Theodore Joseph Grimes USDOT 527024

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
Theodore Joseph Grimes 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

Theodore Joseph Grimes 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
Theodore Joseph Grimes 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

Theodore Joseph Grimes 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
Theodore Joseph Grimes 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	Addison Insurance Company	60447558	$0	$1,000,000	06/05/2014
91X	BIPD/Primary	West Bend Mutual Insurance Co.	0110069727	$0	$750,000	04/30/2012	07/18/2014 Cancelled
91X	BIPD/Primary	West Bend Mutual Insurance Co.	0110069727	$0	$750,000	04/30/2012	06/05/2014 Replaced
91X	BIPD/Primary	West Bend Mutual Insurance Co.	0110074241	$0	$750,000	09/22/2011	06/01/2012 Cancelled
91X	BIPD/Primary	West Bend Mutual Insurance Co.	0110074241	$0	$750,000	09/22/2011	04/30/2012 Replaced
91	BIPD	West Bend Mutual Insurance Co.	011 007 4241	$0	$750,000	04/30/1996	10/22/2011 Cancelled
91	BIPD	West Bend Mutual Insurance Co.	011 007 4241	$0	$750,000	04/30/1996	09/22/2011 Replaced
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CAD18395	$0	$1,000,000	06/28/1993	06/24/1996 Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CAD18395	$0	$1,000,000	06/28/1993	04/30/1996 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

Addison Insurance Company 118 SECOND AVE., SE, P.O. BOX 73909 CEDAR RAPIDS, IA Fax:(630)691 - 9038

West Bend Mutual Insurance Co. 1900 SOUTH 18TH AVENUE WEST BEND, WI Fax:(608)410 - 3412