Stacy Mobile Home Service (Tennessee Transport Company)

Total Number of Inspections for the measurement period (24 months)	0
Total Number of Driver Inspections for the measurment period	0
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
Stacy Mobile Home Service 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

Stacy Mobile Home Service 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
Stacy Mobile Home Service 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

Stacy Mobile Home Service 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
Stacy Mobile Home Service 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	BIPD/Primary	Northland Insurance Company	TN567533	$0	$750,000	12/28/2007	10/06/2010 Cancelled
91X	CARGO	Northland Insurance Company	TN567533	$0	$5,000*	12/28/2007	10/06/2010 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN085352	$0	$750,000	12/16/2011	03/07/2014 Cancelled
91X	CARGO	Northland Insurance Company	WN044488	$0	$5,000*	10/06/2010	10/04/2011 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN044488	$0	$750,000	10/06/2010	12/06/2011 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN311059	$0	$750,000	09/01/2001	12/18/2007 Cancelled
91X	CARGO	Northland Insurance Company	TN311059	$0	$5,000*	09/01/2001	12/18/2007 Cancelled
91X	BIPD/Primary	Mga Insurance Company, Inc.	MPP136249	$0	$750,000	09/01/2000	09/01/2001 Cancelled
91X	CARGO	General Agents Insurance Co. Of America, Inc.	GPP208583	$0	$5,000*	09/01/2000	09/01/2001 Cancelled
91X	BIPD/Primary	Mga Insurance Company, Inc.	MPP026499	$0	$750,000	09/01/1999	09/01/2000 Cancelled
91X	CARGO	Mga Insurance Company, Inc.	GPP641258	$0	$5,000*	09/01/1999	09/01/2000 Cancelled
91X	CARGO	General Agents Insurance Co. Of America, Inc.	GPP621039	$0	$5,000*	09/01/1998	09/01/1999 Cancelled
91X	BIPD/Primary	Mga Insurance Company, Inc.	MPP026403	$0	$750,000	09/01/1998	09/01/1999 Cancelled
91X	BIPD/Primary	Mga Insurance Company, Inc.	MPP023685	$0	$750,000	09/01/1997	09/01/1998 Cancelled
91X	CARGO	General Agents Insurance Co. Of America, Inc.	GPP620995	$0	$5,000*	09/01/1997	09/01/1998 Cancelled
91X	BIPD/Primary	Northland Insurance Company	WN137930	$0	$750,000	03/07/2014

* 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

Mga Insurance Company, Inc. 500 COMMERCE STREET FORT WORTH, TX

General Agents Insurance Co. Of America, Inc. P. O. BOX 2933 FT. WORTH, TX Fax:(817)338 - 1454