Jackson Moving & Storage Inc, Chippewa Falls WI 54729

Basic Info
History
Insurance
Safety Info

Entity Type: Carrier & Broker
Operating Status: Authorized For Property, HHG
Out of Service Date: None
DUNS Number: -
Power Units: 7
Drivers: 10
MCS-150 Form Date: 10/11/2013
MCS-150 Mileage (Year): 654,075 (2012)
Operation Classification: Auth. For Hire
Carrier Operation: Interstate
Cargo Carried: General Freight, Fresh Produce, Meat, Refrigerated Food, Beverages, Paper Products

Business Address:
2847 Cty Hwy Oo Chippewa Falls, WI, 54729
Phone: 715-723-9578

Mailing Address:
2847 Cty Hwy Oo Chippewa Falls, WI, 54729

Last Updated Date: November 28, 2013

Property	Passenger	Household Goods	Private	Enterprise

Authority

Type	Common	Contract	Broker
Status	Active	Active	Active
App Pending	No	No	No

Insurance

Type	BIPD	Cargo	Bond
Required	$750,000	Yes	Yes
On File	$1,000,000	Yes	Yes

Authority History

Subno
Auth Type	Property Broker
Original Action	Granted
Original Action Dt.	07/09/2012
Disposition
Disposition Dt.

Active/Pending Insurance

Form	91X
Type	BIPD/Primary
Insurance Carrier	Great West Casualty Co.
Policy/Surety	GWP09409A
Posted Date	08/29/2002
Converage From and To	$0 - $1,000,000
Effective Date	09/01/2002
Cancellation Date

Insurance History

Form	85
Type	TRUST FUND
Insurance Carrier	Its Financial Services Llc
Policy/Surety	B310061412
Converage From and To	$0 - $10,000*
Effective Dt. From and To	06/14/2012 - 10/01/2013 Replaced

Insurance Address

Carrier	Great West Casualty Co.
Auth	Operator
Address	1100 WEST 29TH ST., P.O. BOX 277 SOUTH SIOUX CITY, NE USA 68776
Telephone	800-228-8602
Fax	402-494-7400

Inspections

Inspection Type	Vehicle	Driver	Hazmat	IEP
Inspections	7	17	0	0
Out of Service	0	1	0	0
Out of Service %	0	5.9	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
5/17/2010	Satisfactory	4/16/2007	Non-Ratable

Unsafe Driving

Measure	Percentile	Threshold
0	0%	65%

Vehicle Miles Traveled (VMT) : 654075
VMT Year : 2012
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 7.7
Total Inspections with Unsafe Driving Violations : 0
Total Unsafe Driving Violations : 0

Hours-of-Service (HOS) Compliance

Measure	Percentile	Threshold
1.37	59.7%	65%

Relevant Inspections : 20
Total Inspections with Hours-of-Service (HOS) Compliance Violations : 5
Total Hours-of-Service (HOS) Compliance Violations : 6

Driver Fitness

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 20
Total Inspections with Driver Fitness Violations : 0
Total Driver Fitness Violations : 0

Controlled Substances and Alcohol

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 20
Total Inspections with Controlled Substances and Alcohol Violations : 0
Total Controlled Substances and Alcohol Violations : 0

Vehicle Maintenance

Measure	Percentile	Threshold
0	0%	80%

Relevant Inspections : 8
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 : 6.3
Vehicle Miles Traveled (VMT) : 532470
VMT Year : 2011
VMT Source : Registration (MCS-150)
Average Power Units (APU) x Utilization Factor (UF) : 6.5
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

Jackson Moving & Storage Inc, Chippewa Falls WI

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