G-GSA_Form_1364A-1.pdf

In Response to Request for Lease Proposals (RLP) Number

Date

SIMPLIFIED LEASE

PROPOSAL DATA

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.

Flood Plains:

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

(See RLP Section 2, Flood Plains.)

The Property is

Historic: The Building is a

Seismic Safety: 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.

RLP does not contain seismic requirements. No documentation required.

RLP contains seismic requirements. The Building

Historic property within a historic district.

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

None of the above.

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

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.)

Fire/Life Safety:

Meets Does not meet Lease fire/life safety standards.

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

The Property

Accessibility:

Meets Does not meet Lease accessibility standards.

(See RLP Section 2, Accessibility.)

The Property

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.

ENERGY STAR®: The Building

Determined that none are cost effective.

Determined that the following are cost effective (List):

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

Has received the ENERGY STAR® Label within the past twelve months. Date:

Has not received the ENERGY STAR® Label within the past twelve months; the Offeror has evaluated energy savings measures and

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

(See RLP and Lease documents for more information)

GSA 1364A-1 (REV. 11/2016)GENERAL SERVICES ADMINISTRATION

OMB Control Number: 3090-0086 Expiration Date: 11/30/2019

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0086. We estimate that it will take 2 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

PROPOSED RENT COMPONENTS

BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY THE 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.

A. SIGNATURE B. NAME C. TITLE D. DATE

OPTION TERM

($/RSF/YR)

C

NON-FIRM TERM

B

11 $$$

12 $$$

13 $$$

14 $$$

FIRM TERM

A

OPTION TERM

C

NON-FIRM TERM

B

FIRM TERM

A

OFFICE AREA

Total

A. Building Specific Amortized Capital Costs

A. Tenant Improvement Costs

Building Specific Amortized Capital Rent (See block 21 below for additional cost and amortization rate breakdown)

Operating Rent

Turnkey Tenant Improvement Rent (See block 20 below for additional cost and amortization rate breakdown)

Building Shell Rent (Include Real Estate Taxes) (See page 3 Addendum: Shell Definitions)

OTHER SPACE

Building Shell Rent (Include Real Estate Taxes) (See page 3 Addendum: Shell Definitions)

Total

Building Specific Amortized Capital Rent (See block 21 below for additional cost and amortization rate breakdown)

Operating Rent

Turnkey Tenant Improvement Rent (See block 20 below for additional cost and amortization rate breakdown)

23 The information contained in this 1364A-1, Lease Proposal Data Form, is proprietary to Offeror.

OTHER INFORMATION SUPPLIED WITH THIS PROPOSAL:

If GSA is using an authorized contractor real estate broker in this transaction, Offeror must enter here the commission rate offered to its representative, and the commission rate offered to GSA's Broker, and attach the commission agreement between Offeror and GSA's Broker.

B. Interest Rate to Amortize Building Specific Amortized Capital Costs

B. Interest Rate to Amortize Tenant Improvements 20

GSA 1364A-1 (REV. 11/2016) PAGE 2

Addendum: Shell Definitions Base Building Tenant Areas

Base structure and building enclosure components (windows with exterior finishes) are complete.

Central heating, ventilation, and air conditioning (HVAC) systems are installed and operational, including, as appropriate, main and branch lines, variable air volume boxes, dampers, flex ducts and diffusers, for open office layout. Conditioned air through medium pressure ductwork at a rate of .75 cfm per square foot of usable area is provided.

Sprinkler mains and distribution piping in a protection layout (open plan) with heads turned down, concealed with an escutcheon or trim plate, are installed.

Building cores on each floor with assignable space contain the following: tappable domestic water riser, service sanitary drain, sanitary vent, ready for extension to tenant-demised areas.

Electrical power distribution panels and circuit breakers available in an electrical closet, with capacity at 277/480 volt and 120/208 volt, 3-phase, 4 wire providing 4 watts per USF.

Designated connection point to the central fire alarm system for extension to tenant-demised areas.

Distribution backboard within a wire closet for connection to tenant’s telephone lines. Vertical conduit (empty sleeve) through building core, available for tenant wiring and cabling.

Common corridor stud walls, without gypsum board on demised tenant premises side and without suite entry door, are installed.

Building common restrooms are complete and operational.

2’ x 2’ suspended acoustical ceiling with 2’ x 2’ parabolic fluorescent (or other building standard, such as 2’ x 4’ fixtures) installed in the ceiling grid for an open office plan at the rate of one fixture per 80 USF, is installed.

All common areas, such as lobbies, elevators, fire egress corridors and stairwells, garages, and service areas are complete. (Circulation corridors are provided as part of the base building only on multi-tenanted floors where the corridor is common to more than one tenant. On single tenant floors, only the fire egress corridor necessary to meet code is provided as part of the shell.)

Gypsum wallboard, spackled and prime painted on exterior perimeter walls and interior core walls, is installed.

Base building electrical and mechanical systems (e.g., central fire alarm, chiller plant, and cooling tower) are complete and functional.

Broom-clean concrete floor slab, with level floor not varying more than ¼ inch over 10-foot horizontal run, in accordance with American Concrete Institute Standards.

GSA 1364A-1 (REV. 11/2016) PAGE 3

In Response to Request for Lease Proposals (RLP) Number Date

SIMPLIFIED LEASE PROPOSAL DATA

Offeror's Interest in the Property:

1. Offeror's Interest in the Property: Select one of the following: Fee Owner or Other Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.

Flood Plains:

2. Flood Plains: The Property is: Select one of the following: in a base (100- year) flood plain, in a 500-year flood plain, or not in a flood plain.

(See RLP Section 2, Flood Plains.)

The Property is Historic: The Building is a Seismic Safety: The Building If RLP contains seismic requirements was selected, select one of the following: 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.

3. Seismic Safety: Select one of the following: The Building RLP does not contain seismic requirements. No documentation required, or, RLP contains seismic requirements.

4. Historic. Select one of the following: The Building is a Historic property within a historic district, Non-historic developed site or non-historic undeveloped site within a historic district, Historic property outside of a historic district, or None of the above.

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

Asbestos-Containing Material (ACM): The Property

5. Asbestos-Containing Material (ACM): Select one of the following: The Property: Contains no ACM, or contains ACM in a stable, solid matrix that is not damaged or subject to damage, or Contains ACM not in a stable, solid matrix.

(See RLP Section 2, Asbestos.)

Fire/Life Safety:

6. Fire/Life Safety: Select one of the following: The Property: Meets or Does not meet Lease Fire/Life Safety Standards.

(See RLP Section 2, Fire Protection and Life Safety) The Property Accessibility:

7. Accessibility: Select one of the following: The Property: Meets or Does not meet Lease Accessibility standards.

(See RLP Section 2, Accessibility.)

The Property 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.

ENERGY STAR®: The Building

8. If has not received ENERGY STAR®: within the past twelve months was selected, select one of the following: the Offeror has evaluated energy savings measures and Determined that none are cost effective or Determined that the following are cost effective (List):

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

8. ENERGY STAR®: Select one of the following: The Building: Has received the ENERGY STAR® Label within the past twelve months or has not received the ENERGY STAR® Label within the past twelve months.

(See RLP and Lease documents for more information)

GSA 1364A-1 (REV. 11/2016)

GENERAL SERVICES ADMINISTRATION

OMB Control Number: 3090-0086 Expiration Date: 11/30/2019 Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0086. We estimate that it will take 2 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

PROPOSED RENT COMPONENTS

BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY THE 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.

A. SIGNATURE

B. NAME

C. TITLE

D. DATE

OPTION TERM

($/RSF/YR)

C

NON-FIRM TERM ($/RSF/YR) B

FIRM TERM ($/RSF/YR) A

OPTION TERM

($/RSF/YR)

C

NON-FIRM TERM ($/RSF/YR) B

FIRM TERM ($/RSF/YR) A

OFFICE AREA

Total A. Building Specific Amortized Capital Costs A. Tenant Improvement Costs Building Specific Amortized Capital Rent(See block 21 below for additional cost and amortization rate breakdown) Operating Rent Turnkey Tenant Improvement Rent(See block 20 below for additional cost and amortization rate breakdown) Building Shell Rent (Include Real Estate Taxes) (See page 3 Addendum: Shell Definitions)

OTHER SPACE

Building Shell Rent (Include Real Estate Taxes) (See page 3 Addendum: Shell Definitions) Total Building Specific Amortized Capital Rent(See block 21 below for additional cost and amortization rate breakdown) Operating Rent Turnkey Tenant Improvement Rent(See block 20 below for additional cost and amortization rate breakdown)

OTHER INFORMATION SUPPLIED WITH THIS PROPOSAL:

If GSA is using an authorized contractor real estate broker in this transaction, Offeror must enter here the commission rate offered to its representative, and the commission rate offered to GSA's Broker, and attach the commission agreement between Offeror and GSA's Broker.

B. Interest Rate to Amortize Building Specific Amortized Capital Costs B. Interest Rate to Amortize Tenant Improvements

GSA 1364A-1 (REV. 11/2016) PAGE 2

Addendum: Shell Definitions Base Building Tenant Areas Base structure and building enclosure components (windows with exterior finishes) are complete.

Central heating, ventilation, and air conditioning (HVAC) systems are installed and operational, including, as appropriate, main and branch lines, variable air volume boxes, dampers, flex ducts and diffusers, for open office layout. Conditioned air through medium pressure ductwork at a rate of .75 cfm per square foot of usable area is provided.

Sprinkler mains and distribution piping in a protection layout (open plan) with heads turned down, concealed with an escutcheon or trim plate, are installed.

Building cores on each floor with assignable space contain the following: tappable domestic water riser, service sanitary drain, sanitary vent, ready for extension to tenant-demised areas.

Electrical power distribution panels and circuit breakers available in an electrical closet, with capacity at 277/480 volt and 120/208 volt, 3-phase, 4 wire providing 4 watts per USF.

Designated connection point to the central fire alarm system for extension to tenant-demised areas.

Distribution backboard within a wire closet for connection to tenant’s telephone lines. Vertical conduit (empty sleeve) through building core, available for tenant wiring and cabling.

Common corridor stud walls, without gypsum board on demised tenant premises side and without suite entry door, are installed.

Building common restrooms are complete and operational.

2’ x 2’ suspended acoustical ceiling with 2’ x 2’ parabolic fluorescent (or other building standard, such as 2’ x 4’ fixtures) installed in the ceiling grid for an open office plan at the rate of one fixture per 80 USF, is installed.

All common areas, such as lobbies, elevators, fire egress corridors and stairwells, garages, and service areas are complete. (Circulation corridors are provided as part of the base building only on multi-tenanted floors where the corridor is common to more than one tenant. On single tenant floors, only the fire egress corridor necessary to meet code is provided as part of the shell.)

Gypsum wallboard, spackled and prime painted on exterior perimeter walls and interior core walls, is installed.

Base building electrical and mechanical systems (e.g., central fire alarm, chiller plant, and cooling tower) are complete and functional.

Broom-clean concrete floor slab, with level floor not varying more than ¼ inch over 10-foot horizontal run, in accordance with American Concrete Institute Standards.

GSA 1364A-1 (REV. 11/2016) PAGE 3

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