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 PSG0018640
Carrier Name J AND K DEROSA INC
Phone Number (209) 824-2323
Primary DBA MOONLIGHT LIMOUSINE
Other DBAs EXECUTIVE TRANSPORTATION COMPANY

Contact
Address
JEFF DEROSA CEO
P O BOX 676
MANTECA, CA 95336

Physical
Address
2005 N MAIN STREET
MANTECA, CA 95336

Authorities Transportation Charter Class B Certificate - Active - 03/03/08

INSURANCE POLICIES
Policy Type Policy Number Insurance Company Address
Excess Policy XLS0053972 SCOTTSDALE INSR CO
8877 N GAINEY CENTER DRIVE
SCOTTSDALE, AZ 85261-4110
PL and PD Policy TP238440 NORTHLAND INSR CO
1295 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Workers Compensation Coverage 1877920 STATE COMPENSATION INSR FUND
P O BOX 807
SAN FRANCISCO, CA 94102