CN-430000-D2164.pdf

STATE OF FLORIDA

Certification of Compliance

Department of Management Services Form 4113

Page: 1 of 1 Form: 4113

Rev. Date: 0 /1 Form incorporated by reference, subsection 60H-1.021(2)(c), Florida Administrative Code.

Lease Number: ____________________

Date: ____________________

Lease Action: ____________________

Purpose

This form certifies that the associated lease action complies with all applicable statutes and rules.

1. Leasing Agency ___________________________________________________________________________________

2. Lease Action Explanation

3. Compliance Criteria

The undersigned hereby certifies that this lease, lease number ___________________ , is in the Best Interests of the State and in compliance with all applicable leasing criteria, in that:

Yes No N/A

A. Approval of Space Need was obtained.

B. Modifications to the standard lease document were submitted, with a comprehensive analysis, as required in subsection 60H-1.003, Florida Administrative Code.

C. The lease complies with subsection 255.25(8), Florida Statutes.

Two or more leases were not acquired in the same facility or complex, without a competitive solicitation within the previous twelve months based on the commencement date of the leases.

D. Space was measured or otherwise verified, and the Net Usable Square Footage shown is in accordance with subsection 60H-2.003, Florida Administrative Code.

E. Procurement was conducted pursuant to subsection 60H-1.015, Florida Administrative Code (leases 5,000 square feet or more) or subsection 60H-1.016, Florida Administrative Code (leases less than 5,000 square feet).

F. A Sustainable Building Rating and Energy Performance Analysis (EPA) or a Florida Energy Modeling Program (FEMP) was performed.

G. The subject premises are zoned to allow proposed usage.

H. An Energy Star rated building, where viable or cost-effective, was selected.

Title Date

4 3 0 : 0 2 1 1 06/01/2023

New Lease

Department of Financial Services

4 3 0 : 0 2 1 1

Facilities Management Administrator 06/14/23

Ryan Meikenhous, Chief of Property Services 09 11 2023

N/A as delegated 3/3/2022

N/A