Exhibit G - GSA Form 1217.pdf

GSA Form PDF 176 KB Posted

Attached to
X1LZ--FY22: New Lease Gainesville Parking spaces
Solicitation number
36C24821R0109
Issued by

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Other versions and copies of GSA Form 1217

457 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
06 RLP 36C10F26R0024 GSA Form 1217 Lessors Annual Cost Statement SPB County FL OPC 7_17_2026.pdf 2026 X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
06 RLP 36C10F26R0024 GSA Form 1217 Lessors Annual Cost Statement SPB County FL OPC 7_17_2026.pdf 2026 X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
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
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
06 - GSA Form 1217 - Lessors Annual Cost Statement.pdf Revision not stated X1DB--Canton OH Outpatient Clinic 62, 784 ANSI/BOMA RLP Extension
Show all 20

Who attaches GSA Form 1217

Agency Files
General Services Administration Public Buildings Service Central Office 164
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 18
Department of Veterans Affairs Office of Construction and Facilities Management 17
Department of the Army Corps of Engineers Engineering District Alaska 14

Other files

File Type Posted
36C24821R0109_3.docx DOCX document
RLP 36C24821R0109 2021 final.pdf PDF
36C24821R0109_2.docx DOCX document
Exhibit B - Small Supplemental Lease Requirements Template 10 2020 (1).pdf PDF
RLP 36C24821R0109 attachment.pdf PDF
36C24821R0109_1.docx DOCX document
Exhibit A - GSA Form 3626 10 2020.docx DOCX document
EXHIBIT H - GSA FORM 12000.pdf PDF
Exhibit C - 3516A Simplified Solicitation Provisions.pdf PDF
Exhibit D - Small Lease General Clauses GSA Form 3517A 6 7 16.pdf PDF
Exhibit E - Security Requirements.pdf PDF
Exhibit F - GSA Form 3518A.docx DOCX document
Show all 12

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RLP # 36C-248-21-R-0109 – Lease # 36C-248-21-L-0016 GSA Public Buildings Service

GSA FORM 1217 1994-electronic ver.

LESSOR’S ANNUAL COST STATEMENT

1. SOLICITATION FOR OFFERS # VA248-21-R-0109 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.)

GSA FORM 1217 1994-electronic ver.

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 .