Tri County Adjusters, Inc. USDOT 1944410

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
Tri County Adjusters, Inc. 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

Tri County Adjusters, Inc. 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
Tri County Adjusters, Inc. 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

Tri County Adjusters, Inc. 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
Tri County Adjusters, Inc. 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
34	CARGO	Rockhill Insurance Company	RRPMSW000001	$0	$5,000*	10/01/2015
91X	BIPD/Primary	Zurich American Insurance Company	BAP9246145	$0	$1,000,000	05/09/2015	06/24/2015 Name Changed
91X	BIPD/Primary	Zurich American Insurance Company	BAP9656308	$0	$1,000,000	09/01/2014	05/09/2015 Replaced
91X	BIPD/Primary	Zurich American Insurance Company	BAP9246145	$0	$1,000,000	05/09/2013	09/01/2014 Replaced
91X	BIPD/Primary	Nova Casualty Company	TIP-CL-0010427-1	$0	$1,000,000	05/09/2012	05/09/2013 Cancelled
91X	BIPD/Primary	Nova Casualty Company	TIP-CL-0010427-0	$0	$1,000,000	04/16/2012	05/17/2012 Cancelled
91X	BIPD/Primary	Nova Casualty Company	TIP-CL-0010427-0	$0	$1,000,000	04/16/2012	05/09/2012 Replaced
91X	BIPD/Primary	Imperium Insurance Company	DTUM00806	$0	$1,000,000	10/05/2009	05/25/2011 Cancelled
34	CARGO	Zurich American Insurance Company	PRA9656308	$0	$5,000*	09/01/2014	06/24/2015 Name Changed
34	CARGO	Zurich American Insurance Company	BAP9246145	$0	$5,000*	07/09/2013	09/01/2014 Replaced
34	CARGO	Imperium Insurance Company	DTUM00806	$0	$5,000*	10/05/2009	05/25/2011 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.';

Nova Casualty Company 726 EXCHANGE STREE., STE: 1020 BUFFALO, NY Fax:(716)852 - 5590	Zurich American Insurance Company 1400 AMERICAN LANE SCHAUMBURG, IL Fax:(410)261 - 7955	Imperium Insurance Company 120 WEST 45TH ST, 36TH FLOOR NEW YORK, NY
Rockhill Insurance Company 700 W 47TH ST., STE: 350 KANSAS CITY, MO Fax:(816)412 - 7550