Henry S Jacobs USDOT 1026395

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	WN069023	$0	$1,000,000	04/11/2012
91X	BIPD/Primary	Northland Insurance Company	TN599752	$0	$1,000,000	04/28/2009	02/03/2012 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN494864	$0	$750,000	07/20/2006	04/28/2009 Replaced
91X	BIPD/Primary	National Casualty Company	OPO0020136	$0	$1,000,000	07/20/2005	07/20/2006 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0017796	$0	$1,000,000	07/20/2004	07/20/2005 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0017753	$0	$1,000,000	07/20/2003	07/20/2004 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0005566	$0	$1,000,000	12/23/2002	07/20/2003 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949

National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ