Liquor Liability Application | Conifer Insurance

Effective March 20th, 2019, Conifer has suspended cancellation of policies due to non-payment of premium for clients who indicate financial impact by the recent COVID-19 outbreak and are experiencing trouble making a payment. Additionally, late pay fees have been waived at this time.

X

Marijuana Liability Application

Please answer all questions completely. Completion of this application does not constitute coverage.

[ACTIVE] Marijuana Liability - Quick Quote

Agency Information

Conifer, White Pine or Sycamore Code
✉︎

Applicant Information

Business Address *
Business Address
City
State
Zip/Postal

Underwriting Information

$
$
$50,000 Minimum
Is your client a member of one of our partner associations?
Optional Attachments

Maximum file size: 8.39MB

Example: Current policy, loss runs or underwriting information