N A T USDOT 641161

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
N A T 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

N A T 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
N A T 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

N A T 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
N A T 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	TEA430003114	$0	$750,000	12/23/2014
91X	BIPD/Primary	Zurich American Insurance Company	8998653	$0	$750,000	12/23/2013	12/23/2014 Cancelled
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6021003-01	$0	$750,000	12/23/2012	12/23/2013 Cancelled
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6006564-1	$0	$750,000	02/10/2009	12/23/2012 Cancelled
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6006564-1	$0	$750,000	12/23/2007	02/10/2009 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN550088	$0	$750,000	12/23/2006	12/23/2007 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP17963A	$0	$1,000,000	12/23/2003	12/23/2006 Cancelled
91X	BIPD/Primary	Transguard Insurance Company Of America Inc.	TCP200985	$0	$1,000,000	12/23/2001	12/23/2003 Replaced
91X	BIPD/Primary	Gulf Insurance Co.	GA0496241	$0	$1,000,000	12/23/1999	12/23/2001 Cancelled
91X	BIPD/Primary	Travelers Indemnity Company	7 LHT 265 T 057-6-97	$0	$1,000,000	03/13/1997	07/26/1999 Cancelled
91X	BIPD/Primary	Sentry Select Insurance Company	735796 8696 964	$0	$750,000	03/13/1996	03/13/1997 Replaced
34	CARGO	Transguard Insurance Company Of America Inc.	TCP200985	$0	$5,000*	12/23/2001	02/07/2003 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	Sentry Select Insurance Company 1800 NORTH POINT DR STEVENS POINT, WI Fax:(715)346 - 8913
Transguard Insurance Company Of America Inc. 215 SHUMAN BLVD., SUITE 400 NAPERVILLE, IL Fax:(630)864 - 3579	Travelers Indemnity Company 1 TOWER SQUARE - 5GS HARTFORD, CT	Gulf Insurance Co. P O BOX 1771 DALLAS, TX
Maxum Casualty Insurance Company 3655 NORTH POINT PARKWAY ALPHARETTA, GA Fax:(678)597 - 4501	Eastern Atlantic Insurance Company 5300 DERRY ST. HARRISBURG, PA Fax:(717)561 - 1794	Zurich American Insurance Company 1400 AMERICAN LANE SCHAUMBURG, IL Fax:(410)261 - 7955