Black Gold Energy Services, Inc. USDOT 1774463

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 Gold Energy Services, 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 Gold Energy Services, 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 Gold Energy Services, 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 Gold Energy Services, 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 Gold Energy Services, 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	New York Marine & General Ins. Co.	AU201500004246	$0	$1,000,000	03/25/2015	03/20/2016 Cancelled
91X	BIPD/Primary	New York Marine & General Ins. Co.	AU201400004246	$0	$1,000,000	05/05/2014	03/25/2015 Cancelled
91X	BIPD/Primary	Sagamore Insurance Company	ST166445	$0	$750,000	08/09/2013	10/02/2013 Cancelled
91X	BIPD/Primary	Starr Indemnity & Liability Insurance Company	SISIPCA08253613	$0	$1,000,000	01/29/2013	08/09/2013 Replaced
91X	BIPD/Primary	Mid-continent Casualty Co.	04 IM 50757	$0	$1,000,000	01/25/2013	02/27/2013 Cancelled
91X	BIPD/Primary	Mid-continent Casualty Co.	04 IM 50757	$0	$1,000,000	01/25/2013	01/29/2013 Replaced
91X	BIPD/Primary	Atlantic Specialty Insurance Company	792000649	$0	$1,000,000	02/07/2012	01/25/2013 Replaced
91X	BIPD/Primary	Onebeacon America Insurance Company	792-00-02-84	$0	$1,000,000	09/10/2010	02/07/2012 Replaced
91X	BIPD/Primary	Bitco General Insurance Corporation	CAP3516090	$0	$1,000,000	07/09/2008	09/10/2010 Replaced
34	CARGO	Peerless Indemnity Insurance Company	IM 8944732	$0	$5,000*	02/28/2013	09/26/2013 Cancelled
34	CARGO	Onebeacon Insurance Company	790-00-89-46	$0	$5,000*	09/10/2010	02/28/2013 Replaced
34	CARGO	Onebeacon America Insurance Company	792-00-02-84	$0	$5,000*	09/10/2010	10/13/2010 Cancelled
34	CARGO	Onebeacon America Insurance Company	792-00-02-84	$0	$5,000*	09/10/2010	09/10/2010 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.';

Onebeacon Insurance Company 44 WHIPPANY RD MORRISTOWN, NJ	Onebeacon America Insurance Company 44 WHIPPANY RD MORRISTOWN, NJ	Mid-continent Casualty Co. P O BOX 1409 1437 S. BOULDER,ST.200 TULSA, OK Fax:(918)588 - 1295
New York Marine & General Ins. Co. 412 M.T KEMBLE AVE, STE: 300C MORRISTOWN, NJ Fax:(855)200 - 1158	Bituminous Casualty Corporation 320 18TH STREET ROCK ISLAND, IL Fax:(309)786 - 3847	Peerless Indemnity Insurance Company 62 MAPLE AVENUE KEENE, NH
Starr Indemnity & Liability Insurance Company 399 PARK AVE NEW YORK, NY	Atlantic Specialty Insurance Company 44 WHIPPANY RD MORISTOWN, NJ