Ingestibles&
Oil’s
GMP & FarmQUALITY MANAGEMENT COMPLIANCE
DOCUMENTATION PACKAGECERTIFICATIONS AND CLAIMSISO 9001

IA

PM
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R&T
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GVB BIOPHARMA 2020

GVB Biopharma is a story of friendship, dedication to exacting principles, and swift success.
Founded in the fertile farm country of central Oregon in 2016 by three best friends who have
known one another since high school, GVB has grown rapidly. Our carefully selected team of 150
employees includes top chemists and extractors, and many locals who have been trained to carryout highly technical jobs. A strong sense of pride runs through the company as we share our
mission to create the highest quality hemp cannabinoid products possible. Our ethos is centeredon quality, customer service, and transparency, a spirit that permeates the entire organization andis validated by our ISO 9001:2015 and other certifications. We believe passionately in the
powerful, life-enhancing qualities of CBD and other hemp-based products, and take pride in our
research in every facet of hemp cultivation and production. Our work changes lives for the better.

GVB Biopharma

4456 E Craig Rd
Las Vegas, Nevada 89115+1 (888) 999-4515
gvbbiopharma.com
GVB Oregon
212 North Street
Grass Valley, Oregon 97029
GVB Nevada
4456 E Craig Rd
Las Vegas, Nevada 89115
GVB California
10585 Santa Monica Boulevard
Los Angeles, California 90025
GVB Denver999 18th Street Suite 3000
Denver, Colorado 80202

2

TABLE OF CONTENTSCERTIFICATIONS AND LICENSING
Iso 9001:2015 Certification

Page 4

NSF-GMP

Page 5Comprehensive Kosher Certification

Page 6

FDA Registration

Page 7 to 14

Organic Certificate

Page 15

OREGON DEPARTMENT OF AGRICULTURE INDUSTRIAL HEMP REGISTRATIONS
Hemp Handler Registration ODA AG-R1065475IHH

Page 16

Hemp Grower Registration ODA AG-R050452IHG

Page 17

Agricultural Hemp Seed Registration ODA AG-R1054037AHS

Page 17

Food Processing Establishment AG-L1049747FP

Page 18

ODA Food Processing Inspection Report

Page 19

Oregon Liquor and Control Commission Certification

Page 20QUALITY STATEMENTS
Vegan and Vegetarian Assurance Statement

Page 21

Non-GMO Statement

Page 22

Allergen Statement

Page 23

INSURANCE
Certificate of Liability Insurance

Page 24 to 25

FLOWCHARTS
Isolate Process Flow Chart

Page 26

Distillate Flow Chart

Page 27

MISCELLANEOUS
Our Role in Responsibly Navigating COVID

Page 28

Denver Public Health and Environment Approval Letter

Page 29

3

GVB Oregon
212 N.W. North St.,
Grass Valley, OR 97029, USA

Process raw hemp into refined bulk CBD
Certificate No: 1103535
Original Approval:
Certificate Decision/Re-Issue Date:
Certificate Issue Date:
Certificate Expiry:

06/15/2020
06/15/2020
06/15/2020
06/14/2023

4

NSF International has assessed and confirmed compliance of

GVB Biopharma
Facility: 212 Northeast North, Grass Valley, OR, 97029, United States

to NSF GMP Registration Program Requirementsof NSF/ANSI 173, Section 8
which includes FSMA and cGMP (21 CFR 111), (21 CFR 117)

Print Date:
Certificate Number:
Initial Certification:
Expiration Date:

August 25, 2020
C0548762-DS-1
August 25, 2020
August 25, 2021

5

6

FDA REGISTRATION
Date: Feb 27, 2020 5:45:58 PM

Section 1 Type of Registration
1a. DOMESTIC REGISTRATION
1b. INITIAL REGISTRATION: 17469524354

PIN NUMBER:937E27B9

ARE YOU THE NEW OWNER OF A PREVIOUSLY REGISTERED FACILITY?

Yes

1c. PREVIOUS OWNER'S TITLE :PREVIOUS OWNER'S NAME :No

PREVIOUS OWNER'S REGISTRATION NUMBER :Section 2 Facility Name/Address Information
FACILITY NAME: GVB Biopharma
FACILITY NAME SUFFIX: Corporation
FACILITY STREET ADDRESS, Line1: 212 NE North St
FACILITY STREET ADDRESS, Line2:
CITY: Grass Valley

STATE/PROVINCE/TERRITORY: Oregon

ZIP CODE (POSTAL CODE): 97029
COUNTRY/AREA: UNITED STATESPHONE NUMBER (Include Area/Country Code): 1 213 9261580
FAX NUMBER (Include Area/Country Code):
E-MAIL ADDRESS: jonathan@gvbbiopharma.com

Section 3 Preferred Mailing Address Information(Complete this section only if different from Section 2, Facility Name/Address Information)

If information is the same as section 2, check the box:
NAME: GVB Biopharma
ADDRESS, Line1: 212 NE North St
ADDRESS, Line2:
CITY: Grass Valley

STATE/PROVINCE/TERRITORY: Oregon

ZIP CODE (POSTAL CODE): 97029
COUNTRY/AREA: UNITED STATESPHONE NUMBER (Include Area/Country Code): 1 213 9261580
FAX NUMBER (Include Area/Country Code):
E-MAIL ADDRESS: jonathan@gvbbiopharma.com

7Section 4 Parent Company Name/Address Information(If applicable and If different from sections 2 and 3). If information is the same as another section, check which section:

Section 2 - Facility Address Information
Section 3 - Preferred Mailing Address Information
None of the above
NAME OF PARENT COMPANY: GVB Biopharma
PARENT COMPANY SUFFIX: Corporation
STREET ADDRESS OF PARENT COMPANY, Line 1: 212 NE North St
STREET ADDRESS OF PARENT COMPANY, Line2:
CITY: Grass Valley

STATE/PROVINCE/TERRITORY: Oregon

ZIP CODE (POSTAL CODE): 97029
COUNTRY/AREA: UNITED STATESPHONE OF INDIVIDUAL AT PARENT COMPANY (Include Area/Country Code): 1 213 9261580
FAX # OF INDIVIDUAL AT PARENT COMPANY (Include Area/Country Code):
E-MAIL ADDRESS OF INDIVIDUAL AT PARENT COMPANY: jonathan@gvbbiopharma.com

Section 5 Emergency Contact Information

For foreign facilities, FDA will use your U.S. agent as your emergency contact unless you choose to designate a different contact here.
If information is the same as another section, check which section:

Same as Facility Address (Section 2)
Same as U.S. Agent Information (Section 7)
None of the above
INDIVIDUAL's TITLE:INDIVIDUAL's TITLE OTHER:INDIVIDUAL'S NAME:INDIVIDUAL'S MIDDLE NAME:INDIVIDUAL'S LAST NAME:TITLE:EMERGENCY CONTACT PHONE (Include Area/Country Code): 1 213 9261580
E-MAIL ADDRESS: jonathan@gvbbiopharma.com

Section 6 Trade Names(If this facility uses trade names other than that listed in section 2 above, list them below (E.G.,"also doing business as," "facility also known as"):ALTERNATE TRADE NAME # 1: GVB Oregon
ALTERNATE TRADE NAME # 2: Evergreen State Holdings8Section 7 United States Agent(To be completed by facilities located outside any state or territory of the United States,
District Of Columbia, or The Commenwealth of Puerto Rico)
FIRST NAME OF U.S. AGENT: -N/AMIDDLE NAME OF U.S. AGENT: -N/ALAST NAME OF U.S. AGENT: -N/ATITLE: -N/AADDRESS, Line 1: -N/AADDRESS,Line 2: -N/ACITY: -N/A-

STATE: -N/A-

ZIP CODE (POSTAL CODE): -N/A-

COUNTRY/AREA: -N/A-

PHONE NUMBER (Include Area/Country Code): -N/AEMERGENCY CONTACT PHONE NUMBER (Include Area Code): -N/AFAX NUMBER (Include Area/Country Code): -N/AEMAIL ADDRESS: -N/A-

Section 8 Seasonal Facility Dates of Operation

Optional - Give the approximate dates that your facility is open for business, if its
operations are on a seasonal basis.
For Harvest 1
Start Month:

End Month:

For Harvest 2
Start Month:

End Month:

Section 9 General Product Categories - HUMAN/ANIMAL/BOTH
Food for Human Consumption

Food for Animal Consumption

9Section 9a Food for Human Consumption
TYPE OF ACTIVITY CONDUCTED AT THE FACILITY ( Optional )Check all types of operations that are performed at this facility regarding the manufacturing/processing, packing or holding of food.
Ambient
Food
Refrigerated
Storage
Food
FrozenWarehouse Storage
Other
To be completed by all / Holding Warehouse Food
Storage
Interstate
Activity
food facilities. Please Facility/ Holding
Farm
Warehouse Acidified Low Acid Conveyance
Salvage
Conducted
see instructions for(e.g.,
Facility
Contract Labeler / Manufacturer Repacker
Mixed/ Holding Food
Food
Caterer /Operator(Pleasefurther examples.
storage(e.g.,
Sterilizer Relabeler / Processor / Packer
Type
Facility
Processor Processor Catering(Reconditioner)
Specify
facilities,
storage
Facility(e.g.,
Point
Below
including facilities,
storageRow 37)
storageincludingfacilities)tanks,
storagegraintanks)
elevators)
1. ALCOHOLIC
BEVERAGES [21
CFR 170.3 (n) (2)]2. BABY (INFANTAND JUNIOR)
FOOD
PRODUCTS
Including Infant
Formula3. BAKERYPRODUCTS,DOUGH MIXES,OR ICINGS [21
CFR 170.3 (n) (1),(9)]
4. BEVERAGE
BASES [21 CFR
170.3 (n) (3), (35)]
5. CANDYWITHOUTCHOCOLATE,CANDYSPECIALTIESAND CHEWING
GUM [21 CFR
170.3 (n) (6), (9),(25), (38)]
6. CEREALPREPARATIONS,BREAKFASTFOODS, QUICKCOOKING /INSTANTCEREALS [21
CFR 170.3 (n) (4)]
7. CHEESE ANDCHEESEPRODUCT
CATEGORIES [21
CFR 170.3 (n) (5)]a. Soft, Ripened
Cheeseb. Semi-Soft
Cheesec. Hard Cheesed. Other Cheeses
and Cheese
Products
8. CHOCOLATEAND COCOAPRODUCTS [21
CFR 170.3 (n) (3),(9), (38), (43)]
9. COFFEE AND
TEA [21 CFR
170.3 (n) (3), (7)]10. COLORADDITIVES FORFOODS [21 CFR
170.3 (o) (4)]
11. DIETARYCONVENTIONALFOODS ORMEAL
REPLACEMENTS(Includes Medical
Foods) [21 CFR
170.3 (n) (31)]1012. DIETARY
SUPPLEMENTCATEGORIESa. Proteins,
Amino Acids, Fatsand Lipid
Substances [21
CFR 170.3(o)(20)]
b. Vitamins andMineralsc. Animal ByProducts andExtracts
d. Herbals andBotanicals
13. DRESSING
AND
CONDIMENTS[21 CFR 170.3 (n)(8), (12)]14. FISHERY /SEAFOODPRODUCT
CATEGORIES [21
CFR 170.3 (n)(13), (15), (39),(40)]
a. Fin Fish, Whole
or Filetb. Molluscan
Shellfishc. Other Shellfish
d. Ready to Eat(RTE) Fishery
Products
e. Processed andOther Fishery
Products
15. FOOD
ADDITIVES,
GENERALLY
RECOGNIZEDAS SAFE (GRAS)
INGREDIENTS,
OR OTHER
INGREDIENTSUSED FORPROCESSING[21 CFR 170.3 (n)(42); 21 CFR
170.3 (o) (1), (2),(3), (5), (6), (7),(8), (9), (10), (11),(12), (13), (14),(15), (16), (17),(18), (19), (22),(23), (24), (25),(26), (27), (28),(29), (30), (31),(32)]
16. FOODSWEETENERS(NUTRITIVE) [21
CFR 170.3 (n) (9)(41), 21 CFR
170.3 (o) (21)]17. FRUIT AND
FRUITPRODUCTS [21
CFR 170.3 (n)(16), (27), (28),(35), (43)]11

a. Fresh Cut
Produceb. Raw
Agricultural
Commodities
c. Other Fruit andFruit Products
18. FRUIT OR
VEGETABLE
JUICE, PULP OR
CONCENTRATEPRODUCTS [21
CFR 170.3 (n) (3),(16), (35)]
19. GELATIN,RENNET,
PUDDINGMIXES, OR PIE
FILLINGS [21
CFR 170.3 (n)(22)]
20. ICE CREAM
AND RELATEDPRODUCTS [21
CFR 170.3 (n)(20), (21)]21. IMITATIONMILKPRODUCTS [21
CFR 170.3 (n)(10)]
22. MACARONIOR NOODLEPRODUCTS [21
CFR 170.3 (n)(23)]
23. MEAT, MEATPRODUCTS AND
POULTRY (FDA
REGULATED) [21
CFR 170.3 (n)(17), (18), (29),(34), (39), (40)]24. MILK,BUTTER, OR
DRIED MILKPRODUCTS [21
CFR 170.3 (n)(12), (30), (31)]25. MULTIPLE
FOOD DINNERS,GRAVIES,SAUCES AND
SPECIALTIES [21
CFR 170.3 (n)(11) (14), (17),(18), (23), (24),(29), (34), (40)]26. NUTS ANDEDIBLE SEEDPRODUCT
CATEGORIES [21
CFR 170.3 (n)(26), (32)]12

a. Nut and Nut
Products
b. Edible Seedand Edible Seed
Products
27. PREPAREDSALAD
PRODUCTS [21
CFR 170.3 (n)(11), (17), (18),(22), (29), (34),(35)]
28. SHELL EGG
AND EGG
PRODUCT
CATEGORIES [21
CFR 170.3 (n)(11), (14)]a. Chicken Egg
and Egg
Products
b. Other Eggs and
Egg Products
29. SNACK
FOOD ITEMS(FLOUR, MEALOR VEGETABLE
BASE) [21 CFR
170.3 (n) (37)]30. SPICES,FLAVORS, AND
SALTS [21 CFR
170.3 (n) (26)]
31. SOUPS [21
CFR 170.3 (n)(39), (40)]
32. SOFTDRINKS AND
WATERS [21 CFR
170.3 (n) (3), (35)]33. VEGETABLE
AND
VEGETABLE
PRODUCT
CATEGORIES [21
CFR 170.3 (n)(19), (36)]a. Fresh Cut
Productsb. Raw
Agricultural
Commodities
c. Other
Vegetable andVegetable
Products
34. VEGETABLEOILS (INCLUDES
OLIVE OIL) [21
CFR 170.3 (n)(12)]
35. VEGETABLE
PROTEIN
PRODUCTS(SIMULATEDMEATS) [21 CFR
170.3 (n) (33)]36. WHOLE
GRAINS, MILLER
GRAIN
PRODUCTS(FLOURS), OR
STARCH [21 CFR
170.3 (n) (1), (23)]37. NONE OF
THE ABOVE
FOOD
CATEGORIES
If the food categories listed above do not apply, then print the applicable food category or categories.
Hemp-derived ingredients.
Other Activity Conducted13

Section 10 - Owner, Operator or Agent in Charge Information

Provide the following information, If different from all other sections on the form. If information is the same as
another section of the form, Check which section:
Section 2 - Facility Address Information
Section 3 - Preferred Mailing Address Information
Section 4 - Parent Company Address Information
Section 7 - US Agent Address Information
NAME OF ENTITY OR INDIVIDUAL WHO IS THE OWNER, OPERATOR, OR AGENT IN CHARGE: Evergreen State Holdings, LLC dba GVB Oregon

STREET ADDRESS, Line 1: 212 NE North St
STREET ADDRESS, Line 2:
CITY: Grass Valley

STATE/PROVINCE/TERRITORY: Oregon

ZIP CODE (POSTAL CODE): 97029
COUNTRY/AREA: UNITED STATESPHONE NUMBER (Include Area/Country Code): 1 213 9261580
FAX NUMBER (OPTIONAL; Include Area/Country Code):
E-MAIL ADDRESS (Required unless FDA has granted a waiver under 21 CFR 1.245): jonathan@gvbbiopharma.com

Section 11 Inspection Statement
FDA will be permitted to inspect the facility at the time and in the manner permitted by the Federal Food, Drug, and Cosmetic Act.

Section 12 Certification Statement
The owner, operator, or agent in charge of the facility, or an individual authorized by the owner, operator, or agent in charge of the
facility, must submit this form. form to FDA, or by authorizing an individual to submit this form to FDA, the owner, operator, or agent incharge of the facility certifies that the above information is true and accurate. An individual (other than the owner, operator or agent incharge of the facility) who submits the form to the FDA also certifies that the above information submitted is true and accurate and that he/she
is authorized to submit the registration on the facility's behalf. An individual authorized by the owner, operator, or agent in charge must
below identify by name the individual who authorized submission of the registration. Under 18 U.S.C 1001, anyone who makes a materiallyfalse, fictitious, or fraudulent statement to the U.S. Government is subject to criminal penalties.
Name of the Submitter: Jonathan Staffeldt
CHECK ONE BOX
A.OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS COMPLETED)B.INDIVIDUAL AUTHORIZED TO SUBMIT THE REGISTRATIONADDRESS INFORMATION FOR THE AUTHORIZING INDIVIDUAL: -N/AAUTHORIZING INDIVIDUAL STREET ADDRESS, Line1: -N/AAUTHORIZING INDIVIDUAL STREET ADDRESS, Line2: -N/ACITY: -N/ASTATE/PROVINCE/TERRITORY: -N/AZIP CODE (POSTAL CODE): -N/ACOUNTRY/AREA: -N/APHONE NUMBER (Include Area/Country Code): -N/AFAX NUMBER (Optional; Include Area/Country Code): -N/AE-MAIL ADDRESS (Required unless FDA has granted a waiver under 21 CFR 1.245): -N/A-

14

Oregon Department of Agriculture
635 Capitol St NE Salem, OR 97301-0110
Phone (503) 986-4620
https://oda.direct/NOP

Certiﬁed to the USDA Organic regulations, 7 CFR Part 205

ORGANIC CROPSCERTIFICATE
is issued to:

Martin Farms, Inc.
73154 Greenberry Rd.
Rufus, OR 97050
On October 21, 2019

Organic:
By submitting thisHerbs and Spices:

Catnip, Garlic, Lemonbalm, Skullcap, Mint (Mentha
arvensis, Peppermint, Spearmint)

Field/Forageable:

Fallow

Ot er:
Organic Sites:
Total Organic Acres: 119

Circles 6, 7, 9This certiﬁcate veriﬁes that the above named operation has been inspected annually by an ODA representative toverify compliance with organic standards. Once certiﬁed, a production or handling operation's organic certiﬁcation
continues in effect until surrendered, suspended or revoked.

Certiﬁcation Number: AG-C0001062OC
Anniversary Date: February 1st
NOP Effective Date: 05/22/2015
Certiﬁed by Oregon Dept of Agriculture since 2015

15

16

17

18

5/21/2020 5:10:03 PM

INSPECTION REPORTOREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM, OR 97301
PHONE: (503) 986-4720 - FAX: (503) 986-4729 http://www.oregon.gov/ODA/programs/FoodSafety/
Contact Date:5/21/2020

GVB Oregon
212 North Street
Grass Valley OR 97029
971-313-1769

License No.: AG-L1049747FP
Inspection Purpose: Routine

Person Contacted: Tony Yinger - Production Manager, Orrin
Beasley - QA/QC Director
Food Processing Establishment
This report documents the ﬁndings and discussions resulting from today's visit. Any violations observed during an inspection of the premises
are listed on the following page(s) in order of their criticality. The correction date of violations may be speciﬁed after each violation.
Comments:
The purpose of today was to conduct a routine state inspection. This ﬁrm is a hemp CBD extractor. We discussed adding a shelving or racksystem in the raw hemp storage warehouse areas to keep bags of hemp o the ground and so that the warehouse is fully accessible forinspection. Also we discussed having a hand sink in close proximity to the mill for the milling of the hemp and in the isolate room for employeeuse.
No signiﬁcant violations were noted during the visit.
The DBA for the ﬁrm was also updated to GVB Oregon.
Covid related requirements for social distancing, masks, and employee safety was discussed.
For inquiries regarding COVID-19, please visit the following website: https://govstatus.egov.com/OR-OHA-COVID-19
Information from the FDA regarding food safety during emergencies: www.fda.gov/food The Oregon Department of Agriculture has posted
information regarding best practices and resources on our website: https://www.oregon.gov/ODA/agriculture/Pages/COVID-19.aspx
No signature obtained due to COVID19 protocol.

Reviewed &Received by:
Food Safety Specialist: Naaman Smith
503-508-0470

19

20

Vegan & Vegetarian Assurance Statement
GVB Biopharma certiﬁes all products to be derived from ethanol or CO₂ extracted material.

Dear Valued Client,
GVB Biopharma certiﬁes that our products do not include any animal ingredients or derivatives,
and therefore, are suitable for vegetarian and vegan consumption. The products inclusive tothis statement are:
•
•
•
•
•

Crystal Resistant Distillate
Broad Spectrum Distillate
Ultra Broad Spectrum Distillate
Full Spectrum Distillate
CBG Distillate

•
•
•
•
•

CBG Isolate
CBN isolate
CBD Isolate
Water Soluble Liquid
Water Soluble Powder

Attentively,

Phillip Swindells
CEO & Co-Founder, GVB Biopharma

8/12/202021

Non-GMO Statement
GVB Biopharma certiﬁes all products to be derived from ethanol or CO₂ extracted material.

Dear Valued Client,To the knowledge of GVB Biopharma, the products our establishment manufactures areproduced without genetically modiﬁed organisms. These products are also manufactured andhoused in a facility where no genetically modiﬁed organisms are housed or processed. These
products include the constituents of our:
•
•
•
•
•

Crystal Resistant Distillate
Broad Spectrum Distillate
Ultra Broad Spectrum Distillate
Full Spectrum Distillate
CBG Distillate

•
•
•
•
•

CBG Isolate
CBN isolate
CBD Isolate
Water Soluble Liquid
Water Soluble Powder

Attentively,

Phillip Swindells
CEO & Co-Founder, GVB Biopharma

8/12/202022

Allergen Statement
GVB Biopharma certiﬁes all products to be derived from ethanol or CO₂ extracted material.

Dear Valued Client,
In accordance with the Food Allergen Labeling and Consumer Protection Act, GVB Biopharma
is binded to express if our products contain or may contain any “major food allergens.”
To our knowledge, the products generated by GVB Biopharma do not contain any of thefollowing major food allergens:
•
•
•
•
•

Dairy
Egg
Fish
Crustaceans
Tree nuts

•
•
•
•
•

Peanuts
Wheat
GlutenSoybeans
Sulﬁtes

Attentively,

Phillip Swindells
CEO & Co-Founder, GVB Biopharma

8/12/202023

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

09/29/2019

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
Carolyn Lorimor
NAME:
PHONE
(541) 382-4211(A/C, No, Ext):
E-MAIL
Carolyn@centuryins.com
ADDRESS:PRODUCER

Century Ins Group LLC
572 SW Bluff Dr.
Suite 100FAX
(A/C, No):(541) 382-7468

INSURER(S) AFFORDING COVERAGE

Bend

OR 97702

INSURED

INSURER A :Admiral Insurance Company

INSURER B :United Financial Company

PTB Investment Holdings LLC

INSURER C :4456 E Craig Rd

INSURER D :NAIC #

INSURER E :Las Vegas

NV 89115

COVERAGESCERTIFICATE NUMBER:

INSURER F :Master 19/20

REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR

ADDL SUBR
INSD WVDTYPE OF INSURANCEPOLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY)

COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE

OCCUR

A

CA00003595801

09/11/2019

09/11/2020

GEN'L AGGREGATE LIMIT APPLIES PER:PROPOLICYLOC
JECT
OTHER:AUTOMOBILE LIABILITY
ANY AUTOBOWNEDAUTOS ONLYHIRED
AUTOS ONLYSCHEDULEDAUTOSNON-OWNEDAUTOS ONLY

01716247-0

01/27/2020

01/27/2021

LIMITS
EACH OCCURRENCEDAMAGE TO RENTEDPREMISES (Ea occurrence)$

1,000,000$

300,000

MED EXP (Any one person)

$

5,000

PERSONAL & ADV INJURY$

1,000,000

GENERAL AGGREGATE$

2,000,000

PRODUCTS - COMP/OP AGG$

2,000,000

Employee Benefits$

1,000,000

COMBINED SINGLE LIMIT(Ea accident)$

1,000,000

BODILY INJURY (Per person)$

BODILY INJURY (Per accident)$

PROPERTY DAMAGE(Per accident)$

Hired/Non-owned$

UMBRELLA LIAB

OCCUR

EACH OCCURRENCE$EXCESS LIAB

CLAIMS-MADE

AGGREGATE$DED
RETENTION $WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below

PER
STATUTE

Y/N
N/A

OTHER

1,000,000$

E.L. EACH ACCIDENT$

E.L. DISEASE - EA EMPLOYEE$

E.L. DISEASE - POLICY LIMIT$DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER

Proof of Coverage

CANCELLATIONSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)

The ACORD name and logo are registered marks of ACORD

24

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

08/19/2020

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
Carolyn Lorimor
NAME:
PHONE
(541) 382-4211(A/C, No, Ext):
E-MAIL
Carolyn@centuryins.com
ADDRESS:PRODUCER

Century Insurance Group, LLC
572 SW Bluff Dr.
Suite 100FAX
(A/C, No):(541) 382-7468

INSURER(S) AFFORDING COVERAGE

Bend

OR 97702

INSURER A :James River Insurance Company

INSURER B :Artisan & Trucker Ins. Comp.

Evergreen State Holdings, LLC, DBA: GVB Oregon

INSURER C :SAIFPO Box 158

INSURER D :INSUREDNAIC #

10194

INSURER E :Grass Valley

OR 97029

COVERAGESCERTIFICATE NUMBER:

INSURER F :20/21 Master

REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR

ADDL SUBR
INSD WVDTYPE OF INSURANCEPOLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY)

COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE

OCCUR

A

000805612

12/09/2019

12/09/2020

GEN'L AGGREGATE LIMIT APPLIES PER:PROPOLICYLOC
JECT
OTHER:ANY AUTOOWNEDAUTOS ONLYHIRED
AUTOS ONLYSCHEDULEDAUTOSNON-OWNEDAUTOS ONLY

UMBRELLA LIAB

A

C

A

$

1,000,000$

50,000MED EXP (Any one person)$

Excluded

PERSONAL & ADV INJURY$

1,000,000

GENERAL AGGREGATE$

2,000,000

PRODUCTS - COMP/OP AGG$

2,000,000$

AUTOMOBILE LIABILITYB

LIMITS
EACH OCCURRENCEDAMAGE TO RENTEDPREMISES (Ea occurrence)

EXCESS LIAB

10/11/2019

10/11/2020

OCCUR

00094189

CLAIMS-MADE

DED
RETENTION $WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below

Excess (over Auto Liability)

08262620-1

07/30/2020

07/30/2021$

BODILY INJURY (Per person)$

BODILY INJURY (Per accident)$

PROPERTY DAMAGE(Per accident)$

N/A

87718100094167

11/01/2019

07/30/2020

11/01/2020

07/30/2021

1,000,000

Drive other car$

EACH OCCURRENCE$

5,000,000

AGGREGATE$

5,000,000

PER
STATUTE

Y/NY

COMBINED SINGLE LIMIT(Ea accident)

OTHER

$

E.L. EACH ACCIDENT$

500,000

E.L. DISEASE - EA EMPLOYEE$

500,000

E.L. DISEASE - POLICY LIMIT$

500,000

Each Occurrence$5,000,000

Aggregate$5,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER

Proof of Coverage

CANCELLATIONSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)

The ACORD name and logo are registered marks of ACORD

25

Isolate Manufacturing Process Flowchart

Start

Raw Hemp
Biomass

Grinding andDrying
Filtration

Denatured
EthanolCold Extraction

Ethanol Evaporation

Recovered
Ethanol

Crude OilDistillation

HeptaneIsolation

RecoveredHeptaneCrystalline
Isolate

QC Analysis

Certiﬁcate ofAnalysis

QA Release

Ship to Customer

26

Process Flow Diagram

Receive Raw
Biomass

Grind
Biomass

Fill Bags With
Biomass

Freeze Filled
Biomass Bags

Process The
Biomass Bags
Through Cold
Ethanol Extractor

Filter and Winterize
The Processed
Solution

Solvent
Recovery

QC Acceptance

Crude OilDistillate

Proprietary
Cannabinoid
Separation

Final QC
Acceptance
Check

Package
Products For
Shipment

Ship To
Customer

Check

27

Our Role in Responsibly Navigating
COVID-19
As the novel coronavirus (COVID-19) continues to impact our communities, we wanted to reachout to directly to let you know what measures we are taking to help keep you, and thecustomers we serve safe and healthy.
The health and safety of our employees and customers we serve is our top priority as we willcontinue to monitor this ever-evolving situation. As a health-conscious company, we’ve been
focused on doing our part to prevent the spread of COVID-19. GVB Biopharma is always
dedicated to maintaining a high standard of sanitation while providing a high-quality product.
Through this lens, GVB Biopharma will continue to make decisions based upon scientificinformation and following health officials and government leaders working together to stop the
spread of the virus.
GVB Biopharma wanted to personally reach out to provide an update on the actions being taken
in response to COVID-19. During this time, we are taking extra precautions by fortifying ourhygiene program and increasing cleaning procedures throughout all areas and departments.
Our company is working to reduce exposure by exploring all options such as increasing
telecommuting for applicable employees or providing teleconferencing for company meetingsand providing all staff with ongoing information regarding COVID-19.We ensure any individual
showing signs of any illness or who may become sick are properly trained and give resources
for quarantine practices based upon CDC guidelines. Our company is prepared to quickly
respond to any emerging situations and prepared to modify operations with options that stillallow us to serve you and your needs, while keeping materials available and ready to sell during
this time.
We want to thank you for supporting GVB Biopharma as one of our customers and we intent toremain transparent and provide the latest information as our company continues to respond to
COVID-19.
_______________________________________
Jack Feldman,
GVB Biopharma President

28

29

EXECUTIVE OVERVIEW

ISO 9001

IA

PM
O
R&T
R

Topicals
GMP & Farm