Insurance AVA RequestID: R3270 Due Date: 07/31/2024 Request Date: 07/15/2024 | |||
|
Event Information
Request #: R3270 Event #: 127203 Event: Seasonal Bike Location: Middlebury, IN Date: 04/01/2025 - 10/31/2025 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
ELKHART COUNTY PARKS 211 W Lincoln Ave Goshen IN, 46526-3280 Beneficial Administrator of Corporate Properties |
Additional Insured: 2
TOWN OF MIDDLEBURY 418 North Main Street Middlebury IN, 46540-9216 Beneficial Administrator of Corporate Properties |
Additional Insured: 3
TOWN OF SHIPSHEWANA PO Box 486 Shipshewana IN, 46565-0486 Beneficial Administrator of Corporate Properties |
Additional Insured: 4
FRIENDS OF THE PUMPKINVINE NATURE TRAIL, INC. PO Box 392 Goshen IN, 46527-0392 Beneficial Administrator of Corporate Properties |