Adz Trucking, Inc. USDOT 1814820

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Sentry Select Insurance Company	A0011867001	$0	$750,000	09/26/2014
91X	BIPD/Primary	Northland Insurance Company	WN044666	$0	$750,000	09/26/2010	09/26/2014 Replaced
91X	BIPD/Primary	Great American Assurance Company	MAC1668103 00	$0	$750,000	09/26/2009	09/26/2010 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00020960	$0	$750,000	09/26/2008	09/26/2009 Cancelled
34	CARGO	Northland Insurance Company	WN044666	$0	$5,000*	09/26/2010	10/17/2012 Cancelled
34	CARGO	Great American Assurance Company	MAC1668103 00	$0	$5,000*	09/26/2009	09/26/2010 Cancelled
34	CARGO	Great American Insurance Company Of New York	IMP1339438	$0	$5,000*	09/26/2008	09/26/2009 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095	Sentry Select Insurance Company 1800 NORTH POINT DR STEVENS POINT, WI Fax:(715)346 - 8913
Great American Insurance Company Of New York 580 WALNUT ST. CINCINNATI, OH Fax:(513)369 - 3655	Great American Assurance Company 49 E 4TH STREET, SUITE 300N CINCINATI, OH