Miroslaw Jazowski Trucking, Inc. USDOT 1986182

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Grange Indemnity Insurance Company	XA-2740416	$0	$1,000,000	04/02/2010	05/14/2011Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN632422	$0	$750,000	01/26/2010	04/02/2010Replaced

* 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

Grange Indemnity Insurance Company 650 S FRONT ST COLUMBUS, OH Fax:(614)444 - 7777