05/05/2016 ACTIVE PRIVATE SELF INSURED ROSTER 99 CENTS ...

10/26/2017ACTIVE PRIVATE SELF INSURED ROSTER

99 CENTS ONLY STORES LLC

ABF FREIGHT SYSTEM, INC.

ABM INDUSTRIES INCORPORATED

ADVANCED MICRO DEVICES, INC.

ADVENTIST HEALTH SYSTEM/WEST

ALBERTSONS COMPANIES, LLC

4000 Union Pacific Ave

P.O. Box 10048

4151 Ashford Dunwoody Rd, Ste 600

7171 Southwest Parkway M/S B100.T.082

2100 Douglas Blvd.

250 Parkcenter Blvd.

Commerce,CA 90023

Fort Smith,AR 72917-0048

Atlanta,GA 30319

Austin,TX 78735

Roseville,CA 95661

Boise,ID 83706

Phone: (323) 881-1253

Phone: (479) 785-6218 Fax: (479) 785-6396

Phone: (770) 850-3521

Phone: (512) 657-1408 ext 51260 Fax: (512) 602-5303

Phone: (916) 781-4614 Fax: (916) 774-7320

Phone: (208) 395-4287

Ms. Felicia Thornton

Mr. Allen King

Mr. Chris Ridge

Susan Cisneros

Tami L. Riley

William Richardson

SVP & CFO

SR Manager Risk Management

Senior Risk Management Analyst

Global HSSE manager

Director/Workers' Compensation

GVP Risk Management

2207-012-90

1920-048-01

1013-005-21

1013-005-38

1915-291-02

2061-99-01

2351-011-03

2351-99-01

2351-99-81

BROADSPIRE SERVICES, INC., BREA

ATHENS ADMINISTRATORS, CONCORD

ESIS, INC., CHATSWORTH

ESIS, INC., FREMONT

CANNON COCHRAN MANAGEMENT SERVICES, INC., IRVINE

Self Administered

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA

Self Administered

Self Administered

AMERICAN HONDA MOTOR CO., INC.

AMERISOURCEBERGEN CORPORATION

AMGEN INC.

AMSTED INDUSTRIES INCORPORATED

ANGELUS BLOCK CO., INC.

ARB, INC.

24000 Honda Parkway

1300 Morris Drive

1 Amgen Center Dr M/S 24-2-A

5600 W. 83rd Street, Ste 1100

11374 TUXFORD ST

26000 Commercentre Dr

Marysville,OH 43040

Chesterbrook,PA 19087

Thousand Oaks,CA 91320

Minneapolis,MN 55437

SUN VALLEY,CA 91352

Lake Forest,CA 92630

Phone: (937) 243-1276

Phone: (610) 727-7479

Phone: (805) 313-1290

Phone: (952) 807-0693 Fax: (847) 953-2851

Phone: (818) 767-8576 ext 132

Phone: (949) 595-5532 ext 7110 Fax: (949) 595-5532

Andy Tharp

Sharon Van Sant

Cristina M. Montijo

Ms. Rebecca Schoff

JESSICA M. SCHINDLER

Mr. John M. Perisich

WC Administrator

Director Risk Management

Manager

Sr. Consultant

CONTROLLER

2076-011-07

1186-011-03

1186-012-90

1186-170-39

2189-132-13

1709-005-21

1709-005-38

1216-048-02

2248-086-38

2248-323-02

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE



SPECIALTY RISK SERVICES, LLC, RIVERSIDE

YORK RISK SERVICES GROUP, INC., RIVERSIDE


ESIS, INC., FREMONT

ATHENS ADMINISTRATORS, ORANGE

HELMSMAN MANAGEMENT SERVICES LLC, GLENDALE

ST. PAUL FIRE AND MARINE INSURANCE CO., DIAMOND BAR

ASPLUNDH TREE EXPERT CO.

B.V. GENERAL, INC.

BALL CORPORATION

BASIC RESOURCES, INC.

BIG 5 CORP.

BOURNS, INC.

708 Blair Mill Rd

1506 S. Glendale Ave

5600 W 83rd Street, Ste 1100

928 12th Street, Ste 700

2525 E El Segundo Blvd.

1200 Columbia Ave

Willow Grove,PA 19090

Glendale,CA 91205


Modesto,CA 95354

El Segundo,CA 90245

Riverside,CA 92507

Phone: (215) 784-4487

Phone: (818) 247-6200

Phone: (952) 807-0661 Fax: (847) 953-2851

Phone: (209) 521-9771 Fax: (209) 579-9502

Phone: (310) 536-0611 ext 5122 Fax: (310) 297-7628

Phone: (951) 781-5523 Fax: (951) 781-2520

Brian C. Acker

Steven Keh

Cheryl Kabes

Casey Razma

Ms. Karen Nash

Ms. Colleen Butler

Risk Analyst

Senior Consultant

CFO

HR Manager

Vice President Human Resources

2075-012-93

2075-086-34

2289-096-51

1960-011-01

2106-195-09

2199-316-02

1369-305-01

BROADSPIRE SERVICES, INC., FRESNO

HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN

MURPHY AND BEANE INC., CULVER CITY

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA

TRISTAR RISK MANAGEMENT, FRESNO

CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA

ACME ADMINISTRATORS, INC., TEMECULA

BROADSPECTRUM DOWNSTREAM SERVICES, INC.

C.P.C.H., INC.

CALIFORNIA WATER SERVICE COMPANY

CBS OPERATIONS INC.

CEDARS-SINAI MEDICAL CENTER

CENTRAL CONCRETE SUPPLY CO., INC.

10814 Jollyville Rd, Building 4, Ste 160

32836 Pacific Coast Hwy, Ste 203

1720 N. 1st Street

51 West 52nd Street

8700 Beverly Blvd., TSB, Ste 130

331 N Main Street

Austin,TX 78759

Dana Point,CA 92629

San Jose,CA 95112

New York,NY 10019

Los Angeles,CA 90048

Euless,TX 76039-3636

Phone: (713) 964-2800 ext 2843

Phone: (949) 240-2423 ext 1014

Phone: (408) 367-8546 Fax: (408) 367-8437

Phone: (212) 975-8960 Fax: (212) 975-8960

Phone: (310) 423-5935 Fax: (310) 423-0164

Phone: (817) 835-4128 Fax: (817) 835-4162

Philip A. Tegtmeier

Jeff Daly

Ron Webb

Eugene Mellevold

Kelly Moss

Richard Maidens

General Counsel/Secretary

Controller


Senior Vice President

Workers' Compensation Manager

Director of Risk Management

2084-005-21

2084-025-05

2084-086-38

2368-048-01

2010-195-07

1893-011-05

1893-096-51

2011-195-04

2287-99-01


GALLAGHER BASSETT SERVICES INC., CORONA



TRISTAR RISK MANAGEMENT, CONCORD

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ORANGE


TRISTAR RISK MANAGEMENT, SAN DIEGO (CONVOY)

Self Administered

CERTAINTEED CORPORATION

CHEVRON CORPORATION

CHILDREN'S HOSPITAL LOS ANGELES

CHILDREN'S HOSPITAL OF ORANGE COUNTY

CITRUS VALLEY HEALTH PARTNERS, INC.

CITY OF HOPE NATIONAL MEDICAL CENTER

20 Moores Rd

6001 Bollinger Canyon Rd, A2114

4650 Sunset Blvd.

1201 W La Veta Ave

140 W. College Street

1500 East Duarte Rd

Malvern,PA 19355

San Ramon,CA 94583


Orange,CA 92868

Covina,CA 91722

Duarte,CA 91010

Phone: (610) 893-5535

Phone: (925) 842-8161 Fax: (925) 842-8185

Phone: (323) 361-6622

Phone: (714) 509-4937 Fax: (714) 509-4023

Phone: (626) 858-8541 Fax: (626) 966-9185

Phone: (626) 218-8812

Lynne Watt

Megan O'Boyle-Paraiso

Jon Steging

Antoinette Joslin-West

Deborah L. Cooper

Mr. George Vukazich

Mgr-Risk Mgmt & Insurance

Work Comp Senior Program Manager

Interim Controller

Director Financial Risk and Insurance

VP Finance

Senior Director

1777-005-21

1777-005-38

0381-012-93

1135-048-01

1448-108-04

1448-195-01

2340-316-02

1662-092-60


ESIS, INC., FREMONT



AIG CLAIMS, INC., CONCORD

TRISTAR RISK MANAGEMENT, SIGNAL HILL


ADMINSURE, INC., ONTARIO

CLOUGHERTY PACKING, LLC

COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA

COMPASS HEALTH, INC.

CONAGRA BRANDS, INC.

CONSTRUCTION PROTECTIVE SERVICES, INC.

CONTAINER SUPPLY COMPANY, INCORPORATED

3049 E. Vernon Ave

7370 N Palm Ave, Ste 103

200 South 13th Street

Eleven Conagra Drive 11-200

436 W. Walnut St.

12571 Western Ave

LOS ANGELES,CA 90058

Fresno,CA 93711

Grover Beach,CA 93433

Omaha,NE 68102

Gardena,CA 90248

Garden Grove,CA 92841

Phone: (323) 583-4621 ext 4764 Fax: (323) 586-9885

Phone: (559) 228-4297 Fax: (559) 226-1651

Phone: (805) 474-7010 Fax: (805) 474-7013

Phone: (402) 240-4491 Fax: (402) 517-3168

Phone: (310) 878-8134 ext 8134

Phone: (714) 892-8321 ext 243 Fax: (714) 892-3824

Howard Griffiths

Marcus Watkins

Timothy Hodge

Mr. Jeff Regler

William R. Babcock

Robert S. Hurtt

V.P. of Finance

Sr. Director

General

Financial Analyst

CFO

Jr.

2058-005-21

2058-316-02

2029-316-05

2328-096-51

2065-011-46

2273-152-10

2191-348-01



CORVEL ENTERPRISE COMP, INC., FOLSOM


SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK

LWP CLAIMS SOLUTIONS, INC., SACRAMENTO

RANCHO RISK SERVICES, ORANGE

COSTCO WHOLESALE CORPORATION

CROWN ENERGY SERVICES, INC.

CRST EXPEDITED, INC.

DAMERON HOSPITAL ASSOCIATION

DANSK INVESTMENT GROUP, INC.

DIGNITY HEALTH

999 Lake Drive

868 Folsom Street

201 1st St. SE

525 West Acacia Street

6591 Collins Drive Ste E-11

185 Berry Street, Ste 300

Issaquah,WA 98027

San Francisco,CA 94107

Cedar Rapids,IA 52401

Stockton,CA 95203

Moorpark,CA 93021


Phone: (425) 313-8503 Fax: (425) 427-3625

Phone: (415) 981-7080 ext 8062 Fax: (415) 651-9423

Phone: (319) 390-2761

Phone: (209) 944-5550

Phone: (805) 299-8269 Fax: (818) 475-5236

Phone: (415) 438-5516 Fax: (415) 438-5732

Mr. Anthony C. Stover

Mr. Jeff Wofford

Jason M. Steffens

Elizabeth Propp

Marina Takayan

Rachel Toro

Integrated Leave Specialist 2

CFO


Vice President & CFO

Human Resources Manager

Director WC and Risk Operations

2060-086-34

2366-025-05

2361-350-01

2094-011-46

2140-132-10

2021-011-23



COTTINGHAM & BUTLER CLAIMS SERVICES, INC., ESCALON


YORK RISK SERVICES GROUP, INC., RANCHO CUCAMONGA


DOLE FOOD COMPANY, INC.

DOLE PACKAGED FOODS, LLC

E. & J. GALLO WINERY

E. I. DU PONT DE NEMOURS AND COMPANY

EISENHOWER MEDICAL CENTER

EL CAMINO HOSPITAL

One Dole Drive

7916 W. Bellevue Rd

P.O Box 1130

974 Centre Rd, C730-4170-2

39000 BOB HOPE DRIVE

2500 Grant Rd

Westlake Village,CA 91362

Atwater,CA 95301

Modesto,CA 95354

Wilmington,DE 19805

RANCHO MIRAGE,CA 92270

Mountain View,CA 94040

Phone: (818) 879-6787

Phone: (209) 356-6112

Phone: (209) 341-3782 Fax: (209) 341-3127

Phone: (302) 999-4478 Fax: (302) 992-6728

Phone: (760) 837-8690 Fax: (760) 837-8690

Phone: (650) 940-7265

Jeffrey R. Stolle

Patricia L. Usry

Becky Castro

Faustino Aguilar

DONA CONNELLY

Matt Harris


Risk Manager

Senior Claims Mgr

Senior Treasury Analyst

CONTROLLER

Controller

1032-011-01

2337-011-13

1746-99-19

0491-012-87

2134-011-22

2221-334-01


SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON

Self Administered

BROADSPIRE SERVICES, INC., FOLSOM

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ENCINO

AMERICAN CLAIMS MANAGEMENT, INC., SAN DIEGO

ENSIGN SERVICES, INC.

EPISCOPAL SENIOR COMMUNITIES

ESKATON PROPERTIES, INCORPORATED

ESPARZA ENTERPRISES, INC.

EXPRESS MESSENGER SYSTEMS, INC.

FARMER BROS. CO.

27101 Puerta Real, #450

2185 N. California Blvd. Ste 575

5105 Manzanita Ave

3851 Fruitvale Ave

2501 S. Price Rd Ste 201

1912 Farmer Brothers Drive

Mission Viejo,CA 92691

Walnut Creek,CA 94596

Carmichael,CA 95608-0598

Bakersfield,CA 93308

Chandler,AZ 85286

Northlake,TX 76262

Phone: (949) 487-9500 ext 1220

Phone: (925) 956-7446 Fax: (925) 871-4030

Phone: (916) 334-0810 ext 1134

Phone: (661) 831-0002

Phone: (602) 333-4470 Fax: (602) 333-4530

Phone: (682) 549-6667 ext 5167 Fax: (682) 730-9756

Ms. Suzanne Snapper

Ms. Diana Jamison

Kenneth J. Fisher

Luis M. Esparza

Mary Ann Clarke

Lynda Shue

CFO

Chief Financial Officer

Workers' Compensation Director

CEO/President



2311-132-11

1562-048-01

2182-132-01

2299-343-02

2356-025-04

2356-190-01

2356-190-02

1530-011-09

YORK RISK SERVICES GROUP, INC., ORANGE


YORK RISK SERVICES GROUP, INC., ROSEVILLE

PACIFIC CLAIMS MANAGEMENT, FRESNO

GALLAGHER BASSETT SERVICES INC., RANCHO CUCAMONGA

THE ZURICH SERVICES CORPORATION, WOODLAND HILLS

THE ZURICH SERVICES CORPORATION, SAN FRANCISCO

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH

FARMERS' RICE COOPERATIVE

FEDERAL EXPRESS CORPORATION

FLYERS ENERGY, LLC

FORD MOTOR COMPANY

FOSTER POULTRY FARMS

PO Box 15223

3620 Hacks Cross Rd, Bldg. B, 3rd Floor

2360 Lindbergh Street

16800 Executive Plaza Drive South 6th Floor

1000 Davis St

Sacramento,CA 95851

Memphis,TN 38125

Auburn,CA 95602

Dearborn,MI 48126-4207

Livingston,CA 95334

Phone: (916) 923-5100 Fax: (916) 923-5100

Phone: (901) 434-4557 Fax: (901) 434-4585

Phone: (530) 885-0401 ext 2129 Fax: (530) 885-2257

Phone: (313) 248-7880 Fax: (313) 322-9168

Phone: (209) 668-6943

Bill Tanimoto

Gael R. Johnson

Linda I. Jacobson

Alan S. Gorosh

Brett Kirkham

CFO

Sr. Risk Analyst

Risk Manager

Managing Counsel

1956-269-02

2091-011-01

2091-011-46

2203-025-11

2203-086-35

0611-005-21

0611-005-38

0611-086-34

0611-99-03

1541-99-06

INNOVATIVE CLAIM SOLUTIONS, SAN RAMON



GALLAGHER BASSETT SERVICES INC., SACRAMENTO-REGIONAL

HELMSMAN MANAGEMENT SERVICES LLC, ORANGE


ESIS, INC., FREMONT


Self Administered

Self Administered

FREEDOM PROPERTIES-HEMET, LLC

FRONT PORCH COMMUNITIES AND SERVICES

FRY STEEL COMPANY

GAR LABORATORIES INC.

GENERAL DYNAMICS CORPORATION

GENERAL MOTORS LLC

27122 B Paseo Espada, #1024

800 North Brand Blvd. 19th Floor

13325 Molette Streetl

15901 Red Hill Ave, Ste 100

P.O. Box 85278

300 Galleria Office Centre, Ste 200

San Juan Capistrano,CA 92675

Glendale,CA 91203

Santa Fe Springs,CA 90670

Tustin,CA 92780

SAN DIEGO,CA 92186

Southfield,MI 48034

Phone: (949) 489-0430

Phone: (818) 254-4160 Fax: (818) 254-4161

Phone: (562) 802-2721 ext 211 Fax: (562) 921-3652

Phone: (771) 482-4838 Fax: (714) 573-1770

Phone: (619) 544-8862 Fax: (619) 544-8708

Phone: (586) 459-3542

Cheryl Roskamp

Ms. Desiree A. Burton

Stephen T. Fry

Norman G. Hainlen

Louise Holleran

Susan Azar

CFO

SVP Human Resources

President/CEO

Director Alternative Risk Financing


WC Manager

2288-305-01

2278-012-90

2278-096-51

1902-132-10

2367-048-02

0857-005-21

0857-99-01

0291-011-07







Self Administered


GILLIG LLC

GOLDEN EAGLE MANAGEMENT, LLC

GOLDEN STATE WATER COMPANY

GOOD SAMARITAN HOSPITAL

GOODWILL INDUSTRIES OF SAN DIEGO COUNTY

GOODWILL INDUSTRIES OF SAN FRANCISCO, SAN MATEO, AND MARIN COUNTIES, INC.

451 Discovery Drive

2775 Via de la Valle, Ste 200

630 E. Foothill Blvd.

1225 Wilshire BLVD

3663 Rosecrans St


Livermore,CA 94551

Del Mar,CA 92014

San Dimas,CA 91773


San Diego,CA 92110


Phone: (510) 264-4432

Phone: (858) 755-1069 ext 2540 Fax: (858) 755-1802

Phone: (909) 394-3600 ext 614 Fax: (909) 394-1382

Phone: (213) 977-2235 Fax: (213) 202-7025

Phone: (619) 225-2200 Fax: (619) 523-0438

Phone: (952) 807-0671 Fax: (847) 953-2851

Mr. Donald Stewart

Dan Ukkestad

David Carl

Sam Nabulsi

Mr. Scott Fyson

Paula Greve

VP - CFO

Trustee

Risk Analyst

Director of Workers' Compensation

Controller

Sr. Compliance Consultant

2329-197-05

2335-236-01

2043-011-03

0829-132-11

1040-316-03

2344-048-01

JT2 INTEGRATED RESOURCES, OAKLAND

ACCELERATED CLAIMS SERVICES, INC., ORANGE



CORVEL ENTERPRISE COMP, INC., SAN DIEGO


GOODWILL INDUSTRIES OF SOUTHERN CALIFORNIA

GRIMMWAY ENTERPRISES, INC.

GRUNDFOS PUMPS MANUFACTURING CORPORATION

GUY YOCOM CONSTRUCTION, INC.

HARRIS FARMS, INC.

HARVARD-WESTLAKE SCHOOL

342 N. San Fernando Rd

P. O. Box 81498

5900 W Shields Ave

3299 Horseless Carriage Lane, Ste H

RR 1, Box 400

3700 Coldwater Canyon


Bakersfield,CA 93380-1498

Fresno,CA 93727

Norco,CA 92860

Coalinga,CA 93210

Studio City,CA 91604

Phone: (323) 223-1211

Phone: (661) 855-8526 Fax: (661) 854-5149

Phone: (559) 294-3023

Phone: (951) 284-3456 Fax: (866) 482-2129

Phone: (559) 896-3081 ext 5242 Fax: (866) 595-7721

Phone: (818) 487-6606 Fax: (818) 487-5402

Nancy C. Buvinger

Ms. Cherie W. Johnson

Gunjan Batth

Jeff Doan

Michael J. Casey

Yutopia K. Essex

Director of Employee Relations


Finance manager

CEO

VP Human Resources/Risk Mgmt

Benefits Administrator

0820-195-01

2160-195-09

2277-195-09

2358-132-14

2169-195-09

2301-152-11




YORK RISK SERVICES GROUP, INC., VALENCIA


LWP CLAIMS SOLUTIONS, INC., GLENDALE

HAZELDEN BETTY FORD FOUNDATION

HEARTLAND EMPLOYMENT SERVICES, LLC

HEARTLAND EXPRESS INC. OF IOWA (SUCCESSOR TO INTERSTATE DISTRIBUTOR CO.)

HEAVENLY VALLEY, LIMITED PARTNERSHIP

HEWLETT PACKARD ENTERPRISE COMPANY

HOAG MEMORIAL HOSPITAL PRESBYTERIAN, THE

39000 Bob Hope Drive

333 N. Summit Street - Floor 7

901 N. Kansas Ave

390 Interlocken Crescent Ste 1000

3000 Hanover Street, Mail Stop 2217

500 Superior Ave suite 200

Rancho Mirage,CA 92270

Toledo,OH 43604

North Liberty,IA 52317

Broomfield,CO 80021

Palo Alto,CA 94304

Newport Beach,CA 92663

Phone: (760) 773-4127 Fax: (760) 837-8353

Phone: (419) 254-5442 Fax: (419) 254-5133

Phone: (319) 626-3600 Fax: (319) 626-3311

Phone: (303) 404-1885 Fax: (303) 404-6415

Phone: (650) 857-8232

Phone: (949) 764-1429

Kathy Peffers

Bruce M. Helberg

Gary L. King

Ms. Tracy Venter

Rita Kho

Benjamin Huang

Associate HRBP

Director-Risk Management

Vice Pres Safety & H/R

Sr. Occupational Health Manager

Director of Accounting

2298-011-22

2298-254-03

2177-025-02

2177-195-04

2291-011-01

2305-025-11

2360-011-46

2360-254-01

2360-254-03

1274-271-01


CONSTITUTION STATE SERVICES LLC, DIAMOND BAR

GALLAGHER BASSETT SERVICES INC., ORANGE





CONSTITUTION STATE SERVICES LLC, WALNUT CREEK


CLAIMQUEST, INC., WALNUT

HOME DEPOT U.S.A., INC.

HP INC. WHICH WILL DO BUSINESS IN CA AS HP COMPUTING AND PRINTING INC.

INTEL CORPORATION

J. G. BOSWELL COMPANY

J.T. WIMSATT CONTRACTING CO., INC.

JOHN MUIR HEALTH

2455 Paces Ferry Rd NW C-20

1501 Page Mill Rd

2200 Mission College Blvd, RN6-46

710 Bainum Ave

28064 Ave Stanford, Ste B

1400 Treat Blvd.

Atlanta,GA 30339

Palo Alto,CA 94304

Santa Clara,CA 95054

Corcoran,CA 93212

Valencia,CA 91355

Walnut Creek,CA 94597

Phone: (770) 433-8211

Phone: (650) 857-3187

Phone: (408) 765-3494

Phone: (559) 992-2141

Phone: (661) 775-8090 ext 152 Fax: (661) 775-8099

Phone: (925) 947-4490

James D. Bramlett

Kevin A. Jones

Angie Cadiente

James G. Wadsworth

Ryan Yeakle

Lisa Foust


Program Manager

Risk Management Analyst

Vice President

Controller

SVP Human Resources

2230-086-34

1747-011-46

2078-011-13

2025-011-14

2334-025-05

1799-291-01






CANNON COCHRAN MANAGEMENT SERVICES, INC., CONCORD

JOHNS MANVILLE

JOHNSON MACHINERY CO.

KAISER FOUNDATION HEALTH PLAN, INC.

KAISER FOUNDATION HOSPITALS

KERN RIDGE GROWERS, LLC

PO Box 5108

PO BOX 351

One Kaiser Plaza 25th Floor


14322 DiGiorgio Rd

Denver,CO 80217-5108

Riverside,CA 92507

Oakland,CA 94612

Oakland,CA 94612

Arvin,CA 93203

Phone: (303) 978-4662 Fax: (866) 743-3357

Phone: (951) 774-3203 Fax: (951) 682-4236

Phone: (510) 267-5394 Fax: (510) 271-6339

Phone: (510) 267-5394 Fax: (510) 271-6339

Phone: (661) 854-3141 ext 119 Fax: (661) 854-7229

Ms. Mary Ann Loonam

Kevin Kelly

Ms. Debbie Ehsan

Debbie Ehsan

Nick Giragosian

Sr. WC Administrator

Executive Vice President/CFO

Sr. Manager

Sr. Manager

Controller

1760-005-21

1760-005-38

2083-265-01

1053-011-09

1053-011-10

1053-011-20

1054-011-09

1054-011-10

1054-011-20

2312-146-02


ESIS, INC., FREMONT

HUTCH AND SON, SIMI VALLEY


SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ROSEVILLE

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., OAKLAND-WEBSTER




ACCLAMATION INSURANCE MANAGEMENT SERVICES, FRESNO

KIEWIT INFRASTRUCTURE WEST CO.

KING'S SEAFOOD COMPANY, LLC

KLLM TRANSPORT SERVICES, LLC

KNAUF INSULATION, INC.

KNIGHT TRANSPORTATION, INC. WHICH WILL DO BUSINESS IN CALIFORNIA AS ARIZONA KNIGHT TRANSPORTATION, INC.

L BRANDS, INC.

Kiewit Plaza

15901 Red Hill Ave, Ste 100

134 Riverside Drive

1 Knauf Drive

c/o Knight Transporatation, Inc.

5600 W 83rd Street, Ste 1100

5600 West 83rd Street, Ste 1100

Omaha,NE 68131

Tustin,CA 92780

Richland,MS 39218

Shelbyville,IN 46176



Phone: (402) 271-2862 Fax: (402) 271-2997

Phone: (771) 482-4838 Fax: (714) 573-1770

Phone: (601) 933-4948 Fax: (601) 936-5638

Phone: (317) 421-8579

Phone: (952) 807-0693 Fax: (847) 953-2851

Phone: (952) 807-0671 Fax: (847) 953-2851

Ms. Debra Prochaska

Norman G. Hainlen

Terry Thornton

Amanda Simpson

Rebecca Schoff

Paula Greve

Claims Analyst

Director Alternative Risk Financing

CFO

Administrator

Sr. Compliance Consultant

2157-011-03

2157-011-13

2365-048-02

2129-291-02

2275-086-34

2257-152-11

2233-025-04







GALLAGHER BASSETT SERVICES INC., RANCHO CUCAMONGA

L.F.P., INC.

LA-Z-BOY, INCORPORATED

LANCE CAMPER MFG. CORP.

LBC LIMITED PARTNERSHIP

LEPRINO FOODS COMPANY

LES SCHWAB TIRE CENTERS OF CALIFORNIA, INC.

8484 Wilshire Blvd., Ste 900

PO Box 8880

43120 Venture Street

234 Quadrum Dr.

1830 W. 38th Ave

PO Box 5350

Beverly Hills,CA 90211

Redlands,CA 92375-2080

Lancaster,CA 93535

Oklahoma City,OK 73108

Denver,CO 80211

Bend,OR 97708-5350

Phone: (323) 651-5400 ext 7216 Fax: (323) 651-1148

Phone: (909) 793-3204 ext 85412 Fax: (909) 793-3671

Phone: (661) 949-3322 ext 232 Fax: (661) 723-8458

Phone: (405) 951-1392 Fax: (405) 671-2763

Phone: (303) 480-2834 Fax: (303) 480-2874

Phone: (541) 416-5412 Fax: (541) 416-5367

Soheila Ataei

Pablo Garcia

Bob Cumming

Mr. Charles Folkner

Doug Jones

Mr. Corey J. Parks

Head of Human Resources

Plant Controller

CFO, Controller

Risk Manager

Assoc. Dir. Enterprise Risk Mgmt.

Executive Vice President & CAO

2281-316-02

2046-011-07

2147-099-01

2320-305-01

1986-128-15

2302-011-13



Self Administered


MATRIX ABSENCE MANAGEMENT, INC., SAN JOSE


LEVI STRAUSS & CO.

LION FARMS L.L.C.

LION RAISINS, INC.

LOCKHEED MARTIN CORPORATION

LOMA LINDA UNIVERSITY

LOS ANGELES JEWISH HOME FOR THE AGING

1155 Battery Street

P.O. Box 1350

P.O. Box 1350

1011 Lockheed Way MZ 1045

101 E. Redlands Blvd

7150 Tampa Ave


Selma,CA 93662

Selma,CA 93662

Palmdale,CA 93599

San Bernardino,CA 92408

Reseda,CA 91335

Phone: (415) 501-6194

Phone: (559) 834-6677 ext 132

Phone: (559) 834-6677 ext 132

Phone: (661) 572-4017 Fax: (661) 572-4873

Phone: (909) 651-4014 Fax: (909) 651-4107

Phone: (818) 757-4455

Aida Orphan

Suzie Keller

Ms. Suzie Keller

Delores J. Morris

Mark Hubbard

Alyssa Alderman

Director Global Risk Management

Controller

Controller

W.C. Administrator

Sr. VP Administration Risk Mgmt

Director of Human Resources

1605-005-21

1605-005-38

2331-146-02

2308-146-02

1821-005-21

1821-086-38

1821-254-03

1095-108-52

1095-99-01

2005-343-02


ESIS, INC., FREMONT






AIG CLAIMS, INC., SAN DIEGO

Self Administered


LOUISIANA-PACIFIC CORPORATION

LOWE'S HOME CENTERS, LLC

LUXFER INC.

LYFT, INC.

M. C. M. CONSTRUCTION, INC.

MACY'S RETAIL HOLDINGS, INC.

805 SW Broadway #1000

1000 Lowes Blvd Mail Code NB3RM

3016 Kansas Ave

185 Berry Street, Ste 5000

P.O. Box 620

7 WEST SEVENTH STREET

Portland,OR 97205

Mooresville,NC 28117

Riverside,CA 92507


North Highlands,CA 95660

CINCINNATI,OH 45202

Phone: (503) 821-5289 Fax: (503) 821-5313

Phone: (704) 758-3351

Phone: (714) 785-3775

Phone: (408) 892-1168 Fax: (408) 892-1168

Phone: (916) 334-1221 Fax: (916) 334-1221

Phone: (513) 579-7065 Fax: (513) 579-7068

Mr. Guy Boileau

Steven Dowell

Eileen Mosman

Joseph Hurley

Alfred A. Anderson

DAVID KANAREK

Workers' Compensation Claims Manager

Risk Management Administrator

Corporate Controller

Manager Risk Solutions

Treasurer/Controller

DIRECTOR-RISK MANAGEMENT

1439-291-01

2284-011-09

1955-132-13

2353-005-21

2353-005-38

2353-025-12

2096-190-03

0911-351-01

0911-99-01





ESIS, INC., FREMONT

GALLAGHER BASSETT SERVICES INC., ROSEVILLE

THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA

OAK RIVER INSURANCE COMPANY, SAN DIEGO

Self Administered

MARKSTEIN BEVERAGE CO. OF SACRAMENTO

MARRIOTT INTERNATIONAL, INC.

MASCO CORPORATION

MCCLATCHY NEWSPAPERS, INC.

MCWANE, INC.

MEMORIAL HEALTH SERVICES

60 Main Ave

10400 Fernwood Rd, Dept. 52/924.36

17450 College Parkway

3511 NW 91st Ave

2900 Highway 280, Ste 300

17360 Brookhurst Street

Sacramento,CA 95838

Bethesda,MD 20817

Livonia,MI 48152

Doral,FL 33172

Birmingham,AL 35223

Fountain Valley,CA 92708

Phone: (916) 920-9070 ext 307 Fax: (916) 920-4875

Phone: (301) 370-4450 Fax: (301) 644-7518

Phone: (313) 792-6086 Fax: (313) 792-6613

Phone: (305) 376-3913 Fax: (305) 740-4113

Phone: (205) 414-3100 ext 3110 Fax: (205) 414-3170

Phone: (714) 377-3255 Fax: (714) 377-3269

Ms. Denise Pulver

Steve Huy

Sue Campion

Toni J. Cattell

Bonita S. Flippo

Monique Johnson, Pharm.D.

VP/Admin

Compliance Analyst

Manager - Casualty Risk

Risk Manager& Special Project Leader

AVP- Risk Management

Pharmacist Manager

2120-012-87

1830-025-11

1830-99-99

1780-011-03

1780-195-04

1780-254-03

2143-132-06

1787-005-21

1052-062-01

BROADSPIRE SERVICES, INC., FOLSOM


Self Administered




YORK RISK SERVICES GROUP, INC., STOCKTON


KEENAN & ASSOCIATES, TORRANCE

MERCHANTS BUILDING MAINTENANCE COMPANY

METHODIST HOSPITAL OF SOUTHERN CALIFORNIA

MONTAGE HEALTH

MONTEREY MUSHROOMS, INC.

MORRIS CERULLO WORLD EVANGELISM

MV TRANSPORTATION, INC.

1190 Monterey Pass Rd

300 W Huntington Drive

23625 Holman Highway

260 Westgate Dr.

3545 Aero Court

2024 College St

Monterey Park,CA 91754

Arcadia,CA 91007

Monterey,CA 93940

Watsonville,CA 95076

San Diego,CA 92123

Elk Horn,IA 51531

Phone: (323) 881-6701

Phone: (626) 821-2310 Fax: (626) 574-3767

Phone: (831) 625-4500

Phone: (831) 763-5300 ext 352 Fax: (831) 763-9300

Phone: (858) 277-2200 ext 2234 Fax: (858) 277-2200

Phone: (712) 764-3758

Krista Haas

William Grigg

Mr. Tim Nylen

Robert Jenkins

Mr. Roger Artz

Sean T. Smith

Chairwoman

SVP & CFO

Vice President

CFO

SVP of Development

Ins Manager

1793-271-01

1086-271-01

1698-048-01

2188-146-02

2293-305-01

2350-012-93







NORDSTROM, INC.

OPTICAL COATING LABORATORY, LLC

ORORA PACKAGING SOLUTIONS

OUT OF THE SHELL, LLC

OWENS-ILLINOIS, INC.

PACCAR INC.

PO Box 25799

2789 Northpoint Parkway

6600 Valley View Street

9646 Remer Street

One Michael Owens Way, Plaza Two

777 106th Ave NE

Santa Ana,CA 92799

Santa Rosa,CA 95407

Buena Park,CA 90602

South El Monte,CA 91733

Perrysburg,OH 43551

Bellevue,WA 98004

Phone: (714) 513-4771 ext 4766 Fax: (714) 513-4778

Phone: (170) 752-5777 ext 0

Phone: (714) 562-6102 Fax: (714) 562-2010

Phone: (626) 401-1923 Fax: (626) 401-1925

Phone: (567) 336-2064 Fax: (567) 336-7602

Phone: (425) 468-7939 Fax: (425) 468-8206

Mr. Steve Tolan

Diana L. Boettcher

Coleen Bentley

Bing Yang

Michelle E. Molnar

DeeAnne Flegel

Director of Workers Compensation

EHS Specialist

Vice President-Human Resources

President

Manager Workers' Compensation

Mgr. Workplace Absence Programs

2015-108-52

2015-99-01

1804-025-01

1882-048-02

2342-092-60

1237-025-13

1655-011-05


Self Administered

GALLAGHER BASSETT SERVICES INC., GOLD RIVER



GALLAGHER BASSETT SERVICES INC., SAN DIEGO


PACIFIC GAS AND ELECTRIC COMPANY

PACIFIC RISK MANAGEMENT, LLC

PACIFIC UNION CONFERENCE OF SEVENTH-DAY ADVENTISTS

PARCO, INC.

PARKER-HANNIFIN CORPORATION

PARKING CONCEPTS, INC.

77 Beale St Mail Code BJ6, Room 643D

7060 N. Marks Ave, #118

P. O. Box 1052

1801 S Archibald Ave

6035 Parkland Blvd

12 Mauchly, Building I


Fresno,CA 93711

Redlands,CA 92373

Ontario,CA 91761

Cleveland,OH 44124-4141

Irvine,CA 92618

Phone: (415) 973-6155 Fax: (415) 973-7828

Phone: (559) 432-9400

Phone: (909) 556-2279

Phone: (909) 947-3540 ext 235

Phone: (216) 896-2417 Fax: (216) 896-4043

Phone: (949) 864-3498

James P. McMorrow

Jerry Laval

Mr. Arthur F. Blinci

Kevin Fremgen

Curtis Gross

Ulla Bjorkqvist

Manager IDM Compliance QA

Plan Administrator

Controller

Risk Manager


0012-99-01

0012-99-05

2362-343-02

2042-011-46

1944-271-01

0912-146-08

2354-128-15

Self Administered

Self Administered




ACCLAMATION INSURANCE MANAGEMENT SERVICES, VALENCIA


PASADENA HOSPITAL ASSOCIATION, LTD.

PEBBLE BEACH COMPANY

PETERSEN-DEAN, INC.

PETERSON BROTHERS CONSTRUCTION, INC.

PIH HEALTH HOSPITAL - DOWNEY

PIH HEALTH HOSPITAL - WHITTIER

100 W California Blvd

Seventeen Mile Drive

39300 Civic Center Drive, Ste 300

1560 W. Lambert Rd

12401 Washington Blvd.

12401 Washington Blvd.

Pasadena,CA 91109

Pebble Beach,CA 93953

Fremont,CA 94538

Brea,CN 92821

Whittier,CA 90602

Whittier,CA 90602

Phone: (626) 397-3904 Fax: (626) 397-2195

Phone: (831) 649-2718 Fax: (831) 373-8845

Phone: (510) 371-6555

Phone: (714) 989-2934 Fax: (714) 784-3548

Phone: (562) 698-0811 ext 12359 Fax: (562) 789-4350

Phone: (562) 698-0811 ext 12359 Fax: (562) 789-4350

Gina Imbrenda

Yolanda R. Belton

Mr. George Milionis

Hillary Moore

Ines Escobedo

Ines Escobedo

Director Human Resources


General Counsel

Admin Manager

Work Comp Specialist

Work Comp Specialist

1663-011-22

2249-239-09

2371-011-46

2326-305-01

2072-048-02

1457-048-02


INTERCARE HOLDINGS INSURANCE SERVICES, INC., SALINAS





PILKINGTON NORTH AMERICA, INC.

PITMAN FAMILY FARMS

POMONA VALLEY HOSPITAL MEDICAL CENTER

PROSPECT MEDICAL HOLDINGS, INC.

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

PRUDENTIAL OVERALL SUPPLY

2401 East Broadway Street

1075 North Ave

1798 N. Garey Ave

3415 S. Sepulveda Blvd., 9th Floor

2001 Lind Ave SW - 5th Floor

1661 Alton Pkwy

Northwood,OH 43619

Sanger,CA 93657

Pomona,CA 91767

Los Angeles,CA 90034-6060

Renton,WA 98057

Irvine,CA 92606

Phone: (419) 247-4716

Phone: (559) 250-0258

Phone: (909) 469-9342 Fax: (909) 397-0453

Phone: (424) 369-8446

Phone: (425) 525-3134

Phone: (949) 250-4855 ext 216 Fax: (949) 261-1118

Elizabeth Feltman

Richard Pitman

Ms. Jennifer Bell

Ms. Maureen Archambault

Schandra Wiltse

Mr. Jim Murray

Regional Manager - NA Finance Shared Services

President

Workers Comp Manager

Senior VP/Risk Management & Insurance

Compliance Analyst

Sec/Treasurer

2179-011-13

2338-343-02

1581-092-60

2375-316-02

2245-011-05

1788-195-01







RALEY'S

RECOLOGY, INC.

REDLANDS COMMUNITY HOSPITAL

ROBERTSON'S READY MIX, LTD.

ROCKWELL COLLINS, INC.

ROMAN CATHOLIC BISHOP OF SACRAMENTO

500 West Capitol Ave

50 California St., 24th Floor

350 Terracina Blvd

200 South Main Street, Ste 200

400 Collins Rd NE

2110 Broadway

Sacramento,CA 95605


Redlands,CA 92373

Corona,CA 92882

Cedar Rapids,IA 52498

Sacramento,CA 95818-2541

Phone: (191) 637-3621 ext 4

Phone: (415) 875-1174

Phone: (909) 335-6440 Fax: (909) 335-6440

Phone: (951) 493-6495 Fax: (951) 493-6495

Phone: (319) 295-4442 Fax: (319) 295-0020

Phone: (916) 733-0288 Fax: (916) 733-0295

Fiona Williams

Mr. Mark Lomele

Lisa K. Guzman

Steven G. Walthers

Richard T. Siefers

Mr. Thomas J. McNamara

Senior Risk Manager

Executive VP& CFO


Director Insurance/Risk Management


2054-316-05

2239-316-05

1841-239-06

2173-132-13

2255-025-05

1400-152-10



INTERCARE HOLDINGS INSURANCE SERVICES, INC., GLENDALE




ROOTER HERO PLUMBING, INC.

ROSEBURG FOREST PRODUCTS CO.

S.K.B. CORPORATION

SAN ANTONIO REGIONAL HOSPITAL

SANDIA CORPORATION

SANTA BARBARA COTTAGE HOSPITAL

11150 Sepulveda Blvd., Ste 2A

3660 Gateway St.

434 W. Levers Place

999 San Bernardino Rd

P.O. Box 696, MS 9112

P.O. Box 8180

Mission Hills,CA 91345

Springfield,OR 97477

Orange,CA 92867

Upland,CA 91786

Livermore,CA 94551

Goleta,CA 93118

Phone: (818) 301-1442

Phone: (541) 679-3311

Phone: (714) 306-7199

Phone: (909) 920-6103 Fax: (909) 949-1774

Phone: (925) 294-3501 Fax: (925) 294-2392

Phone: (805) 879-8958

Mr. George Asatryan

Marty Daley

Steve Kottman

Wah-Chung Hsu

Morgan Edwinson

Susanna Cumming

Controller

Sr. VP of Finance/CFO

CEO

Vice President - Finance CFO

Manager Health Care

Accounts Payable

2372-239-06

2114-291-02

2285-195-01

1674-271-01

0767-291-01

1579-011-22







SATICOY LEMON ASSOCIATION

SAVE MART SUPERMARKETS

SCHMIDBAUER LUMBER, INC.

SCHNEIDER NATIONAL CARRIERS, INC.

SCHNITZER STEEL INDUSTRIES, INC.

SCRIPPS HEALTH

P.O. BOX 46

1800 Standiford Ave

P.O. Box 152

3101 S. Packerland Dr.

299 SW Clay st, STE 350

4275 Campus Point Ct.

SANTA PAULA,CA 93061

Modesto,CA 95350

Eureka,CA 95502

Green Bay,WI 54313

Portland,OR 97201

San Diego,CA 92121

Phone: (805) 654-6535

Phone: (209) 574-6676

Phone: (707) 443-7024 Fax: (707) 443-2356

Phone: (920) 592-3071 Fax: (920) 403-8984

Phone: (503) 323-2812 Fax: (503) 471-4613

Phone: (858) 678-6521 Fax: (858) 678-6565

JERRY POGORZELSKI

John Norman

Mr. Arvid E. Lacy

Amy Deprey

Stephanie Roe

Ms. Susanna Walden

CFO

Sr. Director of RIsk and LP

CFO

Risk Insurance Analyst

WC Manager

Abs Mgmt Plan Administrator

2192-132-14

1812-316-05

2049-132-01

2240-086-38

2240-254-01

2141-005-21

2141-005-38

1739-011-07



YORK RISK SERVICES GROUP, INC., ROSEVILLE




ESIS, INC., FREMONT


SECURITAS SECURITY SERVICES USA, INC.

SEMPRA ENERGY

SENECA FAMILY OF AGENCIES

SIERRA PACIFIC INDUSTRIES

SIMPSON MANUFACTURING CO., INC.

4330 Park Terrace Drive

555 W. 5th Street, GT16C0

255 Great Valley Parkway - Ste 200

PO Box 496011

5956 W. Las Positas Blvd

Westlake Village,CA 91361


Malvern,PA 19355

Redding,CA 96049-6011

Pleasanton,CA 94588

Phone: (818) 706-4253 Fax: (818) 706-5601

Phone: (213) 244-3099 Fax: (213) 536-2231

Phone: (610) 647-4466 Fax: (610) 647-0662

Phone: (530) 378-8290 Fax: (530) 378-8285

Phone: (925) 560-9000

Ms. Ma Asuncion A. Agawin

Ms. James K. Rapose

Ms. Caryn A. Riffl

Ms. Janet Jennings

Jeffrey E. Mackenzie

Senior Financial Analyst

ECS Manager

Chief Operating Officer


Vice President

1532-005-21

1532-011-22

1532-012-90

0133-99-01

0133-99-02

0133-99-03

2341-048-01

1287-99-01

1840-011-46




Self Administered

Self Administered

Self Administered


Self Administered


SMART & FINAL INC.

SOCIAL VOCATIONAL SERVICES, INC.

SOLAR TURBINES, INCORPORATED

SOLARCITY CORPORATION

SONY ELECTRONICS INC.

SOUTHERN CALIFORNIA EDISON COMPANY

600 Citadel Drive

3555 Torrance Blvd.

100 NE Adams St.

444 DeHaro Street

16535 Via Esprillo

P.O. Box 5038

Commerce,CA 90040

Torrance,CA 90503

Peoria,IL 61629


San Diego,CA 92127

Rosemead,CA 91770

Phone: (323) 869-7751

Phone: (310) 944-3303 ext 139 Fax: (310) 944-3947

Phone: (309) 675-0967

Phone: (415) 636-9334

Phone: (858) 942-2761

Phone: (626) 302-5685 Fax: (626) 571-4259

Eugene M. Smith

Susan Barr

Frank M. Totton

Anthony Retort

Kerwin H. Brown

John A. Smolk

Vice President & Treasurer

Director of Finance

U.S. Workers Comp Manager

Associate Director Risk Management

Director/Corporate ESH

Principal Manager

0797-011-09

0797-108-52

2355-190-03

0990-086-34

0990-99-28

2357-086-34

2109-048-01

0014-99-01



THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA


Self Administered



Self Administered

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (A PARTNERSHIP)

SOUTHERN CALIFORNIA PIZZA COMPANY, LLC

SOUTHERN CALIFORNIA PRESBYTERIAN HOMES

SOUTHWEST GAS CORPORATION

SPACE EXPLORATION TECHNOLOGIES CORP.

SSA CONTAINERS, INC.


255 Great Valley Parkway - Ste 200

516 Burchett Street

5241 Spring Mountain Rd

1030 15th Street, NW #220E

1131 S.W. Klickitat Way

Oakland,CA 94612

Malvern,PA 19355

Glendale,CA 91203

Las Vegas,NV 89150

Washington,DC 20005

Seattle,WA 98134

Phone: (510) 276-5394 Fax: (510) 271-6339

Phone: (610) 647-4466 Fax: (610) 647-0662

Phone: (818) 638-4571 Fax: (818) 549-0761

Phone: (702) 876-7017 Fax: (702) 367-8164

Phone: (202) 649-2731 Fax: (202) 649-2701

Phone: (206) 623-0304

Debbie Ehsan

Ms. Caryn A. Riffl

Anika Hartounian

Brad Anderson

Candace Lee

Tom Scherting

Sr. Manager


VP of Finance

Manager/Risk Management

Risk Manager

1056-011-09

1056-011-10

1056-011-20

2369-048-01

1166-011-13

2102-195-04

2352-316-09

2215-151-10

2215-337-01







CORVEL ENTERPRISE COMP, INC., SANTA ANA

METRO RISK MANAGEMENT, LONG BEACH

TUELL & ASSOCIATES, INC., OAKLAND

STARBUCKS CORPORATION

SUPERIOR READY MIX CONCRETE L.P.

SUTTER HEALTH

SWIFT TRANSPORTATION CO. OF ARIZONA, LLC

TARGET CORPORATION

TARZANA TREATMENT CENTER, INC.

2401 Utah Ave South

1508 W. Mission Rd

P.O. Box 160066


5600 W. 83rd St. Ste 1100

18646 Oxnard Street

Seattle,WA 98134

Escondido,CA 92029

Sacramento,CA 95816



Tarzana,CA 91356

Phone: (206) 318-4850

Phone: (760) 745-0556 ext 1107

Phone: (916) 561-6550

Phone: (952) 807-0787 Fax: (847) 953-2851

Phone: (952) 807-0701 Fax: (847) 953-2851

Phone: (818) 996-1051 ext 1124 Fax: (818) 345-3778

Vianney Muse

Mr. Arnold L. Veldkamp

Hsu Ling Tan

Nancy Allison

Laurene Dufault

Mr. Albert Senella

Senior Risk Analyst

Secretary

Risk Financing Director

RIsk Analyst

Consultant - Risk Consulting

President/Chief Operating Officer

2268-011-05

2286-195-04

1993-189-01

2321-005-38

2321-025-11

2138-011-46

2310-092-60



SUTTER HEALTH TOTAL HEALTH & PRODUCTIVITY MANAGEMENT, SACRAMENTO

ESIS, INC., FREMONT




TEICHERT, INC.

TENET HEALTHCARE CORPORATION

TEXTRON INC.

THE AMERICAN NATIONAL RED CROSS

THE ARC OF SAN DIEGO

THE DAVEY TREE EXPERT COMPANY

3500 American River Drive

1445 Ross Ave, Ste 1445

5600 W 83rd Street - Ste 1100

431 18th Street NW

3030 Market Street

1500 N Mantua St

Sacramento,CA 95851

Dallas,TX 75202


Washington,DC 20006

San Diego,CA 92102

Kent,OH 44240

Phone: (916) 484-3251 Fax: (916) 484-0794

Phone: (469) 893-6545 Fax: (469) 893-7545

Phone: (952) 807-0644 Fax: (847) 953-2851

Phone: (202) 303-7808

Phone: (619) 685-1175

Phone: (330) 673-9515 ext 8251 Fax: (330) 676-6711

Regina Ruffin

Michael L. DeWitt

Lori Urbanski

Muluneh Woldetsadik

Mr. David Schneider

Ms. Elizabeth A. Heritage

Risk Manager

Vice President

Consultant

Lead Analyst

CEO

Administration Manager Corp Safety

1867-086-34

2152-011-03

2152-011-13

1359-012-90

2181-011-46

2181-012-93

2290-336-01

2200-005-21

2200-086-34







ALLIANT SPECIALTY INSURANCE SERVICES, INC., SAN DIEGO



THE DIXIE GROUP, INC.

THE DOW CHEMICAL COMPANY

THE EGGO COMPANY

THE HARKER SCHOOL

THE HERRICK CORPORATION

THE HERSHEY COMPANY

P. O. Box 2007

1320 Waldo Ave, Ste 300

One Kellogg Square

4525 Union Ave

P.O. Box 8429

100 Crystal A Drive

Dalton,GA 30722

Midland,MI 48642

Battle Creek,MI 49017

San Jose,CA 95124

Stockton,CA 95208

Hershey,PA 17033

Phone: (706) 876-5804 Fax: (706) 876-5898

Phone: (989) 636-6943

Phone: (269) 961-6709

Phone: (408) 553-5777 Fax: (408) 553-5774

Phone: (209) 956-4751 ext 302 Fax: (209) 956-1004

Phone: (717) 534-8310

William D. Davis

Ms. Tonya Kuizenga

Amy Rose

Chrissy Sommer

Mr. Peter J. Avila

Staci Smith

VP-Human Resources

Operations Manager

Workers' Compensation Administrator

HR Generalist

CFO

Senior Specialist Risk and Insurance

1952-152-11

1967-005-38

1967-012-90

1966-012-93

1966-316-05

2314-132-06

2103-128-15

2067-011-01


ESIS, INC., FREMONT




YORK RISK SERVICES GROUP, INC., STOCKTON



THE KROGER CO.

THE PEP BOYS MANNY MOE & JACK OF CALIFORNIA

THE PERMANENTE MEDICAL GROUP, INC.

THE PICTSWEET COMPANY

THE PROCTER AND GAMBLE MANUFACTURING COMPANY

THE ROMAN CATHOLIC ARCHBISHOP OF LOS ANGELES

1014 Vine Street

108 Townpark Drive NW

1800 Harrison St. 7th Floor

Ten Pictsweet Drive

6300 Center Hill Ave Box 112

3424 Wilshire Blvd.

Cincinnati,OH 45202

Kennesaw,GA 30144

Oakland,CA 94612

Bells,TN 38006

Cincinnati,OH 45224


Phone: (513) 762-4360

Phone: (770) 659-5224 Fax: (770) 424-9096

Phone: (510) 625-6237

Phone: (731) 663-6472 Fax: (800) 561-8810

Phone: (513) 634-3885 Fax: (513) 277-2090

Phone: (213) 637-7218

Nathan Fraley

Tara-Lee P. Partridge

Mike McClure

Mr. Frederick B. Pipkin

Terri R. Donahue

Randolph E. Steiner

Corporate Claims Manager

Work Comp Manager

Director

Risk Manager

Administrator


1695-011-09

1858-254-01

0984-048-01

2105-086-35

2105-234-01

0558-011-46

1656-132-14




HELMSMAN MANAGEMENT SERVICES LLC, ORANGE

TRISTAR RISK ENTERPRISE MANAGEMENT, INC., SANTA ANA



THE ROMAN CATHOLIC BISHOP OF FRESNO

THE ROMAN CATHOLIC BISHOP OF MONTEREY, CALIFORNIA

THE ROMAN CATHOLIC BISHOP OF SAN DIEGO

THE ROMAN CATHOLIC BISHOP OF SAN JOSE

THE SALVATION ARMY

THE SHERWIN-WILLIAMS COMPANY

1550 N Fresno St

425 Church Street

3888 Paducah Drive

1150 N. First Street, #100

180 E. Ocean Blvd., 10th Floor

101 W. Prospect Ave

Fresno,CA 93703

Monterey,CA 93940

San Diego,CA 92117-5349

San Jose,CA 95112

Long Beach,CA 90802

Cleveland,OH 44115

Phone: (559) 488-7473 Fax: (559) 488-7479

Phone: (831) 373-4345 Fax: (831) 373-1175

Phone: (858) 490-8207

Phone: (408) 983-0230

Phone: (562) 491-8380 Fax: (562) 491-8793

Phone: (216) 566-3717 Fax: (216) 348-1004

Denise McKenzie

Thomas H. Riordan

Shirley Pajanor

John Hoffman

Michael A. Dossey

Matt Flynn

Risk Manager

Finance Officer

Controller

Controller

Territorial Risk Management Secretar

Analyst

1918-012-93

1987-152-10

2266-195-04

2364-048-01

0566-011-07

1977-025-12

1977-086-34

1977-108-52






GALLAGHER BASSETT SERVICES INC., ROSEVILLE



THE WALT DISNEY COMPANY

THE WESTERN AND SOUTHERN LIFE INSURANCE COMPANY

THE WONDERFUL COMPANY LLC

TOWER ENERGY GROUP

TRADEMARK CONSTRUCTION CO., INC. WHICH WILL DO BUSINESS IN CALIFORNIA AS J.M.W. TRUSS AND COMPONENTS

TRINITY HEALTH CORPORATION

500 S. Buena Vista St.

400 Broadway

11444 W. Olympic Blvd., 5th Floor

1983 West 190th

15916 Bernardo Center Drive

20555 Victor Parkway

Burbank,CA 91521-9740

Cincinnati,OH 45202


Torrance,CA 90504

San Diego,CA 92127

Livonia,MI 48152

Phone: (818) 553-7439

Phone: (513) 629-1376 Fax: (513) 629-1190

Phone: (310) 966-5790

Phone: (310) 878-8421

Phone: (760) 489-5647 Fax: (760) 489-9563

Phone: (734) 343-2004 Fax: (248) 347-5350

Stephanie Conner

Melissa Davis

Drue Rutledge

Ramzi Chamoun

Michele I. Gryniewicz

Ms. Barbara J. Cook

Risk Analyst


Controller

Corporate Counsel

Risk Finance Manager

1322-086-38

1322-99-76

0905-011-01

2055-012-93

2280-316-05

2370-092-60

2283-005-21

2283-005-38


Self Administered






ESIS, INC., FREMONT

TRM MANUFACTURING INC.

U.S. BORAX INC.

UNITED AIRLINES, INC.

UNITED CEREBRAL PALSY OF THE NORTH BAY, INC.

UNITED CEREBRAL PALSY/SPASTIC CHILDREN'S FOUNDATION OF LOS ANGELES AND VENTURA COUNTIES

UNITED STATES GYPSUM COMPANY

PO Box 77520

4700 Daybreak Parkway

233 South Wacker Drive - 14th Floor HDQCI

3835 Cypress Drive Ste 103

6430 Independence Ave

550 West Adams Street, Dept. #198

Corona,CA 92877

South Jordan,UT 84009

Chicago,IL 60606

Petaluma,CA 94954

Woodland Hills,CA 91367

Chicago,IL 60661-3676

Phone: (951) 256-8550 ext 220 Fax: (951) 256-8575

Phone: (801) 204-2259

Phone: (872) 825-9774

Phone: (510) 685-0324 Fax: (707) 559-2466

Phone: (818) 782-2211

Phone: (312) 436-5504

Trina Kearns

Rick Clark

Neil Blauvelt

Aludia Argouarch

Lynne Bolen

Robert Teberg

Bookkeeper

Senior Advisor

Sr. Mgr Enterprise Risk Management & Corporate Insurance

CFO

CFO

Manager Treasury Real Estate

2324-236-01

2066-086-38

1360-011-03

1360-011-13

2333-316-05

2170-011-01

2170-132-11

2020-025-05

ACCELERATED CLAIMS SERVICES, INC., ORANGE








UNIVAR USA INC.

UNIVERSAL SERVICES OF AMERICA, LP

UNIVERSITY OF SOUTHERN CALIFORNIA

UNIVERSITY OF THE PACIFIC

USS CAL. BUILDERS, INC.

USS-POSCO INDUSTRIES

3075 Highland Parkway Ste 200

161 Washingotn Street, Ste 600

3434 South Grand Ave, CAL-120

3601 Pacific Ave

8051 Main Street

900 LOVERIDGE RD

Downers Grove,IL 60515

Conshohocken,PA 19428


Stockton,CA 95211

Stanton,CA 90680

PITTSBURG,CA 94565

Phone: (331) 777-6180

Phone: (484) 351-1430

Phone: (213) 821-8149 Fax: (213) 740-7305

Phone: (209) 946-2125

Phone: (714) 699-5254

Phone: (925) 439-6699 Fax: (925) 439-6680

William H. Gray

Jeffrey M. Quinn

Guadalupe Del Rio

Linda Jeffers

Ms. Arlene B. Vargas

Gina Harrer

Leave Manager


Director Workers Comp Disability

Director of HR

Office Manager

WORKERS' COMPENSATION ADMINISTRATOR

1928-011-03

1928-025-05

2345-005-21

2345-005-38

2345-011-05

1420-012-90

1917-128-17

2374-048-01

2090-99-01




ESIS, INC., FREMONT



MATRIX ABSENCE MANAGEMENT, INC., ROSEVILLE


Self Administered

VALLEY HARVESTING & PACKING, INC.

VALLEY PRESBYTERIAN HOSPITAL

VARIAN MEDICAL SYSTEMS, INC.

VECTOR LABORATORIES, INC.

VIACOM INC.

101 E. Main Street

15107 Vanowen Street

3100 Hansen Way, M/S E327

30 Ingold Rd

1515 Broadway

Heber,CA 92249-9702

Van Nuys,CA 91045

Palo Alto,CA 94304

Burlingame,CA 94010

New York,NY 10036

Phone: (760) 352-5212 ext 201 Fax: (760) 352-5212

Phone: (818) 902-2902

Phone: (650) 424-5959

Phone: (650) 697-3600

Phone: (212) 846-7201

Leticia Ridaura

Lori Cardle

David K. Collins

John Lai

Mr. Barrie Wexler


Chief Operations Officer

Sr. Manager Risk Management

Controller

Senior Vice President

2303-096-51

1835-011-22

1931-011-03

1931-011-13

2325-291-01

2323-011-22

2323-096-51








VIAD CORP

VISTA PAINT CORPORATION

WARNER BROS. RECORDS INC.

WENDY'S INTERNATIONAL, INC.

WESTERN DIGITAL CORPORATION

16220 N Scottsdale Rd, Ste 600

2020 E. Orangethorpe Ave, Ste 210

4000 Warner Blvd

One Dave Thomas Blvd

3355 Michelson Drive, Ste 100

Scottsdale,AZ 85254

Fullerton,CA 92831

Burbank,CA 91522

Dublin,OH 43017

Irvine,CA 92612

Phone: (602) 787-6112 Fax: (602) 787-8040

Phone: (714) 680-3800 ext 212 Fax: (714) 509-0288

Phone: (818) 977-3232 Fax: (181) 977-6787

Phone: (614) 764-3385

Phone: (949) 672-7000

Matt Heacock

Mr. Eddie R. Fischer

Miriam Levario

Emily Powell

Kevin C. Risse

Client Services Specialist

President

Claims Director

Sr Analyst - Risk Mgt


2093-011-03

2093-086-34

2093-086-38

2093-108-52

2093-239-06

2093-316-03

2093-333-01

2168-271-01

1337-99-01

2224-011-07

2112-011-14






CORVEL ENTERPRISE COMP, INC., SAN DIEGO

HARTFORD CASUALTY INSURANCE COMPANY, RANCHO CORDOVA


Self Administered



WESTERN OILFIELDS SUPPLY COMPANY

WESTLAKE SERVICES, LLC

WESTROCK SERVICES, INC.

WESTVIEW SERVICES, INC.

WEYERHAEUSER COMPANY

WM. BOLTHOUSE FARMS, INC.

5101 Office Park Drive

4751 Wilshire Blvd, Ste 110

Six CityPlace Drive

10522 Katella Ave

220 Occidental Ave S

7200 E. Brundage Lane



Creve Coeur,MO 63141

Anaheim,CA 92804

Seattle,CA 98104


Phone: (661) 399-9128 ext 6123 Fax: (661) 391-3570

Phone: (323) 973-7529

Phone: (314) 656-5434 Fax: (314) 787-6182

Phone: (714) 517-6606 Fax: (714) 517-6613

Phone: (206) 539-4449 Fax: (206) 621-5720

Phone: (661) 366-7209 ext 6331

Timothy R. Bastian

David Keum

Cheryl A. Malawy

Gina Pascucci

Lisa A. Wysocki

Reyes Espinosa

VP Risk Management

CFO

Casualty and SI Specialist

Benefit Specialist

WC Program Mgr/Corp. Asst. Sec

Controller

2274-005-21

2274-005-38

2296-239-06

2163-011-14

2163-012-93

2163-108-52

2272-132-10

0784-011-01

2270-012-93


ESIS, INC., FREMONT








YMCA OF SAN DIEGO COUNTY

YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN LOS ANGELES

YOUNG'S MARKET COMPANY, LLC

YUM YUM DONUT SHOPS, INC.

ZACKY & SONS POULTRY, LLC

3708 Ruffin Rd

625 S New Hampshire Ave

14402 Franklin Ave

18830 E San Jose Ave

2020 S. East Ave

San Diego,CA 92123

LOS ANGELES,CA 90005

Tustin,CA 92780

City of Industry,CA 91748

Fresno,CA 93721

Phone: (858) 292-9622 ext 130 Fax: (858) 292-0045

Phone: (213) 351-2203 Fax: (213) 251-9724

Phone: (714) 665-1051 Fax: (714) 551-1113

Phone: (626) 964-1478 ext 153 Fax: (626) 964-0140

Phone: (559) 443-2700

Mr. Paul Sullivan

Ray Griffin

Mr. John Mandracchia

Tracy Kitagawa

Mr. Kirk VanderGeest

EVP/CFO

EVP/CFO

Vice President Risk Management

CFO

CFO

2300-195-04

2185-005-21

0206-291-01

0206-291-02

2339-092-60

1890-146-02







05/05/2016 ACTIVE PRIVATE SELF INSURED ROSTER 99 CENTS ...

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