Exhibit A - GSA Form 3626 10 2020.docx

GSA Form 2020 DOCX document 35 KB Posted

Attached to
X1LZ--FY22: New Lease Gainesville Parking spaces
Solicitation number
36C24821R0109
Issued by

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Other versions and copies of GSA Form 3626

File Revision Posted Attached to
GSA Form 3626 Short Form 5FL0645 11.18.2025.pdf Nov 18, 2025 RLP No. 5FL0645: Government seeks 3 parking spaces in Tampa, Florida
Template GSA Form 3626 Short Form (Oct. 2021).docx.pdf Oct 2021 General Services Administration (GSA) seeks to lease two parking spaces in Spokane, WA
GSA Form 3626 Short Form (Oct. 2021).pdf Oct 2021 Government is Seeking Parking Spaces in Nashville, TN
5IN0176 GSA Form 3626 Short Form (Oct. 2021).pdf Oct 2021 U. S. Government seeks parking lease in Charlestown, IN
Exhibit B- GSA Form 3626 Short Form (Oct. 2021).pdf Oct 2021 3NV0157- Solicitation of 1, 000 - 4, 100 SF Warehouse/ Flex Reno/Sparks, NV
3MI0406_EXHIBIT A_GSA Form 3626 Short Form (Oct. 2021).docx Oct 2021 GSA is seeking secure parking spaces in Detroit, MI
GSA Form 3626 Short Form (Oct. 2021) (3) (3).pdf Oct 2021 The General Services Administration Seeks to Lease the Following Space in Sanford, NC
APHIS GSA Form 3626.docx Revision not stated USDA seeking 2, 300-2, 722 ABOA SF, Office/Warehouse/Scientific Support Space, in Cocoa, FL
GSA Form 3626 Short Form Hattiesburg Branch Office.docx Revision not stated FEMA Disaster Lease - Hattiesburg, MS
GSA Form 3626. Charleston WV.8.11.26.doc Revision not stated FEMA Disaster Lease - Charleston, WV
GSA Form 3626 - Lease for Real Property.docx Revision not stated USDA Seeking Hangar space for lease in Edinburg, TX
GSA Form 3626. Saipan Warehouse.docx Revision not stated FEMA Saipan - Warehouse
LFL03108_Tallahassee. GSA Form 3626.docx Revision not stated Disaster Lease: Tallahassee Parking RLP
GSA Form 3626 Short Form Parking Wichita.pdf Revision not stated Lease Space for Wichita, KS
2DC0648 - A - GSA Form 3626.pdf Revision not stated General Services Administration (GSA) seeks parking space in Washington DC: Solicitation No. 2DC0648
2DC0648 - A - GSA Form 3626.pdf Revision not stated General Services Administration (GSA) seeks parking space in Washington DC: Solicitation No. 2DC0648
Exhibit A - 36C25025L0008 - GSA Form 3626 Short Form.pdf Revision not stated X1LZ--Saginaw Parking - Succeeding Lease
Exhibit A - GSA Form 3626 Short Form.pdf Revision not stated X1LZ--FY25 New Lease: Parking Lake City
GSA Form 3626.pdf Revision not stated X1DB--FY25 New Small Lease: Naples Veterans Readjustment Council Service Center
GSA Form 3626 Short Form Draft.pdf Revision not stated Urgent and Compelling Lease RLP/Award
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Text version

U.S. GOVERNMENT LEASE FOR REAL PROPERTY

(Short Form)

1a.LEASE NUMBER36C248-21-L-0002
1b. BUILDING NUMBER

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. 36C248-21-R-0109 , Supplemental Lease Requirements document, 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 BUILDING (Include nine-digit ZIP Code)
2. LOCATION(S) IN BUILDING
2a.FLOOR(S)
2b.ROOM NUMBER(S)
2eNUMBER OF PARKING SPACES OFFERED
STRUCTURED
SURFACE

ANNUAL PARKING RATES (IF NOT INCLUDED IN RATES UNDER PART C BELOW)

STRUCTURED/space
SURFACE/space
2c.SQ. FT.
RENTABLE
ABOA
Common Area Factor
2d.TYPE
|_|GENERAL OFFICE
|_|WAREHOUSE
|_|OTHER (Specify)

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 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 YEARS at the rental rate(s) set forth below, provided notice is given to the Lessor at least 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

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. $

6b. Same as 6a
6c. $
7. OPERATING RENT
7a. $
7b. Same as 7a
7b. Same as 7a

8. TURNKEY TENANT

IMPROVEMENT RENT

(See blocks 12 and 13 below for additional breakdown of cost and amortization rate ) 8a. $

8b. $0.00
8c. $0.00
9. BUILDING SPECIFIC AMORTIZED CAPITAL (IF APPLICABLE)
9a. $
9b. $0.00
9c. $0.00
10. ROUTINE CLEANING AND DISINFECTING SERVICES
10a. $
10b. Same as 10a
10b. Same as 10a
11. TOTAL RENT
11a. $
11b. $
11c. $

12. TENANT IMPROVEMENT COSTS

13. INTEREST RATE TO AMORTIZE TENANT IMPROVEMENTS

14. HVAC OVERTIME RATE PER HOUR
15. ADJUSTMENT FOR VACANT PREMISES RATE ($/ABOA SF/YEAR)

D. OWNER IDENTIFICATION AND CERTIFICATION

16. RECORDED OWNER

16a. Name 16b. DUNS Number

16c. Address 16d. City 16e. State 16f. ZIP + 4

17. 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

18. OFFEROR’S INTEREST IN PROPERTY
|_|OWNER|_|AUTHORIZED AGENT |_| OTHER (Specify)

19. OFFEROR |_| Check if same as Recorded Owner

19a. NAME 19b. ADDRESS 19c. CITY 19d. STATE 19e. ZIP + 4

19f. Title 19g. E-mail address 19h. Telephone Number

19i. OFFEROR’S SIGNATURE

19j. 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, ABAAS upgrades, Seismic Form C - Building Retrofit or New Construction PreAward Commitment (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 SERVICES ADMINISTRATION GSA FORM 3626 (REV 10/20)

File details come from the government source that posted it. Updated .