Samuel Martin USDOT 679099

Safety Rating	Satisfactory
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	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Samuel Martin 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

Samuel Martin 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
Samuel Martin 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

Samuel Martin 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
Samuel Martin 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	BIPD/Primary	Northland Insurance Company	WN053730	$0	$750,000	01/01/2011	05/08/2013 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN379916	$0	$1,000,000	01/01/2003	01/01/2011 Replaced
91X	BIPD/Primary	Athena Assurance Company	AT05504369	$0	$1,000,000	01/01/2002	01/01/2003 Replaced
91X	BIPD/Primary	Sentry Select Insurance Company	CT7618138098-981	$0	$1,000,000	07/21/2000	01/01/2002 Replaced
91X	BIPD/Primary	Sentry Select Insurance Company	CT7618138098-981	$0	$1,000,000	12/23/1998	07/20/2000 Cancelled
91X	BIPD/Primary	Sentry Select Insurance Company	CT7618138098-981	$0	$1,000,000	12/23/1998	12/23/1998 Replaced
91X	BIPD/Primary	Sentry Select Insurance Company	CT7618138098-981	$0	$1,000,000	12/23/1998	09/18/1998 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP72213B	$0	$1,000,000	09/18/1998	12/23/1998 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP72213B	$0	$1,000,000	09/18/1998	12/23/1998 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP72213A	$0	$1,000,000	02/13/1997	10/23/1998Name Changed
91X	BIPD/Primary	Great West Casualty Co.	CLP72213A	$0	$1,000,000	02/13/1997	09/18/1998 Replaced
34	CARGO	Northland Insurance Company	TN342685	$0	$5,000*	01/01/2002	12/07/2011 Cancelled
34	CARGO	Sentry Select Insurance Company	CT7618138098-981	$0	$5,000*	07/20/2000	02/09/2002 Cancelled
34	CARGO	Sentry Select Insurance Company	CT7618138098-981	$0	$5,000*	07/20/2000	01/01/2002 Replaced
34	CARGO	Sentry Select Insurance Company	CT7618138098-981	$0	$5,000*	12/23/1998	07/20/2000 Cancelled
34	CARGO	Great West Casualty Co.	CLP72213B	$0	$5,000*	09/18/1998	02/02/1999 Cancelled
34	CARGO	Great West Casualty Co.	CLP72213B	$0	$5,000*	09/18/1998	12/23/1998 Replaced
34	CARGO	Great West Casualty Co.	CLP72213A	$0	$5,000*	02/13/1997	10/23/1998 Name Changed
34	CARGO	Great West Casualty Co.	CLP72213A	$0	$5,000*	02/13/1997	09/18/1998 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.';

Athena Assurance Company ONE TOWER SQUARE, CL PMU-AUTO-6GS HARTFORD, CT	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
Sentry Select Insurance Company 1800 NORTH POINT DR STEVENS POINT, WI Fax:(715)346 - 8913