Jeremiah Trucking USDOT 1057656

Total Number of Inspections for the measurement period (24 months)	3
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
Jeremiah 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

Jeremiah 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
Jeremiah 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

Jeremiah 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
Jeremiah Trucking Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	19
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	National Casualty Company	LTO0028216	$0	$750,000	03/16/2016	?
91X	BIPD/Primary	National Casualty Company	OPO0050420	$0	$750,000	03/16/2015	03/16/2016 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0046472	$0	$750,000	03/16/2014	03/16/2015 Cancelled
91X	BIPD/Primary	National Casualty Company	OPO0042512	$0	$750,000	03/16/2013	03/16/2014 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN503358	$0	$750,000	02/05/2007	03/16/2013 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN418898	$0	$1,000,000	02/21/2005	03/05/2007 Name Changed
91X	BIPD/Primary	Northland Insurance Company	TN418898	$0	$1,000,000	02/21/2005	02/05/2007 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN346350	$0	$1,000,000	12/18/2002	02/22/2005 Name Changed
91X	BIPD/Primary	Northland Insurance Company	TN346350	$0	$1,000,000	12/18/2002	02/21/2005 Replaced
34	CARGO	Northland Insurance Company	TN623642	$0	$5,000*	03/16/2009	04/25/2011 Cancelled
34	CARGO	Northfield Insurance Company	TN503359	$0	$5,000*	02/05/2007	03/16/2009 Replaced
34	CARGO	Northfield Insurance Company	TN418899	$0	$5,000*	02/21/2005	03/05/2007 Name Changed
34	CARGO	Northfield Insurance Company	TN418899	$0	$5,000*	02/21/2005	02/05/2007 Replaced
34	CARGO	Northland Insurance Company	TN418899	$0	$5,000*	02/21/2005	02/21/2005 Replaced
34	CARGO	Northfield Insurance Company	TN346351	$0	$5,000*	12/18/2002	02/22/2005 Name Changed
34	CARGO	Northfield Insurance Company	TN346351	$0	$5,000*	12/18/2002	02/21/2005 Replaced

* 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