Submission Requirements

Package

(Property/Crop, General Liability, Excess Liability, Product Liability)

• CannGen Package Application V4.7
• CannGen Package Per Risk Questions
• Loss Runs (If Applicable)
• Additional Overflow Schedules/Forms (If Applicable):
• CannGen Package Location Schedule
• CannGen Package Additional Interests Schedule
• CannGen Package Additional State Gross Sales Schedule
• CannGen Property Endorsement Forms (Reference page)

Lessor’s Risk (LRO)

• ACORD Applications 125, 126, 140
• ACORD 131 (for Excess Liability)
• Loss Runs

Workers Compensation

• Acord 130
• CV Loss Runs (if Applicable) 3 Years
• X-mod Worksheet (If Applicable)
• WC Supplemental Application
• State Issued Cannabis Permit
• Drivers List (for Delivery Risks only)

Auto

• ACORD Applications 125, 127, 137 (if submitting via email)
• MVRs (no older than 60 days)
• 3 years of loss runs (no older than 60 days)

Directors & Officers / Employment Practices Liability

• CannGenPRO Application (U.S. Management Liability)
• CannGenPRO Application (U.S. Professional Liability)
• CannGenPRO Cyber Application
• Audited financials (if available); or 12 month balance sheet and income statement
• List of board members and management team
• Capitalization table
• Business plan/pitch deck (if start up)
• Loss runs (currently dated)

Professional Liability

• Email tocanngenpro@canngenins.com
• CannGen Professional Liability Application
• Audited Financial Statement or 12-month financials (balance sheet and income statement)
• List of Directors & Officers/Management team
• Description of Services provided
• Sample Customer Contract/Agreement
• Risk Management or Quality Control procedures
• Business Plan (if Applicant has less than two (2) years in business)
• Currently Dated Loss Runs