Additional Case Information · steven howser additional case information case number injured worker...

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STEVEN HOWSER ADDITIONAL CASE INFORMATION Case Number Injured Worker Employer Claims Administrator ADJ7658008 LUCAS BARRAZA TRM MANUFACTURING ACCELERATED CLAIMS IRVINE ADJ1475111 JOSE SEPULVEDA CITY OF BAKERSFIELD ACCLAMATION FRESNO ADJ7381402 JOSE MENA JOHNSON CONTROLS ACCLAMATION SACRAMENTO ADJ8275662 CONCEPCION RIVERA SAN BERNARDINO SUPERIOR COURT ACCLAMATION SACRAMENTO ADJ8275662 CONCEPCION RIVERA SAN BERNARDINO SUPERIOR COURT JBWCP ACCLAMATION SACRAMENTO ADJ2213572 MARIA GRANILLO EACKING PACKING CO. ACE ADJ2543267 REBECCA HERNANDEZ SCHIER PITNEY BOWES, INC. ACE ADJ2543267 REBECCA HERNANDEZ SCHIER WAL MART ACE ADJ473548 PAUL ST AMAND ITT INDUSTRIES ACE ADJ2543267 REBECCA HERNANDEZ SCHIER PITNEY BOWES, INC. ACE AMERICAN INSURANCE COMPANY ADJ2543267 REBECCA HERNANDEZ SCHIER WAL MART ACE AMERICAN INSURANCE COMPANY ADJ8168461 BEATRIZ MARTINEZ RANDSTAD NORTH AMERICA ACE AMERICAN INSURANCE COMPANY ADJ3216599 YVETTE ORTEGA MULLENAUX CITY OF POMONA ADMINSURE ONTARIO ADJ7493193 TIM SHIELDS CITY OF REDLANDS ADMINSURE ONTARIO ADJ9949858 GEOFF SKARR LOS ANGELES TRADE TECH COLLEGE ADMINSURE ONTARIO ADJ1396437 SANDRA JIMENEZ AMERICAN SALES & MANAGEMENT AIG CLAIMS CONCORD ADJ4084818 ROBERTO TORRES CALIFORNIA PIZZA KITCHE AIG CLAIMS CONCORD ADJ4084818 ROBERTO TORRES CALIFORNIA PIZZA KITCHEN AIG CLAIMS CONCORD ADJ8183301 AURORA CORONADO SARES REGIS GROUP AIG CLAIMS CONCORD ADJ939744 CRISTINA MENDOZA EXCEL STAFFING SERVICES INC. AIG CLAIMS CONCORD ADJ1750759 ARACELI DE BALLESTEROS CLASSIC PARTY RENTALS AIG CLAIMS COSTA MESA ADJ3108623 JEFF BROWN NORTHROP CORPORATION AIG CLAIMS COSTA MESA ADJ4147999 DAVID COLE TJ BANNING AIG CLAIMS COSTA MESA ADJ6822511 ARSHAD BHORANIA NORTHROP GRUMMAN AIG CLAIMS COSTA MESA ADJ6830921 VICTORIA REYES THE INDUSTRIAL LABOR MGM GROUP INC AIG CLAIMS COSTA MESA ADJ7070894 DAWAYDE JONES QUALITY CONSERVATION SERVICES INC AIG CLAIMS COSTA MESA ADJ7186750 EDUARDO LOPEZ THE INDUSTRIAL LABOR MANAGEMENT GROUP AIG CLAIMS COSTA MESA Page 1

Transcript of Additional Case Information · steven howser additional case information case number injured worker...

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7658008 LUCAS BARRAZA TRM MANUFACTURING ACCELERATED CLAIMS IRVINE

ADJ1475111 JOSE SEPULVEDA CITY OF BAKERSFIELD ACCLAMATION FRESNO

ADJ7381402 JOSE MENA JOHNSON CONTROLS ACCLAMATION SACRAMENTO

ADJ8275662 CONCEPCION RIVERA

SAN BERNARDINO SUPERIOR

COURT ACCLAMATION SACRAMENTO

ADJ8275662 CONCEPCION RIVERA

SAN BERNARDINO SUPERIOR

COURT JBWCP ACCLAMATION SACRAMENTO

ADJ2213572 MARIA GRANILLO EACKING PACKING CO. ACE

ADJ2543267

REBECCA HERNANDEZ

SCHIER PITNEY BOWES, INC. ACE

ADJ2543267

REBECCA HERNANDEZ

SCHIER WAL MART ACE

ADJ473548 PAUL ST AMAND ITT INDUSTRIES ACE

ADJ2543267

REBECCA HERNANDEZ

SCHIER PITNEY BOWES, INC.

ACE AMERICAN INSURANCE

COMPANY

ADJ2543267

REBECCA HERNANDEZ

SCHIER WAL MART

ACE AMERICAN INSURANCE

COMPANY

ADJ8168461 BEATRIZ MARTINEZ RANDSTAD NORTH AMERICA

ACE AMERICAN INSURANCE

COMPANY

ADJ3216599

YVETTE ORTEGA

MULLENAUX CITY OF POMONA ADMINSURE ONTARIO

ADJ7493193 TIM SHIELDS CITY OF REDLANDS ADMINSURE ONTARIO

ADJ9949858 GEOFF SKARR

LOS ANGELES TRADE TECH

COLLEGE ADMINSURE ONTARIO

ADJ1396437 SANDRA JIMENEZ

AMERICAN SALES &

MANAGEMENT AIG CLAIMS CONCORD

ADJ4084818 ROBERTO TORRES CALIFORNIA PIZZA KITCHE AIG CLAIMS CONCORD

ADJ4084818 ROBERTO TORRES CALIFORNIA PIZZA KITCHEN AIG CLAIMS CONCORD

ADJ8183301 AURORA CORONADO SARES REGIS GROUP AIG CLAIMS CONCORD

ADJ939744 CRISTINA MENDOZA

EXCEL STAFFING SERVICES

INC. AIG CLAIMS CONCORD

ADJ1750759

ARACELI DE

BALLESTEROS CLASSIC PARTY RENTALS AIG CLAIMS COSTA MESA

ADJ3108623 JEFF BROWN NORTHROP CORPORATION AIG CLAIMS COSTA MESA

ADJ4147999 DAVID COLE TJ BANNING AIG CLAIMS COSTA MESA

ADJ6822511 ARSHAD BHORANIA NORTHROP GRUMMAN AIG CLAIMS COSTA MESA

ADJ6830921 VICTORIA REYES

THE INDUSTRIAL LABOR MGM

GROUP INC AIG CLAIMS COSTA MESA

ADJ7070894 DAWAYDE JONES

QUALITY CONSERVATION

SERVICES INC AIG CLAIMS COSTA MESA

ADJ7186750 EDUARDO LOPEZ

THE INDUSTRIAL LABOR

MANAGEMENT GROUP AIG CLAIMS COSTA MESA

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STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7207584 FRANCISCO AVILA BJ`S CHICAGO PIZZA AIG CLAIMS COSTA MESA

ADJ7906269 MARIA MORALES

HOCA ASSOCIATES DBA HILTON

ONTARIO AIRPORT AIG CLAIMS COSTA MESA

ADJ7976709 GALDINO GONZALEZ PERSONNEL PLUS AIG CLAIMS COSTA MESA

ADJ8196733 NELSON GUERRA

PEOPLE CREATING SUCCESS

INC AIG CLAIMS COSTA MESA

ADJ8261506 LOURDES CORDERO CM LAUNDRY AIG CLAIMS COSTA MESA

ADJ8284564 PAUL ISITA EXACT STAFF INC AIG CLAIMS COSTA MESA

ADJ8332446 GEORGE WRIGHSTER UFL AIG CLAIMS COSTA MESA

ADJ8581680 LUIS REYNOSO

NORTHROP GRUMMAN

CORPORATION AIG CLAIMS COSTA MESA

ADJ8956542 BEATRIZ RAYA TRANS PACIFIC AIG CLAIMS COSTA MESA

ADJ8961174 MARY PACHECO FIRST STUDENT INC AIG CLAIMS COSTA MESA

ADJ9059051 KENNETH KING DALTON TRUCKING AIG CLAIMS COSTA MESA

ADJ9059051 KENNETH KING DALTON TRUCKING INC AIG CLAIMS COSTA MESA

ADJ9191038 LUIS ORDAZ CAL TRON PLATING INC AIG CLAIMS COSTA MESA

ADJ9584460 RALPH BOUDREAUX ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA

ADJ9634901 MIGUEL GARCIA

AMERICAN HERITAGE

LANDSCAPE AIG CLAIMS COSTA MESA

ADJ6699171 JUAN ALVARADO RPS AIG CLAIMS PHOENIX

ADJ4147999 DAVID COLE TJ BANNING AIG CLAIMS SAN DIEGO

ADJ6787605 RAMON MORA NORTHROP GRUMAN CORP AIG CLAIMS SAN DIEGO

ADJ6886684 DAVID MARQUEZ KELLEY FLEET SERVICES AIG CLAIMS SAN DIEGO

ADJ7110479 FREDERICK WORDEN WHITEFIELD MEDICAL LAB AIG CLAIMS SAN DIEGO

ADJ7213459 DUARDO CATANO PRECOR INC AIG CLAIMS SAN DIEGO

ADJ8196827 RAFAEL LOPEZ BURRTEC WASTE GROUP AIG CLAIMS SAN DIEGO

ADJ8396332 LILIA GONZALEZ NONG SHIM AMERICA INC AIG CLAIMS SAN DIEGO

ADJ8448693

BULMARO CABRERA

REYES AMLI RESIDENTIAL AIG CLAIMS SAN DIEGO

ADJ8757862 ROBERTO VALENTIN

DONALD J SCHEFFLER

CONSTRUCTION AIG CLAIMS SAN DIEGO

ADJ9023804 RAUL HERNANDEZ CEO CONSTRUCTION INC AIG CLAIMS SAN DIEGO

ADJ9292304 MATY JACKSON AMVETS THRIFT STORE AIG CLAIMS SAN DIEGO

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STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9517337 JOSE NUNEZ MONTES XCEL BUILDING GROUP AIG CLAIMS SAN DIEGO

ADJ9606609 RAFAEL RAMIREZ MC ENTERPRISES AIG CLAIMS SAN DIEGO

ADJ9606609 RAFAEL RAMIREZ WASH DEPOT HOLDINGS INC AIG CLAIMS SAN DIEGO

ADJ1475111 JOSE SEPULVEDA CITY OF BAKERSFIELD AIMS

ADJ7279785 DAWN HENSLEY INLAND VALLEY CARE REHAB

ALASKA NATIONAL WALNUT

CREEK

ADJ7279785 DAWN HENSLEY INLAND VALLEY CARE & REHAB

ALASKA NATIONAL WALNUT

CREEK

ADJ8173696

SALVADOR GODINEZ

ARIAS NORMANDIE CLUB

ALASKA NATIONAL WALNUT

CREEK

ADJ8143135 MARCIA PEREZ ALBERTSONS ALBERTSONS

ADJ4193287 ABBIE FRICK THE VONS COMPANIES INC

ALBERTSONS HOLDINGS

FULLERTON

ADJ9189555 IRMA MONTOYA CHAVEZ ABC SCHOOL EQUIPMENT

ALLIANZ RESOLUTION RANCHO

CORDOVA

ADJ2876621 YOLANDA LOPEZ MAXIM SWIM GROUP INC AMERICAN CLAIMS SAN DIEGO

ADJ2876621 YOLANDA LOPEZ MAXINE SWIM GROUP INC AMERICAN CLAIMS SAN DIEGO

ADJ7192437 MARCO ALADUENA WOOD RANCH VALENCIA AMERICAN CLAIMS SAN DIEGO

ADJ7215439 MANUEL CABRERA EXECUTIVE PLUMBING INC AMERICAN CLAIMS SAN DIEGO

ADJ7272873 GLORIA HERNANDEZ

A KENNETH BENDER MIKE AND

DEBBIE AGOSTINI AMERICAN CLAIMS SAN DIEGO

ADJ8418006 DULCE POOT TAPCO SALES AMERICAN CLAIMS SAN DIEGO

ADJ8676883 JOHN DAVILA

CALIFORNIA RESTAURANT

MUTUAL BENEFIT

CORPORATION AMERICAN CLAIMS SAN DIEGO

ADJ8676883 JOHN DAVILA

DESERT HOT SPRINGS SPA

HOTEL AMERICAN CLAIMS SAN DIEGO

ADJ9122352 JESUS MORALES DRY CREEK MINI BARNS AMERICAN CLAIMS SAN DIEGO

ADJ9933099 EFREN VALDES

SILVERWOOD LANDSCAPE

CONSTRUCTION AMERICAN CLAIMS SAN DIEGO

ADJ2599002 HUMBERTO SALAZAR CAVALIER MFG

AMERICAN COMMERCIAL SAN

DIEGO

ADJ988119 SCOTT MAREK GTE

AMERICAN MOTORISTS

INSURANCE CO

ADJ7523165 JOSE LOPEZ YNT HARVESTING AMTRUST CONCORD

ADJ9060674 FRANK SMITH JR CENTURION GROUP AMTRUST CONCORD

ADJ9060674 FRANK SMITH JR GALPIN FORD AMTRUST CONCORD

ADJ9347669 TRINIDAD OCHOA SEAMAN NURSERIES AMTRUST CONCORD

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STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8514469 ANTHONY RAMIREZ AIRTRO AMTRUST CONCORD

ADJ8396271 LARRY JIMENEZ UNIFIED GROCERS AMTRUST COVINA

ADJ10064354 ROSALINDA CARDIEL MOSHAY INC AMTRUST IRVINE

ADJ6687390

GABRIELA OCHOA

RODRIGUEZ ACCUPRINT SERVICES INC AMTRUST IRVINE

ADJ6687390

GABRIELA OCHOA

RODRIGUEZ PERSONA 1 HR AMTRUST IRVINE

ADJ6799657

MIRIAN DE JESUS

SALAZAR AMTRUST IRVINE

ADJ7419185 ISAIS BARBOSA ARTISTIC DYES INC AMTRUST IRVINE

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION AMTRUST IRVINE

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION INC AMTRUST IRVINE

ADJ8626660 JAIME RODRIGUEZ PARK MANAGEMENT COMPANY AMTRUST IRVINE

ADJ9020272 ROSARIO ACEVEDO PORTO ALEGRE AMTRUST IRVINE

ADJ9028312 JOSE RAMIREZ

SYCAMORE LANDSCAPING

CORPORATION AMTRUST IRVINE

ADJ9178068 DANIEL MARES PREMIER TILE MARBLE AMTRUST IRVINE

ADJ9208088 VERONICA PICENO SEASONS APPAREL INC AMTRUST IRVINE

ADJ8017131 HEIDI BOLANOS DENNIS FOLAND INC AMTRUST SAN DIEGO

ADJ8017131 HEIDI BOLANOS NOVA STAFFING AMTRUST SAN DIEGO

ADJ9206286 BRENDA LARA MOTEL 8 AMTRUST SAN DIEGO

ADJ9981663 JUAN SALAZAR MBS PROPERTY MANAGMENT AMTRUST SAN DIEGO

ADJ3399478 JOSE MARTINEZ ANHEUSER BUSCH ANHEUSER BUSCH

ADJ7507589 LILLIAN SASAKI

ANTELOPE VALLEY UNION HIGH

SCHOOL

ANTELOPE VALLEY UNION HIGH

SCHOOL

ADJ2867030 DAVID HERNANDEZ CAMINO REAL TOWING APPLIED RISK OMAHA

ADJ3690654 GILBERTO ORTEGA EZ ROTH APPLIED RISK OMAHA

ADJ4628071 MARIA HERNANDEZ LUCKY STAR MARKETING, INC APPLIED RISK OMAHA

ADJ7254266 CHRISTOPHER REEVES

CLASSIC DISTRIBUTING &

BEVERAGE CORP APPLIED RISK OMAHA

ADJ7254266 CHRISTOPHER REEVES

CLASSIC DISTRIBUTION &

BEVERAGE CORP APPLIED RISK OMAHA

ADJ7254266 CHRISTOPHER REEVES

CLASSIC DISTRIBUTION

BEVERAGE CORP APPLIED RISK OMAHA

ADJ7947039 ROSAURA DE LA CUEVA GOLDILOCKS APPLIED RISK OMAHA

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STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7998423 GENARO BERNAL PRIME WHEEL CORPORATION APPLIED RISK OMAHA

ADJ9398576 JULIO SANTOYO UNITED ALLOY METALS APPLIED RISK OMAHA

ADJ9876517 SOCORRO SILVA STATE FISH CO APPLIED RISK OMAHA

ADJ7361404 HERIBERTO VELASQUEZ KFC OF PALM DESERT ARGONAUT FRESNO

ADJ3371827 PATRICIA ROMO MCKESSON PHARMACEUTICALS

ATHENS ADMINISTRATORS

CONCORD

ADJ7252097 HECTOR PENA

TONY MARQUEZ POOL

PLASTERING INC

ATHENS ADMINISTRATORS

CONCORD

ADJ7343096 MARTHA MONGE

PINE CREST CHRISTIAN

CENTER

ATHENS ADMINISTRATORS

CONCORD

ADJ7343096 MARTHA MONGE

SOUTHERN CALIFORNIA

DISTRICT DBA PINECREST

CHRISTIAN

ATHENS ADMINISTRATORS

CONCORD

ADJ7426547 JOEL SANCHEZ STEELSCAPERS

ATHENS ADMINISTRATORS

CONCORD

ADJ7915482 NORBERTO PORRAS THISTLE ROLLER CO INC

ATHENS ADMINISTRATORS

CONCORD

ADJ9295228 MARIA PULIDO INNOVATIVE POWER INC

ATHENS ADMINISTRATORS

ORANGE

ADJ7697295

JUAN NEGRETE

GONZALEZ

BARRETT BUSINESS SERVICES

INC

BARRETT BUSINESS

SACRAMENTO

ADJ8390068 SUSANA SALAZAR MOTEL 6

BARRETT BUSINESS

SACRAMENTO

ADJ9087358 NICOLAS RIOS

YOUNG`S COMMERCIAL

TRUCKING

BARRETT BUSINESS

SACRAMENTO

ADJ2096031 FRANCISCA RAMIREZ RED CARPET CAR WASH

BERKSHIRE HATHAWAY

PASADENA

ADJ2335071 SALVADOR NUNGARAY

VANDENBERGHE

CONSTRUCTION

BERKSHIRE HATHAWAY

PASADENA

ADJ2343560 VERONICA JAIME QUEEN MARY

BERKSHIRE HATHAWAY

PASADENA

ADJ3227562 DOLY AREVALO

K.R. BESH INC DBA

MCDONALDS RESTAUR

BERKSHIRE HATHAWAY

PASADENA

ADJ4381595 ROSARIO DE LA CRUZ U.S. GARMENTS

BERKSHIRE HATHAWAY

PASADENA

ADJ4381595 ROSARIO DE LA CRUZ US GARMANTS INC

BERKSHIRE HATHAWAY

PASADENA

ADJ442731 ELISAVED HERNANDEZ ASHWORTH ASSOCIATES, INC

BERKSHIRE HATHAWAY

PASADENA

ADJ6442915 ANDRES ONOFRE H. G. COMMUNICATIONS

BERKSHIRE HATHAWAY

PASADENA

ADJ6952024 SILVIA PEREZ JUST AUTO INS ADRIANA`S INS

BERKSHIRE HATHAWAY

PASADENA

ADJ7332567 ROSA MARTINEZ

COLONIAL MANOR

CONVALESCENT

BERKSHIRE HATHAWAY

PASADENA

ADJ7576850 LAURA AGUIRRE PALADAR MANUFACTURING INC

BERKSHIRE HATHAWAY

PASADENA

ADJ8631152 MARIA RINALLO

SEIU UNITED LONG TERM CARE

WORKERS

BERKSHIRE HATHAWAY

PASADENA

Page 5

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9218524 JUAN LOPEZ H T SEAFOOD

BERKSHIRE HATHAWAY

PASADENA

ADJ6952024 SILVIA PEREZ JUST AUTO INS ADRIANA`S INS

BERKSHIRE HATHAWAY SAN

DIEGO

ADJ7332567 ROSA MARTINEZ

COLONIAL MANOR

CONVALESCENT

BERKSHIRE HATHAWAY SAN

DIEGO

ADJ9606609 RAFAEL RAMIREZ MC ENTERPRISES

BERKSHIRE HATHAWAY SAN

DIEGO

ADJ9606609 RAFAEL RAMIREZ WASH DEPOT HOLDINGS INC

BERKSHIRE HATHAWAY SAN

DIEGO

ADJ9893710 CLEMENTINA RIOS KITTRICH CORPORATION

BERKSHIRE HATHAWAY SAN

DIEGO

ADJ4381595 ROSARIO DE LA CRUZ U.S. GARMENTS

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ4381595 ROSARIO DE LA CRUZ US GARMANTS INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7343077 FRANCISCO MARQUEZ QUICK CRETE

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7343096 MARTHA MONGE

PINE CREST CHRISTIAN

CENTER

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7343096 MARTHA MONGE

SOUTHERN CALIFORNIA

DISTRICT DBA PINECREST

CHRISTIAN

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7380266

GUADALUPE GALICIA

ARGUELLO POLARA ENGINEERING INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7513683 RUFINO LOPEZ

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7576850 LAURA AGUIRRE PALADAR MANUFACTURING INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7805137 ESTEBAN VENCES

OLYMPIC POWDER COATING

INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ7819050 ARTURO ROMERO

MEDI PEDIC BEDDING

COMPANY INCORPORATION

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8138854

ALBERTO VITE

HERNANDEZ FRIANT ASSOCIATES

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8200713 CONSUELO MOJICA

DIGITAL CURRENCY SERVICES

INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8261506 LOURDES CORDERO CM LAUNDRY

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8627686 DARIO ACEVEDO FREEWAY INSURANCE

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8627686 DARIO ACEVEDO

FREEWAY INSURANCE CONFIE

HOLDING

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8631152 MARIA RINALLO

SEIU UNITED LONG TERM CARE

WORKERS

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ9042613 JONATHAN ROBLES TIRE S WAREHOUSE

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ9060629 SATURNINO ORTEGA CAPACITY CONSTRUCTION INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ9162776 MILAGRO QUINTANILLA VICOLO WHOLESALE

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ9358387 MANUEL PEREZ MCLANE MANUFACTURING INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

Page 6

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9946819 SALVADOR ZUNIGA SOCAL FRAMING

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8467280 ALFREDO CARBAJAL WEST COTT DESIGNS INC

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8994566 MARIO PLATA CORONEL LANDMARK METALCOAT

BERKSHIRE HATHAWAY SAN

FRANCISCO

ADJ8401481 PLACIDA SISON

ANTELOPE VALLEY HOSPITAL

ET AL

BETA HEALTHCARE GROUP

ROSEVILLE

ADJ6785348 RAFAEL CRUZ ELISEO`S PAINTING CO BRIAN SOOHOO SANTA ANA

ADJ7431601 JOSE DE LUNA BOLTHOUSE FARMS BROADSPIRE 24016 FRESNO

ADJ8475785 OSCAR RUIZ MANHEIM CALIFORNIA BROADSPIRE 24016 FRESNO

ADJ9134186 QUANG NGUYEN RICOH ELECTRONICS BROADSPIRE 24016 FRESNO

ADJ9134186 QUANG NGUYEN RICOH ELECTRONICS INC BROADSPIRE 24016 FRESNO

ADJ2767111 DAVID RERKPHURITAT DAVITA, INC. BROADSPIRE BREA

ADJ3319538 ELVA LETICIA PEREZ 99 CENTS ONLY STORES BROADSPIRE BREA

ADJ641716 DAVID ACHEAMPONG

GKN AEROSPACE

TRANSPARENCY SYSTEMS BROADSPIRE BREA

ADJ7341395 GLORIA COBIAN 0.99 ONLY STORE BROADSPIRE BREA

ADJ7341395 GLORIA COBIAN 99 ONLY STORES BROADSPIRE BREA

ADJ8345291 MIGUEL JARRA CORRU KRAFT CO BROADSPIRE BREA

ADJ8782196 MARILYN BELKNAP PILGRIM STUDIOS BROADSPIRE BREA

ADJ9908734 EVA GONZALEZ 99 CENTS ONLY STORES LLC BROADSPIRE BREA

ADJ2385976 JOSE LOPEZ KIMCO

BROADSPIRE CIGA GLENDALE

CLOSED

ADJ2385976 JOSE LOPEZ PACIFIC AQUASCAPE

BROADSPIRE CIGA GLENDALE

CLOSED

ADJ2385976 JOSE LOPEZ PACIFIC AQUASCAPE INC

BROADSPIRE CIGA GLENDALE

CLOSED

ADJ305612 CARLOS VACA CARDOZA DAIRY FARMS

BROADSPIRE CIGA GLENDALE

CLOSED

ADJ7151014 ALICIA GUTIERREZ CEC ENTERTAINMENT

BROADSPIRE CIGA GLENDALE

CLOSED

ADJ2767111 DAVID RERKPHURITAT DAVITA, INC. BROADSPIRE SACRAMENTO

ADJ6462898 RUPERTO MALDONADO SARA LEE BAKERY BROADSPIRE SACRAMENTO

ADJ6877219 MARY LOU LOPEZ SALLY BEAUTY HOLDINGS INC BROADSPIRE SACRAMENTO

ADJ8556530 CONSUELO NAVARRO MCDONALDS BROADSPIRE SACRAMENTO

ADJ8556530 CONSUELO NAVARRO

SHALHOUB MANAGEMENT CO

INC DBA MCDONALDS BROADSPIRE SACRAMENTO

Page 7

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8784745 PEDRO QUINTANILLA

CALIFORNIA AUTO DEALERS

EXCHANGE BROADSPIRE SACRAMENTO

ADJ9038034 MARIA GONZALEZ NADEST INC BROADSPIRE SACRAMENTO

ADJ9092129 CHRISTOPHER QUESADA ADECCO BROADSPIRE SACRAMENTO

ADJ3557994 SHIRLEY TRASS

L.A. COUNTY USC MEDICAL

CENTER

CAMBRIDGE PASADENA

CLOSED

ADJ8907020 JUAN FERNANDEZ CALIFORNIA PAVING GRADING CANNON COCHRAN IRVINE

ADJ6790395 ALMIRA RODRIGUEZ

WINDSOR GARDEN NORTH

LONG BEACH

CARE WEST PEGASUS

MODESTO

ADJ8263433 JOVEY DALTON

COMPETENT CARE HEALTH

NURSING

CARE WEST PEGASUS

MODESTO

ADJ8263433 JOVEY DALTON

COMPETENT CARE HOME

COSTA MESA

CARE WEST PEGASUS

MODESTO

ADJ7764254 IMELDA AQUINO CARDENAS CARL WARREN TUSTIN

ADJ8647901 MARIA CARRASCO CARDENAS MARKETS INC CARL WARREN TUSTIN

ADJ8729487 DILMA VASQUEZ VFORCE VENSURE CARL WARREN TUSTIN

ADJ8729487 DILMA VASQUEZ VFORCE/VENSURE CARL WARREN TUSTIN

ADJ9011707 MARISELA RUIZ

RALLY MANAGEMENT

SERVICES CARL WARREN TUSTIN

ADJ9206536 MARIA LEANOS CARDENAS MARKETS CARL WARREN TUSTIN

ADJ9591271 GASPAR RODRIGUEZ PROMPT PRIORITY STAFFING CARL WARREN TUSTIN

ADJ9607666

RAFAEL HOLGUIN

ARRELLANO SUPERIOR GROCERS CARL WARREN TUSTIN

ADJ8884911 REMIGIO BARRAGAN CENTRAL TIRE SERVICES 7 CENTRAL TIRE SERVICES 7

ADJ7902262 JOEL VILLANUEVA

CENTURY GOLF PARTNERS

MGMT

CENTURY GOLF PARTNERS

MGMT

ADJ7641867 MARGARITA MORENO SC STAFFING CHARTIS

ADJ4233069 MARIA MONTESINOS SUPERBRA CHUBB GROUP LOS ANGELES

ADJ8466749 JANALE SAENZ HCC SURETY GROUP CHUBB GROUP LOS ANGELES

ADJ8624964 SHARON FREGOSO

LDP INC DBA LEADER

SERVICES CHUBB GROUP LOS ANGELES

ADJ8794369 RONDA BUCHANAN UEI COLLEGE CHUBB GROUP LOS ANGELES

ADJ9295228 MARIA PULIDO INNOVATIVE POWER INC CHUBB GROUP LOS ANGELES

ADJ3922754 JUAN SOTO CHUCK WON DBA WON S CO CHUCK WON DBA WON S CO

ADJ7271212 ANA AGUIRRE WILSHIRE BLVD TEMPLE CHURCH MUTUAL MERRILL

ADJ7271212 ANA AGUIRRE WILSHIRE BOULEVARD TEMPLE CHURCH MUTUAL MERRILL

Page 8

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7358832 FERNANDO FLORES PACIFIC FORD CIGA GLENDALE

ADJ8002503 CARMEN BRAN CIGA GLENDALE

ADJ8469449 FRANK RICE TAMPA BAY BUCCANEERS CIGA GLENDALE

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION CIGA INTERCARE ORANGE

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION INC CIGA INTERCARE ORANGE

ADJ7110479 FREDERICK WORDEN WHITEFIELD MEDICAL LAB

CIGA TRISTAR RANCHO

CORDOVA

ADJ8912830 MINNIE FRAZIER

POMONA UNIFIED SCHOOL

DISTRICT

CIGA TRISTAR RANCHO

CORDOVA

ADJ8958700 FRANCISCO MARTINEZ

CITY OF LA DEPT OF THE

AIRPORT

CITY OF LA DEPT OF THE

AIRPORT

ADJ2458753 DARRYL JEFFERSON CITY OF LONG BEACH CITY OF LONG BEACH

ADJ6544956 STEPHAN LAFORETT CITY OF LONG BEACH CITY OF LONG BEACH

ADJ2192637 AMELIA RIOS

CITY OF LA/DEPT OF PUBLIC

WORKS CITY OF LOS ANGELES

ADJ2285767 JOSE CORRALES

CITY OF L. A. RECREATION &

PARKS CITY OF LOS ANGELES

ADJ2285767 JOSE CORRALES

CITY OF LA RECREATION &

PARKS CITY OF LOS ANGELES

ADJ7105115 BENJAMIN LANDEROS CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7127685 ALEX BAEZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7679780 DARRELL CAREY

CITY OF LOS ANGELES

DEPARTMENT OF SANITATION CITY OF LOS ANGELES

ADJ8585724 BERNICE ORTIZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ8888963 JILBERT VERDUZCO CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ895553 ROBERT LOPEZ CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ895553 ROBERT LOPEZ CITY OF LOS ANGELES PSI CITY OF LOS ANGELES

ADJ8958700 FRANCISCO MARTINEZ

CITY OF LA DEPT OF THE

AIRPORT CITY OF LOS ANGELES

ADJ9124268 LISSA MORA CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ7679780 DARRELL CAREY

CITY OF LOS ANGELES

DEPARTMENT OF SANITATION

CITY OF LOS ANGELES

DEPARTMENT OF SANITATION

ADJ7031512 SONA ALLARD CITY OF SAN BERNARDINO CITY OF SAN BERNARDINO

ADJ7764167 EXIQUIO RIOS DURAN CARLS JR RESTAURANT CNA CLAIMS PLUS BREA

ADJ7917776 JUVENTINA MAGANA

WYNDHAM RESORT

DEVELOPMENT CNA CLAIMS PLUS BREA

ADJ7951446

ABRAHAM AHUMADA

HERNANDEZ TULIP CORPORATION CNA CLAIMS PLUS BREA

Page 9

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8928773 PETER PRIETO

UNIVERSAL PROTECTION

SERVICES CNA CLAIMS PLUS BREA

ADJ8064915 SANTIAGO GRANDE PLASTIBEC USA CORP CNA CLAIMS PLUS PORTLAND

ADJ8193165 ARISTEO MORENO MIZKAN AMERICAS INC CNA CLAIMS PLUS PORTLAND

ADJ3850539

MICHELLE ROUSSEAU

FORRISTER

COUNTY OF RIVERSIDE ANIMAL

CONTROL

CNTY OF RIVERSIDE WORK

COMP DIV

ADJ3850539

MICHELLE ROUSSEAU

FORRISTER COUNTY OF SAN BERNARDINO

CNTY OF RIVERSIDE WORK

COMP DIV

ADJ7782140 ALMA GUZMAN

COMMUNITY AND MISSION

HOSPITAL OF HUNTINGTON

PARK

COMMUNITY AND MISSION

HOSPITAL OF HUNTINGTON

PARK

ADJ3092408 GARY MACHEN CASCADE PUMP COMPANY COMPWEST NEWPORT BEACH

ADJ4545677 HERLINDA RUELAS GOLDEN WEST CASINO COMPWEST NEWPORT BEACH

ADJ6966896 CELIA RANGEL CICOIL CORPORATION COMPWEST NEWPORT BEACH

ADJ7137036

MIGUEL MEDINA

RODRIGUEZ FAMOUS DAVES COMPWEST NEWPORT BEACH

ADJ7300231 ERICK CRUZ

THE IVY RESTAURANT DBA LA

DESSERTS INC COMPWEST NEWPORT BEACH

ADJ7454210 ALMA MARTINEZ QUICK SORT MAIL INC COMPWEST NEWPORT BEACH

ADJ7467292 RICHARD OLIVAS ROTO LITE INC COMPWEST NEWPORT BEACH

ADJ7536261 MELBYS CASTILLO PACIFIC GIANT COMPWEST NEWPORT BEACH

ADJ7536261 MELBYS CASTILLO PACIFIC GIANT INC COMPWEST NEWPORT BEACH

ADJ7827896 JOHAN DELCID SKY MANUFACTURING INC COMPWEST NEWPORT BEACH

ADJ8132458 MIGUEL BARRERA KOSHAN INC COMPWEST NEWPORT BEACH

ADJ8445968 SALVADOR AGUILAR BESTWAY SUPERMRKET COMPWEST NEWPORT BEACH

ADJ8500318 PEDRO RAMOS HUXTABLES KITCHEN COMPWEST NEWPORT BEACH

ADJ9695302 RIGOBERTO RAMIREZ

PACIFIC COAST

MANUFACTURING COMPWEST NEWPORT BEACH

ADJ1406622 LOA GRIFFITH

MONTEBELLO UNIFIED SCHOOL

DISTRICT CORVEL CHINO

ADJ3378722 VICTOR YSLAS CITY OF BARSTOW CORVEL CHINO

ADJ7586823 MENBERE MARKOS

LOS ANGELES COUNTY OFFICE

OF EDUCATION CORVEL CHINO

ADJ8275662 CONCEPCION RIVERA

SAN BERNARDINO SUPERIOR

COURT CORVEL CHINO

ADJ8275662 CONCEPCION RIVERA

SAN BERNARDINO SUPERIOR

COURT JBWCP CORVEL CHINO

ADJ8398442 LETICIA ZAMORA

HORIZON ASO FBO

PARAMOUNT CONVALESCENT

HOSPITAL CORVEL CHINO

Page 10

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8841258 IRENE GARCIA VEGA BRIARCREST NURSING CENTER CORVEL CHINO

ADJ8861168 FRANCISCO GUERRERO ERC COMPANY CORVEL CHINO

ADJ9243036 PHONG NGUYEN BANK OF AMERICA CORVEL OXNARD

ADJ9460732 RONALD PATTERSON VENTURA MEDICAL CENTER CORVEL OXNARD

ADJ7941093 EMMA GREER BANK OF AMERICA CORVEL SACRAMENTO

ADJ8732429 JORGE ARRIETA BARRETT BUSINESS SERVICES CORVEL SACRAMENTO

ADJ8813839 GABRIELA ROEL BANK OF AMERICA CORVEL SACRAMENTO

ADJ9148983 MANUEL RAMIREZ

BARRETT BUSINESS SERVICES

INC CORVEL SACRAMENTO

ADJ9535991

MARIA TERESA OSUNA

MARTINEZ EL GALLO GIRO CORVEL SACRAMENTO

ADJ9535991

MARIA TERESA OSUNA

MARTINEZ OASIS OUTSOURCING CORVEL SACRAMENTO

ADJ9551943 MARCO FLORES

DAVID HOVANNISIAN

CONSTRUCTION CORVEL SACRAMENTO

ADJ3091338 LINDA PENDERGRAFT

EASTERN MUNICIPAL WATER

DISTRICT CORVEL SAN DIEGO

ADJ7665074 ALBERTO HERNANDEZ WESMOR PROPERTIES CORVEL SAN DIEGO

ADJ9396236 MANUEL RAYA JV PROPERTIES CORVEL SAN DIEGO

ADJ8415557 DIANA FAZ

COUNTY OF CONTRA COSTA

PROBATION DEPARTMENT COUNTY OF CONTRA COSTA

ADJ9004619 ELIZABETH GIBSON COUNTY OF KERN COUNTY OF KERN

ADJ9380815 LISA RAMSEY

COUNTY OF ORANGE RISK

MGMT PSI

COUNTY OF ORANGE RISK

MGMT PSI

ADJ2031756 SHERRI ECKMAN COUNTY OF SAN BERNARDINO COUNTY OF SAN BERNARDINO

ADJ7577624

CHARLOTTE BEAVOR

FLORES SAN BERNARDINO COUNTY COUNTY OF SAN BERNARDINO

ADJ9068768 CHEILITA LANE SAN BERNARDINO COUNTY COUNTY OF SAN BERNARDINO

ADJ7341144 WILMER ESCOBAR CROCKETT GRAPHICS CROCKETT GRAPHICS

ADJ7341144 WILMER ESCOBAR CROCKETT GRAPHICS INC CROCKETT GRAPHICS

ADJ7626816 EFRAIN DE LOZA DEL MAR DIE CASTING CRUM FORSTER ORANGE

ADJ7678599 CRUZ GARCIA FIESTA FOOD CRUM FORSTER ORANGE

ADJ7680092 ARTURO TRUJILLO BAGDASARIAN RICHARD INC CRUM FORSTER ORANGE

ADJ7702474 MARIA GONZALEZ GARGIULO INC CRUM FORSTER ORANGE

ADJ772971 ANA JUAREZ PELICAN PRODUCTS CRUM FORSTER ORANGE

Page 11

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8708664 MIGUEL ROMERO DFG RESTAURANT CRUM FORSTER ORANGE

ADJ9686842 SILVIA ROQUE LIVHOME INC CRUM FORSTER ORANGE

ADJ7222563 ALFONSO HERNANDEZ

DEPARTMENT OF

CORRECTIONS

DEPARTMENT OF

CORRECTIONS

ADJ9064370 ROSA URBINA DISNEYLAND RESORT DISNEY ANAHEIM

ADJ1152994 CLARITZA HERNANDEZ EAGLE CONSULTING

ADJ9358387 MANUEL PEREZ MCLANE MANUFACTURING INC

EMPLOYERS ASSURANCE

GLENDALE

ADJ6962819 JACQUELINE TARIN GHD PROFESSIONAL EMPLOYERS COMP GLENDALE

ADJ7224201

ROBERTO GUTIERREZ

VERA ACTRON MANUFACTURING INC EMPLOYERS COMP GLENDALE

ADJ7805137 ESTEBAN VENCES

OLYMPIC POWDER COATING

INC EMPLOYERS COMP GLENDALE

ADJ8501554 SUREN KIRAKOSYAN AVIS ROTO DIE EMPLOYERS COMP GLENDALE

ADJ8827341 PEDRO FUENTES AGOSTINOS BAKERY EMPLOYERS COMP GLENDALE

ADJ9042936 ISMAEL MENDIAS GARY AND TRACY CANFIELD EMPLOYERS COMP GLENDALE

ADJ9042936 ISMAEL MENDIAS PREMIER SECURITY SERVICE EMPLOYERS COMP GLENDALE

ADJ9048772 FRANCISCO NUNEZ

LITTLE BUDDHA LLC DBA PEARL

DRAGON EMPLOYERS COMP GLENDALE

ADJ9112669 JUAN OCEGUEDA JEAN TECHNOLOGY EMPLOYERS COMP GLENDALE

ADJ9606609 RAFAEL RAMIREZ MC ENTERPRISES EMPLOYERS COMP GLENDALE

ADJ9606609 RAFAEL RAMIREZ WASH DEPOT HOLDINGS INC EMPLOYERS COMP GLENDALE

ADJ9840333 OCTAVIO JIMENEZ

MARACAS MEXICAN CANTINA

AND GRILL EMPLOYERS COMP GLENDALE

ADJ9934479 NELY MENDEZ BOBA TIME EMPLOYERS COMP GLENDALE

ADJ8130208 GENEVA AGUILAR STAR AUTO PARTS

EMPLOYERS COMP SAN

FRANCISCO

ADJ8506994 JACKIE PARKER BTE COMMUNICATIONS

EMPLOYERS COMP SAN

FRANCISCO

ADJ10265790 GABRIELA SALAZAR JOE`S JEANS INC.

EMPLOYERS PREFERRED SAN

FRANCISCO

ADJ8153608 PEDRO FLORES AVALOS PACIFIC STEEL CASTING ENSTAR US ORANGE

ADJ8173696

SALVADOR GODINEZ

ARIAS NORMANDIE CLUB ENSTAR US ORANGE

ADJ8418006 DULCE POOT TAPCO SALES ENSTAR US ORANGE

ADJ8485897

MARIA GUADALUPE

ROGEL

NICK GONZALEZ DBA

GONZALEZ FARM LABOR

SERVICE ENSTAR US ORANGE

Page 12

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9355727 SHIRLEY STEIDL

PARKWAY HILLS NURSING &

REHAB ENSTAR US ORANGE

ADJ9876517 SOCORRO SILVA STATE FISH CO ENSTAR US ORANGE

ADJ10027831 MARIA GOMEZ

HOSPITALITY STAFFING

SOLUTIONS LLC ESIS CHATSWORTH

ADJ10027831 MARIA GOMEZ RIM CORPORATION ESIS CHATSWORTH

ADJ10327629 DARIO MELENDEZ BRIGHT HOUSE NETWORKS LLC ESIS CHATSWORTH

ADJ6462898 RUPERTO MALDONADO SARA LEE BAKERY ESIS CHATSWORTH

ADJ6575882 MARIA ALONSO SELECT REMEDY AGENCY ESIS CHATSWORTH

ADJ6575882 MARIA ALONSO SELECT STAFFING ESIS CHATSWORTH

ADJ7186107 EVA PONCE

NORTHGATE GONZALEZ

MARKET ESIS CHATSWORTH

ADJ7324705 JAIME LOPEZ TEMPLE INLAND ESIS CHATSWORTH

ADJ7617976 JOSE ZARATE ABM JANITORIAL SERVICES ESIS CHATSWORTH

ADJ7728929 JUAN PALAFOX ROADLINK USA ESIS CHATSWORTH

ADJ7875980 MARGARITA CHAVOLLA SUN PACIFIC HARVESTING CO ESIS CHATSWORTH

ADJ7994085 GRISELDA BARAJAS SELECT STAFFING ESIS CHATSWORTH

ADJ8056118 ANGELO LOPEZ GOODWILL INDUSTRIES ESIS CHATSWORTH

ADJ8248489 CLAUDIA MAYNE

GOODWILL INDUSTRIES OF

ORANGE ESIS CHATSWORTH

ADJ8508088 BLANCA ARCHILA ABM JANITORIAL ESIS CHATSWORTH

ADJ8636051 TERESA MAYORAL LOCKHEED MARTIN ESIS CHATSWORTH

ADJ9051717 CARMEN FELIX STAFFMARK INVESTMENT ESIS CHATSWORTH

ADJ9134968 RICHARD MCLESKEY LOCKHEED MARTIN ESIS CHATSWORTH

ADJ9294565 ALICIA GONZALEZ SELECT STAFFING ESIS CHATSWORTH

ADJ9311736 PASCUAL CALZADA

AMERICAN BUILDING

MAINTENANCE ESIS CHATSWORTH

ADJ9314767 WILLIAM CESENA LOCKHEED MARTIN ESIS CHATSWORTH

ADJ9492610 GREGORY READ LOCKHEED MARTIN ESIS CHATSWORTH

ADJ9535991

MARIA TERESA OSUNA

MARTINEZ EL GALLO GIRO ESIS CHATSWORTH

ADJ9535991

MARIA TERESA OSUNA

MARTINEZ OASIS OUTSOURCING ESIS CHATSWORTH

ADJ9940511 ANGELICA RUELAS ABM INDUSTRIES ESIS CHATSWORTH

Page 13

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9970287

JANICE WALLACE

ROBINSON ABM SECURITY SERVICES ESIS CHATSWORTH

ADJ9978016 MARIA HERNANDEZ ABM ESIS CHATSWORTH

ADJ7197290 JOSE GRAMAJO LOOMIS ARMORED US INC ESIS PORTLAND

ADJ473548 PAUL ST AMAND ITT INDUSTRIES ESIS TAMPA

ADJ6613886 YVETTE OCHOA SELECT STAFFING ESIS TAMPA

ADJ7923543 PATRICIA CHRISTILAW LOCKHEED MARTIN ESIS TAMPA

ADJ8142447 YANCY ZAPATA SELECT STAFFING ESIS TAMPA

ADJ8248489 CLAUDIA MAYNE

GOODWILL INDUSTRIES OF

ORANGE ESIS TAMPA

ADJ9320779 JORGE PICOS B BRAUN OF AMERICA ESIS TAMPA

ADJ9060674 FRANK SMITH JR CENTURION GROUP

EVEREST NATIONAL

INSURANCE OAKLAND

ADJ9060674 FRANK SMITH JR GALPIN FORD

EVEREST NATIONAL

INSURANCE OAKLAND

ADJ9893710 CLEMENTINA RIOS KITTRICH CORPORATION

EVEREST NATIONAL

INSURANCE OAKLAND

ADJ6595395 LUGENE LEWIS WINEGARD ENERGY FARA ORANGE

ADJ8866664 CHARLENE RAVELOS

GOODWILL INDUSTRIES OF

SOUTHERN CALIFORNIA FARA ORANGE

ADJ4074488 MARIO BENCOMO GILROY TOYOTA FARMERS PLEASANTON

ADJ7650261 PING CHEN HAIFEN LI FARMERS PLEASANTON

ADJ7650261 PING CHEN YONGLIANG TENG FARMERS PLEASANTON

ADJ8388967 VICENTE VAZQUEZ TOMS BURGERS NO 1 FARMERS PLEASANTON

ADJ8796674 BLANCA LOPEZ TACO BELL FARMERS PLEASANTON

ADJ7360764

GRISELDA ONTIVEROS

LOZANO THE VEGGIE GRILL FARMERS SANTA ANA

ADJ7534748 MARIA VASQUEZ DEL TACO AKA DEL ONE INC FARMERS SANTA ANA

ADJ7745897 ROBERTO MORENO

SOUTHERN CROWN VALLEY

MARKET PLACE FARMERS SANTA ANA

ADJ8933036 SYLVIA LOMELI CBIS DATATAX FARMERS SANTA ANA

ADJ9781532 GRACE RODRIGUEZ KOBI`S WINDOWS & DOORS MG FARMERS SANTA ANA

ADJ6668860 OSCAR SANTOS

MR BILLS AUTO BODY AND

PARTS INC FARMERS WESTLAKE VILLAGE

ADJ7242844 GRACIELA GONZALEZ GILLIS INDIAN CUISINE FARMERS WESTLAKE VILLAGE

ADJ8748920 MIGUEL AVILA DANA CREATH DESIGNS LTD FARMERS WESTLAKE VILLAGE

Page 14

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8748920 MIGUEL AVILA PAPA JOHNS FARMERS WESTLAKE VILLAGE

ADJ8996812 KRYSTAL MEDINA

I TEN FOODS LIMITED

PARTNERSHIP FARMERS WESTLAKE VILLAGE

ADJ9200673 BLANCA GUERRERO HONG KONG EXPRESS FARMERS WESTLAKE VILLAGE

ADJ7054677 OFELIA TERAN ANA GODOY INDIVIDUAL

FEDERAL INSURANCE LOS

ANGELES

ADJ6989973 SAUL CORDERO WGV INTERNATIONAL FIRST COMP

ADJ7756573 MICHAEL HOLLINQUEST

FRESNO UNIFIED SCHOOL

DISTRICT

FRESNO UNIFIED SCHOOL

DISTRICT

ADJ8683291 SONIA CRUZ CASTILLO ILM EMPLOYMENT GROUP INC GALLAGHER BASSETT

ADJ8958788

RAMON SANDOVAL

MUNOZ

COVINA CARE CENTER DBA

COVINA REHABILITATION

CENTER GALLAGHER BASSETT

ADJ1712471 GUADALUPE NERI UNITED AIRLINES

GALLAGHER BASSETT 255397

SACRAMENTO

ADJ7997999 MARIO GURROLA BEST BUY

GALLAGHER BASSETT 255397

SACRAMENTO

ADJ7478104 EMERITA AMARAL RR DONNELLEY

GALLAGHER BASSETT 255397

SACRAMENTO

ADJ3371827 PATRICIA ROMO MCKESSON PHARMACEUTICALS

GALLAGHER BASSETT 4040

SACRAMENTO

ADJ6631341 MARIA MENDOZA CARDENAS MARKETS INC

GALLAGHER BASSETT 4040

SACRAMENTO

ADJ7230398 MANUEL FARFAN JC TRIMMING CO INC

GALLAGHER BASSETT 4040

SACRAMENTO

ADJ8925162 IRENE CANDELARIA

HMS HOST DBA AUTOGRILL

GROUP INC

GALLAGHER BASSETT

BURBANK

ADJ8972003 BRENDA ROJAS HOTEL BEL AIR

GALLAGHER BASSETT

BURBANK

ADJ2599002 HUMBERTO SALAZAR CAVALIER MFG

GALLAGHER BASSETT

CALABASAS

ADJ8044875 ELIA JIMENEZ SODEXOEDUCATION

GALLAGHER BASSETT

CALABASAS

ADJ8163954 OLGA ROMO WHOLE FOODS MARKET 20

GALLAGHER BASSETT

CALABASAS

ADJ8163954 OLGA ROMO

WHOLE FOODS MARKET

NUMBER 20

GALLAGHER BASSETT

CALABASAS

ADJ8606744 JESUS QUINTANA FORCE FRAMING INC

GALLAGHER BASSETT

CALABASAS

ADJ9557503 LILIAN PEREZ

READY PAC PRODUCE

PRODUCTION

GALLAGHER BASSETT

CALABASAS

ADJ6886684 DAVID MARQUEZ KELLEY FLEET SERVICES GALLAGHER BASSETT CORONA

ADJ7049898 JAVIER ZENDEJAS CBC FRAMING INC GALLAGHER BASSETT CORONA

ADJ7932358 JOEL JACKSON

VOLT 1NFORMATION SCLENCES

INCI GALLAGHER BASSETT CORONA

ADJ7977085 JOSE ROMERO VOLT SERVICES GALLAGHER BASSETT CORONA

Page 15

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8740684 ADRIAN TAPIA MED LINE GALLAGHER BASSETT CORONA

ADJ8993304 MARIBEL LEON VINTAGE ASSOCIATES INC GALLAGHER BASSETT CORONA

ADJ9223282 ROSE RICE

SOUTHERN CALIFORNIA

AVIATION GALLAGHER BASSETT CORONA

ADJ8349512 NOE MELCHOR DOUGLAS EMMETT MGMT LLC

GALLAGHER BASSETT

GLENDALE

ADJ9068941 PABLO GARCIA

GUCKENHEIMER ENTERPRISES

INC

GALLAGHER BASSETT

GLENDALE

ADJ8813839 GABRIELA ROEL BANK OF AMERICA

GALLAGHER BASSETT GOLD

RIVER

ADJ9937311 MARIA ROMAN COMPASS GROUP

GALLAGHER BASSETT GOLD

RIVER

ADJ8163954 OLGA ROMO WHOLE FOODS MARKET 20

GALLAGHER BASSETT LAGUNA

HILLS

ADJ8163954 OLGA ROMO

WHOLE FOODS MARKET

NUMBER 20

GALLAGHER BASSETT LAGUNA

HILLS

ADJ9312371 WILLIAM SPETNAGEL

MEDISCAN NURSING STAFFING

INC

GALLAGHER BASSETT LAGUNA

HILLS

ADJ6841042 DONNA MOLNAR RGIS GALLAGHER BASSETT ORANGE

ADJ6841042 DONNA MOLNAR RGIS INVENTORY SPECLALISTS GALLAGHER BASSETT ORANGE

ADJ6946729 ROSA LOPEZ PREMIER TEMPS GALLAGHER BASSETT ORANGE

ADJ7940503 JOSE TRUJILLO ANGELICA CORPORATION GALLAGHER BASSETT ORANGE

ADJ8022888 ANA GRANDE MCDONALDS GALLAGHER BASSETT ORANGE

ADJ8518285 ELENA MEDINA MCDONALDS CORPORATION GALLAGHER BASSETT ORANGE

ADJ9175727 RAFAEL CUEVAS JM SMUCKER COMPANY GALLAGHER BASSETT ORANGE

ADJ9175727 RAFAEL CUEVAS THE J M SMUCKER GALLAGHER BASSETT ORANGE

ADJ9912731 ADAN PEREZ FONSECA IMPACT LOGISTICS INC GALLAGHER BASSETT ORANGE

ADJ9928803 ROSA PINON COASTLINE FOOD SERVICES GALLAGHER BASSETT ORANGE

ADJ6442816 LIDIA DIAZ AMERICAN SECURITY

GALLAGHER BASSETT RANCHO

CUCAMONGA

ADJ6781657 NED PESEN YELLOW ROADWAY CORP INC

GALLAGHER BASSETT RANCHO

CUCAMONGA

ADJ8398442 LETICIA ZAMORA

HORIZON ASO FBO

PARAMOUNT CONVALESCENT

HOSPITAL

GALLAGHER BASSETT RANCHO

CUCAMONGA

ADJ8765046 BRENDA CZARNOTA TA OPERATING LLC

GALLAGHER BASSETT RANCHO

CUCAMONGA

ADJ9818120 MARIA GALLEGOS PAYLESS DISTRIBUTION

GALLAGHER BASSETT RANCHO

CUCAMONGA

ADJ8888148 ZULEICA MONTES

PACK WEST SECURITY

SERVICES

GALLAGHER BASSETT

ROSEVILLE

Page 16

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9046738 ARNOLDO GALVAN DONAGHY SALES

GALLAGHER BASSETT

ROSEVILLE

ADJ9366818 FERNANDO RIVERA CITY STAFF SOLUTIONS

GALLAGHER BASSETT

ROSEVILLE

ADJ9894380 MARIO ORTEGA

GL HMH LLC DBA HAMER

TOYOTA

GALLAGHER BASSETT

ROSEVILLE

ADJ6767933 SANDRA DURAN JACK IN THE BOX

GALLAGHER BASSETT SAN

DIEGO

ADJ8487876 JA WANNA PEARCE DR PEPPER SNAPPLE GROUP

GALLAGHER BASSETT SAN

DIEGO

ADJ4128706 GLORIA SANCHEZ READY PAC PRODUCE

GALLAGHER BASSETT

SERVICES INC

ADJ9016131 MARTIN GARCIA

GENERAL MARKETING

CORPORATION

GENERAL MARKETING

CORPORATION

ADJ9260712 JEHU SANCHEZ US RUBBER RECYCLING GILSON DAUB DANA POINT

ADJ8981586 LUCILA OROZCO REYES

BEST WESTERN ONTARIO

AIRPORT GOLDEN EAGLE PORTLAND

ADJ9896249 SALVADOR GOMEZ TOYO LANDSCAPING GOLDEN EAGLE PORTLAND

ADJ8038971 JAVIER PINEDO VBZ AND SONS INC

GREAT AMERICAN WALNUT

CREEK

ADJ9048772 FRANCISCO NUNEZ

LITTLE BUDDHA LLC DBA PEARL

DRAGON

GUARD INSURANCE WILKES

BARRE

ADJ9066916 HECTOR GUZMAN O DONNELL GOLF CLUB

GUARD INSURANCE WILKES

BARRE

ADJ9896020 KARINA BONILLA CRUZ DICKEY S BARBECUE PIT

GUARD INSURANCE WILKES

BARRE

ADJ7343096 MARTHA MONGE

PINE CREST CHRISTIAN

CENTER

GUIDEONE MUTUAL DES

MOINES

ADJ7343096 MARTHA MONGE

SOUTHERN CALIFORNIA

DISTRICT DBA PINECREST

CHRISTIAN

GUIDEONE MUTUAL DES

MOINES

ADJ7650261 PING CHEN HAIFEN LI HAIFENG LI

ADJ7650261 PING CHEN YONGLIANG TENG HAIFENG LI

ADJ8719784 ELSA TYSON ARCO AMPM

HANOVER INSURANCE GROUP

WORCESTER

ADJ8095223 ANDRES A RAMIREZ

HANSON STRUCTURAL

PRECAST INC

HANSON STRUCTURAL

PRECAST INC

ADJ6937207 RUBEN GONZALEZ ATLAS SPECIALTY PRODUCTS HARTFORD SACRAMENTO

ADJ7935258 JOSE ORTEGA GLP DESIGNS HARTFORD SACRAMENTO

ADJ8082568 MARITZA MARTINEZ PACKAGING PLUS HARTFORD SACRAMENTO

ADJ8627686 DARIO ACEVEDO FREEWAY INSURANCE HARTFORD SACRAMENTO

ADJ8627686 DARIO ACEVEDO

FREEWAY INSURANCE CONFIE

HOLDING HARTFORD SACRAMENTO

ADJ8831635 ROSA SANCHEZ INTERTRADE INDUSTRIES HARTFORD SACRAMENTO

Page 17

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8844495 SYLVIA VELEZ SCIF HARTFORD SACRAMENTO

ADJ8888032 LEANDRO HERNANDEZ SPECTRA COMPOSITES HARTFORD SACRAMENTO

ADJ9026644 GRACIELA SANCHEZ

ALTA ADVANCED

TECHNOLOGIES INC HARTFORD SACRAMENTO

ADJ9045852 SIDONIO LOMELI WHEELS FINANCIAL GROUP HARTFORD SACRAMENTO

ADJ9397963 MARY RIVAS

STATE COMPENSATION INS

FUND HARTFORD SACRAMENTO

ADJ9938989

AMANCIO LOPEZ

GONZALEZ HR BIZ SERVICES INC HARTFORD SACRAMENTO

ADJ9938989

AMANCIO LOPEZ

GONZALEZ REYES SINGLE PLY ROOFING HARTFORD SACRAMENTO

ADJ10126236 CARLOS RAMOS

ZIXTA ENTERPRISES INC DBA

VALLARTA SUPERMARKETS 25 HCMS CHINO HILLS

ADJ10126236 CARLOS RAMOS

ZIXTA ENTERPRISES INC DBA

VALLARTA SUPERMARKETS 5 HCMS CHINO HILLS

ADJ1975152 SOBEYDA ALEMAN THE HOME DEPOT HELMSMAN MANAGEMENT

ADJ678792 ESTEBAN SANDOVAL TIMEC INC

HELMSMAN MANAGEMENT

GLENDALE

ADJ8894875 MIGUEL NAVARRETE

ALTA DENA CERTIFIED DAIRY

LLC

HELMSMAN MANAGEMENT

GLENDALE

ADJ9649239 WILLIE ONESTO HOME DEPOT

HELMSMAN MANAGEMENT

GLENDALE

ADJ9164394 JAMIE GOINS COSTCO

HELMSMAN MANAGEMENT

ROCKLIN

ADJ7318637 MICHELLE STAAEL DURA FREIGHT INC HOKE GRAY NEWPORT BEACH

ADJ7263890 JOSETTE RENTERIA BLYTHE NURSING CARE

ILLINOIS MIDWEST

SPRINGFIELD

ADJ7526522 MINERVA DE LA CRUZ LANDWIN MANAGEMENT INC

ILLINOIS MIDWEST

SPRINGFIELD

ADJ7697293 PETRA MARTINEZ RESPONSE ENVELOPE

ILLINOIS MIDWEST

SPRINGFIELD

ADJ8664445 JESUS RODRIGUEZ

NAOMI SAMARIN WILLIAM

SAMARINDBA FARMS

ILLINOIS MIDWEST

SPRINGFIELD

ADJ8761915 ANTONIO DUENAS SANDOVAL ENTERPRISE

ILLINOIS MIDWEST

SPRINGFIELD

ADJ8761915 ANTONIO DUENAS SANDOVAL ENTERPRISES INC

ILLINOIS MIDWEST

SPRINGFIELD

ADJ9144349 CARL BULLOCK BULLOCK AUTOMOTIVE

ILLINOIS MIDWEST

SPRINGFIELD

ADJ8937514 JOSE DURAN PETE RAMAGE CONSTRUCTION

IMPERIUM INSURANCE NEW

YORK

ADJ7014201 ANTONIO AMADOR JR THE LAKES COUNTRY CLUB

INSURANCE CO OF THE WEST

PLEASANTON

ADJ7224201

ROBERTO GUTIERREZ

VERA ACTRON MANUFACTURING INC

INSURANCE CO OF THE WEST

PLEASANTON

ADJ8366694 RUTH GALLOWAY BODY FRIENDS OUTSIDE

INSURANCE CO OF THE WEST

PLEASANTON

Page 18

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7479984 MARIO JUAREZ VALET SERVICES LAUNDRY

INSURANCE CO OF THE WEST

SAN DIEGO

ADJ7678599 CRUZ GARCIA FIESTA FOOD

INSURANCE CO OF THE WEST

SAN DIEGO

ADJ7727304 MARIA SANCHEZ ANITSA INC

INSURANCE CO OF THE WEST

SAN DIEGO

ADJ7969572 CHARLES MURRIA ARROW TRANSIT MIX

INSURANCE CO OF THE WEST

SAN DIEGO

ADJ8313235 GUSTAVO NIETO

FOUR CORNERS CONCRETE

INC

INSURANCE CO OF THE WEST

SAN DIEGO

ADJ9026644 GRACIELA SANCHEZ

ALTA ADVANCED

TECHNOLOGIES INC

INSURANCE CO OF THE WEST

SAN DIEGO

ADJ9178068 DANIEL MARES PREMIER TILE MARBLE

INSURANCE CO OF THE WEST

SAN DIEGO

ADJ6523265 ROSEMARY BASKOM

COUNTY OF LOS ANGELES LA

SUPERIOR COURT INTERCARE 14243 ORANGE

ADJ9163380 RICHARD RODRIGUEZ

LA COUNTY PARK

RECREATIONS INTERCARE 14243 ORANGE

ADJ7345354 ISRAEL SANDOVAL IDEAL STAFFING INC INTERCARE 14243 ORANGE

ADJ7345354 ISRAEL SANDOVAL

MAINSTAY BUSINESS

SOLUTIONS INTERCARE 14243 ORANGE

ADJ8729487 DILMA VASQUEZ VFORCE VENSURE INTERCARE 5915 ORANGE

ADJ8729487 DILMA VASQUEZ VFORCE/VENSURE INTERCARE 5915 ORANGE

ADJ7705438 ANDRES LOMELI

TREVINO AND SONS FARM

LABOR INTERCARE FRESNO

ADJ8298912 JOSE GARCIA GOLD STAR CATTLE CO5 UC INTERCARE FRESNO

ADJ9919078 JESUS RAMIREZZ AG FORCE INTERCARE FRESNO

ADJ9919078 JESUS RAMIREZZ AG FORCE LLC INTERCARE FRESNO

ADJ8550140 JUANA SILVIA MARTINEZ MIKE S FARM LABOR

INTERCARE HOLDINGS

INSURANCE SERVICES

ADJ5828367 ROBERT KLINE CREST CHEVROLET

INTERCARE INSURANCE

SERVICES

ADJ2328672 RAFAELA MARQUEZ YUEN'S ENTERPISE TWO INC INTERCARE IRVINE CLOSED

ADJ2476250 EDUARDO JAIMES BROOKS STREET BAKERY INTERCARE IRVINE CLOSED

ADJ2476250 EDUARDO JAIMES MAINSTAY BUSINESS SOLUTION INTERCARE IRVINE CLOSED

ADJ2476250 EDUARDO JAIMES

MAINSTAY BUSINESS

SOLUTIONS INTERCARE IRVINE CLOSED

ADJ3175496 ELIZABETH MARUFO COUNTY OF LOS ANGELES INTERCARE PASADENA

ADJ3175496 ELIZABETH MARUFO DISTRICT ATTORNEY OFFICE INTERCARE PASADENA

ADJ6687390

GABRIELA OCHOA

RODRIGUEZ ACCUPRINT SERVICES INC INTERCARE PASADENA

ADJ6687390

GABRIELA OCHOA

RODRIGUEZ PERSONA 1 HR INTERCARE PASADENA

Page 19

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION INTERCARE PASADENA

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION INC INTERCARE PASADENA

ADJ7979942 ADAN FUENTES CHSA/DAVID SHOWALTER INTERCARE PASADENA

ADJ8461286 VALENTIN GONZALES

BARSTOW TRUCK PARTS AND

EQUIPMENT INTERCARE PASADENA

ADJ2328672 RAFAELA MARQUEZ YUEN'S ENTERPISE TWO INC INTERCARE ROSEVILLE

ADJ4168210 NEIL ALLEN LABOR CONNECTION INTERCARE ROSEVILLE

ADJ5828367 ROBERT KLINE CREST CHEVROLET INTERCARE ROSEVILLE

ADJ7115066

OSWALDO OCAMPO

MONTES ALMANI AUDIO INTERCARE ROSEVILLE

ADJ7115066

OSWALDO OCAMPO

MONTES

RADWANS AUDIO AMERICAN

ENTERPRISES INC DBA ALMANI

AUDIO INTERCARE ROSEVILLE

ADJ8871503 SILVESTRE VARELA TODD PLIMBING INC INTERCARE ROSEVILLE

ADJ7943863 MARIA ESTELA VALADEZ

COACHELLA VALLEY UN1FIED

SCHOOL DISTRICT

KEENAN ASSOCIATES

RIVERSIDE

ADJ8531372 MARCOS PEREZ

COACHELLA VALLEY UNIFIED

SCHOOL DISTRICT

KEENAN ASSOCIATES

RIVERSIDE

ADJ8628665 HECTOR CRUZ LANCASTER SCHOOL DISTRICT

KEENAN ASSOCIATES

RIVERSIDE

ADJ7463012 JULIO GARCIA BEVERLY HOSPITAL

KEENAN ASSOCIATES

TORRANCE

ADJ7497122 MARGARET LOMELI

GLENDALE UNIFIED SCHOOL

DISTRICT

KEENAN ASSOCIATES

TORRANCE

ADJ9326617 KIM BROWN

COMPTON UNIFIED SCHOOL

DISTRIC

KEENAN ASSOCIATES

TORRANCE

ADJ7651684 FRANCISCO GUTIERREZ

LEGENCY SHIPPING AND

FREIGHT FORWARDING INC

LEGENCY SHIPPING AND

FREIGHT FORWARDING INC

ADJ6757027 ACHILLES CELESTINE VISTA ENERGY TRANSPORT LIBERTY MUTUAL

ADJ10032598 DAVID RUIZ MELODEE ICE CREAM

LIBERTY MUTUAL 29073

GLENDALE

ADJ2876621 YOLANDA LOPEZ MAXIM SWIM GROUP INC

LIBERTY MUTUAL 29073

GLENDALE

ADJ2876621 YOLANDA LOPEZ MAXINE SWIM GROUP INC

LIBERTY MUTUAL 29073

GLENDALE

ADJ6590742 KEITH LINDO ATLANTIC EXPRESS OF LA

LIBERTY MUTUAL 29073

GLENDALE

ADJ6714086 MARIA GARCIA SILVA MEMOS FARM LABOR SERVICES

LIBERTY MUTUAL 29073

GLENDALE

ADJ678792 ESTEBAN SANDOVAL TIMEC INC

LIBERTY MUTUAL 29073

GLENDALE

ADJ7098412 ERLINDA SALES HYATT REGENCY

LIBERTY MUTUAL 29073

GLENDALE

ADJ7153414 JERRY MARTIN RAYTHEON

LIBERTY MUTUAL 29073

GLENDALE

Page 20

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7262282 FERMIN MATA GURROLA EDELBROCK

LIBERTY MUTUAL 29073

GLENDALE

ADJ7497122 MARGARET LOMELI

GLENDALE UNIFIED SCHOOL

DISTRICT

LIBERTY MUTUAL 29073

GLENDALE

ADJ8153608 PEDRO FLORES AVALOS PACIFIC STEEL CASTING

LIBERTY MUTUAL 29073

GLENDALE

ADJ8252377 SALVADOR MANZANO CMS BAKERY PRODUCTS

LIBERTY MUTUAL 29073

GLENDALE

ADJ8426905 PATRICIA TENKE ANHEUSER BUSCH INC

LIBERTY MUTUAL 29073

GLENDALE

ADJ8580749 ETELVINA ALVARO SKY CHEFS INC

LIBERTY MUTUAL 29073

GLENDALE

ADJ8650736 RAMON MIRANDA DPI SPECIALTY FOODS

LIBERTY MUTUAL 29073

GLENDALE

ADJ8939365 CESAR GARCIA HANSON PIPE AND PRECAST

LIBERTY MUTUAL 29073

GLENDALE

ADJ8984538 ALFREDO ROBLES FRESH AND EASY

LIBERTY MUTUAL 29073

GLENDALE

ADJ9042936 ISMAEL MENDIAS GARY AND TRACY CANFIELD

LIBERTY MUTUAL 29073

GLENDALE

ADJ9042936 ISMAEL MENDIAS PREMIER SECURITY SERVICE

LIBERTY MUTUAL 29073

GLENDALE

ADJ9263244 SANTIAGO PAZ VAZQUEZ

FESTIVAL FUN PARK LLC DBA

RAGING WATERS

LIBERTY MUTUAL 29073

GLENDALE

ADJ1010459 REYNA URIAS FLORENCE MEAT PACKING LIBERTY MUTUAL BEAVERTON

ADJ1010459 REYNA URIAS FLORENCE MEAT PACKING, INC. LIBERTY MUTUAL BEAVERTON

ADJ6594236 HERMALINDA AVILA GOLDEN GATE PETROLEUM LIBERTY MUTUAL BEAVERTON

ADJ7020778 GERARDO SANCHEZ CONTINENTAL PROCESSORS LIBERTY MUTUAL BEAVERTON

ADJ7054677 OFELIA TERAN ANA GODOY INDIVIDUAL LIBERTY MUTUAL BEAVERTON

ADJ7077383 FELICITA MARTINEZ RICHARD BAGDASARIAN INC LIBERTY MUTUAL BEAVERTON

ADJ7341144 WILMER ESCOBAR CROCKETT GRAPHICS LIBERTY MUTUAL BEAVERTON

ADJ7341144 WILMER ESCOBAR CROCKETT GRAPHICS INC LIBERTY MUTUAL BEAVERTON

ADJ7711406 CLARIBEL GARCIA MOTEL LIBERTY MUTUAL BEAVERTON

ADJ7926793 SYLVIA PERRY ARDENT CO LIBERTY MUTUAL BEAVERTON

ADJ8038688 JOSE MESA LA FITNESS LIBERTY MUTUAL BEAVERTON

ADJ8418006 DULCE POOT TAPCO SALES LIBERTY MUTUAL BEAVERTON

ADJ8913343 GUADALUPE RODRIGUEZ GREENTHUMB PRODUCE LIBERTY MUTUAL BEAVERTON

ADJ9101213 EVANGELINA RODRIGUEZ

ASHLEY FURNITURE

INDUSTRIES LIBERTY MUTUAL BEAVERTON

ADJ9104285 ANA JULIA PEREIRA ALTAMED LIBERTY MUTUAL BEAVERTON

Page 21

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9178593 JOSE RODRIGUEZ WIRE TECH LIBERTY MUTUAL BEAVERTON

ADJ9252741 OSCAR POSADA SEINE IMAGE CO LIBERTY MUTUAL BEAVERTON

ADJ9896249 SALVADOR GOMEZ TOYO LANDSCAPING LIBERTY MUTUAL BEAVERTON

ADJ9175180 BENITO RAMIREZ HOME DEPOT LIBERTY MUTUAL GLENDALE

ADJ10035375 JOSE ZEPEDA

EMERALD LANDSCAPE

SERVICES LIBERTY MUTUAL ORANGE

ADJ4338183 MARIA ORTIZ CANDLE LAMP COMPANY LIBERTY MUTUAL ORANGE

ADJ7316803 MARIA AGUILAR SUNDATE LIBERTY MUTUAL ORANGE

ADJ7583359 ANTONIO LLAMAS CHUN AND LAU INC LIBERTY MUTUAL ORANGE

ADJ9649239 WILLIE ONESTO HOME DEPOT LIBERTY MUTUAL ORANGE

ADJ8222638 ALMA NIETO COMPLETE MEDICAL CARE

LIBERTY MUTUAL RCG

PORTLAND

ADJ333612 ROAUL RAPOZO UNION CAMP CORPORATION LIBERTY MUTUAL ROCKLIN

ADJ6974671 ERNESTO DE LA CRUZ

ARCHITECTURAL AREA

LIGHTING LIBERTY MUTUAL ROCKLIN

ADJ7768423

CHRISTOPHER

DUTHRIDGE ARDENT CO LIBERTY MUTUAL ROCKLIN

ADJ7844532 MARIA SOSA

IKEA DISTRIBUTION SERVICES

INC LIBERTY MUTUAL ROCKLIN

ADJ9073348 MONICA GARCIA

GENCO DISTRIBUTION SYSTEM

INC LIBERTY MUTUAL ROCKLIN

ADJ9142016 LEE EDWARDS

NEWARK PACIFIC

PAPERBOARD LIBERTY MUTUAL ROCKLIN

ADJ9356677 JOSE REYES PAULEY CONSTRUCTION LIBERTY MUTUAL ROCKLIN

ADJ7174455 ALLANA BEDASHI LOMA LINDA UNIVERSITY

LOMA LINDA UNIVERSITY LOMA

LINDA

ADJ3769679 GAY KEITH LACMTA

LOS ANGELES METROPOLITAN

AUTHORITY

ADJ7639848 ISAIAS SANTOS TRISTATE STAFFING

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ8017131 HEIDI BOLANOS DENNIS FOLAND INC

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ8017131 HEIDI BOLANOS NOVA STAFFING

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ8031003

JOSE MARQUEZ

SANCHEZ

AR3 LLC DBA ATLAS

RESOURCES INC

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ8509839 DAVID LOPEZ

MAHFOUZ M MICHAEL MD DBA

CLINICA SAN MIGUEL

LUMBERMENS UNDERWRITING

BOCA RATON

Page 22

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9208317 ANGEL MOLINA

CORPORATE RESOURCE

SERVICES INC

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ9208317 ANGEL MOLINA TRICORBRAUN HOLDINGS INC

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ9298873 MARTHA HERRERA DIAMOND STAFFING INC

LUMBERMENS UNDERWRITING

BOCA RATON

ADJ6830645 JAIME ANDRADE COLLINS COMPANY MARKEL SERVICES OMAHA

ADJ7236265 VICTOR GIL

C AND M LANDSCAPE AND

DESIGN INC MARKEL SERVICES OMAHA

ADJ7252560 CARMEN MERLAN HAMPTON INN MARKEL SERVICES OMAHA

ADJ7527178 GLICERIO REYES ALWAXIR CHICKEN MARKEL SERVICES OMAHA

ADJ7794433 ARMINDA GUERRERO MAIN EQUIPMENT INC MARKEL SERVICES OMAHA

ADJ7794433 ARMINDA GUERRERO MAINLINE EQUIPMENT INC MARKEL SERVICES OMAHA

ADJ7861343 ABEL PADILLA

QUALITY MECHANICAL

PROFESSIONALS MARKEL SERVICES OMAHA

ADJ7928427 JOSE PICENO WERNER ENTERPRISES MARKEL SERVICES OMAHA

ADJ8747613 ARMIDA AGUINIGA

CENTRAL CITY COMMUNITY

HEALTH CENTER MARKEL SERVICES OMAHA

ADJ7020752 ADA MARINA AMAYA MARRIOTT RENAISSANCE MARRIOTT HOT SPRINGS

ADJ9154396 LUCILA DORADO

BODEGA LATINA CORPORATION

DBA EL SUPER MATRIX ROCKLIN

ADJ10318613 MIRNA MENDIVIL LONGBOY INC

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ10362546 FRANCISCA PINEDA SAFETY HARVESTING

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ7660609

MARIA GUADALUPE

REYES VENEGAS SUPREME VALLEY AG INC

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ8091123 FYODOR PETROFF ACS SECURITY

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ8580666

JOSE HERNANDEZ

ROMERO

B AND L AKA MICKI AND

DARREL BETTENCOURT

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ8706052

ROMALDO TRUJILLO

QUINTERO CHAMBERLAINS FARMS

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ8761915 ANTONIO DUENAS SANDOVAL ENTERPRISE

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ8761915 ANTONIO DUENAS SANDOVAL ENTERPRISES INC

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ8902275 LORENZO ROSALES MANUEL BUENO

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ9352493 MARIA HERNANDEZ SWEET FACTORY

MEADOWBROOK INSURANCE

LAS VEGAS

Page 23

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9689426 MAXIMINO RAMIREZ

JEANETTER LUCERITO

MENDOZA DBA MENDOZA

FAMILY LABOR

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ9689426 MAXIMINO RAMIREZ MENDOZA FAMILY LABOR

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ7734494

MARTIN CABRERA

FRANCO M A LABOR CONTRACTING INC

MEADOWBROOK INSURANCE

LAS VEGAS

ADJ7406255 MARIA RAMIREZ

098 NORWALK SKILLED NRS

WELLNESS CENTER METRO RISK LONG BEACH

ADJ7782140 ALMA GUZMAN

COMMUNITY AND MISSION

HOSPITAL OF HUNTINGTON

PARK METRO RISK LONG BEACH

ADJ8180219 XIAOLING WANG

PACIFIC HOSPITAL OF LONG

BEACH METRO RISK LONG BEACH

ADJ6984658 SILVIA FONSECA

MAINSTAY BUSINESS

SOLUTIONS METRO RISK MANAGEMENT

ADJ8558582 IRMA MAGDALENO

GAMEWORKS SEGA DBA SGW

ENTERTAINMENT INC MITSUI SUMITOMO CINCINNATI

ADJ8558582 IRMA MAGDALENO GWE ONTARIO LLC MITSUI SUMITOMO CINCINNATI

ADJ7550598 ANITA GALLARDO

SOUTHWESTERN INDUSTRY

INC

MITSUI SUMITOMO UNIVERSAL

CITY

ADJ7787866 RODOLFO GARCIA IDS USA WEST INC

MITSUI SUMITOMO UNIVERSAL

CITY

ADJ9057622 ARELY PEREA ANAPLEX NANCY HALAS ORANGE

ADJ2239379 ANGILBERTO AGUILERA CHEROKEE FREIGHT LINES

NATIONAL INTERSTATE

RICHFIELD

ADJ7110479 FREDERICK WORDEN WHITEFIELD MEDICAL LAB

NATIONAL LIA AND FIRE SAN

FRANCISCO

ADJ8057182 JUAN FLORES RAMIREZ VALENE CONCRETE

NATIONAL LIA AND FIRE SAN

FRANCISCO

ADJ8911631 MARCO MACHUCA C & L COATINGS INC

NEW HAMPSHIRE INSURANCE

COMPANY

ADJ8911631 MARCO MACHUCA

INSURANCE COMPANY OF THE

WEST

NEW HAMPSHIRE INSURANCE

COMPANY

ADJ8911631 MARCO MACHUCA

NATIONAL UNION FIRE

INSURANCE

NEW HAMPSHIRE INSURANCE

COMPANY

ADJ8911631 MARCO MACHUCA

NEW HAMPSHIRE INSURANCE

COMPANY

NEW HAMPSHIRE INSURANCE

COMPANY

ADJ8274828 HECTOR CORONADO DELTA CLEANING SERVICES OD LEGAL OAKLAND

ADJ8911631 MARCO MACHUCA C & L COATINGS INC OLD REPUBLIC BROOKFIELD

ADJ8911631 MARCO MACHUCA

INSURANCE COMPANY OF THE

WEST OLD REPUBLIC BROOKFIELD

ADJ8911631 MARCO MACHUCA

NATIONAL UNION FIRE

INSURANCE OLD REPUBLIC BROOKFIELD

ADJ8911631 MARCO MACHUCA

NEW HAMPSHIRE INSURANCE

COMPANY OLD REPUBLIC BROOKFIELD

ADJ8558582 IRMA MAGDALENO

GAMEWORKS SEGA DBA SGW

ENTERTAINMENT INC ONE BEACON ENGLEWOOD

ADJ8558582 IRMA MAGDALENO GWE ONTARIO LLC ONE BEACON ENGLEWOOD

Page 24

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ1529128 FELIX JIMENEZ A.C. HOFFMAN ENGINEERING

PACIFIC COMP CLAIM THOU

OAKS

ADJ4051615 ROBERTO VENEGAS EL TAPATIO MARKETS

PACIFIC COMP CLAIM THOU

OAKS

ADJ6806539 JOSE BAHENA OVERHILL FARMS INC

PACIFIC COMP CLAIM THOU

OAKS

ADJ6985806 MIGUEL SANCHEZ WESCO METAL FABRICATIONS

PACIFIC COMP CLAIM THOU

OAKS

ADJ7368173 MIGUEL GARCIA EXCEL LANDSCAPE

PACIFIC COMP CLAIM THOU

OAKS

ADJ7368173 MIGUEL GARCIA EXCEL LANDSCAPE INC

PACIFIC COMP CLAIM THOU

OAKS

ADJ7643618 FRANCISCO GUTIERREZ

CONEJO CREST LANDSCAPE

MANAGEMENT

PACIFIC COMP CLAIM THOU

OAKS

ADJ8418006 DULCE POOT TAPCO SALES

PACIFIC COMP CLAIM THOU

OAKS

ADJ9350366 DAVID RUIZ VALLEY CHROME PLATING INC

PACIFIC COMP CLAIM THOU

OAKS

ADJ9812189 MARLEN RUIZ JIB HOLDINGS INC

PACIFIC COMP CLAIM THOU

OAKS

ADJ6769156 JAIME HERNANDEZ

ROYAL CUSTOMS DESIGN5

INC1

PACIFIC COMP CLAIM THOU

OAKS

ADJ6981756 GAUDENCIO DIAZ BIG SAVER FOOD INC

PACIFIC COMP CLAIM THOU

OAKS

ADJ7697302 SUSANA HERRERA

BROOKVALE INTERNATIONAL

CORP

PATRIOT RISK CIGA RANCHO

CORDOVA CLOSED

ADJ7697302 SUSANA HERRERA

RALLY MANAGEMENT

SERVICES

PATRIOT RISK CIGA RANCHO

CORDOVA CLOSED

ADJ8018037

MARIA MELCHOR

CASTELLANOS SUPERIOR GROCERS

PATRIOT RISK CIGA RANCHO

CORDOVA CLOSED

ADJ7128468 TIFFANY CHRISTIANSEN SUPERIOR GROCERS

PATRIOT RISK SERVICES

ORANGE CLOSED

ADJ7974483 HILDA TORRES

BARON HR MONTEBELLO

RANCH

PATRIOT RISK SERVICES

WOODLAND HILLS

ADJ7974483 HILDA TORRES HORMEL FOODS CORP

PATRIOT RISK SERVICES

WOODLAND HILLS

ADJ9646330 ANGELA SALGADO

PINE GROVE HEALTHCARE &

WELLNESS CENTER

PATRIOT RISK SERVICES

WOODLAND HILLS

ADJ1286994 BEATRICE GARCIA HARRIS FARMS PAULA INSURANCE COMPANY

ADJ1286994 BEATRICE GARCIA HARRIS RANCH BEEF COMPANY PAULA INSURANCE COMPANY

ADJ7110479 FREDERICK WORDEN WHITEFIELD MEDICAL LAB

PENNSYLVANIA

MANUFACTURERS

ADJ8483925 JOAQUIN RAZO AYALA AGRENX JUAREZ BROTHER

PRAETORIAN INSURANCE CO

SACRAMENTO

ADJ9656968 LUIS OROZCO RON ANGIN DBA FALANY FENCE

PREFERRED EMPLOYERS SAN

DIEGO

ADJ8739454 JOAQUIN SALAS MAGNUS LOGISTICS

PROTECTIVE INSURANCE

INDIANAPOLIS

ADJ8676883 JOHN DAVILA

CALIFORNIA RESTAURANT

MUTUAL BENEFIT

CORPORATION

PUBLIC SERVICE MUTUAL LOS

ANGELES

Page 25

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8676883 JOHN DAVILA

DESERT HOT SPRINGS SPA

HOTEL

PUBLIC SERVICE MUTUAL LOS

ANGELES

ADJ3070248 JUDITH HUNTIMER RALPH'S GROCERY CO

RALPHS/KROEGER CO/RALPHS

GROCERY CO

ADJ7153414 JERRY MARTIN RAYTHEON RAYTHEON

ADJ4653877 GRACIELA FELICIANO LAUSD

RELIANCE INSURANCE

COMPANY/FLEMING AND

ASSOC

ADJ4653877 GRACIELA FELICIANO LONG BEACH UNIFIED SCHOOL

RELIANCE INSURANCE

COMPANY/FLEMING AND

ASSOC

ADJ7656747 MARCELO TAPIA SON COUNTRY REPUBLIC INDEMNITY ENCINO

ADJ7935069 LUISA GARCIA WAY TO BE DESIGNS REPUBLIC INDEMNITY ENCINO

ADJ8361296

MARIA MARTINEZ DE

RODRIGUEZ DAVIDON HOME REPUBLIC INDEMNITY ENCINO

ADJ9417947 LOAN NGUYEN INTERFACE ASSOCIATES REPUBLIC INDEMNITY ENCINO

ADJ10347047 JOSE PALLARES LA LABORER SERVICE

RISICO CLAIMS MANAGEMENT

FRESNO

ADJ8031003

JOSE MARQUEZ

SANCHEZ

AR3 LLC DBA ATLAS

RESOURCES INC

RISICO CLAIMS MANAGEMENT

FRESNO

ADJ8473318 PHILLIP GARCIA

HUNTINGTON SECURITY

SYSTEMS

RISICO CLAIMS MANAGEMENT

FRESNO

ADJ9666578

ZENAIDA SOLANO

CHAVEZ WESTSIDE AG

RISICO CLAIMS MANAGEMENT

FRESNO

ADJ6744373 LUIS FLORES EXIDE TECHNOLOGIES

RISK ENTERPRISE 2307 BREA

CLOSED

ADJ7979942 ADAN FUENTES CHSA/DAVID SHOWALTER

RISK ENTERPRISE 2307 BREA

CLOSED

ADJ10126236 CARLOS RAMOS

ZIXTA ENTERPRISES INC DBA

VALLARTA SUPERMARKETS 25

SAFETY NATIONAL CASUALTY

ST LOUIS

ADJ10126236 CARLOS RAMOS

ZIXTA ENTERPRISES INC DBA

VALLARTA SUPERMARKETS 5

SAFETY NATIONAL CASUALTY

ST LOUIS

ADJ8002503 CARMEN BRAN SAMMYEON INC

ADJ4165934 YOLANDA MERCADO RALLY STAFFING

SAMUELSEN GONZALEZ

NEWPORT BEACH

ADJ8012038 JAIME SILVA SAPA EXTRUSIONS SAPA EXTRUSIONS

ADJ5833821 VICTOR ACEVES

PAMELA JIMENEZ BY AND

THROUGH THE DEPT OF

SOCIAL SERVIC SCIF

ADJ4096845 DANA SARGENT

CA EXTERIOR HOME

IMPROVEMENTS SCIF

ADJ6848996 PATRICIA RUSSELL

PORTERVILLE

DEVELOPMENTAL CENTER SCIF INSURED BAKERSFIELD

ADJ6953524 MARIA VARGAS DIAZ ALTHA PRIVATE SECURITY SCIF INSURED BAKERSFIELD

ADJ6953524 MARIA VARGAS DIAZ

ALTHA PRIVATE SECURITY

SERVICES SCIF INSURED BAKERSFIELD

Page 26

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7486475 GERARDO ESPINOZA PACIFICA CONSTRUCTION SCIF INSURED BAKERSFIELD

ADJ2446349 ARNOLDO GOMEZ CAL BEAN AND GRAIN COOP SCIF INSURED FRESNO

ADJ438513 JOSE HILARIO CABRERA D C MARKETING INC SCIF INSURED FRESNO

ADJ438513 JOSE HILARIO CABRERA D.C. MARKETING INC. SCIF INSURED FRESNO

ADJ6534402 MANUEL SALMORAN SCIF INSURED FRESNO

ADJ6713234 LUIS RIVERA GOLDEN STATE PLASTERING SCIF INSURED FRESNO

ADJ6805305 ANGELA RAE DEPT OF TRANS SCIF INSURED FRESNO

ADJ6907643 BENITO LOPEZ RMT CONTRACT1NG SCIF INSURED FRESNO

ADJ6907643 BENITO LOPEZ RMT CONTRACTING SCIF INSURED FRESNO

ADJ6953524 MARIA VARGAS DIAZ ALTHA PRIVATE SECURITY SCIF INSURED FRESNO

ADJ6953524 MARIA VARGAS DIAZ

ALTHA PRIVATE SECURITY

SERVICES SCIF INSURED FRESNO

ADJ7041365 DIONICIO SALINAS

STATE CENTER ROOFING

COMPANY INC SCIF INSURED FRESNO

ADJ7386415 FELICIANO ENRIQUEZ MCS CONSTRUCTION SCIF INSURED FRESNO

ADJ7486475 GERARDO ESPINOZA PACIFICA CONSTRUCTION SCIF INSURED FRESNO

ADJ7522255 FRANCISCO MARTINEZ

CHOOLIGIAN BROTHERS

PACKING SCIF INSURED FRESNO

ADJ7747788 ANTHONY POPE BYRON ROOFING SCIF INSURED FRESNO

ADJ8171446 PEDRO MERCADO MAPLEGROVE FOODS SCIF INSURED FRESNO

ADJ8500425 DAVID GONZALEZ AMERICAN WAY THRIFT STORE SCIF INSURED FRESNO

ADJ8830010 MARIA DILLS

IN HOME SUPPORTIVE

SERVICES SCIF INSURED FRESNO

ADJ9358387 MANUEL PEREZ MCLANE MANUFACTURING INC SCIF INSURED FRESNO

ADJ1134929 ANDRES MATA

GENIE AIR CONDITIONING &

HEATING SCIF INSURED GLENDALE

ADJ1274738 MAGDALENO MARTINEZ BENEDICT CANYON VILLA, LLC SCIF INSURED GLENDALE

ADJ154783 JORGE FLORES D E C SCIF INSURED GLENDALE

ADJ1689302 MARTIN COVARRUBIAS VILLA ESPERANZA SERVICES SCIF INSURED GLENDALE

ADJ2739246 JESSICA TELLO MITCHELL JEFFREY SPIRT MD SCIF INSURED GLENDALE

ADJ289431 GRASIANO LOYA A & M SCULPTURED METALS SCIF INSURED GLENDALE

ADJ3447621 PEDRO COSAJAY INTEG ROOF CO./KEVIN HILLS SCIF INSURED GLENDALE

ADJ3796357 JUAN CABRERA BECORE PROMOTIONS, INC. SCIF INSURED GLENDALE

Page 27

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ3904543 HADA MARTINEZ KC PHARMACEUTICALS INC SCIF INSURED GLENDALE

ADJ4068988 RAMON SANTAMARIA MESA INC SCIF INSURED GLENDALE

ADJ438513 JOSE HILARIO CABRERA D C MARKETING INC SCIF INSURED GLENDALE

ADJ438513 JOSE HILARIO CABRERA D.C. MARKETING INC. SCIF INSURED GLENDALE

ADJ667141 RAUL GUERRA TORRES DO + ABLE SCIF INSURED GLENDALE

ADJ667141 RAUL GUERRA TORRES DO AND ABLE PRODUCTS SCIF INSURED GLENDALE

ADJ6773332 MARVIN CASTRO OAK TREE CONSTRUCTION SCIF INSURED GLENDALE

ADJ6801084 DWIGHT JEFFERSON DOWNEY WHOLESALE CORP SCIF INSURED GLENDALE

ADJ7162197 SALVADOR TORRES MACO IMPORT & EXPORT INC SCIF INSURED GLENDALE

ADJ7651721 ARTURO CASTILLO STAR FOOD STORE SCIF INSURED GLENDALE

ADJ7904060

RICARDO OLIVERA

ARREOLA AZTECA LANDSCAPE SCIF INSURED GLENDALE

ADJ8200713 CONSUELO MOJICA

DIGITAL CURRENCY SERVICES

INC SCIF INSURED GLENDALE

ADJ8229034 MARCO QUINTERO BURLINGAME INDUSTRIES SCIF INSURED GLENDALE

ADJ6516497 NOE LOPEZ FORTRESS SECURITY CO

SCIF INSURED GLENDALE UNIT

B

ADJ1754766

EDWARD LUCERO

SINOHOIZ PAUL'S AIR CONDITIONING SCIF INSURED INLAND EMPIRE

ADJ239404 RODGER IVY COIT SERVICES SCIF INSURED INLAND EMPIRE

ADJ248639 SERGIO NUNEZ ALS GARDEN ART SCIF INSURED INLAND EMPIRE

ADJ3123562 DAVID CONTRERAS RIGHT WAY SCIF INSURED INLAND EMPIRE

ADJ3371146 GLORIA BRADFORD PECHINEY CAST PLATE SCIF INSURED INLAND EMPIRE

ADJ511518 BETTY MASON

PARTNERSHIP TO PRESERVE

INDEPENDENT SCIF INSURED INLAND EMPIRE

ADJ592363 MICHAEL THIES

PACIFIC COMMUNITIES

BUILDERS INC SCIF INSURED INLAND EMPIRE

ADJ610339 HAROLD KIMBROUGH TEAM ONE SCIF INSURED INLAND EMPIRE

ADJ6756869 GERARDO ARREOLA SCIF INSURED INLAND EMPIRE

ADJ7094286 SALVADOR PADILLA RBI LANDSCAPE INC SCIF INSURED INLAND EMPIRE

ADJ7343096 MARTHA MONGE

PINE CREST CHRISTIAN

CENTER SCIF INSURED INLAND EMPIRE

ADJ7343096 MARTHA MONGE

SOUTHERN CALIFORNIA

DISTRICT DBA PINECREST

CHRISTIAN SCIF INSURED INLAND EMPIRE

ADJ6769017 LUIS MARTINEZ GLOBAL ONE LOGISTICS SCIF INSURED OXNARD

Page 28

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ6945542 CATHERLNE HOULIHAN

STATE OF CA BOARD OF

EQUALIZATION SCIF INSURED OXNARD

ADJ7102292 HERMENEGILDO AGUILAR

CASA ESPERANZA HOMELESS

CENTER SCIF INSURED OXNARD

ADJ7621383 DAVID GUERRERO CHANNEL ISLANDS LOGISTICS SCIF INSURED OXNARD

ADJ7974460 IRMA MENCHACA

MORRELLS ELECTORPLATING

INC SCIF INSURED POMONA

ADJ6805305 ANGELA RAE DEPT OF TRANS SCIF INSURED SACRAMENTO

ADJ7745860 CARLYN THORNTON HOME SWEET HOME SCIF INSURED SACRAMENTO

ADJ2099605 JORGE MONTANO

VOTAW BROTHERS DRYWALL

INC SCIF INSURED SAN DIEGO

ADJ2876621 YOLANDA LOPEZ MAXIM SWIM GROUP INC SCIF INSURED SANTA ANA

ADJ2876621 YOLANDA LOPEZ MAXINE SWIM GROUP INC SCIF INSURED SANTA ANA

ADJ7110479 FREDERICK WORDEN WHITEFIELD MEDICAL LAB SCIF INSURED SANTA ANA

ADJ7525257 SALVADOR RUBIO GREAT SCOTT TREE SERVICE SCIF INSURED SANTA ANA

ADJ7734707 MILITZA SALINAS ALUMIN ART PLATING CO INC SCIF INSURED SANTA ANA

ADJ7735431 ANDREA GARCIA

DEPARTMENT OF SOCIAL

SERVICES SCIF INSURED SANTA ANA

ADJ7752935 CARLOS ORTIZ

INTERNATIONAL JUICE

CONCENTRATES INC SCIF INSURED SANTA ANA

ADJ8956795 BRENDA RAYFORD

SOUTHERN CALIFORNIA

UNIFIED FOOD AND

COMMERCIAL WORKERS SCIF INSURED SANTA ANA

ADJ3887359 LOVETTE BATES COEX TRUCK SERVICE SCIF INSURED STOCKTON

ADJ6681714 MARIA BATZIN SEALING CORP. SCIF SCO MONTEREY PARK

ADJ6973022 DAVID ARANDA PACIFIC RAILROAD SALVAGE SCIF SCO MONTEREY PARK

ADJ7411005 KENNETH SCHUMACHER

JONES BROTHERS

CONSTRUCTION SCIF SCO MONTEREY PARK

ADJ5833821 VICTOR ACEVES

PAMELA JIMENEZ BY AND

THROUGH THE DEPT OF

SOCIAL SERVIC SCIF SCO SAN BERNARDINO

ADJ8390068 SUSANA SALAZAR MOTEL 6 SCIF SCO SAN BERNARDINO

ADJ6991828 JUAN CRUZ HURTADO

CHARLES JOHNSON ROOFING

INC SCIF SCO SANTA ANA

ADJ2032819 LINDA NICOLAUS

CENTRAL CALIFORNIA

WOMEN'S FACILITY

SCIF STATE EMPLOYEES

OXNARD

ADJ7284063 MARIA CALDERON

PORTERVILLE

DEVELOPMENTAL CENTER

SCIF STATE EMPLOYEES

OXNARD

ADJ7284063 MARIA CALDERON STATE OF CALIFORNIA

SCIF STATE EMPLOYEES

OXNARD

ADJ7145841 JEFFREY BELL

CALIFORNIA DEPARTMENT OF

FORESTRY

SCIF STATE EMPLOYEES

RIVERSIDE

Page 29

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7284063 MARIA CALDERON

PORTERVILLE

DEVELOPMENTAL CENTER

SCIF STATE EMPLOYEES

RIVERSIDE

ADJ7284063 MARIA CALDERON STATE OF CALIFORNIA

SCIF STATE EMPLOYEES

RIVERSIDE

ADJ7664770 KAY MC ENDOLLAR

DEPARTMENT OF VETERAN

AFFAIRS

SCIF STATE EMPLOYEES

RIVERSIDE

ADJ8049573 FRANCISCO RONQUILLO TRAIL LINES

SCIF STATE EMPLOYEES

RIVERSIDE

ADJ7222563 ALFONSO HERNANDEZ

DEPARTMENT OF

CORRECTIONS

SCIF STATE EMPLOYEES

SACRAMENTO

ADJ6784592 DEBRA DALTON

FAIRVIEW DEVELOPMENTAL

CENTER

SCIF STATE EMPLOYEES

SANTA ANA

ADJ9347669 TRINIDAD OCHOA SEAMAN NURSERIES

SECURITY NATIONAL

INSURANCE DALLAS

ADJ8263012 NATHAN MCNAMARA AMERICAN RED CROSS SEDGWICK

ADJ8941874 JASON PAYNE

LOS ANGELES COUNTY

REGISTER RECORDER SEDGWICK

ADJ8002338 ADONIS CUTCHLOW FIRST STUDENT SEDGWICK 14153 RIVERSIDE

ADJ8358636 ROSA GARCIA VALLEY BETH SHALOM SEDGWICK 14153 RIVERSIDE

ADJ8426905 PATRICIA TENKE ANHEUSER BUSCH INC SEDGWICK 14153 RIVERSIDE

ADJ9897226 EZEQUIEL SOLIS W HOLLYWOOD HOTEL SEDGWICK 14153 RIVERSIDE

ADJ2907226 TARYN TURNER BROOKS BROTHERS

SEDGWICK 14154

SACRAMENTO

ADJ9363246 JUAN SANTANA CARGILL INC

SEDGWICK 14154

SACRAMENTO

ADJ9886119 SUKHVINDER SAINI

ADVANTAGE SALES AND

MARKETING

SEDGWICK 14154

SACRAMENTO

ADJ10130377 CARLOS SALAZAR BRIDGESTONE SEDGWICK 14442 ORANGE

ADJ1949915 RUFINA LEON SUNRISE SENIOR LIVING SEDGWICK 14442 ORANGE

ADJ7839568 AUSENCIA PAJOR ORMCO SEDGWICK 14442 ORANGE

ADJ7839568 AUSENCIA PAJOR ORMCO CORPORATION SEDGWICK 14442 ORANGE

ADJ7912796 ALEJANDRINA MIRANDA ROSS SEDGWICK 14442 ORANGE

ADJ8143135 MARCIA PEREZ ALBERTSONS SEDGWICK 14442 ORANGE

ADJ8260388 IBRAHIM EBRIGHITH

ARMADA TOWIN SERVICES AKA

AMERICAN TOWING SERVICES SEDGWICK 14442 ORANGE

ADJ8314468 MIGUEL LUNA MAR1AK 1NDUSTRIES SEDGWICK 14442 ORANGE

ADJ8869084 BLANCA MEDRANO FAMILY TREE FARMS SEDGWICK 14442 ORANGE

ADJ8956795 BRENDA RAYFORD

SOUTHERN CALIFORNIA

UNIFIED FOOD AND

COMMERCIAL WORKERS SEDGWICK 14442 ORANGE

Page 30

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9817994 ALFREDO CHAMUY

WM VANDERGEEST

LANDSCAPE CARE SEDGWICK 14442 ORANGE

ADJ7658020 MARIBEL VALLE LOPEZ ROSS WAREHOUSE SEDGWICK 14450 LONG BEACH

ADJ9224499 RITA VARGAS SEARS REPAIR CENTER SEDGWICK 14450 LONG BEACH

ADJ9660071 LUZ RIVERA KMART CORPORATION SEDGWICK 14450 LONG BEACH

ADJ9921460 LUZ ATANACHE VEOILA TRANSPORTATION SEDGWICK 14450 LONG BEACH

ADJ7392943 MARIA JIMENEZ VALLARTA MARKET 28 SEDGWICK 14522 VAN NUYS

ADJ8604258 FRANCISCO BRAVO

SECURITAS SECURITY

SERVICES SEDGWICK 14522 VAN NUYS

ADJ9011956 JENNETH WHEATLE LAUSD SEDGWICK 14522 VAN NUYS

ADJ9209253 ASTRID ORELLANA SECURITAS USA INC SEDGWICK 14522 VAN NUYS

ADJ7593685 AMARJIT SANDHU SMART AND FINAL SEDGWICK 14535 OAKLAND

ADJ8416100 LISA WISE DURHAM SCHOOL SERVICES SEDGWICK 14535 OAKLAND

ADJ8207161 FRANK GONZALES RALPHS SEDGWICK 14563 LONG BEACH

ADJ9300722 JESSICA RODRIGUEZ FOOD 4 LESS SEDGWICK 14563 LONG BEACH

ADJ2259222 GLENROY CLARKE

LOS ANGELES UNIFIED SCHOOL

DISTRICT SEDGWICK 14627 ONTARIO

ADJ4168210 NEIL ALLEN LABOR CONNECTION SEDGWICK 14627 ONTARIO

ADJ9191748 VANESSA RODRIGUEZ TARGET SEDGWICK 14627 ONTARIO

ADJ1968254 DANITA BELMORE STARBUCKS SEDGWICK 14667 ORANGE

ADJ9975406 JESUS JIMENEZ SUNLET NURSERY SEDGWICK 14779 SAN DIEGO

ADJ9770456 RUSSELL SELBY SIMPSON STRONG TIE SEDGWICK 2065 OAKLAND

ADJ6793492 MARK RADGOWSKI

HARRINGTON INDUSTRIAL

PLASTICS SEDGWICK BREA

ADJ6799657

MIRIAN DE JESUS

SALAZAR SEDGWICK BREA

ADJ6972507 HUGO DIAZ EL POLLO LOCO SEDGWICK BREA

ADJ7062862 LUANA FORRESTER

NATIONAL FARM WORKERS

SERVICE CENTER SEDGWICK BREA

ADJ8487876 JA WANNA PEARCE DR PEPPER SNAPPLE GROUP SEDGWICK BREA

ADJ2476250 EDUARDO JAIMES BROOKS STREET BAKERY SEDGWICK CIGA GLENDALE

ADJ2476250 EDUARDO JAIMES MAINSTAY BUSINESS SOLUTION SEDGWICK CIGA GLENDALE

ADJ2476250 EDUARDO JAIMES

MAINSTAY BUSINESS

SOLUTIONS SEDGWICK CIGA GLENDALE

Page 31

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ2876621 YOLANDA LOPEZ MAXIM SWIM GROUP INC SEDGWICK CIGA GLENDALE

ADJ2876621 YOLANDA LOPEZ MAXINE SWIM GROUP INC SEDGWICK CIGA GLENDALE

ADJ4168210 NEIL ALLEN LABOR CONNECTION SEDGWICK CIGA GLENDALE

ADJ4354968 RAUL MORALES AMI ELECTRIC & TELE COM INC SEDGWICK CIGA GLENDALE

ADJ4354968 RAUL MORALES HMI ELECTRICAL SEDGWICK CIGA GLENDALE

ADJ9002494 MARIA GARCIA TORRES

DIAMOND STAFFING SERVICES

INC SEDGWICK CIGA GLENDALE

ADJ8084743 MARIZA MUNOZ HAMPTON INN

SEDGWICK CLAIMS

MANAGEMENT SERVICES

ADJ9136182 LUIS INIGUEZ AMERI GAS PROPANE CO

SEDGWICK CLAIMS

MANAGEMENT SERVICES

ADJ2599002 HUMBERTO SALAZAR CAVALIER MFG SEDGWICK COLA ONTARIO

ADJ3158629

NICHOLAS CUBERO

DECEASED

COUNTY OF LOS ANGELES

PROBATION DEP SEDGWICK COLA ONTARIO

ADJ6934788 JESSICA DE LA CRUZ

COUNTY OF LOS ANGELES

DEPARTMENT OF PROBATION SEDGWICK COLA ONTARIO

ADJ8880951 JACQUELINE DEAN

LA COUNTY OF CHILDREN AND

FAMILY SEDGWICK COLA ONTARIO

ADJ8902199 KEVIN HALL L.A. COUNTY PROBATION DEPT. SEDGWICK COLA ONTARIO

ADJ8956142 JACINTA POWER LA COUNTY PROBATION DEPT SEDGWICK COLA ONTARIO

ADJ9084211 ROQUEL SMITH

LOS ANGELES COUNTY

DEPARTMENT SEDGWICK COLA ONTARIO

ADJ9100190 JOSE IZQUIERDO

COUNTY OF LOS ANGELES

DEPT OF CHILDREN FAMILY

SERVICES SEDGWICK COLA ONTARIO

ADJ9589053 ANITA OLIVARES

LA COUNTY PROBATION

DEPARTMENT SEDGWICK COLA ONTARIO

ADJ9904206 JULIO CORDOVA

L A COUNTY DEPT OF

AGRICULTURE SEDGWICK COLA ONTARIO

ADJ2259222 GLENROY CLARKE

LOS ANGELES UNIFIED SCHOOL

DISTRICT SEDGWICK PASADENA

ADJ3323049 MARIA GARCIA LAUSD SEDGWICK PASADENA

ADJ6788948 DEBORAH ANDERSON LAUSD SEDGWICK PASADENA

ADJ7673664 ELVIRA VAZQUEZ LAUSD SEDGWICK PASADENA

ADJ7818050 MARGARITA BENAVIDEZ LAUSD SEDGWICK PASADENA

ADJ7882291 JAMES HOWLAND

LAUSD MAINTENANCE

OPERATIONS DISTRICT F SEDGWICK PASADENA

ADJ8327551 JAMES MASON JR

LAUSD HOPPER ELEMENTARY

SCHOOL SEDGWICK PASADENA

ADJ8327551 JAMES MASON JR

LOS ANGELES UNIFIED SCHOOL

DISTRICT SEDGWICK PASADENA

Page 32

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9373618 TAUSHA ROBERTS LAUSD SEDGWICK PASADENA

ADJ3504948 DAVID CORBELL ADMINISTAFF COMPANIES SEDGWICK PLEASANTON

ADJ3504948 DAVID CORBELL ADMINSTAFF COMPANIES SEDGWICK PLEASANTON

ADJ7344073 ROSA CONTRERAS WELLS FARGO SEDGWICK PLEASANTON

ADJ7396611 MARIA ADAME PACTIV SEDGWICK PLEASANTON

ADJ8140285

LEONEL MONZON

MARTINEZ DOLE FOOD CO INC SEDGWICK PLEASANTON

ADJ614427 LUIS ASTUDILLO EUREST DINING SERVICES SEDGWICK PORTLAND

ADJ10004041 ISRAEL CAMACHO NBT INC SEDGWICK RIVERSIDE

ADJ4029179 MARY PENA FRITO LAY SEDGWICK RIVERSIDE

ADJ8426905 PATRICIA TENKE ANHEUSER BUSCH INC SEDGWICK RIVERSIDE

ADJ8556530 CONSUELO NAVARRO MCDONALDS SEDGWICK RIVERSIDE

ADJ8556530 CONSUELO NAVARRO

SHALHOUB MANAGEMENT CO

INC DBA MCDONALDS SEDGWICK RIVERSIDE

ADJ9853604 CECIL ABDU CHICK FIL A SEDGWICK RIVERSIDE

ADJ7035298 MANUEL MADUENO SOUTH VALLEY FARMS LLC SEDGWICK ROSEVILLE

ADJ8220612 BERTHA LOPEZ OCHOA MCDONALDS STORE 32618 SEDGWICK ROSEVILLE

ADJ7981412 LORENZO STROTHER THE BOEING COMPANY

SEDGWICK UC 14533 LOS

ANGELES

ADJ4029179 MARY PENA FRITO LAY

SEDGWICK UC 14533 SAN

DIEGO

ADJ3371827 PATRICIA ROMO MCKESSON PHARMACEUTICALS SEDGWICK WALNUT CREEK

ADJ6870338 CARLA GIBSON TARGET SEDGWICK WALNUT CREEK

ADJ7647561 MARY MURPHY

FEDERAL EXPRESS

CORPORATION SEDGWICK WALNUT CREEK

ADJ9685647 MARTHA SANTOS HILTON WORLDWIDE SEDGWICK WALNUT CREEK

ADJ8514786 CRECENCIO ULLOA

ROSEDALE UNION SCHOOL

DISTRICT

SELF INSURED SCHOOLS

BAKERSFIELD

ADJ8815867 CHRISTINE WILLARD

WILSONA UNIFIED SCHOOL

DIST

SELF INSURED SCHOOLS

BAKERSFIELD

ADJ8237763 ADAN GARCIA EES PLASTICS INC

SENTRY SELECT STEVENS

POINT

ADJ9557688

ANTONIO ANGUIANO

ORTEGA WOOD RANCH BBQ GRILL

SENTRY SELECT STEVENS

POINT

ADJ7550598 ANITA GALLARDO

SOUTHWESTERN INDUSTRY

INC

SOUTHWESTERN INDUSTRY

INC

ADJ8140285

LEONEL MONZON

MARTINEZ DOLE FOOD CO INC SPECIALTY RISK BREA

Page 33

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8260388 IBRAHIM EBRIGHITH

ARMADA TOWIN SERVICES AKA

AMERICAN TOWING SERVICES SPECIALTY RISK BREA

ADJ8740684 ADRIAN TAPIA MED LINE SPECIALTY RISK BREA

ADJ7536294 BENJAMIN AMEZCUA

WORLD WIDE FLIGHT

SERVICES SPECIALTY RISK RIVERSIDE

ADJ7930898 GLORIA ESTRADA ACCENT CARE SPECIALTY RISK RIVERSIDE

ADJ7678599 CRUZ GARCIA FIESTA FOOD SPRINGFIELD COVINA

ADJ8396271 LARRY JIMENEZ UNIFIED GROCERS SPRINGFIELD COVINA

ADJ8878630 LEOPOLDO GUZMAN STRUCTURAL MATERIALS STRUCTURAL MATERIALS

ADJ7128468 TIFFANY CHRISTIANSEN SUPERIOR GROCERS SUPERIOR GROCERS

ADJ2285767 JOSE CORRALES

CITY OF L. A. RECREATION &

PARKS SUPERIOR NATIONAL

ADJ2285767 JOSE CORRALES

CITY OF LA RECREATION &

PARKS SUPERIOR NATIONAL

ADJ8272092 ARNULFO CARRILLO

AMERICAN GENERAL SERVICES

GROUP INC SUSSEX INSURANCE COLUMBIA

ADJ8729487 DILMA VASQUEZ VFORCE VENSURE SUSSEX INSURANCE COLUMBIA

ADJ8729487 DILMA VASQUEZ VFORCE/VENSURE SUSSEX INSURANCE COLUMBIA

ADJ8905317 RICARDO MEDRANO HANSON DISTRIBUTING CO SUSSEX INSURANCE COLUMBIA

ADJ9295228 MARIA PULIDO INNOVATIVE POWER INC SUSSEX INSURANCE COLUMBIA

ADJ6733348 MARIA ROSA TEMP TIME STAFFING TEMP TIME STAFFING

ADJ10085865 TRINIDAD GALVAN PHENIX SALON SUITES THE HARTFORD SYRACUSE

ADJ8937514 JOSE DURAN PETE RAMAGE CONSTRUCTION THE HARTFORD SYRACUSE

ADJ9352493 MARIA HERNANDEZ SWEET FACTORY THE HARTFORD SYRACUSE

ADJ9833179 KATHY DAO APPLIED MEDICAL THE HARTFORD SYRACUSE

ADJ4193287 ABBIE FRICK THE VONS COMPANIES INC THE VONS COMPANIES

ADJ7942666 ELMER FERNANDEZ DUNCAN BOLT COMPANY TOKIO MARINE PASADENA

ADJ9435829 SON PHAM ROBINSON PHARMA TOKIO MARINE PASADENA

ADJ8002503 CARMEN BRAN

TOWER NATIONAL INSURANCE

IRVINE

ADJ8017131 HEIDI BOLANOS DENNIS FOLAND INC

TOWER NATIONAL INSURANCE

IRVINE

ADJ8017131 HEIDI BOLANOS NOVA STAFFING

TOWER NATIONAL INSURANCE

IRVINE

Page 34

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8440635 IGNACIO ALVAREZ SUNSHINE LANDSCAPE

TOWER NATIONAL INSURANCE

IRVINE

ADJ8983607 JUAN LOPEZ NARANJO STRAUSSER CONSTRUCTION

TOWER NATIONAL INSURANCE

IRVINE

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION

TOWER SELECT INSURANCE

IRVINE

ADJ7902163 VINCENTE RODRIQUEZ RL MAYS CONSTRUCTION INC

TOWER SELECT INSURANCE

IRVINE

ADJ9208088 VERONICA PICENO SEASONS APPAREL INC

TOWER SELECT INSURANCE

IRVINE

ADJ8963386 EDITA VASQUEZ GARCIA LA CASA MAINTENANCE

TOWER SELECT INSURANCE

NEW YORK

ADJ9002101 MARGARITO TOLENTINO

APL LOGISTICS WAREHOUSE

MANAGEMENT SERVICES TRAVELERS

ADJ146441 JENNIFER ARELLANO MEDSTAFF TRAVELERS DIAMOND BAR

ADJ3133796 EULOGIO LOPEZ COMMERCE CASINO TRAVELERS DIAMOND BAR

ADJ3552247 GABRIELA MARIN CALIFORNIA ACRYLIC IND TRAVELERS DIAMOND BAR

ADJ3552247 GABRIELA MARIN

CALIFORNIA ACRYLIC

INDUSTRIES TRAVELERS DIAMOND BAR

ADJ6662314

FABIOLA GARCIA DE

CRUZ MCCAIN FOODS LIMITED TRAVELERS DIAMOND BAR

ADJ6662314

FABIOLA GARCIA DE

CRUZ MCCAIN FOODS USA TRAVELERS DIAMOND BAR

ADJ6772767 FRANSCISA LEON MISSION FOODS TRAVELERS DIAMOND BAR

ADJ6829952 MARTHA TAMAYO

THE CLASSIC SOFT TRIM

GROUP TRAVELERS DIAMOND BAR

ADJ6967108 ESTEBAN HERMOSILLO

4 FLIGHT INDUSTRIES AKA C&D

ZODIAC INC TRAVELERS DIAMOND BAR

ADJ7502261 MARIA MICHEL FLEXSTEEL IND INC TRAVELERS DIAMOND BAR

ADJ7608202 DAVID GOMEZ HARTMAN JBL PROFESSIONAL TRAVELERS DIAMOND BAR

ADJ7660661 JOSE VILLANUEVA TANIMURA ANTLE TRAVELERS DIAMOND BAR

ADJ7701909 FRANCISCA CRUZ

AMERICAN TEXTILE

MAINTENANCE CO TRAVELERS DIAMOND BAR

ADJ7727304 MARIA SANCHEZ ANITSA INC TRAVELERS DIAMOND BAR

ADJ7951088 JOSE ROMERO

GARDEN FRESH RESTAURANT

CORP DBA SOUPLANTATION TRAVELERS DIAMOND BAR

ADJ8196237 ESMERALDA MIRANDA QUAD GRAPHICS INC TRAVELERS DIAMOND BAR

ADJ8472895 BASILISA DE LA CRUZ INTELLISOURCE TRAVELERS DIAMOND BAR

ADJ8491615 FRANCISCO LUA BLOOMFIELD BAKERS TRAVELERS DIAMOND BAR

ADJ8584016 MARIA SALVADOR EMERALD COURT OF ANAHEIM TRAVELERS DIAMOND BAR

ADJ8584016 MARIA SALVADOR EMRALD COURT OF ANAHEIM TRAVELERS DIAMOND BAR

Page 35

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8606664 CRISTINA REYES BLLLABONG TRAVELERS DIAMOND BAR

ADJ8745253 JOEL CARRILLO V-SIS TRANSPORT TRAVELERS DIAMOND BAR

ADJ8780052 TERESA NAVA ROYAL JANITORIAL SERVICES TRAVELERS DIAMOND BAR

ADJ8913343 GUADALUPE RODRIGUEZ GREENTHUMB PRODUCE TRAVELERS DIAMOND BAR

ADJ8993304 MARIBEL LEON VINTAGE ASSOCIATES INC TRAVELERS DIAMOND BAR

ADJ9069133 ERWIN DELGADO

ALIGNMENT SOLUTION

SERVICES TRAVELERS DIAMOND BAR

ADJ9081638 ADOLFO MONTES JOHN C DALTON ENTERPRISES TRAVELERS DIAMOND BAR

ADJ9134186 QUANG NGUYEN RICOH ELECTRONICS TRAVELERS DIAMOND BAR

ADJ9134186 QUANG NGUYEN RICOH ELECTRONICS INC TRAVELERS DIAMOND BAR

ADJ9254918 JORGE ORTEGA CACIQUE INC TRAVELERS DIAMOND BAR

ADJ9578973 JESUS MENERA CALIFORNIA PIZZA KITCHEN TRAVELERS DIAMOND BAR

ADJ9695302 RIGOBERTO RAMIREZ

PACIFIC COAST

MANUFACTURING TRAVELERS DIAMOND BAR

ADJ7951088 JOSE ROMERO

GARDEN FRESH RESTAURANT

CORP DBA SOUPLANTATION TRAVELERS ORANGE

ADJ8012038 JAIME SILVA SAPA EXTRUSIONS TRAVELERS ORANGE

ADJ8052444 ZOILA FLORES

FOUNTAIN SENIOR ASSISTED

LIVING TRAVELERS ORANGE

ADJ8897878 JESUS PADILLA MIZKAN AMERICAS INC. TRAVELERS ORANGE

ADJ9352493 MARIA HERNANDEZ SWEET FACTORY TRAVELERS ORANGE

ADJ9653099 NARCISCO VARGAS BACCO MECHANICAL INC TRAVELERS ORANGE

ADJ8881234 CHARLOTTE REDMOND QUEST DIAGNOSTICS INC TRAVELERS ORANGE

ADJ6505085 MIGUEL FIGUEROA

SHARP IMAGE COLLISION

CENTER TRAVELERS SACRAMENTO

ADJ6633318 ADRIAN AVILA MOZZARELA FRESCA TRAVELERS SACRAMENTO

ADJ7955230 MARIA HERNANDEZ LA PILLOW AND FIBER TRAVELERS SACRAMENTO

ADJ7974483 HILDA TORRES

BARON HR MONTEBELLO

RANCH TRAVELERS SACRAMENTO

ADJ7974483 HILDA TORRES HORMEL FOODS CORP TRAVELERS SACRAMENTO

ADJ8272092 ARNULFO CARRILLO

AMERICAN GENERAL SERVICES

GROUP INC TRAVELERS SACRAMENTO

ADJ8386807 HILARIO BRAVO

CALLAHANS LANDSCAPE

MAINTENANCE TRAVELERS SACRAMENTO

Page 36

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9208317 ANGEL MOLINA

CORPORATE RESOURCE

SERVICES INC TRAVELERS SACRAMENTO

ADJ9208317 ANGEL MOLINA TRICORBRAUN HOLDINGS INC TRAVELERS SACRAMENTO

ADJ9383575 THANH TRAN QSC AUDIO PRODUCTS TRAVELERS SACRAMENTO

ADJ8745253 JOEL CARRILLO V-SIS TRANSPORT TRAVELERS SAINT PAUL

ADJ7310892 RITA GARCIA CENTURY BLINDS TRAVELERS WALNUT CREEK

ADJ8053990 MARIO HERNANDEZ ASTRO PAK CORPORATION TRAVELERS WALNUT CREEK

ADJ8079393 YADIRA ESPINOZA ERIKA CLAPP TRAVELERS WALNUT CREEK

ADJ8079393 YADIRA ESPINOZA

PHOENIX WAREHOUSE OF

CALIF LLC TRAVELERS WALNUT CREEK

ADJ8162899 LUIS FEREGRINO BRADSHAW INTERNATIONAL TRAVELERS WALNUT CREEK

ADJ8617769 JUAN RIVERA BORGA PRODUCE TRAVELERS WALNUT CREEK

ADJ8676883 JOHN DAVILA

CALIFORNIA RESTAURANT

MUTUAL BENEFIT

CORPORATION TRAVELERS WALNUT CREEK

ADJ8676883 JOHN DAVILA

DESERT HOT SPRINGS SPA

HOTEL TRAVELERS WALNUT CREEK

ADJ9198551 DEBORAH VANN TOYS R R US TRAVELERS WALNUT CREEK

ADJ9979814 GERARDO ALMANZA BAK INDUSTRIAL TRAVELERS WALNUT CREEK

ADJ2150534 LATRICIA GOFF LONG BEACH TRANSIT TRISTAR 2805 SANTA ANA

ADJ1496833 SHERRY MCKINNEY CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ1691081 ROGELIO MEDINA CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ6689353 ANDRES CRUZ CITY OF LOS ANGELES, PSI TRISTAR 29106 GLENDALE

ADJ7127685 ALEX BAEZ CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ895553 ROBERT LOPEZ CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ895553 ROBERT LOPEZ CITY OF LOS ANGELES PSI TRISTAR 29106 GLENDALE

ADJ9124268 LISSA MORA CITY OF LOS ANGELES TRISTAR 29106 GLENDALE

ADJ6744373 LUIS FLORES EXIDE TECHNOLOGIES TRISTAR BREA

ADJ8406950 IRMA FONCESA AMERICAN GUARD TRISTAR BREA

ADJ1334477 FELIPE MUNOZ GRIMMWAY ENTERPRISES, INC. TRISTAR FRESNO

ADJ3619830 ROSA PATRIZ GRIMMWAY ENTERPRISES INC TRISTAR FRESNO

ADJ7943274 JOSEFINA VELA ALVAREZ GRIMMWAY ENTERPRISES INC TRISTAR FRESNO

Page 37

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ9519629 RANJIT SIDHU

SELMA UNIFIED SCHOOL

DISTRIC TRISTAR FRESNO

ADJ1286581 CHRISTA LEEB PETERS

LONG BEACH UNIFIED SCHOOL

DISTRICT TRISTAR LOS ANGELES

ADJ8927021 SHELIA DEANE

CEDARS SINAI MEDICAL

CENTER TRISTAR LOS ANGELES

ADJ9592016 ROSALIE PIMENTEL HARRIS RANCH BEEF TRISTAR LOS ANGELES

ADJ146441 JENNIFER ARELLANO MEDSTAFF TRISTAR SAN DIEGO

ADJ4189809 JOSE RODRIGUEZ

DESERT PRINCESS COUNTRY

CLUB TRISTAR SAN DIEGO

ADJ4717151 ROGELIO DOMINGUEZ

OPTIMUS GROUP EMPLOYERS

SERVICES TRISTAR SAN DIEGO

ADJ8622618 MARIBEL MORALES

HEALTH SERVICES LOS

ANGELES COUNTY TRISTAR SANTA ANA

ADJ8857472 KIMBERLY WRIGHT COUNTY OF LOS ANGELES TRISTAR SANTA ANA

ADJ9865307 YANTING MA

COUNTY OF LOS ANGELES

DEPT OF HEALTH TRISTAR SANTA ANA

ADJ2476250 EDUARDO JAIMES BROOKS STREET BAKERY UEBTF LOS ANGELES

ADJ2476250 EDUARDO JAIMES MAINSTAY BUSINESS SOLUTION UEBTF LOS ANGELES

ADJ2476250 EDUARDO JAIMES

MAINSTAY BUSINESS

SOLUTIONS UEBTF LOS ANGELES

ADJ3120640 DAVID CASTILLO

M & W RESTAURANT

MAINTENANCE UEBTF LOS ANGELES

ADJ6556937 ELIBORIO MORA AGRO RECYCLING UEBTF LOS ANGELES

ADJ7688615 JUAN SANDOVAL

MANUEL GONZALEZ DBA

PREMIER AUTO BODY UEBTF LOS ANGELES

ADJ7935391 GLENN DUBOSE

VICTORVILLE DISCOUNT MART

INC UEBTF LOS ANGELES

ADJ7935391 GLENN DUBOSE

VICTORVILLE DISCOUNT MART

LLC UEBTF LOS ANGELES

ADJ8079393 YADIRA ESPINOZA ERIKA CLAPP UEBTF LOS ANGELES

ADJ8079393 YADIRA ESPINOZA

PHOENIX WAREHOUSE OF

CALIF LLC UEBTF LOS ANGELES

ADJ9250650 FANNY SANCHEZ PANIAGUA ENTERPRISES INC UEBTF LOS ANGELES

ADJ8795176 JOSE GUADALUPE UEBTF LOS ANGELES

ADJ8396271 LARRY JIMENEZ UNIFIED GROCERS UNIFIED GROCERS

ADJ1184084 MIKE GARCIA KELLY SERVICES UNINSURED EMPLOYERS FUND

ADJ1184084 MIKE GARCIA

UNITED FINISHING &

LAMINATING, INC. UNINSURED EMPLOYERS FUND

ADJ2867030 DAVID HERNANDEZ CAMINO REAL TOWING

VIRGINIA SURETY INSURANCE

CO/CRAWFORD AND CO

ADJ7323236 LUIS RIVERA JA CONTRACTING WAI CONNOR PASADENA

Page 38

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ1517149 CHRISTINE CASSARINO

WARNER BROTHER

SHOLLYWOOD STUDIOS WARNER BROS BURBANK

ADJ1517149 CHRISTINE CASSARINO WARNER BROTHERS WARNER BROS BURBANK

ADJ6613528 RAUL MEDINA RADISSON HOTEL WAUSAU BEAVERTON

ADJ6613528 RAUL MEDINA

RADISSON HOTEL/AMERICAN

PROPERTY MANAGEMENT WAUSAU BEAVERTON

ADJ7014201 ANTONIO AMADOR JR THE LAKES COUNTRY CLUB WAUSAU BEAVERTON

ADJ7270922 BLANCA MENDOZA BALBOA PARK LP WAUSAU BEAVERTON

ADJ7904060

RICARDO OLIVERA

ARREOLA AZTECA LANDSCAPE WAUSAU BEAVERTON

ADJ9027369

FRANCISCA ORTEGA DE

LIMA EARTH TEXTILE DEVELOPMENT WAUSAU BEAVERTON

ADJ7973482 SERAPIO SEDANO EURO PACIFIC

WILLIAMS ABREGO LOS

ANGELES

ADJ8925900 RODOLFO NAVARRO CONTINENTAL HEAT TREAT YORK 1498 SANTA ANA

ADJ9380815 LISA RAMSEY

COUNTY OF ORANGE RISK

MGMT PSI YORK 1738 SANTA ANA

ADJ8912830 MINNIE FRAZIER

POMONA UNIFIED SCHOOL

DISTRICT YORK 619058 ROSEVILLE

ADJ9866734 HARJINDER SANGHERA

DEPARTMENT OF SOCIAL

SERVICES-IHSS YORK 619058 ROSEVILLE

ADJ7073433 VICTORIA GONZALEZ STAFFMARK LLC YORK ANAHEIM

ADJ7590458 PEDRO HERNANDEZ GOLD COAST FARMS YORK ANAHEIM

ADJ8309786 DANIEL MADRIGAL ENTERPRISE RENT A CAR YORK ANAHEIM

ADJ9147186 FAUSTINA CASTRO LOS ANGELES COUNTY YORK ANAHEIM

ADJ1928035 MARIA PADILLA WAL MART YORK EL DORADO HILLS

ADJ2543267

REBECCA HERNANDEZ

SCHIER PITNEY BOWES, INC. YORK EL DORADO HILLS

ADJ2543267

REBECCA HERNANDEZ

SCHIER WAL MART YORK EL DORADO HILLS

ADJ6544106 CLAUDIA ALCALA WAL MART STORES 1815 YORK EL DORADO HILLS

ADJ6885607 SHAMORROW GRAHAM WAL MART YORK EL DORADO HILLS

ADJ7333805 VIRGINIA LOWRIE WAL MART STORES YORK EL DORADO HILLS

ADJ8285979 HONG VU LOS ANGELES COUNTY DPSS YORK OXNARD

ADJ3175496 ELIZABETH MARUFO COUNTY OF LOS ANGELES YORK PASADENA

ADJ3175496 ELIZABETH MARUFO DISTRICT ATTORNEY OFFICE YORK PASADENA

ADJ6568926 CLARK DAVIS

LA COUNTY SHERIFF`S

DEPARTMENT YORK PASADENA

Page 39

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7257047 SHERRY ROBERTS

LOS ANGELES COUNTY

SHERIFFS DEPT YORK PASADENA

ADJ9012134 JEFFREY WILLIAMS COUNTY OF LOS ANGELES YORK PASADENA

ADJ2307652 OLGA DUARTE

BALDWIN PARK UNIFIED

SCHOOL DIST YORK RANCHO CUCAMONGA

ADJ4024963 SHARON CAMPBELL NORWALK TRANSPORTATION YORK RANCHO CUCAMONGA

ADJ6559055 LENA BENNETT

POMONA NIFIED SCHOOL

DISTRICT YORK RANCHO CUCAMONGA

ADJ6559055 LENA BENNETT

POMONIA UNIFIED SCHOOL

DISTRICT YORK RANCHO CUCAMONGA

ADJ7215439 MANUEL CABRERA EXECUTIVE PLUMBING INC YORK RANCHO CUCAMONGA

ADJ7679237 VALERIE TRUJILLO

COLTON JOINT UNIFIED

SCHOOL DISTRICT YORK RANCHO CUCAMONGA

ADJ7937316 FELIPE MANZANILLA ABRAZAR INC YORK RANCHO CUCAMONGA

ADJ8285979 HONG VU LOS ANGELES COUNTY DPSS YORK RANCHO CUCAMONGA

ADJ7579359 ROSARIO PACHECO SOUTHLAND CARE CENTER YORK RISK SERVICES GROUP

ADJ2962298 TERESA GONZALEZ 99 CENTS ONLY STORE YORK RIVERSIDE

ADJ7932835 MIRIAM GARCIA SKECHERS TEAM ONE YORK RIVERSIDE

ADJ8998642 MARIA ORTIZ

PUPIL TRANSPORTATION

COOPERATIVE YORK RIVERSIDE

ADJ9151941 OMAR RIVERA LUXFER YORK RIVERSIDE

ADJ6595395 LUGENE LEWIS WINEGARD ENERGY YORK ROSEVILLE

ADJ7465171 ALICIA RENTERIA

IN HOME SUPPORTIVE

SERVICES IHSS YORK ROSEVILLE

ADJ7507589 LILLIAN SASAKI

ANTELOPE VALLEY UNION HIGH

SCHOOL YORK ROSEVILLE

ADJ7705438 ANDRES LOMELI

TREVINO AND SONS FARM

LABOR YORK ROSEVILLE

ADJ8298912 JOSE GARCIA GOLD STAR CATTLE CO5 UC YORK ROSEVILLE

ADJ8448693

BULMARO CABRERA

REYES AMLI RESIDENTIAL YORK ROSEVILLE

ADJ8830010 MARIA DILLS

IN HOME SUPPORTIVE

SERVICES YORK ROSEVILLE

ADJ9154396 LUCILA DORADO

BODEGA LATINA CORPORATION

DBA EL SUPER YORK ROSEVILLE

ADJ9840394 SERGIO ROMAN GERAWAN FARMING PARTNERS YORK ROSEVILLE

ADJ9949858 GEOFF SKARR

LOS ANGELES TRADE TECH

COLLEGE YORK SAN BERNARDINO

ADJ9491297 FRANCISCA SAUCEDO SUBWAY YORK STOCKTON

Page 40

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ4653877 GRACIELA FELICIANO LAUSD YORK VALENCIA

ADJ4653877 GRACIELA FELICIANO LONG BEACH UNIFIED SCHOOL YORK VALENCIA

ADJ7493783 JOSE TERRAZAS

HOUSING AUTHORITY OF THE

CITY OF LOS ANGELES YORK VALENCIA

ADJ7015648 LAMBERTO MONTOYA RONNIE CASTRO FARMS ZENITH FRESNO

ADJ7073478 JESUS MACIAS

FRANK MEDONCA DBA J & F

DAIRY ZENITH FRESNO

ADJ7339441 MARIA TERESA ANDRADE SANTELLAN FARM LABOR ZENITH FRESNO

ADJ7479984 MARIO JUAREZ VALET SERVICES LAUNDRY ZENITH FRESNO

ADJ7652161 MARCO VIEYRA BORBA DAIRY ZENITH FRESNO

ADJ8332523 SERGIO VALENCIA BUDWAY ZENITH FRESNO

ADJ8332523 SERGIO VALENCIA BUDWAY ENTERPRISES INC ZENITH FRESNO

ADJ9551046 EDNA COVARRUBIAS OM CONTRACTING INC ZENITH FRESNO

ADJ7838355 ALFREDO HERNANDEZ PRM CORPORATION ZENITH FRESNO

ADJ7838355 ALFREDO HERNANDEZ RUSNAK WESTLAKE ZENITH FRESNO

ADJ7471903 CESAR CABRERA THE QUARRY ATLA ZENITH ORANGE

ADJ7840889 GREGORIO G LOPEZ

AGUILERA LABOR

CONTRACTOR ZENITH ORANGE

ADJ8209163 JESUS BALDERAS LEGEND DAIRY FARMS ZENITH ORANGE

ADJ10207685 SILVIA SANTIAGO O M CONTRACTING INC ZENITH SAN DIEGO

ADJ10207685 SILVIA SANTIAGO O M CONTRACTING INC. ZENITH SAN DIEGO

ADJ9975406 JESUS JIMENEZ SUNLET NURSERY ZENITH SAN DIEGO

ADJ6610106

JOSE HIGAREDA

GONZALEZ SOUTHWEST AQUATICS ZENITH WOODLAND HILLS

ADJ6710037 LENORA MAY

BARLOW RESPIRATORY

HOSPITAL ZENITH WOODLAND HILLS

ADJ7277464 SERGIO PADILLA SUNRISE PRODUCE ZENITH WOODLAND HILLS

ADJ7339441 MARIA TERESA ANDRADE SANTELLAN FARM LABOR ZENITH WOODLAND HILLS

ADJ9152515 VIVIAN HUERTA

MOUNTAIN SHADOW SUPPORT

GROUP REQUIRED SELF- ZENITH WOODLAND HILLS

ADJ9152515 VIVIAN HUERTA

MOUNTAIN SHADOWS

SUPPORT GROUP ZENITH WOODLAND HILLS

ADJ7483686 ERWIN MAZARIEGOS

GREYSTONE MANAGEMENT

GROUP ZENITH WOODLAND HILLS

Page 41

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ7849525 SULEMA ZAMORANO SUNRISE FRESH CUTS ZENITH WOODLAND HILLS

ADJ10027831 MARIA GOMEZ

HOSPITALITY STAFFING

SOLUTIONS LLC ZURICH AMERICAN DALLAS

ADJ10027831 MARIA GOMEZ RIM CORPORATION ZURICH AMERICAN DALLAS

ADJ9198551 DEBORAH VANN TOYS R R US ZURICH AMERICAN DALLAS

ADJ10003032 RITA INIGUEZ ALL CITY MANAGEMENT ZURICH LOS ANGELES

ADJ10049939 BRAYANT RAMIREZ

INSTALLED BUILDING

PRODUCTS ZURICH LOS ANGELES

ADJ1517149 CHRISTINE CASSARINO

WARNER BROTHER

SHOLLYWOOD STUDIOS ZURICH LOS ANGELES

ADJ1517149 CHRISTINE CASSARINO WARNER BROTHERS ZURICH LOS ANGELES

ADJ2090848 ALICIA GALDAMEZ

DAVIDSON HOTEL CO DBA

MARRIOTT ZURICH LOS ANGELES

ADJ2090848 ALICIA GALDAMEZ DAVIDSON HOTEL CO. ZURICH LOS ANGELES

ADJ2090848 ALICIA GALDAMEZ

DAVIDSON HOTEL CO./DBA

MARRIOTT ZURICH LOS ANGELES

ADJ2090848 ALICIA GALDAMEZ DAVIDSON HOTEL COMPANY ZURICH LOS ANGELES

ADJ2584297 JOANNA MARCOS MARSHALLS ZURICH LOS ANGELES

ADJ4084818 ROBERTO TORRES CALIFORNIA PIZZA KITCHE ZURICH LOS ANGELES

ADJ4084818 ROBERTO TORRES CALIFORNIA PIZZA KITCHEN ZURICH LOS ANGELES

ADJ641716 DAVID ACHEAMPONG

GKN AEROSPACE

TRANSPARENCY SYSTEMS ZURICH LOS ANGELES

ADJ6668057 HECTOR MARTINEZ CALIFORNIA CREDIT UNION ZURICH LOS ANGELES

ADJ7140323 ALEJANDRO AMAYA

SERVICE CRAFT SADDLE

CREEK CORP ZURICH LOS ANGELES

ADJ7431468 SERGIO ESPITIA ATRIA ZURICH LOS ANGELES

ADJ7431468 SERGIO ESPITIA ATRIA LAS POSAS ZURICH LOS ANGELES

ADJ7431468 SERGIO ESPITIA

VILLA LAS POSAS ATRIA

SENIOR LIVING ZURICH LOS ANGELES

ADJ7505053 ANTONIA LUGO

SPEARS MANUFACTURING

COMPANY ZURICH LOS ANGELES

ADJ7672487 ENRIQUE INIGUEZ

BLUE ROSE CONCRETE

CONTRACTORS INC ZURICH LOS ANGELES

ADJ7772808 JOSE ZARATE TRUGREEN LANDCARE ZURICH LOS ANGELES

ADJ7873059 RAOUF HANNA HYATT REGENCY ZURICH LOS ANGELES

ADJ7974483 HILDA TORRES

BARON HR MONTEBELLO

RANCH ZURICH LOS ANGELES

ADJ7974483 HILDA TORRES HORMEL FOODS CORP ZURICH LOS ANGELES

Page 42

STEVEN HOWSER

ADDITIONAL CASE INFORMATION

Case Number Injured Worker Employer Claims Administrator

ADJ8752507 ROBERT LATHAN PETROCHEM ISOLATION ZURICH LOS ANGELES

ADJ8885142 DEBRA BALDRIDGE

THE AEROSPACE

CORPORATION ZURICH LOS ANGELES

ADJ9097722 ANA MELENDEZ EARTH FRIENDLY PRODUCTS ZURICH LOS ANGELES

ADJ9132637 JAVIER SOLIS N U ENTERPRISE ZURICH LOS ANGELES

ADJ9198551 DEBORAH VANN TOYS R R US ZURICH LOS ANGELES

ADJ9592048 CARYRON OARD

AMERICAN SERVICE

INDUSTRIES ZURICH LOS ANGELES

ADJ9821603 CHRISTIAN SORIA

UNISERVE FACILITIES

SERVICES CORPORATION ZURICH LOS ANGELES

ADJ9932396 CARLOS GARCIA JIMENEZ NFI INDUSTRIES ZURICH LOS ANGELES

ADJ9938989

AMANCIO LOPEZ

GONZALEZ HR BIZ SERVICES INC ZURICH LOS ANGELES

ADJ9938989

AMANCIO LOPEZ

GONZALEZ REYES SINGLE PLY ROOFING ZURICH LOS ANGELES

ADJ2282169 NEALE STEINER EXAMINETICS INC ZURICH LOS ANGELES

ADJ9625771 VINCENTE NAVA STOROPACK INC ZURICH LOS ANGELES

ADJ7814918 CRISTOBAL DORADO

ORANGE HILL RESTAURANT

CORPORATION ZURICH NORTH AMERICA

ADJ641716 DAVID ACHEAMPONG

GKN AEROSPACE

TRANSPARENCY SYSTEMS

ZURICH NORTH AMERICA

INVALID

ADJ7432964 NEMESIO SANCHEZ

THE FAIRMONT MIRAMAR

HOTEL & BUNGALOUS ZURICH SACRAMENTO

ADJ8363965 ISMAEL LOPEZ

GARCIA ASSET MANAGEMENT

SERVICES ZURICH SACRAMENTO

ADJ8911631 MARCO MACHUCA C & L COATINGS INC ZURICH SAN FRANCISCO

ADJ8911631 MARCO MACHUCA

INSURANCE COMPANY OF THE

WEST ZURICH SAN FRANCISCO

ADJ8911631 MARCO MACHUCA

NATIONAL UNION FIRE

INSURANCE ZURICH SAN FRANCISCO

ADJ8911631 MARCO MACHUCA

NEW HAMPSHIRE INSURANCE

COMPANY ZURICH SAN FRANCISCO

ADJ9081833 JOSE GONZALEZ BEST INTERIORS INC ZURICH SAN FRANCISCO

ADJ9928821 FRANCISCA GOMEZ RESIDENCE INN ANAHEIM ZURICH SAN FRANCISCO

Page 43