Belena Transport USDOT 2101711

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Qualitas Insurance Company	QCAD-93165-01	$0	$1,000,000	10/07/2015	?
91X	BIPD/Primary	Accident Insurance Company, Inc.	MAC-0001100-14-1058	$0	$1,000,000	03/31/2015	10/07/2015 Replaced
91X	BIPD/Primary	Accident Insurance Company, Inc.	MAC-0001100-14-1058	$0	$1,000,000	10/03/2014	03/31/2015 Cancelled
91X	BIPD/Primary	Accident Insurance Company, Inc.	MAC-0001100-12-1553	$0	$1,000,000	06/19/2014	08/23/2014 Cancelled
91X	BIPD/Primary	Accident Insurance Company, Inc.	MAC-0001100-12-1553	$0	$1,000,000	04/18/2014	06/19/2014 Cancelled
91X	BIPD/Primary	Accident Insurance Company, Inc.	MAC-0001100-12-1553	$0	$1,000,000	09/24/2013	04/18/2014 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	OPI1074160	$0	$750,000	08/05/2013	09/24/2013 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	OPI1074160	$0	$750,000	04/04/2013	08/05/2013 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	OPI1074160	$0	$750,000	01/04/2013	04/04/2013 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	OPI1074160	$0	$750,000	11/12/2012	01/04/2013 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	OPI1071112	$0	$750,000	09/23/2011	09/23/2012 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	OPI0012093	$0	$750,000	07/12/2011	09/23/2011 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.';

Scottsdale Indemnity Company ONE NATIONWIDE PLAZA COLUMBUS, OH

Accident Insurance Company, Inc. 3440 BLUE SPRING RD STE 203 KENNESAW, GA Fax:(866)409 - 3367