F-GSA_Form_1364A_10_18.pdf
GSA Form PDF 111 KB Posted
- Attached to
- Evanston CBOC- Succeeding Lease
- Solicitation number
- 36C25218R0849
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36C25218R0849 F-GSA Form 1364A 10_18.pdf
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Lessor _______ Government:_______ GSA FORM 1364A (REV 10/18)
EXHIBIT A TO LEASE NUMBER GS-XXP-LXXXXXXX
GSA FORM 1364A
SIMPLIFIED LEASE PROPOSAL
REQUEST FOR LEASE PROPOSALS NUMBER
XXXXXXX
DATE:
SECTION I – BUILDING INFORMATION
1 A. BUILDING NAME
2 NUMBER OF FLOORS 6 TOTAL PARKING FOR BUILDING
STRUCTURE: SURFACE:
B. BUILDING STREET ADDRESS
3 LIVE FLOOR LOAD
(LBS / SQ FT)
7 CONSTRUCTION TYPE
C. CITY
D. STATE
4 TOTAL RENTABLE AREA
(SQ FT)
8 A. BUILDING BUSINESS HOURS (MON – FRI)
E. 9-DIGIT ZIP CODE
F. CONGR.
DISTRICT
5 BUILDING AGE (YRS)
B. BUILDING BUSINESS HOURS (SAT – SUN)
SECTION II – SPACE OFFERED AND RATES
9 FLOOR
LOCATION
SUITE
NUMBER
ANSI/BOMA SQ FT TYPE OF
SPACE
FLOOR
LOCATION
SUITE NUMBER ANSI/BOMA SQ FT TYPE OF SPACE
TYPE OF
SPACE
ANSI/
BOMA
AREA
(SQ FT)
A
COMMON
AREA
FACTOR
B
RENTABLE
SQ FT
(RSF)
A x B =
C
FIRM TERM NON-FIRM TERM OPTION TERM
RENTAL RATE
PER RSF/YR
D
ANNUAL RENT
C x D =
E
RENTAL
RATE
(PER
RSF/YR)
F
ANNUAL RENT
C x F =
G
RENTAL
RATE
(PER
RSF/YR)
H
ANNUAL RENT
C x H =
I
10 OFFICE $ $ $ $ $ $
11 OTHER $ $ $ $ $ $
12 TOTAL $ $ $
13 COMPOSITE ABOA PER SQ FT RATES 12E ÷ 12A = 13A $
12G ÷ 12A
= 13B $ 12I ÷ 12A =
13C $
14 A. RATE ADJUSTMENT FOR VACANT SPACE: $_______/ ABOA SF
B. 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
15 A. HOURLY RATE FOR OVERTIME HVAC:
Zone $_____ Floor $ ______ Entire space $_____
B. 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.
16 NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT: A. STRUCTURED: C. SURFACE:
CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT): B. STRUCTURED: $ / MO D. SURFACE: $ / MO
17 RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING INCLUDED NOT INCLUDED
SECTION III – OWNER/OFFEROR INFORMATION
18 A. OFFEROR
(NAME AND COMPLETE MAILING ADDRESS)
B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)
(NAME AND COMPLETE MAILING ADDRESS)
19 TELEPHONE NUMBER
EMAIL ADDRESS
21 OFFEROR'S FORM OF BUSINESS: INDIVIDUAL PARTNERSHIP CORPORATION – SPECIFY STATE:
Lessor _______ Government:_______ GSA FORM 1364A (REV 10/18)
SECTION IV – OFFER
22 RLP AMENDMENTS ACKNOWLEDGED (INITIAL) NO. 1 NO. 2 NO. 3 NO. 4 NO. 5
23 On behalf of the Offeror, the undersigned offers to lease to the Government the Premises described in Sections I and II, together with all other rights indicated therein, at the rental and other rates stated, on the terms and conditions set forth in the referenced Request for Lease Proposals and this Proposal. This Offer shall remain open for a period of 60 days.
A. SIGNATURE
B. NAME C. TITLE D. DUNS NUMBER E. DATE
EXHIBIT A TO LEASE NO. GS-XXX-XXXXX
SECTION V – PROPOSED ADDITIONAL TERMS, CONDITIONS
24 OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS
REQUIRED IN THE LEASE:
25 ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:
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