KIOSK INTEREST FORM AIRPORT DINING & RETAIL PROGRAM SEATTLE-TACOMA INTERNATIONAL AIRPORT

Transcription

1 KIOSK INTEREST FORM AIRPORT DINING & RETAIL PROGRAM SEATTLE-TACOMA INTERNATIONAL AIRPORT Please complete the following form in its entirety. This form is for informational purposes only and is not to be considered in any way a commitment to enter into a Lease Agreement with the responder. Contact Name & Title: Date: / / Contact Contact Part I: Concept Information Proposed Store Name/Doing Business As: Brief Concept and Merchandise/Menu Description: Please complete the form and send it, along with any required attachments, in an to fisher.k@portseattle.org Contact Proposed Lease Term (check one): 6 months 12 months 18 months Proposed Concession Fee (minimum 10% of gross sales): Special Requirements/Utility Requirements (please describe any special needs for utility or storage, i.e., specific electric, water, sewer, gas, and ventilation requirements): Part II: Business Information Legal Business Name: Business Business Phone: Mobile Phone: Fax Number: Owner/Principal Name & Title: Federal ID No.: Website Form of Business (check one only): Individual/Sole Proprietorship Limited Liability Company Partnership Corporation Joint Venture Other (explain ) Current Number of Employees: Full Time: Part Time: During the last ten years, has the entity completing this form or any subsidiary, predecessor, officer, or principal (provide full details if the answer is yes to any of the following): Filed bankruptcy? Yes No Been named as a defendant in any legal proceedings? Yes No Had a judgment or lien filed against it? Yes No Have they been satisfied? Yes No Kiosk Interest Form, Page 1 of 5

2 Part III: Summary of Experience Are you currently or have you been a tenant in a mall, downtown, airport, or other transportation or high-traffic location? Yes No Number of locations currently in operation: Please include additional locations on a separate sheet if you operate more than one main location. Primary/Main Location Concept Name: Brief Description (if different from proposed concept): Dates of Operation (MM/YY MM/YY): Size of Operation: sq. ft. Rental Terms/Fees:,, No. Street City State Zip code Annual Sales: Annual Rent: Sales Year (YYYY): Landlord Name: Landlord Telephone No. Provide evidence of financial capacity by submitting/attaching a 3-year financial statement. Please provide one credit, one business and one financial reference. Financial reference must be the primary financial institution with which business is conducted for the location listed above. Credit Reference Business Reference Bank Reference Kiosk Interest Form, Page 2 of 5

3 Declaration and Signature Under penalty of perjury, I, the undersigned, declare that the facts set forth in this form are true and correct to the best of my knowledge, and I am authorized to submit this form. I recognize that the Port of Seattle will rely on the information provided herein in determining the credit status of the applicant and that any substantial discrepancies that may come to the Port of Seattle s attention before or after execution of a lease may result in the Port of Seattle finding the lease to be in default and may exercise any of the remedies prescribed in the Lease Agreement. I understand that this form is for informational purposes only and is not to be considered in any way a commitment to enter into a Lease Agreement. Any false statements, omissions, or other misrepresentations made on this form may result in immediate disqualification. Further, I authorize any person or entity to release or furnish information to the Port of Seattle as may be requested in connection with their review and evaluation of this form. I UNDERSTAND THAT ADDITIONAL INFORMATION MAY BE REQUIRED THAT COULD INCLUDE, BUT IS NOT LIMITED TO, BALANCE SHEETS AND INCOME STATEMENTS, PROFORMAS, TAX RETURNS, PLANS AND DESIGNS, AND BUSINESS PLANS. I further agree that all financial statements, tax returns, reports, and other materials furnished or obtained in connection herewith shall become the property of the Port of Seattle. Name (printed): Signature: Confirm that you have obtained and reviewed the document Operating a Business at Sea-Tac. Yes, I have reviewed Operating a Business at Sea-Tac. (check here) Date: You MUST review and sign the Notice on the following pages and submit it with the form. Kiosk Interest Form, Page 3 of 5

4 Notice for Prospective Lessees at Seattle-Tacoma International Airport The information provided by the Port of Seattle, its employees and leasing agent whether at the Outreach Meetings, in written form, on the website, or otherwise is intended to provide a general overview of potential business opportunities at Seattle-Tacoma International Airport. That information, including but not limited to, historical sales performance of existing and prior concessionaires, forecast enplanement levels, air carriers/air service, facility conditions, and security requirements is considered reliable, but is subject to change, and the Port makes no representation or warranty about its accuracy. In addition, operating a restaurant, retail, or service business in an airport environment is unique and quite unlike similar operations in a street or mall location. The opportunities and challenges that affect success are many, and they are often unpredictable. In order to be successful, an operator must possess a high degree of business acumen and an ability to uphold high standards of operation and customer service under sometimes difficult and frequently changing circumstances. Similar to a shopping mall or other non-airport environment, the Port (like other landlords) cannot guarantee or warrant circumstances beyond its control. In addition to those factors that can affect profitability at non-airport locations, the following additional circumstances can affect airport business opportunities: The number of enplanements/passengers Airport-wide can be affected by global, regional, or local economic conditions. The number of enplanements/passengers in any given concourse or Airport concession zone can be affected by carrier mergers, destination changes, airline insolvencies, and many other events. The locations or number of air carriers providing service at the Airport can be affected by airline scheduling, relocations, consolidations, or retractions. The Port is not responsible for any of these events and cannot accept responsibility for their consequences. The location, number, and type of competing concessionaire businesses are also unique in an airport environment. The Port does not typically grant exclusive leases of any kind and may add and/or relocate new/existing concession businesses as circumstances dictate. Concessionaires are regularly acquired and sometimes change brands. Moreover, the Port, in many instances, seeks to promote competition between its concessionaires to increase the overall level of service at the Airport and to the traveling public. The Port likewise cannot accept responsibility for circumstances as a result of these actions. Please understand that you are responsible for evaluating whether any specific opportunity is an appropriate fit for your financial circumstances, your business capability, and your operational skills. You are also responsible for the due diligence to determine whether you believe that you will be able to recover any investment made by the end of a granted lease term. The Port makes no warranty that you will recover your investment or that the business will yield a profit. Please also understand that as a public agency, the Port may be required to disclose in accordance with the Washington State Public Records Act RCW, documents pertaining to your tenancy, including but not limited to, lease agreements and reported sales, if requested. Kiosk Interest Form, Page 4 of 5

5 I ACKNOWLEDGE THAT I HAVE UNDERSTOOD ALL INFORMATION CONTAINED IN THIS AND ANY RELATED DOCUMENTS SUBJECT TO THIS NOTICE AND I UNDERSTAND THAT NO WARRANTY OR REPRESENTATION OF ANY KIND IS BEING MADE TO ME THAT I WILL RECEIVE ANY PARTICULAR LEVEL OF SALES, PROFITS, OR OTHER ECONOMIC BENEFITS IF I ENTER INTO A BUSINESS RELATIONSHIP WITH THE PORT OF SEATTLE. THE PORT WILL NOT CONSIDER ANY REQUESTS FOR RELIEF FROM FINANCIAL OR OTHER OBLIGATIONS COMMITTED TO IN AN EXECUTED LEASE AND CONCESSION AGREEMENT. DATE: COMPANY: DIGITAL SIGNATURE: PRINT NAME: TITLE: Please complete the form and send it, along with any required attachments, in an to fisher.k@portseattle.org Kiosk Interest Form, Page 5 of 5