Exhibit 001 GSA1364WH-16d Lease Proposal Form Warehouse.pdf

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Attached to
REQUEST FOR PROPOSAL; HMIS RFP# 386369 - Warehouse Space to Replace 2101M; Rev. 02
Solicitation number
386369
Issued by

About this file

This is a GSA Form 1364WH (Proposal to Lease Space) for a warehouse lease proposal. The document is designed for potential lessors to provide detailed information about a property being offered for lease to the U.S. Government. Key sections include building description (Section I), space offered and rates (Section II), lease terms and conditions (Section III), and owner identification (Section IV). The form requires comprehensive details about the property, such as rentable square footage, floor loads, clear ceiling heights, loading dock specifications, parking availability, utility arrangements, and financial terms including tenant improvements, shell rent, and operating costs. The lease proposal data page also captures critical property characteristics like flood plain status, seismic safety, historic designation, asbestos-containing materials, fire/life safety standards, accessibility, and energy efficiency. This blank form serves as a standardized template for property owners to submit warehouse space lease proposals to the General Services Administration.

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SECTION I - DESCRIPTION OF PREMISES

In Response to Request for Lease Proposals (RLP) Number -->

a. Building Name1. BUILDING

DESCRIPTION

c. City d. State

SQUARE FEET

POUNDS PER

SQUARE FOOT

SQUARE FEET SQUARE FEET

SQUARE FEET

ACRES

a. GENERAL PURPOSE (Office)

b. WAREHOUSE

7. BUILDING AGE 8. SITE SIZE

9. CLEAR CEILING HEIGHT

FEET,

10. NUMBER OF LOADING

DOCKS (exclusive to offered space):

13. NUMBER OF DOCK

LEVELORS AND

OPERATING GRADE

(exclusive to offered space)

18. NUMBER OF VOLTS

AND NUMBER OF PHASE

ELECTRIC:

17. MAXIMUM TRUCK

TURNING RADIUS:

20. TRUCK APRON SIZE: 21. TRUCK COURT DEPTH

11. TYPES OF LOADING

DOCKS (exclusive to offered space):

12. EXISTING HEIGHT

OF DOCK-HIGH

LOADING DOCKS

(exclusive to offered space):

NUMBER OF DOCK

HEIGHTS:

NUMBER OF DRIVE

THRUS: INCHES

14. BAY WIDTH

(offered space):

FEET,

16. COLUMN SPACING

(offered space):

FEET, INCHES

15. BAY DEPTH

(offered space):

19. WAREYARD SIZE:

X

Total Square Feet:

FEET, INCHESINCHES

c. OTHER

e. 9-Digit ZIP Code

3. TOTAL RENTABLE SPACE IN OFFERED BUILDING

6. YEAR OF LAST

MAJOR RENOVATION

(if applicable)

f. Congressional District

2a. FLOORS OFFERED

4. LIVE FLOOR LOAD

2b. TOTAL NUMBER OF FLOORS

IN BUILDING

5. MEASUREMENT METHOD

b. Building Street Address

DATED

OTHER

ANSI/BOMA

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 2.3 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.

OMB Control Number: 3090-0086 Expiration Date: 1/31/2026

PROPOSAL TO LEASE SPACE

(For use with Warehouse Request for Lease Proposals)

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

(BLANK)(BLANK)

30. OPERATING COSTS

(Refer to Line 27 on

GSA 1217)

31. TOTAL RATE/

SQUARE FOOT

32. TOTAL ANNUAL

RENT

29. SHELL RENT

(Including real estate taxes. Refer to Line 28 on GSA 1217)

a. PER SQUARE

FOOT

RATE

b. FOR YEARS

/RSF ThruThruThru /RSF

/ABOA

/RSF

/ABOA/ABOA

c. PER SQUARE

FOOT

RATE

e. PER SQUARE

FOOT

RATE

d. FOR YEARS f. FOR YEARS

33. STEP RENT

(SHELL RATES)

GSA 1364WH (REV. 11/2016) PAGE 2

26. BSAC

(per RLP requirements detailed on Security Unit Price List)

27. SHELL BUILD-OUT

(per RLP requirements)

28. TOTAL BUILD-OUT

COSTS

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 Government-demised 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 12, nor the BSAC as stated in Block 13, 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 team, 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.

BUILD-OUT COSTS

PER

CATEGORY

b.

AMORTIZATION

TERM

c.

AMORTIZATION

INTEREST

RATE (%)

d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA

SQUARE FOOT

f.

NUMBER OF

YEARS RATE

IS EFFECTIVE

25. TENANT

IMPROVEMENTS

(per RLP requirements)

Annual cost per truck/trailer space:

StructuredSurfaceAnnual cost per space:If NO, complete the following:YES NO

f. Does the rental rate offered above include RLP - required parking costs?

StructuredSurfacee. Number of parking spaces (auto and truck) for Official Government Vehicles (per RLP):

d. Number of auto parking spaces for Employee/Visitor Use (per RLP): Surface Structured

StructuredSurfacec. Number of truck/trailer parking spaces required by local code:

b. Number of auto parking spaces required by local code: Surface Structured

StructuredSurfacea. Number of parking spaces for the future building/facility which are under the control of the Offeror:

34. PARKING

b. Lessor's Project Management Fee will be percent of Total TI construction costs.

GSA 1364WH (REV. 11/2016) PAGE 3

c. Schedule of Commission Payments:

% at lease occupancy% at lease award and %%

a. Tenant Representative Commission:

39. COMMISSIONS (if applicable), ATTACH COMMISSION AGREEMENT

38. 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.

37. OFFER GOOD UNTIL AWARD

a. Number of Years b. Years Firm c. Number of Days Notice for Government to Terminate Lease:

d. Number of Days Notice to Exercise Option

c. Number of Options

b. Years Eacha. Shell Rate/ RSF/Year

36. RENEWAL OPTIONS35. INITIAL LEASE TERM

(Full Term)

SECTION III - LEASE TERMS AND CONDITIONS

b. Owner's Representative Commission:

The Government will add the cost of the proposed TI 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.

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

flat fee

% of Total TI construction costs.

40. OFFEROR'S TENANT IMPROVEMENT FEE SCHEDULE

a. Architectural/Engineering fees will be (choose one):

per ABOA SF1.

3.

2.

41. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises: per ABOA SF

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 (choose one) zone spacefloor

For rates based on a "per zone" basis, provide the following:

Number of zones in offered Space:

*Only applies when the Lessor provides utilities and 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.

per ABOA SF*Areas requiring 24 hour HVAC (LAN, etc.)

Is the offered space part of multiple tax bills?

Based on fully assessed value?

Current Year Taxes:

Monday - Friday AM to PM

PMtoAMSaturday

Sunday AM to PM

Percent of Government Occupancy: %

YES NO

YES NO

If so, provide tax ID numbers and square footage for each in the blank space below the question on total land costs. Attach the legal description of the offered property.

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

Building's Normal Hours of HVAC Operation:

(indicate n/a if the lease is to be net of utilities)

Other rental concessions structured as follows

None months free rent (includes shell, operating, TI and BSAC rent)1.

3.

2.

42. FREE RENT INCLUDED IN OFFER

43. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

44. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

GSA 1364WH (REV. 11/2016) PAGE 4

i. Offeror's Signature j. Date Signed

h. Telephone Number g. E-Mail Address f. Title

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

48. OFFEROR Check if same as Recorded Owner

Owner OtherAgent

47. Offeror's Interest in Property

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

46. 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.

f. DUNS Number e. ZIP Code + 4 d. State c. City b. Address a. Name

45. RECORDED OWNER

SECTION IV - OWNER IDENTIFICATON AND CERTIFICATION

1.

LEASE PROPOSAL DATA

Fee owner Other:

(See RLP Section 2, Flood Plains.)

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

Flood Plains:

The Property is2.

3.

4.

Seismic Safety: The Building

Historic Preference: The Building is a

RLP does not contain seismic requirements. No documentation required.

RLP contains seismic requirements. The Building:

Historic property within a historic district.

None of the above.

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

Historic property outside of a historic district.

Fully meets seismic requirements or meets an exemption under the RLP

Will not meet seismic requirements

Does not meet seismic requirements, but will be retrofitted to meet seismic requirements

Will be constructed to meet seismic requirements

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

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

GSA 1364WH (REV. 11/2016) PAGE 5

DATE:

In Response to Request for Lease Proposals (RLP) Number

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

Offeror's Interest in the Property

(See RLP Section 2, Asbestos.)

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.

5.

Asbestos-Containing Material (ACM): The Property

6.

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

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

Fire/Life Safety:

(See RLP Section 2, Accessibility.)

7. The Property Meets Does not meet Lease accessibility standards.

Accessibility:

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

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

Date (MM-DD-YYYY):Has received the ENERGY STAR® Label within the past twelve months.

Has not received the ENERGY STAR® Label within the past twelve months; the Offeror has evaluated energy savings measures and8.

ENERGY STAR®: The Building

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. 9.

(See RLP and Lease documents for more information.)I am a HUBZone SBC Offeror and I elect to waive the price evaluation preference.

SECTION I - DESCRIPTION OF PREMISES

In Response to Request for Lease Proposals (RLP) Number -->

a. Building Name

1. BUILDING DESCRIPTION

c. City

d. State

SQUARE FEET

POUNDS PER SQUARE FOOT

SQUARE FEET

SQUARE FEET

SQUARE FEET

ACRES

a. GENERAL PURPOSE (Office)

b. WAREHOUSE

7. BUILDING AGE

8. SITE SIZE

9. CLEAR CEILING HEIGHT

FEET,

10. NUMBER OF LOADING

DOCKS (exclusive to offered space):

13. NUMBER OF DOCK

LEVELORS AND

OPERATING GRADE

(exclusive to offered space)

18. NUMBER OF VOLTS AND NUMBER OF PHASE ELECTRIC:

17. MAXIMUM TRUCK TURNING RADIUS:

20. TRUCK APRON SIZE:

21. TRUCK COURT DEPTH

11. TYPES OF LOADING

DOCKS (exclusive to offered space):

12. EXISTING HEIGHT

OF DOCK-HIGH

LOADING DOCKS

(exclusive to offered space):

NUMBER OF DOCK HEIGHTS:

NUMBER OF DRIVE THRUS:

INCHES

14. BAY WIDTH

(offered space):

FEET,

16. COLUMN SPACING

(offered space):

FEET,

INCHES

15. BAY DEPTH

(offered space):

19. WAREYARD SIZE:

X Total Square Feet:

FEET,

INCHES

INCHES

c. OTHER

e. 9-Digit ZIP Code

3. TOTAL RENTABLE SPACE IN OFFERED BUILDING

6. YEAR OF LAST

MAJOR RENOVATION

(if applicable)

f. Congressional District 2a. FLOORS OFFERED

4. LIVE FLOOR LOAD

2b. TOTAL NUMBER OF FLOORS IN BUILDING

5. MEASUREMENT METHOD

b. Building Street Address

5. Measurement Method: Select one of the following: ANSI/BOMA or Other 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 2.3 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.

OMB Control Number: 3090-0086 Expiration Date: 1/31/2026

PROPOSAL TO LEASE SPACE

(For use with Warehouse Request for Lease Proposals)

GENERAL SERVICES ADMINISTRATION

GSA 1364WH (REV. 11/2016)

(BLANK)

(BLANK)

30. OPERATING COSTS

(Refer to Line 27 on

GSA 1217)

31. TOTAL RATE/ SQUARE FOOT

32. TOTAL ANNUAL RENT

29. SHELL RENT

(Including real estate taxes. Refer to Line 28 on GSA 1217)

a. PER SQUARE FOOT RATE

b. FOR YEARS

/RSF

Thru Thru Thru

/RSF

/ABOA

/RSF

/ABOA

/ABOA

c. PER SQUARE FOOT RATE

e. PER SQUARE FOOT RATE

d. FOR YEARS

f. FOR YEARS

33. STEP RENT

(SHELL RATES)

GSA 1364WH (REV. 11/2016) PAGE 2

26. BSAC

(per RLP requirements detailed on Security Unit Price List)

27. SHELL BUILD-OUT

(per RLP requirements)

28. TOTAL BUILD-OUT COSTS

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 Government-demised 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 12, nor the BSAC as stated in Block 13, 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 team, 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. BUILD-OUT COSTS PER CATEGORY

b. AMORTIZATION TERM

c. AMORTIZATION INTEREST RATE (%) d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA SQUARE FOOT

f. NUMBER OF YEARS RATE IS EFFECTIVE

25. TENANT

IMPROVEMENTS

(per RLP requirements) Annual cost per truck/trailer space:

Structured Surface Annual cost per space:

If NO, complete the following:

34f. Does the rental rate offered above include RLP - required parking costs? Select Yes or No

f. Does the rental rate offered above include RLP - required parking costs?

Structured Surface

e. Number of parking spaces (auto and truck) for Official Government Vehicles (per RLP):

d. Number of auto parking spaces for Employee/Visitor Use (per RLP):

Surface Structured Structured Surface

c. Number of truck/trailer parking spaces required by local code:

b. Number of auto parking spaces required by local code:

Surface Structured Structured Surface

a. Number of parking spaces for the future building/facility which are under the control of the Offeror:

34. PARKING

b. Lessor's Project Management Fee will be percent of Total TI construction costs.

GSA 1364WH (REV. 11/2016) PAGE 3

c. Schedule of Commission Payments:

% at lease occupancy % at lease award and

a. Tenant Representative Commission:

39. COMMISSIONS (if applicable), ATTACH COMMISSION AGREEMENT

38. 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.

37. OFFER GOOD UNTIL AWARD

a. Number of Years

b. Years Firm

c. Number of Days Notice for Government to Terminate Lease:

d. Number of Days Notice to Exercise Option

c. Number of Options

b. Years Each

a. Shell Rate/ RSF/Year

36. RENEWAL OPTIONS

35. INITIAL LEASE TERM

(Full Term)

SECTION III - LEASE TERMS AND CONDITIONS

b. Owner's Representative Commission:

The Government will add the cost of the proposed TI 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.

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

flat fee % of Total TI construction costs.

40. OFFEROR'S TENANT IMPROVEMENT FEE SCHEDULE

a. Architectural/Engineering fees will be (choose one):

per ABOA SF 40a. Architectural/Engineering fees (choose one of the following) 1. per ABOA SF, 2. percent of Total TI construction costs, 3. flat fee.

41. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises:

per ABOA SF 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 (choose one)

41. Select one of the following rates of HVAC overtime: per hour per zone, per hour per floor, or per hour per space For rates based on a "per zone" basis, provide the following:

*Only applies when the Lessor provides utilities and 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.

per ABOA SF* Areas requiring 24 hour HVAC (LAN, etc.)

Is the offered space part of multiple tax bills?

Based on fully assessed value?

Current Year Taxes:

Monday - Friday

AM

PM

PM

AM

Saturday Sunday

AM

PM

Percent of Government Occupancy:

41. Select one of the following: Is it based on fully assessed value? Select Yes or No

41. Is the offered space part of multiple tax bills? Select Yes or No If so, provide tax ID numbers and square footage for each in the blank space below the question on total land costs. Attach the legal description of the offered property.

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

Building's Normal Hours of HVAC Operation:

(indicate n/a if the lease is to be net of utilities) Other rental concessions structured as follows None months free rent (includes shell, operating, TI and BSAC rent)

42. Is free rent included in the 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).

42. FREE RENT INCLUDED IN OFFER

43. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

44. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

GSA 1364WH (REV. 11/2016) PAGE 4

i. Offeror's Signature

j. Date Signed

h. Telephone Number

g. E-Mail Address

f. Title

e. ZIP Code + 4

d. State

c. City

b. Address

a. Name

48. OFFEROR

46. Offeror's Interest in property: Select one of the following: Owner, Agent, or Other

47. Offeror's Interest in Property

46. 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.

f. DUNS Number

e. ZIP Code + 4

d. State

c. City

b. Address

a. Name

45. RECORDED OWNER

SECTION IV - OWNER IDENTIFICATON AND CERTIFICATION

1.

LEASE PROPOSAL DATA

1. Offeror's Interest in Property: Select one of the following: Fee Owner, Other (See RLP Section 2, Flood Plains.)

2. Flood Plains: Select one of the following: the property is: in a base 100 year flood plan, in a 500 year flood plan, or not in a flood plan Flood Plains:

The Property is 2.

3.

4.

Seismic Safety: The Building Historic Preference: The Building is a

3. Seismic Safety: The building (select one of the following:) RLP does not contain seismic requirements. No documentation required. Or: RLP contains seismic requirements.

4. Historic preference. The building is a (select one of the following): Historic property within a historic district, Non-historic developed site/non-historic undeveloped site within a historic district, Historic property outside of a historic district, or, None of the above.

3. If the building RLP contains seismic requirements, select one of the following: Fully meets seismic requirements or meets an exception under the RLP, Does not meet seismic requirements, but will be retrofitted to meet seismic requirements, Will be constructed to meet seismic requirements, or, Will not meet seismic requirements.

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

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

GSA 1364WH (REV. 11/2016) PAGE 5

In Response to Request for Lease Proposals (RLP) Number Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.

Offeror's Interest in the Property (See RLP Section 2, Asbestos.)

5. Asbestos-containing material (ACM). The property (Select one of the following): 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.

5.

Asbestos-Containing Material (ACM): The Property 6.

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

6. Fire/Life Safety: The Property, Select one of the following: Meets or Does not meet Lease fire/life safety standards.

The Property Fire/Life Safety:

(See RLP Section 2, Accessibility.)

7.

The Property

7. Accessibility: The property (Select one of the following): Meets or Does not meet Lease accessibility standards.

Accessibility:

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

If the building has not received the Energy Star Label (the Offeror has evaluated energy savings measures) and (Select one of the folowing): Determined that none are cost effective, or, Determined that the following are cost effective (Attach additional pages).

8. Energy Star: The building (Select one of the following): Has received the Energy Star Label within the past 12 months, or, Has not received the Energy Star Label within the past 12 months 8.

ENERGY STAR®: The Building 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.

9.

(See RLP and Lease documents for more information.)

11.0.0.20130303.1.892433.887364 GSA1364WH - Proposal to Lease Space (for use with Warehouse Request for Lease Proposals)

45a. Recorded owner's name:
6. Year of last major renovation if applicable. :
If the building has received the Energy Star Label within the past 12 months, enter the date (MM-DD-YYYY) when it received the label. :
If other was selected, enter the offeror's interest in the property.:
:
30d. Operating Costs (Refer to Line 27 on GSA 1217). Enter the annual rent in dollars per rentable square feet.:
30e. Operating Costs (Refer to Line 27 on GSA 1217). Enter the Annual Rent in Dollars per ABOA Square Foot:
31d. Total Rate / Square Foot: Enter the annual rent in dollars per rentable square feet.:
31e. Total Rate / Square Foot: Enter the Annual Rent in Dollars per ABOA Square Foot:
32d. Total Annual Rent: Enter the Annual Rent in Dollars per Rentable Square Feet.:
33a. Enter the step rent (shell rates) in dollars per rentable square foot.:
29e. Shell Rent (including real estate taxes. Refer to Line 28 on GSA 1217): Enter Annual Rent in Dollars per ABOA Square Foot:
29d. Shell Rent (including real estate taxes. Refer to Line 28 on GSA 1217): Enter the Annual Rent in Dollars per Rentable Square Feet:
33a. Enter the step rent (shell rates) in dollars per ABOA.:
33c. Enter the step rent (shell rates) in dollars per rentable square foot.:
33c. Enter the step rent (shell rates) in dollars per ABOA.:
33e. Enter the step rent (shell rates) in dollars per rentable square foot.:
33e. Enter the step rent (shell rates) in dollars per ABOA.:
26e. BSAC (per RLP requirements detailed on Security Unit Price List.): Enter the annual rent in dollars per ABOA square foot.:
26d. BSAC (per RLP requirements detailed on Security Unit Price List.): Enter the Annual Rent in dollars per rentable square feet:
26a. BSAC (per RLP requirements detailed on Security Unit Price List.): Enter Build Out Costs:
27a. Shell Build Out (Per RLP requirements): Enter Build-out Costs.:
28a. Total Build Out Costs: Enter Build-out Costs.:
22. ANSI/BOMA Office Area in square Feet (ABOA):
23. Enter Rentable Square Feet (RSF):
25e. Tenant Improvements (per RLP requirements): Enter Annual Rent in Dollars per ABOA Square Foot:
25d. Tenant Improvements (per RLP requirements): Enter Annual Rent in Dollars per Rentable Square Feet:
25a. Tenant Improvements (per RLP requirements): Enter Build-out Costs.:
If No was selected, enter the annual cost per space (Surface) in dollars:
If No was selected, enter the annual cost per space (Structured) in dollars:
If the third fee was selected, enter the flat fee amount in dollars:
If the first fee was selected, enter the dollar amount per ABOA SF:
41. Is Trash Removal in Offered Space (Lessor or Lessee?):
41. Enter the Heating Ventilation and Air Conditioning Overtime Rate in dollars per hour (Not applicable if net of utilities):
41. For rates based on a per zone basis, enter the number of zones in offered space:
41. For rates based on a per zone basis, enter the dollar amount per ABOA SF for areas requiring 24 hour HVAC (LAN, etc.) 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. :

41. Enter the current year taxes in dollars:
41. If a site is offered, state the total land costs in dollars. :
48i. Offeror's Signature:
48j. Date the Offeror signed:
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File details come from the government source that posted it. Updated .