RLP package 2NE0082 FBI Grand Island Redacted.pdf

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PRELEASE

FIRE PROTECTION AND LIFE SAFETY EVALUATION FOR AN OFFICE BUILDING

GENERAL SERVICES ADMINISTRATION PAGE 1 of 6 GSA FORM 12000 (May 2015)

The prelease form contains two parts that must be completed depending on which floor the proposed offered space is located within a building. Part A must be completed when an offered space is located below the 6th floor of a building.

Part A shall be completed by the Offeror or their authorized representative. Part B must be completed when an offered space is located on or above the 6th floor of a building. Part B shall be completed by a professional engineer. The Fundamental Code Requirements apply to Part A and Part B.

Fundamental Code Requirements

a. The offered building shall be evaluated for compliance with the most recent edition of the building and fire code adopted by the jurisdiction in which the building is located; with the exception that the technical egress requirements of the building shall be evaluated based on the egress requirements of the most recent edition of the National Fire Protection Association (NFPA) 101, Life Safety Code. (Note: a building with a Certificate of Occupancy indicating that a building fully complies with the International Building Code shall be deemed to comply with this requirement.) All areas that do not meet the above stated criteria shall be identified as to the extent that they do comply.

b. A fire escape located on the floor(s) where the offered space is located shall not be counted as an approved exit stair.

c. An interlocking or scissor stair located on the floor(s) where the offered space is located shall only count as one exit stair.

d. The number of floors used to determine when Part A or Part B is applicable is based on counting the number of floors starting from the street floor.

LNE00569

GENERAL SERVICES ADMINISTRATION PAGE 2 of 6 GSA FORM 12000 (May 2015)

PART A

The Offeror or their representative shall complete Part A. Part A consists of a series of short answer and yes/no/not applicable questions related to general building information and fire protection and life safety systems. Upon completion of Part A, the Offeror must sign and date the “Offeror’s Statement”. Part A is applicable to offered space located below the 6th floor of the building.

I. BUILDING ADDRESS

Building Name:

Building Address:

City:

State:

9-Digit Zip Code:

II. GENERAL BUILDING INFORMATION

a. Identify each floor on which space is offered and the square footage of space on each floor offered to Government:

Floor Sq. Ft. Per Floor

b. Identify the total number of floors in the building starting at the street floor:

c. Identify the total number of floors in the building below the street floor:

d. Identify which floor(s) in the building permit reentry from the exit stair enclosure to the interior of the building:

III. OTHER USES IN BUILDING (Check All That Apply) Restaurants Laboratories Storage Retail

Parking Garage

Other (list)

IV. AUTOMATIC FIRE SPRINKLER SYSTEM

Please Check YES, NO, or N/A to the following questions: YES NO N/A

a. Is an automatic fire sprinkler system installed throughout the building?

b. If automatic fire sprinklers are installed within the building, is the automatic fire sprinkler system maintained in accordance with the applicable local codes or NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems?

V. FIRE ALARM SYSTEM

Please Check YES, NO, N/A to the following questions: YES NO N/A

a. Is a fire alarm system installed in the building?

b. Is an emergency voice/alarm communication system installed in the building?

c. If a fire alarm system is installed in the building, are audible devices (e.g., horns, bells, speakers, etc.)

installed on the floor in which the offered space is located in the building?

d. If a fire alarm system is installed in the building, are strobe devices installed on the floor in which the offered space is located in the building?

e. If a fire alarm system is installed in the building, is the fire alarm system over 25 years old?

f. If a fire alarm system is installed in the building, does the operation of the fire alarm system automatically notify the local fire department via any of the following means: directly to the local fire department, to the (911) public communications center, to a central station, to a remote supervising station, or to a proprietary supervising station?

g. If a fire alarm system is installed in the building, is the fire alarm system maintained in accordance with the applicable local codes or NFPA 72, National Fire Alarm and Signaling Code?

GENERAL SERVICES ADMINISTRATION PAGE 3 of 6 GSA FORM 12000 (May 2015)

VI. EXIT SIGNS & EMERGENCY LIGHTING

a. Are exit signs installed in the paths of egress travel to the exit stairs or exits?

b. Is emergency lighting installed in the paths of egress travel to the exit stairs or exits?

c. If an emergency lighting system is installed in the building, is the emergency lighting system arranged to provide illumination automatically in the event of any interruption of the building’s normal lighting system?

VII. ELEVATORS

Are elevators installed in the building?

If elevators are installed in the building, are the elevator cars equipped with a telephone or another two-way communication system?

If elevators are installed in the building, are the elevators recalled by smoke detectors located in the elevator lobbies and elevator machine rooms?

VIII. ADDITONAL INFORMATION

OFFEROR’S STATEMENT

I hereby attest that the above information is complete and accurate to the best of my knowledge.

Signature: Date:

Printed Name:

Title:

Name of Firm:

GENERAL SERVICES ADMINISTRATION PAGE 4 of 6 GSA FORM 12000 (May 2015)

PART B

The Offeror’s professional engineer shall complete Part B when an offered space is located on the 6th floor or higher of a building. Part B consists of a detailed narrative report based on an evaluation of the entire building that also includes a walk-through of the building and the review of the preventive maintenance records of the building’s fire alarm system and automatic fire sprinkler system. The fire protection engineer shall prepare a detailed narrative report. The detailed narrative report shall address at a minimum the items noted below as they apply to the offered space in the building, with specific attention to fire safety conditions that affect the floor(s) where the offered space to the Government is located, including those floors located below the offered space. In addition, the detailed narrative report shall include all deficiencies that do not meet the specified criteria (see Fundamental Code Requirements), the associated code reference(s), as well as any recommended corrective action(s).

NOTES:

a. The professional engineer must be licensed as a fire protection engineer in the same State in which the subject building is located unless the subject State does not formally recognize fire protection engineering. In such cases, GSA will accept the services of any professional engineer in the subject State provided the professional engineer is also recognized as a fire protection engineer in any other U.S. State or Territory.

b. Upon completion of Part B, the Offeror’s fire protection engineer must sign and date the “Fire Protection Engineer Statement.”

c. Upon completion of Part B, the Offeror must sign and date the “Offeror’s “Statement of Correction.”

d. The accepted GSA Form 12000, Part B is valid for a time period of 5 years from the noted date on the completed and accepted Part B.

This acceptance is conditional in that no major modifications or construction has occurred associated with the building.

The detailed narrative report shall address at a minimum the items noted below as they apply to the offered space in the building.

1. General Information.

a. Identify all current citations or violations noted by the local jurisdiction regarding the building.

b. Provide digital pictures of the building. Include exterior views showing the front of the building and all sides of the building.

c. Identify the number of floors in the building (above and below grade).

d. Identify the approximate gross square footage per floor in the building.

e. Identify the gross square footage and associated floor of offered space proposed to the Government to occupy.

f. Identify by location and describe hazardous/significant fuel load areas (greater than normal for the type of occupancy).

g. Identify and describe potential fire ignition sources in hazardous/significant fuel load areas in the building.

2. Occupancy Classifications.

a. Identify all the different types of occupancies and particular uses on each floor of the subject building. For example, include retail, restaurants, mechanical equipment areas, storage areas, inside parking areas, etc.

3. Building Construction.

a. Identify the building construction type.

4. Vertical Openings.

a. Identify by location and describe the enclosure of vertical openings through floors, such as stairways, atriums, hoistways for elevators, escalators, and shafts.

b. Identify any deficiencies in the rated vertical enclosures that affect the integrity of the enclosure.

5. Means of Egress.

a. Identify the number of enclosed exit stairs on each floor of the building.

b. For each exit stair, describe:

i. The clear width of each stair tread and location of measurement.

ii. The egress capacity of each exit stair.

iii. The location of where each exit stair discharges.

iv. Identify and describe the operation and application of the exit stair re-entry provisions to the interior of the building, if provided.

GENERAL SERVICES ADMINISTRATION PAGE 5 of 6 GSA FORM 12000 (May 2015)

v. Any penetrations into and openings through each exit stair enclosure assembly.

vi. Any headroom obstruction within each exit stair enclosure.

vii. If any exit stair has been compromised in such a way to have the potential to interfere with its use as an exit; and

viii. The exit stair remoteness arrangement.

ix. Identify and describe if all exit stair doors are self-closing and self-latching.

c. Identify and describe all exit doors that do not swing in the direction of exit travel.

d. Identify and describe if all fire doors are in proper working order. Provide location of noted fire door and purpose.

e. Identify by floor and describe any concerns regarding the exit access system (i.e., corridor or open plan office concept), as it applies to the proposed offered space.

f. Identify by location and describe any concern regarding the exit signage within the building.

g. Describe the building’s emergency lighting system.

h. Identify and describe if emergency power is provided within the building.

i. If emergency power for life safety systems is provided by generator(s) or UPS systems describe if they are tested and maintained in accordance with NFPA 110, Standard for Emergency and Standby Power Systems or NFPA 111, Standard on Stored Electrical Energy Emergency and Standby Power Systems as applicable. If not complying with the applicable NFPA Standards; identify and evaluate the procedures being used.

6. Automatic Fire Suppression Systems.

a. Identify and describe if the building is protected or not protected throughout by an automatic fire sprinkler system. If the building is not protected throughout by an automatic fire sprinkler system, identify those areas of the building where partial fire sprinkler protection is provided.

b. Identify and describe the different types of automatic fire sprinkler systems (e.g., dry, wet, pre-action, etc.) that are installed within the building and their respective locations.

c. Identify and describe any other fire suppression systems installed within the building.

d. Identify and describe the types of standpipes installed in the building.

e. If automatic fire sprinkler systems are installed in the building, describe if they are tested and maintained in accordance with the applicable local codes or NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems. If not complying with the applicable NFPA Standards; identify and evaluate the procedures being used. If not complying with the applicable NFPA Standard; identify and evaluate the procedures being used.

7. Fire Alarm System.

a. Identify and describe the fire alarm system, as a minimum, the date of installation, type, manufacturer and model, and components such as manual pull stations, etc.

b. Describe if the fire alarm system automatically notifies the local fire department via any of the following means: directly to the local fire department, to the (911) public communications center, to a central station, to a remote supervising station, or to a proprietary supervising station.

c. Describe in detail the operation of the fire alarm system, including if it has emergency voice/alarm communication capabilities.

d. Describe if the fire alarm system is tested and maintained in accordance with NFPA 72, National Fire Alarm and Signaling Code. If not complying with the applicable NFPA Standard; identify and evaluate the procedures being used.

8. Elevators.

a. Verify the elevators have a current certificate (date of inspection) of elevator inspection from the local jurisdiction.

b. Identify and describe the emergency recall operation features of the elevators. Describe all differences with the requirements of

ASME/A17.1, Safety Code for Elevators and Escalators, Phase I Emergency Recall Operation requirements.

c. Identify and describe the emergency in car operation features of the elevators. Describe all differences with the requirements of

ASME/A17.1, Safety Code for Elevators and Escalators, Phase II Emergency In-Car Operation requirements.

d. Identify and describe if the elevators are equipped with telephones or other two-way emergency signaling systems connected to an emergency communication location staffed 24 hours per day, 7 days per week.

GENERAL SERVICES ADMINISTRATION PAGE 6 of 6 GSA FORM 12000 (May 2015)

STATEMENT OF FIRE PROTECTION ENGINEER

I hereby attest that I have performed a full assessment of the subject premises; and that the above information is complete and accurate to the best of my knowledge. I have initialed at the bottom of each page. My official seal, professional license information, and signature are affixed below.

I have included findings, recommended corrective action(s), and made specific references to the applicable code sections as an attachment to this report. Such findings specifically identify instances where the building does not comply with the specified criteria, and recommendations have been made in order to rectify the situation and assure substantial compliance of the building to all applicable criteria.

(If no deficiencies were identified, during the evaluation, please explicitly state so in the findings and recommendations portion of the report.)

Name of Firm: Phone #: ( ) -

License Number:

Stamp Here:

OFFEROR’S STATEMENT OF CORRECTION

In the event any of the offered space does not meet the above criteria, the Offeror shall attest below that all work required to bring the offered space into full compliance with all applicable criteria will be completed at the Offeror's sole cost and expense prior to the Government's acceptance of the offered space under the terms of any prospective lease agreement.

NOTE: REPORTS SUBMITTED WITHOUT THE FPE’S FINDINGS, RECOMMENDED CORRECTIVE ACTIONS

AND CODE REFERENCES WILL BE RETURNED WITHOUT REVIEW BY THE GSA REGIONAL FIRE

PROTECTION ENGINEERING OFFICE.

Title:

Name of Firm:

Fundamental Code Requirements

a. The offered building shall be evaluated for compliance with the most recent edition of the building and fire code adopted by the jurisdiction in which the building is located; with the exception that the technical egress requirements of the buildin...

b. A fire escape located on the floor(s) where the offered space is located shall not be counted as an approved exit stair.

c. An interlocking or scissor stair located on the floor(s) where the offered space is located shall only count as one exit stair.

d. The number of floors used to determine when Part A or Part B is applicable is based on counting the number of floors starting from the street floor.

1. General Information.

a. Identify all current citations or violations noted by the local jurisdiction regarding the building.

b. Provide digital pictures of the building. Include exterior views showing the front of the building and all sides of the building.

c. Identify the number of floors in the building (above and below grade).

d. Identify the approximate gross square footage per floor in the building.

e. Identify the gross square footage and associated floor of offered space proposed to the Government to occupy.

f. Identify by location and describe hazardous/significant fuel load areas (greater than normal for the type of occupancy).

g. Identify and describe potential fire ignition sources in hazardous/significant fuel load areas in the building.

2. Occupancy Classifications.

a. Identify all the different types of occupancies and particular uses on each floor of the subject building. For example, include retail, restaurants, mechanical equipment areas, storage areas, inside parking areas, etc.

3. Building Construction.

a. Identify the building construction type.

4. Vertical Openings.

a. Identify by location and describe the enclosure of vertical openings through floors, such as stairways, atriums, hoistways for elevators, escalators, and shafts.

b. Identify any deficiencies in the rated vertical enclosures that affect the integrity of the enclosure.

5. Means of Egress.

a. Identify the number of enclosed exit stairs on each floor of the building.

b. For each exit stair, describe:

i. The clear width of each stair tread and location of measurement.

ii. The egress capacity of each exit stair.

iii. The location of where each exit stair discharges.

iv. Identify and describe the operation and application of the exit stair re-entry provisions to the interior of the building, if provided.

v. Any penetrations into and openings through each exit stair enclosure assembly.

vi. Any headroom obstruction within each exit stair enclosure.

vii. If any exit stair has been compromised in such a way to have the potential to interfere with its use as an exit; and

viii. The exit stair remoteness arrangement.

ix. Identify and describe if all exit stair doors are self-closing and self-latching.

c. Identify and describe all exit doors that do not swing in the direction of exit travel.

d. Identify and describe if all fire doors are in proper working order. Provide location of noted fire door and purpose.

e. Identify by floor and describe any concerns regarding the exit access system (i.e., corridor or open plan office concept), as it applies to the proposed offered space.

f. Identify by location and describe any concern regarding the exit signage within the building.

g. Describe the building’s emergency lighting system.

h. Identify and describe if emergency power is provided within the building.

i. If emergency power for life safety systems is provided by generator(s) or UPS systems describe if they are tested and maintained in accordance with NFPA 110, Standard for Emergency and Standby Power Systems or NFPA 111, Standard on Stored Electrica...

6. Automatic Fire Suppression Systems.

a. Identify and describe if the building is protected or not protected throughout by an automatic fire sprinkler system. If the building is not protected throughout by an automatic fire sprinkler system, identify those areas of the building where part...

b. Identify and describe the different types of automatic fire sprinkler systems (e.g., dry, wet, pre-action, etc.) that are installed within the building and their respective locations.

c. Identify and describe any other fire suppression systems installed within the building.

d. Identify and describe the types of standpipes installed in the building.

e. If automatic fire sprinkler systems are installed in the building, describe if they are tested and maintained in accordance with the applicable local codes or NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protec...

7. Fire Alarm System.

a. Identify and describe the fire alarm system, as a minimum, the date of installation, type, manufacturer and model, and components such as manual pull stations, etc.

b. Describe if the fire alarm system automatically notifies the local fire department via any of the following means: directly to the local fire department, to the (911) public communications center, to a central station, to a remote supervising stat...

c. Describe in detail the operation of the fire alarm system, including if it has emergency voice/alarm communication capabilities.

d. Describe if the fire alarm system is tested and maintained in accordance with NFPA 72, National Fire Alarm and Signaling Code. If not complying with the applicable NFPA Standard; identify and evaluate the procedures being used.

8. Elevators.

a. Verify the elevators have a current certificate (date of inspection) of elevator inspection from the local jurisdiction.

b. Identify and describe the emergency recall operation features of the elevators. Describe all differences with the requirements of ASME/A17.1, Safety Code for Elevators and Escalators, Phase I Emergency Recall Operation requirements.

c. Identify and describe the emergency in car operation features of the elevators. Describe all differences with the requirements of ASME/A17.1, Safety Code for Elevators and Escalators, Phase II Emergency In-Car Operation requirements.

d. Identify and describe if the elevators are equipped with telephones or other two-way emergency signaling systems connected to an emergency communication location staffed 24 hours per day, 7 days per week.

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PAGE

c. Amortization Interest Rate:

c. Amortization Interest Rate:

This Offer is in response to Request for Lease Proposals (RLP) Number:

SECTION I - BUILDING OVERVIEW

RENT TABLE

1. Building Name

13. Full Term of the Lease

16. Shell Rent

17. Operating Costs (Refer to Line 27 on the GSA 1217)

The initial Shell Rent is a total annual dollar amount of

18. Tenant Improvement (TI) Rent

d. Amortization Period in Months:

b. Total TI:

The Operating Cost base is a total annual dollar amount of

a. TI Allowance per ABOA SF:

(stated in RLP; leave blank for turnkey)

('a' above multiplied by offered ABOA SF or turnkey price)

Does the initial Shell Rent offered change during the term of the lease?

14. Firm Term of the Lease

9. ABOA SF of Offered Space

10. RSF of Offered Space

11. CAF of Offered Space

Y. Annual Rate $ Per RSF

Z. Annual Rate $ Per ABOA SF

X. Annual Rent

15. Number of Days Notice

12. Floor(s) and/or Suite(s) of Offered Space

3. City, State and 9-Digit ZIP Code

a. Total Surface

b. Total Structured

c. Is all the parking onsite?

d. Number of spaces required by local code, if applicable:

After the Firm Term, the Government may terminate the Lease by providing advanced written notice to the Lessor. Indicate the minimum number of days the Government must provide prior written notice by.

a. General Purpose/Office:

b. Warehouse:

c. Other:

5. Total Rentable Square Feet (RSF) in Building

Building Space Breakout

8. Total Building Parking Under Offeror's Control

7. Building Common Area Factor (CAF)

7. Building Common Area Factor (CAF)

6. Total ANSI/BOMA Occupant Area (ABOA) Square Feet (SF) in Building

4. Number of Floors in Building

2. Building Street Address

OMB Control Number: 3090-0086 Expiration Date: 1/31/2026

PROPOSAL TO LEASE SPACE

(See Paperwork Reduction Act Statement in Section V)

SECTION II - PRIMARY OFFER DETAILS

GENERAL SERVICES ADMINISTRATION

GSA 1364 (REV. 1/2023)

d. Amortization Period in Months:

b. Total BSAC:

('a' above multiplied by offered ABOA SF or total cost)

a. BSAC Amount per ABOA SF:

19. Building Specific Amortized Capital (BSAC) Rent

g. Reserved Structured:

h. Number of Spaces Offered:

f. Number of Spaces Offered:

e. Reserved Surface:

c. General Structured:

d. Number of Spaces Offered:

b. Number of Spaces Offered:

a. General Surface:

20. Parking Required by the RLP

21. Rent for Non-Standard Circumstances

The RLP requires a non-standard rental component applicable only under specific conditions outlined in the Lease called:

22. TOTAL INITIAL RENT

b. Lessor's Project Management fee will be:

Percent of Total Construction Costs

The RLP outlines how fees may apply. Fees are not applicable for turnkey pricing.

23. Fee Schedule

a. Architectural/Engineering fees will be (choose one):

(Parking spaces and associated costs offered to meet the requirements outlined in the RLP shall be detailed in Box 20).

Enter initial rental figures only. Scheduled step rents for Shell rent and Parking rates must be entered in Section VI, Addendum.

per space per month per space per month per space per month per space per month

(if stated in RLP)

SECTION III - ADDITIONAL FINANCIAL ASPECTS OF THE OFFER

24. Are you offering free rent?

25. Are you offering free space?

27. Commissions

If applicable, enter the commission distribution and ATTACH BROKER COMMISSION

AGREEMENT.

28. Adjustment for Vacant Premises

31. Heating, Ventilation, and Air Conditioning (HVAC) Overtime Rate

26. Are you offering renewal options?

a. If yes, enter the number of free months being offered.

a. If yes, how much free space, in addition to the space offered in Box 9 above, is being offered?

If yes, fill out 'Renewal Options' in Section VI, Addendum.

Explain complex tax parcel arrangements in Section VI, Addendum.

b. What rent components are included in the free rent?

a. RSF of Tax Parcel

b. Percent of Occupancy

b. Owner's Representative Commission

b. Select one of the options below:

c. Total Number of Zones, Floors, or Spaces

d. If the Government used 1 hour of overtime HVAC for the entire offered space, it would owe:

(Multiply 31a times 31c)

a. Tenant's Representative Commission

29. Adjustment for Reduced Services

30. Tax Parcel Percent of Government Occupancy a.

-PER-

GSA 1364 (REV. 1/2023)

rate per hour

SECTION IV - BUILDING AND PROPERTY INFORMATION

Total Land Costs:

The total approximate construction cost to achieve Lease shell standards is:

34. Select the approximate level of construction necessary to meet the building shell requirements:

33. Provide the year and a brief description of the last major building renovation, if applicable.

32. In what year was the original building construction completed and ready for initial occupancy?

(Choose one)

Land Site Size:

Sunday

Start

End

Saturday

Start

End

End

Start

Monday - Friday

35. What are the Building's normal hours of operations for HVAC included in the Operating Costs?

36. With regard to Fire Protection and Life Safety:

37. With regard to Accessibility (Architectural Barriers Act Accessibility Standard - ABAAS):

38. With regard to Asbestos-Containing Material (ACM): (Select all that apply)

39. With regard to Flood Plains:

or

40. With regard to Seismic Safety of the Building:

GSA 1364 (REV. 1/2023)

With regard to offerors falling into a statutory exception category above, the Offeror has evaluated energy efficiency and conservation improvements and has determined:

41. With regard to ENERGY STAR®:

42. With regard to Historic Preference:

a. Is the Building a Historic Property?

b. Is the Building within an Historic District?

43. With regard to Historically Underutilized Business Zones (HUBZone) Price Evaluation Preference:

SECTION V - OWNER IDENTIFICATION AND OFFEROR CERTIFICATION

46. City, State and 9-Digit ZIP Code

45. Owner Street Address

44. Recorded Owner Name

49. Offeror Street Address

48. Offeror Name

47. Unique Entity Identifier (UEI)

b. Telephone

a. Email

51. Contact Information

50. City, State and 9-Digit ZIP Code

52. Offeror's Interest in the Property

By signing this form, you acknowledge having read the RLP with attachments in its entirety. No deviations are allowed unless authorized by the Lease Contracting Officer (LCO).

By submitting this offer, the offeror agrees to lease the premises described within the offer to the United States of America upon the Lease Contracting Officer's acceptance of the offer. The offeror acknowledges they have read and fully understand the Request for Lease Proposals and agrees to honor the terms and conditions specified in their offer and to full compliance with and acceptance of the Request for Lease Proposals and its attachments.

53. Does your offer request any deviation from the RLP?

This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0086. We estimate that it will take 2.3 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

PAPERWORK REDUCTION ACT STATEMENT

SECTION VI - ADDENDUM

A. Step Rent

Shell Rent and Parking steps should be detailed if the initial amount stated in the Rent Table above does NOT remain the same for the full term of the Lease. Shell Rent step amounts should be stated in Annual Rent for the entire Leased space. Parking step rents should be stated as a dollar amount per space per month.

Rent Type

Beginning Year

Through Year

Amount Will Be ($)

Per

B. Renewal Options

Renewal Options are optional unless required by the RLP. Only renewal options that are required by the RLP will factor into the Government's financial analysis of the Offer.

Option Number

Duration in Years

Annual Shell Rate per RSF

Number of Days Notice to Exercise Option

C. Additional Tax Parcel Information

Is the offered space part of multiple tax bills or multiple buildings on a single tax parcel?

If 'YES', use the boxes below to account for the total number of buildings, associated RSF, and tax parcel associated with the overall space offered to the Government. Attach the legal description(s) of the offered property/properties as part of your overall RLP submission.

Building

Building RSF

Tax Parcel ID Number

Tax Parcel

D. Additional Remarks or Conditions with Respect to this Offer

Any deviations from the RLP requirements must be requested prior to the request for final proposal revisions. If the Offeror requests any deviations, GSA at its sole discretion will make the decision whether to accept the deviation.

GSA 1364 (REV. 1/2023)

11.0.0.20130303.1.892433.887364

GSA 1364 - Proposal to Lease Space

CurrentPage:

21x. If applicable, enter the Rent for Non-Standard Circumstances Annual Rent.:

21y. If applicable, Enter the Rent for Non-Standard Circumstances Annual Rate per RSF.:

21z. If applicable, enter the Rent for Non-Standard Circumstances Annual Rate per ABOA SF.:

Enter the Request for Lease Proposals (RLP) Number related to this offer.:

9. Enter the ABOA SF of Offered Space.:

13. Enter the Full Term of the Lease in Months.:

14. Enter the Firm Term of the Lease in Months.:

10. Enter the RSF of Offered Space.:

11. Enter the CAF of Offered Space.:

16x. Enter the Initial Shell Annual Rent.:

17x. Enter the Operating Costs Annual Rent.:

18x. Tenant Improvement Annual Rent (This field is auto-calculated).:

17y. Operating Costs Annual Rate per RSF (This field is auto-calculated).:

17z. Operating Costs Annual Rate per ABOA SF (This field is auto-calculated).:

18y. Tenant Improvement Annual Rate per RSF (This field is auto-calculated).:

18z. Tenant Improvement Annual Rate per ABOA SF (This field is auto-calculated).:

16z. Initial Shell Annual Rate per ABOA SF (This field is auto-calculated).:

16y. Initial Shell Annual Rate per RSF (This field is auto-calculated).:

Section 6 Addendum Part D, Enter additional Remarks or Conditions with Respect to this Offer.: Not Applicable

15. Enter the Number of Days Notice to terminate after the firm term.:

8a. Enter the Building Total Surface Parking Under Offeror's Control.:

8b. Enter the Building Total Structured Parking Under Offeror's Control. :

5c. Building Space Breakout: Enter the amount of Square Feet Not General Purpose, Office, or Warehouse.:

8d. Enter the number of parking spaces required by local code, if applicable.:

5a. Building Space Breakout: Enter the amount of General Purpose Office in Square Feet.:

5b. Building Space Breakout: Enter the amount of Warehouse in Square Feet.:

7. Enter the Building Common Area Factor (CAF).:

6. Enter the Total American National Standards Institute (ANSI)/Building Owners and Managers Association (BOMA) Occupant Area (ABOA) Square Feet (SF) in the Building.:

5. Enter the Total Rentable Square Feet (RSF) in the Building.: 0

8c. Click here to select, "Yes" the Building's reported parking is onsite.: 0

8c. Click here to select, "No" the Building's reported parking is NOT onsite.: 0

16. Click here to select, "No" the initial Shell Rent offered did NOT change during the term of the lease.: 0

16. Click here to select, "Yes" the initial Shell Rent offered change during the term of the lease.: 0

18a. Enter the Tenant Improvement Allowance per ABOA SF.:

18b. Enter the Total Tenant Improvement Amount.:

18d. Enter the Tenant Improvement Amortization Period in Months.:

19d. Enter the Building Specific Amortized Capital Amortization Period in Months.:

19z. Building Specific Amortized Capital Annual Rate per ABOA SF (This field is auto-calculated).:

19y. Building Specific Amortized Capital Annual Rate per RSF (This field is auto-calculated).:

19x. Building Specific Amortized Capital Annual Rent (This field is auto-calculated).:

20h. Enter the Number of Reserved Structured Spaces Offered.:

20f. Enter the Number of Reserved Surface Spaces Offered.:

20d. Enter the Number of General Structured Spaces Offered.:

20b. Enter the Number of General Surface Spaces Offered.:

20x. Parking Annual Rent (This field is auto-calculated).: 0.00000000

22z. Total Initial Annual Rate per ABOA SF (This field is auto-calculated).:

22y. Total Initial Annual Rate per RSF (This field is auto-calculated).:

23b. Enter the Lessor's Project Management Fee Percent of Total Construction Cost Amount.:

23a. If Architectural Engineering Fees will be a Flat Fee was selected, enter the Dollar Amount.:

23a. If Architectural Engineering Fees will be a dollar amount per ABOA SF was selected, enter the Dollar Amount. :

23a. If Architectural Engineering Fees will be a percent of total construction costs was selected, enter the Percent Amount.:

23a. Click here to select Architectural Engineering Fees will be a percent of total construction costs.: 0

23a. Click here to select Architectural Engineering Fees will be a dollar amount per ABOA SF.: 0

23a. Click here to select Architectural Engineering Fees will be a flat fee.: 0

20a. Enter the General Surface Parking Cost Per Space Per Month.:

20c. Enter the General Structured Parking Cost Per Space Per Month.:

20e. Enter the Reserved Surface Parking Cost Per Space Per Month.:

20g. Enter the Reserved Structured Parking Cost Per Space Per Month.:

19b. Enter the Total Building Specific Amortized Capital Amount.:

19a. Enter the Building Specific Amortized Capital Amount per ABOA SF.:

19c. Enter the Building Specific Amortized Capital Amortization Interest Rate.:

18c. Enter the Tenant Improvement Amortization Interest Rate.:

22x. Total Initial Annual Rent (This field is auto-calculated).: 0.00000000

29. Enter the Adjustment for Reduced Services Amount per ABOA SF.:

24a. If "Yes" was selected, enter the number of free rent months offered, if applicable.:

24b. Click here to select, "Shell rent" component is included in any free rent offered.: 0

24b. Click here to select, "Tenant Improvement (TI)" rent component is included in any free rent offered.: 0

24b. Click here to select, "Parking" rent component is included in any free rent offered.: 0

24b. Click here to select, "Non-Standard " rent component is included in any free rent offered.: 0

24b. Click here to select, "Operating Costs" rent component is included in any free rent offered.: 0

24b. Click here to select, "Building Specific Amortized Capital (BSAC)" rent component is included in any free rent offered.: 0

24. Click here to select, "No" I am NOT offering free rent.: 0

24. Click here to select, "Yes" I am offering free rent.: 0

25. Click here to select, "No" I am NOT offering free space.: 0

26. Click here to select, "Yes" I am offering renewal options.: 0

26. Click here to select, "No" I am NOT offering renewal options.: 0

25. Click here to select, "Yes" I am offering free space.: 0

25a. If "Yes" was selected, enter the amount of ABOA SF free space offered in addition to the space offered in box 9, if applicable.:

30a. Enter the RSF of Tax Parcel.:

30b. Enter the Percent of Tax Parcel Occupied by Government.:

28. Enter the Adjustment for Vacant Premises Amount per ABOA SF.:

31b. Click here to select "Space" as an option for dividing up the total HVAC service area.: 0

31b. Click here to select "Floor" as an option for dividing up the total HVAC service area.: 0

31b. Click here to select "Zone" as an option for dividing up the total HVAC service area.: 0

31c. Enter the Total Number of HVAC Zones, Floors, or Spaces in the offered space.:

31d. Charge to the Government for 1 hour of overtime HVAC, 31a times 31c (this field is auto-calculated).: 0.00

31a. Enter the Heating, Ventilation and Air Conditioning (HVAC) overtime rate per hour.:

34c. Click here to select, "The requirements of the Lease will be satisfied through the construction of a new building.": 0

34b. Click here to select, "the building already meets all the Lease shell requirements, no improvements are necessary.": 0

34a. Enter the Construction cost to meet shell standards.:

34a. Click here to select, "improvements to the existing building will be required to meet the Lease shell requirements.": 0

32. Enter the Year of Original Building Construction Completion and Initial Occupancy.:

34c. Enter the Total Land Costs.:

34c. Click here to select, "Acres" for the Land Site Size amount. : 0

34c. Click here to select, "SF" for the Land Site Size amount. : 0

34c. Enter the Land Site Size.:

35. Building Normal hours of operation - Sunday - End Time, choose one of the following: 4 AM, 4:30 AM, 5 AM, 5:30 AM, 6 AM, 6:30 AM, 7 AM, 7:30 AM, 8 AM, 8:30 AM, 9 AM, 9:30 AM, 10 AM, 10:30 AM, 11 AM, 11:30 AM, 12 Noon, 12:30 PM, 1 PM, 1:30 PM, 2 PM, 2:30 PM, 3 PM, 3:30 PM, 4 PM, 4:30 PM, 5 PM, 5:30 PM, 6 PM, 6:30 PM, 7 PM, 7:30 PM, 8 PM, 8:30 PM, 9 PM, 9:30 PM, 10 PM, 10:30 PM, 11 PM, 11:30 PM, 12 Midnight, 12:30 AM, 1 AM, 1:30 AM, 2 AM, 2:30 AM, 3 AM, 3:30 AM:

36c. Click here to select, "the Property does NOT meet the Lease fire protection/life safety standards and will NOT be upgraded.": 0

36b. Click here to select, "the Property will be improved to meet the Lease fire protection life safety standards.": 0

36a. Click here to select, "The Property meets the Lease fire protection/life safety standards.": 0

37c. Click here to select, "the Property does NOT meet the Lease accessibility standards and will NOT be upgraded.": 0

37b. Click here to select, "the Property will be improved to meet the Lease accessibility standards.": 0

37a. Click here to select, "the Property meets the Lease accessibility standards.": 0

38e. Click here to select, "the Building contains ACM and abatement will be completed prior to occupancy.": 0

38d. Click here to select, "the Building contains ACM that does not fall within any of the above categories.": 0

38c. Click here to select, "the Building contains thermal system insulation ACM which is not damaged or subject to damage by routine operations.": 0

38a. Click here to select, "the Building contains no ACM.": 0

39a. Click here to select, "the Property is in a base (100 year) floodplain.": 0

39b. Click here to select, "the Property is in a 500 year floodplain.": 0

39c. Click here to select, "the Property is NOT in a floodplain.": 0

38b. Click here to select, "the Building contains undamaged, nonfriable ACM.: 0

40a. Click here to select, "the RLP does NOT contain seismic requirements.": 0

40b. Click here to select, "the Building either fully meets RLP seismic requirements or meets an exemption.": 0

40c. Click here to select, "the Building will be retrofitted to meet RLP seismic requirements it does not currently meet.": 0

40d. Click here to select, "the Building will be constructed to meet RLP seismic requirements.": 0

40e. Click here to select, "the Building will NOT meet RLP seismic requirements.": 0

41 b iii (ii). Click here to select, "there are no cost effective improvements and supporting documentation is attached to this offer.": 0

41 b iii (i). Click here to select, "cost effective improvements have been identified and are attached to this offer.": 0

41 b iii 3. Click here to select, "the Lease is for 10,000 RSF or less.": 0

41 b iii 2. Click here to select, "the Lease would be in a building of historical, architectural, or cultural significance listed or eligible to be listed on the National Register of Historic Places.": 0

41 b iii 1. Click here to select, "a Government agency already occupies the building and this offer is to keep them in the same space.": 0

41biii. Click here to select, "the Property meets one of the statutory exceptions listed below.": 0

41bii. Click here to select, "the existing building cannot obtain the Energy Star Label due to insufficient occupancy.": 0

41bi. Click here to select, "the Property is new construction.": 0

41b. Click here to select, "the Property has NOT received the Energy Star Label within the past twelve months but falls into one of the following categories.": 0

41a. Enter the date you received the Energy Star Label within the past twelve months.:

41a. Click here to select, "the Property has received the Energy Star Label within the past twelve months.": 0

42a. Click here to select, "the Building is a Historic Property.": 0

42a. Click here to select, "the Building is NOT a Historic Property.": 0

42b. Click here to select, "the Building is NOT within a Historic District.": 0

42b. Click here to select, "the Building is within a Historic District.": 0

43a. Click here to select, "you are a HUB Zone Small Business Concern (SBC) Offeror and you elect to waive the price evaluation preference.": 0

43b. Click here to select, "you are a HUB Zone SBC Offeror and you do not waive the price evaluation preference.": 0

43c. Click here to select, "you are NOT a HUB Zone SBC Offeror and question 43 does not apply.": 0

52. Click here to select, "Agent/Broker." : 0

52. Click here to select, "your relationship to the recorded Building Ownership is something other than Owner, Agent or Broker.": 0

52. Click here to select, "Owner of the Property (Offeror and Recorded Owner are the same person). : 0

53. Click here to select, "you are NOT requesting a deviation from the RLP.": 0

53. Click here to select, "Yes - I request a deviation from the LCO.": 0

Sign here if you are the Offeror. :

If you are the Offeror, enter the date you signed this form (enter 2 digit month, 2 digit day and 4 digit year).:

Section 6 Addendum Part A Step Rent, Rent Type column, select rent type to escalate in the drop down.:

Section 6 Addendum Part A Step Rent, Beginning Year column, select year the step rent type for this row will begin from the drop down.:

Section 6 Addendum Part A Step Rent, Through Year column, select year the step rent type for this row will end from the drop down.:

Section 6 Addendum Part A Step Rent, Amount Will Be column, enter the step rent amount for the Rent Type in this row. :

Section 6 Addendum Part A Step Rent, Per column, time division designation for the Rent Type and Amount appropriate for this row.:

Click here to add another Step Rent row.:

Click here to remove the Step Rent row at the bottom of the Step Rent table.:

Section 6 Addendum Part B Renewal Options, Option Number column, from the drop down, identify the Option Period proposed beginning with 1 for the first, 2 for the second, etc.:

Section 6 Addendum Part B Renewal Options, Duration in Years column, select the duration in years for the option proposed in this row from the drop down.:

Section 6 Addendum Part B Renewal Options, Annual Shell Rate per RSF column, enter the annual shell rate per RSF for the option proposed in this row.:

Section 6 Addendum Part B Renewal Options, Number of Days Notice to Exercise Option column, enter the number of days notice to exercise the option for the option proposed in this row.:

Click here to add another Renewal Option row.:

Click here to remove the Renewal Option row at the bottom of the renewal option table.:

Click here to select, "Yes, the offered space is part of multiple tax bills or multiple buildings on a single tax parcel.": 0

Click here to select, "No, the offered space is NOT part of multiple tax bills or multiple buildings on a single tax parcel.": 0

Section 6 Addendum Part C, Building column, from the drop down, identify the building described in this row starting with building 1 for the first, 2 for the second, etc.:

Section 6 Addendum Part C, Building RSF column, enter the building RSF for the building described in this row that is applicable to the Tax Parcel outlined in the next rows.:

Section 6 Addendum Part C, Tax Parcel column, from the drop-down, identify the tax parcel order number applicable to the Building RSF reported in this row starting with Tax Parcel 1.:

Section 6 Addendum Part C, Tax Parcel ID Number column, enter the tax parcel ID number applicable to the tax parcel order number reported in this row.:

Click here to add another Additional Tax Parcel Information row to report an additional building or tax parcel.:

Click here to remove the Tax Parcel Information row at the bottom of the Additional Tax Parcel Information table.:

LESSOR'S ANNUAL COST STATEMENT

Important - Read attached "Instructions"

OMB Control Number: 3090-0086 Expiration Date: 1/31/2026

4. Building Name and Address (Number, Street, City, State, and Zip Code)

SECTION I - ESTIMATED ANNUAL COST OF SERVICES AND UTILITIES

FURNISHED BY LESSOR AS PART OF RENTAL CONSIDERATION

3. Rental Area (Square Feet)

SERVICES AND UTILITIES

A. CLEANING, JANITOR AND/OR CHAR SERVICE

B. HEATING

C. ELECTRICAL

D. PLUMBING

5. Salaries

FOR GOVERNMENT

USE ONLY

LESSOR'S ANNUAL COST FOR

(a) Entire Building

8. Salaries

10. System Maintenance and Repair

11. Current for Light and Power

12. Replacement of Bulbs, Tires, Starters

13. Power for Special Equipment

9. Fuel ("X" one)

E. AIR CONDITIONING

F. ELEVATORS

GSA 1217 (REV. 11/2016)

6. Supplies (Wax, cleaners, cloths, etc.)

7. Contract Services (Window washing, waste and snow removal)

14. System Maintenance and Repair (Ballasts, Fixtures, etc.)

15. Water (For all purposes) (Include Sewage Charges)

16. Supplies (Soap, towels, tissues not in 6 above)

(b) Government-Leased Area

3A. Entire Building

2. Statement Date

3B. Leased by Government

1. Request for Lease Proposals (RLP)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0086. We estimate that it will take 2 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

17. System Maintenance and Repair

18. Utilities (Include electricity, if not in C11)

19. System Maintenance and Repair

21. System Maintenance and Repair

GENERAL SERVICES ADMINISTRATION

20. Salaries (Operators, starters, etc.)

Oil Gas Coal Electric

G. MISCELLANEOUS (To the extent not included on Page 1)

22. Building Engineer and/or Manager

23. Security (Watchperson, guards, not janitors)

25. Lawn and Landscaping Maintenance

26. Other (Explain on separate sheet)

27. TOTAL

34. Signature of:

28. Real Estate Taxes

29. Insurance (Hazard, Liability, etc.)

30. Building Maintenance and Reserves for Replacement

31. Lease Commission

32. Management

TYPED NAME AND TITLE SIGNATURE DATE

34C.

35A. 35B. 35C.

LESSOR'S CERTIFICATION - The amounts entered in Columns (a) and (b) represent my best estimate as to the annual costs of services, utilities, and ownership.

33. TOTAL

34A.

24. Social Security Tax and Workperson's Compensation Insurance

SECTION II - ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES

34B.

GSA 1217 (REV. 11/2016) PAGE 2

Owner Legal Agent

INSTRUCTIONS

In acquiring space by lease, it is the established policy of GSA to enter into leases only at rental charges which are consistent with prevailing scales in the community for facilities.

ITEM NUMBER

SECTION I

ESTIMATED ANNUAL COST OF SERVICES AND UTILITIES

SECTION II

ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES

1. Enter the Government lease or Request for Lease Proposals (RLP) number, if available.

2. Enter the date that your statement was prepared and signed.

3. A. Enter in this block a computation of the rentable area (multiple tenancy basis) for the entire building. The rentable area shall be computed by measurement to the inside finish of permanent outer building walls to the inside finish of corridor walls…