Adam Klocke Trucking USDOT 1711961

Total Number of Inspections for the measurement period (24 months)	1
Total Number of Driver Inspections for the measurment period	1
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Adam Klocke 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

Adam Klocke 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
Adam Klocke 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

Adam Klocke 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
Adam Klocke Trucking Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	10
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	Auto Owners Insurance Company	49-673542-00	$0	$750,000	12/01/2013
91X	BIPD/Primary	Northland Insurance Company	WN127607	$0	$750,000	06/10/2013	12/01/2013 Replaced
91X	BIPD/Primary	National Casualty Company	OPO0038033	$0	$750,000	12/07/2012	06/10/2013 Replaced
91X	BIPD/Primary	National Casualty Company	OPO0035128	$0	$1,000,000	12/07/2011	12/07/2012 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0035104	$0	$1,000,000	12/07/2010	12/07/2011 Cancelled
91X	BIPD/Primary	Argonaut-midwest Insurance Company	MC8006633	$0	$1,000,000	12/07/2009	12/07/2010 Cancelled
91X	BIPD/Primary	Argonaut-midwest Insurance Company	TP3379598	$0	$1,000,000	12/07/2008	12/07/2009 Cancelled
91X	BIPD/Primary	Classic Insurance Co	CA 6095701	$0	$1,000,000	12/07/2007	12/07/2008 Replaced
34	CARGO	National Casualty Company	OPO0035104	$0	$5,000*	12/07/2010	12/07/2011 Cancelled
34	CARGO	Argonaut-midwest Insurance Company	MC8006633	$0	$5,000*	12/07/2009	12/07/2010 Cancelled
34	CARGO	National Casualty Company	OPO0026315	$0	$5,000*	12/13/2008	12/13/2009 Cancelled
34	CARGO	National Casualty Company	OPO0026315	$0	$5,000*	12/13/2008	12/07/2009 Replaced
34	CARGO	National Casualty Company	OPO0024616	$0	$5,000*	12/13/2007	12/13/2008 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ
Classic Insurance Co P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555	Argonaut-midwest Insurance Company 8720 STONY POINT PARKWAY, STE: 300 RICHMOND, VA Fax:(804)327 - 3173