Jack Trucking USDOT 1285649

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Hallmark County Mutual Insurance Company	TXA520084	$0	$750,000	03/21/2014	02/14/2015 Cancelled
91X	BIPD/Primary	Shelter General Insurance Company	01-C6614819	$0	$1,000,000	01/10/2014	03/21/2014 Replaced
91X	BIPD/Primary	Shelter General Insurance Company	01-C6614819	$0	$1,000,000	06/20/2012	04/23/2013 Cancelled
91X	BIPD/Primary	Shelter General Insurance Company	01-C6614819	$0	$1,000,000	03/16/2010	04/11/2012 Cancelled
91X	BIPD/Primary	Shelter General Insurance Company	01-C6614819	$0	$1,000,000	07/07/2009	09/17/2009 Cancelled
91X	BIPD/Primary	Harco National Insurance Co.	TP3041451	$0	$1,000,000	01/05/2009	03/16/2009 Cancelled
91X	BIPD/Primary	Harco National Insurance Co.	TP3041451	$0	$1,000,000	08/04/2008	01/05/2009 Cancelled
91X	BIPD/Primary	Harco National Insurance Co.	TP3041451	$0	$1,000,000	05/01/2008	08/04/2008 Cancelled
34	CARGO	Shelter Mutual Insurance Company	93-6614819	$0	$5,000*	04/15/2010	03/14/2012 Cancelled
34	CARGO	Harco National Insurance Co.	MC3041451	$0	$5,000*	01/05/2009	03/16/2009 Cancelled
34	CARGO	Harco National Insurance Co.	MC3041451	$0	$5,000*	08/04/2008	01/05/2009 Cancelled
34	CARGO	Harco National Insurance Co.	MC3041451	$0	$5,000*	05/01/2008	08/04/2008 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.';

Harco National Insurance Co. 2850 WEST GOLF RD. ROLLING MEADOWS, IL Fax:(847)734 - 4089	Hallmark County Mutual Insurance Company 777 MAIN STREET, SUITE 1000 FORT WORTH, TX Fax:(800)441 - 9725	Shelter General Insurance Company 1817 WEST BROADWAY COLUMBIA, MO
Shelter Mutual Insurance Company 1817 WEST BROADWAY COLUMBIA, MO Fax:(314)445 - 3199