Adriana Delivery LLC USDOT 2636733

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	New Hampshire Insurance Co.	013228547	$0	$1,000,000	09/01/2015
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CA00016616	$0	$750,000	07/28/2015	09/01/2015 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.';

Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095

New Hampshire Insurance Co. P. O. BOX 1024 MANCHESTER, NH Fax:(603)645 - 7114