Jerzy Trucking LLC USDOT 1753719

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A6938-02	$0	$1,000,000	06/28/2014	06/28/2015
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A6246-01	$0	$1,000,000	06/28/2013	07/02/2014 Cancelled
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A6246-01	$0	$1,000,000	06/28/2013	06/28/2014 Replaced
91X	BIPD/Primary	Northfield Insurance Company	WN017046	$0	$1,000,000	03/11/2013	06/28/2013 Cancelled
91X	BIPD/Primary	Northfield Insurance Company	WN017046	$0	$1,000,000	08/30/2012	11/02/2012 Cancelled
91X	BIPD/Primary	Northfield Insurance Company	WN016981	$0	$1,000,000	04/15/2011	08/30/2012 Cancelled
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A4586-03	$0	$1,000,000	04/15/2010	04/15/2011 Replaced
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A4045-02	$0	$1,000,000	04/15/2009	04/16/2010 Cancelled
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A4045-02	$0	$1,000,000	04/15/2009	04/15/2010 Replaced
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A3414-01	$0	$1,000,000	04/15/2008	04/17/2009 Cancelled
91X	BIPD/Primary	National Independent Truckers Ins. Co., Rrg	A3414-01	$0	$1,000,000	04/15/2008	04/15/2009 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.';

Northfield Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN

National Independent Truckers Ins. Co., Rrg 610-618 WEST ST. GEORGES AVENUE LINDEN, NJ Fax:(732)855 - 9494