Sam's Moving & Delivery Company USDOT 1362386

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
Sam's Moving & Delivery Company 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

Sam's Moving & Delivery Company 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
Sam's Moving & Delivery Company 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

Sam's Moving & Delivery Company 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
Sam's Moving & Delivery Company 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	Grange Indemnity Insurance Company	XA 2740639	$0	$750,000	10/04/2013
34	CARGO	Grange Mutual Casualty Co.	CPP2628519	$0	$5,000*	03/19/2012
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2740639	$0	$750,000	10/10/2013	11/08/2013 Cancelled
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2740639	$0	$750,000	10/10/2013	11/08/2013 Cancelled
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2740639	$0	$750,000	10/10/2013	10/04/2013 Replaced
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2740639	$0	$750,000	10/10/2013	10/04/2013 Replaced
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2740639	$0	$750,000	06/02/2010	10/10/2013 Cancelled
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2740639	$0	$750,000	06/02/2010	10/04/2013 Replaced
91X	BIPD/Primary	Progressive Casualty Insurance Company	CA 8039888	$0	$750,000	05/13/2005	04/30/2010 Cancelled
34	CARGO	National Indemnity Company	70MTC017177	$0	$5,000*	10/15/2005	11/28/2005 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.';

Progressive Casualty Insurance Company P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555	National Indemnity Company 3024 HARNEY STREET OMAHA, NE Fax:(402)916 - 3018	Grange Mutual Casualty Co. 650 SOUTH FRONT ST. COLUMBUS, OH Fax:(614)449 - 5130
Grange Indemnity Insurance Company 650 S FRONT ST COLUMBUS, OH Fax:(614)444 - 7777