M T C USDOT 172051

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	1
Total Number of Vehicle Inspections for the measurement period	2
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
M T C Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	1.53
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

M T C 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
M T C 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

M T C 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
M T C Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	2
Vehicle Maintenance BASIC Roadside Performance measure value	9
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	Motorists Commercial Mutual Insurance Company	2360824	$0	$750,000	07/24/2013
91X	BIPD/Primary	New York Marine & General Ins. Co.	PK2012TOW00030	$0	$1,000,000	05/18/2012	07/24/2013 Cancelled
91X	BIPD/Primary	Navigators Insurance Company	CH09PKG014562	$0	$1,000,000	01/07/2010	05/08/2009 Replaced
91X	BIPD/Primary	Navigators Insurance Company	CH09PKG014562	$0	$1,000,000	05/08/2009	06/02/2012 Cancelled
91X	BIPD/Primary	Navigators Insurance Company	CH09PKG014562	$0	$1,000,000	05/08/2009	05/18/2012 Replaced
91X	BIPD/Primary	State National Insurance Co., Inc.	TIP-000213-B	$0	$1,000,000	05/18/2008	05/18/2009 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	TIP-000213-A	$0	$750,000	05/18/2007	05/18/2008 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	TIP-000213	$0	$1,000,000	05/18/2006	05/18/2007 Cancelled
91X	BIPD/Primary	Lincoln General Insurance Company	LTP102325-01	$0	$1,000,000	05/18/2005	05/18/2006 Cancelled
91X	BIPD/Primary	Lincoln General Insurance Company	LTP102325	$0	$1,000,000	05/18/2004	05/18/2005 Cancelled
91X	BIPD/Primary	Valley Forge Insurance Co.	226718454	$0	$1,000,000	05/18/2002	05/18/2004 Replaced
91X	BIPD/Primary	Valley Forge Insurance Co.	226709768	$0	$1,000,000	11/18/2000	07/04/2002 Cancelled
91X	BIPD/Primary	Valley Forge Insurance Co.	226709768	$0	$1,000,000	11/18/2000	05/18/2002 Replaced
91X	BIPD/Primary	American Guarantee & Liability Ins. Co.	BAP2885862	$0	$1,000,000	11/18/1999	11/18/2000 Cancelled
91X	BIPD/Primary	American States Insurance Co.	01CE599294	$0	$1,000,000	07/01/1999	11/18/1999 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN257499	$0	$1,000,000	01/14/1999	07/22/1999 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN243570	$0	$1,000,000	02/01/1998	01/14/1999 Cancelled
91	BIPD	American International South Insurance Co.	TIP2107503	$0	$750,000	01/31/1997	03/04/1998 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN218379	$0	$1,000,000	11/11/1996	01/31/1997 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN 202260	$0	$1,000,000	11/13/1993	11/11/1996 Cancelled
34	CARGO	State National Insurance Co., Inc.	TIP-000213-B	$0	$5,000*	05/18/2008	05/18/2009 Cancelled
34	CARGO	State National Insurance Co., Inc.	TIP-000213-A	$0	$5,000*	05/18/2007	05/18/2008 Cancelled
34	CARGO	State National Insurance Co., Inc.	TIP-000213	$0	$5,000*	05/18/2006	05/18/2007 Cancelled
34	CARGO	Lincoln General Insurance Company	LTP102325-01	$0	$5,000*	05/18/2005	05/18/2006 Cancelled
34	CARGO	Lincoln General Insurance Company	LTP102325	$0	$5,000*	05/18/2004	05/18/2005 Cancelled
34	CARGO	Valley Forge Insurance Co.	226718454	$0	$5,000*	05/18/2002	05/18/2004 Replaced
34	CARGO	American States Insurance Co.	01CE599294	$0	$5,000*	07/01/1999	05/18/2002 Replaced
34	CARGO	American International South Insurance Co.	TIP2107503	$0	$5,000*	01/31/1997	03/04/1998 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Navigators Insurance Company 1375 E. WOODFIED RD., STE: 720 SCHAUMBURG, IL Fax:(847)285 - 9003	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	American States Insurance Co. SAFECO PLAZA., P. O. BOX 34754 SEATTLE, WA Fax:(425)376 - 6533	American Guarantee & Liability Ins. Co. 1400 AMERICAN LANE T1-18 SCHAUMBURG, IL Fax:(410)261 - 7955
New York Marine & General Ins. Co. 412 M.T KEMBLE AVE, STE: 300C MORRISTOWN, NJ Fax:(855)200 - 1158	American International South Insurance Co. P. O. BOX 1024 MANCHESTER, NH Fax:(603)645 - 7114	Valley Forge Insurance Co. 2405 LUCIEN WAY MAITLAND, FL Fax:(407)670 - 0090
American Hardware Mutual Insurance P O BOX 435 MINNEAPOLIS, MN Fax:(844)841 - 5339