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

GSA Form XLSX spreadsheet 35 KB Posted Jul 19, 2024

Attached to: X1DB--New Albany Outpatient Clinic (FY24) 49, 262 ANSI/BOMA
Solicitation number: 36C10F24R0055
Issued by: Department of Veterans Affairs Office of Construction and Facilities Management

About this file

Written by GovTribe AI · Jul 19, 2024

This document is an attachment to the GSA Form 1364, which is part of a Request for Lease Proposal (RLP) for a new Department of Veterans Affairs Outpatient Clinic in New Albany, Indiana. The attachment provides detailed pricing information for a 15-year and 20-year lease term, including rentable/ABOA square footage, operating expenses, and tenant improvement costs. It requires the offeror to populate gray cells with specific financial details. The related federal contract opportunity is Solicitation #36C10F24R0055 for the new New Albany Outpatient Clinic, with an estimated lease term of 20 years. The Department of Veterans Affairs Office of Construction and Facilities Management is the procuring agency.

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Other versions and copies of GSA Form 1364

509 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
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
08 RLP 36C10F26R0024 Attachment No 1 to GSA Form 1364 SPB County OPC 7_17_2026.xlsx	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
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
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
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	229
Department of Veterans Affairs Office of Construction and Facilities Management	34
Department of Agriculture Under Secretary for Farm Production and Conservation	30
General Services Administration Public Buildings Service Central Office Office of Leasing	23
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
New Albany IN OPC - RLP Amendment No 02.pdf	PDF	Aug 28, 2024
36C10F24R0055_2.docx	DOCX document	Aug 28, 2024
02A - New Albany Appendix A - Program for Design 08.22.2024.pdf	PDF	Aug 28, 2024
02C - New Albany Appendix A.2 - Lease Design Narrative 08.22.2024.pdf	PDF	Aug 28, 2024
New Albany IN OPC - 36C10F24R0055 - Pre-Bid Conference Questions and Responses.pdf	PDF	Aug 28, 2024
19 - New Albany Floyd County DOL Wage Determination 08.23.2024.pdf	PDF	Aug 28, 2024
17 - New Albany GSA Form 12000 for Prelease Fire Protection and Life Safety Evaluation for an Office Building_01.pdf	PDF	Aug 28, 2024
New Albany IN OPC - PreBid Conference Slide Deck.pdf	PDF	Aug 7, 2024
36C10F24R0055_1.docx	DOCX document	Aug 7, 2024
New Albany IN OPC Pre-Bid Conference Transcript.pdf	PDF	Aug 7, 2024
New Albany IN OPC - RLP Amendment No 01.pdf	PDF	Aug 7, 2024
20 - New Albany FAR 52204-24 Representation Regarding Certain Telecom.pdf	PDF	Jul 19, 2024
02D - New Albany Appendix A3 - Room Data Matrix RDM.pdf	PDF	Jul 19, 2024
23 - New Albany Pre-Bid Conference Registration Form.pdf	PDF	Jul 19, 2024
02E - New Albany Appendix A4 - VA CBOC Information Transport Systems Specifications.pdf	PDF	Jul 19, 2024
19 - New Albany Floyd County DOL Wage Determination.pdf	PDF	Jul 19, 2024
14 - New Albany VA Handbook 65006.pdf	PDF	Jul 19, 2024
13 - New Albany GSA Form 527 - Contractors Qualifications and Financial Information.pdf	PDF	Jul 19, 2024
12 - New Albany SF 330 - Architect Engineer Qualifications.pdf	PDF	Jul 19, 2024
03 - New Albany Appendix A6 - Outpatient Clinic Conceptual Plans.pdf	PDF	Jul 19, 2024
01 - New Albany IN - L100.pdf	PDF	Jul 19, 2024
07 - New Albany Proposal to Lease Space GSA Form 1364.pdf	PDF	Jul 19, 2024
25 - New Albany Contractor Confidentiality Certificate.pdf	PDF	Jul 19, 2024
02B - New Albany Appendix A1 - Project Room Contents List PRC.xlsx	XLSX spreadsheet	Jul 19, 2024
36C10F24R0055.docx	DOCX document	Jul 19, 2024
11 - New Albany Past Performance Questionaire Form for VA REV.pdf	PDF	Jul 19, 2024
10 - New Albany VA Form 10091 - FSC Vendor File Request Form.pdf	PDF	Jul 19, 2024
17 - New Albany GSA Form 12000 for Prelease Fire Protection and Life Safety Evaluation for an Office Building.pdf	PDF	Jul 19, 2024
02C - New Albany Appendix A2 - Lease Design Narrative LDN.pdf	PDF	Jul 19, 2024
18 - New Albany Certification of Building Energy Performance.pdf	PDF	Jul 19, 2024
02A - New Albany Appendix A - Program for Design PFD.pdf	PDF	Jul 19, 2024
05 - New Albany Offering Entity Acknowledgement Form.pdf	PDF	Jul 19, 2024
06 - New Albany Offeror Proposal Compliance Matrix.pdf	PDF	Jul 19, 2024
02 - New Albany ASR Cover Page.pdf	PDF	Jul 19, 2024
02G - New Albany Appendix A5 - FSL II REV 01.pdf	PDF	Jul 19, 2024
04 - New Albany Appendix B - VA Janitorial and Site Management Services.pdf	PDF	Jul 19, 2024
21 - New Albany Seismic Offer Forms.pdf	PDF	Jul 19, 2024
15 - New Albany GSA Form 3516 Solicitation Provisions.pdf	PDF	Jul 19, 2024
0 - New Albany IN - R100.pdf	PDF	Jul 19, 2024
15A - New Albany Provision Addendum to GSA Template 3516 3516A - SOLICITATION PROVISIONS.pdf	PDF	Jul 19, 2024
09 - New Albany GSA Form 1217 - Lessors Annual Cost Statement.pdf	PDF	Jul 19, 2024
16 - New Albany GSA Form 3517B - General Clauses.pdf	PDF	Jul 19, 2024

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Att #1 to 1364

Department of Veterans Affairs

New Albany, IN - OPC
RLP #36C10F24R0055
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):	New Albany, IN - 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):	New Albany, IN - 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 Jul 19, 2024.