Cannabis Retail Dispensary - Drag N' Drop FormBuilder

Cannabis Retail Dispensary

General

Does the applicant maintain a ledger with a record of the quantity of marijuana or amount dispensed of products containing marijuana in each transaction, the type and source of the marijuana dispen... *
- Yes
- No

Is the business open 24hrs? *
- Yes
- No

Comments: *

Property

Number of stories: *

Does the applicant own the building? *
- Yes
- No

What percentage of the inventory requires refrigeration? *

Are there back-up generators or temperature control alarms? *
- Yes
- No

Describe: *

During operating hours, what percentage of consumable inventory is on display to customers? *
- 0-5 %
- 6-10 %
- 11-25 %
- Greater than 25 %

During non-operating hours, what percentage of consumable inventory is left in the displays? *
- 0-5 %
- 6-10 %
- 11-25 %
- Greater than 25 %

Does the applicant occupy the entire building? *
- Yes
- No

If NO, are there connecting doors to the adjacent units? *
- Yes
- No

How are the connecting doors secured? *
- Steel Door
- Deadbolts
- Alarms
- Other
- * None

Describe Other: *

Comments: *

Security

Which of the following security systems are utilized? *
- Central station burglar alarm
- Video surveillance including at least 14 day recording
- Armed security guards
- Unarmed security guards
- Interior video cameras
- Exterior video cameras
- Interior motion sensors
- Door greeter / ID checker
- Hold-up / Panic button
- Shatter proof windows
- Gated doors
- Gated windows
- * None

Are there any dogs? *
- Yes
- No

If YES to dogs: list the breeds and # of dogs: *

Are security personnel provided by an independent security service? *
- Yes
- No
- N / A
Note to INSPECTOR:
An N/A response is unusual. The security people can be the insureds employees.
If N/A, then explain the absence of security people in the comments below.

Name of independent security service contractor: *

Phone number of the Independent security service contractor: *

Describe who makes up the security personnel (the insured, employee, friend, relative, etc.) and whether they are armed or not armed. *

Are all doors and windows equipped with shatter proof glass? *
- Yes
- No

Is all displayed inventory stored in shatter-proof glass display cases during business hours? *
- Yes
- No

Does the insured use a vault or a safe? *
- Vault
- Safe
- * None

Does ANY safe used to house marijuana stock and/or inventory weigh less than 2000 Lbs.? *
- Less than 2000 Lbs.
- 2000 lbs. or more

Are all safe's less than 2000 Lbs. (that house marijuana stock and inventory) bolted to the ground? *
- Yes
- No

What is the approximate weight of safe? *

What is the safe’s fire rating? *

What is the construction of the Vault's walls and doors? *

What is the vault’s fire rating? *

Is all consumable stock kept locked in a safe/vault during ALL non-business hours? *
- Yes
- No

How is money stored during ALL non-business hours? *

Does the insured provide a delivery or transport service? *
- Yes
- No

If yes, please describe. *

Comments, Concerns, Planned Improvements, Planned Procedure Improvements, etc.: *