Derick Martin - Trucking Company

DERICK MARTIN 385 BENDER ROAD HANOVER, PA 17331   Motor Carrier (MC) Number: 432823 USDOT: 1020683 Total Trucks: 1      Total Drivers: 1 Derick Martin is Carrier 717-633-9707   Does Derick Martin transport Hazardous Material? No Carrier Operation:  Interstate Derick Martin in Transport Business since 4/17/2002     Cargo Carried (marked X) by Derick Martin - Pennsylvania Trucking Company Fresh Produce X General Freight Household Metal Sheet Motor Vehicles Towaway Lumber Building Materials Mobile Homes Machinery Liquids Gases Intermodal Passengers Oilfield Equipment Livestock X Grain Feed Hay Coal Meat Garbage USMail Chemicals X DryBulk Refrigerated Food Beverages Paper Products Utilities Agricultural Farm Supplies Construction Water Well

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Derick Martin Safety Measurement System Data effective January 2012
Total Number of Inspections for the measurement period (24 months)	5
Total Number of Driver Inspections for the measurment period	5
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	2
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Derick Martin 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
Derick Martin 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
Derick Martin 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
Derick Martin 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
Derick Martin 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

Derick Martin 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	Progressive Northern Insurance Company	CA 1551490-1	$0	$750,000	09/19/2002	03/19/2003 Cancelled
34	CARGO	Daily Underwriters Of America	PAP DUOA 26705	$0	$5,000*	09/18/2008	06/12/2011 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP24652A	$0	$1,000,000	09/18/2004	09/18/2008 Replaced
34	CARGO	Great West Casualty Co.	GWP24652A	$0	$5,000*	09/18/2004	09/18/2008 Replaced
91X	BIPD/Primary	Canal Insurance Co.	442564	$0	$1,000,000	09/18/2003	09/18/2004 Cancelled
34	CARGO	Canal Insurance Co.	C306982	$0	$5,000*	09/18/2003	09/18/2004 Replaced
34	CARGO	Underwriters At Lloyds London	02CME272-CP10019	$0	$5,000*	07/23/2002	07/23/2003 Cancelled
91X	BIPD/Primary	Progressive Northern Insurance Company	CA 1551490-0	$0	$750,000	07/11/2002	09/19/2002 Cancelled
91X	BIPD/Primary	Progressive Northern Insurance Company	CA 1551490-2	$0	$750,000	03/19/2003	09/19/2003 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.

Derick Martin Insurance Companies Contact Information
Underwriters At Lloyds London 181 W. MADISON, SUITE 3870 CHICAGO, IL Phone:(312)407 - 6219 Fax:(312)407 - 6229	Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Phone:(800)228 - 8602 Fax:(402)494 - 7400	Canal Insurance Co. P O BOX 7 GREENVILLE, SC Phone:(864)527 - 6700 Fax:(864)679 - 2557
Progressive Northern Insurance Company P.O. BOX 94739 CLEVELAND, OH Phone:(800)444 - 4487 Fax:(440)603 - 4555	Daily Underwriters Of America 1072 HARRISBURG PIKE CARLISLE, PA Phone:(717)240 - 2185

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