Van Dam Transport USDOT 329039

Total Number of Inspections for the measurement period (24 months)	14
Total Number of Driver Inspections for the measurment period	14
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	4
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
Van Dam Transport Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	2
Unsafe Driving BASIC Roadside Performance Measure Value	1.16
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Van Dam Transport 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
Van Dam Transport 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

Van Dam Transport 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
Van Dam Transport Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	2
Vehicle Maintenance BASIC Roadside Performance measure value	3
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	Acuity, A Mutual Insurance Company	CA-X01935	$0	$750,000	09/25/2010
91X	BIPD/Primary	Carolina Casualty Insurance Co.	350960	$0	$750,000	09/25/2009	09/25/2010 Cancelled
91X	BIPD/Primary	Carolina Casualty Insurance Co.	350954	$0	$750,000	09/25/2008	09/25/2009 Cancelled
91X	BIPD/Primary	Cherokee Insurance Company	CA060228	$0	$1,000,000	09/25/2006	09/25/2008 Replaced
91X	BIPD/Primary	American Home Assurance Co.	SFT 5993717 01	$0	$1,000,000	09/25/2005	05/30/2006 Cancelled
91X	BIPD/Primary	Harco National Insurance Co.	TPF3037922	$0	$1,000,000	09/25/2004	09/25/2005 Cancelled
91X	BIPD/Primary	Amerisure Mutual Insurance Company	CA2003055	$0	$1,000,000	09/25/2002	07/03/2004 Cancelled
91X	BIPD/Primary	Amerisure Mutual Insurance Company	CA1307753	$0	$1,000,000	09/11/2001	06/23/2002 Replaced
91X	CARGO	Federal Insurance Co.	450772	$0	$5,000*	09/01/2002	09/01/2002 Replaced
91X	CARGO	Federal Insurance Co.	450772	$0	$5,000*	09/01/2002	12/24/2009 Cancelled
91X	CARGO	Fireman's Fund Insurance Co.	MXI 80380802	$0	$5,000*	09/01/1999	09/01/2002 Replaced
91X	CARGO	St. Paul Fire & Marine Insurance Co.	IM02102376	$0	$5,000*	09/01/1995	10/26/1996 Cancelled
91X	BIPD/Primary	Amerisure Mutual Insurance Company	MD46-4-0986XX	$0	$750,000	07/13/1993	06/23/1997 Replaced
91X	BIPD/Primary	Amerisure Mutual Insurance Company	CA2003055	$0	$1,000,000	07/03/2004	09/25/2004 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL775142	$0	$1,000,000	06/23/2002	09/25/2002 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL769209	$0	$1,000,000	06/23/2001	09/11/2001 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL767720	$0	$1,000,000	06/23/2000	06/23/2001 Cancelled
91X	BIPD/Primary	Diamond State Insurance Company	MGA0000187	$0	$1,000,000	06/23/1999	06/23/2000 Cancelled
91X	BIPD/Primary	Amerisure Mutual Insurance Company	CA1304485	$0	$750,000	06/23/1998	06/23/1999 Replaced
91X	BIPD/Primary	Northland Casualty Insurance Company	TC241597	$0	$1,000,000	06/23/1997	06/23/1998 Cancelled
91X	BIPD/Primary	American Home Assurance Co.	SFT 5993717	$0	$1,000,000	05/30/2006	09/25/2006 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.';

Harco National Insurance Co. 2850 WEST GOLF RD. ROLLING MEADOWS, IL Fax:(847)734 - 4089	Fireman's Fund Insurance Co. 777 SAN MARIN DRIVE NOVATO, CA Fax:(415)899 - 3600	Carolina Casualty Insurance Co. P O BOX 2575 JACKSONVILLLE, FL Fax:(900)363 - 8088
Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE	Federal Insurance Co. 15 MOUNTAIN VIEW ROAD, BOX 1615 WARREN, NJ Fax:(908)903 - 2027	St. Paul Fire & Marine Insurance Co. ONE TOWER SQUARE, - 5GS HARTFORD, CT
Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618	Amerisure Mutual Insurance Company 26777 HALSTED ROAD, P.O. BOX 9201 FARMINGTON HILLS, MI Fax:(248)426 - 7796	Cherokee Insurance Company 34200 MOUND RD. STERLING HEIGHTS, MI Fax:(810)795 - 3130
Diamond State Insurance Company 3 BALA PLAZA, SUITE 300 EAST BALA CYNWYD, PA Fax:(610)660 - 8886	Northland Casualty Insurance Company 385 WASHINGTON STREET., MAIL CODE 1 ST. PAUL, MN	American Home Assurance Co. P.O. BOX 1024 MANCHESTER, NH Fax:(603)645 - 7114