Piedmont Forklift Service USDOT 912992

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Zc Ins. Co /converium Ins.(na) Inc.	SCI-PK-500129	$0	$1,000,000	12/01/2000	03/09/2002 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN524166	$0	$750,000	10/16/2006	03/22/2007 Replaced
91X	CARGO	Northland Insurance Company	TN524166	$0	$5,000*	10/16/2006	03/22/2007 Replaced
91X	CARGO	Northland Insurance Company	WN013392	$0	$5,000*	10/15/2009	02/03/2010 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN013392	$0	$750,000	10/15/2009	02/03/2010 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN524166	$0	$750,000	09/06/2007	02/09/2008 Cancelled
91X	CARGO	Northland Insurance Company	TN524166	$0	$5,000*	09/06/2007	02/09/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN583588	$0	$750,000	07/16/2008	12/18/2008 Cancelled
91X	CARGO	Northland Insurance Company	TN583588	$0	$5,000*	07/16/2008	12/18/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN524166	$0	$750,000	06/01/2007	09/06/2007 Cancelled
91X	CARGO	Northland Insurance Company	TN524166	$0	$5,000*	06/01/2007	09/06/2007 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA06536401	$0	$750,000	05/20/2011	07/21/2011 Cancelled
91X	CARGO	Stonington Insurance Company	TOW000880-01	$0	$5,000*	03/22/2007	04/23/2007 Cancelled
91X	BIPD/Primary	Stonington Insurance Company	TOW000880-01	$0	$1,000,000	03/22/2007	04/23/2007 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	369220	$0	$1,000,000	03/09/2002	03/27/2003 Cancelled
91X	CARGO	Canal Insurance Co.	MTC073029	$0	$5,000*	03/09/2002	03/09/2003 Cancelled
91X	CARGO	Lincoln General Insurance Company	SPF168450300	$0	$5,000*	03/09/2000	03/09/2002 Replaced
91X	BIPD/Primary	Zc Ins. Co /converium Ins.(na) Inc.	SCI-PK-500129	$0	$1,000,000	03/09/2000	12/01/2000 Replaced
91X	BIPD/Primary	Zc Ins. Co /converium Ins.(na) Inc.	SCI-PK-500129	$0	$1,000,000	03/09/2000	01/23/2001 Cancelled
91X	CARGO	Canal Insurance Co.	PIA06536401	$0	$5,000*	02/11/2011	04/29/2011 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA06536401	$0	$750,000	02/11/2011	05/20/2011 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN583588	$0	$750,000	02/09/2008	07/16/2008 Cancelled
91X	CARGO	Northland Insurance Company	TN583588	$0	$5,000*	02/09/2008	07/16/2008 Cancelled
91X	CARGO	Markel American Insurance Company	IMN00064	$0	$5,000*	02/05/2006	10/16/2006 Replaced
91X	BIPD/Primary	Canal Insurance Co.	436577	$0	$1,000,000	02/05/2004	10/16/2006 Replaced
91X	CARGO	Markel American Insurance Company	IMR3333	$0	$5,000*	02/05/2004	02/05/2006 Replaced
91X	BIPD/Primary	Northland Insurance Company	WN013392	$0	$750,000	02/03/2010	01/18/2011 Cancelled
91X	CARGO	Northland Insurance Company	WN013392	$0	$5,000*	02/03/2010	01/18/2011 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Canal Insurance Co. P O BOX 7 GREENVILLE, SC Fax:(864)679 - 2557	Lincoln General Insurance Company 3501 CONCORD RD., P. O. BOX 12009 YORK, PA Fax:(717)757 - 7916
Stonington Insurance Company 5801 TENNYSON PARKWAY., STE: 600 PLANO, TX Fax:(972)239 - 0758	Markel American Insurance Company 4600 COX ROAD GLEN ALLEN, VA Fax:(804)527 - 7900	Zc Ins. Co /converium Ins.(na) Inc. ONE CHASE MANHATTAN PLAZA NEW YORK, NY Fax:(212)898 - 5212