Burbach Trucking LLC USDOT 916376

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Great West Casualty Co.	GWP04510A	$0	$750,000	12/11/2001	01/22/2004 Name Changed
91X	CARGO	Great West Casualty Co.	GWP04510A	$0	$5,000*	12/11/2001	01/22/2004 Name Changed
91X	BIPD/Primary	Great West Casualty Co.	GWP04510A	$0	$750,000	02/26/2004	01/11/2012 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.';

Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400