Boerman Moving & Storage, Inc. USDOT 889561

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
Boerman Moving & Storage, 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

Boerman Moving & Storage, 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
Boerman Moving & Storage, 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

Boerman Moving & Storage, 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
Boerman Moving & Storage, Inc. 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	General Casualty Company Of Wisconsin	CBA 0441227	$0	$1,000,000	12/01/2005
34	CARGO	General Casualty Company Of Wisconsin	CCI 0441227	$0	$5,000*	12/01/2005
91X	BIPD/Primary	General Casualty Ins Co Of Ill	CBA 0345350	$0	$1,000,000	02/24/2004	12/01/2005 Replaced
91X	BIPD/Primary	General Casualty Ins Co Of Ill	CBA0345350	$0	$750,000	11/01/2001	02/24/2004 Replaced
91X	BIPD/Primary	Transguard Insurance Company Of America Inc.	TCP100312	$0	$750,000	11/01/2000	12/02/2001 Cancelled
91X	BIPD/Primary	American States Insurance Co.	01 CC 558336-00	$0	$1,000,000	06/07/2000	12/14/2000 Cancelled
91X	BIPD/Primary	American States Insurance Co.	01-CC-558336-00	$0	$1,000,000	11/01/1999	07/28/2000Name Changed
91	BIPD	The Insurance Company Of North America	GPPDO8486827	$0	$750,000	01/26/1985	01/08/2000 Cancelled
34	CARGO	General Casualty Ins Co Of Ill	CCI0345350	$0	$5,000*	11/01/2001	01/09/2006 Cancelled
34	CARGO	Federal Insurance Co.	6613500	$0	$5,000*	11/01/2001	11/01/2001 Replaced
34	CARGO	Transguard Insurance Company Of America Inc.	TCP100312	$0	$5,000*	11/01/2000	12/02/2001 Cancelled
34	CARGO	Transguard Insurance Company Of America Inc.	TCP100312	$0	$5,000*	11/01/2000	11/01/2001 Replaced
34	CARGO	Federal Insurance Co.	659-11-72	$0	$5,000*	11/01/1999	11/01/2000 Replaced
34	CARGO	Federal Insurance Co.	659-11-72	$0	$5,000*	11/01/1999	07/28/2000 Name Changed
34	CARGO	Federal Insurance Co.	659-11-72	$0	$5,000*	11/01/1999	11/01/1999 Replaced
34	CARGO	Federal Insurance Co.	659-11-72	$0	$5,000*	11/01/1999	11/01/1999 Replaced
34	CARGO	Federated Mutual Insurance Co.	659-11-72	$0	$5,000*	11/01/1999	11/01/1999 Replaced
34	CARGO	The Insurance Company Of North America	GPPDO8486827	$0	$5,000*	01/26/1985	01/08/2000 Cancelled
84	SURETY	Washington International Insurance Company	05368	$0	$10,000*	08/07/1988	08/07/1989 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.';

General Casualty Company Of Wisconsin ONE GENERAL DRIVE SUN PRAIRIE, WI Fax:(608)825 - 5100	Federal Insurance Co. 15 MOUNTAIN VIEW ROAD, BOX 1615 WARREN, NJ Fax:(908)903 - 2027	Transguard Insurance Company Of America Inc. 215 SHUMAN BLVD., SUITE 400 NAPERVILLE, IL Fax:(630)864 - 3579
The Insurance Company Of North America 436 WALNUT STREET PHILADELPHIA, PA Fax:(215)761 - 5612	Federated Mutual Insurance Co. 121 EAST PARK SQUARE OWATONNA, MN Fax:(507)455 - 5708	American States Insurance Co. SAFECO PLAZA., P. O. BOX 34754 SEATTLE, WA Fax:(425)376 - 6533
General Casualty Ins Co Of Ill P.O. BOX 450 FREEPORT, IL Fax:(815)235 - 4520	Washington International Insurance Company 475 N. MARGINGALE RD., STE: 850 SCHAUMBURG, IL Fax:(847)273 - 1270