Fultz Custom Service USDOT 1347549

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 1661847	$0	$1,000,000	06/07/2012	12/12/2012 Cancelled
91X	BIPD/Primary	Pekin Insurance Co.	P672645	$0	$1,000,000	02/24/2012	06/24/2012 Cancelled
91X	BIPD/Primary	Pekin Insurance Co.	P672645	$0	$1,000,000	02/24/2012	06/07/2012 Replaced
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 8231806	$0	$1,000,000	09/07/2011	03/27/2012 Cancelled
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 8231806	$0	$1,000,000	09/07/2011	02/24/2012 Replaced
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 7985398	$0	$1,000,000	05/16/2011	09/13/2011 Cancelled
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 7985398	$0	$1,000,000	05/16/2011	09/07/2011 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP30196C	$0	$1,000,000	06/06/2007	05/16/2011 Cancelled
34	CARGO	Great West Casualty Co.	GWP30196C	$0	$5,000*	06/06/2007	05/16/2011 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.';

Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400

Artisan & Truckers Casualty Company P.O.BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555

Pekin Insurance Co. 2505 COURT STREET PEKIN, IL Fax:(309)478 - 2143