J E Burgess Trucking LLC USDOT 912273

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
J E Burgess Trucking Llc 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

J E Burgess Trucking Llc 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
J E Burgess Trucking LLC 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

J E Burgess Trucking Llc 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
J E Burgess Trucking LLC 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	Nationwide Mutual Insurance Comp	61FB-873-909-3001	$0	$750,000	11/21/2002	01/31/2003 Replaced
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61FB-873-909-3001	$0	$750,000	11/21/2002	02/01/2003 Cancelled
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61FB8739093001	$0	$750,000	10/04/2001	10/04/2001 Replaced
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61 FB 873-909-3001	$0	$750,000	10/04/2001	04/24/2002 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN129219	$0	$750,000	09/02/2013
91X	BIPD/Primary	Northland Insurance Company	WN129219	$0	$750,000	09/02/2013	09/02/2013 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP88985A	$0	$1,000,000	09/02/2011	09/02/2013 Replaced
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61FB8739093001	$0	$750,000	07/23/2002	11/21/2002 Cancelled
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61 FB 860-915-3001	$0	$750,000	07/17/2001	10/04/2001 Replaced
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61 FB 873-909-3001	$0	$750,000	06/03/2003	11/14/2003 Cancelled
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61FB8739093001	$0	$750,000	04/24/2002	07/23/2002 Cancelled
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61-FB-873-909-3001	$0	$750,000	04/22/2003	06/03/2003 Cancelled
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61FB-873-909-3001	$0	$750,000	03/18/2003	04/22/2003 Replaced
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61FB-873-909-3001	$0	$750,000	03/18/2003	04/23/2003 Cancelled
91X	BIPD/Primary	Nationwide Mutual Insurance Comp	61 FB 873-909-3001	$0	$750,000	01/31/2003	03/18/2003 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.';

Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949

Nationwide Mutual Insurance Comp COMM.INS.SVS. ONE NATIONWIDE PZ. COLUMBUS, OH Fax:(614)249 - 7705