROVEMENT L L C LEONARD 5303001A 750 4/7/2019 5348 GLEN VALLEY PLUMBING & HEATING LEONARD 1212788A 644 5/5/2019 5183 KEY CONSTRUCTION LEONARD 0615617A 10,062 6/19/2019 5403 0.95 NEVER WET LEONARD 4861850A 644 4/20/2019 5183 PRECISION CRAFT HARDWOOD FLOORS LLC LEONARD 3228037A 882 6/26/2019 5437 0.95 TIMBER TREE SERVICE LEONARD 1345575A 930 6/14/2019 0106 0.95 TOTAL HEATING COOLING AND ELECTRICAL LLC LEONARD 5651409A 709 4/21/2019 5550 WESTWOOD BUILDING LLC LEONARD 5409969A 825 6/3/2019 5645 FAVOR FOREST PRODUCTS LEROY 4597311A 1,042 5/30/2019 2702 0.95 HOSS BUILDERS LEROY 5875480A 800 6/8/2019 5645 LEROY ROSE LAKE FIRE DEPARTMENT LEROY 2118947A 2,669 4/24/2019 7704 0.95 ADVANCED CONSTRUCTION & SERVICES LLC LESLIE 5276900A 2,766 5/31/2019 5645 B AND T EXCAVATING & LANDSCAPING INC LESLIE 1675214A 2,387 5/22/2019 6217 0.95 BEACH BUILDERS & CRAFTSMEN LLC LESLIE 5711746A 2,426 5/3/2019 5551 TOP NOTCH TREE CARE LLC LESLIE 5547113A 1,254 4/23/2019 0106 0.95 WHITE PINE ACADEMY LESLIE 3193721A 293 5/21/2019 8810 BEE FRIENDLY GARDENING LEVERING 5849128A 1,743 4/3/2019 0042 ANTHONYS MASONRY & MORE LEWISTON 2966697A 750 6/8/2019 5022 NORTHLANDER CONSTRUCTION LLC LEWISTON 3355837A 10,152 4/15/2019 5403 1.39 27 % IST OHIO INC LEXINGTON, OH 5709768A 362 4/28/2019 8742 JLR GROUP LLC LEXINGTON 5394252A 800 4/9/2019 5476
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SURE CUT LAWN & LANDSCAPE LEXINGTON 5405610A 2,545 5/19/2019 9102 1.00 LILLEY TOWNSHIP OF NEWAYGO COUNTY LILLEY 0292877A 1,579 6/1/2019 9410 0.95 CONNECTED STRATEGY ADVISORS LLC LIMA, OH 5405300A 2,070 5/14/2019 8742 0.95 SMITH BOUGHAN INC LIMA, OH 5853486A 644 4/11/2019 5183 ALCONA DREDGE LLC LINCOLN 4411218A 951 4/17/2019 7335 0.95 GILLARD LEORA F TRUST LINCOLN 5262836A 351 4/22/2019 0908 PACE AND HONG AUCTIONS LLC LINCOLN 4814703A 781 4/15/2019 8017 1.00 RMS TOWING LLC LINCOLN 5710723A 750 4/29/2019 7208 ADCO LOGISTICS LLC LINCOLN PARK 5697883A 11,981 4/22/2019 7208 BARRON CONSTRUCTION LINCOLN PARK 4979672A 750 4/27/2019 5551 CRUZ HIDALGO JUAN LINCOLN PARK 5394813A 750 4/11/2019 5022 CUSTOM FURNITURE SOLUTIONS LLC LINCOLN PARK 5692954A 750 4/25/2019 7214 DACOR CONSTRUCTION LLC LINCOLN PARK 5000785A 14,175 5/24/2019 5645 0.90 DIX CONEY ISLAND INC LINCOLN PARK 1043960A 563 6/11/2019 9058 E AND J TREE SERVICE INC LINCOLN PARK 4124073A 3,608 4/28/2019 0106 0.95 FLORES SCAPES LLC LINCOLN PARK 5699690A 750 6/9/2019 5215 GONZALEZ SERVICES INC LINCOLN PARK 5727928A 1,127 6/29/2019 0042 GS TREES INC LINCOLN PARK 3634469A 3,206 4/16/2019 0042 0.92 PRECIOUS PAINTING PLUS LINCOLN PARK 5571650A 750 6/10/2019 5476 SHAFTMASTERS INC LINCOLN PARK 4158024A 2,735 5/28/2019 3632 0.95 SLADE FAMILY CONSTRUCTION INC LINCOLN PARK 1446169A 750 5/11/2019 5022 STIR 2014 INC LINCOLN PARK 5293790A 3,301 6/13/2019 9058 0.91 THREE R HOME IMPROVEMENT LLC LINCOLN PARK 4297814A 1,804 4/30/2019 5022 0.95 TORRES FRAMING LLC LINCOLN PARK 5454115A 3,783 5/24/2019 5645 0.94 UNIVERSAL PAINTING LINCOLN PARK 2972492A 750 4/17/2019 5476 WHEAT CONSTRUCTION LLC LINCOLN PARK 5707099A 750 4/30/2019 5645 ALTERNATIVE RECOVERY SOLUTIONS LLC LINDEN 5258057A 1,216 4/10/2019 7720 0.95 BUGG BUILDERS LLC LINDEN 3377652A 800 6/20/2019 5645 ELITE GROUP LINDEN 5846617A 1,619 4/3/2019 5551 FIRST CLASS SERVICES OF MICHIGAN INC LINDEN 5344336A 659 4/26/2019 9102 HOLTSLANDER AND SONS TREE SERVICE LLC LINDEN 5542464A 3,255 4/6/2019 0106 0.95 LEBEC ENTERPRISES INC LINDEN 4391721A 38,462 6/12/2019 5552 1.37 13 % MILLAY CONSTRUCTION LINDEN 2870940A 800 4/14/2019 5551 NOVINSKI BUILDERS LINDEN 5878187A 750 6/21/2019 5645 REDMON CONSTRUCTION LLC LINDEN 5716187A 800 5/11/2019 5551 1/3/2019 11:00:13 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 SMP BUSINESS SERVICES LLC LINDEN 5540917A 244 4/2/2019 8810 THREE HUNDRED 9 INSPECTION GROUP LLC LINDEN 5857791A 374 4/23/2019 8720 COIL LINE SERVICE INC LISBON, OH 5214629A 1,418 5/26/2019 3724 0.95 BURNS KENNETH LITCHFIELD 5719992A 750 5/26/2019 5221 W R ELLIOT & ASSOCIATES LIMITED LITTLE LAKE 5577985A 293 6/23/2019 8810 A AND A DRIVING SCHOOL INC LIVONIA 0608327A 1,634 5/8/2019 8868 0.95 A AND H AMBICA JV LLC LIVONIA 4079442A 313 4/14/2019 8810 0.95 A AND K TREE SERVICE INC LIVONIA 0582123A 750 4/10/2019 0106 ABOVE AND BEYOND INSTALLATION INC LIVONIA 4641540A 750 6/26/2019 9558 ACTION PAINTBALL PARK LLC LIVONIA 5725062A 926 6/27/2019 9015 ADVANCED ENGINEERING SERVICES LIVONIA 5878446A 842 6/22/2019 4511 AIMS GROUP INC LIVONIA 5544840A 1,078 5/5/2019 8810 AIRFLOW SCIENCES CORP LIVONIA 0623083A 25,819 4/1/2019 8601 1.47 13 % ALTON BORING CO INC LIVONIA 1548514A 478 6/5/2019 3629 AMBERJACK CONSTRUCTION INC LIVONIA 3263673A 750 6/9/2019 5221 AMERICAN SOCIETY OF EMPLOYERS LIVONIA 4993012A 4,579 6/30/2019 8810 0.87 ANDERSON SANDRA SUE LIVONIA 5863244A 513 5/9/2019 0909 ANGEL GARDENS LLC LIVONIA 4949773A 2,184 5/22/2019 9058 0.87 ANSELMO BRENDA LIVONIA 5874947A 1,520 6/22/2019 0913 ANTONIOS LEATHER EXPERTS LLC LIVONIA 5071410A 793 4/14/2019 9522 ARMANDOS CONCRETE INC LIVONIA 4106270A 994 6/4/2019 5221 0.95 BAKUN HELEN T LIVONIA 5879418A 351 6/27/2019 0908 BEAUCHAMP LINDA LIVONIA 5857503A 351 4/21/2019 0908 BILLYS ROOFING LLC LIVONIA 3001873A 750 5/7/2019 5403 0.95 BURTON HOLLOW SWIM AND RACQUET CLUB LIVONIA 0733199A 1,530 6/8/2019 9061 0.95 CALO AND SONS TRUCKING INC LIVONIA 5566835A 3,307 6/5/2019 7208 0.95 CANZANO CONTRACTING CORP LIVONIA 0481696A 10,688 4/14/2019 5610 1.47 10 % CARATELLI GROUP LLC LIVONIA 5876460A 385 6/12/2019 5606 CARLSON GLORIA LIVONIA 5856744A 513 4/20/2019 0909 CARLTON FLOORS LIVONIA 3928608A 1,096 6/23/2019 9521 0.95 CARPENTER CASSANDRA LIVONIA 5534224A 351 6/22/2019 0908 CENTER MASS INC LIVONIA 4497082A 3,140 5/1/2019 8017 0.92 CLAY RAYMOND A LIVONIA 5874130A 513 6/6/2019 0909 CLEAN AIR TESTING INC LIVONIA 4354524A 1,154 4/16/2019 8601 0.95 COE BRENDA L LIVONIA 5863120A 351 5/9/2019 0908 1/3/2019 11:00:13 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 COLGAN FORD LIVONIA 5874190A 826 6/6/2019 0909 CONTRACT KITCHENS & BATH INC LIVONIA 2987953A 750 5/28/2019 5437 CYNTHIA MARTIN LLC LIVONIA 5405343A 1,200 5/15/2019 9521 0.95 DAVIS WILLIE G LIVONIA 5880556A 513 6/28/2019 0909 DEBY LEBOW DESIGN ASSOCIATES LLC LIVONIA 5414806A 825 6/17/2019 5183 DELORGE KATHLEEN LIVONIA 5874262A 513 6/6/2019 0909 DESCHENES GARY LIVONIA 4986288A 408 5/17/2019 8810 DPI CONTRACTING INC LIVONIA 4843339A 750 6/16/2019 5476 DVM CONSTRUCTION COMPANY INC LIVONIA 4753615A 750 5/21/2019 5645 E AND E TECH LLC LIVONIA 5868149A 381 5/25/2019 5191 ENERGY SAVERS INC LIVONIA 2017083A 753 5/7/2019 8742 ENRICHED LIFE HOME CARE SERVICES LLC LIVONIA 5150841A 12,044 6/7/2019 8835 0.84 EUGENE L WILLIAMS LLC LIVONIA 1011855A 775 4/23/2019 5403 EVENTS EXTRAORDINARE INC LIVONIA 4718666A 7,661 5/15/2019 9063 1.32 13 % FIRST CHOICE HOME IMPROVEMENT LIVONIA 5553830A 800 5/10/2019 5645 FIRST STOP HOME CARE INC LIVONIA 5854385A 1,093 4/13/2019 8835 GARCIA LINDA LIVONIA 5863236A 351 5/9/2019 0908 GET SKILLZ BASKETBALL LLC LIVONIA 4977017A 683 4/11/2019 8810 GLASS CITY MOVERS LIVONIA LLC LIVONIA 5850266A 5,597 4/6/2019 8293 GRANITE PLANET INC LIVONIA 4329210A 3,712 5/13/2019 1624 0.90 GRIWATSCH KIMMEL LIVONIA 5575141A 826 6/28/2019 0909 HIGH FIVE PEDAL TOURS LLC LIVONIA 5877555A 634 6/15/2019 9015 HOLIDAY HUT PARTY STORE LIVONIA 1951513A 619 6/28/2019 8017 HOLLABAUGH JOAN LIVONIA 5880289A 351 6/28/2019 0908 HOPE MATTHEW LIVONIA 4769090A 761 6/2/2019 0908 0.95 HOSPITALITY ENDEAVORS LLC LIVONIA 5348234A 1,389 6/29/2019 9058 0.95 HRYCZYK HARRY & CINDY LIVONIA 2346915A 825 6/11/2019 5645 INTELIGENTE SOLUTIONS INC LIVONIA 2189534A 2,558 4/18/2019 3146 0.95 J AND J RESTORATION LLC LIVONIA 4472365A 751 5/22/2019 0042 0.95 J CANADA ROOFING LLC LIVONIA 5723370A 825 6/10/2019 5551 JDM BUILDING COMPANY LLC LIVONIA 2735954A 800 4/11/2019 5645 JOHNSON KATHRYN M LIVONIA 5865522A 513 5/17/2019 0909 K 2 RESTORATION INC LIVONIA 3174336A 800 5/25/2019 5445 K AND D CONSTRUCTION LIVONIA INC LIVONIA 4408330A 800 6/26/2019 5645 KERNERS WINDOW CLEANING LLC LIVONIA 4866207A 2,350 4/30/2019 9015 1.00 1/3/2019 11:00:13 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 KNEPP FINANCIAL GROUP LLC LIVONIA 2572907A 512 6/29/2019 8810 KRC TRANSPORT LLC LIVONIA 5865670A 5,759 5/16/2019 7208 LITTLE CRITTER SITTER LLC LIVONIA 4705238A 440 5/26/2019 8831 LLOYD KAREN LIVONIA 5684331A 351 6/28/2019 0908 LLOYD LARRY LIVONIA 5598940A 513 6/28/2019 0909 M K INSTALLATIONS LIVONIA 5459826A 825 6/29/2019 5645 MACE MARBLE & GRANITE INC LIVONIA 3527565A 11,843 6/12/2019 5348 1.47 13 % MACEK LAWN CARE LIVONIA 5545803A 660 4/14/2019 9102 MARK J MOSS DPM PC LIVONIA 0612464A 308 5/4/2019 8832 MARTINEZ JAMES LIVONIA 5869889A 513 5/30/2019 0909 MASTROIANNI ROSE LIVONIA 5859883A 502 4/27/2019 0908 MATICK CONSTRUCTION LLC LIVONIA 5717230A 800 5/18/2019 5476 MATUZAK CHERRYL LIVONIA 5880394A 351 6/28/2019 0908 MAYFIELD MAINTENANCE LLC LIVONIA 4012780A 750 4/27/2019 5476 0.95 MCPHERSON KIM LIVONIA 5869994A 513 5/30/2019 0909 MEDORA BUILDING COMPANY LIVONIA 1739565A 750 4/5/2019 3365 0.95 METRO DETROIT HOME IMPROVEMENT INC LIVONIA 4873530A 800 5/27/2019 5551 MICHIGAN LAWN CARE AND LANDSCAPING INC LIVONIA 3926087A 1,396 6/10/2019 0042 0.95 MIDWEST 1 INC LIVONIA 5706840A 13,164 5/18/2019 8264 MILLENNIUM BUSINESS SYSTEMS LLC LIVONIA 3077985A 12,176 4/9/2019 5191 1.51 13 % MN EXPRESS INC LIVONIA 4753836A 52,868 5/18/2019 7208 1.33 13 % MORGAN BILLIE J LIVONIA 5865565A 351 5/17/2019 0908 MOTOWN QUALITY AUTO LLC LIVONIA 5856850A 2,939 4/20/2019 7212 NALARA QUALITY SYSTEM LLC LIVONIA 4918835A 27,020 5/17/2019 8010 1.70 20 % NEWBURGH LAKE CONDOMINIUM ASSOCIATION LIVONIA 1244485A 634 5/25/2019 9015 NEXT JEN CONTRACTORS LLC LIVONIA 2087260A 856 6/20/2019 9015 NO LEAK HOME IMPROVEMENTS LLC LIVONIA 5849594A 750 4/5/2019 5645 NO PLACE LIKE HOME HEALTH LLC LIVONIA 5721423A 1,563 6/5/2019 8835 OLYS MARBLE AND TILE LLC LIVONIA 5694701A 750 4/7/2019 5348 PABST WILLIAM LIVONIA 5876818A 351 6/13/2019 0908 PANTHER ENTERPRISES INC LIVONIA 3513904A 1,261 4/11/2019 8017 0.95 PERMA BOND ASPHALT COMPANY LIVONIA 3034356A 750 6/10/2019 5221 PLATINUM CONSTRUCTION GROUP LLC LIVONIA 5543347A 750 4/8/2019 5645 PLI PRO LIFT INC LIVONIA 1733800A 2,190 6/18/2019 8107 0.95 PREMIER RESTORATION INC LIVONIA 4401638A 825 6/15/2019 5645 1/3/2019 11:00:13 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 R AND B CONSTRUCTION SERVICES INC LIVONIA 1975749A 492 5/28/2019 5606 R AND R XTERIOR INC LIVONIA 4834518A 800 5/2/2019 5645 RAHM CAROL LIVONIA 5880548A 513 6/28/2019 0909 RALPH EICKHOFF COMPANY LIVONIA 2613972A 693 4/18/2019 3365 0.95 RBG PROPERTIES LLC LIVONIA 3195368B 634 6/2/2019 9015 REGLAZE AND SAVE LIVONIA 1364677A 641 5/22/2019 9521 ROB DS PRECISION FLOORS LLC LIVONIA 1173740A 1,979 4/8/2019 5437 0.95 ROCK OUT ENTERTAINMENT INC LIVONIA 5390613A 630 6/14/2019 9156 0.95 RONIN INVESTIGATIONS LLC LIVONIA 5861705A 1,715 5/9/2019 7720 ROZNER CODY JOE LIVONIA 5869625A 1,382 5/30/2019 0908 SAEGER DARRYL LIVONIA 5859832A 513 4/27/2019 0909 SAFETY AND TECHNICAL RESCUE ASSOCIATION LIVONIA 3605230A 2,204 4/21/2019 7980 0.95 SANDERS LOGAN LIVONIA 5308852A 640 6/22/2019 0913 SCOT CLUGSTON LLC LIVONIA 2250756A 750 6/6/2019 0106 SEAWAY MAINTENANCE SERVICES LLC LIVONIA 3155668A 825 4/7/2019 5476 0.91 SEEFELD MARY LIVONIA 5865573A 351 5/17/2019 0908 SHAIN ROOFING AND SHEET METAL INC LIVONIA 2994712A 16,736 6/26/2019 5551 0.83 SIMMONS MEDICAL GROUP PC LIVONIA 0189774B 1,438 6/28/2019 8832 0.95 SMITH RANDY PAUL LIVONIA 5869668A 513 5/30/2019 0909 SNYDER DIANE LIVONIA 5865697A 513 5/17/2019 0909 SOLARSHIELD PAINTSHIELD LLC LIVONIA 5391180A 1,353 6/30/2019 9521 SRA COMFORT CARE PROVIDERS INC LIVONIA 5722020A 2,386 6/8/2019 8835 STAFF MASTERS INC LIVONIA 5720613A 8,891 5/31/2019 9403 STEMPINS LAWN CARE LLC LIVONIA 5717191A 1,701 5/18/2019 9102 SULI INC LIVONIA 4584805A 11,238 6/9/2019 7216 0.95 SUMMIT ROOFING & REMODELING LLC LIVONIA 4989260A 1,528 5/30/2019 5437 0.95 SWANSONS LANDSCAPING LLC LIVONIA 2534819A 800 6/3/2019 0042 TANK JAMES LIVONIA 5849241A 502 4/14/2019 0908 TAYLOR BONITA L LIVONIA 5252164A 351 4/27/2019 0908 TILE PRO INC LIVONIA 5251770A 753 6/5/2019 8810 0.95 TIMAS HOME IMPROVEMENT LLC LIVONIA 3238008A 800 4/1/2019 5645 TITHOF JULIE ANN LIVONIA 5856906A 351 4/20/2019 0908 TOMASI CARE LLC LIVONIA 5261724A 1,482 4/12/2019 8835 0.95 TONDA CORPORATION LIVONIA 4980093A 777 4/26/2019 8018 0.95 TRAXLER CYNTHIA M LIVONIA 5859948A 351 4/27/2019 0908 1/3/2019 11:00:13 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 TRITON CONSTRUCTION LLC LIVONIA 4798260A 800 4/24/2019 5022 U P MASONRY CONSTRUCTION INC LIVONIA 3012964A 2,029 4/26/2019 5022 0.95 UPP EDWARDS A MATTHEW LIVONIA 5863112A 826 5/9/2019 0909 VARTANIAN HOME IMPROVEMENT INC LIVONIA 1864858A 800 6/4/2019 5645 0.95 WALKER HELEN L LIVONIA 5876877A 351 6/13/2019 0908 WEST PAINTING LIVONIA 5267170A 750 4/15/2019 5476 WESTSIDE TRANSPORTATION LLC LIVONIA 3500896A 6,700 6/1/2019 8395 0.85 WHITING ERNEST L JR LIVONIA 5865530A 513 5/17/2019 0909 WILIKISON KEITH LIVONIA 5721059A 750 6/1/2019 5437 WILLIAMS CARMELA LIVONIA 5863198A 513 5/9/2019 0909 WILSHER JOHN LIVONIA 5861497A 750 5/1/2019 5645 WISEMAN CARTER LIVONIA 5302552A 351 6/22/2019 0908 ZABOROWSKI DORIS LIVONIA 5880327A 351 6/28/2019 0908 ZISSLER GARY L LIVONIA 5865590A 513 5/17/2019 0909 THREE CHORDS INC LONG BEACH, CA 5842441A 241 4/1/2019 8832 WAUCEDAH TOWNSHIP LORETTO 1272519A 687 6/28/2019 9410 GLOBAL ICONS LLC LOS ANGELES, CA 5262348A 832 4/16/2019 8810 VANEGAS ENTERPRISES INC LOUISVILLE, KY 1289748A 367 6/28/2019 8742 ADVANCED BUILDING & CONSTRUCTION LLC LOWELL 3780783A 800 4/10/2019 5606 0.95 BEHRENS LIMITED LLC LOWELL 5861144A 750 5/1/2019 5221 COMMERCIAL ABATEMENT SERVICES LLC LOWELL 3906094A 825 4/1/2019 5183 JOSEPH RATHBUN CONTRACTOR LLC LOWELL 5715458A 750 5/15/2019 5645 PUR FORMS INC LOWELL 2652609A 34,527 4/3/2019 4484 ROTH ED LOWELL 3507882A 750 6/13/2019 5551 WEST CARPENTRY LOWELL 2146797A 800 4/17/2019 5645 DAVKO INC LUDINGTON 1066960A 1,358 6/20/2019 9058 0.95 HARBOR FLOORING OF LUDINGTON LLC LUDINGTON 5852366A 354 4/10/2019 8017 LAKE MICHIGAN TRANS LAKE SHORTCUT INC LUDINGTON 2272334A 16,256 6/23/2019 8017 1.64 13 % LAKEFX MEDIA LLC LUDINGTON 5712572A 622 5/5/2019 7610 LUDINGTON YOUTH SAILING SCHOOL LUDINGTON 5229421A 592 6/1/2019 6836 STRAIGHT UP TRUCKING LLC LUPTON 4520840A 2,424 4/6/2019 7208 TALENT SERVICES INTL CORP LYNWOOD, WA 2296896A 356 4/1/2019 8810 MACKINAC HORSEMENS ASSOCIATION MACKINAC ISLAND 5876591A 1,907 6/12/2019 8279 DEER HEAD INN INC MACKINAW CITY 5865859A 634 5/18/2019 9052 LUMBER JACK SHOWS LLC MACKINAW CITY 4516850A 747 6/18/2019 9156 1/3/2019 11:00:13 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 OLDIES BBQ MACKINAW CITY 5863570A 392 5/17/2019 9058 A AND R FLOORS LLC MACOMB 5864704A 800 5/15/2019 5437 A B C CARPENTRY INCORPORATED MACOMB 5697913A 6,808 4/3/2019 5645 A J SPEZIA COMPANY MACOMB 5272823A 750 5/21/2019 5437 ADDELIA HARDWOOD PROS INC MACOMB 3034364A 1,106 4/15/2019 5437 0.95 AG PAINTING GROUP LLC MACOMB 5195403A 750 6/27/2019 5476 ALL PRO HOME IMPROVEMENT INC MACOMB 1547577A 751 4/25/2019 5538 0.95 AMERICAN BY SERVICE INC MACOMB 3403874A 750 4/26/2019 5022 APEX GROUP CONSTRUCTION AND CONSULTING MACOMB 5725054A 800 6/23/2019 5645 INC ARTISAN PAINTING INC MACOMB 4404270A 800 4/11/2019 5476 ASPEN IMPROVEMENTS INC MACOMB 2624486A 750 4/20/2019 5552 0.95 BANDS GALORE ENTERPRISES INC MACOMB 5280273A 458 6/13/2019 8742 BELL HOME IMPROVEMENTS MACOMB 1688740A 750 4/29/2019 5645 BELLA FLOORS INC MACOMB 3117928A 1,775 6/14/2019 5437 0.95 BERRY BILL MACOMB 1111850A 750 5/23/2019 5645 BFE TRUCKING INC MACOMB 4503481A 34,911 6/1/2019 7202 1.33 13 % CIMA CONSULTING GROUP LLC MACOMB 5857678A 218 4/21/2019 8810 CLEVER TECHNOLOGIES LLC MACOMB 4393244A 233 6/19/2019 8742 COMFORT HOUSE HEATING & COOLING MACOMB 5553130A 709 4/27/2019 5550 D AND J HOME CARE 3 LLC MACOMB 4379721B 544 6/16/2019 9053 1.80 27 % DBC COMPANY INC MACOMB 3144402A 4,351 4/17/2019 5437 0.92 DENISES HUGGABLE DAYCARE INC MACOMB 5476550A 363 4/19/2019 8869 DGS HOME IMPROVEMENT INC MACOMB 5273196A 750 5/24/2019 5551 0.95 ED ROGERS ENTERPRISES INC MACOMB 0298271A 750 5/1/2019 6217 EZ INSTALLS LLC MACOMB 5865018A 591 5/16/2019 9521 FOUR SQUARE ELECTRIC LLC MACOMB 5876435A 529 6/12/2019 5190 FUTURE UNITED LLC MACOMB 5861470A 403 5/1/2019 8742 G E PAINTING LLC MACOMB 5683394A 750 4/4/2019 5476 GAT CONTRACTING LLC MACOMB 5848687A 750 6/8/2019 5645 GEORGE LINI INC MACOMB 2160161A 750 4/12/2019 5645 GMB CONSTRUCTION LLC MACOMB 4029631A 750 6/1/2019 5437 0.95 GOLD LEAF BUILDING LLC MACOMB 5566983A 750 4/17/2019 5645 GRANDVIEW BUILDING INC MACOMB 5395488A 5,018 4/21/2019 5606 0.92 IMPACT THERAPY SOLUTIONS LLC MACOMB 5707528A 2,224 4/27/2019 8835
1/3/2019 11:00:13 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 INFINITY BUILDING CO INC MACOMB 3443590A 757 4/3/2019 8810 0.93 INTERSTAR INC MACOMB 5315786A 761 6/14/2019 8810 ITALIA TILE INC MACOMB 3219712A 750 6/11/2019 5348 J E DIXON INC MACOMB 1794396A 21,010 5/1/2019 5551 1.00 JMC SERVICES INC MACOMB 5717213A 750 5/20/2019 5215 K AND S PAINTING INC MACOMB 5389178A 750 4/25/2019 5476 K T PAINTING LLC MACOMB 5716470A 750 5/16/2019 5476 KELDEY INC MACOMB 5723256A 354 6/10/2019 8010 KGM PAINTING LLC MACOMB 4991800A 907 6/7/2019 5476 0.95 KOENKE FLOORS INC MACOMB 4087640A 750 6/25/2019 5437 KULLA RENOVATION MACOMB 5490960A 750 5/4/2019 5476 LDS EXTERIORS LLC MACOMB 1825437A 750 6/21/2019 5645 LUCIDO CONSTRUCTION CORP MACOMB 5130220A 750 4/25/2019 5022 MARTINEZ CONSTRUCTION LLC MACOMB 5569850A 6,679 6/6/2019 5645 MD TILE & MARBLE LLC MACOMB 5727359A 750 6/27/2019 5348 MICHIGAN BUILDING DESIGN AND SERVICES INC MACOMB 4763033A 826 6/26/2019 9558 0.95 MK AND J EXPRESS INC MACOMB 4950933A 750 4/29/2019 7208 0.95 MONAS CLEANING SERVICE MACOMB 5721970A 509 6/14/2019 8835 MP CONSTRUCTION LLC MACOMB 4883241A 750 6/4/2019 5221 NACAJ PAINTING LLC MACOMB 4296150A 750 5/18/2019 5476 NOBLE PROPERTY SERVICES INC MACOMB 4638697A 826 4/19/2019 9102 OLYMPOS ELECTRIC LLC MACOMB 4214609A 529 5/5/2019 5190 OTIV CONSTRUCTION LLC MACOMB 5240611A 750 5/12/2019 5645 PEAK FORKLIFT SERVICES LLC MACOMB 5711525A 481 5/3/2019 8107 PM TECH REFRIGERATION LLC MACOMB 3690385A 750 6/3/2019 9519 PROTECH CONTRACTING INC MACOMB 4308298A 750 6/13/2019 5437 RMH HOME SERVICES LLC MACOMB 2248786A 750 5/15/2019 5645 RRAGAMI SEALCOATING LLC MACOMB 5126215A 800 6/6/2019 5221 S 3 CONTRACTING LLC MACOMB 5853435A 5,142 4/11/2019 5476 S AND K GUTTER INC MACOMB 3466906A 750 4/16/2019 5538 SIXTH PIZZA LLC MACOMB 4885562A 2,151 6/30/2019 9058 0.95 SMART LIGHTING LLC MACOMB 5399998A 604 5/5/2019 5190 SNKIECKIKOWSKI MATTHEW MACOMB 5853966A 750 4/12/2019 5476 SOMERSET HARDWOOD FLOOR CARE INC MACOMB 1662872A 750 4/29/2019 5437 STILLWELL LORI MACOMB 5864712A 354 5/15/2019 8017 1/3/2019 11:00:13 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 TIM SCHAUM BUILDERS INC MACOMB 3736091A 750 4/20/2019 5403 TODDS LAWN CARE INC MACOMB 5393698A 750 4/5/2019 0042 TREE TOP TREE SERVICE LLC MACOMB 0495263A 800 6/16/2019 0106 TRUE TILE MACOMB 3598535A 800 4/12/2019 5348 0.95 U AND S PAINTING LLC MACOMB 4620364A 2,835 4/21/2019 5476 0.95 VESA VIOREL MACOMB 4221257A 750 5/26/2019 5348 VITALE REAL ESTATE INC MACOMB 3443590B 560 6/19/2019 8742 0.93 VLADIMIR CORPORATION MACOMB 5576369A 2,225 6/21/2019 7208 0.95 CAR CHOICE LLC MACOMB TWP 5341906A 276 5/17/2019 8748 EASY EXIT EGRESS WINDOWS LLC MACOMB TWP 5292840A 750 5/30/2019 5645 LUIGIS CONSTRUCTION LLC MACOMB TWP 5078822A 750 4/24/2019 5476 0.95 XPERTS PAINTING MACOMB TWP 5725224A 800 6/17/2019 5476 ZAPINSKI MIKE J MACOMB TWP 4085809A 750 6/18/2019 5437 COCHRANE SUPPLY & ENGINEERING INC MADISON HEIGHTS 0441902A 683 4/15/2019 8010 DEPENDABLE HOME HEALTH CARE LLC MADISON HEIGHTS 4524632A 594 5/3/2019 9053 HERITAGE HOME HEALTH CARE SERVICES INC MADISON HEIGHTS 4546881A 1,772 5/29/2019 8835 0.95 HOSPICE CARE TEAM LLC MADISON HEIGHTS 4806557A 1,097 6/14/2019 8835 0.95 JRS DREAM ARABIANS LLC MADISON HEIGHTS 5611210A 2,716 6/17/2019 9015 0.93 LORENZ DANIEL MADISON HEIGHTS 5863830A 750 5/11/2019 5645 MADISON SERVICES AND MAINTENANCE LLC MADISON HEIGHTS 4947096A 436 5/3/2019 5606 MANSOORS PARKING INC MADISON HEIGHTS 4070062A 1,290 5/17/2019 8392 0.95 MAYER ALLOYS CORPORATION MADISON HEIGHTS 2839482A 896 5/6/2019 9015 MICHIGAN FABRICATIONS & MAINTENANCE LLC MADISON HEIGHTS 5394503A 694 5/2/2019 3365 MJB AND SON CONSTRUCTION INC MADISON HEIGHTS 5484383A 750 5/2/2019 5645 ONE HUNDRED 68 KTV & LOUNGE INC MADISON HEIGHTS 5709938A 1,179 4/28/2019 9058 R W BAKER INC MADISON HEIGHTS 2331764A 800 4/25/2019 5476 ROYALTY HOME IMPROVEMENTS MADISON HEIGHTS 4080912A 750 6/1/2019 5348 STATE LODGE OF MICHIGAN LABOR COUNCIL MADISON HEIGHTS 5148669A 588 6/4/2019 8755 THM MASTER CONSTRUCTION LLC MADISON HEIGHTS 3371824A 801 5/11/2019 5445 0.95 TOM MOLOSKY FLOORING INC MADISON HEIGHTS 1338218A 592 4/2/2019 9521 TRI FLOW PLUMBING INC MADISON HEIGHTS 4114701A 963 4/17/2019 5183 0.95 C AND K INC MANCELONA 2226960A 750 5/18/2019 6217 CLEAN SOURCE HOUSEKEEPING MANCELONA 5534267A 1,032 4/20/2019 9015 TIM MALCOMSON CONSTRUCTION MANCELONA 2186268A 5,795 5/17/2019 5645 0.95 CLUTCH TRUCKING LLC MANCHESTER 4887581A 14,354 4/17/2019 7208 0.76 1/3/2019 11:00:13 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 ED STAHLEY CONSTRUCTION & EXCAVATING INC MANCHESTER 2841070A 750 6/19/2019 6217 H AND H MONITORING INC MANCHESTER 3191656A 321 5/24/2019 4511 TIFFANYS GARDENS LLC MANCHESTER 5556392A 800 4/10/2019 0042 VIP PAINTING MANCHESTER 4741811A 800 5/19/2019 5476 0.95 BOAT SCOOT AND BOOGIE LLC MANISTEE 5863953A 883 5/18/2019 8010 DOUGLAS STATION LLC MANISTEE 4671783A 1,881 4/22/2019 8017 0.95 GAJEWSKIS FIREWOOD & LOGS LLC MANISTEE 5724007A 2,329 6/14/2019 2702 LAKESHORE CONSTRUCTION MANISTEE 4566394A 2,873 5/14/2019 5606 0.95 MANISTEE POST 10 AMERICAN LEGION MANISTEE 0635820A 621 4/1/2019 9058 PAPPAW LLC MANISTEE 4178670A 462 5/31/2019 9058 WOODZWERK FORESTRY MANISTEE 4306309A 750 5/16/2019 2709 ZUPIN CRANE LLC MANISTEE 5543886A 1,121 4/9/2019 3724 HIDDEN ESTATES INC MANISTIQUE 5131588A 1,317 5/1/2019 9053 0.95 J AND S LOGGING INC MANISTIQUE 0339695A 3,623 4/13/2019 2702 0.98 OLD COUNTRY PAINTING & DECORATING INC MANISTIQUE 1665200A 751 5/1/2019 5476 0.95 SCHOOLCRAFT COUNTY POST NO 4420 MANISTIQUE 1029371A 401 4/1/2019 9061 VETERANS OF FOREIGN WARS OF THE UNITED STATES TAYLOR PAINTING MANISTIQUE 5726638A 750 6/24/2019 5476 ARLENE HOPS LLC MANTON 5862396A 566 5/4/2019 0128 HELSELS TREE SERVICE INC MANTON 5570565A 2,849 6/23/2019 0106 JD LOGGING MANTON 5575680A 750 6/17/2019 2702 JE TIFFANY & SONS LLC MANTON 4765117A 751 6/21/2019 0042 0.95 NORTH WOOD HEAT MANTON 4758188A 750 6/17/2019 2702 NORTHWEST CONTAINERS & RECYCLING LLC MANTON 5059909A 750 4/9/2019 7208 PARK SPENCER MANTON 5878365A 750 6/22/2019 2702 TP PLUMBING LLC MANTON 3904300A 1,289 4/1/2019 5183 DUDLEY LLC MAPLE CITY 5862663A 1,388 5/7/2019 8279 MONTAGUE PAUL MAPLE CITY 5866286A 750 5/19/2019 5645 SLEEPING BEAR LIGHTNING PROTECTION LLC MAPLE CITY 3916413A 1,929 4/27/2019 5190 0.95 UP NORTH SHOW JUMPERS LLC MAPLE CITY 4726634A 11,603 6/22/2019 8279 1.00 CASS COUNTY TITLE OFFICE INC MARCELLUS 4055543A 287 4/19/2019 8810 GLASS MICHAEL MARCELLUS 2268086A 3,721 4/13/2019 7208 0.95 JAKES TREE REMOVAL LLC MARENISCO 4995457A 10,139 6/19/2019 0042 1.37 13 % KMG ENTERPRISE LLC MARENISCO 4745205A 751 5/1/2019 9102
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AVERS CONSTRUCTION LLC MARINE CITY 4051050A 750 4/7/2019 5645 CYNATIME INC MARINE CITY 2711532A 293 5/3/2019 8810 DETROIT BULK SERVICES INC MARINE CITY 5033349A 828 4/25/2019 8810 0.95 PREMIER DRIVING ACADEMY INC MARINE CITY 3694810A 1,232 5/10/2019 8868 0.95 SCHWARTZ DRYWALL INC MARINE CITY 0371009A 856 5/24/2019 5445 0.95 TRANQUILITY SPA AND BOUTIQUE LLC MARINE CITY 5267307A 625 5/5/2019 9063 W D M ENTERPRISES INC OF MARINETTE WI MARINETTE, WI 3637000A 5,062 5/15/2019 5183 0.90 WISHIGAN HOMES LLC MARINETTE, WI 5398940A 750 4/28/2019 5645 FROSTY FREEZE OF MARION LLC MARION 1451278A 416 5/17/2019 9058 STRAIGHTLINE ENTERPRISES LLC MARION 5877687A 1,403 6/16/2019 3724 TC HIGH LLC MARION, OH 5485851A 6,478 5/11/2019 9058 0.89 D AND A TRUCKING MARLETTE 2993694A 750 4/10/2019 7208 GTO LANDSCAPING LLC MARLETTE 5558344A 1,451 6/15/2019 9102 GYOMORY TRUCKING MARLETTE 3773612A 750 5/15/2019 7208 MVP DISC SPORTS LLC MARLETTE 5412730A 2,085 6/11/2019 8018 0.95 GIL ROSE TRANSPORTATION LLC MARNE 5864291A 4,620 6/5/2019 7208 RICHARD PLUMPTON CONSTRUCTION MARNE 5356962A 750 4/14/2019 5645 RYAN BERGMAN CONSTRUCTION LLC MARNE 4370775A 750 6/28/2019 5190 ALLEY KATS QUILT SHOP LLC MARQUETTE 5864283A 788 5/12/2019 8008 BRIGHT STAR CLEANING SERVICES LLC MARQUETTE 5273250A 684 5/23/2019 9015 CLARK PROPERTIES A MICHIGAN CO MARQUETTE 0636517A 827 4/25/2019 9015 PARTNERSHIP FLOW TRACK MOUNTAIN BIKE TRAILS LLC MARQUETTE 5867665A 1,931 5/24/2019 6217 GUTZMAN DALE R MARQUETTE 2794853A 800 4/4/2019 7208 HOOVERS TREE SERVICE INC MARQUETTE 1686569A 6,929 4/14/2019 0042 1.19 MARQUETTE COUNTY FAIR MARQUETTE 5715130A 634 5/15/2019 9015 MIDDLE ISLAND POINT CAMPERS ASSOCIATION MARQUETTE 1220063A 683 6/17/2019 9015 ROOM AT THE INN MARQUETTE 5043930A 540 6/26/2019 8832 TREE RING INC MARQUETTE 4910222A 2,223 4/5/2019 5645 0.95 TROPHY WOOD FLOORS INC MARQUETTE 1222350A 750 4/30/2019 5437 UP TRANSPORT LOGISTICS LLC MARQUETTE 5878012A 4,425 6/20/2019 7208 BRAV INC MARSHALL 4764048A 6,773 5/31/2019 9058 0.87 C AND S CLEANING & PAINTING MARSHALL 4018737A 800 4/22/2019 5476 DEFOREST BROS CONCRETE CONSTRUCTION MARSHALL 0884294A 751 6/17/2019 5221 0.95 INC
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FARMER CONSTRUCTION LLC MARSHALL 2478153A 750 4/3/2019 5437 BONTRAGER JOHN MARTIN 5877660A 750 6/16/2019 5538 US 131 MOTORSPORTS PARK INC MARTIN 3468984A 2,648 6/11/2019 9015 0.95 BLUE RIVER ENGINEERING LLC MARYSVILLE 5880769A 321 6/29/2019 8601 BROWN MELODY ANN MARYSVILLE 5724767A 293 6/16/2019 8810 HAGGERTY HOMES MARYSVILLE 2635321A 4,355 5/26/2019 5403 1.05 NICK ANTONELLI CONSTRUCTION LLC MARYSVILLE 5399971A 750 4/30/2019 5022 PRIME TIME HOME IMPROVEMENT LLC MARYSVILLE 2615169A 750 4/5/2019 5551 RCS YACHT REFINISHERS LLC MARYSVILLE 4065654A 877 4/14/2019 6834 0.95 WEATHERGUARD MARYSVILLE 1901443A 750 5/23/2019 5645 BAKER CONSTRUCTION MASON 4520874A 800 6/18/2019 5437 BRYAN JANES CONSTRUCTION INC MASON 2735113A 750 4/27/2019 5437 0.95 CHRISTENSEN DRAIN & PLUMBING LLC MASON 5849675A 1,095 4/4/2019 5183 HARPER HILL FORESTRY PRODUCTS LLC MASON 5712041A 750 5/4/2019 2731 HART ROOFING LLC MASON 5720753A 10,514 5/31/2019 5551 INSIDE OUTDOORS MASON 4414870A 1,192 6/16/2019 0042 0.95 JERRY SHUNK SEPTIC SERVICE MASON 1147161A 2,422 4/9/2019 9402 0.95 MICHAEL PRELESNIK LLC MASON 5853303A 709 5/5/2019 9015 PROFESSIONAL ROOF CLEANING SERVICES LLC MASON 4754522A 1,132 5/26/2019 9015 0.95 ROTARY INTERNATIONAL DISTRICT 6360 INC MASON 5402212A 264 6/5/2019 8810 SPARTAN EMERGENCY ROAD ASSISTANCE INC MASON 5812119A 1,322 5/8/2019 8010 SPEEDWAY CONCESSIONS LLC MASON 3528049A 1,146 5/30/2019 9015 0.95 BRAD HOLMSTROM TRUCKING INC MASS CITY 3642739A 1,450 5/4/2019 7380 0.95 OHIO DRILLING COMPANY MASSILLON, OH 0262358A 6,180 6/26/2019 6204 0.91 ALMENA CORPORATION MATTAWAN 5856140A 10,108 4/20/2019 7208 BELLA TERRA ACRES LLC MATTAWAN 5521866A 750 4/1/2019 8279 BERCHIATTI HOMES LLC MATTAWAN 5398649A 750 4/25/2019 5645 BLAYLOCK TODD MATTAWAN 5552230A 640 4/26/2019 0913 C JOHNSON & SON EXCAVATING CO MATTAWAN 3289478A 10,467 5/12/2019 5507 0.88 COMFORT CONTROL HEATING & COOLING LLC MATTAWAN 4751124A 709 5/18/2019 5550 DAVID AND SONS CONTRACTING LLC MATTAWAN 5329760A 800 6/24/2019 5645 FREDERICK BUILDERS CORPORATION MATTAWAN 1130811A 751 5/26/2019 5437 JEAN 2 INVESTMENTS LLC MATTAWAN 0191108A 6,780 4/27/2019 5221 0.93 STRATEGIC NEWS INTERNATIONAL INC MATTAWAN 5129516A 891 5/8/2019 8810 KRAMER PAINTING LLC MAUMEE, OH 5255813A 1,284 4/4/2019 5476 0.95 1/3/2019 11:00:13 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 ZERO SEVEN THOUSAND BOYNE CITY RD LLC MAUMEE, OH 5258677A 669 5/5/2019 0912 MICHIGAN FARMS LLC MAYBEE 4506944A 791 5/3/2019 7360 FALCON TRUCKING & EXCAVATING MAYVILLE 5561230A 942 4/27/2019 7219 FRANZEL WELL DRILLING LLC MAYVILLE 1581880A 2,628 5/4/2019 6204 HOEKWATER HOME BUILDERS MCBAIN 5553490A 750 4/28/2019 5645 JQ CONSTRUCTION LLC MCBAIN 5271738A 750 5/19/2019 5645 KJR CONSTRUCTION LLC MCBAIN 5855365A 750 4/30/2019 5645 NORTHERN MICHIGAN LIFT SERVICE INC MCBAIN 5398444A 701 4/24/2019 3724 PRECIOUS GEMS HOME FOR WOMEN MCBAIN 5404835A 549 5/9/2019 9052 DAVIDSON DUSTIN L MCBRIDES 5682410A 750 4/6/2019 5445 COTTAGE CARE COMPANY THE MCMILLAN 5874793A 751 6/11/2019 5476 CRAWFORD ROBERT MCMILLAN 5257123A 750 4/4/2019 7208 ROBERT LUSTILA TRUCKING LLC MCMILLAN 5409667A 750 6/2/2019 7208 DUNE SCOOTERS INC MEARS 0207985A 14,883 5/1/2019 7212 0.74 PURPOSE POINT HARVESTING LLC MEARS 5684994A 2,136 4/29/2019 0011 ROUTLEY CHIROPRACTIC CARE CENTER PC MECOSTA 5697972A 299 4/8/2019 8832 WILLIAM KIBLER BUILDERS MECOSTA 5642060A 750 4/7/2019 5437 WINERY AT YOUNG FARMS LLC MECOSTA 5721199A 500 6/2/2019 2143 AHMED MOHAMMED MEDFORD, MA 5879957A 715 6/27/2019 0913 BERRY JESSICA MEDFORD, MA 5872855A 715 6/2/2019 0913 BLOODSWORTH ANNIE MEDFORD, MA 5865166A 715 5/16/2019 0913 CLOUD BRANDON MEDFORD, MA 5489695A 715 5/19/2019 0913 DREW ERIC MEDFORD, MA 5867681A 715 5/24/2019 0913 FULLERTON GARFIELD MEDFORD, MA 5872910A 715 6/2/2019 0913 GARRISON PEGGIE MEDFORD, MA 5502446A 715 5/19/2019 0913 MCNABB ROXIE MEDFORD, MA 5698456A 715 4/4/2019 0913 ROBERTSON ORA MEDFORD, MA 5867703A 715 5/24/2019 0913 JENKINS ALAN MELVIN 5868238A 800 6/5/2019 5437 ANN ARBOR SAND & GRAVEL INC MELVINDALE 5867320A 1,628 5/23/2019 4000 COOKIE PROJECT MELVINDALE 5553180A 470 5/2/2019 8868 DOUGS FLOOR COVERING SERVICES LLC MELVINDALE 3396444A 591 5/6/2019 9521 LOPEZ LUIS II MELVINDALE 5866979A 641 5/18/2019 9521 MICHIGANS BEST BASEMENT WATERPROOFING MELVINDALE 5716535A 2,364 5/16/2019 5480 LLC MIRANDA CONSTRUCTION MELVINDALE 5519250A 750 5/20/2019 5445 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NOSTRAY CONSTRUCTION LLC MELVINDALE 5546389A 995 4/18/2019 5610 SOUTH WEST ATHLETIC CLUB INC MELVINDALE 1441965A 706 5/25/2019 9061 G AND E BROTHERS INC MEMPHIS 5268516A 2,846 5/9/2019 5221 0.95 LOEHNIS TRANSPORT LLC MEMPHIS 4737393A 825 4/8/2019 7208 CHRISTOPHER TREE SERVICE MENDON 3647595A 1,966 5/17/2019 0106 L AND L DRIVING SCHOOL INC MENDON 4204158A 639 5/7/2019 8868 BAXA CONTRACTING CO INC MENOMINEE 2118556A 1,564 6/12/2019 5645 0.95 GREATER MARINETTE MENOMINEE YMCA INC MENOMINEE 1100289A 17,169 4/1/2019 9063 1.66 27 % JOHNSON KENNETH M MENOMINEE 2681919A 750 5/12/2019 7208 MENOMINEE ANIMAL SHELTER MENOMINEE 3186083A 1,873 6/12/2019 8831 0.95 MILLERS TREE SERVICE LLC MENOMINEE 5864348A 750 5/20/2019 0106 PELON TRUCKING MENOMINEE 3032698A 750 6/1/2019 7208 RERUN FURNITURE MENOMINEE 4484304A 571 4/25/2019 8044 SMART CHOICE YARD CARE & PROPERTY MENOMINEE 5210933A 864 5/1/2019 9102 MAINTENANCE LLC TRUITT ERICKSON PLASTERING LLC MENOMINEE 5547075A 1,764 4/16/2019 5022 0.95 JONESFIELD LAKEFIELD FIRE DISTRICT MERRILL 0512982A 751 6/18/2019 7904 0.95 NEUMANN CO CONTRACTORS INC MERRILLAN, WI 1279815A 825 6/1/2019 5476 CAPSTONE PRECISION GROUP LLC MESA, AZ 4640233A 892 5/5/2019 8742 0.95 PATS RV PARK LLC MESICK 5545102B 1,060 6/10/2019 9015 0.95 AMONG THE HILLS CONSTRUCTION LLC METAMORA 5709725A 750 4/28/2019 5645 ANTONELLI CONSTRUCTION INC METAMORA 1575716A 750 5/22/2019 9015 0.94 BEAN IRRIGATION LLC METAMORA 5877750A 694 6/16/2019 5183 BOB SCHMIDT ROOFING METAMORA 3790827A 750 6/12/2019 5022 IDEAL CARPENTRY METAMORA 2688654A 800 5/12/2019 5645 JTT INVESTMENTS INC METAMORA 4073843A 2,533 5/10/2019 8017 0.95 KH EXCAVATING LLC METAMORA 5206715A 800 4/7/2019 6217 M A C CUSTOM DESIGN LLC METAMORA 5849152A 2,800 4/3/2019 5437 MEISTER BUILDING & HOME IMPROVEMENT METAMORA 2827158A 750 4/27/2019 5645 METAMORA BUILDING & DEVELOPMENT LLC METAMORA 5551315A 801 4/25/2019 5183 MOSSING POOLS INC METAMORA, OH 5257204A 801 4/5/2019 5223 MOUCH JEFF AND NORMA METAMORA 5871018A 1,483 6/11/2019 5645 PREMIUM METAL WORKS LLC METAMORA 5553814A 1,185 4/29/2019 3365 RIGGERS INC METAMORA 4448316A 6,228 5/1/2019 8227 0.95 SMART DOG LLC METAMORA 5566681A 521 5/27/2019 8831
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MICHIANA SHORES VOLUNTEER FIRE MICHIGAN CITY, IN 3355438A 751 6/18/2019 7704 DEPARTMENT ADVENTURE DEVELOPMENT TEAM LLC MIDDLEBURG, VA 5876508A 2,719 6/12/2019 5403 S YODERS CONSTRUCTION LLC MIDDLEBURY, IN 5577578A 12,317 6/22/2019 5645 0.93 ENSZ BROTHERS CATTLE MIDDLETON 5571049A 750 6/9/2019 7208 BROOKER CONSTRUCTION LLC MIDDLEVILLE 4384644A 750 6/23/2019 8810 INDUSTRIAL SERVICES & MILLWRIGHT LLC MIDDLEVILLE 5564352A 2,225 5/19/2019 3724 0.95 KH CABINET MAKING LLC MIDDLEVILLE 5193311A 750 6/2/2019 5437 WEX 2 MANAGEMENT LLC MIDDLEVILLE 5716098A 4,437 5/30/2019 9015 A TON TREE & DEBRIS LLC MIDLAND 5411874A 3,885 6/9/2019 0106 0.95 ALLEN VALERIE MIDLAND 4876857A 254 6/7/2019 8868 CENTRAL AUDIO VISUAL AND DESIGN LLC MIDLAND 5859840A 406 4/27/2019 5191 CHIMNEY DOCTOR LLC MIDLAND 5869641A 1,068 5/30/2019 9015 DEGROOT CHRISTIAN MIDLAND 5124514A 1,231 4/4/2019 0913 0.95 FAMILY CREST CONSTRUCTION MIDLAND 4981952A 750 5/2/2019 5403 FIRST CHOICE PAINTING AND REMODELING LLC MIDLAND 5379288A 1,081 6/6/2019 5476 GEORGE OWENS BUILDERS LLC MIDLAND 4461410A 801 4/11/2019 5190 JSH UNDERGROUND LLC MIDLAND 3940896A 1,367 6/18/2019 6325 LITTLE ACRES LLC MIDLAND 5696836A 335 4/1/2019 8601 MARK DITTENBER CUSTOM RESIDENTIAL MIDLAND 3527042A 800 4/8/2019 5645 0.95 BUILDER LLC MATTHEW ST DENNIS & CO INC MIDLAND 5114527A 835 5/24/2019 5645 0.95 MIDLAND IRON WORKS INC MIDLAND 0551961A 1,075 4/23/2019 3081 0.95 MR CLEAN COMMERCIAL CLEANING SERVICES MIDLAND 3076229A 767 6/10/2019 9015 LLC TATE MICHAEL MIDLAND 5877474A 640 6/15/2019 0913 TRI STATE PAINTING MIDLAND 4633474A 1,349 6/2/2019 5476 WEATHER TIGHT MIDLAND 4464796A 750 5/31/2019 5403 WINDOVER HIGH SCHOOL MIDLAND 2164914A 218 5/23/2019 8810 0.95 WYSONG CORPORATION MIDLAND 0640590A 5,927 4/13/2019 8018 0.90 GROWERS TRANSPORT LLC MILAN, OH 5395070A 750 4/21/2019 7380 HORIZON EXPRESS LLC MILAN 4895649A 750 4/21/2019 7208 IRISH HILLS DAIRY BAR & DELICATESSEN LLC MILAN 1276042A 453 6/2/2019 8017 J AND K OUTDOOR SERVICES LLC MILAN 4261143A 751 6/8/2019 6217 ROD PORTER CONSTRUCTION CO MILAN 5149436A 6,319 6/12/2019 5221 0.94 SP PETROL LLC MILAN 1900749A 1,117 6/21/2019 8017 0.95 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 109 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SWEET DAVID MILAN 1995618A 683 5/24/2019 9015 0.95 ZANDER TRUCKING LLC MILAN 4882890A 6,905 6/28/2019 7380 0.86 A 1 BAIL BOND AGENCY INC MILFORD 4600673A 412 4/17/2019 8810 AMERICAN EURO PAINTING INC MILFORD 1805045A 750 6/5/2019 5476 0.95 ARMSTRONG CANOE RENTALS LLC MILFORD 4065050A 766 5/27/2019 6836 0.95 BEER AND JESSOP AMUSEMENTS LLC MILFORD, IN 3244601A 780 5/1/2019 9015 BRICKWORK BY MATREAL INC MILFORD 1130480A 750 6/4/2019 5022 1.00 DEPENDABLE CARE SERVICES LLC MILFORD 5221978A 5,560 4/13/2019 8835 1.20 10 % EXCLUSIVE CUSTOM HOMES INC MILFORD 5393884A 750 4/7/2019 5437 FOUR D BUILDING INC MILFORD 0023302A 661 4/1/2019 8387 0.91 GREGGS PIZZA & BAR B Q INC MILFORD 5751942A 2,019 6/27/2019 9058 HARTLAND MASONRY & DEVELOPMENT LLC MILFORD 2032252A 750 4/12/2019 5022 INNOVATIVE REMODEL INC MILFORD 4501209A 771 6/22/2019 5437 0.95 LINNS TREE SERVICE MILFORD 4968107A 825 6/20/2019 0106 MAH CONSTRUCTION LLC MILFORD 3474690A 800 4/8/2019 5551 MSR CONSTRUCTION INC MILFORD 3813177A 800 6/15/2019 5645 PROFESSIONAL CARE INC MILFORD 3512150A 1,610 5/16/2019 0908 0.95 PRYJOMSKI ENTERPRISES LLC MILFORD 3783251A 750 5/20/2019 5221 S AND D SERVICES LLC MILFORD 5868866A 750 6/6/2019 7208 SITE CLEARING INC MILFORD 3746755A 2,682 4/2/2019 0106 0.95 SPENCERS MODERNIZATION LLC MILFORD 4641230A 825 5/15/2019 5645 0.95 TAGI INC MILFORD 0259462A 3,088 5/14/2019 5191 0.95 TL COMMUNICATIONS LLC MILFORD 3548139A 750 4/12/2019 7600 WK KRILL & ASSOCIATES INC MILFORD 5086965A 460 4/12/2019 5606 BAILEY CONSTRUCTION MILLINGTON 0239488A 800 6/8/2019 5645 BAJA MX INC MILLINGTON 2376695A 1,737 4/18/2019 9015 0.95 BRB UNDERGROUND SERVICES INC MILLINGTON 5878284A 750 6/22/2019 7600 WILSON RESIDENTIAL CARE SERVICES INC MILLINGTON 3507556A 6,797 6/12/2019 9053 0.82 FASTEMPS II INC MINNEAPOLIS, MN 2864355A 5,987 5/27/2019 8835 D K CUTTING MIO 5706050A 750 4/19/2019 2702 MORSE CONCRETE AND EXCAVATING INC MIO 3201350A 20,954 4/1/2019 6217 1.58 27 % NORTHERN POWER SPORTS OF MIO INC MIO 2846578A 5,362 6/10/2019 8748 1.24 13 % RAINBOW RESORT CABINS AND CANOES LLC MIO 4171675A 634 4/4/2019 9015 STRIDER TRANSFER LLC MIO 5397707A 7,269 6/1/2019 7206 0.90 B A S E CONTRACTING LLC MONROE 4101820A 1,585 5/2/2019 5645 1/3/2019 11:00:13 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 B AND B PROPERTY MANAGEMENT LLC MONROE 5862884A 2,140 5/8/2019 5645 CONLEY CONSTRUCTION SERVICES LLC MONROE 3232387A 750 5/4/2019 5645 DECK DOCK & HOUSE EXTERIOR PAINTING LLC MONROE 5856787A 1,260 4/20/2019 5476 DETROIT BEACH PIZZERIA MONROE 0878529A 754 6/19/2019 9058 0.95 FIRST CHOICE HOMES MONROE 5712700A 755 6/14/2019 8748 FRIENDS OF THE FAMILY HOME HEALTHCARE MONROE 4976428A 10,372 4/19/2019 8835 0.78 MONROE LLC HADDIX THOMAS E MONROE 2465906A 750 6/23/2019 7208 KMK CONSTRUCTION MONROE 4556518A 750 4/8/2019 5645 0.95 KULL BROTHERS TRUCKING & EXCAVATING INC MONROE 1658468A 800 6/28/2019 0042 0.95 LAKE ERIE SECURITY & INVESTIGATIONS INC MONROE 1420097A 7,826 6/28/2019 7720 0.87 MAGNUM FORCE MONROE 3179338A 843 5/1/2019 8017 MAINSTREET MOVING COMPANY LLC MONROE 5542936A 2,272 4/8/2019 7214 0.95 MCINTYRE SUSAN MONROE 1283090A 1,080 6/22/2019 0913 MONROE ESCAPE ROOMS LLC MONROE 5734398A 355 6/1/2019 8017 MONROE REHAB CONNECTION LLC MONROE 5728231A 583 6/30/2019 8832 PHOENIX INDUSTRIAL SERVICES LTD MONROE 5410339A 142,753 6/7/2019 8010 1.46 13 % RAYS SWIMMING POOL EQUIPMENT INC MONROE 0238902A 1,304 5/24/2019 5223 RIVERSIDE INVESTMENT COMPANY LLC MONROE 5725399A 634 6/17/2019 9015 SPANKIES INC MONROE 3585590A 750 4/11/2019 5645 1.00 TWC CONSTRUCTION MONROE 5713447A 750 5/17/2019 5645 MUND GREG MONTAGUE 1673980A 626 4/1/2019 0011 ROSE NANCY C MONTAGUE 5407451A 774 5/23/2019 0908 0.95 WHITE LAKE CONSULTING LLC MONTAGUE 5873800A 561 6/5/2019 8601 LONNIES LLC MONTROSE 5708150A 4,131 4/25/2019 7208 RENEGADE TRANSPORT INC MONTROSE 3982696A 800 5/27/2019 7208 ROCK ENTERPRISES INC MONTROSE 2487225A 1,724 5/11/2019 6217 0.95 THIBEAULT CONSTRUCTION MONTROSE 5353971A 750 4/22/2019 5645 POWER HOME SOLAR LLC MOORESVILLE, NC 5723310A 8,878 6/10/2019 5550 ROLLER TIM MORENCI 5198259A 751 4/15/2019 5476 FAVREAU EXTERIOR SOLUTIONS LLC MORLEY 5573572A 801 5/24/2019 5538 OUR THING UNLIMITED LLC MORLEY 5457009A 751 4/5/2019 5221 RIZOR ROOFING MORLEY 5877709A 3,240 6/16/2019 5551 SHARPE TIMOTHY MORLEY 5880858A 750 6/29/2019 2702 DIRECT SALES LLC MORRICE 5261562A 800 4/15/2019 5348
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CHAMPION EMPLOYMENT INC MT CLEMENS 5654106A 3,440 6/26/2019 0035 CLEAN WATER ACTION INC MT CLEMENS 0908886A 3,075 5/1/2019 8742 1.05 DETROIT CUSTOM SERVICES INC MT CLEMENS 1261517A 1,622 4/4/2019 2881 0.95 DYNAMITE WINDOW CLEANING INC MT CLEMENS 5553741A 1,099 5/3/2019 9015 FUN FEST PRODUCTIONS INC MT CLEMENS 4918274A 596 6/18/2019 8810 0.95 HIGHFIELD ENTERPRISES INC MT CLEMENS 0442780A 621 5/11/2019 9058 INDUSTRIAL MANUFACTURING SERVICES LLC MT CLEMENS 5872936A 3,678 6/2/2019 8018 MACOMB COUNTY BAR ASSOCIATION MT CLEMENS 1261398A 218 5/24/2019 8810 SELECT RECOVERY SERVICES INC MT CLEMENS 5255228A 5,712 4/1/2019 7720 0.92 STAHLS TREE SERVICE LLC MT CLEMENS 2668785A 750 6/5/2019 0106 THIRTEEN THOUSAND 131 IMPORTS LLC MT CLEMENS 5014344A 4,408 4/1/2019 8017 1.36 13 % WILLS CONSTRUCTION INC MT CLEMENS 5246199A 2,321 4/22/2019 5437 0.95 ACE MARINE SERVICE INC MT MORRIS 5707242A 2,006 4/21/2019 6834 COATES PATRICK JOSEPH MT MORRIS 5569168A 624 6/2/2019 2812 EBS CONSTRUCTION MT MORRIS 3590933A 750 5/22/2019 6325 FINISHING TOUCHES DRYWALL LLC MT MORRIS 1866281A 750 5/10/2019 5445 G AND JS HIGHRISE WINDOW CLEANING LLC MT MORRIS 5530369A 1,721 4/1/2019 9015 0.95 GENESEE COUNTY AGRICULTURAL SOCIETY MT MORRIS 1001680A 729 5/15/2019 9015 JS CONTRACTING MT MORRIS 5708567A 750 5/1/2019 5538 MOONWALK MAN MT MORRIS 5861136A 919 5/15/2019 5538 RMD FLOORCOVERING MT MORRIS 5559014A 591 5/11/2019 9521 ROSEBUSH KENNETH MT MORRIS 5875471A 750 6/8/2019 5437 TOM CUMMINGS RACING INC MT MORRIS 5728150A 750 6/30/2019 5221 ALLEN ROOFING LLC MT PLEASANT 5709806A 11,063 4/28/2019 5551 BEVERLY TEN EYCK LLC MT PLEASANT 5271398A 248 5/19/2019 9586 BISHOP JOSEPH THOMAS MT PLEASANT 5877202A 750 6/14/2019 5437 CHENHAZ KLEANERS LLC MT PLEASANT 5849640A 633 4/17/2019 8835 EL VAQUERO OF MT PLEASANT INC MT PLEASANT 3633420A 1,762 5/16/2019 9058 0.95 H AND K RESOURCES INC MT PLEASANT 5382874A 1,346 4/7/2019 1320 0.95 HUBSCHER AND SON INC MT PLEASANT 0397237A 55,309 6/1/2019 4000 1.38 IGW TRUST MT PLEASANT 5867754A 750 6/7/2019 5437 JJZ CONTRACTING LLC MT PLEASANT 5702097A 750 4/20/2019 6217 JUMP STATION LLC MT PLEASANT 5395410A 2,017 5/12/2019 9015 0.95 M DOUBLE K TRANSPORT LLC MT PLEASANT 5563216A 800 6/23/2019 7208 MID VALLEY STRUCTURES INC MT PLEASANT 5555809A 3,359 5/5/2019 5403 0.95 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 112 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MUMFORD OIL & GAS SUPPLY LLC MT PLEASANT 5546451A 1,031 4/15/2019 8010 RUSSELL RANDY MT PLEASANT 0162876A 750 4/1/2019 8279 COTTONWOOD SPRINGS FARM LLC MUNCIE, IN 4282566A 3,297 6/14/2019 0129 0.95 ADAIR SCOTT MUNISING 5201870A 750 4/10/2019 2702 CHARLTON CONSTRUCTION LLC MUNISING 4366719A 9,561 5/23/2019 5551 0.89 GRAND ISLAND FERRY SERVICE INC MUNISING 5726417A 491 6/23/2019 8017 LADY KILLERS PEST CONTROL LLC MUNISING 5713935A 633 5/9/2019 9015 BIG CHUCKS PIZZA PLUS LLC MUNITH 3940055A 2,308 4/26/2019 7380 0.95 HARDING CHERYL JEANETTE MUNITH 5860644A 750 4/28/2019 5645 A PERSONAL TOUCH LAWN CARE LLC MUSKEGON 4355130A 1,628 5/24/2019 0042 BLUE STAR CONSTRUCTION LLC MUSKEGON 4743679A 750 4/27/2019 5190 0.95 BURRINGTON BUILDERS INC MUSKEGON 1911457A 750 4/8/2019 5645 0.95 CERBERUS SECURITY LLC MUSKEGON 5876125A 2,200 6/9/2019 7720 CHETS ELECTRIC INC MUSKEGON 0792845A 1,153 6/1/2019 5190 0.95 DEK CONSTRUCTION LLC MUSKEGON 2751712A 1,939 4/14/2019 5479 0.95 DIGITAL MANN LLC MUSKEGON 5711649A 293 5/5/2019 8810 DYKSTRA DAVE MUSKEGON 4613147A 750 4/10/2019 5476 FRANK CREWS PAINTING & SANDBLASTING LLC MUSKEGON 4220749A 6,869 5/17/2019 5476 FREE SPIRIT CONSTRUCTION INC MUSKEGON 4627644A 12,070 5/15/2019 5645 0.85 GEARHART RENOVATIONS LLC MUSKEGON 5870984A 751 6/1/2019 5437 HOPE PROJECT MUSKEGON 5142113A 596 5/18/2019 8017 J BLAKEMAN CONSTRUCTION LLC MUSKEGON 3342034A 13,542 4/5/2019 9519 0.86 JON JOHNSON BUILDERS INC MUSKEGON 4200675A 750 5/7/2019 5645 JOSES CARPENTRY MUSKEGON 5395976A 750 5/5/2019 5645 LATSCH FLOOR COVERING COMPANY MUSKEGON 0030325A 816 6/20/2019 9521 MARQUEZ CONSTRUCTION LLC MUSKEGON 5866987A 750 6/2/2019 5437 MCFARLAND AND SONS LLC MUSKEGON 0954748A 2,633 5/31/2019 0106 0.95 MUSKEGON KOA INC MUSKEGON 5562155A 1,084 5/31/2019 9015 NAYANA CORP MUSKEGON 1421786A 539 5/23/2019 9052 0.95 PRESTIGE LANDSCAPE SUPPLY MUSKEGON 0239810A 1,658 5/18/2019 0042 0.95 RADHAKRISHNA CORPORATION MUSKEGON 1421786B 412 6/3/2019 9052 0.95 SAILOR SOCCER MUSKEGON 5848172A 2,018 4/1/2019 9015 SCHMIDT ROOFING & CONSTRUCTION CO MUSKEGON 0410276A 3,685 5/1/2019 5551 0.95 SCHUITEMA MOVING LLC MUSKEGON 5297010A 8,047 5/2/2019 7214 0.84 SILVERWOOD SAWMILL LLC MUSKEGON 5864275A 2,163 5/22/2019 2731 1/3/2019 11:00:13 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 SMITH AND SON BUILDING & REMODELING INC MUSKEGON 2699710A 800 5/16/2019 5403 0.87 SOLID WASTE SOLUTIONS INC MUSKEGON 5480493A 6,789 4/17/2019 7213 0.95 SUPERIOR HEATING AND COOLING SERVICES MUSKEGON 4377117A 5,376 6/1/2019 5550 0.92 LLC T R GHEZZI LLC MUSKEGON 5522692A 2,884 6/21/2019 6217 0.95 TROYS ITALIAN FOODS INC MUSKEGON 3747921A 1,900 6/28/2019 9058 0.95 VANDYKE ELECTRIC LLC MUSKEGON 4318951A 728 5/5/2019 5190 VILLAGE COVE ASSOC MUSKEGON 5876532A 592 6/12/2019 6836 WEST MICHIGAN INJURY LAWYERS PLC MUSKEGON 0811556A 567 4/28/2019 8820 WHITWAM CONSTRUCTION INC MUSKEGON 2923300A 750 6/15/2019 5645 0.95 WORKMAN COMMUNICATIONS MUSKEGON 3275841A 825 6/15/2019 7600 WORKMAN TREE SERVICE MUSKEGON 4758676A 1,464 6/11/2019 0106 0.95 MICHIGAN CUSTOM BUILDERS INC MUSSEY 2264765A 750 6/11/2019 5645 0.95 SANTOS CONCRETE LLC MUSSEY 5419069A 2,665 5/30/2019 5221 BLOOMSTROM SERVICES LLC N MUSKEGON 5426626A 750 4/27/2019 5645 LIL KIDDOS PLAYHOUSE LLC NAPOLEON 5508037A 1,228 6/28/2019 8869 BURPEE HARDWOODS LLC NASHVILLE 5295432A 750 5/16/2019 2702 MPK OF MICHIGAN LLC NASHVILLE 5153069A 583 6/21/2019 2081 NOTEBOOM CONSTRUCTION NASHVILLE 5867606A 750 6/5/2019 5403 PROFESSIONAL BASEMENT SERVICES LLC NASHVILLE 5419522A 644 6/30/2019 5183 LIVERMORE TIMBER NAUBINWAY 0843059A 750 6/1/2019 2702 PETERS SAND AND GRAVEL INC NAUBINWAY 2683792A 750 5/16/2019 7208 BEKKALA DONALD NEGAUNEE 5700647A 693 4/8/2019 3365 DON LARSON & SONS TRUCKING NEGAUNEE 3777413A 801 4/2/2019 9402 HOLSWORTH MASONRY NEGAUNEE 5865719A 1,772 5/17/2019 5022 KOSONEN CONSULTING INC NEGAUNEE 5270103A 334 5/14/2019 8601 PIERCE CURT NEGAUNEE 5864976A 750 6/13/2019 5551 BENZ AND BEEMER LLC NEW BALTIMORE 5555035A 1,448 5/3/2019 8395 BRAVO TILE LLC NEW BALTIMORE 0622427A 750 4/20/2019 5348 CAVENDISH CONSTRUCTION NEW BALTIMORE 5708109A 750 4/25/2019 5551 D AND M COMPANIES LLC NEW BALTIMORE 1407821A 750 4/21/2019 5645 0.95 EKSTROM CONTRACTING LLC NEW BALTIMORE 3915174A 750 4/9/2019 5645 FIRST CLASS XPRESS INC NEW BALTIMORE 3961095A 813 4/1/2019 8810 0.95 FRANKS QUALITY PAINTING MI LLC NEW BALTIMORE 5567300A 825 5/27/2019 5476 LIL SWEET BOUTIQUE LLC NEW BALTIMORE 5858429A 485 4/24/2019 8017
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PREMIER CONCRETE INC NEW BALTIMORE 3155269A 1,283 4/26/2019 5221 RGS EXTERIORS INC NEW BALTIMORE 4194004A 751 5/4/2019 8742 0.95 TDL UNLIMITED INC NEW BALTIMORE 1971697A 750 4/6/2019 5476 THREE HUNDRED 45 CARPENTRY & GENERAL NEW BALTIMORE 4936582A 1,728 5/26/2019 5445 0.95 CONTRACTING LLC WATER WARRIOR ISLAND INC NEW BALTIMORE 5852323A 2,332 5/1/2019 9015 ADH CARPENTRY NEW BOSTON 5867479A 7,169 5/25/2019 5437 B MCGUIRE TRUCKING LLC NEW BOSTON 5607760A 825 5/3/2019 7208 D AND T DELIVERY INC NEW BOSTON 2358778A 3,236 4/1/2019 7208 0.95 DELANO CONSTRUCTION COMPANY INC NEW BOSTON 0915629A 750 5/4/2019 5645 PRINCESS RACING LLC NEW BOSTON 5859131A 750 4/25/2019 8279 R AND D IMPROVEMENTS LLC NEW BOSTON 4477006A 800 6/4/2019 5645 RICHARDSON CONTRACTING LLC NEW BOSTON 5713480A 1,615 5/8/2019 5437 RT CONSTRUCTION CO LLC NEW BOSTON 3948765A 750 4/6/2019 5215 PISCES LTD NEW ERA 2268159A 877 4/15/2019 6217 0.95 ROSEFIELD INC NEW HAVEN 3921034A 27,983 4/22/2019 8835 1.31 SALS HOME IMPROVEMENTS LLC NEW HAVEN 5264677A 800 4/24/2019 5403 BROWN BRANDON NEW HUDSON 5378893A 825 4/18/2019 5645 DMC FLOORING LLC NEW HUDSON 5676380A 1,017 6/6/2019 9521 GEOSERV INC NEW HUDSON 3091368A 3,889 4/9/2019 6204 0.95 TRADITIONS SERVICE LLC NEW HUDSON 5849195A 6,392 4/3/2019 7380 WALTON VILLAGE PLAZA INC NEW HUDSON 5717493A 683 5/19/2019 9015 WHITE LAKE BUILD LLC NEW HUDSON 5378893B 825 4/25/2019 5645 CREATIVE HANDS CHILDCARE LLC NEW LOTHROP 5697069A 408 4/3/2019 8869 E AND D PAINTING INC NEW LOTHROP 3856909A 751 5/7/2019 5476 CHAD SPERRY ENTERPRISES LLC NEW TROY 5081904A 1,847 4/9/2019 8393 EVENTACES LLC NEW YORK, NY 4990242A 2,274 6/14/2019 9058 0.95 INTERESSE INTERNATIONAL INC NEW YORK, NY 3827224A 233 6/29/2019 8742 VARSITY DAY CAMP INC NEWARK, DE 1522540A 2,616 4/1/2019 9015 0.95 BEERMAN FIREWOOD AND LOGGING NEWAYGO 5158621A 750 6/26/2019 2702 CAM FLOORING LLC NEWAYGO 5590485A 2,800 5/12/2019 5437 H J AND W LLC NEWAYGO 5274290A 239 5/24/2019 8810 HUITEMA JASON NEWAYGO 5864720A 4,049 5/15/2019 5645 LADD CONSTRUCTION LLC NEWAYGO 5709776A 825 4/28/2019 5645 PARSON JARRET NEWAYGO 5861110A 750 5/1/2019 5645
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RIVER COUNTRY BUILDERS AND REMODELERS NEWAYGO 5872863A 750 6/4/2019 5645 LLC ROBS ELECTRICAL MAINTENANCE NEWAYGO 2291100A 529 6/27/2019 5190 MCNAMARA TRUCKING & SONS NEWBERRY 5856825A 750 4/20/2019 7208 MICHAEL BLAKELY LOGGING LLC NEWBERRY 3911128A 750 4/15/2019 2702 NEWBERRY CAMPGROUND LLC NEWBERRY 2233592A 634 4/14/2019 9015 0.95 PETER K ANDERSON & SONS EXCAVATING INC NEWBERRY 0644137A 1,418 5/11/2019 6217 0.95 TAHQUAMENON AREA CREDIT UNION NEWBERRY 1647407A 2,706 6/1/2019 9015 0.95 TONE CONSTRUCTION INC NEWBERRY 2863413A 970 5/31/2019 5645 TROOP AUTO CRUSHING NEWBERRY 2264315A 750 5/4/2019 7216 WORLDWIDE COMMUNICATIONS CONSULTANTS NEWBURGH, IN 5742749A 826 5/25/2019 5102 INC A AND K CONSTRUCTION NEWPORT 1366599A 1,766 5/18/2019 5645 0.95 MICHIGAN FRAMING LLC NEWPORT 5876869A 4,049 6/28/2019 5645 PRO COATS PAINTING LLC NEWPORT 4096258A 750 4/1/2019 5476 0.95 SWAN BOAT CLUB NEWPORT 1467514A 907 4/12/2019 9060 0.95 ADVERTISING USA INC NILES 4649095A 283 6/8/2019 8810 BLESSED HOME AFC SERVICES LLC NILES 4576950A 983 4/3/2019 9053 0.95 MILLIN GROUP LLC NILES 5542260A 902 4/6/2019 7208 NIEBOER EXCAVATING NILES 0817155A 2,248 4/21/2019 5221 0.95 ON SIGHT ARMORY LLC NILES 5859190A 1,199 4/25/2019 3628 RED ARROW FIRE EXTINGUISHER SERVICE LLC NILES 5570751A 380 6/9/2019 4828 SAYLORS PIZZA PORT INC NILES 0583642A 2,218 4/18/2019 9058 0.95 SHIER SIGNATURE HOME LLC NILES 5850118A 717 4/6/2019 5606 SKINNER CONSTRUCTION NILES 0289825A 750 5/29/2019 5645 SOUTHSIDE MANOR LLC NILES 3002527A 544 4/1/2019 9053 STAR TANK CORROSION CONTROL INC NILES 5875501A 6,201 6/9/2019 5476 STARK FARMS NILES 1996754A 2,598 5/1/2019 0128 0.95 TREADSTONE LLC NILES 3891488A 14,345 4/10/2019 4410 1.24 WULFEN ENERGY LLC NILES 5368790A 17,156 4/7/2019 7208 0.81 A SHIVER TREE SERVICE LLC NORTH BRANCH 4879740A 2,957 4/20/2019 0042 ALL PRIDE HOME INSPECTIONS LLC NORTH BRANCH 5865689A 825 5/23/2019 5551 BURLINGTON TOWNSHIP NORTH BRANCH 0006483A 1,004 5/24/2019 7904 0.95 BUTTERSCOTCH CASTLE LLC NORTH BRANCH 4743695A 543 4/27/2019 8869 CEDAR CREEK TAX SERVICE NORTH BRANCH 2664135A 218 5/10/2019 8810
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LEON FLOORS NORTH BRANCH 5853710A 800 5/4/2019 5437 LOWE CAMERON NORTH BRANCH 5878705A 825 6/23/2019 5551 MCINALLY PAINTING LLC NORTH BRANCH 1658913A 750 5/13/2019 5476 RMS WASHING LLC NORTH BRANCH 5862876A 597 5/8/2019 8017 RODRIGUEZ LAWN CARE ENTERPRISE NORTH BRANCH 4106075A 753 5/5/2019 9102 SCOT WARDROP CONSTRUCTION NORTH BRANCH 5859000A 750 4/25/2019 5437 TLC EXPRESS TRANSPORT LLC NORTH BRANCH 4338910A 800 6/8/2019 7208 CAMELOT STUDIOS NORTH STREET 2273608A 409 6/19/2019 4360 BARE SOUND SYSTEMS NORTHPORT 5862086A 750 5/3/2019 5190 TRI COUNTY MARINE LLC NORTHPORT 4631560A 592 5/18/2019 6836 0.95 AAA LEAD TESTING LLC NORTHVILLE 2655233A 374 6/26/2019 8720 BLUFFS AT LAKES OF MILFORD ASSOCIATION NORTHVILLE 4887891A 633 4/20/2019 9015 CORPORATE TRAVEL SERVICE INC NORTHVILLE 0289590A 8,083 6/18/2019 9015 0.90 CROSS XAMINE INVESTIGATIONS LLC NORTHVILLE 5702674A 1,468 4/13/2019 7720 DLM RENOVATIONS LLC NORTHVILLE 5394465A 683 4/10/2019 9015 EQUIPMENTVILLE USA LLC NORTHVILLE 5349257A 670 5/21/2019 8107 ERIC GUIDOBONO BUILDING COMPANY LLC NORTHVILLE 3937879A 2,478 6/15/2019 5606 0.95 EVENTS BY ANASIE LLC NORTHVILLE 5867932A 241 5/31/2019 8742 EVERGREEN DEVELOPMENT NV LLC NORTHVILLE 4106016A 2,012 5/1/2019 5606 1.21 13 % FAIRLANE WOODS ASSOCIATION NORTHVILLE 0261068A 683 4/5/2019 9015 G AND G PLUMBING INC NORTHVILLE 2918900A 644 5/5/2019 5183 G S SERVICES LLC NORTHVILLE 5855268A 750 4/19/2019 5610 HARD WILLIAM C NORTHVILLE 5277442A 351 6/6/2019 0908 IN THE MITTEN PRODUCTION NORTHVILLE 5501024A 724 5/16/2019 9154 INCH MEMORIALS INC NORTHVILLE 0298565A 219 4/23/2019 8810 INFORMATION WORKS INC NORTHVILLE 2240327A 631 5/15/2019 8742 JON J KIPKE II INC NORTHVILLE 2698030A 709 6/5/2019 5550 JRH ENGINEERING & CONSULTING PLC NORTHVILLE 5398118A 268 4/23/2019 8810 KASPER AND SONS INC NORTHVILLE 3361900A 750 5/6/2019 5645 LAVIGNE AND ASSOCIATES INC NORTHVILLE 2502658A 308 6/23/2019 8742 LLOYD H GREEN POST NO 147 THE AMERICAN NORTHVILLE 2740648A 424 4/11/2019 9058 LEGION LUIGIS PAINTING NORTHVILLE 5404932A 750 4/1/2019 5476 REVISIONED LLC NORTHVILLE 5856795A 750 4/20/2019 5476 SMALL ENDEAVORS INC NORTHVILLE 5859140A 1,863 6/1/2019 8835
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SMITHS DESIGNER CONSTRUCTION INC NORTHVILLE 5449596A 751 4/1/2019 5437 THEHOME REAL ESTATE INC NORTHVILLE 5567556A 295 4/14/2019 8742 TOP QUALITY WINDOW LLC NORTHVILLE 3576949A 750 4/22/2019 5645 TROPICAL POOLS INC NORTHVILLE 0040800A 750 4/9/2019 5223 VILLA CONSTRUCTION INC NORTHVILLE 1243535A 750 5/23/2019 5645 WADOWSKI KIMBERLY NORTHVILLE 4131096A 640 5/14/2019 0913 WAFI TRUCKING INC NORTHVILLE 5875030A 2,380 6/14/2019 7208 ALPHA GROUP INC NORTON, MA 4821475A 276 6/23/2019 4511 ANDYS PLUMBING LLC NORTON SHORES 5706858A 3,573 4/20/2019 5183 BELLA MARIAS RISTORANTE & EVENT CENTER NORTON SHORES 4693574B 1,640 4/15/2019 9058 1.00 INC CONRAD VALERIE NORTON SHORES 4705211A 640 6/13/2019 0913 JIMENEZ JOSE NORTON SHORES 5413010A 750 6/13/2019 5551 GERALD DUGREE JR LOGGING LLC NORWAY 0897868A 750 6/6/2019 2709 GREAT LAKES RECOVERY INC NORWAY 2774348A 1,873 4/1/2019 7720 0.95 WALKER ZACHARY NORWAY 5864267A 750 5/12/2019 5645 ALEX ROOFING NOVI 5431263A 750 4/5/2019 5551 AQUATIC MANAGEMENT SERVICE INC NOVI 2112876A 270 4/11/2019 4511 CHEYENNE EXPRESS INC NOVI 3675467A 24,404 4/21/2019 7208 1.00 DUQUETS LITTLE EAGLE NEST NOVI 0646598A 374 5/10/2019 8868 EURO STONE DESIGN CO INC NOVI 5055164A 826 6/26/2019 5348 FRIED PAUL NOVI 3003655A 401 4/28/2019 0908 G AND J HEATING & COOLING INC NOVI 0484105A 759 6/7/2019 5550 GLEN OAKS CONSUMER HOUSING COOPERATIVE NOVI 1787918A 683 4/30/2019 9015 HANSONS PAINTING LLC NOVI 3702340A 801 4/22/2019 5476 HURON HILLS OWNERS ASSOCIATION NOVI 2697432A 750 6/13/2019 0042 HYDRO CHEM LABORATORIES INC NOVI 1162756A 1,048 5/9/2019 4828 0.95 HYDROBLAST MOBILE WASH INC NOVI 2016591A 2,235 4/5/2019 8387 0.95 INDEPENDENT LEGAL PROCESS SERVING AND NOVI 5543371A 443 4/8/2019 7720 COURT SERVICES LLC INSTALLATION PRO LLC NOVI 5522218A 750 6/28/2019 7600 INTERIOR DEVELOPMENT GROUP LLC NOVI 4341244A 825 4/28/2019 5022 KEATING CONTRACTING LLC NOVI 4753607A 5,129 5/25/2019 5606 0.92 KOHLER WILLARD NOVI 4976487A 640 4/5/2019 0913 LEDBETTER OUTDOOR SERVICES NOVI 4277546A 1,270 4/12/2019 9102 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LESS STRESS MOVING LLC NOVI 5462541A 10,618 4/5/2019 8293 0.86 MARY JANE M ELLIOTT PC NOVI 1112660A 2,970 6/16/2019 8820 0.95 MC CARRIER INC NOVI 3766705A 3,729 4/8/2019 7219 0.89 MEYER MARTIN NOVI 5850835A 750 4/6/2019 5645 MOTOR CITY SCUBA LLC NOVI 5840716A 685 4/19/2019 8017 NOVI YOUTH ASSISTANCE NOVI 3946002A 450 6/5/2019 9063 OKEEFE TATIGIAN INVESTIGATIONS AND ASSOC NOVI 5419972A 1,700 6/4/2019 7720 0.95 INC PDR 4 INC NOVI 5725593A 838 6/20/2019 8810 PINE MEADOW RANCH INC NOVI 1272470A 2,050 4/22/2019 8279 0.95 PLACER RIDGE SERVICES INC NOVI 0290440A 683 4/10/2019 9015 PREMIERE TREE REMOVAL INC NOVI 4869532A 13,011 5/12/2019 0106 1.29 RAMOS MAYNOR NOVI 4338774A 1,419 6/24/2019 5645 0.95 SIERRA STONE INC NOVI 2584336A 801 6/16/2019 8810 SMITH WOOD FLOORS INC NOVI 0672335A 2,532 4/10/2019 5437 0.95 STONEBRIDGE HOMEOWNERS ASSOCIATION NOVI 5219086A 633 4/15/2019 9015 SUTTLE SERVICES LLC NOVI 5348447A 334 5/20/2019 8601 TOUSAINT MEADOWS ASSOCIATION NOVI 5695643A 633 4/1/2019 9015 V I P TIRE & AUTOMOTIVE INC NOVI 1838172A 218 6/12/2019 8810 ZETA CONSTRUCTION LLC NOVI 3472973A 750 6/12/2019 5551 DEDICATED SCHOOL INSTALL LLC NUNICA 5173019A 3,762 5/30/2019 5146 0.95 HALAULA SHAVE ICE LLP NUNICA 5870054A 355 5/30/2019 8017 HATFIELD SPRAYING SERVICE INC NUNICA 4089278B 1,618 5/13/2019 7422 0.85 ZERVAS AND SONS LLC NUNICA 5802890B 750 6/19/2019 5645 B AND G FOODS INC OAK PARK 2401355A 1,095 6/18/2019 8033 0.95 B AND W TRUCKING CO INC OAK PARK 1859307A 750 5/4/2019 7208 BATO INC OAK PARK 4343662A 445 5/11/2019 9058 CRITES ADULT FOSTER CARE INC OAK PARK 2048078A 5,727 4/22/2019 9053 0.87 FRANKLIN PAVING INC OAK PARK 5441790A 751 4/16/2019 5221 GLASS BY THE BLOCK OAK PARK 3579115A 750 4/1/2019 5022 MGM INTERIOR CONTRACTORS LLC OAK PARK 3373460A 598 4/14/2019 9521 ML SPECIALTY CARE LLC OAK PARK 5858992A 823 4/26/2019 8835 PEYTONS PAINTING & DRYWALL OAK PARK 1564960A 750 4/25/2019 5476 SR AUDIO INC OAK PARK 4246551A 2,693 6/17/2019 5191 0.95 BROTZKE ELECTRIC CO OAKLAND 5136903A 1,442 5/9/2019 5190 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUILDING MADE SIMPLE LLC OAKLAND 5850894A 750 4/9/2019 5403 CHERRY CREEK FARM LLC OAKLAND 3355632A 580 5/10/2019 9061 COLLISTER COMPANY LLC OAKLAND 1842943A 945 5/12/2019 5551 0.95 OAKLAND HEAT TRANSFER INC OAKLAND 3608824A 351 5/1/2019 8601 TWIN OAKS HUNT AND GRUNT LLC OAKLAND 0031291A 633 5/13/2019 9015 GIO PAINTING LLC OAKLAND TWP 5877318A 750 6/14/2019 5476 FORD JUSTIN OAKLEY 5850860A 750 4/7/2019 7208 HALSTEAD PEARCE INVESTMENTS OAKWOOD, GA 3361802B 633 5/7/2019 9015 0.95 FRUITMARK USA INC OCEANO, CA 5568560A 440 6/14/2019 8810 AP STAFFING SOLUTIONS LLC OKEMOS 4168143B 1,618 5/8/2019 3628 1.53 LEADING EDGE GOLF FITTERS LLC OKEMOS 5798086A 354 6/12/2019 8017 MICHIGAN TENT AND PARTY RENTALS LLC OKEMOS 5717833A 751 5/30/2019 5538 MINI MAKER LLC OKEMOS 5652634A 511 6/18/2019 8017 ROCK SOLID MANAGEMENT LLC OKEMOS 5564255A 800 5/19/2019 5645 ROWE STABLES LLC OKEMOS 2054124A 883 4/28/2019 8279 0.95 SHINE OF TRAVERSE CITY LLC OKEMOS 5690579A 2,669 5/1/2019 9015 SAF CADIEUX LLC OLD WESTBURY, NY 5862744A 771 5/16/2019 9015 J AND L EXTERIORS INC OLIVET 3804941A 1,444 4/24/2019 5645 0.95 KATHY SCHAEFFER CONSULTING LLC OMENA 5852692A 218 4/17/2019 8810 OMENA TRAVERSE YACHT CLUB INC OMENA 2370743A 549 6/17/2019 9060 MOREHOUSE IMPROVEMENTS LLC ONANDAGA 5695406A 750 4/25/2019 5437 DIVERSIFIED FORESTRY INC ONAWAY 4919270A 2,224 5/4/2019 2702 0.93 DRW SAWMILL INC ONAWAY 4066790A 750 5/22/2019 2731 1.52 GREAT LAKES POWER & PIPE INC ONAWAY 2863685A 48,396 4/21/2019 7538 1.27 13 % HYDES INC ONAWAY 0903574A 6,844 4/9/2019 6217 1.03 MCDADE FENCE ONAWAY 5572576A 1,537 6/26/2019 6400 MCLEAN ELECTRIC INC ONAWAY 5865840A 1,840 5/18/2019 5190 BROWNS POPLAR RIDGE ORCHARDS ONEKAMA 5273838A 868 5/23/2019 0130 PORTAGE LAKE MOTEL ONEKAMA 3180557A 412 6/15/2019 9052 ALL SEASONS CONSTRUCTION LLC ONONDAGA 5567254A 801 5/31/2019 5403 IRISH HILLS TRUCKING CO ONSTED 5409586A 2,224 6/25/2019 7208 0.95 KELLEY DRYWALL INC ONSTED 2704757A 9,852 5/20/2019 5445 0.89 QUALITY PAINTING ONSTED 5568846A 800 6/29/2019 5476 TIMBER LINE LAND SURVEYING ONTONAGON 2164167A 271 6/6/2019 8601 CARING STAFF SOLUTION AGENCY INC ORCHARD LAKE 5136954A 4,194 5/9/2019 8835 0.95 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 120 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KIRILUK DEAN AND STEPHANIE ORCHARD LAKE 5560845A 715 5/14/2019 0913 PEARL POWER WASHING INC ORCHARD LAKE 5706033A 2,020 4/19/2019 9015 STUMPF CONSTRUCTION COMPANY ORCHARD LAKE 0569631A 1,459 4/21/2019 5645 0.95 A A BOOS AND SONS INC OREGON, OH 2403862A 10,055 4/6/2019 5213 0.95 KEY INTERIORS INC ORION 3906426A 320 5/31/2019 8810 LIRA BROTHERS LLC ORION 3082377A 800 4/3/2019 5022 SOS MECHANICAL & SON INC ORION 1806793A 1,968 4/2/2019 5550 0.95 GEMINI GRADING & EXCAVATING LLC ORION TWP 3694801A 1,109 6/26/2019 6217 ADORED LIVING LLC ORTONVILLE 5875420A 3,863 6/8/2019 9053 ALWAYS SHARP LLC ORTONVILLE 4745302A 1,158 4/10/2019 9102 0.95 ANCELL AND SONS ORTONVILLE 2485982A 825 5/2/2019 7208 BLACKHAWKS AUTO REPAIR INC ORTONVILLE 5211620A 855 5/24/2019 8395 BURD CHARLES ORTONVILLE 5862736A 385 5/7/2019 5606 CUSTOM LAWN CARE SERVICES INC ORTONVILLE 4744357A 750 4/29/2019 0042 DYNAMIX PAINTING LLC ORTONVILLE 5545900A 750 5/2/2019 5476 EXCEL CLEANING BROS INC ORTONVILLE 5859182A 633 4/25/2019 9015 HUBBS SERVICES LLC ORTONVILLE 5575915A 800 6/17/2019 5476 MARTIN GLEASON INC ORTONVILLE 1110535A 750 5/26/2019 5645 METROPOLITAN TREE INC ORTONVILLE 0511684A 1,818 4/1/2019 0042 0.95 MORGAN RESTORATION & TRIM INC ORTONVILLE 4636643A 750 6/9/2019 5022 S AND E CUSTOM PAINTING ORTONVILLE 5875587A 956 6/8/2019 5476 SUMTHING GREEN METAL RECYCLING INC ORTONVILLE 4981944A 1,988 5/2/2019 8265 0.95 THOMPSON ALL SEASON MAINTENANCE LLC ORTONVILLE 4858859A 659 4/12/2019 9102 THOMPSON PROPERTY TAX CONSULTING LLC ORTONVILLE 5700132A 375 4/7/2019 8720 TRIM WORKS FINISHED CARPENTRY INC ORTONVILLE 3661342A 825 5/6/2019 5437 0.95 A ONE HOME SERVICES LLC OSCODA 5711770A 750 5/3/2019 5645 OSCODA AREA FIRST RESPONDERS OSCODA 2683911A 565 5/6/2019 7980 JEFFERSON TOWNSHIP HILLSDALE COUNTY OSSEO 0696641A 4,169 4/1/2019 7904 1.00 MID MICHIGAN LAWN & SNOW OSSEO 4896564A 917 5/6/2019 9102 0.95 GRAITER SERVICES LLC OSSINEKE 5568862A 748 6/1/2019 7212 JOHN BOYS INC OSSINEKE 4475127A 1,242 5/14/2019 9058 0.95 INNOVATIVE MODULAR SOLUTIONS INC OSWEGO, IL 3932184A 460 4/15/2019 8810 ENVIRONMENTAL CANINE SERVICES LLC OTISFIELD, ME 5264618A 271 5/1/2019 4511 EUGENIA BOUGIE TRUCKING LLC OTISVILLE 5008514A 2,835 6/28/2019 7214 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PERFORMANCE CONSTRUCTION & SNOW OTISVILLE 5875463A 1,483 6/8/2019 5645 REMOVAL CAPTAIN BOOM FIREWORKS PRODUCTIONS LLC OTSEGO 4228596A 683 6/6/2019 9015 ENERGY SOLUTIONS OF MICHIGAN LLC OTSEGO 5109540A 2,396 5/24/2019 5479 0.95 BEEBE PUMP AND TANK INC OTTER LAKE 5541689A 2,800 4/5/2019 5183 0.95 GREAT PLAINS TECHNICAL SERVICES OVERLAND PARK, KS 5708168A 315 4/25/2019 8810 B AND C JEFF BARTZ & COMPANY OWOSSO 4345258A 1,352 5/12/2019 6229 0.95 BEBIAK CONSTRUCTION OWOSSO 4627571A 750 5/16/2019 5645 COMMERCIAL DIVING SOLUTIONS LLC OWOSSO 5705339A 1,747 5/1/2019 7398 CORDS LAWN COMPANY OWOSSO 0884316A 1,023 4/17/2019 9102 CURWOOD FESTIVAL INC OWOSSO 1706454A 219 5/4/2019 8810 DAVIS AND SON CONSTRUCTION OWOSSO 2649586A 750 5/18/2019 5645 G AND R QUALITY CONSTRUCTION COMPANY OWOSSO 5869706A 750 5/30/2019 5645 HICKORY CORP OWOSSO 0152323A 350 4/6/2019 9058 0.95 KEYES QUALITY CONSTRUCTION LLC OWOSSO 5472458A 750 5/8/2019 5403 LSG TRUCKING LLC OWOSSO 0125180A 966 4/28/2019 9102 0.95 REEVES WHEEL ALIGNMENT INC OWOSSO 0001953A 11,217 4/1/2019 8401 1.53 10 % SHIAWASSEE CONSERVATION ASSOCIATION OWOSSO 3131157A 640 5/15/2019 9058 ADVANCED MACHINE SERVICES LLC OXFORD 3792897A 750 6/28/2019 5191 AMYS GARDENING SERVICE OXFORD 5714702A 750 5/10/2019 0042 BAT REMOVAL & PREVENTION INC OXFORD 5142377A 8,536 4/12/2019 9015 0.95 BENNETT REMODELING INC OXFORD 3114589A 1,001 5/20/2019 5645 0.95 BOLTON ZACHARY OXFORD 5878721A 825 6/23/2019 5551 BUCCI MICHAEL OXFORD 4635558A 750 6/6/2019 0042 G 2 CONSTRUCTION LLC OXFORD 5702844A 750 5/6/2019 5437 GRIMALDI ELECTRIC LLC OXFORD 4714440A 530 5/12/2019 5190 GROUND EFFECTS LANDSCAPES LLC OXFORD 5862620A 1,242 5/5/2019 0042 HARDSCAPES LANDSCAPE CONSTRUCTION INC OXFORD 5318300A 1,583 5/3/2019 0042 0.95 J AND B DOORS INC OXFORD 2209519A 700 5/7/2019 3724 0.95 LESSUISE HOME IMPROVEMENT OXFORD 4887980A 751 6/21/2019 5437 0.95 MCCORMACK MOTORSPORTS INC OXFORD 0971766A 839 4/1/2019 8292 0.95 NORTH SHORE CONSTRUCTION INC OXFORD 5603340A 750 5/26/2019 5645 OLE ROSEBROOK BUILDING CO LLC OXFORD 4202155A 750 4/6/2019 5190 RPM CONSTRUCTION INC OXFORD 2457482A 825 6/1/2019 5403 SWEETLAND TRANSPORT INC OXFORD 5083133A 838 4/5/2019 8810 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FELDMAN DEBRA A PACIFIC PALISADES, CA 4752171A 640 5/20/2019 0913 0.95 GORDON KYLLONEN PAINESDALE 2746336A 591 4/3/2019 9521 ARCHITECTURAL POLYMERS INC PALMERTON, PA 5258391A 390 4/8/2019 8742 NATIONAL FILTER SERVICE INC PALMYRA, VA 5394058A 1,499 6/1/2019 5550 DM TRUCKING LLC PARIS 5407052A 2,746 5/22/2019 7208 0.95 SUPPLIER OF SOLUTIONS LLC PARK CITY, UT 5872944A 308 6/14/2019 8742 B AND H ELECTRIC LLC PARMA 3830578A 11,564 5/24/2019 5190 1.54 27 % DAYBREAK ADVANTAGE LLC PARMA 5709822A 1,312 4/28/2019 9015 HEADLEY INVESTMENTS LLC PARMA 5874220A 1,500 6/6/2019 5437 JOE SATTLER CUSTOM BUILDER LLC PARMA 2715295A 750 6/6/2019 5645 MDK HOME IMPROVEMENTS LLC PARMA 5579490A 750 6/25/2019 5476 MICHIGAN SOCIETY OF PROFESSIONAL PARMA 1219677A 340 4/12/2019 8742 ENGINEERS LIFELUNG INC PASADENA, CA 5715970A 498 5/13/2019 8742 NORTH AND SOUTH HONEY FARM LLC PATTERSON, GA 5495156A 2,655 4/19/2019 0034 0.96 GLENDALE FOREST PRODUCTS INC PAW PAW 2960176A 1,621 5/5/2019 2731 0.95 PEAT RANDALL PAW PAW 1607138A 922 5/17/2019 0011 0.95 SLH TRUCKING LLC PAW PAW 5855306A 800 4/17/2019 7208 AFRICA INLAND MISSION INTERNATIONAL INC PEACHTREE CITY, GA 1120158A 546 4/3/2019 8868 VILLAGE OF PECK PECK 0122408A 6,390 4/7/2019 5509 0.95 UNOBE LLC PELKIE 3052478A 750 5/23/2019 8395 BURNS ENTERPRISES INC PELLSTON 0925985A 2,808 6/28/2019 7212 0.95 INLAND COTTAGE CARE & BUILDING LLC PELLSTON 5853893A 3,563 4/13/2019 5437 POLE BARNS PLUS LLC PELLSTON 2706911A 1,483 5/17/2019 5645 1.00 CAPITAL HOIST AND CRANE INC PEMBROKE, KY 5397669A 3,065 6/13/2019 3724 0.93 BLOOMS LLC PENTWATER 5601517A 750 4/13/2019 0042 ESAD RECREATION LLC PENTWATER 5864755A 634 5/15/2019 9015 PRICES CONSTRUCTION LLC PERRINTON 5566630A 3,214 6/7/2019 5403 0.95 WELCH JASON PERRONVILLE 3536521A 750 4/3/2019 2709 ESPERS EXCAVATING LLC PERRY 5868130A 750 5/25/2019 6217 HANNAH CONSTRUCTION LLC PERRY 1078577A 750 4/24/2019 5645 NEMETH FAMILY VENTURES LLC PERRY 5714591A 2,447 5/10/2019 5476 P AND M TRUCKING LLC PERRY 4868480A 800 5/10/2019 7208 PRIME TIME TRUCKING PERRY 0575100A 751 5/21/2019 7208 T AND L TRUCKING OF PERRY INC PERRY 5052963A 5,116 6/21/2019 7208
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OHIOANS HOME HEALTH CARE INC PERRYSBURG, OH 5126568A 10,296 4/12/2019 8835 0.81 BESTIES FROZEN TREATS LLC PETERSBURG 5863864A 404 5/11/2019 8017 FLEIG SCOTT PETERSBURG 5462690A 641 5/31/2019 9521 HYDE CLINT SR PETERSBURG 3832384A 5,072 6/9/2019 5645 0.94 JEREMY SCHMIDT CONSTRUCTION PETERSBURG 5166845A 2,207 6/26/2019 5437 0.95 LUCAS AUTO PARTS & TOWING LLC PETERSBURG 3553736A 593 6/14/2019 8395 BERRYER DESIGN & MANUFACTURING LLC PETOSKEY 5853761A 490 4/12/2019 8601 BILLS FARM MARKET PETOSKEY 1722735A 6,804 6/7/2019 0011 0.86 CENTER SALON PETOSKEY LLC PETOSKEY 1556789A 311 6/1/2019 9586 0.95 DALE LUTZ MASONRY PETOSKEY 3850846A 750 5/27/2019 5022 GRAMPAS EBIKE RENTALS LLC PETOSKEY 5875579A 404 6/11/2019 8017 GULSCAPES PROPERTY CARE INC PETOSKEY 5876168A 660 6/9/2019 9102 J AND R BUILDING MOVERS INC PETOSKEY 1482858A 5,965 4/18/2019 9530 0.90 JIM GRAYS COTTAGE SERVICES LLC PETOSKEY 5575028A 1,189 6/15/2019 9102 JOY VALLEY COUNSELING & CONSULTATION PC PETOSKEY 3060420A 240 5/16/2019 8832 MEADOWS OF PETOSKEY ASSOCIATION PETOSKEY 5705720A 683 4/18/2019 9015 NORTHERN MICHIGAN REGIONAL ENTITY PETOSKEY 5271002A 643 4/17/2019 8742 OLD FASHIONED SERVICE PETOSKEY 3187195A 750 4/25/2019 5476 PAINTING PLUS DECORATING INC PETOSKEY 4030591A 826 4/9/2019 5476 0.95 PETOSKEY ELECTRIC LLC PETOSKEY 5866758A 1,408 6/4/2019 5190 PETOSKEY FARMS VINEYARD AND WINERY LLC PETOSKEY 5293146A 1,446 6/18/2019 9058 RELIABLE SECURITIES INC PETOSKEY 5584078A 281 4/6/2019 8810 0.93 SHORELINE FINISHES INC PETOSKEY 5041007A 2,009 4/20/2019 5476 SUTFIN CONSTRUCTION PETOSKEY 2056321A 1,036 5/15/2019 5022 TARVUDD CONSTRUCTION LLC PETOSKEY 3924769A 800 6/23/2019 5645 WILDWOOD BUILDERS INC PETOSKEY 3719596A 1,759 4/20/2019 5437 0.95 MAPLE RIVER CAMPGROUND LLC PEWAMO 4219880A 633 5/16/2019 9015 WEST TECH LLC PEWAMO 3377083A 529 4/3/2019 5190 TRELEVATE LLC PHOENIX, AZ 5716721A 1,032 5/20/2019 8742 DOWN TO EARTH CONTRACTING PICAYUNE, MN 4225953A 800 6/15/2019 6217 BROCKS SEAMLESS GUTTERS LLC PICKFORD 4019130A 1,135 5/27/2019 5538 HARRISON ELECTRIC PICKFORD 1894595A 529 5/7/2019 5190 BAILEY BUILDERS PIGEON 5854237A 750 4/13/2019 5645 SAND POINT ASSOCIATION INC PIGEON 5871050A 480 5/31/2019 9063 ADCO HOME IMPROVEMENT LLC PINCKNEY 5605067A 750 4/11/2019 5645 1/3/2019 11:00:13 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 BEAVER CRAFT CONSTRUCTION PINCKNEY 2338769A 750 6/15/2019 5437 BISHOP RYAN PINCKNEY 5858240A 659 4/24/2019 9102 BOHR SERVICES PINCKNEY 5866952A 460 5/22/2019 5606 C AND L LANDSCAPE INC PINCKNEY 3171388A 750 6/3/2019 0042 CERTUS LLC PINCKNEY 4867793A 259 5/5/2019 8601 CLOSE ERNIE PINCKNEY 5545595A 839 6/28/2019 7380 COMPASSIONATE HEARTS HOME CARE LLC PINCKNEY 5855314A 573 6/2/2019 8835 FIELD TRIPS UNLIMITED INC PINCKNEY 5568730A 343 6/1/2019 8810 FLATWORKS CONCRETE COMPANY PINCKNEY 2871025A 750 5/28/2019 5221 HELLMI LLC PINCKNEY 3575292A 1,008 4/26/2019 8017 0.95 JEFFS OUTDOOR AND TREE SERVICES LLC PINCKNEY 0629529A 2,494 5/3/2019 9102 1.05 10 % JS 4 CONSTRUCTION LLC PINCKNEY 5699983A 1,855 4/25/2019 5551 MCALLISTER DEREK B PINCKNEY 5880335A 709 6/29/2019 5550 NORTHSTAR INSTRUMENTATION LLC PINCKNEY 3632822A 604 4/11/2019 5190 OLIVER AND CO LLC PINCKNEY 5715407A 825 5/12/2019 0042 PRO SPRINKLERS AND LIGHTING LLC PINCKNEY 5714532A 644 5/10/2019 5183 PURDYS SERVICES PINCKNEY 5042739A 750 5/28/2019 5645 QUALITY SERVICES CEILINGS & WALLS INC PINCKNEY 5705622A 800 4/18/2019 5445 SHORELINE CONCEPTS LLC PINCKNEY 5563267A 2,225 5/17/2019 5437 TDK CONSTRUCTION PINCKNEY 4760930A 750 6/19/2019 5437 TIMBERLAND TREE CO LLC PINCKNEY 3172643A 750 5/21/2019 6217 TOTAL BUILDING IMPROVEMENTS LLC PINCKNEY 5869617A 800 5/30/2019 5437 VISIONSCAPES CONSULTING LLC PINCKNEY 5699991A 804 4/10/2019 9060 VISTA PROPERTY SERVICES INC PINCKNEY 2629470A 567 5/6/2019 9058 WIDMAYER TRUCKING INC PINCKNEY 5716071A 825 5/13/2019 7208 YES SOLUTIONS LLC PINCKNEY 5714486A 800 6/1/2019 5645 BERTHIAUME SLAUGHTERHOUSE INC PINCONNING 0163236A 2,968 4/11/2019 2081 0.95 JOHNSON EXCAVATION INC PINCONNING 4419197A 750 4/7/2019 6217 SHANNON DREAM INC PINCONNING 4950739A 1,276 5/18/2019 5221 0.95 TIPSY COWBOY FOOD AND SPIRITS LLC PINCONNING 5717558A 801 5/22/2019 9058 LONE STAR MANAGEMENT LLC PITTSBURG, KS 4983505A 2,011 5/9/2019 8017 0.95 WEPCO INC PITTSTON, PA 5713544A 807 5/6/2019 8810 AMCON LLC PLAINWELL 4151933A 750 4/30/2019 5437 0.95 BLOOMBERG ENTERPRISES PLAINWELL 3558207A 800 5/11/2019 7208 CAMPBELL PAUL PLAINWELL 5879752A 800 6/26/2019 5645 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 125 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DOUGLAS AUTOS LLC PLAINWELL 4776780A 543 4/12/2019 8395 FINE BUILDING BY TIEFENTHAL LLC PLAINWELL 1888749A 750 5/22/2019 5645 PLAINWELL KAYAK COMPANY LLC PLAINWELL 5870399A 751 5/30/2019 8010 PLASTISNOW LLC PLAINWELL 5579740A 683 6/25/2019 4484 SPIEGELBERG TRANSPORT PLAINWELL 5559677A 800 4/13/2019 7208 HENSONS SERVICES LLC PLEASANT LAKE 5178428A 1,300 5/6/2019 9521 RISE AS ONE SPORTS LLC PLEASANT LAKE 5861667A 680 5/15/2019 9063 ANGELS OF LIVONIA 24 7 INC PLYMOUTH 1521101A 1,402 4/1/2019 8835 0.95 BLIGHT AUTHORITY PLYMOUTH 5153166A 325 6/12/2019 8810 CASE CLOSED PLUMBING PLYMOUTH 5318211A 709 5/13/2019 5550 CENTRAL PARK COMMUNITY ASSOCIATION PLYMOUTH 4762991A 683 5/24/2019 9015 CHARLES A HANLIN CARPENTER LLC PLYMOUTH 5570239A 750 6/7/2019 5183 D S FLOORS LLC PLYMOUTH 4877969A 666 4/8/2019 9521 0.95 DETROIT HOT ROD SPORT & CUSTOM LLC PLYMOUTH 5721008A 2,561 6/1/2019 8393 DETROIT PRO PAINTERS LLC PLYMOUTH 4202171A 754 5/19/2019 8810 0.95 DGS INC PLYMOUTH 0720852A 750 5/30/2019 5645 DIRECT CABLE BUYERS LLC PLYMOUTH 5854377A 750 4/13/2019 8265 DIVISION 8 SOLUTIONS INC PLYMOUTH 5263417A 808 4/19/2019 8742 0.95 G C M II INC PLYMOUTH 2112353A 892 5/24/2019 9058 1.00 GINNARD QUALITY CONSTRUCTION INC PLYMOUTH 3604896A 751 4/15/2019 5437 0.95 GREEN BUILDING AUTOMATION LLC PLYMOUTH 4978323A 2,619 6/17/2019 5191 0.95 HER THINGS HIS JUNK INC PLYMOUTH 5137470A 990 5/12/2019 5606 INNOVATIVE DRYWALL SERVICES INC PLYMOUTH 4350553A 825 4/3/2019 5445 0.95 JBCE LLC PLYMOUTH 5570603A 639 6/8/2019 9015 JEFF ZAK CATERING INC PLYMOUTH 3933440A 2,220 6/1/2019 9058 0.95 JOYCE AND DON MASSEY FAMILY FOUNDATION PLYMOUTH 5257611A 391 4/4/2019 8810 K AND M RENOVATION AND BUILDING COMPANY PLYMOUTH 5414326A 750 6/16/2019 5645 KELLY EXPRESS AND LOGISTICS LLC PLYMOUTH 5164931A 5,420 5/21/2019 7208 1.31 13 % MERCY USA FOR AID AND DEVELOPMENT INC PLYMOUTH 1932632A 862 5/15/2019 8810 MLS LAND SERVICES PLYMOUTH 4976509A 750 4/4/2019 0106 MR MIKES LAWN AND SNOW SERVICE INC PLYMOUTH 3790789A 750 4/11/2019 0042 PAINTING BY DESIGN LLC PLYMOUTH 3683460A 750 5/26/2019 5476 0.95 PLYMOUTH ROCK AND SUPPLY INC PLYMOUTH 0549002A 751 4/30/2019 8010 0.95 REAL INDEPENDENT LIVING PROGRAM INC PLYMOUTH 5032440A 1,104 6/19/2019 8835 0.95 RJS PEST CONTROL LLC PLYMOUTH 5848660A 633 4/3/2019 9015 1/3/2019 11:00:13 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 SOVEREIGN DIGITAL GROUP LLC PLYMOUTH 5393299A 1,581 4/3/2019 7610 0.95 SPRING MILL RECLAMATION LLC PLYMOUTH 5844819A 3,205 4/1/2019 8810 STEPHENS GERALD PLYMOUTH 5716853A 750 5/17/2019 0106 TOTAL TRANSITION TEAM LLC PLYMOUTH 5273153A 1,578 5/22/2019 9015 0.95 TRANSFORMATIONAL SERVICES LLC PLYMOUTH 5540062A 943 4/1/2019 8832 VERT VERDE LANDSCAPE ARCHITECTURE LLC PLYMOUTH 5131634A 825 4/27/2019 0042 AA GARCIA FRAMING LLC PONTIAC 5862540A 2,766 5/4/2019 5645 ACJ AND SONS CONSTRUCTION LLC PONTIAC 5544050A 750 4/9/2019 5645 AJM CONSTRUCTION PONTIAC 4674006A 750 5/11/2019 5645 ALCOHOLICS ANONYMOUS OF OAKLAND PONTIAC 0617695A 251 5/25/2019 8810 COUNTY ALTERNATIVE TRANSPORTATION SERVICES INC PONTIAC 3608360A 7,946 6/28/2019 7212 1.00 AMA TRANSPORTATION INC PONTIAC 5064090A 749 6/14/2019 7212 0.90 ARZABALA CEMENT INC PONTIAC 3181839A 1,229 4/26/2019 5221 0.95 ASD LATINOS UNLIMITED LLC PONTIAC 5737788A 3,144 5/12/2019 8835 B D CONSTRUCTION & CLEANUP PONTIAC 3724336A 10,649 5/31/2019 5022 0.92 BEST EFFORT CLEANING SERVICES LLC PONTIAC 5723825A 634 6/13/2019 9015 DAVID AND CRISTIAN PONTIAC 3617890A 1,100 5/6/2019 5476 DAVILA CHRISTIAN PONTIAC 5853729A 750 4/12/2019 5022 EM PRO DRYWALL FINISHERS PONTIAC 5212154A 750 4/20/2019 5445 0.95 EREBUS ENTERTAINMENT INC PONTIAC 2036371A 5,523 4/30/2019 9156 0.92 FJ MASONRY PONTIAC 5863260A 750 5/10/2019 5022 FLAGSTAR CONSTRUCTION INC PONTIAC 4388984A 1,380 6/2/2019 5022 GET IT DONE CONCRETE PONTIAC 5737834A 2,352 6/5/2019 5221 JBI SECURITIES LLC PONTIAC 5869072A 860 5/26/2019 7720 JOSE CONSTRUCTION PONTIAC 3023460A 2,357 4/4/2019 5022 0.93 JUAN AND SONS MASONRY LLC PONTIAC 5878764A 2,275 6/26/2019 5022 LOPEZ AND SONS MASONRY LLC PONTIAC 5705398A 800 4/18/2019 5022 MARK V LEGACY INC PONTIAC 5738326A 3,965 4/3/2019 8835 MARTINEZ CARPENTRY INC PONTIAC 5874203A 882 6/6/2019 5645 MASTER SWEEP CHIMNEY SERVICE LLC PONTIAC 5835712A 4,998 5/1/2019 5022 MONARCH WINGS MINISTRIES PONTIAC 5875455A 466 6/8/2019 8810 MT OLIVE BAPTIST CHURCH OF PONTIAC PONTIAC 0033529A 311 4/19/2019 8868 MULTI SERVICES INC PONTIAC 5525616A 731 4/7/2019 9015 NBI PROPERTY MANAGEMENT LLC PONTIAC 5876915A 659 6/13/2019 9102
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NOLAN MORTGAGE CORPORATION PONTIAC 3467120A 444 4/26/2019 8810 PADILLA AND SONS CONSTRUCTION PONTIAC 2710080A 750 5/16/2019 5645 0.95 PONTIAC SAILING EDUCATION FOUNDATION PONTIAC 4877659A 689 6/20/2019 8868 PONTIAC YACHT CLUB PONTIAC 1364278A 840 4/17/2019 9015 0.95 PRICE CONSTRUCTION SERVICES LLC PONTIAC 0482030A 3,135 6/2/2019 5437 0.95 PRIME TIME SERVICES PONTIAC 5450853A 750 5/24/2019 5476 PROBLEM SOLVED HOME IMPROVEMENT INC PONTIAC 4566149A 750 5/11/2019 5645 0.90 RODGES LANDSCAPING INC PONTIAC 0788619A 1,798 4/25/2019 0042 ROWIN DISTRIBUTORS INC PONTIAC 0354112A 529 5/3/2019 8018 SILVER LAKE MASONRY PONTIAC 3534740A 2,412 6/13/2019 5022 0.96 SUPERIOR MASONRY LLC PONTIAC 5046734A 2,068 5/2/2019 5022 0.95 TRITON M CONTRACTING LLC PONTIAC 5541484A 9,707 4/5/2019 7208 0.90 YOUR WORLD ELECTRIC LLC PONTIAC 5649463A 579 5/26/2019 5190 D AND T MANURE HAULING LLC PORT AUSTIN 4858034A 1,820 5/4/2019 0128 1.00 NEW METHOD CONST & REPAIR INC PORT AUSTIN 0746479A 750 4/18/2019 5437 PORT AUSTIN FIRE DEPARTMENT PORT AUSTIN 0735701A 1,164 6/13/2019 7704 0.95 PORT AUSTIN KAYAK & BIKE RENTAL LLC PORT AUSTIN 5878080A 2,190 6/16/2019 9015 SAND BAR THE PORT AUSTIN 2860651A 349 6/20/2019 9058 PAWLITZ CONSTRUCTION PORT HOPE 0239372A 750 5/9/2019 5022 0.95 A 1 PRECISION PAINTING LLC PORT HURON 5257603A 765 4/22/2019 5476 AMERICAS CABINET OUTLET INC PORT HURON 5102464B 908 6/14/2019 8017 1.44 13 % BLUE WATER SEAMLESS GUTTERS PORT HURON 5701694A 750 4/11/2019 5538 CCN ENTERPRISES LLC PORT HURON 4840810A 700 5/31/2019 3724 CDW CONSULTING LLC PORT HURON 3986039A 3,791 4/1/2019 8292 0.88 CHARLES F BARRETT IRREVOCABLE TRUST PORT HURON 4409841A 563 4/10/2019 0909 0.95 FRISBIE ENTERPRISES INC PORT HURON 5515491A 1,003 5/14/2019 7208 0.95 GREAT LAKES CRUISING CLUB PORT HURON 4557018A 753 4/5/2019 8810 KALEIDOSCOPE GYMNASTICS LLC PORT HURON 5874920A 394 6/7/2019 9063 KEELEY PATRICK PORT HURON 5872456A 750 6/1/2019 5645 ROBERT G EGLE REVOCABLE LIVING TRUST PORT HURON 5259681A 1,454 4/22/2019 0913 0.95 ROBERTS CONSTRUCTION PORT HURON 0160199A 1,096 4/27/2019 5403 0.95 PATERSON TREE SERVICE & LAWN CARE INC PORT SANILAC 4658906A 1,127 6/17/2019 0106 0.95 REISNER DEVELOPMENT LLC PORT SANILAC 5276888A 750 6/16/2019 5437 0.95 SANILAC APPRAISERS INC PORT SANILAC 0362883A 374 4/17/2019 8720 B AND A HOMES LLC PORTAGE 5856108A 10,102 4/20/2019 5437 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 128 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CAPSTONE HOME IMPROVEMENT LLC PORTAGE 5275601A 230 6/4/2019 8810 DELISLE ASSOCIATES LTD PORTAGE 2264633A 3,777 4/17/2019 8601 1.00 K VLIETSTRA LANDSCAPE SERVICES LLC PORTAGE 5720133A 1,187 5/26/2019 9102 LUETH LLC PORTAGE 5548594A 715 4/20/2019 9102 MICHIGAN CONSTRUCTION AND REMODELING PORTAGE 5138027A 800 4/24/2019 5645 LLC PRECISION ASPHALT SEALING LLC PORTAGE 4623754A 1,761 6/2/2019 5221 0.95 PROPERTY MANAGEMENT SYSTEMS LLC PORTAGE 0736864A 689 6/26/2019 9015 0.95 ROODBERGEN POOLS & SPAS KALAMAZOO INC PORTAGE 0475050A 4,625 5/9/2019 5223 0.94 SCHIMP N SONS FRAME & FINISH PORTAGE 5716055A 800 6/27/2019 5645 SHANNONDALE MAHOGANY SWIM CLUB INC PORTAGE 1413163A 1,161 4/9/2019 9061 0.95 STERLING HOMECARE CONSULTING INC PORTAGE 5646413A 1,049 4/4/2019 8835 0.95 STUDENT HAULERS LLC PORTAGE 5609640A 3,738 4/28/2019 9403 0.95 TACTICAL ADVANTAGE GUNS LLC PORTAGE 5553806A 771 4/29/2019 8010 TEN 21 CONSTRUCTION LLC PORTAGE 5866960A 750 5/22/2019 5403 TRUE CUSTOM BUILDERS LLC PORTAGE 5246660A 750 5/17/2019 5645 0.95 TURNKEY BUILDERS LLC PORTAGE 5702267A 800 4/12/2019 5476 VAN ROSE LLC PORTAGE 4184963B 634 6/28/2019 9015 WEATHERPROOF REMODELING PORTAGE 5853826A 750 4/12/2019 5551 CHERRY TIM PORTERFIELD, WI 5857767A 750 4/21/2019 0042 BROWNS TRUCK REPAIR LLC PORTLAND 5861934A 543 5/2/2019 8395 MAY BUILDERS INC PORTLAND 2752735A 750 6/10/2019 5645 0.95 NATIONAL MEETING COMPANY INC PORTLAND, OR 5876052A 511 6/9/2019 8017 PRIME CONTRACTING LLC PORTLAND 5330564A 1,105 5/11/2019 5606 0.95 WILDERNESS MEDICAL ASSOCIATES USA PORTLAND, ME 4733207A 255 4/11/2019 8868 WINDY BROOK COMPANIES INC PORTLAND 5429706A 3,356 5/11/2019 5645 0.95 BIO CLEAN TEAM INC POTTERVILLE 3830756A 955 4/7/2019 9015 0.95 GATIEN FARM AND FOREST PRODUCTS LLC POWERS 4069072A 4,687 5/8/2019 2731 0.94 JL TRANSPORT POWERS 3661520A 750 5/17/2019 7208 UP FOREST INNOVATIONS POWERS 3323978A 932 4/4/2019 0042 A 1 CONTRACTING AND RESTORATION LLC PRESCOTT 5866804A 7,159 5/31/2019 5645 CAPTIVATING CONCRETE LLC PRESCOTT 5746221A 2,723 6/8/2019 5221 TITAN HOME SERVICES INC PRESCOTT 5248361A 800 4/5/2019 5645 0.95 BENEATH THE SURFACE LLC PRESQUE ISLE 5859867A 751 4/27/2019 7600 GRAND LAKE MARINA INC PRESQUE ISLE 5863457A 989 5/10/2019 6836
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TS UNDERGROUND PRESQUE ISLE 4375068A 750 5/17/2019 7600 0.95 AAA IRRIGATION INC PRUDENVILLE 4675932A 660 6/23/2019 5188 BASIL AND MIKE SERVICE PRUDENVILLE 2932792A 1,663 4/1/2019 8395 0.95 DEAN POEPPE CONSTRUCTION PRUDENVILLE 3702499A 1,163 6/21/2019 5645 EMERY PINES DEVELOPMENT LLC PRUDENVILLE 5063493A 636 5/18/2019 8810 T AND P TREE SERVICE LLC PRUDENVILLE 5527988A 1,011 5/2/2019 0106 BARREIRO EDGAR PULLMAN 5721601A 750 6/3/2019 5645 DAVES PROFESSIONAL TREE SERVICE INC PULLMAN 3899225A 3,527 6/2/2019 9102 0.89 DEER PATH TRUST PUNTA GORDA, FL 1189050A 664 4/6/2019 0908 COTTONWOOD RESORT INC QUINCY 3963063B 1,074 6/11/2019 9015 0.95 D AND D IRRIGATION LLC QUINCY 3359298A 843 5/19/2019 5183 0.95 FABULOUS FLOORS AND MORE LLC QUINCY 5145481A 751 6/20/2019 9521 HUMANE SOCIETY OF BRANCH COUNTY INC QUINCY 3499006A 1,147 5/17/2019 8831 0.95 SCHWARTZ BROTHERS CONSTRUCTION LLC QUINCY 5024757A 11,493 4/13/2019 5645 1.41 13 % G AND G LOGGING QUINNESEC 1271598A 750 4/21/2019 2702 QUINTIN OLSON TRUCKING LLC QUINNESEC 5723264A 750 6/10/2019 7208 BESSEMER TOWNSHIP OF GOGEBIC COUNTY RAMSAY 0163171A 3,673 5/1/2019 9410 0.95 CARGO CO RAPID CITY 1660390A 1,774 4/6/2019 8393 1.00 HENDERSON MICHAEL RAPID CITY 0797936A 750 4/24/2019 5022 JET APPLIANCE SERVICE INC RAPID CITY 2149303A 2,542 5/31/2019 9519 0.95 LOCAL DINER LLC RAPID CITY 5711088A 1,062 5/2/2019 9058 RON WAY MASONARY RAPID CITY 1073397A 750 5/21/2019 5022 YES INTERIORS AND EXTERIORS CUSTOM RAPID CITY 3898644A 2,465 6/27/2019 5476 0.95 PAINTING BIOPHILIA RAPID RIVER 5863929A 277 5/14/2019 8601 BRUCE SUNDBERG TRUCKING LLC RAPID RIVER 1110756A 5,119 5/1/2019 7208 0.95 CREATIVE COMPOSITES INC RAPID RIVER 2920417A 16,522 6/22/2019 3632 0.89 EDWIN LACOSSE FOREST PRODUCTS RAPID RIVER 1550713A 750 6/12/2019 2702 GA SAYERS CONSTRUCTION CO INC RAPID RIVER 0936235A 3,067 6/4/2019 5645 0.91 GUDWER TRUCKING SERVICE LLC RAPID RIVER 4877900A 750 6/6/2019 7208 0.95 KORY WILS TRUCKING RAPID RIVER 4695399A 825 5/25/2019 7208 AUSTIN PAINTING LLC RAVENNA 3328031A 751 5/28/2019 5476 BECHTEL CUSTOM PAINTING RAVENNA 5397545A 750 4/27/2019 5476 FAMILY AND COMMUNITY SERVICES INC RAVENNA, OH 0083569A 24,412 6/25/2019 8835 0.71 WESTSIDE MOBILE HOMES INC RAVENNA 5347459A 6,215 4/24/2019 8387 1.33 13 %
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge A 1 HANDY MAN RAY 5864950A 750 5/23/2019 5437 BEAR CONSTRUCTION OF MACOMB INC RAY 5436761A 1,483 4/14/2019 5645 DEAN REINHARDT RAY 2252813A 4,277 5/31/2019 7208 TRANSMISSIONS UNLIMITED INC RAY 0231100A 4,623 5/30/2019 8395 1.24 27 % VANSTEENKISTE CONSTRUCTION INC RAY 0421413A 803 5/30/2019 8810 Z AND G RENOVATIONS LLC RAY 5850100A 3,944 4/6/2019 5437 ABLE TREE EXPERTS LLC RAY TWP 4434978A 7,741 6/6/2019 0106 0.92 D FENCE LLC RAY TWP 3904164A 750 4/25/2019 5645 0.95 PEAK HOME IMPROVEMENTS LLC RAY TWP 3110753A 1,588 5/21/2019 5645 0.95 CERTIFIED TOWER MAINTENANCE INC READING 4473183A 781 5/22/2019 5102 KTK TRUCKING READING 4699726A 1,111 6/15/2019 7208 0.95 LONG LAKE GROCERY COMPANY LLC READING 3332624A 1,685 5/22/2019 8017 0.95 JAYLEN COMPANY CONTRACTORS LLC RED OAK, TX 5393051A 750 6/23/2019 5645 ALBERT A ACKER INC REDFORD 1783300A 539 5/5/2019 9058 ANGLISS PETER REDFORD 4701623A 351 5/23/2019 0908 BALINT ERIK REDFORD 4974387A 640 5/23/2019 0913 BANKABLE ENTERPRISES INC REDFORD 5726689A 908 6/24/2019 9015 BAZZI ALI REDFORD 5702623A 640 4/12/2019 0913 BECK TREVOR REDFORD 5328888A 502 4/12/2019 0908 BNF PIZZERIA INC REDFORD 5713889A 3,078 5/9/2019 9058 BOB AND LESLIES LAWN MAINTENANCE REDFORD 3970272A 2,401 4/1/2019 9102 0.95 C AND E BUILDING MAINTENANCE REDFORD 2843641A 633 4/5/2019 9015 CURTIS STONEWATER LLC REDFORD 5158257A 750 6/25/2019 5348 D D S DELIVERY SERVICE INC REDFORD 2119897A 750 4/12/2019 7208 D W CONSTRUCTION REDFORD 5722551A 825 6/10/2019 5645 DCL INSTALLATION REDFORD 5432898A 750 6/13/2019 5645 DOWIER FARAH REDFORD 5543827A 640 4/9/2019 0913 E M D CONSTRUCTION INC REDFORD 0593621A 7,589 4/14/2019 5221 0.85 EAZEE TRANSPORT TRUCKING LLC REDFORD 5862167A 750 5/4/2019 7208 EBNER QUINN REDFORD 5876478A 351 6/12/2019 0908 FRABUTT BROTHERS CONSTRUCTION REDFORD 3962342A 750 6/16/2019 5551 GOSLIN CHELSEY REDFORD 5580862A 351 6/29/2019 0908 GRANCO SECURITY SERVICES LLC REDFORD 5859875A 1,250 4/27/2019 7720 HATKOW ANTHONY REDFORD 5878748A 351 6/23/2019 0908 HEJKA SAMUEL REDFORD 5876575A 351 6/12/2019 0908 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 131 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HOLME PAINTING CO LLC REDFORD 0997781A 750 4/18/2019 5476 KOSTRZEWA LAURENCE REDFORD 3710599A 3,269 4/30/2019 0913 0.95 LESLIE RANDALL REDFORD 4251911A 351 6/29/2019 0908 LUNN JOSEPH REDFORD 5187915A 640 6/12/2019 0913 MARTIN CLAY REDFORD 5878756A 640 6/23/2019 0913 MCINTEE JENNIFER REDFORD 5262186A 351 5/9/2019 0908 MED TRANSPORTATION LLC REDFORD 5554551A 748 6/6/2019 7212 0.95 MILLER ALEXANDER REDFORD 5876486A 351 6/12/2019 0908 PREMIUM DOOR INSTALLATIONS REDFORD 5876796A 750 6/13/2019 5645 PRO TEK POWER WASHING LLC REDFORD 5711991A 634 5/4/2019 9015 REEVES SUNNI REDFORD 5543924A 351 4/9/2019 0908 RENAISSANCE CONTRACTING LLC REDFORD 5727952B 4,049 4/11/2019 5645 RETIN CARE 2 INC REDFORD 5873029A 729 6/5/2019 8835 RICHARD DAVID HUNTER LLC REDFORD 3893332A 641 5/30/2019 9521 ROTH TIMOTHY REDFORD 4682726A 351 6/4/2019 0908 SMITH BRENT REDFORD 5180007A 640 4/12/2019 0913 SOCKOW CHRISTOPHER REDFORD 5566550A 1,106 5/25/2019 0908 SPRINGSHINE PROFESSIONAL CLEANING REDFORD 2396572A 633 4/6/2019 9015 SERVICES INC SWEEPDREAMS AND MAINTENANCE INC REDFORD 3669556A 1,953 5/17/2019 9402 T A K SOLUTIONS LLC REDFORD 5567785A 750 6/11/2019 7208 THUMM CAROL REDFORD 5718813A 1,106 5/23/2019 0908 TM PRO REMODELING REDFORD 2768666A 4,178 4/18/2019 5437 TONYS TILE AND MARBLE CO REDFORD 1376144A 750 6/22/2019 8810 WASHINGTON RYAN REDFORD 5863147A 351 5/9/2019 0908 CRUDEN PAMELA L TRUST REDWOOD CITY, CA 5154634A 795 6/15/2019 0909 0.95 COVEY RICHARD SR REED CITY 3908291A 750 4/11/2019 2702 REED CITY TOWING LLC REED CITY 5256801A 19,640 6/3/2019 7208 0.95 SWITZER SAND & GRAVEL INC REED CITY 2696231A 2,948 5/16/2019 4000 0.95 THE SHOP REED CITY 5876540A 750 6/12/2019 5645 THOMAS D MORRIS INC REISTERTOWN, MD 5265533A 478 5/7/2019 8742 HILLMAN MIKE REMUS 3386422A 750 6/5/2019 5445 BRINK EDWARD RHODES 0406368A 3,110 6/23/2019 5445 BECKMAN DAVID RICHLAND 5859484A 690 4/26/2019 0913 LORIES EVENTS LLC RICHLAND 5855390A 684 4/27/2019 9015
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LUKEMAN PROPERTY MANAGEMENT LLC RICHLAND 5148421A 10,251 6/5/2019 9015 1.56 40 % LYNNE MORGAN GROUP INC RICHLAND 5046297A 2,125 6/27/2019 9521 0.95 SNYDER JIM G RICHLAND 2389657A 750 5/5/2019 5022 AMERICAN ENERGY SERVICES INC RICHMOND 1976400A 12,564 6/30/2019 8601 1.45 40 % BINIEKS QUALITY INSTALLATION LLC RICHMOND 3260240A 591 5/1/2019 9521 CITY DOOR RICHMOND 3909360A 753 5/20/2019 8810 GREENLEAF TREE CARE LLC RICHMOND 5259983A 751 4/11/2019 0106 K 5 ENTERPRISES INC RICHMOND 5843499A 1,025 6/21/2019 5437 K AND J CONSTRUCTION MANAGEMENT RICHMOND 5082404A 750 6/24/2019 5645 MANUEL CONSTRUCTION RICHMOND 4381297A 750 5/25/2019 5538 0.95 MICHIGAN LAWN SERVICE LLC RICHMOND 5398177A 659 6/13/2019 9102 PATRICK M ROSS CONSTRUCTION CO RICHMOND 2271303A 1,871 6/20/2019 5645 0.95 ROBS SUPER CAR WASH INC RICHMOND 0473898A 587 5/5/2019 8387 SPC CONTRACTING LLC RICHMOND 2690284A 1,482 4/4/2019 5221 TOMA ELECTRIC RICHMOND 2598973A 529 6/16/2019 5190 VAN HAVERBECK HOMES INC RICHMOND 1921576A 750 6/7/2019 5645 C AND J BUSH LANDSCAPING RILEY 5205891A 1,521 4/25/2019 9102 0.95 LYLE FLEISCHMANN MEGS HAULING LLC RILEY 5410380A 1,671 5/4/2019 7380 0.95 ROMAN HOMES RILEY TWP 4952383A 9,787 4/24/2019 5645 0.89 BLAIR JAMES AND DONNA RIVER GROVE, IL 5707080A 577 4/30/2019 0908 CHAIRES HOME IMPROVEMENT LLC RIVER ROUGE 5862345A 800 5/4/2019 5645 MIKE WARD SERVICES INC RIVER ROUGE 4313810A 750 4/7/2019 5190 0.95 GREEN FUEL & ENERGY RIVERDALE 5860636A 3,816 4/28/2019 2709 P AWT TRANSPORT RIVERDALE 5484332A 750 4/14/2019 2702 RED OAK SEAMLESS EAVESTROUGHING LLC RIVERDALE 5705053A 751 4/14/2019 5538 LAKE MICHIGAN BEACH PROPERTY OWNERS RIVERSIDE 1136380A 1,234 6/3/2019 9015 ASSOCIATION INC ACE SERVICES INC RIVERVIEW 5874173A 750 6/6/2019 5437 GREGORYS ROOFING & CONSTRUCTION LLC RIVERVIEW 1969978A 12,721 5/1/2019 5551 0.88 KENCO SUPPLY LLC RIVERVIEW 4636899A 318 6/11/2019 8742 PERFECTION VENDING CO RIVERVIEW 3903710A 1,046 4/13/2019 5192 BLOOMINGDALE CONSTRUCTION COMPANY INC ROCHESTER 3785394A 750 5/30/2019 0042 BROOKSIE WAY ROCHESTER 5281083A 2,747 5/16/2019 9015 0.95 BRYDEN DEVELOPMENT CORPORATION ROCHESTER 0675539A 750 4/30/2019 5445 CLEAR CREEK COMMUNITY ASSOCIATION ROCHESTER 4986911A 633 5/18/2019 9015
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COOK TREE CARE ROCHESTER 0581178A 750 5/30/2019 0106 E AND C PAINTING CO LLC ROCHESTER 4348303A 825 5/19/2019 5476 E K GRANITE AND MARBLE ROCHESTER 5877210A 750 6/14/2019 5348 GENERAL SPORTS BASEBALL HOLDINGS LLC ROCHESTER 5562651A 31,427 5/15/2019 9015 0.88 HEART OF THE HILLS SWIM CLUB INC ROCHESTER 0971103A 1,417 5/19/2019 9063 0.95 HERCULEZE TECHNOLOGIES INC ROCHESTER 5865620A 406 5/31/2019 8810 JERRYS GUN SHOP INC ROCHESTER 1158813A 448 4/7/2019 8010 LOCHIRCO CONSULTING LLC ROCHESTER 5524113A 268 4/4/2019 8810 METRO PUMP SERVICE LLC ROCHESTER 4618637A 750 4/23/2019 3724 NORTHERN STONE & BRICK CONSTRUCTION ROCHESTER 3286509A 750 6/27/2019 5348 0.95 CORP R R D CONSTRUCTION CO ROCHESTER 3293343A 1,635 5/11/2019 5606 0.95 REMEDICA LLC ROCHESTER 5318513A 694 5/23/2019 8832 RILEYS CONSTRUCTION & COMMERCIAL HOME ROCHESTER 3972526A 750 5/13/2019 5221 REPAIR SERVICES INC SHINE LLC ROCHESTER 2201615A 1,271 6/1/2019 9015 T L JENKINSON LLC ROCHESTER 3000273A 17,640 4/12/2019 0042 0.85 TRI COUNTY COURT REPORTERS INC ROCHESTER 5877989A 257 6/20/2019 8810 TYLER CREEK CAMPGROUND LLC ROCHESTER 5859964A 3,323 4/27/2019 9015 VISTAS CONDOMINIUM ASSOCIATION ROCHESTER 4063880A 633 5/1/2019 9015 WOMBAT ENTERPRISES LLC ROCHESTER 5238749A 683 4/2/2019 9015 XPERIX INC ROCHESTER 5856060A 259 4/19/2019 8601 ABC PAINTING INC ROCHESTER HILLS 5098157A 825 4/12/2019 5476 ADVANCE TERRAZZO & MARBLE RESTORATION ROCHESTER HILLS 3221318A 1,154 4/22/2019 5348 0.95 INC ALDO GRANITE ROCHESTER HILLS 5867983A 750 6/1/2019 5348 ARDIAN HASANAJ INC ROCHESTER HILLS 4370970A 750 6/25/2019 5476 ARMANDO GIUSEPPE INC ROCHESTER HILLS 5866316A 1,625 5/19/2019 5610 ATTIA CONSTRUCTION ROCHESTER HILLS 1001728A 750 4/7/2019 5645 BLP PAINTING & CARPENTRY LLC ROCHESTER HILLS 3632423A 2,672 5/15/2019 5476 CBBC LLC ROCHESTER HILLS 5865832A 524 5/18/2019 9058 CONDON MACOMB NORTH LLC ROCHESTER HILLS 5848342A 319 4/1/2019 9063 COUNTY LINE LANDSCAPERS LLC ROCHESTER HILLS 1815385A 750 6/9/2019 0042 CUSTOMIZED RESIDENTIAL SERVICES LLC ROCHESTER HILLS 3930998A 7,995 6/2/2019 8835 0.81 DAN BROWN BUILDER ROCHESTER HILLS 0243868A 750 5/14/2019 5645 EARTH STONES INC ROCHESTER HILLS 5717965A 750 5/19/2019 5437 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 134 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ECO SERVICES GROUP INC ROCHESTER HILLS 5376793A 800 6/8/2019 5348 FAT BELLY HANDYMAN LLC ROCHESTER HILLS 4751060A 1,397 5/18/2019 5645 0.95 G AND J HOLDINGS 1 INC ROCHESTER HILLS 4509412A 1,662 4/5/2019 5476 GENERAL PAINTING COMPANY LLC ROCHESTER HILLS 3881938A 825 6/7/2019 5476 GLOBAL ENERGY SYSTEMS LLC ROCHESTER HILLS 0235660A 709 5/6/2019 5550 GO SENIORS LLC ROCHESTER HILLS 5330114C 826 4/18/2019 7212 0.95 GOG ANTON C ROCHESTER HILLS 5127726A 591 4/17/2019 9521 GREENTREES INC ROCHESTER HILLS 0464619A 24,751 5/18/2019 9102 1.75 13 % HGHILL AND ASSOCIATES LLC ROCHESTER HILLS 5715008A 3,282 6/26/2019 7206 HOOK TOM ROCHESTER HILLS 5862175A 751 5/4/2019 5437 J BOMMER FLOORING LLC ROCHESTER HILLS 5102766A 1,833 4/11/2019 9521 J T HIGHLANDER INC ROCHESTER HILLS 3368270A 750 4/21/2019 5476 KHURRUM T PIRZADA DO PC ROCHESTER HILLS 4960726A 241 5/15/2019 8832 KNAPP BROTHERS POOL SERVICE INC ROCHESTER HILLS 1839861A 1,189 4/22/2019 9015 0.95 LA RESTORATION LLC ROCHESTER HILLS 5721881A 750 6/6/2019 5476 LDL BUILDERS LLC ROCHESTER HILLS 4045793A 750 4/7/2019 5645 MAXWELL BUILDING SERVICES INC ROCHESTER HILLS 5406528A 825 5/20/2019 5437 MEDIC COMMUNICATIONS LLC ROCHESTER HILLS 4977220A 5,315 4/13/2019 7600 0.85 MICHIGAN BRICKSCAPE CO ROCHESTER HILLS 1473506A 753 6/17/2019 8810 MOTOR CITY FENCE CO LLC ROCHESTER HILLS 3783146A 850 5/14/2019 6400 NORTH OAKLAND CONTRACTORS ROCHESTER HILLS 0032891A 750 5/12/2019 7600 NUSBIETEL PAUL ROCHESTER HILLS 2691345A 750 6/4/2019 7208 PEREZ GARCIA PAINTING LLC ROCHESTER HILLS 5688647A 825 4/12/2019 5476 PEREZ PAINTERS LLC ROCHESTER HILLS 5170826A 825 4/12/2019 5476 PHOTO TRON CORPORATION ROCHESTER HILLS 1081314A 354 4/12/2019 3179 PRECISION FRAMING & BUILDING SYSTEMS LLC ROCHESTER HILLS 4645324B 32,434 4/30/2019 5645 0.85 PREMIER KITCHEN CABINETS INC ROCHESTER HILLS 2540592A 750 5/8/2019 5437 PREMIERE QUALITY MASONRY ROCHESTER HILLS 2175851A 750 4/17/2019 5022 PRO MAINTENANCE INC ROCHESTER HILLS 0174513A 750 5/10/2019 5437 QUEST PRODUCTS CORPORATION ROCHESTER HILLS 3166295A 279 5/4/2019 8810 RFT STAFFING LLC ROCHESTER HILLS 4996321A 335 6/21/2019 8810 RICOS PAINTING LLC ROCHESTER HILLS 5210640A 825 4/12/2019 5476 SEVEN HUNDRED ONE COMPANY A MICHIGAN ROCHESTER HILLS 5273870A 750 4/1/2019 5610 LIMITED LIABILITY COMPANY SHEPPARD STRUCTURAL CONSULTING PC ROCHESTER HILLS 1353780A 760 6/16/2019 8601
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SK KITCHEN & BATH ROCHESTER HILLS 5542995A 750 4/7/2019 5437 SLM BUILDING LLC ROCHESTER HILLS 4207076A 750 6/21/2019 5645 SURFACE RESTORATION TECHNOLOGIES INC ROCHESTER HILLS 3156168A 3,217 4/8/2019 9015 0.95 SWIATKO ENTERPRISES INC ROCHESTER HILLS 4983459A 850 5/8/2019 5403 USA LANDSCAPING ROCHESTER HILLS 4941217A 737 5/5/2019 9015 VANDER BROEK ROOFING ROCHESTER HILLS 2101262A 750 4/16/2019 5403 VISIONARY PAINTING LLC ROCHESTER HILLS 5712670A 750 5/15/2019 5476 VIVID DESIGN STAFFING INC ROCHESTER HILLS 4530195A 723 6/25/2019 8601 0.95 WALDMANN ROBERT DR ROCHESTER HILLS 3181618A 401 6/11/2019 0908 WANNER PROPERTIES LLC ROCHESTER HILLS 4437098A 750 5/4/2019 5645 WASH TECH LLC ROCHESTER HILLS 5862310A 633 5/4/2019 9015 WOMANS TOUCH IN LANDSCAPING AND ROCHESTER HILLS 3932508A 1,520 5/5/2019 0042 0.92 MAINTENANCE LLC MARK WORM CONSTRUCTION INC ROCK 4329490A 750 4/14/2019 5437 V LACOSSE LOGGING ROCK 0549576A 750 6/11/2019 2702 0.95 BRIAN BECKER INTERIORS LLC ROCKFORD 4978005A 750 4/19/2019 5445 BUYZE CUSTOM HOMES ROCKFORD 5880033A 750 6/27/2019 5645 CHALDEAN CONSTRUCTION ROCKFORD 5876036A 750 6/11/2019 5645 DEDICATED ELECTRIC INC ROCKFORD 5576016A 1,253 6/18/2019 5190 EHLERT JOSH ROCKFORD 5879388A 750 6/26/2019 5645 ENGLISH DRYWALL INC ROCKFORD 4321464A 750 5/24/2019 5445 FOUR STAR TRANSPORT INC ROCKFORD 2270048A 750 4/7/2019 7208 FULLER DESIGN INC ROCKFORD 4835417A 2,482 5/24/2019 9521 0.95 G R METRO PLUMBING LLC ROCKFORD 4289684A 644 6/25/2019 5183 GILLHESPY OF MICHIGAN INC ROCKFORD 0134570A 1,290 6/13/2019 5191 0.95 GREAT LAKES PROMOTIONS ROCKFORD 1603930A 530 5/5/2019 8018 0.95 J AND B ENTERPRISES OF ROCKFORD LLC ROCKFORD 5160278A 3,404 6/4/2019 0042 0.95 JP SEAMON ENTERPRISES LLC ROCKFORD 5077087A 640 5/2/2019 0913 LEBLANC CUSTOM HOMES INC ROCKFORD 5202787A 750 5/14/2019 5645 ONPOINT SELECT SERVICES LLC ROCKFORD 5852145A 1,685 4/10/2019 2095 PORTER BRYAN J & MIRANDA L ROCKFORD 5869102A 642 5/26/2019 0128 PRONTO HAIL & DENT INC ROCKFORD 5848610A 486 4/3/2019 8393 QUALITY KUTZ LAWN CARE LLC ROCKFORD 5834325A 1,035 4/5/2019 9102 ROCK SOLID RESURFACED LLC ROCKFORD 5878373A 750 6/22/2019 5437 ROCKFORD SPORTS BOOSTERS ROCKFORD 4882725A 354 6/28/2019 8017
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SMITH DANIEL ROCKFORD 5613930A 751 4/28/2019 5445 TALL BOYS WINDOW CLEANING LLC ROCKFORD 5861071A 709 5/1/2019 9015 THOMAS JOHNSON BUILDER INC ROCKFORD 4991397A 750 6/7/2019 5645 TOWING BY NELSON INC ROCKFORD 5269059A 8,014 5/9/2019 7208 0.88 TRUSS WORTHY CRANE SERVICE LLC ROCKFORD 5369231A 2,974 5/18/2019 9530 0.95 UNION PAYROLL AGENCY INC ROCKLIN, CA 3429911A 505 5/1/2019 9154 0.95 GANTZ MILLWORK LLC ROCKWOOD 4865588A 750 4/29/2019 5645 HAMMERLE METAL WORK ROCKWOOD 5137489A 1,053 4/28/2019 3040 NIGHT OWL TRUCK REPAIR LLC ROCKWOOD 4435532A 11,280 5/16/2019 8395 0.89 PRO CARE TOTAL MAINTENANCE LLC ROCKWOOD 5679869A 6,411 6/8/2019 5476 R L WINTER & SON INC ROCKWOOD 2713004A 1,072 5/3/2019 5221 Z AND P TRUCKING LLC ROCKWOOD 4435532B 10,492 5/16/2019 7208 0.89 LATTIMORES MOBILE HOME SALES & SERVICE RODNEY 1829599A 8,246 6/30/2019 8387 0.85 INC CONCRETE ALTERNATIVES INC ROGERS CITY 0298948A 750 4/18/2019 5645 0.95 DONS BODY SHOP INC OF ROGERS CITY ROGERS CITY 2354349A 1,442 6/20/2019 8393 1.00 GAUTHIER AND SPAULDING FISH COMPANY LLC ROGERS CITY 0713198A 1,117 4/1/2019 8021 0.95 H LUNG TRANSPORT LLC ROGERS CITY 2402840A 750 4/10/2019 7208 HENTKOWSKI LOGAN J ROGERS CITY 5878306A 825 6/22/2019 2702 NOWICKI TRUCKING LLC ROGERS CITY 5411840A 750 6/9/2019 7208 PHILIP F BELLEVILLE THE FAMILY TRUST ROLLING HILLS, CA 2303566A 588 6/18/2019 0909 0.95 ANGEL CONSTRUCTION ROMEO 5866189A 750 5/19/2019 5645 CONCISE ADVANTAGE LLC ROMEO 5848016A 348 4/10/2019 8810 FOWLER CONSTRUCTION INC ROMEO 2655128A 750 4/19/2019 5645 0.95 MESM CONSTRUCTION INC ROMEO 5720451A 9,452 5/27/2019 5645 RIGHT TOOL CONSTRUCTION ROMEO 5875978A 750 6/9/2019 5645 WALLACE ROOFING & RENOVATION LLC ROMEO 3342913A 750 4/28/2019 5551 AAA LAWN SERVICE & SNOW REMOVAL ROMULUS 4515994A 795 6/13/2019 9102 ALLIED TECHNOLOGY INC ROMULUS 4363850A 1,543 6/26/2019 8010 0.95 ARAMCO FUEL STOP INC ROMULUS 4766512A 1,896 5/3/2019 9058 0.95 ASPHALT COMPANY LLC ROMULUS 4460006A 997 6/1/2019 5221 0.95 CACAU VASILE ROMULUS 5126886A 486 4/30/2019 8393 DETROIT INTERMODAL SERVICES INC ROMULUS 3244920A 8,311 5/1/2019 8395 1.37 13 % DOWNRIVER PEST CONTROL INC ROMULUS 4977912A 1,402 4/3/2019 9015 E G G SERVICES LLC ROMULUS 5855888A 633 4/18/2019 9015
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EVERGREEN TREE & RESTORATION INC ROMULUS 5408962A 7,051 5/30/2019 0042 0.95 F AND M OF ROMULUS INC ROMULUS 4597559A 801 6/16/2019 9058 GREAT LAKES LOGISTICS & TRANSPORTATION ROMULUS 5850150A 750 4/6/2019 7208 LLC J E MOORE INC ROMULUS 0147109A 4,428 5/19/2019 0042 0.90 METRO FUEL SERVICES LLC ROMULUS 4724089A 1,251 4/22/2019 8017 0.95 R AND M MANAGEMENT GROUP INC ROMULUS 0083194A 317 5/30/2019 8810 S AND G EXPRESS INC ROMULUS 4442296A 3,418 6/27/2019 8395 0.95 SCHOFIELD TRANSPORT & LOGISTICS LLC ROMULUS 2850036A 762 5/31/2019 8742 SUNCO PETROLEUM LLC ROMULUS 4605500A 1,119 4/27/2019 8810 0.95 ZOUROB ENTERPRISES INC ROMULUS 3615928A 404 4/17/2019 8017 HEPA ENVIRONMENTAL SERVICES INC ROOTSTOWN, OH 4980042A 720 4/26/2019 5183 ANDYS PIZZERIA INC ROSCOMMON 3810771A 349 5/19/2019 9058 EICHORN CONSTRUCTION INC ROSCOMMON 3501060A 750 6/4/2019 5403 GRIZZLEY LOGGING ROSCOMMON 2650991A 1,441 4/17/2019 2702 0.95 KJ WARD LLC ROSCOMMON 2020149A 1,019 4/6/2019 6836 0.95 NORTHERN MICHIGAN METAL ROOFING LLC ROSCOMMON 2728516A 826 6/29/2019 8810 0.95 YE OLDE COUNTRY CLUB INC ROSCOMMON 1343920A 431 4/28/2019 9060 BERGS NUISANCE ANIMAL & BUG CONTROL ROSE CITY 5026555A 360 5/2/2019 8831 BUCKS COUNTRY COOKIN INC ROSE CITY 5707234A 1,341 4/28/2019 9058 J CARD SURVEYING LLC ROSE CITY 5856302A 392 4/19/2019 8601 MIDNIGHT MAGIC CONSTRUCTION COMPANY LLC ROSE CITY 5852331A 750 4/10/2019 5437 RPM INDUSTRIAL ELECTRIC ROSE CITY 3526992A 1,794 6/1/2019 5190 0.95 FOUNTAIN OF LOVE LLC ROSEBUSH 5064830A 982 4/12/2019 9053 0.95 HOVEY HEATING & COOLING INC ROSEBUSH 0616052A 3,601 6/12/2019 5550 0.95 MCCONNELL FREEZER PAC INC ROSEBUSH 0866059A 2,560 4/6/2019 8021 0.95 A 3 SANDBLASTING INC ROSEVILLE 5863090A 1,295 5/15/2019 9501 A OK CLEANING SERVICE LLC ROSEVILLE 0432865A 1,755 5/17/2019 9015 0.95 AMO JASON ROSEVILLE 5849608A 672 4/5/2019 9521 AUBREY GROUP INC ROSEVILLE 4905300A 2,639 6/22/2019 8017 0.90 BLUE LABEL HOME IMPROVEMENT LLC ROSEVILLE 5557984A 750 6/16/2019 5437 CONFEZIONI ANDREA NORTH AMERICA LLC ROSEVILLE 5702801A 584 4/25/2019 8742 CUSTOMER ONE HOMES LLC ROSEVILLE 5396514A 386 4/17/2019 5606 CUSTOMKRAFT HOME IMPROVEMENT ROSEVILLE 3928012A 750 5/22/2019 5551 DISTINCTIVE INTERIORS LTD ROSEVILLE 1721801A 800 5/13/2019 5610
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DOLLS LANDSCAPING ROSEVILLE 5702194A 800 4/12/2019 0042 E AND J HOME IMPROVEMENT ROSEVILLE 3576787A 750 5/13/2019 5437 GLASSXPERT LLC ROSEVILLE 5566991A 268 4/5/2019 8742 GRADYS LOUNGE INC ROSEVILLE 0342777A 486 5/4/2019 9058 H BURGETT CONSTRUCTION LLC ROSEVILLE 4218760A 1,023 4/11/2019 5022 0.93 HMT PROPERTIES LLC ROSEVILLE 3983307A 13,494 5/30/2019 8395 1.48 13 % J AND J ROOFING CO ROSEVILLE 1697870A 741 4/27/2019 8742 J CAROLE MORGAN LLC ROSEVILLE 2599040A 851 5/1/2019 9058 JOE KAWA MAINTENANCE AND INSTALLATION ROSEVILLE 2929732A 751 5/9/2019 5476 JOHN Z DEGRANDCHAMP & SON INC ROSEVILLE 2109700A 750 6/17/2019 5022 KNOWLES CONSTRUCTION INC ROSEVILLE 1193597A 750 6/1/2019 5476 L AND R HOME IMPROVEMENT ROSEVILLE 4050479A 750 5/18/2019 5437 LADUKE INTERIORS ROSEVILLE 5878349A 750 6/22/2019 5437 MARTINS LAWN SERVICE INC ROSEVILLE 0636541A 710 6/5/2019 9102 MASON RICHARD R ROSEVILLE 5672953A 750 5/1/2019 5022 MAXX TOWING INC ROSEVILLE 4905229A 5,540 6/22/2019 7208 0.95 MCGUCKIN THOMAS ROSEVILLE 5877369A 750 6/14/2019 5022 MICHIGAN TREE & LANDSCAPING INC ROSEVILLE 2151200A 9,809 4/8/2019 0106 1.00 MODISYS LLC ROSEVILLE 5117968A 348 4/1/2019 8810 N AND B ENTERPRISES INC ROSEVILLE 4474236A 1,803 5/30/2019 8017 0.95 NAT VEND INC ROSEVILLE 3505294A 3,394 4/12/2019 5192 0.95 NEW HORIZONS RESPONSE SERVICES LLC ROSEVILLE 4470451A 4,607 5/13/2019 9402 0.90 REGENT HOME CARE INC ROSEVILLE 3570100A 907 5/26/2019 8835 0.95 RICKS SERVICES INC ROSEVILLE 5856809A 760 4/20/2019 5550 ROBERT ALTON MCCULLUM III BUILDING CO LLC ROSEVILLE 5447003A 1,262 4/11/2019 9015 ROBERT HARRIS CONTRACTING LLC ROSEVILLE 2674084A 4,684 4/9/2019 5479 1.25 10 % SAFE T TRANSPORTATION LLC ROSEVILLE 5133904A 13,882 5/3/2019 7212 0.74 THIRTEENTH HOUR TATTOOS LLC ROSEVILLE 5853460A 596 4/11/2019 9586 TIMS TILES ROSEVILLE 5862779A 750 5/7/2019 5348 TRAPANI TILE INC ROSEVILLE 2249405A 750 5/9/2019 5348 WARREN WOODS CONSTRUCTION LLC ROSEVILLE 5387841A 800 4/5/2019 5645 ZIMMERMAN LAWN AND SNOW ROSEVILLE 2999820A 800 6/30/2019 9102 A AND G CORPORATE HOLDINGS LLC ROYAL OAK 0086150A 14,846 6/10/2019 3076 0.99 ADVOCATE INSTALLATION LLC ROYAL OAK 5849136A 750 4/12/2019 5645 ASHA PATEL MD PLC ROYAL OAK 5074975A 241 5/10/2019 8832 1/3/2019 11:00:13 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 BAYBERRY PLACE CONDOMUNIUM ASSOCIATION ROYAL OAK 5531160A 633 6/30/2019 9015 0.95 BEACON HILL PROPERTIES INC ROYAL OAK 2108151B 683 4/1/2019 9015 0.95 CEILINGS UNLIMITED LLC ROYAL OAK 5399556A 750 4/29/2019 5020 CHRISTOPHERS RESIDENTIAL SERVICES LLC ROYAL OAK 1686127A 1,291 4/21/2019 5645 0.95 CHURCH OF THE HOLY CITY ROYAL OAK 0782955A 350 4/22/2019 8868 DAVES SERV TECHS ROYAL OAK 2700557A 633 6/21/2019 9015 DETAILS HANDYMAN AND CONSTRUCTION ROYAL OAK 4686659A 825 4/28/2019 5348 SERVICES INC DUNKERSON GARRIC ROYAL OAK 5867240A 750 5/23/2019 5476 EDWIN ANTHONY LLC ROYAL OAK 5206235A 750 6/29/2019 5645 0.95 ENVIRONMENTAL CONSULTING SOLUTIONS LLC ROYAL OAK 5253683A 806 4/23/2019 8601 FINKEL MICHAEL & KELSEY ROYAL OAK 5849187A 690 5/1/2019 0913 FOREMAN CONSTRUCTION INC ROYAL OAK 4897510A 7,204 5/3/2019 5645 0.94 GRAND SLAM BASEBALL TRAINING CENTER INC ROYAL OAK 1735810A 623 4/1/2019 8017 GREAT LAKES RECOVERY & REPOSSESSIONS ROYAL OAK 4606191A 1,497 6/27/2019 7720 0.95 INC JONES KAREN J ROYAL OAK 2729598A 664 4/24/2019 0908 0.95 KFLO COMPANY ROYAL OAK 5874289A 895 6/11/2019 8017 L AND A CONSTRUCTION INC ROYAL OAK 0972398A 750 4/20/2019 5551 LAMKIN CONSTRUCTION INC ROYAL OAK 1153609A 751 6/28/2019 5221 LOCKWOOD NATALIE JESSICA ROYAL OAK 5877628A 640 6/16/2019 0913 MILLS SIDING & ROOFING LLC ROYAL OAK 3280381A 750 5/3/2019 5551 NEWPORT SCOTT ROYAL OAK 2377870A 3,349 5/26/2019 5437 0.95 ONEILL PRODUCTIONS LLC ROYAL OAK 5861969A 750 5/3/2019 5476 RAW THERAPY LLC ROYAL OAK 5695368A 320 6/9/2019 9063 RECREATIONAL DIVING SYSTEMS INC ROYAL OAK 0221503A 1,659 6/6/2019 8017 0.95 RICHARD BOS PARTNERS LLC ROYAL OAK 0137863A 388 5/1/2019 8601 RLW DESIGN BUILD LLC ROYAL OAK 5708583A 750 5/25/2019 5645 STAY AND PLAY SOCIAL CLUB INC ROYAL OAK 3456692A 1,591 5/12/2019 9063 0.95 THOMAS REMODELING ROYAL OAK 4142004A 750 5/24/2019 5538 TONY AMOUD & ASSOCIATES INC ROYAL OAK 2242796A 800 5/2/2019 5190 0.95 TRESNAK CONSTRUCTION INC ROYAL OAK 3485471A 804 4/21/2019 8742 UNITED RESIN INC ROYAL OAK 0374130A 5,283 4/15/2019 4828 0.89 VL PAINTING INC ROYAL OAK 5605113A 800 6/27/2019 5476 WYETT TODD A ROYAL OAK 2108151A 804 6/6/2019 0908 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SANDMANNS GROCERY RUTH 1380346A 1,356 6/9/2019 8006 0.95 A PLUS HOSPICE CARE INC SAGINAW 5861640A 823 5/2/2019 8835 ABSOLUTE BUILDING & CUELLAR INC SAGINAW 4611985A 800 6/11/2019 5437 0.95 ALLEN CONTRACTING SERVICES INC SAGINAW 2648202A 751 4/17/2019 5221 0.95 AMERICAN LAWN AND LANDSCAPE SAGINAW 5702895A 1,936 4/13/2019 0042 APS EMPLOYMENT SERVICES INC SAGINAW 3618587A 211,334 4/1/2019 8835 2.84 40 % AVIOTT LLC SAGINAW 5867509A 800 5/23/2019 5551 BLUHMS HOME IMPROVEMENT SAGINAW 5409977A 751 6/3/2019 5476 BOB THE BUILDER & SONS LLC SAGINAW 2994089A 2,766 4/20/2019 5645 BRAD BECKER CONSTRUCTION LLC SAGINAW 2014165A 750 4/14/2019 5645 BRUNS LANDSCAPING SAGINAW 5704928A 812 4/17/2019 0042 COTY LEE CONSTRUCTION LLC SAGINAW 5864763A 9,617 5/15/2019 5645 CST COUNSELING AND TRANSITIONAL SERVICES SAGINAW 5111889A 431 6/28/2019 8832 INC DOUD ROOFING SAGINAW 5711967A 800 5/4/2019 5551 DURUSSEL AND SONS TREE SERVICE SAGINAW 1634518A 750 6/14/2019 0106 EXTREME LANDSCAPING & LAWN CARE LLC SAGINAW 4533313A 2,352 6/30/2019 9102 0.95 GREAT LAKES CROSSROAD LLC SAGINAW 5596556A 350 5/19/2019 9058 HIGHER STANDARDS PRESSURE WASHING LLC SAGINAW 5880378A 635 6/28/2019 9015 HOUSE OF HOPE ADULT FOSTER CARE LLC SAGINAW 4896254A 2,115 6/3/2019 9053 0.95 HYDRAULIC INSTALLATION COMPANY LLC SAGINAW 0120723A 944 5/6/2019 5183 0.95 JACKS TREE SERVICE INC SAGINAW 2002663A 32,001 4/1/2019 0042 1.00 JM GRAHAM MASONRY SAGINAW 0976067A 801 6/9/2019 5022 KJAYS CARPET SERVICE SAGINAW 2756480A 1,256 4/1/2019 9521 0.95 MILANOS PIZZA ONE INC SAGINAW 4928024A 3,104 5/12/2019 9058 1.00 MWN LLC SAGINAW 4580419A 1,386 4/1/2019 7720 0.95 NEXT LEVEL FLOORING SAGINAW 3310264A 628 6/23/2019 9521 NIGHT FLIGHT FIREWORKS LLC SAGINAW 4982932A 994 6/30/2019 8017 0.95 NORTHERN TOUCH LAWN CARE AND SAGINAW 5547032A 750 4/21/2019 0042 SNOWPLOWING LLC PRENZ MAINTENANCE INC SAGINAW 0446351A 1,016 5/1/2019 9102 PROFESSIONAL PROPERTY CONSULTING LLC SAGINAW 4398238A 4,747 5/17/2019 9015 0.90 SAGINAW CATHOLIC MUSTARD SEED SAGINAW 5559669A 305 5/12/2019 8810 FOUNDATION SAGINAW RESTAURANT SUPPLY COMPANY SAGINAW 3944271A 750 5/2/2019 9519 SAGINAW SYMPHONY ASSOCIATION SAGINAW 0840114A 468 4/7/2019 8810 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 141 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SAUVE ROBERT D SAGINAW 5707137A 750 4/21/2019 5645 SEGOVIA MARK SAGINAW 5880440A 259 6/28/2019 8601 SHERIDAN ARMS LLC SAGINAW 5392780A 1,281 4/1/2019 8010 0.95 SRITARAMA SOLUTIONS INC SAGINAW 5279682A 268 6/12/2019 8810 STACKS REMODELING LLC SAGINAW 5262046A 750 4/16/2019 5437 STEPHEN FLORA BUILDERS INC SAGINAW 4365461A 800 4/6/2019 5645 T AND S CONSTRUCTION LLC SAGINAW 5706823A 5,577 4/20/2019 5437 ULTIMATE EXTERIORS SAGINAW 5307821A 750 5/22/2019 5645 0.95 VALLEY HOSPICE CARE INC SAGINAW 5716500A 755 5/16/2019 8835 VIKING CARPET SERVICES INC SAGINAW 4998332A 1,142 5/5/2019 9521 WOLPERT REFRIGERATION INC SAGINAW 0563021A 338 4/26/2019 8810 ZEROS SHIRLEY SAGINAW 5399882A 351 4/30/2019 0908 U P CUSTOM FORESTRY INC SAGOLA 2357003A 750 5/16/2019 2709 0.95 WEBSTER CONSTRUCTION SAINT JOHNS 5866154A 750 5/19/2019 5645 SUN HOME IMPROVEMENT CO SALEM 3263142A 540 4/1/2019 8742 0.95 COLAROSSI LAWN CARE SALINE 5397529A 3,630 4/21/2019 9102 0.92 EUROPEAN CONSTRUCTION CO SALINE 0320250A 930 4/30/2019 5645 1.00 GALLERY PARK HOMEOWNERS ASSOCIATION SALINE 4496426A 633 4/26/2019 8810 MASONRY DESIGN & REPAIR LLC SALINE 4707389A 939 5/1/2019 5022 0.95 NO BULL TOWING INC SALINE 4768582A 800 4/26/2019 7208 ROGERS AARON SALINE 5876028A 617 6/9/2019 0128 SCHILKE SECURITY SALINE 1508490A 494 5/14/2019 7720 SOLID ROCK CONTRACTING LLC SALINE 5718422A 750 6/1/2019 5645 A B EXCAVATING INC SAND LAKE 4474791A 750 6/3/2019 6217 B AND R ROOFING SERVICES SAND LAKE 5175895A 750 6/14/2019 5551 FREY JUSTIN SAND LAKE 5711983A 800 5/4/2019 5551 ROUGH CUT FOREST PRODUCTS SAND LAKE 5142091A 750 5/18/2019 2702 WEST RIVER FRAMING SAND LAKE 3389898A 750 6/16/2019 5403 CREATIVE RIDES LLC SANDUSKY 5577993A 548 6/28/2019 8393 HALL MASONRY SANDUSKY 5261619A 1,063 4/16/2019 5221 0.95 OSWALDS FERTILIZATION LLC SANDUSKY 5725313A 699 6/17/2019 9102 THUMB BIOENERGY LLC SANDUSKY 4977025A 2,216 5/14/2019 8601 0.95 WILLIAMS CONSTRUCTION OF MICHIGAN LLC SANDUSKY 5538025A 8,834 4/8/2019 5215 0.90 SPIKES CONSULTING LLC SANFORD 5862566A 334 5/7/2019 8601 STEAMX SANFORD 3130363A 634 5/11/2019 9015 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 142 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ASHER ELECTRIC CONSULTING LLC SANTA ROSA BEACH, FL 5558140A 1,781 6/18/2019 5190 AUDIO SECURITY & AUTOMATION PROVIDERS SARANAC 3960927A 1,277 6/1/2019 5190 0.95 INC CENTERLINE MECHANICAL LLC SARANAC 5699614A 784 4/6/2019 5550 PINKNEY HILL MEAT COMPANY LLC SARANAC 4315995A 1,000 4/10/2019 2081 0.95 PRESTON MASONRY LLC SARANAC 0728284A 750 6/5/2019 5022 SARANAC CHIROPRACTIC CENTER SARANAC 3493628A 240 6/4/2019 8810 ENAGON LLC SAUGATUCK 5712092A 1,528 6/13/2019 8107 LAKE CONSTRUCTION CO SAUGATUCK 0141895A 2,124 4/7/2019 8227 0.95 CALVIN VELDT TRUCKING SAULT STE MARIE 5553601A 825 5/11/2019 7208 CJS CONTRACTING SAULT STE MARIE 5698596A 751 4/4/2019 9402 FAMOUS SOO LOCKS CRUISES INC SAULT STE MARIE 0315176A 5,951 4/1/2019 8726 0.87 GREAT LAKES SHIPWRECK HISTORICAL SOCIETY SAULT STE MARIE 0940950A 11,664 6/7/2019 8017 1.44 13 % INC HOORNSTRA COMMUNICATIONS INC SAULT STE MARIE 3230015A 516 4/14/2019 5191 JG STONE CREATIONS LLC SAULT STE MARIE 5065895A 3,144 6/1/2019 5221 0.95 S AND S MATHEMATICAL & BUSINESS SOLUTIONS SAULT STE MARIE 5706882A 1,767 4/20/2019 0042 LLC SEA BEES DOCKSIDE CAFE SAULT STE MARIE 1054228A 647 6/25/2019 7038 SMORE MEMORIES LLC SAULT STE MARIE 5262810A 634 5/1/2019 9015 TESTER CONSTRUCTION INSPECTION SERVICES SAULT STE MARIE 5867657A 389 5/24/2019 4511 INC KEY CASTINGS LLC SAWYER 0155993A 775 4/5/2019 3085 0.95 RIVIERA CEDAR HOMES INC SAWYER 2754169A 750 4/7/2019 5645 FRED BEAN & SON INC SCHOOLCRAFT 2698129A 750 5/3/2019 5645 MIDLINK LOGISTICS LLC SCHOOLCRAFT 4976746A 1,074 4/10/2019 8810 0.95 RITCHIE DRYWALL SCHOOLCRAFT 1371304A 750 4/7/2019 5445 0.95 SCOTT TERRENCE ARLEN SCHOOLCRAFT 3707970A 750 5/23/2019 5551 EYRES EAVESTROUGHS SCOTTS 5847591A 750 4/17/2019 5645 RURAL FUTURES INTERNATIONAL SCOTTS 0717762A 3,875 4/7/2019 8868 0.95 SKYLER ENTERPRISES LLC SCOTTS 4633369A 566 5/30/2019 0128 ADVOCATE INVESTIGATION SCOTTVILLE 3511057A 1,404 6/20/2019 7720 0.95 CLH SERVICES LLC SCOTTVILLE 4642546A 750 4/22/2019 5476 CRYSTAL LAKE CAMPGROUND SCOTTVILLE 0588547A 684 5/31/2019 9015 SYNERGY EVENT PRODUCTION INC SEBASTOPOL, CA 5719011A 607 6/7/2019 9154 KUHL CONSTRUCTION COMPANY SEBEWAING 1501798A 5,947 5/26/2019 3365 1.37 13 %
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 143 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MANPOWER CONSTRUCTION SELMAC, NC 5878802A 6,875 6/23/2019 5040 CUMBERLAND PINES ASSOCIATION SHELBY 4980573A 683 4/27/2019 8810 LRH HOMES INC SHELBY 5283639A 2,084 6/25/2019 5221 0.95 MCENTAFFER TREE CARE LLC SHELBY 5856230A 3,732 4/19/2019 0106 A 1 EAGLE PAINTING LLC SHELBY TWP 3683354A 750 5/30/2019 5476 A AND G LANDSCAPING & TREE SERVICE SHELBY TWP 5712580A 1,101 5/5/2019 0106 A J DEVELOPMENT LLC SHELBY TWP 5854628A 800 4/14/2019 5022 ACOUSTICAL SYSTEMS SHELBY TWP 2358832A 750 4/1/2019 5020 0.95 AK AND AR CONSTRUCTION LLC SHELBY TWP 5877857A 750 6/19/2019 5437 ALL PRO CONSTRUCTION SHELBY TWP 4064810A 750 4/27/2019 5437 ALVAREZ CULTIVATION LLC SHELBY TWP 5874831A 7,008 6/7/2019 0035 AMBASSADOR VILLAGE CONDOMINIUM SHELBY TWP 4239660A 633 5/1/2019 9015 ASSOCIATION AMERICAN GYMNASTICS INSTITUTE INC SHELBY TWP 4029194B 4,372 5/12/2019 9063 0.86 ANDREI TRIPA LLC SHELBY TWP 4012666A 750 5/9/2019 5437 ANNSBURY EAST APARTMENTS LLC SHELBY TWP 1799320A 633 4/1/2019 8810 0.90 BRIDGEWOOD HOMES LLC SHELBY TWP 3996425A 435 4/5/2019 5606 0.95 C AND R PAINTING LLC SHELBY TWP 2806207A 750 6/22/2019 5476 CAPITOL FITNESS INC SHELBY TWP 5877342A 546 6/15/2019 9063 CAPPUSO BUILDING LLC SHELBY TWP 5620759A 647 6/7/2019 5606 CHARBONIER DEL SHELBY TWP 5858305A 6,789 4/24/2019 5645 CLASSIC REMODELING LLC SHELBY TWP 5637228A 800 5/17/2019 5437 COLORWAVE PAINTING SHELBY TWP 5267846A 825 5/6/2019 5476 COVES AT BRADBURY PARK LLC SHELBY TWP 5716705A 750 5/15/2019 5645 CURB APPEAL DOOR & WINDOW INC SHELBY TWP 3388778B 825 5/13/2019 5645 DAN MAR CONSTRUCTION SHELBY TWP 4202244A 750 4/6/2019 5348 DEPENDABLE SERVICES GROUP LLC SHELBY TWP 5864780A 1,904 5/11/2019 9102 DNS TRANSPORTATION INC SHELBY TWP 5398100A 753 4/27/2019 8810 0.86 DVH CONSTRUCTION INC SHELBY TWP 3576353A 3,625 4/16/2019 5645 0.93 EUROPEAN CONSTRUCTION AND RESTORATION SHELBY TWP 5181569A 750 4/8/2019 5476 LLC FACILITY AID LLC SHELBY TWP 4722930A 750 4/6/2019 5022 FELICE MICHAEL A SHELBY TWP 0507652A 750 4/16/2019 5437 FINAL TOUCH CONTRACTING INC SHELBY TWP 4803680A 800 4/10/2019 5437 0.95 FIVE STAR PROPERTY SERVICES & SHELBY TWP 4360540A 1,332 6/16/2019 5022 0.95 MAINTENANCE LLC 1/3/2019 11:00:13 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 GATES CONSTRUCTION INC SHELBY TWP 0805815A 2,805 4/22/2019 5403 0.95 GREATER METRO RECOVERY INC SHELBY TWP 3940640A 921 6/19/2019 7720 GUY CON BUILDING CORP SHELBY TWP 0477257A 750 6/22/2019 5645 HOPE HOLDINGS LLC SHELBY TWP 3750540A 226 4/17/2019 8810 JAG OUTDOOR SERVICES INC SHELBY TWP 4988337A 659 4/21/2019 9102 JOSEPH LORENZO BUILDING CO SHELBY TWP 5078920A 750 5/18/2019 5645 0.95 JW CLARK CONTRACTING LLC SHELBY TWP 5267927A 375 5/6/2019 8720 K MAN TRUCKING INC SHELBY TWP 5853796A 750 4/15/2019 7208 KAY BUILDING & LAND DEVELOPMENT LLC SHELBY TWP 3175049A 709 5/26/2019 9102 KTV EXPRESS INC SHELBY TWP 5276861A 750 6/3/2019 7208 L AND D UNDERWOOD CONTRACTING LLC SHELBY TWP 4505409A 282 6/22/2019 8810 0.93 LEON REBECA SHELBY TWP 5367573A 2,578 5/23/2019 5022 0.95 LIFETIME INSURANCE SERVICES INC SHELBY TWP 5503809A 299 4/11/2019 8810 LLS FINISH CARPENTRY LLC SHELBY TWP 5059054A 750 4/30/2019 5437 LOUIES QUALITY PAINTING LLC SHELBY TWP 3166210A 750 6/22/2019 5476 LTM CONSTRUCTION INC SHELBY TWP 4473817A 750 6/4/2019 5645 MACOMB SERVICES HEATING & COOLING LLC SHELBY TWP 5277884A 674 6/6/2019 5191 MARCEAU ENTERPRISES INC SHELBY TWP 4745221A 7,368 4/27/2019 9015 1.15 MDM DANCE PROJECT LLC SHELBY TWP 5190711A 319 5/14/2019 9063 MED MAR GROUP INC SHELBY TWP 1904965A 752 6/30/2019 8810 MICHELLE CORPORATION SHELBY TWP 5719348A 800 5/24/2019 6217 MICHIGAN HIGH PRESSURE CLEANING INC SHELBY TWP 3019276A 750 4/14/2019 9015 0.95 MID TOWN PARK LLC SHELBY TWP 5723388A 750 6/12/2019 5403 MODERN CABINETS & TRIM LLC SHELBY TWP 5880530A 750 6/28/2019 5437 MOTOR CITY AUTO TRANSPORT INC SHELBY TWP 3298469A 857 6/29/2019 8810 MOUNTAIN PAINTING SHELBY TWP 4347480A 750 6/12/2019 5476 MROZ BROTHERS ENTERPRISES LLC SHELBY TWP 5778077A 5,288 5/7/2019 9058 N D PAINTING AND MAINTENANCE SHELBY TWP 2311135A 750 5/14/2019 5476 NEDS FLOORING REMOVAL INC SHELBY TWP 4878426A 2,912 6/14/2019 9521 0.95 NEPTUNE STONE WORKS LLC SHELBY TWP 4463218A 750 4/18/2019 1624 NEW LOOK PAINTING SHELBY TWP 5374766A 750 6/30/2019 5476 NICHOLAS HOMES INC SHELBY TWP 4496108A 750 5/2/2019 9015 0.95 NICO HOMES LLC SHELBY TWP 3361373B 986 5/31/2019 5348 NORTH FERRY CONDOMINIUM ASSOCIATION SHELBY TWP 5542979A 685 4/7/2019 8810 NORTHWOOD TREE SERVICE INC SHELBY TWP 5312655A 2,717 4/11/2019 0106 0.95 1/3/2019 11:00:13 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 ORLANDO CUSTOM HOMES INC SHELBY TWP 3441164A 750 6/27/2019 5437 PAINT EXPERTS LLC SHELBY TWP 5644259A 1,650 5/25/2019 5476 PAULS CONSTRUCTION LLC SHELBY TWP 4891716A 750 5/22/2019 5645 0.96 PINE VALLEY BUILDING LLC SHELBY TWP 4374657A 750 6/28/2019 5645 0.95 PRECISION CUT TILE & MARBLE LLC SHELBY TWP 5127629A 750 4/17/2019 5348 PREVENTIVE TRUCK REPAIR INC SHELBY TWP 3179044A 543 5/16/2019 8395 PRIME BUILDING COMPANY INC SHELBY TWP 4982444A 7,921 5/9/2019 5610 1.15 PROVINCIAL HOMES LLC SHELBY TWP 5408580A 1,650 6/28/2019 5645 R AND D TILE LLC SHELBY TWP 5867649A 750 6/1/2019 5348 RANDAZZO BUILDERS INC SHELBY TWP 5075149A 750 4/7/2019 5437 0.95 RECARO CHILD SAFETY LLC SHELBY TWP 4220242A 498 4/1/2019 8810 1.91 27 % RMV TRANSPORTATION INC SHELBY TWP 5705487A 750 4/18/2019 7208 ROZAFA TRANSPORT INC SHELBY TWP 2627540A 17,480 6/17/2019 7208 0.79 SAVANNAH CONSTRUCTION INC SHELBY TWP 2090090A 800 4/14/2019 5437 0.95 SERVICE 1ST MAINTENANCE LLC SHELBY TWP 3127664A 708 4/8/2019 9015 SEVEN BROTHERS PAINTING INC SHELBY TWP 2629585A 62,558 4/1/2019 5476 2.45 13 % SIERRA HOMES LLC SHELBY TWP 5408563A 750 6/30/2019 5645 SIX BROTHERS CONSTRUCTION SHELBY TWP 3175014A 800 5/4/2019 5645 SMILEY FACE PAINTING LLC SHELBY TWP 3979105A 2,280 4/21/2019 5476 0.95 SNIDER INDUSTRIES INC SHELBY TWP 2897539A 683 4/20/2019 9015 SPEED QUALITY PAINTING AND CONSTRUCTION SHELBY TWP 4414560A 750 5/15/2019 5476 LLC STUDENT PAINTERS MICHIGAN LLC SHELBY TWP 2412250A 26,638 5/8/2019 5476 0.92 TONIS TILE LLC SHELBY TWP 3574008A 800 6/14/2019 5348 TOP COAT PAINTING LLC SHELBY TWP 5229464A 750 6/30/2019 5476 TOP NOTCH LABOR LLC SHELBY TWP 5012376A 800 4/30/2019 5645 TOUCH OF LIFE PC SHELBY TWP 3628221A 551 4/10/2019 8832 TOWNE AND COUNTRY HOMES LLC SHELBY TWP 5877504A 750 6/15/2019 5645 TRIPCO INC SHELBY TWP 3159795A 223 4/20/2019 8810 VILLAGE MOTOR SALES LLC SHELBY TWP 0112550B 275 4/5/2019 8748 VILLAGIO DEVELOPMENT LLC SHELBY TWP 5854156A 800 4/13/2019 5022 VILLEGAS CLEAN UP CONSTRUCTION SHELBY TWP 4275780A 750 6/30/2019 5610 VISTA LAKES ASSOCIATION SHELBY TWP 2116626A 1,124 4/13/2019 9015 0.95 VITA PAINTING LLC SHELBY TWP 5877326A 750 6/14/2019 5476 VP GRANITE INC SHELBY TWP 5856221A 750 4/19/2019 5437
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 146 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WALCZAK ADAM SHELBY TWP 3607836A 592 6/19/2019 9521 WINDEMERE FARMS II ASSOCIATION SHELBY TWP 5556015A 633 5/5/2019 9015 WOZNIAK UNDERGROUND SHELBY TWP 1885944A 1,194 6/16/2019 6306 ZEFS PAINTING SHELBY TWP 4945980A 750 5/19/2019 5476 ZIENERT SPRINKLERS INC SHELBY TWP 1523341A 644 6/11/2019 5183 ARD SERVICES LLC SHELBYVILLE 0613495A 635 4/1/2019 9015 QUALITY AVIATION SERVICES INC SHELBYVILLE 4222482A 1,420 5/23/2019 9015 0.95 SOLAR WINDS POWER SYSTEMS LLC SHELBYVILLE 4910800A 785 4/7/2019 5550 J AND L TRUCKING LLC SHEPHERD 5878209A 826 6/22/2019 7208 MOES CONSULTING LLC SHEPHERD 5721261A 334 6/5/2019 8601 SHERIDAN COMMUNITY FIRE DEPARTMENT SHERIDAN 3778991A 1,363 5/11/2019 7704 0.95 SHOENTEL COMMUNICATIONS INC SHERIDAN 5412412A 331 6/10/2019 5191 YAH TIMBER SHERIDAN 5395836A 750 5/13/2019 2702 SOUTHERN MICHIGAN LOGGING & VENEER SHERWOOD 5541700A 750 4/5/2019 2702 DAVID HILL CONSTRUCTION LLC SHINGLETON 3451550A 800 6/3/2019 6217 G AND G LOGGING SHINGLETON 1792830A 750 4/16/2019 2702 NATURES CHAIN OF LAKES CAMPGROUND INC SIX LAKES 4642880A 633 6/30/2019 8017 BRIAN ZORZA PAINTING AND WALLPAPER SKANDIA 5402719A 750 5/9/2019 5476 HAPPY DOG GROOMING SALON SKANDIA 5857830A 533 4/21/2019 8831 SCOTT BOYER TRUCKING SKANDIA 2844150A 800 4/6/2019 7208 TIMBERSTONE TILE INC SKANDIA 4145984A 750 6/6/2019 5348 RBBR BUILDING & REMODELING LLC SNOVER 5724180A 2,821 6/16/2019 5403 LAKE SOMERSET PROPERTY OWNERS SOMERSET CENTER 1997289A 851 6/6/2019 9015 0.95 ASSOCIATION INC MR INSTALL HANDYMAN SERVICE LLC SOUTH BOARDMAN 4750969A 591 4/28/2019 9521 NORTHERN GRANITE INSTALLERS LLC SOUTH BOARDMAN 3910393A 2,039 4/1/2019 5348 NORTHERN LAWNSCAPES SOUTH BOARDMAN 3215741A 750 4/25/2019 9102 0.95 CALICO CLEANING LLC SOUTH HAVEN 5389801A 2,045 6/1/2019 9015 COMPASS MARINE LLC SOUTH HAVEN 5860733A 2,015 4/30/2019 6836 MICKELS SHAWN SOUTH HAVEN 5858445A 633 4/24/2019 9015 MOORE DRYWALL INC SOUTH HAVEN 2827700A 1,892 6/24/2019 5445 0.95 NATIONAL BLUEBERRY FESTIVAL SOUTH HAVEN 5398223A 268 4/24/2019 8742 STEEL SUPPLY CENTER LLC SOUTH HAVEN 0473855A 2,294 6/24/2019 8106 0.95 A AND T PAINTING AND ALL REPAIR SOUTH LYON 5722667A 825 6/9/2019 5437 ALL AMERICAN TREE SERVICE INC SOUTH LYON 3163008A 5,734 4/7/2019 0106 0.90
1/3/2019 11:00:13 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 CREST PERFORMANCE GROUP LLC SOUTH LYON 5271142A 541 5/15/2019 8742 D S HARRIS PAINTING LLC SOUTH LYON 2870312A 800 5/24/2019 5476 EMANUEL B FLOORING INC SOUTH LYON 4941152A 751 6/28/2019 8810 GREAT LAKES OUTDOOR SERVICES LLC SOUTH LYON 5157048A 709 4/20/2019 9102 HICKORY CREEK LANE LLC SOUTH LYON 0013595A 750 6/23/2019 5645 KEOWN TRAVIS H SOUTH LYON 5880424A 709 6/29/2019 5550 KODIAK PROPERTY MAINTENANCE LLC SOUTH LYON 5336880A 825 4/16/2019 5476 0.86 MARK REHAB LLC SOUTH LYON 5725038A 510 6/16/2019 8835 MASTERPIECE PAINTING COMPANY SOUTH LYON 2023814A 1,012 6/20/2019 5476 0.95 NORTHERN HOME BUILDERS LLC SOUTH LYON 5714451A 825 5/10/2019 5645 OLYMPIA PAINTING INC SOUTH LYON 3022684A 750 6/25/2019 5403 PROS FLIGHT SERVICE LLC SOUTH LYON 5714583A 728 5/10/2019 7422 ROOF COMPANY NET LLC SOUTH LYON 4863518A 12,553 4/22/2019 5551 0.85 SOUTH LYON HEATING AND COOLING LLC SOUTH LYON 4862457A 710 4/14/2019 5550 TREEMENDOUS FORESTRY LLC SOUTH LYON 5863872A 750 5/11/2019 0106 VARGO BUILDING & REMODELING SOUTH LYON 4659597A 750 6/12/2019 5645 WOODSTREAM BUILDING CO LLC SOUTH LYON 0952680A 1,020 5/29/2019 5606 CNV ENTERPRISES LLC SOUTH ROCKWOOD 5842530A 800 5/8/2019 7208 JOLY LEROY APARTMENTS LLC SOUTH ROCKWOOD 4906390A 633 6/2/2019 9015 M AND D KITCHENS LLC SOUTH ROCKWOOD 5700035A 800 4/7/2019 5437 NEW METHODS ROOFING & BUILDING INC SOUTH ROCKWOOD 1195077A 3,158 6/7/2019 5551 0.92 NORTHERN HOME IMPROVEMENTS SOUTH ROCKWOOD 4842413A 800 6/16/2019 5645 OAK TREE FARMS LLC SOUTH ROCKWOOD 4329457A 3,417 4/3/2019 8831 0.95 A 1 FINGERPRINTS OF MICHIGAN LLC SOUTHFIELD 5710774A 665 5/1/2019 7720 A S K HEALTH CARE SERVICES INC SOUTHFIELD 1655493A 1,209 6/14/2019 8832 0.95 ABA HOME CARE LLC SOUTHFIELD 4450787A 562 4/20/2019 8810 0.95 ALL STAR MOTORCOACH INC SOUTHFIELD 4345070A 1,431 5/11/2019 7212 0.95 ALLEN LAQUANDA SOUTHFIELD 5328942A 502 5/19/2019 0908 AMERICAN MOBILE DENTAL PC SOUTHFIELD 3088073A 1,782 5/24/2019 8832 0.95 AMERICAN STANDARD ROOFING LLC SOUTHFIELD 3512193A 2,140 4/9/2019 5606 0.95 ANTHONYS CONEY CAFE 2 LLC SOUTHFIELD 5840490A 349 4/20/2019 9058 APEX TAX SOLUTIONS LLC SOUTHFIELD 3956547A 352 6/5/2019 8810 BAKER VANESSA TRUST SOUTHFIELD 5716403A 791 6/16/2019 0913 BEAVERDAM CLUB SOUTHFIELD 0688312A 684 4/26/2019 9015 BIG TIME OPERATOR LLC SOUTHFIELD 5397111A 1,258 4/27/2019 9156 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 148 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BINCOR ENVIRONMENTAL SERVICES INC SOUTHFIELD 4202732A 720 4/7/2019 5183 BLOOM DOUGLAS AND BARBARA SOUTHFIELD 5556813A 351 5/9/2019 0908 BRIGGS BUILDING SERVICES INC SOUTHFIELD 2309335A 1,088 4/30/2019 9015 0.95 C AND C COMPASSIONATE CARE LLC SOUTHFIELD 5878241A 2,978 6/22/2019 8835 C AND M INVESTMENT INC SOUTHFIELD 4680324A 733 6/15/2019 9015 CALDWELL PROPERTY GROUP LLC SOUTHFIELD 5850843A 775 4/16/2019 5606 CAMROL ENTERPRISES LLC SOUTHFIELD 4577825A 750 6/23/2019 5645 CARE MATTERS LLC SOUTHFIELD 5034698A 884 5/24/2019 8832 0.95 CARTER JANITORIAL SOUTHFIELD 4159756A 1,032 6/1/2019 9015 CONCORDE GROUP LLC SOUTHFIELD 0812528A 259 4/22/2019 8803 DADDYOS INC SOUTHFIELD 2694310A 751 4/11/2019 9058 DALLO MARTIAL ARTS INC SOUTHFIELD 5849950A 780 4/7/2019 9063 DAVIS NEMT CONSULTING & MANAGEMENT INC SOUTHFIELD 5214220A 748 5/3/2019 7212 0.95 DETROIT EXPEDITING AND DEVELOPMENT SOUTHFIELD 5708990A 422 4/27/2019 8601 GROUP LLC DEVINE GUY MOVING INC SOUTHFIELD 2958880A 28,791 6/30/2019 8293 0.77 DF SERVICE LLC SOUTHFIELD 5231272B 2,246 6/14/2019 8010 0.95 DOWN TO EARTH LAWN SPRAY INC SOUTHFIELD 0897515A 1,976 5/26/2019 0005 0.95 DYVERSE MANAGEMENT COMPANY LLC SOUTHFIELD 4870557A 2,408 4/10/2019 8835 0.85 EMPIRICAL DRYWALL LLC SOUTHFIELD 2721988A 863 6/28/2019 5445 0.95 ENVIRONMENTAL AND TECHNICAL CONTROLS SOUTHFIELD 1969064A 644 4/27/2019 5183 INC EP AND ASSOCIATES INC SOUTHFIELD 4180968A 385 5/30/2019 5606 FAMILY 1ST RESIDENTIAL REHAB LLC SOUTHFIELD 5696380A 1,028 6/12/2019 9053 FORCE ONE ELECTRIC INC SOUTHFIELD 3943216A 529 6/26/2019 5190 GIA PROPERTY SERVICES LLC SOUTHFIELD 4568990A 1,072 5/27/2019 9015 GREGGS CAULKING CO INC SOUTHFIELD 1048708A 800 5/27/2019 5022 HAYNES MAUFUS & DAVIS PLLC SOUTHFIELD 4567730A 256 5/22/2019 8803 HELPING HAND TRANSPORTATION SERVICES LLC SOUTHFIELD 5384583A 749 6/1/2019 7212 INNOVATIVE HEALTHCARE SYSTEMS INC SOUTHFIELD 5865077A 9,962 6/7/2019 8835 INTREPID AUTO CARRIERS INC SOUTHFIELD 5873517A 751 6/2/2019 8810 J ANDREWS BUILDING CO INC SOUTHFIELD 0198315A 750 5/15/2019 5645 JAMES GROSFELD CONSULTING SOUTHFIELD 3182339A 3,209 6/15/2019 0913 0.95 JASPER CORNWELL TRUST SOUTHFIELD 5716381A 640 6/16/2019 0913 JOHN MCHUGH CONSTRUCTION SOUTHFIELD 1026135A 750 6/12/2019 5437
1/3/2019 11:00:13 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 JOHNSONS CLEANING COMPANY LLC SOUTHFIELD 5572541A 683 6/14/2019 9015 LAYS MANAGEMENT 2 LLC SOUTHFIELD 3941043A 1,367 4/21/2019 9053 0.95 LEAH SNIDER GRANDCHILDREN TRUST SOUTHFIELD 0869155A 401 5/12/2019 0908 LOCKWOOD CONSTRUCTION COMPANY LLC SOUTHFIELD 5862795A 10,650 5/8/2019 5437 LONG W LAWRENCE AND LONG CYNTHIA D SOUTHFIELD 4652673A 351 6/8/2019 0908 MAGICAL CLEANING LLC SOUTHFIELD 5853982A 634 4/12/2019 9015 MAIN ATTRACTION CONTRACTING LLC SOUTHFIELD 5282500B 1,034 5/2/2019 5221 0.95 MIDTOWN POINTE LLC SOUTHFIELD 5865603A 293 5/17/2019 8810 MILESTONE TILE AND MARBLE LLC SOUTHFIELD 5853931A 1,836 4/12/2019 5348 NAJOR GEORGE D DDS SOUTHFIELD 1204203A 1,274 6/1/2019 8832 0.95 NEW LEE BEAUTY ONE INC SOUTHFIELD 4821130A 567 6/30/2019 8017 0.95 NOWELL SECURITY AGENCY LLC SOUTHFIELD 5860679A 1,665 4/28/2019 7720 P AND O SERVICES INC SOUTHFIELD 5268036A 1,016 5/8/2019 8832 P C SUPPLY COMPANY SOUTHFIELD 0897515B 522 6/6/2019 5191 0.95 PEDIATRIC STAFF PLLC SOUTHFIELD 3525929A 587 6/20/2019 8832 PERSONAL QUALITY CARE LLC SOUTHFIELD 5162181A 2,156 6/16/2019 8835 0.95 PROVIDING HEARTS HOME HEALTH SERVICES SOUTHFIELD 5284406A 1,972 4/8/2019 8835 0.95 LLC PRYORS CUSTOM CAULKING LLC SOUTHFIELD 4634780A 750 6/27/2019 5476 PURPOSE DRIVEN LIFE LLC SOUTHFIELD 5864151A 1,575 5/12/2019 9053 R AND E FAMILY TRANSPORTATION LLC SOUTHFIELD 5197538A 1,940 4/10/2019 7212 0.95 RICH AND ASSOCIATES CONSULTING INC SOUTHFIELD 4059530A 293 4/26/2019 8810 S AND R ENTERPRISE SERVICE INC SOUTHFIELD 4406818A 507 4/7/2019 8017 0.95 SAMUEL REITER PAINTING CO SOUTHFIELD 0471542A 2,118 6/1/2019 5476 0.95 SELECTIVE CONSTRUCTION CORPORATION SOUTHFIELD 0766038A 3,250 5/17/2019 5606 0.95 SG CONSTRUCTION GROUP LLC SOUTHFIELD 5473900A 761 4/6/2019 8810 0.95 SPIRIT BUILDERS LLC SOUTHFIELD 5720389A 825 5/27/2019 5645 STEVENSON DANTE TRUST SOUTHFIELD 5716845A 640 6/16/2019 0913 STOUDEMIRE TRUCKING INC SOUTHFIELD 4006046A 800 4/5/2019 7208 TANDEM CONSTRUCTION LLC SOUTHFIELD 3829600A 750 4/26/2019 5645 TYNER SUZANNE SOUTHFIELD 5550130A 690 4/25/2019 0913 UNIVERSAL GENERAL CONTRACTORS INC SOUTHFIELD 3164250A 750 6/12/2019 5645 0.95 USMFG INC SOUTHFIELD 5539609A 5,381 4/29/2019 4024 YESHIVA HAKAYITZ OF DETROIT SOUTHFIELD 5161541A 1,303 6/20/2019 9015 0.95 A CUT ABOVE MAINTAINING LLC SOUTHGATE 5859042A 735 4/25/2019 9102
1/3/2019 11:00:13 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 A FORMOSA & SONS LANDSCAPING INC SOUTHGATE 5859034A 1,578 4/25/2019 0042 D G WEST COMMERCIAL CARPENTRY LLC SOUTHGATE 5128455A 826 4/20/2019 5437 EUREKA GAS AND FOOD INC SOUTHGATE 3263495A 820 4/1/2019 8017 0.95 HODGES TRUCKING & EXCAVATING SOUTHGATE 4746600A 1,037 5/1/2019 7208 0.95 WHISMAN CHARLES SOUTHGATE 4967836A 968 4/11/2019 9521 COUNTRY LANE ASSOCIATION SPARTA 4627342A 633 5/1/2019 9015 DURA PRO PAINTING LLC SPARTA 5719356A 1,859 5/24/2019 5476 IMKAMP BUILDERS INC SPARTA 3123588A 17,500 4/16/2019 5645 0.85 ISC RESTORATION INCORPORATED SPARTA 1439030A 4,582 6/17/2019 5348 0.95 REFERRAL STAFFING SOLUTIONS LLC SPARTA, WI 5876079A 1,340 6/18/2019 9154 TUINSTRA BENJAMIN SPARTA 5400520A 750 5/1/2019 5437 KEN MOE CONSTRUCTION LLC SPRING ARBOR 2753405A 750 5/10/2019 5645 KP MORROW LANDSCAPING LLC SPRING ARBOR 5587778A 1,302 4/17/2019 0042 POHL BROTHERS ADVERTISING SPRING ARBOR 0765155A 3,947 4/27/2019 9558 0.93 SCREAMING EAGLE CONSULTING LLC SPRING ARBOR 5845297A 471 4/3/2019 8601 AG CONSTRUCTION SPRING LAKE 5011620A 750 4/14/2019 5645 BILLS LITTLE MOWING SERVICE LLC SPRING LAKE 5721229A 1,139 6/2/2019 9102 C DAVID CONSTRUCTION LLC SPRING LAKE 4856520A 750 4/5/2019 5645 COMPLETE JANITORIAL SERVICE INC SPRING LAKE 0044440A 1,657 6/8/2019 9015 0.95 GREATER SPRING LAKE AREA RECREATION SPRING LAKE 5405777A 1,547 5/16/2019 9015 0.95 COMMISSION HECKSEL TREE SERVICE INC SPRING LAKE 5721300A 1,101 6/2/2019 0106 HOLIDAY ISLE MARINA ASSOC SPRING LAKE 5865131A 1,142 5/16/2019 6836 KR CLEANING SOLUTIONS LLC SPRING LAKE 5411599A 633 6/11/2019 9015 PRO TRAVEL INC SPRING LAKE 2957191A 233 6/16/2019 8810 PROV 423 LLC SPRING LAKE 5662087A 330 4/17/2019 8810 VOIMANEN CONSULTING LLC SPRING LAKE 4427130A 233 6/2/2019 8742 D AND K CONSTRUCTION LLC SPRINGFIELD, OH 5132657A 25,100 5/1/2019 5538 1.52 13 % MEMORIAL MEDICAL CENTER SPRINGFIELD, IL 5877962A 316 6/20/2019 8810 DIMARZO CERAMIC TILE CO SPRUCE 2270986A 750 4/1/2019 5348 RAMSEY FOREST MANAGEMENT SPRUCE 0023191A 750 6/18/2019 2702 WEST FORESTRY AND LUMBER SERVICE INC SPRUCE 4947630A 750 4/23/2019 2702 BANNING CONSTRUCTION INC ST CHARLES 3100669A 3,143 5/10/2019 5645 0.95 BIGELOW HOME & PROPERTY IMPROVEMENTS ST CHARLES 5138922A 1,091 6/8/2019 5445 LLC
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge R G KENEL LOG BUILDERS LLC ST CHARLES 1560336A 800 6/11/2019 5645 THURSTON TRAVIS ST CHARLES 5379415A 750 4/23/2019 2702 BECKER METAL WORKS INC ST CLAIR 2255545A 3,633 6/4/2019 3341 0.98 CLEAR ELECTRIC LLC ST CLAIR 3731510A 1,352 4/8/2019 5190 0.95 KIDS IN DISTRESS SERVICES INC ST CLAIR 4141539A 1,448 6/10/2019 8032 0.95 MALCOLM MARINE INC ST CLAIR 0224154A 7,380 5/2/2019 8227 0.91 OUTSTANDING CUSTOM DESIGN ST CLAIR 0210870A 750 6/21/2019 5476 S A FISCELLI MARINE CONSTRUCTION INC ST CLAIR 0137600A 6,754 4/4/2019 8227 0.92 SAINT CLAIR MANOR COOPERATIVE ST CLAIR 1425374A 1,500 5/28/2019 9015 0.95 ALEXANDER AND HORNUNG INC ST CLAIR SHORES 0305162A 598 4/3/2019 2095 ANDERSON RESTORATION INC ST CLAIR SHORES 3000478A 800 5/5/2019 5551 BACKERS REMODELING ST CLAIR SHORES 3873668A 750 4/1/2019 5645 BLUE GOOSE INN CORP ST CLAIR SHORES 0676403A 1,080 6/11/2019 9058 1.00 BOMBSHELL BRIDAL BOUTIQUE LLC ST CLAIR SHORES 5560012A 722 4/3/2019 8008 BUILD TECH CO LLC ST CLAIR SHORES 3210634A 750 4/1/2019 5221 CJF ASSOCIATES LLC ST CLAIR SHORES 4935950A 539 4/1/2019 8601 DRY LINE LLC ST CLAIR SHORES 5397782A 750 4/22/2019 5480 FUN FOODS INC ST CLAIR SHORES 2010097A 564 5/12/2019 8017 GENOA CONTRACTING LLC ST CLAIR SHORES 5437865A 1,779 6/6/2019 5606 GLACIER BUILDING LLC ST CLAIR SHORES 1030272A 751 6/28/2019 5476 JM ELECTRIC INC ST CLAIR SHORES 0536369A 529 5/28/2019 5190 KOLASA REWALT STACI TERESA ST CLAIR SHORES 5569486A 640 6/17/2019 0913 LAKESHORE VILLAGE CONDOMINIUM ST CLAIR SHORES 0611220A 800 6/22/2019 5551 ASSOCIATION LIFEBUILDERS ST CLAIR SHORES 4998847A 3,312 6/30/2019 8868 0.95 M AND N CONSTRUCTION LLC ST CLAIR SHORES 5127785A 750 4/18/2019 5538 MAN LAC INC ST CLAIR SHORES 2097478A 1,562 6/21/2019 9015 1.00 MARVINS MINI MARKET INC ST CLAIR SHORES 5377285A 980 4/6/2019 8017 0.95 MICHIGAN DECK BUILDERS INC ST CLAIR SHORES 2839032A 801 4/13/2019 5538 NEW DAY INSTALLATIONS LLC ST CLAIR SHORES 5861713A 750 5/2/2019 5645 PHRC INC ST CLAIR SHORES 4196538B 66,767 4/12/2019 7212 1.12 S E GRAHAM & ASSOCIATES INC ST CLAIR SHORES 1965271A 750 6/11/2019 5645 0.95 S O S EXPRESS PREMIUM MARINE CARE INC ST CLAIR SHORES 2657236A 641 5/17/2019 6836 STEWARTS LLC ST CLAIR SHORES 3640965A 1,426 4/11/2019 9058 0.95 T RICH RENOVATIONS ST CLAIR SHORES 4087747A 1,297 6/10/2019 5645 0.95
1/3/2019 11:00:13 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 TIG FACILITY MAINTENANCE INC ST CLAIR SHORES 5708672A 633 4/26/2019 9015 TURF AND TIMBER LLC ST CLAIR SHORES 4257421A 1,920 5/9/2019 0106 0.95 VERSTRAETE HERMAN ST CLAIR SHORES 4477472A 750 6/10/2019 5476 WEISS PLUMBING & HEATING INC ST HELEN 0339911A 720 6/17/2019 5183 0.95 MACKINAC ECONOMIC ALLIANCE CORP ST IGANCE 5257328A 290 4/1/2019 8810 TIP OF DA MITT LAUNDROMAT LLC ST IGNACE 5547121A 455 4/16/2019 8017 BCW HAPPY HOUR INC ST JOHNS 5568552A 1,024 6/1/2019 9058 CARING AND SHARING FAMILY LIFE SERVICES ST JOHNS 5413087A 3,159 6/12/2019 8835 0.95 INC GRECU MANURE HAULING LLC ST JOHNS 4547020A 980 6/3/2019 0128 0.95 GRUBAUGH FARMS LLC ST JOHNS 5716543A 750 5/31/2019 7208 JIMS PAINTING & CULTURED STONE LLC ST JOHNS 5400376A 800 5/1/2019 5476 PILOT EG LLC ST JOHNS 5721709A 634 6/7/2019 9015 SCHAFER MOWING SPECIALISTS LLC ST JOHNS 1163507A 660 4/15/2019 9102 SKYWATCHER LLC ST JOHNS 5720265A 6,653 5/26/2019 5550 ANCHORS WAY MARINA LLC ST JOSEPH 5291429A 3,120 5/5/2019 6836 0.95 CONCORD RIDGE EQUESTRIAN CENTER LLC ST JOSEPH 4883268A 8,647 6/30/2019 8279 0.88 FITZGERALD PARK LLC ST JOSEPH 5879647A 750 6/27/2019 5645 GHOSH DEBASREE ST JOSEPH 5714710A 640 5/10/2019 0913 KLAUS F ZIELKE JR INC ST JOSEPH 0170607A 3,835 4/30/2019 5022 0.94 MUTTERLY LOVE LLC ST JOSEPH 5044669A 3,647 6/27/2019 8831 1.00 SJRCK LLC ST JOSEPH 5145538A 592 5/24/2019 6836 SOUTHWEST MICHIGAN ASSET MANAGEMENT ST JOSEPH 5718260A 755 5/20/2019 8742 LLC SUPER BOOK BY SOPHIA LLC ST JOSEPH 2844737A 405 5/2/2019 8742 0.95 THIRD COAST SURF SHOP INC ST JOSEPH 4639146A 2,439 6/25/2019 8017 0.95 TYNES RUSSELL NEWMAN ST JOSEPH 4341856A 750 4/19/2019 5645 0.95 WACHTOR VENDING SERVICES LLC ST JOSEPH 5868769A 656 6/1/2019 5192 D AND K CARNIVAL OPERATIONS LLC STANDISH 4632613A 3,672 4/21/2019 9015 1.00 T J SCHMIDT AND COMPANY LLC STANDISH 4623037A 14,776 5/5/2019 9015 1.20 ESCH LOGGING LLC STANTON 2023121A 861 6/8/2019 2702 OLMSTEAD EXCAVATING INC STANTON 1343815A 1,290 4/27/2019 6217 0.95 CHERI HILL KENNEL & SUPPLY INC STANWOOD 0787892A 4,836 5/25/2019 8831 0.87 ABCO MAINTENANCE INC STATEN ISLAND, NY 5712718A 300 5/5/2019 8810 PRECISION LOCOMOTIVE SERVICES LLC STAUNTON, VA 5540003A 933 4/1/2019 3724
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge D AND S CONSTRUCTION STEPHENSON 1802569A 750 5/7/2019 5645 GIBELLINA MASONRY STEPHENSON 4506782A 751 5/13/2019 5022 HUBBARD ROY A STEPHENSON 1634968A 750 4/6/2019 2702 R V FOREST PRODUCTS LLC STEPHENSON 3638154A 800 5/31/2019 2702 VAN HOFF JUSTIN STEPHENSON 5862710A 750 5/5/2019 2702 BENCHLEY DONALD C STERLING 0097420A 750 5/28/2019 9015 D AND L CONTRACTING & MAINTENANCE LLC STERLING 2234033A 659 4/2/2019 9015 A AND R LAWN SERVICE STERLING HEIGHTS 2830850A 659 4/7/2019 9102 AAA PLUMBING INC STERLING HEIGHTS 4319605A 1,725 4/10/2019 5183 0.95 ABEL CONSTRUCTION STERLING HEIGHTS 0536784A 7,345 5/2/2019 5645 AC AND EC LOGISTICS INC STERLING HEIGHTS 5714508A 2,938 5/10/2019 7208 ADVANCE ELECTRIC SERVICE INC STERLING HEIGHTS 5672112A 529 5/12/2019 5190 AMERICAS HR DEPT EMPLOYEES ONLY II INC STERLING HEIGHTS 5496560A 134,512 4/2/2019 8017 1.41 27 % ANDYS CONSTRUCTION LLC STERLING HEIGHTS 5567297A 906 4/25/2019 5476 ANGLINS PROFESSIONAL WINDOW CLEANING STERLING HEIGHTS 0011886A 634 5/4/2019 9015 INC ARTICULATE PAINTING INC STERLING HEIGHTS 3000702A 1,622 5/23/2019 5476 AWC CUETER INC STERLING HEIGHTS 4987780A 263 6/7/2019 8810 BALDWINS CONSTRUCTION LLC STERLING HEIGHTS 4650093A 750 6/6/2019 5645 BARAN BUILDING COMPANY INC STERLING HEIGHTS 3032450A 4,210 4/8/2019 5645 1.31 13 % BEAR CREEK VILLAGE ASSOCIATION STERLING HEIGHTS 0683035A 1,373 6/4/2019 9015 0.95 BLUE SKY TRANSPORT LLC STERLING HEIGHTS 5401747A 25,723 5/19/2019 7208 1.33 13 % BOJAJ NUO STERLING HEIGHTS 5879850A 750 6/27/2019 5348 BORA BORAS BAR & GRILL INC STERLING HEIGHTS 1930001A 350 4/24/2019 9058 BOWLING SALES AND SERVICE LLC STERLING HEIGHTS 5558867A 1,411 4/11/2019 3724 BUDOVA LLC STERLING HEIGHTS 5700213A 750 4/8/2019 5221 BUILDIT CONSTRUCTION LLC STERLING HEIGHTS 5563224A 825 5/17/2019 5645 CAR DOC LLC STERLING HEIGHTS 5147760A 543 6/1/2019 8395 CHAMPS CONSTRUCTION INC STERLING HEIGHTS 4068041A 751 5/10/2019 5437 CHRIS CRONIN PAINTING & STAINING INC STERLING HEIGHTS 1839110A 750 5/27/2019 5476 0.95 CLARITA TRUCKING LLC STERLING HEIGHTS 5846668A 3,252 4/2/2019 7208 CLAUDES SPRINKLER REPAIR LLC STERLING HEIGHTS 5255236A 644 4/1/2019 5183 COMPASS BENEFIT GROUP LTD STERLING HEIGHTS 4396111A 268 6/29/2019 8810 CONDUCTIVE EDUCATION CENTER OF METRO STERLING HEIGHTS 3244547A 332 4/3/2019 8868 DETROIT
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COVES OF STERLING HEIGHTS HOMEOWNERS STERLING HEIGHTS 1953958A 683 6/20/2019 9015 ASSOCIATION CREMATIONCHOICE COM LLC STERLING HEIGHTS 5700086A 370 4/7/2019 9620 CRISAN GRANITE INC STERLING HEIGHTS 4202180A 750 4/6/2019 5348 CUETER PROPERTIES INC STERLING HEIGHTS 0985287A 218 6/12/2019 8810 D AND R TECHNOLOGY INC STERLING HEIGHTS 3389383A 1,858 4/1/2019 3632 0.95 DALLO LAW PC STERLING HEIGHTS 5849870A 414 4/6/2019 8820 DELTA STAFFING LLC STERLING HEIGHTS 3756823A 14,718 6/21/2019 3628 0.76 DM EXPRESS INC STERLING HEIGHTS 5281580A 750 6/17/2019 7208 EAST POINTE VILLA ASSOCIATION STERLING HEIGHTS 0892831A 750 6/28/2019 5183 EASY HOME IMPROVEMENT LLC STERLING heights 5712688A 751 5/5/2019 5221 ECONOMY PAINT & CONSTRUCTION INC STERLING HEIGHTS 3237338A 750 4/12/2019 5476 EDUARDS CONSTRUCTION AND PAINTING STERLING heights 5715075A 750 5/11/2019 5476 EFTA DESIGN STERLING HEIGHTS 5397588A 750 4/21/2019 5348 ENGINEERING LOGISTICS LLC STERLING HEIGHTS 5859921A 801 5/1/2019 9521 EURO RA CONSTRUCTION STERLING HEIGHTS 4076664A 750 6/1/2019 5348 FLATROCK CONCRETE CONSTRUCTION INC STERLING HEIGHTS 3049370A 785 6/24/2019 5221 0.95 FUTURE WORLD CONNECT INC STERLING HEIGHTS 5831091B 308 4/20/2019 8742 G B TILE MARBLE INSTALLATION STERLING HEIGHTS 3743390A 750 4/4/2019 5348 GATTOS CARPET INSTALLATION STERLING HEIGHTS 0783919A 750 5/1/2019 5348 0.95 GOLDEN LAWNCARE LLC STERLING HEIGHTS 5709164A 1,514 4/27/2019 9102 GRANITE USA PRO INC STERLING HEIGHTS 5856264A 750 4/19/2019 5437 GREAT LAKES MASSAGE INC STERLING HEIGHTS 4725018A 396 4/2/2019 9063 GREEN TURF OUTDOOR SERVICES LLC STERLING HEIGHTS 5702208A 659 4/12/2019 9102 GROWING GREEN GARDENS STERLING HEIGHTS 5572843A 850 6/15/2019 0035 GUTIERREZ MARLENA STERLING HEIGHTS 2150336A 351 5/31/2019 0908 HEAVENLY GARDENING SERVICE LLC STERLING HEIGHTS 5848725A 750 4/14/2019 0042 JEFFREY TRUCKING INC STERLING HEIGHTS 5861748A 750 5/2/2019 7208 JFC FLOOR COVERING STERLING HEIGHTS 0873888A 591 6/28/2019 9521 0.95 JIM GROSS DOORS LLC STERLING HEIGHTS 3352730A 750 4/1/2019 5102 JISI GROUP LLC STERLING HEIGHTS 5299462A 767 5/28/2019 8010 JUST JUICE LLC STERLING HEIGHTS 5709741A 682 4/28/2019 4828 K P TILE & MARBLE LLC STERLING HEIGHTS 5471575A 1,426 5/19/2019 5348 KLM PAINTING LLC STERLING HEIGHTS 5571448A 800 6/10/2019 5476 KOLIS PAINTING STERLING HEIGHTS 5855217A 750 4/17/2019 5476
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 155 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KRAATZ PLUMBING INC STERLING HEIGHTS 4575350A 644 4/13/2019 5183 KSN STERLING HEIGHTS 5713366A 750 5/16/2019 0042 LAKESIDE VILLAS ASSOCIATION STERLING HEIGHTS 1620916A 633 4/19/2019 9015 LAKEVIEW VILLAGE CONDOMINIUM ASSOC STERLING HEIGHTS 1900811A 633 4/19/2019 9015 LGP LLC STERLING HEIGHTS 5727332A 750 6/27/2019 5437 LICKOLLARI PAINTING LLC STERLING HEIGHTS 5874297A 750 6/6/2019 5476 LINDAS CLEANING SERVICES INC STERLING HEIGHTS 5204747A 1,052 4/11/2019 9015 0.95 LINDEN CONSTRUCTION LLC STERLING HEIGHTS 5569184A 891 6/2/2019 5221 LONE STAR TOWING INC STERLING HEIGHTS 5544726A 825 5/27/2019 7208 MALIKS INC STERLING HEIGHTS 1575457A 1,162 6/29/2019 8017 0.95 MARKS RELIABLE TOWING LLC STERLING HEIGHTS 5718430A 831 5/22/2019 7208 MASTERCRAFT HOMES INC STERLING HEIGHTS 0330000A 3,026 4/23/2019 5645 0.92 MATHEW TRANSPORTATION INC STERLING HEIGHTS 5446929A 750 6/10/2019 7208 0.95 MENAGERIE LLC STERLING HEIGHTS 5869080A 850 5/26/2019 9058 MHRC LLC STERLING HEIGHTS 5868203A 1,094 6/7/2019 5606 MICHIGAN CLAIMS INC STERLING HEIGHTS 5245826A 3,488 6/8/2019 8720 0.95 MORGAN VANCE STERLING HEIGHTS 5873932A 750 6/5/2019 5645 MSB INVESTMENTS LLC STERLING HEIGHTS 4933346A 750 6/25/2019 9102 N 2 M ENTERPRISES INC STERLING HEIGHTS 5409578A 552 6/2/2019 8601 NAR CLEANING SERVICE LLC STERLING HEIGHTS 5763231A 633 4/5/2019 9015 NORMS CARPET AND FLOORCOVERINGS INC STERLING HEIGHTS 1885570A 620 6/29/2019 2380 0.95 NORTH BLOOMFIELD PROPERTIES INC STERLING HEIGHTS 1299042A 633 4/4/2019 9015 NU BUILT CABINET SHOP INC STERLING HEIGHTS 0067970A 750 6/15/2019 5437 OPERATION WELLNESS GROUP LLC STERLING HEIGHTS 5846900A 710 4/27/2019 8832 POLISH MANIA LLC STERLING HEIGHTS 5861837A 416 5/1/2019 9058 PREMIUM HOME HEALTH CARE INC STERLING HEIGHTS 2813980A 2,187 5/12/2019 8835 PROMPT CLEANING SERVICES INC STERLING HEIGHTS 5070732A 1,241 5/9/2019 9015 R I T A CARPENTRY STERLING HEIGHTS 4055047A 751 4/15/2019 5538 REAL DEAL SIDING STERLING HEIGHTS 3533689A 750 6/28/2019 5645 RENEW CLASSIC STERLING HEIGHTS 3299619A 750 6/1/2019 5645 RICARDO CONSTRUCTION COMPANY INC STERLING HEIGHTS 5299624A 750 5/17/2019 5645 S AND A SOLUTIONS INC STERLING HEIGHTS 4627601A 1,801 4/14/2019 3628 2.34 13 % SABHAN TRUCKING INC STERLING HEIGHTS 5355362A 750 5/1/2019 7208 SBG PAINTING AND POWERWASHING LLC STERLING HEIGHTS 1848550A 750 5/18/2019 5476 SERVICO PLUMBING INC STERLING HEIGHTS 1916726A 644 6/19/2019 5183 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 156 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SH TRUCKING INC STERLING HEIGHTS 5873754A 750 6/5/2019 7208 SHAMI INC STERLING HEIGHTS 3723089A 1,212 6/29/2019 8017 SHUERT MATTHEW STERLING HEIGHTS 3241726A 640 6/5/2019 0913 SILVER PINES VILLAGE CONDOMINIUM STERLING HEIGHTS 4240189A 633 4/11/2019 9015 0.95 ASSOCIATION SPARTAN AUTOMATION INC STERLING HEIGHTS 4397355A 7,508 4/13/2019 3628 STEEPLECHASE CONDOMINIUMS I ASSOCIATION STERLING HEIGHTS 2640198A 633 4/19/2019 9015 STERLING FLOORS & KITCHENS STERLING HEIGHTS 1277871A 591 6/24/2019 9521 STERLING GYMNASTICS ACADEMY LLC STERLING HEIGHTS 5540780A 999 4/8/2019 9063 STERLING QUALITY CONSTRUCTION INC STERLING HEIGHTS 5711215A 750 5/2/2019 5437 STR GROUP USA INC STERLING HEIGHTS 5588766A 3,072 6/22/2019 5191 0.80 SUPERIOR TITLE AND SETTLEMENT AGENCY LLC STERLING HEIGHTS 4757912A 268 6/21/2019 8810 THERAPEUTIC CONCEPTS LLC STERLING HEIGHTS 1459350A 236 4/15/2019 8810 0.95 THREE D LAWN CARE LLC STERLING HEIGHTS 5695430A 659 4/1/2019 9102 TRANSYLVANIA RO LLC STERLING HEIGHTS 5874998A 750 6/7/2019 5348 VOS AUTO TRANSPORT INC STERLING HEIGHTS 5870070A 750 5/26/2019 7208 VUKAJ CONSTRUCTION LLC STERLING HEIGHTS 5850983A 800 4/7/2019 5476 WOOTEN SCOTT STERLING HEIGHTS 5699274A 750 4/6/2019 5645 WWE TRUCKING INC STERLING HEIGHTS 5863899A 2,926 5/30/2019 7208 M AND EM SERVICE LLC STEVENSVILLE 5721725A 432 6/3/2019 8006 MERKELS FLOOR COVERING INC STEVENSVILLE 2541947A 591 5/6/2019 9521 OMEGA TREE SERVICE LLC STEVENSVILLE 5392870A 5,833 4/1/2019 0106 0.91 ORIENTAL FOOD SPECIALTIES STEVENSVILLE 0976466A 349 6/29/2019 9058 EMERALD VALLEY SOD & WATERBOY STOCKBRIDGE 3386031A 750 6/9/2019 0042 0.95 RED ROCK CAPITAL GROUP LLC STOCKBRIDGE 4307550A 800 5/23/2019 5538 GLOBAL CONSULTING AND STAFFING LLC STOCKTON, CA 5855799A 275 4/20/2019 8810 UNITED TECHNICAL SUPPORT SERVICES INC STREETSBORO, OH 3641244A 848 6/30/2019 5191 ALLEN LOGGING LLC STURGIS 5571120A 750 6/9/2019 2709 CROOKED LAKE LLC STURGIS 1914510A 1,420 6/1/2019 6836 FFT COMPOSITES LLC STURGIS 5877830A 1,285 6/19/2019 4484 MARC TODD CONCRETE INC STURGIS 2478390A 1,175 5/6/2019 5221 OAK INSURANCE SERVICES LLC STURGIS 2345358A 242 4/14/2019 8810 PARKERS HOME IMPROVEMENT LLC STURGIS 4517695A 750 5/16/2019 5645 0.95 TRI STATE SECURITY LOCKSMITH LLC STURGIS 5698383A 638 4/4/2019 8010 HARVESTAFF LLC SUGAR LAND, TX 5702283A 8,298 4/12/2019 0128
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge J MCGILL TRUCKING INC SUMMER 5241421A 5,896 4/17/2019 7208 0.95 J AND B APPLIANCES LLC SUNFIELD 5877814A 1,957 6/19/2019 9519 STEVAL CONSTRUCTION INC SUPERIOR TWP 5153654A 825 6/12/2019 5476 PRIME RESOURCES LLC SUSSEX, WI 5803829A 269 6/5/2019 8810 CENTURY FARM LLC SUTTONS BAY 5865662A 790 5/18/2019 9015 MOSES WINDOW CLEANING SUTTONS BAY 2038366A 1,115 6/29/2019 9015 0.95 AMERICAN PAINTING & RENOVATIONS INC SUWANEE, GA 4203984A 801 4/11/2019 5476 BLUE STEEL MANAGEMENT LLC SWANTON, OH 5156556A 1,034 6/18/2019 8017 CARING FROM THE HEART LLC SWARTZ CREEK 4993306A 7,269 4/18/2019 8835 0.92 CH AND ASSOCIATES LEASING INC SWARTZ CREEK 3955516A 1,119 6/22/2019 9058 0.95 CHRISTOPHER S FIX INC SWARTZ CREEK 2551144A 750 4/20/2019 5022 GREENKEEPER LAWN SERVICE SWARTZ CREEK 2719673A 1,525 5/23/2019 9102 HOMER CONRAD CEMENT LLC SWARTZ CREEK 5555132A 750 5/3/2019 5221 L AND J TRUCKING INC SWARTZ CREEK 5579732A 3,035 6/25/2019 7208 P E TRANSPORTATION LLC SWARTZ CREEK 5709792A 752 5/12/2019 8810 PRECISION TREE AND SHRUB SERVICES INC SWARTZ CREEK 4858883A 3,514 4/10/2019 0042 0.92 SPORTS CREEK ACQUISITIONS INC SWARTZ CREEK 1700758A 346 4/1/2019 8810 0.95 SPRINGBROOK EAST CONDOMINIUM SWARTZ CREEK 4241452A 633 6/3/2019 9015 ASSOCIATION OF SWARTZ CREEK TLC TREE & STUMP REMOVAL LLC SWARTZ CREEK 3226204A 2,673 5/6/2019 0042 1.26 13 % POOCHPEOPLE INC SYLVAN LAKE 3915379A 12,187 5/30/2019 8831 0.96 RENOVATIONS BY BRENDAN MOLLOY INC SYLVAN LAKE 4875559A 750 5/17/2019 5645 0.95 CONTROL SYSTEMS OF OHIO INC SYLVANIA, OH 4979478A 2,362 4/25/2019 5550 0.95 PHOENIX SERVICES ANN ARBOR LLC SYLVANIA, OH 3160769A 163,428 6/7/2019 2501 0.76 TREASURE ISLAND ASSOCIATION SYLVANIA, OH 5853524A 633 6/19/2019 9015 GRUS INC TAMPA, FL 3410684A 33,960 4/1/2019 5040 1.58 10 % ANCHOR CONSTRUCTION AND LANDSCAPING TAWAS CITY 5721288A 2,817 6/2/2019 5645 BLUE WATER INSULATION TAWAS CITY 5878063A 2,255 6/20/2019 5479 BROOKS AUTO PARTS INC TAWAS CITY 4205219A 1,758 5/19/2019 8264 0.95 FRED STRAUER CONTRACTING TAWAS CITY 1131036A 750 6/21/2019 5221 RA BRUGGER BUILDERS TAWAS CITY 1480952A 8,540 6/16/2019 5645 A S A P EXPRESS & LOGISTICS INC TAYLOR 3462102A 1,650 6/23/2019 8810 0.95 ALL WOOD TREE SERVICE INC TAYLOR 1873571A 2,189 5/2/2019 0106 0.95 ALLORE DOUGLAS TAYLOR 5402115A 591 5/6/2019 9521 AUTO AND EQUIPMENT SPECIALIST INC TAYLOR 4390474A 5,156 5/29/2019 7208
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge B AND A HOME IMPROVEMENT TAYLOR 3579760A 750 4/22/2019 5645 BLACK HAWK DRYWALL LLC TAYLOR 5878195A 750 6/21/2019 5445 BLAST TECH SERVICES LLC TAYLOR 5576709A 30,832 6/21/2019 3724 0.86 BUILT BY BRIAN TAYLOR 5727901A 750 6/29/2019 5445 CACAU SAMUEL TAYLOR 4974581A 486 4/21/2019 8393 CARDINAL ERNEST MICHAEL JR TAYLOR 5706777A 750 5/5/2019 7208 CLASSIC CARTAGE TAYLOR 4489926A 12,504 6/26/2019 7208 1.62 13 % CROZIER CONSTRUCTION INC TAYLOR 3507246A 7,014 6/3/2019 5645 0.92 CULLEN MARK TAYLOR 1890050A 2,670 6/13/2019 5437 0.95 DETROIT INTERMODAL TRANSPORT INC TAYLOR 5259002A 1,458 4/6/2019 7208 DOWNRIVER CRUSHED CONCRETE TAYLOR 5657490A 2,979 5/16/2019 1624 DUPAGE GREEN CONDO ASSOC TAYLOR 0898651A 2,410 6/15/2019 9015 0.95 EVER GLO HOME MODERNIZATION TAYLOR 1670212A 750 5/23/2019 5403 FRIENDS OF THE DETROIT RIVER TAYLOR 4824350A 2,628 6/4/2019 7038 0.95 G N J SERVICES LLC TAYLOR 5262763A 2,338 4/17/2019 5445 GARNER PROPERTIES AND MANAGEMENT LLC TAYLOR 5847427A 2,726 4/10/2019 8810 1.62 13 % GARTON RICHARD TAYLOR 5148111A 1,080 5/21/2019 0913 1.00 GONZALEZ EDUARDO TAYLOR 5853540A 825 4/11/2019 5445 GROUND CONTROL PROPERTY MAINTENANCE TAYLOR 5411408A 8,707 4/5/2019 0042 1.46 13 % LLC HOYS CONCRETE REMOVAL CORPORATION TAYLOR 4736745A 1,356 5/13/2019 5221 0.95 INTERNATIONAL ASSOCIATION OF HEAT & FROST TAYLOR 3211380A 853 5/24/2019 8755 0.95 INSULATORS & ASBESTOS WORKERS LOCAL UNION 207 JUSTIN TYME LLC TAYLOR 5571375A 1,256 6/11/2019 5190 K 9 ACADEMY TRAINING FACILITY LLC TAYLOR 5714036A 1,062 5/9/2019 8831 KENNETH R FRASURE LLC TAYLOR 2222477A 5,383 4/11/2019 5645 KEYES MAINTENANCE LLC TAYLOR 3544206A 684 4/8/2019 9015 0.95 KRUSH INDUSTRIES INC TAYLOR 5397847A 1,724 5/9/2019 3724 0.95 M T LEGACY INC TAYLOR 5496829A 1,280 5/10/2019 9058 MARINAS SELECT SERVICES INC TAYLOR 1261924A 1,472 5/23/2019 9058 1.00 MAXIMUM WELDING LLC TAYLOR 3481735A 693 4/14/2019 3365 MCNEAL ROGER TAYLOR 5407575A 591 6/8/2019 9521 MIKES EXTERIORS TAYLOR 5327229A 750 4/13/2019 5551 NATE AND SARAH CONSULTING LLC TAYLOR 5849616A 751 4/4/2019 5610 NATE THE CARPET GUY TAYLOR 5075840A 642 6/20/2019 9521 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 159 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PASTERN WILLIAM TAYLOR 4635620A 750 6/5/2019 5476 PFW LOGISTICS INC TAYLOR 5267455A 763 5/1/2019 8810 PRY B SOLUTIONS TAYLOR 5717825A 750 5/20/2019 5445 PYLE DARRELL TAYLOR 5726352A 750 6/23/2019 5645 RUHLIG JOHN TAYLOR 0911828A 750 5/10/2019 5645 SONS TRUCK AND TRAILER REPAIR LLC TAYLOR 5714494A 2,618 6/20/2019 8387 STERLING HAIR LLP TAYLOR 5874904A 677 6/8/2019 9586 TAYLOR AC INC TAYLOR 0071960A 867 4/1/2019 9058 0.95 TRANSNATIONAL STAFFING INC TAYLOR 5875447A 3,296 6/11/2019 8292 XG SECURITY SERVICES LLC TAYLOR 5231906A 3,980 4/14/2019 5191 0.95 BAD IDEAZ LLC TECUMSEH 5252792A 3,708 6/15/2019 7422 0.95 CLARK LANE APARTMENTS LLC TECUMSEH 1736337A 1,055 6/13/2019 9015 0.95 LOGOS DISTRIBUTION SERVICES INC TECUMSEH 4351371A 803 5/21/2019 8395 MORGAN VALLEY FARM LLC TECUMSEH 0249971A 3,923 4/15/2019 8279 0.95 FARM BOYS EXPRESS INC TEKONSHA 5555612A 750 5/11/2019 7208 A 1 AFFORDABLE MASONRY TEMPERANCE 5435927A 1,793 4/19/2019 5221 BEDFORD TOWNSHIP LIONS CLUB CHARITIES TEMPERANCE 5572681A 340 6/11/2019 8008 INC HUNTERS RUN STABLE LLC TEMPERANCE 1117351A 5,929 4/24/2019 8279 0.92 JOHN MARCUM PROMOTIONS INC TEMPERANCE 2669609A 3,919 4/23/2019 8720 0.89 JOLY JOSEPH ANTHONY TEMPERANCE 4741080A 259 6/21/2019 8601 KARAS CRITTER CARE LLC TEMPERANCE 5553873A 410 4/29/2019 8831 LUTHERAN HOUSING SERVICES 8 NON PROFIT TEMPERANCE 2769115A 281 5/9/2019 8810 0.95 HOUSING CORPORATION MANATEE INVESTORS LLC TEMPERANCE 5863589A 4,141 5/10/2019 5645 PAUL HUEPENBECKER MASONRY TEMPERANCE 3420400A 825 5/31/2019 5022 PROFESSIONAL TOWING & RECOVERY LLC TEMPERANCE 4342712A 14,371 5/1/2019 7208 1.54 13 % SURESEAL TEMPERANCE 3354717A 4,018 4/13/2019 5551 0.94 PROVIDENCE HEALTH CARE STAFFING INC THOMASVILLE, NC 3939308A 979 6/8/2019 8833 COLLINS AND COMPANY OF MICHIGAN THOMPSONVILLE 2105713A 750 5/15/2019 5221 0.95 HANNA OUTDOOR SERVICES LLC THOMPSONVILLE 5544696A 751 4/12/2019 9102 BERKHEIMER ENTERPRISES LLC THORNVILLE, OH 5866278A 769 5/19/2019 3113 WINKELMANN AUTOMOTIVE U S LIMITED THOUSAND OAKS, CA 5723795A 707 6/23/2019 8742 PARTNERSHIP BROOKWOOD FARMS THREE OAKS MI LLC THREE OAKS 4887867A 566 4/8/2019 0128 G NOCK BROTHERS LAWNCARE LLC THREE OAKS 5821185A 918 6/5/2019 9102 1/3/2019 11:00:13 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 GRAHAM SERVICES LLC THREE OAKS 4229517A 750 6/17/2019 0106 0.95 THREE OAKS TOWNSHIP THREE OAKS 1452835A 4,604 4/13/2019 7904 0.91 HEV CON BUILDING AND REMODELING INC THREE RIVERS 4254953A 3,243 6/7/2019 5645 0.95 SMILLIE MIKE THREE RIVERS 0397687A 750 4/12/2019 5645 0.95 ZUCHNIK AVERY THREE RIVERS 5726875A 750 6/24/2019 5551 ADVANTAGE TRANSPORT LLC TIPTON 5697387A 800 4/1/2019 7208 D AND T CONSTRUCTION TIPTON 5859930A 750 4/27/2019 5645 SAND LAKE VOLUNTEER FIRE DEPARTMENT TIPTON 0891754A 5,618 4/1/2019 7704 0.94 ALTERNATIVE STAFFING INC TOLEDO, OH 2882574A 81,853 5/30/2019 8392 1.65 13 % CYBERSHED INC TOLEDO, OH 5106877A 1,261 5/8/2019 8017 0.95 DOUGS HANDYMAN SERVICE TOLEDO, OH 5424208A 750 5/9/2019 5645 GREAT LAKES MEDICAL SERVICES LLC TOLEDO, OH 5575010A 335 6/30/2019 8832 IVY DEVELOPMENT AGENCY LLC TOLEDO, OH 5715121A 833 5/11/2019 5213 MAINS CONSTRUCTION SERVICES LLC TOLEDO, OH 5004594A 1,584 5/9/2019 5606 0.95 TOLEDO BUILDING SERVICES CO TOLEDO, OH 2270072A 7,151 6/14/2019 9015 0.82 TOTAL ENVIRONMENTAL SERVICES LLC TOLEDO, OH 3122948A 1,206 6/24/2019 5479 WILLSON INTERNATIONAL INC TONAWANDA, NY 0962546A 1,372 6/22/2019 8810 0.95 VIEAUS TREE SERVICE LLC TOPINABEE 4986865A 3,235 5/20/2019 0106 0.94 EAST COAST METROLOGY LLC TOPSFIELD, MA 4888227A 848 5/10/2019 8601 0.95 A AND M CUSTOM HOMES INC TRAVERSE CITY 4000994A 750 5/11/2019 5437 AESTHETICS PROFESSIONAL LAWNCARE LLC TRAVERSE CITY 5876524A 659 6/12/2019 9102 AJ SCHAUB CONSTRUCTION LLC TRAVERSE CITY 2720809A 2,651 6/16/2019 5645 ALLINGTON AARON TRAVERSE CITY 5862701A 750 5/5/2019 7208 ANGEL CARE CHILD CARE INC TRAVERSE CITY 4716540A 2,007 5/1/2019 8869 1.00 ASHER PARK CUSTOM HOMES LLC TRAVERSE CITY 5560918A 825 5/13/2019 5645 BAY SPRAY ENTERPRISES INC TRAVERSE CITY 0430234A 886 4/7/2019 9015 0.95 BIG BAY PLUMBING AND HEATING LLC TRAVERSE CITY 5545110A 731 4/13/2019 5183 BRYANS INSURANCE AGENCY & FINANCIAL TRAVERSE CITY 4238672A 309 6/30/2019 8810 SECURITY OFFICE INC BUCS UNLIMITED CUSTOMER SERVICE LLC TRAVERSE CITY 5850002A 800 4/5/2019 5645 BUTCH STRAIT INSPECTIONS PLC TRAVERSE CITY 5391148A 374 6/10/2019 8720 CARLSON TREE SERVICE CO TRAVERSE CITY 5017440A 5,925 4/11/2019 0042 0.90 CEL CONSULTING LLC TRAVERSE CITY 4763416A 825 6/24/2019 6216 CHERRY CAPITAL CAB LLC TRAVERSE CITY 4437721A 2,936 5/8/2019 7220 0.95 CHERRYFLEX INC TRAVERSE CITY 0732974A 2,893 6/23/2019 6504 0.95
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COAST MARINE DETAILING TRAVERSE CITY 5010063A 586 4/18/2019 8387 COLLIGAN BUILDING & CARPENTRY LLC TRAVERSE CITY 5706874A 800 4/20/2019 5645 CONCRETE EVIDENCE INC TRAVERSE CITY 1928759A 751 5/20/2019 5221 CONSTRUCTION MANAGEMENT CORPORATION TRAVERSE CITY 4956540A 750 4/25/2019 5645 COUNTY LINE FINISHING LLC TRAVERSE CITY 5865794A 750 5/18/2019 5445 COYOTE CONTRACTING LLC TRAVERSE CITY 5569257A 752 6/2/2019 5183 CREATIVE DESIGN & SPACES LLC TRAVERSE CITY 5709172A 801 4/27/2019 0042 CREATIVE HOMES & COTTAGES INC TRAVERSE CITY 4700341A 386 4/27/2019 9058 0.95 D AND D SIGNS INC TRAVERSE CITY 0716952A 5,118 4/26/2019 9559 1.11 DAILY STAFFING LLC TRAVERSE CITY 5553008A 5,884 5/1/2019 9015 E COPIA LLC TRAVERSE CITY 4786254A 218 6/7/2019 8810 EETKO BUILDERS LLC TRAVERSE CITY 5237343A 800 4/1/2019 5645 EL GRUPO NORTE YOUTH CYCLING TRAVERSE CITY 5559871A 318 5/12/2019 8742 FEKETE LUKE G TRAVERSE CITY 5725852A 750 6/22/2019 5645 GRAND BAY MOVING & STORAGE LLC TRAVERSE CITY 5719313A 2,289 6/6/2019 7214 GRAND TRAVERSE TOURS LLC TRAVERSE CITY 3029115A 3,697 4/22/2019 7212 0.88 GREAT LAKES EXPRESS DELIVERY LLC TRAVERSE CITY 5431115A 825 4/14/2019 7208 0.95 GREAT LAKES FORGE INC TRAVERSE CITY 1420704A 3,677 5/26/2019 3110 0.91 HERITAGE SUSTAINABLE ENERGY LLC TRAVERSE CITY 3569446A 3,534 4/12/2019 7539 0.93 INHABITECT LLC TRAVERSE CITY 5133521A 2,956 5/24/2019 9102 0.95 INTER LAKES INSULATION LLC TRAVERSE CITY 2411547A 1,008 6/30/2019 5479 JEREMY PAUPORE CONSTRUCTION LLC TRAVERSE CITY 5216990A 750 6/14/2019 5645 KROPP WELL DRILLING INC TRAVERSE CITY 0181757A 800 4/18/2019 6204 KWM EDUCATIONAL SERVICES INC TRAVERSE CITY 5174449A 1,189 5/30/2019 8279 0.95 LAFAIVE RYAN TRAVERSE CITY 5276314A 750 5/12/2019 5645 0.95 LAKE ANN ENTERPRISES INCORPORATED TRAVERSE CITY 5126584A 297 4/12/2019 8810 LINDCRAFT HOMES LLC TRAVERSE CITY 5400961A 2,022 5/4/2019 5606 0.91 MOLD MATTERS INC TRAVERSE CITY 4690524A 4,534 6/26/2019 9015 0.95 MONKEY SUE ACRES LLC TRAVERSE CITY 5708591A 3,152 4/26/2019 8279 MONTERROSO KARINA TRAVERSE CITY 5853400A 750 4/11/2019 5645 NORTHERN MICHIGAN HARDSCAPES LLC TRAVERSE CITY 4679024A 2,479 5/7/2019 0042 NORTHWEST MICHIGAN REGIONAL FIRE TRAVERSE CITY 5125480A 753 4/16/2019 8868 TRAINING CENTER NORTHWOODS LANDSCAPING AND SUPPLY LLC TRAVERSE CITY 3196119A 750 6/11/2019 0042 OHLERT SERVICES LLC TRAVERSE CITY 5706734A 644 4/20/2019 5183
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge OTTAWAY OUTFITTERS LLC TRAVERSE CITY 5721814A 3,346 5/1/2019 7380 PAUL OGRADY BUILDER TRAVERSE CITY 1310917A 750 4/18/2019 5190 PRECISION CONCRETE CUTTING AND TRAVERSE CITY 5399041A 4,723 6/28/2019 5215 DEMOLITION LLC PREFERRED ROOFING SERVICES LLC TRAVERSE CITY 5415721A 26,738 6/19/2019 5551 0.87 READ TREE SERVICE INC TRAVERSE CITY 4739884A 6,845 4/16/2019 0106 0.90 SAIL AND POWERBOAT RENTAL TRAVERSE CITY 3181359A 1,290 6/5/2019 6836 0.95 SCHILLINGER FORESTRY LLC TRAVERSE CITY 5404592A 749 5/13/2019 0005 SUNSET TREE REMOVAL LLC TRAVERSE CITY 5256437A 8,494 4/1/2019 0106 0.89 SUNSET WATERSPORTS INC TRAVERSE CITY 3030342A 4,182 5/28/2019 6836 0.92 TC WATERSPORTS LLC TRAVERSE CITY 3955133A 1,318 5/30/2019 6836 0.95 TRAVERSE CITY ADVENTURE INC TRAVERSE CITY 5406412A 5,085 5/20/2019 7212 0.95 TRAVERSE CITY BEACH BUMS LLC TRAVERSE CITY 4119304A 18,808 6/27/2019 9015 1.59 40 % TRAVERSE CITY LITTLE LEAGUE INC TRAVERSE CITY 5711355A 634 5/2/2019 9015 TROWELL TECH TRAVERSE CITY 5710634A 750 5/2/2019 5348 WILLETTE DANIEL J TRAVERSE CITY 2143399A 750 4/25/2019 5476 WOODLAND DESIGNS LLC TRAVERSE CITY 4244680A 750 4/14/2019 5645 WYANT INC TRAVERSE CITY 3925358A 331 4/5/2019 5191 0.95 A D E A L LLC TRENTON 4959230A 3,710 4/6/2019 5606 ARREDONDOS CUTTING CONCRETE LLC TRENTON 5849969A 1,777 4/5/2019 5221 DICLAUDIO CONSTRUCTION CO INC TRENTON 2443473A 750 6/4/2019 8810 GERISH HOMES LLC TRENTON 5143713A 683 5/24/2019 9015 LEVEL UP CONTRACTING LLC TRENTON 5715423A 233 6/1/2019 8742 LIQUID SOLID WASTE REDUCTION INC TRENTON 1615998A 755 4/5/2019 4511 MERRITT INTERIORS TRENTON 1738860A 800 5/2/2019 5476 MHI INC TRENTON 0542466A 750 6/1/2019 3724 PERFECT CUT LAWN CARE INC TRENTON 1073761A 826 5/5/2019 0042 WEP HOLDINGS INC TRENTON 3725332A 721 6/20/2019 0908 CALDERWOOD WOOD PRODUCTS & SERVICES TROUT CREEK 4519558A 751 6/21/2019 5645 LLC WAYBRANT LOGGING TROUT LAKE 0093033A 750 6/27/2019 2702 ABSOLUTE WATER REMOVAL LLC TROY 4662237A 14,354 4/30/2019 9015 1.45 10 % ADVANCED STOREFRONTS INC TROY 1943251A 1,100 5/2/2019 5462 0.95 AGP CONSTRUCTION LLC TROY 3952576A 32,341 6/23/2019 5476 0.89 AINSTECH INC TROY 4928237A 3,035 6/1/2019 8010
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge AMERICAN THERAPY PROVIDERS INC TROY 5256887A 509 4/20/2019 8832 0.95 BARRINGTON COVE ASSOCIATION TROY 3712648A 633 6/6/2019 9015 BERRY CHRISTOPHER TROY 1151274A 750 6/10/2019 5645 BLOOMINGDALE CUSTOM HOMES INC TROY 5865220A 435 5/16/2019 5606 BRANHAM ANTHONY J TROY 4209265A 750 6/2/2019 5645 C AND C TILE TROY 0240710A 750 4/21/2019 5348 C J KOMASARA CONSTRUCTION TROY 1477820A 750 4/20/2019 5437 CAPITOL PAINTING INC TROY 3694909A 750 6/12/2019 5476 0.95 COVAL JEFFREY R TROY 3344029A 266 5/23/2019 8820 DENNIS M GLICK COMPANY TROY 3479072A 460 5/18/2019 5606 DWYER CONSTRUCTION LLC TROY 3918246A 750 4/30/2019 5645 EPK CONSTRUCTION CO TROY 3458997A 750 6/28/2019 5551 0.95 EXTREME ENGINEERING INC TROY 4349989A 489 6/12/2019 8742 0.95 FAIRVIEW CONSTRUCTION INC TROY 5127297A 2,830 4/16/2019 5606 1.29 13 % FAITH AT WORK INC TROY 4465385A 433 4/21/2019 8017 FLO ELE FIL INC TROY 5305837A 750 6/1/2019 7208 FOSTER VENTURES LLC TROY 3568890A 3,509 5/22/2019 9559 0.95 FRONT LINE CLEANING SERVICES LLC TROY 5848717A 703 4/2/2019 9015 G AND B TILE & CARPENTRY TROY 5850053A 750 4/6/2019 5437 G BONKOWSKI BLDG CO TROY 1884786A 750 6/26/2019 5437 GLOBAL DIVERSIFIED SOLUTIONS LLC TROY 5406870A 314 5/21/2019 8742 GREEN PASTURE ENTERPRISES INC TROY 5725887A 1,139 6/21/2019 9102 HAIDER ENTERPRISES INC TROY 1953656A 1,751 6/28/2019 9058 0.95 HOMEFORM CORP TROY 2838605A 956 4/17/2019 5190 0.95 HOOD FILTER SOLUTIONS LLC TROY 3853187A 4,337 5/25/2019 9015 1.36 27 % HR PAYROLL INC TROY 5797233A 365 4/1/2019 8810 IFIX ELECTRICAL ENTERPRISE LLC TROY 5881617A 529 6/30/2019 5190 INTELLITECH SYSTEMS INC TROY 5411645A 1,226 5/15/2019 5190 J AND B TRANSPORTATION INC TROY 3210936A 2,181 4/22/2019 7212 0.95 J M BELL CONSTRUCTION LLC TROY 5132274A 800 5/23/2019 5645 J MICHAEL BUILDING COMPANY TROY 3740900A 750 5/1/2019 5645 JST ENTERPRISE LLC TROY 3163059A 633 4/1/2019 9015 KURTENBACH INVESTMENTS LC TROY 4589866A 2,139 6/2/2019 9015 0.95 LUDOVIK PAINTING LLC TROY 3151336A 2,005 6/14/2019 5476 M J GLYNN INC TROY 1902890A 318 4/13/2019 8810 1/3/2019 11:00:13 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 MAPLE PARK CONDOMINIUM ASSOCIATION TROY 5872340A 633 6/1/2019 9015 MCCOMB CONSTRUCTION CO INC TROY 0467561A 805 4/19/2019 5606 0.95 MERIDIAN INDUSTRIES LLC TROY 5872359A 2,184 6/1/2019 3179 MIKES CONTRACTING SERVICES LLC TROY 5153085A 750 6/12/2019 5348 0.95 MJ CONSTRUCTION INC TROY 5127750A 750 4/17/2019 5445 MPI OF MICHIGAN INC TROY 0764957A 952 5/10/2019 8868 0.95 NORTHERN LANDSCAPE SERVICES LLC TROY 2090880A 1,027 5/11/2019 9102 0.95 PAVLICK AND ASSOCIATES TROY 0767476A 281 6/22/2019 8810 PETER KLEIN CINEMATOGRAPHY INC TROY 1690680A 492 4/14/2019 7610 PROFESSIONAL THERAPY SOLUTIONS LLC TROY 4569431A 20,825 4/22/2019 8832 0.92 RESERVE AT NORTHVILLE RIDGE CONDOMINIUM TROY 5027390A 633 5/1/2019 9015 ASSOCIATION RMR CONSTRUCTION LLC TROY 4978994A 800 4/21/2019 5645 S AND M FLOORING LLC TROY 5388651A 750 4/6/2019 5437 SANIT AIR INC TROY 2653095A 1,209 6/6/2019 5550 0.95 SIX YS INC TROY 4370384A 1,913 6/29/2019 9058 1.00 STAFF FINDERS INC TROY 4993390A 99,700 6/13/2019 3400 1.33 27 % SWIFT SERVICES 1 LLC TROY 3799867A 750 4/27/2019 5645 T AND T DESIGNS & CONSTRUCTION LLC TROY 3913325A 1,468 5/17/2019 5645 0.95 TG SERVICES LLC TROY 4239555A 718 6/15/2019 9015 0.95 TILE SELECT LLC TROY 5576393A 750 6/21/2019 5348 TROY 18 WIRELESSES INC TROY 5862329A 562 5/4/2019 8017 TROY GYMNASTICS INC TROY 4181808A 8,101 6/27/2019 9063 0.86 TWII LTD TROY 2056330A 3,121 4/5/2019 5437 U SAVE RENTAL INC TROY 2811774A 586 4/24/2019 8387 0.95 VICTORIOUS MMA LLC TROY 5673178A 694 6/12/2019 9063 W D BAKER CO TROY 1687611A 750 5/19/2019 5437 WOODSON EDUCATION LLC TROY 5543975A 382 4/9/2019 8868 XIN POINT NORTH AMERICA INC TROY 5126932A 1,650 4/22/2019 8810 0.95 B AND B TRANZ LLC TRUFANT 5857554A 800 4/21/2019 7208 SIGNWALKERS LLC TUKWILA, WA 5864186A 248 5/12/2019 8810 B WOLFFIS DESIGN LLC TWIN LAKE 5856329A 750 4/19/2019 5645 J AND I CONSTRUCTION TWIN LAKE 3199282A 2,239 6/18/2019 5645 0.95 PAINTERS EDGE LLC TWIN LAKE 3934772A 1,260 6/20/2019 5476 TWIN LAKE TAVERN LLC TWIN LAKE 0608475A 484 4/6/2019 9058
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ATLAS EXTERIORS & INSULATION INC TWINING 5868009A 750 5/25/2019 5645 CEM BASE INC TWINSBURG, OH 5724953A 1,083 6/19/2019 6217 FOREST CITY ERECTORS INC TWINSBURG, OH 0980056A 4,211 4/1/2019 5040 0.95 LIGHTSYS TECHNOLOGY SERVICES INC TYRONE, GA 5867967A 304 6/1/2019 8810 BRIOLAT TRUCKING LLC UBLY 5713927A 701 5/9/2019 0011 HOLBROOK CONSTRUCTION INC UBLY 3187110A 750 4/30/2019 0042 SOUTHEAST PUBLIC SAFETY AUTHORITY UNION 3998738A 4,112 4/1/2019 7904 0.90 GANOS ENTERPRISES UNION LAKE 0720330A 976 4/12/2019 5476 0.95 GOLDBERG JEFFREY UNION PIER 5855748A 942 4/18/2019 0908 BELLCREST CARPENTRY INC UTICA 5703530A 23,301 4/14/2019 5645 BORDATO BUILDING LLC UTICA 4922620A 750 6/19/2019 5479 FRONTGATE VENTURES LLC UTICA 5393086A 801 4/2/2019 5437 0.95 GLASS ACT SERVICES INC UTICA 5146747A 845 6/1/2019 9015 0.95 MY ONE PAINTER UTICA 5725240A 800 6/17/2019 5476 OASIS CUSTOM POOLS AND SPAS INC UTICA 5302102A 3,950 5/11/2019 9015 1.05 PREMIER WINDOWS & GLASS UTICA 5725810A 750 6/21/2019 5462 TRIPA JOHN UTICA 5702127A 750 4/13/2019 5437 V AND G CLEANING UTICA 5277060A 633 6/5/2019 9015 WORLD BIRD SANCTUARY VALLEY PARK, MO 5849896A 1,341 4/5/2019 9015 ADAMS TILE & MARBLE INC VAN BUREN TWP 5556287A 750 5/18/2019 8810 ARCHER ELECTRICAL SERVICES LLC VAN BUREN TWP 5694523A 2,587 6/15/2019 5190 WILLIAMS TRANSPORTATION LLC VAN BUREN TWP 5861659A 750 5/2/2019 7208 KINGDOM HOME BUILDERS LLC VANDALIA 5511496A 750 4/8/2019 5645 0.94 CUSTOM QUALITY CONTRACTING LLC VANDERBILT 5876974A 6,781 6/15/2019 5645 GOFF STUMP GRINDING VANDERBILT 3936864A 750 6/12/2019 0106 A CUT ABOVE TREE SERVICE VASSAR 5013038A 3,814 6/21/2019 0106 0.93 GONDA CUSTOM SIDING & DECKS VASSAR 3496350A 750 5/18/2019 5551 KURT RODAMMER BUILDER VASSAR 4210085A 750 5/10/2019 5645 MID MICHIGAN TREE SERVICE LLC VASSAR 4630998A 1,911 6/30/2019 0106 0.95 QUALITY ONE CONCRETE LLC VASSAR 5874238A 1,220 6/6/2019 5221 RADTECH X RAY INC VASSAR 0357634A 381 4/27/2019 5191 S AND K LOGS LLC VASSAR 5316561A 750 5/1/2019 2702 0.95 BUILD MASTERS TRUCKING INC VERMONTVILLE 4739396A 11,897 4/14/2019 7208 0.89 INTEGRITY PRESERVATION SERVICES LLC VERMONTVILLE 4867726A 825 5/5/2019 5403 ERM HOLLY LLC VERONA, WI 5863554A 2,905 5/10/2019 9015 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 166 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HOOVER DRYWALL LLC VESTABURG 3310809A 750 4/6/2019 5445 JAKE MCGILL TRUCKING VESTABURG 5576342A 750 6/16/2019 7208 RYAN LEWIS TRUCKING VESTABURG 5714010A 750 5/9/2019 7208 DOG DAYS LLC VICKSBURG 5553946A 360 4/29/2019 8831 GREEN CIRCLE CLEANING LLC VICKSBURG 5857783A 1,383 4/21/2019 9015 MJ CONCRETE LLC VICKSBURG 5398800A 750 5/20/2019 5221 NJW ELECTRIC LLC VICKSBURG 5569818A 529 6/4/2019 5190 STRONG TRUCKING LLC VICKSBURG 5715571A 800 5/12/2019 7208 RE RY LLC VIENNA, VA 5702780A 328 4/17/2019 8810 COMMUNICATION WORKERS OF AMERICA LOCAL VULCAN 1691309A 284 4/6/2019 8755 NO 4025 DEBAKKER CONSTRUCTION VULCAN 2728206A 750 5/15/2019 5645 JM STEEL INC VULCAN 4947410A 5,005 6/27/2019 5040 0.95 LINDER JASON VULCAN 5880815A 750 6/29/2019 5645 MILLIGAN STEPHEN VULCAN 1519441A 750 6/24/2019 2702 RAYMOND HEWLETT TRUCKING INC VULCAN 4111478A 750 6/21/2019 7208 SENIOR REHAB AND FITNESS LLC VULCAN 4687795A 378 4/3/2019 8832 UNITED ABRASIVE INC VULCAN 0356948A 6,788 4/23/2019 1438 1.00 CJ MISKY TRUCKING INC WAKEFIELD 3940373A 752 5/17/2019 8810 RADOWSKI INCORPORATED WAKEFIELD 5412242A 3,307 6/10/2019 7208 0.95 MARKS MOBILE HOME SERVICE & SUPPLY INC WALBRIDGE, OH 5854679A 666 4/14/2019 8387 FIND IT DETECTION DOGS LLC WALDEN, CO 5271169A 360 5/4/2019 8831 NOLAN CONTRACTING INC WALES 4842685A 750 6/27/2019 6217 A AND K TILE AND INTERIORS LLC WALKER 4952391A 750 5/2/2019 5348 HBR SOLUTIONS LLC WALKER 5871034A 253 5/31/2019 8810 MARKS PROFESSIONAL TREE SERVICE LLC WALKER 4684257A 818 4/19/2019 0106 MARTINEZ CONSTRUCTION WALKER 5168953A 9,075 4/5/2019 5551 0.84 ERICKSON PERRY R WALLACE 1849603A 750 6/4/2019 2702 FJ LOGGING WALLACE 5840554A 750 4/5/2019 2702 KA UNLIMITED WALLACE 3732029A 750 4/5/2019 2702 ALL AMERICAN CEMENT 2 LLC WALLED LAKE 5407443A 2,190 5/25/2019 5221 0.95 ANNABELCOOKS LLC WALLED LAKE 4976592A 527 5/27/2019 9058 1.00 CEI ELECTRIC CO WALLED LAKE 2309041A 683 5/18/2019 8810 EOTERRA LLC WALLED LAKE 5275075A 395 5/28/2019 8810 GARAGES R US LLC WALLED LAKE 5872375A 2,888 6/1/2019 5221
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge INY CONSTRUCTION LLC WALLED LAKE 5148235A 941 6/4/2019 5645 0.95 IRONWOOD PARK PLAZA 1 LLC WALLED LAKE 0575887A 683 5/8/2019 8810 KARNAKIS CONSTRUCTION & MAINTENANCE WALLED LAKE 3499502A 800 5/1/2019 5476 L AND E MARBLE AND GRANITE LLC WALLED LAKE 5877296A 3,318 6/14/2019 5348 LUKA TRUCK LLC WALLED LAKE 5859018A 750 4/25/2019 7208 MCINTOSH LTD WALLED LAKE 1817574A 4,851 5/1/2019 5551 0.94 METALWORKS MACHINE REPAIR LLC WALLED LAKE 5862833A 2,606 5/8/2019 3724 NATHAN CONTRACTING GROUP LLC WALLED LAKE 4840852A 293 4/11/2019 8810 RED AND BLACK PAINTING LLC WALLED LAKE 5700159A 750 4/7/2019 5476 STANDARD HOME BUILDERS OF MICHIGAN INC WALLED LAKE 2821940A 750 4/18/2019 5403 VICKERS LANDSCAPING WALLED LAKE 2396262A 750 6/15/2019 0042 C AND B DRYWALL WALLOON LAKE 3473864A 750 4/9/2019 5445 WALLOON SAILORS INC WALLOON LAKE 2858800A 642 6/17/2019 6836 ADEP CONSTRUCTION WARREN 3814440A 12,945 6/10/2019 5551 0.97 ALL AMERICAN ELECTRIC INC WARREN 3880664A 529 6/8/2019 5190 0.95 ALL STAR CONSTRUCTION INC WARREN 3293360A 1,778 5/17/2019 5437 0.95 ALLIED SIDING & WINDOWS INC WARREN 2306263A 750 5/29/2019 5403 APPLE SCREENING LLC WARREN 2705796A 292 5/9/2019 8810 AQUARIUS HOME CARE LLC WARREN 4473159A 5,039 6/7/2019 8835 0.95 ARD CONSTRUCTION LLC WARREN 5856892A 751 4/23/2019 5437 ASPRA WORLD INC WARREN 5456851A 2,723 4/27/2019 3146 0.95 BAKERS FLOORING WARREN 4605225A 591 4/5/2019 9521 BEL AIR RACING GROUP WARREN 1769383A 2,487 5/6/2019 9015 0.95 BEN CONSTRUCTION LLC WARREN 5443571A 1,831 6/14/2019 5403 BICE AND SONS CONSTRUCTION WARREN 5482909A 750 4/19/2019 5022 BID HOME IMPROVEMENT WARREN 5879949A 750 6/28/2019 5645 BLUE SKIES ENERGY LLC WARREN 4459997A 2,492 5/11/2019 7502 0.95 BUTCHER BOY FOODS WARREN 1692003A 581 6/7/2019 8031 C AND J PARKING LOT SWEEPING INC WARREN 1815571A 268 4/30/2019 8810 CC UNITED LLC WARREN 5872324A 1,770 6/1/2019 7600 CHAMPION TREE CARE INC WARREN 5410258A 1,925 6/4/2019 0106 0.95 CHEAP SPRAY INC WARREN 0896985A 694 5/30/2019 5183 CHINOSKI BUILDING GROUP INC WARREN 5294983A 9,958 4/26/2019 5348 0.95 CONFER ERIC WARREN 5871042A 529 5/31/2019 5190 DANA EXPRESS SERVICE WARREN 5398053A 750 4/23/2019 5645 1/3/2019 11:00:13 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 DAVE POMAVILLE & SONS INC WARREN 0486922A 33,685 5/1/2019 5538 1.77 13 % DEPENDABLE PAINTING WARREN 4209060A 750 4/21/2019 5476 0.95 EA PETRO 2 INC WARREN 5865808B 635 5/25/2019 8017 EZEL TRUCKING INC WARREN 5714648A 750 5/15/2019 7208 F AND L CONSTRUCTION LLC WARREN 5142334A 2,332 5/21/2019 5610 0.95 FAS DESIGN WARREN 5405530A 750 6/6/2019 5348 FENCE CONNECTION WARREN 1926047A 750 5/30/2019 6400 FITZ RITE LLC WARREN 3340996A 2,381 4/1/2019 5645 0.95 FLOORS A GO GO WARREN 4471040A 750 5/17/2019 5437 FRONT PAGE DELI WARREN LLC WARREN 4852095A 912 6/17/2019 9058 FUZZY FRIENDS GROOMING INC WARREN 4508688A 1,326 5/30/2019 8831 1.05 G AND G MASON CONTRACTORS WARREN 3349454A 750 6/28/2019 5022 GOOD CHOICE CONSTRUCTIONS INC WARREN 4357434A 800 6/12/2019 5551 GREAT LAKES TRUCKING MI INC WARREN 5435595A 773 4/28/2019 8393 H OF F BILLIARDS INC WARREN 1537601A 349 5/16/2019 9058 I P ENTERPRISES INC WARREN 2435063A 350 6/22/2019 9058 ICD DRYWALL & PLASTER LLC WARREN 3582701A 1,372 4/21/2019 5445 0.95 ILLYRIAN GLASS & SHELF LLC WARREN 4171330A 802 4/14/2019 8810 INFINITY TRANSPORTATION INC WARREN 5270189A 805 5/13/2019 8810 0.95 INVECAST CORPORATION WARREN 2017369A 299 6/21/2019 3341 JACOBSON PAINTING INC WARREN 4151810A 1,973 5/18/2019 5476 0.95 JOHN R SPRING SERVICE INC WARREN 0576123A 8,022 6/16/2019 9015 0.95 KL RESTORATION INC WARREN 2906708A 750 5/25/2019 5437 LEGACY TRUCKING INC WARREN 5711800A 5,640 5/3/2019 7208 LIGHTHOUSE COMMERCIAL SERVICES INC WARREN 5862000A 750 5/3/2019 5645 LOUIE CONSTRUCTION INC WARREN 5877288A 1,483 6/14/2019 5645 MD 12 MILE LLC WARREN 4908139B 759 4/2/2019 8017 MED CARE HOME HEALTH CARE INC WARREN 5282306A 1,960 6/24/2019 8835 0.95 MERCURIOS FOOD SPECIALTIES INC WARREN 2114763A 561 5/14/2019 9058 METRO METAL CORPORATION WARREN 5146917A 367 5/31/2019 8742 MG ELECTRICAL INC WARREN 5580102A 529 6/25/2019 5190 MILLER EVAN WARREN 5877920A 633 6/20/2019 9015 MJM RESTORATION LLC WARREN 4651537A 1,151 4/29/2019 9015 0.95 MTP PROPERTY CONSULTING INC WARREN 4928156A 1,924 5/24/2019 9015 0.95 NORBERT CONSTRUCTION WARREN 5278210A 750 6/7/2019 5645 1/3/2019 11:00:13 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 PECKAT ANDREW JR WARREN 5871077A 529 6/7/2019 5190 PEST TECH SERVICES INC WARREN 4743130A 1,319 4/23/2019 9015 0.95 PFROMM TODD WARREN 5696771A 1,163 4/18/2019 5645 PHOENIX FLOORS INC WARREN 2214954A 797 4/28/2019 9521 0.95 PILOTTO FLEET AND FABRICATION LLC WARREN 5867673A 561 5/24/2019 8393 PISANI CONTRACTING WARREN 5286727A 1,052 5/22/2019 5022 QUALITY CLEANING SERVICES LLC WARREN 5067928A 751 6/9/2019 9015 0.95 RNP ROOFING LLC WARREN 4784510A 11,115 6/4/2019 5551 ROADSTAR LLC WARREN 4757149A 2,926 6/5/2019 7208 0.89 ROYAL CONTAINER SERVICES INC WARREN 5865638A 23,575 5/18/2019 7213 RWS PAINTING LLC WARREN 4350820A 750 6/17/2019 5476 S A M CONTROLS LLC DEBTOR IN POSSESSION WARREN 4842561A 218 4/20/2019 8810 0.95 SHABOO TRANSPORTATION INC WARREN 5862043A 3,034 5/3/2019 7208 SHAZ ENTERPRISES INC WARREN 3771407A 1,285 5/28/2019 8017 0.95 STRAIGHTLINE HOME IMPROVEMENT WARREN 3639142A 750 6/30/2019 5645 SUPERIOR LIVING INC WARREN 4151607A 633 4/24/2019 9015 SYLLABLE INC WARREN 5409136A 1,723 6/6/2019 8010 0.95 TARTAR EXPRESS INC WARREN 2796678A 1,048 6/21/2019 7208 1.73 27 % VAN DYKE & TOEPHER GAS & MORE INC WARREN 1709011C 496 5/22/2019 8017 0.95 VENDOME PARTNERS LLC WARREN 5478227A 634 4/20/2019 9015 WARREN PIZZERIA INC WARREN 5713870A 3,064 5/9/2019 9058 WARREN THERAPY INC WARREN 4841603B 890 5/6/2019 8832 1.00 WITH LOVE HOMECARE INC WARREN 4606531A 4,297 6/29/2019 8835 0.91 NORTHEASTERN PRODUCTS CORP WARRENSBURG, NY 0623784A 45,043 4/1/2019 2731 1.19 10 % WARSAW CHEMICAL HOLDINGS LLC WARSAW, IN 1162080A 1,050 6/1/2019 8742 ALL SEASONS ROOFS LLC WASHINGTON 5738970A 800 5/24/2019 5479 ASSURED SERVICES LLC WASHINGTON 4364864A 781 6/29/2019 0042 BLUE SKYE SERVICES LLC WASHINGTON 5370965A 303 4/26/2019 8810 CASTLEMARK HOMES INC WASHINGTON 2567172A 750 6/29/2019 5645 DEDAJ CONSTRUCTION LLC WASHINGTON 5396867A 750 5/30/2019 5437 DELRAY HOMES INC WASHINGTON 2922916A 1,025 5/16/2019 5606 0.95 DIRT CONNECTION INC WASHINGTON 2817608A 830 4/18/2019 8742 ERFOURTH DENNIS M WASHINGTON 4872070A 750 6/26/2019 5645 GREENPEACE INC WASHINGTON, DC 2525658A 233 4/29/2019 8742 HIDDEN VALLEY BUILDING CO LLC WASHINGTON 5117909A 750 4/5/2019 5645 1/3/2019 11:00:13 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 J T QUALITY PAINTING LLC WASHINGTON 3623254A 750 5/11/2019 5476 JAMES P CONTRACTING INC WASHINGTON 1042238A 2,846 6/2/2019 5606 0.95 KONNIE ROOFING WASHINGTON 4995082A 750 6/19/2019 5551 LEVEL ONE ACOUSTICAL INC WASHINGTON 3301761A 750 4/9/2019 5020 M L P PAINTING INC WASHINGTON 4406508A 751 5/13/2019 8810 NECKER HEATING AND COOLING LLC WASHINGTON 5348609A 709 5/26/2019 5550 PRECISE CONSTRUCTION LTD WASHINGTON 0791849A 750 6/29/2019 5645 PRESTIGE MASONRY WASHINGTON 5868181A 750 5/25/2019 5022 TOMARAH ENTERPRISES LLC WASHINGTON 4623983A 579 4/10/2019 5190 V AND G BUILDING COMPANY LLC WASHINGTON 1247760A 750 6/20/2019 5645 0.95 WASHINGTON LAWN MAINTENANCE WASHINGTON 5850851A 936 5/1/2019 9102 WILLIAMS HISTORIC RESTORATION INC WASHINGTON 5464293A 7,153 5/26/2019 5437 0.94 DRIP DRY WATERPROOFING AND RESTORATION WASHINGTON TWP 5399009A 719 6/8/2019 5183 CO GARY IOPPOLO TRUCKING LLC WASHINGTON TWP 4069013A 750 5/13/2019 7208 IMMACULAWN LLC WASHINGTON TWP 5720427A 1,318 5/27/2019 9102 M J I QUALITY PAINTING WASHINGTON TWP 0714810A 750 6/27/2019 5476 MARITIME MARINE CONSTRUCTION INC WASHINGTON TWP 4616871A 6,046 4/18/2019 6217 0.94 MICHAELANGELO HOMES LLC WASHINGTON TWP 4646975A 750 6/28/2019 5645 0.95 NATIONWIDE INDUSTRIAL COATINGS WASHINGTON TWP 3093859A 750 6/7/2019 5221 PLUMBING EXPERTS LLC WASHINGTON TWP 5559235A 644 5/11/2019 5183 T AND C TRIM INC WASHINGTON TWP 1898809A 750 4/30/2019 5437 TNT HOME IMPROVEMENT INC WASHINGTON TWP 2642654A 750 4/13/2019 5645 A F BELLISARIO INC WATERFORD 3829448A 750 4/7/2019 5403 ANTONIO GANDARILLA DRYWALL WATERFORD 3438112A 750 6/17/2019 5445 ARBORIST PRIME LLC WATERFORD 5862388A 800 5/4/2019 0106 AVG CONSTRUCTION LLC WATERFORD 5880432A 750 6/21/2019 5445 AVILA HUMBERTO WATERFORD 5708940A 750 4/27/2019 5445 AWS AFFORDABLE WINDOWS LLC WATERFORD 2995921A 750 6/28/2019 5645 BRIGHTWAY CARPENTRY WATERFORD 5877822A 750 6/19/2019 5437 BURNSFIELD CONSTRUCTION LLC WATERFORD 4901231A 1,559 6/17/2019 5645 0.95 CASILLAS CO WATERFORD 4856430A 1,046 4/1/2019 5022 0.95 CJ MOORE CUSTOM BUILDER INC WATERFORD 2876710A 800 4/6/2019 5403 COBOS BARRON IGNACIO WATERFORD 3403831A 800 6/7/2019 5445 COLEMANS PROFESSIONAL LANDSCAPING LLC WATERFORD 5850045A 750 4/6/2019 0042
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CORPORATE OPTICS LLC WATERFORD 4355679A 3,530 4/1/2019 9156 0.86 CREW AND MGT SVCS LLC WATERFORD 5721733A 1,623 6/3/2019 7422 CUT N CHRIS WATERFORD 5861063A 750 5/1/2019 9102 DAVID W LUCIW DDS WATERFORD 1253506A 340 5/16/2019 8832 DCT AVIATION LLC WATERFORD 5489326A 5,784 4/20/2019 7422 DDA WINDOWS WATERFORD 3458989A 750 5/18/2019 5645 DOUBLE PANE WINDOW CLEANING LLC WATERFORD 5538033A 2,244 5/4/2019 9015 0.95 ELEGANT FLOORS LLC WATERFORD 3884210A 404 4/28/2019 8017 ENGINEERING DYNAMIC SERVICES LLC WATERFORD 5875005A 440 6/7/2019 8601 ENVIRONMENTAL AFFAIRS LLC WATERFORD 5256402A 1,777 4/1/2019 9015 0.95 G A SLADE EXCAVATING WATERFORD 1392786A 750 5/13/2019 6217 GD CONSTRUCTION LLC WATERFORD 3171710A 750 6/12/2019 5551 GORAL CONSTRUCTION LLC WATERFORD 4882237A 750 5/21/2019 5645 GRAPES AND HOPS MARKET INC WATERFORD 1210408A 355 6/20/2019 9058 HANCOCK RESIDENTIAL CENTER NON PROFIT WATERFORD 0907774A 6,069 4/6/2019 9053 0.89 HOUSING CORP IRONS PLUMBING WATERFORD 4516320A 1,215 4/19/2019 5183 0.95 J AND J PAINTING INC WATERFORD 5595347A 2,742 4/20/2019 5476 0.95 J CRABB ROOFING WATERFORD 5255805A 1,561 4/1/2019 5551 0.95 JAKE RYAN LANDSCAPE GROUP LLC WATERFORD 5857880A 1,094 4/22/2019 0042 JC WATER TREATMENT INC WATERFORD 0551708A 660 4/28/2019 9102 JDO MASONRY WATERFORD 0952923A 750 5/25/2019 5022 JOES GREAT AMERICAN TREE AND LAWN CARE WATERFORD 4272676A 2,969 6/26/2019 0042 0.95 LLC JS FIX WATERFORD 3856682A 750 5/26/2019 5476 K AND J CLEANING INC WATERFORD 3783642A 633 5/20/2019 9015 KELTIC CONSTRUCTION INC WATERFORD 3337499A 750 4/20/2019 5437 KEVIN R ESSIAN INC WATERFORD 4428366A 750 4/15/2019 5476 LAS MEXICANAS INC WATERFORD 5494958A 680 5/1/2019 8006 MAGNUM HELICOPTERS LLC WATERFORD 5723965A 1,505 6/14/2019 7422 MAPLE ROOFING CONSTRUCTION INC WATERFORD 3636151A 3,578 4/7/2019 5551 0.95 MARTINEZ OSCAR WATERFORD 5880270A 750 6/28/2019 5445 MILOS PLASTER RESTORATION LLC WATERFORD 3977803A 750 4/12/2019 5445 NEW CREATION HOMES INC WATERFORD 5156645A 825 6/22/2019 5403 NORTHERN PAINTING COMPANY LLC WATERFORD 5706807A 2,410 4/21/2019 5476
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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 634 5/1/2019 9015 OAKLAND GYMNASTICS TRAINING CENTER LTD WATERFORD 1697633A 2,143 6/12/2019 9063 0.95 OVERHEAD DOOR NORTH RESIDENTIAL INC WATERFORD 1610341A 826 4/16/2019 3724 0.95 OVERHEAD DOOR WEST COMMERCIAL INC WATERFORD 1610341B 1,475 4/16/2019 3724 0.95 PEACHES LANDSCAPE & CONSTRUCTION WATERFORD 5877580A 3,005 6/16/2019 0042 PODCARE PC WATERFORD 3318826A 547 4/30/2019 8832 POHL CATS STUMP GRINDING INC WATERFORD 5392080A 750 4/1/2019 0106 QUEST FIELD SERVICES LLC WATERFORD 5507138A 852 6/29/2019 6217 R AND P DRAIN CLEANING WATERFORD 5409918A 644 6/4/2019 5183 RELIABLE OUTDOOR MAINTENANCE LLC WATERFORD 5877903A 750 6/19/2019 9102 RLR CONSTRUCTION WATERFORD 2840332A 750 6/25/2019 5551 ROBOCUT WATERFORD 4733819A 750 4/8/2019 9102 ROOFING DEPOT LLC WATERFORD 3036553A 805 6/8/2019 8810 ROOFING SOLUTIONS LLC WATERFORD 4470273A 750 5/14/2019 5551 RSC PAINTING LLC WATERFORD 5604826A 2,107 5/24/2019 5476 S E C CONTRACTORS INC WATERFORD 3869520A 29,187 6/28/2019 5538 1.63 27 % SANICK PROPERTIES INC WATERFORD 3769143A 1,195 4/27/2019 5445 SMITH RESIDENTIAL LLC WATERFORD 5282292A 633 6/28/2019 9015 SUPERIOR STONEWORK LLC WATERFORD 2252139A 750 5/16/2019 5022 T E C CONSTRUCTION INC WATERFORD 1873709A 750 5/24/2019 5645 TINY BEARS DAY CARE WATERFORD 3141713A 267 6/14/2019 8869 TOGS AIRCRAFT LLC WATERFORD 5855683A 1,266 4/18/2019 7423 TOMS MASONRY REPAIR LLC WATERFORD 5727405A 800 6/27/2019 5022 UNDERCUTTERS TREE REMOVAL LLP WATERFORD 5867690A 9,030 5/24/2019 0106 V R I CONSTRUCTION WATERFORD 4087739A 825 6/24/2019 5551 VESSELIN CONSTRUCTION WATERFORD 3455920A 800 5/8/2019 5403 WATKINS LAKEFRONT OWNERS ASSOC WATERFORD 0948870A 1,350 5/11/2019 0005 0.95 WILCOX CUSTOM HARDWOOD FLOORS WATERFORD 3047504A 1,427 5/8/2019 5437 WOODHULLS LAWN CARE WATERFORD 5864399A 750 5/12/2019 9102 BOLTON BETTY J WATERSMEET 5861950A 750 5/3/2019 5645 USA FULGER TRANSPORT INC WATERVILLE, OH 5726816A 6,938 6/24/2019 7208 R AND H PETROLEUM INC WATERVLIET 4338120A 573 6/11/2019 8017 MYCO USA LLC WAUWATOSA, WI 4499336A 23,139 5/24/2019 8395 0.80 ALLEN MILAN WAYLAND 5548608A 750 4/20/2019 5403 ALLIED CONCRETE CONSTRUCTION LLC WAYLAND 3195309A 750 4/9/2019 5221 1/3/2019 11:00:13 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 BIONDO RICHARD WAYLAND 5842395A 750 4/24/2019 5645 DIAMOND SAHARA EQUESTRIAN SERVICES LLC WAYLAND 5152313A 1,246 6/10/2019 8279 0.95 FARMERS TRUCKING WAYLAND 2256037A 825 4/25/2019 7208 INTERIORS PLUS BY CURT WAYLAND 5726441A 825 6/23/2019 5476 MOISTURE X AIR SYSTEMS LLC WAYLAND 5262682A 5,899 4/17/2019 3724 0.92 RANDY BOSSE BUILDER WAYLAND 4470788A 3,857 5/15/2019 5645 0.95 SENNEKER PERFORMANCE LLC WAYLAND 5683424A 4,942 4/1/2019 8393 0.95 VANVOLKINBURG BUILDERS WAYLAND 5562015A 750 5/15/2019 5645 B AND C TRUCKING INC WAYNE 5861772A 750 5/2/2019 7208 CAL SIGN COMPANY WAYNE 0132306A 493 4/12/2019 3179 0.95 CAPTAIN NEMOS WAYNE LLC WAYNE 4148703A 416 5/7/2019 9058 CULMAC INDUSTRIES INC WAYNE 1182900A 683 4/25/2019 8810 KILLER DECKS AND SPAS INC WAYNE 2724243A 5,250 4/27/2019 2802 1.00 LITTLE TREASURES DAYCARE CORPORATION WAYNE 5404002A 1,047 5/17/2019 8869 MAJOR CLEANING LLC WAYNE 5404886A 866 5/13/2019 8835 RMR CONSULTING SERVICES INC WAYNE 5667690A 371 6/9/2019 8810 T N T TRAILER SALES LLC WAYNE 4097238A 536 6/14/2019 8393 TWO BROTHERS CONSTRUCTION LLC WAYNE 5396727A 6,038 5/31/2019 5645 0.91 WALLACE RESTORATION LLC WAYNE 4720067A 1,122 6/16/2019 9015 AARONS ACE TREE SERVICES WEBBERVILLE 4521730A 800 6/29/2019 0106 BIG JOES SERVICES WEBBERVILLE 5720079A 751 5/26/2019 6217 NORTHFORK FARM & OUTBACK WEBBERVILLE 5712033A 751 5/4/2019 8279 WEBSTER AND GRIFFES INC WEBBERVILLE 4333055A 825 4/6/2019 7208 TATUM TRANSPORT LLC WEBERVILLE 5864356A 750 5/12/2019 7219 GENES TREE SERVICE INC WELLS 0603198A 1,255 6/6/2019 0106 0.95 HORINA CANOE LIVERY WELLSTON 1176544A 592 6/15/2019 6836 SELECT CUT LOGGING LLC WELLSTON 0106470A 2,862 4/17/2019 2702 0.95 AMERICAN STONE INC WEST BLOOMFIELD 4293754A 750 6/26/2019 5348 APNA GHAR LLC WEST BLOOMFIELD 5396247A 3,003 5/30/2019 8835 0.95 ART CONSTRUCTION INC WEST BLOOMFIELD 5132290A 825 4/30/2019 5437 0.95 AUBURN HILLS UNIVERSE INFLATABLE LLC WEST BLOOMFIELD 4866312A 3,718 5/23/2019 9015 0.90 BENDER ROBERT WEST BLOOMFIELD 0294454A 715 6/15/2019 0913 BOSSOLUTIONS LLC WEST BLOOMFIELD 5703506A 750 5/25/2019 5190 BULL JOHN WEST BLOOMFIELD 5856094A 1,822 4/26/2019 0913
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CENTAUR FARM VILLAGES CONDOMINIUM WEST BLOOMFIELD 0782092A 633 5/10/2019 9015 ASSOCIATION INCORPORATED CHARLES LOUGHREY DESIGN LLC WEST BLOOMFIELD 3341232A 750 4/26/2019 0042 CORPORATE SPECIALTIES LLC WEST BLOOMFIELD 5706416A 245 4/22/2019 8810 E H TROY CORPORATION WEST BLOOMFIELD 3777553A 218 6/13/2019 8810 ELITE HARDWOOD FLOORING LLC WEST BLOOMFIELD 2948605A 800 5/1/2019 5437 ENKO BUILDERS INC WEST BLOOMFIELD 5864739A 6,483 5/15/2019 5645 FERBER FRED WEST BLOOMFIELD 4213459A 351 5/3/2019 0908 FNA BUILDERS LLC WEST BLOOMFIELD 5718988A 1,653 5/23/2019 5610 FOUR SEASONS HARDWOOD FLOORS AND MORE WEST BLOOMFIELD 2804603A 750 4/26/2019 5437 LLC GILBERT HOMES INC WEST BLOOMFIELD 1044036A 4,467 5/21/2019 5645 0.95 IDJ INSURANCE AGENCY LLC WEST BLOOMFIELD 5853532A 479 4/11/2019 8742 JOYNER ROBERT WEST BLOOMFIELD 3908810A 591 4/10/2019 9521 LINDA JOAN HACK TRUST WEST BLOOMFIELD 0904082A 401 5/17/2019 0908 LUMA CONSTRUCTION LLC WEST BLOOMFIELD 5412307A 800 6/10/2019 5645 M K HOMES LLC WEST BLOOMFIELD 5570581A 800 6/8/2019 5437 MACOMB BUILDING LLC WEST BLOOMFIELD 1601920A 2,065 5/18/2019 5645 0.95 MAELEIGH INC WEST BLOOMFIELD 3705722A 524 6/9/2019 9060 MAPLE HILL ON THE LAKE CONDOMINIUM WEST BLOOMFIELD 2452308A 750 6/26/2019 0042 ASSOCIATION MARK ADLER HOMES LLC WEST BLOOMFIELD 5279968A 5,142 6/12/2019 5606 0.91 MIDWEST POLICE MOTORCYCLE TRAINING INC WEST BLOOMFIELD 4457951A 305 4/7/2019 8868 MISSION SPRINGS HOMEOWNERS ASSOCIATION WEST BLOOMFIELD 3527689A 633 4/21/2019 9015 NEW FINISH DRYWALL INC WEST BLOOMFIELD 1686704A 750 5/4/2019 5445 NU GROUNDS LLC WEST BLOOMFIELD 5720630A 1,100 5/31/2019 0042 OAKCOM INC WEST BLOOMFIELD 2212331A 11,741 4/21/2019 7600 0.85 PIERCE ARLENE WEST BLOOMFIELD 5703387A 401 4/14/2019 0908 PIERCE RICHARD WEST BLOOMFIELD 5703662A 401 4/14/2019 0908 PINE LAKE SKI SCHOOL INC WEST BLOOMFIELD 3350266A 6,979 4/4/2019 5645 0.89 PRE CONSTRUCTION MEDIA INC WEST BLOOMFIELD 5135168A 539 5/8/2019 8601 PROJ S N A P INC WEST BLOOMFIELD 4726030A 355 5/1/2019 8810 PROJECT HEALTHY COMMUNITY WEST BLOOMFIELD 5395003A 260 4/11/2019 8810 REACTION TREE LLC WEST BLOOMFIELD 1087720A 3,956 4/15/2019 0042 0.95 ROBERT REIS CONSTRUCTION WEST BLOOMFIELD 2531925A 750 5/3/2019 5645 S AND J CONSTRUCTION WEST BLOOMFIELD 4978250A 750 6/25/2019 5445 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 175 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SH AND AH ENTERPRISES LLC WEST BLOOMFIELD 5409217A 677 5/30/2019 8742 SINGER CRAIG WEST BLOOMFIELD 0632465A 401 4/12/2019 0908 STEP UP RECRUITING LLC WEST BLOOMFIELD 5441129A 575 5/12/2019 8810 THOMPSON DANA WEST BLOOMFIELD 5721792A 750 6/6/2019 5437 WIXOM UNIVERSE INFLATABLES LLC WEST BLOOMFIELD 4866312B 3,194 5/23/2019 9015 0.90 FERGUSON BROTHERS CONSTRUCTION LLC WEST BLOOMFIELD TWP 3802817A 750 5/23/2019 5645 0.95 BARTON MOBILE REPAIR & WELDING WEST BRANCH 3403939A 4,268 5/6/2019 3632 0.95 LUCYNSKI SERVICES LLC WEST BRANCH 5395011A 5,982 4/15/2019 5645 0.93 MID MICHIGAN FIRE PROTECTION LLC WEST BRANCH 2804018A 379 5/27/2019 4828 PBS SHEET METAL & SIDING LLC WEST BRANCH 2402939A 750 5/23/2019 5403 PUGH MICHAEL WEST BRANCH 5862361A 354 5/4/2019 8017 RAU GARY C WEST BRANCH 3320472A 825 4/15/2019 7208 BARRY HAVEMAN BUILDER LLC WEST OLIVE 0061379A 750 6/10/2019 5645 BROUWER DUSTIN WEST OLIVE 4856694A 750 4/5/2019 5645 M AND A ALL SEASONS PROPERTY WEST OLIVE 5713463A 2,411 5/8/2019 0106 MANAGEMENT LLC MAPLEBAY BUILDERS LLC WEST OLIVE 4046099A 750 5/3/2019 5645 PAVERS PLUS OF HOLLAND WEST OLIVE 1574604A 750 4/6/2019 5221 TRI CITIES ROOFING & SIDING LLC WEST OLIVE 3709752A 750 4/15/2019 5551 ALFORD RONALD JR WESTLAND 5267366A 502 5/3/2019 0908 ANDREWS REMODELING LLC WESTLAND 5863546A 800 5/10/2019 5645 APPLE RENOVATION SERVICES LLC WESTLAND 4101359A 3,447 4/2/2019 5437 0.88 B B D CONTRACTING LLC WESTLAND 4921720A 800 4/6/2019 5645 0.89 BALMUS NICK WESTLAND 4647270A 800 5/31/2019 5551 BARTRAM DANIEL W WESTLAND 4999487A 750 5/24/2019 5645 BLUE POINT CO LLC WESTLAND 3734412A 800 6/2/2019 5645 CDS SPECIALTY COATINGS LLC WESTLAND 4281721A 2,504 6/30/2019 5476 0.93 COIL RONALD WESTLAND 4462130A 1,479 4/12/2019 0908 0.95 DIXSON LANDSCAPING INC WESTLAND 5125820A 2,404 6/20/2019 0042 DONOVAN SHERMAN WESTLAND 2631032A 750 6/17/2019 5445 DWG PLUMBING WESTLAND 1282760A 694 6/22/2019 5183 FACE FLAIR LLC WESTLAND 5880343A 1,758 6/28/2019 8017 FOX MANUFACTURING INC WESTLAND 0504467A 11,372 5/28/2019 9519 1.42 27 % G A SERVICES LLC WESTLAND 0392294A 925 4/9/2019 0042 0.95 GLEN DAVIS MAINTENANCE WESTLAND 4062523A 799 4/30/2019 9015
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GREENE CONSULTING LLC WESTLAND 5860610A 564 4/28/2019 8720 GRIME FIGHTERS WESTLAND 3708381A 633 6/5/2019 9015 HAMMERHEAD HOME SOLUTIONS LLC WESTLAND 5863287A 2,125 5/9/2019 5645 HERMATZ DANIEL WESTLAND 5149371A 351 6/6/2019 0908 JODAR LLC WESTLAND 5543991A 823 4/27/2019 8835 KANE CATHERINE WESTLAND 4976991A 351 4/12/2019 0908 KATHYS QUALITY LABOR SERVICES LLC WESTLAND 4699556A 8,010 5/16/2019 4452 0.93 KEVINS ABSOLUTE COMFORT LLC WESTLAND 5289963A 1,707 6/13/2019 5550 1.00 KWIK SITE CORPORATION WESTLAND 0221104A 1,801 4/11/2019 3629 0.87 L MAYO INC WESTLAND 1639773A 440 4/1/2019 9058 LATIN QUALITY PAINTERS LLC WESTLAND 5584035A 751 6/8/2019 5476 LES MURPHY PAINTING LLC WESTLAND 5130727A 1,586 6/15/2019 5476 0.95 LOPEZ EILEEN DONOVAN WESTLAND 5706726A 640 5/26/2019 0913 MATHEWS JAMES WESTLAND 5375223A 750 6/15/2019 5476 MCGREW CHARLES WESTLAND 5552591A 633 5/13/2019 9015 MORGAN CLEANING SERVICES WESTLAND 5863910A 1,068 5/11/2019 9015 MOSS SECURITY WESTLAND 5551412A 444 4/25/2019 7720 0.95 NATIONAL TREE SERVICE WESTLAND 1440071A 1,959 6/11/2019 0106 NEWBURGH PETRO MART WESTLAND 1863762A 711 5/11/2019 8017 ONE PRIORITY GROUP MANAGEMENT LLC WESTLAND 5850029A 1,118 4/6/2019 9015 PETER TRUCKING LLC WESTLAND 5389690A 803 6/8/2019 8810 R AND A TOOL & ENGINEERING COMPANY WESTLAND 0062642A 573 6/28/2019 3096 1.00 SC COMMERCIAL CONCEPTS LLC WESTLAND 5023874A 709 4/1/2019 9015 SCOOBYS LAWN CARE LLC WESTLAND 5856167A 659 5/1/2019 9102 SPARKS AUTO AND TOWING INC WESTLAND 0053678A 15,272 4/3/2019 8395 1.74 13 % SUNRISE TREE SERVICE INC WESTLAND 0982873A 750 4/26/2019 0106 THOMAS HISSONG CONSTRUCTION WESTLAND 5711940A 750 5/4/2019 5645 TIME TO PLAY LLC WESTLAND 5386632A 6,507 4/2/2019 9015 0.85 TNT TREE & STUMP LLC WESTLAND 4870280A 1,110 6/20/2019 0106 TRI M INC WESTLAND 4749820A 750 5/25/2019 0042 URBAN CORNER STONE MASONRY INC WESTLAND 2211505A 2,462 4/6/2019 5022 0.95 VALLEY TRANSPORT INC WESTLAND 4983750A 7,190 4/1/2019 7208 0.93 VICTORIAS SECRET GARDENS & CURB APPEAL WESTLAND 0855340A 794 4/26/2019 9402 INC WEIAND JEFFERY T WESTLAND 2847248A 750 4/7/2019 5462
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WHITE JACOB WESTLAND 5408415A 666 5/29/2019 9521 WRIGHTS HOME IMPROVEMENT WESTLAND 5414741A 750 6/17/2019 5645 YOUSIF AND SONS AUTO LLC WESTLAND 5863600A 383 5/10/2019 8748 REPAIR PERFORMANCE AND MAINTENANCE LLC WETMORE 5569214A 1,043 6/2/2019 8395 R L LAURENZ INC WHEELER 4993969A 1,866 6/22/2019 0005 0.95 NEWAYGO COUNTY COUNCIL FOR THE WHITE CLOUD 4083539A 924 6/2/2019 9063 0.95 PREVENTION OF CHILD ABUSE & NEGLECT ANDERSON CONSTRUCTION LLC WHITE HALL 5058945A 800 6/16/2019 5645 AC CABLE LLC WHITE LAKE 5563712A 529 5/18/2019 5190 ASPHALT EXPRESS LLC WHITE LAKE 4074114A 751 4/14/2019 5221 B AND R WINDOWS AND SIDING INC WHITE LAKE 2009358A 753 4/19/2019 8810 B AND T GENERAL CONTRACTING & WHITE LAKE 3989496A 750 4/2/2019 5437 CONSTRUCTION MANAGEMENT INC BLUE WATER AQUATICS LLC WHITE LAKE 4193016A 2,826 4/17/2019 0005 0.95 CC AVIATION LLC WHITE LAKE 5855780A 515 4/18/2019 8601 CMC CONSTRUCTION INC WHITE LAKE 4357086A 385 6/9/2019 5606 CONWAY CONSTRUCTION WHITE LAKE 1046993A 750 4/1/2019 5437 DARTRIS ENTERPRISES INC WHITE LAKE 3924181A 517 4/13/2019 8868 DEGLORIE BUILDERS LLC WHITE LAKE 2104148A 750 6/23/2019 6217 0.95 EKI RENOVATION & DESIGN LLC WHITE LAKE 4357078A 750 6/9/2019 5645 EURO KITCHEN PLUS INC WHITE LAKE 0095338A 801 5/2/2019 5348 0.95 FOSTER DOUGLAS A WHITE LAKE 4987250A 750 5/19/2019 5437 FREERIDE KOMPONENTS INC WHITE LAKE 5690412A 953 4/11/2019 6836 HARTMANS HOME CARE LLC WHITE LAKE 1928503A 750 4/12/2019 5645 KB ERECTORS LLC WHITE LAKE 5877890A 11,561 6/27/2019 5040 LAKESIDE WINDOW COMPANY WHITE LAKE 1771965A 766 6/25/2019 8235 LEAD RENOVATOR TRAINING LLC WHITE LAKE 4611276A 374 4/23/2019 8720 M AND M PROFESSIONAL INSTALLATIONS INC WHITE LAKE 1719599A 700 4/26/2019 3724 MALOSH SERVICES MICHIGAN INC WHITE LAKE 1025279A 800 6/5/2019 5645 MK FOOTINGS INC WHITE LAKE 1456032A 750 6/11/2019 5215 MTM CONSTRUCTION WHITE LAKE 5867614A 825 5/24/2019 5551 P AND B BUILDING COMPANY INC WHITE LAKE 3028615A 800 6/28/2019 5645 ROGAN ROLLOFF SERVICE INC WHITE LAKE 2012030A 4,235 4/25/2019 7213 0.93 THAT NU LOOK WHITE LAKE 3089460A 826 5/5/2019 5437 TOPROOFING LLC WHITE LAKE 4377710A 750 4/5/2019 5551
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WELD TECH WHITE LAKE 4214722A 693 4/18/2019 3365 WILSON CONSUELO D WHITE LAKE 5723337A 2,199 6/12/2019 0908 MARY M DURNIAN BOICZUK FORD WORLD WHITE LAKE TWP 5576890A 248 6/30/2019 9586 HEADQUARTERS HAIR SALON LLC J AND D MILLWRIGHT AND MAINTENANCE LLC WHITE PIGEON 4984366A 5,990 6/8/2019 3724 0.89 KOMRSKA ROGER R & THERESA C WHITE PIGEON 1753347A 633 4/4/2019 9015 BEDAU BUILDERS LLC WHITEHALL 5862337A 750 5/4/2019 5645 DALE HARRIS EXTERIORS LLC WHITEHALL 4951379A 6,025 4/29/2019 5538 0.89 ALL RENOVATIONS COMPANY LLC WHITEMORE LAKE 4966368A 2,400 4/21/2019 5403 0.95 FREEDOM SEALCOATING LLC WHITEMORE LAKE 5165369A 750 5/1/2019 5221 D AND H SERVICES INC WHITMORE LAKE 4564472A 750 4/21/2019 6217 0.95 LIGHTCRETE COMPANIES INC WHITMORE LAKE 2832844A 1,317 6/4/2019 5221 0.95 MIRRORED IMAGE LLC WHITMORE LAKE 4648897A 826 5/1/2019 0042 PARKER GENERAL CONTRACTING LLC WHITMORE LAKE 5721920A 751 6/9/2019 5476 SHIMMY SHACK INC WHITMORE LAKE 5180058A 350 4/29/2019 9058 WHITMORE LAKE CLIMATE CONTROLLED WHITMORE LAKE 5539927A 686 4/1/2019 9015 STORAGE LLC DREAM RIDES LLC WHITTAKER 5367441A 566 6/29/2019 8748 ERG DRYWALL WHITTAKER 4155882A 750 5/6/2019 5445 SCIENTIFIC SERVICES PLUS LLC WILLIAMS BAY, WI 5694159A 2,405 4/3/2019 5550 ANTRIM AREA PEST CONTROL LLC WILLIAMSBURG 5701546A 1,262 4/24/2019 9015 DAWSON CONSTRUCTION COMPANY WILLIAMSBURG 1598430A 750 5/1/2019 5403 DOWN BY THE CREEK LLC WILLIAMSBURG 4880579A 845 6/21/2019 8869 KAREN MCLEAN PT PC WILLIAMSBURG 3188400A 707 6/29/2019 8832 SCHWAB YENSEN WILLIAMSBURG 5856817A 825 4/20/2019 5645 VERIFIED PATH MACHINING LLC WILLIAMSBURG 5569443A 495 6/3/2019 4484 BLOOMQUIST ESTATE SERVICES WILLIAMSTON 5536456A 572 4/6/2019 8044 CUSTOM ROOFING SOLUTIONS LLC WILLIAMSTON 0408310A 2,477 6/11/2019 5551 0.94 DECOMMISSIONING SERVICES LLC WILLIAMSTON 4723643A 44,488 5/13/2019 5183 1.15 DESIGN WORKS II LLC WILLIAMSTON 5120799A 940 4/5/2019 9521 GORSKI RICHARD WILLIAMSTON 4213939A 750 5/4/2019 5610 MOORES TRUCKING LLC WILLIAMSTON 4858867A 750 4/12/2019 7208 NORTH CONSTRUCTION WILLIAMSTON 5863961A 1,033 5/11/2019 5552 RENEWAL SERVICES WILLIAMSTON 5875064A 750 6/7/2019 5645 RIVER RIDGE FARMS WILLIAMSTON 1060147A 842 5/5/2019 5645
1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 179 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge VERTICAL SOLUTION COMPANY WILLIAMSTON 3958388A 1,830 6/25/2019 3507 0.90 LITTLE TONY WILLIS 5876354A 800 6/12/2019 5645 VALENTINE TRUCKING WILLIS 4055063A 825 6/23/2019 7380 AEROCON PHOTOGRAMMETRIC SERVICES INC WILLOUGHBY, OH 2837765A 1,389 6/29/2019 7422 0.95 CLARK FAMILY LTD WILMETTE, IL 2161079A 640 5/13/2019 0913 HAHN JOHN WILSON 5849918A 750 4/5/2019 2702 HALUSKA STEPHEN WILSON 0930296A 750 4/26/2019 5645 KLEIMAN TRUCKING LLC WILSON 4733649A 750 4/6/2019 7208 PETRIE SYDNI WILSON 5755689A 750 4/14/2019 9403 SD CONSTRUCTION WILSON 4643194A 750 5/28/2019 5645 TOTO KLEENING INC WILSON 5719100A 894 4/28/2019 9015 WASH UP LLC WILSON 5312787A 750 6/5/2019 9403 OVERLOOK HARVESTING COMPANY LLC WINTER HAVEN, FL 5516200A 46,332 4/1/2019 0011 0.77 ANSTANDIG ELECTRIC INC WIXOM 1979604A 16,893 5/17/2019 5190 1.76 40 % CENTURY GROUP HOLDINGS INC WIXOM 1144901A 410 5/19/2019 8742 CUSTOM LAMINATE CONCEPTS LLC WIXOM 4203070A 624 5/15/2019 2812 D M WALLTECH INC WIXOM 3042669A 800 4/20/2019 5476 DONS PAINTING AND MISCELLANEOUS WIXOM 5551269A 750 5/12/2019 5476 EDWARD ADAMS ASSOCIATES INC WIXOM 0297305A 354 5/15/2019 5191 GREAT LAKES AMMUNITION LLP WIXOM 5720109A 1,873 6/17/2019 3632 GRISSOM GARAGE BUILDERS INC WIXOM 0335916A 842 6/7/2019 5645 MAGNUM TOWING INC WIXOM 5266009A 2,517 5/1/2019 7208 MERIDIAN CONSTRUCTION COMPANIES INC WIXOM 5155428A 13,068 4/19/2019 5403 0.87 POPULOS TRUCKING LLC WIXOM 3070883A 2,976 5/1/2019 7208 0.95 PREVENTIVE MAINTENANCE TECHNOLOGIES LLC WIXOM 4909534A 531 5/1/2019 8107 REYNOLDS CONSTRUCTION LLC WIXOM 4102940A 5,441 5/22/2019 5645 SAFEWAY DEMOLITION LLC WIXOM 5863597A 750 5/10/2019 5022 SJH HOME IMPROVEMENTS LLC WIXOM 2411059A 2,700 4/28/2019 5551 0.95 VISIONALIST ENTERTAINMENT PRODUCTION LLC WIXOM 3556239A 858 6/28/2019 9154 0.95 WICKER BASKET BALLOON CENTER LTD WIXOM 2547368A 1,241 5/18/2019 7422 BEEN THERE DONE THAT CONSTRUCTION WOLVERINE 3193616A 750 6/7/2019 5645 D AND M LOGGING WOLVERINE 1722069A 750 5/2/2019 8810 DJ CONTRACT HAULING INC WOLVERINE 3755568A 750 5/15/2019 7219 L THOMAS CONSTRUCTION LLC WOLVERINE 5544769A 385 4/12/2019 5606 M LEVERNIER LLC WOLVERINE 3365271A 750 4/3/2019 7208 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 180 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROCKSTAR LOGISTICS LLC WOLVERINE 5879469A 262 6/26/2019 8810 WOLVERINE JOINT FIRE BOARD WOLVERINE 3336328A 751 5/22/2019 7704 BULGARIAN ROOFING WOLVERINE LAKE 3691128A 750 4/13/2019 5551 J AND J INTERIORS LLC WOLVERINE LAKE 5524059A 750 6/2/2019 5348 0.95 METRO DETROIT TILE LLC WOLVERINE LAKE 5259100A 844 4/22/2019 5190 0.95 STRATEGIC HEALTHCARE STAFFING INC WOLVERINE LAKE 5849934A 509 4/5/2019 8835 TUDMAN SEAN A WOLVERINE LAKE 5853958A 750 4/12/2019 5645 AIR FLO CLEANING SYSTEMS WOODHAVEN 2569744A 2,199 6/13/2019 9015 1.00 FIVE O SECURITY CONSULTANTS LLC WOODHAVEN 5264812A 3,220 4/26/2019 7720 0.94 PROCLAIM AVIATION MINISTRIES INC WORTHINGTON, MN 4859804A 464 4/13/2019 8868 ADVANCED TECHNOLOGY ENGINEERING GROUP WRENTHAM, MA 5555108A 1,038 5/3/2019 4484 INC ARC DOWNRIVER INC WYANDOTTE 1665154A 714 4/19/2019 9063 BADALAMENTI CONSTRUCTION CO WYANDOTTE 0014940A 752 5/3/2019 5221 BUMGARDNER DAREN WYANDOTTE 4307356A 1,047 6/13/2019 5476 CALHOUNS PLUMBING SERVICE WYANDOTTE 5879450A 1,091 6/26/2019 5183 CITGO GAS & GO INC WYANDOTTE 5696348A 706 4/1/2019 8017 GARCIAS CONSTRUCTION LLC WYANDOTTE 5709814A 1,085 5/1/2019 5445 GROUND TO CROWN CHIMNEY & FIREPLACE WYANDOTTE 2491214A 750 5/5/2019 5222 SERVICES LLC JRM CONTRACTING LLC WYANDOTTE 5863295A 13,044 5/8/2019 5437 LABEAU RICHARD WYANDOTTE 4637089A 750 6/14/2019 5476 M K PAINTING INC WYANDOTTE 2940639A 4,017 4/22/2019 8227 0.95 MICRO MANAGEMENT SOLUTIONS LLC WYANDOTTE 4994183A 683 6/14/2019 9015 PURE DATA SERVICES LLC WYANDOTTE 5477093A 3,248 5/12/2019 8264 0.95 RICKS COVE INC WYANDOTTE 4882989A 1,461 6/30/2019 6826 0.95 RON MOWRER MOTOR CITY PAINTING WYANDOTTE 1097563A 906 5/4/2019 5476 TOMS CONSTRUCTION LLC WYANDOTTE 5847761A 750 4/4/2019 5437 VANS CONCRETE LLC WYANDOTTE 5134773A 10,582 4/24/2019 5215 1.58 27 % ARVIZU CARLOS WYOMING 5878713A 800 6/23/2019 5445 ASSOCIATED PROPERTY SERVICES LLC WYOMING 4763343A 5,745 6/10/2019 5022 0.95 B AND C CONTRACTING LLC WYOMING 5866936A 750 5/22/2019 5221 DELUXE PAINTING PLUS LLC WYOMING 5884225A 3,024 6/30/2019 5476 FUNES FIDEL WYOMING 5846978A 750 4/3/2019 5445 GREAT LAKES HEALTHCARE RESOURCES WYOMING 5418097A 2,620 6/24/2019 8835 0.95 LAKESHORE LLC 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 181 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GREAT LAKES HOME MODIFICATION LLC WYOMING 5415284A 874 6/18/2019 5645 HIGH ROCK LLC WYOMING 4762436A 1,333 6/24/2019 5606 0.95 J AND A DRYWALL WYOMING 5877725A 3,110 6/16/2019 5445 J AND M CONSTRUCTION SERVICES LLC WYOMING 5489369A 3,491 6/28/2019 5445 0.74 JP DRYWALL AND EIFS LLC WYOMING 3870618A 1,981 5/31/2019 5445 L AND M LOGISTICS LLC WYOMING 5386870A 2,748 5/12/2019 9519 1.57 13 % LEES CLEANING WYOMING 4622944A 683 5/13/2019 9015 MARTINEZ ALEJANDRO AND MARCELINO JORGE WYOMING 5853940A 750 4/13/2019 5476 MP CONCRETE LLC WYOMING 5573408A 887 5/23/2019 5221 MUNOZ EXTERIOR SERVICES WYOMING 5438721A 800 4/11/2019 5551 NEW BEGINNINGS CONSTRUCTION LLC WYOMING 5853516A 750 4/11/2019 5645 ONE STOP MAIDS AND MAINTENANCE WYOMING 5696950A 634 5/30/2019 9015 PINERY PARK LITTLE LEAGUE WYOMING 5868840A 440 5/28/2019 9058 PIZZA PARLIAMENT LLC WYOMING 5704650A 800 5/10/2019 9058 PRIORITY CONSTRUCTION INC WYOMING 0736724A 1,700 6/30/2019 5606 0.97 RICHARD KONYNDYK BUILDER WYOMING 5267315A 750 5/5/2019 5645 ROBLERO ADELI & PABLO GERARDO WYOMING 5358698A 750 6/1/2019 5445 RUBIO ISIDRO PEREZ WYOMING 5438748A 800 4/14/2019 5551 S AND S CONSTRUCTION LLC WYOMING 3839281A 750 5/7/2019 5437 SCHWARZE ROBITEC AMERICA INC WYOMING 5408288A 3,928 5/28/2019 8107 0.95 SCOTT MARK WYOMING 5856124A 750 4/23/2019 5437 SIEN PAINTING CONTRACTORS LLC WYOMING 5571480A 1,236 6/10/2019 5445 0.95 SMALL SOLUTIONS PROPERTY SERVICES LLC WYOMING 4600835A 633 4/12/2019 9015 TNE TRANSPORTATION LLC WYOMING 5698561A 4,480 4/4/2019 7212 WORKPLACE RESOURCE LLC WYOMING 5726670A 800 6/26/2019 5645 ISAK CLEANING SERVICE LLC WYOMNG 5878250A 4,224 6/21/2019 9015 TNT LOGISTICS LLC YALE 5877768A 2,341 6/16/2019 7206 TOP NOTCH EXTERIORS INC YALE 5878861A 750 6/26/2019 5645 YALE HEATING AND AIR CONDITIONING LLC YALE 5701589A 759 4/11/2019 5550 NATIONAL EVENT SERVICES INC YEADON, PA 5877520A 8,621 6/15/2019 7380 AGGRESSIVE HIRING GROUP INC YPSILANTI 5721342A 385 6/2/2019 8810 ALLY CLEANING SERVICE LLC YPSILANTI 5708052A 633 6/1/2019 8835 B AND L CONCRETE CONSTRUCTION INC YPSILANTI 1095390A 754 4/19/2019 5022 0.95 BASS N SPORT SHOP LLC YPSILANTI 4404130A 354 6/23/2019 8017 BOLD PROPERTY SOLUTIONS LLC YPSILANTI 5725488A 896 6/20/2019 5437 1/3/2019 11:00:13 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 182 Assigned Risk Renewals: April/May/June
Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BROOMS AND MOPS JANITORIAL LLC YPSILANTI 5272424A 633 5/20/2019 9015 C S TRUCKING LLC YPSILANTI 5570778A 825 4/20/2019 7208 0.95 CLASSIC WOOD FLOORS II YPSILANTI 2267926A 801 6/21/2019 5437 COMMERCIAL DOOR HARDWARE SUPPLY LLC YPSILANTI 5216125A 751 4/19/2019 5102 CRAFTWERKER LC YPSILANTI 4611128A 853 4/9/2019 5645 DEPOT TOWN CARE CENTER INC YPSILANTI 5858410A 8,760 5/4/2019 8045 EAGLES AUTOMOTIVE YPSILANTI 4713370A 795 5/30/2019 8395 0.95 ELDER PALENCIA HOME IMPROVEMENTS LLC YPSILANTI 5609712A 4,795 5/19/2019 5476 FLOOR TILE YPSILANTI 2708639A 750 5/1/2019 5348 GATLINBYRD CEMENT CORPORATION YPSILANTI 5601665A 1,283 4/21/2019 5221 GREEN ACRES FERTILIZER COMPANY LLC YPSILANTI 4900677A 1,936 4/20/2019 0005 GSD CONTRACTING LLC YPSILANTI 5549523A 8,138 4/26/2019 5183 0.92 GTO CONSTRUCTION LLC YPSILANTI 5005671A 750 6/27/2019 5645 0.83 H F F A HOLDINGS LLC YPSILANTI 3685225B 751 5/21/2019 6400 0.95 HOME SWEET HOME CARE SERVICES LLC YPSILANTI 5611881A 1,688 5/5/2019 8835 J F MOORE & ASSOCS LLC YPSILANTI 2696479A 1,044 5/24/2019 7720 0.95 JOE HALL QUICK STOP INC YPSILANTI 5146852A 1,189 4/8/2019 8017 0.95 LOBOS CONSTRUCTION INC YPSILANTI 3698955A 9,313 6/16/2019 5645 0.89 LOYOLA PAINTING SERVICES LLC YPSILANTI 3722406A 2,520 6/28/2019 5476 0.95 LTR GENERAL CONSTRUCTION YPSILANTI 5723272A 751 6/19/2019 5403 MC CONSTRUCTION LLC YPSILANTI 5414300A 12,733 6/16/2019 5645 0.87 MCHEIK OIL COMPANY INC YPSILANTI 0281123A 643 6/13/2019 8017 0.95 MICHIGAN SWIM CAMP LLC YPSILANTI 5165814A 2,719 6/1/2019 9063 MINDAYS QUALITY CLEANING YPSILANTI 5872448A 633 6/1/2019 8835 PERFECT HELP HOUSE SERVICES LLC YPSILANTI 5282659A 633 6/20/2019 9015 PERSONAL TOUCH HOME HEALTH CARE YPSILANTI 4158300A 48,275 4/25/2019 8835 0.89 SERVICES INC RE DESIGN TILE INC YPSILANTI 5185149A 800 5/18/2019 5348 RHI INC YPSILANTI 4985451A 11,408 5/5/2019 5480 0.95 RON SMITHS TRUCKING LLC YPSILANTI 4883233A 750 6/30/2019 7208 SASSE AFC LLC YPSILANTI 5543363A 544 4/8/2019 9053 SECURITY AND PROTECTIVE SERVICES LLC YPSILANTI 0860816A 1,493 5/15/2019 7720 SERIOUS DETECTING LLC YPSILANTI 5277302A 746 5/20/2019 8010 SERVANT 2 U LLC YPSILANTI 4193911A 633 5/25/2019 9015 0.95 SHORT CUT LAWN LLC YPSILANTI 4556836A 825 4/20/2019 7208
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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SPENCERS CONTRACTING LLC YPSILANTI 5409896A 750 6/3/2019 5645 0.95 TWENTY FIRST CENTURY SALVAGE INC YPSILANTI 1704826A 2,341 4/30/2019 8742 0.95 UNITED OUTDOOR SERVICES LLC YPSILANTI 5859166A 9,707 4/25/2019 0106 WILFONG ROBERT YPSILANTI 0121185A 591 6/17/2019 9521 YPSI ARBOR ROOFING INC YPSILANTI 2434539A 1,957 6/13/2019 5551 0.83 BORCULO GARAGE INC ZEELAND 0001155A 800 6/10/2019 7208 C Z CONSTRUCTION LLC ZEELAND 5853907A 750 4/12/2019 5645 COMPLETE I LLC ZEELAND 5872430A 385 6/1/2019 5606 CUSTOM CONTOURS CONSTRUCTION SERVICES ZEELAND 5854652A 750 4/16/2019 5022 LLC DEHAAN DESIGNS LLC ZEELAND 5721113A 750 5/31/2019 5645 JOHNS BATTERY & ELECTRIC INC ZEELAND 2174898A 230 4/26/2019 8810 KEN MANSCHESKY ROOFING LLC ZEELAND 3914216A 26,706 4/10/2019 5551 0.77 MITCHELL WAGNER BUILDER LLC ZEELAND 4749693A 750 6/1/2019 5645 OVERHEAD UNLIMITED LLC ZEELAND 5031320A 700 5/18/2019 3724 ROGERS TRUCK AUTO & EQUIPMENT INC ZEELAND 4930533A 1,230 6/11/2019 8395 0.95 SPORTS TURF MANAGEMENT OF MICHIGAN LLC ZEELAND 4878892A 750 4/17/2019 0042 STEENSMA TRUCKING LLC ZEELAND 5834333A 16,223 5/16/2019 7208 TIGGS LAWNCARE LLC ZEELAND 5715610A 750 5/12/2019 0042 VAST TILE & STONE LLC ZEELAND 5397219A 750 4/28/2019 5348
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