08 - Attachment No_ 1 to GSA Form 1364.xlsx

GSA Form XLSX spreadsheet 34 KB Posted Jun 5, 2025

Attached to: X1DB-- Katy TX OPC 175, 306 ANSI/BOMA 197, 219 RSF Amendment 4
Solicitation number: 36C10F25R0024
Issued by: Department of Veterans Affairs Office of Construction and Facilities Management

About this file

Written by GovTribe AI · Jun 5, 2025

This is an Excel spreadsheet (Attachment No. 1 to GSA Form 1364) for a Department of Veterans Affairs (VA) lease opportunity in Katy, TX, with solicitation number 36C10F25R0024. The document is a pricing template for potential offerors to complete, with placeholders for lease details including 15-year and 20-year term options. Currently, the spreadsheet contains no actual values, with all financial fields showing zero or error calculations, indicating it is a blank template for offerors to populate with their specific lease proposal details.

The document instructs offerors to: 1) fill in gray-colored cells, 2) provide dollar values with maximum two decimal places, 3) avoid copying formulas from other spreadsheets, and 4) ensure exact matching of information across GSA Form 1364 and Form 1217. The lease is for an Outpatient Clinic (OPC) in Katy, TX, with the VA Office of Construction and Facilities Management as the contracting agency. The template is designed to capture comprehensive lease information including annual rent, operating expenses, tenant improvements, and other financial parameters for potential 15-year and 20-year lease terms.

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Other versions and copies of GSA Form 1364

516 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
07 GSA Form 1364 Franklin County OH 36C10F25R0057 Proposal to Lease Space.pdf	Revision not stated	Nov 9, 2026	Franklin County Outpatient Clinic, OH. 97,449 ANSI/BOMA Square Feet
08 GSA Form 1364 Franklin County OH 36C10F25R0057 Attachment No. 1.xlsx	Revision not stated	Nov 9, 2026	Franklin County Outpatient Clinic, OH. 97,449 ANSI/BOMA Square Feet
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf	Revision not stated	Nov 6, 2026	General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
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
08. GSA Form 1364 - Attachment No. 1.xlsx	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
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

Show all 20

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	38
Department of Agriculture Under Secretary for Farm Production and Conservation	30
General Services Administration Public Buildings Service Central Office Office of Leasing	25
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
Katy TX OPC - RLP Amendment No 04.pdf	PDF	Oct 28, 2026
36C10F25R0024 0004 Notice.pdf	PDF	Oct 28, 2026
Katy TX OPC - RLP Amendment No 03.pdf	PDF	Oct 14, 2026
19 - Katy TX Harris County Davis Bacon.pdf	PDF	Oct 13, 2026
Appendix A.2 - Lease Design Narrative (LDN) 2C.pdf	PDF	Oct 13, 2026
L100 Amendment 3 Katy TX OPC 10.1.26.pdf	PDF	Oct 13, 2026
Katy TX OPC - RLP Amendment No 03.pdf	PDF	Oct 13, 2026
Katy TX RLP Amendment No 2 and Attachment 19.pdf	PDF	Oct 28, 2025
36C10F25R0024 0002.docx	DOCX document	Oct 28, 2025
Katy TX OPC RLP No_36C10F25R0024 _ Amendment No_1_ 7.8.2025.pdf	PDF	Jul 8, 2025
36C10F25R0024 0001.docx	DOCX document	Jul 8, 2025
09 - GSA Form 1217 - Lessors Annual Cost Statement.pdf	PDF	Jun 5, 2025
05 - Offering Entity Acknowledgement Form.pdf	PDF	Jun 5, 2025
02F - Appendix A_4_1 - OIT Data Center Design Narrative.pdf	PDF	Jun 5, 2025
04 - Katy TX Appendix B _ Lease Service Narrative_12_04_2024.pdf	PDF	Jun 5, 2025
02 - Agency Specific Requirements _ASR_ - Cover Page.pdf	PDF	Jun 5, 2025
02A - Katy TX Appendix A - Program for Design _PFD_12-5-2024.pdf	PDF	Jun 5, 2025
19 - Katy TX Waller County DOL Wage Determination - REV 01_03_2025.pdf	PDF	Jun 5, 2025
19 - Katy TX Fort Bend County DOL Wage Determination - REV 05_16_2025.pdf	PDF	Jun 5, 2025
16 - GSA Form 3517B - General Clauses_REV 02_25.pdf	PDF	Jun 5, 2025
02D - Katy TX Appendix A_3 - Room Data Matrix _RDM_12_5_2024.xlsx	XLSX spreadsheet	Jun 5, 2025
02C - Katy TX Appendix A_2 - Lease Design Narrative _LDN.pdf	PDF	Jun 5, 2025
15A - Provision Addendum to GSA Template 3516_3516A - SOLICITATION PROVISIONS.pdf	PDF	Jun 5, 2025
18 - Certification of Building Energy Performance.pdf	PDF	Jun 5, 2025
0 - Katy TX OPC - R100.pdf	PDF	Jun 5, 2025
14 - VA Handbook 6500_6 - 3_12_10 FOR RLP.pdf	PDF	Jun 5, 2025
36C10F25R0024.docx	DOCX document	Jun 5, 2025
10 - VA Form 10091 - FSC Vendor File Request Form.pdf	PDF	Jun 5, 2025
12 - SF 330 - Architect Engineer Qualifications.pdf	PDF	Jun 5, 2025
13 - GSA Form 527 - Contractors Qualifications and Financial Information .pdf	PDF	Jun 5, 2025
02B - Katy TX Appendix A_1 - Project Room Contents List _PRC_12_5_2024.pdf	PDF	Jun 5, 2025
25 - Contractor Confidentiality Certificate.pdf	PDF	Jun 5, 2025
17 - GSA Form 12000 for Prelease Fire Protection and Life Safety Evaluation for an Office Building_May 2015.pdf	PDF	Jun 5, 2025
15 - GSA Form 3516 _ Solicitation Provisions_REV 02_25.pdf	PDF	Jun 5, 2025
23 - Pre-Bid Conference Registration Form.pdf	PDF	Jun 5, 2025
19 - Katy TX Waller County DOL Wage Determination - REV 05_16_2025.pdf	PDF	Jun 5, 2025
11 - Past Performance Questionaire Form for VA REV_ Nov 23.pdf	PDF	Jun 5, 2025
06 - Offeror Proposal Compliance Matrix.pdf	PDF	Jun 5, 2025
03 - Katy TX Appendix A_6 - CBOC Conceptual Plans_12_4_2024.pdf	PDF	Jun 5, 2025
01 - Katy TX OPC - L100.pdf	PDF	Jun 5, 2025
02E - Appendix A_4 - VA CBOC Information Transport Systems Specs.pdf	PDF	Jun 5, 2025
02G - Katy TX Appendix A_5 - FSL II_REV 01_24_2023.pdf	PDF	Jun 5, 2025
20 - FAR 52_204-24 Representation Regarding Certain Telecom.pdf	PDF	Jun 5, 2025
07 - Proposal to Lease Space _GSA Form 1364_Jan 2023.pdf	PDF	Jun 5, 2025
19 - Katy TX Harris County DOL Wage Determination - REV 05_16_2025.pdf	PDF	Jun 5, 2025

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Att #1 to 1364

Department of Veterans Affairs

KATY, TX - OPC
RLP # 36C10F25R0024
Attachment #1 to the Form 1364
Offeror Name:	[INSERT HERE]

Building Total Rentable Square Feet :	0	RSF
Building Total ABOA Square Feet:	0	ABOA
Common Area Factor:	0	%
Number of Stories:	0
Parking:	0
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
Real Estate Taxes (Line 28 GSA Form 1217):	$0.00
Insurance (Line 29 GSA Form 1217):	$0.00
Building Maintenance & Reserve Replacement (Line 30 GSA Form 30):	$0.00
Management (Line 32 GSA Form 1217):	$0.00
Tenant Improvement Lump-Sum Total:	$0.00
Tenant Improvement Lump-Sum Rate per ABOA:	ERROR:#DIV/0!
Lessor Tenant Improvement Amortization Rate:	0%

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!

Instructions

1. Offerors are to populate all cells 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.

4. Offerors are to ensure the information provided on this form matches exactly the information on the Offerors GSA Form 1364 and 1217 (to the decimal place).

20-yr term - OFFEROR 1 OMB Scoring Information Form

Brokers: Please fill out this form and submit to your PM for every Initial Offer and every FPR you receive. A scoring run must be conducted each time we receive price proposals. The NUSF and number of stories will usually be the same for all offerors, but if they are not, then please copy this tab and fill out a separate chart for each offer. If multiple lease terms or pricing scenarios were offered, please copy this tab and fill out a separate chart for each lease term or scenario. Please fill out the information in the green fields below.

Parking Spaces

Estimated Lease Award Date

Estimated Lease Acceptance Date

Lease Acquisition Method

Project (City, State):	KATY, TX - OPC	VISN:	Appraised Value:		(For pre-award existing buildings only)
ABOA:	0	Parent Facility:	Lease Term:	20
Number of Stories:	0	Procurement Type:	Procurement Stage:

Offeror: [INSERT HERE] Fill in additional offerors as needed

(annual rent, not rental rate)	Fully Serviced Rent:
	Year 1	$0.00
	2	$0.00
	3	$0.00
	4	$0.00
	5	$0.00
	6	$0.00
	7	$0.00
	8	$0.00
	9	$0.00
	10	$0.00
	11	$0.00
	12	$0.00
	13	$0.00
	14	$0.00
	15	$0.00
	16	$0.00
	17	$0.00
	18	$0.00
	19	$0.00
	20	$0.00

Form 1217 Info	Line 27	$0.00
	Line 28	$0.00
	Line 29	$0.00
	Line 30	$0.00
	Line 32	$0.00

	Land Cost:	$0.00
Lump Sum Payments	TIA	$0.00

15-yr term - OFFEROR 1 OMB Scoring Information Form

Parking Spaces

Estimated Lease Award Date

Estimated Lease Acceptance Date

Lease Acquisition Method

Project (City, State):	KATY, TX - OPC	VISN:	Appraised Value:		(For pre-award existing buildings only)
ABOA:	0	Parent Facility:	Lease Term:	20
Number of Stories:	0	Procurement Type:	Procurement Stage:

Offeror: [INSERT HERE] Fill in additional offerors as needed

(annual rent, not rental rate)	Fully Serviced Rent:
	Year 1	$0.00
	2	$0.00
	3	$0.00
	4	$0.00
	5	$0.00
	6	$0.00
	7	$0.00
	8	$0.00
	9	$0.00
	10	$0.00
	11	$0.00
	12	$0.00
	13	$0.00
	14	$0.00
	15	$0.00

Form 1217 Info	Line 27	$0.00
	Line 28	$0.00
	Line 29	$0.00
	Line 30	$0.00
	Line 32	$0.00

	Land Cost:	$0.00
Lump Sum Payments	TIA	$0.00

File details come from the government source that posted it. Updated Jun 5, 2025.