M Beyzerman - Trucking Company

M BEYZERMAN 1417 220 PLACE SW BOTHELL, WA 98021   Motor Carrier (MC) Number: 524161 USDOT: 1060345 Total Trucks: 1      Total Drivers: 1 M Beyzerman is Carrier 425-482-6046   Does M Beyzerman transport Hazardous Material? No Carrier Operation:  Interstate M Beyzerman in Transport Business since 10/8/2002     Cargo Carried (marked X) by M Beyzerman - Washington Trucking Company Fresh Produce X General Freight Household Metal Sheet Motor Vehicles Towaway X Lumber X 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 Utilities Agricultural Farm Supplies X Construction Water Well

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M Beyzerman Safety Measurement System Data effective January 2012
Total Number of Inspections for the measurement period (24 months)	6
Total Number of Driver Inspections for the measurment period	6
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	0
M Beyzerman 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
M Beyzerman 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
M Beyzerman 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
M Beyzerman 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
M Beyzerman 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

M Beyzerman Insurance History
Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
34	CARGO	Northland Insurance Company	TN510822	$0	$5,000*	06/27/2006	06/16/2011 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN455915	$0	$1,000,000	05/19/2005	06/27/2006 Cancelled
34	CARGO	Northland Insurance Company	TN455915	$0	$5,000*	05/19/2005	06/27/2006 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.

M Beyzerman Insurance Companies Contact Information

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Phone:(651)310 - 4100 Fax:(651)310 - 4949

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