Blazer Truck Lines (Michigan Transport Company)

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9881222 03	$0	$750,000	11/01/2014
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9881222 02	$0	$1,000,000	11/01/2013	11/01/2014 Replaced
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9881222 01	$0	$1,000,000	11/01/2012	11/01/2013 Replaced
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9880797 01	$0	$1,000,000	11/01/2011	11/01/2012 Cancelled
91X	BIPD/Primary	New Hampshire Insurance Co.	TP 9880456 01	$0	$1,000,000	11/01/2010	11/01/2011 Cancelled
91X	BIPD/Primary	New Hampshire Insurance Co.	TP 9880124 01	$0	$1,000,000	11/01/2009	11/01/2010 Cancelled
91X	BIPD/Primary	New Hampshire Insurance Co.	TP9891683 01	$0	$1,000,000	08/31/2008	11/01/2009 Cancelled
91X	BIPD/Primary	New Hampshire Insurance Co.	TP 9896953 01	$0	$1,000,000	11/01/2007	08/31/2008 Replaced
91X	BIPD/Primary	American Home Assurance Co.	TP 9896675	$0	$1,000,000	11/01/2006	11/01/2007 Cancelled
91X	BIPD/Primary	American Home Assurance Co.	TO 9896526	$0	$1,000,000	11/01/2005	11/01/2006 Cancelled
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9896400	$0	$1,000,000	11/01/2004	11/01/2005 Cancelled
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9896300	$0	$1,000,000	11/01/2003	11/01/2004 Cancelled
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9896207	$0	$1,000,000	11/01/2002	11/01/2003 Cancelled
91X	BIPD/Primary	American Home Assurance Co.	TP2458584	$0	$1,000,000	11/02/2001	11/01/2002 Cancelled
91X	BIPD/Primary	American Home Assurance Co.	TP 2458584	$0	$1,000,000	12/01/2000	11/02/2001 Cancelled
91X	BIPD/Primary	American Home Assurance Co.	TP2458584	$0	$1,000,000	11/01/1999	12/01/2000 Cancelled
91X	BIPD/Primary	St. Paul Fire & Marine Insurance Co.	CK00207777	$0	$1,000,000	11/01/1998	11/01/1999 Replaced
91X	BIPD/Primary	St. Paul Fire & Marine Insurance Co.	602NB2815	$0	$1,000,000	11/01/1997	11/01/1998 Replaced
91X	BIPD/Primary	Travelers Property Casualty Co. Of America	UC2JLHT482K1066TIL96	$0	$1,000,000	03/01/1997	12/14/1997 Cancelled
91X	BIPD/Primary	Auto Owners Insurance Company	85020209262659	$0	$750,000	07/10/1985	03/01/1997 Replaced
34	CARGO	Royal Insurance Company Of America	PST 34-98-28	$0	$5,000*	11/01/1998	11/01/2002 Cancelled
34	CARGO	St. Paul Fire & Marine Insurance Co.	CK00207777	$0	$5,000*	11/01/1998	12/12/1999 Cancelled
34	CARGO	Red Shield Insurance Company	PST 34-98-28	$0	$5,000*	11/01/1998	11/01/1998 Replaced
34	CARGO	St. Paul Fire & Marine Insurance Co.	602NB2815	$0	$5,000*	11/01/1997	11/01/1998 Replaced
34	CARGO	Travelers Property Casualty Co. Of America	QT-660-248X3271-TIL-97	$0	$5,000*	03/01/1997	11/01/1997 Replaced
34	CARGO	Old Republic Insurance Co.	Z35726	$0	$5,000*	03/01/1985	03/01/1997 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.';

Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796	Travelers Property Casualty Co. Of America 1 TOWER SQUARE, 5GS HARTFORD, CT	New Hampshire Insurance Co. P. O. BOX 1024 MANCHESTER, NH Fax:(603)645 - 7114
Royal Insurance Company Of America 9300 ARROWPOINT BLVD. CHARLOTTE, NC Fax:(704)522 - 3200	The Insurance Co Of The State Of Pennsylvania ONE EXECUTIVE PARK DR BEDFORD, NH Fax:(603)645 - 7114	St. Paul Fire & Marine Insurance Co. ONE TOWER SQUARE, - 5GS HARTFORD, CT
Old Republic Insurance Co. 133 OAKLAND AVENUE, P O BOX 789 GREENSBURG, PA Fax:(724)834 - 4025	American Home Assurance Co. P.O. BOX 1024 MANCHESTER, NH Fax:(603)645 - 7114	Red Shield Insurance Company 1411 SW MORRISON ST, SUITE 400 PORTLAND, OR Fax:(503)226 - 6017