Ellis Sample Company, Inc. USDOT 1937560

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Ooida Risk Retention Group, Inc.	PL199520037	$0	$1,000,000	03/12/2014	07/10/2014Cancelled
91X	BIPD/Primary	Progressive Mountain Insurance Company Of Ohi	CA 4601948	$0	$1,000,000	04/20/2010	03/12/2014Replaced
34	CARGO	Progressive Mountain Insurance Company Of Ohi	CA 4601948	$0	$5,000*	09/17/2010	01/01/2013 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.';

Ooida Risk Retention Group, Inc. P.O. BOX L, 311 MIZE ROAD GRAIN VALLEY, MO Fax:(816)229 - 0518

Progressive Mountain Insurance Company Of Ohi P. O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555