C Blackburn USDOT 63794

Safety Rating	Satisfactory
Total Number of Inspections for the measurement period (24 months)	142
Total Number of Driver Inspections for the measurment period	142
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	90
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	16
C Blackburn Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	12
Unsafe Driving BASIC Roadside Performance Measure Value	.97
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

C Blackburn Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	1
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	.04
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
C Blackburn 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

C Blackburn 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
C Blackburn Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	44
Vehicle Maintenance BASIC Roadside Performance measure value	4.12
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	The Insurance Co Of The State Of Pennsylvania	TP9881498 02	$0	$750,000	07/19/2014	07/19/2015
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9881498 01	$0	$750,000	09/29/2013	07/19/2014 Cancelled
91X	BIPD/Primary	The Insurance Co Of The State Of Pennsylvania	TP 9881498 01	$0	$1,000,000	09/29/2013	09/29/2013 Replaced
91X	BIPD/Primary	Travelers Indemnity Company	650475G8677IND87	$0	$500,000	01/15/1987	11/17/1997 Cancelled
91X	BIPD/Excess	Travelers Indemnity Company	CUP125G915286	$500,000	$1,500,000	05/15/1986	11/17/1997 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.';

Travelers Indemnity Company 1 TOWER SQUARE - 5GS HARTFORD, CT

The Insurance Co Of The State Of Pennsylvania ONE EXECUTIVE PARK DR BEDFORD, NH Fax:(603)645 - 7114