small_Revised_3626.docx

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U.S. GOVERNMENT LEASE FOR REAL PROPERTY

(Short Form)

1.LEASE NUMBER

PART I - OFFER (Offeror completes Section A, C and D; Government shall complete Section B)

NOTE: All offers are subject to the terms and conditions outlined in Request for Lease Proposals No. , Supplemental Lease Requirements document, General Clauses (GSA Form 3517A), and any other attachments included herein.

A. LOCATION AND DESCRIPTION OF PREMISES OFFERED FOR LEASE BY GOVERNMENT

1.NAME AND ADDRESS OF BUILDING (Include nine-digit ZIP Code)
2. LOCATION(S) IN BUILDING
2a.FLOOR(S)
2b.ROOM NUMBER(S)
2eNUMBER OF PARKING SPACES OFFERED
STRUCTURED
SURFACE

ANNUAL PARKING RATES (IF NOT INCLUDED IN RATES UNDER PART C BELOW)

STRUCTURED/space
SURFACE/space
2c.SQ. FT.
RENTABLE
ABOA
Common Area Factor
2d.TYPE
|_|GENERAL OFFICE
|_|WAREHOUSE
|_|OTHER (Specify)

B. TERM

3a. To Have and To Hold the said Premises with its appurtenances for the term beginning upon acceptance of the Premises as required by this Lease and continuing for a period of Years, Years Option, subject to termination and renewal rights as may be hereinafter set forth. The Government may terminate this lease at any time by giving at least 120 day notice in writing to the Lessor. The commencement date of this Lease, along with any applicable termination and renewal rights, shall be more specifically set forth in a Lease Amendment upon substantial completion and acceptance of the Space by the Government.

3b. This Lease may be renewed at the option of the Government for a term of YEARS at the rental rate(s) set forth below, provided notice is given to the Lessor at least 1 days before the end of the original Lease term; all other terms and conditions of this Lease, as same may have been amended, shall remain in full force and effect during any renewal term.

C. RENTAL

4. Rent shall be payable in arrears and will be due on the first workday of each month. When the date for commencement of the lease falls after the 15th day of the month, the initial rental payment shall be due on the first workday of the second month following the commencement date. Rent for a period of less than a month shall be prorated. Rent shall not be adjusted for changes in real estate taxes or operating costs.

5a. AMOUNT OF ANNUAL RENT 5b. RATE PER MONTH

RENTAL RATE BREAKDOWN
FIRM TERM = 120 days

($/RSF/YEAR)

NON-FIRM TERM

($/RSF/YEAR)

RENEWAL TERM

($/RSF/YEAR)

6. BUILDING SHELL RENT

(INCL. REAL ESTATE TAXES)

6a. $

6b. Same as 6a
6c. $
7. OPERATING RENT
7a. $
7b. Same as 7a
7b. Same as 7a

8. TURNKEY TENANT

IMPROVEMENT RENT

(See blocks 11 and 12 below for additional breakdown of cost and amortization rate ) 8a. $

8b. $0.00
8c. $0.00
9. BUILDING SPECIFIC AMORTIZED CAPITAL (IF APPLICABLE)
9a. $
9b. $0.00
9c. $0.00
10. TOTAL RENT
10a. $
10b. $
10c. $

11. TENANT IMPROVEMENT COSTS

12. INTEREST RATE TO AMORTIZE TENANT IMPROVEMENTS

13. HVAC OVERTIME RATE PER HOUR
14. ADJUSTMENT FOR VACANT PREMISES RATE ($/ABOA SF/YEAR)

D. OWNER IDENTIFICATION AND CERTIFICATION

15. RECORDED OWNER

15a. Name 15b. DUNS Number

15c. Address 15d. City 15e. State 15f. ZIP + 4

16. BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY HEREIN SPECIFIED DATE, TO LEASE TO THE UNITED STATES OF AMERICA, THE PREMISES DESCRIBED, UPON THE TERMS AND CONDITIONS AS SPECIFIED HEREIN, IN FULL COMPLIANCE WITH AND ACCEPTANCE OF THE AFOREMENTIONED RLP, WITH ATTACHMENTS.

|_| I have read the RLP with attachments in its entirety and am requesting no deviations

17. OFFEROR’S INTEREST IN PROPERTY
|_|OWNER|_|AUTHORIZED AGENT |_| OTHER (Specify)

18. OFFEROR |_| Check if same as Recorded Owner

18a. NAME 18b. ADDRESS 18c. CITY 18d. STATE 18e. ZIP + 4

18f. Title 18g. E-mail address 18h. Telephone Number

18i. OFFEROR’S SIGNATURE

18j. DATE SIGNED

PART II - AWARD (To be completed by Government)

1. Your offer is hereby accepted. This award consummates the lease which consists of the following attached documents: (a) this GSA Form 3626, (b) Supplemental Lease Requirements, (c) Security Requirements, (d) Agency Specific Requirements, (e) Floor Plan delineating the Premises, (f) GSA Form 3517A, General Clauses (Acquisition of Leasehold Interests in Real Property $150,000 or Less), and (g) the following building improvements, changes or additions made or agreed to by you (for example, energy efficiency and conservation improvements, ABAAS upgrades, Seismic Form C - Building Retrofit or New Construction PreAward Commitment (if applicable)):

In the event of a holdover past the term of the lease the tenancy shall continue on a month-to-month basis at the same rental rate in effect at the time of the lease’s expiration and all terms and conditions of the lease shall continue in full force and effect. Any claims by the Lessor resulting from the holdover shall be handled through the process established in the Contract Disputes Act of 1978 (41 U.S.C. 611), and the tenancy shall continue throughout the resolution of the dispute.

2. THIS DOCUMENT IS NOT BINDING ON THE GOVERNMENT OF THE UNITED STATES OF AMERICA UNLESS SIGNED BELOW BY AUTHORIZED LEASE CONTRACTING OFFICER.

3a. NAME OF LEASE CONTRACTING OFFICER (Type or Print) 3b. SIGNATURE OF LEASE CONTRACTING OFFICER

3c. DATE

GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV 08/16)

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