Attachment No. 1 to GSA Form 1364 - Idaho Falls (10-15-20 Yr).xlsx
GSA Form XLSX spreadsheet 69 KB Posted
- Solicitation number
- 36C24W25R0011-RLP
- Issued by
-
Department of Veterans Affairs
About this file
This is a pricing template (Attachment No. 1 to GSA Form 1364) for a Department of Veterans Affairs Community Based Outpatient Clinic (CBOC) lease opportunity in Idaho Falls, Idaho (RLP #36C24W25R0011). The template is designed for offerors to populate pricing and facility information for lease proposals with three distinct term options: 10-year firm, 15-year firm, and 20-year firm lease terms.
Offerors must complete gray-shaded cells with specific facility and financial data, including building specifications (total rentable square feet, ABOA square feet, number of stories, parking spaces), land acquisition costs, annual operating expenses, real estate taxes, insurance, building maintenance and reserve replacement costs, management fees, and tenant improvement lump-sum totals. For each lease term option, offerors must provide fully-serviced annual rent for each year of the lease, annual operating expenses, shell annual rent, and per-ABOA rental rates. The template also includes separate OMB Scoring Information Forms for each lease term (10-year, 15-year, and 20-year) that request consolidated pricing data and Form 1217 line item information. All dollar values must be provided in real dollars with a maximum of two decimal places, and information provided must match exactly with corresponding GSA Forms 1364 and 1217. The facility is required to have a minimum of 14,321 ABOA square feet and maximum of 19,333 rentable square feet with 100 parking spaces, with tenant improvement costs anticipated between $5 million and $10 million and estimated lease award of February 28, 2027.
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Text version
Att #1 to 1364
Department of Veterans Affairs
| Community Based Outpatient Clinic, Idaho Falls, ID | |
| RLP # 36C24W25R0011 | |
| Attachment #1 to the Form 1364 | |
| Offeror Name: | [INSERT HERE] |
| Building Total Rentable Square Feet : | 0 | RSF |
| Building Total ABOA Square Feet: | 0 | ABOA |
| Common Area Factor: | 0 | % |
| Number of Stories: | 0 | |
| Parking: | 0 | |
| Land Acquisition Costs (not including site improvements or demolition): | $0.00 | |
| Annual Operating Expenses (line 27 from GSA Form 1217): | $0.00 | Annually |
| Annual Operating Expenses Rate per (line 27 from GSA Form 1217): | $0.00 | per ABOA |
| Real Estate Taxes (Line 28 GSA Form 1217): | $0.00 | |
| Insurance (Line 29 GSA Form 1217): | $0.00 | |
| Building Maintenance & Reserve Replacement (Line 30 GSA Form 30): | $0.00 | |
| Management (Line 32 GSA Form 1217): | $0.00 | |
| Tenant Improvement Lump-Sum Total: | $0.00 | |
| Tenant Improvement Lump-Sum Rate per ABOA: | 0 | |
| Lessor Tenant Improvement Amortization Rate: | 0% |
10 Year Firm Term:
| Lease Year | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
| Fully-Serviced Annual Rent not including Tenant Improvements (paid lump sum): | $ - 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 | |
| Shell Annual Rent with Tenant Improvements paid lump sum: | $ - 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: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Annual Operating Expenses (Form 1217 - Line 27) per ABOA: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
Lump sum items:
| Total Tenant Improvements Lump Sum Cost: | $ - 0 |
| Tenant Improvements Lump Sum Rate per ABOA: | $ - 0 |
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: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Annual Operating Expenses (Form 1217 - Line 27) per ABOA: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
Lump sum items:
| Total Tenant Improvements Lump Sum Cost: | $ - 0 |
| Tenant Improvements Lump Sum Rate per ABOA: | $ - 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: | $ - 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) per ABOA: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Fully-Serviced ABOA Rental Rate 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 |
Lump sum items:
| Total Tenant Improvements Lump Sum Cost: | $ - 0 |
| Tenant Improvements Lump Sum Rate per ABOA: | $ - 0 |
Instructions
1. Offerors are to populate all cells 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.
4. Offerors are to ensure the information provided on this form matches exactly the information on the Offerors GSA Form 1364 and 1217 (to the decimal place).
10-yr term - OFFEROR 1 OMB Scoring Information Form
Brokers: Please fill out this form and submit to your PM for every Initial Offer and every FPR you receive. A scoring run must be conducted each time we receive price proposals. The NUSF and number of stories will usually be the same for all offerors, but if they are not, then please copy this tab and fill out a separate chart for each offer. If multiple lease terms or pricing scenarios were offered, please copy this tab and fill out a separate chart for each lease term or scenario. Please fill out the information in the green fields below.
| Parking Spaces |
| Estimated Lease Award Date |
| Estimated Lease Acceptance Date |
| Lease Acquisition Method |
| Project (City, State): | Community Based Outpatient Clinic, Idaho Falls, ID | VISN: | Appraised Value: | (For pre-award existing buildings only) | |
| ABOA: | 0 | Parent Facility: | Lease Term: | 10 | |
| Number of Stories: | 0 | Procurement Type: | Procurement Stage: |
Offeror: [INSERT HERE] Fill in additional offerors as needed
| (annual rent, not rental rate) | Fully Serviced Rent: | |
| Year 1 | $0.00 | |
| 2 | $0.00 | |
| 3 | $0.00 | |
| 4 | $0.00 | |
| 5 | $0.00 | |
| 6 | $0.00 | |
| 7 | $0.00 | |
| 8 | $0.00 | |
| 9 | $0.00 | |
| 10 | $0.00 |
| Form 1217 Info | Line 27 | $0.00 |
| Line 28 | $0.00 | |
| Line 29 | $0.00 | |
| Line 30 | $0.00 | |
| Line 32 | $0.00 |
Land Cost: $0.00
Lump Sum Payments TIA $0.00
15-yr term - OFFEROR 1 OMB Scoring Information Form
Brokers: Please fill out this form and submit to your PM for every Initial Offer and every FPR you receive. A scoring run must be conducted each time we receive price proposals. The NUSF and number of stories will usually be the same for all offerors, but if they are not, then please copy this tab and fill out a separate chart for each offer. If multiple lease terms or pricing scenarios were offered, please copy this tab and fill out a separate chart for each lease term or scenario. Please fill out the information in the green fields below.
| Parking Spaces |
| Estimated Lease Award Date |
| Estimated Lease Acceptance Date |
| Lease Acquisition Method |
| Project (City, State): | Community Based Outpatient Clinic, Idaho Falls, ID | VISN: | Appraised Value: | (For pre-award existing buildings only) | |
| ABOA: | 0 | Parent Facility: | Lease Term: | 15 | |
| Number of Stories: | 0 | Procurement Type: | Procurement Stage: |
Offeror: [INSERT HERE] Fill in additional offerors as needed
| (annual rent, not rental rate) | Fully Serviced Rent: | |
| Year 1 | $0.00 | |
| 2 | $0.00 | |
| 3 | $0.00 | |
| 4 | $0.00 | |
| 5 | $0.00 | |
| 6 | $0.00 | |
| 7 | $0.00 | |
| 8 | $0.00 | |
| 9 | $0.00 | |
| 10 | $0.00 | |
| 11 | $0.00 | |
| 12 | $0.00 | |
| 13 | $0.00 | |
| 14 | $0.00 | |
| 15 | $0.00 |
| Form 1217 Info | Line 27 | $0.00 |
| Line 28 | $0.00 | |
| Line 29 | $0.00 | |
| Line 30 | $0.00 | |
| Line 32 | $0.00 |
Land Cost: $0.00
Lump Sum Payments TIA $0.00
20-yr term - OFFEROR 1 OMB Scoring Information Form
Brokers: Please fill out this form and submit to your PM for every Initial Offer and every FPR you receive. A scoring run must be conducted each time we receive price proposals. The NUSF and number of stories will usually be the same for all offerors, but if they are not, then please copy this tab and fill out a separate chart for each offer. If multiple lease terms or pricing scenarios were offered, please copy this tab and fill out a separate chart for each lease term or scenario. Please fill out the information in the green fields below.
| Parking Spaces |
| Estimated Lease Award Date |
| Estimated Lease Acceptance Date |
| Lease Acquisition Method |
| Project (City, State): | Community Based Outpatient Clinic, Idaho Falls, ID | VISN: | Appraised Value: | (For pre-award existing buildings only) | |
| ABOA: | 0 | Parent Facility: | Lease Term: | 20 | |
| Number of Stories: | 0 | Procurement Type: | Procurement Stage: |
Offeror: [INSERT HERE] Fill in additional offerors as needed
| (annual rent, not rental rate) | Fully Serviced Rent: | |
| Year 1 | $0.00 | |
| 2 | $0.00 | |
| 3 | $0.00 | |
| 4 | $0.00 | |
| 5 | $0.00 | |
| 6 | $0.00 | |
| 7 | $0.00 | |
| 8 | $0.00 | |
| 9 | $0.00 | |
| 10 | $0.00 | |
| 11 | $0.00 | |
| 12 | $0.00 | |
| 13 | $0.00 | |
| 14 | $0.00 | |
| 15 | $0.00 | |
| 16 | $0.00 | |
| 17 | $0.00 | |
| 18 | $0.00 | |
| 19 | $0.00 | |
| 20 | $0.00 |
| Form 1217 Info | Line 27 | $0.00 |
| Line 28 | $0.00 | |
| Line 29 | $0.00 | |
| Line 30 | $0.00 | |
| Line 32 | $0.00 |
Land Cost: $0.00
Lump Sum Payments TIA $0.00
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