Exhibit F - GSA Form 1364.pdf

GSA Form PDF 3 MB Posted

Attached to
RLP Posting for 8NY2566, Buffalo, New York
Solicitation number
8NY2566
Issued by

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Other versions and copies of GSA Form 1364

File Revision Posted Attached to
3B.G(2026.09.11)GSA Form 1364 Open with Adobe Only-2KS0140.pdf 2026 U. S. GOVERNMENT SEEKS TO LEASE SPACE IN TOPEKA, KS
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf 2026 X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
08 RLP 36C10F26R0024 Attachment No 1 to GSA Form 1364 SPB County OPC 7_17_2026.xlsx 2026 X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf 2026 X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
H - GSA Form 1364 Proposal to Lease Space (Jan. 2023) Open with Adobe Only.pdf Jan 2023 General Services Administration (GSA) seeks to lease office space in Brunswick, GA
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf Jan 2023 U. S. Government Seeks Proposals to Lease 2, 405 to 2, 605 ABOA SQ FT of Office and Related Space in Washington, DC
4WY0059_Exhibit 2 GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf Jan 2023 U. S. Government Seeks to Lease Office Space in Cheyenne, WY – Solicitation Amendment No. 1
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf Jan 2023 General Services Administration (GSA) seeks to lease the following space: Solicitation No. 6GA0308
EXHIBIT F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf Jan 2023 Request for Lease Proposals (RLP) - Saipan CBOC
Proposal To Lease Space_GSA Form 1364.pdf Revision not stated General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf Revision not stated General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
F. GSA Form 1364 Proposal to Lease Space (1).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
Exhibit G. GSA Form 1364 (2).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
08. GSA Form 1364 - Attachment No. 1.xlsx Revision not stated X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
09. GSA Form 1364 - Proposal to Lease Space.pdf Revision not stated X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Attachment No. 1 to GSA Form 1364 - Idaho Falls (10-15-20 Yr).xlsx Revision not stated Dept of Veterans Affairs seeks clinical space in Idaho Falls, ID
10 GSA Form 1364 080626.pdf Revision not stated U. S. Department of Agriculture Seeks to Lease Office and Related Space in Huntington, Indiana
Exhibit E. GSA Form 1364 (2).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 3TN0311
Exhibit F. GSA Form 1364 (1).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4LA0288
Exhibit G. GSA Form 1364.pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TN0427
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PAGE 1 of 3 GSA FORM 1364 (REV 10/17)

PROPOSAL TO LEASE SPACE 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

SECTION II - SPACE OFFERED AND RATES

9. ANSI/BOMA OFFICE AREA

SQUARE FEET (ABOA)

_______ 10. RENTABLE SQUARE FEET

(RSF)

_______ 11. 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 12, nor the BSAC as stated in Block 13, 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

(years) c.

AMORTIZATION

INTEREST RATE

d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA SF

f.

NUMBER YEARS

RATE IS

EFFECTIVE

12. TENANT IMPROVEMENTS

(per RLP requirements) $ ____________ _______ _______% $ _______ $ _______ _______

13. BSAC

(per RLP requirements) $ ____________ _______ _______% $ _______ $ _______ _______

14. SHELL BUILD-OUT

(per RLP requirements) $ ____________

15. TOTAL BUILD-OUT COSTS $ ____________

16. SHELL RENT (Including current real estate taxes. Refer to Line 28 on GSA Form 1217) $ _______

17. OPERATING COSTS (Refer to Line 27 on GSA Form 1217 $ _______ $ _______

18. TOTAL RATE/SF $ _______ $ _______ _______

19. TOTAL ANNUAL RENT $ ___________

PER SF RATE FOR YEARS PER SF RATE

FOR YEARS PER SF RATE FOR YEARS

20. STEP RENT (SHELL RATES)

$__________/RSF

$__________/ABOA

_____ Thru _____

$________/RSF

$________/ABOA

_____ Thru ____

$__________/RSF

$__________/ABOA

_____ Thru

21. PARKING

a. Number of parking spaces for the entire building/ facility which are under the control of the Offeror: _______ Surface _______ Structured

b. Number of parking spaces required by local code: _______ Surface _______ Structured

c. Number of parking spaces for Employee/Visitor Use (per RLP): _______ Surface _______ Structured

d. Number of parking spaces for Official Government Vehicles (per RLP): _______ Surface _______ Structured

e. Does the rental rate offered above include RLP-required parking costs?

YES ☐ NO ☐ If NO, complete the following: Annual cost per space: $ _______ Surface $ _______ Structured

PAGE 2 of 3 GSA FORM 1364 (REV 10/17)

SECTION III - LEASE TERMS AND CONDITIONS

22. INITIAL LEASE TERM

(Full Term)

23. 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:

24. OFFER GOOD UNTIL AWARD 25. 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.

26. 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

27. OFFEROR’S TENANT IMPROVEMENT FEE SCHEDULE*

*Block 27 fees only applicable for TI subject to post-award pricing.; N/A for turnkey pricing

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 Fee 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 TI 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.

28. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises: $________ per ABOA SF HVAC Overtime Rate: $________ 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: ______ Areas requiring 24 hour HVAC (LAN, etc.) $________per ABOA SF* *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.

Building’s Normal Hours of HVAC Operation:

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 a 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: $________

29. 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

30. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

31. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

SECTION IV - OWNER IDENTIFICATION AND CERTIFICATION

32. RECORDED OWNER

33. 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.

34. Offeror’s Interest in Property

Owner Agent Other _____________________________________

35. OFFEROR Check if same as Recorded Owner

a. Name b. Address c. City d. State e. ZIP + 4

f. Title g. E-Mail Address h. Telephone Number

i. Offeror’s Signature j. Date Signed

a. Name b. Address c. City d. State e. ZIP +4 f. DUNS Number

PAGE 3 of 3 GSA FORM 1364 (REV 10/17)

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 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)

ABOA: Off
Other: Off
TI Rate:
TI Term:
BSAC Term:
BSAC Rate:
TI RSF:
TI ASF:
RSF:
ASF:
BSAC RSF:
TI Years:
CAF:
BSAC ASF:
Shell RSF:
Shell ASF:
RLP Number: 8NY2566 - Exhibit F
BSAC Allowance:
Shell Build:
Total Build:
Total Annual:
Total RSF:
Total ASF:
BSAC Years:
Shell Years:
Total Years:
Building Name:
Building Street Address:
City:
Zip:
District:
Floors Offered:
Bldg Floors:
WH SF:
Office SF:
Other SF:
Load:
Reno Year:
Bldg Age:
Site SF:
Site Acre:
Date:
RSF Step 1:
ASF Step 1:
Step 1 Start:
Step 1 End:
RSF Step 2:
ASF Step 2:
Step 2 Start:
Step 2 End:
RSF Step 3:
ASF Step 3:
Step 3 Start:
Step 3 End:
Total Surface:
Total Structured:
Code Surface:
Offered Surface:
Code Structured:
Offered Structured:
Parking: Off
GOV Surface:
GOV Structured:
Structured Annual Rate:
Surface Annual Rate:
Owner: Off
Other Owner:
Flood Plain: Off
Seismic Reqs: Off
Seismic?: Off
Historic: Off
Representation: Off
A/E Fees: Off
HVAC OT: Off
Assessed Value: Off
State:
Asbestos: Off
FPLS: Off
Accessibility: Off
EnergyStar: Off
Cost Effectiveness: Off
EnergyStar Date:
HubZone: Off
Opex RSF:
TIA:
Full Term:
Firm Term:
Termination Notice:
Shell Renewal Rate:
Option Term:
Number of Options:
Notice to Exercise:
Tenant Rep Commission:
Owner Rep Commission:
Payment 1:
Payment 2:
Vacancy Credit:
HVAC Rate:
A/E - SF:
A/E - Percent:
A/E - Flat:
Zones:
24/7 HVAC:
Lessor PM:
Workday AM:
Workday PM:
Extra Fees:
Saturday AM:
Saturday PM:
Sunday AM:
Sunday PM:
Occupancy:
Taxes:
Land Cost:
Attachments:
Additional Comments:
Rec Owner Name:
Rec Owner Address:
Rec Owner City:
Rec Owner State:
RLP Acknowledged: Off
Other Representation:
Owner Same As Recorded: Off
Offeror Name:
Offeror Address:
Offeror City:
Offeror State:
Offeror Zip:
Offeror Title:
Offeror Email:
Offeror Phone:
Date Signed:
Free: Off
Free - Rent:
Free - Other:
MultiTax: Off
Rec Owner Zip:
DUNS Number:
Opex ASF:

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