COMMERCIAL CANNABIS
BUSINESS PERMIT
APPLICATION
(Cannabis Storefront Retailer)
City of Redondo Beach
TBD Department
415 Diamond Street
Redondo Beach, CA 90277
Phone: TBD
Email: TBD
REDONDO BEACH COMMERCIAL CANNABIS BUSINESS APPLICATION Page 1 of 5
APPLICANT (ENTITY) INFORMATION
Applicant (Entity) Name: DBA:
Physical Address:
Street City State Zip
Primary Contact: Title:
Mailing Address:
Street City State Zip
Phone Number: Email:
HASANYINDIVIDUALINTHISAPPLICATIONAPPLIEDFORANYOTHERCANNABISPERMITINTHECITYOFREDONDOBEACH?܆YesտNo Indicate whether you are applying for Retail (Storefront) or Retail (Storefront with Delivery). տ Retail (Storefront) տ Retail (Storefront with Delivery) Business Formation: Describe how the business is organized. ܆ Sole Partnership տ Corporation տ SͲCorporation ܆ Limited Partnership տ Limited Liability Company տ Other (please describe):
PROPOSED LOCATION
Property Owner Name:
Proposed Location
Address:
Street City State Zip
Phone Number: Email:
Zoning Verification Letter (Please attach): ܆ Yes܆ No Assessor’s Parcel Number (APN): Proposed Location Square Footage:
APPLICATION SUBMITTAL CHECKLIST
Applications failing to submit any of the following will be deemed incomplete and will not move forward in the application process:
9 One (1) printed hard copy of a complete and signed Cannabis Business Permit Application form (Pages 1Ͳ4). 9 A signed Financial Responsibility, Indemnity and Consent to Inspect Terms Agreement form (Pages F1ͲF3). 9 A signed Limitations of City Liability and Indemnification to City form (Pages F4ͲF6). 9 Application Fee and Background Check Fee Payment.
9 A signed and notarized Property Owner Letter of Intent form. 9 Application Zoning Verification Letter (ZVL).
9 A USB flash drive containing all of the materials identified in the Application Procedure Guidelines and Review Criteria for a Commercial Cannabis Business Permit (Storefront Retail Applications).
REDONDO BEACH COMMERCIAL CANNABIS BUSINESS APPLICATION Page 2 of 5
OWNER INFORMATION
OwnerInformationmustbecompletedbyallowners.PursuanttotheRedondoBeachMunicipalCode,“Owner”isdefinedas:
1. Apersonwithanaggregatedownershipinterestoftwenty(20%)ormoreintheentityapplyingforalicenseoralicensee,unlesssuchinterest issolelyinsecurity,lien,orencumbrance;
2. Thechiefexecutiveofficeroramemberoftheboardofdirectorsofanonprofitorganization;
3. Anindividualwhowillbeparticipatinginthedirection,control,ormanagementoftheentityapplyingforalicense;
4. Anypersonidentifiedorrequiredtobeidentifiedasan“owner”onanapplicationfiledwithanystateagency,whereintheapplicationrequests theprivilegetooperatethecannabisfacility.
Thetotalownershippercentageshouldequal100%.Ifanyindividual(s)own(s)lessthan20%,listthenumberofindividualswhoownlessthan20%and thetotalpercentageinordertoreach100%.Forexample,IfJohnDoeowns5%,JoeSmithowns12%,andMaryJonesowns9%stateatthebottomof thisformthatthreeindividualsown26%sothatthetotalwillequal100%onceyouindividuallyincludeallthosewhoown20%ormore.
I declare under the penalty of perjury that the information provided on this disclosure form is true and accurate to the best of my knowledge.
Ownership %
Owner Name: Title:
Address:
Street City State Zip
Background check information included as required? ܆ Yes܆No Signature: Date:
I declare under the penalty of perjury that the information provided on this disclosure form is true and accurate to the best of my knowledge.
Ownership %
Owner Name: Title:
Address:
Street City State Zip
Background check information included as required? ܆ Yes܆No Signature: Date:
I declare under the penalty of perjury that the information provided on this disclosure form is true and accurate to the best of my knowledge.
Ownership %
Owner Name: Title:
Address:
Street City State Zip
Background check information included as required? ܆ Yes܆No Signature: Date:
I declare under the penalty of perjury that the information provided on this disclosure form is true and accurate to the best of my knowledge.
Ownership %
Owner Name: Title:
Address:
Street City State Zip
Background check information included as required? ܆ Yes܆No Signature: Date:
REDONDO BEACH COMMERCIAL CANNABIS BUSINESS APPLICATION Page 3 of 5 AddmorepagesasnecessarytoaccommodateallCommercialCannabisBusinessOwners REDONDO BEACH COMMERCIAL CANNABIS BUSINESS APPLICATION Page 4 of 5
SUPPORTING INFORMATION
List all fictitious business names the applicant is operating under including the address where each business is located:
Has the Applicant or any of its owners been the subject of any administrative action, including but not limited to suspension, denial, or revocation of a cannabis business license at any time in the previous seven (7) years? If so, please list and explain:
Is the Applicant or any of its owners currently involved in an application processin any other jurisdiction(s)?If so, which jurisdiction(s)?
Does the applicant intend to store or use any hazardous chemicals onͲsite?If so, please list and explain:
Does the applicant intend to discharge any effluent into the City’s wastewater or storm water system?If so, please list and explain:
If applicable, provide a brief description of the proposed cannabis delivery service, including number of delivery vehicles, location of vehicle storage, and estimated size of delivery area.
REDONDO BEACH COMMERCIAL CANNABIS BUSINESS APPLICATION Page 5 of 5 APPLICATIONCERTIFICATION
I hereby certify, under penalty of perjury, on behalf of myself and all owners, managers and supervisors identified in this application that the statements and information furnished in this application and the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are true and correct to the best ofmy knowledge and belief.I understand that amisrepresentation offactis cause forrejection ofthis application, denial of the permit, or revocation of a permit issued.
In addition, I understand that the filing of this application grants the City of Redondo Beach permission to reproduce submitted materials for distribution to staff, Commissions, Boards and City Council Members, and other Agencies to process the application.
Nothing in this consent, however, shall entitle any person to make use of the intellectual property in plans, exhibits, and photographs for any purpose unrelated to the City's consideration of this application.
Furthermore, by submitting this application, I understand and agree that any business resulting from an approval shall be maintained and operated in accordance with requirements of the City of Redondo Beach Municipal Code and State law.
Under penalty of perjury, I hereby declare that the information contained in within and submitted with the application is true, complete, and accurate. I understand that a misrepresentation of the facts is cause for rejection of this application, denial of a license or revocation of an issued license.I further authorize the City, its agents, and employees to seek verification of the information contained in the application.
Name Signature
Title Date
For details about the information required as part of the application process, see the Application Procedures & Guidelines, City of Redondo Beach Municipal Code Chapter 6Ͳ2, Chapter 10Ͳ2, Chapter 10Ͳ5, or any additionalrequirementsto complete the application process. All documents can be found online at www.redondo.org. For questions, please contact the TBD Department at TBD.
Agreement of Limitations of City’s Liability, and Certifications, Assurances, Warranties, and Indemnification to City
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CITY OF REDONDO BEACH
COMMERCIAL CANNABIS BUSINESS LICENSE APPLICATION
FINANCIAL RESPONSIBILITY, INDEMNITY AND
CONSENT TO INSPECTION TERMS
(Must be completed by at least one owner)
Dated: _____________________, 2023
I hereby agree to the following terms:
1. I herewith pay the sum of $TBD for the application fee for the review and processing of an application for commercial cannabis business permit.
2. The entire fee amount paid to the City of Redondo Beach (“City”) is non‐refundable for any reason.
There is no guarantee ‐ expressed or implied ‐ that by submitting the application or paying the application fee that I will obtain any land use entitlements or a permit to operate a commercial cannabis business.
3. All costs incurred by the City in processing said application, including staff time, attorney’s fees, Consultant’s fees and overhead, shall be funded by me from the fees paid. This is my personal obligation and shall not be affected by sale or transfer of the property subject to the application, changes in business organization, or any other reason.
4. I acknowledge and agree to the defense, waiver, and indemnification obligations stated in the attached “Agreement on Limitations of City’s Liability, and Certifications, Assurances Warranties and Indemnification to City”, incorporated herein by reference.
5. The City will promptly notify the Applicant(s) and Owner(s) of any claim, action, or proceeding that is or may be subject to this Agreement on Limitations of City’s Liability, and Certifications, Assurances Warranties, and Indemnification to City. The City may, within its unlimited and sole discretion, participate in the defense of any such claim, action, orproceeding.
6. I will fund a deposit account (“Fund”) to reimburse the City’s cost, including attorney’s fees, to defend any claim, action, or proceeding that is or may be subject to the Agreement on Limitations of City’s Liability, and Certifications, Assurances Warranties, and Indemnification to City. In the event that any such claim, action, or proceeding is filed against the City, I shall within 30 days of the filing, deposit an initial sum of $10,000 to the Fund to reimburse my portion of the City defense costs, as determined by the City in its sole discretion. The Fund shall contain an amount necessary to cover three months’ worth of budgeted expenditures by the City relating to the City’s defense of the claim, action, or proceeding, including all time to appeal, or as long as expenditures made by the City relating to its defense remain unreimbursed, whichever is later. Once all remaining and outstanding reimbursements have been paid to the City by me, City shall return to me any remaining unused Agreement of Limitations of City’s Liability, and Certifications, Assurances, Warranties, and Indemnification to City
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portion of my deposit.
7. The City shall have the sole and absolute right to approve any and all counsel employed to defend the City. To the extent the City uses any of its resources to respond to such claim, action or proceeding, or to assist the defense, I will reimburse the City for those costs. Such resources include, but are not limited to, staff time, court costs, City Attorney’s time, or any other direct or indirect cost associated with responding to, or assisting in defense of, the claim, action, or proceedings.
8. I consent and expressly allow, authorize, and permit the City, all its departments, agents, and employees, to enter upon and inspect the subject property identified in my application, with or without prior notice, for the purposes of processing this application or inspection or photographing for compliance with all laws, regulations, and conditions placed on land use approvals or the cannabis business permit. No additional permission or consent to enter upon the property is necessary or shall be required. By signing this agreement, I further certify and warrant I am authorized to, and hereby do, consent, and allow such inspections on my behalf and on the behalf of each and all Owners of the property and Applicants.
9. I understand that all materials submitted in connection with my application are public records subject to inspection and copying by members of the public. By filing an application, I agree that the public may inspect and copy these materials and the information contained therein, and that some or all of the materials may be posted on the City’s website. For any materials that may be subject to copyright protection, or which may be subject to Sections 5500.1 and 5536.4 of the California Business and Professions Code, by submitting such materials to the City I represent that I have the authority to grant, and hereby grant, the City permission to make the materials available to the public for inspection and copying, whether in hardcopy or electronic format.
In the event a request for information under the California Public Records Act seeks disclosure of application materials marked by me as “Confidential information,” the City may make reasonable efforts to provide notice to me prior to such disclosure to allow me to seek a protective order, injunctive relief, or other appropriate remedy. If I contend any designated application materials are exempt from the CPRA and wish to prevent disclosure, I agree that I am required, at my own, cost, liability, and expense to obtain a protective order, injunctive relief or other appropriate remedy from a court having jurisdiction over the matter at least two (2) days before City’s deadline to respond to the California Public Records Act request. I understand and acknowledge that if I fail to obtain such a remedy before the deadline for the City’s response to the request, the City will disclose the requested information and shall not be liable or responsible for such disclosure.
10. This Agreement shall constitute a separate agreement from any cannabis business permit approval, and that if the cannabis business permit, in part or in whole, is revoked, invalidated, rendered null or set aside by a court of competent jurisdiction, I agree to be bound by the terms of this Agreement, which shall survive such invalidation, nullification or setting aside.
Agreement of Limitations of City’s Liability, and Certifications, Assurances, Warranties, and Indemnification to City
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11. This Agreement shall be construed and enforced in accordance with the laws of the State of California and in any legal action or other proceeding brought by either party to enforce or interpret this Agreement; the appropriate venue is the Los Angeles County Superior Court.
After review and consideration of all of the foregoing terms and conditions, I agree to be bound by and to fully and timely comply with all of the foregoing terms and conditions, and the attached “Agreement on Limitations of City’s Liability, and Certifications, Assurances Warranties and Indemnification to City”.
Applicant(s)/Owner(s):
Printed Name Signature
Printed Name Signature
Printed Name Signature
Printed Name Signature
Printed Name Signature
Agreement of Limitations of City’s Liability, and Certifications, Assurances, Warranties, and Indemnification to City
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Agreement on Limitations of City’s Liability, and
Certifications, Assurances, Warranties, and
Indemnification to City
(Must be completed by all owners)
A. WAIVER, RELEASE AND HOLD HARMLESS
I hereby waive, release, and hold harmless the City of Redondo Beach (“City”) and its Council, boards and commissions, officers, officials, employees, and agents from any and all actual and alleged claims, losses, damages, injuries, liabilities, costs (including attorney’s fees), suits or other expenses which arise out of, or which are in any way relate to my application for a cannabis business permit, the issuance of the cannabis business permit, the process used by the City in making its decision, the enforcement of the conditions of the cannabis business permit, or the cannabis business’ operations.
I hereby waive, release and hold harmless the City and its Council, boards and commissions, officers, officials, employees, and agents from any and all actual and alleged claims, losses, damages, injuries, liabilities, costs (including attorney’s fees), suits or other expenses which arise out of, or which are in any way relate to: (1) any repeal or amendment of any provision of the Redondo Beach Municipal Code or Zoning Ordinance relating to commercial cannabis activity; or (2) any investigation, arrest or prosecution of me, or the cannabis business’ owners, operators, employees, clients or customers, for a violation of state or federal laws, rules or regulations relating to cannabis activities.
B. AGREEMENT TO INDEMNIFY
I shall defend, indemnify, and hold harmless the City and its Council, boards and commissions, officers, officials, employees, and agents from and against any and all actual and alleged liabilities, demands, claims, losses, damages, injuries, actions or proceedings and costs and expenses incidental thereto (including costs of defense, settlement and attorney’s fees), which arise out of, or which are in any way related to i) the requested cannabis business permit and any land use entitlement related thereto, ii) the proceedings undertaken in connection with the approval, denial, or appeal of the requested cannabis business permit and any land use entitlement related thereto, iii) any subsequent approvals or licensing/permits relating to the requested cannabis business permit and any land use entitlement related thereto, iv) the processing of the requested cannabis business permit and any land use entitlement related thereto, v) any amendments to the approvals for the requested cannabis business permit and any land use entitlement related thereto, vi) the City’s approval, consideration, analysis, review, issuance, denial or appeal of the cannabis business permit; vii) the City’s approval, consideration, analysis, review, issuance, denial or appeal of any land use entitlement related thereto, viii) the City’s drafting, adoption and passage of an ordinance, and related resolutions, policies, rules and regulations, allowing for cannabis businesses, ix) the City’s drafting, adoption and passage of an ordinance, and related resolutions if necessary in the future regarding any zoning law amendment(s) related to my cannabis business, x) the operation of my cannabis business or activity, xi) the process used by the City in making its decision to approve, consider, analyze, review, issue, or deny, my cannabis business permit or any related land use entitlement, or the appeal of either, xii) City’s compliance or failure to comply with applicable laws and regulations or xiii) the alleged violation of any federal, state or local Agreement of Limitations of City’s Liability, and Certifications, Assurances, Warranties, and Indemnification to City
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laws by my cannabis business or any of its officers, employees or agents, except where such liability is caused by the sole negligence or willful misconduct of the City.
City may (but is not obligated to) defend such challenge as City, in its sole discretion, determines appropriate, all at applicant’s sole cost and expense. I shall bear any and all losses, damages, injuries, liabilities, costs, and expenses (including, without limitation, staff time and in-house attorney's fees on a fully-loaded basis, attorney’s fees for outside legal counsel, expert witness fees, court costs, and other litigation expenses) arising out of or related to any challenge (“Costs”), whether incurred by me, City, or awarded to any third party, and shall pay to the City upon demand any Costs incurred by the City.
C. OBLIGATIONS INDEPENDENT OF AWARD OF PERMIT, LICENSE, OR ENTITLEMENTS My obligations under this Agreement shall apply regardless of whether a cannabis business permit or any related permits or entitlements are issued.
D. OBLIGATIONS SURVIVE EXPIRATION OF PERMIT, LICENSE, OR ENTITLEMENTS My obligations under this Agreement shall survive the expiration of any cannabis business permit or related permit or entitlement issued by the City. No modification of the permit, other approval, change in applicable laws and regulations, or change in processing methods shall alter the applicant’s indemnity obligation.
E. PROSECUTION UNDER FEDERAL LAW
I understand that I, other applicants, owners, operators, employees, and members of the cannabis business may be subject to prosecution under Federal Laws.
Agreement of Limitations of City’s Liability, and Certifications, Assurances, Warranties, and Indemnification to City
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F. AUTHORIZED TO SIGN
The person(s) whose signature appears below is/(are) authorized to sign this Agreement on behalf of the business, applicant/permittee, and operators, and each of them, if more than one, has submitted this information and all attachments as required by the application process to obtain a cannabis permit from the City of Redondo Beach.
I declare under penalty of perjury that the information provided on this form is true and correct and do hereby apply for a permit pursuant to City of Redondo Beach Municipal Code, Chapter 6-2, and all other applicable sections of the Municipal Code.
Applicant Signature Printed Name and Title
Name of Business Entity Address of Permitted Location
Date
Applicant Signature Printed Name and Title
Name of Business Entity Address of Permitted Location
Date
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of ______________
Subscribed and sworn to (or affirmed) before me on this _____ day of ____________________, 2023, by ____________________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature ____________________________. (Seal)
City of Redondo Beach
TBD Department
415 Diamond Street
Redondo Beach, CA 90277
Phone: TBD
Email: TBD
PROPERTY OWNER CONSENT/LANDLORD AFFIDAVIT
Property Owner Consent/Landlord Affidavit is required for all Applications. If the business owner is the same person/entity asthe property owner, the business owner must complete,sign and notarize the Property Owner Consent/Landlord Affidavit form. If the property is owned by an entity, the entity owner must complete, sign, and notarize the Property Owner Consent/Landlord Affidavit.
I certify that I am/we are the record owner(s) of the property at:
____________________________________________________________________________________, Street City State Zip
and that the information filed is true and correct to the best of my (our) knowledge. I/We, as the owner(s) of the subject property, consent to the filing of this application and use of the property for the purposes described herein. I/We further consent and hereby authorize City representative(s) to enter upon my property for the purpose of examining and inspecting the property in preparation of any reports and/or required environmental review for the processing of the application(s) being filed.
BY MY SIGNATURE BELOW, I CERTIFY TO EACH OF THE FOLLOWING:
I am the property owner or am authorized to act on the property owner's behalf, and the information I have provided above is correct. I acknowledge that I have read and understand the information contained herein.
I acknowledge that the proposed commercial cannabis business ________________________________ Tenant (Corporation/LLC/Partnership/Sole Owner)
has the legal right to occupy the property, and consent to the business conducting the following commercial cannabis activity at the Property:
Retail (Storefront)
Retail (Non‐Storefront)
Retail (Storefront with Delivery)
I agree to comply with all applicable City Ordinances and State Laws relating to (MAUCRSA).
SIGNATURE OF PROPERTY OWNER(S):
PRINTED NAME OF PROPERTY OWNER(S) SIGNATURE OF PROPERTY OWNER(S)
PRINTED NAME OF PROPERTY OWNER(S) SIGNATURE OF PROPERTY OWNER(S) Subscribed and sworn to before me this day of , 20 , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me _____________________________________. *NOTARIZATION REQUIRED. This authorization form will not be valid without notarization. The authorization contained in this form automatically expires upon sale or transfer of title to the Property. Ifsale or transfer of the Property occurs prior to obtaining a businesslicense, the applicant must resubmit this notarized form with approval of the new legal owner(s) of the Property. Property Owner authorization must be signed by all Property Owners of the property identified in the Application. Attach additional pages if necessary.
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.