Ballensky Trucking LLC USDOT 1819995

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	WN116775	$0	$750,000	12/19/2013	02/13/2014 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN654921	$0	$750,000	11/01/2009	05/09/2013 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP58662A	$0	$1,000,000	10/30/2008	11/01/2009 Replaced
34	CARGO	Northland Insurance Company	TN654921	$0	$5,000*	11/01/2009	05/17/2011 Cancelled
34	CARGO	Great West Casualty Co.	GWP58662A	$0	$5,000*	10/30/2008	11/01/2009 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.';

Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400

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