Countryside Auto Transport, Inc. USDOT 393867

Total Number of Inspections for the measurement period (24 months)	20
Total Number of Driver Inspections for the measurment period	20
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	8
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	2
Countryside Auto Transport, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	8
Unsafe Driving BASIC Roadside Performance Measure Value	2.64
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Countryside Auto Transport, 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
Countryside Auto Transport, 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

Countryside Auto Transport, 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
Countryside Auto Transport, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	3
Vehicle Maintenance BASIC Roadside Performance measure value	3.81
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	Northland Insurance Company	WF000929	$0	$1,000,000	11/01/2014
91X	BIPD/Primary	Sentry Select Insurance Company	CT771194	$0	$750,000	11/01/2013	11/01/2014 Replaced
91X	BIPD/Primary	National Casualty Company	LTO0004570	$0	$750,000	08/09/2012	12/03/2013 Cancelled
91X	BIPD/Primary	National Casualty Company	LTO0004570	$0	$750,000	08/09/2012	11/01/2013 Replaced
91X	BIPD/Primary	National Casualty Company	LTO0004570	$0	$750,000	11/01/2011	08/09/2012 Cancelled
91X	BIPD/Primary	Sentry Select Insurance Company	CT771194-8006-101	$0	$1,000,000	09/21/2011	11/01/2011 Replaced
91X	BIPD/Primary	Sentry Select Insurance Company	CT771194-8006-061	$0	$750,000	11/01/2006	09/21/2011 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL481297	$0	$1,000,000	01/09/2002	11/01/2006 Replaced
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL481297	$0	$1,000,000	11/01/2001	01/09/2002 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL481297	$0	$1,000,000	11/01/2001	01/09/2001 Replaced
91X	BIPD/Primary	Gulf Insurance Co.	GA0495994	$0	$1,000,000	04/10/2001	10/27/2001 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL481297	$0	$1,000,000	01/09/2001	01/09/2002 Replaced
91X	BIPD/Primary	Gulf Insurance Co.	GA0495994	$0	$1,000,000	11/01/1999	04/10/2001 Cancelled
91X	BIPD/Primary	Travelers Indemnity Company	7TMP299T4625IND98	$0	$1,000,000	05/11/1999	11/01/1999 Replaced
91X	BIPD/Primary	Travelers Indemnity Company	7TMP299T462-5-IND-98	$0	$1,000,000	11/01/1998	05/11/1999 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN236123	$0	$1,000,000	10/27/1997	11/04/1998 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN236123	$0	$1,000,000	05/07/1997	11/26/1997 Name Changed
91X	BIPD/Primary	Northland Insurance Company	TN236123	$0	$1,000,000	05/07/1997	10/27/1997 Replaced
91X	BIPD/Primary	Northland Insurance Company	TN220446	$0	$750,000	01/30/1997	05/07/1997 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN220446	$0	$750,000	12/17/1996	01/30/1997 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN209004	$0	$750,000	12/18/1995	12/17/1996 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN 209004	$0	$750,000	07/13/1995	12/18/1995 Cancelled
91X	BIPD/Primary	Northland Insurance Company	TN021040	$0	$750,000	08/17/1994	07/13/1995 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	Sentry Select Insurance Company 1800 NORTH POINT DR STEVENS POINT, WI Fax:(715)346 - 8913	National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ
Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE	Travelers Indemnity Company 1 TOWER SQUARE - 5GS HARTFORD, CT	Gulf Insurance Co. P O BOX 1771 DALLAS, TX