"Commodity Handler License Application Form" - Colorado

"Commodity Handler License Application Form" - Colorado Download Pdf
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Commodity Handler License Application Form is a legal document that was released by the Colorado Department of Agriculture - a government authority operating within Colorado.

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Download "Commodity Handler License Application Form" - Colorado

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Farm Products Program: (303) 477-0054
Commodity Handler License Application
January 1 – December 31 __________ (Year)
All Commodity Handlers are required to submit a financial statement and have sufficient surety bond on file before a license will be issued (see
information on back).
See Fee Schedule on Back of Application to determine inspection fee(s)
*Commodity inspection fee is determined by your annual purchase volume of commodities from Colorado owners or producers
(4530) License Fee
$150.00
Make check payable to:
Colorado Dept. of Agriculture
(4570) *Commodity Inspection Fee
$_______
(4570) **Warehouse Inspection Fee
$_______
Mail payment and
Colorado Dept. of Agriculture/ ICS
application to:
2331 West 31
st
Avenue
(4490) Late Penalty (after Dec. 31
st
) $50
$_______
Denver, CO 80211
Total License Fees Due
$_______
All payments must be payable in U.S. dollars and checks must be drawn on a U.S. bank or the payment and this form will be returned.
1. Legal name of applicant:
2. Operating name of applicant:
3. Principal business address:
4. Mailing address:
5. Phone number:
6. Email Address:
7. Select business type: __ Individual/Sole Proprietorship***
__ Partnership
__Corporation
__ Other (Describe): ___________________________________________________________
***If you are operating as an individual/sole proprietorship, you must complete the “Citizenship/Immigration Status Verification Form”
8. Do you operate multiple locations under the same Commodity Handler license?
Yes:__ No:__
If yes, please attach a list of all locations.
9. S tate your annual volume of commodity & farm product purchases from Colorado producers and dealers.
Farm Products: hay, livestock, produce, etc.
$____________
10. Are you engaged in the business of buying “farm products” other than commodities?
Yes:__ No:__
If Yes, state your annual volume of “farm product” purchases from Colorado producers or owners
$___________
11. Do you operate a public warehouse in Colorado? If yes, see back of form for additional requirements Yes:__ No:__
I certify that all statements made in this application are true, correct, and complete to the best of my knowledge
and belief, and are made in good faith.
Legal Name of Applicant: ______________________________________________________________
Date: ________ Signature: _____________________________________________________________
Farm Products Program: (303) 477-0054
Commodity Handler License Application
January 1 – December 31 __________ (Year)
All Commodity Handlers are required to submit a financial statement and have sufficient surety bond on file before a license will be issued (see
information on back).
See Fee Schedule on Back of Application to determine inspection fee(s)
*Commodity inspection fee is determined by your annual purchase volume of commodities from Colorado owners or producers
(4530) License Fee
$150.00
Make check payable to:
Colorado Dept. of Agriculture
(4570) *Commodity Inspection Fee
$_______
(4570) **Warehouse Inspection Fee
$_______
Mail payment and
Colorado Dept. of Agriculture/ ICS
application to:
2331 West 31
st
Avenue
(4490) Late Penalty (after Dec. 31
st
) $50
$_______
Denver, CO 80211
Total License Fees Due
$_______
All payments must be payable in U.S. dollars and checks must be drawn on a U.S. bank or the payment and this form will be returned.
1. Legal name of applicant:
2. Operating name of applicant:
3. Principal business address:
4. Mailing address:
5. Phone number:
6. Email Address:
7. Select business type: __ Individual/Sole Proprietorship***
__ Partnership
__Corporation
__ Other (Describe): ___________________________________________________________
***If you are operating as an individual/sole proprietorship, you must complete the “Citizenship/Immigration Status Verification Form”
8. Do you operate multiple locations under the same Commodity Handler license?
Yes:__ No:__
If yes, please attach a list of all locations.
9. S tate your annual volume of commodity & farm product purchases from Colorado producers and dealers.
Farm Products: hay, livestock, produce, etc.
$____________
10. Are you engaged in the business of buying “farm products” other than commodities?
Yes:__ No:__
If Yes, state your annual volume of “farm product” purchases from Colorado producers or owners
$___________
11. Do you operate a public warehouse in Colorado? If yes, see back of form for additional requirements Yes:__ No:__
I certify that all statements made in this application are true, correct, and complete to the best of my knowledge
and belief, and are made in good faith.
Legal Name of Applicant: ______________________________________________________________
Date: ________ Signature: _____________________________________________________________
Farm Products Program: (303) 477-0054
Financial Statement Requirement (35-36-106 CRS)
Commodity Handlers are required to submit a financial statement as a condition of obtaining a license. Financial statements submitted
to the Commissioner in support of a license application shall be confidential. To maintain confidentiality, send your financial statement
separately from your license application to Mark Gallegos, Colorado Department of Agriculture, 2331 W. 31
st
Ave., Denver, CO 80211.
Credit Sale Contracts (35-36-109 CRS)
Submit a list of all your open credit sale contracts, including the dollar value of each contract and the payment date. This list may be
submitted with your financial statement.
Surety Bond or Irrevocable Letter of Credit (35-36-119 CRS)
A surety bond or letter of credit sufficient to meet the requirements in the Commissioner’s bond schedule.
Bond Schedule
Commodity Handlers
2% of annual Colorado commodity purchases. Minimum bond of $10,000, maximum bond of $1,000,000.
Public Warehouses
The higher bond amount, determined by either of the two following computations will be required:
1.
2% of annual Colorado commodity purchases. Minimum bond of $10,000, maximum bond of $1,000,000, or;
2.
$.10/bu. For grain storage capacity and/or $.50/cwt. Of bean storage capacity. Minimum bond of $25,000, maximum bond of
$1,000,000.
Additional bond may be required if a public warehouse’s net worth falls below $.25/bu. Of grain storage capacity and/or $1.25/cwt.
Bean storage capacity.
Inspection Fee Schedules (35-36-118 CRS)
*Commodity Handler Fee
(Annual purchase volume of commodities from Colorado owners or producers)
Dollar Volume
Inspection Fee
$1.00 to $249,999.00
$50.00
$250,000.00 to $999,999.00
$150.00
$1,000,000.00 to $2,999,999.00
$250.00
$3,000,000.00 to $4,999,999.00
$350.00
$5,000,000.00 to $14,999,999.00
$550.00
$15,000,000.00 or MORE
$750.00
**Additional fee assessed for Colorado Licensed Public Warehouse inspections
Capacity in Bushels
Inspection Fee
1 to 150,000
$155.00
150,001 to 250,000
$310.00
250,001 to 500,000
$455.00
500,001 to 750,000
$615.00
750,001 to 1,000,000
$765.00
1,000,001 to 1,200,000
$920.00
1,200,001 to 1,500,000
$1,070.00
1,500,001 to 2,000,000
$1,220.00
2,000,001 to 2,500,000
$1,375.00
2,500,001 to 5,000,000
$1,525.00
5,000,001 to 7,500,000
$1,685.00
7,500,001 to 10,000,000
$1,850.00
Public Warehouse License Requirements
Additional license requirements for Commodity Handlers storing commodities for the public.
Do you operate a public warehouse in Colorado with a valid license issued under the provisions of the “United States Warehouse Act”
Sec. 241?
Yes: __ No: __
If yes, submit a copy of your USWA license.
If no, submit the following required information.
1.
Evidence of Insurance Coverage (35-36-106 CRS)
Submit evidence of sufficient provisional insurance coverage to protect commodities stored in your warehouse.
2.
Tariff (35-36-105 CRS)
Submit the schedule of charges to be made for the handling, storage, and shipment of commodities for the license year.
Colorado Department of Agriculture Colorado Legal Forms Legal United States Legal Forms

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"Commodity Handler License Application Form" - Colorado Download Pdf
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