Exhibit F. GSA1364A-16d.pdf

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U. S. Government Seeks to Lease Office and Other Related Space in Charlottesville, Virginia
Solicitation number
5VA0782
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This document is a Simplified Lease Proposal form (GSA Form 1364A) used by the General Services Administration (GSA) for potential commercial real estate lease opportunities. The form is designed to collect comprehensive details about a building and space being offered to the federal government, including building characteristics, space specifications, rental rates, and lease terms. Key details include a blank template for reporting building information such as number of floors (field 2 shows 6 floors), total rentable area, parking availability, and specific space offerings. The form provides sections for documenting rental rates across firm term, non-firm term, and option term periods, with breakdowns for office and other space types. Additional sections cover parking spaces, HVAC overtime rates, rooftop antenna rights, and owner/offeror contact information. The document is meant to standardize lease proposal submissions and includes a Paperwork Reduction Act statement, with an estimated 1.5 hours required to complete the form.

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Exhibit F. GSA Form 1364.Proposal to Leased Space.pdf PDF
RLP Amendment No.1_5VA0782_12.12.25.pdf PDF
Exhibit A. Lease. LVA01087. Draft.docx DOCX document
Exhibit D. 3516 Solicitation Provisions Alternate II (Feb. 2025).pdf PDF
Exhibit I. FAR 52.204-24 Representation (Nov. 2021).pdf PDF
RLP Summary.pdf PDF
RLP_5VA0782_11.14.25.pdf PDF
Exhibit B. Agency Requirement.pdf PDF
Exhibit C. Security Requirements.pdf PDF
Exhibit E. 3517B General Clauses (Feb. 2025).pdf PDF
Exhibit H. Form 12000 Prelease FPLS Evaluation (May.2024).docx DOCX document
Exhibit G. GSA From 1217 Lessor's Annual Cost Statement (Nov. 2016).pdf PDF
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SIMPLIFIED LEASE PROPOSAL DATED:

SECTION I - BUILDING INFORMATION

A. BUILDING NAME

NUMBER OF FLOORS

TOTAL PARKING FOR BUILDING

STRUCTURED: SURFACE:

B. BUILDING STREET ADDRESS

LIVE FLOOR LOAD (LBS / SQ

FT) 7

CONSTRUCTION TYPE

C. CITY D. STATE

TOTAL RENTABLE AREA (SQ

FT)

A. BUILDING BUSINESS HOURS (MON - FRI)

E. 9-DIGIT ZIP CODE F. CONGRESSIONAL

DISTRICT 5

BUILDING AGE (YEARS) B. BUILDING BUSINESS HOURS (SAT - SUN)

SECTION II - SPACE OFFERED AND RATES

FLOOR LOCATION SUITE NUMBER ANSI/BOMA SQ FT TYPE OF SPACE FLOOR LOCATION SUITE NUMBER ANSI/BOMA SQ FT TYPE OF SPACE

ANSI/ BOMA

AREA (SQ FT)

A

COMMON

AREA

FACTOR

B

RENTABLE

SQ FT (RSF)

A x B =

C

FIRM TERM NON-FIRM TERM OPTION TERM

RENTAL RATE

(PER RSF/YR)

D

TYPE OF

SPACE

ANNUAL RENT

C x D =

E

F

C x F =

G

H

C x H =

I

10 OFFICE $

11 OTHER

12 TOTAL

13 COMPOSITE ABOA PER SQ FT RATES 12E ÷ 12A =

13A

12G ÷ 12A = 13B

12I ÷ 12A = 13C

A. RATE ADJUSTMENT FOR VACANT SPACE: $ / ABOA

SF

B. FREE RENT INCLUDED IN OFFER

A. HOURLY RATE FOR OVERTIME HVAC: B. AREAS REQUIRING 24 HOUR HVAC (LAN, ETC.) $ ABOA SF*

Zone $ Floor $ Entire space $

NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT: A. STRUCTURED: C. SURFACE:

CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT): B. STRUCTURED: $ / MO D. SURFACE: $ / MO

17 RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING

SECTION III - OWNER/OFFEROR INFORMATION

A. OFFEROR (NAME AND COMPLETE MAILING ADDRESS) B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)

(NAME AND COMPLETE MAILING ADDRESS)

19 TELEPHONE NUMBER 20 E-MAIL ADDRESS

21 OFFEROR'S FORM OF BUSINESS:

C. DUNS NUMBER

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS- OMB Control Number: 3090-0086 Expiration Date: 1/31/2026

GSA 1364A (REV. 11/2016)GENERAL SERVICES ADMINISTRATION

IN RESPONSE TO REQUEST FOR LEASE PROPOSALS (RLP) NUMBER

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0086. We estimate that it will take 1.5 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

*Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent as described under Section 6 of the Lease.

1. months free rent (includes shell, operating, TI and BSAC rent)

2. Other rental concessions structured as follows

3. None

INCLUDED NOT INCLUDED

INDIVIDUAL PARTNERSHIP CORPORATION - SPECIFY STATE:

NO. 3NO. 1 NO. 2 NO. 5NO. 4

SECTION V - PROPOSED ADDITIONAL TERMS, CONDITIONS

OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS

REQUIRED IN THE LEASE:

ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS-

GSA 1364A (REV. 11/2016) BACK

SECTION IV - OFFER

RLP AMENDMENTS ACKNOWLEDGED (INITIAL)22

On behalf of the Offeror, the undersigned offers to lease to the Government the Premises described in Sections I and II, together with all other rights indicated therein, at the rental and other rates stated, on the terms and conditions set forth in the referenced Request for Lease Proposals and this Proposal. This Offer shall remain open for a period of 60 days.

A. SIGNATURE B. NAME C. TITLE D. DATE

SIMPLIFIED LEASE PROPOSAL

DATED:

SECTION I - BUILDING INFORMATION

A. BUILDING NAME

NUMBER OF FLOORS

TOTAL PARKING FOR BUILDING

STRUCTURED: SURFACE:

B. BUILDING STREET ADDRESS

LIVE FLOOR LOAD (LBS / SQ FT)

CONSTRUCTION TYPE

C. CITY

D. STATE

TOTAL RENTABLE AREA (SQ FT)

A. BUILDING BUSINESS HOURS (MON - FRI)

E. 9-DIGIT ZIP CODE

F. CONGRESSIONAL DISTRICT

BUILDING AGE (YEARS)

B. BUILDING BUSINESS HOURS (SAT - SUN)

SECTION II - SPACE OFFERED AND RATES

FLOOR LOCATION

SUITE NUMBER

ANSI/BOMA SQ FT

TYPE OF SPACE

FLOOR LOCATION

SUITE NUMBER

ANSI/BOMA SQ FT

TYPE OF SPACE

ANSI/ BOMA AREA (SQ FT) A

COMMON AREA FACTOR

B RENTABLE SQ FT (RSF) A x B = C

FIRM TERM

NON-FIRM TERM

OPTION TERM

RENTAL RATE (PER RSF/YR)

D

TYPE OF SPACE

ANNUAL RENT

C x D = E

RENTAL RATE

(PER RSF/YR)

F

ANNUAL RENT

C x F = G

RENTAL RATE

(PER RSF/YR)

H

ANNUAL RENT

C x H = I

OFFICE

OTHER

TOTAL

COMPOSITE ABOA PER SQ FT RATES

12E ÷ 12A = 13A 12G ÷ 12A = 13B 12I ÷ 12A = 13C

A. RATE ADJUSTMENT FOR VACANT SPACE: $ / ABOA

SF

B. FREE RENT INCLUDED IN OFFER

A. HOURLY RATE FOR OVERTIME HVAC:

B. AREAS REQUIRING 24 HOUR HVAC (LAN, ETC.) $ ABOA SF*

Zone $ Floor $ Entire space $

NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT:

A. STRUCTURED:

C. SURFACE:

CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT):

B. STRUCTURED: $ / MO

D. SURFACE: $ / MO

RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING

SECTION III - OWNER/OFFEROR INFORMATION

A. OFFEROR (NAME AND COMPLETE MAILING ADDRESS)

B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE) (NAME AND COMPLETE MAILING ADDRESS)

TELEPHONE NUMBER

E-MAIL ADDRESS

OFFEROR'S FORM OF BUSINESS:

Gray Rectangle Gray Rectangle Gray Rectangle Gray Rectangle

C. DUNS NUMBER

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS-

OMB Control Number: 3090-0086 Expiration Date: 1/31/2026

GSA 1364A (REV. 11/2016)

GENERAL SERVICES ADMINISTRATION

IN RESPONSE TO REQUEST FOR LEASE PROPOSALS (RLP) NUMBER

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0086. We estimate that it will take 1.5 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

*Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent as described under Section 6 of the Lease.

NO. 3

NO. 1

NO. 2

NO. 5

NO. 4

SECTION V - PROPOSED ADDITIONAL TERMS, CONDITIONS

Lessor Government:

EXHIBIT A TO LEASE NUMBER GS-

GSA 1364A (REV. 11/2016) BACK

SECTION IV - OFFER

RLP AMENDMENTS ACKNOWLEDGED (INITIAL)

On behalf of the Offeror, the undersigned offers to lease to the Government the Premises described in Sections I and II, together with all other rights indicated therein, at the rental and other rates stated, on the terms and conditions set forth in the referenced Request for Lease Proposals and this Proposal. This Offer shall remain open for a period of 60 days.

A. SIGNATURE

B. NAME

C. TITLE

D. DATE

GSA1364A - Simplified Lease Proposal BrendaKJohnson Normal.dotm Edward L Orlowsky 9.0.0.2.20101008.1.734229

11/26/2012 7:15:00 AM

11/26/2012 7:51:00 AM

11/26/2012 7:51:00 AM

GSA

26997

11/26/2012 7:51:00 AM

In Response to Request for Lease Proposal (RLP) Number:
Dated:
1A. Building Name :
1B. Building Street Address:
1C. City :
1E. 9-Digit ZIP Code :
1D. State:
1F. Congressional District :
2. Number of Floors:
3. Live Floor Load (LBS / SQ FT) :
4. Total Rentable Area (SQ FT) :
5. Building Age (Years) :
2. Number of Floors:
8A. Building Business Hours (Monday - Friday) :
8B. Building Business Hours (Saturday - Sunday) :
6. Total Parking for Building - Structure :
6. Total Parking for Building - Surface :
9. Floor Location (Row 1 of 4):
9. Floor Location (Row 2 of 4):
9. Suite Number:
9. Suite Number:
9. Suite Number:
9. Suite Number:
9. ANSI / BOMA Square Feet:
9. ANSI / BOMA Square Feet:
9. ANSI / BOMA Square Feet:
9. ANSI / BOMA Square Feet:
9. Type of Space :
9. Type of Space :
9. Type of Space :
9. Type of Space :
9. Floor Location (Row 4 of 4):
9. Floor Location (Row 3 of 4):
10A. Office ANSI / BOMA Area (Square Foot):
10B. Office Common Area Factor :
10C. Rentable Square Foot (RSF) A x B = C:
10D. Office, Firm Term Rental Rate per Square foot. :
10E. Office, Firm Term Annual Rent C x D = E:
10F. Office, Non-Firm Term Rental Rate per Square foot. :
10G. Office, Non-Firm Annual Rent C x F = G:
10H. Option Term, Rental Rate (Per RSF/YR) :
10I. Office, Option Term Annual Rent C x H = I:
11A. Other, ANSI / BOMA Area (Square Foot):
11B. Other, Office Common Area Factor :
11C. Other, Rentable Square Foot (RSF) A x B = C:
11D. Other, Firm Term Rental Rate per Square foot. :
11E. Other, Firm Term Annual Rent C x D = E:
11F. Other, Non-Firm Term Rental Rate per Square foot. :
11I. Other, Option Term Annual Rent C x H = I:
12A. Total ANSI / BOMA Area (Square Foot):
12C. Total Rentable Square Foot (RSF) A x B = C:
12E. Total, Firm Term Annual Rent C x D = E:
12G. Total, Non-Firm Annual Rent C x F = G:
12I. Other, Option Term Annual Rent C x H = I:
11H. Other, Option Term, Rental Rate (Per RSF/YR) :
13A. Composite ABOA Per Square Foot Rates (12E / 12A):
13B. Composite ABOA Per Square Foot Rates (12G / 12A):
13C. Composite ABOA Per Square Foot Rates (12I / 12A):
11G. Other, Non-Firm Annual Rent C x F = G:
14A. Rate Adjustment for Vacant Space: Enter Dollar Amount:
15A. Hourly Rate for Overtime HVAC: Zone :
15A. Hourly Rate for Overtime HVAC: Floor:
15A. Hourly Rate for Overtime HVAC: Entire Space:
16A. Number of parking spaces offered to government - Structure.:
16B. Charge for spaces offered to government if not in rent - Structure:
18C. Offeror's Data and Universal Numbering System (DUNS) Number:
16D. Charge for spaces offered to government if not in rent - Surface. :
18A. Offeror (Name and complete mailing address):
18B. Offeror's Authorized Representative (if applicable) (Name, and Complete Mailing Address):
21. If Corporation was selected - Specify State:
19. Telephone Number:
20. E-mail Address:
Lessor Page Initials (Front of Form):
Government Page Initials (Front of Form):
GS Lease Number (XXX-XXXX):
14B. Enter the other structured rental concessions.:
15B. Areas Requiring 24 Hour HVAC (LAN, ETC.):
14B. 1. Click here to state that free rent included in the offer is for months free rent (includes shell, operating, TI and BSAC rent): 0
14B. 2. Click here to state that other rental concessions structured as follows will be included in the offer. : 0
14B. 3. Click here to state that no free rent is included in the offer (None).: 0
17. Click here to state that the right to use of rooftop area for antennas and associated rights in building is included. : 0
17. Click here to state that the right to use of rooftop area for antennas and associated rights in building is NOT included. : 0
21. Click here to state that the offeror's form of business is an individual. : 0
21. Click here to state that the offeror's form of business is a partnership. : 0
21. Click here to state that the offeror's form of business is a corporation - specify state. : 0
24. Offeror will complete the following Fire/Life Safety, Accessibility, and Energy Savings Improvements as required in the Lease::
25. Additional Terms and Conditions with Respect to this Offer. :
Lessor Page Initials (Back of Form):
Government Page Initials (Back of Form):
22. RLP Amendments Acknowledged (initial 5):
22. RLP Amendments Acknowledged (initial 4):
22. RLP Amendments Acknowledged (initial 3):
22. RLP Amendments Acknowledged (initial 2):
22. RLP Amendments Acknowledged (initial 1):
23A. Sign here if you are representing the offeror. :
23B. Name:
23C. Title :
23D. Date:

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