Black Scorpion Enterprises, Inc. USDOT 2146879

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	National Indemnity Company	70TRS043172	$0	$750,000	01/28/2015	10/07/2015 Cancelled
91X	BIPD/Primary	Zurich American Insurance Company	PRA5509924	$0	$1,000,000	12/02/2013	01/13/2015 Cancelled
91X	BIPD/Primary	Westfield Insurance Co.	CSP 0 261 172	$0	$750,000	07/22/2013	12/02/2013 Replaced
91X	BIPD/Primary	Auto Owners Insurance Company	4947696200	$0	$750,000	05/03/2013	09/05/2013 Cancelled
91X	BIPD/Primary	Auto Owners Insurance Company	4947696200	$0	$750,000	05/03/2013	07/22/2013 Replaced
34	CARGO	Auto Owners Insurance Company	05476962	$0	$5,000*	05/03/2013	09/05/2013 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.';

Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796	Westfield Insurance Co. ONE PARK CIRCLE, PO BOX 5001 WESTFIELD CENTER, OH Fax:(330)887 - 0840	National Indemnity Company 3024 HARNEY STREET OMAHA, NE Fax:(402)916 - 3018
Zurich American Insurance Company 1400 AMERICAN LANE SCHAUMBURG, IL Fax:(410)261 - 7955