Black Ice Transportation USDOT 1867536

Total Number of Inspections for the measurement period (24 months)	1
Total Number of Driver Inspections for the measurment period	1
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
Black Ice Transportation 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

Black Ice Transportation Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	1
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	6
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Black Ice Transportation Truck Driver Fitness Data
Number of inspections with at least one Truck Driver Fitness BASIC violation	1
Truck Driver Fitness BASIC Roadside Performance measure value	1
Truck Driver Fitness BASIC Serious Violation Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Black Ice Transportation 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
Black Ice Transportation 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	National Continental Insurance Co.	CP7324739-5	$0	$750,000	03/28/2016	?
34	CARGO	Travelers Property Casualty Co. Of America	QT-660-3D092184-TIL-13	$0	$5,000*	05/21/2013	?
91X	BIPD/Primary	National Continental Insurance Co.	CP7324739-5	$0	$750,000	11/27/2015	03/28/2016 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-5	$0	$750,000	09/20/2015	11/27/2015 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-5	$0	$750,000	08/03/2015	09/20/2015 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-5	$0	$750,000	05/23/2015	08/03/2015 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-4	$0	$750,000	10/30/2014	05/23/2015 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-4	$0	$750,000	05/23/2014	10/30/2014 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-3	$0	$750,000	03/28/2014	05/23/2014 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-3	$0	$750,000	10/30/2013	03/28/2014 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-3	$0	$750,000	10/30/2013	10/30/2013 Replaced
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-3	$0	$750,000	08/30/2013	10/30/2013 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 7324739-3	$0	$750,000	05/23/2013	08/30/2013 Cancelled
91X	BIPD/Primary	Transguard Insurance Company Of America Inc.	TCP111362	$0	$750,000	05/12/2009	05/23/2013 Replaced
34	CARGO	Transguard Insurance Company Of America Inc.	TCP111362	$0	$5,000*	05/12/2009	05/21/2013 Replaced

* 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.';

Travelers Property Casualty Co. Of America 1 TOWER SQUARE, 5GS HARTFORD, CT

Transguard Insurance Company Of America Inc. 215 SHUMAN BLVD., SUITE 400 NAPERVILLE, IL Fax:(630)864 - 3579

National Continental Insurance Co. P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555