Empire Truck Rebuilders, Inc. USDOT 1932796

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Universal Underwriters Insurance Co.	287296	$0	$750,000	08/01/2009
34	CARGO	Universal Underwriters Insurance Co.	287296	$0	$5,000*	08/01/2009
91X	BIPD/Primary	Universal Underwriters Insurance Co.	287296	$0	$750,000	08/01/2009	08/01/2009 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.';

Universal Underwriters Insurance Co. 7045 COLLEGE BLVD. OVERLAND PARK, KS