SimplifiedProposaltoLeaseSpaceForm1364A_server_room_changes_082214.docx
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- RLP Amendment No. 1
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- 5UT0162
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1364A
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EXHIBIT A TO LEASE NUMBER GS-XXP-LXXXXXXX
GSA FORM 1364A
SIMPLIFIED LEASE PROPOSAL
REQUEST FOR LEASE PROPOSALS NUMBER
XXXXXXX
DATE:
SECTION I – BUILDING INFORMATION
| 1 |
| A. BUILDING NAME |
| 2 |
| NUMBER OF FLOORS |
| 6 |
| TOTAL PARKING FOR BUILDING |
STRUCTURE: SURFACE:
B. BUILDING STREET ADDRESS
| 3 |
| LIVE FLOOR LOAD |
(LBS / SQ FT)
| 7 |
| CONSTRUCTION TYPE |
C. CITY
D. STATE
| 4 |
| TOTAL RENTABLE AREA (SQ FT) |
| 8 |
| A. BUILDING BUSINESS HOURS (MON – FRI) |
E. 9-DIGIT ZIP CODE
F. CONGR. DISTRICT
| 5 |
| BUILDING AGE (YRS) |
B. BUILDING BUSINESS HOURS (SAT – SUN)
SECTION II – SPACE OFFERED AND RATES
| 9 |
| FLOOR |
LOCATION
| SUITE NUMBER |
| ANSI/BOMA SQ FT |
| TYPE OF SPACE |
| FLOOR LOCATION |
| SUITE NUMBER |
| ANSI/BOMA SQ FT |
| TYPE OF SPACE |
| TYPE OF SPACE |
| ANSI/ |
BOMA
AREA
(SQ FT)
A
COMMON AREA FACTOR
B
RENTABLE
SQ FT
(RSF)
A x B = C
| FIRM TERM |
| NON-FIRM TERM |
| OPTION TERM |
RENTAL RATE
PER RSF/YR
D
ANNUAL RENT
C x D = E
RENTAL RATE
(PER RSF/YR)
F
ANNUAL RENT
C x F = G
RENTAL RATE
(PER RSF/YR)
H
ANNUAL RENT
C x H = I
| 10 |
| OFFICE |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| 11 |
| OTHER |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| 12 |
| TOTAL |
| 13 |
| COMPOSITE ABOA PER SQ FT RATES |
| 12E ÷ 12A = 13A |
| $ |
| 12G ÷ 12A = 13B |
| $ |
| 12I ÷ 12A = 13C |
| $ |
| 14 |
| RATE ADJUSTMENT FOR VACANT SPACE: $ / ABOA SF |
| 15 |
| HOURLY RATE FOR OVERTIME HVAC: |
Zone $_____ Floor $ ______ Entire space $_____ AREAS REQUIRING 24 HOUR HVAC (LAN, ETC.) $________per ABOA SF* *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.
| 16 |
| NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT: |
| A. STRUCTURED: |
| C. SURFACE: |
| CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT): |
| B. STRUCTURED: $ / MO |
| D. SURFACE: $ / MO |
| 17 |
| RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING |
| INCLUDED NOT INCLUDED |
SECTION III – OWNER/OFFEROR INFORMATION
| 18 |
| A. OFFEROR |
(NAME AND COMPLETE MAILING ADDRESS)
B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)
(NAME AND COMPLETE MAILING ADDRESS)
| 19 |
| TELEPHONE NUMBER |
EMAIL ADDRESS
| 21 |
| OFFEROR'S FORM OF BUSINESS: INDIVIDUAL PARTNERSHIP CORPORATION – SPECIFY STATE: |
SECTION IV – OFFER
| 22 |
| RLP AMENDMENTS ACKNOWLEDGED (INITIAL) |
| NO. 1 |
| NO. 2 |
| NO. 3 |
| NO. 4 |
| NO. 5 |
| 23 |
| On behalf of the Offeror, the undersigned offers to lease to the Government the Premises described in Sections I and II, together with all other rights indicated therein, at the rental and other rates stated, on the terms and conditions set forth in the referenced Request for Lease Proposals and this Proposal. This Offer shall remain open for a period of 60 days. |
A. SIGNATURE
| B. NAME |
| C. TITLE |
| D. DATE |
EXHIBIT A TO LEASE NO. GS-XXX-XXXXX
SECTION V – PROPOSED ADDITIONAL TERMS, CONDITIONS
| 24 |
| OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS REQUIRED IN THE LEASE: |
| 25 |
| ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER: |
Lessor _______ Government:_______ GSA FORM 1364A (REV 09/14)
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