Blazer Enterprises, Inc. USDOT 371434

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	0
Blazer Enterprises, Inc. 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

Blazer Enterprises, 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
Blazer Enterprises, 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

Blazer Enterprises, 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
Blazer Enterprises, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	5
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	Eastern Atlantic Insurance Company	TEA370044116	$0	$750,000	03/30/2016	?
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA374709	$0	$750,000	03/30/2015	03/30/2016 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA374039	$0	$750,000	03/30/2014	03/30/2015 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA373368	$0	$750,000	03/30/2013	03/30/2014 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA372863	$0	$750,000	03/30/2012	03/30/2013 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA372418	$0	$750,000	03/30/2011	03/30/2012 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA372095	$0	$1,000,000	03/30/2010	03/30/2011 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA371764	$0	$1,000,000	03/30/2009	03/30/2010 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA001433	$0	$1,000,000	03/30/2008	03/30/2009 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA001155	$0	$1,000,000	03/30/2007	03/30/2008 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA000873	$0	$1,000,000	03/30/2006	03/30/2007 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA000606	$0	$1,000,000	03/30/2005	03/30/2006 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA000370	$0	$1,000,000	03/30/2004	03/30/2005 Cancelled
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA000132	$0	$1,000,000	03/30/2003	03/30/2004 Cancelled
91X	BIPD/Primary	United National Insurance Company	UN3701424	$0	$1,000,000	03/30/2002	03/30/2003 Cancelled
91X	BIPD/Primary	National Casualty Company	CT079648	$0	$1,000,000	03/30/2001	03/30/2002 Cancelled
91X	BIPD/Primary	National Casualty Company	CT075280	$0	$1,000,000	03/30/2000	03/30/2001 Cancelled
91X	BIPD/Primary	National Casualty Company	CT070162	$0	$1,000,000	03/30/1999	03/30/2000 Cancelled
91X	BIPD/Primary	Providence Washington Insurance Co.	AX242241	$0	$1,000,000	03/30/1996	03/30/1999 Replaced
91X	BIPD/Primary	National Casualty Company	CAO0068271	$0	$1,000,000	03/30/1995	03/21/1996 Cancelled
91X	BIPD/Primary	National Casualty Company	CTOOO27291	$0	$1,000,000	03/30/1994	03/30/1995 Cancelled
34	CARGO	Eastern Atlantic Insurance Company	TEA372095	$0	$5,000*	03/30/2010	03/30/2011 Cancelled
34	CARGO	Great American Insurance Company Of New York	IMP 134-14-78	$0	$5,000*	03/30/2003	04/28/2010 Cancelled
34	CARGO	Great American Insurance Company Of New York	IMP 134-14-78	$0	$5,000*	03/30/2003	03/30/2010 Replaced
34	CARGO	National Casualty Company	OPO0016318	$0	$5,000*	03/30/2002	03/30/2003 Cancelled
34	CARGO	National Casualty Company	CIO017001	$0	$5,000*	11/04/2001	03/30/2002 Cancelled
34	CARGO	National Casualty Company	CIO017001	$0	$5,000*	11/04/2001	11/04/2001 Replaced
34	CARGO	National Casualty Company	CIO017001	$0	$5,000*	03/30/2001	11/04/2001 Cancelled
34	CARGO	National Casualty Company	CIO015629	$0	$5,000*	04/15/2000	04/15/2001 Cancelled
34	CARGO	National Casualty Company	CIO015629	$0	$5,000*	04/15/2000	03/30/2001 Replaced
34	CARGO	Lincoln General Insurance Company	SPF120670497	$0	$5,000*	04/01/1997	05/12/2000 Cancelled
34	CARGO	Lincoln General Insurance Company	SPF 12067 0496C	$0	$5,000*	04/01/1996	04/01/1997 Cancelled
34	CARGO	Lincoln General Insurance Company	SPF120670495C	$0	$5,000*	04/01/1995	04/01/1996 Cancelled
34	CARGO	Lincoln General Insurance Company	SPF 12067 0493	$0	$5,000*	04/01/1994	04/01/1995 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.';

National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ	Lincoln General Insurance Company 3501 CONCORD RD., P. O. BOX 12009 YORK, PA Fax:(717)757 - 7916	United National Insurance Company THREE BALA PLAZA EAST BALA CYNWYD, PA Fax:(610)660 - 8886
Great American Insurance Company Of New York 580 WALNUT ST. CINCINNATI, OH Fax:(513)369 - 3655	Providence Washington Insurance Co. P.O. BOX 518 PROVIDENCE, RI Fax:(401)453 - 7188	Eastern Atlantic Insurance Company 5300 DERRY ST. HARRISBURG, PA Fax:(717)561 - 1794