36C25024R0132_1.docx

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X1GD--Saginaw Warehouse Succeeding Lease GREX ID DMI12527-001
Solicitation number
36C25024R0132
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This is a fire protection and life safety evaluation form (GSA Form 12000-WH) for a warehouse lease procurement. The form is meant to be completed as part of RFP #36C25024R0132 for the Department of Veterans Affairs' warehouse lease at 2650 Schust Road in Saginaw, Michigan.

The form consists of two parts: Part A for spaces less than 40,000 SF or above ground floor, to be completed by the offeror; and Part B for spaces 40,000+ SF, to be completed by a professional fire protection engineer. The form requires detailed information about the building's fire protection systems, storage configurations, sprinkler systems, means of egress, fire alarms, and other life safety features. The form serves as a template that must be completed by offerors as part of their lease proposal submission, rather than containing specific requirements or completed information about an actual property. The form includes sections for documenting building specifications, fire safety systems, storage arrangements, and professional certifications.

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PRELEASE

FIRE PROTECTION AND LIFE SAFETY EVALUATION FOR A WAREHOUSE BUILDING

SUBJECT*
Saginaw Warehouse Succeeding Lease GREX ID DMI12527-001

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE*
46240
SOLICITATION NUMBER*
36C25024R0132
RESPONSE DATE/TIME/ZONE
03-14-2025 12:00 EASTERN TIME, NEW YORK, USA
ARCHIVE
30 DAYS AFTER THE RESPONSE DATE
RECOVERY ACT FUNDS
N

SET-ASIDE

PRODUCT SERVICE CODE*
X1GD
NAICS CODE*
531130
CONTRACTING OFFICE ADDRESS
Department of Veterans Affairs

Network Contracting Office 10 8888 Keystone Crossing Suite 325 Indianapolis IN 46240

POINT OF CONTACT*

Leasing Contract Specialist Lisa Newlin lisa.newlin@va.gov 317-697-9786 Andrew (Dan) Seaman andrew.seaman2@va.gov

PLACE OF PERFORMANCE

ADDRESS

Saginaw MI

POSTAL CODE

COUNTRY
US

ADDITIONAL INFORMATION

AGENCY’S URL
https://www.va.gov/saginaw-health-care/locations/aleda-e-lut
URL DESCRIPTION
Aleda E. Lutz VA Medical Center
AGENCY CONTACT’S EMAIL ADDRESS
lisa.newlin@va.gov
EMAIL DESCRIPTION
POC

DESCRIPTION

Notice of Succeeding Lease **The Department of Veterans Affairs currently leases 13,725 rentable square feet (RSF) of space at 2650 Schust Road, Saginaw, Michigan, 48603 known as the Saginaw Warehouse. The Saginaw Warehouse’s lease expires on December 7, 2025. The Veterans Affairs (VA) will consider alternative space in the delineated area explained below if economically advantageous. In making this determination, the VA will consider, among other things, the availability of alternative space that potentially can satisfy the VA’s requirements, as well as costs likely to be incurred through relocating, such as physical move costs, replication of tenant improvements and telecommunication infrastructure, and non-productive agency downtime. The VA will consider leased space located in another existing building providing all costs mentioned above can be offset by competition; and that otherwise, the VA intends to pursue a sole source acquisition with the incumbent Lessor, in accordance with (IAW) the authority outlined in the General Services Administration Acquisition Manual (GSAM) 570.402 Succeeding Leases. The maximum rentable square feet (RSF) cannot exceed 14,125 RSF See attached document: 01-36C25024R0132 Sag Warehouse RLP R101WH.

See attached document: Exhibit A - 36C25025L0005 Saginaw Warehouse Lease L201WH_Jan 2025.

See attached document: Exhibit B - ASR Requirements_02_25_2025.

See attached document: Exhibit C - FSL II VA Security Requirements.

See attached document: Exhibit D - Tenant Improvements Cost Summary_TICS Table_Oct_2024.

See attached document: Exhibit E - GSA Form 3516 Solicitation Provisions_Dec_2023.

Combined Synopsis/Solicitation Notice Combined Synopsis/Solicitation Notice See attached document: Exhibit F - GSA Form 3517B General Clauses_Dec_2023.

*= Required Field
Combined Synopsis/Solicitation Notice

Combined Synopsis/Solicitation Notice

PROPOSAL TO LEASE SPACE

(For use with Warehouse Request for Lease Proposals) In Response to Request for Lease Proposals (RLP) Number

36C25024R0132

DATED
MM-DD-YYYY

SECTION I - DESCRIPTION OF PREMISES

1. BUILDING DESCRIPTION

a. Building Name

b. Building Street Address

c.City
d.State
e.9-Digit ZIP Code
f.Congressional District
2a.FLOORS OFFERED
2b.TOTAL NUMBER

OF FLOORS IN BUILDING

3. TOTAL RENTABLE SPACE IN OFFERED BUILDING

a. GENERAL PURPOSE (Office)

b.WAREHOUSE
c.OTHER
_____
_____
_____ SF.
_____ SF
_____ SF
4.LIVE FLOOR LOAD
5.MEASUREMENT

METHOD

6. YEAR OF LAST

MAJOR RENOVATION

(if applicable)

7.BUILDING AGE
8.SITE SIZE
_____ Pounds per SF
|_| ANSI/BOMA

|_| OTHER

_____
_____
_____ SF

_____ Acres

9. CLEAR CEILING HT:

_____FT ________INCHES

10. # OF LOADING DOCKS (exclusive to offered space):

11. TYPES OF LOADING DOCKS (exclusive to offered space):

# DRIVE-THRUS:________

# DOCK-HT:____________

12. EXISTING HEIGHT OF DOCK-HIGH LOADING DOCKS (exclusive to offered space):

13. # OF DOCK LEVELORS AND OPERATING GRADE (exclusive to offered space):

14. BAY WIDTH (offered space):

______FT _______INCHES

15. BAY DEPTH (offered space):

______FT _______INCHES

16. COLUMN SPACING (offered space):

______FT _______INCHES

17. MAXIMUM TRUCK TURNING RADIUS:

18. # OF VOLTS & # OF PHASE ELECTRIC:

19. WAREYARD SIZE:

________ X __________ (Total SF: ______________)

20. TRUCK APRON SIZE:

21. TRUCK COURT DEPTH:

(BLANK)
(BLANK)

PAGE 4 of 26 GSA FORM 1364WH (REV 04/22)

SECTION II - SPACE OFFERED AND RATES

22.ANSI/BOMA OFFICE AREA SQUARE FEET (ABOA)
________
23.RENTABLE SQUARE FEET

(RSF)

_________
24.COMMON AREA FACTOR (CAF)
________

“Tenant Improvements” are all alterations for the Governmentdemised 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 25, nor the BSAC as stated in Block 26, 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 term, 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.

BUILDOUT COSTS PER CATEGORY

b.

AMORTIZATION

TERM

c.

AMORTIZATION

INTEREST RATE (%)

d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA SF

f.

NUMBER YEARS RATE IS EFFECTIVE

25. TENANT IMPROVEMENTS

(per RLP requirements)

$ ________
________
________
$ ________
$________
________

26. BSAC

(per RLP requirements)

$ ________
________
________
$ ________
$________
________

27. SHELL BUILD-OUT

(per RLP requirements)

28.TOTAL BUILDOUT COSTS
$ ________

29. SHELL RENT (Including current real estate taxes. Refer to Line 28 on GSA Form 1217)

30. OPERATING COSTS (Refer to Line 27 on GSA Form 1217

$ ________
________

31. TOTAL RATE/SF

$ ________
________
________

32. TOTAL ANNUAL RENT

PER SF RATE
FOR YEARS
PER SF RATE
FOR YEARS
PER SF RATE
FOR YEARS

STEP RENT (SHELL RATES)

$__________/RSF

$__________/ABOA

_____ Thru _____

_____ Thru ____

_____ Thru _____

33. PARKING

a.Number of total on-site parking spaces for the entire building/ facility, which are under the control of the Offeror:________ Surface________ Structured
b.Number of auto parking spaces required by local code:________ Surface________ Structured
c. Number of truck/trailer parking spaces required by local code:________ Surface________ Structured
d.Number of auto parking spaces for Employee/Visitor Use (per RLP):________ Surface________ Structured
e.Number of parking spaces (auto & truck) for Official Government Vehicles (per RLP):________ Surface________ Structured
f.Does the rental rate offered above include RLPrequired parking costs?
YES |_| NO |_| If NO, complete the following:Annual cost per auto space: $ ________ Surface $ ________ Structured
Annual cost per truck/trailer space: $ ___________

SECTION III - LEASE TERMS AND CONDITIONS

34. INITIAL LEASE TERM

(Full Term)

35. RENEWAL OPTIONS

a.Number of Years
b.Years Firm
c.Number of Days

Notice for Government to Terminate Lease:

a. Shell Rate / RSF / Yr

b.Years Each
c.Number of Options
d.Number of Days Notice to Exercise Option:
_________
________
_________
$ ______
_________
__________
___________

36. OFFER GOOD UNTIL AWARD

37. 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.

38. COMMISSIONS (if applicable), ATTACH COMMISSION AGREEMENT

a.Tenant Representative Commission:
b.Owner’s Representative Commission:
c.Schedule of Commission payments:
______ %
______ %
______ % at lease award and ______ % at lease occupancy
39.OFFEROR’S TENANT IMPROVEMENT FEE SCHEDULE
a.Architectural/Engineering fees will be (choose one):
|_| 1.$ ______ per ABOA SF
|_| 2.______ % of Total TI construction costs(
|_| 3.$ ______ flat fee
b.Lessor’s Project Management fees will be ______ percent of Total TI construction costs

c. If other fees are applicable, state as per ABOA square foot, or if using a percentage, the basis for determining the fee.

The Government will add the cost of the proposed 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.

40. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises: $________ per ABOA SF Adjustment for Reduced Services: $________ per ABOA SF* *Only applies when Government requires extended services, such as 24/7 HVAC, beyond normal operating hours (check RLP/Lease for confirmation). Reflects reduction if Government no longer requires these extended services.

Utilities in Offered Space (By Lessor or Lessee?):____________________________________________________ Janitorial in Offered Space (Lessor or Lessee?):_________________________ Trash Removal in Offered Space (Lessor or Lessee?):____________________ HVAC Overtime Rate (n/a if net of utilities): $____ per hour per |_|zone |_|floor |_|space (choose one) For rates based on a “per zone” basis, provide the following:

Number of zones in offered Space: ______ Building’s Normal Hours of HVAC Operation (indicate n/a if the lease is net of utilities) :

Monday - Friday _____ AM to ____ PM;
Saturday _____ AM to _____PM;
Sunday _____ AM to _____PM
Percent of Government Occupancy:_________%
Current Year Taxes:$_________
Based on fully assessed value?|_|Yes|_|No
Is the offered space part of multiple tax bills or multiple buildings on an single tax parcel?|_|Yes|_|No
If so, provide tax ID numbers and SF for each. Attach the legal description of the offered property.

If a site is offered, state the total land costs: $________

41. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER

(See RLP requirements)

42. FREE RENT INCLUDED IN OFFER
|_| 1.______ months free rent (includes shell, operating, TI and BSAC rent)
|_| 2.Other rental concessions structured as follows ______
|_| 3.None

43. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

SECTION IV - OWNER IDENTIFICATION AND CERTIFICATION

44. RECORDED OWNER

a. Name
b. Address
c. City
d. State
e. ZIP + 4

45. 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.

|_| I have read the RLP with attachments in its entirety and am requesting no deviations.

46. Offeror’s Interest in Property |_|Owner |_|Agent |_|Other ________________________________________

47. OFFEROR |_|Check if same as Recorded Owner

a. Name
b. Address
c. City
d. State
e. ZIP + 4
f. Unique Entity Identifier
f. Title
g. E-Mail Address
h. Telephone Number
i.Offeror’s Signature
j.Date Signed

MM-DD-YYYY

LEASE PROPOSAL DATA
In Response to Request for Lease Proposals (RLP) Number
DATE:
1
Offeror's Interest in the Property:

Fee owner Other:

Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.

2
Flood Plains:

The Property is in a base (100-year) flood plain in a 500-year flood plain not in a flood plain.

(See RLP Section 2, Flood Plains.)

3
Seismic Safety: The Building

RLP does not contain seismic requirements. No documentation required.

RLP contains seismic requirements. The Building

Fully meets seismic requirements or meets an exemption under the RLP
Does not meet seismic requirements, but will be retrofitted to meet seismic requirements
Will be constructed to meet seismic requirements
Will not meet seismic requirements

(See RLP Section 2, Seismic Safety.) Attach appropriate documentation.

4
Historic Preference: The Building is a

Historic property within a historic district.

Non-historic developed site or non-historic undeveloped site property within a historic district.

Historic property outside of a historic district.

None of the above.

(See RLP Section 2, Historic Preference.) Attach appropriate documentation.

5
Asbestos-Containing Material (ACM): The Property

Contains no ACM, or contains ACM in a stable, solid matrix that is not damaged or subject to damage.

Contains ACM not in a stable, solid matrix.

(See RLP Section 2, Asbestos)

6
Fire/Life Safety:

The Property Meets Does not meet Lease fire/life safety standards.

(See RLP Section 2 Fire Protection and Life Safety.)

7
Accessibility:

The Property Meets Does not meet Lease accessibility standards.

(See RLP Section 2, Accessibility.)

8
ENERGY STAR®: The Building

Has received the ENERGY STAR® Label within the past twelve months. Date (MM-DD-YYYY):___________ Has not received the ENERGY STAR® Label within the past twelve months; the Offeror has evaluated energy savings measures and:

Determined that none are cost effective.
Determined that the following are cost effective (Attach additional pages):

(See RLP Section 2, Energy Independence and Security Act.)

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.

I am a HUBZone SBC Offeror and I elect to waive the price evaluation preference.

(See RLP and Lease documents for more information)

See attached document: Exhibit H - GSA Form 1217 Lessors Annual Cost Statement_Nov_2016.

(THIS FORM IS REQUIRED WHEN THE OFFERED SPACE IS NOT EXEMPT FROM THE RLP FIRE PROTECTION AND LIFE SAFETY PRELEASE REVIEW AS PER PARAGRAPH 3.06(I) OF THE REQUEST FOR LEASE PROPOSALS (RLP)

The prelease form contains two parts that must be completed depending on the area of the offered space proposed to be leased to the Government.

Part A must be completed when any portion of offered space is located above the ground floor or when an offered space is less than 40,000 square feet in area. Part A shall be completed by the Offeror or their authorized representative.

Part B must be completed when offered space is greater than or equal to 40,000 square feet in area. Part B shall be completed by a professional engineer. The Fundamental Code Requirements apply to Part A and Part B.

Fundamental Code Requirements

a. A warehouse building is defined as a building that is built for materials storage and handling operations with features such as concrete floors, unfinished ceilings, industrial lighting, overhead doors, minimal HVAC, large column spacing, and special floor load capacities.

b. The offered warehouse building shall be evaluated for compliance with the most recent edition of the building and fire code adopted by the jurisdiction in which the warehouse 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.

PART A

The Offeror or their representative shall complete Part A. Part A consists of a series of short answer and Yes/No/NA applicable questions related to general warehouse 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 any portion of offered space located in a warehouse building above the ground floor or when offered space is less than 40,000 square feet in area. Note: The Offeror may need to obtain additional information from the Government to complete Sections IV, V, and VI of this form.

I. WAREHOUSE BUILDING ADDRESS

Warehouse Building Name:
Address:
City:
State:

9-Digit Zip Code:

II. GENERAL WAREHOUSE 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 warehouse building starting at the street floor:
c. Identify the total number of floors in the warehouse building below the street floor:
d. Identify the height of each floor in the warehouse building:
e. Identify the number of fire department access doors:

III. OTHER USES IN WAREHOUSE BUILDING (Check All That Apply)

|_|
Storage

Percentage of Offered Space: ____%

|_|
Office Percentage of Offered Space: ____%
|_|
Parking Garage

Percentage of Offered Space: ____% |_| Other (list) Percentage of Offered Space: ____%

IV. STORAGE COMMODITY CLASSIFCATION (PER INTERNATIONAL FIRE CODE)

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

a. a. Is the proposed storage considered a Class I commodity?

b. b. Is the proposed storage considered a Class II commodity?

c. c. Is the proposed storage considered a Class III commodity?

d. c. Is the proposed storage considered a Class IV commodity?

e. d. Is the proposed storage considered a Group A Plastic commodity?

f. c. Is the proposed storage considered a Group B Plastic commodity?

g. d. Is the proposed storage considered a Group C Plastic commodity?

V. STORAGE CONFIGURATION

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

h. a. Is the proposed storage to be configured in a solid pile arrangement?

i. b. Is the proposed storage to be configured in a palletized arrangement?

j. c. Is the proposed storage to be configured in a shelf arrangement?

k. d. Is the proposed storage to be configured in a rack array arrangement?

VI. STORAGE HEIGHTS

Please indicate the available height for storage in respect to the following storage configurations:

Note: The maximum height at which the commodity can be stored above the floor and still maintain the necessary clearance from structural members and the required clearance below the sprinklers.

FEET
N/A

l. a. Storage arranged in solid pile configurations.

m. b. Storage arranged in palletized configurations.

n. c. Storage arranged in shelf configurations.

o. d. Storage arranged in rack configurations

VII. AUTOMATIC FIRE SPRINKLER SYSTEM

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

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

q. b. If an automatic fire sprinkler system is installed, have early suppression fast-response sprinklers been installed in the warehouse building?

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

VIII. AUTOMATIC FIRE SPRINKLER SYSTEM – DESIGN CRITERIA

a) If the answer to question in Section VII (a) is “YES”, please complete the following fire sprinkler system design criteria information:
GPM
PSI
GPM/FT2
FT2

Existing Fire Sprinkler Design Criteria

s. System Demand at Base of Riser (GPM) at a Residual Pressure (PSI)

t. Fire Sprinkler Density

u. Designated Area of Discharge

b) If the answer to question Section VII (a) is “No”, please complete the following fire sprinkler system design criteria information for the proposed fire sprinkler system to be installed:
GPM
PSI
GPM/FT2
FT2

Proposed Fire Sprinkler Design Criteria

v. System Demand at Base of Riser (GPM) at a Residual Pressure (PSI)

w. Fire Sprinkler Density

x. Designated Area of Discharge

y. c) If the answer to question Section VII (b) is “YES”, please compete the following fire sprinkler information for early suppression fast-response sprinklers:
GPM/PSI1/2
PSI

z. Early Suppression Fast-Response Sprinkler K Factor

aa. Design Pressure

IX. SMOKE AND HEAT REMOVAL

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

a. a. Are smoke and heat vents installed in the warehouse building?

X. FIRE ALARM SYSTEM

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

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

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

d. c. If a fire alarm system is installed in the warehouse building, are strobe devices installed in the offered space?

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

f. e. If a fire alarm system is installed in the warehouse building, does the operation of the fire alarm system automatically notify the local fire department, remote station, or UL listed central station?

f. If a fire alarm system is installed in the warehouse building, is the fire alarm system maintained in accordance with NFPA 72, National Fire Alarm and Signaling Code?

XI.

MEANS OF EGRESS

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

a. The offered space has unrestricted access to a minimum of two remote exits on each floor of Government occupancy?

XII. EXIT SIGNS

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

b. Are exit signs installed in the paths of egress travel to the exits?

XIII. ADDITIONAL 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:

PART B

The Offeror’s professional engineer shall complete this prelease evaluation form when offered space is located within a warehouse building and is equal to or greater than 40,000 square feet in area. The prelease evaluation form Part B consists of a detailed narrative report based on an evaluation of the entire warehouse building that also includes the review of the fire protection systems preventive maintenance records (e.g., automatic fire sprinkler system, fire alarm system, etc.). 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 warehouse 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 associated with Fundamental Code Requirement, 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 warehouse building is located unless the subject State does not formally recognize fire protection engineering. In such cases, VA 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 the detailed narrative report, the Offeror’s fire protection engineer must sign and date the “Fire Protection Engineer Statement.”

c. Upon completion of the detailed narrative report, the Offeror must sign and date the “Offeror’s “Statement of Correction.”

d. The accepted GSA Form 12000-WH is valid for a time period of 5 years from the noted date on the completed and accepted narrative report. This acceptance is conditional in that no major modifications or construction has occurred associated with the warehouse building.

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

1.General Information.
a.Identify warehouse building name, address, City, and State.
b.Identify all current citations or violations noted by the local jurisdiction regarding the warehouse building.
c.Identify the name and year of the Building Code identified on the Building Certificate of Occupancy.
d.Provide digital pictures of the warehouse building. Include exterior views showing the front of the warehouse building and all sides of the warehouse building.
e.Identify the gross square footage and associated floor of the proposed offered space.
f.Identify by location and describe any potential fire ignition sources in the warehouse building.
2.Occupancy Classifications.
a.Identify the different types of occupancies and particular uses on each floor. For example, include, storage, mechanical equipment areas, inside parking areas, etc.
b.Identify the location of these occupancies and particular uses in regard to the offered space.
3.Warehouse Building Information.
a.Identify the total size and shape of the warehouse building
b.Identify the height of the warehouse building
c.Identify the height of each floor in the warehouse building
c.Identify the building construction type.
d.Identify the number of occupants on-site.
e.Describe the usable storage height for each storage area.
f.Identify the number of floors in the building (above and below grade)
g.Identify the approximate gross square footage per floor in the warehouse building.
4.Storage Configuration.
a.Describe for each storage material the following information:

· commodity classification, based on the provisions in International Fire Code, (e.g., Class I, Class II, Class III, Class IV, Group A Plastics, Group B Plastics, Group C Plastics)

· quantities of materials stored

· intermixing of multiple stored commodities

· top of storage height

· sprinkler temperature

· sprinkler response

· if in-rack sprinklers are provided

· height of sprinkler above floor

· height of sprinkler above storage

b.Describe the approximate pile volume for each storage array.
c.Identify by location and describe any solid pile storage.
d.Identify by location and describe any palletized storage.
e.Identify by location and describe storage utilizing a shelf configuration.
f.Identify by location and describe any rack storage array configuration.

· Identify and describe the number of tiers within each rack and if single or double row rack.

g. Identify by location and describe any idle pallet storage and type of pallets.

h. Identify by location and describe any storage that are banded or encapsulated (shrink wrap on all sides and top).

i. Describe the commodity clearance between the top of storage and the sprinkler deflector for each storage arrangement.

j. Describe the level of automation used for storage and retrieval.

5.Means of Egress.
a.Identify the number of exits and locations on each floor of the warehouse building.
b.Identify and describe all exit doors that do not swing in the direction of exit travel.
c.Identify and describe if all fire doors are in proper working order.
e.Identify by floor and describe any concerns regarding the exit access system, as it applies to the proposed offered space.
f.Identify and describe the aisle dimensions between each storage array.
g.Identify and describe the location of required fire department access doors
h.Identify by location and describe any concern regarding the exit signage within the building.
i.Describe the building’s emergency lighting system.
j.Identify and describe if emergency power is provided within the building.
k.If emergency lighting is provide, identify and describe the type of system and the appropriate testing and maintenance that is being performed such as the criteria contained in the current editions of NFPA 101, NFPA 110 for emergency generator service and NFPA 111 for stored electrical power.
7.Automatic Fire Suppression Systems.
a.Identify and describe the building’s 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 location of valves controlling the water supply of ceiling and in-rack sprinklers
c.Identify and describe the different types of automatic fire sprinkler systems (e.g., dry, wet, deluge, pre-action, etc.) that are installed within the building and their respective locations.
d.Identify and describe the location of any early response fast-response sprinklers that have been installed. Include a description of the K factor and design pressure.
d.Identify and describe any other fire suppression systems installed within the building.
e.Identify and describe the types of standpipes installed in the building.
f.If automatic fire sprinkler systems are installed in the building, describe if they are tested and maintained in accordance with the NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems.
8.Evaluation of Automatic Fire Sprinkler System in Regard to Storage Activities

a. Provide a detailed evaluation of the performance of the existing fire sprinkler system in regard to the existing commodities and storage arrangement that is currently being protected by the automatic fire sprinkler system in accordance with the requirements of NFPA 13, such as but not limited to, commodity classification, packing materials, storage configurations, aisle widths, storage heights, storage pile stability, sprinkler clearances, sprinkler types, etc.

b. Provide a detailed evaluation of the performance of the existing fire sprinkler system in regard to the proposed commodities and storage arrangement that would be protected by the automatic fire sprinkler system in accordance with the requirements of NFPA 13, such as but not limited to, commodity classification, packing materials, storage configurations, aisle widths, storage heights, storage pile stability, sprinkler clearances, sprinkler types, etc.

c. Provide detailed density requirements that would be required of a proposed fire sprinkler system to protect the proposed commodity and storage arrangement with supporting substantiation in accordance with the requirements of NFPA 13, such as but not limited to, commodity classification, packing materials, storage configurations, aisle widths, storage heights, storage pile stability, sprinkler clearances, sprinkler types, etc.

d. Describe any variables that may affect the performance of the sprinkler system not addressed in items a, b, or c above, such as but not limited to, building ventilation systems, draft curtains and any unique building construction elements, etc.

9. Additional Fire Protection Systems and Features.

a. Identify by location and describe any existing fire detection systems such as, but not limited to, smoke detection systems, heat detection systems, flame detection systems, etc. that have been installed

b. Describe any fire protection features such as, but not limited to, fire dampers, smoke partitions, fire barriers, fire walls, smoke and heat vents, curtain board systems, fire proofing of building columns and roofs, etc.

c. Describe in detail if the fire protection systems and features are tested and maintained in accordance with the applicable NFPA Standard; identify and evaluate the procedures being used.

10.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, water flow devices, smoke or heat detection, back-up power, etc.
b.Describe if the fire alarm system is connected to a U.L. listed Central Station, Remote Station, or to the local fire department.
c.Describe in detail the operation of the fire alarm system.
d.Describe in detail if the fire alarm system is tested and maintained in accordance with NFPA 72, National Fire Alarm and Signaling Code.

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.)

Signature: Date:

Printed Name:

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 VA REGIONAL ENGINEERING OFFICE.

Signature: Date:

Printed Name:

Title:

Name of Firm:

See attached document: Exhibit J - DOL Wage Rates - Saginaw MI20240097.

See attached document: Exhibit K - Contractor Confidentiality Certificate.

See attached document: Exhibit L - Offering Entity Acknowledgement Form.

Issued 5/5/2014 LESSOR: ________GOVERNMENT:________ GSA Form 12000-WH Page 26

File details come from the government source that posted it. Updated .