Jims Cheese Pantry, Inc. USDOT 331887

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	West Bend Mutual Insurance Co.	0111059576	$0	$750,000	06/30/2014
91X	BIPD/Primary	Hanover Insurance Co.	AW1 9510285	$0	$1,000,000	05/24/2012	06/30/2014 Replaced
91X	BIPD/Primary	Hanover Insurance Co.	AW1 9510285	$0	$1,000,000	05/24/2012	06/30/2014 Replaced
91X	BIPD/Primary	Hanover Insurance Co.	AW19210608	$0	$1,000,000	06/30/2011	05/15/2012Transferred
91X	BIPD/Primary	Hanover Insurance Co.	AW19210608	$0	$1,000,000	06/30/2011	05/15/2012Transferred
91X	BIPD/Primary	Indiana Insurance Co.	BA8588722	$0	$750,000	01/01/2009	06/30/2011 Replaced
91X	BIPD/Primary	Indiana Insurance Co.	BA8588722	$0	$750,000	01/01/2009	06/30/2011 Replaced
91X	BIPD/Primary	Regent Insurance Company	CBA 0306497	$0	$1,000,000	12/27/2002	01/01/2009 Replaced
91X	BIPD/Primary	Regent Insurance Company	CBA 0306497	$0	$1,000,000	12/27/2002	01/01/2009 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.';

Hanover Insurance Co. 100 NORTH PARKWAY WORCESTER, MA Fax:(508)853 - 4210	Indiana Insurance Co. 1180 WEST PARK PLACE MILWAUKEE, WI	West Bend Mutual Insurance Co. 1900 SOUTH 18TH AVENUE WEST BEND, WI Fax:(608)410 - 3412
Regent Insurance Company ONE GENERAL DRIVE SUN PRAIRIE, WI Fax:(608)825 - 5100