Golden Pen USDOT 905687

Total Number of Inspections for the measurement period (24 months)	0
Total Number of Driver Inspections for the measurment period	0
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
Golden Pen 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

Golden Pen 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
Golden Pen 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

Golden Pen 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
Golden Pen 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	Northland Insurance Company	WN002463	$0	$750,000	07/22/2009	11/26/2014 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA03559901	$0	$750,000	03/30/2008	03/30/2009 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA00812501	$0	$750,000	03/30/2007	03/30/2008 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	454462	$0	$750,000	03/30/2006	03/30/2007 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	454219	$0	$750,000	03/30/2005	03/05/2005 Replaced
91X	BIPD/Primary	Canal Insurance Co.	454219	$0	$750,000	03/05/2005	03/30/2006 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	453998	$0	$750,000	03/30/2004	03/05/2005 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	426558	$0	$750,000	03/30/2003	03/30/2004 Cancelled
91X	BIPD/Primary	Athena Assurance Company	AT05503110	$0	$750,000	03/30/2001	03/30/2003 Replaced
34	CARGO	Athena Assurance Company	AT05503110	$0	$5,000*	03/30/2001	06/23/2015 Name Changed

* 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.';

Athena Assurance Company ONE TOWER SQUARE, CL PMU-AUTO-6GS HARTFORD, CT

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949

Canal Insurance Co. P O BOX 7 GREENVILLE, SC Fax:(864)679 - 2557