John Boerman - Trucking Company

JOHN BOERMAN 1238 LINCOLN RD ALLEGAN, MI 49010   Motor Carrier (MC) Number: 218898 USDOT: 351295 Total Trucks: 1      Total Drivers: 1 John Boerman is Carrier 269-673-2983   269-673-2983   Carrier Operation:  N/A John Boerman in Transport Business since 4/18/1989     Cargo Carried (marked X) by John Boerman - Michigan Trucking Company X Fresh Produce X General Freight Household Metal Sheet Motor Vehicles Towaway Lumber Building Materials Mobile Homes Machinery Liquids Gases Intermodal Passengers Oilfield Equipment Livestock Grain Feed Hay Coal Meat Garbage USMail Chemicals DryBulk Refrigerated Food Beverages Paper Products Utilities Agricultural Farm Supplies Construction Water Well X Beding Plants

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John Boerman Safety Measurement System Data effective January 2012
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	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
John Boerman 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
John Boerman 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
John Boerman 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
John Boerman 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
John Boerman 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

John Boerman Insurance History
Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Amerisure Mutual Insurance Company	CA1103557	$0	$1,000,000	03/26/2005	02/09/2006 Cancelled
91X	BIPD/Primary	Zurich American Insurance Company	TRK9451135	$0	$750,000	02/09/2010	02/09/2011 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL672410	$0	$750,000	02/09/2009	02/09/2010 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL671946	$0	$1,000,000	02/09/2008	02/09/2009 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL671382	$0	$1,000,000	02/09/2007	02/09/2008 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL670878	$0	$1,000,000	02/09/2006	02/09/2007 Cancelled
91X	BIPD/Primary	Amerisure Mutual Insurance Company	CA1103557	$0	$1,000,000	02/09/2005	03/26/2005 Cancelled
91X	BIPD/Primary	Amerisure Mutual Insurance Company	CA1103557	$0	$1,000,000	02/09/1997	02/11/2005 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.

John Boerman Insurance Companies Contact Information
Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE Phone:(888)680 - 8003	Amerisure Mutual Insurance Company 26777 HALSTED ROAD, P.O. BOX 9201 FARMINGTON HILLS, MI Phone:(248)426 - 7792 Fax:(248)426 - 7796	Zurich American Insurance Company 1400 AMERICAN LANE SCHAUMBURG, IL Phone:(800)821 - 4635 Fax:(410)261 - 7955

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