AVA Insurance Requests 2024/04/12
    IDs: R3237


Insurance AVA RequestID: R3237   Due Date: 04/15/2024   Request Date: 04/11/2024

Event Information
Request #: R3237
Event #: 126776
Event: Walk
Location: Granite CityWilson Park & Neig, IL
Date: 05/11/2024 - 05/11/2024
Club: AVA-0047 Illinois Trekkers Volkssport Club
Contact Information
Diane Prost
(256) 527-3377
diaprost@sisna.com
6827 Tara Manor Drive, Fairview Heights, IL 62208
Additional Insured: 1
Justin Brinkmeyer, Director
Director, Granite City Park District - Wilson Park
2900 Benton
Granite City IL, 62040