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 PSG0016317
Carrier Name JACIW ALEXANDRE ANTONIO
Phone Number (415) 609-6015
Primary DBA LONE STAR TRANSPORTATION

Contact
Address
ALEXANDRE ANTONIO JACIW
221 NORWICH AVE
MILPITAS, CA 95035

Physical
Address
221 NORWICH AVE
MILPITAS, CA 95035

Authorities Transportation Charter Party Class P Permit - Active - 10/22/08

INSURANCE POLICIES
Policy Type Policy Number Insurance Company Address
PL and PD Policy LINS001084 NATIONAL SPECIALTY INSURANCE COMPANY
8200 ANDERSON BLVD
FORT WORTH, TX 76120
Workers Compensation Coverage 1847945 STATE COMPENSATION INSR FUND
P O BOX 807
SAN FRANCISCO, CA 94102
Workers Compensation Coverage WEN004856801 ENDURANCE REINSURANCE CORPORATION OF AME
333 WESTCHESTER AVE
WHITE PLAINS, NY 10604