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HomeCannabisQuote CBD, Hemp & Marijuana

Quote CBD, Hemp & Marijuana

marijuana-post-hull-860x550

Thank you for your interest.
Business Name*
Name of "DBA" if applicable
Name of Person completing this form "if different from the owner"*
Phone*
Email*

Enter Email

Confirm Email
Check all operations that apply*
- Cultivation
- Processor
- Manufacturer
- Cannabis Retail
- Lab
- Hydroponics Retail
- Smoke Shop
- Any edibles? "including capsules, juices and other ingestibles)
- Delivery Operations
- Vape or vape equipment
- Other (describe)
Type of business entity*
- Corporation
- Partnership
- LLC
- Non-Profit
- Not for profit
- For Profit
- Individual
- Other
- Proprietorship
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?*
Total Annual Projected Sales from all operations to be insured*
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, Max. file size: 2 GB, Max. files: 5.
Section 1 - General Information
Please provide us with a narrative, in detail, regarding your "current" operations as they will be provided for the next 12 months.*
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.
New Venture No prior sales
- No prior sales
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
If new venture: Do any of the principles have a minimum of 1 year in the cannabis industry?*
- Yes
- No

Location 1
How many buildings are there at location 1? If none select one of the other optiosn
Location 1

Street Address

City

State

ZIP Code
Describe Location 1 (if building -Age, general location, condition)
Location 2

Street Address

City

State

ZIP Code
Describe Location 2 (if building Age, general location, condition)
Location 3

Street Address

City

State

ZIP Code
Describe Location 3 (if building Age, general location, condition)
Location 4

Street Address

City

State

ZIP Code
Describe Location 4 (if building Age, general location, condition)

1. How do you prevent the distribution of product to minors?*
History

All questions must be answered. Failure to disclose proper history could invalidate and and all coverage.
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

MM slash DD slash YYYY
General Liability
What limits of liability are you looking to acquire?
Business Personal Property
What limit on BPP are you needing. Things such as computers,furniture (stock and inventory limit disclose below)
Stock and Inventory Coverage
Please list inventory / stock cover if desired. Please note the location(s) that the coverage applies to as well.*

Cargo Coverage
Optional Promotion of your Business
Are you interested in receiving at least one year of free advertising on https://CannabisPeeps.com? (not purchase required)*
- Yes
- No

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