4 Jacks Trucking LLC USDOT 2566319

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Auto Owners Insurance Company	50-249452-00	$0	$750,000	03/17/2015
91X	BIPD/Primary	National Indemnity Company	70TRS043060	$0	$750,000	01/26/2015	04/03/2015Cancelled
91X	BIPD/Primary	National Indemnity Company	70TRS043060	$0	$750,000	01/26/2015	03/17/2015Replaced

* 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.';

Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796

National Indemnity Company 3024 HARNEY STREET OMAHA, NE Fax:(402)916 - 3018