J A Mjolsness, Inc. USDOT 1241711

Total Number of Inspections for the measurement period (24 months)	24
Total Number of Driver Inspections for the measurment period	24
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	10
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	4
J A Mjolsness, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	13
Unsafe Driving BASIC Roadside Performance Measure Value	15.82
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

J A Mjolsness, Inc. Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	3
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	.34
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
J A Mjolsness, 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

J A Mjolsness, 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)	Yes
J A Mjolsness, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	9
Vehicle Maintenance BASIC Roadside Performance measure value	11.76
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-X57330	$0	$750,000	11/22/2012
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA0944701	$0	$1,000,000	05/01/2011	11/22/2012 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP38702A	$0	$1,000,000	05/01/2006	06/10/2011 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP38702A	$0	$1,000,000	05/01/2006	05/01/2011 Replaced
91X	BIPD/Primary	National Casualty Company	OPO0020389	$0	$1,000,000	05/01/2005	05/01/2006 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0018550	$0	$1,000,000	03/18/2005	05/01/2005 Cancelled
34	CARGO	Great West Casualty Co.	GWP38702A	$0	$5,000*	05/01/2006	06/10/2011 Cancelled
34	CARGO	National Casualty Company	OPO0020389	$0	$5,000*	05/01/2005	05/01/2006 Cancelled
34	CARGO	National Casualty Company	OPO0018550	$0	$5,000*	03/18/2005	05/01/2005 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.';

General Casualty Company Of Wisconsin ONE GENERAL DRIVE SUN PRAIRIE, WI Fax:(608)825 - 5100	Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ
Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618