21905 12 ROAD
MONTEZUMA KS 67867
| Operating Status | Inactive |
| USDOT | 1200422 |
| MC NUMBER | MC-477541 |
| Last Safer Update | 11-26-2021 |
| Last FMCSA Update | 09-05-2023 |
| Out of Service Date | None |
| Entity Type | Carrier |
| Legal Name | MARK FAIRBANKS |
| DBA Name | FAIRBANKS TRUCKING |
| Total Trucks | 1 |
| Total Drivers | 1 |
| Carrier Operation | Interstate |
| MCS-150 DATE | N |
| Type |
Orig Action
Orig Action
Orig Act Date |
Orig Act Date |
Deposition
Deposition
Depos Date |
Depos Date |
|---|---|---|---|---|
| MOTOR PROPERTY COMMON CARRIER |
GRANTED
GRANTED
02/12/2004 |
02/12/2004 |
REVOKED
REVOKED
04/21/2008 |
04/21/2008 |
| Authority Type | Authority Status |
|---|---|
| Common | Inactive |
| Contract | None |
| Broker | None |
| Property | Passenger | Household Goods |
|---|---|---|
| Yes | No | No |
| Property | Yes |
|---|---|
| Passenger | No |
| Household Goods | No |
| Type | First Served Date | Effective Date | Reason |
|---|---|---|---|
| COMMON | 03/18/2008 | 04/21/2008 | INVOLUNTARY REVOCATION |
| Rating | Rating Date | Review Date | Review Type |
|---|---|---|---|
| Satisfactory | 2005-05-19 | 2005-05-17 | C |
| Rating | Satisfactory |
|---|---|
| Rating Date | 2005-05-19 |
| Review Date | 2005-05-17 |
| Review Type | C |
| Inspection Type | Vehicle | Driver |
|---|---|---|
| Inspections | 0 | 0 |
| Out of Service | 0 | 0 |
| Out of Service % | 0 % | 0 % |
| National Avg % | 20.72 % | 5.51 % |
| Crash Total | Fatal Crash | Inj Crash | Towaway Crash |
|---|---|---|---|
0 |
0 |
0 |
0 |
| Crash Total |
0 |
|---|---|
| Fatal Crash |
0 |
| Inj Crash |
0 |
| Towaway Crash |
0 |
| Physical Address | Mailing Address |
|---|---|
|
21905 12 ROAD MONTEZUMA KS 67867 |
21905 12 ROAD, Montezuma, KS, 67867 |
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| Insurance Type | Insurance on File | Insurance Required |
|---|---|---|
| BIPD | $0,000 | $750,000 |
| Cargo | No | |
| Bond | No |
| Form Type |
Insurance Carrier | Policy | Coverage From - To |
Effective From - To |
Effective Status | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 91X BIPD/Primary |
GREAT WEST CASUALTY CO.
|
GWP44886A |
$0 $1,000,000 |
02/14/2007 04/14/2008 |
Cancelled | ||||||
| 91X BIPD/Primary |
OAK RIVER INSURANCE COMPANY
|
50 KSA000633 |
$0 $1,000,000 |
12/19/2003 02/14/2007 |
Replaced | ||||||
| 91X BIPD/Primary |
OAK RIVER INSURANCE COMPANY
|
50 KSA000633 |
$0 $1,000,000 |
12/19/2003 02/26/2004 |
Name | ||||||
| 91X BIPD/Primary |
OAK RIVER INSURANCE COMPANY
|
50 KSA000633 |
$0 $1,000,000 |
12/19/2003 12/19/2003 |
Replaced | ||||||
| 34 CARGO |
GREAT WEST CASUALTY CO.
|
GWP44886A |
$0 $5,000 |
02/14/2007 04/14/2008 |
Cancelled | ||||||
| 34 CARGO |
HARTFORD FIRE INSURANCE COMPANY
|
87 LST 212752 |
$0 $5,000 |
01/14/2004 03/17/2007 |
Cancelled | ||||||
| 34 CARGO |
HARTFORD FIRE INSURANCE COMPANY
|
87 LST 212752 |
$0 $5,000 |
01/14/2004 02/14/2007 |
Replaced |
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