Gallagher Bassett Liability Claims Handling Matrix

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1 Workers' Compensation, Auto Liability, General Liability 225 South Lake Avenue, Suite 900 Pasadena, CA Please mail all medical bills and accompanying medical reports to: Gallagher Bassett Services, Inc. P.O. Box Tucson, AZ All other correspondence is to be sent direct to the adjuster. STATE Gallagher Bassett Liability Claims Handling Matrix 1

2 ALASKA GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy ALABAMA Christine Phelan Claim Representative: Jane Miller Sonja Turner Todd Engle, Branch Manager

3 ARIZONA GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy ARKANSAS General Liability Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

4 ARKANSAS Auto Liability Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA

5 CALIFORNIA GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

6 COLORADO GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

7 CONNECTICUT Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

8 CONNETICUT John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager

9 DELAWARE Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

10 FLORIDA Christine Phelan Claim Representative: Jane Miller Sonja Turner Todd Engle, Branch Manager Francine Rasa Dennis McCarthy Rachith Nol Vanessa Scrudato Robert Mccullough FLORIDA John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager

11 GEORGIA Christine Phelan Claim Representative: Jane Miller Sonja Turner Todd Engle, Branch Manager HAWAII GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

12 IDAHO GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Scott Spencer Deanna Felix Patty Kyncy

13 IDAHO GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

14 ILLINOIS Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager Francine Rasa Dennis McCarthy Rachith Nol Vanessa Scrudato Robert Mccullough INDIANA Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

15 IOWA Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager KANSAS Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager KENTUCKY Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager LOUISIANA General Liability Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

16 LOUISIANA Auto Liability Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA

17 MAINE Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

18 MAINE John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager

19 MARYLAND Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

20 MARYLAND John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager

21 MASSACHUSETTS Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

22 MICHIGAN Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager MINNESOTA Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager MISSISSIPPI General Liability Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

23 MISSISSIPPI Auto Liability Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA MISSOURI Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

24 MONTANA GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy NEBRASKA Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

25 NEVADA Dana Ames Senior Claim Representative (on leave): Laura Morgan Gallagher Bassett Services 156 Las Vegas P.O. Box Las Vegas, NV Phone: Fax#: (866) Toll Free #: Charles (Chuck) Rostad, Branch Manager x Fort Apache Rd, Ste 250 Las Vegas, NV

26 NEW HAMPSHIRE Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

27 NEW HAMPSHIRE John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager

28 NEW JERSEY Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

29 NEW MEXICO General Liability Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager NEW MEXICO Auto Liability Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA

30 NEW YORK Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

31 NORTH CAROLINA Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

32 NORTH CAROLINA John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager NORTH DAKOTA Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

33 OHIO Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

34 OKLAHOMA General Liability Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager OKLAHOMA Auto Liability Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA

35 OREGON GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

36 PENNSYLVANIA Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

37 RHODE ISLAND Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

38 RHODE ISLAND John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager SOUTH CAROLINA Christine Phelan Claim Representative: Jane Miller Sonja Turner Todd Engle, Branch Manager SOUTH DAKOTA Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager

39 TENNESSEE Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

40 TEXAS General Liability Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager Francine Rasa Dennis McCarthy Rachith Nol Vanessa Scrudato Robert Mccullough TEXAS Auto Liability Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA

41 UTAH GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

42 VERMONT Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

43 VIRGINIA Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

44 VIRGINIA John Moriarty General Liability Only Lauri Lancaster, Claim Representative: Noreen Ford Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager WASHINGTON GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

45 WEST VIRGINIA Auto Sonja Monroe Colina McGee Melissa Walker Sheri Gordon Nicole Fagan Agnes Tillery Todd Engle, Branch Manager GL Francine Rasa Ceyenne Bowlby Marie Faulhaber Dennis McCarthy Rachith Nol Vanessa Scrudato Neil Laubach John Attamante Robert Mccullough Kathy Phelan

46 WISCONSIN Christine Phelan Jane Miller Sonja Turner Todd Engle, Branch Manager WYOMING GL Cheryl Barrett James Dunham Kareen (Sandy) Anderson, Suzee Grant Stacy Vega MaryAnne Venigas Gallagher Bassett Services LA/Laguna Hills P.O. Box Laguna Hills, CA Phone: 949/ Fax: 949/ Toll Free: 800/ Cathy Meginnis, Branch Manager Aliso Creek Road, Suite 200 Aliso Viejo, CA Auto Jim Gwyn Dorothy Donnell Lori DeSoto, Claudia Cardenas Chau Nguyen x9661 Scott Spencer Deanna Felix Patty Kyncy

47 Gallagher Bassett Workers Compensation Claims Handling Matrix STATE ALABAMA Amy Archer E-Fax: Janet Peterson-Cruce Gallagher Bassett Services 113 Birmingham 601 Vestavia Pkwy Suite 251 Birmingham, AL Phone #: 205/ Fax #: 205/ Toll Free #: 800/ James Colli, Interim Branch Manager ALASKA Joanne Pride x3412 Mckenna Wentworth x3452 Mary Garcia Wilton Adjustment Service, Inc E. 34 th Avenue, Suite 400 Anchorage, AK Phone#: 907/ Fax#: 907/ Toll Free: None McKenna Wentworth, Branch Manager x MO Adjuster: Shea Loescher x3317 ARIZONA Lori Noel Interim Senior Claim Representative: Lesia Fejarang Gallagher Bassett Services Phoenix 4110 N Scottsdale Road, Suite 240 Scottsdale, AZ Phone #: 480/ Fax #: 480/ Toll Free #: 800/ Bruce Martin, Branch Manager x201 bruce MO Adjuster: Rita Cooper

48 ARKANSAS Jodi Sullivan Senior Claim Representative: Denise Hudson Laura Burnett Gallagher Bassett Services 088 Little Rock P.O. Box 7140 North Little Rock, AR Phone #: 501/ Fax #: 501/ Toll Free #: 800/ Jodi Sullivan, Branch Manager Wildwood Ave Ste 128 Sherwood, AR CALIFORNIA ROSEVILLE Lisa Hampton Heidi Barton Mary Cox Kristi Blas Chris Wilson Julie Callison Gallagher Bassett Services Roseville P.O. Box 610 Roseville, CA Phone #: 916/ Toll Free #: 866/ Fax #: 916/ Jeff Caples, Branch Manager Douglas Blvd, Suite 150 Roseville, CA Claim Representative Trainee: Christopher Sum ADR and MO Claims: Erin Crook (All Other MO claims are handled in Oklahoma Branch 132) 48

49 CALIFORNIA CALABASAS Patricia Nwajei Rosa Schaffer Bill Collet Philip Shevitt Tammy Barrera Gallagher Bassett Services 165 LA/Calabasas P.O. Box 9875 Calabasas, CA Phone #: 818/ Fax #: 818/ Toll Free #: 866/ Richard Sager Direct Agoura Road Calabasas, CA CALIFORNIA SAN DIEGO Robert Rowe Rigoberto Hernandez Jennifer Law April Ecker Rachel Ruiz Letesia Lazcano Gallagher Bassett Services San Diego P.O. Box San Diego, CA Phone #: 619/ General Office Fax #: 619/ Toll Free #: 866/ Christy Corle, Branch Manager Direct: Rio San Diego Drive Suite 200 San Diego, CA CALIFORNIA ONTARIO Kevin Fiola Claim Representatives: Chrisi Fajardo Ryan Markovich Gallagher Bassett Services Ontario P.O. Box 4200 Rancho Cucamonga, CA Phone 909/ Fax: 909/ Toll Free: 866/ Kelly Castanon, Branch Manager Anaheim Place, Suite 110 Rancho Cucamonga, CA

50 CALIFORNIA - CORONA Dan Robinson Direct Fax # Deanna Smith Direct Dial Direct Fax # Gallagher Bassett Services 170 Corona P.O. Box 6900 Corona, CA Fax #: 951/ Phone #: 866/ Karen Barnes, Branch Manager Corona Corporate III 355 E. Rincon Street, Suite 300 Corona, CA Aaron Fouts Direct Dial Direct Fax # Olubukola (Bukola) Brown Direct Dial Direct Fax Natalie Keplinger Direct Dial: Direct Fax: Todd Ludeman Direct Dial Direct Fax Olufemi (Femi) Williams Direct Dial Direct Fax Juan Sanchez Direct Dial: Direct Fax: Senior Claim Representative: James Hayes Direct Dial: Direct Fas: MO Adjuster (for ADRs): Janine Cunningham (MO claims are handled in Oklahoma Branch 132 ) 50

51 COLORADO Deborah Beck Senior Claim Representative: Angela Kitts Kris Flores Gallagher Bassett Services Denver P.O. Box 4068 Englewood, CO Phone #: 303/ Fax #: 303/ Toll Free #: 800/ Cynthia Tucker, Branch Manager x S. Fiddlers Green Circle, Suite 250 Greenwood Village, CO Senior Claim Representative: Alixe Landry CONNECTICUT Kathy Stefanini Kristine Kelaghan Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager DELAWARE Jim Harrington Mary Lou Adams Gallagher Bassett Services 476 (Northern New Jersey) P.O. Box 405 Parsippany, NJ Phone: 973/ Fax: 973/ Toll Free: 800/ Ken Nietzer, Branch Manager 9 Entin Road Parsippany, NJ

52 DISTRICT OF COLUMBIA Stacie Johnson Christina Keller telecommuter FLORIDA Heidi Greene Senior Claim Adjuster: Robyn Deans Senior Claim Adjuster: Cheryl France Gallagher Bassett Services Washington DC P.O. Box 2007 Columbia MD Phone #: 410/ Fax #: 410/ Toll Free #: 800/ Glenn Elseroad, Branch Manager Rumsey Road, Suite B Columbia, MD Gallagher Bassett Services P.O. Box Orlando, FL Phone #: 407/ Fax #: 407/ Toll Free #: 800/ Keith Leahy, Branch Manager x New Broad St., #225 Orlando, FL GEORGIA Sophia Cook Interim Claim Representative: Iris Harris HAWAII Nadine Kurihara-Nakasu Interim Claim Representative: Melba Manuel Gallagher Bassett Services Crescent Center Parkway, Suite 600 Atlanta, GA Phone: 770/ Fax #: 770/ Toll Free #: 800/ Patricia Barber, Branch Manager Crescent Center Parkway, ste 600 Atlanta, GA Gallagher Bassett Services 162 Honolulu 1099 Alakea Street, Ste 2150 Honolulu, HI Phone #: (808) Fax #: (808) Toll Free #: 877/ Nadine Kurihara-Nakasu, Branch Manager nadine Interim MO Adjuster: Michael Krill

53 IDAHO Kelly Cunningham, Holly Setzer Gallagher Bassett Services 193 Boise 720 E. Park Blvd Suite 125 Boise, ID Phone #: 208/ Fax #: 208/ Toll Free #: 866/ Regina Pearson, Branch Manager MO adjuster: Tayde Diaz (Interim) ILLINOIS Tracey Parks E-Fax: Betsy Weaver E-Fax: Melissa Finn Gallagher Bassett Services 012 Rolling Meadows (Metro) PO Box 8009 Itasca, IL Phone #: 847/ Fax #: 847/ Toll Free #: 800/ Bronwyn Kossman, Branch Manager W. Golf Road, 9 th Floor Rolling Meadows, IL INDIANA Jennifer Bauer Senior Claim Representative: Sharon Paris Gallagher Bassett Services 006 South Bend 5775 Nimtz Parkway, Suite 100 South Bend, IN Phone: 574/ Fax: 574/ Toll Free: 800/ Marge Rzepka, Branch Manager IOWA Mary Haselton Senior Claim Representative: Catherine Sams Gallagher Bassett Services 132 Oklahoma City Quail Springs Parkway, Suite 3000 Oklahoma City, OK Phone: 405/ Fax #: 405/ Toll Free #: 800/ Stacy Goble, Branch Manager Carla Tate, Asst. Branch Manager

54 KANSAS Janella Porter Claim Representative: Kenya Miller Gallagher Bassett Services 031 Kansas City 1300 E. 104th Street, Suite 200 Kansas City, MO Phone: 816/ Fax: 816/ Toll Free: 800/ Stacy Goble, Branch Manager MO Adjuster for Koss Const Kansas claims only: Creshaun Pearl, , KENTUCKY Caroline Atkinson Senior Claim Representative: Erin Cahill LOUISIANA USL&H Only Interim Jesse Eusay Interim Jesse Eusay Gallagher Bassett Services 142 Louisville P.O. Box 6928 Louisville, KY Phone#: 502/ Fax #: 866/ Toll Free #: 800/ Branch Manager: Andrea Treadway Williamsburg Plaza, Suite 101 Louisville, KY Gallagher Bassett Services 074 Baton Rouge 235 Highlandia Drive, Suite101 Baton Rouge, LA Phone #: 225/ Fax #: 225/ Toll Free #: 800/ Branch Manager: Jesse Eusay Sherry Adams

55 MAINE Michelle Milligan Katie Hughes Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager MO Adjuster: Lillian Carroll MARYLAND Stacie Johnson Christina Keller telecommuter MASSACHUSETTS All except Consigli, Century Drywall, S&F Concrete, & Robert Devereux OCIP: Kathy Stefanini Adjuster: Linda Pahigian Gallagher Bassett Services Washington DC P.O. Box 2007 Columbia MD Phone #: 410/ Fax #: 410/ Toll Free #: 800/ Glenn Elseroad, Branch Manager Rumsey Road, Suite B Columbia, MD Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager Consigli, Century Drywall, S&F Concrete, & Robert Devereux OCIP Only: Michelle Milligan Adjuster: Katie Hughes

56 MICHIGAN Rashaun Morrill Senior Claim Representative: Karie Bacon MINNESOTA Brenda Harper Senior Claim Representative: Jorna Chapple Gallagher Bassett Services Lansing 300 W Lake Lansing Rd East Lansing, MI Phone #: 517/ Fax #: 517/ Toll Free #: 800/ Branch Manager: Michael Wyman x201 (UPS, Federal Express, etc.) Arbor Glen Office Park 300 W Lake Lansing Rd East Lansing, MI Gallagher Bassett Services 075 Minneapolis Reimer Drive, Suite 200 Maple Grove, MN Phone #: 763/ Fax #: 763/ Toll Free #: 800/ Branch Manager: Kevin Frommelt x201 kevin MISSISSIPPI USL&H Only Interim Jesse Eusay Sherry Adams Gallagher Bassett Services 074 Baton Rouge 235 Highlandia Drive, Suite101 Baton Rouge, LA Phone #: 225/ Fax #: 225/ Toll Free #: 800/ Branch Manager: Jesse Eusay MISSOURI Janella Porter Claim Representative: Kenya Miller Gallagher Bassett Services 031 Kansas City 1300 E. 104th Street, Suite 200 Kansas City, MO Phone: 816/ Fax: 816/ Toll Free: 800/ Stacy Goble, Branch Manager 56

57 MONTANA Kelly Cunningham, Claim Representative: Lehua Milliken Gallagher Bassett Services 080 Missoula 2501 Catlin, Suite 200 Missoula, MT Main Phone: Toll Free #: FAX: Regina Pearson, Branch Manager MO Adjuster: Jeffrey Palmer NEBRASKA Janella Porter Claim Representative: Kenya Miller Gallagher Bassett Services 031 Kansas City 1300 E. 104th Street, Suite 200 Kansas City, MO Phone: 816/ Fax: 816/ Toll Free: 800/ Stacy Goble, Branch Manager NEVADA Trishia Gibson Claim Representatives: Dorien Burgert (remote) MO Adjuster: Diana Hilts NEW HAMPSHIRE Kathy Stefanini Adjuster: Linda Pahigian Gallagher Bassett Services 156 Las Vegas P.O. Box Las Vegas, NV Phone: Fax#: (866) Toll Free #: Charles (Chuck) Rostad, Branch Manager x Denise Litzsey Asst. WC Branch Manager x Fort Apache Rd, Ste 250 Las Vegas, NV Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager

58 NEW JERSEY Jim Harrington Maria Sanchez Mary Lou Adams Lauren Gottwald Jamie Chambers Laura Aline Gallagher Bassett Services 476 (Northern New Jersey) P.O. Box 405 Parsippany, NJ Phone: 973/ Fax: 973/ Toll Free: 800/ Ken Nietzer, Branch Manager 9 Entin Road Parsippany, NJ (MO claims (except NJ Turnpike) are handled in Oklahoma Branch 132. NJ Turnpike handled by Maria Sanchez.) NEW MEXICO Freddy Mistry Interim Senior Claim Representative: Freddy Mistry Gallagher Bassett Services 046 Albuquerque 2424 Louisiana NE Suite 220 Albuquerque, NM Phone: 505/ Fax #: 505/ Toll Free #: 866/ Branch Manager: Freddy Mistry MO Adjuster: Lisa Hughes NEW YORK Jim Harrington Maria Sanchez Lauren Gottwald Jamie Chambers Laura Aline Gallagher Bassett Services 476 (Northern New Jersey) P.O. Box 405 Parsippany, NJ Phone: 973/ Fax: 973/ Toll Free: 800/ Ken Nietzer, Branch Manager 9 Entin Road Parsippany, NJ

59 NORTH CAROLINA Barbara Robinson Senor Claim Representative: Tara Potter Gallagher Bassett Services Charlotte 8731 Red Oak Blvd Suite 240 Charlotte, NC Phone: Fax #: Toll Free #: Regina Woodberry-Stith, Branch Manager *Was branch 183-Rock Hill, merged into branch 059 on 06/27/11 59

60 OKLAHOMA Monet Ille Claim Representative: Jamie Herell Dedicated ORCPG MO Unit: Brenda Beaver, e-fax: Gallagher Bassett Services 132 Oklahoma City Quail Springs Parkway, Suite 3000 Oklahoma City, OK Phone: 405/ Fax #: 405/ Toll Free #: 800/ Stacy Goble, Branch Manager Carla Tate, Asst. Branch Manager Centralized MO Adjusters: & AR, CA, GA, NH, RI, SC, TX, Holt Plastering and Bradley Electric Twana Brinlee e-fax: & AL, CA, CT, MI Eileen Glass e-fax: & AL, CA, CT, MI Tabitha Wieland e-fax: & CA, CO, DC, MD, OK, TN, VA Chrystal Henry-Whittle e-fax: & CA, IL, IA, KS, LA, MA, MO, NE,NJ, PA, WI Porsha Webb e-fax: , & All CCIP and OCIP Kim Branch

61 OREGON Dawn Bambusch x6314 Senior Claim Representative: Diane Schweda x6308 Gallagher Bassett Services 155 Portland 4550 SW Kruse Way Suite 155 Lake Oswego, OR Phone: 503/ Fax #: 503/ Toll Free #: 877/ Eric Sorem, Branch Manager x MO Adjuster: Michele Carney x6344 PENNSYLVANIA Jim Harrington Mary Lou Adams RHODE ISLAND Kathy Stefanini Adjuster: Kristine Kelaghan Gallagher Bassett Services 476 (Northern New Jersey) P.O. Box 405 Parsippany, NJ Phone: 973/ Fax: 973/ Toll Free: 800/ Ken Nietzer, Branch Manager 9 Entin Road Parsippany, NJ Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager SOUTH CAROLINA Barbara Robinson Senior Claim Representative: Tara Potter Gallagher Bassett Services Charlotte 8731 Red Oak Blvd Suite 240 Charlotte, NC Phone: Fax #: Toll Free #: Regina Woodberry-Stith, Branch Manager *Was branch 183-Rock Hill, merged into branch 059 on 06/27/11 61

62 SOUTH DAKOTA Brenda Harper Senior Claim Representative: Jorna Chapple Gallagher Bassett Services 075 Minneapolis Reimer Drive, Suite 200 Maple Grove, MN Phone #: 763/ Fax #: 763/ Toll Free #: 800/ Branch Manager: Kevin Frommelt x201 kevin TENNESSEE James Nash Senior Claim Representative: Annette Baker-Jackson TEXAS Laura Lewis Claim Representative: Jessica Schiro Priscilla Griffith Crystal Grimes Gallagher Bassett Services 070 Nashville P.O. Box Nashville, TN Phone #: 615/ Fax #: 615/ Toll Free #: 800/ James Colli, Branch Manager Marriott Drive, Suite 650 Nashville, TN Gallagher Bassett Services Dallas 6404 International Parkway Suite 2300 Plano, Texas Phone #: 972/ Fax #: 972/ Toll Free #: Terry Tarter, Branch Manager

63 UTAH Deborah Beck Senior Claim Representative: Angela Kitts Kris Flores Gallagher Bassett Services Denver P.O. Box 4068 Englewood, CO Phone #: 303/ Fax #: 303/ Toll Free #: 800/ Cynthia Tucker, Branch Manager x S. Fiddlers Green Circle, Suite 250 Greenwood Village, CO Senior Claim Representative: Alixe Landry VERMONT Kathy Stefanini Adjuster: Kristine Kelaghan Gallagher Bassett Services Boston 100 Grandview Road, Suite 406 Braintree, MA Phone #: 781/ Fax #: 781/ Toll Free #: 800/ Lauri Lancaster, Branch Manager MO Adjuster: Lauri Lancaster VIRGINIA Melissa Beasley x7370 Direct dial: Efax: Interim Senior Claim Representative: Rose Wise Direct dial: Gallagher Bassett Services 066 Richmond Moorefield III 804 Moorefield Park Drive Suite 301 Richmond, VA Phone #: Fax #: Toll Free #: Alicia Barnett, Branch Manager P O Box Richmond, VA

64 WEST VIRGINIA Debbie Fisher Senior Claim Representative: Dani Foschia Gallagher Bassett Services 021 Pittsburgh 245 Humphrey Road, Suite 3 Greensburg, PA Phone #: (724) Fax #: (724) Toll Free #: (800) Ron Genard, Branch Manager x201 MO Adjuster: Megan Panichella WISCONSIN Gail Stockton Senior Claim Representative: Jamie Senner Gallagher Bassett Services 062 Milwaukee Two Honey Creek Corporate Center 115 S. 84th Street, Suite 215 Milwaukee, WI Phone #: 414/ Fax #: 414/ Toll Free #: 800/ Andrew Johnson Branch Manager

65 Administrative Office of the Court Office of Court Construction Management Gallagher Bassett Claim Handling Team Mailing Address: P.O. Box Laguna Hills, CA Branch Manager: Senior Claim Representative: All Regions - Liability Office Gallagher Bassett Services 036 Los Angeles UPS, Federal Express, etc: Aliso Creek Road, Suite 200 Aliso Viejo, CA Cathy Meginnis Direct: (949) Cheryl Barrett Direct: Stacy Vega Direct: (949) Phone: (949) Fax: (949) Toll Free: (800) Mailing Address: P.O. Box 610 Roseville, CA Branch Manager: Senior Claim Representative: Back Up Senior Claim Representative: MO Adjuster:: Region 1 Workers Compensation Office Gallagher Bassett Services 180 Roseville UPS, Federal Express, etc: 3741 Douglas Blvd, Suite 150 Roseville, CA Jeff Caples Direct: (916) Lisa Hampton Direct: (916) Christopher Wilson Direct : (916) Heidi Barton Direct : (916) Erin Crook Direct : (916) Phone: (916) Fax: (916) Toll Free: (866)

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