Efrain Quintanilla USDOT 1755729

Total Number of Inspections for the measurement period (24 months)	1
Total Number of Driver Inspections for the measurment period	1
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Efrain Quintanilla 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

Efrain Quintanilla 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
Efrain Quintanilla 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

Efrain Quintanilla 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
Efrain Quintanilla Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	0
Vehicle Maintenance BASIC Roadside Performance measure value	0
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	Northland Insurance Company	WN179580	$0	$750,000	01/01/2016	?
91X	BIPD/Primary	Carolina Casualty Insurance Co.	499819	$0	$750,000	01/01/2015	01/27/2016 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	499819	$0	$750,000	01/01/2015	01/01/2016 Replaced
91X	BIPD/Primary	Northland Insurance Company	WN134918	$0	$750,000	04/20/2014	01/01/2015 Replaced
91X	BIPD/Primary	Northland Insurance Company	WN134918	$0	$750,000	01/01/2014	04/20/2014 Cancelled
91X	BIPD/Primary	Stratford Insurance Company	MCC0105373	$0	$750,000	01/01/2013	01/01/2014 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	OPI1071631	$0	$750,000	01/01/2012	01/01/2013 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	TPN-000326-A	$0	$750,000	01/01/2011	01/01/2012 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	TPN-000326	$0	$750,000	01/01/2010	01/01/2011 Replaced
34	CARGO	State National Insurance Co., Inc.	TPN-000326-A	$0	$5,000*	01/01/2011	04/28/2011 Cancelled
34	CARGO	State National Insurance Co., Inc.	TPN-000326	$0	$5,000*	01/01/2010	01/01/2011 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Carolina Casualty Insurance Co. P O BOX 2575 JACKSONVILLLE, FL Fax:(900)363 - 8088	State National Insurance Co., Inc. 1900 L. DON DODSON BLVD. BEDFORD, TX Fax:(877)894 - 6930
Stratford Insurance Company 400 PARSON''S POND DRIVE FRANKLIN LAKES, NJ Fax:(201)847 - 1010	Scottsdale Indemnity Company ONE NATIONWIDE PLAZA COLUMBUS, OH