Koza Trucking USDOT 1190655

Total Number of Inspections for the measurement period (24 months)	0
Total Number of Driver Inspections for the measurment period	0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Koza Trucking 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

Koza Trucking 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
Koza Trucking 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

Koza Trucking 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
Koza Trucking Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	0
Vehicle Maintenance BASIC Roadside Performance measure value	0
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	CARGO	Northland Insurance Company	TN406942	$0	$5,000*	12/04/2003	06/01/2007 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN406942	$0	$1,000,000	12/04/2003	06/01/2007 Cancelled
91X	CARGO	Ooida Risk Retention Group, Inc.	PL19959369	$0	$5,000*	09/06/2008	01/07/2009 Cancelled
91X	BIPD/Primary	Ooida Risk Retention Group, Inc.	PL19959369	$0	$1,000,000	09/06/2008	01/07/2009 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	476867	$0	$750,000	08/30/2007	10/21/2007 Cancelled
91X	CARGO	Travelers Property Casualty Co. Of America	QT-660-0801L791	$0	$5,000*	08/30/2007	08/29/2007 Replaced
91X	CARGO	Carolina Casualty Insurance Co.	476867	$0	$5,000*	08/30/2007	08/29/2007 Replaced
91X	BIPD/Primary	Carolina Casualty Insurance Co.	347168	$0	$750,000	08/30/2007	08/30/2007 Replaced
91X	BIPD/Primary	Carolina Casualty Insurance Co.	476867	$0	$750,000	08/30/2007	08/30/2007 Replaced
91X	BIPD/Primary	Carolina Casualty Insurance Co.	347168	$0	$750,000	08/30/2007	11/22/2007 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	347173	$0	$750,000	08/30/2007	03/07/2008 Cancelled
91X	CARGO	Travelers Property Casualty Co. Of America	QT-660-4597M424-TIL-07	$0	$5,000*	08/29/2007	10/02/2008 Cancelled
91X	CARGO	Travelers Property Casualty Co. Of America	QT-660-0801L791	$0	$5,000*	08/29/2007	04/10/2008 Cancelled
91X	CARGO	Travelers Property Casualty Co. Of America	QT-660-4597M424-TIL-07	$0	$5,000*	08/29/2007	09/06/2008 Replaced
91X	CARGO	Travelers Property Casualty Co. Of America	QT-660-0801L791	$0	$5,000*	08/29/2007	08/29/2007 Replaced
91X	CARGO	Travelers Property Casualty Co. Of America	QT-660-0801L791	$0	$5,000*	08/29/2007	03/12/2008 Cancelled
91X	CARGO	Northland Insurance Company	TN521725	$0	$5,000*	07/10/2007	08/13/2007 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN521725	$0	$750,000	07/10/2007	08/13/2007 Cancelled
91X	CARGO	Northland Insurance Company	TN521725	$0	$5,000*	06/01/2007	07/10/2007 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN521725	$0	$1,000,000	06/01/2007	07/10/2007 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	347173	$0	$750,000	04/09/2008	08/08/2008 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	347173	$0	$750,000	03/07/2008	04/09/2008 Cancelled
91X	CARGO	Ooida Risk Retention Group, Inc.	PL19959369	$0	$5,000*	02/10/2009	04/01/2009 Cancelled
91X	BIPD/Primary	Ooida Risk Retention Group, Inc.	PL19959369	$0	$1,000,000	02/10/2009	04/01/2009 Cancelled
91X	CARGO	Ooida Risk Retention Group, Inc.	PL19959369	$0	$5,000*	01/07/2009	02/10/2009 Cancelled
91X	BIPD/Primary	Ooida Risk Retention Group, Inc.	PL19959369	$0	$1,000,000	01/07/2009	02/10/2009 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	Carolina Casualty Insurance Co. P O BOX 2575 JACKSONVILLLE, FL Fax:(900)363 - 8088	Travelers Property Casualty Co. Of America 1 TOWER SQUARE, 5GS HARTFORD, CT
Ooida Risk Retention Group, Inc. P.O. BOX L, 311 MIZE ROAD GRAIN VALLEY, MO Fax:(816)229 - 0518