Risk Management

Assess Risk and Secure Coverage:

Business Property

Liability

Business Income

Theft

Minnesota and Texas only.

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Legal Business Name: *

Mailing Address: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

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Operations Type:

Rec Retail
Medical Retail
Hemp/CBD Retail
Cultivation
Processing
Manufacturing
Testing Lab
Distribution
Lessors Risk Only
Brand Only

Operations Type / Other:

Cultivation:

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Confirm lights used

100% LED

Other Lights used:

LRO: Provide list of tenants and occupancy percentage

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New Venture:

Date Business Started:

Premises Address

Address Line 1

Address Line 2

City

State

Zip Code

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Square Footage:

Revenue in the past 12 months:

Is this a QuadScore Renewal:

Projected Revenue for next 12 months:

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General Liability:

$100K/$100K
$1M/$1M
$1M/$2M
$1M/$3M
$1M/$5M
$2M/$2M
$2M/$3M
$2M/$4M
$3M/$3M
$5M/$5M

HNOA:

A&B Coverage:

No
$100k
Other

Other:

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Product Liability:

$100K/$100K
$1M/$1M
$1M/$2M
$2M/$2M
$3M CSL

Retro Coverage:

Retro Coverage Date:

Product Withdrawal:

No
$100,000 limit with $5,000 deductible
$250,000 limit with $10,000 deductible

Property Coverage:

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Building Limit:

Triple Net Lease:

TIB:

(Tenant Imporvement and Betterments)

BPP:

(Business Peronaly Property)

BI:

(Business Income)

Cannabis Stock:

(Cannabis held in storage or for sale, excluding growing plants and plants that have been harvested but not yet trimmed)

Indoor Crop:

(Growing cannabis plants and harvested plants that have not yet been trimmed, located inside the building that is to be insured, excluding outdoor crop)

M&E:

(Machinery and Equipment Coverage)

PPO:

(Personal Property of Others, Non-owned property that is in your care, custody, or control)

Is the building sprinklered:

Will all scheduled locations be open and operational as of the effective date?

Confirm premises are less than 20 years of age or have had updates to plumbing, HVAC, wiring, and roofing within the past 20 years?

Does the applicant manufacture, label, or relabel any of the products that it sells?

Does the applicant obtain Certificates of Analysis evidencing that product testing was performed by a licensed third party lab?

Does the applicant engage in sale of any products containing artificially synthesized cannabinoids, including but not limited to Delta-8 THC, Delta-10 THC, HHC, THCP, or THC-O Acetate?

The applicant or the owners of the applicant business have filed for bankruptcy:

The applicant has had violations which have resulted in business closure or license suspension:

Claims have been made against any person(s) or organizations to be covered under this insurance, or incidents have occurred that could give rise to such a claim:

The applicant has had products recalled or withdrawn:

Additional Insureds:

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Coverages:

General Liability
Product Liability
Property

AI Relationship:

Landlord
Vendor
Leased Equipment
State or Government Agency
Mortgagee

Contractual Language:

Waiver of Subrogation
Primary and Non-Contributory
None

Work with an Advisor to examine trends to maximize profitability.

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