Basic Info
History
Insurance
Safety Info

Entity Type: Carrier
Operating Status: Authorized For HHG
Out of Service Date: None
DUNS Number: 83-208-2429
Power Units: 4
Drivers: 4
MCS-150 Form Date: 9/9/2013
MCS-150 Mileage (Year): 75,000 (2013)
Operation Classification: Auth. For Hire
Carrier Operation: Interstate
Cargo Carried: General Freight, Household Goods, Motor Vehicles

Business Address:
2509 S Power Rd Ste 207 Mesa, AZ, 85209
Phone: 480-641-9268
Fax: 480-353-2720

Mailing Address:
2509 S Power Rd Ste 207 Mesa, AZ, 85209

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	$1,000,000	Yes	Yes

Authority History

Subno
Auth Type	Household Goods Common Carrier
Original Action	Granted
Original Action Dt.	10/23/2009
Disposition
Disposition Dt.

Active/Pending Insurance

Form	91X
Type	BIPD/Primary
Insurance Carrier	Sparta Insurance Company
Policy/Surety	043CP00069
Posted Date	02/27/2013
Converage From and To	$0 - $1,000,000
Effective Date	02/27/2013
Cancellation Date

Insurance History

Form	91X
Type	BIPD/Primary
Insurance Carrier	Transguard Insurance Company Of America Inc.
Policy/Surety	TCP0000146
Converage From and To	$0 - $1,000,000
Effective Dt. From and To	02/27/2012 - 02/27/2013 Replaced

Insurance Address

Carrier	American Guarantee & Liability Ins. Co.
Auth	Anne Mcneish, Dir - Asc
Address	1400 AMERICAN LANE T1-18 SCHAUMBURG, IL USA 60196
Telephone	800-821-4635
Fax	410-261-7955

Inspections

Inspection Type	Vehicle	Driver	Hazmat	IEP
Inspections	2	3	0	0
Out of Service	0	0	0	0
Out of Service %	0	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) : 75000
VMT Year : 2013
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 5.3
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 : 3
Total Inspections with Hours-of-Service (HOS) Compliance Violations : 0
Total Hours-of-Service (HOS) Compliance Violations : 0

Driver Fitness

Measure	Percentile	Threshold
0	< 5 driver insp.	80%

Relevant Inspections : 3
Total Inspections with Driver Fitness Violations : 0
Total Driver Fitness Violations : 0

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 3
Total Inspections with Controlled Substances and Alcohol Violations : 0
Total Controlled Substances and Alcohol Violations : 0

Vehicle Maintenance

Measure	Percentile	Threshold
1	< 5 vehicle insp.	80%

Relevant Inspections : 2
Total Inspections with Vehicle Maintenance Violations : 1
Total Vehicle Maintenance Violations : 1

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 : 6
Vehicle Miles Traveled (VMT) : 125000
VMT Year : 2011
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 6
Number of Crashes : 0
Number Tow-aways : 0
Number with Injuries or Fatalities : 0
Number with HM Release : 0

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Premier Van Lines International Inc

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