08 GSA Form 1364 Franklin County OH 36C10F25R0057 Attachment No. 1.xlsx

GSA Form XLSX spreadsheet 28 KB Posted

Attached to
Franklin County Outpatient Clinic, OH. 97,449 ANSI/BOMA Square Feet
Solicitation number
36C10F25R0057
Issued by

About this file

This file is a GSA Form 1364 Attachment #1 pricing template for a Department of Veterans Affairs lease proposal for the Franklin County Outpatient Clinic in Ohio. The template is designed for offerors to submit pricing for a 97,449 ANSI/BOMA rentable square feet facility in Franklin County, Ohio under RLP No. 36C10F25R0057.

Offerors must complete all gray-shaded cells in the "Att #1 to 1364WH" tab, providing all dollar values in real dollars with a maximum of two decimal places without inputting formulas or values copied from other spreadsheets. The pricing template requires submission of key lease parameters including building total rentable square feet, ABOA (Assignable Building Occupancy Area) square feet, common area factor percentage, parking details, land acquisition costs, annual operating expenses (referenced from GSA Form 1217 Line 27), tenant improvement lump-sum costs, and various fee percentages for lessor tenant improvement amortization, architectural/engineering services, project management, and general contractor services. The template provides pricing structures for both a 15-year firm term and a 20-year firm term lease, with separate line items for fully-serviced annual rent excluding tenant improvements, annual operating expenses, shell rent with tenant improvements paid lump sum, and per-ABOA rental rates. All calculated fields currently display error values or zero placeholders pending offeror data entry.

View the file

Other versions and copies of GSA Form 1364

File Revision Posted Attached to
3B.G(2026.09.11)GSA Form 1364 Open with Adobe Only-2KS0140.pdf 2026 U. S. GOVERNMENT SEEKS TO LEASE SPACE IN TOPEKA, KS
H - GSA Form 1364 Proposal to Lease Space (Jan. 2023) Open with Adobe Only.pdf Jan 2023 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 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 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 General Services Administration (GSA) seeks to lease the following space: Solicitation No. 6GA0308
07 GSA Form 1364 Franklin County OH 36C10F25R0057 Proposal to Lease Space.pdf Revision not stated Franklin County Outpatient Clinic, OH. 97,449 ANSI/BOMA Square Feet
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf Revision not stated General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
G. GSA Form 1364 Proposal to Lease Space (1).pdf Revision not stated General Services Administration (GSA) seeks to lease the following space: Solicitation No. 3FL0557
Exhibit F-Proposal to Lease Space (GSA Form 1364).pdf Revision not stated 8TN2168 The US Government Seeks to Lease Office and Related Space in Nashville, TN-Request for Lease Proposal
08 Attachment No. 1 to GSA Form 1364 - TEMPLATE_15-20 Yr_1.xlsx Revision not stated X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
07 - GSA Form 1364 - Proposal to Lease Space.pdf Revision not stated X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
Proposal To Lease Space_GSA Form 1364.pdf Revision not stated General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf Revision not stated 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 General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
Exhibit G. GSA Form 1364 (2).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
08. GSA Form 1364 - Attachment No. 1.xlsx Revision not stated X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
09. GSA Form 1364 - Proposal to Lease Space.pdf Revision not stated 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 Dept of Veterans Affairs seeks clinical space in Idaho Falls, ID
10 GSA Form 1364 080626.pdf Revision not stated 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 General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 3TN0311
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Who attaches GSA Form 1364

Other files

File Type Posted
05 Appendix A.2.1 Attachment A Addendum to LDN Franklin County OH 36C10F25R0057.pdf PDF
L100 Franklin County OH OPC Global Lease VA Version MAY 2026.pdf PDF
05 Agency Specific Requirements Cover Page Franklin County OH 36C10F25R0057.pdf PDF
R100 Franklln County OH OPC Global RLP VA Version MAY 2026.pdf PDF
05 Appendix A.2 LDN Franklin County OH OPC.pdf PDF
07 GSA Form 1364 Franklin County OH 36C10F25R0057 Proposal to Lease Space.pdf PDF
21 RLP Exhibit Broker Project Franklin County OH 36C10F25R0057.pdf PDF
19 GSA 3517B General Clauses Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.6 Block Diagram Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.3 RDM Franklin County OH OPC 36C10F25R0057.xlsx XLSX spreadsheet
04.B Lease Exhibit New Construction Franklin County OH 36C10F25R0057.pdf PDF
03 Offeror Compliance Matrix BVTO Franklin County OH 36C10F25R0057.xlsx XLSX spreadsheet
18 Representation Telecomm FAR 52.204-24 Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A PFD Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix B LSN Franklin County OH 36C10F25R0057.pdf PDF
16 Certification of Building Energy Performance and Green Globes Franklin County OH 36C10F25R0057.pdf PDF
02 Pre-Bid Conference Registration Form Franklin County OH 36C10F25R0057.pdf PDF
01 GSA 3516 Solicitation Provisions Franklin County OH 36C10F25R0057.pdf PDF
12 GSA Standard Form 330 Franklin County OH 36C10F25R0057 Architect Engineer Qualifications.pdf PDF
04.A Lease Exhibit Broker Project Franklin County OH 36C10F25R0057.pdf PDF
09 VA Form 10091 Franklin County OH 36C10F25R0057 FSC Vendor File Request.pdf PDF
05 Appendix A.5 FSL II Franklin County OH 36C10F25R0057.pdf PDF
17 Offering Entity Acknowledgement Form Franklin County OH 36C10F25R0057.pdf PDF
11 Past Performance Questionnaire PPQ Franklin County OH 36C10F25R0057.pdf PDF
15 GSA Form 12000 Prelease FPLS Evaluation Part A or Part B Franklin County OH 36C10F25R0057.pdf PDF
22 RLP Exhibit New Construction Franklin County OH 36C10F25R0057.pdf PDF
20 VA Handbook 6500.6 Contract Security Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.1 Project Room Contents Franklin County OH 36C10F25R0057.xlsx XLSX spreadsheet
13 GSA Form 527 Franklin County OH 36C10F25R0057 Contractors Qualifications and Financial Information.pdf PDF
00 No Proposal Market Response Form Franklin County OH 36C10F25R0057.pdf PDF
14 Operations and Maintenance Plan Acknowledgement Franklin County OH 36C10F25R0057.pdf PDF
06 GSA Form 1217 Franklin County OH 36C10F25R0057 Lessors Annual Cost Statement.pdf PDF
10 Past Performance List of References Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.4 Franklin County OH RLP 36C10F25R0057 Information Transport Systems.pdf PDF
23 Door Hardware Standards Alert VA Franklin County OH 36C10F25R0057.pdf PDF
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Text version

Instructions

Department of Veterans Affairs
[Lease Function] - [City, State]
RLP No.: XX
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
Franklin County, OH OPC
RLP # 36C10F25R0057
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):$0.00Annually
Annual Operating Expenses Rate per (line 27 from GSA Form 1217):$0.00per ABOA
Tenant Improvement Lump-Sum Total:
Tenant Improvement Lump-Sum Rate per ABOA:ERROR:#DIV/0!
Lessor Tenant Improvement Amortization Rate:%
Architectural / Engineering (A/E) Fees:%
Lessor's Project Management (PM) Fees:%
General Contractor (GC) Fees (paragraph 3.03 from GSA Template R100 for VA):%
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!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Annual Operating Expenses Rate (Form 1217 - Line 27) per ABOA:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!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!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Annual Operating Expenses (Form 1217 - Line 27) per ABOA:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!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 .