Mrt USDOT 2049683

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	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Mrt 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

Mrt 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
Mrt 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

Mrt 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
Mrt 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	Progressive Mountain Insurance Company Of Ohi	CA 2845538	$0	$750,000	01/27/2016	04/13/2016
34	CARGO	Penn-america Insurance Company	PAC6063216	$0	$5,000*	07/26/2010	?
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	12/07/2015	01/03/2016 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	11/05/2015	12/07/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	10/22/2015	11/05/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	10/05/2015	10/22/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	09/04/2015	10/05/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	08/05/2015	09/04/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	06/05/2015	08/05/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	05/05/2015	06/05/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	03/09/2015	05/05/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	12/13/2014	03/09/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	05/05/2014	12/13/2014 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST170249	$0	$750,000	12/13/2013	05/05/2014 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	ACC2801316	$0	$1,000,000	07/26/2011	07/28/2012 Cancelled
91X	BIPD/Primary	Accident Insurance Company, Inc.	ACC2800501	$0	$1,000,000	02/23/2011	07/31/2011 Cancelled
91X	BIPD/Primary	Accident Insurance Company, Inc.	ACC2800501	$0	$1,000,000	02/23/2011	07/26/2011 Replaced
91X	BIPD/Primary	Accident Insurance Company, Inc.	ACC2800501	$0	$1,000,000	07/26/2010	02/23/2011 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.';

State National Insurance Co., Inc. 1900 L. DON DODSON BLVD. BEDFORD, TX Fax:(877)894 - 6930	Progressive Mountain Insurance Company Of Ohi P. O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555	Penn-america Insurance Company THREE BALA PLAZA, EAST STE300 BALA CYNWYD, PA Fax:(610)668 - 6935
Accident Insurance Company, Inc. 3440 BLUE SPRING RD STE 203 KENNESAW, GA Fax:(866)409 - 3367