Transcript
Page 1: R671017D RUN DATE: 2018/07/06 MISSOURI ... - insurance.mo.gov · ackerson, david j dba 1092019 0 5348 802 c/o dj ackerson loma linda mo 64804 COMBUSTION SERVICES INC 1092019 0 3726

R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

ART'S INC 1012019 1.33 8006 12805 1114 N. STURGEON STREET MONTGOMERY CITY MO 63361

BEAUFORT LESLIE FIRE DISTRICT 1012019 0.98 7711 4133 6486 HWY 185 BEAUFORT MO 63013

BENDER FAMILY LLC 1012019 1.08 5645 1254 PO BOX 142306 ST. LOUIS MO 63114

BISHOP CONSTRUCTION LLC 1012019 0 3724 14372 PO BOX 948 CHILLICOTHE MO 64601

BRADLEY, SAM DBA SAM BRADLEY 1012019 0 5645 1389 4766 E LATOKA CT SPRINGFIELD MO 65809

C&G CONTAINERS INC DBA C&G 1012019 1.37 8742 1249 PO BOX 2003 LAFAYETTE LA 70506

CAMDEN RESORT GP LLC 1012019 0.93 9052 83454 12529 HIGH DRIVE LEAWOOD KS 66209

CENTRAL CROSSING FIRE 1012019 0.99 7710 11728 23463 ST HWY 39 SHELL KNOB MO 65747

CONCORDANCE EMPLOYMENT AGENCY 1012019 0 4484 93172 1845 BORMAN CT. SAINT LOUIS MO 63146

COOLING & HERBERS, P.C. 1012019 0.95 8820 8701 1100 MAIN STREET, SUITE 2400 KANSAS CITY MO 64105

CRUMP, JERRY W DBA BOURBON 1012019 0 8010 3433 PO BOX 7 BOURBON MO 65441

CURTS MOBILE HOME LLC 1012019 0.94 2799 9140 1916 SOUTH MAIN SALEM MO 65560

D&K WELDING SERVICES INC 1012019 0 5222 145551 5445 TELEGRAPH ROAD SUITE 101 SAINT LOUIS MO 63129

DEARBORN AREA FIRE PROTECTION 1012019 0 7711 2484 201 S. COMMERCIAL STREET DEARBORN MO 64439

EMPLOYEE SCREENING SERVICES OF 1012019 1.27 8810 12258 2055 S STEWART STE A SPRINGFIELD MO 65804

FALCON FINISHING SYSTEMS, INC. 1012019 1.32 8810 26447 C/O DENNY DRIER EUREKA MO 63025

GALLATIN FIRE PROTECTION 1012019 0 7711 2737 C/O DOUG HAMILTON GALLATIN MO 64640

GENE GRIESE AND SONS INC 1012019 1.28 5535 21099 C/O GENE GRIESE PICKETT WI 54964

HALLTOWN VOLUNTEER FIRE 1012019 0 7711 1843 PO BOX 34 HALLTOWN MO 65664

HEIMBURGER CONSTRUCTION INC 1012019 0 5606 2793 PO BOX 380 BONNE TERRE MO 63628

HEIZER DEFENSE LLC 1012019 0 3574 5056 8750 PEVELY INDUSTRIAL DRIVE PEVELY MO 63070

HILL-BEHAN LUMBER CO 1012019 0 8810 1374 PO BOX 29169 ST. LOUIS MO 63126

HIRE ADVANTAGE, LLC 1012019 0.84 6504 44303 1027 S MAIN STREET, STE 401 JOPLIN MO 64801

HOLT INTERNATIONAL CHILDREN'S 1012019 0.85 8742 697 PO BOX 2880 EUGENE OR 97402

HUNLETH, MARY ANN & 1012019 0 9015 1949 5331 DONOVAN ST. LOUIS MO 63109

JOHNSON, SCOTT 1012019 0 5645 1254 1316 NE OAKWOOD DRIVE LEE'S SUMMIT MO 64086

KAW SERVICES, INC & 1012019 1.04 8391 104619 9100 LIBERTY DRIVE PLEASANT VALLEY MO 64068

LYNNE SCOTT CONSTRUCTION 1012019 0 5190 1960 1704 CAMBRIDGE CIR KEARNEY MO 64060

MODERN DAY CLIPPERS INC DBA 1012019 1.92 9586 32560 P.O. BOX 97 VICTORIA MN 55386

MOUNTAIN PRAIRIE HOLDINGS LLC 1012019 1.19 9082 35907 PO BOX 6009 COLORADO SPRINGS CO 80934

MSM SOLUTIONS LLC 1012019 1.28 8829 44448 2216 DUNDEE ROAD SUITE 4 LOUISVILLE KY 40205

NEW MONEY MART FINANCIAL 1012019 0 8856 983 C/O ANTHONY PENZENSTADLER KANSAS CITY MO 64134

NEW TOWN VENTURE LLC 1012019 0.97 7219 15207 2120 NORTH 3RD ST. SAINT CHARLES MO 63301

NORTH KANSAS CITY AREA 1012019 0 9063 2260 PO BOX 34727 KANSAS CITY MO 64116

NORTHSTAR RESIDENTIAL CARE INC 1012019 1.41 8833 27159 1708 NE CRAIGLEVAR CT BLUE SPRINGS MO 64014

OASIS INSTITUTE, THE 1012019 0 8868 1939 11780 BORMAN DRIVE SUITE 400 SAINT LOUIS MO 63146

ONSHORE TECHNOLOGY 1012019 1.11 7421 2135 902 N MISSOURT ST MACON MO 63552

PARIS RURAL FIRE PROTECTION 1012019 0 7711 2737 120 W. CALDWELL PARIS MO 65275

PINEVILLE RURAL FIRE 1012019 1.35 7711 4834 PO BOX 592 PINEVILLE MO 64856

RAMSEY JONES HOMES, INC 1012019 1.63 2799 57599 27300 WALNUT AVE LA GRANGE MO 63448

ROCKY MOUNT FIRE PROTECTION 1012019 1.35 7710 20966 C/O KEVIN HURTUBISE ROCKY MOUNT MO 65072

SAVANNAH RURAL FIRE PROTECTION 1012019 0.92 7710 14946 7880 STATE ROUTE T AMAZONIA MO 64421

Page 2: R671017D RUN DATE: 2018/07/06 MISSOURI ... - insurance.mo.gov · ackerson, david j dba 1092019 0 5348 802 c/o dj ackerson loma linda mo 64804 COMBUSTION SERVICES INC 1092019 0 3726

R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

SENECA AREA FIRE PROTECTION 1012019 0 7711 2373 P.O. BOX 93 RACINE MO 64858

SHIRLEY, CARL DBA THE TARA 1012019 0 83 1309 55 GOUVENOR LN ST.LOUIS MO 63124

SHOWPAY INC 1012019 1.37 7610 12787 2060 GRAND PRIX DRIVE ATLANTA GA 30345

SPORTING CLUB USL, LLC 1012019 1.2 9178 181295 2020 BALTIMORE AVENUE KANSAS CITY MO 64108

SWOPE COMMUNITY BUILDERS 1012019 0.94 8810 2209 C/O FELICIA MANN KANSAS CITY MO 64130

TONYS TIRE SERVICE LLC 1012019 1.37 8387 21966 2009 HOLIDAY LANE WEST PLAINS MO 65775

TOP RESOURCES INC 1012019 0.69 8810 15618 10500 BARKLEY, STE 108 OVERLAND PARK KS 66212

TOWING VESSEL INSPECTION 1012019 0 8810 1279 15201 EAST FREEWAY, SUITE 213 CHANNELVIEW TX 77530

URBAN LEAGUE OF METROPOLITAN 1012019 1.48 8869 234629 3701 GRANDEL SQUARE ST LOUIS MO 63108

VALENTINE, JAMES 1012019 0 5645 1120 303 19TH AVENUE NORTH GREENWOOD MO 64034

WEAVER, RONNIE 1012019 0 6217 1120 21768 OWL ROAD LEBANON MO 65536

WILD CANID SURVIVAL AND 1012019 0.8 9102 27478 PO BOX 760 EUREKA MO 63025

JAMISON PERRY, LLC 1022019 0 8810 5243 PO BOX 860442 SHAWNEE KS 66286

KAEMPFE, JAMI DBA NIXA ALL 1022019 0 9063 1822 3644 S NEWTON AVE SPRINGFIELD MO 65807

TRI STATE DOCK & DOOR 1022019 0 3724 3619 114 KATHERINES COVE WENTZVILLE MO 63385

BEN BILL INC DBA MEYER'S 1032019 0 8810 1660 4960 PARKER ROAD FLORISSANT MO 63033

J BAR D RANCH, LLC 1032019 0.89 83 11914 C/O DAN SINCLAIR ST. LOUIS MO 63123

JOYCE CONSTRUCTION LLC 1032019 1.23 5445 9564 1514 S PEARL ST KANSAS CITY MO 64055

LINN FIRE PROTECTION DISTRICT 1032019 1.19 7711 7257 PO BOX 748 LINN MO 65051

PAUL NORBURY ELECTRICAL 1032019 0 5190 1122 1785 W FAIRVIEW CARTHAGE MO 64836

PRESTIGE WELDING LLC 1032019 0 3724 27317 1306 W MILLPOND DR OZARK MO 65721

SPRINGFIELD TERMINALS LLC 1032019 1.29 8215 11191 7304 S. YALE AVE. TULSA OK 74136

TRI-COUNTY FIRE PROTECTION 1032019 0 7711 2945 PO BOX 934 RICHLAND MO 65556

B&H MAINTENANCE LLC 1042019 0 9014 8429 1813 GUNNER AVE GREENWOOD MO 64034

CLASS A CONSTRUCTION LLC 1042019 0 5645 761 425 CEDAR LANE WENTZVILLE MO 63385

FROEHLICH CONSTRUCTION LLC DBA 1042019 0.95 5606 1158 2845 NE MARYWOOD COURT LEE'S SUMMIT MO 64086

RAVEN MATERIALS, INC 1042019 0 8742 877 7441 LOCH NESS CIRCLE TULSA OK 74132

SPIRIT OF 76, LLC 1042019 1 8810 28329 6401 W HWY 40 COLUMBIA MO 65202

VELOCITY STAFF INC 1042019 0 8810 2498 1067 S HOVER ST STE E PMB 158 LONGMONT CO 80501

WHITE BUFFALO INC 1042019 0 8601 470 26 DAVISON ROAD MOODUS CT 6469

A-1 PRIVATE INVESTIGATIONS LLC 1052019 1.16 7720 13442 8008 CARONDELET AVE, STE 107 CLAYTON MO 63105

ARCH RAIL GROUP 1052019 0 8601 1148 5833 PEBBLE OAK DRIVE SAINT LOUIS MO 63128

INTERLINK TRANSPORT LOGISTICS, 1052019 0 8810 1247 1370 JEFFCO BLVD ARNOLD MO 63010

KONCEN CONSTRUCTION, LLC 1052019 0.97 5403 6407 3010 OLD ROUTE 5 CAMDENTON MO 65020

LINDSAY, NICK 1052019 0 6400 1205 12790 NAVAHO DR CONWAY MO 65632

MEDIRIDE, LLC DBA INDEPENDENT 1052019 0.91 7382 9220 200 ARCO PLACE, BOX 103 INDEPENDENCE KS 67301

MEXICO TRANSFERS, INC 1052019 0 8810 787 3983 N. BELT LINE ROAD IRVING TX 75038

ROSALES, JO'EL DBA LAST MINUTE 1052019 0 5183 1120 17112 E 7TH TERR CRT N INDEPENDENCE MO 64056

SIDOROV, VALERIY 1052019 0 5645 1254 1200 S JOHNMEYER LN COLUMBIA MO 65203

STOCKING, GARY D. DBA 1052019 0 5403 1120 1203 N INDEPENDENCE ST HARRISONVILLE MO 64701

TRIPLE P LTD 1052019 0.96 9015 7777 P O BOX 428 DEXTER MO 63841

BORNTRAGER, DANNY 1062019 0 5551 1120 11454 AUDRAIN RD 973 CENTRALIA MO 65240

KALLWEIT, RON DBA 1062019 0 5190 1920 ROUTE 72, BOX 2945 WHEATLAND MO 65779

Page 3: R671017D RUN DATE: 2018/07/06 MISSOURI ... - insurance.mo.gov · ackerson, david j dba 1092019 0 5348 802 c/o dj ackerson loma linda mo 64804 COMBUSTION SERVICES INC 1092019 0 3726

R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

MCGOVERN BUILDERS INC 1062019 0 5606 1400 PO BOX 106 WARSAW MO 65355

R & J INDUSTRIAL INSULATION 1062019 0.97 5183 6292 5255 S FARM RD 29 BILLINGS MO 65610

REINECKE, RANDY DBA 1062019 0 5474 1254 274 WILDWOOD LN. LINN CREEK MO 65052

SCOTT COUNTY RURAL FIRE DEPT 1062019 0.99 7711 4928 PO BOX 92 BLODGETT MO 63824

TALLENTS HAULING & OUTFITTERS 1062019 0 7219 1252 143 WABASH WAY TROY MO 63379

CDK COMMUNICATIONS LLC 1072019 0 5191 1574 3509-3511 NEW TOWN BOULEVARD ST CHARLES MO 63301

CORNERSTONE FACILITY 1072019 0 42 1248 1563 COUNTY ROAD 614 JACKSON MO 63755

DEANE, CHRISTOPHER DBA THE 1072019 0 5102 1146 7095 METROPOLITAN BLVD SUITE H BARNHART MO 63012

AUGUSTA, TOWN OF 1082019 0 5506 2796 P.O. BOX 42 AUGUSTA MO 63332

CARPENTERS EDGE CONSTRUCITON 1082019 0 5645 1120 432 N DELWEWARE TOWN RD NIXA MO 65714

CONDITION AND ENERGY 1082019 0 4511 1733 11 LAKE VUE DR GOWER MO 64454

CORN DOGS BURIAL SERVICES LLC 1082019 0 7600 1133 908 SW STONEHENGE BLUE SPRINGS MO 64015

DOYON, ERNEST 1082019 0 8072 1939 8323 W KELLOGG DR WICHITA KS 67209

EDWARDS, ROBERT 1082019 0 5437 1120 5016 GLENCAIRN DRIVE COLUMBIA MO 65203

ESCALERA, FILIBERTO 1082019 0 5645 1120 2005 S. PEARL AVE. JOPLIN MO 64804

FAMILY ENVIRONMENTAL 1082019 0.94 4511 1135 3650 CHESTNUT PI DENVER CO 80216

PLATINUM DESIGN LLC 1082019 0 5645 1120 5508 NE WILDFLOWER COURT LEE SUMMIT MO 64064

THUNDER VALLEY RANCHES LLC 1082019 0.88 83 15384 207 FIRST STREET MARBLE HILL MO 63764

ACKERSON, DAVID J DBA 1092019 0 5348 802 C/O DJ ACKERSON LOMA LINDA MO 64804

COMBUSTION SERVICES INC 1092019 0 3726 1257 201 W. THIRD ALTAMONT KS 67330

D & R CRAFTSMEN LLC 1092019 0 8810 4066 831 SUMMERVIEW DR SAINT CHARLES MO 63304

EDGE CONSTRUCTION OF CENTRAL 1092019 0 5645 1120 7520 CR #108 FULTON MO 65251

GRS, LLC 1092019 0.93 5645 1120 605 SE CENTRAL ST. BLUE SPRINGS MO 64014

HALL CONSTRUCTION SERVICES LLC 1092019 0.71 8810 1266 6120 CREECH ROAD TROY MO 63379

INFINITIVE SOLUTIONS, INC 1092019 0 8868 4243 1515 POYDRAS ST # 1140 NEW ORLEANS LA 70112

JASPER FIRE PROTECTION DISTRIC 1092019 0 7711 2820 PO BOX 31 JASPER MO 64755

LARA,EDWIN 1092019 0 5645 1120 4571 COUNTY ROAD 69 REEDS MO 64859

MACFARLANE PHEASANTS INC 1092019 0 34 5432 2821 S US HIGHWAY 51 JANESVILLE WI 53546

NORTH CAPE COUNTY RURAL FIRE 1092019 0 7711 2290 PO BOX 30 OAK RIDGE MO 63769

OWENS, SCOTTY DBA OWNES 1092019 0 5478 1255 401 WILBURN ST EAST PRAIRIE MO 63845

PUERTO MATUTE, MARVIN N 1092019 0 5645 1120 1722 JOPLIN AVE. JOPLIN MO 64801

RALLY APPRAISAL LLC 1092019 1.49 8721 1567 C/O BEN MCKNIGHT BETTENDORF IA 52722

SENIOR SERVICE AMERICA INC 1092019 1.4 8720 1441 8403 COLESVILLE ROAD STE 200 SILVER SPRING MD 20910

WINONA VOLUNTEER FIRE 1092019 0 7711 2290 P. O. BOX 214 WINONA MO 65588

BARHAM FENCE LLC 1102019 0 6400 1120 16800 NE 128TH ST. KEARNEY MO 64060

C & S DRYWALL LLC 1102019 0 5445 1120 5495 E MT ZION CHURCH RD HALLSVILLE MO 65255

EAST PERRY COUNTY FIRE 1102019 0 7711 1906 C/O AARON VERSEMAN FROHNA MO 63748

HARRIS, JIM 1102019 0 5645 1254 210 WEST MAIN PARK HILLS MO 63601

NEWLAN, MARION DBA 1102019 0 9014 1120 10964 NE 58TH ST BRONSON FL 32621

PHIFER, DWANE 1102019 0.96 5478 1254 2814 WOOD EAGLES ST. CHARLES MO 63303

PHIFER, JAKE 1102019 0 5478 1254 2814 WOOD EAGLES DRIVE ST. CHARLES MO 63303

POINT TO POINT INC 1102019 0 5191 2252 PO BOX 5208 QUINCY IL 62305

YARBROUGH CONSTRUCTION LLC 1102019 0 5645 6557 C/O TAYLOR YARBROUGH ST. LOUIS MO 63132

Page 4: R671017D RUN DATE: 2018/07/06 MISSOURI ... - insurance.mo.gov · ackerson, david j dba 1092019 0 5348 802 c/o dj ackerson loma linda mo 64804 COMBUSTION SERVICES INC 1092019 0 3726

R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

3-E SAFETY SERVICES, LLC 1102019 0 8742 3872 1503 MAIN ST # 282 GRANDVIEW MO 64030

BENITEZ, NAZARIO ANTERO 1112019 0 5403 1232 483 HONEYSUCKLE CREEK DR WENTZVILLE MO 63385

FISHER CONSTRUCTION & CONCRETE 1112019 0 5222 2982 43700 SMITH CIRCLE RD RUSSELLVILLE MO 65074

GARTH WOODSIDE MANSION INC 1112019 0 9052 1479 11069 NEW LONDON GRAVEL ROAD HANNIBAL MO 63401

KANE CONSTRUCTION LLC 1112019 0 5221 1205 27 MARYHILL DRIVE SAINT LOUIS MO 63124

MAYNOR CLEANING LLC 1112019 0 9014 2152 2444 S SCOTT AVE INDEPENDENCE MO 64052

RADIOWIRE.NET 1112019 0.91 7600 38215 PO BOX 105143 JEFFERSON CITY MO 65110

SECOND NATURE CONCEPTS, LLC 1112019 0 5403 1840 316 DELAWARE ST KANSAS CITY MO 64108

A E BRODHURST CORPORATION, THE 1122019 0 8810 480 7310 RITCHLE HIGHWAY GLEN BURNIE MD 21061

ALPHA LOGISTICS INC DBA USXL 1122019 0 8810 2480 1027 N. SERVICE ROAD W. FORISTELL MO 63348

DEMOSS WELDING LLC 1122019 0 3365 3860 20154 HWY FF PRINCETON MO 64673

GABE DONZE CONSTRUCTION 1122019 0 5645 1251 14071 QUARRY TOWN ROAD STE. GENEVIEVE MO 63670

HEFFERNAN, MICHAEL DBA 1122019 0 5645 1120 3792 S 52ND RD DUNNEGAN MO 65640

SMOKING GUNS CONSTRUCTION LLC 1122019 0 5645 1120 1503 MAIN ST. #154 GRANDVIEW MO 64030

ANDERSON, MARTY 1132019 0 5478 1120 6810 MCDONELL LN JEFFERSON CITY MO 65109

BOGGS, MITCHELL 1132019 0 5040 1254 5759 LAW #2070 LA RUSSELL MO 64848

FIELDWORKS LLC 1132019 1.6 8742 14031 P O BOX 9897 WASHINGTON DC 20016

FILIMEX INC 1132019 0 5645 8524 255 BROOKDALE DRIVE ST CHARLES MO 63301

GOOSE CREEK LAKE FIRE 1132019 0 7711 2189 9103 BEACH DRIVE FRENCH VILLAGE MO 63036

LAFFEY, BRETT 1132019 0 5645 1120 106 EAST MAJOR KEARNEY MO 64060

NEIHEISER INSTALLATIONS, LLC 1132019 0 5183 1122 9012 LACKLAND ROAD OVERLAND MO 63114

ONATAH FORAGES LLC 1132019 0 83 7560 P.O. BOX 322 BROOK IN 47922

PRO FLOORS AND FINISHES, LLC 1132019 0 5478 1120 2016 S COUNTRY CLUB DRIVE JEFFERSON CITY MO 65109

READE ELECRIC LLC 1132019 0 9519 1120 1304 GILHOVETTE DR KEARNEY MO 64060

RIGHTER, JAMES 1132019 0 7219 1120 157 HIGHWAY E STEELVILLE MO 65565

U S CRISIS INC 1132019 0.98 7720 8693 15830 FOLTZ INDUSTRIAL PARKWAY STRONGSVILLE OH 44149

WISPER TOWERS INC 1132019 0.92 7600 3675 9711 FUESSER ROAD MASCOUTAH IL 62258

AM PYROTECHNICS LLC & 1142019 0.96 4771 10490 2429 E 535 RD BUFFALO MO 65622

BUCKLEY, MARCIA DBA BUCKLEY 1142019 0 8810 473 P O BOX 155 IRONTON MO 63050

DAVE'S GYMNASTICS FACTORY INC 1142019 0.96 9063 4784 11808 S MILTON THOMPSON ROAD LEE'S SUMMIT MO 64086

JOSEY ENTERPRISES, LLC 1142019 0 5022 1120 2020 BROOKSTONE CT FULTON MO 65251

KALITA, IGORS 1142019 0 5348 1120 152 BULL RUN RD BRANSON MO 65616

KRAUSE BUILDERS INC DBA KRAUSE 1142019 1.23 6217 12384 PO BOX 1489 KIMBERLING CITY MO 65686

NATIONWIDE TRADE SOURCE, INC. 1142019 1.56 5190 20085 PO BOX 34 EAST ENTERPRISE IN 47019

REISINGER, WALTER & REISINGER, 1142019 0 908 1254 41 BRENTMOOR PARK CLAYTON MO 63105

TIMBER TRACE HOMES ASSOCIATION 1142019 0 9015 1122 C/O TIEHEN GROUP LEAWOOD KS 66211

AMERICAN VACUUM CO, INC 1152019 1.31 9519 20237 PO BOX 10659 KANSAS CITY MO 64188

AQUACOMP WATER TREATMENT 1152019 0 4511 1164 PO BOX 897 SAINT CHARLES MO 63302

ASH SPECIAL ROAD DISTRICT 1152019 0.98 5506 6008 PO BOX 462 WASHBURN MO 65772

DEXTERA CORPORATION 1152019 1.6 8810 10628 5870 TRINITY PARKWAY CENTREVILLE VA 20120

GREGORY, WENDELL 1152019 0 7600 1120 73 CANTERBURY LN JOPLIN MO 64801

HORSE POWER RANCH LLC 1152019 0 83 4111 PO BOX 789 LAKE OZARK MO 65049

LIBERAL RURAL FIRE DEPARTMENT 1152019 0 7711 2067 PO BOX 81 LIBERAL MO 64762

Page 5: R671017D RUN DATE: 2018/07/06 MISSOURI ... - insurance.mo.gov · ackerson, david j dba 1092019 0 5348 802 c/o dj ackerson loma linda mo 64804 COMBUSTION SERVICES INC 1092019 0 3726

R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

MARK DEPETRE FLOORING LLC 1152019 0 5478 2433 1934 NE 83RD STREET KANSAS CITY MO 64118

SOUTHWEST CAMDEN CO FIRE 1152019 0 7711 2701 130 STATE ROAD N MACKS CREEK MO 65786

WOLFE, KAREN DBA WOLFE 1152019 0 5221 2072 PO BOX 6007 FULTON MO 65251

YOUNG CREATIONS LLC 1152019 0 42 1120 208 NW 80TH ST KANSAS CITY MO 64118

ACE STORM ENTERPRISES LLC 1162019 0 106 1120 20875 LAMAR RD WESTON MO 64098

BLANCH, ALAN 1162019 0 5551 1120 18211 NE 108TH ST LIBERTY MO 64068

COMBS, CHADRICK ALLEN 1162019 0 5606 1120 1640 E SUNSHINE SPRINGFIELD MO 65804

CROSS, TONY R 1162019 0 5645 1115 C/O TAMEE LEWIS SPRINGFIELD MO 65802

FIRST CALL STORM REMOVAL LLC 1162019 0 8810 6522 24667 E 300TH ST BETHANY MO 64424

GRIFFONETTI CONCRETE CUTTING 1162019 0.97 5213 5013 1574 IRISH SEA HIGH RIDGE MO 63049

JMB GROUP INC., THE 1162019 0 8810 1638 C/O JOHN SCHNEIDER WILDWOOD MO 63040

KMC HOMES LLC 1162019 0 5645 1205 2652 W DARBY ST SPRINGFIELD MO 65810

TOY AND MINIATURE MUSEUM OF 1162019 0 8810 2580 5235 OAK STREET KANSAS CITY MO 64112

GK ENERGY LLC 1172019 1.25 8006 3806 5401 NW 64 TER KANSAS CITY MO 64151

HARTMANN'S AUTO CENTER INC 1172019 1.23 8391 30998 3301 SUBLETTE AVE ST LOUIS MO 63139

HATFIELD, WILLIAM 1172019 0 5348 1120 2020 S COUNTRY CLUB JEFFERSON CITY MO 65109

HOLT COUNTY SOIL & WATER 1172019 0 8810 1144 118 WEST DAVIS ST MOUND CITY MO 64470

HUSTER'S HAULING, LLC 1172019 0 7219 1120 P.O. BOX 344 HAWK POINT MO 63349

J & J KAGAY FARMS INC 1172019 0.86 83 18026 5722 W. HWY 6 AMITY MO 64422

READING, KEVIN DBA 1172019 0 8810 2577 PO BOX 2691 JOPLIN MO 64803

RIVERSTONE PRODUCTIONS LLC 1172019 0 7610 1385 31 TYLER PLACE SAINT LOUIS MO 63119

ROCHE, JORDAN 1172019 0 5645 1205 10256 ST RICHARD LN ST. ANN MO 63074

SHIFRIN & ASSOCIATES INC AND 1172019 0 8742 1797 230 S BEMISTON, SUITE 305 ST. LOUIS MO 63105

SMITH, DUSTIN 1172019 0 7600 1099 21 CHEEK LANE LONG LANE MO 65590

TRIFECTA CONTRACTING SOLUTIONS 1172019 0 5403 1255 2416 SW REGENCY LEE'S SUMMIT MO 64082

WHEELING RURAL FIRE DISTRICT, 1172019 0 7711 1396 11225 LIV 269 WHEELING MO 64688

BIO-ONE STC, LLC 1182019 0 9014 1940 1939 WENTZVILLE PARKWAY, WENTZVILLE MO 63385

BONANNO, PETE DBA MASONARY 1182019 0 5022 1120 29 W 8TH ST PARKVILLE MO 64152

BORNTRAGER, JONAS 1182019 0 5551 1120 2908 CR2610 MOBERLY MO 65270

BRAGG, PATRICK DBA PAT'S 1182019 0 9102 2594 320 DEVONSHIRE CT ST PETERS MO 63376

DONNELLY HEATING AND COOLING 1182019 0 5537 2084 5426 W 139TH STREET OVERLAND PARK KS 66224

GONZALEZ EXTERIORS LLC DBA 1182019 0 5645 15693 4040 DIVISION ST PONTOON BEACH IL 62040

HEMPHILL, ANDREW DBA PAROUDER 1182019 0 5645 1041 3900 GREER ST LOUIS MO 63107

HIGH POINT BUILDERS LLC 1182019 0 5645 1078 219 HIGH ST BOONVILLE MO 65233

HOME WORKS PROPERTIES 1182019 0.95 5606 1907 PMB 217, 4020 GREENMOUNT SHILOH IL 62269

LATIGO, LC 1182019 0.78 5403 1254 P.O. BOX 4082 CHESTERFIELD MO 63006

RAILEANU, VASILIY 1182019 0 5474 1120 1808 N MARLAN AVE SPRINGFIELD MO 65803

DOMINQUEZ, ARMANDO REYES 1192019 0 5445 2316 701 E. 77TH STREET KANSAS CITY MO 64131

GAMAYUNOV, ALEKSEY DBA 1192019 0 5437 1121 239-S, GRAND AVE SEDALIA MO 65301

GRANT, JEFF 1192019 0 6400 951 1036 E CAMORENE STREET SPRINGFIELD MO 65803

GUS PERDIKAKIS ASSOCIATES, INC 1192019 0.91 8810 998 9155 GOVERNORS WAY CINCINNATI OH 45249

HALE, BRUCE 1192019 0 8810 394 C/O AFTON BRUCE HALE LIBERTY MO 64068

SALADINO, PHIL 1192019 0 5478 1120 12209 S FAULKENBERRY RD LONE JACK MO 64070

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

SEASONAL STAFFING SERVICES INC 1192019 1.07 8810 594 PO BOX 457 MARION IL 62959

SUNFLOWER ENTERPRISES INC 1192019 1.97 5403 1889 5 JONES STREET DUBUQUE IA 52001

3 QUEENS PRODUCTIONS LLC DBA 1192019 0 9082 8563 400 WASHINGTON ST LOUIS MO 63102

AMOS, DOUG DBA AMOS WINDOW 1202019 0.94 9102 5324 18 N. VINEVIEW PLATTE CITY MO 64079

APC MANAGEMENT LLC 1202019 0 5474 1120 2201 HARDESTY AVE KANSAS CITY MO 64127

DELANEY, JOANN & OWWILER, 1202019 0 5473 2595 PO BOX 1212 WARRENESBURG MO 64093

JUNIOR EXTERIORS LLC 1202019 0 5551 1254 C/O ARNOLDO CARDOZA O'FALLON MO 63366

NEXTEMPS, INC. 1202019 1.1 9403 9064 C/O JOE F FELS ST. LOUIS MO 63133

PENDERGRAFT, JOHN W DBA 1202019 0 5645 1120 P.O. BOX 4050 INDEPENDENCE MO 64051

SAGE ARTS, INC. 1202019 0.89 7380 12093 C/O DONELL BOSSE ARLINGTON WA 98223

SHARP AG LLC 1202019 0.96 7420 9674 1051 ADMINISTRATION DR STEELE MO 63877

SOUTHERN BOONE COUNTY FIRE 1202019 1.02 7711 7338 P.O. BOX 199 ASHLAND MO 65010

T KELLY HOMES LLC 1202019 0 5645 1120 100 W. HWY KEARNEY MO 64060

TOMPKINS HOMES AND 1202019 0.9 5606 1467 6000 HWY KK COLUMBIA MO 65203

VANTAGE ARCHITECTURAL 1202019 0 5606 1534 400 NORTH PARK AVE #10B BRECKENRIDGE CO 80424

ADVANCED ENVIRONMENTAL TESTING 1212019 1.06 5473 22811 803 RICKER ST WATERLOO IA 50703

ALVAREZ, RENEE DBA 1212019 0 8810 2177 13708 PARKER AVE GRANDVIEW MO 64030

MATT CLARK CONSTRUCTION LLC 1212019 0 5645 1120 1320 NE GRAND AVE LEES SUMMIT MO 64086

MONEY MATTERS TAX & 1212019 0 8810 507 C/O MARILYN MATTHEWS SMITHVILLE MO 64089

MY STORE INC DBA SNAPPY 1212019 0 8017 1630 1516 SOUTH COMMERCIAL AVE SMITHVILLE MO 64089

PRICE, VERA F 1212019 0 5645 1070 4214 PITTMAN RD KANSAS CITY MO 64133

ROCK N TILE LLC 1212019 0 5348 5806 4 WINCHESTER WAY ST CHARLES MO 63303

WALTERS, ALEX R 1212019 0 5478 1120 1987 ROETHEMEYER RD OWENSVILLE MO 65066

BUSCH, AUGUST A IV 1222019 0 913 2712 C/O COMMERCE FAMILY OFFICE ST LOUIS MO 63105

GAL-DUNC CONSTRUCTION LLC 1222019 0 5645 1254 2400 NW LONDON DRIVE BLUE SPRINGS MO 64015

HIRT, RYAN DBA ACE GUTTERS 1222019 0 5645 1120 1692 COUNTRY ROAD 2730 MOBERLY MO 65270

K&K CONSTRUCTION LLC 1222019 0 5645 967 244 W HIGHWAY ST DONIPHAN MO 63935

KARRICK HYDRO REPAIR INC 1222019 0.87 3724 13289 30223 STATE HIGHWAY 112 SELIGMAN MO 65745

MERAMEC SPECIALTY 1222019 0.74 8017 23951 P O BOX 1150 WEST MEMPHIS AR 72301

PILLA BOB DBA PILLAS 1222019 0 5403 3792 3934 DUNN ROAD HAZELWOOD MO 63042

STEWART, TYLER 1222019 0 5645 1120 C/O TYLER MOUNT VERNON MO 65712

TEMPLE, GLEN 1222019 0 5478 1117 2305 W ESTES OZARK MO 65721

DUENWEG VOLUNTEER FIRE DEPT, 1232019 0.94 7710 9617 P O BOX 488 DUENWEG MO 64841

HTR SOLUTIONS LLC 1232019 0 5190 1115 625 W DAYTON CT SPRINGFIELD MO 65807

MAN AND MACHINE DESIGNS LLC 1232019 0 5645 1120 9850 N RTE J HARRISBURG MO 65256

PAYDAY PERSONNEL LLC 1232019 0 8835 3307 PO BOX 452676 GARLAND TX 75045

PERFECT 10 LLC DBA PARKLAND 1232019 0 9063 1508 4339 SHOWPLACE DRIVE FARMINGTON MO 63640

SKYLINE RENOVATIONS LLC 1232019 0 5551 4383 1008 SKYLINE DR GRANDVIEW MO 64030

STRATEGOS INTERNATIONAL LLC 1232019 0.92 9101 23447 12911 S. US HIGHWAY 71 GRANDVIEW MO 64030

TAYLOR HOMES OF THE OZARKS LLC 1232019 0 5022 1120 PO BOX 1770 NIXA MO 65714

VAUGHN, JESSE 1232019 0 7422 3360 1610 N KINGSHIGHWAY, STE 301 CAPE GIRARDEAU MO 63701

ABBOTT, JASON 1242019 0 5645 1120 4908 CHERRY BLOSSUM LN HAZELWOOD MO 63042

ALFREDO WELDING SERVICE LLC 1242019 0 3365 1120 2732 WOODSTREAM CIRCLE KISSIMMEE FL 34743

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

BROOKLINE FIRE PROTECTION 1242019 0 7711 3312 PO BOX 467 BROOKLINE MO 65619

CHULA VOLUNTEER FIRE 1242019 0 7711 4086 P.O. BOX 39 CHULA MO 64635

DAWSON, ROBERT 1242019 0 5213 1120 618 NE CRESTVIEW ROAD KANSAS CITY MO 64116

GLASSMASTER LLC 1242019 0 8387 1254 913 TAMMY LN JOPLIN MO 64801

GRUNDY CO RURAL FIRE DEPT 1242019 0.97 7711 4070 P O BOX 256 TRENTON MO 64683

J.A.M. PRODUCTS LLC DBA 1242019 0 5403 1120 761 SW 68TH AVE JAMESPORT MO 64648

KANSAS CITY MAVERICKS, LLC 1242019 0 8810 6276 19100 E VALLEY VIEW PARKWAY INDEPENDENCE MO 64055

MARINO, PHILLIPS, & EARLY 1242019 0 8832 3823 P.O. BOX R KIRKSVILLE MO 63501

ODGERS, DONNA 1242019 0 42 1120 404 EAST ORCHARD STREET ODESSA MO 64076

PRESTERA TRUCKING, INC. 1242019 0 8810 1272 19129 US HIGHWAY 52 SOUTH POINT OH 45680

ROOFING STL, LLC 1242019 0 5551 1120 4918 WASHINGTON BLVD STE 101 ST LOUIS MO 63108

TIMBER MANAGEMENT, LLC 1242019 0 2702 13093 303 VALLEY BLUFF DR FORISTELL MO 63348

TOWS R US LLC 1242019 0 7219 1120 5545 NW MEADOW VALE KANAS CITY MO 64151

BREIG FARMS INC. 1252019 0.82 83 24047 317 PCR 930 ST. MARY MO 63673

BUSH, DEBBIE DBA BUSH TRIM 1252019 0 5437 1120 417 NW BEAU DRIVE BLUE SPRINGS MO 64014

CODAY COMMERCIAL PAINTING LLC 1252019 0 5474 1254 2065 PARASOL DR CHESTERFIELD MO 63017

COFFMAN, BRANDON H 1252019 0 7219 1120 246 OAK RIDGE LANE OAK RIDGE MO 63769

GODSEY, DANIEL 1252019 0 5190 2664 11812 S US HIGHWAY 71 KANSAS CITY MO 64137

GUIDING LIGHT HOME REPAIR, LLC 1252019 0 5537 1120 38930 W 122ND ST RICHMOND MO 64085

HARRIMAN FARMS AND 1252019 0 5215 1254 3543 CARNELL RD ROCKY COMFORT MO 64861

SHELTON, STEVEN 1252019 0 5437 1120 310 BRACE HILL KISSEEMILLS MO 65680

ZENITH AIRCRAFT COMPANY 1252019 0.93 3830 9393 1881 AIRPORT ROAD MEXICO MO 65265

BLAST RITE LLC 1262019 0 6217 4295 2449 HWY J CHAMOIS MO 65024

CASTILLO FRAMING LLC 1262019 0 5645 4702 7601 E 47 TERRACE KANSAS CITY MO 64129

CHAVIRA, REFUGIO 1262019 0 5645 4702 7285 NE 47TH ST KANSAS CITY MO 64117

CHIU BROTHERS LLC 1262019 0 5645 1120 4046 CHARLOTTE ST KANSAS CITY MO 64110

DMS FLOORING LLC 1262019 0 5478 1255 1015 SE STEEPLE DR BLUE SPRING MO 64014

FIRST CHOICE TEMPORARY 1262019 3.57 9052 58507 4860 CHAMBERS ROAD, PMB 49 DENVER CO 80239

HUGHESVILLE, VILLAGE OF 1262019 0 7520 1500 C/O GARY FANNING HUGHESVILLE MO 65334

JC CONTRACTORS LLC 1262019 0 5551 2990 81 S OVERBROOK DR ST CHARLES MO 63301

LAKE TIMBERLINE VOLUNTEER FIRE 1262019 0 7711 2114 1889 WOODHILL DRIVE BONNE TERRE MO 63628

MILLER CUSTOM FLATWORK LLC 1262019 0 5221 1120 208 W AUBERRY GROVE JAMESPORT MO 64648

SHELENHAMER CONSTRUCTION LLC 1262019 0 5403 1205 P O BOX 411 BOLIVAR MO 65613

SPRINGHURST HOMEOWNERS 1262019 0 9015 2722 14323 S OUTER FORTY STE 301N CHESTERFIELD MO 63017

SPURLIN, BRADLEY 1262019 0 83 1205 12639 STATE HWY 11 NOVINGER MO 63559

WALDEN, TYLER 1262019 0 5645 1120 6 MARINE DR MEXICO MO 65265

WALZ, MICHAEL DBA WALZ 1262019 0 5645 1120 10905 MUELLER RD ST LOUIS MO 63123

WILT, AUSTIN L 1262019 0 9154 1583 1001 ASPEN DR LIBERTY MO 64068

ADRIAN RURAL FIRE DEPARTMENT 1272019 0 7711 1752 P O BOX 357 ADRIAN MO 64720

ALL ABOUT YOUR HOUSE LLC 1272019 0 5645 1120 6536 NW GILLY ROAD PARKVILLE MO 64152

BUCKMAN AVIATION LLC 1272019 0 7425 7825 6895 E SCHOOLER ROAD CENTRALIA MO 65240

GO TECHNOLOGIES LLC 1272019 0.93 7600 1254 1443 BRIARWOOD CT EUDORA KS 66025

GOMEZ, MAURO 1272019 0 5478 5491 106 AVERIO DR FENTON MO 63026

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R671017D RUN DATE: 2018/07/06

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

ROBISON, KEVIN 1272019 0 5437 1120 5612 N. SMALLEY KANSAS CITY MO 64119

ROWLAND, RYAN 1272019 0 5645 1120 9201 NE STATE ROUTE 18 BUTLER MO 64730

SYCAMORE HOMES, LLC 1272019 0 5479 5388 137 RED OAK DR CARL JUNCTION MO 64834

TOMSON FLOOR COVERING LLC 1272019 0 5478 1120 502 KRISTI LN ASHLAND MO 65010

ZMANS COMMUNICATIONS LLC 1272019 0 7600 5960 2379 STATE LINE ROAD JOPLIN MO 64801

BLANK, KENNETH & BLANK, MARY 1282019 0 8017 3843 10064 STATE HWY 5 UNIONVILLE MO 63565

DEES, JOHN 1282019 0 7219 1254 PO BOX 121 POWERSITE MO 65731

HALE, JERALD DBA JERRY'S 1282019 0 9534 1254 611 W NORTH STREET ELDON MO 65026

NATIONWIDE ORGAN RECOVERY 1282019 0.8 7370 1160 3815 E MAIN ST - SUITE C ST. CHARLES IL 60174

PENNAKEM LLC 1282019 0.85 8742 1329 3324 CHELSEA AVENUE MEMPHIS TN 38108

SEMO CUSTOM APPLICATIONS LLC 1282019 0 50 1378 1400 N HWY B BERTRAND MO 63823

WARMAN, LANCE 1282019 0 5190 1120 1710 S OSAGE INDEPENDENCE MO 64055

A1 WRECKING & SALVAGE 1292019 0 5403 1120 C/O WILLIE HEMPHILL ST LOUIS MO 63034

COWIN CONSTRUCTION LLC & 1292019 0 8810 2363 P.O. BOX 5159 BELLA VISTA AR 72714

FERGUSON, ROBERT 1292019 0 7420 1120 2614 RIDGEWOOD SEARCY AR 72143

HARGROVES, THOMAS J 1292019 0 913 1205 1231 W 56TH ST KANSAS CITY MO 64113

HOSPITALITY HOLDINGS 1292019 1.64 9082 5450 271 E NORTH AVE GLENDALE HTS IL 60139

PULASKI COUNTY SOIL & WATER 1292019 0 8810 506 301 HISTORIC 66 WAYNESVILLE MO 65583

STEVE HUFF HOMES LLC 1292019 0 5474 3995 PO BOX 1622 NIXA MO 65714

ACCURATE LAND TITLE COMPANY 1302019 0 8810 1352 218 BROADWAY HANNIBAL MO 63401

AES PREFERRED STAFFING 1302019 0.66 9015 3539 13900 LAKESIDE CIRCLE STERLING HEIGHTS MI 48313

AG RECYCLING INC 1302019 0.84 1710 50937 339 SOUTH 6TH STREET MASCOUTAH IL 62258

BONTRAGER, ELI 1302019 0 5645 1120 529 SOUTH ALLEN ST CENTRALIA MO 65240

EXTREME PYROTECHNICS LLC 1302019 0.95 9016 1255 7233 PECAN COURT MANSFIELD TX 76063

HICKORY COUNTY LIBRARY 1302019 0 8810 757 99 NEW HERMITAGE DR HERMITAGE MO 65668

HUNTER, SHANE 1302019 0 9102 2085 PO BOX 757 SAINT JOSEPH MO 64502

JD QUALITY ROOFING LLC 1302019 0 5645 1120 4369 HIGHWAY T CLARK MO 65243

R4 FIRE PROTECTION DISTRICT 1302019 0.97 7711 4394 P O BOX 227 EWING MO 63440

SPECIAL EVENT COACHES LLC 1302019 0.95 7382 6192 C/O KYLE VOGT PACIFIC MO 63069

WINCO CONSTRUCTION LLC 1302019 0 5551 1120 PO BOX 5159 BELLA VISTA AR 72714

COLOUR CO, LLC 1312019 0 5474 1078 2208 W COLTON OZARK MO 65721

HEDGPETH HOMES LLC 1312019 0 6217 1120 660 WASHAM RD CLEVER MO 65631

HEMPHILL,CHARLES DBA 1312019 0 5403 1120 14448 WILLIAMSBURG MANOR ST. LOUIS MO 63034

JEFFERSON COUNTY PORT 1312019 0 8742 852 C/O NEAL BREITWEISER HILLSBORO MO 63050

MIDWESTHR LLC 1312019 0.79 8810 528 1200 INTERNATIONALE PARKWAY WOODRIDGE IL 60517

OREGON COUNTY WATER DISTRICT 1312019 0 7520 1944 P O BOX 346 ALTON MO 65606

ST LOUIS COLLEGE OF HEALTH 1312019 0 8868 705 909 S TAYLOR ST LOUIS MO 63110

WDI TRANSPORTATION 1312019 1.14 8810 5533 C/O MIDWESTHR LLC WOODRIDGE IL 60517

ADVANCED RESTORATION SERVICES 2012019 0 9014 1736 C/O BEN GREEN CREIGHTON MO 64739

AFTER THE HARVEST 2012019 0 8810 5379 406 W 34TH STREET SUITE 816 KANSAS CITY MO 64111

AXIOM SERVICE PROFESSIONALS 2012019 0 4511 2277 1822 NW 92ND PLACE KANSAS CITY MO 64155

BIG CREEK WATERSHED 2012019 0 8601 471 1405 N HWY 65 CARROLLTON MO 64633

BLUEGRASS TERRACE RESIDENTIAL 2012019 0 8829 5131 102 RED TAIL DR ASHLAND MO 65010

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

CAPSTONE PRECISION GROUP LLC 2012019 0 8810 13833 4051 N. HIGLEY RD. MESA AZ 85215

CARROLL COUNTY SOIL & WATER 2012019 0 8116 5172 1405 N HWY 65 SUITE C CARROLLTON MO 64633

DOOLITTLE RURAL FIRE 2012019 0 7711 2848 P O BOX D NEWBURG MO 65550

DSI RECYCLING SYSTEMS, INC. 2012019 0.84 5537 7724 1559 STATE HIGHWAY 32 SULLIVAN IL 61951

DUMAS, JAMES DBA TOTAL 2012019 0 5221 1120 1361 S DELAWARE ST INDEPENDENSE MO 64055

FDM LLC DBA POWER DIRECT 2012019 0 8742 669 23456 MADERO SUITE 105 MISSION VIEJO CA 92691

GERALD ROSEBUD FIRE 2012019 0.99 7711 3316 P O BOX 135 GERALD MO 63077

HUNSUCKER, CHRISTOPHER 2012019 0 5445 1120 353 KENTLING AVE HIGHLANDVILLE MO 65669

KENSINGTON PLACE OFFICE 2012019 0 9012 1122 PO BOX 14186 SPRINGFIELD MO 65814

LINDERLAKE CORPORATION 2012019 0 8601 918 21170 DEERPATH ROAD FRANKFORT IL 60423

METAL PLUS CONSTRUCTION LLC 2012019 0 5551 1120 29480 HIGHWAY MM LEBANON MO 65536

NOVAK, JOE DBA NOVAK HOME 2012019 0.95 42 2266 2027 WATERS EDGE CT LAKE SAINT LOUIS MO 63367

ON DEMAND EMPLOYMENT SERVICES 2012019 1 2585 29859 1718 CENTRAL AVE, SUITE B KANSAS CITY KS 66102

POLO VFD & RESCUE 2012019 0 7711 1285 109 E MEADOWBROOK LANE POLO MO 64671

PREMIER EMPLOYEE SOLUTIONS INC 2012019 0 8742 2059 1413 HIGHWAY 17 SOUTH #703 SURFSIDE BEACH SC 29575

RJ JOINT VENTURE INC DBA 2012019 0.97 8742 8543 647 BENNINGTON DRIVE SAINT CHARLES MO 63304

ROCKWOOD GENERAL CONTRACTING 2012019 0 5645 1120 2464 TAYLOR ROAD #211 WILDWOOD MO 63040

SAFETY TEMPS LTD DBA NATIONAL 2012019 0.9 8720 19488 169 CHESTERFIELD BUSINESS PKWY CHESTERFIELD MO 63005

SOUTH CALLAWAY FIRE 2012019 0.96 7710 7483 C/O PRO ACCT FINANCIAL ADV. FULTON MO 65251

SOUTH SIDE CONSERVATION 2012019 0 9102 1313 C/O SUSAN CHERVEK FLORISSANT MO 63031

ULSHAFER CONSTRUCTION, LLC 2012019 0 5535 1205 176 SE Y HWY LOT # 48 WARRENSBURG MO 64093

WINDSOR FOUR COUNTY RURAL 2012019 0 7711 3311 C/O DAVID BEEMAN WINDSOR MO 65360

BASE CONSTRUCTION & MANAGEMENT 2022019 0 5403 1254 620 W REPUBLIC RD SPRINGFIELD MO 65807

BFW CONTRACTING LLC 2022019 1.32 5610 25686 C/O FRANK WILSON ST LOUIS MO 63133

BIG SHOW REMODELING, LLC 2022019 0 5645 1120 1608 NE 67TH STREET GLADSTONE MO 64118

COMFORT CENTER SALES LLC DBA 2022019 0.88 5223 7069 1804 N BELT HWY ST JOSEPH MO 64506

KELLY, DEREK 2022019 0 5478 1120 1614 SKY RANCH CIR BOLIVAR MO 65613

KURTZ, JOSEPH 2022019 0 5221 1120 32033 MAJOR AVE JAMESPORT MO 64648

LANCASTER FIRE & RESCUE 2022019 0 7711 2513 PO BOX 473 LANCASTER MO 63548

OPEN WATER DOCK COMPANY LLC 2022019 0 6834 13939 1170 SUSAN RD LAKE OZARK MO 65049

PLUTE, GARY DBA 2022019 0 9014 1205 PO BOX 792 WARRENSBURG MO 64093

QA LABORATORIES INC 2022019 0 4611 2072 1646 BLACKBURN HEIGHTS DRIVE SEWICKLEY PA 15143

RHODES EQUIPMENT COMPANY 2022019 0 8742 1050 5922 HAMPTON AVE. ST. LOUIS MO 63109

SAIGH FOUNDATION, THE 2022019 0 8742 2130 C/O JOANN HEJNA ST. LOUIS MO 63105

STOUT, ED DBA STOUT MOBILE 2022019 0.95 7219 8812 125 RIVERVIEW DR ANDERSON MO 64831

TUCKER CONSTRUCTION LLC 2022019 0 5020 1120 3803 WHEELER BRANCH ROAD CRANE MO 65633

BARBA, VICTORIA 2032019 0 9014 1205 7804 N PARK AVE KANSAS CITY MO 64118

BISWELL, MICHAEL 2032019 0 5190 2664 11812 S US HIGHWAY 71 KANSAS CITY MO 64137

BURKEYBILE, RANDALL DBA SELECT 2032019 0 5474 1205 2918 FARAON ST SAINT JOSEPH MO 64503

CAUDELL, GORDON 2032019 0 5645 1120 4211 E 113TH TERRACE KANSAS CITY MO 64137

COALE ELECTRIC LLC 2032019 0 5190 1120 18205 COUNTRY ROAD H LIBERTY MO 64068

FIRST CUSTOM INTERIORS LLC 2032019 0.97 5437 1254 1316 MCHENRY ST INDEPENDENCE MO 64057

GLOR, CHASE 2032019 0 7600 1120 55 PROSPERITY RD URBANA MO 65767

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

HERNANDEZ,RAMON 2032019 0 5551 1120 7006 E 86TH ST KANSAS CITY MO 64138

JOHNSON CONTRACTING INC 2032019 1.56 3724 34664 PO BOX 161 OAK GROVE MO 64075

MIRANDA, KELEN 2032019 0 5551 1120 7006 E 86TH ST KANSAS CITY MO 64138

PEREZ, ANNISA 2032019 0 5551 1120 705 W WEST ST CALIFORNIA MO 65018

RICHWOODS FIRE DISTRICT 2032019 0 7711 2178 10015 TURTLE ROAD RICHWOODS MO 63071

RIOS SIDING LLC 2032019 0 5445 2451 1446 NW FOXBORO RD BLUE SPRINGS MO 64015

ROKC LLC 2032019 0 9063 3272 7915 NW FOX ROAD PARKVILLE MO 64152

SHEPHERD OF THE HILLS PROPERTY 2032019 1.31 9012 8818 PO BOX 616 BRANSON MO 65616

THM CONSTRUCTION LLC 2032019 0 5645 2768 C/O TRAVIS MCGEE COLUMBIA MO 65201

WES ADDISON SPRAYING CO INC 2032019 0.96 7420 8523 1051 ADMINISTRATION DR STEELE MO 63877

ZEISS, SHANNON 2032019 0 5645 1120 8520 STATE RD C APT J FULTON MO 65251

BLANCHFIELD, MIKE DBA 2042019 0 5437 1121 5133 PALISADES BATTLEFIELD MO 65619

DUTOI CONSULTING LLC 2042019 0 3724 3456 1926 TIMBER ROAD JEFFERSON CITY MO 65101

F & S CATTLE, LLC & 2042019 0 83 4984 1 VICTORY LN STE 200 LIBERTY MO 64068

JC'S FOREST AND LAND 2042019 0 7710 1121 RT 2 BOX 640 MARBLE HILL MO 63764

ORAN FIRE PROTECTION DISTRICT 2042019 0 7711 1921 P.O. BOX 297 ORAN MO 63771

BOURBON TRUCKING, LLC 2052019 1.17 7219 10327 11305 WEST STATE HIGHWAY 8 POTOSI MO 63664

BYBEE, TOM AND BEARD, BILLY 2052019 0 5645 1205 C/O TOM BYBEE CENTERVIEW MO 64019

CJ'S PROFESSIONAL SATELLITE 2052019 1.49 7600 8381 107 E CRANDALL AVE STE B HARRISON AR 72601

HAINES, WILLIAM D 2052019 0 5645 1044 PO BOX 757 DUENWEG MO 64841

MONETT RURAL FIRE DISTRICT 2052019 0 7711 2849 C/O RYAN NESTLEROAD MONETT MO 65708

OZARKS COMMUNITY DEVELOPMENT 2052019 0.96 6217 36998 710 E MAIN STREET WEST PLAINS MO 65775

PAUL CONSTRUCTION CO, LLC 2052019 0 5040 1254 HCR 69 BOX 38 B OLDFIELD MO 65720

PRO QUALITY PAINTING, LLC 2052019 0.98 5474 1083 16101 E. 30TH TERR SOUTH INDEPENDENCE MO 64055

SAIN, DENNY 2052019 0 5478 1120 928 W KERR SPRINGFIELD MO 65803

SHULER, FRANK DBA 2052019 0 5478 1180 307 W CALICO DR RAYMORE MO 64083

SPRAGUE BURNS LUPTON SNOW 2052019 0 9402 1120 610 EAST MCPHERAON ST KIRKSVILLE MO 63501

TEXAS COUNTY SOIL & WATER 2052019 0 8810 824 6726-C S. HWY 63 HOUSTON MO 65483

CAPPS, TIM DBA CORNERSTONE 2062019 0 5022 1120 525 E 6TH ST WASHINGTON MO 63090

CHECKLIST CONSTRUCTION LLC 2062019 0 5551 1120 202 FAIRWOOD PLACE CT LAKE SAINT LOUIS MO 63367

DOUBLE D HAULING LLC 2062019 0 106 1120 5405 NE 292ND ST TURNEY MO 64493

EDWARDS AIR LLC 2062019 0 5537 1120 800 COUNTY RD F SMITHVILLE MO 64089

EXACTED CONSTRUCTION, LLC 2062019 0 5474 1255 4531 NE KELSEY RD KANSAS CITY MO 64116

HAPS CONSTRUCTION LLC 2062019 0 5645 3155 2316 CIPRES AVE KANSAS CITY MO 64127

HOMESTEAD STEAKS, LLC 2062019 0 7380 1683 1425 MATTHEW CIRCLE WEBB CITY MO 64870

LEADWOOD FPD 2062019 0 7711 4320 C/O KEVIN LEWIS LEADWOOD MO 63653

NORTON CONSTRUCTION SERVICES 2062019 0 7219 1120 C/O JAROD NORTON SAINT LOUIS MO 63114

ROOF GUY, A DBA XCEL ROOFING 2062019 0 8810 1128 2430 S. 156TH CRICLE LEE'S SUMMIT MO 64043

SHAMROCK CONCRETE LLC 2062019 2.05 8742 4270 250 HAWNING RD ST CHARLES MO 63301

TIM FLEEMAN CONSTRUCTION LLC 2062019 0 5403 14031 C/O TIM FLEEMAN DEXTER MO 63841

BJG HEALTH CARE AGENCY LLC 2072019 0 8829 3495 17 SEA PINES COURT SUITE 1 O FALLON MO 63368

DOMINION HOMES LLC 2072019 0 5606 1499 10124 FIELDCREST LANE SAINT LOUIS MO 63124

IRON SHOE HAULING LLC 2072019 0 7219 1120 7768 ANTIOCH RD GERALD MO 63037

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

SHARP, DAN DBA SHARP ROOFING 2072019 0 5551 1254 15703 ALLEN AVENUE BELTON MO 64012

BRAD SMITH TRANSPORT LLC 2082019 0 7219 1120 36172 STATE HWY AA MACON MO 63552

CARDINAL CREST HOMES LLC 2082019 0 5606 4560 PO BOX 1355 LIBERTY MO 64068

COLLINS FIRE PROTECTION 2082019 0 7711 2513 PO BOX 75 COLLINS MO 64738

CUNNINGHAM, GARY 2082019 0 5645 1120 1900 W 76 COUNTRY BLVD APT 510 BRANSON MO 65616

HEIBEL, JOE 2082019 0 5022 1120 3211 BIG TIMBER DR. COLUMBIA MO 65201

JOHNSON CONTRACTING LLC 2082019 0.94 5645 6147 115 WALL STREET EUREKA SPRINGS AR 72632

MILLSTONE HOMES LLC 2082019 1.31 8810 6905 1519 COMMERCIAL RD NIXA MO 65714

SERVICE SOLUTIONS 2082019 0.86 5403 2931 605 HENLEY AVE MIAMI OK 74354

ALEXANDER, NORMAN DBA 2092019 0 5645 3964 1225 S. DELAWARE AVE. INDEPENDENCE MO 64055

AMERICAN WAGYU ASSOCIATION 2092019 0 8742 1154 PO BOX 1115 POST FALLS ID 83877

AWARD WINNING TILE LLC 2092019 0 5348 1121 812 S KISNER DR INDEPENDENCE MO 64056

BRANDENBERGER, JASON 2092019 0 5551 1254 1943 WYOMING ST LOUIS MO 63118

ELIZABETH CLEANING SERVICE LLC 2092019 0 9014 1121 216 N 21ST ST KANSAS CITY KS 66102

GUTIERREZ SIDING & 2092019 0 5645 2932 1534 E 80TH ST KANSAS CITY MO 64131

MORENO, RAUL 2092019 0 5551 1254 2021 LYNWOOD RIDGE DR LAKE ST LOUIS MO 63367

MY FLOORMAN LLC 2092019 0 5102 1120 C/O DELISA GRAFFIS WASHINGTON MO 63090

ROCKIN J TRANSPORT LLC 2092019 0 7219 1254 PO BOX 56 EOLIA MO 63344

SUNDBERG, ANDREW 2092019 0 5190 1120 11812 S US HIGHWAY 71 KANSAS CITY MO 64137

TYLERS TOW, LLC 2092019 0 7380 1553 PO BOX 343 LAWSON MO 64062

WALTERS, DAVID 2092019 0 5551 1205 1528 JO LANE COLUMBIA MO 65202

WOODWARD, RANDY DBA WOODWARD 2092019 0 5537 1120 2715 LAFAYETTE LANE SENECA MO 64865

AMERICAN MACHINE SERVICES LLC 2102019 0 3724 1254 C/O TIMOTHY REDDING TROY MO 63379

BICKNELL, ROBERT 2102019 0 5190 1120 3514 S WOODBURY INDEPENDENCE MO 64055

CIOBANAS, FLORIN 2102019 0 5348 1120 2084 W HWY W SPRINGFIELD MO 65803

ELKLAND VOLUNTEER FIRE DEPT 2102019 0 7711 1396 P O BOX 35 ELKLAND MO 65644

HEALTHSTAFF LLC 2102019 0 8832 1842 14109 OVERBROOK, STE E LEAWOOD KS 66224

HOMETOWN CASH ADVANCE II LLC 2102019 0 8810 1177 4 ROSE LANE FULTON IL 61252

HR PROFESSIONAL SOLUTIONS LLC 2102019 1.05 8810 982 PO BOX 86 MONETT MO 65708

LEBANON HUMANE SOCIETY 2102019 0 8831 1849 P O BOX 2025 LEBANON MO 65536

MIDWEST CONTRACTING AND 2102019 0 5215 1254 621 N WASHINGTON AVE SPRINGFIELD MO 65806

MISSOURI DOOR & DOCK LLC 2102019 0 5102 1120 8368 OLD STATE ROUTE 21 HILLSBORO MO 63050

MOCK, SHAWN 2102019 0 5645 1430 101 E 78TH ST KANSAS CITY MO 64114

MUNCY, JOHN 2102019 0 5478 1120 PO BOX 1583 SPRINGFIELD MO 65801

NORTH COUNTY FIRE PROTECTION 2102019 0 7711 2513 PO BOX 83 PATTON MO 63662

RODRIGUEZ, JORGE DBA 2102019 0 5445 3234 4307 PASEO BLVD KANSAS CITY MO 64110

SIGNORELLI, GREG DBA RHYNO 2102019 0 5102 3329 PO BOX 604 LINN CREEK MO 65020

WARNER, JOHN 2102019 0 5645 1120 4409 BILOXI ST LOUIS MO 63134

CCDF LLC DBA FLEXICASH 2112019 0 8856 2188 4844 N 300 W STE 100 PROVO UT 84604

CZERKAWSKI, THOMAS DBA ALL 2112019 0 9014 1115 1300 NW FAIRWAY CIR BLUE SPRINGS MO 64014

E-SEARCH, LLC 2112019 0 8810 2115 PO BOX 4308 CHESTERFIELD MO 63006

MASON, TIM 2112019 0 7219 1107 11544 SOUTH 2 MILE RD DEXTER MO 63841

MCADAMS, MIKE DBA 2112019 0 5213 1120 4917 N CENTRAL GLADSTONE MO 64118

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R671017D RUN DATE: 2018/07/06

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

NORWOOD COMMUNITY VOLUNTEER 2112019 0 7711 2089 PO BOX 128 NORWOOD MO 65717

SELIGMAN FIRE PROTECTION 2112019 0.98 7711 3241 C/O MARY SCANNELL SELIGMAN MO 65745

B ASJES RAYTOWN NURSEY CO INC 2122019 1.21 8810 5660 925 JW CUMMINS RD OAK GROVE MO 64075

BARR CONTRACTING LLC 2122019 0 5403 1251 8042 BOLLE TRAIL DITTMER MO 63023

CANE CREEK QUARRY LLC 2122019 0.98 1655 12399 2179 CR 321 POPLAR BLUFF MO 63901

MIKE AND GREG FARM LLC 2122019 0.96 83 4318 131 EAST HIGH STREET JEFFERSON CITY MO 65101

MODERN AMERICAN DANCE COMPANY 2122019 0 8868 1064 1 UNIVERSITY BLVD 243 GSB ST SAINT LOUIS MO 63121

PURDY FIRE PROTECTION DISTRICT 2122019 0 7711 3072 PO BOX 51 PURDY MO 65734

RUSH CREEK HOMEOWNERS ASSN 2122019 0 9015 3551 C/O AAS COMMUNITY MANAGEMENT ST. LOUIS MO 63123

SUPERIOR PAINTING AND 2122019 0 5474 1174 4041 MAGNOLIA AVE ST LOUIS MO 63110

WALLY ENTERPRISES, INC DBA HPS 2122019 0 8810 1254 1669 JEFFERSON ST KANSAS CITY MO 64108

BORLAND, LOREN 2132019 0 5437 1120 605 SW GRAYSTONE DR GRAIN VALLEY MO 64029

CASTANEDA, DONOVAN 2132019 0 5474 1903 889 NW SOUTH SHORE DR KANSAS CITY MO 64151

DEDELOW, TODD 2132019 0 5551 1120 1101 NE 112TH TERRACE KANSAS CITY MO 64155

ELI'S TREE SERVICE CO LLC 2132019 0 106 1887 625 N DOWNEY CT INDEPENDENCE MO 64056

GRIFFITH, MATTHEW DBA GRIFFITH 2132019 0 6400 1120 13312 NW 76TH ST PARKVILLE MO 64152

HAUPTMANN, CARL 2132019 0 5645 1120 627 KROHN DR BOONVILLE MO 65233

IMPACT TRANSPORTATION 2132019 0 8810 1641 2355 LUSK DR NEOSHO MO 64850

MILLER, JEFF 2132019 0 5645 1205 401 SW PERCELS RD. LEES SUMMIT MO 64081

MYERS, GARY 2132019 0 5645 1120 412 W GRACE ST REPUBLIC MO 65738

REVELATION ART LLC 2132019 0 1803 1205 6033 SE HWY 69 LAWSON MO 64062

STAMM SERVICES LLC DBA PAUL 2132019 0 9014 1823 3933 RICE ROAD HILLSBORO MO 63050

TURF TEK LAWN & LANDSCAPE, LLC 2132019 0 9102 1704 PO BOX 107 GREENWOOD MO 64034

ALL ABOUT EXTERIORS LLC 2142019 0 5551 1120 211 WOODS EXCELSIOR SPRINGS MO 64024

B & R CLEANING LLC 2142019 1.22 9014 1121 2863 IDLE ACRES LN EDWARDSVILLE IL 62025

DAVE RICHARDS HOME BUILDING 2142019 0.96 8742 1698 PO BOX 1325 BLUE SPRINGS JACKSON MO 64013

DOWNUNDER ROOFING LLC 2142019 0 5535 3022 6101 N STRATHBURY AVE KANSAS CITY MO 64151

F & H INSULATION SALES & 2142019 1.04 5183 4983 PO BOX 250 KECHI KS 67067

INDEPENDENT INPUTS LLC 2142019 0.88 8742 956 P O BOX 187 KIRON IA 51448

ONC HOME RESTORATION, LLC 2142019 0 5606 1254 2105 SE AUSTIN ST OAK GROVE MO 64075

SAMPLES, JOHN 2142019 0 9014 1096 4045 NE CHAUMIERE RD KANSAS CITY MO 64117

SUSQUEHANNA ASSEMBLY OF GOD 2142019 0 8868 3507 622 JENNINGS RD INDEPENDENCE MO 64056

AVOCA CONSULTING GROUP, LLC 2152019 0 8742 1369 8045 BIG BEND BLVD SUITE 104 WEBSTER GROVES MO 63119

BERGER CHIROPRACTIC LLC DBA 2152019 0 8832 760 8135 DELMAR BLVD. UNIVERSITY CITY MO 63130

BLAKELY & ASSOCIATES 2152019 1.18 8601 5388 PO BOX 786 CHILLICOTHE MO 64601

CLASSIC FLOORS 2152019 0 8017 2717 2520 W 20TH STREET JOPLIN MO 64804

EUDY'S PROFESSIONAL PAINTING, 2152019 0 5474 1120 1481 BLACK ROCK LN FARMINGTON MO 63640

EXPERT HOUSE MOVERS OF MD, INC 2152019 1.47 5703 69866 PO BOX 447 SHARPTOWN MD 21861

FISHER, ROBIN 2152019 0 9102 1205 424 NE POINT DR LEES SUMMIT MO 64064

GOODRICH, DAVE 2152019 0 5437 1120 1310 S SUMMIT DR HOLTS SUMMIT MO 65043

HUFF HAULING LLC 2152019 0 7222 1120 6257 HIGHWAY CC LESLIE MO 63056

IMPERIAL PAINT & DRYWALL INC 2152019 1.36 5445 32653 2049 STATE HWY A CHAFFEE MO 63740

LEBANON RURAL FIRE 2152019 1.02 7710 3843 P O BOX 472 LEBANON MO 65536

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

MESSMER, JEFF 2152019 0 6217 1120 1430 COUNTY ROAD 349 JACKSON MO 63755

PELTIER, MIKE 2152019 0 42 1205 20306 S MULLEN RD BELTON MO 64012

RIVERS POINTE FIRE PROTECTION 2152019 0.98 7711 3913 100 FIREHOUSE DR WEST ALTON MO 63386

SHELBINA FIRE PROTECTION DIST 2152019 0.98 7711 3856 PO BOX 283 SHELBINA MO 63468

WHITE, CLINNON III DBA 2152019 0 5645 1120 7439 HIGHLAND AVE KANSAS CITY MO 64131

WNZ CONTRACTING LLC 2152019 0 5606 1580 718 RIDERWOOD DR HAZELWOOD MO 63042

WRIGHT, MICHAEL DBA DIG WRIGHT 2152019 0 6217 1120 12910 COUNTY ROAD 191 SAVANNAH MO 64485

600 TOWER LLC 2152019 0 8810 528 C/O CASSIDY TURLEY ST LOUIS MO 63101

CICADA BUILD LLC DBA 2162019 0 5606 2668 449 E 65TH TERR KANSAS CITY MO 64131

CUTBERTH, CHARLES 2162019 0 5437 1120 75 CUTBERTH LN SELIGMAN MO 65745

DEUTSCHMANN, LOUIS G 2162019 0.94 913 6508 C/O MARK NIEHAUS COUGHLIN FENTON MO 63026

ELITE ROOFING & CONTRACTING, 2162019 0 5551 1120 29615 S EAST OUTER ROAD HARRISONVILLE MO 64701

KOHN, ADAM DBA A J KOHN 2162019 0 7600 1205 837 SPRING CT LIBERTY MO 64068

MARTINEZ CONSTRUCTION LLC 2162019 0.95 6400 33005 PO BOX 76 MILAN MO 63556

MAYFIELD FLOORING LLC 2162019 0 5478 1120 316 MAYFIELD CT UNION MO 63084

MCCORD, RICK 2162019 0 7420 1099 PO BOX 173 MARSTON MO 63806

ROOF CHECK CONTRACTING LLC 2162019 0.94 5535 3935 2 NW ENGLEWOOD ROAD KANSAS CITY MO 64118

RURAL FIRE PROTECTION 2162019 0 7711 1640 PO BOX 72 PEACE VALLEY MO 65788

SANDER, TIMOTHY 2162019 0 7219 1120 C/O STOCK TRANSPORT INC LEBANON IL 62254

SOUTH CENTRAL BUCHANAN 2162019 0 7711 2513 911 MARTIN DRIVE AGENCY MO 64401

TRI-STAR OUTDOOR 2162019 0 8810 2210 703 N MAIN VANDALIA MO 63382

WELLS, MIKE DBA WELLS HEATING 2162019 0 5537 1120 2112 W JAMESTOWN ST OZARK MO 65721

APPLEGATE, HOWARD 2172019 0 5437 1120 2190 ST HWY KK FORDLAND MO 65652

ASHFORD, CODY 2172019 0 5437 1120 11209 E KENTUCKY AVE SUGAR CREEK MO 64054

BAKERSFIELD VOLUNTEER FIRE 2172019 0 7711 1255 P.O. BOX 109 BAKERSFIELD MO 65609

CISK, CLEO AND EDITH (GENERAL 2172019 0 9052 3177 28611 EAST US HWY 24 BUCKNER MO 64016

D & Z INSTALLS LLC 2172019 0 5551 2472 10932 MARGATEHALL DR APT 4 BRIDGETON MO 63044

FARMKINGS INVESTMENT LLC 2172019 0 913 2050 221 BOLIVAR ST STE 400 JEFFERSON CITY MO 65101

HILLSDALE DEMOLITION & 2172019 0 5403 3660 2006 LUCAS & HUNT ST LOUIS MO 63121

MACON RURAL FIRE DEPARTMENT 2172019 0 7711 2401 PO BOX 333 MACON MO 63552

STRICKLIN, JOHN DBA 2172019 0 7219 1205 PO BOX 403 IMPERIAL MO 63052

VERTEX CONSTRUCTION LLC 2172019 0 5403 1205 PO BOX 493 PARK HILLS MO 63601

A-BUILT LLC 2182019 0.94 5437 3080 33874 MOUNT HOPE RD CALIFORNIA MO 65018

ACORD CONSTRUCTION CO INC 2182019 0 8742 2332 P.O. BOX 88 WALDRON MO 64092

IMAGE STAFFING LLC 2182019 1.35 3634 19621 1100 MAIN STREET #1945 KANSAS CITY MO 64105

KOCH GENERAL CONTRACTOR LLC 2182019 0 5645 1102 5015 DUESSEL LN SAINT LOUIS MO 63128

MENA'S ELITE SIDING LLC 2182019 0 5645 1120 PO BOX 2316 BRANSON WEST MO 65737

AUSTIN NICHOLS TECHNICAL 2192019 0.92 8810 12633 2405 GRAND BLVD SUITE 390 KANSAS CITY MO 64108

AUSTIN'S GUTTER COMPANY LLC 2192019 0.95 5535 3693 1121 OAK RIDGE RD ROBERTSVILLE MO 63072

FLOORING SQUAD LLC 2192019 0 5478 1120 408 FEISE RD O'FALLON MO 63368

KANSAS CITY BALLET ASSOCIATION 2192019 2.79 8868 237817 500 W PERSHING RD KANSAS CITY MO 64108

LEOPOLD VOLUNTEER FIRE 2192019 0 7711 1880 C/O HEATHER JANSEN LEOPOLD MO 63760

MCDANIELS, JAMES 2192019 1.01 5478 1120 417 CHELSEA WAY DR ST CHARLES MO 63304

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R671017D RUN DATE: 2018/07/06

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

MICHAEL J VAN DOREN LLC 2192019 0 5102 1083 132 DELORD AVE MARYLAND HEIGHTS MO 63043

2BDEEZFX, LLC 2192019 0 9154 3526 1027 S MAIN STREET SUITE 401 JOPLIN MO 64801

CALDEIRA, SILVIO 2202019 0 5645 2932 7310 N LIBERTY ST KANSAS CITY MO 64118

CLEAR SPRING VOLUNTEER FIRE 2202019 0 7711 1121 1792 BRADFORD RD WILLOW SPRINGS MO 65793

GETSEMANI CONSTRUCTION LLC 2202019 0 5645 1475 2539 LISTER AVE KANSAS CITY MO 64127

HOFFMAN, GARY DBA 2202019 0 5348 1120 1421 E. 5TH ST. WASHINGTON MO 63090

JENKINS, GARY 2202019 0 9521 1120 2301 JENKINS LANE NEW BLOOMFIELD MO 65063

NAVARRO'S LLC 2202019 0.94 7600 3537 622 AUTUMN BELTON MO 64012

RAGSDALE, DOUGLAS L DBA 2202019 0.96 6204 17268 108 S ROOSEVELT DESLOGE MO 63601

SMITH & SONS CLEANUP AND 2202019 0 5610 1121 PO BOX 1614 RAYMORE MO 64083

TIPTON RURAL FIRE PROTECTION 2202019 0 7711 2824 PO BOX 133 TIPTON MO 65081

TRANSTAR BROKERAGE INC 2202019 0.97 8871 599 PO BOX 125 KULPMONT PA 17834

WALD, LARRY & WALD, KATHERIN 2202019 0 8810 3531 1140 E 1ST CARTERVILLE MO 64835

YOUR HOME PRO LLC 2202019 0 5645 1254 31 SAN TANA DRIVE CEDAR HILL MO 63016

COMPASS GENERAL CONTRACTING 2212019 0.97 5474 5458 2464 TAYLOR RD #319 WILDWOOD MO 63040

GRAHAM CONSTRUCTION KC LLC 2212019 0 5645 1120 1701 W 40 HWY SUITE 205 BLUE SPRINGS MO 64015

LEE, DANNY 2212019 0 5645 1120 699 N MADISON AVE B LEBANON MO 65536

MISSISSIPPI VALLEY ROOFING INC 2212019 0.95 8810 7471 27 ST ANTHONY LANE FLORISSANT MO 63031

PROGRESSIVE MARKETING GROUP 2212019 0 8017 1499 8238 ROBINSON OVERLAND PARK KS 66204

RINEY,MICHAEL W & 2212019 0 908 1796 601 ESSEX CT SAINT LOUIS MO 63122

TONI PAINTING LLC 2212019 0 5474 1120 1220 COTTAGE MILL MANCHESTER MO 63021

AFFORDABLE CRAFTSMAN, LLC 2222019 0 5645 1120 1542 GRANT DR ST CHARLES MO 63303

BAZAN LEAD ABATEMENT SERVICES, 2222019 0.76 5474 11356 1273 NORTH PRICE ST. LOUIS MO 63132

C.A.A.I.R., INC 2222019 0.78 8021 61353 C/O LOUISE DUNNAM JAY OK 74346

DA WAREHOUSE 2222019 0 9084 1534 5000 THEKLA ST LOUIS MO 63115

DADE COUNTY R-4 FIRE 2222019 0.97 7711 4183 P O BOX 202 GREENFIELD MO 65661

DOWNHOME CONSTRUCTION SERVICES 2222019 0 5645 1120 219 NW 113TH TERRACE KANSAS CITY MO 64155

MJB RISK CONSULTING, INC 2222019 0 8810 2040 C/O MATT BUJEWSKI ST. LOUIS MO 63127

ORDONEZ, ANGEL DBA ANGEL'S 2222019 0 5474 2535 8409 BOONE BLVD KANSAS CITY MO 64114

OSAGE TOWNSHIP 2222019 0 5506 1206 C/O LESTER RUFENACHT DEEPWATER MO 64740

ROBO SALES, INC.& 2222019 0 8810 875 800 W. 47TH STREET SUITE 500 KANSAS CITY MO 64112

ROBY FIRE DEPARTMENT INC 2222019 0 7711 2401 PO BOX 265 ROBY MO 65557

SKYLINE ROOFING LLC 2222019 0 5551 1289 168 PINEDALE DR ST CHARLES MO 63301

UNITED ONE, LLC 2222019 0 7219 4949 6817 STADIUM DR STE 308 KANSAS CITY MO 64129

WILLIAMS, W. GRANT III 2222019 0 913 1254 1 LADUE LANE ST. LOUIS MO 63124

ABSOLUTE CONSTRUCTION INC 2232019 0.96 5645 1205 954 KENNEDY AVE SCHERERVILLE IN 46375

BLANKENSHIP, MIRANDA 2232019 0 9014 1120 748 FORKNERS HILL RD CONWAY MO 65632

CHEMPLEX AUTOMOTIVE GROUP INC 2232019 0 8742 4195 21020 E STATE ROUTE 78 INDEPENDENCE MO 64057

EXPERT PEST SOLUTIONS, LLC 2232019 0 9014 4249 PO BOX 493 OZARK MO 65721

GARCIA, JORGE-LUIS LOPEZ 2232019 0 5022 1120 106 W 103RD ST. APT. 11 KANSAS CITY MO 64116

GIBSON, GREG 2232019 0 7219 1120 23069 SCHUETZEN GROUND RD WARRENTON MO 63383

GROUNDWORKS CONTRACTING, INC 2232019 0 5507 3993 C/O JASON RICHTER BREESE IL 62230

KC PHANTOMS INDOOR FOOTBALL 2232019 0 9179 8966 5100 ARARAT DRIVE KANSAS CITY MO 64129

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

MA URIBE ROOFING LLC 2232019 0 8742 3149 43 FIR TREE LANE WRIGHT CITY MO 63390

PURSLEY, RAYMOND 2232019 0 9102 1087 PO BOX 1045 BOLIVAR MO 65613

RLS CONSTRUCTION LLC 2232019 0 5535 1120 823 E FIRST STREET WASHINGTON MO 63090

TIP TOP PAINTING LLC 2232019 0.98 5474 36003 501 NE 94TH CT KANSAS CITY MO 64155

VINYL AND CARPET SAN JOSE LLC 2232019 0 5478 3745 1027 S MCKINLEY JOPLIN MO 64801

ACM CONSTRUCTION LLC 2242019 0 5645 14540 9751 STARR SCHOOL RD ODESSA MO 64076

ALL-TEK LLC 2242019 0 6217 1205 7867 BEECHCRAFT LN DEXTER MO 63841

DONIPHAN-RIPLEY COUNTY LIBRARY 2242019 0 8810 597 207 LOCUST ST DONIPHAN MO 63935

REED, ANDREW S 2242019 0 5478 1120 311 INDIAN MEADOW DR JEFFERSON CITY MO 65101

WILLIS AND SONS LLC 2242019 0 5645 1120 2205 LAKE SIDE DR WENTSVILLE MO 63385

WILLIS WORX LLC 2242019 0 5645 1120 1002 W MAIN ST SAVANNAH MO 64485

CONCRETE RAISING SYSTEMS LLC 2252019 0 5215 1120 7318 NORTH DONNELLY AVE. KANSAS CITY MO 64158

DENNIS, AUSTIN DBA 2252019 0 6217 1240 4647 WILSON RD DEFIANCE MO 63341

FORTUNA FIRE PROTECTION 2252019 0.98 7711 3424 PO BOX 34 FORTUNA MO 65034

ISENBERG FLOORS LLC 2252019 0 5478 1120 104 SHORT ST JEFFERSON CITY MO 65101

MIDWEST BEE REMOVAL LLC 2252019 0 9014 1122 4771 FULKS RD BATES CITY MO 64011

MILLERSVILLE RURAL FIRE 2252019 0 7711 3404 126 COUNTY ROAD 482 MILLERSVILLE MO 63766

SIESENER, LAWRENCE DBA 2252019 0 5551 1120 36 ROCKY RIDGE LANE TROY MO 63379

TURNER, CINDY DBA C.A.T. 2252019 0 7219 1120 10220 CAMDEN DR CADET MO 63630

WEST, GORDON 2252019 0 5645 1104 18144 SE COUNTY ROAD B EDGERTON MO 64444

WIESE CONSULTING GROUP LLC 2252019 0 5190 1120 1300 PERSHALL ROAD ST LOUIS MO 63137

WRECKING CREW INC, THE 2252019 1.22 5022 11533 7985 JIM WEBER ROAD EUREKA MO 63025

B & K ROOFING LLC 2262019 0.97 5551 3557 3801 OAKLAND AVE STE 103C ST JOSEPH MO 64506

BENNY OWENS ENTERPRISES LLC 2262019 0 7219 8943 222 CRAVENS ST SIKESTON MO 63801

BOCKHORST, WILLIAM 2262019 0 7219 1096 401 W COLLIER TROY MO 63379

DEATLEY, JAMES DBA DJ'S LAWN 2262019 0 9102 1122 52 CRICKET LANE REED SPRING MO 65737

ENGELHUPT, JAMES DBA ENGELHUPT 2262019 0 6217 1121 PO BOX 11691 KANSAS CITY MO 64138

FOR LOVE OF THE HORSE 2262019 0 4611 2878 P.O. BOX 155 LATHROP MO 64465

GATEWAY TAXI MANAGEMENT INC 2262019 0.96 8810 6963 600 S VANDEVENTER ST LOUIS MO 63110

PLATTE COUNTY SOIL & 2262019 0 8810 477 PO BOX 1220 PLATTE CITY MO 64079

SHARP SECURITY LLC 2262019 0 7605 1255 8 SOUTH RIDGE MEADOWS LANE TROY MO 63379

SHELBY COUNTY HEALTH DEPT 2262019 0 8832 3535 PO BOX 240 SHELBYVILLE MO 63469

SUMA DESIGN INC 2262019 0.94 8810 1498 8143 CLEARWATER DRIVE PARKVILLE MO 64152

WESTBORO FIRE PROTECTION 2262019 0 7711 2820 P.O. BOX 62 WESTBORO MO 64498

BRIAN S COOK CONSTRUCTION AND 2272019 0 5645 1254 8816 MANCHESTER ROAD SUITE 137 SAINT LOUIS MO 63144

CIOBANASU, GHEORGHE 2272019 0 5645 1120 3529 W FRATELLI LANE SPRINGFIELD MO 65802

CJ'S GENERAL CONTRACTING LLC 2272019 0 42 1120 C/O JAMEY BATE LEXINGTON MO 64067

GUZON, ION DBA 2272019 0 5645 1120 2294 S FARM RD 237 ROGERSVILLE MO 65742

GUZUN, MIHAIL 2272019 0 5645 1120 3169 N WESTERN AVE SPRINGFIELD MO 65803

HOPE CONTRACTING LLC 2272019 0 5645 1120 706 S WILLIAMS ST MOBERLY MO 65270

LINCOLN MANAGEMENT GROUP INC 2272019 0 5606 1462 170 WEST CHERRY ST TROY MO 63379

RJ MARKS DBA 2272019 0.93 5645 32441 14317 SAM MOORE RD LONE JACK MO 64070

GAINES & BELMAN REMODELING CO 2282019 0 5645 1120 4000 S PHELPS RD INDEPENDENCE MO 64055

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

MARES CONSTRUCTION LLC 2282019 0 8742 2908 2260 HOOD AVENUE ST LOUIS MO 63114

NEBO-FALCON FIRE PROTECTION 2282019 0 7711 2178 P O BOX 11 FALCON MO 65470

PFEFFERKORN & DRURY 2282019 0.92 5222 1254 C/O GABE PFEFFERKORN PAOLA KS 66071

REED SAFETY INC 2282019 0 8720 3074 C/O BLANE REED CRANE MO 65633

SCHWARK, BENSON DBA DIAMOND 2282019 0 5474 1254 32452 W 118TH ST. EXCELSIOR SPRINGS MO 64042

A & C BUILDERS, LLC 3012019 0 5057 13185 C/O JAMES FITTERLING CENTERVIEW MO 64019

ALL AMERICAN FIREWORKS LLC DBA 3012019 0 4777 1885 7546 PERSIMMON COURT WILLARD MO 65781

BAKER, PHILLIP 3012019 0 6824 1120 138 CARNAHAN RD MACKS CREEK MO 65786

BOTANICAL BREEDING COMPANY LLC 3012019 0 8 2111 18411 220TH STREET SKIDMORE MO 64487

BRANDSVILLE FIRE PROTECTION 3012019 0 7711 1255 PO BOX 487 BRANDSVILLE MO 65688

CHALLENGE QUEST DESIGN LLC 3012019 0.9 5403 3348 3074 FARM ROAD 1107 MONETT MO 65705

CRTECHNICAL STAFFING INC 3012019 0 3685 1812 10501 WAYZATA BLVD STE #4 MINNETONKA MN 55305

EDDIE PICKETT AUCTION SERVICE 3012019 0 8017 3502 1932 N W 352ND STREET STEWARTSVILLE MO 64490

EXECUTIVE CONSTRUCTION 3012019 0 5645 1254 C/O KEVIN DEAN ST. LOUIS MO 63123

FIREWORKS MANAGEMENT INC, GEN 3012019 0.97 4771 7018 5200 W 94TH TERR, STE 114 PRAIRIE VILLAGE KS 66207

HEARTLAND CARPENTRY, LLC 3012019 0 2802 4505 205 WALLY AVE UNION MO 63084

JC WINDOW & DOOR LLC 3012019 0 5102 1120 824 COLBY LN SAINT PETERS MO 63376

JNR SIDING & WINDOWS,LLC 3012019 0 5645 1120 3805 SW BRANDYWINE CIRCLE BLUE SPRINGS MO 64014

KONTEK INDUSTRIES, INC. 3012019 0.97 8810 731 107 W CENTER ST. STE B SIKESTON MO 63801

LEARNING CONNECTION CHILD 3012019 0 8868 2747 136 SCOTT STATION ROAD JEFFERSON MO 65109

NEW HAMPTON FIRE PROTECTION 3012019 0 7711 2263 12909 W 330TH ST NEW HAMPTON MO 64471

PACIFIC CONSTRUCTION LLC 3012019 0 5645 1120 C/O DAVID JUNGE BRANSON MO 65616

REYNA, MARIO DBA MJ 3012019 0 5645 1120 4053 MIAMI SAINT LOUIS MO 63116

SHADOWFAX ENTERPRISES LLC 3012019 0 7219 1254 11330 CANNON MINES RD CADET MO 63630

SHIELD SOLUTIONS LLC 3012019 0 7720 4556 1205 MISSOURI AVE WEST PLAINS MO 65775

SORENSEN, JAMES DBA PJ 3012019 0 5183 1120 8410 NE 110TH TER KANSAS CITY MO 64157

STAFFING SERVICES INC 3012019 0 1472 14286 300 N WAYNE ST ANGOLA IN 46703

UNION HILL HOMES ASSOCIATION 3012019 0 9015 1205 C/O FIRSTSERVICE RESIDENTIAL KANSAS CITY MO 64153

W SUMMERS LLC 3012019 0.97 7219 1814 8093 LOOKOUT POINT RD ODESSA MO 64076

WOFKC MEDICAL CLINIC INC DBA 3012019 0 8832 941 PO BOX 481021 KANSAS CITY MO 64148

HALLS LEVEE DISTRICT 3022019 0 251 1121 C/O KATHY BRINTON ST JOSEPH MO 64503

KING, LISA 3022019 0 8820 428 1734 EAST VINCENT STREET SPRINGFIELD MO 65804

MISSOURI MINING INVESTMENTS, 3022019 0 8810 528 C/O ENVIRONMENTAL OPERATIONS SAINT LOUIS MO 63104

NEGRETTI, CHRISTOPHER 3022019 0 5645 1120 205 S 3RD ST LOT 16 OWNERSVILLE MO 65066

RICHINS BROTHERS CONTRACTING 3022019 0 5535 1204 9889 JONES CREEK RD DITTMER MO 63023

SEJ CONSTRUCTION LLC 3022019 0 5606 1448 6500 E MOUNT ZION CHURCH RD HALLSVILLE MO 65255

SHELTER DEFENSE LLC 3022019 0 5606 1518 3907 SW CHARTWELL COURT LEE'S SUMMIT MO 64082

TOM'S TREE SERVICE 3022019 1.28 106 51501 1313 SOUTH MAIN ST ALBIA IA 52531

TRUESDELL, WILLIAM TYLER DBA 3022019 0 6400 1105 C/O WILLIAM TRUESDELL CAMDENTON MO 65020

WASHBURN VOLUNTEER FIRE 3022019 0 7711 2513 PO BOX 293 WASHBURN MO 65772

WESCOAT FLYING SERVICE LLC 3022019 0 7403 1616 141 MARIGOLD LANE POPLAR BLUFF MO 63901

WESTERN CASS FIRE PROTECTION 3022019 0 7711 3254 P. O. BOX 67 CLEVELAND MO 64734

ANDERSON, CLIFF 3032019 0 5462 1120 2301 E 25TH ST GRANITE CITY IL 62040

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

BO EILENSTINE EXCAVATION LLC 3032019 0 6217 1254 20394 HEMLOCK ROAD LEBANON MO 65536

DOGLEG, LLC DBA MAPLE CREEK 3032019 0.96 9060 4128 5330 NE OAKRIDGE DRIVE KANSAS CITY MO 64119

FILE, MARK 3032019 0.97 5474 1120 100 TERRY LANE WRIGHT CITY MO 63390

HUGH'S ALUMINUM 3032019 0 5645 1112 127 PERSIMMON LANE GRAVOIS MILLS MO 65037

JONES, MATTHEW W 3032019 0 5645 1120 6982 SW HWY K OSCEOLA MO 64776

PREMIER HOME MANAGEMENT LLC 3032019 0 9014 1806 4655 OSAGE BEACH PKWY STE 262A OSAGE BEACH MO 65065

RECOVERY TEAM LLC, THE 3032019 0 7225 3812 3150 ROGERS ROAD SUITE 202 WAKE FOREST NC 27587

RELIABLE REMODEL LLC 3032019 0 5645 1120 1616 NE DANA DR BLUE SPRINGS MO 64014

BRINER, CHARLIE DBA BRINER 3042019 0 5645 1120 147 ROYALLSPRINGS PKWY O FALLON MO 63368

DODD ENTERPRISES, LLC 3042019 0 5183 1120 1212 CAMELOT DR. LIBERTY MO 64068

KALITA CARPET LLC 3042019 0 5478 1120 5431 MARION DR. KANSAS CITY MO 64133

SUPERIOR EXTERIORS OF 3042019 0.92 8742 11225 2221 W BATTLEFIELD SPRINGFIELD MO 65807

TOWER GROVE PIZZA INC 3042019 0.77 9083 25992 800 N 17TH STREET ST LOUIS MO 63106

BELGRADE VOLUNTEER FIRE DEPT 3052019 0 7711 2067 P O BOX 71 BELGRADE MO 63622

DONNINGER FLOORING, LLC 3052019 0 5478 1120 188 AUTUMN OAKS DRIVE TROY MO 63379

DROESCH, KEVIN CPA 3052019 0 8810 510 3882 PERSHALL SUITE 206 ST. LOUIS MO 63135

FOTO WRAP LLC 3052019 0 8810 1261 6850 E FRONT STREET KANSAS CITY MO 64120

MARYVILLE VETERINARY CLINIC 3052019 0.93 8288 11572 C/O DR. DAVID J FRUEH MARYVILLE MO 64468

MID AMERICA SOLUTIONS, LLC 3052019 0.89 8742 795 C/O CONTINENTAL GROUP INC BLUFFTON IN 46714

MISSOURI CONTINENTAL GROUP INC 3052019 0.88 8742 1028 2401 N MAIN STREET BLUFFTON IN 46714

MOLDMAN ENTERPRISES, LLC 3052019 1.09 5473 37596 C/O CHICAGO WATER STOPPERS INC CHICAGO IL 60608

NOLTE, ROBERT D. DBA ROBERT 3052019 0 5645 1120 11155 SAINT MARYS ROAD HIGGINSVILLE MO 64037

RIDGEWAY FIRE PROTECTION DISTR 3052019 0 7711 1122 P.O. BOX 163 RIDGEWAY MO 64481

ST JUDE & NEW MADRID HARBOR 3052019 0.96 8810 11795 PO BOX 242 CHESTER IL 62233

SUMMERSVILLE FIRE & RESCUE 3052019 0 7711 3540 PO BOX 175 SUMMERSVILLE MO 65571

TODD'S CANTEEN INC 3052019 0 9082 4081 5642 GRAVOIS ROAD HOUSE SPRINGS MO 63051

WITTE, ROBERT DBA DESIGN 3052019 0 5022 1752 9423 BURDELLA AVE ST LOUIS MO 63114

ALL BRANDS EXTERIORS LLC 3062019 0 5645 1120 1209 CAULKS HILL RD ST CHARLES MO 63304

BRENNAN, MICHAEL 3062019 0 5645 1120 8185 N SERVICE RD BOURBON MO 65441

FENBERG, JAMES 3062019 0 908 1200 219 S CENTRAL CLAYTON MO 63105

HANNEFORD CIRCUS INC 3062019 0 8810 1138 2329 S. TAMIAMI TRAIL OSPREY FL 34229

HORSTMAN, MASON DBA 3062019 0 5059 1254 5780 COUNTY RD 416 FULTON MO 65251

IG CONSTRUCTION LLC 3062019 0.89 5221 27031 C/O CHRIS HUFFMAN LEXINGTON MO 64067

LASER RENTALS INC 3062019 0 9154 1547 1953 COUNTY LANE 282 JOPLIN MO 64804

LAW, SUSAN 3062019 0 8810 398 249 ARBOR PLACE LANE VALLEY PARK MO 63088

MILLER, ALBERT 3062019 0 5645 4702 1215 W. BUTTERFIELD NIXA MO 65714

MSMJ LLC DBA DOG GONE MOLD 3062019 0.9 5473 33640 637 W 58TH STREET KANSAS CITY MO 64113

RHODEN ROOFING LLC 3062019 0 5551 7190 C/O ASHLEY RHODEN WICHITA KS 67211

ROCCO CONSTRUCTION LLC 3062019 0 8810 1321 427 MUIRFILED DRIVE ST CHARLES MO 63304

C-6 INCORPORATED DBA E-Z HOME 3072019 0 8742 1266 2595 HAMLINE AVE N ROSEVILLE MN 55113

ENTERPRISE LAUNDRY, INC. 3072019 0 8810 1303 14528 S. OUTER FORTY #100 CHESTERFIELD MO 63017

H & F HYDRO SEEDING LLC DBA 3072019 0 9102 1120 8819 NE 110TH ST KANSAS CITY MO 64157

HARKER, KEVIN DBA 3072019 0 6217 1757 3105 COUNTY LINE RD MOUNTAIN GROVE MO 65711

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

HILL, PATTY DBA PH TRUCKING 3072019 0.93 7219 11635 11512 STATE HIGHWAY U ROGERSVILLE MO 65742

LAFAYETTE ASSOCIATES LLC 3072019 0 8810 422 C/O STEVE BOYER BALLWIN MO 63021

LLOYD BROWN LLC 3072019 0.93 5645 1254 1006 OAK DRIVE RAYMORE MO 64063

MASTER DREAM USA LLC 3072019 0 2710 70862 1210 WARD ST AVA MO 65608

MISSOURI NETWORK FOR OPIATE 3072019 0 8868 1101 4022 S BROADWAY ST LOUIS MO 63118

MO AXE THROWING LLC DBA 3072019 0 9016 1821 1862 SCHERER PKWY SAINT CHARLES MO 63303

NEW BLOOMFIELD FPD 3072019 0 7711 3355 PO BOX 22 NEW BLOOMFIELD MO 65063

NIVENS CONSTRUCTION LLC 3072019 0 5437 1115 C/O CHAD NIVENS JEFFERSON CITY MO 65109

PRIORITY ROOFING AND 3072019 0 5551 1194 12405 NW 78TH TERRACE KANSAS CITY MO 64152

ROYAL BACK YARD LIVING, LLC 3072019 0 5223 1205 1202 SW EASTMAN BLUE SPRINGS MO 64015

WILLIAMS, KEITH 3072019 0 5437 1120 2045 TREVOR TRAIL OZARK MO 65721

BLADE AND TIMBER LLC 3082019 0.85 9016 1257 1101 MULBERRY STREET KANSAS CITY MO 64101

BLAIRSTOWN, CITY OF 3082019 0 7711 1117 P.O. BOX 109 BLAIRSTOWN MO 64726

JASPERING, GERARD DBA 3082019 0 5190 1121 933 CHESTNUT OAK ST CHARLES MO 63303

MINICK GAMBRELL CONTRACTORS, 3082019 1.51 5537 8265 19980 W. 162ND ST OLATHE KS 66062

P5 ENTERPRISE LLC DBA 3082019 0 9534 1254 PO BOX 911 IMPERIAL MO 63052

R&C FRAMING LLC 3082019 0 5645 2932 10716 COLLEGE AVE KANSAS CITY MO 64137

REDLINE WELDING LLC 3082019 0 3724 4138 C/O DAVID & ANGIE EDMOND FESTUS MO 63028

VENABLE, GREG & VENABLE, 3082019 0.94 5551 1205 3924 CLYDESDALE DR COLUMBIA MO 65202

CANLAS, MARIO T DBA 3092019 0 5437 3396 5718 S. JEFFERSON ST. SPRINGFIELD MO 65810

CLARKE DEVELOPMENT LLC 3092019 0 5645 2516 227 ROBERTS ROAD LONG LANE MO 65590

DIETRICH, LYLE 3092019 0 3365 1120 4815 S 102ND RD BOLIVAR MO 65613

ELDON FREIGHTWAYS, INC 3092019 0 7219 93000 604 INDUSTRAIL PARK DRIVE ELDON MO 65026

FREEMAN, DELINDA DBA 3092019 0 9014 1207 31785 W. 157TH ST EXCELSIOR SPRINGS MO 64024

HARRISON TOWNSHIP MERCER 3092019 0 5506 1121 12686 FALCON RD CAINSVILLE MO 64632

INSULATION OF THE OZARKS INC 3092019 0 8810 3226 3180 S. VALLEY VIEW AVENUE SPRINGFIELD MO 65804

PRP WINE INTERNATIONAL INC DBA 3092019 1.35 8810 19726 1323 BOND STREET, SUITE 179A NAPERVILLE IL 60563

RIVERBEND BIODIESEL LLC 3092019 0 4829 3976 1201 S 6TH ST ST JOSEPH MO 64501

SANTOS, ROGER DBA SANTOS 3092019 0 5551 2990 9723 MCDOWELL PL ST LOUIS MO 63114

SPARKS ELECTRICAL LLC 3092019 0 5190 1121 2406 S CRESCENT AVE INDEPENDENCE MO 64052

STEAM ST LOUIS INC 3092019 0.96 9014 4720 2204 GRAVOIS ROAD HIGH RIDGE MO 63049

TRI LAKES RESTORATION & 3092019 0 5645 12853 C/O ROWDY URUCH REED SPRINGS MO 65737

WILLEMSSEN, DAVID DBA 3092019 0 7600 1534 4435 E HUNTSVILLE RD FAYETTEVILLE AR 72701

YUST TRANSPORTATION & 3092019 0 7219 1254 13087 FALCON RD NEOSHO MO 64850

CENTRAL DEVELOPMENT GROUP LLC 3102019 0 5551 1120 1312 WESTVIEW TERRACE COLUMBIA MO 65203

EASLEY, JAMES DBA EASLEY FARM 3102019 0.93 83 7155 PO BOX 1239 SEALY TX 77474

ELITE ROOFING/REMODELING LLC 3102019 0 5551 1205 2790 CO RD 2910 HIGBEE MO 65257

HERSO PAINTING LLC 3102019 0 5474 1255 1708 N E CLUBHOUSE DR #202 KANSAS CITY MO 64116

KANSAS CITY VILLAS LLC 3102019 0.98 5474 5141 12641 ANTIOCH ROAD #177 OVERLAND PARK KS 66213

MATHENY, KEITH 3102019 0 5645 2932 2601 NORTHRIDGE DRIVE COLUMBIA MO 65202

PAHLKE, CHAD 3102019 0 5551 1120 600 HIGHFIELD DR ST. CHARLES MO 63304

POPA, JACOB 3102019 0 5474 1120 2719 S STATE HWY J SPRINGFIELD MO 65809

ALLS CONCRETE AND ASPHALT LLC 3112019 0 5221 1747 1501 N SCOTT AVE TRLR 13 BELTON MO 64012

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R671017D RUN DATE: 2018/07/06

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

BENCHMARK QUALITY BUILDERS LLC 3112019 0 5606 3158 PO BOX 586 BASEHOR KS 66007

BOSWELL, JIM 3112019 0 7219 1120 PO BOX 87 BILLINGS MO 65610

CHRISMAN LP GAS INC 3112019 1.59 8810 60717 524 NORTH STATE ROUTE 25 DEXTER MO 63841

GOLDEN RULE CONCRETE, LLC 3112019 0 5213 1120 C/O DELMAR RHODES KIRKSVILLE MO 63501

GOMEZ, ADAN MORALES 3112019 0 5551 1120 411 SANFORD AVE COLUMBIA MO 65201

JACKSON, CHRISTOPHER DBA 3112019 0.96 9154 8597 PO BOX 25095 OVERLAND PARK KS 66225

JE FOSTER CONSTRUCTION, LLC 3112019 0 6217 1121 101 LATIGO STREET LATHROP MO 64465

KAT ENTERPRISES DBA EVENTS BY 3112019 0 8810 723 245 CREST AVE ST LOUIS MO 63122

LEWIS ROOFING LLC 3112019 0 5551 2313 24981 HWY O SEDALIA MO 65301

LUCUS, LISANDRO 3112019 0 5551 1245 9829 TREADWAY LN APT 2 ST LOUIS MO 63134

QUINCY GUN CLUB 3112019 0 9180 1541 C/O DENNIS DEDERT QUINCY IL 62305

UNITED STAFFING MANAGEMENT 3112019 1.02 7590 9597 3159 DENTON HWY SUITE C HALTOM CITY TX 76117

AGILE RABBIT PRODUCTIONS LLC 3122019 0 9156 1258 4023 KENNET PIKE #50182 WILMINGTON DE 19807

AVILA, BONI V. 3122019 0 5551 825 6439 E 13TH ST KANSAS CITY MO 64126

DELTA FIRE PROTECTION DISTRICT 3122019 0 7711 2178 P O BOX 815 DELTA MO 63744

MESTEL, SCOTT & 3122019 0 5551 1120 16287 CRACKLIN DR DIXON MO 65459

MMFM LC 3122019 0 9180 4000 171 NRO ROAD LEBANON MO 65536

RAU, DAMON DBA MO-RITE LAWN 3122019 0 9102 2784 9222 NE 198TH ST TRIMBLE MO 64492

AMPS STAFFING, INC 3132019 0 5190 1256 345 HIGH ST 5TH FLOOR, STE 530 HAMILTON OH 45011

CEDARCREEK FIRE PROTECTION 3132019 0 7711 1565 C/O JENNIE BALTZ CEDAR CREEK MO 65627

HIGH TEMP SOLUTIONS LLC 3132019 0.97 3726 7844 C/O PHILLIP EIDSON URBANA MO 65767

LEWIS, LARRY 3132019 0 5645 1120 626 S. DOUGLAS SPRINGFIELD MO 65806

PUCKETT, SCOTT D & PUCKETT, 3132019 0 5645 1120 303 STATE HIGHWAY H FORSYTH MO 65653

RANDOLPH DEVELOPMENT LLC 3132019 0 5645 1120 100 NORTH LAFAYETTE ST MADISON MO 65263

ARR LLC 3142019 0 5478 1120 106 MOSS AVE LIBERTY MO 64068

BERGER, JOSEPH BERGER IRRV TR 3142019 0 913 1254 C/O EA ADVANTAGE, LLC JOPLIN MO 64801

EAGLE FLOORING MIDWEST LLC 3142019 0 5478 1120 490 BLACKMORE RD FOLEY MO 63347

ESTEBAN ALONSO, PABLO DBA 3142019 0 5645 4702 520 E 126TH TER OLATHE KS 66061

HARDIN, ALAN SR 3142019 0 7219 1254 3627 BLUE RIDGE CUTOFF KANSAS CITY MO 64133

LUGO, CAIN 3142019 0 5551 4346 6645 LYDIA AVE KANSAS CITY MO 64131

MILLER FOUNDATION, LLC 3142019 0 5645 1254 C/O GLENDON MILLER LINN MO 65051

NORMAN, CHARLES DBA CNA 3142019 0 5020 1205 2323 W FR 178 SPRINGFIELD MO 65810

PROGRESS CONSTRUCTION INC 3142019 0.92 8810 2040 6830 CRUMPLER RD OLIVE BRANCH MS 38654

R&D RENOVATIONS LLC 3142019 0 5645 1120 5694 SE 33 HWY HOLT MO 64048

TEAM STAFFING SOLUTIONS INC 3142019 0.87 2095 7104 109 LAKE PARK BLVD MUSCATINE IA 52761

BASS, TROY DBA BASS HAULING 3152019 0 7219 1120 21339 BEECH RD DIAMOND MO 64840

BIG STORM LLC DBA STORM GUARD 3152019 0 8742 3740 200 NW MCNARY CT LEE'S SUMMIT MO 64086

BOLLINGER COUNTY HEALTH CENTER 3152019 0 8832 3274 P.O. BOX 409 MARBLE HILL MO 63764

BRIAN GILPIN CONSTRUCTION, INC 3152019 0 8810 1281 3051 E ROUTE M ASHLAND MO 65010

COLMEX DRYWALL LLC 3152019 0 5445 1120 4414 W SOUTH PINEBROOK LN COLUMBIA MO 65203

CYNCERE CLEANING, LLC 3152019 0 9014 1070 3501 SUMMIT AVE ST. LOUIE MO 63129

DELCOUR CONTRACTING LLC 3152019 0 5348 1120 304 LITTLE AVE CLEVER MO 65631

DYNASTY ASSOCIATES LLC DBA 3152019 0 5102 1865 3865 VISCOUNT AVE SUITE6 MEMPHIS TN 38118

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R671017D RUN DATE: 2018/07/06

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POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

FLY OVER BOY INC DBA 3152019 0 9170 12115 19 VILLAWOOD LANE ST. LOUIS MO 63119

HERCULES HOME IMPROVEMENTS LLC 3152019 0 5645 1120 C/O JOSH HERCULES WENTZVILLE MO 63385

JIM'S ROOFING LLC 3152019 1.17 5645 3802 2856 TEXAS ST. LOUIS MO 63118

LIVINGSTON'S CONSTRUCTION LLC 3152019 0 5478 1205 7013 STONEBRIDGE PARK DR JEFFERSON CITY MO 65109

MARTINEZ, EDWIN DBA 3152019 0 9102 1205 720 NE 111TH ST KANSAS CITY MO 64155

MUSCLE RELOCATION INC DBA 3152019 0.94 8293 6950 2746 BEDOLL AVE POPLAR BLUFF MO 63901

NORTHEAST R-IV FIRE 3152019 1.01 7711 4112 PO BOX 111 CAIRO MO 65239

RYKKN SOLUTIONS, LLC 3152019 0 4825 4839 PO BOX 35 TANEYVILLE MO 65759

ST LOUIS AGENCY ON TRAINING 3152019 0.81 8810 34369 C/O KIM NESKE ST. LOUIS MO 63103

UNIVERSAL SERVICES ASSOCIATES 3152019 0 8742 960 5 HORNE DRIVE FOLCROFT PA 19032

BEST CLEANING LLC 3162019 0 9014 1096 2108 SW BROOKSHIRE DR BLUE SPRINGS MO 64015

BLADE'S GRASS SERVICE LLC 3162019 0 42 1120 9612 N HIGHLAND TER KANSAS CITY MO 64155

CJJ CONSTRUCTION LLC 3162019 0 5645 3597 2738 CHELSEA AVE KANSAS CITY MO 64128

RAITHEL, KYLE DBA LAKE 3162019 0 5645 1120 726 TWIN VALLEY LOOP LINN CREEK MO 65052

STAFFING DESIGNS LLC 3162019 0.93 8391 18775 PO BOX 1224 CHILLICOTHE MO 64601

STEVENS, JOHN 3162019 0 5437 1120 4051 ESSELDALE SAINT ANN MO 63074

CROOM, LEON DOW DBA CROOM 3172019 0 7403 1394 PO BOX 126 CAMPBELL MO 63933

DREAM TEAM PIZZA LLC 3172019 1.28 9083 123967 244 W MILL ST LIBERTY MO 64068

ELKIN, JEFF 3172019 0 5645 1254 1311 HOLLY LANE ST CLAIR MO 63077

J PLUMLEE CONSTRUCTION LLC DBA 3172019 0.89 5645 26240 C/O JOHN PLUMLEE BRANSON WEST MO 65737

KAGARICE, ROBERT DBA 3172019 0 5645 1120 10422 NE COUNTY ROAD 14004 ADRIAN MO 64720

LANTRIP CARPENTRY LLC 3172019 0 5645 7679 131 CARRINGTON BLVD TROY MO 63379

MCLESKEY, DAVID 3172019 0 7219 1120 8122 WHISPER VALLEY RD ROBERTSVILLE MO 63072

MORRISON AREA VOLUNTEER 3172019 0.98 7711 3342 C/O CLIFF ROST MORRISON MO 65061

PULVERIZER MAINENANCE & 3172019 0 3724 2526 11300 STATE ROUTE 217 SCOTTOWN OH 45678

RENFROE, RANDY DBA 3172019 0 5102 1120 7724 MALLARD DR SAINT LOUIS MO 63133

STRATEGIC STAFFING SOLUTIONS, 3172019 0 8868 577 PO BOX 276 MT PLEASANT SC 29465

STRONG LOGISTICS LLC 3172019 0 7219 1120 108 ROSEWOOD LANE CAPE GIRARDEAU MO 63701

VANDIVER, DAVID DBA BLAKE OLAN 3172019 0 5645 1120 301 N STATE ST DESLODGE MO 63601

ADPI MEDICAL, INC 3182019 0 8833 1150 C/O JOE CALANDRA SOUTHINGTON CT 6489

BERTSCH, MASON 3182019 0 5645 1120 233 ROYALLSPRINGS PKWY O'FALLON MO 63368

ELEGANT CONSTRUCTION LLC 3182019 0 5645 1120 1050 S FARM ROAD 205 SPRINGFIELD MO 65809

GRIOT, LANE 3182019 0 5474 1112 2117 S LUSTER SPRINGFIELD MO 65804

RESCH, GUY R DR DDS 3182019 0 8832 499 PO BOX 73 THEODOSIA MO 65761

SCHROEDER, DANNY DBA D & N 3182019 0 9102 1120 1101 IVEY LANE #40 LEBANON MO 65536

WRIGHT COUNTY CHILDRENS HOME 3182019 0.97 8833 5072 528 W NORWOOD NORWOOD MO 65717

CALVERT ROOFING & 3192019 0.92 5551 1254 8530 WHITE AVE ST. LOUIS MO 63144

CLEARMONT FIRE PROTECTION 3192019 0.98 7711 1811 C/O HERB SNODDERLEY CLEARMONT MO 64431

CLIMB SO ILL INC 3192019 0.95 9063 5307 PO BOX 63347 ST LOUIS MO 63163

DB'S CUSTOM FINISH CARPENTRY 3192019 0 5645 1251 19601 E 9TH ST. S. INDEPENDENCE MO 64056

DYER, WILLIAM C DBA 3192019 0 5645 1205 109 FRANKLIN RAYMORE MO 64083

EARL'S FLYING SERVICE, LLC 3192019 0.94 8810 10272 1051 ADMINISTRATION DRIVE STEELE MO 63877

KEN'S CONSTRUCTION LLC 3192019 0.87 7380 2743 710 SW 50TH AVE TRENTON MO 64683

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

RUWITCH, ELIZABETH R. 3192019 0 913 2732 C/O STEPHEN D. MITCHELL ST. LOUIS MO 63124

S & S UNLIMITED LLC 3192019 0 5645 1120 6220 NW UNION CHAPEL RD PARKVILLE MO 64152

SINGLETON, DAVID 3192019 0 5478 1120 1025 MANSFIELD ST MEXICO MO 65265

ADKINS ENTERPRISE LLC 3202019 0 5190 1205 14785 SHYVIEW AVE SMITHVILLE MO 64089

HARRIS, SPENCER T. DBA SPENCER 3202019 0 5221 1206 619 N SCHOOL DESLOGE MO 63601

K & L ROOFING AND GENERAL 3202019 0 5535 1939 1140 S DODGI ON AVE INDEPENDENCE MO 64050

MAD SERVICES LLC 3202019 0 5537 1205 25151 HWY 179 BOOONVILLE MO 65233

MAGNUS CONSTRUCTION AND 3202019 0.83 5551 98311 PO BOX 8612 ST LOUIS MO 63126

MARTINSBURG AREA FIRE 3202019 0 7711 2737 PO BOX 129 MARTINSBURG MO 65264

SOUTHERN REMODELING 3202019 0 5645 1120 4023 KENNETT PIKE # 50212 WILMINGTON DE 19807

WOLF CONCRETE LLC 3202019 0 5221 1918 1766 ASTRA WAY ARNOLD MO 63010

ADVANCED FIRE PROTECTION INC 3212019 0.88 5188 13859 24 HIGH TRAIL ST PETERS MO 63376

COMPLETE HOME REMODELING 3212019 0 5645 1254 305 NE DOUGLAS LEE'S SUMMIT MO 64063

DALLAS, STEVE 3212019 0 5645 1254 459 WEST HWY U TROY MO 63379

KELLY STIEFERMANN 3212019 0 8831 1208 PO BOX 69 FREEBURG MO 65035

LANE MATHEW LLC 3212019 0 5645 13002 2182 CLARKSON PARK CT CHESTERFIELD MO 63017

LENDER, JOSH 3212019 0 5551 1254 112 DARIA CT MOSCOW MILLS MO 63362

MID MO MINE CONTRACTORS LLC 3212019 0 3724 9319 1058 HWY 21 CALEDONIA MO 63631

MOLD SOLUTIONS OF ST. LOUIS 3212019 0.94 9014 7018 966 LAMBRECHT ROAD FRANKFORT IL 60423

OUTSTANDING AUDIO VIDEO LLC 3212019 0 9516 3849 4315 S SULGROVE AVE SPRINGFIELD MO 65804

OVERSTREET INVESTMENTS LLC 3212019 0 3574 9925 PO BOX 68 BOONVILLE MO 65233

R L JONES CONSTRUCTION LLC 3212019 0 5403 5704 30001 E MAJOR RD GRAIN VALLEY MO 64029

SLEEPER VOLUNTEER FIRE 3212019 0 7711 1432 24581 IDAHO RD. LEBANON MO 65536

WILLIAMS, EDDIE DBA EDDIE'S 3212019 0 5478 1120 5648 COUNTY ROAD 173 WILLIAMSBURG MO 63388

ALL ABOUT U IN HOME SERVICES 3222019 0.87 8835 13531 6439 PLYMOUTH SUITE 115 SAINT LOUIS MO 63133

ATLAS DOCKS LLC 3222019 1.3 6834 5485 248 KEYSTONE INDUSTRIAL PARK CAMDENTON MO 65020

BEACON STREET HOMES, LLC 3222019 0 5645 1254 2615 BELFAIR COURT COLUMBIA MO 65203

BOURGEOIS PDR LLC 3222019 0 8393 1407 6316 ASHBURY DRIVE ST LOUIS MO 63123

HOUSTON RURAL FIRE ASSOCIATION 3222019 0 7711 2728 PO BOX 216 HOUSTON MO 65483

J & R CONTRACTING LLC DBA 3222019 0 5645 1120 13662 E SUNRISE LAKE RD DE SOTO MO 63020

LEGIONS EXTERIORS INC 3222019 0 5606 2640 639 WILLOW WOOD CT. ST. CHARLES MO 63303

MEDRANO, JULIO DBA JC ROOFING 3222019 0 5551 1254 103 CRANE STREET CRANE MO 65633

MIDWEST DEVELOPMENT ASSOCIATES 3222019 0 8810 1131 PO BOX 120088 KANSAS CITY MO 64112

STONER, RODNEY E 3222019 0 7219 1255 293 BROWNSVILLE ROAD STOUTLAND MO 65567

BOIS D'ARC FIRE PROTECTION 3232019 1.17 7711 5494 P.O. BOX 1811 BOIS D'ARC MO 65612

BOYER, STEVE DBA BOYER 3232019 0 7219 1254 PO BOX 659 PERRYVILLE MO 63775

ELLIOTT'S LAWN MAINTENANCE 3232019 0 9102 1188 HC 4 BOX # 457E DONIPHAN MO 63935

ENCORE PYROTECHNICS, INC. 3232019 0.97 9180 4516 5200 STATE HWY W OZARK MO 65721

GODBEY PAINTING LLC 3232019 0 5474 1205 1412 N GOLF BLVD COLUMBIA MO 65201

G3 INDUSTRIAL RECRUITING LLC 3232019 0.79 3179 10262 6801 W 121ST STREET OVERLAND PARK KS 66209

HFP ENTERPRISES LLC 3232019 0 5474 1120 18593 BUS 13 STE 206 BRANSON WEST MO 65737

PLEASANT HOPE FIRE PROTECTION 3232019 0 7711 2656 PO BOX 44 PLEASANT HOPE MO 65725

RFS INDUSTRIES LLC 3232019 0 3724 1120 707 NE MAGELLAN AVE. LEES SUMMIT MO 64086

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

TUTT MANAGEMENT SOLUTIONS LLC 3232019 0 5645 1254 10134 GREEN VALLEY DR. ST. LOUIS MO 63136

VASQUEZ, DANIEL DBA AMIGOS 3232019 0 5551 2990 7 BEE JAY DRIVE ST CHARLES MO 63301

WRIGHT-ONE HAULING LLC 3232019 0 7219 1041 C/O DALE WRIGHT JONESBURG MO 63351

BLAND CONSTRUCTION AND ROOFING 3242019 0.96 5551 1254 11215 SW 51 ROAD STOCKTON MO 65785

MOONEYHAM, DAVID 3242019 0 7219 1254 133 ROSEHILL RD BILLINGS MO 65610

NAYLOR CONSTRUCTION LLC 3242019 0 5645 1120 19225 E 752ND RD HUMANSVILLE MO 65674

O'SCARE LAWN CARE LLC 3242019 0 9102 1038 114 NE 50TH CT, APT 1012 KANSAS CITY MO 64118

ADOPT A HIGHWAY LRSA INC 3252019 0.87 9403 2917 4407 MANCHESTER AVE #201 ENCINITAS CA 92024

AGA GROUP, THE 3252019 0 9101 4773 11519 WEST 143RD TERRACE OLATHE KS 66062

EEE PLUMBING LLC 3252019 0 5183 1205 2145 N DOUGLAS AVE SPRINGFIELD MO 65803

FROST, BROCK A & 3252019 0.81 2709 18357 14098 HIGHWAY 60 WINONA MO 65588

GREG BLANKENSHIP LLC 3252019 0 7219 1120 42PALMER SCHOOL LANE SILEX MO 63377

GRIFFIN POLICE GROUP, LLC 3252019 0.89 7720 8109 2299 TECHNOLOGY DRIVE O'FALLON MO 63366

HERMANN VOLUNTEER FIRE 3252019 0 7711 5437 214 EAST 2ND ST HERMANN MO 65041

IBSEN, VAN & IBSEN, SUSIE DBA 3252019 0 8868 773 7221 N OAK TRAFFICWAY GLADSTONE MO 64118

KWON, WANG 3252019 0 5551 34688 2317 S HILTON AVE SPRINGFIELD MO 65807

TREK TRAVEL LLC 3252019 0.83 9016 2215 613 WILLIAMSON ST, SUITE 207 MADISON WI 53703

GATEWOOD LUMBER LLC 3262019 1.27 8232 11963 PO BOX 444 BRANDSVILLE MO 65688

SHAY, WILLIAM DBA 3262019 0 5437 1268 13100 LOWELL GRANDVIEW MO 64030

A & S PAINTING LLC 3272019 0 9014 1115 1608 TYPHOON DR COLUMBIA MO 65202

DOZA, CHRIS DBA DOZA PAINTING 3272019 0 5474 2135 1352 RIVERVIEW DR FESTUS MO 63028

FLETCHALL, REX DBA 3272019 0 2799 2674 11006 MAULDEN CREEK ROAD AGENCY MO 64401

GROTH, WALTER C 3272019 0 37 1121 12808 SMITH CREEK ROAD VERSAILLES MO 65084

HENRY'S HAULING, LLC 3272019 0 7232 1120 15117 E TRUMAN RD INDEPENDENCE MO 64050

JUST WORK LLC 3272019 0 7600 3207 C/O JOHN WEBSTER CAMDENTON MO 65020

KALTER, JAMES DBA JAMES KALTER 3272019 0 5645 1120 1585 WESTVALE DR FESTUS MO 63028

MCELVOY, DEREK 3272019 0 5478 1120 558 S FOREST CT SPRINGFIELD MO 65806

O'BRIEN CONSTRUCTION & 3272019 0 5645 1957 199 O'BRIEN RD ELSBERRY MO 63343

REVITALIZATION 2000 INC 3272019 0 9102 2009 C/O STEVE HUTCHINSON ST LOUIS MO 63122

SALES PARTNERSHIPS INC 3272019 0 8742 2162 350 INTERLOCKEN BLVD. #280 BROOMFIELD CO 80021

SCREEN DUDE LLC, THE 3272019 0 5645 6264 8401 NE 125TH STREET KANSAS CITY MO 64167

SELDAL, ROBERT 3272019 0 5551 1120 721 S WILLIAMS ST MOBERLY MO 65270

SEW LLC DBA WEBB ELECTRIC 3272019 0.95 5190 6955 1022 BROADWAY LAMAR MO 64759

TOWERS CONSTRUCTION 3272019 0 5645 1120 3676 W MAPLEWOOD ST SPRINGFIELD MO 65807

VELDA CITY 3272019 1.6 7720 39020 2560 LUCAS AND HUNT ROAD VELDA CITY MO 63121

VITA BELLA HOMES LLC 3272019 0.98 5645 1205 4157 E OAK KNOLL ST SPRINGFIELD MO 65809

ACASTA SYSTEMS LLC 3282019 0 5437 1348 594 MAPLE RIDGE DRIVE UNION MO 63084

ANTONIO NOVA CARPET LLC 3282019 0 5478 1120 7400 E 50TH STREET KANSAS CITY MO 64129

ARCH FLOOR SERVICES LLC 3282019 0 9014 1254 12906 BARBEZIEUX DR ST LOUIS MO 63141

BRUSH CREEK RANCH III LLC 3282019 0.86 83 14632 1020 CENTRAL, STE 300 KANSAS CITY MO 64105

CENTRAL POLK COUNTY FIRE 3282019 0 7711 2895 P O BOX 836 BOLIVAR MO 65613

CONSTRUCTION & GENERAL 3282019 0.97 8755 5138 2633 WEST CLAY ST. CHARLES MO 63301

DUNNEGAN RURAL FIRE 3282019 0 7711 1174 PO BOX 3 FAIR PLAY MO 65649

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

EL'S MULTI SERVICE, INC 3282019 0 9102 3906 1223 N 15TH STREET ST LOUIS MO 63106

HARRY STATLAND TRUST B FOR 3282019 0 913 1205 1000 WALNUT STREET, BB16-2 KANSAS CITY MO 64106

HENDERSON, KEVIN DBA KH 3282019 0 5474 1205 202 E MAPLE STREET WENTZVILLE MO 63385

JOHANSEN, STEPHEN DBA JOHANSEN 3282019 1.43 37 1890 66082 703 TRAIL RULO NE 68431

LEESVILLE TOWNSHIP 3282019 0 5506 1121 C/O GERALD DICK CLINTON MO 64735

MORRISVILLE FIRE PROTECTION 3282019 0.99 7711 3962 PO BOX 78 MORRISVILLE MO 65710

RICE MOUNTAIN CONSULTING LLC 3282019 0 8602 1177 C/O STEVE RICE BALLWIN MO 63021

ROCHA-ARIAS, JOSE 3282019 0 8810 3205 1815 SPENCER AVENUE ST. LOUIS MO 63114

SMITH AND SAFFELL DRYWALL LLC 3282019 0 5445 1226 21717 CR 232 L HERMITAGE MO 65668

THOMAS FARM & TRUCKING LLC 3282019 0.96 7219 7262 28374 197TH TRL MARSHALL MO 65340

WALNUT GROVE FIRE PROTECTION 3282019 0 7711 2848 540 N. WASHINGTON WALNUT GROVE MO 65770

A & J TOTAL SERVICES LLC 3292019 0 9014 1959 1505 E STATE ROUTE 2 CLEVELAND MO 64734

ASTRA PARTNERS LLC 3292019 0 7421 1534 C/O ROBBY MCGEHEE CLAYTON MO 63105

BOULEVARD HOME BUILDERS LLC 3292019 0 5645 1205 118 N. CONISTOR LANE, STE B351 LIBERTY MO 64068

DHD INSTALLATION LLC 3292019 0 5478 1206 321 MONROE EAST ALTON IL 62024

DOMINIQUE FLOOR COVERING LLC 3292019 1.21 5478 1120 3630 EVERGREEN LANE COLUMBIA MO 65201

E.S. ELEY & SONS FUNERAL 3292019 0.96 9620 5718 4707 E TRUMAN ROAD KANSAS CITY MO 64127

FINISHING TOUCH LLC 3292019 0 5437 3600 3100 RONALD ST. ANN MO 63074

HERITAGE HOUSE CORPORATION 3292019 0 9015 1164 C/O SENTRY MANAGEMENT, INC. ST. LOUIS MO 63132

KEW INDUSTRIAL, LLC 3292019 0 3830 3348 18 E HIGHWAY 16 NEWNAN GA 30263

LEMA, DAVID 3292019 0 5474 4122 202 N PECK DR INDEPENDENCE MO 64056

NEW PARK LLC 3292019 0 8232 1205 440 OLDE COURT RD ST CHARLES MO 63303

NORTHERN WRIGHT COUNTY 3292019 0 7711 2178 PO BOX 111 MOUNTAIN GROVE MO 65711

PUTNAM FLOORING, LLC 3292019 0 5478 1120 21 S. VINE VIEW ST PLATTE CITY MO 64079

REPKING ENTERPRISE LLC 3292019 0 7219 1120 150 CEDAR LAKE DRIVE WENTZVILLE MO 63385

RICHARD CONSTRUCTION EXPERTS 3292019 0 5551 3669 18 GOODLONG ST. CHARLES MO 63301

S & W CUSTOM DECKS, LLC 3292019 0 5403 1120 2252 N CAMPBELL SPRINGFIELD MO 65803

SIEBERT FARMS LLC & 3292019 0.83 37 23360 524 CNTY HWY 230 CHAFFEE MO 63740

SIGNATURE BUILDERS KC LLC 3292019 0.96 5606 11268 2751 NE DOUGLAS ST STE R LEE'S SUMMIT MO 64064

THIER, AARON 3292019 0 5645 1254 C/O ANGELA LONG DIXON MO 65459

VIVAX SYSTEMS INC DBA VIVAX 3292019 1.3 5606 1949 1050 YUMA STREET DENVER CO 80204

WEAUBLEAU LION FIRE DEPARTMENT 3292019 0 7711 2190 PO BOX 123 WEAUBLEAU MO 65774

ALLIED AUTO RACING ASSOCIATION 3302019 0 8810 2675 212 ADAM DR SWANSEA IL 62226

CHARLES JONES LLC DBA 3302019 0 5403 1254 C/O CHARLES JONES FLORISSANT MO 63033

KC ROOFING AND RENOVATION 3302019 0 5645 82215 3209 SW 11TH ST CR BLUE SPRINGS MO 64015

MASON, CHRIS DBA 3302019 0 5474 1120 3792 SW STATE ROUTE N STEWARTSVILLE MO 64490

MILITIA HILL LLC & 3302019 0 7024 2931 C/O JOE HARVEY OSAGE BEACH MO 65065

MISSOURI DRIVING SCHOOL INC 3302019 0 8868 2313 11430 GRAVOIS RD STE 101 ST LOUIS MO 63126

PROTECH SATELLITE LLC 3302019 0 7600 1120 419 MOCKINGBIRD RDG ROGERSVILLE MO 65742

PURDIN SPECIAL ROAD DISTRICT 3302019 0 5506 1373 19970 FLAG ROAD PURDIN MO 64674

RENTAL PLUS LAWN CARE LLC 3302019 0 9102 1207 505 TRAVIS CONCORDIA MO 64020

SOUTHERN FIRE PROTECTION 3302019 0.98 7711 3233 C/O TROY COTTON OREGON MO 64473

TANK SPECIALIST INC 3302019 0 5057 34724 5160 PEACH ORCHARD RD ANDERSON MO 64831

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R671017D RUN DATE: 2018/07/06

MISSOURI TAKE OUT CREDIT REPORT

POLICIES EXPIRING FROM 01/2019 TO 06/2019

POLICY PRED ADJUSTED

INSURED EXPIRY EXPERIENCE CLASS TOTAL INSURED INSURED INSURED INSURED

NAME DATE MOD CODE PREMIUM STREET CITY STATE ZIP CODE

Z PARTZ INC 3302019 0 8810 1649 5100 D MARTHA TRUMAN BLVD GRANDVIEW MO 64137

ACE RENOVATIONS LLC 3312019 0 5474 1120 8315 EAST 170TH STREET BELTON MO 64012

AMAZONIA, CITY OF 3312019 0 7520 1692 P.O. BOX 85 AMAZONIA MO 64421

COPPERHEAD RENOVATIONS LLC 3312019 0 5645 12613 1511 ENWOOD COTTLEVILLE MO 63376

CURRYVILLE FIRE PROTECTION 3312019 0 7711 1396 104 E PARK ST CURRYVILLE MO 63339

DAVID, JONES DBA 3312019 0 5221 1561 7728 ROCK HILL RD ST LOUIS MO 63123

F AND R FLOORING LLC 3312019 0 5478 1254 1541 GAMBIT DR TROY MO 63379

HARDY, BOB DBA HARDY MOWING 3312019 0 9102 1122 541 WOODLAND AVENUE MOBERLY MO 65270

JACKSON, JAMES 3312019 0 5551 1120 2075 HWY YY HALFWAY MO 65663

KARB MAX GENERAL CONSTRUCTION 3312019 0 5437 2994 4348 E 18TH STREET KANSAS CITY MO 64127

KATN CONSTRUCTION LLC 3312019 0 2361 1231 1402 SE 16TH PLACE OAK GROVE MO 64075

KC WINDOW CLEANERS, LLC DBA 3312019 0 9170 5035 2600 ALL OAKS DRIVE BRANSON MO 65616

KENNETH CARMACK CONSTRUCTION 3312019 0 6217 2835 860 COUNTY ROAD 269 GLASGOW MO 65254

KIRK LEWIS DRYWALL 3312019 0 5445 4056 101 NE 74TH TERRACE GLADSTONE MO 64118

LEMAITRE MISSOURI LLC 3312019 0 9180 17694 13975 GRAND VALLEY PARKWAY LAS VEGAS NV 89165

MIDWEST CONSTRUCTION CO 3312019 0 7016 7485 PO BOX 610 NEBRASKA CITY NE 68410

PRECISION FIBER CONST LLC 3312019 0 7600 1255 6769 LEE RD 158 SALEM AL 36874

TITLE LOAN COMPANY 3312019 0 8855 4471 C/O JENNIFER LEVING ST. LOUIS MO 63103

WESTERMAYER, JAMES DBA 3312019 0.96 5645 1120 715 BERMUDA RD ST. LOUIS MO 63121


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