active private self insured roster99 cents … · active private self insured ... commerce,ca...

06/15/2018ACTIVE 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

5600 West 83rd Street

2100 Douglas Blvd.

250 Parkcenter Blvd.

8200 Tower, Ste 1100

Commerce,CA 90023

Fort Smith,AR 72917

Atlanta,GA 30319

Bloomington,MN 55437

Roseville,CA 95661

Boise,ID 83706

Phone: (323) 881-1253

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

Phone: (770) 850-3521

Phone: (952) 807-0930 Fax: (847) 953-2851

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

Phone: (208) 395-4287

Ms. Felicia Thornton

Mr. Allen King

Mr. Chris Ridge

Susan Napier

Tami L. Riley

William Richardson

SVP & CFO

SR Manager Risk Management

Senior Risk Management Analyst

Risk Analyst

Director/Workers' Compensation

GVP Risk Management

2207-012-90

1920-048-01

1013-005-21

1013-005-38

1915-291-02

2061-99-01

2351-99-81

2351-011-03

2351-99-01

BROADSPIRE SERVICES, INC., BREA

ATHENS ADMINISTRATORS, CONCORD

ESIS, INC., CHATSWORTH

ESIS, INC., FREMONT

CANNON COCHRAN MANAGEMENT SERVICES, INC., IRVINE

Self Administered

Self Administered

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., BREA

Self Administered

AMERICAN HONDA MOTOR CO., INC.

AMERISOURCEBERGEN CORPORATION

AMGEN INC.

ANGELUS BLOCK CO., INC.

ARB, INC.

ASPLUNDH TREE EXPERT CO.

24000 Honda Parkway

1300 Morris Drive

2202 N. Westshore Blvd

11374 Tuxford Street

26000 Commercentre Dr

708 Blair Mill Rd

Marysville,OH 43040

Chesterbrook,PA 19087

Tampa,FL 33607

Sun Valley,CA 91352

Lake Forest,CA 92630

Willow Grove,PA 19090

Phone: (937) 243-1276

Phone: (610) 727-2545 Fax: (845) 483-4888

Phone: (813) 605-7916

Phone: (818) 767-8576

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

Phone: (215) 784-4487

Andy Tharp

Kristin Hinchman

Mary A. Evancavich

Cole Gehrung

Mr. John M. Perisich

Brian C. Acker

WC Administrator

Claims Manager

Corporate Insurance/Treasury

Director of Finance & Administration

Risk Analyst

2076-011-07

1186-170-39

1186-011-03

2189-132-13

1216-048-02

2248-323-02

2248-086-38

2075-086-34

2075-012-93

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RIVERSIDE

SPECIALTY RISK SERVICES, LLC, RIVERSIDE


YORK RISK SERVICES GROUP, INC., RIVERSIDE

ATHENS ADMINISTRATORS, ORANGE

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

HELMSMAN MANAGEMENT SERVICES LLC, GLENDALE

HELMSMAN MANAGEMENT SERVICES LLC, ROCKLIN

BROADSPIRE SERVICES, INC., FRESNO

B.V. GENERAL, INC.

BALL CORPORATION

BASIC RESOURCES, INC.

BIG 5 CORP.

BROADSPECTRUM DOWNSTREAM SERVICES, INC.

C.P.C.H., INC.

1506 S. Glendale Ave

5600 W 83rd Street, Ste 1100

928 12th Street, Ste 700

2525 E El Segundo Blvd.

10814 Jollyville Rd, Building 4, Ste 160

32836 Pacific Coast Hwy, Ste 203

Glendale,CA 91205

Minneapolis,MN 55437

Modesto,CA 95354

El Segundo,CA 90245

Austin,TX 78759

Dana Point,CA 92629

Phone: (818) 247-6200

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

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

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

Phone: (713) 964-2827

Phone: (949) 240-2423

Steven Keh

Cheryl Kabes

Casey Razma

Ms. Karen Nash

Mr. Mark Williams

Jeff Daly

Senior Consultant

CFO

HR Manager

Senior Paralegal

Controller

2289-096-51

1960-011-01

2106-195-09

2199-316-02

2084-005-21

2084-025-05

2084-086-38

2368-048-01

MURPHY AND BEANE INC., CULVER CITY

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., RANCHO CORDOVA

TRISTAR RISK MANAGEMENT, FRESNO

CORVEL ENTERPRISE COMP, INC., RANCHO CUCAMONGA


GALLAGHER BASSETT SERVICES INC., CORONA



CALIFORNIA WATER SERVICE COMPANY

CBS OPERATIONS INC.

CEDARS-SINAI MEDICAL CENTER

CENTRAL CONCRETE SUPPLY CO., INC.

CERTAINTEED CORPORATION

CHEVRON CORPORATION

1720 N. 1st Street

51 West 52nd Street

8700 Beverly Blvd., TSB, Ste 130

331 N Main Street

20 Moores Rd

6001 Bollinger Canyon Rd, A2114

San Jose,CA 95112

New York,NY 10019

Los Angeles,CA 90048

Euless,TX 76039

Malvern,PA 19355

San Ramon,CA 94583

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

Phone: (610) 893-5535

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

Ron Webb

Eugene Mellevold

Kelly Moss

Dana Glover-Smith

Lynne Watt

Megan O'Boyle-Paraiso

Vice President Human Resources

Senior Vice President

Workers' Compensation Manager

Director of Safety

Mgr-Risk Mgmt & Insurance

Work Comp Senior Program Manager

2010-195-07

1893-096-51

1893-011-05

2011-195-04

2287-99-01

1777-005-38

1777-005-21

0381-012-93

TRISTAR RISK MANAGEMENT, CONCORD


SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ORANGE

TRISTAR RISK MANAGEMENT, SAN DIEGO (CONVOY)

Self Administered

ESIS, INC., FREMONT



CHILDREN'S HOSPITAL LOS ANGELES

CHILDREN'S HOSPITAL OF ORANGE COUNTY

CITRUS VALLEY HEALTH PARTNERS, INC.

CITY OF HOPE NATIONAL MEDICAL CENTER

CLOUGHERTY PACKING, LLC

COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA

4650 Sunset Blvd.

1201 W La Veta Ave

140 W. College Street

1500 East Duarte Rd

3049 E. Vernon Ave

7370 N Palm Ave, Ste 103


Orange,CA 92868

Covina,CA 91722

Duarte,CA 91010

LOS ANGELES,CA 90058

Fresno,CA 93711

Phone: (323) 361-4207

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

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

Phone: (626) 218-5367

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

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

Alan Hermanson

Antoinette Joslin-West

Deborah L. Cooper

Mr. Mark Briskie

Howard Griffiths

Marcus Watkins

Manager Workers Compensation

Director Financial Risk and Insurance

VP Finance

Senior Disability Administrator

V.P. of Finance

Sr. Director

1135-048-01

1448-195-01

1448-108-04

2340-316-02

1662-092-60

2058-005-21

2058-316-02

2058-005-38

2029-316-05


TRISTAR RISK MANAGEMENT, SIGNAL HILL

AIG CLAIMS, INC., CONCORD


ADMINSURE, INC., ONTARIO



ESIS, INC., FREMONT

CORVEL ENTERPRISE COMP, INC., FOLSOM

COMPASS HEALTH, INC.

CONSTRUCTION PROTECTIVE SERVICES, INC.

CONTAINER SUPPLY COMPANY, INCORPORATED

COSTCO WHOLESALE CORPORATION

COVIA COMMUNITIES

CROWN ENERGY SERVICES, INC.

200 South 13th Street

3400 E. Airport Way

12571 Western Ave

999 Lake Drive

2185 N. California Blvd. Ste 215

868 Folsom Street

Grover Beach,CA 93433

Long Beach,CA 90806

Garden Grove,CA 92841

Issaquah,WA 98027

Walnut Creek,CA 94596

San Francisco,CA 94107

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

Phone: (310) 878-8134

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

Phone: (425) 313-2874 Fax: (425) 416-2171

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

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

Timothy Hodge

William R. Babcock

Robert S. Hurtt

Mr. Uyen Nguyen

Ms. Diana Jamison

Mr. Jeff Wofford

General

CFO

Jr.

Supervisor, Integrated Leave Data Analyst

Chief Financial Officer

CFO

2328-096-51

2273-152-10

2191-348-01

2060-086-34

1562-048-01

2366-025-05


LWP CLAIMS SOLUTIONS, INC., SACRAMENTO

RANCHO RISK SERVICES, ORANGE




CRST EXPEDITED, INC.

DAMERON HOSPITAL ASSOCIATION

DANSK INVESTMENT GROUP, INC.

DIGNITY HEALTH

DOLE FOOD COMPANY, INC.

DOLE PACKAGED FOODS, LLC

201 1st St. SE

525 West Acacia Street

6591 Collins Drive Ste E-11

185 Berry Street, Ste 300

One Dole Drive

7916 W. Bellevue Rd

Cedar Rapids,IA 52401

Stockton,CA 95203

Moorpark,CA 93021


Westlake Village,CA 91362

Atwater,CA 95301

Phone: (319) 390-2761

Phone: (209) 242-7006

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

Phone: (415) 438-5516

Phone: (818) 879-6787

Phone: (209) 356-6112

Jason M. Steffens

Todd Miller

Marina Takayan

Rachel Toro

Jeffrey R. Stolle

Patricia L. Usry

Director of Risk Management

Vice President & CFO

Human Resources Manager

Director Workers' Compensation and Risk Operations

Director Risk Management

Risk Manager

2361-350-01

2094-011-46

2140-132-14

2021-011-23

1032-011-01

2337-011-13

COTTINGHAM & BUTLER CLAIMS SERVICES, INC., ESCALON

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., WALNUT CREEK

YORK RISK SERVICES GROUP, INC., VALENCIA



SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., PLEASANTON

E. & J. GALLO WINERY

E. I. DU PONT DE NEMOURS AND COMPANY

EISENHOWER MEDICAL CENTER

EL CAMINO HOSPITAL

ENSIGN SERVICES, INC.

ESKATON PROPERTIES, INCORPORATED

P.O Box 1130

974 Centre Rd, C730-4170-2

39000 BOB HOPE DRIVE

2500 Grant Rd

27101 Puerta Real, #450

5105 Manzanita Ave

Modesto,CA 95354

Wilmington,DE 19805

RANCHO MIRAGE,CA 92270

Mountain View,CA 94040

Mission Viejo,CA 92691

Carmichael,CA 95608

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

Phone: (949) 487-9500

Phone: (916) 334-0810

Becky Castro

Faustino Aguilar

DONA CONNELLY

Matt Harris

Ms. Suzanne Snapper

Kenneth J. Fisher

Senior Claims Mgr

Senior Treasury Analyst

CONTROLLER

Controller

CFO

Workers' Compensation Director

1746-99-19

0491-012-87

2134-011-22

2221-334-01

2311-132-11

2182-132-01

Self Administered

BROADSPIRE SERVICES, INC., FOLSOM

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ENCINO

AMERICAN CLAIMS MANAGEMENT, INC., SAN DIEGO

YORK RISK SERVICES GROUP, INC., ORANGE

YORK RISK SERVICES GROUP, INC., ROSEVILLE

ESPARZA ENTERPRISES, INC.

EXPRESS MESSENGER SYSTEMS, INC.

FARMER BROS. CO.

FARMERS' RICE COOPERATIVE

FEDERAL EXPRESS CORPORATION

FLYERS ENERGY, LLC

3851 Fruitvale Ave

2501 S. Price Rd Ste 201

1912 Farmer Brothers Drive

PO Box 15223

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

2360 Lindbergh Street

Bakersfield,CA 93308

Chandler,AZ 85286

Northlake,TX 76262

Sacramento,CA 95851

Memphis,TN 38125

Auburn,CA 95602

Phone: (661) 831-0002

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

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

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

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

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

Luis M. Esparza

Mary Ann Clarke

Lynda Shue

Bill Tanimoto

Gael R. Johnson

Linda I. Jacobson

CEO/President



CFO

Sr. Risk Analyst

Risk Manager

2299-343-02

2356-025-04

2356-190-02

2356-190-01

1530-011-09

1956-269-02

2091-011-01

2091-011-46

2203-086-35

2203-025-11

PACIFIC CLAIMS MANAGEMENT, FRESNO

GALLAGHER BASSETT SERVICES INC., RANCHO CUCAMONGA

THE ZURICH SERVICES CORPORATION, SAN FRANCISCO

THE ZURICH SERVICES CORPORATION, WOODLAND HILLS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., LONG BEACH

INNOVATIVE CLAIM SOLUTIONS, SAN RAMON



HELMSMAN MANAGEMENT SERVICES LLC, ORANGE

GALLAGHER BASSETT SERVICES INC., SACRAMENTO-REGIONAL

FORD MOTOR COMPANY

FOSTER POULTRY FARMS

FREEDOM PROPERTIES-HEMET, LLC

FRONT PORCH COMMUNITIES AND SERVICES

FRY STEEL COMPANY

GAR LABORATORIES INC.

16800 Executive Plaza Drive South 6th Floor

1000 Davis St

27122 B Paseo Espada, #1024

800 North Brand Blvd. 19th Floor

13325 Molette Streetl

15901 Red Hill Ave, Ste 100

Dearborn,MI 48126

Livingston,CA 95334

San Juan Capistrano,CA 92675

Glendale,CA 91203

Santa Fe Springs,CA 90670

Tustin,CA 92780

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

Phone: (209) 668-6943

Phone: (949) 489-0430

Phone: (818) 254-4162 Fax: (818) 254-4163

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

Phone: (714) 824-8382 Fax: (714) 573-1770

Alan S. Gorosh

Brett Kirkham

Cheryl Roskamp

Ms. Lynne Henderson-Harvey

Stephen T. Fry

Norman G. Hainlen

Managing Counsel

CFO

Human Resources

President/CEO

Director Alternative Risk Financing

0611-005-38

0611-99-03

0611-005-21

0611-086-34

1541-99-06

2288-361-01

2278-096-51

1902-132-10

2367-048-02

ESIS, INC., FREMONT

Self Administered



Self Administered

ELITE CLAIMS MANAGEMENT, INC., TEMECULA


YORK RISK SERVICES GROUP, INC., RANCHO CUCAMONGA


GENERAL DYNAMICS CORPORATION

GENERAL MOTORS LLC

GILLIG LLC

GLORIA MCNEIL, A SOLE PROPRIETORSHIP, DBA CORDOVA CONSULTING

GOLDEN EAGLE MANAGEMENT, LLC

GOLDEN STATE WATER COMPANY

P.O. Box 85278

300 Galleria Office Centre, Ste 200

451 Discovery Drive

15901 Red Hill Ave #100

2775 Via de la Valle, Ste 200

630 E. Foothill Blvd.

SAN DIEGO,CA 92186

Southfield,MI 48034

Livermore,CA 94551

Tustin,CA 92780-7317

Del Mar,CA 92014

San Dimas,CA 91773

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

Phone: (586) 459-3542

Phone: (510) 264-4432

Phone: (714) 824-8382

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

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

Louise Holleran

Susan Azar

Mr. Donald Stewart

Mr. Norman G. Hainlen

Dan Ukkestad

David Carl


WC Manager

VP - CFO

Dir., Alternative Risk Financing

President/CEO

Risk Analyst

0857-005-21

0857-99-01

0291-011-07

2329-197-05

2379-005-21

2335-236-01

2043-011-03


Self Administered


JT2 INTEGRATED RESOURCES, OAKLAND


ACCELERATED CLAIMS SERVICES, INC., ORANGE


GOOD SAMARITAN HOSPITAL

GOODWILL INDUSTRIES OF SAN DIEGO COUNTY

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

GOODWILL INDUSTRIES OF SOUTHERN CALIFORNIA

GRIMMWAY ENTERPRISES, INC.

GRUNDFOS PUMPS MANUFACTURING CORPORATION

1225 Wilshire BLVD

3663 Rosecrans St

5600 W. 83rd Street, Ste 1100

342 N. San Fernando Rd

P. O. Box 81498

5900 W Shields Ave


San Diego,CA 92110




Fresno,CA 93727

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

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

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

Phone: (323) 539-2074 Fax: (323) 987-1029

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

Phone: (559) 294-3023

Sam Nabulsi

Mr. Scott Fyson

Paula Greve

Jillian Soto

Ms. Cherie W. Johnson

Gunjan Batth

Director of Workers' Compensation

Controller

Sr. Compliance Consultant

Director, Leaves of Absence & Workers' Compensation


Finance manager

0829-132-11

1040-316-03

2344-048-01

0820-092-60

2160-195-09

2277-195-09


CORVEL ENTERPRISE COMP, INC., SAN DIEGO





GUY YOCOM CONSTRUCTION, INC.

HARRIS FARMS, INC.

HARVARD-WESTLAKE SCHOOL

HAZELDEN BETTY FORD FOUNDATION

HEARTLAND EMPLOYMENT SERVICES, LLC

HEARTLAND EXPRESS INC. OF IOWA

3299 Horseless Carriage Lane, Ste H

RR 1, Box 400

3700 Coldwater Canyon

39000 Bob Hope Drive

333 N. Summit Street - Floor 7

901 N. Kansas Ave

Norco,CA 92860

Coalinga,CA 93210

Studio City,CA 91604

Rancho Mirage,CA 92270

Toledo,OH 43604

North Liberty,IA 52317

Phone: (951) 284-3456 ext 304 Fax: (866) 482-2129

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

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

Phone: (651) 213-4210 Fax: (760) 837-8353

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

Phone: (877) 240-0413 Fax: (319) 626-3392

Janice Tessier

Michael J. Casey

Yutopia K. Essex

Tina Gemlo

Bruce M. Helberg

Jerry Suther

Administrative Assistant

VP Human Resources/Risk Mgmt

Benefits Administrator

Benefits Manager

Director-Risk Management

Director of Workers' Compensation

2358-132-14

2169-195-09

2301-152-11

2298-254-03

2177-025-04

2177-012-87

2291-011-01



LWP CLAIMS SOLUTIONS, INC., GLENDALE

CONSTITUTION STATE SERVICES LLC, DIAMOND BAR




HEAVENLY VALLEY, LIMITED PARTNERSHIP

HEWLETT PACKARD ENTERPRISE COMPANY

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

390 Interlocken Crescent Ste 1000

3000 Hanover Street, Mail Stop 2217

2455 Paces Ferry Rd NW C-20

11403 Compaq Center Drive W

2200 Mission College Blvd, RN6-46

710 Bainum Ave

Broomfield,CO 80021

Palo Alto,CA 94304

Atlanta,GA 30339

Houston,TX 77070

Santa Clara,CA 95054

Corcoran,CA 93212

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

Phone: (650) 236-7150

Phone: (770) 433-8211

Phone: (281) 927-7759

Phone: (408) 765-3494

Phone: (559) 992-2141

Ms. Tracy Venter

Rita Kho

James D. Bramlett

Ivar Cuellar

Angie Cadiente

James G. Wadsworth

Sr. Occupational Health Manager


Program Manager-Claims

Risk Management Analyst

Vice President

2305-025-11

2360-011-46

2360-254-04

2360-254-01

2230-086-34

1747-011-46

2078-011-13

2025-011-14



CONSTITUTION STATE SERVICES LLC, RANCHO CORDOVA

CONSTITUTION STATE SERVICES LLC, WALNUT CREEK





J.T. WIMSATT CONTRACTING CO., INC.

JOHN MUIR HEALTH

JOHNS MANVILLE

KAISER FOUNDATION HEALTH PLAN, INC.

KAISER FOUNDATION HOSPITALS

28064 Ave Stanford, Ste B

1400 Treat Blvd.

717 17th Street

One Kaiser Plaza 25th Floor


Valencia,CA 91355

Walnut Creek,CA 94597

Denver,CO 80202

Oakland,CA 94612

Oakland,CA 94612

Phone: (661) 775-8090 ext 136

Phone: (925) 947-4490

Phone: (303) 978-2057

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

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

Rosae Rosas

Lisa Foust

Al Haro

Ms. Debbie Ehsan

Debbie Ehsan

Director of Human Resources

SVP Human Resources

Claims Specialist

Sr. Manager

Sr. Manager

2334-025-04

1799-291-01

1760-005-21

1760-005-38

1053-011-20

1053-011-10

1053-011-09

1054-011-09

1054-011-10

1054-011-20


CANNON COCHRAN MANAGEMENT SERVICES, INC., CONCORD


ESIS, INC., FREMONT

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., OAKLAND-WEBSTER

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., ROSEVILLE





KERN RIDGE GROWERS, LLC

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.

14322 DiGiorgio Rd

Kiewit Plaza

15901 Red Hill Ave, Ste 100

134 Riverside Drive

1 Knauf Drive

c/o Knight Transporatation, Inc.5600 West 83rd St., 8200 Tower, Ste 1100

Arvin,CA 93203

Omaha,NE 68131

Tustin,CA 92780

Richland,MS 39218

Shelbyville,IN 46176


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

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

Phone: (714) 824-8382 Fax: (714) 573-1770

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

Phone: (317) 421-8579

Phone: (952) 807-0879

Nick Giragosian

Ms. Debra Prochaska

Norman G. Hainlen

Terry Thornton

Amanda Simpson

Steve Weibel

Controller

Claims Analyst

Director Alternative Risk Financing

CFO

Administrator

Risk Manager

2312-146-02

2157-011-13

2157-011-03

2365-048-02

2129-291-02

2275-086-34

2257-152-11

ACCLAMATION INSURANCE MANAGEMENT SERVICES, FRESNO







L BRANDS, INC.

L.F.P., INC.

LA-Z-BOY, INCORPORATED

LANCE CAMPER MFG. CORP.

LBC LIMITED PARTNERSHIP

LEPRINO FOODS COMPANY

5600 W 83rd Street, Ste 1100

8484 Wilshire Blvd., Ste 900

PO Box 8880

43120 Venture Street

234 Quadrum Dr.

1830 W. 38th Ave


Beverly Hills,CA 90211

Redlands,CA 92375

Lancaster,CA 93535

Oklahoma City,OK 73108

Denver,CO 80211

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

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

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

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

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

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

Paula Greve

Soheila Ataei

Pablo Garcia

Bob Cumming

Mr. Charles Folkner

Doug Jones

Sr. Compliance Consultant

Head of Human Resources

Plant Controller

CFO, Controller

Risk Manager

Assoc. Dir. Enterprise Risk Mgmt.

2233-025-04

2281-316-02

2046-011-07

2147-099-01

2320-361-01

1986-128-15




Self Administered


MATRIX ABSENCE MANAGEMENT, INC., SAN JOSE

LES SCHWAB TIRE CENTERS OF CALIFORNIA, INC.

LEVI STRAUSS & CO.

LIFE GENERATIONS HEALTHCARE LLC

LION FARMS L.L.C.

LION RAISINS, INC.

LOCKHEED MARTIN CORPORATION

PO Box 5350

1155 Battery Street

6 Hutton Centre #400

P.O. Box 1350

P.O. Box 1350

1011 Lockheed Way MZ 1045

Bend,OR 97708


Santa Ana,CA 92707-8762

Selma,CA 93662

Selma,CA 93662

Palmdale,CA 93599

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

Phone: (415) 501-6194

Phone: (714) 241-5600

Phone: (559) 834-6677

Phone: (559) 834-6677

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

Mr. Corey J. Parks

Aida Orphan

Ms. Lois Mastrocola

Suzie Keller

Ms. Suzie Keller

Delores J. Morris

Executive Vice President & CAO

Director Global Risk Management


Controller

Controller

W.C. Administrator

2302-011-13

1605-005-21

1605-005-38

2380-343-02

2331-343-02

2308-343-02

1821-254-03

1821-005-21

1821-086-38



ESIS, INC., FREMONT







LOMA LINDA UNIVERSITY

LOS ANGELES JEWISH HOME FOR THE AGING

LOUISIANA-PACIFIC CORPORATION

LOWE'S HOME CENTERS, LLC

LUXFER INC.

LYFT, INC.

101 E. Redlands Blvd

7150 Tampa Ave

805 SW Broadway #1000

1000 Lowes Blvd Mail Code NB3RM

3016 Kansas Ave

185 Berry Street, Ste 5000

San Bernardino,CA 92408

Reseda,CA 91335

Portland,OR 97205

Mooresville,NC 28117

Riverside,CA 92507


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

Phone: (818) 757-4455

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

Phone: (704) 758-3351

Phone: (714) 785-3775

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

Mark Hubbard

Alyssa Alderman

Mr. Guy Boileau

Steven Dowell

Eileen Mosman

Joseph Hurley

Sr. VP Administration Risk Mgmt


Workers' Compensation Claims Manager

Risk Management Administrator

Corporate Controller

Manager Risk Solutions

1095-99-01

1095-108-52

2005-343-02

1439-291-01

2284-011-09

1955-132-13

2353-005-21

2353-025-12

2353-005-38

Self Administered

AIG CLAIMS, INC., SAN DIEGO






GALLAGHER BASSETT SERVICES INC., ROSEVILLE

ESIS, INC., FREMONT

M. C. M. CONSTRUCTION, INC.

MACY'S RETAIL HOLDINGS, INC.

MANNING'S BEEF, LLC

MARKSTEIN BEVERAGE CO. OF SACRAMENTO

MARRIOTT INTERNATIONAL, INC.

MASCO CORPORATION

P.O. Box 620

7 West Seventh Street

9531 Beverly Rd

60 Main Ave

10400 Fernwood Rd, Dept. 52/924.36

17450 College Parkway

North Highlands,CA 95660

Cincinnati,OH 45202

Pico Rivera,CA 90660

Sacramento,CA 95838

Bethesda,MD 20817

Livonia,MI 48152

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

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

Phone: (718) 360-6085

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

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

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

Alfred A. Anderson

David Kanarek

Mr. Salvatore Anthony Di Maria

Ms. Denise Pulver

Steve Huy

Sue Campion

Treasurer/Controller

Director-Risk Management

Managing Member

VP/Admin

Compliance Analyst

Manager - Casualty Risk

2096-190-03

0911-011-09

0911-351-01

2376-025-08

2120-012-87

1830-025-11

1830-99-99

1780-254-03

1780-011-03

1780-195-04

THE ZURICH SERVICES CORPORATION, RANCHO CORDOVA


OAK RIVER INSURANCE COMPANY, SAN DIEGO

GALLAGHER BASSETT SERVICES INC., SACRAMENTO-METRO



Self Administered




MCWANE, INC.

MEMORIAL HEALTH SERVICES

MERCHANTS BUILDING MAINTENANCE COMPANY

METHODIST HOSPITAL OF SOUTHERN CALIFORNIA

MONTAGE HEALTH

MONTEREY MUSHROOMS, INC.

2900 Highway 280, Ste 300

17360 Brookhurst Street

1190 Monterey Pass Rd

300 W Huntington Drive

23625 Holman Highway

260 Westgate Dr.

Birmingham,AL 35223

Fountain Valley,CA 92708

Monterey Park,CA 91754

Arcadia,CA 91007

Monterey,CA 93940

Watsonville,CA 95076

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

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

Phone: (323) 881-6701

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

Phone: (831) 625-4500

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

Bonita S. Flippo

Monique Johnson

Krista Haas

William Grigg

Mr. Tim Nylen

Robert Jenkins

AVP- Risk Management

Pharmacist Manager

Chairwoman

SVP & CFO

Vice President

CFO

1787-005-21

1052-062-01

1793-271-01

1086-271-01

1698-048-01

2188-146-02


KEENAN & ASSOCIATES, TORRANCE

CLAIMQUEST, INC., WALNUT



ACCLAMATION INSURANCE MANAGEMENT SERVICES, FRESNO

MORRIS CERULLO WORLD EVANGELISM

MV TRANSPORTATION, INC.

NATIONAL TECHNOLOGY & ENGINEERING SOLUTIONS OF SANDIA, LLC

NETFLIX, INC.

NORDSTROM, INC.

OPTICAL COATING LABORATORY, LLC

3545 Aero Court

2024 College St

P.O. Box 696, MS 9112

5808 W. Sunset Blvd.

PO Box 25799

2789 Northpoint Parkway

San Diego,CA 92123

Elk Horn,IA 51531

Livermore,CA 94551


Santa Ana,CA 92799

Santa Rosa,CA 95407

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

Phone: (712) 764-3758

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

Phone: (323) 810-8250

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

Phone: (170) 752-5777

Mr. Roger Artz

Sean T. Smith

Morgan Edwinson

Ms. Janet Mars

Mr. Steve Tolan

Diana L. Boettcher

SVP of Development

Ins Manager

Manager Health Care

Senior WC Specialist

Director of Workers Compensation

EHS Specialist

2293-361-01

2350-012-93

0767-291-01

2378-096-51

2015-108-52

2015-99-01

1804-025-01






Self Administered

GALLAGHER BASSETT SERVICES INC., GOLD RIVER

ORORA PACKAGING SOLUTIONS

OUT OF THE SHELL, LLC

OWENS-ILLINOIS, INC.

PACCAR INC.

PACIFIC GAS AND ELECTRIC COMPANY

PACIFIC RISK MANAGEMENT, LLC

6600 Valley View Street

9646 Remer Street

One Michael Owens Way, Plaza Two

777 106th Ave NE

77 Beale St Mail Code BJ6, Room 643D

7060 N. Marks Ave, #118

Buena Park,CA 90602

South El Monte,CA 91733

Perrysburg,OH 43551

Bellevue,WA 98004


Fresno,CA 93711

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

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

Phone: (559) 432-9400

Coleen Bentley

Bing Yang

Michelle E. Molnar

DeeAnne Flegel

James P. McMorrow

Jerry Laval

Vice President-Human Resources

President

Manager Workers' Compensation

Mgr. Workplace Absence Programs

Manager IDM Compliance QA

1882-048-02

2342-092-60

1237-025-13

1655-011-05

0012-99-05

0012-99-06

0012-99-01

2362-343-02



GALLAGHER BASSETT SERVICES INC., SAN DIEGO


Self Administered

Self Administered

Self Administered


PACIFIC UNION CONFERENCE OF SEVENTH-DAY ADVENTISTS

PARCO, INC.

PARKER-HANNIFIN CORPORATION

PARKING CONCEPTS, INC.

PASADENA HOSPITAL ASSOCIATION, LTD.

PEBBLE BEACH COMPANY

P. O. Box 1052

1801 S Archibald Ave

6035 Parkland Blvd

12 Mauchly, Building I

100 W California Blvd

4005 Sunridge Rd

Redlands,CA 92373

Ontario,CA 91761

Cleveland,OH 44124-4186

Irvine,CA 92618

Pasadena,CA 91109

Pebble Beach,CA 93953

Phone: (909) 556-2279

Phone: (909) 947-3540

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

Phone: (949) 864-3498

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

Phone: (831) 649-2756 Fax: (831) 277-7709

Mr. Arthur F. Blinci

Kevin Fremgen

Curtis Gross

Ulla Bjorkqvist

Gina Imbrenda

David Heuck

Plan Administrator

Controller

Risk Manager


Director Human Resources

Executive Vice President and Chief Administrative Officer

2042-011-46

1944-271-01

0912-146-08

2354-128-15

1663-011-22

2249-239-09



ACCLAMATION INSURANCE MANAGEMENT SERVICES, VALENCIA



INTERCARE HOLDINGS INSURANCE SERVICES, INC., SALINAS

PETERSEN-DEAN, INC.

PETERSON BROTHERS CONSTRUCTION, INC.

PIH HEALTH HOSPITAL - DOWNEY

PIH HEALTH HOSPITAL - WHITTIER

PILKINGTON NORTH AMERICA, INC.

PITMAN FAMILY FARMS

39300 Civic Center Drive, Ste 300

1560 W. Lambert Rd

12401 Washington Blvd.

12401 Washington Blvd.

2401 East Broadway Street

1075 North Ave

Fremont,CA 94538

Brea,CA 92821

Whittier,CA 90602

Whittier,CA 90602

Northwood,OH 43619

Sanger,CA 93657

Phone: (510) 371-6555

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

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

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

Phone: (419) 247-3943

Phone: (559) 250-0258

Mr. George Milionis

Ms. Hillary Moore

Ines Escobedo

Ines Escobedo

Denise Wingate

Richard Pitman

General Counsel

Admin Manager

Work Comp Specialist

Work Comp Specialist

Accountant - NSG Group

President

2371-011-46

2326-361-01

2072-048-02

1457-048-02

2179-011-13

2338-343-02







POMONA VALLEY HOSPITAL MEDICAL CENTER

PROSPECT MEDICAL HOLDINGS, INC.

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

PRUDENTIAL OVERALL SUPPLY

RALEY'S

RECOLOGY INC.

1798 N. Garey Ave

3415 S. Sepulveda Blvd., 9th Floor

2001 Lind Ave SW - 5th Floor

1661 Alton Pkwy

500 West Capitol Ave

50 California St., 24th Floor

Pomona,CA 91767


Renton,WA 98057

Irvine,CA 92606

Sacramento,CA 95605


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

Phone: (424) 369-8446

Phone: (425) 525-3134

Phone: (949) 250-4855

Phone: (916) 373-6214

Phone: (415) 875-1111 Fax: (415) 875-1134

Ms. Jennifer Bell

Ms. Maureen Archambault

Schandra Wiltse

Ms. Jana Comer

Fiona Williams

Mr. William P. Lyons

Workers Comp Manager

Senior VP/Risk Management & Insurance

Compliance Analyst

Vice President of Finance

Senior Risk Manager

Vice President & Senior Director

1581-092-60

2375-316-02

2245-011-05

1788-195-01

2054-316-05

2239-316-05







REDLANDS COMMUNITY HOSPITAL

ROBERTSON'S READY MIX, LTD.

ROCKWELL COLLINS, INC.

ROMAN CATHOLIC BISHOP OF SACRAMENTO

ROOTER HERO PLUMBING, INC.

ROSEBURG FOREST PRODUCTS CO.

350 Terracina Blvd

200 South Main Street, Ste 200

400 Collins Rd NE

2110 Broadway

11150 Sepulveda Blvd., Ste 2A

3660 Gateway St.

Redlands,CA 92373

Corona,CA 92882

Cedar Rapids,IA 52498

Sacramento,CA 95818

Mission Hills,CA 91345

Springfield,OR 97477

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

Phone: (951) 493-6531 Fax: (951) 493-6532

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

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

Phone: (818) 384-2288

Phone: (541) 679-3311

Lisa K. Guzman

Syed Kazmi

Richard T. Siefers

Mr. Thomas J. McNamara

Ms. Tamar Akhoian

Marty Daley

Vice President Human Resources

Director Insurance/Risk Management


Controller

Sr. VP of Finance/CFO

1841-239-06

2173-132-13

2255-025-05

1400-152-10

2372-239-06

2114-291-02

INTERCARE HOLDINGS INSURANCE SERVICES, INC., GLENDALE






S.K.B. CORPORATION

SAN ANTONIO REGIONAL HOSPITAL

SANTA BARBARA COTTAGE HOSPITAL

SATICOY LEMON ASSOCIATION

SAVE MART SUPERMARKETS

SCHMIDBAUER LUMBER, INC.

434 W. Levers Place

999 San Bernardino Rd

P.O. Box 689

P.O. BOX 46

1600 Yosemite Blvd.

P.O. Box 152

Orange,CA 92867

Upland,CA 91786

Santa Barbara,CA 93102

SANTA PAULA,CA 93061

Modesto,CA 95354

Eureka,CA 95502

Phone: (714) 306-7199

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

Phone: (805) 879-8949

Phone: (805) 654-6535

Phone: (209) 574-6299 ext 5519

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

Steve Kottman

Wah-Chung Hsu

Mitch Rosenbaum

JERRY POGORZELSKI

Hai Ngo

Mr. Patrick Shanahan

CEO

Vice President - Finance CFO

Director of Corporate Treasury

CFO


Controller

2285-195-01

1674-271-01

1579-011-22

2192-132-14

1812-316-05

2049-132-01






YORK RISK SERVICES GROUP, INC., ROSEVILLE

SCHNEIDER NATIONAL CARRIERS, INC.

SCHNITZER STEEL INDUSTRIES, INC.

SCRIPPS HEALTH

SECURITAS SECURITY SERVICES USA, INC.

SEMPRA ENERGY

3101 S. Packerland Dr.

299 SW Clay st, STE 350

4275 Campus Point Ct.

4330 Park Terrace Drive

555 W. 5th Street, GT16C0

Green Bay,WI 54313

Portland,OR 97201

San Diego,CA 92121

Westlake Village,CA 91361


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

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

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

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

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

Amy Deprey

Stephanie Roe

Ms. Susanna Walden

Ms. Mae Asuncion A. Agawin

Ms. James K. Rapose

Risk Insurance Analyst

WC Manager

Abs Mgmt Plan Administrator

Senior Financial Analyst

ECS Manager

2240-086-38

2240-254-01

2240-011-46

2141-005-21

2141-005-38

1739-011-07

1532-005-21

1532-012-90

1532-011-22

0133-99-03

0133-99-02

0133-99-01


CONSTITUTION STATE SERVICES LLC, WALNUT CREEK



ESIS, INC., FREMONT





Self Administered

Self Administered

Self Administered

SENECA FAMILY OF AGENCIES

SIERRA PACIFIC INDUSTRIES

SIMPSON MANUFACTURING CO., INC.

SMART & FINAL INC.

SOCIAL VOCATIONAL SERVICES, INC.

SOLAR TURBINES, INCORPORATED

255 Great Valley Parkway, Ste 200

PO Box 496011

5956 W. Las Positas Blvd

600 Citadel Drive

3555 Torrance Blvd.

100 NE Adams St.

Malvern,PA 19355

Redding,CA 96049

Pleasanton,CA 94588

Commerce,CA 90040

Torrance,CA 90503

Peoria,IL 61629

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

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

Phone: (925) 560-9296

Phone: (323) 869-7751

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

Phone: (309) 675-0967

Mr. L.J. Battagliese

Ms. Janet Jennings

Annie Lin

Eugene M. Smith

Susan Barr

Frank M. Totton

Area President


Consolidation Analyst

Vice President & Treasurer

Director of Finance

U.S. Workers Comp Manager

2341-048-01

1287-99-01

1840-128-15

0797-011-09

0797-108-52

2355-190-03

0990-086-34

0990-99-28


Self Administered






Self Administered

SONY ELECTRONICS INC.

SOUTHERN CALIFORNIA EDISON COMPANY

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (A PARTNERSHIP)

SOUTHERN CALIFORNIA PIZZA COMPANY, LLC

SOUTHERN CALIFORNIA PRESBYTERIAN HOMES

SOUTHWEST GAS CORPORATION

16535 Via Esprillo

P.O. Box 5038


255 Great Valley Parkway, Ste 200

516 Burchett Street

5241 Spring Mountain Rd

San Diego,CA 92127

Rosemead,CA 91770

Oakland,CA 94612

Malvern,PA 19355

Glendale,CA 91203

Las Vegas,NV 89150

Phone: (858) 942-2761

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

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

Kerwin H. Brown

John A. Smolk

Debbie Ehsan

Mr. L.J. Battagliese

Anika Hartounian

Brad Anderson

Director/Corporate ESH

Principal Manager

Sr. Manager

Area President

VP of Finance

Manager/Risk Management

2109-048-04

0014-99-01

1056-011-20

1056-011-09

1056-011-10

2369-048-01

1166-011-13

2102-195-04

ATHENS ADMINISTRATORS, SAN DIEGO

Self Administered







SPACE EXPLORATION TECHNOLOGIES CORP.

SSA CONTAINERS, INC.

STARBUCKS CORPORATION

SUPERIOR READY MIX CONCRETE L.P.

SUTTER HEALTH

SWIFT TRANSPORTATION CO. OF ARIZONA, LLC

1030 15th Street, NW #220E

1131 S.W. Klickitat Way

2401 Utah Ave South

1508 W. Mission Rd

P.O. Box 160066

5600 W. 83rd Street, Ste 1100

Washington,DC 20005

Seattle,WA 98134

Seattle,WA 98134

Escondido,CA 92029

Sacramento,CA 95816


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

Phone: (206) 623-0304

Phone: (206) 318-4850

Phone: (760) 745-0556

Phone: (916) 561-6550

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

Candace Lee

Tom Scherting

Vianney Muse

Mr. Arnold L. Veldkamp

Hsu Ling Tan

Steve Weibel

Risk Manager

Senior Risk Analyst

Secretary

Risk Financing Director

RIsk Analyst

2352-316-09

2215-337-01

2215-151-10

2268-011-05

2286-195-04

1993-189-01

2321-025-11

2321-005-38

2321-316-02

CORVEL ENTERPRISE COMP, INC., SANTA ANA

TUELL & ASSOCIATES, INC., OAKLAND

METRO RISK MANAGEMENT, LONG BEACH



SUTTER HEALTH TOTAL HEALTH & PRODUCTIVITY MANAGEMENT, SACRAMENTO


ESIS, INC., FREMONT


TARGET CORPORATION

TARZANA TREATMENT CENTER, INC.

TEICHERT, INC.

TENET HEALTHCARE CORPORATION

TESLA ENERGY OPERATIONS, INC.

TEXTRON INC.

5600 W. 83rd St. Ste 1100

18646 Oxnard Street

3500 American River Drive

1445 Ross Ave, Ste 1445

Attn: Global Risk Management

5600 W 83rd Street - Ste 1100

6800 Dumbarton Circle


Tarzana,CA 91356

Sacramento,CA 95851

Dallas,TX 75202

Fremont,CA 94555


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

Phone: (818) 996-1051 Fax: (818) 996-3051

Phone: (916) 484-3210 Fax: (916) 484-0794

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

Phone: (415) 636-9334

Phone: (952) 807-0720 Fax: (847) 953-2851

Laurene Dufault

Mr. Albert Senella

Dennis M. Aday

Michael L. DeWitt

Anthony Retort

Sarah Woodward

Consultant - Risk Consulting

President/Chief Executive Officer

Workers' Compensation Specialist

Vice President

Associate Director Risk Management

Risk Analyst

2138-011-46

2310-092-60

1867-086-34

2152-011-13

2152-011-03

2357-190-01

2357-086-34

2357-190-03

1359-012-90






THE ZURICH SERVICES CORPORATION, WOODLAND HILLS




THE AMERICAN NATIONAL RED CROSS

THE ARC OF SAN DIEGO

THE DAVEY TREE EXPERT COMPANY

THE DIXIE GROUP, INC.

THE DOW CHEMICAL COMPANY

431 18th Street NW

3030 Market Street

1500 N Mantua St

P. O. Box 2007

2040 Building, G North2211 H.H. Dow Way

Washington,DC 20006

San Diego,CA 92102

Kent,OH 44240

Dalton,GA 30722

Midland,MI 48674

Phone: (202) 303-7809

Phone: (619) 685-1175

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

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

Phone: (989) 636-6943

Gregory Rankin

Mr. Chad Lyle

Ms. Elizabeth A. Heritage

William D. Davis

Ms. Tonya Kuizenga

Director, Risk Management Finance

CFO

Administration Manager Corp Safety

VP-Human Resources

Operations Manager

2181-012-93

2181-011-46

2290-336-01

2200-005-21

1952-152-11

1967-005-21

1967-005-38

1967-012-90



ALLIANT SPECIALTY INSURANCE SERVICES, INC., SAN DIEGO




ESIS, INC., FREMONT


THE EGGO COMPANY

THE HARKER SCHOOL

THE HERRICK CORPORATION

THE HERSHEY COMPANY

THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN

THE KROGER CO.

One Kellogg Square

4525 Union Ave

P.O. Box 8429

100 Crystal A Drive

500 Superior Ave suite 200

1014 Vine Street

Battle Creek,MI 49017

San Jose,CA 95124

Stockton,CA 95208

Hershey,PA 17033

Newport Beach,CA 92663

Cincinnati,OH 45202

Phone: (269) 961-6709

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

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

Phone: (717) 534-8310

Phone: (949) 764-1429

Phone: (513) 762-4360

Amy Rose

Chrissy Sommer

Mr. Peter J. Avila

Staci Smith

Benjamin Huang

Nathan Fraley

Workers' Compensation Administrator

HR Generalist

CFO

Senior Specialist Risk and Insurance

Director of Accounting

Corporate Claims Manager

1966-012-93

1966-316-05

2314-132-06

2103-128-15

2067-011-01

1274-271-01

1695-011-09



YORK RISK SERVICES GROUP, INC., STOCKTON





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

THE ROMAN CATHOLIC BISHOP OF FRESNO

108 Townpark Drive NW

1800 Harrison St. 7th Floor

Ten Pictsweet Drive

6300 Center Hill Ave Box 112

3424 Wilshire Blvd.

1550 N Fresno St

Kennesaw,GA 30144

Oakland,CA 94612

Bells,TN 38006

Cincinnati,OH 45224


Fresno,CA 93703

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

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

Tara-Lee P. Partridge

Mike McClure

Mr. Frederick B. Pipkin

Terri R. Donahue

Randolph E. Steiner

Denise McKenzie

Work Comp Manager

Director

Risk Manager

Administrator


Risk Manager

1858-316-04

0984-048-01

2105-234-01

2105-086-35

0558-011-46

1656-132-14

1918-012-93

CORVEL ENTERPRISE COMP, INC., CAMARILLO


TRISTAR RISK ENTERPRISE MANAGEMENT, INC., SANTA ANA

HELMSMAN MANAGEMENT SERVICES LLC, ORANGE




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

THE WALT DISNEY COMPANY

425 Church Street

3888 Paducah Drive

1150 N. First Street, #100

180 E. Ocean Blvd., 10th Floor

101 W. Prospect Ave

500 S. Buena Vista St.

Monterey,CA 93940

San Diego,CA 92117

San Jose,CA 95112

Long Beach,CA 90802

Cleveland,OH 44115

Burbank,CA 91521

Phone: (831) 373-4345

Phone: (858) 490-8207

Phone: (408) 983-0230

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

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

Phone: (818) 553-7439

Clancy D'Angelo

Shirley Pajanor

John Hoffman

Michael A. Dossey

Matt Flynn

Stephanie Conner

Director of Finance

Controller

Controller

Territorial Risk Management Secretar

Analyst

1987-152-10

2266-195-04

2364-048-01

0566-011-07

1977-086-34

1977-108-52

1977-025-11

1322-99-76

1322-086-38








Self Administered


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

TRM MANUFACTURING INC.

400 Broadway

11444 W. Olympic Blvd., 5th Floor

1983 West 190th

15916 Bernardo Center Drive

20555 Victor Parkway

PO Box 77520

Cincinnati,OH 45202


Torrance,CA 90504

San Diego,CA 92127

Livonia,MI 48152

Corona,CA 92877

Phone: (513) 629-1493 Fax: (513) 419-2733

Phone: (310) 966-5790

Phone: (310) 878-8421

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

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

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

Michelle Hollen

Drue Rutledge

Ramzi Chamoun

Michele I. Gryniewicz

Ms. Barbara J. Cook

Trina Kearns

Senior Leave Administrator


Controller

Corporate Counsel

Risk Finance Manager

Bookkeeper

0905-011-01

2055-012-93

2280-352-01

2370-092-60

2283-005-21

2283-005-38

2324-236-01



AMERICAN RISK ADMINISTRATORS, NEWPORT BEACH



ESIS, INC., FREMONT

ACCELERATED CLAIMS SERVICES, INC., ORANGE

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

UNIVAR USA INC.

4700 Daybreak Parkway

233 South Wacker Drive - 14th Floor HDQCI

3835 Cypress Drive Ste 103

6430 Independence Ave

550 West Adams Street, Dept. #198

3075 Highland Parkway Ste 200

South Jordan,UT 84009

Chicago,IL 60606

Petaluma,CA 94954

Woodland Hills,CA 91367

Chicago,IL 60661

Downers Grove,IL 60515

Phone: (801) 204-2259

Phone: (872) 825-9774

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

Phone: (818) 782-2211

Phone: (312) 436-5504

Phone: (331) 777-6180

Rick Clark

Neil Blauvelt

Aludia Noguera

Lynne Bolen

Robert Teberg

William H. Gray

Senior Advisor

Sr. Mgr Enterprise Risk Management & Corporate Insurance

CFO

CFO

Director, Risk Managementt & Real Estate

Leave Manager

2066-086-34

1360-011-03

1360-011-13

2333-316-05

2170-132-11

2170-011-01

2020-025-05

1928-025-05

1928-011-03










UNIVERSAL SERVICES OF AMERICA, LP

UNIVERSITY OF SOUTHERN CALIFORNIA

UNIVERSITY OF THE PACIFIC

USS-POSCO INDUSTRIES

VALLEY HARVESTING & PACKING, INC.

VALLEY PRESBYTERIAN HOSPITAL

161 Washingotn Street, Ste 600

1150 Olive Street, SCT1340

3601 Pacific Ave

900 Loveridge Rd

101 E. Main Street

15107 Vanowen Street

Conshohocken,PA 19428


Stockton,CA 95211

Pittsburg,CA 94565

Heber,CA 92249

Van Nuys,CA 91045

Phone: (484) 351-1430

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

Phone: (209) 946-2025 Fax: (209) 045-2835

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

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

Phone: (818) 902-2902

Jeffrey M. Quinn

Guadalupe Del Rio

Linda Jeffers

Gina Harrer

Leticia Ridaura

Lori Cardle


Director Workers Comp Disability


Workers' Compensation Administrator

Chief Operating Officer

Chief Operations Officer

2345-005-21

2345-005-38

1420-012-90

1917-128-17

2090-048-01

2303-096-51

1835-011-22


ESIS, INC., FREMONT


MATRIX ABSENCE MANAGEMENT, INC., ROSEVILLE




VARIAN MEDICAL SYSTEMS, INC.

VIACOM INC.

VIAD CORP

VISTA PAINT CORPORATION

WARNER BROS. RECORDS INC.

3100 Hansen Way, M/S E327

1515 Broadway

16220 N Scottsdale Rd, Ste 600

2020 E. Orangethorpe Ave, Ste 210

4000 Warner Blvd

Palo Alto,CA 94304

New York,NY 10036

Scottsdale,AZ 85254

Fullerton,CA 92831

Burbank,CA 91522

Phone: (650) 424-5959

Phone: (212) 846-7201

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

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

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

David K. Collins

Mr. Barrie Wexler

Matt Heacock

Mr. Eddie R. Fischer

Miriam Levario

Sr. Manager Risk Management

Senior Vice President

Client Services Specialist

President

Claims Director

1931-011-13

1931-011-03

2323-096-51

2323-011-22

2093-333-01

2093-316-03

2093-086-34

2093-011-03

2093-239-06

2093-108-52

2093-086-38

2168-271-01

1337-99-01





HARTFORD CASUALTY INSURANCE COMPANY, RANCHO CORDOVA

CORVEL ENTERPRISE COMP, INC., SAN DIEGO







Self Administered

WENDY'S INTERNATIONAL, INC.

WESTERN DIGITAL CORPORATION

WESTERN OILFIELDS SUPPLY COMPANY

WESTLAKE SERVICES, LLC

WESTROCK SERVICES, INC.

WESTVIEW SERVICES, INC.

One Dave Thomas Blvd

3355 Michelson Drive, Ste 100

5101 Office Park Drive

4751 Wilshire Blvd, Ste 110

Six CityPlace Drive

10522 Katella Ave

Dublin,OH 43017

Irvine,CA 92612



Creve Coeur,MO 63141

Anaheim,CA 92804

Phone: (614) 764-3385

Phone: (949) 672-7000

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

Phone: (323) 973-7529

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

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

Emily Powell

Kevin C. Risse

Timothy R. Bastian

David Keum

Cheryl A. Malawy

Gina Pascucci

Sr Analyst - Risk Mgt


VP Risk Management

CFO

Casualty and SI Specialist

Benefit Specialist

2224-011-07

2112-011-14

2274-005-38

2274-005-21

2296-239-06

2163-011-14

2163-012-93

2163-108-52

2272-132-10



ESIS, INC., FREMONT






YORK RISK SERVICES GROUP, INC., RANCHO CUCAMONGA

WEYERHAEUSER COMPANY

WM. BOLTHOUSE FARMS, INC.

YMCA OF SAN DIEGO COUNTY

YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN LOS ANGELES

YOUNG'S MARKET COMPANY, LLC

YUM YUM DONUT SHOPS, INC.

220 Occidental Ave S

7200 E. Brundage Lane

3708 Ruffin Rd

625 S New Hampshire Ave

14402 Franklin Ave

18830 E San Jose Ave

Seattle,WA 98104


San Diego,CA 92123

LOS ANGELES,CA 90005

Tustin,CA 92780

City of Industry,CA 91748

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

Phone: (661) 366-7209

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

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

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

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

Lisa A. Wysocki

Reyes Espinosa

Mr. Paul Sullivan

Ray Griffin

Mr. John Mandracchia

Tracy Kitagawa

WC Program Mgr/Corp. Asst. Sec

Controller

EVP/CFO

EVP/CFO

Vice President Risk Management

CFO

0784-011-01

2270-012-93

2300-195-04

2185-005-21

0206-291-02

2339-092-60







ZACKY & SONS POULTRY, LLC2020 S. East AveFresno,CA 93721 Phone: (559) 286-7098

Mr. Ward ScheitrumVP of Human Resources

1890-146-02ACCLAMATION INSURANCE MANAGEMENT SERVICES, FRESNO

active private self insured roster99 cents … · active private self insured ... commerce,ca...

Documents