AVA Insurance Requests 2024/04/19
    IDs: R3241, R3242, R3243, R3244, R3245


Insurance AVA RequestID: R3241   Due Date: 04/30/2024   Request Date: 04/19/2024

Event Information
Request #: R3241
Event #: 126827
Event: Walk
Location: Crazy Horse Memorial, SD
Date: 06/01/2024 - 06/01/2024
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
Crazy Horse Memorial Foundation
Governing board for property
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 2
Korczak Heritage Inc.
Governing board for property
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 3
Ruth Ziolokowski Family Trust
Governing board for property
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730

Insurance AVA RequestID: R3242   Due Date: 04/30/2024   Request Date: 04/19/2024

Event Information
Request #: R3242
Event #: 126845
Event: Walk
Location: Crazy Horse Memorial, SD
Date: 09/29/2024 - 09/29/2024
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
Crazy Horse Memorial Foundation
Governing board for property
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 2
Korczak Heritage Inc.
Governing board for property
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730
Additional Insured: 3
Ruth Ziolokowski Family Trust
Governing board for property
12151 Avenue Of The Chiefs
Crazy Horse SD, 57730

Insurance AVA RequestID: R3243   Due Date: 04/30/2024   Request Date: 04/19/2024

Event Information
Request #: R3243
Event #: 126834
Event: Walk
Location: Silver City, SD
Date: 07/14/2024 - 07/14/2024
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
Mary Jayne Jordan
(307) 290-2349
mjjordan920@gmail.com
P. O. Box 1098, Sundance, WY 82729
Additional Insured: 1
Black Hills National Forest, Mystic Ranger District
A portion of the walk is on National Forest land
8221 Mt Rushmore Rd
Rapid City SD, 57702

Insurance AVA RequestID: R3244   Due Date: 04/30/2024   Request Date: 04/19/2024

Event Information
Request #: R3244
Event #: 126920
Event: Walk
Location: Sturgis, SD
Date: 06/15/2024 - 06/15/2024
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
MaryJayne Jordan
(307) 290-2349
mjjordan920@gmail.com
P. O. Box 1098, Sundance, WY 82729
Additional Insured: 1
Black Hills National Forest, Mystic Ranger District
A portion of the walk is on National Forest land
8221 Mt Rushmore Rd
Rapid City SD, 57702

Insurance AVA RequestID: R3245   Due Date: 04/30/2024   Request Date: 04/19/2024

Event Information
Request #: R3245
Event #: 126846
Event: Walk
Location: Savoy, SD
Date: 10/05/2024 - 10/05/2024
Club: AVA-0274 Black Hills Volkssport Assn.
Contact Information
Allan Ward
(307) 283-3733
arward44@gmail.com
P. O. Box 1355, Sundance, WY 82729
Additional Insured: 1
Black Hills National Forest, Mystic Ranger District
A portion of the walk is on National Forest land
8221 Mt Rushmore Rd
Rapid City SD, 57702