Basic Info
History
Insurance
Safety Info

Entity Type: Carrier
Operating Status: NOT AUTHORIZED
Out of Service Date: None
DUNS Number: -
Power Units: 2
Drivers: 2
MCS-150 Form Date: 10/12/2012
MCS-150 Mileage (Year): 50,000 (2012)
Operation Classification: Auth. For Hire
Carrier Operation: Interstate
Cargo Carried: General Freight, Household Goods, Us Mail, Beverages

Business Address:
1421 E Ports O Call Dr Ste Pe Palatine, IL, 60074
Phone: 224-676-0047

Mailing Address:
655 E Carpenter Dr Palatine, IL, 60074

Last Updated Date: November 29, 2013

Property	Passenger	Household Goods	Private	Enterprise

Authority

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

Insurance

Type	BIPD	Cargo	Bond
Required	$750,000	Yes	No
On File	$0	No	No

Authority History

Subno
Auth Type	Household Goods Common Carrier
Original Action	Granted
Original Action Dt.	10/05/2012
Disposition	Revoked
Disposition Dt.	02/04/2013

Revocation

Auth Type	Common
1st Served Date	12/31/2012
Effective Date	02/04/2013
Reason	Involuntary Revocation

Insurance History

Form	91X
Type	BIPD/Primary
Insurance Carrier	Grange Indemnity Insurance Company
Policy/Surety	XA 2991443
Converage From and To	$0 - $750,000
Effective Dt. From and To	09/11/2012 - 01/25/2013 Cancelled

Insurance Address

Carrier	Grange Indemnity Insurance Company
Auth	Commercial Lines Business Unit
Address	650 S FRONT ST COLUMBUSA, OH USA 43216
Telephone	800-422-0550 2473
Fax	614-444-7777

Inspections

Inspection Type	Vehicle	Driver	Hazmat	IEP
Inspections	8	9	0	0
Out of Service	4	0	0	0
Out of Service %	50	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) : 50000
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 1.7
Total Inspections with Unsafe Driving Violations : 0
Total Unsafe Driving Violations : 0

Hours-of-Service (HOS) Compliance

Measure	Percentile	Threshold
1.66	53%	65%

Relevant Inspections : 9
Total Inspections with Hours-of-Service (HOS) Compliance Violations : 3
Total Hours-of-Service (HOS) Compliance Violations : 3

Driver Fitness

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 9
Total Inspections with Driver Fitness Violations : 0
Total Driver Fitness Violations : 0

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 9
Total Inspections with Controlled Substances and Alcohol Violations : 0
Total Controlled Substances and Alcohol Violations : 0

Vehicle Maintenance

Measure	Percentile	Threshold
17.35	96.4%	80%

Relevant Inspections : 8
Total Inspections with Vehicle Maintenance Violations : 8
Total Vehicle Maintenance Violations : 28

Hazardous Materials (HM) Compliance

Measure	Percentile	Threshold
-	-	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 : 1.7
Vehicle Miles Traveled (VMT) : 50000
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 1.7
Number of Crashes : 0
Number Tow-aways : 0
Number with Injuries or Fatalities : 0
Number with HM Release : 0

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Ez Moving, Palatine IL

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