Three Camellias, Inc. USDOT 2082270

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Northland Insurance Company	WN154553	$0	$750,000	10/11/2014
91X	BIPD/Primary	Artisan & Truckers Casualty Company	CA 8271385	$0	$1,000,000	10/11/2011	10/11/2014Replaced
91X	BIPD/Primary	Lancer Insurance Company	CM0051886	$0	$1,000,000	10/11/2010	10/11/2011Replaced
34	CARGO	Lancer Insurance Company	CM0051886	$0	$5,000*	10/11/2010	11/22/2011 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

Lancer Insurance Company 111 CORNING ROAD STE. 180 CARY, NC Fax:(919)858 - 0932

Artisan & Truckers Casualty Company P.O.BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555