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C-20-123 Wali Nasrudin Redacted
Applicant (Entity) Information Application Type Proposed Location Commercial Cannabis Business Permit Application C-20-123 Submitted On: Dec 04, 2020 Applicant Wali Nasrudin Applicant (Entity) Name: Wali Nasrudin DBA: -- Physical Address:City: Fresno State: CA Zip Code: 93728 Primary Contact Same as Above? Yes Primary Contact Name: Wali Nasrudin Primary Contact Title: Owner Primary Contact Phone: Primary Contact Email:HAS ANY INDIVIDUAL IN THIS APPLICATION APPLIED FOR ANY OTHER CANNABIS PERMIT IN THE CITY OF FRESNO?: No Select one or more of the following categories. For each category, indicate whether you are applying for Adult-Use (“A”) or/and Medicinal (“M”) or both Both Please make one selection for permit type. If making multiple applications, please submit a new application for each permit type and proposed location. Permit Type Retail (Storefront) Business Formation Documentation: Sole Proprietorship Property Owner Name: Wali Nasrudin Proposed Location Address: 3211 E. Belmont Avenue Fresno CA 93702 City: Fresno State: CA Zip Code: 93728 Property Owner Phone: Property Owner Email:Assessor's Parcel Number (APN): 452-262-14 Proposed Location Square Footage: Supporting Information Application Certification Owner Information 3000 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 during the past three (3) years? No Is the Applicant or any of its owners currently involved in an application process in any other jurisdiction? No 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 of my knowledge and belief. I understand that a misrepresentation of fact is cause for rejection of this 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 Fresno permission to reproduce submitted materials for distribution to staff, Commission, Board 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 Fresno 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. Iunderstand that a misrepresentation of the facts is cause for rejection of this application, denial of a permit or revocation of an issued permit. A denial or revocation on these grounds shall not be appealable (FMC 9-3319(d)). Name and Digital Signature true Title Owner Please note: the issuance of a permit will be determined based on the application you submit and any major changes to your business or proposal (i.e. ownership, location, etc.) after your application is submitted may result in a denial. All applications submitted are considered public documents for Public Records Act request purposes. For details about the information required as part of the application process, see the Application Procedures & Guidelines, City of Fresno Municipal Code Article 33 and any additional requirements to complete the application process. All documents can be found online via this link. For questions please contact the City Manager’s Office at 559.621.5555. Owner Name: Wali Nasrudin Owner Title: Owner Owner Address:Owner City: INDEMNIFICATION AND HOLD HARMLESS AGREEMENT In consideration for the use of City grounds and facilities and to the furthest extent allowed by law, P ermittee does hereby agree to indemnify, hold harmless and defend the City of Fresno and each of its officers, officials, employees, agents and volunteers (hereinafter collectively referred to as “City”) from any and all loss, liability, fines, penalties, forfeitures, costs and damages (whether in contract, tort or strict liability, including but not limi ted to personal injury, death at any time and property damage) incurred by City, Permittee or any other person, and from any and all claims, demands and actions in law or equity (including attorney's fees and litigation expenses), arising or alleged to have arisen directly or indirectly out of use of City grounds and facilities by the Permittee or any of his/her/its officers, officials, employees, agents, volunteers or invitees. Permittee’s obligations under the preceding sentence shall apply regardless of whether City or any of its officers, officials, employees, agents or authorized volunteers are negligent, but shall not apply to any loss, liability, fines, penalties, forfeitures, costs or damages caused solely by the gross negligence, or caused by the willful misconduct, of City or any of its officers, officials, employees, agents or authorized volunteers. Throughout the life of this Agreement, Permittee shall pay for and maintain in full force and effect all insurance as required in Exhibit A, which is incorporated into and part of this Agreement, or as may be authorized or required in writing by City's Risk Manager or his/her designee at any time and in his/her sole discretion. Permittee shall conduct all defense at his/her/its sole cost. The fact that insurance is obtained by Permittee shall not be deemed to release or diminish the liability of Permittee, including, without limitation, liability assumed under this Agreement. The duty to indemnify shall apply to all claims regardless of whether any insurance policies are applicable. The duty to defend hereunder is wholly independent of and separate from the duty to indemnify and such duty to defend exists regardless of any ultimate liability of Permittee. The policy limits do not act as a limitation upon the amount of defense and/or indemnification to be provided by Permittee. Approval or purchase of any insurance contracts or policies shall in no way relieve from liability nor limit the liability of P ermittee, its officials, officers, employees, agents, volunteers or invitees. City shall be reimbursed for all costs and attorney’s fees incurred by City in enforcing this Agreement. This Indemnification and Hold Harmless Agreement shall survive the use of City grounds and facilities. The undersigned acknowledges that he/she (i) has read and fully understands the content of this Indemnification and Hold Harmless Agreement; (ii) is aware that this is a contract between the City and Permittee; (iii) has had the opportunity to consult with his/her attorney, in his/her discretion; (iv) is fully aware of the legal consequences of signing this document; and (v) is the P ermittee or his/her/its authorized signatory. Signed, sealed and delivered this day of 2017. Permittee City Employee Print Name Print Name Address Title Telephone Number Telephone Number COMPANY FORMATION IBIZA WELLNESS CENTER Ibiza Wellness Center Team 1. Store Manager: Wali Nasrudin The heart of our cannabis dispensary will be the individual store manager. Responsible for overseeing all administrative functions of our store, will control scheduling and handle much of the day-to-day business of our shop. 2. Budtenders Our budtenders will be the public face of our dispensary, responsible for dealing with customers and dispensing our products to them. 3. Compliance Manager : As a cannabis dispensary we will have a dedicated compliance manager whose job is to implement and oversee our store’s compliance program. Owner/ Store Manager Wali Nasrudin Compliance Manager Inventory Manager Security Budtenders 4. Inventory Manager Our inventory manager will be responsible for ensuring we have enough product on hand to satisfy customer demand, but not so much that there’s overstock — which can lead to cash flow and storage issues. Our Inventory Manager will also perform regular inventory counts and reconciliations to ensure our store’s transactional data line up with actual product on hand. This position will also be integral to keeping our store compliant, because an instance of product loss or diversion can lead to a serious compliance infraction. 5. Security FIRE AND SAFTEY PLAN To make sure we develop a fire protection plan adequate in all of the occupancy categories relevant to a medical cannabis dispensary, we have partnered with Wilson Fire Extinguisher Service & Sales to evaluate our building and assist us in crafting a comprehensive plan. Fire Safety We fully understand the importance of fire safety for operations. Ibiza Wellness Center will do our best to learn from other examples to prevent problems from occurring with our facility. Ibiza Wellness Center recognizes that a prime motivation for regulating medical cannabis dispensaries is to protect the peace, health, safety, and welfare of the community from these types of problems. Electrical fires not only cause millions of dollars of property damage annually, but they also affect lives. Because of the complex nature of a dispensary, which combines moderate-hazard manufacturing, medical-type services, and finished goods made available to a limited public, it needs to meet safety standards for F-1 (moderate-hazard manufacturing), B (professional service), and M (merchant) occupancy classifications. Fire Plan Overview Preventive Safety Measures 1.Patient Service Areas of the Dispensary a.In addition to the above, further fire safety measures must be adopted in the dispensary areas that will be frequented by patient members: i.Promulgation of a strict no-smoking policy and other fire prevention rules to all members; ii.Clearly marked and illuminated exits and evacuation routes; and iii.A dispensary staff trained and routinely drilled in the proper procedures to evacuate members. 2.Fire Suppression a.Ibiza Wellness Center will employ many techniques to mitigate and control fires if they occur. Smart mitigation techniques limit fire damage and danger, and they conserve the resources of the Seaside Fire Department by reducing the number of incidents that require response by firefighters. These mitigation techniques include the following: i.Fire Alarms ii.Sprinklers iii.Extinguishers iv.Monitoring Services v.Fire Evacuation Plan 3.Standardization of Procedures a.Standardization of procedures is the only way to ensure accountability and comprehensive preparedness. Accordingly, Ibiza Wellness Center has developed a set of standardized forms and checklists to ensure that our safety procedures are correctly implemented and followed. In our Fire Safety Plan we provide a sample of these safety-procedure forms and checklists: i.Fire Risk Survey ii.General Fire Prevention Checklist iii.Exits Checklist iv.Flammable and Combustible Material Checklist 4.First Aid and Safety a.Cintas will provide a first aid kit and A.E.D. defibrillator on site for employees and customers. INVENTORY CONTROL Ibiza Wellness Center will maintain an accurate record of its inventory. We will provide the City of Fresno and the Bureau of Cannabis Control with a record of its current inventory upon request. Ibiza Wellness Center will keep a record of the following information for all cannabis goods the dispensary has in its inventory: •A description of each item in the dispensary inventory. This description will be such that the cannabis goods can easily be identified; •An accurate measurement of the quantity of the item; •The date and time the product was received by the licensed dispensary; •The sell-by or expiration date on any medical cannabis goods, if any; •The name and license number of the licensed distributor that delivered the medical cannabis goods; •The price the licensed dispensary payed for the medical cannabis goods, including taxes, delivery costs, or any other costs. INVENTORY RECONCILIATION Pharm House will perform a reconciliation of its inventory at least once every seven days. We will verify that the dispensary’s physical inventory matches the licensed dispensary’s records pertaining to inventory. The result of inventory reconciliation will be retained in the dispensary’s records and will be made available to City of Fresno and the Bureau of Cannabis Control upon request.If Ibiza Wellness Center identifies any evidence of theft, diversion, or loss, the dispensary will notify the Fresno Police Department and the Bureau of Cannabis Control. If a significant discrepancy is discovered between the physical inventory and the inventory records, we will notify the Fresno Police Department and the Bureau of Cannabis Control. RECORD OF SALES Ibiza Wellness Center will maintain an accurate record of every sale made to a customer. A record of a sale shall contain the following information: •The name of the licensed dispensary employee who processed the sale. •The date and time of the transaction. •A list of all the cannabis goods purchased, including the quantity purchased. •The total amount paid for the sale including the individual prices paid for each cannabis good purchased and any amounts paid for taxes. Our dispensary will enter the following events into the track and trace system: 1.Receipt of cannabis goods from a distributor or transporter; a.Enter the following information: i.Distributor’s name and license number; ii.Name of licensee who transported the cannabis goods and license number; iii.Type of cannabis goods received; iv.Amount received, by weight or count; v.Best-by, sell-by, or expiration date, if any, of each product received; vi.The date of receipt of cannabis goods; vii.The unique identifiers associated with the cannabis goods received; and viii.Other information required elsewhere by law. 2.Sale of medical cannabis goods to a cannabis patient or primary caregiver; a.Enter the following information: i.The name of the licensed dispensary employee who processed the sale; ii.The name or a patient identification number of the medical cannabis patient or primary caregiver who made the purchase; iii.The date and time of the transaction; iv.A list of all of the cannabis goods purchased, including a description of the quantity purchased; v.The unique identifiers associated with the cannabis goods sold; and vi.Other information required elsewhere by law. 3.Return of cannabis goods to a distributor; a.Enter the following information: i.Distributor’s name and license number; ii.Name of licensee who transported the cannabis goods and license number; iii.Type of cannabis goods returned; iv.Amount received, by weight or count; v.Best-by, sell-by, or expiration date, if any, of each cannabis good returned; vi.The date of the return of medical cannabis goods; vii.The unique identifiers associated with the cannabis goods returned; and viii.Other information required elsewhere by law. 4.Destruction of cannabis goods; a.Enter the following information: i.The name of the licensed dispensary employee who performed the destruction; ii.The date and time of the destruction; iii.A list of all of cannabis goods destroyed, including a description of the quantity destroyed; iv.The unique identifiers associated with the cannabis goods destroyed; and v.Other information required elsewhere by law. 5.Transfer of cannabis goods to a distributor for destruction; a.Enter the following information: i.Distributor’s name and license number; ii.Name of licensee who transported the cannabis goods and license number; iii.Type of cannabis goods transferred; iv.Amount transferred, by weight or count; v.The date of the transfer of cannabis goods; vi.The unique identifiers associated with the cannabis goods transferred; vii.Other information required elsewhere by law. 1. BUSINESS PLAN 1EXECUTIVE SUMMARY Ibiza Wellness Center is pursuing entry into the California Cannabis Industry. Ibiza Wellness Center intends to dispense cannabis to qualified California patients and recreational users in Fresno, California. Ibiza plans to operate an adult-use cannabis dispensary at 3211 East Belmont Avenue, in the City of Fresno. The facility will solely operate as a retail dispensary, there will be no cultivation or manufacturing taking place. Ibiza Wellness Center’s goal is to provide the best cannabis products available, in a safe, legal and comfortable environment. Ibiza intends on being an example of how to best operate an adult-use dispensary in the City of Fresno. Our dispensary is being designed and built to feature state of the art technology with forward-looking green practices. Security and safety are critical components of our operations. We also plan to take every effort to be “good neighbors” in the community. This means providing extensive community outreach, such as hiring and public involvement. It also means minimizing any negative impacts or nuisances that may arise from our operations. Ultimately, it is the goal of Ibiza Wellness Center to demonstrate the amount of preparations owner Wali Nasrudin has put into this project. Wali is striving to make opening Ibiza as turn-key as possible. This can be demonstrated by his attention to detail and early planning. To summarize his efforts, Ibiza Wellness Center has assembled a business plan to outline the key company objectives and mission. Our plan will summarize the estimated start-up costs, provide income estimates for the first year of operations, and outline additional details that will be required to operate as a compliant canna-business. MISSION Ibiza Wellness Center’s mission is to dispense premium grade cannabis and cannabis products. The focus will be to procure and sell a recognizable retail brand of excellence. The products will be professionally processed, packaged and presented to patients in a service-focused environment. Staff will be knowledgeable of the products we are dispensing and will be able to provide patients insight into the effects of each cannabis type. The workforce will be diverse and will also be trained to serve patients courteously, informatively, and always with their dignity in mind. Finally, Ibiza Wellness Center intends to be regarded by the local community and patients as a professional operation who adds economic and health value to the local population. 1.2 OBJECTIVES Ibiza Wellness Center’s key objectives are: • To obtain approval from the city of Fresno to open a dispensary • To create a plan that enables a turn-key operation upon approval to operate the dispensary •To become the preferred cannabis dispensary among patients and visitors within the City of Fresno. •To provide a safe mechanism for patients and recreational users to access cannabis and its potential benefits. •Inside the dispensary setting, to provide safe and legal access to cannabis for all qualified patients or recreational users. •To create a professional brand image to earn trust and respect within the communities we serve. •Formulate an estimated budget to ensure sufficient funding is available. •Create a business plan that can be presented to partners, the state, and those responsible for executing and delivering on the mission. 2 ORGANIZATION SUMMARY 2.1 LEGAL ENTITY Ibiza Wellness Center By-laws will be carefully written and will be used to direct operations. This will ensure that disputes are limited as they are more common in the cannabis industry. 2.2 PROFESSIONAL ADVISORY TEAM Ibiza Wellness Center is committed to the company success. It is in that commitment that professional advice has been retained by the company. This include the following: Louna Amin Esquire 2.3 Vision Ibiza Wellness Center envisions being a community-oriented company that provides California patients in need with safe access to high quality cannabis, wellness services and educational resources. We foresee the center serving as model facilities that operates in full compliance with the law, maintains the highest standards of professional operation and truly serves the needs of patients in our state. Our Commitments: Operate with complete adherence to state and local ordinances, and maintain a solid working relationship with all government authorities, including law enforcement and health department officials. Maintain financial viability to support our ongoing mission as a non- profit organization whose purpose is to serve our patients, ourcommunity and our other stakeholders. Maintain a physical environment and organizational culture where all are treated with respect, compassion and care. Be a good neighbor to local residents and businesses by engaging community leaders and citizen groups as a responsible service provider. Provide licensed patients with alternative health resources in a professional and compassionate environment by offering free and low-cost wellness services that help improve the quality of life for anyone in need. Educate our patients on the proper and responsible use of medical cannabis. Serve our community, both patients and non-patients alike, through charitable community events and services. Owner qualifications. Owner: Wali Nasrudin I will register with Oakstardam to learn and acquire the knowledge to run my Cannabis Dispensary. Oaksterdam 1734 Telegraph Avenue, Oakland CA 94612 I will acquire an attorney’s services versed in cannabis laws to make sure that we are always within the proper guidelines. I will acquire the services of a CPA, for the financial aspects of my cannabis business. Core Values Ibiza Wellness Center believes in: Highest Quality Products-we will provide safe, high-quality medicinal products subject to careful processing. • Compassion-serving our patients and customers professionally with sensitivity to their needs in a clean environment where they feel safe and secure. • Responsiveness-in our dealings with our patients, customers, employees, lenders and the community. • Transparency-our financial data will be regularly audited by an independent accounting firm. • Community Service-conducting varied and ongoing outreach activities to serve the needs of patients, customers and others in our community. • Education-providing facts and information to help people understand the responsible and effective use of cannabis. • Being a “Good Neighbor”-by working with the community, the city of Fresno and police department as a responsible service provider. Keys to Success Important keys to our success will include: • We will position Ibiza Dispensary as a responsible business in the community and develop close working relationships with civic, business and government leaders and their staffs. • Highly detailed planning and execution is critical. We will put in place the staffing, training and infrastructure required to cultivate safe, high-quality medicine, and we will apply industry best practices to medical cannabis dispensary operations. • Financials, especially cash flow, must be well planned and managed, and kept to high standards commensurate with our nonprofit status and visibility in the industry. Organization Summary Startup Summary Following are some of the milestones of Ibiza Wellness Center has addresses all areas required to fund and operate a legally compliant, sustainable organization that can fully deliver on its mission. Start-Up Funding Long-Term Viability Ibiza Wellness Center will ensure its long-term viability through a continuing focus on three key pillars of operation: 1. Staying true to its mission. Ibiza Dispensary will “Provide safe, dignified and affordable access to cannabis in the State of California.” We will publish this mission prominently for our patients, employees and the general community. Management will actively use our mission as a yardstick by which to measure our actions and performance. 2. Involving stakeholders. Successful organizations are those where stakeholders feel a sense of ownership and pride, and actively participate in shaping the direction and future of the organization. We will conduct ongoing efforts to seek feedback from patients, employees, advisors, government officials and the general community on key matters involving Ibiza Dispensary. Examples will include periodic surveys, open meetings and actively encouraging submission of feedback. 3. Financial viability. At Ibiza Dispensary, we cannot fulfill our mission unless we have sufficient resources to continue operations. We are committed to providing services at a fair market value and generating a funding surplus. e will also involve qualified advisors to help us achieve prudent financial management and efficient operations. These advisors include principals from two of the States leading medical cannabis dispensaries education Oaksterdam, which have solid records of operational and financial success using a similar model. Ibiza Wellness Center Team 1. Store Manager: Wali Nasrudin The heart of our cannabis dispensary will be the individual store manager. Responsible for overseeing all administrative functions of our store, will control scheduling and handle much of the day-to-day business of our shop. 2. Budtenders Our budtenders will be the public face of our dispensary, responsible for dealing with customers and dispensing our products to them. 3. Compliance Manager : Breshna Allemi As a cannabis dispensary we will have a dedicated compliance manager whose job is to implement and oversee our store’s compliance program. 4. Inventory Manager Our inventory manager will be responsible for ensuring we have enough product on hand to satisfy customer demand, but not so much that there’s overstock — which can lead to cash flow and storage issues. Our Inventory Manager will also perform regular inventory counts and reconciliations to ensure our store’s transactional data line up with actual product on hand. This position will also be integral to keeping our store compliant, because an instance of product loss or diversion can lead to a serious compliance infraction. 5. Security Cannabis dispensaries have a host of security concerns far greater than most other retail operations. These concerns will mandate a significant investment in our security systems. We will also have on- the-ground personnel. Products and Services Philosophy Based on the core values of Ibiza Wellness Center, product sales are firmly grounded in a service model. While there may be some differences in product quality from one dispensary to another, cannabis is largely a commodity, so product differentiation rests primarily on how products are sold. Ibiza Wellness Center will work diligently to deliver on its core value that calls for “highest quality products.” Following is a general outline of how we plan to approach product quality and service. Strict Quality Control Guidelines A budget for construction, operation, and maintenance, compensation of employees, equipment costs, utility cost, and other operation costs. I. Proof of capitalization in the form of documentation of cash other liquid assets on hand, Letters of Credit or other equivalent assets which can be verified by the City Pro forma for at least three years of operation. Fully describe hours of operation and opening and closing procedures. HOURS OF OPERATION The facility will be open to the public from 10:00 AM to 10:00 PM, Monday through Sunday. At any time that the dispensary is not open for retail sales, Ibiza Wellness Center will ensure the following: •The premises will be securely locked with commercial-grade, non- residential door locks. •The premises will be equipped with an active alarm system. •When closed for retail business, all cannabis goods will be stored in a locked safe or vault on the premises. •Only authorized employees and contractors of the licensee will be allowed to enter the premises after hours. SIGNAGE PLAN Signage for the dispensary will comply with Fresno Codes. No Cannabis products or graphics describing cannabis will be visible from the exterior of the property. A sign will be posted at the entrance to the dispensary that includes the following language. The required text will be of sufficient size to be easily read from a distance of five feet. FOR MEDICAL: This Dispensary only provides medical cannabis to its members, who must have legally recognized California Medical Cannabis Identification Cards or a verifiable, written recommendation from a physician for medical cannabis. FOR ADULT: This Dispensary only provides cannabis to adults who qualify under the Adult Use of Marijuana Act and applicable state law. No person under the age of 21 may enter this facility. Providing cannabis products to those under 21 is illegal and shall be prosecuted to the fullest extent of the law. A sign will be posted in a conspicuous location inside the structure at the location advising: This Dispensary is registered in accordance with the laws of the City of Fresno. The sale of marijuana and the diversion of marijuana to persons under the age of 21 are violations of State law. The use of marijuana may impair a person's ability to drive a motor vehicle or operate heavy machinery. RETAIL FLOOR INSIDE DÉCOR The Ibiza Wellness Center will be items that are hand-selected to match our rustic brand image. While no items have been purchased, much efforts and research has been done utilizing common social tools to find ideas for inspiration. Design ideas have been consolidated in a centralized collaborative Pinterest board to blend decorative ideas together to create the ultimate country-side appeal. While at the onset, it is unlikely that recreational cannabis will be sold – Ibiza Wellness Center believes that this vision will attract local visitors as well as outside tourists to our location. Hours of operation will be. Hours Open Close Monday 10:00 AM 10:00 PM Tuesday 10:00 AM 10:00 PM Wednesday 10:00 AM 10:00 PM Thursday 10:00 AM 10:00 PM Friday 10:00 AM 10:00 PM Saturday 10:00 AM 10:00 PM Sunday 10:00 AM 10:00 PM Standard Operating Procedures SOP Standard operating procedures, also known as SOPs, will be detailed in our Dispensary Operations Manual. help create efficiencies, maintain compliance, promote transparency, and mitigate risk within my cannabis dispensary. 1. Manager will arrive 1 hour prior to store opening to insure readiness. 2. If there is evidence of any tampering with the lock or attempted break in, the manager will call the police and not enter the facility. 3. Turn off the alarm. The manager will know and be trained in using the “duress code” in the event he or she is ambushed at opening. 4. Do a visual check to insure all windows, inventory, and physical assets are undisturbed. 5. Turn on lights for dispensary operations. 6. Open the safe and place cash drawers in respective registers. 7. Move inventory to behind counter, and put sample jars out on counter. 8. Turn on the computers and POS systems (if turned off). 9. Turn on music for the store. 10. Insure air condition/heating system is set at proper temperature 11. Inspect store for cleanliness and review inventory listings. 12. Prepare to assign any tasks or duties necessary for arriving employees. 13. Activate any working displays, signage, or video displays 14. Check signage for remove dates for sale or promotions. 15. Check email or computer messaging and respond as necessary. 16. Insure security cameras are operational and recording from monitor in back office. 17. Prepare any notes for employee tasks. 18. Activate burglar alarm 19. Insure the front door and exit doors are locked until other employees arrive The manager will have a daily checklist to insure all tasks are completed with, and the facility is left stocked and neat for the next day’s operation. Dispensary Operations Manual We will have our Dispensary Operations Manual available prior to opening for business, which will document the operations of our dispensary. Our manual will include. 1. A floor plan of the dispensary showing all windows, access, counters, display cases, storage areas, shipping and receiving areas, employee areas and any ancillary offices and rest rooms. 2. A detailed description of all security systems, cameras, specific locking mechanisms, drop safes, and any other security device utilized by Ibiza Dispensary. 3. A detailed narrative of the dispensary’s security policies, safety and security procedures, crime prevention, product diversion prevention and the dispensary’s employees. 4. A corporate organizational chart with contact information and emergency numbers. 5. A listing of all physical assets in the dispensary including counters, point of sale systems, scales, storage systems, safes. Etc. 6. A database of all forms to record sales, inventory receiving and disbursing, employee schedules and contact information, patient information, etc. 7. Operations manuals for all weighing, measuring and disbursing methods for products sold. 8. Copies of all curriculum used in employee training manuals (including patient confidentiality laws, emergency responses, and duties of each employee). 9. Part of our dispensary operations manual will include physical description of the facility, with specific detail of the physical plant in order for employees to understand the layout, and to also help create systems and operations that are fully documented. The documentation will include: A. Layout and square foot of each room. B. Overall square foot of the Dispensary Facility C. Name and function of each room D. Doorways or pathways between room E. Means of ingress and egress F. Location of restricted and limited access areas G. Location of cannabis storage areas while the dispensary is open for business H. Location of cannabis storage areas while the dispensary is closed for business I. Location of the sink and refrigerator J. Location of all safes or vaults that will be used to store cannabis, cannabis products or currency. K. Location of each computer used to check qualifying patient cards or designated caregiver registry cards. L. Location of each computer and cash register used for point of sale transaction and to access the State’s Verification System M. Location of Fire Exits N. Location of each toilet facility O. Location of a break room and personal storage lockers P. Location of patient counseling areas Q. Location of each video camera R. Location of each panic button S. Location of natural and artificial lighting source Our Operations Manual will show how inventory is accounted for and protected, how cash is counted and secured, the audit/control data for all inventory, all inventory dispatch logs and manifests, opening and closing procedures, client/patient verification, etc. It is important to verify everyone’s identity who walks into our store either as a customer or as a vendor/visitor. Vendors will never be allowed in unless scheduled by the operations manager. No exception. Emergency vendor actions such as repairing heating/air conditioning, fixing the safe, computer network repair will all be scheduled. The only people who may enter without prior notification will be government officials, the police, the fire department or other first responders for an emergency. 1.6.1. Fully describe the day-to-day operations if you’re applying for a retail permit. Describe customer check-in procedure Customer & Patient Management Plan Summary This Patient Management Plan contains procedures intended to guarantee compliance will all requirements as described in, as well as all other requirements set forth by any other governing body charged with the oversite of our Retail Dispensary Location. New Patient & Customer Registration New patients will be greeted at the Security desk and asked to present a valid, government issued form of photo Identification, as well as their Registration Card issued by the Department. This information will be logged and time stamped. The new patientwill be advised of the rules while in the Dispensary. The New patient will be asked to take a seat in the waiting area and advised that an employee will soon escort them through the process of purchasing Cannabisor manufactured Cannabisproducts. This process will include individual counselling and education required by the Department. •Dispensing Limit Pursuant to, no more than four ounces of Cannabisor manufactured Cannabisproducts may be dispensed to a qualifying patient during a period of fifteen consecutive days, and shall not exceed eight ounces of Cannabisduring a period of thirty consecutive days.This will be verified through BioTrack. If the BioTrack system is not operating or unavailable, the Dispensing Location will not dispense any Cannabisor Cannabisinfused products until BioTrack becomes available. Additionally, when BioTrack is found to be nonoperational the Dispensing Location shall notify the Department immediately. Patient & Customer Records The Dispensing Manager must ensure that all patient Identification and State registration documents are current and documented in the point of sale system. In addition, all activity concerning patients and customers in the dispensary will be recorded including but not limited to: •Arrival times and dates; •Departures times and dates; •Amount, strain, and tracking ID of purchased Cannabisor manufactured Cannabisproducts and; •Educational materials covered. •Interpretative Services The Dispensing Location will make interpretative services available that are appropriate for the local population being served, including for the visually-and hearing-impaired. These services will be applied by any effective means that do not violate any privacy consideration Customer Education Required Materials and Information •Patients must be made aware that Cannabis has not been approved for use by the FDA. Patients must be made aware that there may be health risks associated with the use of Cannabis, and that it should be kept away from children. •Patients must be informed that operating a motor vehicleor machinerywhile under the influence of Cannabisis strictly prohibited. •Patients will be instructed on the potential varying effects and applications of each strain of Cannabisoffered by the Dispensary. •Information will be provided describing proper dosage and different delivery systems. Counseling will focus on using the smallest amount of medication possible to achieve the desired symptom relief. •Patients will be presented with facts regarding substance abuse signs and symptoms, as well as contact information for substance abuse treatment programs and hotlines. •Patients will be instructed that qualifying patients may not distribute Cannabis to any other individual, and that they must return any unused, contaminated, or excess product to the Retail Dispensing Location from which it was purchased for destruction. Education Material Restrictions All educational materials created or presented to patients by Ibiza Dispensary, will not include: •Statements, graphics, pictures, or illustrations portraying or referring to the use of Cannabis by anyone under 21 years of age. Documentation All Educational materials presented to a qualifying patient will require the patients signature and date that they received the materials as well as the signature and unique ID of the presenter. These records will be kept for six years and presented to the Department upon request. Loss and Diversion All cannabis in the process of production, distribution, transfer or analysis shall be stored in such a manner as to prevent diversion, theft or loss, and shall be returned to its secure location immediately after completion of the process or at the end of the scheduled business day. If a process cannot be completed at the end of a working day, the vessels, bins or bulk containers containing cannabis shall be securely locked inside an adequately secured area. In order to ensure that cannabis is securely stored and avoid any threat of loss and diversion, Ibiza Wellness Center Shall •Not procureor maintain cannabis in excess of the quantity required for normal, efficient operation; •Store all cannabis and cannabis-infused products in a safe, vault or secured room and in such a manner as to prevent diversion, theft or loss; •Maintain all cannabis product in a secure area or location within the Dispensing Location accessible only to specifically authorized personnel, which shall include only the minimum number of employees essential for efficient operation; •Keep all approved safes, vaults, or other equipment or areas used for the storage of cannabis securely locked or protected from entry, except for the actual time required to remove or replace cannabis •Keep all locks and security equipment in good working order •Not allow keys to be left in the locks and not store or place keys in a location accessible to persons other than specifically authorized personnel; •Not allow other security measures, such as combination numbers, passwords or electronic or biometric security systems, to be accessible to persons other than specifically authorized personnel; and •Keep the Dispensing Location securely locked and protected from unauthorized entry at all times. Any additional safeguards required by the Department in regard to special security issues, such as extremely large stock of cannabis, exposed handling or unusual vulnerability to diversion, theft or loss, will be complied with immediately. If a loss, theft or diversion of cannabis has occurred from the Dispensing Location, the Dispensary Manager shall notify the Department and the nearest Law Enforcement district immediately. The Department and local law enforcement shall determine the appropriate storage and security requirements for all cannabis in the Dispensing Location, and may require additional safeguards to ensure the security of the cannabis. If a reduction in the amount of medical cannabis in the Dispensing location’s inventory is due to suspected criminal activity, the Dispensary manager shall immediately report the reduction to the Department and local law enforcement. All areas of the Dispensing Location containing cannabis, including any rooms with approved safe or approved vaults, shall have a sign posted at all entryways, which shall be a minimum of 12 inches in height and 12 inches in length and shall state: "Do Not Enter − Limited Access Area –Access Limited to Authorized Personnel Only" in lettering no smallerthan one inch in height. No Dispensing Location and/or security policies shall prohibit members of the Department, local law enforcement or other federal, state, local government officials, or persons authorized by the Department from entering any area of the Ibiza Dispensary to perform their governmental duties. Ibiza Dispensary employees shall provide current copies of the Ibiza Dispensary floor plan to local law enforcement. ii. Identify location and procedures for receiving deliveries during business hours. Procedure for receiving deliveries during business hours includes, securing the delivery in a safe garage on site at 3211 East Belmont Avenue, Fresno CA 93702, that will be isolated, videoed, with security personal and the manager monitoring and recording the procedure. The delivery will be documented, secured and taken to the vault. Identify the name of the Point-of-sale system to be used and the number of Point-of-Sale locations We will be using Flowhub as our POS system to Process quick transactions with Cashier, a cloud-based POS software that’s easy for dispensary staff to learn and use. The estimated number of customers to be served per hour/day We expect to serve 250 customers per day, and 31 customers per hour in our first few months of opening business to our patients and customers. Describe the proposed product line to be sold and the estimated percentage of sales of flower and manufactured products. Third year projection. NEIGHBORHOOD COMPATIBILITY Ibiza Wellness Center will provide an appealing addition to East Belmont Avenue, Fresno CA 93702. We will do so by maintaining excellent relationships with the community and organize the daily functions to minimize impacts on the neighborhood. The Ibiza Wellness Center team will reach out to receive support from the majority of the neighboring businesses. •A&J Tires •Kings Smoke Shop •Fresno Hock Shoppe •Golden Auto Sales •Kasparian Auto Sales •BMT Auto Sales •Central Tire Company •Bumpers Are Us •Godinez Repair and Body Ibiza Wellness Center will maintain the integrity of the current location in order to prevent the dispensary from causing any negative aesthetic on the neighborhood. The goal of Ibiza Wellness Center is to make the location appear just like any other business and not draw unneeded attention to the proposed site. There will be no signage that will contain any logos or information that identifies, advertises, or lists the services or the products offered. Operational Compatibility Through diligent management of daily operations, Ibiza Wellness Center will ensure that the dispensary will not be a nuisance to the neighbors or negatively impact the neighborhood. Public Transportation The proposed location is approximately 100 feet from bus stop 33, E. Belmont Ave. Sidewalk Security Ibiza Wellness Center will manage the sidewalk with a security team to monitor cleanliness and loitering, as well as greet patients entering the dispensary. The security team will provide a highly visible presence and deterrent to potential criminal activity by ensuring only those visiting the facility are allowed entry for legitimate business. This team will be vigilant to suspicious activity on the exterior of the premises. Cleanliness is also managed constantly with checks throughout the business day. Noise Management Ibiza Wellness Center will make best efforts to avoid any noise pollution from its facility and immediate surrounding areas. Ibiza Wellness Center will implement strict rules for the staff, patients and visitors that are entering or departing our facility. These rules include, but are not limited to: •Restrict the volume or car stereos and/or portable sound systems while visiting the Ibiza Wellness premises. •Limiting the noise of any in-house background music that would play during business hours only. •Warnings for unnecessary honking, tire screeching, yelling or any other noise deemed disruptive, unnecessary or a nuisance. Odor Management All spaces within our facility that contain cannabis goods will be equipped with a carbon scrubbing filter. These filters are highly effective at eliminating odor that could be caused from the permeation of our cannabis goods. The filters will include a powerful fan that will pull the air of the room towards the filter, pulling it through carbon (a known odor eliminator), and then reintroduced into the room (scrubbing). AAA Insurance underwritten by CSAA Fire & Casualty Insurance Company PO Box 22221 Oakland, CA 94623-2221 (800) 922-8228 Evidence of Property Insurance General Information This is evidence that insurance as identified below has been issued and is in force. This Evidence of Insurance does not expand, diminish or change any of the coverages, exclusions, terms or conditions of the policy. The coverages, exclusions, terms and conditions are expressed in the declarations, policy booklet and endorsements. This is not a contract between the issuing insurer, authorized representative or producer, and the Certificate holder(s). This does not confer to any holder(s) any additional rights under the Policy. Without limiting the generality of the preceding, this Evidence of Insurance is not a waiver of the insurer's right to subrogate against the Certificate holder(s). Agent:Phone: (800) 922-8228 Company:NoticeDate/Time: 12/02/2020 at 09:38 PM AAA Insurance PO Box 22221 Oakland, CA 94623-2221 CSAA Fire & Casualty Insurance Company - 10921 AgentName: Shakayek Ali Awan Insured:Policy Number: Policy Period: 07/13/2020 - 07/13/2021 Locationof InsuredProperty: Coverage and Premium Information Coverage/Perils/Forms Amountof Insurance Policy Type/Deductible/Premium Remarks Cancellation The policy is subject to the premiums, forms and rules in effect for each policy period. Should the policy be terminated, the company will give the additional interest identified below 30 days written or electronic notice, and will send notification of any changes to the policy that would affect that interest, in accordance with the policy provisions or as required by law. Mortgagees and Other Interests None Coverage A - Dwelling Coverage B - Other Structures Coverage C - Personal Property Coverage D - Fair Rental Value Coverage E - Personal Liability Coverage F - Medical Payments to Others Wali Nasrudin 4101 DUBLIN BLVD F105 DUBLIN, CA 94568 Policy Type:HOME Deductible: AnnualPremium: Authorized Representative: Page 1 of 1 AAA NCNU 4460 Tassajara Rd Ste B Dublin, CA 94568 1134 N Roosevelt Ave Fresno, CA 93728 62 6500 CA 05012013 TEAM SECURITY PHILOSOPHY Ibiza Wellness Center believes the best way to approach this project is through a team approach. This team approach will be reflected throughout our security plan, but is clearly evident in the Company’s security philosophy. 2. SOCIAL POLICY AND LOCAL ENTERPRISE PLAN 2.1 IBIZA WELLNESS CENTER is committed to engage in professional recruiting practices to hire the most qualified candidates. Additionally, an active effort will be made to recruit a diverse workforce. Our employees will be well paid, well qualified, and well-trained personnel. All employees will be fingerprinted and have successfully passed a level 2 background screening. All staff will be required to wear photo identification at all times while on the dispensary premises. We will provide employees with precise definition of responsibilities, clearly understood chains of authority, and thorough training of new hires. Our employees will be expected to uphold IBIZA WELLNESS CENTER professional brand image. 2.2 IBIZA WELLNESS CENTER will offer employees 2 weeks paid vacation annually, medical leave for maternity and will work to make sure that our employees have health insurance. 2.3 IBIZA WELLNESS CENTER will recruit well qualified employees from Fresno County and individuals who meet the Social Policy Section 9-3316 (b) (1) of the Fresno Municipal Code (FMC) and the the percentage of local employees will be 40%. 2.5 IBIZA WELLNESS CENTER is owned by Wali Nasrudin, who is a homeowner in Fresno, CA. 2.6 IBIZA WELLNESS CENTER currently under construction. We do not have five employees yet. 2.8.3 IBIZA WELLNESS CENTER will provide a living wage for its employees. 2.9 IBIZA WELLNESS CENTER is committed to serving as a Social Equity Business Incubator and will be offering support to local cannabis social equity business in the form of mentorship, training, equipment donation, a percentage of shelf space dedicated to Fresno equity business products, legal assistance, financial services assistance and other technical assistance support. OPERATORS MANUAL AND EMPLOYEE HANDBOOK A comprehensive handbook provides information to guide employees’ behavior and relationship with IBIZA WELLNESS CENTER (available for review upon request). The manual, which is furnished to all employees upon being hired, addresses: •IBIZA WELLNESS CENTER Philosophy •New employee onboarding procedures •Attendance, tardiness, and uniform policy •Safety/Security policies and guidelines •Drug and Alcohol policy •Anti-Discrimination Policy •Anti-Harassment Policy WORKFORCE SECURITY Making sure that our routine operations follow secure procedures is as important as physically securing each facility and having emergency response procedures in place. Consistent, proactive operational security policies and procedures greatly reduce the likelihood that emergencies will arise. CONTINUING EDUCATION The organization invests in the professional development and education of its personnel to uphold a standard of excellence, and provide patients comprehensive product knowledge when selecting their medicinal marijuana products. The organization will require all employees to participate in the assigned education and training programs. Any employees that fail to pass the education and testing requirements may experience disciplinary action and/or termination. Dispensary Personnel Training All Dispensary employees will go through a comprehensive training. The program incorporates State of California requirements and regulations including background checks, as well as new-hire training and continuing education protocol. The training program will include the following: Procedure Description Legal We will distributea worksheet regarding the state of the law as well as include a section in our manual and SOP’s addressing the law, compliance, and law enforcement interaction. Processing and Storage This will outline the procedures regarding how medicine will be received, handled, and stored safely. Accounting and Cash Procedures This will include training on the Point of Sale, how to manage cash, accounting, and banking procedures. Inventory Control Plan Will spell out how Ibiza Wellness Center will address inventory and includes protocols to ensure operational consistency and proper compliance with the State of California. Emergency Procedures Will provide the specific protocols in case of medical, police or other emergencies to ensure rapid response involving the appropriate personnel and/or outside authorities. Security Background Screening We will perform background checks on all employees, volunteers, principals, directors, and board members. We will also perform background checks on any contractors or vendors who regularly work within the facility or will be employed there for an extended time. Copies of any public records obtained through the background check process will be provided to the individual concerned. To ensure transparency, the entire background checking process will be conducted by a third-party. 1.IBIZA WELLNESS CENTER will obtain age of applicant on each employee application. 2. A copy of applicant’s valid, unexpired California driver’s license will be made and attached to each employment application. 3.If employee will be working in capacity of “transporter”, a copy of current auto insurance will be placed in employee and verified that insurance meets states minimum standard. 4.A criminal background check including the disqualifying offenses 5.Individuals will submit a full set of fingerprints to the department, vendor, entity, or agency authorized for processing by the state which may be forwarded to the DOJ Personnel Records Will maintain personnel records for each employee, agent, or volunteer that includes: •Application, •Documentation of all required training, •A signed statement from the individual indicating the date, time, and place that he or she received training and the topics discussed, including the name and title of the presenters, and •Record of any disciplinary action taken against employee at any time during employment. •These personnel records will be maintained for a period of at least six months past the end of the individual’s affiliation with us. SUPPLEMENTAL APPLICATION REQUIREMENTS IBIZA WELLNESS CENTER will employ within one year of receiving a commercial cannabis business permit, one supervisor and one employee who have completed a Cal-OSHA industry outreach course offered by a duly authorized training provider (FMC 9-3316©)