7 - EXHIBIT E - GSA Form 1217 Lessor Annual Cost.pdf
GSA Form PDF 120 KB Posted
- Solicitation number
- 36C24822R0069
About this file
This document is a GSA Form 1217 "Lessor's Annual Cost Statement" related to a federal contract opportunity. It outlines the estimated annual costs for services, utilities, and ownership that would be incurred by the lessor as part of the rental consideration for a leased property. Key details include:
The contract opportunity is for Solicitation Number 36C248-22-R-0069, to lease 4,347 contiguous net usable square feet of medical office and related space in Miami, Florida for use as a Vet Center. The space must be located outside the 100-year floodplain, have a minimum of 20 parking spaces, and be available for occupancy no later than June 1, 2024. A lease up to 20 years will be considered. Interested offerors must provide documentation of their ability to meet all requirements, certify their SDVOSB status, and comply with all terms and conditions of the RLP. Offers are due by 3:00 PM on July 3, 2023.
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Text version
EXHIBIT __ TO LEASE 36C248-23-L-0001 GSA Public Buildings Service
EXHIBIT E
Page 1 of 2 GSA FORM 1217 1994-electronic ver.
LESSOR’S ANNUAL COST STATEMENT
1. REQUEST FOR LEASE PROPOSALS NUMBER 36C248-22-R-0069 2. STATEMENT DATE
3. RENTABLE AREA (SQ. FT.) 3A. ENTIRE BUILDING 3B. LEASED BY
GOV'T
4. BUILDING NAME BUILDING STREET
CITY STATE ZIP CODE
SECTION I - ESTIMATED ANNUAL COST OF SERVICES & UTILITIES FURNISHED BY LESSOR AS PART OF RENTAL
CONSIDERATION
SERVICES AND UTILITIES LESSOR'S ANNUAL COST FOR:
ENTIRE BUILDING
(a)
GOV'T-LEASED AREA
(b)
GOV’T USE ONLY
(c)
A. CLEANING, JANITOR AND/OR CHAR SERVICE
5. SALARIES
6. SUPPLIES (wax, cleansers, cloths, etc.)
7. CONTRACT SERVICES (Window washing, waste and snow removal)
B. HEATING
8. SALARIES
9. FUEL ("x" one)
___OIL ___GAS ___COAL ___ELECTRIC
10. SYSTEM MAINTENANCE AND REPAIR
C. ELECTRICAL
11. CURRENT FOR LIGHT AND POWER (Including elevators)
12. REPLACEMENT OF BULBS, TUBES, STARTERS
13. POWER FOR SPECIAL EQUIPMENT
14. SYSTEM MAINTENANCE AND REPAIR (Ballasts, fixtures, etc.)
D. PLUMBING
15. WATER (For all purposes) (Include sewage charges)
16. SUPPLIES (Soap, towels, tissues not in 6 above)
17. SYSTEM MAINTENANCE AND REPAIR
E. AIR CONDITIONING
18. UTILITIES (Include electricity, if not in C11)
19. SYSTEM MAINTENANCE AND REPAIR
Page 2 of 2 GSA FORM 1217 1994-electronic ver.
F. ELEVATORS
20. SALARIES (Operators, starters, etc.)
21. SYSTEM MAINTENANCE AND REPAIR
G. MISCELLANEOUS
22. BUILDING ENGINEER AND/OR MANAGER
23. SECURITY (Watchmen, guards, not janitors)
24. SOCIAL SECURITY TAX AND WORKMEN'S
COMPENSATION INSURANCE
25. LAWN AND LANDSCAPING MAINTENANCE
26. OTHER (Explain on separate sheet)
27. TOTAL
SECTION II - ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES
28. REAL ESTATE TAXES
29. INSURANCE (Hazard, liability, etc.)
30. BUILDING MAINTENANCE AND RESERVES FOR
REPLACEMENT
31. LEASE COMMISSION
32. MANAGEMENT
33. TOTAL:
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.
TITLE NAME SIGNATURE DATE
34A. (Check one)
34B. 34C. 34D.
35A. (Check one)
35B. 35C. 35D.
File details come from the government source that posted it. Updated .