AVA Insurance Requests 2022/02/02
    IDs: R3073


Insurance AVA RequestID: R3073   Due Date: 03/01/2022   Request Date: 2/1/2022

Event Information
REG-MA AVA - Mid-America Region
121410 Corbin KY
Guided Walk 4/5/2022 - 4/5/2022
Cumberland Falls State Resort Park
Contact Information
ROBERT A BUZOLICH
(157) 433-99140
sonofbuzz@prodigy.net
1703 E HOWARD ST, South Bend, In, 46617
Fax: No Fax # Available
Additional Insured: 1
Commonwealth of Kentucky Department of Parks
Beneficial Administrator of State Park Properties
500 Mero Street - 5th Floor
Frankfort KY, 40601