Black Rock Custom Haulers, Inc. USDOT 2104331

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
Black Rock Custom Haulers, 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

Black Rock Custom Haulers, 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
Black Rock Custom Haulers, 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

Black Rock Custom Haulers, 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
Black Rock Custom Haulers, 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	Sentry Select Insurance Company	A0051257001	$0	$750,000	02/07/2016	?
91X	BIPD/Primary	National Indemnity Company	70TRS043891	$0	$750,000	02/07/2015	03/04/2016 Cancelled
91X	BIPD/Primary	National Indemnity Company	70TRS043891	$0	$750,000	02/07/2015	02/07/2016 Replaced
91X	BIPD/Primary	National Casualty Company	OPO0045419	$0	$750,000	02/07/2014	02/07/2015 Cancelled
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2994332	$0	$750,000	02/07/2012	02/07/2014 Replaced
91X	BIPD/Primary	United Financial Casualty Company	CA 7819305	$0	$1,000,000	01/16/2012	02/07/2012 Replaced
91X	BIPD/Primary	United Financial Casualty Company	CA 7819305	$0	$1,000,000	02/07/2011	01/16/2012 Cancelled
34	CARGO	United Financial Casualty Company	CA 7819305	$0	$5,000*	01/16/2012	03/23/2012 Cancelled
34	CARGO	United Financial Casualty Company	CA 7819305	$0	$5,000*	02/07/2011	01/16/2012 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.';

Sentry Select Insurance Company 1800 NORTH POINT DR STEVENS POINT, WI Fax:(715)346 - 8913	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ	United Financial Casualty Company P. O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555
National Indemnity Company 3024 HARNEY STREET OMAHA, NE Fax:(402)916 - 3018	Grange Indemnity Insurance Company 650 S FRONT ST COLUMBUS, OH Fax:(614)444 - 7777