Antonio Pantoja Zavala USDOT 1752494

Total Number of Inspections for the measurement period (24 months)	2
Total Number of Driver Inspections for the measurment period	2
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	2
Antonio Pantoja Zavala 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

Antonio Pantoja Zavala 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
Antonio Pantoja Zavala 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

Antonio Pantoja Zavala 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
Antonio Pantoja Zavala Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	2
Vehicle Maintenance BASIC Roadside Performance measure value	10
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	Century National Insurance Company	BAP0176313	$0	$1,000,000	07/27/2014
91X	BIPD/Primary	Century National Insurance Company	BAP0176313	$0	$1,000,000	07/27/2013	08/06/2014 Cancelled
91X	BIPD/Primary	Century National Insurance Company	BAP0176313	$0	$1,000,000	07/27/2013	07/27/2014 Replaced
91X	BIPD/Primary	Century National Insurance Company	BAP176313	$0	$1,000,000	07/27/2012	08/06/2013 Cancelled
91X	BIPD/Primary	Century National Insurance Company	BAP176313	$0	$1,000,000	07/27/2012	07/27/2013 Replaced
91X	BIPD/Primary	Century National Insurance Company	BAP176313	$0	$1,000,000	07/27/2012	11/06/2012 Cancelled
91X	BIPD/Primary	Century National Insurance Company	BAP176313	$0	$1,000,000	07/27/2012	07/27/2012 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.';

Century National Insurance Company 12200 SYLVAN ST. NORTH HOLLYWOOD, CA Fax:(818)509 - 1526