Blackburn Distributing USDOT 998708

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
Blackburn Distributing 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

Blackburn Distributing 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
Blackburn Distributing 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

Blackburn Distributing 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
Blackburn Distributing 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	Eastern Atlantic Insurance Company	TEA430003816	$0	$750,000	01/15/2016	?
91X	BIPD/Primary	Eastern Atlantic Insurance Company	TEA430003815	$0	$750,000	01/15/2015	01/15/2016 Cancelled
91X	BIPD/Primary	United Financial Casualty Company	CA 1301932	$0	$750,000	01/15/2014	01/15/2015 Replaced
91X	BIPD/Primary	Northland Insurance Company	WN017590	$0	$750,000	05/14/2010	02/12/2014 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN017590	$0	$750,000	05/14/2010	01/15/2014 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN636628	$0	$750,000	12/14/2009	05/14/2010 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN636628	$0	$750,000	09/09/2009	12/14/2009 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN509485	$0	$750,000	02/07/2007	09/09/2009 Cancelled
34	CARGO	Northland Insurance Company	WN017590	$0	$5,000*	05/14/2010	10/27/2011 Cancelled
34	CARGO	Northland Insurance Company	TN636628	$0	$5,000*	12/14/2009	05/14/2010 Cancelled
34	CARGO	Northland Insurance Company	TN636628	$0	$5,000*	09/09/2009	12/14/2009 Cancelled
34	CARGO	Northland Insurance Company	TN509485	$0	$5,000*	02/07/2007	09/09/2009 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

United Financial Casualty Company P. O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555

Eastern Atlantic Insurance Company 5300 DERRY ST. HARRISBURG, PA Fax:(717)561 - 1794