Tri-fulton Trucking USDOT 1111933

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Pekin Insurance Co.	P678184	$0	$1,000,000	10/27/2012
34	CARGO	Great American Insurance Co.	IMP3657518	$0	$5,000*	10/27/2014
91X	BIPD/Primary	Great West Casualty Co.	GWP42453A	$0	$1,000,000	10/27/2006	11/14/2012 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP42453A	$0	$1,000,000	10/27/2006	10/27/2012 Replaced
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00011051	$0	$1,000,000	04/14/2003	10/27/2006 Replaced
34	CARGO	Great West Casualty Co.	GWP42453A	$0	$5,000*	10/27/2006	11/22/2013 Cancelled
34	CARGO	Great West Casualty Co.	GWP12974A	$0	$5,000*	03/31/2003	10/27/2006 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	Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095	Great American Insurance Co. 580 WALNUT ST. CINCINNATI, OH Fax:(513)287 - 8230
Pekin Insurance Co. 2505 COURT STREET PEKIN, IL Fax:(309)478 - 2143