Keeper Sam, Inc. USDOT 1844989

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	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
Keeper Sam, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	2.5
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Keeper Sam, 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
Keeper Sam, 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

Keeper Sam, 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
Keeper Sam, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	20
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	Great West Casualty Co.	GWP81931A	$0	$1,000,000	05/19/2014
91X	BIPD/Primary	Great West Casualty Co.	GWP81931A	$0	$1,000,000	09/08/2010	05/19/2014 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN641289	$0	$750,000	09/08/2009	09/08/2010 Replaced
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 5298895	$0	$1,000,000	02/11/2009	10/07/2009 Cancelled
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 5298895	$0	$1,000,000	02/11/2009	09/08/2009 Replaced
34	CARGO	Great West Casualty Co.	GWP81931A	$0	$5,000*	09/08/2010	05/24/2014 Cancelled
34	CARGO	Auto Owners Insurance Company	05907496	$0	$5,000*	02/11/2009	09/08/2010 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.';

Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400	Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796
Artisan & Truckers Casualty Company P.O.BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555