Basic Info
History
Insurance
Safety Info

Entity Type: Carrier
Operating Status: Authorized For Property
Out of Service Date: None
DUNS Number: -
Power Units: 3
Drivers: 1
MCS-150 Form Date: 3/21/2013
MCS-150 Mileage (Year): 21,000 (2012)
Operation Classification: Auth. For Hire, Unknown
Carrier Operation: Interstate
Cargo Carried: General Freight, Household Goods

Business Address:
4210 8Th St Rock Island, IL, 61201
Phone: 309-799-7254

Mailing Address:
4210 8Th St Rock Island, IL, 61201

Last Updated Date: November 29, 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	$750,000	Yes	No
On File	$750,000	Yes	No

Authority History

Subno
Auth Type	Motor Property Contract Carrier
Original Action	Dismissed
Original Action Dt.	04/26/1994
Disposition
Disposition Dt.

Active/Pending Insurance

Form	91X
Type	BIPD/Primary
Insurance Carrier	Acuity, A Mutual Insurance Company
Policy/Surety	CA-X81357
Posted Date	10/29/2013
Converage From and To	$0 - $750,000
Effective Date	10/15/2013
Cancellation Date

Insurance History

Form	91X
Type	BIPD/Primary
Insurance Carrier	Continental Western Insurance Co.
Policy/Surety	MCP2382567C
Converage From and To	$0 - $750,000
Effective Dt. From and To	10/15/2006 - 11/19/2013 Cancelled

Insurance Address

Carrier	Acuity, A Mutual Insurance Company
Auth	Ed Warren, Vp Cl Underwriting
Address	2800 SOUTH TAYLOR DR. SHEBOYGAN, WI USA 53081
Telephone	800-242-7666
Fax	920-458-1618

Inspections

Inspection Type	Vehicle	Driver	Hazmat	IEP
Inspections	0	1	0	0
Out of Service	0	0	0	0
Out of Service %		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) : 21000
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 3
Total Inspections with Unsafe Driving Violations : 0
Total Unsafe Driving Violations : 0

Hours-of-Service (HOS) Compliance

Measure	Percentile	Threshold
0	< 3 driver insp.	65%

Relevant Inspections : 1
Total Inspections with Hours-of-Service (HOS) Compliance Violations : 0
Total Hours-of-Service (HOS) Compliance Violations : 0

Driver Fitness

Measure	Percentile	Threshold
1	< 5 driver insp.	80%

Relevant Inspections : 1
Total Inspections with Driver Fitness Violations : 1
Total Driver Fitness Violations : 1

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 1
Total Inspections with Controlled Substances and Alcohol Violations : 0
Total Controlled Substances and Alcohol Violations : 0

Vehicle Maintenance

Measure	Percentile	Threshold
0	< 5 vehicle insp.	80%

Relevant Inspections : 0
Total Inspections with Vehicle Maintenance Violations : 0
Total Vehicle Maintenance Violations : 0

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 : 3
Vehicle Miles Traveled (VMT) : 21000
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 3
Number of Crashes : 0
Number Tow-aways : 0
Number with Injuries or Fatalities : 0
Number with HM Release : 0

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Greenmans Moving & Delivery Service Inc

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