Metalform Services LLC USDOT 1692064

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2990482	$0	$750,000	11/14/2011	05/17/2014 Cancelled
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA-2728167	$0	$1,000,000	04/14/2009	12/04/2011 Cancelled
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA-2728167	$0	$1,000,000	04/14/2009	11/14/2011 Replaced

* 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.';

Grange Indemnity Insurance Company 650 S FRONT ST COLUMBUS, OH Fax:(614)444 - 7777