8 RLP 36C10F23R0074 Attachment No 1 to GSA Form 1364 Clarksville TN OPC - 8-10-2023.xlsx

GSA Form Aug 10, 2023 XLSX spreadsheet 30 KB Posted Aug 11, 2023

Attached to: X1DA--Clarksville, TN OPC Amendment #3 FSL 2 258, 210 ANSI/BOMA
Solicitation number: 36C10F23R0074
Issued by: Department of Veterans Affairs Office of Construction and Facilities Management

About this file

Written by GovTribe AI · Dec 21, 2023

This document is an attachment to a solicitation for an outpatient clinic project. The Department of Veterans Affairs seeks to lease approximately 258,210 ANSI/BOMA office space square feet for an outpatient clinic in Clarksville, Tennessee. Offerors must populate all cells marked in gray in the attached spreadsheet template with the building's total rentable and ABOA square footage, common area factor, parking details, land and annual operating costs, lump sum tenant improvement costs and rates, and proposed annual shell rental rates for both 15-year and 20-year firm lease terms. The solicitation number is 36C10F23R0074 and was issued by the Department of Veterans Affairs Office of Construction and Facilities Management for an outpatient clinic in Clarksville, Tennessee.

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Other versions and copies of GSA Form 1364

513 government files on GovTribe name GSA Form 1364. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
3B.G(2026.09.11)GSA Form 1364 Open with Adobe Only-2KS0140.pdf	2026	Sep 11, 2026	U. S. GOVERNMENT SEEKS TO LEASE SPACE IN TOPEKA, KS
H - GSA Form 1364 Proposal to Lease Space (Jan. 2023) Open with Adobe Only.pdf	Jan 2023	Oct 28, 2026	General Services Administration (GSA) seeks to lease office space in Brunswick, GA
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Oct 1, 2026	U. S. Government Seeks Proposals to Lease 2, 405 to 2, 605 ABOA SQ FT of Office and Related Space in Washington, DC
4WY0059_Exhibit 2 GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 21, 2026	U. S. Government Seeks to Lease Office Space in Cheyenne, WY – Solicitation Amendment No. 1
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 20, 2026	General Services Administration (GSA) seeks to lease the following space: Solicitation No. 6GA0308
EXHIBIT F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Jul 30, 2026	Request for Lease Proposals (RLP) - Saipan CBOC
G. GSA Form 1364 Proposal to Lease Space (1).pdf	Revision not stated	Nov 4, 2026	General Services Administration (GSA) seeks to lease the following space: Solicitation No. 3FL0557
Exhibit F-Proposal to Lease Space (GSA Form 1364).pdf	Revision not stated	Nov 4, 2026	8TN2168 The US Government Seeks to Lease Office and Related Space in Nashville, TN-Request for Lease Proposal
08 Attachment No. 1 to GSA Form 1364 - TEMPLATE_15-20 Yr_1.xlsx	Revision not stated	Nov 3, 2026	X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
07 - GSA Form 1364 - Proposal to Lease Space.pdf	Revision not stated	Nov 3, 2026	X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
Proposal To Lease Space_GSA Form 1364.pdf	Revision not stated	Sep 17, 2026	General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf	Revision not stated	Sep 10, 2026	General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
F. GSA Form 1364 Proposal to Lease Space (1).pdf	Revision not stated	Aug 27, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
Exhibit G. GSA Form 1364 (2).pdf	Revision not stated	Aug 25, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
08. GSA Form 1364 - Attachment No. 1.xlsx	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
09. GSA Form 1364 - Proposal to Lease Space.pdf	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Attachment No. 1 to GSA Form 1364 - Idaho Falls (10-15-20 Yr).xlsx	Revision not stated	Aug 21, 2026	Dept of Veterans Affairs seeks clinical space in Idaho Falls, ID
10 GSA Form 1364 080626.pdf	Revision not stated	Aug 6, 2026	U. S. Department of Agriculture Seeks to Lease Office and Related Space in Huntington, Indiana
Exhibit E. GSA Form 1364 (2).pdf	Revision not stated	Aug 3, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 3TN0311
Exhibit F. GSA Form 1364 (1).pdf	Revision not stated	Jul 29, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4LA0288

Show all 20

Who attaches GSA Form 1364

Agency	Files
General Services Administration Public Buildings Service Central Office	230
Department of Veterans Affairs Office of Construction and Facilities Management	36
Department of Agriculture Under Secretary for Farm Production and Conservation	30
General Services Administration Public Buildings Service Central Office Office of Leasing	24
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8	17
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10	13
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20	13
General Services Administration Public Buildings Service Region 5	13

Other files

File	Type	Posted
36C10F23R0074 - Clarksville TN OPC - RLP Amendment 3 - 9.27.2023.pdf	PDF	Sep 27, 2023
36C10F23R0074 0003.docx	DOCX document	Sep 27, 2023
2B RLP 36C10F23R0074 Appendix A_1 Project Contents List PRC Clarksville TN OPC - 8-10-2023.pdf	PDF	Sep 14, 2023
36C10F23R0074 - Clarksville TN OPC - RLP Amendment 2 - Pre-bid Presentation - 8.23.2023.pdf	PDF	Sep 14, 2023
36C10F23R0074 - Clarksville TN OPC - RLP Amendment 2 - VA Q_A Matrix - 9.14.2023.pdf	PDF	Sep 14, 2023
36C10F23R0074 0002.docx	DOCX document	Sep 14, 2023
36C10F23R0074 - Clarksville TN OPC - RLP Amendment 2 - Pre-Bid Presentation - Transcript - 8.23.2023.pdf	PDF	Sep 14, 2023
36C10F23R0074 - Clarksville TN OPC - RLP Amendment 2 - Pre-Bid Presentation - Attendance Sheets - 8.23.2023.pdf	PDF	Sep 14, 2023
36C10F23R0074 - Clarksville TN OPC - RLP Amendment 2 - 9.14.2023.pdf	PDF	Sep 14, 2023
2C RLP 36C10F23R0074 Appendix A.2 Lease Design Narrative LDN Clarksville TN OPC - 9.14.2023 REVISION.pdf	PDF	Sep 14, 2023
36C10F23R0074 0001.docx	DOCX document	Aug 16, 2023
36C10F23R0074 - Clarksville TN OPC RLP Amendment No 1 - 16 August 2023.pdf	PDF	Aug 16, 2023
2F RLP 36C10F23R0074 Appendix A_4_1 OIT Extra Small Campus Spt Ctr Dsgn Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
16 RLP 36C10F23R0074 GSA Form 3517B General Clauses Modified General Clauses Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
2D RLP 36C10F23R0074 Appendix A_3 Room Data Matrix RDM Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
14 RLP 36C10F23R0074 VA Handbook 6500_6 Appendix D VA Rules of Behavior Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
6 RLP 36C10F23R0074 Offeror Proposal Compliance Matrix Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
4 RLP 36C10F23R0074 Appendix B Janitorial Services and Site Maintenance Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
19 RLP 36C10F23R0074 Montgomery County Wage Determination Clarksville TN OPC - 8-10-2023 02.pdf	PDF	Aug 11, 2023
10 RLP 36C10F23R0074 Form VA 10091 VA FSC Vendor File Request Form Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
17 RLP 36C10F23R0074 GSA Form 12000 for Prelease FPLS Eval Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
9 RLP 36C10F23R0074 GSA Form 1217 Lessors Annual Cost Statement Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
2 RLP 36C10F23R0074 Cover Page for Agency Specific Requirements ASR Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
36C10F23R0074.docx	DOCX document	Aug 11, 2023
15 RLP 36C10F23R0074 GSA Form 3516 Solicitation Provisions Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
2G RLP 36C10F23R0074 Appendix A_5 Facility Level Security FSL III Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
3 RLP 36C10F23R0074 Appendix A_6 Conceptual Floor Plan Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
1 RLP 36C10F23R0074 Lease Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
18 RLP 36C10F23R0074 Certification of Building Energy Performance Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
13 RLP 36C10F23R0074 GSA Form 527 Contractors Quals and Financial Info Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
12 RLP 36C10F23R0074 SF 330 Architect Engineer Qualifications Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
2B RLP 36C10F23R0074 Appendix A_1 Project Contents List PRC Clarksville TN OPC - 8-10-2023.xlsx	XLSX spreadsheet	Aug 11, 2023
5 RLP 36C10F23R0074 Offering Entity Acknowledgement Form Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
22 RLP 36C10F23R0074 Pre Bid Conference Registration Form Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
23 RLP 36C10F23R0074 GSAR 552_270-33 Foreign Ow Fin Rep for High Sec Leased Sp Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
21 RLP 36C10F23R0074 Seismic Forms Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
0 RLP 36C10F23R0074 RLP Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
2E RLP 36C10F23R0074 Appendix A_4 OIT Design Template Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
11 RLP 36C10F23R0074 Past Performance Questionnaire Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
20 RLP 36C10F23R0074 Covered Telecom Equip or Services Rep Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
2A RLP 36C10F23R0074 Appendix A Program for Design PFD Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
7 RLP 36C10F23R0074 Proposal to Lease Space GSA Form 1364 Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023
2C RLP 36C10F23R0074 Appendix A_2 Lease Design Narrative LDN Clarksville TN OPC - 8-10-2023.pdf	PDF	Aug 11, 2023

Show all 43

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Instructions

Department of Veterans Affairs

Outpatient Clinic - Clarksville, TN

RLP No.: 36C10F23R0074

Attachment #1 to the Form 1364

General Instructions:

1. Offerors are to populate all cells within Tab "Att #1 to 1364" that are colored "gray"

2. Offerors are to provide all dollar values in "real" dollars, with a maximum of two decimal places.

3. Offerors are NOT to input any formulas or other "values" copied from another spreadsheet.

Att #1 to 1364

Department of Veterans Affairs

Outpatient Clinic - Clarksville, TN

RLP No.: 36C10F23R0074

Attachment #1 to the Form 1364

Offeror Name:

Building Total Rentable Square Feet :			RSF
Building Total ABOA Square Feet:		0	ABOA
Common Area Factor:			%
	Parking:
Land Acquisition Costs (not including site improvements or demolition)		$0.00
Annual Operating Expenses (line 27 from GSA Form 1217):		$0.00	Annually
Annual Operating Expenses Rate per (line 27 from GSA Form 1217):		$0.00	per ABOA
Tenant Improvement Lump-Sum Total:		$0.00
Tenant Improvement Lump-Sum Rate per ABOA:		ERROR:#DIV/0!
Lessor Tenant Improvement Amortization Rate:			%
15 Year Firm Term:

Lease Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Fully-Serviced Annual Rent not including Tenant Improvements (paid lump sum):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Annual Operating Expenses (Form 1217 - Line 27):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Shell Annual Rent with Tenant Improvements paid lump sum:	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Annual Shell Rent Rate (1364 - 29.e), not including Operating Expenses (Form 1217 - Line 27) or Tenant Improvements (1364 - 25.a - Paid Lump Sum) per ABOA:

ERROR:#DIV/0!

Annual Operating Expenses Rate (Form 1217 - Line 27) per ABOA:

ERROR:#DIV/0!

Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:

ERROR:#DIV/0!

Lump sum items:

Total Tenant Improvements Lump Sum Cost:	$ - 0
Tenant Improvements Lump Sum Rate per ABOA:	ERROR:#DIV/0!

20 Year Firm Term:

Lease Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Fully-Serviced Annual Rent not including Tenant Improvements (paid lump sum):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Annual Operating Expenses (Form 1217 - Line 27):	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Shell Annual Rent with Tenant Improvements paid lump sum:	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Annual Shell Rent Rate (1364 - 29.e), not including Operating Expenses (Form 1217 - Line 27) or Tenant Improvements (1364 - 25.a - Paid Lump Sum) per ABOA:

ERROR:#DIV/0!

Annual Operating Expenses (Form 1217 - Line 27) per ABOA:

ERROR:#DIV/0!

Fully-Serviced ABOA Rental Rate with Tenant Improvements paid lump sum:

ERROR:#DIV/0!

Lump sum items:

Total Tenant Improvements Lump Sum Cost:	$ - 0
Tenant Improvements Lump Sum Rate per ABOA:	ERROR:#DIV/0!

File details come from the government source that posted it. Updated Aug 11, 2023.