20140178 Permit Pkg 05302014 o�o� THF,�,��� City of Yelm Permit ►vo.: 20140178
,� a : 4� Community Development Department Issue Date: 5/30/2014
d ee (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
YELM
Fax: (360)458-3144
Applicant:
Name: WESTERN FIREWORKS Phone: 503-678-2378
Address: PO BOX 426
AURORA OR 97002
Property Information:
site Address: 1109 YELM AVE E Owner: SAFEWAY
Assessor Parcel No.: 85810000100 Subdivision: N/A Lot: N/A
Contractor Information:
Name: WESTERN FIREWORKS Phone:
Address:
PO BOX 426
AURORA OR 97002
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: FIRE WORKS
Description of Work: RETAIL FIREWORKS STAND IN SAFEWAY PARKING LOT
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
FIRE WESTERN FIREWORKS $ 30.00
TOTAL FEES: $ 30.00
Applicant's Affidavit: OFFICIAL USE ONLY
I ceRify th I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm reg lati incl ing those governing zoning and land subdivision,and in addition,all covenants,
easeme s restri ions of r ord if applying as a contractor,I further certify that I am currently Final Inspection:
registere in t t e o W sh gto .
Date:
Signature
By:
Firm
�
�
�
WESTERN ► �-
FIREWORKS� � Randy Nord�of
z \ � Aaount Representative
�\��s s � 503-678-2378 �
.- 1-800-869-7391 �
WESTERN�� Cel I:503-899-7569 ��
�����5� F.� P.O.Box 426
Aurora,Oregon 97002 �
��� www.westernfireworks.com %
� '• randyn@westemfireworks.com �
May 26th, ZO14 f. ������ �F R�EWORK�S MPORTER�`"�
�•
tWHOLESALE DISTRIBUTOR"'�°'
City of Yelm ��i/��: y.
City Clerk
105 Yelm Ave. West
Yelm, WA 98597
RE: Permit applications for retail sales of firework
Enclosed you will find 1 retail fireworks applications for the 2014 season. The location is
Safeway paxking lot @ 1109 Yelm Ave., E, Yelm WA98597
I have enclosed a site plan for the location, a diagram of the stand, and a certificate of
liability insurance form listing the City of Yelm and its employees as an additional
insured, a Washington State Patrol issued Fireworks Stand License, and an application
for retail fireworks stand permit. I have also attached a temporary use application and a
check for$30 to cover that fee.
I believe I have included all required and requested information. I appreciate your �
assistance and if I am missing any needed materials or have any questions or need to
contact me please do so at 800-869-7391 or randvnnwesternfireworks.com
Thank You� ,.: , �y a �ti ������� �.�;��n} � ,���<...�,.
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- BY:
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� � CONSUMER FIREWORKS IMPORTER * WHOLESALE DISTRIBUTOR �
P.O. BOX 426 ir Aurora, OR 97002 ���� I
� � (503)678-2378 yt 800-869-7391 yt Fax:(503)678-1419 •
www.westernfireworks.com ��
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���r,,,� FIRE PROTECTION BUREAU
� FIREWORKS LICENSING PROGRAM
PO Box 42600
,�R ,.�.s, W
Olympia WA 98504-2600 ��"°"°`�
°"'""`"`�� (360)596-3914 FAX: (360)596-3934
�
APPLICATION
FOR RETAIL FIREWORKS STAND PERMIT
TO Governing body of city,town, or county in which DATE OF .�
fireworks stand will be located. APPLICATION � '27'ZC r'�
Applicant Name Address,City,State
�,e�a5cfin�a�e�s �L��i3 P.Q. �o�c li��.�r��, erf�. �t���2
Sponsor(If other than applicant) Address,City,State
Location of proposed fireworks stand[Enclose drawing of stand location]
��n� �� �hl� �; �2m w�4-
Manner and place of storage prior,during,and after sales dates
d� � �T�" f�'!1`3f- S L'�.r.�,r
State-Licensed Fireworks Supplier
G�f����-� �! (��1��5 �6��
-------------------------------------------------- -------
FIREWOI�;KS S TAND PE�IT
For the Fireworks Sales Year of: �j [�-
(Must be conspicuously displayed at all times while the stand is open to the public)
By virtue of having been granted a license by the State of Washington and this permit from
as the local governing authority,the named person, firm or
organization is hereby authorized to sell U.N. 0336 1.4G Consumer fireworks at the location
designated herein between the following date and times:
Sales for July 4tb Sales for December 31St
From: 1�i�G� ��� From:
To: _ J V��1 ��� To:
Sponsor �vle4'�vU �(,�-wl ��L�W��S GGG 'K�3
Location I �WI ,/�jLr'�'� �i y�.�
/s/ /s/ '�
Signature of icial Granting Permit Signature'of ppl ant��,�5�,�,N ��,�
Title ,�� (cQt t. Agency _ � L„ � �1��
Date Permit Number _�(p 7 23
Licensee Name �'�Y b 5 f�'r�i�y� License Number wsPFc -O 27s Z
3000-420.013(R3l09)
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I.�ICEI�SE A,GREEIVIEI�
(Sea4tle Dieision Fir�work�)
This License Agreement("License Agreement")is dated as of February 13,2014,and made and '
entered into by and between SAFEWAY INC.,a Delaware corporation(hereinafter"Licensor")
and WESTERN FIR�WURKS,INC.,an Oregon corporation(hereinafter"Licensee"}:
� RECITALS
WHEREAS,Licensor is the lessee or owner of various parcels of land throughout its Seattle
Division on which it operates superniarket stores;and
yVHEREAS,Licensee is in the business of locating and operating fireworks tents during a short
period of time before and after th.e Fourth of July Holida.y each year; and
Wi�REAS,Licensor and Licensee desire to enter into an agreement whereby Licensee shall erect
an.d operate such fireworks tents in the parking areas of certain stores for a short period of time
before,during and after-the Fourth of July Holiday during the Year 2014 ;and
WI�REAS,the parties have agreed upon certain stores at which Licensor desires to grant and
Licensee desires to accept a License to erect and operate fireworks stands.
AGREEN�NT
NOW TI-iEREFORE,in consideration of the mutual covenants and agreements contained herein.,
the parties hereto agree as follows:
TERMS
1. Grant of License. �
Licensor hereby grants to Licensee a license to erect,maintain,and operate fireworks tents
in the parking lots adjoi.ning the stores identified on Exhibit"A"hereto(collectively"Stores"an.d
individually"Store")and incorporated herein on the term.s and conditions set forth in this License
Agreement. The parties acknowledge that Licensor may a.dd,delete,or substitute the Stores on
Exlubit A prior to May 1 of each yeaz and Licensor and Licensee shall agree on the compensation
for added or substituted Stores in writing. The license granted herein to Licensee shall be exclusive,
and Licensor shall not grant a license for the sale of fireworks at any of the Stores to an.y other party
during the term of this License Agreement.
2. The Licensed Area.
Licensee shall erect each fireworks stand or tents in.the parking area adjoining the Store in.
an area which shall be determi.ned by the manager of each Store,or such other person as Licensor
G:\OperatinglFirework Stands\2014 Freworks Seattie.doc
may designate(collecfively"Licensed Areas"and individually"Licensed Area"). lEach fent shall be
of a design satisfactory to Licensor and shall not talce up more space on the ground than nor be
greater in size than�en(10)parking spaces. The fireworks stand shall not in any way impede traffic
flow or ingress to or egress�from the parkuig lot. Licensee shall�ot allow its in.ventory or
equipment to block or clog drive aisles adjacent to the Licensed Areas. Licensee shall not park or
leave any trailers or other storage vehicles or devices on or adj oi.ning the Licensed Areas or in the
parking lots in which the Licensed Areas are located. Licensee must securely affix any elec4rical
cords so that they do not create a tripping hazard,and must adequately protect any electrical cords
or devices so that they do not create an electrical hazard. Licensee sha11 use as operators of the
stands such service;fraternal or charitable organizations as are satis£actory to Licensor.
3. Term of License.
The term of this License Agreement is tl�rough September 30,2014.For the calendar year of
2014,the period for occupancy of the parking lot is from June 22,2014,through July 7,2014.
Licensee may take possession of the Licensed Areas for each Store provided it has delivered the
following to Licensor on or before June 15 of each year: (i)payment of the License Fees as
described in Section 4.1,below; and(u)the Certificate of Insurance described in Section 6.2,
below On or before June 15 of each year,Licensee shall provide a list of the service,fraternal or
charitable organizations,wluch are operating the stands or tents to Licensor.
4. License Fee and Deposit.
4.1. License Fee.
The Minimum License Fee for each Licensed Area in 2014 shall be as shown on Exhibit A.
In addi�io�to the Minumum License Fee,License shall pay to Licensor the amount,if any,by
whic� :ach Store execeeds the Minimum License Fee for
that Store. The Minimum License Fee is due and payable from Licensee to Licensor on or before
May 1�,2014. In no event is Licensee entitled to nor shall it occupy any Licensed Area without
first ha.�ing paid th.e License Fee th.erefore. The license fee is f�ed,regardless of when Licensee
accepts possession of the Licensed Areas. The license fee shall be paid in advance to Licensee at:
Safeway Inc:PDA
Attn:Regional Properiy Manager
1121 124th Ave NE
Bellevue,WA 98005
5. Use of Licensed Area.
5.1. Permitted Sales.
Licensee may use the Licensed Areas for the display and sale of fireworks which are first
quality merchandise an.d which aze approved for sale in the jurisdiction where they are sold by the
G:10perating�Firework Stands12014 Fireworks Seattie.doc
appropriate Sfate or o�her Fire Marshalls and/or authorized public agencies,entities or officials,as
appropriate,and which meet and are in compliance with any and a11 applicable federal, state and
locallaws,ordinances or regulations pertaining to the display and sale of fireworks. Licensee shall
at all times conduct its business at the fireworks stands in accordan.ce with a11 applicable federal,
sta.te and local laws,ordinances and regulations.
5.2. Structures.
All costs of installation,maintenance,operation and removal of fireworks tents sUa11 be the
sole responsibility of Licensee. Such tents shall be temporary in nature. At the end of the term, or
earlier termi.nation of this License Agreement,Licensee shall remove all structures from the
Licensed Areas and shall restore the surface of the.Licensed Premises to a condition at least equal to
that preceeding the term.of this License Agreement. At a11 times while this License Agreement is in
effect,Licensee sha11 maintain said fireworks tents and the i.mmediately surrounding azea in a neat
and clean condition which is satisfactory to Licensor. Licensee shall not paint or otherwise
permanently mark the surface of the parking lot at any Licensed Area
5.3. Noise. Solicitation of Customers. Parkin�.
Licensee must not operate any electrical generator or other mechanical equipment,which
creates unreasona.ble noise. Licensee must not solicit Licensor's customers in any fashiori,which is
offensive or threatening to Licensor's customers. Licensor's store mauager at each Store, or such
other person as Licensor may designate,may deternune whether any piece of equipment makes
t�nreasonable noise and whether Licensee is soliciting Licensor's customers in an offensive or
threatening fashion. Licensee must not play any music except with the approval of Licensor's store
manager at the Stores. Licensee's operators shall park only in areas designated by the Store
mauager or such other person as Licensor may designa.te. There shall be no use or igniting of
fireworks merchandise anywhere on the store site,an.d Licensee's operators shall prohibit customers
using or igniting fireworks merchandise on the store site.
5.4. Hours of Operation.
Licensee shall operate the fireworks stand only during those hours allowed by law or local
ordinance and in no event sha11 Licensee operate the fireworks stan.d at an.y time when the Store at
which the Licensed Area is located is not operating an.d open to the public.
5.5. Compliance with Law
Licensee and its operators shall comply with all laws,rules and regulations, orders and
ordinances of governmental agencies havin.g jurisdiction over Licensee's or its operators' activities
in.the Licensed Areas. Licensee and its operators shall comply throughout the term of this License
Agreement with all laws ordivances,orders,rules,regulations and requirements of all governmental
authorities having jurisdiction over Licensor's premises. Licensee,at its sole cost, shall obta�n any
licenses or permits necessary to install or maintain its stands,or sell its merchan.dise in the Licensed
Areas. Licensee sha11 post with local or other authorities any bonds,including but not limited to
debris or performance bonds,which may be required by law Thi.s License Agreement is, as to each
G:\OperatinglFirework Stands�2014 Fireworks SeatFle.doc
..i..�r■
,�co� CERTIFICATE OF LIABILITY INSURANCE DATE�MMIDDIYYYY)
5/27/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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.
PRODUCER C NTACT
NAME:
Britton Gallagher PHONE FAX
One Cleveland Center, Floor 30 - - aic No: - _
1375 East 9th Street ADDRESS:
Cleveland OH 44114 INSURER S AFFORDING COVERAGE NAIC#
. . INSURERA: RI r In r n
INSURED
INSURER B:
Western Fireworks, II1C. INSURER C: j
P.O. Box 426 INSURER D:�(I r I In r m m � 2
Aurora OR 97002
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:167924864 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 THIS
CERTIFICATE 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 ADDL SUBR POLICY EFF POLICY EXP
LTR TYPEOFINSURANCE INSR WVD POLICYNUMBER MM/DDIYYYY MMIDD/YYYY LIMITS
B GENERALLIABILITY SISML00104-141 /1/2014 /1/2015 EqCHOCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES Ea occurrence $500,000
CLAIMS-MADE �OCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $2,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000
POLICY PR� X LOC g
AUTOMOBILE LIABILITY
Ea accident
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODIIY INJURY(Per accident) $
HIRED AUTOS NON-0WNED PROPERTY DAMAGE
AUTOS $
Per accident
$
A UMBRE�LA LIAB X OCCUR 00047211-3 /1/2014 /1/2015 EqCH OCCURRENCE $5,000,000
X EXCESS LIAB CLAIMS-MADE
AGGREGATE $5,000,000
DED RETENTION$ $
WORKERS COMPENSATION Vv�STATU- OTH-
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT
OFFICER/MEMBEREXCLUDED? � N�A $
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C 2nd Excess Liability EXC6024041-01
� 3rd Excess Liability EAU779490 ���2014 /1/2015 2nd Excess Limit:$5,000,000
/1/2014 /1/2015 3rd Excess Limit:$9,000,000
Total Limits Incl GL Limit:$20,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
Location:Safeway Store#1619, 1109 Yelm Avenue E.,Yelm,WA.
Additional Insured: Grand Slam Fireworks LLC.#13; Safeway Inc,;The City of Yelm, its employees, agents elected officials and agents
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Grand Slam Fireworks LLC.#13 ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 426
Aurora OR 97002 AUTHORIZED REPRESENTATIVE
���
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
tent,conditio�ed upon the ability of the Licensee fo ob�tain and maintain all operating or other
permits or lice�.ses required by applicable auYhorities for Yhe operation of a tent.
6. Indemnitv and Insurance.
6.1. Indemnitv
Licen�see agrees during the term of this License Agreement to defend,indemvify and hold
Licensor harmless from an.d against any and all claims,demands,actions or losses arising from or
connected in any way with this License Agreement,the Licensed Areas,or auy activity on or use of
any Licensed Area. Such actions giving rise to Licensor's right of indemnity include,but are not
li.mited to,the sale of fireworks,the use of fireworks sold from any Licensed Area, explosion or fire
on any Licensed Area,any defect in the design or condition of inerchandise sold from any Licensed
Area,and injvey or damage to Licensee's employees,servants,agents,an.d customers,Licensor's
customers and employees,agents and property,or to bystanders,neighbori.ng persons or property,
on any Licensed Area or elsewhere as a result of the sale of products on any Licensed Area. Upon
Licensor's demand,Licensee shall employ counsel reasonably satisfactory to Licensor to conduct
Licensor's defense.
6.2. Insurance.
Licensee sha11 provide and maintain in effect during the term of this License Agreement,
with an insurer or insurers acceptable to Licensor,Employees Liability and Worker's Compensation
incurance covering all of its servants or employees or other persons engaged in its operations.
Licensee further agrees to provide and maintain in effect during the term of this license and for a
period of one(1)year thereafter, Comprehensive General Liability Insurance includin�nroduct
liability and blanket contractual.coverage,with a li.mit of liability
nbined single limit bodily injury and properiy damage.�uch insurau�c y�u�y
or poucies suau inc�ude coverage for premises/operations,products liability and blanket contractual
' liability applicable to the contractual liability assumed herein by Licensee. The Comprehensive
General Liability Insurance coverage provided shall endorse Safeway Inc. as an additional insured,
sha11 include coverage for occurrences resulting from the explosion hazard.,and shall specify that
Licensee's insurance is primary an.d tha,t any insurance or self-insurance maintained by Licensor
shall not confribute to it. The policy shall require thirty(30)days notice of cancellation to Licensor.
Licensee agrees tha.t its right to occupy any of the Licensed Areas pursuant to this License
Agreement is conditioned upon obtaining the foregoing Comprehensive General Liability Insurance
prior thereto and providi.ng evidence of said insutance to Licensor. Licensee agrees to deliver to
Licensor Certificate(s)of Insurance evidencing the foregoing Comprehensive General Liability
Tnciirance on or before May 1,of each year,and Licensee may not enter upon any Licensed Area
unless and until evidence of this inc��rance is first provided to Licensor. Licensee's insurance
obligations hereunder shall survive any termi.nation of this License Agreement unless expressly
released.in writing. The Comprehensive General Liability Insuran.ce described herein shall be
provided.by an insurer reasona.bly acceptable to Licensor and the form.of the Certificate of
Insurance shall be i.n.a form reasonably acceptable to Licensor.
G:\OperatinglFirework Stands12014 Fireworks Seattle.doc
'�. I�iliscellan�ous.
7.1. Early Termination.
If Licensor's proper�yy is sold or is otherwise inaccessible and unusable by Licensee due to
constnaction or any other reason,or the law prohibits the sale of fireworks at a particular Store
location,then this License Agreement shall temunate as to that particular Stare location, and the
License Fee as to that Store location which was prepaid by Licensee pursuant to Section 4.1 above,
shall be refUnded to Licensee. The grant of the license by Licensor as to any particular Store is
conditioned upon the consent of Licensor's lessor,adj acent property owner(s)or lessee(s)and any
other parties which may have a right of consent as to use of the parki.ng area located at the Store. If
Licensee is unable to exerci.se the license granted herein as to any Licensed Area as a result of the
inability to obtain a necessaty consent from any of the parties referred to in the preceeding
sentence,then this License Agreement shall termivate as to that particular Store location and
Licensee shall be entitled to a refund of the License Fee as to that Store location which was prepaid
pursuant to Section 4.1 above. Licensee shall provide written evidence of the consent of the
adj acent property owner(s),lessee(s)and any other parties which may have a right to consent to
Licensor prior to occupying the Licensed Area. '
7.2. Default.
(a) If Licensee should default in the performance of any covenant or agreement herein
contained prior to occupying the Licensed Areas and such default continues for forly-eight(48)
hours after Licensor gives Licensee written notice thereof,then Licensor may terminate this
License Agreement entirely or as to any specific Store location.
(b) If Licensee should default after it has accepted possession of the Licensed Areas,
Licensor's Store manager or such other person as may be designated by Licensor may gi.ve written
notica of default to the operators at a Licensed Premises,and Licensee shall have a reasonable time
witivn which to cure the default. In the event of a default on any term.of this License Agreement
beyond a reasona.ble time to cure the default,Licensor may unmediately terminate Licensee's right
to possession of the Licensed Areas or any Licensed Area.
(c) Any such action as described in sections 7.2(a)and 7.2(b),above,by Licensor shall not
be a bar to any other legal remedies available to Licensor. No waiver by Licensor of any breach of
Licensee's covenants herein contained shall be construed as a waiver of any subsequent breach of
the same or any other covenant by Licensee. Licensee agrees to pay all cos�s,attorneys'fees and
expenses incurred by Licensor in enforcing any of the provisions of the License Agreement,
including attomeys'fees on appeal.
7.3. Ternlina.tion At Will.
This License Agreement is terminable as to any Store,without cause,by Licensor upon
forly-eight(48)hours written notice(the"Termi.nation Notice"),given to Licensee's employees or
agents at the Licensed Area(s). If Licensor terminates this License Agreement as to a given Store or
G:lOperatinglFirework Stands�2014 Fireworks Seattle.doc �
Stores pursuant to this Section 7.3 (as opposed to a termination for cause pursuant to Section 7.2),
�hen Licensee shall surrender the Licensed Area(s)in the condition required by Section 7.4 witliin
foriy-eight(48)hours af�er receiving�khe Ternvnation Notice. Upon the surrender of tha Licensed
Area(s)as described in the preceding sentence,Licensor sha11 refund the License Fee(s)to
Licensee,pro-rated for the number of days during which Licensee occupied the Licensed Area(s).
If Licensee fails to surrender any Licensed Area as described in this 5ection.,then Licensor shall not
be obligated to refizud the License Fee with respect to such Licensed Area.
7.4. Surrender. �
By 5:00 pm on July 7,of each year,or withi.n.4S hours of the earlier termination of this
Licensa Agreement,Licensee shall surrender the Licensed Areas to Licensor,neat an.d clean,with
the stand and all merchandise removed and otherwise in the same condition as when Licensee took
possession of the Licensed Areas.
7.5. Assi ent.
Neither this License Agreement,nor any license or any other interest or right granted herein,
may be assigned or otherwise transferred by Licensee without the written consent of Licensor,
which may be granted or withheld in the sole an.d absolute discretion of Licensor.
7.6. Notice.
Unless otherwise provided for,any notice required herein or desired by the parties shall be
given by certified or registered United States mail,addressed,as follows:
If to Licensor: Safeway Inc:PDA
Attn:Regional Property Manager
1121 124�Ave NE
Bellevue,VJA 98005
With a Copy to: Safeway Inc.
5918 Stoneridge Mall Road
Pleasanton, CA 94588-3229
Attn:Vice-President—Rea1 Estate Law
If to Licensee: Western Fireworks,Inc
Brent Pavlicek,General Manager.
14592 Ottaway Road NE
PO Box 426
Aurora,OR 98007
G:10peratinglFirework Shands12014 Fireworks Seattle.doc
7.7. No Grant Of Easement
The parfies hereto agree that t1�is License Agreement does not constitute a deed or grant of
e�ement and sha11 not be deemed an easement by virtue of any work performed by any paricies.
7,�. EntireA e�r ement
The foregoing is tha entire agreement between the parti.es,and any modifications or
amendments hereto must be writing, signed by the parties.
IN WITNESS WI-�REOF,the parties hereto signed this Agreement as of the da.te set forth above.
SAFEWAY INC.,
a Delaware corporation. .
By,.
Its:`�i-ssi�stant V'ice residen .�
�
By: � ��,y°r� �
V-V- - V
Its: Assistant Secretary
Attachments:Exhibit"A"(List of Store Locations)
Form Approved By:�
..��
LICENSEE:
WESTERN FIREWORKS,INC.,
an Oregon corporation
By: ��
Name: /32E�vT P��/'�/��
Its: �, f!.
By:
Name:
Its:
G:\OperatinglFirework Stands12014 Fireworks Seattle.doc
_
Safeway-Fireworlc Stands
2014
Location Retail Ops
Name/Amount Store# Address City State PM Manager
Safeway 337 W.10 Col�ille Ave. Chewelah WA Stephanie AI Iverson
Safeway 350 702 N 5th Ave. Sandpoint ID Stephanie AI Iverson
Safeway . 385 391 N Main St. Colville WA Stephanie AI Iverson �
Safeway 2639 430 SE Bishop Blvd Pullman WA Stephanie AI iverson
Safeway 1158 201 N Main St. Deer Lodge MT Tracy AI iverson
Safeway 1470 121 Neider Rd Coeur d'Alene ID Stephanie AI Iverson
Safeway 1544����&Basin St.SW Ephrata WA Stephanie Af Iverson
Safeway 1581 570 N.Montana Dillon MT Tracy AI Iverson
Safeway 1590 455 N Columbia Milton Freewater OR Tracy Bob Reorda
Safeway 3256 1525 West Park Anaconda MT Tracy AI Iverson
Safeway 259 310 West Front Street Butte MT Tracy AI Iverson
5afeway � 3279 2500 Massachusetts Ave. Butte MT Tracy AI Iverson
Safeway 3295 1001 North 4th Street Coeur d'Alene ID Stephanie AI iverson
Safeway 3521 510 Grant Rd. E.Wenatchee WA Stephanie Ai Iverson
Safeway 534 3532172nd St.NE Arlington WA Stephanie Bob Reorda
Safeway 459 20830108th Ave SE Kent WA Tracy AI(verson
Safeway 494 152 Rooseve(t Avenue E Enumclaw WA 'fracy A1 Iverson
Safeway 3523 14826 Hwy 99 Lynnwood WA Tracy AI Iverson
Safeway 535 20711 Bothell-Everett Hwy Botheli WA Tracy AI Iverson
Safeway 537 .19651 Hwy 2 Monroe WA Trecy AI iverson
Safeway 544 21301 Hwy 410 Bonney Lake WA Tracy Bob Reorda
Safeway 3545 900 East Meridian Milton WA Tracy Bob Reorda
Safeway 547 10105 224th Graham WA Tracy AI Iverson
Safeway 1436 1624 72nd St E Tacoma WA Tracy Bob Reorda
Safeway 1467 938 N Callow Bremerton WA Stephanie Bob Reorda
Safeway 14723ls��.r€College Way Mt.Vernon WA Stephanie Bob Reorda
Safeway 1492 110 E 3rd St Port Angeles WA Stephanie Bob Reorda
Safeway 1522 20500 Olympic PI Arlington WA Stephanie Bob Reorda
Safeway 1524 1401 NE McWilliams Rd Bremerton WA Stephanie Bob Reorda
Safeway 1619 1109 Yelm Ave E. Yelm WA Stephanie Bob Reorda
Safeway 1798 11501 Can�on Rd S Tacoma WA Tracy Bob Reorda
Safeway 1922 2709 E Hwy 101 Port Angeles WA Stephanie Bob Reorda
Safeway 1966 13101 Kent Kangley Rd SE Kent WA Tracy AI Iverson
Safeway 2640 13308 Meridian E. Puyallup WA Tracy Bob Reorda
Safeway 2645 5802134th PI SE Everett WA Tracy AI Iverson
Safeway 1448 680-F West Washington Sequim WA Stephanie Bo6 Reorda
*Removed#3395,
*Removed#1464
*Removed#19�"