10 - 36C10F20R0061 - GSA Form 1364 - Proposal to Lease Space.pdf
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- 36C10F20R0061
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SECTION I - DESCRIPTION OF PREMISES
In Response to Request for Lease Proposals (RLP) Number -->
a. Building Name
1. BUILDING DESCRIPTION
c. City
d. State
SQUARE FEET
POUNDS PER SQUARE FOOT
SQUARE FEET
SQUARE FEET
SQUARE FEET
ACRES
a. GENERAL PURPOSE (Office)
b. WAREHOUSE
7. BUILDING AGE
8. SITE SIZE
c. OTHER
e. 9-Digit ZIP Code
3. TOTAL RENTABLE SPACE IN OFFERED BUILDING
6. YEAR OF LAST
MAJOR RENOVATION
(if applicable)
f. Congressional District 2a. FLOORS OFFERED
4. LIVE FLOOR LOAD
2b. TOTAL NUMBER OF FLOORS IN BUILDING
5. MEASUREMENT METHOD
b. Building Street Address
5. Measurement Method: Select one of the following: ANSI/BOMA or Other 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 2.3 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.
OMB Control Number: 3090-0086 Expiration Date: 11/30/2019
PROPOSAL TO LEASE SPACE
GSA 1364 (REV. 11/2016)
GENERAL SERVICES ADMINISTRATION
17. OPERATING COSTS
(Refer to Line 27 on
GSA 1217)
18. TOTAL RATE/ SQUARE FOOT
19. TOTAL ANNUAL RENT
16. SHELL RENT
(Including real estate taxes. Refer to Line 28 on GSA 1217)
a. PER SQUARE FOOT RATE
b. FOR YEARS
/RSF
Thru Thru Thru
/RSF
/ABOA
/RSF
/ABOA
/ABOA
c. PER SQUARE FOOT RATE
e. PER SQUARE FOOT RATE
d. FOR YEARS
f. FOR YEARS
20. STEP RENT
(SHELL RATES)
GSA 1364 (REV. 11/2016) PAGE 2
13. BSAC
(per RLP requirements detailed on Security Unit Price List)
14. SHELL BUILD-OUT
(per RLP requirements)
15. TOTAL BUILD-OUT COSTS
SECTION II - SPACE OFFERED AND RATES
9. ANSI/BOMA OFFICE AREA SQUARE FEET (ABOA)
10. RENTABLE SQUARE FEET (RSF)
11. COMMON AREA FACTOR (CAF)
"Tenant Improvements" are all alterations for the Government-demised area above the building shell buildout, excluding costs identified as tenant improvements in the Security Unit Price List. Building Specific Amortized Capital (BSAC) is the sum of costs identified as such in the Security Unit Price List. Neither the Tenant Improvements as stated in Block 12, nor the BSAC as stated in Block 13, are to be included in the shell rent. It is expected that the tenant buildout will be fully amortized at the end of the firm term, and the rent will be reduced accordingly. Any desired rent increases or decreases beyond the firm term of the lease should be reflected in the shell rate and fully explained as part of this written proposal. If Tenant improvements or BSAC improvements are to be amortized beyond the firm team, those calculations must be itemized as part of this written proposal. The Offeror may attach additional pages as necessary.
Number of years each cost per square foot is in effect. State any changes for any rent component.
a. BUILD-OUT COSTS PER CATEGORY
b. AMORTIZATION TERM
c. AMORTIZATION INTEREST RATE (%) d.
ANNUAL RENT
$ PER RSF
e.
ANNUAL RENT
$ PER ABOA SQUARE FOOT
f. NUMBER OF YEARS RATE IS EFFECTIVE
12. TENANT
IMPROVEMENTS
(per RLP requirements) Structured Surface Surface Structured Structured Surface Surface Structured 21e. Does the rental rate offered above include RLP - required parking costs? Select Yes or No Structured Surface Annual cost per space:
If NO, complete the following:
e. Does the rental rate offered above include RLP - required parking costs?
d. Number of parking spaces (auto and truck) for Official Government Vehicles (per RLP):
c. Number of auto parking spaces for Employee/Visitor Use (per RLP):
b. Number of auto parking spaces required by local code:
a. Number of parking spaces for the future building/facility which are under the control of the Offeror:
21. PARKING
b. Lessor's Project Management Fee will be percent of Total TI construction costs.
GSA 1364 (REV. 11/2016) PAGE 3
c. Schedule of Commission Payments:
% at lease occupancy % at lease award and
a. Tenant Representative Commission:
26. COMMISSIONS (if applicable), ATTACH COMMISSION AGREEMENT
25. Space will be altered and delivered in accordance with the Government's specifications and requirements in accordance with the Request for Lease Proposals (RLP) and the lease.
24. OFFER GOOD UNTIL AWARD
a. Number of Years
b. Years Firm
c. Number of Days Notice for Government to Terminate Lease:
d. Number of Days Notice to Exercise Option
c. Number of Options
b. Years Each
a. Shell Rate/ RSF/Year
23. RENEWAL OPTIONS
22. INITIAL LEASE TERM
(Full Term)
SECTION III - LEASE TERMS AND CONDITIONS
b. Owner's Representative Commission:
The Government will add the cost of the proposed TI fees to the net present value of the offered rental rate as described in the RLP's Present Value Price Evaluation paragraph. This schedule will be applicable for Tenant Improvements.
*Block 27 fees only applicable for Tenant Improvement (TI) subject to post-award pricing; N/A for turnkey pricing.
c. If other fees are applicable, state as per ABOA square foot in the space below, or if using a percentage, the basis for determining the fee.
flat fee % of Total TI construction costs.
27. OFFEROR'S TENANT IMPROVEMENT FEE SCHEDULE
a. Architectural/Engineering fees will be (choose one):
per ABOA SF 27a. Architectural/Engineering fees (choose one of the following) 1. per ABOA SF, 2. percent of Total TI construction costs, 3. flat fee.
28. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE
Adjustment for Vacant Premises:
per ABOA SF HVAC Overtime Rate:
per hour per (choose one)
28. Select one of the following rates of HVAC overtime: per hour per zone, per hour per floor, or per hour per space For rates based on a "per zone" basis, provide the following:
*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.
per ABOA SF* Areas requiring 24 hour HVAC (LAN, etc.)
If a site is offered, state the total land costs:
If so, provide tax ID numbers and square footage for each in the blank space below the question on total land costs. Attach the legal description of the offered property.
Is the offered space part of multiple tax bills?
28. Is the offered space part of multiple tax bills? Select Yes or No
28. Select one of the following: Is it based on fully assessed value? Select Yes or No Based on fully assessed value?
Current Year Taxes:
Percent of Government Occupancy:
PM
AM
Sunday Saturday
AM
PM
PM
AM
Monday - Friday Building's Normal Hours of HVAC Operation:
None Other rental concessions structured as follows
29. Is free rent included in the offer? Select one of the following: 1. a set number of months free rent (includes shell, operating, TI, and BSAC rent) 2. Other rental concessions structured as follows, or 3. None (no free rent included in offer).
months free rent (includes shell, operating, TI and BSAC rent)
29. FREE RENT INCLUDED IN OFFER
31. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER
30. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)
j. Date Signed
i. Offeror's Signature
f. Title
g. E-Mail Address
h. Telephone Number
e. ZIP Code + 4
d. State
c. City
b. Address
a. Name
35. OFFEROR
34. Offeror's Interest in property: Select one of the following: Owner, Agent, or Other
34. Offeror's Interest in Property
33. 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.
f. DUNS Number
e. ZIP Code + 4
d. State
c. City
b. Address
a. Name
32. RECORDED OWNER
SECTION IV - OWNER IDENTIFICATON AND CERTIFICATION
GSA 1364 (REV. 11/2016) PAGE 4
1.
LEASE PROPOSAL DATA
1. Offeror's Interest in Property: Select one of the following: Fee Owner, Other (See RLP Section 2, Flood Plains.)
2. Flood Plains: Select one of the following: the property is: in a base 100 year flood plan, in a 500 year flood plan, or not in a flood plan Flood Plains:
The Property is 2.
3.
4.
Seismic Safety: The Building Historic Preference: The Building is a
3. Seismic Safety: The building (select one of the following:) RLP does not contain seismic requirements. No documentation required. Or: RLP contains seismic requirements.
4. Historic preference. The building is a (select one of the following): Historic property within a historic district, Non-historic developed site/non-historic undeveloped site within a historic district, Historic property outside of a historic district, or, None of the above.
3. If the building RLP contains seismic requirements, select one of the following: Fully meets seismic requirements or meets an exception under the RLP, Does not meet seismic requirements, but will be retrofitted to meet seismic requirements, Will be constructed to meet seismic requirements, or, Will not meet seismic requirements.
(See RLP Section 2, Seismic Safety.) Attach appropriate documentation.
(See RLP Section 2, Historic Preference.) Attach appropriate documentation.
GSA 1364 (REV. 11/2016) PAGE 5
In Response to Request for Lease Proposals (RLP) Number Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.
Offeror's Interest in the Property 5.
(See RLP Section 2, Asbestos.)
5. Asbestos-containing material (ACM). The property (Select one of the following): Contains no ACM, or contains ACM in a stable, solid matrix that is not damaged or subject to damage, or, Contains ACM not in a stable, solid matrix.
Asbestos-Containing Material (ACM): The Property 6.
(See RLP Section 2, Fire Protection and Life Safety.)
The Property
6. Fire/Life Safety: The Property, Select one of the following: Meets or Does not meet Lease fire/life safety standards.
Fire/Life Safety:
(See RLP Section 2, Accessibility.)
7. Accessibility: The property (Select one of the following): Meets or Does not meet Lease accessibility standards.
The Property 7.
Accessibility:
(See RLP Section 2, Energy Independence and Security Act.)
If the building has not received the Energy Star Label (the Offeror has evaluated energy savings measures) and (Select one of the folowing): Determined that none are cost effective, or, Determined that the following are cost effective (Attach additional pages).
8. Energy Star: The building (Select one of the following): Has received the Energy Star Label within the past 12 months, or, Has not received the Energy Star Label within the past 12 months 8.
ENERGY STAR®: The Building 9.
Waiver of Price Evaluation Preference. A HUBZone small business concern (SBC) Offeror may elect to waive the price evaluation preference provided in Section 4 of the RLP. In such a case, no price evaluation preference shall apply to the evaluation of the HUBZone SBC, and the performance of work requirements set forth in Section 1 of the Lease shall not be applicable to a lease awarded to the HUBZone SBC Offeror under this solicitation. A HUBZone SBC desiring to waive the price evaluation preference should so indicate below.
(See RLP and Lease documents for more information.)
11.0.0.20130303.1.892433.887364
| 32b. Recorded owner's address: |
| 6. Year of last major renovation if applicable. : |
| If the building has received the Energy Star Label within the past 12 months, enter the date (MM-DD-YYYY) when it received the label. : |
| If other was selected, enter the offeror's interest in the property.: |
| : |
| 17d. Operating Costs (Refer to Line 27 on GSA 1217). Enter the annual rent in dollars per rentable square feet.: |
| 17e. Operating Costs (Refer to Line 27 on GSA 1217). Enter the Annual Rent in Dollars per ABOA Square Foot: |
| 18d. Total Rate / Square Foot: Enter the annual rent in dollars per rentable square feet.: |
| 18e. Total Rate / Square Foot: Enter the Annual Rent in Dollars per ABOA Square Foot: |
| 19d. Total Annual Rent: Enter the annual Rent in Dollars per Rentable Square Feet.: |
| 20a. Enter the step rent (shell rates) in dollars per rentable square foot.: |
| 16e. Shell Rent (including real estate taxes. Refer to Line 28 on GSA 1217): Enter Annual Rent in Dollars per ABOA Square Foot: |
| 16d. Shell Rent (including real estate taxes. Refer to Line 28 on GSA 1217): Enter the Annual Rent in Dollars per Rentable Square Feet: |
| 20a. Enter the step rent (shell rates) in dollars per ABOA.: |
| 20c. Enter the step rent (shell rates) in dollars per rentable square foot.: |
| 20c. Enter the step rent (shell rates) in dollars per ABOA.: |
| 20e. Enter the step rent (shell rates) in dollars per rentable square foot.: |
| 20e. Enter the step rent (shell rates) in dollars per ABOA.: |
| 13e. BSAC (per RLP requirements detailed on Security Unit Price List.): Enter the annual rent in dollars per ABOA square foot.: |
| 13d. BSAC (per RLP requirements detailed on Security Unit Price List.): Enter the Annual Rent in dollars per rentable square feet: |
| 13a. BSAC (per RLP requirements detailed on Security Unit Price List.): Enter Build Out Costs: |
| 14a. Shell Build Out (Per RLP requirements): Enter Build-out Costs.: |
| 15a. Total Build Out Costs: Enter Build-out Costs.: |
| 9. ANSI/BOMA Office Area in square Feet (ABOA): |
| 10. Enter Rentable Square Feet (RSF): |
| 12e. Tenant Improvements (per RLP requirements): Enter Annual Rent in Dollars per ABOA Square Foot: |
| 12d. Tenant Improvements (per RLP requirements): Enter Annual Rent in Dollars per Rentable Square Feet: |
| 12a. Tenant Improvements (per RLP requirements): Enter Build-out Costs.: 10058204.87 |
| If No was selected, enter the annual cost per space (Structured) in dollars: |
| If No was selected, enter the annual cost per space (Surface) in dollars: |
| If the third fee was selected, enter the flat fee amount in dollars: |
| If the first fee was selected, enter the dollar amount per ABOA SF: |
| 28. Enter any adjustment for Vacant Premises in dollars per ABOA square foot: |
| 28. Enter the Heating Ventilation and Air Conditioning Overtime Rate in dollars per hour (Not applicable if net of utilities): |
| 28. For rates based on a per zone basis, enter the number of zones in offered space: |
| 28. For rates based on a per zone basis, enter the dollar amount per ABOA SF for areas requiring 24 hour HVAC (LAN, etc.) 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. :
| 28. If a site is offered, state the total land costs in dollars. : |
| 28. Enter the current year taxes in dollars: |
| 35j. Date the Offeror signed: |
| 35i. Offeror's Signature: |
| 9. Click this checkbox if you are a HUBZone SBC Offeror and you have elected to waive the price evaluation preference. : 0 |
| 9. Click this checkbox if you are a HUBZone SBC Offeror and you have elected to waive the price evaluation preference. : 0 |
| 9. Click this checkbox if you are a HUBZone SBC Offeror and you have elected to waive the price evaluation preference. : 0 |
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