Food Mart Application

FOOD MART APPLICATION

Recitals

WHEREAS Applicant Name: (hereinafter "Applicant") seeks approval to operate retail food sales, prepare and sell prepared foods, or supply products at the Food Mart location described below; and

WHEREAS Food Mart Operator Name: (hereinafter "Operator") owns, manages or operates the Food Mart and requires a completed application together with agreed terms and certifications prior to allowing commercial activity on its premises; and

WHEREAS the parties desire to set forth the scope of permitted activity, payment obligations, term, insurance and regulatory compliance required for Applicant's participation.

Applicant Information

Sole Proprietorship    Partnership    LLC    Corporation

Proposed Operations / Scope of Work

Describe the goods and services Applicant proposes to provide within the Food Mart premises, including food preparation methods, refrigeration needs, and any on-site seating or equipment:

Permits, Insurance & Regulatory Compliance

References

Provide two commercial or trade references with contact information:

Financial Terms

Application / Administrative Fee Amount: $

Late Fee for overdue monies:

Term and Termination

Proposed Term Start Date:    Proposed Term End Date:

Either party may terminate this application or any resulting license or permit for cause upon written notice. Required notice for voluntary termination without cause: .

Confidentiality

Applicant and Operator acknowledge that certain commercial information, pricing, vendor lists and operational specifications submitted in connection with this application may be confidential. Both parties agree not to disclose Confidential Information to third parties except as required by law or with the prior written consent of the other party. Confidential Information does not include information demonstrably in the public domain through no fault of the receiving party.

Representations, Warranties and Certification

Applicant certifies that all information provided in this application is true, accurate and complete. Applicant represents that it has obtained and will maintain all required permits, licenses and insurance described above and will comply with all applicable health and safety laws and regulations. Applicant agrees to indemnify and hold Operator harmless from claims arising from Applicant's negligence or failure to comply with applicable requirements, except to the extent such claims arise from Operator's gross negligence or willful misconduct.

Governing Law

This application and any resulting license or agreement shall be governed by and construed in accordance with the laws of the state identified by the parties in any subsequent agreement or, absent such identification, the state in which the Food Mart premises are located.

Entire Agreement

This application, together with any attachments, schedules and subsequent written agreements executed by Applicant and Operator, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior proposals, negotiations and understandings, whether written or oral.

Additional Terms & Attachments

Attach any required menus, floor plans, equipment diagrams, proof of insurance and copies of permits. List attachments below:

Acknowledgment

By signing below, Applicant acknowledges that submission of this application does not constitute approval to operate and that Operator may require additional documentation, inspections or fees prior to granting permission to operate. Applicant agrees to comply with all reasonable operational directives issued by Operator.

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