Blackjack Construction LLC USDOT 1967130

Total Number of Inspections for the measurement period (24 months)	6
Total Number of Driver Inspections for the measurment period	6
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	3
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	2
Blackjack Construction Llc Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	1.61
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Blackjack Construction Llc 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
Blackjack Construction LLC 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

Blackjack Construction Llc 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
Blackjack Construction LLC Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	2
Vehicle Maintenance BASIC Roadside Performance measure value	7.4
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	Bitco General Insurance Corporation	CAP 3 532 812	$0	$1,000,000	11/17/2009
34	CARGO	Bitco General Insurance Corporation	CLP 3 267 229	$0	$5,000*	11/17/2009	08/14/2011 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.';

Bituminous Casualty Corporation 320 18TH STREET ROCK ISLAND, IL Fax:(309)786 - 3847