08 RLP 36C10F23R0095 Attachment No 1 to GSA Form 1364 Allentown PA CBOC.xlsx

GSA Form XLSX spreadsheet 26 KB Posted Nov 9, 2023

Attached to: X1DB--Allentown PA OPC - RLP Extension - Electric Vehicle Supply Equipment -EVSE- Requirements
Solicitation number: 36C10F23R0095
Issued by: Department of Veterans Affairs Office of Construction and Facilities Management

About this file

Written by GovTribe AI · Dec 20, 2023

This document is an attachment to a solicitation for a Community Based Outpatient Clinic in Allentown, Pennsylvania. Offerors are to populate cells in the provided template with building details such as total rentable and ABOA square footage, common area factor, parking spaces, land acquisition and annual operating costs. The template also requires lump sum costs for tenant improvements. Offerors must provide annual shell rental rates and fully serviced ABOA rental rates for both a 15-year and 20-year firm lease term. The solicitation is being conducted by the Department of Veterans Affairs Office of Construction and Facilities Management under solicitation number 36C10F23R0095.

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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

Show all 20

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
36C10F23R0095 - Allentown PA OPC - RLP Amendment 05 - 01.18.2023.pdf	PDF	Jan 18, 2024
36C10F23R0095 0005.docx	DOCX document	Jan 18, 2024
26 RLP 36C10F23R0095 Allentown Electric Vehicle Supply Equipment -EVSE- Requirements.pdf	PDF	Jan 18, 2024
36C10F23R0095 - Allentown PA OPC - RLP Amendment 04 - GSA Form 3517B _ General Clauses_Dec 23.pdf	PDF	Jan 4, 2024
36C10F23R0095 - Allentown PA OPC - RLP Amendment 04 - 01.04.2024.pdf	PDF	Jan 4, 2024
36C10F23R0095 0004.docx	DOCX document	Jan 4, 2024
36C10F23R0095 - Allentown PA OPC - RLP Amendment 04 - GSA Form 3516 _ Solicitation Provisions_Dec 23.pdf	PDF	Jan 4, 2024
36C10F23R0095 - Allentown PA OPC - RLP Amendment 3 - GSA Form 3516 _ Solicitation Provisions_Dec 23.pdf	PDF	Jan 4, 2024
36C10F23R0095 - Allentown PA OPC - RLP Amendment 3 - GSA Form 3517B - General Clauses_Dec 23.pdf	PDF	Jan 4, 2024
36C10F23R0095 0003.docx	DOCX document	Jan 4, 2024
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 -02G - Facility Security Level Req for FSL II _REV_ Dec 23.pdf	PDF	Dec 15, 2023
36C10F23R0095 0002.docx	DOCX document	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 - MRI Block Diagram-Example Only.pdf	PDF	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 - Pre-Bid Q_A Matrix 12.15.2023.pdf	PDF	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 - Pre-Bid Meeting Transcript.pdf	PDF	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 - Pre Bid Conference Presentation.pdf	PDF	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 - Pre Bid Conference Attendance Roster.pdf	PDF	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 - 12.15.2023.pdf	PDF	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment 2 - 02D - App A.3 - Room Data Matrix_RDM - REV_ Dec 23.pdf	PDF	Dec 15, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment No 1 11.27.23.pdf	PDF	Nov 27, 2023
36C10F23R0095 0001.docx	DOCX document	Nov 27, 2023
36C10F23R0095 - Allentown PA OPC - RLP Amendment No 1 - Past Performance Questionnaire Form - Rev Nov 23.pdf	PDF	Nov 27, 2023
01 RLP 36C10F23R0095 Lease Allentown PA CBOC.pdf	PDF	Nov 9, 2023
13 RLP 36C10F23R0095 GSA Form 527 Contractors Qualifications and Financial Information Allentown PA CBOC.pdf	PDF	Nov 9, 2023
03 RLP 36C10F23R0095 Appendix A_6 Conceptual Floor Plans Allentown PA CBOC.pdf	PDF	Nov 9, 2023
02C RLP 36C10F23R0095 Appendix A_2 Lease Design Narrative LDN Allentown PA CBOC.pdf	PDF	Nov 9, 2023
02E RLP 36C10F23R0095 Appendix A_4 VA CBOC Information Transport Systems Specs Allentown PA CBOC.pdf	PDF	Nov 9, 2023
06 RLP 36C10F23R0095 Offeror Proposal Compliance Matrix Allentown PA CBOC.pdf	PDF	Nov 9, 2023
25 RLP 36C10F23R0095 Contractor Confidentiality Certificate Allentown PA CBOC.pdf	PDF	Nov 9, 2023
02D RLP 36C10F23R0095 Appendix A_3 Room Data Matrix RDM Allentown PA CBOC.pdf	PDF	Nov 9, 2023
02B RLP 36C10F23R0095 Appendix A_1 Project Room Contents List PRC Allentown PA CBOC.pdf	PDF	Nov 9, 2023
05 RLP 36C10F23R0095 Offering Entity Acknowledgement Form Allentown PA CBOC.pdf	PDF	Nov 9, 2023
0 RLP 36C10F23R0095 RLP Allentown PA CBOC.pdf	PDF	Nov 9, 2023
18 RLP 36C10F23R0095 Certification of Building Energy Performance Allentown PA CBOC.pdf	PDF	Nov 9, 2023
16 RLP 36C10F23R0095 GSA Form 3517B General Clauses Allentown PA CBOC.pdf	PDF	Nov 9, 2023
21 RLP 36C10F23R0095 Seismic Offer Forms Allentown PA CBOC.pdf	PDF	Nov 9, 2023
11 RLP 36C10F23R0095 Past Performance Questionnaire Allentown PA CBOC.pdf	PDF	Nov 9, 2023
15 RLP 36C10F23R0095 GSA Form 3516 Solicitation Provisions Allentown PA CBOC.pdf	PDF	Nov 9, 2023
09 RLP 36C10F23R0095 GSA Form 1217 Lessor_s Annual Cost Statement Allentown PA CBOC.pdf	PDF	Nov 9, 2023
04 RLP 36C10F23R0095 Appendix B VA Janitorial and Site Management Services Allentown PA CBOC.pdf	PDF	Nov 9, 2023
02 RLP 36C10F23R0095 Cover Page for Agency Specific Requirements ASR Allentown PA CBOC.pdf	PDF	Nov 9, 2023
23 RLP 36C10F23R0095 Pre Bid Conference Registration Form Allentown PA CBOC.pdf	PDF	Nov 9, 2023
12 RLP 36C10F23R0095 SF 330 Architect Engineer Qualifications Allentown PA CBOC.pdf	PDF	Nov 9, 2023
19 RLP 36C10F23R0095 DOL Lehigh County Wage Determination Allentown PA CBOC.pdf	PDF	Nov 9, 2023
02G RLP 36C10F23R0095 Appendix A_5 FSL II Allentown PA CBOC.pdf	PDF	Nov 9, 2023
07 RLP 36C10F23R0095 Proposal to Lease Space GSA Form 1364 Allentown PA CBOC.pdf	PDF	Nov 9, 2023
20 RLP 36C10F23R0095 FAR 52_204_24 Representation Regarding Certain Telecom Allentown PA CBOC.pdf	PDF	Nov 9, 2023
14 RLP 36C10F23R0095 VA Handbook 6500_6 Allentown PA CBOC.pdf	PDF	Nov 9, 2023
10 RLP 36C10F23R0095 VA Form 10091 FSC Vendor File Request Form Allentown PA CBOC.pdf	PDF	Nov 9, 2023
17 RLP 36C10F23R0095 GSA Form 12000 for Prelease Fire Protection and Life Safety Evaluation for an Office Building Allentown PA CBOC.pdf	PDF	Nov 9, 2023

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Instructions

Department of Veterans Affairs

Community Based Outpatient Clinic - Allentown, PA

RLP No. 36C10F23Q0047

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

Community Based Outpatient Clinic, Allentown, PA

RLP No. 36C10F23Q0047

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:			%

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 Nov 9, 2023.