Jose R Gomez Trucking USDOT 638886

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	TN432698	$0	$1,000,000	12/07/2004	09/03/2006 Cancelled
91X	BIPD/Primary	Progressive County Mutual	CA 8306575	$0	$1,000,000	11/05/2011	06/28/2012 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN019624	$0	$750,000	11/05/2009	11/05/2011 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN432698	$0	$1,000,000	09/06/2004	12/07/2004 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN509119	$0	$750,000	09/03/2006	03/13/2008 Cancelled
91X	BIPD/Primary	Progressive County Mutual	CA 5375309	$0	$750,000	06/19/2009	11/05/2009 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN393966	$0	$1,000,000	03/24/2004	09/06/2004 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN509119	$0	$750,000	03/13/2008	04/25/2008 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949

Progressive County Mutual P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555