Blachowske Truck Line, Inc. USDOT 124582

Safety Rating	Satisfactory
Total Number of Inspections for the measurement period (24 months)	59
Total Number of Driver Inspections for the measurment period	59
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	1
Total Number of Vehicle Inspections for the measurement period	21
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	5
Blachowske Truck Line, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	10
Unsafe Driving BASIC Roadside Performance Measure Value	1.52
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Blachowske Truck Line, Inc. Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	6
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	.46
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Blachowske Truck Line, Inc. Truck Driver Fitness Data
Number of inspections with at least one Truck Driver Fitness BASIC violation	2
Truck Driver Fitness BASIC Roadside Performance measure value	.13
Truck Driver Fitness BASIC Serious Violation Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Blachowske Truck Line, 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
Blachowske Truck Line, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	7
Vehicle Maintenance BASIC Roadside Performance measure value	2.52
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	Great West Casualty Co.	MCP00330A	$0	$1,000,000	11/01/2012
34	CARGO	Hartford Fire Insurance Company	45MS JP7250	$0	$5,000*	12/02/2009
91X	BIPD/Primary	State Nationalspecialty Insco/national Specia	TFM 500997	$0	$1,000,000	03/01/2012	11/20/2012 Cancelled
91X	BIPD/Primary	State Nationalspecialty Insco/national Specia	TFM 500997	$0	$1,000,000	03/01/2012	11/01/2012 Replaced
91X	BIPD/Primary	State Nationalspecialty Insco/national Specia	TFM 500873	$0	$1,000,000	05/01/2011	05/01/2012 Cancelled
91X	BIPD/Primary	State Nationalspecialty Insco/national Specia	TFM 500873	$0	$1,000,000	05/01/2011	03/01/2012 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP38436A	$0	$1,000,000	05/01/2006	06/06/2011 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP38436A	$0	$1,000,000	05/01/2006	05/01/2011 Replaced
91X	BIPD/Primary	Northland Insurance Company	TF310191	$0	$1,000,000	10/02/2001	05/29/2006 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TF310191	$0	$1,000,000	10/02/2001	05/01/2006 Replaced
91X	BIPD/Primary	Canal Insurance Co.	346309	$0	$1,000,000	09/01/2000	10/02/2001 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	CLP1960	$0	$1,000,000	09/01/1988	09/01/2000 Replaced
34	CARGO	Great West Casualty Co.	GWP38436A	$0	$5,000*	05/01/2006	12/02/2009 Replaced
34	CARGO	Northland Insurance Company	TF442109	$0	$5,000*	09/01/2004	05/29/2006 Cancelled
34	CARGO	Northland Insurance Company	TF442109	$0	$5,000*	09/01/2004	05/01/2006 Replaced
34	CARGO	Hartford Fire Insurance Company	83 MS RF3594	$0	$5,000*	09/01/2002	10/02/2004 Cancelled
34	CARGO	Hartford Fire Insurance Company	83 MS RF3594	$0	$5,000*	09/01/2002	09/01/2004 Replaced
34	CARGO	Travelers Property Casualty Co. Of America	QT660-141D065-6-TIL-01	$0	$5,000*	09/01/2001	09/01/2002 Replaced
34	CARGO	Hartford Fire Insurance Company	83MSLN5666	$0	$5,000*	09/01/2000	09/01/2001 Replaced
34	CARGO	Great West Casualty Co.	PP38663	$0	$5,000*	09/01/1986	09/01/2000 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.';

Hartford Fire Insurance Company ONE HARTFORD PLAZA 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
Canal Insurance Co. P O BOX 7 GREENVILLE, SC Fax:(864)679 - 2557	Travelers Property Casualty Co. Of America 1 TOWER SQUARE, 5GS HARTFORD, CT	State Nationalspecialty Insco/national Specia 1900 L. DON DODSON BLVD BEDFORD, TX Fax:(877)894 - 6930