Russom Trucking, Inc. USDOT 894895

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	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Russom Trucking, Inc. 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

Russom Trucking, Inc. 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
Russom Trucking, Inc. 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

Russom Trucking, Inc. 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
Russom Trucking, Inc. 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	Employers Mutual Casualty Co.	4E7 93 69	$0	$1,000,000	08/13/2012
34	CARGO	Travelers Property Casualty Co. Of America	QT-660-7316R395-TIL-10	$0	$5,000*	08/13/2010
91X	BIPD/Primary	State National Insurance Co., Inc.	SAP008148	$0	$1,000,000	12/15/2011	08/13/2012 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	SAP008148	$0	$1,000,000	08/13/2011	12/15/2011 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	SAP004201	$0	$1,000,000	08/13/2010	08/13/2011 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	WPTKGA00004-01	$0	$750,000	08/13/2009	08/13/2010 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$750,000	08/13/2008	09/11/2009 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$750,000	08/13/2008	08/13/2009 Replaced
91X	BIPD/Primary	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$750,000	08/13/2008	06/09/2009 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$750,000	08/13/2008	08/13/2008 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN348567	$0	$1,000,000	08/13/2002	08/13/2008 Replaced
91X	BIPD/Primary	Lincoln General Insurance Company	PAP 227181 0801	$0	$750,000	08/16/2001	08/13/2002 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN283428	$0	$1,000,000	08/16/2000	10/10/2001 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN283428	$0	$1,000,000	08/16/2000	08/16/2000 Replaced
34	CARGO	State National Insurance Co., Inc.	WPTKGA00004-01	$0	$5,000*	08/13/2009	08/13/2010 Cancelled
34	CARGO	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$5,000*	08/13/2008	09/11/2009 Cancelled
34	CARGO	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$5,000*	08/13/2008	08/13/2009 Replaced
34	CARGO	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$5,000*	08/13/2008	06/09/2009 Cancelled
34	CARGO	State National Insurance Co., Inc.	WPTKGA000004-00	$0	$5,000*	08/13/2008	08/13/2008 Replaced
34	CARGO	Northland Insurance Company	TN348567	$0	$5,000*	08/13/2002	08/13/2008 Replaced
34	CARGO	Lincoln General Insurance Company	SPF 227181 0801	$0	$5,000*	08/16/2001	08/13/2002 Replaced
34	CARGO	Northland Insurance Company	TN283428	$0	$5,000*	08/16/2000	08/16/2001 Replaced
34	CARGO	Northland Insurance Company	TN283428	$0	$5,000*	08/16/2000	08/16/2000 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Travelers Property Casualty Co. Of America 1 TOWER SQUARE, 5GS HARTFORD, CT	Lincoln General Insurance Company 3501 CONCORD RD., P. O. BOX 12009 YORK, PA Fax:(717)757 - 7916
State National Insurance Co., Inc. 1900 L. DON DODSON BLVD. BEDFORD, TX Fax:(877)894 - 6930	Employers Mutual Casualty Co. 717 MULBERRY DES MOINES, IA Fax:(515)280 - 2975