Larsen Harvesting & Trucking USDOT 1517278

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
Larsen Harvesting & 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

Larsen Harvesting & 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
Larsen Harvesting & 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

Larsen Harvesting & 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
Larsen Harvesting & 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	BIPD/Primary	Great West Casualty Co.	MCP05718A	$0	$1,000,000	08/03/2013
91X	BIPD/Primary	Great West Casualty Co.	MCP05718A	$0	$1,000,000	08/03/2013	08/03/2013 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN654819	$0	$750,000	06/01/2010	08/03/2013 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN654819	$0	$750,000	08/03/2009	06/01/2010 Cancelled
91X	BIPD/Primary	Progressive Casualty Insurance Company	CA 6513364	$0	$750,000	07/17/2008	08/03/2009 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP40091A	$0	$750,000	07/10/2006	07/29/2008 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP40091A	$0	$750,000	07/10/2006	07/17/2008 Replaced
34	CARGO	Northland Insurance Company	TN654819	$0	$5,000*	06/01/2010	09/09/2011 Cancelled
34	CARGO	Northland Insurance Company	TN654819	$0	$5,000*	08/04/2009	06/01/2010 Cancelled
34	CARGO	National Casualty Company	OPO0028451	$0	$5,000*	08/05/2008	08/05/2009 Cancelled
34	CARGO	Great West Casualty Co.	GWP40091A	$0	$5,000*	07/10/2006	07/29/2008 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.';

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	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ
Progressive Casualty Insurance Company P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555