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03/11/2016 1ST AUTO & CASUALTY INSURANCE CO C/O: 1ST AUTO & CASUALTY INSURANCE CO PO BOX 7988 MADISON, WI 53707 Tel: : (608) 242-4505 Fax: (608) 242-4514 21ST CENTURY CENTENNIAL INS CO C/O: GALLAGHER BASSETT SERVICES INC 115 S 84TH ST STE 215 MILWAUKEE, WI 53214 - 1483 Tel: : (414) 258-1200 Fax: (414) 258-1250 21ST CENTURY NATIONAL INS CO C/O: 21ST CENTURY NATIONAL INS CO PO BOX 268994 OKLAHOMA CITY, OK 73126 - 8994 Tel: : No TEL available Fax: No FAX available 21ST CENTURY NORTH AMERICA INS CO C/O: 21ST CENTURY NORTH AMERICA INS CO PO BOX 4230 ALPHARETTA, GA 30023 - 4230 Tel: : (517) 336-2100 Fax: (517) 336-4258 ACADIA INS CO C/O: ACADIA INS CO PO BOX 1594 DES MOINES, IA 50306 - 1594 Tel: : (515) 473-3338 Fax: (515) 473-3015 ACCEPTANCE CASUALTY INS CO C/O: BERKLEY RISK ADMINISTRATOR 300 W BROADWAY #100 COUNCIL BLUFFS, IA 51502 Tel: : (800) 832-0137 Fax: (712) 329-3814 ACCEPTANCE INS CO C/O: ACCEPTANCE INS CO 300 W BROADWAY STE 215 COUNCIL BLUFFS, IA 51503 - 9080 Tel: : (800) 228-7217 Fax: No FAX available ACCIDENT FUND GENERAL INSURANCE CO C/O: ACCIDENT FUND GENERAL INSURANCE CO 200 N GRAND AVE LANSING, MI 48933 - 1228 Tel: : (866) 206-5851 Fax: (517) 346-2839

03/11/2016 1ST AUTO & CASUALTY INSURANCE CO C/O: 1ST

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03/11/2016

1ST AUTO & CASUALTY INSURANCE CO

C/O: 1ST AUTO & CASUALTY INSURANCE CO

PO BOX 7988

MADISON, WI 53707

Tel: : (608) 242-4505 Fax: (608) 242-4514

21ST CENTURY CENTENNIAL INS CO

C/O: GALLAGHER BASSETT SERVICES INC

115 S 84TH ST STE 215

MILWAUKEE, WI 53214 - 1483

Tel: : (414) 258-1200 Fax: (414) 258-1250

21ST CENTURY NATIONAL INS CO

C/O: 21ST CENTURY NATIONAL INS CO

PO BOX 268994

OKLAHOMA CITY, OK 73126 - 8994

Tel: : No TEL available Fax: No FAX available

21ST CENTURY NORTH AMERICA INS CO

C/O: 21ST CENTURY NORTH AMERICA INS CO

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

ACADIA INS CO

C/O: ACADIA INS CO

PO BOX 1594

DES MOINES, IA 50306 - 1594

Tel: : (515) 473-3338 Fax: (515) 473-3015

ACCEPTANCE CASUALTY INS CO

C/O: BERKLEY RISK ADMINISTRATOR

300 W BROADWAY #100

COUNCIL BLUFFS, IA 51502

Tel: : (800) 832-0137 Fax: (712) 329-3814

ACCEPTANCE INS CO

C/O: ACCEPTANCE INS CO

300 W BROADWAY STE 215

COUNCIL BLUFFS, IA 51503 - 9080

Tel: : (800) 228-7217 Fax: No FAX available

ACCIDENT FUND GENERAL INSURANCE CO

C/O: ACCIDENT FUND GENERAL INSURANCE CO

200 N GRAND AVE

LANSING, MI 48933 - 1228

Tel: : (866) 206-5851 Fax: (517) 346-2839

03/11/2016

ACCIDENT FUND INS CO OF AMERICA

C/O: ACCIDENT FUND INS CO OF AMERICA

200 N GRAND AVE

LANSING, MI 48933 - 1228

Tel: : (866) 206-5851 Fax: (517) 346-2839

ACCIDENT FUND NATIONAL INS CO

C/O: ACCIDENT FUND NATIONAL INS CO

200 N GRAND AVE

LANSING, MI 48933 - 1228

Tel: : (866) 206-5851 Fax: (517) 346-2839

ACE AMERICAN INSURANCE CO

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

ACE FIRE UNDERWRITERS INSURANCE CO

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

ACE INDEMNITY INS CO

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

ACE PROPERTY AND CASUALTY INSURANCE

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

ACIG INSURANCE COMPANY

C/O: ACIG INSURANCE COMPANY

2600 N CENTRAL EXPY #800

RICHARDSON, TX 75080 - 2064

Tel: : (972) 702-9004 Fax: (972) 687-0601

ACUITY INSURANCE CO

C/O: ACUITY INSURANCE CO

2800 S TAYLOR DR

PO BOX 58

SHEBOYGAN, WI 53082 - 0058

Tel: : (920) 458-9131 Fax: (920) 458-0758

03/11/2016

ADDISON INSURANCE CO

C/O: ADDISON INSURANCE CO

118 SECOND AVE SE

PO BOX 73909

CEDAR RAPIDS, IA 52407 - 3909

Tel: : (800) 343-9131 Fax: (319) 399-5400

ADVANTAGE WORKERS COMPENSATION INS

C/O: ADVANTAGE WORKERS COMPENSATION INS

PO BOX 571918

SALT LAKE CITY, UT 84157 - 1918

Tel: : (801) 288-8750 Fax: (801) 288-8561

AFFILIATED FM INS CO

C/O: AFFILIATED FM INS CO

1301 ATWOOD AVE

JOHNSTON, RI 02919

Tel: : (401) 275-3000 Fax: (401) 275-3032

AIG ASSURANCE COMPANY

C/O: AIG ASSURANCE COMPANY

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (512) 336-4258

AIG PROPERTY CASUALTY COMPANY

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

AIU INS CO

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

ALEA NORTH AMERICA INSURANCE COMPANY

C/O: ALEA NORTH AMERICA INSURANCE COMPANY

185 ASYLUM ST STE 1

HARTFORD, CT 06103 - 3402

Tel: : (860) 258-6512 Fax: (860) 258-6543

ALLIANZ INS CO

C/O: GALLAGHER BASSETT SERVICES INC

115 S 84TH ST STE 215

MILWAUKEE, WI 53214 - 1483

Tel: : (414) 258-1200 Fax: (414) 258-1250

03/11/2016

ALLIED EASTERN INDEMNITY COMPANY

C/O: ALLIED EASTERN INDEMNITY COMPANY

25 RACE AVENUE

PO BOX 83777

LANCASTER, PA 17608

Tel: : (717) 239-1651 Fax: (717) 481-7170

ALLIED FIDELITY INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

ALLMERICA FINANCIAL BENEFIT INS

C/O: ALLMERICA FINANCIAL BENEFIT INS

PO BOX 15144

WORCESTER, MA 01615

Tel: : (800) 628-0250 Fax: No FAX available

ALLSTATE INSURANCE CO

C/O: ALLSTATE INSURANCE CO

% SPECIALTY RISK SERVICES

PO BOX 14155

LEXINGTON, KY 40512 - 4155

Tel: : (877) 426-4085 Fax: (860) 757-5730

AMCO INS CO

C/O: AMCO INS CO

ATTN: JESSICA KAEMMER

1 NATIONWIDE GTWY #5574

DES MOINES, IA 50391 - 5574

Tel: : (800) 532-1212 Fax: (800) 562-4339

AMERICAN ALTERNATIVE INSURANCE CORP

C/O: AMERICAN ALTERNATIVE INSURANCE CORP

PO BOX 5241

PRINCETON, NJ 08543

Tel: : (609) 243-4553 Fax: (609) 243-4558

AMERICAN AUTOMOBILE INS CO

C/O: AMERICAN AUTOMOBILE INS CO

PO BOX 740174

ATLANTA, GA 30374 - 0174

Tel: : (800) 282-6351 Fax: (888) 255-9157

AMERICAN BUSINESS & PERSONAL INS MUT

C/O: AMERICAN BUSINESS & PERSONAL INS MUT

PO BOX 94

SOUTH SIOUX CITY, NE 68776

Tel: : (402) 494-7412 Fax: (402) 494-7450

03/11/2016

AMERICAN CASUALTY CO OF READING PA

C/O: CNA CLAIMPLUS INC

PO BOX 8317

CHICAGO, IL 60680 - 8317

Tel: : (800) 262-1612 Fax: (952) 285-3385

AMERICAN COMPENSATION

C/O: RTW INC

ATTN: JILL STEPHENSON STE 1400

PO BOX 390327

MINNEAPOLIS, MN 55439 - 0327

Tel: : (952) 897-5543 Fax: (952) 893-3700

AMERICAN COUNTRY INS CO

C/O: AMERICAN COUNTRY INS CO

150 NORTHWEST POINT BLVD #300

ELK GROVE VILLAGE, IL 60007 - 1040

Tel: : (312) 373-4465 Fax: (312) 373-4512

AMERICAN ECONOMY INS CO

C/O: SAFECO INSURANCE CO OF AMERICA

ATTN: WORKER'S COMPENSATION

PO BOX 515097

LOS ANGELES, CA 90051 - 5097

Tel: : (800) 332-3226 Fax: () -

AMERICAN FAMILY MUTUAL INS CO

C/O: AMERICAN FAMILY MUTUAL INS CO

PO BOX 530

SCHOFIELD, WI 54476 - 0530

Tel: : (715) 359-9711 Fax: (715) 359-5852

AMERICAN FIRE & CASUALTY CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

AMERICAN GUARANTEE & LIABILITY INS

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

AMERICAN HOME ASSURANCE CO

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (800) 875-5600 Fax: (517) 336-4258

03/11/2016

AMERICAN INSURANCE CO

C/O: AMERICAN INSURANCE CO

PO BOX 740174

ATLANTA, GA 30374 - 0174

Tel: : (800) 282-6351 Fax: (888) 255-9157

AMERICAN INTERSTATE INS CO

C/O: AMERICAN INTERSTATE INS CO

2301 HWY 190 W

DERIDDER, LA 70634 - 6006

Tel: : (337) 460-3606 Fax: (337) 463-8728

AMERICAN MANUFACTURES MUT - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

AMERICAN MINING INSURANCE COMPANY

C/O: BERKLEY RISK ADMINISTRATOR

1227 LEE AVENUE

WEST BEND, WI 53090

Tel: : (888) 294-6793 Fax: (866) 214-8054

AMERICAN MODERN HOME INS CO

C/O: AMERICAN MODERN HOME INS CO

555 COLLEGE RD EAST

PRINCETON, NJ 08543

Tel: : (609) 243-4514 Fax: (609) 243-4558

AMERICAN MOTORISTS - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

AMERICAN MUT LIAB INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

AMERICAN MUT OF BOSTON - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

03/11/2016

AMERICAN PHYSICIANS ASSURANCE CORP

C/O: ASU RISK MANAGEMENT SERVICE

PO BOX 77

OKEMOS, MI 48805

Tel: : (502) 339-5756 Fax: (503) 339-5707

AMERICAN SAFETY CASUALTY INS CO

C/O: AMERICAN SAFETY CASUALTY INS CO

100 GALLERIA PKWY SE STE 700

ATLANTA, GA 30339 - 5947

Tel: : (800) 388-3647 Fax: No FAX available

AMERICAN SELECT INSURANCE COMPANY

C/O: AMERICAN SELECT INSURANCE COMPANY

ONE PARK CIRCLE

PO BOX 5001

WESTFIELD CENTER, OH 44251 - 5001

Tel: : (330) 887-6529 Fax: (330) 887-4205

AMERICAN STATES INS CO

C/O: SAFECO INSURANCE CO OF AMERICA

ATTN: WORKER'S COMPENSATION

PO BOX 515097

LOS ANGELES, CA 90051 - 5097

Tel: : (800) 332-3226 Fax: () -

AMERICAN UNIVERSAL INS - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

AMERICAN WEST INS CO

C/O: AMERICAN WEST INS CO

PO BOX 500

LUVERNE, MN 56156 - 0500

Tel: : (507) 283-9561 Fax: (507) 283-2221

AMERICAN ZURICH INS CO

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

AMERISURE INSURANCE CO

C/O: AMERISURE INSURANCE CO

PO BOX 33458

DETROIT, MI 48232 - 5458

Tel: : (630) 281-4004 Fax: (630) 281-4072

03/11/2016

AMERISURE MUTUAL INS CO

C/O: AMERISURE MUTUAL INS CO

PO BOX 33458

DETROIT, MI 48232 - 5458

Tel: : (630) 281-4004 Fax: (630) 281-4072

AMERISURE PARTNERS INS CO

C/O: AMERISURE PARTNERS INS CO

26777 HALSTED ROAD

FARMINGTON HILLS, MI 48331

Tel: : (800) 257-1900 Fax: No FAX available

AMERITRUST INSURANCE CORP

C/O: MEADOWBROOK INC

26255 AMERICAN DR

SOUTHFIELD, MI 48034 - 6112

Tel: : (248) 204-8149 Fax: () -

AMGUARD INS CO

C/O: AMGUARD INS CO

16 S RIVER STREET

WILKES-BARRE, PA 18703

Tel: : (800) 673-2465 Fax: (570) 823-3081

AMTRUST INS CO OF KANSAS INC

C/O: AMTRUST INS CO OF KANSAS INC

PO BOX 105074

ATLANTA, GA 30348 - 5074

Tel: : (312) 803-6080 Fax: (678) 258-8399

ANSUR AMERICA INS CO

C/O: ANSUR AMERICA INS CO

1 MUTUAL AVE

FRANKENMUTH, MI 48787 - 0001

Tel: : (800) 234-1133 Fax: (517) 652-6231

ARCH INDEMNITY INS CO

C/O: ARCH INDEMNITY INS CO

10909 MILL VALLEY RD

OMAHA, NE 68154 - 3985

Tel: : (877) 688-2724 Fax: (866) 266-3630

ARCH INSURANCE CO

C/O: GALLAGHER BASSETT SERVICES INC

115 S 84TH ST STE 215

MILWAUKEE, WI 53214 - 1483

Tel: : (800) 345-0194 Fax: (414) 258-1250

03/11/2016

ARGONAUT GREAT CENTRAL INS CO

C/O: ARGONAUT GREAT CENTRAL INS CO

PO BOX 469010

SAN ANTONIO, TX 78246 - 9008

Tel: : (877) 769-5953 Fax: (303) 690-3918

ARGONAUT INS CO

C/O: ARGONAUT INS CO

PO BOX 469010

SAN ANTONIO, TX 78246 - 9040

Tel: : (877) 769-5953 Fax: (303) 773-7249

ARGONAUT MIDWEST INS CO

C/O: ARGONAUT MIDWEST INS CO

PO BOX 469010

SAN ANTONIO, TX 78246 - 9040

Tel: : (877) 769-5953 Fax: (303) 773-7249

ARROWOOD INDEMNITY CO

C/O: ARROWOOD INDEMNITY CO

PO BOX 1000

CHARLOTTE, NC 28201 - 1000

Tel: : (303) 284-5957 Fax: (704) 522-3300

ASSOCIATED INDEMNITY CORP

C/O: ASSOCIATED INDEMNITY CORP

PO BOX 740174

ATLANTA, GA 30374 - 0174

Tel: : (800) 282-6351 Fax: (888) 255-9157

ASSURANCE COMPANY OF AMER

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

ATLANTIC MUTUAL INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

ATLANTIC SPECIALTY INS CO

C/O: ATLANTIC SPECIALTY INS CO

C/O ONE BEACON INSURANCE CO

ONE BEACON LANE

CANTON, MA 02021 - 0000

Tel: : (781) 332-7000 Fax: (866) 782-3270

03/11/2016

AUSTIN MUTUAL INS CO

C/O: AUSTIN MUTUAL INS CO

4601 TOUCHTON RD E

SUITE 3400

JACKSONVILLE, FL 32246

Tel: : (904) 380-7443 Fax: (904) 891-9086

AUTO OWNERS INS CO

C/O: AUTO OWNERS INS CO

PO BOX 207

APPLETON, WI 54912 - 0207

Tel: : (800) 795-7134 Fax: (920) 993-0720

AUTOMOBILE INSURANCE CO OF HARTFORD

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

AXA INSURANCE CO

C/O: AXA INSURANCE CO

125 BROAD ST FL 5

NEW YORK, NY 10004

Tel: : (212) 493-9300 Fax: No FAX available

AXIS INS CO

C/O: AXIS INS CO

11680 GREAT OAKS WAY STE 500

ALPHARETTA, GA 30022 - 2460

Tel: : (800) 243-9622 Fax: () -

AXIS REINSURANCE CO

C/O: AXIS REINSURANCE CO

11680 GREAT OAKS WAY STE 500

ALPHARETTA, GA 30022 - 2460

Tel: : (678) 746-9000 Fax: (678) 746-9444

BADGER MUTUAL INS CO

C/O: BADGER MUTUAL INS CO

1635 W NATIONAL AVE

MILWAUKEE, WI 53204

Tel: : (414) 383-1234 Fax: (414) 383-1535

BANKERS STANDARD INS CO

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

03/11/2016

BEDIVERE INS CO

C/O: BEDIVERE INS CO

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (800) 203-9600 Fax: () -

BENCHMARK INSURANCE CO

C/O: AEGIS CORP

18550 W CAPITOL DR

BROOKFIELD, WI 53045 - 1925

Tel: : (800) 236-6885 Fax: (262) 252-6579

BERKLEY NATIONAL INSURANCE COMPANY

C/O: BERKLEY AGRIBUSINESS RISK SPEC

11201 DOUGLAS AVE

URBANDALE, IA 50322

Tel: : (515) 473-3078 Fax: No FAX available

BERKLEY REGIONAL INS CO

C/O: BERKLEY AGRIBUSINESS RISK SPEC

11201 DOUGLAS AVE

URBANDALE, IA 50322

Tel: : (515) 473-3078 Fax: No FAX available

BERKSHIRE HATHAWAY HOMESTATE INS

C/O: BERKSHIRE HATHAWAY HOMESTATE INS

PO BOX 881716

SAN FRANCISCO, CA 94188

Tel: : (800) 661-6029 Fax: (415) 675-5469

BITCO GEN INS CORP

C/O: BITCO GEN INS CORP

PO BOX 1210

BROOKFIELD, WI 53008 - 1210

Tel: : (800) 242-6258 Fax: (262) 792-9264

BITCO NATIONAL INS CO

C/O: BITCO NATIONAL INS CO

PO BOX 1210

BROOKFIELD, WI 53008 - 1210

Tel: : (800) 242-6258 Fax: (414) 476-8887

BROTHERHOOD MUTUAL INS CO

C/O: BROTHERHOOD MUTUAL INS CO

PO BOX 2227

FORT WAYNE, IN 46801 - 2227

Tel: : (800) 333-3371 Fax: (260) 482-3589

03/11/2016

BUILDERS MUTUAL INS CO

C/O: BUILDERS MUTUAL INS CO

PO BOX 150006

RALEIGH, NC 27624 - 0006

Tel: : (800) 809-4861 Fax: (919) 845-9385

CAPITAL MRKTS ASSURANCE

C/O: CAPITAL MRKTS ASSURANCE

113 KING ST

ARMONK, NY 10504

Tel: : (914) 273-4545 Fax: No FAX available

CAPITOL INDEMNITY CORP

C/O: CAPITOL INDEMNITY CORP

PO BOX 5900

MADISON, WI 53705 - 0900

Tel: : (608) 829-4869 Fax: (608) 829-7411

CAROLINA CASUALTY INS CO

C/O: CAROLINA CASUALTY INS CO

PO BOX 2575

JACKSONVILLE, FL 32203

Tel: : (904) 363-0900 Fax: (904) 363-7276

CARRIERS INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

CASTLEPOINT NATIONAL INS CO

C/O: AMTRUST NORTH AMERICA

135 S LASALLE SUITE 1925

CHICAGO, IL 60603

Tel: : No TEL available Fax: No FAX available

CASUALTY RECIPROCAL EXCHANGE - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

CENTENNIAL INSURANCE COMPANY - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

03/11/2016

CENTRAL MUTUAL INSURANCE CO

C/O: CENTRAL MUTUAL INSURANCE CO

PO BOX 353

VAN WERT, OH 45891 - 0353

Tel: : (800) 786-9171 Fax: (800) 736-7026

CENTRE INSURANCE CO

C/O: TRISTAR RISK MANAGEMENT

PO BOX 2805

CLINTON, IA 52733 - 2805

Tel: : (262) 798-3132 Fax: (262) 798-3291

CENTURY INDEMNITY CO

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

CHARTER OAK FIRE INS CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

CHEROKEE INSURANCE CO

C/O: CHEROKEE INSURANCE CO

PO BOX 159

WARREN, MI 48090

Tel: : (800) 201-0450 Fax: () -

CHUBB INDEMNITY INS CO

C/O: CHUBB INDEMNITY INS CO

SUITE 4700 SEARS TOWER

233 S WACKER DR

CHICAGO, IL 60606 - 6374

Tel: : (312) 454-8203 Fax: (312) 454-4747

CHUBB NATIONAL INS CO

C/O: CHUBB NATIONAL INS CO

233 SO WACKER DRIVE STE 4700

CHICAGO, IL 60606 - 6303

Tel: : (312) 454-8203 Fax: (312) 454-4747

CHURCH MUTUAL INSURANCE CO

C/O: CHURCH MUTUAL INSURANCE CO

3000 SCHUSTER LN

PO BOX 342

MERRILL, WI 54452

Tel: : (715) 536-5577 Fax: (715) 539-4651

03/11/2016

CIFG ASSURANCE NORTH AMERICA INC

C/O: CIFG ASSURANCE NORTH AMERICA INC

WESTERN CONTINENTAL INS CO

825 THIRD AVE

NEW YORK, NY 10022 - 7519

Tel: : (212) 909-3939 Fax: () -

CINCINNATI CASUALTY CO

C/O: CINCINNATI CASUALTY CO

ATTN: JENNIFER REYER

PO BOX 963

SHEBOYGAN, WI 53082 - 0963

Tel: : (920) 457-7111 Fax: (866) 231-6406

CINCINNATI INDEMNITY CO

C/O: CINCINNATI INDEMNITY CO

ATTN: JENNIFER REYER

PO BOX 963

SHEBOYGAN, WI 53082 - 0963

Tel: : (920) 457-7111 Fax: (866) 231-6406

CINCINNATI INSURANCE CO

C/O: CINCINNATI INSURANCE CO

ATTN: JENNIFER REYER

PO BOX 963

SHEBOYGAN, WI 53082 - 0963

Tel: : (920) 457-7111 Fax: (866) 231-6406

CITIES & VILLAGES MUTUAL INS CO

C/O: CITIES & VILLAGES MUTUAL INS CO

PO BOX 26648

WAUWATOSA, WI 53226 - 0648

Tel: : (262) 784-5666 Fax: (262) 784-5599

CITIZENS INSURANCE CO OF AMERICA

C/O: HANOVER INSURANCE CO

PO BOX 15144

WORCESTER, MA 01615 - 0144

Tel: : (630) 760-3081 Fax: (508) 926-5698

CITY INS CO

C/O: GATES MCDONALD COMPANY

GATES MCDONALD IVORY DALE TECH

5299 SPRING GROVE AVE

CINCINNATI, OH 45217 - 1087

Tel: : (212) 530-6156 Fax: No FAX available

CLARENDON NATIONAL INS CO

C/O: NORTH AMERICAN RISK SERVICES

PO BOX 166002

ALTAMONTE SPRINGS, FL 32716 - 6002

Tel: : (800) 315-6090 Fax: (407) 875-8781

03/11/2016

CLERMONT INS CO

C/O: CLERMONT INS CO

3 UNIVERSITY PLZ DR STE 604

HACKENSACK, NJ 07601 - 6229

Tel: : (201) 342-4211 Fax: (201) 342-6381

COLONIAL AMERICAN CAS & SURETY

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

COMMERCE & INDUSTRY INS CO

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

COMMERCIAL COMPENSATION INS - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

COMMUNITY INS CORP

C/O: AEGIS CORP

18550 W CAPITOL DR

BROOKFIELD, WI 53045 - 1925

Tel: : (262) 781-7020 Fax: (262) 783-6091

COMPANION PROP & CAS INS CO

C/O: COMPANION PROP & CAS INS CO

ATTN: PARKER MOORE

PO BOX 100165

COLUMBIA, SC 29202

Tel: : (800) 845-2724 Fax: No FAX available

COMPASS INSURANCE CO

C/O: COMPASS INSURANCE CO

9277 CENTRE POINTE DR STE 140

WEST CHESTER, OH 45069 - 4844

Tel: : (513) 425-5981 Fax: (513) 425-5180

CONSOLIDATED INSURANCE CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

03/11/2016

CONSTITUTION INS CO

C/O: SPECIALTY RISK SERVICES LLC

PO BOX 830

BROOKFIELD, WI 53005

Tel: : (877) 426-4085 Fax: (860) 757-5730

CONTINENTAL CASUALTY CO

C/O: CNA CLAIMPLUS INC

PO BOX 8317

CHICAGO, IL 60680 - 8317

Tel: : (800) 262-1612 Fax: (952) 285-3385

CONTINENTAL INDEMNITY COMPANY

C/O: CONTINENTAL INDEMNITY COMPANY

ATTN: PETER GUNN

PO BOX 3804

OMAHA, NE 68103 - 0804

Tel: : (402) 342-4900 Fax: (877) 234-4425

CONTINENTAL INSURANCE CO

C/O: CNA CLAIMPLUS INC

PO BOX 8317

CHICAGO, IL 60680 - 8317

Tel: : (800) 262-1612 Fax: (952) 285-3385

CONTINENTAL WESTERN INS CO

C/O: BERKLEY AGRIBUSINESS RISK SPEC

11201 DOUGLAS AVE

URBANDALE, IA 50322

Tel: : (515) 473-3078 Fax: No FAX available

COOPERATIVE MUTUAL INS CO

C/O: AMERICAN INTERSTATE INS CO

3905 S 148TH ST #100

OMAHA, NE 68144

Tel: : (337) 460-3606 Fax: (337) 463-8728

COREPOINTE INSURANCE CO

C/O: COREPOINTE INSURANCE CO

401 S OLD WOODWARD AVE STE 300

BIRMINGHAM, MI 48009

Tel: : (248) 948-3929 Fax: (248) 948-4950

COUNTRY MUTUAL INS CO

C/O: COUNTRY MUTUAL INS CO

ATTN: WORKER'S COMPENSATION

PO BOX 2020

BLOOMINGTON, IL 61702 - 2020

Tel: : (888) 545-4947 Fax: (309) 820-6108

03/11/2016

CREDIT GENERAL INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

CRUM & FORSTER INDEMNITY CO

C/O: CRUM & FORSTER INDEMNITY CO

200 S EXECUTIVE DR STE 350

BROOKFIELD, WI 53005 - 6085

Tel: : (262) 780-6721 Fax: (262) 784-6297

CUMIS INSURANCE SOCIETY INC

C/O: CUMIS INSURANCE SOCIETY INC

PO BOX 1221

MADISON, WI 53701

Tel: : (608) 238-5851 Fax: (608) 233-6519

DAKOTA TRUCK UNDERWRITERS

C/O: DAKOTA TRUCK UNDERWRITERS

ATTN: RAS

PO BOX 89310

SIOUX FALLS, SD 57109 - 9310

Tel: : (605) 361-4142 Fax: No FAX available

DALLAS NATIONAL INSURANCE CO -WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: No FAX available

DEPOSITORS INSURANCE COMPANY

C/O: DEPOSITORS INSURANCE COMPANY

ATTN: JESSICA KAEMMER

1 NATIONWIDE PLAZA 1-19-401

COLUMBUS, OH 43215

Tel: : (614) 249-2652 Fax: (614) 249-3922

DIAMOND INSURANCE CO

C/O: DIAMOND INSURANCE CO

1051 PERIMETER DR STE 1100

SCHAUMBURG, IL 60173 - 5825

Tel: : (847) 230-1335 Fax: (847) 230-1382

DISCOVER PROPERTY & CASUALTY INSURAN

C/O: DISCOVER PROPERTY & CASUALTY INSURAN

DISCOVER RE MANAGERS INC

1 TOWER SQ 7MS

HARTFORD, CT 06183 - 0002

Tel: : (860) 284-2657 Fax: (860) 677-4352

03/11/2016

DISTRICTS MUTUAL INS

C/O: UNITED WISCONSIN

PO BOX 3026

MILWAUKEE, WI 53201 - 3026

Tel: : (800) 258-2667 Fax: (262) 787-7701

DONEGAL MUTUAL INS CO

C/O: DONEGAL MUTUAL INS CO

1195 RIVER RD

PO BOX 302

MARIETTA, PA 17547

Tel: : (800) 877-0600 Fax: No FAX available

EASTERN ADVANTAGE ASSURANCE CO

C/O: EASTERN ADVANTAGE ASSURANCE CO

PO BOX 83777

25 RACE AVENUE

LANCASTER, PA 17608

Tel: : (717) 239-1651 Fax: (717) 481-7170

EASTERN ALLIANCE INS

C/O: EASTERN ALLIANCE INS

25 RACE AVE

LANCASTER, PA 17603 - 3179

Tel: : (717) 239-1649 Fax: (717) 481-8206

EASTGUARD INS CO

C/O: EASTGUARD INS CO

16 S RIVER STREET

WILKES-BARRE, PA 18703

Tel: : (800) 673-2465 Fax: (570) 823-3081

ECONOMY FIRE & CASUALTY

C/O: ECONOMY FIRE & CASUALTY

700 QUAKER LN

WARWICK, RI 02886 - 6669

Tel: : (800) 638-4208 Fax: No FAX available

ELECTRIC INSURANCE CO

C/O: SEDGWICK CLAIMS MANAGEMENT SERVICES

PO BOX 15065

ALBANY, NY 12212 - 5065

Tel: : (518) 218-2224 Fax: (518) 456-3472

ELECTRIC MUTUAL LIABILITY CO

C/O: ELECTRIC MUTUAL LIABILITY CO

75 SAM FONZO DR

BEVERLY, MA 01915

Tel: : No TEL available Fax: No FAX available

03/11/2016

EMCASCO INSURANCE CO

C/O: EMCASCO INSURANCE CO

PO BOX 327

BROOKFIELD, WI 53008 - 0327

Tel: : (262) 717-3900 Fax: (888) 992-6125

EMPLOYERS ASSURANCE CORP

C/O: EMPLOYERS INSURANCE GROUP

PO BOX 71088

CHARLOTTE, NC 28272 - 1088

Tel: : (888) 682-6671 Fax: (262) 207-7023

EMPLOYERS FIRE INS CO

C/O: BEDIVERE INS CO

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (800) 203-9600 Fax: () -

EMPLOYERS INSURANCE CO OF WAUSAU

C/O: LIBERTY MUTUAL MIDDLE MARKET

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : (800) 826-1661 Fax: (603) 334-8158

EMPLOYERS MUTUAL CAS CO

C/O: EMPLOYERS MUTUAL CAS CO

PO BOX 327

BROOKFIELD, WI 53008 - 0327

Tel: : (262) 717-3900 Fax: (888) 992-6125

EMPLOYERS PREFERRED INS CO

C/O: EMPLOYERS INSURANCE GROUP

PO BOX 71088

CHARLOTTE, NC 28272 - 1088

Tel: : (888) 317-0026 Fax: (262) 207-7023

ERIE INS CO OF NEW YORK

C/O: ERIE INS CO OF NEW YORK

120 CORPORATE WOODS STE 150

ROCHESTER, NY 14623 - 1464

Tel: : (800) 458-0811 Fax: No FAX available

ERIE INSURANCE COMPANY

C/O: ERIE INSURANCE COMPANY

20300 WATERTOWER BLVD STE 175

BROOKFIELD, WI 53045

Tel: : (877) 740-3743 Fax: (877) 741-3743

03/11/2016

ERIE INSURANCE EXCHANGE

C/O: ERIE INSURANCE EXCHANGE

20300 WATERTOWER BLVD STE 175

BROOKFIELD, WI 53045

Tel: : (877) 740-3743 Fax: (877) 741-3743

ERIE INSURANCE PROP & CASUALTY CO

C/O: ERIE INSURANCE PROP & CASUALTY CO

20300 WATERTOWER BLVD STE 175

BROOKFIELD, WI 53045

Tel: : (877) 740-3743 Fax: (877) 741-3743

ESURANCE INS CO OF NEW JERSEY

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

EVEREST NATIONAL INS CO

C/O: EVEREST NATIONAL INS CO

477 MARTINSVILLE RD

PO BOX 830

LIBERTY CORNER, NJ 07938 - 0830

Tel: : (908) 604-3357 Fax: (908) 604-3525

EVEREST REINSURANCE CO

C/O: EVEREST REINSURANCE CO

477 MARTINSVILLE RD

PO BOX 830

LIBERTY CORNER, NJ 07938 - 0830

Tel: : (908) 604-3212 Fax: (908) 604-3525

EXECUTIVE RISK INDEMNITY INC

C/O: EXECUTIVE RISK INDEMNITY INC

233 SO WACKER DRIVE STE 4700

CHICAGO, IL 60606 - 6303

Tel: : (312) 454-8203 Fax: (312) 454-4747

FAIRFIELD INSURANCE CO

C/O: FAIRFIELD INSURANCE CO

120 LONG RIDGE RD

STAMFORD, CT 06902 - 1839

Tel: : (203) 328-5695 Fax: (203) 328-6155

FAIRMONT INS CO

C/O: RISK MANAGEMENT INC

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (262) 798-3132 Fax: (262) 798-3291

03/11/2016

FAIRMONT PREMIER INS CO

C/O: TRISTAR RISK MANAGEMENT

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (262) 798-3132 Fax: (262) 798-3291

FAIRMONT SPECIALTY INSURANCE

C/O: TRISTAR RISK MANAGEMENT

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (630) 860-8856 Fax: (630) 860-8848

FARMERS CASUALTY INS CO

C/O: FARMERS CASUALTY INS CO

PO BOX 390327

MINNEAPOLIS, MN 55439

Tel: : (866) 854-5202 Fax: (800) 563-3364

FARMERS INSURANCE EXCHANGE

C/O: FARMERS INSURANCE EXCHANGE

PO BOX 108843

OKLAHOMA CITY, OK 73101 - 8843

Tel: : (630) 907-4335 Fax: (630) 907-2428

FARMINGTON CASUALTY CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

FARMLAND MUTUAL INS CO

C/O: FARMLAND MUTUAL INS CO

1100 LOCUST ST DEPT 3010

DES MOINES, IA 50319 - 3010

Tel: : (800) 228-6700 Fax: (866) 746-8790

FEDERAL INSURANCE CO

C/O: FEDERAL INSURANCE CO

SEARS TOWER

233 S WACKER DR SUITE 4700

CHICAGO, IL 60606

Tel: : (312) 454-8203 Fax: (312) 454-4747

FEDERATED MUTUAL INS CO

C/O: FEDERATED MUTUAL INS CO

PO BOX 486

OWATONNA, MN 55060

Tel: : (952) 820-2204 Fax: (866) 636-8660

03/11/2016

FEDERATED RURAL ELECTRIC INS CORP

C/O: FEDERATED RURAL ELECTRIC INS CORP

PO BOX 15147

LENEXA, KS 66285 - 5147

Tel: : (800) 356-8360 Fax: (913) 541-9004

FEDERATED SERVICE INSURANCE CO

C/O: FEDERATED SERVICE INSURANCE CO

PO BOX 486

OWATONNA, MN 55060

Tel: : (952) 820-2204 Fax: (866) 636-8660

FIDELITY & DEPOSIT CO OF MD

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

FIDELITY & GUARANTY INS CO

C/O: FIDELITY & GUARANTY INS CO

DISCOVER RE MANAGERS INC

1 TOWER SQ 7MS

HARTFORD, CT 06183 - 0002

Tel: : (860) 284-2657 Fax: (860) 677-4352

FIDELITY & GUARANTY INS UNDERWRITERS

C/O: FIDELITY & GUARANTY INS UNDERWRITERS

DISCOVER RE MANAGERS INC

1 TOWER SQ 7MS

HARTFORD, CT 06183 - 0002

Tel: : (860) 284-2657 Fax: (860) 677-4352

FIREMANS FUND INS CO

C/O: FIREMANS FUND INS CO

PO BOX 740174

ATLANTA, GA 30374 - 0174

Tel: : (800) 282-6351 Fax: (888) 255-9157

FIREMENS INS CO OF WASHINGTON DC

C/O: CONTINENTAL INSURANCE CO

FIREMENS INS CO OF WASH DC

11201 DOUGLAS AVE

DES MOINES, IA 50306 - 1894

Tel: : (515) 473-3280 Fax: (515) 473-3280

FIRST CHICAGO INSURANCE CO

C/O: FIRST CHICAGO INSURANCE CO

PO BOX 389508

BEDFORD PARK, IL 60638 - 9508

Tel: : (888) 262-8864 Fax: No FAX available

03/11/2016

FIRST DAKOTA INDEMNITY COMPANY

C/O: FIRST DAKOTA INDEMNITY COMPANY

PO BOX 89310

SIOUX FALLS, SD 57109 - 9310

Tel: : (605) 361-4142 Fax: (605) 361-4121

FIRST LIBERTY INS CORP

C/O: LIBERTY LIFE ASSURANCE COMPANY

2815 FORBES AVE STE 200

PO BOX 95401

HOFFMAN ESTATES, IL 60194 - 0401

Tel: : (800) 835-6279 Fax: (603) 334-8077

FIRST NATIONAL INS CO OF AMERICA

C/O: SAFECO INSURANCE CO OF AMERICA

ATTN: WORKER'S COMPENSATION

PO BOX 515097

LOS ANGELES, CA 90051 - 5097

Tel: : (800) 332-3226 Fax: () -

FIRST NONPROFIT INS CO

C/O: FIRST NONPROFIT INS CO

1 S WACKER DR STE 2380

CHICAGO, IL 60606

Tel: : (312) 627-7722 Fax: (312) 930-0375

FLAGSHIP CITY INSURANCE COMPANY

C/O: FLAGSHIP CITY INSURANCE COMPANY

20300 WATERTOWER BLVD STE 175

BROOKFIELD, WI 53045

Tel: : (814) 870-3165 Fax: (877) 741-3743

FLORISTS MUTUAL INS CO

C/O: FLORISTS MUTUAL INS CO

1 HORTICULTURAL LN

EDWARDSVILLE, IL 62025

Tel: : (618) 656-4240 Fax: (800) 632-4445

FOREMOST INSU CO GRAND RAPIDS MI

C/O: FARMERS INSURANCE EXCHANGE

PO BOX 108843

OKLAHOMA CITY, OK 73101 - 8843

Tel: : (630) 907-4335 Fax: (866) 846-3114

FOREMOST PROPERTY AND CASUALTY

C/O: FARMERS INSURANCE EXCHANGE

PO BOX 108843

OKLAHOMA CITY, OK 73101 - 8843

Tel: : (630) 907-4335 Fax: (866) 846-3114

03/11/2016

FOREMOST SIGNATURE INSURANCE

C/O: FARMERS INSURANCE EXCHANGE

PO BOX 108843

OKLAHOMA CITY, OK 73101 - 8843

Tel: : (630) 907-4335 Fax: (866) 846-3114

FOREST PRODUCTS INS EXCHANGE

C/O: LUMBER MUTUAL INS CO

PO BOX 9165

FRAMINGHAM, MA 01701

Tel: : (800) 245-8623 Fax: (508) 872-7968

FRANKENMUTH MUTUAL INS CO

C/O: FRANKENMUTH MUTUAL INS CO

1 MUTUAL AVE

FRANKENMUTH, MI 48787 - 0001

Tel: : (800) 234-1133 Fax: (517) 652-6231

FREMONT CASUALTY INS - WISF

C/O: LIBERTY MUTUAL MIDDLE MARKET

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : () - Fax: () -

FREMONT CASUALTY INS - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

FREMONT INDEMNITY CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

FRONTIER INSURANCE CO

C/O: FRONTIER INSURANCE CO

110 WILLIAM ST FL 18

NEW YORK, NY 10038 - 3937

Tel: : (845) 796-2100 Fax: (845) 807-4903

GATEWAY INSURANCE CO

C/O: GALLAGHER BASSETT SERVICES INC

115 S 84TH ST STE 215

MILWAUKEE, WI 53214 - 1483

Tel: : (414) 258-1200 Fax: (414) 258-1250

03/11/2016

GE CASUALTY INS CO

C/O: COMMERCIAL CLAIMS

20 NORTH MARTINGALE RD

SCHAUMBURG, IL 60173 - 2096

Tel: : (847) 605-4801 Fax: (847) 605-7473

GENERAL CAS CO OF WI

C/O: SEDGWICK CLAIMS MANAGEMENT SERVICES

200 S EXECUTIVE DR STE 205

BROOKFIELD, WI 53005 - 4216

Tel: : (608) 834-8328 Fax: (866) 251-5389

GENERAL CASUALTY INS CO

C/O: GENERAL CASUALTY INS CO

PO BOX 975

SUN PRAIRIE, WI 53590

Tel: : (608) 825-5767 Fax: No FAX available

GENERAL INSURANCE CO OF AMERICA

C/O: SAFECO INSURANCE CO OF AMERICA

ATTN: WORKER'S COMPENSATION

PO BOX 515097

LOS ANGELES, CA 90051 - 5097

Tel: : (800) 332-3226 Fax: () -

GENESIS INSURANCE CO

C/O: GENESIS INSURANCE CO

120 LONG RIDGE RD

STAMFORD, CT 06902 - 1839

Tel: : (203) 328-5695 Fax: (203) 328-6155

GERMANTOWN MUTUAL INS CO

C/O: GERMANTOWN MUTUAL INS CO

PO BOX 1020

GERMANTOWN, WI 53022

Tel: : (262) 509-2209 Fax: (262) 509-2231

GLOBE INDEMNITY CO

C/O: ARROWOOD INDEMNITY CO

PO BOX 1000

CHARLOTTE, NC 28201 - 1000

Tel: : (303) 284-5957 Fax: (704) 522-3300

GRAIN DEALERS MUTUAL INS CO

C/O: GRAIN DEALERS MUTUAL INS CO

6201 CORPORATE DR STE 100

NEW AUGUSTA, IN 46278 - 2902

Tel: : (317) 388-4500 Fax: (800) 300-5446

03/11/2016

GRANITE STATE INS CO

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

GRAY INSURANCE CO

C/O: GRAY INSURANCE CO

PO BOX 6202

METAIRIE, LA 70009 - 6202

Tel: : (504) 888-7790 Fax: No FAX available

GREAT AMERICAN ALLIANCE INS CO

C/O: GREAT AMERICAN ALLIANCE INS CO

PO BOX 5432

CINCINNATI, OH 45201 - 5432

Tel: : (866) 656-5900 Fax: (800) 830-5257

GREAT AMERICAN ASSUR CO

C/O: GREAT AMERICAN ASSUR CO

PO BOX 5432

CINCINNATI, OH 45201 - 5432

Tel: : (866) 656-5900 Fax: (888) 223-1317

GREAT AMERICAN INS CO

C/O: GREAT AMERICAN INS CO

PO BOX 5432

CINCINNATI, OH 45201 - 5432

Tel: : (866) 656-5900 Fax: (800) 830-5257

GREAT AMERICAN INS OF NY

C/O: GREAT AMERICAN INS OF NY

PO BOX 5432

CINCINNATI, OH 45201 - 5432

Tel: : (866) 656-5900 Fax: (800) 830-5257

GREAT DIVIDE INS CO

C/O: GREAT DIVIDE INS CO

600 E LAS COLINAS BLVD #1400

IRVING, TX 75039 - 5649

Tel: : (800) 449-2024 Fax: (972) 819-8976

GREAT MIDWEST INS CO

C/O: ASU RISK MANAGEMENT SERVICE

PO BOX 77

OKEMOS, MI 48805

Tel: : (800) 968-3767 Fax: (517) 349-9063

03/11/2016

GREAT NORTHERN INS CO

C/O: GREAT NORTHERN INS CO

SEARS TOWER

233 S WACKER DR SUITE 4700

CHICAGO, IL 60606

Tel: : (312) 454-8203 Fax: (312) 454-4747

GREAT WEST CASUALTY CO

C/O: GREAT WEST CASUALTY CO

1100 W 29TH ST

PO BOX 277

SOUTH SIOUX CITY, NE 68776

Tel: : (402) 494-7412 Fax: (402) 494-7450

GREATER NEW YORK MUTUAL INS CO

C/O: GREATER NEW YORK MUTUAL INS CO

200 MADISON AVE 2ND FLOOR

NEW YORK, NY 10016

Tel: : (212) 683-9700 Fax: (212) 779-2897

GREENWICH INSURANCE CO

C/O: XL SPECIALTY INSURANCE COMPANY

ATTN: LYNN MUNSON

20 N MARTINGALE RD STE 200

SCHAUMBURG, IL 60173 - 2414

Tel: : (847) 517-2307 Fax: (847) 706-2832

GRINNELL MUT REINSUR CO

C/O: GRINNELL MUT REINSUR CO

PO BOX 790

GRINNELL, IA 50112 - 0790

Tel: : (800) 362-2041 Fax: (800) 879-6729

GUARANTEE INSURANCE COMPANY

C/O: GUARANTEE INSURANCE COMPANY

PO BOX 6550

CHESTERFIELD, MO 63006 - 6550

Tel: : (636) 237-2069 Fax: (636) 787-0584

GUIDEONE AMERICA INS CO

C/O: GUIDEONE AMERICA INS CO

1111 ASHWORTH RD

WEST DES MOINES, IA 50265 - 3540

Tel: : (800) 688-3646 Fax: (515) 267-5653

GUIDEONE MUTUAL INSURANCE COMPANY

C/O: GUIDEONE MUTUAL INSURANCE COMPANY

1111 ASHWORTH RD

WEST DES MOINES, IA 50265 - 3540

Tel: : (515) 267-5670 Fax: (515) 267-5653

03/11/2016

H I H INSURANCE - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

HAMILTON INS CO

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

HANOVER AMERICAN INSURANCE COMPANY

C/O: HANOVER AMERICAN INSURANCE COMPANY

440 LINCOLN STREET

WORCESTER, MA 01653

Tel: : (508) 855-8136 Fax: (508) 635-0703

HANOVER INSURANCE CO

C/O: HANOVER INSURANCE CO

PO BOX 15144

WORCESTER, MA 01615 - 0144

Tel: : (630) 760-3081 Fax: (508) 926-5698

HARCO NATIONAL INS CO

C/O: BROADSPIRE

1900 E GOLF RD STE 800

SCHAUMBURG, IL 60173 - 5033

Tel: : (847) 517-3062 Fax: () -

HARLEYSVILLE INSURANCE CO

C/O: HARLEYSVILLE INSURANCE CO

PO BOX 244

HARLEYSVILLE, PA 19438 - 0254

Tel: : (952) 918-1100 Fax: (800) 441-4118

HARLEYSVILLE LAKE STATES INS CO

C/O: HARLEYSVILLE LAKE STATES INS CO

MIDWEST CLAIMS SERVICE CENTER

7900 W 78TH ST 4TH FLR

EDINA, MN 55439 - 2523

Tel: : (800) 892-8877 Fax: (888) 492-6614

HARLEYSVILLE MUTUAL INS CO

C/O: HARLEYSVILLE MUTUAL INS CO

355 MAPLE AVE

HARLEYSVILLE, PA 19438 - 2222

Tel: : (215) 256-5000 Fax: No FAX available

03/11/2016

HARLEYSVILLE PREFERRED INS CO

C/O: HARLEYSVILLE PREFERRED INS CO

355 MAPLE AVE

HARLEYSVILLE, PA 19438 - 2222

Tel: : (215) 256-5000 Fax: No FAX available

HARLEYSVILLE WORCHESTER INS CO

C/O: HARLEYSVILLE WORCHESTER INS CO

355 MAPLE AVE

HARLEYSVILLE, PA 19438 - 2222

Tel: : (800) 523-6344 Fax: (215) 256-5497

HARTFORD ACCIDENT & INDEMNITY CO

C/O: CENTRAL WC CLAIMS CENTER

PO BOX 14471

LEXINGTON, KY 40512

Tel: : (877) 952-9222 Fax: (866) 913-3106

HARTFORD CASUALTY INS CO

C/O: CENTRAL WC CLAIMS CENTER

PO BOX 14471

LEXINGTON, KY 40512

Tel: : (877) 952-9222 Fax: (866) 913-3106

HARTFORD FIRE INSURANCE CO

C/O: CENTRAL WC CLAIMS CENTER

PO BOX 14471

LEXINGTON, KY 40512

Tel: : (877) 952-9222 Fax: (866) 913-3106

HARTFORD INSURANCE CO OF THE MIDWEST

C/O: CENTRAL WC CLAIMS CENTER

PO BOX 14471

LEXINGTON, KY 40512

Tel: : (877) 952-9222 Fax: (866) 913-3106

HARTFORD UNDERWRITERS INS CO

C/O: CENTRAL WC CLAIMS CENTER

PO BOX 14471

LEXINGTON, KY 40512

Tel: : (877) 952-9222 Fax: (866) 913-3106

HASTINGS MUTUAL INS CO

C/O: HASTINGS MUTUAL INS CO

404 E WOODLAWN AVE

HASTINGS, MI 49058

Tel: : (800) 442-8277 Fax: (877) 520-1258

03/11/2016

HAWKEYE SECURITY INS CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

HDI-GERLING AMERICA INSURANCE CO

C/O: HDI-GERLING AMERICA INSURANCE CO

161 N CLARK STREET, 48TH FLOOR

CHICAGO, IL 60601

Tel: : (312) 589-6751 Fax: No FAX available

HIGHLANDS INSURANCE CO

C/O: HIGHLANDS INSURANCE CO

HIGHLANDS INS IN RECEIVERSHIP

10200 RICHMOND AVE STE 265

HOUSTON, TX 77042

Tel: : (609) 896-1921 Fax: (262) 376-5023

HOME INSURANCE CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

HOUSTON GENERAL INS CO

C/O: BEDIVERE INS CO

150 ROYALL ST

CANTON, MA 02021

Tel: : (800) 203-9600 Fax: () -

IDEAL MUTUAL INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

ILLINOIS CASUALTY COMPANY

C/O: ILLINOIS CASUALTY COMPANY

225-20TH STREET

ROCK ISLAND, IL 61201

Tel: : (309) 798-1700 Fax: (309) 798-1707

ILLINOIS NATIONAL INS CO

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

03/11/2016

IMPERIAL CASUALTY & INDEMNITY - WISF

C/O: IMPERIAL CASUALTY & INDEMNITY - WISF

2820 WALTON COMMONS W STE 135

MADISON, WI 53718 - 6797

Tel: : (214) 618-6900 Fax: (214) 618-6913

IMPERIUM INSURANCE COMPANY

C/O: TRISTAR RISK MANAGEMENT

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (262) 798-3132 Fax: (609) 495-2144

IMT INSURANCE COMPANY

C/O: IMT INSURANCE COMPANY

PO BOX 9208

DES MOINES, IA 50306 - 9208

Tel: : (800) 274-4402 Fax: (800) 365-3531

INDEMNITY INSURANCE CO OF NORTH AMER

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

INDIANA INSURANCE CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

INDIANA LUMBERMENS MUTUAL INS CO

C/O: INDIANA LUMBERMENS MUTUAL INS CO

8888 KEYSTONE CROSSING STE 250

INDIANAPOLIS, IN 46240 - 0000

Tel: : (800) 428-1441 Fax: (317) 875-3780

INSURA PROPERTY & CASUALTY INS CO

C/O: INSURA PROPERTY & CASUALTY INS CO

PO BOX 9030

ADDISON, TX 75001

Tel: : (800) 877-0226 Fax: () -

INSURANCE CO OF NA

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

03/11/2016

INSURANCE CO OF STATE OF PA

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

INSURANCE CO OF THE WEST

C/O: INSURANCE CO OF THE WEST

4225 NAPERVILLE ROAD STE 325

LISLE, IL 60532

Tel: : (630) 445-2909 Fax: (858) 436-8955

INSURANCE CORP OF NEW YORK - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (203) 418-4052 Fax: (203) 418-4113

INTEGRITY INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

INTEGRITY MUTUAL INS CO

C/O: INTEGRITY MUTUAL INS CO

PO BOX 539

APPLETON, WI 54912 - 0539

Tel: : (800) 348-1741 Fax: (920) 730-5712

INTERCONTINENTAL INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

IOWA NATIONAL MUT INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

IRONSHORE INDEMNITY INC

C/O: CORPORATION SERVICE COMPANY

8040 EXCELSIOR DR STE 400

MADISON, WI 53717 - 2915

Tel: : (608) 824-7000 Fax: () -

03/11/2016

L M INSURANCE CORP

C/O: LIBERTY LIFE ASSURANCE COMPANY

2815 FORBES AVE STE 200

PO BOX 95401

HOFFMAN ESTATES, IL 60194 - 0401

Tel: : (800) 835-6279 Fax: (603) 334-8077

LAMORAK INS CO

C/O: BEDIVERE INS CO

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (800) 203-9600 Fax: () -

LAURIER INDEMNITY CO

C/O: LAURIER INDEMNITY CO

10805 OLD MILL ROAD

OMAHA, NE 68154 - 0000

Tel: : (800) 395-5934 Fax: (770) 903-4050

LEAGUE OF WIS MUNICIPALITIES MUTUAL

C/O: UNITED WISCONSIN

PO BOX 3026

MILWAUKEE, WI 53201 - 3026

Tel: : (800) 258-2667 Fax: (262) 787-7701

LEGION INSURANCE CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: () -

LIBERTY INSURANCE CORP

C/O: LIBERTY LIFE ASSURANCE COMPANY

2815 FORBES AVE STE 200

PO BOX 95401

HOFFMAN ESTATES, IL 60194 - 0401

Tel: : (800) 835-6279 Fax: (603) 334-8077

LIBERTY MUTUAL FIRE INS CO

C/O: LIBERTY LIFE ASSURANCE COMPANY

2815 FORBES AVE STE 200

PO BOX 95401

HOFFMAN ESTATES, IL 60194 - 0401

Tel: : (800) 835-6279 Fax: (603) 334-8077

LIBERTY MUTUAL INS CO

C/O: LIBERTY LIFE ASSURANCE COMPANY

2815 FORBES AVE STE 200

PO BOX 95401

HOFFMAN ESTATES, IL 60194 - 0401

Tel: : (800) 835-6279 Fax: (603) 334-8077

03/11/2016

LINCOLN GENERAL INSURANCE CO

C/O: GALLAGHER BASSETT SERVICES INC

KIM SKINNER BISYS/UHLEMEYER

1300 E 104TH ST STE 200

KANSAS CITY, MO 64131 - 4511

Tel: : (816) 942-8555 Fax: (866) 260-0127

LM GENERAL INS CO

C/O: LIBERTY LIFE ASSURANCE COMPANY

2815 FORBES AVE STE 200

PO BOX 95401

HOFFMAN ESTATES, IL 60194 - 0401

Tel: : (800) 835-6279 Fax: (603) 334-8077

LM PERSONAL INS CO

C/O: LIBERTY LIFE ASSURANCE COMPANY

2815 FORBES AVE STE 200

PO BOX 95401

HOFFMAN ESTATES, IL 60194 - 0401

Tel: : (800) 835-6279 Fax: (603) 334-8077

LUMBER MUTUAL INS CO

C/O: LUMBER MUTUAL INS CO

PO BOX 9165

FRAMINGHAM, MA 01701

Tel: : (800) 245-8623 Fax: (508) 872-7968

LUMBERMEN'S UNDERWRITING ALLIANCE US

C/O: LUMBERMEN'S UNDERWRITING ALLIANCE US

PO BOX 3061

BOCA RATON, FL 33431 - 3061

Tel: : (800) 537-7631 Fax: (866) 811-6668

LUMBERMENS MUTUAL CAS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

MANUFACTURERS ALLIANCE INS CO

C/O: PMA MANAGEMENT CORP

380 SENTRY PARKWAY

BLUE BELL, PA 19422

Tel: : (800) 382-1203 Fax: (717) 730-8191

MAPLE VALLEY MUTUAL INS

C/O: MAPLE VALLEY MUTUAL INS

PO BOX 59

LENA, WI 54139

Tel: : (800) 236-2753 Fax: (920) 829-5154

03/11/2016

MARKEL INSURANCE CO

C/O: MARKEL SERVICE INC

PO BOX 3188

OMAHA, NE 68103 - 3188

Tel: : (888) 500-3344 Fax: No FAX available

MARYLAND CASUALTY CO

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

MASSACHUSETTS BAY INS CO

C/O: HANOVER INSURANCE CO

PO BOX 15144

WORCESTER, MA 01615 - 0144

Tel: : (630) 760-3081 Fax: (508) 926-5698

MASTER PLBRS LTD MUT LIABILITY

C/O: MASTER PLBRS LTD MUT LIABILITY

150 CAMELOT DRIVE

PO BOX 1029

FOND DU LAC, WI 54936 - 1029

Tel: : (920) 922-3569 Fax: (920) 922-0747

MEDMARC CASUALTY INS

C/O: MEDMARC CASUALTY INS

14280 PARK MEADOW DRIVE

STE 300

CHANTILLY, VA 20151

Tel: : (703) 652-1359 Fax: () -

MEMIC INDEMNITY COMPANY

C/O: MEMIC INDEMNITY COMPANY

1750 ELM ST STE 500

MANCHESTER, NH 03104 - 2903

Tel: : (603) 314-0600 Fax: (603) 314-0630

MERIDIAN CITIZENS MUTUAL INSURANCE

C/O: MERIDIAN CITIZENS MUTUAL INSURANCE

PO BOX 390327

MINNEAPOLIS, MN 55439

Tel: : (800) 777-7324 Fax: (800) 563-3364

MERIDIAN SECURITY INS CO

C/O: MERIDIAN SECURITY INS CO

PO BOX 390327

MINNEAPOLIS, MN 55439

Tel: : (800) 777-7324 Fax: (800) 563-3364

03/11/2016

MHA INSURANCE CO

C/O: MHA INSURANCE CO

3100 WEST RD BLD 1 STE 200

EAST LANSING, MI 48823

Tel: : (517) 886-8418 Fax: (517) 327-2520

MICHIGAN COMMERCIAL INS MUTUAL

C/O: MICHIGAN COMMERCIAL INS MUTUAL

PO BOX 19769

SARASOTA, FL 34276 - 2769

Tel: : (888) 922-5246 Fax: (517) 886-3499

MICHIGAN MILLERS MUTUAL INS CO

C/O: MICHIGAN MILLERS MUTUAL INS CO

PO BOX 30060

LANSING, MI 48909 - 7560

Tel: : (800) 888-1914 Fax: (517) 371-7733

MID CENTURY INS CO

C/O: MID CENTURY INS CO

PO BOX 108843

OKLAHOMA CITY, OK 73101 - 8843

Tel: : (800) 357-3204 Fax: (630) 907-2428

MIDDLESEX INSURANCE CO

C/O: MIDDLESEX INSURANCE CO

ATTN: WC CLAIMS

1800 NORTHPOINT DR

STEVENS POINT, WI 54481

Tel: : (800) 739-3344 Fax: (715) 346-9708

MIDLAND INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

MIDVALE INDEMNITY CO

C/O: MIDVALE INDEMNITY CO

6000 AMERICAN PARKWAY

MADISON, WI 53783 - 0001

Tel: : (608) 242-4100 Fax: No FAX available

MIDWEST EMPLOYERS CASUALTY CO

C/O: MIDWEST EMPLOYERS CASUALTY CO

14755 N OUTER FORTY DR STE 300

CHESTERFIELD, MO 63017 - 6050

Tel: : (314) 298-7332 Fax: (314) 298-9528

03/11/2016

MIDWEST FAMILY MUTUAL INS CO

C/O: MIDWEST FAMILY MUTUAL INS CO

PO BOX 9425

MINNEAPOLIS, MN 55440 - 9425

Tel: : (800) 225-5636 Fax: (952) 417-7005

MIDWEST INSURANCE CO

C/O: MIDWEST INSURANCE CO

300 S BRADFORDTON RD

PO BOX 13369

SPRINGFIELD, IL 62791 - 3369

Tel: : (800) 293-0616 Fax: No FAX available

MIDWESTERN INDEMNITY CO

C/O: MIDWESTERN INDEMNITY CO

N19W24130 RIVERWOOD DR STE 200

WAUKESHA, WI 53188 - 1131

Tel: : (800) 242-7420 Fax: (262) 446-8393

MILBANK INSURANCE CO

C/O: MILBANK INSURANCE CO

PO BOX 390327

MINNEAPOLIS, MN 55439

Tel: : (866) 854-5202 Fax: (800) 563-3364

MILLERS MUTUAL INSURANCE

C/O: MILLERS MUTUAL INSURANCE

111 E FOURTH ST

ALTON, IL 62002 - 9006

Tel: : (618) 463-3636 Fax: (618) 463-3645

MILWAUKEE CASUALTY INSURANCE CO

C/O: MILWAUKEE CASUALTY INSURANCE CO

ATTN: SARA DELAND W C CLAIMS

PO BOX 650665

DALLAS, TX 75265 - 0665

Tel: : (888) 291-8298 Fax: (866) 958-0825

MILWAUKEE INS COMPANY

C/O: MILWAUKEE INS COMPANY

ATTN: SARA DELAND W C CLAIMS

PO BOX 650665

DALLAS, TX 75265 - 0665

Tel: : (888) 291-8298 Fax: (866) 958-0825

MITSUI SUMITOMO INS CO OF AMERICA

C/O: MITSUI SUMITOMO INS CO OF AMERICA

312 ELM ST STE 1250

PO BOX 5435

CINCINNATI, OH 45201 - 5435

Tel: : (866) 676-6272 Fax: () -

03/11/2016

MITSUI SUMITOMO INS USA INC

C/O: MITSUI SUMITOMO INS USA INC

312 ELM ST STE 1250

PO BOX 5435

CINCINNATI, OH 45201 - 5435

Tel: : (866) 676-6272 Fax: No FAX available

MOTORISTS COMMERICAL MUTUAL

C/O: MOTORISTS COMMERICAL MUTUAL

PO BOX 435

MINNEAPOLIS, MN 55440

Tel: : (800) 544-8400 Fax: (952) 935-7823

NATIONAL AMERICAN INS CO

C/O: NATIONAL AMERICAN INS CO

1010 MANVEL AVE

PO DRAWER 38

CHANDLER, OK 74834

Tel: : (800) 332-2210 Fax: (405) 258-3005

NATIONAL CASUALTY COMPANY

C/O: NATIONAL CASUALTY COMPANY

1100 LOCUST ST

DES MOINES, IA 50391

Tel: : (800) 228-6700 Fax: No FAX available

NATIONAL CONTINENTAL INS

C/O: NATIONAL CONTINENTAL INS

6300 WILSON MILLS RD

MAYFIELD VILLAGE, OH 44143

Tel: : No TEL available Fax: No FAX available

NATIONAL FARMERS UNION PROPERTY & CA

C/O: NATIONAL FARMERS UNION PROPERTY & CA

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (303) 338-2226 Fax: (800) 496-4805

NATIONAL FIRE INS CO OF HARTFORD

C/O: CNA CLAIMPLUS INC

PO BOX 8317

CHICAGO, IL 60680 - 8317

Tel: : (800) 262-1612 Fax: (952) 285-3385

NATIONAL GRANGE MUTUAL INS CO

C/O: NATIONAL GRANGE MUTUAL INS CO

55 WEST ST

KEENE, NH 03431 - 3374

Tel: : No TEL available Fax: No FAX available

03/11/2016

NATIONAL INDEMNITY CO

C/O: GALLAGHER BASSETT SERVICES INC

115 S 84TH ST STE 215

MILWAUKEE, WI 53214 - 1483

Tel: : (608) 249-1929 Fax: (608) 249-3310

NATIONAL INS UNDERWRITER

C/O: NATIONAL INS UNDERWRITER

13403 NORTHWEST FREEWAY

HOUSTON, TX 77040

Tel: : (713) 462-1000 Fax: (712) 744-9648

NATIONAL INTERSTATE INS

C/O: NATIONAL INTERSTATE INS

ATTN: MELISSA DOYLE

PO BOX 549

RICHFIELD, OH 44286 - 0549

Tel: : No TEL available Fax: No FAX available

NATIONAL LIABILITY & FIRE INS CO

C/O: NATIONAL LIABILITY & FIRE INS CO

3024 HARNEY ST

OMAHA, NE 68131 - 3580

Tel: : (402) 536-3282 Fax: (402) 536-3030

NATIONAL SPEC INS CO

C/O: NATIONAL SPEC INS CO

1900 L DON DODSON DR

BEDFORD, TX 76021

Tel: : (800) 877-4567 Fax: (877) 295-3081

NATIONAL SURETY CORP

C/O: NATIONAL SURETY CORP

PO BOX 740174

ATLANTA, GA 30374 - 0174

Tel: : (800) 282-6351 Fax: (888) 255-9157

NATIONAL UNION FIRE INS CO OF PITTSB

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

NATIONWIDE AFFINITY INS CO OF AM

C/O: NATIONWIDE AFFINITY INS CO OF AM

ONE NATIONWIDE PLZ

COLUMBUS, OH 43215 - 2220

Tel: : (800) 456-6343 Fax: () -

03/11/2016

NATIONWIDE AGRIBUSINESS INS CO

C/O: NATIONWIDE AGRIBUSINESS INS CO

1100 LOCUST ST DEPT 3010

DES MOINES, IA 50391 - 3010

Tel: : (800) 228-6700 Fax: (866) 746-8790

NATIONWIDE MUTUAL FIRE INS CO

C/O: NATIONWIDE MUTUAL FIRE INS CO

ATTN: JESSICA KAEMMER

1100 LOCUST ST DEPT 2016

DES MOINES, IA 50391 - 0001

Tel: : (515) 508-5478 Fax: (800) 562-4339

NATIONWIDE MUTUAL INS CO

C/O: NATIONWIDE MUTUAL INS CO

ATTN: JESSICA KAEMMER

1100 LOCUST ST DEPT 2016

DES MOINES, IA 50391 - 0001

Tel: : (515) 508-5478 Fax: (800) 562-4339

NATIONWIDE PROPERTY & CASUALTY INS

C/O: NATIONWIDE PROPERTY & CASUALTY INS

DEPT 5674

ONE NATIONWIDE GATEWAY

DES MOINES, IA 50391 - 5674

Tel: : (800) 532-1212 Fax: (800) 562-4339

NETHERLANDS INSURANCE CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

NEW HAMPSHIRE INSURANCE CO

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

NEW YORK MARINE & GENERAL INS CO

C/O: NEW YORK MARINE & GENERAL INS CO

412 MR KIMBLE AVE STE 300C

MORRISTOWN, NJ 07960 - 0000

Tel: : (212) 551-0600 Fax: (212) 551-0724

NEWARK INSURANCE CO - WISF

C/O: NEWARK INSURANCE CO - WISF

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

03/11/2016

NIPPONKOA INS CO LIMITED (US BRANCH)

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

NN INSURANCE CO

C/O: NN INSURANCE CO

HIGHLANDS INS IN RECEIVERSHIP

10200 RICHMOND AVE STE 265

HOUSTON, TX 77042

Tel: : (609) 896-1921 Fax: (262) 376-5023

NORGUARD INS CO

C/O: NORGUARD INS CO

16 S RIVER STREET

WILKES-BARRE, PA 18703

Tel: : (570) 823-3081 Fax: No FAX available

NORTH AMERICAN SPECIALTY INS CO

C/O: NORTH AMERICAN SPECIALTY INS CO

650 ELM ST 6TH FLR

MANCHESTER, NH 03101 - 2596

Tel: : (603) 634-5230 Fax: (603) 644-6644

NORTH POINTE INSURANCE CO

C/O: SEDGWICK CLAIMS MANAGEMENT SERVICES

ONE GENERAL DRIVE

SUN PRAIRIE, WI 53596

Tel: : (608) 834-8328 Fax: (866) 251-5389

NORTH RIVER INS CO

C/O: CRUM & FORSTER INDEMNITY CO

200 S EXECUTIVE DR STE 350

BROOKFIELD, WI 53005 - 6085

Tel: : (800) 242-4566 Fax: (262) 784-6297

NORTHBROOK INDEMNITY CO

C/O: NORTHBROOK INDEMNITY CO

PO BOX 3589

AKRON, OH 44309

Tel: : (651) 310-4424 Fax: (651) 310-6241

NORTHERN ASSURANCE CO OF AMERICA

C/O: BEDIVERE INS CO

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (800) 203-9600 Fax: () -

03/11/2016

NORTHERN INSURANCE CO OF NY

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

NORTHWESTERN NATL INS CO OF MILW

C/O: NORTHWESTERN NATL INS CO OF MILW

9277 CENTRE POINTE DR STE 140

WEST CHESTER, OH 45069 - 4844

Tel: : (513) 425-5981 Fax: (513) 425-5180

NOVA CASUALTY CO

C/O: NOVA CASUALTY CO

ATTN: COMP PROGRAM CLAIMS

2 WATERSIDE CROSSING 4TH FL

WINDSOR, CT 06095 - 1587

Tel: : (860) 683-4250 Fax: (860) 683-4453

OAK RIVER INS CO

C/O: OAK RIVER INS CO

PO BOX 881716

SAN FRANCISCO, CA 94188 - 1716

Tel: : (800) 661-6029 Fax: (415) 675-5469

OBI NATIONAL INS CO

C/O: GALLAGHER BASSETT SERVICES INC

115 S 84TH ST STE 215

MILWAUKEE, WI 53214 - 1483

Tel: : (414) 203-4069 Fax: (414) 258-1250

OCCIDENTAL FIRE & CASUALTY CO OF NC

C/O: OCCIDENTAL FIRE & CASUALTY CO OF NC

PO BOX 10800

RALEIGH, NC 27605

Tel: : (800) 525-7486 Fax: No FAX available

OHIC INSURANCE CO

C/O: OHIC INSURANCE CO

185 GREENWOOD RD

NAPA, CA 94558 - 0000

Tel: : (800) 666-6442 Fax: No FAX available

OHIO CASUALTY INS CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

03/11/2016

OHIO FARMERS INS CO

C/O: OHIO FARMERS INS CO

PO BOX 5001

WESTFIELD CENTER, OH 44251 - 0000

Tel: : (330) 887-6529 Fax: (330) 887-4205

OHIO SECURITY INS CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

OLD REPUBLIC GENERAL INS CO

C/O: OLD REPUBLIC GENERAL INS CO

307 N MICHIGAN AVE

CHICAGO, IL 60601

Tel: : (312) 346-8100 Fax: (312) 762-4950

OLD REPUBLIC INS CO

C/O: OLD REPUBLIC INS CO

PO BOX 2939

MILWAUKEE, WI 53201 - 2939

Tel: : (262) 797-3400 Fax: (262) 797-0486

ONEBEACON MIDWEST INS CO

C/O: BEDIVERE INS CO

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (800) 203-9600 Fax: () -

OWNERS INS CO

C/O: OWNERS INS CO

PO BOX 207

APPLETON, WI 54912 - 0207

Tel: : (800) 795-7134 Fax: (920) 468-9162

PACIFIC EMPLOYERS INS CO

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

PACIFIC INDEMNITY CO

C/O: PACIFIC INDEMNITY CO

SUITE 4700 SEARS TOWER

233 S WACKER DR

CHICAGO, IL 60606 - 6374

Tel: : (312) 454-8204 Fax: (312) 454-4747

03/11/2016

PARTNERS MUTUAL INS CO

C/O: PARTNERS MUTUAL INS CO

20935 SWENSON DR

PO BOX 2003

MILWAUKEE, WI 53201 - 2003

Tel: : (262) 798-5050 Fax: (262) 798-5040

PATRIOT GENL INS CO

C/O: PATRIOT GENL INS CO

ATTN: WC CLAIMS

1800 NORTHPOINT DR

STEVENS POINT, WI 54481

Tel: : (800) 739-3344 Fax: (715) 346-9708

PEERLESS INDEMNITY INS CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

PEERLESS INSURANCE CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

PEKIN INSURANCE CO

C/O: PEKIN INSURANCE CO

2505 COURT ST

PEKIN, IL 61558

Tel: : () - Fax: () -

PENN MANUFACTURERS INDEMNITY CO

C/O: PMA MANAGEMENT CORP

380 SENTRY PARKWAY

BLUE BELL, PA 19422

Tel: : (800) 382-1203 Fax: (717) 730-8191

PENN MFRS ASSOCIATION INS CO

C/O: PMA MANAGEMENT CORP

380 SENTRY PARKWAY

BLUE BELL, PA 19422

Tel: : (800) 382-1203 Fax: (717) 730-8191

PENN MILLERS INS CO

C/O: PENN MILLERS INS CO

PO BOX P

WILKES-BARRE, PA 18777 - 0016

Tel: : (570) 822-8111 Fax: No FAX available

03/11/2016

PENNSYLVANIA GENERAL INSURANCE CO

C/O: BEDIVERE INS CO

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (800) 203-9600 Fax: () -

PENNSYLVANIA LUMBERMENS MUTUAL INS

C/O: PENNSYLVANIA LUMBERMENS MUTUAL INS

2005 MARKET ST STE 1200

ONE COMMERCE SQ

PHILADELPHIA, PA 19103 - 7008

Tel: : (800) 752-1895 Fax: (215) 625-9097

PETROLEUM CAS COM

C/O: PETROLEUM CAS COM

3225 GALLOWS RD 2C2135

FAIRFAX, VA 22037

Tel: : (703) 846-3515 Fax: (703) 846-2363

PHARMACISTS MUTUAL INS CO

C/O: PHARMACISTS MUTUAL INS CO

HWY 18 W

PO BOX 370

ALGONA, IA 50511 - 0370

Tel: : (515) 295-2461 Fax: (515) 295-6852

PHICO INSURANCE CO - WISF

C/O: LIBERTY MUTUAL MIDDLE MARKET

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : No TEL available Fax: No FAX available

PHOENIX ASSURANCE CO OF NY

C/O: ARROWOOD INDEMNITY CO

PO BOX 1000

CHARLOTTE, NC 28201 - 1000

Tel: : (303) 284-5957 Fax: (704) 522-3300

PHOENIX INSURANCE CO

C/O: CONSTITUTION STATE SERVICE CO LLC

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

PIONEER SPECIALTY INS CO

C/O: PIONEER SPECIALTY INS CO

5350 W 78TH ST

EDINA, MN 55439 - 3101

Tel: : (800) 862-6070 Fax: (952) 921-3170

03/11/2016

PLATTE RIVER INSURANCE CO

C/O: TRISTAR RISK MANAGEMENT

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (262) 798-3132 Fax: (262) 798-3291

PRAETORIAN INS CO

C/O: PRAETORIAN INS CO

PO BOX 975

SUN PRAIRIE, WI 53590

Tel: : (608) 825-5767 Fax: No FAX available

PREFERRED PROFESSIONAL INS CO

C/O: CATHOLIC MUTUAL GROUP

PO BOX 178

MENOMONEE FALLS, WI 53052 - 0178

Tel: : (262) 255-6906 Fax: (252) 255-7276

PREVISOR INSURANCE CO

C/O: BEDIVERE INS CO

150 ROYALL ST

CANTON, MA 02021

Tel: : (800) 203-9600 Fax: () -

PROGRESSIVE CAS INS CO

C/O: PROGRESSIVE CAS INS CO

ATTN: WORKER'S COMPENSATION

PO BOX 89490

CLEVELAND, OH 44143 - 6490

Tel: : (800) 776-4737 Fax: (440) 468-3771

PROPERTY & CAS INS CO OF HARTFORD

C/O: PROPERTY & CAS INS CO OF HARTFORD

501 PENNSYLVANIA PRKWAY STE400

INDIANAPOLIS, IN 46280 - 0014

Tel: : (630) 692-8157 Fax: No FAX available

PROTECTIVE INSURANCE CO

C/O: PROTECTIVE INSURANCE CO

111 CONGRESSIONAL BLVD STE.500

CARMEL, IN 46032 - 5663

Tel: : (317) 636-9800 Fax: (317) 972-4735

PROVIDENCE WASHINGTON INS CO

C/O: PROVIDENCE WASHINGTON INS CO

475 KILVERT ST STE 330

WARWICK, RI 02886 - 1360

Tel: : (800) 556-3825 Fax: (401) 453-7354

03/11/2016

PUBLIC SERVICE INSURANCE CO

C/O: CLAIM MANAGEMENT INC

PO BOX 220999

ST LOUIS, MO 63122

Tel: : (800) 489-2482 Fax: No FAX available

QBE INSURANCE CORPORATION

C/O: SEDGWICK CLAIMS MANAGEMENT SERVICES

ONE GENERAL DRIVE

SUN PRAIRIE, WI 53596

Tel: : (608) 834-8328 Fax: (866) 251-5389

QUANTA INDEMNITY COMPANY

C/O: QUANTA INDEMNITY COMPANY

PO BOX 9155

CANTON, MA 02021 - 9155

Tel: : (800) 203-9600 Fax: (508) 549-9770

RAMPART INS CO

C/O: RAMPART INS CO

80 BROAD STREET, STE 1600

NEW YORK, NY 10004

Tel: : (212) 299-3131 Fax: (212) 480-0680

RED ROCK INSURANCE CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : No TEL available Fax: No FAX available

REDLAND INSURANCE CO

C/O: REDLAND INSURANCE CO

88 PINE ST 16TH FL

WALL STREET PLAZA

NEW YORK, NY 10005 - 1819

Tel: : (212) 790-9700 Fax: (212) 790-9806

REDWOOD FIRE AND CASUALTY INSURANCE

C/O: REDWOOD FIRE AND CASUALTY INSURANCE

PO BOX 881716

SAN FRANCISCO, CA 94188 - 1716

Tel: : (800) 661-6029 Fax: (415) 675-5469

REGENT INSURANCE CO

C/O: SEDGWICK CLAIMS MANAGEMENT SERVICES

ONE GENERAL DRIVE

SUN PRAIRIE, WI 53596

Tel: : (608) 834-8328 Fax: (866) 251-5389

03/11/2016

REINSURANCE COMPANY OF AMER - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

RELIANCE INS CO - WISF

C/O: LIBERTY MUTUAL MIDDLE MARKET

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : (800) 472-1719 Fax: No FAX available

REPUBLIC-FRANKLIN INS CO

C/O: REPUBLIC-FRANKLIN INS CO

180 GENESEE ST

NEW HARTFORD, NY 13413 - 2200

Tel: : (315) 734-2517 Fax: (315) 734-2994

REPWEST INS CO

C/O: REPWEST INS CO

2721 N CENTRAL AVE

PHOENIX, AZ 85004

Tel: : (800) 264-3559 Fax: (602) 745-7385

RIVERPORT INSURANCE COMPANY

C/O: BERKLEY AGRIBUSINESS RISK SPEC

11201 DOUGLAS AVE

URBANDALE, IA 50322

Tel: : (515) 473-3078 Fax: No FAX available

RLI INSURANCE COMPANY

C/O: GALLAGHER BASSETT SERVICES INC

GALLAGHER BASSETT SERVICES INC

PO BOX 8009

ITASCA, IL 60143 - 8009

Tel: : (630) 285-3612 Fax: (877) 567-3069

ROCHDALE INSURANCE

C/O: ROCHDALE INSURANCE

PO BOX 105074

ATLANTA, GA 30348 - 5074

Tel: : (888) 629-1420 Fax: () -

ROCKFORD MUTUAL INS CO

C/O: ROCKFORD MUTUAL INS CO

PO BOX 5626

ROCKFORD, IL 61125 - 0626

Tel: : (815) 229-1500 Fax: No FAX available

03/11/2016

RURAL MUTUAL INS CO

C/O: RURAL MUTUAL INS CO

ATTN: BRET ANDERSON

PO BOX 5555

MADISON, WI 53705 - 0555

Tel: : (608) 836-5525 Fax: (608) 828-5455

RURAL TRUST INS CO

C/O: TRISTAR RISK MANAGEMENT

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (262) 798-3200 Fax: (262) 798-3291

SAFECO INSURANCE CO OF AMERICA

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

SAFETY FIRST INS CO

C/O: SAFETY FIRST INS CO

1832 SCHUETZ RD

ST LOUIS, MO 63146 - 3540

Tel: : (314) 995-5300 Fax: (314) 995-3897

SAFETY NATIONAL CASUALTY CORP

C/O: SAFETY NATIONAL CASUALTY CORP

1832 SCHUETZ RD

ST LOUIS, MO 63146 - 3540

Tel: : (314) 995-5300 Fax: (314) 995-3897

SAMSUNG FIRE & MARINE INS CO LTD

C/O: BROADSPIRE

DIV OF CRAWFORD CO

PO BOX 14350

LEXINGTON, KY 40512

Tel: : (608) 795-2684 Fax: (608) 795-2687

SEABRIGHT INSURANCE CO

C/O: SEABRIGHT INSURANCE CO

150 2ND AVE N 3RD FL

ST PETERSBURG, FL 33701

Tel: : (727) 217-2900 Fax: No FAX available

SEATON INSURANCE COMPANY

C/O: SEATON INSURANCE COMPANY

PO BOX 975

SUN PRAIRIE, WI 53590

Tel: : (916) 783-2930 Fax: (916) 783-7531

03/11/2016

SECURA INSURANCE A MUTUAL CO

C/O: SECURA INSURANCE A MUTUAL CO

PO BOX 819

APPLETON, WI 54912 - 0819

Tel: : (800) 558-3405 Fax: (877) 863-4088

SECURA SUPREME

C/O: SECURA SUPREME

PO BOX 819

APPLETON, WI 54912 - 0819

Tel: : (800) 558-3405 Fax: (877) 863-4088

SECURITY NATIONAL INS CO

C/O: SECURITY NATIONAL INS CO

PO BOX 105074

ATLANTA, GA 30348 - 5074

Tel: : (312) 803-6080 Fax: (678) 258-8399

SELECT INS CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

SELECTIVE INS CO OF SOUTH CAROLINA

C/O: SELECTIVE INS OF AMERICA

WORKER'S COMPENSATION CLAIMS

PO BOX 7252

LONDON, KY 40742

Tel: : (866) 248-0850 Fax: (317) 815-4351

SELECTIVE INS CO OF THE SOUTHEAST

C/O: SELECTIVE INS OF AMERICA

WORKER'S COMPENSATION CLAIMS

PO BOX 7252

LONDON, KY 40742

Tel: : (866) 248-0850 Fax: (317) 815-4351

SENECA INSURANCE CO INC

C/O: SENECA INSURANCE CO INC

16TH FLOOR

160 WATER ST

NEW YORK, NY 10038 - 4922

Tel: : (212) 344-3000 Fax: (212) 422-7541

SENTINEL INSURANCE CO LTD

C/O: CENTRAL WC CLAIMS CENTER

PO BOX 14471

LEXINGTON, KY 40512

Tel: : (877) 952-9222 Fax: (866) 913-3106

03/11/2016

SENTRY CASUALTY CO

C/O: SENTRY CASUALTY CO

1800 NORTHPOINT DR

PO BOX 8032

STEVENS POINT, WI 54481 - 1253

Tel: : (800) 739-3344 Fax: (715) 346-9708

SENTRY INSURANCE A MUTUAL CO

C/O: SENTRY INSURANCE A MUTUAL CO

ATTN: WC CLAIMS

1800 NORTHPOINT DR

STEVENS POINT, WI 54481

Tel: : (800) 739-3344 Fax: (715) 346-9708

SENTRY SELECT

C/O: SENTRY SELECT

ATTN: WC CLAIMS

1800 NORTHPOINT DR

STEVENS POINT, WI 54481

Tel: : (800) 739-3344 Fax: (715) 346-9708

SEQUOIA INSURANCE CO

C/O: BROADSPIRE

1900 E GOLF RD STE 800

SCHAUMBURG, IL 60173 - 5033

Tel: : No TEL available Fax: No FAX available

SFM MUTUAL INS CO

C/O: SFM MUTUAL INS CO

CLAIMS SERVICES

PO BOX 9416

MINNEAPOLIS, MN 55440 - 9416

Tel: : (800) 937-1181 Fax: (800) 944-1169

SHEBOYGAN FALLS INS CO

C/O: SHEBOYGAN FALLS INS CO

PO BOX 159

SHEBOYGAN FALLS, WI 53085 - 0159

Tel: : (920) 467-4613 Fax: (920) 467-3364

SHELBY INSURANCE CO THE - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : No TEL available Fax: No FAX available

SOCIETY INSURANCE A MUTUAL CO

C/O: SOCIETY INSURANCE A MUTUAL CO

PO BOX 1029

FOND DU LAC, WI 54936 - 1029

Tel: : (800) 242-9703 Fax: (920) 922-1071

03/11/2016

SOMPO JAPAN INS CO OF AMERICA

C/O: BROADSPIRE

1900 E GOLF RD STE 800

SCHAUMBURG, IL 60173 - 5033

Tel: : (847) 517-3045 Fax: (847) 517-4181

SOUTH CAROLINA INS CO - WISF

C/O: SOUTH CAROLINA INS CO - WISF

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

SOUTHERN PILOT INS CO

C/O: SOUTHERN PILOT INS CO

PO BOX 975

SUN PRAIRIE, WI 53590

Tel: : (608) 825-5767 Fax: No FAX available

SPARTA INSURANCE CO

C/O: SPARTA INSURANCE CO

SPARTA INS CO

CITY PLACE II, 185 ASYLUM ST

HARTFORD, CT 06103

Tel: : (860) 275-6506 Fax: No FAX available

ST PAUL FIRE & CASUALTY INS CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

ST PAUL FIRE & MARINE INS CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

ST PAUL GUARDIAN INS CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

ST PAUL MERCURY INS CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

03/11/2016

ST PAUL PROTECTIVE INS CO

C/O: ST PAUL PROTECTIVE INS CO

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (651) 310-4424 Fax: (651) 310-6241

STANDARD FIRE INS CO

C/O: STANDARD FIRE INS CO

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

STAR INSURANCE CO

C/O: MEADOWBROOK INC

26255 AMERICAN DR

SOUTHFIELD, MI 48034 - 6112

Tel: : (248) 204-8149 Fax: () -

STARNET INSURANCE CO

C/O: STARNET INSURANCE CO

12701 MARBLESTONE DR STE 250

WOODBRIDGE, VA 22192

Tel: : (703) 586-6304 Fax: No FAX available

STARR INDEMNITY & LIABILITY COMPANY

C/O: SEDGWICK CLAIMS MANAGEMENT SERVICES

2855 COOLIDGE HWY STE 216

TROY, MI 48084 - 3216

Tel: : (248) 637-4271 Fax: (808) 523-3250

STATE AUTO PROPERTY & CAS INS

C/O: STATE AUTO PROPERTY & CAS INS

PO BOX 390327

MINNEAPOLIS, MN 55439

Tel: : (866) 854-5202 Fax: (800) 563-3364

STATE AUTOMOBILE MUTUAL INSURANCE CO

C/O: STATE AUTOMOBILE MUTUAL INSURANCE CO

PO BOX 390327

MINNEAPOLIS, MN 55439

Tel: : (866) 854-5202 Fax: (800) 563-3364

STATE FARM FIRE & CASUALTY CO

C/O: STATE FARM FIRE & CASUALTY CO

% WORKERS COMP CLAIMS

PO BOX 52271

PHOENIX, AZ 85072 - 2271

Tel: : (402) 327-3535 Fax: (402) 327-3469

03/11/2016

STATE FARM GENERAL INS CO

C/O: STATE FARM GENERAL INS CO

% WORKERS COMP CLAIMS

PO BOX 52271

PHOENIX, AZ 85072 - 2271

Tel: : (402) 327-3535 Fax: (402) 327-3469

STATE NATIONAL INS CO INC

C/O: STATE NATIONAL INS CO INC

1900 L DON DODSON DR

BEDFORD, TX 76021 - 1622

Tel: : (800) 877-4567 Fax: (877) 295-3081

STATEWIDE INS CO

C/O: STATEWIDE INS CO

329 N GENESEE ST

WAUKEGAN, IL 60085

Tel: : (847) 662-0073 Fax: (847) 782-2822

STONINGTON INS CO

C/O: STONINGTON INS CO

PO BOX 975

SUN PRAIRIE, WI 53590

Tel: : (608) 825-5767 Fax: No FAX available

T.H.E. INSURANCE COMPANY

C/O: T.H.E. INSURANCE COMPANY

10451 GULF BLVD

TREASURE ISLAND, FL 33706 - 4814

Tel: : (800) 438-7740 Fax: (727) 367-9103

TECHNOLOGY INSURANCE COMPANY

C/O: TECHNOLOGY INSURANCE COMPANY

5800 LOMBARDO CENTER STE 200

CLEVELAND, OH 44131

Tel: : (214) 360-8560 Fax: (800) 487-9654

TIG INSURANCE CO

C/O: TRISTAR RISK MANAGEMENT

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (262) 798-3132 Fax: (262) 798-3291

TIG INSURANCE CO OF MI

C/O: TRISTAR RISK MANAGEMENT

20935 SWENSON DR # 300

WAUKESHA, WI 53186 - 2006

Tel: : (262) 798-3132 Fax: (262) 798-3291

03/11/2016

TNUS INS CO

C/O: AIG CLAIMS INC

PO BOX 4230

ALPHARETTA, GA 30023 - 4230

Tel: : (517) 336-2100 Fax: (517) 336-4258

TOKIO MARINE & NICHIDO FIRE INS CO

C/O: TOKIO MARINE & NICHIDO FIRE INS CO

TOKIO MARINE MGMT

205 N MICHIGAN AVE STE 830

CHICAGO, IL 60601

Tel: : (312) 836-1139 Fax: (312) 836-1141

TOWER INS CO OF NEW YORK

C/O: TOWER INS CO OF NEW YORK

TOWER GROUP INC

222 S RIVERSIDE PLAZA STE 1600

CHICAGO, IL 60606

Tel: : (800) 203-9600 Fax: (312) 258-7955

TOWER NATIONAL INS CO

C/O: TOWER NATIONAL INS CO

222 S. RIVERSIDE PLAZA, #1600

CHICAGO, IL 60606

Tel: : (312) 277-1644 Fax: No FAX available

TOYOTA MOTOR INSURANCE CO

C/O: HELMSMAN MANAGEMENT SERVICES INC

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : (866) 568-1119 Fax: (603) 334-0258

TRANS PACIFIC INS CO

C/O: TRANS PACIFIC INS CO

230 PARK AVE

NEW YORK, NY 10169 - 0005

Tel: : (212) 297-6600 Fax: No FAX available

TRANSGUARD INS CO OF AM

C/O: TRANSGUARD INS CO OF AM

215 SHUMAN BLVD STE 400

NAPERVILLE, IL 60563 - 8495

Tel: : (630) 864-3524 Fax: (630) 864-3583

TRANSIT CASUALTY CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

03/11/2016

TRANSPORT INSURANCE CO

C/O: TRANSPORT INSURANCE CO

3506 LINWOOD AVE

CINNCINNATI, OH 45226 - 0000

Tel: : (513) 871-7709 Fax: (513) 357-3110

TRANSPORTATION INS CO

C/O: CNA CLAIMPLUS INC

PO BOX 8317

CHICAGO, IL 60680 - 8317

Tel: : (800) 262-1612 Fax: (952) 285-3385

TRAVELERS CASUALTY & SURETY CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS CASUALTY & SURETY CO AM

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS CASUALTY CO OF CT

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS CASUALTY COMPANY

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS CASUALTY INS CO OF AMERICA

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS COMMERCIAL CASUALTY

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

03/11/2016

TRAVELERS COMMERCIAL INS CO

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS INDEMNITY CO OF AMERICA

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS INDEMNITY CO OF CT

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS INDEMNITY COMPANY

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRAVELERS INS CO

C/O: TRAVELERS INS CO

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (630) 961-4398 Fax: (877) 786-5567

TRAVELERS PROP CAS CO OF AMER

C/O: TRAVELERS CLAIM SERVICES

215 SHUMAN BLVD

PO BOX 3205

NAPERVILLE, IL 60566 - 7025

Tel: : (800) 842-6172 Fax: (877) 786-5567

TRI STATE INS CO OF MN

C/O: TRI STATE INS CO OF MN

PO BOX 1594

DES MOINES, IA 50306 - 1594

Tel: : (515) 473-3280 Fax: () -

TRIANGLE INS CO

C/O: TRIANGLE INS CO

PO BOX 1719

LITTLE ROCK, AR 72203 - 1719

Tel: : (501) 374-7755 Fax: (501) 374-4033

03/11/2016

TRIUMPHE CAS CO

C/O: TRIUMPHE CAS CO

3250 INTERSTATE DR

RICHFIELD, OH 44286

Tel: : (330) 659-8900 Fax: (330) 659-8958

TRUCK INSURANCE EXCHANGE

C/O: TRUCK INSURANCE EXCHANGE

P O BOX 108843

OKLAHOMA CITY, OK 73101 - 8843

Tel: : (800) 357-3204 Fax: (630) 907-2428

TRUMBULL INSURANCE COMPANY

C/O: TRUMBULL INSURANCE COMPANY

ONE HARTFORD PLAZA

HARTFORD, CT 06155

Tel: : (203) 509-1479 Fax: (866) 550-1357

TWIN CITY FIRE INS CO

C/O: CENTRAL WC CLAIMS CENTER

PO BOX 14471

LEXINGTON, KY 40512

Tel: : (877) 952-9222 Fax: (866) 913-3106

U S SPECIALTY INS CO

C/O: U S SPECIALTY INS CO

13403 NORTHWEST FWY

HOUSTON, TX 77040 - 6006

Tel: : (800) 323-7381 Fax: (713) 996-1223

ULLICO CASUALTY CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

UNIGARD INSURANCE CO

C/O: UNIGARD INSURANCE CO

PO BOX 975

SUN PRAIRIE, WI 53590

Tel: : (916) 783-2930 Fax: (916) 783-7531

UNION INS COMPANY OF PROVIDENCE

C/O: UNION INS COMPANY OF PROVIDENCE

PO BOX 327

BROOKFIELD, WI 53008 - 0327

Tel: : (262) 717-3900 Fax: (888) 992-6125

03/11/2016

UNION INSURANCE CO

C/O: UNION INSURANCE CO

11201 DOUGLAS AVE

URBANDALE, IA 50322 - 3707

Tel: : (866) 232-6724 Fax: (515) 473-3006

UNITED COMMUNITY INS CO - WISF

C/O: UNITED COMMUNITY INS CO - WISF

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

UNITED FIRE & CASUALTY CO

C/O: UNITED FIRE & CASUALTY CO

PO BOX 73909

CEDAR RAPIDS, IA 52407 - 3909

Tel: : (800) 343-9131 Fax: (318) 399-5400

UNITED STATES FIDELITY & GUARANTY CO

C/O: UNITED STATES FIDELITY & GUARANTY CO

DISCOVER RE MANAGERS INC

1 TOWER SQ 7MS

HARTFORD, CT 06183 - 0002

Tel: : (860) 284-2657 Fax: (860) 677-4352

UNITED STATES FIRE INS CO

C/O: CRUM & FORSTER INDEMNITY CO

200 S EXECUTIVE DR STE 350

BROOKFIELD, WI 53005 - 6085

Tel: : (800) 242-4566 Fax: (262) 784-6297

UNITED WISCONSIN

C/O: UNITED WISCONSIN

PO BOX 3026

MILWAUKEE, WI 53201 - 3026

Tel: : (800) 258-2667 Fax: (262) 787-7701

UNITRIN SAFEGUARD INS CO

C/O: UNITRIN SAFEGUARD INS CO

% WORKERS COMP CLMS

PO BOX 650665

DALLAS, TX 75265 - 0665

Tel: : (800) 992-9144 Fax: (414) 271-7824

UNIVERSAL UNDERWRITERS INS CO

C/O: UNIVERSAL UNDERWRITERS INS CO

PO BOX 2904

SHAWNEE MISSION, KS 66201 - 1304

Tel: : (800) 821-7803 Fax: (913) 906-2074

03/11/2016

USF&G INS CO OF WI

C/O: USF&G INS CO OF WI

DISCOVER RE MANAGERS INC

1 TOWER SQ 7MS

HARTFORD, CT 06183 - 0002

Tel: : (860) 284-2657 Fax: (860) 677-4352

UTICA MUTUAL INS CO

C/O: UTICA MUTUAL INS CO

PO BOX 5310

BINGHAMTON, NY 13902

Tel: : (614) 823-5314 Fax: (614) 823-5319

VALLEY FORGE INS CO

C/O: CNA CLAIMPLUS INC

PO BOX 8317

CHICAGO, IL 60680 - 8317

Tel: : (800) 262-1612 Fax: (952) 285-3385

VANLINER INSURANCE CO

C/O: VANLINER INSURANCE CO

ONE PREMIER DRIVE

ST LOUIS, MO 63026 - 1552

Tel: : (636) 660-9358 Fax: (855) 472-1291

VIGILANT INSURANCE CO

C/O: VIGILANT INSURANCE CO

SEARS TOWER

233 S WACKER DR SUITE 4700

CHICAGO, IL 60606

Tel: : (312) 454-8203 Fax: (312) 454-4747

VIKING INSURANCE CO OF WI

C/O: VIKING INSURANCE CO OF WI

1800 DEMING WAY #400

MIDDLETON, WI 53562 - 3530

Tel: : (608) 836-3000 Fax: () -

VILLANOVA INSURANCE CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: () -

VIRGINIA SURETY CO INC

C/O: SEDGWICK CLAIMS MANAGEMENT SERVICES

PO BOX 14538

LEXINGTON, KY 40512 - 4538

Tel: : (314) 514-2531 Fax: (314) 514-2577

03/11/2016

WADENA INSURANCE COMPANY

C/O: WADENA INSURANCE COMPANY

PO BOX 9208

DES MOINES, IA 50306 - 9208

Tel: : (800) 274-4402 Fax: (800) 365-3531

WAUSAU BUSINESS INS CO

C/O: LIBERTY MUTUAL MIDDLE MARKET

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : (800) 826-1661 Fax: (603) 334-8158

WAUSAU GENERAL INS CO

C/O: LIBERTY MUTUAL MIDDLE MARKET

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : (800) 826-1661 Fax: (603) 334-8158

WAUSAU UNDERWRITERS INS CO

C/O: LIBERTY MUTUAL MIDDLE MARKET

2000 WESTWOOD DR

PO BOX 8016

WAUSAU, WI 54402 - 8016

Tel: : (800) 826-1661 Fax: (603) 334-8158

WESCO INSURANCE COMPANY

C/O: WESCO INSURANCE COMPANY

PO BOX 105074

ATLANTA, GA 30348 - 5074

Tel: : (888) 239-3909 Fax: (678) 258-8399

WEST AMERICAN INS CO

C/O: HAWKEYE SECURITY INS CO

C/O LIBERTY MUTUAL INS CO

PO BOX 245037

MILWAUKEE, WI 53224

Tel: : (800) 826-1661 Fax: () -

WEST BEND MUTUAL INS CO

C/O: WEST BEND MUTUAL INS CO

1900 S 18TH AVE

WEST BEND, WI 53095 - 9791

Tel: : (800) 236-5010 Fax: (262) 334-6378

WESTCHESTER FIRE INS CO

C/O: ESIS/ACE

PO BOX 6561

SCRANTON, PA 18505 - 6561

Tel: : (800) 433-0385 Fax: (800) 230-4866

03/11/2016

WESTERN EMPLOYERS INS CO - WISF

C/O: WIS INS SECURITY FUND

2820 WALTON COMMONS W # 135

MADISON, WI 53718 - 6797

Tel: : (608) 242-9473 Fax: (608) 242-9472

WESTERN FIRE INS CO - WISF

C/O: SAFECO INSURANCE CO OF AMERICA

ATTN: WORKER'S COMPENSATION

PO BOX 515097

LOS ANGELES, CA 90051 - 5097

Tel: : (800) 332-3226 Fax: () -

WESTERN NATIONAL ASSURANCE CO

C/O: WESTERN NATIONAL ASSURANCE CO

5350 W 78TH ST

EDINA, MN 55439 - 3101

Tel: : (952) 835-5350 Fax: (952) 921-3153

WESTERN NATIONAL MUTUAL INS CO

C/O: WESTERN NATIONAL MUTUAL INS CO

5350 W 78TH ST

EDINA, MN 55439 - 3101

Tel: : (952) 921-3195 Fax: (952) 921-3155

WESTFIELD INSURANCE CO

C/O: WESTFIELD INSURANCE CO

PO BOX 5001

WESTFIELD CENTER, OH 44251 - 0000

Tel: : (330) 887-6529 Fax: (330) 887-4205

WESTFIELD NATIONAL INS CO

C/O: WESTFIELD INSURANCE CO

320 CARDINAL DR SUITE 300

ST CHARLES, IL 60175 - 0300

Tel: : (800) 414-4759 Fax: (330) 887-4105

WESTPORT INS CORP

C/O: WESTPORT INS CORP

222 WEST ADAMS ST STE 2300

CHICAGO, IL 60606 - 5242

Tel: : (800) 255-6931 Fax: (913) 676-5976

WILLIAMSBURY NATIONAL INS CO

C/O: WILLIAMSBURY NATIONAL INS CO

26255 AMERICAN DR

SOUTHFIELD, MI 48034 - 6112

Tel: : (248) 204-8149 Fax: () -

03/11/2016

WILSON MUTUAL INS CO

C/O: WILSON MUTUAL INS CO

PO BOX 908

SHEBOYGAN, WI 53082 - 1340

Tel: : (920) 458-3359 Fax: (920) 458-2144

WIS COUNTY MUTUAL INS CORP

C/O: AEGIS CORP

18550 W CAPITOL DR

BROOKFIELD, WI 53045 - 1925

Tel: : (800) 236-6885 Fax: No FAX available

WIS WC UEF

C/O: ASU RISK GROUP

2801 CROSSROADS DR STE 2200

MADISON, WI 53718 - 7999

Tel: : (800) 201-7442 Fax: No FAX available

WISCONSIN AMERICAN MUTUAL INS CO

C/O: WISCONSIN AMERICAN MUTUAL INS CO

PO BOX 1463

EDINA, MN 55440 - 1463

Tel: : (800) 242-1811 Fax: (920) 923-8879

WORK FIRST CASUALTY CO

C/O: WORK FIRST CASUALTY CO

2636 BIEHN ST

KLAMATH FALLS, OR 97601 - 1768

Tel: : (541) 882-1090 Fax: (541) 273-6496

WORK INJ SUPP BEN FUND

C/O: WORK INJ SUPP BEN FUND

%ATTORNEY GENERAL OFFICE

P O BOX 7857

MADISON, WI 53707

Tel: : No TEL available Fax: No FAX available

XL INSURANCE AMERICA INC

C/O: XL INSURANCE AMERICA INC

ATTN: LYNN MUNSON

20 N MARTINGALE RD STE 200

SCHAUMBURG, IL 60173 - 2414

Tel: : (847) 517-2307 Fax: (847) 706-2832

XL SPECIALTY INSURANCE COMPANY

C/O: XL SPECIALTY INSURANCE COMPANY

ATTN: LYNN MUNSON

20 N MARTINGALE RD STE 200

SCHAUMBURG, IL 60173 - 2414

Tel: : (847) 517-2307 Fax: (847) 706-2832

03/11/2016

YORK INS CO

C/O: YORK INS CO

20 N MARTINGALE RD STE 170

SCHAUMBURG, IL 60173 - 2412

Tel: : (401) 453-7386 Fax: (401) 431-9438

ZENITH INSURANCE CO

C/O: ZENITH INSURANCE CO

2105 W WHITE OAKS DR

SPRINGFIELD, IL 62704 - 6495

Tel: : (800) 773-0468 Fax: (941) 906-6544

ZURICH AMERICAN INS CO

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172

ZURICH AMERICAN INS OF IL

C/O: MARYLAND INSURANCE CO

ATTN: CAROL TERRANOVA

PO BOX 66941

CHICAGO, IL 60666 - 0941

Tel: : (847) 240-8166 Fax: (847) 240-8172