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 PSG0017021
Carrier Name ROSEVILLE RETIREMENT RESIDENCE LIMITED PARTNERSHIP
Primary DBA MISTYWOOD

Authorities Transportation Charter Party Specialized Permit - Expired - 02/16/08

INSURANCE POLICIES
Policy Type Policy Number Insurance Company Address
PL and PD Policy WA266D004184013 LIBERTY MUTUAL FIRE INSR CO
P O BOX 4600
LEWISTON, ME 04243-9977
Workers Compensation Coverage WA266D004184014 LIBERTY MUTUAL FIRE INSR CO
P O BOX 4600
LEWISTON, ME 04243-9977