Gritman Medical Center USDOT 2358596

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Mid-century Insurance Co.	60414-24-36	$0	$1,000,000	11/27/2012

* 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.';

Mid-century Insurance Co. 3041 COCHRAN ST. SIMI VALLEY, CA Fax:(805)526 - 4573