Jacobs Trucking USDOT 1076451

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	National Casualty Company	LTO0009592	$0	$750,000	10/10/2012	11/06/2013 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN519082	$0	$750,000	10/10/2006	10/10/2012 Replaced
91X	BIPD/Primary	Ooida Risk Retention Group, Inc.	PL19953272	$0	$1,000,000	12/20/2002	01/02/2006 Cancelled
34	CARGO	Northland Insurance Company	WN018767	$0	$5,000*	10/10/2009	11/15/2011 Cancelled
34	CARGO	Northfield Insurance Company	TN519083	$0	$5,000*	10/10/2006	10/10/2009 Replaced
34	CARGO	Ooida Risk Retention Group, Inc.	PL19953272	$0	$5,000*	12/20/2002	01/02/2006 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	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ	Northfield Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN
Ooida Risk Retention Group, Inc. P.O. BOX L, 311 MIZE ROAD GRAIN VALLEY, MO Fax:(816)229 - 0518