Quote CBD, Quote Hemp | Athena Insurance and Financial Services

Would you like to proceed?
- Yes
- No
Thank you for your interest.
Name of Person completing this form "if different from the owner"

Business Name (Parent Company)*
Please tick all check boxes for the types of insurance you are interesting purchasing.*
- Select All
- CBD Sales Wholesale
- CBD Sales Retail
- Hemp Grower
- General Liability
- Business Property Coverage
- Property Building Coverage
- Workers Compensation
- Business/Commercial Auto
- Inventory / stock
- Cargo Coverage
How many locations are to be insured?*
Business Information
Name of "DBA" if applicable
Name Primary Insured or Principal
First Last
First named insured is the "principal" who is legally responsible for communication, document signing and all legal correspondence. This is usually the owner of a business or someone designated by the LLC, Corporation or other entity.
Total Annual Projected Sales from all operations to be insured*
Phone*
Email*
Enter Email Confirm Email
Type of business entity*
- Corporation
- Partnership
- LLC
- Non-Profit
- Not for profit
- For Profit
- Individual
- Other
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Please provide a list of products that you will be distributing or preparing*
Upload product list if you have it in a pdf, jpg or gif format. You may also email the list to insurance@athenainsurance.com
Drop files here or
Accepted file types: jpg, gif, pdf.
What is the Date do you need this quote by? (need approximately 4 working days)*
Section 1 - General Information
Describe other
Use (check all that apply)
Uses
- Recreational
- Medicinal
- Both
- No cannabis sales - other
Describe other
Operations
Are you interested in receiving at least one year of free advertising on https://CannabisPeeps.com? (not purchase required)*
- Yes
- No
Check all operations that apply*
- Cultivation
- Processor
- Manufacturer
- Cannabis Retail
- Lab
- Hydroponics Retail
- Smoke Shop
- Delivery Operations
- Other (describe)
Please provide us with a narrative, in detail, regarding your "current" operations as they will be provided for the next 12 months.*
describe other operations not listed above*
Trade Associations
Are you a member of any cannabis trade associations?
- Yes
- No
Are you a member of any of the following cannabis trade associations?
- CCSE
- NORML
- NBN
- NCIA
- CCIA
- Other (describe)
describe other cannabis trade association

List your projected sales/donations by category for the next 12 months
If it does not apply to you type in "n/a" please.
a. Cultivation sales/donations
b. Manufacturing sales/donations
c. Processing sales/donations
d. Recreational retails sales
e. Medicinal retail sales/donations
f. Laboratory and testing sales/donations
g. Other
Total projected next 12 months sales/donations
New Venture No prior sales
- No prior sales
If new venture: Do any of the principles have a minimum of 1 year in the cannabis industry?*
- Yes
- No

Locations Schedule
Locations Schedule: Building (0) is used for all outdoor operations.

Location 1 Building 0
Building zero is for open ground growing
How many building are there at location 1?
Location 1 Building 0
Street Address City State ZIP Code
Describe building 2
Describe building 3

Enforcement of the Controlled Substance Act
Applicants Name
Applicants Address
Street Address Address Line 2 City State ZIP Code
1. How do you prevent the distribution of product to minors?*
2. How do you prevent revenue from the sale of product from going to criminal enterprises, gangs, and cartels? Please describe
3.
How do you prevent possible diversion of product from states were medicinal and/or recreational use of cannabis products is legal under state law to states where medicinal and/or recreational use of cannabis products is not legal under state law? Please describe
4. How do you prevent the use of state-authorized product activity as a cover or pretext for the trafficking of other illegal drugs or other illegal activity?
5. Do you have a program or safeguards in place to prevent violence and the use of firearms in the cultivation and distribution of product? Please explain
6. How do you prevent drugged driving or other possibly adverse public health consequences associated with marijuana use? Please describe
Do you grow or purchase product grown on public lands?
- Yes
- No
How do you prevent the possession or use of the product on federal property?

History
All questions must be answered. Failure to disclose proper history could invalidate and and all coverage.
1. Have youi any application for similar insurance made on your behalf, or on behalf of the principal, partner, owner, officer, director, employee, manager or managing member thereof or any predecessor, subsidary or affiliated organization thereof ever been declined , cancelled or non-renewed?
- Yes
- No
2. Do You currently have any commercial insurance coverage for this operation?
- Yes
- No
Check all that apply
- General Liability
- Property
- Crop
- Excess
- Product Liability
Name of General Liability Insurance Company
Expiration Date
Name of Property Insurance Company
Expiration Date
Name of Excess Insurance Company
Expiration Date
Name of Product Liability Insurance Company
Expiration Date

General Liability

Cargo Coverage

Optional Promotion of your Business
Listing Content
Please provide brief ad copy text here. Please register on the site. You can claim your free listing within 48 hours. If you do not see your listing within 48 hours call 866 397-6939 and let them know Wolfie said to get your business listed. Please register so you can claim your listing. The process is automated so please register.

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Hemp, CBD & Marijuana Insurance

Thank you for your interest.

Business Information

Section 1 - General Information

Use (check all that apply)

Operations

Trade Associations

List your projected sales/donations by category for the next 12 months

Locations Schedule

Location 1 Building 0

Enforcement of the Controlled Substance Act

History

General Liability

Cargo Coverage

Optional Promotion of your Business

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