Mad City Moving USDOT 699743

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	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Mad City Moving 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

Mad City Moving 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
Mad City Moving 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

Mad City Moving 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
Mad City Moving Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Vehicle Maintenance BASIC Roadside Performance measure value	4
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	Erie Insurance Exchange	Q10 0140596	$0	$1,000,000	10/01/2013
91X	BIPD/Primary	Progressi Ve Northern Insurance Company	CA 2031010-1	$0	$1,000,000	09/01/2003	03/01/2004 Cancelled
91X	CARGO	Underwriters At Lloyds London	233469	$0	$5,000*	05/03/2004	03/01/2005 Replaced
91X	BIPD/Primary	Frankenmu Th Mutual Insurance Co	BA6191496	$0	$1,000,000	05/01/2012	10/01/2013 Replaced
91X	BIPD/Primary	Frankenmu Th Mutual Insurance Co	BA6191496	$0	$1,000,000	05/01/2012	12/22/2013 Cancelled
91X	CARGO	Frankenmuth Mutual Insurance Co	BA6191496	$0	$5,000*	05/01/2012	12/22/2013 Cancelled
91X	CARGO	Frankenmuth Mutual Insurance Co	BA6191496	$0	$5,000*	05/01/2012	10/01/2013 Replaced
91X	BIPD/Primary	Progressi Ve Northern Insurance Company	CA 2031010-0	$0	$1,000,000	03/31/2003	09/01/2003 Cancelled
91X	CARGO	Adriatic Insurance Company	MC6215-6216	$0	$5,000*	03/05/2004	07/18/2004 Cancelled
91X	CARGO	Adriatic Insurance Company	MC6215-6216	$0	$5,000*	03/05/2004	05/03/2004 Replaced
91X	BIPD/Primary	Frankenmu Th Mutual Insurance Co	BA	$0	$1,000,000	03/01/2007	06/29/2012 Cancelled
91X	CARGO	Vanliner Insurance Company	CGV4287500	$0	$5,000*	03/01/2005	02/09/2011 Replaced
91X	BIPD/Primary	Vanliner Insurance Company	TRV4287500	$0	$750,000	03/01/2005	03/01/2007 Replaced
91X	CARGO	Vanliner Insurance Company	CGV4287500	$0	$5,000*	03/01/2005	02/19/2011 Cancelled
91X	BIPD/Primary	Auto Owners Insurance Company	44-923254-00	$0	$1,000,000	03/01/2004	05/02/2004 Cancelled
91X	BIPD/Primary	Auto Owners Insurance Company	44-923254-00	$0	$1,000,000	03/01/2004	03/01/2004 Replaced
91X	BIPD/Primary	Auto Owners Insurance Company	44-923254-01	$0	$1,000,000	03/01/2004	03/01/2005 Replaced
91X	CARGO	Underwriters At Lloyds London	220730	$0	$5,000*	03/01/2003	03/05/2004 Replaced
91X	BIPD/Primary	General Casualty Insurance Company	XBA0305195	$0	$1,000,000	03/01/2000	03/31/2003 Replaced
91X	CARGO	General Casualty Company Of Wisconsin	XIM 0305195	$0	$5,000*	03/01/2000	03/01/2003 Cancelled
91X	BIPD/Primary	Employers Mutual Casualty Co.	2EO0648	$0	$1,000,000	03/01/1999	04/13/2000 Cancelled
91X	BIPD/Primary	Employers Mutual Casualty Co.	2EO0648	$0	$1,000,000	03/01/1999	03/01/2000 Replaced
91X	CARGO	Employers Mutual Casualty Co.	2C0-06-48	$0	$5,000*	03/01/1999	04/13/2000 Cancelled
91X	CARGO	Employers Mutual Casualty Co.	2C0-06-48	$0	$5,000*	03/01/1999	03/01/2000 Replaced
91X	CARGO	General Casualty Company Of Wisconsin	CCI 022 87 02	$0	$5,000*	03/01/1997	04/10/1999 Cancelled
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CTP 022 87 02	$0	$1,000,000	03/01/1997	04/10/1999 Cancelled
91X	BIPD/Primary	General Casualty Company Of Wisconsin	CTP 022 87 02	$0	$1,000,000	03/01/1997	03/01/1997 Replaced
91X	CARGO	Frankenmuth Mutual Insurance Co	1987666	$0	$5,000*	02/09/2011	06/29/2012 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	Underwriters At Lloyds London 181 W. MADISON, SUITE 3870 CHICAGO, IL Fax:(312)407 - 6229	Progressive Northern Insurance Company P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555
Auto Owners Insurance Company P O BOX 30660 LANSING, MI Fax:(517)323 - 8796	Vanliner Insurance Company ONE PREMIER DRIVE, P.O.BOX26352 FENTON, MO Fax:(636)305 - 4270	Adriatic Insurance Company 3501 N. CAUSEWAY BLVD. METAIRIE, LA Fax:(504)832 - 0605
Employers Mutual Casualty Co. 717 MULBERRY DES MOINES, IA Fax:(515)280 - 2975	Erie Insurance Exchange 100 ERIE INSURANCE PLACE ERIE, PA Fax:(814)870 - 4345	General Casualty Insurance Company ONE GENERAL DRIVE SUN PRAIRIE, WI Fax:(608)825 - 5100
Frankenmuth Mutual Insurance Co ONE MUTUAL AVENUE FRANKENMUTH, MI Fax:(989)652 - 2105