08. GSA Form 1364 - Attachment No. 1.xlsx

GSA Form XLSX spreadsheet 31 KB Posted Aug 24, 2026

Attached to: X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Solicitation number: 36C24W26R0077
Issued by: Department of Veterans Affairs

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Other versions and copies of GSA Form 1364

513 government files on GovTribe name GSA Form 1364. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
3B.G(2026.09.11)GSA Form 1364 Open with Adobe Only-2KS0140.pdf	2026	Sep 11, 2026	U. S. GOVERNMENT SEEKS TO LEASE SPACE IN TOPEKA, KS
H - GSA Form 1364 Proposal to Lease Space (Jan. 2023) Open with Adobe Only.pdf	Jan 2023	Oct 28, 2026	General Services Administration (GSA) seeks to lease office space in Brunswick, GA
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Oct 1, 2026	U. S. Government Seeks Proposals to Lease 2, 405 to 2, 605 ABOA SQ FT of Office and Related Space in Washington, DC
4WY0059_Exhibit 2 GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 21, 2026	U. S. Government Seeks to Lease Office Space in Cheyenne, WY – Solicitation Amendment No. 1
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 20, 2026	General Services Administration (GSA) seeks to lease the following space: Solicitation No. 6GA0308
EXHIBIT F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Jul 30, 2026	Request for Lease Proposals (RLP) - Saipan CBOC
G. GSA Form 1364 Proposal to Lease Space (1).pdf	Revision not stated	Nov 4, 2026	General Services Administration (GSA) seeks to lease the following space: Solicitation No. 3FL0557
Exhibit F-Proposal to Lease Space (GSA Form 1364).pdf	Revision not stated	Nov 4, 2026	8TN2168 The US Government Seeks to Lease Office and Related Space in Nashville, TN-Request for Lease Proposal
08 Attachment No. 1 to GSA Form 1364 - TEMPLATE_15-20 Yr_1.xlsx	Revision not stated	Nov 3, 2026	X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
07 - GSA Form 1364 - Proposal to Lease Space.pdf	Revision not stated	Nov 3, 2026	X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
Proposal To Lease Space_GSA Form 1364.pdf	Revision not stated	Sep 17, 2026	General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf	Revision not stated	Sep 10, 2026	General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
F. GSA Form 1364 Proposal to Lease Space (1).pdf	Revision not stated	Aug 27, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
Exhibit G. GSA Form 1364 (2).pdf	Revision not stated	Aug 25, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
09. GSA Form 1364 - Proposal to Lease Space.pdf	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Attachment No. 1 to GSA Form 1364 - Idaho Falls (10-15-20 Yr).xlsx	Revision not stated	Aug 21, 2026	Dept of Veterans Affairs seeks clinical space in Idaho Falls, ID
10 GSA Form 1364 080626.pdf	Revision not stated	Aug 6, 2026	U. S. Department of Agriculture Seeks to Lease Office and Related Space in Huntington, Indiana
Exhibit E. GSA Form 1364 (2).pdf	Revision not stated	Aug 3, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 3TN0311
Exhibit F. GSA Form 1364 (1).pdf	Revision not stated	Jul 29, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4LA0288
Exhibit G. GSA Form 1364.pdf	Revision not stated	Jul 28, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TN0427

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Who attaches GSA Form 1364

Agency	Files
General Services Administration Public Buildings Service Central Office	230
Department of Veterans Affairs Office of Construction and Facilities Management	36
Department of Agriculture Under Secretary for Farm Production and Conservation	30
General Services Administration Public Buildings Service Central Office Office of Leasing	24
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8	17
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10	13
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20	13
General Services Administration Public Buildings Service Region 5	13

Other files

File	Type	Posted
Santa Cruz - RLP Amendment No 4.pdf	PDF	Oct 22, 2026
AreaTable1.1_Rev1_093026.pdf	PDF	Oct 6, 2026
Santa Cruz - RLP Amendment No 3.pdf	PDF	Oct 6, 2026
ConceptualFloorPlanWithEPowerLocations_0930_26.pdf	PDF	Oct 6, 2026
Santa Cruz - RFI Responses_100126.pdf	PDF	Oct 6, 2026
Santa Cruz - Pre-bid Conference Transcript.pdf	PDF	Sep 10, 2026
Santa Cruz - RLP Amendment No 2.pdf	PDF	Sep 10, 2026
Santa Cruz - Pre-bid Presentation.pdf	PDF	Sep 10, 2026
PRE-BID Conference Information.pdf	PDF	Sep 2, 2026
AMENDMENT No. 1 RLP 36C24W26R0077- signed.pdf	PDF	Aug 31, 2026
04.A Lease Appendix - Broker Project MAY 2026.pdf	PDF	Aug 24, 2026
21. VA Handbook 6500.6 - Contract Security_MAR 2010.pdf	PDF	Aug 24, 2026
19. Representation Regarding Certain Telecomm - FAR 52.204-24.pdf	PDF	Aug 24, 2026
17. Cert and Commitment of Energy Performance_FEB 2026.pdf	PDF	Aug 24, 2026
14. GSA Form 527 - Contractors Qualifications.pdf	PDF	Aug 24, 2026
13. GSA Standard Form 330 - Architect Engineer Qualifications.pdf	PDF	Aug 24, 2026
04.C Lease Appendix - New Construction MAY 2026.pdf	PDF	Aug 24, 2026
01. GSA Template 3516 - Solicitation Provisions DEC 2025.pdf	PDF	Aug 24, 2026
04.B Lease Appendix - CA Tax MAY 2026.pdf	PDF	Aug 24, 2026
22. DOL County Wage Determination CA20260018.pdf	PDF	Aug 24, 2026
06. Security Requirements FSL Secutity Level II.pdf	PDF	Aug 24, 2026
05. Agency Specific Requirements.pdf	PDF	Aug 24, 2026
03. Offeror Compliance Matrix FEB 2026.xlsx	XLSX spreadsheet	Aug 24, 2026
36C24W26R0077.docx	DOCX document	Aug 24, 2026
11. Past Performance List of References_FEB 2026.docx	DOCX document	Aug 24, 2026
04.D Lease Appendix - Net of Utilities MAY 2026.pdf	PDF	Aug 24, 2026
23. RLP Exhibit - Broker Project MAY 2026.pdf	PDF	Aug 24, 2026
26. Seismic Offer Forms.pdf	PDF	Aug 24, 2026
09. GSA Form 1364 - Proposal to Lease Space.pdf	PDF	Aug 24, 2026
25. RLP Exhibit - Net of Utilities MAY 2026.pdf	PDF	Aug 24, 2026
24. RLP Exhibit - New Construction MAY 2026.pdf	PDF	Aug 24, 2026
20. GSA Template 3517B - General Clauses_April 2026.pdf	PDF	Aug 24, 2026
0 - Santa Cruz - RLP - 36C24W26R0077 003.pdf	PDF	Aug 24, 2026
16. Operations and Maintenance Plan Acknowledgement_FEB 2026.pdf	PDF	Aug 24, 2026
12. Past Performance Questionnaire - PPQ_FEB 2026.docx	DOCX document	Aug 24, 2026
07. GSA Form 1217 - Lessor's Annual Cost Statement.pdf	PDF	Aug 24, 2026
10. VA Form 10091 - FSC Vendor File Request.pdf	PDF	Aug 24, 2026
18. Offering Entity Acknowledgement Form.pdf	PDF	Aug 24, 2026
00. No Proposal_Market Response Form_MAR 2026.pdf	PDF	Aug 24, 2026
04. Santa Cruz - Draft Lease.pdf	PDF	Aug 24, 2026
02. Pre-bid Registration Form - FEB 2026.pdf	PDF	Aug 24, 2026
15. GSA Form 12000 - Prelease FPLS Evaluation - Part A or Part B.docx	DOCX document	Aug 24, 2026

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Instructions

Department of Veterans Affairs

[Lease Function] - [City, State]

RLP No.: XX

Attachment #1 to the Form 1364

General Instructions:

1. Offerors are to populate all cells within Tab "Att #1 to 1364WH" that are colored "gray"

2. Offerors are to provide all dollar values in "real" dollars, with a maximum of two decimal places.

3. Offerors are NOT to input any formulas or other "values" copied from another spreadsheet.

Att #1 to 1364

Department of Veterans Affairs

Lease Function, City, State

RLP #

Attachment #1 to the Form 1364

Offeror Name:

Building Total Rentable Square Feet :			RSF
Building Total ABOA Square Feet:			ABOA
Common Area Factor:			%
	Parking:
Land Acquisition Costs (not including site improvements or demolition)		$0.00
Annual Operating Expenses (line 27 from GSA Form 1217):		$0.00	Annually
Annual Operating Expenses Rate per (line 27 from GSA Form 1217):		$0.00	per ABOA
Tenant Improvement Lump-Sum Total:
Tenant Improvement Lump-Sum Rate per ABOA:		ERROR:#DIV/0!
Lessor Tenant Improvement Amortization Rate:			%
Architectural / Engineering (A/E) Fees:			%
Lessor's Project Management (PM) Fees:			%
General Contractor (GC) Fees (paragraph 3.03 from GSA Template R100 for VA):			%
15 Year Firm Term:

Lease Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Fully-Serviced Annual Rent not including Tenant Improvements (paid lump sum):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Annual Operating Expenses (Form 1217 - Line 27):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Shell Annual Rent with Tenant Improvements paid lump sum:	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Annual Shell Rent Rate (1364 - 29.e), not including Operating Expenses (Form 1217 - Line 27) or Tenant Improvements (1364 - 25.a - Paid Lump Sum) per ABOA:

ERROR:#DIV/0!

Annual Operating Expenses Rate (Form 1217 - Line 27) per ABOA:

ERROR:#DIV/0!

Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:

ERROR:#DIV/0!

Lump sum items:

Total Tenant Improvements Lump Sum Cost:	$ - 0
Tenant Improvements Lump Sum Rate per ABOA:	ERROR:#DIV/0!

20 Year Firm Term:

Lease Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Fully-Serviced Annual Rent not including Tenant Improvements (paid lump sum):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Annual Operating Expenses (Form 1217 - Line 27):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Shell Annual Rent with Tenant Improvements paid lump sum:	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Annual Shell Rent Rate (1364 - 29.e), not including Operating Expenses (Form 1217 - Line 27) or Tenant Improvements (1364 - 25.a - Paid Lump Sum) per ABOA:

ERROR:#DIV/0!

Annual Operating Expenses (Form 1217 - Line 27) per ABOA:

ERROR:#DIV/0!

Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:

ERROR:#DIV/0!

Lump sum items:

Total Tenant Improvements Lump Sum Cost:	$ - 0
Tenant Improvements Lump Sum Rate per ABOA:	ERROR:#DIV/0!

File details come from the government source that posted it. Updated Aug 24, 2026.