Chuck Davis USDOT 1858456

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
Chuck Davis 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

Chuck Davis 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
Chuck Davis 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

Chuck Davis 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
Chuck Davis 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	Acuity, A Mutual Insurance Company	CA-X93683	$0	$750,000	04/21/2014
91X	BIPD/Primary	North River Insurance Co.	506-8731285	$0	$750,000	04/21/2013	04/21/2014Replaced
91X	BIPD/Primary	Northland Insurance Company	WN067903	$0	$750,000	11/25/2011	05/24/2013Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN067903	$0	$750,000	11/25/2011	04/21/2013Replaced
91X	BIPD/Primary	Northland Insurance Company	TN660010	$0	$750,000	02/10/2011	11/25/2011Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN660010	$0	$750,000	04/21/2010	02/10/2011Cancelled

* 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949

North River Insurance Co. 305 MADISON AVE. P.O. BOX 1973 MORRISTOWN, NJ

Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618