Robert Dwaine Simon USDOT 1764151

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
Robert Dwaine Simon 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

Robert Dwaine Simon 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
Robert Dwaine Simon 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

Robert Dwaine Simon 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
Robert Dwaine Simon 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	Integon National Insurance Company	2003066854	$0	$750,000	02/16/2016	03/12/2016 Cancelled
91X	BIPD/Primary	Integon National Insurance Company	2003066854	$0	$750,000	12/17/2015	02/16/2016 Cancelled
91X	BIPD/Primary	Integon National Insurance Company	2003066854	$0	$750,000	12/17/2015	02/16/2016 Cancelled
91X	BIPD/Primary	Integon National Insurance Company	2003066854	$0	$750,000	12/17/2015	12/17/2015 Replaced
91X	BIPD/Primary	Integon National Insurance Company	2003066854	$0	$750,000	09/16/2015	12/17/2015 Cancelled
91X	BIPD/Primary	Integon National Insurance Company	2003066854	$0	$750,000	07/20/2015	09/16/2015 Cancelled
91X	BIPD/Primary	Integon National Insurance Company	2003066854	$0	$750,000	05/13/2015	07/20/2015 Cancelled
91X	BIPD/Primary	Integon National Insurance Company	2003066854	$0	$750,000	03/12/2015	05/19/2015 Name Changed
91X	BIPD/Primary	National Indemnity Company	70TRS025238	$0	$1,000,000	02/21/2014	04/24/2014 Cancelled
91X	BIPD/Primary	National Indemnity Company	70TRS025238	$0	$1,000,000	09/17/2013	03/22/2014 Cancelled
91X	BIPD/Primary	National Indemnity Company	70TRS025238	$0	$1,000,000	09/17/2013	02/21/2014 Replaced
91X	BIPD/Primary	National Indemnity Company	70TRS019127	$0	$750,000	09/15/2012	09/14/2013 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.';

National Indemnity Company 3024 HARNEY STREET OMAHA, NE Fax:(402)916 - 3018

Integon National Insurance Company 1605 EAST CAPITOL AVE - PO BOX 2577 BISMARCK, , N Fax:(701)222 - 0842