Jim T Simonis Trucking USDOT 997910

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	TN417113	$0	$750,000	12/08/2004	01/06/2005 Cancelled
91X	CARGO	Northland Insurance Company	TN417113	$0	$5,000*	12/08/2004	01/06/2005 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN444614	$0	$750,000	05/03/2005	10/18/2005 Cancelled
91X	CARGO	Northland Insurance Company	TN444614	$0	$5,000*	05/03/2005	10/18/2005 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN417113	$0	$750,000	04/28/2004	12/08/2004 Cancelled
91X	CARGO	Northland Insurance Company	TN417113	$0	$5,000*	04/28/2004	12/08/2004 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN417113	$0	$750,000	01/06/2005	05/03/2005 Cancelled
91X	CARGO	Northland Insurance Company	TN417113	$0	$5,000*	01/06/2005	05/03/2005 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