Jim Jorgensen Trucking, Inc. USDOT 562761

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

Jim Jorgensen Trucking, Inc. 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
Jim Jorgensen Trucking, 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

Jim Jorgensen Trucking, 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)	No
Jim Jorgensen Trucking, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	0
Vehicle Maintenance BASIC Roadside Performance measure value	0
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	Northland Insurance Company	WN062667	$0	$1,000,000	01/06/2012
91X	BIPD/Primary	Northland Insurance Company	TN642975	$0	$1,000,000	04/20/2009	01/06/2012 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN500984	$0	$1,000,000	04/20/2006	10/28/2008 Cancelled
91X	BIPD/Primary	Clarendon National Ins. Co.	CLD40481	$0	$1,000,000	10/10/1999	01/09/2000Name Changed
91X	BIPD/Primary	Acceleration National Insurance Co.	AD 30129	$0	$1,000,000	09/10/1997	11/14/1999 Cancelled
91X	BIPD/Primary	Acceleration National Insurance Co.	AD 30129	$0	$1,000,000	09/10/1997	10/10/1999 Replaced
91X	BIPD/Primary	United Southern Assurance Co.	DB18022	$0	$1,000,000	05/10/1995	09/10/1997 Replaced
91X	BIPD/Primary	Leader National Insurance Co.	CA 26606127	$0	$1,000,000	05/10/1994	05/13/1995 Cancelled
91X	BIPD/Primary	Leader National Insurance Co.	CA26606127	$0	$1,000,000	05/10/1994	01/07/1995 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.';

Clarendon National Ins. Co. 466 LEXINGTON AVENUE, SUITE 1900 NEW YORK, NY Fax:(212)805 - 9800	Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	United Southern Assurance Co. 100 RIALTO PLACE,PO BOX 2648 MELBOURNE, FL
Leader National Insurance Co. 4807 ROCKSIDE ROAD INDEPENDENCE, OH	Acceleration National Insurance Co. LIQUIDATED LIQUIDATED, OH