H J Martens, Inc. USDOT 240911

Total Number of Inspections for the measurement period (24 months)	2
Total Number of Driver Inspections for the measurment period	2
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	2
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
H J Martens, Inc. 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

H J Martens, Inc. 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
H J Martens, 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

H J Martens, 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
H J Martens, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	7
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/Excess	Philadelphia Insurance Company	PHUB415513	$1,000,000	$5,000,000	06/02/2013
34	CARGO	Great West Casualty Co.	CLP87713B	$0	$5,000*	05/06/2004
91X	BIPD/Primary	Philadelphia Insurance Company	PHPK997565	$0	$1,000,000	06/02/2013	04/01/2015 Replaced
91X	BIPD/Excess	Farmland Mutual Insurance Co.	CU 128260A	$1,000,000	$5,000,000	04/01/2013	06/02/2013 Cancelled
91X	BIPD/Primary	Farmland Mutual Insurance Co.	CPP128260A	$0	$1,000,000	04/01/2013	06/02/2013 Cancelled
91X	BIPD/Primary	Philadelphia Insurance Company	PHPK997565	$0	$1,000,000	04/01/2013	04/01/2013 Replaced
91X	BIPD/Excess	Philadelphia Insurance Company	PHUB415513	$1,000,000	$5,000,000	04/01/2013	04/01/2013 Replaced
91X	BIPD/Primary	Nationwide Agribusiness Insurance Co.	CA 128260A	$0	$1,000,000	04/01/2009	04/01/2013 Replaced
91X	BIPD/Excess	Nationwide Agribusiness Insurance Co.	CU 128260A	$1,000,000	$5,000,000	04/01/2009	04/01/2013 Replaced
91X	BIPD/Excess	Empire Fire & Marine Insurance Co.	UM301040	$1,000,000	$5,000,000	04/01/2008	04/01/2009 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CP301040	$0	$1,000,000	04/01/2008	04/01/2009 Replaced
91X	BIPD/Excess	Empire Fire & Marine Insurance Co.	CP301040	$1,000,000	$5,000,000	04/01/2008	12/04/2008 Cancelled
91X	BIPD/Excess	Empire Fire & Marine Insurance Co.	UM301040	$1,000,000	$5,000,000	04/01/2008	04/01/2008 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL410777	$0	$5,000,000	04/01/2007	04/01/2008 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL0410700	$0	$5,000,000	04/01/2006	04/01/2007 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL410586	$0	$5,000,000	04/01/2005	04/01/2006 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL410474	$0	$1,000,000	04/04/2004	05/01/2004 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL410474	$0	$1,000,000	04/04/2004	04/01/2004 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL410474	$0	$5,000,000	04/01/2004	04/01/2005 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL410474	$0	$5,000,000	04/01/2004	05/01/2004 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL410474	$0	$5,000,000	04/01/2004	04/04/2004 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP87713B	$0	$1,000,000	03/17/2000	05/06/2004 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	CLP87713B	$0	$1,000,000	03/17/2000	04/01/2004 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP87713A	$0	$1,000,000	02/04/2000	03/17/2000 Cancelled
91X	BIPD/Excess	National Union Fire Ins. Co. Of Pitsbgh. Pa	BE 739-28-56	$1,000,000	$5,000,000	02/01/2000	04/01/2008 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP87713A	$0	$5,000,000	05/24/1999	03/17/2000 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	CLP87713A	$0	$500,000	02/09/1999	05/24/1999 Replaced
91X	BIPD/Primary	Stonington Insurance Company	PAL1001041	$0	$1,000,000	12/27/1992	03/02/1999 Cancelled
91X	BIPD/Excess	Stonington Insurance Company	PEX200376	$1,000,000	$5,000,000	12/27/1992	03/02/1999 Cancelled
34	CARGO	Great West Casualty Co.	CLP87713B	$0	$5,000*	01/15/2001	05/06/2004 Cancelled
34	CARGO	Federal Insurance Co.	52174	$0	$5,000*	12/27/1995	12/14/2000 Cancelled
34	CARGO	Fidelity & Casualty Co. Of New York	IM 957244	$0	$5,000*	12/27/1993	12/27/1995 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.';

Fidelity & Casualty Co. Of New York 2405 LUCIEN WAY MAITLAND, FL Fax:(407)670 - 0090	Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400	National Union Fire Ins. Co. Of Pitsbgh. Pa P. O. BOX 1024 MANCHESTER, NH Fax:(803)645 - 7114
Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE	Federal Insurance Co. 15 MOUNTAIN VIEW ROAD, BOX 1615 WARREN, NJ Fax:(908)903 - 2027	Stonington Insurance Company 5801 TENNYSON PARKWAY., STE: 600 PLANO, TX Fax:(972)239 - 0758
Farmland Mutual Insurance Co. 1100 LOCUST ST., DEPT. 3030 DES MOINES, IA Fax:(515)508 - 3694	Nationwide Agribusiness Insurance Co. 1100 LOCUST ST., DEPT 3030 DES MOINES, IA Fax:(515)508 - 3694	Philadelphia Insurance Company ONE BALA PLAZA, SUITE 100 BALA CYNWYD, PA Fax:(610)206 - 7885