Exhibit A - 36C25025L0008 - GSA Form 3626 Short Form.pdf
GSA Form PDF 228 KB Posted
- Attached to
- X1LZ--Saginaw Parking - Succeeding Lease
- Solicitation number
- 36C25025R0007
About this file
This is GSA Form 3626, a U.S. Government Short Form Lease for Real Property (Lease #36C25025L0008), which appears to be a template for a succeeding lease agreement related to parking spaces in Saginaw, Michigan.
The lease template indicates requirements for 80 surface parking spaces (no structured parking) and is associated with solicitation #36C25025R0007 for the Department of Veterans Affairs. The form includes sections for rental rate breakdowns covering building shell rent, operating rent, tenant improvements, and building specific amortized capital, though specific dollar amounts are not filled in. The lease terms, renewal options, and termination rights sections are also blank but structured to be completed. The form includes standard provisions for rent payment (due first workday of each month) and sections for owner identification, certification, and final award by a government lease contracting officer.
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Text version
LEASE 36C25025L0008 GSA FORM 3626 (REV 10/21)
U.S. GOVERNMENT LEASE FOR REAL PROPERTY
(Short Form)
1a. LEASE NUMBER
36C25025L0008
1b. BUILDING NUMBER N/A
PART I - OFFER (Offeror completes Section A, C and D; Government shall complete Section B)
NOTE: All offers are subject to the terms and conditions outlined in Request for Lease Proposals No. 36C25025R0007, Supplemental Lease Requirements document 36C25025L0008, General Clauses (GSA Form 3517A), and any other attachments included herein.
A. LOCATION AND DESCRIPTION OF PREMISES OFFERED FOR LEASE BY GOVERNMENT
1. NAME AND ADDRESS OF
PARKING (Include nine-digit ZIP Code)
2. LOCATION(S) IN BUILDING
2a. FLOOR(S)
N/A
2b. ROOM NUMBER(S)
N/A
2e NUMBER OF PARKING SPACES
OFFERED
STRUCTURED N/A
SURFACE 80
ANNUAL PARKING RATES (IF NOT
INCLUDED IN RATES UNDER PART C
BELOW)
STRUCTURED $ N/A_______/space
SURFACE $____________/space
2c. SQ. FT.
RENTABLE N/A
ABOA N/A
Common Area Factor
N/A
2d. TYPE
GENERAL OFFICE
WAREHOUSE
OTHER (Specify)
Parking
B. TERM
3a. To have and to hold the said Premises with its appurtenances for the term beginning upon acceptance of the Premises as required by this Lease and continuing for a period of __Years, __Years Firm, subject to termination and renewal rights as may be hereinafter set forth. The commencement date of this Lease, along with any applicable termination and renewal rights, shall be more specifically set forth in a Lease Amendment upon substantial completion and acceptance of the Space by the Government.
3b. The Government may terminate this Lease, in whole or in parts, at any time effective after the Firm Term of this Lease, by providing not less than N/A days prior written notice to the Lessor. The effective date of the termination shall be the day following the expiration of the required notice period or the termination date set forth in the notice, whichever is later. No rental shall accrue after the effective date of termination.
3c. This Lease may be renewed at the option of the Government for a term of 0 YEARS at the rental rate(s) set forth below, provided notice is given to the Lessor at least 0 days before the end of the original Lease term; all other terms and conditions of this Lease, as same may have been amended, shall remain in full force and effect during any renewal term.
C. RENTAL
4. Rent shall be payable in arrears and will be due on the first workday of each month. When the date for commencement of the lease falls after the 15th day of the month, the initial rental payment shall be due on the first workday of the second month following the commencement date. Rent for a period of less than a month shall be prorated. Rent shall not be adjusted for changes in real estate taxes or operating costs.
5a. AMOUNT OF ANNUAL RENT 5b. RATE PER MONTH 5c. RATE PER PARKING SPACE
RENTAL RATE BREAKDOWN FIRM TERM
($/RSF/YEAR)
NON-FIRM TERM
($/RSF/YEAR)
RENEWAL TERM
($/RSF/YEAR)
6. BUILDING SHELL RENT
(INCL. REAL ESTATE TAXES)
6a. $N/A 6b. Same as 6a 6c. $N/A
7. OPERATING RENT 7a. $N/A 7b. Same as 7a 7b. Same as 7a
8. TURNKEYN TENANT
IMPROVEMENT RENT
(See blocks 12 and 13 below for additional breakdown of cost and amortization rate )
8a. $N/A 8b. $N/A 8c. $N/A
9. BUILDING SPECIFIC
AMORTIZED CAPITAL (IF
APPLICABLE)
9a. $N/A 9b. $N/A 9c. $N/A
10. TOTAL RENT 10a. $ 10b. $ 10c. $
11. TENANT IMPROVEMENT COSTS
N/A
12. INTEREST RATE TO AMORTIZE TENANT
IMPROVEMENTS
N/A
13. HVAC OVERTIME RATE PER HOUR N/A 14. ADJUSTMENT FOR VACANT PREMISES RATE
($/ABOA SF/YEAR) N/A
LEASE 36C25025L0008 GSA FORM 3626 (REV 10/21)
D. OWNER IDENTIFICATION AND CERTIFICATION
15. RECORDED OWNER
15a. Name
15b. Unique Entity Identifier (UEI)
15c. Address
15d. City
15e. State
15f. ZIP + 4
16. 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
17. OFFEROR’S INTEREST IN PROPERTY
OWNER AUTHORIZED AGENT OTHER (Specify)
18. OFFEROR Check if same as Recorded Owner 18a. NAME
18b. ADDRESS
18c. CITY
18d. STATE
18e. ZIP + 4
18f. Title
18g. E-mail address
18h. Telephone Number
18i. OFFEROR’S SIGNATURE
18j. DATE SIGNED
PART II - AWARD (To be completed by Government)
1. Your offer is hereby accepted. This award consummates the Lease, which consists of the following attached documents: (a) this GSA Form 3626,
(b) Supplemental Lease Requirements, (c) Security Requirements, (d) Agency Specific Requirements, (e) Floor Plan delineating the Premises, (f) GSA Form 3517A, General Clauses (Acquisition of Leasehold Interests in Real Property for Small Leases), and (g) the following building improvements, changes or additions made or agreed to by you (for example, energy efficiency and conservation improvements, (if applicable)):
2. THIS DOCUMENT IS NOT BINDING ON THE GOVERNMENT OF THE UNITED STATES OF AMERICA UNLESS SIGNED BELOW BY
AUTHORIZED LEASE CONTRACTING OFFICER.
3a. NAME OF LEASE CONTRACTING OFFICER (Type or Print)
3b. SIGNATURE OF LEASE
CONTRACTING OFFICER
3c. DATE
| GENERAL OFFICE: |
| WAREHOUSE: |
| OTHER: |
| NA: |
| 15a Name: |
| 15b Unique Entity Identifier UEI: |
| 15c Address: |
| 15d City: |
| 15e State: |
| 15f ZIP 4: |
| I have read the RLP with attachments: Off |
| OFFERORS INTEREST IN PROPERTY: |
| OWNER: |
| OTHER Specify: |
| Check: Off |
| 18a NAME: |
| 18b ADDRESS: |
| 18c CITY: |
| 18d STATE: |
| 18e ZIP 4: |
| 18f Title: |
| 18g Email address: |
| 18h Telephone Number: |
| 18j DATE SIGNED: |
| 3c DATE: |
| 5a AMOUNT OF ANNUAL RENT: |
| 5b Rate Per Month: |
| 5c Rate Per Space: |
| 10a Total: |
| 10b Non-Firm: |
| 10c Renewal: |
| Text Field: |
| Name LCO: |
| Text5: 36C25025L0008 |
| Text6: |
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