Juan Alberto Gomez USDOT 2201053

Total Number of Inspections for the measurement period (24 months)	11
Total Number of Driver Inspections for the measurment period	11
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	8
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	2
Juan Alberto Gomez Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	10
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Juan Alberto Gomez 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
Juan Alberto Gomez 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

Juan Alberto Gomez 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
Juan Alberto Gomez Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	2
Vehicle Maintenance BASIC Roadside Performance measure value	3.13
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	Spirit Commercial Auto Rr Group, Inc	CAC 00001-01495-14	$0	$750,000	09/06/2014
91X	BIPD/Primary	Spirit Commercial Auto Rr Group, Inc	CAC 00001-01495-13	$0	$750,000	09/05/2013	09/07/2014 Cancelled
91X	BIPD/Primary	Dongbu Insurance Co., Ltd (u.s.branch)	CCA-0001020-00	$0	$750,000	09/05/2012	09/05/2013 Cancelled
91X	BIPD/Primary	Sutter Insurance Company	MTP0012648	$0	$750,000	10/13/2011	09/19/2012 Cancelled
91X	BIPD/Primary	Sutter Insurance Company	MTP0012648	$0	$750,000	10/13/2011	09/05/2012 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.';

Sutter Insurance Company 1301 REDWOOD WAY - SUITE #120 PETALUMA, CA Fax:(707)793 - 0909