Lloyd Bultsma Trucking, Inc. USDOT 692522

Total Number of Inspections for the measurement period (24 months)	28
Total Number of Driver Inspections for the measurment period	28
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	10
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Lloyd Bultsma Trucking, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	5
Unsafe Driving BASIC Roadside Performance Measure Value	4.11
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Lloyd Bultsma Trucking, 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
Lloyd Bultsma Trucking, 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

Lloyd Bultsma Trucking, 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
Lloyd Bultsma Trucking, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	.05
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.	CLP90134N	$0	$1,000,000	10/30/2012
91X	BIPD/Primary	Great West Casualty Co.	CLP90134N	$0	$1,000,000	10/30/2012	10/30/2012 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP76680A	$0	$1,000,000	06/12/1997	10/30/2012 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