Adan Chavez, Inc. USDOT 1101317

Total Number of Inspections for the measurement period (24 months)	0
Total Number of Driver Inspections for the measurment period	0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Adan Chavez, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	0
Unsafe Driving BASIC Roadside Performance Measure Value	0
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Adan Chavez, Inc. Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	0
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Adan Chavez, Inc. Truck Driver Fitness Data
Number of inspections with at least one Truck Driver Fitness BASIC violation	0
Truck Driver Fitness BASIC Roadside Performance measure value	0
Truck Driver Fitness BASIC Serious Violation Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Adan Chavez, Inc. Controlled Substances and Alcohol Data
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation	0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation	0
Controlled Substances and Alcohol BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Adan Chavez, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	0
Vehicle Maintenance BASIC Roadside Performance measure value	0
Vehicle Maintenance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Carolina Casualty Insurance Co.	354665	$0	$750,000	10/19/2010	01/15/2011 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	354663	$0	$750,000	10/19/2010	10/19/2010 Replaced
91X	CARGO	Hartford Accident And Indemnity Co.	87LST237001	$0	$5,000*	02/14/2008	03/14/2010 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-06	$0	$1,000,000	02/12/2009	02/12/2009 Replaced
91X	BIPD/Primary	Southern Insurance Company	STC554037-06	$0	$1,000,000	02/12/2009	08/10/2009 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-06	$0	$1,000,000	02/12/2009	09/07/2009 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-06	$0	$1,000,000	02/12/2009	10/11/2009 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-06	$0	$1,000,000	02/12/2009	12/08/2009 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-06	$0	$1,000,000	02/12/2009	02/12/2010 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-06	$0	$1,000,000	02/12/2009	02/14/2010 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC5540375	$0	$1,000,000	02/12/2008	02/12/2008 Replaced
91X	BIPD/Primary	Southern Insurance Company	STC5540375	$0	$1,000,000	02/12/2008	12/15/2008 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-05	$0	$1,000,000	02/12/2008	02/12/2009 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-4	$0	$1,000,000	02/12/2007	02/12/2008 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-4	$0	$1,000,000	02/12/2007	05/14/2007 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-4	$0	$1,000,000	02/12/2007	02/12/2007 Replaced
91X	BIPD/Primary	Southern Insurance Company	STC554037-3	$0	$1,000,000	02/12/2006	02/12/2007 Replaced
91X	BIPD/Primary	Southern Insurance Company	STC554037-3	$0	$1,000,000	02/12/2006	02/12/2007 Cancelled
91X	BIPD/Primary	Southern Insurance Company	STC554037-2	$0	$1,000,000	02/12/2005	02/12/2006 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	CBP354665	$0	$750,000	01/15/2011	02/11/2011 Cancelled

* If a carrier is in compliance, the amount of coverage will always be shown as the required Federal minimum ($5,000 per vehicle, $10,000 per occurrence for cargo insurance and $75,000 for bond/trust fund). The carrier may actually have higher levels of coverage.';

Carolina Casualty Insurance Co. P O BOX 2575 JACKSONVILLLE, FL Fax:(900)363 - 8088

Hartford Accident And Indemnity Co. HARTFORD PLAZA HARTFORD, CT

Southern Insurance Company P.O. BO5525 LBJ FREEWAY DALLAS, TX Fax:(972)788 - 6609