Robert E Black Jr Trucking USDOT 299511

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
Robert E Black Jr 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

Robert E Black Jr 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
Robert E Black Jr 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

Robert E Black Jr 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
Robert E Black Jr 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	Northland Insurance Company	TN650377	$0	$750,000	10/10/2009	05/26/2011 Cancelled
91X	CARGO	Northland Insurance Company	TN650377	$0	$5,000*	10/10/2009	05/26/2011 Cancelled
91X	CARGO	American Equity Specialty Insurance Company	GT102490	$0	$5,000*	10/06/2008	10/10/2009 Replaced
91X	BIPD/Primary	American Equity Specialty Insurance Company	GT102490	$0	$750,000	10/06/2008	10/10/2009 Replaced
91X	CARGO	Northland Insurance Company	TN405534	$0	$5,000*	08/23/2003	02/10/2005 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN405534	$0	$1,000,000	08/23/2003	02/10/2005 Cancelled
91X	BIPD/Primary	Auto Owners Insurance Company	41-270340-01	$0	$1,000,000	07/10/2003	07/10/2003 Replaced
91X	BIPD/Primary	Auto Owners Insurance Company	96-775375-00	$0	$1,000,000	07/10/2003	10/10/2003 Cancelled
91X	BIPD/Full (2)	Auto Owners Insurance Company	85020407453306	$0	$750,000	07/10/1987	01/10/1998 Replaced
91X	CARGO	Auto Owners Insurance Company	86600407459375	$0	$5,000*	06/24/1987	04/08/1997 Cancelled
91X	CARGO	Auto Owners Insurance Company	86600407459375	$0	$5,000*	06/24/1987	02/20/1997 Replaced
91X	BIPD/Primary	Northland Insurance Company	WN046583	$0	$750,000	05/26/2011
91X	CARGO	Auto Owners Insurance Company	864604 07233522	$0	$5,000*	02/20/2003	08/23/2003 Replaced
91X	CARGO	Auto Owners Insurance Company	864 604 070 435 42	$0	$5,000*	02/20/1997	02/20/2003 Replaced
91X	CARGO	Auto Owners Insurance Company	864 604 070 435 42	$0	$5,000*	02/20/1997	04/10/2003 Cancelled
91X	CARGO	Northland Insurance Company	TN441165	$0	$5,000*	02/10/2005	01/13/2006 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN441165	$0	$1,000,000	02/10/2005	01/13/2006 Cancelled
91X	CARGO	Northland Insurance Company	TN482499	$0	$5,000*	01/13/2006	10/06/2008 Replaced
91X	CARGO	Northland Insurance Company	TN482499	$0	$5,000*	01/13/2006	11/17/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN482499	$0	$750,000	01/13/2006	10/06/2008 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN482499	$0	$750,000	01/13/2006	11/17/2008 Cancelled
91X	BIPD/Primary	Auto Owners Insurance Company	41-270340-00	$0	$1,000,000	01/10/1998	07/23/2003 Cancelled
91X	BIPD/Primary	Auto Owners Insurance Company	41-270340-00	$0	$1,000,000	01/10/1998	07/10/2003 Replaced
91X	BIPD/Primary	Auto Owners Insurance Company	41-270340-00	$0	$750,000	01/10/1998	01/10/1998 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949

American Equity Specialty Insurance Company 385 WASHINGTON ST. ST. PAUL, MN Fax:(651)310 - 4123

Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796