Holland House Moving, Forest City IA 50436 USDOT 2359776

Basic Info
History
Insurance
Safety Info

DBA Name: Holland House Moving
Entity Type: Carrier
Operating Status: Authorized For Property
Out of Service Date: None
DUNS Number: -
Power Units: 5
Drivers: 3
MCS-150 Form Date: 10/8/2013
MCS-150 Mileage (Year): 5,000 (2012)
Operation Classification: Auth. For Hire
Carrier Operation: Interstate
Cargo Carried: Mobile Homes, Machinery, Large Objects, Houses

Business Address:
35545 Hwy 69 N Forest City, IA, 50436
Phone: 641-585-3630
Fax: 641-585-2525

Mailing Address:
35545 Hwy 69 N Forest City, IA, 50436

Last Updated Date: November 29, 2013

Property	Passenger	Household Goods	Private	Enterprise

Authority

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

Insurance

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

Authority History

Subno
Auth Type	Motor Property Contract Carrier
Original Action	Granted
Original Action Dt.	12/14/2012
Disposition
Disposition Dt.

Active/Pending Insurance

Form	91X
Type	BIPD/Primary
Insurance Carrier	The Travelers Indemnity Co. Of Connecticut
Policy/Surety	BA-6C080122-13-GRP
Posted Date	10/21/2013
Converage From and To	$0 - $750,000
Effective Date	11/28/2013
Cancellation Date

Insurance History

Form	91X
Type	BIPD/Primary
Insurance Carrier	The Travelers Indemnity Co. Of Connecticut
Policy/Surety	BA-6C080122-13-GRP
Converage From and To	$0 - $1,000,000
Effective Dt. From and To	11/28/2012 - 11/28/2013 Replaced

Insurance Address

Carrier	The Travelers Indemnity Co. Of Connecticut
Auth	Please Contact You Local Agent
Address	1 TOWER SQUARE - 5GS HARTFORD, CT USA 06183
Telephone	860-277-2682
Fax	860-277-3674

Inspections

Inspection Type	Vehicle	Driver	Hazmat	IEP
Inspections	0	0	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) : 5000
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 5
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 : 0
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 : 0
Total Inspections with Driver Fitness Violations : 0
Total Driver Fitness Violations : 0

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 0
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 : 5
Vehicle Miles Traveled (VMT) : 5000
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 5
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

Holland House Moving

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