Exhibit G. GSA Form 1217 Lessor Annual Cost.pdf

GSA Form PDF 267 KB Posted

Attached to
X1DZ--Crawford County, PA VA Community Based Outpatient Clinic (CBOC) Lease Solicitation - Request for Lease Proposals
Solicitation number
36C24421R0073
Issued by

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Other versions and copies of GSA Form 1217

460 government files on GovTribe name GSA Form 1217. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File Revision Posted Attached to
F - GSA Form 1217 Lessor Annual Cost Statement (Nov. 2016).pdf Nov 2016 General Services Administration (GSA) seeks to lease office space in Brunswick, GA
Exhibit G_GSA Form 1217 (Nov. 2016).pdf Nov 2016 General Services Administration (GSA) seeks to lease Warehouse, Office, Light Industrial, and Wareyard space in Sumner, WA
Exhibit G - GSA Form 1217 Lessors Annual Cost Statement (Nov. 2016).pdf Nov 2016 U. S. Government Seeks Proposals to Lease 2, 405 to 2, 605 ABOA SQ FT of Office and Related Space in Washington, DC
Exhibit G_GSA Form 1217 (Nov. 2016).pdf Nov 2016 General Services Administration (GSA) seeks to lease office space in Portland, OR
Exhibit G_GSA Form 1217 (Nov. 2016).pdf Nov 2016 Request for Lease Proposal (RLP): Las Vegas, NV Medical Facility
4WY0059_Exhibit 3 GSA Form 1217 Lessors Annual Cost Statement (Nov. 2016).pdf Nov 2016 U. S. Government Seeks to Lease Office Space in Cheyenne, WY – Solicitation Amendment No. 1
Exhibit G - GSA Form 1217 Lessors Annual Cost Statement (Nov. 2016).pdf Nov 2016 General Services Administration (GSA) seeks to lease the following space: Solicitation No. 6GA0308
EXHIBIT G - GSA Form 1217 - Lessor_s Annual Cost Statement (Nov. 2016).pdf Nov 2016 Request for Lease Proposals (RLP) - Saipan CBOC
H. GSA Form 1217 Lessor's Annual Cost Statement (1).pdf Revision not stated General Services Administration (GSA) seeks to lease the following space: Solicitation No. 3FL0557
Exhibit G-GSA Form 1217 Lessors Annual Cost Statement.pdf Revision not stated 8TN2168 The US Government Seeks to Lease Office and Related Space in Nashville, TN-Request for Lease Proposal
06 - GSA Form 1217 - Lessors Annual Cost Statement.pdf Revision not stated X1DB--Macon GA Health Care Clinic HCC 168,332 ANSI/BOMA
Exhibit I- GSA Form 1217 Lessors Annual Cost Statement.pdf Revision not stated Anchorage Air Force Reserve Recruiting Office
GSA Form 1217 Lessors Annual Cost Statement.pdf Revision not stated General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit G - GSA Form 1217 Lessors Annual Cost Statement.pdf Revision not stated General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
Exhibit G GSA Form 1217 Lessor Annual Cost Statement.pdf Revision not stated General Services Administration (GSA) seeks to lease 8, 161 USF- 8, 405 USF of office space in South Portland, Maine. Please see attachments for requirements and RLP Package.
G. GSA Form 1217 Lessor's Annual Cost Statement (1).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
07. GSA Form 1217 - Lessor's Annual Cost Statement.pdf Revision not stated X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Exhibit I- GSA Form 1217 Lessors Annual Cost Statement.pdf Revision not stated Anchorage Air Force Reserve Recruiting Office
Exhibit I- GSA Form 1217 Lessors Annual Cost Statement.pdf Revision not stated Wasilla Armed Forces Recruiting Office
11 GSA Form 1217 080626.pdf Revision not stated U. S. Department of Agriculture Seeks to Lease Office and Related Space in Huntington, Indiana
Show all 20

Who attaches GSA Form 1217

Agency Files
General Services Administration Public Buildings Service Central Office 165
Department of the Army Corps of Engineers Engineering District Seattle 72
Department of Agriculture Under Secretary for Farm Production and Conservation 25
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10 24
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8 20
General Services Administration Public Buildings Service Central Office Office of Leasing 19
Department of Veterans Affairs Office of Construction and Facilities Management 18
Department of the Army Corps of Engineers Engineering District Alaska 14

Other files

File Type Posted
Exhibit L - Unit Price List Version 2.pdf PDF
36C24421R0073 0003.pdf PDF
Attachment 1. Questions_Answers R0073.pdf PDF
EXHIBIT X - Interior Signage Requirement.pdf PDF
36C24421R0073 0002 rs.pdf PDF
Exhibit J - Pre-Lease Building Security Plan.pdf PDF
36C24421R0073 0001 Preproposal Conference Notification Amendment.pdf PDF
Exhibit N - Tenant Improvement Cost Summary FILLABLE.xlsx XLSX spreadsheet
Exhibit M. DOL Wage Determination 4-1-2022.pdf PDF
Exhibit Q. Space Requirement.pdf PDF
Exhibit D. 3516 SOLICITATION PROVISIONS.pdf PDF
Exhibit P. Government Typical Building Layout.pdf PDF
Request for Lease Proposal 36C24421R0073 Crawford CBOC.pdf PDF
Exhibit L. Unit Price List.pdf PDF
Exhibit F. Proposal to Lease Space_Form 1364.pdf PDF
Exhibit W. Program Management Plan.pdf PDF
Exhibit I. GSA Form 12000 PreleaseFPLSEvaluation (PartA_PartB).pdf PDF
Exhibit H. Addendum to SAM Rep and Cert.pdf PDF
Exhibit A. 36C24422L0018 Crawford CBOC Lease.pdf PDF
Exhibit K. Security Unit Price List FSL II.pdf PDF
Exhibit O - Contract Submittal Schedule.pdf PDF
36C24421R0073_1.docx DOCX document
Exhibit AA. FAR 52.204-24 Representation Digital.pdf PDF
Exhibit E. 3517B General Clauses Form.pdf PDF
Exhibit B. Agency Specific Requirements Crawford CBOC.pdf PDF
Exhibit C. Security Requirements (FSL Level II).pdf PDF
Show all 26

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EXHIBIT G Page 1 of 1

RLP NO. 36C24421R0073

LEASE NO. 36C24422L0018

LESSOR: ________ GOVERNMENT: ________ GSA FORM 1217 1994-electronic ver.

LESSOR’S ANNUAL COST STATEMENT

1. SOLICITATION FOR OFFERS 2. STATEMENT DATE

3. RENTABLE AREA (SQ. FT.) 3A. ENTIRE BUILDING 3B. LEASED BY GOV'T

4. BUILDING NAME: BUILDING STREET: .

CITY: STATE: ZIP CODE:

SECTION I - ESTIMATED ANNUAL COST OF SERVICES & UTILITIES FURNISHED BY LESSOR AS PART OF RENTAL CONSIDERATION

SERVICES AND UTILITIES LESSOR'S ANNUAL COST FOR:

ENTIRE BUILDING

(a)

GOV'T-LEASED

AREA

(b)

GOV’T USE ONLY (c)

A. CLEANING, JANITOR AND/OR CHAR SERVICE

5. SALARIES

6. SUPPLIES (wax, cleansers, cloths, etc.)

7. CONTRACT SERVICES (Window washing, waste and snow removal)

B. HEATING

8. SALARIES

9. FUEL ("x" one) ___OIL ___GAS ___COAL ___ELECTRIC

10. SYSTEM MAINTENANCE AND REPAIR

C. ELECTRICAL

11. CURRENT FOR LIGHT AND POWER (Including elevators)

12. REPLACEMENT OF BULBS, TUBES, STARTERS

13. POWER FOR SPECIAL EQUIPMENT

14. SYSTEM MAINTENANCE AND REPAIR (Ballasts, fixtures, etc.)

D. PLUMBING

15. WATER (For all purposes) (Include sewage charges)

16. SUPPLIES (Soap, towels, tissues not in 6 above)

17. SYSTEM MAINTENANCE AND REPAIR

E. AIR CONDITIONING

18. UTILITIES (Include electricity, if not in C11)

19. SYSTEM MAINTENANCE AND REPAIR

F. ELEVATORS

20. SALARIES (Operators, starters, etc.)

21. SYSTEM MAINTENANCE AND REPAIR

G. MISCELLANEOUS

22. BUILDING ENGINEER AND/OR MANAGER

23. SECURITY (Watchmen, guards, not janitors)

24. SOCIAL SECURITY TAX AND WORKMEN'S

COMPENSATION INSURANCE

25. LAWN AND LANDSCAPING MAINTENANCE

26. OTHER (Explain on separate sheet)

27. TOTAL $0.00 $0.00 $0.00

SECTION II - ESTIMATED ANNUAL COST OF OWNERSHIP EXCLUSIVE OF CAPITAL CHARGES

28. REAL ESTATE TAXES

29. INSURANCE (Hazard, liability, etc.)

30. BUILDING MAINTENANCE AND RESERVES FOR

REPLACEMENT

31. LEASE COMMISSION

32. MANAGEMENT

33. TOTAL $0.00 $0.00 $0.00

LESSOR'S CERTIFICATION - The amounts entered in Columns (a) and (b) represent my best estimate as to the annual costs of services, utilities and ownership.

TITLE NAME SIGNATURE DATE

34A. (Check one)

34B. 34C. 34D.

35A. (Check one)

35B. 35C. 35D.

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