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The information below reflects the content of the TMIS information system as of the close of the previous business day. |
| Carrier ID | PSG0014088 |
| Carrier Name | TILLACK JAY SCOTT |
| Primary DBA | PREMIERE EXECUTIVE TRANSPORTATION |
| Authorities | Transportation Charter Party Class P Permit - Revoked - 04/25/08 |
| INSURANCE POLICIES | ||
| Policy Type | Policy Number | Insurance Company Address |
| PL and PD Policy | CAOL011957 | NATIONAL CASUALTY CO 8877 NORTH GAINEY CENTER DR SCOTTSDALE, AZ 85258 |
| Workers Compensation Coverage | 1792082 | STATE COMPENSATION INSR FUND P O BOX 807 SAN FRANCISCO, CA 94102 |