Don Bush Family Moving LLC, Bloomington IN 47404

Basic Info
History
Insurance
Safety Info

Entity Type: Carrier
Operating Status: Authorized For Property, HHG
Out of Service Date: None
DUNS Number: -
Power Units: 5
Drivers: 2
MCS-150 Form Date: 10/15/2013
MCS-150 Mileage (Year): 44,025 (2012)
Operation Classification: Auth. For Hire
Carrier Operation: Interstate
Cargo Carried: General Freight, Household Goods

Business Address:
3114 W Vernal Pike Bloomington, IN, 47404
Phone: 812-336-3256

Mailing Address:
4192 W Broadway Avenue Bloomington, IN, 47404

Last Updated Date: November 29, 2013

Property	Passenger	Household Goods	Private	Enterprise

Authority

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

Insurance

Type	BIPD	Cargo	Bond
Required	$750,000	Yes	No
On File	$1,000,000	Yes	No

Authority History

Subno
Auth Type	Motor Property Contract Carrier
Original Action	Granted
Original Action Dt.	05/02/2012
Disposition
Disposition Dt.

Active/Pending Insurance

Form	91X
Type	BIPD/Primary
Insurance Carrier	Grange Mutual Casualty Co.
Policy/Surety	CPP2630180
Posted Date	11/03/2011
Converage From and To	$0 - $1,000,000
Effective Date	11/01/2011
Cancellation Date

Insurance Address

Carrier	Grange Mutual Casualty Co.
Auth	Melyssa Mefford
Address	650 SOUTH FRONT ST. COLUMBUS, OH USA 43206
Telephone	800-422-0550 2809
Fax	614-449-5130

Inspections

Inspection Type	Vehicle	Driver	Hazmat	IEP
Inspections	2	5	0	0
Out of Service	1	1	0	0
Out of Service %	50	20	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
1.36	< 3 insp. w/viol.	65%

Vehicle Miles Traveled (VMT) : 44025
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 3.7
Total Inspections with Unsafe Driving Violations : 1
Total Unsafe Driving Violations : 1

Hours-of-Service (HOS) Compliance

Measure	Percentile	Threshold
2.81	< 3 insp. w/viol.	65%

Relevant Inspections : 5
Total Inspections with Hours-of-Service (HOS) Compliance Violations : 2
Total Hours-of-Service (HOS) Compliance Violations : 2

Driver Fitness

Measure	Percentile	Threshold
0.45	< 5 insp. w/viol.	80%

Relevant Inspections : 5
Total Inspections with Driver Fitness Violations : 2
Total Driver Fitness Violations : 2

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 5
Total Inspections with Controlled Substances and Alcohol Violations : 0
Total Controlled Substances and Alcohol Violations : 0

Vehicle Maintenance

Measure	Percentile	Threshold
12.8	< 5 vehicle insp.	80%

Relevant Inspections : 2
Total Inspections with Vehicle Maintenance Violations : 2
Total Vehicle Maintenance Violations : 5

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) : 0
VMT Year :
VMT Source :
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

Accuracy of Estimate
Moving Services
Packing Services
Professionalism

Don Bush Family Moving LLC

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