Dwain Forby Trucking USDOT 562460

Total Number of Inspections for the measurement period (24 months)	0
Total Number of Driver Inspections for the measurment period	0
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
Dwain Forby Trucking 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

Dwain Forby Trucking 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
Dwain Forby Trucking 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

Dwain Forby Trucking 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
Dwain Forby Trucking 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	Progressive Casualty Insurance Company	CA 1661762	$0	$1,000,000	11/03/2004	06/20/2015
91X	BIPD/Primary	Progressive Casualty Insurance Company	CA 1661762-4	$0	$1,000,000	05/03/2004	11/03/2004 Cancelled
91X	BIPD/Primary	Progressive Casualty Insurance Company	CA 1661762-3	$0	$1,000,000	11/03/2003	05/03/2004 Cancelled
91X	BIPD/Primary	Progressive Casualty Insurance Company	CA 1661762-2	$0	$1,000,000	05/03/2003	11/03/2003 Cancelled
91X	BIPD/Primary	Progressive Casualty Insurance Company	CA 1661762-1	$0	$1,000,000	11/03/2002	05/03/2003 Cancelled
91X	BIPD/Primary	Progressive Casualty Insurance Company	CA 1661762-0	$0	$1,000,000	07/30/2002	11/03/2002 Cancelled
91X	BIPD/Primary	Milwaukee Mutual Insurance Co.	12-CO47378	$0	$1,000,000	04/27/1995	07/18/2002 Cancelled
91X	BIPD/Primary	Milwaukee Mutual Insurance Co.	12CO47378	$0	$1,000,000	03/01/1995	04/27/1995 Replaced
91X	BIPD/Primary	Milwaukee Mutual Insurance Co.	GA 12-CO 47378	$0	$1,000,000	04/27/1994	04/27/1995 Cancelled
34	CARGO	Milwaukee Mutual Insurance Co.	12-CO47378	$0	$5,000*	04/27/1995	07/18/2002 Cancelled
34	CARGO	Milwaukee Mutual Insurance Co.	IM12CO47378	$0	$5,000*	12/15/1994	04/27/1995 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.';

Progressive Casualty Insurance Company P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555

Milwaukee Mutual Insurance Co. 803 W. MICHIGAN MILWAUKEE, WI