Don Savatski USDOT 633968

Total Number of Inspections for the measurement period (24 months)	0
Total Number of Driver Inspections for the measurment period	0
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
Don Savatski 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

Don Savatski 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
Don Savatski 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

Don Savatski 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
Don Savatski 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	Great West Casualty Co.	MCP05388A	$0	$1,000,000	07/23/2013	03/10/2014 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	MCP05388A	$0	$1,000,000	07/10/2013	08/28/2013Name Changed
91X	BIPD/Primary	Great West Casualty Co.	MCP05388A	$0	$1,000,000	07/10/2013	07/23/2013 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP41363A	$0	$1,000,000	09/07/2006	04/12/2007 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP41363A	$0	$1,000,000	09/07/2006	09/07/2006 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP30267A	$0	$1,000,000	06/20/2005	05/15/2006 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP30267A	$0	$1,000,000	05/24/2005	07/19/2005Name Changed
91X	BIPD/Primary	Great West Casualty Co.	GWP30267A	$0	$1,000,000	05/24/2005	06/20/2005 Replaced
91X	BIPD/Primary	Harco National Insurance Co.	TP3037620	$0	$1,000,000	02/25/2005	05/24/2005 Replaced
91X	BIPD/Primary	Harco National Insurance Co.	TP3037620	$0	$1,000,000	05/24/2004	02/25/2005 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN387655	$0	$1,000,000	05/24/2003	06/20/2004 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN387655	$0	$1,000,000	05/24/2003	05/24/2004 Replaced
91X	BIPD/Primary	Northland Casualty Insurance Company	TC336381	$0	$1,000,000	05/24/2002	05/24/2003 Replaced
91X	BIPD/Primary	Northland Insurance Company	TC336381	$0	$1,000,000	05/24/2002	05/24/2002 Replaced

* 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
Northland Casualty Insurance Company 385 WASHINGTON STREET., MAIL CODE 1 ST. PAUL, MN