date run: 04/01/2020 contractors state license board ... · p o box 469012 san antonio, tx...

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 1 ____________________________________________________________________________________________________________________________________ CSLB CODE: BBS DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 2246 TERMINATED DATE: 01/01/15 BARRETT BUSINESS SERVICES INC 8100 NE PARKWAY DRIVE SUITE 200 VANCOUVER, WA 98662 (800) 494-5669 CSLB CODE: CCN DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 4503 TERMINATED DATE: 12/17/07 CALIFORNIA CONTRACTORS NETWORK INC 2151 CONVENTION CENTER WAY SUITE 203 ONTARIO, CA 91764 (800) 592-0047 CSLB CODE: DIR DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): N/A DEPARTMENT OF INDUSTRIAL RELATIONS SELF INSURANCE PLANS 2848 ARDEN WAY SUITE 105 SACRAMENTO, CA 95825 (916) 924-4866 CSLB CODE: KCO DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 2279 TERMINATED DATE: 01/01/15 KIMCO STAFFING SERVICES INC 17872 COWAN AVENUE IRVINE, CA 92614 (949) 752-6996 CSLB CODE: KIM DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 2279 TERMINATED DATE: 01/01/15 KIMSTAFFHR INC 17872 COWAN AVENUE IRVINE, CA 92614 (800) 601-4800 CSLB CODE: KSS DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): N/A K & S STAFFING SOLUTIONS INC ATTN: ERIC STEWART 2815 BECHELLI LANE REDDING, CA 96002 (530) 605-4517

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Page 1: DATE RUN: 04/01/2020 CONTRACTORS STATE LICENSE BOARD ... · p o box 469012 SAN ANTONIO, TX 78246-9012 (804) 560-2000

DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 1 ____________________________________________________________________________________________________________________________________ CSLB CODE: BBS DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 2246 TERMINATED DATE: 01/01/15 BARRETT BUSINESS SERVICES INC 8100 NE PARKWAY DRIVE SUITE 200 VANCOUVER, WA 98662 (800) 494-5669 CSLB CODE: CCN DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 4503 TERMINATED DATE: 12/17/07 CALIFORNIA CONTRACTORS NETWORK INC 2151 CONVENTION CENTER WAY SUITE 203 ONTARIO, CA 91764 (800) 592-0047 CSLB CODE: DIR DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): N/A DEPARTMENT OF INDUSTRIAL RELATIONS SELF INSURANCE PLANS 2848 ARDEN WAY SUITE 105 SACRAMENTO, CA 95825 (916) 924-4866 CSLB CODE: KCO DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 2279 TERMINATED DATE: 01/01/15 KIMCO STAFFING SERVICES INC 17872 COWAN AVENUE IRVINE, CA 92614 (949) 752-6996 CSLB CODE: KIM DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 2279 TERMINATED DATE: 01/01/15 KIMSTAFFHR INC 17872 COWAN AVENUE IRVINE, CA 92614 (800) 601-4800 CSLB CODE: KSS DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): N/A K & S STAFFING SOLUTIONS INC ATTN: ERIC STEWART 2815 BECHELLI LANE REDDING, CA 96002 (530) 605-4517

Page 2: DATE RUN: 04/01/2020 CONTRACTORS STATE LICENSE BOARD ... · p o box 469012 SAN ANTONIO, TX 78246-9012 (804) 560-2000

DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 2 ____________________________________________________________________________________________________________________________________ CSLB CODE: MAI DEPARTMENT OF INSURANCE (SELF INSURED CERTIFICATE NUMBER): 2318 TERMINATED DATE: 04/18/11 MAINSTAY BUSINESS SOLUTIONS P O BOX 1128 BLUE LAKE, CA 95525 CSLB CODE: RIC DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): N/A OUT OF STATE WORKERS COMPENSATION INSURANCE SACRAMENTO, CA CSLB CODE: S01 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-147 COLONY INSURANCE COMPANY P O BOX 469012 SAN ANTONIO, TX 78246-9012 (800) 577-6614 CSLB CODE: S02 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-321 LIBERTY SURPLUS INSURANCE CORPORATION 175 BERKELEY STREET BOSTON, MA 02116 (617) 357-9500 CSLB CODE: S03 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-484 ADMIRAL INSURANCE COMPANY 1000 HOWARD BLVD, SUITE 300 MT LAUREL, NJ 08054 (856) 429-9200 CSLB CODE: S04 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-324 ATLANTIC CASUALTY INSURANCE COMPANY P O BOX 8010 GOLDSBORO, NC 27533 (919) 759-3200

Page 3: DATE RUN: 04/01/2020 CONTRACTORS STATE LICENSE BOARD ... · p o box 469012 SAN ANTONIO, TX 78246-9012 (804) 560-2000

DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 3 ____________________________________________________________________________________________________________________________________ CSLB CODE: S05 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-329 CINCINNATI SPECIALTY UNDERWRITERS INSURANCE COMPANY, THE P O BOX 145496 CINCINNATI, OH 45250-5496 (513) 870-2000 CSLB CODE: S06 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-423 HOUSTON CASUALTY COMPANY 13403 NORTHWEST FREEWAY HOUSTON, TX 77040-6094 (800) 343-3599 CSLB CODE: S07 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-422 LEXINGTON INSURANCE COMPANY 100 SUMMER STREET BOSTON, MA 02110 (617) 330-1100 CSLB CODE: S08 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-197 NAVIGATORS SPECIALTY INSURANCE COMPANY 400 ATLANTIC STREET 8TH FLOOR STAMFORD, CT 06901 (203) 905-6339 CSLB CODE: S09 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-467 EVANSTON INSURANCE COMPANY 10 PARKWAY NORTH DEERFIELD, IL 60015-2526 (847) 572-6000 CSLB CODE: S10 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-179 IRONSHORE SPECIALTY INSURANCE COMPANY P O BOX 3407 NEW YORK, NY 10008 (646) 826-6600

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 4 ____________________________________________________________________________________________________________________________________ CSLB CODE: S11 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-482 COLUMBIA CASUALTY COMPANY CNA PLAZA - 333 S WABASH 43S CHICAGO, IL 60604 (312) 822-5000 CSLB CODE: S12 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SL-363 KINSALE INSURANCE COMPANY P O BOX 17008 RICHMOND, VA 23226 (804) 289-1300 CSLB CODE: S13 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-329 HOUSTON SPECIALTY INSURANCE COMPANY 800 GESSNER ROAD SUITE 600 HOUSTON, TX 77024-4538 (713) 935-4820 CSLB CODE: S14 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-328 UNITED SPECIALTY INSURANCE COMPANY 1900 L DON DODSON DRIVE BEDFORD, TX 76021 (817) 265-2000 CSLB CODE: S15 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-464 ROCKHILL INSURANCE COMPANY 700 WEST 47TH STREET STE 350 KANSAS CITY, MO 64112 (816) 412-1800 CSLB CODE: S16 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-163 HDI GLOBAL SPECIALTY SE RODERBRUCHSTRASSE 26 30655 HANNOVER, (310) 203-4081

Page 5: DATE RUN: 04/01/2020 CONTRACTORS STATE LICENSE BOARD ... · p o box 469012 SAN ANTONIO, TX 78246-9012 (804) 560-2000

DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 5 ____________________________________________________________________________________________________________________________________ CSLB CODE: S17 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 103685 AMTRUST INTERNATIONAL UNDERWRITERS LIMITED 40 WESTLAND ROW DUBLIN 2, CSLB CODE: S18 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-415 MT HAWLEY INSURANCE COMPANY 9025 NORTH LINDBERGH DRIVE PEORIA, IL 61615 (309) 692-1000 CSLB CODE: S19 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-331 ASSOCIATED INDUSTRIES INSURANCE COMPANY INC 903 N W 65TH STREET SUITE 300 BOCA RATON, FL 33487-2864 (561) 962-9300 CSLB CODE: S20 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-319 TOKIO MARINE SPECIALTY INSURANCE COMPANY ONE BALA PLAZA SUITE 100 BALA CYNWYD, PA 19004-1403 (610) 617-7900 CSLB CODE: S21 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-479 MESA UNDERWRITERS SPECIALTY INSURANCE COMPANY 40 WANTAGE AVENUE BRANCHVILLE, NJ 07890 (973) 948-3000 CSLB CODE: S22 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-420 INTERSTATE FIRE & CASUALTY COMPANY 33 WEST MONROE STREET CHICAGO, IL 60603 (312) 346-6400

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 6 ____________________________________________________________________________________________________________________________________ CSLB CODE: S23 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-317 ATAIN SPECIALTY INSURANCE COMPANY 30833 NORTHWESTERN HWY STE 220 FARMINGTON HILLS, MI 48334-2582 (248) 538-4530 CSLB CODE: S24 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-444 SCOTTSDALE INSURANCE COMPANY ONE WEST NATIONWIDE BLVD 1-04-701 COLUMBUS, OH 43215-2220 (480) 365-4000 CSLB CODE: S25 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-179 ENDURANCE AMERICAN SPECIALTY INSURANCE COMPANY 1209 ORANGE STREET WILMINGTON, DE 19801 (914) 468-8000 CSLB CODE: S26 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-206 JAMES RIVER INSURANCE COMPANY P O BOX 27648 RICHMOND, VA 23261 (804) 289-2700 CSLB CODE: S27 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-320 FIRST MERCURY INSURANCE COMPANY 26600 TELEGRAPH ROAD SOUTHFIELD, MI 48033 (248) 358-4010 CSLB CODE: S28 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-330 STARR SURPLUS LINES INSURANCE COMPANY 500 WEST MONROE ST 31ST FLOOR CHICAGO, IL 60661 (312) 577-7801

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 7 ____________________________________________________________________________________________________________________________________ CSLB CODE: S29 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-139 FIRST SPECIALTY INSURANCE CORPORATION 5200 METCALF AVENUE #OPN111 OVERLAND PARK, KS 66202-1265 (913) 676-6723 CSLB CODE: S30 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-321 EVEREST INDEMNITY INSURANCE COMPANY 477 MARTINSVILLE ROAD WESTGATE CORPORATE CENTER LIBERTY CORNER, NJ 07938 (908) 604-3000 CSLB CODE: S31 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-321 GEMINI INSURANCE COMPANY 475 STEAMBOAT ROAD GREENWICH, CT 06830 (203) 542-3800 CSLB CODE: S32 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-325 CAPITOL SPECIALTY INSURANCE CORPORATION P O BOX 5900 MADISON, WI 53705-0900 (608) 829-4200 CSLB CODE: S33 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-181 NORTH AMERICAN CAPACITY INSURANCE COMPANY 650 ELM STREET 6TH FLOOR MANCHESTER, NH 03101-2524 (603) 644-6600 CSLB CODE: S34 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-421 MOUNT VERNON FIRE INSURANCE COMPANY 1190 DEVON PARK DRIVE WAYNE, PA 19087 (610) 688-2535

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 8 ____________________________________________________________________________________________________________________________________ CSLB CODE: S35 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SYND-62 LLOYD'S OF LONDON ONE LIME STREET LONDON EC3M 7HA, CSLB CODE: S36 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-324 HOMELAND INSURANCE COMPANY OF NEW YORK 150 ROYALL STREET CANTON, MA 02021 (781) 332-7000 CSLB CODE: S37 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-493 MAXUM INDEMNITY COMPANY 3655 NORTH POINT PARKWAY #500 ALPHARETTA, GA 30005 (678) 597-4500 CSLB CODE: S38 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-418 TUDOR INSURANCE COMPANY 400 PARSON'S POND DRIVE FRANKLIN LAKES, NJ 07417-2600 (201) 847-8600 CSLB CODE: S39 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-331 COVINGTON SPECIALTY INSURANCE COMPANY 945 EAST PACES FERRY ROAD SUITE 1800 ATLANTA, GA 30326-1125 (404) 231-2366 CSLB CODE: S40 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-487 WESTERN HERITAGE INSURANCE COMPANY ONE WEST NATIONWIDE BLVD DSPF-76 COLUMBUS, OH 43215-2220 (614) 249-1545

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 9 ____________________________________________________________________________________________________________________________________ CSLB CODE: S41 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-140 STEADFAST INSURANCE COMPANY 1400 AMERICAN LANE TOWER 1 19TH FLOOR SCHAUMBURG, IL 60196 (847) 605-6000 CSLB CODE: S42 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-173 LANDMARK AMERICAN INSURANCE COMPANY 945 EAST PACES FERRY ROAD SUITE 1800 ATLANTA, GA 30326-1160 (404) 231-2366 CSLB CODE: S43 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-413 ILLINOIS UNION INSURANCE COMPANY P O BOX 1000 436 WALNUT STREET 4TH FLOOR PHILADELPHIA, PA 19106 (215) 640-1000 CSLB CODE: S44 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-406 NORTHFIELD INSURANCE COMPANY P O BOX 64816 ST PAUL, MN 55164-0816 (651) 688-4100 CSLB CODE: S45 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-701 TERMINATED DATE: 06/30/16 ESSEX INSURANCE COMPANY 4521 HIGHWOODS PARKWAY GLEN ALLEN, VA 23060 (804) 273-1400 CSLB CODE: S46 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-478 WESTERN WORLD INSURANCE COMPANY 400 PARSONS POND DRIVE FRANKLIN LAKES, NJ 07417-2600 (201) 847-8600

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 10 ____________________________________________________________________________________________________________________________________ CSLB CODE: S47 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-441 WESTCHESTER SURPLUS LINES INSURANCE COMPANY 436 WALNUT STREET PHILADELPHIA, PA 19106 (215) 640-1000 CSLB CODE: S48 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-314 HUDSON SPECIALTY INSURANCE COMPANY 1035 GREENWOOD BLVD STE 265 LAKE MARY, FL 32746 (212) 978-2800 CSLB CODE: S49 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-689 BERKLEY ASSURANCE COMPANY 11201 DOUGLAS AVENUE URBANDALE, IA 50322 (804) 525-1360 CSLB CODE: S50 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-197 BURLINGTON INSURANCE COMPANY 238 INTERNATIONAL ROAD BURLINGTON, NC 27215 (336) 586-2500 CSLB CODE: S51 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-328 AIX SPECIALTY INSURANCE COMPANY 5 WATERSIDE CROSSING SUITE 201 WINDSOR, CT 06095 (508) 855-4924 CSLB CODE: S52 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-140 COLONY NATIONAL INSURANCE COMPANY P O BOX 469012 SAN ANTONIO, TX 78246-9012 (804) 560-2000

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 11 ____________________________________________________________________________________________________________________________________ CSLB CODE: S53 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-326 CATLIN SPECIALTY INSURANCE COMPANY 3340 PEACHTREE RD. NE STE 2950 ATLANTA, GA 30326 (404) 443-4910 CSLB CODE: S54 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-326 ASPEN INSURANCE UK LIMITED 30 FENCHURCH STREET LONDON EC3M38D, (310) 860-8700 CSLB CODE: S55 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-711 GOTHAM INSURANCE COMPANY 412 MT KEMBLE AVENUE STE 300C MORRISTOWN, NJ 07960 (973) 532-1969 CSLB CODE: S56 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-425 NAUTILUS INSURANCE COMPANY 7233 EAST BUTHERUS DRIVE SCOTTSDALE, AZ 85260-2410 (480) 951-0905 CSLB CODE: S57 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-317 INDIAN HARBOR INSURANCE COMPANY 70 SEAVIEW AVE., SEAVIEW HOUSE STAMFORD, CT 06902-6040 (203) 964-5200 CSLB CODE: S58 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-317 ARCH SPECIALTY INSURANCE COMPANY HARBORSIDE FINANCIAL, 300 PLAZA THREE, 3RD FLOOR JERSEY CITY, NJ 07311 (212) 651-6500

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 12 ____________________________________________________________________________________________________________________________________ CSLB CODE: S59 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-138 AIG SPECIALTY INSURANCE COMPANY 175 WATER STREET 18TH FLOOR NEW YORK, NY 10038 (212) 770-7000 CSLB CODE: S60 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-327 AXIS SPECIALTY EUROPE SE MOUNT HERBERT COURT 34 UPPER MOUNT STREET DUBLIN 2, (800) 222-2122 CSLB CODE: S61 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-321 ASPEN SPECIALTY INSURANCE COMPANY 175 CAPITAL BLVD., SUITE 300 ROCKY HILL, CT 06067 (860) 258-3500 CSLB CODE: S62 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-189 CRUM & FORSTER SPECIALTY INSURANCE COMPANY 305 MADISON AVENUE MORRISONTOWN, NJ 07962 (973) 490-6600 CSLB CODE: S63 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-331 MERCER INSURANCE COMPANY 100 MERCER DRIVE LOCK HAVEN, PA 17745 (800) 223-0534 CSLB CODE: S64 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-417 AXIS SURPLUS INSURANCE COMPANY 111 SOUTH WACKER DR STE 3500 CHICAGO, IL 60606 (678) 746-9400

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 13 ____________________________________________________________________________________________________________________________________ CSLB CODE: S65 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-319 ALLIED WORLD NATIONAL ASSURANCE COMPANY 199 WATER STREET 29TH FLOOR LEGAL DEPARTMENT NEW YORK, NY 10038 (310) 670-0254 CSLB CODE: S66 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-308 EXECUTIVE RISK SPECIALTY INSURANCE COMPANY 15 MOUNTAIN VIEW ROAD WARREN, NJ 07059 (908) 903-2000 CSLB CODE: S67 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-331 HALLMARK SPECIALTY INSURANCE COMPANY 777 MAIN STREET SUITE 1000 FORT WORTH, TX 76102 (817) 348-1600 CSLB CODE: S68 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): N/A BLACKBOARD SPECIALTY INSURANCE COMPANY 301 CARNEGIE CENTER SUITE 301 PRINCETON, NJ 08540 (609) 349-7700 CSLB CODE: S69 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-430 NATIONAL FIRE & MARINE INSURANCE COMPANY 1314 DOUGLAS STREET STE 1400 OMAHA, NE 68102-1944 (402) 916-3000 CSLB CODE: S70 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-486 GENERAL STAR INDEMNITY COMPANY 120 LONG RIDGE ROAD STAMFORD, CT 06902 (203) 328-5000

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 14 ____________________________________________________________________________________________________________________________________ CSLB CODE: S71 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-209 ALLIED WORLD SURPLUS LINES INSURANCE COMPANY 199 WATER STREET NEW YORK, NY 10038 (800) 284-1300 CSLB CODE: S72 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-140 PELEUS INSURANCE COMPANY 8720 STONY POINT PARKWAY SUITE 400 RICHMOND, VA 23235-6865 (804) 560-2000 CSLB CODE: S73 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-328 ACCEPTANCE CASUALTY INSURANCE COMPANY 702 OBERLIN ROAD RALEIGH, NC 27605 (800) 342-0753 CSLB CODE: S74 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-408 GREAT AMERICAN E & S INSURANCE COMPANY 301 EAST FOURTH STREET CINCINNATI, OH 45202 (513) 369-5000 CSLB CODE: S75 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): N/A AMTRUST INTERNATIONAL UNDERWRITERS DAC 660 SIERRA COLLEGE BLVD ROCKLIN, CA 95677 (877) 649-6082 CSLB CODE: S76 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-336 ROCKINGHAM INSURANCE COMPANY 633 EAST MARKET STREET HARRISONBURG, VA 22801 (540) 564-8839

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 15 ____________________________________________________________________________________________________________________________________ CSLB CODE: S77 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-325 STARSTONE SPECIALTY INSURANCE COMPANY 34 EXCHANGE PLACE PLAZA FIVE SUITE 2900 JERSEY CITY, NJ 07311 (201) 743-7700 CSLB CODE: S78 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-138 VOYAGER INDEMNITY INSURANCE COMPANY 260 INTERSTATE NORTH CIRCLE SE ATLANTA, GA 30339-2110 (770) 763-1000 CSLB CODE: S79 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-330 BERKLEY SPECIALTY INSURANCE COMPANY 7233 E BUTHERUS DRIVE SCOTTSDALE, AZ 85260 (866) 412-7742 CSLB CODE: S80 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA1464 CENTURY SURETY COMPANY (OHIO) 550 POLARIS PARKWAY SUITE 300 WESTERVILLE, OH 43082 (800) 878-7389 CSLB CODE: S81 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA-290 MARKEL INTERNATIONAL INSURANCE COMPANY LIMITED LEGAL DEPARTMENT TEN PARKWAY NORTH DEERFIELD, IL 60015 (847) 572-6000 CSLB CODE: S82 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA GUIDEONE NATIONAL INSURANCE COMPANY 1111 ASHWORTH ROAD WEST DES MOINES, IA 50265 (515) 267-5457

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 16 ____________________________________________________________________________________________________________________________________ CSLB CODE: S83 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA2091 LIBERTY MUTUAL INSURANCE EUROPE SE 5-7 RUE LEON LAVAL 3372 LEUDELANGE EC3M 3AW, CSLB CODE: S84 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA3358 OLD REPUBLIC UNION INSURANCE COMPANY 307 N MICHIGAN AVENUE SUITE 1418 CHICAGO, IL 60601 (312) 346-8100 CSLB CODE: S85 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): SLA1388 GREAT LAKES INSURANCE SE KONIGNSTRABE 107 MUNICH 80802, CSLB CODE: S86 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): N/A CLEAR BLUE SPECIALTY INSURANCE B7 TABONUCO STREET SUITE 912 GUAYNABO, PR 00968 (787) 339-2070 CSLB CODE: S87 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4756-3 UNITED NATIONAL INSURANCE COMPANY THREE BALA PLAZA EAST STE 300 BALA CYNWYD, PA 19004 (610) 664-1500 CSLB CODE: 001 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1242-7 AMERICAN CASUALTY COMPANY OF READING PA 412 WASHINGTON STREET READING, PA 19601

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 17 ____________________________________________________________________________________________________________________________________ CSLB CODE: 002 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1819-2 AMERICAN STATES INSURANCE COMPANY P O BOX 5055 COSTA MESA, CA 92620 (714) 574-4000 CSLB CODE: 003 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0427-5 CALIFORNIA CASUALTY INDEMNITY EXCHANGE ATTENTION WORKERS COMPENSATION P 0 BOX 2105 GLENDALE, CA 91209 (818) 956-1960 CSLB CODE: 004 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1164-3 TERMINATED DATE: 10/26/11 CALIFORNIA COMPENSATION INSURANCE COMPANY P O BOX 800 NOVATO, CA 94948 (415) 382-2100 CSLB CODE: 005 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3139-3 TERMINATED DATE: 04/28/14 DALLAS NATIONAL INSURANCE COMPANY 14160 DALLAS PARKWAY SUITE 500 DALLAS, TX 75254 CSLB CODE: 006 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1838-2 TERMINATED DATE: 12/31/06 CNA CASUALTY OF CALIFORNIA 21800 OXNARD STREET NINTH FLOOR WOODLAND HILLS, CA 91367 (818) 713-2000 CSLB CODE: 007 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3105-4 WELLFLEET INSURANCE COMPANY 5814 REED ROAD FORT WAYNE, IN 46835

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 18 ____________________________________________________________________________________________________________________________________ CSLB CODE: 008 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0048-9 CONTINENTAL CASUALTY COMPANY C/O C N A INSURANCE COMPANIES P O BOX 7430 SAN FRANCISCO, CA 94120-7430 (415) 243-4900 CSLB CODE: 009 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1231-0 EMPLOYERS INSURANCE COMPANY OF WAUSAU C/O WAUSAU INSURANCE COMPANY BOX 7214 PASADENA, CA 91109-7314 CSLB CODE: 010 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2093-3 TERMINATED DATE: 06/30/15 FAIRMONT INSURANCE COMPANY P O BOX 4130 1885 GATEWAY BLVD SUITE 400 CONCORD, CA 94520 (408) 264-6700 CSLB CODE: 011 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0091-9 FIREMAN'S FUND INSURANCE COMPANY 225 W WASHINGTON STREET SUITE 1800 CHICAGO, IL 60606-3484 (800) 527-5787 CSLB CODE: 012 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3080-9 TERMINATED DATE: 01/01/99 FREMONT COMPENSATION INSURANCE COMPANY P O BOX 1776 GLENDALE, CA 94543 (818) 502-5200 CSLB CODE: 013 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3162-5 TERMINATED DATE: 08/01/97 GOLDEN EAGLE INSURANCE P O BOX 85826 SAN DIEGO, CA 92186-5826 (619) 287-6773

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 19 ____________________________________________________________________________________________________________________________________ CSLB CODE: 014 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3162-5 HARTFORD UNDERWRITERS INSURANCE COMPANY ONE HARTFORD PLAZA HARTFORD, CT 06115 (800) 243-5860 CSLB CODE: 015 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1236-9 TERMINATED DATE: 07/02/03 FREMONT INDEMNITY COMPANY 275 BATTERY STREET NINTH FLOOR SAN FRANCISCO, CA 94111 (415) 627-5000 CSLB CODE: 016 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1428-2 MID-CENTURY INSURANCE COMPANY C/O FARMER INS WORKERS COMP 6301 OWENSMOUTH AVENUE WOODLAND HILLS, CA 91367 (415) 847-3203 CSLB CODE: 017 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0820-1 NATIONAL AMERICAN INSURANCE COMPANY C/O COOK INSURANCE SERVICES P O BOX 600 HAYWARD, CA 94543 (415) 582-7507 CSLB CODE: 018 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2081-8 NATIONAL SURETY CORPORATION 200 WEST MONROE CHICAGO, IL 60606 CSLB CODE: 019 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0131-3 NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA 180 MAIDEN LANE NEW YORK, NY 10038 (800) 551-0824

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 20 ____________________________________________________________________________________________________________________________________ CSLB CODE: 020 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0769-0 TERMINATED DATE: 04/12/95 OHIO CASUALTY INSURANCE COMPANY ATTENTION OHIO CASUALTY GROUP P O BOX 5253 FRESNO, CA 93755-5253 (209) 224-0185 CSLB CODE: 021 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0066-1 TERMINATED DATE: 10/03/01 RELIANCE INSURANCE COMPANY 505 NORTH BRAND BOULEVARD SUITE 800 GLENDALE, CA 91203 (818) 507-9333 CSLB CODE: 022 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2108-9 REPUBLIC INDEMNITY COMPANY OF AMERICA 15821 VENTURA BLVD SUITE 370 ENCINO, CA 91436 (818) 990-9860 CSLB CODE: 023 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2928-0 REPUBLIC INDEMNITY COMPANY OF CALIFORNIA 15821 VENTURA BLVD SUITE 370 ENCINO, CA 91436 (818) 990-9860 CSLB CODE: 024 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1442-3 SAFECO INSURANCE COMPANY OF AMERICA P O BOX 25150 SANTA ANA, CA 92799 (714) 965-8371 CSLB CODE: 025 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0449-9 STATE COMPENSATION INSURANCE FUND 1275 MARKET STREET SAN FRANCISCO, CA 94103 (877) 405-4545

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 21 ____________________________________________________________________________________________________________________________________ CSLB CODE: 026 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2314-3 TERMINATED DATE: 09/26/00 SUPERIOR NATIONAL INSURANCE COMPANY P O BOX 9850 CALABASAS, CA 91372-9850 CSLB CODE: 027 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0445-7 T I G INSURANCE COMPANY P O BOX 4220 WOODLAND HILLS, CA 91365-4220 CSLB CODE: 028 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0837-5 TERMINATED DATE: 12/31/07 TRANSCONTINENTAL INSURANCE COMPANY C/O C N A INSURANCE COMPANIES P O BOX 7430 SAN FRANCISCO, CA 94120-7430 (415) 243-4900 CSLB CODE: 029 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1378-9 TRANSPORTATION INSURANCE COMPANY C/O C N A INSURANCE COMPANIES P O BOX 7430 SAN FRANCISCO, CA 94120-7430 (415) 243-4900 CSLB CODE: 030 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0221-2 TERMINATED DATE: 10/29/18 BRIGHTHOUSE LIFE INSURANCE COMPANY 18210 CRANE NEST DRIVE 3RD FLR TAMPA, FL 33647 CSLB CODE: 031 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1199-9 TRUCK INSURANCE EXCHANGE LEGISLATIVE/REGULATORY AFFAIRS P O BOX 2478 TERMINAL ANNEX LOS ANGELES, CA 90051-2478 (888) 516-5656

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 22 ____________________________________________________________________________________________________________________________________ CSLB CODE: 032 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0229-5 UNITED STATES FIDELITY AND GUARANTY COMPANY P O BOX 49022 SAN JOSE, CA 95161 (408) 435-6650 CSLB CODE: 033 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1282-3 VALLEY FORGE INSURANCE COMPANY C/O TIPPECANOE INS AGENCY INC P O BOX 10893 PITTSBURGH, PA 15236 CSLB CODE: 034 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2353-1 WAUSAU UNDERWRITERS INSURANCE COMPANY C/O WAUSAU INSURANCE COMPANY BOX 7214 PASADENA, CA 91109-7314 CSLB CODE: 035 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0745-0 TERMINATED DATE: 04/12/95 WEST AMERICAN INSURANCE COMPANY ATTENTION OHIO CASUALTY GROUP P O BOX 5253 FRESNO, CA 93755-5253 (209) 224-0185 CSLB CODE: 036 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1389-6 ZENITH INSURANCE COMPANY P O 9055 VAN NUYS, CA 91409-9055 (818) 713-1000 CSLB CODE: 037 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2264-0 ALLIANZ GLOBAL RISKS US INSURANCE COMPANY 6435 WILSHIRE BOULEVARD LOS ANGELES, CA 90048 (800) 421-0504

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 23 ____________________________________________________________________________________________________________________________________ CSLB CODE: 038 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1822-6 AMERICAN ECONOMY INSURANCE COMPANY C/O AMERICAN STATES INSURANCE P O BOX 4030 CONCORD, CA 94524 CSLB CODE: 039 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0860-7 TERMINATED DATE: 05/10/13 AMERICAN MOTORISTS INSURANCE COMPANY C/O KEMPER NATIONAL INS CO P O BOX 925 LA PUENTE, CA 91747-0925 CSLB CODE: 040 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1299-7 TERMINATED DATE: 04/27/11 ATLANTIC MUTUAL INSURANCE COMPANY 45 WALL STREET NEW YORK, NY 10005 CSLB CODE: 041 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2822-5 MOUNTAINPOINT INSURANCE COMPANY 3030 N THIRD STREET PHOENIX, AZ 85012 (888) 389-3222 CSLB CODE: 042 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0707-0 FEDERATED MUTUAL INSURANCE COMPANY P O BOX 328 OWATONNA, MN 55060 (507) 451-1320 CSLB CODE: 043 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1508-1 BEDIVERE INSURANCE COMPANY 1880 JFK BLVD SUITE 801 PHILADELPHIA, PA 19103 (888) 421-2111

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 24 ____________________________________________________________________________________________________________________________________ CSLB CODE: 044 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1739-2 TERMINATED DATE: 11/06/03 HIGHLANDS INSURANCE COMPANY 17875 VON KARMAN #310 IRVINE, CA 92714 (714) 757-5300 CSLB CODE: 045 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2098-2 TERMINATED DATE: 06/09/95 HOME INDEMNITY COMPANY 59 MAINDEN LANE NEW YORK, NY 10038 CSLB CODE: 046 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0096-8 INSURANCE COMPANY OF NORTH AMERICA 11050 OLSON DRIVE RANCHO CORDOVA, CA 95670 (916) 636-1737 CSLB CODE: 047 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1344-1 TERMINATED DATE: 12/31/06 KANSAS CITY FIRE AND MARINE INSURANCE COMPANY 401 PENN STREET READING, PA 19601 CSLB CODE: 048 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1022-3 LIBERTY MUTUAL INSURANCE COMPANY P O BOX 3005 SAN BRUNO, CA 94066 (415) 588-8400 CSLB CODE: 049 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1301-1 GREAT AMERICAN INSURANCE COMPANY 580 WALNUT STREET CINCINNATI, OH 45202 (800) 724-7722

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 25 ____________________________________________________________________________________________________________________________________ CSLB CODE: 050 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1805-1 NATIONWIDE MUTUAL INSURANCE COMPANY 5959 SOUTH MOONEY BOULEVARD VISALIA, CA 93277 (415) 356-5300 CSLB CODE: 051 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1194-0 ST PAUL PROTECTIVE INSURANCE CO ONE TOWER SQUARE HARTFORD, CT 06183 (800) 328-2189 CSLB CODE: 052 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2421-6 DISCOVER PROPERTY & CASUALTY INSURANCE COMPANY ONE TOWER SQUARE HARTFORD, CT 06183 CSLB CODE: 053 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0743-5 PACIFIC EMPLOYERS INSURANCE COMPANY 1600 ARCH STREET PHILADELPHIA, PA 19103 CSLB CODE: 054 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2373-9 TERMINATED DATE: 05/31/02 FREMONT PACIFIC INSURANCE COMPANY 500 NORTH BRAND BOULEVARD SUITE 600 GLENDALE, CA 91203 (415) 362-3333 CSLB CODE: 055 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3118-7 TERMINATED DATE: 09/26/00 SUPERIOR PACIFIC CASUALTY COMPANY 6200 CANOGA AVENUE WOODLAND HILLS, CA 91367

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 26 ____________________________________________________________________________________________________________________________________ CSLB CODE: 056 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0856-5 SENTRY INSURANCE A MUTUAL COMPANY 3111 NORTH TUSTIN AVENUE SUITE 210 ORANGE, CA 92665 (714) 921-5040 CSLB CODE: 057 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0825-0 ST PAUL FIRE AND MARINE INSURANCE COMPANY 385 WASHINGTON STREET ST PAUL, MN 55105 CSLB CODE: 058 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1209-6 STATE FARM FIRE AND CASUALTY COMPANY ONE STATE FARM PLAZA BLOOMINGTON, IL 61701-0001 CSLB CODE: 059 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2339-0 TERMINATED DATE: 05/31/02 FREMONT COMPENSATION INSURANCE COMPANY P O BOX 19623 IRVINE, CA 92713 (714) 955-2170 CSLB CODE: 060 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1636-0 UNIGARD INSURANCE COMPANY P O BOX 90701 BELLEVUE, WA 98009-0710 CSLB CODE: 061 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0588-4 TERMINATED DATE: 01/01/99 ZURICH INSURANCE COMPANY 1400 AMERICAN LANE SCHAUMBERG, IL 60196 CSLB CODE: 062 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1515-6 TERMINATED DATE: 12/31/13 TOKIO MARINE & NICHIDO FIRE INSURANCE CO LTD 230 PARK AVENUE NEW YORK, NY 10169 (818) 568-7600

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 27 ____________________________________________________________________________________________________________________________________ CSLB CODE: 063 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1780-6 FLORISTS MUTUAL INSURANCE COMPANY 500 SAINT LOUIS STREET EDWARDVILLE, IL 62025 (800) 851-7740 CSLB CODE: 064 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1587-5 TERMINATED DATE: 08/31/01 FREMONT INDEMNITY COMPANY P O BOX 1776 GLENDALE, CA 91209 (818) 502-5220 CSLB CODE: 065 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2024-8 TERMINATED DATE: 09/01/95 AUTOMOBILE INSURANCE OF HARTFORD CT P O BOX 8090 WALNUT CREEK, CA 94586 (510) 947-6200 CSLB CODE: 066 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0742-7 ASSOCIATED INDEMNITY CORPORATION 225 W WASHINGTON STREET SUITE 1800 CHICAGO, IL 60606-3484 (800) 227-1700 CSLB CODE: 067 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0002-6 ACE PROPERTY AND CASUALTY INSURANCE COMPANY 436 WALNUT STREET PHILADELPHIA, PA 19106 (800) 352-4462 CSLB CODE: 068 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3044-5 FARMINGTON CASUALTY COMPANY 151 FARMINGTON AVENUE HARTFORD, CT 06156

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 28 ____________________________________________________________________________________________________________________________________ CSLB CODE: 069 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0732-8 GENERAL INSURANCE COMPANY OF AMERICA SAFECO PLAZA SEATTLE, WA 98185 CSLB CODE: 070 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0749-2 GRANITE STATE INSURANCE COMPANY 175 WATER STREET 18TH FLOOR NEW YORK, NY 10038 (800) 433-8880 CSLB CODE: 071 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0618-9 TERMINATED DATE: 05/23/16 LUMBERMEN'S UNDERWRITING ALLIANCE 2501 NORTH MILITARY TRAIN BOCA RATON, FL 33431 CSLB CODE: 072 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2495-0 TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA ONE TOWER SQUARE HARTFORD, CT 06183 CSLB CODE: 073 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1086-8 TERMINATED DATE: 02/13/01 UNITED PACIFIC INSURANCE COMPANY P O BOX 25099 SANTA ANA, CA 92799 (800) 432-2280 CSLB CODE: 074 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2071-9 INSURANCE COMPANY OF THE WEST 11455 EL CAMINO REAL SAN DIEGO, CA 92130 (800) 877-1111 CSLB CODE: 075 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2377-0 STARR INDEMNITY & LIABILITY COMPANY 90 PARK AVENUE 7TH FLOOR NEW YORK, NY 10016 (800) 344-2275

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 29 ____________________________________________________________________________________________________________________________________ CSLB CODE: 076 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3200-3 TERMINATED DATE: 05/08/01 GREAT STATES INSURANCE COMPANY 2099 SOUTH STATE COLLEGE BLVD ANAHEIM, CA 92806 (714) 634-1166 CSLB CODE: 077 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1006-6 AMERICAN HOME ASSURANCE COMPANY 70 PINE STREET NEW YORK, NY 10270 CSLB CODE: 078 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1152-8 TERMINATED DATE: 08/05/03 PACIFIC NATIONAL INSURANCE COMPANY 15661 REDHILL AVENUE SUITE 100 TUSTIN, CA 92680 (714) 259-5700 CSLB CODE: 079 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1984-4 TERMINATED DATE: 09/30/02 HIGHLAND UNDERWRITERS INSURANCE COMPANY 17875 VON KARMAN #310 IRVINE, CA 92714 (714) 757-5300 CSLB CODE: 080 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1523-0 ARGONAUT INSURANCE COMPANY 225 WEST WASHINGTON 6TH FLOOR CHICAGO, IL 60606 (800) 222-7811 CSLB CODE: 081 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1726-9 CYPRESS INSURANCE COMPANY 465 NORTH HALSTEAD STREET SUITE 104 PASADENA, CA 91107

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 30 ____________________________________________________________________________________________________________________________________ CSLB CODE: 082 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2885-2 TERMINATED DATE: 07/01/93 PACIFIC STATES CASUALTY COMPANY SOUTHERN OFFICE P O BOX 5131 CHINO, CA 91708 (714) 393-5100 CSLB CODE: 083 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2038-8 LAMORAK INSURANCE COMPANY 1880 JFK BLVD SUITE 801 PHILADELPHIA, PA 19103 CSLB CODE: 084 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1790-5 TRAVELERS CASUALTY AND SURETY COMPANY ONE TOWER SQUARE HARTFORD, CT 06183 CSLB CODE: 085 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0332-7 TERMINATED DATE: 03/31/15 SEATON INSURANCE COMPANY P O BOX 90701 BELLEVUE, WA 98009-0701 (800) 777-1757 CSLB CODE: 086 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0335-0 STANDARD FIRE INSURANCE COMPANY 151 FARMINGTON HARTFORD, CT 06156 CSLB CODE: 087 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1860-6 NATIONAL AMERICAN INSURANCE COMPANY OF CALIFORNIA 3838 CAMINO DEL RIO NORTH SUITE 305 SAN DIEGO, CA 92108 (800) 624-4104

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 31 ____________________________________________________________________________________________________________________________________ CSLB CODE: 088 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0114-9 TERMINATED DATE: 12/31/15 MARYLAND CASUALTY COMPANY P O BOX 1228 BALTIMORE, MD 21203 CSLB CODE: 089 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2270-7 CONTINENTAL INSURANCE COMPANY 401 PENN STREET READING, PA 19601 CSLB CODE: 090 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0699-9 TERMINATED DATE: 08/01/03 LUMBERMENS MUTUAL CASUALTY COMPANY ONE KEMPER DRIVE LONG GROVE, IL 60049-0001 (800) 833-0355 CSLB CODE: 091 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1255-9 TERMINATED DATE: 06/30/15 TIG PREMIER INSURANCE COMPANY P O BOX 5330 COSTA MESA, CA 92628 (714) 668-3700 CSLB CODE: 092 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3170-8 TERMINATED DATE: 09/10/04 PACIFIC EAGLE INSURANCE COMPANY PACIFIC EAGLE GROUP 1855 GATE WAY BLVD SUITE 360 CONCORD, CA 94520 (510) 687-0752 CSLB CODE: 093 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1893-7 CALIFORNIA CASUALTY INSURANCE COMPANY P O BOX M SAN MATEO, CA 94402 (415) 574-4000

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 32 ____________________________________________________________________________________________________________________________________ CSLB CODE: 094 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2132-9 TERMINATED DATE: 06/09/95 HOME INSURANCE COMPANY 1 EMBARCADERO CENTER SAN FRANCISCO, CA 94111 (415) 544-3000 CSLB CODE: 095 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2183-2 TERMINATED DATE: 06/21/02 PAULA INSURANCE COMPANY P O BOX 7111 PASADENA, CA 91109-7211 (818) 304-0401 CSLB CODE: 096 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1381-3 TERMINATED DATE: 12/31/02 EMPLOYEE BENEFITS INSURANCE COMPANY P O BOX 90304 SAN JOSE, CA 95109 CSLB CODE: 097 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0377-2 AMERICAN AUTOMOBILE INSURANCE COMPANY 777 SAN MARIN DRIVE NOVATO, CA 94998 CSLB CODE: 098 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1723-6 TERMINATED DATE: 02/13/01 RELIANCE NATIONAL INDEMITY COMPANY 44 EAST MIFFLIN STREET MADISON, WI 53703 CSLB CODE: 099 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0235-2 TERMINATED DATE: 01/01/11 WESTCHESTER FIRE INSURANCE COMPANY P O BOX 0557 BASKING RIDGE, NJ 07920-0557 CSLB CODE: 100 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3024-7 ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS 1299 ZURICH WAY SCHAUMBERG, IL 60196 (800) 936-5873

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 33 ____________________________________________________________________________________________________________________________________ CSLB CODE: 101 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3065-0 CINCINNATI INSURANCE COMPANY P O BOX 145496 CINCINNATI, OH 45250-5496 CSLB CODE: 102 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0135-4 NEW HAMPSHIRE INSURANCE COMPANY 175 WATER STREET 18TH FLOOR NEW YORK, NY 10038 (877) 399-6442 CSLB CODE: 103 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3122-9 TERMINATED DATE: 12/31/97 WORKERS COMPENSATION AND INDEMNITY CO OF CALIFORNIA P O BOX 2305 BREA, CA 92622 (714) 572-3000 CSLB CODE: 104 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0489-5 TERMINATED DATE: 11/14/94 TRAVELERS INDEMNITY COMPANY 10 UNIVERSAL PLAZA UNIVERSAL CITY, CA 91608 CSLB CODE: 105 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1898-6 SOMPO AMERICA INSURANCE COMPANY 11405 N COMMUNITY HOUSE ROAD SUITE 600 CHARLOTTE, NC 28277 (213) 624-0992 CSLB CODE: 106 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2825-8 TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA ONE TOWER SQUARE 4MN HARTFORD, CT 06183 (877) 872-8737

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 34 ____________________________________________________________________________________________________________________________________ CSLB CODE: 107 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2271-5 TERMINATED DATE: 12/31/06 THE FIDELITY & CASUALTY COMPANY OF NY 401 PENN STREET READING, PA 19601 CSLB CODE: 108 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2097-4 HANOVER INSURANCE COMPANY (THE) P O BOX 15380 SACRAMENTO, CA 95851-0380 (800) 875-7491 CSLB CODE: 109 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1456-3 TERMINATED DATE: 04/25/03 LEGION INSURANCE COMPANY 225 EAST MICHIGAN STREET MILWAUKEE, WI 53202 (414) 272-3727 CSLB CODE: 110 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1325-0 ACE AMERICAN INSURANCE COMPANY P O BOX 13342 SACRAMENTO, CA 95813 (916) 636-1654 CSLB CODE: 111 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1377-1 AMERISURE MUTUAL INSURANCE COMPANY 28 WEST ADAMS DETROIT, MI 48226 CSLB CODE: 112 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1575-0 EMPLOYERS MUTUAL CASUALTY COMPANY P O BOX 712 DES MOINES, IA 50303-0712 (800) 247-4445

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 35 ____________________________________________________________________________________________________________________________________ CSLB CODE: 113 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0059-6 FEDERAL INSURANCE COMPANY 2 EMBARCADERO CENTER SUITE 900 SAN FRANCISCO, CA 94111 (916) 989-3000 CSLB CODE: 114 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1489-4 OLD REPUBLIC INSURANCE COMPANY 445 SOUTH MOORLAND BROOKFIELD, WI 53005 CSLB CODE: 115 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3599-8 TERMINATED DATE: 05/08/01 H I H AMERICAN COMPENSATION & LIABILITY INSURANCE COMPANY 577 AIRPORT BOULEVARD #540 BURLINGAME, CA 94010 CSLB CODE: 116 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1300-3 TERMINATED DATE: 04/27/11 CENTENNIAL INSURANCE COMPANY 210 SPEAR STREET SUITE 1800 SAN FRANCISCO, CA 94105 (415) 981-1500 CSLB CODE: 117 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0010-9 AMERICAN INSURANCE COMPANY C/O FIREMANS GROUP 7777 SAN MARIN DRIVE NOVATO, CA 94998 (415) 899-2000 CSLB CODE: 118 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1291-4 STARSTONE NATIONAL INSURANCE COMPANY HARBORSIDE FINANCIAL CENTER PLAZA 5 SUITE 2900 JERSEY CITY, NJ 07311 (800) 253-1548

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 36 ____________________________________________________________________________________________________________________________________ CSLB CODE: 119 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3089-0 HARTFORD INSURANCE COMPANY OF THE MIDWEST P O BOX 3615 SAN FRANCISCO, CA 94119 (800) 622-0945 CSLB CODE: 120 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0198-2 TERMINATED DATE: 12/31/07 SECURITY INSURANCE COMPANY OF HARTFORD C/O WILSON HEIRGOOD ASSOCIATES P O BOX 1421 EUGENE, OR 97440-1421 CSLB CODE: 121 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1363-1 TERMINATED DATE: 07/01/99 ELECTRIC MUTUAL LIABILITY INSURANCE COMPANY 152 CONANT STREET P O BOX 1028 BEVERLY, MA 01915-0728 (508) 524-5210 CSLB CODE: 122 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0586-8 MOTORISTS COMMERCIAL MUTUAL INSURANCE COMPANY 471 EAST BROAD STREET COLUMBUS, OH 43215-3861 (800) 227-4663 CSLB CODE: 123 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1210-4 UTICA MUTUAL INSURANCE COMPANY P O BOX 5008 GLENDORA, CA 91740-0733 (818) 914-7611 CSLB CODE: 124 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2420-8 ALLSTATE NORTHBROOK INDEMNITY COMPANY 2775 SANDERS ROAD NORTHBROOK, IL 60062-6127

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 37 ____________________________________________________________________________________________________________________________________ CSLB CODE: 125 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0056-2 TRAVELERS INDEMNITY COMPANY OF CONNECTICUT P O BOX 13955 SACRAMENTO, CA 95813 CSLB CODE: 126 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0651-0 GREAT AMERICAN INSURANCE COMPANY OF NEW YORK P O BOX 45890 SALT LAKE CITY, UT 84145-0890 (800) 828-9730 CSLB CODE: 127 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2145-1 CALIFORNIA CASUALTY AND FIRE INSURANCE COMPANY P O BOX M SAN MATEO, CA 94402 (415) 574-4000 CSLB CODE: 128 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2173-3 TERMINATED DATE: 05/08/13 AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY C/O KEMPER NATIONAL INS CO P O BOX 925 LA PUENTE, CA 91747-0925 CSLB CODE: 129 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1804-4 NATIONWIDE MUTUAL FIRE INSURANCE COMPANY P O BOX 5055 VISALIA, CA 93278 (800) 321-6609 CSLB CODE: 130 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3051-0 TERMINATED DATE: 05/12/04 UNITED COMMUNITY INSURANCE COMPANY 33 ELK STREET ALBANY, NY 12207

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 38 ____________________________________________________________________________________________________________________________________ CSLB CODE: 131 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2291-3 TERMINATED DATE: 05/12/04 ATLAS ASSURANCE COMPANY OF AMERICA 4390 U S ROUTE 1 PRINCETON, NJ 08540 CSLB CODE: 132 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0896-1 PACIFIC INDEMNITY COMPANY 15 MOUTAIN VIEW ROAD WARREN, NJ 07061 CSLB CODE: 133 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3100-5 TWIN CITY FIRE INSURANCE COMPANY HARTFORD PLAZA HO-1-09 HARTFORD, CT 06115 CSLB CODE: 134 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2142-8 TERMINATED DATE: 12/31/01 SUMITOMO MARINE AND FIRE INSURANCE COMPANY 6500 WILSHIRE BOULEVARD SUITE 370 LOS ANGELES, CA 90048 (213) 655-7856 CSLB CODE: 135 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2099-0 GENERAL REINSURANCE CORPORATION P O BOX 10350 STANFORD, CT 06904-2350 (203) 325-5000 CSLB CODE: 136 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2218-6 TERMINATED DATE: 09/01/14 NIPPONKOA INSURANCE COMPANY, LIMITED (US BRANCH) 1 TOWER SQUARE HARTFORD, CT 06115 CSLB CODE: 137 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0381-4 TERMINATED DATE: 08/16/01 LMI COMMERCIAL INSURANCE COMPANY 212 61 BURBANK BOULEVARD WOODLAND HILLS, CA 91367 (818) 992-5222

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 39 ____________________________________________________________________________________________________________________________________ CSLB CODE: 138 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2234-3 GRAPHIC ARTS MUTUAL INSURANCE COMPANY P O BOX 5008 GLENDORA, CA 91740-0733 (800) 879-1914 CSLB CODE: 139 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4821-5 UNITED STATES FIRE INSURANCE COMPANY 305 MADISON AVENUE MORRISTOWN, NJ 07962 CSLB CODE: 140 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3115-3 ZNAT INSURANCE COMPANY 21255 CALIFA STREET WOODLAND HILLS, CA 91367-5005 (818) 713-1000 CSLB CODE: 141 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1127-0 TERMINATED DATE: 05/02/94 EMPLOYERS CASUALTY COMPANY P O BOX 2759 DALLAS, TX 75221 CSLB CODE: 142 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2067-7 TERMINATED DATE: 12/31/04 ROYAL INSURANCE COMPANY OF AMERICA 495 NORTH COMMONS DRIVE AURORA, IL 60505 CSLB CODE: 143 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2300-2 TERMINATED DATE: 12/31/05 ALLIED INSURANCE COMPANY P O BOX 95402 SANTA ROSA, CA 95402-0849 (707) 542-2502 CSLB CODE: 144 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0440-8 HARTFORD ACCIDENT AND INDEMNITY COMPANY P O BOX 3615 SAN FRANCISCO, CA 94119 (800) 622-0945

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 40 ____________________________________________________________________________________________________________________________________ CSLB CODE: 145 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3037-9 TERMINATED DATE: 06/14/11 CANADIAN INSURANCE COMPANY OF CALIFORNIA P O BOX 7350 COSTA MESA, CA 92628 (714) 745-7300 CSLB CODE: 146 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0811-0 LIBERTY MUTUAL FIRE INSURANCE COMPANY P O BOX 9117 PLEASANTON, CA 94107-9117 (510) 734-9200 CSLB CODE: 147 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2490-1 ASPIRE GENERAL INSURANCE COMPANY 8885 HAVEN AVENUE RANCHO CUCAMONGA, CA 91730 (415) 777-0507 CSLB CODE: 148 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0326-9 TERMINATED DATE: 12/31/15 NORTHERN INSURANCE COMPANY OF NEW YORK P O BOX 91 BALTIMORE, MD 21203 CSLB CODE: 149 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3184-9 LIBERTY INSURANCE CORPORATION P O BOX 9117 PLEASANTON, CA 94566-9117 (510) 734-9200 CSLB CODE: 150 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0937-3 FARMERS INSURANCE EXCHANGE LEGISLATIVE/REGULATORY AFFAIRS P O BOX 2478 TERMINAL ANNEX LOS ANGELES, CA 90051-2478

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 41 ____________________________________________________________________________________________________________________________________ CSLB CODE: 151 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2028-9 PROGRESSIVE CASUALTY INSURANCE COMPANY BOX L 310 MAYFIELD HEIGHTS, OH 44124 CSLB CODE: 152 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1891-1 ST PAUL MERCURY INSURANCE COMPANY 385 WASHINGTON STREET ST PAUL, MN 55102 (612) 221-7911 CSLB CODE: 153 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1117-1 ALLSTATE INSURANCE COMPANY ALLSTATE PLAZA NORTHBROOK, IL 60062 (708) 402-5000 CSLB CODE: 154 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3099-9 HARTFORD CASUALTY INSURANCE COMPANY HARTFORD PLAZA H0-1-09 HARTFORD, CT 06115 (203) 547-5000 CSLB CODE: 155 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0128-9 NATIONAL FIRE INSURANCE COMPANY OF HARTFORD CNA PLAZA CHICAGO, IL 60685 (312) 822-5000 CSLB CODE: 156 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2923-1 TERMINATED DATE: 02/13/01 RELIANCE NATIONAL INSURANCE COMPANY 77 WATER STREET NEW YORK, NY 10005 (203) 547-5000

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 42 ____________________________________________________________________________________________________________________________________ CSLB CODE: 157 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0127-1 NATIONAL CASUALTY COMPANY ONE CITY CENTER SUITE 1800 515 NORTH 6TH STREET ST LOUIS, MO 63101 (314) 421-4626 CSLB CODE: 158 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0978-7 FIRST NATIONAL INSURANCE COMPANY OF AMERICA SAFECO PLAZA SEATTLE, WA 98185 (206) 545-5000 CSLB CODE: 159 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2942-1 QUALITAS INSURANCE COMPANY 800 SILVERADO STREET 2ND FLOOR LA JOLLA, CA 92037 (800) 777-2249 CSLB CODE: 160 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1789-7 AMERICAN STATES INSURANCE COMPANY OF TEXAS C/O DON A SIORANZA 400 TAYLOR BOULEVARD PLEASANT HILL, CA 94523 CSLB CODE: 161 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2091-7 TERMINATED DATE: 10/01/98 ALLIED MUTUAL INSURANCE COMPANY P O BOX 974 DES MONINES, IA 50304 (503) 928-2344 CSLB CODE: 162 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2085-9 TERMINATED DATE: 06/10/03 INTERNATIONAL INSURANCE COMPANY 200 SOUTH WACKER DRIVE CHICAGO, IL 60606

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 43 ____________________________________________________________________________________________________________________________________ CSLB CODE: 163 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2944-7 TERMINATED DATE: 09/09/92 WESTERN INTERNATIONAL INSURANCE COMPANY ONE PACIFIC PLAZA 7777 CENTER AVENUE HUNTINGTON BEACH, CA 92647 (714) 895-5141 CSLB CODE: 164 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2435-6 REPWEST INSURANCE COMPANY 2721 N CENTRAL AVENUE PHOENIX, AZ 85004 (800) 858-0317 CSLB CODE: 165 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1969-5 PALOMAR SPECIALTY INSURANCE COMPANY 888 PROSPECT STREET SUITE 105 LA JOLLA, CA 92037 (800) 248-2275 CSLB CODE: 166 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2084-2 NORTH RIVER INSURANCE COMPANY 305 MADISON AVENUE MORRISTOWN, NJ 07960 (800) 690-5520 CSLB CODE: 167 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0259-2 INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA (THE) 175 WATER STREET 18TH FLOOR NEW YORK, NY 10038 (877) 399-6442 CSLB CODE: 168 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0085-1 HARTFORD FIRE INSURANCE COMPANY HARTFORD PLAZA HARTFORD, CT 06115

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 44 ____________________________________________________________________________________________________________________________________ CSLB CODE: 169 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2646-8 TERMINATED DATE: 07/31/13 HOUSTON GENERAL INSURANCE COMPANY P O BOX 2932 FORT WORTH, TX 76113-2932 CSLB CODE: 170 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2241-8 PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE COMPANY 925 CHESTNUT STREET PHILADELPHIA, PA 19107 CSLB CODE: 171 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1327-6 SEQUOIA INSURANCE COMPANY 2700 SANDI HILL ROAD MENLO PARK, CA 94025 CSLB CODE: 172 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2409-1 ARGONAUT-MIDWEST INSURANCE COMPANY 8750 NORTH BRYN MAWR AVENUE SUITE 600 CHICAGO, IL 60631 CSLB CODE: 173 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2643-5 TERMINATED DATE: 07/19/02 VIRGINIA SURETY COMPANY INC 1000 MILWAUKEE AVENUE GLENVIEW, IL 60025 CSLB CODE: 174 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2078-4 TERMINATED DATE: 03/31/01 FREMONT CASUALTY INSURANCE COMPANY 321 NORTH CLARK STREET CHICAGO, IL 60610 CSLB CODE: 175 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1157-7 AIG PROPERTY CASUALTY COMPANY 175 WATER STREET 18TH FLOOR NEW YORK, NY 10038 (800) 433-8880

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 45 ____________________________________________________________________________________________________________________________________ CSLB CODE: 176 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0233-7 CALIFORNIA CAPITAL INSURANCE COMPANY P O BOX 3110 MONTEREY, CA 93940 CSLB CODE: 177 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3132-8 FINANCIAL PACIFIC INSURANCE COMPANY P O BOX 292220 SACRAMENTO, CA 95829 (800) 371-8067 CSLB CODE: 178 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1237-7 AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY 1400 AMERICAN LANE SCHAUMBURG, IL 60196-1056 (800) 382-2150 CSLB CODE: 179 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2257-4 TERMINATED DATE: 10/31/00 FREMONT INDEMNITY COMPANY OF THE NORTHWEST 1601 5TH AVENUE SUITE 1300 SEATTLE, WA 98101-1625 CSLB CODE: 180 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2286-3 CALIFORNIA CASUALTY GENERAL INSURANCE COMPANY P O BOX M SAN MATEO, CA 94402-0080 CSLB CODE: 181 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2458-8 WESTPORT INSURANCE CORPORATION 5200 METCALF OVERLAND PARK, KS 66201-1391 (800) 255-6931 CSLB CODE: 182 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3146-8 TERMINATED DATE: 12/31/05 UNITED EMPLOYERS INSURANCE COMPANY 6566 SOUTH EAST LAKE ROAD PORTLAND, OR 97222

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:00 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 46 ____________________________________________________________________________________________________________________________________ CSLB CODE: 183 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3182-3 TERMINATED DATE: 12/22/97 AMERICAN EAGLE INSURANCE COMPANY 12801 NORTH CENTER EXPRESS WAY SUITE 800 DALLAS, TX 75243 CSLB CODE: 184 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0938-1 TERMINATED DATE: 07/01/05 GULF INSURANCE COMPANY 4435 MAIN SUITE 400 KANSAS CITY, MO 64111 CSLB CODE: 185 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2272-3 TERMINATED DATE: 12/31/06 GLENS FALLS INSURANCE COMPANY 1209 ORANGE STREET WILMINGTON, DE 19801 CSLB CODE: 186 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1567-7 TERMINATED DATE: 02/19/04 AMERICAN POLICYHOLDERS INSURANCE COMPANY 200 QUANNA POWITT PARKWAY WAKEFIELD, MA 01880 CSLB CODE: 187 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3198-9 TERMINATED DATE: 05/30/13 ULLICO CASUALTY COMPANY 1625 EYE STREET NW 5TH FLOOR WASHINGTON, DC 20006 CSLB CODE: 188 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1254-2 CLARENDON NATIONAL INSURANCE COMPANY 475 KILBERT STREET SUITE 330 WARWICK, RI 02886 (800) 752-4549 CSLB CODE: 189 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2935-5 CRUSADER INSURANCE COMPANY 26050 MUREAU ROAD CALABASAS, CA 91302 (800) 669-9800

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 47 ____________________________________________________________________________________________________________________________________ CSLB CODE: 190 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1578-4 TERMINATED DATE: 12/31/04 FIRE AND CASUALTY INSURANCE COMPANY OF CONNECTICUT 9 FARM SPRINGS DRIVE FARMINGTON, CT 06032 CSLB CODE: 191 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2274-9 TERMINATED DATE: 12/31/06 NIAGARA FIRE INSURANCE COMPANY 180 MAIDEN LANE NEW YORK, NY 10038 CSLB CODE: 192 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3078-3 NATIONAL FARMERS UNION PROPERTY & CASUALTY COMPANY P O BOX 3199 WINSTON-SALEM, NC 27102 (800) 362-5448 CSLB CODE: 193 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1762-4 TERMINATED DATE: 04/12/95 OHIO SECURITY INSURANCE COMPANY 136 NORTH THIRD STREET HAMILTON, OH 45012 CSLB CODE: 194 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1956-2 TERMINATED DATE: 12/31/15 ASSURANCE COMPANY OF AMERICA 1 BATTERY PARK PLAZA NEW YORK, NY 10038 CSLB CODE: 195 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1313-6 GREAT AMERICAN ALLIANCE INSURANCE COMPANY 580 WALNUT STREET CINCINATTI, OH 45202 CSLB CODE: 196 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2398-6 ARROWOOD INDEMNITY COMPANY 3600 ARCO CORPORATE DRIVE C/O ROYAL & SUNALLIANCE CHARLOTTE, NC 28273 (866) 236-7750

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 48 ____________________________________________________________________________________________________________________________________ CSLB CODE: 197 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2049-5 ST PAUL GUARDIAN INSURANCE COMPANY 385 WASHINGTON STREET ST PAUL, MN 55102 CSLB CODE: 198 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1714-5 STATE FARM GENERAL INSURANCE COMPANY 112 EAST WASHINGTON STREET BLOOMINGTON, IL 61701 CSLB CODE: 199 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1132-0 FREEDOM SPECIALTY INSURANCE COMPANY ONE WEST NATIONWIDE BLVD DSPF-76 COLUMBUS, OH 43215-2220 (800) 423-7675 CSLB CODE: 200 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2366-3 CALIFORNIA INSURANCE COMPANY 255 CALIFORNIA STREET SAN FRANCISCO, CA 94111 CSLB CODE: 201 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1248-4 VIGILANT INSURANCE COMPANY 15 MOUNTAIN VIEW ROAD WARREN, NJ 07061 (800) 252-4670 CSLB CODE: 202 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3570-9 TERMINATED DATE: 08/29/97 CENTRE REINSURANCE COMPANY OF NEW YORK 33 WHITEWALL STREET NEW YORK, NY 10004 CSLB CODE: 203 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0351-7 A I U INSURANCE COMPANY 70 PINE STREET NEW YORK, NY 10270 (800) 433-8880

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 49 ____________________________________________________________________________________________________________________________________ CSLB CODE: 204 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2393-7 TERMINATED DATE: 02/08/95 ORMOND REINSURANCE COMPANY 140 SOUTH ATLANTIC AVENUE ORMOND, FL 32176 CSLB CODE: 205 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2213-7 TERMINATED DATE: 06/09/95 HOME INSURANCE COMPANY OF INDIANA 11590 NORTH MERIDIAN SUITE 200 CARMEL, IN 46032 CSLB CODE: 206 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1931-5 TERMINATED DATE: 11/14/94 TRAVELERS INDEMNITY COMPANY OF AMERICA 211 PERIMETER CENTER PARKWAY ATLANTA, GA 30346 CSLB CODE: 207 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3594-9 LM INSURANCE CORPORATION 175 BERKELEY STREET BOSTON, MA 02117 CSLB CODE: 208 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3593-1 FIRST LIBERTY INSURANCE CORPORATION P O BOX 36907 LOS ANGELES, CA 90036 CSLB CODE: 209 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2168-3 BANKERS STANDARD INSURANCE COMPANY 2502 ROCKY POINT DRIVE TAMPA, FL 33607 CSLB CODE: 210 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2444-8 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA ONE TOWER SQUARE HARTFORD, CT 06183

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 50 ____________________________________________________________________________________________________________________________________ CSLB CODE: 211 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0369-9 TERMINATED DATE: 12/31/95 INDEMNITY INSURANCE COMPANY OF NORTH AMERICA 1185 AVENUE OF AMERICAS NEW YORK, NY 10036 CSLB CODE: 212 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3073-4 TERMINATED DATE: 01/17/03 WESTERN GROWERS INSURANCE COMPANY 17620 FITCH STREET IRVINE, CA 92714 CSLB CODE: 213 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2333-3 FIDELITY AND GUARANTY INSURANCE COMPANY 1089 JORDAN CREEK PARKWAY SUITE 300 WEST DES MOINES, IA 50266-5829 CSLB CODE: 214 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2396-0 TERMINATED DATE: 12/31/04 GLOBE INDEMNITY COMPANY 1209 ORANGE STREET WILMINGTON, DE 19801 CSLB CODE: 215 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3606-1 TERMINATED DATE: 12/19/00 CREDIT GENERAL INSURANCE COMPANY 709 BROOK PARK ROAD CLEVELAND, OH 44109 CSLB CODE: 216 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2931-4 AMERICAN ZURICH INSURANCE COMPANY 1299 ZURICH WAY SCHAUMBURG, IL 60196 (800) 936-5873 CSLB CODE: 217 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3631-9 CALIFORNIA CASUALTY COMPENSATION INSURANCE COMPANY 1900 ALAMEDA DE LAS PULGAS SAN MATEO, CA 94403

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 51 ____________________________________________________________________________________________________________________________________ CSLB CODE: 218 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2449-7 TERMINATED DATE: 06/30/03 WESTERN CONTINENTAL INSURANCE COMPANY 700 LOUISANA STREET SUITE 4700 HOUSTON, TX 77002 CSLB CODE: 219 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3608-7 SEAVIEW INSURANCE COMPANY 1959 PALOMAR OAKS WAY STE 200 CARLSBAD, CA 92011 CSLB CODE: 220 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3056-9 SAFECO INSURANCE COMPANY OF ILLINOIS SAFECO PLAZA SEATTLE, WA 98185 CSLB CODE: 221 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2192-3 AMCO INSURANCE COMPANY 701 5TH AVENUE DES MOINES, IA 50391-2007 CSLB CODE: 222 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3146-8 TERMINATED DATE: 02/07/06 GROCERS INSURANCE COMPANY 6605 S E LAKE ROAD MILWAUKIE, OR 97222 CSLB CODE: 223 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3623-6 SUTTON NATIONAL INSURANCE COMPANY 1855 GRIFFIN ROAD SUITE B390 DANIA BEACH, FL 33004 (800) 362-5448 CSLB CODE: 224 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2821-7 TERMINATED DATE: 01/14/05 AMERICAN PROTECTION INSURANCE COMPANY 1 KEMPER DRIVE LONG GROVE, IL 60049

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 52 ____________________________________________________________________________________________________________________________________ CSLB CODE: 225 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2848-0 TERMINATED DATE: 11/30/11 FRONTIER PACIFIC INSURANCE COMPANY 6404 WILSHIRE BOULEVARD SUITE 850 LOS ANGELES, CA 90048 CSLB CODE: 226 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2073-5 TERMINATED DATE: 11/18/16 ASSOCIATED INTERNATIONAL INSURANCE COMPANY 21860 BURBANK BOULEVARD SUITE 300 WOODLAND HILLS, CA 91367 CSLB CODE: 227 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3731-7 ACIG INSURANCE COMPANY 12222 MERIT DRIVE SUITE 1660 DALLAS, TX 75251 (800) 563-6051 CSLB CODE: 228 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2508-1 TERMINATED DATE: 09/26/00 COMBINED BENEFITS INSURANCE COMPANY 3400 DATA DRIVE RANCHO CORDOVA, CA 95670 CSLB CODE: 229 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2305-1 ALLIANZ UNDERWRITERS INSURANCE COMPANY P O BOX 7700 BURBANK, CA 91510 CSLB CODE: 230 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2244-2 BLACKBOARD INSURANCE COMPANY 120 BROADWAY 17TH FLOOR NEW YORK, NY 10271 (888) 257-2059

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 53 ____________________________________________________________________________________________________________________________________ CSLB CODE: 231 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3004-9 EXPLORER INSURANCE COMPANY 11455 EL CAMINO REAL SAN DIEGO, CA 92130 (800) 788-8984 CSLB CODE: 232 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2638-5 ASCOT INSURANCE COMPANY 10233 SOUTH PARKER ROAD SUITE 300 PARKER, CO 80134 CSLB CODE: 233 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1922-4 ACE FIRE UNDERWRITERS INSURANCE COMPANY 900 COLLEGE GROVE ROAD BLOOMFIELD, CT 06002 CSLB CODE: 234 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3337-3 NORTH AMERICAN ELITE INSURANCE COMPANY 650 ELM STREET 6TH FLOOR MANCHESTER, NH 03101-2524 CSLB CODE: 235 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3780-4 TERMINATED DATE: 10/24/02 ALISTAR INSURANCE COMPANY 616 P STREET FRESNO, CA 93721 CSLB CODE: 236 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0364-0 TERMINATED DATE: 06/19/03 NEWARK INSURANCE COMPANY 999 STEWART AVENUE BETHPAGE, NY 11714 CSLB CODE: 237 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3725-9 TERMINATED DATE: 10/31/00 FREMONT EMPLOYERS INSURANCE COMPANY P O BOX 7468 SAN FRANCISCO, CA 94111

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 54 ____________________________________________________________________________________________________________________________________ CSLB CODE: 238 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1596-6 FIDELITY AND GUARANTY INSURANCE UNDERWRITERS INC P O BOX 1138 BALTIMORE, MD 21203 CSLB CODE: 239 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2047-9 ELECTRIC INSURANCE COMPANY 152 CONANT STREET BEVERLY, MA 01915 CSLB CODE: 240 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1111-4 TERMINATED DATE: 12/31/04 CONNECTICUT INDEMNITY COMPANY 9 FARM SPRINGS DRIVE FARMINGTON, CT 06032 CSLB CODE: 241 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3188-0 STAR INSURANCE COMPANY P O BOX 2054 SOUTHFIELD, MI 48037 (800) 482-2726 CSLB CODE: 242 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1553-7 COMMERCE AND INDUSTRY INSURANCE COMPANY 700 PINE STREET NEW YORK, NY 10270 CSLB CODE: 243 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4301-8 REGENT INSURANCE COMPANY ONE GENERAL DRIVE SUN PRAIRIE, WI 53596 (800) 362-5448 CSLB CODE: 244 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1903-4 BENCHMARK INSURANCE COMPANY 6701 WEST 64TH STREET SUITE 125 BUILDING 5 SHAWNEE MISSION, KS 66202

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 55 ____________________________________________________________________________________________________________________________________ CSLB CODE: 245 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3214-4 TERMINATED DATE: 12/30/16 SPRINGFIELD INSURANCE COMPANY 874 SOUTH VILLAGE OAKS DRIVE COVINA, CA 91724 CSLB CODE: 246 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2273-1 CENTRE INSURANCE COMPANY 1209 ORANGE STREET WILMINGTON, DE 19801 CSLB CODE: 247 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3613-7 WAUSAU BUSINESS INSURANCE COMPANY 2000 WESTWOOD DRIVE WAUSAU, WI 54401 CSLB CODE: 248 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3752-3 TERMINATED DATE: 11/02/01 LUMBER MUTUAL INSURANCE COMPANY 1 SPEEN STREET FARMINGHAM, MA 01701 CSLB CODE: 249 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1387-0 SWISS REINSURANCE AMERICA CORP 237 PARK AVENUE NEW YORK, NY 10017 CSLB CODE: 250 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3064-3 TERMINATED DATE: 04/01/17 CASTLEPOINT NATIONAL INSURANCE COMPANY 222 SOUTH RIVERSIDE PLAZA CHICAGO, IL 60606 CSLB CODE: 251 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0872-2 TRINITY UNIVERSAL INSURANCE COMPANY P O BOX 655028 DALLAS, TX 75265

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 56 ____________________________________________________________________________________________________________________________________ CSLB CODE: 252 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2240-0 DANIELSON NATIONAL INSURANCE COMPANY 19100 SUSANA ROAD RANCHO DOMINGUEZ, CA 90221 CSLB CODE: 253 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3023-9 TERMINATED DATE: 12/31/97 INDUSTRIAL INSURANCE COMPANY 255 CALIFORNIA STREET SAN FRANCISCO, CA 94111 CSLB CODE: 254 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4453-7 GOLDEN EAGLE INSURANCE CORPORATION 7175 NAVAJO ROAD SAN DIEGO, CA 92119 CSLB CODE: 255 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2479-4 FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1299 ZURICH WAY SCHAUMBURG, IL 60196-5870 (800) 382-2150 CSLB CODE: 256 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2947-0 TERMINATED DATE: 08/18/04 CASUALTY RECIPROCAL EXCHANGE 9201 STATE LINE KANSAS CITY, MO 64114 CSLB CODE: 257 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3208-6 NORTH AMERICAN SPECIALTY INSURANCE COMPANY 650 ELM STREET 6TH FLOOR MANCHESTER, NH 03121-2524 (800) 542-9200 CSLB CODE: 258 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0711-2 TERMINATED DATE: 07/31/98 AMERICAN ALTERNATIVE INSURANCE CORPORATION C/O AMERICAN R E CORPORATION PRINCETON, NJ 08543

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 57 ____________________________________________________________________________________________________________________________________ CSLB CODE: 259 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2415-8 TERMINATED DATE: 06/30/15 FAIRMONT SPECIALTY INSURANCE COMPANY 250 COMMERCIAL ST SUITE 5000 MANCHESTER, NH 03101 (800) 392-1970 CSLB CODE: 260 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4287-9 TERMINATED DATE: 12/12/00 CREDIT GENERAL INDEMNITY COMPANY 709 BROOKPARK ROAD CLEVELAND, OH 44109 CSLB CODE: 261 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2190-7 WESTCHESTER FIRE INSURANCE COMPANY 436 WALNUT STREET PHILADELPHIA, PA 19106 (800) 352-4462 CSLB CODE: 262 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0157-8 TERMINATED DATE: 12/31/04 SAFEGUARD INSURANCE COMPANY P O BOX 4000 CHARLOTTE, NC 28201-1000 CSLB CODE: 263 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4343-0 MIDWEST EMPLOYERS CASUALTY COMPANY 14755 NORTH OUTER FORTY DRIVE SUITE 300 CHESTERFIELD, MO 63017 CSLB CODE: 264 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3016-3 CRESTBROOK INSURANCE CO ONE NATIONWIDE PLAZA COLUMBUS, OH 43215 CSLB CODE: 265 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2516-3 TERMINATED DATE: 10/08/03 PACIFIC AUTOMOBILE INSURANCE COMPANY 6300 CANGA AVENUE WOODLAND HILLS, CA 91367

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 58 ____________________________________________________________________________________________________________________________________ CSLB CODE: 266 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2397-8 TERMINATED DATE: 12/31/04 AMERICAN AND FOREIGN INSURANCE CO 1209 ORANGE STREET WILMINGTON, DE 19801 (704) 522-3250 CSLB CODE: 267 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3234-2 ALASKA NATIONAL INSURANCE CO 7001 JEWEL LAKE ROAD ANCHORAGE, AK 99502 (907) 248-2642 CSLB CODE: 268 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3186-4 ALLIED WORLD INSURANCE COMPANY 199 WATER STREET 25TH FLOOR NEW YORK, NY 10038 CSLB CODE: 269 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4407-3 TERMINATED DATE: 11/16/12 FRONTIER INSURANCE COMPANY 195 LAKE LOUISE MARIE ROAD ROCK HILL, NY 12775-8000 (800) 836-2100 CSLB CODE: 270 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4525-2 PREFERRED EMPLOYERS INSURANCE COMPANY 404 CAMINO DEL RIO SOUTH #400 SAN DIEGO, CA 92108 CSLB CODE: 271 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3569-1 FINIAL REINSURANCE COMPANY 3024 HARNEY STREET OMAHA, NE 68131 CSLB CODE: 272 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1945-5 MIDDLESEX INSURANCE COMPANY 3111 NORTH TUSTIN AVENUE SUITE 210 ORANGE, CA 92665

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 59 ____________________________________________________________________________________________________________________________________ CSLB CODE: 273 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1567-7 TERMINATED DATE: 04/25/03 VILLANOVA INSURANCE COMPANY ONE LOGAN SQUARE SUITE 1400 PHILADELPHIA, PA 19103 CSLB CODE: 274 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1704-6 TERMINATED DATE: 12/19/19 ARGONAUT-SOUTHWEST INSURANCE COMPANY 250 MIDDLE FIELD ROAD MENLO PARK, CA 94025 CSLB CODE: 275 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2417-4 TERMINATED DATE: 02/13/01 RELIANCE UNIVERSAL INSURANCE COMPANY 10989 TRADE CENTER ROAD RANCHO CORDOVA, CA 95670 (916) 638-8300 CSLB CODE: 276 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4541-9 AMERICAN ALTERNATIVE INSURANCE CORPORATION 555 COLLEGE ROAD EAST PRINCETON, NJ 08543 (916) 638-8300 CSLB CODE: 277 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3605-3 SAFETY NATIONAL CASUALTY CORPORATION 2043 WOODLAND ROAD #200 ST LOUIS, MO 63146 CSLB CODE: 278 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1491-0 TERMINATED DATE: 03/31/00 COMMERCIAL COMPENSATION INSURANCE COMPANY 120 WHITE PLAINS ROAD NEW YORK, NY 10591 CSLB CODE: 279 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4449-5 UNITRIN AUTO AND HOME INSURANCE CO 5874 WIDEWATER PARKWAY DE WITT, NY 13214

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 60 ____________________________________________________________________________________________________________________________________ CSLB CODE: 280 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2924-9 SENTRY SELECT INSURANCE COMPANY 3400 80TH STREET MOLINE, IL 61265-5886 CSLB CODE: 281 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4556-7 GENERAL CASUALTY COMPANY OF WISCONSIN ONE GENERAL DRIVE SUN PRAIRIE, WI 53596 CSLB CODE: 282 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3138-5 EVEREST NATIONAL INSURANCE COMPANY 2929 NORTH 44TH STREET PHOENIX, AZ 85018-7239 CSLB CODE: 283 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2357-2 REDWOOD FIRE AND CASUALTY INSURANCE CO 3333 FARNAM STREET SUITE 300 OMAHA, NE 68131 CSLB CODE: 284 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4456-0 TERMINATED DATE: 07/17/01 SABLE INSURANCE CO 433 CALIFORNIA STREET 11TH FLOOR SAN FRANCISCO, CA 94104 CSLB CODE: 285 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3091-6 FIRST AMERICAN SPECIALTY INSURANCE COMPANY P O BOX 16099 IRVINE, CA 92713-6099 CSLB CODE: 286 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3272-2 TERMINATED DATE: 03/23/10 REDLAND INSURANCE COMPANY 222 SOUTH 15TH STREET SUITE 600 N OMAHA, NE 68102

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 61 ____________________________________________________________________________________________________________________________________ CSLB CODE: 287 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2237-6 TERMINATED DATE: 12/28/04 SIERRA PACIFIC INSURANCE COMPANY P O BOX 2430 NAPA, CA 94558 CSLB CODE: 288 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3070-0 WILLIAMSBURG NATIONAL INSURANCE COMPANY 12641 EAST 166TH STREET CERRITOS, CA 90703 CSLB CODE: 289 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2892-8 TERMINATED DATE: 12/31/07 ORION INSURANCE COMPANY 9 FARM SPRINGS DRIVE FARMINGTON, CT 06032 CSLB CODE: 290 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2854-8 UNIVERSAL UNDERWRITERS INSURANCE COMPANY 1400 AMERICAN LANE T1-13 SCHAUMBURG,, IL 60196 (800) 821-7803 CSLB CODE: 291 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1750-9 BITCO GENERAL INSURANCE CORPORATION 320 18TH STREET ROCK ISLAND, IL 61201 CSLB CODE: 292 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2469-5 PLATTE RIVER INSURANCE COMPANY 1600 ASPEN COMMONS MIDDLETON, WI 53562 (800) 624-7040 CSLB CODE: 293 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1286-4 TERMINATED DATE: 05/30/02 NORTHWESTERN NATIONAL CASUALTY COMPANY 10370 RICHMOND AVENUE HOUSTON, TX 77042

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 62 ____________________________________________________________________________________________________________________________________ CSLB CODE: 294 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4595-5 TERMINATED DATE: 08/26/04 EAGLE PACIFIC INSURANCE COMPANY P O BOX 47088 SEATTLE, WA 98146-7088 CSLB CODE: 295 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0813-6 SPARTA INSURANCE COMPANY 185 ASYLUM AVENUE HARTFORD, CT 06103 CSLB CODE: 296 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3236-7 XL SPECIALTY INSURANCE COMPANY 70 SEAVIEW AVENUE STAMFORD, CT 06902 (800) 622-7311 CSLB CODE: 297 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3607-9 TERMINATED DATE: 10/31/06 MUNICIPAL MUTUAL INSURANCE COMPANY 1981 NORTH BROADWAY SUITE 385 WALNUT CREEK, CA 94596 CSLB CODE: 298 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4627-6 AMERICAN INTERSTATE INSURANCE COMPANY 2301 HIGHWAY 190 WEST DERIDDER, LA 70634-6005 (800) 256-9052 CSLB CODE: 299 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1418-3 TERMINATED DATE: 03/05/10 DANIELSON INSURANCE COMPANY 19100 SUSANA ROAD RANCHO DOMINGUEZ, CA 90221 CSLB CODE: 300 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4590-6 ACCEPTANCE INDEMNITY INSURANCE COMPANY 222 SOUTH 15TH STREET SUITE 600 NORTH OMAHA, NE 68102-1616

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 63 ____________________________________________________________________________________________________________________________________ CSLB CODE: 301 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1628-7 NATIONWIDE INSURANCE COMPANY OF AMERICA ONE W NATIONWIDE BLVD COLUMBUS, OH 43215 (800) 532-1436 CSLB CODE: 302 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4626-8 TERMINATED DATE: 12/31/12 FAIRFIELD INSURANCE COMPANY 695 EAST MAIN STREET STAMFORD, CT 06904 CSLB CODE: 303 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0857-3 SECURITY NATIONAL INSURANCE COMPANY 12790 MERIT DRIVE SUITE 200 DALLAS, TX 75251 (800) 777-2249 CSLB CODE: 304 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2262-4 TERMINATED DATE: 10/01/11 NATIONAL REINSURANCE CORPORATION 695 EAST MAIN STREET STANFORD, CT 06904 CSLB CODE: 305 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4375-2 GREAT NORTHERN INSURANCE COMPANY 15 MOUNTAIN VIEW ROAD P O BOX 165 WARREN, NJ 07015-1615 CSLB CODE: 306 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1751-7 BITCO NATIONAL INSURANCE COMPANY 320 18TH STREET ROCK ISLAND, IL 61201 (800) 475-4477

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 64 ____________________________________________________________________________________________________________________________________ CSLB CODE: 307 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2860-5 TERMINATED DATE: 06/30/16 AMERICAN SAFETY CASUALTY INSURANCE COMPANY 250 COMMERCIAL STREET SUITE 5000 MANCHESTER, NH 03101 CSLB CODE: 308 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4648-2 CLEAR SPRING PROPERTY AND CASUALTY COMPANY 227 WEST MONROE SUITE 3950 CHICAGO, IL 60606 (888) 365-4910 CSLB CODE: 309 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4631-8 FEDERATED SERVICE INSURANCE COMPANY P O BOX 328 OWATONNA, MN 55060 (800) 533-0472 CSLB CODE: 310 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2367-1 TERMINATED DATE: 09/10/04 KEMPER INDEMNITY INSURANCE COMPANY 1 KEMPER DRIVE LONG GROVE, IL 60049 CSLB CODE: 311 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2007-3 TERMINATED DATE: 01/01/07 G E REINSURANCE CORPORATION ONE KEMPER DRIVE LONG GROVE, IL 60049 CSLB CODE: 312 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1312-8 GREENWICH INSURANCE COMPANY 70 SEAVIEW AVENUE STAMFORD, CT 06902-6040 CSLB CODE: 313 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4371-1 CARE WEST INSURANCE COMPANY 4020 SIERRA COLLEGE BOULEVARD SUITE 200 ROCKLIN, CA 95677

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 65 ____________________________________________________________________________________________________________________________________ CSLB CODE: 314 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1925-7 TERMINATED DATE: 02/23/10 INSURANCE CORPORATION OF NEW YORK ONE CANTERBURY GREEN STAMFORD, CT 06901 CSLB CODE: 315 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4664-9 GRAY INSURANCE COMPANY P O BOX 6202 METAIRIE, LA 70009-6202 CSLB CODE: 316 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1051-2 EMPLOYERS' FIRE INSURANCE COMPANY (THE) 150 ROYALL STREET CANTON, MA 02021 CSLB CODE: 317 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2298-8 TERMINATED DATE: 01/01/08 WESTPORT INSURANCE CORPORATION (MERGED INTO CA ID#2458-8 SEE 181) P O BOX 2979 OVERLAND PARK, KS 66201 CSLB CODE: 318 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2486-9 AMERICAN PROPERTY INSURANCE COMPANY 4 INDUSTRIAL WAY WEST EATONTOWN, NJ 07724 (800) 208-2000 CSLB CODE: 319 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3145-0 VANLINER INSURANCE COMPANY ONE PREMIER DRIVE ST LOUIS, MO 63026 (800) 325-3619 CSLB CODE: 320 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3226-8 TERMINATED DATE: 10/10/13 NORTHERN ASSURANCE COMPANY OF AMERICA(THE) ONE BEACON STREET BOSTON, MA 02108

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 66 ____________________________________________________________________________________________________________________________________ CSLB CODE: 321 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4581-5 ZURICH AMERICAN INSURANCE COMPANY 1400 AMERICAN LANE SCHAUMBURG, IL 60196-1056 (800) 382-2150 CSLB CODE: 322 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1481-1 GUIDEONE MUTUAL INSURANCE COMPANY 1111 ASHWORTH ROAD WEST DES MOINES, IA 50265 (800) 247-4176 CSLB CODE: 323 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0744-3 CHUBB INDEMNITY INSURANCE COMPANY 15 MOUNTAIN VIEW ROAD P O BOX 1615 WARREN, NJ 07061-1615 CSLB CODE: 324 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2275-6 TERMINATED DATE: 12/31/04 PHOENIX ASSURANCE COMPANY OF NEW YORK 1045 JAMES STREET SYRACUSE, NY 13221-4977 CSLB CODE: 325 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4704-3 LIBERTY NORTHWEST INSURANCE CORPORATION ONE LIBERTY CENTRE PORTLAND, OR 97232 CSLB CODE: 326 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2919-9 TRANS PACIFIC INSURANCE COMPANY 101 PARK AVENUE NEW YORK, NY 10178-0095 CSLB CODE: 327 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1472-0 GREAT AMERICAN ASSURANCE COMPANY 580 WALNUT STREET CINCINNATI, OH 45202

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 67 ____________________________________________________________________________________________________________________________________ CSLB CODE: 328 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1408-4 TERMINATED DATE: 05/31/05 SOUTH CAROLINA INSURANCE COMPANY P O BOX 1 COLUMBIA, SC 29202 CSLB CODE: 329 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3710-1 CONSTITUTION INSURANCE COMPANY 110 WILLIAM STREET 7TH FLOOR NEW YORK, NY 10038 CSLB CODE: 330 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4714-2 MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA 15 INDEPENDENCE BOULEVARD WARREN, NJ 07059 (800) 365-4671 CSLB CODE: 331 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1310-2 FINANCIAL INDEMNITY COMPANY P O BOX 223687 DALLAS, TX 75222 (800) 777-4342 CSLB CODE: 332 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2977-7 TERMINATED DATE: 07/12/02 SEVEN HILLS INSURANCE COMPANY 55 CAPITAL BOULEVARD ROCKY HILL, CT 06067 CSLB CODE: 333 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2989-2 TOPA INSURANCE COMPANY 1800 AVENUE OF THE STARS 12TH FLOOR LOS ANGELES, CA 90067 (877) 353-8672

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 68 ____________________________________________________________________________________________________________________________________ CSLB CODE: 334 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2977-7 ALEA NORTH AMERICA INSURANCE COMPANY 55 CAPITAL BOULEVARD ROCKY HILL, CT 06067 (877) 775-8637 CSLB CODE: 335 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2643-5 VIRGINIA SURETY COMPANY INC 1000 NORTH MILWAUKEE AVE MILWAUKEE, WI 60025 CSLB CODE: 336 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3005-6 ARCH INSURANCE COMPANY 100 FIRST STAMFORD PL STE 575 STAMFORD, CT 06902 CSLB CODE: 337 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4515-3 BERKLEY REGIONAL INSURANCE COMPANY P O BOX 1594 DES MOINES, IA 50306 CSLB CODE: 338 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3619-4 AXIS REINSURANCE COMPANY 11680 GREAT OAKS WAY, #500 ALPHARETTA, GA 30022 (877) 233-9722 CSLB CODE: 339 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4748-0 EMPLOYERS COMPENSATION INSURANCE COMPANY 500 NORTH BRAND BLVD GLENDALE, CA 91203 CSLB CODE: 340 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3577-4 ALLIED WORLD ASSURANCE COMPANY (US) INC 200 STATE STREET BOSTON, MA 02109

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 69 ____________________________________________________________________________________________________________________________________ CSLB CODE: 341 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2406-7 HUDSON INSURANCE COMPANY 1035 GREENWOOD BLVD STE 265 LAKE MARY, FL 32746 CSLB CODE: 342 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1497-7 TERMINATED DATE: 03/30/07 COREGIS INSURANCE COMPANY 525 W VAN BUREN SUITE 500 CHICAGO, IL 60607 CSLB CODE: 343 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4768-8 PACIFIC COMPENSATION INSURANCE COMPANY 30301 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 CSLB CODE: 344 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4794-4 SOMPO AMERICA FIRE & MARINE INSURANCE COMPANY 11405 N COMMUNITY HOUSE ROAD SUITE 600 CHARLOTTE, NC 28277 CSLB CODE: 345 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2328-3 TERMINATED DATE: 12/31/06 PACIFIC INSURANCE COMPANY C/O CNA INSURANCE COMPANIES 333 SOUTH WABASH CNA PLAZA CHICAGO, IL 60685 (800) 262-8714 CSLB CODE: 346 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4302-6 PREFERRED PROFESSIONAL INSURANCE P O BOX 540658 OMAHA, NE 68114-7895 (800) 441-7742

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 70 ____________________________________________________________________________________________________________________________________ CSLB CODE: 347 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3342-3 TERMINATED DATE: 04/09/20 MITSUI MARINE & FIRE INSURANCE CO OF AMERICA (DUPLICATE OF #349) 15 INDEPENDENCE BLVD WARREN, NJ 07059 CSLB CODE: 348 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4242-4 NEIGHBORHOOD SPIRIT PROPERTY AND CASUALTY COMPANY 4680 WILSHIRE BLVD LOS ANGELES, CA 90010 (888) 441-3228 CSLB CODE: 349 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3342-3 MITSUI SUMITOMO INSURANCE USA INC 15 INDEPENDENCE BLVD WARREN, NJ 07059 CSLB CODE: 350 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4241-6 CIVIC PROPERTY AND CASUALTY COMPANY 4680 WILSHIRE BLVD LOS ANGELES, CA 90010 (800) 242-5592 CSLB CODE: 351 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4388-5 TERMINATED DATE: 11/04/05 CASCADE NATIONAL INSURANCE COMPANY 11100 NE 8TH STREET #800 BELLEVUE, WA 98004 (800) 426-5008 CSLB CODE: 352 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4772-0 TRAVELERS INDEMNITY COMPANY (THE) ONE TOWER SQ 4 MN TRAVELERS ATTN: MARY T RESTELLI HARTFORD, CT 06183 (860) 277-0111

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 71 ____________________________________________________________________________________________________________________________________ CSLB CODE: 353 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4834-8 PEERLESS INDEMNITY INSURANCE COMPANY 62 MAPLE AVENUE KEENE, NH 03431 CSLB CODE: 354 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2850-6 TERMINATED DATE: 04/27/11 REINSURANCE COMPANY OF AMERICA INC 140 SOUTH DEARBORN ST #900 #1200 CHICAGO, IL 60603 CSLB CODE: 355 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4860-3 TNUS INSURANCE CO 230 PARK AVE NEW YORK, NY 10169 CSLB CODE: 356 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4859-5 COMPWEST INSURANCE CO 3 HUTTON CENTRE DRIVE STE 550 SANTA ANA, CA 92707 CSLB CODE: 357 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4481-8 FARMERS REINSURANCE COMPANY P O BOX 2478 LOS ANGELES, CA 90051 CSLB CODE: 358 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2094-1 NATIONAL LIABILITY AND FIRE INSURANCE COMPANY 3024 HARNEY STREET OMAHA, NE 68131 CSLB CODE: 359 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0336-8 21ST CENTURY PREMIER INSURANCE COMPANY 3 BEAVER VALLEY ROAD WILMINGTON, DE 19803 (800) 433-8880

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 72 ____________________________________________________________________________________________________________________________________ CSLB CODE: 360 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4332-3 PARTNER REINSURANCE COMPANY OF THE U.S. 245 PARK AVENUE 24TH FLOOR NEW YORK, NY 10167 CSLB CODE: 361 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4670-6 AMGUARD INSURANCE COMPANY P O BOX A-H WILKES-BARRE, PA 18703 (800) 673-2465 CSLB CODE: 362 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4672-2 EASTGUARD INSURANCE COMPANY P O BOX A-H WILKES-BARRE, PA 18703 (800) 673-2465 CSLB CODE: 363 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4671-4 NORGUARD INSURANCE COMPANY P O BOX A-H WILKES-BARRE, PA 18703 (800) 673-2465 CSLB CODE: 365 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2511-4 LIBERTY INSURANCE UNDERWRITERS INC 175 BERKLEY STREET BOSTON, MA 02117 CSLB CODE: 366 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2212-9 LM PROPERTY AND CASUALTY INSURANCE COMPANY 100 LIBERTY WAY DOVER, NH 03820 (800) 864-3603

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 73 ____________________________________________________________________________________________________________________________________ CSLB CODE: 367 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2991-8 PRAETORIAN INSURANCE COMPANY 7 TIMES SQUARE 37TH FLOOR NEW YORK, NY 10036 (212) 805-9700 CSLB CODE: 368 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3229-2 CSAA GENERAL INSURANCE COMPANY 3055 OAK ROAD WALNUT CREEK, CA 94597 (800) 959-9842 CSLB CODE: 369 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4930-4 TERMINATED DATE: 01/30/08 ENDURANCE REINSURANCE CORPORATION OF AMERICA 333 WESTCHESTER AVENUE WHITE PLAINS, NY 10604 CSLB CODE: 370 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4648-2 TERMINATED DATE: 10/03/07 SEABRIGHT INSURANCE COMPANY (DUPLICATE-SEE CSLB CODE 308) 2101 4TH AVENUE SUITE 1600 SEATTLE, WA 98121 CSLB CODE: 371 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1964-6 TRANSVERSE INSURANCE COMPANY 155 VILLAGE BLVD PRINCETON, NJ 08540 (877) 522-7343 CSLB CODE: 372 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4982-5 NOVA CASUALTY COMPANY 726 EXCHANGE ST SUITE 1020 BUFFALO, NY 14210 (800) 289-3742

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 74 ____________________________________________________________________________________________________________________________________ CSLB CODE: 373 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4324-0 PUBLIC SERVICE INSURANCE COMPANY DBA PSM INSURANCE COMPANY ONE PARK AVENUE NEW YORK, NY 10016 (888) 663-7275 CSLB CODE: 374 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0819-3 TERMINATED DATE: 06/14/11 NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA ONE NATIONWIDE PLAZA COLUMBUS, OH 43215 (800) 967-9331 CSLB CODE: 375 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2960-3 IMPERIUM INSURANCE COMPANY 120 WEST 45TH ST 36TH FLOOR NEW YORK, NY 10036 CSLB CODE: 376 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4999-9 SENTRY CASUALTY COMPANY 1800 NORTH POINT DRIVE STEVENS POINT, WI 54481 CSLB CODE: 377 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3730-9 OAK RIVER INSURANCE COMPANY 9290 WEST DODGE RD SUITE 300 OMAHA, NE 68114-3363 (800) 488-2930 CSLB CODE: 378 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0580-1 STERLING CASUALTY INSURANCE COMPANY 257 SO FAIR OAKS AVENUE PASADENA, CA 91105 CSLB CODE: 379 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1800-2 OLD REPUBLIC GENERAL INSURANCE CORPORATION 307 N MICHIGAN AVE 17TH FLR CHICAGO, IL 60601 (800) 331-5554

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 75 ____________________________________________________________________________________________________________________________________ CSLB CODE: 380 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3604-6 GREAT DIVIDE INSURANCE COMPANY C/O CTI CORPORATION SYSTEM P O BOX 1594 DES MOINES, IA 50306 (800) 842-8972 CSLB CODE: 381 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3243-3 TERMINATED DATE: 01/22/08 AMERICAN INTERNATIONAL INSURANCE COMPANY OF CALIFORNIA INC ONE AIG CENTER WILMINGTON, DE 19803 (800) 433-8880 CSLB CODE: 382 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1215-3 TERMINATED DATE: 12/06/06 THE CONTINENTAL REINSURANCE CORPORATION 401 PENN STREET READING, PA 19601 CSLB CODE: 383 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0676-7 TERMINATED DATE: 12/31/06 COMMERCIAL INSURANCE CO OF NEWARK NEW JERSEY 401 PENN STREET READING, PA 19601 CSLB CODE: 384 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2917-3 WCF NATIONAL INSURANCE COMPANY P O BOX 571918 SALT LAKE CITY, UT 84157-1918 CSLB CODE: 385 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0221-2 TERMINATED DATE: 02/23/11 METLIFE INSURANCE CO OF CONNECTICUT (DUPLICATE-SEE CSLB CODE 030) 18210 CRANE NEST DR 3RD FLOOR TAMPA, FL 33647 CSLB CODE: 386 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0937-3 TERMINATED DATE: 05/30/07 FARMERS INSURANCE EXCHANGE (DUPLICATE-SEE CSLB CODE 150) P O BOX 2478 TERMINAL ANNEX LEGISLATIVE/REGULATORY AFFAIRS LOS ANGELES, CA 90051-2478

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 76 ____________________________________________________________________________________________________________________________________ CSLB CODE: 387 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4711-8 MANUFACTURERS ALLIANCE INSURANCE COMPANY 380 SENTRY PARKWAY BLUE BELL, PA 19422 CSLB CODE: 388 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4679-7 TERMINATED DATE: 05/26/10 LINCOLN GENERAL INSURANCE COMPANY P O BOX 3709 YORK, PA 17402 (800) 876-3350 CSLB CODE: 389 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1255-9 TERMINATED DATE: 06/30/15 FAIRMONT PREMIER INSURANCE COMPANY 250 COMMERCIAL ST SUITE 5000 MANCHESTER, NH 03101 (800) 392-1970 CSLB CODE: 390 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5025-2 AXIS INSURANCE COMPANY 11680 ALPHARETTA OAKS WAY #500 ALPHARETTA, GA 30022 CSLB CODE: 391 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3263-1 TRAVELERS CASUALTY COMPANY OF CONNECTICUT ONE TOWER SQUARE 4MN C/O TRAVELERS/MARY T RESTELLI HARTFORD, CT 06183 (877) 872-8737 CSLB CODE: 392 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4679-7 TERMINATED DATE: 07/13/07 LINCOLN GENERAL INSURANCE COMPANY (DUPLICATE-SEE CSLB CODE 388) P O BOX 3709 YORK, PA 17402 (800) 876-3350

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 77 ____________________________________________________________________________________________________________________________________ CSLB CODE: 393 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2281-4 MUNICH REINSURANCE AMERICA INC 555 COLLEGE ROAD EAST PRINCETON, NJ 08543 CSLB CODE: 394 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3590-7 TERMINATED DATE: 06/18/10 PMA CAPITAL INSURANCE COMPANY 1735 MARKET STREET SUITE 2800 PHILADELPHIA, PA 19103 CSLB CODE: 395 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3220-1 U S SPECIALTY INSURANCE COMPANY 13403 NORTHWEST FREEWAY HOUSTON, TX 77040-6094 CSLB CODE: 396 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2111-3 R & Q REINSURANCE COMPANY 30 SOUTH 17TH STREET 7TH FLOOR PHILADELPHIA, PA 19103 CSLB CODE: 397 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3076-7 NEW YORK MARINE AND GENERAL INSURANCE COMPANY 412 MT KEMBLE AVENUE STE 3000 MORRISTOWN, NJ 07960 (800) 774-2755 CSLB CODE: 398 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5058-3 TERMINATED DATE: 07/21/16 TOWER INSURANCE CO OF NEW YORK DBA TOWER SELECT INSURANCE CO 120 BROADWAY 14TH FLOOR NEW YORK, NY 10271 (888) 856-5522 CSLB CODE: 399 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2401-8 WASHINGTON INTERNATIONAL INSURANCE COMPANY 650 ELM STREET MANCHESTER, NH 03101

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 78 ____________________________________________________________________________________________________________________________________ CSLB CODE: 400 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1506-5 SOUTHERN INSURANCE COMPANY P O BOX 809076 DALLAS, TX 75380-9076 (877) 788-6008 CSLB CODE: 401 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4705-0 AMERICAN PET INSURANCE COMPANY 6505 216TH STREET SW SUITE 100 BUILDING A MOUNTLAKE TERRACE, WA 98043 (800) 281-4562 CSLB CODE: 402 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1234-4 PEERLESS INSURANCE COMPANY 175 BERKELEY STREET BOSTON, MA 02116 (800) 228-7830 CSLB CODE: 403 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2416-6 UNITED FIRE & CASUALTY COMPANY P O BOX 73909 CEDAR RAPIDS, IA 52407-3909 CSLB CODE: 404 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4240-8 EXACT PROPERTY AND CASUALTY COMPANY P O BOX 2478 LOS ANGELES, CA 90051-2478 (888) 441-3228 CSLB CODE: 405 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3097-3 FEDERATED RURAL ELECTRIC INSURANCE EXCHANGE 11875 W 85TH STREET LENEXA, KS 66214 (800) 356-8360

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 79 ____________________________________________________________________________________________________________________________________ CSLB CODE: 406 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3121-1 SIRIUS AMERICA INSURANCE COMPANY 140 BROADWAY 32ND FLOOR NEW YORK, NY 10005 CSLB CODE: 407 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3039-5 MAPFRE INSURANCE COMPANY 100 CAMPUS DRIVE FLORHAM PARK, NJ 07932-1006 (800) 236-0962 CSLB CODE: 408 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1808-5 COREPOINTE INSURANCE COMPANY 401 S OLD WOODWARD AVENUE SUITE 300 BIRMINGHAM, MI 48009 CSLB CODE: 409 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5148-2 ACCIDENT FUND INSURANCE COMPANY OF AMERICA P O BOX 40790 LANSING, MI 48901 CSLB CODE: 410 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5149-0 UNITED WISCONSIN INSURANCE COMPANY P O BOX 3026 MILWAUKEE, WI 53201 CSLB CODE: 411 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3266-4 TERMINATED DATE: 08/21/14 BANCINSURE INC 5005 NORTH LINCOLN BLVD OKLAHOMA CITY, OK 73105 CSLB CODE: 412 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2867-0 CHURCH MUTUAL INSURANCE COMPANY 3000 SCHUSTER LANE MERRILL, WI 54452 (800) 542-3465

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 80 ____________________________________________________________________________________________________________________________________ CSLB CODE: 413 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1870-5 CUMIS INSURANCE SOCIETY INC 5910 MINERAL POINT ROAD MADISON, WI 53705 (800) 356-2644 CSLB CODE: 414 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2106-3 GREAT WEST CASUALTY COMPANY P O BOX 277 SOUTH SIOUX CITY, NE 68776-0277 (800) 228-8602 CSLB CODE: 415 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3711-9 HARCO NATIONAL INSURANCE COMPANY 702 OBERLIN ROAD RALEIGH, NC 27605 (800) 448-4642 CSLB CODE: 416 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4354-7 NATIONAL INTERSTATE INSURANCE COMPANY 3250 INTERSTATE DRIVE RICHFIELD, OH 44286-9000 (800) 929-1500 CSLB CODE: 417 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4599-7 NATIONWIDE AGRIBUSINESS INSURANCE COMPANY 1100 LOCUST STREET DES MOINES, IA 50391 (800) 247-5001 CSLB CODE: 418 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4712-6 PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY 380 SENTRY PARKWAY BLUE BELL, PA 19422

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 81 ____________________________________________________________________________________________________________________________________ CSLB CODE: 419 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1970-3 PETROLEUM CASUALTY COMPANY P O BOX 3342 HOUSTON, TX 77253 (800) 323-4416 CSLB CODE: 420 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1689-9 PROTECTIVE INSURANCE COMPANY 1099 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46204 (800) 822-4240 CSLB CODE: 421 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3261-5 TRAVELERS COMMERCIAL INSURANCE COMPANY ONE TOWER SQUARE 4MN HARTFORD, CT 06183 (877) 872-8737 CSLB CODE: 422 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5137-5 TERMINATED DATE: 07/21/16 PRESERVER INSURANCE COMPANY 120 BROADWAY 31ST FLOOR NEW YORK, NY 10271 (800) 242-0332 CSLB CODE: 423 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2423-2 NETHERLANDS INSURANCE COMPANY (THE) 175 BERKELEY STREET BOSTON, MA 02116 (800) 332-3226 CSLB CODE: 424 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5174-8 TERMINATED DATE: 01/02/18 SUSSEX INSURANCE COMPANY 51 CLEMSON ROAD COLUMBIA, SC 29229 (800) 922-1282

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 82 ____________________________________________________________________________________________________________________________________ CSLB CODE: 425 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5082-3 ENDURANCE ASSURANCE CORPORATION 4 MANHATTANVILLE ROAD 3RD FLR NEW YORK, NY 10577 CSLB CODE: 426 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5575-6 CRUM & FORSTER INDEMNITY COMPANY P O BOX 1973 MORRISTOWN, NJ 07960 CSLB CODE: 427 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3616-0 CEDAR INSURANCE COMPANY 140 BROADWAY 32ND FLOOR NEW YORK, NY 10005 CSLB CODE: 428 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1584-2 MASSACHUSETTS BAY INSURANCE COMPANY 440 LINCOLN STREET WORCESTER, MA 01653 (800) 688-8077 CSLB CODE: 429 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5587-1 CITIZENS INSURANCE COMPANY OF AMERICA 645 W GRAND RIVER AVENUE HOWELL, MI 48843-2151 (800) 628-0250 CSLB CODE: 430 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4574-0 STARNET INSURANCE COMPANY 11201 DOUGLAS AVENUE URBANDALE, IA 50322 (800) 866-2308

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 83 ____________________________________________________________________________________________________________________________________ CSLB CODE: 431 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5602-8 HANOVER AMERICAN INSURANCE COMPANY THE 440 LINCOLN STREET WORCESTER, MA 01653 CSLB CODE: 432 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4284-6 XL INSURANCE COMPANY OF NEW YORK INC 70 SEAVIEW AVENUE STAMFORD, CT 06902-6040 (800) 622-7311 CSLB CODE: 433 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4392-7 TRANSGUARD INSURANCE COMPANY OF AMERICA INC 702 OBERLIN ROAD RALEIGH, NC 27605 (800) 796-2480 CSLB CODE: 434 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4729-0 BROTHERHOOD MUTUAL INSURANCE COMPANY P O BOX 2227 FORT WAYNE, IN 46801 CSLB CODE: 435 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5573-1 21ST CENTURY NORTH AMERICA INSURANCE COMPANY 3 BEAVER VALLEY ROAD WILMINGTON, DE 19803 CSLB CODE: 436 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5168-0 SENTINEL INSURANCE COMPANY LTD ONE HARTFORD PLAZA HARTFORD, CT 06155 (800) 624-5578 CSLB CODE: 437 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3601-2 MARKEL INSURANCE COMPANY 4600 COX ROAD GLEN ALLEN, VA 23060 (800) 431-1270

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 84 ____________________________________________________________________________________________________________________________________ CSLB CODE: 438 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5047-6 PHARMACISTS MUTUAL INSURANCE COMPANY P O BOX 370 ALGONA, IA 50511 CSLB CODE: 439 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3712-7 TERMINATED DATE: 03/01/16 SPARTA AMERICAN INSURANCE COMPANY 777 SAN MARIN DRIVE NOVATO, CA 94998 (800) 227-1700 CSLB CODE: 440 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5628-3 BERKLEY NATIONAL INSURANCE COMPANY P O BOX 152180 IRVING, TX 75015 CSLB CODE: 441 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2027-1 RLI INSURANCE COMPANY 9025 N LINDBERGH DRIVE PEORIA, IL 61615 (800) 331-4929 CSLB CODE: 442 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5142-5 REPUBLIC UNDERWRITERS INSURANCE COMPANY P O BOX 809076 DALLAS, TX 75380-9076 CSLB CODE: 443 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2361-4 DENTISTS INSURANCE COMPANY (THE) P O BOX 1582 SACRAMENTO, CA 95812-1582 (800) 733-0635 CSLB CODE: 444 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4291-1 STATE NATIONAL INSURANCE COMPANY INC P O BOX 24622 FORT WORTH, TX 76124-1622 (800) 877-4567

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 85 ____________________________________________________________________________________________________________________________________ CSLB CODE: 445 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0441-6 CSAA INSURANCE EXCHANGE 3055 OAK ROAD MAIL STOP W280 WALNUT CREEK, CA 94597-2098 (800) 922-8228 CSLB CODE: 446 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1384-7 XL INSURANCE AMERICA INC 70 SEAVIEW AVENUE STAMFORD, CT 06902 (800) 622-7311 CSLB CODE: 447 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1732-7 PROCENTURY INSURANCE COMPANY 550 POLARIS PARKWAY SUITE 300 WESTERVILLE, OH 43082 (800) 633-7007 CSLB CODE: 448 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5672-1 TECHNOLOGY INSURANCE COMPANY INC 2711 CENTERVILLE ROAD STE 400 WILMINGTON, DE 19808 CSLB CODE: 449 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5671-3 CONTINENTAL INDEMNITY COMPANY P O BOX 3646 OMAHA, NE 68103-0646 CSLB CODE: 450 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4378-6 WESCO INSURANCE COMPANY 59 MAIDEN LANE NEW YORK, NY 10038 (800) 443-7187

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 86 ____________________________________________________________________________________________________________________________________ CSLB CODE: 451 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4629-2 QBE INSURANCE CORPORATION 88 PINE STREET 16TH FLOOR NEW YORK, NY 10005 (800) 669-1889 CSLB CODE: 452 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4597-1 NORTH POINTE INSURANCE COMPANY 116 PINE STREET SUITE 320 HARRISBURG, PA 17101 (800) 362-5448 CSLB CODE: 453 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2413-3 ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY 440 LINCOLN STREET WORCHESTER, MA 01653 CSLB CODE: 454 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5139-1 HDI GLOBAL INSURANCE COMPANY 161 N CLARK STREET 48TH FLOOR CHICAGO, IL 60601 (312) 580-1900 CSLB CODE: 455 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3576-6 PHILADELPHIA INDEMNITY INSURANCE COMPANY ONE BALA PLAZA SUITE 100 BALA CYNWYD, PA 19004 (800) 564-7766 CSLB CODE: 456 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3190-6 ODYSSEY REINSURANCE COMPANY 300 FIRST STAMFORD PLACE STAMFORD, CT 06902

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 87 ____________________________________________________________________________________________________________________________________ CSLB CODE: 457 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4665-6 TRUMBULL INSURANCE COMPANY ONE HARTFORD PLAZA HARTFORD, CT 06115 CSLB CODE: 458 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1228-6 XL REINSURANCE AMERICA INC 70 SEAVIEW HOUSE STAMFORD, CT 06902 (800) 622-7311 CSLB CODE: 459 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3119-5 NAVIGATORS INSURANCE COMPANY 400 ATLANTIC STREET 8TH FLOOR STAMFORD, CT 06901 (855) 444-4796 CSLB CODE: 460 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3753-1 BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY 3333 FARNAM STREET SUITE 300 OMAHA, NE 68131 (800) 488-2930 CSLB CODE: 461 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4666-4 PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD HARTFORD PLAZA HARTFORD, CT 06115 CSLB CODE: 462 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1662-6 FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN P O BOX 2450 LOC 1485 GRAND RAPIDS, MI 49501 (800) 527-3905

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 88 ____________________________________________________________________________________________________________________________________ CSLB CODE: 463 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3107-0 FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY 5230-33RD STREET S.E. GRAND RAPIDS, MI 49512 (800) 527-3905 CSLB CODE: 464 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2330-9 SENECA INSURANCE COMPANY INC 160 WATER STREET 16TH FLOOR NEW YORK, NY 10038 CSLB CODE: 465 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1952-1 MERCURY CASUALTY COMPANY 4484 WILSHIRE BLVD LOS ANGELES, CA 90010 (800) 824-6194 CSLB CODE: 466 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4650-8 ATLANTIC SPECIALTY INSURANCE COMPANY 150 ROYALL STREET CANTON, MA 02021 (877) 248-3455 CSLB CODE: 467 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5772-9 APPLIED UNDERWRITERS CAPTIVE RISK ASSURANCE COMPANY INC 425 SECOND STREET S E STE 1010 CEDAR RAPIDS, IA 52401 CSLB CODE: 468 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3251-6 SAGAMORE INSURANCE COMPANY 1099 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46204 CSLB CODE: 469 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3202-9 AMERICAN FIRE AND CASUALTY COMPANY 175 BERKELEY STREET BOSTON, MA 02116 (800) 262-8238

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 89 ____________________________________________________________________________________________________________________________________ CSLB CODE: 470 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3155-9 PLAZA INSURANCE COMPANY DBA PLAZA INDEMNITY COMPANY 518 EAST BROAD STREET COLUMBUS, OH 43215 CSLB CODE: 471 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2961-1 AMERICAN FAMILY HOME INSURANCE COMPANY DBA AFH INSURANCE COMPANY 1301 RIVER PLACE BLVD STE 1300 JACKSONVILLE, FL 32207 CSLB CODE: 472 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0479-6 CATLIN INSURANCE COMPANY INC 3340 PEACHTREE ROAD NE SUITE 2950 ATLANTA, GA 30326 (800) 876-2499 CSLB CODE: 473 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1433-2 ALTERRA AMERICA INSURANCE COMPANY 9020 STONY POINT PKWY STE 325 RICHMOND, VA 23235 (800) 527-2416 CSLB CODE: 474 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0948-0 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY ONE STATE FARM PLAZA BLOOMINGTON, IL 61710-0001 (800) 440-6175 CSLB CODE: 475 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2982-7 ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY 1100 LOCUST STREET DES MOINES, IA 50391 (800) 532-1436

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 90 ____________________________________________________________________________________________________________________________________ CSLB CODE: 476 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5133-4 OHIO CASUALTY INSURANCE COMPANY (THE) 175 BERKELEY STREET BOSTON, MA 02116 CSLB CODE: 477 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3940-4 SCOTTSDALE INDEMNITY COMPANY 8877 NORTH GAINEY CENTER DRIVE SCOTTSDALE, AZ 85258 (800) 423-7675 CSLB CODE: 478 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3114-6 DEPOSITORS INSURANCE COMPANY 1100 LOCUST STREET DES MOINES, IA 50391 (800) 247-0363 CSLB CODE: 479 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4465-1 SAMSUNG FIRE & MARINE INSURANCE CO LTD 85 CHALLANGER ROAD 6TH FLOOR RIDGEFIELD PARK, NJ 07660 (866) 898-9991 CSLB CODE: 480 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5799-2 FOREMOST SIGNATURE INSURANCE COMPANY P O BOX 2450 GRAND RAPIDS, MI 49501-2450 CSLB CODE: 481 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4598-9 TERMINATED DATE: 04/09/20 FARMLAND MUTUAL INSURANCE COMPANY 1100 LOCUST STREET DES MOINES, IA 50391 (800) 247-5001

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 91 ____________________________________________________________________________________________________________________________________ CSLB CODE: 482 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5744-8 OHIO SECURITY INSURANCE COMPANY 175 BERKELEY STREET BOSTON, MA 02116 (800) 262-8238 CSLB CODE: 483 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4395-0 UNITED STATES LIABILITY INSURANCE COMPANY 1190 DEVON PARK DRIVE WAYNE, PA 19087 CSLB CODE: 484 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2422-4 UFG SPECIALTY INSURANCE COMPANY 118 SECOND AVENUE SE CEDAR RAPIDS, IA 52401 (800) 876-2499 CSLB CODE: 485 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4913-0 TERMINATED DATE: 04/22/19 AIOI NISSAY DOWA INSURANCE COMPANY OF AMERICA 475 N MARTINGALE ROAD STE 330 SCHAUMBURG, IL 60173 CSLB CODE: 486 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1917-4 WESTFIELD NATIONAL INSURANCE COMPANY P O BOX 5001 WESTFIELD CENTER, OH 44251 (800) 243-0210 CSLB CODE: 487 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3633-5 KOOKMIN BEST INSURANCE CI LTD (US BRANCH) 505 NORTH BRAND BLVD SUITE 1025 GLENDALE, CA 91203

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 92 ____________________________________________________________________________________________________________________________________ CSLB CODE: 488 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4987-4 AXA INSURANCE COMPANY 125 BROAD STREET NEW YORK, NY 10004 CSLB CODE: 489 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2904-1 PENN-AMERICA INSURANCE COMPANY 3 BALA PLAZA EAST SUITE 300 BALA CYNWYD, PA 19040 (800) 788-4780 CSLB CODE: 490 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4467-7 PENN-STAR INSURANCE COMPANY 420 SOUTH YORK ROAD HATBORO, PA 19040 CSLB CODE: 491 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5572-3 COLONY SPECIALTY INSURANCE COMPANY P.O. BOX 469012 SAN ANTONIO, TX 78246-9012 (800) 456-8458 CSLB CODE: 492 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5743-0 WEST AMERICAN INSURANCE COMPANY 175 BERKELEY STREET BOSTON, MA 02116 (800) 262-8238 CSLB CODE: 493 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2430-7 GOLDEN BEAR INSURANCE COMPANY P O BOX 271 STOCKTON, CA 95201-0271 CSLB CODE: 494 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1539-6 IRONSHORE INDEMNITY INC ONE STATE ST. PLAZA, 7TH FLOOR NEW YORK, NY 10004

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 93 ____________________________________________________________________________________________________________________________________ CSLB CODE: 495 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5831-3 CINCINNATI CASUALTY COMPANY (THE) P O BOX 145496 CINCINNATI, OH 45250-5496 CSLB CODE: 496 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3164-1 STONINGTON INSURANCE COMPANY 5801 TENNYSON PARKWAY STE 600 PLANO, TX 75024 (800) 766-6235 CSLB CODE: 497 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2640-1 EMCASCO INSURANCE COMPANY P O BOX 712 DES MOINES, IA 50303-0712 CSLB CODE: 498 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2269-9 RSUI INDEMNITY COMPANY 945 EAST PACES FERRY ROAD SUITE 1800 ATLANTA, GA 30326 CSLB CODE: 499 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1493-6 PENNSYLVANIA INSURANCE COMPANY DBA APPLIED ASSURANCE COMPANY 10805 OLD MILL ROAD OMAHA, NE 68154 (888) 421-2111 CSLB CODE: 500 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2823-3 CHEROKEE INSURANCE COMPANY 34200 MOUND ROAD STERLING HEIGHTS, MI 48310 CSLB CODE: 501 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4606-0 DEVELOPERS SURETY AND INDEMNITY COMPANY 17771 COWAN SUITE 100 IRVINE, CA 92614

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 94 ____________________________________________________________________________________________________________________________________ CSLB CODE: 502 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5830-5 TOKIO MARINE AMERICA INSURANCE COMPANY 230 PARK AVENUE NEW YORK, NY 10169-0005 CSLB CODE: 503 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5780-2 GREAT MIDWEST INSURANCE COMPANY 800 GESSNER, SUITE 600 HOUSTON, TX 77024-1206 (800) 829-8165 CSLB CODE: 504 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1267-4 FIRE INSURANCE EXCHANGE 6301 OWENSMOUTH AVENUE WOODLAND HILLS, CA 91367 CSLB CODE: 505 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0415-0 OREGON MUTUAL INSURANCE COMPANY 400 NE BAKER STREET MC MINNVILLE, OR 97128 CSLB CODE: 506 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5054-2 PREFERRED CONTRACTORS INSURANCE COMPANY RISK RETENTION GROUP LLC 3250 GREY HAWK COURT UNIT Z CARLSBAD, CA 92010 (877) 587-1763 CSLB CODE: 507 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5819-8 EMPLOYERS PREFERRED INSURANCE COMPANY 10375 PROFESSIONAL CIRCLE RENO, NV 89521-4802 CSLB CODE: 508 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5818-0 EMPLOYERS ASSURANCE COMPANY 10375 PROFESSIONAL CIRCLE RENO, NV 89521-4802

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 95 ____________________________________________________________________________________________________________________________________ CSLB CODE: 509 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3000-7 CONTRACTORS BONDING AND INSURANCE COMPANY 9025 NORTH LINDBERGH DRIVE PEORIA, IL 61615 CSLB CODE: 510 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3074-2 INDEMNITY INSURANCE COMPANY OF NORTH AMERICA 436 WALNUT STREET PHILADELPHIA, PA 19106 (800) 352-4462 CSLB CODE: 511 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4401-6 CHUBB NATIONAL INSURANCE COMPANY P O BOX 1615 WARREN, NJ 07061-1615 CSLB CODE: 512 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5871-9 OBI NATIONAL INSURANCE COMPANY 150 ROYALL STREET CANTON, MA 02021-1030 CSLB CODE: 513 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5832-1 CINCINNATI INDEMNITY COMPANY (THE) P O BOX 145496 CINCINNATI, OH 45250-5496 CSLB CODE: 514 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3194-8 ARGONAUT GREAT CENTRAL INSURANCE COMPANY 175 E HOUSTON ST., 13TH FLOOR SAN ANTONIO, TX 78205 (800) 470-7958 CSLB CODE: 515 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3148-4 BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY 3024 HARNEY STREET OMAHA, NE 68131-3580

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 96 ____________________________________________________________________________________________________________________________________ CSLB CODE: 516 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5066-6 ALLIED WORLD SPECIALTY INSURANCE COMPANY 1690 NEW BRITAIN AVE STE 101 FARMINGTON, CT 06032 CSLB CODE: 517 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4555-9 MARKEL GLOBAL REINSURANCE COMPANY 1209 ORANGE STREET WILMINGTON, DE 19801 (800) 432-8168 CSLB CODE: 518 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3130-2 ESURANCE PROPERTY AND CASUALTY INSURANCE COMPANY 650 DAVIS STREET SAN FRANCISCO, CA 94111 (800) 378-7262 CSLB CODE: 519 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3034-6 WILSHIRE INSURANCE COMPANY P O BOX 10800 RALEIGH, NC 27605 (800) 525-7486 CSLB CODE: 520 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1669-1 METROPOLITAN DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY P O BOX 380 WARWICK, RI 02887 (800) 638-4208 CSLB CODE: 521 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5126-8 CAPITOL INDEMNITY CORPORATION P O BOX 5900 MADISON, WI 53705 (800) 475-4450

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 97 ____________________________________________________________________________________________________________________________________ CSLB CODE: 522 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2074-3 ARCH INDEMNITY INSURANCE COMPANY 300 PLAZA 3 JERSEY CITY, NJ 07311 (800) 475-4094 CSLB CODE: 523 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5918-8 TRI-STATE INSURANCE COMPANY OF MINNESOTA 11201 DOUGLAS AVE URBANDALE, IA 50322 CSLB CODE: 524 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0175-0 PROVIDENCE WASHINGTON INSURANCE COMPANY 475 KILVERT STREET SUITE 330 WARWICK, RI 02886 (800) 752-4549 CSLB CODE: 525 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0357-4 PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY 2005 MARKET STREET SUITE 1200 PHILADELPHIA, PA 19103-7008 (800) 752-1895 CSLB CODE: 526 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6030-1 OBI AMERICA INSURANCE COMPANY 601 CARSON PARKWAY SUITE 700 MINNETONKA, MN 55305 CSLB CODE: 527 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2222-8 AMERICAN MODERN INSURANCE COMPANY P O BOX 5323 CINCINNATI, OH 45201-5323 (800) 543-2644

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 98 ____________________________________________________________________________________________________________________________________ CSLB CODE: 528 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3033-8 HARLEYSVILLE INSURANCE COMPANY 355 MAPLE AVENUE HARLEYSVILLE, PA 19438-2297 (800) 237-1919 CSLB CODE: 529 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6012-9 FALLS LAKE FIRE AND CASUALTY COMPANY 6131 FALLS OF NEUSE ROAD SUITE 306 RALEIGH, NC 27609 CSLB CODE: 530 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6039-2 TERMINATED DATE: 07/21/16 NORTH EAST INSURANCE COMPANY 59 MAIDEN LANE 38TH FLOOR NEW YORK, NY 10038 CSLB CODE: 531 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6040-0 TERMINATED DATE: 07/21/16 YORK INSURANCE COMPANY OF MAINE 59 MAIDEN LANE 38TH FLOOR NEW YORK, NY 10038 CSLB CODE: 532 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2645-0 M I C PROPERTY AND CASUALTY INSURANCE CORPORATION 500 WOOWARD AVE 14TH FLOOR DETROIT, MI 48226 CSLB CODE: 533 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6041-8 TERMINATED DATE: 07/09/19 ONEBEACON SPECIALTY INSURANCE COMPANY 600 N 2ND STREET SUITE 401 HARRISBURG, PA 17101 CSLB CODE: 534 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6037-6 FIRST COLONIAL INSURANCE COMPANY 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FL 32224

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 99 ____________________________________________________________________________________________________________________________________ CSLB CODE: 535 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3227-6 PACIFIC SPECIALTY INSURANCE COMPANY 2200 GENG ROAD SUITE 200 PALO ALTO, CA 94303 (800) 828-3003 CSLB CODE: 536 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3197-1 NATIONAL GENERAL ASSURANCE COMPANY 5757 PHANTOM DRIVE SUITE 200 HAZELWOOD, MO 63042 (800) 526-0332 CSLB CODE: 537 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2086-7 NATIONAL GENERAL INSURANCE COMPANY 5757 PHANTOM DRIVE SUITE 200 HAZELWOOD, MO 63042 (800) 526-0332 CSLB CODE: 538 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2410-9 BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY 1314 DOUGLAS STREET SUITE 1400 OMAHA, NE 68102-1944 (800) 356-5750 CSLB CODE: 539 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4886-8 TERMINATED DATE: 04/13/20 SECURITY AMERICA RISK RETENTION GROUP INC P O BOX 530 BURLINGTON, VT 05402-0530 CSLB CODE: 540 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4940-3 MAIDSTONE INSURANCE COMPANY 155 MINEOLA BLVD MINEOLA, NY 11501

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 100 ____________________________________________________________________________________________________________________________________ CSLB CODE: 541 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5037-7 RESTORATION RISK RETENTION GROUP INC 76 ST PAUL STREET 5TH FLOOR BURLINGTON, VT 05401 CSLB CODE: 542 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2342-4 EXECUTIVE RISK INDEMNITY INC 202B HALLS MILL ROAD WHITEHOUSE STATION, NJ 08889 CSLB CODE: 543 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3050-2 BERKLEY INSURANCE COMPANY 475 STEAMBOAT ROAD GREENWICH, CT 06830 (800) 866-2308 CSLB CODE: 544 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4843-9 RIVERPORT INSURANCE COMPANY 11201 DOUGLAS AVENUE URBANDALE, IA 50322 CSLB CODE: 545 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1439-9 HISCOX INSURANCE COMPANY INC 104 S MICHIGAN AVENUE STE 600 CHICAGO, IL 60603 CSLB CODE: 546 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2224-4 MIDVALE INDEMNITY COMPANY 6000 AMERICAN PKWY MS Q11F MADISON, WI 53783 (800) 692-6326 CSLB CODE: 547 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0339-2 CENTRAL MUTUAL INSURANCE COMPANY 800 S WASHINGTON STREET VAN WERT, OH 45891 (800) 736-7000

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 101 ____________________________________________________________________________________________________________________________________ CSLB CODE: 548 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5060-9 SAFETY FIRST INSURANCE COMPANY DBA SAFETY SURETY COMPANY 1832 SCHUETZ ROAD ST LOUIS, MO 63146 CSLB CODE: 549 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1304-5 LANCER INSURANCE COMPANY 370 WEST PARK AVENUE LONG BEACH, NY 11561 (800) 782-8902 CSLB CODE: 550 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4522-9 ACCREDITED SURETY AND CASUALTY COMPANY INC 4798 NEW BROAD STREET #200 ORLANDO, FL 32814 (800) 432-2799 CSLB CODE: 551 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1831-7 CAROLINA CASUALTY INSURANCE COMPANY P O BOX 9190 DES MOINES, IA 50306-9190 (800) 874-8053 CSLB CODE: 552 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6082-2 BERKLEY CASUALTY COMPANY 11201 DOUGLAS AVENUE URBANDALE, IA 50322-3707 CSLB CODE: 553 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 3262-3 TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY ONE TOWER SQUARE HARTFORD, CT 06183 CSLB CODE: 554 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 5175-5 HALLMARK INSURANCE CO DBA HALLMARK AMERICAN INSURANCE CO 777 MAIN STREET SUITE 1000 FORT WORTH, TX 76102 (800) 486-5616

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 102 ____________________________________________________________________________________________________________________________________ CSLB CODE: 555 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6135-8 EVEREST PREMIER INSURANCE COMPANY 477 MARTINSVILLE ROAD LIBERTY CORNER, NJ 07938 CSLB CODE: 556 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 1020-7 WELLFLEET NEW YORK INSURANCE COMPANY 5814 REED ROAD FORT WAYNE, IN 46835 CSLB CODE: 557 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2461-2 AGCS MARINE INSURANCE COMPANY 225 W WASHINGTON STREET SUITE 1900 CHICAGO, IL 60606 (800) 234-2474 CSLB CODE: 558 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2868-8 BEAZLEY INSURANCE COMPANY INC 30 BATTERSON PARK ROAD FARMINGTON, CT 06032 (800) 788-9488 CSLB CODE: 559 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4706-8 TRIUMPHE CASUALTY COMPANY 3250 INTERSTATE DRIVE RICHFIEDL, OH 44286 CSLB CODE: 560 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6157-2 STARR SPECIALTY INSURANCE COMPANY 399 PARK AVENUE NEW YORK, NY 10022 CSLB CODE: 561 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4290-3 INFINITY SELECT INSURANCE COMPANY 2201 4TH AVENUE NORTH BIRMINGHAM, AL 35203 (800) 782-2040

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DATE RUN: 05/01/2020 CONTRACTORS STATE LICENSE BOARD PROGRAM: TWCLIST -1 TIME RUN: 09:15:01 WORKERS COMPENSATION/LIABILITY INSURANCE COMPANY TABLE PAGE: 103 ____________________________________________________________________________________________________________________________________ CSLB CODE: 562 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 4727-4 CLEAR BLUE INSURANCE COMPANY B7 TABONUCO STREET SUITE 912 GUAYNABO, PR 00968 (980) 299-9520 CSLB CODE: 563 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 6134-1 EVEREST DENALI INSURANCE COMPANY P O BOX 830 LIBERTY CORNER, NJ 07938-0830 (510) 273-4660 CSLB CODE: 564 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 2061-0 21ST CENTURY PREFERRED INSURANCE COMPANY 3 BEAVER VALLEY ROAD WILMINGTON, DE 19803 (877) 401-8181 CSLB CODE: 565 DEPARTMENT OF INSURANCE (CALIFORNIA COMPANY ID NUMBER): 0785-6 MICHIGAN MILLERS MUTUAL INSURANCE COMPANY P O BOX 30060 LANSING, MI 48909 (800) 888-1914 TOTAL RECORDS: 659