Kelly Builders, Inc. USDOT 1686799

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	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Kelly Builders, Inc. 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

Kelly Builders, 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
Kelly Builders, Inc. Truck Driver Fitness Data
Number of inspections with at least one Truck Driver Fitness BASIC violation	1
Truck Driver Fitness BASIC Roadside Performance measure value	1
Truck Driver Fitness BASIC Serious Violation Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Kelly Builders, 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
Kelly Builders, 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	The Charter Oak Fire Insurance Co.	TR-0E411350	$0	$1,000,000	06/11/2014
91X	BIPD/Primary	The Charter Oak Fire Insurance Co.	TR-0E411350	$0	$1,000,000	06/11/2014	06/11/2014 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5004165	$0	$1,000,000	03/28/2014	06/11/2014 Cancelled
91X	BIPD/Primary	The Charter Oak Fire Insurance Co.	TR-0E411350	$0	$1,000,000	01/10/2014	03/28/2014 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	12/24/2013	01/10/2014 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	10/17/2013	12/27/2013 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/16/2013	10/26/2013 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/16/2013	10/17/2013 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	06/18/2013	08/25/2013 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	06/18/2013	08/16/2013 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	04/16/2013	06/27/2013 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	04/16/2013	06/18/2013 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	02/21/2013	04/26/2013 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	02/21/2013	04/16/2013 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	10/16/2012	03/03/2013 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	10/16/2012	02/21/2013 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/15/2012	10/26/2012 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/15/2012	10/16/2012 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	06/15/2012	08/25/2012 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	06/15/2012	08/15/2012 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	02/24/2012	06/25/2012 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	02/24/2012	06/15/2012 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	12/01/2011	03/10/2012 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	12/01/2011	02/24/2012 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/19/2011	12/10/2011 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/19/2011	12/01/2011 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	04/18/2011	08/26/2011 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	04/18/2011	08/19/2011 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/18/2010	04/26/2011 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	08/18/2010	04/18/2011 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	06/23/2010	08/26/2010 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	06/23/2010	08/18/2010 Replaced
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	04/30/2008	06/26/2010 Cancelled
91X	BIPD/Primary	Safety Insurance Co.	5055502	$0	$1,000,000	04/30/2008	06/23/2010 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.';

Safety Insurance Co. 20 CUSTOM HOUSE STREET BOSTON, MA

The Charter Oak Fire Insurance Co. 1 TOWER SQUARE -5GS HARTFORD, CT