Dave Black Trucking, Inc. USDOT 331893

Total Number of Inspections for the measurement period (24 months)	5
Total Number of Driver Inspections for the measurment period	5
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Dave Black Trucking, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	.71
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Dave Black 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
Dave Black 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

Dave Black 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
Dave Black 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	Northland Insurance Company	WN138324	$0	$750,000	12/07/2013
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6020904-01	$0	$750,000	08/01/2013	01/10/2014 Cancelled
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6020904-01	$0	$750,000	08/01/2013	12/07/2013 Replaced
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6020904-01	$0	$750,000	12/07/2012	08/01/2013 Cancelled
91X	BIPD/Primary	National Casualty Company	LTO0001408	$0	$750,000	06/30/2011	12/07/2012 Cancelled
91X	BIPD/Primary	National Casualty Company	LTO0001408	$0	$750,000	12/07/2010	06/30/2011 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 069 78 44	$0	$750,000	12/07/2009	12/07/2010 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL561454	$0	$750,000	12/07/2008	12/07/2009 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL561166	$0	$750,000	12/02/2008	12/20/2008 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL561166	$0	$750,000	12/02/2008	12/07/2008 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL561166	$0	$750,000	06/17/2008	12/02/2008 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL561166	$0	$750,000	06/17/2008	06/17/2008 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL561166	$0	$750,000	12/07/2007	06/17/2008 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL560855	$0	$750,000	12/07/2006	12/07/2007 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL560546	$0	$1,000,000	12/07/2005	12/27/2006 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL560546	$0	$1,000,000	12/07/2005	12/07/2006 Replaced
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00014807	$0	$1,000,000	12/07/2004	12/07/2005 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00014159	$0	$1,000,000	09/19/2004	12/07/2004 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00014159	$0	$1,000,000	12/07/2003	09/19/2004 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00008106	$0	$1,000,000	09/25/2003	12/07/2003 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00008106	$0	$1,000,000	12/07/2002	09/25/2003 Cancelled
91X	BIPD/Primary	Acceptance Insurance Company	CT 17500180	$0	$1,000,000	09/11/2002	12/07/2002 Cancelled
91X	BIPD/Primary	Acceptance Insurance Company	CT17500180	$0	$1,000,000	12/07/2001	09/11/2002 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL765468	$0	$1,000,000	06/27/2001	12/07/2001 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL765468	$0	$1,000,000	12/07/2000	07/27/2001Name Changed
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL765468	$0	$1,000,000	12/07/2000	06/27/2001 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL751535	$0	$1,000,000	12/07/1999	12/07/2000 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	CLP75723A	$0	$1,000,000	05/17/1997	01/12/2000 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	CLP75723A	$0	$1,000,000	05/17/1997	12/07/1999 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP75723A	$0	$1,000,000	05/17/1997	05/17/1997 Replaced
91X	BIPD/Primary	Auto Owners Insurance Company	88040407487795	$0	$1,000,000	05/19/1990	05/17/1997 Replaced
34	CARGO	Empire Fire & Marine Insurance Co.	CL560855	$0	$5,000*	12/07/2006	12/07/2007 Cancelled
34	CARGO	Great American Insurance Company Of New York	IMP118-16-13	$0	$5,000*	12/07/1999	12/07/2001 Cancelled
34	CARGO	Great American Insurance Company Of New York	IMP118-16-13	$0	$5,000*	12/07/1999	07/27/2001 Name Changed
34	CARGO	Great American Insurance Company Of New York	IMP118-16-13	$0	$5,000*	12/07/1999	12/07/1999 Replaced
34	CARGO	Great West Casualty Co.	CLP75723A	$0	$5,000*	05/17/1997	01/12/2000 Cancelled
34	CARGO	Great West Casualty Co.	CLP75723A	$0	$5,000*	05/17/1997	12/07/1999 Replaced
34	CARGO	Great West Casualty Co.	CLP75723A	$0	$5,000*	05/17/1997	05/17/1997 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.';

Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400	Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095
Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ	Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE
Acceptance Insurance Company 302 SOUTH 36 ST, P.O. BOX 3328 OMAHA, NE Fax:(402)342 - 0096	Great American Insurance Company Of New York 580 WALNUT ST. CINCINNATI, OH Fax:(513)369 - 3655	Maxum Casualty Insurance Company 3655 NORTH POINT PARKWAY ALPHARETTA, GA Fax:(678)597 - 4501