This Agreement made and entered into this ________ day of _______, 200___ between the
Dr. Woodchucks, Inc. an Illinois corporation, (hereinafter referred to as “Owner”) and ___________________________________ (hereinafter referred to as “Licensee”) whose
address is _______________________________________________________________
for the exclusive use by Licensee of what is formerly known as the Scales Mound Feed Store
at 230 South Railroad, Scales Mound, Illinois 61075 on _________, 200____ for a ________________________________ event. The exclusive use shall be from _________
A.M./P.M. on _________ until ______A.M./P.M. on _______________200___.
It is mutually agreed that this Agreement grants the Licensee exclusive temporary use of the
Owners property formerly known as the Scales Mound Feed Store (Now Dr Woodchuck’s)
for the purposes set forth herein, subject to the terms and conditions of the Agreement.
1. Owner shall permit Licensee the exclusive use of the Dr Woodchuck’s for activities to occur
on ______________________between the hours of ______________and ______________.
2. Licensee shall be required to deposit the amount of $300 with the Owner as and for a
security deposit for the premises at the signing of this agreement. The deposit will be refunded
after satisfactory cleanup of the interior and exterior of the demised premises and further
provided that no damage occurs to the premises.
3. Licensee shall be responsible for set-up, clean-up and maintenance related to the use and
occupancy of the property. Owner will furnish adequate trash cans to be placed both inside
and outside the premises. Clean-up will be completed within 2 days of the exclusive use
period.
4. Licensee agrees that authorized Owner personnel shall have access to the premises at all
times.
5. Licensee further agrees to indemnify and save harmless Owner, its officers, agents and
employees from any and all claims, causes of actions and suits accruing or resulting from any
damage, injury or loss to any person or persons, caused by, arising out of or in any way
connected
with exercise of the Licensee of the privileges herein granted.
6. It is mutually agreed that this Agreement and the privileges granted here or any part
of this Agreement cannot be assigned or otherwise disposed of without written consent
of the Owner.
7. It is mutually understood and agreed that no alteration or variation of the terms of this
Agreement shall be valid, unless made in writing and signed by the parties, and that no oral
understanding or
agreements not incorporated here and no alterations or variations of the terms of this
Agreement, unless made in writing and signed by the parties, shall be binding upon any of
the parties.
8. The privilege here granted shall be granted according to the laws of the State of Illinois
and the ordinances of the Village of Scales Mound.
9. Express Prohibitions:
a) User and its guests shall be prohibited from smoking inside the premises or on the
deck.Smoking shall only occur outside and in the designated posted smoking area.
b) Possession or consumption of alcohol on the premises is expressly prohibited unless
authorized pursuant to an addendum to this agreement. If alcohol is authorized, Licensee
will provide and be responsible for having persons working at the premises serving
alcohol to check identification and assure that no minors are served alcohol. No alcohol
will be allowed off
premises.
10. All materials and equipment of Licensee must be removed from the premises within
2 Days of the Exclusive Use Period.
11. Licensee will provide insurance coverage for all hazards, name the Owner as an
additional insured, and provide Owner with a copy of said policy by ____________200_
(one week prior to exclusive use period) which shall be in effect during the terms of this
Agreement. Said insurance shall be in an amount acceptable to the Owner and name
Owner as an additional insured. A copy of said Insurance Binder is attached hereto and
incorporated herein by this reference.
12. Licensee will provide security service and will exercise reasonable precaution related
to its use of the Owners property if required by Owner and shall immediately notify Owner
of any hazards. (See attachment if applicable)
13. Additional Terms: ____________________________________________________
______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___________________________________________________________
IN WITNESS the parties have caused this Agreement to be executed on the _____ day of
________________, 200_____.
Dr. Woodchucks, Inc.
BY: _________________________________
Licensee: __________________________________
BY:_____________________ BY:_____________________
BY:_____________________ BY:_____________________
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