AVA Insurance Requests 2022/09/05
    IDs: R3125, R3126, R3124, R3127


Insurance AVA RequestID: R3125   Due Date: 09/16/2022   Request Date: 09/03/2022

Event Information
Request #: R3125
Event #: 121781
Event: Walk
Location: Michigan City, IN
Date: 10/15/2022 - 10/15/2022
Club: AVA-0723 Hoosier Hikers
Contact Information
Robert Buzolich
(574) 339-9140
sonofbuzz@prodigy.net
1703 E Howard St, South Bend, IN 46617-1826
Additional Insured: 1
City of Michigan City, Indiana
Beneficial Administrator of Public Properties
100 East Michigan Boulevard
Michigan City IN, 46360

Insurance AVA RequestID: R3126   Due Date: 09/16/2022   Request Date: 09/03/2022

Event Information
Request #: R3126
Event #: 121780
Event: Bike
Location: Michigan City, IN
Date: 10/15/2022 - 10/15/2022
Club: AVA-0723 Hoosier Hikers
Contact Information
Robert Buzolich
(574) 339-9140
sonofbuzz@prodigy.net
1703 E Howard St, South Bend, IN 46617-1826
Additional Insured: 1
City of Michigan City, Indiana
Beneficial Administrator of Public Properties
100 East Michigan Boulevard
Michigan City IN, 46360


Insurance AVA RequestID: R3124   Due Date: 10/09/2022   Request Date: 09/02/2022

Event Information
Request #: R3124
Event #: 123474
Event: Guided Walk
Location: DuPont, WA
Date: 10/26/2022 - 10/26/2022
Club: AVA-0754 Over-The-Hill-Gang Volkssport Club
Contact Information
Diane Wagner
(253) 875-3064
dianeswagner@comcast.net
32506 Meridian Ea, Graham, WA 98338-9755
Additional Insured: 1
City of DuPont
Proof of insurance required to have event within the City of DuPont
1700 Civic Drive
Dupont WA, 98327


Insurance AVA RequestID: R3127   Due Date: 10/15/2022   Request Date: 09/03/2022

Event Information
Request #: R3127
Event #: 121600
Event: Walk
Location: Brookville, IN
Date: 10/22/2022 - 10/22/2022
Club: AVA-0963 Whitewater Valley Walkers
Contact Information
Dennis Fritz
(812) 584-2687
ddfritz@aol.com
11047 James Rd, Brookville, IN 47012
Additional Insured: 1
Whitewater Valley Walkers
AVA sponsoring club
PO Box 126
Brookville IN, 47012