3a RLP 57-37159-22-FA.pdf

PDF 11 MB Posted Jun 17, 2022

Attached to: U. S. Department of Agriculture Seeks to Lease Office and Related Space in Nashville, North Carolina
Solicitation number: 57-37127-22-FA
Issued by: Department of Agriculture Under Secretary for Farm Production and Conservation

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PAGE 1 of 3 GSA FORM 1364 (REV 10/18)

PROPOSAL TO LEASE SPACE In Response to Request for Lease Proposals (RLP) Number DATED

SECTION I - DESCRIPTION OF PREMISES

1. BUILDING

DESCRIPTION

b. Building Street Addressa. Building Name

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 c. OTHER (Office)

b. WAREHOUSE

SF SF

4. LIVE FLOOR LOAD 5. MEASUREMENT

METHOD

6. YEAR OF LAST 7. BUILDING AGE 8. SITE SIZE

Pounds per SF ANSI/BOMA

OTHER

MAJOR RENOVATION

(if applicable) SF

Acres

SECTION II - SPACE OFFERED AND RATES

9. ANSI/BOMA OFFICE AREA

SQUARE FEET (ABOA)

10. RENTABLE SQUARE FEET

(RSF) 11. 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. The Tenant Improvements in Block 12, are not 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.

BUILD-OUT COSTS PER

CATEGORY

AMORTIZATION

TERM

AMORTIZATION

INTEREST RATE

ANNUAL RENT

$ PER RSF

ANNUAL RENT

$ PER ABOA SF

NUMBER YEARS

RATE IS

EFFECTIVE

12. TENANT IMPROVEMENTS

(per RLP requirements)

13. BSAC

(per RLP requirements)

14. SHELL BUILD-OUT (per RLP requirements)

15. TOTAL BUILD-OUT COSTS

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

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

18. TOTAL RATE/SF

19. TOTAL ANNUAL RENT

PER SF RATE FOR YEARS PER SF RATE

FOR YEARS PER SF RATE FOR YEARS

20. STEP RENT (SHELL RATES)

$__________/RSF

$__________/ABOA

_____ Thru _____

$________/RSF

$________/ABOA

_____ Thru ____

$__________/RSF

$__________/ABOA

_____ Thru

21. PARKING

a. Number of parking spaces for the entire building/ facility which are under the control of the Offeror: ________ Surface ________ Structured

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

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

d. Number of parking spaces for Official Government Vehicles (per RLP): ________ Surface ________ Structured

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

YES NO If NO, complete the following: Annual cost per space: $ ________ Surface $ ________ Structured

Rachel.Geiselman

Cross-Out

Christie.BenCarew

PAGE 2 of 3 GSA FORM 1364 (REV 10/18)

SECTION III - LEASE TERMS AND CONDITIONS

22. INITIAL LEASE TERM

(Full Term)

23. RENEWAL OPTIONS

a. Number of Years b. Years Firm c. Number of Days a. Shell Rate / RSF / Yr

c. Number of OptionsNotice for Government to

Terminate Lease

b. Years Each

d. Number of Days Notice to Exercise Option:

24. OFFER GOOD UNTIL AWARD 25. 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.

26. COMMISSIONS (If applicable), ATTACH COMMISSION AGREEMENT

a. Tenant Representative Commission: b. Owner’s Representative Commission: c. Schedule of Commission Payments:

27. OFFEROR’S TENANT IMPROVEMENT FEE SCHEDULE*

*Block 27 fees only applicable for TI subject to post-award pricing.; N/A for turnkey pricing

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 Fee 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 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.

28. 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.

HVAC Overtime Rate: $________ 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:

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: $________

29. 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

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

31. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

SECTION IV - OWNER IDENTIFICATION AND CERTIFICATION

32. RECORDED OWNER

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

33. 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.

34. Offeror’s Interest in Property

Owner Agent Other

35. OFFEROR Check if same as Recorded Owner

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

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

i. Offeror’s Signature j. Date Signed

(Only fill block 23 out if RLP ask for Renewal Option)

Cerise.Aguilar

PAGE 3 of 3 GSA FORM 1364 (REV 10/18)

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 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)

In Response to Request for Lease Proposals RLP Number: 57-37159-22-FA

DATED:

1 BUILDING DESCRIPTION:

a Building Name:

b Building Street Address:

c City:

d State:

e 9Digit ZIP Code:

f Congressional District:

2a FLOORS OFFERED:

2b TOTAL NUMBER OF FLOORS IN BUILDING:

6 YEAR OF LAST MAJOR RENOVATION if applicable:

7 BUILDING AGE:

Thru:

undefined_21:

RSF_2:

RSF_3:

ABOA:

ABOA_2:

ABOA_3:

Surface:

Structured:

Surface_2:

Structured_2:

Surface_3:

Structured_3:

Surface_4:

Structured_4:

Surface_5:

Structured_5:

a Number of Years:

b Years Firm:

c Number of Days Notice for Government to Terminate Lease:

24 OFFER GOOD UNTIL AWARD:

Saturday 1:

Saturday 2:

AM to:

AM to_2:

Percent of Government Occupancy:

undefined_25:

If a site is offered state the total land costs:

30 LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER See RLP requirements:

months free rent includes shell operating TI and BSAC rent:

undefined_26:

31 ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER:

a Name:

b Address:

c City_2:

d State_2:

e ZIP 4:

f DUNS Number:

a Name_2:

b Address_2:

c City_3:

d State_3:

e ZIP 4:

f Title:

g EMail Address:

h Telephone Number:

j Date Signed:

DATE:

Text1:

Text2:

Check Box3:

0: Off

1: Off

TI Costs:

Shell Costs:

Total Buildout Costs:

Amortization_Term:

Amortization_Rate:

TI Cost/RSF/Year:

TI Cost/ABOA/Year:

# of Year's Amortized:

Shell Rent/RSF/Year:

Shell Rent/ABOA/Year:

Operating/RSF/Year:

Operating/ABOA/Year:

Total Rent/RSF/Year:

Total Rent/ABOA/Year:

# of Years:

ABOA SF:

RSF:

CAF (RSF / ABOA):

Thru_2:

Check Box4:

0: Off

1: Off

Monday Friday:

Check Box5:

0: Off

1: Off

0: Off

1: Off

Text6:

Check Box7:

0: Off

1: Off

2: Off

Check Box8: Off

Check Box9: Off

Check Box11: Off

Check Box12: Off

Check Box13: Off

Check Box14: Off

Check Box15: Off

Check Box16: Off

Check Box17: Off

Check Box18: Off

Check Box19:

0: Off

1: Off

2: Off

3: Off

Check Box20: Off

Check Box21: Off

Check Box22: Off

Check Box23: Off

Check Box24: Off

Check Box25: Off

Check Box26: Off

Check Box27: Off

Check Box28: Off

Check Box29: Off

Check Box30: Off

RSF_1:

Text7:

Text8:

Text9:

# of Renewal Options:

# of Days:

# of Years Shell Rate Effective:

# of Years Fully Service Rate/RSF Effective- should match 12 f:

if TI Amortized:

# of Years Effective-if 12 f:

is amorized should match same number of years:

Option Shell Rate/RSF:

Text3:

Text4:

Text5:

Text10:

Check Box31: Off

Check Box32: Off

Check Box33: Off

TOTAL ANNUAL RENT:

Check Box1: Off

Check Box2: Off

Check Box6: Off

Solicitation No: 57-37159-22-FA Rowan(Salisbury)NC

Attachment N Exhibit N

Department of Labor Wage Determinations

Lessor _______ Gov’t _______

General Decision Number: NC20220063 02/25/2022 Superseded General Decision Number: NC20210063 State: North Carolina Construction Type: Building Counties: Bladen, Cleveland, Columbus, Harnett, Lincoln, Richmond, Robeson, Rowan, Scotland and Wilson Counties in North Carolina.

BUILDING CONSTRUCTION PROJECTS (does not include single family homes or apartments up to and including 4 stories).

Note: Contracts subject to the Davis-Bacon Act are generally required to pay at least the applicable minimum wage rate required under Executive Order 14026 or Executive Order 13658. Please note that these Executive Orders apply to covered contracts entered into by the federal government that are subject to the Davis-Bacon Act itself, but do not apply to contracts subject only to the Davis-Bacon Related Acts, including those set forth at 29 CFR 5.1(a)(2)-(60).

If the contract is entered into on or after January 30,2022, or the contract is renewed or extended (e.g., an option is exercised) on or after January 30, 2022:

Executive Order 14026 generally applies to the contract.

The contractor must pay all covered workers at least $15.00 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in 2022.

|If the contract was awarded on or between January 1, 2015 and January 29, 2022, and the contract is not renewed or extended on or after January 30, 2022:

Executive Order 13658 generally applies to the contract.

The contractor must pay all covered workers at least $11.25 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on that contract in 2022.

The applicable Executive Order minimum wage rate will be adjusted annually. If this contract is covered by one of the Executive Orders and a classification considered necessary for performance of work on the contract does not appear on this wage determination, the contractor must still submit a conformance request.

Additional information on contractor requirements and worker protections under the Executive Orders is available at https://www.dol.gov/agencies/whd/government-contracts.

Modification Number Publication Date

0 01/07/2022 1 02/25/2022

PLUM0421-004 07/01/2020

Rates Fringes PIPEFITTER (Excluding HVAC System Installation) $29.35 $12.41

SUNC2011-044 8/26/2011

Rates Fringes

BRICKLAYER $19.09 $8.73

CARPENTER (Drywall Hanging Only) $18.13 $1.31

CARPENTER, Excludes Drywall Hanging, and Form Work $15.93 $2.99

CEMENT MASON/CONCRETE FINISHER $14.02 $0.00

ELECTRICIAN $17.36 $3.07

FORM WORKER $16.08 $3.48

GLAZIER $18.16 $0.87

HVAC MECHANIC (Installation of HVAC Unit Only, Excludes Installation of HVAC Pipe and Duct)

$15.41 $2.60

IRONWORKER, STRUCTURAL $18.75 $5.62

LABORER: Common or General $10.53 $1.39 LABORER: Landscape & Irrigation $10.29 $1.82 LABORER: Mason Tender-Brick/Cement/Concrete $11.31 $0.00 OPERATOR: Backhoe/Excavator/Trackhoe $17.98 $0.91 OPERATOR: Crane $19.25 $2.37 OPERATOR: Grader/Blade $15.71 $1.49 PAINTER: Brush, Roller and spray $14.60 $1.97

PLUMBER $19.70 $2.34

ROOFER $13.55 $0.80

SHEET METAL WORKER (HVAC Duct Installation Only) $15.29 $0.00 SHEET METAL WORKER, Excludes HVAC Duct Installation

$13.09 $1.28

TRUCK DRIVER: Dump Truck $13.14 $1.01

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

** Workers in this classification may be entitled to a higher minimum wage under Executive Order 14026 ($15.00) or 13658 ($11.25). Please see the Note at the top of the wage determination for more information.

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at https://www.dol.gov/agencies/whd/government-contracts.

Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses(29CFR 5.5 (a) (1) (ii)).

The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of ""identifiers"" that indicate whether the particular rate is a union rate (current union negotiated rate for local), a survey rate (weighted average rate) or a union average rate (weighted union average rate).

Union Rate Identifiers

A four letter classification abbreviation identifier enclosed in dotted lines beginning with characters other than ""SU"" or ""UAVG"" denotes that the union classification and rate were prevailing for that classification in the survey. Example: PLUM0198-005 07/01/2014. PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers.

0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. 07/01/2014 is the effective date of the most current negotiated rate, which in this example is July 1,2014.

Union prevailing wage rates are updated to reflect all rate changes in the collective bargaining agreement (CBA) governing this classification and rate.

Survey Rate Identifiers

Classifications listed under the ""SU"" identifier indicate that no one rate prevailed for this classification in the survey and the published rate is derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As this weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SULA2012-007 5/13/2014. SU indicates the rates are survey rates based on a weighted average calculation of rates and are not majority rates. LA indicates the State of Louisiana. 2012 is the year of survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. 5/13/2014 indicates the survey completion date for the classifications and rates under that identifier.

Survey wage rates are not updated and remain in effect until a new survey is conducted.

Union Average Rate Identifiers

Classification(s) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however, 100% of the data reported for the classifications was union data. EXAMPLE:

UAVG-OH-0010 08/29/2014. UAVG indicates that the rate is a weighted union average rate. OH indicates the state. The next number, 0010 in the example, is an internal number used in producing the wage determination. 08/29/2014 indicates the survey completion date for the classifications and rates under that identifier.

A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negotiated/CBA rate of the union locals from which the rate is based.

WAGE DETERMINATION APPEALS PROCESS

1.) Has there been an initial decision in the matter?

This can be:

• an existing published wage determination

• a survey underlying a wage determination

• a Wage and Hour Division letter setting forth a position on a wage determination matter

• a conformance (additional classification and rate) ruling

On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour National Office because National Office has responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed.

With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations.

Write to:

Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7).

Wage and Hour Administrator U.S. Department of Labor

The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue.

3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board).

Administrative Review Board U.S. Department of Labor

4.) All decisions by the Administrative Review Board are final.

END OF GENERAL DECISION

ABOA SF=

RENTABLE SF=

Masterformat CSI System Elements TI* SHELL**

Div 1 General Requirements $ $ Div 2 Site work & Demolition $ $ Div 3 Concrete $ $ Div 4 Foundations / Masonry $ $ Div 5 Metals $ $ Div 6 Woods & Plastics $ $ Div 7 Thermal & Moisture $ $ Div 8 Doors & Windows $ $ Div 9 Finishes $ $ Div 10 Specialties $ $ Div 11 Equipment $ $ Div 12 Furnishings $ $ Div 13 Special Construction $ $ Div 15 General Construction $ $ Div 21 Fire Suppression $ $ Div 22 Plumbing $ $ Div 23 HVAC $ $ Div 26.1 Electrical $ $ Div 26.2 Lighting $ $ Div 27 Communications, Security & Other Elec. Systems $ $ Div 28.1 Electrical safety & Security $ $ Div 28.2 Security $ $ Div 32 Exterior $ $

Subtotal $ $ General Contractor Fee Percent $ $

Subtotal Construction Costs $ $ Architectural & Engineering Fees (NIC DID costs) lump sum $ $ Other Lessor Costs Established Under the Lease $ $

Subtotal Lessor's Costs: $ $ Lessor's Project Management Fee Percent $

Total Price to Government: $

Notes:

* Include all subcontractors' costs.

** Shell and core work items within tenant space will include those items for a warm lit shell. Please refer to the SHELL DEFINITIONS tab, and the lease for further information.

TENANT IMPROVEMENTS COST SUMMARY (TICS)

Trade Costs

INITIALS: LESSOR: ________ & GOV'T: ________

ADDRESS: DATE SUBMITTED:

LESSOR:

Attachment J Exhibit J

Item Number Bid Item

Include in Shell Rate

TI Allowance

1 Accessibility Requirements (ABAAS) X

Base Building – Complete base structure and building enclosure X

3 Ceiling - Above standard X 4 Ceiling – Acoustical w/ grid and lay in tiles X

Corridors - Circulation on multi-tenanted floors, fire egress on singe-tenanted floors X

6 Data – Conduit drops with pull string, cable trays X 7 Demolition X

Doors - Additional exterior requested by government (unless required for fire/life safety) X

9 Doors - Sidelights and frames X

Doors - Standard exterior, doors to lobbies, common areas, and core areas, including hardware and signage X

Doors - Suite entry or interior doors within tenant area, including hardware and signage X

12 Drawings - As-built floor plans X 13 Drawings - Construction Documents X 14 Drawings - Design Intent Drawings X 15 Drinking Fountains per RLP/Lease Standards X 16 Electrical – Furniture whip hook up X

Electrical - Main distribution for standard occupancy, switchboards, and panel boards (circuit breaker)

18 Electrical – Supplemental power X

Electrical – Wiring and horizontal conduit including cable trays and hooks within the tenant agency's demised premises and to building core

Electrical Outlets - All electrical, telephone, and data within government-demised area X

Electrical Outlets - Convenience and duplex utility in toilet rooms, corridors, and dispensing areas X

22 Elevators - Private, within tenant space X 23 Elevators - Freight, when required by agency in RLP/Lease X 24 Exits and access - Permanent entryway systems X 25 Fire Alarm - Building central system (as required by code) X

Fire Alarm – Wiring from building core to tenant agency space and then within tenant agency space; pull stations, strobes, and annunciators within the demised premises

27 Flagpole X 28 Flooring - Carpet or resilient flooring (demised area only) X 29 Flooring - Raised access flooring X

Flush-out procedure - New air filtration media before occupancy X

Note: This tool shall serve as helpful guidance when checking construction bids.

For further guidance,check the Pricing Desk Guide Fifth Edition, Sections 2.4 and 2.5

Shell vs.Tenant Improvement Worksheet

31 HVAC - Central HVAC systems, main and branch lines X

HVAC - Changes to open-plan HVAC distribution network to accommodate individual office layout X

33 HVAC - Special purpose areas X 34 HVAC - Supplemental cooling or heating X 35 HVAC - Zone controls and thermostats X

Indoor air quality during construction - Appropriate barriers if necessary X

37 Insulation X 38 Janitor Closets (with latchbolt) X

LEED - Any building shell modifications necessary for space to meet requirements of LEED-CI. Must coordinate building shell requirements with TI.

Lighting - Changes to open-plan lighting pattern to accommodate individual office layout X

41 Lighting - Specialty or above building standard X 42 Lighting – Standard lighting fixtures (interior and parking) X 43 Millwork (i.e. cabinets, chair rails, and shelving) X 44 Painting - Shell Walls (see partitions) X 45 Painting - TI Walls (see partitions) X 46 Partitions - Demising (slab-to-slab) X 47 Partitions - Perimeter X 48 Partitions – Subdividing within demised area X 49 Permits - Building permits X 50 Permits - Occupancy permits X

Plumbing – in common areas (such as restrooms and janitor closets) including fixtures, and hot and cold water risers and domestic waste and vent risers

Plumbing – fixtures within the demised premises and all lines connecting to the building core -except for common restrooms

53 Powerpoles - Connection to furniture junction boxes X 54 Recycling - General X

Recycling - Required labor and equipment during construction (required if new construction or major improvements of existing building)

Restrooms – building common restrooms or those required per RLP/Lease (based on distance to reach) X

57 Restrooms- private restrooms X 58 Seismic Enhancements X 59 Signage - Building Directory X 60 Signage - Exit Signage X

Signage - Tenant signage in common corridors and within demised area (excluding building directory) X

Sprinkler heads - repositioning to avoid conflict with layout, additional required by local code to meet agency's layout, or ceiling grid adjustments and repositioning of sprinkler heads to center of tiles

63 Sprinklers - Heads and piping, escutcheon or trim plate X 64 Sprinklers - valves & controls X 65 Staircases - Private, within tenant space X

Structural Enhancements – To accommodate non conventional loads X

Tele/data - Outlets, telephone and data jacks (ie junction boxes), with rings and pull strings, sealed conduit drops with pull strings, and horizontal conduit, including cable trays and hooks within the tenant agency's demised premises and to building core (or may be provided by tenant agency)

Telecommunication Closet – Common to building, must meet specifications in RLP/Lease X

69 Utilities - Necessary for base building and tenant operations X

Utility meters - Provide and install separate meters (if lease is not fully serviced) X

71 Ventilation - Air filtration with filters X 72 Vestibules X

Wall Finishes - Elevators accessing government demised areas X

74 Wall Finishes - Hallways accessing government demised area X

75 Wall Finishes - Restrooms within building common areas X 76 Wall Finishes - Within government-demised area X 77 Window coverings - Blinds and Draperies X

Windows - Weathertight windows required in each exterior bay X for:

ABOA SF:

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Lessors Project Management Fee Percent Price to Government Cost per ABOA SF:

Lessors Project Management Fee Percent Price to Government Cost per ABOA SF_2:

LESSOR'S ANNUAL COST STATEMENT

Important - Read attached "Instructions"

OMB Control Number: 3090-0086 Expiration Date: 12/31/2022

4. Building Name and Address (Number, Street, City, State, and Zip Code)

SECTION I - ESTIMATED ANNUAL COST OF SERVICES AND UTILITIES

FURNISHED BY LESSOR AS PART OF RENTAL CONSIDERATION

3. Rental Area (Square Feet)

SERVICES AND UTILITIES

A. CLEANING, JANITOR AND/OR CHAR SERVICE

B. HEATING

C. ELECTRICAL

D. PLUMBING

5. Salaries

FOR GOVERNMENT

USE ONLY

LESSOR'S ANNUAL COST FOR

(a) Entire Building

8. Salaries

10. System Maintenance and Repair

11. Current for Light and Power

12. Replacement of Bulbs, Tires, Starters

13. Power for Special Equipment

9. Fuel ("X" one)

E. AIR CONDITIONING

F. ELEVATORS

GSA 1217 (REV. 11/2016)

6. Supplies (Wax, cleaners, cloths, etc.)

7. Contract Services (Window washing, waste and snow removal)

14. System Maintenance and Repair (Ballasts, Fixtures, etc.)

15. Water (For all purposes) (Include Sewage Charges)

16. Supplies (Soap, towels, tissues not in 6 above)

(b) Government-Leased Area

3A. Entire Building

2. Statement Date

3B. Leased by Government

1. Request for Lease Proposals (RLP)

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.

17. System Maintenance and Repair

18. Utilities (Include electricity, if not in C11)

19. System Maintenance and Repair

21. System Maintenance and Repair

GENERAL SERVICES ADMINISTRATION

20. Salaries (Operators, starters, etc.)

Oil Gas Coal Electric

G. MISCELLANEOUS (To the extent not included on Page 1)

22. Building Engineer and/or Manager

23. Security (Watchperson, guards, not janitors)

25. Lawn and Landscaping Maintenance

26. Other (Explain on separate sheet)

27. TOTAL

34. Signature of:

28. Real Estate Taxes

29. Insurance (Hazard, Liability, etc.)

30. Building Maintenance and Reserves for Replacement

31. Lease Commission

32. Management

TYPED NAME AND TITLE SIGNATURE DATE

34C.

35A. 35B. 35C.

LESSOR'S CERTIFICATION - The amounts entered in Columns (a) and (b) represent my best estimate as to the annual costs of services, utilities, and ownership.

33. TOTAL

34A.

24. Social Security Tax and Workperson's Compensation Insurance

SECTION II - ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES

34B.

GSA 1217 (REV. 11/2016) PAGE 2

Owner Legal Agent

INSTRUCTIONS

In acquiring space by lease, it is the established policy of GSA to enter into leases only at rental charges which are consistent with prevailing scales in the community for facilities.

ITEM NUMBER

SECTION I

ESTIMATED ANNUAL COST OF SERVICES AND UTILITIES

SECTION II

ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES

1. Enter the Government lease or Request for Lease Proposals (RLP) number, if available.

2. Enter the date that your statement was prepared and signed.

3. A. Enter in this block a computation of the rentable area (multiple tenancy basis) for the entire building. The rentable area shall be computed by measurement to the inside finish of permanent outer building walls to the inside finish of corridor walls (actual or proposed) or to other permanent partitions, or both. Rentable space is the area for which a tenant is charged rent. It is determined by the building owner and may vary by city or by building within the same city. The rentable space may include a share of building support/common areas such as elevator lobbies, building corridors, and floor service areas. Floor services areas typically include restrooms, janitor rooms, telephone closets, electrical closets, and mechanical rooms.

The rentable space generally does not include the vertical building penetrations and their enclosing walls, such as stairs, elevator shafts, and vertical ducts.

3. B. Enter in this block a computation of the rentable area to be rented to the Government. For this area, follow the procedure as outlined above, except that measurements are to be made only to the center of the partitions which separate the area to be rented by the Government from adjoining rented or rentable areas.

4. Identify the property by name and address.

5. - 26. The services and utilities listed in this section are required in most of our rented space whether furnished by the Government or the Lessor.

Carefully review the Request for Lease Proposals (RLP) and/or the proposed lease to identify those services and utilities to be furnished by you as part of the rental consideration. Then enter your best cost estimate, or the actual cost from the previous year, for each of these services and utilities in column (a) for the entire building and in column (b) for the area to be rented to the Government. If any service or utility furnished for the space rented by the Government is not furnished throughout the building, or the cost of a service or utility furnished to the Government space exceeds the cost of the same service or utility furnished to other rented space, explain on a separate sheet. For convenience, each major category has been divided into separate items such as salaries and supplies so that they may be entered when applicable. However, in the event that your records are not maintained for each item contained in Section I, 5 through 26, the total for a major category (A through F) may be entered under the category heading in columns (a) and (b) in lieu of the specific items. System maintenance and repairs includes the annual cost of such items as oiling, inspecting, cleaning, regulating, and routine replacement costs.

Items 28 through 32 will be useful in the Government's determination of the fair market value of the space to be rented and shall be completed irrespective of whether Section I is applicable, as follows:

28. Include all applicable real estate taxes imposed upon the property.

29. Enter the annual cost of fire, liability, and other insurance carried on the real estate.

31. Enter any lease commission which you may be responsible for due to the Government leasing action.

32. Include administrative expenses such as agency fees, legal fees, auditing, and advertising. Do not include financial charges such as income or corporate taxes or organization expense.

34. - 35. Complete Lessor certification.

30. Enter the annual cost of wages, materials, and outside services used in repairs and maintenance of the building itself and all similar repairs and maintenance of the building itself and all similar repairs and maintenance costs not included in Section I above (Heating, Electrical, Plumbing, Air Conditioning, and Elevators). This includes major repairs and changes in the nature of a permanent improvement such as annual cost to replace relatively short-lived items such as boiler, compressors, elevators, and roof coverings.

GSA 1217 (REV. 11/2016) PAGE 3

LESSOR'S ANNUAL COST STATEMENT

Important - Read attached "Instructions"

OMB Control Number: 3090-0086 Expiration Date: 12/31/2022

4. Building Name and Address (Number, Street, City, State, and Zip Code)

SECTION I - ESTIMATED ANNUAL COST OF SERVICES AND UTILITIES FURNISHED BY LESSOR AS PART OF RENTAL CONSIDERATION

3. Rental Area (Square Feet)

SERVICES AND UTILITIES

A. CLEANING, JANITOR AND/OR CHAR SERVICE

B. HEATING

C. ELECTRICAL

D. PLUMBING

5. Salaries

FOR GOVERNMENT USE ONLY

LESSOR'S ANNUAL COST FOR

(a) Entire Building

8. Salaries

10. System Maintenance and Repair

11. Current for Light and Power

12. Replacement of Bulbs, Tires, Starters

13. Power for Special Equipment

9. Fuel ("X" one)

E. AIR CONDITIONING

F. ELEVATORS

GSA 1217 (REV. 11/2016)

6. Supplies (Wax, cleaners, cloths, etc.)

7. Contract Services (Window washing, waste and snow removal)

14. System Maintenance and Repair (Ballasts, Fixtures, etc.)

15. Water (For all purposes) (Include Sewage Charges)

16. Supplies (Soap, towels, tissues not in 6 above)

(b) Government-Leased Area

3A. Entire Building

2. Statement Date

3B. Leased by Government

1. Request for Lease Proposals (RLP)

17. System Maintenance and Repair

18. Utilities (Include electricity, if not in C11)

19. System Maintenance and Repair

21. System Maintenance and Repair

GENERAL SERVICES ADMINISTRATION

20. Salaries (Operators, starters, etc.)

G. MISCELLANEOUS (To the extent not included on Page 1)

22. Building Engineer and/or Manager

23. Security (Watchperson, guards, not janitors)

25. Lawn and Landscaping Maintenance

26. Other (Explain on separate sheet)

27. TOTAL

34. Signature of:

28. Real Estate Taxes

29. Insurance (Hazard, Liability, etc.)

30. Building Maintenance and Reserves for Replacement

31. Lease Commission

32. Management

TYPED NAME AND TITLE

SIGNATURE

DATE

LESSOR'S CERTIFICATION - The amounts entered in Columns (a) and (b) represent my best estimate as to the annual costs of services, utilities, and ownership.

33. TOTAL

24. Social Security Tax and Workperson's Compensation Insurance

SECTION II - ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES

GSA 1217 (REV. 11/2016) PAGE 2

INSTRUCTIONS

In acquiring space by lease, it is the established policy of GSA to enter into leases only at rental charges which are consistent with prevailing scales in the community for facilities.

ITEM NUMBER

SECTION I

ESTIMATED ANNUAL COST OF SERVICES AND UTILITIES

SECTION II

ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES

1. Enter the Government lease or Request for Lease Proposals (RLP) number, if available.

2. Enter the date that your statement was prepared and signed.

The rentable space generally does not include the vertical building penetrations and their enclosing walls, such as stairs, elevator shafts, and vertical ducts.

4. Identify the property by name and address.

5. - 26. The services and utilities listed in this section are required in most of our rented space whether furnished by the Government or the Lessor. Carefully review the Request for Lease Proposals (RLP) and/or the proposed lease to identify those services and utilities to be furnished by you as part of the rental consideration. Then enter your best cost estimate, or the actual cost from the previous year, for each of these services and utilities in column (a) for the entire building and in column (b) for the area to be rented to the Government. If any service or utility furnished for the space rented by the Government is not furnished throughout the building, or the cost of a service or utility furnished to the Government space exceeds the cost of the same service or utility furnished to other rented space, explain on a separate sheet. For convenience, each major category has been divided into separate items such as salaries and supplies so that they may be entered when applicable. However, in the event that your records are not maintained for each item contained in Section I, 5 through 26, the total for a major category (A through F) may be entered under the category heading in columns (a) and (b) in lieu of the specific items. System maintenance and repairs includes the annual cost of such items as oiling, inspecting, cleaning, regulating, and routine replacement costs.

28. Include all applicable real estate taxes imposed upon the property.

29. Enter the annual cost of fire, liability, and other insurance carried on the real estate.

31. Enter any lease commission which you may be responsible for due to the Government leasing action.

32. Include administrative expenses such as agency fees, legal fees, auditing, and advertising. Do not include financial charges such as income or corporate taxes or organization expense.

34. - 35. Complete Lessor certification.

GSA 1217 (REV. 11/2016) PAGE 3

11.0.0.20130303.1.892433.887364

GSA 1217 - Lessor's Annual Cost Statement

4. Building Name and Address (Number, Street, City, State, and Zip Code): 57-37159-22-FA

5a. Salaries for the Entire Building. :

5b. Salaries for the Government-Leased Area. :

5. Salaries: For Government Use Only.:

11a. Current for Light and Power for the Entire Building.:

11b. Current for Light and Power for the Government-Leased Area.:

11. Current for Light and Power For Government Use Only.:

8a. Salaries for the Entire Building. :

8b. Salaries for the Government-Leased Area.:

8. Salaries: For Government Use Only.:

15a. Water (for all purposes) (include Sewage Charges) for the Entire Building. :

15b. Water (For all purposes) (Include Sewage Charges) for the Government-Leased Area.:

15. Water (For All Purposes) (Include Sewage Charges) For Government Use Only.:

18a. Utilities (Include Electricity, if not in C11) for the Entire Building.:

20b. Salaries (Operators, starters, etc.) for the Government-Leased Area.:

20. Salaries (Operators, starters, etc.) For Government Use Only.:

20a. Salaries (Operators, starters, etc.) for the Entire Building. :

18b. Utilities (Include electricity, if not in C11) for the Government-Leased Area.:

18. Utilities (include electricity if not in C11) For Government Use only.:

6a. Supplies (Wax, cleaners, cloths, etc.) for the Entire Building. :

6b. Supplies (Wax, cleaners, cloths, etc.) for the Government-Leased Area.:

6. Supplies (Wax, cleaners, cloths, etc.) For Government Use Only.:

7a. Contract Services (Window washing, waste and snow removal) for the Entire Building. :

7b. Contract Services (Window washing, waste and snow removal) for the Government-Leased Area.:

7. Contract Services (Window washing, waste, and snow removal) For Government Use Only.:

9a. Fuel for the Entire Building. :

9b. Fuel for the Government-Leased Area.:

9. Fuel: For Government Use Only.:

10a. System Maintenance and Repair for the Entire Building. :

10b. System Maintenance and Repair for the Government-Leased Area.:

10. System Maintenance and Repair For Government Use Only.:

12a. Replacement of Bulbs, Tires, and Starters for the Entire Building. :

12b. Replacement of Bulbs, Tires, and Starters for the Government-Leased Area.:

12. Replacement of Bulbs, Tires and Starters For Government Use Only.:

13a. Power for Special Equipment for the Entire Building.:

13b. Power for Special Equipment for the Government-Leased Area.:

13. Power for Special Equipment For Government Use Only. :

14a. System Maintenance and Repair (Ballasts, Fixtures, etc.) for the Entire Building. :

14b. System Maintenance and Repair (Ballasts, Fixtures, etc.) for the Government-Leased Area. :

14. System Maintenance and Repair (Ballasts, Fixtures, etc.) For Government Use Only. :

16a. Supplies (Soap, towels, tissues not in 6 above) for the Entire Building.:

16b. Supplies (Soap, towels, tissues not in 6 above) for the Government-Leased Area.:

16. Supplies (Soap, towels, tissues not in 6 above) For Government Use Only.:

3. Rental Area (Square Feet):

3A. Entire Building:

2. Statement Date:

3B. Leased by Government:

17. System Maintenance and Repair For Government Use Only.:

19a. System Maintenance and Repair for the Entire Building.:

19b. System Maintenance and Repair for Government-Leased Area.:

19. System Maintenance and Repair. :

21a. System Maintenance and Repair for the Entire Building.:

21b. System Maintenance and Repair for the Government-Leased Area. :

21. System Maintenance and Repair For Government Use Only. :

17b. System Maintenance and Repair for the Government-Leased Area.:

17a. System Maintenance and Repair for the Entire Building. :

Click here to choose Oil as the fuel type.: 0

Click here to choose Gas as the fuel type. : 0

Click here to choose Coal as the fuel type.: 0

Click here to choose Electric as the fuel type. : 0

22. Building Engineer and/or Manager For Government Use Only:

22b. Building Engineer and/or Manager for the Government-Leased Area.:

22a. Building Engineer and/or Manager for the Entire Building. :

23. Security (Watchperson, guards, not janitors) For Government Use Only.:

25a. Lawn and Landscaping Maintenance for the Entire Building :

25b. Lawn and Landscaping Maintenance for the Government-Leased Area. :

25. Lawn and Landscaping Maintenance for Government Use Only.:

26a. Other (Explain on separate sheet) for the Entire Building.:

26b. Other (Explain on separate sheet) for the Government-Leased Area. :

26. Other (Explain on separate sheet) for Government Use Only.:

27a. Total for the Entire Building, Section I.:

27b. Total for the Government-Leased Area, Section I.:

27. Total, Section I, for Government Use Only.:

28a. Real Estate Taxes for the Entire Building.:

28b. Real Estate Taxes for the Government-Leased Area.:

28. Real Estate Taxes for Government Use Only.:

29a. Insurance (Hazard, Liability, etc.) for the Entire Building.:

29b. Insurance (Hazard, Liability, etc. for the Government-Leased Area.:

29. Insurance (Hazard, Liability, etc.) for Government Use Only.:

30a. Building Maintenance and Reserves for Replacement for the Entire Building. :

30b. Building Maintenance and Reserves for Replacement for the Government-Leased Area.:

30. Building Maintenance and Reserves for Replacement for Government Use Only.:

31a. Lease Commission for the Entire Building. :

31b. Lease Commission for the Government-Leased Area.:

31. Lease Commission for Government Use Only.:

35c. Date second signature was signed.:

34a. First Typed Name and Title. :

34b. First Signature.:

32a. Management for the Entire Building.:

32b. Management for the Government-Leased Area.:

32. Management for Government Use Only.:

33a. Total for the Entire Building, Section II. :

33b. Total for the Government-Leased Area, Section II.:

33. Total, Section II, for Government Use Only.:

24a. Social Security Tax and Workperson's Compensation Insurance for the Entire Building. :

Social24B:

24. Social Security Tax and Workperson's Compensation Insurance For Government Use Only.:

23b. Security (Watchperson, guards, not janitors for the Government-Leased area.:

23a. Security (Watchperson, guards, not janitors) for the Entire Building.:

Click here to mark the signature of the Lessor's Certification as the Owner. : 0

Click here to mark the signature of the Lessor's Certification as the Legal Agent. : 0

RLP OFFER ATTACHMENT -…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Jun 17, 2022.