Colorado Division of Workers’ Compensation Self … · 454 07/01/17 ARCHDIOCESE OF DENVER Peter...
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Updated 4/12/18 Colorado Division of Workers’ Compensation Self-Insured Employers PERMIT ANNIVERSARY DATE NAME OF PERMIT PERMIT HOLDER 989 04/01/84 ADAMS COUNTY Mr. Charles B. DuScha Risk Manager Adams County Risk Management/HR Department 4430 South Adams County Parkway 4th Floor, Suite C4000B Brighton, CO 80601-8213 OFFICE: 720-523-6076 FAX: 720-523-6069 EMAIL: [email protected] 462 02/01/09 ADVENTIST HEALTH SYSTEM William H. Morgan, Esq. Executive Director, Risk Management Claims Adventist Health Systems 900 Hope Way Altamonte Springs, FL 32714 OFFICE: 407-357-2289 FAX: 407-357-2797 EMAIL: [email protected] 484 11/01/99 AGILENT TECHNOLOGIES, INC. Diane Mills Executive Assistant, Treasury Revoked 11/1/15 Agilent Technologies, Inc. 5301 Stevens Creek Boulevard Mail Stop 1A-1R Santa Clara, CA 95051-7201 OFFICE: 408-553-7934 FAX: 408-553-7516 EMAIL: [email protected] 477 04/01/02 AMERICAN FURNITURE WAREHOUSE CO. Becky L. Lambert Human Resource Director / Corporate Risk Manager American Furniture Warehouse 8820 American Way Englewood, CO 80112-7056 OFFICE: 720-873-8612 FAX: 720-873-8610 EMAIL: [email protected]
Transcript of Colorado Division of Workers’ Compensation Self … · 454 07/01/17 ARCHDIOCESE OF DENVER Peter...
Updated 4/12/18
Colorado Division of Workers’ Compensation Self-Insured Employers
PERMIT ANNIVERSARY DATE NAME OF PERMIT PERMIT HOLDER
989 04/01/84 ADAMS COUNTY Mr. Charles B. DuScha
Risk Manager
Adams County
Risk Management/HR Department 4430 South Adams County Parkway 4th Floor, Suite C4000B Brighton, CO 80601-8213
OFFICE: 720-523-6076
FAX: 720-523-6069 EMAIL: [email protected]
462 02/01/09 ADVENTIST HEALTH SYSTEM William H. Morgan, Esq. Executive Director, Risk Management Claims Adventist Health Systems 900 Hope Way Altamonte Springs, FL 32714 OFFICE: 407-357-2289 FAX: 407-357-2797
EMAIL: [email protected]
484 11/01/99 AGILENT TECHNOLOGIES, INC. Diane Mills Executive Assistant, Treasury Revoked 11/1/15 Agilent Technologies, Inc. 5301 Stevens Creek Boulevard Mail Stop 1A-1R Santa Clara, CA 95051-7201
OFFICE: 408-553-7934
FAX: 408-553-7516
EMAIL: [email protected]
477 04/01/02 AMERICAN FURNITURE WAREHOUSE CO. Becky L. Lambert
Human Resource Director / Corporate Risk Manager
American Furniture Warehouse 8820 American Way
Englewood, CO 80112-7056
OFFICE: 720-873-8612
FAX: 720-873-8610 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
870 01/01/90 ARAPAHOE COUNTY Jhanadu Garza Risk Manager Risk Management Division Arapahoe County 5334 South Prince Street Littleton, CO 80120-1136 OFFICE: 303-734-5468 FAX: 303-734-5479 EMAIL: [email protected]
939 06/15/86 ARCBEST CORPORATION and its wholly Allen King owned subsidiary, ABF FREIGHT SYSTEM, Sr. Manager, Risk Management INC. ArcBest Corporation (f/k/a ARKANSAS BEST CORPORATION) P.O. Box 10048 Fort Smith, AR 72917-0048 OFFICE: 479-785-6218 FAX: 479-785-6396 EMAIL: [email protected]
454 07/01/17 ARCHDIOCESE OF DENVER Peter J. Cronan Director, Risk Management and Insurance Archdiocese of Denver 1300 South Steele Street
Denver, CO 80210-2599
OFFICE: 303-715-3150
FAX: 303-715-2041
EMAIL: [email protected]
894 07/01/87 ARVADA, CITY OF Kirstie Dineen Risk Management Division City of Arvada 8101 Ralston Road P.O. Box 8101 Arvada, CO 80001-8101 OFFICE: 720-898-7592 FAX: 720-898-7591 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
975 10/06/81 ASPEN SKIING COMPANY, LLC Andrew Joy Workers’ Compensation Manager Aspen Skiing Company P.O. Box 1248 Aspen, CO 81612-1248 OFFICE: 970-429-3228 FAX: 970-812-1620 EMAIL: [email protected]
957 10/01/76 AURORA, CITY OF Renee Pettinato Mosley Risk Manager City of Aurora 15151 East Alameda Parkway, Third Floor Aurora, CO 80012-1555 OFFICE: 303-739-7003 FAX: 303-739-7650 EMAIL: [email protected]
460 11/01/11 BAKER CONCRETE CONSTRUCTION, INC. Robyn L. Miller Risk Manager Revoked 9/1/14 Baker Concrete Construction 900 North Garver Road Monroe, OH 45050 OFFICE: 513-539-4088 FAX: 513-539-4380 EMAIL:
993 01/01/85 BALL CORPORATION Cheryl Kabes C/O Aon Global Risk Consulting 5600 West 83rd Street, Suite 1100 Minneapolis, MN 55437 OFFICE: 952-807-0661 FAX: 847-953-2851 EMAIL: [email protected] Kelly Sloan Ball Corporation 10 Longs Peak Drive Broomfield, CO 80021 OFFICE: 303-460-5804 FAX: 303-460-3716 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
489 01/01/98 BANNER HEALTH Evan Phebus, CPCU Self-Insurance Program Director Banner Health 2901 N. Central Ave., Suite 160 Phoenix, AZ 85012 OFFICE: 602-747-4766 FAX: 602-747-4781 EMAIL: [email protected] Liliana Forney Sr. Director Risk Finance & Insurance Services Banner Health 2901 N. Central Ave., Suite 160 Phoenix, AZ 85012 OFFICE: 602-747-4778 FAX: 602-747-4781 EMAIL: [email protected]
463 11/07/08 BARRETT BUSINESS SERVICES, INC. Mr. Steven McComb (BBSI) Workers' Compensation Administrator Barrett Business Services, Inc. 8100 NE Parkway Drive, Suite 200 Vancouver, WA 98662 OFFICE: 360-828-0644 FAX: 360-828-0699 EMAIL: [email protected]
829 01/01/93 BOULDER, CITY OF James Brown Risk Manager City of Boulder P.O. Box 791 or 1777 Broadway Boulder, CO 80306-0791 OFFICE: 303-441-3075 FAX: 303-441-1849 EMAIL: [email protected] Cheryl Patelli Chief Financial Officer OFFICE: 303-441-3246 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
852 01/01/91 BOULDER COMMUNITY HOSPITAL Mary Jo Clark, RN RN Manager, Employee Health North Broadway & Balsam P.O. Box 9019 Boulder, CO 80301-9019 OFFICE: 303-415-7661 FAX: 720-565-0457 EMAIL: [email protected]
867 01/01/90 BOULDER COUNTY Matt Braig
Boulder County Risk Manager P.O. Box 471 Boulder, CO 80306 County Courthouse West Wing 2025 14th Street, 1st Floor Boulder, CO 80302 OFFICE: 303-441-3872 FAX: 303-441-4524 EMAIL: [email protected]
873 06/01/89 CARGILL, INC. Ann Kloempken Property and Casualty Insurance Analyst Revoked 6/1/07 Cargill Global Insurance 15407 McGinty Road West MS 12
Wayzata, MN 55391-2365
OFFICE: 952-742-7303 FAX: 952-742-7990 EMAIL: [email protected]
956 12/01/75 CHEVRON U.S.A., INC. Linda K. Savage Work Comp Program Administrator Chevron U.S.A., Inc. 6001 Bollinger Canyon Rd, A2102 San Ramon, CA 94583-2324
OFFICE: 925-842-2757
FAX: 925-842-8185 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
468 03/01/05 CHILDREN’S HOSPITAL COLORADO Bryan Storey , MPH, MHA Risk Manager Children's Hospital Colorado 13123 East 16th Avenue, B545 Aurora, CO 80045 OFFICE: 720-777-4392 FAX: 720-777-7861
EMAIL: [email protected]
479 07/01/01 COACHMEN INDUSTRIES, INC. Lynne Barker Senior Accountant Fixed Asset Manager
Revoked 7/1/12 All American Homes, LLC/Innovative Building Systems
P.O. Box 3300 2831 Dexter Drive Elkhart, IN 46515-3300 OFFICE: 574-266-2525 FAX: 574-266-3044 EMAIL: [email protected]
487 05/17/99 COBE CARDIOVASCULAR, INC. Ms. Diane Marie Lucero Treasury Manager (Changed name to "SORIN GROUP USA" Cobe Cardiovascular, Inc. effective 1/1/2007) 14401 West 65th Way Arvada, CO 80004-3539 Revoked 5/1/10 OFFICE: 303-467-6280 FAX: 303-467-6591 EMAIL: [email protected]
988 10/01/83 COLORADO HOSPITAL ASSOCIATION Mr. Gary Swenson Director
CHA Shared Services
7335 East Orchard Road, Suite 200 Greenwood Village, CO 80111-2528 OFFICE: 720-330-6029 FAX: 720-489-1166 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
839 01/01/92 COLORADO PERMANENTE MEDICAL Valerie Barajas GROUP Human Resources Department Original Kaiser Foundation Health Plan of Colorado Anniversary 2500 S. Havana Street, #100 Date: 04/01/92 Aurora, CO 80014
OFFICE: 303-338-3192 FAX: 866-357-7575 EMAIL: [email protected]
877 01/01/89 COLORADO SPRINGS, CITY OF Victoria McColm Risk Manager Risk Management City of Colorado Springs P.O. Box 1575 - Mail Code 630 Colorado Springs, CO 80901-1575 OFFICE: 719-385-5669 FAX: 719-385-5677 EMAIL: [email protected] JoAnn Cox EMAIL: [email protected]
858 07/01/91 COLORADO SPRINGS SCHOOL DISTRICT Hank Hahne NO. 11 Manager, Workers' Compensation Program Colorado Springs School District 11 Risk Management Department Colorado Springs School District 11 1115 North El Paso Street Colorado Springs, CO 80903 OFFICE: 719-520-2490 FAX: 719-520-2383 EMAIL: [email protected]
471 08/01/04 COLORADO STATE UNIVERSITY Sally Alexander (For claims on and after 8/1/04) Director, Risk Management and Insurance
Colorado State University
Office of Risk Management & Insurance Environmental
Health Services 141A General Services Building Campus Delivery 6002 Fort Collins, CO 80523-6002 OFFICE: 970-491-7726 FAX: 970-491-4804 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
470 08/01/04 COLORADO STATE UNIVERSITY Sally Alexander (For claims 7/1/96 to 7/31/04) Director, Risk Management and Insurance
Colorado State University
Revoked 8/1/04 Office of Risk Management & Insurance Environmental
Health Services 141A General Services Building Campus Delivery 6002 Fort Collins, CO 80523-6002 OFFICE: 970-491-7726 FAX: 970-491-4804 EMAIL: [email protected]
469 01/01/05 COLUMBINE HEALTH SYSTEMS Carlie Thomas
Corporate Safety Office
Columbine Health Systems
802 West Drake Road, Suite 105 Fort Collins, CO 80526-1841 OFFICE: 970-492-6233 FAX: 970-492-6206
EMAIL: [email protected]
EMAIL: [email protected]
888 11/01/87 CONAGRA FOODS, INC. Mr. Jeff Regler Financial Analyst Revoked 5/31/15 ConAgra Foods, Inc. Eleven ConAgra Drive, 11-200 Omaha, NE 68102-5001
OFFICE: 402-240-4491 FAX: 402-517-3168 EMAIL: [email protected]
482 01/01/00 COORSTEK, INC. Ondrea Matthews Director, Risk Management & Benefits CoorsTek, Inc. 14143 Denver West Pkwy., Suite 400 Golden, CO 80401 OFFICE: 303-271-7211 FAX: 303-271-7003 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
483 01/01/00 COSTCO WHOLESALE CORPORATION Uyen Nguyen Supervisor, Integrated Leave Data Analyst
Costco Wholesale Corporation
999 Lake Drive
Issaquah, WA 98027-8990
OFFICE: 425-313-2874 FAX: 425-416-2171 EMAIL: [email protected] Katrina Zitnik, Director WC EMAIL: [email protected]
976 01/01/81 DENVER, CITY & COUNTY Robin Gray 201 W. Colfax Ave #1105 City and County of Denver 201 West Colfax Avenue, Dept. 1105 Denver, CO 80202-5332 OFFICE: 720-913-3333 FAX: 720-913-3184 EMAIL: [email protected]
478 01/01/02 DENVER HEALTH & HOSPITAL Debby Esler AUTHORITY Workers' Compensation Insurance Specialist Denver Health & Hospital Authority 601 Broadway, MC 5015 Denver, CO 80204 OFFICE: 303-602-4951 FAX: 303-602-4934 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
480 07/01/01 DENVER PUBLIC SCHOOLS Annette Solano Office Support II, Enterprise Risk Management
Denver Public Schools
780 Grant Street, Room 319 Denver, CO 80203-2907 OFFICE: 720-423-1320 FAX: 720-423-1518 EMAIL: [email protected] Teresa (Terri) Sahli Director, Enterprise Management Denver Public Schools 780 Grant Street, Room 319 Denver, CO 80203-2907 OFFICE: 720-423-1319 FAX: EMAIL: [email protected]
452 02/01/16 DENVER WATER Dawn Cogan Denver Water c/o Employee Health Services 1600 West 12th Ave. Denver, CO 80204 OFFICE: 303-628-6868 FAX: 303-628-6863 EMAIL: [email protected]
847 01/01/92 DOUGLAS COUNTY Megan Datwyler
Risk Manager Revoked 1/1/17 Douglas County 100 3rd Street Castle Rock, CO 80104-2425 OFFICE: 303-660-7425
FAX: 303-688-6596
EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
851 08/01/91 DOUGLAS COUNTY SCHOOL DISTRICT Thellene (TJ) Crawford RE-1 Workers' Compensation Case Manager Douglas County School District RE-1 701 Prairie Hawk Drive Castle Rock, CO 80109 OFFICE: 720-433-1087 FAX: 720-433-0071 EMAIL: [email protected] Catherine Franklin Human Resource Director Douglas County School District RE-1 701 Prairie Hawk Drive Castle Rock, CO 80109 OFFICE: 720-433-1085 FAX: 720-433-0071 EMAIL: [email protected]
943 10/01/72 EASTMAN KODAK COMPANY Mr. Mark Johnson MS CPE Revoked 5/1/07 Eastman Kodak Company 200 Ridge Road West Rochester, NY 14652-3403 OFFICE: 585-588-3868 FAX: 585-722-9856 EMAIL: [email protected]
820 01/01/93 EDWARD C. LEVY COMPANY / Jake Michel SCHMIDT CONSTRUCTION Controller Original Edward C. Levy Company Anniversary 2635 Delta Drive Date: 10/01/93 Colorado Springs, CO 80910-1007 OFFICE: 719-392-4207 FAX: 719-392-4245 EMAIL: [email protected]
Terry Campbell
Corporate Risk Manager Edward C. Levy 9300 Dix Street Detroit, MI 48209-1023 OFFICE: 313-429-2200 FAX: 313-849-9446 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER 813 02/01/95 E. I. duPONT DeNEMOURS & COMPANY Faustino Aguilar
Senior Treasury Analyst E. I. duPont deNemours & Company
974 Centre Road, C730-4160
Wilmington, DE 19805 OFFICE: 302-999-4478 FAX: 302-992-6728 EMAIL: [email protected]
845 01/01/92 EL PASO COUNTY Ricky Bransford
Risk & Workers' Compensation Division Manager
El Paso County Risk Management 2880 International Circle, Suite N060 Colorado Springs, CO 80903-2010 OFFICE: 719-520-7486 FAX: 719-520-7406 EMAIL: [email protected] Andrea McGee 2880 International Circle, Suite N060 Colorado Springs, CO 80910 OFFICE: 719-520-7431 FAX: 719-520-7406 EMAIL: [email protected]
869 11/01/89 EMERSON ELECTRIC CO. Ms. Linda Donahue Sr. Insurance Analyst Revoked 6/30/10 Emerson Electric Co. 8000 West Florissant Avenue Building AA, Station 1918 St. Louis, MO 63136-8506 OFFICE: 314-553-1918 FAX: 314- 553-2463 EMAIL: [email protected]
826 03/01/93 EVRAZ, INC. NA John DeMarco
Director of Labor Relations
(OREGON STEEL MILLS, INC. d/b/a Rocky Workers’ Compensation Mountain Steel Mills) Rocky Mountain Steel Mills 200 E Randolph Street, Suite 7800 Chicago, IL 60601 OFFICE: 484-645-9862 FAX: 503-978-4893 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
880 01/01/88 EXEMPLA, INC. Teri Hudson Manager Insurance and RMIS
Original Revoked 1/31/14 Sisters of Charity of Leavenworth Health System, Inc.
Anniversary 8919 Parallel Parkway, Suite 402 Date: 08/01/88 Kansas City, KS 66112-1655 OFFICE: 913-895-2879 FAX: 913-895-2910 EMAIL: [email protected]
883 05/01/88 FEDERAL EXPRESS CORPORATION Gael Johnson Senior Risk and Insurance Analyst Federal Express Corporation 3620 Hacks Cross Road Building B, 3rd Floor Memphis, TN 38125-8800 OFFICE: 901-434-4557 FAX: 901-434-4585 EMAIL: [email protected]
849 10/01/91 FEDEX FREIGHT, INC. Kayla Quandt Advisor Risk Management FedEx Freight 2200 Forward Drive, DC 2256 P.O. Box 840 Harrison, AR 72601 OFFICE: 870-704-5187 FAX: 870-391-7651 EMAIL: [email protected]
865 01/01/90 FEDEX GROUND PACKAGE SYSTEMS, INC. Leigh Ferron Manager Workers' Compensation FedEx Ground Package Systems, Inc. 1000 Fed Ex Drive Moon Twp., PA 15108 OFFICE: 412-859-7240 FAX: 412-747-8320 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
893 09/15/87 FORD MOTOR COMPANY Loretta Cook-McDonald State Reporting Analyst Ford Motor Company Workers' Compensation 16800 Executive Plaza South, 6th Floor Dearborn, MI 48126 OFFICE: 313-206-4700 FAX: 313-322-9168 EMAIL: [email protected]
876 01/01/89 FORT COLLINS, CITY OF Kelly Bernish Director, Safety, Security and Risk Management City of Fort Collins Safety, Security Risk Management Office
P.O. Box 580 Fort Collins, CO 80522 OFFICE: 970-303-6807 FAX: 970-221-6296 EMAIL: [email protected]
815 01/01/94 FREEDOM COMMUNICATIONS, INC. Jaime Flores HR Generalist, Corporate Original Revoked 11/30/12 Freedom Communications, Inc. Anniversary 17666 Fitch Date: 04/15/94 Irvine, CA 92614-6022 OFFICE: 949-253-2388 FAX: 949-798-3566 EMAIL: [email protected]
909 01/01/66 GATES CORPORATION Ms. Jeanette McAllister HSE/Manager, Workers’ Compensation Revoked 6/1/08 Gates Corporation P.O. Box 5887 1551 Wewatta Street Denver, CO 80217-5887 OFFICE: 303-744-5072
FAX: 303-744-4895
EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
834 01/01/93 GOODRICH CORPORATION Susan Dover Technical Assistant Revoked 3/31/13 Risk International 13900 Conlan Circle, Suite 100 Charlotte, NC 28277 OFFICE: 704-540-5277 OR 800-406-8153 FAX: EMAIL: [email protected]
887 01/01/88 GRAND JUNCTION, CITY OF Gabi Alexander City of Grand Junction Revoked 1/1/18 250 North 5th Street Grand Junction, CO 81501-2668 OFFICE: 970-256-4024 FAX: 970-256-4007 EMAIL: [email protected]
889 09/30/87 HEWLETT-PACKARD COMPANY Mr Kevin Jones Program Manager Revoked 9/30/11 Hewlett-Packard Company 3000 Hanover Street, Mail Stop 1041 Palo Alto, CA 94304-1112 OFFICE: 650-857-3187 FAX: 650-852-8116 EMAIL: [email protected]
458 03/01/13 HOME DEPOT USA, INC. Jim Bramlett ARM Director - Risk Management Home Depot USA, Inc.
2455 Paces Ferry Road N.W., C-20
Atlanta, GA 30339
OFFICE: 770-384-4150
FAX: 678-556-8889
EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT
811 08/01/95 HYATT CORPORATION Jennifer Pack
Director of Risk Management
Hyatt Corporation
150 N. Riverside Plaza
Attn: Risk Management Department
Chicago, IL 60606
OFFICE: 312-780-5861
FAX: 312-780-5278 EMAIL: [email protected]
853 07/01/91 INTERNATIONAL PAPER COMPANY Ms. Penny Humphrey WC Insurance Administrator Revoked 1/1/17 International Paper Company 6400 Poplar Avenue, Tower I 7-119 Memphis, TN 38197
OFFICE: 901-419-3938
FAX: 901-214-0315
EMAIL: [email protected]
875 01/01/89 JEFFERSON COUNTY Scott Holzer
Risk Manager
Human Resources
Jefferson County 100 Jefferson County Parkway, Suite 4500 Golden, CO 80419-6023
OFFICE: 303-271-8447
FAX: 303-271-8442 EMAIL: [email protected]
973 07/01/80 JEFFERSON COUNTY SCHOOL Joel Hirschboeck
DISTRICT R-1 Director, Risk Management Risk Management Department Jefferson County School District R-1 1829 Denver West Drive, Building 27 P.O. Box 4001 Golden, CO 80401-0001 OFFICE: 303-982-2439 FAX: 303-982-2447 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
840 01/01/92 KAISER FOUNDATION HEALTH PLAN Valerie Barajas OF COLORADO Human Resources Department Original Kaiser Foundation Health Plan of Colorado Anniversary 2500 S. Havana Street, #100 Date: 04/01/92 Aurora, CO 80014
OFFICE: 303-338-3192 FAX: 866-357-7575 EMAIL: [email protected]
453 11/01/14 KEYSIGHT TECHNOLOGIES INC Kirk Shubert Keysight Technologies, Inc. Revoked 11/1/15 9780 South Meridian Boulevard Englewood, CO 80112-5912 OFFICE: 303-662-4209 FAX: EMAIL: [email protected]
475 08/01/03 KNIGHT TRANSPORTATION, INC. Michele Redlin Corporate Safety Knight Transportation, Inc. 20002 North 19th Avenue Phoenix, AZ 85027 OFFICE: 602-269-2562 FAX: 480-425-4374 EMAIL: [email protected] Rebecca Schoff Knight Transportation, Inc. C/O Aon Global Risk Consulting 5600 West 83rd Street, Suite 1100 Minneapolis, MN 55437 OFFICE: 952-807-0693 FAX: 847-953-0698 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
962 02/01/78 KROGER COMPANY, THE Art Wulfeck Senior Claims Manager The Kroger Company 1014 Vine Street Cincinnati, OH 45202-1100 OFFICE: 513-762-1206 FAX: 513-762-1546 EMAIL: [email protected] Nathan Fraley Corporate Claims Manager The Kroger Company OFFICE: 513-762-4360 FAX: 513-762-1546 EMAIL: [email protected]
896 01/01/87 LAKEWOOD, CITY OF Dee Ann Pfifer Workers' Comp / Safety Manager City of Lakewood 480 South Allison Parkway Lakewood, CO 80226-3123 OFFICE: 303-987-7660 FAX: 303-987-7660 EMAIL: [email protected]
884 01/01/88 LARIMER COUNTY Jeffrey L. Green, ARM-P Director of Risk Management
Larimer County
200 West Oak St., Ste. 4000
Fort Collins, CO 80521
OFFICE: 970-498-5962 FAX: 970-498-5965
EMAIL: [email protected]
459 07/01/12 LES SCHWAB TIRE CENTER, INC. Denny Carter
Risk Services Manager
Les Schwab Tire Centers of Colorado, Inc.
P.O. Box 5350
Bend, OR 97708
OFFICE: 541-416-5479 FAX: 541-416-5367 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER 465 01/01/06 LITTLETON, CITY OF Jaclyn Stewart
HR Generalist II Human Resources 2255 West Berry Avenue Littleton, CO 80120 OFFICE: 303-795-3729 FAX: 303-795-3794 EMAIL: [email protected]
890 10/01/87 LONGMONT, CITY OF Ms. Kim Brunson Risk Management Claims Adjuster City of Longmont 350 Kimbark Street Longmont, CO 80501 OFFICE: 303-651-8724 FAX: 303-774-4314 EMAIL: [email protected]
455 02/01/14 LOWE’S HOME CENTERS, LLC Tia Schweikert Manager, Workers’ Compensation Lowe’s Home Centers, LLC 1000 Lowe's Blvd., Mail Code A2ERM Mooresville, NC 28117 OFFICE: 704-758-3351 FAX: 704-757-0530 EMAIL: [email protected]
466 09/01/05 LOWE’S HIW, INC. Tia Schweikert Manager, Workers’ Compensation Revoked 1/31/14 Lowe’s HIW, Inc. 1000 Lowe's Boulevard, Mail Code A2ERM Mooresville, NC 28117 OFFICE: 704-758-3351 FAX: 704-757-0530 EMAIL: [email protected]
485 01/01/99 LSI LOGIC CORPORATION Ms. Karen Miller, ARM Risk Manager Original Revoked 1/1/09 LSI Logic Corporation Anniversary 1621 Barber Lane, MS: AD-106 Date: 09/01/99 Milipitas, CA 95035-7455 OFFICE: 408-433-7022 FAX: 408-954-3634 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
464 02/01/06 MACY'S, INC. Dave Kanarek (Name changed from Federated Department Director, Risk Management Stores, Inc. effective 6/1/07) Macy's, Inc. 7 West Seventh Street Cincinnati, OH 45202-2424 OFFICE: 513-579-7065 FAX: 513-579-7174 EMAIL: [email protected]
824 04/01/93 MC LANE COMPANY, INC. Ms. Melanie Bennett Corporate Senior Supervisor Accountant Revoked 5/30/15 McLane Company, Inc. 4747 McLane Parkway Temple, TX 76503-6115
OFFICE: 254-771-7428
FAX: 254-770-5387
EMAIL: [email protected]
814 08/01/94 MEMORIAL HOSPITAL Will Mercado Memorial Health System Revoked 9/30/12 175 South Union Boulevard, Suite 315 Colorado Springs, CO 80910-3126
OFFICE: 719-365-1192 FAX: 719-365-6812 EMAIL:
473 01/01/04 MESA COUNTY Jean Boothe Risk Administrator
Mesa County Risk Management
544 Rood Avenue, 3rd Floor P.O. Box 20000-5063 Grand Junction, CO 81502-5063 OFFICE: 970-244-1868
FAX: 970-244-5054
EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
476 07/01/03 MESA COUNTY VALLEY SCHOOL DISTRICT Siri Vensel Risk Management Specialist
Mesa County Valley School District 51
2115 Grand Avenue Grand Junction, CO 81501-8007 OFFICE: 970-254-5282
FAX: 970-254-5284
EMAIL: [email protected]
817 01/01/94 NATIONAL JEWISH MEDICAL AND Sarah Walker
RESEARCH CENTER Vice President Human Resources
National Jewish Health
1400 Jackson Street, G-111 Denver, CO 80206-2761 OFFICE: 303-398-1035 FAX: 303-398-1775
EMAIL: [email protected]
Lynne Kjelden Employee Health Specialist National Jewish Health 1400 Jackson Street, G-110 Denver, CO 80206-2761 OFFICE: 303-398-1412 FAX: 303-270-2232 EMAIL: [email protected]
497 07/01/96 NORDSTROM, INC. Steve Tolan
Nordstrom, Inc. P.O. Box 25799 Santa Ana, CA 92799 OFFICE: 714-513-4766 FAX: 714-513-4778 EMAIL: [email protected]
472 04/15/04 PEABODY ENERGY CORPORATION Shannon Orlando Manager--Insurance Claims Revoked 2/15/10 Peabody Energy Corporation 701 Market Street, Suite 600 St. Louis, MO 63101-1826 OFFICE: 314-342-3469 FAX: 314-342-7740 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
828 01/01/93 PITKIN COUNTY Dannette Logan Human Resources Manager Pitkin County 123 Emma Road, Suite 106 Basalt, CO 81621 OFFICE: 970-429-2792 FAX: 970-920-5049 EMAIL: [email protected] Ximena Hulslander Human Resources Technician Safety & Risk Management Human Resources & Risk Management Dept. 123 Emma Road, Suite 106 Basalt, CO 81621 OFFICE: 970-429-2795 FAX: 970-920-5049 EMAIL: [email protected]
885 01/01/88 PORTERCARE ADVENTIST HEALTH Mr. Richard Osborn SYSTEM Director, Risk Management PorterCare Adventist Health System Revoked 1/31/09 2525 South Downing Street
(Now under Permit 462, Adventist Health Systems, effective 2/1/09)
Denver, CO 80210-5876
OFFICE: 303-778-2538 FAX: 303-778-5295 EMAIL: [email protected]
897 01/01/87 POUDRE SCHOOL DISTRICT R-1 Ms. Tiffany Bonner Risk Management Specialist Poudre School District R-1 2407 LaPorte Avenue Fort Collins, CO 80521-2297 OFFICE: 970-490-3506 FAX: 970-490-3529 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
871 04/01/89 POUDRE VALLEY HEALTH CARE, INC. Katie Zeller Compliance Department Original Revoked 12/31/12 Poudre Valley Health System Anniversary 2315 East Harmony Road Date: 01/01/89 (Tail claims under permit 496, University Fort Collins, CO 80528-3929
of Colorado)
OFFICE: 970-624-1346 FAX: 970-624-1896 EMAIL: [email protected] David Wood Interim General Counsel EMAIL: [email protected]
843 01/01/92 PRECISION CASTPARTS CORPORATION - Kevin Schwindt ADVANCED FORMING TECHNOLOGIES Human Resources Manager Precision Castparts Corporation - Revoked 8/8/12 Advanced Forming Technologies
7040 Weld County Road 20
Longmont, CO 80504-9423 OFFICE: 303-833-6012 FAX: 303-833-6440 EMAIL: [email protected]
494 01/01/97 PRINCIPAL FINANCIAL GROUP, INC. Ms. Lori Diercks Corporate Risk Management Principal Financial Group, Inc. 711 High Street Des Moines, IA 50392-2040 OFFICE: 515-247-6761 FAX: 866-496-6524 EMAIL: [email protected]
857 01/01/91 PUEBLO, CITY OF David M Anderson Employee Benefits/Loss Control Manager City of Pueblo
P.O. Box 1427
Pueblo, CO 81002-1427 OFFICE: 719-553-2629 FAX: 719-553-2696
EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
836 07/01/92 PUEBLO SCHOOL DISTRICT NO. 60 Corrine Arriaga
Executive Director of Staff Relations
Human Resources Office
315 West 11th Street
Pueblo, CO 81003-2804
OFFICE: 719-549-7132
FAX: 719-253-6042
EMAIL: [email protected]
891 10/01/87 R. R. DONNELLEY & SONS Mr. Timothy Gagen Senior Risk Analyst Revoked 7/1/07 R. R. Donnelley & Sons 111 South Wacker Drive, 37th Floor Chicago, IL 60606-4301 OFFICE: 312-326-8925 FAX: 312-326-8557 EMAIL: [email protected]
972 03/01/80 REGIONAL TRANSPORTATION DISTRICT Lissa Pierce Senior Manager, Risk Management Regional Transportation District 1600 Blake Street, BLK-02 Denver, CO 80202 OFFICE: 303-299-2715 FAX: 303-299-2029 EMAIL: [email protected]
960 02/18/77 SAFEWAY, INC. William Richardson GVP, Risk Management Albertsons Companies, LLC 250 Parkcenter Blvd. Boise, ID 83706 OFFICE: 208-395-4287 FAX: EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
827 01/01/93 SALVATION ARMY, THE Michael Dossey Director, Risk Management The Salvation Army 180 East Ocean Boulevard Long Beach, CA 90802-4709 OFFICE: 562-491-8380 FAX: 562-491-8793
EMAIL:
[email protected] Doris Hall 180 East Ocean Boulevard Long Beach, CA 90802 OFFICE: 562-491-8760
EMAIL: [email protected]
456 02/01/14 SISTERS OF CHARITY OF LEAVENWORTH Teri Lutz HEALTH SYSTEMS, INC. Director, Insurance and RMIS SCL Health
500 Eldorado Boulevard, Suite 4300
Broomfield, CO 80021 OFFICE: 303-813-5566 FAX: EMAIL: [email protected]
492 03/01/97 SISTERS OF CHARITY OF LEAVENWORTH Teri Lutz SYSTEM, INC. Director, Insurance and RMIS SCL Health Revoked 1/31/14 500 Eldorado Boulevard, Suite 4300 Broomfield, CO 80021 OFFICE: 303-813-5566 FAX: EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
848 11/01/91 SMURFIT-STONE CONTAINER Monica Lavy ENTERPRISES, INC. Casualty & Self Insurance Specialist Smurfit-Stone Container Enterprises, Inc. Revoked 9/1/10 Six City Place Drive Creve Coeur, MO 63141-7167 OFFICE: 314-656-5433 FAX: 314-787-6182 EMAIL: [email protected]
487 05/17/99 SORIN GROUP USA (see COBE CARDIOVASCULAR, INC.) Revoked 5/1/10
499 07/01/96 STATE OF COLORADO Nick Witkowski Risk Manager Department of Personnel and Administration State of Colorado 1313 Sherman Street, First Floor Denver, CO 80203-2236 OFFICE: 303-866-4971 FAX: 303-894-2409 EMAIL: [email protected]
855 02/01/91 TARGET CORPORATION Laurene Dufault Target Corporation C/O Aon Risk Consultants, Inc.
5600 West 83rd Street, Suite 1100
Minneapolis, MN 55437-3844
OFFICE: 952-807-0701
FAX: 847-953-2851
EMAIL: [email protected]
844 01/01/92 THORNTON, CITY OF Christine Schneider Risk Management Administrator City of Thornton Civic Center 9500 Civic Center Drive Thornton, CO 80229-1220 OFFICE: 303-538-7303 FAX: 303-538-7522 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
838 04/01/92 TRI-STATE GENERATION & Ale De La Fuente TRANSMISSION ASSOCIATION, INC. Employee Relations Specialist
Tri-State Generation & Transmission Association, Inc.
P.O. Box 33695 1100 West 116th Street Denver, CO 80233 OFFICE: 303-254-3278 FAX: 303-254-6018 EMAIL: [email protected]
481 09/01/00 TRUEBLUE, INC. Alison Fent
f/k/a LABOR READY, INC. Risk Specialist TrueBlue, Inc. 1015 A Street P.O. Box 2910 Tacoma, WA 98402-2910 OFFICE: 253-680-8491 FAX: 253-502-5766 EMAIL: [email protected]
457 04/01/13 UNITED AIRLINES, INC. Neil Blauvelt
(For claims on and after 4/1/13) Senior Manager Corporate Insurance Workers' Compensation Program United Airlines, Inc. 233 South Wacker Drive P.O. Box 66100 Chicago, IL 60661-0100 OFFICE: 872-825-9774 FAX: 847-700-5833 EMAIL: [email protected]
942 01/01/72 UNITED AIRLINES, INC. Lori Wade
(For claims from 1/1/72 to 3/31/13) Workers' Compensation Program United Airlines, Inc. Revoked 4/1/13 233 South Wacker Drive-HDQCI Chicago, IL 60606 OFFICE: 872-825-8367 FAX: 847-700-5833 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
496 10/01/96 UNIVERSITY OF COLORADO Teena Shepperson Assistant Director, Finance & Administration University Risk Management University of Colorado 1800 Grant Street, Suite 700 Denver, CO 80203-1185 OFFICE: 303-860-5712 FAX: 303-860-5680 EMAIL: [email protected]
970 01/01/80 VAIL ASSOCIATES, INC. Tracy Venter Senior Occupational Health Manager Original
390 Interlocken Crescent, Suite 1000
Anniversary
Broomfield, CO 80021 Date: 01/10/80
OFFICE: 303-404-1885
FAX: 303-404-6415
EMAIL: [email protected]
Thomas Nix, ARM
Director of Corporate Risk Management and
Insurance Vail Resorts Management Company 390 Interlocken Crescent, Suite 1000 Broomfield, CO 80021 OFFICE: 303-404-1945 FAX: 303-404-6416 EMAIL: [email protected]
822 04/30/93 VALERO ENERGY CORPORATION Jose Garza Director, Casualty Insurance Revoked 4/30/13 Valero Energy Corporation 6000 North Loop 1604 W
San Antonio, TX 78249-1100
OFFICE: 210-345-2918 FAX: EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
846 01/01/92 WELD COUNTY Michelle Raimer Human Resources Analyst Weld County Human Resources Department P. O. Box 758 Greeley, CO 80632-0758 OFFICE: 970-400-4233 FAX: 970-400-4024 EMAIL: [email protected]
467 06/01/05 WENDY’S INTERNATIONAL, INC. Emily Powell Risk Analyst Wendy's International, LLC
One Dave Thomas Boulevard
Dublin, OH 43017
OFFICE: 614-764-3385
FAX: 614-760-2089
EMAIL: [email protected]
997 01/01/86 WESTMINSTER, CITY OF Martee Erichson
Risk Manager
City of Westminster/Risk Management 4800 West 92nd Avenue Westminster, CO 80031-6387 OFFICE: 303-658-2156 FAX: 303-706-3924 EMAIL: [email protected]
886 01/01/88 WEYERHAEUSER COMPANY Lisa Wysocki
Weyerhaeuser Company 220 Occidental Ave. S. Seattle, WA 98104 OFFICE: 206-539-4449 FAX: 206-621-5720 EMAIL: [email protected]
Updated 4/12/18
PERMIT ANNIVERSARY
DATE NAME OF PERMIT PERMIT HOLDER
461 03/01/09 YRC, INC. Greg Zinkiewicz, AINS
Senior Risk Analyst
YRC Worldwide, Inc. 10990 Roe Avenue Overland Park, KS 66211 OFFICE: 913-266-6573 FAX: 913-905-8753 EMAIL: [email protected]
863 01/01/90 YELLOW TRANSPORTATION, INC. Revoked 10/1/08 (Now Permit 461, YRC, Inc.)
