Jake Kauffman & Son, Inc. USDOT 695642

Total Number of Inspections for the measurement period (24 months)	6
Total Number of Driver Inspections for the measurment period	6
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	1
Total Number of Vehicle Inspections for the measurement period	3
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
Jake Kauffman & Son, Inc. 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

Jake Kauffman & Son, Inc. 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
Jake Kauffman & Son, Inc. 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	1.81
Truck Driver Fitness BASIC Serious Violation Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Jake Kauffman & Son, 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
Jake Kauffman & Son, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	3
Vehicle Maintenance BASIC Roadside Performance measure value	11.5
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	Continental Western Insurance Co.	CPA3068984 (U)	$0	$750,000	10/07/2014
91X	BIPD/Primary	Mountain States Indemnity Company	BAP 0255483	$0	$1,000,000	12/23/2013	10/07/2014Replaced
91X	BIPD/Primary	Mountain States Indemnity Company	BAI 0114179	$0	$1,000,000	12/23/2011	06/07/2014Cancelled
91X	BIPD/Primary	Mountain States Indemnity Company	BAI 0114179	$0	$1,000,000	12/23/2011	12/23/2013Replaced

* 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.';

Continental Western Insurance Co. P O BOX 1594 URBANDALE, IA Fax:(515)473 - 3014

Mountain States Indemnity Company 5051 JOURNAL CENTER BLVD., N.E. ALBUQUERQUE, NM Fax:(505)247 - 8008