Burgos Trucking USDOT 1855437

Total Number of Inspections for the measurement period (24 months)	1
Total Number of Driver Inspections for the measurment period	1
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
Burgos Trucking 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

Burgos Trucking 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
Burgos Trucking 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

Burgos Trucking 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
Burgos Trucking Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	26
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	Great West Casualty Co.	MCP15426A	$0	$1,000,000	04/03/2015	?
91X	BIPD/Primary	Great West Casualty Co.	MCP15426A	$0	$1,000,000	02/19/2015	05/04/2015 Name Changed
91X	BIPD/Primary	Great West Casualty Co.	MCP15426A	$0	$1,000,000	02/19/2015	04/03/2015 Replaced
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 0697322	$0	$750,000	05/31/2013	02/19/2015 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 069 73 22	$0	$750,000	02/19/2013	07/03/2013 Cancelled
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	BA 069 73 22	$0	$750,000	02/19/2013	05/31/2013 Replaced
91X	BIPD/Primary	Canal Insurance Co.	PIA07046401	$0	$750,000	02/12/2013	02/19/2013 Replaced
91X	BIPD/Primary	Canal Insurance Co.	PIA07046401	$0	$750,000	02/12/2013	02/12/2013 Replaced
91X	BIPD/Primary	Canal Insurance Co.	PIA07046401	$0	$750,000	02/19/2012	02/12/2013 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	SAP005798	$0	$1,000,000	01/20/2012	02/19/2012 Cancelled
91X	BIPD/Primary	State National Insurance Co., Inc.	SAP005798	$0	$1,000,000	02/17/2011	01/20/2012 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA04555002	$0	$750,000	12/10/2010	02/17/2011 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA04555002	$0	$750,000	02/17/2010	12/10/2010 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA04555001	$0	$750,000	02/17/2009	02/17/2010 Cancelled
34	CARGO	Hartford Fire Insurance Company	83 MS NM9425	$0	$5,000*	02/17/2011	03/28/2012 Cancelled
34	CARGO	Canal Insurance Co.	PIA04555002	$0	$5,000*	12/10/2010	02/17/2011 Cancelled
34	CARGO	Canal Insurance Co.	PIA04555002	$0	$5,000*	02/17/2010	12/10/2010 Cancelled
34	CARGO	Canal Insurance Co.	PIA04555001	$0	$5,000*	02/17/2009	02/17/2010 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.';

Hartford Fire Insurance Company ONE HARTFORD PLAZA HARTFORD, CT	Great West Casualty Co. 1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE Fax:(402)494 - 7400	Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095
Canal Insurance Co. P O BOX 7 GREENVILLE, SC Fax:(864)679 - 2557	State National Insurance Co., Inc. 1900 L. DON DODSON BLVD. BEDFORD, TX Fax:(877)894 - 6930