Triple Lll, Inc. USDOT 392522

Total Number of Inspections for the measurement period (24 months)	2
Total Number of Driver Inspections for the measurment period	2
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Triple Lll, 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

Triple Lll, 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
Triple Lll, 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

Triple Lll, 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
Triple Lll, 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	Northland Insurance Company	WN156528	$0	$1,000,000	04/22/2015	?
91X	BIPD/Primary	Northland Insurance Company	TN563717	$0	$1,000,000	06/05/2008	04/22/2015 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TF479694	$0	$1,000,000	09/29/2005	06/05/2008 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 67 68 24	$0	$750,000	12/23/2002	09/29/2005 Replaced
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 67 68 24	$0	$750,000	09/29/2002	12/25/2002 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 67 68 24	$0	$750,000	09/29/2002	12/23/2002 Replaced
91	BIPD	Continental Casualty Co.	C 168 271 234	$0	$750,000	09/29/1997	09/29/2002 Replaced
91X	BIPD/Primary	Athena Assurance Company	CA05500925	$0	$750,000	09/29/1996	11/05/1997 Cancelled
91X	BIPD/Primary	Arch Insurance Company	TRK 8000 678	$0	$1,000,000	09/29/1995	09/29/1996 Cancelled
91X	BIPD/Primary	Harco National Insurance Co.	TP3031472	$0	$1,000,000	03/01/1995	09/29/1995 Cancelled
91X	BIPD/Primary	Travelers Indemnity Company	7LHT-221 T200-5-92	$0	$1,000,000	09/01/1992	03/01/1995 Cancelled
34	CARGO	Great American Insurance Company Of New York	IMP 135 97 89	$0	$5,000*	09/29/2002	11/20/2005 Cancelled
34	CARGO	Onebeacon Insurance Company	CIM 0420445	$0	$5,000*	09/11/1999	11/23/2000 Cancelled
34	CARGO	Albany Insurance Company	GF 9004560	$0	$5,000*	09/11/1996	09/11/1999 Replaced
34	CARGO	The Continental Insurance Co.	IM 95 72 88	$0	$5,000*	09/11/1995	09/11/1996 Replaced

* 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.';

Albany Insurance Company 61 BROADWAY NEW YORK, NY Fax:(212)208 - 4108	Harco National Insurance Co. 2850 WEST GOLF RD. ROLLING MEADOWS, IL Fax:(847)734 - 4089	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	Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095	Continental Casualty Co. 2405 LUCIEN WAY MAITLAND, FL Fax:(407)670 - 0090
Onebeacon Insurance Company 44 WHIPPANY RD MORRISTOWN, NJ	The Continental Insurance Co. 2405 LUCIEN WAY MAITLAND, FL Fax:(407)670 - 0090	Great American Insurance Company Of New York 580 WALNUT ST. CINCINNATI, OH Fax:(513)369 - 3655
Travelers Indemnity Company 1 TOWER SQUARE - 5GS HARTFORD, CT	Arch Insurance Company 300 FIRST STAMFORD PL., 5TH FL. STAMFORD, CT Fax:(203)388 - 3301