AVA Insurance Requests 2022/06/10
    IDs: R3103


Insurance AVA RequestID: R3103   Due Date: 06/09/2022   Request Date: 06/08/2022

Event Information
Request #: R3103
Event #: 119122
Event: Year Round Walk
Location: Perryville, MD
Date: 01/01/2022 - 12/31/2022
Club: AVA-0418 Baltimore Walking Club
Contact Information
James Farley
(410) 638-7043
farleyfam@comcast.net
624 Camelot Drive, Bel Air, MD 21015
Additional Insured: 1
Perry Point VA Medical Center Campus
walk on campus
361 Boiler House Rd
Perry Point MD, 21902