J Gomez Trucking USDOT 1940854

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	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
J Gomez Trucking Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	4.34
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

J Gomez Trucking Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	1
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	.33
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
J Gomez Trucking 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

J Gomez Trucking 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
J Gomez Trucking 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	Great West Casualty Co.	GWP97377A	$0	$1,000,000	02/06/2014	02/13/2014 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP97377A	$0	$1,000,000	02/03/2014	02/06/2014 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP97377A	$0	$1,000,000	06/13/2012	02/03/2014 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP92794A	$0	$1,000,000	02/29/2012	05/23/2012 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP89326A	$0	$750,000	09/22/2011	03/23/2012 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP89326A	$0	$750,000	09/22/2011	02/29/2012 Replaced
91X	BIPD/Primary	Federal Motor Carriers Risk Retention Group	ALD-2009-0047-01-10-217	$0	$750,000	04/30/2011	09/22/2011 Cancelled
91X	BIPD/Primary	Federal Motor Carriers Risk Retention Group	ALD2009-0047-01-10-217	$0	$750,000	09/22/2010	04/30/2011 Cancelled
91X	BIPD/Primary	Federal Motor Carriers Risk Retention Group	CAT2008-0011-01-09-820	$0	$750,000	09/22/2009	09/22/2010 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.';

Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400

Federal Motor Carriers Risk Retention Group 5114 ROUTE 33-34 NORTH., PO BOX 906 FARMINGDALE, NJ Fax:(732)751 - 0800