Basic Info
History
Insurance
Safety Info

Entity Type: Carrier & Shipper
Operating Status: Authorized For HHG
Out of Service Date: None
DUNS Number: 11-356-3712
Power Units: 10
Drivers: 5
MCS-150 Form Date: 3/14/2012
MCS-150 Mileage (Year): 60,000 (2011)
Operation Classification: Auth. For Hire
Carrier Operation: Interstate
Cargo Carried: Household Goods, Motor Vehicles, Machinery, Large Objects
Hm Shipping Operation: Interstate

Business Address:
1155 Ellis Bensenville, IL, 60106
Phone: 630-766-0568
Fax: 630-766-6674

Mailing Address:
1155 Ellis Bensenville, IL, 60106

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	$1,000,000	Yes	No
On File	$1,000,000	Yes	No

Authority History

Subno	0
Auth Type	Household Goods Common Carrier
Original Action	Granted
Original Action Dt.	08/24/1995
Disposition
Disposition Dt.

Active/Pending Insurance

Form	91X
Type	BIPD/Primary
Insurance Carrier	General Casualty Ins Co Of Ill
Policy/Surety	CBA 0292974
Posted Date	07/15/1999
Converage From and To	$0 - $1,000,000
Effective Date	07/01/1999
Cancellation Date

Insurance History

Form	91X
Type	BIPD/Primary
Insurance Carrier	American Automobile Insurance Company
Policy/Surety	01 CD735234(FAXDD)
Converage From and To	$0 - $1,000,000
Effective Dt. From and To	07/06/1995 - 07/01/1999 Replaced

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	7	10	0	0
Out of Service	0	1	0	0
Out of Service %	0	10	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
10/24/2006	Satisfactory	12/4/1992	Non-Ratable

Unsafe Driving

Measure	Percentile	Threshold
0	0%	65%

Vehicle Miles Traveled (VMT) : 60000
VMT Year : 2011
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 10
Total Inspections with Unsafe Driving Violations : 0
Total Unsafe Driving Violations : 0

Hours-of-Service (HOS) Compliance

Measure	Percentile	Threshold
1.66	< 3 insp. w/viol.	65%

Relevant Inspections : 10
Total Inspections with Hours-of-Service (HOS) Compliance Violations : 2
Total Hours-of-Service (HOS) Compliance Violations : 2

Driver Fitness

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 10
Total Inspections with Driver Fitness Violations : 0
Total Driver Fitness Violations : 0

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 10
Total Inspections with Controlled Substances and Alcohol Violations : 0
Total Controlled Substances and Alcohol Violations : 0

Vehicle Maintenance

Measure	Percentile	Threshold
3.84	< 5 insp. w/viol.	80%

Relevant Inspections : 7
Total Inspections with Vehicle Maintenance Violations : 4
Total Vehicle Maintenance Violations : 6

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 : 10.3
Vehicle Miles Traveled (VMT) : 60000
VMT Year : 2011
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 10.3
Number of Crashes : 0
Number Tow-aways : 0
Number with Injuries or Fatalities : 0
Number with HM Release : 0

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