Basic Info
History
Insurance
Safety Info

Entity Type: Carrier
Operating Status: Authorized For HHG
Out of Service Date: None
DUNS Number: 00-947-0121
Power Units: 11
Drivers: 6
MCS-150 Form Date: 4/1/2010
MCS-150 Mileage (Year): 30,000 (2009)
Operation Classification: Auth. For Hire, Fed. Gov't, State Gov't, Local Gov't
Carrier Operation: Intrastate Only (Non-Hm)
Cargo Carried: Household Goods

Business Address:
1336 Woolner Ave Fairfield, CA, 94533-5927
Phone: 707-425-6756

Mailing Address:
1336 Woolner Ave Fairfield, CA, 94533-5927

Last Updated Date: November 28, 2013

Property	Passenger	Household Goods	Private	Enterprise

Authority

Type	Common	Contract	Broker
Status	Active	None	None
App Pending	No	No	No

Insurance

Type	BIPD	Cargo	Bond
Required	$300,000	Yes	No
On File	$1,000,000	Yes	No

Authority History

Subno
Auth Type	Household Goods Common Carrier
Original Action	Granted
Original Action Dt.	03/17/2006
Disposition
Disposition Dt.

Revocation

Auth Type	Common
1st Served Date	03/29/1996
Effective Date
Reason	Involuntary Revocation

Active/Pending Insurance

Form	91X
Type	BIPD/Primary
Insurance Carrier	American Guarantee & Liability Ins. Co.
Policy/Surety	9222953
Posted Date	09/17/2009
Converage From and To	$0 - $1,000,000
Effective Date	10/01/2009
Cancellation Date

Insurance History

Form	91X
Type	BIPD/Primary
Insurance Carrier	New Hampshire Insurance Co.
Policy/Surety	003711966
Converage From and To	$0 - $1,000,000
Effective Dt. From and To	10/01/2005 - 10/17/2009 Cancelled

Insurance Address

Carrier	American Automobile Insurance Company
Auth	Carolyn Nichols
Address	777 SAN MARIN DRIVE NOVATO, CA USA 94998
Telephone	714-368-6303
Fax	415-899-3600

Inspections

Inspection Type	Vehicle	Driver	Hazmat	IEP
Inspections	15	21	0	0
Out of Service	2	0	0	0
Out of Service %	13.3	0	0	0
Nat'l Average % (2009- 2010)	20.72	5.51	4.5	N/A

Crashes

Type	Fatal	Injury	Tow	Total
Crashes	0	0	0	0

Review Information

Rating Date	Rating	Review Date	Type
-	-	-	-

Unsafe Driving

Measure	Percentile	Threshold
0	0%	65%

Vehicle Miles Traveled (VMT) : 0
VMT Year : -
VMT Source : -
Average Power Units (APU) x Utilization Factor (UF) : 11
Total Inspections with Unsafe Driving Violations : 0
Total Unsafe Driving Violations : 0

Hours-of-Service (HOS) Compliance

Measure	Percentile	Threshold
0	0%	65%

Relevant Inspections : 22
Total Inspections with Hours-of-Service (HOS) Compliance Violations : 0
Total Hours-of-Service (HOS) Compliance Violations : 0

Driver Fitness

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 22
Total Inspections with Driver Fitness Violations : 0
Total Driver Fitness Violations : 0

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 22
Total Inspections with Controlled Substances and Alcohol Violations : 0
Total Controlled Substances and Alcohol Violations : 0

Vehicle Maintenance

Measure	Percentile	Threshold
3.92	38.2%	80%

Relevant Inspections : 16
Total Inspections with Vehicle Maintenance Violations : 8
Total Vehicle Maintenance Violations : 15

Hazardous Materials (HM) Compliance

Measure	Percentile	Threshold
-	Not Public	80%

Relevant Inspections : 0
Total Inspections with Hazardous Materials (HM) Compliance Violations : 0
Total Hazardous Materials (HM) Compliance Violations : 0

Crash Indicator

Measure	Percentile	Threshold
-	-	65%

Average Power units : 11
Vehicle Miles Traveled (VMT) : 0
VMT Year :
VMT Source :
Average Power Units (APU) x Utilization Factor (UF) : 11
Number of Crashes : 0
Number Tow-aways : 0
Number with Injuries or Fatalities : 0
Number with HM Release : 0

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