Exhibit D. Offer Form. 3626.docx
DOCX document 35 KB Posted
- Attached to
- Disaster Leasing: Tupelo, MS
- Solicitation number
- LMS03119
About this file
This is a GSA Form 3626, U.S. Government Lease for Real Property (Short Form), serving as the offer form for a disaster lease solicitation in Tupelo, Mississippi (Lease Number LMS03119). The property is located at 589 Coley Road, Tupelo, MS 38801, offering general office space on the first floor with a rentable square footage to be determined (TBD). The property includes 200 surface parking spaces at no charge to the Government. The lease term is 12 months total, consisting of a 6-month firm term followed by a 6-month non-firm term, with termination rights available after the firm period upon 15 days' written notice. The Government retains the right to terminate in whole or in part at any time after the firm term expires.
Rental rates are structured as three components: building shell rent (including real estate taxes), operating rent, and turnkey tenant improvement rent, with specific dollar amounts and rates per rentable square foot per year to be completed by the offeror for the firm term, non-firm term, and renewal term. Tenant improvement costs are capped at $30,000, with amortization interest rate and HVAC overtime rates to be specified. Rent is payable monthly in arrears on the first workday of each month, with no adjustments for changes in real estate taxes or operating costs. The offer is subject to the terms outlined in the Request for Lease Proposals No. LMS03119, Supplemental Lease Requirements, GSA Form 3517A (General Clauses), and attached floor plans. This form requires completion by the property owner or authorized agent, including recorded owner identification, UEI number, and offeror certification before submission to the GSA Lease Contracting Officer for award.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit B. General Clauses.docx | DOCX document | |
| Exhibits A. Reps & Certs.docx | DOCX document | |
| Oral RLP.docx | DOCX document | |
| Exhibit C. FAR 52.204-24 Representation.pdf | ||
| Exhibit E. Supplemental Office Lease.docx | DOCX document |
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Text version
U.S. GOVERNMENT LEASE FOR REAL PROPERTY
(Short Form)
| 1a. | LEASE NUMBER | LMS03119 |
| 1b. BUILDING NUMBER | TBD |
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. LMS03119 , 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 |
589 Coley Road Tupelo, MS 38801
| 2a. | FLOOR(S) | 1 |
| 2b. | ROOM NUMBER(S) see attached floorplan |
| 2e | NUMBER OF PARKING SPACES OFFERED | |
| STRUCTURED | 0 | |
| SURFACE | 200 |
ANNUAL PARKING RATES (IF NOT INCLUDED IN RATES UNDER PART C BELOW)
| STRUCTURED | N/A/space |
| SURFACE | $0.00/space |
| 2c. | SQ. FT. | |
| RENTABLE | ||
| ABOA | ||
| Common Area Factor | ||
| 2d. | TYPE | |
| |X| | GENERAL OFFICE | |
| |_| | WAREHOUSE | |
| |_| | OTHER (Specify) |
B. TERM
3a. To have and to hold the said Premises with its appurtenances for the term beginning upon acceptance of the Premises as required by this Lease and continuing for a period of 12 Months, 6 Months Firm, subject to termination and renewal rights as may be hereinafter set forth. The commencement date of this Lease, along with any applicable termination and renewal rights, shall be more specifically set forth in a Lease Amendment upon substantial completion and acceptance of the Space by the Government.
3b. The Government may terminate this Lease, in whole or in parts, at any time effective after the Firm Term of this Lease, by providing not less than 15 days prior written notice to the Lessor. The effective date of the termination shall be the day following the expiration of the required notice period or the termination date set forth in the notice, whichever is later. No rental shall accrue after the effective date of termination.
3c. INTENTIONALLY DELETED
C. RENTAL
4. Rent shall be payable in arrears and will be due on the first workday of each month. When the date for commencement of the lease falls after the 15th day of the month, the initial rental payment shall be due on the first workday of the second month following the commencement date. Rent for a period of less than a month shall be prorated. Rent shall not be adjusted for changes in real estate taxes or operating costs.
5a. AMOUNT OF ANNUAL RENT 5b. RATE PER MONTH
| RENTAL RATE BREAKDOWN |
| FIRM TERM |
($/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. $N/A |
| 7. OPERATING RENT |
| 7a. $ |
| 7b. Same as 7a |
| 7b. N/A |
8. TURNKEY TENANT
IMPROVEMENT RENT
(See blocks 12 and 13 below for additional breakdown of cost and amortization rate ) 8a. $
| 8b. $0.00 |
| 8c. N/A |
| 9. BUILDING SPECIFIC AMORTIZED CAPITAL (IF APPLICABLE) |
| 9a. $ |
| 9b. $0.00 |
| 9c. N/A |
| 10. TOTAL RENT |
| 10a. $ |
| 10b. $ |
| 10c. $ |
11. TENANT IMPROVEMENT COSTS
$30,000
12. INTEREST RATE TO AMORTIZE TENANT IMPROVEMENTS
| 13. HVAC OVERTIME RATE PER HOUR |
| 14. ADJUSTMENT FOR VACANT PREMISES RATE ($/ABOA SF/YEAR) |
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, ABAAS upgrades, Seismic Form C - Building Retrofit or New Construction Pre-Award 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 10/21)
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