AVA Insurance Requests 2022/04/11
    IDs: R3087


Insurance AVA RequestID: R3087   Due Date: 08/17/2022   Request Date: 04/10/2022

Event Information
Request #: R3087
Event #: 121389
Event: Walk
Location: Chimacum, WA
Date: 08/20/2022 - 08/21/2022
Club: AVA-0534 Four-Plus Foolhardy Folks
Contact Information
Jane Holmes

jensenholmespa@gmail.com
827 Rainier Lane, Port Ludlow, WA 98365
Additional Insured: 1
Washington State Parks & Recreation Commission
Owner of land where event is held
1111 Israel Road Sw
Olympia WA, 98504-0265
Additional Insured: 2
Olympic Peninsula Explorers
Co-sponsor
PO Box 1706
Sequim WA, 98382-4329