S S M Trucking USDOT 2002875

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
S S M Trucking 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

S S M Trucking 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
S S M Trucking 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

S S M Trucking 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
S S M Trucking 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	Acuity, A Mutual Insurance Company	CA-X54880	$0	$750,000	12/16/2012	09/26/2014Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X54880	$0	$750,000	11/04/2012	01/22/2013Name Changed
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X54880	$0	$750,000	11/04/2012	12/16/2012Replaced
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 8309602	$0	$1,000,000	11/04/2011	11/04/2012Replaced
91X	BIPD/Primary	Western National Mutual Insurance Co.	1018689	$0	$10,000,000	12/07/2010	01/20/2011Cancelled
91X	BIPD/Primary	Western National Mutual Insurance Co.	1018689	$0	$10,000,000	12/07/2010	11/01/2010Replaced
91X	BIPD/Primary	Western National Mutual Insurance Co.	CID 1018689	$0	$1,000,000	11/01/2010	12/02/2011Cancelled
91X	BIPD/Primary	Western National Mutual Insurance Co.	CID 1018689	$0	$1,000,000	11/01/2010	11/04/2011Replaced
34	CARGO	Western National Mutual Insurance Co.	CID 1018689	$0	$5,000*	12/07/2010	12/02/2011 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.';

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

Artisan & Truckers Casualty Company P.O.BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555

Western National Mutual Insurance Co. 5350 WEST 78TH STREET MINNEAPOLIS, MN Fax:(952)921 - 3170