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SITE LOCATION SCHEDULE <br />Policy Number: <br />Named Insured: <br />Agent: <br />WORKERS' COMPENSATION AND EMPLOYERS <br />LIABILITY INSURANCE POLICY <br />EIG 5927483 00 <br />PROGRESSIVE SOLUTIONS INC <br />ADP - PITTSBURGH - SBS 0033005 <br />EMPLOYERS PREFERRED INS. CO. <br />P.O. BOX 539003 <br />HENDERSON, NV 89053-9003 <br />A Stock Company <br />State CA 1 <br />PROGRESSIVE SOLUTIONS INC <br />525 W WHITTIER BLVD <br />LA HABRA CA 90631 <br />State TN 3 <br />PROGRESSIVE SOLUTIONS INC <br />3521 FOX CREEK ROAD <br />LOUISVILLE TN 37777 <br />State WV 2 <br />PROGRESSIVE SOLUTIONS INC <br />1910 E NANETTE AVE <br />WEST COVINA WV 91792 <br />Issued Date: <br />WC990410 (7/06 Ed.) <br />INSURED COPY06/10/2025 <br />Page 5 of 6 <br />Docusign Envelope ID: 2EA41CCF-A2B2-47D6-84CA-2A61682545FC