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Self insured list - Colorado Department of Labor and Employment

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SELF INSURED LIST<br />

PERMIT<br />

ANNIVERSARY<br />

DATE NAME OF PERMIT TPA OR LOCAL PERMIT HOLDER<br />

466 09/01/05 LOWE’S HIW, INC. Ms. Nhu Miller Ms. Tia Schweikert<br />

Specialty Risk Services<br />

Manager, Workers’ Compensation<br />

P. O. Box 221700 Lowe’s HIW, Inc.<br />

Denver, CO 80222-8700 P. O. Box 1000<br />

Mooresville, NC 28115-1000<br />

OFFICE: 303-645-8644 OFFICE: 704-758-3055<br />

800-829-7985 FAX: 704-757-0530<br />

FAX: 303-645-8654<br />

EMAIL: tia.l.schweikert@lowes.com<br />

EMAIL: nhu.miller@srsconnect.com<br />

485 01/01/99 LSI LOGIC CORPORATION Suzanne L Wilson Ms. Karen Miller, ARM<br />

Vice President<br />

Risk Manager<br />

Original Matrix Absence Management LSI Logic Corporation<br />

Anniversary 5225 Hellyer Ave # 210 1621 Barber Lane, MS: AD-106<br />

Date: 09/01/99 San Jose CA 95138-1001 Milipitas, CA 95035-7455<br />

Off: 408-361-7321 OFFICE: 408-433-7022<br />

FAX: 408-361-9110 FAX: 408-954-3634<br />

EMAIL: suzanne.wilson@matrixcos.com<br />

EMAIL: karen.miller@lsi.com<br />

4700 Lincoln Avenue, Suite 104<br />

Albuquerque, NM 87109-2303<br />

464 02/01/06 Macy's inc Please see Federated <strong>Department</strong> Stores<br />

824 04/01/93 MC LANE COMPANY, INC. Mr. Larry Stadler Ms. Melanie Bennett<br />

Claims Manager - Phoenix<br />

Corporate Senior Supervisor Accountant<br />

AIG Claims Service, Inc.<br />

McLane Company, Inc.<br />

2929 North Central Avenue, 9th Floor 4747 McLane Parkway<br />

Phoenix, AZ 85102-2727 Temple, TX 76503-6115<br />

OFFICE: 602-468-8708 OFFICE: 254-771-7428<br />

800-456-1547 FAX: 254-770-5387<br />

FAX: 1+866-743-1908<br />

EMAIL: melanie.bennett@mclaneco.com<br />

EMAIL: larry.stadler@aig.com<br />

karen.nitsch@aig.com<br />

Page 23 6/22/2009

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