Black Ankle LLC USDOT 2591251

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Trustgard Insurance Company	XA 2644160	$0	$300,000	07/15/2015
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2644160	$0	$300,000	04/10/2015	08/05/2015 Cancelled
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA 2644160	$0	$300,000	04/10/2015	07/15/2015 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.';

Grange Indemnity Insurance Company 650 S FRONT ST COLUMBUS, OH Fax:(614)444 - 7777

Trustgard Insurance Company 650 S FRONT ST COLUMBUS, OH Fax:(614)445 - 3170