Cezary Puchala USDOT 1821120

Safety Rating	Satisfactory
Total Number of Inspections for the measurement period (24 months)	20
Total Number of Driver Inspections for the measurment period	20
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	1
Total Number of Vehicle Inspections for the measurement period	11
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	2
Cezary Puchala Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	4
Unsafe Driving BASIC Roadside Performance Measure Value	4.5
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Cezary Puchala Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	4
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	.67
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Cezary Puchala 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

Cezary Puchala 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
Cezary Puchala Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	10
Vehicle Maintenance BASIC Roadside Performance measure value	6.63
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	United Financial Casualty Company	CA 2835937	$0	$750,000	01/14/2016	?
34	CARGO	Essex Insurance Company	IMN08922	$0	$5,000*	02/02/2011	?
91X	BIPD/Primary	Prime Insurance Company	SC1502043	$0	$750,000	12/11/2015	02/02/2016 Cancelled
91X	BIPD/Primary	Prime Insurance Company	SC1502043	$0	$750,000	12/11/2015	01/14/2016 Replaced
91X	BIPD/Primary	Prime Insurance Company	SC1502043	$0	$750,000	02/02/2015	12/11/2015 Cancelled
91X	BIPD/Primary	Ari Mutual Insurance Company	CP37000011	$0	$750,000	02/02/2014	02/02/2015 Replaced
91X	BIPD/Primary	Tower Insurance Company Of New York	CAC0002742	$0	$750,000	02/02/2013	02/02/2014 Cancelled
91X	BIPD/Primary	Tower National Insurance Company	CAC 0002742	$0	$750,000	02/02/2011	02/10/2013 Cancelled
91X	BIPD/Primary	Tower National Insurance Company	CAC 0002742	$0	$750,000	02/02/2011	02/02/2013 Replaced
91X	BIPD/Primary	Canal Insurance Co.	PIA04503102	$0	$750,000	02/02/2010	02/02/2011 Cancelled
91X	BIPD/Primary	Canal Insurance Co.	PIA04503101	$0	$750,000	02/02/2009	02/02/2010 Cancelled
34	CARGO	Essex Insurance Company	IMN08296	$0	$5,000*	02/02/2010	02/02/2011 Replaced
34	CARGO	Hartford Fire Insurance Company	13 MS VU0424	$0	$5,000*	02/02/2009	02/02/2010 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	Canal Insurance Co. P O BOX 7 GREENVILLE, SC Fax:(864)679 - 2557	United Financial Casualty Company P. O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555
Essex Insurance Company 4521 HIGHWOODS PARKWAY GLEN ALLEN, VA Fax:(804)273 - 1435	Tower Insurance Company Of New York 225 BROADHOLLOW RD., STE 410 MELVILLE, NY Fax:(212)655 - 2070	Ari Mutual Insurance Company 133 FRANKLIN CORNER ROAD LAWRENCEVILLE, NJ Fax:(609)882 - 4088
Prime Insurance Company 8722 S. HARRISON ST. SANDY, UT Fax:(801)233 - 5243	Tower National Insurance Company 225 BROADHOLLOW RD., STE 410 MELVILLE, NY Fax:(212)655 - 2070