Part I.    General Information

Q1.   How many vehicles are in your fleet?

Q2.   Approximately what is the percentage of each type of vehicle in your fleet?

       % Cars
       % Minivans
       % Full-size vans
       % Pickup trucks
       % Sport/Utility
       % Heavy-Duty (on-road)
       % Heavy-Duty (off-road)

Q3. Please check the primary fleet category that applies to your fleet:

       Business            Government            Utility (non-government)

Q4.   On average, what is your current annual cost, per vehicle,
         for insurance coverage? Please include the costs for liability,
         comprehensive, collision and property damage.

         $ (US Dollars, per vehicle, per year)

Q5. How much has your per-vehicle insurance expense changed
       over the past 12-month period?

         HIGHER BY PERCENT
         LOWER BY PERCENT

         NO CHANGE IN PAST 12 MONTHS

Q6.   Do fleet drivers pay a portion of their vehicle’s insurance cost?

         YES, THEY PAY PERCENT
         NO, THE COMPANY PAYS ALL INSURANCE COSTS

Q7.   Are fleet drivers held financially responsible for any portion of a
         damage or injury claim involving their vehicle?

         YES         NO

Q8.   Do fleet drivers who are involved in an at-fault accident pay
         a deductible?

         YES, THEY PAY $ US DOLLARS PER CLAIM
         NO

Q9.    Do you self-insure any portion of your vehicle fleet?

         YES         NO

Q10. How are you insured for the following?

         For Collision Coverage:
         Through insurance company
         Through lessor
         Partially self-insured
         Fully self-insured

         For Comprehensive Coverage:
         Through insurance company
         Through lessor
         Partially self-insured
         Fully self-insured

         For Bodily Injury Coverage:
         Through insurance company
         Through lessor
         Partially self-insured
         Fully self-insured

         For Medical Liability Coverage:
         Through insurance company
         Through lessor
         Partially self-insured
         Fully self-insured

         For Property Damage Coverage:
         Through insurance company
         Through lessor
         Partially self-insured
         Fully self-insured

Q11. What are your insurance coverage limits for each type of coverage
         listed below? Please indicate amounts in US Dollars.

         For Collision Coverage:
         $ per accident

         For Comprehensive Coverage:
         $ per incident

       For Property Damage Coverage:
         $ per accident

         For Bodily Injury Coverage:
         $ per person
         $ per accident

         For Medical Liability Coverage:
         $ per person
         $ per accident

         For Personal Injury Coverage:
         $ per person
         $ per accident

         For Uninsured Motorist Coverage:
         $ per person
         $ per accident

Q12. What is the deductible amount for each coverage type below?

         For Collision Coverage:
         $ per accident

         For Comprehensive Coverage:
         $ per incident