EXHIBIT G_ FORM 1217 2016.pdf

The document is a GSA Form 1217 (Lessor's Annual Cost Statement), a standardized form used to detail the estimated annual costs of services, utilities, and ownership for a leased property. The form is designed for lessors to provide a comprehensive breakdown of expenses related to a potential government lease, including categories such as cleaning services, heating, electrical systems, plumbing, air conditioning, elevator maintenance, security, and miscellaneous building-related costs.

The form is structured in two main sections: Section I covers estimated annual costs of services and utilities furnished by the lessor, while Section II covers estimated annual ownership costs exclusive of capital charges. This includes items like real estate taxes, insurance, building maintenance, and management fees. The document includes detailed instructions for completing each section, emphasizing GSA's policy of entering into leases at rental charges consistent with prevailing community scales, and providing guidance on how to calculate and report various building-related expenses.