Local Delivery Services USDOT 843893

Total Number of Inspections for the measurement period (24 months)	2
Total Number of Driver Inspections for the measurment period	2
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
Local Delivery Services 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

Local Delivery Services 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
Local Delivery Services 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

Local Delivery Services 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
Local Delivery Services 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	Zurich American Insurance Company	PRA5509945	$0	$750,000	12/09/2014
91X	BIPD/Primary	Zurich American Insurance Company	PRA5509945	$0	$750,000	02/01/2014	12/09/2014 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP52403A	$0	$1,000,000	04/04/2011	03/10/2014 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP52403A	$0	$1,000,000	04/04/2011	02/01/2014 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP52403A	$0	$1,000,000	05/07/2008	04/04/2011 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP52403A	$0	$1,000,000	05/07/2008	05/07/2008 Replaced
91X	BIPD/Primary	Great West Casualty Co.	GWP52403A	$0	$1,000,000	01/29/2008	05/07/2008 Name Changed
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL671364	$0	$1,000,000	01/29/2007	01/29/2008 Cancelled
91X	BIPD/Primary	Great West Casualty Co.	GWP18943A	$0	$1,000,000	01/29/2004	01/29/2007 Replaced
91X	BIPD/Primary	Northland Casualty Insurance Company	TC375558	$0	$1,000,000	03/21/2003	01/29/2004 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN375558	$0	$1,000,000	03/05/2003	03/21/2003 Cancelled
91X	BIPD/Primary	Northland Casualty Insurance Company	TC336773	$0	$1,000,000	03/25/2002	03/05/2003 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN336773	$0	$1,000,000	01/29/2002	03/25/2002 Cancelled
91X	BIPD/Primary	Westport Insurance Corporation	AT610008	$0	$750,000	01/29/2001	01/29/2002 Replaced
91X	BIPD/Primary	Gulf Insurance Co.	GA00472357	$0	$750,000	01/29/2000	01/29/2001 Replaced
91X	BIPD/Primary	Gulf Insurance Co.	GA00472357	$0	$1,000,000	11/17/1999	02/21/2000 Cancelled
34	CARGO	Great West Casualty Co.	GWP52403A	$0	$5,000*	04/04/2011	03/12/2014 Cancelled
34	CARGO	Great West Casualty Co.	GWP52403A	$0	$5,000*	05/07/2008	04/04/2011 Cancelled
34	CARGO	Great West Casualty Co.	GWP52403A	$0	$5,000*	01/29/2008	05/07/2008 Name Changed
34	CARGO	Empire Fire & Marine Insurance Co.	CL671364	$0	$5,000*	01/29/2007	01/29/2008 Cancelled
34	CARGO	Great West Casualty Co.	GWP18943A	$0	$5,000*	01/29/2004	01/29/2007 Replaced
34	CARGO	Northland Casualty Insurance Company	TC375558	$0	$5,000*	03/21/2003	01/29/2004 Replaced
34	CARGO	Northland Insurance Company	TN375558	$0	$5,000*	03/05/2003	03/21/2003 Cancelled
34	CARGO	Northland Casualty Insurance Company	TC336773	$0	$5,000*	03/25/2002	03/05/2003 Cancelled
34	CARGO	Northland Insurance Company	TN336773	$0	$5,000*	01/29/2002	03/25/2002 Cancelled
34	CARGO	Westport Insurance Corporation	AUC610006	$0	$5,000*	01/29/2001	01/29/2002 Replaced
34	CARGO	Gulf Insurance Co.	GA00472357	$0	$5,000*	01/29/2000	03/01/2001 Cancelled
34	CARGO	Gulf Insurance Co.	GA00472357	$0	$5,000*	01/29/2000	01/29/2001 Replaced
34	CARGO	Gulf Insurance Co.	GA00472357	$0	$5,000*	11/17/1999	02/21/2000 Cancelled
34	CARGO	Gulf Insurance Co.	GA00472357	$0	$5,000*	11/17/1999	01/29/2000 Replaced

* 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	Westport Insurance Corporation 5200 METCALF AVE. P.O. BOX 2979 OVERLAND PARK, KS Fax:(913)676 - 6916
Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE	Gulf Insurance Co. P O BOX 1771 DALLAS, TX	Northland Casualty Insurance Company 385 WASHINGTON STREET., MAIL CODE 1 ST. PAUL, MN
Zurich American Insurance Company 1400 AMERICAN LANE SCHAUMBURG, IL Fax:(410)261 - 7955