Exhibit N - Contract Submittal Schedule.pdf
PDF 176 KB Posted
- Attached to
- X1DZ--Space for Lease at Ashtabula, OH for a CBOC 16, 218 RSF/ 13, 815 ABOA/ 12, 013 NUSF
- Solicitation number
- 36C24424R0066
About this file
Exhibit N is a comprehensive Contract Submittal Schedule for a lease solicitation for a Community-Based Outpatient Clinic (CBOC) in Ashtabula, Ohio. The document details 35 RLP (Request for Lease Proposal) submittals and 18 Lease submittals that potential lessors must provide, including required forms, documentation, and certifications. Key submittals include GSA Form 1364 (Proposal to Lease Space), proof of ownership, flood plain documentation, site plans, technical narratives, building security plans, energy efficiency compliance documents (LEED-NC Silver Scorecard), and post-lease documentation such as occupancy permits, HVAC balance reports, executed lease documents, and as-built drawings. The solicitation requires extensive documentation to demonstrate the property's suitability, compliance with government requirements, and the lessor's capability to meet the VA's specific space and operational needs.
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EXHIBIT N
CONTRACT SUBMITTAL SCHEDULE
PROJECT NUMBER
PROJECT TITLE
SOLICITATION/CONTRACT NUMBER
RLP NO. 36C24424R0066
LEASE NO. 36C24425L0001
TO BE COMPLETED BY PROJECT ENGINEER
LI
N
E N
U M
B
ER
DESCRIPTION OF ITEM,
CONTRACT REFERENCE, TYPE
OF SUBMITTAL
D A
TE
R
EC
EI
VE
IN
C O
N
TR
A C
TI
G
TE
T O
C
IV
IL
EN
IN
EE
R
ET
U R
N S
U
SP
SE
TE
SU
M
IT
TA
L
N U
M B
S
DATE CONTRACTOR
NOTIFIED
C O
N
TR
A C
TO
ES
U
B M
IT
TA
L
FI
A L
A
PP
R O
VA
REMARKS
APPROVED
DIS-APPROVED
RLP SUBMITTALS
1 GSA Form 1364, Proposal to Lease Space (Exhibit F)
2 GSA Form 1217, Lessor’s Annual Cost Statement (Exhibit G)
3 GSA Form 12000, Pre-lease Fire Protection and Life Safety Evaluation for an Office Building (Part A&B) (See Section 3 for applicable requirements) (Exhibit H)
4 GSA Form 3518, Representations and Certifications (Exhibit #)
5 Proof of ownership (Reference RLP Section 3.06)
6 Documentation evidencing proof that offered space/property/building is outside of the 100 Year Flood Plain (Reference RLP Section 2.02)
7 Evidence of at least Conditional Commitment of Funds (Reference RLP Section 3.06B)
8 Space Concept Drawing/First Generation Plans (Reference RLP Sections 2.01, 3.06O & 4.05)
9 Building Location Narrative (Reference RLP Section 4.05)
10 Design Concept Narrative
11 Technical Capability Narrative
12 Time required to Occupy Space Narrative (Reference RLP 4.05)
13 Parking Narrative (Reference RLP Section 3.06L)
14 Site Plan (Reference RLP Section 3.06)
15 Legal Description of Property and tax ID number associated with the property (Reference RLP Section 3.06)
16 Proof of Status/Preferences or Statement (Reference RLP Section 2.05, 3.02)
17 Representation Regarding Certain Telecommunication and Video Surveillance Services or Equipment (See RLP Section 1.06 for Exhibit)
18 Proof of Signing authority (See RLP Section 3.06F)
19 SAM Active Registration (See RLP Section 3.06I)
20 Proper Zoning (See RLP Section 3.06C)
21 Pre-Lease Building Security Plan (See Lease Section 3.45)
22 Subcontracting Plan
23 Program Management & Response Plan (Reference RLP Section 4.05)
24 Emergency Preparedness Plans
25 Past Performance References
26 Proposed Milestone Plan or Critical Path of Build Out Phase (Reference RLP Section 4.05)
27 Compliance with Energy Star Requirements (Reference RLP Section 3.06R)
28 LEED-NC Silver Scorecard & Statement Requirements (Reference RLP Section 3.06S-T)
29 Any deviations from the Government’s Stated Requirement (Reference RLP Section 3.06W)
30 Building Security Unit Price List (Exhibit I)
31 Unit Price List (Exhibit L)
32 Tenant Improvements Cost Summary (Exhibit M)
33 Prior Use (See RLP Section 3.06)
34 Asbestos Certification or Management Plan
35 Floor Plan(s)
CONTRACT SUBMITTAL SCHEDULE
PROJECT NUMBER
PROJECT TITLE
SOLICITATION/CONTRACT NUMBER
RLP NO. 36C24424R0066
LEASE NO. 36C24425L0001
TO BE COMPLETED BY PROJECT ENGINEER
LI
E N
U M
DESCRIPTION OF ITEM,
CONTRACT REFERENCE, TYPE
OF SUBMITTAL
TE
R
EC
EI
VE
IN
C
O N
TR
A
C
TI
TE
T O
C
IV
IL
IN
EE
ET
U R
N S
U
SP
SE
TE
SU
M
IT
TA
L
N U
M B
S
DATE CONTRACTOR
NOTIFIED
C O
N
TR
A C
TO
ES
U
B M
IT
TA
FI
A L
A
PP
R O
VA
REMARKS
APPROVED
DIS-APPROVED
LEASE SUBMITTALS
1 BUILDING OCCUPANCY PERMIT
2 HVAC BALANCE REPORT
3 WATER TESTING REPORT
4 EXECUTED LEASE DOCUMENT
(GSA FORM L100)
5 FIRM COMMITMENT OF FUNDS
SUFFICIENT TO PERFORM WORK
6 LICENSE OR CERTIFICATION TO
PRACTICE IN THE STATE
7 REUSED BUILDING MATERIAL
“REUSE PLAN”
8 GREEN LEASE SUBMITTALS
9 MSDS SHEETS
10 DIDS
11 TI PRICE PROPOSAL
12 CONSTRUCTION SCHEDULE
13 AS-BUILT DRAWINGS
14 COLOR BOARD FOR FINISHES
15 Section 1.03 a record of the meter numbers and verification that the meters measure Government usage only
16 Within 60 days after occupancy by the Government, the Lessor shall provide the LCO with a detailed written schedule of all periodic services and maintenance to be performed other than daily, weekly, or monthly.
17 Interior Signage Requirement
18 Commissioning Plan prior to completion of DIDs
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