Exhibit_E-GSA_Form_1364B _Proposal_to_Lease_Space_for_Salem_or_Keiser _OR_Service_Center.docx

GSA Form DOCX document 40 KB Posted

Attached to
USDA Requires Leased Space in Salem or Keizer, Oregon
Solicitation number
AG0436S130003
Issued by

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From the source

Exhibit E-Proposal to Lease Space for Salem/Keizer OR USDA Service Center

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Who attaches GSA Form 1364B

Agency Files
Department of Agriculture Rural Housing Service Oregon State Office 1

Other files

File Type Posted
Exhibit_M-AD2056_ADA_Building_Requirements_Checklist.pdf PDF
Exhibit_H-USDA-OCIO-ITS_Requirements_for_Salem_or_Keizer _OR_Service_Center.pdf PDF
Exhibit_G-Security_Level_1_Attachment_For_Salem_or_Keiser _OR_Service_Center.pdf PDF
Exhibit_I-GSA_Form_3517B _General_Clauses_for_Salem_or_Keizer _OR_Service_Center.pdf PDF
Exhibit_C-GSA_Form_1217 _Lessors_Annual_Cost_Statement_for_Salem_or_Keizer _OR_Service_Center.pdf PDF
Exhibit_B-GSA_Form_3516 _Solicitation_Provisions_for_Salem_or_Keizer _OR_Service_Center.pdf PDF
Exhibit_A-Delineated_Area-Salem_or_Keiser _OR_Service_Center.pdf PDF
RLP_for_Salem_or_Keizer _OR_USDA_Service_Center.pdf PDF
Exhibit_L-Seismic_Forms_for_Salem_or_Keizer _OR_Service_Center.pdf PDF
Exhibit_F-Agency_Specific_Requirements_for_the_Salem_or_Keizer _OR_USDA_Service_Center.pdf PDF
Exhibit_K-GSA_Form_12000 _Pre-Lease_FPLS_Evaluation.docx DOCX document
Exhibit_D-GSA_Form_L201B-Streamlined_Lease_Form_for_Salem_or_Keizer _OR_Service_Center.pdf PDF
Exhibit_J-GSA_Form_3518 _Reps_and_Certs_for_Salem_or_Keizer _OR_Service_Center.pdf PDF
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GSA FORM 1364B, PART 1

STREAMLINED LEASE PROPOSAL

REQUEST FOR LEASE PROPOSALS NO. AG0436130003
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
DESCRIPTION OF SPACE OFFERED (ANSI/BOMA SPACE TYPE(S), SQUARE FOOTAGE, LOCATION(S) IN BUILDING, FLOOR(S), SUITE NO(S)., ETC.)
TYPE OF SPACE
ANSI/

BOMA

AREA

(SQ FT)

A

COMMON AREA FACTOR

B

RENTABLE

AREA

(SQ FT)

A x (1+B) = C

FIRM TERM
NON-FIRM TERM
OPTION TERM

RENTAL RATE

(PER SQ FT/YR)

D

ANNUAL RENT

C x D = E

RENTAL RATE

(PER SQ FT/YR)

F

ANNUAL RENT

C x F = G

RENTAL RATE

(PER SQ FT/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
A. RATE ADJUSTMENT FOR VACANT SPACE: $ / ABOA SF / YR
B. BASE OPERATING COSTS: $ / ABOA SF / YR
15
HOURLY RATE FOR OVERTIME HVAC:

Zone $______ floor $ ______ entire space $_____ Rate for 24/7 LAN $/sf/yr _____ The cost for overtime or 24/7 HVAC must be paid separately from the rent. Do not include these costs in the rent the offered rental rate or base operating expenses

16
PERCENTAGE OF OCCUPANCY TO CALCULATE SHARE OF INCREASES TO REAL ESTATE TAXES:
%
17
NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT:
A. STRUCTURE:
C. SURFACE:
CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT):
B. STRUCTURE: $ / MO
D. SURFACE: $ / MO
18
RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING
[ ] INCLUDED [ ] NOT INCLUDED

SECTION III – OWNER/OFFEROR INFORMATION

19
A. OFFEROR

(NAME AND COMPLETE MAILING ADDRESS)

B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)

(NAME AND COMPLETE MAILING ADDRESS, EMAIL)

20
TELEPHONE NUMBER
21
DUNS NUMBER
22
TAXPAYER ID
23
OFFEROR'S FORM OF BUSINESS: [ ] INDIVIDUAL [ ] PARTNERSHIP [ ] CORPORATION – SPECIFY STATE:

SECTION IV - OFFER

24
RLP AMENDMENTS ACKNOWLEDGED (INITIAL)
NO. 1
NO. 2
NO. 3
NO. 4
NO. 5
25
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

GSA FORM 1364B (REV 11/12)
SECTION V – PROPOSED ADDITIONAL TERMS, CONDITIONS
26
OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS REQUIRED IN THE LEASE:
27
ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:
PAGE 2 OF 4GSA FORM 1364A (REV 11/12)
GSA FORM 1364B, PART 2

LEASE PROPOSAL DATA

RLP NO.

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 property 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: 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 and Life Safety, Accessibility.)

7
Accessibility:

The Property [ ] Meets [ ] Does not meet Lease accessibility standards.

(See RLP Section 2, Fire and Life Safety, Accessibility.)

8
ENERGY STAR®: The Building

[ ] Has received the ENERGY STAR® Label within the past t welve months. Date:

[ ] 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 (List):

(See RLP Section 2, Energy Security and Independence Act.) Attach Appropriate Documentation.

PAGE 3 OF 4 GSA FORM 1364B (REV 11/12)

GSA FORM 1364B, PART 2

LEASE PROPOSAL DATA

RLP NO.

DATE:

PROPOSED RENT COMPONENTS

OFFICE AREA
Firm Term ($/RSF/Yr)

A Non-Firm Term ($/RSF/Yr)

B Option Term ($/RSF/Yr)

C

10
Building Shell Rent (Incl. Real Estate Taxes)
$
$
$
11
Tenant Improvement Rent
$
$
$
12
Operating Costs
$
$
$
13
Building Specific Amortized Capital Rent
$
$
$
14
Total
$
$
$
OTHER SPACE
Firm Term ($/RSF/Yr)

A Non-Firm Term ($/RSF/Yr)

B Option Term ($/RSF/Yr)

C

15
Building Shell Rent (Incl. Real Estate Taxes)
$
$
$
16
Tenant Improvement Rent
$
$
$
17
Operating Costs
$
$
$
18
Building Specific Amortized Capital Rent
$
$
$
19
Total
$
$
$
20
Tenant Improvement cost (or Allowance)
$
Interest rate to amortize Tenant Improvements
%
Building Specific Amortized Capital costs
$
Interest rate to amortize Building Specific Amortized Capital costs
%

OTHER INFORMATION SUPPLIED WITH THIS PROPOSAL

21
A. SIGNATURE

B. NAME

C. TITLE

D. DATE

PAGE 4 OF 4 GSA FORM 1364B (REV 11/12)

File details come from the government source that posted it. Updated .