Sylvester R Jakubowski USDOT 1341519

Total Number of Inspections for the measurement period (24 months)	1
Total Number of Driver Inspections for the measurment period	1
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
Sylvester R Jakubowski 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

Sylvester R Jakubowski Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	1
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	8
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Sylvester R Jakubowski 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

Sylvester R Jakubowski 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
Sylvester R Jakubowski 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	Lancer Insurance Company	CM0053797	$0	$1,000,000	01/31/2012
91X	BIPD/Primary	Northfield Insurance Company	WN060760	$0	$750,000	01/31/2011	03/01/2012 Cancelled
91X	BIPD/Primary	Northfield Insurance Company	WN060760	$0	$750,000	01/31/2011	01/31/2012 Replaced
91X	BIPD/Primary	Ooida Risk Retention Group, Inc.	PL19955830	$0	$1,000,000	04/21/2005	01/31/2011 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

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

Ooida Risk Retention Group, Inc. P.O. BOX L, 311 MIZE ROAD GRAIN VALLEY, MO Fax:(816)229 - 0518