Proposal_to_Lease_Space_(Form_1364C).pdf

PROPOSAL TO LEASE SPACE In Response to Request for Lease DATED Proposals (RLP) Number XXXXXX YYYY

SECTION I - DESCRIPTION OF PREMISES

1. BUILDING a. Building Name b. Building Street Address

DESCRIPTION

XXXXX XXXXX

c. City d. State e. 9-Digit ZIP Code f. Congressional District

XXXXX XX XXXXX-XXXX ____

2a. FLOORS OFFERED 2b. TOTAL NUMBER 3. TOTAL RENTABLE SPACE IN OFFERED BUILDING

OF FLOORS IN BUILDING

a. GENERAL PURPOSE b. WAREHOUSE c. OTHER (Office)

_____ _____ _____ SF _____ SF _____ SF

4. LIVE FLOOR LOAD 5. MEASUREMENT 6. YEAR OF LAST 7. BUILDING AGE 8. SITE SIZE

METHOD MAJOR RENOVATION

(if applicable) _____ Pounds per SF ANSI/BOMA _____ _____ _____ SF

OTHER _____ Acres

SECTION II - SPACE OFFERED AND RATES

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

SQUARE FEET (ABOA) (RSF)

“Tenant Improvements” are all alterations for the Government-demised area above the building shell buildout, excluding costs identified as tenant improvements in the Security Unit Pric List. Building Specific Amortized Capital (BSAC) is the sum of costs identified as such in the Security Unit Price List. Neither the Tenant Improvements as stated in Block 12, nor t BSAC 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 reduce 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 Tena Improvements or BSAC improvements are to be amortized beyond the firm term, those calculations must be itemized as part of this written proposal. The Offeror may attach addition pages as necessary.

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

a. b. c. d. e. f.

BUILD-OUT COSTS PER AMORTIZATION AMORTIZATION ANNUAL RENT ANNUAL RENT NUMBER YEAR

CATEGORY TERM INTEREST RATE RATE IS $ PER RSF $ PER ABOA SF

(%) EFFECTIVE

12. TENANT IMPROVEMENTS

(per RLP requirements) $ ________ ________ ________ $ ________ $________ ________

13. BSAC

(per RLP requirements detailed on Security Unit Price List) $ ________ ________ ________ $ ________ $________ ________

14. SHELL BUILD-OUT (per RLP requirements) $ ________

15. TOTAL BUILD-OUT 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 RATE/SF $ ________ $ ________ ________

19. TOTAL ANNUAL RENT $

PER SF RATE FOR YEARS PER SF R

ATE FOR YEARS PER SF RATE FOR YEARS

$__________/RSF $________/RSF $__________/RSF

20. STEP RENT (SHELL RATES) _____ Thru _____ _____ Thru ____ _____ Thru

$__________/ABOA

$________/ABOA

$__________/ABOA

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

21. PARKING 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 RLP-required parking costs?

YES NO If NO, complete the following: Annual cost per space: $ ________ Surface $ ________ Structured e he d nt al ot nt

MM-DD-

S

PAGE 1 of 3 GSA FORM 1364C (REV 09/14)

SECTION III - LEASE TERMS AND CONDITIONS

22. INITIAL LEASE TERM

(Full Term)

23. 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 Option:

XXX XXX XXX $ ______ XXX XXX XXX

24. OFFER GOOD UNTIL AWARD

25. 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.

26. 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

27. OFFEROR’S TENANT IMPROVEMENT FEE SCHEDULE

a. Architectural/Engineering fees will be (choose one):

1. $ ______ per ABOA SF

2. ______ % of Total TI construction costs

3. $ ______ flat fee

b. Lessor’s Project Management Fee will be ______ percent of Total TI construction costs

c. If other fees are applicable, state as per ABOA square foot, or if using a percentage, 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 Present Value Price Evaluation paragraph. This schedule will be applicable for Tenant Improvements.

28. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises: $________ per ABOA SF HVAC Overtime Rate: $________ per hour per zone floor space

(choose one) For rates based on a “per zone” basis, provide the following:

Number of zones in offered Space: ______ Areas requiring 24 hour HVAC (LAN, etc.) $________per ABOA SF* *Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent, as described under Section 6 of the Lease.

Building’s Normal Hours of HVAC Operation:

Monday - Friday _____ AM to ____ PM Saturday _____ AM to _____PM Sunday _____ AM to _____PM Percent of Government Occupancy: _________% Current Year Taxes: $_________ Based on fully assessed value? Yes No Is the offered space part of multiple tax bills? Yes No If so, provide tax ID numbers and SF for each. Attach the legal description of the offered property.

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

29. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

XXXXX

30. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

XXXXX

SECTION IV - OWNER IDENTIFICATION AND CERTIFICATION

31. RECORDED OWNER

a. Name b. Address c. City d. State e. ZIP +4

32. BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY 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 RLP, WITH ATTACHMENTS.

I have read the RLP with attachments in its entirety and am requesting no deviations.

33. Offeror’s Interest in Property Owner Agent Other _____________________________________

34. OFFEROR Check if same as Recorded Owner

a. Name b. Address c. City d. State e. ZIP + 4

f. Title g. E-Mail Address h. Telephone Number

i. Offeror’s Signature j. Date Signed

MM-DD-YYYY

PAGE 2 of 3 GSA FORM 1364C (REV 09/14)

LEASE PROPOSAL DATA

In Response to Request for Lease Proposals(RLP) Number

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 developed site or non-historic undeveloped site 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-Containing Material (ACM): 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 Protection and Life Safety.)

7 Accessibility:

The Property � Meets � Does not meet Lease accessibility standards.

(See RLP Section 2, Accessibility.)

8 ENERGY STAR®: The Building � Has received the ENERGY STAR® Label within the past twelve months. Date (MM-DD-YYYY): __________ � 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 (Attach additional pages):

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

9 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 3 of 3 GSA FORM 1364C (REV 09/14)

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