Exhibit D. Offer Form. 3626. Oxford.docx
DOCX document 35 KB Posted
- Attached to
- FEMA Disaster Leasing: Oxford, MS
- Solicitation number
- LMS03122
About this file
This is a GSA Form 3626 Offer Form for a U.S. Government Lease for Real Property (Short Form), specifically an offer template for FEMA Disaster Leasing in Oxford, Mississippi. The document outlines the submission structure and required information for offerors proposing to lease space to the federal government.
The proposed premises are located at 2714 West Oxford Loop, Suite 169, Oxford, MS 38655, consisting of 1,200 rentable square feet of general office space on the first floor. The lease term is 12 months total with a 6-month firm term, during which the Government may terminate after the firm period with 15 days' written notice. Rent is payable monthly in arrears beginning on the first workday of each month, with prorated amounts for partial months. The form includes sections for the offeror to specify building shell rent (including real estate taxes), operating rent, turnkey tenant improvement rent, and building-specific amortized capital costs, though no specific rental rates are populated in this template. Tenant improvement costs are listed at $0.00 with no renewal terms applicable. The form requires the recorded owner and offeror information including UEI, entity details, and authorized signatures. Acceptance by the Government Lease Contracting Officer, along with supporting documents including supplemental lease requirements, security requirements, agency-specific requirements, and GSA Form 3517A (General Clauses), constitutes the complete lease agreement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit E. Supplemental Office Lease. Oxford.docx | DOCX document | |
| Exhibit C. FAR 52.204-24 Representation.Oxfordpdf.pdf | ||
| Exhibits A. Reps & Certs. Oxford.docx | DOCX document | |
| Standard Form 3881.pdf | ||
| Exhibit B. General Clauses.Oxford.docx | DOCX document | |
| Oral RLP. Oxford.docx | DOCX document |
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Text version
U.S. GOVERNMENT LEASE FOR REAL PROPERTY
(Short Form)
| 1a. | LEASE NUMBER | TBD |
| 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. TBD , 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 |
2714 West Oxford Loop, Suite 169, Oxford, MS 38655
| 2a. | FLOOR(S) | 1 |
| 2b. | ROOM NUMBER(S) see attached floorplan |
| 2e | NUMBER OF PARKING SPACES OFFERED | |
| STRUCTURED | 0 | |
| SURFACE | 0 |
ANNUAL PARKING RATES (IF NOT INCLUDED IN RATES UNDER PART C BELOW)
| STRUCTURED | N/A/space |
| SURFACE | N/A/space |
| 2c. | SQ. FT. | |
| RENTABLE | 1,200 | |
| 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
$0.00
12. INTEREST RATE TO AMORTIZE TENANT IMPROVEMENTS
| 13. HVAC OVERTIME RATE PER HOUR |
| 14. ADJUSTMENT FOR VACANT PREMISES RATE ($/RSF) |
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)
File details come from the government source that posted it. Updated .