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 TORCH LAKE CONSULTING LLC ACME 5727073A 1,192 6/27/2018 1320 DANIEL EIZANS STRATEGIC SERVICES LLC ADA 5561051A 295 5/13/2018 8810 EARLY MENTORING PARTNERS ADA 5394830A 343 4/14/2018 8601 FINAL CLEAN LLC ADA 4473256A 840 6/16/2018 9015 JOHN ALLEN CONSTRUCTION LLC ADA 4276566A 825 4/11/2018 5550 0.95 JOHNSON HOMES INC ADA 4417810A 750 5/25/2018 5645 PEAK PERFORMANCE ROOF CLEANING LLC ADA 5707269A 7,228 5/2/2018 5551 SUMMIT POINT ROOFING LLC ADA 5412226A 13,149 6/10/2018 5551 SWAN ROOFING PROS LLC ADA 5697050A 800 5/1/2018 5551 TRI ACOUSTIC CORPORATION ADA 0070602A 750 4/13/2018 5445 WMC SALES LLC ADA 4499743A 1,388 5/6/2018 3724 0.95 WYNN PAINTING ADA 4867777A 800 5/17/2018 5476 TOMMYS TEMP SERVICES LLC ADDISON 5722438A 860 6/8/2018 8017 ADRIAN FUELS LLC ADRIAN 4977289A 609 4/19/2018 8017 ADRIAN TRANSPORTATION LLC ADRIAN 4667999A 22,229 4/1/2018 7208 0.73 AM CONCESSIONS LLC ADRIAN 5723779A 441 6/13/2018 9058 BROWN AND SONS ROOFING AND SIDING LLC ADRIAN 5715180A 768 5/11/2018 5551 DOWN UNDER TRENCHING LLC ADRIAN 2692562A 9,268 6/10/2018 7600 1.34 13 % ELITE GROUP INTERNATIONAL INC ADRIAN 4435206A 1,304 4/4/2018 8387 0.95 FASCO EMPLOYMENT INC ADRIAN 0943622A 47,280 5/18/2018 4558 1.64 15 % GERRYS OUTDOOR SERVICES LLC ADRIAN 4971647A 3,996 4/23/2018 0106 IMAGINEERING AND MORE LLC ADRIAN 5720087A 335 6/12/2018 8810 L K N TRUCKING LLC ADRIAN 5591767A 750 4/20/2018 7208 SILVERBACK STONE AND TILE LLC ADRIAN 5721644A 751 6/5/2018 5348 VERITAS ACADEMY LLC ADRIAN 5085632A 465 6/18/2018 8868 WESTFALL SEALCOATING & STRIPING LLC ADRIAN 4758218A 1,107 6/14/2018 5221 ZADROZNY JONATHAN ADRIAN 5716730A 800 5/17/2018 5645 ERC INSULATION AFTON 2456877A 654 4/30/2018 5183 MAPLE HILL ADULT FOSTER CARE AFTON 5530318A 561 5/10/2018 9053 MIDWAY SPRING INC AFTON 3650634A 589 6/24/2018 8395 HOUTHOOFD BUILDERS LLC AKRON 2230917A 750 5/13/2018 5437 MURPHY SCOTT ALANSON 5016916A 750 6/3/2018 7208 BERLEUE DAVID ALBION 5727227A 706 6/27/2018 7212 LOHRKE MOWING SERVICE ALBION 4248317A 720 6/6/2018 8810 NELSON LARRY ALBION 1005200A 750 6/3/2018 6217 1/2/2018 8:13:07 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 P S STONE AND CONSTRUCTION LLC ALBION 5726069A 753 6/21/2018 5348 RUSTY 4 FARMS ALBION 0251267A 9,921 5/4/2018 2731 1.00 YOUNGS GAS SERVICE LLC ALBION 0970263A 2,561 6/1/2018 8350 0.95 GREENWORLD MAINTENANCE LLC ALDEN 2249200A 750 5/4/2018 0042 0.92 NORTHERN SKYLIGHTS LLC ALDEN 4340051A 750 6/27/2018 5550 REBELLION ROCK WORKS ALDEN 5725607A 1,029 6/20/2018 5022 THEISEN BUILDERS LLC ALGER 2129167A 1,474 4/6/2018 5437 ABC SERVICES AND FOXFIRE FARM LLC ALGONAC 3792692A 9,186 4/17/2018 9015 0.84 AHEE MASONRY LLC ALGONAC 3612392A 751 6/3/2018 5022 ALT VACANCY SOLUTIONS INC ALGONAC 5383455A 646 4/4/2018 9015 BLUE WATER MATERIALS LLC ALGONAC 3824993A 4,414 6/25/2018 4000 0.95 CATENACCI ANDY ALGONAC 1834509A 2,614 6/9/2018 5645 POLITO A ALGONAC 3204855A 750 5/16/2018 5645 S AND M PAINTING ALGONAC 5695198A 750 4/5/2018 5476 SKARBEK PROPERTY MAINTENANCE LLC ALGONAC 5715547A 750 5/12/2018 0042 TILTON CONSTRUCTION LLC ALGONAC 5260752A 825 4/12/2018 5506 YOKOM JAMES ALGONAC 3597610A 750 5/6/2018 5437 ALLEGAN COUNTY AGRICULTURAL SOCIETY ALLEGAN 1602829A 9,878 5/1/2018 9015 1.26 ARM SERVICES INC ALLEGAN 5402360A 647 5/8/2018 9015 BIG REDS WRECKER LLC ALLEGAN 5694000A 7,236 4/6/2018 7208 MARK P JANKE CONSULTING FORESTER LLC ALLEGAN 5256852A 755 4/3/2018 8601 SKY TRAIL MANAGEMENT AND DEVELOPMENT ALLEGAN 4469941A 921 5/4/2018 8810 LLC T AND L SERVICES ALLEGAN 4956761A 1,084 5/28/2018 9015 0.95 TJM SERVICES ALLEGAN 5007046A 750 5/12/2018 0042 BATT CHARLES B ALLEN 3522709A 750 5/31/2018 0106 ALLEN PARK CEMENT GUYZ INC ALLEN PARK 4367103A 750 5/28/2018 5221 BIG V LANDSCAPING ALLEN PARK 1829262A 801 6/30/2018 0042 0.95 COSTA ALLEN PARK INC ALLEN PARK 2625075B 897 4/9/2018 9058 0.95 FAMILIA TUCCINI ORTHODONTIC LABORATORY ALLEN PARK 2498880A 473 5/26/2018 4692 INC FAST TIME TOWING LLC ALLEN PARK 5464471A 750 4/14/2018 7208 FOURNIER HAL ALLEN PARK 5257239A 750 4/3/2018 5476 GUTIERREZ CARPENTRY LTD INC ALLEN PARK 5555159A 750 4/22/2018 5645 HAMMERTIME LLC ALLEN PARK 5395747A 750 5/26/2018 5437

1/2/2018 8:13:07 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 LIVIDINI LANDSCAPING LLC ALLEN PARK 5142440A 750 4/3/2018 0042 0.95 MITTEN CONTRACTING LLC ALLEN PARK 4875214A 9,549 4/5/2018 5645 0.95 NILE CONSTRUCTION LLC ALLEN PARK 5280982A 750 6/14/2018 5221 SKYHORSE STEEL CORPORATION ALLEN PARK 5563143A 7,497 5/17/2018 5102 STAY AT HOME CARE LLC ALLEN PARK 4883896A 25,154 4/12/2018 8835 1.58 13 % T P ASSOCIATES LLC ALLEN PARK 4494113C 2,848 6/14/2018 9060 1.29 13 % TWIN SERVICES ALLEN PARK 0105236A 800 5/19/2018 5476 DAVE BOSCH BUILDER INC ALLENDALE 4358163A 750 6/13/2018 5645 HARWOOD MACHINE REPAIR & DIAGNOSTIC INC ALLENDALE 5409039A 750 5/30/2018 3724 HIGH BAR PLUMBING LLC ALLENDALE 5721369A 704 6/2/2018 5183 JMB DEMOLITION LLC ALLENDALE 4445600A 4,787 4/26/2018 7380 0.95 KOOISTRA DURK ALLENDALE 5230047A 750 5/20/2018 7208 MILES ULBERG BUILDERS LLC ALLENDALE 5269725A 1,525 5/25/2018 5437 NORTHSTAR CONSTRUCTION AND RENOVATION ALLENDALE 5409543A 750 6/30/2018 5645 LLC VICTORY CHEERLEADING COMPANY LLC ALLENDALE 3508269A 798 6/5/2018 9063 W S SERVICES ALLENDALE 2877716A 750 6/7/2018 5437 DIVINE FLOOR SERVICES LLC ALLENTON 4882733A 2,371 6/29/2018 5437 0.95 GENERAL MAINTENANCE WORKS INC ALLENTON 5025010A 2,336 4/24/2018 5221 0.95 STC FLEET SERVICE INC ALLENTON 4329821A 589 5/2/2018 8395 AFFORDABLE DRYWALL ALMA 5266700A 750 5/1/2018 5445 ALL AMERICAN PEST CONTROL LLC ALMA 4988124A 2,524 5/23/2018 9015 0.95 GUIETT PORTAJOHN RENTALS & SERVICE LLC ALMA 5547130A 843 4/18/2018 9402 LOTT BUILDERS LLC ALMA 3851354B 2,969 5/19/2018 5645 0.95 RAMON ANTHONY ALMA 5697948A 545 4/4/2018 5190 TJ AND K TOWING & RECOVERY LLC ALMA 5330122A 4,108 6/12/2018 7208 0.95 FRESH AIRE MECHANICAL INC ALMONT 4058771A 5,212 4/10/2018 5550 0.91 JT POWER INC ALMONT 4550897A 3,461 5/18/2018 5190 0.95 MMH SOLUTIONS INC ALMONT 3021351A 750 6/10/2018 5645 0.95 ORLANDOS MASONRY & CONSTRUCTION LLC ALMONT 5341787A 1,207 4/23/2018 5022 0.95 SCOTTS LAWN MAINTENANCE INC ALMONT 3170446A 1,453 6/22/2018 0042 0.95 SIRCO SCAPE LLC ALMONT 3948706A 5,689 4/20/2018 9102 0.86 A 1 TREE SERVICE LLC ALPENA 5262720A 1,896 4/17/2018 0106 0.95 CAMPERS COVE RV PARK & CANOE LIVERY INC ALPENA 4067908A 913 5/3/2018 6836 0.95 ENVIRONMENTAL AND ASBESTOS SERVICES INC ALPENA 4752880A 639 4/20/2018 8601

1/2/2018 8:13:07 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 IDEAL PAINTING ALPENA 5553458A 3,124 4/28/2018 5476 0.95 MORGAN FOREST PRODUCTS ALPENA 4067436A 750 5/10/2018 2702 SEVEN ELEVEN NO 36916 ALPENA 1993151A 1,580 4/24/2018 8017 0.95 BOVERHOF BUILDERS INC ALTO 2714221A 755 5/29/2018 8810 DVB INC ALTO 3453987A 750 4/11/2018 5645 VERBURG BUILDERS LLC ALTO 5272769A 750 5/23/2018 5645 IPROLE INC ANAHEIM, CA 5110556A 396 5/8/2018 8742 JOA SURVEYS LLC ANCHORAGE, AK 5703689A 702 5/1/2018 4511 FIRST CLASS CARPENTRY LLC ANCHORVILLE 5719399A 750 5/24/2018 5437 A 2 CUSTOMS LLC ANN ARBOR 5409632A 1,321 6/2/2018 8387 AARON HAMMER LLC ANN ARBOR 5555418A 2,102 5/11/2018 0042 ABBYS ACRES LLC ANN ARBOR 5708656A 1,768 5/17/2018 0011 ADULT CARE SERVICES LLC ANN ARBOR 5468507A 858 6/6/2018 8835 ALI BABA DARI INC ANN ARBOR 0826383A 2,111 5/6/2018 9058 0.95 ALLEN LEIGH ENTERPRISES LLC ANN ARBOR 4682653A 1,029 5/20/2018 9063 0.95 ANN ARBOR HOSPITALITY LLC ANN ARBOR 2716194A 1,283 5/4/2018 9052 0.85 ANTHONYS GOURMET PIZZA INC ANN ARBOR 0143049A 1,929 6/8/2018 9058 0.95 B SQUARED PAINTING LLC ANN ARBOR 5547873A 751 4/19/2018 5437 BENDIT RACHEL ANN ARBOR 3925587A 901 5/18/2018 0908 BERGHOF SYSTEMS INC ANN ARBOR 5127270A 284 4/17/2018 8810 BIRD CENTER OF WASHTENAW COUNTY INC ANN ARBOR 4228863A 998 6/8/2018 8831 0.95 BLACK STEVEN L ANN ARBOR 1993828A 750 6/20/2018 0042 CHRISTIAN TENNANT HOMES COMPANY ANN ARBOR 1751824A 1,360 6/13/2018 9015 0.95 CLEAN AIR MANAGEMENT INC ANN ARBOR 0346381A 906 5/2/2018 4511 CLOVERLY VILLAGE OWNERS ASSOCIATION ANN ARBOR 4235240A 646 4/17/2018 9015 CORROSION CONTROL SOLUTIONS INC ANN ARBOR 4480708A 750 6/2/2018 8810 0.95 COUSINO HARRIS DISASTER KLEENUP OF SE ANN ARBOR 2803267A 4,239 6/30/2018 9015 0.92 MICHIGAN LLC CROSSINGS OF ANN ARBOR ASSOCIATION ANN ARBOR 3608611A 646 4/3/2018 9015 D AND D CONTRACTING LLC ANN ARBOR 5327431A 911 6/6/2018 5645 DAILY GARDENER LLC ANN ARBOR 2620146A 847 4/1/2018 0042 DAVID BORNEMAN LLC ANN ARBOR 3910296A 1,675 4/13/2018 0042 0.95 DEBREUIL SOPHIA ANN ARBOR 5716527A 253 5/16/2018 8868 DI MAGGIO TIRES MICHIGAN INC ANN ARBOR 5555639A 2,674 5/4/2018 4410 DONE RITE CONTRACTING LLC ANN ARBOR 1499971A 3,168 4/4/2018 5437 0.91

1/2/2018 8:13:07 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 EAGLE RIDGE CONDOMINIUM ASSOCIATION ANN ARBOR 4013387A 647 5/12/2018 9015 EILEEN WILKINSON TECHNICAL WRITING ANN ARBOR 3350940A 220 4/28/2018 8810 FERRELL ROBERT ANN ARBOR 5570212A 2,619 6/7/2018 0913 FIELDSTONE VILLAGE CONDOMINIUM ANN ARBOR 3751082A 646 5/4/2018 9015 ASSOCIATION FUTURE INSURANCE SERVICES LTD ANN ARBOR 2638797A 295 5/16/2018 8810 GAILUNAS HOME SERVICES INC ANN ARBOR 1166140A 750 4/2/2018 8810 0.95 GREEN PLANET LAWN CARE ANN ARBOR 3159868A 719 4/20/2018 9102 GS HARDEN & ASSOCIATES LLC ANN ARBOR 5724791A 1,300 6/15/2018 8601 HELLO FUTURE FILMS LLC ANN ARBOR 5433908A 802 5/28/2018 7610 HO HYRAM AND LISA ANN ARBOR 5541417A 385 4/5/2018 0908 INTERACTION GAMING LLC ANN ARBOR 5706092A 270 4/19/2018 8810 INTERNATIONAL ASSOCIATION FOR GREAT ANN ARBOR 0425729A 363 6/3/2018 8742 LAKES RESEARCH MICHIGAN J AND W PAINTING LLC ANN ARBOR 0434795A 800 6/6/2018 5476 J E BROWN BUILDING INC ANN ARBOR 2231875A 752 4/14/2018 5645 0.95 JEWEL HEART CORPORATION ANN ARBOR 2840910A 1,619 4/5/2018 8868 0.95 JFS LAWN & TREE SERVICE LLC ANN ARBOR 5567009A 750 6/5/2018 0106 JPC PLASTER AND DRYWALL LLC ANN ARBOR 2469146A 2,065 6/25/2018 5480 0.95 JS TREE TRIMMING & REMOVAL INC ANN ARBOR 4010639A 21,308 6/23/2018 0106 1.62 27 % KASE BUILDERS LLC ANN ARBOR 5171172A 228 5/19/2018 8810 LEMLER ANNA ANN ARBOR 5711258A 253 5/2/2018 8868 LIBORIO L SANTORO DPM PC ANN ARBOR 2611562A 316 4/20/2018 8810 MICHIGAN HR GROUP LLC ANN ARBOR 4412249A 271 4/9/2018 8810 MICHIGAN ROADSIDE ASSISTANCE GROUP LLC ANN ARBOR 5574196B 811 4/28/2018 8387 MIKES FULL HOUSE FITNESS INC ANN ARBOR 4363680A 666 6/26/2018 9063 MOBILE AUTO TRIM INC ANN ARBOR 2207230A 1,231 5/2/2018 8393 NOOR MINI MART LLC ANN ARBOR 4998626A 589 6/18/2018 8017 0.95 ONE MORE REP FITNESS LLC ANN ARBOR 5721857A 364 6/6/2018 8017 PARKER GENERAL CONTRACTING LLC ANN ARBOR 5721920A 751 6/9/2018 5476 PM CONTRACTING LLC ANN ARBOR 5407028A 824 5/22/2018 3040 PRO STAR LLC ANN ARBOR 5348358A 1,096 4/23/2018 9015 PULICCI BUILDING COMPANY ANN ARBOR 1325230A 750 4/27/2018 5645 RAMSPORT INC ANN ARBOR 4453662A 1,302 4/2/2018 3643 0.95 RATEELERT INC ANN ARBOR 3137538B 348 5/27/2018 8810 0.95

1/2/2018 8:13:07 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 RIDECORP INC ANN ARBOR 5606950A 54,777 5/1/2018 7220 0.88 SALLIE HAMILTON PERSONNEL INC ANN ARBOR 0855863A 1,140 6/20/2018 8835 0.95 SCHENK KARL H ANN ARBOR 5277930A 1,305 6/19/2018 0128 0.95 UNIVERSITY OF MICHIGAN FLYERS INC ANN ARBOR 1514733A 1,029 4/29/2018 7423 VERHINES CUSTOM BUILDERS INCORPORATED ANN ARBOR 4244273A 750 5/12/2018 5645 VICTORY CONCRETE LLC ANN ARBOR 5344573A 750 4/8/2018 5221 VICTORY HOMES MANAGEMENT INC ANN ARBOR 4448790A 4,293 4/16/2018 9053 0.91 VILLAS AT NORTHVILLE HILLS ANN ARBOR 3793028A 646 6/14/2018 9015 WELCH LYNDON ANN ARBOR 5547229A 1,755 4/16/2018 0908 0.95 WESTWARD LLC ANN ARBOR 3001830A 750 4/21/2018 5645 WHITNEY HAYES PASSINO LLC ANN ARBOR 4350847A 3,061 6/8/2018 7208 0.95 WILLIAMSON CONSTRUCTION INC ANN ARBOR 0950165A 750 6/2/2018 5437 WORKFORCE CONTINGENT STAFFING INC ANN ARBOR 5142512A 505 5/22/2018 3629 ZELEXA LLC ANN ARBOR 5721385A 731 6/2/2018 8868 CHANGER AND DRESSER INC ANNISTON, AL 5115329A 270 6/3/2018 8742 SUPERIOR PROJECT SERVICES LLC APEX, NC 5405211A 268 5/14/2018 8601 BAY LAKES COUNCIL OF BOY SCOUTS OF APPLETON, WI 0539228A 838 4/13/2018 8868 0.95 AMERICA INC E AND D RANCH LLP ARCADIA, FL 3377326A 1,157 6/30/2018 0913 0.95 ANTLER CREEK LLC ARMADA 5408296A 750 5/28/2018 5645 BAYSIDE MARINE CONSTRUCTION INC ARMADA 3923398A 5,659 6/6/2018 6217 0.94 CAROLYNNS CABINETS INC ARMADA 3943186A 752 6/25/2018 5437 D DAWN ENTERPRISES LLC ARMADA 4484053A 646 6/24/2018 9015 FINELINES FINISH CARPENTRY & DESIGN LLC ARMADA 4364473A 750 6/30/2018 5437 GONZALEZ JOSE ARMADA 5723345A 750 6/10/2018 9102 PRATT HOLDINGS INC ARMADA 4534425A 750 6/11/2018 3064 0.95 CAMPER VILLAGE CAMPGROUND ATHENS 4230299A 646 6/9/2018 9015 LON MILLER ATHENS 5333660A 666 4/12/2018 0913 PARKS TREE SERVICE ATHENS 4044410A 1,418 4/28/2018 0106 0.95 AMERICAN PROCESS ENERGY RECOVERY INC ATLANTA, GA 4859430A 3,304 4/1/2018 4829 1.00 DONALD MARLATT LAND SURVEYOR ATLANTA 1457780A 278 4/13/2018 8601 EHLERS ENTERPRISES ATLANTA 1738674A 750 5/20/2018 2702 0.96 G CURRENT CONSTRUCTION LLC ATLANTA 5297575A 750 5/23/2018 5645 ROBERT MARLATT PS ATLANTA 5716896A 268 5/17/2018 8601 COPONEN DUANE ATLANTIC MINE 3960064A 750 6/23/2018 5645

1/2/2018 8:13:07 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 KEWEENAW EXPLORATIONS COMPANY ATLANTIC MINE 4069161A 2,157 5/13/2018 9015 0.95 LINDSAY NETTELL INC ATLANTIC MINE 0913855A 750 5/15/2018 2702 NETTELL LONDYN ATLANTIC MINE 4872975A 750 5/22/2018 2702 DONE RIGHT HOME IMPROVEMENT ATTICA 5705312A 750 4/18/2018 5645 EFFICIENT FOAM INSULATION INC ATTICA 0670383A 1,639 5/20/2018 5479 0.95 JUDD MITCH ATTICA 5727081A 750 6/27/2018 5445 LAPEER COUNTY SPORTSMENS CLUB ATTICA 3304663A 451 6/1/2018 9061 LOWES MASONRY CONSTRUCTION INC ATTICA 1408690A 3,745 6/6/2018 5022 0.95 NAUTICAL VENTURES INC ATTICA 3927245A 1,487 4/29/2018 6834 STEVE RUSSELL CUSTOM HOMES LLC ATTICA 0766283A 750 6/5/2018 5645 SUTHERBY EXCAVATING LLC ATTICA 5719291A 751 5/24/2018 6217 WEINGARTZ TREE SERVICE LLC ATTICA 3779076A 750 5/13/2018 0042 NORTHPORT CONDOMINIUM MARINA AU GRES 0213063A 1,955 6/1/2018 6826 0.95 ASSOCIATION COUNTRY SQUARE INC AUBURN 4758633A 1,476 5/31/2018 9053 0.95 KIMBERLY NORTHROP TRUCKING INC AUBURN 5711614A 750 5/3/2018 7208 LEXIS PAINTING AUBURN 0431460A 750 4/16/2018 5476 0.95 MAINSTREAM FLOW GROUP AUBURN 2031230A 866 6/10/2018 0042 AMERICAN PROCESS SERVICE INC AUBURN HILLS 4605519A 1,461 4/1/2018 7720 0.95 BEACON HILL INC AUBURN HILLS 3068650A 4,964 5/11/2018 9015 0.91 BELLA HOMES AND ASSOCIATES LLC AUBURN HILLS 5546486A 800 4/27/2018 5645 C AND M TREE SERVICE LLC AUBURN HILLS 2508885A 2,521 6/6/2018 0106 0.95 CORAL CONSTRUCTION CO INC AUBURN HILLS 1732277A 4,732 6/17/2018 5610 0.88 EVOLUTION SPORTSPLEX LLC AUBURN HILLS 4987705A 966 5/22/2018 9015 FIELDSTONE CONSTRUCTION SERVICES INC AUBURN HILLS 5393167A 2,693 4/3/2018 5606 0.95 INTERNATIONAL CHRISTIAN CHURCH AUBURN HILLS 5378869A 362 5/9/2018 8868 KNOWLES CONSTRUCTION INC AUBURN HILLS 1193597A 750 6/1/2018 5476 LIFES ADJUSTMENTS PC AUBURN HILLS 2227479A 681 4/19/2018 8832 MARTINEZ JOSE TORRES AUBURN HILLS 5713528A 750 5/16/2018 5445 MOTOR CITY ROBOTICS LLC AUBURN HILLS 5711959A 220 5/4/2018 8810 OAKLAND COUNTY DOCK AND HOIST LLC AUBURN HILLS 5706017A 751 4/19/2018 6400 RECARO CHILD SAFETY LLC AUBURN HILLS 4220242A 2,252 4/1/2018 9522 2.19 40 % RED CEDAR CROSSING CONDOMINUM AUBURN HILLS 4377958A 646 4/12/2018 9015 ASSOCIATION RENOTEC INC AUBURN HILLS 5405246A 5,704 6/20/2018 5645 0.95

1/2/2018 8:13:07 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 RESTORATION ENVIRONMENTAL SAFETY & AUBURN HILLS 4926978A 2,891 6/12/2018 9521 0.95 CONSULTING SOLUTIONS LLC ROOF RESTORATION TECHNOLOGIES INC AUBURN HILLS 4299027A 752 4/11/2018 8810 SCRIPT MANAGEMENT LLC AUBURN HILLS 5674611A 366 6/14/2018 8742 SUMMIT INDUSTRIAL SERVICES LLC AUBURN HILLS 5726697A 5,317 6/24/2018 8265 MR E MACHINE LLC AUGRES 5401097A 750 5/16/2018 3724 BARN THEATRE SCHOOL FOR ADVANCED AUGUSTA 5088038A 3,864 5/16/2018 9154 0.94 THEATRE TRAINING UNIVERSAL ROPES COURSES LLC AUGUSTA 5698405A 8,085 4/4/2018 5403 UNITED TECHNICAL SUPPORT SERVICES INC AURORA, OH 3641244A 863 6/30/2018 5191 KS DINER AVOCA 1627252A 366 5/30/2018 9058 GAMEZ ENTERPRISES INC AVON PARK, FL 5565863A 14,243 5/26/2018 0128 MOTORSPORT LAB INC BABSON PARK, MA 5702887A 239 4/13/2018 8810 COUSINEAU STANLEY L BALDWIN 4446976A 751 4/11/2018 2702 D AND M HEATING AND COOLING LLC BALDWIN 4876660A 1,595 4/1/2018 5550 1.00 STEALTHCRAFT BOATS LLC BALDWIN 5722136A 12,610 6/7/2018 6834 XTREME SPD INC BALDWIN 5378400A 2,615 5/13/2018 9521 0.95 DISCOUNT STUMP GRIND AND REMOVAL LLC BANCROFT 5721660A 750 6/3/2018 0106 TYLER LAND CONTRACTING LLC BANCROFT 5721237A 750 6/2/2018 7208 ABSHAGEN FAMILY CONSTRUCTION BANGOR 2989298A 750 5/23/2018 5437 GARCIA MARTHA CONTRERAS BANGOR 5547180A 800 4/16/2018 5445 SHARP TILE LLC BANGOR 3889840A 750 4/30/2018 5348 STRUBLE TRUCKING LLC BANGOR 5559715A 800 6/28/2018 7208 TREE WEST TREE SERVICE LLC BANGOR 5246725A 5,783 5/10/2018 0106 ARIC MCBRIDE REPAIRS BANNISTER 3114996A 750 4/8/2018 5403 SAYLORS RAILROAD WELDING LLC BANNISTER 3958183A 940 4/12/2018 5506 0.95 WOLVERINE BUILDING & CONTRACTING LLC BARAGA 3596940A 750 6/22/2018 5645 0.95 SCHALLIPS INC BARBEAU 0092886A 621 4/2/2018 3116 B AND D RYAN TRUCKING LLC BARK RIVER 4809580A 750 5/21/2018 7208 CHOLEWA LOGGING BARK RIVER 0354082A 800 6/5/2018 2702 0.95 CONCRETE SPECIALIST BARK RIVER 5720419A 842 5/27/2018 5221 JOHNSON WADE BARK RIVER 0911623A 750 4/8/2018 2702 K AND K MATHIAS TRUCKING BARK RIVER 5427975A 750 5/11/2018 7208 SUPERIOR TIMBER MANAGEMENT LLC BARK RIVER 3304701A 750 4/8/2018 2709 AGUILAR TRUCKING & CONCRETE LLC BATH 2728257A 3,705 5/1/2018 7208 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DUGAN CORP BATH 1814257A 719 4/12/2018 9102 0.95 ADM ENGINEERING LLC BATTLE CREEK 5569370A 504 6/3/2018 8601 BATTLE CREEK COMMUNITY FOUNDATION BATTLE CREEK 2300486A 376 4/1/2018 8742 BEAR LAKE TRANSPORTATION BATTLE CREEK 5259134A 705 4/9/2018 7212 BIOPRO ROOF CLEANING INC BATTLE CREEK 5144388A 697 5/24/2018 9015 BUCKS CRANE INC BATTLE CREEK 3608743A 6,231 6/27/2018 3724 CEREAL CITY CONSTRUCTION BATTLE CREEK 5574820A 939 6/15/2018 5645 CONTRACT FOOD SERVICES INC BATTLE CREEK 1937332A 367 4/13/2018 9058 CROOKED CREEK HOMECARE BATTLE CREEK 5350050A 719 5/6/2018 9102 FOUR SEASONS TRAILER PARK BATTLE CREEK 2917700A 647 5/14/2018 9015 GUY THE BATTLE CREEK 5698391A 763 4/4/2018 5403 J AND S FAMILY TREE SERVICE LLC BATTLE CREEK 3922901A 1,091 6/10/2018 0106 0.95 JRS DEVELOPMENT LLC BATTLE CREEK 3646858A 720 6/18/2018 9015 KEVIN GRAHAM CONCRETE CONSTRUCTION BATTLE CREEK 5582997A 3,410 6/29/2018 5221 KORNS TRANSPORTATION BATTLE CREEK 4201809A 800 5/17/2018 7208 NEW CHINA MOON OF BATTLE CREEK LLC BATTLE CREEK 5128170A 1,495 4/19/2018 9058 0.95 PURE CONSTRUCTION BATTLE CREEK 5629403A 750 4/26/2018 5645 RELIABLE AFFORDABLE DEPENDABLE BATTLE CREEK 2990180A 750 5/15/2018 5645 CONSTRUCTION INC RIGHTWAY LAWNCARE AND LANDSCAPING LLC BATTLE CREEK 5707110A 750 6/20/2018 5551 SECOND WIND HR LLC BATTLE CREEK 5259738A 1,289 4/10/2018 9015 0.95 SELLS AND SON ROOFING BATTLE CREEK 3005526A 1,944 4/19/2018 5551 0.95 SEW UNIQUE THREADS LLC BATTLE CREEK 5551250A 365 5/3/2018 8017 TOMS BUILDING AND REMODELING BATTLE CREEK 4314212A 925 4/26/2018 5645 WEAVER CONSTRUCTION BATTLE CREEK 5418747A 750 6/26/2018 5645 A TON TREE & DEBRIS LLC BAY CITY 5411874A 4,436 6/9/2018 0106 0.95 ASHER ELECTRIC CONSULTING LLC BAY CITY 5558140A 343 5/10/2018 8601 DAVIES RANDALL S BAY CITY 0650730A 9,199 5/23/2018 6826 1.34 13 % DORE AND ASSOCIATES CONTRACTING INC BAY CITY 0884383A 46,875 5/15/2018 8227 1.96 27 % LEPPEK CONSTRUCTION CO BAY CITY 2432480A 2,532 5/16/2018 5645 0.95 M P A GROUP N F P LTD BAY CITY 3930696A 9,202 5/28/2018 8832 0.83 MAC SAL INC BAY CITY 1623893A 2,480 4/3/2018 9156 0.95 MARIMO LLC BAY CITY 5302978A 1,459 5/5/2018 9058 MCINTYRE PROPERTY MANAGEMENT LLC BAY CITY 2283620A 751 4/23/2018 5476 RTD HOME IMPROVEMENT BAY CITY 5706769A 750 4/20/2018 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SAMPLE AND SONS INC BAY CITY 0990876A 971 6/21/2018 8387 0.95 SHIP SHAPE AND SUDS INC BAY CITY 4049659A 1,548 4/13/2018 6826 0.95 SHORKEY HEATING & COOLING LLC BAY CITY 4521463A 801 6/19/2018 5550 SMITH STREET HOME ASSISTED LIVING LLC BAY CITY 3295885A 1,079 6/28/2018 9053 SUNSET SHORES YACHT CLUB INC BAY CITY 1499360A 647 6/6/2018 9015 THAT GUYS LLC BAY CITY 3345300A 1,723 5/31/2018 9058 TWIN FLOWER LLC BAY CITY 5553580A 755 6/9/2018 7212 UPTOWN MARATHON LLC BAY CITY 3827437A 500 5/15/2018 8017 0.95 WHATS POPPIN BAY CITY 5551234A 365 4/27/2018 8017 WHEELER LANDING INC BAY CITY 1191500A 929 4/13/2018 6836 0.95 XSCAPEQUEST LLC BAY CITY 5710715A 1,489 4/29/2018 9015 BAY PORT FISH CO BAY PORT 0553140A 568 4/28/2018 8021 1.00 NORTHERN CONSTRUCTION LLC BEAR LAKE 5714931A 5,828 5/11/2018 5403 G AND B FARMS BEAVER ISLAND 5705444A 1,215 4/18/2018 0106 SCHWARTZFISHER DAVID BEAVER ISLAND 3517977A 750 4/20/2018 6217 0.95 BDL TESTING & DRIVING SCHOOL LLC BEAVERTON 3936910A 471 6/12/2018 8868 BEAVERTON AREA FIRE DISTRICT BEAVERTON 0680907A 1,908 5/1/2018 7704 1.00 COMPLETE COATINGS LLC BEAVERTON 4053958A 750 4/8/2018 5476 MID MICHIGAN TREE SERVICE BEAVERTON 3610535A 1,425 4/2/2018 0106 0.95 MID STATE SEAWALL INC BEAVERTON 3985105A 2,093 5/1/2018 6217 0.95 WILD PUMPKIN INC BEAVERTON 5406501A 682 5/20/2018 2003 KASSOUNI MANUFACTURING INC BELDING 2528657A 14,407 6/28/2018 4828 0.86 PRECISION WELDING LLC BELDING 5717736A 825 5/19/2018 3365 CYMAN GARDENS LLC BELLAIRE 3781631A 1,562 5/16/2018 0042 0.95 DAVE ROBB CONSTRUCTION LLC BELLAIRE 3056414A 2,030 4/20/2018 5221 0.95 OTHERSIDE IRRIGATION SERVICES BELLAIRE 5708699A 1,288 4/26/2018 6229 TORCH LAKE TREE PRO LLC BELLAIRE 5270634A 2,611 6/1/2018 0106 0.95 TRIBUTARY BUILDERS LLC BELLAIRE 5123399A 750 4/29/2018 5645 A AND S SEALCOATING LLC BELLEVILLE 4901100A 825 5/24/2018 5221 BELLEVILLE TRUCKING LLC BELLEVILLE 0178241A 2,453 4/14/2018 7208 0.95 CAL PLUMBING BELLEVILLE 1224760A 858 6/1/2018 5183 CHARLEBOIS MASONRY BELLEVILLE 2467674A 800 4/28/2018 5022 CHIPPEWA TREE SERVICE INC BELLEVILLE 2134829A 915 4/2/2018 0106 0.95 CONTINENTAL FENCE LLC BELLEVILLE 5544831A 800 4/13/2018 5645 CU 29 SHINE LLC BELLEVILLE 3240096A 750 5/22/2018 5476 1/2/2018 8:13:07 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 DAK HAULAGE LLC BELLEVILLE 5547148A 750 4/16/2018 7208 DETAIL CLEANING POWER LLC BELLEVILLE 5715083A 696 5/16/2018 8835 DIRTY DEEDS TRUCKING LLC BELLEVILLE 5708184A 2,597 4/25/2018 7208 EUROSPEED LLC BELLEVILLE 3161099A 750 6/16/2018 5437 FAIRPLAY HOME MAINTENANCE LLC BELLEVILLE 1617370A 4,706 5/15/2018 5551 0.95 FALLON DAVID BELLEVILLE 0170089A 3,294 4/28/2018 5645 0.95 GD COLLINS TRUCKING LLC BELLEVILLE 5398959A 750 5/1/2018 7208 GET FLOOR INC BELLEVILLE 5543576A 966 6/15/2018 9521 HOLLOW TRUCKING COMPANY BELLEVILLE 2501457A 1,258 4/15/2018 8232 0.95 HURON FACILITIES MAINTENANCE LLC BELLEVILLE 5706955A 647 4/20/2018 9015 INTERSTATE AUTO TRANSPORT LLC BELLEVILLE 5567548A 750 6/11/2018 7208 JACKS HOUSE LLC BELLEVILLE 4865227A 1,059 4/23/2018 9015 LAKEVIEW TAVERN INC BELLEVILLE 1218484A 1,202 6/21/2018 9058 0.95 LINZELL HOME IMPROVEMENT INC BELLEVILLE 4286790A 5,085 6/10/2018 5538 0.91 MATADOR INC BELLEVILLE 1588427A 274 6/26/2018 9586 METRO ERECTING INC BELLEVILLE 2603039A 825 4/9/2018 3365 OMEGA H AND C LLC BELLEVILLE 5715415A 750 5/12/2018 8810 PRECISION RENOVATIONS UNLIMITED INC BELLEVILLE 5721440A 800 6/3/2018 5551 SANDYS MARINA INC BELLEVILLE 0754579A 917 5/17/2018 6836 0.95 STRATEGIES TO OVERCOME OBSTACLES & BELLEVILLE 4535545A 336 5/16/2018 8868 AVOID RECIDIVISM VANDERSEND CREATIVE LLC BELLEVILLE 5710677A 440 4/29/2018 8742 VITAL CARE HEALTH STAFFING ASSOCIATES INC BELLEVILLE 4081447A 714 5/6/2018 8835 0.95 DOUBLE WIDE ENTERPRISES INC BELLEVUE 5395186A 827 4/13/2018 9015 SOUTHERN MICHIGAN INTERIORS LLC BELLEVUE 5137985A 5,596 4/12/2018 5645 0.95 ABATEMENT PROFESSIONALS ENVIRONMENTAL BELMONT 5103126A 4,213 6/23/2018 8601 LLC ONE EYE SQUARE INC BELMONT 3220729A 751 5/9/2018 5437 SCOTT PHILIP CUSTOM WOODWORKING LLC BELMONT 5385822A 3,334 6/4/2018 5437 0.95 SUMMIT HOMES OF WEST MICHIGAN LLC BELMONT 4084268A 750 5/17/2018 5645 BJ LIQUOR 1 STOP INC BENTON HARBOR 5685087A 415 4/19/2018 8017 0.95 EBA CONSTRUCTION LLC BENTON HARBOR 4735307A 5,610 4/12/2018 5645 1.46 27 % HARRIS NON EMERGENCY MEDICAL BENTON HARBOR 5566649A 750 6/24/2018 7212 TRANSPORTATION LLC HIGHLAND MACHINERY INC BENTON HARBOR 4990188A 618 6/1/2018 8107

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KEN DAUGHERTY ROOFING SIDING AND BENTON HARBOR 0845035A 1,293 5/6/2018 5645 0.95 GUTTERS LLC LANGE INVESTIGATION AND CONSULTING BENTON HARBOR 5340713A 1,919 5/5/2018 7720 0.95 SERVICE LLC NEW BIRTH JANITORIAL SERVICE LLC BENTON HARBOR 5700558A 1,322 4/8/2018 9015 READINESS CENTER INC BENTON HARBOR 2396890A 894 5/19/2018 8868 0.95 THOMAS CHRIS BENTON HARBOR 5721580A 800 6/3/2018 7208 WOLFS DIVERS SUPPLY INC BENTON HARBOR 1033450A 836 6/18/2018 8017 0.95 CASSELMAN FOREST PRODUCTS BENZONIA 5267757A 750 5/6/2018 2702 CRYSTAL RIDGE CONDOMINIUM ASSOCIATION BENZONIA 1603230A 697 5/17/2018 9015 0.95 ALBERT C SANOM RESIDENTIAL BUILDER LLC BERKLEY 1874012A 897 5/18/2018 5437 ALPINE CONSTRUCTION BERKLEY 1361570A 911 6/25/2018 5645 ANGELS WITH WINGS TRANSPORT LLC BERKLEY 4681495B 2,989 4/10/2018 7212 0.90 C 3 RENOVATIONS LLC BERKLEY 5189080A 2,668 4/19/2018 5437 0.95 CASEY SIGN COMPANY INC BERKLEY 2123169A 750 6/9/2018 9501 D AND E SUPERIOR TILE BERKLEY 2380331A 800 6/14/2018 5348 EAGLE DRYWALL BERKLEY 0470740A 750 4/22/2018 5445 MICHIGAN PROPERTY MANAGERS COM LLC BERKLEY 5370329A 473 5/3/2018 8742 VALET PROS BERKLEY 4549139A 475 4/24/2018 8392 PAUSTIAN BROTHERS LLC BERRIEN CENTER 3262812A 5,056 5/1/2018 7208 0.94 ANTONOV TRUCKING LLC BERRIEN SPRINGS 5721504A 800 6/3/2018 7208 WORKZ GROUP BERRIEN SPRINGS 5147026A 1,120 6/7/2018 6400 0.95 C AND A CONSTRUCTION CO BERVILLE 0029343A 1,445 5/1/2018 9530 0.97 RAMMES AUTO AND RV SALES LLC BESSEMER 0266337A 3,066 4/12/2018 8010 0.96 WAMHOFF JUSTIN BESSEMER 5714567A 276 5/24/2018 4511 AEROSPACE TESTING & PYROMETRY INC BETHLEHEM, PA 5212146A 1,366 5/24/2018 8601 COTTAGE PROS LLC BEULAH 5549540A 1,595 4/21/2018 9102 0.95 CRYSTAL LAKE & WATERSHED ASSOCIATION BEULAH 4989139A 826 6/1/2018 8387 CRYSTAL LAKE NURSERY BEULAH 1431340A 317 6/21/2018 8869 DREAM WORKS CUSTOM HOMES LLC BEULAH 4515633A 800 5/3/2018 5645 JEFF LOUWSMA RESIDENTIAL BUILDER LLC BEULAH 3582205A 1,035 6/25/2018 5645 MR BS ROOFING & SIDING INC BEULAH 3496341A 7,081 5/6/2018 5645 0.93 ARBUS LOREEN BEVERLY HILLS, CA 5401003A 394 5/4/2018 8810 BJR RENTALS LLC BEVERLY HILLS 5124590A 647 4/5/2018 9015 BLACKBIRD VENDING INC BEVERLY HILLS 0721638A 4,657 5/13/2018 8008 0.89

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge J W DAVIS & ASSOCIATES INC BEVERLY HILLS 2866455A 245 6/27/2018 8810 JASONS OUTDOOR SERVICES LLC BEVERLY HILLS 5530270A 1,096 4/4/2018 9102 MEIZLISH SHELDON & AIDA BEVERLY HILLS 1046942A 570 5/16/2018 0908 D AND J ASPHALT CONSTRUCTION BIG RAPIDS 5049032A 750 6/25/2018 5221 ISON JORDAN BIG RAPIDS 5725615A 750 6/20/2018 3365 M DAVISON TRANSPORT LLC BIG RAPIDS 5529891A 825 4/1/2018 7208 MIKES WINDOWS BIG RAPIDS 5151058A 3,751 6/6/2018 5645 NORTHERN ANALYTICAL SERVICES LLC BIG RAPIDS 4206061A 830 4/19/2018 4511 0.95 SILVERNAIL REALTY BIG RAPIDS 2590557A 727 6/29/2018 9015 ANGEL HOSPICE INC BINGHAM FARMS 5326524A 805 5/6/2018 8835 COOLIDGE TERRACE COOPERATIVE BINGHAM FARMS 3148823A 646 5/2/2018 9015 HUGHES BUILDING LLC BINGHAM FARMS 5131626A 1,031 4/30/2018 5606 KANTER AUSTIN A BINGHAM FARMS 1983520A 1,125 4/10/2018 0908 LEVINE ROBERT BINGHAM FARMS 2267055A 385 6/17/2018 0908 SEQUEL TOUR SOLUTIONS LLC BINGHAM FARMS 3332756A 987 5/1/2018 8810 0.95 STONEBRIDGE FARMS LLC BINGHAM FARMS 3960420A 2,375 4/15/2018 8279 0.95 SUPERALLOY NORTH AMERICA LLC BINGHAM FARMS 5374804A 785 5/2/2018 8810 WINKELMAN SHELDON P & WINKELMAN RISSA R BINGHAM FARMS 1650157A 385 4/30/2018 0908 AL NAEGELE FLOOR COVERING INC BIRCH RUN 3070476A 555 6/6/2018 9521 BEN SHELL CONSTRUCTION BIRCH RUN 5418445A 750 6/26/2018 5645 GIBSON ROOFING BIRCH RUN 2696223A 9,174 5/30/2018 5551 0.90 J AND R CABLE CONTRACTORS LLC BIRCH RUN 5716934A 802 5/17/2018 7600 PM DOWELL CONTRACTING LLC BIRCH RUN 5713471A 800 5/6/2018 5403 SJ MECHANICAL LLC BIRCH RUN 5707277A 705 4/25/2018 5183 A J CAMPBELL FLOORS INC BIRMINGHAM 3643875A 554 6/22/2018 9521 BASH EVENTS LLC BIRMINGHAM 5268133A 875 5/24/2018 9058 BERNIES TEAM LLC BIRMINGHAM, AL 5556295A 1,386 5/6/2018 8601 BEST OF ORGANIC LLC BIRMINGHAM 5716497A 310 5/16/2018 8810 BLOOM DOUGLAS AND BARBARA BIRMINGHAM 5556813A 385 5/9/2018 0908 BORMAN PAUL D BIRMINGHAM 0721514A 460 5/23/2018 0908 BUILDING AND HOME INSPECTIONS INC BIRMINGHAM 2626845A 750 4/1/2018 0042 BUNTING LEONARD BIRMINGHAM 5397570A 666 5/10/2018 0913 DE GIULIO KITCHEN AND BATH INC BIRMINGHAM 0824666A 480 6/24/2018 8742 0.95 DETROIT MOTORHOME COMPANY LLC BIRMINGHAM 5569907A 1,787 6/4/2018 7380 EMILIO CONSTRUCTION LLC BIRMINGHAM 4666267A 800 4/25/2018 5437 1/2/2018 8:13:07 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 GEN ENERGY LLC BIRMINGHAM 5409748A 303 6/2/2018 8810 GREAT LAKES MEDICAL EVALUATIONS PC BIRMINGHAM 3473643A 1,077 6/17/2018 8832 0.95 HENDERSON MITCHELL BIRMINGHAM 4465261A 666 4/26/2018 0913 HIGHGATE LLC BIRMINGHAM 5165601A 2,060 6/4/2018 7421 0.95 LANDAUER LLC BIRMINGHAM 5714419A 825 5/10/2018 5645 MAARKON INC BIRMINGHAM 0378038A 220 4/11/2018 8810 MARKS MANAGEMENT SERVICES INC BIRMINGHAM 2655616A 669 6/22/2018 8810 NATHAN BERNARD DEVELOPMENT INC BIRMINGHAM 3284735A 800 4/28/2018 5645 NEW HOLLY MANOR LLC BIRMINGHAM 4564111A 646 5/11/2018 8810 0.95 NICHOLAS FREUND BUILDING LLC BIRMINGHAM 5563704A 2,165 6/15/2018 5606 NICHOLSON ENGINEERING COMPANY BIRMINGHAM 0729264A 334 4/18/2018 8601 NYMAN GEORGE M BIRMINGHAM 1850997A 435 6/10/2018 0908 OAKES BUILDING COMPANY BIRMINGHAM 3653714B 751 5/6/2018 5445 0.88 OVERHEAD MAINTENANCE SOLUTIONS LLC BIRMINGHAM 4459504A 3,784 4/5/2018 3724 0.95 PINNACLE HOMES LLC BIRMINGHAM 3353257A 825 6/10/2018 5550 SCHLACHTER KRIS BIRMINGHAM 5727529A 716 6/27/2018 0913 SIERRA MANAGEMENT LLC BIRMINGHAM 2173859A 290 4/14/2018 8810 SILVERBACK MOVING INC BIRMINGHAM 4790510A 12,517 4/7/2018 7214 1.47 13 % THAL BRUCE E & ILEANE BIRMINGHAM 1485393A 385 6/9/2018 0908 UNITECH IMAGING INC BIRMINGHAM 5712076A 236 5/8/2018 8742 WEISS ROBERT M BIRMINGHAM 1544314A 370 4/28/2018 8820 WILSON THOMAS H III BIRMINGHAM 5706815A 2,505 4/20/2018 7208 LILLEY TOWNSHIP OF NEWAYGO COUNTY BITELY 0292877A 2,723 6/1/2018 9410 0.95 UPFRONT AUTO LLC BITELY 5723736A 1,015 6/13/2018 8395 MORR PROMOTIONS LLC BLACK MOUNTAIN, NC 5137276A 328 5/10/2018 8810 GONZALES JOE BLACK RIVER 3428540A 1,620 6/1/2018 5645 GATEHOUSE JERIMIAH BLANCHARD 5727324A 750 6/27/2018 5476 MID MICHIGAN FIELD TILE DRAIN CLEANING BLANCHARD 5705436A 654 5/3/2018 5183 TS DRILLING CONSULTANT LLC BLANCHARD 5713498A 413 5/10/2018 8601 WEST FRANKIE BLANCHARD 5727090A 750 6/27/2018 5476 D D MITCHELL ENTERPRISES LTD BLISSFIELD 3098346A 8,902 5/28/2018 7208 0.84 ERIC SLUSHER FLOORING LLC BLISSFIELD 2154528A 750 4/22/2018 5437 FREELAND NATURAL RESOURCE CONSULTING BLISSFIELD 5726301A 413 6/23/2018 8601 LLC ROGERS RECYCLING LLC BLISSFIELD 5728290A 1,280 6/30/2018 4459

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CURB APPEAL INC BLOOMFIELD 2993864A 750 4/21/2018 8810 FLAGG CONSTRUCTION BLOOMFIELD 3728307A 754 4/5/2018 8810 A PLUS SERVICES LLC BLOOMFIELD HILLS 3040097A 10,095 4/1/2018 5476 0.95 AIG HOME LLC BLOOMFIELD HILLS 0642053A 5,105 5/1/2018 8835 0.95 ANTONELLI AND ASSOCIATES INC BLOOMFIELD HILLS 0003409A 1,189 5/7/2018 5645 ATTO CONSTRUCTION INC BLOOMFIELD HILLS 0286508A 826 5/20/2018 5437 0.95 BARRON GUY & BARRON NORA LEE BLOOMFIELD HILLS 0666890A 941 5/11/2018 0908 BLOOMFIELD HILLS SWIM & TENNIS LLC BLOOMFIELD HILLS 4989279A 831 4/19/2018 9061 COLORITE PAINTING LLC BLOOMFIELD HILLS 4231171A 800 4/5/2018 5476 DETROIT BELLE ISLE GRAND PRIX INC BLOOMFIELD HILLS 4313674A 295 4/14/2018 8810 DETROIT EXPEDITING AND DEVELOPMENT BLOOMFIELD HILLS 5708990A 440 4/27/2018 8601 GROUP LLC DETROIT THEATRE ENTERPRISES INC BLOOMFIELD HILLS 0820547B 675 6/21/2018 8810 DOKAN CONSTRUCTION INC BLOOMFIELD HILLS 5577977A 605 6/23/2018 5606 ECOART LLC BLOOMFIELD HILLS 5579520A 751 6/25/2018 0042 EXTREME BUILDING AND DESIGN INC BLOOMFIELD HILLS 5552737A 369 4/26/2018 5606 FALCON POINTE APARTMENTS LLC BLOOMFIELD HILLS 5571103A 696 6/9/2018 8810 FITNESS FIX INC BLOOMFIELD HILLS 5324440A 511 5/24/2018 3113 G O SERVICES INC BLOOMFIELD HILLS 5158680A 751 6/28/2018 5437 GENERATION III LLC BLOOMFIELD HILLS 5540887A 750 4/4/2018 5645 GILLIHAN PAUL W BLOOMFIELD HILLS 3017001A 716 5/27/2018 0913 GOLDBERG FREDERICK S BLOOMFIELD HILLS 1066110A 435 5/21/2018 0908 GRAYSTONE SECURITY & PROTECTION BLOOMFIELD HILLS 4333896A 5,978 4/22/2018 7720 0.89 SERVICES INC HELPPIE RICHARD AND LESLIE BLOOMFIELD HILLS 3331717A 1,141 4/13/2018 0912 0.95 LABAN MYRON DR AND LABAN JOYCE BLOOMFIELD HILLS 1874454A 435 6/14/2018 0908 LAKER BEVERLY BLOOMFIELD HILLS 1661183A 666 6/11/2018 0913 LIPSITT CAROL BLOOMFIELD HILLS 1245791A 385 6/16/2018 0908 LMB PROPERTIES LLC BLOOMFIELD HILLS 2970600A 752 5/27/2018 8810 MCTUMPS LLC BLOOMFIELD HILLS 5394937A 1,633 4/11/2018 7212 0.95 OPUS TRANSPORTATION LLC BLOOMFIELD HILLS 1611054A 1,844 5/6/2018 7212 ORGANIZATION FOR BAT CONSERVATION BLOOMFIELD HILLS 2828502A 3,231 4/11/2018 8831 0.95 POOL DOCTOR SERVICES INC BLOOMFIELD HILLS 2005484A 924 4/1/2018 0909 0.95 RMZ CONSTRUCTION MANAGEMENT INC BLOOMFIELD HILLS 1185250A 296 4/29/2018 8810 S AND V EQUITIES LLC BLOOMFIELD HILLS 3623130A 920 6/30/2018 9015 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SBB AND J INVESTMENTS LLC BLOOMFIELD HILLS 4481615A 1,085 6/11/2018 0913 0.95 SIMON PROPERTY DISPOSITION LLC BLOOMFIELD HILLS 4063775A 646 5/3/2018 9015 SPECIALTY EMPLOYMENT SERVICES INC BLOOMFIELD HILLS 0471763A 384,411 4/12/2018 4484 1.01 STAFFBRIGHT CORP BLOOMFIELD HILLS 5578655A 1,605 6/27/2018 8820 UNLIMITED INSTALLATION SERVICE BLOOMFIELD HILLS 2813173A 825 6/18/2018 9521 VELOX DISPOSAL INC BLOOMFIELD HILLS 4756398A 6,363 6/3/2018 7213 0.88 WEISS JEFFREY & MONIQUE BLOOMFIELD HILLS 3766420A 435 4/10/2018 0908 WILLS TRUCKING SERVICES INC BLOOMFIELD HILLS 3018059A 17,568 5/31/2018 7208 HEIKKINEN DAVID BLOOMFIELD TWP 5413800A 666 6/13/2018 0913 JACOBS ROBERT & LESLIE BLOOMFIELD TWP 4054423A 741 6/16/2018 0908 HARRIS CONAG LLC BLOOMINGDALE 5716691A 800 5/19/2018 6229 BRD TRUCKING LLC BONITA SPRINGS, FL 3496090A 3,805 5/26/2018 7208 0.95 GRASSROOTS CAMPAIGNS INC BOSTON, MA 4079981A 944 5/11/2018 8742 METROPOLITAN PROPERTIES OF AMERICA INC BOSTON, MA 2105322A 8,403 6/10/2018 9015 0.85 MOVEPLAN USA INC BOSTON, MA 4331907A 459 6/1/2018 8803 HURON TOWERS ASSOCIATES LLC BOULDER, CO 1846205A 12,918 6/10/2018 9015 0.81 SUSAN HAWKES TPSN TRUST BOULDER, CO 5144132A 562 5/29/2018 0909 JENTERPRISE LLC BOWLING GREEN, OH 5574234A 3,232 6/11/2018 9102 FIELS CONSTRUCTION BOYNE CITY 1849611A 750 5/18/2018 5645 0.95 GLASSFORD HEATING AIR CONDITIONING AND BOYNE CITY 4898729A 750 6/22/2018 5550 MAINTENANCE LLC JDF CONSTRUCTION LLC BOYNE CITY 5707641A 750 4/22/2018 5645 ON BELAY PARTNERS LLC BOYNE CITY 4859812A 5,093 4/13/2018 9015 0.88 PERFORMANCE PAINTING BOYNE CITY 2438356A 1,114 6/21/2018 5476 1.00 RINOCK FOREST PRODUCTS BOYNE FALLS 1264303A 750 5/20/2018 2702 EARLS SPRAY SERVICE INC BRECKENRIDGE 0738107A 4,224 4/1/2018 7422 0.93 MAPLE LEAF AMUSEMENTS LLC BRECKENRIDGE 5273668A 3,153 5/23/2018 9015 0.95 TIM AND JANSCHUTZ LLC BRECKENRIDGE 5553679A 2,148 4/28/2018 9058 0.95 JG BARTLETT TRANSPORT LLC BRECKINGRIDGE 5716446A 750 5/16/2018 7208 WALLACE MAHLON B III BRENTWOOD, MO 2281287A 716 6/5/2018 0913 ZUPIN CRANE LLC BRETHREN 5543886A 4,641 4/9/2018 3724 FANTASY CARRIAGE COMPANY INC BRIDGEPORT 0142670A 3,299 4/4/2018 7212 0.95 GREAT LOOKING LAWNS INC BRIDGEPORT 5571057A 720 6/9/2018 9102 SUNSET COAST CLEANING SERVICES BRIDGMAN 5515076A 647 5/23/2018 9015 A M SIDING LLC BRIGHTON 3292150A 750 6/24/2018 5645 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ASARO TENT RENTAL INC BRIGHTON 5568498A 1,757 5/28/2018 5538 ASSURED CONSTRUCTION GROUP LLC BRIGHTON 5400058A 825 5/1/2018 5645 BLENNIEFISH INC BRIGHTON 3525317A 2,646 6/1/2018 9058 0.95 BRIGHTON CENTER INC BRIGHTON 5308429A 293 6/26/2018 8832 CAVANAUGHS LAWNCARE LLC BRIGHTON 4234600A 5,655 4/8/2018 9102 0.88 CENTURY CHEMICAL CORPORATION BRIGHTON 5581117A 1,505 6/30/2018 4511 CREATIVE CONSTRUCTION LLC BRIGHTON 2346834A 800 6/7/2018 5437 D V D INC BRIGHTON 0256803A 1,055 5/8/2018 9058 1.05 EAGLE ROCK CONCRETE BRIGHTON 5714664A 1,740 5/9/2018 5221 ENVIRONMENTAL CREATIONS LLC BRIGHTON 3144216A 750 6/12/2018 0042 EXTERIORS BY ALEXANDER LLC BRIGHTON 5702119A 750 4/12/2018 5645 FOLLMER GORDON BRIGHTON 4607473A 562 4/1/2018 0909 GERKIN AND DECKER PC BRIGHTON 5180481A 270 5/2/2018 8810 GREEN FLAG BRIGHTON 5555302A 750 5/3/2018 5221 GREEN OAK TIRE INC BRIGHTON 1791532A 15,464 4/1/2018 8387 1.50 13 % GREEN PANEL INC BRIGHTON 4546873A 33,732 6/15/2018 7600 0.77 JANSSEN CONSTRUCTION SERVICES LLC BRIGHTON 4663292A 750 4/26/2018 5191 JG ROOFING BRIGHTON 5708176A 750 4/25/2018 5551 KARMA SERVICES LLC BRIGHTON 5409870A 4,313 6/23/2018 8833 0.95 KO KREW BRIGHTON 5702275A 554 4/12/2018 9521 KOTCHS WINDOWS N MORE LLC BRIGHTON 5545722A 750 4/22/2018 5645 KRAMER TECHNOLOGIES LLC BRIGHTON 5398622A 1,183 4/25/2018 3724 LEE RD B P INC BRIGHTON 3842177B 725 4/3/2018 8017 0.95 LUBESKI PROPERTY SERVICES LLC BRIGHTON 5700639A 751 4/8/2018 0042 M A D D SERVICES LLC BRIGHTON 5725712A 750 6/21/2018 5645 M AND C CONSTRUCTION INC BRIGHTON 1474359A 800 6/17/2018 5445 0.95 M AND D TRANSPORTATION INC BRIGHTON 5455057B 706 5/24/2018 7212 MURRAYS ROOFING & SIDING INC BRIGHTON 3343774A 844 4/14/2018 5606 0.95 NORTH STAR JUNIOR SAILING INC BRIGHTON 1070754A 654 6/12/2018 9060 OAK POINTE MARINA ASSOCIATION BRIGHTON 1984187A 696 6/5/2018 9015 PALACE CONSTRUCTION INC BRIGHTON 2394480A 338 5/19/2018 5191 PERFORMANCE CREATIVE RESOURCES INC BRIGHTON 3829812A 286 6/2/2018 8742 PETER M YOUNG CARPENTRY BRIGHTON 0620203A 750 6/12/2018 8810 RATLIFF EQUIPMENT INC BRIGHTON 5715172A 2,601 5/11/2018 8107 RELIABLE LIAISON SERVICES LLC BRIGHTON 5418933A 2,107 6/30/2018 3808 0.95 1/2/2018 8:13:07 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 RESOURCE TRANSPORTATION GROUP LLC BRIGHTON 4322967A 58,501 4/3/2018 7212 1.81 13 % SEASIDE SEAWALLS LLC BRIGHTON 4369858A 3,737 5/26/2018 0042 0.91 TDRM LLC BRIGHTON 5722632A 368 6/21/2018 8810 WACO STAGE EQUIPMENT INC BRIGHTON 2004330A 1,193 6/7/2018 9154 0.95 WATER MASTERS LLC BRIGHTON 4158458A 750 4/2/2018 5223 WIRELESS APPROVAL CONSULTANTS BRIGHTON 5725550A 1,300 6/23/2018 8601 CG LOGGING BRIMLEY 5412218A 750 6/12/2018 2702 ADRIAN ENVIRONMENTAL LLC BRITTON 4630750A 3,330 5/23/2018 5183 0.92 PENNY LEES CLEANING SERVICE BRITTON 2684527A 647 5/14/2018 9015 KBA TRUCKING BROCKWAY 5298601A 4,341 5/27/2018 7208 0.95 ALDERMAN LUCE MEMORIAL HOME ASSOC BRONSON 0632708A 451 6/1/2018 9061 AMERICAN LEGION POST 259 ALMOST LIKE HOME OF BRANCH COUNTY LLC BRONSON 5144175A 893 5/23/2018 9053 GEISE CONSTRUCTION LLC BROOKLYN 5344166A 1,639 5/30/2018 5221 0.95 IRWINS HOMECARE LLC BROOKLYN 5546346A 1,037 4/15/2018 8835 STEVE GRODI CONSTRUCTION LLC BROOKLYN 3176894A 801 6/2/2018 5437 E AND J CONSTRUCTION BROWN CITY 5253152A 800 6/14/2018 5645 0.95 PLAYLANDS LLC BROWN CITY 5725330A 5,894 6/17/2018 6400 BEAR STONE LLC BROWNSTOWN 5702259A 2,217 4/12/2018 5022 BLUE LINE BUILDING COMPANY LLC BROWNSTOWN 4911067A 2,362 5/16/2018 5645 0.95 BUDGET TIRE COMPANY OF TAYLOR BROWNSTOWN 0022896A 7,470 4/14/2018 8401 0.90 DOLENCE AND DOLENCE LLC BROWNSTOWN 3166775A 1,789 4/1/2018 5437 0.95 EXECUTIVE TOUCH INC BROWNSTOWN 5013992A 1,251 5/27/2018 8387 0.95 GS TREES INC BROWNSTOWN 3634469A 3,091 4/16/2018 0042 0.91 H DOMINE ENTERPRISES INC BROWNSTOWN 0435910A 4,728 4/17/2018 3724 0.94 MCLAUGHLIN VETERINARY HOSPITAL INC BROWNSTOWN 1504274A 2,110 4/25/2018 8831 0.95 MEDSTAR STAFFING LLC BROWNSTOWN 5716624A 579 5/18/2018 8832 POTESTIVO JAMES S & NANCY M BROWNSTOWN 4168550A 3,569 4/27/2018 7208 0.94 R AND H GLAZING INC BROWNSTOWN 2557142A 750 6/7/2018 5462 DETROIT GRADALL BROWNSTOWN TS 0886009A 751 6/20/2018 6217 OUTPOST LOG HOMES AND CONSTRUCTION BRUCE CROSSING 0891363A 646 6/14/2018 9015 PRIMROSE ACRES BRUCE CROSSING 3614212A 750 4/9/2018 0042 GRF MASONRY LLC BRUCE TWP 5555388A 2,687 5/4/2018 5022 HOFER HEATING AND COOLING LLC BRUCE TWP 4549929A 1,645 5/18/2018 5550 HURLEY RACING PRODUCTS LLC BRUCE TWP 4990749A 4,251 6/2/2018 4484 0.91

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JAR PAINTING LLC BRUCE TWP 2257300A 750 5/5/2018 5476 PALUSHI PAINTING INC BRUCE TWP 4822374A 750 5/2/2018 5476 SERVICEMAXX LLC BRUCE TWP 5125634A 594 4/9/2018 5190 SHOAN GROUP LLC BRUCE TWP 5265932A 750 4/29/2018 5022 SOULLIERE PEAT FARMS LLC BRUCE TWP 4745680A 750 6/4/2018 4000 AFFORDABLE ASPHALT BUCHANAN 4673158A 1,801 6/27/2018 5221 COMPU MED CONSULTING BUCHANAN 3015858A 236 6/11/2018 8742 LOCKER MAN OF MICHIGAN INC BUCHANAN 5723833A 750 6/13/2018 8810 CANFIELD INNOVATIVE PEST MANAGEMENT BUCKLEY 5400546A 647 5/1/2018 9015 DUNSCOMBE AND SONS TREE SERVICE BUCKLEY 4999207A 750 4/12/2018 2702 OLDS TREES & MORE LLC BUCKLEY 5554977A 750 5/3/2018 2702 PREFERRED ROOFING SERVICES LLC BUCKLEY 5415721A 29,238 6/19/2018 5551 0.96 PRO CUT LOGGING BUCKLEY 5146100A 750 5/29/2018 2702 D ALI ENTERTAINMENT PAYROLL INC BURBANK, CA 4296796A 818 6/23/2018 7610 FINDLEY FEEDS BURR OAK 1646869A 1,719 4/1/2018 8215 0.95 LITTLE FAWNS DAYCARE BURR OAK 5726433A 292 6/23/2018 8869 D AND G CUSTOM DRYWALL INC BURT 5267293A 805 5/3/2018 8742 PRESTIGE POLE BUILDINGS BURT 5539404A 1,102 4/28/2018 5645 M AND J PLUMBING & HEATING BURTCHVILLE 2533740A 750 4/3/2018 5550 A T R COMPUTERS INC BURTON 3188140A 646 6/12/2018 5191 ALL STAR CONSTRUCTION BURTON 5186390A 1,767 4/19/2018 5645 BATES CLEANING SERVICE BURTON 5359376A 646 4/28/2018 9015 BOWMANS LAWN CARE BURTON 4615557A 720 5/5/2018 9102 BRISTOL BURTON 30 LLC BURTON 4700406A 3,391 5/19/2018 9058 0.99 BUOY 18 INC BURTON 3545253A 605 6/20/2018 8017 CHAIN PAINT GROUP INC BURTON 1240463A 2,028 6/10/2018 5476 CUSTOM CRAFT CONTRACTING LLC BURTON 3016072A 750 5/9/2018 5437 D AND S FLOOR COVERING BURTON 3453251A 554 5/14/2018 9521 DENAMI SOLUTIONS LLC BURTON 5726794A 837 6/26/2018 5437 FLEXIBLE AUTOMATION INC BURTON 2589036A 590 5/1/2018 8810 FLOORS GALORE BURTON 5068835A 554 4/3/2018 9521 0.95 GOOCH ROBERT BURTON 4989228A 750 5/30/2018 5476 GREAT LAKES TREE EXPERTS INC BURTON 1998374A 5,672 4/22/2018 0106 0.88 M AND B CONSTRUCTION BURTON 4928504A 750 5/17/2018 5645 M B C CONSTRUCTION BURTON 3304825A 750 4/28/2018 5645 1/2/2018 8:13:07 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 MCUNION LLC BURTON 3907929A 221 4/7/2018 8810 PARADISE CONSTRUCTION & REMODELING LLC BURTON 3793885A 750 5/15/2018 5645 PAT MILLER CONCRETE BURTON 5721873A 750 6/6/2018 5221 PROFESSIONAL HEARING INC BURTON 4628098A 676 4/6/2018 8013 RANDY LEACH CERAMIC TILE BURTON 0282561A 750 4/12/2018 5348 REDEMPTION SAVINGS INC BURTON 1173456A 1,108 4/11/2018 9058 0.95 RL TRAPPER JOES LLC BURTON 0220825A 1,411 5/27/2018 9058 0.95 SCOTT LARSON AUTO GROUP LLC BURTON 5714605A 376 5/10/2018 8810 SIGNATURE LAWN SERVICES BURTON 5545811A 750 4/14/2018 0042 SONS RECOVERY LLC BURTON 5553776A 525 5/2/2018 7720 SPENCER MANOR LIVING WELL INC BURTON 5396565A 3,133 4/17/2018 9053 1.00 SWAMI SHRIJI LLC BURTON 3175456A 5,346 5/29/2018 8835 0.90 WOODBURY CONSTRUCTION & MAINTENANCE BURTON 0072958A 750 5/9/2018 5645 CO FAIRWAY GUTTERS LLC BYRON 5429463A 750 5/11/2018 5645 AMBER ESTATES CONDOMINIUM ASSOCIATION BYRON CENTER 4865553A 696 5/1/2018 9015 BEN BERKENPAS BUILDER LLC BYRON CENTER 3414655A 750 6/15/2018 5645 DEFINED CONCRETE BYRON CENTER 2708361A 750 4/23/2018 5215 DH LAWN CARE LLC BYRON CENTER 5557976A 750 5/10/2018 9402 KEITH COOK PLASTERING & DRYWALL INC BYRON CENTER 3523152A 750 6/5/2018 5445 PATRIOT CONSTRUCTION BYRON CENTER 5721679A 2,482 6/9/2018 5403 RJ SCHMIDT & ASSOCIATES BYRON CENTER 5143667A 750 5/22/2018 5645 SENIOR SUPPORT LTD LLC BYRON CENTER 4873980A 2,991 6/9/2018 8835 0.95 TANIS AND WOOD PAINTING CO LLC BYRON CENTER 4843630A 834 4/10/2018 5476 VANDENBERG THOMAS JR BYRON CENTER 5722446A 2,630 6/12/2018 5551 VANDYKE RANDY BYRON CENTER 0980560A 750 6/30/2018 5645 AXIS BUILDING SERVICES CADILLAC 5703611A 750 5/2/2018 5403 BOARDMAN VIDEO PRODUCTIONS LLC CADILLAC 5716888A 439 6/7/2018 7610 BRUCE HELSEL TREE FARM CADILLAC 0770213A 2,927 4/13/2018 0042 0.95 CADILLAC SEAMLESS GUTTERS CADILLAC 2685795A 750 5/12/2018 5538 GEESEMAN JACOB CADILLAC 5710782A 834 4/25/2018 0042 J AND H AUTO PARTS CADILLAC 0202452A 2,204 4/6/2018 8264 0.95 LEADING EDGE SURVEYING LLC CADILLAC 5572460A 365 4/1/2018 8601 LON REDDY BUILDERS INC CADILLAC 1657194A 3,595 5/18/2018 5645 0.94 MARR CONSTRUCTION CADILLAC 4050444A 750 4/12/2018 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PINET RAYMOND N CADILLAC 2125048A 750 6/7/2018 5645 PIONEER MANAGEMENT SERVICES INC CADILLAC 2360853A 221 6/11/2018 8810 SERENITY ADULT FOSTER CARE LLC CADILLAC 5054885A 1,304 4/11/2018 9053 0.95 SERVICEMASTER OF CADILLAC CADILLAC 0961728A 671 4/20/2018 9015 TREE WISE MEN LLC CADILLAC 2345919A 750 4/3/2018 0106 VANDERPLAS PLUMBING CADILLAC 0547670A 654 6/20/2018 5183 ABSOLUTE TREE SERVICE INC CALEDONIA 3228401A 4,356 4/3/2018 0106 0.93 APOLS LANDSCAPING LLC CALEDONIA 4877853A 1,474 6/11/2018 0042 0.95 CHERRY VALLEY RESOURCES LLC CALEDONIA 5410819A 8,427 5/30/2018 4000 0.95 DAN WILTJER BUILDER LLC CALEDONIA 5200989A 800 4/26/2018 5645 JRK CONSULTING GROUP LLC CALEDONIA 5720346A 820 6/1/2018 5146 ONEIL TREE SERVICE LLC CALEDONIA 5568811A 1,215 6/1/2018 0106 TERRY NOYES BUILDER LLC CALEDONIA 2795183A 800 5/6/2018 5645 TIM RYAN TRUCKING LLC CALEDONIA 4184246A 825 6/2/2018 7208 0.89 VANDEWEERT ELECTRIC LLC CALEDONIA 4840453A 544 5/28/2018 5190 WHITNEY ELECTRIC LC CALEDONIA 4953622A 800 4/14/2018 5183 ROGAN JUSTIN P CALUMET 5421314A 750 6/6/2018 2702 RUPPE JAMES A CALUMET 1394258A 747 6/18/2018 0908 G AND D WOOD PRODUCTS INC CAMDEN 2647486A 4,436 6/29/2018 2731 0.94 A AND H AMBICA JV LLC CANTON 4079442A 220 4/14/2018 8810 0.95 ALLEN CONTRACTING CANTON 4201361A 800 4/28/2018 5022 APEX DECORATIVE CONCRETE LLC CANTON 5721512A 825 6/3/2018 5221 ARTS RESIDENTIAL TREE SERVICE INC CANTON 2122782A 4,291 5/19/2018 0106 0.97 ASHER LLC CANTON 5599997A 19,245 4/11/2018 3629 BLACKTHORN CONSTRUCTION LLC CANTON 4923553A 750 6/20/2018 5476 0.95 BOLD PROPERTY SOLUTIONS LLC CANTON 5725488A 874 6/20/2018 5437 BOND BAILEY & SMITH COMPANY CANTON 0726400A 1,439 4/5/2018 3629 0.95 BR STAFFING AND CONSULTING INC CANTON 5355958B 2,137 5/2/2018 8835 0.95 CANTON REMODELING INC CANTON 2229331A 306 5/31/2018 8742 DAPA TOARMINAS PIZZA LLC CANTON 3221652A 705 6/26/2018 9058 0.95 EW AND S INC CANTON 5481708A 2,576 5/5/2018 9402 FOUNTAIN PARK CONDOMINIUM HOMEOWNERS CANTON 5295327A 646 6/19/2018 9015 ASSOCIATION GRAND JEFF CANTON 5542251A 750 4/6/2018 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HALL CONSULTING & CONSTRUCTION SERVICES CANTON 5263131A 319 4/18/2018 8601 PLLC HEILEMANS ELECTRIC CANTON 2450275A 544 4/2/2018 5190 HELPING HANDS TRAINING PROGRAM FOR CANTON 5719321A 544 6/1/2018 8868 CENAS LLC JS MULTI SERVICES LLC CANTON 2021668A 5,234 6/30/2018 9015 0.92 LEWIS CONSTRUCTION CANTON 3663370A 750 4/13/2018 5551 MAN PAL CORPORATION CANTON 1098195A 3,024 5/28/2018 9058 0.95 MANIBEN MANAGEMENT INC CANTON 0057207A 1,280 4/6/2018 8006 MAP ELECTRIC LLC CANTON 4402448A 1,130 6/18/2018 5190 0.95 MARK MCCOY MUSICIAN LLC CANTON 5702232A 365 4/30/2018 8017 METROWAY TRANSPORTATION LLC CANTON 5436516A 750 6/29/2018 7212 MGM MARBLE & GRANITE LLC CANTON 3984680A 750 5/25/2018 5348 MONARCH INVESTMENT CO INC CANTON 3860884A 646 5/3/2018 9015 NOBA LLC CANTON 3544699A 750 6/30/2018 5645 0.95 PEACE OF MIND SENIOR SERVICES INC CANTON 5418127A 1,481 4/21/2018 8835 1.49 27 % PHEASANT RUN ROAD MAINTENANCE CANTON 3269701A 646 4/15/2018 8810 ASSOCIATION INC PPM LANDSCAPE CONTRACTORS INC CANTON 4204557A 7,951 4/26/2018 0106 1.00 PRECISION PIPE CORPORATION CANTON 5148448A 729 6/4/2018 5183 QUALITY WINDOW CLEANING LLC CANTON 5168899A 646 4/21/2018 9015 RUDOLPH ANTHONY E CANTON 4226801A 750 6/1/2018 5445 WEATHERGUARD ROOFING CANTON 2947790A 754 5/16/2018 8742 KERSHAW JOHN CAPAC 2643448A 2,123 5/13/2018 5476 1.00 TIM QUAIN LICENSED BUILDER INC CAPAC 0525405A 800 4/1/2018 5645 D AND G INTERIORS CARLETON 2430665A 750 4/8/2018 5476 JL TRANSPORTATION CARLETON 5719380A 800 5/24/2018 7208 LAKE HAVEN DEVELOPMENT INC CARLETON 1794485A 1,616 6/16/2018 5645 0.95 BRADLEY CASTLE TRUCKING CARNEY 4983653A 750 5/9/2018 7208 EIGHT POINT CONSTRUCTION CARNEY 4633865A 750 6/3/2018 5645 KLINGENMAIER TRUCKING CARNEY 1975994A 750 4/9/2018 7208 POUPORE FOREST PRODUCTS CARNEY 4058399A 750 5/5/2018 7219 SJS TRANSPORT LLC CARNEY 4163710A 750 4/22/2018 7208 SUPERIOR FENCE CARNEY 3925706A 750 5/18/2018 2702 CHILD ADVOCACY CENTER OF TUSCOLA CARO 5294614A 312 4/14/2018 8810 CHURCH TODD E CARO 5257190A 450 4/4/2018 7720 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 23 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MIDWEST BUILD CENTER LLC CARO 5711738A 2,068 5/3/2018 7423 MOORE TEL 1 COM CARO 5717221A 735 5/18/2018 9402 VAUGHNS FLYING SERVICE INC CARO 4204603A 957 5/15/2018 7422 0.95 CORPRETEK LLC CARSON CITY 4118529A 874 4/27/2018 8601 0.95 J C KOHN TRUCKING LLC CARSON CITY 1797557A 800 5/9/2018 7208 LITWILLER HAULING INC CARSON CITY 4950666A 750 5/11/2018 7208 SOFTWARE AND ENGINEERING ASSOCIATES INC CARSON CITY, NV 5407869A 252 5/27/2018 8810 WALKER THOMAS CARSONVILLE 5261376A 750 4/23/2018 5645 PAREDES SABINO CORPUS CARTERSVILLE, GA 5705410A 750 4/18/2018 5445 GREAT LAKES BARRIER NETS LLC CARY, NC 2072360A 928 4/16/2018 7016 0.95 BRUMCO BUILDING LLC CASCO 5540950A 750 5/3/2018 5606 G AND T BUILDERS INC CASCO 2267330A 3,188 5/21/2018 5348 0.95 J RAYS PRECISION LLC CASCO 5559286A 750 5/11/2018 5551 M L MOORE AND ASSOCIATES INC CASCO 1352008A 750 4/24/2018 5022 SAINT CLAIR DISPOSAL INC CASCO 4978544A 5,403 4/21/2018 9403 0.93 ULESKI GENE A CASCO 2976676A 3,751 6/17/2018 5645 BEE LINE PEST CONTROL LLC CASEVILLE 4632664A 646 5/30/2018 8810 0.95 C D SANDBLASTING LLC CASEVILLE 4478533A 751 6/10/2018 3632 CASEVILLE AREA FIRE PROTECTION CASEVILLE 3001741A 4,570 4/9/2018 7904 0.94 ASSOCIATION LASCESKI TERRY CASEVILLE 5541522A 750 4/6/2018 5645 J RAY TREE SERVICE LLC CASNOVIA 5555701A 4,395 5/27/2018 0106 PD BLACK ENTERPRISES INC CASNOVIA 5367964A 750 4/5/2018 5476 RELIABLE CARPET SERVICE CASNOVIA 5263093A 220 4/12/2018 8810 WHITETAIL ADVISORS LLC CASNOVIA 3212874A 1,620 6/8/2018 5645 D S SERVICES INC CASS CITY 0874280A 45,982 4/18/2018 5160 0.87 EVAN LAURIE FARMS CASS CITY 5725941A 1,286 6/22/2018 0128 HOARD DAVID W CASS CITY 5569303A 750 6/2/2018 5645 TOWNSHIP OF GREENLEAF SANILAC COUNTY CASS CITY 5709733A 430 5/1/2018 9410 VILLAGE GRILL AND CHILL LLC CASS CITY 5711789A 478 5/5/2018 9058 BENSON TREE SERVICE LLC CASSOPOLIS 5717299A 4,260 5/18/2018 0106 SKID WORLD LLC CASSOPOLIS 5571723A 6,610 6/10/2018 2759 ALL ABOUT WATER LLC CEDAR 5578744A 828 6/24/2018 6836 DTW PAINTING AND WALL COVERINGS INC CEDAR 4013247A 3,496 5/30/2018 5476 1.32 13 % NORTON CUSTOM HOMES INC CEDAR 3960811A 3,349 4/29/2018 8393 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RULEAU BROTHERS INC CEDAR RIVER 0506052A 6,203 5/22/2018 8021 0.88 ADAMCZAK C R LLC CEDAR SPRINGS 4858301A 750 5/5/2018 5645 0.95 ALL POINT SCREENING LLC CEDAR SPRINGS 5700060A 297 4/16/2018 8832 ALS HOME IMPROVEMENT CEDAR SPRINGS 5709636A 845 4/28/2018 5445 APPLIED BALLISTICS LLC CEDAR SPRINGS 5702828A 931 4/13/2018 4511 AVNIEL BUILDERS LLC CEDAR SPRINGS 5394473A 750 4/22/2018 5645 CEDAR CUSTOM CARPENTRY LLC CEDAR SPRINGS 5578205A 750 6/23/2018 5437 CEDAR RIDGE CONSTRUCTION CEDAR SPRINGS 3700127A 750 5/6/2018 5645 JK FOREST PRODUCTS INC CEDAR SPRINGS 4745914A 750 5/5/2018 2702 KOLE ROOFING CEDAR SPRINGS 0716359A 7,944 6/6/2018 5551 0.90 LEWIS LOGGING INC CEDAR SPRINGS 4448952A 750 4/16/2018 2702 0.95 LJET INC CEDAR SPRINGS 5721598A 750 6/3/2018 5445 MELVIN BELK ROOFING CONTRACTORS LLC CEDAR SPRINGS 3013863A 4,143 4/13/2018 8742 MVG HOME IMPROVEMENT CEDAR SPRINGS 0321923A 9,905 6/10/2018 5551 0.95 PIERCE ENTERPRISES CEDAR SPRINGS 5127904A 6,390 4/18/2018 7208 1.44 13 % POWERSPORT SALVAGE LLC CEDAR SPRINGS 5460271A 1,186 4/6/2018 3076 RADEBACH BUILDERS CEDAR SPRINGS 2958716A 750 5/13/2018 5645 SLBM RV MANAGEMENT LLC CEDAR SPRINGS 0837288A 696 6/8/2018 9015 BAREFOOTS RESORT INC CEDARVILLE 3927776A 696 5/21/2018 9015 CEDARVILLE RV PARK OWNERS ASSOCIATION CEDARVILLE 5404851A 1,231 5/13/2018 9015 LES CHENEAUX YACHT CLUB INC CEDARVILLE 2109972A 420 5/20/2018 9060 MACKINAC ECONOMIC ALLIANCE CORP CEDARVILLE 5257328A 302 4/1/2018 8810 SMITH DONALD D CEDARVILLE 3913333A 750 4/20/2018 2702 BAY HILL CONSTRUCTION CO CELEBRATION, FL 1264613A 368 6/25/2018 5606 ABRASIVE SOLUTIONS LLC CEMENT CITY 5223237A 719 5/10/2018 3632 AA PLUMBING CENTER LINE 5714478A 654 5/10/2018 5183 ALL EXCLUSIVE TRANSPORTATION SERVICES CENTER LINE 4469135A 2,885 5/15/2018 7212 0.95 LLC C K CORPORATION OF CENTERLINE CENTER LINE 0768367A 841 4/27/2018 8018 LAUDERBACK PAINTING CENTER LINE 3135128A 800 4/18/2018 5476 0.95 J AND J ROOF REPAIR AND INSTALLATION CENTRAL LAKE 5702917A 750 4/13/2018 5551 ON TIME EXPRESS INC CENTRAL LAKE 2678683A 1,437 6/8/2018 8810 0.95 CORNERSTONE ROOFING & SIDING CERESCO 0013498A 750 5/23/2018 5551 DALES DONE RIGHT ROOFING LLC CERESCO 2844710A 750 6/19/2018 5551 ACKERT PLUMBING LLC CHARLEVOIX 3369919A 654 4/12/2018 5183

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALBERT L SHINDORF BUILDERS INC CHARLEVOIX 1749668A 750 5/5/2018 5645 0.95 BEAVER ISLAND BOAT COMPANY CHARLEVOIX 2018420A 26,789 6/2/2018 7350 0.74 CAPITOL CITY SKYDIVING INC CHARLEVOIX 5572894A 529 6/11/2018 7422 CHARLEVOIX COTTAGE CARE INC CHARLEVOIX 2056755A 2,490 5/17/2018 0042 1.00 CHARLEVOIX MOTORS INC CHARLEVOIX 1843079A 1,001 6/27/2018 8395 0.95 CONQUEST BUILDERS INC CHARLEVOIX 5720150A 1,265 5/26/2018 5645 ED BOGARTS ROOFING & SIDING CHARLEVOIX 4096754A 750 5/3/2018 5551 HABEL TRANSPORTATION INC CHARLEVOIX 3452891A 4,844 4/4/2018 7208 MARTINS MARKET LLC CHARLEVOIX 5720990A 716 6/1/2018 8033 NORTHERN MICHIGAN EVENTS LLC CHARLEVOIX 3928756A 258 5/25/2018 8742 RAMSEY KEITH R CHARLEVOIX 5707501A 1,850 4/22/2018 7380 GOLDEN DAYS II CHARLOTTE 0755150A 2,086 6/1/2018 9053 1.00 GREG GALBREATH CONSTRUCTION LLC CHARLOTTE 5156475A 751 6/21/2018 8810 HARAG MATTHEW M CHARLOTTE 0425583A 750 6/30/2018 5476 INSIGHT INV GROUP LLC CHARLOTTE 5727154A 750 6/27/2018 5645 M DYBAS & ASSOCIATES LLC CHARLOTTE 4910648A 672 6/9/2018 4511 MPD ENTERPRISES INC CHARLOTTE 2813491A 750 4/28/2018 7208 NAGEL BROTHERS LLC CHARLOTTE 5726395A 800 6/23/2018 5551 BEILFUSS MARCIA CHASE 3795683A 275 6/24/2018 8742 BRUCE DIETEL WELDING CHASE 1358685A 825 4/14/2018 3365 CAM MILLER EXCAVATING LLC CHASE 3231550A 825 6/6/2018 6217 GAGNON JASON CHASSELL 5310849A 268 4/9/2018 8601 IRON HORSE RESTAURANT AND BAR TWO LLC CHASSELL 4881109A 496 4/15/2018 9058 1.05 NIEMELA LEVI CHASSELL 5407818A 750 5/27/2018 2702 PRICE LOGGING INC CHASSELL 3853381A 1,058 5/28/2018 0128 0.95 USITALO TRUCKING INC CHASSELL 5415330A 800 6/18/2018 7208 BLACK RIVER SAND & GRAVEL LLC CHEBOYGAN 4224736A 5,410 5/27/2018 6217 0.90 BROWN BUILDERS INC CHEBOYGAN 5540976A 3,056 4/4/2018 5645 0.95 BUNDLING BANDITS LLC CHEBOYGAN 5711266A 826 5/2/2018 2731 CHEBOYGAN HOUSING COMMISSION CHEBOYGAN 0790826A 1,440 4/8/2018 9015 0.95 GARY ST AMOUR TIMBER HARVESTING CHEBOYGAN 0656739A 1,856 5/25/2018 2702 0.95 JOINT ADMINISTRATION FIRE BOARD INVERNESS CHEBOYGAN 1124730A 2,219 6/1/2018 7904 0.95 FIRE DEPT REINHARDT JAHN CHEBOYGAN 0501891A 646 6/29/2018 9015 RULE 56 LLC CHEBOYGAN 2809230A 3,080 5/1/2018 9058 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge UP NORTH ASSESSING INC CHEBOYGAN 5712661A 466 5/8/2018 8720 ARBOR CARE TREE SURGEONS INC CHELSEA 3944433A 6,499 6/27/2018 0106 1.30 13 % CAVANAUGH LAKE ESTATES DEVELOPMENT CHELSEA 2675463A 750 4/1/2018 0042 COMPANY FLOORING CONSULTANTS OF MICHIGAN LLC CHELSEA 5489440A 268 6/1/2018 8601 GATEWAY RESTORATION INC CHELSEA 4732111A 4,496 4/6/2018 9015 0.89 HOMEOWNER SERVICES OF MICHIGAN LLC CHELSEA 2274060A 750 6/19/2018 5645 0.95 LEKREM ASSOCIATES LLC CHELSEA 0916552A 750 5/25/2018 5403 QUALITY LAWN INC CHELSEA 3487580A 2,531 4/1/2018 9102 1.00 RICK VANS STUMP REMOVAL CHELSEA 4998421A 2,178 6/28/2018 0106 1.00 SCHILLER GERALD CHELSEA 5697379A 1,648 4/11/2018 0913 CHESANING CONSTRUCTION SERVICES INC CHESANING 1685147A 750 4/16/2018 5551 LUNDY TIM CHESANING 5700612A 750 4/8/2018 5403 RADHA RITU LLC CHESANING 0257125A 455 4/10/2018 9052 SAGINAW COUNTY AGRICULTURAL SOCIETY CHESANING 0014362A 659 5/1/2018 9015 TFH DESIGN LLC CHESANING 4904567A 2,043 4/4/2018 5645 0.95 ALL SEASON SITE DEVELOPMENT LLC CHESTERFIELD 5564450A 1,267 6/3/2018 5610 ALS LANDSCAPING CHESTERFIELD 5545609A 719 4/14/2018 9102 ANCHOR BAY SERVICES LLC CHESTERFIELD 5414725A 825 6/17/2018 0042 C AND G EXCAVATING SERVICES INC CHESTERFIELD 3744230A 1,944 5/3/2018 6217 1.00 CHRIS FORMANCZYK CUSTOM CARPENTRY INC CHESTERFIELD 2850320A 753 6/2/2018 5445 CLEAR SKYS INC CHESTERFIELD 4357540A 1,606 5/18/2018 8601 0.95 CLIMATE PROS INC CHESTERFIELD 4602021A 800 6/22/2018 5550 DIE AND SLIDE TECHNOLOGIES INC CHESTERFIELD 4352157A 566 5/31/2018 8810 DITTMAN TREE SERVICE INC CHESTERFIELD 3902790A 4,092 6/10/2018 0042 0.94 DTE CUSTOM CARPENTRY CHESTERFIELD 3935019A 23,356 4/5/2018 5645 1.79 13 % FISHER ELECTRIC LLC CHESTERFIELD 4860560A 1,351 4/15/2018 5190 0.95 GARY PRINDLE LLC CHESTERFIELD 4205111A 544 4/12/2018 5190 GENERAL TREE SERVICE & LANDSCAPING INC CHESTERFIELD 5712777A 7,472 5/12/2018 0042 GREENWOOD CUSTOM STAIRS INC CHESTERFIELD 4967259A 1,408 6/17/2018 5437 1.29 13 % HIRE A WIFE LLC CHESTERFIELD 5062861A 1,631 4/22/2018 8835 0.95 IRON HORSE ASPHALT TRUCKING LLC CHESTERFIELD 2402416A 750 4/17/2018 7208 J SAF CONTRACTING INC CHESTERFIELD 3899160A 825 5/24/2018 8810 KELJER PROPERTIES LLC CHESTERFIELD 5564662A 750 5/20/2018 5645 LUBINSKI ELECTRIC INC CHESTERFIELD 3513718A 649 6/22/2018 8810

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MARRS CORPORATION CHESTERFIELD 1696017A 16,264 6/28/2018 5645 0.86 MCVEIGH PAINTING LLC CHESTERFIELD 0001058A 750 6/1/2018 5476 MI ELECTRIC COMPANY CHESTERFIELD 4220455A 544 5/18/2018 5190 NEW AGE RENOVATIONS CHESTERFIELD 5185157A 750 6/1/2018 5645 NEW CONSTRUCTION INC CHESTERFIELD 2556928A 1,266 6/26/2018 5221 0.95 OUT SIDE THE BOX SHOES INC CHESTERFIELD 5714575A 2,435 6/10/2018 8008 RESTORYOURHOME INC CHESTERFIELD 5724147A 750 6/14/2018 5437 ROSEVILLE ICE CREAM LTD CHESTERFIELD 2137372A 366 5/1/2018 8017 S AND S PIZZERIA INC CHESTERFIELD 4905873A 2,664 5/2/2018 9058 0.95 SUBURBAN TRANSIT INC CHESTERFIELD 3068730A 6,143 5/6/2018 7220 0.90 TACHYON CORPORATION CHESTERFIELD 0594997A 5,282 4/1/2018 3628 0.95 TMC HOMES LLC CHESTERFIELD 4777778A 750 6/11/2018 5437 TRANCHIDA STEPHEN CHESTERFIELD 5150221A 750 6/7/2018 5348 TROYS OUTDOOR SERVICES LLC CHESTERFIELD 2764350A 750 4/19/2018 6400 ULTIMATE LAWN SERVICES LLC CHESTERFIELD 4782089A 1,781 5/4/2018 9102 0.95 UNITED RESIDENTIAL CARE SERVICES LLC CHESTERFIELD 5415276A 2,165 6/18/2018 8829 0.95 VALENTI CONSTRUCTION LLC CHESTERFIELD 5113644A 825 5/14/2018 5645 AMERICAN GENERAL SERVICES LLC CHESTERFIELD TWP 5407583A 913 5/27/2018 5462 RENAISSANCE RESOURCES INC CHICAGO, IL 3723194A 903 4/6/2018 2041 0.95 STONES THROW BUILDERS LLC CHICAGO, IL 5095476A 1,091 6/14/2018 5606 0.95 UNITED STATES HOCKEY LEAGUE INC CHICAGO, IL 5254825A 930 5/5/2018 9015 J AND L BUILDING MAINTENANCE INC CHICAGO RIDGE, IL 5464455A 3,649 4/17/2018 5476 0.95 KARAS PLUMBING LLC CHINA 5709784A 1,111 5/1/2018 5183 TIMBERS TREE SERVICE INC CHINA TWP 4719646A 13,297 6/15/2018 0106 0.84 MUNISING WATER SPORTS INC CHRISTMAS 5559260A 648 5/19/2018 9015 AKKO FASTENER INC CINCINNATI, OH 5719550A 681 5/26/2018 8742 INTEGRATED CONSTRUCTION SERVICES INC CINCINNATI, OH 5570700A 13,807 6/22/2018 7600 OFFICIAL INVESTIGATIONS & SECURITY CINCINNATI, OH 5363969A 450 6/1/2018 7720 SERVICES INC PROLINK RESOURCES LLC CINCINNATI, OH 5111897A 10,084 5/11/2018 6204 1.38 13 % STEP CG LLC CINCINNATI, OH 5569230A 428 6/2/2018 8742 PADDLEHEAD INC CLARE 0802018A 1,662 6/14/2018 8017 0.95 SARGENT SENIOR SERVICES LLC CLARE 5558239A 637 5/10/2018 8835 SUPERIOR ROOFING SYSTEMS LLC CLARE 5716179A 750 5/25/2018 5551 ZIEHM LP GAS SALES & SERVICE INC CLARE 0091561A 17,280 4/14/2018 8350 0.72

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CRAFTSMAN WORKSHOP CLARK LAKE 1345850A 750 4/21/2018 5645 HILLTOP CONTRACTING INC CLARK LAKE 2881985A 750 6/28/2018 5645 1.00 KS CUSTOM INSTALLATION & SERVICE INC CLARK LAKE 2647850A 2,103 6/24/2018 8232 0.95 WYSE TRUCKING CLARK LAKE 4341554A 800 5/1/2018 7208 0.95 AL SHEIKH INC CLARKSTON 2124670A 780 6/22/2018 8017 0.95 ALLSTATE SEALCOATING LLC CLARKSTON 5572622A 750 6/11/2018 5221 ALWAYS SHARP LLC CLARKSTON 4745302A 1,256 4/10/2018 9102 0.95 ARMS LENGTH LAWN CARE CLARKSTON 4985060A 3,152 6/11/2018 9102 0.95 ASTRO CONSTRUCTION INC CLARKSTON 2401207A 800 4/23/2018 5645 CASSAVOY NORMAN BRUCE CLARKSTON 0622192A 554 4/11/2018 9521 CERNIGLIA JOHN CLARKSTON 5720931A 343 6/1/2018 8601 CLASSIC TOUCH PAINTING LLC CLARKSTON 3784940A 751 5/1/2018 5476 0.95 CMG TREE CARE INC CLARKSTON 5716128A 750 5/13/2018 0106 COLE LAKE SERVICE CO CLARKSTON 0520470A 2,897 5/21/2018 6400 0.95 CUSTOM CARPETS CLARKSTON 1978853A 554 4/28/2018 9521 DEALER CONCEPTS LLC CLARKSTON 3416402A 550 4/22/2018 8810 DETROIT GARAGE SOLUTIONS LLC CLARKSTON 5111846A 750 5/26/2018 5437 DYNAMIC PAINTING II INC CLARKSTON 5727030A 2,247 6/21/2018 5476 EAST AND WEST SIDE LLC CLARKSTON 5719810A 1,862 5/25/2018 9015 EDWARD F VANDEVELDER INC CLARKSTON 2113104A 750 6/10/2018 0042 0.95 ELITE AUDIO VIDEO LLC CLARKSTON 5223938A 1,768 5/18/2018 9519 EVENT SPECIALIST GROUP LLC CLARKSTON 4974891A 479 4/1/2018 8810 INDUSTRIAL STEAM CLEANING INC CLARKSTON 5435102A 800 6/15/2018 3724 0.91 IRONS PLUMBING CLARKSTON 4516320A 1,238 4/19/2018 5183 0.95 JP LAWN SPRINKLERS INC CLARKSTON 0699390A 3,437 4/6/2018 5183 0.93 LAKESIDE CLEAN LLC CLARKSTON 5704723A 1,004 4/24/2018 9015 LAW OFFICE OF JOHN D MULVIHILL PLLC CLARKSTON 3929825A 234 5/27/2018 8820 MCCLURE HOME IMPROVEMENT CLARKSTON 5578809A 800 5/3/2018 5645 MEINECKE DAVID A CLARKSTON 1899236A 750 5/28/2018 5645 MERK CONSTRUCTION LLC CLARKSTON 0453854A 1,064 5/2/2018 5022 MIJANGOS PAINTING CLARKSTON 4348265A 750 4/17/2018 5476 MILLENIUM PRODUCTS INC CLARKSTON 5276195A 420 5/30/2018 8742 MMCPS INC CLARKSTON 2634112A 825 4/22/2018 5476 NORTH OAKS ANIMAL HOSPITAL PLLC CLARKSTON 3294072A 1,767 4/16/2018 8831 1.00 ON FERTILE GROUND LLC CLARKSTON 5274362A 750 5/20/2018 0042 1/2/2018 8:13:07 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 PALLOTTA HEATING & COOLING LLC CLARKSTON 4159730A 751 6/21/2018 5550 RIVERHOUSE BOATHOUSE CONDOMINIUM CLARKSTON 1968092A 750 6/28/2018 6826 ASSOCIATION ROBERTSON COMMERCIAL CONSTRUCTION CLARKSTON 2069989A 1,010 4/9/2018 5606 SERVICES INC SEACO SPECIAL TOOLING INC CLARKSTON 0644510A 532 4/15/2018 8742 0.95 SUSANS WORLD PAINTING INC CLARKSTON 5569435A 750 6/3/2018 5476 TEETER CONSTRUCTION LLC CLARKSTON 5228832A 750 4/21/2018 5645 TERRY MARTIN ENTERPRISES INC CLARKSTON 4578554A 500 4/1/2018 7720 VILLAGE TREE SERVICE LLC CLARKSTON 4857445A 1,193 5/11/2018 0106 0.95 WILHELM CUSTOM HOMES INC CLARKSTON 4282043A 800 6/24/2018 5645 DAGGETT GRANT CLARKSVILLE 5546397A 750 4/15/2018 5437 GILBERT BERGERON CARPENTRY CLAWSON 4197275A 750 4/25/2018 5437 RAGGEDY ANNE HOUSE LLC CLAWSON 0729531A 402 4/24/2018 8869 REYNOLDS LAWN CARE CLAWSON 5121868A 1,115 6/28/2018 9102 SIGNATURE TRANSPORTATION SERVICES LLC CLAWSON 5712068A 9,506 5/6/2018 7212 SOLUTIONS CARPET & UPHOLSTERY CARE LLC CLAWSON 4207874A 646 4/19/2018 9015 AFFORDABLE FENCING CLAY 5721130A 750 6/1/2018 6400 APPLIED PROJECT SOLUTIONS LLC CLAY 4979613A 268 4/26/2018 8601 BATES CARPENTRY CLAY 5725933A 800 6/13/2018 5437 CARLS CONSTRUCTION LLC CLAY 5718872A 750 5/23/2018 5645 GREGS DOCKSIDE MARINE SERVICE LLC CLAY 5725917A 516 6/22/2018 6834 RENOWN RENOVATIONS LLC CLAY 5143527A 8,527 5/15/2018 5645 0.94 RPC CONSTRUCTION SERVICES CLAY 1611801A 800 5/10/2018 5476 0.95 RYDAN CONSTRUCTION & RESTORATION LLC CLAY 5100224A 750 6/15/2018 5645 SKYLINE GLASS LLC CLAY 5715490A 2,498 5/12/2018 5403 TOM PHILLIP HOMES INC CLAY 0104582A 819 6/8/2018 8742 0.95 YAROCH ELECTRIC LLC CLAY 4392604A 807 5/9/2018 5190 NEW WORLD CONSTRUCTION CLAY TWP 3163571A 750 6/11/2018 5551 LEOS METAL & WOOD INC CLAYTON 4337506A 752 4/21/2018 2759 OHIO ADDRESSING MACHINE COMPANY CLEVELAND, OH 5118034A 426 4/4/2018 8742 ALBERTSON FARMS LLC CLIFFORD 0615714A 1,548 5/5/2018 0128 BURLINGTON TOWNSHIP CLIFFORD 0006483A 1,128 5/24/2018 7904 0.95 F SCHOEN TRUCKING LLC CLIFFORD 3917452A 4,692 4/16/2018 7208 0.92 STORM TRUCKING LLC CLIFFORD 4072545A 750 5/20/2018 7208

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PRODIGY ELECTRIC INC CLIMAX 0552313A 545 6/5/2018 5190 BLUE WATER CARPENTRY INC CLINTON 1248480A 750 5/19/2018 5645 FAIRBANKS DOUGLAS CLINTON 5579864A 750 6/25/2018 5476 KEMPHER CONSTRUCTION COMPANY INC CLINTON 1740229A 750 4/17/2018 6217 T NORTON PAINT SERVICE CLINTON 5383501A 2,772 5/11/2018 5476 0.95 ABT AUTO CLINTON TWP 5716101A 472 5/13/2018 8748 ACCU RIG INDUSTRIAL SERVICES LLC CLINTON TWP 4177169A 825 6/10/2018 3724 0.95 ALAS TRANSPORTATION LLC CLINTON TWP 5283884A 750 6/25/2018 7208 ALL AROUND HOME & COMMERCIAL SERVICES CLINTON TWP 5702160A 1,005 4/12/2018 9102 LLC AM TILE & MARBLE INSTALLATION LLC CLINTON TWP 5154138A 751 6/14/2018 5348 AMERICAN INK USA PRINTING & GRAPHICS INC CLINTON TWP 5006163A 778 6/8/2018 4299 0.95 ANWILL CONSTRUCTION LLC CLINTON TWP 5415373A 750 6/18/2018 5645 BEXCO SERVICES CLINTON TWP 3196186A 1,328 4/12/2018 0042 BLUE WATER RENOVATION LLC CLINTON TWP 4881346A 825 6/6/2018 5476 0.95 BRAND NEW DETROIT LLC CLINTON TWP 5125448A 800 4/13/2018 5476 BRAVO LOGISTICS LLC CLINTON TWP 4723678A 29,496 6/20/2018 7208 0.71 BROWN RYAN CLINTON TWP 3917487A 555 6/15/2018 9521 D AND W CONCRETE WALLS & FOUNDATIONS INC CLINTON TWP 2940710B 4,981 4/28/2018 5215 0.95 DENNIS BUILDING SERVICES INC CLINTON TWP 0889962A 800 6/19/2018 5437 0.95 DETAIL ORIENTED LLC CLINTON TWP 5707560A 750 4/22/2018 5437 DETROIT STAFFING SOLUTIONS LLC CLINTON TWP 5284236A 4,265 6/20/2018 7720 DREAM WORK HOME IMPROVEMENT CLINTON TWP 5710588A 750 5/16/2018 5645 DREAMWORKS INTERIORS LLC CLINTON TWP 5715105A 750 5/11/2018 5403 E C TRANSPORT INC CLINTON TWP 5280320A 750 6/13/2018 7208 EASTSIDE METALS LLC CLINTON TWP 5326583A 1,591 5/2/2018 8264 FACILITIES SECURITY MANAGEMENT INC CLINTON TWP 5725631A 4,361 6/29/2018 7720 GAD HOMES INC CLINTON TWP 4028082A 750 5/2/2018 5645 HENLEY SERVICES CLINTON TWP 5711819A 236 5/3/2018 8742 INNOVATIVE HOME REPAIR LLC CLINTON TWP 5402808A 750 5/8/2018 5437 J AND N CARPET INSTALLATION INC CLINTON TWP 1977628A 751 6/15/2018 9521 JUST GUTTERS & SHEET METAL INC CLINTON TWP 3178072A 750 4/22/2018 5538 KENNIS AND PROVA LLC CLINTON TWP 4630963A 9,561 5/27/2018 7720 0.85 KIDS LEARNING CENTER LLC CLINTON TWP 5269040A 254 5/9/2018 8868 KMB SERVICES LLC CLINTON TWP 5700043A 825 4/10/2018 6325

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LIGHTKEEPERS RENTAL SERVICES LLC CLINTON TWP 5581958A 647 6/8/2018 9015 LILLA AND ASSOCIATES PC CLINTON TWP 4382684A 247 5/13/2018 8803 LOW VOLTAGE SYSTEMS L C CLINTON TWP 5393701A 339 4/4/2018 5191 MACOMB OAKLAND GUARDIANSHIP INC CLINTON TWP 2114950A 381 5/4/2018 8820 MGB CONSULTING GROUP INC CLINTON TWP 5719569A 295 5/11/2018 8810 MICHIGAN FLOORING LLC CLINTON TWP 5296137A 1,346 4/22/2018 5348 MODERN LNG CONSTRUCTION LLC CLINTON TWP 5560926A 8,720 5/18/2018 5645 MODERN TILE CREATIONS LLC CLINTON TWP 4211936A 750 4/29/2018 5348 MORAVIAN WOODS ASSOCIATION CLINTON TWP 1244370A 696 4/1/2018 9015 MPJK LLC CLINTON TWP 5277868A 801 6/6/2018 5445 MWV ENVIRONMENTAL SERVICES INC CLINTON TWP 5553784A 2,155 5/1/2018 5183 NJ CONSTRUCTION CLINTON TWP 5714907A 750 5/11/2018 5645 OBRIEN BUILDING CO INC CLINTON TWP 5555000A 825 5/3/2018 5645 OMEGA TECHNICAL LLC CLINTON TWP 4518950A 3,164 6/13/2018 9060 ONEAL LANDSCAPING LLC CLINTON TWP 5416183A 999 6/20/2018 0042 PRECISION CONTRACTING INC CLINTON TWP 3828581A 800 4/22/2018 5403 PREMIUM FLOORS LLC CLINTON TWP 1278312A 750 4/15/2018 5437 0.95 PRIME TV LLC CLINTON TWP 4874790A 1,113 6/2/2018 8810 0.95 R AND R POWERWASH CLINTON TWP 4047869A 646 6/17/2018 9015 RAY SPORTS LLC CLINTON TWP 5128986A 679 5/8/2018 9058 REDESIGN CLINTON TWP 5706785A 750 4/20/2018 5437 ROBI TRUCKING LLC CLINTON TWP 5410940A 750 6/8/2018 7208 0.95 RT INSTALLATIONS LLC CLINTON TWP 4329597A 750 4/4/2018 9015 RYAN OAKES CONSTRUCTION LLC CLINTON TWP 4932080A 750 5/18/2018 5437 S AND F ENTERPRISES LLC CLINTON TWP 3497712A 4,949 5/9/2018 9058 0.87 S AND K GROUP LLC CLINTON TWP 0712035A 53,763 6/1/2018 4484 1.12 S MANSOUR INC CLINTON TWP 4762908A 1,733 6/18/2018 9058 0.95 SCOTT CONSTRUCTION & MECHANICAL LLC CLINTON TWP 0831832A 750 6/8/2018 5550 SELECTIVE MARINE SERVICES CLINTON TWP 4868846A 628 5/11/2018 6836 SOUND WAVES INC CLINTON TWP 3963608A 1,120 5/5/2018 8387 0.95 STEADY EDDIES HOME IMPROVEMENTS LLC CLINTON TWP 4326903A 750 6/24/2018 5645 SUNFLOWER LANDSCAPE AND DESIGN LLC CLINTON TWP 4744993A 4,015 6/24/2018 0042 0.95 TORCH DEVELOPMENT LLC CLINTON TWP 2644789A 362 5/5/2018 8810 0.95 TORRE AND BRUGLIO INC CLINTON TWP 0121460A 800 5/3/2018 0042 1.54 27 % US ENVIRONMENTAL & INFRASTRUCTURE LLC CLINTON TWP 5539900A 1,585 4/20/2018 5221 0.95 1/2/2018 8:13:07 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 VANI 13 LLC CLINTON TWP 5719585A 654 5/25/2018 5183 VANNESTE PLUMBING LLC CLINTON TWP 5381304A 3,548 6/29/2018 5183 VAP ELECTRIC LLC CLINTON TWP 5556872A 544 5/7/2018 5190 WILLIAM D LISTERMAN INC CLINTON TWP 1241699A 371 5/18/2018 8742 WIND SURF AND SAIL POOLS INC CLINTON TWP 1858343A 18,648 6/6/2018 5183 0.83 ALKAY CONTRACTING SERVICES LC CLIO 4205073A 1,547 4/14/2018 8829 0.95 AUTO CITY SPEEDWAY INC CLIO 0848026A 752 4/25/2018 9058 CMG AMERICA INC CLIO 5089336A 2,121 5/31/2018 8107 0.95 CUSTOM CONCRETE DESIGN LLC CLIO 5695660A 750 5/11/2018 5221 DAP DESIGN AND CONSTRUCTION LLC CLIO 5559022A 2,543 6/2/2018 5645 DAVIDSON ENTERPRISES INC CLIO 1811550A 1,012 5/10/2018 9058 0.95 HARMONY HOME SERVICES CLIO 4094883A 750 5/30/2018 5437 JD HOME IMPROVEMENT CLIO 5417791A 1,776 6/23/2018 5645 SMART GRID SOLUTIONS LLC CLYDE 3274179A 318 5/17/2018 8601 ALL WEATHER GUTTER SYSTEMS COHOCTAH 3302580A 800 4/27/2018 5538 A ONE HOMES & DEVELOPMENT LLC COLDWATER 3834883A 410 5/5/2018 8742 BAKERS LAWN CARE LLC COLDWATER 4472659A 2,782 5/20/2018 9102 0.95 BROADHEADS AND BULLETS LLC COLDWATER 5222052A 965 6/1/2018 8010 DIVINE GROUP LLC COLDWATER 5555680A 2,368 5/6/2018 9053 EXTREME EXTERMINATING LLC COLDWATER 5278767A 647 5/5/2018 9015 FRAME WORKS LLC COLDWATER 5185840A 18,074 6/17/2018 5645 1.38 27 % GST LOGISTICS LLC COLDWATER 5721911A 750 6/6/2018 7208 LOAD N GO TRUCKING LTD COLDWATER 4812972A 752 4/21/2018 8810 0.83 NICHOLS ACCOUNTING & TAX SERVICE LLC COLDWATER 1230239A 304 5/24/2018 8810 C M RUBBER TECHNOLOGIES INC COLEMAN 4556402A 904 4/14/2018 7218 1.50 13 % MOORE ROBERT COLEMAN 2502763A 750 6/20/2018 5403 ONWELLER CHRIS COLEMAN 5290554A 750 6/23/2018 2702 ROBERTS AUTO ENTERPRISES INC COLEMAN 1414151A 1,884 4/30/2018 8395 1.00 BERRYS HARDWOOD FLOORING INC COLOMA 1769006A 755 6/29/2018 8742 0.95 DIBBLE RICHARD COLOMA 0886491A 1,020 6/20/2018 6229 0.95 PRECISION CUTZ LLC COLOMA 5555523A 2,269 5/12/2018 9102 ATLAS MOBILITY LLC COLON 5726662A 1,272 6/24/2018 7212 BOWERS SERVICE LLC COLON 0734373A 834 6/2/2018 8395 0.95 FRISBIE LOREN COLON 3974995A 634 5/10/2018 0129 BLACK FOREST WOODWORKING LLC COLUMBIAVILLE 4350987A 750 5/26/2018 5437 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 33 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CEDAR WOODS & ASSOCIATES LLC COLUMBIAVILLE 5722128A 800 6/3/2018 5645 FIRST CHOICE RV REPAIR LLC COLUMBIAVILLE 3547086A 1,510 5/3/2018 8393 MARKS TREE SERVICE LLC COLUMBIAVILLE 3213501A 750 4/22/2018 0106 MICHAEL BAIER CONSTRUCTION COLUMBIAVILLE 3349233A 750 5/18/2018 5645 R A L PLUMBING LTD COLUMBIAVILLE 4729668A 776 5/21/2018 5183 0.95 RONNIE BRASHER DRYWALL LLC COLUMBIAVILLE 0203610A 800 5/31/2018 5445 TOTAL PACKAGE DRYWALL INC COLUMBIAVILLE 5185254A 825 5/27/2018 5445 BARTHELMAS NED K AND JANE L COLUMBUS, OH 3209903A 1,576 6/15/2018 0909 0.95 HURON LADY II INC COLUMBUS 4876237A 341 6/24/2018 8810 JD MODRICH STAFFING INC COLUMBUS 4098366A 3,890 5/9/2018 8829 0.95 RICHMOND MACHINE AND ENGINEERING INC COLUMBUS 1038630A 753 4/23/2018 8810 AMAZING EVENTS COMMERCE 5413516A 646 6/13/2018 9015 MERIDIAN CONTRACTING AND EXCAVATING LLC COMMERCE 5539986A 6,816 4/1/2018 4000 0.95 MLG CONTRACTORS COMMERCE 4152123A 750 6/23/2018 5437 PRECISION PAINTING COMMERCE 0208264A 750 4/20/2018 5476 SEDONA STONE & TILE LLC COMMERCE 5553288A 751 4/27/2018 5348 SIMCOR CONSTRUCTION INC COMMERCE 0100498A 754 4/12/2018 8810 STANTS INSURANCE GROUP INC COMMERCE 5547270A 251 5/1/2018 8810 TREE HUGGERS LLC COMMERCE 5726832A 750 6/24/2018 0106 PAINTING BY EDWARD COMMERCE TS 3096815A 750 6/25/2018 5476 AQUA FLAME LLC COMMERCE TWP 1189409A 851 6/9/2018 5550 ARTISTIC TILE AND STONE INC COMMERCE TWP 5095514A 825 6/16/2018 5348 0.95 BPH DEVELOPMENT INC COMMERCE TWP 5269695A 750 5/10/2018 5645 BROWNS CARPENTRY COMMERCE TWP 0992771A 800 5/11/2018 5437 CL HOMES INC COMMERCE TWP 4215354A 750 5/6/2018 5183 COMET SERVICES LLC COMMERCE TWP 3568075A 750 5/18/2018 5223 DB HOME SOLUTIONS LLC COMMERCE TWP 4977122A 750 4/11/2018 5437 EYECARE OF LIVONIA PLLC COMMERCE TWP 5558158A 324 5/10/2018 8832 FRANCHISE MANAGEMENT SERVICES LLC COMMERCE TWP 5403316A 895 5/9/2018 8017 JOHN H STRINE BUILDING CO COMMERCE TWP 2263963A 750 5/18/2018 5183 LEAVE IT TO LAUREN LLC COMMERCE TWP 5393302A 248 4/3/2018 8742 MACRAE MARTIN COMMERCE TWP 5712009A 750 5/4/2018 5437 MICHIGAN INDUSTRIAL SHROUD CLEANING LLC COMMERCE TWP 4091345A 800 6/10/2018 3724 POWERTEL LLC COMMERCE TWP 3628060A 343 4/26/2018 8601 0.95 RC PLASTERING LLC COMMERCE TWP 5158567A 750 6/27/2018 5480 1/2/2018 8:13:07 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 REESE CONTRACTING INC COMMERCE TWP 4231651A 2,428 6/24/2018 9015 0.90 RTS PIZZA & RIBS LLC COMMERCE TWP 5721202A 1,529 6/2/2018 9058 SPORTS AROUND TOWN INCORPORATED COMMERCE TWP 2700310A 646 6/25/2018 9015 STARLER STAFFING INC COMMERCE TWP 5559790A 1,015 5/12/2018 8601 STORM TAEKWONDO LLC COMMERCE TWP 5563054A 784 5/17/2018 9063 ZAMORA CONSTRUCTION LLC COMMERCE TWP 4338898A 750 4/25/2018 5551 B NYE MASONRY LLC COMSTOCK PARK 5708648A 750 4/29/2018 5022 JUNK MAN THE COMSTOCK PARK 4862864A 800 6/22/2018 8264 0.95 PLATINUM CONSTRUCTION & ASSOCIATES INC COMSTOCK PARK 2959348A 802 6/14/2018 8810 0.95 POSEIDON POOL SERVICE LLC COMSTOCK PARK 5540925A 3,025 4/4/2018 5223 0.95 STERLEY LEROY COMSTOCK PARK 5415209A 2,863 6/19/2018 5645 0.95 CREAGER CONSTRUCTION CONKLIN 5688779A 750 4/1/2018 5645 JUNIORS DRYWALL LLC CONKLIN 4686241A 751 6/8/2018 5445 SIX MILE AUTO PARTS LLC CONKLIN 5066484A 1,305 5/18/2018 3821 WILLIAMS ELECTRIC LLC CONKLIN 5421845A 645 4/14/2018 5190 SETH M HALL INC CONSTANTINE 5397960A 1,394 4/20/2018 9521 0.95 TAYLOR CONSTRUCTION CONSTANTINE 4274563A 750 5/23/2018 5551 0.95 GLOBAL DIAGNOSTIC SERVICES INC CONYERS, GA 4697804A 362 4/23/2018 8832 AG CONSTRUCTION COOPERSVILLE 5011620A 750 4/14/2018 5645 BAUSTERT CONSTRUCTION LLC COOPERSVILLE 4357400A 555 6/12/2018 9521 CURRENT VENTURE CONTRACTING COOPERSVILLE 5392799A 750 6/1/2018 8810 L P TREE SERVICE LLC COOPERSVILLE 4063694A 1,030 5/3/2018 9402 0.95 MARKS CHRISTOPHER COOPERSVILLE 5726360A 1,942 6/26/2018 7208 NEW LIFE TRUCK SALES LLC COOPERSVILLE 4625137A 3,395 6/13/2018 8395 NIELSEN BUILDERS INC COOPERSVILLE 0347361A 750 4/7/2018 5645 OTTAWA CUSTOM HOMES LLC COOPERSVILLE 3066894A 750 5/18/2018 8810 TREEWORKS INC COOPERSVILLE 3625060A 11,565 5/28/2018 0042 0.87 ALL BRIGHT PRESSURE WASHING INC COPEMISH 4783948A 916 5/11/2018 9015 MILARCH OUTDOOR SERVICES LLC COPEMISH 5727812A 2,230 6/30/2018 0106 PS CONSTRUCTION GROUP LLC COPLEY, OH 5481945A 2,546 4/6/2018 5403 COPPER HARBOR TRAILS SOCIETY INC COPPER HARBOR 4543149A 260 6/1/2018 8810 ALBERTA ADAM CORAL 5707226A 751 4/21/2018 5445 SIMON BUILDERS CORAL 4011066A 875 4/4/2018 5645 1.00 R AND H LOGGING INC CORNELL 3498395A 752 5/24/2018 8810 CURB APPEAL PROPERTY MAINTENANCE LLC CORUNNA 1250035A 750 5/14/2018 5645 0.93 1/2/2018 8:13:07 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 MRI EXPRESS LLC CORUNNA 4942680A 5,193 6/23/2018 7208 0.91 NUMERICH TIMOTHY CORUNNA 3925625A 800 6/13/2018 5645 WILLIAM MILLS CONSTRUCTION CORUNNA 2181185A 750 5/28/2018 5437 MARINE CITY AVIATION INC COTTRELLVILLE 4642139A 1,059 6/27/2018 7423 0.95 WINNERS CIRCLE BAR INC COTTRELLVILLE 0198986A 560 6/4/2018 9058 A J COOPER CORPORATION CROSWELL 2693909A 728 5/11/2018 6836 BENS MIGHTY MOLE CROSWELL 5706750A 1,170 4/20/2018 6325 RL SHELL TRUCKING CROSWELL 2566117A 2,264 6/28/2018 7208 0.87 BRIAN CAROLLO TRUCKING LLC CRYSTAL FALLS 5409950A 750 6/5/2018 7208 CHARLES UREN TRUCKING LLC CRYSTAL FALLS 5521211A 750 5/19/2018 7208 MARINOFF RALPH CRYSTAL FALLS 1367811A 750 5/24/2018 7213 U S 2 RENTAL LLC CRYSTAL FALLS 4032110A 679 5/6/2018 8387 CLEMENT WAYNE DAFTER 5715385A 750 5/12/2018 5645 SMART DELIVERIES & TRANSPORTATION LLC DAFTER 5715989A 750 6/1/2018 7208 LAMPINEN LOG AND TILL DAGGETT 4458532A 750 4/30/2018 7208 VERBA DARELL L DAGGETT 0160342A 750 4/10/2018 2702 VERBA JEFF W DAGGETT 0144428A 750 4/10/2018 2702 VERBISKY TRUCKING LLC DAGGETT 3976548A 750 5/13/2018 7208 BASORE INSPECTIONS LLC DANSVILLE 5125421A 390 4/6/2018 8720 BEACHES TANNING 3 LLC DANSVILLE 4886925A 261 6/23/2018 9586 MMI CONSTRUCTION SVC LLC DANVILLE, KY 5720397A 655 5/27/2018 5183 A AND J EXCAVATING INC DAVISBURG 3764710A 750 4/8/2018 6217 ARROWHEAD DISCOUNT TREE SERVICE LLC DAVISBURG 3900991A 750 5/24/2018 0042 BLACKETT DESIGN & DEVELOPMENT DAVISBURG 0945498A 569 6/15/2018 2881 CLARKSTON PAINTING COMPANY LLC DAVISBURG 3938816A 751 5/13/2018 5476 CTM CUSTOM STAIRS & WOODWORKING LLC DAVISBURG 3036570A 750 5/27/2018 5437 MR CLEAN POWERWASHING INC DAVISBURG 3699250A 2,696 5/24/2018 9015 0.95 NANNOSHI HOLDINGS LLC DAVISBURG 5607418A 1,138 5/17/2018 9058 NEW CREATIONS LLC DAVISBURG 5266793A 466 5/7/2018 8001 WAYNES ASPHALT MAINTENANCE DAVISBURG 5289319A 750 6/21/2018 5221 AAA OUTDOOR SERVICES INC DAVISON 4053010A 5,809 6/8/2018 7208 0.95 ALEXANDER WELLPOINT DEWATERING LLC DAVISON 4982924A 654 5/5/2018 5183 ANTHONYS PROFESSIONAL CLEANING SVCS DAVISON 5700183A 549 4/10/2018 8835 BLUE SKY THERAPY SERVICES LLC DAVISON 5631521A 12,186 6/7/2018 8835 C R & R CONSTRUCTION LLC DAVISON 3335380A 750 4/29/2018 5403 1/2/2018 8:13:07 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 CAMPBELL PERSONAL CARE HOME 4 INC DAVISON 5653711A 4,943 5/24/2018 9053 1.05 CENTRAL MICHIGAN CONTRACTING DAVISON 2966883A 750 5/9/2018 5645 COLORFLIP PAINTING LLC DAVISON 5394198A 751 4/8/2018 8810 COMPRO PAINTING LLC DAVISON 5559880A 750 5/16/2018 5476 CREATIVE COATINGS LLC DAVISON 3915204A 750 4/23/2018 5476 DIAMOND EXCAVATING LLC DAVISON 5710545A 6,634 4/29/2018 6217 DYNAMIC HOME SOLUTIONS LLC DAVISON 5404789A 750 5/13/2018 5645 FINER SIDE REMODELING DAVISON 3799158A 3,621 4/22/2018 5645 0.95 FLOORS BY RICKY LLC DAVISON 5700434A 750 4/8/2018 5348 GENESEE COMMUNITY HOSPICE CARE LLC DAVISON 5725275A 548 6/17/2018 8810 GILMAN TILE CO DAVISON 2298775A 750 6/29/2018 5348 H AND D ENTERPRISING INC DAVISON 5354161A 521 4/20/2018 8810 INDUSTRIAL TOOL LLC DAVISON 5149029A 998 6/17/2018 8010 JOHNSTON STONE WORKS INC DAVISON 2253160A 750 4/8/2018 5022 0.95 KALUSH AND SONS DELIVERY LLC DAVISON 4644077A 1,103 5/5/2018 8058 0.95 KENS CONSTRUCTION DAVISON 5149282A 750 6/5/2018 5551 NINE ELEVEN HOME RESTORATION LLC DAVISON 4843010B 750 4/18/2018 5645 PRECISION RECOVERY LLC DAVISON 4703383A 750 5/17/2018 7208 0.94 SCOTTY DOTTY SHORTBREAD COMPANY LLC DAVISON 5406730A 666 5/21/2018 2003 TMY CONSTRUCTION INC DAVISON 4831357A 1,675 5/16/2018 5437 0.95 WHITNEY LAWN SERVICE LLC DAVISON 5545633A 1,184 4/28/2018 9102 WOLVERINE CCTV INC DAVISON 5306817A 338 6/14/2018 5191 R D P CORPORATION DAYTON, OH 1705539A 679 5/28/2018 8742 0.95 AKP RESTAURANT COMPANY DEARBORN 5401844A 1,945 6/17/2018 9058 0.95 ALS PROFESSIONAL LAWN CARE INC DEARBORN 3459462A 1,881 4/14/2018 9102 AMERICAN AIR HVAC INC DEARBORN 5265002A 1,275 4/4/2018 5550 0.95 ANKOUN FLOORING LLC DEARBORN 4256522A 966 5/6/2018 9521 AR CONSTRUCTION SERVICES LLC DEARBORN 5512018A 750 4/28/2018 5645 ARAB AMERICAN LANGUAGE INSTITUTE INC DEARBORN 4556224A 321 6/21/2018 8810 BRIGHT TRANSPORTATION LLC DEARBORN 5171695B 791 6/9/2018 7212 BUDGET ENTERPRISES INC DEARBORN 4408519A 3,627 6/24/2018 9521 0.95 CITY PETROLEUM INC DEARBORN 0402397A 6,101 5/11/2018 8010 1.36 13 % D H S EXPRESS INC DEARBORN 5453631A 750 5/19/2018 7208 DEARBORN 94 TRUCK STOP INC DEARBORN 5715580A 2,928 5/12/2018 8387 DOVER SERVICES INC DEARBORN 4995074A 295 6/18/2018 8810 1/2/2018 8:13:07 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 EASTERN GREAT LAKES WINDOW CLEANING INC DEARBORN 3408280A 1,612 6/28/2018 9015 0.95 EIGHT MILE & MITCHELL INC DEARBORN 5260043C 860 6/11/2018 8017 0.95 FARID M SAAD COMPANY INC DEARBORN 1763504A 2,941 5/13/2018 8006 1.05 FIELDCREW INC DEARBORN 2961024A 346 5/8/2018 7610 FUTURE FLOORING LLC DEARBORN 5574749A 604 6/15/2018 9521 G AND F TRUCKING INC DEARBORN 4989317A 800 5/30/2018 7208 GARRISON SQUARE ASSOCIATES DEARBORN 0998290A 721 5/12/2018 9015 GEMINI TRANSPORT LLC DEARBORN 4166701A 36,598 4/28/2018 7208 0.79 H AND A FLOORING LLC DEARBORN 5560853A 629 5/13/2018 9521 HACHEM EXPRESS INC DEARBORN 5000513A 2,276 5/9/2018 5192 0.95 HALFACRE AND ASSOCIATES DEARBORN 4039637A 3,574 5/16/2018 7720 0.92 HEALTH PLUS EXPRESS INC DEARBORN 5650127A 4,784 6/20/2018 7380 HICON LLC DEARBORN 5692962A 1,052 4/15/2018 9521 JAMMAL FLOORING LLC DEARBORN 5705711A 555 4/21/2018 9521 JAWANI BUILDING & DEVELOPMENT INC DEARBORN 5439680A 3,308 6/10/2018 5437 0.95 KINGS BAKERY LLC DEARBORN 5138906A 981 5/14/2018 8017 0.95 KRG FLOORS LLC DEARBORN 5720494A 1,052 5/27/2018 9521 LAYRITE MASONRY DEARBORN 4087100A 751 5/11/2018 5022 MAD CARPET LLC DEARBORN 5498163A 630 5/31/2018 9521 MAJED A MOUGHNI P L L C DEARBORN 5705665A 379 4/18/2018 8820 MIDWEST 1 INC DEARBORN 5706840A 15,586 5/18/2018 8264 MMM CLEANING LLC DEARBORN 5447100A 916 5/27/2018 9015 NATIONAL FUEL TRANSPORT LLC DEARBORN 5715636A 11,178 6/24/2018 7208 NEZAR TRANSIT LLC DEARBORN 5413176A 750 6/12/2018 7208 NORTHWEST CONSTRUCTION LLC DEARBORN 3920275A 750 4/19/2018 5183 OAKMAN CHILD CARE & DEVELOPMENT LLC DEARBORN 5405335A 476 5/14/2018 8869 OVERNIGHT TRUCKING INC DEARBORN 5700051A 750 4/7/2018 7208 PIRLO FLOORING & DESIGN INC DEARBORN 5131618A 604 4/30/2018 9521 PRECISION TRUCKING LLC DEARBORN 5695503A 781 4/19/2018 7212 RED CAP TRANSPORTATION INC DEARBORN 5415861A 750 6/19/2018 7208 RUDNICKI REMODELING DEARBORN 0877638A 750 5/1/2018 5645 SCALES CARPETING INC DEARBORN 4339622A 604 4/26/2018 9521 SHUKR ALI DEARBORN 2656280A 854 4/21/2018 9521 SIMONES EUROPEAN FASHIONS INC DEARBORN 3730417A 672 5/29/2018 8006 UZNIS HOMES LLC DEARBORN 2004585A 750 6/12/2018 5645 1/2/2018 8:13:07 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 VANS MAIL DELIVERY LTD DEARBORN 0893358A 1,595 5/23/2018 8292 0.95 W HAMMONS TRUCKING INC DEARBORN 4384350A 800 4/6/2018 7208 WAZA CONSTRUCTION LLC DEARBORN 5719860A 750 5/25/2018 5645 YES EXPRESS INC DEARBORN 0537039A 2,424 6/9/2018 8395 0.83 A AND L MASON CONTRACTORS INC DEARBORN HEIGHTS 1852906A 801 4/10/2018 8810 A ONE INC DEARBORN HEIGHTS 3981096A 911 4/25/2018 9521 ALHADI BAKERY INC DEARBORN HEIGHTS 5548527A 1,528 5/4/2018 2003 ALL WAYS HEATING AND COOLING LLC DEARBORN HEIGHTS 5394520A 1,645 4/10/2018 5550 0.95 ASHTON RESTORATION LLC DEARBORN HEIGHTS 5008212A 696 6/10/2018 9015 ATM TOWING SERVICES LLC DEARBORN HEIGHTS 5662125A 1,942 5/4/2018 7208 BEIRUT BY NIGHT INC DEARBORN HEIGHTS 3970426A 582 4/12/2018 9058 0.95 BIG CITY GLASS AND METAL LLC DEARBORN HEIGHTS 5297362A 1,436 5/10/2018 5462 0.95 CHUCK HARRISON LAWN SPRINKLERS LLC DEARBORN HEIGHTS 4372514A 1,161 4/2/2018 5183 CLEAN BUSTER SERVICE INC DEARBORN HEIGHTS 3876756A 697 4/6/2018 9015 CONSTRUCTIVE DRYWALL DEARBORN HEIGHTS 5132541A 750 5/1/2018 5445 DHEINIS CARPET LLC DEARBORN HEIGHTS 5138280A 554 5/3/2018 9521 ELECTRICAL AND MECHANICAL CONSULTANT INC DEARBORN HEIGHTS 5128919A 446 4/23/2018 8810 FAROLA FLOWERS LLC DEARBORN HEIGHTS 5570344A 450 6/30/2018 0035 GARDEN CITY GARAGES INC DEARBORN HEIGHTS 2110245A 750 5/9/2018 5437 0.95 HBYS TRANS SOLUTION LLC DEARBORN HEIGHTS 5720460A 802 5/27/2018 8810 JAGX INC DEARBORN HEIGHTS 5555736A 450 5/5/2018 7720 JIMMYS WOOD WORKS DEARBORN heights 5718910A 1,474 5/23/2018 5437 KORKOMAZ MOHAMAD DEARBORN HEIGHTS 5401674A 604 5/5/2018 9521 MARTIN PAUL DEARBORN HEIGHTS 5725518A 750 6/21/2018 5645 MIKES ALUMINUM VINYL AND SIDING DEARBORN HEIGHTS 5492238A 750 6/17/2018 5645 MRT ENVIRONMENTAL INC DEARBORN HEIGHTS 4478088B 17,608 5/3/2018 5183 1.00 NEXE TILE DEARBORN HEIGHTS 5552184A 750 5/7/2018 5348 NOVA HOME IMPROVEMENT CO DEARBORN HEIGHTS 4476921A 750 5/3/2018 5645 OL ALI CARPETS LLC DEARBORN HEIGHTS 3838110A 922 6/9/2018 9521 QUALITY ASSURANCE TRANSPORTATION LLC DEARBORN HEIGHTS 5725674A 750 6/21/2018 7212 ROBERT J CASSAR PC DEARBORN HEIGHTS 3334600A 235 5/24/2018 8810 ROYAL GAS PETROLEUM INC DEARBORN HEIGHTS 5001498A 1,318 4/12/2018 8017 SEVEN HEAVEN INC DEARBORN HEIGHTS 4882032A 1,375 4/28/2018 9521 T W ROOFING INC DEARBORN HEIGHTS 5242827A 750 6/28/2018 5552 TOTAL HOMECARE SOLUTIONS INC DEARBORN HEIGHTS 4839927A 1,325 5/23/2018 8835 1/2/2018 8:13:07 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 UNLIMITED HEATING & COOLING LLC DEARBORN HEIGHTS 3952240A 750 5/25/2018 5550 URGENT TOW LLC DEARBORN heights 5719712A 750 5/25/2018 7208 WIX CARPET DEARBORN HEIGHTS 4454685A 574 5/16/2018 9521 XPRESS 1 SERVICES INC DEARBORN HEIGHTS 5716195A 750 5/13/2018 7208 HARD TIMES FAMILY RESTAURANT DECATUR 2161320A 1,881 5/17/2018 9058 1.00 JF FARMS LLC DECATUR 5705460A 4,056 4/18/2018 0011 ROOP GURLEEN PETROLEUM LLC DECATUR 5441056A 1,124 5/5/2018 8017 B C TRUCKING OF MARLETTE INC DECKER 2687127A 750 5/2/2018 7208 DANS HOME IMPROVEMENTS DECKER 5273099A 750 5/22/2018 5551 ALL AMERICAN TREE SERVICES DECKERVILLE 4466730A 751 4/30/2018 9102 HARTWICK BRADLEY A DECKERVILLE 5579503A 781 6/25/2018 7208 LARRYS DECORATING INC DECKERVILLE 2171678A 751 5/3/2018 5476 PALMER FARMS INC DECKERVILLE 2363844A 2,521 6/3/2018 0011 SPENCER RICHARD DECKERVILLE 5698910A 1,206 5/24/2018 5437 STAPLETON TRANSPORT LLC DECKERVILLE 5400473A 825 5/1/2018 7208 THUMB TRACTOR PULLING ASSOCIATION INC DECKERVILLE 5568820A 1,668 6/3/2018 9015 QUALITY PAIINTING DEERFIELD 5568846A 800 6/1/2018 5476 BOULTERS AFC HOME DELTON 5405289A 2,258 5/18/2018 9053 0.95 LA TRANSPORT AND HAULING LLC DELTON 5401100A 2,632 5/2/2018 7380 0.95 RITCHIES TREE SERVICE INC DELTON 3483860A 2,243 4/14/2018 0106 0.95 HISTORICORPS DENVER, CO 5398347A 1,228 6/1/2018 5403 A 1 ROAD SERVICE OF DETROIT LLC DETROIT 5709156A 750 4/27/2018 7380 A 2 EXPRESS INC DETROIT 2671867A 1,044 4/1/2018 8017 0.95 A 2 Z ENTERPRISE LLC DETROIT 0593427A 3,590 4/1/2018 8392 0.95 A AND M TRUCKING INC DETROIT 4086732A 2,253 5/1/2018 7208 0.95 A PLUS STAFFING LLC DETROIT 4858689A 1,037 4/29/2018 8868 0.95 ABC ADVANTAGE LLC DETROIT 4753445A 818 5/21/2018 9521 0.95 ABRO SIX INC DETROIT 5708079A 1,031 4/25/2018 8017 ADAM FUEL INC DETROIT 5601711B 531 6/30/2018 8017 ADAMO DEMOLITION COMPANY DETROIT 2207273A 825 6/30/2018 7380 1.64 13 % ADC INC DETROIT 2925850A 825 6/30/2018 5610 AGI CONSTRUCTION LLC DETROIT 5029805A 7,420 6/2/2018 5645 0.93 AIR TECHNOLOGY SYSTEMS INC DETROIT 3459420A 2,217 4/4/2018 5183 0.95 ALEXANDERS TOTAL LAWN CARE SERVICES LLC DETROIT 5723809A 720 6/13/2018 9102 ALHALEMI GAS AND MART INC DETROIT 5017700A 1,132 6/30/2018 8017 0.95 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 40 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ALINOSI FRENCH ICE CREAM CO INC DETROIT 0004375A 1,965 5/22/2018 2041 1.00 ALL STARS TRUCK DRIVING SCHOOL INC DETROIT 4620992A 817 5/13/2018 8868 ALL TOGETHER SERVICES INC DETROIT 4461665A 1,735 5/13/2018 5610 ALS PETRO INC DETROIT 0169811A 564 5/4/2018 8017 0.95 AQUARIAN CONSTRUCTION INC DETROIT 5127920A 418 4/25/2018 5606 0.95 ASHE THREAD LLC DETROIT 5398630A 3,838 4/25/2018 6504 0.95 AT MANAGEMENT SERVICES INC DETROIT 5264790A 365 4/25/2018 8017 AUTO PROS TOWING LLC DETROIT 4945999A 750 5/11/2018 7208 B A T S TOWING INC DETROIT 5250749A 750 5/12/2018 7208 B AND G AUTO DETAIL SPECIALIST LLC DETROIT 5267404A 750 6/1/2018 5476 B AND G FOODS INC DETROIT 2401355A 1,131 6/18/2018 8033 0.95 B AND S OIL INC DETROIT 1494775A 1,055 6/12/2018 8017 0.95 BAYVIEW YACHT CLUB JUNIOR SAILORS INC DETROIT 2400855A 351 5/25/2018 8868 BE WIRELESS INC DETROIT 5721296A 399 6/2/2018 8017 BECKWITH LAURA DETROIT 5701708A 1,274 4/11/2018 9015 BERRY AND SONS RABABEH ISLAMIC DETROIT 1838687A 1,250 6/10/2018 2081 0.95 SLAUGHTER HOUSE INC BG TRUCKING DETROIT 5549477A 825 5/14/2018 4000 BIG SAM AUTO PARTS INC DETROIT 5716217A 1,688 5/15/2018 8010 BIMS LOAN COMPANY INC DETROIT 0161950A 1,021 5/7/2018 8017 0.95 BOBBYS TCB TOWING SERVICE INC DETROIT 1854186A 1,943 6/20/2018 7208 0.95 BOSCO TRANSPORT INC DETROIT 5725640A 3,333 6/15/2018 7208 BOWERS ADULT FOSTER CARE INC DETROIT 4006984A 9,373 6/4/2018 9053 0.80 C S FARMER CONSTRUCTION INC DETROIT 4372719A 800 4/17/2018 8232 CARAVAN TECHNOLOGIES INC DETROIT 0000434A 1,805 5/29/2018 4720 CARLOS AND ALEXANDER CONSTRUCTION CO DETROIT 5707196A 750 4/21/2018 5645 INC CARRANZA AND COMPANY LLC DETROIT 5444420A 8,690 5/4/2018 5645 0.90 CH PAINTING DETROIT 5540941A 2,393 4/2/2018 5476 CHAMPS LANDSCAPING LLC DETROIT 5098505A 751 4/13/2018 0042 CHARBEL MART LLC DETROIT 5724775A 834 6/15/2018 8017 CHENE CENTRE CARDS AND GIFTS DETROIT 0901717A 2,178 4/14/2018 8044 0.95 CHI CHI GROUP HOME INCORPORATED DETROIT 4529480A 852 4/20/2018 9053 0.95 CHURCH OF THE MESSIAH HOUSING DETROIT 5393930A 2,979 4/3/2018 8868 0.95 CORPORATION CHUYS CONSTRUCTION DETROIT 5568870A 750 6/1/2018 5022 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 41 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COALITION ON TEMPORARY SHELTER DETROIT 1711130A 25,102 5/17/2018 9052 0.79 COMPLETE PLUMBING AND SEWER SERVICES DETROIT 4842596A 1,947 4/11/2018 5183 INC CONSTRUMEX LLC DETROIT 5405238A 750 5/16/2018 5445 CONSULATE OF ITALY DETROIT 0977853A 547 4/1/2018 8810 CORRAL RAMON DETROIT 3214001A 750 4/26/2018 5221 CRANE FIRST INC DETROIT 2877236A 751 4/12/2018 3724 CROWN AUTO SALE LLC DETROIT 5697859A 404 4/21/2018 8748 D AND M TRUCK TIRE & TRAILER REPAIR INC DETROIT 5413710A 6,860 6/15/2018 8395 0.95 DAILY MART INC DETROIT 3309770A 940 5/22/2018 8017 DANA EXPRESS SERVICE DETROIT 5398053A 750 4/23/2018 5645 DANNAOUI BROTHERS INC DETROIT 5263468A 959 4/21/2018 8017 DEADLINE DETROIT INC DETROIT 5015839A 440 4/25/2018 8742 DEEPIKA K PAREKH MD PC DETROIT 1331850A 415 5/14/2018 8832 DETROIT AIRLINES NORTH TERMINAL DETROIT 4479785A 668 6/26/2018 7423 CONSORTIUM INC DETROIT BUILDERS LLC DETROIT 5552710A 750 4/23/2018 5437 DETROIT METROPOLITAN BAR ASSOCIATION DETROIT 0234052A 220 6/28/2018 8810 DETROIT POLICE OFFICERS ASSOC DETROIT 0273325A 1,483 6/27/2018 8755 0.95 DETROIT PROPERTY GIANTS LLC DETROIT 5719763A 3,385 5/25/2018 5437 DETROIT PROPERTY IMPROVEMENT & DETROIT 5719020A 825 5/23/2018 9521 DEVELOPMENT LLC DETROIT PROPERTY IMPROVEMENT & DETROIT 4254368A 826 5/12/2018 9521 0.95 INVESTMENT LLC DETROIT RACQUET CLUB DETROIT 0753718A 798 5/7/2018 9058 DETROIT TRANSPORTATION CORPORATION DETROIT 2432366A 123,782 5/30/2018 8395 1.15 27 % DISCOUNT MUFFLER SERVICE INC DETROIT 3167828A 959 5/31/2018 8395 0.95 DIXON REMODELING BATH SPECIALISTS LLC DETROIT 5569354A 554 6/3/2018 9521 DNC PAINTING SERVICE DETROIT 5550041A 750 5/9/2018 5476 DZCONTRACTINGMI LLC DETROIT 4943864A 750 6/9/2018 5551 E AND S CARRYOUT INC DETROIT 0501930A 734 5/5/2018 9058 EAST JEFFERSON MOBIL INC DETROIT 5395852A 1,198 4/12/2018 8017 0.95 EDS DISCOUNT USED AUTO PARTS INC DETROIT 1663410A 752 4/29/2018 8810 EDUCATION FIRST MMD EDUCATIONAL DETROIT 5724058A 396 6/14/2018 8868 CONSULTING FIRM LLC EIGHT THOUSAND 820 WYOMING GAS MART INC DETROIT 3969835B 557 6/1/2018 8017 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EJVJ ENTERPRISES INC DETROIT 5417821A 1,306 6/23/2018 8017 ELITE PETRO INC DETROIT 3624021C 860 5/6/2018 8017 ENJOI TRANSPORTATION LLC DEBTOR IN DETROIT 3749673A 54,419 4/8/2018 7212 1.14 10 % POSSESSION ENVIRONMENTAL GEO TECHNOLOGIES LLC DETROIT 4316029A 22,768 6/15/2018 9403 0.81 EPIC ONE INC DETROIT 4615930A 6,483 4/6/2018 5221 0.95 EUTECTIC ENGINEERING CO INC DETROIT 0430331A 4,082 4/15/2018 3341 0.96 EXPLOSION PAINTING LLC DETROIT 5540666A 825 5/27/2018 5476 FACE 2 FACE HOMES SERVICE LLC DETROIT 5725623A 1,037 6/20/2018 8835 FARRAR HOME IMPROVEMENT DETROIT 5724708A 750 6/15/2018 5437 FENKEL PETRO INC DETROIT 3624021B 860 5/6/2018 8017 FENKELL FUEL & GROCERY INC DETROIT 5721610A 399 6/3/2018 8017 FIRST CLASS CONTRACTOR INC DETROIT 5425450A 1,713 6/14/2018 5437 0.95 FNM PAK INC DETROIT 3011739A 2,080 5/23/2018 8017 0.95 FOUR AREA CODE HOME REPAIR DETROIT 4616316A 647 4/21/2018 9015 FOX JAEGER ENTERPRISES DETROIT 4254899A 376 4/15/2018 9063 FRANKS TOWING RECOVERY LLC DETROIT 4815394A 2,075 4/7/2018 7208 0.95 GIPSON BROTHERS TRUCKING INC DETROIT 0411191A 11,591 5/7/2018 7208 0.88 GO GREEN AND GO CLEAN WEATHERIZATION DETROIT 5363330A 750 4/19/2018 5437 SPECIALIST AND ASSOCIATE LLC GOOD COMPANY AOP INC DETROIT 5579112A 549 5/6/2018 8835 GRATIOT GAS & MINI MART INC DETROIT 4861353A 1,184 4/19/2018 8017 0.95 GREAT LAKES MANAGERS LLC DETROIT 5263964A 2,599 4/23/2018 5606 0.95 HABITAT FOR HUMANITY DETROIT DETROIT 3093174A 445 5/10/2018 8810 0.76 HAN MINI MART INC DETROIT 4462564A 681 4/2/2018 8017 0.95 HANDLEBAR LLC DETROIT 5727960A 2,091 6/30/2018 9015 HAPPYS PIZZA 22 INC DETROIT 4700023A 9,849 5/19/2018 9058 1.54 13 % HARBIN STEEL LLC DETROIT 5610516A 748 5/31/2018 5606 HOPE ACADEMY DETROIT 3520978A 328 4/30/2018 8868 1.14 HR MANAGEMENT CONSULTING LLC DETROIT 0364592A 2,238 5/25/2018 9058 0.95 HUBERT MASSEY MURALS LLC DETROIT 5545617A 858 4/15/2018 5476 J AND A FLOOR COVERING INC DETROIT 5621330A 554 5/12/2018 9521 JDS TOWING LLC DETROIT 5560004A 800 6/1/2018 7208 JIMS FILL UP INC DETROIT 4533453A 1,449 6/18/2018 8017 0.95 JOE ANNS BAR B QUE INC DETROIT 1138855A 556 5/30/2018 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JOE LITTLE ASPHALT INC DETROIT 5522366A 5,336 6/15/2018 5221 JOHN M BARNWELL MD PLLC DETROIT 4081706A 597 6/11/2018 8832 JUAREZ HOME IMPROVEMENT INC DETROIT 5293677A 825 5/26/2018 5645 JUMBOS BAR INC DETROIT 0051713A 367 4/15/2018 9058 JUST US TRUCKING INC DETROIT 4088280A 750 4/13/2018 7208 KAJHNIQUE TYSON IRREVOCABLE TRUST DETROIT 3937950A 1,085 6/15/2018 0913 0.95 KAMMO AUTO CLINIC INC DETROIT 2837919A 1,562 5/27/2018 3821 0.95 L AND F MINI MART INC DETROIT 4629400A 843 4/1/2018 8017 L GEORGES CONEY ISLAND NO 7 INC DETROIT 1605887A 915 4/3/2018 9058 0.95 L L C RIGHT SIDE OF THE FENCE LAWN CARE DETROIT 5719984A 719 5/26/2018 9102 LEES TIRE CITY INC DETROIT 5715628A 589 5/12/2018 8395 LIVERNOIS SERVICE GROUP INC DETROIT 3624021A 860 5/6/2018 8017 M AND D PAINTING INC DETROIT 5551129A 750 6/10/2018 5476 M N PETRO MART INC DETROIT 3969835A 566 5/13/2018 8017 0.95 MACIEL MARISOL DETROIT 5538050A 554 5/12/2018 9521 MAGNUS VETERANS REBIRTH NON PROFIT DETROIT 5716080A 1,037 5/13/2018 8835 ORGANIZATION MARKS A EAGLES 4 CONEY ISLAND INC DETROIT 3258840A 1,747 5/21/2018 9058 0.95 MAVIS HOME CARE LLC DETROIT 5492831A 1,004 6/14/2018 8835 MEANS GROUP INCORPORATED DETROIT 5704421A 368 4/12/2018 5606 MERITHALL INC DETROIT 4882741A 81,419 6/27/2018 9015 0.89 METRO TRADES LLC DETROIT 5285194A 825 6/28/2018 5476 MILES OUTDOOR SERVICES LLC DETROIT 5699681A 1,032 4/7/2018 9102 MILITARY ORDER OF THE PURPLE HEART DETROIT 1825852A 1,708 5/13/2018 8868 0.95 SERVICE AND REHABILITATION OFFICE MORRIS KIRKLAND DETROIT 5541549A 750 4/16/2018 5645 MR WIGGLE PLUMBING LLC DETROIT 4721233A 747 6/6/2018 5183 NEW EXECUTIVE TOWING COMPANY INC DETROIT 1731416A 5,383 6/3/2018 7208 0.93 NEW VISION CHARTER AND TOURS LLC DETROIT 5515378A 2,689 5/4/2018 7212 NEXGEN HIGH RISE SERVICES LLC DETROIT 4337514A 647 5/29/2018 9015 1.22 NINETEEN THOUSAND 836 EXPRESS INC DETROIT 4860764A 1,255 5/31/2018 8017 0.95 OAKLAND SUGAR HOUSE LLC DETROIT 4877063A 1,346 6/8/2018 9058 0.95 ONE THOUSAND 701 EXPRESS INC DETROIT 4860764B 2,156 5/31/2018 8017 0.95 ONEGROUP INSTALLATION INC DETROIT 5600855A 6,371 5/24/2018 5146 OZI SERVICES INC DETROIT 3969096A 1,048 6/15/2018 9053 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PARLAY UNLIMITED LLC DETROIT 5309646A 11,066 6/7/2018 9403 0.95 PIZZA PLACE DEARBORN LLC DETROIT 0828467A 2,512 6/14/2018 9058 1.00 POLYMATH DEVELOPMENT LLC DETROIT 5390796A 9,857 4/8/2018 5403 0.90 PRESIDENTIAL CONSTRUCTION INC DETROIT 4887964A 800 4/30/2018 5437 PRESTIGE FILL UP LLC DETROIT 4743490A 1,064 4/24/2018 8017 0.95 PT IN THE D LLC DETROIT 5724929A 402 6/16/2018 9063 PURE PLUS INC DETROIT 5706912A 1,520 4/21/2018 8017 PYRATECH SECURITY SYSTEMS INC DETROIT 2972301A 8,847 6/10/2018 7720 1.00 RAMIREZ CRISTOBAL DOMINGO DETROIT 5187397A 750 4/8/2018 5445 RAMOS CONSTRUCTION LLC DETROIT 5510651A 750 6/14/2018 5551 RAZZOOKS SONS INC DETROIT 0246433A 771 4/24/2018 8017 READING WORKS DETROIT 5555710A 608 5/14/2018 8810 REILLY CRAFT CREAMERY LLC DETROIT 5720940A 414 6/5/2018 8017 RENU POWER TOOL AND SUPPLY CO DETROIT 0594008A 2,347 4/16/2018 8010 0.95 RIGHT HOOK TOWING & RECOVERY DETROIT 5409250A 750 6/11/2018 7208 RIGHT PRODUCTIONS INC DETROIT 3892913A 9,152 5/7/2018 9058 0.85 ROCHA PAINTING DETROIT 4908171A 750 6/21/2018 5476 RPM SERVICE LLC DETROIT 5700140A 1,032 4/7/2018 9102 S AND J USED AUTO PARTS INC DETROIT 5707552A 374 5/9/2018 8010 SAAB PETRO MART INC DETROIT 5283167A 787 6/24/2018 8017 SAENZ MARTIN FRANCISCO DETROIT 3220338A 750 5/16/2018 5480 SALAMEH CORPORATION INC DETROIT 2934663A 1,042 5/18/2018 8017 0.95 SAMES INC DETROIT 4076419A 750 4/1/2018 5476 SAMONA MARKET INC DETROIT 0976555B 1,382 5/16/2018 8017 0.95 SANAA INC DETROIT 2103427A 1,436 6/30/2018 8017 0.95 SECOND CHANCE LIVING SUPPORTIVE DETROIT 4978536A 1,093 4/19/2018 8835 SERVICES LLC SEVEN THOUSAND 930 MACK AVE LLC DETROIT 2408139A 3,817 4/21/2018 7214 0.95 SHONS CORNER LLC DETROIT 5234379A 10,467 5/2/2018 7720 1.13 SINJIL INC DETROIT 3760502B 622 5/24/2018 8017 0.95 SMITH WA INC DETROIT 5262496A 3,937 4/16/2018 4712 0.91 SOCIETY OF ST VINCENT DE PAUL IN THE DETROIT 0475912A 649 5/2/2018 8810 1.81 13 % ARCHDIOCESE OF DETROIT SPENCER DERRICK DETROIT 5541468A 750 4/16/2018 5645 STG ESTATES LLC DETROIT 5547903A 2,680 4/19/2018 5551 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STILLWATER CONSTRUCTION INC DETROIT 1993984A 750 4/27/2018 5645 SUPER STONE INC DETROIT 5721377A 750 6/2/2018 1624 SUPERB HOME CARE INC DETROIT 4931262A 844 5/26/2018 8835 0.95 SUPERIOR METAL FINISHING & RUSTPROOF DETROIT 0131679A 65,926 6/17/2018 3372 2.35 27 % CORPORATION TECHNICAL ELECTRICAL CONSULTANTS DETROIT 5716969A 725 5/17/2018 5190 THREE HUNDRED 13 CONSTRUCTION LLC DETROIT 5330793A 825 4/23/2018 5645 TOWN PARK COOPERATIVE DETROIT 1755480A 926 5/4/2018 9015 0.95 TRIPLE C S CARE INC DETROIT 4525353A 2,210 4/11/2018 9053 0.95 TRIPLE PROPERTIES DETROIT LLC DETROIT 4773616A 501 5/19/2018 8810 TWO MEN PAINTING LLC DETROIT 5194709A 894 5/4/2018 5476 0.95 U S A EXPORT LLC DETROIT 5134269A 5,151 6/6/2018 8032 1.37 10 % VARGAS IRMA ORTIZ DETROIT 5545080A 554 4/13/2018 9521 VAZQUEZ JONATHAN DETROIT 5707072A 750 4/21/2018 5551 VICKIS FOODS INC DETROIT 0425770A 930 5/11/2018 9058 0.95 VILLAGOMEZ SANDRO & SERRATOS EDUARDO DETROIT 2828901A 750 5/26/2018 5022 ROMO W BACON TRUCKING LLC DETROIT 2530376A 750 5/2/2018 7208 WANSLEY ELECTRIC DETROIT 1781766A 596 6/3/2018 5190 WARREN CADIEUX GAS MART INC DETROIT 3129080A 941 5/2/2018 8017 0.95 WARREN DEMETRIUS DETROIT 5549272A 750 4/30/2018 5645 ZIECOR INC DETROIT 2016753A 3,179 4/25/2018 9015 0.95 COONEY HOMES LLC DEWITT 5146828A 750 5/30/2018 5645 CREATIVE STAFFING LLC DEWITT 4620186A 57,330 4/25/2018 3629 0.97 GO DENTON TRUCKING DEWITT 5711290A 750 5/2/2018 7208 JIMMERSON ROOFING DEWITT 0382426A 4,437 4/23/2018 8227 0.92 LP METER SERVICES DEWITT 5402131A 389 5/19/2018 5191 OADE MANAGEMENT CO INC DEWITT 0417238A 417 4/12/2018 9058 ROZEN CONSTRUCTION & REMODELING LLC DEWITT 1715143A 752 5/28/2018 8810 0.95 SMITH VICKI DEWITT 5558182A 236 5/10/2018 8742 TPM HOLDINGS LLC DEWITT, IA 5415292A 1,000 6/25/2018 0912 ABLETECH INDUSTRIES LLC DEXTER 5289165A 468 5/15/2018 8601 ANTHONYS ASPHALT LLC DEXTER 5423414A 1,181 6/17/2018 5221 BMCI CORPORATION DEXTER 4867998A 925 5/10/2018 9015 0.95 GORDON D FELLOWS LLC DEXTER 0969494A 750 6/18/2018 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LAURA SANDERS LMSW LLC DEXTER 5663849A 750 4/28/2018 8279 MBL BUILDERS LLC DEXTER 4090233A 752 6/30/2018 8810 MICHIGAN CUSTOM DECKS INC DEXTER 2567962A 800 6/25/2018 5645 MIKE SHEPARD EXCAVATING INC DEXTER 4977378A 750 4/13/2018 6217 MR NEON INC DEXTER 5714443A 594 5/10/2018 5190 RAYERS FIELD MOWING DEXTER 1667998A 750 5/1/2018 0042 ROBERT STRICKLEN CONSTRUCTION LLC DEXTER 5413125A 750 6/12/2018 5645 VANSTON O BRIEN INC DEXTER 1743414A 810 6/24/2018 8742 0.95 WOLVERINE STEEL ERECTORS INC DEXTER 3583821A 810 4/12/2018 5606 1.28 DC 3 RENOVATORS LLC DIAMONDALE 5658772A 5,880 5/6/2018 5645 BOFYSIL CONSTRUCTION LLC DIMONDALE 2135361A 750 5/9/2018 5645 HOLISTIC LANDSCAPE INC DIMONDALE 3167607A 3,212 5/22/2018 0042 0.95 OLSEN TRUCKING DIMONDALE 5710308A 750 4/28/2018 7208 TECH PAINTING LLC DIMONDALE 5237084A 750 6/15/2018 5476 BRADWAY ENTERPRISES INC DOLLAR BAY 5281997A 2,960 6/18/2018 9015 0.95 BURGESS KELLY DORR 5718821A 750 5/23/2018 5645 GRATZ ROOF SYSTEMS DORR 2172968A 1,549 5/5/2018 5551 HOEKSTRA GEORGE BUILDER DORR 3275728A 750 4/2/2018 5645 WEST COAST BUILDERS & CONSTRUCTORS INC DORR 4933630A 750 6/9/2018 5645 0.95 LAKESHORE LEISURE LLC DOUGLAS 5156769A 531 6/21/2018 8017 BILL ROSS & SON TRUCKING INC DOWAGIAC 1404075A 10,047 5/11/2018 2759 1.33 13 % CHI ISHOBAK INC DOWAGIAC 5126967A 385 4/13/2018 8810 DIVISION TIRE AND BATTERY INC DOWAGIAC 1812734A 5,049 6/26/2018 8387 0.93 FRYMAN ROOFING CO DOWAGIAC 5270790A 17,997 5/14/2018 5403 1.36 13 % ILIA INC DOWAGIAC 2138310A 734 6/1/2018 9402 INDIAN LAKE YACHT CLUB DOWAGIAC 1011251A 419 6/19/2018 9060 PRAKLETS PIERS & LIFTS LLC DOWAGIAC 5707293A 3,426 4/21/2018 6400 RICK RANKEL EXCAVATING LLC DOWAGIAC 3596460A 750 4/6/2018 6217 ROB NORTHROP LOGGING DOWAGIAC 3662535A 750 4/11/2018 2702 SISTER LAKES FIRE DEPARTMENT DOWAGIAC 0072516A 5,095 4/1/2018 7904 0.95 GET R DONE CONTRACT SERVICE DOWLING 5708028A 750 5/2/2018 5476 INDEPENDENCE TRUCK REPAIR LLC DRAYTON PLAINS 2100002A 589 6/17/2018 8395 0.95 LAKEVIEW RESORT LLC DRUMMOND ISLAND 0972800A 646 6/24/2018 9015 JOHNSON AND SON LLC DRYDEN 5557917A 3,103 5/10/2018 7208 NORTHERN CONCRETE CUTTING OF LAPEER INC DRYDEN 3027023A 750 6/13/2018 5215 1/2/2018 8:13:07 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 WOLVERINE CEMENT AND CONSTRUCTION LLC DRYDEN 5712599A 750 5/5/2018 5215 A TO Z HAULZ ALL INC DUNDEE 5569397A 4,602 6/3/2018 7213 G AND S EXPRESS DUNDEE 5399939A 750 6/27/2018 7208 HICKMAN WOODWORKS LLC DUNDEE 5552974A 2,748 4/27/2018 5437 0.95 LAWN TECH SERVICE DUNDEE 4336232A 719 4/2/2018 9102 ROLLINS BUILDERS DUNDEE 4463595A 800 4/24/2018 5645 ALFRED W FOERSTER AND FRANCES M DURAND 5392772A 5,074 4/3/2018 0913 0.95 FOERSTER JOINT TRUST BOTTS DRYWALL & MORE DURAND 5725534A 1,093 6/20/2018 5445 GRACZ CONSTRUCTION DURAND 3911055A 800 4/15/2018 5645 I CON BUILDERS DURAND 5708117A 750 4/25/2018 5437 JC WELDING DURAND 5278090A 825 6/7/2018 3365 JIMS PIZZA DURAND 1632973A 914 5/6/2018 9058 MCEWEN ELECTRIC LLC DURAND 5401860A 1,934 6/7/2018 5190 REGENCY REALTY & PROPERTY MANAGEMENT DURAND 2235900A 646 6/8/2018 9015 INC RN CONSTRUCTION INC DURAND 2864401A 750 6/1/2018 5437 VOORHIES STONEWORK INC DURAND 2167212A 750 6/9/2018 5022 D AND L OF ST CLAIR INC EAST CHINA 0010812A 366 5/22/2018 9058 MG HAMMER EAST CHINA 1344919A 750 6/13/2018 5645 0.95 TMG HOLDINGS LLC EAST CHINA 4529839A 750 5/3/2018 5551 0.95 HEATHER DOWNS COMMUNITY POOL EAST GRAND RAPIDS 1098411A 848 6/29/2018 9061 ASSOCIATION CEDAR REST RESORT LLC EAST JORDAN 0790923A 456 6/1/2018 9052 JOE SHEAR SERVICES LLC EAST JORDAN 5702860A 1,227 4/13/2018 0042 NEW FENCE OF MICHIGAN LLC EAST JORDAN 5714834A 750 5/9/2018 5645 PETERS JAMES B EAST JORDAN 5720435A 343 5/30/2018 8601 APHRODITES SECRET LLC EAST LANSING 5420652A 520 5/5/2018 9586 ASSOCIATION FOR CHILD DEVELOPMENT EAST LANSING 0383910A 1,988 4/13/2018 8810 1.00 BLUE SKY PAINTING EAST LANSING 4406214A 750 4/27/2018 5476 CMP SERVICES LLC EAST LANSING 5711223A 236 6/1/2018 8742 COMMUNITY RELATIONS COALITION EAST LANSING 3627098A 274 6/10/2018 8742 DOWRICK TODD EAST LANSING 5132517A 646 5/8/2018 9015 FLORES VERONICA LEE EAST LANSING 5716586A 237 5/16/2018 8742 KAREN THOMPSON PLLC EAST LANSING 5393922A 479 4/16/2018 8832 KLUSACK CONSTRUCTION CO LLC EAST LANSING 5717264A 2,836 5/22/2018 5645 1/2/2018 8:13:07 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 PREVENTION MICHIGAN EAST LANSING 2094320A 3,732 5/14/2018 8017 0.95 SEVEN HUNDRED 11 BURCHAM APARTMENTS EAST LANSING 0676918A 646 4/15/2018 5191 0.95 LLC SPARTAN SWIM CLUB EAST LANSING 5392888A 738 4/1/2018 9015 SPIELBERG BUILDERS LLC EAST LANSING 1859340A 750 6/25/2018 5403 0.95 SUPERIOR BRASS & ALUMINUM CASTING EAST LANSING 0227633A 39,815 4/1/2018 3085 0.71 COMPANY WESTBROOK CONDOMINIUM ASSOCIATION EAST LANSING 2068052A 646 4/25/2018 9015 MDS MANAGEMENT LLC EAST LEROY 5548543A 1,687 4/21/2018 0908 0.95 ZANE FRY BUILDERS EAST LEROY 0720119A 750 6/7/2018 5645 BESSEY INC EAST TAWAS 4867521A 14,572 5/5/2018 7208 0.80 RUDEL JAMES EAST TAWAS 2723140A 3,522 5/25/2018 0042 TWO MOONS RESTORATION LLC EAST TAWAS 3652653A 4,364 5/3/2018 6217 A AND L CONTRACTORS LLC EASTPOINTE 5609780A 750 4/8/2018 9521 BOOS HOME IMPROVEMENT EASTPOINTE 4050460A 750 5/29/2018 5645 COURTVIEW GARDENS INC EASTPOINTE 4069293A 1,137 5/13/2018 9015 0.95 EASTPOINTE PIZZERIA INC EASTPOINTE 5713889B 3,202 5/9/2018 9058 HEAVEN ON EARTH LLC EASTPOINTE 4848128A 719 6/1/2018 9102 J R PAINTING LLC EASTPOINTE 3505537A 750 6/15/2018 5476 0.95 JEN J CONSTRUCTION EASTPOINTE 4120990A 800 4/9/2018 5645 0.95 MICHAEL BALASH REPAIRS LLC EASTPOINTE 5254663A 646 4/7/2018 9015 ON POINT CONSTRUCTION & DEVELOPMENT EASTPOINTE 5721431A 6,034 6/2/2018 5645 OPEN DOOR LIVING SERVICES LLC EASTPOINTE 5138736A 600 4/27/2018 8832 RANDYS TOWING SERVICE LLC EASTPOINTE 5264286A 750 4/23/2018 7208 SLR SERVICE LLC EASTPOINTE 4427548A 3,655 6/28/2018 5645 WILLIAM J COSGROVE DR & ASSOC PC EASTPOINTE 0818283A 493 4/5/2018 8832 ADAMS BUILDERS EATON RAPIDS 5721407A 7,517 6/2/2018 5403 CHARLES GATLIN BUILDERS EATON RAPIDS 1226630A 750 6/13/2018 5645 COLORING AND COVERINGS OF MICHIGAN LLC EATON RAPIDS 5698340A 555 4/4/2018 9521 EVERLAST CARPENTRY AND CONTRACTING LLC EATON RAPIDS 5569117A 837 5/24/2018 5437 J BURGESS BUILDERS LLC EATON RAPIDS 5265487A 750 4/26/2018 5645 M AND M OUTDOOR SERVICES LLC EATON RAPIDS 5125510A 5,719 6/29/2018 0106 0.95 M T BELL EXCAVATING & DIRT WORKS INC EATON RAPIDS 0875422A 1,361 5/18/2018 6217 NICK FRYMAN CONSTRUCTION EAU CLAIRE 5563100A 6,090 6/1/2018 5551 SCOTT JASON EAU CLAIRE 5553660A 750 4/29/2018 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HOLDEN TRUMBULL VENTURES INCORPORATED ECORSE 5519314A 595 5/26/2018 9058 JEFFERSON GAS & FOOD MART INC ECORSE 5307929A 864 4/18/2018 8017 MICHIGAN AMMO LLC ECORSE 1635980A 4,091 4/29/2018 3628 0.92 NICK AND JOSE JANITORIAL SERVICES LLC ECORSE 5134129A 1,403 6/20/2018 9015 NUNLEY CONSTRUCTION ECORSE 2828880A 1,620 6/17/2018 5645 EDENVILLE MARKET INC EDENVILLE 0474959A 2,044 5/1/2018 8017 1.00 APIARIES AND ORCHARD FORKLIFT INC EDMORE 1515543A 618 6/1/2018 8107 0.95 EDWARDSBURG FIRE DEPARTMENT EDWARDSBURG 0920410A 2,071 5/1/2018 7704 0.95 ALEUTIAN STAR CORPORATION ELK RAPIDS 0515647A 2,630 5/8/2018 3085 0.95 FIREWORKS DEPOT INC ELLSWORTH, WI 5257166A 562 4/7/2018 8742 TODD EGGERS TRUCKING LLC ELLSWORTH 5022681A 3,683 4/5/2018 7208 0.95 SAY NORTH LLC ELMHURST, IL 1693182A 602 6/2/2018 9058 0.95 FABUS COMMUNICATIONS LLC ELSIE 4544501A 750 5/24/2018 7600 B AND B DISTRIBUTORS LLC ELYRIA, OH 4335082A 410 4/17/2018 8742 ROOSE CONTRACTING EMMETT 5708230A 544 4/25/2018 5190 EDGEWATER CONCRETE SOLUTIONS LLC EMPIRE 4858174A 825 5/31/2018 5022 KALNBACH SUSTAINABLE FORESTRY LLC ENGADINE 4902980A 750 6/16/2018 2702 OCKO FARMS ENGADINE 2861585A 750 6/24/2018 6217 ROBARGE TRUCKING LLC ENGADINE 5256950A 750 4/3/2018 7208 BLAIR FISH COMPANY LLC ERIE 3611728A 9,967 5/15/2018 0034 0.81 KOEPKE NICHOLAS ERIE 4530713B 385 6/6/2018 0908 ADS SEAMLESS GUTTERS & MORE LLC ESCANABA 4220250A 1,196 5/12/2018 5538 ANNA MARIE BOWLING IRREVOCABLE TRUST ESCANABA 3924416A 2,674 5/13/2018 0908 0.95 BACH MOBILITIES INC ESCANABA 2549522A 2,451 5/10/2018 9519 0.95 BENOIT TRUCKING INC ESCANABA 1859579A 2,597 4/11/2018 7208 0.95 DELTA CONCRETE DESIGN INC ESCANABA 3682080A 5,607 5/1/2018 5221 0.92 ESKY INC ESCANABA 1177311A 457 6/17/2018 9058 GREGS ROOFING & SIDING INC ESCANABA 4754298A 7,697 5/25/2018 5551 0.90 HIGH PEAKS PAINTING LLC ESCANABA 4979362A 28,109 5/9/2018 5038 1.54 13 % LABUMBARD MARTIN ESCANABA 2777304A 750 6/2/2018 7208 LEDUC ERIC ESCANABA 5713455A 1,984 5/9/2018 5183 MARK NELSON CONSTRUCTION ESCANABA 2602393A 750 6/19/2018 5403 OUR PLACE COMMUNITY CENTER ESCANABA 4408810A 626 5/28/2018 9063 PAMS PETALS LLC ESCANABA 5716560A 754 5/17/2018 8001 RT MANUFACTURING INC ESCANABA 3920984A 271 4/30/2018 8810 0.95 1/2/2018 8:13:07 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 SHESKI FOREST PRODUCTS ESCANABA 2501210A 750 6/12/2018 2709 TIM DEMING CONSTRUCTION LLC ESCANABA 5259363A 2,427 4/6/2018 5437 0.95 TRIPLE A GYMNASTICS LLC ESCANABA 5156963A 492 6/24/2018 9063 VANENKEVORT TUG AND BARGE INC ESCANABA 2998858A 6,944 5/9/2018 8387 0.87 BAY VALLEY MILLWORK CO ESSEXVILLE 2963728A 10,221 4/19/2018 2841 0.83 M AND D HOME IMPROVEMENT LLC ESSEXVILLE 4594363A 750 5/20/2018 5645 TRICO ATM LEASING INC EUCLID, OH 5553210A 358 4/27/2018 5191 ROCK GATE CAPITAL LLC EVANSTON, IL 5501229A 1,531 5/1/2018 8868 CAMPBELL EXCAVATING INC EVART 3033252A 750 4/24/2018 6217 FOUR SEASONS RENTALS LLC EVART 4794818A 882 5/20/2018 9402 0.95 HYLAND TREE CO EVART 5288940A 3,484 4/23/2018 0042 0.93 OSCEOLA 4 H AND FFA FAIR EVART 2262010A 782 4/1/2018 9015 0.95 GUYOUNG TECH USA INC EVERGREEN, AL 4636457A 841 6/6/2018 8742 WAGNER TRUCKING LLC EWEN 5555728A 750 5/5/2018 7208 WILMES JOHN EWEN 5702925A 719 6/22/2018 9102 CLEVELAND LARRY FAIR HAVEN 4967232A 750 4/16/2018 5437 MT LOGGING LLC FAIRVIEW 2811529A 750 4/11/2018 2702 REININK REPAIR & REBUILD LLC FALMOUTH 5281040A 750 6/16/2018 5645 ALL CONCEPTS FENCE COMPANY LLC FARMINGTON 5393841A 800 4/7/2018 6400 DARMON JACQUES DR FARMINGTON 4168089A 238 6/22/2018 8832 ELITE HUMAN RESOURCE INC FARMINGTON 3169472A 1,244 5/13/2018 9015 0.95 ERIC W PERRY PHOTOGRAPHY LTD FARMINGTON 3789080A 343 4/15/2018 4361 FARMINGTON YOUTH ASSISTANCE FARMINGTON 1680811A 754 4/4/2018 8810 FTW PROPERTY MAINTENANCE LLC FARMINGTON 5713943A 646 5/9/2018 9015 HANDYPRO INTERNATIONAL LLC FARMINGTON 4836219A 688 4/18/2018 8810 HMG GROUP LLC FARMINGTON 1699660A 278 4/27/2018 8742 HUCKLEBERRY BUILDING LLC FARMINGTON 5698545A 4,460 4/18/2018 5645 MARTIN ZEMANSKI GROUP LLC FARMINGTON 3055680A 654 5/24/2018 5183 MULLIGAN CONSTRUCTION & WINDOW FARMINGTON 1910396A 1,856 6/7/2018 8742 0.95 REPLACEMENT CO MUTUAL PROPERTY MANAGEMENT LLC FARMINGTON 1608100A 1,182 4/25/2018 8810 0.95 R GRAHAM CONSTRUCTION LLC FARMINGTON 4634004A 11,689 4/8/2018 5645 0.88 RBD SERVICES LLC FARMINGTON 4811305A 800 5/25/2018 5645 Z PAINTING LLC FARMINGTON 4750608A 3,372 4/20/2018 5476 0.93 ADS BUILDING CO LLC FARMINGTON HILLS 3323323A 750 4/1/2018 5403

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADVANCE HOME INSPECTION INC FARMINGTON HILLS 0462870A 1,148 5/11/2018 8720 1.00 ADVANCED SENIORS HEALTHCARE GROUP INC FARMINGTON HILLS 5424569A 1,372 5/26/2018 8835 ALB PAINTING LLC FARMINGTON HILLS 4289633A 750 4/4/2018 5476 AUTOMATION ELECTRIC CONTROLS INC FARMINGTON HILLS 0505471A 619 6/14/2018 5190 BEE OUTSTANDING LLC FARMINGTON HILLS 5726611A 1,096 6/24/2018 9015 BIG BLOCK CONSTRUCTION COMPANY LLC FARMINGTON HILLS 5581150A 979 6/30/2018 5437 BLACK SEDAN LLC FARMINGTON HILLS 5048397A 2,215 4/22/2018 7610 0.95 BLUE SKY PAINTING LLC FARMINGTON HILLS 4345312A 750 6/23/2018 5476 BUDO LLC FARMINGTON HILLS 5393965A 1,560 4/8/2018 9063 0.95 CAMBRIDGE COMMONS CONDOMINIUMS FARMINGTON HILLS 4233840A 646 6/10/2018 9015 ASSOCIATION CAMP CASEY CORPORATION FARMINGTON HILLS 5410290A 4,883 6/4/2018 8279 0.95 COSTELS LANDSCAPING FARMINGTON HILLS 5698073A 800 4/1/2018 9402 CRAWFORD DIRT X LLC FARMINGTON HILLS 1596152A 1,843 5/15/2018 6217 CREEK RUN ESTATES ASSOCIATION FARMINGTON HILLS 1607006A 646 5/19/2018 9015 CRYSTAL SQUARE INVESTMENTS LLC FARMINGTON HILLS 0685542A 646 6/17/2018 9015 D AND P SPECIALIZED LIVING INC FARMINGTON HILLS 5400040A 1,607 5/17/2018 9053 DALES CONTRACTING FARMINGTON HILLS 5064350A 750 5/11/2018 5645 DIVISION NINE PRODUCTS INC FARMINGTON HILLS 2661020A 833 4/4/2018 8742 ECI ENVIRONMENTAL CONSULTANTS AND FARMINGTON HILLS 2744147A 268 4/1/2018 8601 ENGINEERS LLC ELITE MANAGEMENT TRANSPORTATION CORP FARMINGTON HILLS 5403359A 1,895 5/23/2018 7212 ENURESIS TREATMENT CENTER INC FARMINGTON HILLS 4700945A 699 5/10/2018 8832 0.95 FUSCO CONSTRUCTION LLC FARMINGTON HILLS 5571391A 825 6/11/2018 5551 H AND I CONSULTING LLC FARMINGTON HILLS 5258685A 1,667 5/1/2018 7202 0.95 HA LOGISTIC INC FARMINGTON HILLS 5708966A 3,683 4/27/2018 7208 HIDDEN RIDGE CONDOMINIUM ASSOCIATION FARMINGTON HILLS 4210972A 696 4/9/2018 9015 HOUSE OF LIQUOR & WINE SHOP INC FARMINGTON HILLS 4999436A 730 6/16/2018 8017 0.95 INDIVIDUALIZED HOME HEALTH CARE INC FARMINGTON HILLS 5563810A 1,806 6/30/2018 8835 INGRAMS TRUCKING LLC FARMINGTON HILLS 5716020A 1,477 6/2/2018 7208 JMS LANDSCAPING SERVICES LLC FARMINGTON HILLS 5539331A 825 4/1/2018 9102 KENS TREE SERVICE LLC FARMINGTON HILLS 5136296A 2,611 4/9/2018 0106 0.95 LABS MART INC FARMINGTON HILLS 5261503A 1,317 4/15/2018 4511 0.95 LEES TREE REMOVAL & LANDSCAPING LLC FARMINGTON HILLS 5154049A 800 6/13/2018 8810 LISA LANGFORD DDS PC FARMINGTON HILLS 1277375A 420 6/3/2018 8832

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MATTHEW KELLY CONSTRUCTION INC FARMINGTON HILLS 3028216A 1,922 6/15/2018 5645 0.95 MERRIWOOD PARK CONDOMINIUM ASSOCIATION FARMINGTON HILLS 4361270A 646 5/28/2018 8810 INC METRO LAWN CARE LLC FARMINGTON HILLS 2268825A 720 5/2/2018 9102 0.95 MICHIGAN MECHANICAL ABATEMENT INC FARMINGTON HILLS 2492229A 12,080 6/30/2018 5183 0.83 MODEL T PLAZA LLC FARMINGTON HILLS 4745515A 696 5/4/2018 8810 MOULLIET RYAN AND JULIA FARMINGTON HILLS 5700671A 666 4/11/2018 0913 NEW HORIZON HOME HEALTH CARE INC FARMINGTON HILLS 4319044A 4,141 4/28/2018 8835 0.86 NEW WYOMING LEE BEAUTY SUPPLY INC FARMINGTON HILLS 4821130B 583 6/30/2018 8017 0.95 OLD ENGLAND MANAGEMENT & REALTY FARMINGTON HILLS 1766244D 230 6/24/2018 8810 0.95 COMPANY ONSITE MANAGEMENT INC FARMINGTON HILLS 3934438A 458 4/17/2018 8742 0.95 ORCHARD 10 ROOF COATING SYSTEMS LLC FARMINGTON HILLS 5714540A 3,746 5/10/2018 5552 PROFESSIONAL FINANCIAL ASSOCIATES LLC FARMINGTON HILLS 2380200A 294 4/30/2018 8803 QCN HOME CARE SYSTEMS INC FARMINGTON HILLS 4020561A 2,718 5/6/2018 8835 0.95 RBC PAYROLL SERVICES LLC FARMINGTON HILLS 5289114A 6,759 6/28/2018 8010 0.91 RIVERGATE ASSOCIATION FARMINGTON HILLS 3310906A 696 5/16/2018 9015 ROYALWOOD COOPERATIVE APARTMENTS INC FARMINGTON HILLS 3172406A 2,025 4/30/2018 9015 0.95 S WYNN CONSTRUCTORS COMPANY FARMINGTON HILLS 4453379A 750 5/24/2018 5645 SHAYA CAROL M AGREEMENT OF TRUST FARMINGTON HILLS 5145392A 1,085 5/28/2018 0913 0.95 SOUTHEASTERN MICHIGAN ASSOCIATION OF FARMINGTON HILLS 4455061A 270 4/1/2018 8810 FIRE CHIEFS SPECIALTY MAINTENANCE SERVICE FARMINGTON HILLS 3431045A 751 4/9/2018 9402 SUBURBAN REMODELING LLC FARMINGTON HILLS 5124948A 750 4/5/2018 5437 THOMAS A DUKE COMPANY FARMINGTON HILLS 0407127A 646 4/8/2018 9015 TIMOTHY PATRICK HOMES LLC FARMINGTON HILLS 4903927A 6,603 4/15/2018 5606 0.90 TOTAL MECHANICAL CONSTRUCTION LLC FARMINGTON HILLS 3658112A 1,316 4/26/2018 5550 0.95 WADDA WINDOW INSTALLATION INC FARMINGTON HILLS 2203260A 750 6/14/2018 5645 MAHARASHTRA MANDAL OF DETROIT INC FARMNGTON HILLS 5724783A 476 6/15/2018 9061 J AND E LOGGING FARWELL 5393264A 1,342 4/3/2018 7380 0.95 MALEITZKE MARVIN FARWELL 5708060A 750 4/25/2018 5645 DAVIDSON ROBERT H FELCH 0995371A 750 6/23/2018 2702 GUSTAFSON LOGGING FELCH 3916855A 750 5/7/2018 2709 JIM ANDERSON TIMBER HARVESTING LLC FELCH 5159954A 750 6/26/2018 2709 CRANE GARY L FENNVILLE 2128454A 732 5/7/2018 0130 FENNVILLE AREA FIRE DEPARTMENT FENNVILLE 2144450A 2,761 4/22/2018 7904 0.95 1/2/2018 8:13:07 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 LONG TRANSPORTATION FENNVILLE 5708680A 750 4/26/2018 7208 VAN DRAGT LAND IMPROVEMENT LLC FENNVILLE 0299073A 750 4/1/2018 6217 0.95 A FRESH START FENTON 4686284A 646 6/21/2018 9015 ARCADIA HOMES INC FENTON 5267412A 750 5/3/2018 5645 BHI HOME IMPROVEMENTS LLC FENTON 5577691A 750 6/22/2018 5645 CLASSIC HARDWOOD FLOORS LLC FENTON 5127858A 750 5/20/2018 5437 CLOVERLEAF FINISH CARPENTRY INC FENTON 3807010A 750 6/30/2018 5437 COMBS JAMES FENTON 5725909A 825 6/22/2018 5645 CRAWL TEK REVOLUTION LLC FENTON 5565880A 658 6/2/2018 3400 DEAN ROBERTSON SERVICES FENTON 3353249A 750 5/26/2018 5645 DYNAMIC TESTING INC FENTON 5564514A 334 5/20/2018 8868 FENTON RECOVERY & LIQUIDATION INC FENTON 3006751A 979 4/17/2018 7720 FERGUSON LAWN AND TREE SERVICE FENTON 2050781A 751 5/27/2018 0042 GEN OAKS ENTERPRISES II INC FENTON 1252119A 750 5/11/2018 5645 GREEN HORIZONS LAWN CARE LLC FENTON 1952374A 750 6/1/2018 0042 HAMMOND BRETT FENTON 5699215A 750 4/5/2018 5645 HANKS TRENCHING SERVICE FENTON 1082515A 750 4/15/2018 6217 0.95 HONEST MICHIGAN EXTERIORS LLC FENTON 5671248A 2,630 4/14/2018 5551 INNOVATIVE COLOR WORKS FENTON 5403375A 750 5/31/2018 5476 LAKE AND LAND CUSTOM HOMES LLC FENTON 5548624A 368 4/20/2018 5606 LAURICELLA PAINTING LLC FENTON 4189124A 1,712 5/16/2018 5476 LUCAS MECHANICAL LLC FENTON 4480465A 654 6/14/2018 5183 M AND M CONSTRUCTION SERVICES INC FENTON 4746368A 800 6/16/2018 5645 0.95 MASONRY SOLUTIONS INC FENTON 3948404A 750 4/12/2018 5022 MASTER BUILDERS SUPPLY INC FENTON 1471821A 750 4/3/2018 5645 0.95 MCK TOOL LLC FENTON 5564379A 353 5/20/2018 8742 MCNEILL CONSTRUCTION LLC FENTON 3131912A 750 4/19/2018 5645 0.95 MEDICAL RESOURCES LLC FENTON 2878194A 407 4/30/2018 8832 MGM MASONRY INC FENTON 3408094A 750 4/19/2018 5022 MID MICHIGAN CRUSHING & RECYCLING LLC FENTON 4486463A 21,872 6/30/2018 1624 1.50 13 % NELSON LIQUID DRIVE LLC FENTON 0341800A 3,232 5/13/2018 3612 0.95 P AND S QUALITY CONSTRUCTION INC FENTON 4856600A 1,077 4/5/2018 5645 0.95 PAULYS CLEANING SERVICE LLC FENTON 5725950A 548 6/22/2018 8835 PZARKA SITE DEVELOPMENT LLC FENTON 4632540A 15,113 5/3/2018 0042 1.58 13 % T AND C LAWN CARE PROPERTY MAINTENANCE FENTON 5542421A 750 4/6/2018 0042 1/2/2018 8:13:07 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 TREMAINE LUMBER COMPANY INC FENTON 2741717A 696 4/3/2018 9015 TRUCKING BY WOLF BROTHERS INC FENTON 3208389A 750 6/7/2018 7208 TRUE NORTH CONSCIOUS CONSTRUCTION LLC FENTON 0058920A 800 4/23/2018 5403 TORRES CARPENTERS LLC FENWICK 5586968A 750 4/19/2018 5645 A D R CONTRACTORS LLC FERNDALE 5715563A 2,759 5/12/2018 5476 BUILDING AND ESTIMATING SERVICES INC FERNDALE 5203228A 2,456 6/3/2018 8720 0.95 COMMUNITY ARBORIST INC FERNDALE 4233484A 2,900 4/14/2018 0106 0.95 COMMUNITY SOLUTIONS INC FERNDALE 5510600A 800 5/19/2018 5645 CONCEPT COMMUNICATION LLC FERNDALE 4989112A 1,493 5/25/2018 8810 0.95 CONREST INC FERNDALE 3165191A 486 5/11/2018 9015 0.95 DETROIT NAME PLATE ETCHING INC FERNDALE 0200905A 506 5/1/2018 3132 ESPLANADE CONDO ASSN INC FERNDALE 0933295A 696 6/29/2018 9015 FLOORESTORATIONS INC FERNDALE 5723787A 2,494 6/13/2018 5437 HARTEAU INC FERNDALE 5405556A 339 5/16/2018 5191 HUNTINGTON HOME LLC FERNDALE 3739872A 750 6/30/2018 5606 MILKS TIMOTHY FERNDALE 5728240A 750 6/30/2018 5645 NEW BEGINNINGS INVESTMENT LLC FERNDALE 5706270A 740 4/18/2018 9521 RENNER BROS CONSTRUCTION INC FERNDALE 4133277A 441 4/27/2018 8810 1.37 13 % RESTORATION MANAGEMENT INC FERNDALE 3929655A 647 5/26/2018 9015 0.95 TOW SER TOWING SERVICE LLC FERNDALE 5490057A 750 5/31/2018 7208 WINDOWS FULL OF LIGHT LLC FERNDALE 5723760A 647 6/13/2018 9015 COLLINS DENT WERKS LLC FIFE LAKE 4675045A 645 6/16/2018 8387 PHOENIX STAFFING LLC FINDLAY, OH 5574390A 9,214 6/13/2018 3076 ASFR ENTERPRISES INC FLAT ROCK 5377471A 1,502 6/26/2018 8017 0.95 FLAT ROCK FUEL STOP LLC FLAT ROCK 5217270B 970 6/19/2018 8017 0.95 HOME SOURCE PROPERTY MANAGEMENT INC FLAT ROCK 4340329A 648 4/27/2018 8810 NORTH AMERICAN INDUSTRIAL LLC FLAT ROCK 4320549A 1,755 5/1/2018 3724 0.95 P N J CLEANING LLC FLAT ROCK 5286484A 1,274 6/1/2018 9015 1.00 A AND N FLINT 5701635A 750 4/8/2018 5645 A R W PRO SOLUTIONS INC FLINT 5720192A 750 5/26/2018 5645 ADVANCED EXTERIOR SOLUTIONS & REPAIRS FLINT 4646398A 750 6/13/2018 5551 AFFORDABLE EXTERIORS LLC FLINT 5554519A 6,393 6/29/2018 5645 AIM TO PLEASE HOME CARE INC FLINT 5708931A 1,490 5/1/2018 9053 ALFORDS TRUCKING INC FLINT 2216043A 825 6/21/2018 7208 ALL CATALYTIC CONVERTERS INC FLINT 4498461A 13,109 4/30/2018 8264 0.90 1/2/2018 8:13:07 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 BMIUS LLC FLINT 4465202A 472 4/19/2018 7422 BOYLE CONSTRUCTION FLINT 4982436A 750 5/5/2018 5645 CADILLAC LOUNGE INC FLINT 4620119A 367 6/29/2018 9058 CAPITOL CONSTRUCTION MANAGEMENT INC FLINT 5127033A 800 4/17/2018 5610 CDC CUSTOM PAINT FLINT 0296325A 750 5/18/2018 5476 CERTIFIED ABATEMENT SERVICES INC FLINT 4052366A 38,424 6/20/2018 5183 0.72 CHATEAUX DE LAC CONDOMINIUM ASSOCIATION FLINT 5724945A 696 6/25/2018 9015 COUNTRY COTTAGE ESTATES ASSOCIATION FLINT 5577560A 696 6/23/2018 9015 CREATIVE HAIR SCHOOL OF COSMETOLOGY INC FLINT 5714630A 304 5/10/2018 8868 CURTIS LANDSCAPING FLINT 5716152A 782 5/13/2018 9102 D AND W AUTO PARTS INC FLINT 1906917A 4,656 4/10/2018 8010 0.90 DE AND C CONTRACTORS INC FLINT 5397170A 750 6/29/2018 5403 DUPREY RENEE FLINT 5704731A 366 4/18/2018 9058 E AND E INVESTMENTS INC FLINT 1400762A 913 6/14/2018 8387 0.95 EVANS HOME IMPROVEMENT FLINT 3778819A 750 4/13/2018 5551 0.95 FIRST CHOICE RECYCLING FLINT 5707129A 5,644 4/23/2018 8264 FLINT CLIO 29 LLC FLINT 4700406C 4,901 6/14/2018 9058 0.99 FRANKENMUTH DRIVING SCHOOL INC FLINT 5407044A 273 5/22/2018 8868 GREEN REFLECTIONS LLC FLINT 5549965A 1,241 4/22/2018 9102 HARBAUGH INC FLINT 4660030A 589 5/12/2018 8395 0.95 HEATHERCREST AFC FLINT 5040396A 560 6/17/2018 9053 HILL STEEL & BUILDERS SUPPLIES INC FLINT 1558854A 23,504 5/22/2018 8106 1.72 13 % HJC MANAGEMENT LLC FLINT 5307309A 356 5/30/2018 8810 0.95 JAG BUILDING AND RENOVATION LLC FLINT 5574838A 750 6/15/2018 5645 JB CABLE CONTRACTING FLINT 5719372A 825 6/10/2018 7600 JRM ENTERPRISES INC FLINT 0043176A 750 6/7/2018 9102 0.95 JULES MARKET INC FLINT 1139428A 839 5/27/2018 8033 0.95 LITTLE OWL LLC FLINT 5399980A 750 5/1/2018 3040 LOCKHART ROOFING FLINT 4072634A 1,290 5/20/2018 9015 MALY ENT LLC FLINT 5711282A 825 5/2/2018 5476 MICHIGAN HEALTH SPECIALIST LLC FLINT 5637198A 426 5/12/2018 8832 MICHIGAN ORGANIC SOLUTIONS FLINT 5251990B 780 5/4/2018 8045 MIKES BEST SERVICES FLINT 4211359A 719 6/5/2018 9102 MIKES USED CARS INC FLINT 5133610A 365 5/7/2018 8810 NEAT REPEATS CLEANING SERVICES LLC FLINT 5558255A 1,564 5/10/2018 9015 1/2/2018 8:13:07 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 ORION BUILDERS OF GENESEE COUNTY INC FLINT 5542235A 750 4/6/2018 5437 PEPPERWOOD ASSOCIATION FLINT 4519736A 646 4/12/2018 9015 RCH ENTERPRISES INC FLINT 5280028A 719 6/12/2018 9102 REFLECTIONS BUILDING SERVICES CORP FLINT 4392060A 1,901 5/4/2018 9015 0.95 RESEARCH AMERINET INC FLINT 4218078A 827 5/22/2018 8810 0.95 RMB CONSTRUCTION FLINT 5716136A 750 5/16/2018 5645 SAMS TIRE STORE INC FLINT 3920534A 2,699 6/17/2018 8387 1.00 SECURITY PLUS FLINT 1414410A 544 5/13/2018 5190 SHERMAN JUSTIN FLINT 5702186A 750 4/22/2018 5645 SKYPOINT MANAGEMENT LLC FLINT 5000580A 9,467 6/5/2018 7421 0.89 SOLOMON AND SON SHEET METAL COMPANY FLINT 0194506A 1,708 4/30/2018 5538 0.95 SPARK FIBER LLC FLINT 5573912A 750 6/10/2018 7600 STATE WIDE ASSEMBLY LLC FLINT 5717019A 1,064 5/17/2018 3146 STELLAR BUILDING AND CONSTRUCTION LLC FLINT 5046246A 66,842 5/1/2018 5645 1.85 27 % STEPHENSON TREE SURGEON AND CO FLINT 0222593A 3,072 5/1/2018 0106 0.95 SUMMERS ROBERT FLINT 5706904A 750 4/20/2018 7380 TRAVEL 9 TAXI LLC FLINT 5399629A 706 5/1/2018 7212 VERNDALE CONDOMINIUM OWNERS FLINT 1514270A 646 5/17/2018 9015 ASSOCIATION WOODLAND PARK ASSISTED LIVING LLC FLINT 4364775A 3,172 4/19/2018 9053 0.95 YOUR CHOICE RESTORATION INC FLINT 4897412A 753 5/17/2018 5476 Z AND M ASSAF INC FLINT 2886065B 992 6/8/2018 8017 0.95 A 1 MOW & SNOW LLC FLUSHING 1302574A 1,568 4/12/2018 9102 0.95 B AND M FUN FOODS CONCESSIONS INC FLUSHING 5725690A 441 6/21/2018 9058 BIRCH RUN ACTIVITIES LLC FLUSHING 2019973A 647 6/6/2018 8017 BRAD SKUTT CONSTRUCTION FLUSHING 4360923A 750 4/29/2018 5221 0.95 CRONIN ENTERPRISES INC FLUSHING 0200611A 2,756 6/10/2018 5538 0.94 DANTASTIC WOODWORKING FLUSHING 3350720A 750 6/10/2018 5645 GENE BOYER ROOFING FLUSHING 5282322A 750 6/20/2018 5551 GWB TRANSPORT INC FLUSHING 3007871A 750 4/8/2018 7208 JWILSON 4144 HOLDINGS INC FLUSHING 3861120A 3,713 4/23/2018 9053 0.90 LUCY HAM GROUP INC FLUSHING 3907309A 220 4/7/2018 8810 MARKER CONSTRUCTION LLC FLUSHING 5195217A 750 6/25/2018 5645 NATIONAL BANK OF NEW YORK CITY FLUSHING, NY 5712734A 221 5/8/2018 8810 SIMPSONS QUALITY PAINTING INC FLUSHING 3870049A 750 4/8/2018 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge STRICTLAND HOMES INC FLUSHING 3206033A 750 6/13/2018 5645 STUTZMAN BUILDERS INC FLUSHING 3279782A 750 5/27/2018 5645 UTILI LINK LLC FLUSHING 3701794A 318 5/9/2018 8601 WAITMAN HERBERT FLUSHING 5713331A 770 5/27/2018 9102 A AND R CONTRACTING FORT GRATIOT 5539897A 750 4/1/2018 5022 AROUND THE CLOCK HOME CARE OF ST CLAIR FORT GRATIOT 5413672A 2,120 6/16/2018 9053 0.95 COUNTY LLC TRS INTERNATIONAL SERVICE GROUP LLC FORT LAUDERDALE, FL 4627687A 396 5/16/2018 8810 AMERICAN EAGLE SUPERSTORE INC FORT MILL, SC 2081059A 4,284 6/25/2018 8010 0.83 INDUSTRIAL ONE CLEANING INC FORT WAYNE, IN 5093481A 647 6/24/2018 9015 0.95 CARLSON RODNEY JR FOSTER CITY 4406150A 751 6/1/2018 6217 MURRAY AUGUST FOSTER CITY 5414229A 750 6/16/2018 2702 TRI TOWNSHIP AMBULANCE AUTHORITY FOSTER CITY 4733665A 801 6/11/2018 7380 BUTLER SIDING LLC FOSTORIA 5722675A 800 6/12/2018 5645 ROWBOTHAM JEFFERY FOSTORIA 5406447A 750 5/20/2018 5437 RADLOFF BORIS FOUNTAIN 5727936A 750 6/29/2018 5645 J K FRAMING LLC FOWLER 5555604A 825 5/4/2018 5645 M R W ENTERPRISES LLC FOWLER 5555590A 825 5/4/2018 5645 THELEN DANIEL FOWLER 5698499A 842 4/4/2018 5221 AQUA GUARD COMMERCIAL POOL SERVICES LLC FOWLERVILLE 5564336A 646 5/19/2018 9015 ARK FOUNDATION REPAIR & WATERPROOFING FOWLERVILLE 4886356A 2,102 4/26/2018 5183 0.95 LLC J IVES FARMS FOWLERVILLE 5690927A 1,035 4/1/2018 0129 KARNA CONSTRUCTION FOWLERVILLE 1401831A 750 5/14/2018 5437 MICHIGAN SYNTHETIC DESIGNS INC FOWLERVILLE 5132843A 825 5/3/2018 5022 MUNSELLS POULTRY PROCESSING LLC FOWLERVILLE 4880943A 2,625 6/21/2018 0034 1.00 D P CONSTRUCTION LLC FRANKENMUTH 2498154A 1,620 4/21/2018 5645 HELM ROHDE CONTRACTING LLC FRANKENMUTH 5720508A 4,937 5/26/2018 7208 PEDALE TROLLEY LLC FRANKENMUTH 5716764A 1,274 5/17/2018 9015 SULLIVAN MARKETING INC FRANKENMUTH 2769204A 3,548 6/3/2018 9058 0.85 FITNESS DRIVEN LLC FRANKLIN 4867742A 1,984 5/6/2018 9063 0.95 GUTMAN STEPHEN L FRANKLIN 1703862A 385 6/20/2018 0908 MANNING MERVYN H FRANKLIN 1272330A 385 6/25/2018 0908 RAIN DANCER LLC FRANKLIN 3920569A 1,090 5/4/2018 5183 0.95 SEID ENTERPRISES LLC FRANKLIN 5610265A 736 6/17/2018 8387

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge THE JOB SHOPPE USA INC FRANKLIN, TN 5724937A 7,957 6/16/2018 8292 TIMLIN GROUP INC FRANKLIN 0814709A 630 5/12/2018 8742 WIENER JUDITH R FRANKLIN 4994264A 385 6/15/2018 0908 A B RUSGO INC FRASER 1337408A 868 4/25/2018 8810 0.95 ANTREV RECOVERY AND TOWING INC FRASER 5290465A 14,518 4/7/2018 7208 0.95 APPLIED ROOFING TECHNOLOGIES INC FRASER 1161245A 794 4/21/2018 5551 0.95 ARAR LLC FRASER 5572517A 750 6/11/2018 5645 CAVEYS COMPLETE CONSTRUCTION CO FRASER 5714028A 1,385 5/3/2018 5645 CONTRACTING SERVICES OF MICHIGAN INC FRASER 2517744A 1,214 5/5/2018 5221 CZAJKOWSKI NORBERT P MD FRASER 2896508A 666 5/21/2018 0913 HANOVER GROVE COOPERATIVE FRASER 1079450A 28,213 4/10/2018 9015 1.53 27 % JAWORSKI CUSTOM PAINTING FRASER 4010299A 750 6/8/2018 5476 0.95 LANE DEVELOPMENT INC FRASER 1848127A 800 5/18/2018 5645 M B COLONIAL FENCE FRASER 5711118A 750 5/8/2018 5645 MACOMB HOME IMPROVEMENT INC FRASER 3318079A 750 5/3/2018 5538 0.95 MJR DESIGN SERVICES FRASER 4469488A 220 5/13/2018 8810 MUMBLYS OFF ROAD INC FRASER 2367955A 1,177 4/13/2018 8046 0.95 SEVEN LAKES VINEYARD LLC FRASER 1887785A 681 5/8/2018 0011 UNIVERSAL AUTO RECOVERY INC FRASER 1518305A 2,136 4/28/2018 7720 0.95 VESTA HOMES INC FRASER 5271851A 750 5/17/2018 5437 W 2 GRAPHICS SPECIALISTS LLC FRASER 4595866A 451 4/14/2018 4299 ZI ENTERPRISES INC FRASER 3097218A 1,142 6/24/2018 8017 0.95 SHAWN THOMAS TREE SERVICE INC FREDERIC 2808030A 5,174 5/21/2018 0106 CORNER STONES CONSTRUCTION LLC FREE SOIL 4816021A 750 4/21/2018 5645 SIEFKA MICHAEL FREE SOIL 5701724A 750 4/11/2018 0106 LYNCHNUTS INC FREEHOLD, NJ 4989538A 826 4/4/2018 9156 0.95 ACCURATE RECOVERY OF MICHIGAN LLC FREELAND 3600394A 1,054 5/10/2018 7720 COBBLESTONE COMMERCIAL CONSTRUCTION FREELAND 5721636A 368 6/1/2018 5606 LLC MCKEITH CONSTRUCTION FREELAND 3302644A 801 6/20/2018 5022 MID STATE LIQUIDATORS LLC FREELAND 3600009A 1,262 6/29/2018 7720 0.95 STEVEN CONTRACTING FREELAND 5564573A 750 5/20/2018 5645 WINDY ACRES KENNELS LLC FREELAND 2588919A 412 4/9/2018 8831 FREEPORT ENTERPRISES INC FREEPORT 1013114A 13,967 4/1/2018 7208 0.82 FREEPORT RURAL FIRE ASSOCIATION FREEPORT 0945382A 1,099 6/29/2018 7904 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CART RIGHT LLC FREMONT 4363493A 750 6/26/2018 7218 KOZY KORNERS LLC FREMONT 5381622A 630 4/15/2018 8869 WESCOTT CHARLES FRIEND, NE 5406188A 750 5/19/2018 7208 CONSTRUCTION SPECIAL TEES INC FRUITPORT 3285677A 2,087 5/30/2018 5437 0.95 ENTERPRISE DOOR LLC FRUITPORT 4879279A 800 6/16/2018 3724 MAINE WINDOW CLEANING CO INC FRUITPORT 4360605A 738 5/22/2018 9015 R GREEN CONSTRUCTION LLC FRUITPORT 5718902A 750 5/23/2018 5645 RV TREES LLC FRUITPORT 3836711A 10,573 6/9/2018 0106 0.93 ZIMMER THOMAS L FRUITPORT 3164667A 750 4/27/2018 8279 FINAL CLEAN UP LLC GAINES 4090500A 647 4/27/2018 9015 GB CONCRETE GAINES 3008959A 750 4/21/2018 5221 PAUL D BOUVRETTE ELECTRIC LLC GALESBURG 0723088A 853 5/20/2018 5190 R AND R TIMBER PRODUCTS INC GARDEN 2435136A 2,215 4/11/2018 2709 0.95 ADY TRANSPORT INC GARDEN CITY 5403901A 751 5/9/2018 8810 ALL ACCESS EGRESS INC GARDEN CITY 4463676A 800 4/19/2018 5645 ANDREW TREE SERVICE LLC GARDEN CITY 4989023A 10,559 5/25/2018 0106 0.87 C AND J OUTDOOR SERVICES LLC GARDEN CITY 5715504A 800 5/12/2018 0042 D AND M TILE AND MARBLE LLC GARDEN CITY 5695422A 750 4/15/2018 5348 GLASSWORKS WINDOW REPAIR GARDEN CITY 2674882A 750 5/2/2018 5645 GOULET CONSTRUCTION INC GARDEN CITY 2775824A 750 6/11/2018 5645 HORTONS TREE SERVICE LLC GARDEN CITY 3215903A 12,672 6/28/2018 0106 0.85 J BROTHERS CONSTRUCTION LLC GARDEN CITY 5717205A 13,717 5/18/2018 5551 JFN INSTALLATION INC GARDEN CITY 5398770A 7,853 5/3/2018 5645 0.95 LUKINS INTERNATIONAL LLC GARDEN CITY 5445884A 759 6/13/2018 5462 0.95 MARKEN DONALD GARDEN CITY 3482910A 750 5/12/2018 5437 MICHIGAN LAND DEVELOPMENT LLC GARDEN CITY 3761347A 3,292 5/18/2018 6217 0.95 NORKOWSKI MIKE GARDEN CITY 5563097A 750 5/17/2018 5403 PICKENS SHAWN GARDEN CITY 3365620A 750 6/10/2018 5462 SHARP SERVICE GARDEN CITY 3111962A 751 4/15/2018 5550 ZIELNIK CONSTRUCTION INC GARDEN CITY 3115267A 752 6/4/2018 8810 ALPINE ROOFING INC GAYLORD 3793249A 3,781 5/29/2018 5645 0.95 B K EXCAVATING INC GAYLORD 1982591A 750 5/6/2018 6217 C B ENTERPRISES INC GAYLORD 4870514A 2,727 5/13/2018 9102 0.95 COOK BROTHERS HORSES LLC GAYLORD 5725526A 726 6/20/2018 7212 GODDARD TIMOTHY GAYLORD 5710529A 750 4/29/2018 5476 1/2/2018 8:13:07 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 HIBNER AND SON FOREST PRODUCTS LLC GAYLORD 1797913A 750 5/8/2018 7208 JOSLIN CONSULTING LLC GAYLORD 5720737A 343 5/31/2018 8601 MIKES ELECTRIC INC GAYLORD 2626454A 634 6/3/2018 5190 NORTHERN MARINE RENTALS LLC GAYLORD 5720621A 560 6/1/2018 8810 NORTHERN MICHIGAN DRIVING SCHOOL LLC GAYLORD 4006763A 319 4/15/2018 8868 OTSEGO COUNTY ECONOMIC ALLIANCE INC GAYLORD 3922472A 355 4/8/2018 8810 OTSEGO COUNTY UNITED WAY GAYLORD 2745976A 745 6/9/2018 9402 PURE PRECISION LAWN CARE LLC GAYLORD 5393710A 735 4/4/2018 9102 TECH SERVICES INC GAYLORD 0091596A 750 6/11/2018 3724 UP NORTH CAMPING LLC GAYLORD 4622464A 697 4/26/2018 9015 GIBRALTAR BOAT YARD GAS DOCK GIBRALTAR 0796719A 646 5/18/2018 8387 LDC CONSTRUCTION GIBRALTAR 1775316A 696 5/13/2018 9015 STEAM TEC LLC GIBRALTAR 5576024A 930 6/18/2018 9015 ALASKA WILDLAND ADVENTURES INC GIRDWOOD, AK 4873696A 306 4/19/2018 8810 CM MARENGER TRUCKING GLADSTONE 3754537A 750 6/26/2018 7208 DELTA PRODUCTION MACHINING INC GLADSTONE 5570638A 669 6/8/2018 3632 GAGNON MARK GLADSTONE 5721121A 1,659 6/2/2018 5645 U P CHIMNEY INC GLADSTONE 3812553A 4,138 6/16/2018 5022 0.95 BIERLEIN DENNIS GLADWIN 2029669A 750 4/8/2018 5476 CEDAR FARM LLC GLADWIN 0591220A 2,964 5/1/2018 0129 0.95 LOYA HOLLY GLADWIN 4903960A 725 6/20/2018 9053 MCCOYS LOGGING GLADWIN 2841860A 750 5/8/2018 2702 POLE BUILDINGS LLC GLADWIN 5720842A 3,461 6/1/2018 5437 QUALITY ENVIRONMENTAL SERVICES INC GLADWIN 3773760A 37,992 6/1/2018 5183 0.93 FALL STEVE E GLENNIE 1872311A 750 4/5/2018 2702 GRIFF AND SON TREE SERVICE INC GLENNIE 1449265A 4,003 4/26/2018 0106 1.00 J AND S TREE REMOVAL INC GOBLES 3059782A 2,230 6/10/2018 0106 MK CONCRETE CONSTRUCTION LLC GOBLES 5720699A 751 6/1/2018 5221 RIVER BEND COUNTERTOPS GOBLES 4196341A 663 4/19/2018 1624 V P LAWN AND SNOW GOBLES 5661056A 837 4/24/2018 9402 ALLIS BUILDING INC GOODRICH 2269651A 800 5/8/2018 5183 0.95 AQUATIC SERVICES INC GOODRICH 2259486A 4,938 6/2/2018 0005 0.88 C AND T BRICK CLEANING & CAULKING INC GOODRICH 3802221A 750 4/28/2018 5022 GOODRICH LANDSCAPE CONSTRUCTION LLC GOODRICH 5717582A 750 5/19/2018 0042 HOLLADY TRANSPORT LLC GOODRICH 3767086A 800 5/16/2018 7208 1/2/2018 8:13:07 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 J Z ROOFING LLC GOODRICH 5128293A 800 4/23/2018 5551 JUNE BARRY M GOODRICH 2108054A 750 5/23/2018 0128 KOVALICK ROOFING & SIDING COMPANY GOODRICH 4050673A 750 5/15/2018 5645 POISON IVY CONTROL LLC GOODRICH 5412366A 2,520 6/10/2018 0005 0.95 R L SLADE CUSTOM HOMES INC GOODRICH 1655574A 5,034 5/7/2018 5645 0.94 RICKS REMODELING AND REPAIRS GOODRICH 1628887A 750 4/26/2018 5445 DAWSON TIRE & WHEEL LLC GOTHENBURG, NE 5563011A 400 5/20/2018 8742 BATPRO ANIMAL CONTROL LLC GOWEN 4898737A 1,086 6/5/2018 5645 BROOKSIDE GOLF COURSE INC GOWEN 1733958A 2,480 4/25/2018 8017 0.95 CHEROKEE ELECTRIC LLC GOWEN 4214617A 4,340 6/21/2018 5190 ACCESS BUILDERS LLC GRAND BLANC 4093550A 800 4/9/2018 5645 BIRCH CREEK BUILDERS INC GRAND BLANC 4667905A 221 5/7/2018 8810 BROTHERS CRUSHING & RECYCLING LLC GRAND BLANC 5539846A 750 5/19/2018 1624 C COOK BUILDING & REMODELING GRAND BLANC 4867980A 750 4/20/2018 5437 CAUDILL INSURANCE AGENCY INC GRAND BLANC 5356113A 581 5/3/2018 8742 CENTRAL INDUSTRIAL ASBESTOS LLC GRAND BLANC 5611385A 1,440 4/6/2018 5479 COMPLETE SUBCONTRACTING LLC GRAND BLANC 4054741A 750 6/15/2018 5645 COUSINEAU CORY GRAND BLANC 5395100A 750 4/10/2018 5437 CUTTING EDGE CABINETRY GRAND BLANC 3170845A 750 4/18/2018 5437 DOMENICK PLLC GRAND BLANC 4360249A 483 4/26/2018 8832 FAST LANE CONSTRUCTION GRAND BLANC 5707617A 750 4/22/2018 5645 FLO RITE LLC GRAND BLANC 5189365A 654 6/15/2018 5183 FRAS RESIDENTIAL BUILDING & REMODELING GRAND BLANC 1278185A 750 5/6/2018 5645 0.95 LLC GRAYS TREE SERVICE INC GRAND BLANC 2788870A 3,218 6/12/2018 0106 1.00 GREG CARTER BUILDERS LLC GRAND BLANC 3484467A 750 4/6/2018 5645 GUTHERIE ROBOTICS INC GRAND BLANC 5263115A 1,081 4/18/2018 5191 HEALING HANDS NURSING SERVICES LLC GRAND BLANC 5266190A 2,368 4/30/2018 8835 0.95 J GRATSCH & ASSOCIATES GRAND BLANC 1902121A 220 6/7/2018 8810 KAS CONTRACTING GRAND BLANC 5702836A 750 4/21/2018 5645 KRIEGER CONSTRUCTION INC GRAND BLANC 3491110A 750 4/5/2018 5437 PIZZA MIA INC GRAND BLANC 4417186A 2,494 6/22/2018 9058 0.95 PRIMEGROUP FM SOLUTIONS LLC GRAND BLANC 4225317A 383 5/31/2018 8810 QUEST HOME IMPROVEMENTS LLC GRAND BLANC 5482089A 750 6/1/2018 5645 REMEDY EXCHANGE INCORPORATED GRAND BLANC 5539366A 253 5/2/2018 8868

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROONEY EDWARD GRAND BLANC 2964538A 753 4/15/2018 8810 SCHAEFER CONSTRUCTION GRAND BLANC 3180301A 750 6/28/2018 5645 STEEL ERECTORS INC GRAND BLANC 1848208A 1,805 5/31/2018 5102 0.95 STEPHEN BURGESS CONSTRUCTION LLC GRAND BLANC 5270642A 1,154 5/14/2018 5403 0.95 WEST CONTROLS INC GRAND BLANC 5052602A 513 5/2/2018 8601 WOODLAND PARK ACADEMY GRAND BLANC 1769600A 6,434 5/29/2018 8868 0.97 ADAM HASS FINE HOMEBUILDING LLC GRAND HAVEN 5383463A 750 4/26/2018 5645 BEECHAM BUILDERS LLC GRAND HAVEN 5544998A 752 5/8/2018 8810 BLACKWELL STABLES LLC GRAND HAVEN 4242971A 3,361 6/28/2018 8279 1.26 27 % BULTHOUSE TRUCKING LLC GRAND HAVEN 5726620A 800 6/24/2018 7208 CB WILSON CONSTRUCTION LLC GRAND HAVEN 5540747A 2,224 4/16/2018 5437 ESOX ENGINEERING LLC GRAND HAVEN 5130700A 318 4/26/2018 8601 INTEGRATED INSPECTION LLC GRAND HAVEN 5261783A 650 4/15/2018 3724 NORTH OTTAWA ROD & GUN CLUB GRAND HAVEN 2801701A 402 6/14/2018 9061 0.95 RWM TECHNOLOGIES LLC GRAND HAVEN 4874021A 825 4/18/2018 7600 0.95 WESTERN SHORES LLC GRAND HAVEN 5278775A 750 6/10/2018 6217 ABOVE THE TOP ROOFING LLC GRAND JUNCTION 5026571A 7,612 5/1/2018 5551 0.94 G F I ENTERPRISES INC GRAND JUNCTION 1090267A 878 6/21/2018 5645 AEROSPACE RISK MANAGEMENT GROUP INC GRAND LEDGE 4437071A 755 4/2/2018 8810 0.95 BRANSCUM INSTALLERS OF MICHIGAN LTD GRAND LEDGE 3669700A 800 6/9/2018 5437 0.95 BRIDGEWATER SALON & SPA LLC GRAND LEDGE 5575214A 261 6/17/2018 9586 BRUCE H MACDOWELL INC GRAND LEDGE 1705547A 14,086 5/3/2018 8001 1.53 13 % FOURTY TWO NORTH CONSTRUCTION LLC GRAND LEDGE 5264626A 750 5/1/2018 5551 SCHAEFER JACOB A GRAND LEDGE 5284600A 720 6/27/2018 9102 FIRED UP FOOD TRUCK GRAND MARAIS 5725879A 366 6/21/2018 9058 A AND T DECORATING PAINT CONTRACTORS LLC GRAND RAPIDS 1050800A 1,785 5/9/2018 5476 0.95 A AND S DRYWALL LLC GRAND RAPIDS 5592178A 825 4/26/2018 5445 A Z HIGH QUALITY PAINTING LLC GRAND RAPIDS 5554497A 825 4/30/2018 5476 ACE HI CRANE LLC GRAND RAPIDS 0434086A 1,523 4/7/2018 7380 AL TILE & MARBLE LLC GRAND RAPIDS 3923584A 750 5/11/2018 5348 ALFANOS PIZZA INC GRAND RAPIDS 0220329A 752 5/7/2018 9058 0.95 AMERICAN PEST SOLUTIONS INC GRAND RAPIDS 5553547A 998 4/28/2018 9015 APPLY WITH US LLC GRAND RAPIDS 4463277A 6,238 5/19/2018 8209 1.30 27 % ASBESTOS CONTRACTORS INC GRAND RAPIDS 3860426A 20,241 5/1/2018 5020 0.80 AVALOS CONSTRUCTION GRAND RAPIDS 5721482A 750 6/3/2018 5645 1/2/2018 8:13:07 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 AWARD WINDOW CLEANING SERVICES INC GRAND RAPIDS 1412639A 19,189 6/23/2018 9015 1.66 13 % BP ENTERPRISE LLC GRAND RAPIDS 4774183A 750 4/28/2018 8264 BRAD PIPE BUILDER LLC GRAND RAPIDS 5140234A 750 5/16/2018 5645 BRANDON GROVE PAINTING GRAND RAPIDS 5711231A 968 5/3/2018 5476 BROUWER TREE SERVICE LLC GRAND RAPIDS 0190063A 9,577 6/1/2018 0106 1.18 BRUYN HOMES INC GRAND RAPIDS 3031411A 370 5/14/2018 8810 BUSHWOOD CONSTRUCTION COMPANY LLC GRAND RAPIDS 4001397A 750 6/26/2018 5437 CABRERA NOE QUINONES GRAND RAPIDS 5711185A 750 5/2/2018 5476 CASPER CONSTRUCTION INC GRAND RAPIDS, MN 5722780A 16,126 6/9/2018 6217 COMPASS POINT LABOR MANAGEMENT LLC GRAND RAPIDS 4313941A 17,623 4/26/2018 3076 1.00 COMPTECHS LLC GRAND RAPIDS 5703433A 236 4/14/2018 8742 COOPER DAVID J GRAND RAPIDS 5575532A 751 6/16/2018 5476 CRIMINAL JUSTICE CHAPLAINCY GRAND RAPIDS 1759949A 584 5/17/2018 8868 CURTISS ANDE GRAND RAPIDS 5721830A 750 6/6/2018 8293 D AND D PRINTING COMPANY GRAND RAPIDS 0345504A 451 6/9/2018 4299 0.80 DASH BROTHERS CARPENTRY LLC GRAND RAPIDS 5201748A 750 5/7/2018 5437 DEGRAAF DAVID GRAND RAPIDS 4225210A 750 5/31/2018 5183 DETAILED PAINT COMPANY GRAND RAPIDS 3633225A 750 6/1/2018 5476 DEVRIES ENTERPRISES GRAND RAPIDS 3966550A 800 4/17/2018 5437 DO IT ALL PAINTING LLC GRAND RAPIDS 5706106A 3,124 4/19/2018 5476 DOMINGUES LUCIANO ROMAN GRAND RAPIDS 5271100A 750 6/13/2018 3821 DYKEMA DELIVERY LLC GRAND RAPIDS 5566860A 800 5/26/2018 7208 EAGLECREST CONDOMINIUM ASSOCIATION GRAND RAPIDS 1699504A 696 4/1/2018 9015 ELEMENTAL ARTISTRY LLC GRAND RAPIDS 5711975A 750 5/4/2018 3400 EUREKA TRASH OUT LLC GRAND RAPIDS 5457157A 1,396 4/1/2018 9102 EVERYDAY CHEF LLC GRAND RAPIDS 5717280A 367 5/18/2018 9058 FLORES BRITTANY GRAND RAPIDS 5721652A 1,390 6/3/2018 5445 FLORES MARTINEZ ALEX JOSE GRAND RAPIDS 5721717A 750 6/3/2018 5645 GARCIA CONSTRUCTION LLC GRAND RAPIDS 5343003A 5,009 6/2/2018 5020 GOOD EARTH TREE CARE LLC GRAND RAPIDS 5697034A 8,444 4/20/2018 0106 GRAND RAPIDS LUMPER SERVICE GRAND RAPIDS 2634244A 2,711 5/25/2018 8018 0.91 GREAT LAKES PUB CRUISER LLC GRAND RAPIDS 5694620A 1,205 4/1/2018 7380 HEARTWOOD TREE CARE LLC GRAND RAPIDS 5717680A 4,001 5/19/2018 0106 HECTOGON LLC GRAND RAPIDS 5722594A 3,014 6/9/2018 5403 HERNANDEZ YORVIN GRAND RAPIDS 5574064A 6,148 6/14/2018 5551 1/2/2018 8:13:07 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 HIGHER GROUND ROCK CLIMBING CENTRE LTD GRAND RAPIDS 2863618A 1,263 5/19/2018 9063 0.95 HL PRODUCTIONS & MANAGEMENT INC GRAND RAPIDS 3541959A 367 5/23/2018 9058 0.95 IKES CONSTRUCTION GRAND RAPIDS 5714958A 750 5/11/2018 5645 J 2S GROUP INC GRAND RAPIDS 4144066A 22,356 4/1/2018 8835 0.95 JEFFERSON JAMES O GRAND RAPIDS 5700116A 2,443 4/7/2018 5476 JET MARKETING LLC GRAND RAPIDS 5567734A 234 6/1/2018 8810 JMA QUALITY FINISHING GRAND RAPIDS 0792080A 750 4/25/2018 5476 JOB POST GRAND RAPIDS 5380219A 23,081 4/9/2018 8059 0.88 JOBSON ROOFING AND REMODELING GRAND RAPIDS 5722586A 750 6/17/2018 5551 KEN KOOISTRA LLC GRAND RAPIDS 5555116A 750 5/3/2018 0042 KENNEDY FLORAL INC GRAND RAPIDS 1178822A 260 5/17/2018 8810 KENTWOOD VILLAGE CONDOMINIUM GRAND RAPIDS 3180646A 696 4/18/2018 9015 ASSOCIATION KEVIN BROWN DRYWALL LLC GRAND RAPIDS 4341384A 825 5/3/2018 5445 0.89 LARRYS TREE SERVICE LLC GRAND RAPIDS 1122479A 8,697 6/11/2018 0106 0.91 LIGHT LLC GRAND RAPIDS 5083737A 750 6/18/2018 5183 0.95 LITTS INVESTMENTS LLC GRAND RAPIDS 5405564A 363 6/1/2018 8832 M AND N SUNRISE CLEANING SERVICES LLC GRAND RAPIDS 5696887A 2,528 4/14/2018 9015 MERITUS PROPERTIES LLC GRAND RAPIDS 5356431A 1,167 4/1/2018 6826 MICAH CENTER GRAND RAPIDS 2971348A 353 6/3/2018 8810 MICHIGAN BOAT TRADERS LLC GRAND RAPIDS 5566894A 520 5/26/2018 6834 MICHIGAN CREDITORS SERVICE INC GRAND RAPIDS 1302132A 7,618 5/18/2018 8387 0.86 MICHIGAN PRO PAINTERS LLC GRAND RAPIDS 5155649A 800 5/16/2018 5476 MIKES UNLOADING GRAND RAPIDS 4535197A 750 4/24/2018 8292 MN ALL REMODELING LLC GRAND RAPIDS 5206723A 750 5/13/2018 5437 0.95 MR PLUMBER LLC GRAND RAPIDS 4767578A 729 6/22/2018 5183 NES TRUCKING LLC GRAND RAPIDS 5705584A 4,177 4/18/2018 7208 NIELSEN CONTRACTING GRAND RAPIDS 5557038A 750 5/10/2018 5645 PASIECZNY KONRAD GRAND RAPIDS 5557259A 750 5/10/2018 7600 PATRIOT CAULKING AND WATERPROOFING LLC GRAND RAPIDS 5132223A 1,290 5/1/2018 5476 0.95 PERRYS SIDING & DESIGN GRAND RAPIDS 5563135A 1,670 5/17/2018 5645 POTTAWATOMIE CLUB GRAND RAPIDS 3316556A 402 5/10/2018 9061 PREMIER HOME PAINTING GRAND RAPIDS 4924908A 750 4/21/2018 5476 PREMIUM DECORATING INC GRAND RAPIDS 4033639A 750 6/24/2018 5476 PRIVACY LOGIC LLC GRAND RAPIDS 5264278A 286 5/1/2018 8742

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RAMSEY LEWIS GRAND RAPIDS 5540828A 800 4/2/2018 5437 RED LINE SECURITY LLC GRAND RAPIDS 5677912A 1,808 5/31/2018 7720 RELIABLE MEDICAL TRANSPORT LLC GRAND RAPIDS 5559987A 1,439 5/13/2018 7212 RIDGEMOOR SWIM CLUB INC GRAND RAPIDS 1376888A 713 5/5/2018 9061 0.95 RODRIGUEZ RIVEROL EVERARDO GRAND RAPIDS 5727235A 800 6/27/2018 5645 ROSEWOOD FLOORING LLC GRAND RAPIDS 5563089A 1,474 5/17/2018 5437 SAYRE CARPET CARE LLC GRAND RAPIDS 4701801A 646 5/10/2018 9015 0.95 SCHAAFSMA PAINTING & POWERWASHING LLC GRAND RAPIDS 4248295A 750 6/7/2018 5476 SECURE EDUCATION CONSULTANTS LLC GRAND RAPIDS 5540836A 287 4/4/2018 8742 SHANE BROUWER LLC GRAND RAPIDS 5122740A 750 4/2/2018 5437 SHORT SOUTH REALTY GROUP INC GRAND RAPIDS 5719518A 5,034 6/1/2018 5437 SHOWROOM AUTO SALES INC GRAND RAPIDS 5548551A 439 4/20/2018 8748 SILK FINISHES PAINTING INC GRAND RAPIDS 1501577A 1,051 4/26/2018 9015 0.95 SIMMONS CONSTRUCTION LLC GRAND RAPIDS 4487095A 750 6/1/2018 5403 SINAS THOMAS & MICHELLE M GRAND RAPIDS 5538645A 666 4/1/2018 0913 SPANGLER PAINTING SERVICES GRAND RAPIDS 5712769A 750 5/8/2018 5476 SPARKLE PROS GRAND RAPIDS 5727987A 1,990 6/29/2018 9015 STEAKLEY LOUIS GRAND RAPIDS 5275270A 1,036 5/28/2018 0908 T AND F ADVENTURES INC GRAND RAPIDS 4911776A 1,118 6/20/2018 9156 TEEN BIBLE CHALLENGE INC GRAND RAPIDS 4990161A 221 6/2/2018 8810 TIDY WINDOW CLEANING LLC GRAND RAPIDS 5257255A 646 4/4/2018 9015 TITAN LAWN & HOME LLC GRAND RAPIDS 5709113A 719 5/4/2018 9102 TOL MATTHEW CLINTON GRAND RAPIDS 5282330A 555 6/19/2018 9521 TOMS HOME IMPROVEMENT INC GRAND RAPIDS 0428418A 750 6/2/2018 5645 TOP NOTCH PROS INC GRAND RAPIDS 5720729A 3,324 5/31/2018 6217 VANDENBRINK HOME CARE LLC GRAND RAPIDS 5553504A 2,057 5/2/2018 0908 WEST MICHIGAN CREDIT UNION GRAND RAPIDS 1627112A 2,117 4/1/2018 8810 1.00 WESTCOAST PAINTERS GRAND RAPIDS 4884647A 750 5/16/2018 5476 WESTRATE BUILDERS INC GRAND RAPIDS 0567582A 800 4/8/2018 5645 WOODSHIRE PLACE CONDOMINIUM GRAND RAPIDS 3314898A 696 4/1/2018 9015 ASSOCIATION A LIST SERVICES LLC GRANDVILLE 5580730A 750 4/7/2018 5645 ALL PHASE FABRICATION LLC GRANDVILLE 2640813A 569 5/23/2018 3096 BELIEVERS LINE INC GRANDVILLE 0398845A 753 5/12/2018 8810 0.95 BETHEL PENTECOSTAL CHURCH GRANDVILLE 0697141A 823 6/28/2018 8868 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CHET GLASS BUILDERS LLC GRANDVILLE 3253660A 751 6/16/2018 5437 0.95 DROUIN DRYWALL INCORPORATED GRANDVILLE 5728193A 750 6/30/2018 5445 ELLIS ELECTRIC & CONTRACTING LLC GRANDVILLE 5124549A 1,651 4/5/2018 5190 0.95 FLANNEL GRANDVILLE 3724913A 431 6/1/2018 8800 0.95 GRAND VALLEY TOWING LLC GRANDVILLE 5290880A 5,284 6/6/2018 8395 0.94 HAMPSHIRE INSTALLATIONS GRANDVILLE 0482234A 800 4/20/2018 5437 IMPACT DYNAMIC TRAINING LLC GRANDVILLE 5392764A 1,028 4/15/2018 9063 LOESCHNER VILLAGE GREEN GRANDVILLE 0724874A 647 6/1/2018 8017 MAIER HOMES LLC GRANDVILLE 5723361A 800 6/10/2018 5645 MAVERICKS HOME STYLES GRANDVILLE 4678389A 825 5/23/2018 5645 POLEY KYLE GRANDVILLE 4856686A 750 4/21/2018 5437 RIVERTOWN COMMUNITY FEDERAL CREDIT GRANDVILLE 1646974A 1,581 5/18/2018 8810 0.95 UNION THOMAS KONYNDYK BUILDER GRANDVILLE 5264227A 750 4/23/2018 5437 TRUECRAFT LLC GRANDVILLE 4995104A 800 6/19/2018 5190 JAYS CONSTRUCTION LLC GRANT 5008751A 750 4/2/2018 5645 0.95 LAMPMAN GERALD GRANT 0731129A 750 4/28/2018 7208 ROBINSON DANIEL GRANT 4432193A 750 6/17/2018 2702 T AND J FIREWOOD LOGGING GRANT 5139767A 750 5/15/2018 2702 LAKESHORE MARINE UNLIMITED LLC GRANT TWP 3151387A 750 6/14/2018 5403 BENTLEY CONSTRUCTION LLC GRASS LAKE 5399890A 750 6/16/2018 5645 C O C INC GRASS LAKE 3368360A 800 4/14/2018 5437 FIVE STAR FLOORING LLC GRASS LAKE 4808924A 900 6/21/2018 5348 HERPETOLOGICAL RESOURCE AND GRASS LAKE 5259630A 1,521 4/10/2018 8831 0.95 MANAGEMENT LLC RK STUDIOS LLC GRASS LAKE 5546567A 344 4/15/2018 4361 WATERLOO METAL WORKS LLC GRASS LAKE 5725364A 633 6/17/2018 3111 ANDY NICKERSON ROAD SERVICE LLC GRAWN 4858557A 5,563 6/13/2018 7208 BARKER CREEK OUTFITTERS GRAYLING 5702909A 236 4/26/2018 8742 CALVIN JAMES GRAYLING 5699649A 646 4/6/2018 9015 JAHNER FRANK GRAYLING 2067366A 800 5/13/2018 8742 0.96 JM DOOR LLC GRAYLING 5554578A 2,554 4/30/2018 3724 0.95 KLEMISH JORDAN GRAYLING 5705320A 646 4/18/2018 9015 SPIELBAUER FIREWORKS CO INC GREEN BAY, WI 3913562A 647 5/23/2018 9015 LTC GREENLAND 0427454A 750 5/14/2018 6217

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CLIMBIN HIGH TREE SERVICE GREENVILLE 4359305A 2,230 4/5/2018 0106 0.95 COPELAND JOHN R AND RICK A GREENVILLE 2415950A 634 6/14/2018 0129 DILLON BRITNEY GREENVILLE 5721547A 751 6/6/2018 8279 DUNHAM SIDING GREENVILLE 2660938A 750 6/25/2018 5645 0.95 DYNA CLEAN LLC GREENVILLE 2033062A 646 5/14/2018 9015 EASTMAN BUILDERS LLC GREENVILLE 5555779A 750 5/5/2018 5645 FIRESIDE TRUCKING GREENVILLE 4983629A 750 6/24/2018 7208 JRS HOME IMPROVEMENT GREENVILLE 5410363A 800 6/5/2018 5645 SAGES MEAT PROCESSING & CATERING INC GREENVILLE 0205443A 2,567 5/29/2018 8031 0.92 SMITH JASON GREENVILLE 5575672A 800 6/17/2018 7600 TNJ ENTERPRISES LLC GREENVILLE 4993314A 364 6/22/2018 8017 TOM BUTTERWORTH BUILDERS INC GREENVILLE 4228553A 750 6/9/2018 5645 CREATURE CONTROL LLC GREGORY 4373871A 8,768 4/4/2018 8831 1.40 13 % JACK BURGA DRYWALL GREGORY 0516694A 751 5/15/2018 5445 NEW DESIGN BUILDING CO INC GREGORY 2389614A 7,162 4/1/2018 5645 0.91 RB SUPERVISION LLC GREGORY 5399564A 368 4/29/2018 5606 SELA IRRIGATION AND LANDSCAPE GREGORY 5710740A 3,599 4/29/2018 5183 CLAY STREET CENTER GRENNVILLE 5706793A 941 5/1/2018 9063 ENERGY NATIONAL DANCE COMPETITIONS LLC GROSSE ILE 5548020A 558 4/19/2018 9063 JDS TREE SERVICE GROSSE ILE 4049241A 750 5/19/2018 0106 0.95 K AND L SERVICES INC GROSSE ILE 4002482A 800 6/10/2018 0106 PIZZO CONSTRUCTION LLC GROSSE ILE 4463552A 800 6/4/2018 5022 RIVERPOINTE REALTY INC GROSSE ILE 2476100A 497 4/11/2018 8810 CHRISTIAN HURTTIENNE ARCHITECTS LLC GROSSE POINTE 5412684A 1,263 6/11/2018 8601 COYRO LANDSCAPING INC GROSSE POINTE 3493148A 4,197 6/18/2018 9102 1.05 CREVIER CONSTRUCTION GROSSE POINTE 4547926A 750 5/17/2018 5437 LAKEVIEW WINDOW GROSSE POINTE 2337134A 750 5/27/2018 5645 MACK COMMUNICATION LLC GROSSE POINTE 4970977A 750 5/2/2018 7600 RACKHAM SYMPHONY CHOIR GROSSE POINTE 5568790A 368 6/1/2018 8810 RELY ON ELECTRIC & CONSTRUCTION CO GROSSE POINTE 3847390A 544 4/26/2018 5190 WISE DECISION LLC GROSSE POINTE 5546435A 326 4/15/2018 9063 BROCKETT DANE AND TRICIA GROSSE POINTE FARMS 5721172A 460 6/2/2018 0908 RUSSELL HOMES INC GROSSE POINTE FARMS 3284930A 578 4/19/2018 5606 WINDOW SPARKLER LLC GROSSE POINTE FARMS 4333225A 895 4/12/2018 9015 0.95 ZIMMERMAN TODD GROSSE POINTE FARMS 4202317A 750 4/6/2018 5645 1/2/2018 8:13:07 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 COMPLETE CONSTRUCTION PROJECT GROSSE POINTE PARK 5725976A 752 6/20/2018 8810 MANAGEMENT LLC HANS M STUHLDREER CONSTRUCTION INC GROSSE POINTE PARK 0369055A 303 5/1/2018 8810 JOHN T SZYMANSKI INC GROSSE POINTE PARK 4361725A 654 6/20/2018 5183 MILES LAWN & SNOW SERVICES GROSSE POINTE PARK 5572878A 750 6/21/2018 0042 QUALITY RENOVATION INC GROSSE POINTE PARK 4315502A 750 4/27/2018 5437 ARC GROSSE POINTE HARPER WOODS INC GROSSE POINTE WOODS 4776470A 588 6/16/2018 9063 COOPER J LEWIS JR & COOPER JUDITH J GROSSE POINTE WOODS 3772608A 385 4/26/2018 0908 EUGENIO INDUSTRIAL SERVICES INC GROSSE POINTE WOODS 5281270A 2,471 4/8/2018 3724 0.93 FULL LOTUS LLC GROSSE POINTE WOODS 5147239A 825 6/8/2018 9063 0.95 GD BUILDING CO GROSSE POINTE WOODS 2215608A 750 6/19/2018 5645 R FROMM COMPANY LLC GROSSE POINTE WOODS 0046957A 889 6/6/2018 5606 0.95 REVOLUTION FLAG SERVICE LLC GROSSE POINTE WOODS 5143730A 800 5/23/2018 5538 HAZIME CARPET PLUS INC GULFPORT, MS 2630702A 808 5/29/2018 9521 FRENETTE JOSEPH GULLIVER 4411161A 750 4/4/2018 2702 MIKE LUND TRUCKING LLC GULLIVER 1972995A 750 5/8/2018 7208 CORKIN TERRY GWINN 5723701A 750 6/13/2018 2709 SABER 7 LLC HADLEY 2537710A 801 6/16/2018 5550 JOHNSON TREE SERVICE HALE 3357082A 750 6/30/2018 0106 MAIN STREET PIZZERIA LLC HALE 5133491A 2,369 5/2/2018 9058 0.95 SAVIN LAKE SERVICES INC HALE 4064780A 6,846 5/23/2018 0005 0.87 COUNTY PLUMBING & HEATING LLC HAMBURG 5187664A 704 6/2/2018 5183 DIRECT IRRIGATION LLC HAMBURG 5164362A 704 4/14/2018 5183 TIGER CONSTRUCTION MANAGEMENT HAMBURG 1430548A 750 5/19/2018 5645 TURNKEY ENVIRONMENTAL SERVICES INC HAMBURG 3922693B 7,381 5/12/2018 5479 0.86 CREEKSIDE CONSTRUCTION AND REMODELING HAMILTON 4828283A 750 4/10/2018 5645 INC MLS TRUCKING LLC HAMILTON 3771911A 295 4/25/2018 8810 REDBUD LANDSCAPE MANAGEMENT LLC HAMILTON 5405475A 1,076 5/15/2018 9102 RICK SCHROTENBOER BUILDER LLC HAMILTON 4887050A 750 4/22/2018 5645 CARING HOME HEALTH SERVICES INC HAMTRAMCK 5003830A 2,774 5/21/2018 8835 0.95 D F PAINTING INC HAMTRAMCK 4373146A 750 6/17/2018 5476 MARTIN BEST ROOF HAMTRAMCK 3723054A 750 5/15/2018 5645 SHONDHAN ENTERPRISE INC HAMTRAMCK 3788288A 458 6/3/2018 8868 ASPECT ENVIRONMENTAL LLC HANCOCK 4646770A 654 5/23/2018 5183 0.90

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MATTFOLK JEFFREY P HANCOCK 3271315A 750 5/30/2018 2702 MCKANA MINES & MINERALS HANCOCK 1718118A 801 6/9/2018 8227 NORTH POINTE FOREST MANAGEMENT LLC HANCOCK 5285305A 750 5/30/2018 2702 NORTHERN DRYWALL INC HANCOCK 0164429A 6,250 6/8/2018 5445 0.98 U P ASPHALT MAINTENANCE LLC HANCOCK 5405807A 751 5/19/2018 5221 TRUE CLEAN HANOVER 5713315A 646 5/8/2018 9015 TREECORE LLC HARBERT 3775437A 22,162 5/8/2018 0106 0.82 CAPLING CONSTRUCTION LLC HARBOR BEACH 5143926A 1,060 5/1/2018 5645 ROCHEFORT PETERSON SUSAN HARBOR BEACH 5394910A 220 4/11/2018 8810 SIEMEN SHOP INC HARBOR BEACH 4363051A 942 5/7/2018 8395 0.95 SIGEL TOWNSHIP OF HURON COUNTY HARBOR BEACH 2135566A 754 5/21/2018 7704 BHT PLUMBING & HEATING LLC HARBOR SPRINGS 5124956A 655 4/5/2018 5183 G AND N LANDSCAPING LLC HARBOR SPRINGS 5714990A 834 5/11/2018 0042 K COLFER SPORTHORSES LLC HARBOR SPRINGS 4745663A 1,046 5/4/2018 8279 0.95 LITTLE TRAVERSE SAILORS HARBOR SPRINGS 4883420A 1,151 6/30/2018 9060 0.95 THELMA AND LOUISE HARBOR SPRINGS 5698898A 449 4/5/2018 8017 ABUNDANT COMMUNITY RECOVERY SERVICES HARPER WOODS 5689708A 2,175 4/7/2018 9052 BRUCE F KOVACH INC HARPER WOODS 0468274A 750 4/28/2018 5476 J T ADDISON CO HARPER WOODS 1716425A 387 6/24/2018 8803 RAIL CONTAINER SERVICES OF MICHIGAN HARPER WOODS 1329960A 750 5/1/2018 7208 STEIN 1 JANITORIAL SERVICES HARPER WOODS 3350444A 1,660 5/21/2018 9015 BADGER PIPE AND PILING LLC HARRISON 5103380A 1,924 5/4/2018 6319 0.95 DUGGANS CANOE LIVERY & CAMPGROUNDS INC HARRISON 4676696A 646 5/23/2018 9015 FOUR X ADVENTURELAND INC HARRISON 5720583A 1,002 5/27/2018 9015 HENRYS COMPLETE TREE SERVICE HARRISON 3512207A 1,493 5/11/2018 0106 KELLYS TREE SERVICE LLC HARRISON 4459520A 3,143 4/27/2018 0106 M AND M DRYWALL LLC HARRISON 5711207A 750 5/2/2018 5445 MICHAEL HENRY TREE SERVICES LLC HARRISON 5268508A 1,164 5/8/2018 0106 0.95 ACCENT EXTERIORS HARRISON TWP 3889793A 750 6/14/2018 5551 BAYSIDE CONSTRUCTION LLC HARRISON TWP 5307600A 750 6/17/2018 5437 CALANDRA AND SONS CONSTRUCTION CO HARRISON TWP 0785369A 800 6/1/2018 5221 0.95 COMMERCIAL PAINTING COMPANY INC HARRISON TWP 1643398A 3,470 4/19/2018 5476 0.94 CUNNINGHAM JOAN HARRIET HARRISON TWP 5540909A 2,057 5/16/2018 0908 DONE RITE HANDYMAN HARRISON TWP 2680823A 750 4/7/2018 5645 EXPERIENCED JANITORIAL SERVICE INC HARRISON TWP 5553857A 646 4/29/2018 9015 1/2/2018 8:13:07 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 FIGLIOLI TILE AND STONE LLC HARRISON TWP 2989131A 750 4/29/2018 5348 0.95 IDEAL BUSINESS ASSOCIATES LLC HARRISON TWP 4494920A 788 6/6/2018 9015 J AND A VENTURES LLC HARRISON TWP 4975049A 648 4/6/2018 8810 L AND R GLASS BLOCK LLC HARRISON TWP 1957570A 750 6/13/2018 5022 LAKELAND CONSTRUCTION & HOME REPAIR INC HARRISON TWP 2644797A 750 4/24/2018 5221 MARATHON POWER WASH & PAINTING INC HARRISON TWP 4691156A 1,242 4/21/2018 5476 0.95 MOTOWN LIMOUSINE LLC HARRISON TWP 4346980A 1,350 5/16/2018 7212 0.95 NOMAX TECHNOLOGIES LLC HARRISON TWP 5515840A 795 4/21/2018 5191 R AND L HOMES OF HARRISON TOWNSHIP INC HARRISON TWP 1963821A 750 4/19/2018 5645 0.88 SKYE HOME IMPROVEMENTS INC HARRISON TWP 2707900A 750 5/15/2018 5645 ST CLAIR MARINE SALVAGE INC HARRISON TWP 5201250A 380 5/4/2018 8810 WINGS AND WHEELS DELIVERY INC HARRISON TWP 3499588A 800 5/14/2018 7208 TAIT WELL DRILLING INC HARRISVILLE 3830489A 750 5/3/2018 6204 CHAMPIONS MARINE SERVICE INC HARSENS ISLAND 0803839A 1,737 4/24/2018 6836 1.00 KATS ISLAND GROCERY LLC HARSENS ISLAND 2277743A 568 5/27/2018 8006 STONEBACK H NEAL HARSENS ISLAND 4081625A 385 6/10/2018 0908 SKYLINE HELICOPTERS INC HARSHAW, WI 4204719A 419 4/12/2018 7422 BC PIZZA OF HART INC HART 4879716A 3,305 6/5/2018 9058 0.95 CHANNEL HOUSING MINISTRIES INC HART 2923670A 712 4/22/2018 8810 0.95 EL CENTRO HISPANO DE OCEANA HART 5545838A 285 4/28/2018 8810 H SECURITY AND INVESTIGATION LLC HART 2202751A 1,100 5/27/2018 7720 0.95 J AND L HANDY WORX HART 4486650A 750 6/24/2018 5645 MIDWEST TIMBER HART 4474481A 750 5/19/2018 2702 REED CUSTOM CONSTRUCTION LLC HART 4942221A 5,483 6/5/2018 5645 0.93 ARROW AUTOMOTIVE LLC HARTFORD 4652088A 3,227 4/9/2018 8395 0.95 TURBO LAWN CARE HARTFORD 5688671A 735 4/6/2018 9102 BROCK HILL MECHANICAL LLC HARTLAND 5722853A 729 6/9/2018 5183 DJ DEMOLITION LLC HARTLAND 5661196A 1,271 4/6/2018 0042 LISA WRATE ARCHITECT PLLC HARTLAND, WI 5718406A 670 5/22/2018 8601 SCRAPBOOK MEGA MEET LLC HARTLAND 4061896A 556 4/20/2018 8017 UBERWRITER SOLUTIONS LLC HARTLAND 5708141A 220 4/25/2018 8810 CHATEAU LOUISE CONDOMINIUM ASSOCIATION HASLETT 0768251A 646 6/12/2018 9015 DUFOUR YANN S HASLETT 5723280A 666 6/10/2018 0913 HAMILTON HOUSE CONDOMINIUM ASSOC HASLETT 1173790A 696 4/30/2018 9015 LOCAL LAWN CARE HASLETT 4340469A 750 6/9/2018 0042 1/2/2018 8:13:07 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 SUPERIOR PRODUCTS INC OF CHARLOTTE HASLETT 0930342A 3,539 6/8/2018 9058 0.95 THREE LAKES HOMEOWNERS ASSOCIATION HASLETT 5268214A 646 6/15/2018 8810 TWIN OAKS CONDOMINIUM ASSOCIATION HASLETT 2170183A 646 4/27/2018 9015 WHITE BIRCH CONDOMINIUM ASSOCIATION HASLETT 5394147A 646 4/9/2018 9015 WOODSTONE VILLAGE ASSOCIATION HASLETT 1352857A 646 4/1/2018 9015 BRUCE ROBERT HASTINGS 5553938A 769 4/29/2018 9102 C AND N HEATING & COOLING LLC HASTINGS 4179889A 750 6/13/2018 5550 GRUESBECK AGRONOMY SERVICES LLC HASTINGS 4493222A 751 4/2/2018 0128 HAMMER DOWN ROOFING & CONSTRUCTION HASTINGS 5255767A 825 4/22/2018 5645 MICHIGAN CAMPER RENTAL LLC HASTINGS 5728320A 1,588 6/30/2018 9015 SAMPSON ODD JOBS HASTINGS 5556325A 544 5/17/2018 5190 TAHQUA TREKKER LLC HASTINGS 4525973A 913 6/4/2018 7212 THORNAPPLE TILE LLC HASTINGS 5539285A 750 4/4/2018 5348 L 3 K FOREST PRODUCTS LLC HAWKS 3906779A 750 4/6/2018 2702 ROMEL WILLIAM F HAWKS 2671875A 750 5/1/2018 2702 SCHEPKE FOREST PRODUCTS HAWKS 0263770A 2,289 6/2/2018 2702 1.00 DENT AWAY U S A OF MICHIGAN II INC HAZEL PARK 5709830A 831 4/28/2018 8393 ELIAS TRADING COMPANY HAZEL PARK 5133742A 548 4/8/2018 8018 EMG PROPERTIES LLC HAZEL PARK 5456371A 750 5/6/2018 5445 IBB PETROLEUM SERVICES INC HAZEL PARK 5190274A 2,115 4/21/2018 3724 0.95 J AND B MANAGEMENT LLC HAZEL PARK 0849138A 367 6/9/2018 9058 MASTER PLASTERERS HAZEL PARK 3735109A 750 6/6/2018 5022 ONE COUNTY TREE LLC HAZEL PARK 3154378A 7,954 6/1/2018 0042 1.34 13 % WILDS CORPORATION HAZEL PARK 4500989A 1,066 4/24/2018 9058 0.95 WILLIAM B CALVERLEY & SONS INC HAZEL PARK 0423360A 750 6/16/2018 8810 COOK JODY HEMLOCK 5718414A 636 5/20/2018 9053 EXTREME POWER WASHING LLC HEMLOCK 5389852A 722 6/21/2018 9015 HEMLOCK HOMETOWN BUILDERS LLC HEMLOCK 5315840A 1,549 6/15/2018 5645 0.95 LAGALOS LAWN CARE & BUILDING HEMLOCK 5397103A 734 4/18/2018 9102 MAINTENANCE LLC MEIER CONSTRUCTION HEMLOCK 4464354A 682 5/26/2018 8387 1.00 MONKS TREE SERVICE INC HEMLOCK 4065433A 1,006 4/12/2018 0106 1.00 SEEGMILLER LORRAINE HEMLOCK 5505003A 435 6/27/2018 0908 TRUDELLS NORTHERN TREE CARE LLC HEMLOCK 1744518A 3,787 4/18/2018 0106 0.95 GUERRA DANIEL HESPERIA 5713919A 800 5/9/2018 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NH SERVICES LLC HICKORY CORNERS 3374190A 963 4/23/2018 5645 A ONE SPRINKLERS INC HIGHLAND 3024644A 750 4/12/2018 0042 ALL PHASES REMODELING LLC HIGHLAND 5360846A 800 6/21/2018 5645 ATLAS ASPHALT PAVING LLC HIGHLAND 1470213A 2,378 4/28/2018 5221 0.95 BAILEY CUSTOM HOMES INC HIGHLAND 1875361A 750 5/4/2018 5551 0.95 BOLANDS PRECISION HARDWOOD FLOORS LLC HIGHLAND 4189370A 750 5/21/2018 5437 0.95 BRUSHWORKS PAINTING COMPANY LLC HIGHLAND 2579545A 750 5/25/2018 5476 BUCKET LIST LLC HIGHLAND 5407834A 751 5/15/2018 0106 COMMERCIAL FABRICATING & ENGINEERING INC HIGHLAND 0657581A 756 4/21/2018 8742 D J MEATS INC HIGHLAND 5720176A 568 5/30/2018 8031 DM WILSON CONSTRUCTION HIGHLAND 0851442A 750 4/10/2018 5437 DUBS ELECTRIC LLC HIGHLAND 5722640A 544 6/9/2018 5190 DUKES SERVICES LLC HIGHLAND 5557216A 655 5/10/2018 5183 ECONODRY INC HIGHLAND 3047261A 1,009 4/8/2018 9015 0.95 FOUR SEASONS PAINTING & DRYWALL LLC HIGHLAND 2701456A 800 4/4/2018 5445 GREENHILL BUILDING INC HIGHLAND 4753917A 750 5/2/2018 5437 0.95 HDL CONSTRUCTION SERVICES LLC HIGHLAND 4419472A 750 5/5/2018 5645 LAKESIDE CONTRACTING INC HIGHLAND 0514454A 880 5/7/2018 5476 0.93 LEEDS OVER CONSTRUCTION HIGHLAND 5377269A 1,620 4/13/2018 5645 0.95 LOW VOLTAGE APPLICATIONS INC HIGHLAND 5155266A 338 4/16/2018 5191 M C LEONARD FLOORING LLC HIGHLAND 1836854A 1,336 6/3/2018 9521 PATS OUTDOOR SERVICES HIGHLAND 5395348A 900 4/15/2018 9102 PMAG LLC HIGHLAND 4757432A 572 5/14/2018 8017 SHAW EXTERIORS INC HIGHLAND 3585247A 750 4/24/2018 5645 SPECIALISTIC CONSTRUCTION INC HIGHLAND 3229483A 4,585 5/3/2018 5437 1.00 UNIVERSAL RENOVATIONS LLC HIGHLAND 4461673A 825 4/11/2018 5551 ZIMMERMAN SERVICES LLC HIGHLAND 5708249A 696 4/25/2018 9015 ARSMAR INC HIGHLAND PARK 5343712A 827 5/13/2018 8010 ROSE OF SHARON C O G I C HIGHLAND PARK 3301575A 650 4/25/2018 8868 SINGING TREE LLC HIGHLAND PARK 4470621A 4,178 5/16/2018 0106 0.93 CLIFFS PAINTING HILLMAN 1019422A 4,367 6/23/2018 5476 0.95 PAINTER INVESTMENTS INC HILLMAN 3511790A 510 6/15/2018 9058 WILLIAM BRANDT FARM & FORESTRY HILLMAN 2008718A 750 6/14/2018 2702 HILLSDALE COUNTY TASK FORCE ON FAMILY HILLSDALE 0881104A 1,145 5/14/2018 9052 0.95 VIOLENCE

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HILLSDALE TOWNSHIP HILLSDALE 1103415A 1,681 4/1/2018 7904 0.95 HOUSE OF REFUGE CHURCH INC HILLSDALE 3498549A 650 5/25/2018 8868 KYSER CONSTRUCTION HILLSDALE 3659003A 2,345 4/12/2018 5645 0.95 PARNEY CAR CARE INC HILLSDALE 2128802A 4,810 4/5/2018 8395 1.00 RADGAR INC HILLSDALE 1624970A 2,046 6/21/2018 5645 0.95 ALVERSON MATT HOLLAND 5717574A 750 6/15/2018 5551 AM SORIANO FRAMING HOLLAND 5702143A 750 4/29/2018 5645 BAY MEADOWS ASSOCIATION OF HOLLAND HOLLAND 1329863A 647 4/25/2018 9015 BOAT LIFTS UNLIMITED INC HOLLAND 3915093A 6,772 6/24/2018 3724 1.31 13 % CHINA INN SOUTH EXPRESS LLC HOLLAND 3017494A 1,940 5/5/2018 9058 0.95 CHRIS AND SONS TRIMMING HOLLAND 5701597A 750 4/11/2018 5437 CONKLIN ROOFING SYSTEMS OF MICHIGAN LLC HOLLAND 4466420A 8,611 4/24/2018 5551 0.91 DEJONG CONSTRUCTION LLC HOLLAND 5720761A 750 5/31/2018 5645 DIVERSIFIED QUALITY LLC HOLLAND 4643100A 8,513 6/19/2018 8835 0.98 FIGUEROA EDILBERTO HOLLAND 5722764A 1,261 6/9/2018 9015 FRESH COATS LLC HOLLAND 4314581A 750 6/19/2018 5476 GLASS GERRY HOLLAND 5132533A 750 5/1/2018 7208 GREENE CONSTRUCTION GROUP LLC HOLLAND, OH 5715156A 810 5/11/2018 5606 JJ EXPRESS PAINTING PLUS LLC HOLLAND 5515343A 751 5/3/2018 5476 JTS TREE SERVICE HOLLAND 3203913A 750 5/29/2018 0106 0.95 KAMPHUIS MITCH HOLLAND 4764099A 750 6/30/2018 5221 KEEN LARRY HOLLAND 5418712A 750 6/26/2018 5221 KROEZE BROTHERS ROOFING INC HOLLAND 1818031A 750 5/18/2018 5551 KROEZE BUILDERS LLC HOLLAND 2794365A 750 4/6/2018 5645 L AND L DEVISSER LLC HOLLAND 3617084A 751 4/18/2018 8810 0.95 LAKE MICHIGAN CONSTRUCTION LLC HOLLAND 5698413A 750 4/4/2018 5645 LAKESHORE HOME IMPROVEMENT SERVICES HOLLAND 4871774A 802 5/20/2018 8810 LLC LAKESIDE PARK AFC HOLLAND, OH 4078993A 2,231 4/30/2018 9053 0.95 LINDE CONSTRUCTION LLC HOLLAND 5075742A 704 4/1/2018 5183 MICHIGAN SNOW REMOVAL LLC HOLLAND 5149304A 2,074 6/25/2018 5506 0.95 MIKE STYGSTRA CONSTRUCTION LLC HOLLAND 4476913A 750 6/7/2018 5550 NORTH SHORE ASPHALT MAINTENANCE LLC HOLLAND 4751078A 750 5/17/2018 5221 PARKVIEW ADULT FOSTER CARE HOME INC HOLLAND 0549762A 3,376 6/17/2018 9053 0.95 PILCHER KIRSTEN HOLLAND 4765095A 666 5/28/2018 0913 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PLW INVESTMENTS LLC HOLLAND 5578116A 404 6/27/2018 9063 PRECISION CONSTRUCTION OF HOLLAND LLC HOLLAND 1562959A 750 6/9/2018 5645 RANDL INTERIORS LLC HOLLAND 4527763A 800 6/7/2018 5445 REAL DEAL CONSTRUCTION SERVICES HOLLAND 5358370A 750 4/15/2018 5645 SHARP CONSTRUCTION LLC HOLLAND 5572606A 750 6/11/2018 5645 SM CARPENTRY LLC HOLLAND 5722616A 750 6/9/2018 5645 STAR RIGGING AND CRANE LLC HOLLAND 4981391A 750 5/2/2018 3724 TADTEMP INC OF GRAND RAPIDS HOLLAND 2672189A 89,581 4/26/2018 2881 1.38 THAI HOUSE AND SUSHI BOAT LLC HOLLAND 5718473A 670 5/23/2018 9058 TRIPLE C CARPENTRY LLC HOLLAND 5479274A 750 5/24/2018 5645 WIDGET FARMS LLC HOLLAND 5156106A 247 6/20/2018 8810 A R LANDSCAPE & STONE WORK INC HOLLY 5570883A 750 6/4/2018 0042 ARNOLD ROOFING AND CONSTRUCTION INC HOLLY 4592344A 827 6/1/2018 8720 0.95 C J W CHIMINEY LLC HOLLY 3004104A 2,232 6/5/2018 9015 0.95 DAVID SKULBRU LLC HOLLY 5718864A 800 5/23/2018 5645 DENNIS FRANCIS ROOFING HOLLY 2531321A 800 5/14/2018 5551 GW CONTRACTING LLC HOLLY 5697417A 8,720 4/29/2018 5645 HD ELECTRIC HOLLY 4460634A 662 4/10/2018 5190 HOLLY AUTOMOTIVE SUPPLY INC HOLLY 0629448A 3,958 6/17/2018 8010 INSTANT ROOFING LLC HOLLY 4797256A 750 4/7/2018 5551 M A SWIASTYN BUILDING CO LLC HOLLY 3914330A 825 6/5/2018 5645 RUSH AUTOMOTIVE AND RV LLC HOLLY 5707536A 2,072 4/22/2018 8395 SCHAVAL ERECTORS LLC HOLLY 5707544A 5,978 4/24/2018 3365 SEASONAL PROPERTY MAINTENANCE LLC HOLLY 2341786A 10,610 6/24/2018 9102 0.95 TIMS ROOFING AND SIDING LLC HOLLY 5557054A 5,369 5/7/2018 5645 WOODEN NAIL LLC HOLLY 2729270A 1,039 6/19/2018 5437 0.95 CONTROLLED PROJECT MANAGEMENT INC HOLT 2865467A 1,005 5/18/2018 8601 0.95 G AND J CONSTRUCTION LLC HOLT 4998642A 750 4/27/2018 5645 0.95 JAMES CLARK TREE SERVICE HOLT 3604195A 1,252 6/15/2018 0106 JM CONSULTING LLC HOLT 5708206A 1,843 4/28/2018 5437 JORDAN ROOFING INC HOLT 0918547B 825 5/11/2018 5551 0.95 LEVEQUES CONTRACTING HOLT 5538580A 677 5/12/2018 9521 MRS CLEAN SERVICES HOLT 2273675A 1,613 5/27/2018 9015 0.95 PW STAFFING LLC HOLT 4992245A 13,340 6/9/2018 8720 1.27 10 % RAS CONTRACTING INC HOLT 5704910A 800 4/15/2018 5403 1/2/2018 8:13:07 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 SIMON ROOFING & CONSTRUCTION LLC HOLT 2123312A 800 4/12/2018 5551 0.95 TIMBERLAND DEVELOPMENT GROUP INC HOLT 2857898A 825 4/6/2018 5445 YOUNG CLIEVE HOLTON 5256798A 338 4/2/2018 5191 DYNAMIC RECOVERY SERVICE LLC HOMER 3600270A 2,165 5/2/2018 7720 0.94 JBS CROSS COMMUNICATIONS LLC HOMER 4880099A 544 6/29/2018 5190 RONALD J WAGNER CONSTRUCTION HOMER 2796074A 825 4/11/2018 5437 0.95 CHICKY BRAD HONOR 5240425A 1,706 4/8/2018 7600 0.95 BULL ROCK EXCAVATING LLC HOPKINS 5719402A 2,583 6/19/2018 6217 HOFFMAN TRUCKING HOPKINS 0455261A 750 4/28/2018 7208 DOCKSIDE ICE CREAM SHOP LLC HORTON 5436346A 365 4/22/2018 8017 PINE HILL FARMS LLC HORTON 5101492A 800 6/12/2018 7208 R E GIBBS CONSTRUCTION LLC HORTON 4767748A 750 6/2/2018 5645 GAST THEO W JR HOUGHTON 1007378A 646 4/14/2018 9015 0.95 KEWEENAW WATERWAY RESORT HOUGHTON 2043076A 456 5/28/2018 9052 NORTHWINDS ADVENTURES LLC HOUGHTON 5578523A 1,573 6/24/2018 9052 AIRWAY PAINTING HOUGHTON LAKE 4070909A 800 4/10/2018 5476 GREAT LAKES METALWORX HOUGHTON LAKE 5566053A 750 6/9/2018 5551 HEAVY EQUIPMENT FIELD SERVICES LLC HOUGHTON LAKE 5240000B 754 4/22/2018 3724 ROBINSON CONTRACTING HOUGHTON LAKE 2674823A 750 6/14/2018 5645 GROWERS LABOR CONTRACTORS INC HOUSTON, TX 5706890A 11,473 5/1/2018 0005 S AND S PROFESSIONAL SERVICES LP HOUSTON, TX 5016550A 5,176 5/6/2018 4511 0.95 FAVREAU ROBERT HOWARD CITY 5709628A 751 4/28/2018 5445 RANKIN EXTERIORS HOWARD CITY 5702224A 1,052 4/12/2018 5645 REYNOLDS TOWNSHIP LIBRARY HOWARD CITY 3483932A 443 4/6/2018 8810 STUK JUSTIN HOWARD CITY 5613957A 750 6/11/2018 5445 ADVANCED COMPUTING AND MANAGEMENT INC HOWELL 3028178A 222 6/14/2018 8810 ALLENS SET UP & SERVICE LLC HOWELL 1851250A 721 5/4/2018 9015 AMERICAN MAINTENANCE OF MI HOWELL 3185990A 1,247 5/20/2018 9015 0.95 BODY WITHIN INC HOWELL 4343301A 666 6/1/2018 9063 BV ENGINEERING ELECTRICAL CONTRACTOR HOWELL 2554194A 544 4/30/2018 5190 C AND D FENCE LLC HOWELL 5276675A 750 5/31/2018 6400 C D CONTRACTING LLC HOWELL 1831380A 6,799 4/29/2018 5645 1.38 13 % CAMO CREEK HYDROGRAPHICS LLC HOWELL 5270510A 639 4/28/2018 8010 CAMP TALAHI RETREAT & NATURE CENTER HOWELL 4991842A 2,153 6/15/2018 9015 0.95 CHAMPION CHEERLEADING COMPANY HOWELL 3485110A 4,582 4/1/2018 9015 0.89 1/2/2018 8:13:07 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 CHESTNUT DEVELOPMENT LLC HOWELL 1667211A 332 5/21/2018 8810 0.88 CLUB CANINE INC HOWELL 3936473A 1,328 5/13/2018 8831 1.00 CONVERSE CONSTRUCTION HOWELL 3829308A 750 6/22/2018 5645 E AND L CONSTRUCTION INC HOWELL 5594316A 750 5/10/2018 5040 EASTBROOK CONSTRUCTION LLC HOWELL 1080881A 825 4/28/2018 5551 ELITE WINDOWS INC HOWELL 5401143A 825 5/5/2018 5645 ESSENTIAL PERSONNEL INC HOWELL 2861640A 42,054 6/21/2018 9501 1.04 ESTATES AT ARCADIA RIDGE CONDOMINIUM HOWELL 5727545A 646 6/27/2018 9015 ASSOCIATION EXTRAORDINARY INSTALLATIONS LLC HOWELL 5246741A 825 5/14/2018 5645 FAMILY TREE DOCTOR LLC HOWELL 5720044A 750 5/26/2018 0106 FARMLAND SERVICES INC HOWELL 5602653A 1,526 5/26/2018 8232 GM CONSTRUCTION LLC HOWELL 3779050A 750 6/14/2018 5645 HALLMARK SOFTWARE & ENGINEERING LLC HOWELL 3617386A 240 4/19/2018 8810 HOWELL MAIN STREET INC HOWELL 5708214A 429 5/1/2018 8810 JAGLA WINDOW & DOOR INC HOWELL 4086139A 750 6/26/2018 5645 JEA INC HOWELL 5264570A 750 4/24/2018 5645 JEFF GARDNER ROOFING HOWELL 3867757A 750 5/19/2018 5551 K AND S CONSTRUCTION HOWELL 2091895A 3,574 5/6/2018 5645 0.95 KSR HOME IMPROVEMENTS LLC HOWELL 0421006A 750 4/3/2018 5645 LISTO LLC HOWELL 1169734A 1,728 5/4/2018 6217 NOBLE DOG INC HOWELL 5724686A 928 6/16/2018 8831 NORTH SHORE CONSTRUCTION HOWELL 1038834A 750 4/20/2018 5645 OAKWOOD KNOLL CONDOMINIUM ASSOCIATION HOWELL 3329976A 646 4/15/2018 9015 PARDIAC TOWING & RECOVERY LLC HOWELL 5563739A 7,965 6/7/2018 7208 PET RITZ KENNELS INC HOWELL 0294799A 1,980 6/21/2018 8831 0.95 PINE CREEK BLUFFS CONDOMINIUM HOWELL 5544688A 646 4/12/2018 9015 ASSOCIATION PLATINUM DESIGNS INC HOWELL 3648141A 221 4/26/2018 8810 0.95 R AND M WINDOWS INC HOWELL 4363620A 750 6/26/2018 5462 RESCUE LLC HOWELL 4639006A 646 6/18/2018 9015 ROOFAL ROOFING COMPANY LLC HOWELL 4972023A 750 4/19/2018 5551 RP ROOFING INC HOWELL 3288790A 1,919 6/19/2018 5606 0.95 SMEWING ROOFING HOWELL 5716144A 6,276 5/13/2018 5551 STAMPER AND SON EXCAVATING LLC HOWELL 5408334A 2,790 5/29/2018 6217

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SUNSHINE COTTAGE LLC HOWELL 5672767B 1,341 5/9/2018 9063 TOWLES TRANSPORT INC HOWELL 5276667A 800 6/11/2018 7208 TREEMASTER INC HOWELL 1867520A 750 6/18/2018 0106 VC CONSTRUCTION HOWELL 3951979A 750 5/31/2018 5551 YENGLIN GARY L HOWELL 3777669A 1,152 4/15/2018 0042 DONAJKOWSKI TRUCKING LLC HUBBARD LAKE 4564413A 750 4/28/2018 7208 0.94 HUBBARD LAKE COMMUNITY ASSOCIATES INC HUBBARD LAKE 1117262A 980 5/19/2018 7704 0.95 THUNDER BAY COURIER LLC HUBBARD LAKE 5274354A 1,348 5/24/2018 7214 BORCKS OUTDOOR SERVICE HUDSON 3014304A 1,082 4/14/2018 9102 1.00 SHEANANIGANS LLC HUDSON 5703670A 2,612 4/14/2018 9058 ACTION WAKE PARK LLC HUDSONVILLE 5548705A 439 5/7/2018 8017 B AND J MILLER LLC HUDSONVILLE 3262626A 3,192 6/25/2018 9058 0.95 BENCHMARK EQUINE SERVICES LLC HUDSONVILLE 5125812A 1,549 4/9/2018 8279 0.95 BLAIR BUILDERS HUDSONVILLE 4017366A 750 5/25/2018 5645 BRUISER VENTURES LLC HUDSONVILLE 5568838A 750 6/3/2018 5476 CLEARPOINT CONSULTING LLC HUDSONVILLE 3618188A 220 4/3/2018 8810 CUSTOM LANDSCAPE RENOVATIONS LLC HUDSONVILLE 5706866A 750 4/28/2018 0042 DAVE POHLER PAINTING LLC HUDSONVILLE 4617967A 800 4/22/2018 5476 DE YOUNG LANCE HUDSONVILLE 5282276A 750 6/19/2018 5645 DOUG ULBERG BUILDER & DEVELOPER INC HUDSONVILLE 2244861A 750 6/2/2018 5645 ELITE ELECTRICAL SERVICES LLC HUDSONVILLE 5409144A 544 5/30/2018 5190 GAIL D DIEMERS ACCOUNTING & TAX SERVICE HUDSONVILLE 5258405A 311 4/29/2018 8810 INC GO GREEN LAWN CARE LLC HUDSONVILLE 5548713A 720 4/20/2018 9102 GRITTERS LAWN MANAGEMENT HUDSONVILLE 5396131A 825 4/16/2018 9102 HOP EXCAVATING INC HUDSONVILLE 2335158A 800 6/10/2018 6217 JEFF SCHOLTEN BUILDER LLC HUDSONVILLE 3016013A 750 5/22/2018 5645 MARCUSSE CONSTRUCTION COMPANY LLC HUDSONVILLE 4844122A 825 6/1/2018 5645 0.95 MORSINK PAINTING LLC HUDSONVILLE 4124944A 1,186 6/15/2018 5476 0.95 PERMEATOR DISTRIBUTORS LLC HUDSONVILLE 5019567A 290 5/1/2018 8810 PRESTIGE SIDING AND WINDOW LLC HUDSONVILLE 5536421A 750 4/1/2018 5645 PUNG RAYMOND L HUDSONVILLE 5601770A 750 4/25/2018 5645 RENU PAINTING HUDSONVILLE 5703697A 750 4/15/2018 5476 RGD BUILDERS LLC HUDSONVILLE 5708303A 750 4/19/2018 5645 SCHELHAAS LLC HUDSONVILLE 3190307A 11,730 5/8/2018 0106 0.84

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SHEPARD AND SCHUT DRYWALL CO HUDSONVILLE 0940372A 750 6/28/2018 5445 0.95 STERK TREVOR HUDSONVILLE 5725437A 750 6/17/2018 5476 TRIPLE K DEVELOPMENT LLC HUDSONVILLE 4763645A 800 5/5/2018 5645 VERSTRATE CARPENTRY HUDSONVILLE 4055624A 750 4/19/2018 5437 VRUGGINK BROS CONCRETE & CONSTRUCTION HUDSONVILLE 3183289A 801 6/15/2018 5221 INC WABEKE CONSTRUCTION LLC HUDSONVILLE 5282268A 800 6/19/2018 5645 ZEHNS ENTERPRISE LLC HUDSONVILLE 0915386A 834 4/1/2018 0042 LBR ENTERPRISES HUNTINGTON WOODS 1360361A 750 6/15/2018 5437 RAMTRA MANAGEMENT SERVICES LLC HUNTINGTON WOODS 5275571A 2,130 5/29/2018 5645 0.95 REYNTJES ANDREW HUNTINGTON WOODS 5275032A 666 6/2/2018 0913 ALL CITIES RESTORATION LLC IMLAY 5574730A 825 6/30/2018 5645 BIG DS KUSTOMZ IMLAY CITY 5143977A 684 5/6/2018 8393 EARL HUMMEL FARMS INC IMLAY CITY 5155592A 621 6/19/2018 0128 IMLAY CITY AUTO SALES LLC IMLAY CITY 5396522A 371 5/8/2018 8748 M V KULIN HOMES INC IMLAY CITY 3778878A 750 5/9/2018 5183 PUZZUOLI GROUP II LLC IMLAY CITY 5405459A 383 5/15/2018 8010 SIEGLER DAIRY FARM LLC IMLAY CITY 1401238A 3,970 5/27/2018 0129 0.90 T L C CLEANING IMLAY CITY 5698901A 646 4/5/2018 9015 WARNARS CHIROPRACTIC CENTER PLLC IMLAY CITY 1516051A 590 5/4/2018 8832 H 2O MOBILE PRESSURE WASHING INC INDEPENDANCE, OH 5394040A 1,522 4/8/2018 9015 BROTHERS TREE SERVICE OF INDIAN RIVER INC INDIAN RIVER 3782875A 4,766 4/1/2018 0042 0.93 T B CHAPMAN CONSTRUCTION INC INDIAN RIVER 4059387A 753 4/22/2018 8810 TUSCARORA TOWNSHIP VOLUNTEER FIRE INDIAN RIVER 1478761A 801 6/12/2018 7904 0.95 ASSOCIATION INC SBS ENVIRONMENTAL LLC INDIANAPOLIS, IN 4650646A 750 6/3/2018 5183 USA HALLOWEEN PLANET INC INDIANAPOLIS, IN 4946839A 1,368 6/5/2018 8017 0.95 WALKER INTERNATIONAL CAPITAL LLC INDIANAPOLIS, IN 5128137A 959 4/1/2018 9015 ADVANCED PERSONNEL LLC INKSTER 5539463A 25,306 4/1/2018 7520 1.15 API COMMUNICATIONS LLC INKSTER 4652002A 670 4/14/2018 5191 BAILEY LAWN SERVICE INKSTER 2133024A 770 6/15/2018 9102 BLK NON MEDICAL TRANSPORTATION LLC INKSTER 5551340A 3,683 5/5/2018 7208 DC INSTALLATION INC INKSTER 4067487A 750 6/1/2018 5645 DRAPERY BY ERNEST LLC INKSTER 0593168A 1,127 5/13/2018 9521 0.95 EARBY HOME INC INKSTER 5201926A 705 6/29/2018 7212

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GENESIS CREATIVE SOLUTIONS LLC INKSTER 0931349A 800 4/27/2018 5190 HANKINS PLASTERING INKSTER 1337483A 2,785 6/17/2018 5480 1.00 MCMILLIAN GROUP INC INKSTER 3473872A 7,755 4/28/2018 7208 1.00 VETERANS SERVICE CONSTRUCTION INKSTER 5711304A 1,297 5/2/2018 5476 WARNER BRIAN C INKSTER 5562880A 750 5/17/2018 5645 ALL ROOTER INC INTERLOCHEN 1982370A 8,217 5/9/2018 5183 1.36 13 % AMERICAN BOAT RENTALS LLC INTERLOCHEN 4390946A 1,256 5/15/2018 9015 0.95 SOPER SERVICES LLC INTERLOCHEN 5159490A 800 5/22/2018 5645 AP LAWNCARE LLC IONIA 5600758A 1,241 4/5/2018 9102 ODGEN RONALD IONIA 1035037A 825 4/1/2018 9558 TREVOR MERREN AUTO INC IONIA 5452295A 2,747 4/14/2018 8748 0.95 BAY MAINTENANCE LLC IRA 5716462A 654 5/27/2018 5183 BEAR EQUIPMENT CO INC IRA 5703484A 995 4/14/2018 8107 CUSTOM MICHIGAN BUILDERS INC IRA 4893581A 750 4/16/2018 5437 0.92 GREAT LAKES CONSTRUCTION AND ROOFING IRA 5708621A 750 6/23/2018 5552 LLC PERFECTION REMODEL IRA 3999696A 750 5/11/2018 5645 SERVICE SHIELD LLC IRA 3702138A 11,839 4/26/2018 5403 0.96 SUPERIOR ROADSIDE SERVICES LLC IRA 5394074A 1,384 4/15/2018 8387 0.95 COMMERCIAL CONSTRUCTION MANAGEMENT IRA TWP 2383659A 827 6/16/2018 8810 0.95 LLC CAGLE TREE SERVICE LLC IRON MOUNTAIN 5143640A 2,129 5/22/2018 0106 0.95 JMD FORESTRY LLC IRON MOUNTAIN 5263638A 268 5/1/2018 8601 KUSICK JAMES A IRON MOUNTAIN 4337794A 750 4/21/2018 7600 MILLER TREE SERVICE LLC IRON MOUNTAIN 4872371A 2,348 5/23/2018 0042 0.95 WENDER LOGGING INC IRON MOUNTAIN 1844156A 750 5/26/2018 2702 BIG WATER LIMITED IRON RIVER 4518241A 750 6/9/2018 2702 CARLSON LOGGING IRON RIVER 0808806A 750 5/3/2018 2702 D W LOGGING IRON RIVER 1414810A 750 6/3/2018 2702 FORESTRY CONSULTING INC IRON RIVER 0099309A 750 4/23/2018 7208 0.95 J AND J FOREST PRODUCTS IRON RIVER 1125087A 750 6/10/2018 2702 JAMES MURPHY TRUCKING LLC IRON RIVER 3836690A 750 6/20/2018 7219 JOHN J GENDZWILL FOREST PRODUCTS INC IRON RIVER 4513266A 750 6/28/2018 2702 LADU TRUCKING IRON RIVER 5544068A 750 4/9/2018 7208 LAWRENCE J WIEGAND EXCAVATING IRON RIVER 3913228A 750 5/31/2018 6217

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge M AND J FOREST PRODUCTS IRON RIVER 1600010A 750 6/8/2018 2702 MAIN STREET CAFE IRON RIVER 2704811A 1,219 4/23/2018 9058 0.95 MIKES LOGGING & EXCAVATING IRON RIVER 5714699A 750 5/10/2018 8810 S STAFFORD LOGGING LLC IRON RIVER 4892216A 750 5/18/2018 2702 SIERRA SEAMLESS INC IRON RIVER 0291617A 2,588 4/1/2018 5538 0.95 TIMBER RIDGE FOREST PRODUCTS LLC IRON RIVER 1593684A 750 4/15/2018 2709 TOWNSEND GREG IRON RIVER 2104067A 750 4/21/2018 2702 AHOS NORTHWOODS LOGGING LLC IRONWOOD 3026760A 750 6/1/2018 2709 AURORA ATHLETIC CLUB IRONWOOD 4854284A 601 4/7/2018 9058 DEAN PEARSON EXCAVATING & LOGGING INC IRONWOOD 0373249A 750 5/30/2018 7208 0.95 GLOBE INDUSTRIES INC IRONWOOD 1064789A 2,714 5/20/2018 1624 1.00 JIM BOCK LOGGING LLC IRONWOOD 5570255A 750 6/7/2018 2709 MOUSIE INC IRONWOOD 4086252A 349 6/18/2018 9063 SPRING CREEK HOMES IRONWOOD 3943860A 367 5/24/2018 9058 HALLUM CONSULTING INC ISHPEMING 5396794A 714 4/27/2018 8601 JANICE KAYS TRUCKING & EXCAVATING ISHPEMING 0099848A 800 5/23/2018 7208 JESSE PIETRO TIMBER TRUCKING INC ISHPEMING 3839940A 750 6/26/2018 2709 RNS EXCAVATING ISHPEMING 1796380A 800 5/13/2018 7208 MAPLE VIEW ASSISTED LIVING INC ITHACA 1795163A 3,884 6/30/2018 9053 0.90 MID STATE PRINTING INC ITHACA 1881817A 841 6/7/2018 4299 0.95 ACE ROOFING COMPANY LLC JACKSON 0587826A 1,416 4/18/2018 5551 ANGEL OF MINE HOME CARE LLC JACKSON 5697298A 801 4/14/2018 8835 AWARE INC JACKSON 1132890A 2,475 5/3/2018 8832 0.95 BATEMAN ROOFING LLC JACKSON 5147794A 825 6/1/2018 5551 BEAMAN DERIC JACKSON 3476308A 750 5/4/2018 5221 BEST ONE TIRE & SERVICE OF LIMA JACKSON 2349914A 14,368 5/18/2018 8387 1.28 BLAISDELL TRUCKING INC JACKSON 4743652A 1,537 5/19/2018 7208 0.95 CHRISTIAN ASSEMBLY CHURCH JACKSON 0779903A 291 4/1/2018 8868 DEBOSE AND SON CONCRETE JACKSON 4792777A 750 5/6/2018 5221 DIVERSIFIED CONSTRUCTION SERVICES OF JACKSON 0887498A 6,313 6/20/2018 5645 0.93 JACKSON LLC EAT LOCAL LLC JACKSON 5428262A 3,006 4/15/2018 7380 0.95 F N D CONSTRUCTION LLC JACKSON 5539340A 961 4/12/2018 5645 GT RANCH LLC JACKSON 0184659A 1,862 4/15/2018 0128 0.95 JEFF L BROWN CONSTRUCTION LLC JACKSON 2747537A 5,446 4/8/2018 5146 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LANSING AFFORDABLE HOMES INC JACKSON 3773310A 646 4/1/2018 9015 MERIT COMMERCIAL CONTRACTING LLC JACKSON 3883876A 4,247 6/21/2018 5403 0.89 MOHAWK REFUSE JACKSON 5672040A 750 5/4/2018 7213 MTB WAYNE LLC JACKSON 5555086A 750 5/3/2018 5645 NEW VIEW PAINT CO JACKSON 5707145A 1,297 4/21/2018 5476 ORVIS RONALD JACKSON 5721016A 800 6/1/2018 5645 PETTY ENTERPRISES LLC JACKSON 4429907A 800 6/7/2018 5551 RELIANT LLC JACKSON 4739990A 995 4/16/2018 5437 0.95 RUGG SERVICES LLC JACKSON 2369664A 829 6/28/2018 9521 0.95 SLIMS TRIM JACKSON 5727979A 750 6/29/2018 5437 SURGICAL SERVICES OF MICHIGAN LLC JACKSON 0242020A 9,655 4/1/2018 8832 1.39 27 % TB CONSTRUCTION & REPAIR LLC JACKSON 5721938A 1,002 6/6/2018 5552 TOWN BAR INC JACKSON 0298522A 430 5/1/2018 9058 WOOD PEST PROS LLC JACKSON 5544890A 2,396 4/12/2018 9015 0.95 X CELL TRUCK ENTERPRISES INC JACKSON 4064879A 750 6/9/2018 7208 Z TECH LLC JACKSON 5720141A 2,187 5/26/2018 5190 ACTION RESTORATION INC JENISON 4356306A 9,107 4/13/2018 9015 1.24 BILLS SANDBOX INC JENISON 0531995A 1,511 5/25/2018 4000 COMMERCIAL FLOOR SOLUTIONS LLC JENISON 5721768A 604 6/6/2018 9521 DANIEL J POSTMA TILE INC JENISON 4474325A 750 5/31/2018 5348 DUANE DEVRIES BUILDER LLC JENISON 0255203A 752 4/3/2018 8810 EMERSON LOFTS LLC JENISON 4695658A 1,063 6/30/2018 9586 0.95 GO GREEN ELECTRIC LLC JENISON 5284341A 544 6/26/2018 5190 INTEGRITY STAFFING LLC JENISON 5255694A 56,740 5/28/2018 0106 0.96 JAVO CONSTRUCTION LLC JENISON 3355578A 750 6/20/2018 5183 JOEL STERK PAINTING LLC JENISON 5703700A 1,662 4/14/2018 5476 KARSTEN FRAMING JENISON 2464713A 750 5/23/2018 5645 LEIN PHIL JENISON 5725470A 750 6/20/2018 5437 LFE JENISON LLC JENISON 5262747A 800 4/17/2018 5550 NEW IMAGE REMODELING INC JENISON 0720917A 750 5/28/2018 5645 0.96 PEAK ROOFING LLC JENISON 3818799A 1,188 4/22/2018 5551 0.95 PROSCAPE CONSTRUCTION LLC JENISON 5332842A 734 6/17/2018 9102 RACEWAY HOSPITALITY LLC JENISON 0509825A 3,673 6/24/2018 9058 0.89 RELIABLE ROOFING & EXTERIORS LLC JENISON 5722462A 750 6/8/2018 5645 REVEAL CONTRACTING LLC JENISON 5558263A 750 5/10/2018 5645 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 82 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RVA INC JENISON 5321638A 3,058 5/4/2018 7016 SCOTT MOL DRYWALL INC JENISON 2785811A 800 5/5/2018 5445 SERVISCREEN INCORPORATED JENISON 0433411A 87,754 4/30/2018 4299 1.71 SETH VAN KOEVERING BUILDER LLC JENISON 5406544A 750 5/21/2018 5645 SQUEAKY CLEAN WINDOW CARE AND POWER JENISON 5705690A 646 4/18/2018 9015 WASHING LLC VUGTEVEEN BRANDON JENISON 5553059A 750 4/27/2018 5645 WHITE DOG ENTERPRISES INC JENISON 2483378A 1,454 5/13/2018 8279 JENNIFER LYNN EVANS LLC JEROME 5393353A 390 4/24/2018 8720 DEL THOMAS LOG HOME REPAIR LLC JOHANNESBURG 5273781A 4,252 5/31/2018 5476 0.95 A SPECTACULAR EVENT INC JONESVILLE 2923904A 424 5/14/2018 8010 BABLE BOB JONESVILLE 5725755A 750 6/24/2018 2702 HAYES TRUCKING JONESVILLE 5707200A 750 5/6/2018 7208 ULTIMATE LAWN CARE & TREE SERVICE JONESVILLE 5181054A 3,006 6/2/2018 0106 0.95 A AND H INVESTIGATION SECURITY KALAMAZOO 4179269A 1,742 5/10/2018 7720 0.95 MANAGEMENT INC A NEW LEAF KALAMAZOO 2457415A 466 6/1/2018 8001 0.95 AEDENCO LLC KALAMAZOO 5578639A 750 6/24/2018 5606 AMAZING GRACE HOME LLC KALAMAZOO 5703395A 778 4/14/2018 9053 AMBS FLOOR COVERING KALAMAZOO 3223361A 554 6/25/2018 9521 BAKER CHAD KALAMAZOO 2949539A 4,460 5/2/2018 5645 BRICKSTONE CONSTRUCTION LLC KALAMAZOO 4783794A 750 4/23/2018 5022 BROWN CUSTOM HOMES AND REMODELING INC KALAMAZOO 3187373A 34,544 5/22/2018 5538 BUTLER FLOORING INC KALAMAZOO 3409171A 1,819 5/14/2018 9521 0.95 C AND C AUTO & TRUCK SERVICE INC KALAMAZOO 4400720A 642 5/31/2018 8395 0.95 CADYS PAINTING KALAMAZOO 2984768A 1,092 6/8/2018 5476 CHAD RUSSELL CONSTRUCTION KALAMAZOO 5720052A 6,189 5/26/2018 5645 CHERUB ENTERPRISES LLC KALAMAZOO 5714613A 2,436 5/15/2018 8835 COOKS DRYWALL KALAMAZOO 5555507A 2,580 5/4/2018 5445 DANS CUSTOM REMODELING LLC KALAMAZOO 2633060A 750 6/1/2018 5645 DMA EMPLOYMENT GROUP LLC KALAMAZOO 3512169A 1,840 4/27/2018 4511 0.95 DODSON ENTERPRISES LLC KALAMAZOO 4189264A 5,189 6/10/2018 9015 1.29 15 % DREAM MANAGEMENT LLC KALAMAZOO 5697956A 646 4/1/2018 9015 DURDEN LEONARD JR KALAMAZOO 5695678A 1,171 4/28/2018 9015 DUSTIN LEWIS KALAMAZOO 4793536A 750 6/25/2018 5551

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EVENT LABOR INC KALAMAZOO 1451391A 21,368 6/1/2018 9154 1.70 27 % FISCHELL ANNE A KALAMAZOO 4751353A 1,170 5/18/2018 0908 0.95 FREDERICK LIBIN KALAMAZOO 5319048A 5,187 4/27/2018 0913 0.93 GREAT LAKES FLOORING SOLUTIONS INC KALAMAZOO 5560160A 750 6/20/2018 5348 GREENLINK INC KALAMAZOO 5572436A 496 6/13/2018 8810 HARK ORCHIDS LP KALAMAZOO 5146984A 22,721 5/15/2018 4511 1.56 40 % HELIOS SOLAR LLC KALAMAZOO 4661591A 913 6/17/2018 7538 0.95 HOEKSEMA BUILDERS LLC KALAMAZOO 3635058A 800 5/1/2018 5645 0.95 IMPACT MI KALAMAZOO 5368081A 271 5/9/2018 8810 INNOVATIVE BUILDERS KALAMAZOO 5362016A 750 5/2/2018 5645 0.95 INTERFAITH STRATEGY FOR ADVOCACY & KALAMAZOO 5001196A 431 5/26/2018 8810 ACTION IN THE COMMUNITY JMK CONSTRUCTION KALAMAZOO 0341827A 8,928 5/7/2018 5645 0.98 KALAMAZOO CARPENTRY SERVICES KALAMAZOO 3741877A 904 6/5/2018 5403 KALAMAZOO IN BLOOM INC KALAMAZOO 2266059A 950 5/6/2018 0042 0.95 KALAMAZOO RIGHT TO LIFE KALAMAZOO 2148927A 237 5/15/2018 8810 KRH LANDSCAPING LLC KALAMAZOO 5708974A 720 4/27/2018 9102 KUSTER BUILDING AND DESIGN LLC KALAMAZOO 5413150A 3,090 4/6/2018 5645 MARCH FLOORING KALAMAZOO 4016602A 891 4/13/2018 5348 MJ CONCRETE LLC KALAMAZOO 5398800A 750 5/20/2018 5221 NEEDHAM REPAIR AND RESTORATION LLC KALAMAZOO 5413036A 750 6/10/2018 5645 O HALLORAN KENNETH M JR KALAMAZOO 2380706A 750 4/14/2018 5022 PALCO ENTERPRISES CORP KALAMAZOO 2518694A 1,176 6/10/2018 5476 0.95 PANDORAS GOLD LLC KALAMAZOO 0544833A 977 6/21/2018 9058 QUALITY CASTINGS KALAMAZOO 0104957A 6,495 6/30/2018 3085 1.43 13 % RAMOS RICARDO KALAMAZOO 5715199A 1,237 6/2/2018 5348 RESTORATION RENOVATION BUILDERS KALAMAZOO 5698863A 1,271 4/5/2018 5445 ROCK AND GARDEN LANDSCAPING KALAMAZOO 4764404A 750 5/12/2018 0042 ROOFS N MORE KALAMAZOO 2493683A 5,262 5/25/2018 5645 0.92 RYBA MARINE CONSTRUCTION CO TERRA KALAMAZOO 5416469A 328 6/19/2018 8810 0.89 CONTRACTING SERVICES LLC A JOINT VENTURE SCHIMP N SONS FRAME & FINISH KALAMAZOO 5716055A 800 5/15/2018 5645 SCHREUDER BUILDERS KALAMAZOO 5284546A 800 6/23/2018 5645 SEILER RESTORATION AND CONSTRUCTION KALAMAZOO 5523737A 750 4/22/2018 5645 SINGLETON GREGORY KALAMAZOO 4885040A 750 5/4/2018 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SLACK BUILDERS LLC KALAMAZOO 3367487A 13,318 4/2/2018 5645 0.92 STATE APPROVED INSPECTION SERVICES LLC KALAMAZOO 5251818A 268 5/31/2018 8601 STATEWIDE ROOFING & EXTERIORS LLC KALAMAZOO 5373689A 750 6/30/2018 5551 STEELCON INC KALAMAZOO 0594059A 3,468 4/15/2018 3724 0.92 TOTAL TREE SERVICE INC KALAMAZOO 3784452A 5,458 4/23/2018 0042 1.40 13 % TRIPLE G AGGREGATES LLC KALAMAZOO 5403340A 800 5/9/2018 7208 VR DEVELOPMENT LLC KALAMAZOO 4394801A 283 6/8/2018 8810 WISKIRCHEN STUDIOS KALAMAZOO 5540542A 750 4/2/2018 5476 WORLDWIDE LAB IMPROVEMENT INC KALAMAZOO 3790819A 1,243 6/10/2018 5191 KCA SERVICES LLC KALEVA 5466903A 736 6/20/2018 8387 BRETT GALLAGHER LICENSED BUILDER KALKASKA 0289639A 750 4/18/2018 5437 CLEM JAMES KALKASKA 2846179A 825 6/20/2018 3365 ELN LLC KALKASKA 4990730A 751 6/2/2018 8232 MARTINDALE QUALITY LINERS LLC KALKASKA 4677897A 825 5/5/2018 6216 0.92 NORTHERN EXTERIORS & DESIGN INC KALKASKA 3111741A 750 5/29/2018 5551 0.95 CENTRAL AIRLINES INC KANSAS CITY, MO 4475089A 1,467 4/1/2018 7422 HACKER BUILDERS LLC KAWKAWLIN 5449910A 800 4/23/2018 5645 HUSKINS FLOOR COVERING LLC KAWKAWLIN 2390868A 6,482 4/13/2018 9521 1.45 27 % MOHAWK FIRE PROTECTION LLC KAWKAWLIN 5410142A 1,396 6/4/2018 5188 MY BROTHERS BAR INC KAWKAWLIN 4079191A 367 5/18/2018 9058 SPECIALTY CONCRETE KAWKAWLIN 1999877A 750 5/28/2018 5221 A C E ANIMAL CONTROL EXPERTS LLC KEEGO HARBOR 5034710A 514 5/5/2018 8831 FAIRWOOD VILLAS CONDOMINIUM ASSOCIATION KEEGO HARBOR 1596934A 646 4/17/2018 9015 FRANKLIN COLONY CLUB ASSOCIATION KEEGO HARBOR 0984124A 696 5/13/2018 9015 ORCHARD RIDGE CONDOMINIUM ASSOCIATION KEEGO HARBOR 4343140A 646 5/5/2018 9015 PR 39 INDUSTRIES LLC KEEGO HARBOR 5286220A 2,364 4/27/2018 8010 0.95 PROBST LANDSCAPE SERVICE KEEGO HARBOR 1380010A 750 5/1/2018 0042 SAFES UNLIMITED INC KEEGO HARBOR 5545765A 951 4/15/2018 8010 SQUARE LAKE HILLS ASSOCIATION KEEGO HARBOR 0207667A 721 5/12/2018 9015 UZC HANDYWORK KEEGO HARBOR 5553431A 750 4/28/2018 5022 WOODWARD PLACE AT BRUSH PARK III KEEGO HARBOR 5274346A 696 5/28/2018 9015 ASSOCIATION ADVANCED HOME IMPROVEMENT COMPANY INC KENT CITY 2063697A 1,422 4/30/2018 5645 APPLELAND PLANTS & LANDSCAPING LLC KENT CITY 1543458A 751 4/7/2018 0042 DLB BUILDERS KENT CITY 3504590A 750 5/5/2018 5213

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LUTZ LOGGING KENT CITY 4926323A 750 4/23/2018 2702 ROEDE ELECTRIC LLC KENT CITY 5399548A 544 4/29/2018 5190 FLOORCOVERING ENGINEERS LLC KENTWOOD 4869010A 604 5/10/2018 9521 FONGERS MICHAEL KENTWOOD 3633306A 750 5/18/2018 5645 FORTE CONSTRUCTION SOLUTIONS KENTWOOD 5562643A 750 4/27/2018 5645 FOUR U PAINTING LLC KENTWOOD 5519241A 750 6/13/2018 5476 HAPPY HOMES KENTWOOD 5728304A 750 6/30/2018 5645 HUDSON JON KENTWOOD 5575761A 646 6/17/2018 9015 J AND M CONSTRUCTION SERVICES LLC KENTWOOD 5489369A 4,563 6/28/2018 5437 JOEL JOHNSON KENTWOOD 5023092A 750 5/7/2018 8292 MAGIC QUALITY DRYWALL KENTWOOD 5393116A 825 4/19/2018 5445 MIGUELS CONSTRUCTION LLC KENTWOOD 5159768A 800 6/29/2018 5445 NGUYEN MINH VAN KENTWOOD 4254716A 750 4/10/2018 5551 PETARS PAINTING KENTWOOD 5532477A 750 5/12/2018 5476 SKIP LOCATORS INC KENTWOOD 5011094A 466 6/30/2018 8810 T AND G TREE SERVICE INC KENTWOOD 3438520A 983 6/19/2018 0106 0.95 TUINSTRA BENJAMIN KENTWOOD 5400520A 750 5/1/2018 5437 ZAWADI USA LLC KENTWOOD 5716926A 1,356 5/17/2018 9053 ZZ CUSTOM BUILDERS LLC KENTWOOD 5265622A 750 4/28/2018 5645 GOOD NATURE FARMS KEWADIN 1054864A 1,370 6/10/2018 0130 J B FENNER PAINTING LLC KIMBALL 1785303A 1,662 6/14/2018 5476 JOE YOUNG EXCAVATING LLC KIMBALL 4739868A 750 6/29/2018 0042 SABA NORTH AMERICA LLC KIMBALL 4500520A 3,665 5/7/2018 4557 0.95 CJS CONTRACTING KINCHELOE 5698596A 735 4/4/2018 9402 THUMB AUTO OF KINDE LLC KINDE 5532663A 1,760 4/1/2018 8395 MELROSE PYROTECHNICS INC KINGSBURY, IN 2190494A 1,893 4/1/2018 9015 0.95 C W LOGGING INC KINGSFORD 2605872A 750 6/18/2018 2702 CEDAR CREEK CROSSINGS LLC KINGSLEY 5245036A 873 6/30/2018 8279 COUNTRYSIDE SENIOR AFC LLC KINGSLEY 5555744A 926 5/13/2018 9053 PATON LOGGING LLC KINGSLEY 5419026A 750 6/30/2018 2702 SHERWOOD JOSEPH P KINGSLEY 2740311A 750 6/26/2018 5551 TEAM WANDO INC KINGSLEY 5723981A 295 6/15/2018 8810 TOP VIEW TREE SERVICE INC KINGSLEY 4417461B 14,437 4/26/2018 0106 0.97 EXCEL SERVICES & TRUST KINGSTON 5338654A 646 5/31/2018 9015 VANDERPOEL TRUCKING INC KINGSTON 2411849A 1,270 4/16/2018 7208 0.95 1/2/2018 8:13:07 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 EVERGREEN DEVELOPMENT NV LLC LA SALLE 4106016A 1,366 5/1/2018 5606 0.95 JAMES HANSEN FOREST PRODUCTS LLC LACHINE 3665194A 750 4/26/2018 7208 PROPERTY CARE MANAGEMENT LLC LACHINE 5520045A 750 4/19/2018 9015 AUSTIN KYLE LAINGSBURG 4879252A 750 6/16/2018 5645 BEST ELECTRICAL SERVICE INC LAINGSBURG 4114132A 1,484 4/22/2018 5190 0.95 J GORDON ASSOCIATES INC LAINGSBURG 0771600A 751 6/16/2018 0042 MICHQUITOES INC LAINGSBURG 5722829A 2,757 6/9/2018 9015 SE GROWTH INC LAINGSBURG 5401828A 3,752 5/19/2018 9015 SUGGATE CONSTRUCTION LLC LAINGSBURG 3943160A 3,765 4/22/2018 5551 0.95 TSQUARE REMODELING & HANDYMAN SERVICES LAINGSBURG 5721415A 750 6/2/2018 5645 A AND B DRYWALL SAGINAW LLC LAKE 4465423A 750 5/25/2018 5445 GARFIELD TOWNSHIP OF CLARE COUNTY LAKE 0999857A 5,177 4/1/2018 9410 1.21 TOTAL SERVICE ELECTRIC LLC LAKE ANN 5050456A 1,167 6/18/2018 5190 JOHN MARTIN SIDING & TRIM LAKE CITY 4048865A 750 4/1/2018 5437 NAROVICH CHARLES W LAKE CITY 2782740A 750 4/11/2018 2702 REEDER TOWNSHIP LAKE CITY 1393898A 753 5/4/2018 9220 ROZEVELD JOSHUA H LAKE CITY 5269032A 750 5/9/2018 5437 HILL JAKOB R LAKE LINDEN 5717256A 750 5/31/2018 2702 B ZELMER TRUCKING LLC LAKE ODESSA 5553512A 750 5/1/2018 7208 DRIVER RESOURCES INC LAKE ODESSA 0920517A 3,865 6/29/2018 7208 0.89 DUNKLEE CLEANING SERVICE LAKE ODESSA 3571084A 646 4/7/2018 9015 A AND D ANIMAL CONTROL INC LAKE ORION 3169413A 1,972 5/8/2018 8831 0.95 AJ MUELLER PHOTOGRAPHY LLC LAKE ORION 5069076A 1,241 6/14/2018 4361 CORINTHIAN STONE RESTORATION LLC LAKE ORION 4858913A 750 4/12/2018 5348 D AND S MAINTENANCE INC LAKE ORION 2534070A 869 6/16/2018 9102 DUNRITE ROOFING SIDING COMPANY INC LAKE ORION 3080897A 500 4/22/2018 8742 0.95 EXTRA RESOURCES INC LAKE ORION 2191423A 7,593 6/17/2018 4484 0.84 FIVE HUNDRED 11 HEIGHTS LLC LAKE ORION 5545897A 992 4/20/2018 8006 GAYTAN CONSTRUCTION INC LAKE ORION 2813246A 11,540 4/24/2018 5022 0.85 GEMSTONE ARCHITECTURAL STONE AND BRICK LAKE ORION 5382700A 751 5/12/2018 5022 0.95 LLC INTERIOR PERFECTION LAKE ORION 4884612A 750 4/14/2018 5476 J 5 CONSULTING & CONSTRUCTION SERVICES LAKE ORION 5717060A 4,661 5/13/2018 5476 LLC KEATINGTON HOMEOWNERS ASSOC INC LAKE ORION 1047647A 976 4/29/2018 9015

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LYMTAL INTERNATIONAL INC LAKE ORION 1504380A 405 6/7/2018 4558 MASTER HOMES INC LAKE ORION 2017849A 800 6/12/2018 5445 MILLER TIMOTHY WILLIAM LAKE ORION 5725577A 750 6/20/2018 5476 N D M INC LAKE ORION 2534460A 750 5/15/2018 0106 ORION HOMES INC LAKE ORION 0909530A 750 6/20/2018 5645 OTC ROOFING & SHEET METAL LLC LAKE ORION 5554586A 750 4/30/2018 5552 PARRISH LAWN AND SNOW LLC LAKE ORION 3913830A 734 5/18/2018 9102 0.95 POSEY TRANSPORTERS INC LAKE ORION 4419804A 2,280 5/1/2018 7208 0.95 ROCK HOMES LLC LAKE ORION 4982894A 750 5/5/2018 5645 RTB CONSTRUCTION LLC LAKE ORION 5268591A 750 5/9/2018 0042 SALK COMMUNICATIONS INC LAKE ORION 5158940A 1,068 6/28/2018 3681 1.00 SNEARY SERVICES LLC LAKE ORION 5683475A 377 4/26/2018 8810 SQUARE DEAL CONSTRUCTION LLC LAKE ORION 2035324A 750 6/10/2018 5437 STARRS ROOFING & CONSTRUCTION LLC LAKE ORION 5721393A 10,150 6/2/2018 5551 STORTS ROOFING INC LAKE ORION 3335518A 13,424 4/5/2018 5551 0.85 TEPER ARTHUR II LAKE ORION 5409861A 554 6/3/2018 9521 TURMANS TREE AND LANDSCAPE LLC LAKE ORION 5436664A 3,728 6/10/2018 9102 0.95 VENETIAN PLASTER COMPANY LLC LAKE ORION 5414261A 750 6/17/2018 2881 WORMSBAECHER HANS LAKE ORION 5547962A 268 4/19/2018 8601 D BUCHOLTZ AND GIRLS LLC LAKEVIEW 4117638A 1,824 5/13/2018 4000 OBERLIN PLUMBING LAKEVIEW 3563413A 1,656 6/21/2018 5183 0.95 LAKE RESTORATION ASSOCIATION LAKEVILLE 1207334A 1,191 5/26/2018 0005 0.95 GREEN HILLS LOT OWNERS ASSOCIATION LAMBERTVILLE 0903094A 551 4/28/2018 9061 SHAKEN NOT STIRRED LLC LAMBERTVILLE 4163001A 9,750 4/1/2018 9058 1.36 27 % PETERSON LOGGING LLC LANSE 5715202A 4,191 5/11/2018 2709 TIKKYS TREE SERVICE LANSE 4363701A 3,093 5/12/2018 0106 0.95 ACES GAMING SUPPLY LLC LANSING 4502329A 3,667 5/1/2018 8017 1.34 13 % ALL STAR DRYWALL & PAINTING LLC LANSING 5725216A 750 6/17/2018 5445 BUCKS TRANSPORT LLC LANSING 5404568A 4,662 5/12/2018 7208 0.95 C AND M PAINTING & CLEANING LANSING 5219566A 800 5/18/2018 5476 0.95 CENTURY EXTERIORS LLC LANSING 5711240A 7,490 5/2/2018 5551 DELPHI GLASS CORPORATION LANSING 0267821A 25,471 4/18/2018 8017 1.71 27 % DEO CONSTRUCTION LLC LANSING 5713862A 750 5/9/2018 5551 DTN PROPERTIES LLC LANSING 4001648A 646 4/7/2018 8810 DYNAMIC CONSTRUCTION LANSING 4991893A 750 6/26/2018 5551 0.94 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 88 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EMERALD WAY LLC LANSING 3863140A 750 4/18/2018 7208 ENROLL MICHIGAN LANSING 5491690A 794 5/18/2018 8810 ESQUIVEL CONSTRUCTION LANSING 5726654A 750 6/24/2018 5476 FAWAZ ENTERPRISES INC LANSING 3436160A 750 6/28/2018 0106 FIVE STAR TECH SERVICES LLC LANSING 4778723A 750 6/18/2018 7600 GREENWOOD ACRES CONDOMINIUM LANSING 3074560A 646 4/30/2018 8810 ASSOCIATION GRICE STEPHEN LANSING 5711312A 249 5/9/2018 8810 HEEGAL CORPORATION LANSING 4652797A 444 6/15/2018 9063 HELP YOU MOVE INC LANSING 5263816A 596 5/9/2018 8017 HIGHWAY PERMITS LLC LANSING 4872363A 1,237 5/25/2018 9015 0.95 JACK C DAVIS PC LANSING 2844850A 215 4/1/2018 8820 JAVIER AND MR BILL ROOFING LLC LANSING 5712785A 800 5/5/2018 5551 JIM HENSLEYS PAINTING LANSING 0605077A 750 4/12/2018 5476 JOYRIDE PEDAL TOURS LLC LANSING 5326290A 3,437 6/3/2018 7380 K AND B SMITH ENTERPRISES LLC LANSING 5141982A 752 5/18/2018 5183 KESSLER RENTAL PROPERTY LANSING 2927225A 1,238 5/29/2018 0042 0.95 KINGDOM HOMES INC LANSING 0412937A 753 5/10/2018 5645 KNICKERBOCKER BRIAN LANSING 5725682A 750 6/21/2018 7600 LANDINGS AT RAYNER PONDS CONDOMINIUM LANSING 4565584A 646 6/23/2018 9015 ASSOCIATION LEONARDS CARPET INC LANSING 0436070A 555 5/11/2018 9521 0.95 LIL DADDYS DEEP CLEANING LLC LANSING 5713846A 646 5/6/2018 9015 MESSNER THOMAS LANSING 5279690A 385 6/12/2018 0908 MICHIGAN INSTALLERS INC LANSING 2678241A 751 4/18/2018 9519 0.95 MICHIGAN SOCIETY OF PROFESSIONAL LANSING 1219677A 356 4/12/2018 8742 ENGINEERS MIENTERTAINMENT GROUP INC LANSING 5701716A 1,195 4/10/2018 9015 MIRACLE ARC INC LANSING 3515940A 1,317 5/2/2018 3365 0.95 MIRELES PAINTING LANSING 1494716A 750 5/12/2018 5476 NELSON TANK ENGINEERING & CONSULTING INC LANSING 1885111A 1,216 4/11/2018 8601 0.95 NICKS CLEANING SERVICE LLC LANSING 3073238A 646 4/9/2018 9015 NORTHERN EXPOSURE PROPERTY LANSING 5027322A 751 6/22/2018 5476 MAINTENANCE LLC PAMELA F R O G LLC LANSING 2198649A 1,171 6/11/2018 8868 0.95 PURE PROMOTIONS LLC LANSING 5515726B 316 6/16/2018 7610

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge R AND G TORCHING LLC LANSING 5555558A 2,504 6/7/2018 3365 REPLAY TAVERN LLC LANSING 5697867A 1,808 4/1/2018 9058 ROBIN L OMER PLLC LANSING 5552990A 261 4/27/2018 8810 RT PRO PAINTING LANSING 5642388A 750 6/13/2018 5476 SAVE A SHAKE LLC LANSING 1563777A 646 4/23/2018 9015 SIMPLE ELEGANCE INC LANSING 4299680A 561 5/13/2018 9053 SMALL FOLKS DEVELOPMENT CENTER INC LANSING 1444123A 721 5/1/2018 8869 0.95 SQUARE ONE TRANSPORT INC LANSING 5135176A 9,665 5/7/2018 7208 1.52 WELLNESS INX LLC LANSING 5726328A 8,257 6/23/2018 8835 WESTERN TEMPORARY SERVICES OF LANSING LANSING 2641534A 498 4/6/2018 8810 INC WOODBRIDGE COMMONS COOPERATIVE LANSING 5158788A 646 6/28/2018 8810 AA GENESEE CONTRACTING & CONSULTATION LAPEER 2920751A 800 5/15/2018 5437 LLC ASHLEY CONSTRUCTION LAPEER 4472870A 3,496 5/4/2018 5645 0.95 BC ENTERPRIZES INC LAPEER 4474813A 750 6/4/2018 5476 C AND L BUILDERS LAPEER 5721822A 800 6/6/2018 5645 CARDINAL PROPERTY SERVICES LLC LAPEER 5339634A 9,530 6/18/2018 0042 CHIPPEWA RIDGE FLOORING LLC LAPEER 5323436A 750 5/3/2018 5437 CORNERSTONE BRICK & LANDSCAPE INC LAPEER 3996808A 1,220 5/30/2018 9102 0.95 DEPENDABLE ROOFER LLC LAPEER 2299461A 825 5/25/2018 5551 ELLIOTT KYLE LAPEER 3915948A 750 6/27/2018 5551 FOUR STAR ROOFING LAPEER 0436240A 750 5/26/2018 5551 HILL TOP TRANSPORT LLC LAPEER 5402328A 825 5/7/2018 7208 J AND S TRUCKING & CLEANUP LLC LAPEER 3012662A 1,239 5/6/2018 5610 0.95 M AND M TILE & MARBLE LLC LAPEER 5152461A 750 6/8/2018 5348 MAID FOR YOU SERVICE INC LAPEER 2759900A 1,255 5/5/2018 9015 0.95 MASONRY SPECIALIST INC LAPEER 0730726A 801 5/19/2018 5022 0.95 MID VALLEY TRANSPORTATION LLC LAPEER 3493512A 4,969 4/29/2018 7212 0.88 NASSAR AND ASSOCIATES LLC LAPEER 5165520A 228 6/8/2018 8810 NEUMEYER BUILDERS LAPEER 2118564A 800 6/2/2018 5645 PAUL PARSCH PAINTING LAPEER 0022039A 750 4/18/2018 5476 PIZZA PEDDLERS LLC LAPEER 4977742A 481 6/1/2018 9058 RNS DETAILING LLC LAPEER 5408229A 297 6/11/2018 8810 STREAMLINE RENOVATIONS LLC LAPEER 5716802A 750 5/22/2018 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SURGICAL SPECIALISTS PC LAPEER 0711004A 238 4/1/2018 8832 0.95 WATERMAN CONSTRUCTION LAPEER 1602136A 750 4/6/2018 5551 SUPER TRANSPORT INTERNATIONAL LTD LAREDO, TX 5216290A 8,592 4/1/2018 7208 1.49 13 % ELEGANCE PAINTING INC LATHRUP VILLAGE 5414156A 751 6/23/2018 8810 FOUNDATION OF MICHIGAN ASSOCIATION OF LATHRUP VILLAGE 5263085A 647 4/18/2018 8832 PHYSICIANS OF INDIAN HERITAGE THIRD GEN MGT INC LATHRUP VLG 5702410A 6,651 4/12/2018 9015 REGAL CANINE SECURITY LLC LAUREL, MD 4882709A 3,910 6/29/2018 7720 0.93 LAWRENCE TOWNSHIP LAWRENCE 0340375A 12,011 4/4/2018 7704 0.97 BADGER LAWN CARE LLC LAWTON 2528185A 785 5/2/2018 9402 JEWELL METAL FINISHING INC LAWTON 5562988A 1,869 5/17/2018 3632 PREFERRED POURED WALLS & EXCAVATING INC LAWTON 3681351A 750 6/10/2018 5221 TERRY PHILLIPS LLC LAWTON 4996496A 236 6/22/2018 8742 WATERTIGHT ROOFING SYSTEMS LLC LAWTON 3027112A 2,066 6/16/2018 5403 0.95 TRISON BUSINESS SOLUTIONS INC LE ROY, NY 3946541A 431 5/31/2018 8810 FAIRBORN EQUIPMENT MIDWEST INC LEBANON, OH 5283485A 9,525 6/24/2018 3724 0.91 BRYANS CARPET AND SALES LENNON 4508513A 554 5/25/2018 9521 DLM DRYWALL LENNON 5169518A 750 6/17/2018 5445 ROCK HARD CONCRETE AND CONSTRUCTION LENNON 5394970A 7,051 5/7/2018 5445 0.95 INC NU VIEW CONSTRUCTION LLC LENOX 3795616A 750 6/24/2018 5190 J AND J CONSTRUCTION SPECIALIST COMPANY LENOX TWP 3388778A 825 4/8/2018 5645 ADDISON TREE & OUTDOOR SERVICES LLC LEONARD 5079071A 4,408 4/5/2018 0042 0.95 DELCON ENTERPRISES INC LEONARD 1210718A 455 5/24/2018 8810 FITOS LANDSCAPING LLC LEONARD 4343611A 3,513 4/29/2018 9102 1.00 G R HOME IMPROVEMENT L L C LEONARD 5303001A 750 4/7/2018 5348 GLEN VALLEY PLUMBING & HEATING LEONARD 1212788A 654 5/5/2018 5183 NEVER WET LEONARD 4861850A 654 4/20/2018 5183 PRECISION CRAFT HARDWOOD FLOORS LLC LEONARD 3228037A 869 6/26/2018 5437 0.95 TIMBER TREE SERVICE LEONARD 1345575A 1,038 6/14/2018 0106 0.95 WESTWOOD BUILDING LLC LEONARD 5409969A 750 6/3/2018 5645 FAVOR FOREST PRODUCTS LEROY 4597311A 1,247 5/30/2018 2702 0.95 LEROY ROSE LAKE FIRE DEPARTMENT LEROY 2118947A 2,646 4/24/2018 7704 0.95 B AND T EXCAVATING & LANDSCAPING INC LESLIE 1675214A 1,196 5/22/2018 6217 0.95 BEACH BUILDERS & CRAFTSMEN LLC LESLIE 5711746A 2,762 5/3/2018 5551

1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 91 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MICHIGAN ART CASTINGS LLC LESLIE 5189829A 845 5/28/2018 3085 SNELSON PAINTING INC LESLIE 5562104A 750 5/17/2018 5476 TOP NOTCH TREE CARE LLC LESLIE 5547113A 1,468 4/23/2018 0106 0.95 WHITE PINE ACADEMY LESLIE 3193721A 295 5/21/2018 8810 LOWNDS PHIL LEWISTON 4655346A 750 5/30/2018 5476 IST OHIO INC LEXINGTON, OH 5709768A 336 4/28/2018 8742 JLR GROUP LLC LEXINGTON 5394252A 800 4/9/2018 5476 WATERTOWER SPORTS PUB INC LEXINGTON 5292832A 571 5/7/2018 9058 0.95 ALCONA DREDGE LLC LINCOLN 4411218A 951 4/17/2018 7335 0.95 GILLARD LEORA F TRUST LINCOLN 5262836A 385 4/22/2018 0908 PACE AND HONG AUCTIONS LLC LINCOLN 4814703A 1,946 4/15/2018 8017 1.00 RMS TOWING LLC LINCOLN 5710723A 750 4/29/2018 7208 BARRON CONSTRUCTION LINCOLN PARK 4979672A 750 4/27/2018 5551 BILL ROSE HOME IMPROVEMENTS LINCOLN PARK 5415268A 750 6/18/2018 5645 COMFORT CARE HOMES INC LINCOLN PARK 4613180A 3,678 6/23/2018 9053 0.95 CRUZ HIDALGO JUAN LINCOLN PARK 5394813A 750 4/11/2018 5022 DACOR CONSTRUCTION LLC LINCOLN PARK 5000785A 17,330 5/24/2018 5645 0.93 DIX CONEY ISLAND INC LINCOLN PARK 1043960A 835 6/11/2018 9058 DORTON KENNETH JR LINCOLN PARK 4069129A 750 5/13/2018 5645 E AND J TREE SERVICE INC LINCOLN PARK 4124073A 4,031 4/12/2018 0106 0.95 FLORES SCAPES LLC LINCOLN PARK 5699690A 750 4/14/2018 5215 G AND E CONTRACTING LLC LINCOLN PARK 5565871A 1,231 6/2/2018 9015 GONZALEZ SERVICES INC LINCOLN PARK 5727928A 1,239 6/29/2018 0042 MILLERS CONSTRUCTION LLC LINCOLN PARK 5533473A 750 4/28/2018 5645 NORTHERN LIGHTS CARPENTRY LINCOLN PARK 3960447A 4,175 6/21/2018 5437 PIZZO DEVELOPMENT GROUP LLC LINCOLN PARK 5276845A 1,021 6/3/2018 6217 0.95 PRECIOUS PAINTING PLUS LINCOLN PARK 5571650A 750 6/10/2018 5476 ROYAL CEMENT CORP LINCOLN PARK 3983056A 3,168 6/2/2018 5221 SHAFTMASTERS INC LINCOLN PARK 4158024A 2,088 5/28/2018 3632 0.95 SIERRA PAINTING LINCOLN PARK 5553024A 750 4/27/2018 5476 SLADE FAMILY CONSTRUCTION INC LINCOLN PARK 1446169A 750 5/11/2018 5022 SOLES JEREMEY JEFFREY LINCOLN PARK 5556210A 750 5/6/2018 5645 STIR 2014 INC LINCOLN PARK 5293790A 3,567 6/13/2018 9058 0.93 THREE R HOME IMPROVEMENT LLC LINCOLN PARK 4297814A 971 4/30/2018 5022 0.95 TORRES FRAMING LLC LINCOLN PARK 5454115A 10,961 4/22/2018 5645 0.94 1/2/2018 8:13:07 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 UNIVERSAL PAINTING LINCOLN PARK 2972492A 750 4/17/2018 5476 WHEAT CONSTRUCTION LLC LINCOLN PARK 5707099A 4,574 4/23/2018 5551 YOUR CHOICE PAINTING LLC LINCOLN PARK 5727367A 750 6/27/2018 5476 ALTERNATIVE RECOVERY SOLUTIONS LLC LINDEN 5258057A 1,226 4/10/2018 7720 0.95 BUGG BUILDERS LLC LINDEN 3377652A 750 6/20/2018 5645 ELEMENT CONSTRUCTION LINDEN 3849279A 356 5/25/2018 8742 HOLTSLANDER AND SONS TREE SERVICE LLC LINDEN 5542464A 3,824 4/6/2018 0106 0.95 LEBEC ENTERPRISES INC LINDEN 4391721A 23,484 6/12/2018 5552 0.83 MARSHALL CONTRACTING SERVICES LLC LINDEN 5560934A 750 5/13/2018 5645 MILLAY CONSTRUCTION LINDEN 2870940A 800 4/14/2018 5551 REDMON CONSTRUCTION LLC LINDEN 5716187A 750 5/11/2018 5551 REEVES BUILDERS & REMODELING LINDEN 5570590A 800 6/29/2018 5645 SMP BUSINESS SERVICES LLC LINDEN 5540917A 249 4/2/2018 8810 SOUTHGATE PARK LLC LINDEN 5693683A 221 4/1/2018 8810 RASMUSSEN JOSHUA LINWOD 5719917A 385 5/26/2018 0908 ATKINS PATRICIA LINWOOD 5142016A 385 5/21/2018 0908 BERNDT JOY LINWOOD 5129567A 940 4/25/2018 0908 BRANDENBURG MICHAEL LINWOOD 5273170A 570 6/3/2018 0908 BRANDT SCOTT LINWOOD 5129435A 385 4/25/2018 0908 BURPO ANTHONY SCOTT LINWOOD 4849191A 385 5/26/2018 0908 CHAPP CRYSTAL LINWOOD 5715512A 385 5/13/2018 0908 CRAFT CINDY LINWOOD 5145287A 385 5/29/2018 0908 CRAMER AMY LINWOOD 5567637A 385 5/28/2018 0908 DOUGLAS THOMAS O LINWOOD 5567904A 570 5/28/2018 0908 ELOWSKI ANDY L LINWOOD 3601129A 385 4/15/2018 0908 ENGLE ROGER LINWOOD 5402840A 385 5/9/2018 0908 FREY AMANDA LINWOOD 5398606A 940 4/25/2018 0908 GAYLORD LISA LINWOOD 5129699A 570 4/25/2018 0908 GUITAR CANDICE LINWOOD 5709040A 385 4/28/2018 0908 GUTE SAWYER B LINWOOD 5129672A 570 4/25/2018 0908 HOFFNER MATTHEW LINWOOD 5709148A 385 4/28/2018 0908 HURD TIFFANY LINWOOD 5142040A 940 5/21/2018 0908 JOHNSON ANGELICA LINWOOD 5708923A 385 4/28/2018 0908 JOHNSON LUCAS LINWOOD 5709180A 570 4/28/2018 0908 KLEIN RONALD LINWOOD 5398363A 1,132 4/25/2018 0913 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 93 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LAKE KERRY L LINWOOD 5129540A 385 4/25/2018 0908 PEARCE LILLY LINWOOD 5129460A 385 4/25/2018 0908 PRELL PEGGY LINWOOD 5158630A 385 6/27/2018 0908 SHIEMKE JULIE LINWOOD 5129443A 385 4/25/2018 0908 ST CHARLES RAYMOND III LINWOOD 5129486A 851 4/25/2018 0908 SZYMANSKI MATTHEW LINWOOD 5273625A 385 5/23/2018 0908 TYLER HARRY LINWOOD 4685970A 727 5/28/2018 0908 0.95 WALSH KATHLEEN LINWOOD 5709229A 385 4/28/2018 0908 WILLIAMSON SHERA LINWOOD 5129664A 385 4/25/2018 0908 WOLOSZYK GLORIA LINWOOD 5402867A 385 5/9/2018 0908 COIL LINE SERVICE INC LISBON, OH 5214629A 1,571 5/26/2018 3724 0.95 BURNS KENNETH LITCHFIELD 5719992A 750 5/26/2018 5221 W R ELLIOT & ASSOCIATES LIMITED LITTLE LAKE 5577985A 428 6/23/2018 8810 E J CHRIS CONTRACTING INC LIVE OAK, TX 4641167A 14,554 6/24/2018 5476 1.66 13 % A AND A DRIVING SCHOOL INC LIVONIA 0608327A 1,689 5/8/2018 8868 1.00 A AND K TRANSPORT INC LIVONIA 5711606A 6,005 5/3/2018 7208 A AND K TREE SERVICE INC LIVONIA 0582123A 750 4/10/2018 0106 ABOVE AND BEYOND INSTALLATION INC LIVONIA 4641540A 750 6/26/2018 9558 ACTION PAINTBALL PARK LLC LIVONIA 5725062A 962 6/27/2018 9015 AIMS GROUP INC LIVONIA 5544840A 1,167 5/5/2018 8810 AIRFLOW SCIENCES CORP LIVONIA 0623083A 37,273 4/1/2018 8601 1.58 13 % AJ PLYMOUTH INC LIVONIA 2487373A 1,469 4/8/2018 7380 ALTON BORING CO INC LIVONIA 1548514A 505 6/5/2018 3629 0.95 AMBERJACK CONSTRUCTION INC LIVONIA 3263673A 750 6/9/2018 5221 AMERICAN SOCIETY OF EMPLOYERS LIVONIA 4993012A 5,058 6/30/2018 8810 0.87 ANGELS OF LIVONIA 24 7 INC LIVONIA 1521101A 1,689 4/1/2018 8835 0.95 ARMANDOS CONCRETE INC LIVONIA 4106270A 1,159 6/4/2018 5221 0.95 ASE EMPLOYEE LEASING INC LIVONIA 4993012B 5,475 6/18/2018 3632 0.87 BILLYS ROOFING LLC LIVONIA 3001873A 750 5/7/2018 5551 0.95 BURTON HOLLOW SWIM AND RACQUET CLUB LIVONIA 0733199A 1,556 6/8/2018 9061 0.95 CANZANO CONTRACTING CORP LIVONIA 0481696A 9,569 4/14/2018 5610 1.50 27 % CENTER MASS INC LIVONIA 4497082A 3,946 5/1/2018 8017 0.91 CHESTERFIELD SERVICES LIVONIA 3471420A 750 5/17/2018 5645 CLEAN AIR TESTING INC LIVONIA 4354524A 1,261 4/16/2018 8601 0.95 CONTRACT KITCHENS & BATH INC LIVONIA 2987953A 750 5/28/2018 5437 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 94 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CORE MANAGEMENT LLC LIVONIA 3596842A 49,828 5/18/2018 3628 CYNTHIA MARTIN LLC LIVONIA 5405343A 1,152 5/15/2018 9521 D HOME CARPENTRY LLC LIVONIA 5574722A 5,171 6/15/2018 5645 DEBY LEBOW DESIGN ASSOCIATES LLC LIVONIA 5414806A 825 6/17/2018 5183 DESCHENES GARY LIVONIA 4986288A 433 5/17/2018 8810 DPI CONTRACTING INC LIVONIA 4843339A 750 6/16/2018 5437 DVM CONSTRUCTION COMPANY INC LIVONIA 4753615A 750 5/21/2018 5645 E AND T CONSTRUCTION INC LIVONIA 5694140A 4,100 4/15/2018 5645 ENERGY SAVERS INC LIVONIA 2017083A 753 5/7/2018 8742 ENRICHED LIFE HOME CARE SERVICES LLC LIVONIA 5150841A 8,038 6/7/2018 8835 0.89 EUGENE L WILLIAMS LLC LIVONIA 1011855A 750 4/23/2018 5403 EVENTS EXTRAORDINARE INC LIVONIA 4718666A 6,554 5/31/2018 9063 1.28 13 % FIRST CHOICE HOME IMPROVEMENT LIVONIA 5553830A 1,670 5/10/2018 5645 GET SKILLZ BASKETBALL LLC LIVONIA 4977017A 696 4/11/2018 8810 GRANITE PLANET INC LIVONIA 4329210A 4,061 5/13/2018 1624 0.90 GRANITEX DESIGN INC LIVONIA 5533384A 750 6/16/2018 8810 HOLIDAY HUT PARTY STORE LIVONIA 1951513A 643 6/28/2018 8017 HOPE MATTHEW LIVONIA 4769090A 818 6/2/2018 0908 0.95 HOSPITALITY ENDEAVORS LLC LIVONIA 5348234A 1,537 6/29/2018 9058 0.95 J AND J INTERIORS LLC LIVONIA 5524059A 750 6/2/2018 5348 J AND J RESTORATION LLC LIVONIA 4472365A 2,457 5/22/2018 0042 0.95 J CANADA ROOFING LLC LIVONIA 5723370A 825 6/10/2018 5551 JB TRANSPORTATION LLC LIVONIA 5711673A 825 5/3/2018 7202 JCI CLEANING SERVICES LLC LIVONIA 5396298A 696 4/16/2018 9015 JDM BUILDING COMPANY LLC LIVONIA 2735954A 800 4/11/2018 5645 K 2 RESTORATION INC LIVONIA 3174336A 800 5/25/2018 5445 K AND D CONSTRUCTION LIVONIA INC LIVONIA 4408330A 800 6/26/2018 5645 KERNERS WINDOW CLEANING LLC LIVONIA 4866207A 2,307 4/30/2018 9015 1.00 KEYSTONE HOME IMPROVEMENTS INC LIVONIA 4047265A 750 5/12/2018 8810 KNEPP FINANCIAL GROUP LLC LIVONIA 2572907A 553 6/29/2018 8810 LAKEVIEW DESIGN & LANDSCAPE LLC LIVONIA 5058554A 2,704 5/10/2018 0042 LITTLE CRITTER SITTER LLC LIVONIA 4705238A 451 5/26/2018 8831 MACEK LAWN CARE LIVONIA 5545803A 720 4/14/2018 9102 MATICK CONSTRUCTION LLC LIVONIA 5717230A 800 5/18/2018 5476 MECHAM MECHANICAL SERVICES INC LIVONIA 5256879A 2,164 6/23/2018 3724 0.95 1/2/2018 8:13:07 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 MEDORA BUILDING COMPANY LIVONIA 1739565A 4,211 4/5/2018 5403 0.97 METRO DETROIT HOME IMPROVEMENT INC LIVONIA 4873530A 800 5/27/2018 5551 0.95 MICHIGAN LAWN CARE AND LANDSCAPING INC LIVONIA 3926087A 1,549 6/10/2018 0042 0.95 MILLENNIUM BUSINESS SYSTEMS LLC LIVONIA 3077985A 12,725 4/9/2018 5191 1.53 13 % MN EXPRESS INC LIVONIA 4753836A 26,562 5/18/2018 7208 1.57 13 % NALARA QUALITY SYSTEM LLC LIVONIA 4918835A 21,841 5/17/2018 8010 1.62 15 % NEWBURGH LAKE CONDOMINIUM ASSOCIATION LIVONIA 1244485A 647 5/25/2018 9015 NEXT JEN CONTRACTORS LLC LIVONIA 2087260A 877 6/20/2018 9015 NO PLACE LIKE HOME HEALTH LLC LIVONIA 5721423A 1,696 6/5/2018 8835 NORTH AMERICAN CLEANING COMPANY LLC LIVONIA 1687409A 646 4/29/2018 9015 OLYS MARBLE AND TILE LLC LIVONIA 5694701A 750 4/7/2018 5348 PANTHER ENTERPRISES INC LIVONIA 3513904A 1,491 4/11/2018 8017 0.95 PARKSIDE CONTRACTING LLC LIVONIA 5402352A 368 5/7/2018 5606 PERMA BOND ASPHALT COMPANY LIVONIA 3034356A 750 6/10/2018 5221 PLATINUM CONSTRUCTION GROUP LLC LIVONIA 5543347A 750 4/8/2018 5645 PLI PRO LIFT INC LIVONIA 1733800A 2,443 6/18/2018 8107 0.95 PREMIER RESTORATION INC LIVONIA 4401638A 825 6/15/2018 5645 PRIME CONTRACT LLC LIVONIA 5569826A 295 6/4/2018 8810 PURE PAINT CO LLC LIVONIA 5478880A 750 5/2/2018 5476 R AND B CONSTRUCTION SERVICES INC LIVONIA 1975749A 465 5/28/2018 5606 RBG PROPERTIES LLC LIVONIA 3195368B 647 6/2/2018 9015 REGLAZE AND SAVE LIVONIA 1364677A 604 5/22/2018 9521 RENAISSANCES ROOFING LLC LIVONIA 5727952A 750 6/29/2018 5551 ROB DS PRECISION FLOORS LLC LIVONIA 1173740A 1,397 4/8/2018 5437 0.95 SAFETY AND TECHNICAL RESCUE ASSOCIATION LIVONIA 3605230A 1,214 4/21/2018 7980 0.95 SCOT CLUGSTON LLC LIVONIA 2250756A 750 6/6/2018 0106 SEAWAY MAINTENANCE SERVICES LLC LIVONIA 3155668A 932 4/7/2018 5476 0.91 SHAIN ROOFING AND SHEET METAL INC LIVONIA 2994712A 19,556 6/26/2018 5551 0.83 SOLARSHIELD PAINTSHIELD LLC LIVONIA 5391180A 1,223 6/30/2018 9521 SRA COMFORT CARE PROVIDERS INC LIVONIA 5722020A 2,603 6/8/2018 8835 STAFF MASTERS INC LIVONIA 5720613A 333 5/31/2018 8810 STEMPINS LAWN CARE LLC LIVONIA 5717191A 1,864 5/18/2018 9102 SULI INC LIVONIA 4584805A 11,530 6/9/2018 7216 0.95 SUMMIT ROOFING & REMODELING LLC LIVONIA 4989260A 1,645 5/30/2018 5437 0.95 SWANSONS LANDSCAPING LLC LIVONIA 2534819A 800 6/3/2018 0042 1/2/2018 8:13:07 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 SZASZ GELU LIVONIA 5710642A 750 4/29/2018 5437 TIMAS HOME IMPROVEMENT LLC LIVONIA 3238008A 800 4/1/2018 5645 TOMASI CARE LLC LIVONIA 5261724A 1,643 4/12/2018 8835 0.95 TONDA CORPORATION LIVONIA 4980093A 837 4/26/2018 8018 TRITON CONSTRUCTION LLC LIVONIA 4798260A 800 4/24/2018 5022 U P MASONRY CONSTRUCTION INC LIVONIA 3012964A 750 4/26/2018 5022 0.95 VARTANIAN HOME IMPROVEMENT INC LIVONIA 1864858A 800 6/4/2018 5645 0.95 VDA CONSTRUCTION LLC LIVONIA 2733560A 3,232 6/8/2018 5221 0.93 VINTAGE SERVICES LLC LIVONIA 3913295A 750 4/20/2018 5221 WELLS GOFFETT INC LIVONIA 0716227A 3,598 6/12/2018 9058 0.95 WEST PAINTING LIVONIA 5267170A 750 4/15/2018 5476 WESTSIDE TRANSPORTATION LLC LIVONIA 3500896A 8,178 6/1/2018 8395 0.84 WHERERYA POST PRODUCTION LIVONIA 5698553A 295 4/4/2018 7610 WILIKISON KEITH LIVONIA 5721059A 750 6/1/2018 5437 HANSON FASO SALES & MARKETING INC LOMBARD, IL 3475166A 1,078 5/15/2018 8742 WAUCEDAH TOWNSHIP LORETTO 1272519A 700 6/28/2018 9410 GLOBAL ICONS LLC LOS ANGELES, CA 5262348A 909 4/16/2018 8810 KONA POINTE LLC LOS GATOS, CA 5162831A 646 6/15/2018 8810 VANEGAS ENTERPRISES INC LOUISVILLE, KY 1289748A 386 6/28/2018 8742 ADVANCED BUILDING & CONSTRUCTION LLC LOWELL 3780783A 1,875 4/10/2018 5606 0.95 ALL WEATHER SEAL OF WEST MICHIGAN INC LOWELL 4298969A 22,165 4/23/2018 5437 0.88 BIG BOILER BREWING LLC LOWELL 5721784A 4,614 6/6/2018 9058 BOWNE CONSTRUCTION CORPORATION LOWELL 5574854A 752 6/15/2018 8810 COMMERCIAL ABATEMENT SERVICES LLC LOWELL 3906094A 825 4/1/2018 5183 JOSEPH RATHBUN CONTRACTOR LLC LOWELL 5715458A 750 5/15/2018 5645 DAVKO INC LUDINGTON 1066960A 1,463 6/20/2018 9058 0.95 LAKEFX MEDIA LLC LUDINGTON 5712572A 635 5/5/2018 7610 LUDINGTON YOUTH SAILING SCHOOL LUDINGTON 5229421A 561 6/1/2018 6836 KANGAS TRUCKING LUPTON 3228657A 750 4/26/2018 7208 0.95 STRAIGHT UP TRUCKING LLC LUPTON 4520840A 2,522 4/6/2018 7208 J AND M CONSTRUCTION & EXCAVATION LLC LUTHER 5520355A 750 4/10/2018 5645 TALENT SERVICES INTL CORP LYNWOOD, WA 2296896A 373 4/1/2018 8810 LUMBER JACK SHOWS LLC MACKINAW CITY 4516850A 723 6/18/2018 9156 0.95 A J SPEZIA COMPANY MACOMB 5272823A 750 5/21/2018 5437 ABC CARPENTRY LLC MACOMB 5697913A 7,371 4/3/2018 5645 1/2/2018 8:13:07 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 ADDELIA HARDWOOD PROS INC MACOMB 3034364A 1,097 4/15/2018 5437 0.95 AG PAINTING GROUP LLC MACOMB 5195403A 750 6/27/2018 5476 ALL PRO HOME IMPROVEMENT INC MACOMB 1547577A 751 4/25/2018 5538 AMERICAN BY SERVICE INC MACOMB 3403874A 750 4/26/2018 5022 APEX GROUP CONSTRUCTION AND CONSULTING MACOMB 5725054A 800 6/23/2018 5645 INC ASPEN IMPROVEMENTS INC MACOMB 2624486A 2,198 4/20/2018 5552 0.95 BANDS GALORE ENTERPRISES INC MACOMB 5280273A 236 6/13/2018 8742 BELL HOME IMPROVEMENTS MACOMB 1688740A 750 4/29/2018 5645 0.95 BELLA FLOORS INC MACOMB 3117928A 1,713 6/14/2018 5437 0.95 BERRY BILL MACOMB 1111850A 750 5/23/2018 5645 BURNS INVESTMENT INC MACOMB 5695392A 311 4/8/2018 8810 C AND S BUILDING & HOME IMPROVEMENT LLC MACOMB 1979833A 800 5/30/2018 5403 CHRISTOPHER S FIX INC MACOMB 2551144A 750 4/20/2018 5022 CLEVER TECHNOLOGIES LLC MACOMB 4393244A 236 6/19/2018 8742 COMFORT HOUSE HEATING & COOLING MACOMB 5553130A 750 4/27/2018 5550 CONSTANT CONSTRUCTION LLC MACOMB 5412781A 752 6/11/2018 5606 CRAYOLA TILE & MARBLE MACOMB 5211891A 750 4/18/2018 5348 CRIS MAR HOME IMPROVEMENT LLC MACOMB 5548780A 750 4/21/2018 8810 CUSTOM IN GROUND POOLS LLC MACOMB 5264901A 800 5/1/2018 5223 D AND J HOME CARE 3 LLC MACOMB 4379721B 560 6/16/2018 9053 1.80 27 % DBC COMPANY INC MACOMB 3144402A 4,467 4/17/2018 5437 0.92 DENISES HUGGABLE DAYCARE INC MACOMB 5476550A 347 4/19/2018 8869 E AND C PAINTING CO LLC MACOMB 4348303A 825 5/19/2018 5476 ED ROGERS ENTERPRISES INC MACOMB 0298271A 750 5/1/2018 6217 G B CONSTRUCTION COMPANY MACOMB 5127742A 750 5/7/2018 5022 GMB CONSTRUCTION LLC MACOMB 4029631A 750 6/1/2018 5437 0.95 GRANDVIEW BUILDING INC MACOMB 5395488A 5,092 4/21/2018 5606 0.93 GREYSTONE CONSTRUCTION PAINTING AND MACOMB 2840286A 750 6/13/2018 5476 0.95 BUILDING LLC IMPACT THERAPY SOLUTIONS LLC MACOMB 5707528A 1,344 4/27/2018 8835 INTERSTAR INC MACOMB 5315786A 802 6/14/2018 8810 ITALIA TILE INC MACOMB 3219712A 750 6/11/2018 5348 J E DIXON INC MACOMB 1794396A 12,768 5/1/2018 5606 0.88 JACK AND EDDS CARPENTRY & REMODELING MACOMB 5025303A 2,798 5/12/2018 5437 LLC 1/2/2018 8:13:07 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 JMC SERVICES INC MACOMB 5717213A 750 5/20/2018 5215 KELDEY INC MACOMB 5723256A 373 6/10/2018 8010 KGM PAINTING LLC MACOMB 4991800A 932 6/7/2018 5476 0.95 KOENKE FLOORS INC MACOMB 4087640A 750 6/25/2018 5437 KULLA RENOVATION MACOMB 5490960A 750 5/4/2018 5476 LUCIDO CONSTRUCTION CORP MACOMB 5130220A 750 4/25/2018 5022 MARTINEZ CONSTRUCTION LLC MACOMB 5569850A 7,371 6/6/2018 5645 MD TILE & MARBLE LLC MACOMB 5727359A 750 6/27/2018 5348 MICHIGAN BUILDING DESIGN AND SERVICES INC MACOMB 4763033A 826 6/26/2018 9558 0.95 MK AND J EXPRESS INC MACOMB 4950933A 750 4/29/2018 7208 0.95 MONAS CLEANING SERVICE MACOMB 5721970A 548 6/14/2018 8835 MP CONSTRUCTION LLC MACOMB 4883241A 750 6/4/2018 5221 NACAJ PAINTING LLC MACOMB 4296150A 750 5/18/2018 5476 NEO REMODELING LLC MACOMB 5725267A 750 6/17/2018 5645 NEW LOOK DESIGN LLC MACOMB 3396550A 4,139 4/12/2018 5348 0.95 NOBLE PROPERTY SERVICES INC MACOMB 4638697A 810 4/19/2018 9102 0.95 OLYMPOS ELECTRIC LLC MACOMB 4214609A 544 5/5/2018 5190 PEAK FORKLIFT SERVICES LLC MACOMB 5711525A 518 5/3/2018 8107 PM TECH REFRIGERATION LLC MACOMB 3690385A 750 6/3/2018 9519 PQS PAINTING MACOMB 3680240A 750 6/18/2018 5476 PROTECH CONTRACTING INC MACOMB 4308298A 750 6/13/2018 5437 PURIFIED WATER DELIVERY SERVICE LLC MACOMB 5279704A 1,151 4/30/2018 7380 PYM CONSTRUCTION INC MACOMB 4856309A 19,020 5/21/2018 5645 0.74 RRAGAMI SEAL COATING MACOMB 5126215A 800 6/6/2018 5221 S AND K GUTTER INC MACOMB 3466906A 750 4/16/2018 5538 SILVER PINES GENERAL COMMONS LLC MACOMB 5349788A 750 5/14/2018 5645 0.95 SIXTH PIZZA LLC MACOMB 4885562A 2,289 6/30/2018 9058 0.95 SOMERSET HARDWOOD FLOOR CARE INC MACOMB 1662872A 750 4/29/2018 5437 TIM SCHAUM BUILDERS INC MACOMB 3736091A 750 4/20/2018 5403 TODDS LAWN CARE INC MACOMB 5393698A 750 4/5/2018 0042 TOP PERFORMANCE HOME IMPROVEMENT LLC MACOMB 5414245A 750 6/16/2018 5437 TREE TOP TREE SERVICE LLC MACOMB 0495263A 800 6/16/2018 0106 TROPICAL TOUCH LLC MACOMB 5571065A 645 6/9/2018 8387 TRUE TILE MACOMB 3598535A 800 4/12/2018 5348 U AND S PAINTING LLC MACOMB 4620364A 1,679 4/21/2018 5476 0.95 1/2/2018 8:13:07 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 VESA VIOREL MACOMB 4221257A 750 5/26/2018 5348 VLADIMIR CORPORATION MACOMB 5576369A 2,522 6/21/2018 7208 WOOD FLOOR STORE COMPANY INC MACOMB 0587990A 837 6/7/2018 5437 XPRESS HOLIDAY LIGHTING LLC MACOMB 5047129A 1,610 6/27/2018 5190 0.95 CAR CHOICE LLC MACOMB TWP 5341906A 285 5/17/2018 8748 EASY EXIT EGRESS WINDOWS LLC MACOMB TWP 5292840A 750 5/30/2018 5645 G O PAINTING MACOMB TWP 5325374A 750 5/21/2018 5476 LUIGIS CONSTRUCTION LLC MACOMB TWP 5078822A 750 4/24/2018 5476 0.95 SERENITY VILLAGE ASSISTED LIVING LLC MACOMB TWP 4379721C 646 6/16/2018 8810 1.80 27 % ZAPINSKI MIKE J MACOMB TWP 4085809A 750 6/18/2018 5437 COCHRANE SUPPLY & ENGINEERING INC MADISON HEIGHTS 0441902A 696 4/15/2018 8010 CREATIVE BUSINESS SOLUTIONS INC MADISON HEIGHTS 4581300A 1,409 5/26/2018 8832 0.95 DEPENDABLE HOME HEALTH CARE LLC MADISON HEIGHTS 4524632A 604 5/3/2018 9053 DETROIT HOT WHEEL CITY INC MADISON HEIGHTS 2195275A 8,181 4/3/2018 8010 0.86 FLATLANDERS LAWN & SNOW MAINTENANCE LLC MADISON heights 5714524A 825 5/10/2018 9102 HERITAGE HOME HEALTH CARE SERVICES INC MADISON HEIGHTS 4546881A 1,969 5/29/2018 8835 0.95 JRS DREAM ARABIANS LLC MADISON HEIGHTS 5611210A 2,800 6/17/2018 9015 0.95 MADISON SERVICES AND MAINTENANCE LLC MADISON HEIGHTS 4947096A 419 5/3/2018 5606 MANSOORS PARKING INC MADISON HEIGHTS 4070062A 1,353 5/17/2018 8392 0.95 MAYER ALLOYS CORPORATION MADISON HEIGHTS 2839482A 978 5/6/2018 9015 MICHIGAN FABRICATIONS & MAINTENANCE LLC MADISON HEIGHTS 5394503A 751 5/2/2018 3365 ONE HUNDRED 68 KTV & LOUNGE INC MADISON HEIGHTS 5709938A 1,272 4/28/2018 9058 R W BAKER INC MADISON HEIGHTS 2331764A 800 4/25/2018 5476 ROYALTY HOME IMPROVEMENTS MADISON HEIGHTS 4080912A 750 6/1/2018 5348 SAFE TRIP TRUCKING INC MADISON HEIGHTS 5526868C 2,522 6/24/2018 7208 SHARF CONSTRUCTION LLC MADISON HEIGHTS 4901096A 1,321 6/11/2018 5606 0.95 STATE LODGE OF MICHIGAN LABOR COUNCIL MADISON HEIGHTS 5148669A 536 6/4/2018 8755 SUNNY ACRES AFC INC MADISON HEIGHTS 3199746A 1,424 4/27/2018 9053 0.95 TOM MOLOSKY FLOORING INC MADISON HEIGHTS 1338218A 555 4/2/2018 9521 TRI FLOW PLUMBING INC MADISON HEIGHTS 4114701A 979 4/17/2018 5183 0.95 C AND K INC MANCELONA 2226960A 750 5/18/2018 6217 MANCELONA AREA WATER & SEWER AUTHORITY MANCELONA 4631269A 1,551 5/28/2018 7520 0.95 TIM MALCOMSON CONSTRUCTION MANCELONA 2186268A 6,272 5/17/2018 5645 0.95 CLUTCH TRUCKING LLC MANCHESTER 4887581A 16,316 4/17/2018 7208 0.78 ED STAHLEY CONSTRUCTION & EXCAVATING INC MANCHESTER 2841070A 750 6/19/2018 6217 1/2/2018 8:13:07 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 H AND H MONITORING INC MANCHESTER 3191656A 327 5/24/2018 4511 TIFFANYS GARDENS LLC MANCHESTER 5556392A 750 4/10/2018 0042 VIP PAINTING MANCHESTER 4741811A 800 5/19/2018 5476 0.95 DOUGLAS STATION LLC MANISTEE 4671783A 2,047 4/22/2018 8017 0.95 GAJEWSKIS FIREWOOD & LOGS LLC MANISTEE 5724007A 2,799 6/14/2018 2702 LAKESHORE CONSTRUCTION MANISTEE 4566394A 3,018 5/14/2018 5606 0.95 MANISTEE POST 10 AMERICAN LEGION MANISTEE 0635820A 670 4/1/2018 9058 0.95 PAPPAW LLC MANISTEE 4178670A 487 5/31/2018 9058 WOODZWERK FORESTRY MANISTEE 4306309A 750 5/16/2018 2709 HIDDEN ESTATES INC MANISTIQUE 5131588A 1,371 5/1/2018 9053 0.95 J AND S LOGGING INC MANISTIQUE 0339695A 4,419 4/13/2018 2702 0.99 SCHOOLCRAFT COUNTY POST NO 4420 MANISTIQUE 1029371A 402 4/1/2018 9061 VETERANS OF FOREIGN WARS OF THE UNITED STATES TAYLOR PAINTING MANISTIQUE 5726638A 750 6/24/2018 5476 WILD WOODS MANISTIQUE 5547920A 390 4/19/2018 8720 HELSELS TREE SERVICE INC MANTON 5570565A 3,245 6/23/2018 0106 HORN SHAWNEE M MANTON 3543218A 6,663 4/19/2018 2702 0.96 JD LOGGING MANTON 5575680A 750 6/17/2018 2702 JE TIFFANY & SONS LLC MANTON 4765117A 751 6/21/2018 0042 0.95 KOLE BIRGY TRUCKING LLC MANTON 5565626A 4,844 5/24/2018 7208 NORTH WOOD HEAT MANTON 4758188A 750 6/17/2018 2702 NORTHWEST CONTAINERS & RECYCLING LLC MANTON 5059909A 750 4/9/2018 7208 TP PLUMBING LLC MANTON 3904300A 1,292 4/1/2018 5183 SLEEPING BEAR LIGHTNING PROTECTION LLC MAPLE CITY 3916413A 2,005 4/27/2018 5190 0.95 UP NORTH SHOW JUMPERS LLC MAPLE CITY 4726634A 6,975 6/22/2018 8279 1.00 CASS COUNTY TITLE OFFICE INC MARCELLUS 4055543A 298 4/19/2018 8810 GLASS MICHAEL MARCELLUS 2268086A 4,704 4/13/2018 7208 0.95 JAKES TREE REMOVAL LLC MARENISCO 4995457A 6,947 6/19/2018 0106 1.40 13 % KMG ENTERPRISE LLC MARENISCO 4745205A 751 5/1/2018 9102 AVERS CONSTRUCTION LLC MARINE CITY 4051050A 750 4/7/2018 5645 CYNATIME INC MARINE CITY 2711532A 295 5/3/2018 8810 DETROIT BULK SERVICES INC MARINE CITY 5033349A 828 4/25/2018 8810 0.95 I AM SUNSET IND LTD MARINE CITY 4026136A 5,450 6/28/2018 3365 0.95 INTELLICHEM LLC MARINE CITY 5703581A 507 4/15/2018 4511

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PREMIER DRIVING ACADEMY INC MARINE CITY 3694810A 1,053 5/10/2018 8868 0.95 SCHWARTZ DRYWALL INC MARINE CITY 0371009A 871 5/24/2018 5445 0.95 TRANQUILITY SPA AND BOUTIQUE LLC MARINE CITY 5267307A 404 5/5/2018 9063 TRITON CUSTOM CARPENTRY LLC MARINE CITY 5400635A 5,091 4/29/2018 5437 0.87 BADGER BAY HOLDING CORPORATION MARINETTE, WI 0798312A 2,974 6/21/2018 9058 0.95 W D M ENTERPRISES INC OF MARINETTE WI MARINETTE, WI 3637000A 5,854 5/15/2018 5183 0.91 WISHIGAN HOMES LLC MARINETTE, WI 5398940A 750 4/28/2018 5645 FROSTY FREEZE OF MARION LLC MARION 1451278A 441 5/17/2018 9058 TC HIGH LLC MARION, OH 5485851A 12,227 5/11/2018 9058 ASA ANALYSIS & COMMUNICATION INC MARLBORO, NY 5717795A 1,361 5/19/2018 4511 D AND A TRUCKING MARLETTE 2993694A 750 4/10/2018 7208 GTO LANDSCAPING LLC MARLETTE 5558344A 1,581 6/15/2018 9102 GYOMORY TRUCKING MARLETTE 3773612A 750 5/15/2018 7208 MVP DISC SPORTS LLC MARLETTE 5412730A 805 6/11/2018 8018 RYAN BERGMAN CONSTRUCTION LLC MARNE 4370775A 750 6/28/2018 5190 BRIGHT STAR CLEANING SERVICES LLC MARQUETTE 5273250A 697 5/23/2018 9015 CLARK PROPERTIES A MICHIGAN CO MARQUETTE 0636517A 846 4/25/2018 9015 PARTNERSHIP GUTZMAN DALE R MARQUETTE 2794853A 800 4/4/2018 7208 HOOVERS TREE SERVICE INC MARQUETTE 1686569A 4,302 4/14/2018 0042 1.20 10 % MARQUETTE COUNTY FAIR MARQUETTE 5715130A 647 5/15/2018 9015 MIDDLE ISLAND POINT CAMPERS ASSOCIATION MARQUETTE 1220063A 696 6/17/2018 9015 ROOM AT THE INN MARQUETTE 5043930A 566 6/26/2018 8832 TIMBERSTONE TILE INC MARQUETTE 4145984A 750 6/6/2018 5348 TREE RING INC MARQUETTE 4910222A 2,408 4/5/2018 5645 0.95 TROPHY WOOD FLOORS INC MARQUETTE 1222350A 750 4/30/2018 5437 BRAV INC MARSHALL 4764048A 5,778 5/31/2018 9058 0.89 C AND S CLEANING & PAINTING MARSHALL 4018737A 800 4/22/2018 5476 DEFOREST BROS CONCRETE CONSTRUCTION MARSHALL 0884294A 840 6/17/2018 5221 0.95 INC FARMER CONSTRUCTION LLC MARSHALL 2478153A 750 4/3/2018 5437 US 131 MOTORSPORTS PARK INC MARTIN 3468984A 2,745 6/11/2018 9015 0.95 BROWN MELODY ANN MARYSVILLE 5724767A 295 6/16/2018 8810 HAGGERTY HOMES MARYSVILLE 2635321A 4,261 5/26/2018 5403 1.00 NICK ANTONELLI CONSTRUCTION LLC MARYSVILLE 5399971A 750 4/30/2018 5022

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PINERY CONDOMINIUM ASSOCIATION MARYSVILLE 4232194A 646 5/28/2018 9015 RCS YACHT REFINISHERS LLC MARYSVILLE 4065654A 1,369 4/14/2018 6834 0.95 WEATHERGUARD MARYSVILLE 1901443A 750 5/23/2018 5645 ALANTIS CORP MASON 5397880A 2,469 4/22/2018 5403 BAKER CONSTRUCTION MASON 4520874A 750 6/18/2018 5437 BRYAN JANES CONSTRUCTION INC MASON 2735113A 750 4/27/2018 5437 0.95 HARPER HILL FORESTRY PRODUCTS LLC MASON 5712041A 750 5/4/2018 2731 JERRY SHUNK SEPTIC SERVICE MASON 1147161A 2,054 4/9/2018 9402 1.00 LAUNDRY LIAISON LLC MASON 5564395A 697 5/19/2018 9015 PROFESSIONAL ROOF CLEANING SERVICES LLC MASON 4754522A 1,161 5/26/2018 9015 0.95 RC ENTERPRISE LLC MASON 5720184A 1,274 5/26/2018 9015 ROTARY INTERNATIONAL DISTRICT 6360 INC MASON 5402212A 272 6/5/2018 8810 SPEEDWAY CONCESSIONS LLC MASON 3528049A 1,188 5/30/2018 9015 0.95 STOWELL GERARD MASON 5720664A 750 5/31/2018 5480 THREE D MOWING LLC MASON 4463897A 807 5/1/2018 9102 BRAD HOLMSTROM TRUCKING INC MASS CITY 3642739A 1,457 5/4/2018 7380 0.95 OHIO DRILLING COMPANY MASSILLON, OH 0262358A 7,271 6/26/2018 6204 0.89 BELLA TERRA ACRES LLC MATTAWAN 5521866A 750 4/1/2018 8279 BERCHIATTI HOMES LLC MATTAWAN 5398649A 750 4/25/2018 5645 BLAYLOCK TODD MATTAWAN 5552230A 666 4/26/2018 0913 C JOHNSON & SON EXCAVATING CO MATTAWAN 3289478A 9,240 5/12/2018 5507 0.89 COMFORT CONTROL HEATING & COOLING LLC MATTAWAN 4751124A 750 5/18/2018 5550 COMPLETE PRESSURE WASHING MATTAWAN 3980286A 647 5/18/2018 9015 DAVID AND SONS CONTRACTING LLC MATTAWAN 5329760A 800 6/24/2018 5645 FREDERICK BUILDERS CORPORATION MATTAWAN 1130811A 751 5/26/2018 5437 GRIFFITHS CONSTRUCTION MATTAWAN 4189540A 825 6/20/2018 5403 1.00 JEAN 2 INVESTMENTS LLC MATTAWAN 0191108A 7,904 4/27/2018 5221 STRATEGIC NEWS INTERNATIONAL INC MATTAWAN 5129516A 403 5/8/2018 8810 WHITNEY THOMAS ALLEN III MATTAWAN 5715962A 800 5/15/2018 5645 APPLIANCE CENTER OF TOLEDO INC MAUMEE, OH 5569940A 1,893 6/4/2018 7380 KRAMER PAINTING LLC MAUMEE, OH 5255813A 1,322 4/4/2018 5476 0.95 ZERO SEVEN THOUSAND BOYNE CITY RD LLC MAUMEE, OH 5258677A 675 5/5/2018 0912 MICHIGAN FARMS LLC MAYBEE 4506944A 825 5/3/2018 7360 FALCON TRUCKING & EXCAVATING MAYVILLE 5561230A 1,593 4/27/2018 7208 FRANZEL WELL DRILLING LLC MAYVILLE 1581880A 3,041 5/4/2018 6204 1/2/2018 8:13:07 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 ANDERSON AG INC MCALPIN, FL 5236762A 23,985 4/8/2018 7208 0.84 HOEKWATER HOME BUILDERS MCBAIN 5553490A 750 4/28/2018 5645 JQ CONSTRUCTION LLC MCBAIN 5271738A 750 5/19/2018 5645 NORTHERN MICHIGAN LIFT SERVICE INC MCBAIN 5398444A 751 4/24/2018 3724 PRECIOUS GEMS HOME FOR WOMEN MCBAIN 5404835A 613 5/9/2018 9052 AUGE ROBERT MCMILLAN 5409675A 750 6/2/2018 7208 CRAWFORD ROBERT MCMILLAN 5257123A 750 4/4/2018 7208 ROBERT LUSTILA TRUCKING LLC MCMILLAN 5409667A 750 6/2/2018 7208 DUNE SCOOTERS INC MEARS 0207985A 14,938 5/1/2018 7212 0.82 PURPOSE POINT HARVESTING LLC MEARS 5684994A 2,304 4/29/2018 0011 ROUTLEY CHIROPRACTIC CARE CENTER PC MECOSTA 5697972A 293 4/8/2018 8832 WINERY AT YOUNG FARMS LLC MECOSTA 5721199A 552 6/2/2018 2143 CLOUD BRANDON MEDFORD, MA 5489695A 741 5/19/2018 0913 GARRISON PEGGIE MEDFORD, MA 5502446A 741 5/19/2018 0913 JOHNSON GEVIN MEDFORD, MA 5489750A 741 5/19/2018 0913 MCNABB ROXIE MEDFORD, MA 5698456A 741 4/4/2018 0913 BROWN PAUL MELVINDALE 5721350A 750 6/2/2018 5437 COOKIE PROJECT MELVINDALE 5553180A 465 5/2/2018 8868 DEIRI TRANSPORTATION INC MELVINDALE 5716713A 800 5/17/2018 7208 DOUGS FLOOR COVERING SERVICES LLC MELVINDALE 3396444A 554 5/6/2018 9521 JSL SERVICES LLC MELVINDALE 3545997A 750 6/24/2018 5403 1.00 MICHIGANS BEST BASEMENT WATERPROOFING MELVINDALE 5716535A 2,318 5/16/2018 5480 LLC NOSTRAY CONSTRUCTION LLC MELVINDALE 5546389A 750 4/18/2018 5551 SOUTH WEST ATHLETIC CLUB INC MELVINDALE 1441965A 561 5/25/2018 9061 G AND E BROTHERS INC MEMPHIS 5268516A 1,491 5/9/2018 5221 0.95 LOEHNIS TRANSPORT LLC MEMPHIS 4737393A 825 4/8/2018 7208 AREA WIDE TRANSPORT INC MENDON 4736354A 6,641 4/17/2018 7380 1.55 13 % L AND L DRIVING SCHOOL INC MENDON 4204158A 652 5/7/2018 8868 BAXA CONTRACTING CO INC MENOMINEE 2118556A 1,680 6/12/2018 5645 0.95 MENOMINEE ANIMAL SHELTER MENOMINEE 3186083A 1,951 6/12/2018 8831 0.95 MICHIGAN WISCONSIN CONTRACTING LLC MENOMINEE 5072220A 12,585 6/15/2018 5403 1.41 13 % PELON TRUCKING MENOMINEE 3032698A 750 6/1/2018 7208 SR BLACK CARPENTRY MENOMINEE 3917240A 1,904 4/13/2018 5645 TRUITT ERICKSON PLASTERING LLC MENOMINEE 5547075A 1,448 4/16/2018 5445 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JONESFIELD LAKEFIELD FIRE DISTRICT MERRILL 0512982A 880 6/18/2018 7904 0.95 NEUMANN COMPANY CONTRACTORS INC MERRILLAN, WI 1279815A 825 6/1/2018 5476 0.95 ELITE LLC MERRILLVILLE, IN 5703719A 636 4/14/2018 6836 GAYLORD LARRY A MESICK 0464198A 851 5/4/2018 0908 PATS HVAC LLC MESICK 5545102A 2,758 4/13/2018 5550 0.95 AMONG THE HILLS CONSTRUCTION LLC METAMORA 5709725A 750 4/28/2018 5645 ANTONELLI CONSTRUCTION INC METAMORA 1575716A 1,546 5/31/2018 9015 0.94 APEX RESTORATION & CONSTRUCTION LLC METAMORA 5396638A 800 5/5/2018 5645 ARCHITECTURAL COATINGS LLC METAMORA 4202198A 750 4/29/2018 5476 BOB SCHMIDT ROOFING METAMORA 3790827A 750 6/12/2018 5022 BRECHTS PICKLE BARREL LLC METAMORA 4216059A 873 4/28/2018 8017 C FORREST AGGREGATES INC METAMORA 5019982A 800 4/24/2018 7208 1.21 13 % IDEAL CARPENTRY METAMORA 2688654A 800 5/12/2018 5645 JTT INVESTMENTS INC METAMORA 4073843A 1,971 6/16/2018 8017 0.95 KH EXCAVATING LLC METAMORA 5206715A 800 4/7/2018 6217 MEISTER BUILDING & HOME IMPROVEMENT METAMORA 2827158A 750 4/27/2018 5645 METAMORA BUILDING & DEVELOPMENT LLC METAMORA 5551315A 800 4/25/2018 5645 MOSSING POOLS INC METAMORA, OH 5257204A 801 4/5/2018 5223 PREMIUM METAL WORKS LLC METAMORA 5553814A 1,328 4/29/2018 3365 PT EXTRAS LLC METAMORA 5545757A 750 4/14/2018 0042 RIGGERS INC METAMORA 4448316A 8,300 5/1/2018 3724 SMART DOG LLC METAMORA 5566681A 536 5/27/2018 8831 SPRAYTIGHT INC METAMORA 4945921A 4,704 6/12/2018 5479 0.92 CURRENT SPORTS LLC MICHIGAN CENTER 5408490A 825 5/29/2018 5221 DIRECT ASPHALT PAVING CO LLC MICHIGAN CENTER 3032825A 8,145 5/14/2018 5221 1.33 13 % MICHIANA SHORES VOLUNTEER FIRE MICHIGAN CITY, IN 3355438A 751 6/18/2018 7704 DEPARTMENT S YODERS CONSTRUCTION LLC MIDDLEBURY, IN 5577578A 10,140 6/22/2018 5645 ENSZ BROTHERS CATTLE MIDDLETON 5571049A 750 6/9/2018 7208 BRIAN BERGSTROM BUILDER MIDDLEVILLE 5698936A 750 4/5/2018 5645 BROOKER CONSTRUCTION LLC MIDDLEVILLE 4384644A 750 6/23/2018 8810 EBERBACH NICKOLAS MIDDLEVILLE 5392829A 750 4/1/2018 5476 FOUR U FLOORING LLC MIDDLEVILLE 4692721A 554 4/8/2018 9521 HOLLIS BRANDON MIDDLEVILLE 5702739A 750 4/13/2018 5348 INDUSTRIAL SERVICES & MILLWRIGHT LLC MIDDLEVILLE 5564352A 1,136 5/19/2018 3724

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WEX 2 MANAGEMENT LLC MIDDLEVILLE 5716098A 4,444 5/30/2018 9015 ALLEN VALERIE MIDLAND 4876857A 253 6/7/2018 8868 BOOTHE CLEANING SERVICE INC MIDLAND 4916026A 646 5/5/2018 9015 DEGROOT CHRISTIAN MIDLAND 5124514A 1,261 4/4/2018 0913 0.95 DOCKSIDE HOIST SERVICE LLC MIDLAND 5697905A 2,573 4/1/2018 6400 FAMILY BUILDERS LLC MIDLAND 2941481A 750 5/5/2018 5645 FAMILY CREST CONSTRUCTION MIDLAND 4981952A 750 5/2/2018 5403 FIRST CHOICE PAINTING AND REMODELING LLC MIDLAND 5379288A 1,112 6/6/2018 5476 GEORGE OWENS BUILDERS LLC MIDLAND 4461410A 801 4/11/2018 5190 LITTLE ACRES LLC MIDLAND 5696836A 344 4/1/2018 8601 MARK DITTENBER CUSTOM RESIDENTIAL MIDLAND 3527042A 800 4/8/2018 5645 0.95 BUILDER LLC MATTHEW ST DENNIS & CO INC MIDLAND 5114527A 925 5/24/2018 5645 MIDLAND IRON WORKS INC MIDLAND 0551961A 1,231 4/23/2018 3081 0.95 MIDLAND NORTHEAST LITTLE LEAGUE MIDLAND 5377510A 647 4/30/2018 8017 MR CLEAN COMMERCIAL CLEANING SERVICES MIDLAND 3076229A 773 6/10/2018 9015 LLC TRI STATE PAINTING MIDLAND 4633474A 1,388 6/2/2018 5476 WEATHER TIGHT MIDLAND 4464796A 750 4/20/2018 5403 WINDOVER HIGH SCHOOL MIDLAND 2164914A 239 5/23/2018 8810 0.95 WYSONG CORPORATION MIDLAND 0640590A 10,132 4/13/2018 8018 0.88 ACTION PAVEMENT STRIPING MILAN 4020588A 6,242 4/21/2018 5476 0.95 GROWERS TRANSPORT LLC MILAN, OH 5395070A 736 4/21/2018 7380 HURON VALLEY CABINET COMPANY LLC MILAN 3727700A 272 4/8/2018 8742 IRISH HILLS DAIRY BAR & DELICATESSEN LLC MILAN 1276042A 464 6/2/2018 8017 0.95 ROD PORTER CONSTRUCTION CO MILAN 5149436A 5,243 6/12/2018 5221 0.95 ZANDER TRUCKING LLC MILAN 4882890A 7,840 6/28/2018 7380 0.88 A 1 BAIL BOND AGENCY INC MILFORD 4600673A 440 4/17/2018 8810 AC CABLE LLC MILFORD 5563712A 544 5/18/2018 5190 AMERICAN EURO PAINTING INC MILFORD 1805045A 1,271 6/5/2018 5476 0.95 ARMSTRONG CANOE RENTALS LLC MILFORD 4065050A 751 5/27/2018 6836 0.95 BEER AND JESSOP AMUSEMENTS LLC MILFORD, IN 3244601A 786 5/1/2018 9015 BRICKWORK BY MATREAL INC MILFORD 1130480A 750 6/4/2018 5022 1.00 DBL R BUILDING SERVICES INC MILFORD 3388085A 750 5/26/2018 5437 DEPENDABLE CARE SERVICES LLC MILFORD 5221978A 4,439 4/13/2018 8835 1.20 10 %

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EXCLUSIVE CUSTOM HOMES INC MILFORD 5393884A 750 4/7/2018 5437 FIRST CHOICE PLUS LLC MILFORD 5721520A 825 6/23/2018 5437 FOUR D BUILDERS INC MILFORD 0023302A 720 4/1/2018 8387 1.53 10 % H 2GO OF MICHIGAN MILFORD 5714516A 1,993 5/10/2018 6229 ION CONSTRUCTION COMPANY LLC MILFORD 5277388A 751 6/6/2018 5437 JCC DESIGNS LLC MILFORD 5727650A 800 6/28/2018 5437 LIV CORP HOMES INC MILFORD 1396510A 800 6/10/2018 5022 MAH CONSTRUCTION LLC MILFORD 3474690A 800 4/8/2018 5551 MSR CONSTRUCTION INC MILFORD 3813177A 800 6/15/2018 5645 ONEILL JAMES AND SUSAN MILFORD 2861321A 666 6/21/2018 0913 PROFESSIONAL CARE INC MILFORD 3512150A 1,788 5/16/2018 0908 0.95 PRYJOMSKI ENTERPRISES LLC MILFORD 3783251A 750 5/20/2018 5221 SITE CLEARING INC MILFORD 3746755A 2,998 4/2/2018 0106 0.95 SPENCERS MODERNIZATION LLC MILFORD 4641230A 825 5/15/2018 5645 0.95 TAGI INC MILFORD 0259462A 3,233 5/14/2018 5191 0.95 TL COMMUNICATIONS LLC MILFORD 3548139A 750 4/12/2018 7600 0.95 WK KRILL & ASSOCIATES INC MILFORD 5086965A 443 4/12/2018 5606 BAJA MX INC MILLINGTON 2376695A 1,785 4/18/2018 9015 0.95 WILSON RESIDENTIAL CARE SERVICES INC MILLINGTON 3507556A 6,972 6/12/2018 9053 0.82 FREDMAN BAG COMPANY MILWAUKEE, WI 0877425A 590 6/13/2018 8742 KLEE MICHAEL MINDEN CITY 5092132A 821 5/12/2018 0129 FASTEMPS II INC MINNEAPOLIS, MN 2864355A 6,584 5/27/2018 8835 D K CUTTING MIO 5706050A 750 4/19/2018 2702 RAINBOW RESORT CABINS AND CANOES LLC MIO 4171675A 647 4/4/2018 9015 STRIDER TRANSFER LLC MIO 5397707A 8,105 6/1/2018 7206 0.95 ALL STAR LAWN CARE MONROE 5298695A 809 5/13/2018 9402 B A S E CONTRACTING LLC MONROE 4101820A 1,670 5/2/2018 5645 FIRST CHOICE HOMES MONROE 5712700A 336 5/5/2018 8748 FRIENDS OF THE FAMILY HOME HEALTHCARE MONROE 4976428A 13,845 4/19/2018 8835 0.85 MONROE LLC GOLDEN DIVERSIFIED TRUCKING LLC MONROE 3334031A 750 5/25/2018 7208 0.95 GTAK PROPERTIES LLC MONROE 5411513A 236 6/24/2018 8810 HADDIX THOMAS E MONROE 2465906A 750 6/23/2018 7208 KMK CONSTRUCTION MONROE 4556518A 750 4/8/2018 5645 0.95 LAKE ERIE SECURITY & INVESTIGATIONS INC MONROE 1420097A 6,226 6/28/2018 7720 0.86

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MAINSTREET MOVING COMPANY LLC MONROE 5542936A 2,718 4/8/2018 7214 0.95 MCINTYRE WILLIAM & SUSAN MONROE 1283090A 1,132 6/22/2018 0913 METRO LANDSCAPING MONROE 4019148A 847 6/22/2018 0042 MONROE REHAB CONNECTION LLC MONROE 5728231A 564 6/30/2018 8832 PHOENIX INDUSTRIAL SERVICES LTD MONROE 5410339A 19,654 6/7/2018 8018 1.68 13 % RIGHT AT HOME OF SOUTHEASTERN MICHIGAN MONROE 4804872A 10,197 6/9/2018 8835 1.63 13 % INC RIVERSIDE INVESTMENT COMPANY LLC MONROE 5725399A 647 6/17/2018 9015 RORKE JACOB MONROE 4862899A 704 4/21/2018 5183 SKYS TREE SERVICE MONROE 5692733A 1,723 4/1/2018 0106 SPANKIES INC MONROE 3585590A 750 4/11/2018 5645 TWC CONSTRUCTION MONROE 5713447A 3,040 5/17/2018 5645 MUND GREG MONTAGUE 1673980A 682 4/1/2018 0011 PEREZ TREE SERVICE MONTAGUE 5136911A 4,186 5/10/2018 0106 0.94 ROSE NANCY C MONTAGUE 5407451A 940 5/23/2018 0908 AMC CONSTRUCTION MONTROSE 2541289A 750 6/14/2018 5645 DLG CONSTRUCTION SERVICES LLC MONTROSE 2243342A 5,933 5/3/2018 6217 E T ENTERPRISE LLC MONTROSE 5401119A 800 5/2/2018 7208 0.95 ELITE GLASS LLC MONTROSE 5720796A 750 5/31/2018 5462 HAVEN ROWE LLC MONTROSE 5268729A 4,065 5/9/2018 9053 0.95 LONNIES LLC MONTROSE 5708150A 4,308 4/25/2018 7208 RENEGADE TRANSPORT INC MONTROSE 3982696A 800 5/27/2018 7208 ROCK ENTERPRISES INC MONTROSE 2487225A 751 5/11/2018 6217 0.95 THIBEAULT CONSTRUCTION MONTROSE 5353971A 750 4/22/2018 5645 POWER HOME SOLAR LLC MOORESVILLE, NC 5723310A 9,865 6/10/2018 5550 ROLLER TIM MORENCI 5198259A 751 4/15/2018 5476 FAVREAU EXTERIOR SOLUTIONS LLC MORLEY 5573572A 801 5/24/2018 5538 OUR THING UNLIMITED LLC MORLEY 5457009A 751 4/5/2018 5221 DIRECT SALES LLC MORRICE 5261562A 803 4/15/2018 8810 CLEAN WATER ACTION INC MT CLEMENS 0908886A 3,403 5/1/2018 8742 1.05 DETROIT CUSTOM SERVICES INC MT CLEMENS 1261517A 1,805 4/4/2018 2881 0.95 DYNAMITE WINDOW CLEANING INC MT CLEMENS 5553741A 1,059 5/3/2018 9015 FIRST CLASS XPRESS INC MT CLEMENS 3961095A 813 4/1/2018 8810 0.95 FUN FEST PRODUCTIONS INC MT CLEMENS 4918274A 1,110 6/18/2018 8810 0.95 G AND T PRESSURE WASHING LLC MT CLEMENS 4484908A 1,158 6/25/2018 9015 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HIGHFIELD ENTERPRISES INC MT CLEMENS 0442780A 670 5/11/2018 9058 JC CONSTRUCTION & HOME IMPROVEMENT MT CLEMENS 5720648A 750 5/31/2018 5437 MACOMB COUNTY BAR ASSOCIATION MT CLEMENS 1261398A 220 5/24/2018 8810 SELECT RECOVERY SERVICES INC MT CLEMENS 5255228A 5,965 4/1/2018 7720 0.95 SMART LIGHTING LLC MT CLEMENS 5399998A 619 5/5/2018 5190 STAHLS TREE SERVICE LLC MT CLEMENS 2668785A 750 6/5/2018 0106 UNITED AMERICAN PAYROLL LLC MT CLEMENS 3584461A 220 5/26/2018 8810 WILLS CONSTRUCTION INC MT CLEMENS 5246199A 2,278 4/22/2018 5437 1.00 ACE MARINE SERVICE INC MT MORRIS 5707242A 1,991 4/21/2018 6834 COATES PATRICK JOSEPH MT MORRIS 5569168A 630 6/2/2018 2812 CRUMPS LANDSCAPING INC MT MORRIS 3079376A 1,360 5/11/2018 0042 1.05 EBS CONSTRUCTION MT MORRIS 3590933A 750 5/22/2018 6325 FINISHING TOUCHES DRYWALL LLC MT MORRIS 1866281A 750 5/10/2018 5445 G AND JS HIGHRISE WINDOW CLEANING LLC MT MORRIS 5530369A 1,775 4/1/2018 9015 0.95 GENESEE COUNTY AGRICULTURAL SOCIETY MT MORRIS 1001680A 743 5/15/2018 9015 J AND N EXTERIORS MT MORRIS 5697875A 750 4/1/2018 5551 JS CONTRACTING MT MORRIS 5708567A 750 5/1/2018 5538 K AND JS SERVICES LLP MT MORRIS 5719542A 750 6/6/2018 5551 RMD FLOORCOVERING MT MORRIS 5559014A 554 5/11/2018 9521 TOM CUMMINGS RACING INC MT MORRIS 5728150A 750 6/30/2018 5221 ALLEN ROOFING LLC MT PLEASANT 5709806A 10,655 4/28/2018 5403 BEVERLY TEN EYCK LLC MT PLEASANT 5271398A 260 5/19/2018 9586 EL VAQUERO OF MT PLEASANT INC MT PLEASANT 3633420A 1,945 5/16/2018 9058 0.95 H AND K RESOURCES INC MT PLEASANT 5382874A 1,095 4/7/2018 1320 HOSPICE OF CENTRAL MI INC MT PLEASANT 5554624A 318 5/1/2018 8810 HUBSCHER AND SON INC MT PLEASANT 0397237A 52,897 6/1/2018 4000 1.41 JJZ CONTRACTING LLC MT PLEASANT 5702097A 750 4/20/2018 6325 JUMP STATION LLC MT PLEASANT 5395410A 1,146 4/14/2018 9015 M DOUBLE K TRANSPORT LLC MT PLEASANT 5563216A 800 6/23/2018 7208 MCGUIRE DOUGLAS J MT PLEASANT 4328841A 750 5/2/2018 5476 0.95 MELS ELECTRIC MT PLEASANT 5549337A 631 4/21/2018 5190 MID VALLEY STRUCTURES INC MT PLEASANT 5555809A 2,776 5/5/2018 5403 MUMFORD OIL & GAS SUPPLY LLC MT PLEASANT 5546451A 574 4/15/2018 8010 NEW HOPE YOUTH SERVICES LLC MT PLEASANT 4440536A 2,782 5/19/2018 8833 0.95 RUSSELL RANDY MT PLEASANT 0162876A 750 4/1/2018 8279 1/2/2018 8:13:07 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 SLM REALTY INC MT PLEASANT 3914097A 320 6/7/2018 8810 COTTONWOOD SPRINGS FARM LLC MUNCIE, IN 4282566A 933 6/14/2018 0129 0.95 JASON AND SONS LLC MUNGER 5263123A 4,045 5/12/2018 7208 0.95 ADAIR SCOTT MUNISING 5201870A 750 4/10/2018 2702 BALKO CONSTRUCTION LLC MUNISING 5078032A 2,898 5/28/2018 5645 0.95 CHARLTON CONSTRUCTION LLC MUNISING 4366719A 11,403 5/23/2018 5645 1.45 13 % GRAND ISLAND FERRY SERVICE INC MUNISING 5726417A 503 6/23/2018 8017 LADY KILLERS PEST CONTROL LLC MUNISING 5713935A 646 5/9/2018 9015 LAKEVIEW LODGE INC MUNISING 0414271A 1,424 5/8/2018 9052 0.95 BIG CHUCKS PIZZA PLUS LLC MUNITH 3940055A 2,360 4/26/2018 7380 0.95 ALL OF MICHIGAN FLOOR COVERING MUSKEGON 5715431A 750 5/12/2018 9521 BECHTEL CUSTOM PAINTING MUSKEGON 5397545A 750 4/27/2018 5476 BLUE STAR CONSTRUCTION LLC MUSKEGON 4743679A 750 4/27/2018 5551 BURRINGTON BUILDERS INC MUSKEGON 1911457A 750 4/8/2018 5645 0.95 DEK CONSTRUCTION LLC MUSKEGON 2751712A 1,381 4/14/2018 5479 0.95 DIGITAL MANN LLC MUSKEGON 5711649A 320 5/5/2018 8810 DYKSTRA DAVE MUSKEGON 4613147A 750 4/10/2018 5476 EAGLE STORE & LOCK STORAGE INC MUSKEGON 1981560A 698 6/1/2018 9015 FIGUEROA ANTONIO MUSKEGON 5395968A 750 4/12/2018 5645 FIGUEROA JOSE MUSKEGON 5395976A 750 4/12/2018 5645 FRANK CREWS PAINTING & SANDBLASTING LLC MUSKEGON 4220749A 6,982 5/17/2018 5476 FREE SPIRIT CONSTRUCTION INC MUSKEGON 4627644A 12,079 5/15/2018 5645 0.85 GREGS PAINTING LLC MUSKEGON 3340848A 1,662 6/15/2018 5476 HOPE PROJECT MUSKEGON 5142113A 627 5/18/2018 8017 JON JOHNSON BUILDERS INC MUSKEGON 4200675A 750 5/7/2018 5645 JOSEPH GOINGS SUBCONTRACTING MUSKEGON 5727286A 750 6/27/2018 5645 KOHLEYS SUPERIOR PROPANE INC MUSKEGON 3185729A 3,834 5/24/2018 7380 0.95 KRO PRO LLC MUSKEGON 1514440A 830 5/17/2018 3372 0.95 KSB OF MUSKEGON LLC MUSKEGON 4540034A 576 6/14/2018 8017 0.95 LANORE WAYNE MUSKEGON 5727880A 750 6/29/2018 5645 LATSCH FLOOR COVERING COMPANY MUSKEGON 0030325A 554 6/20/2018 9521 MCFARLAND AND SONS LLC MUSKEGON 0954748A 2,997 5/31/2018 0106 0.95 NAYANA CORP MUSKEGON 1421786A 630 5/23/2018 9052 POLLACK LARRY MUSKEGON 4124898A 750 6/1/2018 5476 PRESTIGE LANDSCAPE SUPPLY MUSKEGON 0239810A 1,874 5/18/2018 0042 0.95 1/2/2018 8:13:07 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 PRESTIGE UNLIMITED LLC MUSKEGON 5314470A 646 6/17/2018 9015 R AND B OF MUSKEGON INC MUSKEGON 2871246A 1,517 6/5/2018 8017 0.95 R P HUNTER PAINTING MUSKEGON 1097288A 750 5/1/2018 5476 RADHAKRISHNA CORPORATION MUSKEGON 1421786B 456 6/3/2018 9052 SCHMIDT ROOFING & CONSTRUCTION CO MUSKEGON 0410276A 4,341 5/1/2018 5551 0.91 SUPERIOR HEATING AND COOLING SERVICES MUSKEGON 4377117A 3,857 6/1/2018 5550 0.92 LLC SWARTOUT LES MUSKEGON 0287660A 800 6/21/2018 5445 T R GHEZZI LLC MUSKEGON 5522692A 3,258 6/21/2018 6217 VANDYKE ELECTRIC LLC MUSKEGON 4318951A 752 5/5/2018 5190 WEST MICHIGAN INJURY LAWYERS PLC MUSKEGON 0811556A 541 4/28/2018 8820 WHITWAM CONSTRUCTION INC MUSKEGON 2923300A 750 6/15/2018 5645 0.95 WORKMAN TREE SERVICE MUSKEGON 4758676A 1,645 6/11/2018 0106 0.95 MICHIGAN CUSTOM BUILDERS INC MUSSEY 2264765A 750 6/11/2018 5645 0.95 LIL KIDDOS PLAYHOUSE LLC NAPOLEON 5508037A 1,109 6/28/2018 8869 ABFALTER CONSTRUCTION LLC NASHVILLE 5143462A 800 4/29/2018 5403 BURPEE HARDWOODS LLC NASHVILLE 5295432A 750 5/16/2018 2702 CUMMINGS THOMAS & DILLION TREVOR NASHVILLE 5270588A 750 5/14/2018 2702 MPK OF MICHIGAN LLC NASHVILLE 5153069A 541 6/21/2018 2081 PROFESSIONAL BASEMENT SERVICES LLC NASHVILLE 5419522A 654 6/30/2018 5183 LIVERMORE TIMBER NAUBINWAY 0843059A 750 6/1/2018 2702 PETERS SAND AND GRAVEL INC NAUBINWAY 2683792A 750 5/16/2018 7208 BEKKALA DONALD NEGAUNEE 5700647A 750 4/8/2018 3365 DON LARSON & SONS TRUCKING NEGAUNEE 3777413A 801 4/2/2018 9402 KOSONEN CONSULTING INC NEGAUNEE 5270103A 343 5/14/2018 8601 BENZ AND BEEMER LLC NEW BALTIMORE 5555035A 590 5/3/2018 8395 BRAVO TILE LLC NEW BALTIMORE 0622427A 750 4/20/2018 5348 CAVENDISH CONSTRUCTION NEW BALTIMORE 5708109A 750 4/25/2018 5645 COUNTRY CLUB LAWN LLC NEW BALTIMORE 5398703A 719 5/20/2018 9102 D AND M COMPANIES LLC NEW BALTIMORE 1407821A 750 4/21/2018 5645 FRANKS QUALITY PAINTING MI LLC NEW BALTIMORE 5567300A 825 5/27/2018 5476 PAR LANDSCAPING NEW BALTIMORE 5139678A 734 5/14/2018 9102 PREMIER CONCRETE INC NEW BALTIMORE 3155269A 1,484 4/26/2018 5221 0.95 RGS EXTERIORS INC NEW BALTIMORE 4194004A 751 5/4/2018 8742 0.95 RYAN STRACH CARPENTRY NEW BALTIMORE 4983963A 750 5/10/2018 5403

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SHO PLACE INC NEW BALTIMORE 3928640A 5,582 6/19/2018 2585 0.93 TDL UNLIMITED INC NEW BALTIMORE 1971697A 750 4/6/2018 5476 THREE HUNDRED 45 CARPENTRY & GENERAL NEW BALTIMORE 4936582A 1,772 5/26/2018 5445 0.95 CONTRACTING LLC TITAN TRUCKING LLC NEW BALTIMORE 4916387A 825 6/15/2018 7208 D AND T DELIVERY INC NEW BOSTON 2358778A 3,231 4/1/2018 7208 0.90 DELANO CONSTRUCTION COMPANY INC NEW BOSTON 0915629A 750 5/4/2018 5645 GREEN THUMB GROWERS NEW BOSTON 5701457A 602 4/11/2018 0035 R AND D IMPROVEMENTS LLC NEW BOSTON 4477006A 800 6/4/2018 5645 RICHARDSON CONTRACTING LLC NEW BOSTON 5713480A 1,784 5/8/2018 5437 RT CONSTRUCTION CO LLC NEW BOSTON 3948765A 750 4/6/2018 5215 PISCES LTD NEW ERA 2268159A 911 4/15/2018 6217 0.95 ROSEFIELD INC NEW HAVEN 3921034A 52,316 4/22/2018 8835 1.55 13 % SALS HOME IMPROVEMENTS LLC NEW HAVEN 5264677A 800 4/24/2018 5403 BROWN BRANDON NEW HUDSON 5378893A 825 4/18/2018 5645 GEOSERV INC NEW HUDSON 3091368A 2,113 4/9/2018 6204 0.95 WALTON VILLAGE PLAZA INC NEW HUDSON 5717493A 696 5/19/2018 8810 WHITE LAKE BUILD LLC NEW HUDSON 5378893B 750 4/25/2018 5645 CREATIVE HANDS CHILDCARE LLC NEW LOTHROP 5697069A 384 4/3/2018 8869 E AND D PAINTING INC NEW LOTHROP 3856909A 751 5/7/2018 5476 GROUP 7 STAFFING LLC NEW ORLEANS, LA 5552320A 727 4/26/2018 8742 KEITH GUNDICK PLUMBING INC NEW PORT 3735958A 3,940 5/18/2018 5183 EVENTACES LLC NEW YORK, NY 4990242A 916 6/14/2018 9058 0.95 INTERESSE INTERNATIONAL INC NEW YORK, NY 3827224A 290 6/29/2018 8742 VESPER WOODLAND MEWS LLC NEW YORK, NY 5564620A 721 5/27/2018 9015 BEERMAN FIREWOOD AND LOGGING NEWAYGO 5158621A 750 6/26/2018 2702 H J AND W LLC NEWAYGO 5274290A 244 5/24/2018 8810 LADD CONSTRUCTION LLC NEWAYGO 5709776A 825 4/28/2018 5645 ROBS ELECTRICAL MAINTENANCE NEWAYGO 2291100A 544 6/27/2018 5190 MICHAEL BLAKELY LOGGING LLC NEWBERRY 3911128A 750 4/15/2018 2702 NEWBERRY CAMPGROUND LLC NEWBERRY 2233592A 650 4/14/2018 9015 0.95 PETER K ANDERSON & SONS EXCAVATING INC NEWBERRY 0644137A 818 5/11/2018 6217 0.95 TAHQUAMENON AREA CREDIT UNION NEWBERRY 1647407A 2,285 6/1/2018 9015 0.95 TROOP AUTO CRUSHING NEWBERRY 2264315A 750 5/4/2018 7216 A AND K CONSTRUCTION NEWPORT 1366599A 1,899 5/18/2018 5645 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PRO COATS PAINTING LLC NEWPORT 4096258A 750 4/1/2018 5476 SWAN BOAT CLUB NEWPORT 1467514A 875 4/12/2018 9060 0.95 ADVERTISING USA INC NILES 4649095A 294 6/8/2018 8810 BLESSED HOME AFC SERVICES LLC NILES 4576950A 872 4/3/2018 9053 0.95 MILLIN GROUP LLC NILES 5542260A 1,825 4/6/2018 7208 NIEBOER EXCAVATING NILES 0817155A 1,999 4/21/2018 5221 0.95 PIER PERFECTION INC NILES 5711347A 7,792 5/2/2018 6400 RED ARROW FIRE EXTINGUISHER LLC NILES 5570751A 432 6/9/2018 4828 SAYLORS PIZZA PORT INC NILES 0583642A 2,394 4/18/2018 9058 0.95 SKINNER CONSTRUCTION NILES 0289825A 750 5/29/2018 5645 0.95 SOUTHSIDE MANOR LLC NILES 3002527A 560 4/1/2018 9053 STARK FARMS NILES 1996754A 2,885 5/1/2018 0128 0.93 TREADSTONE LLC NILES 3891488A 9,402 4/10/2018 4410 1.35 13 % WULFEN ENERGY LLC NILES 5368790A 19,373 4/7/2018 7208 0.86 STOLL CONSTRUCTION LLC NORTH ADAMS 1883712A 15,290 4/1/2018 5645 0.83 BUTTERSCOTCH CASTLE LLC NORTH BRANCH 4743695A 509 4/27/2018 8869 CEDAR CREEK TAX SERVICE NORTH BRANCH 2664135A 220 5/10/2018 8810 MCINALLY PAINTING LLC NORTH BRANCH 1658913A 750 5/13/2018 5476 RODRIGUEZ LAWN CARE ENTERPRISE NORTH BRANCH 4106075A 825 5/5/2018 9102 TLC EXPRESS TRANSPORT LLC NORTH BRANCH 4338910A 800 6/8/2018 7208 TVM ENTERPRISES INC NORTH ROYALTON, OH 5564387A 943 5/19/2018 7720 CAMELOT STUDIOS NORTH STREET 2273608A 440 6/19/2018 4360 VICTORY PROPANE LLC NORTHBROOK, IL 5401763A 6,763 5/12/2018 7502 0.95 AAA LEAD TESTING LLC NORTHVILLE 2655233A 390 6/26/2018 8720 BLUFFS AT LAKES OF MILFORD ASSOCIATION NORTHVILLE 4887891A 646 4/20/2018 9015 CORPORATE TRAVEL SERVICE INC NORTHVILLE 0289590A 9,067 6/18/2018 9015 0.95 CROSS XAMINE INVESTIGATIONS LLC NORTHVILLE 5702674A 1,481 4/13/2018 7720 DLM RENOVATIONS LLC NORTHVILLE 5394465A 696 4/10/2018 9015 ERIC GUIDOBONO BUILDING COMPANY LLC NORTHVILLE 3937879A 1,732 6/15/2018 5606 0.95 FAIRLANE WOODS ASSOCIATION NORTHVILLE 0261068A 696 4/5/2018 9015 FLAMINI GEORGE C NORTHVILLE 1680153A 800 6/25/2018 5403 G AND G PLUMBING INC NORTHVILLE 2918900A 654 5/5/2018 5183 HARD WILLIAM C NORTHVILLE 5277442A 385 6/6/2018 0908 II BROTHERS LLC NORTHVILLE 5644372A 894 4/28/2018 9058 0.95 IN THE MITTEN PRODUCTION NORTHVILLE 5501024A 732 5/16/2018 9154 1/2/2018 8:13:07 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 INFORMATION WORKS INC NORTHVILLE 2240327A 679 5/15/2018 8742 JON J KIPKE II INC NORTHVILLE 2698030A 750 6/5/2018 5550 JRH ENGINEERING & CONSULTING PLC NORTHVILLE 5398118A 270 4/23/2018 8810 KASPER AND SONS INC NORTHVILLE 3361900A 750 5/6/2018 5645 LAVIGNE AND ASSOCIATES INC NORTHVILLE 2502658A 320 6/23/2018 8742 LLOYD H GREEN POST NO 147 THE AMERICAN NORTHVILLE 2740648A 441 4/11/2018 9058 LEGION LUIGIS PAINTING NORTHVILLE 5404932A 750 4/1/2018 5476 M J C GOLF INC NORTHVILLE 2776014A 800 4/28/2018 6217 MC ALEX EXPRESS LLC NORTHVILLE 5719534A 751 5/24/2018 8810 MORTUARY ASSOCIATES COMPANY NORTHVILLE 0298565A 221 4/23/2018 8810 NAUSS MICHAEL NORTHVILLE 4907000A 385 6/20/2018 0908 NORTHVILLE TECHNOLOGY STAFFING LLC NORTHVILLE 5563763A 2,921 5/20/2018 9015 SMITH CHEMICAL & WAX OF SAVANNAH INC NORTHVILLE 3906884A 285 4/28/2018 8810 1.00 SMITHS DESIGNER CONSTRUCTION INC NORTHVILLE 5449596A 751 4/1/2018 5437 TOP QUALITY WINDOW LLC NORTHVILLE 3576949A 750 4/22/2018 5645 TROPICAL POOLS INC NORTHVILLE 0040800A 750 4/9/2018 5223 VILLA CONSTRUCTION INC NORTHVILLE 1243535A 750 5/23/2018 5645 WADOWSKI KIMBERLY NORTHVILLE 4131096A 666 5/14/2018 0913 ALPHA GROUP INC NORTON, MA 4821475A 278 6/23/2018 4511 ANDYS PLUMBING LLC NORTON SHORES 5706858A 1,916 4/20/2018 5183 BELLA MARIAS RISTORANTE & EVENT CENTER NORTON SHORES 4693574B 1,808 4/15/2018 9058 1.00 INC CONRAD VALERIE NORTON SHORES 4705211A 666 6/13/2018 0913 LIPP AMERICA TANK SYSTEMS LLC NORTON SHORES 2778076A 336 6/24/2018 8742 SASS AND SONS DRYWALL LLC NORTON SHORES 5200164A 1,331 5/2/2018 5445 GERALD DUGREE JR LOGGING LLC NORWAY 0897868A 750 6/6/2018 2709 GREAT LAKES RECOVERY INC NORWAY 2774348A 1,923 4/1/2018 7720 0.95 NORTHWOODS ADVENTURES LLC NORWAY 5268176A 1,525 5/29/2018 9015 1.00 ROWELL GEORGE NORWAY 5264685A 750 6/23/2018 5645 AQUATIC MANAGEMENT SERVICE INC NOVI 2112876A 276 4/11/2018 4511 BEYER TODD NOVI 5553768A 419 4/29/2018 9060 CHEYENNE EXPRESS INC NOVI 3675467A 27,849 4/21/2018 7208 0.72 DAVE KENNEYS PAINTING LLC NOVI 4085620A 751 6/2/2018 5476 DUQUETS LITTLE EAGLE NEST NOVI 0646598A 370 5/10/2018 8868

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge EUROPEAN TOUCH CLEANING SERVICES NOVI 3677125A 646 6/21/2018 9015 FRIED PAUL NOVI 3003655A 435 4/28/2018 0908 G AND J HEATING & COOLING INC NOVI 0484105A 800 6/7/2018 5550 GLEN OAKS CONSUMER HOUSING COOPERATIVE NOVI 1787918A 696 4/30/2018 9015 HANSONS PAINTING LLC NOVI 3702340A 801 4/22/2018 5476 HURON HILLS OWNERS ASSOCIATION NOVI 2697432A 750 6/13/2018 0042 HYDRO CHEM LABORATORIES INC NOVI 1162756A 1,246 5/9/2018 4828 0.95 HYDROBLAST MOBILE WASH INC NOVI 2016591A 1,674 4/5/2018 8387 0.95 INDEPENDENT LEGAL PROCESS SERVING AND NOVI 5543371A 450 4/8/2018 7720 COURT SERVICES LLC INTERIOR DEVELOPMENT GROUP LLC NOVI 4341244A 825 4/28/2018 5022 0.95 ISLAND LAKE SWIM TEAM NOVI 5566614A 377 5/25/2018 9063 KEATING CONTRACTING LLC NOVI 4753607A 2,934 5/25/2018 5606 0.94 KOHLER WILLARD NOVI 4976487A 666 4/5/2018 0913 LEDBETTER OUTDOOR SERVICES NOVI 4277546A 1,386 4/12/2018 9102 0.95 MARY JANE M ELLIOTT PC NOVI 1112660A 3,197 6/16/2018 8820 0.95 MC CARRIER INC NOVI 3766705A 6,774 4/8/2018 7208 0.89 MICK AND DAGO NOVI 0531383A 800 5/4/2018 0106 MSW ENTERPRISES LLC NOVI 5698634A 722 4/1/2018 9015 NOVI YOUTH ASSISTANCE NOVI 3946002A 466 6/5/2018 9063 OKEEFE TATIGIAN INVESTIGATIONS AND ASSOC NOVI 5419972A 1,718 6/4/2018 7720 0.95 INC PDR 4 INC NOVI 5725593A 1,026 6/20/2018 8810 PINE MEADOW RANCH INC NOVI 1272470A 1,907 4/22/2018 8279 0.95 PLACER RIDGE SERVICES INC NOVI 0290440A 696 4/10/2018 9015 PREMIERE TREE REMOVAL INC NOVI 4869532A 11,873 5/12/2018 0106 1.31 RAMOS MAYNOR NOVI 4338774A 1,549 6/24/2018 5645 0.95 RYANS PAINTING NOVI 5724040A 801 6/14/2018 5476 SIERRA STONE INC NOVI 2584336A 751 6/16/2018 8810 SMITH WOOD FLOORS INC NOVI 0672335A 801 4/10/2018 5437 0.95 STONEBRIDGE HOMEOWNERS ASSOCIATION NOVI 5219086A 750 4/15/2018 9015 SUTTLE SERVICES LLC NOVI 5348447A 343 5/20/2018 8601 TOUSAINT MEADOWS ASSOCIATION NOVI 5695643A 646 4/1/2018 9015 V I P TIRE & AUTOMOTIVE INC NOVI 1838172A 220 6/12/2018 8810 VRP MANAGEMENT INC NOVI 5055164A 826 6/26/2018 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ZETA CONSTRUCTION LLC NOVI 3472973A 750 6/12/2018 5551 HATFIELD SPRAYING SERVICE INC NUNICA 4089278B 1,948 5/13/2018 7422 0.85 B AND W TRUCKING CO INC OAK PARK 1859307A 750 5/4/2018 7208 BATO INC OAK PARK 4343662A 473 5/11/2018 9058 C AND J GENERAL CONTRACTORS LLC OAK PARK 2846381A 1,289 6/26/2018 5645 0.95 CLEAN SWEEPIN LLC OAK PARK 4846419A 788 5/25/2018 9015 0.95 CRITES ADULT FOSTER CARE INC OAK PARK 2048078A 5,588 4/22/2018 9053 0.86 GLASS BY THE BLOCK OAK PARK 3579115A 750 4/1/2018 5022 MGM INTERIOR CONTRACTORS LLC OAK PARK 3373460A 561 4/14/2018 9521 SCOTT GROUP LLC OAK PARK 0066630A 1,084 5/11/2018 5507 0.95 SR AUDIO INC OAK PARK 4246551A 644 6/17/2018 5191 0.95 RODGERS AND HOUDER INC OAKBROOK TERRACE, IL 5659701A 971 5/5/2018 4459 BROTZKE ELECTRIC CO OAKLAND 5136903A 916 5/9/2018 5190 0.95 CHERRY CREEK FARM LLC OAKLAND 3355632A 582 5/10/2018 9061 COLLISTER COMPANY LLC OAKLAND 1842943A 1,021 5/12/2018 5645 0.93 CYCLE TECHNICAL SOLUTIONS LLC OAKLAND 5532620A 750 4/1/2018 5403 OAKLAND HEAT TRANSFER INC OAKLAND 3608824A 373 5/1/2018 8601 ROCHESTER POWERWASHING SERVICES LLC OAKLAND 3066959A 646 6/24/2018 9015 TWIN OAKS HUNT AND GRUNT LLC OAKLAND 0031291A 646 5/13/2018 9015 HALSTEAD PEARCE INVESTMENTS OAKWOOD, GA 3361802B 646 5/7/2018 9015 0.95 FRUITMARK USA INC OCEANO, CA 5568560A 472 6/14/2018 8810 COTTAGE INN ALLENDALE LLC OKEMOS 5409640A 3,612 6/2/2018 9058 0.95 DESIGN AND BUILD RESIDENTIAL COMMERCIAL OKEMOS 1040588A 750 5/12/2018 5645 LLC MORTON ESTELLE OKEMOS 4008871A 385 6/21/2018 0908 PELCH LARRY OKEMOS 1197169A 751 4/23/2018 5437 ROCK SOLID MANAGEMENT LLC OKEMOS 5564255A 800 5/19/2018 5645 ROWE STABLES LLC OKEMOS 2054124A 830 4/28/2018 8279 0.95 DALTON EXTERIORS OLIVET 3094634A 750 4/8/2018 5645 J AND L EXTERIORS INC OLIVET 3804941A 1,581 4/24/2018 5645 0.95 KRUGER COMMODITIES INC OMAHA, NE 0052450A 82,879 6/5/2018 4712 1.54 OMENA TRAVERSE YACHT CLUB INC OMENA 2370743A 526 6/17/2018 9060 DIVERSIFIED FORESTRY INC ONAWAY 4919270A 2,773 5/4/2018 2702 0.95 DRW SAWMILL INC ONAWAY 4066790A 72,733 5/10/2018 2731 2.46 27 % HYDES INC ONAWAY 0903574A 6,746 4/9/2018 6217 1.00

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MCDADE FENCE ONAWAY 5572576A 1,756 6/26/2018 6400 RIGOT CONSTRUCTION ONAWAY 5723957A 750 6/21/2018 5645 BROWNS POPLAR RIDGE ORCHARDS ONEKAMA 5273838A 901 5/23/2018 0130 ALL SEASONS CONSTRUCTION LLC ONONDAGA 5567254A 801 5/31/2018 5403 BLANCHARD ALFRED ONONDAGA 1287192A 961 5/12/2018 5645 GUDAKUNST TRUCKING LLC ONSTED 4579445A 750 6/9/2018 7208 IRISH HILLS TRUCKING CO ONSTED 5409586A 3,016 6/25/2018 7208 0.95 J AND K TIMBER INC ONSTED 4728211A 1,361 5/21/2018 7208 KELLEY DRYWALL INC ONSTED 2704757A 10,071 5/20/2018 5445 0.89 TIMBER LINE LAND SURVEYING ONTONAGON 2164167A 282 6/6/2018 8601 CARING STAFF SOLUTION AGENCY INC ORCHARD LAKE 5136954A 4,687 5/9/2018 8835 0.95 KIRILUK DEAN AND STEPHANIE ORCHARD LAKE 5560845A 741 5/14/2018 0913 PEARL POWER WASHING INC ORCHARD LAKE 5706033A 2,040 4/19/2018 9015 PINE LAKE SKI SCHOOL INC ORCHARD LAKE 3350266A 7,047 4/4/2018 5645 0.89 STUMPF CONSTRUCTION COMPANY ORCHARD LAKE 0569631A 1,588 4/21/2018 5645 0.95 A A BOOS AND SONS INC OREGON, OH 2403862A 12,658 4/6/2018 5213 0.93 LIRA BROTHERS LLC ORION 3082377A 800 4/3/2018 5022 SOS MECHANICAL & SON INC ORION 1806793A 2,201 4/2/2018 5550 0.95 GEMINI GRADING & EXCAVATING LLC ORION TWP 3694801A 1,204 6/26/2018 6217 ANCELL AND SONS ORTONVILLE 2485982A 825 5/2/2018 7208 AUSTIN BRICK PAVERS LLC ORTONVILLE 2883350A 750 5/6/2018 0042 0.95 CUSTOM LAWN CARE SERVICES INC ORTONVILLE 4744357A 750 4/29/2018 0042 DREAMING IN COLOR LLC ORTONVILLE 5553164A 830 5/19/2018 8810 DYNAMIX PAINTING LLC ORTONVILLE 5545900A 750 5/2/2018 5476 HUBBS SERVICES LLC ORTONVILLE 5575915A 800 6/17/2018 5476 M J I QUALITY PAINTING ORTONVILLE 0714810A 750 6/27/2018 5476 MANIS LANDSCAPING ORTONVILLE 5139430A 720 6/28/2018 9102 MARTIN GLEASON INC ORTONVILLE 1110535A 750 5/26/2018 5645 METROPOLITAN TREE INC ORTONVILLE 0511684A 1,389 4/1/2018 0042 0.95 MINDSET MANAGEMENT INC ORTONVILLE 3874117A 6,089 5/18/2018 9053 0.86 MORGAN RESTORATION & TRIM INC ORTONVILLE 4636643A 750 6/9/2018 5022 SUMTHING GREEN METAL RECYCLING INC ORTONVILLE 4981944A 2,048 5/2/2018 8265 0.95 THOMPSON ALL SEASON MAINTENANCE LLC ORTONVILLE 4858859A 794 4/12/2018 9102 THOMPSON PROPERTY TAX CONSULTING LLC ORTONVILLE 5700132A 391 4/7/2018 8720 TRIM WORKS FINISHED CARPENTRY INC ORTONVILLE 3661342A 825 5/6/2018 5437 0.95 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 117 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WATTERS FLOOR COVERING INC ORTONVILLE 1751212A 1,729 4/17/2018 5437 0.95 A ONE HOME SERVICES LLC OSCODA 5711770A 750 5/3/2018 5645 OSCODA AREA FIRST RESPONDERS OSCODA 2683911A 570 5/6/2018 7980 T AND M DRYWALL AND FINISHING OSCODA 5716225A 750 5/13/2018 5445 MID MICHIGAN LAWN & SNOW OSSEO 4896564A 956 5/6/2018 9102 0.95 PITTSFORD JEFFERSON FIRE DEPARTMENT OSSEO 1361171A 2,573 5/20/2018 7904 0.95 ACTION LAWN CARE & LANDSCAPING OSSINEKE 4082125A 750 4/22/2018 0042 GRAITER SERVICES LLC OSSINEKE 5568862A 705 6/1/2018 7212 REMBOWSKI JOHN OSSINEKE 4475127A 1,321 5/14/2018 9058 0.95 INNOVATIVE MODULAR SOLUTIONS INC OSWEGO, IL 3932184A 488 4/15/2018 8810 ENVIRONMENTAL CANINE SERVICES LLC OTISFIELD, ME 5264618A 277 5/1/2018 4511 EUGENIA BOUGIE TRUCKING LLC OTISVILLE 5008514A 3,598 6/28/2018 7214 0.95 BLANCHARD DRYWALL LLC OTSEGO 5578493A 3,150 5/24/2018 5445 CAPTAIN BOOM FIREWORKS PRODUCTIONS LLC OTSEGO 4228596A 696 6/6/2018 9015 ENERGY SOLUTIONS OF MICHIGAN LLC OTSEGO 5109540A 2,824 5/24/2018 5479 0.95 TOP NOTCH DRYWALL LLC OTSEGO 5564603A 750 5/20/2018 5445 PARADIGM CONSTRUCTION SERVICES LLC OTTAWA LAKE 5290031A 2,317 6/11/2018 5190 BEEBE PUMP AND TANK INC OTTER LAKE 5541689A 1,073 4/5/2018 5183 BRIAN LINDERMAN FLOOR COVERING OTTER LAKE 2705630A 554 5/4/2018 9521 TREVARROW TROY OTTISVILLE 3507629A 750 4/19/2018 5445 GREAT PLAINS TECHNICAL SERVICES OVERLAND PARK, KS 5708168A 328 4/25/2018 8810 FIRST CONTRACTING INC OVID 0478873A 103,469 4/3/2018 5437 1.18 13 % MICHIGAN TRAIL RIDERS ASSOCIATION INC OVID 4204565A 753 4/30/2018 8810 0.95 WOMEN IN NEW DIMENSIONS INC OWENDALE 1666991A 970 5/21/2018 9015 0.95 B AND C JEFF BARTZ & COMPANY OWOSSO 4345258A 1,548 5/12/2018 6229 0.95 BEBIAK CONSTRUCTION OWOSSO 4627571A 750 5/16/2018 5645 COMMERCIAL DIVING SOLUTIONS LLC OWOSSO 5705339A 2,030 5/1/2018 7398 CORDS LAWN COMPANY OWOSSO 0884316A 1,124 4/17/2018 9102 CURWOOD FESTIVAL INC OWOSSO 1706454A 222 5/4/2018 8810 FROMM FARMS TRUCKING LLC OWOSSO 5705347A 750 4/18/2018 7208 KEYES QUALITY CONSTRUCTION LLC OWOSSO 5472458A 750 4/27/2018 5403 LSG TRUCKING LLC OWOSSO 0125180A 1,049 4/28/2018 9102 OUTDOORS PLUS INC OWOSSO 5153077A 750 6/15/2018 5221 PORTER POWER WASHING OWOSSO 5406757A 646 6/29/2018 9015 0.95 REEVES WHEEL ALIGNMENT INC OWOSSO 0001953A 13,940 4/1/2018 8395 1.46 10 % 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 118 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SHIAWASSEE CONSERVATION ASSOCIATION OWOSSO 3131157A 677 5/15/2018 9058 ADVANCED MACHINE SERVICES LLC OXFORD 3792897A 800 6/28/2018 5191 AMYS GARDENING & LANDSCAPING SERVICE OXFORD 5714702A 750 5/10/2018 0042 BENNETT REMODELING INC OXFORD 3114589A 1,027 5/20/2018 5645 0.95 BIGHAM BRIAN OXFORD 5281032A 666 6/16/2018 0913 BUCCI MICHAEL OXFORD 4635558A 750 6/6/2018 0042 CUSTOM SHOP INC OXFORD 5724759A 750 6/15/2018 5645 G 2 CONSTRUCTION LLC OXFORD 5702844A 750 5/6/2018 5437 G W CONSTRUCTION OXFORD 3174344A 750 6/22/2018 5645 GREATER OXFORD CONSTRUCTION CO OXFORD 3170497A 268 5/31/2018 8810 GRIMALDI ELECTRIC LLC OXFORD 4714440A 545 5/12/2018 5190 HARDSCAPES LANDSCAPE CONSTRUCTION INC OXFORD 5318300A 1,754 5/3/2018 0042 0.95 JAMES FOWLER EXCAVATING LLC OXFORD 5393868A 750 4/7/2018 6217 KD MECHANICAL & BUILDING OXFORD 5394945A 750 4/11/2018 5183 LESSUISE HOME IMPROVEMENT OXFORD 4887980A 751 6/21/2018 5437 0.95 MCCORMACK MOTORSPORTS INC OXFORD 0971766A 839 4/1/2018 8292 0.95 NORTH SHORE CONSTRUCTION INC OXFORD 5603340A 750 5/26/2018 5645 OLE ROSEBROOK BUILDING CO LLC OXFORD 4202155A 750 4/6/2018 5190 RPM CONSTRUCTION INC OXFORD 2457482A 825 6/1/2018 5403 SWEETLAND TRANSPORT INC OXFORD 5083133A 838 4/5/2018 8810 0.95 TREE DETECTIVE LLC OXFORD 4862066A 750 4/19/2018 0042 WINKELMANN AUTOMOTIVE U S LIMITED OXNARD, CA 5723795A 623 6/23/2018 8742 PARTNERSHIP FELDMAN DEBRA A PACIFIC PALISADES, CA 4752171A 666 5/20/2018 0913 0.95 ARCHITECTURAL POLYMERS INC PALMERTON, PA 5258391A 412 4/8/2018 8742 J AND B TREE SERVICE PALMYRA 5394902A 719 4/28/2018 9102 DM TRUCKING LLC PARIS 5407052A 2,186 5/22/2018 7208 0.95 SETCO AUTOMOTIVE N A INC PARIS, TN 4946758A 458 4/18/2018 8742 SUNDOWN HOMES LLC PARIS 2771411A 2,507 6/1/2018 8387 0.95 B AND H ELECTRIC LLC PARMA 3830578A 9,611 5/24/2018 5190 1.40 13 % DAYBREAK ADVANTAGE LLC PARMA 5709822A 697 4/28/2018 9015 J AND M PAINTING PARMA 2511169A 751 4/29/2018 5476 JOE SATTLER CUSTOM BUILDER LLC PARMA 2715295A 768 6/6/2018 5645 MDK HOME IMPROVEMENTS PARMA 5579490A 750 6/25/2018 5476 LIFELUNG INC PASADENA, CA 5715970A 444 5/13/2018 8742

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NORTH AND SOUTH HONEY FARM LLC PATTERSON, GA 5495156A 2,980 4/19/2018 0034 0.98 GLENDALE FOREST PRODUCTS INC PAW PAW 2960176A 2,150 5/5/2018 2731 0.95 MYERS ROOFING & RESTORATION PAW PAW 5214211A 1,270 4/11/2018 5551 0.88 AFRICA INLAND MISSION INTERNATIONAL INC PEACHTREE CITY, GA 1120158A 540 4/3/2018 8868 VILLAGE OF PECK PECK 0122408A 6,512 4/7/2018 5509 0.96 CEDAR RIDGE FORESTRY INC PELKIE 3632008A 678 5/17/2018 8601 UNOBE LLC PELKIE 3052478A 750 5/23/2018 8395 BURNS ENTERPRISES INC PELLSTON 0925985A 2,037 6/28/2018 7212 0.95 LARKS LAKE FOREST PRODUCTS INC PELLSTON 3330079A 750 5/3/2018 7208 CAPITAL HOIST AND CRANE INC PEMBROKE, KY 5397669A 11,368 4/21/2018 3724 0.93 OHIOANS HOME HEALTH CARE INC PERREYSBURG, OH 5126568A 9,341 4/12/2018 8835 0.83 PRICES CONSTRUCTION LLC PERRINTON 5566630A 3,524 6/7/2018 5403 WELCH JASON PERRONVILLE 3536521A 750 4/3/2018 2709 HANNAH CONSTRUCTION LLC PERRY 1078577A 750 4/24/2018 5645 LUCAS DRYWALL PERRY 5329191A 3,659 6/14/2018 5445 0.95 NEMETH FAMILY VENTURES LLC PERRY 5714591A 2,481 5/10/2018 5476 P AND M TRUCKING LLC PERRY 4868480A 800 5/10/2018 7208 PRIME TIME TRUCKING PERRY 0575100A 781 5/21/2018 7208 T AND L TRUCKING OF PERRY INC PERRY 5052963A 750 6/21/2018 7208 USA FULGER TRANSPORT INC PERRYSBURG, OH 5726816A 7,166 6/24/2018 7208 FLEIG SCOTT PETERSBURG 5462690A 604 5/31/2018 9521 HYDE CLINT SR PETERSBURG 3832384A 5,536 6/9/2018 5645 0.93 LUCAS AUTO PARTS & TOWING LLC PETERSBURG 3553736A 639 6/14/2018 8395 BILLS FARM MARKET PETOSKEY 1722735A 6,506 6/7/2018 0011 0.86 BLUE WATER NORTHERN LAKES LLC PETOSKEY 3202500A 750 6/29/2018 5645 DALE LUTZ MASONRY PETOSKEY 3850846A 750 5/27/2018 5022 J AND R BUILDING MOVERS INC PETOSKEY 1482858A 6,061 4/18/2018 9530 0.89 JIM GRAYS COTTAGE SERVICES LLC PETOSKEY 5575028A 1,247 6/15/2018 9102 JOY VALLEY COUNSELING & CONSULTATION PC PETOSKEY 3060420A 238 5/16/2018 8832 MEADOWS OF PETOSKEY ASSOCIATION PETOSKEY 5705720A 696 4/18/2018 9015 MICHIGAN YACHT MANAGEMENT PETOSKEY 5556821A 1,674 5/9/2018 6836 NORTHERN MICHIGAN REGIONAL ENTITY PETOSKEY 5271002A 683 4/17/2018 8742 PAINTING PLUS DECORATING INC PETOSKEY 4030591A 826 4/9/2018 5476 0.95 PETOSKEY FARMS VINEYARD AND WINERY LLC PETOSKEY 5293146A 1,180 6/18/2018 0130 RAINEYS LANDSCAPE LLC PETOSKEY 5716039A 751 5/17/2018 9102 1/2/2018 8:13:07 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 SHORELINE FINISHES INC PETOSKEY 5041007A 2,028 4/20/2018 5476 T WILSON LLC PETOSKEY 5721776A 750 6/6/2018 7208 MAPLE RIVER CAMPGROUND LLC PEWAMO 4219880A 646 5/16/2018 9015 WEST TECH LLC PEWAMO 3377083A 544 4/3/2018 5190 TRELEVATE LLC PHOENIX, AZ 5716721A 1,026 5/20/2018 8742 DOWN TO EARTH CONTRACTING PICAYUNE, MN 4225953A 750 6/15/2018 6217 0.95 BROCKS SEAMLESS GUTTERS LLC PICKFORD 4019130A 1,232 5/27/2018 5538 BEAVER CRAFT CONSTRUCTION PINCKNEY 2338769A 750 6/15/2018 5437 C AND L LANDSCAPE INC PINCKNEY 3171388A 750 6/3/2018 0042 0.95 CERTUS LLC PINCKNEY 4867793A 268 5/5/2018 8601 CLOSE ERNIE PINCKNEY 5545595A 867 6/28/2018 7380 DAMBROSEO MICHAEL FRANK PINCKNEY 0891975A 825 6/14/2018 5437 DK ROOFING & CONSTRUCTION CO PINCKNEY 0782106A 4,248 6/14/2018 5610 0.95 FIELD TRIPS UNLIMITED INC PINCKNEY 5568730A 362 6/1/2018 8810 FLATWORKS CONCRETE COMPANY PINCKNEY 2871025A 750 5/28/2018 5221 HAY CREEK CARPENTRY LLC PINCKNEY 5060826A 1,954 6/1/2018 5645 0.95 JEFFS OUTDOOR AND TREE SERVICES LLC PINCKNEY 0629529A 5,321 4/28/2018 9102 1.05 10 % JS 4 CONSTRUCTION LLC PINCKNEY 5699983A 2,126 4/7/2018 5645 MILLERS LAWN & LANDSCAPING SERVICE LLC PINCKNEY 3731529A 750 4/14/2018 9102 NORTHSTAR INSTRUMENTATION LLC PINCKNEY 3632822A 598 4/11/2018 5190 OLIVER AND CO LLC PINCKNEY 5715407A 825 5/12/2018 0042 POWERS CONSTRUCTION COMPANY LLC PINCKNEY 3587266A 750 6/2/2018 5437 0.95 PRO GREEN INC PINCKNEY 4349539A 729 4/11/2018 0005 PRO SPRINKLERS AND LIGHTING LLC PINCKNEY 5714532A 654 5/10/2018 5183 PURDYS SERVICES PINCKNEY 5042739A 750 5/28/2018 5645 QUALITY SERVICES CEILINGS & WALLS INC PINCKNEY 5705622A 800 4/18/2018 5445 SHORELINE CONCEPTS LLC PINCKNEY 5563267A 2,186 5/17/2018 5437 SPRINGER CHRIS PINCKNEY 2632365A 750 6/14/2018 5437 TDK CONSTRUCTION PINCKNEY 4760930A 750 6/19/2018 5437 TIMBERLAND TREE CO LLC PINCKNEY 3172643A 750 5/21/2018 6217 VARSITY DAY CAMP INC PINCKNEY 1522540A 2,691 4/1/2018 9015 0.95 VISIONSCAPES CONSULTING LLC PINCKNEY 5699991A 816 4/10/2018 9060 VISTA PROPERTY SERVICES INC PINCKNEY 2629470A 602 5/6/2018 9058 0.95 WIDMAYER TRUCKING INC PINCKNEY 5716071A 825 5/13/2018 7208 YES SOLUTIONS LLC PINCKNEY 5714486A 800 6/1/2018 5645 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 121 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BERTHIAUME SLAUGHTERHOUSE INC PINCONNING 0163236A 2,783 4/11/2018 2081 1.00 JOHNSON EXCAVATION INC PINCONNING 4419197A 750 4/7/2018 6217 SHANNON DREAM INC PINCONNING 4950739A 1,534 5/18/2018 5221 1.00 TJ INVESTMENTS LLC PINCONNING 5717558A 854 5/19/2018 9058 LONE STAR MANAGEMENT LLC PITTSBURG, KS 4983505A 2,117 5/9/2018 8017 0.95 WEPCO INC PITTSTON, PA 5713544A 871 5/6/2018 8810 AMCON LLC PLAINWELL 4151933A 750 4/30/2018 5437 0.95 BLOOMBERG ENTERPRISES PLAINWELL 3558207A 800 5/11/2018 7208 CAMERUCI ZACK PLAINWELL 5721490A 750 6/3/2018 5476 DOUGLAS AUTOS LLC PLAINWELL 4776780A 589 4/12/2018 8395 PLASTISNOW LLC PLAINWELL 5579740A 757 6/25/2018 4484 SANFORD KYLE PLAINWELL 5716209A 750 5/13/2018 5348 SPIEGELBERG TRANSPORT PLAINWELL 5559677A 800 4/13/2018 7208 TUCKER TRUCKING INC PLAINWELL 5427118A 800 5/17/2018 7208 HENSONS SERVICES LLC PLEASANT LAKE 5178428A 1,195 5/6/2018 9521 ARBORETUM CONDOMINIUM ASSOCIATION PLYMOUTH 2820200A 696 4/2/2018 9015 BELMONT BUILDING CO LLC PLYMOUTH 4990757A 750 6/26/2018 5645 BRENNER LANDSCAPING PLYMOUTH 4865081A 750 4/23/2018 0042 CASE CLOSED PLUMBING PLYMOUTH 5318211A 750 5/13/2018 5550 CENTRAL PARK COMMUNITY ASSOCIATION PLYMOUTH 4762991A 696 5/24/2018 9015 CHARLES A HANLIN CARPENTER LLC PLYMOUTH 5570239A 750 6/7/2018 5645 COLLEGIATE ENTERPRISES LLC PLYMOUTH 5715474A 751 5/12/2018 5476 COMPLETE OUTDOOR SERVICES OF MICHIGAN PLYMOUTH 5722624A 1,329 6/9/2018 0106 LLC DETROIT HOT ROD SPORT & CUSTOM LLC PLYMOUTH 5721008A 2,737 6/1/2018 8393 DETROIT PRO PAINTERS LLC PLYMOUTH 4202171A 750 5/19/2018 5476 0.95 DGS INC PLYMOUTH 0720852A 750 5/30/2018 5645 DIVISION 8 SOLUTIONS INC PLYMOUTH 5263417A 2,925 4/19/2018 5462 0.95 EQUIPMENTVILLE USA LLC PLYMOUTH 5349257A 730 5/21/2018 8107 FARMER EXPRESS LLC PLYMOUTH 5554942A 800 5/3/2018 7208 G C M II INC PLYMOUTH 2112353A 974 5/24/2018 9058 1.00 GINNARD QUALITY CONSTRUCTION INC PLYMOUTH 3604896A 751 4/15/2018 5437 0.95 GREEN BUILDING AUTOMATION LLC PLYMOUTH 4978323A 1,631 6/17/2018 5191 0.95 HER THINGS HIS JUNK INC PLYMOUTH 5137470A 952 5/12/2018 5606 INNOVATIVE DRYWALL SERVICES INC PLYMOUTH 4350553A 825 4/3/2018 5445 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge JBCE LLC PLYMOUTH 5570603A 647 6/8/2018 9015 JEFF ZAK CATERING INC PLYMOUTH 3933440A 1,725 6/1/2018 9058 0.95 JOYCE AND DON MASSEY FAMILY FOUNDATION PLYMOUTH 5257611A 417 4/4/2018 8810 K AND M RENOVATION AND BUILDING COMPANY PLYMOUTH 5414326A 750 6/16/2018 5645 KELLY EXPRESS AND LOGISTICS LLC PLYMOUTH 5164931A 5,600 5/21/2018 7208 1.27 13 % KETTEMAN JOHN JR PLYMOUTH 5718856A 800 5/23/2018 7208 MERCY USA FOR AID AND DEVELOPMENT INC PLYMOUTH 1932632A 950 5/15/2018 8810 MLS LAND SERVICES PLYMOUTH 4976509A 750 4/4/2018 0106 MR MIKES LAWN AND SNOW SERVICE INC PLYMOUTH 3790789A 750 4/11/2018 0042 NORTHVILLE URGENT CARE PC PLYMOUTH 4456467A 495 5/15/2018 8832 NORTHWOOD CONSTRUCTION SERVICES LLC PLYMOUTH 5564948A 750 5/21/2018 5645 PAINTING BY DESIGN LLC PLYMOUTH 3683460A 751 5/26/2018 5476 REAL INDEPENDENT LIVING PROGRAM INC PLYMOUTH 5032440A 1,217 6/19/2018 8835 0.95 SOVEREIGN DIGITAL GROUP LLC PLYMOUTH 5393299A 1,656 4/3/2018 7610 0.95 STEPHENS GERALD PLYMOUTH 5716853A 750 5/17/2018 0106 TDK ENGINEERING LLC PLYMOUTH 5395399A 343 4/14/2018 8601 TRANSFORMATIONAL SERVICES LLC PLYMOUTH 5540062A 898 4/1/2018 8832 VERT VERDE LANDSCAPE ARCHITECTURE LLC PLYMOUTH 5131634A 825 4/27/2018 0042 ACJ AND SONS CONSTRUCTION LLC PONTIAC 5544050A 750 4/9/2018 5645 AJM CONSTRUCTION PONTIAC 4674006A 750 5/11/2018 5645 ALCOHOLICS ANONYMOUS OF OAKLAND PONTIAC 0617695A 258 5/25/2018 8810 COUNTY AMA TRANSPORTATION INC PONTIAC 5064090A 706 6/14/2018 7212 0.87 ARZABALA CEMENT INC PONTIAC 3181839A 1,484 4/26/2018 5221 0.95 B D CONSTRUCTION & CLEANUP PONTIAC 3724336A 10,007 5/31/2018 5022 0.95 BAEO CONSTRUCTIONS PONTIAC 5725380A 1,416 6/17/2018 5551 BEST EFFORT CLEANING SERVICES LLC PONTIAC 5723825A 647 6/13/2018 9015 BLIGHT AUTHORITY PONTIAC 5153166A 335 6/12/2018 8810 CHAVEZ ADAN PONTIAC 5719364A 750 5/24/2018 5022 CRUZ GUSTAVO MARTEL PONTIAC 5698480A 750 4/4/2018 5445 D AND L MASONRY PONTIAC 5705398A 750 4/18/2018 5022 DAVID AND CRISTIAN PONTIAC 3617890A 1,114 5/6/2018 5476 EM PRO DRYWALL FINISHERS PONTIAC 5212154A 750 4/20/2018 5445 0.95 EREBUS ENTERTAINMENT INC PONTIAC 2036371A 5,233 4/30/2018 9156 1.00 FELIPE MIRELES PONTIAC 5521815A 750 5/18/2018 5445

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FLAGSTAR CONSTRUCTION INC PONTIAC 4388984A 1,382 6/2/2018 5022 0.95 GALAXY CONSTRUCTION LLC PONTIAC 5541654A 2,906 4/5/2018 5022 0.95 GARZA KARLA PONTIAC 5725046A 6,337 6/16/2018 5551 GENERAL INFORMATION SYSTEMS & PONTIAC 5398142A 295 4/23/2018 8810 TECHNOLOGY LLC HARTFORD ROOFING & WARRANTY COMPANY PONTIAC 0180033A 21,560 4/9/2018 5551 0.81 LLC HUANTES HOMES AND REMODELING PONTIAC 0848832A 3,040 6/30/2018 5645 JDB PRODUCTIONS LLC PONTIAC 5566916A 1,979 5/31/2018 5476 JOSE CONSTRUCTION PONTIAC 3023460A 2,452 4/4/2018 5022 0.96 KJR CONSTRUCTION PONTIAC 5712637A 646 5/5/2018 9015 MARIBEL CLEANING CREW LLC PONTIAC 5525616A 738 4/7/2018 9015 MARQUEZ JORGE A BAEZ PONTIAC 5723710A 750 6/13/2018 5445 MEM CONSTRUCTION & CONTRACTING INC PONTIAC 1577441A 825 5/15/2018 5183 1.95 13 % MT OLIVE BAPTIST CHURCH OF PONTIAC PONTIAC 0033529A 304 4/19/2018 8868 N AND S HOME SOLUTIONS PONTIAC 5710758A 750 5/2/2018 5476 NOLAN MORTGAGE CORPORATION PONTIAC 3467120A 472 4/26/2018 8810 PADILLA AND SONS CONSTRUCTION PONTIAC 2710080A 750 5/16/2018 5645 PONTIAC SAILING EDUCATION FOUNDATION PONTIAC 4877659A 652 6/20/2018 8868 PONTIAC YACHT CLUB PONTIAC 1364278A 827 4/17/2018 9015 0.95 PR CONSTRUCTION GROUP LLC PONTIAC 5701619A 1,331 4/25/2018 5445 PRICE CONSTRUCTION SERVICES LLC PONTIAC 0482030A 3,212 6/2/2018 5437 0.95 RELIABLE PAINTING PONTIAC 4389492A 750 5/12/2018 5476 RODGES LANDSCAPING INC PONTIAC 0788619A 2,026 4/13/2018 0042 1.00 RODRIGUEZ RODRIGUEZ LUIS FABIAN PONTIAC 5720567A 750 6/6/2018 5645 ROWIN DISTRIBUTORS INC PONTIAC 0354112A 548 5/3/2018 8018 0.95 SILVER LAKE MASONRY PONTIAC 3534740A 2,182 4/21/2018 5022 0.96 SMART SOLUTIONS RENOVATIONS INC PONTIAC 5568528A 750 6/7/2018 5476 SUPERIOR MASONRY LLC PONTIAC 5046734A 2,169 5/2/2018 5022 0.95 TOVAR CESAR VENTURA GAMEZ PONTIAC 5725585A 7,371 6/20/2018 5645 TRIPLE H CUSTOM HEATING AND COOLING LLC PONTIAC 4294220A 1,244 5/12/2018 5550 TRITON M CONTRACTING LLC PONTIAC 5541484A 4,345 4/5/2018 7208 0.94 YANEZ CONSTRUCTION LLC PONTIAC 5551242A 3,559 4/23/2018 5645 0.95 YLVISAKER INVESTMENT CO PONTIAC 0481556A 750 6/23/2018 5476 D AND T MANURE HAULING LLC PORT AUSTIN 4858034A 1,928 5/4/2018 0128 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NEW METHOD CONST & REPAIR INC PORT AUSTIN 0746479A 750 4/18/2018 5437 PORT AUSTIN FIRE DEPARTMENT PORT AUSTIN 0735701A 1,412 6/13/2018 7704 0.95 SAND BAR THE PORT AUSTIN 2860651A 366 6/20/2018 9058 PAWLITZ CONSTRUCTION PORT HOPE 0239372A 750 5/9/2018 5022 0.95 A 1 PRECISION PAINTING LLC PORT HURON 5257603A 785 4/22/2018 5476 AMERICAS CABINET OUTLET INC PORT HURON 5102464B 955 6/14/2018 8017 0.91 AMICI BUILDERS LLC PORT HURON 5409187A 368 6/8/2018 5606 ASSOCIATED DESIGN AND SERVICES INC PORT HURON 3915590A 826 5/6/2018 3724 0.95 BLUE WATER SEAMLESS GUTTERS PORT HURON 5701694A 750 4/11/2018 5538 CDW CONSULTING LLC PORT HURON 3986039A 9,626 4/1/2018 8292 0.82 FRISBIE ENTERPRISES INC PORT HURON 5515491A 5,487 5/14/2018 7208 GREAT LAKES CRUISING CLUB PORT HURON 4557018A 763 4/5/2018 8810 INTERWEST TECHNOLOGY GROUP INC PORT HURON 4863410A 249 5/4/2018 8810 0.95 K AND G WELDING LLC PORT HURON 5722004A 7,745 6/7/2018 3365 PORT HURON RESTAURANT INC PORT HURON 4700783A 3,523 6/13/2018 9058 0.95 ROBERT G EGLE REVOCABLE LIVING TRUST PORT HURON 5259681A 1,528 4/22/2018 0913 0.95 ROBERTS CONSTRUCTION PORT HURON 0160199A 1,138 4/27/2018 5403 1.00 ROYALTY CONSTRUCTION PORT HURON 5570654A 750 6/8/2018 5403 SHIRE CUSTOM BUILDERS INC PORT HURON 5194474A 750 6/17/2018 5645 0.95 SOLUTIONZ HOME IMPROVEMENTS PORT HURON 4947002A 750 4/22/2018 5551 STOLIKER BRET PORT HURON 1866230A 750 6/2/2018 5476 PATERSON TREE SERVICE & LAWN CARE INC PORT SANILAC 4658906A 1,213 6/17/2018 0106 0.95 REISNER DEVELOPMENT LLC PORT SANILAC 5276888A 750 6/16/2018 5437 SANILAC APPRAISERS INC PORT SANILAC 0362883A 390 4/17/2018 8720 CAPSTONE HOME IMPROVEMENT LLC PORTAGE 5275601A 234 6/4/2018 8810 CHILDREN MEDICINE PC PORTAGE 1750658A 422 5/12/2018 8832 DELISLE ASSOCIATES LTD PORTAGE 2264633A 3,370 4/17/2018 8601 1.00 HOMRICH HOME IMPROVEMENT PORTAGE 5563062A 750 5/17/2018 5437 K VLIETSTRA LANDSCAPE SERVICES LLC PORTAGE 5720133A 1,300 5/26/2018 9102 LUETH LLC PORTAGE 5548594A 782 4/20/2018 9102 MARTIN AND ASSOCIATES ENVIRONMENTAL LLC PORTAGE 3478262A 7,970 4/7/2018 5606 0.87 MICHIGAN CONSTRUCTION AND REMODELING PORTAGE 5138027A 800 4/24/2018 5645 LLC OMEGA ROOFING LLC PORTAGE 5376998A 750 6/3/2018 5551 PROPERTY MANAGEMENT SYSTEMS LLC PORTAGE 0736864A 702 6/26/2018 9015 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROODBERGEN POOLS & SPAS KALAMAZOO INC PORTAGE 0475050A 5,048 5/9/2018 5223 0.95 SCHRAMS GREENHOUSES PORTAGE 1415549A 2,669 6/15/2018 0035 1.05 SHANNONDALE MAHOGANY SWIM CLUB INC PORTAGE 1413163A 616 4/9/2018 9061 0.95 STERLING HOMECARE CONSULTING INC PORTAGE 5646413A 1,129 4/4/2018 8835 TACTICAL ADVANTAGE GUNS LLC PORTAGE 5553806A 831 4/29/2018 8010 VAN ROSE LLC PORTAGE 4184963B 647 6/28/2018 9015 VIPER SECURTIY ENFORCEMENT INC PORTAGE 2612011A 1,047 4/19/2018 7720 0.95 WEST DYLAN PORTAGE 5702267A 800 4/12/2018 5476 MAY BUILDERS INC PORTLAND 2752735A 750 6/10/2018 5645 0.95 PRIME CONTRACTING LLC PORTLAND 5330564A 605 5/11/2018 5606 WILDERNESS MEDICAL ASSOCIATES USA PORTLAND, ME 4733207A 254 4/11/2018 8868 WINDY BROOK COMPANIES INC PORTLAND 5429706A 3,621 5/11/2018 5645 0.95 BIO CLEAN TEAM INC POTTERVILLE 3830756A 980 4/7/2018 9015 0.95 HART ROOFING LLC POTTERVILLE 5720753A 5,060 5/31/2018 5551 GATIEN FARM AND FOREST PRODUCTS LLC POWERS 4069072A 4,167 5/8/2018 2731 0.95 UP FOREST INNOVATIONS POWERS 3323978A 1,025 4/4/2018 0042 LUCYNSKI SERVICES LLC PRESCOTT 5395011A 5,224 4/15/2018 5645 0.94 MELROSE WELL DRILLING PRESCOTT 3924904A 750 5/4/2018 6204 TITAN HOME SERVICES INC PRESCOTT 5248361A 800 4/5/2018 5645 0.95 LEWANDOWSKI VIRGINIA T PRESQUE ISLE 5414830A 385 6/17/2018 0908 TS UNDERGROUND PRESQUE ISLE 4375068A 750 5/17/2018 7600 0.95 CHILWORTH TECHNOLOGY INC PRINCETON, NJ 5559383A 1,883 6/2/2018 8601 AAA IRRIGATION INC PRUDENVILLE 4675932A 720 6/23/2018 5188 EMERY PINES DEVELOPMENT LLC PRUDENVILLE 5063493A 649 5/18/2018 8810 0.95 T AND P TREE SERVICE LLC PRUDENVILLE 5527988A 1,114 5/2/2018 0106 BARREIRO EDGAR PULLMAN 5721601A 750 6/3/2018 5645 DEER PATH TRUST PUNTA GORDA, FL 1189050A 747 4/6/2018 0908 COTTONWOOD RESORT INC QUINCY 3963063B 1,117 6/11/2018 9015 0.95 D AND D IRRIGATION LLC QUINCY 3359298A 892 5/19/2018 5183 0.95 FABULOUS FLOORS AND MORE LLC QUINCY 5145481A 751 6/20/2018 9521 HUMANE SOCIETY OF BRANCH COUNTY INC QUINCY 3499006A 1,191 5/17/2018 8831 0.95 SCHWARTZ BROTHERS CONSTRUCTION LLC QUINCY 5024757A 12,513 4/13/2018 5645 1.38 40 % G AND G LOGGING QUINNESEC 1271598A 750 4/21/2018 2702 QUINTIN OLSON TRUCKING LLC QUINNESEC 5723264A 750 6/10/2018 7219 BESSEMER TOWNSHIP OF GOGEBIC COUNTY RAMSAY 0163171A 3,950 5/1/2018 9410 0.92 1/2/2018 8:13:07 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 CARGO CO RAPID CITY 1660390A 1,840 4/6/2018 8393 0.95 HENDERSON MICHAEL RAPID CITY 0797936A 750 4/24/2018 5022 KENNETT ROBERT MICHAEL RAPID CITY 5720486A 10,343 5/27/2018 0106 LOCAL DINER LLC RAPID CITY 5711088A 1,144 5/2/2018 9058 RON WAY MASONARY RAPID CITY 1073397A 750 5/21/2018 5022 YES INTERIORS AND EXTERIORS CUSTOM RAPID CITY 3898644A 750 6/27/2018 5476 PAINTING EDWIN LACOSSE FOREST PRODUCTS RAPID RIVER 1550713A 750 6/12/2018 2702 GA SAYERS CONSTRUCTION CO INC RAPID RIVER 0936235A 2,325 6/4/2018 5645 0.88 GUDWER TRUCKING SERVICE LLC RAPID RIVER 4877900A 750 6/6/2018 7208 0.95 KORY WILS TRUCKING RAPID RIVER 4695399A 750 5/25/2018 7208 MCINTYRE ROBERT RAPID RIVER 0412503A 750 5/1/2018 2702 AUSTIN PAINTING LLC RAVENNA 3328031A 751 5/28/2018 5476 FAMILY AND COMMUNITY SERVICES INC RAVENNA, OH 0083569A 24,376 6/25/2018 8835 0.78 NUTT PAINTING RAVENNA 5409535A 1,260 6/2/2018 5476 WESTSIDE MOBILE HOMES INC RAVENNA 5347459A 4,608 4/24/2018 8387 1.25 13 % A 1 ECO BLASTING LLC RAY 3263703A 722 6/8/2018 9015 BEAR CONSTRUCTION OF MACOMB INC RAY 5436761A 1,620 4/15/2018 5645 DEAN REINHARDT TRUCKING RAY 2252813A 4,547 6/29/2018 7208 MODERN MUSCLE SALVAGE INC RAY 5722489A 1,858 6/8/2018 3821 TRANSMISSIONS UNLIMITED INC RAY 0231100A 3,670 5/30/2018 8395 1.11 VANSTEENKISTE CONSTRUCTION INC RAY 0421413A 803 5/30/2018 8810 D FENCE LLC RAY TWP 3904164A 750 4/25/2018 5102 0.95 PEAK HOME IMPROVEMENTS LLC RAY TWP 3110753A 1,736 5/21/2018 5645 0.95 CERTIFIED TOWER MAINTENANCE INC READING 4473183A 751 5/22/2018 5102 K P CONSTRUCTION & ELECTRICAL LLC READING 2039842A 852 6/12/2018 5550 KTK TRUCKING READING 4699726A 1,171 6/15/2018 7208 0.95 RUTZ TRUCKING & EXCAVATING READING 2959844A 1,825 6/22/2018 6217 ALBERT A ACKER INC REDFORD 1783300A 578 5/5/2018 9058 ALL AMERICAN AUTO TECH LLC REDFORD 5374731A 2,796 5/5/2018 8401 ANGLISS PETER REDFORD 4701623A 385 5/23/2018 0908 BALINT ERIK REDFORD 4974387A 666 5/23/2018 0913 BANKABLE ENTERPRISES INC REDFORD 5726689A 916 6/24/2018 9015 BAZZI ALI REDFORD 5702623A 666 4/12/2018 0913 BECK TREVOR REDFORD 5328888A 570 4/12/2018 0908

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BECKLEY HAULING & MOVING INC REDFORD 5580617A 13,521 6/28/2018 9403 BIG WILLS TOWING LLC REDFORD 5402760A 750 5/8/2018 7208 BNF PIZZERIA INC REDFORD 5713889A 3,202 5/9/2018 9058 BOB AND LESLIES LAWN MAINTENANCE REDFORD 3970272A 2,521 4/1/2018 9102 C AND E BUILDING MAINTENANCE REDFORD 2843641A 646 4/5/2018 9015 CARLTON FLOORS REDFORD 3928608A 1,000 6/23/2018 9521 CLEVELAND TRUCKING INC REDFORD 5720320A 750 5/24/2018 7208 CURTIS STONEWATER LLC REDFORD 5158257A 750 6/25/2018 5348 D D S DELIVERY SERVICE INC REDFORD 2119897A 750 4/12/2018 7208 D W CONSTRUCTION REDFORD 5722551A 825 6/10/2018 5551 DOWIER FARAH REDFORD 5543827A 666 4/9/2018 0913 E M D CONSTRUCTION INC REDFORD 0593621A 4,375 4/14/2018 5606 0.84 FRABUTT BROTHERS CONSTRUCTION REDFORD 3962342A 750 6/16/2018 5551 GABRIEL CLEANING SERVICES LLC REDFORD 5716004A 738 5/13/2018 9015 GOSLIN CHELSEY REDFORD 5580862A 385 6/29/2018 0908 HOLME PAINTING CO LLC REDFORD 0997781A 750 4/18/2018 5476 KOSTRZEWA LAURENCE REDFORD 3710599A 3,475 4/30/2018 0913 0.95 LESLIE RANDALL REDFORD 4251911A 385 6/29/2018 0908 MED TRANSPORTATION LLC REDFORD 5554551A 2,690 6/2/2018 7212 PARSONS DEREK REDFORD 5555094A 751 5/31/2018 5437 PRO TEK POWER WASHING LLC REDFORD 5711991A 647 5/4/2018 9015 REEVES SUNNI REDFORD 5543924A 385 4/9/2018 0908 RICHARD DAVID HUNTER LLC REDFORD 3893332A 604 5/30/2018 9521 ROTH TIMOTHY REDFORD 4682726A 385 6/4/2018 0908 SFV LLGC LLC REDFORD 4990846A 6,550 6/7/2018 5606 0.92 SMITH BRENT REDFORD 5180007A 666 4/12/2018 0913 SOCKOW CHRISTOPHER REDFORD 5566550A 755 5/25/2018 0908 SPRINGSHINE PROFESSIONAL CLEANING REDFORD 2396572A 750 4/6/2018 9015 SERVICES INC T A K SOLUTIONS LLC REDFORD 5567785A 750 6/11/2018 7208 T AND M ROOFING LLC REDFORD 4228642A 7,789 6/4/2018 5551 0.95 THUMM CAROL REDFORD 5718813A 1,310 5/23/2018 0908 TM PRO REMODELING REDFORD 2768666A 4,022 4/18/2018 5437 TONYS TILE AND MARBLE CO REDFORD 1376144A 750 6/22/2018 5348 XP DESIGN CO REDFORD 5708664A 907 4/26/2018 2802

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CRUDEN PAMELA L TRUST REDWOOD CITY, CA 5154634A 1,407 6/15/2018 0909 0.95 REED CITY TOWING LLC REED CITY 5256801A 14,064 6/3/2018 7208 SKY GUYS LLC REED CITY 5406455A 4,563 5/20/2018 2702 0.95 SWITZER SAND & GRAVEL INC REED CITY 2696231A 3,030 5/16/2018 4000 0.95 THOMAS D MORRIS INC REISTERTOWN, MD 5265533A 509 5/7/2018 8742 HILLMAN MIKE REMUS 3386422A 750 6/5/2018 5445 LUKEMAN PROPERTY MANAGEMENT LLC RICHLAND 5148421A 18,395 6/5/2018 9015 1.62 27 % LYNNE MORGAN GROUP INC RICHLAND 5046297A 1,183 6/27/2018 9521 0.95 SNYDER JIM G RICHLAND 2389657A 750 5/5/2018 5022 AMERICAN ENERGY SERVICES INC RICHMOND 1976400A 14,345 6/30/2018 8601 1.50 27 % CITY DOOR RICHMOND 3909360A 232 5/20/2018 8810 GREENLEAF TREE CARE LLC RICHMOND 5259983A 751 4/11/2018 0106 IDEAL COMMUNICATIONS LLC RICHMOND 5576040A 750 6/21/2018 5191 K AND J CONSTRUCTION MANAGEMENT RICHMOND 5082404A 750 6/24/2018 5645 MANUEL CONSTRUCTION RICHMOND 4381297A 750 5/25/2018 5551 0.95 MICHIGAN LAWN SERVICE LLC RICHMOND 5398177A 719 6/13/2018 9102 PATRICK M ROSS CONSTRUCTION CO RICHMOND 2271303A 1,054 6/20/2018 5645 0.95 ROBS SUPER CAR WASH INC RICHMOND 0473898A 646 5/5/2018 8387 TOMA ELECTRIC RICHMOND 2598973A 544 6/16/2018 5190 VAN HAVERBECK HOMES INC RICHMOND 1921576A 750 6/7/2018 5645 WILLIAMS HISTORIC RESTORATION INC RICHMOND 5464293A 5,469 5/26/2018 5437 C AND J BUSH LANDSCAPING RILEY 5205891A 1,519 4/25/2018 9102 0.95 MEGS HAULING RILEY 5410380A 1,787 5/4/2018 7380 ROMAN HOMES RILEY TWP 4952383A 750 4/24/2018 5437 0.94 BLAIR JAMES AND DONNA RIVER GROVE, IL 5707080A 645 4/30/2018 0908 MASSINGO BRIAN RIVER ROUGE 5701449A 750 4/11/2018 7208 MIKE WARD SERVICES INC RIVER ROUGE 4313810A 800 4/7/2018 3724 ENERGY PLUS HOME IMPROVEMENTS LLC RIVERDALE 3997146A 220 6/22/2018 8810 0.95 M 46 AUTO PARTS & SALES INC RIVERDALE 2108712A 373 4/21/2018 8010 0.95 P AWT TRANSPORT RIVERDALE 5484332A 750 4/14/2018 2702 RED OAK SEAMLESS EAVESTROUGHING LLC RIVERDALE 5705053A 751 4/14/2018 5538 LAKE MICHIGAN BEACH PROPERTY OWNERS RIVERSIDE 1136380A 1,245 6/3/2018 9015 ASSOCIATION INC GREGORYS ROOFING & CONSTRUCTION LLC RIVERVIEW 1969978A 14,772 5/1/2018 5551 0.86 KENCO SUPPLY LLC RIVERVIEW 4636899A 331 6/11/2018 8742

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LEONARD MANAGEMENT INC RIVERVIEW 4990080A 371 6/2/2018 8017 DENNYS CUSTOM PAINTING RIVES JUNCTION 4728769A 750 6/10/2018 5476 EMERGENCY RESPONSE TECHNOLOGIES INC RIVES JUNCTION 3329119A 550 5/1/2018 8868 BALDWIN ROAD ASSOCIATES LLC ROCHESTER 3609154A 750 4/1/2018 5022 BLOOMINGDALE CONSTRUCTION COMPANY INC ROCHESTER 3785394A 750 5/30/2018 0042 BROOKSIE WAY ROCHESTER 5281083A 2,855 5/16/2018 9015 0.95 BRYDEN DEVELOPMENT CORPORATION ROCHESTER 0675539A 750 4/30/2018 5445 CLEAR CREEK COMMUNITY ASSOCIATION ROCHESTER 4986911A 646 5/18/2018 9015 COOK TREE CARE ROCHESTER 0581178A 750 5/30/2018 0106 DURAFLEX COATINGS LLC ROCHESTER 5378087A 750 5/4/2018 5476 GENERAL SPORTS BASEBALL HOLDINGS LLC ROCHESTER 5562651A 19,550 5/15/2018 9015 HEART OF THE HILLS SWIM CLUB INC ROCHESTER 0971103A 1,490 5/19/2018 9063 0.95 JASONIAN GROUP LLC ROCHESTER 3464946A 226 4/25/2018 8810 JERRYS GUN SHOP INC ROCHESTER 1158813A 478 4/7/2018 8010 METRO PUMP SERVICE LLC ROCHESTER 4618637A 800 4/23/2018 3724 0.95 NORTHERN STONE & BRICK CONSTRUCTION ROCHESTER 3286509A 750 6/27/2018 5348 0.95 CORP R R D CONSTRUCTION CO ROCHESTER 3293343A 1,481 5/11/2018 5606 0.95 RED KNAPPS BAR INC ROCHESTER 5710790A 1,794 5/1/2018 9058 REMEDICA LLC ROCHESTER 5318513A 707 5/23/2018 8832 RILEYS CONSTRUCTION & COMMERCIAL HOME ROCHESTER 3972526A 750 5/13/2018 5221 REPAIR SERVICES INC ROCHESTER HANDYMAN SERVICES LLC ROCHESTER 2729903A 750 6/10/2018 5403 T L JENKINSON LLC ROCHESTER 3000273A 16,857 4/12/2018 0042 1.29 VISTAS CONDOMINIUM ASSOCIATION ROCHESTER 4063880A 646 5/1/2018 9015 WOMBAT ENTERPRISES LLC ROCHESTER 5238749A 696 4/2/2018 9015 ABC PAINTING INC ROCHESTER HILLS 5098157A 825 4/12/2018 5476 ADVANCE TERRAZZO & MARBLE RESTORATION ROCHESTER HILLS 3221318A 1,266 4/22/2018 5348 0.95 INC ARDIAN HASANAJ INC ROCHESTER HILLS 4370970A 750 6/25/2018 5476 ARVAN POWERTRAIN CONSULTING LLC ROCHESTER HILLS 5721326A 268 6/2/2018 8601 ATTIA CONSTRUCTION ROCHESTER HILLS 1001728A 750 4/7/2018 5645 AUL FLOOR COVERING INC ROCHESTER HILLS 5565170A 554 5/24/2018 9521 BISMACK DESIGNS INC ROCHESTER HILLS 4809610A 753 6/3/2018 8810 COUNTY LINE LANDSCAPERS LLC ROCHESTER HILLS 1815385A 750 6/9/2018 0042 CUSTOMIZED RESIDENTIAL SERVICES LLC ROCHESTER HILLS 3930998A 9,893 6/2/2018 8835 0.80 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 130 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DAN BROWN BUILDER ROCHESTER HILLS 0243868A 750 5/14/2018 5645 ECO SERVICES GROUP INC ROCHESTER HILLS 5376793A 800 6/8/2018 5437 FAT BELLY HANDYMAN LLC ROCHESTER HILLS 4751060A 1,516 5/18/2018 5645 0.95 FRESH START HOMES MICHIGAN ROCHESTER HILLS 5698421A 2,446 4/4/2018 5606 CONSTRUCTION SERVICES LLC GENERAL PAINTING COMPANY LLC ROCHESTER HILLS 3881938A 825 6/7/2018 5476 GLOBAL ENERGY SYSTEMS LLC ROCHESTER HILLS 0235660A 750 5/6/2018 5550 GOG ANTON C ROCHESTER HILLS 5127726A 554 4/17/2018 9521 GREENTREES INC ROCHESTER HILLS 0464619A 25,626 5/18/2018 9102 1.69 13 % HGHILL AND ASSOCIATES LLC ROCHESTER HILLS 5715008A 1,714 5/11/2018 9519 J BOMMER FLOORING LLC ROCHESTER HILLS 5102766A 1,648 4/11/2018 9521 J T HIGHLANDER INC ROCHESTER HILLS 3368270A 750 4/21/2018 5476 KHURRUM T PIRZADA DO PC ROCHESTER HILLS 4960726A 239 5/15/2018 8832 KNAPP BROTHERS POOL SERVICE INC ROCHESTER HILLS 1839861A 1,274 4/22/2018 9015 0.95 LA RESTORATION LLC ROCHESTER HILLS 5721881A 750 6/6/2018 5476 LUGO AUIRELIANO ROCHESTER HILLS 5711711A 750 5/3/2018 5551 MAXWELL BUILDING SERVICES INC ROCHESTER HILLS 5406528A 825 5/20/2018 5437 MAZURAK GREGORY S ROCHESTER HILLS 5210747A 716 6/6/2018 0913 MEDIC COMMUNICATIONS LLC ROCHESTER HILLS 4977220A 2,846 4/13/2018 7600 0.92 MICHIGAN BRICKSCAPE CO ROCHESTER HILLS 1473506A 753 6/17/2018 8810 MOTOR CITY FENCE CO LLC ROCHESTER HILLS 3783146A 800 5/14/2018 6400 NUSBIETEL PAUL ROCHESTER HILLS 2691345A 750 6/4/2018 7208 PEREZ GARCIA PAINTING LLC ROCHESTER HILLS 5688647A 825 4/12/2018 5476 PEREZ PAINTERS LLC ROCHESTER HILLS 5170826A 825 4/12/2018 5476 PHOTO TRON CORPORATION ROCHESTER HILLS 1081314A 369 4/12/2018 3179 PREMIER KITCHEN CABINETS INC ROCHESTER HILLS 2540592A 750 5/8/2018 5437 PRO MAINTENANCE INC ROCHESTER HILLS 0174513A 750 5/10/2018 5437 QUEST PRODUCTS CORPORATION ROCHESTER HILLS 3166295A 290 5/4/2018 8810 RFT STAFFING LLC ROCHESTER HILLS 4996321A 353 6/21/2018 8810 RICOS PAINTING LLC ROCHESTER HILLS 5210640A 825 4/12/2018 5476 SABER WINDOW CLEANING LLC ROCHESTER HILLS 2432455A 721 5/18/2018 9015 SEVEN HUNDRED ONE COMPANY A MICHIGAN ROCHESTER HILLS 5273870A 750 4/1/2018 5610 LIMITED LIABILITY COMPANY SHEPPARD STRUCTURAL CONSULTING PC ROCHESTER HILLS 1353780A 835 6/16/2018 8601 0.95 SK KITCHEN & BATH ROCHESTER HILLS 5542995A 750 4/7/2018 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SURFACE RESTORATION TECHNOLOGIES INC ROCHESTER HILLS 3156168A 2,797 4/8/2018 9015 0.95 SWIATKO ENTERPRISES INC ROCHESTER HILLS 4983459A 825 5/8/2018 5403 VANDER BROEK ROOFING ROCHESTER HILLS 2101262A 750 4/16/2018 5403 VITYAZ CONSTRUCTION LLC ROCHESTER HILLS 5564611A 751 5/20/2018 5476 WALDMANN ROBERT DR ROCHESTER HILLS 3181618A 435 6/11/2018 0908 WANNER PROPERTIES LLC ROCHESTER HILLS 4437098A 750 5/4/2018 5645 MARK WORM CONSTRUCTION INC ROCK 4329490A 750 4/14/2018 5437 V LACOSSE LOGGING ROCK 0549576A 750 6/11/2018 2702 0.95 BRIAN BECKER INTERIORS LLC ROCKFORD 4978005A 750 4/19/2018 5445 BUENA VISTA PROPERTY MANAGEMENT LLC ROCKFORD 5399033A 1,459 4/28/2018 5403 0.95 DEDICATED ELECTRIC INC ROCKFORD 5576016A 1,299 6/18/2018 5190 ENGLISH DRYWALL INC ROCKFORD 4321464A 750 5/24/2018 5445 FOUR STAR TRANSPORT INC ROCKFORD 2270048A 750 4/7/2018 7208 FULLER DESIGN INC ROCKFORD 4835417A 2,225 5/24/2018 9521 0.95 G R METRO PLUMBING LLC ROCKFORD 4289684A 654 6/25/2018 5183 GILLHESPY OF MICHIGAN INC ROCKFORD 0134570A 1,344 6/13/2018 5191 0.95 J AND B ENTERPRISES OF ROCKFORD LLC ROCKFORD 5160278A 1,736 6/4/2018 0042 0.95 JP SEAMON ENTERPRISES LLC ROCKFORD 5077087A 666 5/2/2018 0913 KRIEKAARD SHEET METAL LLC ROCKFORD 5727170A 750 6/27/2018 5538 LEBLANC CUSTOM HOMES INC ROCKFORD 5202787A 750 5/14/2018 5645 ML FARM SYSTEMS INC ROCKFORD, IL 5410649A 2,708 6/5/2018 3724 0.95 PROPERTY CARE INCORPORATED ROCKFORD 5723752A 750 6/13/2018 0042 REMEMBER NIGER COALITION ROCKFORD 5721334A 449 6/3/2018 8868 ROCKFORD SPORTS BOOSTERS ROCKFORD 4882725A 364 6/28/2018 8017 SMITH DANIEL ROCKFORD 5613930A 751 4/28/2018 5445 THOMAS JOHNSON BUILDER INC ROCKFORD 4991397A 750 6/7/2018 5645 TOWING BY NELSON INC ROCKFORD 5269059A 7,637 5/9/2018 7208 0.90 TRUSS WORTHY CRANE SERVICE LLC ROCKFORD 5369231A 3,440 5/18/2018 9530 WALDEN DESIGN LLC ROCKFORD 4629957A 2,184 6/5/2018 0042 0.95 UNION PAYROLL AGENCY INC ROCKLIN, CA 3429911A 1,095 5/1/2018 9154 0.94 BAILEY MICHAEL ROCKWOOD 5566657A 751 5/25/2018 5476 GANTZ MILLWORK LLC ROCKWOOD 4865588A 750 4/29/2018 5645 GREGORY CONTRACTING INC ROCKWOOD 2245205A 2,518 6/25/2018 5221 0.95 R L WINTER & SON INC ROCKWOOD 2713004A 1,239 5/3/2018 5221 0.95 CONCRETE ALTERNATIVES INC ROGERS CITY 0298948A 750 4/18/2018 5645 0.95 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 132 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DONS BODY SHOP INC OF ROGERS CITY ROGERS CITY 2354349A 1,493 6/20/2018 8393 0.95 GAUTHIER AND SPAULDING FISH COMPANY LLC ROGERS CITY 0713198A 1,162 4/1/2018 8021 0.95 NJL LOGGING LLC ROGERS CITY 4975618A 750 5/21/2018 2709 NOWICKI TRUCKING LLC ROGERS CITY 5411840A 750 6/9/2018 7208 PHILIP F BELLEVILLE THE FAMILY TRUST ROLLING HILLS, CA 2303566A 637 6/18/2018 0909 0.95 HUMBLE CONSTRUCTION LLC ROMEO 4736311A 750 4/6/2018 5645 J T QUALITY PAINTING LLC ROMEO 3623254A 750 5/11/2018 5476 MARTINEZ ISRAEL LEON ROMEO 4719964A 750 4/26/2018 5645 MESM CONSTRUCTION INC ROMEO 5720451A 10,237 5/27/2018 5645 PINE VALLEY BUILDING LLC ROMEO 4374657A 750 6/28/2018 5645 0.95 PROVINCIAL HOMES LLC ROMEO 5408580A 750 6/28/2018 5645 WALLACE ROOFING & RENOVATION LLC ROMEO 3342913A 750 4/28/2018 5551 AAA LAWN SERVICE & SNOW REMOVAL ROMULUS 4515994A 873 6/13/2018 9102 ALLIED TECHNOLOGY INC ROMULUS 4363850A 1,699 6/26/2018 8010 0.95 ARAMCO FUEL STOP INC ROMULUS 4766512A 1,468 5/3/2018 9058 0.95 ASPHALT COMPANY LLC ROMULUS 4460006A 1,116 6/1/2018 5221 0.95 AUTO AND EQUIPMENT SPECIALIST INC ROMULUS 4390474A 5,477 5/29/2018 7208 0.93 CACAU VASILE ROMULUS 5126886A 514 4/30/2018 8393 DETROIT INTERMODAL SERVICES INC ROMULUS 3244920A 5,668 5/1/2018 8395 0.94 EVERGREEN TREE & RESTORATION INC ROMULUS 5408962A 2,481 5/30/2018 0042 0.95 F AND M OF ROMULUS INC ROMULUS 4597559A 801 6/16/2018 9058 0.95 KCG CONSTRUCTION LLC ROMULUS 5718350A 750 5/22/2018 5645 MATT LEES LAWN SERVICE ROMULUS 4685091A 719 4/11/2018 9102 MAXI CONTAINER INC ROMULUS 1657488A 6,839 5/1/2018 8018 1.21 10 % METRO FUEL SERVICES LLC ROMULUS 4724089A 1,323 4/22/2018 8017 0.95 MILLS CONSTRUCTION SERVICES ROMULUS 3125955A 981 5/20/2018 5476 R AND M MANAGEMENT GROUP INC ROMULUS 0083194A 333 5/30/2018 8810 S AND G EXPRESS INC ROMULUS 4442296A 3,851 6/27/2018 8395 0.95 SCHOFIELD TRANSPORT & LOGISTICS LLC ROMULUS 2850036A 495 5/31/2018 8742 SUNCO PETROLEUM LLC ROMULUS 4605500A 1,147 4/27/2018 8810 0.95 ZOUROB ENTERPRISES INC ROMULUS 3615928A 649 4/17/2018 8017 HEPA ENVIRONMENTAL SERVICES INC ROOTSTOWN, OH 4980042A 730 4/26/2018 5183 ANDYS PIZZERIA INC ROSCOMMON 3810771A 366 5/19/2018 9058 KJ WARD LLC ROSCOMMON 2020149A 1,202 4/6/2018 6836 NORTHERN MICHIGAN METAL ROOFING LLC ROSCOMMON 2728516A 826 6/29/2018 8810 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 133 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUCKS COUNTRY COOKIN INC ROSE CITY 5707234A 1,451 4/28/2018 9058 RPM INDUSTRIAL ELECTRIC ROSE CITY 3526992A 1,787 6/1/2018 5190 0.94 WIND RIVER HARDWOODS INC ROSE CITY 0241440A 857 6/1/2018 2731 0.95 BAUMANNS SUPERETTE INC ROSEBUSH 0211834A 2,169 6/16/2018 8033 0.95 FOUNTAIN OF LOVE LLC ROSEBUSH 5064830A 1,168 4/12/2018 9053 0.95 HOVEY HEATING & COOLING INC ROSEBUSH 0616052A 4,076 6/12/2018 5550 0.95 MCCONNELL FREEZER PAC INC ROSEBUSH 0866059A 1,975 4/6/2018 8031 0.95 AAR SERVICES ROSEVILLE 5542480A 750 4/6/2018 5403 AUBREY GROUP INC ROSEVILLE 4905300A 2,886 6/22/2018 8017 0.95 BLUE LABEL HOME IMPROVEMENT LLC ROSEVILLE 5557984A 750 6/16/2018 5445 BULLSEYE AUTO GLASS INC ROSEVILLE 5570379A 1,628 6/7/2018 8387 C AND L CHIMNEY LINERS LLC ROSEVILLE 1364332A 647 4/6/2018 9015 0.95 CONFEZIONI ANDREA NORTH AMERICA LLC ROSEVILLE 5702801A 629 4/25/2018 8742 CONTRACT ASPHALT MAINTENANCE CO ROSEVILLE 2577569A 751 5/14/2018 5221 0.95 CUSTOMER ONE HOMES LLC ROSEVILLE 5396514A 369 4/17/2018 5606 CUSTOMKRAFT HOME IMPROVEMENT ROSEVILLE 3928012A 750 5/22/2018 5551 D AND J HOME IMPROVEMENT ROSEVILLE 5726336A 750 6/23/2018 5445 D BROTHERS PARTY STORE INC NO 8 ROSEVILLE 4712730A 929 6/21/2018 8017 0.95 DISTINCTIVE INTERIORS LTD ROSEVILLE 1721801A 800 5/13/2018 5403 DNR BUILT ROSEVILLE 5716110A 751 5/13/2018 5476 DOLLS LANDSCAPING ROSEVILLE 5702194A 800 4/12/2018 9402 E AND J HOME IMPROVEMENT ROSEVILLE 3576787A 750 5/13/2018 5437 GRADYS LOUNGE INC ROSEVILLE 0342777A 367 6/10/2018 9058 HMT PROPERTIES LLC ROSEVILLE 3983307A 13,369 5/30/2018 8395 1.52 27 % J AND J ROOFING CO ROSEVILLE 1697870A 798 4/27/2018 8742 0.95 JEREMY M BELL CONSTRUCTION ROSEVILLE 5132274A 800 5/23/2018 5645 JOE KAWA MAINTENANCE AND INSTALLATION ROSEVILLE 2929732A 751 5/9/2018 5476 JOHN Z DEGRANDCHAMP & SON INC ROSEVILLE 2109700A 750 6/17/2018 5022 L AND R HOME IMPROVEMENT ROSEVILLE 4050479A 750 5/18/2018 5437 MAXX TOWING INC ROSEVILLE 4905229A 5,812 6/22/2018 7208 0.95 METRO METAL CORPORATION ROSEVILLE 5146917A 387 5/31/2018 8742 MICHIGAN TREE & LANDSCAPING INC ROSEVILLE 2151200A 6,151 4/8/2018 0106 1.14 MODISYS LLC ROSEVILLE 5117968A 367 4/1/2018 8810 N AND B ENTERPRISES INC ROSEVILLE 4474236A 1,907 5/30/2018 8017 0.95 NAT VEND INC ROSEVILLE 3505294A 3,716 4/12/2018 5192 0.95 1/2/2018 8:13:07 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 NEW HORIZONS RESPONSE SERVICES LLC ROSEVILLE 4470451A 5,355 5/13/2018 9015 0.88 NIKOS CONSTRUCTION & REMODELING LLC ROSEVILLE 4840518A 753 6/26/2018 8810 PLUMBING EXPERTS LLC ROSEVILLE 5559235A 654 5/11/2018 5183 ROBERT ALTON MCCULLUM III BUILDING CO LLC ROSEVILLE 5447003A 1,274 4/11/2018 9015 ROBERT HARRIS CONTRACTING LLC ROSEVILLE 2674084A 5,014 4/9/2018 5479 0.93 SAFE T TRANSPORTATION LLC ROSEVILLE 5133904A 12,122 5/3/2018 7212 0.75 STEVES CONSTRUCTION ROSEVILLE 5429315A 800 6/8/2018 5645 TRAPANI TILE INC ROSEVILLE 2249405A 750 5/9/2018 5348 TUNESI CONTRACTING ROSEVILLE 5015073A 750 4/22/2018 5645 ZIMMERMAN LAWN AND SNOW ROSEVILLE 2999820A 784 6/30/2018 9102 LONEWOLF CONSTRUCTION ROTHBURY 4125070A 750 4/12/2018 5437 VILCHIS ODILON ROUND ROCK, TX 5720117A 2,630 5/26/2018 5551 AJS CONTRACTING INC ROYAL OAK 3988651A 825 5/7/2018 5550 0.89 BEACON HILL PROPERTIES INC ROYAL OAK 2108151B 696 4/1/2018 9015 0.95 CEILINGS UNLIMITED LLC ROYAL OAK 5399556A 750 4/29/2018 5020 CHRISTOPHERS RESIDENTIAL SERVICES LLC ROYAL OAK 1686127A 1,407 4/21/2018 5645 CHURCH OF THE HOLY CITY ROYAL OAK 0782955A 346 4/22/2018 8868 CONNECTED STRATEGY ADVISORS LLC ROYAL OAK 5405300A 311 5/14/2018 8742 DAVES SERV TECHS ROYAL OAK 2700557A 646 6/21/2018 9015 DETAILS HANDYMAN AND CONSTRUCTION ROYAL OAK 4686659A 750 4/28/2018 5348 SERVICES INC ENVIRONMENTAL CONSULTING SOLUTIONS LLC ROYAL OAK 5253683A 887 4/23/2018 8601 FOREMAN CONSTRUCTION INC ROYAL OAK 4897510A 8,579 5/3/2018 5606 0.95 GRAND SLAM BASEBALL TRAINING CENTER INC ROYAL OAK 1735810A 653 4/1/2018 8017 HIGH LIGHTING SERVICE COMPANY ROYAL OAK 2834219A 2,885 4/27/2018 3724 0.95 HOMESTEAD CONSTRUCTION CO INC ROYAL OAK 3502317A 800 6/9/2018 5645 JET LINE CONSTRUCTION ROYAL OAK 5580986A 2,594 6/29/2018 5183 JONES STEPHEN W ROYAL OAK 2729598A 720 4/24/2018 0908 0.95 L AND A CONSTRUCTION INC ROYAL OAK 0972398A 750 4/20/2018 5551 LAMKIN CONSTRUCTION INC ROYAL OAK 1153609A 750 6/28/2018 5221 MAKE IT RIGHT ELECTRIC LLC ROYAL OAK 5548519A 594 4/20/2018 5190 MILLS SIDING & ROOFING LLC ROYAL OAK 3280381A 750 5/3/2018 5551 MOZAS CATERING LLC ROYAL OAK 5712238A 1,883 5/13/2018 9058 NEWPORT SCOTT ROYAL OAK 2377870A 3,162 5/26/2018 5437 0.93 RAW THERAPY LLC ROYAL OAK 5695368A 549 4/1/2018 8835

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RLW DESIGN BUILD LLC ROYAL OAK 5708583A 750 5/25/2018 5645 SANIT AIR INC ROYAL OAK 2653095A 3,204 5/4/2018 5550 0.95 STAY AND PLAY SOCIAL CLUB INC ROYAL OAK 3456692A 1,749 5/12/2018 9063 0.95 THOMAS REMODELING ROYAL OAK 4142004A 750 5/24/2018 5538 TONY AMOUD & ASSOCIATES INC ROYAL OAK 2242796A 800 5/2/2018 5190 0.95 TRESNAK CONSTRUCTION INC ROYAL OAK 3485471A 804 4/21/2018 8742 0.95 UNITED RESIN INC ROYAL OAK 0374130A 6,390 4/15/2018 4828 0.89 WENDELLS REMODELING INC ROYAL OAK 3256855A 1,322 5/28/2018 9015 0.84 WYETT TODD A ROYAL OAK 2108151A 940 6/6/2018 0908 0.95 SANDMANNS GROCERY RUTH 1380346A 1,610 6/9/2018 8006 ABSOLUTE BUILDING & CUELLAR INC SAGINAW 4611985A 800 6/11/2018 5437 0.95 AMERICAN LAWN AND LANDSCAPE SAGINAW 5702895A 2,152 4/13/2018 0042 APS EMPLOYMENT SERVICES INC SAGINAW 3618587A 244,445 4/1/2018 8835 1.99 10 % AV MACHINE BUILDERS LLC SAGINAW 5430135A 752 4/7/2018 5190 BLUHMS HOME IMPROVEMENT SAGINAW 5409977A 751 6/3/2018 5476 BRAD BECKER CONSTRUCTION LLC SAGINAW 2014165A 750 4/14/2018 5645 BRUNS LANDSCAPING SAGINAW 5704928A 884 4/17/2018 0042 COLPEAN BROS PAINTING AND DRYWALL LLC SAGINAW 0779717A 5,934 4/1/2018 5476 0.90 CST COUNSELING AND TRANSITIONAL SERVICES SAGINAW 5111889A 423 6/28/2018 8832 INC CURTIS E SMITH DDS PLC SAGINAW 0952630A 1,453 5/6/2018 8832 1.00 DOUD ROOFING SAGINAW 5711967A 750 5/4/2018 5551 DURUSSEL AND SONS TREE SERVICE SAGINAW 1634518A 750 6/14/2018 0106 EXTREME LANDSCAPING & LAWN CARE LLC SAGINAW 4533313A 2,592 6/4/2018 9102 1.00 FIRST CHOICE STAFFING AGENCY LLC SAGINAW 5432960A 948 4/4/2018 8835 FOUNTAIN TRUCKING INC SAGINAW 0495344A 3,541 5/31/2018 7202 GBKS LLC SAGINAW 5723116A 364 6/8/2018 8017 GREAT LAKES CROSSROAD LLC SAGINAW 5596556A 367 5/19/2018 9058 HOUSE OF HOPE ADULT FOSTER CARE LLC SAGINAW 4896254A 2,204 6/3/2018 9053 0.95 HYDRAULIC INSTALLATION COMPANY LLC SAGINAW 0120723A 961 5/6/2018 5183 0.95 JACKS TREE SERVICE INC SAGINAW 2002663A 34,644 4/1/2018 0042 1.00 JM GRAHAM MASONRY SAGINAW 0976067A 801 6/9/2018 5022 KJAYS CARPET SERVICE SAGINAW 2756480A 1,155 4/1/2018 9521 0.95 LOSANO CONTRACTING SAGINAW 3811212A 750 5/7/2018 5437 MICHAEL HANLEY & ASSOCIATES LLC SAGINAW 4229436A 774 4/19/2018 9058 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MWN LLC SAGINAW 4580419A 1,422 4/1/2018 7720 0.95 NEXT LEVEL FLOORING SAGINAW 3310264A 587 6/22/2018 9521 NIGHT FLIGHT FIREWORKS LLC SAGINAW 4982932A 1,084 5/7/2018 8010 0.95 NORTHERN TOUCH LAWN CARE AND SAGINAW 5547032A 750 4/21/2018 0042 SNOWPLOWING LLC OEHRING FLOORING SAGINAW 4469526A 800 5/23/2018 5348 PRENZ MAINTENANCE INC SAGINAW 0446351A 1,099 5/1/2018 9102 PROFESSIONAL PROPERTY CONSULTING LLC SAGINAW 4398238A 2,207 5/17/2018 9015 0.90 SAGINAW CATHOLIC MUSTARD SEED SAGINAW 5559669A 319 5/12/2018 8810 FOUNDATION SAGINAW SYMPHONY ASSOCIATION SAGINAW 0840114A 456 4/7/2018 8810 0.95 SAUVE ROBERT D SAGINAW 5707137A 750 4/21/2018 5645 SHERIDAN ARMS LLC SAGINAW 5392780A 1,408 4/1/2018 8010 0.95 SOS TREE SERVICE SAGINAW 5720966A 801 6/9/2018 0106 SRITARAMA SOLUTIONS INC SAGINAW 5279682A 270 6/12/2018 8810 STACKS REMODELING LLC SAGINAW 5262046A 750 4/16/2018 5437 STAGE CALL PRODUCTION SERVICES INC SAGINAW 4196945A 3,846 5/13/2018 5190 0.95 T AND S CONSTRUCTION LLC SAGINAW 5706823A 4,097 4/20/2018 5437 ULTIMATE LAWN PROS LLC SAGINAW 4115554B 768 5/17/2018 9102 VALLEY HOSPICE CARE INC SAGINAW 5716500A 812 5/16/2018 8835 WOLPERT REFRIGERATION INC SAGINAW 0563021A 355 4/26/2018 8810 ZEROS SHIRLEY SAGINAW 5399882A 570 4/30/2018 0908 U P CUSTOM FORESTRY INC SAGOLA 2357003A 750 5/16/2018 2709 0.95 COLAROSSI LAWN CARE SALINE 5397529A 1,582 4/21/2018 9102 0.95 EUROPEAN CONSTRUCTION CO SALINE 0320250A 1,011 4/30/2018 5645 LUDWIG BUILDING COMPANY SALINE 3018377A 750 4/17/2018 5645 MASONRY DESIGN & REPAIR LLC SALINE 4707389A 1,008 5/1/2018 5022 0.95 NO BULL TOWING INC SALINE 4768582A 800 4/26/2018 7208 PRECISION SERVICES SALINE 5348714A 1,769 4/1/2018 9102 RED AXE LANDSCAPE SALINE 5702178A 750 4/12/2018 0042 SCHILKE SECURITY SALINE 1508490A 501 5/14/2018 7720 0.95 SOLID ROCK CONTRACTING LLC SALINE 5718422A 750 6/1/2018 5645 ZAHN FARMS LLC SALINE 5123569A 8,021 4/3/2018 7208 0.87 YOUTH SPEAKS INC SAN FRANCISCO, CA 5688817A 353 4/1/2018 8868 A B EXCAVATING INC SAND LAKE 4474791A 750 6/3/2018 6217

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge B AND R ROOFING SERVICES SAND LAKE 5175895A 750 6/14/2018 5551 COUNTRYSIDE TOURS INC SAND LAKE 5550793A 876 6/25/2018 8742 FREY JUSTIN SAND LAKE 5711983A 750 5/4/2018 5551 MAGOONS FOREST PRODUCTS SAND LAKE 2908670A 750 4/29/2018 2702 ROUGH CUT FOREST PRODUCTS SAND LAKE 5142091A 750 5/18/2018 2702 WEST RIVER FRAMING SAND LAKE 3389898A 877 6/16/2018 5437 0.95 CREATIVE RIDES LLC SANDUSKY 5577993A 599 6/28/2018 8393 HALL MASONRY SANDUSKY 5261619A 1,234 4/16/2018 5221 0.95 OSWALDS FERTILIZATION LLC SANDUSKY 5725313A 720 6/17/2018 9102 THUMB BIOENERGY LLC SANDUSKY 4977025A 2,506 5/14/2018 8601 0.95 WILLIAMS CONSTRUCTION OF MICHIGAN LLC SANDUSKY 5538025A 2,205 4/8/2018 5022 0.94 AUDIO SECURITY & AUTOMATION PROVIDERS SARANAC 3960927A 1,327 6/1/2018 5190 0.95 INC CENTERLINE MECHANICAL LLC SARANAC 5699614A 825 4/6/2018 5550 PINKNEY HILL MEAT COMPANY LLC SARANAC 4315995A 956 4/10/2018 2081 0.95 PRESTON MASONRY LLC SARANAC 0728284A 750 6/5/2018 5022 SARANAC CHIROPRACTIC CENTER SARANAC 3493628A 238 6/4/2018 8810 ENAGON LLC SAUGATUCK 5712092A 1,699 5/4/2018 8107 JAMES BUILDING GROUP LLC SAUGATUCK 3078531A 750 5/26/2018 5550 LAKE CONSTRUCTION CO SAUGATUCK 0141895A 1,693 4/7/2018 8227 0.95 CALVIN VELDT TRUCKING SAULT STE MARIE 5553601A 825 5/11/2018 7208 FAMOUS SOO LOCKS CRUISES INC SAULT STE MARIE 0315176A 3,979 4/1/2018 8726 0.95 GREAT LAKES SHIPWRECK HISTORICAL SOCIETY SAULT STE MARIE 0940950A 10,623 6/7/2018 8017 1.42 13 % INC HOORNSTRA COMMUNICATIONS INC SAULT STE MARIE 3230015A 528 4/14/2018 5191 S AND S MATHEMATICAL & BUSINESS SOLUTIONS SAULT STE MARIE 5706882A 4,244 4/20/2018 0042 LLC SEA BEES DOCKSIDE CAFE SAULT STE MARIE 1054228A 657 6/25/2018 7038 SMORE MEMORIES LLC SAULT STE MARIE 5262810A 647 5/1/2018 9015 RIVIERA CEDAR HOMES INC SAWYER 2754169A 750 4/7/2018 5645 GREEN MEADOW INC SCHOOLCRAFT 3543633A 750 5/15/2018 5445 MIDLINK LOGISTICS LLC SCHOOLCRAFT 4976746A 1,093 4/10/2018 8810 RITCHIE DRYWALL SCHOOLCRAFT 1371304A 750 4/7/2018 5445 0.95 SCOTT TERRENCE ARLEN SCHOOLCRAFT 3707970A 750 5/23/2018 5551 RURAL FUTURES INTERNATIONAL SCOTTS 0717762A 3,903 4/7/2018 8868 0.95 SKYLER ENTERPRISES LLC SCOTTS 4633369A 620 5/30/2018 0128 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 138 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ADVOCATE INVESTIGATION SCOTTVILLE 3511057A 1,416 6/20/2018 7720 0.95 CLH SERVICES LLC SCOTTVILLE 4642546A 750 4/22/2018 5476 CRYSTAL LAKE CAMPGROUND SCOTTVILLE 0588547A 697 5/31/2018 9015 PRECISION DRYWALL & PAINT SEARS 2896583A 1,110 4/17/2018 5445 0.95 SYNERGY EVENT PRODUCTION INC SEBASTOPOL, CA 5719011A 614 6/7/2018 9154 KUHL CONSTRUCTION COMPANY SEBEWAING 1501798A 3,848 5/26/2018 3365 0.91 CUMBERLAND PINES ASSOCIATION SHELBY 4980573A 696 4/27/2018 8810 LRH HOMES INC SHELBY 5283639A 1,001 6/25/2018 9521 0.95 STRAITS 24 HOUR TOWING SHELBY 3148432A 751 5/16/2018 8810 A 1 EAGLE PAINTING SHELBY TWP 3683354A 750 5/30/2018 5476 A AND G LANDSCAPING & TREE SERVICE SHELBY TWP 5712580A 1,215 5/5/2018 0106 ALL PRO CONSTRUCTION SHELBY TWP 4064810A 750 4/7/2018 5437 ALLSTAR HARDWOOD FLOORING SHELBY TWP 5716918A 750 5/17/2018 5437 AMERICAN GYMNASTICS INSTITUTE INC SHELBY TWP 4029194B 3,939 5/12/2018 9063 0.86 ANNSBURY EAST APARTMENTS LLC SHELBY TWP 1799320A 2,944 4/1/2018 9015 0.90 APPLIED CONTRACTING LLC SHELBY TWP 5716233A 800 5/13/2018 5645 BRIDGEWOOD HOMES LLC SHELBY TWP 3996425A 418 4/5/2018 5606 0.95 BURRELL LAWRENCE C JR SHELBY TWP 2077485A 750 4/29/2018 5403 C AND R PAINTING LLC SHELBY TWP 2806207A 750 6/22/2018 5476 COLORWAVE PAINTING SHELBY TWP 5267846A 825 5/6/2018 5476 CONNSTRUCT SERVICES INC SHELBY TWP 5707218A 750 4/21/2018 5645 COVES AT BRADBURY PARK LLC SHELBY TWP 5716705A 750 5/15/2018 5645 CURB APPEAL DOOR & WINDOW INC SHELBY TWP 3388778B 825 5/13/2018 5645 DAN MAR CONSTRUCTION SHELBY TWP 4202244A 750 4/6/2018 5348 DEPUTY HOMES LLC SHELBY TWP 3361195A 751 5/21/2018 5606 DNS TRANSPORTATION INC SHELBY TWP 5398100A 753 4/27/2018 8810 DVH CONSTRUCTION INC SHELBY TWP 3576353A 4,025 4/16/2018 5645 0.94 EARTH STONES INC SHELBY TWP 5717965A 750 5/19/2018 5437 EUROPEAN CONSTRUCTION AND RESTORATION SHELBY TWP 5181569A 750 4/8/2018 5476 LLC FACILITY AID LLC SHELBY TWP 4722930A 750 4/6/2018 5022 FELICE MICHAEL A SHELBY TWP 0507652A 750 4/16/2018 5437 FIVE STAR PROPERTY SERVICES & SHELBY TWP 4360540A 1,393 6/16/2018 5022 0.95 MAINTENANCE LLC GATES CONSTRUCTION INC SHELBY TWP 0805815A 2,873 4/22/2018 5403 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GMG LOGISTICS LLC SHELBY TWP 5283973A 750 6/25/2018 7208 GOLDSTAR CONSTRUCTION LLC SHELBY TWP 5706068A 750 4/19/2018 5645 GREATER METRO RECOVERY INC SHELBY TWP 3940640A 947 6/19/2018 7720 0.95 GUY CON BUILDING CORP SHELBY TWP 0477257A 750 6/22/2018 5645 HANDYMAN SERVICE INC SHELBY TWP 5700108A 2,818 4/7/2018 5445 HEILE TIMOTHY JACOB SHELBY TWP 5702852A 750 4/13/2018 0042 HOPE HOLDINGS LLC SHELBY TWP 3750540A 229 4/17/2018 8810 INFINITY BUILDING CO INC SHELBY TWP 3443590A 1,448 4/3/2018 5610 0.95 JAG OUTDOOR SERVICES INC SHELBY TWP 4988337A 719 4/21/2018 9102 0.95 JEFFS CONSTRUCTION SERVICES LLC SHELBY TWP 2289768A 2,225 5/19/2018 7208 0.95 JJB SALES LLC SHELBY TWP 2440792A 802 5/20/2018 8742 JOHNS EXPEDITING INC SHELBY TWP 4952464A 750 4/14/2018 7208 JOSEPH LORENZO BUILDING CO SHELBY TWP 5078920A 750 5/18/2018 5645 0.95 JW CLARK CONTRACTING LLC SHELBY TWP 5267927A 391 5/6/2018 8720 K T PAINTING SHELBY TWP 5716470A 750 5/16/2018 5476 KAY BUILDING & LAND DEVELOPMENT LLC SHELBY TWP 3175049A 769 5/26/2018 9102 KRAFT ELECTRIC SHELBY TWP 5699223A 544 4/5/2018 5190 KTV EXPRESS INC SHELBY TWP 5276861A 750 6/3/2018 7208 LEON REBECA SHELBY TWP 5367573A 2,737 5/23/2018 5022 LIFETIME INSURANCE SERVICES INC SHELBY TWP 5503809A 304 4/11/2018 8810 LLS FINISH CARPENTRY LLC SHELBY TWP 5059054A 750 4/30/2018 5437 LOUIES QUALITY PAINTING LLC SHELBY TWP 3166210A 750 6/22/2018 5476 LTM CONSTRUCTION INC SHELBY TWP 4473817A 750 6/4/2018 5645 LUX STONE INC SHELBY TWP 5355109A 663 6/4/2018 1624 MACOMB SERVICES HEATING & COOLING LLC SHELBY TWP 5277884A 694 6/6/2018 5191 MARCEAU ENTERPRISES INC SHELBY TWP 4745221A 7,620 4/27/2018 9015 1.06 MDM DANCE PROJECT LLC SHELBY TWP 5190711A 326 5/14/2018 9063 MED MAR GROUP INC SHELBY TWP 1904965A 752 6/30/2018 8810 MICHELLE CORPORATION SHELBY TWP 5719348A 750 5/24/2018 6217 MICHIGAN HIGH PRESSURE CLEANING INC SHELBY TWP 3019276A 750 4/14/2018 5476 0.95 MID TOWN PARK LLC SHELBY TWP 5723388A 750 6/12/2018 5403 MOTOR CITY AUTO TRANSPORT INC SHELBY TWP 3298469A 857 6/29/2018 8810 N D PAINTING AND MAINTENANCE SHELBY TWP 2311135A 750 5/14/2018 5476 NEDS FLOORING REMOVAL INC SHELBY TWP 4878426A 1,309 6/14/2018 9521 NEPTUNE STONE INC SHELBY TWP 4463218A 750 4/18/2018 1624 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 140 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge NICHOLAS HOMES INC SHELBY TWP 4496108A 750 5/2/2018 9015 0.94 NICO HOMES LLC SHELBY TWP 3361373B 750 5/31/2018 5645 NORTH FERRY CONDOMINIUM ASSOCIATION SHELBY TWP 5542979A 698 4/7/2018 8810 NORTHWOOD TREE SERVICE INC SHELBY TWP 5312655A 3,093 4/11/2018 0106 0.95 ORLANDO CUSTOM HOMES INC SHELBY TWP 3441164A 750 6/27/2018 5437 PAULS CONSTRUCTION LLC SHELBY TWP 4891716A 750 5/22/2018 5551 0.94 PAULS IDEAL PAINTING SHELBY TWP 5719852A 800 5/25/2018 5476 PRECISION CUT TILE & MARBLE LLC SHELBY TWP 5127629A 750 4/17/2018 5348 PREVENTIVE TRUCK REPAIR INC SHELBY TWP 3179044A 589 5/16/2018 8395 PRIME BUILDING COMPANY INC SHELBY TWP 4982444A 8,462 5/9/2018 5610 1.09 RMV TRANSPORTATION INC SHELBY TWP 5705487A 750 4/18/2018 7208 ROZAFA TRANSPORT INC SHELBY TWP 2627540A 10,355 6/17/2018 5645 0.76 SERVICE 1ST MAINTENANCE LLC SHELBY TWP 3127664A 721 4/8/2018 9015 SEVEN BROTHERS PAINTING INC SHELBY TWP 2629585A 24,264 4/1/2018 5476 2.18 13 % SMILEY FACE PAINTING LLC SHELBY TWP 3979105A 2,856 4/21/2018 5476 0.95 STRATFORD VILLAGE MANOR CONDOMINIUM SHELBY TWP 4761294A 800 6/19/2018 5183 ASSOCIATION STUDENT PAINTERS MICHIGAN LLC SHELBY TWP 2412250A 24,411 5/8/2018 5476 1.03 TONIS TILE LLC SHELBY TWP 3574008A 800 6/14/2018 5348 TOP COAT PAINTING LLC SHELBY TWP 5229464A 750 6/30/2018 5476 TOUCH OF LIFE PC SHELBY TWP 3628221A 552 4/10/2018 8832 TRIPA JOHN SHELBY TWP 5702127A 750 4/12/2018 5437 VILLEGAS CLEAN UP CONSTRUCTION SHELBY TWP 4275780A 750 6/30/2018 5610 VISTA LAKES ASSOCIATION SHELBY TWP 2116626A 1,153 4/13/2018 9015 0.95 WOZNIAK UNDERGROUND SHELBY TWP 1885944A 1,163 6/16/2018 6306 ZEFS PAINTING SHELBY TWP 4945980A 750 5/19/2018 5476 ZIENERT SPRINKLERS INC SHELBY TWP 1523341A 654 6/11/2018 5183 QUALITY AVIATION SERVICES INC SHELBYVILLE 4222482A 1,459 5/23/2018 9015 0.95 SOLAR WINDS POWER SYSTEMS LLC SHELBYVILLE 4910800A 826 4/7/2018 5550 BC RESTORATION LLC SHEPHERD 5033470A 1,204 5/15/2018 5437 CLEAN SPAN INC SHEPHERD 5273200A 788 5/22/2018 9015 FOX SEAL COATING LLC SHEPHERD 5564905A 826 5/21/2018 5221 GRUSS AND SONS TRANSPORT LLC SHEPHERD 5554560A 3,219 4/30/2018 7208 0.95 SANDEL MICHAEL SHEPHERD 5721261A 343 6/5/2018 8601 VOLTZ ELECTRIC LLC SHEPHERD 5691648A 831 4/14/2018 5190

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge SHERIDAN COMMUNITY FIRE DEPARTMENT SHERIDAN 3778991A 1,352 5/11/2018 7704 0.95 SHOENTEL COMMUNICATIONS INC SHERIDAN 5412412A 750 6/10/2018 6325 YAH TIMBER SHERIDAN 5395836A 750 5/13/2018 2702 SOUTHERN MICHIGAN LOGGING & VENEER SHERWOOD 5541700A 750 4/5/2018 2702 G AND G LOGGING SHINGLETON 1792830A 750 4/16/2018 2702 HILL CONSTRUCTION SHINGLETON 3451550A 800 6/3/2018 6217 NATURES CHAIN OF LAKES CAMPGROUND INC SIX LAKES 4642880A 646 6/30/2018 8017 BRIAN ZORZA PAINTING AND WALLPAPER SKANDIA 5402719A 750 5/9/2018 5476 CUSTARD TRUCKING LLC SKANDIA 5721180A 825 6/2/2018 7208 MAKI FARM & FOREST SKANDIA 1654128A 750 6/23/2018 0011 SCOTT BOYER TRUCKING SKANDIA 2844150A 800 4/6/2018 7208 RBBR BUILDING & REMODELING LLC SNOVER 5724180A 2,941 6/16/2018 5403 ZAMBRON JEFFERY SNOVER 5721628A 750 6/3/2018 5022 ADVANCED ENERGY LLC SOUTH BOARDMAN 3423476A 26,907 5/29/2018 6216 1.19 27 % J A LEFLER COMPANY SOUTH BOARDMAN 3966160A 750 4/7/2018 5645 MR INSTALL HANDYMAN SERVICE LLC SOUTH BOARDMAN 4750969A 554 4/28/2018 9521 NORTHERN GRANITE INSTALLERS LLC SOUTH BOARDMAN 3910393A 2,273 6/27/2018 5348 CALICO CLEANING LLC SOUTH HAVEN 5389801A 2,065 6/1/2018 9015 MOORE DRYWALL INC SOUTH HAVEN 2827700A 1,896 6/24/2018 5445 0.95 NATIONAL BLUEBERRY FESTIVAL SOUTH HAVEN 5398223A 237 4/24/2018 8742 STEEL SUPPLY CENTER LLC SOUTH HAVEN 0473855A 1,277 6/24/2018 8106 0.92 A AND T PAINTING AND ALL REPAIR SOUTH LYON 5722667A 825 6/9/2018 5437 ALL AMERICAN TREE SERVICE INC SOUTH LYON 3163008A 6,493 4/7/2018 0106 0.91 ALL N ONE MAINTENANCE SERVICES LLC SOUTH LYON 5402743A 826 5/15/2018 9102 CREST PERFORMANCE GROUP LLC SOUTH LYON 5271142A 570 5/15/2018 8742 D S HARRIS PAINTING LLC SOUTH LYON 2870312A 825 5/24/2018 5476 EXTERIOR ENTERPRISE LLC SOUTH LYON 5414750A 750 6/17/2018 5645 JAS PROFESSIONAL PLUMBING INC SOUTH LYON 3263118A 928 4/13/2018 5183 LYON MAINTENANCE SERVICES CO INC SOUTH LYON 5383935A 4,003 6/19/2018 5476 1.00 MARK REHAB LLC SOUTH LYON 5725038A 549 6/16/2018 8835 MASTERPIECE PAINTING COMPANY SOUTH LYON 2023814A 1,041 5/31/2018 5476 0.95 MCGRAW MECHANICAL LLC SOUTH LYON 4862457A 751 4/14/2018 5550 NORTHERN HOME BUILDERS LLC SOUTH LYON 5714451A 825 5/10/2018 5645 OLYMPIA PAINTING INC SOUTH LYON 3022684A 750 6/25/2018 5403 PROS FLIGHT SERVICE LLC SOUTH LYON 5714583A 1,080 5/10/2018 7422 1/2/2018 8:13:07 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 RELIABLE WINDOW WASHING SOUTH LYON 3615979A 749 4/29/2018 9015 ROOF COMPANY NET LLC SOUTH LYON 4863518A 750 4/22/2018 5551 0.94 SOUTH LYON COOPERATIVE NURSERY SOUTH LYON 1434233A 957 5/21/2018 8869 VARGO BUILDING & REMODELING SOUTH LYON 4659597A 750 6/12/2018 5645 WINDOWS BY GRANSDEN LLC SOUTH LYON 5150817A 825 6/7/2018 5645 M AND D KITCHENS LLC SOUTH ROCKWOOD 5700035A 800 4/7/2018 5437 NEW METHODS ROOFING & BUILDING INC SOUTH ROCKWOOD 1195077A 3,751 6/7/2018 5551 0.94 OAK TREE FARMS LLC SOUTH ROCKWOOD 4329457A 3,345 4/3/2018 8831 0.95 PERFECT CUT LAWN CARE INC SOUTH ROCKWOOD 1073761A 826 5/5/2018 0042 MAKIYLA HUTCHINS TRUST SOUTHFIED 5716411A 666 6/16/2018 0913 A 1 FINGERPRINTS OF MICHIGAN LLC SOUTHFIELD 5710774A 621 5/1/2018 7720 A BUTLER & ASSOCIATES LLC SOUTHFIELD 5154685A 16,315 6/15/2018 7212 1.42 13 % A S K HEALTH CARE SERVICES INC SOUTHFIELD 1655493A 1,121 6/14/2018 8832 0.95 ABA HOME CARE LLC SOUTHFIELD 4450787A 626 4/20/2018 8810 0.95 ALL STAR MOTORCOACH INC SOUTHFIELD 4345070A 1,335 5/11/2018 7212 0.95 ALLEN LAQUANDA SOUTHFIELD 5328942A 570 5/19/2018 0908 ALTERNATIVE TRANSPORTATION SERVICES INC SOUTHFIELD 3608360A 8,853 4/1/2018 7212 1.00 AMERICAN MOBILE DENTAL PC SOUTHFIELD 3088073A 3,094 5/24/2018 8832 1.00 AMERICAN STANDARD ROOFING LLC SOUTHFIELD 3512193A 2,217 4/9/2018 5606 0.95 APEX TAX SOLUTIONS LLC SOUTHFIELD 3956547A 372 6/5/2018 8810 ARIZONA INVESTMENTS LLC SOUTHFIELD 4803574A 800 5/13/2018 5403 ASHOR AND ASSOCIATES LLC SOUTHFIELD 0650285A 1,523 6/30/2018 5437 ASSOCIATED COMMUNITY SERVICES INC SOUTHFIELD 3832414A 53,610 6/1/2018 8800 1.42 27 % AVA CONSTRUCTION INC SOUTHFIELD 5569621A 750 5/27/2018 5221 BAKER VANESSA TRUST SOUTHFIELD 5716403A 851 6/16/2018 0913 BARKER CHELSIE TRUST SOUTHFIELD 5716950A 851 6/16/2018 0913 BEAVERDAM CLUB THE SOUTHFIELD 0688312A 697 4/6/2018 9015 BEYOND THE GATE STRUCTURED LIVING LLC SOUTHFIELD 5720974A 713 6/1/2018 9052 BIG TIME OPERATOR LLC SOUTHFIELD 5397111A 1,177 4/27/2018 9156 BINCOR ENVIRONMENTAL SERVICES INC SOUTHFIELD 4202732A 730 4/7/2018 5183 BLUE WATER ENGINEERED STORAGE SYSTEM SOUTHFIELD 5276241A 29,435 6/10/2018 5040 0.82 INC BRIGGS BUILDING SERVICES INC SOUTHFIELD 2309335B 1,164 4/30/2018 9015 C AND M INVESTMENTORS INC SOUTHFIELD 4680324A 750 6/15/2018 9015 CABLE WRANGLERS LLC SOUTHFIELD 2626780A 339 4/1/2018 5191

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CLEVELAND KATHY MARIE SOUTHFIELD 5718953A 385 5/23/2018 0908 CMI MANAGEMENT SERVICES INC SOUTHFIELD 3141942A 952 6/1/2018 8810 0.95 COLLINS EDDIE SOUTHFIELD 5718791A 385 5/23/2018 0908 COMFORT AND CARE TRANSPORTATION LLC SOUTHFIELD 5154626A 3,740 6/15/2018 7212 0.89 CONCORDE GROUP LLC SOUTHFIELD 0812528A 259 4/22/2018 8803 DADDYOS INC SOUTHFIELD 2694310A 751 4/11/2018 9058 DAG CONSTRUCTION LLC SOUTHFIELD 5722349A 1,803 6/9/2018 5437 DC CONSTRUCTION LLC SOUTHFIELD 4759311A 14,063 6/22/2018 5403 DEVINE GUY MOVING INC SOUTHFIELD 2958880A 24,119 6/30/2018 8293 0.79 DOWN TO EARTH LAWN SPRAY INC SOUTHFIELD 0897515A 1,888 5/26/2018 0005 0.95 DYVERSE MANAGEMENT HOME CARE LLC SOUTHFIELD 4870557A 719 4/6/2018 8835 ELF TRUCKING INC SOUTHFIELD 4218027A 9,388 4/21/2018 7208 EMPOWER HEALTHCARE PLLC SOUTHFIELD 5712157A 7,222 5/8/2018 8835 FAMILY 1ST RESIDENTIAL REHAB LLC SOUTHFIELD 5696380A 850 4/22/2018 9053 FIELDS GLADYS LOUISE SOUTHFIELD 5718775A 385 5/23/2018 0908 FORCE ONE ELECTRIC INC SOUTHFIELD 3943216A 544 6/26/2018 5190 GRACE PRODUCTION SERVICES LLC SOUTHFIELD 5403421A 2,929 5/9/2018 4484 0.95 GREGGS CAULKING CO INC SOUTHFIELD 1048708A 800 5/27/2018 5022 HDR MARKETING LLC SOUTHFIELD 5447186A 1,066 4/12/2018 8742 HELPING HAND TRANSPORTATION SERVICES LLC SOUTHFIELD 5384583A 706 6/1/2018 7212 INSTALLATION SERVICE SPECIALISTS LLC SOUTHFIELD 4740297A 2,556 4/4/2018 5146 0.95 J ANDREWS BUILDING CO INC SOUTHFIELD 0198315A 750 5/15/2018 5645 JAMES GROSFELD CONSULTING SOUTHFIELD 3182339A 3,438 6/15/2018 0913 0.95 JASPER CORNWELL TRUST SOUTHFIELD 5716381A 666 6/16/2018 0913 JOHN MCHUGH CONSTRUCTION SOUTHFIELD 1026135A 750 6/12/2018 5437 JOHNSON ANNE SOUTHFIELD 5719232A 385 5/23/2018 0908 JOHNSONS CLEANING COMPANY LLC SOUTHFIELD 5572541A 696 6/14/2018 9015 JS CONSTRUCTION GROUP INC SOUTHFIELD 5359406A 800 5/1/2018 5403 KT CONSTRUCTION GROUP LLC SOUTHFIELD 5295173B 2,279 6/2/2018 5606 0.95 LAYS MANAGEMENT 2 LLC SOUTHFIELD 3941043A 1,651 4/21/2018 9053 0.95 LEAH SNIDER TRUST SOUTHFIELD 0869155A 435 5/12/2018 0908 LEWIS TRISTAN LEON SOUTHFIELD 5718880A 385 5/23/2018 0908 LIVING EDGE LLC SOUTHFIELD 5572720A 1,545 5/9/2018 0042 LONG W LAWRENCE AND LONG CYNTHIA D SOUTHFIELD 4652673A 385 6/8/2018 0908 MADDOX ELIZABETH SOUTHFIELD 5718961A 385 5/23/2018 0908 1/2/2018 8:13:07 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 MAS BUILDING & RENOVATIONS LLC SOUTHFIELD 3012557A 1,857 4/27/2018 5437 MCCOLLOUGH KATE MAE SOUTHFIELD 5718937A 385 5/23/2018 0908 MONROE JAMIE LOUISE SOUTHFIELD 5718783A 385 5/23/2018 0908 NAJOR GEORGE D DDS SOUTHFIELD 1204203A 1,213 6/1/2018 8832 0.95 NANCE RACHEL SOUTHFIELD 5718848A 385 5/23/2018 0908 NEW DAY ENTERTAINMENT LLC SOUTHFIELD 5575800A 236 6/17/2018 8742 NEW LEE BEAUTY ONE INC SOUTHFIELD 4821130A 583 6/30/2018 8017 0.95 NURSE NOW STAFFING LLC SOUTHFIELD 4500903A 16,780 6/9/2018 8833 1.47 13 % P AND O SERVICES INC SOUTHFIELD 5268036A 431 5/8/2018 8832 P C SUPPLY COMPANY SOUTHFIELD 0897515B 541 6/6/2018 5191 0.95 PEMBROKE SECURITY GROUP LLC SOUTHFIELD 4849876A 7,651 5/31/2018 7720 0.95 PERKINS TOMMIE SOUTHFIELD 5718805A 385 5/23/2018 0908 PERSONAL QUALITY CARE LLC SOUTHFIELD 5162181A 2,392 6/16/2018 8835 0.95 PROVIDING HEARTS HOME HEALTH SERVICES SOUTHFIELD 5284406A 2,298 4/8/2018 8835 0.95 LLC R AND E FAMILY TRANSPORTATION LLC SOUTHFIELD 5197538A 1,824 4/10/2018 7212 0.95 RICH AND ASSOCIATES CONSULTING INC SOUTHFIELD 4059530A 295 4/26/2018 8810 ROUGEWOOD CONSTRUCTION INC SOUTHFIELD 1964690A 750 6/22/2018 5645 S AND R ENTERPRISE SERVICE INC SOUTHFIELD 4406818A 527 4/7/2018 8017 0.95 SAMUEL REITER PAINTING CO SOUTHFIELD 0471542A 1,714 6/1/2018 5476 SCHOOL SMARTS LLC SOUTHFIELD 5700655A 268 4/8/2018 8601 SELECTIVE CONSTRUCTION CORPORATION SOUTHFIELD 0766038A 3,055 5/17/2018 5606 0.95 SG CONSTRUCTION GROUP LLC SOUTHFIELD 5473900A 811 4/6/2018 8810 SHAMOUN YOUHANNA SOUTHFIELD 5719305A 385 5/24/2018 0908 SIMPLY CONSTRUCTION AND EXCAVATING LLC SOUTHFIELD 5562945A 825 5/26/2018 5645 SIMS PREVENTATIVE MAINTENANCE LLC SOUTHFIELD 2944189A 1,413 4/22/2018 3724 SKV MANAGEMENT SERVICES LLC SOUTHFIELD 5698537A 750 4/4/2018 9015 SPARKMAN GENIA SOUTHFIELD 5719704A 385 5/25/2018 0908 SPIRIT BUILDERS LLC SOUTHFIELD 5720389A 825 5/27/2018 5403 STATE WIDE CONSTRUCTION AND FACILITIES SOUTHFIELD 3241092A 2,111 5/31/2018 5437 0.95 MANAGEMENT INC STEPHANIE GARY SOUTHFIELD 5718830A 385 6/2/2018 0908 STEVENSON DANTE TRUST SOUTHFIELD 5716845A 666 6/16/2018 0913 TANDEM CONSTRUCTION LLC SOUTHFIELD 3829600A 750 4/26/2018 5645 THOMPSON JESSE SOUTHFIELD 5719623A 385 5/25/2018 0908

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge THOMPSON MAMMIE SOUTHFIELD 5719836A 385 5/25/2018 0908 TILE INNOVATIONS LLC SOUTHFIELD 5078938A 751 5/10/2018 5348 TOTAL RESPONSE EMS INC SOUTHFIELD 5697964A 827 4/1/2018 8810 TRASH OUT COMPANY LLC SOUTHFIELD 5539960A 1,096 4/1/2018 9015 TYNER SUZANNE SOUTHFIELD 5550130A 716 4/25/2018 0913 USMFG INC SOUTHFIELD 5539609A 5,309 4/29/2018 4024 WALKER SANDRA SOUTHFIELD 5719747A 385 5/25/2018 0908 WARDELL ELTON SOUTHFIELD 5719844A 385 5/25/2018 0908 WILSON DAMON SOUTHFIELD 5719682A 385 5/25/2018 0908 YOUNES TOMMIE SOUTHFIELD 5719720A 385 5/25/2018 0908 YOUNG HENRYENE SOUTHFIELD 5719666A 385 5/25/2018 0908 AT HIS SERVICE INC SOUTHGATE 5528828A 425 4/4/2018 8742 D G WEST COMMERCIAL CARPENTRY LLC SOUTHGATE 5128455A 826 4/20/2018 5437 EUREKA GAS AND FOOD INC SOUTHGATE 3263495A 860 4/1/2018 8017 0.95 GEO TECH INTERIORS INC SOUTHGATE 5127343A 1,597 5/9/2018 5645 0.95 MOTOR CITY 302 LLC SOUTHGATE 5627966A 1,793 5/23/2018 5437 ONE OF A KIND SERVICES LLC SOUTHGATE 5710162A 7,305 4/29/2018 0106 QUALITY FIRST INC SOUTHGATE 5712653A 3,040 5/5/2018 5645 TRADEMARK VENTURES LLC SOUTHGATE 5412285A 236 6/10/2018 8742 WHISMAN CHARLES SOUTHGATE 4967836A 1,728 4/11/2018 5437 COUNTRY LANE ASSOCIATION SPARTA 4627342A 646 5/1/2018 9015 DURA PRO PAINTING LLC SPARTA 5719356A 2,907 5/24/2018 5476 IMKAMP BUILDERS INC SPARTA 3123588A 8,419 4/16/2018 5645 0.91 INGALLS OPERATING INC SPARTA 5574137A 484 6/14/2018 9058 ISC RESTORATION INCORPORATED SPARTA 1439030A 3,357 6/17/2018 5348 0.95 KOERT MASONRY LLC SPARTA 5706831A 750 4/20/2018 5022 MICHIGAN TOOLING SOLUTIONS LLC SPARTA 5549418A 3,134 4/21/2018 3095 0.95 NORTH TEXAS DIESEL CONNECTION LLC SPARTA 5700515A 981 4/8/2018 8395 PINCKNEY SERVICES SPARTA 5264693A 750 4/25/2018 5538 0.95 MODERN DRY WALL INC SPOKANE, WA 3126595A 6,150 6/1/2018 5445 POHL BROTHERS ADVERTISING SPRING ARBOR 0765155A 1,306 4/27/2018 9558 0.93 BILLS LITTLE MOWING SERVICE LLC SPRING LAKE 5721229A 1,241 6/2/2018 9102 C DAVID CONSTRUCTION LLC SPRING LAKE 4856520A 750 4/5/2018 5645 GREATER SPRING LAKE AREA RECREATION SPRING LAKE 5405777A 1,638 5/16/2018 9015 COMMISSION

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HECKSEL TREE SERVICE INC SPRING LAKE 5721300A 4,260 6/2/2018 0106 KR CLEANING SOLUTIONS LLC SPRING LAKE 5411599A 646 6/11/2018 9015 PRO TRAVEL INC SPRING LAKE 2957191A 237 6/16/2018 8810 PROV 423 LLC SPRING LAKE 5662087A 345 4/17/2018 8810 TRUE VALUE HOME PRO LLC SPRING LAKE 4056922A 828 5/24/2018 8810 BACKWOODS BUILDERS LLC SPRINGFIELD 5711320A 3,952 5/2/2018 5403 D AND K CONSTRUCTION LLC SPRINGFIELD, OH 5132657A 7,392 5/1/2018 5538 1.39 10 % FRED PEARLMAN INC SPRINGFIELD 0774952A 1,098 4/13/2018 5183 0.95 ONSITE TECHNICAL TRAINING CORP SPRINGFIELD, OR 4615034A 353 4/7/2018 8810 RB CHRISTIAN INC SPRINGFIELD 0567744A 4,107 6/29/2018 3040 0.90 PAULS TREE SERVICE SPRINGPORT 5439833A 750 4/21/2018 0106 DIMARZO CERAMIC TILE CO SPRUCE 2270986A 750 4/1/2018 5348 MAC FORCE LLC SPRUCE 4732774A 23,515 4/7/2018 3724 0.81 RAMSEY FOREST MANAGEMENT SPRUCE 0023191A 750 6/18/2018 2702 WEST FORESTRY AND LUMBER SERVICE INC SPRUCE 4947630A 750 4/23/2018 2702 BANNING CONSTRUCTION INC ST CHARLES 3100669A 3,054 5/10/2018 5645 0.95 BIGELOW HOME & PROPERTY IMPROVEMENTS ST CHARLES 5138922A 1,093 6/8/2018 5445 LLC R G KENEL LOG BUILDERS LLC ST CHARLES 1560336A 800 6/11/2018 5645 THURSTON TRAVIS ST CHARLES 5379415A 750 4/23/2018 2702 BECKER METAL WORKS INC ST CLAIR 2255545A 4,165 6/4/2018 3341 0.96 CABLE ENERGY ELECTRIC LLC ST CLAIR 5725763A 594 6/21/2018 5190 DELS CONTRACTING LLC ST CLAIR 5726450A 2,280 6/30/2018 5221 DETROIT SWITCH CORPORATION ST CLAIR 0047260A 369 5/10/2018 3179 0.95 KIDS IN DISTRESS SERVICES INC ST CLAIR 4141539A 1,623 6/10/2018 8032 0.95 MALCOLM MARINE INC ST CLAIR 0224154A 6,869 5/2/2018 8227 0.90 MASTEJ AGENCY LLC ST CLAIR 5722454A 250 6/8/2018 8742 PAUL RIVARD CONSTRUCTION LLC ST CLAIR 1691031A 750 6/4/2018 5476 1.25 13 % S A FISCELLI MARINE CONSTRUCTION INC ST CLAIR 0137600A 5,994 4/4/2018 8227 0.91 SAINT CLAIR MANOR COOPERATIVE ST CLAIR 1425374A 1,542 5/28/2018 9015 0.95 ACUITY SEAMLESS GUTTER ST CLAIR SHORES 3101886A 1,029 5/20/2018 5538 ALEXANDER AND HORNUNG INC ST CLAIR SHORES 0305162A 608 4/3/2018 2095 ANDERSON RESTORATION INC ST CLAIR SHORES 3000478A 800 5/5/2018 5551 BACKERS REMODELING ST CLAIR SHORES 3873668A 750 4/1/2018 5645 BLUE GOOSE INN CORP ST CLAIR SHORES 0676403A 1,115 6/11/2018 9058 1.00

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CLEAR ELECTRIC LLC ST CLAIR SHORES 3731510A 1,379 4/8/2018 5190 CRAWFORD DOOR SPECIALTIES INC ST CLAIR SHORES 4734670A 750 4/1/2018 3724 DIVISION BUILDING COMPANY INC ST CLAIR SHORES 5457963A 1,420 5/11/2018 5221 DRY LINE LLC ST CLAIR SHORES 5397782A 750 4/22/2018 5480 FLOORS AND BEYOND LLC ST CLAIR SHORES 4879767A 554 4/19/2018 9521 FULL SPECTRUM SUPPLY AND SERVICE INC ST CLAIR SHORES 4468635A 4,052 4/1/2018 9015 1.38 13 % FUN FOODS INC ST CLAIR SHORES 2010097A 588 5/12/2018 8017 GLACIER BUILDING LLC ST CLAIR SHORES 1030272A 751 6/28/2018 5476 JEFFREY THIBEAULT ROOFING ST CLAIR SHORES 5720982A 750 6/14/2018 5551 JM ELECTRIC INC ST CLAIR SHORES 0536369A 544 5/28/2018 5190 KOLASA REWALT STACI TERESA ST CLAIR SHORES 5569486A 666 6/17/2018 0913 LAKESHORE VILLAGE CONDOMINIUM ST CLAIR SHORES 0611220A 800 6/22/2018 5437 0.95 ASSOCIATION LIFEBUILDERS ST CLAIR SHORES 4998847A 2,422 6/30/2018 8868 0.95 M AND A LANDSCAPING SERVICES ST CLAIR SHORES 5697271A 750 5/14/2018 0042 M AND N CONSTRUCTION LLC ST CLAIR SHORES 5127785A 750 4/18/2018 5538 MAN LAC INC ST CLAIR SHORES 2097478A 2,568 6/21/2018 9015 1.32 27 % MARVINS MINI MARKET INC ST CLAIR SHORES 5377285A 1,054 4/6/2018 8017 MICHIGAN DECK BUILDERS INC ST CLAIR SHORES 2839032A 801 4/13/2018 5538 MOORE RICHARD G ST CLAIR SHORES 5556279A 750 5/6/2018 5645 PAINTING INC ST CLAIR SHORES 5540810A 1,319 5/30/2018 5476 PHRC INC ST CLAIR SHORES 4196538B 91,932 4/12/2018 3724 1.14 10 % S E GRAHAM & ASSOCIATES INC ST CLAIR SHORES 1965271A 750 6/11/2018 5437 0.95 S O S EXPRESS PREMIUM MARINE CARE INC ST CLAIR SHORES 2657236A 610 5/17/2018 6836 SOURCE AUDIO SYSTEMS LLC ST CLAIR SHORES 5553598A 1,592 4/28/2018 5191 STEWARTS LLC ST CLAIR SHORES 3640965A 2,537 4/11/2018 9058 1.00 T RICH RENOVATIONS ST CLAIR SHORES 4087747A 750 6/10/2018 5645 0.95 TIG FACILITY MAINTENANCE INC ST CLAIR SHORES 5708672A 646 4/26/2018 9015 TURF AND TIMBER LLC ST CLAIR SHORES 4257421A 1,465 5/9/2018 0106 VERSTRAETE HERMAN ST CLAIR SHORES 4477472A 750 6/10/2018 5476 WEISS PLUMBING & HEATING INC ST HELEN 0339911A 730 6/17/2018 5183 0.95 ISLAND VIEW RECREATION INC ST IGNACE 1204041B 1,447 5/18/2018 9015 1.00 TIP OF DA MITT LAUNDROMAT LLC ST IGNACE 5547121A 463 4/16/2018 8017 WHITEWOOD SHORES CO ST IGNACE 1204041A 2,475 5/18/2018 9052 1.00 BCW HAPPY HOUR INC ST JOHNS 5568552A 1,095 6/1/2018 9058

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BLEDDEN LAWRENCE ST JOHNS 5721156A 750 6/3/2018 5551 CARING AND SHARING FAMILY LIFE SERVICES ST JOHNS 5413087A 2,456 6/12/2018 8835 0.95 INC CENTERLINE TRENCHING & BOBCAT LLC ST JOHNS 5387833A 750 6/8/2018 6217 CLINTON TASK FORCE ON EMPLOYMENT INC ST JOHNS 3045790A 2,534 4/30/2018 8868 0.95 GRECU MANURE HAULING LLC ST JOHNS 4547020A 1,077 6/3/2018 0128 0.95 GRUBAUGH FARMS LLC ST JOHNS 5716543A 750 5/31/2018 7208 JIMS PAINTING & CULTURED STONE LLC ST JOHNS 5400376A 800 5/1/2018 5476 PILOT EG LLC ST JOHNS 5721709A 647 6/7/2018 9015 SCHAFER MOWING SPECIALISTS LLC ST JOHNS 1163507A 720 4/15/2018 9102 SKYWATCHER LLC ST JOHNS 5720265A 7,410 5/26/2018 5550 ANCHORS WAY MARINA LLC ST JOSEPH 5291429A 2,982 5/5/2018 6836 0.98 CONCORD RIDGE EQUESTRIAN CENTER LLC ST JOSEPH 4883268A 11,369 6/30/2018 8279 0.88 GHOSH DEBASREE ST JOSEPH 5714710A 666 5/10/2018 0913 KLAUS F ZIELKE JR INC ST JOSEPH 0170607A 3,115 4/30/2018 5022 0.95 LIGHTHOUSE CONCIERGE LLC ST JOSEPH 4521153A 2,023 5/2/2018 7212 MUTTERLY LOVE LLC ST JOSEPH 5044669A 3,988 6/27/2018 8831 1.05 SJRCK LLC ST JOSEPH 5145538A 561 5/24/2018 6836 SOUTHWEST MICHIGAN ASSET MANAGEMENT ST JOSEPH 5718260A 768 5/20/2018 8742 LLC THIRD COAST SURF SHOP INC ST JOSEPH 4639146A 2,421 6/25/2018 8017 0.95 TYNES RUSSELL NEWMAN ST JOSEPH 4341856A 750 4/19/2018 5645 0.95 CENTRAL MICHIGAN RECYCLING INC ST LOUIS 1964712A 2,811 5/8/2018 8264 0.80 VETERANS HOME CARE OF MICHIGAN LLC ST LOUIS, MO 4564235A 623 5/26/2018 8835 ANDERSON FOODS LLC STANDISH 4627172A 5,295 5/14/2018 9015 0.90 EDEN FIELDS ASSISTED LIVING & MEMORY CARE STANDISH 5560950A 9,936 5/13/2018 9053 INC SUNRISE MOTORS INC STANDISH 3527816A 3,355 6/1/2018 8395 1.05 COMPLETE CONTRACTING LLC STANTON, KY 5715466A 750 5/12/2018 3030 ESCH LOGGING LLC STANTON 2023121A 750 6/8/2018 2702 OLMSTEAD EXCAVATING INC STANTON 1343815A 750 4/27/2018 6217 CHERI HILL KENNEL & SUPPLY INC STANWOOD 0787892A 5,070 5/25/2018 8831 0.89 ABCO MAINTENANCE INC STATEN ISLAND, NY 5712718A 311 5/5/2018 8810 PRECISION LOCOMOTIVE SERVICES LLC STAUNTON, VA 5540003A 1,006 4/1/2018 3724 D AND S CONSTRUCTION STEPHENSON 1802569A 776 5/7/2018 5645 GIBELLINA MASONRY STEPHENSON 4506782A 751 5/13/2018 5022 1/2/2018 8:13:07 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 HUBBARD ROY A STEPHENSON 1634968A 750 4/6/2018 2702 R V FOREST PRODUCTS LLC STEPHENSON 3638154A 800 5/31/2018 2702 BENCHLEY DONALD C STERLING 0097420A 750 5/28/2018 9015 D AND L CONTRACTING & MAINTENANCE LLC STERLING 2234033A 719 4/2/2018 9015 OVER THE HILL GANG TRUCKING INC STERLING 5578590A 750 6/24/2018 7208 A AND R LAWN SERVICE STERLING HEIGHTS 2830850A 719 4/7/2018 9102 AAA PLUMBING INC STERLING HEIGHTS 4319605A 1,783 4/10/2018 5183 0.95 ABEL CONSTRUCTION STERLING HEIGHTS 0536784A 10,800 5/2/2018 5645 AC AND EC LOGISTICS INC STERLING HEIGHTS 5714508A 750 5/10/2018 7208 ADVANCE ELECTRIC SERVICE INC STERLING HEIGHTS 5672112A 544 5/12/2018 5190 ANGLINS PROFESSIONAL WINDOW CLEANING STERLING HEIGHTS 0011886A 647 5/4/2018 9015 INC ANTHONY T SYCKO ELECTRICAL CONTRACTOR STERLING HEIGHTS 2533510A 544 4/27/2018 5190 LLC ARTICULATE PAINTING INC STERLING HEIGHTS 3000702A 750 5/23/2018 5476 AWC CUETER INC STERLING HEIGHTS 4987780A 271 6/7/2018 8810 BALDWINS CONSTRUCTION LLC STERLING HEIGHTS 4650093A 750 6/6/2018 5645 BEAR CREEK VILLAGE ASSOCIATION STERLING HEIGHTS 0683035A 1,412 6/4/2018 9015 0.95 BERNADETTE KATHRYN AND THE LONELY DAYS STERLING HEIGHTS 5707285A 397 4/21/2018 9156 BAND LLC BUDOVA LLC STERLING HEIGHTS 5700213A 750 4/8/2018 5221 BUILDIT CONSTRUCTION LLC STERLING HEIGHTS 5563224A 750 5/17/2018 5645 CAMERON CONSTRUCTION MANAGEMENT LLC STERLING HEIGHTS 3205282A 750 5/3/2018 5437 0.95 CAR DOC LLC STERLING HEIGHTS 5147760A 589 6/1/2018 8395 CHAMPION GROUP LLC STERLING HEIGHTS 5390869A 46,106 6/12/2018 3628 0.84 CHAMPS CONSTRUCTION INC STERLING HEIGHTS 4068041A 751 5/10/2018 5437 CHRIS CRONIN PAINTING & STAINING INC STERLING HEIGHTS 1839110A 750 5/27/2018 5476 0.95 CLAUDES SPRINKLER REPAIR LLC STERLING HEIGHTS 5255236A 654 4/1/2018 5183 COMPASS BENEFIT GROUP LTD STERLING HEIGHTS 4396111A 270 6/29/2018 8810 COVES OF STERLING HEIGHTS HOMEOWNERS STERLING HEIGHTS 1953958A 696 6/20/2018 9015 ASSOCIATION CREATIVE DESIGN TILE & STONE LLC STERLING HEIGHTS 4219112A 750 4/19/2018 5348 0.95 CREMATIONCHOICE COM LLC STERLING HEIGHTS 5700086A 371 4/7/2018 9620 CRISAN GRANITE INC STERLING HEIGHTS 4202180A 750 4/6/2018 5348 CUETER PROPERTIES INC STERLING HEIGHTS 0985287A 220 6/12/2018 8810 D AND J STAMP CONCRETE STERLING HEIGHTS 5700167A 750 4/7/2018 5213

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DELTA STAFFING LLC STERLING HEIGHTS 3756823A 20,020 6/21/2018 3629 0.82 DGS HOME IMPROVEMENT LLC STERLING HEIGHTS 5273196A 3,466 5/24/2018 5551 0.94 DJM TRANSPORT EXPRESS STERLING HEIGHTS 5263980A 750 5/16/2018 7208 DM EXPRESS INC STERLING HEIGHTS 5281580A 750 6/17/2018 7208 EAGLE CLEANING COMPANY LLC STERLING HEIGHTS 5151201A 646 6/7/2018 9015 EAST POINTE VILLA ASSOCIATION STERLING HEIGHTS 0892831A 750 6/28/2018 5183 EASY HOME IMPROVEMENT LLC STERLING heights 5712688A 751 5/5/2018 5221 ECONOMY PAINT & CONSTRUCTION INC STERLING HEIGHTS 3237338A 750 4/12/2018 5476 EDUARDS CONSTRUCTION AND PAINTING STERLING heights 5715075A 750 5/11/2018 5476 EFTA DESIGN STERLING HEIGHTS 5397588A 750 4/21/2018 5348 EURO RA CONSTRUCTION STERLING HEIGHTS 4076664A 750 6/1/2018 5348 FEZOLLARI CONSTRUCTION LLC STERLING HEIGHTS 5410924A 750 6/8/2018 5437 FLATROCK CONCRETE CONSTRUCTION INC STERLING HEIGHTS 3049370A 908 6/24/2018 5221 0.95 G B TILE MARBLE INSTALLATION STERLING HEIGHTS 3743390A 750 4/4/2018 5348 GATTOS CARPET INSTALLATION STERLING HEIGHTS 0783919A 750 5/1/2018 5348 0.95 GOLDEN LAWNCARE LLC STERLING HEIGHTS 5709164A 1,657 4/27/2018 9102 GREAT LAKES MASSAGE INC STERLING HEIGHTS 4725018A 408 4/2/2018 9063 0.95 GREEN TURF OUTDOOR SERVICES LLC STERLING HEIGHTS 5702208A 719 4/12/2018 9102 GROWING GREEN GARDENS STERLING HEIGHTS 5572843A 802 6/15/2018 0035 GUTTER PRO EXTERIORS LLC STERLING HEIGHTS 5460980A 825 6/23/2018 5645 HARMONY TRANSPORTATION SERVICES INC STERLING HEIGHTS 5019737A 7,580 6/9/2018 7212 1.26 13 % HEALTHLINK PHYSICAL THERAPY & STERLING HEIGHTS 4218655A 650 5/13/2018 8832 REHABILITATION SERVICES INC HOUSE OF REUBEN II INC STERLING HEIGHTS 3903494B 480 6/13/2018 9058 0.95 HOUSE OF REUBEN INC STERLING HEIGHTS 3903494A 692 6/13/2018 9058 0.95 JFC FLOOR COVERING STERLING HEIGHTS 0873888A 554 6/28/2018 9521 0.95 JIM GROSS DOORS LLC STERLING HEIGHTS 3352730A 750 4/1/2018 5102 JISI GROUP LLC STERLING HEIGHTS 5299462A 802 5/28/2018 8010 JUST JUICE LLC STERLING HEIGHTS 5709741A 808 4/28/2018 4828 KLD AUTOMATION LLC STERLING HEIGHTS 5258642A 338 6/30/2018 5191 KLM PAINTING LLC STERLING HEIGHTS 5571448A 800 6/10/2018 5476 KSN STERLING HEIGHTS 5713366A 750 5/16/2018 0042 LAKESIDE VILLAS ASSOCIATION STERLING HEIGHTS 1620916A 646 4/19/2018 9015 LAKEVIEW VILLAGE CONDOMINIUM ASSOC STERLING HEIGHTS 1900811A 646 4/19/2018 9015 LGP LLC STERLING HEIGHTS 5727332A 750 6/27/2018 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge LIFETIME PAINTING CO STERLING HEIGHTS 5386004A 750 4/15/2018 5476 LINDEN CONSTRUCTION LLC STERLING HEIGHTS 5569184A 290 6/2/2018 8742 LONE STAR TOWING INC STERLING HEIGHTS 5544726A 825 5/27/2018 7208 MALIKS INC STERLING HEIGHTS 1575457A 1,204 6/29/2018 8017 0.95 MARKS RELIABLE TOWING LLC STERLING HEIGHTS 5718430A 856 5/22/2018 7208 MARTINI COMPANY STERLING HEIGHTS 5261651A 703 6/3/2018 9058 MASTERCRAFT HOMES INC STERLING HEIGHTS 0330000A 4,411 4/23/2018 5645 0.92 MATHEW TRANSPORTATION INC STERLING HEIGHTS 5446929A 750 6/10/2018 7208 0.95 MICHIGAN CLAIMS INC STERLING HEIGHTS 5245826A 3,140 6/8/2018 8720 0.95 MSB INVESTMENTS LLC STERLING HEIGHTS 4933346A 734 6/25/2018 9102 N 2 M ENTERPRISES INC STERLING HEIGHTS 5409578A 604 6/2/2018 8601 NORMS CARPET AND FLOORCOVERINGS INC STERLING HEIGHTS 1885570A 584 6/29/2018 2380 0.95 NORTH BLOOMFIELD PROPERTIES INC STERLING HEIGHTS 1299042A 646 4/4/2018 9015 NU BUILT CABINET SHOP INC STERLING HEIGHTS 0067970A 750 6/15/2018 5437 PILOT PEO SOLUTIONS INC STERLING HEIGHTS 5392110A 110,458 4/14/2018 7212 1.51 20 % R I T A CARPENTRY STERLING HEIGHTS 4055047A 751 4/15/2018 5538 REAL DEAL SIDING STERLING HEIGHTS 3533689A 750 6/28/2018 5645 RICARDO CONSTRUCTION COMPANY INC STERLING HEIGHTS 5299624A 750 5/17/2018 5645 SABHAN TRUCKING INC STERLING HEIGHTS 5355362A 750 4/12/2018 7208 SCHRAMCO CONSTRUCTION & RESTORATION STERLING HEIGHTS 5279720A 800 6/12/2018 5437 INC SER HOME RESTORATION LLC STERLING HEIGHTS 0006432A 800 6/6/2018 5645 0.95 SERVICO PLUMBING INC STERLING HEIGHTS 1916726A 654 6/19/2018 5183 SHAMI INC STERLING HEIGHTS 3723089A 1,256 6/29/2018 8017 SHUERT MATTHEW STERLING HEIGHTS 3241726A 666 6/5/2018 0913 SILVER PINES VILLAGE CONDOMINIUM STERLING HEIGHTS 4240189A 750 4/11/2018 9015 0.95 ASSOCIATION SPLISH SPLASH DOGGY DAY CARE AND SPA LLC STERLING HEIGHTS 5699266A 620 4/15/2018 8831 STEEPLECHASE CONDOMINIUMS I ASSOCIATION STERLING HEIGHTS 2640198A 646 4/19/2018 9015 STERLING FLOORS & KITCHENS STERLING HEIGHTS 1277871A 554 6/24/2018 9521 STERLING GYMNASTICS ACADEMY LLC STERLING HEIGHTS 5540780A 1,051 4/8/2018 9063 STERLING QUALITY CONSTRUCTION INC STERLING HEIGHTS 5711215A 750 5/2/2018 5437 STORM DAMAGE RESOLUTION SPECIALIST LLC STERLING HEIGHTS 5580846A 572 6/28/2018 8720 SUPERIOR TITLE AND SETTLEMENT AGENCY LLC STERLING HEIGHTS 4757912A 270 6/21/2018 8810 THERAPEUTIC CONCEPTS LLC STERLING HEIGHTS 1459350A 241 4/15/2018 8810 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge THREE D LAWN CARE LLC STERLING HEIGHTS 5695430A 719 4/1/2018 9102 TIMS HEATING & COOLING STERLING HEIGHTS 2109662A 751 6/20/2018 5550 TOP NOTCH LABOR LLC STERLING HEIGHTS 5012376A 800 4/30/2018 5645 0.95 V AND G PAINTING LLC STERLING heights 5648211B 750 6/10/2018 5476 WOOTEN SCOTT STERLING HEIGHTS 5699274A 750 4/6/2018 5645 XPERTS PAINTING STERLING HEIGHTS 5725224A 800 6/17/2018 5476 HANSEN KENNETH D STEVENSVILLE 5259703A 720 4/10/2018 9102 M AND EM SERVICE LLC STEVENSVILLE 5721725A 470 6/3/2018 8006 MERKELS FLOOR COVERING INC STEVENSVILLE 2541947A 554 5/6/2018 9521 OMEGA TREE SERVICE LLC STEVENSVILLE 5392870A 5,581 4/1/2018 0106 0.93 ORIENTAL FOOD SPECIALTIES STEVENSVILLE 0976466A 366 6/29/2018 9058 ALLEN ARTHUR STOCKBRIDGE 1672584A 825 4/21/2018 5183 EMERALD VALLEY SOD & WATERBOY STOCKBRIDGE 3386031A 750 6/9/2018 0042 0.95 RED ROCK CAPITAL GROUP LLC STOCKBRIDGE 4307550A 800 5/23/2018 5538 ALLEN LOGGING LLC STURGIS 5571120A 750 6/9/2018 2709 CROOKED LAKE LLC STURGIS 1914510A 1,309 6/1/2018 6836 MARC TODD CONCRETE INC STURGIS 2478390A 1,356 5/6/2018 5221 OAK INSURANCE SERVICES LLC STURGIS 2345358A 248 4/14/2018 8810 PARKERS HOME IMPROVEMENT LLC STURGIS 4517695A 750 5/16/2018 5645 0.95 TRI STATE SECURITY LOCKSMITH LLC STURGIS 5698383A 677 4/4/2018 8010 HARVESTAFF LLC SUGAR LAND, TX 5702283A 9,300 4/12/2018 0128 J MCGILL TRUCKING INC SUMMER 5241421A 750 4/17/2018 7208 R 5 CONSTRUXTION SUNFIELD 5671213A 538 5/18/2018 5606 STEVAL CONSTRUCTION INC SUPERIOR TWP 5153654A 825 6/12/2018 5476 AMERICAN PAINTING & RENOVATIONS INC SUWANEE, GA 4203984A 801 4/11/2018 5476 BLUE STEEL MANAGEMENT LLC SWANTON, OH 5156556A 1,088 6/18/2018 8017 A AND S MOVING SERVICE LLC SWARTZ CREEK 5721741A 2,506 6/6/2018 7206 ASHLAWNS GREEN LAWNS LLC SWARTZ CREEK 5708613A 1,241 4/26/2018 9102 CARING FROM THE HEART LLC SWARTZ CREEK 4993306A 9,920 4/18/2018 8835 0.95 CH AND ASSOCIATES LEASING INC SWARTZ CREEK 3955516A 1,181 6/22/2018 9058 1.00 COMPREHENSIVE CONTRACTING SERVICES INC SWARTZ CREEK 5265916A 750 5/12/2018 5437 0.95 CONRAD HOMER SWARTZ CREEK 5555132A 750 5/3/2018 5221 EVERCLEAN SWARTZ CREEK 5716063A 697 5/13/2018 9015 FLINT SURVEYING & ENGINEERING CO INC SWARTZ CREEK 1712870A 1,447 5/1/2018 8601 0.95 K RAY PAINTING SWARTZ CREEK 5728207A 750 6/30/2018 5476 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 153 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge L AND J TRUCKING INC SWARTZ CREEK 5579732A 3,161 6/25/2018 7208 P E TRANSPORTATION LLC SWARTZ CREEK 5709792A 752 5/12/2018 8810 PRECISION TREE AND SHRUB SERVICES INC SWARTZ CREEK 4858883A 6,652 4/10/2018 0042 0.91 SPORTS CREEK ACQUISITIONS INC SWARTZ CREEK 1700758A 346 4/1/2018 8810 0.95 SPRINGBROOK EAST CONDOMINIUM SWARTZ CREEK 4241452A 646 6/3/2018 9015 ASSOCIATION OF SWARTZ CREEK TLC TREE & STUMP REMOVAL LLC SWARTZ CREEK 3226204A 3,205 5/6/2018 0042 1.36 13 % RENOVATIONS BY BRENDAN MOLLOY INC SYLVAN LAKE 4875559A 750 5/17/2018 5645 CONTROL SYSTEMS OF OHIO INC SYLVANIA, OH 4979478A 1,019 4/25/2018 5550 PHOENIX SERVICES ANN ARBOR LLC SYLVANIA, OH 3160769A 212,936 6/7/2018 2501 1.02 GRUS INC TAMPA, FL 3410684A 21,161 4/1/2018 5040 1.51 ANCHOR CONSTRUCTION AND LANDSCAPING TAWAS CITY 5721288A 3,040 6/2/2018 5645 BROOKS AUTO PARTS INC TAWAS CITY 4205219A 2,130 5/19/2018 8264 1.00 FRED STRAUER CONTRACTING TAWAS CITY 1131036A 750 6/21/2018 5221 A S A P EXPRESS & LOGISTICS INC TAYLOR 3462102A 1,499 6/23/2018 8810 0.95 ADAMS TILE & MARBLE INC TAYLOR 5556287A 750 5/18/2018 8810 ADCO LOGISTICS LLC TAYLOR 5697883A 12,390 4/22/2018 7208 ALL WOOD TREE SERVICE INC TAYLOR 1873571A 2,480 5/2/2018 0106 0.95 ALLORE DOUGLAS TAYLOR 5402115A 554 5/6/2018 9521 B AND A HOME IMPROVEMENT TAYLOR 3579760A 750 4/22/2018 5645 BLAST TECH SERVICES LLC TAYLOR 5576709A 29,588 6/21/2018 3724 BLUE COLLAR CABLE CONSTRUCTION LLC TAYLOR 5725798A 1,379 6/21/2018 7600 BUILT BY BRIAN TAYLOR 5727901A 750 6/29/2018 5445 CACAU SAMUEL TAYLOR 4974581A 514 4/21/2018 8393 CARDINAL ERNEST MICHAEL JR TAYLOR 5706777A 750 5/5/2018 7208 CLASSIC CARTAGE TAYLOR 4489926A 12,870 6/26/2018 7208 1.60 13 % CROZIER CONSTRUCTION INC TAYLOR 3507246A 7,987 6/3/2018 5645 0.95 CULLEN MARK TAYLOR 1890050A 2,621 6/13/2018 5437 0.95 DETROIT INTERMODAL TRANSPORT INC TAYLOR 5259002A 1,535 4/6/2018 7208 DRIVERS SELECT INC TAYLOR 5398037A 1,873 6/8/2018 7208 DUPAGE GREEN CONDO ASSOC TAYLOR 0898651A 2,604 6/15/2018 9015 1.00 EMINENT CONTRACTING LLC TAYLOR 5711193A 800 5/2/2018 5022 EVER GLO HOME MODERNIZATION TAYLOR 1670212A 750 6/9/2018 5437 FRIENDS OF THE DETROIT RIVER TAYLOR 4824350A 2,689 6/4/2018 7038 0.95 G N J SERVICES LLC TAYLOR 5262763A 2,358 4/17/2018 5445

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge GARTON RICHARD TAYLOR 5148111A 1,132 5/21/2018 0913 GROUND CONTROL PROPERTY MAINTENANCE TAYLOR 5411408A 6,320 4/5/2018 9102 1.00 LLC HOYS CONCRETE REMOVAL CORPORATION TAYLOR 4736745A 1,054 5/13/2018 5221 0.95 INTERNATIONAL ASSOCIATION OF HEAT & FROST TAYLOR 3211380A 1,058 5/24/2018 8755 0.95 INSULATORS & ASBESTOS WORKERS LOCAL UNION 207 JUSTIN TYME LLC TAYLOR 5571375A 1,028 6/11/2018 5190 K 9 ACADEMY TRAINING FACILITY LLC TAYLOR 5714036A 1,085 5/9/2018 8831 KEYES MAINTENANCE LLC TAYLOR 3544206A 801 4/8/2018 9015 0.95 KRUSH INDUSTRIES INC TAYLOR 5397847A 2,072 5/9/2018 3724 LARSON JOHN TAYLOR 0700436A 750 5/2/2018 5645 MARINAS SELECT SERVICES INC TAYLOR 1261924A 1,559 5/23/2018 9058 1.00 MAXIMUM WELDING LLC TAYLOR 3481735A 750 4/14/2018 3365 MCNEAL ROGER TAYLOR 5407575A 554 6/8/2018 9521 MIKES EXTERIORS TAYLOR 5327229A 750 4/13/2018 5551 MILLENIUM HOME HEALTH AGENCY LLC TAYLOR 4936590A 1,437 5/13/2018 8835 0.95 OJEDAS RENOVATION LLC TAYLOR 5543355A 2,519 4/8/2018 5437 0.95 PASTERN WILLIAM TAYLOR 4635620A 750 6/5/2018 5476 PFW LOGISTICS INC TAYLOR 5267455A 763 5/1/2018 8810 PRY B SOLUTIONS TAYLOR 5717825A 750 5/20/2018 5445 PYLE DARRELL TAYLOR 5726352A 750 6/23/2018 5645 R AND N FAST TRACK INC TAYLOR 3987019A 1,649 4/3/2018 8017 0.95 RUHLIG JOHN TAYLOR 0911828A 750 5/10/2018 5645 SHUPE CHRISTOPHER TAYLOR 3776840A 750 6/17/2018 5645 SLOAN ENVIRONMENTAL SERVICES INC TAYLOR 5264588A 35,923 4/25/2018 5479 2.11 13 % SONS TRUCK AND TRAILER LLC TAYLOR 5714494A 1,271 5/12/2018 8387 TAYLOR AC INC TAYLOR 0071960A 945 4/1/2018 9058 0.95 TITAN HOME IMPROVEMENTS LLC TAYLOR 5162424A 750 5/12/2018 5645 0.95 TRINITY STEEL ERECTORS TAYLOR 5566886A 12,814 5/26/2018 5059 WAGCO PRODUCTS INC TAYLOR 0299588A 1,375 6/12/2018 2576 0.95 BAD IDEAZ LLC TECUMSEH 5252792A 3,120 6/15/2018 7422 0.97 CLARK LANE APARTMENTS LLC TECUMSEH 1736337A 1,065 6/13/2018 9015 0.95 HOME SPECIALISTS TECUMSEH 4668146A 750 4/20/2018 5403 LOGOS DISTRIBUTION SERVICES INC TECUMSEH 4351371A 803 5/21/2018 8395 MORGAN VALLEY FARM LLC TECUMSEH 0249971A 3,603 4/15/2018 8279 0.95 1/2/2018 8:13:07 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 NORTON PAINT & REPAIR TECUMSEH 5725780A 750 6/21/2018 5476 FARM BOYS EXPRESS INC TEKONSHA 5555612A 750 5/11/2018 7208 BEDFORD TOWNSHIP LIONS CLUB CHARITIES TEMPERANCE 5572681A 356 6/11/2018 8008 INC FARMER MIKE TEMPERANCE 5548586A 750 4/20/2018 5437 JEREMY SCHMIDT CONSTRUCTION TEMPERANCE 5166845A 1,392 6/26/2018 5437 0.95 JOHN MARCUM PROMOTIONS INC TEMPERANCE 2669609A 4,353 4/23/2018 8720 0.88 JOLY JOSEPH ANTHONY TEMPERANCE 4741080A 268 6/21/2018 8601 KARAS CRITTER CARE LLC TEMPERANCE 5553873A 417 4/29/2018 8831 LEGGIO POOLS LLC TEMPERANCE 5719330A 2,222 6/3/2018 5223 LUTHERAN HOUSING SERVICES 8 NON PROFIT TEMPERANCE 2769115A 287 5/9/2018 8810 0.95 HOUSING CORPORATION PAUL HUEPENBECKER MASONRY TEMPERANCE 3420400A 825 5/31/2018 5022 PROFESSIONAL TOWING & RECOVERY LLC TEMPERANCE 4342712A 6,428 5/1/2018 7208 0.88 STARKE HOLDINGS LLC TEMPERANCE 5717043A 2,230 5/17/2018 0106 SURESEAL TEMPERANCE 3354717A 2,980 4/13/2018 5551 0.95 PROVIDENCE HEALTH CARE STAFFING INC THOMASVILLE, NC 3939308A 1,001 6/8/2018 8833 COLLINS AND COMPANY OF MICHIGAN THOMPSONVILLE 2105713A 750 5/15/2018 5190 0.95 HANNA OUTDOOR SERVICES LLC THOMPSONVILLE 5544696A 751 4/12/2018 9102 BROOKWOOD FARMS THREE OAKS MI LLC THREE OAKS 4887867A 620 4/8/2018 0128 GRAHAM SERVICES LLC THREE OAKS 4229517A 971 6/17/2018 0106 0.95 LAKESIDE CABINS RESORT THREE OAKS 4613309A 648 5/6/2018 8810 LONG HAUL PRODUCTIONS THREE OAKS 5727162A 940 6/27/2018 7610 RUDOLPH DAVE THREE OAKS 5703590A 368 4/17/2018 5606 THREE OAKS TOWNSHIP THREE OAKS 1452835A 4,981 4/13/2018 7904 0.90 AMERICAN ARBOR LLC THREE RIVERS 3938069A 6,058 4/15/2018 0042 1.00 HEV CON BUILDING AND REMODELING INC THREE RIVERS 4254953A 3,745 6/7/2018 5645 1.02 S AND S HOME IMPROVEMENTS LLC THREE RIVERS 5155371A 2,219 6/9/2018 5645 0.95 SMILLIE MIKE THREE RIVERS 0397687A 750 4/12/2018 5645 0.95 ZUCHNIK AVERY THREE RIVERS 5726875A 750 6/24/2018 5551 ADVANTAGE TRANSPORT LLC TIPTON 5697387A 750 4/1/2018 7208 SAND LAKE VOLUNTEER FIRE DEPARTMENT TIPTON 0891754A 5,241 5/15/2018 7704 0.94 WAR AG FARMS LLC TIPTON 4995830A 36,776 6/26/2018 0128 1.59 27 % ALTERNATIVE STAFFING INC TOLEDO, OH 2882574A 78,609 5/30/2018 8392 1.56 27 % ARNOLDS HOME IMPROVEMENT LLC TOLEDO, OH 4094697A 369 5/24/2018 5606

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CYBERSHED INC TOLEDO, OH 5106877A 1,329 5/8/2018 8017 0.95 FM INTERNATIONAL INC TOLEDO, OH 5401054B 705 4/14/2018 5606 GREAT LAKES MEDICAL SERVICES LLC TOLEDO, OH 5575010A 330 6/30/2018 8832 IVY DEVELOPMENT AGENCY LLC TOLEDO, OH 5715121A 1,038 5/11/2018 5213 MAINS CONSTRUCTION SERVICES LLC TOLEDO, OH 5004594A 1,474 5/9/2018 5606 0.95 TOLEDO BUILDING SERVICES CO TOLEDO, OH 2270072A 9,814 6/14/2018 9015 0.81 TOTAL ENVIRONMENTAL SERVICES LLC TOLEDO, OH 3122948A 963 6/24/2018 5479 VIEAUS TREE SERVICE LLC TOPINABEE 4986865A 3,623 5/20/2018 0106 0.95 A AND M CUSTOM HOMES INC TRAVERSE CITY 4000994A 750 5/11/2018 5437 AJ SCHAUB CONSTRUCTION LLC TRAVERSE CITY 2720809A 750 6/16/2018 5445 ANGEL CARE CHILD CARE INC TRAVERSE CITY 4716540A 1,745 5/1/2018 8869 0.95 ARCHON LLC TRAVERSE CITY 5399947A 750 4/30/2018 5022 ASHER PARK CUSTOM HOMES LLC TRAVERSE CITY 5560918A 825 5/13/2018 5645 BAY SPRAY ENTERPRISES INC TRAVERSE CITY 0430234A 908 4/7/2018 9015 0.95 BC PIZZA OF TC LLC TRAVERSE CITY 5113903A 985 6/8/2018 9058 BIG BAY PLUMBING AND HEATING LLC TRAVERSE CITY 5545110A 682 4/13/2018 5183 BRYANS INSURANCE AGENCY & FINANCIAL TRAVERSE CITY 4238672A 324 6/30/2018 8810 SECURITY OFFICE INC BUTCH STRAIT INSPECTIONS PLC TRAVERSE CITY 5391148A 390 6/10/2018 8720 CAPRI LLC TRAVERSE CITY 4031563B 750 6/7/2018 5437 CARLSON TREE SERVICE CO TRAVERSE CITY 5017440A 6,929 4/11/2018 0042 0.91 CEL CONSULTING LLC TRAVERSE CITY 4763416A 800 6/24/2018 6216 CHERRY CAPITAL SERVICES INC TRAVERSE CITY 0732974A 2,371 6/23/2018 6504 0.95 CHRONIC CARE MANAGEMENT LLC TRAVERSE CITY 5711665A 1,316 5/11/2018 8835 COAST MARINE DETAILING TRAVERSE CITY 5010063A 645 4/18/2018 8387 COLLIGAN BUILDING & CARPENTRY LLC TRAVERSE CITY 5706874A 800 4/20/2018 5645 COMMITTEE TO ELECT MORGAN FOR MICHIGAN TRAVERSE CITY 5712017A 352 5/5/2018 8810 CONCRETE EVIDENCE INC TRAVERSE CITY 1928759A 842 5/20/2018 5221 COYOTE CONTRACTING LLC TRAVERSE CITY 5569257A 747 6/2/2018 5183 CREATIVE DESIGN & SPACES LLC TRAVERSE CITY 5709172A 884 4/27/2018 0042 D AND D SIGNS INC TRAVERSE CITY 0716952A 4,576 4/26/2018 9559 1.12 DAILY STAFFING LLC TRAVERSE CITY 5553008B 4,970 5/1/2018 9015 DIANAS PERSONAL TOUCH TRAVERSE CITY 3193047A 878 4/7/2018 8831 0.95 EL GRUPO NORTE YOUTH CYCLING TRAVERSE CITY 5559871A 326 5/12/2018 8742 FEKETE LUKE G TRAVERSE CITY 5725852A 750 6/22/2018 5645

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FISHER WADDELL INC TRAVERSE CITY 5721814A 1,038 6/9/2018 6836 FREDERICK R BIMBER PC TRAVERSE CITY 2334658A 253 6/10/2018 8820 GRAND TRAVERSE TOURS LLC TRAVERSE CITY 3029115A 3,665 4/22/2018 7212 0.89 GREAT LAKES EXPRESS DELIVERY LLC TRAVERSE CITY 5431115A 750 4/14/2018 8810 0.95 GRUSH SURVEYING & MAPPING TRAVERSE CITY 0182885A 343 5/1/2018 8601 HERITAGE SUSTAINABLE ENERGY LLC TRAVERSE CITY 3569446A 3,758 4/12/2018 7539 0.93 INHABITECT LLC TRAVERSE CITY 5133521A 1,960 5/15/2018 9102 0.95 INTER LAKES INSULATION LLC TRAVERSE CITY 2411547A 1,147 6/30/2018 5479 JEREMY PAUPORE CONSTRUCTION LLC TRAVERSE CITY 5216990A 750 6/14/2018 5645 KROPP WELL DRILLING INC TRAVERSE CITY 0181757A 800 4/18/2018 6204 0.95 KWM EDUCATIONAL SERVICES INC TRAVERSE CITY 5174449A 1,117 5/30/2018 8279 0.95 LAGINA M OLIVIA TRAVERSE CITY 5706742A 1,296 4/20/2018 0908 LAKE ANN ENTERPRISES INCORPORATED TRAVERSE CITY 5126584A 304 4/12/2018 8810 LAZAR STUART TRAVERSE CITY 5727618A 666 6/28/2018 0913 LINDCRAFT HOMES LLC TRAVERSE CITY 5400961A 888 5/4/2018 5606 MINTO ROOFING & SIDING LLC TRAVERSE CITY 5411866A 16,724 5/1/2018 5551 MOLD MATTERS INC TRAVERSE CITY 4690524A 4,669 6/26/2018 9015 0.95 MONKEY SUE ACRES LLC TRAVERSE CITY 5708591A 2,875 4/26/2018 8279 NORTHWEST MICHIGAN REGIONAL FIRE TRAVERSE CITY 5125480A 753 4/16/2018 8868 TRAINING CENTER NORTHWOODS LANDSCAPING AND SUPPLY LLC TRAVERSE CITY 3196119A 750 6/11/2018 0042 OCANAS LEOBARDO A TRAVERSE CITY 1358014A 1,294 4/27/2018 0130 0.95 OCONNOR MICHAEL TRAVERSE CITY 5393035A 318 4/29/2018 8601 OHLERT SERVICES LLC TRAVERSE CITY 5706734A 654 4/20/2018 5183 PAUL OGRADY BUILDER TRAVERSE CITY 1310917A 750 4/18/2018 5645 PRECISION CONCRETE CUTTING AND TRAVERSE CITY 5399041A 5,513 6/28/2018 5215 DEMOLITION LLC RANDOLPH STREET DEVELOPMENT LLC TRAVERSE CITY 4031563A 750 5/19/2018 5437 READ TREE SERVICE INC TRAVERSE CITY 4739884A 7,922 4/16/2018 0106 0.91 RHOGE SATCOM CONSULTING LLC TRAVERSE CITY 5137659A 1,233 5/13/2018 3724 0.95 S NORRIS LTD TRAVERSE CITY 2039877A 31,150 5/13/2018 5437 0.90 SAIL AND POWERBOAT RENTAL TRAVERSE CITY 3181359A 1,210 6/5/2018 6836 0.95 SCHILLINGER FORESTRY LLC TRAVERSE CITY 5404592A 722 5/13/2018 0005 SUNSET TREE REMOVAL LLC TRAVERSE CITY 5256437A 9,939 4/1/2018 0106 0.93 SUNSET WATERSPORTS INC TRAVERSE CITY 3030342A 4,167 5/28/2018 6836 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge TC WATERSPORTS LLC TRAVERSE CITY 3955133A 921 5/30/2018 6836 0.95 THREE 60 OFME INC TRAVERSE CITY 5570840A 270 6/8/2018 8810 TRAVERSE BAY PARASAIL LLC TRAVERSE CITY 3955133B 237 5/30/2018 8742 0.95 TRAVERSE CITY ADVENTURE INC TRAVERSE CITY 5406412A 3,124 5/20/2018 7212 0.95 TRAVERSE CITY BEACH BUMS LLC TRAVERSE CITY 4119304A 21,014 6/27/2018 9015 1.67 40 % TRAVERSE CITY LITTLE LEAGUE INC TRAVERSE CITY 5711355A 647 5/2/2018 9015 TROWELL TECH LLC TRAVERSE CITY 5710634A 750 5/2/2018 5348 WYANT INC TRAVERSE CITY 3925358A 338 4/5/2018 5191 0.95 A D E A L LLC TRENTON 4959230A 3,900 4/6/2018 5606 ASHWORTH SCHMITT LLC TRENTON 5703514A 2,120 4/14/2018 7219 COUNTRY OAKS CONDOMINIUM ASSOCIATION TRENTON 0476552A 696 5/26/2018 9015 GERISH HOMES LLC TRENTON 5143713A 696 5/24/2018 9015 LEVEL UP CONTRACTING LLC TRENTON 5715423A 237 6/1/2018 8742 LIQUID SOLID WASTE REDUCTION INC TRENTON 1615998A 757 4/5/2018 4511 MERRITT INTERIORS TRENTON 1738860A 800 5/2/2018 5476 MHI INC TRENTON 0542466A 750 6/1/2018 3724 MIDWEST METAL WALLS LLC TRENTON 2919915A 832 6/6/2018 8810 0.95 WEP HOLDINGS INC TRENTON 3725332A 849 6/20/2018 0913 CALDERWOOD WOOD PRODUCTS & SERVICES TROUT CREEK 4519558A 752 6/21/2018 9102 LLC WAYBRANT LOGGING TROUT LAKE 0093033A 750 6/27/2018 2702 ABSOLUTE WATER REMOVAL LLC TROY 4662237A 14,360 4/30/2018 9015 1.45 10 % ADVANCED STOREFRONTS INC TROY 1943251A 1,124 5/2/2018 5462 0.95 AINSTECH INC TROY 4928237A 3,311 6/1/2018 8010 ALL YEAR TREE SERVICE TROY 4264738A 800 4/18/2018 0106 0.95 ALVERSONS COMMUNITY CARE SERVICES LLC TROY 5723329A 548 6/11/2018 8835 AMERICAN THERAPY PROVIDERS INC TROY 5256887A 548 4/20/2018 8835 0.95 ANDERSON SUZANNE TROY 4850297A 755 6/30/2018 0908 AZURI LLC TROY 4104935A 1,967 5/3/2018 9058 0.95 BARRINGTON COVE ASSOCIATION TROY 3712648A 646 4/28/2018 9015 BARRON WILLIAM E TROY 4876288A 1,502 6/7/2018 0908 0.95 BERRY CHRISTOPHER TROY 1151274A 750 6/10/2018 5645 BRANHAM ANTHONY J TROY 4209265A 750 6/2/2018 5645 C AND C TILE TROY 0240710A 750 4/21/2018 5348 C J KOMASARA CONSTRUCTION TROY 1477820A 750 4/20/2018 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CAPITOL PAINTING INC TROY 3694909A 750 6/12/2018 5476 0.95 CLAYBORN LEDON TROY 4972104A 1,036 6/9/2018 0908 COMMERCIAL BUILDING & RETROFIT INC TROY 1610430A 6,226 4/28/2018 5479 0.91 COVAL JEFFREY R TROY 3344029A 265 5/23/2018 8820 CROSS WAY TRANSPORTATION LLC TROY 5328870A 4,548 6/14/2018 7208 0.95 DENNIS M GLICK COMPANY TROY 3479072A 443 5/18/2018 5606 DIDARIO MICHELLE TROY 5408261A 666 5/28/2018 0913 DMITRUK REBECCA TROY 5271797A 666 5/17/2018 0913 DWYER CONSTRUCTION LLC TROY 3918246A 750 4/30/2018 5645 ELEMENT 11 INC TROY 4673638A 461 5/8/2018 8810 EPK CONSTRUCTION CO TROY 3458997A 1,543 6/25/2018 5645 0.95 EXTREME ENGINEERING INC TROY 4349989A 516 6/12/2018 8742 0.95 FAIRVIEW CONSTRUCTION INC TROY 5127297A 2,709 4/16/2018 5606 1.00 FOSTER VENTURES LLC TROY 3568890A 903 5/22/2018 8810 1.00 G BONKOWSKI BLDG CO TROY 1884786A 750 6/26/2018 5437 GLOBAL DIVERSIFIED SOLUTIONS LLC TROY 5406870A 490 5/21/2018 8742 GREEN PASTURE ENTERPRISES INC TROY 5725887A 1,241 6/21/2018 9102 HAASETH TANYA TROY 4480104A 940 6/13/2018 0908 0.95 HAIDER ENTERPRISES INC TROY 1953656A 1,790 6/28/2018 9058 0.95 HESANO BROTHERS INC TROY 3433633A 1,167 5/18/2018 5348 0.95 HOLMES JOELLA TROY 5406994A 1,598 5/22/2018 0913 HOMEFORM CORP TROY 2838605A 1,012 4/17/2018 5190 0.95 HOOD FILTER SOLUTIONS LLC TROY 3853187A 4,621 5/25/2018 9015 1.41 27 % HUISINGA ABIGAIL TROY 5577535A 755 6/22/2018 0908 HUMAN CAPITAL VENTURES INC TROY 5715598A 268 5/16/2018 8810 INTELLITECH SYSTEMS INC TROY 5411645A 1,167 5/15/2018 5190 J AND B TRANSPORTATION INC TROY 3210936A 2,006 4/22/2018 7212 0.95 J MICHAEL BUILDING COMPANY TROY 3740900A 750 5/1/2018 5645 JOHNSON BRYAN J TROY 4744284A 666 4/29/2018 0913 JST ENTERPRISE LLC TROY 3163059A 646 4/1/2018 9015 KURTENBACH INVESTMENTS LC TROY 4589866A 2,199 6/2/2018 9015 0.95 LEON VERONICA C TROY 5577640A 755 6/22/2018 0908 LOWERY STEVEN TROY 5406927A 666 5/22/2018 0913 LUDOVIK PAINTING LLC TROY 3151336A 826 6/14/2018 5476 LUEDTKE SHERRI TROY 5272335A 1,528 5/20/2018 0913 0.95 1/2/2018 8:13:07 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 MCCOMB CONSTRUCTION CO INC TROY 0467561A 805 4/19/2018 5606 0.95 MEME TRUCKING INC TROY 5269830A 750 6/22/2018 7208 MIKES CONTRACTING SERVICES LLC TROY 5153085A 750 6/12/2018 5348 0.95 MJ CONSTRUCTION INC TROY 5127750A 750 4/17/2018 5445 MPI OF MICHIGAN INC TROY 0764957A 909 5/10/2018 8868 0.95 MURPHY JENNIFER R TROY 4623886A 666 5/7/2018 0913 NORTH SHORE CONSTRUCTION TROY 2208563A 18,390 5/1/2018 5551 1.63 13 % PROFESSIONALS LLC NORTHERN LANDSCAPE SERVICES LLC TROY 2090880A 1,184 5/11/2018 9102 NORTHERN SPIRE SOLUTIONS LLC TROY 5726379A 837 6/23/2018 5437 OBRIEN EDWARDS BRINKMANN JV TROY 5394953A 825 4/15/2018 5403 PAVLICK AND ASSOCIATES TROY 0767476A 221 6/22/2018 8810 PETER KLEIN CINEMATOGRAPHY INC TROY 1690680A 508 4/14/2018 7610 PRENDI EDMOND TROY 5718767A 750 5/23/2018 5476 PROFESSIONAL THERAPY SOLUTIONS LLC TROY 4569431A 10,002 4/22/2018 8832 1.58 27 % RENAS KEVIN B TROY 4168445A 1,221 5/27/2018 0908 RESERVE AT NORTHVILLE RIDGE CONDOMINIUM TROY 5027390A 646 5/1/2018 9015 ASSOCIATION RLA TAYLORED SERVICES TROY 5697921A 598 4/1/2018 8835 RMR CONSTRUCTION LLC TROY 4978994A 800 4/21/2018 5645 S AND M FLOORING LLC TROY 5388651A 750 4/6/2018 5437 SAPPHIRE BUILDING INC TROY 5272513A 1,621 5/20/2018 5606 0.95 SIBLEY JACKLYN TROY 4983467A 727 5/8/2018 0908 0.95 SIX YS INC TROY 4370384A 1,920 6/29/2018 9058 0.95 SOTTILE SAMUEL TROY 5125383A 570 4/8/2018 0908 STAFF FINDERS INC TROY 4993390A 88,747 6/13/2018 3400 0.92 SWIFT SERVICES 1 LLC TROY 3799867A 750 4/27/2018 5645 T AND T DESIGNS & CONSTRUCTION LLC TROY 3913325A 1,648 5/17/2018 5645 TDP MANAGEMENT INC TROY 3814688A 20,101 4/2/2018 9058 1.00 TG SERVICES LLC TROY 4239555A 767 6/15/2018 8810 0.95 TILE SELECT LLC TROY 5576393A 750 6/21/2018 5348 TROY GYMNASTICS INC TROY 4181808A 8,430 6/27/2018 9063 0.85 VANN KACI TROY 5276560A 3,468 5/31/2018 0908 0.95 VINCENTI TILE LLC TROY 5281431A 750 6/17/2018 5348 VISIONARY PAINTING LLC TROY 5712670A 750 5/15/2018 5476

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge VIVID DESIGN STAFFING INC TROY 4530195A 812 6/25/2018 8601 W D BAKER CO TROY 1687611A 750 5/19/2018 5437 WALDRON MARY ANN TROY 5392730A 1,132 4/1/2018 0913 WALKER MATTHEW TROY 5253047A 851 4/1/2018 0908 WANGBICHLER MATT TROY 5407001A 1,132 5/22/2018 0913 WIKOL NANNETTE TROY 5276578A 570 5/31/2018 0908 WILBER ANTOINE M TROY 4744322A 666 4/29/2018 0913 WILBER CALVIN W TROY 4744349A 666 4/29/2018 0913 WILBER CAMARON B TROY 4744330A 666 4/29/2018 0913 WINDEMERE FARMS II ASSOCIATION TROY 5556015A 646 5/5/2018 9015 WOODSON EDUCATION LLC TROY 5543975A 379 4/9/2018 8868 XIN POINT NORTH AMERICA INC TROY 5126932A 1,843 4/22/2018 8810 0.95 COUNTY LINE FARMS TRUFANT 3560813A 92,858 4/25/2018 7208 0.62 J AND I CONSTRUCTION TWIN LAKE 3199282A 2,452 6/18/2018 5645 0.95 TWIN LAKE TAVERN LLC TWIN LAKE 0608475A 472 4/6/2018 9058 CEM BASE INC TWINSBURG, OH 5724953A 1,156 6/19/2018 6217 FOREST CITY ERECTORS INC TWINSBURG, OH 0980056A 1,611 4/1/2018 5040 0.95 BRIOLAT TRUCKING LLC UBLY 5713927A 757 5/9/2018 0011 CUTTING EDGE CONCRETE CUTTING INC UBLY 5553156A 1,484 4/27/2018 5221 0.95 HOLBROOK CONSTRUCTION INC UBLY 3187110A 750 4/30/2018 0042 FOUR LAKES RV LLC UNION 5715920A 334 5/24/2018 8748 GANOS ENTERPRISES UNION LAKE 0720330A 1,004 4/12/2018 5476 0.95 RED ROCK ROOFING LLC UNION LAKE 5710650A 750 5/6/2018 5551 RICHFIELD FARMS LLC UNION LAKE 5707510A 1,985 5/8/2018 8279 STEP UP RECRUITING LLC UNION LAKE 5441129A 1,697 5/12/2018 9015 TIMBERRISE CONSTRUCTION LLC UNION PIER 3819833A 4,841 5/3/2018 5645 0.88 BELLCREST CARPENTRY INC UTICA 5703530A 37,178 4/14/2018 5645 FRONTGATE VENTURES LLC UTICA 5393086A 1,675 4/2/2018 5606 0.95 GLASS ACT SERVICES INC UTICA 5146747A 832 6/1/2018 9015 0.95 MCALLISTER HOME IMPROVEMENTS UTICA 3193063A 750 5/24/2018 5437 MY ONE PAINTER UTICA 5725240A 800 6/17/2018 5476 OASIS CUSTOM POOLS AND SPAS INC UTICA 5302102A 4,079 5/11/2018 9015 1.05 PREMIER WINDOWS & GLASS UTICA 5725810A 750 6/21/2018 5462 V AND G CLEANING UTICA 5277060A 646 6/5/2018 9015 GOFF STUMP GRINDING VANDERBILT 3936864A 750 6/12/2018 0106 0.95 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 162 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HERITAGE HARVESTING LLC VANDERBILT 4876121A 750 6/4/2018 2702 GONDA CUSTOM SIDING & DECKS VASSAR 3496350A 750 5/18/2018 5551 KURT RODAMMER BUILDER VASSAR 4210085A 750 5/10/2018 5645 MID MICHIGAN TREE SERVICE LLC VASSAR 4630998A 2,108 6/30/2018 0106 0.94 RADTECH X RAY INC VASSAR 0357634A 388 4/27/2018 5191 S AND K LOGS LLC VASSAR 5316561A 750 5/1/2018 2702 0.95 BUILD MASTERS TRUCKING INC VERMONTVILLE 4739396A 10,510 4/14/2018 7208 1.50 13 % BULLSEYE PEST SOLUTIONS LLC VERMONTVILLE 5262330A 1,509 4/16/2018 9015 1.05 INTEGRITY PRESERVATION SERVICES LLC VERMONTVILLE 4867726A 825 5/5/2018 5403 COOK DUSTIN VESTABURG 5725259A 750 6/19/2018 2702 JAKE MCGILL TRUCKING VESTABURG 5576342A 750 6/16/2018 7208 RYAN LEWIS TRUCKING VESTABURG 5714010A 750 5/9/2018 7208 DOG DAYS LLC VICKSBURG 5553946A 367 4/29/2018 8831 DUCKIN TRUCKIN EXPRESS LLC VICKSBURG 5720656A 800 5/31/2018 7208 FRED BEAN & SON INC VICKSBURG 2698129A 750 5/3/2018 5645 NJW ELECTRIC LLC VICKSBURG 5569818A 853 6/4/2018 5190 STRONG TRUCKING LLC VICKSBURG 5715571A 800 5/12/2018 7208 AFFORDABLE LAWN SPRINKLERS AND OUTDOOR VIENNA, VA 5702780A 345 4/17/2018 8810 LIGHTING COMMUNICATION WORKERS OF AMERICA LOCAL VULCAN 1691309A 313 4/6/2018 8755 NO 4025 DEBAKKER CONSTRUCTION VULCAN 2728206A 750 5/15/2018 5645 JM STEEL INC VULCAN 4947410A 5,136 6/27/2018 5040 0.95 MILLIGAN STEPHEN VULCAN 1519441A 750 6/24/2018 2702 RAYMOND HEWLETT TRUCKING INC VULCAN 4111478A 750 6/21/2018 7208 UNITED ABRASIVE INC VULCAN 0356948A 8,054 4/23/2018 1438 1.23 PIERCE ARLENE W BLOOMFIELD 5703387A 435 4/14/2018 0908 PIERCE RICHARD W BLOOMFIELD 5703662A 435 4/14/2018 0908 CJ MISKY TRUCKING INC WAKEFIELD 3940373A 752 5/17/2018 8810 RADOWSKI INCORPORATED WAKEFIELD 5412242A 3,509 6/10/2018 7208 0.95 FIND IT DETECTION DOGS LLC WALDEN, CO 5271169A 367 5/4/2018 8831 NOLAN CONTRACTING INC WALES 4842685A 750 6/27/2018 6217 A AND K TILE AND INTERIORS LLC WALKER 4952391A 750 5/16/2018 5348 0.95 MARTINEZ CONSTRUCTION WALKER 5168953A 18,068 4/5/2018 5348 0.88 ERICKSON PERRY R WALLACE 1849603A 750 6/4/2018 2702

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge KA UNLIMITED WALLACE 3732029A 750 4/5/2018 2702 ALL AMERICAN CEMENT 2 LLC WALLED LAKE 5407443A 1,036 5/25/2018 5221 ANNABELCOOKS LLC WALLED LAKE 4976592A 928 5/27/2018 9058 1.00 CEI ELECTRIC CO WALLED LAKE 2309041A 622 5/18/2018 8810 EOTERRA LLC WALLED LAKE 5275075A 414 5/28/2018 8810 INY CONSTRUCTION LLC WALLED LAKE 5148235A 979 6/4/2018 5645 0.95 KARNAKIS CONSTRUCTION & MAINTENANCE WALLED LAKE 3499502A 800 5/1/2018 5476 LAMA HOME HEALTH CARE LLC WALLED LAKE 5257646A 936 4/4/2018 8835 MCINTOSH LTD WALLED LAKE 1817574A 5,370 5/1/2018 5551 0.93 RED AND BLACK PAINTING LLC WALLED LAKE 5700159A 750 4/7/2018 5476 STANDARD HOME BUILDERS OF MICHIGAN INC WALLED LAKE 2821940A 750 4/18/2018 5403 ULTIMATE SERVICES COMPANY LLC WALLED LAKE 5028574A 750 6/24/2018 5221 VICKERS LANDSCAPING WALLED LAKE 2396262A 750 6/15/2018 0042 C AND B DRYWALL WALLOON LAKE 3473864A 750 4/9/2018 5445 WALLOON SAILORS INC WALLOON LAKE 2858800A 611 6/17/2018 6836 A OK WINDOW CLEANERS WARREN 0432865A 1,805 5/13/2018 9015 0.95 A ROOM AT THE INN LLC WARREN 4988116A 2,000 5/24/2018 9053 1.00 A TO Z HOME PROZ LLC WARREN 2681480B 750 5/31/2018 5645 ALL AMERICAN ELECTRIC INC WARREN 3880664A 544 6/8/2018 5190 0.95 ALL STAR CONSTRUCTION INC WARREN 3293360A 1,748 5/17/2018 5437 0.95 ALLIED SIDING & WINDOWS INC WARREN 2306263A 750 5/29/2018 5403 APPLE SCREENING LLC WARREN 2705796A 304 5/9/2018 8810 ASPRA WORLD INC WARREN 5456851A 2,350 4/27/2018 3146 0.95 BAKERS FLOORING WARREN 4605225A 554 4/5/2018 9521 BCDS INC WARREN 4457153A 1,403 4/22/2018 5610 BEL AIR RACING GROUP WARREN 1769383A 1,468 5/6/2018 9015 0.95 BESTES LANDSCAPE SUPPLIES & HYDROPONICS WARREN 0700118A 1,484 6/20/2018 8010 0.95 LLC BLUE SKIES ENERGY LLC WARREN 4459997A 2,697 5/11/2018 7502 0.95 BROWN MICHAEL WARREN 5720710A 750 5/31/2018 5476 BSA EVENTS & ENTERTAINMENT LLC WARREN 2940582A 1,432 5/13/2018 9156 0.95 BUTCHER BOY FOODS WARREN 1692003A 595 6/7/2018 8031 C AND J PARKING LOT SWEEPING INC WARREN 1815571A 220 4/30/2018 8810 CHAMPION TREE CARE INC WARREN 5410258A 2,280 6/4/2018 0106 0.95 CHEAP SPRAY INC WARREN 0896985A 704 5/30/2018 5183

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COMMERCIAL AND TRUCK TRANSFER SIGNS CO WARREN 0829056A 454 4/29/2018 8810 DAVE POMAVILLE & SONS INC WARREN 0486922A 42,818 5/1/2018 5538 1.95 27 % DEPENDABLE PAINTING WARREN 4209060A 750 4/21/2018 5476 ERM TRANSPORTATION LLC WARREN 5713560A 2,058 5/9/2018 7208 EZEL TRUCKING INC WARREN 5714648A 4,612 5/10/2018 7208 F AND L CONSTRUCTION LLC WARREN 5142334A 1,475 5/21/2018 5610 0.95 FISHERMANS COVE CONDOMINIUM WARREN 4441648A 647 6/8/2018 9015 ASSOCIATION FIVE BROTHERS TRUCKING INC WARREN 5725828A 750 6/21/2018 7208 FLOORS A GO GO WARREN 4471040A 750 5/17/2018 5437 FRONT PAGE DELI WARREN LLC WARREN 4852095A 939 6/17/2018 9058 FSJ INC WARREN 5714044A 602 6/27/2018 9058 FUZZY FRIENDS GROOMING INC WARREN 4508688A 1,380 5/30/2018 8831 1.05 G AND G MASON CONTRACTORS WARREN 3349454A 750 6/28/2018 5022 GOOD CHOICE CONSTRUCTIONS INC WARREN 4357434A 800 6/12/2018 5551 GREAT LAKES RECOVERY & REPOSSESSIONS WARREN 4606191A 1,537 6/27/2018 7720 0.95 INC GREAT LAKES TRUCKING MI INC WARREN 5435595A 825 4/28/2018 8393 GROUPEX TRANSPORT INC WARREN 4949110A 2,847 5/5/2018 7208 0.95 H OF F BILLIARDS INC WARREN 1537601A 366 5/16/2018 9058 0.95 HO REMODELING LLC WARREN 5725895A 750 6/21/2018 5476 ICD DRYWALL & PLASTER LLC WARREN 3582701A 750 4/21/2018 5445 0.95 ILLYRIAN GLASS & SHELF LLC WARREN 4171330A 802 4/14/2018 8810 INFINITY TRANSPORTATION INC WARREN 5270189A 805 5/13/2018 8810 0.95 INTEGRITY BROS LLC WARREN 3507050A 800 6/24/2018 6400 INVECAST CORPORATION WARREN 2017369A 318 6/21/2018 3341 JACOBSON PAINTING INC WARREN 4151810A 1,397 5/18/2018 5476 0.95 JAXX INC WARREN 0770736A 11,342 6/2/2018 5645 0.91 JFB CONSTRUCTION LLC WARREN 5053382A 750 4/29/2018 5645 JOHN R SPRING SERVICE INC WARREN 0576123A 664 6/16/2018 8395 0.95 KETTLER PAINTING LLC WARREN 5642566A 1,297 6/7/2018 5476 LEGACY TRUCKING INC WARREN 5711800A 5,943 5/3/2018 7208 LOUS HOME IMPROVEMENT AND SERVICES LLC WARREN 5394481A 2,390 4/10/2018 5476 0.95 MARKOU TRUCKING INC WARREN 5721890A 7,166 6/10/2018 7208 MAYER CONSTRUCTION LLC WARREN 4333098A 2,111 4/7/2018 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MD 12 MILE LLC WARREN 4908139B 795 4/2/2018 8017 MED CARE HOME HEALTH CARE INC WARREN 5282306A 1,007 6/24/2018 8835 0.95 MERCURIOS FOOD SPECIALTIES INC WARREN 2114763A 598 5/14/2018 9058 MG ELECTRICAL INC WARREN 5580102A 544 6/25/2018 5190 MI THERAPY STAFFING INC WARREN 4841603A 855 6/8/2018 8835 1.00 MJM RESTORATION LLC WARREN 4651537A 2,013 4/29/2018 7380 0.95 MOUND ROAD OPERATING CO INC WARREN 5260043A 967 5/30/2018 8017 0.95 MTP PROPERTY CONSULTING INC WARREN 4928156A 646 5/24/2018 9015 0.95 NORBERT CONSTRUCTION WARREN 5278210A 750 6/7/2018 5645 OMNI ENERGY SOLUTIONS LLC WARREN 4277252A 236 4/25/2018 8742 PEEKABOO SURVEILLANCE INC WARREN 5712025A 388 5/4/2018 5191 PEST TECH SERVICES INC WARREN 4743130A 1,352 4/23/2018 9015 0.95 PISANI CONTRACTING WARREN 5286727A 1,079 5/22/2018 5022 RNP ROOFING LLC WARREN 4784510A 750 6/4/2018 5551 ROADSTAR LLC WARREN 4757149A 2,784 6/5/2018 7208 0.89 RWS PAINTING LLC WARREN 4350820A 750 6/17/2018 5476 S A M CONTROLS LLC DEBTOR IN POSSESSION WARREN 4842561A 220 4/20/2018 8810 1.00 S AND J CONSTRUCTION WARREN 4978250A 750 6/25/2018 5445 SHAZ ENTERPRISES INC WARREN 3771407A 1,356 5/28/2018 8017 0.95 STRAIGHTLINE HOME IMPROVEMENT WARREN 3639142A 750 6/30/2018 5645 SYLLABLE INC WARREN 5409136A 1,997 6/6/2018 8010 SYNERGY SOLUTIONS LLC WARREN 5372402A 1,890 6/17/2018 8046 TARTAR EXPRESS INC WARREN 2796678A 825 6/17/2018 7208 1.91 40 % TMS JUNK REMOVAL L L C WARREN 5720400A 750 5/27/2018 5645 WARREN PIZZERIA INC WARREN 5713870A 3,202 5/9/2018 9058 WARREN THERAPY INC WARREN 4841603B 859 5/6/2018 8832 1.00 WHITMIRE CONSTRUCTION WARREN 4684745A 750 6/7/2018 5645 WITH LOVE HOMECARE INC WARREN 4606531A 3,009 4/21/2018 8835 0.91 NORTHEASTERN PRODUCTS CORP WARRENSBURG, NY 0623784A 19,695 4/1/2018 2731 1.35 WARSAW CHEMICAL HOLDINGS LLC WARSAW, IN 1162080A 1,421 6/1/2018 8742 A L LOPEZ CONSTRUCTION LLC WASHINGTON 5540968A 801 4/2/2018 5445 ANYTIME HOISTING INC WASHINGTON 4331397A 10,232 4/10/2018 3724 0.89 ASSURED SERVICES LLC WASHINGTON 4364864A 784 6/29/2018 0042 CASTLEMARK HOMES INC WASHINGTON 2567172A 750 6/29/2018 5645 CHRISTIAN CONTRACTING SERVICE INC WASHINGTON 5244404A 655 5/26/2018 5183 1/2/2018 8:13:07 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 DELRAY HOMES INC WASHINGTON 2922916A 948 5/16/2018 5606 0.95 DIRT CONNECTION INC WASHINGTON 2817608A 830 4/18/2018 8742 ERFOURTH DENNIS M WASHINGTON 4872070A 750 6/26/2018 5645 GREENPEACE INC WASHINGTON, DC 2525658A 236 4/29/2018 8742 HIDDEN VALLEY BUILDING CO LLC WASHINGTON 5117909A 750 4/5/2018 5645 JAMES P CONTRACTING INC WASHINGTON 1042238A 2,752 6/2/2018 5606 0.95 KONNIE ROOFING WASHINGTON 4995082A 750 6/19/2018 5551 LEVEL ONE ACOUSTICAL INC WASHINGTON 3301761A 750 4/9/2018 5020 LUKAS CARPENTRY WASHINGTON 4969618A 750 6/29/2018 5437 M L P PAINTING INC WASHINGTON 4406508A 751 5/13/2018 8810 N AND T LANDSCAPING SERVICE INC WASHINGTON 1091638A 750 5/27/2018 0042 NECKER HEATING AND COOLING LLC WASHINGTON 5348609A 750 5/26/2018 5550 PRECISE CONSTRUCTION LTD WASHINGTON 0791849A 750 6/29/2018 5645 PREMIER PAINTING AND REMODELING INC WASHINGTON 1524615A 750 5/25/2018 5476 0.95 TOMARAH ENTERPRISES LLC WASHINGTON 4623983A 594 4/10/2018 5190 V AND G BUILDING COMPANY LLC WASHINGTON 1247760A 750 6/20/2018 5645 0.95 DRIP DRY WATERPROOFING AND RESTORATION WASHINGTON TWP 5399009A 729 6/8/2018 5183 CO GARY IOPPOLO TRUCKING LLC WASHINGTON TWP 4069013A 750 5/13/2018 7208 IMMACULAWN LLC WASHINGTON TWP 5720427A 1,439 5/27/2018 9102 M AND R NO 1 LLC WASHINGTON TWP 3916243A 800 4/28/2018 5645 MARITIME MARINE CONSTRUCTION INC WASHINGTON TWP 4616871A 5,086 4/18/2018 6217 0.95 MICHAELANGELO HOMES LLC WASHINGTON TWP 4646975A 750 6/28/2018 5645 0.95 NATIONWIDE INDUSTRIAL COATINGS WASHINGTON TWP 3093859A 750 6/7/2018 5221 T AND C TRIM INC WASHINGTON TWP 1898809A 750 4/30/2018 5437 TNT HOME IMPROVEMENT INC WASHINGTON TWP 2642654A 750 4/13/2018 5645 A F BELLISARIO INC WATERFORD 3829448A 750 4/7/2018 5403 ANTONIO GANDARILLA DRYWALL WATERFORD 3438112A 750 6/17/2018 5445 AVILA HUMBERTO WATERFORD 5708940A 750 4/27/2018 5445 AWS AFFORDABLE WINDOWS LLC WATERFORD 2995921A 750 6/28/2018 5645 BOOSE FLOORING LLC WATERFORD 5718333A 3,385 5/20/2018 5437 BURKES PAINTING WATERFORD 0410888A 750 5/24/2018 5476 BURNSFIELD CONSTRUCTION LLC WATERFORD 4901231A 1,597 6/17/2018 5645 0.95 C GREENS TREE SERVICE LLC WATERFORD 4350740A 2,129 5/24/2018 0106 0.95 CARING 4 LOVED ONES INC WATERFORD 5283000A 4,196 6/21/2018 8835 0.95

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge CASILLAS CO WATERFORD 4856430A 1,089 4/1/2018 5022 0.95 CJ MOORE CUSTOM BUILDER INC WATERFORD 2876710A 800 4/6/2018 5403 CREW AND MGT SVCS LLC WATERFORD 5721733A 1,989 6/3/2018 7422 DAVID W LUCIW DDS WATERFORD 1253506A 332 5/16/2018 8832 DDA WINDOWS WATERFORD 3458989A 750 5/18/2018 5645 DIVERSIFIED DAVITCO LLC WATERFORD 3894681A 801 6/2/2018 5102 0.95 ENVIRONMENTAL AFFAIRS LLC WATERFORD 5256402A 733 4/1/2018 8601 FOUR THOUSAND 210 SASHABAW LLC WATERFORD 0019208A 3,192 5/25/2018 9058 0.91 FPR DECKS UNLIMITED INC WATERFORD 5722810A 750 6/9/2018 5645 G A SLADE EXCAVATING WATERFORD 1392786A 750 5/13/2018 6217 GD CONSTRUCTION LLC WATERFORD 3171710A 750 6/12/2018 5551 GORAL CONSTRUCTION LLC WATERFORD 4882237A 750 5/21/2018 5645 GRAPES AND HOPS MARKET INC WATERFORD 1210408A 367 6/20/2018 9058 HANCOCK RESIDENTIAL CENTER NON PROFIT WATERFORD 0907774A 8,098 4/6/2018 9053 1.36 13 % HOUSING CORP J CRABB ROOFING WATERFORD 5255805A 825 4/1/2018 5645 JAM CUSTOM CARPENTRY WATERFORD 5396476A 750 4/17/2018 5437 JC WATER TREATMENT INC WATERFORD 0551708A 720 4/28/2018 9102 JOES GREAT AMERICAN TREE AND LAWN CARE WATERFORD 4272676A 3,375 6/2/2018 0042 0.95 LLC JS FIX WATERFORD 3856682A 750 5/26/2018 5476 K AND J CLEANING INC WATERFORD 3783642A 646 5/20/2018 9015 KELTIC CONSTRUCTION INC WATERFORD 3337499A 750 4/20/2018 5437 KEVIN R ESSIAN INC WATERFORD 4428366A 750 4/15/2018 5476 MAGNUM HELICOPTERS LLC WATERFORD 5723965A 1,787 6/14/2018 7422 MAPLE ROOFING CONSTRUCTION INC WATERFORD 3636151A 5,538 4/7/2018 5551 0.94 MILOS PLASTER RESTORATION LLC WATERFORD 3977803A 750 4/12/2018 5445 0.95 NEW CREATION HOMES INC WATERFORD 5156645A 825 6/22/2018 5403 NORTHERN PAINTING COMPANY LLC WATERFORD 5706807A 2,393 4/21/2018 5476 OAK POINTE WOODS ASSOCIATION WATERFORD 3573370A 647 5/1/2018 9015 OVERHEAD DOOR NORTH RESIDENTIAL INC WATERFORD 1610341A 876 4/16/2018 3724 OVERHEAD DOOR WEST COMMERCIAL INC WATERFORD 1610341B 1,475 4/16/2018 3724 POHL CATS STUMP GRINDING INC WATERFORD 5392080A 750 4/1/2018 0106 QUEST FIELD SERVICES LLC WATERFORD 5507138A 908 6/29/2018 6217 R AND P DRAIN CLEANING WATERFORD 5409918A 654 6/4/2018 5183

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge RAMON PAINTING INC WATERFORD 3324052A 750 5/3/2018 5476 RLR CONSTRUCTION WATERFORD 2840332A 750 6/25/2018 5551 ROBOCUT WATERFORD 4733819A 734 4/8/2018 9402 ROOFING DEPOT LLC WATERFORD 3036553A 805 6/8/2018 8810 ROOFING SOLUTIONS LLC WATERFORD 4470273A 750 5/14/2018 5551 S E C CONTRACTORS INC WATERFORD 3869520A 14,229 6/28/2018 5538 1.17 SANICK PROPERTIES INC WATERFORD 3769143A 750 4/27/2018 5645 SIGNATURE BUILDERS WATERFORD 5511453A 750 4/11/2018 5437 SMITH RESIDENTIAL LLC WATERFORD 5282292A 646 6/28/2018 9015 SPARTAN INDUSTRIAL CONTRACTING LLC WATERFORD 5723353A 1,356 6/10/2018 5606 STAGING OPTICS INC WATERFORD 4518284A 2,538 6/9/2018 5146 0.95 SUPERIOR STONEWORK LLC WATERFORD 2252139A 750 5/16/2018 5022 T E C CONSTRUCTION INC WATERFORD 1873709A 750 5/24/2018 5645 TINY BEARS DAY CARE WATERFORD 3141713A 261 6/14/2018 8869 TOMS MASONRY REPAIR LLC WATERFORD 5727405A 800 6/27/2018 5022 TRI COUNTY POWER RODDING COMPANY WATERFORD 0550183A 9,194 4/11/2018 5183 0.84 UNIQUE JC LANDSCAPING WATERFORD 5126690A 825 4/14/2018 0042 V R I CONSTRUCTION WATERFORD 4087739A 825 6/24/2018 5551 VESSELIN CONSTRUCTION WATERFORD 3455920A 800 5/8/2018 5403 WATKINS LAKEFRONT OWNERS ASSOC WATERFORD 0948870A 1,289 5/11/2018 0005 0.95 R AND H PETROLEUM INC WATERVLIET 4338120A 597 6/11/2018 8017 MYCO USA LLC WAUWATOSA, WI 4499336A 26,431 5/24/2018 8395 0.82 ALLEN MILAN WAYLAND 5548608A 750 4/20/2018 5403 ALLIED CONCRETE CONSTRUCTION LLC WAYLAND 3195309A 750 4/9/2018 5221 DIAMOND SAHARA EQUESTRIAN SERVICES LLC WAYLAND 5152313A 1,164 6/10/2018 8279 0.95 FARMERS TRUCKING WAYLAND 2256037A 875 4/25/2018 7208 GUN LAKE PROPELLOR LLC WAYLAND 4882172A 670 4/15/2018 3632 HAVERDINK CONSTRUCTION LLC WAYLAND 5581141A 750 6/30/2018 5551 INTERIORS PLUS BY CURT WAYLAND 5726441A 825 6/23/2018 5476 MODERN EXTERIOR LLC WAYLAND 3425967A 800 5/10/2018 5645 MOISTURE X AIR SYSTEMS LLC WAYLAND 5262682A 5,589 4/17/2018 3724 0.92 SENNEKER PERFORMANCE LLC WAYLAND 5683424A 5,391 4/1/2018 8393 VANVOLKINBURG BUILDERS WAYLAND 5562015A 750 5/15/2018 5645 ALW INSTALLATIONS INC WAYNE 5702216A 750 4/12/2018 5462 CAL SIGN COMPANY WAYNE 0132306A 514 4/12/2018 3179 0.95 1/2/2018 8:13:07 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 CAPTAIN NEMOS WAYNE LLC WAYNE 4148703A 441 5/7/2018 9058 CLEARWATER OPERATING CO WAYNE 5260043B 1,117 6/30/2018 8017 0.95 CULMAC INDUSTRIES INC WAYNE 1182900A 741 4/25/2018 8810 1.00 KILLER DECKS AND SPAS INC WAYNE 2724243A 4,149 4/27/2018 2802 1.19 13 % LITTLE TREASURES DAYCARE CORP WAYNE 5404002A 948 4/29/2018 8869 MAJOR CLEANING LLC WAYNE 5404886A 949 5/13/2018 8835 PROPAUL CONSTRUCTION LLC WAYNE 2144778A 750 5/10/2018 5437 SISTERS CARE SOLUTION LLC WAYNE 5718996A 548 5/23/2018 8835 STAR TRADING GROUP LLC WAYNE 2969610A 800 6/2/2018 5437 T N T TRAILER SALES LLC WAYNE 4097238A 514 6/14/2018 8393 TWO BROTHERS CONSTRUCTION LLC WAYNE 5396727A 7,331 5/9/2018 5403 0.89 WAYNE RIPPLE EFFECT WAYNE 5270251A 228 5/14/2018 8810 BIG JOES SERVICES WEBBERVILLE 5720079A 751 5/26/2018 6217 BRADY JOSH WEBBERVILLE 5715440A 750 5/31/2018 5645 NORTHFORK FARM & OUTBACK WEBBERVILLE 5712033A 751 5/4/2018 8279 RAVIDA CONSTRUCTION LLC WEBBERVILLE 5144680A 751 5/30/2018 5437 0.85 WEBSTER AND GRIFFES INC WEBBERVILLE 4333055A 825 4/6/2018 7208 HORINA CANOE LIVERY WELLSTON 1176544A 561 6/15/2018 6836 PINE RIVER PADDLE SPORTS CENTER & WELLSTON 4362799A 2,508 6/1/2018 7380 0.95 CAMPGROUND SELECT CUT LOGGING LLC WELLSTON 0106470A 3,449 4/17/2018 2702 0.95 AMERICAN STONE INC WEST BLOOMFIELD 4293754A 750 6/26/2018 5348 SUBURBAN PAINT LLC WEST BLOOMFIELD 5066700A 1,662 6/15/2018 5476 ART CONSTRUCTION INC WEST BLOOMFIELD 5132290A 825 4/30/2018 5437 0.95 ARTISAN CONCRETE AND CONSTRUCTION INC WEST BLOOMFIELD 5334470A 2,640 4/17/2018 5221 0.95 AUBURN HILLS UNIVERSE INFLATABLE LLC WEST BLOOMFIELD 4866312A 2,709 5/23/2018 9015 0.87 BENDER ROBERT WEST BLOOMFIELD 0294454A 741 6/15/2018 0913 BOSSOLUTIONS LLC WEST BLOOMFIELD 5703506A 750 4/14/2018 7600 CENTAUR FARM VILLAGES CONDOMINIUM WEST BLOOMFIELD 0782092A 646 5/10/2018 9015 ASSOCIATION INCORPORATED CHARLES LOUGHREY DESIGN LLC WEST BLOOMFIELD 3341232A 750 4/26/2018 0042 CORPORATE SPECIALTIES LLC WEST BLOOMFIELD 5706416A 251 4/22/2018 8810 D C HOLDINGS AND INVESTMENTS LLC WEST BLOOMFIELD 5278341A 1,670 4/15/2018 9058 E H TROY CORPORATION WEST BLOOMFIELD 3777553A 220 6/13/2018 8810 ELITE HARDWOOD FLOORING LLC WEST BLOOMFIELD 2948605A 800 5/1/2018 5437

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge FERBER FRED WEST BLOOMFIELD 4213459A 385 5/3/2018 0908 FEROX LLC WEST BLOOMFIELD 5718988A 1,841 5/23/2018 5610 FUNCTIONAL INTEGRATED TRAINING LLC WEST BLOOMFIELD 5710731A 326 4/29/2018 9063 GABRIELS NEST S I L INC WEST BLOOMFIELD 5725836A 560 6/21/2018 9053 GILBERT HOMES INC WEST BLOOMFIELD 1044036A 750 5/21/2018 5645 HANA MARBLE & GRANITE INC WEST BLOOMFIELD 5563640A 750 5/18/2018 5348 JAY LENDERMAN LLC WEST BLOOMFIELD 5720060A 751 5/26/2018 5476 JOYNER ROBERT WEST BLOOMFIELD 3908810A 554 4/10/2018 9521 KIPPLE CREEK CLIFFS LLC WEST BLOOMFIELD 5153697A 646 6/12/2018 9015 LINDA JOAN HACK TRUST WEST BLOOMFIELD 0904082A 435 5/17/2018 0908 LUMA CONSTRUCTION LLC WEST BLOOMFIELD 5412307A 800 6/10/2018 5645 M K HOMES LLC WEST BLOOMFIELD 5570581A 800 6/8/2018 5437 MACOMB BUILDING LLC WEST BLOOMFIELD 1601920A 1,263 5/18/2018 5645 0.95 MARK ADLER HOMES LLC WEST BLOOMFIELD 5279968A 5,354 6/12/2018 5606 0.94 MICARPENTER LLC WEST BLOOMFIELD 4912993A 12,798 6/30/2018 5437 0.97 MIDWEST POLICE MOTORCYCLE TRAINING INC WEST BLOOMFIELD 4457951A 304 4/7/2018 8868 MISSION SPRINGS HOMEOWNERS ASSOCIATION WEST BLOOMFIELD 3527689A 646 4/21/2018 9015 NEW FINISH DRYWALL INC WEST BLOOMFIELD 1686704A 750 5/4/2018 5445 NU GROUNDS LLC WEST BLOOMFIELD 5720630A 1,215 5/31/2018 0042 OAKCOM INC WEST BLOOMFIELD 2212331A 6,876 4/21/2018 7600 0.85 ON THE MARK CONTRACTORS LLC WEST BLOOMFIELD 4855744A 2,704 4/26/2018 5437 0.95 PRE CONSTRUCTION MEDIA INC WEST BLOOMFIELD 5135168A 588 5/8/2018 8601 PROJ S N A P INC WEST BLOOMFIELD 4726030A 376 5/1/2018 8810 PROJECT HEALTHY COMMUNITY WEST BLOOMFIELD 5395003A 268 4/11/2018 8810 R 360 TOWING LLC WEST BLOOMFIELD 5555752A 750 5/5/2018 7208 REACTION TREE LLC WEST BLOOMFIELD 1087720A 6,659 4/15/2018 0042 0.93 ROBERT REIS CONSTRUCTION WEST BLOOMFIELD 2531925A 750 5/3/2018 5645 SH AND AH ENTERPRISES LLC WEST BLOOMFIELD 5409217A 732 5/30/2018 8742 SINGER CRAIG WEST BLOOMFIELD 0632465A 435 4/12/2018 0908 SPENCER MASONRY LLC WEST BLOOMFIELD 2406586A 750 4/6/2018 5022 THOMPSON DANA WEST BLOOMFIELD 5721792A 750 6/6/2018 5437 THREE PIN DESIGN & MANAGEMENT LLC WEST BLOOMFIELD 5702151A 387 4/12/2018 7610 TRANSPORTATION SERVICES UNLIMITED LLC WEST BLOOMFIELD 5269628A 1,134 6/17/2018 7212 0.95 TRI COUNTY HOME ENERGY LLC WEST BLOOMFIELD 4874455A 2,898 5/10/2018 9521 0.95 VENICE CONTRACTING LLC WEST BLOOMFIELD 3211622A 750 6/21/2018 5645 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 171 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge VERSATILE CONTRACTORS INC WEST BLOOMFIELD 0734756A 2,683 5/10/2018 5476 0.95 WIXOM UNIVERSE INFLATABLES LLC WEST BLOOMFIELD 4866312B 3,191 5/23/2018 9015 0.87 YONO NICK & YONO RAJA WEST BLOOMFIELD 5543045A 750 4/7/2018 5645 FERGUSON BROTHERS CONSTRUCTION LLC WEST BLOOMFIELD TWP 3802817A 750 5/23/2018 5645 0.95 BARTON MOBILE REPAIR & WELDING WEST BRANCH 3403939A 4,812 5/6/2018 3632 MID MICHIGAN FIRE PROTECTION LLC WEST BRANCH 2804018A 431 5/27/2018 4828 PBS SHEET METAL & SIDING LLC WEST BRANCH 2402939A 750 5/23/2018 5403 RAU GARY C WEST BRANCH 3320472A 825 4/15/2018 7208 BARRY HAVEMAN BUILDER LLC WEST OLIVE 0061379A 750 6/10/2018 5645 BROUWER DUSTIN WEST OLIVE 4856694A 750 4/5/2018 5645 M AND A ALL SEASONS PROPERTY WEST OLIVE 5713463A 2,686 5/8/2018 0106 MANAGEMENT LLC MAPLEBAY BUILDERS LLC WEST OLIVE 4046099A 750 5/3/2018 5645 MARK DEGRAAF BUILDER WEST OLIVE 1726625A 750 5/26/2018 5213 PAVERS PLUS OF HOLLAND WEST OLIVE 1574604A 750 4/6/2018 5221 TRI CITIES ROOFING & SIDING LLC WEST OLIVE 3709752A 750 4/15/2018 5551 ALFORD RONALD JR WESTLAND 5267366A 570 5/3/2018 0908 APPLE RENOVATION SERVICES LLC WESTLAND 4101359A 808 4/2/2018 8810 ARTISTIC PAINTING & CUSTOM DESIGN WESTLAND 4793102A 1,006 6/14/2018 5476 0.95 BALMUS NICK WESTLAND 4647270A 800 5/31/2018 5551 BARTRAM DANIEL W WESTLAND 4999487A 750 5/24/2018 5645 BLUE POINT CO LLC WESTLAND 3734412A 800 6/2/2018 5645 BMF TRANSPORT LLC WESTLAND 5567750A 750 6/11/2018 7208 BONNER DISTRIBUTORS INC WESTLAND 4101804A 638 6/17/2018 8044 CDS SPECIALTY COATINGS LLC WESTLAND 4281721A 5,599 6/30/2018 5476 0.91 COIL RONALD WESTLAND 4462130A 1,170 4/12/2018 0908 0.95 CONVERGE CONSTRUCTION LLC WESTLAND 5708630A 1,648 4/28/2018 5445 DONOVAN SHERMAN WESTLAND 2631032A 750 6/17/2018 5476 DWG PLUMBING WESTLAND 1282760A 704 6/22/2018 5183 DYNASTY BUILDERS INC WESTLAND 1263978A 368 4/18/2018 5606 G A SERVICES LLC WESTLAND 0392294A 1,014 4/9/2018 0042 GLEN DAVIS MAINTENANCE WESTLAND 4062523A 818 4/30/2018 9015 GRIME FIGHTERS WESTLAND 3708381A 646 6/5/2018 9015 HADDAD OUTDOOR SERVICES LLC WESTLAND 5723728A 720 6/13/2018 9102 HERMATZ DANIEL WESTLAND 5149371A 385 6/6/2018 0908

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge HURRICANE ASPHALT TRUCKING LLC WESTLAND 5710944A 1,484 6/8/2018 5221 IO CONSTRUCTION LLC WESTLAND 5334829A 751 4/12/2018 5437 JE MAINTENANCE WESTLAND 5569800A 544 6/18/2018 5190 JODAR LLC WESTLAND 5543991A 1,930 4/19/2018 8835 JOSEPH JILL WESTLAND 5261570A 825 4/12/2018 5437 JR CLEANING WESTLAND 3996409A 646 4/7/2018 9015 KANE CATHERINE WESTLAND 4976991A 385 4/12/2018 0908 KAUR CONSTRUCTION LLC WESTLAND 5702771A 858 4/20/2018 5606 KEVINS ABSOLUTE COMFORT LLC WESTLAND 5289963A 1,794 6/13/2018 5550 0.95 KRUSTYZ PIZZA LLC WESTLAND 4572360A 894 5/27/2018 9058 1.00 L MAYO INC WESTLAND 1639773A 468 4/1/2018 9058 LOPEZ ELLEN DONOVAN WESTLAND 5706726A 666 4/20/2018 0913 MATHEWS JAMES WESTLAND 5375223A 750 6/15/2018 5476 MCGREW CHARLES WESTLAND 5552591A 646 5/13/2018 9015 MOSS SECURITY WESTLAND 5551412A 823 4/23/2018 7720 NATIONAL TREE SERVICE WESTLAND 1440071A 2,222 6/11/2018 0106 NEWBURGH PETRO MART WESTLAND 1863762A 744 5/11/2018 8017 PETER TRUCKING LLC WESTLAND 5389690A 803 6/8/2018 8810 R AND A TOOL & ENGINEERING COMPANY WESTLAND 0062642A 618 6/28/2018 3096 1.00 R AND R XTERIOR INC WESTLAND 4834518A 800 5/2/2018 5645 ROSES TENDER HOME CARE LLC WESTLAND 5549922A 1,316 4/22/2018 8835 0.95 SC COMMERCIAL CONCEPTS LLC WESTLAND 5023874A 722 4/1/2018 9015 SECOND LOOK STYLISH RESALE LLC WESTLAND 5718945A 321 5/23/2018 8008 SMP FLOORING WESTLAND 5725496A 750 6/20/2018 5437 SPECTACULAR SIGNS LLC WESTLAND 5712610A 2,671 5/9/2018 9558 SUNRISE TREE SERVICE INC WESTLAND 0982873A 750 4/26/2018 0106 THOMAS HISSONG CONSTRUCTION WESTLAND 5711940A 750 5/4/2018 5645 TRI M INC WESTLAND 4749820A 750 5/25/2018 0042 URBAN CORNER STONE MASONRY INC WESTLAND 2211505A 750 4/6/2018 5022 VALLEY TRANSPORT INC WESTLAND 4983750A 2,958 4/1/2018 7208 0.95 VALY TILE CO WESTLAND 4611268A 750 4/9/2018 5348 VICTORIAS SECRET GARDENS & CURB APPEAL WESTLAND 0855340A 757 4/26/2018 9402 INC WEIAND JEFFERY T WESTLAND 2847248A 750 4/7/2018 5645 WHITE JACOB WESTLAND 5408415A 629 5/29/2018 9521

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge WRIGHTS HOME IMPROVEMENT WESTLAND 5414741A 750 6/17/2018 5645 ZABRZENSKI STEVEN WESTLAND 5700256A 800 4/6/2018 5437 REPAIR PERFORMANCE AND MAINTENANCE LLC WETMORE 5569214A 1,156 6/2/2018 8395 D AND K LAND SERVICES LLC WHEELER 5393019A 801 4/12/2018 0042 R L LAURENZ INC WHEELER 4993969A 2,342 6/22/2018 0005 0.95 ASHCRAFT MILES WHITE CLOUD 5708257A 750 4/27/2018 5403 JOSHUA COLLINS JC ROOFING WHITE CLOUD 5725844A 750 6/21/2018 5551 NEWAYGO COUNTY COUNCIL FOR THE WHITE CLOUD 4083539A 975 6/2/2018 9063 0.95 PREVENTION OF CHILD ABUSE & NEGLECT PREMIER PAINTING WHITE CLOUD 3153363A 750 4/25/2018 5476 A BETTER EXTERIOR LLC WHITE LAKE 4788559A 5,449 4/7/2018 5606 0.92 ASPHALT EXPRESS LLC WHITE LAKE 4074114A 751 6/8/2018 5221 AT YOUR DISPOSAL INC WHITE LAKE 5140307A 750 5/15/2018 7213 B AND R WINDOWS AND SIDING INC WHITE LAKE 2009358A 753 4/19/2018 8810 B AND T GENERAL CONTRACTING & WHITE LAKE 3989496A 750 4/2/2018 5437 0.95 CONSTRUCTION MANAGEMENT INC BIG BEAVER TILE INC WHITE LAKE 3291910A 750 5/5/2018 5348 BLUE WATER AQUATICS LLC WHITE LAKE 4193016A 2,140 4/17/2018 0005 1.00 BUSTOS JOEL MENDEZ WHITE LAKE 5715393A 750 5/24/2018 5551 CMC CONSTRUCTION INC WHITE LAKE 4357086A 368 6/9/2018 5606 CONWAY CONSTRUCTION WHITE LAKE 1046993A 750 4/1/2018 5437 DARTRIS ENTERPRISES INC WHITE LAKE 3924181A 509 4/13/2018 8868 DEGLORIE BUILDERS LLC WHITE LAKE 2104148A 750 6/23/2018 6217 0.95 EKI RENOVATION & DESIGN LLC WHITE LAKE 4357078A 750 6/9/2018 5645 ELITE BUILDERS LLC WHITE LAKE 5705290A 750 4/18/2018 5645 EURO KITCHEN PLUS INC WHITE LAKE 0095338A 800 5/2/2018 5645 0.95 FOSTER DOUGLAS A WHITE LAKE 4987250A 750 5/19/2018 5437 FREERIDE KOMPONENTS INC WHITE LAKE 5690412A 1,284 4/11/2018 6836 HARTMANS HOME CARE LLC WHITE LAKE 1928503A 750 4/12/2018 5645 LAKESIDE WINDOW COMPANY WHITE LAKE 1771965A 798 6/25/2018 8235 LEAD RENOVATOR TRAINING LLC WHITE LAKE 4611276A 390 4/23/2018 8720 LT COMPLETE SERVICES INC WHITE LAKE 5546540A 900 4/15/2018 0042 M AND M PROFESSIONAL INSTALLATIONS INC WHITE LAKE 1719599A 750 4/26/2018 3724 MALOSH SERVICES MICHIGAN INC WHITE LAKE 1025279A 800 6/5/2018 5645 MK FOOTINGS INC WHITE LAKE 1456032A 750 6/11/2018 5215

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge P AND B BUILDING COMPANY INC WHITE LAKE 3028615A 800 6/28/2018 5645 PAVE RITE ASPHALT WHITE LAKE 3377466A 800 4/14/2018 5221 ROGAN ROLLOFF SERVICE INC WHITE LAKE 2012030A 5,137 4/25/2018 7213 0.93 TOPROOFING LLC WHITE LAKE 4377710A 750 4/5/2018 5551 WELD TECH WHITE LAKE 4214722A 750 4/18/2018 3365 WILSON CONSUELO D WHITE LAKE 5723337A 2,413 6/12/2018 0908 MARY M DURNIAN BOICZUK FORD WORLD WHITE LAKE TWP 5576890A 260 6/30/2018 9586 HEADQUARTERS HAIR SALON LLC J AND D MILLWRIGHT AND MAINTENANCE LLC WHITE PIGEON 4984366A 10,608 6/8/2018 3724 0.88 KOMRSKA ROGER R & THERESA C WHITE PIGEON 1753347A 646 4/4/2018 9015 DALE HARRIS EXTERIORS LLC WHITEHALL 4951379A 6,511 4/29/2018 5538 0.90 HRL FIREWOOD AND PROCESSING LLC WHITEHALL 5580641A 750 6/28/2018 2731 WILKINS MARK WHITEHALL 5548667A 800 4/20/2018 7208 FREEDOM SEALCOATING LLC WHITEMORE LAKE 5165369A 750 5/1/2018 5221 MAULBETSCH TREE SERVICE INC WHITMORE 4060180A 750 5/9/2018 0106 0.95 ALL RENOVATIONS COMPANY LLC WHITMORE LAKE 4966368A 2,621 4/21/2018 5403 0.95 D AND H SERVICES INC WHITMORE LAKE 4564472A 750 4/21/2018 6217 0.95 LIGHTCRETE COMPANIES INC WHITMORE LAKE 2832844A 2,289 6/4/2018 5221 0.95 SHIMMY SHACK INC WHITMORE LAKE 5180058A 367 4/29/2018 9058 TEK ENVIRONMENTAL & CONSULTING SERVICES WHITMORE LAKE 3922693A 4,075 4/22/2018 8720 0.86 INC WHITMORE LAKE CLIMATE CONTROLLED WHITMORE LAKE 5539927A 699 4/1/2018 9015 STORAGE LLC ERG DRYWALL WHITTAKER 4155882A 750 5/6/2018 5445 0.95 SCIENTIFIC SERVICES PLUS LLC WILLIAMS BAY, WI 5694159A 2,664 4/3/2018 5550 ANTRIM AREA PEST CONTROL LLC WILLIAMSBURG 5701546A 1,274 4/24/2018 9015 DAWSON CONSTRUCTION COMPANY WILLIAMSBURG 1598430A 825 4/16/2018 5403 DOWN BY THE CREEK LLC WILLIAMSBURG 4880579A 782 6/21/2018 8869 JENEMA BUILDERS LLC WILLIAMSBURG 3079562A 750 6/14/2018 5645 KAREN MCLEAN PT PC WILLIAMSBURG 3188400A 676 6/29/2018 8832 VERIFIED PATH MACHINING LLC WILLIAMSBURG 5569443A 540 6/3/2018 4484 BLOOMQUIST ESTATE SERVICES WILLIAMSTON 5536456A 589 4/6/2018 8044 CUSTOM ROOFING SOLUTIONS LLC WILLIAMSTON 0408310A 6,056 6/11/2018 5551 0.94 DECOMMISSIONING SERVICES LLC WILLIAMSTON 4723643A 51,608 5/13/2018 5183 1.31 10 % DESIGN WORKS II LLC WILLIAMSTON 5120799A 874 4/5/2018 9521 GORSKI RICHARD WILLIAMSTON 4213939A 750 5/4/2018 5610 1/2/2018 8:13:07 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 JORGENSEN FARM ELEVATOR INC WILLIAMSTON 2364158A 9,150 4/19/2018 8304 0.85 MOORES TRUCKING LLC WILLIAMSTON 4858867A 750 4/12/2018 7208 LEWIS HILDRED WILLIS 5713897A 253 5/9/2018 8868 VALENTINE TRUCKING CO WILLIS 4055063A 825 4/15/2018 7208 AEROCON PHOTOGRAMMETRIC SERVICES INC WILLOUGHBY, OH 2837765A 1,853 6/29/2018 7422 0.95 CLARK FAMILY LTD WILMETTE, IL 2161079A 666 5/13/2018 0913 TOTAL PERFORMANCE SPORTS CAMPS LLC WILMETTE, IL 4910486A 441 6/4/2018 9063 HALUSKA STEPHEN WILSON 0930296A 750 4/26/2018 5645 KLEIMAN TRUCKING LLC WILSON 4733649A 750 4/6/2018 7208 SD CONSTRUCTION WILSON 4643194A 750 5/28/2018 5645 VANDERMISSEN AERONAUTICAL SOLUTIONS LLC WILSON 5701600A 479 4/11/2018 4361 OVERLOOK HARVESTING COMPANY LLC WINTER HAVEN, FL 5516200A 53,632 4/1/2018 0011 0.95 ANSTANDIG ELECTRIC INC WIXOM 1979604A 27,167 5/17/2018 5190 1.78 27 % CENTURY GROUP HOLDINGS INC WIXOM 1144901A 311 5/19/2018 8742 0.95 CUSTOM LAMINATE CONCEPTS LLC WIXOM 4203070A 630 5/15/2018 2812 D M WALLTECH INC WIXOM 3042669A 800 4/20/2018 5476 DONS PAINTING AND MISCELLANEOUS WIXOM 5551269A 750 4/26/2018 5476 FOUR SEASONS PAINTING WIXOM 4082443A 750 6/4/2018 5476 GREAT LAKES AMMUNITION LLP WIXOM 5720109A 1,968 6/17/2018 3632 GRISSOM GARAGE BUILDERS INC WIXOM 0335916A 911 6/7/2018 5645 GRIZZLY LAWN CARE LLC WIXOM 5702240A 1,082 4/13/2018 9102 LIK CLEANING COMPANY LLC WIXOM 5696364A 646 4/1/2018 9015 MAGNUM TOWING INC WIXOM 5266009A 2,665 5/1/2018 7208 MAJIC WINDOW COMPANY WIXOM 2877147A 17,339 5/18/2018 5645 0.78 MERIDIAN CONSTRUCTION COMPANIES INC WIXOM 5155428A 11,394 4/19/2018 5403 0.92 PARKINSON ENTERPRISES WIXOM 4351959A 755 5/30/2018 3724 POPULOS TRUCKING LLC WIXOM 3070883A 3,153 5/1/2018 7208 0.95 PREVENTIVE MAINTENANCE TECHNOLOGIES LLC WIXOM 4909534A 593 5/1/2018 8107 SENG TIRE INC WIXOM 0571202A 589 5/31/2018 8395 SJH HOME IMPROVEMENTS LLC WIXOM 2411059A 3,655 4/28/2018 5551 0.95 VISIONALIST ENTERTAINMENT PRODUCTION LLC WIXOM 3556239A 872 6/28/2018 9154 0.95 WICKER BASKET BALLOON CENTER LTD WIXOM 2547368A 1,485 5/18/2018 7422 ZIP ROOFING WIXOM 5409080A 750 6/22/2018 5551 BEEN THERE DONE THAT CONSTRUCTION WOLVERINE 3193616A 750 6/7/2018 5645 D AND M LOGGING WOLVERINE 1722069A 750 5/2/2018 8810 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 176 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DJ CONTRACT HAULING INC WOLVERINE 3755568A 750 5/15/2018 7219 L THOMAS CONSTRUCTION LLC WOLVERINE 5544769A 368 4/12/2018 5606 M LEVERNIER LLC WOLVERINE 3365271A 750 4/3/2018 7208 WOLVERINE JOINT FIRE BOARD WOLVERINE 3336328A 751 5/22/2018 7704 METRO DETROIT TILE LLC WOLVERINE LAKE 5259100A 898 4/22/2018 5190 AIR FLO CLEANING SYSTEMS WOODHAVEN 2569744A 1,401 6/13/2018 5183 1.00 ANESTIS SENIOR CARE RESIDENCE INC WOODHAVEN 5561205A 2,223 5/17/2018 9053 C EDGE LLC WOODHAVEN 4361865A 1,884 5/15/2018 9015 0.95 FIVE O SECURITY CONSULTANTS LLC WOODHAVEN 5264812A 3,227 4/26/2018 7720 0.95 PROCLAIM AVIATION MINISTRIES INC WORTHINGTON, MN 4859804A 459 4/13/2018 8868 ADVANCED TECHNOLOGY ENGINEERING GROUP WRENTHAM, MA 5555108A 1,166 5/3/2018 4484 INC ARC DOWNRIVER INC WYANDOTTE 1665154A 727 4/19/2018 9063 0.95 BADALAMENTI CONSTRUCTION CO WYANDOTTE 0014940A 855 5/3/2018 5221 GARCIAS CONSTRUCTION LLC WYANDOTTE 5709814A 1,086 5/1/2018 5445 GROUND TO CROWN CHIMNEY & FIREPLACE WYANDOTTE 2491214A 750 5/5/2018 5222 SERVICES LLC LABEAU RICHARD WYANDOTTE 4637089A 750 6/14/2018 5476 M K PAINTING INC WYANDOTTE 2940639A 3,740 4/22/2018 8227 0.95 MICRO MANAGEMENT SOLUTIONS LLC WYANDOTTE 4994183A 696 6/14/2018 9015 RICKS COVE INC WYANDOTTE 4882989A 2,015 6/30/2018 6826 0.95 VETERANS FENCE INC WYANDOTTE 3479560A 800 5/7/2018 6400 0.95 W WARREN FILL & GO INC WYANDOTTE 5696348A 1,784 4/1/2018 8017 ASSOCIATED PROPERTY SERVICES LLC WYOMING 4763343A 6,049 6/10/2018 5022 0.95 CARRILLOS FRAMES INSTALLERS WYOMING 5366305A 800 4/12/2018 5645 ECOSCAPE LANDSCAPE MANAGEMENT WYOMING 5722470A 825 6/8/2018 0042 ENARORADO OSCAR WYOMING 5479282A 750 4/22/2018 5645 GREAT LAKES HEALTHCARE RESOURCES WYOMING 5418097A 2,865 6/24/2018 8835 0.95 LAKESHORE LLC GREAT LAKES HEALTHCARE RESOURCES LLC WYOMING 3720810A 18,483 4/1/2018 8835 1.50 GREAT LAKES HOME MODIFICATION LLC WYOMING 5415284A 946 6/18/2018 5645 H J DRYWALL WYOMING 5719470A 1,093 5/25/2018 5445 HIGH ROCK LLC WYOMING 4762436A 1,058 6/24/2018 5606 0.95 JP DRYWALL & MAINTENANCE WYOMING 3870618A 1,985 5/31/2018 5445 LEES CLEANING WYOMING 4622944A 696 5/13/2018 9015 MILOS INTERIOR EXTERIOR WYOMING 5711339A 3,770 5/2/2018 5445 1/2/2018 8:13:07 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 177 Assigned Risk Renewals: April/May/June

Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge PIZZA PARLIAMENT LLC WYOMING 5704650A 870 5/10/2018 9058 PRIORITY CONSTRUCTION INC WYOMING 0736724A 1,677 6/30/2018 5606 1.00 RAMOS APARICIO MENDEZ MAURICIO WYOMING 5726883A 750 6/26/2018 5645 RICHARD KONYNDYK BUILDER WYOMING 5267315A 750 5/5/2018 5645 S AND S CONSTRUCTION LLC WYOMING 3839281A 750 5/7/2018 5437 SCHWARZE ROBITEC AMERICA INC WYOMING 5408288A 2,701 5/28/2018 8107 SIEN PAINTING CONTRACTORS LLC WYOMING 5571480A 1,293 6/10/2018 5445 TNE TRANSPORTATION LLC WYOMING 5698561A 4,084 4/4/2018 7212 WORKPLACE RESOURCE LLC WYOMING 5726670A 750 6/26/2018 5645 YALE HEATING AND AIR CONDITIONING LLC YALE 5701589A 800 4/11/2018 5550 A 1 MCCORMICK LAWN AND LANDSCAPING YPSILANTI 2059924A 720 4/29/2018 9102 AGGRESSIVE HIRING GROUP INC YPSILANTI 5721342A 472 6/2/2018 8810 ALLY CLEANING SERVICE LLC YPSILANTI 5708052A 646 5/6/2018 9015 B AND L CONCRETE CONSTRUCTION INC YPSILANTI 1095390A 751 4/19/2018 5022 BROOMS AND MOPS JANITORIAL LLC YPSILANTI 5272424A 646 5/20/2018 9015 CLASSIC WOOD FLOORS II YPSILANTI 2267926A 801 6/21/2018 5437 COMMERCIAL DOOR HARDWARE SUPPLY LLC YPSILANTI 5216125A 750 4/19/2018 5102 CRAFTWERKER LC YPSILANTI 4611128A 923 4/9/2018 5645 CS TRUCKING LLC YPSILANTI 5570778A 800 6/8/2018 5221 EAGLES AUTOMOTIVE YPSILANTI 4713370A 876 5/30/2018 8395 0.95 FLOOR TILE YPSILANTI 2708639A 750 5/1/2018 5348 GREEN ACRES FERTILIZER COMPANY LLC YPSILANTI 4900677A 1,762 4/20/2018 0005 GSD CONTRACTING LLC YPSILANTI 5549523A 3,998 4/21/2018 3724 0.95 J F MOORE & ASSOCS LLC YPSILANTI 2696479A 1,228 5/24/2018 7720 0.95 JOE HALL QUICK STOP INC YPSILANTI 5146852A 1,253 4/8/2018 8017 0.95 LOBOS CONSTRUCTION INC YPSILANTI 3698955A 15,167 6/16/2018 5645 0.92 LOYOLA PAINTING SERVICES LLC YPSILANTI 3722406A 1,941 6/28/2018 5476 0.95 LTR GENERAL CONSTRUCTION LLC YPSILANTI 5723272A 751 6/14/2018 5403 MC CONSTRUCTION LLC YPSILANTI 5414300A 14,778 6/16/2018 5645 0.92 MCHEIK OIL COMPANY INC YPSILANTI 0281123A 649 6/13/2018 8017 0.95 PERFECT HELP HOUSE SERVICES LLC YPSILANTI 5282659A 646 6/20/2018 9015 PERSONAL TOUCH HOME HEALTH CARE YPSILANTI 4158300A 42,972 5/19/2018 8835 0.67 SERVICES INC RAVEN JAMES TRUCKING LLC YPSILANTI 5402263A 800 5/7/2018 7208 RE DESIGN TILE INC YPSILANTI 5185149A 825 5/18/2018 5348

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Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge ROADSIDE VENDING YPSILANTI 1239520A 1,477 5/1/2018 5192 0.95 RON SMITH TRUCKING YPSILANTI 4883233A 750 6/30/2018 7208 ROYAL WAY SERVICES LLC YPSILANTI 5409900A 1,059 6/12/2018 9015 SASSE AFC LLC YPSILANTI 5543363A 560 4/8/2018 9053 SCHLENKER SOLUTIONS LLC YPSILANTI 5721024A 1,750 6/1/2018 5437 SERIOUS DETECTING LLC YPSILANTI 5277302A 531 5/20/2018 8010 SERVANT 2 U LLC YPSILANTI 4193911A 646 5/25/2018 9015 0.95 SPENCERS CONTRACTING LLC YPSILANTI 5409896A 1,947 6/3/2018 5645 T HARVEY & SON YPSILANTI 2612151A 1,087 4/24/2018 0042 TWENTY FIRST CENTURY SALVAGE INC YPSILANTI 1704826A 2,464 4/30/2018 8742 0.95 WILFONG ROBERT YPSILANTI 0121185A 554 6/17/2018 9521 YPSI ARBOR ROOFING INC YPSILANTI 2434539A 3,953 6/13/2018 5551 1.33 13 % BORCULO GARAGE INC ZEELAND 0001155A 800 6/10/2018 7208 DEHAAN DESIGNS LLC ZEELAND 5721113A 750 5/31/2018 5645 FLOORING HOUSE LLC THE ZEELAND 5212081A 750 4/22/2018 5437 0.95 JOHNS BATTERY & ELECTRIC INC ZEELAND 2174898A 234 4/26/2018 8810 KARSTEN MASONRY LLC ZEELAND 0290190A 2,116 4/21/2018 5022 0.95 KEN MANSCHESKY ROOFING LLC ZEELAND 3914216A 29,739 4/10/2018 5551 0.78 LAKESHORE ATHLETIC CENTER LLC ZEELAND 5697352A 401 4/11/2018 9063 MAINTENANCE MATTERS LLC ZEELAND 3746216A 750 4/18/2018 3724 MITCHELL WAGNER BUILDER LLC ZEELAND 4749693A 750 6/1/2018 5645 MOES ENTERPRISES INC ZEELAND 2847078A 654 5/21/2018 5183 OVERHEAD UNLIMITED LLC ZEELAND 5031320A 750 5/18/2018 3724 SPORTS TURF MANAGEMENT OF MICHIGAN LLC ZEELAND 4878892A 750 4/17/2018 0042 SQUARE DEAL DRYWALL ZEELAND 5396557A 750 4/25/2018 5445 TIGGS LAWNCARE LLC ZEELAND 5715610A 750 5/12/2018 0042 VAST TILE & STONE LLC ZEELAND 5397219A 750 4/28/2018 5348 VZ CONSTRUCTION LLC ZEELAND 5575397A 750 6/20/2018 5645 AFFORDABLE HANDYMAN SERVICES ZILWAUKEE 5721849A 750 6/6/2018 5645

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