Juan Alberto Gomez USDOT 2201053

Total Number of Inspections for the measurement period (24 months)	7
Total Number of Driver Inspections for the measurment period	7
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	1
Total Number of Vehicle Inspections for the measurement period	6
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	3
Juan Alberto Gomez 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

Juan Alberto Gomez 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	1.9
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Juan Alberto Gomez 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

Juan Alberto Gomez 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
Juan Alberto Gomez Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	4
Vehicle Maintenance BASIC Roadside Performance measure value	6.5
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	Spirit Commercial Auto Rr Group, Inc	CAC 00001-01495-14	$0	$750,000	09/06/2014
91X	BIPD/Primary	Spirit Commercial Auto Rr Group, Inc	CAC 00001-01495-13	$0	$750,000	09/05/2013	09/07/2014 Cancelled
91X	BIPD/Primary	Dongbu Insurance Co., Ltd (u.s.branch)	CCA-0001020-00	$0	$750,000	09/05/2012	09/05/2013 Cancelled
91X	BIPD/Primary	Sutter Insurance Company	MTP0012648	$0	$750,000	10/13/2011	09/19/2012 Cancelled
91X	BIPD/Primary	Sutter Insurance Company	MTP0012648	$0	$750,000	10/13/2011	09/05/2012 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.';

Sutter Insurance Company 1301 REDWOOD WAY - SUITE #120 PETALUMA, CA Fax:(707)793 - 0909