Jason Hillemann USDOT 1396398

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	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Jason Hillemann 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

Jason Hillemann 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
Jason Hillemann 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

Jason Hillemann 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
Jason Hillemann 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	CARGO	Northland Insurance Company	TN607440	$0	$5,000*	12/30/2008	04/28/2009 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN607440	$0	$750,000	12/30/2008	04/28/2009 Cancelled
91X	CARGO	Northland Insurance Company	TN607440	$0	$5,000*	10/28/2008	12/30/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN607440	$0	$750,000	10/28/2008	12/30/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN093799	$0	$750,000	10/11/2012	04/10/2014 Cancelled
91X	CARGO	Travelers Property Casualty Co. Of America	QT-660-0524P223-TIL-09	$0	$5,000*	09/17/2009	07/07/2011 Cancelled
91X	CARGO	Great West Casualty Co.	GWP62533A	$0	$5,000*	07/20/2009	09/17/2009 Replaced
91X	CARGO	Great West Casualty Co.	GWP62533A	$0	$5,000*	07/20/2009	10/20/2009 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN064438	$0	$750,000	04/28/2011	10/11/2012 Cancelled
91X	CARGO	Great West Casualty Co.	GWP62533A	$0	$5,000*	04/28/2009	07/20/2009 Cancelled
91X	BIPD/Primary	United Financial Casualty Company	CA 5391933	$0	$1,000,000	04/28/2009	04/28/2011 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN555098	$0	$750,000	04/28/2007	02/27/2008 Cancelled
91X	CARGO	Northland Insurance Company	TN555098	$0	$5,000*	04/28/2007	02/27/2008 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN122542	$0	$750,000	04/10/2014
91X	BIPD/Primary	Northland Insurance Company	TN555098	$0	$750,000	02/27/2008	10/28/2008 Cancelled
91X	CARGO	Northland Insurance Company	TN555098	$0	$5,000*	02/27/2008	10/28/2008 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.';

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	Travelers Property Casualty Co. Of America 1 TOWER SQUARE, 5GS HARTFORD, CT
United Financial Casualty Company P. O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555