Champagne Services - Trucking Company

CHAMPAGNE SERVICES 1222 SOUTH PERKINS FERRY RD LAKE CHARLES, LA 70611   USDOT: 1314519 Total Trucks: 2      Total Drivers: 1 Champagne Services is Carrier 337-855-5158   337-855-7057   Does Champagne Services transport Hazardous Material? No Carrier Operation:  Interstate Champagne Services in Transport Business since 12/21/2004     Cargo Carried (marked X) by Champagne Services - Louisiana Trucking Company Fresh Produce X General Freight Household Metal Sheet Motor Vehicles Towaway Lumber Building Materials Mobile Homes X Machinery Liquids Gases Intermodal Passengers Oilfield Equipment Livestock Grain Feed Hay Coal Meat Garbage USMail Chemicals DryBulk Refrigerated Food Beverages Paper Products X Utilities Agricultural Farm Supplies Construction Water Well X Utility

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Champagne Services Safety Measurement System Data effective January 2012
Total Number of Inspections for the measurement period (24 months)	4
Total Number of Driver Inspections for the measurment period	4
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	4
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
Champagne Services Unsafe Truck Driving Data
Unsafe Truck Driving BASIC Roadside Performance Percentile	0
Unsafe Truck Driving BASIC Roadside Performance Over Threshold Indicator (Y = Over Intervention Threshold)	N
Unsafe Truck Driving BASIC Serious Violation Indicator (Y = Serious Violation from investigation within previous 12 months)	N
Unsafe Truck Driving Overall BASIC Indicator (Y - Roadside Performance Percentile over threshold and/or Serious Violation within previous 12 months)	N
Champagne Services Fatigued Truck Driving Data
Fatigued Truck Driving (Hours-of-Service) BASIC Roadside Performance Percentile	0
Fatigued Truck Driving (Hours-of-Service) BASIC Roadside Performance Over Threshold Indicator (Y = Over Intervention Threshold)	N
Fatigued Truck Driving (Hours-of-Service) BASIC Serious Violation Indicator (Y = Serious Violation within previous 12 months)	N
Fatigued Truck Driving (Hours-of-Service) BASIC Indicator (Y - Roadside Performance Percentile over threshold and/or Serious Violation within previous 12 months)	N
Champagne Services Truck Driver Fitness Data
Truck Driver Fitness BASIC Roadside Performance Percentile	0
Truck Driver Fitness BASIC Roadside Performance Over Threshold Indicator (Y = Over Intervention Threshold)	N
Truck Driver Fitness BASIC Serious Violation Indicator (Y = Serious Violation from investigation within previous 12 months)	N
Truck Driver Fitness BASIC Indicator (Y - Roadside Performance Percentile over threshold and/or Serious Violation within previous 12 months)	N
Champagne Services Controlled Substances and Alcohol Data
Controlled Substances and Alcohol BASIC Roadside Performance Percentile	0
Controlled Substances and Alcohol BASIC Roadside Performance Over Threshold Indicator (Y = Over Intervention Threshold)	N
Controlled Substances and Alcohol BASIC Serious Violation Indicator (Y = Serious Violation from investigation within previous 12 months)	N
Controlled Substances and Alcohol BASIC Indicator (Y - Roadside Performance Percentile over threshold and/or Serious Violation within previous 12 months)	N
Champagne Services Vehicle Maintenance Data
Vehicle Maintenance BASIC Roadside Performance Percentile	0
Vehicle Maintenance BASIC Roadside Performance Over Threshold Indicator (Y = Over Intervention Threshold)	N
Vehicle Maintenance BASIC Serious Violation Indicator (Y = Serious Violation from investigation within previous 12 months)	N
Vehicle Maintenance BASIC Indicator (Y - Roadside Performance Percentile over threshold and/or Serious Violation within previous 12 months)	N

Champagne Services Insurance History
Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
34	CARGO	Underwriters At Lloyds London	0510ZWGKLN0000763	$0	$5,000*	12/13/2011	12/13/2011 Cancelled
34	CARGO	Underwriters At Lloyds London	0510ZWGKLN0000763	$0	$5,000*	12/13/2010	03/13/2011 Cancelled
91X	BIPD/Primary	Gemini Insurance Company	PEL0007075	$0	$1,000,000	12/13/2010	12/13/2011 Cancelled
91X	BIPD/Primary	Gemini Insurance Company	PEL0007075	$0	$1,000,000	12/13/2010	03/13/2011 Cancelled
91X	BIPD/Primary	Hallmark Specialty Insurance Company	LAA800881	$0	$1,000,000	12/13/2009	12/13/2010 Cancelled
91X	BIPD/Primary	Hallmark Specialty Insurance Company	LAA800881	$0	$1,000,000	12/13/2009	10/02/2010 Cancelled
34	CARGO	Underwriters At Lloyds London	2001OSMPC0902971-038	$0	$5,000*	12/13/2009	10/08/2010 Cancelled
91X	BIPD/Primary	Lincoln General Insurance Company	LG100104053	$0	$750,000	12/13/2008	01/22/2009 Replaced
34	CARGO	Lincoln General Insurance Company	LG10010455	$0	$5,000*	12/13/2008	12/13/2009 Cancelled
35	BIPD	Southern Insurance Company	LCA006343-02	$0	$1,000,000	12/13/2008	Cancelled
35	CARGO	Underwriters At Lloyds London	2987ZWGLLY0000240	$0	$5,000*	12/13/2008	Cancelled
34	CARGO	Underwriters At Lloyds London	2987ZWGLLY0000240	$0	$5,000*	12/13/2007	10/15/2008 Cancelled
91X	BIPD/Primary	Southern Insurance Company	LCA006343-02	$0	$1,000,000	12/13/2007	12/13/2008 Cancelled
91X	BIPD/Primary	Southern Insurance Company	LCA006343-02	$0	$1,000,000	12/13/2007	12/13/2007 Replaced
91X	BIPD/Primary	Southern Insurance Company	LCA006343-02	$0	$1,000,000	12/13/2007	10/15/2008 Cancelled
34	CARGO	Underwriters At Lloyds London	2987ZWGLLY0000240	$0	$5,000*	12/13/2007	12/13/2007 Replaced
34	CARGO	Underwriters At Lloyds London	2987ZWGLLY0000240	$0	$5,000*	12/13/2007	12/13/2008 Cancelled
91X	BIPD/Primary	Southern Insurance Company	LCA006343-01	$0	$1,000,000	12/13/2006	12/13/2007 Cancelled
34	CARGO	Underwriters At Lloyds London	LLY0000174	$0	$5,000*	12/13/2006	12/13/2007 Cancelled
91X	BIPD/Primary	Southern Insurance Company	LCA006343-0	$0	$1,000,000	12/07/2005	12/07/2006 Cancelled
34	CARGO	Underwriters At Lloyds London	LLY0000060	$0	$5,000*	12/07/2005	12/07/2006 Cancelled
34	CARGO	National Fire & Marine Insurance Co.	72TRN304929	$0	$5,000*	12/03/2004	12/03/2005 Cancelled
91X	BIPD/Primary	National Fire & Marine Insurance Co.	72TRN304929	$0	$1,000,000	12/03/2004	12/03/2005 Cancelled
34	CARGO	Underwriters At Lloyds London	2001OSMPC0902971-038	$0	$5,000*	10/05/2010	12/13/2010 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	JP10010405301	$0	$750,000	01/22/2009	12/13/2009 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 $10,000 for bond/trust fund). The carrier may actually have higher levels of coverage.

Champagne Services Insurance Companies Contact Information
Underwriters At Lloyds London 181 W. MADISON, SUITE 3870 CHICAGO, IL Phone:(312)407 - 6219 Fax:(312)407 - 6229	Lincoln General Insurance Company 3501 CONCORD RD., P. O. BOX 12009 YORK, PA Phone:(717)757 - 0000 Fax:(717)757 - 7916	State National Insurance Co., Inc. 1900 L. DON DODSON BLVD. BEDFORD, TX Phone:(800)877 - 4567 Fax:(877)894 - 6930
National Fire & Marine Insurance Co. 3024 HARNEY STREET OMAHA, NE Phone:(402)916 - 3000 Fax:(402)916 - 3018	Southern Insurance Company P.O. BO5525 LBJ FREEWAY DALLAS, TX Phone:(972)788 - 6801 Fax:(972)788 - 6609	Gemini Insurance Company 100 CAMPUS DR., P.O. BOX 853 FLORHAM PARK, NJ Phone:(973)301 - 8157 Fax:(973)301 - 8157
Hallmark Specialty Insurance Company 777 MAIN STREET, STE: 1000 FORT WORTH, TX Phone:(877)832 - 6642 Fax:(817)348 - 1646

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