EXHIBIT_F_GSA_FORM_1364C.docx

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DENVER FACILITY RESIDENTIAL LEASE
Solicitation number
CNSHQ-15-R-0001
Issued by

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EXHIBIT F

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EXHIBIT F

PROPOSAL TO LEASE SPACE

(For use with Standard Request for Lease Proposals)

REQUEST FOR LEASE PROPOSAL NUMBER

XXXXXX

DATED
MM-DD-YYYY

SECTION I - DESCRIPTION OF PREMISES

1a.BUILDING NAME
1b.BUILDING ADDRESS

XXXXX

XXXXX

1c.CITY
1d.STATE
1e.9-DIGIT ZIP CODE
1f.CONGRESSIONAL DISTRICT

XXXXX

XX
XXXXX-XXXX
____
2a.FLOORS OFFERED
2b.TOTAL NUMBER

OF FLOORS IN BUILDING

3. TOTAL RENTABLE SPACE IN OFFERED BUILDING

a. GENERAL PURPOSE (Office)

b.WAREHOUSE
c.OTHER
_____
_____
_____ sq. ft.
_____ sq. ft.
_____ sq. ft.
4.LIVE FLOOR LOAD
5.MEASUREMENT

METHOD

6. YEAR OF LAST

MAJOR RENOVATION

(if applicable)

7.BUILDING AGE
8.SITE SIZE
_____ lbs. / sq. ft.
ANSI/BOMA[ ]
OTHER[ ]
_____
_____
_____ sq. ft.

_____ acres

SECTION II - SPACE OFFERED AND RATES

9.ANSI/BOMA OFFICE AREA SQUARE FEET (ABOA)
________
10.RENTABLE SQUARE FEET (RSF)
________
11.COMMON AREA FACTOR (CAF)
________

“Tenant Improvements” are all alterations for the Governmentdemised area above the building shell buildout, excluding costs identified as tenant improvements in the Security Unit Price List. BuildingSpecific Security is the sum of costs identified as such in the Security Unit Price List. Neither the Tenant Improvements as stated in Block 12, nor the BuildingSpecific Security as stated in Block 13, are to be included in the shell rent. It is expected that the tenant buildout will be fully amortized at the end of the firm term, and the rent will be reduced accordingly. Any desired rent increases or decreases beyond the firm term of the lease should be reflected in the shell rate and fully explained as part of this written proposal. If Tenant Improvements or BuildingSpecific Security improvements are to be amortized beyond the firm term, those calculations must be itemized as part of this written proposal. The Offeror may attach additional pages as necessary.

Offerors may copy this section through lines 18 as needed. Insert them above Box 20 or in Box 29.

Number of years each cost per square foot is in effect. State any changes for any rent component.

a.

BUILDOUT COSTS PER CATEGORY

b.

AMORTIZATION

TERM

c.

AMORTIZATION

INTEREST RATE (%)

d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA SF

f.

NO. YEARS RATE IS EFFECTIVE

12. TENANT IMPROVEMENTS

(per RLP requirements)

$ ________
________
________
$ ________
$________
________

13. BUILDINGSPECIFIC SECURITY

(per RLP requirements detailed on Security Unit Price List)

$ ________
________
________
$ ________
$________
________

14. SHELL BUILD-OUT

(per RLP requirements)

15.TOTAL BUILDOUT COSTS
$ ________

16. SHELL RENT (Including current real estate taxes. Refer to Line 28 on GSA Form 1217)

17. OPERATING COSTS (Refer to Line 27 on GSA Form 1217

$ ________
________
________

18. TOTAL ANNUAL RATE

$ ________
________
________

19. TOTAL ANNUAL RENT

$
$
$
PER ANNUM RENT
FOR YEARS
PER ANNUM RENT
FOR YEARS
PER ANNUM RENT
FOR YEARS

TOTAL ANNUAL STEP RENTS

$__________RSF

$__________ABOA

_____ Thru _____

_____ Thru ____

_____ Thru _____

20.

a.Number of parking spaces for the entire building/ facility, which are under the control of the Offeror:________ surface________ structured
b.Number of parking spaces required by local code:________ surface________ structured
c.Number of parking spaces for Employee/Visitor Use (per RLP):________ surface________ structured
d.Number of parking spaces for Official Government Vehicles (per RLP):________ surface________ structured
e.Does the rental rate offered above include RLPrequired parking costs?
YES |_| NO |_| If NO, complete the following:Annual cost per space: $ ________ surface $ ________ structured

SECTION III - LEASE TERMS AND CONDITIONS

21. INITIAL LEASE TERM

(Full Term)

22. RENEWAL OPTIONS

a.Number of years
b.Years firm
c.Number of days

notice for Government to terminate lease:

a. Shell rate / RSF / Yr

b.Years each
c.Number of options
d.Number of days NOTICE to exercise renewal option:
XXX
XXX
XXX
$ ______
XXX
XXX
XXX

23. OFFER GOOD UNTIL AWARD

(In accordance with Federal Acquisition Regulations 15.208)

24. Space will be altered and delivered in accordance with the Government's specifications and requirements in accordance with the Request for Lease Proposals (RLP) and the lease.

25. COMMISSIONS--IF APPLICABLE, ATTACH COMMISSION AGREEMENT

a.Tenant Representative Commission:
b.Owner’s Representative Commission:
c.Schedule of Commission payments:
______ %
______ %
______ % at lease award and ______ % at lease occupancy

26. OFFEROR’S TENANT IMPROVEMENT FEE SCHEDULE

a.Architectural/Engineering fees will be (choose one):
|_| 1.$ ______ per ABOA square foot
|_| 2.______ % of Total Construction Costs(
|_| 3.$ ______ flat fee
b.Lessor’s Project Management fees will be ______ percent of Total TI construction costs

c. If other fees are applicable, state what they are in terms of a per usable square foot amount, or if using a percentage, what is the basis for determining the fee.

The Government will add the cost of the proposed fees to the net present value of the offered rental rate as described in the RLP’s Price Evaluation paragraph. This schedule will be applicable for Tenant Improvements and change orders during initial construction arising under any resulting lease contract.

27. ADDITIONAL FINANCIAL ASPECTS OF THE OFFER

Adjustment for Vacant Premises:$________ per ABOA sf
HVAC Overtime Rate:$________ per hour per [zone]_[floor [space]_

Areas requiring 24 hour HVAC (LAN, etc.) $________per _______ ABOA sf NOTE: THE COST TO PROVIDE 24 HOUR HVAC SERVICE IS REIMBURSED SEPARATELY FROM RENT. THE COST FOR THESE OVERTIME UTILITIES MUST NOT BE INCLUDED IN THE OFFERED RENTAL RATE OR BASE OPERATING COSTS.

Building’s Normal Hours of HVAC Operation:

Mon-– Fri _____ AM to ____ PM;
Saturday _____ AM to _____PM;
Sunday _____ AM to _____PM
Percent of Government Occupancy:_________%
Current Year Taxes:$_________
Based on fully assessed value?YESNO
Is the offered space part of multiple tax bills?YESNO
If so, provide tax ID numbers and square footage for each. Attach the legal description of the offered property.

If a site is offered, state the total land costs: $________

28. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER

(See Request For Proposal (“RLP”) requirements)

XXXXX

29. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFERXXXXX

SECTION IV - OWNER IDENTIFICATION AND CERTIFICATION

30. RECORDED OWNER (Name and address including ZIP code)

NAME

STREET

CITY, ST ZIP

31. BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY THE HEREIN SPECIFIED DATE, TO LEASE TO THE UNITED STATES OF AMERICA, THE PREMISES DESCRIBED, UPON THE TERMS AND CONDITIONS AS SPECIFIED HEREIN, IN FULL COMPLIANCE WITH AND ACCEPTANCE OF THE AFOREMENTIONED REQUEST FOR LEASE PROPOSALS, WITH ATTACHMENTS.

32.OFFEROR’S INTEREST IN PROPERTY
OWNER
AGENT
OTHER

(Specify):

[ ]
[ ]
XXXXXXXXX

33. OFFEROR

a.NAME
TITLE
STREET
CITY, ST ZIP
b.E-MAIL ADDRESS:

XXXXXXXXXXXXXXXXXXXX

c. TELEPHONE NUMBER (Including area code) (XXX) XXX-XXXX extension __________

d.SIGNATURE
e.DATE SIGNED

MM-DD-YYYY

ATTACHMENT TO

GSA FORM 1364C-STANDARD

LEASE PROPOSAL DATA

REQUEST FOR LEASE PROPOSAL 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 for minimum requirements)

3
Seismic Safety: The Building

Fully meets Substantially meets Does not meet RLP seismic requirements.

(See RLP for minimum requirements)

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 for minimum requirements)

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 minimum requirements)

6
Fire/Life Safety:

The Property Meets Does not meet Lease fire/life safety standards.

(See RLP and Lease documents for minimum requirements)

7
Accessibility:

The Property Meets Does not meet Lease accessibility standards.

(See RLP and Lease documents for minimum requirements)

8
Security:

Attach Pre-Lease Building Security Plan.

(See RLP and Lease documents for minimum requirements)

9
ENERGY STAR®: The Building

Has received the ENERGY STAR® Label within the past twelve 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 and Lease documents for minimum requirements)

10
Waiver of Price Evaluation Preference. A HUBZone small business concern (SBC) Offeror may elect to waive the price evaluation preference provided in Section 4 of the RLP. In such a case, no price evaluation preference shall apply to the evaluation of the HUBZone SBC, and the performance of work requirements set forth in Section 1 of the Lease shall not be applicable to a lease awarded to the HUBZone SBC Offeror under this solicitation. A HUBZone SBC desiring to waive the price evaluation preference should so indicate below.

I am a HUBZone SBC Offeror and I elect to waive the price evaluation preference.

(See RLP and Lease documents for more information)

PAGE 4 of 5 GSA FORM 1364C-STANDARD (Rev. 03/12)

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