Kozak Trans, Inc. USDOT 2641919

Total Number of Inspections for the measurement period (24 months)	4
Total Number of Driver Inspections for the measurment period	4
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	4
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	3
Kozak Trans, 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

Kozak Trans, Inc. Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	1
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	1.33
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Kozak Trans, 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

Kozak Trans, 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
Kozak Trans, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	3
Vehicle Maintenance BASIC Roadside Performance measure value	5
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	Artisan & Truckers Casualty Company	CA 2553549	$0	$1,000,000	09/25/2015
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 2553549	$0	$1,000,000	07/01/2015	09/25/2015 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.';

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