Belstra Trucking, Inc. USDOT 125404

Safety Rating	Satisfactory
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
Belstra Trucking, Inc. 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

Belstra Trucking, Inc. 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
Belstra Trucking, Inc. 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

Belstra Trucking, Inc. 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
Belstra Trucking, Inc. 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	West Bend Mutual Insurance Co.	0111038932	$0	$750,000	01/06/2014
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X59731	$0	$750,000	12/06/2013	12/06/2013 Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X59731	$0	$750,000	01/06/2013	02/04/2014 Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X59731	$0	$750,000	01/06/2013	01/06/2014 Replaced
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X59731	$0	$750,000	01/06/2013	01/06/2013 Replaced
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CTP0896658	$0	$750,000	01/06/2011	01/30/2013 Cancelled
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CTP0896658	$0	$750,000	01/06/2011	01/06/2013 Replaced
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-L32434	$0	$1,000,000	01/06/2006	01/06/2011 Replaced
91X	BIPD/Primary	National Casualty Company	OPO0019803	$0	$750,000	01/06/2005	01/06/2006 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0018188	$0	$750,000	01/06/2004	01/06/2005 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0017185	$0	$1,000,000	01/06/2003	01/06/2004 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0016106	$0	$1,000,000	01/06/2002	01/06/2003 Cancelled
91X	BIPD/Primary	Hanover Insurance Co.	TPS 032 60 11	$0	$1,000,000	01/06/1998	01/06/2002 Replaced
91X	BIPD/Primary	Great West Casualty Co.	CLP34993A	$0	$1,000,000	01/06/1994	08/13/1998 Cancelled
34	CARGO	Acuity, A Mutual Insurance Company	IM-L32434	$0	$5,000*	01/06/2006	04/10/2011 Cancelled
34	CARGO	National Casualty Company	OPO0019803	$0	$5,000*	01/06/2005	01/06/2006 Cancelled
34	CARGO	National Casualty Company	OPO0018188	$0	$5,000*	01/06/2004	01/06/2005 Cancelled
34	CARGO	National Casualty Company	OPO0017185	$0	$5,000*	01/06/2003	01/06/2004 Cancelled
34	CARGO	National Casualty Company	OPO0016106	$0	$5,000*	01/06/2002	01/06/2003 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.';

General Casualty Company Of Wisconsin ONE GENERAL DRIVE SUN PRAIRIE, WI Fax:(608)825 - 5100	Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ
Hanover Insurance Co. 100 NORTH PARKWAY WORCESTER, MA Fax:(508)853 - 4210	Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618	West Bend Mutual Insurance Co. 1900 SOUTH 18TH AVENUE WEST BEND, WI Fax:(608)410 - 3412