Bolock Rv, Inc. USDOT 1483831

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	WN115518	$0	$750,000	11/19/2013
91X	BIPD/Primary	Northland Insurance Company	WN058955	$0	$300,000	03/25/2011	11/19/2013 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN502812	$0	$1,000,000	03/09/2006	03/25/2011 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