Mongeluzzi Thomas USDOT 39816

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91	BIPD	State-wide Insurance Co.	CA17889	$0	$750,000	07/28/1965
34	CARGO	State-wide Insurance Co.	TM1137	$0	$5,000*	07/28/1965

* 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.';