Market_Survey_for_Existing_Building_FPLS_Revision_2.8.12.docx
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- Solicitation number
- 6MI0206
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When building is existing, complete form in its entirety and return by Expression of Interest due date.
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| Market_Survey_for_Leased_Construction.doc | DOC document | |
| Property_Authorization.pdf |
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GSA Public Buildings Service
Lease Market Survey for Existing Building Lease Market Survey for Existing Building
GENERAL INFORMATION
| Agency Requesting Space |
| Survey Location |
| GSA |
| Fort Gratiot |
| Leasing Contracting Officer |
| Agency Representative |
Shenika Kuchar
| Amount of Space/Sq. Ft. |
| Type |
| Date of Survey |
|_| Office |_| Warehouse |_| Special______
PARKING INFORMATION
| Official |
| Employee |
a. Location: |_| Inside |_| Outside |_| None
b. No. of Spaces: ___________
c. Rate per Space: $__________
a. Location:|_| Inside |_| Outside |_| None
b. No. of Spaces: ___________
c. Rate per Space: $__________
| Building Name |
| Building Address |
| Owner/Agent Name |
| Address and Phone Number |
SPACE AVAILABLE
| Floor # |
| Common Area Fact |
| Amount (Sq. Ft) |
| a. |
| a. |
| a. |
| b. |
| b. |
| b. |
| c. |
| c. |
| c. |
| d. |
| d. |
| d. |
ASKING PRICE
a. Rent/month $__________ or Rent/sq. ft per Year (note type of measurement being used) $____________________
b. Services and Utilities Included:_______________________________________________
c. Alterations Included:______________________________________________________
d. Allowance for Tenant Improvements (per sq. ft.): $____________________________
e. Other Remarks:__________________________________________________________
| Building Location |
| Zoning Conforms to Govt. Use |
| |_| Central Business Dist | |_| Commercial | ||
| |_| Office Park | |_| Industrial | ||
| |_| Urban Renewal | |_| Residential |
|_| Yes |_|No
HISTORICAL
a. Building Age:______________
b. On Register: ______________ Other: ___________________
EXTERIOR INFORMATION
(Upload Photo to eLease or attach here)
| APPEARANCE OF STRUCTURE |
| APPEARANCE OF GROUNDS |
| |_| Excellent |_| Good | |_| Fair |_| Poor |
| |_| Excellent |_| Good | |_| Fair |_| Poor |
| Exterior Building Design |
| Exterior Facing Material |
| |_| Urban | |_| Office Park | |_| Suburban | |
| |_| Single-Core | |_| Multi-core | |_| Warehouse | |
| |_| Adaptive Re-use | |_| Flex | ||
| |_| Free Standing Conversion | |_| Retail | ||
| |_| Brick | |_| Concrete | |_| Glass | |
| |_| Steel | |_| Marble | |_| Stone |
|_| Other__________________________
BUILDING INFORMATION
| Building height: _________ (feet) | Total Number of Stories: _________ | |
| Number of stories above street floor: ______ | Number of Stories below street floor: ______ |
Floor(s) offered: _____________
INTERIOR INFORMATION
INTERIOR WALLS
a. Type: |_| Drywall/Sheetrock |_| Plaster |_| Other_____________ (Specify)
b. Office Space Covering:
|_| Paint |_| Vinyl |_| Wallpaper |_| Panel |_| Other_____________ (Specify)
c. Public Areas Covering:
|_| Paint |_| Vinyl |_| Wallpaper |_| Panel |_| Other_____________ (Specify)
LIGHTING
a. Type: |_| Fluorescent |_| Incandescent |_| Parabolic |_| Suspended |_| Recessed |_| Flush
b. Height: ____ ft. ____ in.
CEILING
| |_| Acoustical | |_| Tile | |_| Unfinished | |||
| |_| Plaster | |_| Suspended | |_| Other________________ (Specify) |
| a. In Space Offered: |_| Yes | |_| No | ||
| b. Frame: | |_| Wood | |_| Metal | |_|Other______________ (Specify) |
c. Type: |_| Fixed |_| Double Hung |_| Casement |_| Other_____________ (Specify)
FLOORS
| a. Type: | |_| Concrete | |_| Wood | ||
| b. Covering: | |_| Vinyl Tile | |_| Carpet | |_|Other______________ (Specify) |
FLOOR LOAD
| a. Office Space (70 lbs/sq. ft): | |_| Yes | |_| No | |
| b. Storage Areas (100 lbs/sq. ft): |_| Yes | |_| No |
TOILET FACILITIES
a. Each floor has separate men’s & women’s bathrooms: |_| Yes |_| No
b. Travel distance is less than 150’ (per 10,000 sq. ft): |_| Yes |_| No
c. Number of Stalls: Women ___________ Men ___________ Urinals ___________
d. Number of Sinks: Women___________ Men___________
e. Automatic Door Openers: Women___________ Men___________
Measurements:
| a. Door Entrance (min. 32”): | Men_______ | Women_______ |
| b. Door Identification Signs (min. 54”/max. 66”): | Men_______ | Women_______ |
| c. Vestibules (min. 48” not including door swing): | Men_______ | Women_______ |
| d. Light Switches (min. 42”/max 54”): | Men_______ | Women_______ |
| e. Sink Clearance (min. 29”): | Men_______ | Women_______ |
| f. To Sink Countertop (max. 34”): | Men_______ | Women_______ |
| g. Stall Door (32” swings out): | Men_______ | Women_______ |
| h. To Sink Countertop (max. 34”): | Men_______ | Women_______ |
| i. Stall Door (32” swings out): | Men_______ | Women_______ |
Faucets:
| a. Lever or Push: | Men_______ | Women_______ |
| b. Door Swing Measurement: | Men_______ | Women_______ |
| c. Turning Diameter (5’): | Men_______ | Women_______ |
| d. Pipes Insulated (Hot water & drain): | Men_______ | Women_______ |
TOILET FACILITIES (CONTINUED)
| Accessories (towels, soap, etc): | |||
| a. | Front Approach (max. 48”): | Men_______ | Women_______ |
| b. | Side Approach (max. 54”): | Men_______ | Women_______ |
| c. | Mirror Shelf: | Men_______ | Women_______ |
| d. | Soap Reach: | Men_______ | Women_______ |
Stalls:
| a. | Wall Mounted (60” x 56”): | Men_______ | Women_______ |
| b. | Floor Mounted (60” x 59”): | Men_______ | Women_______ |
| Floor Mounted (36” x 69”): | Men_______ | Women_______ | |
| c. | Alternate (36” x 69”): | Men_______ | Women_______ |
| d. | Urinals (Elongated Lip 17” max): | Men_______ | Women N/A |
| Height of Flush Valve (44” max): | Men_______ | Women N/A | |
| e. | Toilets (min 17” max 19”): | Men_______ | Women_______ |
| f. | Handrails (min 33” max 36”): | Men_______ | Women_______ |
| Diameter (1.25” – 1.5”) : | Men_______ | Women_______ | |
| Location (each side, side & rear): | Men_______ | Women_______ | |
| g. | Comments:____________________________________________________________________________ | ||
| _____________________________________________________________________________________ |
DRINKING FOUNTAINS
| a. | Drinking Fountains per Floor:_______________ | |||
| b. | Travel distance is less than 150’ (per 10,000 sq. ft): | |_| Yes | |_| No | |
| c. | Alcove: | |_| Yes | |_| No | |
| d. | Clear Floor Space (30” x 48”): | |_| Yes | |_| No | |
| e. | Clearance (27”): | |_| Yes | |_| No | |
| f. | Height of Spout Control (max. 36” above floor): | |_| Yes | |_| No | |
| g. | Handicap Accessible: | |_| Yes | |_| No | |_| Can be Altered |
| h. | Comments:__________________________________________________________ |
UNDER FLOOR DUCTS
|_| Yes |_| No
Heating
a. Type: |_| Warm Air |_| Hot Air |_| Steam
b. Fuel: |_| Electric |_|Oil |_| Gas |_| Other__________(Specify)
Air Conditioning
a. Type: |_| Central |_| Package |_| Window
b. Fuel: |_| Electric |_|Gas |_| Other_____________(Specify)
PUBLIC TELEPHONES (IF PROVIDED)
| a. | Front Approach (max. 48”):__________ | |
| b. | Side Approach (max. 54”):__________ |
ELEVATORS
| a. | Type: | |_|Electric | |_| Hydraulic | |
| b. | Number: | Passenger____________ | Freight ___________ Service ____________ | |
| c. | Opening (min. 36” ) : | __________ | ||
| d. | Depth (min. 51” ) : | __________ | ||
| e. | Width (min. 68” ) : | __________ | ||
| f. | High Hall Call Cab Buttons (max. 54” ) :__________ | |||
| g. | Two-way Communication: | |||
| Height (max. 48” ) : __________ | ||||
| 24 Hour Monitor: | |_| Yes | |_| No | ||
| h. | Inspection Certificate Current Clearly Visible or Available: | |_| Yes | |_| No | |
| i. | Phase I Elevator Recall Operation: | |_| Yes | |_| No | |
| j. | Phase II Emergency In-Car Operation: | |_| Yes | |_| No | |
| k. | Phase II Firemen’s Capture Provided: | |_| Yes | |_| No | |
| l. | Load Capacity Listed: | |_| Yes | |_| No | |
| m. | Elevator Accommodates Ambulance Stretcher: | |_| Yes | |_| No | |
| n. | Standby Power Furnished to Operate Car: | |_| Yes | |_| No |
OUTSIDE AIR INTAKE
|_| Roof/Penthouse |_| Street Level |_| Below Street Level |_| Other:____________
ENVIRONMENTAL COMPLIANCE
Were hazardous substances present on the property?
|_| Yes
a. Provide specifics to contamination:_______________________________________
| b. | Hazardous Material Storage:_____________________________________________ |
| c. | Hazardous Waste Site:__________________________________________________ |
|_| No
ASBESTOS
Were Asbestos Containing Materials ever present on the property?
|_| Yes
| a. | Condition: | |_| Friable | |_| Non-Friable |
| b. | Type:________________________________________________________________ | ||
| c. | Contained:____________________________________________________________ | ||
| d. | Location (insulation, ceiling, floor tiles, etc):_________________________________ |
|_| No
POLYCHLORINATED BIPHENYLS (PCB)
Were PCBs ever present on the property?
|_| Yes Provide list of all PCB containing equipment and assurance regarding compliance.
|_| No
UNDERGROUND STORAGE TANKS (UST)
| |_| Yes | ||
| Location_________________ | Capacity_________________ | Number_________________ |
Certification:
| a. | Maintenance_________________ |
| b. | In compliance with current UST regulations: |_| Yes |_| No When (date)___________ |
|_| No
ENDANGERED SPECIES
Is there a presence or likely presence of any federally designated or state designated threatened or endangered species on the property? |_| Yes |_| No
Wetlands
Are there any known wetlands present on the property? |_| Yes |_| No GSA should use the appropriate National Wetlands Inventory map to make this determination.
FLOODPLAINS
| Is the property located in or adjacent to a floodplain? | ||
| |_| Yes: | |_| 100 Years | |_| 500 Years |
Review information to ensure compliance with state and local laws.
|_| No
COASTAL ZONE MANAGEMENT
Will the leasing action affect coastal resources? |_| Yes |_| No Federal consistency applies when any direct or location affects any land, water, or natural resources of the coastal zone. No Federal activity is exempt from the consistency requirement.
TRAFFIC IMPACTS
| a. Location (address, lot, and block #)________________________________________________________ |
| _____________________________________________________________________________________ |
b. Description (use additional sheet, if necessary)_______________________________________________
c. Is this action likely to change traffic patterns or increase traffic volumes? _________________________
d. Have access constraints? _________________________________________________________________
e. Affect a congested intersection? ___________________________________________________________
f. Other_________________________________________________________________________________ Please refer to the NEPA Desk Guide for additional examples of traffic impact.
SECURITY
SECURITY ISSUES
| |_| No Provisions | |_| Secure Building | |_| Guard in Lobby | |
| |_| Alarm System | |_| Controlled Entry | |_| Card Key System | |
| |_| 24 Hr Guard Service | |_| Elevator Control (Lockoff) | |_| Controlled Garage Entry | |
| |_| Balconies/Patios Adjacent to Space | |_| Controlled Roof Access | ||
| Federal Protective Service (FPS) Present on Survey: | |_|Yes | |_| No |
Contact Information:
FIRE PROTECTION AND LIFE SAFETY
EXIT STAIRS
| QUESTIONS ARE APPLICABLE ONLY WHERE OFFERED SPACE IS LOCATED ABOVE OR BELOW THE STREET FLOOR. | |
| Is there a minimum of two exit stairs (either enclosed or exterior exit stairs) located on each floor where the offered space is located?* | |_|Yes |_|No |
*If the answer above is “No,” Offeror must submit a written commitment with their offer to correct said deficiency prior to occupancy for the building to be eligible for award.
Is there an interlocking or scissor stair located on the floor(s) where the offered space is located?* |_|Yes |_|No
*If the answer above is “Yes,” go to the next question.
Is there another enclosed or exterior exit stair other than the interlocking or scissor stair located on each floor where the offered space is located?* |_|Yes |_|No
*If the answer above is “No,” Offeror must submit a written commitment with their offer to correct said deficiency prior to occupancy for the building to be eligible for award.
Is there a fire escape located on the floor(s) where the offered space is located?* |_|Yes |_|No
*A fire escape cannot be counted as one of the required minimum of two exit stairs (either enclosed or exterior exit stairs) located on each floor where the offered space is located.
AUTOMATIC FIRE SPRINKLER SYSTEM
Is an automatic fire sprinkler system installed throughout the building? |_|Yes |_|No
Is an automatic fire sprinkler system installed throughout the offered space? |_|Yes |_|No
Where offered space is located below grade, is the below grade space protected throughout by automatic fire sprinkler system?* |_|Yes |_|No
*If the answer above is “No,” Offeror must submit a written commitment with their offer to correct said deficiency prior to occupancy for the building to be eligible for award.
Where offered space is located on the sixth floor or higher, is the building up to the highest Government occupancy protected throughout by automatic fire sprinkler system?* |_|Yes |_|No
*If the answer above is “No,” Offeror must submit a written commitment with their offer to correct said deficiency prior to occupancy for the building to be eligible for award.
If an automatic sprinkler system is installed in the building, is the automatic fire sprinkler system being maintained? |_|Yes |_|No
FIRE ALARM SYSTEM
Where offered space is located on the third floor or higher, is a fire alarm system installed in the building?* |_|Yes |_|No
*If the answer above is “No,” Offeror must submit a written commitment with their offer to correct said deficiency prior to occupancy for the building to be eligible for award.
If a fire alarm system is installed in the building, is the fire alarm control unit less than 25 years old?* |_|Yes |_|No
*If the answer above is “No,” Offeror must submit a written commitment with their offer to correct said deficiency prior to occupancy for the building to be eligible for award.
If a fire alarm system is installed in the building, does the operation of the fire alarm system automatically notify the local fire department, a remote station or a UL listed central station? |_|Yes |_|No
If a fire alarm system is installed in the building, is the fire alarm system maintained? |_|Yes |_|No
PORTABLE FIRE EXTINGUISHERS
If portable fire extinguishers are required by code, are portable fire extinguishers installed in common areas on the floors where the offered space is located? |_|Yes |_|No
If portable fire extinguishers are installed, are the portable fire extinguishers being maintained? |_|Yes |_|No
ACCESSIBILITY
ACCESSIBILITY ISSUES
| a. | Building Entrance (door width 32”): | |_|Yes | |_| No | |_|Can be Altered | |
| b. | 1:12 Ramps: | |_|Yes | |_| No | |_|Can be Altered | |
| c. | 1:20 Walks: | |_|Yes | |_| No | |_|Can be Altered | |
| d. | Curb cut 36”: | |_|Yes | |_| No | |_|Can be Altered | |
| e. | Parking 13’ wide (96” space + 60” access aisle): | |_|Yes | |_| No | |_|Can be Altered | |_| N/A |
| f. | Stairs (not acceptable if no elevator): _______________________________________ | ||||
| g. | Light Switches (min. 42”, max 54”): _______________________________________ | ||||
| h. | Vestibules (min. 48” + door swing”): _________________________________________ |
GENERAL COMMENTS (COMPLETED BY GOVERNMENT)
SELECTION OF AWARD FACTORS (COMPLETED BY GOVERNMENT)
| Possible |
| Criteria |
| Comments |
| Historic |
| Use Standard Clause |
| Building Eligible for preference |
DECISION TO SOLICIT (COMPLETED BY GOVERNMENT)
a. This building:
_____ will be solicited. It meets or is capable of meeting the SFO/RLP standards.
_____ will not be solicited. It does not meet and is not capable of meeting the RLP standards for the following reason(s):
b. The client agency representative present on the market survey:
_____ agrees with the above decision
_____ does not agree with the above decision for the following reason(s):
| __________________________ | __________________________ | |
| Agency Representative | Title |
| __________________________ | __________________________ | |
| Person Conducting Survey | Title |
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