Sursim Usa, Inc. USDOT 1880395

Total Number of Inspections for the measurement period (24 months)	15
Total Number of Driver Inspections for the measurment period	15
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	1
Total Number of Vehicle Inspections for the measurement period	7
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
Sursim Usa, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	3
Unsafe Driving BASIC Roadside Performance Measure Value	1.39
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Sursim Usa, Inc. 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	.56
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Sursim Usa, 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

Sursim Usa, 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
Sursim Usa, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	.6
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	Qualitas Insurance Company	QCAD-93565-01	$0	$1,000,000	01/15/2016	?
91X	BIPD/Primary	Wesco Insurance Company	WPP1116325-01	$0	$1,000,000	01/15/2015	01/15/2016 Cancelled
91X	BIPD/Primary	Wesco Insurance Company	WPP1116325-00	$0	$1,000,000	01/15/2014	01/15/2015 Cancelled
91X	BIPD/Primary	Gateway Insurance Company	TRK6000365-000	$0	$750,000	10/06/2010	11/18/2010 Cancelled
91X	BIPD/Primary	Gateway Insurance Company	TRK6000365-000	$0	$7,500,000	09/27/2010	10/27/2010 Cancelled
91X	BIPD/Primary	Gateway Insurance Company	TRK6000365-000	$0	$7,500,000	09/27/2010	10/06/2010 Replaced
91X	BIPD/Primary	Gateway Insurance Company	TRK6000365-000	$0	$750,000	09/27/2010	09/27/2010 Replaced
91X	BIPD/Primary	Gateway Insurance Company	TRK6000365-000	$0	$750,000	08/13/2010	10/20/2010 Cancelled
91X	BIPD/Primary	Gateway Insurance Company	TRK6000365-000	$0	$750,000	08/13/2010	09/27/2010 Replaced
91X	BIPD/Primary	Federal Motor Carriers Risk Retention Group	CAT2008-0020-01-1183	$0	$750,000	07/01/2010	08/13/2010 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002323-00	$0	$1,000,000	08/27/2009	07/01/2010 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002323-00	$0	$1,000,000	07/01/2009	08/27/2009 Cancelled
34	CARGO	Pennsylvania Manuf. Assoc. Ins.	811001-7654080Y	$0	$5,000*	07/01/2010	11/28/2010 Cancelled
34	CARGO	Topa Insurance Company	TLH002323-00	$0	$5,000*	08/27/2009	07/01/2010 Cancelled
34	CARGO	Topa Insurance Company	TLH002323-00	$0	$5,000*	07/01/2009	08/27/2009 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.';

Topa Insurance Company 1800 AVENUE OF THE STARS 12TH FLOOR LOS ANGELES, CA Fax:(310)552 - 0725	Federal Motor Carriers Risk Retention Group 5114 ROUTE 33-34 NORTH., PO BOX 906 FARMINGDALE, NJ Fax:(732)751 - 0800	Pennsylvania Manuf. Assoc. Ins. 380 SENTURY PARKWAY., P.O. BOX 3031 BLUE BELL, PA
Wesco Insurance Company 55 CAPITAL BLVD, FIRST FLOOR ROCKY HILL, CT	Gateway Insurance Company 1401 S. BRENTWOOD BLVD., STE. 1000 ST. LOUIS, MO