STATE OF CONNECTICUT

STATE OF CONNECTICUT INSURANCE PARTMENT Licensed Captive Insurance Companies and Risks Retention s, Registered Risk Retention s and *Risk Purchasing s Number Lines of Business 1 Fire, extended coverage and other allied lines 2 Homeowners multiple peril 3 Commercial multiple peril 4 Earthquake 5 Growing crops 6 Ocean marine 7 Inland marine 8 Accident & Health 9 Workers compensation 10 Liability other than auto (Bodily Injury and Property Damage) 11 Auto liability (Bodily Injury and Property Damage) 12 Auto Physical damage 13 Aircraft (all perils) 14 Fidelity & surety 15 Glass 16 Burglary & Theft 17 Boiler & Machinery 18 Credit 19 Reinsurance 20 Life non-participating 21 Life participating 22 Variable Life non-participating 23 Variable Life participating 24 Variable Annuities 25 Title 26 Fraternal Benefit Society 27 Mortgage Guaranty 28 Health Care Center 29 See Addendum (none at this time) 30 See Addendum (none at this time) OA OD OF OR OP Type of Company Captive Alien Captive Domestic Captive Foreign Risk Retention Domestic Risk Retention Foreign Risk Purchasing Domestic Risk Purchasing Foreign *Not a complete list of Registered Risk Purchasing s (Due to ongoing automation process) www.ct.gov/cid P.O. Box 816 Hartford, CT 06142-0816 An Equal Opportunity Employer

Licensed Captive Insurance Companies and Risks Retention s, Registered Risk Retention s and *Risk Purchasing s as of 10/07/2015 0 12934 Academic Medical Professionals Insurance Risk Retention, LLC 76 Saint Paul Street Suite 500 Burlington, 05401 0 0 Aetna Risk Assurance Company of Connecticut Inc. 151 Farmington Avenue Hartford, CT 06156 CT OD 10 4681 13677 Affiliates Insurance Reciprocal, A Risk Retention 100 Bank Street Suite 610 Burlington, 05401 0 0 AKC PG Inc 13790 E RICE PLACE SUITE 100 AURORA, CO 80015 999 10023 Alliance of Nonprofits for Insurance Risk Retention 2386 Airport Road Barre, 05641 0 0 Allied Beauty Experts 6551 S. Revere Pkwy, Ste. 120 Centennial, CO 80111 CO 0 15639 Allied Premier Insurance, A Risk Retention 5679 South Redwood Road, Suite 25 Salt Lake City, UT 84123 CT OR 29 0 11710 Allied Professionals Insurance Company, a RRG 1100 W. Town & Country Road Suite 1400 Orange, CA 92868 AZ 0 10232 American Association of Orthodontists Insurance Company 7580 E. Gray Road, Suite 101 Scottsdale, AZ 85260 AZ 594 12300 American Contractors Insurance Company RRG 2600 N Central Expressway Suite 800 Richardson, TX 75080 TX 556 44202 American Feed Industry Insurance Company RRG, Inc. 4685 Merle Hay Road Des Moines, IA 50322 IA 10/07/2015 Page 1 of 17

0 0 American Realty Owners and Managers Association, Inc. 225 Metro Center Blvd., Suite 200 Warwick, RI 02886 RI 1346 25448 American Safety Risk Retention, Inc. 1100 Circle 75 Parkway Suite 925 Atlanta, GA 30339 0 0 American Specialty Sports & Entertainment Purchasing 7609 W Jefferson Blvd, Suite 100 Fort Wayne, IN 46804 IN 0 11534 American Trucking and Transportation Insurance Company, A Risk Retention. 111 North Higgins Avenue 4th Floor Missoula, MT 59802 MT 0 12171 AmeriGuard Risk Retention, Inc. 2386 Airport Road Barre, 05641 0 11598 Applied Medico-Legal Solutions Risk Retention, Inc. 1850 N. Central Avenue Suite 1700 Phoenix, AZ 85004 AZ 0 0 Appraisers Liability Insurance Trust Purchasing 1600 ANACAPA STREET Santa Barbara, CA 93101 0 13177 ARCOA Risk Retention, Inc. 2721 N. Central Avenue Phoenix, AZ 85004 NV 0 13580 ARISE Boiler Inspection & Insurance Company Risk Retention P.O. Box 23790 Louisville, KY 40223-0790 KY 0 0 Arthur J. Gallagher Financial Services Professionals Risk Purchasing, LLC 18201 VON KARMAN AVE, SUITE 200 Irvine, CA 92612 CA 0 0 Arthur J. Gallagher Real Estate Risk Purchasing, LLC 209 Hawksbury Place Dardenne Prairie, MO 63368 CA 10/07/2015 Page 2 of 17

0 0 Arthur J. Gallagher School Risk Purchasing, LLC 209 Hawksbury Place Dardenne Prairie, MO 63368 CA 0 0 Ascension Health Risk Purchasing, Inc 4600 Edmundson Road St. Louis, MO 63134 MO 0 14425 Association of Certified Mortgage Originators Risk Retention, Inc. 1605 Main Street Suite 800 Sarasota, FL 34236 NV 0 0 Association Resource PG 13790 E RICE PLACE, SUITE 100 Aurora, CO 80015 CO 0 10639 Attorneys Liability Assurance Society, Inc. RRG 311 South Wacker Drive Suite 5700 Chicago, 60606-6629 4711 32450 Attorneys Liability Protection Society, A Mutual RRG P O Box 9169 Missoula, MT 59807-9169 MT 0 0 Attorneys' Advantage Risk Purchasing One North Franklin, Suite 3600 Chicago, 60606 0 13791 Aviation Alliance Insurance Risk Retention, Inc. 111 North Higgins Avenue Suite 200 Missoula, MT 59802 MT 0 0 B&L Select Transportation RPG, Inc. 1099 N. Meridian St., Suite 700 (317) 429-2696 Indianapolis, IN 46204 0 10174 Bar Vermont Risk Retention, Inc. 76 St. Paul Street Suite 500 Burlington, 05403 4775 14487 BeaconHarbor Mutual Risk Retention P.O. Box 15275 Portland, ME 04101-4009 ME 0 0 Beauty Health & Trade Alliance One North Franklin, Suite 3600 Chicago, 60606 10/07/2015 Page 3 of 17

0 12933 Bedford Physicians Risk Retention, Inc. One Lawson Lane Suite 410 Burlington, 05401 0 0 Behavioral Health Purchasing, Inc. 135 Crossways Park Drive, Suite 300, P.O. Box 9017 Woodbury, NY 11797 0 13010 Bonded Builder Insurance Company, A Risk Retention 2233 Wisconsin Avenue, NW Suite 310 Washington, 20007 NV 0 Buttine Underwriters Purchasing, LLC 33 EAST 33RD STREET, 5TH FLOOR New York, NY 10016 MD 0 0 CALP, Inc. 6 CLEMENT AVENUE SARATOGA SPRINGS, NY 12866 0 0 Cardigan Commercial Auto Risk Purchasing, LLC 6320 Canoga Avenue, 12th Floor Woodland Hills, CA 91367 MD 0 11825 CARE Risk Retention, Inc. 1800 Second Street Suite 909 Sarasota, FL 34236 0 15089 CareConcepts Insurance Company, Inc. A Risk Retention 2500 Westchester Ave 4th Floor Purchase, NY 10577 MT 0 12373 Caring Communities, a Reciprocal Risk Retention 1850 W. Winchester Road Suite 109 Libertyville, 60048 0 10808 Cassatt Risk Retention, Inc. 76 St. Paul Street, Suite 500 Burlington, 05401 0 12172 Claim Professionals Liability Insurance Company, A Risk Retention 2386 Airport Road Barre, 05641 4770 13756 CMIC Risk Retention 30 Main Street Suite 450 Burlington, 05401 10/07/2015 Page 4 of 17

0 College and University Scholastic Excess Risk Purchasing, LLC 701 South Parker Street, Suite 6200 Orange, CA 92868 CA 0 0 College Risk Purchasing, Inc. 100 BANK STREET, SUITE 610 Burlington, 05402 0 13613 College Risk Retention, Inc. P.O. Box 530 Burlington, 05402-0530 0 0 Combined Real Estate Purchasing Enterprise, Inc. 135 Crossways Park Drive, P.O. Box 9017 516-773-8618 Woodbury, NY 11797 0 10075 Consumer Specialties Insurance Company RRG 2386 Airport Road Barre, 05641 0 11798 Continuing Care Risk Retention, Inc. 1501 Wilson Boulevard Suite 110 Arlington, VA 22209 SC 4721 11603 Contractors Insurance Company of North America, Inc. a RRG 201 Merchants Street, Suite 2400 Honolulu, HI 96813 HI 0 10341 Controlled Risk Insurance Company of Vermont P O Box 530 Burlington, 05402-0530 0 14906 COPIC, A Risk Retention 2386 Airport Road Barre, 05641 0 14160 Coverys, RRG, Inc. 40 Main Street Suite 200 Burlington, 05401 0 10164 CPA Mutual Insurance Company of America RRG 112 Lake Street Burlington, 05401 0 13720 Crossfit Risk Retention, Inc. 2897 Kalawao Street Honolulu, HI 96822 MT 10/07/2015 Page 5 of 17

0 0 DeWitt Stern Cultural Institution Risk Purchasing, Inc. 209 Hawkbury Place Dardenne Prarie, MO 63368 0 0 DME/OP Purchasing, Inc 100 Lake Street West Wayzata, MN 55391 KS 0 0 DT Preferred, LLC 110 West Road, Suite 227 Towson,, MD 21204 MD 0 10115 Eastern Dentists Insurance Company RRG 148 College Street Suite 204 Burlington, 05401 0 Educators Liability Insurance Purchasing of Missouri Forest T. Jones & Company, Inc., 3130 Broadway Kanas City, MO 64111 MO 0 10125 Elite Transportation Risk Retention, Inc. 58 East View Lane Suite 2 Barre, 05641 AZ 0 12003 Emergency Medicine Professional Assurance Company Risk retention 1605 Main Street Suite 800 Sarasota, FL 34236 NV 0 11714 Emergency Physicians Insurance Company RRG 10091 Streeter Road Suite 6 Auburn, CA 95602 NV 0 0 Employment Practices Risk Management Association 1763 Marlton Pike East, Suite 200 Cherry Hill, NJ 08003 0 38466 Evergreen USA Risk Retention, Inc. 76 St. Paul Street 5th Floor Burlington, 05401 0 0 Family Entertainment Centers Safety Association, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY 11797 NY 0 0 Financial Sales Professional Purchasing 681 S. Parker Street, Suite 300 Orange, CA 92868 CA 10/07/2015 Page 6 of 17

0 0 First Federal Guarantee Insurance Company 50 Weston Street Hartford, CT 06120 CT OD 09 10 11 19 0 0 Food Services RPG, LLC 240 MINEOLA BOULEVARD MINEOLA, NY 11501 0 0 Frontier Services Corporation 3 High Ridge Park Stamford, CT 06905 CT OD 09 10 11 19 0 0 Funeral Directors Planning, Inc. 225 Metro Center Blvd., Suite 220 Warwick, RI 02886 RI 0 0 Gallagher Steel Courier Risk Purchasing 209 HAWKSBURY PLACE O'FALLON, MO 63366 NJ 0 0 Garage Services and Equipment Dealers Liability Association of America 8722 S. Harrison Street Sandy, UT 84070 UT 0 0 General Real Estate Environmental Enterprises Net, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY 11797 0 GGP Tenants Purchasing One North Franklin, Suite 3600 Chicago, 60606 0 11145 Golden Insurance Company, A Risk Retention 2121 Valley Sand Street Las Vegas, NV 89135 NV 0 11941 Green Hills Insurance Company, a Risk Retention P O Box 2127 South Burlington, 05407 0 0 Hand Made Artisans Risk Purchasing 6860 W. Snowville Road Suite 110 Brecksville, OH 44141 OH 0 11832 Health Care Industry Liability Reciprocal Insurance Company, A Risk Retention 103 East Liberty Suite 201 Ann Arbor, MI 48104 10/07/2015 Page 7 of 17

0 0 Heating Oil Dealers Risk Purchasing 308 Farmington Avenue Farmington, CT 06032 0 11097 Heritage Warranty Insurance Risk Retention, Inc. 1327 Ashley River Road Building C, Suite 200 Charleston, SC 29407 SC 0 0 Hospitality Supportive Systems, LLC 940 West Sproul Road, Suite 103 Springfield, PA 19064 PA 4359 26797 Housing Authority RRG, Inc. P O Box 189 Cheshire, CT 06410-0189 0 11268 ICI Mutual Insurance Company, A Risk Retention 1401 H Street NW Suite 1000 Washington, 20005 0 0 Independent Contractor Services PG, Inc. 2005 Merrick Road, Suite 305 Merrick, NY 11566 0 0 Integrated Risk Facilities, Inc. 14 WALL STREET, 18TH FLOOR New York, NY 10005 0 0 International Special Events and Recreation Association, Inc. 8722 S. Harrison Street Sandy, UT 84070 UT 0 0 IPHFHA Risk Purchasing One North Franklin, Suite 3600 Chicago, 60606 0 0 IRF Construction, Inc. 14 Wall Street, 18th Floor New York, NY 10005 0 0 IRF Hospitality, Inc. 14 Wall Street, 18th Floor New York, NY 10005 0 0 IRF Manufacturing, Inc. 14 Wall Street, 18th Floor New York, NY 10005 10/07/2015 Page 8 of 17

0 0 IRF Real Estate Operations, Inc. 14 Wall Street, 18th Floor New York, NY 10005 0 0 IRF Restaurant, Inc. 14 Wall Street, 18th Floor New York, NY 10005 0 0 IRF Retail, Inc. 14 Wall Street, 18th Floor New York, NY 10005 0 0 IRF Service, Inc. 14 Wall Street, 18th Floor New York, NY 10005 0 0 IRF Wholesale, Inc. 14 Wall Street, 18th Floor New York, NY 10005 0 14375 Ironshore Risk Retention, Inc. 1627 Connecticut Avenue, N.W., Suite 6 Washington, 20009 0 0 Lawyers Protector Plan Purchasing 655 North Franklin St., Suite 1900 Tampa, FL 33602 0 11500 Lenders Protection Assurance Company Risk Retention P O Box 641668 Omaha, NE 68134 NE 0 11117 Marathon Financial Insurance Company, Inc. RRG 1716 Corporate Crossing, Suite 2 P O Box 961 O'Fallon, 62269 0 10697 MCIC Vermont Inc. RRG 76 St. Paul Street Suite 500 Burlington, 05401-4477 0 0 MDVIP Risk Purchasing Association 1875 NW Corporate Boulevard, Suite 300 Boca Raton, FL 33431 0 0 Medical Data & Billing Insurance Liability Risk Purchasing, Inc. 330 E. Kilbourn Ave., Suite 1085, Two Plaza East Milwaukee, WI 53202 WI 10/07/2015 Page 9 of 17

0 0 MedPro Provider Solutions, Inc. 5814 Reed Road Fort Wayne, IN 46814 IN 31 13589 MedPro RRG Risk Retention 1050 K Street NW Suite 400 Washington, 20001 0 44237 Mental Health Risk Retention, Inc. c/o Strategic Risk Solutions P O Box 1750 Burlington, 05402-1750 0 14219 Millbrook NMF Risk Retention, Inc. Strategic Risk Solutions LLC 360 Concord Street Unit 106 Charleston, SC 29401 SC 0 14062 MMIC Risk Retention, Inc. 7701 France Avenue South #500 Minneapolis, MN 55435-5288 0 26257 Mutual Risk Retention, Inc. (The) 2121 N. California Boulevard Suite 1010 Walnut Creek, CA 94596 HI 0 14366 NASW Risk Retention, Inc. 1333 H St. N.W. Suite 820 Washington, 20005 0 0 National Association of Insurance and Financial Advisors 681 S. Parker Street, Suite 300 Orange, CA 92868 0 0 National Automotive Coalition, Inc. 757 THIRD AVENUE New York, NY 10017 0 12293 National Contractors Insurance Company, Inc. P.O. Box 510 Bigfork, MT 59911-0510 MT 0 36072 National Guardian Risk Retention, Inc. 4075 Copper Ridge Drive Traverse City, MI 49684 HI 4746 44016 National Home Insurance Company 10375 E. Harvard Ave. Suite 550 Denver, CO 80231 CO 10/07/2015 Page 10 of 17

0 11197 National Independent Truckers Insurance Company, Inc. A Risk Retiontion Gr 1327 Ashley River Road Building C, Suite 200 Charleston, SC 29407 SC 0 0 National Retail Safety Association, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY 11797 4728 10234 National Service Contract Insurance Company 2233 Wisconsin Avenue, NW Suite 310 Washington, 20007 0 0 NCMIC Diversified Health RPG Association 14001 University Avenue Clive, IA 50325 0 14130 NCMIC Risk Retention 14001 Univeristy Avenu Clive, IA 50325 OF 4707 13792 New Home Warranty Insurance Company, A Risk Retention 10375 East Harvard Avenue Suite 100 Denver, CO 80231 0 12275 New York Healthcare Insurance Company, Inc., A Risk Retention Risk Services, LLC 1501 Wilson Blvd. Suite 1110 Arlington, VA 22209 0 0 North America Chemical Users and Applicators Association, Inc 8722 S. Harrison Street Sandy, UT 84070 UT 0 0 North American Data Security RPG 3310 W. Big Beaver, Suite #104 Troy, MI 48084 MI 0 0 Northeast Restaurant Programs, Inc. 225 Metro Center Blvd., Suite 200 Warwick, RI 02886 RI 0 13644 Oasis Reciprocal Risk Retention 40 Main Street, Suite 200 Burlington, 05401 0 12189 Oceanus Insurance Company, A Risk Retention 1327 Ashley River Road. Building C, Suite 200 Charleston, SC 29407 SC 10/07/2015 Page 11 of 17

508 44121 OMS National Insurance Company, Risk Retention 6133 N. River Road Suite 650 Rosemont, 60018-5173 0 10353 OOIDA Risk Retention, Inc. P O Box 2100 Montpelier, 05601-2100 0 44105 Ophthalmic Mutual Insurance Company 126 College Street Suite 400 Burlington, 05401 0 0 Outdoor & Recreational Insurance Program One North Franklin, Suite 3600 Chicago, 60606 0 44130 Paratransit Insurance Company, A Mutual Risk Retention P O Box 1330 Montpelier, 05601 TN 0 11973 PCH Mutual Insurance Company, Inc., A Risk Retention 1501 Wilson Blvd. Suite 1110 Arlington, VA 22209 0 0 PCO Program, Inc. 225 Metro Center Blvd., Ste 200 Warwick, RI 02886 RI 0 0 Petro XS Risk Purchasing 308 Farmington Avenue Farmington, CT 06032 CT 0 11513 Physicians Specialty Ltd. RRG 1327 Ashley River Road Building C, Suite 200 Charleston, SC 29407 SC 0 14108 PIA Professional Liability Insurance Company, A Risk Retention (PIAPRO) 111 North Higgins Ave, Suite 200 Missoula, MT 59802 MT 0 12497 Preferred Contractors Insurance Company Risk Retention, LLC 27 North 27th Street Suite 1900 Billings, MT 95103-2559 MT 0 Preferred Delivery RPG, Inc. 1099 N. Meridian St., Suite 700 INDIANAPOLIS, IN 46204 10/07/2015 Page 12 of 17

0 0 Preferred Motor Sports Risk Purchasing, LLC 600 West Cuthbert Blvd., 6th Floor Westmont, NJ 08108 MN 0 44083 Preferred Physicians Medical Risk Retention, Inc. 9000 West 67th Street Shawnee Mission, KS 66202-3656 MO 0 10101 Premier Insurance Exchange RRG 150 Dorset Street #238 Burlington, 05403 0 0 Primary Real Estate Insurance Management Enterprise, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY 11797 4573 11671 ProBuilders Specialty Insurance Company, RRG 2859 Paces Ferry Road Suite 1900 Atlanta, GA 30339 0 Professional Advisors Purchasing, Inc Parkview Plaza W 1200 East Ridgewood Ave. Ridgewood, NJ 07450 NJ 0 0 Professional Auditors, Consultants & Engineers RPG One North Franklin Street, Suite 3600 Chicago, 60606 0 0 Professional Industry Purchasing 826 East State Road, Suite 100 American Fork, UT 84003 UT 0 Professional Transportation RPG, Inc. 1099 N. Meridian St., Suite 700 INDIANAPOLIS, IN 46204 0 0 Promotion, Event and Prize Purchasing 826 East State Road, Suite 100 American Fork, UT 84003 UT 0 0 PSIC RPG Association 14001 University Avenue Clive, IA 50325 0 0 Psychologists Purchasing Association 111 Rockville Pike, Suite 900 Rockville, MD 20850 10/07/2015 Page 13 of 17

0 11350 Public Utility Mutual Insurance Company (A Risk Retention ) P.O. Box 530 Burlington, 05402-0530 0 0 Real Estate Sales Professional Program 681 S. Parker Street, Suite 300 Orange, CA 92868 CA 0 0 Religious Organizations Umbrella RPG, Inc. 1201 N. Orange Street, Suite 710 Wilmington, 19801 0 0 Resort Hotel Purchasing, Inc 161-A JOHN JEFFERSON ROAD WLIAMSBURG, VA 23185 0 12209 Restoration Risk Retention, Inc. c/o Risk Services 1605 Main Street Suite 800 Sarasota, FL 34326 0 15744 Romulus Insurance Risk Retention 1327C Ashley river Rd,Ste 200 Charleston, SC 29407 SC 0 14135 RPX Risk Retention, Inc. 201 Merchant Street Suite 2400 Honolulu, HI 96813 HI 0 0 Safety Merchants and Retail Tenants Umbrella Incorporated 135 Crossways Park Drive Woodbury, NY 11797 0 0 SBD Insurance, Inc. 1000 Stanley Drive New Britain, CT 06053 CT OD 01 03 04 07 09 10 11 12 19 0 12988 SCRUBS Mutual Assurance Company Risk Retention 7251 West Lake Mead Blvd Suite 401 Las Vegas, NV 89128 NV 0 0 Security America Risk Purchasing, LLC 100 Bank Street, Suite 610 Burlington, 05401 0 11267 Security America Risk Retention, Inc. c/o Marsh Management Services, Inc. P O Box 530 Burlington, 05402-0530 10/07/2015 Page 14 of 17

0 0 Short Term Special Events, Inc 10451 GULF BLVD Treasure Island, FL 33706 FL 0 0 SIG Sports, Leisure and Entertainment Risk Purchasing LLC 477 Martinsville Road, Post Office Box 830 Liberty Corner, NJ 07938-0830 IN 0 0 SLS Insurance Company 100 Bank Street, Suite 610 Burlington, 05401 CT OD 03 10 0 0 SOBC Insurance Company Limited 55 Madison Avenue Morristown, NJ 07960 CT OD 29 0 0 Social Service Providers PG, Inc. 2005 MERRICK ROAD, STE 305 MERRICK, NY 11566 0 0 Social Services Safety Association, Inc 135 Crossways Park Drive, Suite 300, PO Box 9017 Woodbury, NY 11797 0 14207 Spirit Commercial Auto Risk Retention Inc. 1605 Main Street Suite 800 Sarasota, FL 34236 NV 0 10754 Spirit Mountain Insurance Company Risk Retention, Inc. 2223 Wisconsin Avenue, N.W. Suite 310 Washington, 20007 0 11114 St. Charles Insurance Company Risk Retention 1327 Ashley River Road, Bldg C Suite 200 Charleston, SC 29407 SC 0 44075 States Self Insurers RRG 222 South Ninth Street Suite 1300 Minneapolis, MN 55402-3332 0 10476 STICO Mutual Insurance Company, Risk Retention c/o Aon Insurance Managers 76 St. Paul Street Suite 500 Burlington, 05401-4477 0 SZ Fly Safe RPG One North Franklin Street, Suite 3600 Chicago, 60606 10/07/2015 Page 15 of 17

0 10113 Terra Insurance Company, A Risk Retention 2386 Airport Road Barre, 05641 0 14395 Terrafirma Risk Retention LLC 100 Bank Street Suite 610 Burlington, 05401 0 14347 The Doctors Company Risk Retention A Reciprocal Exchange 185 Greenwood Road Napa, CA 94558 0 Thomson Reuters Risk Management Inc. Metro Center One Station Place Stamford, CT 06902 CT OD 03 09 10 11 12 19 0 11153 Titan Insurance Company, Inc. A Risk Retention 1327 Ashley River Road Building C, Suite 200 Charleston, SC 29407 SC 0 10084 Title Industry Assurance Company RRG 76 St. Paul Street Suite 500 Burlington, 05401 0 0 Transworld Building Trades and Contractors Liability Association, Inc. 8722 S. Harrison Street Sandy, UT 84070 UT 0 0 Unemployment Alternatives Purchasing One North Franklin, Suite 3600 Chicago, 60606 0 10020 United Educators Insurance, Reciprocal Risk Retention Two Wisconsin Circle Fourth Floor Chevy Chase, MD 20815-9913 0 0 United Food & Lodging Association, Inc. 220 S. Walnut Street Muncie, IN 47396 IN 0 0 United Risk Purchasing, Inc. Street Address Needed Scottsdale, AZ 85222 AR 0 0 United States Equestrian Federation Service Company 3000 S JAMAICA CT SUITE 210 Aurora, CO 80014 CO 10/07/2015 Page 16 of 17

0 12915 Urgent Care Assurance Company Risk Retention 1605 Main Street Suite 800 Sarasota, FL 34236 NV 0 0 USI Affinity Lawyers' Liability Risk Purchasing, Inc. 427 Bedford Road, Suite 250 Pleasantville, NY 10570-3035 0 0 USI Risk Purchasing, Inc. 200 Summit Lake Drive, Suite 350 Valhalla, NY 10595 0 0 Vanderbilt Properties Associates II, Inc. 770 Lexington Avenue, 12th Floor New York, NY 10065 0 Vanderbilt Properties Associates, Inc 770 LEXINGTON AVE. 7TH FLOOR 212-546-1010 New York, NY 10065 0 11063 Vehicular Service Insurance Company 2007 Poole Drive Huntsville, AL 35810 OK 0 0 WellnessPro Purchasing 826 East State Road, Suite 100 American Fork, UT 84003 UT 0 40940 Western Pacific Mutual Insurance Company 9265 Madras Court Littleton, CO 80130 CO Restricted in Connecticut 0 0 Wildlife RPG, Inc. 26 N. Ninth Street Lemoyne, PA 17043 PA 0 0 Willis Risk Purchasing 100 Bank Street, Suite #500 Burlington, 05401 0 0 Worldwide Outfitter and Guides Association, Inc 8722 S. Harrison Street Sandy, UT 84070 UT 10/07/2015 Page 17 of 17