Gomez Transport USDOT 1893587

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
Gomez Transport 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

Gomez Transport 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
Gomez Transport 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

Gomez Transport 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
Gomez Transport Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	6
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	National Liability & Fire Ins Co.	73TRS053813	$0	$750,000	08/12/2015	?
91X	BIPD/Primary	Dongbu Insurance Co., Ltd (u.s.branch)	CCA-0003655-01	$0	$750,000	06/12/2015	08/12/2015 Replaced
91X	BIPD/Primary	Dongbu Insurance Co., Ltd (u.s.branch)	CCA-0003655-00	$0	$750,000	06/12/2014	06/12/2015 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-03	$0	$750,000	03/27/2014	05/30/2014 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-03	$0	$750,000	08/24/2013	03/27/2014 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-03	$0	$1,000,000	08/15/2013	08/24/2013 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-03	$0	$1,000,000	05/30/2013	08/15/2013 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-02	$0	$750,000	04/23/2013	05/27/2013 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-02	$0	$750,000	01/25/2013	04/23/2013 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-02	$0	$750,000	05/27/2012	01/25/2013 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-01	$0	$750,000	03/27/2012	05/27/2012 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-01	$0	$750,000	08/23/2011	03/27/2012 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-01	$0	$750,000	05/27/2011	08/23/2011 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH2724-00	$0	$1,000,000	04/27/2011	05/27/2011 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-00	$0	$1,000,000	12/21/2010	04/27/2011 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-00	$0	$1,000,000	10/22/2010	12/21/2010 Cancelled
91X	BIPD/Primary	Topa Insurance Company	TLH002724-00	$0	$750,000	05/27/2010	10/22/2010 Cancelled
91X	BIPD/Primary	Global Hawk Insurance Company, A Rrg	CTM391060	$0	$750,000	05/27/2009	05/27/2010 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.';

National Liability & Fire Ins Co. 3024 HARNEY STREET OMAHA, NE Fax:(402)916 - 3018

Topa Insurance Company 1800 AVENUE OF THE STARS 12TH FLOOR LOS ANGELES, CA Fax:(310)552 - 0725

Global Hawk Insurance Company, A Rrg 3090 INDEPENDENCE DRIVE., SUITE 244 LIVERMORE, CA Fax:(925)262 - 1901