S02_Exhibit_F__-_Proposal_to_Lease_Space_(GSA_FORM_1364).pdf

GSA Form PDF 1004 KB Posted Jan 4, 2019

Attached to: Everett CBOC
Solicitation number: 36C26019R0009
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20

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36C26019R0009 S02 Exhibit F - Proposal to Lease Space (GSA FORM 1364).pdf

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Other versions and copies of GSA Form 1364

509 government files on GovTribe name GSA Form 1364. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
3B.G(2026.09.11)GSA Form 1364 Open with Adobe Only-2KS0140.pdf	2026	Sep 11, 2026	U. S. GOVERNMENT SEEKS TO LEASE SPACE IN TOPEKA, KS
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
08 RLP 36C10F26R0024 Attachment No 1 to GSA Form 1364 SPB County OPC 7_17_2026.xlsx	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
H - GSA Form 1364 Proposal to Lease Space (Jan. 2023) Open with Adobe Only.pdf	Jan 2023	Oct 28, 2026	General Services Administration (GSA) seeks to lease office space in Brunswick, GA
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Oct 1, 2026	U. S. Government Seeks Proposals to Lease 2, 405 to 2, 605 ABOA SQ FT of Office and Related Space in Washington, DC
4WY0059_Exhibit 2 GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 21, 2026	U. S. Government Seeks to Lease Office Space in Cheyenne, WY – Solicitation Amendment No. 1
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 20, 2026	General Services Administration (GSA) seeks to lease the following space: Solicitation No. 6GA0308
EXHIBIT F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Jul 30, 2026	Request for Lease Proposals (RLP) - Saipan CBOC
Proposal To Lease Space_GSA Form 1364.pdf	Revision not stated	Sep 17, 2026	General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf	Revision not stated	Sep 10, 2026	General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
F. GSA Form 1364 Proposal to Lease Space (1).pdf	Revision not stated	Aug 27, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
Exhibit G. GSA Form 1364 (2).pdf	Revision not stated	Aug 25, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
08. GSA Form 1364 - Attachment No. 1.xlsx	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
09. GSA Form 1364 - Proposal to Lease Space.pdf	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Attachment No. 1 to GSA Form 1364 - Idaho Falls (10-15-20 Yr).xlsx	Revision not stated	Aug 21, 2026	Dept of Veterans Affairs seeks clinical space in Idaho Falls, ID
10 GSA Form 1364 080626.pdf	Revision not stated	Aug 6, 2026	U. S. Department of Agriculture Seeks to Lease Office and Related Space in Huntington, Indiana
Exhibit E. GSA Form 1364 (2).pdf	Revision not stated	Aug 3, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 3TN0311
Exhibit F. GSA Form 1364 (1).pdf	Revision not stated	Jul 29, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4LA0288
Exhibit G. GSA Form 1364.pdf	Revision not stated	Jul 28, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TN0427

Show all 20

Who attaches GSA Form 1364

Agency	Files
General Services Administration Public Buildings Service Central Office	229
Department of Veterans Affairs Office of Construction and Facilities Management	34
Department of Agriculture Under Secretary for Farm Production and Conservation	30
General Services Administration Public Buildings Service Central Office Office of Leasing	23
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8	17
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10	13
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20	13
General Services Administration Public Buildings Service Region 5	13

Other files

File	Type	Posted
36C26019R0009-0001000.docx	DOCX document	Jan 24, 2019
Simplified_Lease_Form_L201A_10_2017.pdf	PDF	Jan 4, 2019
S02_Exhibit_C_LEASE_LEVEL_II_04302018.pdf	PDF	Jan 4, 2019
S02_Exhibit_E_-_General_Clauses.pdf	PDF	Jan 4, 2019
S02_Exhibit_D_-__Solicitation_Provisions.pdf	PDF	Jan 4, 2019
36C26019R0009.docx	DOCX document	Jan 4, 2019
S02_Exhibit_J_-_Seismic_Offer_Forms.pdf	PDF	Jan 4, 2019
S02_Exhibit_H_-_Lease_Security_Price_List__NewConstruction.xlsx	XLSX spreadsheet	Jan 4, 2019
S02_Global_RLP_R100VA260-19-R-0009_-_Everett_CBOC.pdf	PDF	Jan 4, 2019
S02_Exhibit_L_-_DOL_Wage_Determination.pdf	PDF	Jan 4, 2019
S02_Exhibit_K_-_Lessor's_Annual_Cost_Statement_(GSA1217-16).pdf	PDF	Jan 4, 2019
S02__Exhibit_B_Everett_CBOC.pdf	PDF	Jan 4, 2019
S02_Exhibit__I_-_(GSA_Form_12000,_Fire_Protection___Life_Safety,.pdf	PDF	Jan 4, 2019
S02_Exhibit_G_-__Lease_Proposal_Data_(GSA_FORM_1364A).pdf	PDF	Jan 4, 2019

Show all 14

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SIMPLIFIED LEASE PROPOSAL DATED:

SECTION I - BUILDING INFORMATION

A. BUILDING NAME

NUMBER OF FLOORS

TOTAL PARKING FOR BUILDING

STRUCTURED: SURFACE:

B. BUILDING STREET ADDRESS

LIVE FLOOR LOAD (LBS / SQ

FT) 7

CONSTRUCTION TYPE

C. CITY D. STATE

TOTAL RENTABLE AREA (SQ

FT)

A. BUILDING BUSINESS HOURS (MON - FRI)

E. 9-DIGIT ZIP CODE F. CONGRESSIONAL

DISTRICT 5

BUILDING AGE (YEARS) B. BUILDING BUSINESS HOURS (SAT - SUN)

SECTION II - SPACE OFFERED AND RATES

FLOOR LOCATION SUITE NUMBER ANSI/BOMA SQ FT TYPE OF SPACE FLOOR LOCATION SUITE NUMBER ANSI/BOMA SQ FT TYPE OF SPACE

ANSI/ BOMA

AREA (SQ FT)

COMMON

AREA

FACTOR

RENTABLE

SQ FT (RSF)

A x B =

FIRM TERM NON-FIRM TERM OPTION TERM

RENTAL RATE

(PER RSF/YR)

TYPE OF

SPACE

ANNUAL RENT

C x D =

C x F =

C x H =

10 OFFICE $

11 OTHER

12 TOTAL

13 COMPOSITE ABOA PER SQ FT RATES 12E ÷ 12A =

13A

12G ÷ 12A = 13B

12I ÷ 12A = 13C

A. RATE ADJUSTMENT FOR VACANT SPACE: $ / ABOA

B. FREE RENT INCLUDED IN OFFER

A. HOURLY RATE FOR OVERTIME HVAC: B. AREAS REQUIRING 24 HOUR HVAC (LAN, ETC.) $ ABOA SF*

Zone $ Floor $ Entire space $

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

A. OFFEROR (NAME AND COMPLETE MAILING ADDRESS) B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)

(NAME AND COMPLETE MAILING ADDRESS)

19 TELEPHONE NUMBER 20 E-MAIL ADDRESS

21 OFFEROR'S FORM OF BUSINESS: INDIVIDUAL PARTNERSHIP CORPORATION - SPECIFY STATE:

C. DUNS NUMBER

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS- OMB Control Number: 3090-0086 Expiration Date: 11/30/2019

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

IN RESPONSE TO REQUEST FOR LEASE PROPOSALS (RLP) NUMBER

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 1.5 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.

None

*Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent as described under Section 6 of the Lease.

Other rental concessions structured as follows months free rent (includes shell, operating, TI and BSAC rent)

NO. 3NO. 1 NO. 2 NO. 5NO. 4

SECTION V - PROPOSED ADDITIONAL TERMS, CONDITIONS

OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS

REQUIRED IN THE LEASE:

ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS-

GSA 1364A (REV. 11/2016) BACK

SECTION IV - OFFER

RLP AMENDMENTS ACKNOWLEDGED (INITIAL)22

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. DATE

SIMPLIFIED LEASE PROPOSAL

DATED:

SECTION I - BUILDING INFORMATION

A. BUILDING NAME

NUMBER OF FLOORS

TOTAL PARKING FOR BUILDING

STRUCTURED: SURFACE:

B. BUILDING STREET ADDRESS

LIVE FLOOR LOAD (LBS / SQ FT)

CONSTRUCTION TYPE

C. CITY

D. STATE

TOTAL RENTABLE AREA (SQ FT)

A. BUILDING BUSINESS HOURS (MON - FRI)

E. 9-DIGIT ZIP CODE

F. CONGRESSIONAL DISTRICT

BUILDING AGE (YEARS)

B. BUILDING BUSINESS HOURS (SAT - SUN)

SECTION II - SPACE OFFERED AND RATES

FLOOR LOCATION

SUITE NUMBER

ANSI/BOMA SQ FT

TYPE OF SPACE

FLOOR LOCATION

SUITE NUMBER

ANSI/BOMA SQ FT

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)

TYPE OF SPACE

ANNUAL RENT

C x D =

RENTAL RATE

(PER RSF/YR)

ANNUAL RENT

C x F =

RENTAL RATE

(PER RSF/YR)

ANNUAL RENT

C x H =

OFFICE

OTHER

TOTAL

COMPOSITE ABOA PER SQ FT RATES

12E ÷ 12A = 13A 12G ÷ 12A = 13B 12I ÷ 12A = 13C

A. RATE ADJUSTMENT FOR VACANT SPACE: $ / ABOA

B. FREE RENT INCLUDED IN OFFER

A. HOURLY RATE FOR OVERTIME HVAC:

B. AREAS REQUIRING 24 HOUR HVAC (LAN, ETC.) $ ABOA SF*

Zone $ Floor $ Entire space $

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

RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING

INCLUDED NOT INCLUDED

SECTION III - OWNER/OFFEROR INFORMATION

A. OFFEROR (NAME AND COMPLETE MAILING ADDRESS)

B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE) (NAME AND COMPLETE MAILING ADDRESS)

TELEPHONE NUMBER

E-MAIL ADDRESS

OFFEROR'S FORM OF BUSINESS: INDIVIDUAL PARTNERSHIP CORPORATION - SPECIFY STATE:

Gray Rectangle Gray Rectangle Gray Rectangle Gray Rectangle

C. DUNS NUMBER

17. Right to use of Rooftop Area for Antennas and Associated Rights in Building. Select one of the following: Included, Not Included

21. Offeror's form of business. Select one of the following: Individual, Partnership, Corporation.

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS-

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

GSA 1364A (REV. 11/2016)

GENERAL SERVICES ADMINISTRATION

IN RESPONSE TO REQUEST FOR LEASE PROPOSALS (RLP) NUMBER

14B. Free rent included in offer. Select one of the following: 1. a set number of months free rent (includes shell, operating, TI, and BSAC rent) 2. Other rental concessions structured as follows, or 3. None (no free rent included in offer).

None *Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent as described under Section 6 of the Lease.

Other rental concessions structured as follows months free rent (includes shell, operating, TI and BSAC rent)

NO. 3

NO. 1

NO. 2

NO. 5

NO. 4

SECTION V - PROPOSED ADDITIONAL TERMS, CONDITIONS

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS-

GSA 1364A (REV. 11/2016) BACK

SECTION IV - OFFER

RLP AMENDMENTS ACKNOWLEDGED (INITIAL)

A. SIGNATURE

B. NAME

C. TITLE

D. DATE

EXHIBIT A TO LEASE NO

BrendaKJohnson Normal.dotm Edward L Orlowsky 9.0.0.2.20101008.1.734229

11/26/2012 7:15:00 AM

11/26/2012 7:51:00 AM

GSA

26997

11/26/2012 7:51:00 AM

In Response to Request for Lease Proposal (RLP) Number:

Dated:

1A. Building Name :

1B. Building Street Address:

1C. City :

1E. 9-Digit ZIP Code :

1D. State:

1F. Congressional District :

2. Number of Floors:

3. Live Floor Load (LBS / SQ FT) :

4. Total Rentable Area (SQ FT) :

5. Building Age (Years) :

2. Number of Floors:

8A. Building Business Hours (Monday - Friday) :

8B. Building Business Hours (Saturday - Sunday) :

6. Total Parking for Building - Structure :

6. Total Parking for Building - Surface :

9. Floor Location (Row 1 of 4):

9. Floor Location (Row 2 of 4):

9. Suite Number:

9. ANSI / BOMA Square Feet:

9. Type of Space :

9. Floor Location (Row 4 of 4):

9. Floor Location (Row 3 of 4):

10A. Office ANSI / BOMA Area (Square Foot):

10B. Office Common Area Factor :

10C. Rentable Square Foot (RSF) A x B = C:

10D. Office, Firm Term Rental Rate per Square foot. :

10E. Office, Firm Term Annual Rent C x D = E:

10F. Office, Non-Firm Term Rental Rate per Square foot. :

10G. Office, Non-Firm Annual Rent C x F = G:

10H. Option Term, Rental Rate (Per RSF/YR) :

10I. Office, Option Term Annual Rent C x H = I:

11A. Other, ANSI / BOMA Area (Square Foot):

11B. Other, Office Common Area Factor :

11C. Other, Rentable Square Foot (RSF) A x B = C:

11D. Other, Firm Term Rental Rate per Square foot. :

11E. Other, Firm Term Annual Rent C x D = E:

11F. Other, Non-Firm Term Rental Rate per Square foot. :

11I. Other, Option Term Annual Rent C x H = I:

12A. Total ANSI / BOMA Area (Square Foot):

12C. Total Rentable Square Foot (RSF) A x B = C:

12E. Total, Firm Term Annual Rent C x D = E:

12G. Total, Non-Firm Annual Rent C x F = G:

12I. Other, Option Term Annual Rent C x H = I:

11H. Other, Option Term, Rental Rate (Per RSF/YR) :

13A. Composite ABOA Per Square Foot Rates (12E / 12A):

13B. Composite ABOA Per Square Foot Rates (12G / 12A):

13C. Composite ABOA Per Square Foot Rates (12I / 12A):

11G. Other, Non-Firm Annual Rent C x F = G:

14A. Rate Adjustment for Vacant Space: Enter Dollar Amount:

15A. Hourly Rate for Overtime HVAC: Zone :

15A. Hourly Rate for Overtime HVAC: Floor:

15A. Hourly Rate for Overtime HVAC: Entire Space:

16A. Number of parking spaces offered to government - Structure.:

16B. Charge for spaces offered to government if not in rent - Structure:

18C. Offeror's Data and Universal Numbering System (DUNS) Number:

16D. Charge for spaces offered to government if not in rent - Surface. :

17. Right to use of rooftop area for antennas and associated rights in building - included.:

17. Right to use of rooftop area for antennas and associated rights in building - not included.:

18A. Offeror (Name and complete mailing address):

18B. Offeror's Authorized Representative (if applicable) (Name, and Complete Mailing Address):

21. Offeror's form of business - Individual:

21. Offeror's form of business - Partnership :

21. Offeror's form of business - Corporation :

21. If Corporation was selected - Specify State:

19. Telephone Number:

20. E-mail Address:

Lessor Page Initials (Front of Form):

Government Page Initials (Front of Form):

GS Lease Number (XXX-XXXX):

14B. Enter the other structured rental concessions.:

15B. Areas Requiring 24 Hour HVAC (LAN, ETC.):

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. :

Lessor Page Initials (Back of Form):

Government Page Initials (Back of Form):

22. RLP Amendments Acknowledged (initial 5):

22. RLP Amendments Acknowledged (initial 4):

22. RLP Amendments Acknowledged (initial 3):

22. RLP Amendments Acknowledged (initial 2):

22. RLP Amendments Acknowledged (initial 1):

23A. Signature :

23B. Name:

23C. Title :

23D. Date:

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