K S H, Inc. USDOT 2162502

Total Number of Inspections for the measurement period (24 months)	4
Total Number of Driver Inspections for the measurment period	4
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
K S H, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	2
Unsafe Driving BASIC Roadside Performance Measure Value	25.61
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

K S H, Inc. Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	2
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	3
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
K S H, 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

K S H, 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
K S H, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	3
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	Northland Insurance Company	WN181529	$0	$750,000	01/21/2016	?
91X	BIPD/Primary	Great West Casualty Co.	MCP14986A	$0	$1,000,000	01/21/2015	01/21/2016 Replaced
91X	BIPD/Primary	Canal Insurance Co.	PIA07564901	$0	$750,000	01/21/2014	01/21/2015 Replaced
91X	BIPD/Primary	National Indemnity Company	70TRS020675	$0	$750,000	01/22/2013	01/21/2014 Cancelled
91X	BIPD/Primary	United Financial Casualty Company	CA 1995343	$0	$1,000,000	12/27/2012	02/16/2013 Cancelled
91X	BIPD/Primary	United Financial Casualty Company	CA 1995343	$0	$1,000,000	12/27/2012	01/22/2013 Replaced
91X	BIPD/Primary	United Financial Casualty Company	CA 1955340	$0	$1,000,000	12/05/2012	01/04/2013 Cancelled
91X	BIPD/Primary	United Financial Casualty Company	CA 1955340	$0	$1,000,000	12/05/2012	12/27/2012 Replaced
91X	BIPD/Primary	National Indemnity Company	70TRS016738	$0	$750,000	11/07/2012	12/09/2012 Cancelled
91X	BIPD/Primary	National Indemnity Company	70TRS016738	$0	$750,000	11/07/2012	12/05/2012 Replaced
91X	BIPD/Primary	National Indemnity Company	70TRS016738	$0	$750,000	01/24/2012	11/06/2012 Cancelled
91X	BIPD/Primary	National Indemnity Company	70TRS016738	$0	$750,000	12/06/2011	02/25/2012 Cancelled
91X	BIPD/Primary	National Indemnity Company	70TRS016738	$0	$750,000	12/06/2011	01/24/2012 Replaced
91X	BIPD/Primary	Harco National Insurance Co.	TP3042315	$0	$750,000	07/15/2011	12/02/2011 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.';

Harco National Insurance Co. 2850 WEST GOLF RD. ROLLING MEADOWS, IL Fax:(847)734 - 4089	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	United Financial Casualty Company P. O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555	National Indemnity Company 3024 HARNEY STREET OMAHA, NE Fax:(402)916 - 3018