gsa_Form1364A_10_17.docx

GSA Form DOCX document 27 KB Posted

Attached to
Office Space
Solicitation number
18-20
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GSA 1364

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Other versions and copies of GSA Form 1364A

25 government files on GovTribe name GSA Form 1364A. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File Revision Posted Attached to
Exhibit_B-GSA_Form_1364A-Simplified_Proposal_to_Lease_Space_for_La_Grande _09Aug2013.pdf Aug 9, 2013 USDA Requires Approximately 2, 850-3, 000 ABOA SF of Leased Space in La Grande, Oregon
Exhibit_C-GSA_Form_1364A-1 _Simplified_Proposal_To_Lease_Space_Data_Sheet_for_La_Grande _OR _09Aug2013.pdf Aug 9, 2013 USDA Requires Approximately 2, 850-3, 000 ABOA SF of Leased Space in La Grande, Oregon
GSA_FORM_1364A_(7-19-2012).pdf Jul 19, 2012 5 YEAR LEASE WITH 5 YEAR OPTION
GSA_FORM_1364A_(7-19-2012).pdf Jul 19, 2012 OFFICE SPACE LEASE
Pt 08B(1)--GSA Form 1364A - Dec 2004.doc Dec 2004 TRAVERSE CITY, MI CBOC Clarification #1
EXHIBIT - E - GSA FORM 1364A.pdf Revision not stated X1DB--Lease: Replacement Lease for Sebring CBOC
Exhibit A GSA FORM 1364A.pdf Revision not stated X1AA--New Replace Childress Clinic Lease
Exhibit B GSA FORM 1364A-1.pdf Revision not stated X1AA--New Replace Childress Clinic Lease
Exhibit A GSA FORM 1364A.pdf Revision not stated X1DB--Time extension
Exhibit B GSA FORM 1364A-1.pdf Revision not stated X1DB--Time extension
S02_Exhibit_G_-__Lease_Proposal_Data_(GSA_FORM_1364A).pdf Revision not stated Everett CBOC
F-GSA_Form_1364A_10_18.pdf Revision not stated Evanston CBOC- Succeeding Lease
G-GSA_Form_1364A-1.pdf Revision not stated Evanston CBOC- Succeeding Lease
gsa_Form1364A_10_17.docx Same revision and size as this file Revision not stated OFFICE SPACE
gsa_Form1364A_10_17.docx Same revision and size as this file Revision not stated OFFICE SPACE
GSA_FORM_1364A.pdf Revision not stated Request for Lease Proposal- Office Space located in Mineral County, WV
GSA_Form_1364A-1.pdf Revision not stated Request for Lease Proposal- Office Space located in Mineral County, WV
EXHIBIT E GSA FORM 1364A-1.pdf Revision not stated Lease Office Space in Holdrege Nebraska
EXHIBIT B GSA FORM 1364A-1.PDF Revision not stated Lease Office Space in West Point
EXHIBIT A GSA FORM 1364A WEST POINT.pdf Revision not stated Lease Office Space in West Point
Show all 20

Who attaches GSA Form 1364A

Agency Files
Department of Agriculture National Resources Conservation Service 8
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17 4
Department of Agriculture Under Secretary for Farm Production and Conservation 3
Department of Agriculture National Resources Conservation Service Headquarters 2
Department of Agriculture Rural Housing Service Oregon State Office 2
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12 2
Department of Veterans Affairs Headquarters 1
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20 1

Other files

File Type Posted
GSA_Form_3518_-_SAM_Addendum_(All_leases_excluding_diaster_or_emergency_leases).pdf PDF
gsa12000-low_rise.pdf PDF
mt_vernon_Global_RLP_Form_R100_9_15.docx DOCX document
GSA_1217.pdf PDF

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EXHIBIT A TO LEASE NUMBER GS-XXP-LXXXXXXX

GSA FORM 1364A

SIMPLIFIED LEASE PROPOSAL

REQUEST FOR LEASE PROPOSALS NUMBER

XXXXXXX

DATE:

SECTION I – BUILDING INFORMATION

1
A. BUILDING NAME
2
NUMBER OF FLOORS
6
TOTAL PARKING FOR BUILDING

STRUCTURE: SURFACE:

B. BUILDING STREET ADDRESS

3
LIVE FLOOR LOAD

(LBS / SQ FT)

7
CONSTRUCTION TYPE

C. CITY

D. STATE

4
TOTAL RENTABLE AREA (SQ FT)
8
A. BUILDING BUSINESS HOURS (MON – FRI)

E. 9-DIGIT ZIP CODE

F. CONGR. DISTRICT

5
BUILDING AGE (YRS)

B. BUILDING BUSINESS HOURS (SAT – SUN)

SECTION II – SPACE OFFERED AND RATES

9
FLOOR

LOCATION

SUITE NUMBER
ANSI/BOMA SQ FT
TYPE OF SPACE
FLOOR LOCATION
SUITE NUMBER
ANSI/BOMA SQ FT
TYPE OF SPACE
TYPE OF SPACE
ANSI/

BOMA

AREA

(SQ FT)

A

COMMON AREA FACTOR

B

RENTABLE

SQ FT

(RSF)

A x B = C

FIRM TERM
NON-FIRM TERM
OPTION TERM

RENTAL RATE

PER RSF/YR

D

ANNUAL RENT

C x D = E

RENTAL RATE

(PER RSF/YR)

F

ANNUAL RENT

C x F = G

RENTAL RATE

(PER RSF/YR)

H

ANNUAL RENT

C x H = I

10
OFFICE
$
$
$
$
$
$
11
OTHER
$
$
$
$
$
$
12
TOTAL
13
COMPOSITE ABOA PER SQ FT RATES
12E ÷ 12A = 13A
$
12G ÷ 12A = 13B
$
12I ÷ 12A = 13C
$
14
A. RATE ADJUSTMENT FOR VACANT SPACE: $_______/ ABOA SF
B. FREE RENT INCLUDED IN OFFER
|_| 1.______ months free rent (includes shell, operating, TI and BSAC rent)
|_| 2.Other rental concessions structured as follows ______
|_| 3.None
15
A. HOURLY RATE FOR OVERTIME HVAC:

Zone $_____ Floor $ ______ Entire space $_____ B. AREAS REQUIRING 24 HOUR HVAC (LAN, ETC.) $________per ABOA SF* *Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent, as described under Section 6 of the Lease.

16
NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT:
A. STRUCTURED:
C. SURFACE:
CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT):
B. STRUCTURED: $ / MO
D. SURFACE: $ / MO
17
RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING
INCLUDED NOT INCLUDED

SECTION III – OWNER/OFFEROR INFORMATION

18
A. OFFEROR

(NAME AND COMPLETE MAILING ADDRESS)

B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)

(NAME AND COMPLETE MAILING ADDRESS)

19
TELEPHONE NUMBER

EMAIL ADDRESS

21
OFFEROR'S FORM OF BUSINESS: INDIVIDUAL PARTNERSHIP CORPORATION – SPECIFY STATE:

SECTION IV – OFFER

22
RLP AMENDMENTS ACKNOWLEDGED (INITIAL)
NO. 1
NO. 2
NO. 3
NO. 4
NO. 5
23
On behalf of the Offeror, the undersigned offers to lease to the Government the Premises described in Sections I and II, together with all other rights indicated therein, at the rental and other rates stated, on the terms and conditions set forth in the referenced Request for Lease Proposals and this Proposal. This Offer shall remain open for a period of 60 days.

A. SIGNATURE

B. NAME
C. TITLE
D. DUNS NUMBER
E. DATE

EXHIBIT A TO LEASE NO. GS-XXX-XXXXX

SECTION V – PROPOSED ADDITIONAL TERMS, CONDITIONS

24
OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS REQUIRED IN THE LEASE:
25
ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:

Lessor _______ Government:_______ GSA FORM 1364A (REV 10/17)

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