Adams And Zeysing, Inc. USDOT 502872

Total Number of Inspections for the measurement period (24 months)	3
Total Number of Driver Inspections for the measurment period	3
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	2
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Adams And Zeysing, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	1.31
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Adams And Zeysing, 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
Adams And Zeysing, 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

Adams And Zeysing, 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
Adams And Zeysing, 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	Grange Mutual Casualty Co.	CPP2017946	$0	$1,000,000	03/21/2013
34	CARGO	Universal Underwriters Insurance Co.	314597	$0	$5,000*	03/21/2011
91X	BIPD/Primary	Grange Mutual Casualty Co.	CPP2641519	$0	$1,000,000	03/21/2012	03/21/2013 Replaced
91X	BIPD/Primary	Universal Underwriters Insurance Co.	314597	$0	$750,000	03/21/2011	03/21/2012 Replaced
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-K87997	$0	$750,000	03/21/2010	04/26/2011 Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-K87997	$0	$750,000	03/21/2010	03/21/2011 Replaced
91X	BIPD/Primary	Plaza Insurance Company	PTOWK000079-00	$0	$1,000,000	03/21/2009	03/21/2010 Cancelled
91X	BIPD/Primary	Redland Insurance Co.	RICTN0002155	$0	$1,000,000	03/21/2008	03/21/2009 Cancelled
91X	BIPD/Primary	Stonington Insurance Company	TOW003773-01	$0	$1,000,000	03/21/2007	03/21/2008 Cancelled
91X	BIPD/Primary	Stonington Insurance Company	TOW003773-00	$0	$1,000,000	03/21/2006	03/21/2007 Cancelled
91X	BIPD/Primary	Westport Insurance Corporation	WCP102000185702	$0	$1,000,000	03/21/2005	03/21/2006 Cancelled
91X	BIPD/Primary	Westport Insurance Corporation	WCP102000185701	$0	$1,000,000	03/21/2004	03/21/2005 Cancelled
91X	BIPD/Primary	Westport Insurance Corporation	WCP102000185700	$0	$1,000,000	03/21/2003	03/21/2004 Cancelled
91X	BIPD/Primary	Westport Insurance Corporation	WCP102000128200	$0	$1,000,000	03/21/2003	05/24/2003 Cancelled
91X	BIPD/Primary	Westport Insurance Corporation	WCP102000128200	$0	$1,000,000	03/21/2003	03/21/2003 Replaced
91X	BIPD/Primary	Westport Insurance Corporation	KB1580-1	$0	$1,000,000	01/10/2003	03/21/2003 Cancelled
34	CARGO	Acuity, A Mutual Insurance Company	IM-K87997	$0	$5,000*	03/21/2010	04/10/2011 Cancelled
34	CARGO	Acuity, A Mutual Insurance Company	IM-K87997	$0	$5,000*	03/21/2010	03/21/2011 Replaced
34	CARGO	Plaza Insurance Company	PTOWK000079-00	$0	$5,000*	03/21/2009	03/21/2010 Cancelled
34	CARGO	Redland Insurance Co.	RICTN0002204	$0	$5,000*	04/07/2008	03/21/2009 Cancelled
34	CARGO	Stonington Insurance Company	TOW003773-01	$0	$5,000*	03/21/2007	03/21/2008 Cancelled
34	CARGO	Stonington Insurance Company	TOW003773-00	$0	$5,000*	03/21/2006	03/21/2007 Cancelled
34	CARGO	Westport Insurance Corporation	WCP102000185702	$0	$5,000*	03/21/2005	03/21/2006 Cancelled
34	CARGO	Westport Insurance Corporation	WCP102000185701	$0	$5,000*	03/21/2004	03/21/2005 Cancelled
34	CARGO	Westport Insurance Corporation	WCP102000185700	$0	$5,000*	03/21/2003	03/21/2004 Cancelled
34	CARGO	Westport Insurance Corporation	WCP102000128200	$0	$5,000*	03/21/2003	05/24/2003 Cancelled
34	CARGO	Westport Insurance Corporation	WCP102000128200	$0	$5,000*	03/21/2003	03/21/2003 Replaced
34	CARGO	Westport Insurance Corporation	KB1580-1	$0	$5,000*	01/10/2003	03/21/2003 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.';

Westport Insurance Corporation 5200 METCALF AVE. P.O. BOX 2979 OVERLAND PARK, KS Fax:(913)676 - 6916	Redland Insurance Co. 5801 TENNYSON PARKWAY, STE: 600 PLANO, TX Fax:(214)693 - 3642	Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618
Stonington Insurance Company 5801 TENNYSON PARKWAY., STE: 600 PLANO, TX Fax:(972)239 - 0758	Grange Mutual Casualty Co. 650 SOUTH FRONT ST. COLUMBUS, OH Fax:(614)449 - 5130	Universal Underwriters Insurance Co. 7045 COLLEGE BLVD. OVERLAND PARK, KS
Plaza Insurance Company 700 WEST 47TH ST., STE: 350 KANSAS CITY, MO Fax:(816)412 - 7550