E. Form 1364WH Proposal to Lease Space.pdf

PAGE 1 of 4 GSA FORM 1364WH (REV 04/22)

PROPOSAL TO LEASE SPACE

(For use with Warehouse Request for Lease Proposals)

In Response to Request for Lease Proposals (RLP) Number

XXXXXXX

DATED MM-DD-YYYY

SECTION I - DESCRIPTION OF PREMISES

1. BUILDING

DESCRIPTION

a. Building Name

b. Building Street Address

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

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

_____ _____ _____ SF. _____ SF _____ SF

4. LIVE FLOOR LOAD 5. MEASUREMENT

METHOD

6. YEAR OF LAST

MAJOR RENOVATION

(if applicable)

7. BUILDING AGE 8. SITE SIZE

_____ Pounds per SF ANSI/BOMA

OTHER

_____ _____ _____ SF

_____ Acres

9. CLEAR CEILING HT:

_____FT ________INCHES

10. # OF LOADING DOCKS

(exclusive to offered space):

11. TYPES OF LOADING

DOCKS (exclusive to offered space):

# DRIVE-THRUS:________

# DOCK-HT:____________

12. EXISTING HEIGHT

OF DOCK-HIGH

LOADING DOCKS

(exclusive to offered space):

13. # OF DOCK

LEVELORS AND

OPERATING

GRADE (exclusive to offered space):

14. BAY WIDTH (offered space):

______FT _______INCHES

15. BAY DEPTH (offered space):

______FT _______INCHES

16. COLUMN SPACING

(offered space):

______FT _______INCHES

17. MAXIMUM TRUCK

TURNING RADIUS:

18. # OF VOLTS

& # OF PHASE

ELECTRIC:

19. WAREYARD SIZE:

________ X __________ (Total SF: ______________)

20. TRUCK APRON SIZE:

21. TRUCK COURT DEPTH:

(BLANK) (BLANK)

PAGE 2 of 4 GSA FORM 1364WH (REV 04/22)

SECTION II - SPACE OFFERED AND RATES

22. ANSI/BOMA OFFICE AREA

SQUARE FEET (ABOA)

________ 23. RENTABLE SQUARE FEET

(RSF)

_________ 24. COMMON AREA FACTOR (CAF) ________

“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 Price 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 25, nor the BSAC as stated in Block 26, 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 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 additional pages as necessary.

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

a.

BUILD-OUT COSTS

PER CATEGORY

b.

AMORTIZATION

TERM

c.

AMORTIZATION

INTEREST RATE (%)

d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA SF

f.

NUMBER YEARS

RATE IS EFFECTIVE

25. TENANT IMPROVEMENTS

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

26. BSAC

(per RLP requirements) $ ________

27. SHELL BUILD-OUT

(per RLP requirements) $ ________

28. TOTAL BUILD-OUT COSTS

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

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

31. TOTAL RATE/SF $ ________ ________ ________

32. TOTAL ANNUAL RENT $

PER SF RATE FOR YEARS PER SF RATE FOR YEARS PER SF RATE FOR YEARS

STEP RENT (SHELL RATES)

$__________/RSF

$__________/ABOA

_____ Thru

_____ Thru ____

_____ Thru _____

33. PARKING

a. Number of total on-site parking spaces for the entire building/ facility, which are under the control of the Offeror: ________ Surface ________ Structured

b. Number of auto parking spaces required by local code: ________ Surface ________ Structured

c. Number of truck/trailer parking spaces required by local code: ________ Surface ________ Structured

d. Number of auto parking spaces for Employee/Visitor Use (per RLP): ________ Surface ________ Structured

e. Number of parking spaces (auto & truck) for Official Government Vehicles (per RLP): ________ Surface ________ Structured

f. Does the rental rate offered above include RLP-required parking costs?

YES NO If NO, complete the following: Annual cost per auto space: $ ________ Surface $ ________ Structured Annual cost per truck/trailer space: $ ___________

PAGE 3 of 4 GSA FORM 1364WH (REV 04/22)

SECTION III - LEASE TERMS AND CONDITIONS

34. INITIAL LEASE TERM

(Full Term)

35. 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:

36. OFFER GOOD UNTIL AWARD

37. 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.

38. 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

39. 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 fees 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.

40. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises: $________ per ABOA SF Adjustment for Reduced Services: $________ per ABOA SF* *Only applies when Government requires extended services, such as 24/7 HVAC, beyond normal operating hours (check RLP/Lease for confirmation). Reflects reduction if Government no longer requires these extended services.

Utilities in Offered Space (By Lessor or

Lessee?):____________________________________________________ Janitorial in Offered Space (Lessor or Lessee?):_________________________ Trash Removal in Offered Space (Lessor or Lessee?):____________________ HVAC Overtime Rate (n/a if net of utilities): $____ 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: ______ Building’s Normal Hours of HVAC Operation (indicate n/a if the lease is net of utilities) :

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 or multiple buildings on an single tax parcel? 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: $________

41. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER

(See RLP requirements)

XXXXX

42. FREE RENT INCLUDED IN OFFER

1. ______ months free rent (includes shell, operating, TI and BSAC rent)

2. Other rental concessions structured as follows ______

3. None

43. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

XXXXX

SECTION IV - OWNER IDENTIFICATION AND CERTIFICATION

44. RECORDED OWNER

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

45. 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.

46. Offeror’s Interest in Property

Owner Agent Other ________________________________________

47. OFFEROR Check if same as Recorded Owner

a. Name b. Address c. City d. State e. ZIP + 4 f. Unique Entity Identifier

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

i. Offeror’s Signature j. Date Signed

MM-DD-YYYY

PAGE 4 of 4 GSA FORM 1364WH (REV 04/22)

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 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-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)