Exhibit E Form 1364WH (Warehouse) Proposal to Lease Space.pdf

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Attached to
X1GZ--Amendment to post questions and answers and pre-proposal meeting min
Solicitation number
36C24522R0015
Issued by

About this file

This document is a proposal form for leasing warehouse space in response to a Request for Lease Proposals. It requests details on the offered building such as dimensions, loading dock specifications, utilities and parking. It also requires information on the offered space and rental rates, including tenant improvement costs. The lease terms and conditions are to be provided, along with relevant attachments and owner identification. The related federal contract opportunity is an amendment to post questions and answers and notes from a pre-proposal meeting for solicitation number 36C24522R0015 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 5.

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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

DATED

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)

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

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

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)

In Response to Request for Lease Proposals RLP Number:
DATED:
1 BUILDING DESCRIPTION:
a Building Name:
b Building Street Address:
c City:
d State:
e 9Digit ZIP Code:
f Congressional District:
undefined:
2a FLOORS OFFERED:
b WAREHOUSE SF:
c OTHER SF:
4 LIVE FLOOR LOAD Pounds per SF:
5 MEASUREMENT METHOD ANSIBOMA OTHER:
ANSIBOMA: Off
OTHER: Off
7 BUILDING AGE:
Pounds per SF:
if applicable:
undefined_2:
SF:
Acres:
9 CLEAR CEILING HT FT INCHES:
9:
CLEAR CEILING HT:
10 OF LOADING DOCKS exclusive to offered space:
11 TYPES OF LOADING DOCKS exclusive to offered space DRIVETHRUS DOCKHT:
exclusive to offered space:
DOCKS exclusive to offered:
DRIVETHRUS:
space 1:
space 2:
space 3:
space 4:
space 5:
to offered space 1:
to offered space 2:
to offered space 3:
to offered space 4:
to offered space 5:
14 BAY WIDTH offered space FT INCHES:
14 BAY WIDTH offered space:
15 BAY DEPTH offered space FT INCHES:
15 BAY DEPTH offered:
16 COLUMN SPACING offered space FT INCHES:
INCHES:
space:
offered space:
TURNING RADIUS 1:
TURNING RADIUS 2:
TURNING RADIUS 3:
TURNING RADIUS 4:
TURNING RADIUS 5:
TURNING RADIUS 6:
TURNING RADIUS 7:
INCHES_2:
ELECTRIC 1:
ELECTRIC 2:
ELECTRIC 3:
ELECTRIC 4:
ELECTRIC 5:
ELECTRIC 6:
19 WAREYARD SIZE:
X:
20 TRUCK APRON SIZE 1:
20 TRUCK APRON SIZE 2:
21 TRUCK COURT DEPTH 1:
21 TRUCK COURT DEPTH 2:
undefined_3:
undefined_4:
undefined_5:
Tenant Improvements are all alterations for the Governmentdemised 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 necessaryRow1:
Tenant Improvements are all alterations for the Governmentdemised 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 necessaryRow1_2:
Tenant Improvements are all alterations for the Governmentdemised 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 necessaryRow1_3:
Tenant Improvements are all alterations for the Governmentdemised 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 necessaryRow1_4:
Tenant Improvements are all alterations for the Governmentdemised 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 necessaryRow1_5:
Tenant Improvements are all alterations for the Governmentdemised 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 necessaryRow2:
undefined_6:
undefined_7:
undefined_8:
undefined_9:
undefined_10:
undefined_11:
undefined_12:
undefined_13:
undefined_14:
undefined_15:
undefined_16:
undefined_17:
undefined_18:
undefined_19:
undefined_20:
undefined_21:
undefined_22:
undefined_23:
undefined_24:
undefined_25:
fill_58:
31 TOTAL RATESF:
Row1:
32 TOTAL ANNUAL RENT:
undefined_26:
undefined_27:
undefined_28:
fill_64:
undefined_29:
RSF:
ABOA:
1:
2:
Thru:
RSF_2:
Thru_2:
RSF_3:
Thru_3:
undefined_30:
ABOA_2:
ABOA_3:
Surface:
Structured:
Surface_2:
Structured_2:
Surface_3:
Structured_3:
Surface_4:
Structured_4:
Surface_5:
Structured_5:
Does the rental rate offered above include RLPrequired parking costs: Off
Surface_6:
Structured_6:
Annual cost per trucktrailer space:
33 PARKINGRow1:
a Number of total onsite 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 trucktrailer parking spaces required by local code Surface Structured d Number of auto parking spaces for EmployeeVisitor 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 RLPrequired parking costs YES NO If NO complete the following Annual cost per auto space Surface Structured Annual cost per trucktrailer space Row1:
34 INITIAL LEASE TERM Full Term:
35 RENEWAL OPTIONS:
b Years Firm:
undefined_31:
undefined_32:
Terminate Lease:
RSF Yr:
undefined_33:
Options:
to Exercise Option:
36 OFFER GOOD UNTIL AWARD:
38 COMMISSIONS if applicable ATTACH COMMISSION AGREEMENT:
Tenant Representative Commission:
Owners Representative Commission:
Schedule of Commission payments:
at lease award and:
40 ADDITIONAL FINANCIAL ASPECTS OF THE LEASE:
a: Off
ArchitecturalEngineering fees will be choose one:
undefined_34:
of Total TI construction costs:
percent of Total TI:
41 LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER See RLP requirements:
42 FREE RENT INCLUDED IN OFFER:
1_3: Off
months free rent includes shell operating TI and BSAC:
2 Other rental concessions structured as follows: Off
3 None: Off
undefined_35:
Utilities in Offered Space By Lessor or:
Janitorial in Offered Space Lessor or Lessee:
Trash Removal in Offered Space Lessor or Lessee:
zone: Off
floor: Off
space_2: Off
For rates based on a per zone basis provide the following:
Buildings Normal Hours of HVAC Operation indicate na if the lease is net of utilities:
Monday Friday:
AM to:
AM to_2:
PM:
undefined_36:
undefined_37:
Is the offered space part of multiple tax bills or multiple buildings on an single tax: Off
parcel: Off
If so provide tax ID numbers and SF for each Attach the legal description of the:
43 ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER:
44 RECORDED OWNER:
a Name:
b Address:
c City_2:
d State_2:
e ZIP 4:
I have read the RLP with attachments in its entirety and am requesting no deviations: Off
undefined_38: Off
undefined_39: Off
undefined_40: Off
undefined_41:
46 Offerors Interest in Property Owner Agent Other:
47 OFFEROR Check if same as Recorded Owner:
undefined_42: Off
a Name:
b Address:
c City:
d State:
e ZIP 4:
f Unique Entity Identifier:
f Title:
g EMail Address:
h Telephone Number:
i Offerors Signature:
j Date Signed:
DATE:
Has received the ENERGY STAR Label within the past twelve months Date MMDDYYYY:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
Check Box12: Off
Check Box13: Off
Check Box14: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off
Check Box18: Off
Check Box19: Off
Check Box20: Off
Check Box21: Off
Check Box22: Off
Check Box23: Off
Check Box24: Off
Check Box25: Off
Check Box26: Off

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