AVA Insurance Requests 2022/04/15
    IDs: R3089, R3090, R3091, R3092, R3093


Insurance AVA RequestID: R3089   Due Date: 04/29/2022   Request Date: 04/14/2022

Event Information
Request #: R3089
Event #: 121278
Event: Walk
Location: Crazy Horse, SD
Date: 06/04/2022 - 06/05/2022
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
Diane Johannesen
(307) 290-0746
dianejohannesen@hotmail.com
P. O. Box 18, Sundance, WY 82729
Additional Insured: 1
Ruth Ziolkowski Family Trust
Land Owner
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 2
Korczak Heritage, Inc.
Land Owner
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 3
Crazy Horse Memorial Foundation
Land Owner
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730

Insurance AVA RequestID: R3090   Due Date: 04/29/2022   Request Date: 04/14/2022

Event Information
Request #: R3090
Event #: 121279
Event: Walk
Location: Crazy Horse, SD
Date: 10/02/2022 - 10/02/2022
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
Diane Johannesen
(304) 290-0746
dianejohannesen@hotmail.com
P. O. Box 18, Sundance, WY 82729
Additional Insured: 1
Ruth Ziolkowski Family Trust
Land Owner
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 2
Korczak Heritage, Inc.
Land Owner
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 3
Crazy Horse Memorial Foundation
Land Owner
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730

Insurance AVA RequestID: R3091   Due Date: 04/29/2022   Request Date: 04/14/2022

Event Information
Request #: R3091
Event #: 121535
Event: Walk
Location: Silver City, SD
Date: 07/10/2022 - 07/10/2022
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
Mary Jayne Jordan
(307) 290-2349
mjjordan92@hotmail.com
PO Box 1098, Sundance, WY 82729
Additional Insured: 1
Black Hills National Forest
Land Owner
8221 Mt Rushmore Road
Rapid City SD, 57702

Insurance AVA RequestID: R3092   Due Date: 04/29/2022   Request Date: 04/14/2022

Event Information
Request #: R3092
Event #: 121536
Event: Walk
Location: Spearfish, SD
Date: 09/24/2022 - 09/24/2022
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
Anne Horst
(605) 209-8927
abaustian@aol.com
417 Berry Blvd, Rapid City, SD 57702
Additional Insured: 1
Black Hills National Forest
Land Owner
8221 Mt Rushmore Road
Rapid City SD, 57702

Insurance AVA RequestID: R3093   Due Date: 04/29/2022   Request Date: 04/14/2022

Event Information
Request #: R3093
Event #: 121559
Event: Walk
Location: Sturgis, SD
Date: 06/18/2022 - 06/18/2022
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
Veronica Grosek
(605) 347-2556
director@sturgisareachamber.com
2040 Junction Avenue, Sturgis, SD 57785
Additional Insured: 1
Black Hills National Forest
Land Owner
8221 Mt Rushmore Road
Rapid City SD, 57702