Go backYour message has been sent Applicant Name(required) Warning DBA Warning Address Warning Email(required) Warning Are you a member of any cannabis / marijuana trade associations, If yes what organizations Warning Description of Product use, recreational, medicinal or both Warning Description of operations Warning List of subsidiaries Warning List any additional offices and provide locations Warning Have any of the principals engaged in this or similar enterprises under a different name? If yes, please list entity and operations Warning Provide business financial information for the last five years and estimates for next year for Domestic Sales, Foreign Sales, Payroll and # of employees Warning Physical Address Operating (If more than one location download multiple location supplemental and email to info@greenrockins.com) Warning What are the operations at this location (manufacturer, processor, indoor grower, outdoor grow, retail, dispensary, lab, delivery or other (describe) Warning Is there any oil extraction done at this location. If yes, what method is used? (CO2, Butane, Propane, etc..) Warning Sq footage Warning Describe alarm systems, and fire control such as sprinklers annunciator panel etc Warning I own this building Warning Describe any repairs, construction, renovations along with estimated date of completion and investment value Warning Approved safe (minimum safe requirements: 800 lb with a 1-hour fire rating under 2,000 lb must be bolted to the ground Warning Is there a vacuum oven, centrifuge, distillation column and / or Roto Vaps in the building. If yes, please provide manufacturer, model number, replacement cost and motor's HP for each Warning Gross Sales Warning Cost of Sales less Payroll Warning Business Personal Property - Replacement Cost Warning Indoor Grow Equipment - Replacement Cost Warning Tenant Building Improvements - Customization Replacement Cost Warning Completed Stock - Value of manufactured products ready for sale or packages and sealed inventory containing marijuana buds and / or its derivatives. No harvested or growing plants fall under this category Warning Goods in Process - Value of Cannabis Buds and Flowers that have been harvested and are in the curing phase of production. No stock, crop or growing plants fall under this category Warning Number of Seeds and value basis Warning Immature Seedlings # and per plant value you wish to use Warning Vegetative Plants # and per plant value you wish to use Warning Flowering Plants # and per plant value you wish to use Warning Harvested Plants # and per plant value you wish to use Warning Annual gross receipts from medical marijuana (i.e. leaves, bud, flower and trim) previous 12 months Warning Projected next 12 months Warning Annual gross receipts from infused medical marijuana edible products containing THC or other active cannabinoids (e.g. baked goods, candies, other food or drink items, tinctures, capsules etc Warning Projected next 12 months Warning Annual gross receipts from topical medical marijuana products containing THC or other active cannabinoids (e.g. oils, creams, lotions) Warning Projected next 12 months Warning Annual gross receipts from medical marijuana oil cartridges or medical marijuana concentrates intended for use in vaporizing devices Warning Projected next 12 months Warning Total Sales Medical Marijuana Products & Projected next 12 months Warning Warning. Submit Δ Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Like Loading...
GreenRock-Insurance brokerage 