Proposal To Lease Space_GSA Form 1364.pdf
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- Solicitation number
- 4ND0093
About this file
This is GSA Form 1364 (Rev. 1/2023), a standardized Proposal to Lease Space template used by the General Services Administration for federal real estate leasing transactions. The form is submitted in response to a Request for Lease Proposals (RLP) and serves as the official offer document for lessor proposals to provide space to the United States Government.
The form captures comprehensive building and financial information across five primary sections. Section I requires building overview details including name, address, total rentable square footage (RSF), ANSI/BOMA Occupant Area (ABOA) square feet, and parking availability. Section II details the specific lease offer including offered space size, lease term (full term and firm term with termination notice requirements), and the rent table with shell rent, operating costs, tenant improvement (TI) allowance, building-specific amortized capital (BSAC) rent, and parking rates. Section III addresses additional financial aspects such as free rent offerings, free space, renewal options, broker commissions, adjustments for vacant premises or reduced services, tax parcel information, and HVAC overtime rates. Section IV requires property condition information regarding construction history, fire protection and life safety compliance, accessibility standards (ABAAS), asbestos-containing materials, flood plain location, seismic safety requirements, ENERGY STAR® certification status, and historic property designation. Section V contains owner identification and offeror certification, requiring the recorded owner name, offeror information, and confirmation that the offeror has read and agrees to comply with the RLP terms. Section VI provides an addendum for detailed step rent schedules, renewal option terms, multiple tax parcel accounting, and any deviations requested from RLP requirements. The form requires offeror signature and acknowledges a Paperwork Reduction Act burden estimate of 2.3 hours (OMB Control Number 3090-0086, expiration 2/28/2029).
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GENERAL SERVICES ADMINISTRATION GSA 1364 (REV. 1/2023) PAGE 1
The RLP outlines how fees may apply. Fees are not applicable for turnkey pricing.
a. Architectural/Engineering fees will be (choose one): b. Lessor's Project Management fee will be:
Percent of Total Construction Costs: % Percent of Total Construction Costs
Dollar Amount per ABOA SF: $ %
Flat Fee: $
PROPOSAL TO LEASE SPACE
(See Paperwork Reduction Act Statement in Section V)
This Offer is in response to Request for Lease Proposals (RLP) Number:
OMB Control Number: 3090-0086 Expiration Date: 2/28/2029
SECTION I - BUILDING OVERVIEW
1. Building Name 2. Building Street Address
3. City, State and 9-Digit ZIP Code 4. Number of Floors in Building
5. Total Rentable Square Feet (RSF) in Building
Building Space Breakout
a. General Purpose/Office: b. Warehouse: c. Other:
6. Total ANSI/BOMA Occupant Area (ABOA) Square Feet (SF) in Building
7. Building Common Area Factor (CAF)
8. Total Building Parking Under Offeror's Control
a. Total Surface b. Total Structured c. Is all the parking onsite? d. Number of spaces required by local code, if applicable:
YES NO
(Parking spaces and associated costs offered to meet the requirements outlined in the RLP shall be detailed in Box 20).
SECTION II - PRIMARY OFFER DETAILS
9. ABOA SF of Offered Space 10. RSF of Offered Space 11. CAF of Offered Space 12. Floor(s) and/or Suite(s) of Offered Space
13. Full Term of the Lease
Months
14. Firm Term of the Lease
Months
After the Firm Term, the Government may terminate the Lease by providing advanced written notice to the Lessor. Indicate the minimum number of days the Government must provide prior written notice by.
15. Number of Days Notice
RENT TABLE
Enter initial rental figures only. Scheduled step rents for Shell rent and Parking rates must be entered in Section VI, Addendum.
16. Shell Rent The initial Shell Rent is a total annual dollar amount of
Does the initial Shell Rent offered change during the term of the lease?
X.
Annual Rent
Y.
Annual Rate $ Per RSF
Z.
Annual Rate
$ Per ABOA SF
YES NO
17. Operating Costs (Refer to Line 27 on the GSA 1217) The Operating Cost base is a total annual dollar amount of
18. Tenant Improvement (TI) Rent
a. TI Allowance per ABOA SF: $ (stated in RLP; leave blank for turnkey)
b. Total TI: $ ('a' above multiplied by offered ABOA SF or turnkey price)
c. Amortization Interest Rate: % d. Amortization Period in Months:
19. Building Specific Amortized Capital (BSAC) Rent
a. BSAC Amount per ABOA SF: $ (if stated in RLP)
b. Total BSAC: $ ('a' above multiplied by offered ABOA SF or total cost)
c. Amortization Interest Rate: % d. Amortization Period in Months:
20. Parking Required by the RLP
a. General Surface:
c. General
$ per space per month
$ per space per month
b. Number of Spaces Offered:
d. Number of Structured:
e. Reserved Spaces Offered:
f. Number of $0.00 Surface: $ per space per month Spaces Offered:
g. Reserved $ per space per month h. Number of Structured: Spaces Offered:
21. Rent for Non-Standard Circumstances The RLP requires a non-standard rental component applicable only under specific conditions outlined in the Lease called:
Not Applicable
22. TOTAL INITIAL RENT
23. Fee Schedule
GSA 1364 (REV. 1/2023) PAGE 2
d. If the Government used 1 hour of overtime HVAC for the entire offered space, it would owe:
(Multiply 31a times 31c) of Zones, Floors, or Spaces
Space Floor Zone
b. Select one of the options below: c. Total Number a. $ rate per hour -PER-
(Choose one) Total Land Costs: $ Land Site Size: SF or Acres
SECTION III - ADDITIONAL FINANCIAL ASPECTS OF THE OFFER
24. Are you offering free rent?
YES NO
a. If yes, enter the number of free months being offered.
b. What rent components are included in the free rent?
Shell TI Parking months Operating Costs BSAC Non-Standard
27. Commissions
If applicable, enter the commission distribution and ATTACH BROKER COMMISSION
AGREEMENT.
a. Tenant's Representative Commission %
b. Owner's Representative Commission %
28. Adjustment for Vacant Premises $ per ABOA SF
29. Adjustment for Reduced Services $ per ABOA SF
30. Tax Parcel Percent of Government Occupancy Explain complex tax
a. RSF of Tax Parcel RSF parcel arrangements in
b. Percent of Occupancy % Section VI, Addendum.
31. Heating, Ventilation, and Air Conditioning (HVAC) Overtime Rate
SECTION IV - BUILDING AND PROPERTY INFORMATION
32. In what year was the original building construction completed and ready for initial occupancy?
33. Provide the year and a brief description of the last major building renovation, if applicable.
34. Select the approximate level of construction necessary to meet the building shell requirements:
a. Improvements to the existing Building will be required to meet the Lease shell requirements.
The total approximate construction cost to achieve Lease shell standards is: $
b. The Building already meets all the Lease shell requirements; no improvements are necessary.
c. The requirements of the Lease will be satisfied through the construction of a new building.
35. What are the Building's normal hours of operations for HVAC included in the Operating Costs?
Start
End
Monday - Friday
Saturday
Sunday
36. With regard to Fire Protection and Life Safety:
a. The Property meets the Lease fire protection/life safety standards.
b. The Property will be improved to meet the Lease fire protection/life safety standards.
c. The Property does NOT meet the Lease fire protection/life safety standards and will NOT be upgraded.
37. With regard to Accessibility (Architectural Barriers Act Accessibility Standard - ABAAS):
a. The Property meets the Lease accessibility standards.
b. The Property will be improved to meet the Lease accessibility standards.
c. The Property does NOT meet the Lease accessibility standards and will NOT be upgraded.
38. With regard to Asbestos-Containing Material (ACM): (Select all that apply)
a. The Building contains no ACM.
b. The Building contains undamaged, nonfriable ACM.
c. The Building contains thermal system insulation ACM which is not damaged or subject to damage by routine operations.
d. The Building contains ACM that does not fall within any of the above categories.
e. The Building contains ACM; abatement will be completed prior to occupancy.
39. With regard to Flood Plains:
a. The Property is in a base (100 year) floodplain.
b. The Property is in a 500 year floodplain.
c. The Property is NOT in a floodplain.
If yes, fill out 'Renewal Options' in Section VI, Addendum.
26. Are you offering renewal options?
25. Are you offering free space?
YES NO
a. If yes, how much free space, in addition to the space offered in Box 9 above, is being offered?
ABOA SF YES NO
GSA 1364 (REV. 1/2023) PAGE 3
Offeror's Signature Date Signed
40. With regard to Seismic Safety of the Building:
a. The RLP does NOT contain seismic requirements.
b. The Building either fully meets RLP seismic requirements or meets an exemption.
c. The Building will be retrofitted to meet RLP seismic requirements it does not currently meet.
d. The Building will be constructed to meet RLP seismic requirements.
e. The Building will NOT meet RLP seismic requirements.
41. With regard to ENERGY STAR®:
a. The Property has received the ENERGY STAR® Label within the past twelve months.
Date (MM/DD/YYYY):
b. The Property has NOT received the ENERGY STAR® Label within the past twelve months but falls into one of the following categories:
i. New construction
ii. Existing building that cannot obtain label due to insufficient occupancy
iii. Meets one of the statutory exceptions below:
(1) The agency would remain in the building it currently occupies.
(2) The Lease would be in a building of historical, architectural, or cultural significance listed or eligible to be listed on the National Register of Historic Places.
(3) The Lease is for 10,000 RSF or less.
With regard to offerors falling into a statutory exception category above, the Offeror has evaluated energy efficiency and conservation improvements and has determined:
(i) Cost effective improvements have been identified and are attached to this offer.
(ii) There are no cost effective improvements. Supporting documentation is attached to this offer.
42. With regard to Historic Preference:
a. Is the Building a Historic Property? YES NO
b. Is the Building within an Historic District? YES NO
43. With regard to Historically Underutilized Business Zones (HUBZone) Price Evaluation Preference:
a. I am a HUBZone Small Business Concern (SBC) Offeror and I elect to waive the price evaluation preference.
b. I am a HUBZone SBC Offeror and I do NOT waive the price evaluation preference.
c. I am NOT a HUBZone SBC Offeror. The question does not apply.
SECTION V - OWNER IDENTIFICATION AND OFFEROR CERTIFICATION
44. Recorded Owner Name 45. Owner Street Address 46. City, State and 9-Digit ZIP Code 47. Unique Entity Identifier (UEI)
48. Offeror Name 49. Offeror Street Address 50. City, State and 9-Digit ZIP Code 51. Contact Information
a. Email
b. Telephone
52. Offeror's Interest in the Property
Owner (Offeror and Recorded Owner are the same person)
Other (Explain if Other is selected)
Agent / Broker
By submitting this offer, the offeror agrees to lease the premises described within the offer to the United States of America upon the Lease Contracting Officer's acceptance of the offer. The offeror acknowledges they have read and fully understand the Request for Lease Proposals and agrees to honor the terms and conditions specified in their offer and to full compliance with and acceptance of the Request for Lease Proposals and its attachments.
By signing this form, you acknowledge having read the RLP with attachments in its entirety. No deviations are allowed unless authorized by the Lease Contracting Officer (LCO).
53. Does your offer request any deviation from the RLP? NO YES - I request a deviation from the LCO
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.
A. Step Rent
Add a Step Rent Remove a Step Rent
B. Renewal Options
Add an Option Remove an Option
C. Additional Tax Parcel Information
Add a Building/Tax Parcel Remove a Building/Tax Parcel
D. Additional Remarks or Conditions with Respect to this Offer
SECTION VI - ADDENDUM
Shell Rent and Parking steps should be detailed if the initial amount stated in the Rent Table above does NOT remain the same for the full term of the Lease. Shell Rent step amounts should be stated in Annual Rent for the entire Leased space.
Parking step rents should be stated as a dollar amount per space per month.
Rent Type Beginning Year Through Year Amount Will Be ($) Per
Renewal Options are optional unless required by the RLP. Only renewal options that are required by the RLP will factor into the Government's financial analysis of the Offer.
Option Number Duration in Years Annual Shell Rate per RSF
Number of Days Notice to Exercise Option
Is the offered space part of multiple tax bills or multiple buildings on a single tax parcel? YES NO
If 'YES', use the boxes below to account for the total number of buildings, associated RSF, and tax parcel associated with the overall space offered to the Government. Attach the legal description(s) of the offered property/properties as part of your overall RLP submission.
Building Building RSF Tax Parcel Tax Parcel ID Number
Any deviations from the RLP requirements must be requested prior to the request for final proposal revisions. If the Offeror requests any deviations, GSA at its sole discretion will make the decision whether to accept the deviation.
GSA 1364 (REV. 1/2023)
| EXHIBIT F |
| GSA Form 1364 Proposal to Lease Space (Jan. 2023) Open with Adobe Only |
| SECTION I - BUILDING OVERVIEW |
| SECTION II - PRIMARY OFFER DETAILS |
| RENT TABLE |
| 16. Shell Rent |
| X. |
| Y. |
| Z. |
| Annual Rate |
| 18. Tenant Improvement (TI) Rent |
| 19. Building Specific Amortized Capital (BSAC) Rent |
| 20. Parking Required by the RLP |
| 21. Rent for Non-Standard Circumstances |
| 22. TOTAL INITIAL RENT |
| 23. Fee Schedule |
| SECTION III - ADDITIONAL FINANCIAL ASPECTS OF THE OFFER |
| SECTION IV - BUILDING AND PROPERTY INFORMATION |
| SECTION V - OWNER IDENTIFICATION AND OFFEROR CERTIFICATION |
| SECTION VI - ADDENDUM |
| Shell Rent and Parking steps should be detailed if the initial amount stated in the Rent Table above does NOT remain the same for the full term of the Lease. Shell Rent step amounts should be stated in Annual Rent for the entire Leased space. Parking ... |
| Renewal Options are optional unless required by the RLP. Only renewal options that are required by the RLP will factor into the Government's financial analysis of the Offer. |
| Is the offered space part of multiple tax bills or multiple buildings on a single tax parcel? YES NO |
| Any deviations from the RLP requirements must be requested prior to the request for final proposal revisions. If the Offeror requests any deviations, GSA at its sole discretion will make the decision whether to accept the deviation. |
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