Rosa Trucking USDOT 919978

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6012868-01	$0	$750,000	12/20/2011	08/17/2012 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN341406	$0	$750,000	12/13/2001	11/04/2003 Cancelled
91X	BIPD/Primary	Home State County Mutual Ins. Co.	KTR000595	$0	$750,000	12/13/2000	12/13/2001 Replaced
91X	BIPD/Primary	Hallmark County Mutual Insurance Company	TXA518034	$0	$750,000	10/09/2013
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6020534-01	$0	$750,000	10/09/2012	01/11/2013 Cancelled
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6012868-01	$0	$750,000	08/17/2012	10/09/2012 Name Changed
91X	CARGO	Gramercy Insurance Company	MI4209-19878	$0	$5,000*	06/05/2001	05/07/2002 Cancelled
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6012868-1	$0	$750,000	05/16/2010	01/20/2011 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN502681	$0	$750,000	05/16/2006	05/16/2010 Replaced
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6012868-01	$0	$750,000	01/20/2011	12/20/2011 Cancelled
91X	BIPD/Primary	Maxum Casualty Insurance Company	TRK-6020534-01	$0	$750,000	01/11/2013	10/09/2013 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	Maxum Casualty Insurance Company 3655 NORTH POINT PARKWAY ALPHARETTA, GA Fax:(678)597 - 4501	Home State County Mutual Ins. Co. 15443 KNOLL TRAIL SUITE 110 DALLAS, TX Fax:(877)494 - 9139
Gramercy Insurance Company 5000 QUOROM DR., STE. 111 DALLAS, TX Fax:(972)233 - 6252	Hallmark County Mutual Insurance Company 777 MAIN STREET, SUITE 1000 FORT WORTH, TX Fax:(800)441 - 9725