R Zembal Trucking USDOT 1162740

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Northland Insurance Company	WN009059	$0	$750,000	09/14/2009	02/03/2014 Cancelled
91X	CARGO	Northland Insurance Company	WN009059	$0	$5,000*	09/14/2009	08/29/2011 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN387843	$0	$1,000,000	08/01/2003	09/14/2009 Cancelled
91X	CARGO	Northland Insurance Company	TN387843	$0	$5,000*	08/01/2003	09/14/2009 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949