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Case Number Injured Worker Employer Claims Administrator PDF

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Fermin Igelesias Metro Med Shockwave, Proex Diagnostics, Prime Orthopedics, Inc., ADDITIONAL CASE INFORMATION Prime Medical Resources, Inc., Meridian Rehab Care, Bright Rehab Solutions Case Number Injured Worker Employer Claims Administrator ADJ1801034 MELIZA GUERRERO ALLKAY ELECTRONICS INC AARIS INSURANCE ADJ9012098 GLORIA JUC ABAD FOAM INC ABAD FOAM INC ADJ9453683 ALBERTO ROMAN TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE ADJ7344112 ARMANDO CHAVEZ TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE ADJ7690413 FRANCISCO ROSAS PBC ACCELERATED CLAIMS IRVINE ADJ6636734 RAUL PENALOZA TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE ADJ8931085 ALEX COURSE APM TERMINALS ACCLAIM IRVINE ADJ8931085 ALEX COURSE LONG BEACH CONTAINER TERMINAL ACCLAIM IRVINE ADJ8931085 ALEX COURSE TOTAL TERMINALS INTERNATIONAL ACCLAIM IRVINE ADJ9142381 ELISEO SANCHEZ PARKER HANNIFIN ACCLAMATION 802108 SANTA CLARITA ADJ6933875 JAMES WILCOX PARKER HANNIFIN ACCLAMATION 802108 SANTA CLARITA ADJ7502401 JUAN ORTEGA DUENAS LAYNE CHRISTENSEN CO ACCLAMATION 802108 SANTA CLARITA ADJ877167 ROBERT GRIFFIN COUNTY OF LOS ANGELES/DWP ACCLAMATION 802108 SANTA CLARITA ADJ8617582 GRACIE SAENZ JG BOSWELL ACCLAMATION FRESNO ADJ1475111 JOSE SEPULVEDA CITY OF BAKERSFIELD ACCLAMATION FRESNO ADJ8162473 ONORIO SERRANO ESPARZA ENTERPRISES INC ACCLAMATION FRESNO ADJ3595330 RAMON RAMOS KERN RIDGE GROWERS ACCLAMATION FRESNO ADJ6683252 RUBEN GARCIA CITY OF CLOVIS ACCLAMATION FRESNO ADJ9146137 SOFIA LICEA SAN BERNARDINO SUPERIOR COURT ACCLAMATION SACRAMENTO ADJ9811501 YULIANI CAMACHO ORANGE COUNTY VECTOR CONTROL DISTRICT ACCLAMATION SACRAMENTO ADJ4544288 YU SHIH LIN COUNTY OF LOS ANGELES/DPSS ACCLAMATION SANTA CLARITA ADJ3241717 ABRAM SAUSEDO CMC FONTANA STEEL ACE ADJ3241717 ABRAM SAUSEDO RPS INC ACE ADJ2087933 ALEJANDRO HERNANDEZ SKY BLUE COLLECTION, INC. ACE ADJ1565054 ALFONSO GUIFARRO VALLEY SEAFOOD & POULTRY ACE ADJ1565054 ALFONSO GUIFARRO VALLEY SEAFOOD MARKET ACE ADJ1611037 ALICIA MORA ANDERSON BARROWS METALS CORP ACE ADJ485079 ALMA DUENAS APPLEBEES ACE ADJ4291303 ANDREA CASANOVA SELECT STAFFING ACE ADJ3847909 ARACELI RUIZ BIOSEAL MEDICAL PACKAGING CONCEPTS ACE ADJ1063829 DAVID VILLEGAS HIGHTOWER STAFFING, INC. ACE ADJ1859701 DOLORES DURAN REMEDY TEMP ACE ADJ1693368 FLORENTINO MENDOZA SUN PACIFIC SHIPPERS ACE ADJ252687 GLORIA REYES SELECT REMEDY PERSONNEL SERVICES ACE ADJ7281997 GRACIELA MORALES BIMBO BAKERIES ACE ADJ8817951 HUGO PADILLA VALLEY CREST LANDSCAPE MAINTENANCE ACE ADJ782627 ITALA GRIMALDI CLAREMONT CARE CENTER ACE ADJ3347034 JESUS NAREZ NORTHGATE GONZALEZ MARKET ACE ADJ7294880 JESUS SALES KOOSHAREM CORP ACE ADJ7294880 JESUS SALES KOOSHAREN CORPORATION DBA SELECT PERSONNEL ACE ADJ7294880 JESUS SALES SELECT STAFFING ACE ADJ7294880 JESUS SALES SUN SWEEPING SERVICE ACE ADJ4621341 JOSE ARVIZU RB SAN DIEGO ACE ADJ4358312 JOSEFINA GOMEZ GOLDEN RULE BINDERY ACE ADJ587612 JOSUE HERNANDEZ SRD ENGINEERING, INC. ACE ADJ2579724 JUAN SANDOVAL WALTCO TRUCK EQUIPMENT ACE ADJ2579724 JUAN SANDOVAL WALTCO TRUCK EQUIPMENT CO ACE ADJ153555 LIONEL SIMMS VARCO-BJ DRILLING SYSTEMS ACE ADJ3345688 MANUEL ESTRADA EXIM FABRIC ACE ADJ3367530 MARIA DIAZ AMERICAN BUILDING MAINTENANCE ACE ADJ2212654 MARIA IRENE SOLORZANO SONY PICTURES ENTERTEINMNET ACE ADJ3165324 MIGUEL CARRILLO ANDRADE TREMCO ACE ADJ2215105 REINA MORENO SELECT PERSONNEL SERVICES ACE ADJ4537801 ROSARIO SAIPHONG REMEDY TEMP ACE ADJ4537801 ROSARIO SAIPHONG SELECT STAFFING ACE ADJ1166445 SAUL JIMENEZ WATTS ANDERSON -- BARROWS ACE ADJ4135240 STEPHANIE HOANG PITNEY BOWES ACE ADJ4068165 VICKY GUZMAN SIGNET ARMORLITE ACE ADJ718384 VICTORIANO REYNA ARISE SCAFFOLDING & EQUIPMENT ACE ADJ1269610 DAVID LOPEZ MERVYN'S ACE AMERICAN ADJ2592379 OLIVIA RODRIGUEZ JACK IN THE BOX ACE AMERICAN INSURANCE COMPANY ADJ9115381 VERONICA GUTIERREZ SELCO DISTRIBUTOR INC ACE FIRE UNDERWRITERS INSURANCE CO ADJ7690413 FRANCISCO ROSAS PBC ACME ADMINISTRATORS TEMECULA ADJ8973605 JOSHUA NOWAK MOULTON NIGUEL WATER DISTRICT ACWA JPIA ROSEVILLE ADJ9163423 ALEXY RAFAEL CITY OF CARSON ADMINSURE ONTARIO ADJ2385052 CEFERINO NOYOLA CHAPARRA ADMINSURE ONTARIO ADJ7416522 EDWARD ROMAN CITY OF CARSON ADMINSURE ONTARIO ADJ7318708 FELIXBERTO BERDIN CITY OF BEVERLY HILLS ADMINSURE ONTARIO ADJ7527883 GERTIS BENEMIE POMONA VALLEY HOSPITAL ADMINSURE ONTARIO ADJ7128076 JAMES SMITH HEMET UNIFIED SCHOOL DISTRICT ADMINSURE ONTARIO ADJ8986391 JOEL HOLLEY CITY OF HOPE NATIONAL MEDICAL CENTER ADMINSURE ONTARIO ADJ8305742 MARIA HINTZ CITY OF PALM SPRINGS ADMINSURE ONTARIO ADJ3316438 MARIA JIMENEZ CITY OF HOPE NATIONAL MEDICAL CENTE ADMINSURE ONTARIO ADJ6581538 MARIA MARTINEZ CITY OF REDONDO BEACH ADMINSURE ONTARIO ADJ3391646 PATTIE GILKEY CITY OF MONTEBELLO ADMINSURE ONTARIO ADJ7384723 PERCY BOWEN HEMET UNIFIED SCHOOL DISTRICT ADMINSURE ONTARIO ADJ1730383 TED LOWE LACC DISTRICT ADMINSURE ONTARIO ADJ8895116 BENJAMIN CASTELLANOS ADVANCED MANAGEMENT ADVANCED MANAGEMENT INDUSPAC CALIFORNIA INC WESTERN FOAM PACKAGING ADJ8081723 BEATRIZ DELGADO ADVANTAGE ROCKLIN PRODUCT ADJ8068900 EDGAR CARRILLO IMPERIAL VALLEY CHEESE OF CALIFORNIA ADVANTAGE ROCKLIN ADJ7444554 JOSE CALDERON OLYMPUS ADVANTAGE ROCKLIN ADJ7331827 JULIO RODRIGUEZ CAZARES ICON HEALTH AND FITNESS ADVANTAGE ROCKLIN ADJ8700548 LUIS LOPEZ GENE BERG TRUCKS ADVANTAGE ROCKLIN ADJ8539035 MANUEL MORENO FACILITIES SUPPORT SERVICES ADVANTAGE ROCKLIN Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ9312731 MANUELA CORADO CLINICA SAN MIGUEL PEDIATRIA ADVANTAGE ROCKLIN ADJ6860845 LAURA LOPEZ WHITE MEMORIAL MEDICAL CENTER ADVENTIST HEALTH ROSEVILLE ADJ844259 CARLOS LARA LOS ANGELES PHILHARMONIC ASSOC AIG ADJ6642488 FILIBERTO NOCHEBUENA GIBRALTAR PARTHERSHIP LP AIG ADJ6833254 JUAN HUERTA BEAR VALLEY FABRICATORS AIG ADJ6839836 ROSA HERNANDEZ EQUINOX HOLDINGS INC AIG ADJ6937656 SIMONA PERLERA SERVICON SYSTEMS AIG ADJ2764495 DAVID FLORES GLADSTONE RESTAURANT AIG AMERICAN INTL CLAIMS SERVICES ADJ1314284 LUCIO CAMACHO US BATTERIES AIG AMERICAN INTL CLAIMS SERVICES ADJ3028447 MARIBEL ALVAREZ AMERICAN INTERNATIONAL GROUP AIG AMERICAN INTL CLAIMS SERVICES ADJ3139599 SALVADOR SANDOVAL HACOR INC AIG AMERICAN INTL CLAIMS SERVICES ADJ7343030 ANDREA MOORE SERVICE EMPLOYEES INTERNATIONAL UNION AIG CLAIM SERVICES ADJ4555448 ERNESTO VALDEZ NORTHROP GRUMMAN AIG CLAIM SERVICES ADJ2511542 SERGIO VILLANUEVA R&I INDUSTRIES INC AIG CLAIM SERVICES ADJ3200219 SILVIA MEMIJE AB/T1 INC AIG CLAIM SERVICES ADJ8203335 ALFONSO LOPEZ DE WELL LOGISTICS LLC AIG CLAIMS ADJ8527094 EDWIN RAMIREZ DOUBLE VISION GLASS & MIRRORS AIG CLAIMS ADJ7282543 ERIKA RAMIREZ SPECTRUM ATHLETIC CLUB AIG CLAIMS ADJ2526028 JOSEFINA AVELINO JAM INDUSTRIES INC AIG CLAIMS ADJ9316165 SILVIA MERCADO SAMANO MAG INSTRUMENT AIG CLAIMS ADJ7169580 JESUS IBARRA AMPAM PARKS MECHANICAL INC AIG CLAIMS ADJ1542406 ALEJANDRO MENDOZA HESPERIA TRUSS AIG CLAIMS CONCORD ADJ1542406 ALEJANDRO MENDOZA HESPERIA TRUSS INC AIG CLAIMS CONCORD ADJ6693628 AMERICA TORRES VIRGIN AMERICANS INC AIG CLAIMS CONCORD ADJ6706565 APOLINAR MURILLO JPS SURFACE SOLUTIONS INC AIG CLAIMS CONCORD ADJ1884248 BLANCA HERNANDEZ OGDEN GROUND SERVICES AIG CLAIMS CONCORD ADJ4223314 CARLOS MARAVILLA IRISH CONSTRUCTION AIG CLAIMS CONCORD ADJ353822 DERRICK WINZER TRI WEST LTD AIG CLAIMS CONCORD ADJ353822 DERRICK WINZER TRI-WEST AIG CLAIMS CONCORD ADJ7112495 FRANCISCO AVALOS DESERT COMMERCIAL CONCRETE AIG CLAIMS CONCORD ADJ3272627 ISRAEL REYES NICKY'S FASHION AIG CLAIMS CONCORD ADJ1287548 JAVIER MORENO PERSONNEL PLUS INC AIG CLAIMS CONCORD ADJ1545982 JOHN BODNAR UNITED TECHNOLOGIES CORP. AIG CLAIMS CONCORD ADJ3882758 JORGE BARAJAS DPR CONSTRUCTION AIG CLAIMS CONCORD ADJ3882758 JORGE BARAJAS DPR CONSTRUCTION, INC AIG CLAIMS CONCORD ADJ318800 JOSE AYALA SOLIDEAL USA AIG CLAIMS CONCORD ADJ3984391 JOSE MORISCO TWF CONSTRUCTION AIG CLAIMS CONCORD ADJ3984391 JOSE MORISCO TWF CONSTUCTION. MC. AIG CLAIMS CONCORD ADJ7181314 JOSE ZETINA DESERT COMERCIAL CONCRETE AIG CLAIMS CONCORD ADJ3140206 LAURA GUERRA APRIA HEALTHCARE AIG CLAIMS CONCORD ADJ249754 LEOVIGILDA SOSA STAFFMARK COMPANY AIG CLAIMS CONCORD ADJ3431787 MARIA ELIZALDE RAFCO PRODUCTS BRICKFORM AIG CLAIMS CONCORD ADJ7617830 MARIA GUTIERREZ SPOTLESS DETAIL AIG CLAIMS CONCORD ADJ2136237 MARIA LEON PREFERRED PERSONNEL AIG CLAIMS CONCORD ADJ1025357 MARIAM SANCHEZ NEXCYCLE AIG CLAIMS CONCORD ADJ1346884 MARTHA RAMOS ST JUDE'S HOSP AIG CLAIMS CONCORD ADJ8536660 MILI AVILA PRIORITY BUILDING SERVICES LLC AIG CLAIMS CONCORD ADJ3396893 OMAR GUTIERREZ COMMODITY LOGISTICS WEST, INC. AIG CLAIMS CONCORD ADJ8537133 OSCAR GAMBOA THE CHEFS WAREHOUSE AIG CLAIMS CONCORD ADJ2808553 RAMON RODRIGUEZ CROWN DISPOSAL CO. AIG CLAIMS CONCORD ADJ3666217 SILVIA GARCIA CITI STAFF SOLUTIONS, INC. AIG CLAIMS CONCORD ADJ7475373 XIAOFANG WANG MONTEREY PARK CONVALESCENT HOSPITAL INC AIG CLAIMS CONCORD ADJ7135125 ABEL BACILIO RAD BUILDING DEVELOPMENT AIG CLAIMS COSTA MESA ADJ7469714 ABRAHAM NUNEZ PERSONNEL PLUS AIG CLAIMS COSTA MESA ADJ3241717 ABRAM SAUSEDO CMC FONTANA STEEL AIG CLAIMS COSTA MESA ADJ3241717 ABRAM SAUSEDO RPS INC AIG CLAIMS COSTA MESA ADJ7121997 ADAM CERVANTES COIN STAR AIG CLAIMS COSTA MESA ADJ1933902 ADAN RODRIGUEZ HANSEN STEEL SERVICES AIG CLAIMS COSTA MESA ADJ8212563 ADRIANA LIZARRAGA LYON TECHNOLOGIES AIG CLAIMS COSTA MESA ADJ7830322 ALBA NAJERA DIAMOND CONTRACT SERVICES AIG CLAIMS COSTA MESA ADJ8258677 ALBERTA PEREZ LUNA DIAMOND CONTRACT SERVICES INC AIG CLAIMS COSTA MESA ADJ7823462 ALEJANDRA GONZALEZ HOSPITAL STAFFING SOLUTIONS AIG CLAIMS COSTA MESA ADJ1934850 ALEJANDRA LOPEZ CARLTON CUNNINGHAM AIG CLAIMS COSTA MESA ADJ8954417 ALEJANDRO MEJIA CALIFORNIA DROP FORGE INC AIG CLAIMS COSTA MESA ADJ1542406 ALEJANDRO MENDOZA HESPERIA TRUSS AIG CLAIMS COSTA MESA ADJ1542406 ALEJANDRO MENDOZA HESPERIA TRUSS INC AIG CLAIMS COSTA MESA ADJ817041 ALEJANDRO MORENO J.C. PENNEY AIG CLAIMS COSTA MESA ADJ7469479 ALFONSO PONCE CRST LINCOLN SALES AIG CLAIMS COSTA MESA ADJ7338769 ALFREDO ANDRADE STAFFING SYSTEM CORP AIG CLAIMS COSTA MESA ADJ7683014 ALFREDO ANDRADE STAFFING SYSTEMS AIG CLAIMS COSTA MESA ADJ7943211 ALFREDO PULIDO ASBURY ENVIRONMENTAL SERVICES INC AIG CLAIMS COSTA MESA ADJ4536302 ALFREDO RODRIGUEZ AERO GROUND AIG CLAIMS COSTA MESA ADJ9974815 ALICIA FLORES PREMIER PERSONNEL AIG CLAIMS COSTA MESA ADJ5829459 ALICIA MORALES UFP TECHNOLOGIES AIG CLAIMS COSTA MESA ADJ5829459 ALICIA MORALES UFP TECHNOLOGIES INC AIG CLAIMS COSTA MESA ADJ2891588 ALVARO GONZALEZ FIRST CHOICE STAFFING, INC. AIG CLAIMS COSTA MESA ADJ3657936 ALVARO MIRAMONTES BRICKLEY ENVIRONMENTAL AIG CLAIMS COSTA MESA ADJ1839760 AMIE URIBE NEPTUNE FOODS AIG CLAIMS COSTA MESA ADJ6507378 AMY FISHER WEIGHT WATCHERS INTERNATIONAL AIG CLAIMS COSTA MESA ADJ7123171 ANA AVELENDA JC PENNY AIG CLAIMS COSTA MESA ADJ2620238 ANA MARINA PACHECO HUTCHINSON SEAL CORP AIG CLAIMS COSTA MESA ADJ8241427 ANA RUTH MEDINA ANTELOPE VALLEY CONVALESCENTP HOSP AND NURSING AIG CLAIMS COSTA MESA ADJ8241427 ANA RUTH MEDINA GERI CARE IV LLC ANTILOPE VALLEY CARE CENTER AIG CLAIMS COSTA MESA ADJ8050693 ANABEL VARGAS JCPENNEY COMPANY INC, AIG CLAIMS COSTA MESA ADJ7628617 ANADELIA MARTINEZ ALL CITY MANAGEMENT SERVICES AIG CLAIMS COSTA MESA ADJ8290966 ANGEL CASILLAS MATRIX DOCUMENT IMAGING AIG CLAIMS COSTA MESA Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ759818 ANGELICA MIRELES MJO STAFFING AIG CLAIMS COSTA MESA ADJ8195701 ANGELICA TORRES ADVANCED MULSERVICE AIG CLAIMS COSTA MESA ADJ4549998 ANTHONY BRISSERUP FOUNDATION PILE, INC. AIG CLAIMS COSTA MESA ADJ6815901 ANTONIO BERNAL JR UNIVERSAL CONSTRUCTION INC AIG CLAIMS COSTA MESA ADJ7123985 ANTONIO ZUNIGA NATIONAL ACOOUNTS AIG CLAIMS COSTA MESA ADJ2110592 ARACELI GRANADOS STAFFMARK INC WEST AIG CLAIMS COSTA MESA ADJ3847909 ARACELI RUIZ BIOSEAL MEDICAL PACKAGING CONCEPTS AIG CLAIMS COSTA MESA ADJ7083825 ARIEL GONZALEZ TOBO CONSTRUCTION INC AIG CLAIMS COSTA MESA ADJ6917675 ARMANDO MORA J DURAN CONSTRUCTION AIG CLAIMS COSTA MESA ADJ6917675 ARMANDO MORA J DURAN CONSTRUCTION INCI AIG CLAIMS COSTA MESA ADJ6916600 ARNOLDO PEREZ PREFERRED PERSONNEL AIG CLAIMS COSTA MESA ADJ9526863 ARTURO CANUT SOSA GREEN TRUCKING, LLC AIG CLAIMS COSTA MESA ADJ9064163 ARTURO GARCIA REDT SERVICE AIG CLAIMS COSTA MESA ADJ7590937 AUBREY FLOWERS BENCHMARK STAFFING AIG CLAIMS COSTA MESA ADJ6956704 AUREA VELASQUEZ PREFERRED PERSONNEL AIG CLAIMS COSTA MESA ADJ2319495 AURELIO ESPINOZA WEBER METALS, INC. AIG CLAIMS COSTA MESA ADJ8643098 AURORA CURIEL CENTER FOR COMMUNITY & FAMILY SERVICES AIG CLAIMS COSTA MESA ADJ7839394 BARRIE BAUTISTA ALL SOURCE PLUMBING COMPANY AIG CLAIMS COSTA MESA ADJ4709408 BEATRICE MONJICA CAITAC GARMENT PROCESSING INC. AIG CLAIMS COSTA MESA ADJ7015862 BELISARIO GARCIA CAL HOSEMENS SAFETY AIG CLAIMS COSTA MESA ADJ6868657 BERTHA GOMEZ COURTESY STAFFING INC AIG CLAIMS COSTA MESA ADJ6903172 BLANCA CASTRO MBM AIG CLAIMS COSTA MESA ADJ6769497 BROCK DOHERTY LAKEVIEW PROFESSIONAL SERVICES AIG CLAIMS COSTA MESA ADJ7611345 CARLOS AGUILAR NORTHRUP GRUMMAN AIG CLAIMS COSTA MESA ADJ7492940 CARLOS LOPEZ MJO STAFFING AIG CLAIMS COSTA MESA ADJ9137507 CARLOS LOPEZ SO CAL CONCEPTS AIG CLAIMS COSTA MESA ADJ9137507 CARLOS LOPEZ SO CAL CONCEPTS INC AIG CLAIMS COSTA MESA ADJ4223314 CARLOS MARAVILLA IRISH CONSTRUCTION AIG CLAIMS COSTA MESA ADJ1115416 CARLOS MORALES SMITH BROTHERS GLASS AIG CLAIMS COSTA MESA ADJ4121924 CARLOS MORALES GUARDS MARK SECURITY AIG CLAIMS COSTA MESA ADJ2857817 CHARLES GARY LIDO COMMUNITIES AIG CLAIMS COSTA MESA ADJ6743544 CHARLES PARKER JB HUNT TRANSPORT AIG CLAIMS COSTA MESA ADJ6743544 CHARLES PARKER JB HUNT TRANSPORT INC AIG CLAIMS COSTA MESA ADJ7217472 CHRISTOPHER FORMENT SENERCHIA TRUCKING AIG CLAIMS COSTA MESA ADJ8014548 CHRISTOPHER TOWNSEND NORTHRUP GRUMMAN AIG CLAIMS COSTA MESA ADJ4674521 CIRILO VARELA SOUTH SHORE/COASTAL EMPLOYERS AIG CLAIMS COSTA MESA ADJ7065347 CLARENCE BROWN SUNRAY ENERGY AIG CLAIMS COSTA MESA ADJ603568 COLEE PITCHFORD TRIMAC AIG CLAIMS COSTA MESA ADJ8477467 CONCEPCION CRUZ ZUNIGA EMBEE INC AIG CLAIMS COSTA MESA ADJ3175937 CRISTOBAL REQUENA INTER PLAN WEST CONSTRUCTIONS AIG CLAIMS COSTA MESA ADJ9162064 CUAUHTEMOC GARCIA PDS TRUCKING INC AIG CLAIMS COSTA MESA ADJ7447673 DANY SERPAS SARES REGIS AIG CLAIMS COSTA MESA ADJ7527870 DARRYL YOUNG UFA EXPRESS AIG CLAIMS COSTA MESA ADJ7527870 DARRYL YOUNG UFA EXPRESS INC AIG CLAIMS COSTA MESA ADJ7342857 DAVID PADILLA CALIFORNIA LANDSCAPE AND DESIGN AIG CLAIMS COSTA MESA ADJ353822 DERRICK WINZER TRI WEST LTD AIG CLAIMS COSTA MESA ADJ353822 DERRICK WINZER TRI-WEST AIG CLAIMS COSTA MESA ADJ9062440 DIEGO ZAMUDIO WORKFORCE SOLUTIONS WFS LLC AIG CLAIMS COSTA MESA ADJ6701684 DOMINGO RODRIGUEZ PROGRESSIVE LOGISTICS SERVICES AIG CLAIMS COSTA MESA ADJ4255388 DONALD GREEN KEDREN HEADSTART AIG CLAIMS COSTA MESA ADJ8855222 EDGAR BERRA OLACHEA FRAMING BY SUPERIOR AIG CLAIMS COSTA MESA ADJ7858924 EDGARDO ALCANTARA AREVALO MCLANE FOOD SERVICE AIG CLAIMS COSTA MESA ADJ9146406 EDWARD KICHLINE FFE FROZEN FOODS EXPRESS AIG CLAIMS COSTA MESA ADJ7721309 ELFEGA SANCHEZ MJO STAFFING AIG CLAIMS COSTA MESA ADJ9172752 ELIZABETH MARTINEZ JONATHAN AND GEORGE SALON INC AIG CLAIMS COSTA MESA ADJ8447599 ELIZABETH ROQUE NONGSHIM HOLDINGS USA INCI AIG CLAIMS COSTA MESA ADJ7893171 ELIZABETH SERRATO RON WILSON AIG CLAIMS COSTA MESA ADJ7816245 EMILIO CONTRERAS AMERICAN INTEGRATED SERVICES INC AIG CLAIMS COSTA MESA ADJ7697382 ENRIQUE GONZALEZ AGI MARBLE CO AIG CLAIMS COSTA MESA ADJ7697382 ENRIQUE GONZALEZ STONEWARE TILE INC AIG CLAIMS COSTA MESA ADJ8902505 ESPERANZA BUSTOS CARLISLE INTERCONNECT TECHNOLOGIES AIG CLAIMS COSTA MESA ADJ1692003 EVA RAMIREZ PEDUS BUILDING SERVICES AIG CLAIMS COSTA MESA ADJ8641249 EVELYN JUAREZ THE WESTIN BONAVERNTURE HOTEL AIG CLAIMS COSTA MESA ADJ4052440 FAVIO ULATE WESTERN BUILDING PROFESSIONALS AIG CLAIMS COSTA MESA ADJ3428889 FERNANDO BRAVO PRIORITY STAFFING SERVICES AIG CLAIMS COSTA MESA ADJ8001116 FRANCISCO MORENO ERECTA RAK WEST INC AIG CLAIMS COSTA MESA ADJ6726437 FREDY ZANUNZINI GONSALEZ PAINTING CORP AIG CLAIMS COSTA MESA ADJ6726437 FREDY ZANUNZINI GONZALEZ PAINTING CORP AIG CLAIMS COSTA MESA ADJ9429784 GASPER RIOS HYDROCHEM INDUSTRIAL AIG CLAIMS COSTA MESA ADJ1898885 GERARDO AYALA NALCO CHEMICAL AIG CLAIMS COSTA MESA ADJ6670568 GERARDO AYALA NALCO CHEMICAL CO AIG CLAIMS COSTA MESA ADJ7361642 GERMAN GARCIA GUZMAN GARDEN AIG CLAIMS COSTA MESA ADJ7882378 GLADYS ALFARO DIAMOND CONTRACT SERVICES AIG CLAIMS COSTA MESA ADJ8937712 GLORIA SANTANA ISLAND HOSPITALITY MANAGEMENT INC AIG CLAIMS COSTA MESA ADJ6669650 GONZALO AROS QUALITY ASSOCIATES INC AIG CLAIMS COSTA MESA ADJ3530701 GRACIELA HERRERA STAFF MARK AIG CLAIMS COSTA MESA ADJ7510669 GUDELIO LEIVA BILTMORE METAL FABRICATORS AIG CLAIMS COSTA MESA ADJ3366656 GUMARO HERRERA STAFFMARK AIG CLAIMS COSTA MESA ADJ7536950 HARRY GEVSHENIAN CAST AND CREW ENTERTAINMENT SERVICES AIG CLAIMS COSTA MESA ADJ7536950 HARRY GEVSHENIAN ENTERTAINMENT PARTNERS EPSG AIG CLAIMS COSTA MESA ADJ7536950 HARRY GEVSHENIAN WARNER BROTHERS NETWORK AIG CLAIMS COSTA MESA ADJ8330154 HARRY LOW MOVIE MOVERS AIG CLAIMS COSTA MESA ADJ7719697 HILARIA MERCADO APS AERO PORT SERVICES AIG CLAIMS COSTA MESA ADJ7232084 HIRAM GOMEZ T A INDUSTRIES AIG CLAIMS COSTA MESA ADJ1841222 HOA HAGGARD BOEING AIG CLAIMS COSTA MESA ADJ8290787 HUGO HIGAREDA FUJI FOOD PRODUCTS AIG CLAIMS COSTA MESA Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ7740010 HUMBERTO VASQUEZ DAMERON ALLOY FOUNDRIES INC AIG CLAIMS COSTA MESA ADJ6677588 ILALEO MANU SWISSPORT AIG CLAIMS COSTA MESA ADJ6535830 ILENE DE ARCOS J C PENNEY AIG CLAIMS COSTA MESA ADJ2124657 IRMA BECERRA PACIFIC VIAL MANUFACTURING AIG CLAIMS COSTA MESA ADJ7936463 ISABEL CASTRO NIETO MJO STAFFING INC AIG CLAIMS COSTA MESA ADJ2665823 ISRAEL CASTRO FORCE FRAMING INC AIG CLAIMS COSTA MESA ADJ9469054 ISSAC DUMAS SODEXO AIG CLAIMS COSTA MESA ADJ6875143 JACK MELKONIAN ALLIED SYSTEMS AIG CLAIMS COSTA MESA ADJ2655695 JAIME VELAZQUEZ APRIA HEALTHCARE AIG CLAIMS COSTA MESA ADJ8371316 JAIRO LOZANO MISSION LANDSCAPE COMPANY AIG CLAIMS COSTA MESA ADJ6754572 JAMES WILLOUGHBY GRANT AME CHURCH AIG CLAIMS COSTA MESA ADJ6754572 JAMES WILLOUGHBY HILL ROCK CORPORATION AIG CLAIMS COSTA MESA ADJ1062010 JAVIER CASTREJON DIAZ CONSTRUCTION CO., INC. AIG CLAIMS COSTA MESA ADJ496895 JAVIER ONITVEROS PACIFIC OCEAN DYE DINISHING AIG CLAIMS COSTA MESA ADJ7555123 JAVIER SANTOS ROSALIO RICHLINE TEXTILE INC AIG CLAIMS COSTA MESA ADJ7472183 JEFF REESE NORTHROP GRUMMAN CORP AIG CLAIMS COSTA MESA ADJ7472183 JEFF REESE NORTHROP GRUMMAN CORPORATION AIG CLAIMS COSTA MESA ADJ7589929 JESUS CARRERA INDIGO CONSTRUCTION CORP AIG CLAIMS COSTA MESA ADJ7602179 JESUS MORENO CROWTHER PRENTISS CO AIG CLAIMS COSTA MESA ADJ9389087 JESUS PEREZ SFC AIG CLAIMS COSTA MESA ADJ7754586 JIAN LI FOODMART INTERNATIONAL CORP AIG CLAIMS COSTA MESA ADJ7325167 JOHN LAWLER R T CONSTRUCTION AIG CLAIMS COSTA MESA ADJ7367474 JOHN RUBIO DAN DAVIS ENTERPRISE INC AIG CLAIMS COSTA MESA ADJ6808521 JOHN TURANO GEM MOBILE TREATMENT SERVICES INC AIG CLAIMS COSTA MESA ADJ9231132 JOSE ACOSTA PACER CARTAGE INC AIG CLAIMS COSTA MESA ADJ9473023 JOSE ARAUJO TS EMPLOYMENT AIG CLAIMS COSTA MESA ADJ4475300 JOSE BAUTISTA STAFFMARK LLC AIG CLAIMS COSTA MESA ADJ7378456 JOSE DE JESUS JIMENEZ X3 MANAGEMENT SERVICE AIG CLAIMS COSTA MESA ADJ8396853 JOSE DELGADILLO LIFE STEPS FOUNDATION AIG CLAIMS COSTA MESA ADJ3727509 JOSE GARCIA WEBER METALS AIG CLAIMS COSTA MESA ADJ6778807 JOSE GARCIA SWEET OVATIONS LLC AIG CLAIMS COSTA MESA ADJ7112880 JOSE GUSTAVO CERVANTES HERNANDEZ INTERSTATE CLEANING CORPORATION AIG CLAIMS COSTA MESA ADJ9515122 JOSE HERNANDEZ BARRAGAN WASH DEPOT HOLDINGS AIG CLAIMS COSTA MESA ADJ3283523 JOSE LOPEZ SUBURBAN PLASTERING AIG CLAIMS COSTA MESA ADJ3283523 JOSE LOPEZ SUBURBAN PLASTERING/PROLINE PLASTER AIG CLAIMS COSTA MESA ADJ7325051 JOSE MACIAS AMERICAN TECHNOLOGIES INC AIG CLAIMS COSTA MESA ADJ7210005 JOSE MARTINEZ TK SAFEWAY AIG CLAIMS COSTA MESA ADJ8598563 JOSE MENDEZ TEAM NATION AIG CLAIMS COSTA MESA ADJ3984391 JOSE MORISCO TWF CONSTRUCTION AIG CLAIMS COSTA MESA ADJ3984391 JOSE MORISCO TWF CONSTUCTION. MC. AIG CLAIMS COSTA MESA ADJ7519769 JOSE RAMIREZ FABRLCATION CONCEPTS CORP AIG CLAIMS COSTA MESA ADJ7181314 JOSE ZETINA DESERT COMERCIAL CONCRETE AIG CLAIMS COSTA MESA ADJ8238163 JOSEMIGUEL POLI ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA ADJ8101338 JUAN ALCARAZ ABCANA INDUSTRIES AIG CLAIMS COSTA MESA ADJ6956061 JUAN CAREAGA CENTURY TRUCK AIG CLAIMS COSTA MESA ADJ8241620 JUAN CEDENO INLAND WOODWORKS AIG CLAIMS COSTA MESA ADJ7904623 JUAN CERVANTES ULTIMATE REMOVAL INC AIG CLAIMS COSTA MESA ADJ7358796 JUAN DELGADO PADILLA CONSTRUCTION COMPANY AIG CLAIMS COSTA MESA ADJ7205564 JUAN LAREDO PARR LUMBER AIG CLAIMS COSTA MESA ADJ4498635 JUAN MACIAS MAYER ROOFING INC AIG CLAIMS COSTA MESA ADJ9505831 JUAN MANUEL MEDINA BURRTEC WASTE INDUSTRIES AIG CLAIMS COSTA MESA ADJ8786559 JUAN NUNEZ CASTRO MASTER HALCO AIG CLAIMS COSTA MESA ADJ8268080 JUAN PONCE DAVID DEVELOPEMENT AIG CLAIMS COSTA MESA ADJ4077636 JULIA LANGARICA PACER TECHNOLOGY AIG CLAIMS COSTA MESA ADJ7282529 KEVIN CHANG CRST INTERNATIONAL INC AIG CLAIMS COSTA MESA ADJ6489502 KIM BULLARD SELECT BUILD AIG CLAIMS COSTA MESA ADJ7537597 LAURA ANGULO SC STAFFING AIG CLAIMS COSTA MESA ADJ2924616 LAURA GALVAN PRIORITY BUSINESS SERVICES AIG CLAIMS COSTA MESA ADJ3508391 LAURA MAGANA MJO STAFFING AIG CLAIMS COSTA MESA ADJ6658108 LEANDRO DEL REAL CORTANT HOUSING L ECONOMIC AIG CLAIMS COSTA MESA ADJ9839722 LENIN DIEGO PARTNERSHIP STAFFING SOLUTION AIG CLAIMS COSTA MESA ADJ9097029 LESLEY DOAN PIZZA HUT AIG CLAIMS COSTA MESA ADJ6779359 LETICIA CASIMIRO CAITAC GARMENT PROCESSING INC AIG CLAIMS COSTA MESA ADJ6779359 LETICIA CASIMIRO CAITAL GARMET PROCESSING AIG CLAIMS COSTA MESA ADJ6465014 LI SHENG TAN ROLLINS NARROW FABRIC, INC. AIG CLAIMS COSTA MESA ADJ8762494 LIDIA OYUELA AMERICAN APPAREL INC AIG CLAIMS COSTA MESA ADJ6427151 LISA YESH OLYMPIC PARTNERS AIG CLAIMS COSTA MESA ADJ7994323 LORENZO GOMORA GAMBOL INDUSTRIES INC AIG CLAIMS COSTA MESA ADJ4310265 LORENZO RAMOS COMMUNITY RECYCLING RESOURCES AIG CLAIMS COSTA MESA ADJ7045703 LOYDA FERREIRA AMERICAN GENERAL FINANCIAL SVS AIG CLAIMS COSTA MESA ADJ230157 LUCAS ORTIZ PERSONNEL PLUS AIG CLAIMS COSTA MESA ADJ3962906 LUCY RUSHING SERVICE CRAFT AIG CLAIMS COSTA MESA ADJ8045453 LUIS FLORES AMERICAN THEATRICAL DRYWALL FRAMING INC AIG CLAIMS COSTA MESA ADJ8944030 LUIS FLORES LINCOLN AUTO SPA AIG CLAIMS COSTA MESA ADJ7034739 MAELINA GIBSON SH STAFFING LLC AIG CLAIMS COSTA MESA ADJ7665056 MANUEL CAMPOS MJO STAFFING AIG CLAIMS COSTA MESA ADJ6581116 MANUEL CHAVARIN GEM MOBILE TREATMENT SERVICES AIG CLAIMS COSTA MESA ADJ6893989 MANUEL HERRERA DISTRIBUIDORA MORAZAN INC AIG CLAIMS COSTA MESA ADJ9385481 MANUEL QUINONEZ CIERA STAFFING AIG CLAIMS COSTA MESA ADJ1262856 MANUEL RODRIGUEZ PARAGON TEXTILES, INC. AIG CLAIMS COSTA MESA ADJ7305323 MANUEL SALGADO GREAT BASIN ENVIRONMENTAL INC AIG CLAIMS COSTA MESA ADJ4107729 MARCELINO SOTO MCLANE FOODSERVICE DIST AIG CLAIMS COSTA MESA ADJ9086387 MARGARITA SERVIN SOUTHERN CALIFORNIA PIZZA DBA PIZZA HUT AIG CLAIMS COSTA MESA ADJ9510205 MARIA AVILA COMPASS GROUP USA AIG CLAIMS COSTA MESA ADJ3383577 MARIA DEL ROCIO FLORES INTERSTATE CLEANING CORP AIG CLAIMS COSTA MESA ADJ579246 MARIA FLORES BLUE COLLAR STAFFING SOLUTIONS INC AIG CLAIMS COSTA MESA Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ8768795 MARIA GARCIA RESIDENCE INN AIG CLAIMS COSTA MESA ADJ2492761 MARIA GOMEZ CONSOLIDATED FOUNDRIES AIG CLAIMS COSTA MESA ADJ4462473 MARIA GUEVARA ESSI WORLD SERVICES WEST AIG CLAIMS COSTA MESA ADJ8747618 MARIA LIZAOLA AAA PROPERTY SERVICES AAA ELECTRICAL COMMUNICATIONS AIG CLAIMS COSTA MESA ADJ7349704 MARIA LOMELI THE RIGHT CHOICE AIG CLAIMS COSTA MESA ADJ6619587 MARIA MORA WORKFORCE AIG CLAIMS COSTA MESA ADJ2561735 MARIA OROZCO CIS INTERNATIONAL HOLDINGS COR AIG CLAIMS COSTA MESA ADJ6731293 MARIA PADILLA PACIFIC PALMS HEALTHCARE AIG CLAIMS COSTA MESA ADJ7908304 MARIA REYES ANTELOPE VALLEY RETIREMENT AIG CLAIMS COSTA MESA ADJ8525613 MARIA VENTURA GOLDEN STATE CARE AIG CLAIMS COSTA MESA ADJ7129804 MARICARMEN MARTINEZ MJO STAFFING AIG CLAIMS COSTA MESA ADJ7129804 MARICARMEN MARTINEZ MJO STAFFING INC AIG CLAIMS COSTA MESA ADJ8859607 MARINA NAVARRO SILVERADOSENIOR LIVING MGMT AIG CLAIMS COSTA MESA ADJ7642000 MARK TABBERRNER TEAM SERVICES AIG CLAIMS COSTA MESA ADJ7380065 MARTHA MALDONADO LOPEZ GALLONI ENTERPRISES MEDICAL CORP AIG CLAIMS COSTA MESA ADJ7380065 MARTHA MALDONADO LOPEZ HELPMATES STAFFING SERV1CES AIG CLAIMS COSTA MESA ADJ7380065 MARTHA MALDONADO LOPEZ HELPMATES STAFFING SERVICES AIG CLAIMS COSTA MESA ADJ6500328 MARTHA NAVA FRESH AND EASY NEIGHBORHOOD AIG CLAIMS COSTA MESA ADJ8777338 MARTHA TORREZ KEDREN COMMUNITY HEALTH CENTER AIG CLAIMS COSTA MESA ADJ7734612 MARVIN HERNANDEZ BURRTEC WASTE GROUP INC AIG CLAIMS COSTA MESA ADJ3120280 MAURO JORGE MARTINEZ QUALITY INN AIG CLAIMS COSTA MESA ADJ1719591 MAXIMIANO RAMIREZ LIPPERT COMPONENTS/DBA ZIEMAN, INC. AIG CLAIMS COSTA MESA ADJ3638841 MAXIMIANO RAMIREZ LIPPERT COMPONENST, INC. AIG CLAIMS COSTA MESA ADJ7934932 MICHAEL OREFICE ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA ADJ7934932 MICHAEL OREFICE FSI/FPS SERVICES INC. AIG CLAIMS COSTA MESA ADJ7934932 MICHAEL OREFICE NBC ULVERSAL AIG CLAIMS COSTA MESA ADJ1950800 MILTON GAMEZ SWISSPORT CARGO SERVICES AIG CLAIMS COSTA MESA ADJ707830 MIRIAM ESPINOLA ESTEY INTERNATIONAL, INC. AIG CLAIMS COSTA MESA ADJ7126328 MIYNOR AVILA PDS TRUCKING AIG CLAIMS COSTA MESA ADJ7126328 MIYNOR AVILA PDS TRUCKING INC AIG CLAIMS COSTA MESA ADJ4097432 MUHAMMED SAADIQ ROTATOR STAFFING SERVICE AIG CLAIMS COSTA MESA ADJ688551 NEFFITERRI HEARNES AERO PORT SERVICES, INC. AIG CLAIMS COSTA MESA ADJ8093070 NINFA ESTHELA ARANDA HACOR INC AIG CLAIMS COSTA MESA ADJ1373051 NORMA HEREDIA PREFERRED PERSONNEL AIG CLAIMS COSTA MESA ADJ7003914 OFELIA LARA FRANCO CVS AIG CLAIMS COSTA MESA ADJ3379024 OLGA ARIAS MISSION FOODS AIG CLAIMS COSTA MESA ADJ4348232 OLIVA RUEDAS FASHION MANIA AIG CLAIMS COSTA MESA ADJ7994100 ORALIA ALARCON ADVANCED SERVICES UNLIMITED AIG CLAIMS COSTA MESA OSCAR ROLANDO VALENCIANO AKA ANGEL ADJ8977064 LAKE LINDERO COUNTRY CLUB AIG CLAIMS COSTA MESA CAST ADJ798123 OSCAR VILLALOBO COIT SERVICES INC AIG CLAIMS COSTA MESA PATRICIA AKA GUADALUPE MEDINA AKA ADJ7915234 PREFERRED PERSONNEL AIG CLAIMS COSTA MESA MENDOZA PATRICIA AKA GUADALUPE MEDINA AKA ADJ7915234 PREFERRED PERSONNEL INC AIG CLAIMS COSTA MESA MENDOZA ADJ813420 PAUL WARD NORTHROP GRUMMAN AIG CLAIMS COSTA MESA ADJ644059 PAULA PEDROZA WORKFORCE OUTSOURCING AIG CLAIMS COSTA MESA ADJ7199319 PEDRO CABRERA CITISTAFF SOLUTIONS INC AIG CLAIMS COSTA MESA ADJ4601664 PEDRO GARCIA LAKEVIEW PROFESSIONAL SERVICES AIG CLAIMS COSTA MESA ADJ6751677 PEDRO HERNANDEZ FENCEWORKS AIG CLAIMS COSTA MESA ADJ6658842 RAMIRO CERVANTEZ STAFFMARK TRANSPORTATION AIG CLAIMS COSTA MESA ADJ7969556 RAMIRO MENDEZ MORLEY CONSTRUCTION AIG CLAIMS COSTA MESA ADJ2924671 RAMIRO MENDOZA ALFA LEISURE INC AIG CLAIMS COSTA MESA ADJ3953083 RAMON ARRENDONDO INNOVATIVE REAL ESTATE AIG CLAIMS COSTA MESA ADJ7994184 RAMON TERRAZAS CITISTAFF SOLUTIONS INC AIG CLAIMS COSTA MESA ADJ7718187 RANDALL MALONE CALISLE TIRE AND WHEEL COMPANY AIG CLAIMS COSTA MESA ADJ7360629 RAUL MONREAL QUEST CONSTRUCTION AIG CLAIMS COSTA MESA ADJ7798198 RAUL PALMA HOLLYWOOD BEAUTIFICATION AIG CLAIMS COSTA MESA ADJ8639651 RAUL TORRES MJO STAFFING AIG CLAIMS COSTA MESA ADJ3168012 RAYMOND POINTKOWSKI BROOKSTONE EQUIPMENT AIG CLAIMS COSTA MESA ADJ121045 RENE LEONOR PREFERRED PERSONELL AIG CLAIMS COSTA MESA ADJ9313936 RICARDO ANAYA BORBON, INC. AIG CLAIMS COSTA MESA ADJ7430539 RICARDO MENDOZA RELIABLE INTERIORS INC ACCEL AIG CLAIMS COSTA MESA ADJ1508707 ROBERTO MALDONADO QUALITY PLASTERING AIG CLAIMS COSTA MESA ADJ6561694 ROBERTO ROMAN PREFERRED PERSONNEL AIG CLAIMS COSTA MESA ADJ238483 ROBERTO SANCHEZ TUTOR SALIBA CORP AIG CLAIMS COSTA MESA ADJ7374939 ROBERTO TORRES PREFERRED PERSONNEL AIG CLAIMS COSTA MESA ADJ8424838 RODOLFO SANDOVAL JB VARGAS AIG CLAIMS COSTA MESA ADJ3019682 RODRIGO LUEVANOS ALFA LEISURE INC AIG CLAIMS COSTA MESA ADJ539384 RODRIGO MONTES EMC AIG CLAIMS COSTA MESA ADJ7141231 ROSA SANCHEZ SC STAFFING SOLUTIONS AIG CLAIMS COSTA MESA ADJ1270106 ROSARIO LOPEZ SPECTRUM CLUBS, INC AIG CLAIMS COSTA MESA ADJ8673077 RUBEN JUAREZ BERNADETTE MCKEON AIG CLAIMS COSTA MESA ADJ8488872 SALOMON CORTEZ AMERICAN HERITAGE LANDSCAPE AIG CLAIMS COSTA MESA ADJ7427379 SALVADOR HERNANDEZ ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA ADJ4670574 SALVADOR OCHOA CBS PERSONNEL INC. AIG CLAIMS COSTA MESA ADJ4670574 SALVADOR OCHOA STAFF MARK TRANSPORTATION AIG CLAIMS COSTA MESA ADJ4670574 SALVADOR OCHOA STAFF MARK, INC. AIG CLAIMS COSTA MESA ADJ9474589 SANTA BARRERA DE PALMA TERRANCE SENIOR LIVING AIG CLAIMS COSTA MESA ADJ7079970 SENEN MEJIA PARK PLACE MHC LLC AIG CLAIMS COSTA MESA ADJ6550035 SHAROL LEWIS NORTHROP GRUMMAN AIG CLAIMS COSTA MESA ADJ6550035 SHAROL LEWIS NORTHROP GRUMMAN CORP AIG CLAIMS COSTA MESA ADJ7644113 SHIRLEY PARSON KEDREN HEAD START AIG CLAIMS COSTA MESA ADJ7939737 SILVIA ZELAYA ROYAL DENIM INC. AIG CLAIMS COSTA MESA ADJ9129032 SOCORRO CALLARI VALLEY VIEW GARDEN AIG CLAIMS COSTA MESA Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ7839858 SULEMA CASTANEDA MJO STAFFING AIG CLAIMS COSTA MESA ADJ7904917 SUZANNE SIBEL MJO STAFFING AIG CLAIMS COSTA MESA ADJ2419267 TEODORA PALOMINOS MJO STAFFING AIG CLAIMS COSTA MESA ADJ7654285 THET TUN SIMPLE STAFFING AIG CLAIMS COSTA MESA ADJ7623036 VALENTIN HUAPE ARROYO PERSONNEL PLUS INC AIG CLAIMS COSTA MESA ADJ8656502 VERONICA HERNANDEZ SNSI STAFFING LLC AIG CLAIMS COSTA MESA ADJ7129261 VERONICA RODRIGUEZ SWISS PORT USA AIG CLAIMS COSTA MESA ADJ7129261 VERONICA RODRIGUEZ SWISS PORT USA INC AIG CLAIMS COSTA MESA ADJ8272757 VICTOR AVILA ASSOCIATE PACIFIC CONSTRUCTOR AIG CLAIMS COSTA MESA ADJ6830921 VICTORIA REYES THE INDUSTRIAL LABOR MGM GROUP INC AIG CLAIMS COSTA MESA ADJ2725413 VICTORLINO BRICENO STERLING JEWELERS INC AIG CLAIMS COSTA MESA ADJ7493864 YENI CONTRERAS PERSONNEL PLUS INC AIG CLAIMS COSTA MESA ADJ6737660 DIANA ARREDONDO MJO STAFFING INC AIG CLAIMS PHOENIX ADJ6737660 DIANA ARREDONDO ROSS STORE AIG CLAIMS PHOENIX ADJ8181608 ELSA GUEVARA DE CARILLO PERSONNEL PLUS INC AIG CLAIMS PHOENIX ADJ3342882 JOSE TLATENCHI AIR GROUND MANPOWER CONSULTING AIG CLAIMS PHOENIX ADJ3342882 JOSE TLATENCHI MONARCH CONSULTING DBA PES PAYROLL AIG CLAIMS PHOENIX ADJ3342882 JOSE TLATENCHI RALLY MANAGEMENT SERVICES LLC AIG CLAIMS PHOENIX ADJ7365502 MARLON ENAMORADO CREATIVE COMMUNICATION TECHNOLOGIES AIG CLAIMS PHOENIX ADJ6797363 MARTIN MARTINEZ CORPORATE PERSONNEL NETWORK AIG CLAIMS PHOENIX ADJ7041182 STEVE CANON US AIRWAYS AIG CLAIMS PHOENIX ADJ9314116 AARON TREJO MANPOWER STAFFING AIG CLAIMS SAN DIEGO ADJ971607 ALEJANDRO MARTINEZ FIRST TEAM STAFFING GROUP AIG CLAIMS SAN DIEGO ADJ9160742 ALFREDO ZARAGOSA RECONSERVE OF CALIFORNIA AIG CLAIMS SAN DIEGO ADJ8887047 ANA TRUJILLO PERSONNEL PLUS AIG CLAIMS SAN DIEGO ADJ9461137 ANH BUI NORTHROP GRUMMAN AIG CLAIMS SAN DIEGO ADJ7628911 BARTOLO VEGA UNITED NATIONAL MAINTENANCE AIG CLAIMS SAN DIEGO ADJ7326044 BETIINA AUSTIN JB HUNT AIG CLAIMS SAN DIEGO ADJ7646328 CARLOS BUCIO CREATIVE COMMUNICATIONS TECH AIG CLAIMS SAN DIEGO ADJ8852243 CESAR CASTILLO MAUSER CORP AIG CLAIMS SAN DIEGO ADJ7381916 CESAR CHINCHILLA PERSONNEL PLUS AIG CLAIMS SAN DIEGO ADJ7169884 CRISTAL MUNOZ MJO STAFFTNG INC AIG CLAIMS SAN DIEGO ADJ6737660 DIANA ARREDONDO MJO STAFFING INC AIG CLAIMS SAN DIEGO ADJ6737660 DIANA ARREDONDO ROSS STORE AIG CLAIMS SAN DIEGO ADJ7213459 DUARDO CATANO PRECOR INC AIG CLAIMS SAN DIEGO ADJ8855222 EDGAR BERRA OLACHEA FRAMING BY SUPERIOR AIG CLAIMS SAN DIEGO ADJ9194526 EDUARDO RIVERA DAVIS DEVELOPMENT COMPANY AIG CLAIMS SAN DIEGO ADJ9121113 ENRIQUETA LICEA SODEXO AIG CLAIMS SAN DIEGO ADJ7797123 EVELIA MOSSO CITI STAFF SOLUTIONS INC AIG CLAIMS SAN DIEGO ADJ7599951 EVELIN MONGE MJO STAFFING AIG CLAIMS SAN DIEGO ADJ8117120 FRANK SIMMONS BALLY TOTAL FITNESS AIG CLAIMS SAN DIEGO ADJ9429784 GASPER RIOS HYDROCHEM INDUSTRIAL AIG CLAIMS SAN DIEGO ADJ7363295 GERARDO VALDEZ H PETER GUBER AIG CLAIMS SAN DIEGO ADJ9531400 GRACE LAFFERTY ADVANCED CLINICAL EMPLOYMENT STAFFING AIG CLAIMS SAN DIEGO ADJ9531400 GRACE LAFFERTY EMERALD HEALTH SERVICES AIG CLAIMS SAN DIEGO ADJ9531400 GRACE LAFFERTY HEALTHSOURCE GLOBAL STAFFING AIG CLAIMS SAN DIEGO ADJ9531400 GRACE LAFFERTY PROCARE ONE NURSES LLC AIG CLAIMS SAN DIEGO ADJ9531400 GRACE LAFFERTY US NURSING CORP AIG CLAIMS SAN DIEGO ADJ7622403 GUADALUPE MARTINEZ INTERCONTINENTAL ART INC AIG CLAIMS SAN DIEGO ADJ9440288 HILARIO AMPARO DOMINGUEZ ETIVISTA CONCRETE AIG CLAIMS SAN DIEGO ADJ6875143 JACK MELKONIAN ALLIED SYSTEMS AIG CLAIMS SAN DIEGO ADJ7371618 JACOB DOLAN TORRANCE REFINERY SAVAGE INDUSTRY AIG CLAIMS SAN DIEGO ADJ8985492 JAIME BELTRAN SOUTHERN FIBER OF LOS ANGELES AIG CLAIMS SAN DIEGO ADJ9236441 JAIME FLORES CHAMPION HOME BUILDERS INC AIG CLAIMS SAN DIEGO ADJ7487026 JASON PALMER IAP WORLD SERVICES AIG CLAIMS SAN DIEGO ADJ7472183 JEFF REESE NORTHROP GRUMMAN CORP AIG CLAIMS SAN DIEGO ADJ7472183 JEFF REESE NORTHROP GRUMMAN CORPORATION AIG CLAIMS SAN DIEGO ADJ9598454 JESUS BUENAVENTURA PLATINUM STAFFING AIG CLAIMS SAN DIEGO ADJ9328734 JESUS CORRAL LAX WHEEL REFINISHING INC AIG CLAIMS SAN DIEGO ADJ9328734 JESUS CORRAL PLATINUM STAFFING 6 AIG CLAIMS SAN DIEGO ADJ8472963 JESUS DEL RIO ACEVEDO DMSI STAFFING AIG CLAIMS SAN DIEGO ADJ6755349 JESUS GALAN STAFFMARK AIG CLAIMS SAN DIEGO ADJ3882758 JORGE BARAJAS DPR CONSTRUCTION AIG CLAIMS SAN DIEGO ADJ3882758 JORGE BARAJAS DPR CONSTRUCTION, INC AIG CLAIMS SAN DIEGO ADJ8088393 JOSE MARQUEZ SERTA MATTRESS INCORPORATED AIG CLAIMS SAN DIEGO ADJ4711417 JOSE ORTEGA MANAGING JOB OPPORTUNITY AIG CLAIMS SAN DIEGO ADJ8719150 JOSE RIVERA WEST COAST DRYWALL INC AIG CLAIMS SAN DIEGO ADJ4517148 JOSE TORTOLEDO SUNRISE PLAZA TRANSPORTATION CO AIG CLAIMS SAN DIEGO ADJ6961554 JOSE VARGAS PERSONNEL PLUS AIG CLAIMS SAN DIEGO ADJ8244426 JUAN GONZALEZ ALISO ELECTRIC AIG CLAIMS SAN DIEGO ADJ8989046 JUAN PEREZ ST GEORGE EMPLOYEE LEASING AIG CLAIMS SAN DIEGO ADJ6779359 LETICIA CASIMIRO CAITAC GARMENT PROCESSING INC AIG CLAIMS SAN DIEGO ADJ6779359 LETICIA CASIMIRO CAITAL GARMET PROCESSING AIG CLAIMS SAN DIEGO ADJ6762410 LETICIA HERNANDEZ MELLACE FAMILY AIG CLAIMS SAN DIEGO ADJ7665056 MANUEL CAMPOS MJO STAFFING AIG CLAIMS SAN DIEGO ADJ7198293 MARIA MORALES SELECT STAFFING AIG CLAIMS SAN DIEGO ADJ9590890 MARIA NAVARRO AEROFIT LLC AIG CLAIMS SAN DIEGO ADJ9016282 MARIA OROZCO ARDEN COMPANIES AIG CLAIMS SAN DIEGO ADJ8905439 MARIBEL LEMUS BURTEC AIG CLAIMS SAN DIEGO ADJ7129804 MARICARMEN MARTINEZ MJO STAFFING AIG CLAIMS SAN DIEGO ADJ7129804 MARICARMEN MARTINEZ MJO STAFFING INC AIG CLAIMS SAN DIEGO ADJ8529726 MIGUEL CUELLAR PICTURE PERFECT INSTALLATION AIG CLAIMS SAN DIEGO ADJ6968095 MIGUEL MUNOZ SME STEELS AIG CLAIMS SAN DIEGO ADJ7126328 MIYNOR AVILA PDS TRUCKING AIG CLAIMS SAN DIEGO ADJ7126328 MIYNOR AVILA PDS TRUCKING INC AIG CLAIMS SAN DIEGO ADJ9104083 MONSERRAT CABRERA ISS FACILITY SERVICES INC SAN DIEGO AIG CLAIMS SAN DIEGO Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ1863845 NICOLAS PEREZ VICEROY AIG CLAIMS SAN DIEGO ADJ7500443 NORMA ALCANTARA READY PACK AIG CLAIMS SAN DIEGO ADJ8178918 OSCAR RAMIREZ BERTRAM PARTNERS INC AIG CLAIMS SAN DIEGO ADJ8178918 OSCAR RAMIREZ WATERMAN APARTMENTS AIG CLAIMS SAN DIEGO ADJ6836752 PATRICIA RODRIGUEZ PERSONEL PLUS AIG CLAIMS SAN DIEGO ADJ6836752 PATRICIA RODRIGUEZ PERSONNEL PLUS, INC. AIG CLAIMS SAN DIEGO ADJ7493812 PAUL KOSAKO MORGAN STANLEY REAL ESTATE INV AIG CLAIMS SAN DIEGO ADJ1820428 PEDRO ALVAREZ ACCREDITED CLEANIN SERVICES INC. AIG CLAIMS SAN DIEGO ADJ8193117 RAMON VASQUEZ FIRSTGROUP AMERICA AIG CLAIMS SAN DIEGO ADJ1757666 RAYMOND DAVIS MAMMOET WESTERN AIG CLAIMS SAN DIEGO ADJ1757666 RAYMOND DAVIS MAMMOET WESTERN INC AIG CLAIMS SAN DIEGO ADJ6767592 RODOLFO CHAVEZ SIMMONS MANUFACTURING CO AIG CLAIMS SAN DIEGO ADJ7101363 SAYED ISMAIL EMPIRE/CLS AIG CLAIMS SAN DIEGO ADJ1981654 SELVIN HERRERA CRAIG DOLLASE AIG CLAIMS SAN DIEGO ADJ8089029 SYLVA BEJJANI FUDDRUCKERS AIG CLAIMS SAN DIEGO ADJ7304830 TEODULO CARDOSO RAMIREZ EXPRESS SERVICE GROUP AIG CLAIMS SAN DIEGO ADJ7304830 TEODULO CARDOSO RAMIREZ OPTIMA STAFFING AIG CLAIMS SAN DIEGO ADJ7304830 TEODULO CARDOSO RAMIREZ PURETECK CORPORATION AIG CLAIMS SAN DIEGO ADJ8539705 TIMOTHY LEONARD NORTHROP GRUMMAN AIG CLAIMS SAN DIEGO ADJ8587862 WILLIE JOHNSON ANCON MARINE AIG CLAIMS SAN DIEGO ADJ7992986 ZAIDA KADRI PIZZA HUT OF SE KANSAS 502 AIG CLAIMS SAN DIEGO ADJ7937140 LOUIE AMADOR CHARTIS AIG CLAIMS SAN DIEGO ADJ7937140 LOUIE AMADOR HERCULES FORWARDING INC AIG CLAIMS SAN DIEGO ADJ2022709 JOSEPH FLORES DEFENSE SUPPORT SERVICES LLC AIG DOMESTIC CLAIMS INC ADJ5829459 ALICIA MORALES UFP TECHNOLOGIES AIG DOMESTIC CLAIMS, INC. ADJ5829459 ALICIA MORALES UFP TECHNOLOGIES INC AIG DOMESTIC CLAIMS, INC. ADJ4653966 JOHN LAKE COUNTY OF LOS ANGELES REGISTRAR RECORDER COUNTY CLERK AIMS ADJ4653966 JOHN LAKE LOS ANGELES COUNTY REGISTRAR RECORDER AIMS ADJ1475111 JOSE SEPULVEDA CITY OF BAKERSFIELD AIMS AIU INSURANCE COMPANY AMERICAN INTL GROUP CLAIMS ADJ3962906 LUCY RUSHING SERVICE CRAFT SERV ADJ2999844 ANA RIVERA PETERSON BROTHERS CONSTRUCTION ALASKA NATIONAL SEATTLE ADJ2715429 CLAUDIA BANUELOS BELL CONVALESCENT HOSPITAL ALASKA NATIONAL WALNUT CREEK ADJ2434272 EDUARDO BELMONTES CAPITAL DRYWALL ALASKA NATIONAL WALNUT CREEK ADJ6659341 EPIFANIA MINIKEL RAMONA'S CARE CENTER ALASKA NATIONAL WALNUT CREEK ADJ7087487 GONZALO NOEGERRATH PJ`S BUILDING MATERIALS ALASKA NATIONAL WALNUT CREEK ADJ6935989 GRACIELA GALLEGOS THE STANDARD HOTEL ALASKA NATIONAL WALNUT CREEK ADJ7557926 IVONNE HATTADY DECEASED MODERN PARKING INC ALASKA NATIONAL WALNUT CREEK ADJ6715517 JOSE GOMEZ VASQUEZ HI TECH SEATING PRODUCTS INC KUSTOM FIT ALASKA NATIONAL WALNUT CREEK ADJ6946169 JUAN NEGRETE CAPITAL DRYWALL ALASKA NATIONAL WALNUT CREEK ADJ6603058 RODOLFO HUANCA HOLYDAY MANOR CARE CENTER ALASKA NATIONAL WALNUT CREEK ADJ6893295 SONIA MCTAGGART BELLA VISTA CARE CENTER ALASKA NATIONAL WALNUT CREEK ADJ2989759 AMADO AGUILAR VONS GROCERY ALBERTSONS HOLDINGS FULLERTON ADJ7464368 DANIEL DESPER SAFEWAY ALBERTSONS HOLDINGS FULLERTON ADJ2839007 JOVITA ELSA VONS ALBERTSONS HOLDINGS FULLERTON ADJ6783304 JUAN MARTINEZ VONS COMPANIES INC ALBERTSONS HOLDINGS FULLERTON ADJ8653584 LINO GARCIA VONS COMPANIES ALBERTSONS HOLDINGS FULLERTON ADJ9284329 MAGDALENA ESTRADA THE VONS COMPANIES INC ALBERTSONS HOLDINGS FULLERTON ADJ9284329 MAGDALENA ESTRADA VONS ARCADIA ALBERTSONS HOLDINGS FULLERTON ADJ7969174 MARK IVEY THE VONS COMPANIES SAFEWAY CORPORATION ALBERTSONS HOLDINGS FULLERTON ADJ1421801 NAOMI CASTORENA VONS ALBERTSONS HOLDINGS FULLERTON ADJ7304500 SONYA WILSON VONS ALBERTSONS HOLDINGS FULLERTON ADJ7196669 VIRGILIO DUARTE SALVADOR VONS A SAFEWAY COMPANY INC ALBERTSONS HOLDINGS FULLERTON ADJ2989759 AMADO AGUILAR VONS GROCERY ALBERTSONS HOLDINGS PLEASANTON ADJ3050136 ANA MARIA ZENDEJAZ SAFEWAY ALBERTSONS HOLDINGS PLEASANTON ADJ3080124 REYNALDO MENDIOLA MYERS BUILDING SERVICE INC ALL AMERICAN RISK FRESNO ADJ1489539 AURA ESTRADA REMEDY INTELLIGENT STAFFING ALLIANZ RESOLUTION PETALUMA ADJ4679965 ELIZABETH MORENO DEUTSCH INDUSTRIAL PRODUCT ALLIANZ RESOLUTION PETALUMA ADJ8210703 LUZ LOPEZ EL POLLO LOCO ALLIANZ RESOLUTION PETALUMA ADJ8210703 LUZ LOPEZ WKS RESTAURANT CORP. ALLIANZ RESOLUTION PETALUMA ADJ8949526 ALFREDO ARGUETA LA BREA DINING CALIFORNIA ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7245616 ANDRES LOPEZ SANTA ANA COUNTRY CLUB ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7444833 ANGELINA ORTEGA PLAZA PET HOSPITAL ALLIANZ RESOLUTION RANCHO CORDOVA ADJ9466684 ANTONIO MARQUEZ SPECIFICATION SEALS CO ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7344086 BEATRIZ CORPENO JOAN ROSENBERG ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8164930 CECIL LOPEZ GALE BANK ENGINEERING ALLIANZ RESOLUTION RANCHO CORDOVA ADJ1490944 CECILIA RODRIGUEZ NORTON PACKAGING, INC. ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8188578 ELIAS CONTRERAS EAGLE ROOFING PRODUCTS ALLIANZ RESOLUTION RANCHO CORDOVA ADJ3579993 ELIGIO CHAVEZ HMS VETERINARY DEVELOPMENT, INC. ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8071404 FRANCISCO VALENZUELA FRANKEL FAMILU TRUST ALLIANZ RESOLUTION RANCHO CORDOVA ADJ6954867 HILDA CASTRO MEDWAY PLASTIC CORPORATION ALLIANZ RESOLUTION RANCHO CORDOVA ADJ9577732 JOSE MARTINEZ SLADE INDUSTRIAL LANDSCAPE ALLIANZ RESOLUTION RANCHO CORDOVA ADJ9577732 JOSE MARTINEZ SLADE INDUSTRIAL LASDSCAPE ALLIANZ RESOLUTION RANCHO CORDOVA ADJ1342888 JOSE PINEDO CLAIM JUMPER ALLIANZ RESOLUTION RANCHO CORDOVA ADJ1342888 JOSE PINEDO CREATIVE TEACHING PRESS INC. ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8210703 LUZ LOPEZ EL POLLO LOCO ALLIANZ RESOLUTION RANCHO CORDOVA ADJ8210703 LUZ LOPEZ WKS RESTAURANT CORP. ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7636678 NELIA ZAIDE LSA ASSOCIATES INC ALLIANZ RESOLUTION RANCHO CORDOVA ADJ9416812 NOEMY RODRIGUEZ LAWRENCE PERKINS ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7772209 RAFAELA HERNANDEZ NEWPORT CENTER ANIMAL HOSPITAL ALLIANZ RESOLUTION RANCHO CORDOVA ADJ2029535 SUSAN BERSON DIEDRICH COFFEE, INC. ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7388258 TIMOTEO TAUVALAAU ALUMINITE SOUTH ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7451457 VICTOR OSUNA FRIENDS AMERICA ALLIANZ RESOLUTION RANCHO CORDOVA ADJ7451457 VICTOR OSUNA FRIENDS AMERICA INC ALLIANZ RESOLUTION RANCHO CORDOVA ADJ9020429 FRANCISCA ESTRADA ARGIL AND DALIT ARGIL ALLIED SACRAMENTO Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ4107370 THOMAS MCCONNELL HELIX WATER DISTRICT ALTERNATIVE SERVICE CITRUS HEIGHTS ADJ4290239 ALAN VALDEZ INLAND COLD STORAGE AMERICAN CASUALTY ADJ9483491 ALFREDO ACTUAL DIRECT EXPRESS INC AMERICAN CASUALTY ADJ4474076 ALFREDO VILLEGAS TANIMURA AND ANTLE AMERICAN CASUALTY ADJ187589 DOMINGA ZARCO LEMONS CORPORATION AMERICAN CASUALTY ADJ653725 FRANK CATHRILL PERRIS UNIFIED SCHOOL DISTRICT AMERICAN CASUALTY ADJ653725 FRANK CATHRILL PERRIS UNION HIGH SCHOOL AMERICAN CASUALTY ADJ653725 FRANK CATHRILL PERRIS UNION HIGH SCHOOL DISTRICT AMERICAN CASUALTY ADJ1410196 ISABELITA PEREZ-SOTELO PREFERRED PERSONNEL AMERICAN CASUALTY ADJ2432118 JORGE MENDOZA MONICO ALLOYS AMERICAN CASUALTY ADJ4529793 MARIA PEREZ CARL KARCHER ENTERPRISES AMERICAN CASUALTY ADJ4529793 MARIA PEREZ CARL'S JR AMERICAN CASUALTY ADJ979400 RANDAL WILSON CARROWS RESTAURANT AMERICAN CASUALTY ADJ3282723 ULYSSES ESPINOZA EXPLORER COMPETITION PRODUCTS AMERICAN CASUALTY ADJ7155760 VICTOR QUEBRADO DRI COMPANIES AMERICAN CASUALTY ADJ8990489 ABEL CERVANTES GRIPLOCK SYSTEMS AMERICAN CLAIMS SAN DIEGO ADJ6960697 ABEL LEAL CAMILLE INC DBA DENNYS AMERICAN CLAIMS SAN DIEGO ADJ6960697 ABEL LEAL DENNYS AMERICAN CLAIMS SAN DIEGO ADJ7628617 ANADELIA MARTINEZ ALL CITY MANAGEMENT SERVICES AMERICAN CLAIMS SAN DIEGO ADJ7037636 ARTURO MORENO MSCZ INC DBA EARTHWIZE RECYCLING AMERICAN CLAIMS SAN DIEGO ADJ9234529 AURELIA LOPEZ BENITEZ MAC N FRY INC AMERICAN CLAIMS SAN DIEGO ADJ8290462 BEATRIZ OLIVAS RESTAURANT ADMINISTRATION AMERICAN CLAIMS SAN DIEGO ADJ7448085 BERTHA CANTORAL CONTINENTAL FOOD AMERICAN CLAIMS SAN DIEGO ADJ9505953 BLANCA LEAL EBS INC AMERICAN CLAIMS SAN DIEGO ADJ7619654 BYRON CABRERA CARPET DISTRUBUTORS CORP AMERICAN CLAIMS SAN DIEGO ADJ8036916 CARLOS GUERRERO AUTUMN MILLING CO AMERICAN CLAIMS SAN DIEGO ADJ7191477 CIPRIANO ARMENTA CALIFORNIA LANDSCAPE AMERICAN CLAIMS SAN DIEGO ADJ8969563 CLEOTILDE CORTEZ BURGER KING 696 AMERICAN CLAIMS SAN DIEGO ADJ8628574 CRISTINA ZAMORA MARTINEZ RELLIABLE RENOVATION INC AMERICAN CLAIMS SAN DIEGO ADJ9070540 DANIEL GUZMAN PRO WALL LATHE AND PLASTER AMERICAN CLAIMS SAN DIEGO ADJ9070540 DANIEL GUZMAN PRO WALL LATHE AND PLASTER INC AMERICAN CLAIMS SAN DIEGO ADJ2709568 DANIEL SIXTOS GENERAL BUILDING MAINTENANCE AMERICAN CLAIMS SAN DIEGO ADJ8342416 DONAJA ZAMORA PARKVIEW PROPERTY MANAGEMENT AMERICAN CLAIMS SAN DIEGO ADJ8342416 DONAJA ZAMORA PARKVIEW PROPERTY MANAGEMENT INC AMERICAN CLAIMS SAN DIEGO ADJ6878814 EDWARD CASTELLANOS PACIFIC TITAN INC AMERICAN CLAIMS SAN DIEGO ADJ9404813 ELVIRA JUAREZ WORLD VARIETY PRODUCE AMERICAN CLAIMS SAN DIEGO ADJ6975061 ENRIQUE DEHARO RHYLEY CONSTRUCTION AMERICAN CLAIMS SAN DIEGO ADJ7188907 ENRIQUE OSUNA FARMER BOYS RESTAURANT AMERICAN CLAIMS SAN DIEGO ADJ8162031 ERIKA PEREZ SANTA CLARITA CONCESSIONS AMERICAN CLAIMS SAN DIEGO ADJ9390968 ERNESTO PALOMINO COMPETITIVE ASPHALT COATING AMERICAN CLAIMS SAN DIEGO ADJ8674560 FRANCISCO CERVANTES WESTCO CONSTRUCTION CO INC AMERICAN CLAIMS SAN DIEGO ADJ7613834 FRANCISCO INIGUEZ EL PASEO INN LLC AMERICAN CLAIMS SAN DIEGO ADJ8858170 FRANCISCO MORENO INDIAN RIDGE COUNTRY CLUB AMERICAN CLAIMS SAN DIEGO ADJ7921356 FRANCISCO RODAS LOS ANGELES NEWS DISTRIBUTION AMERICAN CLAIMS SAN DIEGO ADJ7746299 FRANKLYN CHAVARRIA GARDNER POOL COMPANY AMERICAN CLAIMS SAN DIEGO ADJ8585680 GABRIEL CASTANEDA FIBER CARE BATHS INC AMERICAN CLAIMS SAN DIEGO ADJ7834671 GENOVEVA MACEDO MCDONALDS (22570) AMERICAN CLAIMS SAN DIEGO ADJ7348279 GEORGE OLIVERO GP WILCOXSON AMERICAN CLAIMS SAN DIEGO ADJ9770384 GERMAN TORRES BEAUMONT JUICE DBA PERRICONE JUICES AMERICAN CLAIMS SAN DIEGO ADJ7804867 GUILLERMO ESTRADA K J BECKS INC (MCDONALDS) AMERICAN CLAIMS SAN DIEGO ADJ7804867 GUILLERMO ESTRADA KJ BECKS INC MCDONALDS AMERICAN CLAIMS SAN DIEGO ADJ7804867 GUILLERMO ESTRADA TALLYRAND AMERICAN CLAIMS SAN DIEGO ADJ8069140 GUILLERMO SOLIS NUNEZ AG INC AMERICAN CLAIMS SAN DIEGO ADJ8677643 GUSTAVO VARGAS BAUTISTA BURGER KING AMERICAN CLAIMS SAN DIEGO ADJ9041987 HECTOR AGUILAR BARRIENTOS GOLDEN CONSTRUCTION DEVELOPMENT AMERICAN CLAIMS SAN DIEGO ADJ8151808 HECTOR CORREA BLUE POINT ELECTRIC INC AMERICAN CLAIMS SAN DIEGO ADJ7086110 HECTOR PEREZ ABBOTT TECHNOLOGIES INC AMERICAN CLAIMS SAN DIEGO ADJ9213086 HORTENCIA BERMUDEZ J AND S PAPER SOUTHERN LLC AMERICAN CLAIMS SAN DIEGO ADJ8831654 IRINEO PEREYRA MATSUNAGA LANDSCAPE MAINTENANCE AMERICAN CLAIMS SAN DIEGO ADJ9466225 IRVIN GONZALES PERRICONE JUICE AMERICAN CLAIMS SAN DIEGO ADJ7816710 JESUS CANCHOLA HALL MANAGEMENT CORP AMERICAN CLAIMS SAN DIEGO ADJ6679294 JESUS GALLARDO RICK HAMM CONSTRUCTION INC AMERICAN CLAIMS SAN DIEGO ADJ7391345 JESUS MENDEZ SWERTFEGERS EQUIPMENT INC AMERICAN CLAIMS SAN DIEGO ADJ7964922 JESUS PADILLA CAL SIN ENTERPRISES DBA EL POLLO LOCO AMERICAN CLAIMS SAN DIEGO ADJ6976274 JESUS ROJO BURGOS TRU FORM TOOL AND MANUFACTURING INDUSTRIES INC AMERICAN CLAIMS SAN DIEGO ADJ7720439 JOHN RIOS SCOTT HARRISON PLIMBING AND HEATING INC1 AMERICAN CLAIMS SAN DIEGO ADJ9530970 JORDY ARGUETA FARMERS BOYS RESTAURANT AMERICAN CLAIMS SAN DIEGO ADJ8077738 JORGE TORRES CAMACHO S INCORPORATED AMERICAN CLAIMS SAN DIEGO ADJ9158719 JOSE ARROYO R DEUTSCHMAN ASSOCIATES AMERICAN CLAIMS SAN DIEGO ADJ774506 JOSE FUENTES FAST TRACK PROJECT MANAGEMENT INC AMERICAN CLAIMS SAN DIEGO ADJ7875399 JOSE GONZALEZ COMMONWEALTH MANAGEMENT LLC AMERICAN CLAIMS SAN DIEGO ADJ7431034 JOSE MOLINAR GSL COMMUNICATIONS AMERICAN CLAIMS SAN DIEGO ADJ7783914 JOSE NUNEZ HIGH LIGHT ELECTRIC INC AMERICAN CLAIMS SAN DIEGO ADJ8190496 JOSE ZALDIVAR MASTER DISTRIBUTORS AMERICAN CLAIMS SAN DIEGO ADJ9282452 JUAN CALDERON RICK HAMM CONSTRUCTION INC AMERICAN CLAIMS SAN DIEGO ADJ10127376 JUAN OSORIO NAKASE BROTHERS AMERICAN CLAIMS SAN DIEGO ADJ8720764 JUAN PENA RED COW AMERICAN CLAIMS SAN DIEGO ADJ9088531 JUAN PLUMA CALIFORNIA RESTAURANT MUTUAL BENEFIT CORPORATION PSI AMERICAN CLAIMS SAN DIEGO ADJ9088531 JUAN PLUMA WOLF RESTAURANTS GROUP LP AMERICAN CLAIMS SAN DIEGO ADJ2332510 KATHRYN WOODLEY BURGER KING AMERICAN CLAIMS SAN DIEGO ADJ8042069 LEE LEWIS WILLIAM HOOSE AN INDIVIDUAL AMERICAN CLAIMS SAN DIEGO ADJ7760379 LEONARDO VARGAS R C I BUILDERS INC AMERICAN CLAIMS SAN DIEGO ADJ8522167 LUIS HERNANDEZ LIVING COLORS INC AMERICAN CLAIMS SAN DIEGO ADJ7660714 LUIS PEREZ CLARK ADAMS CO AMERICAN CLAIMS SAN DIEGO ADJ8668822 MARCELA GONZALEZ RESTAURANT ADMINISTRATION AMERICAN CLAIMS SAN DIEGO Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ8319284 MARIA DEL CARMEN LUVIANO BURGER KING 12986 AMERICAN CLAIMS SAN DIEGO ADJ7731148 MARIA ENRIQUEZ LINARES BURGER KING AMERICAN CLAIMS SAN DIEGO ADJ7457532 MARIA MEZA COLOUR CONCEPTS INC AMERICAN CLAIMS SAN DIEGO ADJ7037978 MARIA NAVARRETE BURGER KING AMERICAN CLAIMS SAN DIEGO ADJ7037978 MARIA NAVARRETE CALIFORNIA RESTAURANT MUTUAL BENEFI AMERICAN CLAIMS SAN DIEGO ADJ9186074 MARIA PEREZ METRO SERVICE AMERICAN CLAIMS SAN DIEGO ADJ8227117 MARIA ROSALES JACK IN THE BOX AMERICAN CLAIMS SAN DIEGO ADJ8222469 MARIA VILLA MCDONALDS AMERICAN CLAIMS SAN DIEGO ADJ8551768 MARIA VILLANUEVA TACO BELL NO 144 AMERICAN CLAIMS SAN DIEGO ADJ8795177 MARIANO MENDOZA LITE EXTRUSIONS MANUFACTURING AMERICAN CLAIMS SAN DIEGO ADJ7854147 MARIELA AVILA LMS GROUP INC DBA JACK IN THE BOX AMERICAN CLAIMS SAN DIEGO ADJ8017216 MARTHA SALAZAR PEREZ CONTRACTING LLC AMERICAN CLAIMS SAN DIEGO ADJ7585008 MARTIN ESTRADA C A M CONSTRUCTION INC AMERICAN CLAIMS SAN DIEGO ADJ6871988 MAXIMILIANO CASTRO CICON ENGINEERING AMERICAN CLAIMS SAN DIEGO ADJ7356657 MAXIMO MARCELO ARANDA TOOLING INC AMERICAN CLAIMS SAN DIEGO ADJ8110821 MIGUEL CABRERA MANGEN GROUP INC AMERICAN CLAIMS SAN DIEGO ADJ9428189 MIGUEL HERNANDEZ GLOBAL PET AMERICAN CLAIMS SAN DIEGO ADJ9428189 MIGUEL HERNANDEZ GLOBAL PET INC AMERICAN CLAIMS SAN DIEGO ADJ8358815 MIGUEL MAZARIEGO SHAMMA CONSTRUCTION AMERICAN CLAIMS SAN DIEGO ADJ7638069 MIZRAIN VEGA JACK IN THE BOX AMERICAN CLAIMS SAN DIEGO ADJ8580977 MONICA MARTINEZ KFC HBS FOOD SERVICES AMERICAN CLAIMS SAN DIEGO ADJ9011949 NICOLAS MARTINEZ QUICKEL PAVING AMERICAN CLAIMS SAN DIEGO ADJ8388883 NOEL SERPAS NUCOAT PAINTING AMERICAN CLAIMS SAN DIEGO ADJ8241535 NOEMI CONTRERAS FARMER BOYS AMERICAN CLAIMS SAN DIEGO ADJ6567960 OLGA CALDERON ENVISION FOODS AMERICAN CLAIMS SAN DIEGO ADJ7209181 OMAR RAMIREZ KR COMMERCIAL INTERIOR AMERICAN CLAIMS SAN DIEGO ADJ3803997 PEDRO GARCIA ANAPLEX AMERICAN CLAIMS SAN DIEGO ADJ3803997 PEDRO GARCIA ANAPLEX CORP AMERICAN CLAIMS SAN DIEGO ADJ1261552 PERFECTO BARRIOS GROUND MAINTENANCE SERVICES AMERICAN CLAIMS SAN DIEGO ADJ7075645 PERLA CAMPOS CHAPMAN CONVALESCENT HOSPITAL AMERICAN CLAIMS SAN DIEGO ADJ2450884 PRISCILLA CASTRO JACK IN THE BOX AMERICAN CLAIMS SAN DIEGO ADJ2450884 PRISCILLA CASTRO SYED IRFAN AHMAD INC DBA JACK IN THE BOX 3585 AMERICAN CLAIMS SAN DIEGO ADJ7838839 RAFAEL MACIAS CALLAGHAN CONCRETE CONSTRUCTION AMERICAN CLAIMS SAN DIEGO ADJ7303676 RAMIRO HURTADO WELD IT COMPANY AMERICAN CLAIMS SAN DIEGO ADJ6679351 RAMON CURIEL EFREN REYES POOL AND PLASTERING AMERICAN CLAIMS SAN DIEGO ADJ6679351 RAMON CURIEL EFREN REYES POOL PLASTERING AMERICAN CLAIMS SAN DIEGO ADJ7194150 RAQUEL VALENCIA MARIAS HOUSE CLEANING AMERICAN CLAIMS SAN DIEGO ADJ7679258 REINA BONILLA R&L NEWSPAPER DISTRIBUTORS INC AMERICAN CLAIMS SAN DIEGO ADJ7954830 RICARDO ARIAS AGUIRRE MANGEN GROUP AMERICAN CLAIMS SAN DIEGO ADJ7954830 RICARDO ARIAS AGUIRRE MANGEN GROUP DBA BURGER KING AMERICAN CLAIMS SAN DIEGO ADJ8937065 RICARDO CERVANTES STEELTECH REINFORCING INC. AMERICAN CLAIMS SAN DIEGO ADJ8234625 RODRIGO RUIZ WOOD RANCH AMERICAN CLAIMS SAN DIEGO ADJ7361140 ROSE SHAPIRO ZAHARONI INDUSTRIES AMERICAN CLAIMS SAN DIEGO ADJ7361140 ROSE SHAPIRO ZHARONI INDUSTRIES AMERICAN CLAIMS SAN DIEGO ADJ6673039 RUBEN MORALES STR AUTO REPAIR AND SERVICE INC AMERICAN CLAIMS SAN DIEGO ADJ7641695 RUFINO GONZALEZ JAMES HOOVER AND PEGGY HOOVER DBA HOOVER RANCH AMERICAN CLAIMS SAN DIEGO ADJ3869103 SALVADOR MANRIQUEZ PAGE PRINTING SERVICES AMERICAN CLAIMS SAN DIEGO ADJ7605385 SANDRA GONZALEZ JACK IN THE BOX AMERICAN CLAIMS SAN DIEGO ADJ7266301 SANDRA LUNA PREMIER HARVEST INC AMERICAN CLAIMS SAN DIEGO ADJ7466937 SECILIO AVILA ORANGE COUNTY PATIO AMERICAN CLAIMS SAN DIEGO ADJ9364317 SERGIO SILVA REYNOLDS DANIEL BUILDERS AMERICAN CLAIMS SAN DIEGO ADJ8896903 SILVERIO ROMANO EAST WEST FRANCHISE INVESTMENTS AMERICAN CLAIMS SAN DIEGO ADJ7810368 SILVIA GALEANA GRAFFIUS FOOD SERVICES INC AMERICAN CLAIMS SAN DIEGO ADJ7811929 SONIA LEMUS MCDONALDS AMERICAN CLAIMS SAN DIEGO ADJ7162202 STEVEN MARTINEZ JACK IN THE BOX AMERICAN CLAIMS SAN DIEGO ADJ7162202 STEVEN MARTINEZ JYM ENTERPRISES INC AMERICAN CLAIMS SAN DIEGO ADJ8045672 VANESSA RIVAS JACK IN THE BOX AMERICAN CLAIMS SAN DIEGO ADJ8600978 VERONICA SEVILLA MCDONALD S AMERICAN CLAIMS SAN DIEGO ADJ8270064 VICTORIA SANCHEZ CAM SERVICES AMERICAN CLAIMS SAN DIEGO ADJ6592866 WENDY LOPEZ LIGHT BULBS INC AMERICAN CLAIMS SAN DIEGO ADJ7179043 WILLIAM LIMON CALIFORNIA COACH AUTO BODY TOWING AMERICAN CLAIMS SAN DIEGO ADJ7715543 ZAYDA ELIAS CASA MARAVILLA 99 2000 SENIOR NUTRITION AMERICAN CLAIMS SAN DIEGO ADJ2840596 EDGARDO MARQUEZ CALIFORNIA DELUXE WINDOWS IND INC AMERICAN COMMERCIAL ADJ2434337 FREDDY PINEDA THUNDER FINISHING, INC AMERICAN COMMERCIAL ADJ2342692 GUARNELH ORELLANA ABREGO TRUE WORLD FOODS INC AMERICAN COMMERCIAL ADJ924389 MARIA LUISA CALDERON GOLDEN APPLEX COMPANY AMERICAN COMMERCIAL ADJ1016451 PAULA VELASQUEZ CASTLE INN AMERICAN COMMERCIAL ADJ1415384 SERGIO LEDESMA BENT MFG CO AMERICAN COMMERCIAL ADJ6467677 VICTORIA BAKER ANTHONY AND KATHERINE VIELE AMERICAN COMMERCIAL ADJ6467677 VICTORIA BAKER TOKA PROPERTIES AMERICAN COMMERCIAL ADJ1851698 ARMANDO CADENA R C WENDT PAINTING INC AMERICAN COMMERCIAL SAN DIEGO ADJ2042634 AUGUSTO MENDIZABAL PASCO SPECIALTY & MFG INC AMERICAN COMMERCIAL SAN DIEGO ADJ704658 DOLORES BELTRAN MARQUIS HOTEL/EDWARD KIM AMERICAN COMMERCIAL SAN DIEGO ADJ1516009 ELIZABETH EVANS PACIFIC AMBULANCE INC AMERICAN COMMERCIAL SAN DIEGO ADJ1104547 EMILIANO SEGURA PACIFIC TERRAIN LANDSCAPE AMERICAN COMMERCIAL SAN DIEGO ADJ4522208 ESPIRIDION CONTRERAS ROYAL CABINETS AMERICAN COMMERCIAL SAN DIEGO ADJ4510843 FRANCISCO HERRERA LOS ANGELES REGIONAL FOOD BANK AMERICAN COMMERCIAL SAN DIEGO ADJ1924185 GABRIEL TAPIA HERRON CONSTRUCTION INC AMERICAN COMMERCIAL SAN DIEGO ADJ1172060 GUTIERREZ TERESO NORCO INJECTION MOLDING INC. AMERICAN COMMERCIAL SAN DIEGO ADJ1407397 JOEL LOPEZ KITCHEN FABRICATORS, INC. AMERICAN COMMERCIAL SAN DIEGO ADJ1540196 JOSE RODRIGUEZ CLASSIC PARKING AMERICAN COMMERCIAL SAN DIEGO ADJ1540196 JOSE RODRIGUEZ CLASSIC PARKING INC AMERICAN COMMERCIAL SAN DIEGO ADJ618102 JOSE VICENTE MICHAEL NICHOLAS DESIGNS INC AMERICAN COMMERCIAL SAN DIEGO ADJ1289339 JUAN MARRUJO MARCO RENTALS, INC AMERICAN COMMERCIAL SAN DIEGO ADJ4436013 JUAN VALDIVIA LIBERTY GLASS AMERICAN COMMERCIAL SAN DIEGO ADJ443664 JUAN VERA ATHON, MERRELL/ARTIC AMERICAN COMMERCIAL SAN DIEGO Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ6438427 JUANA PEREZ PREMIER LABOR SERVICES AMERICAN COMMERCIAL SAN DIEGO ADJ1221969 KARINA ESPINOZA FOUR SEASONS GARMENTS, INC. AMERICAN COMMERCIAL SAN DIEGO ADJ481419 LIDIA SCOTT SHINODA DESIGN CENTER AMERICAN COMMERCIAL SAN DIEGO ADJ3903840 MANUEL GALLARDO SHELLEY AUTOMOTIVE LLC AMERICAN COMMERCIAL SAN DIEGO ADJ4298247 MARIA JIMENEZ SOLAR LINK INTERNATIONAL INC AMERICAN COMMERCIAL SAN DIEGO ADJ6690608 OSCAR GONZALEZ THOREAU JANITORIAL SERVICES AMERICAN COMMERCIAL SAN DIEGO ADJ1411779 PEDRO VEJAR BJ'S RENTALS AMERICAN COMMERCIAL SAN DIEGO ADJ1177394 REYNALDO GONZALEZ QUICKCRETE PRODUCTS AMERICAN COMMERCIAL SAN DIEGO ADJ1019269 ROSA CEJA HOLIDAY INN EXPRESS AND SUITES AMERICAN COMMERCIAL SAN DIEGO ADJ1521645 SILVESTRE LOPEZ TRUJILLO TORRES FARM LABOR CONTRACTOR AMERICAN COMMERCIAL SAN DIEGO ADJ2765440 VICTOR GAONA RDF EXPRESS AMERICAN COMMERCIAL SAN DIEGO ADJ6765235 ERNESTO MEDINA PACIFIC COAST MANAGEMENT AMERICAN COMMERCIAL SAN FRANCISCO ADJ7327538 JOSE ESTRADA EMPIRE BUILDING AND ENVIRONMENTAL SERVICES INC AMERICAN COMMERCIAL SAN FRANCISCO ADJ6429867 VIOLETA MARTINEZ ALCO METAL FAB AMERICAN COMMERCIAL SAN FRANCISCO ADJ7045703 LOYDA FERREIRA AMERICAN GENERAL FINANCIAL SVS AMERICAN GENERAL FINANCIAL SVS ADJ6664878 MARIA RODRIGUEZ PRIORITY STAFFING AMERICAN HOME ASSURANCE ADJ3810225 DIANNA SCOGGINS COMMODITY LOGISTICS WEST, INC. AMERICAN HOME ASSURANCE CO ADJ3810225 DIANNA SCOGGINS INGRAM MICRO AMERICAN HOME ASSURANCE CO ADJ3810225 DIANNA SCOGGINS INGRAN MICRO AMERICAN HOME ASSURANCE CO ADJ2029535 SUSAN BERSON DIEDRICH COFFEE, INC. AMERICAN INSURANCE ADJ4218832 JOSE CABRAL AMERON AMERON PASADENA ADJ8870246 JOSE VALLES AMERON AMERON PASADENA ADJ9079840 FRANCISCO DUARTE CAFE TU TANGO AMGUARD INS WILKES BARRE ADJ9738302 RAUL HERNANDEZ OROZCO VIKE INVESTMENTS INC DBA TABLETOP GRILL AMGUARD INS WILKES BARRE ADJ7137017 GUADALUPE HOLGUIN CONTRERAS AVALON AT CERRITOS AMTRUST ADJ9228398 MARIA ESCAMILLA FELIZA VELAZCO AMTRUST ADJ8567575 ALVARO MARTINEZ SWISSTEX AMTRUST CONCORD ADJ9203683 ALVARO MONZON TILE AND STONE AMTRUST CONCORD ADJ9665085 ARTURO LOMELI KAMRAN STAFFING AMTRUST CONCORD ADJ9665085 ARTURO LOMELI KAMRAN STAFFING INC AMTRUST CONCORD ADJ9538129 CARMEN CARRILLO STEVENSON RESTAURANT INC AKA BURGER KING AMTRUST CONCORD ADJ9237813 CELIA HERNANDEZ J AND R HOCK ENTERPRISES A FRANCHISE OF TACO BELL AMTRUST CONCORD ADJ9503478 DOLORES MARIA DELUNA ANGELA PRESCHOOL & KINDERGARTEN AMTRUST CONCORD ADJ9456012 FERNANDO GALINDO GLENDALE DODGE CHRYSLER JEEP AMTRUST CONCORD ADJ9132540 FRANCISCO A GARCIA PEREZ HILTON GARDEN INN AMTRUST CONCORD ADJ3132250 FRANCISCO ZAVALA INGARDIA BROS PRODUCE AMTRUST CONCORD ADJ8832614 GABRIELA RANGEL FRESH GRILL AMTRUST CONCORD ADJ7327528 GARY FEE CALIFORNIA MANUFACTURING ENGINEERING AMTRUST CONCORD ADJ9012098 GLORIA JUC ABAD FOAM INC AMTRUST CONCORD ADJ9316333 GRACIELA VERDIN LA MEXICANA FOOD PRODUCTS AMTRUST CONCORD ADJ8290825 GREGORIO BRITO NEW SEOUL BBQ BUFFET RESTAURANT AMTRUST CONCORD ADJ8563644 HECTOR VELA LET IT FLY LLC AMTRUST CONCORD ADJ9367188 IRMA GONZALEZ RYTAN AMTRUST CONCORD ADJ10453255 JORGE ARCO BALLINA LAKEVIEW FARMS AMTRUST CONCORD ADJ7852090 JOSE QUEVEDO EMPIRE FARM LABOR CONTRACTING INC AMTRUST CONCORD ADJ9305253 MACIEL BUSTOS ENVIROMENTAL CONCEPTS AMTRUST CONCORD ADJ9305253 MACIEL BUSTOS ENVIRONMENTAL CONCEPTS INC. AMTRUST CONCORD ADJ8668822 MARCELA GONZALEZ RESTAURANT ADMINISTRATION AMTRUST CONCORD ADJ9653587 MARCO CARRANZA RESOURCE EMYMENT SOLUTIONS AMTRUST CONCORD ADJ7532310 MARIA BONILLA BEST WESTERN RAFFLES INN AMTRUST CONCORD ADJ8981820 MARIA CERVANTES DIN TAI FUNG RESTAURANT INC. AMTRUST CONCORD ADJ9668465 MARIA CORTEZ NARAYAN PLASTIC CORP AMTRUST CONCORD ADJ8332829 MARIA RICO BEST WESTERN OC AIRPORT NORTH AMTRUST CONCORD ADJ9670790 MARIA SANDOVAL NORTHWEST PHARMANATURALS INC AMTRUST CONCORD ADJ8621835 MARIBEL SIERRA TACO BELL AMTRUST CONCORD ADJ9119421 OTONIEL MORALES ANTHONY LAUREN AND CO AMTRUST CONCORD ADJ8226862 SERGIO SERNA LITTLE DAVID PEST CONTROL AMTRUST CONCORD ADJ8490646 SILVIA ORTEGA POLLY S PIES AMTRUST CONCORD ADJ7277437 WEI YING ZHOU FORTUNE AVENUE FOODS INC AMTRUST CONCORD ADJ9232895 YOLANDA GONZALEZ ARECONT VISION AMTRUST CONCORD ADJ9570287 ANA RIOS GOOD FAMILY INC AMTRUST COVINA ADJ9612804 ARCELIA GUTIERREZ BERSHTEL ENTERPRISES AMTRUST COVINA ADJ9378166 JOSE AGUILAR UP LANDSCAPE MAINTENANCE AMTRUST COVINA ADJ205778 MICHAEL OGAZ UNIFIED WESTERN GROCERS AMTRUST COVINA ADJ7782079 MIGUEL HERNANDEZ KV MART COMPANY AMTRUST COVINA ADJ7706697 ALBERTO BALDERRAMA JAM INDUSTRIES AMTRUST IRVINE ADJ8216750 ALBERTO TERRONES PEARL CAR WASH LA JOLLA INC AMTRUST IRVINE ADJ6820674 ALFREDO HERNANDEZ BELL FOUNDRY COMPANY AMTRUST IRVINE ADJ6617697 ANTONIO RAMIREZ HAHM MOTORSPORTS AMTRUST IRVINE ADJ6617697 ANTONIO RAMIREZ HAMH ENTERPRISES AMTRUST IRVINE ADJ9262329 BALDEMAR GARCIA H MART GARDEN GROVE AMTRUST IRVINE ADJ9613149 CARLOS GONZALEZ TAMA TRADING CO INS AMTRUST IRVINE ADJ7624749 EDGAR SANCHEZ J A M INDUSTRIES AMTRUST IRVINE ADJ9399865 ELIZABETH DOMINGUEZ GREAT AMERICAN CHICKEN AMTRUST IRVINE ADJ9223600 ERENDIRA ARREOLA WENDYS AMTRUST IRVINE ADJ9373753 FELIX CUXUM SLATERS 50 50 AMTRUST IRVINE ADJ7772967 FLORENTINO GUDINO DC PAINTS INCORPORATED AMTRUST IRVINE ADJ3132250 FRANCISCO ZAVALA INGARDIA BROS PRODUCE AMTRUST IRVINE ADJ9614476 FRANCO RIPLEY WHOLESOME CHOICE MARKET AMTRUST IRVINE ADJ6687390 GABRIELA OCHOA RODRIGUEZ ACCUPRINT SERVICES INC AMTRUST IRVINE ADJ6687390 GABRIELA OCHOA RODRIGUEZ PERSONA 1 HR AMTRUST IRVINE ADJ7470286 GASTON ESCOBAR PROCARE TREE SERVICE INC AMTRUST IRVINE ADJ7605771 GILBERTO PENA MORALES THRIFTY TREE SERVICE AMTRUST IRVINE ADJ9158709 GLORIA SANTA CRUZ CALIFORNIA SUSHI TERIYAKI AMTRUST IRVINE ADJ8018202 JACQUELINE VASQUEZ SAMBA GROUP AMTRUST IRVINE ADJ8018202 JACQUELINE VASQUEZ SAMBA GROUP INC AMTRUST IRVINE

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Case Number. Injured Worker. Employer. Claims Administrator. ADJ1801034. MELIZA GUERRERO. ALLKAY ELECTRONICS INC. AARIS INSURANCE. ADJ9012098. GLORIA JUC. ABAD FOAM INC. ABAD FOAM INC. ADJ9453683. ALBERTO ROMAN. TRM MANUFACTURING INC. ACCELERATED
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