Office Systems Installation LLC USDOT 1457517

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X04773	$0	$750,000	10/24/2010
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-K23882	$0	$750,000	01/31/2006	12/08/2010Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-K23882	$0	$750,000	01/31/2006	10/24/2010Replaced
34	CARGO	Acuity, A Mutual Insurance Company	IM-X04773	$0	$5,000*	10/24/2010	04/16/2011 Cancelled
34	CARGO	Acuity, A Mutual Insurance Company	IM-K23882	$0	$5,000*	01/31/2006	12/08/2010 Cancelled
34	CARGO	Acuity, A Mutual Insurance Company	IM-K23882	$0	$5,000*	01/31/2006	10/24/2010 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.';

Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618