Court-Approved Self-Insured Employers

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ABF FREIGHT SYSTEM INCORPORATED
SI031
ATTN ALLEN KING
PO BOX 10048
FORT SMITH AR 72917-0048

ALEGENT HEALTH
SI057
ATTN PHILIP STEGMAIER
6901 N 72 ST
OMAHA NE 68122-1788

ARCHER DANIELS MIDLAND COMPANY
SI160
ATTN MICHAEL SCOTT
PO BOX 1470
DECATUR IL 62525

ASH GROVE CEMENT COMPANY
SI036
ATTN BOB DABLER
PO BOX 25900
OVERLAND PARK KS 66225

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BLUE CROSS AND BLUE SHIELD OF NEBRASKA
SI165
ATTN TINA STURM
1233 LINCOLN MALL
LINCOLN NE 68508

BRYAN-LGH MEDICAL CENTER
SI137
ATTN RON ANDERSON
1600 S 48 ST
LINCOLN NE 68506-1299

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CHIEF INDUSTRIES INCORPORATED
SI129
ATTN MARK MORAVEC
PO BOX 2078
GRAND ISLAND NE 68802-2078

CHILDRENS HOSPITAL
SI158
ATTN KIM AUGUSTYN
8200 DODGE ST
OMAHA NE 68114-4114

CHS INCORPORATED
SI166
ATTN GAYLON BRATLAND
5500 CENEX DR
INVER GROVE HEIGHTS MN 55077

CITY OF BELLEVUE
SI171
ATTN JANI JENNINGS
210 W MISSION AVE
BELLEVUE NE 68005

CITY OF FREMONT
SI127
ATTN LAUREL KORMAN
PO BOX 1266
400 E MILITARY
FREMONT NE 68025

CITY OF LINCOLN
SI043
ATTN WILLIAM KOSTNER
RISK MANAGEMENT/PERSONNEL DEPT
233 S 10 ST FL 2
LINCOLN NE 68508-2221

CITY OF OMAHA
SI044
ATTN ALLEN HERINK
OMAHA DOUGLAS CIVIC CTR
1819 FARNAM ST STE 1004
OMAHA NE 68183-1004

CONAGRA FOODS INCORPORATED
SI122
ATTN JEFF REGLER
ONE CONAGRA DR 1-220
OMAHA NE 68102-5001

COUNTY OF DOUGLAS
SI046
ATTN PATRICK BLOOMINGDALE
1819 FARNAM ST
RM LC2
OMAHA NE 68183

COUNTY OF LANCASTER
SI047
ATTN SUE ECKLEY
233 S 10 ST STE 220
LINCOLN NE 68508-2221

CREIGHTON UNIVERSITY
SI146
ATTN KATIE BOOTON
2500 CALIFORNIA PLZ
OMAHA NE 68178-0119

CRETE CARRIER CORPORATION
SI128
ATTN JEFF SCHUMACHER
PO BOX 83246
LINCOLN NE 68501-3246

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DOUGLAS COUNTY SCHOOL DISTRICT 001 (OMAHA PUBLIC SCHOOLS)
SI177
ATTN CONNIE J TELFEYAN
3215 CUMING ST
OMAHA NE 68131-2024

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E I DU PONT DE NEMOURS AND COMPANY
SI180
ATTN CAROLE CARR
1007 MARKET ST D-8065
WILMINGTON DE 19898

EMERSON ELECTRIC COMPANY
SI159
ATTN LINDA DONAHUE
8000 W FLORISSANT AVE
PO BOX 4100
ST LOUIS MO 63136

EXMARK MANUFACTURING COMPANY INCORPORATED
SI179
ATTN DAWN SOLETA
8111 LYNDALE AVE SOUTH
BLOOMINGTON MN 55420-1196

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F

FORD MOTOR COMPANY
SI050
ATTN RICHARD G WOOD
THE NORWOOD BUILDING RM 203
19540 ALLEN RD
MELVINDALE MI 48122

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HORMEL FOODS CORPORATION
SI121
ATTN REBECCA L LUBENSKY
1 HORMEL PL
1101 N MAIN ST
AUSTIN MN 55912-3680

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IRWIN INDUSTRIAL TOOL COMPANY
SI079
ATTN PAULA C RAWLEIGH
NEWELL RUBBERMAID INC
29 STEPHENSON ST
FREEPORT IL 61032

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JAYHAWK BOXES INCORPORATED
SI168
ATTN JERRY POPE
2801 LAKEVIEW RD
LAWRENCE KS 66044

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KELLOGG COMPANY
SI063
ATTN ANGIE MCDONALD
ONE KELLOGG SQ
PO BOX 3599
BATTLE CREEK MI 49016-3599

THE KROGER COMPANY D/B/A PEYTONS NORTHERN CORPORATION
SI173
DILLON STORES
ATTN DIANE YOUNG
2700 E 4 ST
PO BOX 1608
HUTCHINSON KS 67504

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LESTER ELECTRICAL OF NEBRASKA INCORPORATED
SI153
ATTN STEVEN C LOFTIS
625 WEST A ST
LINCOLN NE 68522

LINCOLN PUBLIC SCHOOLS
SI087
ATTN SUSAN WRIGHT
PO BOX 82889
LINCOLN NE 68501

LOUP RIVER PUBLIC POWER DISTRICT
SI176
ATTN MICHAEL R SCHROEDER
2404 15 ST PO Box 988
COLUMBUS NE 68602-0988

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MADONNA REHABILITATION HOSPITAL
SI140
ATTN SANDY STUTZMAN
5401 SOUTH ST
LINCOLN NE 68506-2134

METRO AREA TRANSIT
SI069
ATTN PATRICIA A ARPS
2222 CUMING ST
OMAHA NE 68102

METROPOLITAN UTILITIES DISTRICT
SI070
ATTN ROGER A BURMEISTER
1723 HARNEY ST
OMAHA NE 68102

MUTUAL OF OMAHA INSURANCE
SI141
ATTN TOM SOENER
MUTUAL OF OMAHA PLZ
OMAHA NE 68175

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NEBRASKA FURNITURE MART INCORPORATED
SI144
ATTN MEGAN BERRY BARLOW
700 S 72 ST
OMAHA NE 68114

NEBRASKA METHODIST HEALTH SYSTEMS INCORPORATED
SI075
ATTN RAYMOND L STOUPA
8511 W DODGE RD
OMAHA NE 68114

NEBRASKA PUBLIC POWER DISTRICT
SI134
ATTN BRENDA S BIECK
PO BOX 499
COLUMBUS NE 68602-0499

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OMAHA PUBLIC POWER DISTRICT
SI077
ATTN JERRY MCCAW
444 S 16 ST MALL
OMAHA NE 68102-2247

OMAHA PUBLIC SCHOOLS (SEE DOUGLAS COUNTY SCHOOL DISTRICT 001)

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PARKER HANNIFIN CORPORATION
SI163
ATTN PAT ZUPANCIC
6035 PARKLAND BLVD
CLEVELAND OH 44124-4141

PETER KIEWIT SONS' INCORPORATED
SI164
ATTN DEBRA L PROCHASKA
1000 KIEWIT PLZ
OMAHA NE 68131

PRINCIPAL LIFE INSURANCE COMPANY
SI169
ATTN LORI DIERCKS
711 HIGH ST
DES MOINES IA 50392-2040

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SAFEWAY INCORPORATED
SI178
ATTN CHI NGUYEN
4410 ROSEWOOD DR
PLEASANTON CA 94588-3492

STATE OF NEBRASKA
SI093
ATTN RISK MANAGER
PO BOX 94931
LINCOLN NE 68509

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TARGET CORPORATION
SI147
ATTN KEVIN SMITH
RISK MGMT DEPT TPN-1300
1000 NICOLLET MALL
MINNEAPOLIS MN 55403

TYSON FRESH MEATS INCORPORATED
SI059
ATTN CONNIE DOWNUM
TYSON FOODS INC
2210 W OAKLAWN DR
SPRINGDALE AR 72762-6999

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VALMONT INDUSTRIES INCORPORATED
SI135
ATTN GARY LEBENS
ONE VALMONT PLZ
OMAHA NE 68154-5215

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WERNER ENTERPRISES INCORPORATED
SI126
ATTN JAMES L. JOHNSON
14507 FRONTIER RD
PO BOX 45308
OMAHA NE 68145-0308

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