Cannabis Dispensary Insurance Quote

Legal Business Name *

Doing Business As (if different) (not required)

Business Type (not required)

Company Website (optional) (not required)

What year was the company established? (not required)

Years of experience in this business (not required)

Is the business a new venture? (not required)

Yes No

Do you have coverage for this now? *

Yes No

When does that policy expire? (not required)

Description of operations (what you sell) (not required)

OMMA license number *

Which OMMA licenses do you hold? (select all that apply) (not required)

When does the dispensary license expire? (not required)

Has any licence been suspended, revoked, or subject to an OMMA enforcement action? (not required)

Yes No

Please explain the enforcement action (not required)

Are you fully compliant and current in METRC (seed-to-sale tracking)? (not required)

Yes No Not sure

Do you have a designated compliance officer or compliance consultant? (not required)

Yes No

Is the location at least 1,000 feet from the nearest public or private school entrance? (not required)

Yes No Not sure

Dispensary Location Address *

Is your mailing address the same as the dispensary address? (not required)

Yes No

Mailing Address (not required)

What best describes the location? (not required)

Is this location a storefront? (not required)

Yes No

Is the dispensary in a standalone building or a shopping center? (not required)

Where is your unit in the center? (not required)

What businesses are on either side of you? (not required)

Do you own or rent the building? (not required)

Own Rent

Number of stories (not required)

How many stories? (not required)

Construction type (not required)

In what year was the building constructed? (not required)

In what year was the building's roof last updated? (not required)

What type of roof does the building have? (not required)

Square footage you occupy (not required)

Total square footage of the building (including common areas and vacant units) (not required)

Total vacant square footage in the building (not required)

Are there any solar panels on the building roof? (not required)

Yes No

Is the building on the historical building registry or within a historic district? (not required)

Yes No

In what year was the electrical last updated? (not required)

In what year was the plumbing last updated? (not required)

Any major renovation planned during the policy term (structural, or over 20% of building value)? (not required)

Yes No

Is there any habitational exposure at the location (apartments, dwellings, hotel, shelter, Airbnb, assisted living)? (not required)

Yes No

Is the business located on tribal land or subject to tribal jurisdiction? (not required)

Yes No

Which fire protection does the building have? (not required)

Burglar alarm (not required)

Video surveillance (not required)

How long is recorded video retained? (not required)

Which of these are in place? (select all that apply) (not required)

Locked, limited-access product storage room Safe or vault for product Safe or vault for cash Badge or keypad access control on restricted areas Panic or duress alarm Reinforced doors, window bars or roll-down security gates Customer waiting area separated from the sales floor None of the above

Are there security guards? (not required)

Yes No

Are the guards armed? (not required)

Yes No

Are the guards your employees or a contracted security firm? (not required)

Is a weapon kept on the premises by owners or employees? (not required)

Yes No

Is there a non-attached parking lot? (not required)

Yes No

Is the parking area and building exterior lit after dark? (not required)

Yes No

Are your operations open past 12:00 AM? (not required)

Yes No

Hours of operation (not required)

Maximum cash on hand at any one time (not required)

Is cash kept on the premises overnight? (not required)

Yes No

Do you have a bank or credit union account for the business? (not required)

Yes No Not sure

How is cash moved off site? (not required)

Do you accept any cashless payment (debit, ACH, pay-by-bank, kiosk)? (not required)

Yes No

Are there dual-control or reconciliation procedures for cash and product counts? (not required)

Yes No

Estimated annual gross sales *

# of employees (including part-time) (not required)

Annual payroll (for the workers compensation piece) (not required)

Average inventory value on hand (not required)

Peak inventory value on hand (not required)

What do you sell? (select all that apply) (not required)

Do you verify an OMMA patient or caregiver licence for every sale? (not required)

Yes No

Do you use an ID scanner or age-verification system at the point of sale? (not required)

Yes No

Does any onsite consumption take place (smoking, vaping, sampling)? (not required)

Yes No

Do you deliver product to patients? (not required)

Yes No

How many vehicles are used for delivery or transport? (not required)

Are the delivery vehicles owned by the business or by the employees? (not required)

Do you take online orders for in-store or curbside pickup? (not required)

Yes No

Do you ship any product across state lines? (not required)

Yes No

Do you sell products under your own label, or relabel / re-package any products? (not required)

Yes No

Do you do any blending, mixing, infusing or re-packaging on site? (not required)

Yes No

Is any extraction done at this location? (not required)

Yes No

What extraction method is used? (not required)

Is there a grow at this location? (not required)

Yes No

Grow square footage / canopy size (not required)

Grow lighting type (not required)

Are any flammable solvents or compressed gases stored on site? (not required)

Yes No

Are CO2 generators, dehumidifiers or supplemental heaters used on site? (not required)

Yes No

Is all product third-party lab tested before sale? (not required)

Yes No Not sure

Do you have a written product recall and withdrawal plan? (not required)

Yes No

Do you sell any of these? (select all that apply - these change which carriers can quote) (not required)

Is the business a subsidiary of another entity? (not required)

Yes No

Do you operate any other locations? (list addresses) (not required)

General Liability limit requested (not required)

Requested effective date (not required)

What coverage do you need? (select all that apply) (not required)

If requesting property, what limit do you need on inventory / equipment? (not required)

Tenant improvements & betterments limit, if you built out the space (not required)

Business income limit, if requested (not required)

Does your lease or a contract require Additional Insureds? (not required)

Yes No Not sure

List any Additional Insureds required (name + address - e.g. your landlord) (not required)

Is a Waiver of Subrogation required? (not required)

Yes No Not sure

Is Primary & Non-Contributory wording required? (not required)

Yes No Not sure

Would you like terrorism coverage (TRIA) quoted? (not required)

Yes No

Have you had continuous General Liability coverage since the business was established? (not required)

Yes No

What was the gap in coverage due to? (not required)

Current carrier (if any) (not required)

When does your current policy expire? (not required)

What are you paying now? (not required)

In the past 5 years, has coverage been cancelled or non-renewed? (not required)

Yes No

Please explain the cancellation or non-renewal (not required)

Any general liability or property claims in the past 3 years, including claims closed without payment? (not required)

Yes No

Claim details (date, what happened, amount paid) (not required)

Has the location had a burglary, robbery or theft loss in the past 5 years, insured or not? (not required)

Yes No

Please explain the theft loss and what changed afterwards (not required)

In the last 5 years, has there been any foreclosure, repossession, judgment, or bankruptcy by the business or any owner? (not required)

Yes No

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