Brian Retzlaff Trucking USDOT 1412474

Total Number of Inspections for the measurement period (24 months)	1
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	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Brian Retzlaff Trucking Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	1
Unsafe Driving BASIC Roadside Performance Measure Value	1.6
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Brian Retzlaff 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
Brian Retzlaff 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

Brian Retzlaff 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
Brian Retzlaff Trucking 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	Acuity, A Mutual Insurance Company	CA-X87198	$0	$750,000	01/15/2014	02/21/2014 Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X69737	$0	$750,000	01/15/2014	02/19/2014 Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X87198	$0	$750,000	01/15/2014	01/15/2014 Replaced
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X87198	$0	$750,000	01/15/2014	01/15/2014 Replaced
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X69737	$0	$750,000	05/14/2013	02/19/2014 Cancelled
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-X69737	$0	$750,000	05/14/2013	01/15/2014 Replaced
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA 0945084	$0	$750,000	02/16/2013	03/04/2013Name Changed
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA 0945084	$0	$750,000	02/16/2013	01/11/2013 Replaced
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA 0945084	$0	$750,000	02/08/2013	02/16/2013 Cancelled
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA 0945084	$0	$750,000	02/08/2013	01/11/2013 Replaced
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA 0945084	$0	$750,000	01/11/2013	06/12/2013 Cancelled
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA 0945084	$0	$750,000	01/11/2013	05/14/2013 Replaced
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA0945084	$0	$750,000	07/19/2011	02/08/2013 Cancelled
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CBA0945084	$0	$750,000	07/19/2011	01/11/2013 Replaced
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-F83607	$0	$1,000,000	02/06/2007	07/13/2011 Cancelled
34	CARGO	General Casualty Company Of Wisconsin	CIM 0945085	$0	$5,000*	07/19/2011	03/04/2013 Name Changed
34	CARGO	Acuity, A Mutual Insurance Company	IM-F83607	$0	$5,000*	02/06/2007	04/10/2011 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.';

General Casualty Company Of Wisconsin ONE GENERAL DRIVE SUN PRAIRIE, WI Fax:(608)825 - 5100

Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618