Rich Bednasz USDOT 579356

Total Number of Inspections for the measurement period (24 months)	5
Total Number of Driver Inspections for the measurment period	5
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	3
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Rich Bednasz 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

Rich Bednasz 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
Rich Bednasz 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

Rich Bednasz 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
Rich Bednasz Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	2
Vehicle Maintenance BASIC Roadside Performance measure value	6
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	Lancer Insurance Company	CM0059498	$0	$1,000,000	03/02/2016	?
91X	BIPD/Primary	Lancer Insurance Company	CM0059498	$0	$1,000,000	10/08/2015	03/02/2016 Cancelled
91X	BIPD/Primary	Lancer Insurance Company	CM0059498	$0	$1,000,000	03/03/2015	10/08/2015 Cancelled
91X	BIPD/Primary	Lancer Insurance Company	CM0059498	$0	$1,000,000	12/18/2014	03/03/2015 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN575960	$0	$750,000	08/13/2008	11/12/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN575960	$0	$750,000	06/12/2008	08/13/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN575960	$0	$750,000	03/16/2008	06/12/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN547901	$0	$1,000,000	01/21/2008	03/20/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN547901	$0	$1,000,000	01/21/2008	03/16/2008 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN421784	$0	$1,000,000	05/07/2004	01/21/2008 Cancelled
35	BIPD	National Continental Insurance Co.	CNY 000 6896390-2	$0	$750,000	02/19/2003	Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CNY 000 6896390-2	$0	$750,000	02/07/2003	02/19/2003 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CNY 000 6896390-2	$0	$750,000	11/29/2002	02/07/2003 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CNY 000 6896390-2	$0	$750,000	09/07/2002	11/29/2002 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CNY 000 6896390-2	$0	$750,000	09/07/2002	09/07/2002 Replaced
91X	BIPD/Primary	National Continental Insurance Co.	CNY 000 6896390-2	$0	$750,000	09/07/2002	09/07/2002 Replaced
91X	BIPD/Primary	Hanover Insurance Co.	RHZ5699289	$0	$1,000,000	07/27/2001	10/23/2001 Cancelled
91X	BIPD/Primary	Associates Insurance Company	TK1007563	$0	$1,000,000	02/05/2001	05/14/2001 Cancelled
91X	BIPD/Primary	Gulf Insurance Co.	GA 047 08 98	$0	$1,000,000	02/05/2000	02/05/2001 Cancelled
91X	BIPD/Primary	Sentry Select Insurance Company	CT7624755099-991	$0	$1,000,000	02/05/1999	02/05/2000 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN250253	$0	$1,000,000	01/12/1999	02/05/1999 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN220916	$0	$1,000,000	02/05/1996	01/12/1999 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL471311	$0	$1,000,000	05/17/1995	12/15/1995 Cancelled
34	CARGO	Greenwich Insurance Company	GA 114750	$0	$5,000*	07/27/2001	10/23/2001 Cancelled
34	CARGO	The Connecticut Indemnity Co.	MT 83 83 96	$0	$5,000*	05/17/1995	11/24/1995 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.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Sentry Select Insurance Company 1800 NORTH POINT DR STEVENS POINT, WI Fax:(715)346 - 8913	Greenwich Insurance Company 505 EAGLEVIEW BLVD EXTON, PA Fax:(610)458 - 8667
Hanover Insurance Co. 100 NORTH PARKWAY WORCESTER, MA Fax:(508)853 - 4210	Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE	Lancer Insurance Company 111 CORNING ROAD STE. 180 CARY, NC Fax:(919)858 - 0932
The Connecticut Indemnity Co. 9 FARM SPRINGS DRIVE FARMINGTON, CT	Gulf Insurance Co. P O BOX 1771 DALLAS, TX	Associates Insurance Company 250 EAST CARPENTER FREEWAY IRVING, TX
National Continental Insurance Co. P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555