Tidewater Distribution USDOT 1973124

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
34	CARGO	Travelers Indemnity Company	QT-660-4280B779-TIL-09	$0	$5,000*	12/08/2009
91X	BIPD/Primary	Lancer Insurance Company	CM0054908	$0	$1,000,000	08/14/2012	08/14/2013 Cancelled
91X	BIPD/Primary	State Nationalspecialty Insco/national Specia	TFM 300454	$0	$750,000	12/08/2009	08/14/2012 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.';

Lancer Insurance Company 111 CORNING ROAD STE. 180 CARY, NC Fax:(919)858 - 0932

Travelers Indemnity Company 1 TOWER SQUARE - 5GS HARTFORD, CT

State Nationalspecialty Insco/national Specia 1900 L. DON DODSON BLVD BEDFORD, TX Fax:(877)894 - 6930