Basic Info
History
Insurance
Safety Info

Entity Type: Carrier
Operating Status: Not Authorized
Out of Service Date: None
DUNS Number: 17-038-9568
Power Units: 2
Drivers: 2
MCS-150 Form Date: 2/10/2009
MCS-150 Mileage (Year): -
Operation Classification: Auth. For Hire, Hhg
Carrier Operation: Interstate
Cargo Carried: General Freight, Household Goods, Machinery, Large Objects

Business Address:
2161 County Rd 540 A Ste # 117 Lakeland, FL, 33813
Phone: 863-667-3009

Mailing Address:
2161 County Rd 540 A Ste # 117 Lakeland, FL, 33813

Last Updated Date: November 29, 2013

Property	Passenger	Household Goods	Private	Enterprise

Authority

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

Insurance

Type	BIPD	Cargo	Bond
Required	$750,000	Yes	No
On File	$0	No	No

Authority History

Subno
Auth Type	Household Goods Common Carrier
Original Action	Dismissed
Original Action Dt.	02/15/2001
Disposition
Disposition Dt.

Revocation

Auth Type	Common
1st Served Date	10/24/2005
Effective Date	11/28/2005
Reason	Involuntary Revocation

Insurance History

Form	91X
Type	BIPD/Primary
Insurance Carrier	Carolina Casualty Insurance Co.
Policy/Surety	456981
Converage From and To	$0 - $750,000
Effective Dt. From and To	11/17/2005 - 01/09/2006 Cancelled

Insurance Address

Carrier	Carolina Casualty Insurance Co.
Auth	Cherie Gilliard
Address	P O BOX 2575 JACKSONVILLLE, FL USA 32203
Telephone	800-874-8053 7025
Fax	900-363-8088

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) : 0
VMT Year : -
VMT Source : -
Average Power Units (APU) x Utilization Factor (UF) : 2
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 : 2
Vehicle Miles Traveled (VMT) : 0
VMT Year :
VMT Source :
Average Power Units (APU) x Utilization Factor (UF) : 2
Number of Crashes : 0
Number Tow-aways : 0
Number with Injuries or Fatalities : 0
Number with HM Release : 0

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