Addresses: Business Address: Business Phone: Mail Address: Mail Phone: Business Fax:
Mail Fax: Undeliverable Mail: 100 KERO RD Fax: (201) 438-6466 PO BOX 6550 NO CARLSTADT, NJ 07072-2601 CARLSTADT, NJ 07072-2601 INACTIVE NO INACTIVE NO NONE NO YES NO NO Common Authority: Contract Authority: Broker Authority: Property: Application Pending: Application Pending: Application Pending:
Passenger: Household Goods:
NO Authorities: NO $750,000 $0 NO NO YES YES NO NO Insurance Requirements: BIPD Exempt: Cargo Exempt: BOC-3:
BIPD Waiver: BIPD Required: Cargo Required: Bond Required:
BIPD on File: Cargo on File: Bond on File: AMERICAN MOVING AND STORAGE ASSOCIATION
FILED FOR GENERAL COMMODITY AUTH. IN 48 STATES IN SUB 3
34
FEDERAL INSURANCE CO.
STEPHEN D. JACOBSON, AUTO TEAM MANAGER CARGO
6632473 $0 $5,000
04/01/2008 Active/Pending Insurance:
Form: Type:
Policy/Surety Number: Coverage From: To:
Effective Date: Cancellation Date:
Insurance Carrier: Attn: Address: Telephone:
15 MOUNTAIN VIEW ROAD, BOX 1615 WARREN, NJ 07059 US
(908) 903 - 2000 Fax: (908) 903 - 2027 Comments:
* If a carrier is in compliance, the amount of coverage will always be shown as the required Federal minimum ($5,000 per vehicle, $10,000 per occurrence for cargo insurance, $75,000 for bond/trust fund insurance for brokers and freight forwarders). The carrier may actually have higher levels of coverage.
* Blanket Company:
Posted Date: 04/03/2008
Policy/Surety Number: Coverage From: $0 To:
Received: Rejected:
Rejected Reason:
Insurance History: Form: Form: Form: Form: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Effective Date From:
Effective Date From:
Effective Date From:
Effective Date From:
Type: Type: Type: Type: Coverage From Coverage From Coverage From Coverage From To: To: To: To: Disposition: Disposition: Disposition: Disposition: To: To: To: To: 91X 91X 91X 91X BIPD/Primary BIPD/Primary BIPD/Primary BIPD/Primary C6989057 C6989057 C144394-4 CA29015372 $0 $0 $0 $0 $1,000,000 $1,000,000 $1,000,000 $750,000 01/06/1988 01/06/1988 04/01/2003 04/19/2008 05/10/2003 04/01/2003 04/19/2008 03/29/2009 Cancelled Replaced Cancelled Cancelled Insurance Carrier: Insurance Carrier: Insurance Carrier: Insurance Carrier: Attn: Attn: Attn: Attn: Address: Address: Address: Address: Telephone: Telephone: Telephone: Telephone:
NEW JERSEY MANUFACTURERS INSURANCE CO.
NEW JERSEY MANUFACTURERS INSURANCE CO.
NEW JERSEY MANUFACTURERS INSURANCE CO.
ARI MUTUAL INSURANCE COMPANY TUCKER ERICSON, SVP
SULLIVAN WAY
SULLIVAN WAY
SULLIVAN WAY
133 FRANKLIN CORNER ROAD WEST TRENTON, NJ 08628 US WEST TRENTON, NJ 08628 US WEST TRENTON, NJ 08628 US LAWRENCEVILLE, NJ 08648 US (800) 820 - 4506 Fax: Fax: Fax: Fax: (609) 882 - 4088
Form: Form: Form: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Effective Date From:
Effective Date From:
Effective Date From:
Effective Date From:
Type: Type: Type: Coverage From Coverage From Coverage From Coverage From To: To: To: To: Disposition: Disposition: Disposition: Disposition: To: To: To: To: 91X 91X 91X BIPD/Primary BIPD/Primary BIPD/Primary CA29015372 CA29015672 CA29015672 SAP000310 $0 $0 $0 $0 $750,000 $750,000 $750,000 $1,000,000 04/19/2008 02/27/2009 02/27/2009 04/17/2009 02/27/2009 04/19/2009 04/17/2009 07/25/2009 Replaced Cancelled Replaced Cancelled Insurance Carrier: Insurance Carrier: Insurance Carrier: Insurance Carrier: Attn: Attn: Attn: Attn: Address: Address: Address: Address: Telephone: Telephone: Telephone: Telephone:
ARI MUTUAL INSURANCE COMPANY
ARI MUTUAL INSURANCE COMPANY
ARI MUTUAL INSURANCE COMPANY
STATE NATIONAL INSURANCE CO., INC. TUCKER ERICSON, SVP
TUCKER ERICSON, SVP
TUCKER ERICSON, SVP
ANNALAURA MILLER
133 FRANKLIN CORNER ROAD
133 FRANKLIN CORNER ROAD
133 FRANKLIN CORNER ROAD
1900 L. DON DODSON BLVD. LAWRENCEVILLE, NJ 08648 US LAWRENCEVILLE, NJ 08648 US LAWRENCEVILLE, NJ 08648 US BEDFORD, TX 76021 US (800) 820 - 4506 (800) 820 - 4506 (800) 820 - 4506 (800) 877 - 4567 Fax: Fax: Fax: Fax: (609) 882 - 4088 (609) 882 - 4088 (609) 882 - 4088 (877) 894 - 6930
Insurance History: Form: Form: Form: Form: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Effective Date From:
Effective Date From:
Effective Date From:
Effective Date From:
Type: Type: Type: Type: Coverage From Coverage From Coverage From Coverage From To: To: To: To: Disposition: Disposition: Disposition: Disposition: To: To: To: To: 91X 91X 91X 91X BIPD/Primary BIPD/Primary BIPD/Primary BIPD/Primary SAP000310 CAT-2008-0006-01-09 CAT20080060110046 CAT20080060110046 $0 $0 $0 $0 $1,000,000 $1,000,000 $750,000 $1,000,000 07/25/2009 07/25/2009 04/01/2010 04/01/2010 04/17/2010 07/25/2009 09/04/2011 04/01/2010 Cancelled Replaced Cancelled Replaced Insurance Carrier: Insurance Carrier: Insurance Carrier: Insurance Carrier: Attn: Attn: Attn: Attn: Address: Address: Address: Address: Telephone: Telephone: Telephone: Telephone:
STATE NATIONAL INSURANCE CO., INC.
FEDERAL MOTOR CARRIERS RISK RETENTION GROUP
FEDERAL MOTOR CARRIERS RISK RETENTION GROUP
FEDERAL MOTOR CARRIERS RISK RETENTION GROUP ANNALAURA MILLER
CARL R SADLER, UNDERWRITING OFFICER
CARL R SADLER, UNDERWRITING OFFICER
CARL R SADLER, UNDERWRITING OFFICER 1900 L. DON DODSON BLVD.
5114 ROUTE 33-34 NORTH., PO BOX 906
5114 ROUTE 33-34 NORTH., PO BOX 906
5114 ROUTE 33-34 NORTH., PO BOX 906 BEDFORD, TX 76021 US FARMINGDALE, NJ 07727 US FARMINGDALE, NJ 07727 US FARMINGDALE, NJ 07727 US (800) 877 - 4567 (732) 751 - 0444 (732) 751 - 0444 (732) 751 - 0444 Fax: Fax: Fax: Fax: (877) 894 - 6930 (732) 751 - 0800 (732) 751 - 0800 (732) 751 - 0800
Form: Form: Form: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Effective Date From:
Effective Date From:
Effective Date From:
Effective Date From:
Type: Type: Type: Coverage From Coverage From Coverage From Coverage From To: To: To: To: Disposition: Disposition: Disposition: Disposition: To: To: To: To: 91X 35 91X BIPD/Primary BIPD BIPD/Primary CAT200800060110046 CAL/XCAL1000532 CAT200800060110046 CAC00001-00004-12 $0 $0 $0 $0 $750,000 $750,000 $750,000 $750,000 09/04/2011 10/04/2011 04/01/2012 04/19/2012 09/30/2011 04/19/2012 04/30/2013 Cancelled Replaced Cancelled Cancelled Insurance Carrier: Insurance Carrier: Insurance Carrier: Insurance Carrier: Attn: Attn: Attn: Attn: Address: Address: Address: Address: Telephone: Telephone: Telephone: Telephone:
FEDERAL MOTOR CARRIERS RISK RETENTION GROUP
AMERICAN MILLENNIUM INS/CITADEL REINSURANCE
FEDERAL MOTOR CARRIERS RISK RETENTION GROUP
SPIRIT COMMERCIAL AUTO RR GROUP, INC CARL R SADLER, UNDERWRITING OFFICER
TIMOTHY O'SHEA, AVP -UNDERWRITER
CARL R SADLER, UNDERWRITING OFFICER
BRENDA GUFFEY
5114 ROUTE 33-34 NORTH., PO BOX 906
1011 ROUTE 22 WEST
5114 ROUTE 33-34 NORTH., PO BOX 906
611 WEST FORT SCOTT STREET, SUITE D FARMINGDALE, NJ 07727 US BRIDGEWATER, NJ 08807 US FARMINGDALE, NJ 07727 US BUTLER, MO 64730 US (732) 751 - 0444 (973) 628 - 6060 (732) 751 - 0444 (816) 286 - 2539 Fax: Fax: Fax: Fax: (732) 751 - 0800 (908) 450 - 7101 (732) 751 - 0800 (816) 286 - 2532
Insurance History: Form: Form: Form: Form: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Policy/Surety Number: Effective Date From:
Effective Date From:
Effective Date From:
Effective Date From:
Type: Type: Type: Type: Coverage From Coverage From Coverage From Coverage From To: To: To: To: Disposition: Disposition: Disposition: Disposition: To: To: To: To: 34 34 34 34 CARGO CARGO CARGO CARGO IMO2900071 RST 233357 P2 ST418198 IM02900986 $0 $0 $0 $0 $5,000 $5,000 $5,000 $5,000 01/24/1992 01/29/1996 04/01/2003 04/01/2004 01/29/1996 04/01/2003 04/01/2004 05/22/2005 Replaced Replaced Replaced Cancelled Insurance Carrier: Insurance Carrier: Insurance Carrier: Insurance Carrier: Attn: Attn: Attn: Attn: Address: Address: Address: Address: Telephone: Telephone: Telephone: Telephone:
ST. PAUL FIRE & MARINE INSURANCE CO.
ROYAL INSURANCE COMPANY
ROYAL INSURANCE COMPANY OF AMERICA
ST. PAUL FIRE & MARINE INSURANCE CO. CLAIMS DEPT.
MS. ROBIN MARENOVIC.
KAREN MARTIN
CLAIMS DEPT.
ONE TOWER SQUARE, - 5GS
9300 ARROWPOINT BLVD PO BOX 1000
9300 ARROWPOINT BLVD.
ONE TOWER SQUARE, - 5GS HARTFORD, CT 06183 US CHARLOTTE, NC 28201 US CHARLOTTE, NC 28273 US HARTFORD, CT 06183 US (800) 238 - 6225 (704) 522 - 2062 (704) 522 - 2441 (800) 238 - 6225 Fax: Fax: Fax: Fax: (704) 522 - 2393 (704) 522 - 3200 * * * *
Form:
Form:
Policy/Surety Number:
Policy/Surety Number:
Policy/Surety Number: Effective Date From:
Effective Date From:
Effective Date From:
Type: Type: Coverage From Coverage From Coverage From To: To: To: Disposition: Disposition: Disposition: To: To: To: 34 34 CARGO CARGO IM02900986 QT-660-4271B519-TIL QT-660-4271B519-TIL $0 $0 $0 $5,000 $5,000 $5,000 04/01/2004 04/01/2005 04/01/2005 04/01/2005 04/26/2008 04/01/2008 Replaced Cancelled Replaced Insurance Carrier: Insurance Carrier: Insurance Carrier: Attn: Attn: Attn: Address: Address: Address: Telephone: Telephone: Telephone:
ST. PAUL FIRE & MARINE INSURANCE CO.
TRAVELERS PROPERTY CASUALTY CO. OF AMERICA
TRAVELERS PROPERTY CASUALTY CO. OF AMERICA CLAIMS DEPT.
PLEASE CONTACT YOUR LOCAL AGENT
PLEASE CONTACT YOUR LOCAL AGENT ONE TOWER SQUARE, - 5GS
1 TOWER SQUARE, 5GS 1 TOWER SQUARE, 5GS HARTFORD, CT 06183 US HARTFORD, CT 06183 US HARTFORD, CT 06183 US (800) 238 - 6225 Fax: Fax: Fax:
* If a carrier is in compliance, the amount of coverage will always be shown as the required Federal minimum ($5,000 per vehicle, $10,000 per occurrence for cargo insurance, $75,000 for bond/trust fund insurance for brokers and freight forwarders). The carrier may actually have higher levels of coverage.
* * * Sub No. MOTOR PROPERTY COMMON CARRIER MOTOR PROPERTY Authority Type REINSTATED Original Action 04/28/2010 REVOKED Disposition Action 05/06/2013 Authority History:
Authority Type Filed Status Insurance BOC-3 Pending Application: CONTRACT COMMON CONTRACT COMMON Authority Type 04/03/2013 04/03/2013 03/22/2010 03/22/2010 1st Serve Date 05/06/2013 05/06/2013 04/26/2010 04/26/2010 2nd Serve Date INVOLUNTARY REVOCATION INVOLUNTARY REVOCATION INVOLUNTARY REVOCATION INVOLUNTARY REVOCATION Reason Revocation History: 3 3 0 Sub No. MOTOR PROPERTY CONTRACT CARRIER MOTOR PROPERTY COMMON CARRIER MOTOR PROPERTY COMMON CARRIER Authority Type GRANTED GRANTED GRANTED Original Action 02/12/1991 02/12/1991 02/09/1983 REVOKED REVOKED REVOKED Disposition Action 04/26/2010 04/26/2010 04/26/2010 Authority History: