Wayne Self USDOT 376932

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Northland Insurance Company	TN392855	$0	$750,000	08/09/2003	09/13/2013 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 66 87 66	$0	$750,000	05/01/2003	08/09/2003 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 $75,000 for bond/trust fund). The carrier may actually have higher levels of coverage.';

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

Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095