Joel Medina USDOT 1872256

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	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Joel Medina 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

Joel Medina 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
Joel Medina 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

Joel Medina 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
Joel Medina 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	Crusader Insurance Company	CTP-013737	$0	$750,000	05/25/2015
91X	BIPD/Primary	Crusader Insurance Company	CTP-012996	$0	$750,000	05/25/2014	05/25/2015 Cancelled
91X	BIPD/Primary	Castlepoint National Insurance Co	BAPBZ0690913	$0	$750,000	05/25/2013	05/25/2014 Cancelled
91X	BIPD/Primary	Plaza Insurance Company	BAP1502357-00	$0	$750,000	04/26/2013	05/25/2013 Cancelled
91X	BIPD/Primary	Plaza Insurance Company	BAP1502357-00	$0	$750,000	05/25/2012	04/26/2013 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.';

Castlepoint National Insurance Co 225 BROADHOLLOW RD., STE: 410 MELVILLE, NY Fax:(212)655 - 2070

Crusader Insurance Company 23521 MULHOLLAND DR WOODLAND HILLS, CA Fax:(818)591 - 9858

Plaza Insurance Company 700 WEST 47TH ST., STE: 350 KANSAS CITY, MO Fax:(816)412 - 7550