Transportation Carrier Information

The information below reflects the content of the TMIS
information system as of the close of the previous business day.
Carrier ID PSG0000289
Carrier Name RENE M MEDINA INC
Phone Number (415) 864-1133
Primary DBA LUCKY TOURS

Contact
Address
RENE M MEDINA PRES
1028 MISSION STREET
SAN FRANCISCO, CA 94103

Physical
Address
355 SELBY STREET
SAN FRANCISCO, CA 94124

Authorities Transportation Charter Class A Certificate - Active - 12/19/07

INSURANCE POLICIES
Policy Type Policy Number Insurance Company Address
PL and PD Policy CAD060787701 NATIONAL INTERSTATE INSR CO
3250 INTERSTATE DRIVE
RICHFIELD, OH 44286-9000
Workers Compensation Coverage TC2JUB420J007104 AETNA INSR CO
151 FARMINGTON AVENUE
HARTFORD, CT 06156