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					Group   Member Name                      Street Address                          City            St.
Added
AICC    Borges Foreign Auto Parts, Inc. 2200 Lewis Street, P.O. Box 521          Dighton         MA
AICC    Early's on Park Avenue, Inc.        536 Park Avenue                      Worcester       MA
        Olivadoti Corp dba Johnson
AICC    Transmissions                       340 Middlesex Avenue                 Medford         MA
        Today's Collision Repair Centers,
AICC    Inc.                                375 Washington Street                Malden          MA
CARE                                        Inc.
        New England Homes for the Deaf, 154 Water St                             Danvers          MA
CARE    Bethany Community Services, Inc. Attn: David Thomas, 10 Phoenix Row      Haverhill        MA
CARE    Bethany Homes, Inc.                 Attn: David Thomas, 10 Phoenix Row   Haverhill        MA
CARE                                        Attn: Four Thomas, 10
        Boxford Friendship Foundation, Inc. dbaDavid Mile Village Phoenix Row    Haverhill        MA
CARE    Mission Towers, Inc.                Attn: David Thomas, 10 Phoenix Row   Haverhill        MA
CARE    Nichols Village, Inc.               Attn: David Thomas, 10 Phoenix Row   Haverhill        MA
CARE                                        Attn:
        Sarah's Place Adult Day Health Center, IDavid Thomas, 10 Phoenix Row     Haverhill        MA
CARE    Trustees of the Carleton Home       Attn: David Thomas, 10 Phoenix Row   Haverhill        MA
MANUF   Peerless Precision, Inc.            22 Mainline Drive                    Westfield       MA
MANUF   ACT Vehicle Equipment, Inc.         946 Southampton Rd                   Westfield       MA
MANUF   International Container Co., LLC 110 North Bridge St                     Holyoke         MA
MANUF                                       PO
        O-D Tool & Cutter Grinding Co., Inc. Box 372                             Mansfield       MA
MANUF   Medford CPL, Inc.                   414 Main Street                      Watertown       MA
MEGA    Amherst Pelham RSD                  170 Chestnut Street                  Amherst         MA
MEGA    Auburn Town of                      102 Central Street                   Auburn          MA
MEGA    Avon Town of                        65 East Main Street                  Avon            MA
MEGA    Belchertown Water District          206 Jabish Street PO Box 801         Belchertown     MA
MEGA    Brookfield Town of                  6 Central Street                     Brookfield      MA
MEGA    Buckland Town of                    17 State Street                      Buckland        MA
MEGA    Canton Town of                      801 Washington StreeT                Canton          MA
MEGA                                        225
        Cape Cod Lighthouse Charter School Route 6A, Bayberry Square             Orleans         MA
MEGA                                        1875 District
        Centerville-Osterville-Marstons Mills FireFalmouth Road                  Centerville     MA
MEGA    Dedham Town of                      Town Hall 26 Bryant Street           Dedham          MA
MEGA    Deerfield Town of                   8 Conway Street                      Deerfield       MA
MEGA    Dudley Town of                      71 West Main Street                  Dudley hill     MA
MEGA    Dukes County                        PO Box 190                           Edgartown       MA
MEGA    Granby Town of                      Kellogg Hall                         Granby          MA
MEGA    GREENFIELD Town of                  14 Court Square                      Greenfield      MA
MEGA    Groton Dunstable Regional School PO Box 729
                                             District                            Groton          MA
MEGA    Halifax Town of                     499 Plymouth Street                  Halifax         MA
MEGA                                        99
        Hampshire Council Of Governments Main Street, Old Courthouse             Northampton     MA
MEGA    Harvard Town of                     13 Ayer Road                         Harvard         MA
MEGA    Hawley Town of                      8 Pudding Hollow Road                Hawley          MA
MEGA    Holbrook Town of                    50 N Franklin Street                 Holbrook        MA
MEGA    Millbury Town of                    127 Elm Street                       Millbury        MA
MEGA                                        758 Marrett Road
        Minuteman Reg Voc Tech School District                                   Lexington       MA
MEGA    Montague Town of                    1 Avenue A                           Turners Falls   MA
MEGA    Nashoba Regional School District 50 Mechanic Street                      Bolton          MA
MEGA    New Braintree Town of               PO Box 193                           New Braintree   MA
MEGA    Oak Bluffs Water District           PO Box 1297                          Oak bluffs      MA
MEGA    Orange Town of                      6 Prospect Street                    Orange          MA
MEGA    Phillipston Town of                 Town Hall, 50 On The Common          Phillipston     MA
MEGA    Rehoboth Town of                    148 R Peck Street                    Rehoboth        MA
MEGA    Salisbury Town of                   5 Beach Road                         Salisbury       MA
MEGA    Sharon Town of                      90 S Main St                         Sharon          MA
MEGA    South Grafton Water District        8A Main Street                       South Grafton   MA
MEGA    Southampton Town of                 PO Box 397 8 East Street             Southampton     MA
MEGA                                       57 Old
         Southern Worcester County Reg Voc SchlMuggett Hill Road            Charlton         MA
MEGA     Spencer Town of                   157 Main St                      Spencer          MA
MEGA     Swansea Town of                   81 Main Street                   Swansea          MA
MEGA     Tisbury Town of                   PO Box 1239 51 Spring Street     Vineyard Haven   MA
MEGA     Tyngsborough Water District       PO Box 305 87 Progress Ave #2    Tyngsborough     MA
MEGA     Tyringham Town of                 116 Main Road PO Box 271         Tyringham        MA
MEGA     Wales Town of                     PO Box 834 3 Hollow Road         Wales            MA
MEGA     Warwick Town of                   12 Athol Road                    Warwick          MA
MEGA     Webster Town of                   350 Main Street                  Webster          MA
MEGA     West Groton Water Supply District PO Box 246                       West Groton      MA
MEGA     West Stockbridge Town of          PO Box 525 21 State Line Road    W Stockbridge    MA
MIIA     Bernardston, Town of              38 Church Street, P.O. Box 504   Bernardston      MA
MIIA     Colrain, Town of                  55 Main Road                     Colrain          MA
MIIA     Dighton Rehoboth Regional School2700 Regional Road
                                            District                        North Dighton    MA
MIIA                                       68 Dudley-Oxford Road
         Dudley-Charlton Regional School District                           Dudley           MA
MIIA     Easthampton, City of              50 Payson Avenue, Suite 115      Easthampton      MA
MIIA     Franklin, Town of                 355 East Central Street          Franklin         MA
MIIA     Granby, Town of                   250 State Street                 Granby           MA
MIIA     Halifax, Town of                  499 Plymouth Street              Halifax          MA
MIIA     Ipswich, Town of                  25 Green Street                  Ipswich          MA
MIIA     Newbury, Town of                  25 High Road                     Newbury          MA
MIIA     North Andover, Town of            120 Main Street                  North Andover    MA
MIIA     Salem Beverly Water Supply        50 Arlington Avenue              Beverly          MA
MIIA     Shirley Water District            124 Ayer Road                    Shirley          MA
MIIA     Westford, Town of                 55 Main Street                   Westford         MA
RETAIL   Academy Dry Cleaners, Inc.        969 Washington St.               Newton           MA
         Allston Venture Five Inc dba The
RETAIL   Avenue Bar & Grill                1249 Commonwealth Ave            Allston          MA
         AML & Sons, Inc. dba Napoli
RETAIL   Restaurant                        1633 Bay Street                  Springfield      MA
         Ascot Cafe, Inc. dba Dube's
RETAIL   Seafood                           317 Jefferson Ave                Salem            MA
         Auburndale Discount Wine &
RETAIL   Spirits, Inc.                     150 Needham Street               Newton           MA
         Blake W. & Cindy M. Stearns dba
RETAIL   Marion's Pie Shop                 2022 Main Street, Route 28       Chatham          MA
RETAIL   Boston Bed Company                135 Spark Street                 Brockton         MA
RETAIL   Bo-Tes Duxbury, LLC               PO Box 543                       Norwell          MA
RETAIL   Brothers Super Liquors II, Inc    368 Warren Street                Boston           MA
RETAIL   Cape Leisure, Inc.                3830 Falmouth Rd                 Marstons Mills   MA
         Chao Lee Family Corp. dba
RETAIL   Maitai                            90 Auburn Street                 Auburn           MA

RETAIL   Charles River Coffee House, Inc. 57 Eliot St.                      Natick           MA
RETAIL   Dalco, Inc. dba Rita Maries      PO Box 804                        Lanesboro        MA
RETAIL   Dawes Avenue Variety, Inc.       21 Dawes Ave                      Pittsfield       MA

RETAIL   Design Resource Center NE LLC     143 Main Street                  Springfield      MA
         Duford Associates, Inc. dba The
RETAIL   Winners Circle                    371 Elm Street                   Salisbury        MA
RETAIL   East Chop Sleep Shop, Inc.        3 Jambray Dr                     Smithfield       RI
         Enlightning Strikes dba Leeds
RETAIL   Package Store                     24 Haydenville Road              Leeds            MA
         Epic Narbles, LLC bda Osterville
RETAIL   Cheese & Sandwich Shop                17 Rebecca Lane               Osterville     MA
RETAIL   Fairway Beef Co, Inc.                 48 Grafton St.                Worcester      MA
RETAIL   Falmouth Wine & Spirits, Inc.         322 Palmer Ave                Falmouth       MA
RETAIL   Franklin Deli, LLC                    1 Blanchard Street            Foxboro        MA
         Frank's Cafe & Coffee House,
         Inc. dba Mockingbird Restaurant
RETAIL   & Martini Lounge                      838 North Bedford St          East BridgewaterMA
         Geagan's Inc. dba Hurleys
RETAIL   Liquors                               1441 Commonwealth Ave         Brighton       MA

RETAIL   Haan Kaya Inc dba Jimmy's Café        151 Linden Street             Wellesley      MA
RETAIL   Hinsdale Trading Co                   371 Old Dalton Rd             Hinsdale       MA
         J A Fernandez Inc dba Fernandez
RETAIL   3 Liquors                             2665 Washington Street        Roxbury        MA
RETAIL   James Dent dba Sports Zone            PO Box 50, Holyoke Street     Holyoke        MA
         Jodan Liquors, Inc dba Randolph
RETAIL   Package Store                         42 North Main St.             Randolph       MA
         Kay Moulton dba Surfland Bait &
RETAIL   Tackle                                28 Plum Island Blvd           Newbury        MA
         Kemal Akdogan dba Magic Rice
RETAIL   & Illusions                           115 Sumner Street, Apt E      East Boston      MA
RETAIL   Konditor Meister, Inc. Auntie
         KPB Pretzels, Inc. dba                32 Wood Road                  Braintree        MA
RETAIL   Anne's Austin's II, Inc. dba Austin
         Landoli                               93 Concord Street             Nashua           NH
RETAIL   Liquors                               15 Sagamore Rd                Worcester        MA
RETAIL   Lok, Corp dba D & R Market
         LengInc dba Angelina's                54 Foster Street              Peabody          MA
RETAIL   Submarine Shop                        PO Box 333                    Adams            MA
RETAIL   Lowell Auto Service & Sales, Inc.     263 Appleton St               Lowell           MA
RETAIL   Mark Lawrence & LLC
         Mama Iguana's II, Vito C Marotta      82 Industrial Drive, Unit 3   Northampton      MA
RETAIL   dba Porky's Barbecue & Grill          12A Thornton Drive            Hyannis          MA
RETAIL   McCue the Florist, Inc.               200 Cambridge Road            Woburn           MA
RETAIL   Melrose Blossoms Inc                  547 Main St.                  Melrose          MA
RETAIL   Nantucket Red Development, Inc.       PO Box 40                     Marlborough      MA
RETAIL   National Floors LLC Nail &
         Northeast Wholesale                   PO Box 228                    Easthampton      MA
RETAIL   Fastener Supp                         980 Turnpike Street           Canton           MA
RETAIL   Ocean House Restaurant Inc dba
         Original Submarine Corp,              PO Box 188                    Dennisport       MA
RETAIL   Angelina's Submarine Shop
         Peter Kalemkerides dba Peter's        P.O. Box 333                  Adams            MA
RETAIL   Auto Service                          4275 Washington Street        Roslindale       MA
RETAIL   Post Road Liquors,Corp dba
         Raleigh Rosemary Inc.                 150 Needham Street            Newton           MA
RETAIL   Edible Arrangements & Grill, Inc.
         Richard's Casino Bar                  482 Moody Street              Waltham          MA
RETAIL   dba Zio Paolo's Trattoria             67 Medway Rd                  Milford          MA
RETAIL   Russo Family Restaurant, Inc.
         Sam's Opticians, Inc.                 1025 Westfield Street         West Springfield MA
RETAIL   dba Seafood Sam's                     PO Box 1307                   Mashpee          MA
RETAIL   Scoops N More Inc                     33 Hamilton Road              Peabody          MA
RETAIL             Sams of Falmouth, Inc.
         Seafood Sam's South Yarmouth,         PO Box 1038                   Falmouth         MA
RETAIL   Inc.                                  1006 Rte 28                   South Yarmouth MA
RETAIL   ShantyRam Kabir LLC dba
         Shree Rose, Inc.                      27 Shoreline Way              Plymouth         MA
RETAIL   Kernwood Liquors                      12 Salem Street               Lynnfield        MA
RETAIL   Simpsons Inc. of Lawrence             26 International Way          Lawrence         MA
RETAIL   Somerset Operating LLC                1159 Read Street              Somerset         MA
RETAIL   Starboard Galley Restaurant, Inc.     55 Water Street               Newburyport      MA
RETAIL   Tavern Restaurant Westfield, Inc.     2 Broad Street                Westfield        MA
          Taylor Eloise, Inc. dba
RETAIL    Hofbrauhaus Restaurant dba
          The Rizzotti Corporation           1105 Main Street                        West Springfield MA
RETAIL    Fowler House Café                  1049 Hancock Street                     Quincy           MA
RETAIL    The Wine Bar LLC                   49 Temple Place                         Boston           MA
RETAIL    Three Seasons Motor Lodge, Inc. PO Box 188                                 Dennisport       MA
RETAIL    Winn Falls Supperette dba
          UpperStreet Beverage Stores, Inc. 150 Needham Street                       Newton           MA
RETAIL    Sammy's Deli
          Wychmere Estates Limited           59 Winn Street                          Burlington       MA
RETAIL    PartnershipHarbor Functions Ltd. 23 Snow Inn Rd
          Wychmere                                                                   Harwichport      MA
RETAIL    Partnersh Harbor Real Estate,
          Wychmere                           23 Snow Inn Rd                          Harwichport      MA
RETAIL    LLC                                23 Snow Inn Rd                          Harwichport      MA
RETAIL    Wychmere Holdings Corp.
                      Shores Condominium 23 Snow Inn Rd                              Harwichport      MA
RETAIL    Trust                                                                      W. Cummings Park, Suite 6050
                                             c/o American Properties Team, Inc., 500 Woburn           MA
TRADE     Cordi Food Distributors, Inc.      470 Shoemaker Lane                      Agawam           MA
TRADE     Big T&D Trucking, Inc.             PO Box 6248                             Chelsea          MA
TRADE     C.R.G.K. Trucking, Inc.            90 Longhill Road                        West Brookfield MA
TRADE                                        4 Tow Rd
          Delaney Fuel Transport LLC dba YMC Transportation                          Wareham          MA
TRADE     ICC Trucking, LLC                  110 North Bridge St                     Holyoke          MA
TRADE                                        478 III Trucking
          Everett A. Russell, III dba E.A. Russell Merrimack Street                  Methuen          MA




Deleted
ABC       W W Construction                   10 Industrial Road                     Milford         MA
AICC      Fraser Pontiac Buick GMC, Inc,     114 Bridge Street, P.O. Box 5788       Salisbury       MA
          Dartmouth Nissan, Inc./Barry
AICC      Motors                             483 State Road                         North DartmouthMA
          Caldwell Skilled Nursing & Rehab
CARE      Center                             16 Green Street                        Ipswich         MA
                                             Attention: Art Delozier, 15 Piedmont
CARE      Quaboag on the Common              Center Suite 930                       Atlanta         GA
                                             Attention: Art Delozier, 15 Piedmont
CARE      Springside of Pittsfield           Center Suite 930                       Atlanta         GA
          Andover Newton Theological
ISCC      School                           210 Herrick Road                         Newton Center   MA
MANUF     Insignia Athletics, LLC          60 Fremont Street                        Worcester        MA
MANUF     Jessica's Brick Oven Inc.        19 Sixth Rd.                             Woburn          MA
MANUF                                      245
          Maria's Gourmet Pasta Products, Inc. Ferry Street                         Malden           MA
MANUF     Traditional Breads, Inc.         271 Western Avenue                       Lynn            MA
MANUF     Valkyrie Company, Inc.           60 Fremont Street                        Worcester       MA
MEGA      Colrain, Town of                 55 Main Road P O Box 31                  Colrain         MA

MEGA      Dudley Charlton Regional School    68 Dudley-Oxford Road                  Dudley          MA
MEGA      Easthampton, City of               Main Street                            Easthampton     MA
MEGA      Franklin, Town of                  150 Emmons Street                      Franklin        MA
MEGA      Halifax, Town of                   499 Plymouth Street                    Halifax         MA
MEGA      Ipswich, Town of                   25 Green Street                        Ipswich         MA
MEGA      North Andover, Town of             120 Main Street                        North Andover   MA
MEGA      Salem Beverly Water Supply         50 Arlington Avenue                    Beverly         MA
MEGA      Westford, Town of                  55 Main Street.                        Westford        MA
          Boston Preparatory Charter
MEGA      School                             1286 Hyde Park Avenue                  Hyde Park       MA
MEGA      Charles River Pollution Control    66 Village Street                      Medway          MA
MEGA      City on a Hill Charter School      320 Huntington Avenue                  Boston          MA
MEGA     C-O-M-M Fire District               1875 Falmouth Road                    Centerville     MA
         Dedham-Westwood Water
MEGA     District                            50 Elm St., P O Box 1937              Dedham          MA
MEGA     Foxboro Reg Charter School          131 Central Street                    Foxboro         MA
         Franklin County Vocational
MEGA     Technical School                    82 Industrial Blvd                    Turners Falls   MA
         Greater Lowell Reg Voc. Tech.
MEGA     School Dist.                        Pawtucket Blvd                        Tyngsboro       MA
MEGA     Hadley, Town of                     52 Middle Street                      Hadley          MA
MEGA     Holyoke Water Department            20 Commerical Street                  Holyoke         MA
MEGA     Hopedale, Town of                   PO Box 7, 74-78 Hopedale St           Hopedale        MA
         Lowell Middlesex Academy
MEGA     Charter School                      Springs Road                          Bedford         MA
MEGA     Milford, Town of                    52 Main Street                        Milford         MA
MEGA     Norfolk, Town of                    1 Liberty Lane                        Norfolk         MA
MEGA     North Middlesex RSD                 23 Main Street.                       Townsend        MA
MEGA     Norton, Town of                     70 East Main Street                   Norton          MA
         Roxbury College Preparatory
MEGA     Charter School                      c/o Beacon Mgmt, 112 Tpke Rd          Westboro        MA
         Sabis International Charter
MEGA     School                              160 Joan Street                       Springfield     MA
MEGA     Seekonk Town of                     100 Peck Street                       Seekonk         MA
                                             Carney Municipal Office Bldg,
MEGA     Shrewsbury, Town of                 100 Maple Ave                         Shrewsbury      MA
         South Shore Charter Public
MEGA     School                              100 Longwater Circle                  Norwell        MA
MEGA     Tri-County Reg VTS                  147 Pond Street                       Franklin       MA
MEGA     Wachusett RSD                       1745 Main Street                      Jefferson      MA
MEGA     West Stockbridge, Town of           P O Box 163                                          MA
                                                                                   West Stockbridge
MEGA     Whittier Reg. Voc. THS              115 Amesbury Line Rd.                 Haverhill      MA
MIIA     Cambridge Housing Authority         675 Mass Ave                          Cambridge      MA
MIIA     Goshen, Town of                     Town Hall                             Goshen         MA
         North Shore Education               Holten Richmond Bldg., 57 Conant
MIIA     Consortium                          Street                                Danvers         MA
MIIA     South Essex Sewerage District       P.O. Box 989                          Salem           MA
         South Hadley Electric Light
MIIA     District                            85 Main Street                        South Hadley    MA
MIIA     Tyringham, Town of                  Main Road                             Tyringham       MA
MIIA     Dukes County                        P.O. Box 190                          Edgartown       MA
         Abdeltif & Susan Farid, dba White
RETAIL   Hen 0601-1                                                                Norwood
                                             c/o New England Pantry Inc., 290 Vanderbilt Ave       MA
RETAIL   Aesha, Inc.                         1230 Russell Road                     Westfield       MA
         Ambakrupa, Inc., dba University
RETAIL   Liquors                             334 Main Street                       Easthampton     MA
RETAIL   Amherst Market, Inc.                334 Main Street                       Easthampton     MA
         Ashton Enterprises, Inc., dba
RETAIL   Leeds Package Store                 24 Haydenville Road                   Leeds           MA

         Benchmarc Package Store, Inc,
RETAIL   dba Cold River Package Store     PO Box 411                               Charlemont      MA
         Branko M. Brankovic, dba Studio
         Internation Grp & The Baak
RETAIL   Galler                           35 A Brattle Street                      Cambridge       MA
         Burlington Package Liquors, Inc,
RETAIL   dba The Liquor Cabinet           34A Winn Street                          Burlington      MA
RETAIL   Cape Fisherman Supply, Inc.        Box 172                                 Chatham        MA
         Carlisle Center Ventures, LLC,
RETAIL   dba Ferns Country Store            PO Box 31                               Carlisle       MA
RETAIL   Church Street Cafe Corporation     65 Church St.                           Lenox          MA
         Coastal Capers, Inc., dba
         Osterville Cheese & Sandwich
RETAIL   Shop                               29 Wianno Ave                           Osterville     MA
         College Highway Variety Store,
RETAIL   Inc.                               334 Main Street                         Easthampton    MA
RETAIL   Dockside Inc.                      1 Alvord St.                            South Hadley   MA
RETAIL   Dodgeville Country Store, Inc.     408 South Main Street                   Attleboro      MA
         Easthampton Variety, Inc., dba
RETAIL   Gerry's Variety                    334 Main Street                         Easthampton    MA
RETAIL   Economy Paint Supply Inc.          651 N. Main Street                      Leominster     MA
         EDC Auto LLC, dba Auto &
RETAIL   Truck Framingham Tire              29 South Street                         Framingham     MA
         Fairhaven Beverage Co. Inc., dba
RETAIL   Cardoza's Wines & Spirits          6 Sconticut Neck Road                   Fairhaven      MA
         Falmouth Market, Inc., dba
RETAIL   Family Foods                       350 East Falmouth Hwy.                  East Falmouth MA
         Global Pack Partners, Inc., dba
RETAIL   Boston Pack & Ship                 144 Lundquist Drive                     Braintree      MA
         Global Spirits, Inc., dba
RETAIL   Renaissance Wine & Spirits         345 Grafton Street                      Worcester      MA
         Indian Lake Enterprises, LLC,
RETAIL   dba Farrell's Market               1600 State Highway                      Wellfleet      MA
         J & P Restaurant Enterprises,
RETAIL   LLC, dba Kenmore Diner             250 Franklin Street                     Worcester      MA
RETAIL   Jayohn Corp                        1230 Russell Road                       Westfield      MA
         JOJ, Inc., dba USA Speedy Auto
RETAIL   & Tire Center                      108 Newbury Street                      Peabody        MA
         JP & CT LLC, dba Gay's Package
RETAIL   Store                              700 E. Guinea Rd                        Williamsburg   MA
         JT Retail Inc, dba Underground
RETAIL   Women                              528 Main St                             Winchester     MA
RETAIL   Jubilation Ltd.                    91 Union Street                         Newton Centre, MA
         Lila Grossman, dba Star Dry
RETAIL   Cleaners                           84 Highland Ave                         Salem          MA
         Maharaj, Inc., dba Smitty's
RETAIL   Package Store                      16 College Highway                      Southampton    MA
RETAIL   Main Street Diner, Inc.            311 Main Street                         Athol          MA
         Michael G. Murphy, dba Meineke
RETAIL   Car Care Center                    203 S Broadway                          Lawrence       MA
         New England Appliance Sales
RETAIL   and Service                        44 Nason Street                         Maynard,       MA
         Norma Collins, dba West Main
RETAIL   Auto Repair                        PO Box 866, 199 Oxford Ave              Dudley         MA
         One Stop Mini Market Inc, dba
RETAIL   Costa's Cash Express               46 County Street                        New Bedford    MA
RETAIL   Parrotta's Auto Service, Inc.      357 Main Street                         Agawam         MA
RETAIL   Pat's Liquors, Inc.                7 Cabot Street                          Holyoke        MA
RETAIL   Petunia's, Ltd.                    c/o Jed Cohen & Co. PC, 38 Elm Street   Edgartown      MA
RETAIL   School Street Gas, Inc.            59 School St                            Quincy         MA
         SDA Restaurants, Inc., dba Luna
RETAIL   Rossa Restaurant                   1699 Shawsheen St.                      Tewksbury      MA
         Seekonk Hospitality, Inc., dba
RETAIL   Darling's Restaurant & Lounge        940 Fall River Avenue            Seekonk        MA

RETAIL   Sojo Corporation, dba Chesca's       PO Box 1680                      West Tisbury   MA
         Stewart, Heney & Duvarney, Inc.,
RETAIL   dba Duvarney Jewelers                7 High Street                    Clinton        MA
RETAIL   Sun Valley Produce Co., Inc.         155 Market St.                   Everett        MA
         Swamishriji Corp, dba Boston
RETAIL   Liquor Mart                          566 SW Cutoff                    Worcester      MA
RETAIL   T. Michaels,Inc.                     528 Main Street                  Winchester,    MA
RETAIL   The Wine List, Inc.                  655 Iyanough Rd                  Hyannis        MA
RETAIL   Turn it Up, Inc.                     116 Pleasent Street, Suite 319   Easthampton     MA
RETAIL   Two Brothers Realty, LLC             408 South Main Street            Attleboro      MA
RETAIL   Village Cleaners, Inc.               621 Boston Post Road             Sudbury,       MA
RETAIL   Walcott Sales & Service              40 North Road                    Bedford        MA
RETAIL   Ward's Gifts LLC                     40-44 High St                    Medford        MA
RETAIL   Warrendale Appliances Inc.           85 River Street                  Waltham,       MA
         Webmer, Inc., dba Ka Bloom of
RETAIL   Melrose                              35 Lovejoy Road                  Andover        MA
RETAIL   Wine & Dine Inc.                     Box 165                          South Dennis   MA

         Zee's Home Decorating Centers,
RETAIL   Inc., dba Wallpapers 'N More         1291 Worcester Road              Framingham,     MA
TRADE    Fowler's Express, Inc.               PO Box 349                       South Easton MA
TRADE    Ideal Transportation Co. Inc.        19 LeBlanc Drive                 Peabody         MA
TRADE    Sarden Leasing Inc.                  PO Box 477                       East BridgewaterMA
         Transport Distribution & Delivery,
TRADE    Inc.                                 PO Box 778                       West Springfield MA
Code         Number        Date

02751        WC110003   04/25/11
01603        WC110004   04/27/11

02155        WC110005   05/18/11

02148        WC110002   04/23/11
01923        2100032    05/12/11
01832        2100033    05/15/11
01832        2100033    05/15/11
01832        2100033    05/15/11
01832        2100033    05/15/11
01832        2100033    05/15/11
01832        2100033    05/15/11
01832        2100033    05/15/11
01085-0000   5100112    04/01/11
01085-0000   5100113    05/03/11
01040-0000   5100114    06/26/11
02048-0000   5100115    06/08/11
02472-0000   5100116    06/16/11
01002        X340229    07/01/11
01501        X340155    07/01/11
02322        X340429    07/01/11
01007        X340501    07/01/11
01506        X340194    07/01/11
01370        X340130    07/01/11
02021        X340307    07/01/11
02653        X340498    07/01/11
02632        X340132    07/01/11
02026        X340148    07/01/11
01342        X340300    07/01/11
01570        X340314    07/01/11
02539        X340483    07/01/11
01033        X340220    07/01/11
01301        X340235    07/01/11
01450        X340417    07/01/11
02338        X340236    07/01/11
01060        X340474    07/01/11
01451        X340285    07/01/11
01339        X340234    07/01/11
02343        X340225    07/01/11
01527        X340251    07/01/11
02421        X340203    07/01/11
01376        X340254    07/01/11
01740        X340259    07/01/11
01531        X340263    07/01/11
02557        X340505    07/01/11
01364        X340273    07/01/11
01331        X340343    07/01/11
02769        X340157    07/01/11
01952        X340398    07/01/11
02067        X340143    07/01/11
01560        X340309    07/01/11
01073        X340052    07/01/11
01507        X340112       07/01/11
01562        X340020       07/01/11
02777        X340179       07/01/11
02568        X340171       07/01/11
01879        X340378       07/01/11
01264        X340445       07/01/11
01081        X340296       07/01/11
01378        X340031       07/01/11
01570        X340391       07/01/11
01472        X340306       07/01/11
01266        X340036       07/01/11
01337        470           07/01/11
01340        471           07/01/11
02764        472           07/01/11
01571        473           07/01/11
01027-2263   474           07/01/11
02038        475           07/01/11
01033        231           07/01/11
02338        476           07/01/11
01938        477           07/01/11
01951        478           07/01/11
01845        479           07/01/11
01915        480           07/01/11
01464-2518   481           07/01/11
01886        482           07/01/11
02460-0000       5032811   04/19/11

02134-0000       5032805   04/26/11

01109-0000       5032819   04/24/11

01970-0000       5032818   05/02/11

02464-0000       5032830   05/22/11

02633-0000       5032825   04/25/11
02302-0000       5032834   05/25/11
02061-0000       5032468   05/16/11
02119-0000       5032794   04/10/11
02648-0000       5032828   05/11/11

01501-0000       5032836   05/13/11

01760-0000       5032814   04/01/11
01237-0000       5032813   04/19/11
01201-0000       5032839   05/17/11

01105-2405       5032782   04/01/11

01952-0000       5032783   04/01/11
02917-0000       5032815   05/07/11

01053-0000       5032822   05/02/11
02655-0000   5032804   04/01/11
01604-0000   5032832   05/21/11
02540-0000   5032821   05/05/11
02035-2648   5032787   04/01/11


02333-0000   5032835   05/28/11

02135-0000   5032791   04/07/11

02482-0000   5032845   06/15/11
01235-0000   5032799   04/15/11

02119-0000   5032809   04/21/11
01041-0000   5032840   06/06/11

02368-4606   5032766   04/01/11

01951-0000   5032837   06/02/11

02128-0000   5032800   04/15/11
02184-0000   5032788   04/07/11
03064-0000   5032846   06/12/11
01609-0000   5032812   04/01/11
01960-0000   5032841   06/01/11
01220-0000   5032807   04/01/11
01852-0000   5032824   05/05/11
01060-0000   5031426   06/01/11
02601-0000   5032823   05/02/11
01801-0000   5032820   05/01/11
02176-0000   5032793   04/01/11
01752-0000   5032071   06/06/11
01027-0000   5032843   06/01/11
02021-0000   5032826   05/12/11
02639-0000   5032756   04/01/11
01220-0000   5032808   04/01/11
02131-0000   5032817   04/30/11
02464-0000   5032830   05/22/11
02454-0000   5031592   05/20/11
01757-0000   5032831   05/24/11
01089-0000   5032753   05/13/11
02649-0000   5032773   04/01/11
01906-0000   5032781   04/03/11
02540-0000   5032774   04/01/11
02664-0000   5032775   04/01/11
02360-0000   5032838   05/23/11
01940-0000   5032842   06/02/11
01843-0000   5032789   04/01/11
02726-0000   5032847   06/09/11
01950-0000   5032792   04/01/11
01085-0000   5032806   04/07/11
01089-0000        5032785   04/01/11
02169-0000        5032810   04/01/11
02111-0000        5032833   05/16/11
02639-0000        5032756   04/01/11
02464-0000        5032830   05/22/11
01803-0000        5032801   04/10/11
02646-0000        5032829   05/11/11
02646-0000        5032829   05/11/11
02646-0000        5032829   05/11/11
02646-0000        5032829   05/11/11
01801-0000        5032829   05/11/11
01001        4100120        05/01/11
02150        4100121        05/11/11
01585        4100122        06/01/11
02571        4100123        06/23/11
01040        4100124        06/26/11
01844        4100125        06/24/11




01757-3587 ABCMA 005019     06/30/11
01952      WC 004067        04/16/11

02747        WC 004065      01/10/11

01938        2000024        06/18/11

30305        2100006        05/01/11

30305        2100006        04/01/11

02159        WC 000144      01/01/11
01603        5100109        06/30/11
01801        5100075        06/30/11
02148        5100086        06/30/11
01905        5100037        06/30/11
01603        5100026        06/30/11
01340        WC20-02518     06/30/11

01571        WC20-97509     06/30/11
01027        WC20-01507     06/30/11
02038        WC20-02526     06/30/11
02338        WC20-92142     06/30/11
01938        WC20-05105     06/30/11
01845        WC20-02551     06/30/11
01915        WC20-99603     06/30/11
01886        WC20-02580     06/30/11

02136        WC20-07207     06/30/11
02053        WC20-01504     06/30/11
01681        WC20-01508     06/30/11
02632      WCX3-40132   06/30/11

02026      WC20-05110   06/30/11
02035      WC20-02585   06/30/11

01376      WC20-02525   06/30/11

01879      WC20-91124   06/30/11
01035      WC20-02530   06/30/11
01040      WC20-99604   06/30/11
01747      WC20-02537   06/30/11

01730      WC20-95011   06/30/11
01757      WC20-04150   06/30/11
02056      WC20-02550   06/30/11
01469      WC20-02552   06/30/11
02766      WC20-03209   06/30/11

01581      WC20-01510   06/30/11

01119      WC20-03208   06/30/11
02771      WC20-07202   06/30/11

01545      WC20-02568   06/30/11

02061      WCX340410    06/30/11
02038      WC20-91033   06/30/11
01522      WC20-02577   06/30/11
01266      WC20-91013   06/30/11
01830      WC20-91011   06/30/11
02139      200          06/30/11
01032      191          06/30/11

01923      349          06/30/11
01970      126          06/30/11

01075      423          06/30/11
01264      136          06/30/11
02539      222          06/30/11

02062-0000 500063       06/28/11
01085-0000 5031023      04/20/11

01027-0000 5030788      04/20/11
01027-0000 5030785      04/20/11

01053-0000 500454       05/12/11


01339-0000 5031680      06/28/11


02138-0000 5031388      05/26/11

01803-0000 5030517      04/20/11
02633-0000 1025415     06/14/11

01741-0000 5030997     06/28/11
01240-0000 501933      06/28/11


02655-0000 5031301     06/28/11

01027-0000 5030784     04/20/11
01075-0000 5032527     06/23/11
02703-0000 5030964     06/28/11

01027-0000 5030787     04/20/11
01453-0000 500879      06/28/11

01702-0000 5032628     04/28/11

02719-0000 502371      04/08/11

02536-0000 5031924     04/28/11

02184-5222 5030936     05/26/11

01602-0000 5031791     06/15/11

02667-0000 502112      04/11/11

01604-0000 5031507     04/28/11
01085-0000 5031024     04/20/11

01960-0000 5031624     04/28/11

01096-0000 5032014     05/26/11

01890-0000 5030834     05/26/11
02159-0000 501912      05/26/11

01970-0000 501788      05/26/11

01073-0000 5030621     04/20/11
01331-0000 5031181     06/28/11

01843-0000 5030852     05/30/11

01754-0000 501853      05/26/11

01571-0000 500019      05/26/11

02740-0000   5032273   05/26/11
01001-1805   5031479   05/26/11
01040-0000   500781    04/14/11
02539-0000   500133    05/27/11
02169-0000   5031861   06/28/11

01876-0000 501623      04/28/11
02771-0000 1027766     04/28/11

02575-0000 502218      05/25/11

01510-0000 1039365     05/26/11
02149-0000 5031076     06/28/11

01607-0000   5032693   05/26/11
01890-0000   501543    05/26/11
02601-0000   5032057   04/13/11
01027        5032769   06/28/11
02703-0000   5030965   06/28/11
01776-0000   500928    05/26/11
01730-0000   5030318   05/26/11
02155-0000   5030105   05/26/11
02453-0000   501019    04/28/11

01810-0000 5030996     05/26/11
02660-0000 500729      05/26/11


01701-0000   501923    04/28/11
02375        4100047   06/29/11
01960        4100017   05/26/11
02333        4100047   06/29/11

01090        4100050   05/26/11
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip            Policy   Effective
Group       Member Name                                            Street Address                            City               St.      Code           Number     Date

RETAIL      10 Castle Street Corporation, dba Castle Street Cafe   10 Castle Street                          Great Barrington   MA    01230-0000 502012           04/01/02
RETAIL      107 Ward Street, Inc., dba Dunkin Donuts               48 Junction Square Road                   Concord            MA    01742-0000 501958           01/01/04
            121 Douglas Associates, Inc., dba Ralph's Derby
RETAIL      Street Wine & Spirits                                  94 Derby Street                           Hingham            MA    02047-0000   5031980        06/01/09
RETAIL      133 Turnpike Rd., Inc., dba Dunkin Donuts              48 Junction Square Road                   Concord            MA    01742-0000   501965         01/01/04
RETAIL      14-58 Liquors Inc                                      470 Liberty Street                        Hanson             MA    02341-0000   5030329        04/01/93
RETAIL      146 North D.D. Inc.                                    48 Junction Square Drive                  Concord            MA    01742-0000   5030741        12/27/04
RETAIL      146 South D.D. Inc.                                    48 Junction Square Drive                  Concord            MA    01742-0000   5030739        12/27/04
            156 Teaticket Furniture Co, Inc., dba Sundries
RETAIL      Furniture                                              156 Teaticket Hwy                          East Falmouth     MA 02536-0000 5031679             06/14/08
RETAIL      1696 Corp. dba Old Yarmouth Inn                        PO Box 535                                 Yarmouthport       MA 02675     5032709             01/01/11
RETAIL      1732 Centre Street, Inc., dba West on Centre           c/o The 21st Amendment, 150 Bowdoin Street Boston            MA 02108-0000 500016              04/01/07

RETAIL      177 S W Cutoff, LLC, dba Dunkin Donuts - Concord       48 Junction Square Drive                  Concord            MA    01742-0000 5031060          02/15/06
RETAIL      185 Woburn St., Inc., dba Dunkin Donuts                48 Junction Square Road                   Concord            MA    01742-0000 501972           01/01/04
HVAC        195 Corporation Way Realty Trust                       See Harrington Bros., Inc.
RETAIL      204 Main Street, Inc., dba South Acton Mobil           204 Main Street                           Acton              MA    01720-0000   5031015        03/08/06
TRADE       21 Great Republic Drive, LLC                           PO Box 1595                               Gloucester         MA    01931        4100039        10/31/05
TRADE       210 Verge Street, LLC                                  476 Oak Street                            Indian Orchard     MA    01151        4100044        01/01/06
RETAIL      211 Lowell Street Corp, dba Eastgate Liquors           211 Lowell Street                         Wilmington         MA    01887-3081   1072810        01/01/04
            21st Century Solar Pools Inc, dba 21st Century Pools
RETAIL      & Spas                                                 1801 Memorial Drive                       Chicopee           MA    01020-0000   5032445        01/01/10
RETAIL      21st, Inc., dba 21st Amendment                         150 Bowdoin Street                        Boston             MA    02108-0000   5031473        04/01/07
RETAIL      24 Merrimack, Inc., dba Dunkin Donuts                  48 Junction Square Road                   Concord            MA    01742-0000   501957         01/01/04
RETAIL      242 Incorporated, dba Cambridge, 1                     4 Brattle St, Suite 210                   Cambridge          MA    02138-0000   500523         04/01/10
RETAIL      263 Grafton St., Inc., dba Dunkin Donuts               48 Junction Square Road                   Concord            MA    01742-0000   501963         01/01/04
RETAIL      2756 County Bakers, Inc., dba Dunkin Donuts            c/o Jed Cohen & Co. PC, 38 Elm Street     New Bedford        MA    02740-0000   500128         08/15/10
            286 Cambridge Street, Inc., dba Antonio's Cucina
RETAIL      Italiana                                               288 Cambridge Street                      Boston             MA    02114-0000   502512         04/01/03
RETAIL      29 Newbury Street, Inc.                                29 Newbury Street                         Boston             MA    02116-0000   502216         01/01/02
RETAIL      290 Central Street Inc., dba Dunkin Donuts             48 Junction Square Drive                  Concord            MA    01742-0000   5030743        01/01/06
RETAIL      320 Donut Corp, dba Dunkin Donuts (320)                175 Bodwell Street                        Avon               MA    02322-0000   5030065        08/01/03
RETAIL      3A Tires, Inc., dba Route 3A Shell Inc                 760 Boston Rd.                            Billerica          MA    01821-0000   5032146        01/26/09
RETAIL      4 M Fruit Distributors, Inc.                           34 Market Street                          Everett            MA    02149-0000   5030484        12/07/03
RETAIL      41 Needham Street LLC                                  154 Wells Avenue, Suite #1                Newton             MA    02159-0000   500479         01/01/04
RETAIL      419 Corporation, dba Dunkin Donuts                     2360 Cranberry Highway, PO Box 760        West Wareham       MA    02576-0000   500322         01/01/04
RETAIL      481 Yogi Convenience Store, Inc.                       218 Church Street                         Whitinsville       MA    01588-0000   5030210        12/18/03
            484 Broadway Corp., dba Bory's Fine Furniture &
RETAIL      Bedding                                                508 Montgomery Street                     Chicopee           MA    01020-0000 5030502          03/01/05


                                                                                       Page 15 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                          Zip             Policy   Effective
Group       Member Name                                             Street Address                           City               St.      Code            Number      Date
AICC        495 Chrysler Dodge Jeep                                 732 Rogers Street                        Lowell             MA    01852        WC 008053        06/01/08
AICC        499 Route 5A, Inc. dba Premier Jeep                     P.O. Box 812                             East Sandwich      MA    02537        WC 007331        08/30/07
RETAIL      5 Yogi Convenience Store Inc                            5 Bridge Rd                              Salisbury          MA    01952-0000   5032348          09/16/09
AICC        500 Enterprises dba Connolly Acura                      520 Worcester Road                       Framingham         MA    01701        WC 005100        01/01/05
RETAIL      550 Tremont, LLC, dba B & G Oysters, LTD                c/o Barbara Lynch Gruppo, 319 A Street   Boston             MA    02110-0000   500099           09/05/06
RETAIL      552 Tremont, LLC, dba The Butcher Shop                  c/o Barbara Lynch Gruppo, 319 A Street   Boston             MA    02110-0000   500105           10/20/06
RETAIL      5-L's, Inc.                                             777 Morrissey Blvd.                      Dorchester         MA    02122-0000   502411           01/01/04
RETAIL      614 Corporation, dba Dunkin Donuts (614)                175 Bodwell Street                       Avon               MA    02322-0000   5030065          08/01/03
RETAIL      77 Water Street, Inc., dba Captain Kidd                 PO Box 486                               Woods Hole         MA    02543-0000   1014814          08/01/02
RETAIL      853 West Boylston Street Realty Corp                    59 Carler Drive                          Framingham         MA    01701-0000   5030809          01/01/07
RETAIL      90 Meat Outlet, Inc.                                    90 Avocado Street                        Springfield        MA    01104-0000   5030329          07/01/03
RETAIL      A & A Auto Care Co., Inc.                               5 Merrill St.                            Woburn             MA    01801-0000   5032453          01/15/10
            A & A Automotive, Inc., dba Midas Auto Repair &
RETAIL      Service                                                 120 Boylston Street                      Brookline          MA    02445-0000   5031655          09/06/07
AICC        A & A Gasoline, Inc.                                    1001 Bedford Street                      Bridgewater        MA    02324        WC 003015        04/07/03
MANUF       A & A Industries, Inc.                                  320 Jubilee Drive                        Peabody            MA    01960        5100005          08/28/03
RETAIL      A & A Packaging, Inc.                                   250 Bliss Street                         West Springfield   MA    01089-0000   502344           05/11/02
RETAIL      A & B Tire Service, Inc.                                1183 Central St                          Leominster         MA    01453-0000   5032165          02/17/09
RETAIL      A & K Leominster Service Inc.                           12 North Main Street                     Leominster         MA    01453-0000   5031077          05/11/06

RETAIL      A & L Advantage, Inc., dba City Paint Signature Store   38 Varick Road                           Waban              MA    02468-0000   1066755          11/01/02
RETAIL      A & P Auto, LLC                                         880 Water Street                         Fitchburg          MA    01420-0000   5032464          02/09/10
RETAIL      A & R Food Service                                      PO Box 146800                            Boston             MA    02114-0000   5030044          08/01/03
RETAIL      A & R Variety Inc                                       423 Eastern Ave                          Lynn               MA    01902-0000   5030554          07/03/05
RETAIL      A 1 Deli Inc.                                           92 Merrimack St.                         Haverhill          MA    01830-0000   501786           08/01/01
RETAIL      A Bottle of Bread, Inc., dba Hope & Olive               44 Hope St.                              Greenfield         MA    01301-0000   5032346          09/15/09
RETAIL      A C Donuts Inc, dba Dunkin Donuts                       80 Boston St                             Lynn               MA    01905-0000   5031413          08/15/07
RETAIL      A J Rose Flooring, Inc.                                 599 Worcester Road                       Natick             MA    01760-0000   5031161          07/01/06
RETAIL      A R and Sons Inc., dba Park Square Cafe                 31 Saint James Avenue                    Boston             MA    02116-4101   5032209          04/01/09
RETAIL      A Ruggeri & Sons, Inc.                                  126 Deerfield Street                     Greenfield         MA    01301-0000   1100480          05/01/91
RETAIL      A Shade Down, Inc.                                      139 Endicott Street                      Danvers            MA    01923-0000   5031177          02/21/07
RETAIL      A Simon & Sons Inc.                                     8 Summer Street                          Franklin           MA    02038-0000   501204           10/01/95
RETAIL      A Street Frames, Inc.                                   755 Concord Avenue                       Cambridge          MA    02138-0000   501677           04/15/97
            A Whole Food Store, Inc., dba Northampton
RETAIL      Cornucopia                                              150 Main Street, Ste 8                   Northampton        MA    01060-0000   500428           01/01/06
RETAIL      A&B Automotive, Inc.                                    1258 Main Street                         Tewksbury          MA    01876-0000   5031421          02/16/07
RETAIL      A&E Ventures, Inc., dba Auntie Anne's                   47 Beaver Dam Road                       North Easton       MA    02356-0000   5032332          06/25/09
TRADE       A. Boilard Sons, Inc.                                   476 Oak Street                           Indian Orchard     MA    01151        4100044          01/01/06
RETAIL      A. Bova & Sons Modern Bakery Inc.                       134 Salem Street                         Boston             MA    02113-0000   500596           05/14/95
RETAIL      A. Fonseca Inc. dba Tony's Auto Repair                  341 Chicopee Street                      Chicopee            MA   01013-1747   5032717          01/01/11


                                                                                       Page 16 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip             Policy   Effective
Group       Member Name                                           Street Address                        City               St.      Code            Number      Date
RETAIL      A. Riccardi's Ltd.                                    116 Newbury Street                    Boston,            MA    02116-0000   500650           06/01/95
RETAIL      A. Russo & Sons, Inc.                                 560 Pleasant Street                   Watertown,         MA    02172-0000   501097           12/15/96
CTCC        A. Walecka & Son, Inc.                                2375 Cranberry Highway                West Wareham       MA    02576        WC 000219        10/01/92
RETAIL      A.A. & M., Inc., dba Trattoria Il Vesuvio             242 Pittsfield Road                   Lenox              MA    01240-0000   502504           08/01/02
RETAIL      A.B. Bilzerian Inc.                                   34 Newbury Street                     Boston             MA    02116-0000   500899           03/14/96

RETAIL      A.C. Liquors Inc., dba Worthington Discount Liquors   941 Worthington Street                Springfield        MA    01105-0000   5030107          09/03/03
MMCG        A.C. Technology Corporation                           630 Douglas Street                    Uxbridge           MA    01569        WC 000979        01/01/06
RETAIL      A.C.P., Inc., dba Atlantic Cleaning Company           200 Pleasant Street                   Rockland           MA    02370-0000   5031526          05/01/07
RETAIL      A.D. Bell Pharmacy Inc                                45 Main Street                        Nantucket          MA    02554-0000   500739           09/07/95
RETAIL      A.E.A. Food, Inc., dba Macy's Beachway Liquors        701 Bridge St.                        North Weymouth     MA    02191-0000   5031960          06/29/08
            A.J. Luke's of Dennisport, Inc., dba Luke's Super
RETAIL      Liquors                                               422 Main Street                       Dennisport         MA    02639-0000 501117             10/01/03
            A.J. Luke's of Harwich, Inc., dba Luke's Super
RETAIL      Liquors                                               224 Route 28                          West Harwich       MA    02671-0000 501115             01/01/97
            A.J. Luke's of Hyannis, Inc., dba Luke's Super
RETAIL      Liquors                                               395 Barnstable Road                   Hyannis            MA    02601-0000   501118           01/01/07
RETAIL      A.J.'s Auto Sales, Inc.                               232-234 Western Ave                   Lynn               MA    01904-0000   5032513          05/01/10
RETAIL      A.N.P Enterprises, Inc., dba Butts & Bets II          99 Pleasant St.                       South Weymouth     MA    02190-0000   5032564          06/27/10
RETAIL      A.O. White Sport, Inc.                                78 Center Square                      East Longmeadow    MA    01028-0000   501617           12/10/00
RETAIL      A.P. Marcorelle Co., Inc.                             30 Central St                         Ipswich            MA    01938-0000   5031054          11/15/06
RETAIL      A.W. Gifford, Inc.                                    11 Lyman St.                          Springfield        MA    01103-0000   502315           03/01/02
            A/C & R Supply Co., Inc., dba Johnstone Supply of
RETAIL      Woburn                                                185 New Boston Street                 Woburn             MA    01801-0000 5031448            10/01/07
STAM        AA Transportation Co., Inc.                           P.O. Box 639 MO                       Shrewesbury        MA    01545      WC-06-0000993      01/01/02
RETAIL      AAA Appliance Parts Co., Inc.                         37-39 Park Street                     Dorcester,         MA    02122-0000 501084             02/01/97

RETAIL      Aalerud Enterprises Inc, dba Edible Arrangements      175 Littleton Road                    Westford           MA    01886-0000 5031953            06/21/08
RETAIL      Aastha Group, Inc., dba Daily Market                  9 Hartford St.                        Framingham         MA    01701-0000 5032410            12/01/09
RETAIL      Abacus Restaurant, Inc., dba Su Chang's               373 Lowell Street                     Peabody            MA    01960-0000 5030673            08/01/04
            Abbott & Childrens Group Inc., dba Subway 19688 &
RETAIL      27808                                                 PO Box 651                            Southhampton       MA    01073-0651   5030551          06/08/05
RETAIL      Abbott Advertising Co., Inc.                          PO Box 631                            Marblehead,        MA    01945-0000   501795           07/16/97
RETAIL      Abbott Baking Co Inc, dba Quebrada Baking Co          53 Village Hill Rd                    Belmont            MA    02478-0000   5031700          06/15/08
RETAIL      Abbott Factory Shoe Store, Inc.                       254 Main Street                       North Reading,     MA    01864-0000   501047           11/22/96
RETAIL      ABC Window Shade Co.                                  1753 Revere Beach Parkway             Everett            MA    02149-0000   5031126          01/01/07
RETAIL      Abdemonen Yehia S, dba Brockton Furniture LLC         93 Centre St.                         Brockton           MA    02301-0000   5030762          05/15/06
RETAIL      Abdulla Enterprises, Inc., dba Joe's Playland         P.O. Box 5514                         Salisbury Beach,   MA    01952-0000   501703           06/01/97
RETAIL      Abe & Hahed Inc., dba Sudbury Mobil                   432 Boston Post Road                  Sudbury            MA    01776-0000   5031016          03/01/10
NAHRO       Abington Housing Authority                            71 Shaw Ave.                          Abington           MA    02351        WCMN0038         06/01/04


                                                                                       Page 17 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                              Zip           Policy    Effective
Group       Member Name                                        Street Address                       City            St.      Code           Number      Date
MIIA        Abington, Town of                                  500 Gliniewicz Way                   Abington        MA    02351        397             07/01/05
RETAIL      ABJ Foreign Auto Supply, Inc.                      70 Summer Street                     Somerville      MA    02143-0000   5030078         05/01/91
AICC        ABS Fuel Systems, LLC                              315 Main Street                      North Reading   MA    01864        WC 003013       04/01/03
RETAIL      ACACIA Functions LLC, dba Indian Meadows           275 Turnpike Road                    Westborough     MA    01581-0000   5032182         02/13/09
ISCC        Academy at Charlemont, Inc., The                   1359 Route 2                         Charlemont      MA    01339        WC 001161       09/22/09
RETAIL      Academy Dry Cleaners, Inc.                         969 Washington St.                   Newton          MA    02460-0000   5032811         04/19/11
RETAIL      Academy Plaza Trust Inc., dba Academy Liquors      699 South Main St.                   Haverhill       MA    01830-0000   502484          04/19/03
RETAIL      Accurate Automotive, Inc.                          1502 River Street                    Hyde Park       MA    02136-0000   5031167         02/15/07
AICC        Accurate Brake & Alignment                         542 Massachusetts Avenue             Lexington       MA    02420        WC 007038       12/14/07
ABC         Accutemp Engineering                               108 School Street                    Watertown       MA    02172        ABCMA 005031    06/01/05
AICC        Acme Automotive Center, Inc.                       220 King Street                      Northampton     MA    01060        WC 003020       05/01/03
RETAIL      Acme Surplus, Inc.                                 150 Main Street                      Northampton     MA    01060-0000   500988          08/01/96
RETAIL      Acorn Plantscapes, Inc.                            179 Bear Hill Rd                     Waltham         MA    02451-0000   5032099         01/01/09
MANUF       ACT Vehicle Equipment, Inc.                        946 Southampton Rd                   Westfield       MA    01085        5100113         05/03/11
RETAIL      Action Lock & Key Inc.                             17 Cambridge Street                  Burlington,     MA    01803-0000   501418          04/05/96
RETAIL      Action Marine & Watersports, Inc.                  1470 Dwight Street                   Holyoke          MA   01040        5032706         01/01/11
MIIA        Acton Boxborough Regional School District          16 Charter Road                      Acton           MA    01720        85              07/01/07
NAHRO       Acton Housing Authority                            68 Windsor Ave                       Acton           MA    01720        WCMN0126        06/01/04
RETAIL      Acton Management, Inc.                             69 Great Road                        Acton           MA    01720-0000   501751          01/01/04
MIIA        Acton Water District                               699 Massachusetts Ave.               Acton           MA    01720        262             07/01/05
MIIA        Acton, Town of                                     Town Hall, 472 Main Street           Acton           MA    01720        1               07/01/05
RETAIL      Acuity Partners, Inc., dba Kahians Appliance One   82 Beechwood Rd                      Wellesley       MA    02482-0000   5031534         05/01/07
NAHRO       Acushnet Housing Authority                         23 Main Street,                      Acushnet        MA    02743        WCMN0127        06/01/04
MANUF       Ad-A-Day Company, Inc.                             PO Box 950                           Taunton         MA    02780        5100072         01/01/08
RETAIL      Adam Werner, dba Adam's Auto Repair                51R. Canal Street                    Salem           MA    01970-0000   5032669         11/03/10
RETAIL      Adams Chapman Company, Inc.                        13 Food Mart Road                    Boston          MA    02118-0000   502087          05/30/02
            Adams Coffee & Bagel, Inc., dba Gunther Tootsies
RETAIL      Bagel                                              2053 Washington Street               Hanover         MA    02339-0000   5032172         01/01/10
RETAIL      Adams Corner Inc., dba Gerard's                    772 Adams St.                        Dorchester      MA    02124-0000   5031733         08/01/08
MIIA        Adams Fire District                                3 Columbia Street                    Adams           MA    01220        289             07/01/05
NAHRO       Adams Housing Authority                            4 Columbia Street                    Adams           MA    01220        WCMN0086        06/01/04
MIIA        Adams, Town of                                     Town Hall                            Adams           MA    01220        218             07/01/05
MEGA        Adams-Cheshire RSD                                 125 Savoy Road                       Adams           MA    01220        X340217         04/01/91
RETAIL      ADG, Inc., dba Orleans Lobster Pound               3 Bittersweet Lane                   Weston          MA    02493-0000   5030405         08/01/04
RETAIL      Adie-Conway, Inc., dba Dunkin Donuts               P.O. Box 189                         Chelmsford      MA    01824-0000   5030664         08/01/04
RETAIL      Adrian's Fabrics & Decorating of Woburn,           405 Main Street                      Woburn,         MA    01801-0000   501928          03/01/98
RETAIL      ADS Foodservice, LLC, dba Pollo Campero            11 Southbridge Drive                 Agawam          MA    01001-0000   5032526         05/10/10
MMCG        Advance Manufacturing Co., Inc.                    Turnpike Industrial Park             Westfield       MA    01086        WC 000927       01/16/04
AICC        Advance Muffler & Brake Co., Inc.                  101 Fulkerson Street                 Cambridge       MA    02141        WC 001118       01/01/00
AICC        Advanced Auto Body, Inc.                           254 Park Avenue                      Worcester       MA    01609        WC 005150       10/11/05

                                                                                   Page 18 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip          Policy   Effective
Group       Member Name                                           Street Address                          City               St.      Code          Number     Date
RETAIL      Advantage Appliance Inc                               127 North Main St                       Mansfield          MA    02048-0000 5032570         06/11/10
            Advogue Carpet Gallery, Inc., dba National Carpet
RETAIL      Center                                                90 Cottage Street                       Easthampton        MA    01027-0000   1082900       05/01/91
AICC        AERO Cycle Co.                                        642 Boston Avenue                       Medford            MA    02155        WC 007315     01/21/07
RETAIL      AFB Enterprises, Inc., dba Honey Dew Donuts           773 Washington Street                   Stoughton          MA    02072-0000   5030646       07/12/04
RETAIL      AFB Operations, Inc., dba Honey Dew Donuts            773 Washington St.                      Stoughton          MA    02072-0000   5030649       08/01/10
RETAIL      AFB Ventures, Inc., dba Honey Dew Donuts              773 Washington St.                      Stoughton          MA    02072-0000   5030647       08/01/10
RETAIL      Affordable Furniture, Inc.                            75 Stockwell Drive                      Avon,              MA    02322-0000   500735        09/23/95
RETAIL      Afrin Enterprises, Inc., dba Country Convenience      210 Pond Street                         East Bridgewater   MA    02333-2233   5031169       02/28/07
RETAIL      AGA Group LLC, dba The Wine Cellar                    63 Drumline Road                        Newton             MA    02459-0000   5032465       03/11/10

RETAIL      Agave Restaurant, Inc., dba Agave Mexican Bistro      50 State Street                         Newburyport        MA    01950-0000   5030723       04/03/06
RETAIL      Agawam Diner, dba Agawam Restaurant Inc               168-174 Newbury Port Turnpike           Rowley             MA    01969-0000   5031958       07/01/08
NAHRO       Agawam Housing Authority                              66 Meadowbrook Manor                    Agawam             MA    01001        WCMN0027      06/01/04
RETAIL      Agawam Liquors Inc., dba Southgate Liquors            842 Suffield St.                        Agawam             MA    01001-0000   501595        12/10/00
RETAIL      Agawam Opticians, Inc.                                338 Walnut St. Ext                      Agawam             MA    01001-0000   5032132       01/27/09
RETAIL      Aglio, Inc., dba Orzo Cafe Trattoria                  1085 Osgood St                          North Andover      MA    01845-0000   5031345       01/01/07
RETAIL      AGM LLC dba Roslindale Shell                          4139 Washington St.                     Roslindale          MA   02131        5032779       03/04/11
MANUF       AGMI Trust                                            20 Discovery Way                        Franklin           MA    02038        5100034       07/01/04
AICC        Ahearn Equipment, Inc.                                460 Main Street                         Spencer            MA    01562        WC 001071     01/01/00
RETAIL      Airline Drug, Inc., dba Louis & Clark Drug            PO Box 966                              Wilbraham          MA    01095-0966   5030245       01/01/04
RETAIL      Airport Fuel Services Inc                             M.V. Business Park, RR1 Box 1           Edgartown          MA    02539-0000   500408        01/03/08
RETAIL      Airport Rd. Donuts, Inc., dba Dunkin Donuts           c/o Jed Cohen & Co. PC, 38 Elm Street   New Bedford        MA    02740-0000   500132        08/15/10
RETAIL      Airport Trailer Sales, Inc.                           180 Crawford Street                     Leominster         MA    01453-0000   500999        10/01/96
RETAIL      Ajay Variety Corp, dba Highland Variety               95 Highland St.                         South Easton       MA    02375-0000   5032512       04/20/10
RETAIL      AJB, Inc., dba AJB Beer & Wine                        378 Union St.                           Ashland            MA    01721-0000   5032556       06/01/10
RETAIL      AJG Corp., dba The Weatherdeck Restaurant             PO Box 341                              W. Harwich         MA    02671-0000   5031035       04/01/06
RETAIL      AJK Enterprises Inc., dba Bagel Time                  194 Park Ave.                           Worcester          MA    01609-0000   501635        01/10/01
RETAIL      AJR Sales, Inc. dba Warrendale Appliances             85 River St.                            Waltham             MA   02453        5032710       01/01/11
RETAIL      Akshar, Inc., dba Hamilton Convenience                178 Bay Rd                              South Hamilton     MA    01982-0000   5031833       01/24/08
RETAIL      Al Noyes Automotive, Inc.                             PO Box 2131                             Edgartown          MA    02539-0000   5031595       06/07/07
RETAIL      Alano Ltd., dba Holiday Fashions, Inc.                364 Main Street                         Wakefield          MA    01880-0000   501426        04/18/96
RETAIL      Albert Capone, dba Capone Foods                       14 Bow Street                           Somerville         MA    02143-0000   502140        06/12/02
RETAIL      Albert Capucci, dba Bouchard's Automotive             212 Maple Street                        Middleton          MA    01949-0000   5031587       06/04/07
RETAIL      Albert E Lees, Inc., dba Lee's Supermarket            PO Box 3329                             Westport           MA    02790-0000   5030237       04/01/92
RETAIL      Alboth, Inc., dba Merchants Liquor Mart               88 High Street                          Danvers            MA    01923-0000   5030065       05/10/03
RETAIL      Albrite Carpets Inc.                                  223 Winthrop Avenue                     Lawrence,          MA    01843-0000   501755        07/01/97
RETAIL      Alchemy Restaurant LLC                                PO Box 5196                             Edgartown          MA    02539-0000   502499        08/01/02

RETAIL      Alcide J. Cormier, dba Cormiers Auto Service & Tire   80 Algonquin Ave                        Mashpee            MA    02649-0000 5031259         08/28/06


                                                                                      Page 19 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip            Policy   Effective
Group       Member Name                                           Street Address                          City              St.      Code            Number     Date
AICC        Alco Auto Parts Company, Inc.                         288 Hyde Park Avenue                    Jamaica Plains    MA    02130        WC 001000       01/01/00
AICC        Alden Buick Pontiac GMC                               121 Alden Road                          Fairhaven         MA    02719        WC 005098       01/01/05
RETAIL      Alexa Inc., dba Periwinkles Food Shoppe               540B Loring Ave                         Salem             MA    01970-0000   5030864         08/01/05
RETAIL      Alfa Fac, Inc., dba Koffee Kup Bakery                 1293 Liberty St.                        Springfield       MA    01104-0000   5030426         09/29/03
MEGA        Alford, Town of                                       5 Main Road                             Alford            MA    01230        X340238         07/01/92
            Alfred F DeScenza & Son, Inc., dba DeScenza
RETAIL      Diamonds                                              387 Washington Street                   Boston            MA    02108-0000   5030138         10/01/93
RETAIL      Algiers Jewelers Inc., dba A & K Jewelers             200 C Main Street                       Stoneham          MA    02180-0000   5032539         05/20/10
RETAIL      All Hose, Inc.                                        153 Cedar Road                          Longmeadow        MA    01106-0000   502192          07/18/02
RETAIL      All Natural Distributors, Inc.                        11 Perry Drive                          Foxboro           MA    02035-0000   5031799         01/01/08
RETAIL      All Sports Promotions, Inc.                           40 First St.                            Lowell            MA    01850-0000   5030551         05/31/05
AICC        All Truck & Equipment, Inc.                           26 Rear Mystic Avenue                   Medford           MA    02155        WC 006199       09/24/06
RETAIL      Allandale Farm, Inc.                                  259 Allandale Road                      Brookline,        MA    02167-0000   501257          05/01/97
RETAIL      AllCare Medical Supply Corporation                    30 Grafton Street                       Millbury          MA    01527-0000   5032140         02/06/09
RETAIL      Allegia, Inc., dba Cottman Transmission               404 E. Washington Street                North Attleboro   MA    02760-0000   5031645         07/23/07
ISCC        Allen-Chase Foundation                                Pine Nook Road                          Deerfield         MA    01342        WC 000013       04/01/92
RETAIL      Allen's House of Flowers, Inc.                        426 Main St.                            Falmouth          MA    02540-0000   5032194         04/26/09
RETAIL      Allfaze Auto Repair, Inc.                             90 Center Street                        Ludlow            MA    01056-2736   5032646         09/15/10
RETAIL      Allico, Inc., dba Driver's Side                       27 Taunton Street                       Plainville        MA    02762-0000   5031316         11/09/06
RETAIL      Allied Auto Parts Co., Inc.                           43 North Montello Street, PO Box 1040   Brockton          MA    02403-0000   500256          01/01/04
MMCG        Allied Metal Products Co., Inc.                       165 Ballard Street                      Worcester         MA    01067        WC 000458       01/01/94
RETAIL      Allied Technologies, Inc.                             134-C New Boston Street                 Woburn            MA    01801-0000   501611          10/02/00
RETAIL      Alliston E. Lunt, dba Al & Sons Service Station       638 High Street                         West Medford      MA    02155-0000   5030808         06/04/06
RETAIL      Allora Ristorante Inc                                 139 Lakeside Ave                        Marlborough       MA    01752-4554   5032563         06/08/10
MANUF       Alloy, Inc dba VCA, Inc                               209 Earle Street                        Northampton        MA   01060        5100084         11/13/09

RETAIL      Allston Venture Five Inc dba The Avenue Bar & Grill   1249 Commonwealth Ave                   Allston           MA    02134-0000   5032805         04/26/11
RETAIL      ALM Spirits, Inc., dba Nantucket Wine & Spirits       PO Box 1137                             Nantucket         MA    02554-0000   5031240         01/01/06
RETAIL      Almost Brothers, Inc., dba Hibernia Pub               109 William St.                         New Bedford       MA    02740-6218   5032061         10/07/08
RETAIL      Almquist Flowerland, Inc.                             326 Franklin Street                     South Quincy,     MA    02169-0000   501689          05/01/97
RETAIL      Alpha Gallery, Inc.                                   38 Newbury Street                       Boston            MA    02116-0000   501118          01/25/97
MANUF       Alpha Grainger Mfg, Inc.                              20 Discovery Way                        Franklin          MA    02038        5100034         07/01/04
RETAIL      Alphonse Leduc - Robert King, Inc.                    140 Main Street                         North Easton      MA    02356-0000   501334          01/04/96
RETAIL      Al's Package Store, Inc.                              P.O. Box 1312                           Edgartown         MA    02539-0000   5030080         05/01/91
RETAIL      Alson Auto Parts Inc                                  336 Main Street                         Milford           MA    01757-0000   500459          04/01/95
MASSBAY     Alternatives Unlimited, Inc.                          50 Douglas Road                         Whitinsville      MA    01588        80371           01/01/09
RETAIL      Altman Distributing Co., Inc.                         11 Old Right Road                       Ipswich,          MA    01938-0000   501225          04/01/97
RETAIL      Alto Decor LLC                                        799 Broadway                            Saugus            MA    01906-0000   5032372         11/15/09
MANUF       Alyanna Enterprises, Inc. dba The Mattress Maker      46 N. Montello St., PO Box 1807         Brockton           MA   02301        5100093         03/24/10
CTCC        AMA Transport Co., Inc.                               28 Plank Street                         Billerica         MA    01821        WC 000902       04/01/03

                                                                                     Page 20 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                Zip             Policy        Effective
Group       Member Name                                       Street Address                        City              St.      Code            Number           Date
STAM        Amaral Auto & Truck Driving School, Inc.          1090 State Road                       Westport          MA    02790        WC-06-5003015         03/23/05
STAM        Amaral Bus Co., Inc                               1090 State Road                       Westport          MA    02790        WC-06-0000572         09/15/94
RETAIL      Amaria, Inc., dba Amari Bar & Ristorante          674 Route 6A                          East Sandwich     MA    02537-0000   5032318               08/01/09
RETAIL      Amarin II, Inc.                                   287 Centre Street                     Newton            MA    02458-0000   5030345               05/01/03
RETAIL      Amaro's Market, Inc.                              508 Middleboro Ave                    East Taunton      MA    02718-0000   5031676               05/18/08
AICC        Amber Energy, Inc.                                72 Pleasant Street                    Granby            MA    01033        WC 003034             09/24/03
RETAIL      Amee Corp.                                        PO Box 368                            Pocasset          MA    02559-0000   502268                01/01/04
            Amelia's Restaurant, Inc., dba Amelia's Subs &
RETAIL      Seafood                                           78 Thatcher Road, Att. Amelia Lopes   Gloucester        MA    01930-0000 500188                  01/01/03
MANUF       Americad Technology Corporation                   700 Pleasant Street                   Norwood           MA    02062      5100053                 08/01/05
            American Concessions Inc, dba Stephen Leigh
RETAIL      Jewelers                                          1415 Hancock Street                   Quincy            MA    02169-0000   500463                04/15/95
ISCC        American Congregational Assoc.                    14 Beacon Street, Room 104            Boston            MA    02108        WC 000211             04/01/92
RETAIL      American House, LLC                               PO Box 1520                           Greenfield        MA    01301-0000   502392                01/01/07
NEEIA       American International College                    1000 State Street                     Springfield       MA    01109        06-5000005            07/01/90
RETAIL      American Restaurant Management Corp               11 South Bridge Drive                 Agawam            MA    01001-0000   502426                01/28/03
RETAIL      American Wallpaper Co., Inc                       44 Troy Street                        Fall River        MA    02720-0000   5030228               03/08/04
AICC        Amesbury Chevrolet Volkswagen                     103 Macy Street                       Amesbury          MA    01913        WC 008051             04/10/08
NAHRO       Amesbury Housing Authority                        180 Main Street                       Amesbury          MA    01913        WCMN0108              06/01/04
RETAIL      Amesbury Industrial Supply, Inc.                  24 High Street                        Amesbury          MA    01913-0000   500830                10/11/94
MIIA        Amesbury, Town of                                 Friend Street                         Amesbury          MA    01913        5                     07/01/05
ISCC        Amherst College, Trustees of                      South Pleasant Street                 Amherst           MA    01002        WC 000270             01/01/94
MIIA        Amherst Housing Authority                         33 Kellogg Avenue                     Amherst           MA    01002        7                     07/01/05
RETAIL      Amherst Optical Shoppe, Inc.                      PO Box 549                            Amherst           MA    01004-0000   502069                03/17/01
MEGA        Amherst Pelham RSD                                170 Chestnut Street                   Amherst           MA    01002        X340229               07/01/11
RETAIL      AML & Sons, Inc. dba Napoli Restaurant            1633 Bay Street                       Springfield       MA    01109-0000   5032819               04/24/11
RETAIL      AMO Inc., dba Pearle Vision Center                22 McGrath Highway                    Somerville        MA    02143-0000   501415                04/07/96
RETAIL      AMR Vineyard Inc, dba Seasons Eatery & Pub        PO Box 1075                           Oak Bluffs        MA    02557-0000   5031981               05/23/09
MANUF       amRamp LLC                                        202 West First Street                 South Boston      MA    02127        5100009               11/28/03
RETAIL      Amy Reema, Inc, dba Amy's Convenience Store       68 Water St                           Framingham        MA    01701-0000   5032029               09/26/08
RETAIL      Amy's Place Bar & Grill                           80-82 Cottage Street                  Easthampton       MA    01027-0000   5031819               01/01/08
AICC        Anagnos Enterprises, Inc.                         44-46 Chauncy Street                  Mansfield         MA    02048        WC001080              01/01/10
MHTSIG      Analogic Corp.                                    8 Centennial Drive                    Peabody           MA    01961        WP8-11B-053420-181    01/01/94
            Anastasios Kessaris & Andrea Kessaris, dba Olde
RETAIL      Hitching Post Restaurant                          48 Spring Street                      Hanson            MA    02341-0000   5030907               10/17/05
RETAIL      Ancar Acquisition Corp., dba Salem Liquors        125 Canal Street                      Salem             MA    01970-0000   501949                01/26/02
RETAIL      Andersen & Breeds, Inc.                           110 McKeon Road                       Worcester         MA    01607-0000   502000                04/04/02
SILBA       Anderson & McQuaid                                170 Fawcett Street                    Cambridge         MA    02138        WC 000805             01/01/93
RETAIL      Anderson Pharmacy, Inc., dba Baker's Pharmacy     PO Box 188                            Shelburne Falls   MA    01370-0000   5031124               01/01/07
RETAIL      Anderson's Inc.                                   21 Grove Street                       Wellesley,        MA    02181-0000   501192                09/29/95


                                                                                   Page 21 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                          Zip          Policy   Effective
Group       Member Name                                              Street Address                          City               St.      Code          Number     Date
RETAIL      Andover Auto & Truck Service, Inc.                       85 Essex Street                         Andover            MA    01810-0000 5031145         07/02/06

RETAIL      Andover Classic Wines, LLC, dba Andover Liquors          209-211 N. Main St.                     Andover            MA    01810-0000 5030486         12/12/03
NAHRO       Andover Housing Authority                                100 Morton Street                       Andover            MA    01810      WCMN0208        06/01/10
            Andover Interiors, Inc., dba Ethan Allen/The Furniture
RETAIL      Barn                                                     419 Andover Street                      No. Andover        MA    01845-0000   5030726       01/01/05
RETAIL      Andover Street Automotive Inc                            580 Andover St.                         Lawrence           MA    01843-2019   5031756       11/17/07
MIIA        Andover, Town of                                         36 Bartlett Street                      Andover            MA    01810        8             07/01/08
AICC        Andrade Inc. dba Everett's Auto Parts                    553 Thatcher Street                     Brockton           MA    02302        WC 007319     02/12/07
RETAIL      Andrea's Police Supply, Inc.                             1470 New State Highway # 25             Raynham            MA    02767-0000   1009900       06/06/03
            Andrew J. Boyajian, Inc., dba AJ Rose Carpet and
RETAIL      Rugs                                                     136 Cambridge St.                       Burlington         MA    01803-0000   5031159       07/01/06
RETAIL      Andrew's Card Shop of Milford, Inc.                      PO Box 700                              Westboro           MA    01581-0000   502356        01/01/03
RETAIL      Andrews West Inc.                                        324 Weston Road                         Wellesley          MA    02157-0000   501980        03/01/02
RETAIL      Andy's Market, Inc.                                      Route 151                               Mashpee            MA    02649-0000   5030080       05/01/91
            Andy's of Greenfield, Inc., dba Andy's Showroom &
RETAIL      Oak Shoppe                                               352 Deerfield Street                    Greenfield,        MA    01301-0000   501010        10/19/96
RETAIL      Anemone, Inc., dba Plant Bazaar                          50 East Main Street                     Westboro           MA    01581-0000   5031322       10/30/06
RETAIL      Angelica's Inc                                           P.O. Box 1126                           Middleton          MA    01949-0000   5030370       08/01/04
RETAIL      Angelo Bertelli's Liquor Mart, Inc.                      726 Main St.                            West Springfield   MA    01089-0000   501887        12/01/01
RETAIL      Angelo's Golden Harvest Inc                              391 Damon Road                          Northampton        MA    01060-0000   5030822       04/28/05
RETAIL      Angler Fish Market & Chowder Co., Inc.                   1 Village Square                        Westminster        MA    01473-0000   5032157       01/18/09
            Anjo Service, Inc., dba Sparks Computerized Car
RETAIL      Care                                                     286 Lebanon Street                      Melrose            MA    02176-0000   5031294       11/01/06
RETAIL      Anmarlu, Inc., dba Pinocchio's Pizza by the Slice        90 North Valley Road                    Pelham             MA    01002-0000   5032219       04/01/09
HEALTH      Anna Jaques Hospital                                     Attn Terri Pike, 25 Highland Avenue     Newburyport        MA    01950        1000012       05/01/92
NEEIA       Anna Maria College                                       10 Sunset Lane                          Paxton             MA    01612        06-5000370    07/01/94
RETAIL      Ann's Fabrics,Inc.                                       351 Turnpike Street                     Canton,            MA    02021-0000   501073        01/21/97
RETAIL      Antelisis, Inc., dba Ristorante Molise                   One Market Street                       Amesbury           MA    01913-0000   5031262       08/25/06
            Antenor Fransciso dba JC Grill and
RETAIL      Convenience Store                                        323 North Main St.                      Middleton           MA   01949-1614   5032754       02/18/11
RETAIL      Anthie's, Inc., dba Dunkin Donuts                        282 Derby Street                        Salem              MA    01970-0000   5030608       04/16/07
RETAIL      Anthony Grimaldi's, Inc., dba Summer House               18 Tanglewood Drive                     Westfield          MA    01085-0000   5030641       06/19/04
RETAIL      Anthony's Cummaquid Inn, Inc.                            299 Salem Street                        Swampscott         MA    01907-0000   5031195       08/01/06

RETAIL      Anthony's Hawthorne, Inc., dba Anthony's Pier 4 Cafe     299 Salem Street                        Swampscott         MA    01907-0000 5031193         08/01/06
            Anthony's Package Store, Inc., dba Anthony's Liquor
RETAIL      Mart                                                     12 Pearson Blvd.                        Gardner            MA    01440-0000 5030632         07/01/04
RETAIL      Anthony's Pier Four Inc.                                 299 Salem Street                        Swampscott         MA    01907-0000 5031192         08/01/06
RETAIL      Anthony's Pier Four Lobster Co, Inc.                     299 Salem Street                        Sawmpscott         MA    01907-0000 5031196         08/01/06


                                                                                            Page 22 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                            Zip          Policy     Effective
Group   Member Name                                          Street Address                      City             St.      Code          Number       Date
RETAIL  Anthony's Pier Four, Inc.                            299 Salem Street                    Sawmpscott       MA    01907-0000 5031197           08/01/06
RETAIL  Antoneta Kadili, dba 7-Eleven                        55 Berkley St.                      Boston           MA    02116-0000 5032457           01/01/10
        Antonio & Kathleen A. Palermo, dba Palermos
RETAIL  Pizzeria Inc.                                        546 Center St.                      Ludlow           MA    01056-0000 1006005           05/07/03
        Antonio Bettencourt & Manual Moyra, dba T & M Auto
RETAIL  Repair                                               58 Walnut St.                       Peabody          MA    01960-0000   5031901         05/06/08
RETAIL  Antonio's Grinders State Street, Inc.                1030 State Street                   Springfield      MA    01119-0000   1059800         10/07/02
RETAIL  Antonio's Grinders, Inc.                             17 Longhill Street                  Springfield      MA    01108-0000   1059800         10/07/02
RETAIL  Apco Floor Covering Center, Inc.                     693 E Washington Street             N. Attleboro     MA    02760-0000   5031207         03/26/07
RETAIL  Apothecare of Cape Cod, Inc.                         205 West Main Street                Hyannis          MA    02601-0000   502033          04/23/01
RETAIL  Apothecare South Shore, Inc.                         PO Box 429                          Whitman          MA    02382-0000   5031008         01/01/07
RETAIL  Apple Country Markets, Inc.                          P.O. Box 767                        Clinton,         MA    01510-0000   501471          10/01/97
RETAIL  Apple Donut, Inc., dba Gourmet Donuts                43 Airport Rd                       Fitchburg        MA    01420-0000   5032675         10/23/10
ISCC    Applewild School, Inc.                               120 Prospect Street                 Fitchburg        MA    01420        WC 000325       01/01/93
RETAIL  Appliance Corner, Inc.                               199 Lowell St.                      Lawrence         MA    01840-0000   5031658         08/17/07
RETAIL  Apricot Donut, Inc., dba Gourmet Donuts              43 Airport Rd                       Fitchburg        MA    01420-0000   5032675         10/23/10
RETAIL  APS Trading Co.Inc, dba Simon & Sons                 210 Needham Street                  Needham          MA    02464-0000   500986          01/01/04
RETAIL  Aqua Dreams, Inc.                                    8 Southwick Street                  Feeding Hills    MA    01030-0000   502326          10/04/02
RETAIL  Aqua Grille, Inc., dba Aqua Grille                   14 Gallo Road                       Sandwich         MA    02563-1998   5030048         08/01/03
RETAIL  Aquapazza, Inc., dba Mare                            135 Richmond Street                 Boston           MA    02113-0000   5030838         05/25/05
MIIA    Aquinnah, Town of                                    65 State Road                       Aquinnah         MA    02535        52              07/01/05
MASSBAY ARC of Middlesex East, The                           20 Gould Street                     Reading          MA    01867        80323           12/01/02
MASSBAY ARC of the South Shore, Inc., The                    371River Street                     North Weymouth   MA    02191        80343           08/01/05
RETAIL  Arcadia Foods Inc., dba Paisanos Restaurant          6 Pembroke St.                      Kingston         MA    02364-0000   5031255         09/01/06
RETAIL  Arcadian Shop, Inc.                                  PO Box 1637                         Lenox            MA    01240-0000   1061550         10/22/02
MCSIG   Archbishop Williams High School                      80 Independence Avenue              Braintree        MA    02184        none            03/31/93
MCSIG   Archdiocesan Cemetery Association                    175 Broadway                        Malden           MA    02148        none            03/31/93
MCSIG   Archdiocesan Parishes                                2121 Commonwealth Avenue            Brighton         MA    02135        none            03/31/93
ABC     Architectural Caulking & Waterproofing, Inc.         22 Circle Street                    Brockton         MA    02302        ABCMA 005002    09/01/95
RETAIL  Arck Enterprises, Inc., dba Danvers Exxon Mart       100 High Street                     Danvers          MA    01923-0000   5032561         03/19/09
RETAIL  Ardeo Tuscan Tavern, LLC                             23 V Whites Path Rd.                South Yarmouth   MA    02664-0000   5031589         05/25/07
MANUF   Argos Corporation                                    PO Box 760                          East Wareham      MA   02538        5100088         01/04/10
RETAIL  Argyriadis Corp, dba Kreme N Kone                    PO Box 1285                         Dennisport       MA    02639-0000   5031062         06/20/06
AICC    Arktex Corp. dba Super Lube                          419 Main Street                     Falmouth         MA    02540        WC 003031       09/28/03
RETAIL  Arlex Supply Co, Inc.                                94 Liberty Street                   Quincy           MA    02169-0000   1049980         08/21/08
AICC    Arlington Center Auto Parts, Inc.                    82 Kensington Park                  Arlington        MA    02174        WC 001106       01/01/00
SILBA   Arlington Coal & Lumber Co.                          41 Park Avenue                      Arlington        MA    02174        WC 000832       01/01/95
MIIA    Arlington Housing Authority                          4 Winslow Street                    Arlington        MA    02174        9               07/01/05
MANUF   Armatron International, Inc.                         15 Highland Avenue                  Malden           MA    02148        3000027         01/01/92
MANUF   Armin Innovative Products, Inc., dba RNR Plastics    20 Bellows Rd                       Raynham           MA   02767        5100094         05/04/10

                                                                                Page 23 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                            Zip             Policy   Effective
Group       Member Name                                          Street Address                              City                 St.      Code            Number      Date
RETAIL      Arnoff Storage, Inc., dba Arnoff Pack & Ship         1282 Dutchess Turnpike                      Poughkeepsie         NY    01230-0000   5030942          11/30/05
AICC        Arpco, Inc. dba Boston Clutch Works                  1486 Tremont Street                         Boston               MA    02120        WC 001010        01/01/00
RETAIL      Arthur T. Gregorian Inc                              2284 Washington St                          Newton               MA    02462-0000   5031956          06/15/08
RETAIL      Artichoq Inc, dba Vintages                           53-55 Commonwealth Ave                      Concord              MA    01742-0000   501774           06/01/01
            Artiful & Tahmina Matubbar, dba White Hen 7902-9 &
RETAIL      7304-5                                                                                             Norwood
                                                                 c/o New England Pantry Inc., 290 Vanderbilt Ave                  MA    02062-0000   500061           03/18/08
RETAIL      Artistic Floors, Inc.                                1526 State Street                             Springfield,       MA    01109-0000   500980           07/01/96
RETAIL      Artsan, Inc., dba The Wine Basket                    PO Box 237                                    Raynham Center     MA    02768-0000   5030013          01/01/04
RETAIL      Asacks Footwear, Inc.                                265 North Main Street                         West Bridgewater   MA    02379-0000   5030859          08/09/05
RETAIL      Ascot Cafe, Inc. dba Dube's Seafood                  317 Jefferson Ave                             Salem              MA    01970-0000   5032818          05/02/11
MIIA        Ashburnham, Town of                                  Town Hall, 32 Main Street                     Ashburnham         MA    01430        433              07/01/10
MEGA        Ashburnham-Westminster RSD                           P O Box 455                                   Westminster        MA    01473        X340043          07/01/98
McD         Ashburton Fresh City, LLC                            See: D & P Associates
MIIA        Ashby, Town of                                       895 Main Street                               Ashby              MA    01431        10               07/01/05
MEGA        Ashfield Water District                              P O Box 219                                   Ashfield           MA    01330        X340074          07/01/97
MIIA        Ashfield, Town of                                    Town Hall, 412 Main Street                    Ashfield           MA    01330        11               07/01/05
McD         AshGage, LLC.                                        26 Raymond Circle                             Westfield          MA    01085        7240             01/01/96
NAHRO       Ashland Housing Authority                            59 Park Road                                  Ashland            MA    01721        WCMN0077         06/01/04
RETAIL      Ashland Public Market, Inc.                          197 Main Street                               Ashland,           MA    01721-0000   500501           04/01/95
MIIA        Ashland, Town of                                     Town Hall, 101 Main Street                    Ashland            MA    01721        12               07/01/05
AICC        Ashley Ford Sales, Inc.                              395 Mount Pleasant Street                     New Bedford        MA    02746        WC 007305        01/01/07
RETAIL      Ashok, Inc., dba Pleasant Valley Superette           288-298 Merrimac St.                          Methuen            MA    01844-0000   5032375          10/30/09
            Ashtin Management Group Inc., dba Honey Dew
RETAIL      Donuts                                               PO Box 979                                  Monument Beach       MA    02553-0000   502475           04/06/03
TRADE       Aspen Transportation Service, Inc.                   795 W.Broadway                              Gardner              MA    01440        4100007          01/01/04
MEGA        Assabet Valley Collabrative                          215 Fitchburg Street                        Marlboro             MA    01752        X340158          07/01/90
MEGA        Assabet Valley RSD                                   Fitchburg Street                            Marlboro             MA    01752        X340272          07/01/02

ISCC        Association of Independent Schools in New England    222 Forbes Road - Suite 105                 Braintree            MA    02184        WC 000146        04/01/92
            Assonet Star Market Inc, dba Junior Convenience
RETAIL      Store                                                P.O. Box 88                                 Assonet              MA    02702-0000   501274           12/12/95
NEEIA       Assumption College                                   500 Salisbury Street                        Worcester            MA    01615        06-5000330       07/01/92
RETAIL      Asteria, LLC dba Pembroke Mart                       208 Church Street                           Pembroke              MA   02359        5032711          01/01/11
RETAIL      Astin's Auto Service, Inc.                           236 South Main Street                       Hopedale             MA    01747-0000   5031336          11/24/06
            At the Beginning of Beach Road Corp., dba Barley
RETAIL      Neck Inn & Lodge                                     PO Box 486                                  East Orleans         MA    02643-0000   502182           08/01/02
RETAIL      ATC Audio, Inc.                                      89 Myron Street                             West Springfield     MA    01089-0000   502082           04/10/02
RETAIL      Athens Pizza & Restaurant Inc                        566 Main Street                             Leominster           MA    01453-0000   5030469          02/08/05
NAHRO       Athol Housing Authority                              21 Morton Meadows                           Athol                MA    01331        WCMN0082         06/01/04
HEALTH      Athol Memorial Hospital, Inc.                        2033 Main Street                            Athol                MA    01331        3100001          01/01/04


                                                                                    Page 24 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                              Zip             Policy   Effective
Group       Member Name                                        Street Address                        City           St.      Code            Number      Date
RETAIL      Athol Rental Center, Inc.                          129 South Main St.                    Athol          MA    01331-0000   502216           11/08/01
MIIA        Athol, Town of                                     584 Main Street                       Athol          MA    01331        427              07/01/06
MEGA        Athol-Royalston RSD                                220 S. Main Street                    Athol          MA    01331        X340002          07/01/02
RETAIL      Atkins Fruit Bowl, Inc., dba Atkins Farms, Inc.    1150 West Street                      Amherst        MA    01002-0000   5030081          10/21/91
RETAIL      Atlantic 101, Inc., dba The Living Room            101 Atlantic Ave.                     Boston         MA    02110-0000   5031541          05/01/07
RETAIL      Atlantic Appliance Parts                           350 Washington Street                 Quincy         MA    02169-0000   5030494          01/01/04
RETAIL      Atlantic Auto & Truck Supply LLC                   245 Newbury Street                    Peabody        MA    01960-0000   1092399          12/31/02
RETAIL      Atlantic Beer Garden,Inc.                          146 Northern Ave.                     Boston         MA    02110-0000   5032060          10/03/08
RETAIL      Atlantic Coast Seafood, Inc.                       42-44 Boston Fish Pier                Boston         MA    02210-0000   5031008          03/20/06
MANUF       Atlantic Industrial Models, LLC                    7 Essex Park Road                     Essex          MA    01929        5100069          03/31/07
RETAIL      Atlantic Lab Equipment LLC                         PO Box 4405                           Salem          MA    01970-6405   5032548          05/11/10
SILBA       Atlantic Plywood Corp                              8 Roessler Road                       Woburn         MA    01801        WC 000786        01/01/92
RETAIL      Atlantic Poly, Inc.                                86 Morse St.                          Norwood        MA    02062-0000   5032615          08/01/10
RETAIL      Atlantic Spice Company, Inc.                       PO Box 205                            North Truro    MA    02652-0000   5032103          01/08/09
RETAIL      Atlas Liquors, Inc.                                156 Mystic Avenue                     Medford        MA    02155-0000   1096854          01/01/03
ISCC        Atrium School, The                                 69 Grove Street                       Watertown      MA    02472        WC 001168        04/30/10
RETAIL      ATS Automotive & Transmission, Inc.                PO Box 376                            Millis         MA    02054-0000   5030976          02/01/06
RETAIL      Attaya, Inc., dba Rudder Restaurant                30 Haskell St.                        Gloucester     MA    01930-0000   5030472          11/11/03
NAHRO       Attleboro Housing Authority                        37 Carlon Street                      Attleboro      MA    02703        WCMN0116         06/01/04
SILBA       Attleborough-Rehoboth Bldg                         44 Park Street                        Rehoboth       MA    02769        WC 000812        01/01/94
RETAIL      ATV, Inc, dba Acton Ace Hardware                   527 Groton Road                       Westford       MA    01720-0000   5032151          02/04/09
AICC        Auburn Auto Parts, Inc.                            1 Jacques Street                      Worcester      MA    01603-1901   WC 001002        01/01/00
NAHRO       Auburn Housing Authority                           200 Oxford Street North               Auburn         MA    01501        WCMN0083         06/01/04
TRADE       Auburn Industrial Development Corp.                33 Elm Street                         Clinton        MA    01510        4100041          10/01/05
RETAIL      Auburn Package Store, Inc.                         196 Auburn St                         Auburn         MA    01501-0000   5030420          09/25/03
MEGA        Auburn Town of                                     102 Central Street                    Auburn         MA    01501        X340155          07/01/11
MIIA        Auburn Water District                              75 Church Street                      Auburn         MA    01501        422              10/16/05
RETAIL      Auburndale Discount Wine & Spirits, Inc.           150 Needham Street                    Newton         MA    02464-0000   5032830          05/22/11
RETAIL      Auclair's Market Inc                               145 County St.                        Somerset       MA    02726-0000   5032448          01/01/10
RETAIL      Auctioneer Phil Jacquier                           18 Klaus Anderson Road                Southwick      MA    01077-0000   501013           10/25/96
RETAIL      Auctioneers, Inc., dba Avenue Auction Sales        80 Myrtle Street                      North Quincy   MA    02171-0000   501685           04/16/97
AICC        Audi of Brookline-formerly VW of Brookline         308 Boyleston Street                  Brookline      MA    02445        WC 006205        10/01/06
RETAIL      Auditorium Cafe, Inc., dba The Pour House          907 Boylston Street                   Boston         MA    02115-0000   502184           08/01/02

RETAIL      Auduong, Inc., dba Tung Shing Chinese Restaurant   76 Franklin Street                    Westfield      MA    01085-0000   1027125          08/01/02
RETAIL      Auror LLC, dba Flat Patty's Restaurant             4 Brattle St., Suite #211             Cambridge      MA    02138-0000   500528           01/01/08
RETAIL      Austin Liquors Co., Inc.                           15 Sagamore Road                      Worcester      MA    01605-0000   500801           09/26/94
MCSIG       Austin Preparatory School                          101 Willow Street                     Reading        MA    01867        none             03/31/93
RETAIL      Auto Craft Sales & Service, Inc.                   585 Main Street                       Springfield    MA    01105-0000   1049980          12/01/02
RETAIL      Auto Dyne Corp.                                    8-10 Railroad Ave.                    Beverly        MA    01915-0000   5031356          12/28/06

                                                                                    Page 25 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip            Policy   Effective
Group       Member Name                                           Street Address                             City              St.      Code            Number     Date
RETAIL      Auto Fitness, Inc., dba E-Z Lube                      415 American Legion Highway                Revere            MA    02151-0000   5031476         10/10/07
AICC        Auto Machine Service, Inc.                            233 Main Street                            Maynard           MA    01754        WC 001105       01/01/00
RETAIL      Auto One, Inc.                                        200 Center Street                          Holbrook          MA    02343-0000   5031523         04/22/07
RETAIL      Auto Promo, Inc.                                      740 Central St.                            Holliston         MA    01746-0000   5032128         01/14/09
AICC        Auto Service & Tire, Inc.                             1590 Blue Hills Avenue                     Mattapan          MA    02126        WC 005105       02/01/05
RETAIL      Auto Sound Co Inc                                     109 Washington Street                      Plainville        MA    02762-0000   5030088         05/01/91
RETAIL      Autobahn Performance, Inc.                            3 First Avenue                             Peabody           MA    01960-3851   5032530         05/09/10
            Automotive Excellence, Inc., dba Danvers Automotive
RETAIL      Center                                                17 R. Hobart St                            Danvers           MA    01923-0000 5031427           02/15/07

RETAIL      Automotive Service Plus, Inc., dba ASPI Motor Cars    106 River Street                             Dedham          MA    02026-0000   5031114         07/04/06
RETAIL      Autopro Import Repair, Inc.                           69 S. Ludlow Street                          Worcester       MA    01603-0000   5031157         07/14/06
MANUF       Avedis Zildjian Co.                                   22 Longwater Drive                           Norwell         MA    02061        5100068         01/01/07
RETAIL      Avenue Auto Wholesalers, Inc.                         PO Box 255543                                Dorcester       MA    02125-0000   5031492         04/03/07
RETAIL      Avis Skinner Vis-A-Vis, Ltd.                          PO Box 1438                                  Nantucket       MA    02554-0000   502080          05/18/01
NAHRO       Avon Housing Authority                                One Fellowship Circle                        Avon            MA    02322        WCMN0128        06/01/04
MEGA        Avon Town of                                          65 East Main Street                          Avon            MA    02322        X340429         07/01/11
RETAIL      AV's Market, Inc.                                     113 Beaver Street                            Framingham      MA    01702-0000   5032040         08/31/08
RETAIL      AVW, LLC, dba The Meat House                          554 Turnpike Street                          North Andover   MA    01845-0000   5032210         03/02/09
RETAIL      AWLGS, LLC                                            314 Mattakeesett Street                      Pembroke        MA    02359-0000   5031554         04/01/07
RETAIL      Awon's Tire & Auto Center, Inc.                       35 Clearance Street                          Brockton        MA    02301-0000   5031597         06/28/07
NAHRO       Ayer Housing Authority                                18 Pond Street                               Ayer            MA    01432        WCMN0050        06/01/04
RETAIL      Ayer Package Store, Inc.                              48 Main Street                               Ayer            MA    01432-0000   500830          11/01/94
MIIA        Ayer Shirley Regional School District                 141 Washington Street                        Ayer            MA    01432        462             07/01/10
MIIA        Ayer, Town of                                         Main Street                                  Ayer            MA    01432        190             07/01/05
RETAIL      AZ, Inc. dba A2Z Science and Learning Store           57 King Street                               Northampton      MA   01060        5032736         02/11/11
RETAIL      Azzaro Mashpee, Inc., dba Cooke's Seafood                                                          Street
                                                                  c/o Azzaro Corp -- Accounting Dept, 681 Main West Yarmouth   MA    02673-0000   500156          08/01/02
            Azzaro Yarmouth, LLC, dba The Lobster Boat
RETAIL      Restaurant                                            681 Main Street, Route 28                  West Yarmouth     MA 02673-0000 500394               04/01/04
RETAIL      B & B Auto Clinic, Inc.                               17 Library Street                          Georgetown        MA 01833-0000 5031357              01/01/07
RETAIL      B & B Auto Inc.                                       51 Lacombe St. Unit 1                      Marlborough        MA 01752     5032707              01/01/11
            B & B Village Enterprises, Inc., dba The Village
RETAIL      Market                                                208 Wareham Street                         Middleboro        MA    02346-0000 5031543           05/10/07
            B & B Wholesale Tire Company, Inc., dba Kraft Tire
RETAIL      & Auto                                                109 Mill Street                            Marlborough       MA    01752-0000 5030973           02/01/06

AICC        B & C Corporation dba Chip's Towing & Transport       295 Union Street                           Walpole           MA    02032        WC 006210       11/01/06
HVAC        B & D Air Systems, Inc.                               See New England Ventilation Co., Inc.
RETAIL      B & D Automotive, LLC                                 200 Cushing Street, Unit 4                 Stoughton         MA    02072-0000 500678            04/27/07
RETAIL      B & L Automotive, Inc., dba Brad's Service Center     760 Front Street                           Chicopee          MA    01020-0000 5031331           11/12/06


                                                                                     Page 26 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip           Policy   Effective
Group       Member Name                                      Street Address                              City           St.      Code          Number      Date
AICC        B & L Road Service                               137 Plymouth Avenue                         Wareham        MA    02538      WC 004080        10/01/04
MANUF       B & R Machine, Inc.                              305A Moody Street                           Ludlow         MA    01056      5100066          04/19/06
RETAIL      B & V, Inc., dba Dunkin Donuts                   48 Junction Square Drive                    Concord        MA    01742-0000 502311           01/01/04
            B and D Provisions,Inc., dba The Main Course
RETAIL      Market                                           11 Washington St.                           Canton         MA    02021-0000 5032415          12/01/09
RETAIL      B G Sporting, Inc.                               1460 Russell Road                           Westfield      MA    01085-0000 5030639          07/02/04
            B&B Engineering Corp. d/b/a L W Bills // Alarm
TRADE       Engineering                                      7-9 Park St.                                Georgetown     MA    01833        4100096        12/07/08
RETAIL      B&B Trading Corp.                                11 Widett Circle                            Boston         MA    02118-0000   5030882        06/15/06
RETAIL      B. Good, LLC                                     Attention: Judy Larkee, 391 Sumner Street   Norwood        MA    02062-0000   500137         10/31/07
RETAIL      B. Stone, Inc., dba The Blarney Stone            150 Bowdoin St                              Boston         MA    02108-0000   5031505        04/01/07
MANUF       B.E. Peterson, Inc.                              40 Murphy Drive                             Avon           MA    02322        5100010        01/01/04
RETAIL      B.K.V., Inc., dba Images and Tellos              161B Pleasant St                            Lynn           MA    01901-0000   501092         05/01/93
RETAIL      B.W. Foods Inc., dba Burger King                 553 Boylston Street                         Boston         MA    02116-0000   5030572        03/31/04
RETAIL      B2 Burrito Bistro, Inc.                          790 Lyannough Road                          Hyannis        MA    02601-0000   5031332        11/01/06
RETAIL      Babel's Paint & Decorating Store, Inc.           23 Cottage Street                           Norwood        MA    02062-0000   5030442        11/29/04
NEEIA       Babson College                                   Babson Park                                 Wellesley      MA    02157        06-5000260     11/01/91
RETAIL      Babu Patel, dba Rite-Way Dry Cleaners            4 Hudson Street                             Cambridge      MA    02138-0000   501028         08/26/96
RETAIL      Baby Furniture Warehouse Store , Inc.            1 General Ave., PO Box 523                  Reading        MA    01867-0000   500296         04/09/97
RETAIL      Baby Furniture Warehouse Store II, Inc.          1 General Ave., PO Box 523                  Reading        MA    01867-0000   500303         01/01/04
RETAIL      Bacon's Spirits Co., Inc.                        234 Washington Street                       Hudson,        MA    01749-0000   500738         08/23/95
RETAIL      Bagel Planet, Inc., dba Life Is A Bagel          29 Washington St.                           Canton         MA    02021-0000   5032156        01/24/09
RETAIL      Bagel World, Inc.                                10 Sylvan Street                            Peabody        MA    01960-0000   501619         09/01/00
RETAIL      Bagels Too, Inc.                                 166 North St.                               Pittsfield     MA    01201-0000   502002         05/01/02
RETAIL      Baker Cadillac Oldsmobile, Inc.                  495 Main Street                             Leominster     MA    01453-0000   5030759        04/05/06
CARE        Baker-Katz Nursing Home                          87 Shattuck Street                          Haverhill      MA    01830        2000016        01/01/94
RETAIL      Balboni's Drug Store, Inc.                       289 Court Street                            Plymouth,      MA    02360-0000   500890         01/13/96
            Ball Pharmacy Corporation dba Crown Drug
RETAIL      Company                                    282 Lewis St.                                     Lynn            MA 01902          5032726        01/19/11
            Bananas Inc A/K/A J. Fine Company dba Gone
RETAIL      Bananas                                    PO Box 575                                        East Wareham    MA 02538     5032767             03/04/11
ISCC        Bancroft School                                  110 Shore Drive                             Worcester      MA 01605      WC 000016           04/01/92
RETAIL      Bandwagon, Inc.                                  54 Industrial Way                           Wilmington     MA 01887-0000 5030690             10/01/04
            Banks Square Market Corp., dba The Produce
RETAIL      Connection                                       PO Box 6245                                 Chelsea        MA    02150-6245   5030089        03/16/94
RETAIL      Banwait Liquors, Inc., dba One Stop Liquors      141 Central Ave                             Chelsea        MA    02150-0000   5032681        11/25/10
RETAIL      Bapajay Corporation                              390 Dorchester St.                          South Boston   MA    02127-0000   5032189        03/10/09
RETAIL      Bar 348 Congress LLC, dba Drink                  c/o Barbara Lynch Gruppo, 319 A Street      Boston         MA    02210-0000   500098         09/01/08
RETAIL      Bar Harbor, Inc., dba Pearle Vision              20 Commerce Way                             Seekonk        MA    02771-0000   5030152        11/15/03
RETAIL      Barbara J. Hamilton, dba Hamilton Orchards       22 West Street                              New Salem      MA    01355-0000   500500         04/11/95


                                                                                 Page 27 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                               Zip           Policy   Effective
Group   Member Name                                           Street Address                      City               St.      Code          Number      Date
RETAIL  Barbo's Furniture, Inc.                               Route 28                            Dennisport         MA    02639-0000 501513           02/05/98
MMCG    Barbour Corp.                                         932 N. Montello Street              Brockton           MA    02405      WC 000275        01/01/93
        Bargain Spot Warehouse Liquors, Inc., dba
RETAIL  Downtown Wine & Spirits                               225 Elm St.                         Somerville         MA    02144-0000   5032632        09/15/10
RETAIL  Barlows Liquor Corp, dba Sea Side Wine & Spirit       PO Box 368                          Pocasset           MA    02559-0000   502278         11/23/10
RETAIL  Barmakian Brothers Partnership                        333 Washington Street               Boston             MA    02108-0000   5030416        12/10/04
RETAIL  Barmakian Metro West Partnership                      333 Washington Street               Boston             MA    02108-0000   5030416        12/10/04
RETAIL  Barn Car Wash Inc                                     95 Squire Rd.                       Revere             MA    02151-0000   5031860        02/26/08
MIIA    Barnstable County                                     P.O Box 427                         Barnstable         MA    02630        463            07/01/10
MIIA    Barnstable Fire & Water District                      1846 Phinney's Lane                 Barnstable         MA    02630        292            07/01/05
NAHRO   Barnstable Housing Authority                          146 South Street                    Hyannis            MA    02601        WCMN0193       10/01/04
        Barnstable Restaurant, Inc., dba Barnstable
RETAIL  Restaurant and Tavern                                 PO Box 1025                         Barnstable         MA    02630-0000   5031031        05/01/06
AICC    Barrco Automotive Warehouse Distributors, Inc.        87 Albany Street                    Springfield        MA    01105        WC 003044      12/08/03
RETAIL  Barre Family Pharmacy, Inc.                           PO Box 610                          Barre,             MA    01005-0000   501902         12/08/97
RETAIL  Barre Foods, Inc.                                     596 Summer Street                   Barre              MA    01005-0000   5031488        04/01/07
NAHRO   Barre Housing Authority                               49 Grandview Terrace                Barre              MA    01005        WCMN0176       06/01/04
MIIA    Barre, Town of                                        Town Hall, West Street              Barre              MA    01005        14             07/01/05
        Barreira & Bernardo Inc., dba Four Seasons
RETAIL  Restaurant                                            373-375 Central Street              Lowell             MA    01852-0000   502159         08/11/01
RETAIL  Barrett Restaurants, Inc.                             1235 Bedford Street                 North Abington     MA    02351-0000   5030677        08/01/04
RETAIL  Barretts At The Dome, Inc.                            350 Bedford Street                  Bridgewater        MA    02334-0000   5032664        10/28/10
RETAIL  Barrett's Truck & Auto Repair, Inc.                   177 Mechanic Street, Route 140      Bellingham         MA    02019-0000   500348         05/12/06
        Barrington Brewery & Restaurant Inc., dba Berkshire
RETAIL  Mountain Brewers                                      420 Stockbridge Rd., Suite 7        Great Barrington   MA    01230-0000   500558         01/01/02
RETAIL  Barry & Winslow, LLC, dba Winslow's Tavern            PO Box 794                          Wellfleet          MA    02667-0000   5030779        02/23/05
RETAIL  Barry Ward, Inc.                                      PO Box 109                          Weymouth           MA    02188-0000   502448         06/20/02
RETAIL  Barrys Fine Wines & Spirits Inc                       573 Mill St.                        New Bedford        MA    02740-0000   5031762        11/18/07
MCSIG   Basilian Provincial House                             30 East Street                      Methuen            MA    01844        none           03/31/93
RETAIL  Bass River Discount Liquors, Inc.                     931 Rte. 28                         South Yarmouth,    MA    02664-0000   501770         07/06/97
TRADE   Batista & Sons, Inc.                                  PO Box 509                          Brimfield          MA    01010        4100113        06/19/10
RETAIL  Bay - 4 Motorsports, Inc                              1615 Shawsheen St., Unit 4          Tewksbury          MA    01876-0000   500685         05/30/08
MASSBAY Bay Cove Human Services, Inc.                         66 Canal Street                     Boston             MA    02114        80324          01/01/03
ISCC    Bay Farm Montessori Academy                           145 Loring Road                     Duxbury            MA    02332        WC 000908      07/01/03
NEEIA   Bay Path College                                      588 Longmeadow Street               Longmeadow         MA    01106        06-5000010     07/01/90
RETAIL  Bay State Check Express, Inc.                         1037 Washington St.                 Attleboro          MA    02703-0000   5031912        04/17/08
MANUF   Bay State Crucible Company                            PO Box 407                          Taunton            MA    02780        3000143        01/01/93
RETAIL  Bay State Food Shops, Inc.                            1420 Beacon Street                  Brookline          MA    02446-0000   5031975        05/16/09
RETAIL  Bay State Plumbing & Heating Supply Co.               15 Mill St.                         Springfield        MA    01108-0000   5032193        04/01/09
RETAIL  Bay State Truck Caps, Inc.                            333 Martine Street                  Fall River         MA    02723-0000   5030500        02/14/05


                                                                                 Page 28 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                Zip             Policy   Effective
Group       Member Name                                          Street Address                      City             St.      Code            Number      Date
RETAIL      Bay State Water Works Supply, Inc.                   P.O. Box 2276                       Littleton,       MA    01460-0000   501033           08/20/96
RETAIL      Bay State Wire and Cable Company, Inc.               PO Box 1093                         Lowell           MA    01853-0000   5031418          01/09/07
AICC        Baystate Ventures LLC dba Jiffy Lube                 16 Springhill Farm Court            Cockeysville     MD    21030        WC 008052        05/01/08
RETAIL      Baystate Wine Company, Inc.                          40 Robbie Road, Unit A              Avon             MA    02322-1162   500687           11/01/07
RETAIL      BBP Corp., dba Muckey's Liquors                      13 Harding St.                      Lakeville        MA    02347-0000   1003810          05/07/03
RETAIL      BCG Donut Co. II Inc., dba Dunkin Donuts             506 High Plain Street               Walpole          MA    02081-0000   502016           03/31/02
RETAIL      BCG Donut Co. Inc., dba Dunkin Donuts                703 Main Street                     Walpole          MA    02081-0000   502019           04/01/02
RETAIL      BCN Automotive LLC, dba Bill's Auto Repair           599 Neponset St.                    Canton           MA    02021-0000   5032484          02/05/10
RETAIL      Beachfront Property Swimwear, Inc.                   Rte 101A, Pennichuck Square         Merrimack        NH    03054-0000   500250           10/07/06
RETAIL      Beachview, Inc., dba The Skipper Restaurant          152 South Shore Drive               South Yarmouth   MA    02664-0000   5032678          11/18/10
RETAIL      Beacon Electrical Supply, Inc.                       5 First Avenue                      Peabody          MA    01960-0000   5031344          12/01/06
RETAIL      Beacon Fruit & Produce Co., Inc.                     119-120 NE Produce Center           Chelsea          MA    02150-0000   500668           07/09/95
RETAIL      Beacon Grille, Inc.                                  200 West Cummings Park              Woburn           MA    01801-0000   5032454          01/01/10

RETAIL      Beacon Hill Companies, Inc., dba Beacon Hill Video   9 Wethersfield Drive                Andover          MA    01810-0000 500736             09/17/95
            Bean Management, LLC, dba Midas Auto System
RETAIL      Experts                                              PO Box 2146                         Amherst          MA    01004-0000 5031149            06/20/06
                                                                 c/o Commonwealth Management, 2000
CARE        Bear Hill Nursing Center,Inc.atWakefield             Commonwealth Avenue                 Auburndale       MA    02466        2100014          08/18/04
AICC        Beard Motors, Inc.                                   22 Ridgewood Avenue, P.O. Box 459   Hyannis          MA    02601        WC 006187        07/01/06
RETAIL      Beau's Seafood Co., Inc.                             9-11 Fish Pier East                 Boston           MA    02210-0000   5031620          06/29/07
RETAIL      Beav, Inc., dba Brian's Eating & Drinking Place      PO Box 245                          Uxbridge         MA    01569-0000   5030877          08/01/05
ISCC        Beaver Country Day School                            791 Hammond Street                  Chestnut Hill    MA    02167        WC 000324        01/01/93
MIIA        Becket, Town of                                      Town Hall, Washington Street        Becket           MA    01223        15               07/01/05
AICC        Bedard Brothers Auto Sales                           State Road, Route 8                 Cheshire         MA    01225        WC 001007        01/01/00
RETAIL      Bedell's Auto Repair, LLC                            1225 Mammoth Road                   Dracut           MA    01826-0000   5031295          10/20/06
RETAIL      Beden Hardware Co.                                   95 Munroe Street                    Lynn,            MA    01901-0000   500804           10/28/95
STAM        Bedford Charter Service, Inc.                        11 Railroad Avenue                  Bedford          MA    01730        WC-10-1003030    07/01/10
RETAIL      Bedford Dining, Inc., dba White Horse Tavern         116 Brighton Avenue                 Allston          MA    02134-0000   5030508          04/01/05
RETAIL      Bedford Donuts Inc., dba Dunkin Donuts               P.O. Box 189                        Chelmsford       MA    01824-0000   5030662          08/01/04
NAHRO       Bedford Housing Authority                            Ashby Place                         Bedford          MA    01730        WCMN0117         06/01/04
RETAIL      Bedford Jewelers, Inc.                               323 Great Road                      Bedford          MA    01730-0000   502190           08/15/02
MIIA        Bedford, Town of                                     Town Hall                           Bedford          MA    01730        16               07/01/05
RETAIL      Bedworks Inc.                                        15 Western Avenue                   Cambridge        MA    02139-0000   501248           04/20/97
RETAIL      Beer & Winemaking Supplies, Inc.                     154 King Street                     Northampton,     MA    01060-0000   500941           07/12/96
RETAIL      Beezee Auto, Inc.                                    68 School Street                    Quincy           MA    02169-0000   5031666          08/10/07
RETAIL      Bela Vegetarian, Inc.                                PO Box 56                           Northampton      MA    01061-0000   502087           05/22/02
RETAIL      Belanger Hardware, Inc.                              284 Water St.                       Fitchburg        MA    01420-0000   5030431          10/01/03
AICC        Belchertown Auto Parts, Inc.                         116 Federal Street                  Belchertown      MA    01007        WC 001087        01/01/00
NAHRO       Belchertown Housing Authority                        41 Everett Avenue - OFC/24          Belchertown      MA    01007        WCMN0072         06/01/04


                                                                                    Page 29 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                              Zip            Policy   Effective
Group       Member Name                                          Street Address                      City           St.      Code            Number     Date
MEGA        Belchertown Water District                           206 Jabish Street PO Box 801        Belchertown    MA    01007        X340501         07/01/11
MEGA        Belchertown, Town of                                 2 Jabish St., PO Box 607            Belchertown    MA    01007        X340134         07/01/02
RETAIL      Bella Famiglia, Inc.                                 PO Box 729                          Westford       MA    01886-0000   5032215         03/18/09
RETAIL      Bella Verona Inc                                     107 Essex St.                       Salem          MA    01923-0000   5031705         06/25/08
RETAIL      Belladora Corp, dba The Vin Bin                      27 South Bolton Street              Marlborough    MA    01752-0000   5031738         08/18/08
            Bellco Appliance & Television Inc., dba Bellingham
RETAIL      Electric                                             250 Pulaski Bldv.                   Bellingham     MA    02019-0000   502480          04/15/03
SILBA       Belletete's                                          51 Peterborough Street              Jaffrey        NH    03452        WC 000770       01/01/92
RETAIL      Bellingham Dairy Queen, Inc.                         21 N Main Street                    Bellingham     MA    02019-0000   1059610         09/10/02
RETAIL      Bellingham Electrical Co Inc.                        250 Pulaski Blvd.                   Bellingham     MA    02019-0000   502481          01/01/04
RETAIL      Bellingham House of Pizza and Pub, Inc.              442 Hartford Ave                    Bellingham     MA    02019-0000   5032628         08/01/10
NAHRO       Bellingham Housing Authority                         10 Wrentham Manor                   Bellingham     MA    02019        WCMN0192        08/19/04
RETAIL      Bellingham Lumber Co., LLC                           1210 Pulaski Blvd                   Bellingham     MA    02019-0000   5031353         01/01/07
SILBA       Bellingham Lumber Co., LLC                           1210 Pulaski Bvd                    Bellingham     MA    02019        WC 000907       06/01/03
RETAIL      Bellingham Wholesale & Industrial, Inc.              1210 Pulaski Blvd                   Bellingham     MA    02019-0000   5031353         01/01/07
MIIA        Bellingham, Town of                                  4 Mechanic Street                   Bellingham     MA    02019        420             07/01/05
RETAIL      Bellino's Restaurant Group, LLC, dba Bistro 20       120 Boston Post Rd                  Sudbury        MA    01776-0000   5032616         08/23/10
RETAIL      Belmont Car Wash, Inc.                               271 Leominster-Shirley Road         Lunenberg      MA    01462-0000   5031138         01/01/07
ISCC        Belmont Day School                                   55 Day School Lane                  Belmont        MA    02178        WC 000017       04/01/92
ISCC        Belmont Hill School                                  350 Prospect Street                 Belmont        MA    02178        WC 000040       04/01/92
NAHRO       Belmont Housing Authority                            59 Pearson Road                     Belmont        MA    02478        WCMN0146        06/01/04
CARE        Belmont Manor Nursing Home, Inc.                     34 Agassiz Avenue                   Belmont        MA    02478-5023   2000027         01/01/91
            Belmont Motor Works, Inc., dba Lou's Custom
RETAIL      Exhaust                                              118 Bacon Street                    Waltham        MA    02453-0000   5031426         03/01/07
RETAIL      Belmont Plaza Corp                                   646 Main Street                     Worcester      MA    01608-2021   5030210         01/01/04
MIIA        Belmont, Town of                                     455 Concord Avenue                  Belmont        MA    02178        270             07/01/05
RETAIL      BEMEG, Inc., dba Yankee Spirits                      PO Box 191                          Sturbridge     MA    01566-0191   500912          06/09/08
ISCC        Bement School                                        94 Main Street                      Deerfield      MA    01342        WC 000908       06/21/03
RETAIL      Ben & Bill's Chocolate Emporium, Inc.                141 Main Street                     Northampton,   MA    01060-0000   501078          01/17/97
MANUF       Ben Franklin Design & Mfg. Co., Inc.                 PO Box 502                          Agawam          MA   01001        5100110         02/01/11

RETAIL      Benetorre Corporation, dba Sally Ann's Food Shop     73 Main St.                         Concord        MA    01742-0000 502444            06/04/02
RETAIL      Benjamin A. Perry, Jr., dba Mr. Perry's Tux          341 North Street                    Hyannis        MA    02601-0000 501301            06/09/97
            Benjamin W.& William M. Coggins, dba Ben & Bills
RETAIL      Chocolate Emporium Falmouth                          141 Main Street                     Northampton    MA    01060-0000 501105            01/01/04

RETAIL      Bennett, Goding & Cooper, Inc., dba Cooper Fabrics 349 Lenox Street                      Norwood        MA    02062-0000 501856            11/19/97
            Bennington Food Mart, Inc., dba Neptune
RETAIL      Convenience                                        3 Neptune Road                        East Boston    MA    02128-0000 5031296           11/06/06



                                                                                    Page 30 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip            Policy   Effective
Group       Member Name                                         Street Address                         City               St.      Code           Number     Date

RETAIL      Bennington Liquor Store, Inc., dba Neptune Liquor   1 Neptune Road                         East Boston        MA    02128-0000   5031297        11/06/06
RETAIL      Benrick Corp., dba Chatham Squire Restaurant        487 Main Street                        Chatham            MA    02633-0000   502494         08/01/02
AICC        Ben's Service Station                               51 West Street                         Berlin             MA    01503        WC 005102      01/01/05
RETAIL      Ben's Shop, Inc.                                    68 Main Street                         Lee,               MA    01238-0000   501701         05/24/97
RETAIL      Ben's Uniform Inc.                                  20 Main St.                            Amesbury           MA    01913-0000   5032180        02/01/09
NEEIA       Bentley College                                     175 Forest Street                      Waltham            MA    02154        06-5000020     02/01/02
RETAIL      Benwood, Inc., dba Benson & Wood                    367 Park Ave                           Worcester          MA    01610-0000   5031887        03/09/08
            Bergantino, Inc., dba International House of
RETAIL      Pancakes                                            70 Boston Turnpike                     Shrewsbury         MA    01545-0000   501987         03/01/02
RETAIL      Berger's Specialty Foods, Inc.                      1020 South Street                      Pittsfield         MA    01201-0000   5031951        06/12/08
RETAIL      Berkeley Chandler, Inc.                             C/O Colleen Deliverato, PO Box 41088   Dayton             OH    45441-0088   500291         09/01/06
RETAIL      Berkeley Place Restaurant LP, dba Grill 23 & Bar    PO Box 314                             Boston             MA    02117-0313   502048         04/28/02
CARE        Berkeley Retirement Home Corp.                      150 Berkeley Street                    Lawrence           MA    01841        2000041        07/01/02
RETAIL      Berkhout Corp., dba Dalya's Restaurant              20 North Road                          Bedford            MA    01730-0000   502214         11/01/01
NEEIA       Berklee College of Music                            1140 Boylston Street                   Boston             MA    02215        06-5000030     07/01/90
MIIA        Berkley, Town of                                    One North Main Street                  Berkley            MA    02779        18             07/01/05
RETAIL      Berkshire Appliance                                 51 West Center Street                  Lee                MA    01238-0000   500844         12/31/94
MIIA        Berkshire Arts and Technology Charter School        61 Main St.-Suite241                   North Adams        MA    01247        409            09/15/03
MANUF       Berkshire Bridge and Iron Co., Inc.                 PO Box 254, 140 East Housatonic St.    Dalton              MA   01227-0254   5100108        01/14/11
MEGA        Berkshire Community College                         1350 West Street                       Pittsfield         MA    01201        X340024        07/01/92
            Berkshire Cooperative Association, Inc., dba
RETAIL      Berkshire Co-op Market                              42 Bridge Street                       Great Barringotn   MA    01230-0000   5030329        05/01/03
ISCC        Berkshire Country Day School                        P O Box 867                            Lenox              MA    01240        WC 000912      07/01/03
NAHRO       Berkshire County Regional HA                        150 North Street                       Pittsfield         MA    01201        WCMN0081       06/01/04
MIIA        Berkshire County Retirement Board                   Courthouse                             Pittsfield         MA    01201        366            07/01/05
MIIA        Berkshire Hills Regional School District            50 Main Street, P.O Box 6711           Stockbridge        MA    01262        464            07/01/10
RETAIL      Berkshire Mountain Bakery Inc.                      PO Box 785                             Housatonic         MA    01236-0000   5032543        04/21/10
RETAIL      Berkshire Record Outlet, Inc.                       Rte 102 Pleasant St RR1                Lee                MA    01238-0000   5030095        05/01/91
MIIA        Berkshire Reg. Plan                                 1 Fenn Street                          Pittsfield         MA    01201        398            10/30/03
NEEIA       Berkshire School, Inc.                              Undermountain Road                     Sheffield          MA    01257        06-5000040     07/01/90
AICC        Berkshire Valley Auto Works, Inc.                   1 Canal Street                         North Adams        MA    01247        WC 003023      05/07/03
RETAIL      Berlin Liquors, LLC                                 1405 Douglas Ave.                      North Providence   RI    02904-0000   5032623        08/01/10
MIIA        Berlin, Town of                                     23 Linden Street                       Berlin             MA    01503        372            07/01/05
MEGA        Berlin-Boylston RSD                                 45 Main Street                         Boylston           MA    01505        X340055        07/01/01
MEGA        Bernardston Fire & Water District                   21 Deane Road                          Bernardston        MA    01337        X340293        07/01/05
MIIA        Bernardston, Town of                                38 Church Street, P.O. Box 504         Bernardston        MA    01337        470            07/01/11
RETAIL      Bernat's Polish Meat Products & Deli, LL            895 Meadow St.                         Chicopee           MA    01013-0000   5031481        10/30/07
RETAIL      Bernier's Market, Inc.                              PO Box 698                             Vineyard Haven     MA    02568-0000   5030131        03/01/92
RETAIL      Bertini's, Inc.                                     284 Canal Street                       Salem              MA    01970-0000   5031180        02/20/07


                                                                                    Page 31 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip           Policy   Effective
Group       Member Name                                         Street Address                       City              St.      Code          Number      Date
RETAIL      Berto & Al, Inc., dba Albertos Ristorante           PO Box 2417, 360 Main Street         Hyannis           MA    02601-0000 500120           08/01/06
            Best Burger Watertown LLC, dba Wild Willy's
RETAIL      Burgers                                             46 Arsenal Street                    Watertown         MA    02472-0000   5031448        10/01/07
RETAIL      Best Cleaners                                       381 West Central Street              Franklin          MA    02038-0000   501589         10/02/00
CARE        Bethany Community Services, Inc.                    Attn: David Thomas, 10 Phoenix Row   Haverhill          MA   01832        2100033        05/15/11
MCSIG       Bethany Health Care Center                          97 Bethany Road                      Framingham        MA    01701-7296   none           03/31/93
CARE        Bethany Homes, Inc.                                 Attn: David Thomas, 10 Phoenix Row   Haverhill          MA   01832        2100033        05/15/11
RETAIL      Betlou, Inc., dba City Spirits North                271 East Washington Street           North Attleboro   MA    02760-0000   502346         12/17/02
McD         Betor Foods, Inc.                                   78 Faunce Corner, Suite 550          North Dartmouth   MA    02747        2425           01/01/93
            Betsan Enterprises, Inc, dba Abbott's Wallpaper &
RETAIL      Paint                                               370 South Main Street                Sharon,           MA    02067-0000 500360           02/01/95

AICC        Bettencourt Machine Co. d/b/a Bettencourt Honda     24 Polpis Road                       Nantucket         MA    02554        WC 005124      05/01/05
RETAIL      Better Electric Co., Inc.                           190 Grafton St.                      Worcester         MA    01604-0000   502294         01/26/02
RETAIL      Better Feet LLC, dba The Good Feet Store            189 Summer Street                    Watertown         MA    02472-0000   5031926        05/24/08
RETAIL      Better Food LLC                                     PO Box 2728, Mashpee Commons         Mashpee           MA    02649-0000   500230         10/24/05
RETAIL      Bettridge Auto Parts, Inc.                          566 Forest Ave                       Brockton          MA    02301-0000   5032438        12/29/09
RETAIL      Beverly Beer, Inc., dba Black Cow Restaurant        PO Box 2490                          South Hamilton    MA    01982-0000   5031227        08/01/06
RETAIL      Beverly Food Mart, Inc.                             1A Dodge St.                         Beverly           MA    01915-0000   501711         03/19/01
NAHRO       Beverly Housing Authority                           137 Rear Bridge Street               Beverly           MA    01915        WCMN0195       09/19/04
RETAIL      BFour, LLC dba Suds Plus Car Wash                   795 Centre Street                    Brockton           MA   02302        5032770        03/25/11
RETAIL      Bhavi Food Mart, Inc., dba Richdale                 44 Market Street                     Ipswich           MA    01938-0000   5031872        03/03/08
RETAIL      Bhiya Corp., dba Decor Home Fashions                26 South St                          Westborough,      MA    01581-0000   501537         07/31/00
RETAIL      Bhumi, Inc., dba Neighborhood Variety Store         257 School Street                    Stoughton         MA    02072-0000   5032477        01/23/10
MIIA        Bi-County Educational Collaborative                 201 Franklin Street                  Wrentham          MA    02093        373            07/01/05
RETAIL      Bicycle World, Inc.                                 104 Federal St.                      Greenfield        MA    01301-0000   501718         05/09/01
            Bidmark Services Inc., dba Berman Auctioneers &
RETAIL      Appraisers                                          8 Lantern Lane                       Worcester         MA    01609-0000 5030020          03/01/03
            Big Daddy Donuts, Inc., dba The Downy Flake
RETAIL      Restaurant                                          PO Box 1302                          Nantucket         MA    02554-0000   5030264        04/01/04
RETAIL      Big E's Foodland, Inc.                              11 Union Street                      Easthampton       MA    01027-0000   1020190        03/20/93
RETAIL      Big Fat Toad, Inc.                                  20 Larch St.                         Brighton          MA    02135-0000   5032343        09/29/09
RETAIL      Big Mamou, Inc., dba Chef Wayne's Big Mamou         63 Liberty Street                    Springfield       MA    01103-0000   5031765        10/11/07
RETAIL      Big Mamou, LLC                                      PO Box 488                           Williamsburg      MA    01096-0488   5031829        01/28/08
TRADE       Big T&D Trucking, Inc.                              PO Box 6248                          Chelsea           MA    02150        4100121        05/11/11
RETAIL      Big Tuna LLC                                        154 Wells Avenue, Suite #1           Newton            MA    02459-0000   500481         09/01/08
RETAIL      Billerica Donuts, Inc., dba Dunkin Donuts           647 Boston Road                      Billerica         MA    01821-0000   5032682        12/01/10
MIIA        Billerica, Town of                                  Town Hall, 365 Boston Road           Billerica         MA    01821        19             07/01/05
RETAIL      Bill's Automotive Center, Inc.                      650 South St.                        Wrentham          MA    02093-0000   5032580        06/04/10



                                                                                  Page 32 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip            Policy     Effective
Group       Member Name                                                Street Address                     City           St.      Code           Number       Date

RETAIL      Bill's Gasoline Service, Inc., dba Bill's Sunoco Service   50 Route 28, South Orleans Road    Orleans        MA    02653-0000   500414           01/01/06
STAM        Bill's Taxi Service                                        1001 Bedford Street                Bridgewater    MA    02324        WC-06-0000998    10/01/00
RETAIL      Biltmore Package Shop Inc.                                 650 Pleasant St.                   New Bedford    MA    02740-0000   501843           09/09/01
MCSIG       Bishop Fenwick High School                                 99 Margin Street                   Peabody        MA    01960        none             03/31/93
SILBA       Biss Lumber Co                                             523 Somerset Avenue                Taunton        MA    02730        WC 000787        01/01/93
RETAIL      Bittersweet Restaurant, Inc.                               438-440 Main Road                  Westport       MA    02790-0000   5030872          08/01/05
TRADE       BL Kitchen Transportation                                  109 Rhode Island Rd                Lakeville      MA    02347        4100094          08/29/08
RETAIL      Black Ink, Inc.                                            5 Brattle Street                   Cambridge,     MA    02138-0000   501572           02/17/00

RETAIL      Black Marlin Beverage Corp., dba Craigville Package        2946 Rt. 28, Falmouth Road         Osterville     MA    02655-0000   500223           07/21/97
NAHRO       Blackstone Housing Authority                               15 Foxbrook Manor                  Blackstone     MA    01504        WCMN0203         06/01/07
MEGA        Blackstone Valley VRSD                                     65 Pleasant Street                 Upton          MA    01568        X340067          07/01/91
MIIA        Blackstone, Town of                                        Town Hall                          Blackstone     MA    01504        20               07/01/05
MIIA        Blackstone-Millville Regional School District              175 Lincoln Street                 Blackstone     MA    01504        374              07/01/05
CARE        Blair House Senior Services, Inc.                          51 Summer Street                   Rowley         MA    01969        2100011          05/01/04
CARE        Blaire House of Milford                                    51 Summer Street                   Rowley         MA    01969        2100011          05/01/04
CARE        Blaire House of Milford Adult Day Health                   51 Summer Street                   Rowley         MA    01969        2100011          05/01/04
CARE        Blaire House of Tewksbury                                  51 Summer Street                   Rowley         MA    01969        2100011          05/01/04
CARE        Blaire House of Tewksbury Adult Day Heal                   51 Summer Street                   Rowley         MA    01969        2100011          05/01/04
CARE        Blaire House of Tewksbury Assisted Livin                   51 Summer Street                   Rowley         MA    01969        2100011          05/01/04
CARE        Blaire House of Worcester                                  51 Summer Street                   Rowley         MA    01969        2100011          05/01/04

RETAIL      Blake W. & Cindy M. Stearns dba Marion's Pie Shop          2022 Main Street, Route 28         Chatham        MA    02633-0000   5032825          04/25/11
RETAIL      Blanchard's Liquors, Inc., dba Blanchard's                 418 LaGrange St.                   West Roxbury   MA    02132-0000   1021220          01/01/09
RETAIL      Blanchard's Revere                                         418 LaGrange St.                   West Roxbury   MA    02132-0000   1020195          01/01/09
RETAIL      Blanchard's West Roxbury, Inc.                             418 LaGrange Street                West Roxbury   MA    02132-0000   1020190          01/01/93
RETAIL      Blanchette's Automotive Center, Inc.                       1337 Lakeview Ave                  Dracut         MA    01826-0000   5031011          03/31/06
MIIA        Blandford, Town of                                         PO Box 257, 102 Main Street        Blandford      MA    01008        202              07/01/05
MCSIG       Blessed John XXIII National Seminary                       558 South Avenue                   Weston         MA    02193        none             03/31/93
TRADE       Bliss Bros. Dairy, Inc.                                    P.O. Box 2288                      Attleboro      MA    02703        4000004          01/01/92
RETAIL      BLK, Inc., dba Pearle Vision Center                        470 Southern Artery                Quincy         MA    02169-0000   5030475          11/04/03
RETAIL      Bloody Bull, Inc.                                          84 Beacon Street                   Boston         MA    02108-0000   502375           01/01/04
MEGA        Blue Hill RSD                                              800 Randolph Street                Canton         MA    02021        X340159          07/01/02
RETAIL      Blue Q Corporation                                         103 Hawthorne Ave.                 Pittsfield     MA    01201-0000   5032422          01/01/10
RETAIL      Blue Stripe, LLC, dba Cape Sea Grille                      Box 414                            Harwich Port   MA    02646-0000   5031547          05/14/07

RETAIL      Bluebonnet Enterprises, Inc., dba Bluebonnet Diner         324 King St.                       Northampton    MA    01060-0000 5031454            04/01/07

RETAIL      Blueline Enterprises, Inc., dba Sidebar Food & Spirits 14-16 Bromfield St.                    Boston         MA    02110-0000 5032051            10/03/08


                                                                                         Page 33 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                           Zip            Policy   Effective
Group       Member Name                                        Street Address                                  City               St.      Code           Number     Date

RETAIL      Bluestone Management Corp., dba Medway Imports     16 Main Street                                  Medway             MA    02053-0000 5031606          06/15/07
RETAIL      BMW, Inc., dba Parelli Optical                     29 Railroad Ave                                 Gloucester         MA    01930-0000 5031517          04/12/07
RETAIL      BNTT, Inc., dba Value Gas & Repair                 979 Watertown St                                West Newton        MA    02465-2130 5031772          12/03/07
            Boarding House, Inc., dba Boarding House
RETAIL      Restaurant                                         12 Federal Street                               Nantucket          MA    02554-0000   5032222        04/01/09
RETAIL      Bob Graham Auto Sales & Service, Inc.              20 N. Bedford St.                               East Bridgewater   MA    02333-0000   5031750        12/01/07
RETAIL      Bob Powell's Auto Repair,Inc.                      34 Mohawk Drive                                 Springfield        MA    01129-0000   5032461        01/28/10
AICC        Bob's Auto Body Services, Ltd.                     1456A North Shore Road                          Revere             MA    02151        WC 006208      10/17/06
RETAIL      Bob's Auto Service                                 51 Lacombe St.                                  Marlborogh         MA    01752-0000   5031757        12/01/07
RETAIL      Bob's Auto, LTD, dba Bob's Auto Repair             71 West Main Street                             Georgetown         MA    01833-0000   5031137        01/16/07
RETAIL      Bob's Donuts, Inc., dba Dunkin Donuts              282 Derby Street                                Salem              MA    01970-0000   5030603        05/12/04
AICC        Bob's Speed & Auto Parts, Inc.                     240 Willard Street                              Quincy             MA    02169        WC 001008      01/01/00
RETAIL      Boca Ru-Ben Restaurant, Inc., dba Boca             254 Church Street, Unit 7                       Pembroke           MA    02359-0000   500686         10/01/06
RETAIL      Bocado Inc, dba Bocado Tapas Wine Bar              c/o Niche Hospitality Group, 122 Green Street   Worcester          MA    01604-0000   500006         01/14/09
RETAIL      Bolduc's Apparel, LLC                              700 Silver St.                                  Agawam             MA    01001-0000   5032628        08/01/10
RETAIL      Bollywood, Inc., dba Bollywood Grill               350 Winthrop Ave                                North Andover      MA    01845-0000   5030933        01/13/06
RETAIL      Bolt Depot, Inc.                                   286 Bridge St.                                  N. Weymouth         MA   02191        5032699        01/01/11
RETAIL      Bolton St Arco Service Inc                         121 Bolton St                                   Marlboro           MA    01752-0000   5031813        01/01/08
MEGA        Bolton, Town of                                    P O Box 278                                     Bolton             MA    01741        X340076        07/01/90
RETAIL      Bon Repose, Inc.                                   106 Bassett Lane                                Hyannis            MA    02601-0000   501593         12/17/00
RETAIL      Bonardi's Formal Wear, Inc.                        179 Highland Street                             Worcester          MA    01609-0000   5030119        11/10/03
TRADE       Bonney's Express, Inc.                             320 D Street                                    South Boston       MA    02127        4100013        02/01/04

RETAIL      Bonnie-Jo Hakala, dba Ice Cream and Candy Bazaar   P.O. Box 1258                                   Edgartown,         MA    02539-0000   501708         05/10/97
RETAIL      Booras Drug Corp., dba Osborne Pharmacy            59 Essex Street                                 Lynn               MA    01902-0000   501355         02/01/96
AICC        Borges Foreign Auto Parts, Inc.                    2200 Lewis Street, P.O. Box 521                 Dighton            MA    02751        WC110003       04/25/11
RETAIL      Borgeson's Automotive, Inc.                        76 Main St.                                     North Easton       MA    02356-0000   5032107        12/01/08
RETAIL      Borgnis & Son Co., Inc.                            1160 Pleasant Street                            Lee                 MA   01238        5032742        02/13/11
CTCC        Bormann Brothers, Inc.                             30 Lomar Park Drive                             Pepperell          MA    01463        WC 000213      10/01/92
RETAIL      Boscy's Liquors, Inc.                              PO Box 285                                      Bedford            MA    01906-0000   1059615        11/01/02
RETAIL      Boston Appliance Company                           840 Summer Street                               Boston             MA    02127-1533   1022000        05/01/91
NEEIA       Boston Architectural College                       320 Newbury Street                              Boston             MA    02115        06-6000101     07/01/06
RETAIL      Boston Auto Center, Inc.                           1228 Massachusetts Ave                          Dorchester         MA    02125-1608   5032631        09/15/10
AICC        Boston Auto Electric, Inc.                         103 Clayton Street, P.O. Box 124                Boston             MA    02122        WC 001009      01/01/00
RETAIL      Boston Auto Tech, Inc.                             1388-1390 Dorchester Ave                        Dorchester         MA    02122-0000   5032700        12/22/10
RETAIL      Boston Automotive, Inc.                            259 Cambridge St. Rear                          Allston            MA    02134-0000   5032604        06/06/10
RETAIL      Boston Bed Company                                 135 Spark Street                                Brockton           MA    02302-0000   5032834        05/25/11
RETAIL      Boston Building Materials Cooperative I            100 Terrace Street                              Boston             MA    02120-0000   5030443        11/27/04



                                                                                  Page 34 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                              Zip            Policy   Effective
Group       Member Name                                       Street Address                         City            St.      Code           Number     Date

RETAIL      Boston Burrtio Corp, dba Boca Grande Tanqueria         149 First Street                  Cambridge       MA    02142-0000   5032307        08/01/09
MCSIG       Boston Catholic TV Center                              55 Chapel Street                  Newton          MA    02160        none           03/31/93
SILBA       Boston Cedar                                           P.O. Box D                        Avon            MA    02322        WC 000766      01/01/92
ISCC        Boston Center for Adult Education                      5 Commonwealth Avenue             Boston          MA    02116        WC 000045      04/01/92
ISCC        Boston College High School                             150 Morrissey Boulevard           Dorchester      MA    02125        WC 000015      04/01/92
ISCC        Boston Conservatory, The                               8 The Fenway                      Boston          MA    02215        WC 000743      01/01/98
            Boston Food Cooperative, Inc., dba Harvest Coop
RETAIL      Market                                                 581 Massachusetts Ave             Cambridge       MA    02139-0000   1021985        04/01/94
RETAIL      Boston Granite Exchange, Inc.                          PO Box 8242                       Haverhill       MA    01538-0000   5030218        02/01/04
RETAIL      Boston Interiors                                       301 Page Street                   Stoughton       MA    02072-0000   500707         05/01/91
TRADE       Boston Kitchen Distributors, Inc.                      10 Waltham Street                 Wilmington      MA    01887        4000066        04/16/03
ISCC        Boston Lyric Opera Company                             45 Franklin Street                Boston          MA    02110        WC 000997      07/01/07
AICC        Boston Mirror Corporation                              159 Old Colony Avenue             South Boston    MA    02127        WC 003032      09/26/03
RETAIL      Boston Organics, LLC                                   50 Terminal Street, Building 2    Charlestown     MA    02129-0000   500209         05/01/07
MIIA        Boston Renaissance Charter Public School               P.O. Box 962                      Boston          MA    02117        356            07/01/05
MANUF       Boston Salads & Provisions Co., Inc.                   85 Newmarket Square               Boston          MA    02118        5100039        09/11/04
TRADE       Boston Sash & Millwork Inc.                            PO Box 345                        North Dighton   MA    02764        4100000        06/24/03
RETAIL      Boston Sound LLC                                       147 Tremont Street                Boston          MA    02111-0000   5030062        05/01/03
RETAIL      Boston Sword & Tuna Inc.                               8 Seafood Way, Units 4-6          Boston          MA    02210-0000   500705         06/15/08
RETAIL      Boston Tomato & Packaging, LLC                         117-118 New England Produce Ct    Chelsea         MA    02150-0000   5031931        04/30/08
ISCC        Boston Trinity Academy                                 17 Hale Street                    Hyde Park       MA    02136        WC 001157      01/01/09
RETAIL      Boston Warehouse Trading Corp.                         59 Davis Avenue                   Norwood         MA    02062-0000   5030837        06/01/05
RETAIL      Bostonia Produce Co. Inc.                              7 New England Produce Center      Chelsea         MA    02150-0000   501852         10/20/01
            Bostonia Welding Supply Co., Inc., dba Tolman
RETAIL      Manufacturing & Supply Co.                             61 Dorchester Avenue              Boston,         MA    02127-0000   501002         10/13/96
ISCC        Bostonian Society, Inc., The                           206 Washington Street             Boston          MA    02109        WC 000921      01/01/04
RETAIL      Bo-Tes Duxbury, LLC                                    PO Box 543                        Norwell         MA    02061-0000   5032468        05/16/11
RETAIL      Bo-Tes Imports Ltd                                     PO Box 543, 714 Main St.          Norwell         MA    02061-0000   500160         03/17/10
RETAIL      Bottle Bill's and Family Inc.                          11 Claflin Street                 Framingham      MA    01701-0000   5030169        01/01/04
RETAIL      Boudreau's Service Station Inc                         20 Pratt St                       Fitchburg       MA    01420-0000   5032003        09/28/08
AICC        Bouffard Venture, Inc.                                 482 South Street                  Marlborough     MA    01752        WC 003008      02/10/03
NAHRO       Bourne Housing Authority                               871 Shore Road                    Pocasset        MA    02559        WCMN0121       06/01/04
MEGA        Bourne Recreation Authority                            231 Sandwich Road                 Bourne          MA    02532        X340145        07/01/02
MEGA        Bourne Water District                                  24 Perry Avenue                   Bourne          MA    02532        X340191        07/01/02
MEGA        Bourne, Town of                                        24 Perry Avenue                   Bourne          MA    02532        X340087        07/01/02
RETAIL      Bouvier Pharmacy Inc,                                  515 Lincoln Street                Marlboro        MA    01752-0000   500860         01/07/96
RETAIL      Bowl-O-Mat, Inc.                                       100 River Street                  Beverly         MA    01915-0000   5030062        04/24/03
MIIA        Boxborough, Town of                                    29 Middle Road                    Boxborough      MA    01719        411            07/01/07
CARE                                                               Attn:
            Boxford Friendship Foundation, Inc. dba Four Mile Village David Thomas, 10 Phoenix Row   Haverhill        MA   01832        2100033        05/15/11


                                                                                 Page 35 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                              Zip           Policy     Effective
Group   Member Name                                            Street Address                      City             St.      Code           Number       Date
MIIA    Boxford, Town of                                       Town Hall                           Boxford          MA    01921        23               07/01/05
MIIA    Boylston Water District                                P.O. BOX 791                        Boylston         MA    01505        333              07/01/05
RETAIL  Boylston Wines and Liquors, LLC                        PO Box 757                          Boylston         MA    01505-0000   5030527          01/26/04
MIIA    Boylston, Town of                                      Town Hall, 221 Main Street          Boylston         MA    01505        24               07/01/05
MASSBAY Boys & Girls Clubs of Boston                           50 Congress Street, Suite 730       Boston           MA    02109        80305            08/01/00
RETAIL  Braccia, Inc., dba Four 66 Pub & Grille                466 Newbury Street                  Danvers          MA    01923-0000   5030044          07/21/03
ISCC    Bradford Christian Academy                             97 Oxford Ave.                      Haverhill        MA    01835        WC 001173        03/05/11
        Bradford Convenience & Liquors, Inc., dba Bradford
RETAIL  Liquor                                                 91 South Main St.                   Haverhill        MA    01835-0000   5032121          01/04/09
RETAIL  Bradford K. Morse, dba Outlook Farm                    136 Main Rd.                        Westhampton      MA    01027-0000   501825           08/14/01
RETAIL  Bradford Petroleum, LLC                                789 South Main Street               Haverhill        MA    01835-6910   5032291          07/06/09
RETAIL  Bradford's Hardware, Inc.                              PO Box 760                          Hyannis          MA    02601-0000   502216           01/01/02
STAM    Braga Transportation, Inc.                             98 Manchester Street                Fall River       MA    02722        WC-06-6003022    02/17/06
NAHRO   Braintree Housing Authority                            25 Roosevelt Street                 Braintree        MA    02184        WCMN0114         06/01/04
SILBA   Braintree Lumber                                       110 Hancock Street                  Braintree        MA    02184        WC 000801        01/01/93
AICC    Brake & Clutch, Inc.                                   63 Bridge Street                    Salem            MA    01970        WC 001074        01/01/00
AICC    Brake & Truck Supply, Inc.                             98R Paris Street                    Everett          MA    02149        WC 001011        01/01/00
RETAIL  Bramante Seafood,Inc.                                  2 & 4 Boston Fish Pier              Boston           MA    02210-0000   5031299          09/10/06
CARE    Brandon Woods of Dartmouth                             51 Summer Street                    Rowley           MA    01969        2100011          05/01/04
CARE    Brandon Woods of Dartmouth Adult Day Hea               51 Summer Street                    Rowley           MA    01969        2100011          05/01/04
CARE    Brandon Woods of New Bedford                           51 Summer Street                    Rowley           MA    01969        2100011          05/01/04
CARE    Brandon Woods of New Bedford Adult Day H               51 Summer Street                    Rowley           MA    01969        2100011          05/01/04
RETAIL  Brann Maria, dba M. Brann & Co.                        7 Central Square                    Mashpee          MA    02649-0000   5031360          06/25/07
RETAIL  Brattle Book Shop, Inc.                                9 West Street                       Boston           MA    02111-0000   5030601          05/27/04
CTCC    Braun's Express, Inc.                                  10 Tandem Way                       Hopedale         MA    01747        WC 001155        01/01/08
        Breakaway Retail Enterprises, Inc., dba Manny's T.V.
RETAIL  & Appliance                                            7 S. Maple St.                      Hadley           MA    01035-0000   5032085          12/01/08
RETAIL  Breakwater Lobster & Fish Market, Inc.                 119 Meetinghouse Road               S. Chatham       MA    02659-0000   5031631          06/30/07
RETAIL  Brenden Crocker's Wild Horse Cafe, Inc.                392 Cabot Street                    Beverly          MA    01915-0000   1033118          08/01/02
RETAIL  Brenner Paper Box Co., Inc.                            27-31 Osprey Road                   Saugus           MA    01906-0000   1093220          01/01/03
RETAIL  Brew'd Awakening Coffeehaus, Inc.                      61 Market Street                    Lowell           MA    01852-0000   5032311          07/25/09
MANUF   Brewer's Ledge, Inc                                    34 Brookley Rd                      Boston           MA    02130-0000   5100096          08/11/10
McD     Brewster Company, LLC. The                             P.O. Box 334                        Stoughton        MA    02072        7300             01/01/02
RETAIL  Brewster Donuts, LLC                                   436B Station Ave                    South Yarmouth   MA    02664-0000   5032605          08/01/10
RETAIL  Brewster Fish House                                    2208 Main Street                    Brewster         MA    02631-0000   5030557          06/27/05
NAHRO   Brewster Housing Authority                             11 Frederick Court                  Brewster         MA    02631        WCMN0163         06/01/04
TRADE   Brewster Wallcovering Co                               67 Pacella Park Drive               Randolph         MA    02368        4000051          01/01/93
MIIA    Brewster, Town of                                      2198 Main Street                    Brewster         MA    02631        255              07/01/05
CARE    Briarwood Retirement Community                         65 Briarwood Circle                 Worcester        MA    01606        2100022          02/01/06
MASSBAY Bridge Over Troubled Waters, Inc.                      47 West Street                      Boston           MA    02111        80334            06/08/04

                                                                                  Page 36 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                              Zip             Policy   Effective
Group       Member Name                                            Street Address                                City               St.      Code            Number      Date
RETAIL      Bridgewater Bottle and Can Return Inc.                 106 Hale Street,1st Floor                     Bridgewater,       MA    02324-0000   501054           12/02/96
RETAIL      Bridgewater Discount Liquors, Inc.                     25 Broad St.                                  Bridgewater        MA    02324-0000   5030061          03/25/03
NAHRO       Bridgewater Housing Authority                          10 Heritage Circle                            Bridgwater         MA    02324        WCMN0135         06/01/04
AICC        Bridgewater Motor Works, Ltd.                          400 East Center Street                        West Bridgewater   MA    02379        WC 001082        01/01/10
RETAIL      Bridgewater Restaurants, Inc.                          425 Bedford Street                            Bridgewater        MA    02324-0000   5030748          04/01/06
MIIA        Bridgewater, Town of                                   Memorial Building, 25 South Street            Bridgewater        MA    02324        25               07/01/05
MEGA        Bridgewater-Raynham RSD                                687 Pleasant Street                           Raynham            MA    02767        X340109          07/01/02
RETAIL      BrieCor, Inc., dba Silver Hanger Cleaners              5-A Mechanic Street                           Bellingham         MA    02019-0000   501464           10/01/97
HEALTH      Brien Ctr/Mental Health&Sub.AbuseSvr,Inc               333 East Street                               Pittsfield         MA    01201        3100002          07/01/04
AICC        Brigham Gill Motor Cars, Inc.                          817 Worcester Road                            Natick             MA    01760        WC 004083        11/01/04
RETAIL      Brighton Auto Service, Inc.                            25 Chestnut Hill Ave                          Brighton           MA    02135-0000   5031199          03/31/07

RETAIL      Brighton Burrito Corp, dba Boca Grande Tanqueria       PO Box 380213                                 Cambridge          MA    02238-0000 5032309            08/01/09
            Brighton Undercar Inc., dba Meineke Car Care
RETAIL      Center                                                 11 Faneuil St.                                  Brighton         MA    02135-1901   5031273          09/24/06
RETAIL      Briley Investments Inc, dba KFC                        PO Box 936                                      Lake Forest      IL    60045-0000   5032063          10/17/08
NAHRO       Brimfield Housing Authority                            20 Colonial Park                                Brimfield        MA    01010        WCMN0055         06/01/04
MIIA        Brimfield, Town of                                     Town Hall                                       Brimfield        MA    01010        278              07/01/05
ISCC        Brimmer & May School                                   69 Middlesex Road                               Chestnut Hill    MA    02167        WC 000543        01/01/95
RETAIL      Bristal Management Inc, dba Bristol Liquors            670 East St.                                    Mansfield        MA    02048-0000   5031853          01/24/08
MEGA        Bristol County Agricultural High School                135 Center Street                               Dighton          MA    02715        X340199          07/01/03
MEGA        Bristol County Training Consortium                     One Government Center                           Fall River       MA    02722        X340072          07/01/97
MEGA        Bristol Plymouth RSD                                   940 Country Street                              Taunton          MA    02780        X340120          01/01/92
RETAIL      Britton's Auto Parts of Gloucester,Inc                 465 Rantoul Street                              Beverly          MA    01915-0000   500367           01/01/04
RETAIL      Broadside Bookshop Inc.                                247 Main Street                                 Northampton      MA    01060-0000   500643           06/01/95
RETAIL      Broadway Automotive Service, Inc.                      212 Broadway McGrath Hwy                        Somerville       MA    02145-0000   5031100          05/06/06
RETAIL      Broadway Catering & Restaurant, Inc.                   100 Water Street                                Worcester        MA    01601-0000   501791           08/01/01
RETAIL      Broadway Donuts I Inc., dba Dunkin Donuts                                                              - Suite
                                                                   c/o Angiolillo & Associates, LLP, 99 Walnut St. SaugusE          MA    01906-0000   500178           08/01/01
RETAIL      Broadway Enterprises, Inc.                             100 Water Street                                Worcester        MA    01604-0000   501391           08/01/97
RETAIL      Broadway Lock Co., Inc.                                313 West Broadway                               South Boston,    MA    02127-0000   501535           08/14/00
RETAIL      Broadway Marketplace, LLC                              468 Broadway                                    Cambridge        MA    02138-0000   5032478          01/18/10
RETAIL      Broadway Motor Service of Revere Inc.                  88 Broadway                                     Revere           MA    02151-5305   5031728          11/01/07
            Broadway Office Interiors, Inc., dba Broadway Office
RETAIL      Brokering Service                                      90 Tapley Street                              Springfield        MA    01101-0000 5031482            04/06/07

RETAIL      Broadway Petroleum, Inc., dba Teele Square Auto        1284 Broadway Street                          Somerville         MA    02144-0000   5032241          05/09/09
RETAIL      Brockton Food Mart LLC                                 1293 Main Street                              Brockton           MA    02301-0000   5030111          09/23/03
NAHRO       Brockton Housing Authority                             45 Goddard Road                               Brockton           MA    02303        WCMN0009         04/01/04
RETAIL      Brockton Liquors, Inc.                                 385 North Main St.                            Brockton           MA    02301-0000   5031948          06/07/08
RETAIL      Brockton Town House, Inc., dba Home Cafe               677 North Main Street                         Brockton           MA    02301-0000   5031176          03/31/07


                                                                                       Page 37 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip             Policy   Effective
Group       Member Name                                         Street Address                         City                 St.      Code            Number      Date
TRADE       Brockway Leasing, Inc.                              P.O. Box 2301                          Springfield          MA    01101        4100024          01/01/08
TRADE       Brockway Transport Inc                              P.O. Box 2301                          Springfield          MA    01101        4100024          04/01/05
SILBA       Brockway-Smith                                      146 Dascomb Road                       Andover              MA    01810        WC 000759        01/01/92
RETAIL      Bromfield Camera Company, Inc.                      10 Bromfield Street                    Boston               MA    02108-0000   502337           10/01/02
RETAIL      Bromfield Pen Shop, Inc.                            5 Bromfield Street                     Boston               MA    02108-5107   1061535          11/01/02
AICC        Brookfield Motors, Inc. & DK Realty                 Route 9, Box 355                       Brookfield           MA    01506        WC 005119        03/20/05
MEGA        Brookfield Town of                                  6 Central Street                       Brookfield           MA    01506        X340194          07/01/11

RETAIL      Brookline Burrito Corp, dba Boca Grande Tanqueria   PO Box 380213                          Cambridge            MA    02238-0000   5032308          08/01/09
MIIA        Brookline Housing Authority                         90 Longwood Avenue                     Brookline            MA    02146        28               07/01/05
RETAIL      Brookline Lock Co., Inc.                            P.O. Box 567                           Brookline Village,   MA    02147-0000   501085           02/28/97
AICC        Brookline Machine Company, Inc.                     90 Antwerp Street                      Brighton             MA    02135        WC 001013        01/01/00
MIIA        Brookline Retirement System                         333 Washington Street                  Brookline            MA    02445        361              07/01/05
ISCC        Brooks School                                       1160 Great Pond Road                   North Andover        MA    01845        WC 000143        04/01/92
RETAIL      Brookside Liquor Company, Inc.                      30 Boston Street                       Lynn                 MA    01904-0000   5030565          04/01/04
ISCC        Brookwood School, Inc., The                         Brookwood Road                         Manchester           MA    01944        WC 000018        04/01/92
RETAIL      Brothers Super Liquor Store, Inc.                   740 Blue Hill Ave                      Dorchester           MA    02122-0000   5032622          08/27/10
RETAIL      Brothers Super Liquors II, Inc                      368 Warren Street                      Boston               MA    02119-0000   5032794          04/10/11
RETAIL      Brothers Supermarket II                             776 Dudley St.                         Dorchester           MA    02121-0000   5032618          08/21/10
RETAIL      Brothers Supermarket Inc.                           46 Washington St.                      Dorchester           MA    02121-0000   5032617          08/21/10
AICC        Brown Motors, Inc.                                  39 Beacon Street                       Greenfield           MA    01301        WC 003029        09/01/03
RETAIL      Browne's Package Store, Inc., dba Brown Liquors     135 Marion Road                        Wareham              MA    02571-0000   5031368          07/31/07
RETAIL      Bruce Benoit, dba ADT Auto Service                  293 Worcester Road                     Charlton             MA    01507-0000   5031506          04/02/07
RETAIL      Bruce Ley and Wendy Ley dba Top Donuts              123 Lawrence St.                       Lawrence              MA   01848        5032768          03/15/11
RETAIL      Bruhm's Tire & Service, Inc.                        99 Lincoln Ave                         Saugus               MA    01906-2832   5031092          01/01/07
RETAIL      Brumak, Inc., dba Dedham Line Liquors               5211 Washington St.                    West Roxbury         MA    02132-0000   5031170          02/28/07
RETAIL      Bruno's Auto Service, Inc.                          50 Winchester Street                   Newton Highlands     MA    02461-0000   5031204          05/01/07
            Bryan D Chevarie dba Absolute Auto Repair
RETAIL      Center                                              48 Summer St.                          Fitchburg             MA   01420        5032772          03/11/11
RETAIL      BSC Petroleum Sales, LLC                            1225 Mammoth Road                      Dracut               MA    01826-0000   5031056          12/31/06
RETAIL      BSSSM Corporation, dba Boyles Family Market         64 Broadway                            Arlington            MA    02474-0000   5032489          03/01/10
RETAIL      BTO Limited, dba Classic Interiors                  1492 Main Street                       Agawam               MA    01001-0000   501605           01/25/01
RETAIL      Bubble King, Inc.                                   2 Wilkins Drive                        Plainville           MA    02762-0000   501497           01/04/98
ISCC        Buckingham, Browne & Nichols                        Gerry's Landing Road                   Cambridge            MA    02138        WC 000019        04/01/92
MEGA        Buckland Town of                                    17 State Street                        Buckland             MA    01370        X340130          07/01/11
RETAIL      Buckler's, Inc.                                     116 Ridgewood Avenue                   Hyannis              MA    02601-3027   5031942          07/01/08
SILBA       Bucksworth Enterprises                              63 Myricks Street                      Berkley              MA    02779        WC 000843        01/01/99
RETAIL      Budget Cabinet Sales, Inc.                          300 Main St.                           Agawam               MA    01001-0000   502039           04/30/02
SILBA       Building Center of Gloucester                       P.O. Box 180                           Gloucester           MA    01930        WC 000797        01/01/93
SILBA       Building Materials Inc                              P.O. Box 888                           Fall River           MA    02722        WC 000788        01/01/93

                                                                                      Page 38 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                               Zip          Policy      Effective
Group       Member Name                                         Street Address                      City             St.      Code          Number        Date
TRADE       Building Specialties/Architectural Hardw            PO Box 2581                         Springfield      MA    01101      4100110            01/01/10
RETAIL      Bumper to Bumper Accessories, Inc.                  583 Warren Ave.                     Brockton         MA    02301-0000 5031625            06/01/07
RETAIL      Burger Cottage, Inc, dba Bartleys Burger Cottage    1246 Massachusetts Ave              Cambridge        MA    02138-0000 5032297            04/01/10
            Burke Whitaker Pontiac & Cadillac & GMC Trucks,
AICC        Inc.                                                200 North King Street               Northampton      MA    01060      WC 004081          10/07/04
RETAIL      Burlington Auto Services Inc., dba Midas            66 Middlesex Turnpike               Burlington       MA    01803-0000 5031460            03/16/09
SILBA       Burnett & Moynihan                                  43 Foster Street                    Revere           MA    02151      WC 000800          01/01/93

RETAIL      Burns Bros. Liquor Shop Inc., dba Eastside Market   474 East 8th Street                 South Boston     MA    02127-0000   5030641          06/07/04
RETAIL      Burton Frame & Trailer, Inc.                        106 Brookline St., PO Box 317       Pepperell        MA    01463-1141   500289           01/31/07
RETAIL      Burton's Uniform Corp.                              PO Box 55                           Weymouth,        MA    02188-0000   501696           05/17/97
RETAIL      Busy Bee Florist Inc.                               337 Watertown Street                Newton           MA    02458-0000   501999           02/18/02
RETAIL      Butcher Boy Market, Inc.                            1077 Osgood Street                  North Andover    MA    01845-0000   5031353          01/01/07
RETAIL      Butler Furniture, Inc.                              36 Airport Road                     Fitchburg,       MA    01420-0000   501538           08/26/00
RETAIL      Butlers, Inc.                                       216 South Main Street               Athol,           MA    01331-0000   500509           04/21/95

RETAIL      Butnell Package, Inc., dba Hatch's Package Store    133 Orange Street                   Nantucket        MA    02554-0000   5030195          05/01/91
RETAIL      Butterfields Restaurant                             372 Market Street                   Rockland         MA    02370-0000   5030675          08/01/04
RETAIL      Button Box Quilt Shop, Inc.                         5 Overbrook Dr.                     Wellesley        MA    02482-0000   5032302          08/01/09
RETAIL      Buttonwood Auto Exchange, Inc.                      101 Belleville Ave                  New Bedford      MA    02746-0000   5031893          03/14/08
MEGA        Buzzards Bay Water District                         P O Box 243                         Buzzards Bay     MA    02532        X340177          07/01/02
RETAIL      BWG Enterprises, Inc., dba Grant's Rental           10 Bedford Park                     Bridgewater,     MA    02324-0000   501504           01/28/98
AICC        BWM, Inc. dba Motorsports International             421 Washington Street               Auburn           MA    01501        WC 005109        03/01/05
RETAIL      C & C Lobster Co., Inc.                             297 Lynn Street                     Peabody          MA    01960-0000   501765           07/17/97
RETAIL      C & K Appliance Supply, Inc.                        19 Dale Street                      Andover          MA    01810-0000   5030639          06/01/04
RETAIL      C & L Package Store, Inc.                           26-28 New Ocean Street              Swampscott       MA    01907-0000   5030810          06/01/06
            C & L Service, Inc., dba Mashpee True Value
RETAIL      Hardware                                            PO Box 1590                         Mashpee          MA    02649-0000   5031260          08/15/06
RETAIL      C & N Copy Center Inc, dba Flashprint               99 Mt. Auburn Street                Cambridge        MA    02138-0000   501279           12/31/95
RETAIL      C & P Leasing Inc.                                  32 Riverside Park                   Malden           MA    02148-0000   5032665          11/21/10
RETAIL      C & R Tire Co. of Sturbridge, Inc.                  P.O. Box 908                        Sturbridge       MA    01566-0000   5032142          01/01/09
RETAIL      C & R Tire Company, Inc.                            PO Box 60396                        Worcester        MA    01606-0396   5031677          06/01/08

RETAIL      C & S Automotive Inc, dba Meineke Car Care Center   1555 Rt 44                          Raynham          MA    02767-0000   5031706          05/14/08
RETAIL      C A R, Inc., dba Trapelo Mobil                      1033 Trapelo Rd                     Waltham          MA    02451-3232   5031826          01/13/08
AICC        C&J Enterprises dba College Street Motors           260 College Street                  Amherst          MA    01002        WC 006183        05/22/06
STAM        C&W Transportation                                  275 Massachusetts Avenue            Lexington        MA    02420        WC-06-6003023    07/17/06
AICC        C. A. R. Products, Inc.                             120 Bosworth Street                 W. Springfield   MA    01089        WC 001015        01/01/00
RETAIL      C. Cyclery Inc., dba Chelmsford Cyclery             30 Chelmsford Street                Chelmsford       MA    01824-0000   502033           04/15/02
RETAIL      C. W. Flynn, Inc., dba Jake's Variety               93 W Housatonic Street              Pittsfield       MA    01201-0000   5031434          03/21/07


                                                                                   Page 39 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip             Policy   Effective
Group       Member Name                                         Street Address                        City               St.      Code            Number      Date
RETAIL      C.A. Lynch Pharmacies, Inc.                         P.O. Box 304                          Uxbridge,          MA    01569-0000   501583           12/01/00
MIIA        C.A.S.E. Collaborative                              120 Merriam Road                      Concord            MA    01742        329              07/01/05
RETAIL      C.B.D. LTD, dba Darwin's LTD                        148 Mt Auburn Street                  Cambridge          MA    02138-0000   5030830          05/12/05
McD         C.C.&J . Co. LLC                                    15 Ironwood Road                      North Andover      MA    01845        4272             01/01/93
RETAIL      C.E. Beckman Co., Inc.                              PO Box 971                            New Bedford        MA    02741-0000   5030966          01/01/06
RETAIL      C.G. Edwards & Co., Inc.                            272 Dorchester Avenue                 South Boston,      MA    02017-0000   500720           08/01/95
AICC        C.H. Knight Inc. dba Knight Chevrolet               129 Worcester Street                  Southbridge        MA    01550        WC 005106        01/29/05
RETAIL      C.J.Resources Inc., dba Allston Car Wash            434 Cambridge St.                     Allston            MA    02314-0000   5032426          01/01/10
RETAIL      C.L. Burnham, Inc., dba West Street Liquors         87 Millville Street                   Mendon             MA    01756-1208   5030573          07/08/05
TRADE       C.R.G.K. Trucking, Inc.                             90 Longhill Road                      West Brookfield    MA    01585        4100122          06/01/11
RETAIL      C.R.T. Food & Beverage, Inc., dba Whiskey's         907 Boylston Street                   Boston             MA    02115-0000   502183           08/01/02
RETAIL      C.T.Liquors Inc.                                    171 Lewis St.                         Lynn               MA    01902-0000   502065           02/07/01
RETAIL      Cabbyshack, Inc.                                    30 Town Wharf Rd.                     Plymouth           MA    02360-0000   5032042          08/13/08
RETAIL      Cabot's Ice Cream, Inc.                             PO Box 600173                         Newtonville        MA    02460-0000   5031391          08/01/07
RETAIL      Cafe Corp., dba Donovans Irish Pub                  1655 Boston Road, Eastfield Mall      Springfield        MA    01129-1148   5032645          10/06/10
RETAIL      Cafe Jaffa, Inc.                                    48 Gloucester Street                  Boston             MA    02115-0000   5030993          01/01/06

RETAIL      Cafe Management Assoc. LLC, dba Dunkin Donuts       175 Bodwell Street                    Avon               MA    02322-0000   5030060          04/06/03
RETAIL      Cafenation Beta Inc                                 380 Washington St.                    Brighton           MA    02135-0000   5031729          10/25/07
RETAIL      Caffe 38 Inc., dba Perfecto's Caffe                 1900 Main Street                      Tewksbury          MA    01876-0000   5031713          06/26/08
RETAIL      Caffe' E. Dolci, Inc.                               430 Main Street                       Hyannis,           MA    02601-0000   501739           06/01/97
RETAIL      Cafiso Sam Joseph, dba Little Car Care              20 Embankment St.                     Lawrence           MA    01841-0000   5032081          11/01/08
RETAIL      Cahill & Driscoll, Inc., dba Damien's               279 Spring St.                        Hanson             MA    02341-0000   5031455          04/01/07
RETAIL      Cahills Tire Center Inc                             33 Sutton Ave                         Oxford             MA    01540-0000   5032076          11/01/08

RETAIL  Calamaris III, Inc., dba Cal's Wood-Fired Grill & Bar   1068 Riverdale Rd.                    West Springfield   MA    01089-0000 5032374            09/01/09
        Cambridge Burrito Corporation, dba Boca Grande
RETAIL  Tanqueria                                               PO Box 380213                         Cambridge          MA    02138-0000   5032306          08/01/09
ISCC    Cambridge Center for Adult Education                    42 & 56 Brattle Street                Cambridge          MA    02138        WC 000479        01/01/94
ISCC    Cambridge College, Inc.                                 1000 Massachusetts Avenue             Cambridge          MA    02138        WC 000624        01/01/96
MASSBAY Cambridge Family YMCA                                   820 Massachusetts Avenue              Cambridge          MA    02139-3206   80316            01/01/02
ISCC    Cambridge Friends School                                5 Cadbury Road                        Cambridge          MA    02140        WC 000879        08/14/02
        Cambridge Furniture Outlet Inc., dba Modern
RETAIL  Furniture                                               99 Jefferson Street                   Fall River         MA    02723-0000   5030374          07/02/04
SILBA   Cambridge Lumber & Supply                               135 Harvey Street                     Cambridge          MA    02140        WC 000821        01/01/94
RETAIL  Cambridge Medical Supply, Inc.                          218 Msgr. O'Brien Highway             Cambridge          MA    02138-0000   500861           02/01/96
ISCC    Cambridge Montessori School, Inc.                       161 Garden Street                     Cambridge          MA    02138        WC 000882        09/13/02
NAHRO   Cambridge Redevelopment Authority                       One Cambridge Center, 4th FL.         Cambridge          MA    02142        WCMN0201         01/20/06
        Cambridge School, Inc., The, d/b/a Cambridge
ISCC    School of Weston                                        40 Georgian Road                      Weston             MA    02493        WC 000885        11/27/02


                                                                                     Page 40 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip             Policy   Effective
Group       Member Name                                          Street Address                       City               St.      Code            Number      Date
RETAIL      Camfour LLC                                          65 Westfield Indust. Park Rd.        Westfield          MA    01085-0000   501935           01/01/02
RETAIL      Camic Company Inc., dba The Heather Shop             1061 Main Street                     Holden,            MA    01520-0000   501863           12/07/97
RETAIL      Camlex Inc., dba Frameworks                          10 Wall Street                       Burlington,        MA    01803-0000   501349           02/01/96
RETAIL      Campbell Enterprises, Inc.                           18 Sutton Avenue                     Salem,             MA    01970-0000   501238           04/06/97
AICC        Campbell Supply Co., Inc.                            26 Washington Street                 Wellesley          MA    01281        WC 001119        01/01/00
TRADE       Campello Coal Company, Inc.                          P.O. Box 3127                        Brockton           MA    02304        4100107          09/01/09
TRADE       Cam's Oil Service, Inc.                              3 Old Worcester Road                 Webster            MA    01570        4100040          10/21/05
RETAIL      Can You Hear It Car Audio, Inc.                      203 Shaker Road                      East Longmeadow    MA    01028-0000   5031430          03/12/07
RETAIL      Canoe Club Ballroom, Inc.                            PO Box 475                           West Bridgewater   MA    02379-0000   502204           08/01/02
McD         Canton Mirob, Inc.                                   18 Washington Street                 Canton             MA    02021        4700             01/01/03
MEGA        Canton Town of                                       801 Washington StreeT                Canton             MA    02021        X340307          07/01/11
RETAIL      Cantona, Inc., dba Globe Restaurant                  c/o Lir 903-905 Boylston Street      Boston             MA    02115-0000   5030790          04/01/05
RETAIL      Cape Ann Stores Inc., dba Allen's Pharmacy           40 Beach Street                      Manchester         MA    01944-0000   1011119          05/07/03
RETAIL      Cape Cloth Care, Inc., dba Centerville Cleaners      1663 Falmouth Rd, Unit 2             Centerville        MA    02632-0000   500675           01/01/10
ISCC        Cape Cod Academy, Inc.                               50 Osterville - West Barnstable Rd   Osterville         MA    02655        WC 000020        04/01/92
RETAIL      Cape Cod Clam & Seafood, Inc.                        119 Meetinghouse Road                S. Chatham         MA    02659-0000   5031630          06/30/07
RETAIL      Cape Cod Commercial Linen Service, Inc.              PO Box 111                           West Hyannisport   MA    02672-0000   5031241          09/01/06
MEGA        Cape Cod Lighthouse Charter School                   225 Route 6A, Bayberry Square        Orleans            MA    02653        X340498          07/01/11
RETAIL      Cape Cod Lobster Claw, Inc.                          PO Box 1562                          Orleans            MA    02653-0000   502507           08/01/02
SILBA       Cape Cod Lumber                                      403 Bedford Street                   Abington           MA    02351        WC 000816        01/01/94
RETAIL      Cape Cod Pond Supplies Inc                           1220 Route 28A, PO Box 700           Cataumet           MA    02534-0000   500313           04/22/09
RETAIL      Cape Cod Provisions, LLC                             31 Jonathan Bourne Drive, Unit 1     Pocasset           MA    02559-0000   500639           07/29/07
RETAIL      Cape Cod Quick Lube LLC, dba Jiffy Lube              60 Falmouth Road                     Mashpee            MA    02649-0000   5032406          12/01/09

RETAIL      Cape Cod Restaurants Inc., dba Starfish Restaurant   311 Gifford Street                   Falmouth           MA    02540-0000   1012231          04/01/10
MEGA        Cape Cod RTHS                                        351 Pleasant Lake Avenue             Harwich            MA    02645        X340152          07/01/91
RETAIL      Cape Cod Shoe Market Inc.                            PO Box 100                           Dennis Port        MA    02639-0000   501876           11/07/01
AICC        Cape Cod Ventures, Inc. dba Jiffy Lube               1209 Pitcher's way                   Hyannis            MA    02601        WC 006203        10/01/06
RETAIL      Cape Codder Seafood Market, LLC                      679 Main St.                         West Yarmouth      MA    02673-0000   5032453          01/11/10
RETAIL      Cape Electric Supply, Inc.                           47 Theophilus Smith Road             South Dennis       MA    02660-0000   5030700          10/01/04
            Cape Gifts and Golf, Inc., dba Cape Tradewinds &
RETAIL      Cape Escape                                          Orleans Rotary                       Orleans,           MA    02653-0000   501247           04/30/97
RETAIL      Cape Leisure, Inc.                                   3830 Falmouth Rd                     Marstons Mills     MA    02648-0000   5032828          05/11/11
RETAIL      Cape Medical Supply, Inc.                            28 Jan Sebastian Way                 Sandwich           MA    02563-0000   1034520          09/15/93
RETAIL      Cape Seafoods, Inc.                                  3 State Pier Unit A                  Gloucester         MA    01930-0000   5031643          07/18/07
RETAIL      Cape Tip Seafoods, Inc.                              PO Box 602, 45 Court Street #A       Provincetown       MA    02657-0000   500147           07/17/09
AICC        Cape Tire Service, Inc.                              45 Falmouth Road                     Hyannis            MA    02601        WC 005130        06/01/05
RETAIL      Cape Tradewinds Gifts Inc.                           852 Main Street Route 28             South Yarmouth     MA    02664-0000   500841           12/22/94
RETAIL      Cape Wine & Liquor, Inc.                             443 Station Ave                      South Yarmouth     MA    02664-0000   5030977          02/15/06
RETAIL      Capitol Diner, Inc.                                  431 Union St.                        Lynn               MA    01901-0000   5031298          08/01/06

                                                                                    Page 41 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip           Policy     Effective
Group       Member Name                                              Street Address                     City               St.      Code          Number        Date
RETAIL      Capone Pasta, Inc., dba Capone Foods                     14 Box Street                      Somerville         MA    02143-0000 502141             01/30/07
RETAIL      Caporale II Liquors Inc.                                 29 Broadway                        Wakefield          MA    01880-0000 501381             08/01/97
RETAIL      Cappy's Convenience Store, Inc.                          941-945 Dorchester Ave             Dorchester         MA    02125-0000 5031494            04/01/07
            Capricorn Corporation, dba The Whistle Stop Bar &
RETAIL      Grill                                                    85 Main Street                     Oxford             MA    01540-0000   5031760          11/17/07
RETAIL      Captain Marden's Seafoods, Inc.                          279-283 Linden Street              Wellesley          MA    02482-0000   502353           01/01/03
RETAIL      Carandy Corp, dba Andy's                                 557 Bedford St.                    Whitman            MA    02382-0000   5032379          10/06/09
MANUF       Carbone Sheet Metal Corporation                          240 Marginal St                    Chelsea             MA   02150        5100078          04/01/09
MANUF       Carcross, Inc.                                           PO Box 950                         Taunton            MA    02780        5100072          01/01/08
RETAIL      Carden, Inc., dba Kennedy's Market                       247 Maple Street                   Marlborough        MA    01752-0000   5030541          04/01/05
MCSIG       Cardinal Cushing Centers, Inc.                           405 Washington Street              Hanover            MA    02339        none             03/31/07
MCSIG       Cardinal Spellman Central High School                    738 Court Street                   Brockton           MA    02402        none             03/31/93
RETAIL      Cardi's Department Store, Inc.                           One Furniture Way                  Swansea            MA    02777-0000   1025612          10/06/92
RETAIL      Cardon's, Inc., dba Fette's Package Store                576 Page Blvd                      Springfield        MA    01101-0000   1041785          05/01/91
RETAIL      Carey Co. Inc., dba Beth Bishop                          PO Box 187                         Orleans            MA    02653-0000   502135           08/01/01
RETAIL      Cargo Unlimited LLC                                      PO Box 783                         Marblehead         MA    01945-0000   5031897          03/22/08
            Caridi Brothers King Co., Inc., dba King Street Cafe &
RETAIL      Deli                                                     PO Box 541286                      Waltham            MA    02454-0000   5031691          09/15/07
McD         Carimar, LLC                                             P.O. Box 1991                      Andover            MA    01810        31276            1/1/2011
RETAIL      Carjac, Inc., dba Plaza Package                          155 State Road                     Great Barrington   MA    01230-0000   5030156          12/30/03
STAM        Carl B. Liebenow, Inc.                                   24 Old Route 9                     Cummington         MA    01026        WC-06-0000570    08/04/94
CARE        Carleton-Willard Homes, Inc.                             100 Old Billerica Road             Bedford            MA    01730        2100007          02/01/04
MIIA        Carlisle, Town of                                        PO Box 827, 22 Bedford Rd          Carlisle           MA    01741        311              07/01/05
RETAIL      Carlos DeSa, dba De Sa Fish Market                       20 Harrison Ave                    Taunton            MA    02780-0000   5032600          07/19/10
RETAIL      Carpen, Inc. dba Pearle Vision                           287 School St.                     Mansfield           MA   02048        5032708          01/01/11
RETAIL      Carpet Barn, Inc.                                        719 Main Street                    Falmouth           MA    02540-0000   500512           04/25/95
            Carpet Warehouse, Inc., dba Allied Flooring and
RETAIL      Paint                                                    350 Main Street                    Agawam             MA    01001-0000   501714           02/24/01
RETAIL      Carpetland & More, Inc.                                  1340 Boston Road                   Springfield        MA    01119-0000   5031932          04/30/08
RETAIL      Carpets, Inc., dba Abbey Floors Express                  18 Columbia Road, Suite 103        Pembroke           MA    02359-0000   5030884          06/24/06
RETAIL      Carpinello's Service Center, Inc.                        364 Main Street                    Williamstown       MA    01267-2613   5031001          02/20/06
RETAIL      Car-Risma, Inc.                                          1418 Middlesex Street              Lowell             MA    01851-0000   5030950          12/19/05
ISCC        Carroll School, The                                      Baker Bridge Road                  Lincoln            MA    01773        WC 000145        04/01/92
RETAIL      Cars Unlimited, Inc.                                     PO Box 1606                        Oak Bluffs         MA    02557-0000   5031651          08/08/07
TRADE       Carter-McLeod Paper and Packaging Compan                 136 Wayside Ave                    West Springfield   MA    01089        4100108          10/26/09
RETAIL      Carter's Cleaners & Tailoring                            414 Main Street                    Everett,           MA    02149-0000   500601           05/14/95
RETAIL      Cartune Inc, dba Precision Tune Auto Care                29 Turning Mill Road               Lexington          MA    02420-0000   5032074          11/11/08
NAHRO       Carver Housing Authority                                 Meadowbrook Way                    Carver             MA    02330        WCMN0160         06/01/04
MIIA        Carver, Town of                                          Main Street                        Carver             MA    02330        30               07/01/05
RETAIL      Casa Design, LLC                                         460 Harrison Ave, Unit B12         Boston             MA    02118-0000   5032470          02/01/10


                                                                                       Page 42 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip             Policy   Effective
Group       Member Name                                           Street Address                       City                St.      Code            Number      Date
RETAIL      Cashmere Group, Inc., dba Mallary Alfano              4 Federal Street                     Nantucket           MA    02554-0000   500585           01/01/04
MASSBAY     CASPAR, Inc.                                          48 Grove Street                      Somerville          MA    02144-2500   80319            07/31/02
MANUF       Castle Plastics, Inc.                                 11 Francis St                        Leominster           MA   01453        5100090          01/19/10
RETAIL      Casual Design of Cape Cod, Inc.                       754 Main Street                      Harwichport         MA    02646-0000   5031462          04/08/07
RETAIL      Catania Hospitality Group, Inc.                       141 Falmouth Rd                      Hyannis             MA    02601-0000   5032257          08/01/09
MCSIG       Cathedral High School                                 74 Union Street                      Boston              MA    02118        none             03/31/93
RETAIL      Catherine's Chocolates Inc.                           260 Stockbridge Road                 Great Barrington,   MA    01230-0000   501812           08/22/97
MCSIG       Catholic Charitable Bureau                            75 Kneeland Street, 8th Floor        Boston              MA    02110        none             03/31/93
MCSIG       Catholic Foundation, The                              2121 Commonwealth Avenue             Brighton            MI    02135        none             04/01/04
DFSIG       Catholic Memorial Home, Inc.                          2446-2474 Highland Avenue            Fall River          MA    02720-4599   94001            11/12/93
MCSIG       Catholic Purchasing Services                          580 Washington Street                Newton              MA    02158        none             09/01/93
MCSIG       Catholic Schools Foundation                           260 Franklin Street, Suite 630       Boston              MA    02110        none             04/01/04
DFSIG       Catholic Social Services of Fall River, Inc.          1600 Bay Street                      Fall River          MA    02720        94006            11/12/93
RETAIL      Cathy's Country Kitchen, Inc.                         300 Newburyport Turnpike             Rowley              MA    01969-0000   5031945          06/27/08
RETAIL      Catorima, Inc., dba Pilgrim Wine & Spirits            35 Home Depot Drive                  Plymouth            MA    02360-0000   5030717          03/30/06
RETAIL      CBL, Inc., dba Casablanca Restaurant                  40 Brattle Street                    Cambridge           MA    02138-0000   1068115          11/10/02
RETAIL      CBS Bar & Restaurant Equipment Corp                   305 Union Street                     Franklin            MA    02038-0000   5030727          12/22/04
RETAIL      CCDF Enterprises, INc. dba Ipswich NAPA               1 Union St                           Ipswich              MA   01938        5032716          01/01/11
TRADE       CCP Good Harbor LLC                                   PO Box 1595                          Gloucester          MA    01931        4100039          10/31/05

RETAIL      CCSS Management Corp., dba Play it Again Sports       265 Main Street                      North Reading       MA    01864-0000   5031143          06/04/06
RETAIL      CDJ Corp, dba Dunkin Donuts                           1539 Broadway                        Saugus              MA    01906-0000   5031752          11/01/07
RETAIL      CD's Auto Sound Inc                                   1292 Main St.                        Leominster          MA    01453-0000   5032589          07/01/10
RETAIL      Celebrity Liquors, Inc., dba Ardeo on Main            23V Whites Path                      South Yarmouth      MA    02669-0000   5031071          04/17/06
RETAIL      Center Building, Inc.                                 44 Troy Street                       Fall River          MA    02720-0000   5030229          03/08/04
RETAIL      Center Donuts, Inc, dba Dunkin Donuts                 80 Boston St                         Lynn                MA    01904-0000   5031682          08/15/07
            Center Drug Store of Wilbrahmam, Inc., dba Louis &
RETAIL      Clark Drug - 370                                      PO Box 966                           Wilbraham           MA    01095-0966 5030245            01/01/04

RETAIL      Centerville Donut Corporation, dba Dunkin Donuts      PO Box 189                           Chelmsford          MA    01824-0000   5030667          08/01/04
MEGA        Centerville-Osterville-Marstons Mills Fire District   1875 Falmouth Road                   Centerville         MA    02632        X340132          07/01/11
AICC        Central Auto. Warehouse Corp.                         10 Braintree Street                  Allston             MA    02134        WC 001017        01/01/00
RETAIL      Central Ave Auto Service, Inc.                        199 CMDR Shea Blvd.                  No. Quincy          MA    02171-0000   5031673          06/08/08
MIIA        Central Berkshire Regional School District            P.O. Box 299, 254 Hinsdale Road      Dalton              MA    01227        454              07/01/09
MCSIG       Central Catholic High School                          300 Hampshire Street                 Lawrence            MA    01841        none             03/31/93
RETAIL      Central Cleaners of Chestnut Hill, LLC                621 Hammond Street                   Chestnut Hill       MA    02467-0000   5032166          03/06/09
MANUF       Central Coating Company, Inc.                         165 Shrewsbury Street                West Boylston       MA    01583        3000108          01/01/93
RETAIL      Central Diner Inc, dba Four Burgers                   704 Massachusetts Ave                Cambridge           MA    02139-0000   5032551          05/01/10
RETAIL      Central Hardware Co., Inc                             435 Ferry St.                        Everett             MA    02149-0000   5032072          10/29/08
MIIA        Central Mass Regional Planning Commission             35 Harvard Street                    Worcester           MA    01609        328              07/01/05


                                                                                      Page 43 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip           Policy   Effective
Group       Member Name                                       Street Address                           City               St.      Code           Number     Date
AICC        Central Paint Supply, Inc.                        8 Nebraska Street                        Worcesteer         MA    01604        WC 006220      12/31/06

RETAIL  Central Plaza Liquors, Inc., dba Beach Bluff Liquors or Pam DeMoulas, 23 Seaview Avenue        Marblehead         MA    01945-0000   500023         01/18/96
RETAIL  Central Square Donuts, Inc., dba Dunkin Donuts       80 Boston St                              Lynn               MA    01904-0000   5031409        08/15/07
RETAIL  Central Supermarket IGA, Inc.                        49 Central Street                         Winchendon         MA    01475-0000   5031342        12/04/06
RETAIL  Centre Street Meatland, Inc.                         306 Centre Street                         Jamaica Plain      MA    02180-0000   1035395        02/01/92
RETAIL  Century Tire Co., Inc. of Lynn                       101 Central Ave                           Lynn               MA    01901-0000   5031685        08/29/07
RETAIL  Century Tire Co., Inc. of Peabody                    101 Central Avenue                        Lynn               MA    01901-0000   5031687        08/29/07
RETAIL  Century Tire Co., Inc. of Somerville                 101 Central Ave                           Lynn               MA    01901-0000   5031686        08/29/07
AICC    Cernak Buick, Inc.                                   102-106 Northampton Street                Easthampton        MA    01027        WC 004089      12/02/04
MANUF   Cesyl Mills, Inc.                                    95 West Main Street                       Millbury           MA    01527        5100003        08/01/03
RETAIL  CF Main Street, Inc., dba Country Fare Restaurant    319 Main St.                              Falmouth           MA    02540-0000   5032591        08/01/10
SILBA   Chace Building Supply                                129 Washington Street                     Foxboro            MA    02035        WC 000768      01/01/92
SILBA   Chairtown Lumber                                     63-87 Coburn Avenue                       Gardner            MA    01440        WC 000822      01/01/94
RETAIL  Chameleon LTD.                                       18 Liberty Street                         Newburyport        MA    01950-0000   5030148        11/09/03
TRADE                                                        1 Arrow Dr,
        Champion Distribution Group, Inc., dba Trade Winds Connections Suite 2                         Woburn             MA    01801        4100119        02/26/11
RETAIL  Chancheta, Inc., dba The Wine Nook                   18 Main Street, Suite 10                  Townsend           MA    01469-0000   5031199        03/28/07
RETAIL  Chandu, Inc., dba Country Farms                      30 Poland Street                          Webster            MA    01570-0000   501585         10/01/00
RETAIL  Channel Fish Company, Inc.                           370 East Eagle Street                     East Boston        MA    02128-0000   5030632        07/01/04
MANUF   Channing Bete Company, Inc.                          Attn: Carol Taylor, One Community Place   South Deerfield    MA    01373        3000049        01/01/92
RETAIL  Chanty, Inc., dba Richdale Dairy Store               12 Morgan St.                             Wenham             MA    01984-0000   502046         05/01/02
RETAIL  Chao Lee Family Corp. dba Maitai                     90 Auburn Street                          Auburn             MA    01501-0000   5032836        05/13/11
RETAIL  Chap de Laine's Interior, Inc.                       136 College Street                        South Hadley       MA    01075-0000   1035395        05/01/91
RETAIL  Chapaquoit Grill, Inc.                               PO Box 1237                               West Falmouth      MA    02574-0000   5031647        08/01/07
ISCC    Chapel Hill-Chauncy Hall School                      785 Beaver Street                         Waltham            MA    02154        WC 000466      01/01/94
RETAIL  Chapin Specialities Co, Inc.                         1680 Riverdale Street                     West Springfield   MA    01089-0000   5031739        08/15/08
        Charalambos Manarolis, dba Bob's Family
RETAIL  Restaurant                                           1115 Main Street                          Millis             MA    02054-0000 5030600          05/14/04
MEGA    Charlemont Sewer District                            P O Box 137                               Charlemont         MA    01339      X340282          07/01/03
MIIA    Charlemont, Town of                                  PO Box 677                                Charlemont         MA    01339-0677 31               07/01/05
        Charles C Foley, dba Foley & Sons Home
RETAIL  Improvement Center                                   161 Main Street                           Maynard,           MA    01754-0000   501444         07/01/96
MASSBAY Charles River Association for Retarded Citizens      East Militia Heights, P.O. Box 920169     Needham            MA    02492        80330          11/13/03
RETAIL  Charles River Coffee House, Inc.                     57 Eliot St.                              Natick             MA    01760-0000   5032814        04/01/11
ISCC    Charles River School, Inc.                           56 Center Street                          Dover              MA    02030        WC 000876      07/01/02
RETAIL  Charles River Wine Company Inc.                      P O Box 491                               Sturbridge         MA    01518-0000   5032476        02/05/10
RETAIL  Charles Ro Manufacturing Co. Inc.                    PO Box 100                                Malden             MA    02148-0000   502125         07/01/01
        Charles Stern & Patricia Arbour, dba The Artisan
RETAIL  Gallery                                              162 Main Street                           Northampton        MA    01060-0000 5031851          02/07/08
RETAIL  Charles W. Benton Co., Inc.                          233 Friend Street                         Boston             MA    02114-0000 5030630          06/30/04


                                                                                  Page 44 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                          Zip            Policy   Effective
Group       Member Name                                    Street Address                      City             St.      Code            Number     Date
RETAIL      Charlie Horse of West Bridgewater, Inc.        1235 Bedford Street                 North Abington   MA    02351-0000   5030377         08/01/04
RETAIL      Charlie's Deli Inc                             366 South Main St.                  Sharon           MA    02067-0000   5032614         08/15/10
NAHRO       Charlton Housing Authority                     1 Meadowview Road                   Charlton         MA    01507        WCMN0013        04/01/04
RETAIL      Chartley Country Liquors                       319A Tremont Street                 Rehoboth         MA    02764-0000   5030151         10/27/03
RETAIL      Chartley Country Store Inc                     319B Tremont St                     Rehoboth         MA    02769-0000   5032044         10/04/08
RETAIL      Chatham Donuts, LLC                            436B Station Ave                    South Yarmouth   MA    02664-0000   5032613         08/01/10
RETAIL      Chatham Fish & Lobster Co., Inc                P.O. Box 176                        South Chatham    MA    02659-0000   5030406         09/01/04
NAHRO       Chatham Housing Authority                      240 Crowell Road                    Chatham          MA    02633        WCMN0131        06/01/04
RETAIL      Chatham Jewelers, Inc.                         532 Main Street                     Chatham          MA    02633-0000   1035397         05/01/91
RETAIL      Chatham Pier Fish Market Inc                   PO Box 862                          Chatham          MA    02633-0000   5032235         04/17/09
RETAIL      Chatham Pottery, Inc.                          PO Box 774                          South Chatham    MA    02659-0000   5031650         08/12/07
            Chatham Seafood Enterprises Inc dba George's
RETAIL      Place Fish Market                            30 Kildee Road                        Harwich Port      MA   02646-1613   5032765         03/07/11
RETAIL      Chatham T Co., Inc.                            583 Main Street                     Chatham,         MA    02633-0000   501747          05/20/97
RETAIL      Chatham Village Market Inc.                    Queen Anne Rd.                      Chatham          MA    02645-0000   5030072         06/07/03
MEGA        Chatham, Town of                               549 Main Street                     Chatham          MA    02633        X340184         07/01/90
RETAIL      Chazumba LLC                                   4 Brattle St., Suite #211           Cambridge        MA    02138-5019   500526          01/01/08
MANUF       Checkerboard, LTD                              PO Box 336                          West Boylston    MA    01583        5100048         04/01/05
RETAIL      Checkerboard's Pizza & More Inc.               10 Technology Dr.                   Hudson           MA    01749-0000   5031864         03/15/08
RETAIL      Checkers, Inc.                                 PO Box 1236                         Belchertown      MA    01007-0000   5032331         08/13/09
RETAIL      Cheever Industries Inc.                        89 October Hill                     Holliston        MA    01746-0000   5032506         04/28/10
RETAIL      Chef Louie's Inc., dba Chef Louie              PO Box 314                          Grafton          MA    01519-0000   502367          05/31/02
RETAIL      Chehab Brothers Inc., dba Salem Sunoco         145 Canal Street                    Salem            MA    01970-0000   5032239         05/11/09
RETAIL      Chelmsford Auto Electric Inc                   141 Middlesex Road                  Tynsboro         MA    01879-0000   501332          01/01/96
RETAIL      Chelmsford Automotive Service Center Inc       PO Box 5, 206 Boston Rd             Chelmford        MA    01924-0000   500019          12/31/07
RETAIL      Chelmsford Diagnostic Service Inc              70 Stedman St.                      Lowell           MA    01851-0000   5032183         02/25/09
NAHRO       Chelmsford Housing Authority                   10 Wilson Street                    Chelmsford       MA    01824        WCMN0040        06/01/04
MIIA        Chelmsford, Town of                            50 Billerica Road                   Chelmsford       MA    01824        33              07/01/05
RETAIL      Chelsea Floor Covering Co., Inc.               25 Everett Avenue                   Chelsea          MA    02150-0000   501842          10/01/01
NAHRO       Chelsea Housing Authority                      54 Locke Street                     Chelsea          MA    02150        WCMN0003        04/01/04
RETAIL      Cherry Street Fish Market, Inc.                26 Hobart Street                    Danvers,         MA    01923-0000   500662          06/15/95
RETAIL      Cherrystones, Inc., dba Oysters Too            876 Main Street                     East Falmouth    MA    02536-0000   1019495         08/01/02
RETAIL      Cheryl Williams, dba Fishmonger                252 Huron Avenue                    Cambridge        MA    02138-0000   502156          07/22/01
RETAIL      Cheryl-Anns Bakery of Brookline Inc.           1010 W Roxbury Pkwy                 Chestnut Hill    MA    02467-0000   5032244         06/01/09
MIIA        Cheshire, Town of                              P.O Box 647                         Cheshire         MA    01225        455             07/01/09
MIIA        Chester, Town of                               15 Middlefield Road                 Chester          MA    01011        34              07/01/05
MANUF       Chesterfield Products, Inc.                    11 Bofat Hill Rd.                   Williamsburg      MA   01096        5100092         03/12/10
MIIA        Chesterfield, Town of                          Town Hall, Main Road                Chesterfield     MA    01012        35              07/01/05
MIIA        Chesterfield-Goshen Regional School District   19 Stage Road                       Westhampton      MA    01027        247             07/01/05



                                                                              Page 45 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip            Policy   Effective
Group       Member Name                                        Street Address                             City               St.      Code           Number     Date

RETAIL  Chestnut and Main Co., Inc., dba Sorrento's Pizzeria   487 Chestnut Street                        Gardner            MA    01440-0000 5032663          11/01/10
ISCC    Chestnut Hill School                                   428 Hammond Street                         Chestnut Hill      MA    02167      WC 000195        04/01/92
        Chestnut Street Package, Inc., dba Chestnut
RETAIL  Package Store                                          95 Chestnut Street                         Springfield        MA    01103-0000 5030758          04/04/06
        Chew Chew, Inc., dba Union Station & The Tunnel
RETAIL  Bar                                                    125 A Pleasant Street                      Northampton        MA    01060-0000   5031233        08/01/06
RETAIL  Chez Jacky Brighton, LLC                               1414 Commonwealth Ave                      Brighton           MA    02135-0000   5032534        05/20/10
TRADE   Chicopee Concrete Service, Inc.                        652 Prospect Street                        Chicopee           MA    01020        4100043        12/30/05
MANUF   Chicopee Engineering Associates, Inc.                  1247 East Main Street                      Chicopee            MA   01020        5100103        12/15/10
NAHRO   Chicopee Housing Authority                             128 Meetinghouse Road                      Chicopee           MA    01013        WCMN0183       07/01/04
        Chicopee Liquors, Inc., dba Kappy's Liquors
RETAIL  Springdale                                             296 Main Street                            Everett            MA    02149-0000   5030728        01/01/05
MASSBAY Child & Family Service and 1843 Corporation            1061 Pleasant Street                       New Bedford        MA    02740        80304          08/01/00
MCSIG   Child Advocacy, Implementation Oversight               2121 Commonwealth Avenue                   Brighton           MA    02135        none           04/01/04
ISCC    Children's Montessori School, The                      240 County Road                            Ipswich            MA    01938        WC 000751      10/04/98
ISCC    Children's Museum, The                                 300 Congress Street                        Boston             MA    02210        WC 000386      01/01/94
RETAIL  Chili Head BBQ Co., Inc.                               320 West Center Street, Glad Acres Plaza   West Bridgewater   MA    02379-0000   500225         08/01/03
MIIA    Chilmark, Town of                                      P.O. Box 119                               Chilmark           MA    02535        174            07/01/05
McD     Chin Management, LLC                                   77 Paulson Road                            Waban              MA    02468        5041           01/01/93
RETAIL  Chit-Chat, Inc, dba Scuttlebutts                       P.O. Box 30187                             Acushnet           MA    02743-0000   5030275        04/01/04
RETAIL  Chlonest, Inc., dba Kiskadee Coffee Co                 18 Main St, Unit 101                       Plymouth           MA    02360-0000   500641         06/25/10
        Chocolate Dream Ltd, dba Richardson's Candy
RETAIL  Kitchen                                                PO Box 338                                 Deerfield          MA    01342-0000 1059925          09/30/02
RETAIL  Choice Mart Inc.                                       181 Mass Ave                               Boston             MA    02115-0000 501874           10/25/01
        Chook Discount Liquors, LLC, dba Harmony Discount
RETAIL  Liquors                                                150 N. Bedford Street                      East Bridgewater   MA    02333-0000 5031818          01/11/08
        Chris Bakutis, dba Mugford's Farm Stand & Flower
RETAIL  Shop                                                   8 Warburton Lane                           Westborough        MA    01581-0000   5032185        03/04/09
RETAIL  ChrisPy's Liquors & Lottery, Inc.                      335 Rantoul St.                            Beverly            MA    01915-0000   501591         11/23/00
AICC    Christmas Motors, Inc.                                 133 Acton Street                           Maynard            MA    01754        WC 006195      09/12/06
RETAIL  Christopher's Home Furnishings of Nantuc               8 Washington St.                           Nantucket          MA    02554-0000   5031796        01/09/08
RETAIL  Christos Inc.                                          782 Crescent Street                        Brockton           MA    02302-0000   5030655        08/01/04
RETAIL  Christos J Mallios, dba Monte Christo's                PO Box 255                                 Manomet            MA    02360-0000   502508         08/01/02
RETAIL  Chuck's Cafe, Inc., dba The Paramount Cafe             150 Bowdoin Street                         Boston             MA    02108-0000   5031504        04/01/07
RETAIL  Church Technologies, Inc.                              13 Garrison Road                           Shirley,           MA    01464-0000   500943         07/17/96
RETAIL  Cidade's Service Station, Inc.                         57 Rodney French Blvd                      New Bedford        MA    02744-0000   5031147        07/13/06
RETAIL  Cilantro, Inc.                                         282 Derby Street                           Salem              MA    01970-0000   5031797        01/01/08
RETAIL  CINN Corp, dba Coonamessett Inn                        311 Gifford Street                         Falmouth           MA    02540-0000   502509         08/01/02
RETAIL  Circle Supply Co., Inc                                 PO Box 239                                 Watertown,         MA    02172-0000   500515         05/01/93


                                                                                    Page 46 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip             Policy   Effective
Group   Member Name                                        Street Address                                City               St.      Code            Number      Date
RETAIL  City Cycle, Inc.                                   286 Main St.                                  Stoneham           MA    02180-0000   502440           06/12/02
RETAIL  City Feed and Supply, Inc.                         66A Boylston St                               Jamaica Plain      MA    02130-0000   5032604          06/01/10
RETAIL  City Lock Inc.                                     1977 Center Street                            West Roxbury,      MA    02132-0000   500669           06/15/95
RETAIL  City Music, LLC                                    17 Sack Blvd                                  Leominster         MA    01453-0000   5031252          08/16/06
RETAIL  City Paint & Supply Co.                            38 Varick Road, c/o Kadets                    Waban              MA    02468-0000   500218           01/26/95
RETAIL  City Roadhouse, Inc., dba Harry's Bar & Grill      c/o White Horse Tavern, 116 Brighton Avenue   Allston            MA    02134-0000   110457           04/01/05
RETAIL  City Sports Inc.                                   77 North Washington Street                    Boston             MA    02114-3434   502114           06/30/01
McD     CJJ, Inc.                                          800 Pleasant Street, Suite 1621               New Bedford        MA    02740        4268             01/01/93
AICC    CJs Towing Unlimited, Inc.                         350 Pasco Road                                Springfield        MA    01151        WC 007318        02/01/07
RETAIL  CKS Interiors, Inc.                                4000 Mystic Valley Pky, Route 16              Medford,           MA    02155-0000   500358           03/08/95
RETAIL  Claphams Transmission Service                      186 Lunenburg Street                          Fitchburg          MA    01420-0000   5031264          10/01/06
        Clarendon Limited Parnership, dba Skipjacks -
RETAIL  Boston                                             154 Wells Avenue, Suite #1                    Newton             MA    02459-0000   500468           01/01/04
RETAIL  Clarendon Restaurant LLC, dba Post 390             406 Stuart Street                             Boston             MA    02116-0000   5032162          02/11/09
RETAIL  Clark Paint & Varnish Co., Inc.                    966 Union St.                                 West Springfield   MA    01089-0000   5032293          08/03/09
ISCC    Clark School for Creative Learning, Inc.           487 Locust Street                             Danvers            MA    01923        WC 000922        01/01/04
ISCC    Clark University, Trustees of                      950 Main Street                               Worcester          MA    01610        WC 000867        01/01/02
ISCC    Clarke School for the Deaf                         46 Round Hill Road                            Northampton        MA    01060        WC 000998        07/01/07
RETAIL  Clark's Liquors, Inc., dba Kappy's Liquors         296 Main Street                               Everett            MA    02149-0000   5030730          01/01/05
MIIA    Clarksburg, Town of                                111 River Road                                Clarksburg         MA    01247        367              07/01/05
RETAIL  Classic Confections Inc                            1356 Beacon St.                               Brookine           MA    02446-0000   5031744          11/14/07
RETAIL  Classic Flowers, Inc                               29 Drum Hill Rd                               Chelmsford         MA    01824-0000   5032154          01/01/09
RETAIL  Claudia Pommer, dba Hat Stuff                      50 Bullard Pasture Road                       Wendell,           MA    01379-0000   501185           10/08/95
RETAIL  CLC Realty Trust                                   126 Newbury Street                            Danvers            MA    01923-0000   5030817          04/04/05
NAHRO   Clinton Housing Authority                          58 Fitch Road                                 Clinton            MA    01510        WCMN0068         06/01/04
MIIA    Clinton, Town of                                   242 Church Street                             Clinton            MA    01510        37               07/01/05
RETAIL  CM & R Donuts, Inc., dba Dunkin Donuts             48 Junction Square Drive                      Concord            MA    01742-0000   501951           01/01/04
RETAIL  CMAS Corporation, dba Townsend Lobster             PO Box 1768                                   Wellfleet          MA    02667-0000   5031618          04/15/10
RETAIL  CMB Realty, Inc.                                   24 Lyman Street                               Westborough        MA    01581-0000   1059600          01/01/04
McD     CMC Company, LLC                                   15 Ironwood Road                              North Andover      MA    01845        5244             01/01/05
RETAIL  CMP Group Inc., dba Midas Muffler                  125 Great Road                                Acton              MA    01720-0000   5030594          09/02/05
TRADE   CMP Leasing Company, Inc.                          136 Wayside Ave                               West Springfield   MA    01089        4100108          10/26/09
RETAIL  Coast to Coast, Inc., dba Villa Napoletana         666 North Main Street                         East Longmeadow    MA    01028-0000   5030639          05/30/04
RETAIL  Coastal Green Grocer, Inc.                         55 Market Street                              Ipswich            MA    01938-0000   5031166          01/20/07
RETAIL  Codman Lock, Inc.                                  357 Adams St.                                 Dorchester         MA    02122-0000   502027           04/27/02
MASSBAY Codman Square Health Center                        637 Washington Street                         Dorchester         MA    02124        80321            10/22/02
RETAIL  Coelho Family Donuts, Inc., dba Dunkin Donuts      459 Boston Road                               Billerica          MA    01821-0000   5032683          12/01/10
RETAIL  Coffee Obsession,Inc.                              110 Palmer Avenue                             Falmouth,          MA    02540-0000   501017           11/19/96
TRADE   Coffee Sam Inc                                     PO Box 296                                    Fall River         MA    02724        4100111          04/04/10
RETAIL  Coffee Sensations Inc.                             116 Main Street                               Medway             MA    02053-0000   5032503          03/16/10

                                                                             Page 47 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                               Zip             Policy   Effective
Group       Member Name                                       Street Address                        City             St.      Code            Number      Date
AICC        Cohasset Collision                                179 Route 3A                          Cohasset         MA    02025        WC 005134        07/01/05
NAHRO       Cohasset Housing Authority                        60 Elm Street                         Cohasset         MA    02025        WCMN0122         06/01/04
MIIA        Cohasset, Town of                                 41 Highland Avenue                    Cohasset         MA    02025        38               07/01/05
RETAIL      Coin Exchange, Inc.                               524 Allen Street                      Springfield      MA    01118-0000   501453           08/18/97
RETAIL      Coin-Op Systems, Inc.                             116 Barnett Road                      Sutton           MA    01590-0000   501922           03/10/98
RETAIL      Colangleo Massachusetts RealEstate Trust          24 Lyman Street                       Westborough      MA    01581-0000   1059600          01/01/04
RETAIL      Cold River Inc. dba Cold River Package            PO Box 102                            Charlomont        MA   01339        501247           02/12/11
RETAIL      Colella's Supermarket, Inc.                       61 Main Street                        Hopkinton        MA    01748-0000   1038105          01/01/93
RETAIL      Collective Copies, Inc.                           93 Main Street                        Florence         MA    01062-0000   5030501          02/24/05
RETAIL      Collectors World, Inc.                            P.O. Box 338                          Eastham,         MA    02642-0000   500453           04/01/95

        College Bound Dorchester, Inc. (Formerly: Federated
MASSBAY Dorchester Neighborhood Houses, Inc.)                 18 Samoset Street                     Dorchester       MA    02124        80308            07/01/08
NEEIA   College of Our Lady of the Elms                       291 Springfield Street                Chicopee         MA    01013        06-5000400       07/01/95
ISCC    College of the Holy Cross, Trustees of the            College Street                        Worcester        MA    01610        WC 000329        01/01/94
RETAIL  Colombo's Cafe & Pastries, Inc.                       544 Main St.                          Hyannis          MA    02601-0000   5032124          01/06/09
AICC    Colonial Auto of Worcester, Inc.                      1359 Grafton Street                   Worcester        MA    01604        WC001081         01/01/10
RETAIL  Colonial Drive Real Estate Corporation                PO Box 698                            Vineyard Haven   MA    02568-0000   5030132          01/01/05
SILBA   Colonial Fence Mfg. dba AVP Cedar Fence               50 Washington Street                  Stoughton        MA    02072        WC 000929        03/06/04
RETAIL  Colonial Stores, Inc.                                 24 Main Street                        Concord          MA    01742-0000   500799           08/01/94
CTCC    Colonial Trucking, Inc.                               1029 Pearl Street                     Brockton         MA    02301        WC 000970        07/07/05
TRADE   Colony Foods, Inc.                                    439 Haverhill Street                  Lawrence         MA    01841        4100010          01/01/04
RETAIL  Colorworks Paint & Hardware, Inc.                     270 Cambridge Street                  Burlington       MA    01803-0000   5031417          01/01/09
RETAIL  Colorworks Paint Centers, Inc.                        270 Cambridge Street                  Burlington       MA    01803-0000   5031416          07/27/07
MIIA    Colrain, Town of                                      55 Main Road                          Colrain          MA    01340        471              07/01/11
        Combined Automotive Services, Inc., dba Maynard
RETAIL  Mobil                                                 260 Main Street                       Maynard          MA    01754-0000   5030766          05/01/06
RETAIL  Comfort Bedding & Furniture Co., Inc.                 145 Thorndike Street                  Lowell           MA    01852-0000   5030100          05/01/91
RETAIL  Comfort Sit & Sleep, Inc., dba Chair Fair             37 Commercial Street                  Braintree        MA    02184-0000   5030939          12/22/05
ABC     Commercial Drywall & Construction Co.                 135 John Vertente Blvd.               New Bedford      MA    02745        ABCMA 001046     07/01/10
ABC     Commercial Insulation Contractors, Inc.               276 Providence Street                 Rehoboth         MA    02769        ABCMA 005006     07/24/95
RETAIL  Commercial Lobster Co., Inc.                          300 Northern Avenue                   South Boston     MA    02210-0000   501552           01/25/98
ISCC    Common School, The                                    521 South Pleasant Street             Amherst          MA    01002        WC 000490        01/01/94
RETAIL  Commonwealth Books Inc.                               9 Spring Lane                         Boston           MA    02109-0000   502547           05/23/03
        Commonwealth Motors, Inc./Commonwealth Imports,
AICC    LLC                                                   1 Commonwealth Drive                  Lawrence         MA    01841        WC 005107        02/01/05
MANUF   Commonwealth Packaging Corporation                    PO Box 329                            Chicopee         MA    01021        5100020          01/01/04
ISCC    Commonwealth School                                   151 Commonwealth Avenue               Boston           MA    02116        WC 000886        11/25/02
        Community Action Committee of Cape Cod and
MASSBAY Islands, Inc.                                         115 Enterprise Road                   Hyannis          MA    02601        80358            10/01/07


                                                                                   Page 48 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip            Policy   Effective
Group       Member Name                                           Street Address                               City            St.      Code           Number     Date

MASSBAY     Community Action Programs Inter-City, Inc. (CAPIC)    100 Everett Avenue                           Chelsea         MA    '02150       80362          01/31/08
MASSBAY     Community Family, The                                 449 Broadway, Suite 7                        Everett         MA    02149        80338          12/31/04
HEALTH      Community Physicians Associates                       92 Highland Street                           Milton          MA    02186        1000002        10/01/03
RETAIL      Community Service Stations, Inc                       1253 Worcester Road, Suite 201               Framingham      MA    01701-5250   500520         07/01/10
MASSBAY     Community Servings, Inc.                              125 Magazine Street                          Cambridge       MA    02119        80340          02/07/05
RETAIL      Compare Supermarket Inc                               2a Adams St Ext                              Lynn            MA    01902-0000   5030547        05/20/05
ISCC        COMPASS                                               26 Sunnyside Street                          Jamaica Plain   MA    02130        WC 000212      04/01/92
RETAIL      Compurex System Corp.                                 580 Myles Standish Blvd                      Taunton         MA    02780-0000   500803         10/19/95
MMCG        Comtran Corporation                                   One Main Street                              Whitinsville    MA    01588        WC 000577      01/01/95
RETAIL      Concol Inc, dba Narrows Crossing Restaurant           c/o Lisa Jane Rossi, PO Box 1565             Onset           MA    02558-0000   500257         12/05/07
NEEIA       Concord Academy                                       166 Main Street                              Concord         MA    01742        06-5000340     08/01/92

ISCC        Concord Antiquarian Society d/b/a Concord Museum 200 Lexington Road                                Concord         MA    01742        WC 000850      01/01/01

RETAIL      Concord Carpet Corp., dba Post Road Carpet One        141 Great Road                               Acton           MA    01720-0000   5030027        04/01/03
SILBA       Concord Lumber Corp                                   P.O. Box 1526                                Littleton       MA    01460        WC 000790      01/01/93
RETAIL      Concord Provisions, Inc.                              73-75 Thoreau St.                            Concord          MA   01742        5032749        02/17/11
RETAIL      Concord Teacakes, Etcetera, Inc.                      PO Box 1427                                  Concord         MA    01742-3003   5031588        06/02/07
MIIA        Concord-Carlisle Regional School District             120 Meriam Road                              Concord         MA    01742        238            07/01/05
RETAIL      Congdon Auto Center, Inc.                             6 South Street                               Foxboro         MA    02035-0000   5030963        01/10/06
MCSIG       Congregation of Armenian Catholic Sisters             6 Eliot Road                                 Lexington       MA    02173        none           03/31/93
RETAIL      Conlin's Pharmacy, Inc.                               Attention: Tina Conlin, 30 Lawrence Street   Methuen,        MA    01844-0000   500093         05/14/97
CTCC        Conlon Moving & Storage                               55 Mead Street                               Seekonk         MA    02771        WC 000342      10/01/92
RETAIL      Connie's Bakery, Inc.                                 1 Meadow Rd., Unit 1                         Provincetown    MA    02657-0000   5030597        04/30/04
            Connolly Buick Co., Inc.; Connolly Chevrolet &
AICC        Hyundai, Inc.                                         520 Worcester Road                           Framingham      MA    01702        WC 004095      12/31/04
RETAIL      Connors Wayside Furniture Co.,Inc.                    PO Box 493                                   Canton,         MA    02021-0000   501058         12/28/96
RETAIL      Conservation Unlimited Inc.                           PO Box 1501                                  Oaks Bluff      MA    02557-0000   500825         01/01/08
MIIA        Conservatory Lab Charter School                       25 Arlington Street                          Brighton        MA    02135        362            07/01/05
RETAIL      Consolidated Truck & Equipment Inc                    231 Plain St.                                Rehoboth        MA    02769-0000   5031716        07/16/08
AICC        Contemporary Concepts, Inc.                           134 Cedar Street                             Milford         MA    01757        WC 003030      09/01/03
RETAIL      Continental Restaurant of Saugus Inc.                 266 Broadway                                 Saugus          MA    01906-0000   5030372        08/01/04
AICC        Conway Chevrolet Buick, Inc.                          23-29 Hollis Street                          Pepperell       MA    01463        WC 006212      11/07/06

RETAIL      Conway Enterprises, Ltd., dba Captain Linnell House   137 Skaket Beach Rd.                         Orleans         MA    02653-0000   5032604        07/06/10
RETAIL      Conway Liquors, Inc., dba West Medway Liquors         175 Main Street                              Medway          MA    02053-0000   5030376        07/14/04
MEGA        Conway, Town of                                       P O Box 240                                  Conway          MA    01341        X340089        07/01/02
RETAIL      Cook Joy Inc, dba Mug N Muffin                        4 Webster Square                             Marshfield      MA    02050-0000   5031990        08/01/08
RETAIL      Cooke's Seafood Hyannis, Inc.                         1120 Iyannough Road                          Hyannis         MA    02601-0000   5030773        03/09/05


                                                                                     Page 49 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                Zip           Policy     Effective
Group   Member Name                                        Street Address                          City               St.      Code           Number       Date
MASSBAY Cooperative For Human Services, Inc., (The)        17 New England Executive Park           Burlington         MA    01803        80367            06/15/08
SILBA   Cooperative Reserve Supply                         P.O. Box 39                             Belmont            MA    02478        WC 000817        01/01/94
        Cooper's Dairyland of Northampton, Inc., dba
RETAIL  Cooper's Corner                                    31 Main Street                          Florence           MA    01062-0000   5032385          11/01/09
RETAIL  Coosemans Boston, Inc.                             Bay 124 New England Produce Ctr         Chelsea            MA    02150-0000   5032446          01/01/10
RETAIL  Copeland Package Store, Inc.                       273 Copeland Street                     Quincy             MA    02169-0000   502329           08/22/02
RETAIL  Copy Inks of South Shore Inc                       530 Washington Street                   Stoughton          MA    02072-0000   501008           10/01/96
TRADE   Cordi Food Distributors, Inc.                      470 Shoemaker Lane                      Agawam             MA    01902        4100120          05/01/11
RETAIL  Corich Corporation, dba Mel's Restaurant           490 Pleasant Street                     Holyoke            MA    01040-0000   5031639          08/01/07
RETAIL  Corks Inc., dba Owen O'Leary's                     PO Box 3324                             Southboro          MA    01745-0000   502251           01/03/02
RETAIL  Cormier Jewelers, Inc.                             42 Central St                           Southbridge        MA    01550-0000   5030101          05/01/91
RETAIL  Corner Store of Chicopee, Inc.                     444 Front Street                        Chicopee,          MA    01013-0000   501372           06/12/97
RETAIL  Cornice Shop, Inc., dba Curtains Etc.              280 Highland Avenue                     Salem,             MA    01970-0000   501027           08/01/96
RETAIL  Corona Associates Inc., dba Stevens Market         205 Smith St.                           North Attleboro    MA    02760-0000   501655           02/03/01
RETAIL  Corvettes & Classics, Inc.                         577 Winthrop Street                     Taunton            MA    02780-0000   5031221          07/23/06
RETAIL  Costa Donuts Two, Inc., dba Dunkin Donuts          PO Box 2767                             Acton              MA    01720-0000   502364           05/01/02
RETAIL  Cote's Market, Inc.                                175 Salem Street                        Lowell,            MA    01854-0000   501521           04/01/98
        Cottage Catering, Inc., dba Red Barn Coffee
RETAIL  Roasters                                           64 Old Elm Way                          Hopkinton          MA    01748-0000   5031281          09/11/06
RETAIL  Cottage of Williamstown, Inc., dba The Cottage     24 Water St.                            Williamstown       MA    01267-0000   501849           10/01/01
RETAIL  Cottage Street, Inc.                               19 North Street                         Hingham            MA    02043-0000   5030586          08/01/05
McD     Coughlin, Inc.                                     201 Woodstock Avenue                    Rutland            VT    05701        6006             01/01/01
RETAIL  Coughlins Place, Inc.                              182 North Main Street                   East Longmeadow    MA    01028-0000   5032294          08/01/09
RETAIL  Country Dining Room Antiques LTD                   178 Main St.                            Great Barrington   MA    01230-0000   502157           08/17/01
RETAIL  Country Hardware, Inc.                             632 Main Street                         Acushnet,          MA    02743-0000   501853           09/22/97
RETAIL  Country Motors Inc                                 107 Ipswich Rd.                         Topsfield          MA    01983-0000   5032274          04/01/10
RETAIL  Country Squire Furniture Shop                      161 Main Street                         Agawam,            MA    01001-0000   501180           09/17/95
RETAIL  Country Village Carpets, Inc.                      465 Nashua Rd, Unit 2                   Dracut             MA    01826-0000   5030820          04/24/05
STAM    County Cab, Inc.                                   P.O. Box 218, 599 Pleasant Street       Leicester          MA    01524-1238   WC-06-3003002    06/02/03
ISCC    Covenant Christian Schools Inc.                    35 Conant Street                        Beverly            MA    01915        WC 000870        01/09/02
RETAIL  Cowan Auto Supply, Inc.                            26 Clark Street                         Greenfield         MA    01301-0000   5030126          04/01/94
RETAIL  Cowboy's Meat Market & Delicatessen, LLC           PO Box 337                              Nantucket          MA    02554-0000   5031532          04/28/07
CARE    Coyne Management LLC                               56 Webster Street                       Rockland           MA    02370        2000042          01/01/03
RETAIL  CPC Development, Inc., dba Honey Dew Donuts        1998 Acushnet Ave                       New Bedford        MA    02745-0000   5030763          04/25/06
RETAIL  Craftmasters of Nantucket Inc.                     7 India Street                          Nantucket          MA    02554-0000   501853           09/03/97
RETAIL  Craig Babinski, dba Rockport Lobster               PO Box 12221                            Gloucester         MA    01930-0000   5030713          03/25/06
RETAIL  Craig Verdini, dba Sweet Spot Bakery               163 West Emerson Street                 Melrose            MA    02176-0000   5030551          06/25/05
        Crane Corp, dba Crane Appliance and Sound &
RETAIL  Vision                                             PO Box 397                              Cataumet           MA    02534-0397 500378             02/01/95
RETAIL  Creative Administrators, Inc.                      6877 Isla Vista Blvd                    West Palm Beach    FL    33412-0000 5030988            01/01/06


                                                                                  Page 50 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip            Policy   Effective
Group       Member Name                                        Street Address                               City               St.      Code            Number     Date
CARE        Creative Alliances, Inc.                           135 South Huntington Ave                     Boston             MA    02130        2100003         01/01/04

ISCC        Creative Education Inc. dba Odyssey Day School     11 Paul Ave.                                 Wakefield          MA    01880        WC 000988       07/09/06
RETAIL      Crema LLC, dba Crema Cafe                          4 Brattle St., Suite #211                    Cambridge          MA    02138-0000   500532          04/28/08
RETAIL      Crescent Enterprises, Inc., dba Moody Spa          811 Moody Street                             Waltham            MA    02154-0000   501254          05/08/97
MCSIG       Cristo Rey of Boston High School                   100 Savin Hill Avenue                        Dorchester         MA    02125-1431   none            10/01/10
            Cristo Rey of Boston High School Corporate Work
MCSIG       Study                                              100 Savin Hill Avenue                        Dorchester         MA    02125-1431 none              10/01/10
RETAIL      CRK, LLC                                           95 Washington St.                            Pembroke           MA    02359-0000 5032352           09/19/09
RETAIL      CRN Auctions, Inc.                                 57 Bay State Road                            Cambridge          MA    02138-0000 5032628           08/14/10

RETAIL      Crosby's Markets, Inc., dba Crosby's Marketplace   125 Canal Street                             Salem              MA    01970-4649   5030133         02/01/93
MCSIG       Crossroads Family Shelter                          56 Havre Street                              East Boston        MA    02128        none            03/31/93
RETAIL      Crown Electric Supply Co., Inc.                    41 Central Street                            Milford            MA    01757-0000   5031591         07/06/07
RETAIL      Crystal Cleaners, Inc.                             599 Belmont St.                              Brockton           MA    02301-0000   502005          04/06/02
RETAIL      Crystal Essence Inc                                39 Railroad St                               Great Barrington   MA    01230-0000   501603          01/22/01
CTCC        Crystal Motor Express, Inc.                        3 Melvin Street                              Wakfield           MA    01880        WC 000948       10/01/04
RETAIL      Crystal Pineapple Inc.                             P.O. Box 308                                 West Barnstable    MA    02668-0000   5030626         10/01/05
RETAIL      Crystal Rug Cleaners Co.,Inc.                      327 Grafton Street                           Worcester,         MA    01604-0000   501058          01/01/97
MANUF       Crystal Steel Processing Corporation               50 Log Bridge Road                           Middleton          MA    01949        3000110         01/01/93
CTCC        Crystal Warehouse Corporation                      3 Melvin Street                              Wakfield           MA    01880        WC 000953       11/01/04
RETAIL      CSLQ Corporation                                   50 Hudson Rd.                                Canton             MA    02021-0000   5032266         03/01/10
TRADE       CTW Transport, Inc.                                147 Summit St., Bldg 3A                      Peabody            MA    01960        4100100         01/01/09
AICC        Cugini Enterprises, Inc.                           185 Liberty Street                           South Weymouth     MA    02190        WC 007316       02/01/07
RETAIL      Cummington Supply, Inc.                            18 Main St.                                  Cummington         MA    01026-0000   502093          05/30/02
MIIA        Cummington, Town of                                Main Street                                  Cummington         MA    01026        41              07/01/05
RETAIL      Cup and Top Cafe, Inc.                             1 North Main Street, Suite 2, PO Box 60628   Florence            MA   01062        5032743         02/06/11
RETAIL      Cupboard of Gloucester, Inc.                       41 Hough Avenue, Stage Fort Park             Gloucester         MA    01930-0000   500419          08/04/02
RETAIL      Curran Brothers, Inc.                              15 Park Street                               Danvers            MA    01923-0000   5031128         01/01/07
RETAIL      Curry Hardware Hanover, Inc.                       370 Copeland Street                          Quincy             MA    02169-0000   5032643         08/24/10
RETAIL      Curry Hardware, Inc.                               370 Copeland Street                          Quincy             MA    02169-0000   5032447         01/01/10
RETAIL      Curtains 'N More, Inc.                             77 Macy St, Route 110                        Amesbury           MA    01913-0000   500340          05/01/97
RETAIL      Curtis Liquor Stores, Inc.                         486 Columbian Street                         Weymouth           MA    02190-0000   500830          11/01/94
SILBA       Curtis-Newton Corp.                                41 River Street Box 4128                     Dedham             MA    02026        WC 000828       01/01/95
ISCC        Cushing Academy                                    35 School Street                             Ashburnham         MA    01430        WC 000875       06/30/02
RETAIL      Custom Cabinet & Millwork, Inc.                    784 Page Blvd.                               Springfield        MA    01104-0000   500856          01/18/96
RETAIL      Custom Designed Carpets Inc                        100 Weymouth Street, Suite H-1               Rockland           MA    02370-0000   500615          11/16/95
RETAIL      Custom Products Corp., dba Lisbeth's               95 Central Street                            Norwood,           MA    02062-0000   500511          04/27/95
            Custom Quality Upholstering, Inc., dba Templeton
RETAIL      Colonial Furniture                                 162 Baldwinville Road                        Templeton,         MA    01468-0000 501172            01/28/97


                                                                                    Page 51 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip             Policy   Effective
Group       Member Name                                          Street Address                     City               St.      Code            Number      Date
RETAIL      Custom TV & Appliance, Inc.                          1872 - 1876 Boston Road            Wilbraham          MA    01095-0000   501360           04/26/04
HEALTH      Cutchins Programs for Children and Famil             78 Pomeroy Terrace                 Northampton        MA    01060        3100006          06/30/08
RETAIL      Cutone Specialty Foods Inc.                          145 Market Street                  Chelsea            MA    02150-0000   502473           03/01/03
RETAIL      Cutty Foods, LLC                                     1770 Mass Ave. #335                Cambridge          MA    02140-0000   5032449          01/01/10
RETAIL      Cycle Service JD Signs, LLC                          100 Ridgewood Ave                  Hyannis            MA    02601-0000   5031083          05/04/06
            Cynthia A Paquette and Raymond A Paquett, dba
RETAIL      Advanced Auto Electric                               16 Silva Lane                      Dracut             MA    01826-0000   5031869          02/15/08
RETAIL      Cypress Automart, Inc., dba Audy's Mobil             345 Boylston St.                   Brookline          MA    02146-0000   5031669          05/01/08
RETAIL      D & B Auto Service, Inc.                             41 Sparks Ave                      Nantucket          MA    02554-0000   5032239          05/03/09
RETAIL      D & B MCG, Inc., dba Little Comfort General Store    50 Washington Street               Whitman            MA    02382-0000   5031389          02/05/07
RETAIL      D & M Auto Parts, Inc.                               113 Irving Street                  Framingham         MA    01702-0000   5030953          01/01/06
McD         D & P Associates                                     281 Willis Road                    Sudbury            MA    01776        953              01/01/96

RETAIL      D & T Donut Shoppe, Inc., dba Honey Dew Donuts       118 Prospect Street                Milford            MA    01757-0000 502203             08/01/02
RETAIL      D J Basile Jr, Inc., dba Global Service Center       1115 Washington Street             Boston             MA    02118-0000 5031144            06/11/06
            D Marchand & E Marchand, dba Craven's Package
RETAIL      Store                                                777 Boston Road                    Groton             MA    01450-0000 5030490            12/22/03

RETAIL      D W & S Fall River, Inc., dba Tanza Wine & Spirits   1405 Douglas Avenue                North Providence   RI    02904-0000   5030459          01/24/05
RETAIL      D&L Liquor, Inc.                                     119 River Street                   Waltham            MA    02154-0000   500786           07/01/94
RETAIL      D. Avery and K. Hogness, dba A.L. Avery & Son        PO Box 616                         Charlemont         MA    01339-0000   501713           02/02/01
RETAIL      D.A.W., Inc, dba Eaton Apothecary                    PO Box 6880                        Holliston          MA    01746-0000   500798           07/25/94
RETAIL      D.C.D., LLC, dba Dover Cafe' & Deli                  7 Rockridge Rd.                    Natick             MA    01760-0000   5031855          02/06/08
RETAIL      D.E. Foods, Inc., dba Kentucky Fried Chicken         170 Olde Forge Road                Hanover            MA    02339-0000   5030937          01/01/06
RETAIL      D.E.P. Ram Corp, dba Town Mart                       10 Federal Street                  Belchertown        MA    01007-0000   5032041          09/11/08
RETAIL      D.J. Colberts, Inc., dba Shube's Liquors             16 Atlantic Avenue                 Marblehead         MA    01945-0000   1106830          05/01/91
RETAIL      D.J.V.P Ram Corp dba Corner Cupboard Store           149 Gorham Street                  Chelmsford          MA   01824        5032729          01/10/11
RETAIL      D.N. McNulty, dba Ronnie's Automotive                626 Boston Road                    Billerica          MA    01822-0000   5031646          08/22/07
RETAIL      Daaboul & Sons Auto Repair, Inc.                     193 Elm St                         Salisbury           MA   1952'0       5032762          03/10/11
RETAIL      Daddario Hardware, Inc.                              528 West Central St                Franklin           MA    02038-0000   5032633          09/11/10
RETAIL      Daddy's Junky Music Stores, Inc.                     1015 Candia Road                   Manchester         NH    03109-0000   5030135          09/01/93
RETAIL      Dadson Inc, dba Expo Liquors                         1122 Memorial Avenue               West Springfield   MA    01089-0000   1040699          05/01/91
RETAIL      Dakor Center, Inc.                                   251 Davis St.                      Greenfield         MA    01301-0000   502073           01/01/01
RETAIL      Dalco, Inc. dba Rita Maries                          PO Box 804                         Lanesboro          MA    01237-0000   5032813          04/19/11
RETAIL      Dale Morrow, dba Morrow's Auto Repair                50 Hatfield St                     Northampton        MA    01060-0000   5031916          05/01/08
CTCC        Daley & Wanzer, Inc                                  821 Nantucket Avenue, Box 845      Hull               MA    02045        WC 000851        01/30/01
RETAIL      Daley Service, Inc.                                  PO Box 122                         Norfolk            MA    02056-0000   5031648          07/26/07
RETAIL      Dalliance, Inc., dba Sock It To Me                   Faneuil Hall Marketplace           Boston             MA    02109-0000   5030137          05/01/91
ABC         Dalton Builders, Inc.                                10 Industrial Road                 Milford            MA    01757-3587   ABCMA 005007     12/01/04
MIIA        Dalton Fire District                                 20 Flansburg Avenue                Dalton             MA    01226-1409   357              07/01/05


                                                                                   Page 52 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                          Zip             Policy   Effective
Group       Member Name                                          Street Address                                City             St.      Code            Number      Date
NAHRO       Dalton Housing Authority                             293 High Street                               Dalton           MA    01226        WCMN0194         09/15/04
MIIA        Dalton, Town of                                      462 Main Street                               Dalton           MA    01226        254              07/01/05
RETAIL      Daman Distributing Co., Inc.                         84 Newmarket Square                           Boston           MA    02118-0000   5031445          10/01/07
RETAIL      Dan Shuman, dba Salem Cycle                          72 Washington Street, Suite 1                 Salem            MA    01970-0000   500494           03/07/07
ISCC        Dana Hall School                                     45 Dana Road                                  Wellesley        MA    02181        WC 000223        04/01/92
RETAIL      Daniel & Gail Costa, dba White Hen 8804-7                                                          Norwood
                                                                 c/o New England Pantry Inc., 290 Vanderbilt Ave                MA    02062-0000   500065           06/07/03
            Daniel F. Shea III & Carol Shea, dba Dan's Auto
RETAIL      Repair                                               124 Pond Street                              Billerica         MA    01821-0000   5031179          03/01/07
RETAIL      Daniel J. & Kimberly A. Devine, dba Brad's Place     353 Main St.                                 Greenfield        MA    01302-0000   501883           11/16/01
AICC        Daniel J. Quirk, Inc.                                P.O. Box 850972                              Braintree         MA    02185        WC 004051        01/01/04
RETAIL      Danish Pastry House, LLC                             205 Arlington St.                            Watertown         MA    02472-0000   5032053          09/14/08
RETAIL      Dan'l Webster, Inc.                                  141 Falmouth Rd                              Hyannis           MA    02601-0000   5032282          08/01/09
RETAIL      Dan's Tire & Auto Repair, Inc.                       14 RTE 28 Iyanough Rd.                       W. Yarmouth       MA    02673-0000   5031473          03/31/07
RETAIL      Danvers Butchery Inc                                 182 North Street                             Danvers           MA    01923-1242   500956           09/01/96
NAHRO       Danvers Housing Authority                            14 Stone Street                              Danvers           MA    01923        WCMN0080         06/01/04
AICC        Danvers Moror Company, Inc.                          106 Sylvan Street                            Danvers           MA    01923        WC 008049        03/01/08
TRADE       Danvers News Agency, Inc.                            150 Blossom Street                           Lynn              MA    01902        4000032          01/01/03
RETAIL      Danversport Yacht Club Marina LLC.                   161 Elliott Street                           Danvers           MA    01923-0000   501933           01/01/08
RETAIL      Danversport Yacht Club, LLC                          161 Elliott Street                           Danvers           MA    01923-0000   501933           01/01/02
RETAIL      Daou Market, Inc.                                    1678 President Ave.                          Fall River        MA    02720-0000   502260           01/03/02

RETAIL      Dara Foods, Inc., dba South Yarmouth Dairy Queen     917 Main Street, Rte 28                      South Yarmouth    MA    02664-0000   500409           02/10/04
MASSBAY     DARE Family Services, Inc.                           265 Medford Street, Suite 200                Somerville        MA    02143        80302            08/01/00
AICC        Dario Diesel Service, Inc.                           182 Southwest Cutoff                         Worcester         MA    01604        WC 007322        03/28/07
RETAIL      D'Arrigo Brothers Co.                                105 New England Produce Center               Chelsea           MA    02150-0000   5031198          07/17/06
RETAIL      Darryl S. Fisk, dba Moltenbrey's Market              44 Worthington Road                          Huntington        MA    01050-0000   501305           06/01/97
RETAIL      Dart Sales, Inc.                                     51 Morgan Dr.                                Norwood           MA    02062-0000   500948           08/01/96
RETAIL      Dartmouth Casual Furniture, Inc.                     709 Dartmouth St.                            South Dartmouth   MA    02748-0000   5032043          06/01/08

RETAIL      Dartmouth Hospitality Corp., dba Rachel's Lakeside   950 State Road                               Dartmouth         MA    02714-0000   5030876          08/01/05
NAHRO       Dartmouth Housing Authority                          2 Anderson Way                               Dartmouth         MA    02747        WCMN0053         06/01/04
RETAIL      Dartmouth Persy's Place LLC                          43 Bedford Street                            Middleboro        MA    02346-0000   5030065          01/01/04
RETAIL      Darwin's Limited                                     148 Mount Auburn Street                      Cambridge         MA    02138-0000   5030062          04/24/03
RETAIL      Dash, Inc., dba Shop Ahoy Liquors                    PO Box 1198                                  West Chatham      MA    02669-0000   5031556          05/01/07
MANUF       Datacon, Inc.                                        60 Blanchard Road                            Burlington        MA    01803        3000097          01/01/93
RETAIL      Datti's Package Store, Inc.                          847 Edgell Road                              Framingham        MA    01701-0000   500934           07/19/96
AICC        Dave Delaney's Columbia                              1877 Washington Street                       Hanover           MA    02339        WC 006217        12/17/06
RETAIL      Dave's Appliance, Inc.                               PO Box 447                                   Brookfield        MA    01506-0000   5030124          11/14/03
RETAIL      Dave's Diner,Inc., dba Dave's Diner                  390 West Grove Street                        Middleboro        MA    02346-0000   5030185          01/01/04
RETAIL      Dave's Enterprises, Inc.                             97 Maple Street, Locust and Maple Street     Danvers           MA    01923-0000   500229           05/17/06


                                                                                    Page 53 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip           Policy     Effective
Group       Member Name                                            Street Address                         City              St.      Code          Number        Date
RETAIL      Dave's Furniture                                       1028 Main Street                       Springfield,      MA    01103-0000 500503             05/05/95

RETAIL      Dave's Retail Trust, dba Dave's Soda & Pet Food City   151 Springfield Street                 Agawam,           MA    01001-0000 500651             06/01/95
RETAIL      David Crocker, dba Crocker Nurseries                   PO Box 1746                            Brewster          MA    02631-0000 5030052            05/01/03
RETAIL      David Dempsey, dba Keltic Kitchen                      415 Main Street                        West Yarmouth     MA    02673-0000 5030751            04/05/06
            David Vaughan & Ann Vaughan, dba Shiretown
RETAIL      Meats                                                  PO Box 1286                            Edgartown         MA    02539-0000   5031938          06/01/08
RETAIL      David's Fish Market Inc.                               54 Bridge Road                         Salisbury,        MA    01952-0000   500849           01/02/96
RETAIL      David's Tire & Auto, Inc.                              898 Turnpike Street                    Canton            MA    02021-0000   5032661          10/10/10
AICC        Davis Auto Electric, Inc.                              40 Merrimac Street                     Newburyport       MA    01950        WC 001021        01/01/00
RETAIL      Davis Farms Trust, dba Bolton Orchards                 P.O. Box 305                           Bolton,           MA    01740-0000   501265           01/01/96
            Davis Square Cleansers, Inc., dba Davis Square
RETAIL      Cleaners                                               161 Huron Ave.                         Cambridge         MA    02138-0000 501375             01/01/09
RETAIL      Dawes Avenue Variety, Inc.                             21 Dawes Ave                           Pittsfield        MA    01201-0000 5032839            05/17/11

RETAIL      Dawson's, Inc., dba Dawson's True Value Hardware       50 Enon Street                         Beverly           MA    01915-0000   5030829          05/02/05
RETAIL      Daymor USA, LLC                                        602 Neponset Street                    Canton,           MA    02021-0000   501036           09/01/96
RETAIL      DDB Corporation                                        26 Bridge Street                       Salem             MA    01970-0000   5030125          01/01/04
AICC        De Santis Chevrolet, Inc.                              1555 Main Street                       Brockton          MA    02304        WC 006201        10/01/06
RETAIL      Deals and Steals LLC                                   76 Pleasant Street                     Northampton       MA    01060-0000   5031328          11/10/06
RETAIL      Dean Dairy Inc., dba Heritage Farm                     163 Pawtucket Blvd.                    Lowell            MA    01854-0000   502071           04/05/01
            Dean Street Liquors, Inc., dba Canton Village Wine &
RETAIL      Spirits                                                95 Washington Street, Suite 404        Canton            MA    02021-0000   500554           02/11/97
RETAIL      Dean Wisniewski, dba Dean's Automotive                 P.O. Box 1166                          West Brookfield   MA    01588-0000   5032118          01/01/09
ABC         DeAngelis Iron Work, Inc.                              305 Depot Street , P.O. Box 350        South Easton      MA    02375        ABCMA001045      01/01/10
RETAIL      Debonis & Davin Florist, Inc                           900 Main Street                        Fitchburg         MA    01420-0000   5030035          07/06/03
RETAIL      Debra's Natural Gourmet, Inc.                          98 Commonwealth Avenue                 Concord           MA    01742-0000   1085010          04/01/94
            Debuca Wine & Liquor Inc, dba Raynham Wine &
RETAIL      Liquors                                                421 New State Highway                  Raynham           MA    02767-0000   5030703          10/07/04
ABC         DECCO, Inc.                                            31 Route 13                            Brookline         NH    03033        ABCMA 005008     11/01/93
RETAIL      Decorex, Inc.                                          576 Boston Post Road E                 Marlborough       MA    01752-0000   5031337          12/01/06
ISCC        Dedham Country Day School                              90 Sandy Valley Road                   Dedham            MA    02026        WC 000048        04/01/92
NAHRO       Dedham Housing Authority                               163 Dedham Boulevard                   Dedham            MA    02026        WCMN0034         06/01/04
MEGA        Dedham Town of                                         Town Hall 26 Bryant Street             Dedham            MA    02026        X340148          07/01/11
STAM        Dee Bus Service                                        1135 Main Street                       Concord           MA    01742        WC-06-0001550    01/01/96
RETAIL      Deen, Inc., dba Brant Rock Market                      P.O. Box 427                           Brant Rock        MA    02020-0000   501530           07/13/00
RETAIL      Deep Convenience, Inc., dba Resendes Market            960 Washington St.                     Braintree         MA    02184-0000   5032255          06/18/09

RETAIL      Deer Hollow Corp, dba Barnstable Bottle Shoppe         10 Seaboard Lane                       Hyannis           MA    02601-0000 501277             12/18/95
NEEIA       Deerfield Academy, Trustees of                         Main Street                            Deerfield         MA    01342      06-5000350         08/31/92


                                                                                         Page 54 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy    Effective
Group       Member Name                                         Street Address                             City               St.      Code            Number       Date
MEGA        Deerfield Fire District                             167 Mill Village Road                      Deerfield          MA    01342        X340188           07/01/02
RETAIL      Deerfield Spirit Shoppe, Inc.                       53C South Main St.                         South Deerfield    MA    01373-0000   5030418           09/13/03
MEGA        Deerfield Town of                                   8 Conway Street                            Deerfield          MA    01342        X340300           07/01/11
RETAIL      Deftos Dairy Queen Inc.                             64 Tiffany Circle                          West Bridgewater   MA    02379-0000   5031863           03/01/08
RETAIL      Delande Supply Co., Inc.                            58 Pulaski St.                             Peabody            MA    01960-0000   502134            07/08/01

TRADE       Delaney Fuel Transport LLC dba YMC Transportation   4 Tow Rd                                   Wareham            MA    02571        4100123           06/23/11
MCSIG       Delegate for Healing & Asst. Ministry               242 Walnut Street, Suite 103               Newtonville        MA    02160        none              04/01/04
RETAIL      Delukes, Inc., dba Luke's Liquors                   167 Market Street                          Rockland           MA    02370-0000   1047248           08/05/02
RETAIL      Deluxe Station Diner, LLC                           327 Mount Auburn St.                       Watertown           MA   02472        5032734           01/07/11
RETAIL      Demellos Produce Market, Inc.                       1275 Cove Road                             New Bedford        MA    02740-0000   500908            04/01/96
RETAIL      Demers Tires, Inc.                                  296 Summer Street                          Fitchburg          MA    01420-0000   5031814           01/01/08
RETAIL      Demimar Corporation, dba J Quick Kitchen            c/o Joseph Leone, PO Box 2490              So Hamilton        MA    01982-0000   500281            08/30/10

RETAIL      Denise J. Miner & Timothy Saldo, dba Roz's Place    6 Bridge St.                               Northampton        MA    01061-0000   502241            12/22/01
RETAIL      Denise's Pet Care Center Inc.                       PO Box 609                                 Mattapoisett       MA    02739-0000   5032487           03/01/10
SILBA       Denison - Cannon Co                                 135 Rangeway Road Box 20                   N. Billerica       MA    01862        WC 000809         01/01/93
RETAIL      Dennis Chandonet, dba Livingston Street Auto        710 Livingston St.                         Tewksbury          MA    01876-0000   5031849           02/13/08
RETAIL      Dennis Donuts, Inc.                                 436B Station Ave                           South Yarmouth     MA    02664-0000   5032606           08/01/10
RETAIL      Dennis East International, LLC                      221 Willow Street                          Yarmouth Port      MA    02675-0000   5031441           08/01/07
RETAIL      Dennis Equipment Company, Inc.                      PO Box 1160                                South Dennis       MA    02660-1160   5032514           04/04/10
NAHRO       Dennis Housing Authority                            167 Center Street                          South Dennis       MA    02660        WCMN0036          06/01/04
            Dennis J McNicholas & Nancy R. McNichols, dba
RETAIL      Plaza Package Liquor Store                                                                      Plymouth
                                                                Myles Standish Plaza 115 Samoset Street, Route 44             MA    02360-0000   500400             04/06/07
MIIA        Dennis Water District                               PO Box 2000                                 Dennis            MA    02660-0690   249                07/01/05
MIIA        Dennis, Town of                                     P.O. Box 1419                               South Dennis      MA    02660        160                07/01/05
ABC         DENS Facility Services, Inc.                        31 Route 13                                 Brookline         NH    03033        ABCMA 005009       04/26/04
RETAIL      Depot Package Store, Inc.                           110 Church Street                           Holliston         MA    01746-0000   5030934            01/01/06
ISCC        Derby Academy                                       56 Burditt Avenue                           Hingham           MA    02043        WC 000587          01/01/96
RETAIL      Desi, Inc.                                          1098 Chicopee Street                        Chicopee          MA    01013-0000   5030686            08/30/04
RETAIL      Design Resource Center NE LLC                       143 Main Street                             Springfield       MA    01105-2405   5032782            04/01/11
RETAIL      Designer Cabinetry, Inc.                            1069 Washington Street                      Newton,           MA    02165-0000   501223             03/30/97
TRADE       Designer Services, Inc.                             10 Wheeling Avenue                          Woburn            MA    01801        4100118         10/07/10
SILBA       Dettinger Lumber                                    P.O. Box 1675                               Pittsfield        MA    01202        WC 000760          01/01/92
RETAIL      Development I Corp., dba St. Hilaire Laundromat     1700 Middlesex Street                       Lowell            MA    01851-0000   5031777            01/01/08
RETAIL      Devling Inc., dba Depot General Store               160 State Road East                         Westminster       MA    01473-0000   5030322            05/10/93
SILBA       Devon Lumber Co. Inc.                               167 Devon Street                            Dorchester        MA    02121        WC 001167          01/01/10
            Dexter School, Southfield School Inc., d/b/a
ISCC        Briarwood Conference Ctr.                           20 Newton Street                           Brookline,         MA    02445      WC 000757           07/01/00
RETAIL      DFC Auto Service Inc.                               73 Waverly St.                             Ashland            MA    01721-0000 5032402             11/18/09


                                                                                    Page 55 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                          Zip            Policy     Effective
Group   Member Name                                               Street Address                              City               St.      Code           Number       Date
        DFD Restaurant Group, LLC, dba Toscano
RETAIL  Restaurant                                                47 Charles Street                           Boston             MA    02114-0000   5032459          01/01/10
RETAIL  DFD Restaurant Management LLC                             41 Charles St.                              Boston             MA    02114-0000   5032450          01/01/10
RETAIL  DFW Costa Inc., dba Costa's Mini Mart                     138 Belleville Road                         New Bedford        MA    02745-0000   502076           04/10/01
RETAIL  DGP & Sons, Inc., dba Jimmy's Pub                         141 North Main Street                       Mansfield          MA    02048-0000   1026200          08/01/02
AICC    Diamond Buick Pontiac GMC Cadillac, LLC                   768 Washington Street                       Auburn             MA    01501        WC 007310        01/01/07
AICC    Diamond Chevrolet, Inc.                                   520 Park Avenue                             Worcester          MA    01603        WC 006221        12/29/06
RETAIL  Diaz Supermarket, Inc.                                    590 Main St.                                Springfield        MA    01105-0000   501835           09/20/01
RETAIL  DiBacco's Service Center, Inc.                            472 Rantoul Street                          Beverly            MA    01915-3209   5030932          07/13/06
RETAIL  Dick's Power Equip. Sales & Service, Inc                  1245 Washington Street                      Hanover            MA    02339-0000   5030632          07/01/04
NAHRO   Dighton Housing Authority                                 300 Lincoln Avenue                          North Dighton      MA    02764        WCMN0058         06/01/04
MIIA    Dighton Rehoboth Regional School District                 2700 Regional Road                          North Dighton      MA    02764        472              07/01/11
MEGA    Dighton Water District                                    P O Box 222                                 Dighton            MA    02715        X340205          07/01/02
MEGA    Dighton, Town of                                          979 Somerset Avenue                         Dighton            MA    02175        X340178          07/01/98
RETAIL  Digit Communications, Inc.                                12 Harding St., Ste. 111                    Lakeville          MA    02347-0000   500465           01/30/03
RETAIL  Dilemme, Inc., dba Ristorante Molise                      464 Main Street                             Wakefield          MA    01880-0000   5031426          03/01/07
MASSBAY Dimock Community Health Center                            See: Dimock Community Foundation, Inc.
MASSBAY Dimock Community Foundation, Inc.                         55 Dimock Street                            Roxbury            MA    02119        80355            06/28/07
RETAIL  Dinatale Seafood Co II Inc                                315 Court St.                               Plymouth           MA    02360-0000   5031985          06/10/09
MCSIG   Diocese of Springfield                                    15 Elliot Street                            Springfield        MA    01105-1713   none             07/01/05
RETAIL  Dion & Leahan Inc.                                        119 River Street                            Waltham            MA    02154-0000   500791           01/01/04
MANUF   Dion Label Printing, Inc.                                 PO Box 1507                                 Westfield          MA    01086-1507   5100070          08/14/07
        Direct Advantage of Boston LLC, dba DirectBuy of
RETAIL  Boston South                                              11A Commerce Road                           Rockland           MA    02370-0000   5032249          06/03/09
RETAIL  Discount Office Furniture, Inc.                           2131 Riverdale Street                       West Springfield   MA    01089-0000   5030651          07/13/04
RETAIL  Discount Wooden Ware, Inc., dba Mill Store                270 Communication Way, Building #6          Hyannis            MA    02601-0000   500206           01/01/10
RETAIL  Diver's Market, Inc.                                      319 Court Street                            Plymouth           MA    02360-0000   501294           05/30/97
RETAIL  DJ Sullivan LLC, dba Sullivan Wine & Spirits              260 Marion Road                             Wareham            MA    02571-0000   5030889          06/27/06
RETAIL  DJM Asset Management, LLC                                                                             Boston
                                                                  Attention: Human Resources, 101 Huntington Ave, 10th Floor     MA    02199-0000   14805            01/01/04
McD     DKA Pike LLC                                              See: AshGage, LLC

RETAIL      DKF Backstreet, Inc., dba Foley's Backstreet Grille   531 Pearl Street                            Stoughton          MA    02072-0000   5030628          10/01/05
RETAIL      DKPK, LLC, dba A & A Market                           1042 Mass Ave                               Arlington          MA    02476-0000   5032488          03/01/10
RETAIL      DMKM, Inc, dba Edible Arrangements                    71 Cummings Park                            Woburn             MA    01801-0000   5031590          06/16/07
RETAIL      DNS Liquors Inc                                       36 Howland Rd.                              Fairhaven          MA    02719-0000   5031816          01/07/08
SILBA       Doherty Lumber Co                                     78 Accord Park                              Norwell            MA    02061        WC 000799        01/01/93
STAM        Doherty's Garage                                      161 Lincoln Road                            Lincoln            MA    01773        WC-06-5003014    03/01/05
RETAIL      Dom Garbarino Package Store Inc                       438 Waverly St.                             Framingham         MA    01701-0000   5031726          11/07/07
RETAIL      Dom Vito, Inc., dba Arturo's Ristorante               54 E. Main St.                              Westboro           MA    01581-0000   5032150          01/27/09
RETAIL      Domaney's Liquors & Fine Foods, Inc.                  PO Box 540                                  Great Barrington   MA    01230-0000   502001           04/11/02


                                                                                     Page 56 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip             Policy   Effective
Group       Member Name                                         Street Address                              City               St.      Code            Number      Date
RETAIL      Domenic Maione's Italian Bakery, Inc.               987 Main Street                             Waltham,           MA    02154-0000   501523           05/08/98
RETAIL      Dominic Ngo, dba Binh An Market                     64 Green St.                                Worcester          MA    01604-0000   5032434          12/25/09
RETAIL      Dominick's Family Restaurant, Inc.                  PO Box 237                                  Three Rivers       MA    01080-0000   5032104          01/11/09
MCSIG       Don Guanella Center                                 37 Nichols Street                           Chelsea            MA    02150        none             03/31/93
AICC        Don Kennett, Inc.                                   395 Broadway                                Methuen            MA    01841        WC 001116        01/01/00
            Don M Krohn & Janis L. Brennan, dba Orleans Whole
RETAIL      Food Store                                          46 Main Street                              Orleans,           MA    02653-0000   500987           08/03/96
RETAIL      Don Muller Gallery                                  40 Main St.                                 Northampton        MA    01060-0000   5032604          06/24/10
MCSIG       Don Orione Nursing Home                             111 Orient Avenue                           East Boston        MA    02118        none             03/31/93
RETAIL      Don Robbins Furniture Co., Inc.                     217 Centre Ave.                             Rockland           MA    02370-0000   501723           05/17/01
RETAIL      Donald Barbato, dba Don's Auto Repair               19 Heard St.                                Waltham            MA    02454-0000   5032396          11/29/09
RETAIL      Donald J Michaud, dba Auto Care Company             46 Winthrop Ave                             Lawrence           MA    01843-0000   5031572          05/30/07
RETAIL      Donald Pottern, dba Crown Furniture                 1651 Riverdale Street                       West Springfield   MA    01089-0000   5030632          01/01/04
RETAIL      Donelans Supermarket, Inc.                          PO Box 98                                   Littleton          MA    01460-0000   5030021          04/01/03
RETAIL      Donna Dunbar, Inc., dba Donna's Cakes               100 Spring St.                              West Roxbury       MA    02132-0000   5031528          05/24/07
            Donna Leon and Susan Phillips, dba Phillips
RETAIL      Hardware                                            P.O. Box 193                                Oak Bluffs         MA    02557-0000   5030375          07/19/04
RETAIL      Don's Auto Service, Inc.                            PO Box 614                                  Belchertown        MA    01007-0000   5031477          10/09/07
RETAIL      Donut Dip, Inc.                                     1305 Riverdale Road                         West Springfield   MA    01089-0000   502146           06/14/02
AICC        Dorchester Auto Painting, Inc.                      1030 Morrissey Boulevard                    Dorchester         MA    02122        WC 006171        03/04/06
SILBA       Dorchester Door & Window                            41 Hallet Street                            Dorchester         MA    02124        WC 000796        01/01/93

HEALTH      Dorchester House Multi Service Center, I            Attn: John Chambers, 1353 Dorchester Ave.   Boston             MA    02122      3100011            10/14/10
RETAIL      Dorchester Supreme Liquors, Inc.                    540 Gallivan Blvd                           Dorchester         MA    02124-0000 500382             02/10/95
            Doright Steakhouse, Inc., dba Willy's Steakhouse
RETAIL      Grille and Bar                                      2 Grafton Street                            Shrewsbury         MA    01545-0000 502106             05/31/02
RETAIL      Dorn Equipment Corp                                 27 Upham St.                                Melrose            MA    02176-0000 5031681            06/10/08
RETAIL      D'Oro Foods Inc, dba Dom's Sausage Co               10 Riverside Park                           Malden             MA    02148-0000 5030562            03/10/04

RETAIL      Doudican & Murphy, Inc., dba The Conference Table   205 Worcester Ct                            Falmouth           MA    02540-0000 5032285            08/01/09
RETAIL      Dough-Makers, Inc.                                  345 Chicopee St.                            Chicopee           MA    01013-0000 501776             08/19/01
            Douglas Convenience Center, Inc., dba Family
RETAIL      Convenience Center                                  63 Main Street                              Douglas            MA    01516-0000   5031052          12/01/06
RETAIL      Douglas Lefebvre, dba Falmouth Pet Center           112 Davis Straits                           Falmouth           MA    02540-0000   502349           12/18/02
RETAIL      Douglas Package Store, Inc.                         P.O. Box 603                                Douglas            MA    01516-0000   5030238          05/01/91
MIIA        Douglas, Town of                                    29 Depot Street                             Douglas            MA    01516        43               07/01/05
RETAIL      Douglass Appliance Center, Inc                      74 High Street                              Danvers            MA    01923-0000   5030602          05/15/04
RETAIL      Dover Gas, LLC                                      PO Box 145                                  Dover              MA    02030-0000   5030948          01/01/06
RETAIL      Dover Quality Foods, Inc., dba Dover Market         PO Box 639                                  Dover              MA    02030-0000   5030140          06/01/92
MIIA        Dover, Town of                                      Town Hall                                   Dover              MA    02030        44               07/01/05


                                                                                    Page 57 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                               Zip           Policy     Effective
Group       Member Name                                        Street Address                       City             St.      Code          Number        Date
MIIA        Dover-Sherborn Regional School District            137 Farm Street                      Dover            MA    02030      314                07/01/05
RETAIL      Dow's Family Shoe Store                            220 West Street                      Gardner          MA    01440-0000 500981             08/01/96

RETAIL      Doyle's Corner Drug Inc, dba Conley's Drug Store   146 High Street, Unit H              Ipswich          MA    01938-0000   500694           02/01/96
RETAIL      Doyon's T.V. & Appliance, Inc.                     172 Main Street                      Reading          MA    01867-3924   5031436          08/01/07
RETAIL      Dr. Deegans, Inc.                                  510 Burnett Road                     Chicopee         MA    01020-0000   5030804          05/01/06
RETAIL      Dracut Appliance Center, Inc.                      1112 Lakeview Avenue                 Dracut,          MA    01826-0000   500940           07/27/96
RETAIL      Dracut Auto Parts, Inc.                            15 Victory Lane, PO Box 160          Dracut           MA    01826-0000   500261           06/06/94
NAHRO       Dracut Housing Authority                           971 Mammoth Road                     Dracut           MA    01826        WCMN0089         06/01/04
RETAIL      Dracut Tire Shop, Inc.                             1269 Lakeview Avenue                 Dracut           MA    01826-0000   5031049          12/07/06
MIIA        Dracut Water Supply District                       59 Hopkins Street                    Dracut           MA    01826        368              07/01/05
MEGA        Dracut, Town of                                    62 Arlington Street                  Dracut           MA    01826        X340209          07/01/02
TRADE       Drake Transport, Inc.                              PO Box 6202                          Chelsea          MA    02150        4100058          06/17/06
TRADE       Dresser-Hull Company                               PO Box 670                           Lee              MA    01238-0670   4100087          03/01/08
RETAIL      Drew's Donuts, Inc., dba Dunkin Donuts             282 Derby Street                     Salem            MA    01970-0000   5030605          04/16/07
RETAIL      Drive-O-Rama, Inc.                                 270 Communication Way, Building #6   Hyannis          MA    02601-0000   500204           01/01/10
RETAIL      Drum Hill Donut Corporation, dba Dunkin Donuts     PO Box 189                           Chelmsford       MA    01824-0000   5030670          08/01/04
RETAIL      Drum Hill Liquor Mart, Inc.                        83 Parkhurst                         Chelmsford       MA    01824-0000   5030141          05/01/91
RETAIL      Dry Clean Pros Inc.                                346 Washington Street                Stoughton        MA    02072-0000   1019651          05/26/03
RETAIL      D'Souza Automotive, Inc.                           109 Sandwich Street                  Plymouth         MA    02360-0000   5031142          01/23/07
AICC        Dudley Automotive Services, Inc.                   9 Dudley Street Place                Arlington        MA    02476        WC 003006        02/16/03
MIIA        Dudley Housing Authority                           Joshua Place Apartments              Dudley           MA    01570        45               07/01/05
RETAIL      Dudley Supermarket, Inc., dba Park N' Shop         210 C. West Main St.                 Dudley           MA    01571-0000   501991           03/01/02
MEGA        Dudley Town of                                     71 West Main Street                  Dudley hill      MA    01570        X340314          07/01/11
MIIA        Dudley-Charlton Regional School District           68 Dudley-Oxford Road                Dudley           MA    01571        473              07/01/11
RETAIL      Due Ragazzi, LLC dba Enzo Restaurant & Bar         50 Water Street, Unit 304            Newburyport       MA   01950        5032751          02/24/11
RETAIL      Duford Associates, Inc. dba The Winners Circle     371 Elm Street                       Salisbury        MA    01952-0000   5032783          04/01/11
RETAIL      Dugan Supply Company, Inc.                         9 Graf Road                          Newburyport      MA    01950-0000   502283           09/01/02
MEGA        Dukes County                                       PO Box 190                           Edgartown        MA    02539        X340483          07/01/11
MIIA        Dukes County Contributory Retirement System        RR1,Box 862, 9 Airport Road          Vineyard Haven   MA    02568        410              11/05/03
STAM        Dunbar Bus Company                                 P.O. Box 334                         Tyngsboro        MA    01879        WC-06-0001532    05/12/96
RETAIL      Dunbro, Inc., dba Meineke Car Care Center          972 Main Street                      Winchester       MA    01890-0000   5031385          01/17/07
MIIA        Dunstable, Town of                                 511 Main Street                      Dunstable        MA    01827        221              07/01/08
AICC        Durand Chevrolet                                   223 Washington Street                Hudson           MA    01749        WC 005131        06/01/05
RETAIL      Dure Enterprises, dba Meineke Muffler              609 Oak St                           Brockton         MA    02301-0000   5032626          08/24/10
RETAIL      Durkin's Inc.                                      287 Appleton St.                     Lowell           MA    01852-0000   501425           05/01/96
RETAIL      Dutton Street, LLC                                 48 Junction Square Drive             Concord          MA    01742-0000   5030769          01/16/09
RETAIL      Duval's Pharmacy, Inc.                             PO Box 429                           Whitman          MA    02382-0000   5030719          04/01/06
NAHRO       Duxbury Housing Authority                          59 Chestnut Street                   Duxbury          MA    02332        WCMN0090         06/01/04
RETAIL      Duxbury Provisions Inc., dba Millbrook Market      PO Box 1497, 277 Saint Georges St.   Duxbury          MA    02331-0000   500047           05/03/03

                                                                                 Page 58 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip           Policy     Effective
Group       Member Name                                          Street Address                      City               St.       Code          Number       Date
MIIA        Duxbury, Town of                                     878 Tremont Street                  Duxbury            MA    02332        46               07/01/05
RETAIL      DW Pondside Gifts & Boutique, LP                     141 Falmouth Rd                     Hyannis            MA    02601-0000   5032260          08/01/09
RETAIL      Dyeable Shoe Store, Inc.                             1 Apple Hill, Suite #5              Natick             MA    01760-0000   500489           02/01/04
MHTSIG      Dynamics Research Corporation                        Two Tech Drive                      Andover            MA    '01810       MHT110002        01/01/11
RETAIL      Dynasty Cafe, Inc.                                   11 South Main Street                Uxbridge           MA    01538-0000   5031340          12/01/06
RETAIL      E & G Food Corp., dba Pennywise Market               3 May Street                        Worcester          MA    01610-0000   501681           04/01/97
RETAIL      E & S Mobile Service Inc                             166 Commonwealth Ave.               Concord            MA    01742-0000   5031927          05/01/08
RETAIL      E and M Restaurant Inc, dba Alfredo's Restaurant     75 Franklin St.                     Quincy             MA    02169-0000   5032167          03/06/09
RETAIL      E D Liquors, dba East Dedham Liquors                 258 Bussey St.                      Dedham             MA    02026-0000   5032592          07/02/10

RETAIL      E M Teles & Sons, Inc., dba Lakeview Package Store   49 Stewart Street                   Dracut             MA    01826-0000   5030481          12/01/03
TRADE       E MAC Transport Company, Inc.                        342 Compass Circle, Unit D 4        N. Kingston        RI    02852        4100070          12/22/06
RETAIL      E Z Auto Care Centers Inc                            843 Lynnway                         Lynn               MA    01905-0000   5031659          08/08/07
RETAIL      E. Failte, Inc., dba Bill Bailey Package Store       528 John Fitch Highway              Fitchburg          MA    01420-0000   501090           01/01/03
STAM        E. H. Merrifield Bus Co., Inc.                       PO Box 337                          Athol              MA    01331        WC-06-0000301    01/01/98
RETAIL      E.A. Davis & Company, Inc.                           P.O. Box 812790                     Wellesley,         MA    02482-0000   501544           11/10/00
RETAIL      E.C. 31 Inc., dba 31 Store                           704-1 Fitchburg St. Rd.             Ashby              MA    01431-0000   501715           02/22/01
SILBA       E.C. Cottle Inc.                                     RFD #1, Box 405                     Vineyard Haven     MA    02568        WC 000829        01/01/95
RETAIL      E.C. Peerless Inc., dba Peerless Package Store       528 John Fitch Highway              Fitchburg          MA    01420-0000   501089           02/01/97
SILBA       E.G. Barker Lumber Co                                P.O. Box 193                        Woburn             MA    01801        WC 000810        01/01/94
RETAIL      E.M.R.J. Corp                                        681 Falmouth Road                   Mashpee            MA    02649-0000   5031536          04/29/07
RETAIL      E.V.A.A., Inc. dba The Common's Eatery &             20 Central St                       Foxboro             MA   02035        5032761          03/11/11
RETAIL      E.W. Winship LTD., Inc., dba Nantucket Looms         PO Box 1510                         Nantucket,         MA    02554-0000   501220           03/27/97
RETAIL      Eagle Market Inc.                                    936 Dorchester Avenue               Dorchester         MA    02125-0000   500817           11/10/95

RETAIL  Earl Banks & Dwayne Banks, dba Banks Automotive          245 Great Road                      Littleton          MA    01460-0000 5030885            06/21/06
        Earl Enterprises, Inc., dba Speedee Oil Change &
RETAIL  Tune-Up                                                  PO Box 1519                         Newport            RI    02840-0000   5030900          07/13/06
AICC    Early's on Park Avenue, Inc.                             536 Park Avenue                     Worcester          MA    01603        WC110004         04/27/11
RETAIL  Earth First Flooring, Inc.                               131 Main Street                     Florence            MA   01062        5032750          02/25/11
RETAIL  East Bay Grille, Inc.                                    173 Water Street, Town Wharf        Plymouth           MA    02360-0000   500621           04/01/07
MCSIG   East Boston Central High School                          69 London Street                    East Boston        MA    02128        none             03/31/93
MASSBAY East Boston Social Centers, Inc.                         68 Central Square                   East Boston        MA    02128        80333            06/01/04
NAHRO   East Bridgewater Housing Authority                       100 Prospect Street                 East Bridgewater   MA    02333        WCMN0031         06/01/04
MEGA    East Bridgewater, Town of                                175 Central Street                  E Bridgewater      MA    02333        X340149          07/01/02
MIIA    East Brookfield, Town of                                 Depot Square                        East Brookfield    MA    01515        288              07/01/05
RETAIL  East Chop Sleep Shop, Inc.                               3 Jambray Dr                        Smithfield         RI    02917-0000   5032815          05/07/11
RETAIL  East Coast Flooring, Inc                                 117 Washington St.                  Plainville         MA    02762-0000   5032105          11/20/08
STAM    East Coast Transit Services, Inc.                        1442 Main Street                    Brockton           MA    02301        WC-06-0000991    07/01/02
NAHRO   East Longmeadow Housing Authority                        81 Quarry Hill                      East Longmeadow    MA    01028        WCMN0142         06/01/04


                                                                                    Page 59 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip           Policy     Effective
Group       Member Name                                           Street Address                        City              St.      Code           Number       Date
MIIA        East Longmeadow, Town of                              60 Center Square                      East Longmeadow   MA    01028        271              07/01/05
RETAIL      East Woburn Package Store, Inc.                       287 Montvale Ave                      Woburn            MA    01801-0000   501647           01/24/01
RETAIL      Eastaway, Inc., dba Eastaway Clothing                 P.O. Box 1295                         Oak Bluffs,       MA    02557-0000   501694           04/15/97
AICC        Eastern Auto Parts, Inc.                              220 Felton Street                     Waltham           MA    02154        WC 001107        01/01/00
RETAIL      Eastern Boarder Clothing & Sprts Ctr Inc              1400 Worcester Road                   Natick            MA    01760-1532   5030124          11/01/03
STAM        Eastern Bus Company                                   14 Chestnut Street                    Somerville        MA    02143        WC-06-4003005    05/10/04
ISCC        Eastern Nazarene College                              23 East Elm Avenue                    Quincy            MA    02170        WC 000610        01/01/96
MANUF       Eastern Packaging, Inc.                               283 Lowell Street                     Lawrence          MA    01840        5100004          08/01/03
RETAIL      Eastern Service Co. Inc.                              238 Shaw Street                       Lowell,           MA    01851-0000   500898           03/01/96
RETAIL      Eastern Standard, LLC, dba Lure Rest. Group           528 Commonwealth Avenue               Boston            MA    02115-0000   5030835          05/09/05
RETAIL      Eastham Superette Inc                                 2475 State Highway Route 6, Box 396   Eastham           MA    02642-0000   500203           04/01/05
MIIA        Eastham, Town of                                      Route 6                               Eastham           MA    02642        47               07/01/05
NAHRO       Easthampton Housing Authority                         17 Paradise Drive                     Easthampton       MA    01027        WCMN0074         06/01/04
MIIA        Easthampton, City of                                  50 Payson Avenue, Suite 115           Easthampton       MA    01027-2263   474              07/01/11
RETAIL      Eastman's Sport & Tackle, Inc.                        783 Main Street                       Falmouth          MA    02540-0000   5030819          04/08/05
NAHRO       Easton Housing Authority                              Parker Terrace                        Easton            MA    02356        WCMN0041         06/01/04
MANUF       Easton Springs Inc., dba Simpson Springs Co.          PO Box 328                            South Easton      MA    02375        3000199          11/17/02
MIIA        Easton, Town of                                       Town Hall, 136 Elm Street             Easton            MA    02356        48               07/01/05
MANUF       Eastprint, Inc.                                       350 Willow Street South               North Andover     MA    01845        3000142          01/01/94
RETAIL      Eat Well Management, Inc.                             19 North Street                       Hingham           MA    02043-0000   5030591          01/01/08
RETAIL      Eat Well, Inc.                                        19 North Street                       Hingham           MA    02043-0000   5030878          08/01/05
RETAIL      Eating Up the Coast, LLC                              19 North Street                       Hingham           MA    02043-0000   5030583          08/01/05
RETAIL      Eaton Cleaners, Inc., dba Carmon Cleaners             307 Center Street                     Ludlow            MA    01056-0000   5030999          02/19/06
RETAIL      EB Ladd Automotive Supply, Inc.                       16 West Water Street                  Rockland          MA    02370-0000   500800           08/01/94
TRADE       Ebacher Plumbing & Heating, Inc.                      PO Box 548                            AMESBURY          MA    01913        4000048          07/07/02
RETAIL      Ebb Tide By The Sea Inc                               PO Box 69                             Dennis Port       MA    02639-0000   5032275          04/01/10
            Eben Creek Corp., dba J.T. Farnham's Seafood and
RETAIL      Grill                                                 88 Eastern Avenue                     Essex             MA    01929-0000   502472           03/01/03
ISCC        Ecole Bilingue, Inc.                                  17 Irving Street                      Arlington         MA    02174        WC 000706        01/01/96
RETAIL      Economy Auto Supply Co., Inc,                         1595 Columbus Avenue                  Boston            MA    02119-0000   500915           04/01/96
RETAIL      Economy Plumbing & Heating Supply Co.                 875 Morton St                         Mattapan          MA    02126-2453   501347           02/01/96
RETAIL      Ed Hyder's Mediterranean Marketplace Inc              408 Pleasant Street                   Worcester         MA    01609-0000   5031843          01/19/08
            Ed Lima's Wine & Spirits, Inc., dba Village Package
RETAIL      Store                                                 4 County Road                         Mattapoisett      MA    02739-0000   5031586          06/01/07
RETAIL      Eddie Johnson's Package Store, Inc.                   549 North Street                      Pittsfield        MA    01201-0000   5031512          04/27/07
RETAIL      Eddie's Furniture Co., Inc.                           856 Hampden St                        Holyoke           MA    01040-0000   1040285          05/01/91
TRADE       Eddy's Bakery Products, Inc.                          89 Hathaway Circle                    Arlington         MA    02476        4100037          09/20/05
RETAIL      Edgartown Deli, Inc.                                  PO Box 142                            Edgartown         MA    02539-0000   5031581          01/03/07
RETAIL      Edgartown Hardware, Inc.                              PO Box 206, 47 Main St.               Edgartown          MA   02539        5032725          01/01/11
MEGA        Edgartown, Town of                                    P O Box 5158                          Edgartown         MA    02539        X340211          07/07/01

                                                                                    Page 60 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip             Policy   Effective
Group       Member Name                                        Street Address                             City               St.      Code            Number      Date
RETAIL      Edgemere Disc.Wine&Sprts-Shrewsbury LLC            10-12 Hartford Turnpike                    Shrewsbury         MA    01545-0000   5030280          04/28/04
RETAIL      Edith R Kosakowski, dba Temptations Boutique       52 Parker St.                              Gardner            MA    01440-0000   5030053          04/26/03
RETAIL      Edu-Comp. Inc.                                     P.O. Box 2462                              Vineyard Haven     MA    02568-0000   500507           04/08/95
RETAIL      Edward Chernesky, dba Shoe City Hardware Co.       133 Winter Street                          Haverhill          MA    01830-0000   501064           01/01/97
            Edward Garabedian, dba Creative Walls Paint &
RETAIL      Wallpaper                                          1773 Boston Road                           Springfield        MA    01129-0000 501307             06/05/97
AICC        Edward H. Spencer Chrysler Plymouth                764 Main Street                            Warren             MA    01083      WC 005099          01/01/05
RETAIL      Edward West, dba West Auto Repair                  PO Box 261                                 Dunstable          MA    01827-0000 5031005            03/22/06

RETAIL  Edwards Optical Lab, Inc., dba Pearle Vision Center    Route 132, Capetown Plaza                  Hyannis            MA    02601-0000 501029             08/31/96
        Edway Liquors Enterprises Inc., dba Old Colony
RETAIL  Liquors                                                637 Southern Artery                        Quincy             MA    02169-0000 502289             01/24/02
        Edwin Case/Brookline, Inc., dba Edwin Case Comfort
RETAIL  Shoes                                                  1388 Beacon St.                            Brookline          MA    02146-0000   500946           08/01/96
STAM    Edwin J. Pina Sr. & Son, Inc.                          P.O. Box 280                               Marston Mill       MA    02648        WC-06-0000997    10/10/00
SILBA   Edwin L. Morse Co                                      2502 Cramberry Highway                     Wareham            MA    02571        WC 000778        01/01/92
TRADE   E-Force Logistics, Inc.                                532 Stow Rd.                               Marlborough        MA    01752        4100106          07/09/09
        EG Partners LLC, dba Oasis Shower Doors and
RETAIL  Unique Closet Sys                                      646 Springfield Street                       Feeding Hills    MA    01030-0000   502418           01/01/03
RETAIL  Egans Service, LLC, dba Egan's Sunoco                  645 Adams Street                             Quincy           MA    02169-0000   5032058          10/12/08
RETAIL  Egger's Furniture, Inc.                                Box 449                                      Middleboro       MA    02346-0000   1040290          05/01/91
MIIA    Egremont, Town of                                      P.O. BOX 368                                 South Egremont   MA    01258        49               07/01/05
RETAIL  Ehalia Inc., dba Depot Diner                           23 Enon St.                                  Beverly          MA    01915-0000   5032359          10/20/09
RETAIL  El Gee Products, Inc.                                  86 Pine Grove Ave                            Bellingham       MA    02019-0000   502381           05/31/02
RETAIL  ELCAD Inc., dba The Medicine Shoppe                    235 Sandwich Street                          Plymouth,        MA    02360-0000   501699           05/20/97
CARE    Elder Living Concepts, Inc.                            51 Summer Street                             Rowley           MA    01969        2100011          05/01/04
ISCC    Eli & Bessie Cohen Hillel Academy, Inc.                6 Community Road                             Marblehead       MA    01945        WC 001159        08/17/09
RETAIL  Elias Foods, Inc., dba Oregano Pizzeria                                                             Salem
                                                               c/o Medical Laser Technologies, 264 North Broadway            NH    03079-0000   500046           05/12/08
McD     Elite Operations, Inc.                                 800 Pleasant St., Suite 1621                 New Bedford      MA    02740        17890            01/01/93
TRADE   Elite Vending Inc.                                     22 Parkridge Road                            Haverhill        MA    01835        4100002          08/01/03
MCSIG   Elizabeth Seton Academy                                2214 Dorchester Avenue                       Dorchester       MA    02124        none             03/31/03
MCSIG   Elizabeth Seton Residence                              125 Oakland Street                           Wellesley        MA    02181        none             03/31/93
MASSBAY Ellis Memorial and Eldredge House, Inc.                95 Berkley Street                            Boston           MA     02117       80346            01/01/06
RETAIL  Elm Associates, Inc., dba Colonial Spirits             P.O. Box 2350                                Acton,           MA    01720-0000   501750           06/02/97

RETAIL      Elm Tree, Inc., dba Meineke Car Care Center #425   948 Gorham St.                             Lowell             MA    01852-0000 5032536            05/11/10
            Elmanahri The Hermit Inc., dba Nobscot
RETAIL      Convenience & Deli                                 908 Edgell Rd                              Framingham         MA    01701-0000 5031614            06/15/07
RETAIL      El-Mar Co Inc.                                     PO Box 249                                 Haverhill,         MA    01830-0000 501358             01/01/96
RETAIL      EMAD, Inc., dba Audy's Mobil                       345 Boylston St.                           Brookline          MA    02146-0000 5031668            05/01/08


                                                                                     Page 61 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip             Policy   Effective
Group       Member Name                                          Street Address                                City            St.      Code            Number      Date
RETAIL      Emerald Meats, Inc., dba Emerald Meats               347 Chandler Street                           Worcester       MA    01602-0000   5031424          02/24/07
RETAIL      Emerald Springs, Inc., dba Tables to Teapots         c/o Karen Hunter, 15918 Riverpointe Drive     Charlotte       NC    28278-0000   500019           10/05/03
NEEIA       Emerson College                                      100 Beacon Street                             Boston          MA    02116        06-5000360       01/01/93
MCSIG       Emmanuel College                                     400 The Fenway                                Boston          MA    02115        none             03/31/93
RETAIL      Empire Imports Inc., dba Bindertek                   PO Box 2728                                   Amherst         MA    01004-0000   501985           03/07/02
NEEIA       Endicott College                                     376 Hale Street                               Beverly         MA    01915        06-5000100       07/01/90
AICC        Energy North, Inc.                                   315 Main Street, Suite 101                    North Reading   MA    01864        WC 004047        01/01/04
RETAIL      Enlightning Strikes dba Leeds Package Store          24 Haydenville Road                           Leeds           MA    01053-0000   5032822          05/02/11
RETAIL      Enon Street Liquors, Inc., dba Depot Package         23 Enon St.                                   Beverly         MA    01915-0000   5032659          11/05/10
RETAIL      EOS Enterprises, Inc., dba Katies Country Store      1922 E Otis Rd                                East Otis       MA    01029-0000   5031690          09/09/07
            Epic Narbles, LLC bda Osterville Cheese & Sandwich
RETAIL      Shop                                                 17 Rebecca Lane                               Osterville      MA    02655-0000   5032804          04/01/11
ISCC        Epiphany School, Inc.                                154 Centre Street                             Dorchester      MA    02124        WC 001162        09/30/09
ISCC        Episcopal Divinity School                            99 Brattle Street                             Cambridge       MA    02138        WC 000748        01/01/98
RETAIL      EPW, LLC, dba The Meat House                         1398 Massachusetts Avenue                     Arlington       MA    02476-4102   5032211          04/12/10
TRADE       Equipment Management Inc                             42 Jungle Rd.                                 Leominster      MA    01453-5208   4100105          06/13/09
RETAIL      Equipnet Auctions, Inc.                              50 Hudson Rd.                                 Canton          MA    02021-0000   5032267          03/01/10
RETAIL      EquipNet, Inc.                                       50 Hudson Rd.                                 Canton          MA    02021-0000   5032264          03/01/10
RETAIL      Eric C. Paquette, dba Dracut Alternator & Starter    1901 Bridge Street                            Dracut          MA    01826-0000   5031841          01/16/08
RETAIL      Eric Gilbert, dba Eric's Repair & Radiator           1279 South Main Street                        Palmer          MA    01069-0000   5031425          02/22/07
RETAIL      Erin Kachelmeyer, dba Denny's Pantry                 469 Bernardston Road                          Greenfield      MA    01301-0000   5030783          03/15/05
RETAIL      Ernie's Market, Inc., dba Ernie's Harvestime         65 Boston Street                              Lynn            MA    01903-0000   500784           06/22/94
AICC        Ernie's Touchless Car Wash Systems, Inc.             579 Milbury Street                            Worcester       MA    01607        WC 001104        01/01/00
RETAIL      Ernie's, Inc., dba Ernie's Restaurant                330 Court Street                              Plymouth        MA    02360-0000   502188           08/01/02

RETAIL      ERS Wash, Inc., dba Jim's Bagel & Bake Shoppe        26 Railroad Ave.                              Gloucester      MA    01930-0000   5030894          07/01/06
MIIA        Erving, Town of                                      Town Hall, 12 East Main Street                Erving          MA    01344        316              07/01/05
RETAIL      ESP Auto, Inc.                                       15 Pleasant Street                            Easthampton     MA    01027-0000   5031050          11/30/06
RETAIL      Especially For Pets, Inc.                            1185 Chestnut Street                          Newton          MA    02464-0000   501853           11/23/97
            Esselon Coffee Roasting Company, Inc., dba Esselon
RETAIL      Cafe                                                 99 Russell St.                                Hadley          MA    01035-0000   5032581          05/19/10
RETAIL      Essen Management LLC, dba The Purple Onion           44 Inn St.                                    Newburyport     MA    01950-0000   5032583          05/26/10
RETAIL      Essex County Co-operative Farming Associ             P.O. Box 338                                  Topsfield,      MA    01983-0000   501472           09/20/97
CARE        Essex Group Management Corporation                   51 Summer Street                              Rowley          MA    01969        2100011          05/01/04

CARE        Essex Group Staffing Company                         Attention: Michael Mosher, 51 Summer Street   Rowley          MA    01969        2100011          07/31/07
CARE        Essex Group Transportation, Inc.                     51 Summer Street                              Rowley          MA    01969        2100011          05/01/04
NAHRO       Essex Housing Authority                              Chebacco Terr.                                Essex           MA    01929        WCMN0139         06/01/04
RETAIL      Essex Optical Corporation, dba Parrelli Optical      96 Blueberry Lane, Attention: Jeffrey Bird    Hamilton        MA    01982-0000   500189           01/26/07
RETAIL      Essex Street Mobil, Inc., dba Bob's Automotive       52 Hilda St.                                  Quincy          MA    02169-0000   5032048          09/11/08


                                                                                    Page 62 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip           Policy     Effective
Group       Member Name                                             Street Address                       City            St.      Code           Number       Date
MIIA        Essex, Town of                                          Town Hall, Martin Street             Essex           MA    01929        50               07/01/05
RETAIL      Ethel & Andy's Inc                                      134 K Street                         South Boston    MA    02127-0000   5030499          02/18/05
RETAIL      Eurasian Imports, Inc., dba New Meadows Auto            86 Central St.                       Topsfield       MA    01983-0000   5032462          02/04/10
RETAIL      Euro Ship Store, Inc.                                   2 Middle Street                      Fairhaven,      MA    02719-0000   501799           08/01/97
            Europe Today Inc, dba Europe Today Furniture
RETAIL      Showroom                                                380 Washington Street                Brighton        MA    02135-0000 5030412            11/11/04
AICC        European Collision Works, Inc.                          787 North Shore Road                 Revere          MA    02151      WC 007314          01/18/07

TRADE       Everett A. Russell, III dba E.A. Russell III Trucking   478 Merrimack Street                 Methuen         MA    01844        4100125          06/24/11
RETAIL      Everett Automatic Transmission Serv. Inc                556 Ferry Street                     Everett         MA    02149-0000   5030903          10/01/05
NAHRO       Everett Housing Authority                               393 Ferry Street                     Everett         MA    02149        WCMN0190         08/01/04
ABC         Everett J. Prescott, Inc                                191 Central St. P.O. Box 600         Gardiner        ME    04345        ABCMA 005020     09/01/01
RETAIL      Everett Management Corp., dba Kappy's                   296 Main St.                         Everett         MA    02149-0000   501933           12/31/01

RETAIL      Everglory, Inc., dba The Great Mandarin Restaurant      186 Cambridge Road                   Woburn          MA    01801-0000   5030333          08/01/03
RETAIL      Everson Distributing Co. Inc.                           280 New Ludlow Rd.                   Chicopee        MA    01020-0000   5032537          05/25/10
MANUF       Excell Solutions, Inc.                                  18 Esquire Rd                        No Billerica     MA   01862        5100107          01/01/11
RETAIL      Expert Auto Repair, Inc.                                120 Shirley Street                   Winthrop        MA    02152-0000   5030893          06/24/06
            Exquisite Chocolates, Inc., dba Ben and Bill's
RETAIL      Chocolate Emporium                                      PO Box 582                           Falmouth        MA    02541-0000   5030577          07/05/05
RETAIL      Extreme Car Audio, Inc.                                 1638 Main Street                     Weymouth        MA    02190-0000   5031471          04/02/07
RETAIL      F & S Sports, Inc., dba Rafters                         422 Amity Street                     Amherst         MA    01002-0000   5032315          08/01/09
RETAIL      F & W, Inc., dba Dub's Liquors                          PO Box 34                            Mansfield       MA    02048-0000   5031866          04/04/08
RETAIL      F. & S. Restaurant Corp., dba The English Pub           PO Box 483                           Amherst         MA    01004-0000   5032314          08/01/09
TRADE       F. Nasiff Jr. & Company, Inc.                           538 Plymouth Avenue                  Fall River      MA    02721        4100054          04/04/06
ABC         F.A. Williams, Inc.                                     12 Brighton Street, P.O. Box 148     Belmont         MA    02178        ABCMA 005026     06/11/96
SILBA       F.D. Sterritt Lumber Co                                 P.O. Box 9156                        Watertown       MA    02272        WC 000794        01/01/93
STAM        F.M. Kuzmeskus                                          P.O. Box 484, Nadeau Ave.            Turners Falls   MA    01376        WC-06-0000563    05/12/94
MANUF       F.O. Networks Inc.                                      36 Town Forest Rd.                   Oxford          MA    01540        5100080          06/23/09
RETAIL      F.R.W.S.C., Inc., dba Water Street Cafe                 36 Water Street                      Fall River      MA    02720-0000   5031286          09/28/06
RETAIL      Fabric Cleaners LLC                                     80 Prospect St.                      Milford         MA    01757-0000   1019860          06/01/03
            Fairhaven Hardware & Launderette, Inc., dba
RETAIL      Fairhaven True Value Hardware                           23 Popes Island                      New Bedford     MA    02470-7290 5032425            01/01/10
            Fairhaven Hospitality Corp., dba Fairhaven Hampton
RETAIL      Inn                                                     One Hampton Way                      Fairhaven       MA    02719-0000   5030870          08/01/05
NAHRO       Fairhaven Housing Authority                             275 Main Street                      Fairhaven       MA    02719        WCMN0071         06/01/04
SILBA       Fairhaven Lumber LLC                                    120 Alden Road                       Fairhaven       MA    02719        WC 000978        01/01/06
SILBA       Fairview Millwork                                       10 Pearl Street                      Bridgewater     MA    02324        WC 000814        01/01/94
RETAIL      Fairway Beef Co, Inc.                                   48 Grafton St.                       Worcester       MA    01604-0000   5032832          05/21/11
RETAIL      Fajitas & 'Ritas, Inc.                                  25 West St.                          Boston          MA    02110-0000   502103           05/31/02


                                                                                        Page 63 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                          Zip          Policy   Effective
Group   Member Name                                        Street Address                      City             St.      Code          Number     Date
RETAIL  Falcon Rock LLC, dba High Spot Deli                984 Washington Street               Gloucester       MA    01830-0000 5032519         04/30/10
NAHRO   Fall River Housing Authority                       85 Morgan Street, PO Box 989        Fall River       MA    02722      WCMN0196        09/18/04
RETAIL  Fall River Restaurants, Inc.                       425 Bedford Street                  Bridgewater      MA    02324-0000 5031398         08/01/07
        Fall River Sales & Supply, Inc., dba Highland
RETAIL  Restaurant Supply                                  829-835 Robeson Street              Fall River,      MA    02720-0000   501260        10/04/95
RETAIL  Fallon's Auto Service, Inc.                        233 Main Street                     Wenham           MA    01984-0000   5031503       03/09/07
ISCC    Falmouth Academy                                   7 Highfield Drive                   Sandwich         MA    02563        WC 000021     04/01/92
RETAIL  Falmouth Fish Market, Inc.                         157 Teaticket Highway               East Falmouth,   MA    02536-0000   501187        09/15/95
NAHRO   Falmouth Housing Authority                         115 Scranton Street                 Falmouth         MA    02540        WCMN0136      06/01/04
SILBA   Falmouth Lumber                                    670 Teaticket Highway               E. Falmouth      MA    02536        WC 000824     01/01/94
RETAIL  Falmouth Persy's Place LLC                         43 Bedford St.                      Middleboro       MA    02346-0000   5032567       06/24/10
RETAIL  Falmouth Wine & Spirits, Inc.                      322 Palmer Ave                      Falmouth         MA    02540-0000   5032821       05/05/11
MIIA    Falmouth, Town of                                  59 Town Hall Square                 Falmouth         MA    02540        223           07/01/08
RETAIL  Family Business, Inc., dba Wilsons Diner           507 Main St.                        Waltham          MA    02452-5524   5032011       06/27/09
RETAIL  Family Donuts, Inc., dba Dunkin Donuts             729 Boston Road                     Billerica        MA    01821-0000   5032685       12/01/10
RETAIL  Family Pizzeria Europa Jerry Inc                   715 Sumner Ave                      Springfield      MA    01108-2438   5031678       05/22/08
MASSBAY Family Service Association of Greater Fall River   101 Rock Street                     Fall River       MA    02720        80356         07/01/07
RETAIL  Fannon's Liquor Store, Inc.                        212 North Main Street               Natick           MA    01760-0000   5030262       04/02/04
RETAIL  Farmer Browns, Inc.                                210 Maple Street                    Middleton        MA    01949-0000   5030958       01/01/06
RETAIL  Farmers Spirits, Inc.                              751 Bedford Street                  Abington,        MA    02351-0000   501292        05/30/97
MIIA    Farmington River Regional School District          555 North Main Road                 Otis             MA    02153-0679   293           07/01/05
RETAIL  Farmland LLC                                       415 Main Street                     Wakefield        MA    01880-0000   5030752       04/01/06
RETAIL  Fashion Food Corp., dba Wendy's                    66 Pondside Circle                  Centerville      MA    02632-0000   5030505       04/01/05
RETAIL  Fast Cash Corp                                     138 Belleville Road                 New Bedford      MA    02745-0000   502078        01/01/06
RETAIL  Fastrack Automotive, Inc.                          147 Summit Street Bldg 10           Peabody          MA    01960-0000   5032505       04/07/10
RETAIL  Favorite Footwear, Inc., dba Comfort Footwear      433 Center St., Suite 15            Ludlow           MA    01056-0000   500517        05/25/09
ISCC    Fay School, Inc., The                              48 Main Street                      Southboro        MA    01772        WC 000022     04/01/92
ISCC    Fayerweather Street School, The                    765 Concord Ave                     Cambridge        MA    02138        WC 000884     10/29/02
RETAIL  Fearons Auto & Paint Supply Inc.                   500 Merrimack Ave                   Dracut,          MA    01826-0000   501339        02/05/96
RETAIL  Federal Wine & Spirits, Inc                        29 State St.                        Boston           MA    02109-0000   5032621       08/15/10
RETAIL  Feen's Country Living, Inc.                        955 South Street                    Fitchburg        MA    01420-0000   1096854       01/01/03
RETAIL  Fema, Inc., dba Archie's New York Deli             101 Arch Street                     Boston           MA    02110-0000   5030925       08/02/06
RETAIL  Fembsted, Inc., dba Fitzwilly's Toasted Owl        21-23 Main Street                   Northampton      MA    01060-0000   5031029       04/01/06
ISCC    Fenn School, The                                   516 Monument Street                 Concord          MA    01742        WC 000023     04/01/92
MASSBAY Fenway Community Health Center, Inc.               800 Boylston Street                 Boston           MA    02199        80357         08/21/07
AICC    Ferreira Towing, Inc.                              293 Littleton Road, P.O.. Box 460   Chelmsford       MA    01824        WC 001083     04/08/10
RETAIL  Ferrin Gallery, LTD                                54 Main Street                      Cummington       MA    01026-0000   5031636       07/22/07
TRADE   Ferris Transportation, Inc.                        25 Paige Hill Road                  Brimfield        MA    01010        4100074       03/17/07
RETAIL  Ferro's Foodtown, Inc.                             336 Rindge Avenue                   Cambridge        MA    02140-0000   501157        04/03/97
ISCC    Fessenden School, The                              250 Waltham Street                  W. Newton        MA    02165        WC 000014     04/01/92

                                                                              Page 64 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip             Policy   Effective
Group       Member Name                                          Street Address                         City             St.      Code            Number      Date
RETAIL      Fields Station Liquors Inc.                          540 Gallivan Blvd.                     Dorchester,      MA    02124-0000   500385           02/10/95
RETAIL      Fifth Avenue Liquors, Inc.                           235 Old Connecticut Path               Framingham       MA    01701-0000   1044380          01/01/04
RETAIL      Fifth Avenue Steak House, Inc., dba Floramo's        213 Everett Ave                        Chelsea          MA    02150-0000   5031631          05/22/07
RETAIL      Fil-Tech, Inc.                                       6 Pinckney Street                      Boston,          MA    02114-0000   501804           08/24/97
RETAIL      Finally Sams, Inc., dba Reservoir Package Store      27 B Sterling Street                   W. Boylston      MA    01583-0000   5030910          11/15/05
RETAIL      Financial Advertising Co., Inc.                      7 Porter Terrace                       West Roxbury     MA    02132-0000   501167           03/12/97
RETAIL      Finleys 28, Inc., dba Finleys Liquors                309 Main Street                        West Dennis      MA    02670-0000   5031040          04/14/06
RETAIL      Finnegan's Wake, Inc                                 7 Glenwood Ave                         Walpole          MA    02081-0000   5032159          02/05/09
RETAIL      First Concord Realty Trust                           48 Junction Square Drive               Concord          MA    01742-0000   5030738          12/27/04
            Firstworld U.S.A. Inc., dba Terminal Exchange
RETAIL      Systems                                              163 Amory Street                       Brookline        MA    02146-0000 501202             10/04/95
RETAIL      Fisher Enterprises, Inc., dba Fireside Grille        c/o Dave's Diner, 390 W Grove Street   Middleboro       MA    02346-0000 500135             08/01/03

RETAIL      Fisherman's Fleet, Inc., dba Maplewood Fish Market   689 Salem Street                       Malden           MA    02148-0000   5031028          03/31/06
NAHRO       Fitchburg Housing Authority                          50 Day Street                          Fitchburg        MA    01420        WCMN0066         06/01/04
ISCC        Five Colleges, Inc.                                  97 Spring Street                       Amherst          MA    01004        WC 000920        01/01/04
RETAIL      Five Star Automotive Specialists Inc                 796 Main St.                           Southbridge      MA    01550-0000   5032098          12/19/08
            Five Star Operating Business LLC, dba Five Star
RETAIL      Shell                                                1808 Washington Street                 Hanover          MA    02339-0000   5031961          07/23/08
RETAIL      FK&R Associates                                      141 Winding Cove Road                  Marstons Mills   MA    02648-0000   502024           03/04/01
RETAIL      Flanagan's, Inc.                                     499 Springfield Street                 Chicopee         MA    01013-0000   1018958          08/03/02
RETAIL      Fleming's of Cohasset, Inc.                          24 Elm Street                          Cohasset,        MA    02025-0000   501546           09/09/00
RETAIL      Flood's Automotive & Tire Center Inc                 93 Hamilton St                         Southbridge      MA    01550-0000   5031874          03/01/08
ABC         Florence Electric LLC                                125 John Hancock Road, Suite #4        Taunton          MA    02780        ABCMA 001049     12/31/10
RETAIL      Florence Perreira, dba Manny's Service Station       82 Bridge Street                       Fairhaven        MA    02719-0000   5030718          02/21/06
MIIA        Florida, Town of                                     Mohawk Trail, P.O. Box 52              Drury            MA    01343        235              07/01/05
RETAIL      Flower Mart, Inc., dba Martin's Flower Mart          500 Jackson Street                     Methuen          MA    01844-0000   5031287          09/18/06
RETAIL      Fly By Night, Inc.                                   21 State Street                        Northampton,     MA    01060-0000   501136           02/03/97
            Flying Toad Inc, dba Cambridge Common & Lizard
RETAIL      Lounge                                               20 Larch St.                           Brighton         MA    02135-0000   5032141          01/01/09
RETAIL      FMJR, Inc., dba Wollaston's                          190 Old Derby Street, Suite 207        Hingham          MA    02043-0000   500521           01/01/04
RETAIL      FMLG, Inc, dba Wollaston's                           190 Old Derby Street, Suite 207        Hingham          MA    02043-0000   500835           11/04/94
RETAIL      FNA Transmission, Inc.                               323 Vernon Street                      Wakefield        MA    01880-0000   5030951          01/01/06
RETAIL      Focaccia Inc.                                        2 Lowell St.                           Wilmington       MA    01887-0000   502298           02/01/02
AICC        Foco, Inc. dba Le Limo                               10 Lincoln Street                      Medway           MA    02053        WC 008057        09/21/08
RETAIL      Fog Island, Inc, dba Fog Island Cafe                 PO Box 2397                            Nantucket        MA    02584-0000   5031702          07/01/08
RETAIL      Fog, Inc., dba Water Street Wine & Spirits           1 Nicholas Road                        Framingham       MA    01701-0000   5030153          11/11/03
RETAIL      Folklorica Inc.                                      61 Union Street                        Newton Ctr.,     MA    02159-0000   501160           02/01/97
RETAIL      Food Services, Inc.                                  PO Box 314                             Grafton          MA    01519-0000   502368           01/01/04
RETAIL      Foodcoma, Inc, dba The Breakfast Place               187 Pleasant Street                    Attleboro        MA    02703-0000   5030566          03/01/04


                                                                                    Page 65 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip             Policy        Effective
Group       Member Name                                         Street Address                               City            St.      Code            Number           Date
RETAIL      Foodies Duxbury, LLC, dba Foodies II                330 Martin Luther King Blvd                  Roxbury         MA    02199-0000   5031560               05/25/07
RETAIL      Foodies Urban Market LLC                            1421 Washington Street                       Boston          MA    02118-0000   502236                07/07/02
RETAIL      Foodmaster Super Markets,Inc.                       100 Everett Avenue, Unit 12, P.O. Box 505806 Chelsea         MA    02150-0000   500243                08/01/92
RETAIL      Foot Paths, Inc.                                    489 Washington Street                        Boston          MA    02111-0000   5030520               01/01/04
            For Pete's Sake, Inc., dba Abington Ale House &
RETAIL      Grille                                              1235 Bedford Street                         Abington         MA    02351-0000 5030379                 08/01/04

AICC        Foreign Auto Imports, Inc. dba Lexus of Watertown   149-151 Arsenel Street                    Watertown          MA    02172        WC 004052             01/01/04
RETAIL      Forest Floors, Inc.                                 295 Centre Ave.                           Rockland           MA    02370-0000   501554                05/27/99
RETAIL      Forest Park Liquors, Inc.                           594 Sumner Avenue                         Springfield        MA    01108-0000   1044380               05/01/91
ABC         Forish Construction Co., Inc.                       21 Mainline Drive, P.O. Box 358           Westfield          MA    01086        ABCMA 005010          02/06/96
RETAIL      Forlizzi & Bimber, Inc                              114 New England Produce Center            Chelsea,           MA    02150-0000   501469                10/02/97
RETAIL      Foster Farrar Co., Inc., dba True Value Hardware    PO Box 1057                               Northampton        MA    01061-0000   5031817               01/01/08
RETAIL      Foster's Liquors Corporation                        9 Tunnel Street                           Athol              MA    01331-0000   5031308               10/09/06
RETAIL      Foster's Supermarket, Inc.                          70 Allen Street                           Greenfield         MA    01301-0000   1044380               07/01/92
RETAIL      Four Brothers, Inc.                                 48 Junction Square Drive                  Concord            MA    01742-0000   502309                02/01/02
RETAIL      Four Corners International Ventures, LLC            221 Willow Street                         Yarmouth Port      MA    02675-0000   5031442               08/01/07
RETAIL      Four Friends, Inc., dba Ziti's                                                                Westboro
                                                                290 Turnpike Road, Speedway Shopping Center                  MA    01581-0000   500417                03/05/03
RETAIL      Four Hundred East Inc, dba 400 East                 1421 Orleans Road                         Harwich            MA    02645-0000   5030772               01/01/05
MIIA        Four Rivers Charter School                          P.O. Box 819                              Greenfield         MA    01302        399                   07/01/05
RETAIL      Four Star Paper & Supply Co., Inc.                  84 Liberty Street                         Quincy             MA    02169-0000   5030697               09/18/04
AICC        Four Star Service & Redi-Rite Auto                  222 Newbury Street                        Peabody            MA    01960        WC 005104             01/13/05
RETAIL      Fox Brothers, Inc., dba Southwick Florist           PO Box 959                                Southwick          MA    01077-0000   502086                06/02/02
NAHRO       Foxborough Housing Authority                        90 N. Carl Annon Avenue                   Foxborough         MA    02035        WCMN0207              06/01/10
MIIA        Foxborough, Town of                                 40 South Street                           Foxborough         MA    02035        400                   07/01/05
RETAIL      Foxfield Tire, Inc.                                 100 Central Street                        Foxboro             MA   02035        5032759               03/12/11
RETAIL      FPS, Inc., dba Burger King                          P.O. Box 357                              Southampton        MA    01073-0357   5030725               01/01/05
MHTSIG      Fraen Corp                                          80 New Crossing Road                      Reading            MA    01867        WP8-11B-207511-071    01/01/94
RETAIL      Fraldo, Inc., dba Al's State Street Cafe            112 State Street                          Boston             MA    02109-0000   5030661               07/01/04
RETAIL      Frames Unlimited, Inc.                              209 North Main Street                     Andover,           MA    01810-0000   500659                06/29/95
RETAIL      Framingham Baking Co.Inc.                           840 Waverly Street                        Framingham         MA    01702-0000   5031594               07/01/07
RETAIL      Framingham Gulf Auto Service Inc.                   1287 Worcester Road                       Framingham         MA    01701-0000   5032404               12/07/09
NAHRO       Framingham Housing Authority                        One John J. Brady Drive                   Framingham         MA    01702        WCMN0188              07/01/04
RETAIL      Fran Johnson, Inc.                                  1050 Riverdale St.                        West Springfield   MA    01089-0000   501657                02/01/01
RETAIL      Francesca's Espresso Bar, Inc.                      564 Tremont Street                        Boston             MA    02118-0000   5030508               04/01/05
RETAIL      Francesco's Italian Bakery, Inc.                    PO Box 1303                               Charlton           MA    01508-0000   502344                10/28/02
RETAIL      Francis & Peter Nothe, dba WF & P Nothe             122 Main Street                           Monson             MA    01057-0000   5030791               05/01/06
MEGA        Francis Parker Charter School                       49 Antietan Street                        Ayer               MA    01434        X340290               10/01/04
MCSIG       Franco-American School                              357 Pawtucket Street                      Lowell             MA    01854        none                  03/31/93



                                                                                      Page 66 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip            Policy   Effective
Group       Member Name                                            Street Address                      City               St.      Code           Number     Date

AICC        Frank Battles, Inc. dba Battles Buick Pontiac GMC      50 MacArthur Boulevard              Bourne             MA    02532        WC 005116      04/01/05
RETAIL      Frank Corporation, dba Big Town Pantry                 420 Franklin Street                 Framingham         MA    01702-0000   5032491        02/05/10
RETAIL      Frank Cosgrove, Inc., dba Cosgrove Liquors             26 Bridge Street                    Salem              MA    01970-0000   5030102        05/01/91
RETAIL      Frank J Strzempko, dba White Wing Service              568 Newton Street                   South Hadley       MA    01075-0000   502344         11/17/02
RETAIL      Frank Manoli, dba Yarmouth Wine & Spirits LLC          484D Station Avenue                 South Yarmouth     MA    02664-0000   1046875        08/23/02
RETAIL      Frankies Catch Of The Day                              19 Leonard Street                   Belmont,           MA    02178-0000   501440         05/06/96
            Franklin Community Co-Op, Inc., dba Green Fields
RETAIL      Market                                                 144 Main Street                     Greenfield,        MA    01301-0000 501118           01/12/97
MEGA        Franklin Council of Governments                        524 Main Street                     Greenfield         MA    01301      X340081          07/01/91
            Franklin County Brewing Co., Inc., dba The People's
RETAIL      Pint                                                   PO Box 278, 24 Federal Street       Greenfield         MA    01302-0000   500026         02/11/02
MEGA        Franklin County Retirement System                      278 Main Street Suite 311           Greenfield         MA    01301        X340288        07/01/04
MIIA        Franklin County Solid Waste District                   50 Miles Street                     Greenfield         MA    01301        401            07/01/05
RETAIL      Franklin Deli, LLC                                     1 Blanchard Street                  Foxboro            MA    02035-2648   5032787        04/01/11
ISCC        Franklin Foundation, The                               41 Berkley Street                   Boston             MA    02116        WC 000338      01/01/93

RETAIL      Franklin Hospitality Corp., dba Franklin Hampton Inn   735 Union Street                    Franklin           MA    02038-0000   5030874        08/01/05
NAHRO       Franklin Housing Authority                             Central Park Terrace                Franklin           MA    02038        WCMN0140       06/01/04
RETAIL      Franklin Liquors, Inc.                                 363 E. Central St.                  Franklin           MA    02038-0000   5030477        11/20/03
SILBA       Franklin Lumber Co                                     129 Dean Avenue                     Franklin           MA    02038        WC 000783      01/01/93
NEEIA       Franklin W. Olin College of Engineering                Olin Center, Room 318               Needham            MA    02492-1245   06-5000825     07/01/03
RETAIL      Franklin Wines & Spirits Inc.                          470 King Street                     Franklin           MA    02038-0000   5032328        11/01/09
MIIA        Franklin, Town of                                      355 East Central Street             Franklin           MA    02038        475            07/01/11
MEGA        Franklin-Hampshire Employment & Training               1 Arch Place                        Greenfield         MA    01301        X340046        07/01/02
            Frank's Cafe & Coffee House, Inc. dba Mockingbird
RETAIL      Restaurant & Martini Lounge                            838 North Bedford St                East Bridgewater   MA    02333-0000   5032835        05/28/11
RETAIL      Fran's Automotive Service, Inc.                        43 Preble Street                    South Boston       MA    02127-0000   5031172        02/18/07
AICC        Fred F. Cain, Inc.                                     580 Main Street                     Wilmington         MA    01887        WC 001068      01/01/00
RETAIL      Fred Fruwirth, dba Bear Auto                           119 Walnut Street                   Agawam             MA    01001-0000   5030850        06/17/06
RETAIL      Fred Tousignant, dba Fred's Auction House              92 Pleasant Street                  Leominster,        MA    01453-0000   500580         05/01/95
            Frederick DeWolfe, dba De Wolfe & Sons Auto
RETAIL      Repair                                                 29 King Street                      Northborough       MA    01532-0000   5032407        12/02/09
RETAIL      Frederick M Shaw, Inc., dba Shaw Saab                  22 Pond Street                      Norwell            MA    02061-0000   5032436        01/01/10
RETAIL      Fred's Variety and Package Store                       PO Box 343                          Fiskdale           MA    01518-0000   501885         11/25/01
RETAIL      Free Food, Inc., dba Scargo Cafe                       PO Box 1025                         Dennis             MA    02638-0000   5030386        08/01/03
MIIA        Freetown, Town of                                      3 North Main Street                 Assonet            MA    02702        412            07/01/05
RETAIL      Fre-Mar, Inc., dba Steakloft Restaurant                369 West Main Street                Northborough       MA    01532-0000   5031385        01/01/07
RETAIL      French Lessons, Inc                                    18 State Street                     Newburyport        MA    01950-0000   5032046        09/30/08
RETAIL      Fresh City Franchising LLC                             145 Rosemary Street Suite C         Needham Heights    MA    02494-0000   5030398        01/01/06


                                                                                      Page 67 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip             Policy   Effective
Group       Member Name                                           Street Address                      City              St.      Code            Number      Date
RETAIL      Fresh City Holdings LLC                               145 Rosemary Street Suite C         Needham Heights   MA    02494-0000   5030392          01/01/06
RETAIL      Fresh City LLC                                        145 Rosemary Street Suite C         Needham Heights   MA    02494-0000   5030387          01/01/06
RETAIL      Fresh City of Burlington, LLC                         145 Rosemary Street, Suite C        Needham Heights   MA    02494-0000   500611           07/07/06
RETAIL      Fresh City of Eaglewood, LLC                          145 Rosemary Street Suite C         Needham Heights   MA    02494-0000   5030389          01/01/06
RETAIL      Fresh City of Landmark LLC                            145 Rosemary Street Suite C         Needham Heights   MA    02494-0000   5030387          01/01/06
RETAIL      Fresh City of Natick LLC                              145 Rosemary Street Suite C         Needham Heights   MA    02494-0000   5030390          01/01/06
RETAIL      Fresh City Systems LLC                                145 Rosemary Street Suite C         Needham Heights   MA    02494-0000   5030393          01/01/06
RETAIL      Fresh Concepts LLC                                    145 Rosemary Street Suite C         Needham Heights   MA    02494-0000   5030387          01/01/06
RETAIL      Fresh Pond Liquors Inc                                15 McGrath Highway                  Somerville        MA    02143-0000   500709           05/01/91
RETAIL      Fresh Pond Market Company Inc                         358 Huron Avenue                    Cambridge         MA    02138-0000   500464           04/01/95
RETAIL      Fresh Side, Inc.                                      39 South Pleasant St                Amherst           MA    01002-0000   5030108          08/15/03
SILBA       Friend Bldg Ctr of Burlington                         261 Lowell Road                     Hudson            NH    03051        WC 000838        01/01/96
RETAIL      Friendlei,Inc., dba Play It Again Sports              630 Washington Street               Dedham            MA    02026-0000   501017           11/14/96
RETAIL      Friendly Discount Liquors, Inc.                       1167 Providence Road                Whitinsville,     MA    01588-0000   501470           10/01/97
RETAIL      Friendly Liquor Store, Inc.                           PO Box 821                          Chicopee          MA    01020-0000   502044           04/15/02
ISCC        Friends Academy, Trustees of                          1088 Tucker Road                    N Dartmouth       MA    02747        WC 000874        07/01/02
RETAIL      Frigo Food Products Sale Inc                          90 Williams Street                  Springfield       MA    01105-0000   501423           04/20/96
MEGA        Frontier RSD                                          219 Christian Land Rd               South Deerfield   MA    01373        X340215          12/21/94
RETAIL      Frozen Fortunes, Inc., dba Haagen Dazs # 252          1009A Burlington Mall Rd.           Burlington        MA    01803-0000   1002209          06/07/03
RETAIL      Fruit Center, Inc.                                    338 Granite Ave                     Milton            MA    02186-0000   500513           05/24/95
RETAIL      Fruit Ram, Inc., dba Fruit Fair                       398 Front Street                    Chicopee          MA    01013-0000   5032245          06/01/09
RETAIL      Fruitland Inc. of Greenfield, dba JC'S Market         259 Conway Street                   Greenfield,       MA    01301-0000   500954           10/01/96
RETAIL      Fruitland Restaurant, Inc., dba Sorrento's            285 Ayer Road                       Harvard           MA    01451-0000   5031377          01/01/07
RETAIL      Fuad Mukarker, dba White Hen 7404-2                   11 Brighton Street                  Belmont           MA    02478-0000   5030916          08/10/05
RETAIL      Full Of Spirits Inc, dba Dara's Fine Wine & Spirits   750 Huntington Ave                  Boston            MA    02115-0000   5032554          05/15/10
MANUF       Fuller Box Co., Inc.                                  P.O.Box 9                           North Attleboro   MA    02761        3000006          01/01/91
RETAIL      Fun Dining, Inc., dba Spoleto Express                 82 Industrial Drive, Unit #3        Northampton       MA    01060-0000   5031577          04/20/07
            Fund Raising Products, Inc., dba Meadow Farms &
RETAIL      Bolduc's                                              700 Silver Street                   Agawam            MA    01001-0000   1111930          06/16/03
RETAIL      Furniture Decor Showrooms Inc.                        37 Dykeman Way                      Stoughton         MA    02072-0000   5030383          08/01/04
RETAIL      Fusco's Service Station, Inc.                         37 Newbury Street                   Lawrence          MA    01840-0000   5032355          11/21/09
RETAIL      G & M Donut Co. Inc., dba Dunkin Donuts               21 Providence Highway               Walpole           MA    02023-0000   502019           03/31/02
RETAIL      G & M Realty, Inc.                                    883 Summer Avenue                   Springfield       MA    01119-0000   501610           01/01/04
RETAIL      G & S Evans, Inc., dba Evans on the Common            18 Highland Street                  Townsend          MA    01469-0000   502423           02/08/03
RETAIL      G & T Beaver, Inc., dba Beaver Camper Service         721 Springfield Street              Feeding Hills     MA    01303-0000   5031607          06/18/07
RETAIL      G & V College Convenience, Inc.                       281 Huntington Ave                  Boston            MA    02115-0000   5032694          12/13/10
            G & V Ice Cream and Sub Inc., dba Subway-Haagen
RETAIL      Daz                                                   1122 Boylston St.                   Boston            MA    02115-0000 5032326            09/07/09
RETAIL      G & V Inc., dba Symphony Market                       1130 Boylston Street                Boston            MA    02115-0000 5030776            03/04/05
RETAIL      G & V Smoke Shop, Inc, dba Brennans of Quincy         1442 Hancock Street                 Quincy            MA    02169-0000 5030463            01/27/05

                                                                                     Page 68 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy   Effective
Group       Member Name                                        Street Address                             City                St.      Code            Number      Date
RETAIL      G & Z Foods, Inc.                                  440 Middlesex Road                         Tyngsboro           MA    01879-0000   502226           08/01/02
RETAIL      G. E & M Auto Service, Inc., dba Parkway Sunoco    395 Alewife Brook Pkwy                     Somervilles         MA    02144-0000   5032363          10/04/09
RETAIL      G. S. G. Supply, Inc.                              40 Lewis Street                            Haverhill           MA    01832-0000   5031475          10/01/07
RETAIL      G.A. Blanco & Sons, Inc.                           P.O. Box 149                               Great Barrington,   MA    01230-0000   500943           06/30/96
RETAIL      G.A.R. Donuts, LLC, dba Dunkin Donuts              c/o Jed Cohen & Co. PC, 38 Elm Street      New Bedford         MA    02740-0000   500131           08/15/10
RETAIL      G.F. Sales, LLC, dba guitarfetish.com              45 Hopkinton Road                          Westborough         MA    01581-0000   5032456          01/14/10
SILBA       G.V. Moore Lumber Co                               22 West Main Street                        Ayer                MA    01432        WC 000793        01/01/93
RETAIL      Gabriel's Auction Co. Inc.                         194 Vanderbilt Avenue                      Norwood             MA    02062-0000   500755           10/24/95
AICC        Gaeta Enterprises Inc. dba Gaeta Shell             14 Newbury Street                          Peabody             MA    01960        WC 001084        07/18/10
RETAIL      Galbro, Inc., dba Route 1 Liquor                   174 Turnpike                               Rowley              MA    01969-0000   5030308          05/01/91
MANUF       Gallery Graphics of Natick, Inc.                   186 Riverview Ave                          Waltham             MA    02154        5100064          01/01/06
AICC        Gallo Motor Center dba Gallo Mazda-Volvo           70A Gold Star Boulevard                    Worcester           MA    01606        WC 005140        08/01/05
RETAIL      Ganesh Imports, Inc.                               60 Main Street                             Kingston            NH    03848-0000   5031488          03/19/07
RETAIL      Ganglani Corporation, dba Redstone Liquors         101 Main St                                Stoneham            MA    02180-0000   5032000          08/27/08
            Gann Academy - The New Jewish School of Greater
ISCC        Boston, Inc.                                       333 Forest Street                          Waltham             MA    02452        WC 001170        07/01/10
RETAIL      Garden Fresh, Inc.                                 123 Summer Street                          Worcester           MA    01608-0000   502148           07/05/02
RETAIL      Gardner Automotive, LLC                            1068 W Boylston Street                     Worcester           MA    01606-0000   5031385          01/01/07
MEGA        Gardner, City of                                   95 Pleasant Street                         Gardner             MA    01440        X340216          07/01/04
MANUF       Gare, Inc.                                         165 Rosemont Street                        Haverhill           MA    01830        3000154          01/01/94
RETAIL      Gariepy Furniture Co., Inc.                        91 Central Street                          Leominster          MA    01453-0000   5030485          01/01/04
AICC        Garland Automotive, Inc.                           14 Lonergan Road                           Middleton           MA    01949        WC 004075        09/06/04
            Garvin Tire Company, Inc., dba Wakefield Tire
RETAIL      Center                                             20 Lincoln Street                          Wakefield           MA    01880-0000   5030957          01/12/06
RETAIL      Gary Hammond, dba Howe St. Superette               163-165 Howe St                            Methuen             MA    01844-0000   501649           02/01/01
AICC        Gary Rome Hyundai, Inc.                            1000 Main Street                           Holyoke             MA    01040        WC 006184        06/09/06
RETAIL      Gasco Oil, Inc.                                    520 Broadway                               Revere              MA    02151-0000   5032239          05/06/09
MANUF       Gaspar's Sausage Co., Inc                          384 Faunce Corner Road                     North Dartmouth     MA    02747        3000107          01/01/93
            Gates Engineers and Designers Inc, dba Precision
RETAIL      Tune                                               425 Middlesex Road                           Tyngsboro         MA    01879-0000   5031737          08/20/08
MIIA        Gateway Regional School District                   12 Littleville Road                          Huntington        MA    01050        465              07/01/10
RETAIL      Gatzke Hardware Co., Inc.                          121 East Main Street                         Webster           MA    01570-0000   1051350          01/01/92
RETAIL      Gaudette Corp., dba Pete's Garage                  9 Magnolia Terr.                             Peabody           MA    01960-0000   5031719          10/22/07
RETAIL      GB Merchant Partners LLC                                                                        Boston
                                                               Attention: Human Resources, 101 Huntington Avenue 10th floor    MA   02199        500019           01/01/11
RETAIL      GB Restaurant, Inc.                                5 Fazio Farm Rd                              Georgetown        MA    01833-0000   5032546          05/16/10
RETAIL      GBC Enterprises Inc, dba Wine Press                1024 Beacon Street                           Brookline         MA    02146-0000   500998           08/07/96
RETAIL      GBC, Inc                                                                                        Boston
                                                               Attention: Wayne Anderson, 260 Franklin Street Suite 800       MA    02110-0000   500043           06/30/94
            Gbm Service Station Inc. dba Paradise Citgo
RETAIL      Service                                            219 Paradise Road                          Swampscott           MA 01907     5032763               03/06/11
RETAIL      GCP Commissary Inc.                                10 Commerce Way Suite #5                   Raynham             MA 02767-0000 5031501               04/01/07


                                                                                 Page 69 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip             Policy   Effective
Group       Member Name                                         Street Address                         City               St.      Code            Number      Date
RETAIL      Geagan's Inc. dba Hurleys Liquors                   1441 Commonwealth Ave                  Brighton           MA    02135-0000   5032791          04/07/11
RETAIL      Gelateria Corp., dba Gelateria                      272 Hanover Street                     Boston             MA    02113-0000   5031689          08/17/07
RETAIL      Gems Publishing, USA, Inc.                          12 Walnut St.                          Framingham         MA    01702-0000   5031925          05/15/08
RETAIL      General Cleaners of Holyoke, Inc.                   361 South Street                       Holyoke            MA    01040-0000   502412           12/31/02
RETAIL      General Optical Co Inc                              2038 Mass Avenue                       Cambridge          MA    02140-0000   501268           12/07/95
RETAIL      Genesis Creative Properties, Inc.                   10 Commerce Way Suite #5               Raynham            MA    02767-0000   5031497          04/01/07
RETAIL      Genetti's Wine & Spirits, Inc.                      170 Great Road                         Bedford            MA    01730-0000   1033621          08/24/02
RETAIL      Gennaro's Eatery Inc                                10-12 Blanchard Rd                     Quincy             MA    02169-0000   5031392          08/01/07
CTCC        Gentle Giant Moving Co.                             29 Harding Street                      Somerville         MA    02142        WC 000960        07/01/06
RETAIL      Genuine Wine Selections, Inc.                       258 Main Street, Unit E                Medfield,          MA    02052-0000   501562           07/13/99
RETAIL      George Chakalis, dba Tripolis Imports               1064 North Shore Road                  Revere             MA    02151-0000   502212           11/14/01
RETAIL      George M. Alcorn, dba George's Automotive           1089 Lawrence Street                   Lowell             MA    01852-0000   5031384          01/01/07
RETAIL      George's At The Vault, Inc.                         77 Washington St.                      Haverhill          MA    01832-0000   5032268          02/06/10
NAHRO       Georgetown Housing Authority                        23 Trestle Way                         Georgetown         MA    01833        WCMN0042         06/01/04
            Georgetown Service Station, Inc., dba Georgetown
RETAIL      Citgo                                               36 Central Street                      Georgetown         MA    01833-0000 5032427            01/01/10
MIIA        Georgetown, Town of                                 One Library Street                     Georgetown         MA    01833      53                 07/01/05

RETAIL      Georgia Mills, Inc., dba Central Carpet Warehouse   1217 Grafton Street                    Worcester          MA    01604-0000   5030634          07/01/04
RETAIL      GEP Corp., dba White Mountain Creamery              19-21 Commonwealth Avenue              Chestnut Hill,     MA    02467-1003   500919           06/22/96
RETAIL      Gerald A Paquin, dba Northampton Bicycle            319 Pleasant Street                    Northampton,       MA    01060-0000   501049           10/01/96
RETAIL      Gerardo's Foreign Car Service, LLC                  640 Hyde Park Ave                      Roslindale         MA    02131-0000   5031439          08/07/07
RETAIL      Gerardo's Italian Bakery, Inc.                      307 W. Boylston Street                 West Boylston      MA    01583-0000   5031689          09/10/07
CARE        Geriatric Authority of Milford                      1 Countryside Drive                    Milford            MA    01757        2100031          02/01/10
ISCC        German International School Boston, Inc.            54 Essex Street                        Cambridge          MA    02139        WC 000981        01/01/06
RETAIL      Geronimos LTD                                       119 Pleasant St.                       Nantucket          MA    02554-0000   502060           03/08/01
RETAIL      Get Mor Gas LLC                                     PO Box 82                              Assonet            MA    02702-0000   5031905          05/01/08
RETAIL      GG's Auto Repair, Inc.                              988 D Southampton Road                 Westfield          MA    01085-0000   5032340          09/29/09
SILBA       Gilbert & Cole Building Supply Inc.                 42 Bessom Street                       Marblehead         MA    01945        WC 000871        01/15/02
RETAIL      Gilbride Enterprises, LLC, dba George's Textiles    360 Merrimack St.                      Lowell             MA    01852-0000   5032571          06/01/10
RETAIL      Gilcen Inc., dba Leo & Walt's Sunoco                258 Quincy Ave                         Braintree          MA    02184-1342   5032428          01/01/10
            Giles Garden Center, Inc., dba Hadley Garden
RETAIL      Center                                              Rt 9 285 Russell St                    Hadley             MA    01035-0000   5030187          04/01/93
SILBA       Gilfoy Distributing                                 P.O. Box 810                           Billerica          MA    01865        WC 000827        01/01/95
MIIA        Gill, Town of                                       P O Box 313D                           Gill               MA    01376        402              07/01/05
RETAIL      Gillette Restaurant Equipment, Inc.                 229 N. Main Street                     North Brookfield   MA    01535-0000   5031984          05/25/09
MEGA        Gill-Montague RSD                                   35 Crocker Avenue                      Turner Falls       MA    01376        X340219          07/01/08
RETAIL      Gill's Automotive, Inc.                             PO Box 1708                            Orleans            MA    02653-0000   5031103          05/06/06
RETAIL      Gimbel's Liquors - Brookline, Inc.                  1637 Beacon Street                     Brookline          MA    02446-0000   1049980          09/24/02
RETAIL      Ginsco, Inc., dba New York Bagel Co.                1572 President Ave                     Fall River         MA    02720-0000   5030037          07/07/03


                                                                                      Page 70 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy   Effective
Group       Member Name                                      Street Address                                 City              St.      Code            Number      Date
RETAIL      Giovanni Veal Inc.                               2 Merrill St.                                  Woburn            MA    01801-0000   5030579          07/15/05
MASSBAY     Girl Scouts, Patriots' Trail Council, Inc.       95 Berkeley Street, 4th Floor                  Boston            MA    02116        80311            08/01/00
MASSBAY     Girls Incorporated of Lynn, Inc.                 88 Broadway                                    Lynn              MA    01902        80320            10/16/02
RETAIL      Giuseppe's Fresh Pasta and Fine Food Inc         257 Low Street                                 Newburyport       MA    01950-0000   5031844          01/26/08
RETAIL      GKG, Inc., dba Monarchs                          281 Greenfield Road                            South Deerfield   MA    01373-0000   5031048          11/07/06
RETAIL      GKM Inc., dba Card Smart                         232 South Main Street                          Middleton         MA    01949-0000   501039           11/01/96
TRADE       Glaser Glass Corporation                         1265 Purchase Street                           New Bedford       MA    02740        4000020          01/01/93
MCSIG       Glastonbury Abbey                                16 Hull Street                                 Hingham           MA    02043-1419   none             03/31/11
ISCC        Glen Urquhart School, Inc.                       74 Hart Street                                 Beverly Farms     MA    01957        WC 000010        04/01/92
RETAIL      Glencross, Inc., dba The Old Mill                PO Box 348                                     South Egremont    MA    01258-0000   1044380          08/01/02
RETAIL      Glendale Convenience, LLC                        c/o Richard D'Angello, 323 North Main Street   Middleton         MA    01949-0000   500111           08/01/08
RETAIL      Glendale Donut, LLC, dba Dunkin Donut            323 N. Main Street                             Middleton         MA    01949-0000   5030639          07/01/08
            Glendale Package Store of Waltham, Inc., dba
RETAIL      Glendale Package Store                           1093 Lexington Street                          Waltham           MA    02154-0000   5030987          01/01/06
CARE        Glenmeadow Inc                                   24 Tabor Crossing                              Longmeadow        MA    01106        2100026          08/01/08
RETAIL      Glenn Tierney, dba Subway                        4 Glenn Drive                                  Pittsfield        MA    01201-0000   5030734          01/10/05
AICC        Glick Nissan                                     273 Turnpike Road                              Westborough       MA    01581        WC 005101        01/01/05
RETAIL      Global Corners Realty, Inc                       c/o Jed Cohen & Co. PC, 38 Elm Street          New Bedford       MA    02740-0000   5032628          08/15/10
RETAIL      Global Subs, Inc., dba Subway                    c/o Jed Cohen & Co. PC, 38 Elm Street          New Bedford       MA    02740-0000   5032628          08/15/10
RETAIL      Globe Corners Mfg Inc., dba Dunkin Donuts        c/o Jed Cohen & Co. PC, 38 Elm Street          New Bedford       MA    02740-0000   5032628          08/15/10
RETAIL      Globe Liquors of Taunton, Inc.                   5 Cape Road                                    Taunton           MA    02780-0000   5031626          06/18/07
RETAIL      Glock, Inc., dba Amici's Trattoria               2 Grafton Street                               Shrewsbury        MA    01545-0000   502107           01/01/04
            Gloucester Central Package Store Inc., dba The
RETAIL      Liquor Locker                                    287 Main Street                                Gloucester        MA    01930-0000   5030906          10/16/05
MIIA        Gloucester Contributory Retirement Authority     6 Elm Street                                   Gloucester        MA    01931        371              07/01/05
MIIA        Gloucester Housing Authority                     P.O. Box 1599                                  Gloucester        MA    01930        54               07/01/05
RETAIL      Gloucester Seafood Wholesalers, LLC              339 Northern Ave                               Boston            MA    02210-0000   5032253          06/22/09
RETAIL      Go Green Landscape Supply Corp.                  PO Box 515                                     Scituate          MA    02066-0000   5032056          10/01/08
RETAIL      Gogle Mogle, Inc., dba The Biscuit               406 Washington Street                          Somerville        MA    02143-0000   5030576          07/12/05
STAM        Gokey & Quinn Bus Co., Inc.                      294 Ayer Rd., Box 777                          Harvard           MA    01451        WC-06-0000995    11/06/01
AICC        Gold Standard Automotive, Inc.                   610 Pleasant Street                            Watertown         MA    02472-2420   WC 003043        12/01/03
RETAIL      Goldacre Licensee, Inc., dba Dairy Queen         291 Main Streeet                               Spencer           MA    01562-0000   5031656          08/01/07
McD         Golden Arch Enterprises                          P.O. Box 220                                   Seekonk           MA    02771        22666            01/01/93
RETAIL      Golden Grounds, Inc.                             921 Salem St.                                  Groveland         MA    01834-0000   5032496          03/13/10
McD         Golden Hawk of MA, LLC                           2 Corporate Drive, Ste 238                     Shelton           CT    06484        31271            01/07/09
            Golden Mountain Discount Liquors, Inc., dba
RETAIL      Crescent Discount Liquors                        724 Crescent St.                               Brockton          MA    02301-0000 5030000            06/18/03
            Golden Rock Discount Liquors, Inc., dba Rose's
RETAIL      Discount Liquors                                 186 Oak Street                                 Brockton          MA    02301-0000 5030040            07/01/03
RETAIL      Golden Subs Inc., dba Subway                     287 Great Road                                 Littleton         MA    01460-0000 5032345            09/30/09


                                                                                Page 71 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip          Policy   Effective
Group       Member Name                                      Street Address                             City              St.      Code          Number     Date
RETAIL      Golden Toad Inc, dba Christopher's               20 Larch St.                               Brighton          MA    02135-0000 5032119         01/01/09
            Golden Ventures, Inc., dba Golden Spoon Coffee
RETAIL      Shoppe                                           85 West Main Street                        Hopkinton         MA    01748-0000 5032295         08/01/09
McD         Gomez Enterprises I LLC                          P.O. Box 340                               South Hadley      MA    01075      10414           01/01/02
McD         Gomez Enterprises II LLC                         See: Gomez Enterprises I LLC
McD         Gomez Mgt. Co.                                   See: Gomez Enterprises I LLC
            Goncalves Beverages Inc dba Town Liquors
RETAIL      Acushnet                                         1 Middle Road                              Acushnet           MA   02743        5032778       03/27/11
RETAIL  Good & Healthy, Inc.                                 PO Box 235                                 Amherst           MA    01004-0000   1026755       08/01/02
AICC    Good Brothers Dodge                                  577 Columbian Street                       South Weymouth    MA    02190        WC 005148     10/01/05
RETAIL  Good Food People, Inc., dba Armata's                 90 Avocado Street                          Springfield       MA    01104-0000   5030338       07/01/03
TRADE   Good Harbor Fillet Company, LLC                      PO Box 1595                                Gloucester        MA    01931-1595   4100039       10/31/05
TRADE   Good Harbor Food Group, LLC                          PO Box 1595                                Gloucester        MA    01930        4100039       10/31/05
RETAIL  Good Health, Inc.                                    1627 Hancock St.                           Quincy            MA    02169-0000   5032437       01/01/10
        Good Life Whole Foods, Inc., dba Better Life Whole
RETAIL  Foods                                                1506 Allen Street                          Springfield       MA    01118-0000 1099400         01/01/04
        Good Sea, Inc., dba Captain Elmer's Lobster & Fish
RETAIL  Market                                               PO Box 177                                  Orleans          MA    02653-0000   502115        08/01/01
MCSIG   Good Shepherd School                                 20 Winthrop Street                          Charlestown      MA    02129-3315   none          03/31/11
RETAIL  Goodies Convenience Store, Inc.                      300 Springfield Street                      Agawam           MA    01001-0000   501044        10/08/96
MASSBAY Goodwill Industries of the Berkshires                158 Tyler Street                            Pittsfield       MA    01201        80344         08/31/05
RETAIL  Gopal Corp, dba Sunshine Convenience                 2 Belmont St.                               Easton           MA    02375-0000   5032689       11/01/10
RETAIL  Gordon Brothers Asset Advisors LLC                                                               Boston
                                                             Attention: Human Resources, 101 Huntington Ave, 10th Floor   MA    02199-0000   55455         01/01/04
RETAIL  Gordon Brothers Commercial & Industrial,                                                         Boston
                                                             Attention: Human Resources, 101 Huntington Ave, 10th Floor   MA    02199-0000   55455         01/01/04
RETAIL  Gordon Brothers Group LLC                                                                        Boston
                                                             Attention: Human Resources, 101 Huntington Ave, 10th Floor   MA    02199-0000   55455         01/01/04
RETAIL  Gordon Brothers Retail Partners, LLC                                                             Boston
                                                             Attention: Human Resources, 101 Huntington Ave, 10th Floor   MA    02199-0000   31475         06/30/94
NEEIA   Gordon College                                       255 Grapevine Road                          Wenham           MA    01984        06-5000110    07/01/90
MANUF   Gordon Industries, Inc.                              202 West First Street                       South Boston     MA    02127        5100009       11/28/03
RETAIL  Gordon Lamson, dba Asbury Street Motors              323 Willow Street                           South Hamilton   MA    01982-0000   5031607       07/24/07
MANUF   Gordon Realty Trust                                  202 West First Street                       South Boston     MA    02127        5100009       01/19/06
RETAIL  Gordons Liquors, Inc.                                PO Box 310                                  Waltham          MA    02451-0000   5030203       01/01/04
RETAIL  Gordon's Waltham Liquors Inc                         PO Box 310                                  Waltham          MA    02451-0000   5030199       03/01/94
RETAIL  Goretti Supermarkets, Inc.                           1 Providence Street                         Millbury         MA    01527-0000   5030144       01/01/04
        Goretti Supermarkets, Inc., dba Goretti Management
RETAIL  Corp.                                                1 Providence Street                        Millbury          MA    01527-0000   5030143       05/01/92
HEALTH  Gosnold, Inc.                                        c/o Kathleen Clay, PO Box 929              Falmouth          MA    02541        3100005       07/15/07
RETAIL  Gossios Corp., dba Captain Scott's Restaurant        71 Tupper Road                             Sandwich          MA    02563-0000   5030380       08/01/04
RETAIL  Gould's of Acton Inc                                 260 Great Road                             Acton             MA    01720-0000   5030145       02/05/93
RETAIL  Gourmet Donuts, Inc.                                 43 Airport Rd                              Fitchburg         MA    01420-0000   5032675       10/23/10
SILBA   Gove Lumber                                          P.O. Box 12                                Beverly           MA    01915        WC 000806     01/01/93


                                                                                 Page 72 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy   Effective
Group   Member Name                                           Street Address                               City               St.      Code            Number      Date
ISCC    Governor Dummer Academy                               1 Elm Street                                 South Byfield      MA    01972        WC 000024        04/01/92
RETAIL  Gracies Roadside Cafe, Inc., dba E. B. Flatts         245 West Main Street                         East Brookfield    MA    01515-0000   5032351          09/14/09
RETAIL  Grafton Donuts, Inc., dba Dunkin Donuts               48 Junction Square Road                      Concord            MA    01742-0000   501964           01/01/04
ABC     Grafton Electric                                      10 Industrial Road                           Milford            MA    01757-3587   ABCMA 005019     01/01/00
NAHRO   Grafton Housing Authority                             10 Maxwell Drive                             North Grafton      MA    01536        WCMN0048         06/01/04
RETAIL  Grafton Liquors, Inc.                                 77 Worcester Street                          North Grafton      MA    01536-0000   501282           04/15/97
MIIA    Grafton Water District                                44 Millbury Street                           Grafton            MA    01519        324              07/01/05
MIIA    Grafton, Town of                                      30 Providence Road                           Grafton            MA    01519        391              07/01/05
RETAIL  Gram's Homemade Ice Cream, Inc.                       40 State St.                                 Newburyport        MA    01950-0000   5031292          11/30/06
NAHRO   Granby Housing Authority                              50 Phin's Hill Manor                         Granby             MA    01033        WCMN0155         06/01/04
RETAIL  Granby Liquor Store, Inc.                             60 W State Street                            Granby             MA    01033-0000   5030147          05/01/91
MEGA    Granby Town of                                        Kellogg Hall                                 Granby             MA    01033        X340220          07/01/11
MEGA    Granby, Town of                                       Kellogg Hall                                 Granby             MA    01033        X340221          07/01/91
RETAIL  Grand Wireless Inc.                                   267 Boston Road                              N. Billerica       MA    01862-0000   502147           07/01/02
        Granite Gulf Service/Art's Towing, Inc. d/b/a Art's
AICC    Auto Service                                          93 Cedar Street                              Milford            MA    01757        WC 006161        01/01/06
MIIA    Granville, Town of                                    P.O. BOX 26                                  Granville          MA    01034        231              07/01/05
AICC    Grava of Medford, Inc.                                29 Mystic Avenue                             Medford            MA    02155        WC 005152        10/26/05
RETAIL  Grays Liquor Co., Inc., dba Oak Square Liquors        610 Washington Street                        Brighton           MA    02135-0000   501831           08/10/01
MEGA    Great Barrington Fire District                        20 Castle Street                             Great Barrington   MA    01230        X340090          07/01/90
NAHRO   Great Barrington Housing Authority                    2 Bernard Gibbons Drive                      Great Barrington   MA    01230        WCMN0056         06/01/04
ISCC    Great Barrington Rudolf Steiner School, Inc.          35 West Plain Road                           Great Barrington   MA    01230        WC 000704        01/01/96
MIIA    Great Barrington, Town of                             334 Main Street                              Great Barrington   MA    01230        307              07/01/05
RETAIL  Great Whale Hospitality Corp                          66 State Road, PO Box 248                    Westport           MA    02790-0000   500268           05/27/10
MASSBAY Greater Boston Legal Services                         197 Friend Street                            Boston             MA    02114        80310            08/01/00
MEGA    Greater Fall River Re-Creation Committee              72 Bank Street                               Fall River         MA    02720        X340440          07/01/01
MEGA    Greater Lawrence Educational Collaborative            480 Broadway                                 Methuen            MA    01844        X340223          07/01/10
MEGA    Greater Lawrence RTHSD                                57 River Road                                Andover            MA    01810        X340301          07/01/94

MASSBAY Greater Lynn YMCA                                     See Lynn Young Men's Christian Association

MIIA        Greater New Bedford Regional Refuse Mgmt. Dist.   300 Samuel Barnet Boulevard                  New Bedford        MA    02745        327              07/01/05
RETAIL      Greco, Inc., dba Dairy Store 1                    335 Suffield Street                          Agawam,            MA    01001-0000   500748           09/26/95
RETAIL      Greendale Liquors & Package Store, Inc.           444 W. Boylston Street                       Worcester          MA    01606-0000   500825           09/22/94
RETAIL      Greenfield Farmers Cooperative Exchange           269 High Street                              Greenfield         MA    01301-0000   5031069          05/01/06
NAHRO       Greenfield Housing Authority                      1 Elm Terrace                                Greenfield         MA    01031        WCMN0141         06/01/04
MEGA        Greenfield Retirement Board                       14 Court Square                              Greenfield         MA    01301        X340235          07/01/04
MEGA        Greenfield Town of                                14 Court Square                              Greenfield         MA    01301        X340417          07/01/11
            Greenie's Discount Liquors, Inc., dba Greenwood
RETAIL      Wine & Spirits                                    969 Main St.                                 Wakefield          MA    01880-0000 5031821            01/01/08


                                                                                 Page 73 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                            Zip             Policy   Effective
Group       Member Name                                           Street Address                                City              St.      Code            Number      Date
RETAIL      Green's Hardware & Paint, Inc.                        308 Washington Street                         Wellesley         MA    02481-0000   5031153          07/01/06
RETAIL      Greg & Adams Package Store, Inc                       1380 Dwight Street                            Holyoke           MA    01040-0000   5030519          02/06/04
MASSBAY     Gregg Neighborhood House Association                  P.O. Box 932, 85 Exchange Street              Lynn              MA    01903        80322            11/08/02
RETAIL      Gregory's Garden Center, Ltd                          329 Vernon St.                                Wakefield         MA    01880-0000   5032666          11/04/10
RETAIL      Grey-Patti, Inc., dba Grey-Patti Automotive           960 Massachusetts Ave                         Arlington         MA    02476-0000   5032300          05/01/10
RETAIL      Grillo Oriental Rug Care, LLC                         100 Messina Drive                             Braintree,        MA    02184-0000   500506           04/07/95
AICC        Grinold O'Brien Sales, Inc.                           Route 1 - South Park                          Walpole           MA    02081        WC 001029        01/01/00
RETAIL      Groton Convenience Inc, dba The General Store         871 Boston Road                               Groton            MA    01450-0000   5032067          12/27/08
MIIA        Groton Country Club Authority                         94 Lovers Lane                                Groton            MA    01450        274              07/01/05
MEGA        Groton Dunstable Regional School District             PO Box 729                                    Groton            MA    01450        X340236          07/01/11
ISCC        Groton School                                         Farmer's Row Box 991                          Groton            MA    01450        WC 000012        04/01/92
MIIA        Groton, Town of                                       173 Main Street                               Groton            MA    01450        260              07/01/05
RETAIL      Groundwater Supply Co., Inc.                          PO Box 513                                    Sterling          MA    01564-0000   501727           05/05/01
RETAIL      Group R Inc., dba Lexx                                265 Nahanton St.                              Newton            MA    02459-0000   5032050          09/01/08
NAHRO       Groveland Housing Authority                           10 River Pines                                Groveland         MA    01834        WCMN0170         06/01/04
MIIA        Groveland, Town of                                    183 Main Street                               Groveland         MA    01834        291              07/01/05
RETAIL      Gruber Brothers Co.                                   P.O. Box 156                                  Maynard,          MA    01754-0000   501807           08/19/97
CARE        Guardian Hospice, Inc.                                                                              Atlanta
                                                                  Attention: Art Delozier, 15 Piedmont Center Suite 930           GA    30305        2100006          08/17/08
            Guilford Package Store, Inc., dba Mr. Moe's Package
RETAIL      Store                                                 14 Plum Island Blvd                          Newbury            MA    01951-0000 1080650            02/12/92
McD         Guispad, Inc.                                         8 Lake Street                                Spencer            MA    01562      25502              4/1/2010
RETAIL      Gullcrest, Inc., dba Pennies Liquor Market            33 Ships Way Road                            Provincetown,      MA    02657-0000 501853             09/07/97
            Gunschel Associates, Inc., dba Ansel S. Gurney
RETAIL      House                                                 403 County Road                              Marion             MA    02738-0000 5031280            09/29/06
RETAIL      Guod, Inc., dba Chansky's Market                      1700 Commonwealth Ave                        Brighton           MA    02135-0000 5031397            09/06/07

RETAIL      Gurukrupa I LLC, dba Middleboro Discount Liquors
                                                         422 Grove St.                                         Middleboro         MA    02346-0000   5031671          05/15/08
RETAIL      Gurukrupa, Inc., dba Main Street Discount Liquors
                                                         422 Grove Street                                      Middleboro         MA    02346-0000   501853           09/17/97
RETAIL      Gypsy Apple, Inc.                            170 Sugar Hill Road                                   Williamsburg       MA    01096-0000   5031511          04/05/07
RETAIL      GZ Riders, Inc. dba Cape Cod Harley Davidson 750 Macarthur Blvd                                    Pocasset            MA   02559        5032760          03/16/11
RETAIL      H & A Hardware, Inc., dba Atlas True Value   1871 Centre St.                                       West Roxbury       MA    02132-0000   5031792          01/01/08
RETAIL      H & B Corp.                                  PO Box 368                                            Pocasset           MA    02559-0000   502265           01/01/04
RETAIL      H & F Inc                                    582 Washington Street                                 Dorchester         MA    02024-0000   500712           05/01/91
RETAIL      H & J Allston LLC                            89 Brighton Ave.                                      Allston            MA    02134-0000   1068102          01/01/04
RETAIL      H P Smith Co Inc.                            238 Main St.                                          Stoneham           MA    02180-0000   5032565          06/09/10

RETAIL      H&M Restaurant, Inc, dba Sofia Italian Steakhouse     1430 VFW Parkway                             West Roxbury       MA    02132-0000   5032054          10/03/08
SILBA       H. Greenburg & Sons Inc.                              321 Main Street                              Bennington         VT    05201        WC 000836        01/01/96
TRADE       H. L. Dempsey Co. Inc.                                103 Baldwin Street/ PO Box 1110              West Springfield   MA    01090-1110   4100114          07/10/10
RETAIL      H. Prussman, Inc., dba Henry's Automotive             166 Salem Street                             Andover            MA    01810-0000   5031063          05/06/06


                                                                                        Page 74 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                          Zip             Policy   Effective
Group       Member Name                                          Street Address                                City             St.      Code            Number      Date
RETAIL      H.L. Wardle Drug Co., Inc.                           585 High Street                               Dedham           MA    02026-0000   5032421          01/01/10
RETAIL      H.M.J.R., Inc.                                       78 East Grove Street                          Middleboro,      MA    02346-0000   501091           02/08/97
SILBA       H.N. Hinckley & Sons                                 P.O. Box 578                                  Vineyard Haven   MA    02568        WC 000773        01/01/92
RETAIL      H.T.F. Inc., dba Harry's Bar & Grille                390 W Grove Street                            Middleboro       MA    02346-0000   5030065          02/12/07
RETAIL      Haan Kaya Inc dba Jimmy's Café                       151 Linden Street                             Wellesley        MA    02482-0000   5032845          06/15/11
RETAIL      Hademo Inc., dba Mass Liquors                        392 Chandler St.                              Worcester        MA    01602-0000   5030623          10/01/05
NAHRO       Hadley Housing Authority                             42 Golden Court                               Hadley           MA    01035        WCMN0198         10/19/04
RETAIL      Hadley James LLC                                     2 Crown Street                                Westfield        MA    01085-0000   501492           05/30/07
            Hadley-Macintosh Enterprises, Inc, dba Stonebridge
RETAIL      Bistro                                               PO Box 1804                                   Onset            MA    02558-0000   5031964          07/22/08
RETAIL      Hajjar's, Inc., dba Hajjar's Big-Tall Men Shop       513 Quincy Avenue                             Quincy           MA    02169-0000   501803           08/01/97
RETAIL      Hakim & Michele Sabri, dba White Hen 9101-7                                                        Norwood
                                                                 c/o New England Pantry Inc., 290 Vanderbilt Ave                MA    02062-0000   500067           06/07/03
RETAIL      Haley's Grain Store, Inc.                            1109 Park Street                              Palmer           MA    01069-0000   501869           10/07/01
NAHRO       Halifax Housing Authority                            1 Parsons Lane                                Halifax          MA    02338        WCMN0154         06/01/04
RETAIL      Halifax Lake Street, Inc., dba Harmony II            284 Monposett Street                          Halifax          MA    02338-0000   502339           10/28/02
MEGA        Halifax Town of                                      499 Plymouth Street                           Halifax          MA    02338        X340237          07/01/11
MIIA        Halifax, Town of                                     499 Plymouth Street                           Halifax          MA    02338        476              07/01/11
RETAIL      Hallmark Cleaners, Inc.                              411 Cabot Street                              Beverly,         MA    01915-0000   500736           09/01/95
HVAC        Hamel & McAlister, Inc                               215 Middlesex Turnpike                        Burlington       MA    01803        HVAC1009         07/01/04
RETAIL      Hamel Package Store, Inc.                            678 Haverhill Street                          Lawrence         MA    01841-0000   5030190          05/01/91
            Hamilton Family Markets, Inc., dba Crosby's
RETAIL      Marketplace                                          15 Walnut Road                                Hamilton         MA    01982-0000   5030311          05/01/04
NAHRO       Hamilton Housing Authority                           121 Railroad Avenue                           South Hamilton   MA    01982        WCMN0159         06/01/04
MIIA        Hamilton Wenham Regional School District             5 School Street                               South Hamilton   MA    01982        310              07/01/05
MIIA        Hamilton, Town of                                    577 Bay Road                                  Hamilton         MA    01936        201              07/01/05
ISCC        Hammond Museum, Inc.                                 80 Hesperus Avenue                            Gloucester       MA    01930        WC 000755        03/31/00
MIIA        Hampden County Retirement Board                      50 State Street                               Springfield      MA    01102        332              07/01/05
RETAIL      Hampden Discount Liquors Inc                         7 Allen Street                                Hampden          MA    01036-0000   501443           05/06/96
RETAIL      Hampden Grog Shoppe, Inc.                            488 Main Street                               Hampden          MA    01036-0000   5032397          12/01/09
NAHRO       Hampden Housing Authority                            26 Springmeadow Lane                          Hampden          MA    01036        WCMN0161         06/01/04
MIIA        Hampden, Town of                                     Town Hall, 625 Main Street                    Hampden          MA    01036        276              07/01/05
MEGA        Hampden-Wilbraham RSD                                621 Main Street                               Wilbraham        MA    01095        X340474          07/01/02
ISCC        Hampshire College, Trustees of                       893 West Street                               Amherst          MA    01002        WC 001163        01/01/10
MEGA        Hampshire Council Of Governments                     99 Main Street, Old Courthouse                Northampton      MA    01060        X340331          07/01/11
MEGA        Hampshire County Retirement Board                    99 Industrial Drive                           Northampton      MA    01060        X340166          07/01/04
NAHRO       Hampshire Cty. Reg. Housing Authority                37 Main Street                                Cummington       MA    01026        WCMN0014         04/01/04
MEGA        Hampshire Education Collabrative                     97 Hawley Street                              Northhampton     MA    01060        X340231          07/01/02
RETAIL      Hampshire Hills, Inc., dba Genden Auto Parts         620 Page Blvd                                 Springfield      MA    01104-3092   1051950          04/01/94
RETAIL      Hampshire House Corporation                          84 Beacon St.                                 Boston           MA    02108-0000   502372           05/31/02
MIIA        Hampshire Regional School District                   19 Stage Road                                 Westhampton      MA    01027        439              07/01/06

                                                                                    Page 75 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip           Policy   Effective
Group       Member Name                                            Street Address                       City            St.      Code          Number      Date
RETAIL      Hampton Carpet Center, Inc.                            15 College Highway, Suite L          Southampton     MA    01073-0000 500616           01/01/07
RETAIL      Hampton Fish Co., Inc.                                 691 River Street                     Fitchburg       MA    01420-0000 5030617          05/27/04
RETAIL      Hamze Brothers Inc., dba Wellesley Shell               987 Worchester Rd.                   Wellesley       MA    02482-0000 5031243          08/16/06

RETAIL      Hamzes Lakeview Services Inc., dba Dracut Shell        1100 Lakeview Ave.                   Dracut          MA    01826-4737   5031234        08/16/06
MIIA        Hancock, Town of                                       Main Street                          Hancock         MA    01237        377            07/01/05
RETAIL      Hand Made Brands, Inc., dba Deluxe Town Diner          627 Mount Auburn Street              Watertown       MA    02472-0000   5031525        05/14/07
RETAIL      Handy Andy's Quality Vacuum's Inc.                     1693 Acushnet Ave.                   New Bedford,    MA    02746-0000   501339         02/05/96
RETAIL      Han-Lee Group, Inc., dba J.P. Ryan's Tavern            79 Pearl St.                         Plymouth        MA    02360-0000   5032493        03/12/10
TRADE       Hanna Paper Recycling, Inc.                            31 Suffolk Street                    Mansfield       MA    02048        4100042        01/01/06
MASSBAY     Hannah B. G. Shaw Home for the Aged, Inc.(The)         299 Wareham Street                   Middleborough   MA    02346        80369          01/01/09
RETAIL      Hanover FG. Inc.                                       PO Box 40                            Marlborough     MA    01752-0000   5032149        11/05/10
RETAIL      Hanover Lock and Security Services, Inc.               990 Washington St.                   Hanover          MA   02339        5032714        01/01/11
MIIA        Hanover, Town of                                       550 Hanover Street                   Hanover         MA    02339        58             07/01/05
RETAIL      Hansen Marine Engineering, Inc.                        32 Tioga Way                         Marblehead      MA    01945-0000   5031605        06/13/07
NAHRO       Hanson Housing Authority                               80 Meetinghouse Lane                 Hanson          MA    02341        WCMN0156       06/01/04
RETAIL      Hanson Tire World, Inc.                                30 Monponsett St.                    Hanson          MA    02341-0000   5032283        07/13/09
MEGA        Hanson, Town of                                        542 Liberty Street                   Hanson          MA    02341        X340285        07/01/91
RETAIL      Happy Supermarket, Inc.                                868 Blue Hill Ave                    Dorchester       MA   02124        5032728        02/15/11
RETAIL      Hap's Auto Service Inc.                                790 W Chestnut St. Ste 2             Brockton        MA    02301-0000   5032410        12/01/09
HEALTH      Harbor Health Services, Inc.                           398 Neponset Ave                     Dorchester      MA    02122        3100003        07/01/06
RETAIL      Harbor Point Liquors, Inc.                             45 Morrissey Boulevard               Dorchester,     MA    02125-0000   501462         09/01/97
MASSBAY     Harbor Schools & Family Services, The                  26 Rolfes Lane                       Newbury         MA    01951        80345          10/15/05
ISCC        Harborlight Montessori School                          243 Essex Street                     Beverly         MA    01915        WC 000592      01/01/96
RETAIL      Harborside Triangle Liquors, Ltd                       PO Box 1501                          Oaks Bluff      MA    02557-0000   500824         01/01/96
AICC        Harbro Sales & Service, Inc.                           546 Providence Road, P.O. Box 578    Linwood         MA    01525        WC 006177      04/01/06
MIIA        Hardwick, Town of                                      Box 575                              Gilbertville    MA    01031-0575   297            07/01/05
RETAIL      Harold R Donahue, dba Donahue Furniture                P.O. Box 126                         Burlington,     MA    01803-0000   500964         06/27/96
            Harp & Eagle Restaurant Co. Inc., dba O'Connor's
RETAIL      Restaurant & Bar                                       1160 West Boylston Street            Worcester       MA    01606-0000   501999         04/01/02
RETAIL      Harpin's Tire Shop, Inc.                               631 Rathbun Street                   Blackstone      MA    01504-0000   5030912        10/25/05
HVAC        Harrington Bros., Inc.                                 1043 Turnpike Street                 Stoughton       MA    02072        HVAC1004       10/01/92
RETAIL      Harrington Wine & Liquors Inc                          10 Summer St                         Chelmsford      MA    01824-0000   5030191        05/01/91
RETAIL      Harrison Refrigeration & Stove Supplies,               4262 Washington St.                  Roslindale      MA    02131-0000   5032033        08/27/08
RETAIL      Harry Cho, dba Fresh Clean Dry Cleaners                515 Lowell St.                       Peabody         MA    01960-0000   5032602        08/01/10
RETAIL      Harry Heiten Auto Radiator, Inc.                       86 Grafton Street                    Worcester       MA    01604-0000   5031323        11/01/06
            Harry Janice & Sons, Inc., dba Bennett Street Tire &
RETAIL      Glass                                                  60 Bennett Street                    Lynn            MA    01905-0000 5031107          06/01/06
RETAIL      Hart Family Limited Partnership                        43 Scanlon Drive                     Randolph        MA    02368-0000 502231           01/01/06
RETAIL      Harvard Book Store, Inc.                               1280 Mass Avenue                     Cambridge       MA    02138-0000 5030192          02/01/93


                                                                                       Page 76 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip             Policy    Effective
Group       Member Name                                           Street Address                            City               St.      Code            Number       Date
MEGA        Harvard Town of                                       13 Ayer Road                              Harvard            MA    01451        X340390            07/01/11
RETAIL      Harvard Wine Co., Inc.                                1664 Mass Avnue                           Cambridge          MA    02138-0000   5030192            05/01/91
RETAIL      Harvey A. Shines, dba Small Car Clinic                116 Main Street                           Spencer            MA    01562-0000   5031180            07/11/06
RETAIL      Harwich Donuts, LLC                                   436B Station Ave                          South Yarmouth     MA    02664-0000   5032607            08/01/10
NAHRO       Harwich Housing Authority                             P.O. Box 714                              Harwichport        MA    02646        WCMN0073           06/01/04
MIIA        Harwich, Town of                                      732 Main Street                           Harwich            MA    02645        121                07/01/07
RETAIL      Haskins Pharmacy, Inc.                                4 Scott Drive, PO Box 397                 Norton             MA    02766-0000   500290             06/20/07
AICC        Haskins, Inc.                                         467-469 Washington Street                 Wellesley          MA    02482        WC 005155          12/01/05
NAHRO       Hatfield Housing Authority                            2 School Street                           Hatfield           MA    01038        WCMN0075           06/01/04
MIIA        Hatfield, Town of                                     59 Main Street                            Hatfield           MA    01038        446                07/01/08
NAHRO       Haverhill Housing Authority                           25 Washington Sq                          Haverhill          MA    01831        WCMN0018           04/01/04
RETAIL      Hav-Fam, Inc., dba Whitman Liquors                    682 Bedford St.                           Whitman            MA    02382-0000   5032698            12/08/10
RETAIL      Hawich Corp, dba Harwich Food Mart                    PO Box 368                                Pocasset           MA    02559-0000   502279             11/25/10
MEGA        Hawlemont RSD                                         24 Ashfield Road                          Shelburne Falls    MA    01370        X340234            07/01/10
MEGA        Hawley Town of                                        8 Pudding Hollow Road                     Hawley             MA    01339        X340225            07/01/11
RETAIL      Hayg, Inc., dba Hayg Auto Repair                      605 Mt. Auburn St.                        Cambridge          MA    02138-0000   5031967            07/20/08
RETAIL      Hazel Deli, LLC, dba Salem Bros Deli                  283 Derby Street                          Salem              MA    01970-0000   5032371            11/02/09
RETAIL      HBH Grille, Inc., dba Moe's Southwest Grill           1775 Washington St, Suite 204             Hanover            MA    02339-0000   5032365            10/10/09
RETAIL      HDP, Inc., dba Bakey's Restaurant                     45 Broad St, F11                          Boston             MA    02109-0000   5031567            06/05/07
STAM        Healey Bus, Inc.                                      P.O. Box 24                               Swampscott         MA    01907        WC-07-6003024      04/22/07
CARE        Health Systems Inc.                                                                             Atlanta
                                                                  15 Piedmont Center #930, 3575 Piedmont Road NE               GA    30305        2100006         12/31/10
RETAIL      Hearth 'N Kettle of Attleboro, Inc.                   141 Falmouth Rd.                          Hyannis            MA    02601-0000   5032260            08/01/09
            Hearth 'N Kettle of Hyannis, Inc., dba Cape Codder
RETAIL      Resort                                                141 Falmouth Rd.                          Hyannis            MA    02601-0000 5032262             08/01/09
RETAIL      Hearth 'N Kettle of Orleans, Inc.                     141 Falmouth Rd                           Hyannis            MA    02601-0000 5032263             08/01/09
            Hearth 'N Kettle of Plymouth, Inc., dba John Carver
RETAIL      Inn                                                   141 Falmouth Rd                           Hyannis            MA    02601-0000   5032279           08/01/09
RETAIL      Hearth 'N Kettle of Weymouth, Inc.                    141 Falmouth Rd.                          Hyannis            MA    02601-0000   5032280           08/01/09
RETAIL      Hearth 'N Kettle of Yarmouth, Inc.                    141 Falmouth Rd.                          Hyannis            MA    02601-0000   5032281           08/01/09
RETAIL      Hearth'N Kettle of Falmouth, Inc.                     141 Falmouth Rd.                          Hyannis            MA    02601-0000   5032261           08/01/09
MANUF       Heat Transfer Products                                PO Box 429                                East Freetown      MA    02717        5100018           01/01/04
MIIA        Heath, Town of                                        Town Offices, Main Street                 Heath              MA    01346        60                07/01/05
ISCC        Hebrew College                                        43 Hawes Street                           Brookline          MA    02146        WC 000273         01/01/93
MANUF       Heinrich Ceramic Decal, Inc.                          150 Goddard Memorial Drive                Worcester          MA    01603        3000079           01/01/92
RETAIL      Helen's Bakery, Inc.                                  246 Greenwood Street                      Worcester          MA    01607-0000   501982            03/01/02
RETAIL      Hellas, LLC dba Franklin Mobil                        660 W Central Street                      Franklin            MA   02038        5032711           01/01/11
CARE        Hellenic Nursing and Rehab Center                     601 Sherman Street                        Canton             MA    02021        2100025           01/01/07
RETAIL      Helly, LLC, dba East Bridgewater Liquors              225 Bedford St.                           East Bridgewater   MA    02333-1986   5032301           03/29/10
            Hemisphere Operating Inc, dba Hemisphere
RETAIL      Restaurant                                            PO Box 2019                               Sandwich           MA    02563-0000 5031947             06/01/08


                                                                                     Page 77 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip            Policy     Effective
Group       Member Name                                          Street Address                      City               St.      Code           Number       Date

RETAIL      Herbert S. & Charles Brown, dba Stout Men's Shop     929 Worcester Road                  Framingham         MA    01701-5235   501383           08/01/97
RETAIL      Heritage Leasing Corp, dba The Mufflerman            624 Gallivan Blvd                   Dorchester         MA    02124-0000   5032690          12/31/10
ISCC        Heritage Plantation of Sandwich, Inc.                67 Grove Street                     Sandwich           MA    02563        WC 001164        01/01/10
RETAIL      Heritage Service Centers, Inc.                       277 Bedford Street                  Lexington          MA    02173-0000   5030934          01/01/06
STAM        Heritage Truck & Transit, Inc.                       P.O. Box 925, 750 West Broadway     Gardner            MA    01440        WC-06-3003003    07/01/03
RETAIL      Heroes, Inc., dba Heroes Uniform & Supply Co.        40 First Street                     Lowell             MA    01850-0000   5030551          11/18/05
RETAIL      Herrell's Ice Cream Corp.                            8 Old South St.                     Northampton        MA    01060-0000   501950           01/01/02
RETAIL      Herring Run Group, Inc., dba Alumni Sports Cafe      95 Washington Street                Pembroke           MA    02359-0000   5032352          09/19/09
            Hicklin-Jones, LLC, dba Lambert's Cove Inn &
RETAIL      Restaurant                                           90 Manaquayak Rd                    Vineyard Haven     MA    02568-0000   5032177          03/29/09
SILBA       High Standard, Inc.                                  28 Riverside Drive                  Pembroke           MA    02359        WC 000959        01/01/05
RETAIL      Highland Auto Parts                                  625 McGrath Highway                 Somerville         MA    02145-0000   5030421          09/23/03
RETAIL      Highland Donut Corporation, dba Dunkin Donuts        PO Box 189                          Chelmsford         MA    01824-0000   5030672          08/01/04
RETAIL      Highland Hardware & Bike Shop                        917 Hampden St                      Holyoke            MA    01040-0000   5030197          02/15/94
RETAIL      Highland Service Center of Newton, Inc.              1186 Walnut Street                  Newton Highlands   MA    02461-0000   5031348          01/01/07
TRADE       Highway Interstate Trans Co., Inc.                   PO Box 1357                         Middleboro         MA    02346        4100052          02/27/06
RETAIL      Hikmat Hannawi, dba Hopedale Mart                    404 S. Main St.                     Hopedale           MA    01747-0000   5032473          01/10/10
RETAIL      Hillside Holdings, Inc., dba Eighty Jarvis           80 Jarvis Ave                       Holyoke            MA    01040-0000   5032597          07/30/10
RETAIL      Hillside Jaguar, Inc., dba Hillside Service Center   45 Mystic Ave                       Somerville         MA    02145-0000   5031693          09/16/07
ISCC        Hillside School, Inc.                                Robin Hill Road                     Marlboro           MA    01752        WC 000044        04/01/92
RETAIL      Hilton's Tent City, Inc.                             272 Friend Street                   Boston             MA    02114-0000   501376           08/01/97
AICC        Hinds & Coon Company                                 118B Street                         So. Boston         MA    02127        WC 001031        01/01/00
NAHRO       Hingham Housing Authority                            30 Thaxter Street                   Hingham            MA    02043        WCMN0153         06/01/04
SILBA       Hingham Lumber                                       190 Summer Street                   Hingham            MA    02043        WC 000815        01/01/94
RETAIL      Hinsdale Trading Co                                  371 Old Dalton Rd                   Hinsdale           MA    01235-0000   5032799          04/15/11
MIIA        Hinsdale, Town of                                    Town Hall, 39 South Street          Hinsdale           MA    01235        61               07/01/05
AICC        Hi-Tech Auto Body                                    51 New Street                       Cambridge          MA    02138        WC 005132        06/01/05
AICC        HMA Car Care Systems, Inc.                           72 North Street                     Salem              MA    01970        WC 001102        01/01/00
RETAIL      Hodgies Too of Salisbury Partners                    100 Hilldale Ave                    Southampton        NH    03827-0000   501280           06/02/97
RETAIL      Hodmill Inc., dba Tavern From Tower Square           PO Box 1359                         Attleboro          MA    02763-0416   5030110          08/01/03
RETAIL      Hoffman Jewelry Inc., dba Kenneth Jon Jewelers       435A Paradise Road                  Swampscott         MA    01907-0000   501932           01/03/02
MANUF       Hoff's Kitchen Co., Inc.                             2 Sixth Street                      Medford            MA    02155        5100035          08/01/04
McD         Hogan Management Co.                                 c/o McDonalds, 12 Pearl Street      Braintree          MA    02184        12551            01/01/93
TRADE       Hogan Tire Center, Inc.                              408 Washington Street               Woburn             MA    01801        4000028          01/01/93
NAHRO       Holbrook Housing Authority                           One Holbrook Court                  Holbrook           MA    02343        WCMN0025         05/01/04
MEGA        Holbrook Town of                                     50 N Franklin Street                Holbrook           MA    02343        X340097          07/01/11
RETAIL      Holden Discount Liquors, Inc.                        673 S Main St                       Holden             MA    01520-0000   5030196          05/01/92
MIIA        Holden Housing Authority                             9 Flagler Drive                     Holden             MA    01520        62               07/01/05
MIIA        Holden, Town of                                      1204 Main Street                    Holden             MA    01520        63               07/01/05

                                                                                    Page 78 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                           Zip             Policy   Effective
Group   Member Name                                               Street Address                              City               St.      Code            Number      Date
RETAIL  Holder Inc, dba Vincenzos Pasta                           1200 Main St.                               West Concord       MA    01742-0000   5031889          04/01/08
RETAIL  Holdgates Island Laundry, Inc.                            PO Box 869                                  Nantucket          MA    02554-0000   501661           03/14/01
RETAIL  Hole Pie, Inc., dba Magpie                                44 Hope Street                              Greenfield         MA    01301-0000   5032347          06/25/10
RETAIL  Holie Donut VIII, LLC, dba Dunkin Donuts                  99 Walnut Street Suite E                    Saugus             MA    01906-0000   5031162          01/17/07
RETAIL  Holie Donuts II, Inc.                                     99 Walnut Street                            Saugus             MA    01906-0000   502162           08/01/01
RETAIL  Holie Donuts III, Inc.                                    99 Walnut Street                            Saugus             MA    01906-0000   502163           08/01/01
RETAIL  Holie Donuts Inc.                                         99 Walnut Street                            Saugus             MA    01906-0000   502161           08/01/01
RETAIL  Holie Donuts VI, Inc., dba Dunkin Donuts                  99 Walnut Street Suite E                    Saugus             MA    01906-0000   5030329          07/21/03
RETAIL  Holie Donuts VII, LLC, dba Dunkin Donuts                  99 Walnut Street Suite E                    Saugus             MA    01906-0000   5030524          01/01/04
MIIA    Holland, Town of                                          RR2, Box 170                                Holland            MA    01521        348              07/01/05
        Hollie Warren & Michael Dupont, dba Homestyle
RETAIL  Cafe                                                      1780 Westover Road                           Chicopee          MA    01020-0000   1004000          06/01/03
NAHRO   Holliston Housing Authority                               492 Washington Street                        Holliston         MA    01746        WCMN0148         06/01/04
MIIA    Holliston, Town of                                        100 Linden Street                            Holliston         MA    01746        248              07/01/05
RETAIL  Holly Park Variety Inc.                                                                                Hwy
                                                                  Attention: Dean Bolton, 580 A North Falmouth North Falmouth    MA    02556-0000   500153           02/07/96
MEGA    Holyoke Community Charter School                          2200 North Hampton Street                    Holyoke           MA    01040        X340228          07/01/05
NAHRO   Holyoke Housing Authority                                 475 Maple Street                             Holyoke           MA    01040        WCMN0087         06/01/04
RETAIL  Holyoke Lock Co., Inc.                                    170 Montgomery Street                        Chicopee          MA    01020-0000   501762           07/01/97
CARE    Home Resources, Inc.                                      Attention: Michael Mosher, 51 Summer Street Rowley              MA   01969        2100011          11/01/08
RETAIL  Home Theater Concepts LTD                                 227 Carnegie Row                             Norwood           MA    02062-0000   501653           01/01/06
MASSBAY HOME, Inc.                                                See: Lynn Shelter Association, Inc.
        Homestead Grocery Mart Inc., dba Twin Stop Food
RETAIL  Store 1                                                   592 Birnie Ave.                             West Springfield   MA    01089-0000 5032021            07/04/09

RETAIL      Homestead Tradesman, Inc., dba Rainbow Furniture      112 Grove Street                            Worchester         MA    01605-0000   501855           10/30/97
AICC        Honda North/Intl. Cars Ltd.                           382 Newbury Street                          Danvers            MA    01923        WC 004063        06/15/04
RETAIL      Hondar House, Inc.                                    227 Prospect St.                            Cambridge          MA    02139-0000   5031581          06/01/07
MMCG        Honematic Machine Corp.                               222 Shrewsbury Street                       Boylston           MA    01505        WC 000387        01/01/94
RETAIL      Honey Farms Business Trust                            505 Pleasant Street                         Worcester          MA    01609-0000   5030513          01/01/04
RETAIL      Honey Farms, Inc.                                     505 Pleasant Street                         Worcester          MA    01609-0000   5030211          01/01/04
MIIA        Hoosac Water Quaility                                 677 Simmons Road                            Williamstown       MA    02167        421              07/01/05
RETAIL      Hopash, Inc., dba TJ Spirits South                    335 West Union Street                       Ashland            MA    01721-0000   1026050          08/01/02
NAHRO       Hopedale Housing Authority                            116 Hopedale Street                         Hopedale           MA    01747        WCMN0079         06/01/04

MASSBAY     hopeFound(formerly Friends of the Shattuck Shelter)   170 Morton Street                           Jamaica Plain      MA    02130        80341            05/11/05
NAHRO       Hopkinton Housing Authority                           100 Davis Road                              Hopkinton          MA    01748        WCMN0119         06/01/04
RETAIL      Hopkinton Lumber Co., Inc.                            118 Main Street                             Hopkinton          MA    01748-0000   5031059          01/01/07
RETAIL      Hopkinton Wine & Spirits                              77 West Street                              Hopkinton          MA    01748-0000   5030904          10/02/05
MIIA        Hopkinton, Town of                                    18 Main Street                              Hopkinton          MA    01748        413              07/01/05
MANUF       Hoppe Technologies, Inc.                              107 First Avenue                            Chicopee            MA   01020        5100104          01/01/11


                                                                                      Page 79 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                            Zip            Policy    Effective
Group       Member Name                                            Street Address                              City               St.      Code            Number      Date
ABC         Horizon Metals, Inc.                                   2 Windham Depot Road                        Derry              NH    03038        ABCMA 005012     01/01/02
HEALTH      Horizons for Homeless Children, Inc.                   1705 Columbus Ave                           Roxbury            MA    02119        3100012          01/01/11
SILBA       Horner Millwork Corp.                                  1255 G.A.R. Highway                         Somerset           MA    02726        WC 000853        01/01/01

MASSBAY Hospice and Palliative Care of Cape Cod                    See: Hospice Foundation of Cape Cod, Inc.
        Hospice Found. of Cape Cod, Inc.dba - Hospice and
MASSBAY Palliative Care of Cape Cod                                See: Hospice Foundation of Cape Cod, Inc.
MASSBAY Hospice Foundation of Cape Cod, Inc.                       270 Communication Way                       Hyannis            MA    02601        80342            08/03/05
RETAIL  Hot Stove Inc., dba Hot Stove Saloon                       551 Rt 28                                   Harwich Port       MA    02646-0000   5032490          02/16/10
STAM    Houle's City Cab, Inc.                                     333 Lindsey Street                          Attleboro          MA    02703        WC-06-5003020    07/08/05
RETAIL  House of Flowers, Inc., dba Durocher Florist               184 A Union Street                          West Springfield   MA    01089-4103   5031004          02/10/06
ISCC    House of Seven Gables Settlement Assoc.                    54 Turner Street                            Salem              MA    01970        WC 000547        01/01/95
        House of Shoes of Dartmouth, Inc., dba Harve's
RETAIL  Shoe Box                                                   98 State Road #A                            North Dartmouth    MA    02747-2921   5030194          08/01/92
RETAIL  House of Stentiford, LTD, dba Cameo Shop                   P.O. Box 62                                 Chartley,          MA    02712-0000   500811           10/22/95
RETAIL  Howard's Drive-In, Inc.                                    Rural Route 9                               West Brookfield    MA    01585-0000   502238           08/06/02
SILBA   Howe Lumber Company, Inc.                                  P.O. Box 30                                 East Brookfield    MA    01515        WC 000761        01/01/92
RETAIL  Hub Discount, Inc.                                         604 East Broadway                           South Boston       MA    02127-0000   501571           02/01/00
MIIA    Hubbardston, Town of                                       Main Street                                 Hubbardston        MA    01452        296              07/01/05
RETAIL  Hudson Appliance Center, Inc.                              167 Main Street                             Hudson             MA    01749-0000   5030639          05/10/04
MIIA    Hudson Housing Authority                                   8 Brigham Circle                            Hudson             MA    01749        66               07/01/05
MIIA    Hudson, Town of                                            Main Street                                 Hudson             MA    01749        65               07/01/05
RETAIL  Huggard & Ewing, Inc                                       1305 Washington Street                      Stoughton          MA    02072-0000   5032155          02/01/09
NAHRO   Hull Housing Authority                                     6 Atlantic House Court                      Hull               MA    02045        WCMN0169         06/01/04
RETAIL  Humphreys Inc.                                             PO Box 1258                                 West Tisbury       MA    02575-0000   5032239          05/14/09
        Hunter Development Group Inc., dba Northampton
RETAIL  Transmission                                               245 N. King St.                             Northampton        MA    01060-0000 5031998            09/16/08

RETAIL      Huntington Liquor Corp., dba Huntington Liquor Store   PO Box 226                                  Huntington         MA    01050-0000   502174           09/11/01
MIIA        Huntington, Town of                                    Town Hall, Park Street                      Huntington         MA    01050        67               07/01/05
McD         Hurley Organization, LLC, The                          6 Byrons Way                                Franklin           MA    02038        13015            08/21/03
RETAIL      Hurricane Hugo Inc, dba Lost Dog Pub                   P O Box 773                                 East Dennis        MA    02641-0000   5032250          05/27/09
RETAIL      Hyannis Auto Center Inc.                               436 Yarmouth Road                           Hyannis            MA    02601-0000   5032383          11/01/09
RETAIL      Hyannis Country Garden, Inc.                           380 West Main St.                           Hyannis             MA   02601        5032703          01/01/11
RETAIL      Hyannis Persy's Place LLC                              43 Bedford Street                           Middleboro         MA    02346-0000   5030065          01/01/04

RETAIL      Hyde Park Liquors II, Inc., dba Dorr's Liquor Market   354 Washington Street                       Brighton           MA    02135-0000   5031279          10/26/06
MANUF       Hypertronics Corporation                               16 Brent Drive                              Hudson             MA    01749        3000087          01/01/93
RETAIL      I. Q. F. Custom Packing, Inc.                          140 Waldron Rd.                             Fall River         MA    02720-0000   5031670          05/25/08
RETAIL      I.B.G. Management Corp                                 PO Box 310                                  Waltham            MA    02451-0000   5030202          01/01/04


                                                                                      Page 80 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip            Policy   Effective
Group       Member Name                                           Street Address                          City               St.      Code           Number     Date

RETAIL      Ian Thomas Corp., dba Horseshoe Pub & Restaurant      29 South Street                         Hudson             MA    01794-0000   5031569        05/21/07
TRADE       ICC Trucking, LLC                                     110 North Bridge St                     Holyoke            MA    01040        4100124        06/26/11
RETAIL      Idbil Corp., dba Dighton House of Pizza               420 Somerset Ave                        Dighton            MA    02764-0000   5031141        12/08/06
RETAIL      Idylwilde Farms, Inc.                                 366 Central Street                      Acton              MA    01720-0000   1055973        10/01/91
RETAIL      IFD, Inc.                                             1506 Allen Street                       Springfield        MA    01108-0000   1098972        01/01/03
            IGM Enterprises, Inc., dba Meineke Car Care Center
RETAIL      #398                                                  119 Rantoul Street                      Beverly            MA    01915-0000   5031133        01/08/07
RETAIL      Ike's Den, Inc.                                       284 Boston Turnpike                     Shrewsbury         MA    01545-0000   501390         09/02/97
RETAIL      Il Bico Restaurants, Inc., dba Petit Robert Bistro    468 Commonwealth Ave                    Boston             MA    02118-0000   5031591        05/16/07
RETAIL      Il Camino Restaurant, Inc.                            555 Central Street                      Leominster         MA    01453-0000   5031215        07/27/06
RETAIL      Il Forno II, Inc.                                     27 Airport Road                         Fitchburg          MA    01420-0000   5030435        01/01/06
RETAIL      Il Forno III, Inc.                                    27 Airport Road                         Fitchburg          MA    01420-0000   5030436        01/01/06
RETAIL      Il Forno IV, Inc.                                     27 Airport Road                         Fitchburg          MA    01420-0000   5030438        01/01/06
RETAIL      Il Forno Restaurant, Inc.                             27 Airport Road                         Fitchburg          MA    01420-0000   5030431        10/01/03
RETAIL      Il Panino Express, Inc.                               264-266 Hanover Street                  Boston             MA    02113-0000   5030258        02/06/04
RETAIL      Il Panino Inc.                                        11 Parmenter Street                     Boston             MA    02133-0000   5030255        02/06/04
RETAIL      IMCOR, Inc., dba Imperial Cleaners                    161 Huron Avenue                        Cambridge          MA    02138-0000   501373         06/30/97
AICC        Imported Auto Parts                                   1420 Fall River Avenue                  Seekonk            MA    02771        WC 001073      01/01/00
RETAIL      IMS Enterprise Inc, dba North Billerica Gulf          80 Chelmsford Rd.                       North Billerica    MA    01862-0000   5032460        02/02/10

RETAIL      In Season Restaurant, Inc., dba Br's Monponsett Inn   550 Monponsett Street                   Halifax            MA    02338-0000   5031852        01/27/08
RETAIL      In Your Ear Records LTD                               957 Commonwealth Avenue                 Boston,            MA    02215-0000   500918         05/16/96
RETAIL      Independence Harbor                                   PO Box 118                              Assonet            MA    02702-0000   5030800        04/15/06
RETAIL      Independent Tire and Auto, Inc.                       20 Old Clark Rd                         North Andover      MA    01845-0000   5031787        01/01/08
RETAIL      Indralok Corp., dba Country Farm                      127 Main Street                         Groton             MA    01450-0000   5030832        05/01/05
RETAIL      Indulge Yourself Inc.                                 16 Lincoln St.                          Newton Highlands   MA    02461-0000   5032650        09/17/10
MMCG        Industrial Blast Coil                                 27 Belmont Street                       South Easton       MA    02375        WC 000002      01/01/92
MANUF       Industrial Polymers & Chemicals, Inc.                 508 Boston Turnpike                     Shrewsbury         MA    01545        3000008        01/01/91
RETAIL      Infinite Herbs LLC                                    1180 E Hallandale Beach Blvd, Suite C   Hallandale         FL    33009-0000   500613         02/09/09
RETAIL      Ingleside Christmas House, Inc.                       79 Lower Westfield Road                 Holyoke            MA    01040-0000   501818         09/03/97
RETAIL      Ink Products Corp.                                    25 Grove Street                         Chicopee           MA    01020-0000   5030563        04/01/04
RETAIL      Inman Pharmacy, Inc                                   1414 Cambridge Street                   Cambridge,         MA    02139-0000   500365         02/01/95

RETAIL      Innovative Distrbuting Concepts LLC, dba Bin Ends     236A Wood Rd.                           Braintree          MA    02185-0000   5032604        07/01/10
RETAIL      Inocencio, Inc., dba Dunk N Munch                     97 Millers Drive                        North Dartmouth    MA    02747-0000   5031277        09/25/06
RETAIL      Inside Scoop, LLC                                     20 Springer Lane                        West Yarmouth      MA    02673-0000   1074110        05/28/09
RETAIL      Inspiration Donuts, Inc, dba Dunkin Donuts            80 Boston St.                           Lynn               MA    01904-0000   5031407        08/15/07
RETAIL      Inspirations Food Design, dba Lattitude               1338 Memorial Drive                     West Springfield   MA    01089-0000   5032555        05/07/10
ISCC        Institute of Contemporary Art, Inc.                   955 Boylston Street                     Boston             MA    02115        WC 000940      07/01/04


                                                                                        Page 81 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip          Policy      Effective
Group       Member Name                                            Street Address                       City             St.      Code          Number        Date
TRADE       Intercity Lines, Inc.                                  PO Box 1299 River Road               Warren           MA    01083      4100014            02/23/04
RETAIL      International Auto Services Inc                        367 Littleton Rd                     Westford         MA    01886-0000 5032010            06/13/09
            International Beverage Center, Inc., dba Nejaime's
RETAIL      Wine & Liquor                                          444 Pittsfield-Lenox Road            Lenox            MA    01240-0000   5032135          01/01/09
RETAIL      International Bicycle Center Inc.                      89 Brighton Avenue                   Allston          MA    02134-0000   1067450          11/01/02
MANUF       International Container Co., LLC                       110 North Bridge St                  Holyoke          MA    01040        5100114          06/26/11
RETAIL      International Food Gourmet, Inc                        57 Oak Street Ext                    Brockton         MA    02301-0000   5032004          08/01/08
ISCC        International Institute of Boston, Inc.                One Milk Street                      Boston           MA    02109        WC 000758        10/01/00
RETAIL      Intershell International Corp.                         46-52 Commercial Street              Gloucester       MA    01930-0000   502287           09/14/02
RETAIL      Interstate Building Supply, Inc.                       P.O. Box 200                         Southwick        MA    01077-0200   5032418          12/31/09
AICC        Interstate Towing, Inc.                                1660 Westover Road                   Chicopee         MA    01020        WC 001085        09/04/10
RETAIL      Ipswich Bottle Shop, Inc.                              188 High Street                      Ipswich,         MA    01938-0000   501045           01/01/97
RETAIL      Ipswich Car Wash LLC                                   206 High St.                         Ipswich          MA    01938-0000   5031828          01/15/08
AICC        Ipswich Ford, Inc.                                     105 Country Road                     Ipswich          MA    01938        WC 005137        09/01/05
NAHRO       Ipswich Housing Authority                              One Agawam Village                   Ipswich          MA    01938        WCMN0185         07/01/04
MIIA        Ipswich, Town of                                       25 Green Street                      Ipswich          MA    01938        477              07/01/11
RETAIL      Iris Photo & Digital, Inc.                             164 Main Street                      Northampton,     MA    01060-0000   501056           12/20/96

RETAIL      Irish Restaurant Company, Inc., dba The Kinsale Inn    PO Box 1128, 13 Water Street         Mattapoisett     MA    02739-0000   500015           07/01/06
ISCC        Isabella Stewart Gardner Museum                        2 Palace Road                        Boston           MA    02115        WC 000221        04/01/92
RETAIL      Island Home Furnishings LLC                            412 State Road                       Vineyard Haven   MA    02568-0000   5030701          10/01/04
RETAIL      Island Inspirations, Inc., dba Sweet Inspirations      PO Box 966                           Nantucket        MA    02554-0000   500884           02/25/96
SILBA       Island Lumber Company                                  P.O. Box 716                         Nantucket        MA    02554        WC 000837        01/01/97
            Ispwich 168, Inc., dba Ipswich River General Store &
RETAIL      Deli                                                   57 East St                           Ipswich          MA    01938-0000   5032204          04/01/09
RETAIL      Italian Design, Inc.                                   19 Spring Street                     Watertown        MA    02172-0000   5031171          02/19/07
RETAIL      Iva Foods Inc.                                         424 Cambridge Street                 Allston          MA    02134-0000   5030570          05/01/04
TRADE       Ivey Industrial, Inc.                                  383 Rocus Street                     Springfield      MA    01104        4100091          05/01/08
RETAIL      IZ Schwartz Appliance Warehouse, Inc.                  110 Slades Ferry Avenue              Somerset         MA    02726-0000   501678           04/01/97
RETAIL      J & B Burgers, Inc., dba Wild Willy's Burgers          317 W. Boylston St                   Worcester        MA    01606-0000   5032458          01/01/10
RETAIL      J & D Venture, Inc., dba Stripers Grille               175 Bridge Street                    Salisbury        MA    01952-0000   502395           05/31/02
RETAIL      J & J Auto Repair, Inc                                 635 Warren St.                       Fall River       MA    02721-0000   5032009          08/23/08
STAM        J & J Bus Company, Inc.                                307 Belchertown Road                 Ware             MA    01082        WC-06-0001464    07/12/95
RETAIL      J & J Convenience Corp., dba Country Farms             365 Barlow Landing Road              Pocasset         MA    02559-0000   5031612          05/17/07
STAM        J & J Driving School & Logistics, Inc.                 978 Nash Road                        New Bedford      MA    02746        WC-08-6003025    11/19/08
RETAIL      J & L Caterers, Inc.                                   191 West Pomeroy Lane                Amherst          MA    01002-0000   502108           06/01/02

RETAIL      J & M and Sons, Inc., dba Hopedale Package Store       130 Mendon Street                    Hopedale         MA    01747-0000 502350             12/10/02
RETAIL      J & N Realty, Inc.                                     24 Lyman Street                      Westborough      MA    01581-0000 1059600            01/01/04



                                                                                       Page 82 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip            Policy    Effective
Group       Member Name                                              Street Address                             City            St.      Code           Number      Date

AICC        J & Q Automotive, Inc. dba Sullivan Brothers Toyota      5 Cranberry Road                           Kingston        MA    02364        WC 004092       12/15/04
TRADE       J & S Transport Co., Inc.                                91 Clark Street                            Lynn            MA    01902        4100028         05/23/05
            J & T Enterprises, Inc., dba Omni Foods
RETAIL      Supermarkets                                             21 Center Street                           Weston          MA    02493-0000 5030570           05/01/04
RETAIL      J A Fernandez Inc dba Fernandez 3 Liquors                2665 Washington Street                     Roxbury         MA    02119-0000 5032809           04/21/11
RETAIL      J Bonafede Co., Inc.                                     29 New England Produce Center              Chelsea         MA    02150-0000 500658            07/01/95

RETAIL      J C W Cormier Jewelers, Inc., dba Cormier Jewelers       136 Main Street                             Spencer,       MA    01562-0000   501857          11/23/97
RETAIL      J M K W, Inc., dba John's Shell                          969 Morrissey Blvd                          Dorchester     MA    02124-0000   5031401         08/10/07
RETAIL      J Pace & Son Central, Inc.                               190 Main St                                 Saugus         MA    01906-0000   5031043         06/24/07
RETAIL      J Pace & Son Downtown, Inc.                              190 Main Street                             Suagus         MA    01906-0000   5031042         06/24/07
RETAIL      J Pace & Son North End, LLC                              190 Main Street                             Saugus         MA    01906-0000   5031041         06/24/07
RETAIL      J Pace & Son Uptown Inc.                                 325 Main Street                             Saugus         MA    01906-0000   5031044         05/20/09
RETAIL      J Pace & Son, Inc.                                       190 Main Street                             Saugus         MA    01906-0000   5031319         11/19/06
RETAIL      J S Krishna Corp., dba Hobart's Country Store            2514 Main Street                            Tewksbury      MA    01876-0000   5032313         08/01/09
RETAIL      J Turner Seafood, Inc.                                   PO Box 333                                  Gloucester     MA    01931-0000   502326          09/16/02
McD         J&A Management Co., Inc.                                 See J.J.& B. Co., Inc.
RETAIL      J&B Nantucket, Inc., dba Old South Liquors               2 Lovers Lane                               Nantucket      MA    02554-0000   5030251         05/01/91
RETAIL      J&M Bakers Donuts, LLC, dba Dunkin Donuts                80 Boston St                                Lynn           MA    01905-0000   5031664         08/15/07
RETAIL      J&Mem LLC, dba Giuseppe's                                                                            Gloucester
                                                                     c/o Memory Sampson, 158 East Main St., Unit #2             MA    01930-0000   500625          05/14/10
CTCC        J. Anthony Express, Inc.                                 55 Industrial Way                           Seekonk        MA    02771        WC 000937       06/28/04
AICC        J. C. Carbone & Sons, Inc.                               572 Lincoln Avenue                          Saugus         MA    01906        WC 001086       01/01/00
RETAIL      J. Calareso & Sons, Inc.                                 122 Main Street                             Reading        MA    01867-0000   501475          10/01/97

RETAIL      J. D. Auto Center, Inc., dba J. D. Auto Service Center   320 Newton Street                          Chestnut Hill   MA    02467-0000   5032200         03/28/09
RETAIL      J. Destino, Inc., dba Destino's                          129 Prospect Street                        Gloucester      MA    01930-0000   5031309         11/23/06
AICC        J. E. Robison Service Co., Inc.                          347 Page Boulevard                         Springfield     MA    01104        WC 004064       07/01/04
TRADE       J. E. Tully, Inc.                                        39 Dawley Rd                               Westminster     MA    01473        4100116         06/01/10
SILBA       J. Foster Lumber DBA Pine Prod.                          829 Webster Street                         Marshfield      MA    02050        WC 000834       01/01/96
ABC         J. J. Bafaro, Inc.                                       9-13 Winter Street, P.O. Box 943           Worcester       MA    01613        ABCMA 005003    07/01/04
RETAIL      J. Maheras Co., Inc.                                     100 New England Produce Center             Chelsea         MA    02150-0000   501929          03/10/98
RETAIL      J. Todd Enterprises, Inc., dba J. Todd Galleries         572 Washington Street                      Wellesly,       MA    02181-0000   501025          08/03/96

CTCC        J.A. Miara Trans., Inc. dba Sherman Crane Service        140 West Street                            Wilmington      MA    01887        WC 001151       09/26/07
RETAIL      J.D-Wal, Inc., dba Dino's Pizza Restaurant               615 Homestead Ave                          Holyoke         MA    01040-0000   5031906         04/01/08
McD         J.J.& B. Co., Inc.                                       31 Old Laxfield Road                       Shrewsbury      MA    01545-5465   13362           01/01/93
RETAIL      J.L. Gill, Inc., dba Brake & Alignment Specialists       81 Cedar Street                            Norwood         MA    02062-0000   5031208         04/07/07
RETAIL      J.L.K.J. Corporation, dba JP'S Restaurant                200 Whiting Farms Road                     Holyoke         MA    01040-0000   502450          08/01/02
RETAIL      J.M.R. Inc., dba Mt Auburn Grille                        645 Mt. Auburn Street                      Watertown       MA    02472-0000   502147          08/01/02


                                                                                        Page 83 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip             Policy        Effective
Group       Member Name                                          Street Address                       City             St.      Code            Number           Date
RETAIL      J.P. Licks @ Arlington, Inc.                         659 Centre St                        Jamaica Plain    MA    02130-0000   502404                01/01/07
RETAIL      J.P. Licks @ Davis Square, Inc.                      659 Centre St                        Jamaica Plains   MA    02130-0000   502402                01/01/07
RETAIL      J.P. Licks @ Inman Square, Inc.                      659 Centre Street                    Jamaica Plain    MA    02130-0000   502407                01/01/07
RETAIL      J.P. Licks at Collidge Corner, Inc.                  659 Centre Street                    Jamaica Plain    MA    02130-0000   502363                01/01/04
RETAIL      J.P. Licks at Harvard Square, Inc.                   659 Centre St                        Jamaica Plain    MA    02130-0000   502403                01/01/07
RETAIL      J.P. Licks at Legacy Place, Inc.                     659 Centre Street                    Jamaica Plain    MA    02130-0000   502409                05/01/10
RETAIL      J.P. Licks at Newbury Street, Inc.                   659 Centre Street                    Jamaica Plain    MA    02130-0000   502360                01/01/04
RETAIL      J.P. Licks at Newton Centre, Inc.                    659 Centre Street                    Jamaica Plain    MA    02130-0000   502363                01/01/04
RETAIL      J.P. Licks at One Brigham Circle, Inc.               659 Centre Street                    Jamaica Plain    MA    02130-0000   502364                06/01/05
RETAIL      J.P. Licks at West Roxbury, Inc.                     659 Centre Street                    Jamaica Plain    MA    02130-0000   502363                01/01/04
RETAIL      J.P. Lick's Homemade Ice Cream Co. Inc.              659 Centre Street                    Jamaica Plain    MA    02130-0000   502359                01/01/04
RETAIL      J.P. Licks MFG Corp.                                 659 Centre St                        Jamaica Plain    MA    02130-0000   502404                01/01/07
RETAIL      J.P. Licks Mgmt Assoc., Inc.                         659 Centre Street                    Jamaica Plain    MA    02130-0000   502358                01/05/03
RETAIL      J.P. Licks Store, Inc.                               659 Centre St                        Jamaica Plain    MA    02130-0000   502400                01/01/07
            J.P. O'Connor Hardware, Inc., dba O'Connor True
RETAIL      Value Hardware                                       446 Boston Road                      Billerica        MA    01821-0000 5031568                 06/01/07
            J.R. Rundle & Sons, Inc., dba Western Performance
RETAIL      Automotive                                           213 Washington Street                Weymouth,        MA    02188-0000   501224                04/01/97
RETAIL      J.W. Lopes LLC                                       128 Carter Street                    Chelsea          MA    02150-0000   5032220               04/15/09
RETAIL      J.W. Tackle Corp., dba Fisherman's Outfitter         20 Main St.                          Gloucester       MA    01930-0000   501722                04/05/01
RETAIL      JAC, Inc., dba Meineke Car Care Center #886          662 Southern Artery                  Quincy           MA    02169-0000   5031000               03/01/06
AICC        Jack Young Company                                   354 Cambridge Street                 Allston          MA    02134        WC 001033             01/01/00
RETAIL      Jackpot Provision                                    105 Market Street                    Chelsea          MA    02150-0000   5031582               05/19/07
RETAIL      Jack's Gas Inc.                                      2535 Mass Ave                        Cambridge        MA    02140-0000   5031563               06/12/07
SILBA       Jackson Lumber                                       P.O. Box 449                         Lawrence         MA    01842        WC 000762             01/01/92
MHTSIG      Jaco, Inc.                                           155 Farm Street, P.O. Box 569        Bellingham       MA    02019        WP8-11B-237209-011    01/01/94
AICC        Jaffarian Service, Inc.                              600 River Street                     Haverhill        MA    01832        WC 004090             12/31/04
            Jahnavi Riya Wine Shop, Inc., dba The Wine Shop of
RETAIL      Reading                                              676 Main St.                         Reading          MA    01867-0000   5032603               08/01/10
RETAIL      JAI Jalaram, LLC                                     38 Upland Road                       Ashland          MA    01721-0000   501629                11/29/07
RETAIL      JAJB, Inc., dba Tavern in the Square Allston         161 Brighton Avenue                  Allston          MA    02127-0000   5032670               10/18/10
RETAIL      JA-MEL, INC., dba Corner Store                       Box 1587                             Oak Bluffs       MA    02557-0000   502282                10/01/02

RETAIL      James Associates, Inc., dba Boston Beer Garden       732 E. Broadway                      South Boston     MA    02127-0000   5032049               09/20/08
RETAIL      James Davis, dba Cape Hobbycraft Co.                 94 Walton Heath Way                  Mashpee          MA    02649-0000   502465                03/05/03
RETAIL      James Dent dba Sports Zone                           PO Box 50, Holyoke Street            Holyoke          MA    01041-0000   5032840               06/06/11
RETAIL      James F. Brine, Inc.                                 4 Church Street                      Belmont          MA    02478-0000   5031633               07/01/07

RETAIL      James Filandrianos Inc., dba Oak Square Sunoco       602 Washington St.                   Brighton         MA    02135-2548 5031226                 08/04/06
RETAIL      James Hook & Company, LLC                            15-17 Northern Ave.                  Boston           MA    02210-0000 5031773                 12/31/07


                                                                                     Page 84 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                              Zip          Policy   Effective
Group       Member Name                                            Street Address                               City                St.      Code          Number     Date
RETAIL      James Kuhn, dba Jimmy's Service                        501 Rear North Main St.                      West Bridgewater    MA    02379-0000 5031940         06/01/08

RETAIL      Jamie Francis Corp., dba Meineke Car Care Center       532 West Boylston Street                     Worcester           MA    01606-2027 5031214         08/27/06
TRADE       Jamie Oil Company, Inc.                                57 Park Street                               Framingham          MA    01701      4100065         08/01/06
RETAIL      Jamie's of Cohasset, Inc., dba Constantine's           156 King St                                  Cohasset            MA    02025-0000 5032552         04/13/10

RETAIL      Jamie's of Whitman, Inc., dba Jamie's Grille & Pub     769 Bedford Street                           Whitman             MA    02382-0000 5030538         04/01/05
            Jamie's Restaurant Group, Inc., dba Jamie's Grille &
RETAIL      Pub                                                    769 Bedford St                               Whitman             MA    02382-0000   5030536       04/01/05
RETAIL      Jam'n Java Corp, dba Carberry's                        600 Massachusetts Ave                        Arlington           MA    02474-0000   5031085       12/13/06
MANUF       Janlynn Corp                                           2070 Westover Road                           Chicopee            MA    01022        3000101       01/01/93
RETAIL      Jan's Package Store, dba Beer Mart                     385 Main Street                              Cherry Valley       MA    01611-0000   1058610       04/12/92
RETAIL      Jared M Dagrosa, dba Jerry's Place                     174 Conway                                   South Deerfield     MA    01373-0000   502296        01/28/02
RETAIL      Jarosz Package Store, Inc., dba Nipmuc Liquors         35 Thompson Road                             Webster,            MA    01570-0000   500930        06/09/96
RETAIL      Jarvis Appliance, Inc.                                 958 Worcester Street                         Wellesley           MA    02482-0000   1058920       07/20/93
RETAIL      Jashal Enterprises, Inc., dba Sunny Farms              16642 Deer Ridge Rd                          San Diego           CA    92127-0000   501480        11/29/97
RETAIL      JAST Associates, Inc.                                  24 Mill Street                               Worcester           MA    01603-2074   5031216       07/24/06
RETAIL      Jay Enterprises, Inc., dba Perfecto's Cafe             1115 Osgood Street                           North Andover       MA    01845-0000   5030747       04/01/06
RETAIL      Jay Kay Corp., dba La-Z-Boy Furniture Galleries        110 Faunce Corner Road                       Dartmouth           MA    02747-0000   502460        02/01/03
RETAIL      Jay Vee's, Inc.                                        825 Davol St                                 Fall River          MA    02720-0000   5030368       07/13/04
RETAIL      Jayel Enterprises LLC, dba Rockafellas                 227 Essex St.                                Salem               MA    01970-0000   5031183       06/20/06
RETAIL      Jazzman, Inc., dba Eric's Lapatisserie Cafe            252 Commercial Street                        Worcester           MA    01608-0000   1030875       08/01/02

RETAIL      JCDD Associates, Inc., dba Brighton Beer Garden        386 Market St.                               Brighton            MA    02135-0000 5032086         12/01/08

RETAIL      JDS Spirits Inc., dba Carver Square Wine & Spirits     128 Main Street                              Carver          MA        02330-0000 1000201         04/25/03
RETAIL      Jean Graziani, dba E.L.S.                              65 Ridge Road                                East Longmeadow MA        01028-0000 5030975         01/09/06

RETAIL      Jebridan Corporation, dba Vincent's Country Store      PO Box 413, 109 Main St                      Westminster         MA    01473-0000   62105         11/17/94
RETAIL      J-Edwins, Inc., dba Edwins Gifts                       341 West Central Street                      Franklin            MA    02038-0000   502443        06/23/02
RETAIL      Jeffery W. Wilson, dba Norabella                       702 Route 28                                 West Dennis         MA    02670-0000   5032197       04/01/09
RETAIL      Jeffrey A Mann, dba Highland Opticians                 33 Lincoln Street                            Newton Highlands,   MA    02161-0000   501688        04/01/97
RETAIL      Jeffrey O'Connor, dba The Celery Stalk                 140 Elm St.                                  West Springfield    MA    01089-0000   502245        12/24/01
RETAIL      Jeffrey-Ellen Corp., dba Innuwindow                    595 Worcester Rd                             Natick              MA    01760-0000   5030134       01/11/94
RETAIL      Jeffrey's Pub, Inc., dba The Early American            1054 Hancock St.                             Quincy              MA    02169-2104   5031330       11/30/06
RETAIL      Jeff's Carpets & Flooring, Inc.                        222 Webster Street                           Rockland            MA    02370-0000   501853        09/09/97
RETAIL      Jefri, Inc., dba The Money Stop                        450 Main St.                                 Springfield         MA    01105-0000   5032701       12/15/10
            Jehad Eideh & Kholoud Almawali, dba White Hen
RETAIL      9202-5                                                                                               Norwood
                                                                   c/o New England Pantry Inc., 290 Vanderbilt Ave                  MA    02062-0000 500067          06/07/03
RETAIL      Jelly's Inc., dba Jelly's Discs                        246 Park Ave                                  Worcester          MA    01609-0000 5030431         10/01/03


                                                                                        Page 85 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip           Policy     Effective
Group       Member Name                                            Street Address                             City          St.      Code          Number        Date
RETAIL      Jen Jes Corp, dba Liquor World                         9 Medway Road, Route 109, Star Market PlazaMilford       MA    01757-0000 500423             11/08/94
RETAIL      Jerome Enterprises,Inc, dba Taylor Rental              253 Union St                               Westfield     MA    01085-0000 501829             08/15/01
            Jerry's Auto Service Inc., dba Jerry's Auto & Cycle
RETAIL      Service                                                86-88 Middle Street                        Fairhaven     MA    02719-0000 5032369            11/01/09
RETAIL      JES Service, Inc., dba Tewksbury Mobil                 940 Andover Street                         Tewksbury     MA    01878-0000 5031649            07/02/07

RETAIL      Jesse Arron Corp, dba Four Leaf Clover Restaurant      19 South Street                            Bernardston   MA    01337-0000   5030552          06/18/05
RETAIL      Jessica Mullins dba World Eye Bookshop                 156 Main Street                            Greenfield     MA   01301        5032744          02/01/11
RETAIL      Jessica's Homeport Inc.                                PO Box 2100                                Orleans       MA    02653-0000   5031456          04/01/07
CARE        Jewish Healthcare Center, Inc.                         629 Salisbury Street                       Worcester     MA    01609        2100005          01/01/04
CARE        Jewish Home Hospice, Inc.                              629 Salisbury Street                       Worcester     MA    01609        2100005          01/01/06
RETAIL      JFJ Enterprises, Inc., dba Lee Texaco                  320 Housatonic Street                      Lee           MA    01238-0000   5031129          01/01/07
STAM        JFK Transportation, Inc.                               20 Spring Street                           Natick        MA    01760        WC-06-4901212    10/02/04
RETAIL      JFM Market, Inc., dba The Village Market               26-40 Corinth St.                          Roslindale    MA    02131-0000   501996           03/10/02
RETAIL      JFMF Corp., dba Cheers Discount Liquors                416 Springfield St.                        Agawam        MA    01001-0000   5030480          12/17/03
CARE        JHC Assisted Living Corp.                              629 Salisbury Street                       Worcester     MA    01609        2100005          01/01/04
RETAIL      Jim & Gwyn, Inc., dba Nimrod                           100 Dillingham Avenue                      Falmouth      MA    02540-0000   502204           08/01/02
RETAIL      Jim Boudreaus Automotive Repair Center,                2184 Main Street                           Tewksbury     MA    01876-0000   5031002          02/26/06
RETAIL      Jim's Auto Repair and Sales, LLC                       65 Mill Street Central #1                  Marlborough   MA    01752-0000   5032474          01/14/10
RETAIL      JJ Boomers of Lowell Inc.                              727 Pawtucket Blvd                         Lowell        MA    01854-0000   5030007          03/08/03
RETAIL      JJB Butcher, LLC, dba J&B Butcher                      1555 Main Street                           Tewksbury     MA    01876-0000   5032684          12/01/10
            JJJ Gas and Auto Repair Inc., dba O'Malley's Service
RETAIL      Station                                                531 Main Street                            Clinton       MA    01510-0000   5032334          08/12/09
RETAIL      JJSKD, Inc., dba Subway                                374 Cooley St.                             Springfield   MA    01128-0000   5031467          03/31/07
RETAIL      JMP Management, Inc., dba Honey Dew Donuts             405 West Central Street                    Franklin      MA    02038-0000   502328           09/15/08
RETAIL      JMR Restaurant , Inc., dba Tavern in the Square        730 Massachusetts Ave.                     Cambridge     MA    02139-0000   5032070          09/20/08
RETAIL      JMRS Restaurant, Inc., dba Tavern in the Square        163-189 Washington Street                  Salem         MA    01970-0000   5032246          05/26/09
            JMRSS Restaurant, Inc., dba Tavern in the Square
RETAIL      Porter                                                 1815 Massachusetts Ave.                    Cambridge     MA    02139-0000   5032071          11/26/08
RETAIL      JNS Auto, Inc., dba Meineke                            819 Broadway, Route 1 South                Saugus        MA    01906-0000   500334           12/01/09
RETAIL      Joannides Enterprise, Inc., dba Liquor World           365 West Central Street                    Franklin      MA    02038-0000   1059580          08/01/04
RETAIL      Jobi Liquors Inc.                                      170 Cambridge St.                          Boston        MA    02114-0000   502474           04/03/03
RETAIL      Jodan Liquors, Inc dba Randolph Package Store          42 North Main St.                          Randolph      MA    02368-4606   5032766          04/01/11
            Jodee Enterprises Inc., dba Bob's Famous Foodmart
RETAIL      & Discount Liquors                                     289 Park Street                            Stoughton     MA    02072-0000   1096405          01/01/03
RETAIL      Joe's Diner Inc, dba Oxford's Restaurant               2 Millbury Blvd.                           Oxford        MA    01540-0000   5032159          02/01/09
RETAIL      Jofria, Inc., dba Brooklawn Liquors                    496 Ashley Blvd                            New Bedford   MA    02740-0000   5030887          07/22/06
RETAIL      John & Sharon Kelly, dba The Secret Garden             P.O. Box 1506                              Oak Bluffs    MA    02557-0000   500929           05/20/96
RETAIL      John & Sons Meineke, Inc.                              626 South Main Street                      Webster       MA    01570-0000   5031733          10/15/07
RETAIL      John A Mantia & Sons, Inc.                             32-34 Boston Fish Pier                     Boston        MA    02210-0000   501646           01/01/01


                                                                                         Page 86 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip            Policy     Effective
Group       Member Name                                         Street Address                         City               St.      Code           Number       Date
            John and Paul LaFlamme, dba Ye Olde Butcher
RETAIL      Shoppe                                              68 North Blvd                          West Springfield   MA    01089-0000   5031937          05/01/08
RETAIL      John Anthony Designs Ltd., dba Jewelry Express      250 Granite St., South Shore Plaza     Braintree          MA    02184-0000   500415           07/27/01
RETAIL      John Chakalis, dba North Shore Furniture            307 Union St.                          Lynn               MA    01902-0000   502211           11/01/01
RETAIL      John Coyle, Inc., dba J & S Mobil                   1094 Beacon Street                     Newton             MA    02461-0000   5031055          12/15/06
            John Ferragamo, dba Bumper to Bumper Auto
RETAIL      Repair                                              320 Charger Street #C                  Revere             MA    02151-0000 5030712            02/27/06
RETAIL      John Fitch Car Wash, Inc.                           511 John Fitch Highway                 Fitchburg          MA    01420-0000 5032289            08/01/09
RETAIL      John Larson's Service, Inc.                         289 Lynn St                            Peabody            MA    01960-6535 5032531            05/01/10
            John Latta, dba Roger's Street Automotive Service
RETAIL      Center                                              572 Rogers Street                      Lowell             MA    01852-0000   5031321          11/17/06
SILBA       John Pagliazzo dba Plywood Supply Co.               1380 Main Street                       Waltham            MA    02451        WC 000996        01/01/07
CTCC        John Palmer Moving & Storage                        7 Craig Road                           Acton              MA    01720        WC 000216        10/01/92
RETAIL      John Pennini, dba Highlander Laundromat             3 East Grove Street                    Middleboro,        MA    02346-0000   500512           05/01/95
RETAIL      John Quill, dba John Quill Automotive               542 Holyoke St.                        Ludlow             MA    01056-0000   5031999          08/28/08
RETAIL      John Sambatakos, dba John's Auto Service            8 Bridge Street                        Danvers            MA    01923-0000   5031452          10/08/07
            John W. Scott Seamless Gutter Supply, InC, DBA
TRADE       Seamless Gutters                                    129 Hanscom Ave/ PO Box 511            Reading            MA    01867        4100115          08/13/10
            John Worley Real Estate Inc., dba Worleybeds
RETAIL      Factory Outlet                                      197 Popes Island                       New Bedford        MA    02740-0000   1086150          12/30/02
AICC        Johnkurt Enterprises, Inc.                          199 North Street                       Newtonville        MA    02160        WC 001097        01/01/00
RETAIL      Johnny Cupcakes, Inc.                               17D Nantasket Road                     Hull               MA    02045-0000   5030910          10/20/05
RETAIL      Johnny Mac,Inc., dba Johnny Mac Liquors             1949 Wilbraham Rd.                     Springield         MA    01129-0000   5031875          02/25/08
AICC        Johnson Ford, Lincoln, Mercury, Nissan, Inc.        P.O. Box 1144                          Pittsfield         MA    01202        WC 004050        01/01/04
SILBA       Johnson Lumber Co                                   110 Main Street                        Salisbury          MA    01952        WC 000781        01/01/92
RETAIL      Johnson String Instrument, Inc.                     11 John Street                         Newton             MA    02459-0000   5030632          07/01/04
RETAIL      Jomar Distributors, Inc.                            PO Box 202                             Watertown          MA    02471-0202   5032510          04/16/10
            Jopa Fine Dining Corp, dba Webster House
RETAIL      Restaurant                                          1 Webster St.                          Worcester          MA    01603-0000 5032399            11/02/09
RETAIL      Joppa Fine Foods, Inc.                              50 Water Street Suite 305              Newburyport        MA    01950-0000 5032439            01/02/10
RETAIL      Jordan Bros. Seafood Inc.                           PO Box 101, c/o Robert Jordan          Stoughton          MA    02072-0000 500222             04/03/02

RETAIL      Josdan Repair Service Inc., dba Canton Auto Service 879 B Washington Street                Canton             MA    02021-0000 5032203            04/11/09
RETAIL      Jose M. Neves, dba Pleasant Street Auto Repair      186 Pleasant St.                       Brockton           MA    02301-0000 5032557            06/01/10

RETAIL      Joseph A Palmer, dba Palmer's Automotive Service    1500 Middlesex Street                  Lowell             MA    01851-0000   5030935          01/01/06
RETAIL      Joseph Braga, Inc.                                  570 North Elm Street                   West Bridgewater   MA    02379-0000   5030117          10/01/03
RETAIL      Joseph Dinan, dba New Meadows Service               3 Topsfield Rd                         Ipswich            MA    01938-0000   5031365          07/18/07
STAM        Joseph Ingle Bus Service, Inc.                      577 Circuit Street                     Hanover            MA    02339        WC-06-0000564    05/12/94
RETAIL      Joseph Losciuto, dba Milk Bottle Restaurant         785 Broadway                           Raynham            MA    02767-0000   5031907          04/24/08


                                                                                      Page 87 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip             Policy   Effective
Group   Member Name                                               Street Address                       City            St.      Code            Number      Date
RETAIL  Joseph M Valastro, dba J.V. Diesel Service                253 Southwest Cutoff                 Worcester       MA    01604-2727   5032560          05/24/10
STAM    Josephs Transportation, Inc.                              44 James Street                      Medford         MA    02155        WC-06-0000992    05/02/02
RETAIL  Joseph's Trattoria & Bakery Cafe, Inc.                    PO Box 8195                          Ward Hill       MA    01835-0000   5031789          12/01/07
RETAIL  Jose's Auto Repair Inc                                    610 Hyde Park Avenue                 Roslindale      MA    02131-0000   5032138          01/23/09
RETAIL  Joslin Displays, Inc.                                     10 Upton Drive Suite 8               Wilmington      MA    01887-0000   5032212          05/01/09
RETAIL  Joy of the Wok, Inc.                                      1245 Boston Road                     Springfield     MA    01119-0000   5030789          04/01/05
RETAIL  Joyce Hartigan, dba Bob Lobster                           186 Northern Blvd                    Newburyport     MA    01950-0000   5032116          01/01/09
RETAIL  J-P's Restaurant Pub, Inc.                                PO Box 1105                          Westborough     MA    01581-0000   5030401          08/01/03
RETAIL  JRB Inc., dba Northboro Liquors                           15 West Main Street                  Northboro,      MA    01532-0000   500671           07/15/95
RETAIL  JRS of Gill, LLC, dba Jan's Package Store                 6 Main Road                          Gill            MA    01376-0000   5031928          05/01/08
RETAIL  JRZ Restaurant, Inc., dba Union Street                    107R Union St.                       Newton Center   MA    02459-0000   5032068          09/20/08
RETAIL  J's Automotive Warehouse, Inc                             7 Oak Street                         Salem           MA    01970-0000   5030221          02/25/04
RETAIL  J's Cleaners, Inc.                                        649 Lowell Street                    Peabody         MA    01960-0000   501150           02/24/97
RETAIL  J's Four, Inc.                                            c/a J. Raimon, 419 Petrel Trail      Bradenton       FL    34212-0000   501777           01/01/09
RETAIL  JST Corporation, dba Debro Liquors                        649 Eastern Avenue                   Lynn,           MA    01902-0000   501920           02/10/98
        JSTH Enterprises, Inc., dba Pembroke Center
RETAIL  Liquors                                                   44 Mattakeesett Street               Pembroke        MA    02359-0000 5031184            07/13/06
RETAIL  Juan Valera, dba Gibbs Auto Service                       240 Western Ave                      Lynn            MA    01902-0000 5030853            08/25/06
MASSBAY Judge Baker Children's Center                             3 Blackfan Circle                    Boston          MA    02215      80332              01/01/04
        Judith Avnet & Ronald Wilson, dba Tumbleweed and
RETAIL  NE Quilt                                                  PO Box 633                           Pembroke        MA    02359-0000   5030312          05/01/91
RETAIL  Judith Fine, dba Gazebo                                   14 Center Street                     Northampton     MA    01060-0000   1015503          08/01/02
McD     Judy Hajjar / JHJK Associates, LLC                        18 Wildwood Road                     Andover         MA    01810        26211            01/01/93
RETAIL  Jukebox Diner, Inc.                                       1155 GAR Highway                     Somerset        MA    02726-0000   5031165          01/30/07
ISCC    Julie's Family Learning Program                           133 Dorchester Street                South Boston    MA    02127        WC 000999        07/01/07
RETAIL  Julio's Liquors, Inc.                                     24 Lyman Street                      Westborough     MA    01581-0000   1059610          01/01/04
RETAIL  Julio's Market, Inc.                                      24 Lyman Street                      Westborough     MA    01581-0000   1070430          01/01/04
RETAIL  JWLGS, LLC                                                314 Mattakeesett Street              Pembroke        MA    02359-0000   5031553          04/01/07

RETAIL      K & P Food, Inc., dba Giovanni's Roast Beef & Pizza   672 Lowell Street                    Peabody         MA    01960-0000 5031432            03/01/07
RETAIL      K C J, Inc., dba Welch Automotive                     PO Box 1122                          Littleton       MA    01460-0000 5030970            01/01/06
            K K & N, Inc., dba Dean Park Pizzeria & Family
RETAIL      Restaurant                                            745 Main Street                      Shrewsbury      MA    01545-0000 5031464            04/01/07
TRADE       K Trucking & Son, Inc.                                109 Rhode Island Road                Lakeville       MA    02347      4100036            09/24/05
            K&B Car Care, Inc., dba Mobil 1 Lube Express &
RETAIL      Classic Car Wash                                      483 Hollis Rd                        Lunenburg       MA    01462-0000   5032674          11/05/10
RETAIL      K.A.R. Corp., dba Auntie Anne's Pretzels              37 Inwood Rd.                        Auburn          MA    01501-0000   5032093          11/12/08
RETAIL      K.B.C.S. Inc.                                         30 Poland Street                     Webster         MA    01570-0000   501586           01/01/04
RETAIL      K.J.R., Inc., dba West Street Tavern & Restaurant     7 West Street                        Newton          MA    02458-0000   5032695          11/18/10
RETAIL      K.K.P. Inc dba Sagamore Inn                           PO Box 166                           Sagamore         MA   02561        5032776          03/24/11


                                                                                      Page 88 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip             Policy   Effective
Group       Member Name                                          Street Address                         City             St.      Code            Number      Date
RETAIL      Kaganov & Sons Inc., dba Waban Market                10 Windsor Road                        Newton           MA    02468-0000   501364           02/04/96
RETAIL      Kahn Fine Antiques, LLC                              582 Main Street                        Chatham          MA    02633-0000   5031242          08/01/06
RETAIL      Kajal Convenience Inc, dba Mimi Convenience          1010 Main St.                          Walpole          MA    02081-0000   5031764          11/07/07
RETAIL      Kaknes Enterprises, Inc., dba K's Gulf               297 Lincoln Ave                        Haverhill        MA    01830-0000   5032504          04/05/10
RETAIL      Kalamata Inc., dba Ashmont Market & Liquor           630 Adams St.                          Dorchester       MA    02122-0000   502004           02/20/02
RETAIL      Kaleidoscope Toys, Inc.                              208 Main St.                           Falmouth         MA    02540-0000   5030902          07/09/06
RETAIL      Kallony, Inc., dba Roma Restaurant                   29 Middlesex St.                       Bradford         MA    01835-0000   502489           05/31/02
RETAIL      KAM Appliances & Home Electronics, Inc.              54A Meetinghouse Lane                  Sagamore Beach   MA    02562-0000   500374           02/01/95

RETAIL      Kamil and Son Inc, dba Methuen Shell & Tire Center   138 Havehill St.                       Methuen          MA    01844-0000   5031935          06/11/08
RETAIL      Kanku, Inc., dba The Store                           213 South Main St.                     Mansfield        MA    02048-0000   5032296          04/03/10
RETAIL      Kapadia Corporation Inc, dba Station Liquors         21 East Water Street                   Rockland         MA    02370-0000   5030825          06/01/05
ABC         Kaplan Corporation                                   116 Harvard Street                     Brookline        MA    02146        ABCMA 005014     11/01/93
RETAIL      Kappy's Importing & Distributing Co Inc.             296 Main Street                        Everett          MA    02149-0000   5030730          01/01/05
RETAIL      Kappy's Liquors, Inc.                                296 Main Street                        Everett          MA    02149-0000   5030730          01/01/05
RETAIL      Karagosian Corp., dba Plymouth Liquors               91 Carver Rd                           Plymouth         MA    02360-0000   5032305          08/20/09
RETAIL      Karnavati Express, Inc.                              95 Church Street                       Pembroke         MA    02357-0000   1049980          05/15/06
            Katama Spirits Group, Inc., dba Winchester Wine &
RETAIL      Spirits                                              632 Main Street                        Winchester       MA    01890-0000   5031364          06/25/07
RETAIL      Katerini, LLC dba Nahatan Street Service             143 Nahatan Street                     Norwood           MA   02062        5032711          01/01/11
RETAIL      Kathleen Duffy, dba Herbarium                        264 Exchange St.                       Chicopee         MA    01013-0000   502144           07/13/02
RETAIL      Kathleen L Ogden, dba Kay's Interiors                939 Salem Street                       Groveland        MA    01834-0000   5030498          02/01/05

RETAIL      Katie Roberts Corporation, dba Black Duck Market     12 Longmeadow Rd                       Beverly          MA    01915-0000 5032604            07/07/10
RETAIL      Kay Moulton dba Surfland Bait & Tackle               28 Plum Island Blvd                    Newbury          MA    01951-0000 5032837            06/02/11
            KayJay Foods, Inc. dba J K Crossroads
RETAIL      Restaurant                                           PO Box 646                             East Templeton    MA 01438          5032777          03/07/11
            Kay's Harbor Corporation, dba Stars on Hingham
RETAIL      Harbor                                               19 North Street                        Hingham          MA    02043-0000   5030580          08/01/05
RETAIL      Kayvita, Inc.                                        450 Main Street                        Springfield      MA    01105-2410   501396           01/01/04
RETAIL      KCNB, LLC, dba KC's Pub & Grill                      1284 Washington St                     Weymouth         MA    02189-0000   5032198          04/01/09
RETAIL      KCR Corporation, dba Richdale Dairy Store # 5        11 Cochrane St.                        Methuen          MA    01844-0000   501933           12/18/01
RETAIL      KDD Donuts, Inc., dba Dunkin Donuts                  80 Boston St.                          Lynn             MA    01905-0000   5031407          08/15/07
RETAIL      KDJ Inc., dba Delux Cafe                             100 Chandler Street                    Boston           MA    02116-0000   5030639          05/17/04
MANUF       Keating Wilbert Vault Co., Inc.                      1840 Boston Rd                         Wilbraham         MA   01095        5100098          10/22/10
RETAIL      Kedja Inc, dba Andale Cafe                           703 Main St.                           Harwich          MA    02645-0000   5031979          05/14/09
            Keenan Enterprises, LLC, dba Karen Keenan Gifts &
RETAIL      Home                                                 151 Main Street                        Lee              MA    01238-0000 5031036            04/01/06
RETAIL      Keglers Den Inc., dba The River Street Grill         100 River Street                       Beverly          MA    01915-0000 5030063            01/01/04
AICC        Keith Burden Auto Cleaning                           60 Pine Street                         Methuen          MA    01844      WC 006213          11/19/16


                                                                                       Page 89 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip           Policy   Effective
Group       Member Name                                          Street Address                      City               St.      Code          Number      Date
RETAIL      Keith Paton, dba ProSports                           41 Rear West Pond Road              Plymouth           MA    02360-0000 501062           01/01/97
SILBA       Keiver Williard                                      11-13 Graf Road                     Newburyport        MA    01950      WC 000763        01/01/92
            Keljikian, Malcolm & Jean dba Mal's Night & Day
AICC        Towing                                               7 Massachusetts Avenue              Lexington          MA    02420-4001   WC 007330      08/28/07
RETAIL      Kelley Boulevard Wines and Liquors Inc.              PO Box 1395                         Attleboro Falls    MA    02763-0000   5030400        08/09/03
TRADE       Kellinger Inc., dba Transpro Courier                 PO Box 171                          South Easton       MA    02375        4100088        03/02/08
SILBA       Kelly-Fradet Lumber Co                               P.O. Box 1269                       Enfield            CT    06083        WC 000779      01/01/92
RETAIL      Kelly's Associates, Inc., dba Kelly's Landing        159 Bridge Street                   Weymouth           MA    02191-0000   5030761        04/01/06
RETAIL      Kelly's Package Store, Inc.                          PO Box 320                          Dalton             MA    01226-0000   5030204        04/01/92
RETAIL      Kelly's Roast Beef, Inc., dba Kelly's Roast Beef     605 Broadway, Suite 300             Saugus             MA    01906-0000   500540         01/01/04
RETAIL      Kemal Akdogan dba Magic Rice & Illusions             115 Sumner Street, Apt E            East Boston        MA    02128-0000   5032800        04/15/11
RETAIL      Ken Chin's, Inc.                                     272 Mill Street                     Worcester          MA    02110-0000   5031621        08/01/07
RETAIL      Kender Inc., dba Newcomb Farms                       31 Beale Street                     Wollaston          MA    02170-0000   5030044        08/01/03
RETAIL      Kenel Marron, Inc., dba Hillside Cleaners            161 Huron Ave.                      Cambridge          MA    02138-0000   501754         01/01/09

RETAIL      Kenmare Corporation, dba Tweed's Pub Restaurant      231 Grove Street                    Worcester          MA    01605-0000 5030567          04/01/04
RETAIL      Kenmore Army & Navy Store of Boston Inc.             477 Washington Street               Boston             MA    02110-0000 5030972          01/15/06

RETAIL      Kenmore Burrito Corp, dba Boca Grande Tanqueria      PO Box 380213                       Cambridge          MA    02238-0000   5032310        08/01/09
RETAIL      Kennedy Donuts Inc., dba Honey Dew Donuts            147 Lowell St.                      Wakefield          MA    01880-0000   502205         10/22/01
RETAIL      Kennedy's Irish Pub, Inc.                            247A Maple Street                   Marlborough        MA    01752-0000   5030542        04/01/05
RETAIL      Kenners, Inc.                                        537 Broadway                        Lawrence           MA    01841-0000   501158         03/28/97
RETAIL      Kenny H Nguyen, dba City Cleaners                    1072 State Street                   Springfield        MA    01109-0000   502353         01/01/03
RETAIL      Ken's Auto LLC, dba Ken's Auto Service               6 Summer St.                        Billerica          MA    01821-0000   5031735        07/18/08
RETAIL      Ken's Tulsa Inc., dba Ken's Car Care Center          20 Salem Tpke                       Saugus             MA    01906-0000   5031643        07/24/07
RETAIL      Kent Avenue Bakery, Inc., dba Lampiasi's Bakery      53 Kent Street                      Pittsfield         MA    01201-0000   5030051        03/21/02
RETAIL      Kentucky Beverage, Inc., dba Clarendon Wine          563 Boylston Street                 Boston             MA    02116-0000   1036970        05/01/91
RETAIL      Kenwood Tire Co. Inc.                                118 S. Main St.                     West Bridgewater   MA    02379-0000   5032625        09/01/10
RETAIL      Kenyon's Market, Inc.                                769 East Falmouth Highway           East Falmouth      MA    02536-0000   5030207        05/01/91
RETAIL      Kerkini, LLC, dba O'Hara's Liquors                   402 W. Boylston St.                 Worcester          MA    01606-0000   5032312        07/28/09

RETAIL      Kevin P. Fitzgerald, dba Kevin's Automotive Repair   129 Lowell Road                     Concord            MA    01742-0000   5030899        07/13/06
RETAIL      Kevin's Automotive of West Boylston, LLC             312 West Boylston St.               West Boylston      MA    01583-0000   5032028        10/01/08
RETAIL      Key Boston Inc., dba The Boston Group                126 Grove Street                    Franklin           MA    02038-0000   1092955        01/01/03
RETAIL      Keystone Market, Inc.                                42 Bridge Street                    Shelburne Falls    MA    01370-0000   5031118        05/21/06
RETAIL      Khodiyar Corporation, dba Express Checkout           340 Washington St.                  Lynn               MA    01902-0000   5032498        03/29/10
RETAIL      Kickass Cupcakes,Inc.                                378 Highland Ave                    Somerville         MA    02144-0000   5032435        01/01/10
RETAIL      Kid Stuff, Inc.                                      1506 Allen Street                   Springfield        MA    01108-0000   5030001        11/01/07
RETAIL      Kigali Wine Co Inc, dba Leary's Fine Wines           202 Merrimac Street                 Newburyport        MA    01950-0000   5030414        11/02/04
RETAIL      Kilani Brothers, Inc.                                215 Main Street                     Walpole            MA    02081-0000   5031285        10/17/06


                                                                                    Page 90 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip            Policy   Effective
Group       Member Name                                          Street Address                      City               St.      Code           Number     Date

RETAIL      Kilby Books, LLC, dba Video Signals & Kilby Books    117 Great Road                      Stow               MA    01775-0000   5030986        01/29/06
AICC        Kilcoyne Auto Body, Inc.                             179 Worcester Rd.                   Worcester          MA    01606        WC 001125      01/01/03
RETAIL      Kim Corporation, dba Alpha & Omega                   2219 Washington Street              Roxbury            MA    02119-0000   501833         10/01/01
RETAIL      Kimball Family Corp., dba Wood's Seafood             Town Pier                           Plymouth,          MA    02360-0000   500967         06/30/96
RETAIL      Kimberly A Farmer, dba Mim's Market                  60 Main St.                         Northfield         MA    01360-0000   502010         04/01/02
McD         Kimco of Salem, LP                                   P.O. Box 329                        Newton Highlands   MA    02161        14648          01/01/93
RETAIL      Kimisi, Inc., dba Dairy Queen Treat Center           291 Main St.                        Spencer            MA    01562-0000   5031657        08/01/07
RETAIL      Kincora, Inc.                                        19 Brigham Street, Unit 5           Marlboro           MA    01752-0000   500860         01/13/96
McD         King & Wallin, LLC                                   7 Lynn Fells Pkwy                   Melrose            MA    02176        31273          05/01/09
RETAIL      King Phillip Restaurant & Motel, Inc.                35 State Road                       Phillipston        MA    01331-0000   1045070        08/01/02
MEGA        King Phillip RSD                                     201 Franklin Street                 Wrentham           MA    02093        X340140        07/01/02
McD         King-Selhi Associates, LLC                           See: RJK & Company, LLC
ISCC        Kingsley Montessori School                           30 Fairfield Street                 Boston             MA    02119        WC 000877      07/01/02
NAHRO       Kingston Housing Authority                           Hillcrest Road                      Kingstone          MA    02364        WCMN0076       06/01/04
RETAIL      Kingston Liquors Inc.                                179 Summer Street                   Kingston           MA    02364-0000   502514         03/15/03
RETAIL      Kingston Persy's Place LLC                           43 Bedford Street                   Middleboro         MA    02346-0000   5030065        01/01/04
MIIA        Kingston, Town of                                    23 Green Street                     Kingston           MA    02364        378            07/01/05
RETAIL      Kinne & Sons, Inc., dba City Line Package Store      650 North Main Street               East Longmeadow,   MA    01028-0000   501508         12/09/97
RETAIL      Kirin Produce Co. Inc.                               131 Newmarket Square                Boston             MA    02118-0000   5032405        12/01/09
ISCC        Kiripalu Center for Yoga and Healthe, Inc.           57 Interlaken Rd                    Stockbridge        MA    01262        WC 001165      01/01/10
RETAIL      Kirk Motor Works Inc                                 52 Groton Street                    Pepperell          MA    01463-0000   5032594        08/04/10
RETAIL      Kirsch & Davis Inc., dba Kirsch Package Store        646 Main St                         Worcester          MA    01608-0000   5030209        05/01/91
RETAIL      Kirshon Paint and Wallpaper Co, Inc.                 124 Pearl Street                    Chelsea            MA    02150-0000   501794         07/29/01
RETAIL      Kishu Corp, dba Big G Mini Mart                      424 East River Street               Orange             MA    01364-0000   5032178        01/01/09
RETAIL      Kisker Enterprises, Inc., dba The Paddock            20 Scudder Avenue                   Hyannis            MA    02601-0000   5030049        08/01/03
RETAIL      Kitchens By Curio Inc.                               1045 Boston Road                    Springfield,       MA    01119-0000   501633         03/31/97
RETAIL      Kitchens of Distinction Inc.                         PO Box 1225                         Southwick          MA    01077-0000   502313         02/14/02
RETAIL      Kitsta Corporation, dba The Manor Restaurant         42 West Boylston Street             West Boylston      MA    01583-1633   5030018        04/01/03
TRADE       KLM Vending Inc                                      145 Elm St.                         Braintree          MA    02184        4100086        02/07/08
            Kloc Restaurant, Inc. dba The Rainbow
RETAIL      Restaurant                                           109 First Street                    Pittsfield          MA 01201          5032733        01/01/11
            KMK Cleaners, Inc., dba Great American Cleaners of
RETAIL      Northborough                                         299 West Main Street                Northborough       MA    01532-0000   5031284        09/18/06
RETAIL      Kneeland Bros., Inc.                                 61 Wethersfield Street              Rowley             MA    01969-0000   502175         10/01/01
RETAIL      KOB, Inc., dba Horse N' Carriage Restaurant          210 Dedham Street                   Norfolk            MA    02056-0000   5031091        01/01/07
RETAIL      KOCC Corp                                            PO Box 368                          Pocasset           MA    02559-0000   502272         11/01/05
MANUF       Kochman, Reidt & Haigh, Inc.                         471 Page Street                     Stoughton          MA    02072        5100019        12/31/03
RETAIL      Kokie Inc., dba Rt.110 Liquors                       25 Macy St.                         Amesbury           MA    01913-0000   501622         01/01/01
RETAIL      Kolbo, Inc., dba Kolbo Fine Judaica                  437 Harvard Ave                     Brookline          MA    02446-0000   5031115        06/16/06


                                                                                    Page 91 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip            Policy   Effective
Group       Member Name                                           Street Address                           City             St.      Code           Number     Date

RETAIL      Konary Family Enterprises Inc., dba Marine Liquors    PO Box 622                               Dennisport       MA    02639-0000   5030640        06/09/04
RETAIL      Konditor Meister, Inc.                                32 Wood Road                             Braintree        MA    02184-0000   5032788        04/07/11
SILBA       Koopman Lumber Co                                     665 Church Street                        Whitinsville     MA    01588        WC 000802      01/01/93
MMCG        Kopin Corporation                                     695 Myles Standish Blvd.                 Taunton          MA    02780        WC 000201      01/01/92
RETAIL      Korbani's Bakery, Inc.                                77 Swan Street                           Methuen          MA    01844-0000   5031724        10/21/07
            Kostkas Hardware & Supply Co, dba Manny's
RETAIL      Hardware                                              5 Hill Street                            Taunton          MA    02780-0000   5030465        01/31/05
RETAIL      Kozy Kitchen, Inc.                                    105 Maple Street                         Attleboro        MA    02703-0000   5032333        09/01/09
RETAIL      KPB Pretzels, Inc. dba Auntie Anne's                  93 Concord Street                        Nashua           NH    03064-0000   5032846        06/12/11
RETAIL      Kramer & Co., Inc.                                    785 Washington Street                    Canton,          MA    02021-3016   500569         05/01/95
RETAIL      Kramers Inc., dba The Hungry Fox                      248 Bay Road                             South Hamilton   MA    01982-0000   502344         05/02/02
            Krish & Ishani Corporation, dba Marlborough Country
RETAIL      Convenience                                           c/o Rena Patel, 37 Crown and Eagle Way   Uxbridge         MA    01569-0000 500125           02/08/10
            Krish Corp, dba Red Apple Food & Liquor &
RETAIL      Redemption                                            267 Quincy Ave                           Braintree        MA    02184-0000 5030481          11/17/03
RETAIL      Krista K's, Inc.                                      475 Main Street                          West Dennis      MA    02670-0000 5030892          06/30/06
RETAIL      Kristin A. Burke, Inc., dba Kristin's                 349 Washington Street                    Braintree        MA    02184-0000 5030234          02/23/04
McD         Kristin Foods, Inc.                                   See McJennifer Foods Inc.
RETAIL      KRS Inc., dba Woodland Variety                        PO Box 800                               Vineyard Haven   MA    02568-0000 502262           01/23/02
RETAIL      Krupa Enterprise Corp., dba Lanesboro BP              705 South Main Street                    Lanesboro        MA    01230-0000 5030407          08/30/04
            KT Seafood, Inc. dba The Original Seafood
RETAIL      Restaurant                                            527 Route 28, Main St.                   Dennisport        MA   02639        5032724        01/03/11
RETAIL      Kurlan Music Center, Inc.                             17 East Mountain St.                     Worcester        MA    01606-0000   501944         12/30/01
RETAIL      Kussin's Inc                                          79 Main Street                           Concord          MA    01742-0000   500822         12/19/95
RETAIL      KVMG, Inc                                             568 Brush Hill Rd                        Milton           MA    02186-0000   5031824        01/08/08
RETAIL      Kylson Enterprises, Inc, dba Viga                     289-291 Devonshire St                    Boston           MA    02110-0000   5031994        08/01/08

RETAIL      L & A Future Corp., dba Supreme Paint & Wallpaper     38 Varick Road, c/o Kadets               Waban            MA    02468-0000 500219           09/16/97
RETAIL      L & C Prescriptions, Inc., dba Louis & Clark Drug     PO Box 966                               Wilbraham        MA    01095-0966 5030247          01/01/04
            L & H Food Services, Inc., dba Joseph's Winter
RETAIL      Street Cafe                                           24 Winter Street                         Newburyport      MA    01950-0000   502204         08/01/02
RETAIL      L & L Certified Auto Service, Inc.                    199 Southbridge Street                   Auburn           MA    01501-0000   5031820        01/11/08
RETAIL      L & M Auto, Inc.                                      PO Box 526                               East Otis        MA    01029-0000   5031086        01/04/07
RETAIL      L & M Bargain Stores Inc                              640 American Legion Hwy                  Roslindale       MA    02131-0000   5031894        04/01/08
RETAIL      L & M Liquors, Inc.                                   424 Chelmsford St.                       Lowell           MA    01852-0000   5032493        03/11/10
RETAIL      L & R Market, Inc., dba North Elm Butcher Block       37 North Elm Street                      Westfield        MA    01085-0000   5031535        05/04/07
RETAIL      L Bornstein & Co., Inc.                               321 Washington Street                    Somerville       MA    02143-0000   5031558        05/15/07
            L P M Franchises LLC, dba Seasonal Specialties
RETAIL      Fine Dining                                           24 Main St.                              Maynard          MA    01754-0000 5031703          05/16/08


                                                                                     Page 92 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip             Policy   Effective
Group       Member Name                                          Street Address                     City               St.      Code            Number      Date
RETAIL      L&C Pretzels, Inc., dba Auntie Anne's                20 Flagship Drive                  South Dartmouth    MA    02748-0000   5032417          12/01/09
RETAIL      L&M Repair Services, LLC, dba Marathon Mobil         103 West Union Street              Ashland            MA    01721-0000   5031527          05/09/07
RETAIL      L.& H. Corp, dba Wollaston Wine & Spirits            58 Beale Street                    Quincy,            MA    02170-0000   5030103          07/02/03
RETAIL      L.B. Ray, Inc., dba Pool Specialist South            26 Columbia Road, Route 53         Pembroke           MA    02359-0000   500401           04/05/97
RETAIL      L.J. Peretti Co., Inc.                               2-1/2 Park Square                  Boston             MA    02116-0000   501650           02/01/01
RETAIL      L.M. Fisheries, dba The Lobster Barn                 996 Hancock St.                    Abington           MA    02351-0000   5030069          07/25/03
RETAIL      L.P.M. Holding Co., Inc.                             24 Main St.                        Maynard            MA    01754-0000   502104           05/31/02
RETAIL      L.R. Harts Hardware Inc., dba Harts Hardware         442 Main Street                    Wakefield          MA    01880-0000   5032423          01/01/10
RETAIL      La Cima Inc., dba Auntie Anne's                      20 Flagship Drive                  South Dartmouth    MA    02748-0000   5031873          03/05/08
RETAIL      La La, Inc., dba The Willowtree Restaurant           135 Washington Street              Peabody            MA    01960-0000   502486           04/01/03
RETAIL      La Mexicana, Inc., dba Restaurante Taqueria          247 Washington St                  Somerville         MA    02143-0000   502449           08/01/02
RETAIL      La Pace, Inc.                                        25 Railroad Street                 Great Barrington   MA    01230-0000   502057           05/02/02
RETAIL      La Scala Restaurant, Inc.                            1070 N. Main St.                   Randolph           MA    02368-0000   5031403          08/01/07
MIIA        LABBB Collaborative                                  251 Waltham Street                 Lexington          MA    02420        424              07/01/06
RETAIL      LaBella Baby Inc.                                    1 General Ave., PO Box 523         Reading            MA    01867-0000   500311           01/01/07
            La-Belle Managment LLC, dba Cardoza's Wine &
RETAIL      Spirits                                              6 Sconticut Neck Ave.              Fairhaven          MA    02719-5230   5031837          01/15/08
RETAIL      LaCascia's Bakery II, Inc.                           326 Cambridge Street               Burlington         MA    01803-0000   5030182          12/26/03
RETAIL      LaCascia's Bakery, Inc.                              418 Main St.                       Medford            MA    02155-0000   5032069          09/28/08
AICC        LaCava & Sowersby, Inc.                              1375 Plymouth Avenue               Fall River         MA    02721        WC 005141        08/01/05
RETAIL      LaCava Bros, Inc.                                    1262 Bedford Street                Fall River         MA    02723-0000   5030923          11/26/05
RETAIL      LaChance, Inc.                                       25 Kraft Street                    Gardner            MA    01440-0000   501534           07/15/00
RETAIL      Laconia, LLC dba Faunce Corner Mobil                 155 Faunce Corner Road             North Dartmouth     MA   02747        5032711          01/01/11
RETAIL      Lady Grace Stores Inc                                5 Commonwealth Avenue, Unit #1     Woburn             MA    01801-0000   500623           03/01/08
RETAIL      Lafrance Brothers, Inc., dba Whites of Westport      66 State Road, PO Box 248          Westport           MA    02790-0000   500263           08/01/05
RETAIL      Lafrance Enterprises, Inc.                           66 State Road                      Westport           MA    02790-0000   5030873          08/01/05
            Lafrance Hospitality Corp., dba Westport Hampton
RETAIL      Inn                                                  53 Old Bedford Road                Westport           MA    02790-0000   5030871          08/01/05
MIIA        Lake Buel Rest. Pres. Dist                           P O Box 94                         Monterey           MA    02145        99               04/01/06
RETAIL      Lake Motors Inc, dba Lakeside Motors                 828 Amesbury Rd                    Haverhill          MA    01830-0000   5032160          02/07/09
RETAIL      Lakeside Garage Inc.                                 461 Hollis St.                     Framingham         MA    01701-0000   5030842          05/19/06
            Lakeside Ventures, Inc., dba Neighbors Convenience
RETAIL      Store                                                PO Box 617                         Ashfield           MA    01330-0000   502062           03/16/01
CARE        Lakeview House, Inc.                                 87 Shattuck Street                 Haverhill          MA    01830        2000016          01/01/94
MEGA        Lakeville, Town of                                   346 Bedford Street.                Lakeville          MA    02347        X340428          07/01/02
RETAIL      Lambco Appliance Sales & Service, LLC                34 Wall Street                     Attleboro          MA    02703-0000   5031957          07/20/08
RETAIL      Lambert Brothers, Inc.                               777 Morrissey Blvd                 Dorchester         MA    02122-0000   5030003          01/01/03
RETAIL      Lambert Sunoco, Inc., dba Lambert Auto Repair        15 Royal Rd                        Brockton           MA    02302-0000   5031859          02/26/08
RETAIL      Lampara, Inc.                                        154 Wells Avenue, Suite #1         Newton             MA    02159-0000   500474           01/01/04
NAHRO       Lancaster Housing Authority                          449 Main Street                    S. Lancaster       MA    01561        WCMN0005         04/01/04


                                                                                   Page 93 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip             Policy   Effective
Group   Member Name                                            Street Address                               City            St.      Code            Number      Date
TRADE   Lancaster Packaging, Inc.                              PO Box 239                                   Hudson          MA    01709        4100081          06/22/07
MEGA    Lancaster Town of                                      695 Main Street                              Lancaster       MA    01523        X340094          07/01/10
RETAIL  Land Ho, Inc., dba Land Ho                             PO Box 496                                   Orleans         MA    02653-0000   5031369          08/01/07
RETAIL  Landd Corp., dba D'Angelo Sandwich Shop                291 E. Main St.                              Westfield       MA    01085-0000   5030337          08/01/03
RETAIL  Landfall, Inc.                                         PO Box 107                                   Woods Hole      MA    02543-0000   502193           08/01/02
ISCC    Landmark Foundation, Inc.                              412 Hale Street                              Beverly         MA    01965        WC 000197        04/01/92
RETAIL  Landmark Fuel Corp., dba Maple Street Service          223 Maple Street                             Middleton       MA    01949-0000   5031698          06/13/08
RETAIL  Landoli Austin's II, Inc. dba Austin Liquors           15 Sagamore Rd                               Worcester       MA    01609-0000   5032812          04/01/11
RETAIL  Landry & Arcari Oriental Rugs & Carpetin               63 Flint Street                              Salem,          MA    01970-0000   500510           04/25/95
RETAIL  Landry's Inc., dba Landry's Bicycles                   790 Worcester Street                         Natick          MA    01760-0000   500882           01/26/96
RETAIL  Lanesboro Supermarket & Hardware, Inc.                 PO Box 1495                                  Lanesboro       MA    01237-0000   502336           09/21/02
MIIA    Lanesborough Fire & Water District                     P.O. Box 1504                                Lanesborough    MA    01237        403              01/03/00
MIIA    Lanesborough, Town of                                  83 North Main Street                         Lanesborough    MA    01237        70               07/01/05
RETAIL  Lanita Corp, dba Framingham Liquors                    1 Marble Street                              Framingham      MA    01702-0000   5032511          04/26/10
RETAIL  Lanks Wine & Liquor, Inc.                              1035 Truman Highway                          Hyde Park       MA    02136-0000   501330           06/26/97
AICC    Lannan Chevrolet of Lowell                             831 Rogers Street                            Lowell          MA    01852        WC 004071        07/28/04
AICC    Lannan Chevrolet Olds Geo, Inc.                        40 Winn Street                               Woburn          MA    01801        WC 004045        01/01/04
        Lannan MAZDA formerly Saturn of Lowell (name chg
AICC    2/10/10)                                               720 Rogers Street                            Lowell          MA    01852        WC 004070        07/28/04
RETAIL  Lantana, LLC                                           43 Scanlon Drive                             Randolph        MA    02368-0000   502229           08/01/02
RETAIL  LAPD Inc., dba Vault Liquors                           284 Winthrop St.                             Taunton         MA    02780-0000   5031542          04/29/07
RETAIL  Lappen's Auto Supply Co., Inc.                         Attention: Michael Lappen, 421 Page Street   Stoughton       MA    02072-0000   500144           05/01/91
SILBA   Larkin Lumber                                          136 Main Street                              Hudson          MA    01749        WC 000767        01/01/92
RETAIL  LaRossa Shoe Inc.                                      72 Sharp St C#10                             Hingham         MA    02043-0000   501875           11/30/01
RETAIL  Lasco Enterprise, Inc., dba Route 1 Auto Service       218 Newbury Street                           Peabody         MA    01960-0000   5030994          01/11/06
NEEIA   Lasell College                                         1844 Commonwealth Ave.                       Newton          MA    02166        06-5000130       07/01/90
RETAIL  Latco, Inc., dba Lattanzi's Restaurant                 PO Box 5219                                  Edgartown       MA    02539-0000   502155           08/01/02
MASSBAY Lathrop Community, Inc.                                100 Bassett Brook Drive                      Easthampton     MA    01027        80373            01/04/11
MASSBAY Lathrop Home, Inc.                                     215 South Street                             Northampton     MA    01060        80350            10/01/06
RETAIL  Latino Food Distributors Inc                           90 Avacado St                                Springfield     MA    01104-0000   5032184          03/05/09
RETAIL  Laura L. Parker, dba New Corner Variety                2 Crown Street                               Westfield       MA    01085-0000   501491           12/15/97
RETAIL  Laurel Knox, dba Clay Time                             124 Boston Turnpike                          Shrewsbury      MA    01545-0000   5031008          03/07/06

ISCC        Laurel Schools, Laurel Education Center, Inc., The 1436 Long Pond Road                          Brewster        MA    02631        WC 000723        01/01/97
RETAIL      L'Avalon, Inc., dba l'etoile Restaurant            PO Box 2537                                  Edgartown       MA    02539-0000   502220           08/01/02
RETAIL      Lavanderia, Inc.                                   102 Prince St.                               Boston          MA    02113-0000   500435           02/24/95
RETAIL      Lavato Supply Co., Inc.                            165 Front Street, PO Box 274                 Chicopee        MA    01014-0000   500286           06/01/04
RETAIL      Lavmar, Inc., dba Digger's Liquors                 7 Brookmeadow Lane                           South Grafton   MA    01560-0000   5031145          06/05/06
AICC        Lawless Chrysler Plymouth, Inc.                    196 Lexington Street                         Woburn          MA    01801        WC 004054        03/01/04
TRADE                                                          PO Box 201
            Lawn & Garden Services dba BarnishTrucking & Disposal/Barnish Lands                             Granby          MA    01033        4100098          02/01/09

                                                                                  Page 94 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip          Policy   Effective
Group       Member Name                                          Street Address                       City              St.      Code          Number     Date
ISCC        Lawrence Academy, Trustees of                        Powder House Road                    Groton            MA    01450      WC 000228       01/01/93
RETAIL      Lawrence Bowers, dba ATW Rebuilders                  71 Garden St.                        Feeding Hills     MA    01030-2503 5032366         09/28/09
MCSIG       Lawrence Catholic Academy                            101 Parker Street                    Lawrence          MA    01843-1533 none            10/01/10

RETAIL      Lawrence Enterprises Inc., dba New Bridge Variety    9 Bridge Street                      Danvers,          MA    01923-0000   501341        01/28/96
MEGA        Lawrence Family Dev. & Educ. Charter School          34 West Street                       Lawrence          MA    01841        X340066       09/22/92
MEGA        Lawrence Family Dev. & Educ. Fund, Inc.              34 West Street                       Lawrence          MA    01841        X340138       07/01/98
NAHRO       Lawrence Housing Authority                           353 Elm Street                       Lawrence          MA    01842        WCMN0010      04/01/04
TRADE       Lawry, Inc.                                          152 Apremont Way                     Westfield         MA    01085        4100048       01/01/06
RETAIL      LB Partners, LLC                                     145 Rosemary Street Suite C          Needham Heights   MA    02464-0000   5030065       01/01/06
RETAIL      LB Wheaton Inc                                       259 Park Ave.                        Worcester         MA    01609-0000   5031918       04/15/08

RETAIL      LC Incorporated, dba Audubon Circle Restaurant Bar   4 Brattle St., Suite #210            Cambridge         MA    02138-0000   500484        04/01/10
RETAIL      LDDJ Inc, dba Dave's Fresh Pasta                     81 Holland Street                    Somerville        MA    02144-0000   5030467       01/01/05
RETAIL      Le Bistro, Inc., dba LeGrenier                       PO Box 2129                          Vineyard Haven    MA    02568-0000   1018225       08/01/02
RETAIL      Le Cafe, Inc., dba Pho Pasteur Restaurant            137 Brighton Ave                     Allston           MA    02134-0000   5030406       08/12/04
RETAIL      Le Pham, Inc., dba Le's                              137 Brighton Ave                     Allston           MA    02134-0000   5030406       08/12/04
RETAIL      Le Redemption Center, Inc.                           132 Union St.                        Everett           MA    02149-0000   5030943       11/29/05
RETAIL      Le, Inc., dba Pho Pasteur Restaurant                 137 Brighton Avenue                  Allston           MA    02134-0000   5030406       08/12/04
RETAIL      Leahy's Liquor Store, Inc.                           16 Washington Street                 Taunton           MA    02780-0000   5030235       05/01/91
ISCC        Learning Center for Deaf Children, Inc., The         848 Central Street                   Framingham        MA    01701        WC 000467     01/01/94
ISCC        Learning Project, Inc.                               107 Marlborough Street               Boston            MA    02116        WC 000714     01/01/96
RETAIL      Leavitt & Peirce, Inc.                               1316 Massachusetts Ave               Cambridge         MA    02138-0000   5031248       09/15/06
HVAC        Lebel, Inc.                                          380 North Avenue                     Abington          MA    02351        HVAC1008      11/01/02
RETAIL      LeBow's Tire & Service Center, Inc.                  136 N Main Street                    Uxbridge          MA    01569-0000   5031571       06/20/07
McD         LeBrun, Inc.                                         P.O. Box 1051                        Belchertown       MA    01007        15732         01/01/93
AICC        Lee Burbank Service Station, Inc.                    25 Lee Burbank Highway               Revere            MA    02151        WC 001115     01/01/00
NAHRO       Lee Housing Authority                                155 Marble Street                    Lee               MA    01238        WCMN0187      07/01/04
MEGA        Lee, Town of                                         PO Box 630                           Lee               MA    02138        X340083       07/01/02
RETAIL      Leechen Restaurant, Inc., dba Lilly Chen             230 Winthrop Ave                     Lawrence          MA    01843-0000   5031689       09/12/07
            Leeside Restaurant Corporation, dba The Whiskey
RETAIL      Priest                                               150 Northern Avenue                  Boston            MA    02110-0000 5032508         04/12/10

RETAIL      Legendary Food Concepts, Inc., dba Scollay Square 21 Beacon Street                        Boston            MA    02111-0000 5030210         01/19/04
            Legendary Marina Concepts, Inc., dba Tavern on the
RETAIL      Water                                              One Pier 6 Eighth Street               Charlestown       MA 02129-0000 5031754            11/01/07
RETAIL      Legendary Restaurants, Inc., dba Max & Dylans      15 West Street                         Boston            MA 02111-0000 5032030            09/02/08
RETAIL      Legion Donuts, Inc. dba Dunkin Donuts              169 Main Street                        Stoneham           MA 02180     5032746            01/20/11
            Leicester Food & Beverage Inc. dba Crossroads
RETAIL      Market                                        1060 Main St.                               Leicester          MA 01524          5032738       01/15/11


                                                                                     Page 95 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                              Zip             Policy   Effective
Group       Member Name                                        Street Address                    City               St.      Code            Number      Date
NAHRO       Leicester Housing Authority                        1075 Main Street                  Leicester          MA    05123        WCMN0084         06/01/04
RETAIL      Leicester Package Store, Inc.                      869 Main Street                   Leicester          MA    01524-0000   502434           06/05/02
MIIA        Leicester Water Supply District                    P.O. Box 86                       Leicester          MA    01524        393              10/19/02
MIIA        Leicester, Town of                                 3 Washburn Square                 Leicester          MA    01524        414              07/01/05
RETAIL      Lemate of New England, Inc.                        11 Perry Drive, Unit C            Foxboro            MA    02035-0000   500689           01/01/02
RETAIL      Lemon Donut, Inc., dba Gourmet Donuts              43 Airport Rd                     Fitchburg          MA    01420-0000   5032675          10/23/10
RETAIL      Lemon Tree Pottery, Inc.                           1069 Main Street                  Brewster           MA    02631-0000   5030532          03/15/04
RETAIL      Leng Corp dba D & R Market                         54 Foster Street                  Peabody            MA    01960-0000   5032841          06/01/11
MANUF       Lennartz Enterprises, LLC, DBA Palace Manufacturing25 Sullivan Rd.                   Billerica           MA   01862        5100089          12/26/09
NAHRO       Lenox Housing Authority                            6 Main Street                     Lenox              MA    01240        WCMN0026         06/01/04
MIIA        Lenox, Town of                                     6 Walker Street                   Lenox              MA    01240        205              07/01/05
RETAIL      Leoart, Inc., dba Simon & Sons                     210 Needham Street                Newton             MA    02464-0000   500984           08/04/96
NAHRO       Leominster Housing Authority                       100 Main Street                   Leominster         MA    01453        WCMN0150         06/01/04
AICC        Leominster Transmission                            220 Litchfield Street             Leominster         MA    01453        WC 001125        01/01/00
MIIA        Leominster, Town of                                25 West Street                    Leominster,        MA    01453        392              07/01/08
            Leonard Goldstein, dba Keezer's Harvard Community
RETAIL      Exchange                                           140 River Street                  Cambridge          MA    02139-0000   502045           08/01/02
RETAIL      Leonard Pappas, dba Peabody Auto Clinic            3 R. Birney St.                   Peabody            MA    01960-0000   5032493          03/09/10
RETAIL      Lepinay, Inc., dba Cranberry Liquors               555 Rte 28                        Harwichport        MA    02646-0000   5030719          02/28/06
RETAIL      Les Amis Restaurant, Inc., dba Tasca Restaurant    1612 Commonwealth Ave             Brighton           MA    02135-0000   5032361          10/27/09
ISCC        Lesley College                                     29 Everett Street                 Cambridge          MA    02238        WC 000206        04/01/92
RETAIL      Les's Auto Center Inc                              1575 N. Main Street               Palmer             MA    01069-0000   5030844          05/19/06
RETAIL      Lessard Dry Cleaners, Inc., dba Crystal Cleaners   58 Laurel St.                     Fitchburg          MA    01420-0000   5030058          04/30/03
RETAIL      Lesters Roadside Bar BQ, Inc.                      376A Cambridge Street             Burlington         MA    01803-0000   5031109          05/27/06
RETAIL      Letourneaus Pharmacy Inc.                          349 N Main Street                 Andover            MA    01810-2610   501437           05/01/96
RETAIL      Leventes, Inc., dba Sterling Ice Cream             167 Clinton Road                  Sterling           MA    01564-0000   5030881          06/06/06
RETAIL      Leverett Village Cooperative Corp.                 180 Rattlesnake Road              Leverett           MA    01054-0000   5030032          06/19/03
MIIA        Leverett, Town of                                  9 Montague Road                   Leverett           MA    01054        71               07/01/05
RETAIL      Levi LLC                                           421 Page Street                   Stoughton          MA    02072-0000   500762           01/01/04
RETAIL      Lewen Industries, Inc.                             114 Pelham Road                   Salem              NH    03079-0000   5030632          07/01/04
ISCC        Lexington Christian Academy                        48 Bartlett Avenue                Lexington          MA    02420        WC 000881        09/01/02
RETAIL      Lexington Furniture,Inc.                           11 Esquire Road                   North Billerica,   MA    01862-0000   501070           12/20/96
RETAIL      Lexington Group, Inc.                              380 Union St.                     West Springfield   MA    01089-0000   1045580          09/09/02
NAHRO       Lexington Housing Authority                        One Countryside Village           Lexington          MA    02420        WCMN0088         06/01/04
ISCC        Lexington Montessori School, Inc.                  130 Pleasant Street               Lexington          MA    02173        WC 000712        01/01/96
AICC        Lexington Toyota                                   409 Massachusetts Avenue          Lexington          MA    02420        WC 006159        01/01/06
MIIA        Leyden, Town of                                    16 West Leyden Road               Leyden             MA    01337        72               07/01/05
RETAIL      LGS LLC                                            971 Webster Street                Hanover            MA    02339-1106   502334           01/01/06
RETAIL      Lhasa Cafe, Inc.                                   159 Main St                       Northampton        MA    01060-0000   5031152          07/01/06
RETAIL      Libby Corp, dba Georgetown Mobil                   1 Central St.                     Georgetown         MA    01833-0000   5032082          10/14/08

                                                                                Page 96 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip             Policy   Effective
Group       Member Name                                          Street Address                                City            St.      Code            Number      Date
RETAIL      Liberty Auto Wash, Inc.                              739 Boston Road                               Springfield     MA    01119-0000   5032630          08/15/10
RETAIL      Liberty Supply, Inc.                                 195 Hamilton Street                           Leominster      MA    01453-0000   501302           05/29/97
ISCC        Library Of the Boston Athenaeum                      10 1/2 Beacon Street                          Boston          MA    02108        WC 000738        01/01/97
MCSIG       Life Resources, Inc.                                 199 State Street - 5th Floor                  Boston          MA    02109        none             03/31/93
            Life's Too Short, Inc., dba Tewksbury Mobil On The
RETAIL      Run                                                  1785 Andover Street                           Tewksbury       MA    01876-0000 5032113            01/01/09
                                                                 Attention: Art Delozier, 15 Piedmont Center
CARE        Lighthouse of Revere, Inc.                           Suite 930                                     Atlanta         GA    30305        2100006          02/01/04
RETAIL      Lightship Liquors, Inc.                              94 South Union Street                         Lawrence        MA    01843-0000   501718           02/28/01
RETAIL      Lightship Lounge Inc. dba Jeff's Tavern              118 South Union St.                           Lawrence         MA   01843        5032745          01/15/11
RETAIL      Lilo Inc., dba Eastside Grill                        19 Strong Avenue                              Northampton     MA    01060-0000   502049           05/01/02
RETAIL      Limited Editions, Inc.                               1176 Walnut Street                            Newton,         MA    02161-0000   500715           07/26/95

RETAIL  Lincoln Pharmacy of Milford Inc, dba Lincoln Liquors     199 Boston Road                               Billerica       MA    01862-0000   5032656          10/15/10
MIIA    Lincoln Sudbury Regional School District                 390 Lincoln Road                              Sudbury         MA    01776-1409   243              07/01/05
MIIA    Lincoln, Town of                                         Lincoln Road                                  Lincoln         MA    01773        73               07/01/05
ISCC    Linden Hill School                                       South Mountain Road                           Northfield      MA    01360        WC 000210        04/01/92
RETAIL  Linden Service Inc                                       168 Linden Street                             Wellesley       MA    02482-0000   5032161          01/08/09
RETAIL  Lindsey's Inc, dba Lindseys Family Restaurant            PO Box 845                                    East Wareham    MA    02538-0000   5032020          08/01/09
RETAIL  Lindustries,Inc.                                         21 Shady Hill Road                            Weston,         MA    02193-0000   501113           01/01/97
RETAIL  Lindy's General Store, Inc.                              971 Webster Street                            Hanover         MA    02339-1106   1063060          11/18/02
RETAIL  Lippens Grocery Inc., dba Convenient 38                  880 Main Street                               Woburn,         MA    01801-0000   501415           04/01/96
RETAIL  Liquor Outlet Inc., dba Acton Wine & Spirit Co.          44 Boston Post Road West                      Marlborough     MA    01752-0000   1076979          01/01/04
RETAIL  Liquor Plus, Inc.                                        125 Main Street                               Upton           MA    01568-0000   5030239          05/01/93
RETAIL  Lit International Group, Inc.                            PO Box 105                                    Ludlow          MA    01056-0000   5031573          05/08/07
        Literary Soc. of St. Catherine of Siena/Rosary
MCSIG   Academy Learning Center                                  2 Rosary Drive                                Watertown       MA    02172        none             03/31/93
RETAIL  Little Cod, Inc., dba The Friendly Fishermen             P.O. Box 765, Route 6                         North Eastham   MA    02651-0000   500404           06/05/97
RETAIL  Little Lotus, Inc., dba Little Lotus                     287 Centre Street                             Newton          MA    02458-0000   5030358          05/01/03
RETAIL  Little Max, Inc., dba Max's Deli Cafe                    151 Milk St.                                  Boston          MA    02109-0000   501596           01/01/01
MASSBAY Little Sisters of the Assumption                         See: Project Hope
NAHRO   Littleton Housing Authority                              19 Shattuck Street                            Littleton       MA    01460      WCMN0204           06/17/07
MIIA    Littleton, Town of                                       20 Foster Street                              Littleton       MA    01460      74                 07/01/05
RETAIL  Livingstone & Murray, Inc., dba Arby's Restaurant        P.O. Box 406                                  Southboro       MA    01772-0000 5031191            08/01/06
        LM Fruit & Produce, Inc., dba Lamberts Rainbow
RETAIL  Fruit Co                                                 1000 W. Main St.                              Centerville     MA    02632-0000 5032492            02/16/10
        LMS Investments, LLC, dba Garden Fresh
RETAIL  Courthouse Cafe                                          204 Main Street                               Worcester       MA    01608-0000 5031812            12/10/07
        Loads of Laundry LLC/RasBerry Realty Tru, dba Mill
RETAIL  City Laundromat                                          PO Box 5096                                   Billerica       MA    01822-0000 1019649            05/12/03


                                                                                     Page 97 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy   Effective
Group       Member Name                                       Street Address                              City                St.      Code            Number      Date
RETAIL      Loan USA, Inc.                                    52 Chandler St.                             Worcester           MA    01609-0000   502240           12/13/01
RETAIL      Lobster Trap Co., Inc.                            P.O. Box 3007                               Bourne              MA    02532-0000   5030240          10/27/93
RETAIL      Local Burger, Inc                                 16 Main St.                                 Northampton         MA    01060-0000   5032358          11/10/09
RETAIL      Local Phone Company, LLC                          450 Main Street                             Springfield         MA    01105-2410   501403           01/01/04
RETAIL      Locke Larkin, dba Locke, Stock & Barrel           P.O. Box 87                                 Great Barrington,   MA    01230-0000   501127           02/01/97
RETAIL      Locke Liquors, Inc.                               15 McGrath Highway                          Somerville          MA    02143-0000   5030241          05/01/91
RETAIL      Loft Steak & Chop House, LLC                      1140 Osgood Street                          North Andover       MA    01845-0000   5030702          10/04/04
RETAIL      Lok, Inc dba Angelina's Submarine Shop            PO Box 333                                  Adams               MA    01220-0000   5032807          04/01/11
RETAIL      Lomba Corp, dba Lomba's Deli & Convenience        651 Somerset Ave                            Taunton             MA    02780-0000   5032500          03/19/10
            Lombardi Bakery Service, Inc., dba Bean Counter
RETAIL      Coffee Bar & Bakery                               100 Avery Heights Drive                     Holden              MA    01520-0000   5031033          04/08/06
RETAIL      Lomik, Inc., dba City Spirits                     74 Park Street                              Attleboro           MA    02703-0000   502344           11/29/02
RETAIL      Long Acre, Inc., dba Stones Public House          179 Main St.                                Ashland             MA    01721-0000   5032239          04/30/09
RETAIL      Long Life Auto Repair LLC                         24 Common Street                            Waltham             MA    02451-0000   5031982          05/04/09
AICC        Longmeadow Garage, Inc.                           467 Longmeadow Street                       Longmeadow          MA    01106        WC 008045        01/01/08
MIIA        Longmeadow, Town of                               20 Williams Street                          Longmeadow          MA    01106        239              07/01/05
RETAIL      Loom LLC                                          c/o Steve and Wendy Loo, 33 Cynthia Drive   Milford             CT    06461-0000   500113           05/06/09
RETAIL      Loomos Brothers, Inc.                             524 Boston St.                              Lynn                MA    01905-0000   5030244          05/01/91
RETAIL      Lorden & Company, dba Passports                   110 Main Street                             Gloucester          MA    01930-0000   5031514          04/03/07

RETAIL      Loris Ozgopoyan, dba Larry's Automotive Service   1369 Main St.                              Worcester            MA    01603-1526   5032604          06/30/10
RETAIL      Lotus Enterprises, LLC dba Sagamore Irving        PO Box 705                                 Sagamore              MA   02561        5032740          02/15/11
RETAIL      Louis & Clark Drug, Inc.                          PO Box 966                                 Wilbraham            MA    01095-0966   5030244          11/01/92
RETAIL      Louis Barry Hotel Florist Inc.                    P.O. Box 174                               Boston,              MA    02199-0000   500741           09/14/95
RETAIL      Lowell Auto Service & Sales, Inc.                 263 Appleton St                            Lowell               MA    01852-0000   5032824          05/05/11
RETAIL      Lowell Automatic Transmission Co., Inc.           202 Chelmsford Street                      Lowell               MA    01851-3306   5031836          01/01/08
AICC        Lowell Car Wash, Inc.                             168 Plain Street                           Lowell               MA    01852        WC 001088        01/01/00
MCSIG       Lowell Catholic High School                       530 Stevens Street                         Lowell               MA    01851        none             03/31/93
MEGA        Lowell Community Charter School                   c/o Beacon Mgmt, 112 Tpke Rd               Westboro             MA    01581        X340198          10/12/94
MIIA        Lowell Housing Authority                          350 Moody Street                           Lowell               MA    01853        224              07/01/05
RETAIL      Lowell Provision Co., Inc.                        23 Aiken Avenue                            Lowell               MA    01850-0000   501632           05/22/97
RETAIL      Lowe's Variety & Meat Shop, Inc.                  255 West Main Street                       Northborough         MA    01532-0000   501989           03/01/02
RETAIL      LPM Worcester Diner, LLC, dba 5 & Diner                                                      Maynard
                                                              C/O LPM Holding Company, Inc., 24 Main Street                   MA    01754-0000   500030           08/01/06
RETAIL      LPS, Inc., dba Dillons Discount Liquors           589 High Street                            Holyoke              MA    01040-0000   5030749          04/01/06
RETAIL      LS Enterprises, Inc., dba Main Street Mobil       14 N. Main St.                             Andover              MA    01810-0000   5031370          08/01/07
RETAIL      Lube Lab Inc                                      645 Washington St                          Quincy               MA    02169-0000   5032144          01/01/09
MANUF       Lubrication Technologies, Inc.                    120 Bosworth St                            West Springfield      MA   01089-3530   5100085          01/01/10
RETAIL      Lucci's Supermarket, Inc.                         211 Lowell St                              Wilmington           MA    01804-0000   5030248          01/01/93
            Luchette Corp., dba Meineke Car Care
RETAIL      Center/Mansfield                                  47 Chauncy St.                              Mansfield           MA    02048-0000 5031489            04/15/07


                                                                                Page 98 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip           Policy   Effective
Group       Member Name                                            Street Address                       City            St.      Code          Number      Date
RETAIL      Lucia Lumber Co., Inc.                                 PO Box 777                           Agawam          MA    01001-0000 501938           01/01/02
RETAIL      Lucky Bee, Inc., dba Petes Exxon                       185 Woburn St.                       Lowell          MA    01852-0000 5032019          07/01/09
            Lucky Dog Restaurant Inc, dba Jo Jo Taipei
RETAIL      Restaurant                                             103 Brighton Ave                     Allston         MA    02134-0000   5032207        04/13/09
NAHRO       Ludlow Housing Authority                               114 Wilson Street                    Ludlow          MA    01056        WCMN0178       07/01/04
MIIA        Ludlow, Town of                                        488 Chapin Street                    Ludlow          MA    01056        236            07/01/05
RETAIL      Lukes Brothers, Inc., dba Lukes Super Liquors          20 Springer Lane                     West Yarmouth   MA    02673-0000   1074100        05/01/91
            Luke's Fine Wines and Spirits LLC, dba Luke's Fine
RETAIL      Wines and Spirits                                      167 Market Street                    Rockland        MA    02370-0000   1049980        01/01/04
RETAIL      Lulublue, Inc., dba Pinch                              179 Main Street                      Northampton     MA    01060-0000   5030982        02/08/06
SILBA       Lumber Center Inc                                      44 Broad Street                      Westfield       MA    01085        WC 000791      01/01/93
MANUF       Lundy's Company, Inc.                                  34 Boston Street                     Lynn            MA    01904        5100071        12/24/07
NAHRO       Lunenburg Housing Authority                            131 White Street                     Lunenburg       MA    01462        WCMN0152       06/01/04
MEGA        Lunenburg Water District                               P O Box 375                          Lunenburg       MA    01462        X340125        07/01/03
MIIA        Lunenburg, Town of                                     17 Main Street                       Lunenburg       MA    01462        466            07/01/10
RETAIL      Lunt & Kelly, Inc.                                     159 State Street                     Newburyport     MA    01950-0000   1073500        03/01/93
            Lure Restaurant Group, LLC, dba Island Creek
RETAIL      Oyster Bar                                             528 Commonwealth Ave                 Boston          MA    02215-2606 5032642          09/01/10

RETAIL      Lyman Enterprises, Inc., dba Sandwich Works Deli       30 Lyman Street                      Westboro        MA    01581-0000   5031922        04/11/08
RETAIL      Lyman Street Limited Partnership                       24 Lyman Street                      Westborough     MA    01581-0000   1072655        01/01/04
RETAIL      Lyman-Eyer Gallery, Inc.                               PO Box 492                           Provincetown    MA    02657-0000   501608         11/04/00
RETAIL      Lynch's Package Store, Inc.                            PO Box 304                           Uxbridge        MA    01569-0000   502075         11/15/00
RETAIL      Lynellen Shea, dba The Country Kitchen                 2 Don Ave, Attention: Lynn Shea      Methuen         MA    01844-0000   500193         10/10/08
RETAIL      Lynn Donuts Inc, dba Dunkin Donuts                     80 Boston St                         Lynn            MA    01904-0000   5031662        08/15/07
MASSBAY     Lynn Economic Oportunity, Inc. (LEO)                   156 Broad Street                     Lynn            MA    01901        80366          07/01/08

RETAIL      Lynn Enterprises, Inc, dba Porthole Restaurant & Pub   98 Lynnway                           Lynn            MA    01902-0000   5030570        04/01/04
RETAIL      Lynn EZ Food Mart Inc., dba EZ Shop Food Mart          451 Chestnut Street                  Lynn            MA    01902-0000   501868         07/17/01
NAHRO       Lynn Housing Authority                                 10 Church Street                     Lynn            MA    01902        WCMN0015       04/01/04
SILBA       Lynn Lumber                                            180 Commercial Street                Lynn            MA    01905        WC 000823      01/01/94
MASSBAY     Lynn Shelter Association, Inc.                         91Liberty Street                     Lynn            MA    01901        80354          03/10/07
MASSBAY     Lynn Young Men's Christian Association                 20 Neptune Boulevard                 Lynn            MA    01905        80309          08/01/00
MIIA        Lynnfield Center Water District                        83 Phillips Street                   Lynnfield       MA    01940        355            07/01/05
NAHRO       Lynnfield Housing Authority                            600 Ross Drive                       Lynnfield       MA    01940        WCMN0060       06/01/04
MIIA        Lynnfield Water District                               842 Salem Street                     Lynnfield       MA    01940        395            01/15/03
MIIA        Lynnfield, Town of                                     Summer Street                        Lynnfield       MA    01940        78             07/01/05
RETAIL      Lynn's Variety, Inc., dba Lynn's Variety               915 Washington Street                Weymouth,       MA    02189-0000   501570         09/01/99
AICC        Lynnway Auto Auction, Inc.                             732R Lynnway                         Lynn            MA    01905        WC 008047      01/01/08
RETAIL      Lynnway Liquor Mart Inc.                               702 Lynnway                          Lynn            MA    01905-0000   5032391        11/24/09


                                                                                       Page 99 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip            Policy   Effective
Group       Member Name                                              Street Address                        City               St.      Code           Number     Date
            Lyons Enterprises & Lyons Tire & Auto Center dba
AICC        Tom Lyons Tire Distributors                              210 Lexington Street                  Waltham            MA    02452        WC 006182      05/01/06
RETAIL      Lyon's Package Store, Inc.                               1399 Westfield Street                 West Springfield   MA    01089-0000   1074575        05/01/91
MANUF       Lytron, Inc.                                             55 Dragon Court                       Woburn             MA    01801        3000018        01/01/91
RETAIL      M & G Automotive Fair, Inc                               178 Huttleston Ave.                   Fairhaven          MA    02719-0000   5031457        04/01/07
            M & M Fruit & Produce, Inc. dba Lamberts Rainbow
TRADE       Fruit Co.                                                1000 W. Main St.                      Centerville        MA    02632        4100109        12/10/09
TRADE       M & S Express, Inc                                       200 Mystic Ave.                       Medford            MA    02155        4100101        02/06/09
            M & Y Famous Food, Inc., dba Mikey's Famous
RETAIL      Roast Beef                                               729 Boston Road                       Billerica          MA    01821-0000 5032362          10/21/09
RETAIL      M & Y Jewelry, Ltd.                                      390 Broadway                          Chelsea,           MA    02150-0000 501588           11/30/00

RETAIL      M Carroll Incorporated, dba Medfield Wine Shoppe         258 Main Street, Unit E               Medfield           MA    02052-2041   500692         01/01/04
RETAIL      M Steinert & Sons, Inc.                                  162 Boylston Street                   Boston             MA    02116-0000   1109030        04/15/93
TRADE       M&G Transport Co., Inc.                                  395 Industrial Ave East               Lowell             MA    01852        4100095        11/01/08
RETAIL      M&S Tomato Repacking Co., Inc.                           1026 Bay Street                       Springfield        MA    01109-0000   5031303        10/04/06

RETAIL      M. & T. Bellini Auto Center, Inc., dba All Tune & Lube   1393 Broadway                         Saugus             MA    01906-0000   5031695        10/10/07
RETAIL      M. Cutone Mushroom Co. Inc.                              145 Market Street                     Chelsea            MA    02150-0000   1049980        10/01/02
RETAIL      M. Leventhal, Inc., dba Jewelry Plus                     54 Winter Street                      Boston             MA    02108-0000   501162         03/01/97
RETAIL      M.C. Donuts, Inc., dba Dunkin Donuts                     80 Boston St.                         Lynn               MA    01904-0000   5031683        08/15/07

RETAIL      M.C. Restaurants, Inc., dba Cavaleiros Restaurant        573 Lawrence St.                      Lowell             MA    01852-0000   5032393        11/30/09
RETAIL      M.D. of Fall River, Inc., dba Dunkin Donuts              874 County Street                     Taunton            MA    02780-0000   1018186        08/01/02
RETAIL      M.E.L.V., Inc, dba The Barn                              95 River St.                          Greenfield         MA    01301-0000   5032411        11/17/09
RETAIL      M.O. Trucking, Inc.                                      560 Pleasant Street                   Watertown          MA    02172-0000   501099         01/01/03
RETAIL      M.R.S. Corp., dba Mulberry Corners                       849 Main Street                       Osterville         MA    02655-0000   501543         09/01/00
RETAIL      Ma Raffa's Inc.                                          85 Rockdale Ave                       New Bedford        MA    02740-0000   502249         01/01/02
RETAIL      MacKoul's Cars, Inc.                                     220 Worcester Street                  North Grafton      MA    01536-0000   5030745        04/13/06
            Macnan of Wrentham, Inc., dba Wampum Corner
RETAIL      Wines & Liquor                                           660 South Street                      Wrentham           MA    02093-0000   1069705        11/01/02
RETAIL      MacPherson & Co., Inc., dba Donovan's Liquors            175 South Broadway                    Lawrence           MA    01843-0000   502216         11/15/01
RETAIL      Mac's Meats LLC, dba Fowles Market                       341 High St.                          Newburyport        MA    01950-0000   5032256        07/01/09
RETAIL      Mac's Shack, Inc.                                        91 Commercial Street                  Wellfleet          MA    02667-0000   5031617        06/08/07
AICC        Mac's Shell Service, Inc.                                72 East Main Street                   Webster            MA    01570        WC 001088      12/23/10
RETAIL      Maddison of Wrentham, LLC, dba Dunkin Donuts             874 County Street                     Taunton            MA    02780-0000   5030658        06/22/04
RETAIL      Madira Corporation, dba Millstream Liquors               86 Powder Hill Road                   Maynard            MA    01754-0000   5032388        11/17/09
RETAIL      Madison Food Corp of Washington Park                     240 East Ashland Street               Brockton           MA    02402-0000   501486         01/01/04
RETAIL      Madison Food Corp, dba Save-A-Lot                        240 East Ashland Street               Brockton           MA    02302-0000   501483         01/01/98
RETAIL      Madison Liquors Inc., dba Shop N' Save                   20 Independence Avenue                Quincy             MA    02169-0000   502510         03/31/03


                                                                                         Page 100 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip          Policy   Effective
Group       Member Name                                            Street Address                         City               St.      Code          Number     Date
DFSIG       Madonna Manor                                          85 North Washington Street             North Attleboro    MA    02760      94003           11/12/93
RETAIL      Magalhaes Inc, dba Amarals Market & State Fruit        488 Belleville Ave                     New Bedford        MA    02746-0000 5032091         12/12/08
            Magic Wings, Inc., dba Magic Wings Butterfly
RETAIL      Conservatory & Gar                                     281 Greenfield Road                    South Deerfield    MA    01373-0000 5031046         11/07/06
            Magnolia Market, Inc., dba The Magnolia Wine
RETAIL      Company                                                130 Belmont Street                     Watertown,         MA    02172-0000 501566          07/15/99
RETAIL      Magoni's Ferry Landing, Inc.                           681 Riverside Ave                      Somerset           MA    02725-0000 5030709         02/15/06
RETAIL      Magoo's Ice Cream LLC                                  50 Washington St                       Whitman            MA    02382-0000 5031390         02/15/08
            Maguire Enterprises, Inc., dba Liam Maguire's Irish
RETAIL      Pub                                                    273 Main St.                           Falmouth           MA    02540-0000   5031224       08/20/06
RETAIL      Maguire's Inc, dba Maguire's Shell                     669 Worcester Road                     Framingham         MA    01701-0000   5032339       09/18/09
RETAIL      Maida Pharmacy Inc.                                    121 Mass Ave.                          Arlington,         MA    02174-0000   500906        03/01/96
ISCC        Maimonides School                                      34 Philbrick Road                      Brookline          MA    02445        WC 000933     03/26/04
            Main St Lynnfield Convenience Store, Inc, dba Center
RETAIL      Market                                                 588 Main Street                        Lynnfield          MA    01940-0000 5032018         06/24/09

RETAIL  Main Street Bottle Store, Inc., dba Kappy's Liquors        296 Main Street                        Everett            MA    02149-0000 5030729         01/01/05
RETAIL  Makani Kai Corp., dba Hills of Nantucket                   40 Straight Wharf                      Nantucket,         MA    02554-0000 501436          05/25/96
SILBA   Maki Corporation                                           160 Mass Avenue                        Lunenburg          MA    01462      WC 000965       03/01/05
        Malden and Melrose Liquor Mart, Inc., dba M & M
RETAIL  Liquors                                                    619 Broadway                           Malden,            MA    02148-0000   500963        06/22/96
NAHRO   Malden Housing Authority                                   630 Salem Street                       Malden             MA    02148        WCMN0022      04/01/04
MASSBAY Malden YMCA                                                83 Pleasant Street                     Malden             MA    02148        80317         03/31/02
RETAIL  Malone's Marlboro Market, Inc.                             45 Massachusetts Ave.                  Boston             MA    02115-0000   5030176       12/30/03
RETAIL  Malvis Enterprises, Inc., dba Crossroads Liquors           34 Cambridge St.                       Burlington         MA    01803-0000   5032469       02/13/10
RETAIL  MAM, Inc. dba Chelmsford Sunoco                            80 Chelmsford St.                      Chelmsford          MA   01824        5032702       01/01/11
RETAIL  Mama Iguana's II, LLC                                      82 Industrial Drive, Unit 3            Northampton        MA    01060-0000   5031426       06/01/11
RETAIL  MaMa's Inc., dba Dairy Queen of Ashland                    6 Chestnut Street                      Ashland            MA    01721-0000   5031440       08/22/07
RETAIL  Mama's Italian Restaurant, Inc.                            1140 Lakeview Ave                      Dracut             MA    01826-0000   5030044       08/01/03
RETAIL  Mamie Corporation, dba A & B Package Store                 PO Box 1049                            Methuen            MA    01844-0000   502333        09/01/02
        Mananto Enterprises, LLC, dba The Hotel
RETAIL  Northampton                                                36 King Street                         Northampton        MA    01060-0000   5031891       04/01/08
MEGA    Manchester by the Sea, Town of                             P.O. Box 1492                                             MA
                                                                                                          Manchester by the Sea    01944        X340163       07/01/02
MIIA    Manchester Essex Regional School District                  P.O Box 1407                                              MA
                                                                                                          Manchester-By-The-Sea    01944-1399   457           07/01/09
NAHRO   Manchester Housing Authority                               P.O. Box 608                           Manchester         MA    01944        WCMN0044      06/01/04
            Mancuso Enterprises, Inc. dba Stone Auto Body
RETAIL      Supply/Stone Industrial                       174 Arlington St.                               Watertown           MA   02472        5032723       01/01/11
MASSBAY     Manet Community Health Center                          110 West Squantum Street               Quincy             MA    02171        80349         07/01/06
RETAIL      Maniraj, LLC, dba Aroma Bar & Grill                    485 Main Street                        Great Barrington   MA    01230-0000   5031313       10/01/06
RETAIL      Manny's TV & Appliance Inc.                            1872 Boston Post Road                  Wilbraham,         MA    01095-0000   501359        02/03/96


                                                                                        Page 101 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip             Policy   Effective
Group       Member Name                                          Street Address                       City              St.      Code            Number      Date
RETAIL      Manomet Liquors, Inc.                                179 Summer Street                    Kingston          MA    02364-0000   502516           05/01/06
RETAIL      Mansfield Auto Care, Inc.                            27 Angell St.                        Mansfield          MA   02048        5032715          01/01/11
NAHRO       Mansfield Housing Authority                          22 Bicentennial Court                Mansfield         MA    02048        WCMN0059         06/01/04
MEGA        Mansfield, Town of                                   6 Park Row                           Mansfield         MA    02048        X340115          07/01/02
RETAIL      Maple Grove Equipment, Inc.                          8 Leonard Street                     Adams             MA    01220-0000   501434           05/01/96
RETAIL      Maple Road Service Station, Inc.                     773 Maple Rd                         Longmeadow        MA    01106-0000   5031735          08/06/08
RETAIL      Maplerock, Inc., dba McCarthy Liquors                430 Main Street                      Agawam            MA    01001-0000   5031361          06/27/07
RETAIL      Marawi, Inc., dba White Hen 0201-2                   277 Turnpike Street                  South Easton      MA    02375-0000   5030601          05/04/04
MIIA        Marblehead Community Charter Public Schools          17 Lime Street                       Marblehead        MA    01945        341              07/01/05
            Marblehead Community Store Inc., dba Beacon Hill
RETAIL      Import Co., Inc.                                     212 Beacon Street                    Marblehead,       MA    01945-0000   501196           10/01/95
RETAIL      Marblehead Community Store, Inc.                     212 Beacon Street                    Marblehead        MA    01945-0000   501201           01/01/04
RETAIL      Marblehead Cycle Inc.                                25 Bessom Street                     Marblehead,       MA    01945-0000   500992           09/06/96
RETAIL      Marblehead Garden Center, Inc.                       164 West Shore Drive                 Marblehead        MA    01945-0000   5030968          01/01/06
NAHRO       Marblehead Housing Authority                         26 Rowland Street                    Marblehead        MA    01945        WCMN0129         06/01/04
RETAIL      Marblehead Laundry Inc.                              7 Linclon Ave.                       Marblehead,       MA    01945-0000   501357           02/07/96
RETAIL      Marblehead Toy Shop, Inc.                            44-48 Atlantic Ave.                  Marblehead        MA    01945-0000   502216           10/24/01
RETAIL      Marc Bavineau, dba Central Cycle                     237 Cabot St.                        Beverly           MA    01915-0000   5032558          05/26/10
RETAIL      Marc Renaud, dba Renaud's TV and Appliance           168 Mechanic St                      Southbridge       MA    01550-0000   5032078          10/31/08
RETAIL      Marcello's Enterprises, Inc.                         733 Bedford Street                   Whitman           MA    02382-0000   502233           08/01/02
RETAIL      Marcia Garland, dba The Floral Gallery               146 Williams Street                  Marlborough       MA    01752-6053   5032071          10/08/08
RETAIL      Marcole, Inc., dba Community Package Store           30 Central Street                    Ipswich           MA    01938-0000   5031099          11/15/06
RETAIL      Marconi's Oceanside Gifts, Inc.                      PO Box 414                           South Wellfleet   MA    02663-0000   5031580          05/08/07
AICC        Marc's Auto Service                                  2688 Cranberry Highway               Wareham           MA    002571       WC 007035        10/07/07
RETAIL      Marel, Inc., dba Central Drapery & Dry Cleaning      420 Watertown St.                    Newton            MA    02158-0000   501598           01/03/01
RETAIL      Mariam Germanos, dba Jilly's Bistro                  PO Box 5314                          Salisbury         MA    01952-0000   5031486          04/29/07
MCSIG       Marian High School                                   273 Union Avenue                     Framingham        MA    01701        none             03/31/93
DFSIG       Marian Manor                                         33 Summer Street                     Taunton           MA    02780        94004            11/12/93
RETAIL      Marianthe Bode, dba Mahri                            11 Beach Street                      Manchester        MA    01944-0000   501893           01/07/02
            Marie Hans Wurst Co, LLC, dba Karl's Sausage
RETAIL      Kitchen                                              142 Broadway                         Saugus            MA    01906-0000   5031983          06/01/09
MCSIG       Marillac Residence House                             125 Oakland Street                   Wellesley Hills   MA    02181        none             03/31/00
ISCC        Marine Biological Laboratory                         7 MBL Street                         Woods Hole        MA    02543        WC 000928        03/01/04
MCSIG       Marist Fathers of Boston                             518 Pleasant Street                  Framingham        MA    01701        none             03/31/99
CARE        Marist Hill Nursing & Rehab Center                   66 Newton Street                     Waltham           MA    02454        2000030          01/01/97
RETAIL      Mar-Jil Corp., dba Brightwood Hardware               794 Williams St                      Longmeadow        MA    01106-0000   1022400          01/01/94
RETAIL      Mark Adrian Shoes, Inc.                              103 Main Street                      Gloucester        MA    01930-0000   501796           07/10/97
RETAIL      Mark Donato, dba The Sconset General Store           PO Box 19                            Siaconset         MA    02564-0000   500599           06/30/95
            Mark Ferreira & Louise Ferreira, dba John's Liquor
RETAIL      Store                                                729 Main Street                      Falmouth          MA    02540-0000 5031120            05/31/06


                                                                                    Page 102 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip          Policy   Effective
Group       Member Name                                        Street Address                         City                St.      Code          Number     Date
RETAIL      Mark Gray, dba Gray's Auto Shop                    PO Box 5096                            Salisbury           MA    01952-0000 5032387         11/14/09
            Mark Lawrence & Vito C Marotta dba Porky's
RETAIL      Barbecue & Grill                                   12A Thornton Drive                     Hyannis             MA    02601-0000 5032823         05/02/11
            Mark Maniscalchi & Robert Sonsini, dba Venitian
RETAIL      Bakery                                             90 Baldwin Street                      West Springfield,   MA    01089-0000 500561          04/29/95
            Mark Oliver, dba Advanced Technical Repair &
RETAIL      Training                                           PO Box 91                              Haydenvile          MA    01039-0091   5031378       01/06/07
RETAIL      Mark Robbins Jewelers Inc.                         6 Commonwealth Avenue                  Springfield,        MA    01108-0000   500819        11/11/95
RETAIL      Mark S Donoghue, CPA, dba Donoghue Realty          238 Main Street                        Greenfield          MA    01031-0000   502503        01/01/04
RETAIL      Market Square Beverage Co, Inc.                    3-5 Market Square                      Lynn                MA    01905-0000   1076979       02/01/92
RETAIL      Markjim Inc., dba Now Voyager Book Store           357 Commercial Street                  Provincetown        MA    02657-0000   1019860       05/27/03
RETAIL      Marks Discount Outlet, Inc.                        PO Box 490607                          Everett             MA    02149-0000   501936        01/01/02
CTCC        Mark's Moving & Storage, Inc.                      1455 Concord Street                    Framingham          MA    01701        WC 000732     01/01/00
RETAIL      Marlboro Square Wine & Spirit Co.                  44 Boston Post Road West               Marlborough         MA    01752-0000   1076455       05/01/91
            Mars M. Inc., dba Mom & Rico Daniele's Specialty
RETAIL      Market                                             899 Main St.                           Springfield         MA    01103-0000   501984        03/01/02
MANUF       Marshall Paper Tube Co. Inc.                       PO Box 304                             Randolph            MA    02368        5100015       01/01/04
RETAIL      Marshall Slocum, dba The Cape House Shop           9 West Road                            Orleans             MA    02653-0000   501741        06/09/97
RETAIL      Marshfield Blanchards, Inc.                        700 Plain Street                       Marshfield          MA    02050-0000   501743        06/16/97
NAHRO       Marshfield Housing Authority                       12 Tea Rock Gardens                    Marshfield          MA    02050        WCMN0049      06/01/04
RETAIL      Marshfield Santoros Pizza                          1249 Ocean Street                      Marshfield          MA    02050-0000   502175        09/12/01
MIIA        Marshfield, Town of                                870 Moraine Street                     Marshfield          MA    02050        445           07/01/08

RETAIL      Marshland Group, Inc., dba Marshland Restaurant    PO Box 17, 109 Route 6A                Sandwich            MA    02563-0000 62110           01/01/07
RETAIL      Marsh's Liquors Inc.                               104 Washington Street                  Norwell             MA    02061-0000 501358          03/01/96
            Marshside Operations, LLC, dba Marshside
RETAIL      Restaurant                                         PO Box 1514                            East Dennis         MA    02641-0000   5031952       05/29/08
RETAIL      Martel Rentals, Inc., dba Sudbury Taylor Rentals   712 Boston Post Road, Rte. 20          Sudbury             MA    01776-0000   501946        01/01/02
RETAIL      Martel's Automotive Service, Inc.                  5-7 Brown Street                       Ipswich             MA    01938-0000   5031017       03/15/06
MIIA        Martha`s Vineyard Public Charter School            P.O. Box 1150                          West Tisbury        MA    02575        345           07/01/05
RETAIL      Martha's Vineyard Gourmet Cafe & Bakery            PO Box 3417                            Oak Bluffs          MA    02557-0000   5031675       06/15/08
            Martha's Vineyard Health Club, LLC, dba Mansion
RETAIL      House                                              PO Box 428                             Vineyard Haven      MA    02568-0000 5032704         12/20/10
HEALTH      Martha's Vineyard Hospital, Inc.                   Box 1477, Attn: Kathleen Harrington    Oak Bluffs          MA    02557      3100000         07/01/03
MEGA        Martha's Vineyard Land Bank Commission             P O Box 2057                           Edgartown           MA    02539      X340291         07/01/02
            Martha's Vineyard Refuse Disposal & Resource
MEGA        Recovery Dist                                      750 West Tisbury Road                  Edgartown           MA    02539        X340245       10/01/04
MEGA        Martha's Vineyard RSD                              P O Box 1385                           Oaks Bluff          MA    02557        X340082       01/01/94
AICC        Martineau's Garage, Inc.                           27 Haverhill Street                    Methuen             MA    01844        WC 007329     07/22/07
RETAIL      Marty's Furniture Co., Inc.                        99 Washington Street                   Melrose,            MA    02176-0000   500456        03/31/95


                                                                                    Page 103 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                             Zip             Policy   Effective
Group       Member Name                                      Street Address                      City              St.      Code            Number      Date
RETAIL      Marvin Grain & Hardware Inc                      31 Cove Rd                          South Dartmouth   MA    02748-0000   5031837          01/14/08
RETAIL      Mary C. Reilly, dba Jay's Tire & Battery         PO Box 227                          Newburyport       MA    01950-0000   5031426          02/27/07
RETAIL      Mary Donohue, dba M&M Restaurant                 1409 Suffield St                    Agawam            MA    01001-0000   5031758          11/09/07
CARE        Mary Immaculate Health Care Services             172 Lawrence Street                 Lawrence          MA    01841        2000004          01/01/91
RETAIL      Mary Jo Cole Needlework, Inc                     11 Newbury Street                   Boston            MA    02116-0000   5030231          03/04/04
RETAIL      Mary Sobel, dba Dock Street Coffee Shop          PO Box 164                          Vineyard Haven    MA    02568-0000   502495           08/01/02
RETAIL      Marylou's News, Inc.                             183 Whiting St.                     Hingham           MA    02343-0000   5030057          05/01/03
RETAIL      MAS Bakery Cafe, Inc., dba Perfecto's Cafe       515 Lowell Street                   Peabody           MA    01960-0000   5030746          04/01/06
MIIA        Masconomet Regional School District              Endicott Road                       Topsfield         MA    01983        325              07/01/05
RETAIL      Mascorp Management Corp.                         1525 New State Highway              Raynham           MA    02767-0000   5031805          01/01/08
NAHRO       Mashpee Housing Authority                        7 Job's Fishing Road                Mashpee           MA    02649        WCMN0184         07/01/04
MIIA        Mashpee Water District                           79 Industrial Drive                 Mashpee           MA    02649        330              07/01/05
MIIA        Mashpee, Town of                                 16 Great Neck Road North            Mashpee           MA    02649        295              07/01/05
RETAIL      Maslow Concepts, Inc., dba Strip T's and Buzz    95 School Street                    Watertown         MA    02172-0000   1017660          08/01/02
RETAIL      Mason Family Corporation, dba Brewster Mobil     PO Box 692                          Brewster          MA    02631-0000   5032031          08/01/08
RETAIL      Mass Bay Company                                 595 Main Street                     Hyannis,          MA    02601-0000   501176           10/01/95
RETAIL      Mass Diving, Inc.                                247 West Central Street             Natick,           MA    01760-0000   501020           07/26/96
RETAIL      Mass Surgical Supply, LLC                        249 High Street                     Holyoke,          MA    01040-0000   500916           05/12/96
NAHRO       Mass. Chapter of NAHRO                           11 Beacon Street, Suite 722         Boston            MA    02108        WCMN0007         12/07/04
MEGA        Mass.Medical Malpractice Reinsurance Pln         95A Turnpike Road                   Westboro          MA    01581        X340054          11/05/91
ISCC        Massachusetts Audubon Society                    South Great Road                    Lincoln           MA    01773        WC 000254        01/01/93
MCSIG       Massachusetts Catholic Conference                49 Franklin Street - 3rd Floor      Boston            MA    02110        none             03/31/93
NEEIA       Massachusetts College of Pharmacy                179 Longwood Ave.                   Boston            MA    02115        06-5000150       07/01/90
ISCC        Massachusetts Higher Education Consortium        c/o U Mass, One Center Way          Amherst           MA    01003        WC 000868        01/01/02
ISCC        Massachusetts Historical Society                 1154 Boylston Street                Boston            MA    02215        WC 000911        07/01/03
MIIA        Massachusetts Municipal Association              60 Temple Place                     Boston            MA    02111        80               07/01/05
MIIA        Massachusetts Municipal Wholesale Electric Co.   P.O. Box 426                        Ludlow            MA    01056        86               07/01/05
RETAIL      Massachusetts Opticians Inc                      17 Village Square                   Chelmsford        MA    01824-0000   500764           05/01/91
RETAIL      Massachusetts Package Store Assoc.               181 Park Avenue, Suite #5           W Springfield     MA    01089-0000   500486           05/01/91
RETAIL      Masse Hardware Associates Limited Partne         249 Walden Street                   Cambridge          MA   02140        5032718          01/01/11
RETAIL      Massimino's Cucina Italiana, Inc.                207 Endicott Street                 Boston            MA    02113-0000   5031380          01/01/07
STAM        Massini Bus Company, Inc.                        Old Rte 7, 199 Ashley Falls Road    Sheffield         MA    01257        WC-06-0000568    05/12/94
RETAIL      Master Auto, Inc.                                1027 Broadway                       Revere            MA    02151-0000   5032349          09/10/09
AICC        Master Glass, Inc.                               412 Washington Street               Weymouth          MA    02188        WC 008050        03/03/08
RETAIL      Master Jewelers Inc.                             P.O. Box 61254                      Longmeadow        MA    01116-1254   500977           07/31/96
RETAIL      Mastria Buick,Pontiac, GMC/Truck Company         1525 New State Highway              Raynham           MA    02767-0000   5031806          01/01/08
RETAIL      Mastria Nissan, Inc.                             1525 New State Highway              Raynham           MA    02767-0000   5031811          01/01/08
RETAIL      Mastria Subaru of Raynham, Inc.                  1525 New State Highway              Raynahm           MA    02767-0000   5031810          01/01/08
AICC        Mastroianni's Auto Repair & Sales                387 Taylor Street                   Springfield       MA    01105        WC 005110        03/01/05
RETAIL      Matarazzo Brothers Company, Inc.                 290 Fourth Street                   Chelsea           MA    02150-0000   5031353          01/01/07

                                                                               Page 104 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip            Policy   Effective
Group       Member Name                                            Street Address                         City               St.      Code            Number     Date
AICC        Mathieu Ford Sales, Inc.                               297 Central Street                     Winchendon         MA    01475        WC 004077       09/17/04
MCSIG       Matignon High School                                   One Matignon Avenue                    Cambridge          MA    02140        none            03/31/93
RETAIL      Mat-Lin-Chris Corp., dba Jamie's Grille & Pub          769 Bedford Street                     Whitman            MA    02382-0000   5030537         04/01/05
RETAIL      Matt Gurney, dba Matt's Blackboard Restaurant          565 Roundsville Rd.                    Rochester          MA    02770-0000   5032084         11/11/08
NAHRO       Mattapoisett Housing Authority                         1 Acushnet Road                        Mattapoisett       MA    02739        WCMN0164        06/01/04
MIIA        Mattapoisett, Town of                                  P.O. Box 435                           Mattapoisett       MA    02739        300             07/01/05
            Matthew & Ann Marie Gamache, dba Courtyard
RETAIL      Restaurant                                             319 Huttleston Ave                     Fairhaven          MA    02719-0000 5030699           09/27/04
            Matthew E Netto, dba North Shore Seafood
RETAIL      Company                                                166 King Street                        Northampton,       MA    01060-0000   500895          03/12/96
RETAIL      Matt's Shoes, Inc.                                     284 Boston Turnpike                    Shrewsbury         MA    01545-0000   502421          01/13/03
TRADE       Matuszko Trucking, Inc.                                137 Damon Road, Suite B                Northampton        MA    01060        4100060         07/13/06
RETAIL      Mauro's Market, Inc.                                   4 Main Street                          Southborough       MA    01772-0000   5032667         03/30/10
RETAIL      Mauro's Village Cafe Inc.                              2 Main Street                          Southborough       MA    01772-0000   5030025         03/28/03
RETAIL      Mavin Inc                                              RR1 835 Airport Road                   Vineyard Haven,    MA    02568-0000   501213          10/01/95
RETAIL      Max & Dylan's City Square Inc.                         One Chelsea Street                     Charlestown        MA    02129-0000   5032080         11/01/08
RETAIL      Maxwell and Company Inc.                               43 Lighthouse Road, c/o Burlingame     Plattsburgh        NY    12901-0000   500214          04/01/02
RETAIL      Mayflower Service Center, Inc.                         164 South Street                       Plymouth           MA    02360-0000   5031247         09/15/06

RETAIL      Mayflower Textiles Co., Inc, dba Franklin Mill Store   PO Box 329                             Franklin,          MA    02038-0000   500358          01/01/95
MMCG        Mayhew Steel Products                                  199 Industrial Bvd                     Turners Falls      MA    01376        WC 000892       01/01/03
RETAIL      Mayler International, Inc.                             PO Box 105                             Ludlow             MA    01056-0000   5031635         08/08/07
NAHRO       Maynard Housing Authority                              P.O. Box 163                           Maynard            MA    01754        WCMN0052        06/01/04
RETAIL      Maynard Motors Inc.                                    145 Great Road                         Maynard             MA   01754        5030864         01/01/11
RETAIL      Maynard Outdoor Store, Inc.                            24 Nason Street                        Maynard,           MA    01754-0000   500568          05/01/95
MIIA        Maynard, Town of                                       195 Main Street                        Maynard            MA    01754        452             07/01/08
RETAIL      Mazzeo's of Great Barrington, Inc.                     1020 South Main Street                 Pittsfield         MA    01201-0000   502344          11/06/02
RETAIL      MBK Inc., dba Mr. K's Discount Wine & Spirits          980 Boylston Street                    Newton Highlands   MA    02461-0000   5030632         07/10/04
McD         Mc Bee Enterprises                                     P. O. Box 325                          North Easton       MA    02356        17973           01/01/93
RETAIL      Mc Clellands Gardens, Inc.                             123 Academy Street                     Chicopee,          MA    01013-0000   501539          10/13/00
RETAIL      MC Tieri, LlC, dba Pomps Cleaners                      157 Main Street                        Stoneham           MA    02180-0000   5032125         01/13/09
RETAIL      McCallum Dry Goods, LLC, dba Cedar Chest               150 Main St.                           Northampton        MA    01060-0000   5032574         05/27/10
RETAIL      McCarthy Brothers Inc.                                 5-9 Moulton Street                     Charlestown        MA    02129-0000   501514          02/01/98
            McCoubrey Enterprises-R/W of Brookside
AICC        Automotive                                             231 Union Street                       Westfield          MA    01085        WC 009068       4/1/2009
RETAIL      McCoy Associates, Inc.                                 13 Westech Drive                       Tynsboro           MA    01879-0000   5030559         03/01/04
AICC        McCracken's Automotive Service, Inc.                   107 Spring Street                      West Roxbury       MA    02132        WC 001101       01/01/00
RETAIL      McCue the Florist, Inc.                                200 Cambridge Road                     Woburn             MA    01801-0000   5032820         05/01/11
HVAC        McCusker-Gill, Inc.                                    75 Industrial Park Road                Hingham            MA    02043        HVAC1003        10/01/92
RETAIL      McGovern's Family Restaurant, Inc.                     310 Shove Street                       Fall River         MA    02724-0000   5031236         08/01/06


                                                                                        Page 105 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip          Policy     Effective
Group       Member Name                                           Street Address                         City               St.      Code          Number       Date
AICC        McGrail Associates, Inc. dba Oil Doctor               645 Chanler Street                     Worcester          MA    01605      WC 007331         09/22/07
McD         McJennifer Foods Inc.                                 10 Autumn Road                         Wrentham           MA    02093      21848             01/01/93
RETAIL      McKinlay's Incorporated, dba McKinlay's Liquors       624 Main St.                           Holden             MA    01520-0000 5032579           05/25/10
            McKinnon Brothers, Inc., dba McKinnon Brothers
RETAIL      Butcher Shop                                          73 Holten Street                       Danvers            MA    01923-0000   500369          02/08/95
RETAIL      McKinnons Butcher Shop-North Inc.                     73 Holten Street                       Danvers            MA    01923-0000   500373          01/01/04
McD         McLee, Inc.                                           P.O. Box 354                           Lee                MA    01238-0354   21085           01/01/96
RETAIL      McMac Spirits, Inc., dba Twin Liquors                 827 South Main Street                  Attleboro          MA    02703-0000   502347          11/18/02
AICC        McMar, Inc.                                           32 Commercial Street                   Foxboro            MA    02035        WC 003018       05/01/03
            McTeel's Magical Mountain, Inc., dba Fun'Der
RETAIL      Mountain                                              1235 Bedford Street                    North Abington     MA    02351-0000 5030679           08/01/04
RETAIL      McTeigue and McClelland, Inc.                         597 South Main Street                  Great Barrington   MA    01230-0000 502152            06/20/02
McD         MD Management, LLC                                    569 Atherton Street                    Milton             MA    02186      6389              01/01/93
            MDM Management Group LLC, dba Dunkin
RETAIL      Donuts/Acton                                          PO Box 2767                            Acton              MA    01720-0000   5031341         01/01/07
ISCC        Meadowbrook School of Weston                          Farm Road                              Weston             MA    02193        WC 000025       04/01/92
RETAIL      Meat Again, Inc                                       306 Boston Rd                          Billerica          MA    01862-0000   5032108         01/01/09
RETAIL      Medeiros & Sons Bakery, Inc.                          PO Box 4010                            Fall River         MA    02723-0000   5030033         06/28/03
AICC        Medeiros Williams Chevrolet                           2045 Boston Road                       Wilbraham          MA    01095        WC 005108       02/01/05
MIIA        Medfield Housing Authority                            Tilden Village                         Medfield           MA    02057        164             07/01/05
MIIA        Medfield, Town of                                     459 Main Street                        Medfield           MA    02052        184             07/01/05
MANUF       Medford CPL, Inc.                                     414 Main Street                        Watertown          MA    02472        5100116         06/16/11
NAHRO       Medford Housing Authority                             121 Riverside Avenue                   Medford            MA    02155        WCMN0189        08/01/04

RETAIL      Medford Liquors, Inc., dba Thrifty Discount Liquors   97 Main Street                         Blackstone,        MA    01504-0000   501481          10/27/97
ABC         Medford Wellington Service Co., Inc                   17 Locust Street, P.O. Box 239         Medford            MA    02155        ABCMA 005029    02/12/05
RETAIL      Media Engineering, Inc., dba Nantucket Sound          P.O. Box 27                            Accord             MA    02018-0000   1082900         05/01/91
RETAIL      Mediterranean, LLC dba Main Street Service            750 Main Street                        Walpole             MA   02081        5032711         01/01/11
RETAIL      Medway Beverages Inc., dba Keystone Liquors           88 Main Street                         Medway             MA    02053-0000   5031637         07/23/07
CARE        Medway Country Manor, Inc.                            115 Holliston Street                   Medway             MA    02053        2000001         01/01/90
RETAIL      Medway Enterprises Inc., dba Rt. 44 Liquors           2035 Winthrop Street                   North Dighton      MA    02764-0000   5030005         02/28/03
NAHRO       Medway Housing Authority                              Mahan Circle                           Medway             MA    02053        WCMN0092        06/01/04
MIIA        Medway, Town of                                       155 Village Street                     Medway             MAS   02053        31              07/01/07
RETAIL      Med-Win Inc., dba Winchester Drug                     568 Main Street                        Winchester,        MA    01890-0000   500802          11/01/95
            Meetinghouse Road, Inc., dba Meeting House
RETAIL      Package Store                                         263 Cotuit Road                        Sandwich           MA    02563-0000 502176            11/26/01
            Meineke Discount Mffler Shop 504-Marlbor, dba
RETAIL      Lakeside Gulf                                         175 Lakeside Drive                     Marlborough        MA    01752-0000 5030941           01/06/06
RETAIL      Melikian, Inc., dba Horizons Restaurant               2200 Boston Road                       Wilbraham          MA    01095-0000 5031793           01/01/08
RETAIL      Melrose Appliance Inc, dba Hugo's of Melrose          424 Main Street                        Melrose            MA    02176-0000 5030631           07/01/04


                                                                                       Page 106 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                            Zip             Policy   Effective
Group       Member Name                                        Street Address                                  City               St.      Code            Number      Date
RETAIL      Melrose Blossoms Inc                               547 Main St.                                    Melrose            MA    02176-0000   5032793          04/01/11
NAHRO       Melrose Housing Authority                          910 Main Street                                 Melrose            MA    02176        WCMN0179         07/01/04
RETAIL      Melrose Oriental Rug, Inc.                         937 Main Street                                 Melrose            MA    02176-0000   1078307          05/01/91
RETAIL      Melrose Paint & Decorating Center, Inc.            910 Main St                                     Wakefield          MA    01880-0000   500970           06/27/96
RETAIL      Melvin & Mable Inc., dba Bunghole Liquor Store     c/o Claire Donovan, 4 Johns Avenue              Middleton          MA    01949-0000   500140           11/17/00
RETAIL      Memo's, Inc., dba Memo's Coffee Shop               1344 Memorial Avenue                            West Springfield   MA    01089-0000   502165           08/01/01
RETAIL      Menard Jewelers, Inc.                              31 South Avenue, P O Box 286                    Whitman,           MA    02382-0000   500239           11/21/96

RETAIL  Mencoboni Foods, Inc., dba LaCantina Restaurant        911 Waverly Street                              Framingham         MA    01702-0000   5031104          04/01/06
NAHRO   Mendon Housing Authority                               9 Blackstone Street                             Mendon             MA    01756        WCMN0020         04/01/04
MIIA    Mendon, Town of                                        20 Main Street                                  Mendon             MA    01756        449              07/01/08
MIIA    Mendon-Upton Regional School District                  150 North Avenue, Box 5                         Mendon             MA    01756        448              07/01/08
RETAIL  Menotomy Beer & Wine Inc.                              80 Broadway                                     Arlington          MA    02474-0000   5032025          07/10/09
HEALTH  Mental Health Association, Inc.                        995 Worthington St                              Springfield        MA    01109        3100007          07/01/09
RETAIL  Merchant of Dennis Inc.                                PO Box #386                                     Haydenville        MA    01039-0000   500586           05/12/95
RETAIL  Mercolino's Bakery                                     1011 E. Columbus Ave                            Springfield        MA    01105-0000   1045960          09/04/02
        Merival Novelty Company, Inc., dba United Paper &
RETAIL  Novelty Co.                                            558 River Street                                Haverhill          MA    01832-0000 501733             05/20/01
        Merlin Discount Mufflers, Inc., dba Meineke Discount
RETAIL  Mufflers                                               44 Bass Ave                                     Gloucester         MA    01930-0000   5032304          07/23/09
RETAIL  Merlin Management                                      311 Gifford Street                              Falmouth           MA    02540-0000   1011815          01/01/03
NAHRO   Merrimac Housing Authority                             52 Merri Village                                Merrimac           MA    01860        WCMN0024         05/05/04
MIIA    Merrimac, Town of                                      Town Hall - 4 School Street                     Merrimac           MA    01860        286              07/01/05
MEGA    Merrimack Education Center Inc.                        101 Mill Road                                   Chelmsford         MA    01824        X340426          07/01/91
MASSBAY Merrimack River Valley House, Inc.                     520 Fletcher Street                             Lowell             MA    01854        80337            10/01/04
MEGA    Merrimack Special Educational Collaborative            101 Mill Road                                   Chelmsford         MA    01824        X340249          07/01/10
MEGA    Merrimack Valley Nutrition Program                     57 River Road                                   Andover            MA    01810        X340190          07/01/94
RETAIL  Merrimack Valley Tire Co., Inc.                        45 Hilldale Ave                                 Haverhill          MA    01832-0000   5030917          10/31/05
RETAIL  Metat, LLC, dba Enrico's Brick Oven Pizzeria           PO Box 156                                      Sturbridge         MA    01566-0000   5031151          05/25/06
ABC     Methuen Construction Co., Inc.                         40 Lowell Street                                Salem              NH    03079        ABCMA 001047     07/01/10
NAHRO   Methuen Housing Authority                              24 Mystic Street                                Methuen            MA    01844        WCMN0182         07/01/04
RETAIL  Methuen Service, Inc., dba Methuen Exxon               687 Prospect Street                             Methuen            MA    01844-0000   5031766          12/28/07
RETAIL  Metrix Auto, Inc.                                      31 Chapel Street                                Northampton        MA    01060-0000   5031552          05/03/07
RETAIL  Metro Industrial Supply, Inc.                          435 Coggeshall Street                           New Bedford        MA    02746-0000   5031667          05/11/08
TRADE   Metro West Provisions, LLC                             14 Rosenfeld Drive                              Hopedale           MA    01747        4100117          08/17/10
AICC    Metro West Subaru, LLC                                 948 Worcesteer Road                             Natick             MA    01760        WC 006218        12/20/06
RETAIL  Metropolitan Deli & Catering, Inc.                     PO Box 729                                      Westford           MA    01886-0000   5030402          09/01/03
RETAIL  Mezcal Tequila Cantina, Inc.                           c/o Niche Hospitality Group, 122 Green Street   Worcester          MA    01604-0000   500007           01/14/09
RETAIL  MFJ Market Inc., dba The Village Market                71 Front Street                                 Scituate           MA    02066-0000   502013           04/15/02
McD     MI MAC LLC/JHDS Associates                             40 Battery Street, Penthouse #10                Boston             MA    02109        18706            01/01/96


                                                                                  Page 107 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip             Policy   Effective
Group       Member Name                                             Street Address                        City               St.      Code            Number      Date
RETAIL      Mia Regazza, Ltd.                                       268 Washington Street                 Abington           MA    02351-2416   5032672          11/20/10
RETAIL      Michael Chammas, dba Mike's Auto and Gas                1005 Worcester St.                    Wellesley          MA    02181-0000   5032398          11/13/09
RETAIL      Michael Frederick Furs, Inc., dba Furs By Michael       500 Pleasant Street                   Worcester,         MA    01609-0000   500924           05/20/96
CTCC        Michael J. Connolly & Sons, Inc.                        609 Main Street                       Walpole            MA    02081        WC 000306        10/01/92

RETAIL      Michael Lynch & Walter Macrae, dba Suburban Auto        4 Norfolk Street                      Walpole            MA    02081-0000 5030855            06/22/06
RETAIL      Michael Macrae, dba Mike's Auto Detailing               PO Box 2002                           Wrentham           MA    01093-0000 5032316            07/30/09
RETAIL      Michael Molinar, dba Flowers on Chestnut                1 Chestnut Street                     Nantucket          MA    02554-0000 502008             04/07/02
            Michael Morris, dba Schneller BMW Performance
RETAIL      Tuning                                                  26 Middle Rd, Unit 1-2                Newbury            MA    01951-0000 500672             05/27/10
RETAIL      Michael's Beach Bluff Deli & Market, Inc                256 Harvard Street                    Brookline          MA    02446-0000 501126             01/29/97
RETAIL      Michael's Motor Sales, Inc.                             54 Winthrop Ave                       Lawrence           MA    01843-0000 5030967            12/31/05
            Michael's of Stockbridge, Inc., dba Michaels of
RETAIL      Stockbridge                                             PO Box 846                            Stockbridge        MA    01262-0000 502381             05/31/02
RETAIL      Michelson's Shoes, Inc.                                 1780 Massachusetts Avenue             Lexington          MA    02420-0000 500991             08/01/96
RETAIL      Michmark, Inc., dba The Wireless Zone                   174 Newburyport Turnpike              Rowley             MA    01969-0000 5030711            03/01/06
            Mick Inc., dba Chuck's Steak House & Margarita
RETAIL      Grille                                                  10 Prospect St.                       Auburn             MA    01501-0000   5031188          07/01/06
RETAIL      Micro Automotive Inc.                                   185 Mechanic Street                   Clinton            MA    01510-0000   5030813          05/19/06
RETAIL      Mid Cape Tire & Auto Service Center, Inc                426 Yarmouth Road                     Hyannis            MA    02601-0000   5031449          10/03/07
RETAIL      Mid-City Auto Parts, Inc.                               212 Emerson Street                    New Bedford,       MA    02740-0000   500931           07/01/96
MEGA        Middelboro Gas & Electric                               32 S Main Street                      Middleboro         MA    02346        X340096          07/01/02
RETAIL      Middleboro Dairy Queen Inc.                             7 East Grove Street                   Middleboro,        MA    02346-0000   500595           05/31/95
NAHRO       Middleboro Housing Authority                            8 Benton Street                       Middleborough      MA    02346        WCMN0145         06/01/04
MIIA        Middleborough, Town of                                  10 Nickerson Avenue                   Middleborough      MA    02346        467              07/01/10
MIIA        Middlefield, Town of                                    Town Hall, Skyline Drive              Middlefield        MA    01243        169              07/01/05
MIIA        Middlesex County Retirement Board                       25 Linnell Circle                     Billerica          MA    01865        303              07/01/05

MEGA        Middlesex Cty Office of the Sheriff-Civil Process Div   180 Cambridge Street                  Cambridge          MA    02141        X340251          07/01/90
RETAIL      Middlesex Foods, Inc., dba Princeton Station            147 Princeton St.                     North Chelmsford   MA    01863-0000   5031815          01/01/08
MASSBAY     Middlesex Human Service Agency, Inc.                    50 Prospect Street                    Waltham            MA    02453        80370            01/01/09
ISCC        Middlesex School                                        1400 Lowell Road                      Concord            MA    01742        WC 000026        04/01/92

RETAIL      Middlesex Village Donuts Inc., dba Dunkin Donuts        P.O. Box 189                          Chelmsford         MA    01824-0000   5030666          08/01/04
AICC        Middleton Glass of Ipswich, Inc.                        9 Brown Square                        Ipswich            MA    01938        WC 008048        01/01/08
MIIA        Middleton Housing Authority                             Orchard Circle                        Middleton          MA    01949        83               07/01/05
MIIA        Middleton, Town of                                      49 South Main Street                  Middleton          MA    01949        82               07/01/05
RETAIL      Mid-Island Photo Inc., dba The Camera Shop              PO Box 696                            Nantucket          MA    02554-0000   502094           05/20/02
TRADE       Midtown Meats, Inc.                                     67 Southwest Cutoff                   Worcester          MA    01604        4100051          02/09/06



                                                                                        Page 108 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                               Zip             Policy   Effective
Group       Member Name                                              Street Address                                City               St.      Code            Number     Date
            Midway Flooring Center, Inc., dba Robertson Floor
RETAIL      Covering                                                 308 Main Street                               Milford            MA    01757-0000   5031190         07/27/06
RETAIL      Mid-way Garage, LLC                                      770A Main St.                                 Osterville         MA    02655-0000   5032239         04/15/09
RETAIL      Mighty Toad LLC, dba West Side Lounge                    20 Larch Street                               Brighton           MA    02135-0000   5032341         09/29/09
RETAIL      Mignosa's Fruit Basket, Inc.                             145 Granite Street                            Quincy,            MA    02169-0000   501169          04/01/97
RETAIL      Mike & Wayne's, Inc.                                     163 Huttleston Avenue                         Fairhaven,         MA    02719-0000   501515          01/19/98
AICC        Mike's Alignment Brake & Spring, Inc.                    257 Brayton Avenue                            Fall River         MA    02721        WC 003016       04/16/03
RETAIL      Mike's Pastry, Inc.                                      300 Hanover Steet                             Boston             MA    02113-0000   5031163         01/10/07
RETAIL      Milano's Importing Co., Inc.                             988 Main Street                               Springfield        MA    01103-0000   502344          11/27/02
MANUF       Milara Inc                                               4 Marc Road                                   Medway              MA   02053        5100091         02/07/10
RETAIL      Milbrew, Inc., dba Plaza Package Store                   40 Brooks Ave                                 Chicopee           MA    01013-0000   5032380         10/13/09
RETAIL      Mile 22, Inc., dba Cityside                              1960 Beacon St.                               Brighton           MA    02135-0000   5032106         11/10/08
RETAIL      Milford Auto Repair, Inc.                                185 Mechanic Street                           Clinton            MA    01510-0000   5030839         06/16/08
RETAIL      Milford Car Care Center Inc., dba Meineke Milford        20 Beaver Street                              Milford            MA    01757-0000   5031900         05/01/08
NAHRO       Milford Housing Authority                                45 Birmingham Court                           Milford            MA    01757        WCMN0197        09/20/04
MIIA        Millbury Housing Authority                               P.O. Box 3                                    Millbury           MA    01527        170             07/01/05
MEGA        Millbury Town of                                         127 Elm Street                                Millbury           MA    01527        X340203         07/01/11
RETAIL      Millbury Towne Florist                                   4 South Main Road                             Millbury           MA    01527-0000   501994          03/01/02
TRADE       Miller Recycling Corp                                    P.O. Box 3069                                 North Attleboro    MA    02761        4000001         01/01/93
RETAIL      Miller Supply Co Inc of Pittsfield                       205 West Street                               Pittsfield         MA    01201-0000   501512          01/25/98
RETAIL      Millerco Corporation, dba Courtyard Restaurant           PO Box 6                                      Cataumet           MA    02534-0000   5031302         09/18/06
            Millerton Super of Great Barrington, Inc, dba Trotta's
RETAIL      Liquors                                                  490 South Main Street                         Great Barrington   MA    01230-0000 502468            01/12/03
NAHRO       Millis Housing Authority                                 310 Exchange Street                           Millis             MA    02054      WCMN0035          06/01/04
McD         Millis Nirob, Inc.                                       See Canton Mirob
MIIA        Millis, Town of                                          900 Main Street                               Millis             MA    02054        195             07/01/05
            Millstone Market Meats & More Inc., dba Millstone
RETAIL      Farm Market                                              24 South Main St.                             Sunderland         MA    01375-0000   502344          05/01/02
MIIA        Millville, Town of                                       P.O. Box 703                                  Millville          MA    01529        257             07/01/05
ISCC        Milton Academy, Trustees of                              170 Centre Street                             Milton             MA    02186        WC 000011       04/01/92
RETAIL      Milton Gas, Inc.                                         310 Granite Street                            Milton             MA    02186-0000   5031733         08/24/08
                                                                     Attention: Kathleen Harrington, 92 Highland
HEALTH      Milton Hospital                                          Street                                        Milton             MA    02186        1000002         10/01/89
NAHRO       Milton Housing Authority                                 65 Miller Avenue                              Milton             MA    02186        WCMN0165        06/01/04
MIIA        Milton, Town of                                          Town Hall, 525 Canton Avenue                  Milton             MA    02186        84              07/01/05
RETAIL      Minit Mart LLC                                           39 Main St.                                   Southbridge        MA    01550-0000   5032529         04/24/10
RETAIL      Minnie, Inc.                                             421 Page Street                               Stoughton          MA    02072-0000   500714          01/01/04
RETAIL      Minot Motorworks, Inc.                                   1944 Main Street                              Marshfield         MA    02050-0000   5031789         12/19/07
RETAIL      Minot, Inc.                                              43 Scanlon Drive                              Randolph           MA    02368-0000   502230          01/01/06



                                                                                        Page 109 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip            Policy          Effective
Group       Member Name                                           Street Address                       City               St.      Code           Number            Date

RETAIL      Minsk Enterprises Ltd, Inc., dba Ray's Dry Cleaners   141 Franklin St.                     Wrentham           MA    02093-0000   501600                01/20/01
AICC        Minute Man Car Wash, Inc                              2 Fullbright Street                  Medford            MA    02155        WC 007301             01/01/07
MEGA        Minuteman Reg Voc Tech School District                758 Marrett Road                     Lexington          MA    02421        X340387               07/01/11
RETAIL      Mirabel, Inc., dba Main St. Cafe                      182 Main Street                      Marlboro           MA    01752-0000   502181                08/01/02
RETAIL      Mirak & Namel, Inc., dba Lord Jeff                    128 Newmarket Square                 Boston             MA    02118-0000   5030244               03/06/94
NEEIA       Miss Hall's School                                    492 Holmes Road                      Pittsfield         MA    01021        06-5000380            07/01/94
RETAIL      Mission Impastable, Inc., dba Spaghetti Freddy's      125 A Pleasant Street                Northampton        MA    01060-0000   5031251               08/01/06
CARE        Mission Towers, Inc.                                  Attn: David Thomas, 10 Phoenix Row   Haverhill           MA   01832        2100033               05/15/11
MCSIG       Missionary Sisters Society of Mary, Inc               349 Grove Street                     Waltham            MA    02154        none                  03/31/93
MCSIG       Missionary Society of St. Paul (Paulist Center)       5 Park Street                        Boston             MA    02108        none                  03/31/93
RETAIL      Mitchell Differential Inc                             384 Hartford Turnpike                Shrewsbury         MA    01545-0000   5032111               01/01/09
RETAIL      Mitchell Drivetrain Service, Inc.                     384 Hartford Turnpike                Shrewsbury         MA    01545-0000   5031976               05/15/09
RETAIL      Miter Biter Frame Co., Inc.                           479 Main St.                         Melrose            MA    02176-0000   5031895               03/25/08
RETAIL      MJ Auto Service                                       103 Mechanic St. Bays 4 & 5          Marlborough        MA    01752-0000   5032472               02/21/10
RETAIL      MJL Associates, LLC, dba Salem Car Wash               51 Canal St.                         Salem              MA    01970-0000   5032687               12/17/10
RETAIL      MJL Bagels Inc                                        1280 Centre Street                   Newton             MA    02159-0000   500431                02/20/95
RETAIL      MJMM Inc., dba Lidio's Restaurant                     1045 Central Street                  Leominster         MA    01453-0000   502291                01/27/02
MHTSIG      MKS Instruments, Inc.                                 6 Shattuck Road                      Andover            MA    01810        WP8-11B-440179-321    01/01/94
RETAIL      MLM Corporation, dba Trum Field Sunoco                541 Broadway                         Somerville         MA    02145-0000   5032413               11/23/09
RETAIL      Modern Bridal Boutique, Inc.                          536 Main Street                      Indian Orchard     MA    01151-0000   502154                07/14/02
RETAIL      Modern Design Furnishings Ltd                         17 Brattle Street                    Cambridge          MA    02138-0000   501758                01/01/04
RETAIL      Modern Marking Products, Inc.                         PO Box 475                           Bridgewater        MA    02324-0000   502290                01/27/02
RETAIL      Mohawk Park Corporation                               PO Box 668                           Charlemont         MA    01339-0000   5032329               08/01/09
MEGA        Mohawk Trail RSD                                      24 Ashfield Road                     Shelburne Falls    MA    01370        X340254               07/01/10
RETAIL      Mohinder, Inc., dba Pintu's Indian Palace             217 Elm St.                          West Springfield   MA    01089-0000   5030756               04/01/06
RETAIL      Mohr & McPherson, Inc.                                151 Alefwife Brook Parkway           Cambridge          MA    02140-0000   500721                07/26/95
RETAIL      Molly Zelley, dba Auburn Florist                      325 Southbridge St.                  Auburn             MA    01501-0000   502344                05/01/02
MCSIG       Monastery of St. Clare                                445 River Street                     Andover            MA    01810        none                  04/01/01
MCSIG       Monastery of St. Clare                                920 Centre Street                    Jamaica Plain      MA    02130        none                  01/01/05
MIIA        Monroe, Town of                                       Town Hall, Monroe Bridge             Monroe             MA    01350        87                    07/01/05
NAHRO       Monson Housing Authority                              31 State Street, Suite 50            Monson             MA    01057        WCMN0180              07/01/04
MIIA        Monson, Town of                                       110 Main Street                      Monson             MA    01057        193                   07/01/05

MIIA        Montachusett Regional Vocational Technical School     1050 Westminster Street              Fitchburg          MA    01420        458                   07/01/09
RETAIL      Montage Inc                                           75 Arlington St.                     Boston             MA    02116-0000   5031446               09/23/07
MIIA        Montague Contributory Retirement System               One Avenue A                         Turner Falls       MA    01376        415                   07/01/05
NAHRO       Montague Housing Authority                            41 Sunrise Terrace                   Turners Falls      MA    01376        WCMN0093              06/01/04
MEGA        Montague Town of                                      1 Avenue A                           Turners Falls      MA    01376        X340256               07/01/11
AICC        Montague-Brown Company, Inc.                          310 Washington Street                Quincy             MA    02169        WC 001040             01/01/00

                                                                                    Page 110 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip           Policy   Effective
Group       Member Name                                          Street Address                        City             St.      Code           Number     Date
MIIA        Monterey, Town of                                    PO Box 308                            Monterey         MA    01245        317            07/01/05
ISCC        Montessori Community School, The                     134 & 136 Cornet Stetson Road         Scituate         MA    02040        WC 000027      04/01/92
MIIA        Montgomery, Town of                                  Main Road                             Montgomery       MA    01085        89             07/01/05
AICC        Montrose Hydraulics, Inc.                            581 Salem Street                      Wakefield        MA    01880        WC 001041      01/01/00
ISCC        Montserrat College of Art, Inc.                      23 Essex Street                       Beverly          MA    01915        WC 000562      01/01/96
RETAIL      Moody Optical Co., Inc.                              25 West Union Street                  Ashland,         MA    01721-0000   501520         04/01/98
            Moore Automotive, Inc., dba Mike's Truck & Auto
RETAIL      Repair                                               381 Old Falmouth Road, #12            Marston Mills    MA    02648-0000   5032384        12/01/09
RETAIL      Moran and Son's Auto Repair, Inc.                    378 Belmont Street                    Worcester        MA    01604-0000   5032412        12/05/09
RETAIL      Morco Enterprises, Inc.                              80 Newbury Street                     Peabody          MA    01960-0000   5031253        08/01/06
RETAIL      Morello Hospitality Group LLC, dba Bin 28            15 Little River Rd.                   Atkinson         NH    03811-0000   5032588        07/01/10
MANUF       Morgan Associates                                    20 Discovery Way                      Franklin         MA    02038        5100034        07/01/04
MANUF       Morgan Grainger Limited Partnership                  20 Discovery Way                      Franklin         MA    02038        5100034        07/01/04
RETAIL      Morgan's Power Equipment, Inc.                       PO Box 198                            Halifax          MA    02338-0198   5031329        11/13/06
RETAIL      Morganti's Inc.                                      235 Old Connecticut Path              Framingham       MA    01701-0000   1041786        05/01/91
RETAIL      Morrice Florist, Inc. of Martha's Vineya             PO Box 1638                           Vineyard Haven   MA    02568-0000   501852         09/15/97
RETAIL      Morris Auto Radiator Co.,Inc                         375 Franklin St.                      Worcester        MA    01604-0000   5032653        10/08/10
AICC        Mosher Auto Body, Inc.                               34 Station Road                       Sudbury          MA    01776        WC 007304      01/01/07
            Mostly Used and Refurbed Inc., dba Surfplus
RETAIL      Computers                                            67 Foster St.                         Peabody          MA    01960-0000 5032651          10/15/10
RETAIL      Motherwear International, Inc.                       4 Open Square Way, Suite 410          Holyoke          MA    01040-0000 500556           04/01/07

RETAIL      Motorcycles of Manchester, Inc., dba M.O.M. 'South   108 Washington Street                 Foxboro          MA    02035-0000   5031201        02/07/07
RETAIL      Motto Corp., dba Motto                               17 Brattle Street                     Cambridge        MA    02138-0000   501756         07/01/97
MEGA        Mount Greylock RSD                                   1781 Cold Spring Road                 Williamstown     MA    01267        X340105        07/01/91
ISCC        Mount Ida College                                    777 Dedham Street                     Newton Center    MA    02459        WC 000941      07/01/04
MIIA        Mount Washington, Town of                            118 East Street                       Mt. Washington   MA    01258        284            07/01/05

RETAIL      Mountain Barn, Inc., dba Mountain Barn Restaurant    PO Box 115                            Princeton        MA    01541-0000   5032628        08/01/10
SILBA       Moynihan-N. Reading Lumber                           P.O. Box 128                          North Reading    MA    01864        WC 000820      01/01/94
SILBA       Mozzone Lumber Co                                    137 Hart Street                       Taunton          MA    02780        WC 000841      01/01/99
RETAIL      Mr. Flower Inc., dba Mrs. Flower                     45 Grand Avenue                       Revere           MA    02151-0000   502033         04/01/02
RETAIL      Mr. Specs Inc                                        518 Chestnut Street                   Lynn             MA    01901-0000   500839         01/01/95
RETAIL      MRK, Inc.                                            785 Washington Street                 Canton           MA    02021-3016   500570         01/01/04
RETAIL      MRM Donuts Corp., dba Dunkin Donuts                  617 Broadway                          Malden           MA    02148-0000   5031753        11/01/07
            Mrs. Mack's Bakery, Inc. dba Mrs. Mack's
RETAIL      Bakery & Restaurant                                  1393 Grafton St.                      Worcester         MA   01604        5032721        01/01/11
RETAIL      Mrs. Phipp's, Inc., dba Super Phipps                 485 E. Main St.                       Westfield        MA    01085-0000   5031652        10/01/07
AICC        MSB Tool, Inc                                        159 Davis Avenue                      Norwood          MA    02082        WC 001127      01/01/00
MCSIG       Mt. St. Mary Abbey                                   300 Arnold Street                     Wrentham         MA    02093        none           03/31/93


                                                                                     Page 111 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip            Policy   Effective
Group       Member Name                                             Street Address                         City             St.      Code           Number     Date

RETAIL      MTB Enterprises, Inc., dba Bridge Street Automotive     83 Bridge St.                          Beverly          MA    01915-0000 5031399          08/01/07
RETAIL      Muckey's Corp, dba Muckey's Super Mart                  95 Church Street                       Pembroke         MA    02357-0000 1049980          11/16/02
MMCG        Mueller Corp.                                           530 Spring Street                      E. Bridgewater   MA    02333      WC 000046        01/01/92
            Mularski Furniture Corp., dba Standard Furniture Co.,
RETAIL      Inc.                                                    c/o Walter Mularski, 525 Holmes Road   Pittsfield,      MA    01201-0000 500148           05/01/95
ABC         MultiPro Wall Systems, LLC                              10 D Street                            Hudson           NH    03051      ABCMA 009040     03/21/09
            Murida Furniture Co Inc, dba Rotmans Furniture &
RETAIL      Carpet                                                  725 Southbridge Street                 Worcester        MA    01610-0000   500821         01/01/96
RETAIL      Murphy's Express, Inc., dba J. Carter Veal Co.          133 Newmarket Square                   Boston           MA    02118-0000   5031748        12/03/07
RETAIL      Murray Supply Corp                                      111 Lincoln St.                        Needham          MA    02192-0000   5032216        04/01/09
RETAIL      Murray's Beverage Store, Inc.                           P.O. Box 1882                          Nantucket,       MA    02554-0000   501166         03/29/97
ISCC        Museum of Science                                       1 Science Park                         Boston           MA    02114        WC 001171      01/01/11
RETAIL      Music Emporium Inc.                                     165 Mass Ave.                          Lexington        MA    02173-0000   501193         09/29/95
RETAIL      Music Espresso, Inc.                                    295 Huntington Avenue, Suite 211       Boston,          MA    02115-0000   500525         03/14/98
RETAIL      Mutual Beef Co., Inc.                                   126 Newmarket Square                   Boston           MA    02118-0000   5031220        08/02/06
RETAIL      MVP Liquors, Inc.                                       2153 Mystic Valley Parkway             Medford          MA    02155-0000   501524         08/24/98

RETAIL      MWTP Restaurant Ventures, Inc, dba Davy's Locker        1480 E. Rodney French Blvd             New Bedford      MA    02744-0000 5030149          11/04/03
RETAIL      Mycost, Inc., dba Myette's Country Store                1143 Broadway                          Hanover          MA    02339-0000 5030926          07/09/06
RETAIL      Mykonos Fair Inc., dba Zoe's Restaurant                 19 A Crosby Drive, Suite 9             Bedford          MA    01730-1419 5032647          10/15/10
            Mystic Liquors Inc., dba Wilmington Plaza Wine &
RETAIL      Spirits                                                 240 Main Street                        Wilmington,      MA    01887-0000   500816         11/24/95
TRADE       Mystic Motor Transportation Co., Inc                    P.O. Box 1082                          Billerica        MA    01821        4100093        08/27/08
RETAIL      Mystic Tailors & Cleaners, Inc.                         282 Broadway                           Somerville       MA    02145-0000   502079         04/27/01
MEGA        Mystic Valley Regional Charter School                   c/o Beacon Mgmt, 112 Tpke Rd           Westboro         MA    01581        X340259        07/23/93
RETAIL      Mystic Valley Wheel Works Inc                           480 Trapello Road                      Belmont          MA    02178-0000   1081830        05/01/91
RETAIL      N & J Donut Shop, Inc.                                  315 Main St.                           Oxford           MA    01540-0000   502113         07/13/01

RETAIL      N E #7, Inc., dba Speedee Oil Change & Tune-Up          PO Box 1519                            Newport          RI    02840-0000 5030897          07/13/06
            N. Reading Hardware & Paint Supply, Inc., dba North
RETAIL      Reading Hardware                                        225 Main Street                        N. Reading       MA    01864-0000   5030160        01/01/04
RETAIL      N.T.R., Inc., dba Tom's Auto Repair                     401 State Road                         N. Dartmouth     MA    02747-0000   5031435        08/27/07
RETAIL      Nagae Family LLP, dba Honey Dew Donuts                  99 Copeland Drive                      Mansfield,       MA    02048-0000   501797         08/01/97
NAHRO       Nahant Housing Authority                                194 Nahant Road                        Nahant           MA    01908        WCMN0162       06/01/04
MIIA        Nahant, Town of                                         334 Nahant Road                        Nahant           MA    01908-0175   301            07/01/05
RETAIL      Nalli Enterprises, Inc., dba The Last Shot              559 Washington Street                  Stoughton        MA    02072-0000   5032247        05/07/09
            Naninas Restaurant VII Inc., dba Christina's
RETAIL      Restaurant                                              PO Box 386                             North Pembroke   MA    02358-0000 5032271          04/01/10
RETAIL      Nantasket Beach Cafe Inc.                               512 Nantasket Ave.                     Hull             MA    02045-0000 5032494          03/21/10


                                                                                        Page 112 of 175
Membership in Workers Compensation Self-Insurance Groups

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                                                                                                                                Zip             Policy   Effective
Group   Member Name                                           Street Address                        City              St.      Code            Number      Date
RETAIL  Nantucket Bake Shop Inc.                              P.O. Box 539                          Nantucket         MA    02554-0000   500661           06/15/95
RETAIL  Nantucket Clipper Corp., dba Sweet Inspirations       PO Box 966                            Nantucket         MA    02554-0000   500886           01/01/04
RETAIL  Nantucket Fish Co. Inc.                               P.O. Box 760                          S. Dennis         MA    02660-0000   5030373          08/14/04
NAHRO   Nantucket Housing Authority                           3 Manta Drive                         Nantucket         MA    02554        WCMN0167         06/01/04
RETAIL  Nantucket Island Drug Corp.                           122 Pleasant Street                   Nantucket,        MA    02554-4003   500376           02/01/95
RETAIL  Nantucket PJM Corp, dba Johnstons of Elgin            4 Federal Street                      Nantucket,        MA    02554-0000   500584           05/04/95
RETAIL  Nantucket Red Development, Inc.                       PO Box 40                             Marlborough       MA    01752-0000   5032071          06/06/11
        Nantucket Restaurant Management Corp, dba
RETAIL  Faregrounds Restaurant                                27 Fairgrounds Road                   Nantucket         MA    02554-0000 5030263            04/01/04
McD     NapCorp, Inc.                                         46 Columbia Road, Unit 9A             Pembroke          MA    02359      19972              01/01/93
        Narayandas Corp, dba Webster Square Package
RETAIL  Store                                                 1014 Main St.                         Worcester         MA    01603-0000   5032032          08/22/08
ABC     Nardone Electrical Corporation                        100 Winchester Street                         Medford   MA    02155        ABCMA001048      10/31/10
MIIA    Narragansett Regional School District                 462 Baldwinville Road                 Baldwinville      MA    01436        429              07/01/06
MIIA    Nashoba Associated Boards of Health                   Box 319, 280 Ayer Road                Harvard           MA    01451        92               07/01/05
MANUF   Nashoba Brook Bakery, LLC                             152 Commonwealth Avenue               West Concord       MA   01742        5100111          03/01/11
ISCC    Nashoba Brooks School                                 200 Strawberry Hill Road              Concord           MA    01742        WC 000041        04/01/92
RETAIL  Nashoba Package Store, Inc.                           P.O. Box 357                          Littleton         MA    01460-0000   1082906          05/01/91
MEGA    Nashoba Regional School District                      50 Mechanic Street                    Bolton            MA    01740        X340135          07/01/11
MIIA    Nashoba Valley Technical High School                  100 Littleton Road                    Westford          MA    01886        359              07/01/05
MANUF   Natalia Marketing Corp.                               170 High Street                       Waltham           MA    02453        5100052          08/11/05
RETAIL  Natick Auto Clinic Inc.                               193 Worcester Road                    Natick            MA    01760-0000   5032639          09/21/10
NAHRO   Natick Housing Authority                              4 Cottage Street                      Natick            MA    01760        WCMN0091         06/01/04
MEGA    Natick, Town of                                       13 East Central Street.               Natick            MA    01760        X340262          07/01/02
RETAIL  Natiella, Inc., dba Pearle Vision                     1230 Newport Avenue                   Attleboro         MA    02703-0000   502317           02/24/02
RETAIL  National Carpet Centers of N.E. Inc.                  PO Box 550                            Tyngsboro         MA    01879-0000   500914           03/31/96
RETAIL  National Floors LLC                                   PO Box 228                            Easthampton       MA    01027-0000   5032843          06/01/11
MCSIG   Nativity Preparatory School                           30 Raynor Circle                      Roxbury           MA    02119        none             09/01/97
RETAIL  Natural Sound, Inc.                                   401 Worcester Road                    Framingham        MA    01701-0000   5030478          11/15/03
MEGA    Nauset RSD                                            78 Eldredge Park Way                  Orleans           MA    02653        X340263          07/01/90
RETAIL  Nauset Sports, Inc.                                   P.O. Box 1011                         Orleans,          MA    02653-0000   501151           03/05/97
RETAIL  Nautilus Trading, Inc.                                P.O. Box 1295                         Oak Bluffs,       MA    02557-0000   501691           04/15/97
        Navy Yard Bistro, Inc., dba Navy Yard Bistro & Wine
RETAIL  Bar                                                   1 First Ave, Building 34 1st Floor    Charlestown       MA    02129-0000 500212             07/20/06
        Needham Cleaners, Inc., dba Needham Martinizing
RETAIL  Cleaners                                              1189 Highland Ave.                    Needham           MA    02194-0000 1008020            06/01/03
NAHRO   Needham Housing Authority                             28 Captain Robert Cook Drive          Needham           MA    02494      WCMN0067           06/01/04
RETAIL  Neha Corp, dba Quick Stop Shop                        250 East Main St.                     Norton            MA    02766-0000 5032486            02/15/10
        Neighborhood Development Corporation of Jamaica
MASSBAY Plain                                                 31Germania Street                     Jamaica Plain     MA    02130        80353            01/06/07


                                                                                  Page 113 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip           Policy   Effective
Group       Member Name                                          Street Address                         City               St.      Code           Number     Date
MASSBAY     Neighborhood House Charter School, Inc.              21Queen Street                         Dorchester         MA    02122        80361          01/01/08
RETAIL      Neighborhood Wrench Inc.                             PO Box 205                             Natick             MA    01760-0000   5031584        05/23/07
MCSIG       Neighbors Who Care, Inc.                             10 Pelham Road, Suite 1000             Lexington          MA    02173        none           01/01/05
RETAIL      Neptune Oyster LLC                                   C/O Jody Macquarrie, 29A Hidden Road   Weston             MA    02493-0000   500089         10/02/08
RETAIL      New Bedford Antiques at The Cove, Inc.               127 Rodney French Blvd                 New Bedford        MA    02744-0000   5031135        01/01/07
CARE        New Bedford Jewish Convalescent Home,Inc             200 Hawthorne Street                   New Bedford        MA    02740        2000040        01/01/93
RETAIL      New Bedford Plumbing&Heating Supply Corp             PO Box H3028                           New Bedford        MA    02741-0000   5030593        09/11/05
RETAIL      New Bedford Salchicharia, Inc.                       53 Belleville Road                     New Bedford        MA    02740-0000   5032455        01/08/10
RETAIL      New Bedford Wine & Spirits, Inc.                     1405 Douglas Ave                       North Providence   RI    02904-0000   5031943        05/22/08
RETAIL      New Boston, Inc., dba New Boston Wine & Spirits      607 Tremont Street                     Boston             MA    02118-0000   5030328        01/01/04
MEGA        New Braintree Town of                                PO Box 193                             New Braintree      MA    01531        X340433        07/01/11
ISCC        New England Aquarium Corp.                           Central Wharf                          Boston             MA    02110        WC 000224      04/01/92
MMCG        New England Art Publishers                           10 Railroad Street                     N. Abington        MA    02351        WC 000009      01/01/92
ISCC        New England Assoc. of Schools & Colleges, Inc.       209 Burlington Road                    Bedford            MA    01730        WC 000702      01/01/96
RETAIL      New England Auto Repairs, LLC                        350 Greenwood St.                      Worcester          MA    01607-0000   5032337        09/16/09
MMCG        New England Biolabs, Inc.                            32 Tozer Road                          Beverly            MA    01915        WC 000310      01/01/93
MANUF       New England Carbide, Inc.                            428 Boston Street                      Topsfield           MA   01983        5100100        11/22/10
            New England Clambake, Inc., dba Wimpy's Seafood
RETAIL      Cafe & Market                                        752 Main St.                           Osterville         MA    02655-0000   5032201        04/01/09
RETAIL      New England Comics Inc.                              732 Washington Street                  Norwood            MA    02062-0000   500665         07/15/95
CARE        New England Deaconess Association                    80 Deaconess Road                      Concord            MA    01742        2000008        01/01/92
MANUF       New England Etching Co., Inc.                        23 Spring Street                       Holyoke             MA   01040        5100105        01/01/11
RETAIL      New England Farms Inc.                               PO Box 145                             Assonet            MA    02702-0000   5030113        09/30/03
            New England Fresh Sea Products, Inc., dba
RETAIL      Hometown Seafoods                                    PO Box 398                             Gloucester         MA    01930-0000 5031540          04/22/07

RETAIL      New England Gourmet, Inc., dba Broadway Gourmet      468 Broadway                           Cambridge          MA    02138-0000   501785         08/01/01
CARE        New England Homes for the Deaf, Inc.                 154 Water St                           Danvers             MA   01923        2100032        05/12/11
RETAIL      New England Meat Market, Inc.                        60 Walnut Street                       Peabody            MA    01960-0000   501783         08/01/01
RETAIL      New England Nurseries, Inc.                          216 Concord Road                       Bedford            MA    01730-0000   502058         05/04/02

RETAIL      New England Pet Centers, Inc., dba Debby's Petland   420 Turnpike Street                    Canton             MA    02021-0000 500826           11/07/94
RETAIL      New England Pirate Museum, Inc.                      274 Derby Street                       Salem              MA    01970-0000 5031968          05/01/09
            New England R.V. and Marine, Inc., dba Major's RV
RETAIL      Service Center                                       150 MacArthur Blvd                     Bourne             MA    02532-0000 5032409          01/06/10
RETAIL      New England Reprographics & Supply, Inc.             80 Midtech Drive                       W. Yarmouth        MA    02673-0000 5030722          04/01/06
RETAIL      New England Roast Beef, Inc.                         33 Park Ave                            Worcester          MA    01609-0000 5030707          02/20/06
            New England Steak House, Inc., dba New England
RETAIL      Steak & Seafood                                      11 Uxbridge Rd                         Mendon             MA    01756-0000 5031688          08/08/07
STAM        New England Transit Sales, Inc.                      30 Progress Avenue                     Tyngsboro          MA    01879      WC-06-5003016    04/07/05


                                                                                    Page 114 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip          Policy   Effective
Group       Member Name                                           Street Address                       City               St.      Code          Number     Date
RETAIL      New England Truck Design, Inc.                        275 Leominster Road                  Sterling           MA    01564-0000 5031394         07/25/07
RETAIL      New England Truck Stop, Inc.                          PO Box 556                           Sturbridge         MA    01566-0000 5032430         01/01/10
RETAIL      New England Tudor Corp., dba Douglas Liquors          11 Robert Toner Blvd.                North Attleboro    MA    02760-0000 5031743         08/20/08
            New England Vision Inc., dba Pearle Eye Lab
RETAIL      Express                                               739 Broadway                         Saugus             MA    01906-0000 502116          06/20/01
McD         New Horizons Management Corp. of MA                   See: Golden Arch Enterprises
MIIA        New Marlborough, Town of                              P.O. Box 99                          Mill River         MA    01244        93            07/01/05
MEGA        New Salem Wendall RSD                                 18 Pleasant Street                   Erving             MA    01344        X340200       07/01/10
MIIA        New Salem, Town of                                    15 South Main Street                 New Salem          MA    01355        109           07/01/07
RETAIL      New Saugus Donuts, Inc., dba Dunkin Donuts            80 Boston St                         Lynn               MA    01904-0000   5031663       08/15/07
RETAIL      New York Deli, Inc.                                   122 Turnpike Rd                      Westboro           MA    01581-0000   5031973       05/08/09
NEEIA       Newbury College                                       129 Fisher Avenue                    Brookline          MA    02445-5796   07-7000101    01/01/07
MIIA        Newbury, Town of                                      25 High Road                         Newbury            MA    01951        478           07/01/11

RETAIL      Newburyport Beer, Inc., dba Black Cow Tap & Grill     PO Box 2490                          South Hamilton     MA    01982-0000 5031229         08/01/06
            Newburyport Coffee, LLC dba Plum Island
RETAIL      Coffee Roasters                                       28 Myrtle Street                     Newburyport         MA   01950        5032730       01/28/11
NAHRO       Newburyport Housing Authority                         25 Temple Street                     Newburyport        MA    01950        WCMN0133      06/01/04
MIIA        Newburyport, City of                                  60 Pleasant Street                   Newburyport        MA    01950        94            07/01/05
MANUF       New-Com Metal Products, Inc.                          29 Teed Drive                        Randolph            MA   02368        5100099       11/01/10
AICC        Newcomb Motors, Inc.                                  95 New Athol Road                    Orange             MA    01364        WC 007311     01/01/07
CARE        Newfield House, Inc.                                  19 Newfield Street                   Plymouth           MA    02360        2000021       01/01/95
RETAIL      Newman Sewing Machine and Supply Co., In              201 Westfield Street                 West Springfield   MA    01089-0000   501974        01/31/02
RETAIL      Newman's Children Shops, Inc.                         40 Merrimack Street                  Haverhill          MA    01830-0000   5031349       01/01/07
ISCC        Newton Country Day School of the Sacred Heart         785 Centre Street                    Newton             MA    02158        WC 000560     01/01/95
RETAIL      Newton Distributing Company, Inc.                     PO Box 650159                        Newton             MA    02465-0000   5032388       11/15/09
NAHRO       Newton Housing Authority                              82 Lincoln Street                    Newton Highlands   MA    02461        WCMN0175      06/01/04
RETAIL      Newton Street Service, Inc.                           255 Newton St.                       Waltham            MA    02453-0000   5031865       04/24/08
RETAIL      Newt's Pharmacy LLC, dba Melvin's Pharmacy            1558 Commonwealth Avenue             Brighton,          MA    02135-0000   500436        03/01/95
RETAIL      Next Drop Inc., dba The Corner Tavern                 421 Marlborough St.                  Boston             MA    02115-0000   5032525       05/01/10
RETAIL      Nicholas Hatzis, dba Nicky's Pizza                    64 Lynnfield St.                     Lynn               MA    01904-0000   502544        04/24/03
            Nicholas N. Hatheway, dba Hatheway Automotive
RETAIL      Service                                               66 Bridge Road                       Salisbury          MA    01952-0000   5031381       01/01/07
ISCC        Nichols College                                       Center Road                          Dudley             MA    01571        WC 000942     07/01/04
CARE        Nichols Village, Inc.                                 Attn: David Thomas, 10 Phoenix Row   Haverhill           MA   01832        2100033       05/15/11
RETAIL      Nick Katsoulis, dba Jimmy K's                         42 Central St.                       Georgetown         MA    01833-0000   5032066       12/01/08
SILBA       Nickerson Lumber Co                                   P.O. Box 99                          Orleans            MA    02653        WC 000785     01/01/93
RETAIL      Nickrosz Spirits Inc., dba Colonial Spirits of Stow   117 Gread Road                       Stow               MA    01775-0000   501881        11/16/01
RETAIL      Nicole Merriman, dba Hot Diggity                      PO Box 135                           Mashpee            MA    08649-0000   5031072       04/17/06
RETAIL      Nieski Inc., dba Marty's of Dudley                    119 West Main Street                 Dudley,            MA    01571-0000   501052        11/26/96


                                                                                    Page 115 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy   Effective
Group       Member Name                                            Street Address                           City              St.      Code            Number      Date
RETAIL      Night-n-Day, Inc., dba Restaurant 45                   45 Milford Street                        Medway            MA    02053-0000   5031010          04/01/06
RETAIL      Nilkanth Varni LLC, dba Rusty's Liquors                700 American Legion Highway              Roslindale        MA    02131-0000   5032545          04/20/10
RETAIL      Nine Acres Auto Service Inc.                           185 Fitchburg Tpke                       Concord           MA    01742-5806   5031225          08/07/06
RETAIL      Nine Lives Corp, dba The Black Cat                     165 Ocean Street                         Hyannis           MA    02601-0000   5032485          02/17/10
RETAIL      Nivniva, LLC, dba East Side Package                    469 Centre Street                        Brockton          MA    02302-0000   5032566          04/29/10
RETAIL      NLCK, Inc., dba Lowell's Restaurant                    75 Cape Rd.                              Mendon            MA    01756-0000   5032317          08/10/09
RETAIL      No. 9 Park, LLC                                        c/o Barbara Lynch Gruppo, 319 A Street   Boston            MA    02210-0000   500097           07/09/02
RETAIL      Noah's Ark Pet Shops of Sturbridge Inc                 PO Box 73                                Southbridge       MA    01550-0773   500602           05/24/95
RETAIL      Nobby Clothes Shop Inc.                                PO Box 538                               Nantucket         MA    02554-0000   500589           05/10/95
ISCC        Noble and Greenough School                             507 Bridge Street                        Dedham            MA    02026        WC 000028        04/01/92
RETAIL      Nobregas, Inc.                                         167 Revere Beach Parkway                 Chelsea,          MA    02150-0000   500904           03/13/96
RETAIL      Noho Management, Inc.                                  36 King Street                           Northampton       MA    01060-0000   5031892          04/01/08
RETAIL      Noon Hill Partners, LLC, dba Noon Hill Grill           530 Main Street                          Medfield          MA    02052-0000   5032679          11/10/10
            Norfolk Factory Direct Kitchen and Bath, dba Cabinet
RETAIL      Outlet                                                 265 Wood Road                            Braintree         MA    02184-0000   500995           08/15/96
RETAIL      Norfolk Factory Direct Ktchn&Bath Otlt N               265 Wood Road                            Braintree         MA    02184-0000   500997           01/01/07
RETAIL      Norfolk Hardware, Inc.                                 981 Morton Street                        Mattapan          MA    02126-0000   1085570          09/01/93
NAHRO       Norfolk Housing Authority                              Rockwood Road                            Norfolk           MA    02056        WCMN0051         06/01/04
RETAIL      Norman B. White, Inc., dba The Liquor Barn             150 Main St.                             Buzzards Bay      MA    02532-3225   502130           08/06/01
TRADE       Norman Boucher, dba Eastern Carrier Service            218 Nashua Street                        Leominster        MA    01453        4100072          01/01/07
RETAIL      Normand's Meat Specialties, Inc.                       331 Ashley Blvd                          New Bedford       MA    02746-0000   5032133          01/21/09
NAHRO       North Adams Housing Authority                          150 Ashland Street                       North Adams       MA    01247        WCMN0149         06/01/04
MIIA        North Adams, City of                                   City Hall                                North Adams       MA    01247        381              07/01/05
AICC        North Amherst Motors                                   P.O. Box 9607                            North Amherst     MA    01059        WC 005097        01/01/05
NAHRO       North Andover Housing Authority                        One Moreski Meadows                      North Andover     MA    01845        WCMN0112         06/01/04
RETAIL      North Andover Shell, Inc.                              980 Osgood Street                        North Andover     MA    01845-0000   5030802          04/19/06
MIIA        North Andover, Town of                                 120 Main Street                          North Andover     MA    01845        479              07/01/11
SILBA       North Atlantic Corp                                    1255 G.A.R. Highway                      Somerset          MA    02726        WC 000784        01/01/93
RETAIL      North Atlantic Frame & Alignment, Inc.                 12 Locust Street                         Medford           MA    02155-0000   5030895          08/14/06
RETAIL      North Atlantic Lobster Co Inc.                         107 Water Street                         Danvers           MA    01923-0000   500843           12/22/94
NAHRO       North Attleboro Housing Authority                      PO Box 668                               North Attleboro   MA    02761        WCMN0006         04/01/04
RETAIL      North Avenue Diner, Inc.                               247 North Ave.                           Wakefield         MA    01880-0000   5032202          03/31/09
ISCC        North Bennet Street                                    39 North Bennet Street                   Boston            MA    02113        WC 000611        01/01/96
NAHRO       North Brookfield Housing Auth.                         271 North Main Street                    No. Brookfield    MA    01535        WCMN0173         06/01/04
MIIA        North Brookfield, Town of                              185 North Main Street                    Northbrookfield   MA    01535        79               07/01/07
MIIA        North Carver Water District                            108 Main Street                          Carver            MA    02330        453              07/01/09
MEGA        North Central Charter Essential School                 One Oak Hill Road                        Fitchburg         MA    01420        X340283          07/01/03
MEGA        North Dighton Fire & Water District                    P.O. Box 697                             North Dighton     MA    02764        X340102          07/01/04
            North Eastham Village Mart Inc., dba Village Green
RETAIL      General Store                                          PO Box 987                               North Eastham     MA    02651-0000 1095355            01/01/03

                                                                                     Page 116 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                 Zip            Policy    Effective
Group       Member Name                                         Street Address                         City            St.      Code            Number      Date
RETAIL      North End Auto Service and Sales Inc                3293 N. Main St.                       Fall River      MA    02720-0000   5032190          03/22/09
RETAIL      North End Enterprises, Inc                          927 W. Boylston St.                    Worcester       MA    01606-0000   5031189          07/17/06
AICC        North End Motors                                    390 Turnpike Street, Route 138         Canton          MA    02021        WC 009073        11/21/09
MEGA        North Raynham Water District                        80 Baker Road, P O Box 1               North Raynham   MA    02767        X340167          07/01/91
RETAIL      North Reading Auto Services, Inc.                   160 Park St.                           North Reading    MA   01864        5032727          01/01/11
MIIA        North Reading Housing Authority                     Peabody Court                          North Reading   MA    01864        98               07/01/05
MIIA        North Reading, Town of                              235 North Street                       North Reading   MA    01864        97               07/01/05
STAM        North River Bus Company, Inc.                       342 Summer Street                      Norwell         MA    02061        WC-06-5003013    02/17/05
MEGA        North River Collabrative                            198 Spring Street                      Rockland        MA    02070        X340061          07/01/02
MASSBAY     North Shore Community Action Programs, Inc.          98 Main Street                        Peabody         MA    01960        80368            01/01/09
MANUF       North Shore Marble & Granite, Inc.                  100 Newbury Street                     Danvers         MA    01923        3000238          05/08/03
ABC         North Shore Mechanical Contractors                  380 Boston Street                      Topsfield       MA    01983        ABCMA 005016     11/01/93
AICC        North Shore Metals, Inc. dba Automotive Parts       45 Boston Street                       Lynn            MA    01904        WC 001076        01/01/00

AICC        North Shore Motor Car, Inc. dba Meineke Car Care    462 Highland Avenue                    Salem           MA    01970        WC 004088        12/01/04
TRADE       North Shore News Co., Inc.                          150 Blossom Street                     Lynn            MA    01902        4000032          01/01/95
ISCC        North Shore Nursery School, Inc.                    204 Greenwood Avenue                   Beverly         MA    01915        WC 000910        06/30/03
MEGA        North Shore Reg Voc                                 30 Log Bridge Road                     Middleton       MA    01949        X340269          07/01/01
RETAIL      North Shore Vacuum Cleaner Inc.                     30 Market Street                       Lynn            MA    01901-0000   502344           12/17/02
RETAIL      North Street Automotive Service                     31 North Street                        Westford        MA    01886-0000   5032136          01/07/09
RETAIL      North Street Steakhouse and Sports Bar,             681 Falmouth Road                      Mashpee         MA    02649-0000   5031539          01/28/09
RETAIL      North Street, Inc.                                  19 North Street                        Hingham         MA    02043-0000   5030581          08/01/05
STAM        North Suburban Transportation                       100 Ashburton Avenue                   Woburn          MA    01801        WC-06-5003019    07/01/05

RETAIL      North Woburn Package Store, Inc., dba 128 Liquors   2 Elm Street                           Woburn          MA    01801-0000   5030289          05/01/91
NAHRO       Northampton Housing Authority                       49 Old South Street                    Northampton     MA    01060        WCMN0110         06/01/04
RETAIL      Northampton Market Inc, dba Pump N Market           48 Old South Street                    Northampton     MA    01060-0000   5030409          11/08/04
MIIA        Northampton, City of                                210 Main Street                        Northampton     MA    01060        99               07/01/05
RETAIL      Northboro Auto Service Center Inc.                  25 Bartlett St.                        Northborough    MA    01532-0000   5032034          09/06/08
NAHRO       Northborough Housing Authority                      26 Village Drive                       Northborough    MA    01532        WCMN0186         07/01/04
MIIA        Northborough, Town of                               63 Main Street                         Northborough    MA    01532        459              07/01/09

MIIA        Northborough/Southborough Regional School Dist.     79 Bartlett Street                     Northborough    MA    01532        382              07/01/05
NAHRO       Northbridge Housing Authority                       12 Colonial Drive                      Whitinsville    MA    01588        WCMN0157         06/01/04
MEGA        Northbridge, Town of                                7 Main Street                          Northbridge     MA    01588        X340059          07/01/04
RETAIL      Northeast Auto Lab, Inc.                            2 Highland Avenue                      Beverly         MA    01915-0000   5031382          01/05/07
            Northeast Automotive Sunroof & Accessori, dba Sun
RETAIL      N' Sound                                            24 Mill Street                         Worcester       MA    01603-2074 5031223            07/24/06
RETAIL      Northeast Floor Covering Supplies Inc.              671 Great Road                         Littleton       MA    01460-0000 501933             01/01/02
MEGA        Northeast Metro Reg Voc                             100 Hemlock Road                       Wakefield       MA    01880      X340270            07/01/91


                                                                                     Page 117 of 175
Membership in Workers Compensation Self-Insurance Groups

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                                                                                                                                            Zip             Policy   Effective
Group       Member Name                                            Street Address                                 City            St.      Code            Number      Date
RETAIL      Northeast Military Sales, Inc.                         17 Sherwood Drive                              Sterling        MA    01564-0000   500653           06/01/95
MANUF       Northeast Pressure Vessel Testing, LLC                 PO Box 897                                     Westboro        MA    01581        5100077          08/11/08
STAM        NorthEast Transit Services, Inc.                       1442 Main Street                               Brockton        MA    02301        WC-06-5003018    07/01/05
RETAIL      Northeast Transmission Co, Inc.                        123 Princeton Street                           N. Chelmsford   MA    01863-0000   5030848          05/14/06
SILBA       Northeast Treaters                                     P.O. Box 802                                   Belcherton      MA    01007        WC 000840        01/01/99
RETAIL      Northeast Wholesale Nail & Fastener Supp               980 Turnpike Street                            Canton          MA    02021-0000   5032826          05/12/11
MIIA        Northern Berkshire Solid Waste Management              20 East Street                                 Adams           MA    01220        411              01/21/04
MEGA        Northern Berkshire Voc RSD                             Hodges Crossroads                              No. Adams       MA    01247        X340302          01/01/95
RETAIL      Northern Lights Hammocks, Inc.                         PO Box 391                                     Provincetown    MA    02657-0000   501580           06/14/00
NEEIA       Northfield Mount Herman                                206 Main Street                                Northfield      MA    01360        06-5000280       01/01/92
MEGA        Northfield Water District                              33 Maple Street                                Northfield      MA    01360        X340505          07/01/03
MIIA        Northfield, Town of                                    69 Main Street                                 Northfield      MA    01360        102              07/01/05
TRADE       Norton & Haines Transportation Co Inc.                 105 E Main Street                              Hopkinton       MA    01748        4100083          11/02/07
RETAIL      Norton Beverage Co., Inc.                              2451 Mass Avenue                               Cambridge       MA    02141-0000   5030250          05/01/91
NAHRO       Norton Housing Authority                               120 West Main Street                           Norton          MA    02766        WCMN0054         06/01/04
TRADE       Norwal Corporation                                     295 Union Street                               East Walpole    MA    02032        4100085          01/01/08
NAHRO       Norwell Housing Authority                              399 Washington Street                          Norwell         MA    02061        WCMN0113         06/01/04
HEALTH                                                             91 Longwater
            Norwell Visiting Nurse Association, Inc. dba Norwell VNA & Hospice Circle                             Norwell         MA    02061-1700   3100008          01/01/10
                                                                   c/o Atlantic Advisers Ins. Agency, Inc. P.O.
MIIA        Norwell, Town of                                       Box 857                                        Norwell         MA    02061        381              07/01/07
AICC        Norwood Center Auto Body, Inc.                         101 Carnegie Row                               Norwood         MA    02062        WC 003039        12/02/03
RETAIL      Norwood Electric Supply Co., Inc.                      611 Washington Street                          Norwood,        MA    02062-0000   501810           08/30/97
ABC         Norwood Fire Protection, Inc.                          30 Old Page Street                             Stoughton       MA    02072        ABCMA 005017     12/14/95
NAHRO       Norwood Housing Authority                              40 William Shyne Cir.                          Norwood         MA    02062        WCMN0023         04/27/04
RETAIL      Norwood Motor Parts Co., Inc.                          PO Box 1040                                    Brockton        MA    02403-0000   5030167          01/01/04
MCSIG       Notre Dame Academy                                     1073 Main Street                               Hingham         MA    02043        none             03/31/93
MCSIG       Notre Dame Americorp                                   50 West Broadway                               South Boston    MA    02187-1093   none             03/31/93
MCSIG       Notre Dame du Lac Asisted Living                       555 Plantation Street                          Worcester       MA    01605-2376   none             03/31/05
MCSIG       Notre Dame Education Center                            301 Haverhill Street                           Lawrence        MA    01841        none             03/31/93
MCSIG       Notre Dame Education Center                            50 West Broadway                               South Boston    MA    02187        none             03/31/93
MCSIG       Notre Dame Health Care Center                          559 Plantation Street                          Worcester       MA    01605-2350   none             03/31/05
MCSIG       Notre Dame High School                                 207 Hampshire St.                              Lawrence        MA    01841        none             09/01/04

MCSIG       Notre Dame High School Corp. Internship Program        207 Hampshire St.                              Lawrence        MA    01841      none               09/01/04
MANUF       Nova Biomedical Corporation                            Attn: Jack Swan, 200 Prospect Street           Waltham         MA    02453-3407 3000042            01/01/92
RETAIL      Now & Then Interiors                                   29 Great Road                                  Acton           MA    01720-0000 501315             06/22/97
            NRT Bus, Inc. (formerly North Reading
STAM        Transportation)                                        P.O. Box 526                                   North Reading   MA 01864      WC-06-5003012         01/01/05
RETAIL      NSA, Inc. dba Northshore Automotive                    100 Birney St, Unit 7                          Peabody          MA 01960     5032747               02/24/11
RETAIL      Number 2, Inc., dba Coolidge Corner Clubhouse          307-309 Harvard Street                         Brookline       MA 02146-0000 502505                08/01/02


                                                                                       Page 118 of 175
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                                                                                                                                   Zip            Policy   Effective
Group   Member Name                                                  Street Address                     City              St.      Code           Number     Date
        NuPath, Inc. (Formerly: Central Middlesex Assn for
MASSBAY Retarded Citizens)                                           147 New Boston Street              Woburn            MA    01801        80327          06/11/03
RETAIL  Nutri-Systems Corporation                                    PO Box 575                         South Deerfield   MA    01373-0000   500577         05/07/95
RETAIL  Nuttleman's Florists, Inc.                                   135 Woodlawn Avenue                Northampton       MA    01060-0000   502476         04/02/03
HEALTH  NVNA Foundation, Inc./ NVNA Works, Inc.                      91 Longwater Circle                Norwell           MA    02061-1700   3100008        09/16/10
CTCC    NWD, Inc.                                                    89 Blackmer Street                 New Bedford       MA    02740        WC 001152      10/26/07
RETAIL  O C P S, Inc., dba Old Colony Package Store                  328-330 Main Street                Easthampton       MA    01027-0000   5030252        01/03/92
RETAIL  O F Welker, Inc.                                             1830 Willbraham Road               Springfield       MA    01119-0000   5031358        01/20/07
RETAIL  O M R Corporation, dba Audy's Mobil                          345 Boylston Street                Brookline         MA    02146-0000   5031667        05/01/08
CTCC    O.B. Hill Trucking & Rigging Co., Inc.                       197 Central Street                 Natick            MA    01760        WC 000917      01/01/04

RETAIL      O.O.D.S. Enterprises LLC, dba Champion Cleaners          661 Boston Post Road East          Marlborough       MA    01752-0000   5030062        06/01/03
MEGA        Oak Bluffs Water District                                PO Box 1297                        Oak bluffs        MA    02557        X340271        07/01/11
RETAIL      Oak Grove Package Store, Inc.                            PO Box 293                         Onset             MA    02558-0000   501927         01/01/98
ISCC        Oak Meadow Montessori School                             2 Pickard Lane                     Littleton         MA    01460        WC 000744      01/01/98
MIIA        Oakham, Town of                                          2 Coldbrook Road                   Oakham            MA    01068        165            07/01/05
RETAIL      OBCT, Inc., dba The Sierra Grille                        PO Box 0782                        Northampton       MA    01061-0000   5031362        06/10/07
MCSIG       Oblates of the Virgin Mary                               1105 Boyleston Street              Boston            MA    02215-3660   none           03/31/93
RETAIL      Ocean Grove Liquors, LLC, dba Towne Liquors              391 Wilbur Ave                     Swansea           MA    02777-0000   5032322        09/02/09
RETAIL      Ocean Grove Tire & Auto Inc                              127 Macomber Ave                   Swansea           MA    02777-0000   5032158        02/01/09
RETAIL      Ocean House Restaurant                                   PO Box 188                         Dennisport        MA    02639-0000   5032756        04/01/11
RETAIL      Ocean Shores Corporation, dba Cotuit Liquors             3858 Falmouth Road                 Marstons Mills,   MA    02648-0000   501816         08/28/97
RETAIL      Ocean State Lobster, LLC                                 PO Box 5367                        Wakefield         RI    02880-0000   5032414        12/01/09
RETAIL      Ocean State Wine & Spirits LLC                           40 Robbie Road, Unit A             Avon               MA   02322-1162   5031647        03/01/11
RETAIL      Ocean View Inc., dba OceanView Restaurant                PO Box 1085                        Oak Bluffs        MA    02557-0000   502492         08/01/02
RETAIL      OCEANA, Inc.                                             PO Box 1550                        Orleans,          MA    02653-0000   501217         04/01/97
MANUF       O-D Tool & Cutter Grinding Co., Inc.                     PO Box 372                         Mansfield         MA    02048        5100115        06/08/11

RETAIL      Off License Enterprises, Inc., dba Main Street Liquors   46-48 Main Street                  Maynard           MA    01754-0000   5030450        12/08/04
MCSIG       Office of Volunteer Resources                            66 Brooks Drive                    Braintree         MA    02184        none           04/01/04
RETAIL      O'Geary's Package Store, Inc.                            60 Commercial Street               Adams             MA    01220-0000   501671         02/08/01
AICC        O'Hara Imports, Inc. dba O'Hara Mazda                    37 Alden Road                      Fairhaven         MA    02719        WC 009070      05/27/09
AICC        O'Hara Motors, Inc.                                      50 Spring Bars Road                Falmouth          MA    02540        WC 004066      07/01/04
RETAIL      Ohlin's Bakery Inc.                                      16 Frothington Road                Burlington        MA    01803-0000   502206         10/10/01
RETAIL      Ohmarsh Corp                                             PO Box 368                         Pocasset          MA    02559-0000   502274         11/01/08
RETAIL      Oishii Sushi Bar, Inc.                                   1166 Washington Street             Boston            MA    02118-0000   5030929        01/01/07
RETAIL      Oishii, Inc., dba Oishii Boston                          1166 Washington Street             Boston            MA    02118-0000   5030928        07/08/06
RETAIL      O'laughlin's Home Care Pharmacy, Inc.                    403 Main St.                       Dalton            MA    01226-0000   501850         10/01/01
RETAIL      Old Cape Cod Tavern Inc., dba Bee Hive Tavern            406 Route 6A                       East Sandwich     MA    02537-0000   5030645        06/24/04



                                                                                      Page 119 of 175
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                                                                                                                                        Zip            Policy   Effective
Group       Member Name                                           Street Address                               City            St.      Code           Number     Date
            Old Colony Holding Co. Inc., dba Windmill Liquors &
RETAIL      Fine Wines                                            28 Rte 6A                                    Orleans         MA    02653-0000   1110480        07/01/03
MEGA        Old Colony Reg Voc THS                                476 North Avenue                             Rochester       MA    02770        X340091        07/01/90
MEGA        Old Rochester Regional School District                135 Marion Road                              Mattapoisett    MA    02739        X340144        07/01/91
ISCC        Old Sturbridge Village, Inc.                          1 Old Sturbridge Village Road                Sturbridge      MA    01566        WC 000312      01/01/93
RETAIL      Old Yellow Dog, LLC                                   175 Elm Street                               Salisbury       MA    01952-0000   5031444        09/14/07
RETAIL      Olde Bedford Package Store Inc.                       18R Walden St                                Concord         MA    01742-0000   5030065        01/01/04
RETAIL      Olde Post Office Pub, Inc.                            36 Ray Street, Route 140                     North Grafton   MA    01536-0000   500347         08/01/02
RETAIL      Ole Mexican Grill of Mass II, LLC                     11 Springfield Street                        Cambridge       MA    02139-0000   5031911        04/01/08
AICC        Olivadoti Corp dba Johnson Transmissions              340 Middlesex Avenue                         Medford         MA    02155        WC110005       05/18/11
RETAIL      Oliver Ormon, Inc.                                    6 Bray Farm Road                             Yarmouthport    MA    02675-0000   502223         08/01/02
RETAIL      On Target, Inc.                                       123 South Street                             Boston          MA    02111-0000   501077         02/07/97
RETAIL      On Your Toes, Inc.                                    474 Lowell St.                               Peabody         MA    01960-0000   501612         10/18/00
RETAIL      Once Upon A Time, Inc.                                1943 Ocean St                                Marshfield      MA    02050-0000   501686         05/01/97
RETAIL      One Bridge Street, Inc., dba Paradise City Tavern     82 Industrial Drive, Unit #3                 Northampton     MA    01060-0000   5031576        04/20/07
RETAIL      One Eleven Chop House, Inc.                           118 Highland Street                          Worcester       MA    01609-0000   1029380        01/01/04

RETAIL      One OHM Corp., dba Conti Liquors & Daily Market       409 Concord St.                              Framingham      MA    01702-0000   5031717        07/15/08
AICC        One Stop Auto Sales; Joseph Halligan, JR. dba         500 East Central Street                      Franklin        MA    02032        WC 004094      12/15/04
AICC        One Thirty Seven Gas, Inc.                            110 Route 137                                East Harwich    MA    02645        WC 007333      09/01/07
AICC        One-Putt, Inc. dba Soft Touch Auto Wash               1469 Granby Road                             Chicopee        MA    01020-2048   WC 007037      11/10/07
RETAIL      Onset Donuts, Inc., dba Dunkin Donuts                 2360 Cranberry Highway, PO Box 760           West Wareham    MA    02576-0000   500318         01/01/04
MEGA        Onset Fire District                                   240 Onset Ave, PO Box 44                     Onset           MA    02558        X340273        07/01/02
RETAIL      Opped, Inc, dba Compare Supermarket                   153 Hawthorne Street                         Chelsea         MA    02150-0000   5030044        06/03/03
MANUF       Opticonx, Inc.                                        36 Town Forest Rd.                           Oxford          MA    01540        5100080        06/23/09
RETAIL      Optimum Global Communication                          450 Main Street                              Springfield     MA    01105-2410   501395         01/01/04
NAHRO       Orange Housing Authority                              200 East River Street                        Orange          MA    01364        WCMN0085       06/01/04
MEGA        Orange Town of                                        6 Prospect Street                            Orange          MA    01364        X340116        07/01/11
                                                                  Attn: Director Human Resources, 1 Del Pond
CARE        Orchard Cove, Inc.                                    Drive                                        Canton          MA    02021      2100001          07/08/03
RETAIL      Oriental Import Auto Service Inc.                     6 Glenville Terrace                          Allston         MA    02134-0000 5031261          09/07/06
            Original Submarine Corp, Inc dba Angelina's
RETAIL      Submarine Shop                                        P.O. Box 333                                 Adams           MA    01220-0000   5032808        04/01/11
RETAIL      Orizontas, LLC dba Kingston Mart                      130 Main Street                              Kingston         MA   02364        5032711        01/01/11
RETAIL      Orleans Camera And Video, Inc.                        9 West Road                                  Orleans         MA    02653-0000   501853         11/13/97
CARE        Orleans Convalescent Home, Inc.                       60 Daley Terrace                             Orleans         MA    02653        2100013        08/13/04
RETAIL      Orleans General Store, Inc.                           PO Box 2279                                  Orleans         MA    02653-0000   5030288        01/01/03
NAHRO       Orleans Housing Authority                             94 Hopkins Lane                              Orleans         MA    02653        WCMN0094       06/01/04
CARE        Orleans Retirement Home, Inc.                         60 Daley Terrace                             Orleans         MA    02653        2100013        08/13/04
RETAIL      Orleans Waterfront Inn, Inc., dba Orleans Inn         3 Old Colony Rd.                             Orleans         MA    02653-0000   5032394        11/17/09


                                                                                     Page 120 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                   Zip          Policy   Effective
Group       Member Name                                          Street Address                          City            St.      Code          Number     Date
RETAIL      Orlean's Wine & Spirits, Ltd.                        Rt 6A Skaket Corners                    Orleans         MA    02653-0000 5030290         05/01/91
            Orleans, Brewster, Eastham Groundwater Protection
MIIA        District                                             P.O Box 2773                            Orleans         MA    02653        383           07/01/08
MIIA        Orleans, Town of                                     19 Schoolhouse Road                     Orleans         MA    02653        220           07/01/08
            Ormston, Edward R., dba Hyannis Brake & Auto
RETAIL      Repair                                               42 Bearse Road                          Hyannis         MA    02601-0000 5031045         12/10/06
RETAIL      Osborn's Country Store, Inc.                         PO Box 1777                             Duxbury         MA    02331-0000 5030291         12/01/93
            OSR Seafood, Inc., dba The Original Seafood
RETAIL      Restaurant                                           527 Route 28                            Dennisport      MA    02639-0000   5031431       04/08/07
RETAIL      Otis Poultry Farm, Inc.                              Route 8                                 North Otis      MA    01253-0000   501149        03/21/97
MIIA        Otis, Town of                                        Town Hall, Main Street                  Otis            MA    01253        106           07/01/05
MCSIG       Our Lady's Guild House                               20 Charlesgate West                     Boston          MA    02215        none          03/31/93
DFSIG       Our Lady's Haven of Fairhaven                        71 Center Street                        Fairhaven       MA    02719        94005         11/12/93
RETAIL      Our Market Corp.                                     P.O. Box 1501                           Oaks Bluff      MA    02557-0000   500823        01/01/96
RETAIL      Outpost Specialties, Inc.                            1385 Mohawk Trail                       Shelburne       MA    01370-0000   501118        01/22/97
RETAIL      OVC, LLC                                             98 Elm Street                           Salisbury       MA    01952-0000   5032395       10/23/09

RETAIL      Owen O'Leary's Inc., dba Owen O'Leary's Restaurant   PO Box 3324                             Southborough    MA    01745-0000   502256        01/01/04
MIIA        Oxford Housing Authority                             23 Wheelock Street                      Oxford          MA    01540        186           07/01/09
RETAIL      Oxford Sutton, LLC                                   505 Pleasant Street                     Worcester       MA    01609-0000   5030495       01/01/04
MIIA        Oxford, Town of                                      Memorial Hall, 325 Main Street          Oxford          MA    01540        107           07/01/05
RETAIL      OZ Pacific Wines Inc                                 53 Hazeltine St.                        Haverhill       MA    01835-0000   5031886       03/01/08
McD         P & D Management Co. LLC Group I                     31B Providence Highway                  Norwood         MA    02062        8455          01/01/96
McD         P & D Management Co. LLC Group II                    See: P & D Management Co. LLC Group I
RETAIL      P & S Enterprises Inc., dba Honey Dew Donuts         1998 Acushnet Avenue                    New Bedford     MA    02745-0000 5030062         04/25/03

RETAIL      P D Foods, Inc., dba Portas Da Cidade Restaurant     231 State Road                          Westport        MA    02790-0000 5032662         11/01/10
RETAIL      P Derrico & Sons, Inc., dba D'Errico's Market        141 E. Central St.                      Worcester       MA    01605-0000 5032493         03/08/10
McD         P&L Foods, Inc.                                      See McJennifer Foods Inc.
RETAIL      P.J. Janis Co Inc                                    9 Rossmore Road                         Jamaica Plain   MA    02130-0000 501337          01/01/96
RETAIL      P.J. Lobster Company, Inc                            339 Northern Ave                        Boston          MA    02110-0000 5032192         03/22/09

RETAIL      P.P.J. Enterprises, Inc., dba Lou's Custom Exhaust   258 Grove Street                        Brockton        MA    02302-0000   5031268       09/03/06
RETAIL      P.S. Enterprises Inc, dba Russell Inn                PO Box 434                              Russell         MA    01071-0000   5032115       01/04/09
MCSIG       PACE                                                 14 Beacon Street, Suite 102             Boston          MA    02108        none          01/01/09
RETAIL      Padaria Brasil, Inc.                                 165 Concord St.                         Framingham      MA    01702-8305   5032471       02/07/10
RETAIL      Pages Grocery & Liquor, Inc.                         458 Pearl St                            Stoughton       MA    02072-0000   5031093       12/31/06
RETAIL      Pairings Wine & Food, Inc.                           600 Main Street                         Winchester      MA    01890-0000   5032499       03/26/10
RETAIL      Palazola's, Inc.                                     85 Main Street                          Gloucester      MA    01930-0000   501926        04/04/98
RETAIL      Palga Corp., dba Hancock TV & Appliance              115 Franklin Street                     Quincy          MA    02169-0000   500833        11/09/94


                                                                                    Page 121 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip             Policy   Effective
Group       Member Name                                        Street Address                           City               St.      Code            Number      Date
CARE        Palmer Healthcare Center                           250 Shearer St.                          Palmer             MA    01069        2100024          10/01/06
NAHRO       Palmer Housing Authority                           13 Fletcher Street                       Palmer             MA    01069        WCMN0100         06/01/04
RETAIL      Palmer Trailer Sales Co., Inc.                     1158 Park Street                         Palmer             MA    01069-0000   5032644          10/01/10
MIIA        Palmer, Town of                                    4417 Main Street                         Palmer             MA    01069        75               07/01/06
RETAIL      Palumbo Liquors, dba Vet Package Store, Inc.       547 Main Street                          Medfield,          MA    02052-0000   501815           09/01/97
RETAIL      Pam Lerner Jewelry Inc., dba Pageo Jewelers        843 Beacon St.                           Newton Center      MA    02459-0000   5032432          12/19/09
RETAIL      Pam, Inc., dba ZAZA                                114 Broadway                             Saugus             MA    01906-0000   5031347          01/01/07
RETAIL      Panache Apparel, Inc.                              PO Box 976, 33 Country Road              Mattapoisett       MA    02739-0000   500112           07/30/04
RETAIL      Panda Dry Cleaners, Inc.                           155 State Street                         Newburyport        MA    01950-0000   5031066          05/01/06
RETAIL      Panda Enterprises, Inc., dba Panda East            103 North Pleasant Street                Amherst            MA    01202-0000   5030286          04/01/04
RETAIL      Pangea Shellfish & Seafood Company Inc.            314 Northern Ave                         Boston             MA    02210-0000   5032065          12/07/08
            Paolino Management Corporation, dba Honey Dew
RETAIL      Donuts                                             405 West Central Street                  Franklin           MA    02038-0000   502327           09/29/02
RETAIL      Papa's Bar & Grille, Inc.                          210 Highland Avenue                      Malden             MA    02148-0000   502449           08/01/02
RETAIL      Paper Plus, Inc., dba Curry Copy Center            191 Elm Street                           West Springfield   MA    01089-0000   5031490          04/01/07
RETAIL      Pappagallo, Inc., dba Papagayo                     283 Summer Street                        Boston             MA    02210-0000   5032635          10/01/10
RETAIL      Pappas Management, LLC                             1000 Franklin Village Drive, Suite 203   Franklin            MA   02038        5032711          01/01/11
RETAIL      Paquette Paint, Inc., dba Somerset Paint           1004 County Street                       Somerset           MA    02726-0000   5030508          04/01/05
RETAIL      Paradigm Beverage, Inc., dba Port Beer & Wine      45 Storey Ave                            Newburyport        MA    01950-0000   5031269          08/01/06
MANUF       Paradise Copies, Inc.                              Carol MacColl, 21 Conz Street            Northampton        MA    01060        5100074          04/01/08
RETAIL      Parelli Optical, Inc., dba Parrelli Optical        7 Westerly Road                          Beverly            MA    01915-0000   5031170          01/26/07
            Park Restaurant Management Group, LLC, dba
RETAIL      Alden Park                                         129 Brook Street                         Raynham            MA    02767-0000   5032595          06/30/10
ISCC        Park School, The                                   171 Goddard Avene                        Brookline          MA    02146        WC 000029        04/01/92
ISCC        Park Street Kids, Inc.                             67 Brimmer Street                        Boston             MA    02108        WC 001160        09/01/09
RETAIL      Parker Liquors, Inc., dba Banas Package Store      42 Parker Street                         Indian Orchard     MA    01151-0000   5031524          04/30/07
            Parker Package Store, Inc., dba Parker Discount
RETAIL      Liquors                                            Rt 132                                   Hyannis            MA    02601-0000   5030294          05/01/91
RETAIL      Park-Highland Realty, LLC                          505 Pleasant Street                      Worcester          MA    01609-0000   5030512          01/01/04
RETAIL      Parkingway Wines, Inc.                             540 Gallivan Blvd.                       Dorchester,        MA    02124-0000   500381           02/10/95
RETAIL      Parks Paint & Hardware Co., Inc.                   233 Newbury Street                       Boston              MA   02116        5032757          03/10/11
RETAIL      Parnonas, LLC dba Quick Stop                       990 Providence Highway                   Walpole             MA   02081        5032711          01/01/11
RETAIL      Parth, Inc., dba Mass Convenience                  245 Mass Ave                             Arlington          MA    02474-0000   5032466          02/01/10
RETAIL      Pas Corporation                                    PO Box 368                               Pocasset           MA    02559-0000   502268           01/01/04
RETAIL      Pasquale Associates LLC, dba Pasquales             642 North Main Street                    East Longmeadow    MA    01028-0000   5032509          03/29/10
RETAIL      Pasquale Cerundolo Corp., dba Arlington Tire       1100 Mass Ave                            Arlington          MA    02476-0000   5030715          02/20/06
RETAIL      Pasta E Basta, Inc.                                26 Main St.                              Amherst            MA    01002-0000   5032206          04/01/09
RETAIL      Pasta Eleganza, Inc.                               46 Columbia Road                         Pembroke           MA    02359-0000   5030492          01/01/04
RETAIL      Pasteur Atrium, Inc., dba Pho Pasteur Restaurant   137 Brighton Ave                         Allston            MA    02134-0000   5030406          08/12/04
MCSIG       Pastoral Center                                    66 Brooks Drive                          Braintree          MA    02184        none             03/31/93


                                                                                  Page 122 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip            Policy   Effective
Group       Member Name                                              Street Address                         City              St.      Code            Number     Date
RETAIL      Patend, Inc., dba The Malt Shop                          311 Pond Street                        Ashland           MA    01721-0000   5031097         01/22/07
MEGA        Pathfinder Regional Vocational Technical Sch             239 Sykes Street                       Palmer            MA    01069        X340274         07/01/02
RETAIL      Patricia Halliday, dba Brighams Ice Cream                385 Webster Street                     Rockland          MA    02370-0000   5030724         10/08/04
RETAIL      Patriot News, Inc.                                       PO Box 594                             Stoughton         MA    02072-0000   5030124         10/09/03
RETAIL      Patriot Spirits, Inc. dba Patriot Spirits                PO Box 1645                            South Dennis       MA   02660        5032748         02/14/11
RETAIL      Patriot Square Donuts, LLC                               436B Station Ave                       South Yarmouth    MA    02664-0000   5032611         08/01/10
RETAIL      Patson, Inc., dba Town Liquors Dartmouth                 511 State Road                         North Dartmouth   MA    02747-0000   5030123         10/15/03
RETAIL      Paul B Pignolet, dba Denault's Auto Repair               1380 Pulaski Blvd                      Bellingham        MA    02019-0000   5031896         04/04/08
            Paul Clark Enterprises, Inc., dba Pittsfield Furniture
RETAIL      Co.                                                      2 Brown Street                         Pittsfield        MA    01201-0000   502083          05/01/02
RETAIL      Paul E. Heard, dba Nauset Optical                        P.O. Box 836                           Orleans           MA    02653-0000   501365          07/07/97
RETAIL      Paul Hakala, dba Depot Market                            PO Box 1258                            Edgartown         MA    02539-0000   501643          01/01/01
RETAIL      Paul J Kabilian, dba Kabilian's Car Kare                 903 Plain St.                          Marshfield        MA    02050-0000   5031904         04/26/08
RETAIL      Paul J. Mazzariello dba Vin's Cloth Car Wash             185 South Street                       Holyoke            MA   01040        5032713         01/01/11
RETAIL      Paul Lang Corp., dba West Acton Mobil                    553 Massachusetts Avenue               West Acton        MA    01720-0000   5030360         08/01/03
RETAIL      Paul Lever, dba Paul's Auto                              221 North Avenue                       Wakefield         MA    01880-0000   5030794         05/01/06
RETAIL      Paul O'Connell, dba Lunenburg Exxon                      453 Massachusetts Ave.                 Lunenburg         MA    01462-1303   5031231         08/01/06
RETAIL      Paul R. Meyer LLC, dba Earle A. Johnson Florist          211 Doyle Road                         Holden            MA    01520-0000   502021          03/31/02
RETAIL      Paul Trucceri, dba The Pushcart                          1777 Main Street                       Tewksbury         MA    01876-0000   5030260         03/10/04
CTCC        Paul W. Taylor Company, Inc.                             90 New Salem Street                    Wakefield         MA    01880        WC 000217       10/01/92
RETAIL      Paulmino Inc, dba 7-Eleven                               c/o Paul Marino, 77 Bontempo Road      Newton            MA    02459-0000   500167          02/05/09
RETAIL      Paul's Auto Service, Inc.                                152 High Street                        Waltham           MA    02453-0000   5030721         04/01/06
RETAIL      Paul's Precision Automotive Repair LLC                   464 Main Street                        Falmouth          MA    02540-0000   5032214         05/07/09

RETAIL      Paul's Restaurant Inc, dba Bella Costa Restaurant        147 Cochituate Rd.                     Framingham        MA    01701-0000   5032440         01/01/10
RETAIL      Pavo Real, Ltd.                                          4 Brattle St., Suite #211              Cambridge         MA    02138-0000   500526          05/01/91
RETAIL      Pawtucketville Donuts, Inc, dba Dunkin Donuts            P.O. Box 189, 4 Jean Avenue            Chelmsford        MA    01824-0000   500139          08/01/04
RETAIL      Paxton Garage, Inc.                                      593 Pleasant Street                    Paxton            MA    01612-0000   5030767         05/02/06
MIIA        Paxton, Town of                                          Town Hall, 697 Pleasant Street         Paxton            MA    01612        189             07/01/05
RETAIL      PC'S Inc., dba Paul's Pizza                              PO Box 987                             West Falmouth     MA    02574-0000   502493          08/01/02
RETAIL      Peabody Alignment & Brake Inc.                           91 Endicott St.                        Peabody           MA    01960-0000   5031209         04/12/07
NAHRO       Peabody Housing Authority                                75 Central Street, Suite 2             Peabody           MA    01960        WCMN0046        06/01/04
ISCC        Peabody Museum of Salem                                  East India Square                      Salem             MA    01970        WC 000200       04/01/92
RETAIL      Peabody Office Furniture Corp.                           234 Congress Street                    Boston            MA    02110-0000   500843          12/22/94
RETAIL      Peaches & Cream, Inc.                                    311 Broadway                           Chelsea           MA    02150-0000   502316          02/01/02
RETAIL      Peck's America's Carpet Gallery,Inc.                     6 Main Street                          Kingston          MA    02364-0000   500961          06/12/96
            PED LTD., dba All Seasons Restaurant & Sports
RETAIL      Lounge                                                   327 Plymouth Street                    Halifax           MA    02338-0000 5030361           08/01/03
MANUF       Peerless Precision, Inc.                                 22 Mainline Drive                      Westfield         MA    01085      5100112           04/01/11
MHTSIG      Pegasystems Inc.                                         101 Main Street                        Cambridge         MA    02142-1590 MHT-100001        06/01/10


                                                                                          Page 123 of 175
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                                                                                                                                   Zip          Policy   Effective
Group       Member Name                                          Street Address                           City           St.      Code          Number     Date
MMCG        Peggy Lawton Kitchens, Inc.                          255 Washington Street                    East Walpole   MA    02032      WC 000598       01/01/96
RETAIL      Peko Inc, dba Meineke Discount Muffler               3125 Cranberry Highway                   East Wareham   MA    02538-0000 5031842         01/29/08
MIIA        Pelham, Town of                                      351 Amherst Road                         Pelham         MA    01002      460             07/01/09

RETAIL      Pelkey Appliance, Inc., dba A & D Appliance Center   501 Main Street R                        Medfield       MA 02052-0000 5030952            12/18/05
RETAIL      Peloponesos, LLC dba Wayland Exxon                   20 Boston Post Road                      Wayland         MA 01778     5032711            01/01/11

RETAIL      Pemberton Fruit Orchard Inc., dba Pemberton Farms    2245 Massachusetts Ave                   Cambridge      MA    02140-0000   5030298       01/01/04
RETAIL      Pemberton Market, Inc.                               2225 Massachusetts Ave                   Cambridge      MA    02140-0000   5030297       01/30/94
NAHRO       Pembroke Housing Authority                           Kilcommons Drive                         Pembroke       MA    02359        WCMN0111      06/01/04
AICC        Pembroke Panes DBA Custom Glass                      548 Pond Street                          Braintree      MA    02184        WC 007325     05/11/07
MEGA        Pembroke, Town of                                    100 Center Street                        Pembroke       MA    02359        X340275       07/01/98
            Penna Breault, Inc., dba Jimmy's Stonebridge
RETAIL      Restaurant                                           114 West Housatonic Street               Pittsfield     MA    01201-0000 502084          05/13/02
            Pennacook Inc., dba Firewater and Wine Package
RETAIL      Store                                                25 Forbush Mill Rd                       Bolton         MA    01740-0000   5032629       08/15/10
AICC        Penta Auto Body Company                              483 Pleasant Street, P.O. Box 403        Watertown      MA    02472        WC 006160     01/01/06
AICC        Penta-G Corporation, etal                            225 Union Street                         Braintree      MA    02184        WC 001079     01/01/00
MEGA        Pentucket RSD                                        22 Main Street                           West Newbury   MA    01985        X340343       07/01/90

MASSBAY People Action in Community Endeavors, Inc. (PACE)        166   William Street, P. O. Box 5-626    New Bedford    MA    02742        80364         01/30/08
        Peppercorns Park Avenue Grille and Bar,, dba
RETAIL  Peppercorns Park Avenue Grill                            C/O Thomas Oliveiri, 17 Hilltop Circle   Worcester      MA    01609-0000   500019        12/30/06
NAHRO   Pepperell Housing Authority                              4 Foster Street                          Pepperell      MA    01463        WCMN0037      06/01/04
MIIA    Pepperell, Town of                                       1 Main Street                            Pepperell      MA    01463        264           07/01/05
RETAIL  Percy's of Worcester, Inc.                               19 Glennie Street                        Worcester      MA    01605-0000   501943        01/01/02
RETAIL  Perfecto's Caffe, Inc.                                   1900 Main Street                         Tewksbury      MA    01876-0000   5031711       06/26/08
RETAIL  Performance Automotive of Pittsfield, In                 34 Parker St.                            Pittsfield     MA    01201-0000   5031832       01/29/08
RETAIL  Performance Motoring, Inc.                               PO Box 309                               Hadley         MA    01035-0000   5031502       04/03/07
RETAIL  Performance Music, Inc.                                  126 Elm Street                           Westfield      MA    01085-0000   501386        08/01/97
TRADE   Performance Trans, Inc.                                  214 Lunenburg St.                        Fitchburg      MA    01420        4100079       06/11/07
RETAIL  Period Furniture Hardware Co., Inc.                      75 Arborway                              Boston         MA    02130-0000   502243        12/31/01
        Periwinkle's Pub & Restaurant Inc, dba Periwinkle's &
RETAIL  Gigorio's Italian Pub                                    PO Box 773                               North Oxford   MA    01537-0000   5031742       08/01/08
RETAIL  Perrotta Pharmacy Inc,                                   292 Prospect Street                      Lawrence       MA    01841-0000   500865        02/01/96
RETAIL  Perry's Auto Parts & Equipment Co, Inc                   365 Chicopee Street                      Chicopee        MA   01020        5032712       01/01/11
RETAIL  Persys Place, Inc.                                       43 Bedford Street                        Middleboro     MA    02346-0000   5030050       08/01/03
MIIA    Peru, Town of                                            Town Hall, P.O. Box 479                  Peru           MA    01235        111           07/01/05
RETAIL  Pet Source Inc.                                          165 Gleasondale Road                     Stow           MA    01775-0000   500897        02/13/96



                                                                                    Page 124 of 175
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                                                                                                                                      Zip            Policy   Effective
Group       Member Name                                            Street Address                         City               St.      Code           Number     Date

RETAIL      Peter & Robert Abate, dba RYAL Side Auto Center        88 River Street                        Beverly            MA    01915-0000 5032325          09/01/09
            Peter A. Ruggeri & Sandra L. Ruggeri, dba Peter's
RETAIL      Seafood Restaurant Atima                               54 School Street                       Greenfield         MA    01301-0000   501102         12/14/96
RETAIL      Peter Bernier, dba Berniers Grocery Store              905 Plymouth Street                    Bridgewater        MA    02324-0000   1092399        01/01/03
RETAIL      Peter Condakes Co., Inc.                               34 Market Street, Room 21              Everett            MA    02149-0000   500329         04/27/06
RETAIL      Peter Herman, dba Express Video                        50 Water Street #402                   Newburyport        MA    01950-0000   501772         06/29/01
RETAIL      Peter Kalemkerides dba Peter's Auto Service            4275 Washington Street                 Roslindale         MA    02131-0000   5032817        04/30/11
RETAIL      Peter Paskalis, dba Shrewsbury Pizzaria                560 Main Street                        Shrewsbury         MA    01545-0000   1026380        08/01/02
RETAIL      Peter Saalman Associates, Inc.                         1000 Technology Park Drive, Room 144   Billerica          MA    01821-0000   500326         07/20/96
MIIA        Petersham, Town of                                     Town Hall, P O Box 486                 Petersham          MA    01366        405            07/01/05
TRADE       Peterson Steel Corporation                             PO Box 60328                           Worcester          MA    01606        4100075        05/01/07
RETAIL      Petit Robert Needham, LLC                              45 Chapel St.                          Needham            MA    02492-0000   5032064        11/26/08
RETAIL      Petit Robert, Inc.                                     468 Commonwealth Ave.                  Boston             MA    02215-0000   5031591        05/16/07
RETAIL      Petroleum Group IV, LLC                                4 West Street                          Reading            MA    01867-0000   5031123        12/15/06
RETAIL      Petroleum Group V, LLC                                 4 West Street                          Reading            MA    01867-0000   5031353        12/15/06
RETAIL      Petroleum Group VI, LLC                                4 West Street                          Reading            MA    01867-0000   5031355        12/15/06
TRADE       Petroleum Service of Worcester, Inc.                   633 Grafton Street                     Worcester          MA    01604        4100057        06/15/09
RETAIL      Petsoco, Inc., dba Pier 18 Seafood & Grille            205 Bedford Street                     East Bridgewater   MA    02333-0000   5031361        07/01/07
RETAIL      Petur Enterprises, Inc., dba Natick Wine & Spirits     7 Watson St.                           Natick             MA    01760-0000   501788         08/03/01
RETAIL      Pharma Serv, Inc.                                      223 Arlington St.                      Framingham         MA    01701-0000   1096854        01/01/03

RETAIL      Phelps Sports LLC, dba Crossed Sabers Ski & Sport      421 Raynham Plaza                      Raynham            MA    02767-0000 5030497          02/12/05
RETAIL      Phil & Sons Automotive Services, Inc.                  345 Merrimac Street                    Newburyport        MA    01950-0000 5031550          05/12/07
RETAIL      Philip Dumas, dba Dooley's Cleaners                    177 Auburn St.                         Auburn             MA    01501-0000 1020040          06/07/03
            Phillips & Lee Gulf Station Inc., dba Phillips & Lee
RETAIL      Auto Service Repair                                    28 Atlantic Ave                        Marblehead         MA    01945-0000   5031825        01/07/08
NEEIA       Phillips Academy, Trustees of                          South Main Street                      Andover            MA    01810        06-5000290     02/01/92
MEGA        Phillipston Town of                                    Town Hall, 50 On The Common            Phillipston        MA    01331        X340170        07/01/11
RETAIL      Phoenix Fruit, Inc                                     PO Box 780                             Orleans            MA    02653-0000   5030457        01/22/05
ISCC        Phoenix School, The                                    120 Washington Street                  Salem              MA    01970        WC 000740      01/01/97
RETAIL      Phromi, Inc., dba Beachmont Liquors                    669 Winthrop Avenue                    Revere             MA    02151-0000   5030090        05/01/91
RETAIL      Picante Mexican Grill II, Inc.                         735 Massachusetts Ave                  Cambridge          MA    02139-0000   5030949        01/01/06
RETAIL      Pico Liquors, Inc., dba Jerry's Liquor Mart            329 Somerville St.                     Somerville         MA    02143-0000   5032378        12/08/09
RETAIL      Picture Works Inc.                                     211 Lowell Street                      Willimington       MA    01887-0000   501457         09/19/97
RETAIL      Pier View Restaurant, Inc.                             201 Onset Avenue                       Onset              MA    02558-0000   502344         05/07/02
MANUF       Pierce Machine Co.                                     PO Box 251                             Dalton             MA    01227        3000113        01/01/93
RETAIL      Pieroway Electric Co., Inc.                            PO Box 424                             Ludlow             MA    01056-0000   501888         11/29/01
ISCC        Pike School, The                                       Sunset Rock Road                       Andover            MA    01810        WC 000030      04/01/92
RETAIL      Pikey, LLC, dba The Pickled Onion                      355 Rantoul St                         Beverly            MA    01915-0000   5031830        01/09/08


                                                                                     Page 125 of 175
Membership in Workers Compensation Self-Insurance Groups

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                                                                                                                                       Zip             Policy   Effective
Group       Member Name                                            Street Address                         City               St.      Code            Number      Date
MEGA        Pilgrim Area Collabrative                              120 Center Street. PO Box 1098         Pembroke           MA    02359        X340434          07/01/02
ISCC        Pilgrim Society                                        75 Court Street                        Plymouth           MA    02360        WC 000734        01/01/97
RETAIL      Pillsbury Florist, Inc.                                506 N Elm Street                       West Bridgewater   MA    02379-0000   502411           01/01/03
ISCC        Pincusion Hill Montessori School                       30 Green Street                        Ashland            MA    01721        WC 000909        06/23/03
ISCC        Pine Cobble School, Inc.                               1095 Main Street                       Williamstown       MA    01267        WC 000147        04/01/92
NEEIA       Pine Manor College                                     400 Heath Street                       Chestnut Hill      MA    02167        06-5000320       07/01/92
MASSBAY     Pine Street Inn                                        434 Harrison Avenue                    Boston             MA    02118        80301            08/01/00
MASSBAY     Pine Street Inn Housing, Inc.                          See Pine Street Inn
ISCC        Pingree School, The                                    537 Highland Street                    S. Hamilton        MA    01982      WC 000031          04/01/92
RETAIL      Pioneer Spirit, Inc., dba Liberty Package              747 Carew St.                          Springfield        MA    01011-0000 501728             05/21/01
            Pioneer Valley Liquor Sales Inc, dba Allerys Package
RETAIL      Store                                                  314 Newton St.                         South Hadley       MA    01075-0000   5031870          02/14/08
MIIA        Pioneer Valley Planning Commission                     26 Central Street                      West Springfield   MA    01089        419              07/01/05
MEGA        Pioneer Valley RSD                                     Route 10                               Northfield         MA    01360        X340278          07/01/10
AICC        Pioneer Valley Sales & Service, Inc.                   253 Greenfield Rd.                     South Deerfield    MA    01373        WC 005153        11/01/05
            Piper's Classic Imports, Inc., dba Piper's Foreign &
RETAIL      Domestic Motors                                        15 Elm St.                             Groton             MA    01450-0000   5031307          10/08/06
ABC         Piping Systems, Inc.                                   32 Mill Street, P.O. Box 409           Assonet            MA    02702        ABCMA 005018     09/01/04
RETAIL      Pirperis, Inc., dba Dairy Queen                        190 West Street                        Milford            MA    01757-0000   502490           08/01/02
NAHRO       Pittsfield Housing Authority                           65 Columbus Avenue                     Pittsfield         MA    01201        WCMN0011         04/01/04
AICC        Pittsfield Motors, Inc.                                600 Merrill Road                       Pittsfield         MA    01201        WC 003035        10/01/03
RETAIL      Piyush N. Patel, dba Lucky Farms                       1 West Union St.                       Ashland            MA    01721-0000   501625           12/03/00
RETAIL      Pi-Zans, Inc.                                          29 Union Street                        New Bedford        MA    02740-0000   5032559          05/22/10
RETAIL      PJ's Country House, Inc.                               PO Box 223                             Greenbush          MA    02040-0000   502446           07/01/02
MEGA        Plainfield, Town of                                    304 Main Street                        Plainfield         MA    01070        X340280          07/01/97
NAHRO       Plainville Housing Authority                           140 E. Bacon Street                    Plainville         MA    02762        WCMN0118         06/01/04
MIIA        Plainville, Town of                                    142 South Street                       Plainville         MA    02762        450              07/01/08
RETAIL      Plane View, Inc., dba Plane View Restaurant            PO Box 2813                            Vineyard Haven     MA    02568-0000   5030998          01/01/06

RETAIL      Planet Restaurant, Inc., dba Sopranos Restaurant       681 Famlouth Road                      Mashpee            MA    02649-0000   5031537          04/29/07
AICC        Planet Subaru, Inc.                                    596 Washington Street                  Hanover            MA    02339        WC 005146        09/29/05
MANUF       Plantation Products LLC                                202 S. Washington Street               Norton              MA   02766        5100102          12/15/10
RETAIL      Plaster Fun Time, Inc.                                 45 Newbury Street, Suite 501           Boston             MA    02116-0000   500557           06/06/03
RETAIL      Platinum Auto Service, Inc.                            29 Commercial Street                   S. Yarmouth        MA    02664-0000   5031145          06/24/06
RETAIL      Pleasant Cafe Inc of Maynard                           36 Main St.                            Maynard            MA    01754-0000   5032145          01/21/09
RETAIL      Pleasant Lake Donuts, LLC                              436B Station Ave                       South Yarmouth     MA    02664-0000   5032612          08/01/10
            Pleasant Street Auto Body & Repair, Inc. dba
AICC        Hampshire Towing                                       72 Pleasant Street                     Granby             MA    01033      WC 003007          02/21/03
RETAIL      Pleasant Street Market, Inc.                           54 Pleasant St                         Westfield          MA    01085-0000 5030299            05/01/91
ISCC        Plimoth Plantation, Inc.                               Off Warren Avenue                      Plymouth           MA    02360      WC 000559          01/01/95


                                                                                        Page 126 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip            Policy   Effective
Group       Member Name                                           Street Address                         City               St.      Code           Number     Date
            Plotkin Enterprises Corp., dba Plotkin Furniture
RETAIL      Company                                               41 Exchange Street                     Athol              MA    01331-0000 501253           05/01/97
RETAIL      Plumb Corner Market of Rochester                      PO Box 2279                            Orleans            MA    02653-0000 5030253          01/01/03
ABC         Plumb House Inc./Dalton Builders, Inc.                10 Industrial Road                     Milford            MA    01757-3587 ABCMA 005019     01/01/00
            Plymouth Convenience Store, Inc., dba Guimond
RETAIL      Farms                                                 105 Rhode Island Avenue                Fall River,        MA    02724-0000   501221         03/07/97
RETAIL      Plymouth Hospitality, LLC                             66 State Road, PO Box 248              Westport           MA    02790-0000   500267         10/30/07
NAHRO       Plymouth Housing Authority                            69 Allerton Street                     Plymouth           MA    02361        WCMN0063       06/01/04
RETAIL      Plymouth Persys Place LLC                             43 Bedford Street                      Middleboro         MA    02346-0000   5030065        11/18/05
TRADE       Plymouth Street Facility, LLC                         73 Plymouth St.                        Mansfield          MA    02048        4000001        01/20/05
AICC        Plymouth Tire & Auto Service, Inc.                    1307 Camelot Drive                     Plymouth           MA    02360        WC 007307      01/01/07
MIIA        Plymouth, Town of                                     Town Hall, 11 Lincoln Street           Plymouth           MA    02360        268            07/01/05
MEGA        Plympton, Town of                                     Town House,Palmer Road                 Plympton           MA    02367        X340281        07/01/91
RETAIL      PMJ, Incorporated, dba Sal's Just Pizza               2500 Main Street                       Tewksbury          MA    01876-0000   5030778        04/01/05
RETAIL      Poirier Service Corp.                                 50 Kerry Place                         Norwood            MA    02062-0000   5031127        01/01/07
TRADE       Polonez Parcel Service, Inc.                          143 Doty Circle                        West Springfield   MA    01089        4100008        01/01/04
RETAIL      Polvic, Inc., dba Vicker's Liquors                    367 East State St.                     Granby             MA    01033-0000   502129         05/08/01
RETAIL      Polyvios, Inc., dba Brothers Kouzinas                 25 Newbury Street                      Peabody            MA    01960-0000   5030976        02/01/06

MCSIG       Poor Sisters of Jesus Crucified & Sorrowful Mother    261 Thatcher Street                    Brockton           MA    02402        none           03/31/93
RETAIL      Pop Casey's Inc, dba Pop Casey's Lunch                141 South Main Street                  Acushnet           MA    02743-0000   5030450        12/11/04
MCSIG       Pope John Paul II Academy                             2200 Dorchester Avenue                 Boston             MA    02124        none           04/01/09
MCSIG       Pope John XXIII Central High School                   888 Broadway                           Everett            MA    02149        none           03/31/93
RETAIL      Porticello's Inc.                                     454 Turnpike Street                    South Easton       MA    02375-0000   5030036        05/10/03
RETAIL      Portside Liquors Inc.                                 590-A MacArthur Blvd                   Pocasset           MA    02559-0000   5032677        11/18/10
RETAIL      POS Supply Solutions, Inc.                            310 Andover Street                     Danvers            MA    01923-0000   5030705        10/14/04
RETAIL      Post Office Square Services Group, Inc.               596 Salem Street                       Lynnfield          MA    01940-0000   5031026        04/01/06
RETAIL      Post Road Liquors, Inc.                               150 Needham Street                     Newton             MA    02464-0000   5032830        05/22/11
AICC        Post Road Used Auto Parts                             785 Boston Post Road                   Marlboro           MA    01752        WC 006216      12/28/06
            Pound Pond Associates Inc, dba Sea View
RETAIL      Restaurant                                            PO Box 69                              Dennis Port        MA    02639-0000   5032277        04/01/10
RETAIL      Powertrain Component Rebuilders, Inc.                 79 Roc Sam Park Road                   Braintree          MA    02184-0000   5031373        08/09/07
RETAIL      Pran Corp., dba Lam's                                 287 Centre Street                      Newton             MA    02458-0000   5030356        05/01/03
RETAIL      Prashant Corp.                                        30 Poland Street                       Webster            MA    01570-0000   501587         01/01/04
RETAIL      Pratt's Inc., dba R & P Package Store                 505 West Street                        South Amherst      MA    01002-0000   502303         01/01/02

RETAIL      Pravinbhai Patel, dba Park Street Convenience Store   Attention: Pravin Patel, 54 Park St.   West Springfield   MA    01089-0000   500149         04/04/02
RETAIL      Precision Fitness Equipment Inc.                      217 West Central Street                Natick             MA    01760-0000   501837         10/01/01
RETAIL      Precision Vision, Inc., dba Pearle Vision             339 Squire Road                        Revere             MA    02151-0000   502027         04/15/02
MANUF       Premco, Inc.                                          55 Research Road                       Hingham            MA    02043        3000131        01/01/93


                                                                                      Page 127 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip          Policy   Effective
Group   Member Name                                           Street Address                               City              St.      Code          Number     Date
RETAIL  Prescription Shoppe, Inc                              378 Broadway                                 Everett           MA    02149-0000 5030416         09/01/03
        President City Automotive, LLC, dba Tower
RETAIL  Automotive                                            570 Adams Street                             Quincy            MA    02169-0000   5032062       10/11/08
AICC    Prestige Auto Group, LLC                              124 Waterhouse Road                          Bourne            MA    02532        WC 007312     01/05/07
RETAIL  Prezo Grille & Bar, Inc.                              229 1/2 E Main Street                        Milford           MA    01757-0000   5030863       07/17/05
RETAIL  Prezza, Inc.                                          24 Fleet Street                              Boston            MA    02113-0000   5030279       04/11/04
AICC    Pride Automotive Group                                120 Draper Avenue                            North Attleboro   MA    02760        WC 004060     06/01/04
AICC    Pride Convenience                                     246 Cottage Street                           Springfield       MA    01102        WC 009065     1/1/2009
AICC    Pride Hyundai of Lynn                                 777Lynnway                                   Lynn              MA    01905        WC 005143     08/20/05
MANUF   Primary Colors, Inc.                                  9 Millenium Drive                            North Grafton     MA    01536        5100059       11/08/05
RETAIL  Prince Italian Foods Saugus, Inc.                     517 Broadway                                 Saugus            MA    01906-0000   5030337       08/01/03
MEGA    Princeton, Town of                                    6 Town Hall Drive                            Princeton         MA    01541        X340003       07/01/98
RETAIL  Priscilla Candy Shop, Inc.                            4 Main St.                                   Gardner           MA    01440-0000   5030065       05/31/03
RETAIL  Pro Lube, Inc.                                        c/o M. Pitoniak, 125A Pleasant Street        Northampton       MA    01060-0000   500008        11/06/06
AICC    Pro Tech Automotive & Tire Center, Inc.               205 Willow Street                            Waltham           MA    02154        WC 003017     04/25/03
RETAIL  Pro Wine, Inc., dba Julio's Liquors                   140 Turnpike Road                            Westborough       MA    01581-0000   502417        01/01/03
RETAIL  Pro-Built Transmissions, Inc.                         6 Weymouth St                                Holbrook          MA    02343-0000   5031871       03/01/08
RETAIL  Produce Barn, Inc.                                    PO Box 11                                    Norton,           MA    02766-0000   500907        04/01/96
RETAIL  Produce Company of New England Inc                    424 Broad Street                             Fitchburg         MA    01420-0000   5030578       07/18/05
MANUF   Profab Metal Products, Inc.                           PO Box 8094, 541 Chestnut Street             Lynn              MA    01904-0000   5100097       09/01/10
RETAIL  Professional Audio Associates Inc.                    14 Everberg Road                             Woburn            MA    01801-0000   501788        08/01/01
RETAIL  Professional Automotive Service, Inc.                 19 Mechanic Street                           Marlborough       MA    01752-0000   5031610       06/18/07
MANUF   Profiles, Inc.                                        PO Box 850, 7 First Street                   Palmer             MA   01069        5100106       01/01/11
RETAIL  Progressive Design and Consultants, Inc.              24 Lyman Street                              Westborough       MA    01581-0000   1059600       06/18/91
RETAIL  Progressive Realty Consultants, Inc.                  24 Lyman Street                              Westborough       MA    01581-0000   1072680       01/01/04
MASSBAY Project COPE, Inc.                                    117 North Common Street                      Lynn              MA    01902        80326         04/01/03
MASSBAY Project Hope                                          550 Dudley Street                            Roxbury           MA    02119        80365         02/15/08
        Promised Land Donuts LLP, dba Honey Dew
RETAIL  Associates                                            435 Lynnway                                  Lynn              MA    01901-0000 502345          05/13/02
TRADE   ProShred Security International (EOS Approach, LLC)   75 Post Office Park                          Wilbraham         MA    01095      4100104         06/07/09
        Proud Harvest, Inc., dba Dean's Beans Organic
RETAIL  Coffee Company                                        50 R W Moore Ave                             Orange            MA    01364-0000   5031709       06/21/08
NAHRO   Provincetown Housing Authority                        44 Harry Kemp Way                            Provincetown      MA    02657        WCMN0191      08/01/04
RETAIL  Provincetown Portuguese Bakery, Inc                   299 Commercial St.                           Provincetown      MA    02657-2202   5032660       10/20/10
MIIA    Provincetown, Town of                                 260 Commercial Street                        Provincetown      MA    02657        113           07/01/05
TRADE   Publishers Storage & Shipping Corporatio              231 Industrial Park                          Fitchburg         MA    01420        4000013       01/01/92
RETAIL  Pudding Pantry, Inc., dba Pudding Brook Pantry        264 Washington St.                           Pembroke          MA    02359-0000   5031509       04/30/07
RETAIL  Pure Foods Market, Inc.                               PO Box 9                                     Southampton       MA    01073-0000   500797        07/15/94
RETAIL  Puritan Beef Co., Inc.                                90 Blackstone Street                         Boston            MA    02109-0000   502038        04/20/02
RETAIL  Puritan Fish Co. Inc.                                 5 Fid Kennedy Ave., Marine Industrial Park   Boston            MA    02210-0000   500229        10/22/01

                                                                                    Page 128 of 175
Membership in Workers Compensation Self-Insurance Groups

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                                                                                                                                   Zip             Policy   Effective
Group       Member Name                                           Street Address                       City              St.      Code            Number      Date
RETAIL      Purple Meadow Ventures, Inc.                          70 Main Street                       Greenfield        MA    01301-0000   5030906          10/20/05
RETAIL      Putnam Pantry Inc                                     255 Newbury Street                   Danvers           MA    01923-0000   5030775          03/23/05
RETAIL      PV Sullivan Supply Co., Inc.                          94 Liberty Street                    Quincy            MA    02169-0000   1049980          10/14/02
MANUF       Pyramid Printing and Advertising, Inc.                58 Mathewson Dr                      Weymouth          MA    02189        5100082          08/31/09
RETAIL      QAS, dba Tugboats                                     311 Gifford Street                   Falmouth          MA    02540-0000   1012231          01/01/06
RETAIL      Quabbin Plaza Liquors, Inc.                           594 Summer Street                    Barre             MA    01005-0000   1096854          12/25/02
MEGA        Quabbin RSD                                           872 South Street                     Barre             MA    01005        X340303          07/01/02
MANUF       Quabbin Wire and Cable Co., Inc.                      10 Maple Street                      Ware              MA    01062        5100014          01/01/04
MIIA        Quaboag Regional School District                      P.O. Box 1538                        Warren            MA    01083        258              07/01/05
RETAIL      Quaker Plaza Inc., dba Century Discount Liquors       PO Box 715                           Millville         MA    01529-0000   502120           07/01/01
MANUF       Quality Carton & Converting, LLC                      175 Ward Hill Ave                    Haverhill          MA   01835        5100101          11/28/10
RETAIL      Quality Liquors Inc.                                  5 Gedney St.                         Salem             MA    01970-0000   501995           03/01/02
RETAIL      Quality Muffler and Brake, Inc.                       11 Jacques Street                    Worcester         MA    01603-0000   5031574          05/28/07
RETAIL      Quality Transmissons Inc                              570 Somerset Ave.                    Taunton           MA    02780-0000   5032229          04/24/09
            Quiklube & Wash, Inc.(formerly Suburban
AICC        Chevorolet)                                           661 College Highway                  Southwick         MA    01077      WC 008056          09/01/08
RETAIL      Quimby Electrical Appliance Co., Inc.                 513 North Main Street                East Longmeadow   MA    01028-0000 501124             02/03/97
RETAIL      Quincy Adams Garden Center, Inc.                      652 West Street                      Braintree         MA    02184-0000 5031008            04/01/06
MCSIG       Quincy Catholic Academy                               370 Hancock Street                   Quincy            MA               none               03/31/11
NAHRO       Quincy Housing Authority                              80 Clay Street                       Quincy            MA    02170      WCMN0004           04/01/04
RETAIL      Quincy T Food Store, Inc.                             1185 Hancock St.                     Quincy            MA    02169-0000 5032401            12/02/09
RETAIL      Quintana Associates, Inc.                             558 River Street                     Haverhill         MA    01832-0000 5031723            10/26/07
RETAIL      Quinzani's Bakery, Inc.                               380 Harrison Avenue                  Boston            MA    02118-2112 502357             01/01/03
RETAIL      Quivet, Inc., dba Grumpy's Restaurant                 PO Box 916                           East Dennis       MA    02641-0000 5030971            01/28/06
RETAIL      R & A, Inc., dba Pop's Fine Wines and Liquors         670 Depot Street                     North Easton      MA    02356-0000 5030954            12/04/05
RETAIL      R & C Incorporated                                    PO Box 100                           Malden            MA    02148-0000 502127             01/01/04
            R & D Restaurant Co., Inc., dba Dailey's Restaurant
RETAIL      and Pub                                               245 S. Main Street                   Middleton         MA    01949-0000   5030382          08/01/04
CTCC        R & F Transportation Co., Inc.                        35 Dana Street                       Taunton           MA    02780        WC 000687        01/01/97
RETAIL      R & M Inc.,, dba Artichokes Ristorante                317 Main Street                      Wakefield         MA    01880-0000   501979           03/19/02
RETAIL      R & R Auto Repair Inc                                 1463 Main Street                     Millis            MA    02054-0000   5031744          11/27/07
ABC         R & R Battista Services, Inc.                         99 Irving Street                     Watertown         MA    02472        ABCMA 005004     07/31/95
RETAIL      R & R Dairy MFG Co., dba Dairy Queen                  21 Broad Street                      Weymouth          MA    02188-0000   5030824          04/28/05
RETAIL      R & R Liquors, Inc., dba Palumbo Liquors              421 High Plain Street                Walpole           MA    02081-0000   501809           09/01/97
RETAIL      R A Clark, Inc., dba Taylor Rental Center             14 Shawmut Ave.                      Holyoke           MA    01040-0000   5030122          11/01/03
RETAIL      R and H Gas & Convenience LLC                         7 Acton Road                         Chelmsford        MA    01824-0000   5031917          05/01/08
RETAIL      R J Pelletier Inc., dba Auto Air                      554 Church St.                       New Bedford       MA    02745-0000   5032382          11/01/09
AICC        R. H. Long Motor Sales, Inc.                          218 Turnpike Road                    Southborough      MA    01772        WC 006162        01/01/06
RETAIL      R. Michelson Galleries                                P.O. Box 657                         Amherst,          MA    01004-0000   501142           02/20/97
SILBA       R.B. Negus Lumber                                     538 Wilbur Avenue                    Swansea           MA    02777        WC 000777        01/01/92

                                                                                     Page 129 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip             Policy   Effective
Group       Member Name                                          Street Address                         City              St.      Code            Number      Date
RETAIL      R.E. Cluett, Inc., dba Cluetts Appliance             23 E. Main St.                         Ware              MA    01082-0000   5032336          09/20/09
RETAIL      R.F. Owens Co. Inc., dba Trucchi's Supermarkets      1062 Broadway                          Raynham           MA    02767-0000   5030016          04/01/03
RETAIL      R.G.D., Inc., dba The Hampden House Cafe             One Allen Street                       Hampden           MA    01036-0000   5030219          01/24/04
RETAIL      R.H. Keleher Co. Inc.                                120 North Meadows Road                 Medfield          MA    02052-0000   502009           03/25/02
RETAIL      R.H.W. Corporation, dba Mill Wharf Restaurant        23 Mill Wharf Plaza                    Scituate          MA    02066-0000   5032502          04/01/10
RETAIL      R.J. Brunault, Inc., dba Brunault's Auto Repair      PO Box 178, 289 Main Street            West Newbury      MA    01985-0278   500053           08/20/06
AICC        R.J. Foley, Inc. dba Foley Motorsports               894 Boston Turnpike Road               Shrewsbury        MA    01545        WC 009067       1/29/2009
RETAIL      R.J. Porter, Inc.                                    P.O. Box 8033                          Westfield         MA    01085-0000   501915           02/01/98
RETAIL      R.J.A. Enterprises Inc., dba LaFamiglia Giorgio      2 Philamena Avenue                     Revere            MA    02151-0000   5030078          06/14/03
RETAIL      R.L. Parrott, Inc. dba A-Mart                        524 A North Street                     Pittsfield         MA   01201        5032737          02/01/11
SILBA       R.S. Lamson & Sons                                   P.O. Box 466                           Hudson            MA    01749        WC 000808        01/01/93
TRADE       R2 Realty Development, LLC                           33 Elm Street                          Clinton           MA    01510        4100041          10/01/05
RETAIL      RAB Enterprise, Inc., dba Gabby's                    PO Box 243                             Winchendon SpringsMA    01477-0000   5031205          03/17/07

RETAIL      Rahn R Pelrine, dba Rahn's Motorcycle Engineering    800A Adams St.                         Abington         MA     02351-1056 5031846            02/01/08

RETAIL      Rainbow Supplies, Inc., dba Rainbow Paint Supply     77 Messina Drive                       Braintree        MA     02184-0000 5032239            05/01/09
RETAIL      Rainy Day Inc.                                       PO Box 2023                            Vineyard Haven   MA     02568-0000 502485             03/20/03

RETAIL      Raleigh Rosemary Corp dba Edible Arrangements        482 Moody Street                       Waltham          MA     02454-0000   5031592          05/20/11
MIIA        Ralph C. Mahar Regional School District              507 South Main Street, P.O. Box 680    Orange           MA     01364        416              07/01/05
RETAIL      Ralston's Auto Parts, Inc.                           263 State Road                         North Adams      MA     01247-0000   500448           04/01/95
RETAIL      Ramandeep, Inc., dba Bollywood Grill                 97 Boston Turnpike Road                Shrewsbury       MA     01545-0000   5030995          01/09/06
            Ramor International LLC, dba Zocalo La Cocina
RETAIL      Mexicana                                             1414-1418 Commonwealth Ave             Brighton         MA     02135-0000   5032481          02/06/10
MANUF       Ramsbottom Printing, Inc. dba RPI Printing           135 Waldron Road                       Fall River        MA    02720        5100055          09/09/05
RETAIL      Rancatore's Ice Cream, Inc.                          283 Belmont St.                        Belmont          MA     02478-0000   5031272          09/01/06
RETAIL      Rand Candy Co., Inc.                                 28 Draper Lane                         Canton           MA     02021-0000   501411           01/31/96
RETAIL      Randalls Farms, Inc.                                 631 Center Street                      Ludlow           MA     01056-0000   502370           05/31/02
RETAIL      Randell Package Store, Inc.                          108 Canterbury Street                  Worcester        MA     01603-0000   500458           03/20/95
AICC        Randolph Chrysler Jeep, Inc.                         527 South Main Street                  Randolph         MA     02368        WC 005122        05/01/05
RETAIL      Randolph Donuts, Inc., dba Dunkin Donuts             175 Bodwell Street                     Avon             MA     02322-0000   5030526          01/01/04
MEGA        Randolph Holbrook Water Board                        50 North Franklin Street               Holbrook         MA     02343        X340129          07/01/04
NAHRO       Randolph Housing Authority                           One Decelle Drive                      Randolph         MA     02368        WCMN0028         06/01/04
            Rand's Towing Service, Inc., dba Rand's Automotive
RETAIL      Center                                               185 Memorial Drive                     Shrewsbury       MA     01545-0000   5031387          01/18/07
AICC        Randy's Automotive Service, Inc.                     26 Spring Street                       Medfield         MA     02052        WC 006163        01/01/06
AICC        Randy's Car Wash, Inc.                               49 School Street                       Watertown        MA     02172        WC 001103        01/01/00
AICC        Rap's Auto Parts Supply, Inc.                        P.O. Box 291                           Auburn           MA     01501        WC 007320        03/02/07
ISCC        Rashi School, Inc.                                   77 Ferndale Road                       Needham          MA     02192        WC 000720        01/01/97


                                                                                      Page 130 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                             Zip             Policy   Effective
Group       Member Name                                             Street Address                                City             St.      Code            Number      Date
RETAIL      Ray Mullin Music Ltd.                                   103 Swansea Mall Drive                        Swansea          MA    02777-0000   501082           02/15/97
RETAIL      Ray Robinson Sandwich Shop                              201 Central Street                            Lowell           MA    01850-0000   502216           11/25/01
RETAIL      Rayco Car Electronics, Inc.                             160 Boston Turnpike                           Shrewsbury       MA    01545-0000   502216           11/01/01
RETAIL      Rayek Corporation, dba Highland Wine & Spirits          1194 Walnut Street                            Newton           MA    02161-0000   5031689          09/11/07
            Raymond G. Blondeau, Inc., dba Bonkers Fun House
RETAIL      Pizza                                                   PO Box 120                                    Goffstown        NH    03045-0000 502022             04/01/02
RETAIL      Raymond Moloney, dba Blackstone Automotive              700 Rathburn Street                           Blackstone       MA    01504-0000 5031009            03/14/06
            Raymond W Glaser, Inc., dba Business Center of
RETAIL      Cape Cod                                                1694 Falmouth Road, Route 28                  Centerville      MA    02632-0000   500398           08/13/04
NAHRO       Raynham Housing Authority                               75 Mill Street                                Raynham          MA    02767        WCMN0057         06/01/04
RETAIL      Raynham Saturn, Inc.                                    1525 New State Highway                        Raynham          MA    02767-0000   5031809          01/01/08
MEGA        Raynham, Town of                                        Orchard Street                                Raynham          MA    02767        X340196          07/01/02

RETAIL      Raynold Bagels Inc, dba Gunther Tootie's Bagel Cafe     2053 Washington St.                             Hanover        MA    02339-0000   5032217          03/20/09
RETAIL      Ray's Auto Service, Inc.                                1457 Broadway                                   Haverhill      MA    01832-0000   5030792          05/01/06
RETAIL      RBJ Donuts, Inc., dba Dunkin Donuts-Chelsea             83 Everett Ave                                  Chelsea        MA    02159-0000   5031239          08/01/06
RETAIL      RD Donuts II Inc., dba Dunkin Donuts                                                                    - Suite
                                                                    c/o Angiolillo & Associates, LLP, 99 Walnut St. SaugusE        MA    01906-0000   500179           08/01/01
NAHRO       Reading Housing Authority                               22 Frank D. Tanner Drive                        Reading        MA    01867        WCMN0095         06/01/04
MIIA        Reading, Town of                                        Town Hall 16 Lowell Street                      Reading        MA    01867        336              07/01/05
MEGA        READS Collaborative                                     105 East Grove Street                           Middleboro     MA    02346        X340157          07/01/03
RETAIL      Reardon Electric Supply Co., Inc                        319 Belgrade Ave                                Roslindale     MA    02131-0000   5032122          02/01/09
RETAIL      RECG Enterprises                                        15 Market Street, Unit 2                        Ipswich        MA    01938-0000   500674           02/11/07
            Red Barn Coffee Roasters, Inc., dba Red Barn
RETAIL      Coffee Roasters                                         205 Turnpike Road                             Southborough     MA    01772-0000   5031283          09/11/06
RETAIL      Red Lion Smoke Shop, Inc.                               94 Washington Street                          Salem            MA    01970-0000   500840           12/15/94
RETAIL      Red Rose Pizzeria, Inc.                                 1074 Main Street                              Springfield      MA    01103-0000   5031231          08/01/06
TRADE       Red's Oil Service, Inc.                                 624 Grafton Street                            Worcester        MA    01604        4100057          06/18/06
RETAIL      Redway Rentals LLC, dba Taylor Rental Center            PO Box 2017                                   North Falmouth   MA    02556-0000   5030177          01/01/04
RETAIL      Reed Hall LLC, dba School Street Bistro                 17 West Main St.                              Brookfield       MA    01506-0000   5032381          10/24/09
RETAIL      Regal House Classic Furniture Galleries                 965 Church St.                                New Bedford      MA    02745-0000   5031736          08/01/08
MANUF       Regal Press, Inc.                                       129 Guild Street                              Norwood          MA    02062        5100067          08/08/06
RETAIL      Regan's Auto Repair, Inc.                               41 Arlington St.                              Dracut           MA    01826-0000   5031751          11/01/07
RETAIL      Regan's, Inc.                                           2066 Commonwealth Ave                         Newton           MA    02466-0000   5031085          01/01/07
CTCC        Regency Transportation, Inc.                            5 Kenwood Circle                              Franklin         MA    02038        WC 000906        06/11/03
MCSIG       Regina Cleri                                            60 William Cardinal O'Connell Way             Boston           MA    02114        none             03/31/93
NEEIA       Regis College                                           235 Wellesley Street                          Weston           MA    02193        06-5000170       07/01/90
MEGA        Rehoboth Town of                                        148 R Peck Street                             Rehoboth         MA    02769        X340124          07/01/11
STAM        Reliable Bus Lines, Inc.                                978 Nash Road                                 New Bedford      MA    02746        WC-06-0000996    08/04/01
            Renaissance Facilities, Inc., dba Raffael's Banquet &
RETAIL      Conference Facility                                     PO Box 557                                    Walpole          MA    02081-0000 1017010            08/01/02


                                                                                       Page 131 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip           Policy   Effective
Group       Member Name                                          Street Address                      City               St.      Code          Number      Date
RETAIL      Reniew Associates, Inc.                              15 McGrath Highway                  Somerville         MA    02143-0000 5030305          01/01/04
RETAIL      Renjeau Inc., dba Renjeau Galleries                  79 Worcester Street, Route 9        Natick             MA    01760-0000 500407           05/26/96
            Reno-James Investments, Inc., dba Kenwood
RETAIL      Hardware                                             34 Broadway Rd.                     Dracut             MA    01826-0000   5031767        12/01/07
RETAIL      Rental Concepts Inc., dba AA Rental Center           101 N. Beacon St                    Watertown          MA    02472-0000   501266         01/01/04
RETAIL      Rental Service Inc                                   919 Main Street                     Woburn             MA    01801-0000   500600         05/24/95
RETAIL      Rent-All, Inc.                                       475 Highland Avenue                 Salem              MA    01970-0000   5030303        05/01/94
RETAIL      Re-Pete, Inc., dba The Charlie Horse                 1235 Bedford Street                 North Abington     MA    02351-0000   5030680        08/01/04
RETAIL      Replay Three Amusements, Inc.                        145 Elm St.                         Braintree          MA    02184-0000   5032027        10/06/08
RETAIL      Reppucci & Sons, Inc. Floor Coverings                45 Lynnfield Street                 Lynn               MA    01904-0000   501479         11/01/97
ISCC        Reservations, Trustees of                            572 Essex Street                    Beverly            MA    01915        WC 000148      04/01/92
RETAIL      Reservoir Wines & Spirits, Ltd.                      1922 Beacon Street                  Brighton           MA    02135-0000   1030228        08/15/02
RETAIL      Restaurant Concepts, Inc.                            154 Wells Avenue, Suite #1          Newton             MA    02459-0000   500467         04/01/02
RETAIL      Restaurants Unlimited, Inc.                          145 Rosemary Street Suite C         Needham Heights    MA    02494-0000   5030391        01/01/06
RETAIL      Retailers Assoc. of Massachusetts                    18 Tremont Street, Suite 810        Boston             MA    02108-0000   500604         03/07/94
CTCC        Retrievex, Inc.                                      249 North Street                    Danvers            MA    01923        WC 001153      10/27/07
RETAIL      Revere Auto Service, Inc.                            500 Broadway                        Revere             MA    02151-0000   5031013        03/14/06
NAHRO       Revere Housing Authority                             70 Cooledge Street                  Revere             MA    02151        WCMN0143       05/27/04
AICC        Reynolds Auto Wrecking                               733 South Precinct Street           East Taunton       MA    02718        WC 007326      05/13/07
RETAIL      Reynolds Team Sales, Inc.                            5 Cheshire Road, Suite 12           Pittsfield         MA    01201-0000   502067         03/23/01
RETAIL      RFS Auto, Inc., dba Rogers Auto Service              213 Worcester St.                   North Grafton      MA    01536-0000   5031521        04/21/07
RETAIL      Rican, Inc., dba Money Stop                          1098 Chicopee Street                Chicopee,          MA    01013-0000   501925         03/08/98
RETAIL      Ricar International LLC, dba Andale Mexican Grill    125 Summer St.                      Boston             MA    02110-0000   5032501        03/11/10
RETAIL      Ricci Package Store Inc.                             331 Main Street                     Watertown          MA    02172-0000   501771         06/01/01
RETAIL      Ricci's Liquor Mart Inc.                             834 Main Street                     Malden             MA    02148-0000   501736         06/01/01
RETAIL      Richard B. Wilson, dba Central Mass Aquatics         240 Barber Ave                      Worcester          MA    01606-0000   5032037        08/08/08
RETAIL      Richard Lanza's Open Doors, Inc.                     395 Washington Street               Braintree          MA    02184-0000   5032627        08/21/10
RETAIL      Richard Laroche, dba Dick's Convenience Store        173 Shaker Rd                       East Longmeadow    MA    01028-0000   5032416        12/01/09
            Richard Levangie, dba Westwood Automotive
RETAIL      Autoworks                                            900 Pleasant Street                 Norwood            MA    02062-0000 5032002          09/10/08
RETAIL      Richard McGuire, dba Furniture World                 383 Main St.                        Stoneham           MA    02180-0000 5030797          04/27/06
RETAIL      Richard N Hanson Jr., dba Quality Automotive         415 B Maple St.                     Marlborough        MA    01752-3256 5032233          05/03/09

RETAIL      Richard Stuart, dba Kwik Stop Convenience Store      106 Main Street                     Princeton          MA    01541-0000   502284         09/01/02
RETAIL      Richard Taves, dba Butch's Auto Service              9 Safford Street                    Ipswich            MA    01938-0000   5030999        02/16/06
TRADE       Richard Wright, Inc                                  124 Turnpike St.                    West Bridgewater   MA    02379        4100090        04/01/08
RETAIL      Richard's Diamonds, Inc., dba Richard Jewelers       Route 20, The Westfield Shops       Westfield          MA    01085-0000   500620         01/15/97
            Richard's Casino Bar & Grill, Inc. dba Zio Paolo's
RETAIL      Trattoria                                            67 Medway Rd                        Milford            MA    01757-0000 5032831          05/24/11



                                                                                   Page 132 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip            Policy    Effective
Group       Member Name                                              Street Address                          City             St.      Code           Number      Date

RETAIL      Richards Food & Drink, Inc., dba Maria's Italian Villa   67 Medway Rd.                           Milford          MA    01757-0000 5032507           04/09/10
RETAIL      Richard's Movers and Furniture Inc.                      25 Water Street                         Lawrence         MA    01841-0000 5030869           08/18/05
            Richard's Wine & Spirits Inc., dba Richard's Wine &
RETAIL      Beer                                                     14 North Park Avenue                    Plymouth         MA    02360-0000   5030015         03/12/03
RETAIL      Richmond Hardware & Plumbing Supply,Inc.                 PO Box 850375                           Braintree,       MA    02185-0375   500654          07/01/95
MIIA        Richmond, Town of                                        State Road                              Richmond         MA    01254        251             07/01/05
RETAIL      Rick Mott's Auto Repair LLC                              442 Elm St.                             Northampton      MA    01060-0000   5031293         11/29/06
            Rick Ramstrom's Service Station Inc., dba
RETAIL      Ramstrom's Service Center                                133 W Boylston Street                   Worcester        MA    01606-2732 5030847           06/01/06

RETAIL      Rickles Hardware, Inc., dba Schwartz Ace Hardware        1756 South Main Street                  Fall River       MA    02724-0000   5031125         01/01/07
RETAIL      Riddles Foodmart Inc, dba Riddles Supermart              505 Nantasket Avenue                    Hull             MA    02045-0000   501271          01/03/96
McD         Rima Enterprises                                         319 Lynnway                             Lynn             MA    01901        23750           01/01/93
RETAIL      Ring Brothers of Cambridge                               P.O. Box 511                            Cummaquid        MA    02637-0000   5030385         07/23/04
RETAIL      Ring Brothers, Inc.                                      485 Route 134, Box 1475                 South Dennis     MA    02660-0000   500198          07/01/97
RETAIL      Rise N Shine Diner LLC                                   57 Homestead Road                       Holden           MA    01520-1741   5032377         11/01/09

RETAIL      River & Main Restaurant Corp., dba The Tinkers Son       707 Main St.                            Norwell          MA    02061-0000 5032373           10/29/09
            Riverbend School (formerly: Eliot Montessori School,
ISCC        Inc.)                                                    5 Auburn Street                         South Natick     MA    01760        WC 000888       10/29/02
RETAIL      Riverfront Food Service Corp                             11 South Bridge Drive                   Agawam           MA    01001-0000   502454          01/01/04
ABC         Rivers Electrical Corporation                            275 Centre Street, Unit 1               Holbrook         MA    02343        ABCMA 005021    11/01/95
ISCC        Rivers School Corporation, The                           333 Winter Street                       Weston           MA    02193        WC 000032       04/01/92
RETAIL      Riverside Foreign Auto Inc                               206 High St.                            Ipswich          MA    01938-0000   5031827         01/15/08
RETAIL      Riverside Foreign Auto LLC                               206 High St.                            Ipswich          MA    01938-0000   5031847         01/15/08
AICC        Riverside Garage, Inc.                                   560 River Street                        Haverhill        MA    01832        WC 003021       04/30/03
RETAIL      Riverside Inc.                                           81 Middle Road                          Southborough     MA    01772-0000   5030439         11/05/03
RETAIL      Riverview Bait & Tackle Inc.                             1273 Route 28                           South Yarmouth   MA    02664-0000   5030806         06/01/06
ISCC        Riverview School, Inc.                                   551 Route 6A                            East Sandwich    MA    02537        WC 000752       07/01/99
RETAIL      Riverway Lobster House, Inc.                             1338 Route 28                           South Yarmouth   MA    02664-0000   5032019         06/15/09
RETAIL      Riviera Cafe, Inc.                                       286 Broad St                            Bridgewater      MA    02324-0000   5031385         12/30/06
McD         RJK & Company, LLC                                       200 Monsignor O'Brien Highway           Cambridge        MA    02141        31270           01/01/93
RETAIL      RJ'S Variety & Liquors, Inc.                             174 Sandwich Road                       East Falmouth    MA    02536-0000   501613          11/09/00
            RK Marketing, Inc., dba RK Mart / Broad & Vine
RETAIL      Liquors                                                  141 Broad St                            Weymouth         MA    02188-0000 5031359           12/22/06
            RK Restaurant Associates, Inc., dba T-Bones
RETAIL      Roadhouse                                                907 Boylston Street                     Boston           MA    02115-0000 5031602           06/15/07

RETAIL      RKP Supermarket Corp, dba Tenczar's Food Town            44 Moon Hill Road                       Northbridge      MA    01534-0000 5032295           07/29/09


                                                                                           Page 133 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                     Zip          Policy   Effective
Group       Member Name                                           Street Address                        City               St.      Code          Number     Date
RETAIL      RMD Inc, dba Nauset Auto Service                      PO Box 2556                           Orleans            MA    02653-0000 5032095         12/31/08
            RME Enterprises, Inc., dba International House of
RETAIL      Pancakes                                              640 Riverdale Street                  West Springfield   MA    01089-0000 501828          08/01/01
RETAIL      Roach's Sporting Goods                                1957 Mass Ave                         Cambridge          MA    02140-0000 501209          10/05/95

RETAIL      Robert & Colleen Scialo, dba Scialo's County Bakery   10 Olney Street                       Seekonk            MA    02771-0000 5030285         04/14/04
RETAIL      Robert D Ober, dba Robbies Auto Repair                1357 E Columbus Ave                   Springfield        MA    01105-2539 5032153         01/24/09
RETAIL      Robert E Anderson, dba The Frigate Steakhouse         PO Box 180                            Marion             MA    02738-0000 5032073         10/15/08
            Robert J. Casella & Fay F. Casella, dba Parkside
RETAIL      Restaurant                                            21 Hawthorne Ave.                     Pittsfield         MA    01202-0000 502216          11/11/01

RETAIL      Robert P. Rennie, O.D., dba The Eye Care Center       457 Dalton Avenue                     Pittsfield         MA    01201-0000 501452          08/07/97
RETAIL      Robert Umbrello, dba Vehicle Vibes                    62 Devon Lane                         Marston Mills      MA    02648-0000 5032562         05/19/10
            Robert Worswick, dba Tri-Towne Transmission
RETAIL      Service                                               787 Washington Street                 Pembroke           MA    02359-0000 5031774         12/13/07
RETAIL      Roberts Jewelry of Canton, Inc.                       10 B Washington Street                Canton             MA    02021-0000 501507          01/01/98
            Robertson Retail & Wholesale Meat Corp, dba The
RETAIL      Corner Meat Shop                                      79 Water Street                       Hingham            MA    02043-0000   500499        04/01/95
RETAIL      Rocco's Restaurant, Inc.                              193 Main Street                       Wilmington         MA    01887-0000   5031798       01/01/08
MIIA        Rochester, Town of                                    1 Constitution Way                    Rochester          MA    02770        116           07/01/05
RETAIL      Rock Lobster Co., Inc.                                300 Northern Ave.                     Boston             MA    02210-0000   501553        01/01/07
MIIA        Rockland Housing Authority                            Studley Court                         Rockland           MA    02370        117           07/01/05
NAHRO       Rockport Housing Authority                            13 Millbrook Park                     Rockport           MA    01966        WCMN0115      06/01/04
MEGA        Rockport, Town of                                     34 Broadway                           Rockport           MA    01966        X340007       07/01/02
RETAIL      Rocky Neck Inc., dba The Madfish Grille               PO Box 630                            Gloucester         MA    01931-0000   502201        08/01/02
RETAIL      Rockyneck Fish, LLC                                   10 Bassett St.                        Milton             MA    02186-0000   5032403       11/18/09
RETAIL      Rocky's Hardware, Inc.                                40 Island Pond Road                   Springfield        MA    01118-0000   5031087       01/01/07
RETAIL      Roger L. Breault, dba Breault's Auto Sales            101 Winthrop St.                      Rehoboth           MA    02769-0000   5031317       11/01/06
RETAIL      Roger's Service, Inc.                                 1820 Hyde Park Ave                    Readville          MA    02136-0000   5032121       01/01/09

RETAIL      Roger's Supermarket, Inc., dba Luke's Super Liquors   167 Market Street                     Rockland           MA    02370-0000   502280        01/01/04
CARE        Rogerson Communities, Inc.                            One Florence St.                      Roslinedale        MA    02131        2100028       01/01/09
CARE        Rogerson House Inc                                    One Florence St.                      Boston             MA    02130        2100029       01/01/09
RETAIL      Roland Tessier, dba Roland's Motor Works              504 Easthampton Road                  Northampton        MA    01060-0000   5031028       04/01/06
RETAIL      Role Corp., dba Last National Wine Co.                18 Powder Mill Road                   Acton              MA    01720-0000   5030944       12/02/05
AICC        Rolla Motor Parts, Inc.                               180 West Street                       Ware               MA    01082        WC 001054     01/01/00
RETAIL      Rollen LTD, dba Direct Tire Sales                     126 Galen Street                      Watertown          MA    02472-0000   5031343       12/20/06
RETAIL      Roller Promotions, Inc.                               19 North Street                       Hingham            MA    02043-0000   5030589       08/01/05
RETAIL      Rome Restaurant, Inc.                                 PO Box 386                            Franklin           MA    02038-0000   5030696       10/13/04
RETAIL      Rome Sales Company Inc                                562 Main Street                       Gardner            MA    01440-0000   5030451       12/12/04


                                                                                      Page 134 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                           Zip            Policy   Effective
Group       Member Name                                       Street Address                                City                  St.      Code           Number     Date
            Rom's Takeout & Catering Inc., dba Giovanello's
RETAIL      Italian Market                                    139 Main St.                                  Sturbridge            MA    01566-0000   5031972        04/22/09
RETAIL      Ron Gilefsky & Company, Inc.                      9 Arlyn Road                                  Marblehead            MA    01945-0000   5031868        02/05/08
RETAIL      Ron's Tire & Service, Inc.                        635 Waverly Street                            Framingham            MA    01702-0000   5032636        09/20/10
MANUF       Rosario Cabinets Inc.                             49 Lower East Street                          Dedham                MA    02026        5100001        06/30/03
MCSIG       Rosary Academy Learning Center                    2 Rosary Drive                                Watertown             MA    02172        none           03/31/11
MCSIG       Rosary Convent                                    2 Rosary Drive                                Watertown             MA    02172        none           03/31/93

RETAIL  Roscoe Enterprises, Inc., dba Casella Automotive      56 Denver St.                                 Saugus                MA    01906-0000   5031106        05/01/06
CARE    Roscommon Brook Farm                                  1190 VFW Parkway                              West Roxbury          MA    02132        2100020        02/15/05
CARE    Roscommon Extended Care Center                        405 River Street                              Mattapan              MA    02126        2100010        02/14/04
CARE    Roscommon West Roxbury Extended Care Ctr              5060 Washington Street                        West Roxbury          MA    02132        2100012        05/01/04
        Rose Dellorusso & Joseph Zirpolo, dba D & Z Auto
RETAIL  Repair                                                946 Saratoga St.                                East Boston         MA    02128-0000   5032344        09/22/09
MANUF   Rose Industries, Inc.                                 748A River St.                                  Palmer               MA   01069        5100079        06/02/09
RETAIL  Roseland Nursery Inc                                  247 Main St.                                    Acushnet            MA    02743-0000   5031697        09/30/07
RETAIL  Rose's Automotive Inc                                 PO Box 27                                       Sherborn            MA    01770-0000   5031804        01/01/08
RETAIL  Rosie's Pastries, Inc.                                9 Boylston Street                               Chestnut Hill       MA    02467-0000   501992         03/01/02
MASSBAY Rosie's Place, Inc.                                   889 Harrison Avenue                             Boston              MA    02118        80347          01/01/06
RETAIL  Roslindale Donuts, Inc., dba Dunkin Donuts            169 Main Street                                 Stoneham            MA    02180-0000   5032697        11/21/10
MCSIG   Rostro de Cristo, Inc.                                P.O. Box 920433                                 Needham             MA    02492-0005   none           12/31/10
RETAIL  Round Corp., dba Pocasset Country Market, Etal        PO Box 368                                      Pocasset            MA    02559-0000   502239         07/18/02
RETAIL  Roundabout Donuts Inc, dba Dunkin Donuts                                                              - Suite
                                                              c/o Angiolillo & Associates, LLP, 99 Walnut St. SaugusE             MA    01906-0000   500181         03/19/04
RETAIL  Route 1 Liquor Mart, Inc.                             29 Washington St., Rte. 1                       Foxboro             MA    02035-0000   501913         03/13/98
RETAIL  Route 132 Sav-On Gas, Inc.                            326 W Main Street                               Hyannis             MA    02601-0000   5031725        10/19/07
RETAIL  Route 134 Auto Care, Inc.                             PO Box 1407                                     S. Dennis           MA    02660-0000   5030931        07/25/06
AICC    Route 3A Motors, Inc.                                 170 Tyngsboro Road                               North Chelmsford   MA    01863        WC008059       12/14/08
RETAIL  Rowand Fisheries Inc                                  2 Cabot Street                                  Beverly             MA    01915-0000   500496         04/01/95
MIIA    Rowe, Town of                                         Zoar Road                                       Rowe                MA    01367        119            07/01/05
MIIA    Rowley Housing Authority                              Plantation Drive                                Rowley              MA    01969        120            07/01/05
RETAIL  Rowley Liquors, Inc.                                  144 Newburyport Turnpike Unit A7                Rowley               MA   01969        5032780        03/15/11
RETAIL  Rowley Pharmacy Inc.                                  P.O. Box 334                                    Rowley,             MA    01969-0000   501245         05/01/97
MIIA    Rowley, Town of                                       Town Hall, 139 Main Street                      Rowley              MA    01969        181            07/01/05
        Roxbury Home for Aged Women, Inc. dba Sophia
MASSBAY Snow House                                            1205-1215 Centre Street                       Roslindale            MA    02131        80351          11/09/06
ISCC    Roxbury Latin School, Trustees of the                 101 St. Theresa Avenue                        W. Roxbury            MA    02132        WC 000558      01/01/95
        RoxComp (Roxbury Comprehensive Community
MASSBAY Health Center)                                        435 Warren Street                             Roxbury               MA    '02119     80372            04/13/10
RETAIL  Roxie's of Quincy, Inc.                               479 Southern Artery                           Quincy                MA    02169-0000 1110480          06/15/03



                                                                                 Page 135 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip            Policy    Effective
Group       Member Name                                            Street Address                            City               St.      Code           Number      Date
            Roy Ruel Enterprises, Inc., dba Country Trading Post
RETAIL      & Restaurant                                           771 Burnett Road                          Chicopee           MA    01020-0000   5031627         06/25/07
RETAIL      Royal Garden Restaurant, Inc.                          3 Tremont Street                          Kingston           MA    02364-0000   502344          11/15/02
RETAIL      Royal Jewelers Inc.                                    58 Main Street                            Andover            MA    01810-0000   5032648         10/01/10
MEGA        Royalston, Town of                                     Town Hall                                 Royalston          MA    01368        X340095         07/01/92
RETAIL      Royce Specialty Shops, Inc.                            2225 Washington Street                    Roxbury            MA    02119-0000   5030307         01/01/93
            RPD Donuts, Inc., dba Dunkin Donuts & Baskin
RETAIL      Robins                                                 323 N. Main Street                        Middleton          MA    01949-0000   5030619         05/21/04
RETAIL      RPM Ventures, Inc., dba Auntie Anne's                  47 Bevere Dame Road                       North Easton       MA    02356-0000   5032121         11/26/08
MANUF       RPP Corporation                                        12 Ballard Way                            Lawrence           MA    01843        5100040         11/01/04
RETAIL      RSD Group, Inc., dba Rick's Cafe & Pizzeria            63 Mazzeo Drive                           Randolph           MA    02368-0000   5030815         04/01/05
RETAIL      R-Squared Office Panels & Furniture, Inc               360 Merrimack Street, Building 9 Door B   Lawrence           MA    01843-0000   500213          07/20/96
RETAIL      RSV, Inc., dba Dunkin Donuts                           PO Box 203                                Still River        MA    01467-0000   1045590         09/01/02
RETAIL      Rt 38 Liquors, Inc., dba Smitty's Liquors              1091 Main Street                          Tewksbury          MA    01876-0000   5031422         01/27/07
RETAIL      RTD Inc., dba Dry Cleaning by Dorthy                   485 Columbian Street                      South Weymouth     MA    02190-0000   1110455         06/01/03
RETAIL      Rte 9 Beer & Wine, Inc.                                349 Turnpike Road                         Southborough       MA    01772-0000   5030300         12/21/92
RETAIL      Rudding Lane, Inc., dba Mama Iguanas                   82 Industrial Dr, Unit #3                 Northampton        MA    01060-0000   5031578         04/20/07
RETAIL      Rudy's Fuel & Auto Service, Inc.                       30 Central Square                         Chelmsford         MA    01824-3047   5031244         08/29/06
RETAIL      Rugby's, Inc., dba Slattery's Back Room                21 Culley Street                          Fitchburg          MA    01420-0000   5031372         08/01/07
RETAIL      Rugg Road Paper Company, Inc.                          957 South Street, Suite 2                 Roslindale         MA    02131-0000   500517          05/27/02
RETAIL      Rugs Done Right, Inc.                                  345 F Boston Post Road                    Sudbury            MA    01775-0000   5031202         03/28/07
RETAIL      Ruma Fruit & Produce Co., Inc.                         PO Box 6178                               Chelsea            MA    02150-0000   502131          08/01/01
McD         Ruscito Management, LLC                                P.O. Box 480                              Hubbardston        MA    01452        24545           01/01/93
AICC        Rush Auto Parts, Inc.                                  592 Pleasant Street                       Norwood            MA    02062        WC 009069       4/1/2009
RETAIL      Rusi, Inc., dba Braintree Market & Deli                978 Liberty St.                           Braintree          MA    02184-0000   5032026         07/10/09
            Russell Street Enterprises, Inc. dba The Donut
RETAIL      Man                                                    240 Main Street                           Dalton              MA   01226        5032732         01/14/11
MEGA        Russell, Town of                                       Main Street                               Russell            MA    01071        X340398         07/01/93
RETAIL      Russell's Convenience Store, Inc.                      193 Main Street                           Maynard            MA    01754-2509   5032356         11/01/09
RETAIL      Russo Opticians, Inc.                                  1025 Westfield Street                     West Springfield   MA    01089-0000   5032753         05/13/11
RETAIL      Russo Tux Shop, Inc.                                   320 Revere Beach Parkway                  Chelsea            MA    02150-0000   502228          08/01/02
RETAIL      Russo's Inc                                            PO Box 665                                Malden             MA    02148-0000   500727          08/01/95
AICC        Rustco, Inc.                                           507 Boston Turnpike                       Shrewesbury        MA    01545        WC 006206       10/15/06
MIIA        Rutland, Town of                                       246 Main Street                           Rutland            MA    01543        431             07/01/06
RETAIL      RWA Mobil, Inc.                                        2235 State Road                           Plymouth           MA    02360-0000   5031186         07/01/06
RETAIL      Ryan & Casey, Inc.                                     55 Main Street                            Greenfield         MA    01301-0000   501897          01/11/98
ABC         Ryan Construction                                      505 South Street                          Walpole            MA    02081        ABCMA 005023    07/31/96
SILBA       Ryan Seamless Gutter                                   41 McDonald Street                        Dedham             MA    02026        WC 000780       01/01/92
RETAIL      Ryan's Wine Shop, Inc.                                 196 Lexington Street                      Waltham            MA    02452-0000   5030508         04/01/05
RETAIL      Rybo's Bistro II, Inc., dba Keon's Black Swan          258 Andover Street                        Georgetown         MA    01833-0000   5031731         07/01/10


                                                                                     Page 136 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                               Zip           Policy     Effective
Group       Member Name                                        Street Address                       City             St.      Code          Number        Date
RETAIL      Rybo's Bistro, Inc., dba Keon's 105 Bistro         258 Andover Street                   Georgetown       MA    01833-0000 5031730            11/01/07
RETAIL      S & H Food Mart, Inc.                              430 Park Street                      Stoughton        MA    02072-0000 502331             09/09/02
RETAIL      S & H Fuel Inc.                                    931 Bennington Street                East Boston      MA    02128-0000 502160             09/11/01

RETAIL      S & H Holding Company, Inc., dba European Bakery   23-29 Milbury Street                 Worcester        MA    01610-0000   1065615          12/01/02
RETAIL      S & L Liquor Inc.                                  119 River Street                     Waltham          MA    02154-0000   500787           01/01/04
RETAIL      S & L Realty Trust                                 175 Bridge Rd.                       Salisbury        MA    01952-0000   502428           05/01/10
RETAIL      S & M Liquors Inc., dba Arlington Liquors          47 Broadway Street                   Methuen          MA    01844-0000   5032298          03/11/10
RETAIL      S & S Package Store, Inc., dba Gary's Liquors      655 V.F.W. Parkway                   Chestnut Hill,   MA    02167-0000   501447           07/30/97
RETAIL      S C Rossi Automotive Service, Inc.                 341 Union Street                     Franklin         MA    02038-0000   5031908          04/01/08
RETAIL      S W of Acton, Inc., dba Siesta Sleepworks          276 Great Road                       Acton            MA    01720-0000   5030449          11/21/04
RETAIL      S&H Deli Inc., dba Bailey's Too                    45 Sunrise Terrace                   Stoughton        MA    02072-0000   5032569          06/09/10
RETAIL      S&H St. James Fuel, Inc.                           1037 St. James Ave                   Springfield      MA    01104-0000   5030479          12/01/03
RETAIL      S&H Tobacco, Inc., dba Hancock Tobacco             1500 Hancock Street                  Quincy           MA    02169-0000   501879           11/15/01
RETAIL      S&H Variety Inc, dba Bake N' Beverage              220 Pulaski Blvd                     Bellingham       MA    02019-0000   5031720          10/12/07
RETAIL      S. Jay Raj, Inc., dba Royal Liquors                4263 North Main Street               Fall River       MA    02720-0000   5030910          11/01/05
RETAIL      S. Strock & Co., Inc.                              IMC North PO Box 6113                Chelsea          MA    02150-0009   5032658          11/01/10
RETAIL      S.J. Enterprises Inc., dba Sam's Mobil             14 N Main Street                     Andover          MA    01810-0000   5031371          08/01/07
RETAIL      S.J.S. Enterprises,Inc., dba Potpourri Designs     Att: Stan Shotkus, 8 Church Street   Wellesley        MA    02482-0000   500171           01/01/97
RETAIL      S.M. Sneider Co., Inc.                             53 Foodmart Road                     Boston,          MA    02118-0000   501284           05/23/97
RETAIL      S.M.K., Inc., dba Gloria Food Market               268 Rantoul St                       Beverly          MA    01915-0000   1051950          05/14/93
STAM        S.P & R Transportation of NH, Inc.                 210 Donahue Road                     Attleboro        MA    02703        WC-06-5003021    11/01/05
RETAIL      Sabina Enterprises Inc,, dba Cliftondale Liquors   7 Essex St.                          Saugus           MA    01960-0000   502065           02/23/01
RETAIL      Safe & Sound, Inc                                  428 East Street                      Chicopee         MA    01020-0000   500437           02/26/95
ISCC        Sage Center for Learning, Inc., The                171 Mechanic Street                  Foxboro          MA    02035        WC 000972        08/17/05
RETAIL      Sahara Inc dba Sahara Cafe & Restaurant            143 Highland St.                     Worcester         MA   01609        5032771          03/01/11
RETAIL      Sahiyog Corp, dba Village Mini Mart                911 Main Street                      Hanson           MA    02341-0000   5031096          10/30/06
RETAIL      Sai Kiran, Inc., dba One Stop Mini Market          1406 Main St.                        Worcester        MA    01603-0000   5032299          03/29/10
RETAIL      Sailor's, Inc., dba The Flying Bridge Restaurant   311 Gifford Street                   Falmouth         MA    02540-0000   1012231          01/01/04
AICC        Sainsbury & O'Connell, Inc.                        79 May Street                        Worcester        MA    01602        WC 006191        08/24/06
CARE        Saint Mary Healthcare Center                       39 Queen Street                      Worcester        MA    01610        2000031          01/10/02
RETAIL      Saints DD, Inc., dba Dunkin Donuts                 48 Junction Square Road              Concord          MA    01742-0000   501966           01/01/04
MIIA        Salem Beverly Water Supply                         50 Arlington Avenue                  Beverly          MA    01915        480              07/01/11
NAHRO       Salem Housing Authority                            27 Charter Street                    Salem            MA    01970        WCMN0016         04/01/04
RETAIL      Salem Plumbing Supply Co., Inc.                    PO Box 510                           Beverly          MA    01915-0000   5032431          01/01/10
RETAIL      Salem Plumbing Supply Gloucester Co, Inc           PO Box 510                           Beverly          MA    01915-0000   5032483          02/27/10
MIIA        Salem, Town of                                     93 Washington Street                 Salem            MA    01970        447              07/01/08
RETAIL      Salemi Appliance Service, Inc.                     112 Boston Road                      Springfield      MA    01109-0000   5030913          11/17/05
RETAIL      Salerno's Restaurant, Inc.                         251 Main Street                      Acton            MA    01720-0000   5031095          01/01/07
RETAIL      Salisbury 5 C's, Inc, dba The Hungry Traveler      98 Beach Street                      Salisbury        MA    01952-0000   5031986          08/01/08

                                                                                 Page 137 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip             Policy   Effective
Group       Member Name                                            Street Address                        City             St.      Code            Number      Date
NAHRO       Salisbury Housing Authority                            23 Beach Road                         Salisbury        MA    01970        WCMN0096         06/01/04
MEGA        Salisbury Town of                                      5 Beach Road                          Salisbury        MA    01952        X340088          07/01/11
RETAIL      Sal's Clothing and Fabric Restoration, I               15 Henderson Street                   Everett          MA    02149-0000   502128           07/17/01
RETAIL      Sal's Custom Dry Cleaning, Inc.                        45 Brislow St                         Saugus           MA    01906-0000   5032335          09/07/09
STAM        Salter Transportation, Inc.                            P.O. Box 69                           Newburyport      MA    01950        WC-06-3003004    09/01/03
AICC        Salvadore's Auto Exchange, Inc.                        442 West Broadway                     Gardner          MA    01440        WC 003041        11/16/03

RETAIL      Sam & Joe's Cafe Inc., dba Sam & Joes Restaurant       30 Water Street                       Danvers          MA    01923-0000   5030508          04/01/05
RETAIL      Sam & Patti, Inc., dba All American Diner              60 Court St.                          Plymouth         MA    02360-3825   5032270          03/08/10
RETAIL      Sam Diego's East, Inc.                                 950 Iyanough Road                     Hyannis          MA    02601-0000   502453           01/01/04
RETAIL      Sam Diego's Inc.                                       950 Iyanough Road, Route 132          Hyannis          MA    02360-0000   500344           08/01/02
RETAIL      Samara Auto Sales, Inc.                                1448 Grafton St.                      Worcester        MA    01604-0000   5031385          02/01/07
RETAIL      Samarc, Inc., dba Coop's Micro Creamery                128 Arlington Street                  Watertown        MA    02472-0000   502151           07/28/02
RETAIL      Samhurst Sales Inc., dba Sam's Appliance               1232 Washington St.                   Norwood          MA    02062-0000   501896           12/31/01
RETAIL      Samoset Auto Service, Inc.                             40 Samoset Street                     Plymouth         MA    02360-0000   5030803          05/01/06
RETAIL      Samrout Brothers, Inc., dba Attleboro Shell            182 Pleasant St.                      Attleboro        MA    02703-0000   5032400          12/01/09
RETAIL      Samrout Brothers, Inc., dba Plainville Shell           10 Taunton St                         Plainville       MA    02762-0000   5032079          10/30/08

RETAIL      Sam's Family Restaurant, Inc. dba Seafood Sam's        PO Box 1307                           Mashpee          MA    02649-0000   5032773          04/01/11
RETAIL      Samuel Holmes Inc.                                     25 Foodmart Road                      Boston           MA    02118-0000   5030399          07/31/03
MCSIG       Sancta Maria Nursing Facility                          799 Concord Avenue                    Cambridge        MA    02138        none             03/31/93
MMCG        Sanderson MacLeod, Inc.                                1199 S Main Street                    Palmer           MA    01069        WC 000893        01/01/03
MIIA        Sandisfield, Town of                                   Rte 57                                Sandisfield      MA    01255        279              07/01/05
RETAIL      Sand'N Surf Gifts, Inc.                                Route 28, 852 Main Street             South Yarmouth   MA    02664-0000   500174           01/01/04
RETAIL      Sandra J Gowin, dba Sandy's Coffee Corner              PO Box 483                            Hanson           MA    02341-0000   501884           12/11/01
NAHRO       Sandwich Housing Authority                             20 Tom's Way                          Sandwich         MA    01952        WCMN0158         06/01/04
MEGA        Sandwich Water District                                72 Tupper Road                        Sandwich         MA    02563        X340189          07/01/00
MIIA        Sandwich, Town of                                      130 Main Street                       Sandwich         MA    02563        265              07/01/05
RETAIL      Sang Bin Song, dba Crossroads Country Store            730-732 Crescent Street               Brockton         MA    02402-0000   501707           05/20/97
TRADE       San-Man Corp.                                          PO Box 206                            Assonet          MA    02702        4100064          08/08/06
            Santini Family Incorporated, dba Sonny's Mobil on
RETAIL      the Run                                                316 Lowell Street                     Wilmington       MA    01887-0000 5031187            07/11/06
            Santi's Family Restaurant, Inc., dba Johnsons Drive-
RETAIL      In                                                     PO Box 1124                           Groton           MA    01450-0000   5031520          04/01/07
RETAIL      Santkrupa Realty Corporation                           157 Main Street                       Blackstone       MA    01504-0000   501454           01/01/06
RETAIL      Sapho, Inc., dba Fours Boston                          166 Canal Street                      Boston           MA    02114-0000   5031654          08/01/07
RETAIL      Sapporo Inc                                            50 E Main St                          Westborough      MA    01581-0000   5032163          02/23/09
McD         Sarah L. Teck Management, Inc                          34 Lincoln House Pointe               Swampscott       MA    01907        28398            01/01/93
CARE        Sarah's Place Adult Day Health Center, I               Attn: David Thomas, 10 Phoenix Row    Haverhill         MA   01832        2100033          05/15/11
RETAIL      Sarro Entities LLC, dba JJ's Sports Bar & Grill        380 Southwest Cutoff                  Northboro        MA    01532-0000   5032023          07/10/09


                                                                                       Page 138 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                         Zip           Policy      Effective
Group       Member Name                                              Street Address                         City               St.      Code          Number         Date
RETAIL      Saru Corp                                                PO Box 368                             Pocasset           MA    02559-0000 502274              11/01/08
MHTSIG      SatCon Technology                                        161 First Street                       Cambridge          MA    02142      WP8-11B-251272-011  12/23/95

RETAIL      Sathler-Azevedo Donuts,Inc., dba Honey Dew Donuts        691 Eastern Ave                        Malden             MA    02148-0000   5032323            08/19/09
AICC        Saturn of Haverill                                       915 South Main Street                  Haverhill          MA    01835        WC 004069          07/28/04
AICC        Saugus Auto Craft, Inc.                                  79 Bennett Street                      Lynn               MA    01905        WC 007308          01/03/07
NAHRO       Saugus Housing Authority                                 19 Talbot Street                       Saugus             MA    02563        WCMN0113           06/01/04
RETAIL      Saugus Shoe Co., Inc.                                    27-31 Osprey Road                      Saugus             MA    01906-0000   1094814            01/01/04
RETAIL      Savage Seafood, Inc.                                     PO Box 295                             Rowley             MA    01969-0000   501717             02/23/01
RETAIL      Savas Brothers Center Beverage Co., Inc.                 425 Main St.                           Stoneham           MA    02180-0000   5032239            04/02/09
RETAIL      Savas Cards & Gifts Inc                                  430 Liberty St                         Hanson             MA    02341-0000   501131             01/01/05
RETAIL      Savas Limited, Inc., dba Savas Hallmark                  430 Liberty Street                     Hanson             MA    02341-0000   501128             01/23/97
RETAIL      Savas Liquors, Inc                                       167 Center Street                      Middleboro         MA    02346-0000   5030262            04/04/04

RETAIL      Savel's Liquor Mart, Inc., dba Crest Liquor Mart, Inc.   643-645 Cummings Highway               Mattapan           MA    02126-0000 1061535              10/01/02
MIIA        Savoy, Town of                                           720 Main Road                          Savoy              MA    01256      187                  07/01/05
            Sayle & Henry, Inc., dba Nantucket Fish, Dairy &
RETAIL      Produce Co.                                              PO Box 1062                            Nantucket          MA    02554-0000   501080             02/01/97
RETAIL      SBT LLC, dba Bedrooms                                    122 Arsenal Street                     Watertown          MA    02472-0000   502320             06/15/02
TRADE       Schiess Distributors, Inc.                               323 Turnpike Street                    Chicopee           MA    01020        4100055            03/21/06
AICC        Schlager Auto Body Repair, Inc.                          299 Centre Street                      Quincy             MA    02169        WC 006209          10/30/06
RETAIL      Schoenhof's Foreign Books, Inc.                          76A Mount Auburn Street                Cambridge          MA    02138-0000   501744             06/01/97
RETAIL      Schofield Power Equipment Inc.                           12 Summer Street                       Leominster         MA    01453-0000   501164             04/01/97
            School Transportation Association of
STAM        Massachusetts, Inc.                                      76 North Bedford Street                East Bridgewater   MA    02333          WC-10-1003029   5/13/2010

RETAIL      Schwartz Cleaners, Inc., dba Emerson Dry Cleaners        768a E. Fourth St.                     South Boston       MA    02127-0000   5030827            06/01/05
RETAIL      Science Partners Incorporated                            4 Brattle St., Suite #210              Cambridge          MA    02138-0000   500483             04/01/10
MANUF       Scituate Concrete Pipe Corp.                             P.O. Box 870                           Scituate           MA    02066        3000200            12/31/02
RETAIL      Scituate Gas, Inc.                                       33 Stockbridge Road                    Hanover            MA    02339-0000   5032577            05/18/10
MIIA        Scituate Housing Authority                               Lincoln Park                           Scituate           MA    02060        244                07/01/05
MANUF       Scituate Ray Precast Concrete Prod. Corp                 PO Box 870                             Scituate           MA    02065        3000200            01/01/03
RETAIL      SCKC Corp., dba Sports Grille - Boston                   132-134 Canal Street                   Boston             MA    02108-0000   5031608            06/01/07
RETAIL      Sclamo's Home Furnishings, Inc.                          1485 Grafton Rd.                       Millbury           MA    01527-0000   502216             11/24/01
RETAIL      Scoops N More Inc                                        33 Hamilton Road                       Peabody            MA    01906-0000   5032781            04/03/11

AICC        Scott W. Nickerson dba Nickerson Service Center          4515 Route 6                           North Eastham      MA    02651        WC 005142          08/14/05
TRADE       Scott Williams, Inc.                                     92 Copeland Street                     Quincy             MA    02269        4100069            01/03/07
RETAIL      Scott's Auto Clinic, Inc.                                6 Scot's Way                           Essex              MA    01929-0000   5031929            05/01/08
RETAIL      Scott's Auto Service Inc.                                PO Box 445                             West Bridgewater   MA    02379-0000   5032368            10/17/09


                                                                                          Page 139 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                Zip             Policy   Effective
Group       Member Name                                       Street Address                       City               St.      Code            Number      Date
RETAIL      Scrappy's Liquor Locker, Inc.                     577 East Street                      Chicopee           MA    01020-0000   5030210          01/28/04
RETAIL      Scully Catering, LLC                              PO Box 353                           East Longmeadow    MA    01028-0000   502462           02/26/03
RETAIL      Sea Breeze Variety, Inc., dba Richdale            PO Box 641                           Manchester         MA    01944-0000   5032585          06/23/10
ISCC        Sea Education Assoc., Inc.                        171 Woods Hole Road                  Woods Hole         MA    02543        WC 000230        01/01/93

RETAIL      Sea Shore Corp, dba Canterbury Liquors & Pantry   331 Cotuit Road                      S Sandwich         MA    02563-0000 1024120            05/01/91
            Sea Swell Restaurant, Inc. dba Glenn's
RETAIL      Restaurant & Cool Bar                             44 Merrimac Street                   Newburyport         MA 01950          5032731          01/01/11
HEALTH  Seacoast Affiliated Group Practice, Inc.              25 Highland Avenue                   Newburyport        MA 01950           1000012          01/01/04
RETAIL  Seafood Sam's of Falmouth, Inc.                       PO Box 1038                          Falmouth           MA  02540-0000     5032774          04/01/11
RETAIL  Seafood Sams South Yarmouth, Inc.                     1006 Rte 28                          South Yarmouth     MA  02664-0000     5032775          04/01/11
        SeafoodShanty Restaurant & Management,In, dba
RETAIL  Seafood Shanty                                        PO Box 3450                          Edgartown          MA    02539-0000 1017625            08/01/02
RETAIL  Sean McNally, dba McNally's Grille & Pub              88 Sargent Road                      Westminster        MA    01473-0000 5030406            08/02/04
RETAIL  Sean's Donuts, Inc., dba Dunkin Donuts                282 Derby St                         Salem              MA    01970-0000 5030606            04/16/07
        Seashore Deli Inc, dba The Yardarm Restaurant
RETAIL  Seashore Deli Inc                                     48 S. Orleans Rd.                    Orleans            MA    02653-0000   5031199          08/02/06
CARE    Seashore Point - Deaconess, Inc.                      100 Alden Street                     Provincetown       MA    02657        2100023          07/01/06
CARE    Seaview Convalescent & Retirement Home                49 Mansion Road                      Rowley             MA    01969        2100000          07/24/03
RETAIL  Sedell's Inc., dba Sedell's Pharmacy                  PO Box 237                           Raynham Center     MA    02768-0000   5030012          03/11/03
RETAIL  Seekonk FG, Inc., dba Five Guys                       PO Box 40                            Marlborough        MA    01752-0000   5032148          01/31/10
NAHRO   Seekonk Housing Authority                             25 Chappell Street, Suite 10         Seekonk            MA    02771        WCMN0177         06/01/04
        Seekonk Liquors, Inc., dba Chris Gasbarro's Fine
RETAIL  Wine & Spirits                                        98 Highland Ave                      Seekonk            MA    02771-0000   5032480          01/01/10
MEGA    Seem Collaborative                                    55 Walkers Brook Drive               Reading            MA    01867        X340143          07/01/02
McD     Sellia Corporation                                    8 Lake Street                        Spencer            MA    01562        25502            01/01/93
RETAIL  Seong Moon Ham, dba College Town Cleaners             278 Broad Street                     Bridgewater,       MA    02324-0000   501281           05/10/97
RETAIL  SEP2 Corp., dba Hodgies Ice Cream                     71 Haverhill Road                    Amesbury           MA    01913-0000   5031035          04/01/06
RETAIL  Serio's Pharmacy LLC                                  63 State St.                         Northampton        MA    01060-0000   501847           10/01/01
RETAIL  Service Bench, Inc.                                   227 Carnegie Row                     Norwood            MA    02062-0000   501651           02/01/01
HEALTH  ServiceNet, Inc.                                      129 King Street                      Northhampton       MA    01601        3100004          04/01/07
MASSBAY Serving People In Need                                100 Willow Street                    Lynn               MA    01901        80359            10/01/07
RETAIL  Seven G's Discount Liquor, Inc.                       P.O. Box 2008                        Dennis             MA    02638-0000   501395           07/27/97
RETAIL  Seven Stars, Inc.                                     731 Massachusetts Avenue             Cambridge          MA    02139-0000   501219           03/25/97
CTCC    Severance Trucking Co., Inc.                          7 Walnut Hill Park                   Woburn             MA    01801        WC 000294        10/01/92
RETAIL  SH Spirits & More Corp., Inc.                         4 South Main Street                  West Bridgewater   MA    02379-0000   5031082          05/05/06
RETAIL  Shack Realty Company                                  524 A North Street                   Pittsfield          MA   01201        5032737          02/01/11
RETAIL  Shack's Incorporated                                  403 Main Street                      Worcester          MA    01608-0000   1100700          01/01/04
RETAIL  Shack's, Inc.                                         403 Main Street                      Worcester          MA    01608-0000   1100605          05/01/91
ISCC    Shady Hill School                                     178 Coolidge Hill                    Cambridge          MA    02138        WC 000231        01/01/93


                                                                                 Page 140 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                          Zip            Policy   Effective
Group       Member Name                                           Street Address                              City              St.      Code            Number     Date
RETAIL      Shake It Up, LLC                                      60 River Street                             Beverly           MA    01915-0000   5030615         01/01/09
RETAIL      Shanti Convenience Inc., dba James Quick Mart         55 James Reynolds Road                      Swansea           MA    02777-3416   5032497         03/25/10
RETAIL      Shanty Rose, Inc.                                     27 Shoreline Way                            Plymouth          MA    02360-0000   5032838         05/23/11
RETAIL      Share Enterprises, Inc., dba Arlington Shell          934 Massachusetts Ave                       Arlington         MA    02476-0000   5032671         11/18/10
RETAIL      Sharky's Cantina, Inc.                                PO Box 2427                                 Oak Bluffs        MA    02557-0000   5030918         10/21/05
NAHRO       Sharon Housing Authority                              18 Hixson Farm Road                         Sharon            MA    02067        WCMN0123        06/01/04
MEGA        Sharon Town of                                        90 S Main St                                Sharon            MA    02067        X340010         07/01/11
            Shaughnessy Family Enterprises, Inc., dba The Other
RETAIL      Place Pub                                             71 Shrewsbury Street, Route 140             Boylston          MA    01505-0000   500351          04/01/08
RETAIL      Shaw Farm Dairy Inc.                                  195 New Boston Road                         Dracut            MA    01826-0000   501412          04/01/96
RETAIL      Shawmut Jewelry Company, Inc.                         333 Washington Street                       Boston            MA    02108-0000   5031212         03/25/07
RETAIL      Shawn Renes, dba Store Fixturing Inc.                 417 Maple Street                            Marlborough       MA    01752-0000   502175          07/20/01
RETAIL      Shawsheen Plaza Service Station, Inc.                 205 N Main St                               Andover           MA    01810-0000   5031802         01/01/08
MEGA        Shawsheen Valley Reg VTSD                             100 Cook Street                             Billerica         MA    01821        X340151         07/01/01
RETAIL      Shawsheen Village Liquors Inc                         4 Poor Street                               Andover           MA    01810-0000   5030453         12/17/04
RETAIL      SHC Inc. Etal, dba Dennis Public Market               PO Box 368                                  Yarmouth Port     MA    02675-0000   501296          06/01/97
RETAIL      She Crystal, Inc., dba Brookside Liquor Store         875 Pleasant St.                            Rochdale          MA    01542-0000   5032016         06/23/09
RETAIL      Sheffield, Inc.                                       607 Tremont Street                          Boston            MA    02118-0000   5030328         01/01/05
MIIA        Sheffield, Town of                                    P.O. Box 325                                Sheffield         MA    01257        122             07/01/05
RETAIL      Shelburne Falls Coffee Roasters LLC                   1335 Mohawk Trail                           Shelburne         MA    01370-0000   501937          01/10/02
RETAIL      Shelburne Falls Supermarket, Inc.                     42 Bridge Street                            Shelburne Falls   MA    01370-0000   5031115         05/21/06
MIIA        Shelburne, Town of                                    Town Hall, 51 Bridge Street                 Shelburne         MA    01370        123             07/01/05
SILBA       Shepley Wood Prod                                     216 Thornton Drive                          Hyannis           MA    02601        WC 000771       01/01/92
MIIA        Sherborn, Town of                                     19 Washington Street                        Sherborn          MA    01770        176             07/01/05
TRADE       Sherburne Building Materials Inc                      56 Coburn Rd.                               Tyngsboro         MA    01879        4100112         04/08/10
                                                                  135 South Huntington Ave, Attention: Marc
CARE        Sherrill House, Inc.                                  Schultz                                     Boston            MA    02130        2100003         01/01/04
AICC        Shield Systems, Inc./Chamstaff Lane Inc.              455 Boston Road                             Billerica         MA    01821        WC 004056       04/01/04
MIIA        Shirley Water District                                124 Ayer Road                               Shirley           MA    01464-2518   481             07/01/11
MIIA        Shirley, Town of                                      Lancaster Road, P.O. Box 455                Shirley           MA    01464        340             07/01/05
            Shiv Om Liquor Corporation, dba Independent Liquor
RETAIL      Store                                                 503 Foundry Street                          N. Easton         MA    02356-0000   5032302         08/04/09
RETAIL      Shiva Kisha Corp., dba Abington Liquors               585 Washington Street                       Abington          MA    02351-0000   5031604         06/07/07
RETAIL      Shivam, LLC, dba Shivam Variety                       521 Main Street                             Brockton          MA    02301-0000   5030531         03/14/04
RETAIL      Shiv-Kris Corp, dba Powers Liquors                    23 Wood Street                              Lowell            MA    01851-0000   1113671         07/09/03
RETAIL      Shivu Jay Corp., dba Rt. 20 Convenience               2 Boston Post Rd                            Marlboro          MA    01752-0000   5031644         07/19/07
RETAIL      Shivu-Kishu Corp, dba Oak Street Convenience          350 Oak Street                              Brockton          MA    02301-0000   5030676         08/22/04
RETAIL      Shoe Horn Inc                                         317 Walnut Street                           Newtonville       MA    02460-0000   1102400         09/01/91
RETAIL      Shone Alphie, dba Auto Maintenance                    85 Main Street                              North Reading     MA    01864-0000   5032441         01/22/10
RETAIL      Shop-Rite Stores, Inc., dba Elia's Country Store      381 Middlesex Avenue                        Wilmington        MA    01887-0000   5032230         04/19/09


                                                                                    Page 141 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip          Policy   Effective
Group       Member Name                                            Street Address                        City               St.      Code          Number     Date
ISCC        Shore Country Day School                               545 Cabot Street                      Beverly            MA    01915      WC 000033       04/01/92
MEGA        Shore Education Collabrative                           99 Fourth Street                      Chelsea            MA    02150      X340015         01/01/01
RETAIL      Shorey, Inc., dba JB's Liquor World                    365 W Central Street                  Franklin           MA    02038-0000 1059560         05/01/91

RETAIL      Shortstop General, Inc., dba Shortstop General Store   439 Main St                           Hudson             MA    01749-0000   5032535       05/11/10
ISCC        Showa Womens Institute of Boston                       420 Pond Street                       Boston             MA    02130        WC 000276     01/01/93
RETAIL      Showcase Auto Sales, Inc.                              802 Main St.                          Winchester         MA    01890-0000   5031089       12/02/06
RETAIL      Shradh Corporation, dba Five Star Liquors              197 Worcester St.                     Grafton            MA    01519-0000   5031991       07/21/08

RETAIL      Shree Ashapuri, LLC, dba Sandwich Package Store        118 Route 6A                          Sandwich           MA    02563-0000   5032303       08/11/09
RETAIL      Shree Ram Kabir LLC dba Kernwood Liquors               12 Salem Street                       Lynnfield          MA    01940-0000   5032842       06/02/11
RETAIL      Shree Vardyni Corp., dba Country Farms                 56 Aiken Ave                          Lowell             MA    01850-0000   5031611       04/09/07
RETAIL      Shreeji Krupa LLC, dba Best Buy Beverage               16 Echo Road                          Mashpee            MA    02649-0000   5031362       06/25/07
RETAIL      Shrewsbury Transmission, Inc.                          727 Hartford Turnpike Road            Shrewsbury         MA    01545-0000   5032094       01/01/09
MIIA        Shutesbury, Town of                                    P.O. Box 276                          Shutesbury         MA    01072        125           07/01/05
RETAIL      Shyam Krishna Corp., dba Sunny's Convenience           80 Mill Street                        Easton             MA    02356-0000   5032705       12/15/10
RETAIL      Siam Group, Inc., dba Amarin of Thailand               287 Centre Street                     Newton             MA    02458-0000   5030343       05/01/03
RETAIL      Siam Lotus, Inc., dba Siam Lotus                       287 Centre St                         Newton             MA    02458-0000   5030348       05/01/03
RETAIL      Sign of the Surf Inc, dba Impudent Oyster              15 Chatham Bars Inn                   Chatham            MA    02633-0000   5030866       08/01/05
RETAIL      Silu Kisu Corp.                                        487 Main Street                       Waltham            MA    02452-0000   5031112       05/23/06
RETAIL      Silu, LLC                                              710 Lakeview Ave                      Lowell             MA    01850-0000   5031249       09/14/06
RETAIL      Silver Buffalo, Inc., dba Silver Buffalo Gallery       23 Coburn Road                        Berlin             MA    01503-0000   1001755       05/01/03
MIIA        Silver Lake Regional School District                   250 Pembroke Street                   Kingston           MA    02364        92            07/01/07
            Silver Lounge, Inc., dba SilverLounge
RETAIL      Restaurant/Uncle Bill's Cou                            PO Box 401                            North Falmouth     MA    02556-0000   5032657       10/01/10
RETAIL      Silvertone Restaurant, Inc.                            69 Bromfield Street                   Boston             MA    02108-0000   5031466       04/01/07
RETAIL      Simko Builders, Inc., dba Weston Kitchens              868 Worcester St.                     Wellesley          MA    02482-0000   501615        11/23/00
NEEIA       Simmons College                                        300 The Fenway                        Boston             MA    02115        06-5000180    07/01/90
RETAIL      Simmons Furniture, Inc.                                71 Park St.                           Adams              MA    01220-0000   502158        08/27/01
NEEIA       Simons Rock College Of Bard                            84 Alford Rd.                         Great Barrington   MA    01230-9702   06-5000390    01/01/95
RETAIL      Simpsons Inc. of Lawrence                              26 International Way                  Lawrence           MA    01843-0000   5032789       04/01/11

RETAIL      Sinead Enterprises, dba Owen O'Leary's Restaurant      PO Box 3324                           Southborough       MA    01745-0000   502254        01/01/04
RETAIL      Singh Food II, Inc., dba Curry House                   1335 Beacon Street                    Brookline          MA    02446-0000   5031920       04/29/08
RETAIL      Sirron Inc., dba Daggett's Liquors                     1071 Route 28                         South Yarmouth     MA    02664-0000   5030136       05/01/91
RETAIL      Sisters Donuts Inc, dba Dunkin Donuts                  80 Boston St.                         Lynn               MA    01904-0000   5031404       08/15/07
MCSIG       Sisters of Charity (Halifax) Corporate Mission, Inc.   26 Phipps Street                      Quincy             MA    02169        none          03/31/93

MCSIG       Sisters of Charity (Halifax) Supporting Corporation    125 Oakland Street                    Wellesley          MA    02181        none          03/31/93
MCSIG       Sisters of Divine Province                             363 Bishops Highway                   Kingston           MA    02364        none          03/31/93


                                                                                       Page 142 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                       Zip             Policy        Effective
Group       Member Name                                           Street Address                          City               St.      Code             Number          Date
MCSIG       Sisters of Divine Province/Home Care                  363 Bishops Highway                     Kingston           MA    02364        none                  03/31/93
            Sisters of Divine Province/Sacred Heart Elementary
MCSIG       School                                                329 Bishops Highway                     Kingston           MA    02364        none                  03/31/93

MCSIG       Sisters of Divine Province/Sacred Heart High School 399 Bishops Highway                       Kingston           MA    02364        none                  03/31/93

MCSIG       Sisters of Divine Province/Sacred Heart Pre-Primary   363 Bishops Highway                     Kingston           MA    02364        none                  03/31/93
MCSIG       Sisters of St. Joseph                                 637 Cambridge Street                    Brighton           MA    02135        none                  03/31/93
MCSIG       Sisters of the Good Shepherd                          406 Hemmingway Street                   Marlboro           MA    01752        none                  03/31/93
RETAIL      Skenderian Apothecary Inc.                            1613 Cambridge Street                   Cambridge          MA    02138-0000   500962                06/12/96
            Ski Exchange of Boston, Inc., dba Centre Ski and
RETAIL      Bike                                                  18 Jameson Road                         Newton             MA    02458-0000 501474                  10/07/97

RETAIL      Skippy Corporation, dba Cedarville Wine & Spirits     2245 State Road                         Plymouth           MA    02360-0000   501275                12/17/95
RETAIL      Skips Snack Bar LLC                                   92 East Main St.                        Merrimac           MA    01860-0000   5030056               04/18/03
MHTSIG      Skyworks Solutions                                    20 Sylvan Road, P.O. Box 1044           Woburn             MA    01801        WP8-11B-205856-091    01/01/94
RETAIL      SLACKMAN, Inc., dba Pearl Restaurant                  c/o 400 East, Inc., 1421 Orleans Road   Harwich            MA    02645-0000   500015                05/11/09
RETAIL      Slade Formal Wear, Inc.                               227 Rhode Island Ave                    Fall River         MA    02724-0000   501138                03/31/97
RETAIL      Sleep, Inc., dba Mattress & Futon King                208 Main Street                         Weymouth           MA    02188-0000   5031634               06/25/07
RETAIL      Slesar Bros. Brewing Company, Inc.                    110 Canal Street, 3rd Floor             Boston             MA    02114-0000   500138                08/01/05
RETAIL      SLH Enterprises, Inc., dba X Fire Paintball           850 Southbridge St.                     Auburn             MA    01501-0000   5031034               04/15/06
RETAIL      SLLP IV, LLC, dba Skipjacks - Natick                  154 Wells Avenue, Suite #1              Newton             MA    02459-0000   500480                01/01/04
RETAIL      SMC Group, Inc., dba Surly Johnson Bar & Grill        524 Broadway                            Raynham            MA    02767-0000   5032269               02/06/10
RETAIL      Smit Super Store, LLC, dba Route 18 Super Store       336 Washington Street                   Abington           MA    02351-0000   5032654               11/18/10
ISCC        Smith College, Trustees of the                        30 Belmont Avenue                       Northampton        MA    01063        WC 000328             01/01/94
AICC        Smith Motors of Haverhill, Inc.                       420 River Street                        Haverhill          MA    01832        WC 004053             01/01/04
            Smithfield Market of Osterville, LLC, dba Fancy's
RETAIL      Market                                                699 Main Street                         Osterville         MA    02655-0000 5032443                 01/01/10
            Smithfield Market of Yarmouthport, LLC, dba
RETAIL      Peterson's Market                                     918 Main Street                         Yarmouthport       MA    02675-0000   5030927               06/19/06
RETAIL      SMK Ventures, Inc., dba New Bagel Bistro              72 C East Main Street                   Westborough        MA    01581-0000   502447                08/01/02
RETAIL      Snipped Fresh Produce Inc.                            15 Arlington Street                     Chelsea            MA    02150-0000   502053                05/12/02
RETAIL      Snow's Supply, Inc.                                   111 Main Street                         Foxboro            MA    02035-0000   5031600               07/07/07
            Snowtree Care Care Centers, LLC, dba Meineke Car
RETAIL      Care Centers                                          405 Cochituate Road, Unit 301           Framingham         MA    01701-0000   500675                04/22/06
RETAIL      Snug Harbor Enterprises, Inc., dba The Lili Pad       22 Plantation Drive                     Duxbury            MA    02332-0000   5031363               06/30/07
MEGA        So. Berkshire Ed. Collab.                             662 Stockbridge Road                    Great Barrington   MA    01230        X340154               07/01/02
ISCC        Society for the Preservation of N.E. Antiquities      141 Cambridge Street                    Boston             MA    02114        WC 000247             01/01/93
MCSIG       Society of St. James the Apostle                      24 Clark Street                         Boston             MA    02109        none                  03/31/00
MCSIG       Society of St. Vincent DePaul-Central Office          1280 Washington Street                  Boston             MA    02105        none                  03/31/93


                                                                                    Page 143 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip          Policy   Effective
Group       Member Name                                            Street Address                          City               St.      Code          Number     Date
MCSIG       Society Propagation of the Faith                       49 Franklin Street                      Boston             MA    02110      none            03/31/93
RETAIL      Soft Touch Auto Wash and Lube Inc.                     120 Palmer Road                         Monson             MA    01057-0000 5031064         04/30/06

RETAIL      Sohan, Inc., dba Beverly Shop N Go Market & Liquor     199-201 Essex Street                    Beverly            MA    01915-0000 5031426         03/06/07
            Sole Proprietor, Inc., dba Sole Proprietor Seafood &
RETAIL      Spirits                                                118 Highland Street                     Worcester          MA    01609-0000   1029190       08/01/02
ISCC        Solomon Schecter Day School, Inc.                      125 Wells Avenue                        Newton             MA    02459        WC 000880     07/01/02
RETAIL      Somerset Coffee Stop, Inc., dba Dunkin Donuts          c/o Jed Cohen & Co. PC, 38 Elm Street   New Bedford        MA    02740-0000   5032628       08/15/10
RETAIL      Somerset Creamery, Inc.                                PO Box 8                                Somerset           MA    02726-0000   501451        08/14/97

RETAIL  Somerset Donut Express, Inc., dba Dunkin Donuts            c/o Jed Cohen & Co. PC, 38 Elm Street   New Bedford        MA    02740-0000 500130          08/15/10
NAHRO   Somerset Housing Authority                                 75 John F. Kennedy Terrace              Somerset           MA    02726      WCMN0109        06/01/04
        Somerset Manufacturing Co., Inc., dba Dunkin
RETAIL  Donuts                                                     c/o Jed Cohen & Co. PC, 38 Elm Street   New Bedford        MA    02740-0000   500127        08/15/10
RETAIL  Somerset Operating LLC                                     1159 Read Street                        Somerset           MA    02726-0000   5032847       06/09/11
AICC    Somerville Car Care                                        14 Republic Road                        Billerica          MA    01862        WC 007303     01/01/07
NAHRO   Somerville Housing Authority                               30 Memorial Road                        Somerville         MA    02145        WCMN0199      10/25/04
RETAIL  Something Inc, dba Something Natural                       50 Cliff Rd                             Nantucket          MA    02554-0000   5031909       04/01/08
RETAIL  Something Special, Inc.                                    The Mall at Lincoln Station             Lincoln            MA    01773-0000   502342        10/01/02
RETAIL  Sona's One Stop, Inc.                                      80 Mill Street                          Easton             MA    02356-0000   5032705       12/15/10
MCSIG   Sons of Divine - Madonna Queen Shrine                      363 Bishops Highway                     Kingston           MA    02364        none          03/31/07
TRADE   Sons Trucking, Inc.                                        32 Riverside Park                       Malden             MA    02148        4100029       07/01/05
RETAIL  Sorrento Pizza of West Springfield, Inc.                   660 Kings Highway                       West Springfield   MA    01089-0000   502430        05/31/02
RETAIL  Souper Salad Commissary, Inc.                              145 Rosemary Street Suite C             Needham Heights    MA    02494-0000   5030388       01/01/06
RETAIL  Souper Salad Holdings Inc.                                 145 Rosemary Street Suite C             Needham Heights    MA    02494-0000   5030397       01/01/06
RETAIL  Sousa and Lee, Inc., dba Off Broadway Diner                19 Taunton Green                        Taunton            MA    02780-0000   5031235       07/25/06
ISCC    South Area Solomon Schecter Day School                     710 Turnpike Street                     Stoughton          MA    02072        WC 000943     07/29/04
MASSBAY South Boston Neighborhood House, Inc.                      521 East Seventh Street                 South Boston       MA    02127        80331         01/08/04
MEGA    South Coast Education Collabrative                         2201 GAR Highway                        Swansea            MA    02777        X340309       07/01/02
AICC    South Coast Motors dba Old Colony Dodge                    66 West Street                          Mansfield          MA    02048        WC 007039     12/01/07
RETAIL  South Coast Restaurant, Inc.                               PO Box 40                               Marlborough        MA    01752-0000   5032147       01/20/09
MIIA    South Deerfield Water Supply District                      PO BOX 51, 95 Sunderland Road           South Deerfield    MA    01373        127           07/01/05
MASSBAY South End Community Health Center, Inc.                    1601 Washington Street                  Boston             MA    02118        80315         01/01/02
AICC    South End Toyota, Inc. dba Fiore Toyota                    1480 South Main Street                  Fall River         MA    02722        WC 008058     11/01/08
MEGA    South Grafton Water District                               8A Main Street                          South Grafton      MA    01560        X340016       07/01/11
NAHRO   South Hadley Housing Authority                             69 Lathrop Street                       South Hadley       MA    01075        WCMN0134      06/01/04
        South Main Management Corp., dba Little Red
RETAIL  Smokehouse                                                 145 South Main St Unit B1-1             Carver             MA    02330-0000 5032495         03/15/10
MEGA    South Middlesex Reg Tech SD                                750 Winter Street                       Framingham         MA    01701      X340169         07/01/90
RETAIL  South Natick Gulf,Inc.                                     9 Eliot St.                             Natick             MA    01760-0000 5031596         06/09/07


                                                                                        Page 144 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                             Zip             Policy   Effective
Group   Member Name                                          Street Address                       City             St.      Code            Number      Date
RETAIL  South Shore Car Wash, Inc.                           384 Centre St.                       Quincy           MA    02169-0000   5031734          07/01/08
ISCC    South Shore Conservatory of Music, Inc.              1 Conservatory Street                Hingham          MA    02043        WC 000905        05/15/03
RETAIL  South Shore Divers Inc.                              165 Elliot Ave.                      North Quincy     MA    02171-0000   501663           03/01/01
MEGA    South Shore Education Collabrative                   90 Industrial Park Road              Hingham          MA    02043        X340017          07/01/02
        South Shore Restaurant Group LLC, dba East Bay
RETAIL  Grille & Pinehills                                   54 Clubhouse Drive                   Plymouth         MA    02360-0000 5031485            06/08/09
MEGA    South Shore RSD                                      476 Webster Street                   Hanover          MA    02339      X340052            07/01/01
        South Shore Variety Store Inc, dba Pleasant Street
RETAIL  General Store                                        451 Pleasant Street                  Weymouth         MA    02189-0000 5031997            08/13/08
MASSBAY South Shore YMCA, Inc.                               79 Coddington Street                 Quincy           MA    02169      80352              12/01/06
RETAIL  South Side Tavern, LLC, dba Ardeo                    23V Whites Path                      South Yarmouth   MA    02664-0000 5030568            04/01/04
        South Street Package Store, Inc., dba Mayflower
RETAIL  Food & Spirits                                       164 South Street                     Plymouth         MA    02360-0000   5031245          09/15/06
MEGA    Southampton Town of                                  PO Box 397 8 East Street             Southampton      MA    01073        X340354          07/01/11
RETAIL  Southboro Auto Tech, Inc.                            145 Boston Road                      Southboro        MA    01772-0000   5031579          05/30/07
NAHRO   Southborough Housing Authority                       49 Boston Road                       Southborough     MA    01772        WCMN0166         06/01/04
MIIA    Southborough, Town of                                17 Common Street                     Southborough     MA    01773        386              07/01/05
NAHRO   Southbridge Housing Authority                        60 Charlton Street                   Southbridge      MA    01550        WCMN0062         06/01/04
AICC    Southbridge Tire Company, Inc.                       136 Central Street                   Southbridge      MA    01550        WC 001056        01/01/00
MEGA    Southbridge, Town of                                 41 Elm Street                        Southbridge      MA    01550        X340187          07/01/09
RETAIL  Southeast Truck Center, Inc.                         PO Box 1503                          Sagamore Beach   MA    02562-0000   5031145          06/14/06
MEGA    Southeastern Mass Educational Collaborative          4238 Acushnet Avenue                 New Bedford      MA    02745        X340018          07/01/02
MEGA    Southeastern RSD                                     250 Foundry Street                   South Easton     MA    02375        X340430          07/01/91
        Southern Berkshire Food Service, Inc., dba Salmon
RETAIL  Run Fish House                                       78 Main St.                          Lee              MA    01238-0000 5031889            03/31/08
MEGA    Southern Berkshire RSD                               Box 339                              Sheffield        MA    01257      X340112            07/01/10
MEGA    Southern Worcester County Reg Voc Schl               57 Old Muggett Hill Road             Charlton         MA    01507      X340021            07/01/11
        South-Side Associates Inc, dba Burke Automotive
RETAIL  Service                                              71 Main St.                          Woburn           MA    01801-0000 5032688            12/14/10

MASSBAY Southwest Boston Senior Services, Inc. dba ETHOS     555 Amory Street                     Jamaica Plain    MA    02130-2672 80312              08/01/00
        Southwick Foodmart Corporation, dba Sunny's
RETAIL  Convenience                                          80 Mill Street                       Easton           MA    02356-0000   5032705          12/15/10
NAHRO   Southwick Housing Authority                          12 Depot Street                      Southwick        MA    01077        WCMN0045         06/01/04
RETAIL  Southwick Package, Inc.                              466 College Highway, P.O. Box 37     Southwick,       MA    01077-0000   500242           03/01/00
MIIA    Southwick, Town of                                   454 College Highway                  Southwick        MA    01077        225              07/01/05
MIIA    Southwick-Tolland Regional Schools                   86 Powder Mill Road                  Southwick        MA    01077        281              07/01/05
RETAIL  Sozio Corporation                                    61 Squire Rd.                        Revere           MA    02151-0000   5031790          01/01/08
TRADE   Spag's 19, Inc.                                      319 Lincoln Street                   Hingham          MA    02043        4000050          01/01/93
RETAIL  Spanky's Clam Shack, LLC                             32 Marshview Circle                  East Sandwich    MA    02537-0000   5030024          03/26/03


                                                                                Page 145 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                Zip             Policy   Effective
Group   Member Name                                          Street Address                        City               St.      Code            Number      Date
RETAIL  Sparkle Food Corp., dba Wendy's                      66 Pondside Circle                    Centerville        MA    02632-0000   5030507          04/01/05
RETAIL  Spartan Brake & Muffler Corp.                        2714 Boston Road                      Wilbraham          MA    01095-0000   5031771          12/16/07
RETAIL  Spaulding Car Center, Inc.                           202 Chelmford Street                  Lowell             MA    01851-0000   5031835          01/01/08
RETAIL  SPCAP Inc., dba Honey Dew Donuts                     194 Wheeler Street                    Rehoboth           MA    02769-0000   502023           04/01/02
RETAIL  Speakeasy Group Limited Partnership                  90 Exeter Street                      Boston             MA    02116-0000   5030121          10/25/03
RETAIL  Special Occasion Rentals Inc.                        395 Oakland Street                    Mansfield,         MA    02048-0000   501263           12/27/95
        Special Thoughts Inc., dba Special Thoughts Outlet
RETAIL  Stores                                               P.O. Box 235                          Hathorne           MA    01937-0000   5030592          09/01/05
MEGA    Spencer East Brookfield RSD                          302 Main Street                       Spencer            MA    01562        X340020          07/01/02
NAHRO   Spencer Housing Authority                            Howe Village                          Spencer            MA    01562        WCMN0101         06/01/04
MEGA    Spencer Town of                                      157 Main St                           Spencer            MA    01562        X340111          07/01/11
RETAIL  Spirit Haus, Inc.                                    P.O. Box 506                          Amherst            MA    01004-0000   1106892          05/01/91
RETAIL  Spoleto, Inc., dba Spoleto's & Pizzeria Paradiso     82 Industrial Drive, Unit #3          Northampton        MA    01060-0000   500630           04/20/07
RETAIL  Sports Traders Inc., dba Play It Again Sports        62 E Montrale Avenue                  Stoneham           MA    02180-0000   500439           03/06/95
        Springfield Acres Newsstand Corporation, dba Acres
RETAIL  Newstand                                             1922 Wilbraham Road                   Springfield        MA    01129-0000   5030961          01/04/06
NEEIA   Springfield College                                  263 Alden Street                      Springfield        MA    01109        06-5000190       07/01/90
NAHRO   Springfield Housing Authority                        25 Saab Court                         Springfield        MA    01101        WCMN0012         04/01/04
RETAIL  Springfield Jewelry Exchange, Inc.                   883 Sumner Ave                        Springfield        MA    01119-0000   501609           11/01/00
AICC    Springfield Mack, Inc.                               124 Ashley Avenue                     West Springfield   MA    01090        WC 006214        12/01/06
RETAIL  Springfield Plumbing Supply Co, Inc.                 PO Box 90665                          Springfield        MA    01109-0000   5032232          04/08/09
CARE    Springhouse, Inc.                                    44 Allendale Street                   Boston             MA    02130        2100017          01/01/05
RETAIL  Sprocket Spirits Inc.                                1350 Springfield Street               Feeding Hills      MA    01030-0000   502344           10/01/02
RETAIL  Spruce Pond Creamery Inc                             370 King Street                       Franklin           MA    02038-0000   5032205          04/12/09
RETAIL  Spykez Enterprises, Inc., dba Honeydew Donuts        1998 Acushnet Ave                     New Bedford        MA    02745-0000   5032634          09/02/10
RETAIL  Square Corp.                                         PO Box 1584                           Duxbury            MA    02331-0000   502239           01/01/04
SILBA   Squire & Co                                          P.O. Box 275                          Monson             MA    01057        WC 000792        01/01/93
MANUF   SRC Medical, Inc.                                    263 Winter Street                     Hanover            MA    02339        3000185          01/01/95
RETAIL  SRI Sitaram Enterprises, LLC                         38 Upland Road                        Ashland            MA    01721-0000   501627           11/29/07
TRADE   SRW Contractors Supply, Inc.                         206-210 Mystic Ave                    Medford            MA    02155        4100071          12/31/06
RETAIL  St James Corporation                                 154 Wells Avenue, Suite #1            Newton             MA    02159-0000   500468           01/01/04
MCSIG   St. Ann's Home                                       100A Haverhill Street                 Methuen            MA    01844        none             03/31/93
MCSIG   St. Ann's School of Cape Ann                         60 Prospect Street                    Gloucester         MA    01930-5922   none             03/31/10
CARE    St. Camillus Health Center Inc                       447 Hill St.                          Whitinsville        MA   01588        2100027          10/14/08
MCSIG   St. Columbkille School                               25 Arlington Street                   Brighton           MA    02135        none             03/31/07
MASSBAY St. Francis House, Inc.                              39 Boylston Street                    Boston             MA    02116        80348            01/01/06
RETAIL  St. Hilaire Service Station, Inc.                    1682 Middlesex Street                 Lowell             MA    01851-0000   5031780          01/01/08
MCSIG   St. Jeanne d'Arc School                              68 Dracut Street                      Lowell             MA    01854-2417   none             03/31/11
MCSIG   St. John Seminary                                    127 Lake Street                       Brighton           MA    02135        none             03/31/93
MCSIG   St. Joseph Manor Health Care                         215 Thatcher Street                   Brockton           MA    02142        none             03/31/93

                                                                                 Page 146 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip           Policy   Effective
Group       Member Name                                      Street Address                                City             St.      Code           Number     Date
MCSIG       St. Joseph's Hall                                2 Rosary Drive                                Watertown        MA    02172        none           01/01/05
ISCC        St. Mark's School                                25 Marlborough Road                           Southborough     MA    01772        WC 000034      04/01/92
MCSIG       St. Mary High School                             35 Tremont Street                             Lynn             MA    01902-4446   none           09/30/07
MCSIG       St. Mary's Women & Infant Center                 90 Cushing Avenue                             Dorchester       MA    02125-2028   none           03/31/10
RETAIL      St. Michael's Club, Inc.                         57-63 Webster St.                             Fall River       MA    02723-0000   5032120        12/28/08
RETAIL      St. Minas Corp., dba White Hen 8306-8                                                          Norwood
                                                             c/o New England Pantry Inc., 290 Vanderbilt Ave                MA    02062-0000   500055         03/01/07
RETAIL      St. Onge Appliance Co.                           771 Broadway Street, Office B                 Lowell           MA    01854-0000   5030031        04/30/03
RETAIL      St. Onge Supply Co, Inc.                         1278 Lakeview Ave                             Dracut           MA    01826-0000   5031974        06/23/09
MCSIG       St. Sebastian's Country Day School               1191 Greendale Avenue                         Needham          MA    02192        none           03/31/93
DFSIG       St. Vincent's Home                               2425 Highland Avenue                          Fall River       MA    02720        94002          11/12/93
            Stacey's Shade Shop, Inc., dba Stacey's Window
RETAIL      Fashions                                         26 Joyce Street                             Lynn,              MA    01902-0000 501252           05/05/97
RETAIL      Stacy's Cleaners, Inc.                           55 White Ave                                E. Longmeadow      MA    01028-0000 5031955          06/01/08
            Stadium Liquor Mart Inc., dba Shamrock of
RETAIL      Tewksbury                                        10 Main Street                              Tewksbury          MA    01876-0000   501338         02/01/96
RETAIL      Stadler Hardware, Inc.                           P.O. Box 1085, 3 Stadler Street             Belchertown,       MA    01007-0000   500092         02/23/98
CARE        Stafford Investment Advisors LLC                 15 Third Ave                                Burlington         MA    01803        2100030        09/10/09
CARE        Stafford Management Co, LLC                      15 Third Ave                                Burlington         MA    01803        2100030        09/10/09
RETAIL      Stamatera, LLC dba Brockton Mart                 1012 Belmont Street                         Brockton            MA   02301        5032711        01/01/11
RETAIL      Standley's Garage, Inc.                          PO Box 106                                  Manchester         MA    01944-0000   5031848        02/12/08
            Stanley & Cynthia Wojik, dba Pic-A-Deli &
RETAIL      Convenience Store                                660 Pleasant St                             New Bedford        MA    02740-0000   501773         04/09/01
RETAIL      Stann Liquors Corporation, dba Macys Liquors     1826 Centre Street                          West Roxbury       MA    02132-0000   5031555        05/21/07
RETAIL      Stan's Liquor Mart, Inc.                         1586 South Main Street                      Athol              MA    01331-0000   501159         03/12/97
RETAIL      Stapleton Floral Associates, Inc                 635 East Broadway                           South Boston       MA    02127-0000   5030564        03/26/04
RETAIL      Starboard Galley Restaurant, Inc.                55 Water Street                             Newburyport        MA    01950-0000   5032792        04/01/11
RETAIL      Starl Liquors, Inc.                              15 McGrath Highway                          Somerville         MA    02143-0000   5030304        05/01/91
RETAIL      Starlite Car Wash, Inc.                          107 Main St.                                North Reading      MA    01864-0000   5031513        05/01/07
RETAIL      Stasukelis Appliance Inc                         287 Main Street                             Gardner            MA    01440-0000   5030629        06/29/04
AICC        State Auto Parts, Inc. dba State Auto Spring     447 Second Street                           Everett            MA    02149        WC 005111      03/02/05
RETAIL      State Garden, Inc.                               300 Third Avenue                            Chelsea            MA    02150-0000   5030845        06/01/06
RETAIL      State Liquor Exchange Inc                        370 Park Avenue                             Worcester          MA    01610-0000   5030522        01/15/04
RETAIL      State Street Laundromat Inc                      555 State St.                               Springfield        MA    01109-0000   5032638        09/10/10
RETAIL      Station Avenue Donuts, LLC                       436 Station Ave                             South Yarmouth     MA    02664-0000   5032604        08/01/10
TRADE       Stavis Seafoods                                  212 Northern Avenue                         Boston             MA    02210        4000033        01/01/94
RETAIL      Stelio's Family Restaurant, Inc.                 293 Boston Post Road                        North Billerica    MA    01862-0000   5031429        03/07/07
MANUF       Stellar Industries Corp                          50 Howe Avenue                              Millbury           MA    01527        5100050        08/05/05
RETAIL      Stephen J. Brackett, dba Abba Motors             30 North Maple Street                       Florence           MA    01062-0000   5031061        04/14/06
RETAIL      Stephen M Baker, dba Highland Spirits            16 East Main St.                            Orange             MA    01364-0000   5032517        05/01/10
RETAIL      Stephen M. Buynicki, dba Cyber Exchange          1267 Riverdale Rd                           West Springfield   MA    01089-0000   5032102        01/28/09


                                                                                Page 147 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                Zip            Policy   Effective
Group       Member Name                                          Street Address                         City           St.      Code           Number     Date
            Stephen Phillips Memorial Charitable Trust for
ISCC        Historic Preservation                                34 Chestnut Street                     Salem          MA    01970        WC 000872      03/12/02

RETAIL      Stephen T Deangelis, Inc., dba Golden Goose Market   179 Commercial St                      Boston         MA    02110-0000   5030142        05/01/92
RETAIL      Stephen Thomas Cleaners, Inc.                        1903 Wilbraham Road                    Springfield    MA    01129-0000   5031108        06/01/06
RETAIL      Stephen's Auto Repair, Inc.                          118 Cambridge St                       Burlington     MA    01803-0000   5032676        11/03/10
AICC        Stephens Towing, Inc.                                140 Tremont Street                     Melrose        MA    02176        WC 005129      05/29/05
RETAIL      Sterling Fresh LLC, dba Moe's Southwest Grill        5 Deborah Lane                         Sterling       MA    01564-0000   5032655        09/13/10
RETAIL      Sterling Greenery Inc                                44 Redemption Rock Trail               Sterling       MA    01564-0000   5032532        04/24/10
NAHRO       Sterling Housing Authority                           100 Main Street                        Leominster     MA    01453        WCMN0151       06/01/04
MIIA        Sterling, Town of                                    One Park Street                        Sterling       MA    01564        461            07/01/09
RETAIL      Steve Ruest, dba Ipswich Floor Covering              62 Central Street                      Ipswich        MA    01938-0000   501690         04/15/97
RETAIL      Steven Carl Morrison, dba Sears                      2991 Cranberry Highway                 East Wareham   MA    02538-0000   5031006        02/10/06
RETAIL      Stevens The Florist, Inc.                            160 South St # R                       Plymouth       MA    02360-0000   5031939        06/07/08
RETAIL      Steves Quality Market Inc.                           36 Margin Street                       Salem          MA    01970-0000   501995         03/01/02
NAHRO       Stockbridge Housing Authority                        5 Pine Street                          Stockbridge    MA    01262        WCMN0172       06/01/04
            Stockbridge Wine Cellar, Inc., dba Nejaime's Lenox
RETAIL      Wine Cellar                                          444 Pittsfield-Lenox Road              Lenox          MA    01240-0000 501574           01/12/00
            Stockbridge Wine Cellar, Inc., dba Nejaime's
RETAIL      Stockbridge Wine Cellar                              444 Pittsfield-Lenox Road              Lenox          MA    01240-0000   501577         01/01/04
MIIA        Stockbridge, Town of                                 6 Main Street                          Stockbridge    MA    01262        387            07/01/05
RETAIL      Stockholders, LLC                                    1073 Main Street                       Weymouth       MA    02190-1547   5032596        08/01/10
RETAIL      Stone-Ashe, Inc., dba Four Chimneys by the Sea       c/o Wendy Asle, 15 Mendelssohn Drive   Hollis         NH    03049-0000   500015         05/17/96
RETAIL      Stoneforge Grill-Easton Inc.                         10 Commerce Way Suite #5               Raynham        MA    02767-0000   5031496        04/01/07
RETAIL      Stoneforge Plymouth Inc                              10 Commerce Way Suite #5               Raynham        MA    02767-0000   5031498        04/01/07
RETAIL      Stonegate Gardens Inc                                339 South Great Road                   Lincoln        MA    01773-0000   5031867        03/25/08
RETAIL      Stoneham Gas, Inc.                                   86 Main St.                            Stoneham        MA   02180        5032758        03/15/11
NAHRO       Stoneham Housing Authority                           11 Parker Chase Road                   Stoneham       MA    02180        WCMN0106       06/01/04
AICC        Stoneham Towing & Transportation Co., Inc.           35 Pomeworth Street                    Stoneham       MA    02180        WC 006173      03/17/06
MIIA        Stoneham, Town of                                    Town Hall, 35 Central Street           Stoneham       MA    01280        132            07/01/05
RETAIL      Stonehenge Tavern, Inc., dba Finz                    76 Wharf Street, Pickering Wharf       Salem          MA    01970-0000   500251         04/18/04
NEEIA       Stonehill College                                    320 Washington Street                  No. Easton     MA    02357        06-5000200     07/01/90
ISCC        Stoneleigh-Burham School                             Bernardston Road                       Greenfield     MA    01301        WC 000035      04/01/92

RETAIL      Stone's Auto Recycling, Inc., dba Abington Sunoco    907 Bedford Street                     Abington       MA    02351-0000   5032370        10/30/09
RETAIL      Stoney Brook Water Company, LLC                      PO Box 321                             Manchester      MA   01944        5032752        02/27/11
RETAIL      Storan, Inc., dba Luau Hale                          569 Lenox Road, Rte 7 & 20             Lenox          MA    01240-0000   500412         01/01/02
NAHRO       Stoughton Housing Authority                          4 Capen Street                         Stoughton      MA    02072        WCMN0124       06/01/04
RETAIL      Stove Depot Hearth & Home Inc                        1049 Turnpike Street                   Canton         MA    02021-0000   1109490        05/01/91
RETAIL      Stripers Inn of Salisbury, Inc., dba Stripers Inn    175 Bridge Rd.                         Salisbury      MA    01952-0000   502398         05/01/10


                                                                                      Page 148 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                              Zip             Policy   Effective
Group       Member Name                                         Street Address                       City           St.      Code            Number      Date
STAM        Strong Corp.                                        P.O. Box 408                         Easthampton    MA    01027        WC-06-0000562    05/12/94
RETAIL      Sturbridge Candy & Gift Shoppe Inc                  P.O. Box 544                         Sturbridge     MA    01566-0000   500848           01/01/96
MIIA        Sturbridge, Town of                                 Main Street                          Sturbridge     MA    01566        237              07/01/05
AICC        Sudbay Pontiac Cadillac Buick GMC, Inc.             88 Causeway Street                   Gloucester     MA    01930        WC 004059        06/01/04
NAHRO       Sudbury Housing Authority                           55 Hudson Road                       Sudbury        MA    01776        WCMN0064         06/01/04
SILBA       Sudbury Lumber Company, Inc.                        28 Union Ave.                        Sudbury        MA    01776        WC 001166        01/01/10
            Sudbury Vision Associates Inc., dba Pearle Vision
RETAIL      Ctr.                                                1 Sudbury Crossing                   Sudbury        MA    01776-0000   502248           01/01/02
MIIA        Sudbury Water District                              199 Raymond Road                     Sudbury        MA    01776        215              07/01/05
MIIA        Sudbury, Town of                                    288 Old Sudbury Road                 Sudbury        MA    01776        361              07/01/08
NEEIA       Suffolk University                                  8 Ashburton Place                    Boston         MA    02108        06-5000200       04/01/92
RETAIL      Sugar Donuts, Inc., dba Dunkin Donuts               80 Boston St.                        Lynn           MA    01904-0000   5031684          08/15/07
RETAIL      Sullivan's Pharmacy Inc                             One Corinth Street                   Roslindale     MA    02131-0000   500913           03/18/96
RETAIL      Sullrain, Inc., dba Joe's Cafe                      33 Market Street                     Northampton    MA    01060-0000   5030755          04/02/06
RETAIL      Sully's & Skip's Ice Cream Stand                    30 Dalton Road                       Chelmsford,    MA    01824-0000   500656           06/15/95
RETAIL      Sulmona Meat Market, Inc.                           32-A Parmenter Street                Boston         MA    02113-0000   5030216          02/08/04
ISCC        Summit Montessori School, The                       283 Pleasant Street                  Framingham     MA    01701        WC 001169        05/02/10
            Summit Retail Corp., dba Holbrook Community
RETAIL      Package Store                                       807 South Franklin St.               Holbrook       MA    02343-0000 1033250            08/22/02
TRADE       Sunbird Transport, Inc.                             295 Union Street                     East Walpole   MA    02032      4100085            01/01/08

RETAIL      Sundae School, Inc., dba Sundae School Ice Cream    PO Box 1001                          Dennisport     MA    02639-0000   5032364          10/01/09
RETAIL      Sundance Clothing of Cape Cod Inc.                  PO Box 2068                          Orleans        MA    02653-0000   502062           03/12/01
MIIA        Sunderland, Town of                                 Town Hall, 12 School Street          Sunderland     MA    01375        280              07/01/05
RETAIL      Sunline Ltd, LLC, dba Sunline Patio & Fireside      24 Newbury Street                    Danvers        MA    01923-0000   5032320          08/31/09
CARE        Sunny Acres Nursing Home, Inc.                      254 Billerica Road                   Chelmsford     MA    01824        2100019          02/01/05
RETAIL      Sunnyside Liquors, LLC                              16642 Deer Ridge Road                San Diego      CA    92127-0000   5030455          01/15/05
RETAIL      Sunrise Bakery & Coffee Shop, Inc                   506 Bolton Street                    New Bedford    MA    02740-0000   5030265          04/11/04
RETAIL      Sunrise Boutique, Inc.                              62 High Street                       Clinton        MA    01510-0000   501557           07/04/99
            Sunset Cantina Management Inc., dba Sunset
RETAIL      Cantina                                             PO Box 659                           Allston        MA    02134-0000   5030220          02/14/04
RETAIL      Sunshine Car Wash, Inc.                             271 Leominster-Shirley Road          Lunenberg      MA    01462-0000   5031139          01/01/07
RETAIL      Sunshine Liquors, Inc.                              133 Main Street                      Kingston       MA    02364-0000   5030514          01/01/04
MANUF       Supercon, Inc.                                      830 Boston Turnpike                  Shrewsbury     MA    01545-3301   5100049          07/01/05
MANUF       Superior Nut Company, Inc.                          P.O. Box 410086                      Cambridge      MA    02141        3000059          01/01/93
RETAIL      Superior Radio & Security, Inc.                     542 Lincoln Ave                      Saugus         MA    01906-0000   5031352          01/01/07
            Supplies Etcetera, Inc., dba Business Center of
RETAIL      Marshfield                                          3 Webster Square                     Marhsfield     MA    02050-0000 5031491            04/01/07
            Supplies on Demand Corp., dba South Shore
RETAIL      Vacuum                                              36 Rockne Ave                        Boston         MA    02124-0000 5032353            10/10/09


                                                                                   Page 149 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                               Zip             Policy   Effective
Group       Member Name                                       Street Address                      City               St.      Code            Number      Date
RETAIL      Supplies Unlimited Inc                            20 Dell Carmine Street              Wakefield          MA    01880-0000   5032227          04/09/09
AICC        Supreme Auto Body, Inc.                           1734 River Street                   Hyde Park          MA    02136        WC 009072        10/21/09
RETAIL      Susie's Sweet Shop Inc., dba Sorrento's Pizza     58 Thoreau Street                   Concord            MA    01742-0000   502366           04/29/02
AICC        Suspension Specialits, Inc                        229 Brighton Avenue Box 216         Allston            MA    02134        WC 001128        05/01/02
RETAIL      Sutherland Pharmacy, LLC                          1690 Commonwealth Avenue            Brighton           MA    02135-0000   500432           03/01/95
RETAIL      Sutton Donuts, Inc., dba Dunkin Donuts            27 Worcester-Providence Tpk         Sutton             MA    01590-0000   5031623          06/04/07
NAHRO       Sutton Housing Authority                          5 Church Street                     Sutton             MA    01590        WCMN0097         06/01/04
RETAIL      Sutton Wines & Liquors Inc.                       PO Box 534                          Sutton             MA    01590-0000   5032089          11/20/08
MIIA        Sutton, Town of                                   4 Uxbridge Road                     Sutton             MA    01590        269              07/01/05
RETAIL      SV Engineering and Performance LLC                241 Newbury St.                     Peabody            MA    01960-0000   5032586          07/14/10
RETAIL      Swadia & Patel, LLC, dba King Mart                494 Westfield Rd                    Holyoke            MA    01040-0000   5031899          03/23/08
RETAIL      Swami Jay Corp, dba Speedy Mart                   23 Woood St.                        Lowell             MA    01851-1518   5032704          12/15/10
NAHRO       Swampscott Housing Authority                      6 Duncan Terrace                    Swampscott         MA    01907        WCMN0120         06/01/04
MEGA        Swampscott, Town of                               22 Monument Avenue                  Swampscott         MA    02907        X340179          07/01/01

RETAIL      Swan River Marine Corp., dba Swan River Liquors   946A Rt. 28                         West Dennis        MA    02670-0000   501222           04/01/97
NAHRO       Swansea Housing Authority                         100 Gardner's Neck Road             Swansea            MA    02777        WCMN0171         06/01/04
MEGA        Swansea Town of                                   81 Main Street                      Swansea            MA    02777        X340092          07/01/11
RETAIL      Swartz Hardware & Supply, Inc                     353 Watertown St.                   Newton             MA    02458-0000   5031803          01/01/08
RETAIL      Swedish Motor Works & Repair LLC                  256 Commonwealth Ave.               Concord            MA    01742-0000   5031443          09/03/07
CTCC        Sweeney Transportation , Inc.                     4050 Westover Road                  Chicopee           MA    01020        WC 000227        10/01/92
RETAIL      Sweet Papaya, Inc., dba Green Papaya              287 Centre Street                   Newton             MA    02458-0000   5030346          05/01/03
RETAIL      Swett's Market, Inc.                              #3 Somersett Avenue                 Winthrop           MA    02152-0000   500805           11/07/95
RETAIL      Swich Corp.                                       PO Box 368                          Pocasset           MA    02559-0000   502268           01/01/04
RETAIL      Swiss Vineyards, Inc., dba Fancy's Farm           699 Main St.                        Osterville         MA    02655-0000   5032444          01/01/10
RETAIL      Swiya Liquors, Inc.                               674 Spring Street                   Winchendon         MA    01475-0000   5032408          01/01/10
RETAIL      Synergy Sportswear, Inc.                          294 West Street                     Keene              NH    03431-0000   5030652          07/01/04
RETAIL      Syrian Grocery Importing Co., Inc.                270 Shawmut Avenue                  Boston             MA    02118-0000   501370           06/14/97
RETAIL      Systems Support Corporation                       462 Plain St., Suite 206            Marshfield         MA    02050-0000   501665           02/18/01
            Szechuan Chef's Inc, dba Szechuan Chef's
RETAIL      Restaurant                                        6 Vinal Square                      North Chelmsford   MA    01863-0000   5032239          05/02/09
AICC        T & H Enterprises d/b/a Ayer Auto Parts           25 Park Street                      Ayer               MA    01432        WC 006165        01/01/06
RETAIL      T & J Donuts Inc,, dba Honey Dew Donuts           197 Washington Street               Hudson             MA    01749-0000   502147           08/01/02
RETAIL      T & J Funding, Inc., dba Towers Liquor Mart       825 Middle Street                   Weymouth,          MA    02188-0000   501763           07/01/97
RETAIL      T & L Auto Care Inc.                              1660 Worcester Road                 Framingham         MA    01701-0000   5032270          03/23/10
RETAIL      T & L Liquors Inc.                                637 Lowell St.                      West Peabody       MA    01960-0000   501782           07/30/01
RETAIL      T & S Liquor, Inc., dba T & S Package Store       110 Lancaster St.                   Leominster         MA    01453-0000   5030431          09/24/03
RETAIL      T & T Liquors LLC                                 66 Newbury Ave                      Quincy             MA    02170-0000   5032092          12/12/08
RETAIL      T A Gossios Corp., dba Sandwich Taverna           PO Box 803                          Forestdale         MA    02644-0000   5030503          03/28/05



                                                                                Page 150 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip            Policy   Effective
Group       Member Name                                            Street Address                         City               St.      Code           Number     Date
            T&M Beverages, Inc., dba White Eagle Wines &
RETAIL      Liquors                                                620 Fuller Rd.                         Chicopee           MA    01020-0000   501781         07/22/01
RETAIL      T&R Automotive, Inc., dba Chadwick Foodmart            57 W. Boylston St.                     Worcester          MA    01606-0000   5032110        01/09/09
RETAIL      T&T Ocean Liquors, Inc., dba T&T Liquors               8-10 Main St.                          Somerville         MA    02145-0000   5032463        01/26/10
RETAIL      T.A. Restaurant, Inc.                                  408 S. Main St.                        Fall River         MA    02721-0000   5032109        01/01/09
RETAIL      T.A.N. Inc., dba Donatello's Restaurant                44 Broadway Rt 1                       Saugus             MA    01906-0000   1033305        08/01/02

RETAIL      T.H. McCoy Restaurant Group LLC, dba McDonald's        10 Jean Avenue - Unit 2                Chelmsford         MA    01824-0000   5030558        03/01/04
RETAIL      T.H. Miller Corp., dba Nauset TV & Sound               180 Route 6A, Hilltop Plaza            Orleans            MA    02653-0000   500228         12/01/00
RETAIL      T.M.C.C. Inc., dba Bradford's Package Store            230 Sandwich Street                    Plymouth           MA    02360-0000   502235         08/21/02
RETAIL      T.M.C.I., Inc., dba Country Kitchen Donuts             745 Main Street                        Walpole            MA    02081-0000   502281         08/01/02
RETAIL      T.P. Saddleblanket & Trading, Inc.                     304 Main Street                        Great Barrington   MA    01230-0000   500943         07/25/96
RETAIL      T.S.I. Jewelry Co., Inc.                               657 Quarry Street                      Fall River         MA    02723-0000   501498         01/01/98
NEEIA       Tabor Academy                                          Front Street                           Marion             MA    02738        06-5000205     08/01/90
RETAIL      Tags Hardware Inc.                                     29 White St.                           Cambridge          MA    02140-1413   502484         04/01/03
RETAIL      Tai Tung Pharmacy Inc.                                 256 Harrison Avenue                    Boston,            MA    02111-0000   500645         06/06/95
RETAIL      Taigetos, LLC dba Taunton Mart                         1095 County Street                     Taunton             MA   02780        5032711        01/01/11
RETAIL      Takara Restaurant, Inc.                                10 Millbury Street                     Worcester          MA    01614-0000   5031479        10/16/07
MANUF       Tamer Industries, Inc.                                 185 Riverside Drive                    Somerset           MA    02725        3000197        06/01/02

RETAIL      Tamlin Corporation, dba Carriage House Restaurant      PO Box 461                             Winchendon SpringsMA     01477-0000   5031113        05/17/06
RETAIL      Tanned Hands, Inc.                                     34 Newbury Street                      Boston            MA     02116-0000   500901         01/01/04
MIIA        Tantasqua Regional School District                     320 Brookdale Road                     Fiskdale          MA     01518        331            07/01/05
RETAIL      Tantric International Inc., dba Tantric Bar & Grille   123 Stuart Street                      Boston            MA     02116-0000   5032083        11/11/08
RETAIL      Tastings LLC, dba Tastings Wine & Bistro               201 Patriot Pl.                        Foxboro           MA     02035-0000   5032578        05/19/10
MEGA        Taunton Area School To Career Inc.                     12 Taunton Green                       Taunton           MA     02780        X340042        07/01/92
NAHRO       Taunton Housing Authority                              30 Olney Street                        Taunton           MA     02780        WCMN0001       04/01/04
MEGA        Taunton Municipal Light                                55 Weir Street                         Taunton           MA     02780        X340084        07/01/98
RETAIL      Taunton RFC., Inc., dba Taylor Rental Center           PO Box 80                              Chartley          MA     02712-0000   502032         04/18/02
RETAIL      Tavern Restaurant Westfield, Inc.                      2 Broad Street                         Westfield         MA     01085-0000   5032806        04/07/11
RETAIL      Taylor Eloise, Inc. dba Hofbrauhaus Restaurant         1105 Main Street                       West Springfield  MA     01089-0000   5032785        04/01/11
RETAIL      Taylor Florist, Inc.                                   408 Boston Road                        Billerica         MA     01821-0000   5031180        03/01/07
SILBA       Taylor Lumber & Oil                                    2075 Ocean Street                      Marshfield        MA     02050        WC 000774      01/01/92
RETAIL      Taylor's Tavern, Inc.                                  238 Main Street                        Greenfield        MA     01301-0000   502500         08/01/02
RETAIL      Teaticket Market, Inc.                                 125 Teaticket Highway                  East Falmouth     MA     02536-0000   5030595        09/12/05
AICC        Techpro Autoworks, Inc.                                231 E. Main Street                     Milford           MA     01757        WC 006194      09/01/06
            Tedford & Martin, Inc. dba Tedford's True Value
RETAIL      Hardware                                        10 Brown Square                               Ipswich             MA 01938     5032720             01/01/11
RETAIL      Ted's Auto Repair, LLC, dba Access Auto                381 Old Falmouth RD UNIT 7             Marston Mills      MA 02648-0000 5031478             10/12/07
AICC        Ted's of Fayville, Inc.                                5 Park Street                          Southborough       MA 01772      WC 003037           10/23/03


                                                                                        Page 151 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip          Policy        Effective
Group       Member Name                                         Street Address                            City                St.      Code          Number          Date
RETAIL      Tee's Deli Mart, Inc.                               60 Walnut Street                          Shrewsbury          MA    01545-0000 5030983              01/27/06

RETAIL      Tek Restaurant Group, Inc., dba The Wicked Oyster   50 Main Street                               Wellfleet        MA    02667-0000   5032243            05/21/09
STAM        Tellstone & Sons, Inc. & Tellstone Garage, Inc.     76 Mendon Street                             Blackstone       MA    01504        WC-06-0001530      09/01/00
RETAIL      Temple Liquors, Inc.                                42 Temple Street                             Whitman          MA    02382-0000   5031134            12/29/06
NAHRO       Templeton Housing Authority                         99 Bridge Street                             Baldwinville     MA    01436        WCMN0206           06/01/09
MEGA        Templeton Municipal Light Plant                     2 School Street                              Baldwinville     MA    01436        X340171            07/01/97
MIIA        Templeton, Town of                                  9 North Main Street                          Baldwinville     MA    01436        360                07/01/05
MANUF       Ten Second Street Realty Trust                      PO Box 950                                   Taunton          MA    02780        5100072            01/01/08
ISCC        Tenacre Country Day School                          78 Benvenue Street                           Wellesley        MA    02181        WC 000043          04/01/92
RETAIL      Tennis and Squash Shop, Inc., dba Sports Stop       67 Main Street                               Wenham           MA    01984-0000   5031366            07/01/07
RETAIL      Tewksbury Deli, dba Deli King Restaurant II         885 Main Street                              Tewksbury        MA    01876-0000   5030044            08/01/03
RETAIL      Tewksbury Donuts, Inc., dba Dunkin Donuts           P.O. Box 189                                 Chelmsford       MA    01824-0000   5030665            08/01/04
NAHRO       Tewksbury Housing Authority                         Saunders Circle                              Tewksbury        MA    01876        WCMN0069           06/01/04
STAM        Tewksbury Transit, Inc.                             555 Whipple Road                             Tewksbury        MA    01876          WC-10-1003028   5/1/2010
RETAIL      TFS Enterprises Inc., dba Midas Muffler             840 Worcester Rd                             Natick           MA    01760-0000   5032112            01/01/09
RETAIL      Thanca, Inc., dba Honey Dew                         495 Boston Post Road                         Marlborough      MA    01572-0000   5030804            04/14/06
ISCC        Thatcher Montessori School, Inc.                    1425 Blue Hill Avenue                        Milton           MA    02186        WC 000897          01/01/03
ISCC        Thayer Academy, Trustees of                         745 Washington Street                        Braintree        MA    02184        WC 000036          04/01/92
RETAIL      The 139 Restaurants, Inc., dba Lou's Restaurant     PO Box 672                                   Marshfield       MA    02050-0000   1047248            08/01/02
RETAIL      The Abbey LLC                                       1657 Beacon Street                           Brookline        MA    02445-0000   5032593            07/09/10
RETAIL      The Alphas Company Inc.                             87-89 New England Produce Ctr                Chelsea          MA    02150-0000   502557             06/01/03
RETAIL      The American Marine Model Gallery Inc               PO Box 6102                                  Gloucester       MA    01930-0000   500957             09/01/96
HEALTH      The Austen Riggs Center                             Attn: Todd Morin, P.O. Box 962               Stockbridge      MA    01262        1000014            08/01/92
RETAIL      The Avenue Wine & Spirits, Inc.                     480 Middleboro Ave                           East Taunton     MA    02718-0000   5031902            05/14/08
RETAIL      The Bean & I, LLC, dba The Bridge Restaurant        650 North Main Street                        Sheffield        MA    01257-0000   5031732            11/01/07
RETAIL      The Black Dog Tavern Co., Inc.                                                                   Falmouth
                                                                The Black Dog Business Office, 221 Main Street, Suite 2       MA    02540-0000   500020             05/30/02
RETAIL      The Black Pearl, Inc., dba Shuckers                 91A Water Street                             Woods Hole       MA    02543-0000   5031642            08/03/07
RETAIL      The Boland Group I, LLC, dba Fuddruckers            60 River Street                              Beverly          MA    01915-0000   5030609            06/29/04
RETAIL      The Boland Group II, LLC, dba Fuddruckers           60 River Street                              Beverly          MA    01915-0000   5030610            06/29/04
RETAIL      The Boland Group III LLC, dba Fuddruckers           60 River Street                              Beverly          MA    01915-0000   5030613            10/01/05
RETAIL      The Boland Group IV, LLC, dba Fuddruckers           60 River Street                              Beverly          MA    01915-0000   5030614            09/14/07
CARE        The Boston Home, Inc.                               2049 Dorchester Ave                          Dorchester       MA    02124        2100008            02/01/04
AICC        The C.A.R.S. Company                                17-19 Felton Street                          Waltham          MA    02453        WC 006188          07/01/06
RETAIL      The C.R.C. Line Inc.                                120A Goddard Memorial Drive                  Worcester        MA    01603-0000   501264             11/23/95
RETAIL      The Cape Cod Stuffed Quahog Company, Inc            PO Box 422                                   Monument Beach   MA    02553-0000   5031200            04/01/07
RETAIL      The Chas. Yenian Co. Incorporated                   57 Pearl Street                              Springfield      MA    01105-0000   501014             12/15/96
RETAIL      The Children's Chef, Inc.                           117 Montclair Avenue                         Quincy           MA    02171-0000   1018055            08/01/02
RETAIL      The Christina Gallery, Inc.                         PO Box 40                                    Edgartown        MA    02539-0000   502438             06/12/02
RETAIL      The Clam Bar, Inc., dba Academy Ocean Grille        PO Box 792                                   West Chatham     MA    02669-0000   5030879            09/21/05

                                                                                   Page 152 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                           Zip             Policy   Effective
Group       Member Name                                         Street Address                                City               St.      Code            Number      Date
RETAIL      The Compleat Strategist, Inc.                       11 East 33rd Street                           New York           NY    10016-0000   5030099          02/01/92
RETAIL      The Cook Shop, Inc.                                 1091 Main Street                              Brewster           MA    02631-0000   5030533          03/15/04
RETAIL      The Country Jeweler, Inc.                           220 Main Street                               Greenfield         MA    01301-0000   502394           05/01/02
RETAIL      The Cup, Inc., dba Common Ground Restaurant         25 Park Avenue                                West Springfield   MA    01089-0000   5032218          04/06/09
RETAIL      The Dedham Midway Inc.                              269 Washington Street                         Dedham             MA    02026-0000   502111           05/30/02
RETAIL      The Delken Companies, Inc.                          21 Father Devalles Blvd                       Fall River         MA    02723-0000   5030732          12/31/04
RETAIL      The Divided House Inc.                              145 Elm Street                                Salisbury          MA    01952-0000   502061           03/12/01
RETAIL      The Dragon Nest Inc.                                31 Market Square                              Newburyport,       MA    01950-0000   500388           02/14/95
RETAIL      The Dry Cleaners, Inc.                              274 Main St                                   Reading            MA    01867-0000   5032668          11/09/10
RETAIL      The East Wind Silver Co., LTD                       878 Main Street                               Chatham            MA    02633-0000   5030854          06/19/06
MIIA        The Education Cooperative                           P.O Box 186                                   Dedham             MA    02027        365              07/01/09
RETAIL      The Edward Corp., dba Linguine's Italian Eatery     350 Boston Post Rd., Route 20 West            Marlborough        MA    01752-0000   500390           03/27/02

CARE        The Essex Group, Inc.                               Attention: Michael Mosher, 51 Summer Street   Rowley             MA    01969        2100011          05/01/04
RETAIL      The Faces of Earth Inc.                             175 Main Street                               Northampton,       MA    01060-0000   501680           04/01/97
RETAIL      The Fidde Corporation, dba Carbos Bar & Grill       681 Falmouth Road                             Mashpee            MA    02649-0000   5031537          04/29/07
RETAIL      The Flying Locksmiths Inc                           1115 North Main Street                        Randolph           MA    02368-0000   501279           12/12/95
RETAIL      The Fresh Catch II, Inc.                            PO Box 34                                     Mansfield          MA    02048-0000   5032516          05/01/10
RETAIL      The Fresh Catch III                                 PO Box 34                                     Mansfield          MA    02048-0000   5031599          06/02/10
RETAIL      The Fresh Catch IV Inc                              PO Box 34                                     Mansfield          MA    02048-0000   5032515          05/01/10
RETAIL      The Fresh Catch V Inc                               P.O. Box 34                                   Mansfield          MA    02048-0000   5032538          05/01/10
RETAIL      The Fresh Catch VI                                  PO Box 34                                     Mansfield          MA    02048-0000   5032518          05/01/10
RETAIL      The Fresh Catch, Inc.                               PO Box 34                                     Mansfield          MA    02048-0000   5031598          06/08/07
RETAIL      The Friendly Pig, Inc., dba The Mad Raven           9 Meadow Rd.                                  Sharon             MA    02067-0000   5032272          03/23/10
RETAIL      The Futon Company                                   129 Highland St.                              Worcester          MA    01600-0000   5030116          10/06/03
RETAIL      The Gatehouse, Inc.                                 110 Commonwealth Ave                          Concord            MA    01742-0000   5030178          01/01/04
MMCG        The Gem Group, Inc.                                 9 International Way                           Lawrence           MA    01843        WC 000969        06/01/05
            The Glow Works, Inc., dba Bristol County Electric
RETAIL      Supply                                              82 Weir Street                                Taunton            MA    02780-0000   5031230          08/01/06
RETAIL      The Good Sport, Inc.                                166 Cushing Highway (Route 3A)                Cohasset,          MA    02025-0000   500818           11/01/95
RETAIL      The Grain & Vine Spirit Shoppe                      101 Iyannough Road                            Hyannis            MA    02601-0000   5032045          07/08/08
RETAIL      The Greek Grille Inc.                               599 Main Street                               Winchester         MA    01890-0000   5032038          09/05/08
RETAIL      The Grill on Main, Inc.                             PO Box 1230                                   Edgartown          MA    02539-0000   5031575          05/15/07
RETAIL      The Grog Shop, Inc., dba Grog Restaurant            13 Middle St                                  Newburyport        MA    01950-2716   5032601          08/01/10
                                                                Attention: Art Delozier, 15 Piedmont Center
CARE        The Guardian Center, Inc.                           Suite 930                                     Atlanta            GA    30305      2100006            02/01/04
RETAIL      The Harvest, LLC                                    44 Brattle Street                             Cambridge          MA    02138-0000 5030030            04/07/03
                                                                Attn: Amber Murphy Barbere, 271 Huntington
HEALTH      The Home for Little Wanderers                       Avenue                                        Boston             MA    02115      1000025            05/01/95
RETAIL      The Hungry Pig, Inc., dba The Old Spot              121 Essex Street                              Salem              MA    01970-0000 5031274            09/01/06


                                                                                  Page 153 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                      Zip          Policy   Effective
Group       Member Name                                           Street Address                         City               St.      Code          Number     Date
RETAIL      The Hurricane Restaurant Inc.                         259 Washington St.                     Marblehead         MA    01945-0000 5032640         09/26/10
RETAIL      The Inn at Bay Pointe, Inc.                           64 Washington Court                    Quincy             MA    02169-0000 5030515         01/01/04
RETAIL      The Islander, Inc.                                    3 Polpis Road                          Nantucket          MA    02554-0000 1058326         08/27/92
            The Jackman Company Inc, dba Dalton's Package
RETAIL      Store                                                 944C Main Street                       Walpole            MA    02081-0000   5030454       12/03/04
CARE        The Jewish Home for Aged Foundation, Inc              629 Salisbury Street                   Worcester          MA    01609        2100005       01/01/04
RETAIL      The Kids Room, LLC                                    64 Worcester Street                    Natick              MA   01760-2227   5032764       03/04/11
RETAIL      The Kind Grind Inc., dba Rao's Coffee                 PO Box 237                             Amherst            MA    01004-0000   5032540       04/16/10
MANUF       The Knobby Krafters, Inc.                             P.O. Box 300                           Attleboro          MA    02703        3000044       01/01/92
RETAIL      The Last Resort, Inc., dba East Coast Grill           1271 Cambridge Street                  Cambridge          MA    02139-0000   5031350       01/01/07
RETAIL      The Liquor Shop, Inc.                                 1215 Bridge Street                     Lowell             MA    01850-0000   5031149       07/02/06
RETAIL      The Little Store, Inc.                                227 Commercial Street                  Provincetown,      MA    02657-0000   501368        07/03/97
RETAIL      The M & M, Inc.                                       21 Temple Street                       Framingham         MA    01701-0000   500938        07/19/96
RETAIL      The Mansion House LLC, dba Zephrus                    PO Box 428                             Vineyard Haven     MA    02568-0000   5032520       12/20/10
RETAIL      The Market Collection, Inc., dba Irresistibles        7 Hawkes Street                        Marblehead         MA    01945-0000   1056190       08/01/93
RETAIL      The Music Store, Inc.                                 150 Federal St.                        Greenfield         MA    01301-0000   501933        01/01/02
RETAIL      The Napoli Group LLC, dba McDonald's                  PO Box 6300                            Amherst            NH    03031-0000   5030559       03/01/04
RETAIL      The Natural Grocer, Inc.                              334 High Street                        Newburyport        MA    01950-0000   5030419       09/10/03
RETAIL      The New Brand Sebastians LLC                          24 Main St.                            Maynard            MA    01754-0000   5032572       06/30/10
MMCG        The October Company, Inc.                             51 Ferry Street                        East Hampton       MA    01027        WC 000895     01/01/03
RETAIL      The Office Manager, Inc.                              250 Canal Street                       Lawrence           MA    01840-0000   501798        09/01/97
RETAIL      The Okun Corp., dba Beautiful Rooms                   42 Myron St.                           West Springfield   MA    01089-0000   502147        07/02/02
RETAIL      The Old Creamery, Inc.                                445 Berkshire Trail                    Cummington         MA    01026-0000   501540        09/11/00
RETAIL      The Original Persy's Place LLC                        48 Bedford Street                      Middleboro         MA    02346-0000   5030065       07/22/08
RETAIL      The Owl Shop of Worcester, Inc.                       416 Main Street                        Worcester          MA    01608-0000   5030293       05/01/91
RETAIL      The Palter Company, Inc., dba The Cycle Loft          28 Cambridge Street                    Burlington         MA    01803-0000   5032137       01/30/09
RETAIL      The Paone Corporation, dba Family Car Care            30 Pond Rd.                            Gloucester         MA    01930-0000   5031795       01/01/08
RETAIL      The Paper Store, Inc                                  20 Main Street                         Acton              MA    01720-0000   5030175       01/01/04
RETAIL      The Parish Cafe, Inc.                                 361 Boylston St.                       Boston             MA    02116-0000   502239        01/01/02
RETAIL      The Park Square Building,Camera & Photo               30 Barnard Avenue                      Watertown          MA    02472-0000   500508        05/07/95
RETAIL      The Pawn Shop, Inc.                                   450 Main Street                        Springfield        MA    01105-0000   501395        08/06/97
RETAIL      The Pet Cabaret, Inc.                                 4404 Washington St.                    Roslindale         MA    02131-0000   5031463       04/01/07
MANUF       The Philipp Manufacturing Co.                         19 Ward Avenue                         Easthampton        MA    01027        3000141       01/01/94
RETAIL      The Photo Shop, Inc.                                  81 East St.                            Pittsfield         MA    01201-0000   501975        02/01/02

RETAIL      The Pizzi Group, Inc., dba Pizzi Farm Market & Deli   549 Lincoln Street                     Waltham            MA    02451-0000 501555          06/03/99
RETAIL      The Plant Stand, Inc.                                 PO Box 174                             Boston             MA    02199-0000 501174          01/01/04
RETAIL      The Playhouse Inc.                                    PO Box 100                             Amesbury           MA    01913-0000 5030065         08/01/03

RETAIL      The Restaurant Group, Inc., dba Joe Fish Restaurant 1120 Osgood Street                       North Andover      MA    01845-0000 502150          08/01/02


                                                                                       Page 154 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy   Effective
Group       Member Name                                            Street Address                          City               St.      Code            Number      Date
RETAIL      The Right Corporation, dba Glenview Pub & Grill        248 Princeton Street                    North Chelmsford   MA    01863-0000   5030516          01/01/04
RETAIL      The Rizzotti Corporation dba Fowler House Café         1049 Hancock Street                     Quincy             MA    02169-0000   5032810          04/01/11
RETAIL      The Salty Dog, Inc.                                    206 Faneuil Hall Marketplace            Boston             MA    02109-0000   1066825          12/01/02
RETAIL      The Saw Center, Inc.                                   472 Main Street                         Springfield        MA    01105-0000   501798           07/22/97

RETAIL      The Scranton Raw Bar LLC, dba Falmouth Raw Bar         681 Falmouth Road                       Mashpee            MA    02649-0000   5031538          07/30/08
RETAIL      The Secret Garden                                      PO Box 3003                             Wellfleet          MA    02667-0000   502136           06/22/01
RETAIL      The Shirt Shack, LLC                                   260D Marion Road                        Wareham            MA    02751-0000   5030890          06/17/06
RETAIL      The Shoe Galley, Inc.                                  450 Paradise Road                       Swampscott         MA    01907-0000   501476           10/18/97
RETAIL      The Souper Salad Company, Inc.                         145 Rosemary Street, Suite C            Needham Heights    MA    02494-0000   500608           08/15/03
            The Studio Lounge & Deck, Inc., dba The Studio
RETAIL      Restaurant                                             PO Box 1334                             Gloucester         MA    01930-0000   502197           08/01/02
RETAIL      The Sunken Ship, Inc.                                  12 Broad Street                         Nantucket          MA    02554-0000   501593           12/19/00
RETAIL      The Sydney Group Corp., dba The Fours                  15 Cottage Ave                          Quincy             MA    02169-0000   5031483          04/01/07
RETAIL      The Textile Company, Inc.                              PO Box 508                              Greenfield         MA    01302-0000   502487           08/01/02
RETAIL      The Tirrell Room, Inc.                                 1235 Bedford Street                     North Abington     MA    02351-0000   5030681          08/01/04
RETAIL      The Trolley Stop Pizzaria Plus, Inc.                   PO Box 697                              South Lancaster    MA    01561-0000   5030790          05/01/06
RETAIL      The Velvet Goose                                       44 Parker Street                        Gardner            MA    01440-0000   502003           02/10/02
RETAIL      The Viapiano Companies,Inc., dba Flip Flops            680 Main St.                            Holden             MA    01520-0000   5032367          10/01/09
RETAIL      The Villa Inc., dba The Villa Restaurant               124 East Plain Street                   Wayland            MA    01778-0000   5030510          04/01/05
RETAIL      The Village Carpet Shop, Inc.                          504 Main St.                            Reading             MA   01867-3106   5032755          03/10/11
RETAIL      The Village Toy Shop, Inc.                             285 Washington St.                      North Easton       MA    02356-0000   5032090          12/09/08
            The Waterfront Asset Co., Inc., dba Capt.'s
RETAIL      Waterfront Grill & Club                                94 Wharf Street                         Salem              MA    01970-0000   5030362          07/14/04
RETAIL      The Westford Group Inc.                                48 Junction Square Road                 Concord            MA    01742-0000   501952           02/01/02
RETAIL      The Wine Bar LLC                                       49 Temple Place                         Boston             MA    02111-0000   5032833          05/16/11
RETAIL      The Winsley Corporation, dba The Raven's Nest          9 Meadow Rd.                            Sharon             MA    02067-0000   5032582          05/12/10
            The Yankee Voyager Ltd, Inc., dba The Concord
RETAIL      Shop                                                   13 Walden Street                        Concord            MA    01742-0000   500853           01/17/96
RETAIL      Theodore Hochheiser, dba Annie's                       11 Pleasant Street                      Newburyport        MA    01950-0000   1113565          06/19/03
RETAIL      Thepthai, Inc., dba Jamjuli                            287 Centre Street                       Newton             MA    02458-0000   5030357          05/01/03
MHTSIG      Thermatron Engineering, Inc.                           687 Lowell Street                       Methuen            MA    01844        MHT 600101       04/27/06
RETAIL      Thesaloniki, LLC dba Holliston Mart                    815 Washington Street                   Hollison            MA   01746        5032711          01/01/11
RETAIL      Third Generation Enterprises, Inc.                     29 Washington St.                       Foxboro             MA   02035        501280           01/01/11
            Thirty Nine Broad Street Pub, Inc., dba Broad Street
RETAIL      Pub                                                    PO Box 802                              Bridgewater        MA    02324-0802 5032017            06/18/09
RETAIL      Thomas A Hickey, Inc.                                  196 E Main Street, Quarry Square Mall   Milford            MA    01757-0000 500325             11/09/95
            Thomas Allen Coffee Group Inc., dba Gunther
RETAIL      Tootie's Bagel Cafe                                    2053 Wahington St.                      Hanover            MA    02339-0000 5032171            03/20/09
RETAIL      Thomas Deramo, dba Tom's Auto Service                  PO Box 189                              North Carver       MA    02355-0000 5032319            09/20/09


                                                                                      Page 155 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                    Zip             Policy   Effective
Group       Member Name                                           Street Address                         City             St.      Code            Number      Date
TRADE       Thomas E. Hogan, Inc.                                 408 Washington Street                  Woburn           MA    01801        4000028          01/01/03
RETAIL      Thomas H. Aleo, dba Family Vision Center              283 Washington Street                  Weymouth,        MA    02188-0000   501801           08/19/97
RETAIL      Thomastowne LLC, dba Riverside                        c/o Dave's Diner, 390 W Grove Street   Middleboro       MA    02346-0000   500134           07/01/09
RETAIL      Thomond, Inc., dba Murphy's Restaurant & Pub          355 Rantoul Street                     Beverly          MA    01915-0000   5031831          05/22/09
STAM        Thompson Transit, Inc.                                167 Franklin Street                    Framingham       MA    01702        WC-06-4003007    06/01/04
            Thompson Transit, Inc./YCN Trans., Inc. Joint
STAM        Venture                                               19 Vernon Street                       Norwood          MA    02062        WC-06-4003008    07/01/04
RETAIL      Thompson's Tavern, Inc., dba Liberty Grille           8 North St.                            Hingham          MA    02043-0000   5031759          12/01/07
RETAIL      Three of a Kind, Inc.                                 70 Davis Straits                       Falmouth         MA    02540-0000   5031145          06/08/06
RETAIL      Three Seasons Motor Lodge, Inc.                       PO Box 188                             Dennisport       MA    02639-0000   5032756          04/01/11
RETAIL      Three Squares a Day, Inc., dba The Square Cafe        150 North Street                       Hingham          MA    02043-0000   5030947          12/01/05
RETAIL      Three Star Oil, Inc.                                  345 Bennett Highway                    Revere           MA    02151-0000   5032620          09/02/10

RETAIL      Thunder Road Liquor, Inc., dba Ipswich Beverage       146 High Street                        Ipswich          MA    01938-0000   5031243          08/22/06
RETAIL      Thwaites Market Inc                                   36 Railroad Street                     Methuen          MA    01844-0000   500497           04/01/95
RETAIL      Tia's at Long Wharf, Inc, dba Tia's                   c/o Gorman, 43 Charles Street          Boston           MA    02114-0000   500146           08/01/02
RETAIL      Tigers and Bears LLC, dba Tory Row                    4 Brattle St., Suite #210              Cambridge        MA    02138-0000   500485           04/01/10
RETAIL      Tijuana's Mexican Food, Inc.                          164 Broadway                           Chelsea          MA    02150-0000   502137           08/01/02
RETAIL      Til-Lu Corp., dba Ma Raffa's Italian Restaurant       1142 County Street                     Somerset         MA    02725-0000   502250           01/01/02
RETAIL      Time Distributors, Inc., dba 14K By Jay               333 Washington Street, Suite 403       Boston,          MA    02108-0000   500554           08/24/96
RETAIL      Tina's Group, Inc., dba Imperial China                413 Worcester Rd.                      Framingham       MA    01701-0000   5032244          06/08/09
            Tire and Auto Service Centers, Inc., dba Westgate
RETAIL      Tire & Auto Center                                    98 Westgate Drive                      Brockton         MA    02301-0000   5031311          10/20/06
RETAIL      Tire Specialist, Inc                                  1034 East Street                       Walpole          MA    02081-0000   5032419          01/01/10
AICC        Tirrell Radiator                                      558 Bearses Way                        Hyannis          MA    02601        WC 006193        08/27/06
RETAIL      Tisbury Inn LP, dba Mansion House                     PO Box 428                             Vineyard Haven   MA    02568-0000   5032704          12/20/10
MEGA        Tisbury Town of                                       PO Box 1239 51 Spring Street           Vineyard Haven   MA    02568        X340078          07/01/11
RETAIL      Titcombs Bookshop, Inc.                               PO Box 1045, 432 Route 6A              East Sandwich     MA   02537        5032739          01/15/11
RETAIL      Tito's Bakery, Inc.                                   333 Broadway                           Chelsea          MA    02150-0000   5031008          03/08/06
RETAIL      TMN Inc., dba Peabody Sunoco                          1 Lynn Street                          Peabody          MA    01960-0000   5032420          01/01/10
RETAIL      TNB Inc., dba Drum Hill Sunoco                        100 Drum Hill Road                     Chelmsford       MA    01824-0000   5032524          04/30/10
RETAIL      Tobias & Battite, Inc.                                16 Temple Place                        Boston           MA    02111-0000   1109675          05/01/91
ABC         Tocco Corporation                                     29 Cook Street                         Billerica        MA    01821        ABCMA 005024     11/01/93
AICC        Today's Collision Repair Centers, Inc.                375 Washington Street                  Malden           MA    02148        WC110002         04/23/11
            Todd's Automotive Repair Service, Inc., dba Beverly
RETAIL      Farms Auto Service                                    29 Rear West Street                    Beverly Farms    MA    01915-0000   5031090          11/26/06
AICC        Todisco Towing                                        94 Rear Condor Street                  East Boston      MA    02128        WC 008060        12/20/08
MIIA        Tolland, Town of                                      241 West Granville Road                Tolland          MA    01034        294              07/01/05
RETAIL      Tom David,Inc.                                        P.O. Box 541                           Nantucket,       MA    02554-0000   501015           12/31/96
RETAIL      Tom Palola, dba TMP Automotive                        65 Action St.                          Maynard          MA    01754-0000   5031946          07/10/08


                                                                                    Page 156 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                  Zip          Policy    Effective
Group       Member Name                                         Street Address                          City            St.      Code          Number      Date
STAM        Tommy's Taxi, Inc.                                  167 Franklin Street                     Framingham      MA    01702      WC-06-4003007    06/01/04
RETAIL      Tom's Auto Repair, Inc.                             496 Groton Road                         Westford        MA    01886-0000 5031305          10/31/06

RETAIL      Tom's Auto Services, LLC, dba Tom's Auto Service    1867 Bridge St.                         Dracut          MA    01826-0000   5032482        02/07/10
RETAIL      Tom's Discount Store, Inc.                          175 Elm Street                          Salisbury       MA    01952-0000   5031718        09/14/07
RETAIL      Tomski Trading Corp., dba Ted's Package Store       PO Box 910                              Charlton City   MA    01508-0000   5030989        01/16/06
RETAIL      Tonello, Inc., dba Harmony I                        284 Monponsett Street                   Halifax         MA    02338-0000   502340         01/01/04
RETAIL      Tonkin Robert E., dba Tonkin of Nantucket           P.O. Box 996, 33 Main Street            Nantucket,      MA    02554-0000   500113         06/01/97
RETAIL      Tony DoMonte's Auto & Marine Sales                  334 Bedford St.                         Fall River      MA    02720-3035   5032590        06/25/10
RETAIL      Tony's Market, Inc.                                 P.O. Box 2106                           Oak Bluffs,     MA    02557-0000   501290         05/02/97
RETAIL      Tonys Sutton Pizza Restaurant, Inc.                 Route 146 & Boston Road                 Sutton          MA    01590-0000   502189         08/01/02
RETAIL      Tools Unlimited, Inc.                               P.O. Box 362                            Stoughton       MA    02072-0000   500952         07/26/96
McD         Top of the Arch Management, LLC                     281 Willis Road                         Sudbury         MA    01776        28920          01/01/96
RETAIL      Topsfield Commons, LLC                              4 North Common Street                   Topsfield       MA    01983-1429   5032350        09/17/09
NAHRO       Topsfield Housing Authority                         69 Washington Street                    Topsfield       MA    01983        WCMN0021       04/01/04
MIIA        Topsfield, Town of                                  8 West Common Street                    Topsfield       MA    01983        209            07/01/05
RETAIL      Tori Foods, Inc., dba Dunkin Donuts (Tori)          175 Bodwell Street                      Avon            MA    02322-0000   5030066        08/01/03
RETAIL      Tosti's Service Station, Inc.                       47 Waverly Street                       Framingham      MA    01702-0000   5031339        01/01/07
RETAIL      Total Vision Inc., dba Pearle Vision Express        76 Burlington Mall Road                 Burlington      MA    01803-0000   5030422        09/26/03
TRADE       Total Welding Supply, Inc.                          PO Box 249                              E. Freetown     MA    02717        4100049        01/21/06
RETAIL      Totten Pond Shell, Inc.                             511 Totten Pond Road                    Waltham         MA    02451-0000   5031081        05/11/06

RETAIL      Touchstone Hardware, Inc., dba Aborn True Value     438 Harvard St.                         Brookline       MA    02446-0000 5031898          03/31/08
ISCC        Tower School in Marblehead                          61 West Shore Drive                     Marblehead      MA    01945      WC 000037        04/01/92
            Towers Motor Parts Corp./Lowell&Tower Motor Parts
AICC        No., Inc.                                           80 Church Street                        Lowell          MA    01853        WC 005115      03/15/05
RETAIL      Town Center Package Store, Inc.                     PO Box 1923                             North Eastham   MA    02651-0000   5031051        12/05/06
RETAIL      Town Line Garage, Inc.                              106 Main St                             Princeton       MA    01541-0000   5031318        11/17/06
RETAIL      Town Line Hardware, Inc.                            PO Box 142, 84 Boston Post Road         Sudbury         MA    01776-0000   500172         06/01/09
            Town Line Package Store Inc., dba Willow Package
RETAIL      Store                                               696 Yarmouth Rd.                        Hyannis         MA    02601-0000   502287         01/01/02
RETAIL      Town Line Wallpaper & Paint Inc.                    483 Broadway                            Malden          MA    02148-0000   502263         01/14/02
RETAIL      Town Liquors, Inc.                                  700 Boston Road                         Billerica       MA    01821-0000   1109680        05/01/91
AICC        Towne Auto Parts                                    780 Worcester Street                    Natick          MA    01760        WC 001057      01/01/00
RETAIL      Towne Landing, Inc., dba Periwinkles                74 Main Street                          Essex           MA    01929-0000   5030720        03/23/06
AICC        Towne Line Tire Corp.                               1625 Middlesex Street                   Lowell          MA     01851       WC 009071      06/11/09
RETAIL      Towne Medical Supply Inc.                           258 Boston Turnpike                     Shrewsbury      MA    01545-0000   5031881        02/20/08
AICC        Tracy Motors, Inc.                                  137 Samoset                             Plymouth        MA    02360        WC 007324      05/01/07
AICC        Tracy Volkswagen, Inc.                              660 Route 132, P.o. Box 460             Hyannis         MA    02601        WC 007323      05/01/07
RETAIL      Traffic Jams, LLC dba Boomer                        839 Columbia Ave                        Dorchester       MA   02125        5032696        01/01/11


                                                                                      Page 157 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                        Zip             Policy     Effective
Group       Member Name                                           Street Address                           City               St.      Code            Number        Date
RETAIL      Traffic Restaurant, LLC, dba Stella Boston            1525 Washington St.                      Boston             MA    02118-2016   5032576            05/10/10
RETAIL      Trans City, Inc., dba Wharf Tavern & Deli             216 Herman Melville Blvd                 New Bedford        MA    02740-0000   502234             08/01/02
TRADE       Trans-Action, Inc.                                    212 Beacham St.                          Everett            MA    02150        4100097            01/01/09
RETAIL      Transmission Distributors Inc.                        417 Maple St.                            Marlborough        MA    01752-0000   5032649            09/20/10
RETAIL      Trasko's Garage, Inc.                                 33 Fairfield Ave                         Westfield          MA    01085-0000   5032238            05/01/09
RETAIL      Trattoria IL Panino Inc., dba The Club at IL Panino   295 Franklin Street                      Boston             MA    02111-0000   502319             09/11/02
RETAIL      Tree Land, Inc.                                       46 Rockdale Ave                          New Bedford,       MA    02740-0000   501191             10/01/95
STAM        Tremblay's Bus Company, Inc.                          284 Myrtle Street                        New Bedford        MA    02746        WC-06-0000565      05/12/94
            Tri State Leasing, Inc., dba Peoples Super Liquor
RETAIL      Stores Inc.                                           1405 Douglas Ave                         N. Providence      RI    02904-0000   500792             07/01/94
AICC        Tri State Truck Center, Inc.                          411 Hartford Turnpike, P.O. Box 308      Shrewsbury         MA    01545        WC 006169          03/01/06
RETAIL      Tri Town Discount Liquors, LLC                        100A Washington Street                   Canton             MA    02021-0000   5031723            10/31/07
RETAIL      Trident Booksellers Inc                               338 Newbury Street                       Boston             MA    02115-0000   501444             06/01/96
MCSIG       Trinity Catholic Academy, Inc.                        37 Erie Avenue                           Brockton           MA    02302-3117   none               09/30/07
RETAIL      Trio Cafe & Lounge, Inc.                              780 State Rd.                            North Dartmouth    MA    02747-0000   5032330            08/22/09
RETAIL      Trio Cafe, Inc.                                       201 S. Main St.                          Fall River         MA    02721-0000   5032354            10/19/09
RETAIL      Triple T Cafe, Inc., dba Calitri's                    126 Newbury Street                       Danvers            MA    01923-0000   5030543            04/04/05
RETAIL      Triple T Trading Corporation                          PO Box 910                               Charlton City      MA    01508-0000   5030991            01/16/06
MANUF       Tripoli Bakery, Inc.                                  102-106 Common Street                    Lawrence           MA    01842        3000180            01/01/96
MANUF       Tripoli Pizza Salisbury, LLC dba Tripoli Pizza        102-106 Common Street                    Lawrence           MA    01842        3000180            01/01/96
RETAIL      Trippi's Uniform Inc.                                 268 Boston Turnpike                      Shrewsbury,        MA    01545-0000   500750             10/01/95
AICC        Tri-State Automotive Assoc. Inc.                      191 West Main Street                     Dudley             MA    01571        WC 006189          07/01/06
MIIA        Triton Regional School District                       112 Elm Street                           Byfield            MA    01922        134                07/01/05
STAM        Trombly Motor Coach Service, Inc.                     P.O. Box 190                             Dracut             MA       01826       WC-10-1003027   4/1/2010
STAM        Trombly School Bus, Inc.                              See: Trombly Motor Coach Service, Inc.
RETAIL      Tropical Foods International, Inc.                    2101 Washington St                       Boston             MA    02119-2021   5032442            01/01/10
RETAIL      Trova Inc., dba Bailey's Surf & Turf                  PO Box 1500                              Onset              MA    02558-0000   5030416            08/01/03
RETAIL      Truc Orient Express Inc.                              PO Box 321                               West Stockbridge   MA    01266-0000   502216             01/01/02
RETAIL      True Value Hardware of Orleans, Inc.                  PO Box 117                               Orleans            MA    02653-0000   5032097            01/01/09
MANUF       Truex Machine Co., Inc.                               25 Pond Street                           Hanover             MA   02339        5100087            01/13/10
RETAIL      Truffles Grill & Wine Bar, LLC                        198 East Main Street                     Milford            MA    01757-0000   5031970            05/17/09

RETAIL      Trunk Monkeys, LLC, dba Bedrooms & Slumberrest        134 Newbury Street                       Peabody            MA    01960-0000   5031988            06/19/08
MIIA        Truro, Town of                                        24 Town Hall Road                        Truro              MA    02666-2030   166                07/01/05
CARE        Trustees of the Carleton Home                         Attn: David Thomas, 10 Phoenix Row       Haverhill           MA   01832        2100033            05/15/11
RETAIL      Tru-Van, Inc., dba Whittemore Hardware                531 Main St.                             Melrose            MA    02176-0000   5031447            10/04/07
RETAIL      TSJK Inc., dba Grill on the Hill                      42 West Boylston Street                  West Boylston      MA    01583-0000   5030019            06/01/09
RETAIL      TSM Realty, Inc.                                      PO Box 910                               Charlton City      MA    01508-0000   5030992            01/16/06
RETAIL      Tteen Corp                                            PO Box 368                               Pocasset           MA    02559-0000   502277             11/01/08



                                                                                    Page 158 of 175
Membership in Workers Compensation Self-Insurance Groups

As of July 1, 2011



                                                                                                                                            Zip            Policy     Effective
Group       Member Name                                          Street Address                                 City               St.      Code           Number       Date

RETAIL      Turano Restaurant Group Inc., dba Tryst Restaurant   9 Fletcher Ave                                 Lexington          MA    02173-4904   5031256          08/27/06
RETAIL      Turin Co., Inc., dba David's Restaurant              11 Brown Square                                Newburyport        MA    01950-0000   502216           11/15/01
RETAIL      Turk's Seafood Inc.                                  83 Marion Road                                 Mattapoisett       MA    02739-0000   502497           08/01/02
RETAIL      Turn Key Petroleum, Inc, dba Citgo Express Mart      c/o Richard D'Angello, 323 North Main Street   Middleton          MA    01949-0000   500107           09/01/05
AICC        Turner Motorsport, Inc.                              207 Elm Street                                 Amesbury           MA    01913        WC 005145        09/27/05
MANUF       Turner Steel Company, Inc.                           128 North Main Street                          West Bridgewater   MA    02379        3000074          01/01/92
MEGA        Turners Falls Fire District                          226 Millers Falls Road                         Turner Falls       MA    01376        X340378          07/01/97
RETAIL      Turners Seafood Grill & Market                       506 Main Street                                Melrose            MA    02176-0000   502216           11/05/01
RETAIL      Turner's Seafood Market & Fish Fry, Inc.             506 Main Street                                Melrose            MA    02176-0000   502216           09/28/07
HEALTH      Turning Point, Inc                                   PO Box 548, 5 Perry Way                        Newburyport        MA    01950        3100010          10/11/10
AICC        Turnpike Car Wash, Inc.                              80 1/2 Newbury Street                          Peabody            MA    01960        WC 006170        02/27/06
RETAIL      Turnpike Market, Inc.                                509 Middlesex Turnpike                         Billerica          MA    01821-0000   5030313          01/01/94
RETAIL      Turnpike Package Store, Inc.                         434 Center Street                              Ludlow             MA    01056-0000   5030315          05/01/91
RETAIL      Tuscan Market, Inc., dba The Vineyard                554 Turnpike Street                            North Andover      MA    01845-0000   5030487          12/15/03
RETAIL      Tutto Bene, LLC, dba Wine Connextion                 117 Main St.                                   North Andover      MA    01845-0000   5032357          10/15/09
RETAIL      Twenty - Twenty Vision Inc., dba Pearle Vision       1422A Washington St.                           Hanover            MA    02339-0000   502247           01/01/02
RETAIL      Twenty One Corp., dba Yong Shing Restaurant          90 Auburn Street                               Auburn             MA    01501-0000   1030230          08/01/02
RETAIL      Twilight Spirits, Inc., dba Becker's Package Store   55 Route 28                                    West Yarmouth      MA    02673-0000   502344           10/21/02
RETAIL      Twin Seafood Inc                                     2 Church St.                                   Concord            MA    01742-0000   5031689          09/17/07
RETAIL      Twins Donut Company, dba Dunkin Donuts               1425 Main Street                               Walpole            MA    02081-0000   5030643          07/01/04
RETAIL      Two Guys Foods Inc., dba Burger King                 553 Boylston Street                            Boston             MA    02116-0000   5030573          03/31/04
RETAIL      Two Sisters Donuts Inc., dba Dunkin Donuts           80 Boston St.                                  Lynn               MA    01902-0000   5031406          08/15/07
RETAIL      Two Sons Inc., dba Bradley Auto Wash                 1039 Memorial Ave.                             West Springfield   MA    01089-0000   5031559          06/01/07
            Two Stars, Inc., dba Car Wash & Detailing of
RETAIL      Westborough, INc                                     PO Box 387                                     Westboro           MA    01581-0000   5032287          07/11/09
NAHRO       Tyngsborough Housing Authority                       198 Middlesex Road                             Tyngsborough       MA    01879        WCMN0132         06/01/04
MEGA        Tyngsborough Water District                          PO Box 305 87 Progress Ave #2                  Tyngsborough       MA    01879        X340445          07/01/11
MIIA        Tyngsborough, Town of                                25 Bryants Lane                                Tyngsborough       MA    01879        389              07/01/05
RETAIL      Typical Sicilian Ristorante, Inc.                    497 Belmont Ave                                Springfield        MA    01108-1794   5032173          04/01/09
MEGA        Tyringham Town of                                    116 Main Road PO Box 271                       Tyringham          MA    01264        X340063          07/01/11
RETAIL      U.S. Vacuum & Appliance Center, Inc.                 489 Main Street                                Springfield        MA    01105-0000   5030316          05/01/91
RETAIL      Uhlman's Ice Cream LLC                               232 E Main Street                              Westborough        MA    01581-1742   501444           05/02/96
RETAIL      UL Enterprises, Inc., dba South Liquor Mart          431 South Street                               Plainville         MA    02762-0000   5030774          02/16/05
RETAIL      UMA Group, Inc., dba Kelly Square Liquors            7 1/2 Kelly Square                             Worcester          MA    01610-0000   5032196          03/16/09
RETAIL      Uncle Cheung's Restaurant Inc.                       266 Worcester Rd.                              Framingham         MA    01702-0000   5032584          06/16/10
RETAIL      Union Office Interiors, Inc.                         226 Andover Street                             Wilmington         MA    01887-0000   501560           06/29/99
RETAIL      Union Oyster House Inc.                              41 Union