Black Tie Transportation, Inc. USDOT 2010438

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	National Interstate Insurance Company	CAR 1574882-00	$0	$1,500,000	06/14/2014
91X	BIPD/Primary	National Interstate Insurance Company	CAR 0138433-04	$0	$1,500,000	06/14/2014	06/14/2014Replaced
91X	BIPD/Primary	Scottsdale Indemnity Company	CAI0057893	$0	$1,500,000	04/14/2014	06/14/2014Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	CAI0057893	$0	$1,500,000	06/14/2013	04/14/2014Cancelled
91X	BIPD/Primary	National Interstate Insurance Company	CAR 0574882-04	$0	$1,500,000	10/08/2012	06/14/2013Replaced
91X	BIPD/Primary	National Interstate Insurance Company	CAR 0574882-00	$0	$300,000	01/03/2011	10/08/2012Replaced

* 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.';

National Interstate Insurance Company 3250 INTERSTATE DRIVE RICHFIELD, OH Fax:(330)659 - 8901

Scottsdale Indemnity Company ONE NATIONWIDE PLAZA COLUMBUS, OH