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

GSA Form XLSX spreadsheet 27 KB Posted

Attached to
X1DB--Canton OH Outpatient Clinic 62, 784 ANSI/BOMA RLP Extension
Solicitation number
36C10F26R0052
Issued by

About this file

This is a pricing template and attachment to GSA Form 1364 for a Department of Veterans Affairs real property lease opportunity for a Canton, Ohio outpatient clinic with 62,784 assignable square feet. The template requires offerors to populate designated gray cells with lease pricing information, including building specifications (total rentable square feet, common area factor, parking details), land acquisition costs, annual operating expenses, and tenant improvement costs. Offerors must provide all dollar values in real dollars with a maximum of two decimal places and are prohibited from inputting formulas or values copied from other spreadsheets.

The template provides pricing structures for both 15-year and 20-year firm lease terms, with annual rent calculations for each year of the lease period. Pricing components include fully-serviced annual rent excluding tenant improvements, annual operating expenses derived from GSA Form 1217 (Line 27), shell annual rent with tenant improvements paid as a lump sum, and fully-serviced rental rates on a per-assignable square foot basis. The template also requires calculation of tenant improvement amortization rates and lump-sum tenant improvement costs. The RLP number is 36C10F26Q0016, and the related solicitation number is 36C10F26R0052. Currently, the template displays error messages due to missing baseline data inputs, indicating that offerors must complete all required fields to generate accurate lease cost calculations.

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Other versions and copies of GSA Form 1364

File Revision Posted Attached to
3B.G(2026.09.11)GSA Form 1364 Open with Adobe Only-2KS0140.pdf 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 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 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 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 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 Request for Lease Proposals (RLP) - Saipan CBOC
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf Revision not stated 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 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 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 X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
07 - GSA Form 1364 - Proposal to Lease Space.pdf Revision not stated X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
Proposal To Lease Space_GSA Form 1364.pdf Revision not stated General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf Revision not stated 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 General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
Exhibit G. GSA Form 1364 (2).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
08. GSA Form 1364 - Attachment No. 1.xlsx Revision not stated X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
09. GSA Form 1364 - Proposal to Lease Space.pdf Revision not stated 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 Dept of Veterans Affairs seeks clinical space in Idaho Falls, ID
10 GSA Form 1364 080626.pdf Revision not stated 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 General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 3TN0311
Show all 20

Who attaches GSA Form 1364

Other files

File Type Posted
Canton RLP Amendment No 02.pdf PDF
36C10F26R0052 0002.pdf PDF
Canton OH Pre Bid Conference 36C10F26R0052 Transcript.pdf PDF
Canton OH OPC 36C10F26R0052 - PreBid Conference- slide deck.pdf PDF
Canton OPC - Pre-Bid Conference questions and responses.pdf PDF
36C10F26R0052 0001.docx DOCX document
05A2 - Appendix A.2 Lease Design Narrative_LDN_RLP Amendment 0001.pdf PDF
Canton RLP Amendment No 01.pdf PDF
B - RLP Exhibit - Broker Project_MAY 2026.pdf PDF
21 DOL Stark County Wage Determination 1.19.26.pdf PDF
10 - Past Performance References Form for VA_REV. Nov 23.pdf PDF
36C10F26R0052 Canton OH RLP Notice.pdf PDF
05A2 Appendix A.2 Lease Design Narrative LDN.pdf PDF
17 - Offering Entity Acknowledgement Form.pdf PDF
A- RLP Exhibit - New Construction_FEB 2026.pdf PDF
11 - Past Performance Questionnaire Form for VA_REV. Nov 23.pdf PDF
05A1 Appendix A.1 Project Room Contents 6.18.2026.xlsx XLSX spreadsheet
05A6 Appendix A.6 VA_Leased_CBOC_Standard Layout Guide 10_29_25.pdf PDF
09 - 10991 VA Vendor File Request Form 1-15-25.pdf PDF
05A4-Appendix A.4_VA CBOC Info Transport Systems Specs.pdf PDF
04B - Lease Exhibit - New Construction_FEB 2026.pdf PDF
05B Appendix B - Lease Service Narrative_LSN_FEB 2026_04_13_2026.pdf PDF
05A Appendix A PFD_CANTON OPC - FY25 MID-LEVEL - 260420 FINAL.pdf PDF
36C10F26R0052.docx DOCX document
12 - SF 330 - Architect Engineer Qualifications.pdf PDF
04A - Exhibit Lease - Broker Project _MAY 2026.pdf PDF
02- Pre-Bid Registration Form.docx DOCX document
19 - 3517B General Clauses_April 2026.docx.pdf PDF
05 - Agency Specific Requirements _ASR - Cover Page.pdf PDF
00 Global RLP Template R100 - VA Version MAY 2026 Canton OH.pdf PDF
05A3 Room_Data_Matrix_05_20_26.xlsx XLSX spreadsheet
05A5 VA Security Requirements_FSL Level II_ Oct 2024 Canton.pdf PDF
15 - GSA Form 12000 - Prelease FPLS Evaluation - Part A or Part B.docx DOCX document
04 Global Lease Template L100 - VA Version_MAY 2026.pdf PDF
00. No Proposal_Market Response Form_MAR 2026.docx DOCX document
03 - Offeror Compliance Matrix_BVTO_FEB 2026.xlsx XLSX spreadsheet
05A7 Appendix A.7 VA Additional Security Requirements.pdf PDF
07 - GSA Form 1364 Proposal to Lease Space.pdf PDF
14 - Operations and Maintenance Plan Acknowledgement_FEB 2026.pdf PDF
01- 3516 Solicitation Provisions_Feb. 2025.pdf PDF
18 - FAR 52.204-24 Representation Regarding Certain Telecom.pdf PDF
13 - GSA Form 527 - Contractors Qualifications and Financial Info.pdf PDF
06 - GSA Form 1217 - Lessors Annual Cost Statement.pdf PDF
20 - VA Handbook 6500.6 - 3.12.10 FOR RLP.pdf PDF
16 - Certification of Building Energy Performance.pdf PDF
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Text version

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
Canton, OH Outpatient Clinic
RLP # 36C10F26Q0016
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):$0.00Annually
Annual Operating Expenses Rate per (line 27 from GSA Form 1217):$0.00per ABOA
Tenant Improvement Lump-Sum Total:
Tenant Improvement Lump-Sum Rate per ABOA:ERROR:#DIV/0!
Lessor Tenant Improvement Amortization Rate:%
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!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Annual Operating Expenses Rate (Form 1217 - Line 27) per ABOA:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!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!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Annual Operating Expenses (Form 1217 - Line 27) per ABOA:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!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 .