c. Amortization Interest Rate:

c. Amortization Interest Rate:

This Offer is in response to Request for Lease Proposals (RLP) Number:

SECTION I - BUILDING OVERVIEW

RENT TABLE

1. Building Name

13. Full Term of the Lease

16. Shell Rent

17. Operating Costs (Refer to Line 27 on the GSA 1217)

The initial Shell Rent is a total annual dollar amount of

18. Tenant Improvement (TI) Rent

d. Amortization Period in Months:

b. Total TI:

The Operating Cost base is a total annual dollar amount of

a. TI Allowance per ABOA SF: (stated in RLP; leave blank for turnkey)

('a' above multiplied by offered ABOA SF or turnkey price)

Does the initial Shell Rent offered change during the term of the lease?

Months

14. Firm Term of the Lease

Months

9. ABOA SF of Offered Space 10. RSF of Offered Space 11. CAF of Offered Space

Y.

Annual Rate $ Per RSF

Z.

Annual Rate

$ Per ABOA SF

X.

Annual Rent

15. Number of Days Notice

12. Floor(s) and/or Suite(s) of Offered Space

3. City, State and 9-Digit ZIP Code

a. Total Surface b. Total Structured c. Is all the parking onsite? d. Number of spaces required by local code, if applicable:

After the Firm Term, the Government may terminate the Lease by providing advanced written notice to the Lessor. Indicate the minimum number of days the Government must provide prior written notice by.

a. General Purpose/Office: b. Warehouse: c. Other:

5. Total Rentable Square Feet (RSF) in Building

Building Space Breakout

8. Total Building Parking Under Offeror's Control

7. Building Common Area Factor (CAF)

6. Total ANSI/BOMA Occupant Area (ABOA) Square Feet (SF) in Building

4. Number of Floors in Building

2. Building Street Address

OMB Control Number: 3090-0086 Expiration Date: 2/28/2029

PROPOSAL TO LEASE SPACE

(See Paperwork Reduction Act Statement in Section V)

SECTION II - PRIMARY OFFER DETAILS

GENERAL SERVICES ADMINISTRATION

YES NO

NOYES

GSA 1364 (REV. 1/2023)

d. Amortization Period in Months:

b. Total BSAC: ('a' above multiplied by offered ABOA SF or total cost)

a. BSAC Amount per ABOA SF:

19. Building Specific Amortized Capital (BSAC) Rent

g. Reserved Structured:

h. Number of Spaces Offered:

f. Number of Spaces Offered:

e. Reserved Surface:

c. General Structured:

d. Number of Spaces Offered:

b. Number of Spaces Offered:

a. General Surface:

20. Parking Required by the RLP

$0.00

21. Rent for Non-Standard Circumstances

Not Applicable The RLP requires a non-standard rental component applicable only under specific conditions outlined in the Lease called:

22. TOTAL INITIAL RENT

b. Lessor's Project Management fee will be:

Percent of Total Construction Costs

The RLP outlines how fees may apply. Fees are not applicable for turnkey pricing.

23. Fee Schedule

a. Architectural/Engineering fees will be (choose one):

Percent of Total Construction Costs:

Dollar Amount per ABOA SF:

Flat Fee:

(Parking spaces and associated costs offered to meet the requirements outlined in the RLP shall be detailed in Box 20).

Enter initial rental figures only. Scheduled step rents for Shell rent and Parking rates must be entered in Section VI, Addendum.

per space per month per space per month per space per month per space per month

(if stated in RLP)$

SECTION III - ADDITIONAL FINANCIAL ASPECTS OF THE OFFER

per ABOA SF

24. Are you offering free rent?

25. Are you offering free space?

27. Commissions If applicable, enter the commission distribution and ATTACH BROKER COMMISSION

AGREEMENT.

28. Adjustment for Vacant Premises

31. Heating, Ventilation, and Air Conditioning (HVAC) Overtime Rate

26. Are you offering renewal options?

a. If yes, enter the number of free months being offered.

a. If yes, how much free space, in addition to the space offered in Box 9 above, is being offered?

If yes, fill out 'Renewal Options' in Section VI, Addendum.

Explain complex tax parcel arrangements in Section VI, Addendum.

b. What rent components are included in the free rent?

months Shell TI Parking

Non-StandardOperating Costs BSAC

NOYES

NO YES NOYES ABOA SF

a. RSF of Tax Parcel

b. Percent of Occupancy

RSF

b. Owner's Representative Commission

b. Select one of the options below: c. Total Number of Zones, Floors, or Spaces

d. If the Government used 1 hour of overtime HVAC for the entire offered space, it would owe:

(Multiply 31a times 31c)

a. Tenant's Representative Commission per ABOA SF $

29. Adjustment for Reduced Services

30. Tax Parcel Percent of Government Occupancy a.

-PER- SpaceFloorZone

GSA 1364 (REV. 1/2023)

rate per hour

SECTION IV - BUILDING AND PROPERTY INFORMATION

Total Land Costs:

c. The requirements of the Lease will be satisfied through the construction of a new building.

b. The Building already meets all the Lease shell requirements; no improvements are necessary.

$The total approximate construction cost to achieve Lease shell standards is:

a. Improvements to the existing Building will be required to meet the Lease shell requirements.

34. Select the approximate level of construction necessary to meet the building shell requirements:

33. Provide the year and a brief description of the last major building renovation, if applicable.

32. In what year was the original building construction completed and ready for initial occupancy?

$AcresSF (Choose one)

Land Site Size:

Sunday

Start

End

Saturday

Start

EndEnd

Start

Monday - Friday

35. What are the Building's normal hours of operations for HVAC included in the Operating Costs?

c. The Property does NOT meet the Lease fire protection/life safety standards and will NOT be upgraded.

b. The Property will be improved to meet the Lease fire protection/life safety standards.

a. The Property meets the Lease fire protection/life safety standards.

36. With regard to Fire Protection and Life Safety:

c. The Property does NOT meet the Lease accessibility standards and will NOT be upgraded.

b. The Property will be improved to meet the Lease accessibility standards.

a. The Property meets the Lease accessibility standards.

37. With regard to Accessibility (Architectural Barriers Act Accessibility Standard - ABAAS):

e. The Building contains ACM; abatement will be completed prior to occupancy.

d. The Building contains ACM that does not fall within any of the above categories.

c. The Building contains thermal system insulation ACM which is not damaged or subject to damage by routine operations.

a. The Building contains no ACM.

38. With regard to Asbestos-Containing Material (ACM): (Select all that apply)

39. With regard to Flood Plains:

a. The Property is in a base (100 year) floodplain.

b. The Property is in a 500 year floodplain.

c. The Property is NOT in a floodplain.

b. The Building contains undamaged, nonfriable ACM.

or

40. With regard to Seismic Safety of the Building:

a. The RLP does NOT contain seismic requirements.

b. The Building either fully meets RLP seismic requirements or meets an exemption.

c. The Building will be retrofitted to meet RLP seismic requirements it does not currently meet.

d. The Building will be constructed to meet RLP seismic requirements.

e. The Building will NOT meet RLP seismic requirements.

GSA 1364 (REV. 1/2023)

(ii) There are no cost effective improvements. Supporting documentation is attached to this offer.

(i) Cost effective improvements have been identified and are attached to this offer.

With regard to offerors falling into a statutory exception category above, the Offeror has evaluated energy efficiency and conservation improvements and has determined:

(3) The Lease is for 10,000 RSF or less.

(2) The Lease would be in a building of historical, architectural, or cultural significance listed or eligible to be listed on the National Register of Historic Places.

(1) The agency would remain in the building it currently occupies.

iii. Meets one of the statutory exceptions below:

ii. Existing building that cannot obtain label due to insufficient occupancy

i. New construction

b. The Property has NOT received the ENERGY STAR® Label within the past twelve months but falls into one of the following categories:

Date (MM/DD/YYYY):

a. The Property has received the ENERGY STAR® Label within the past twelve months.

41. With regard to ENERGY STAR®:

42. With regard to Historic Preference:

a. Is the Building a Historic Property? YES NO

NOYESb. Is the Building within an Historic District?

43. With regard to Historically Underutilized Business Zones (HUBZone) Price Evaluation Preference:

a. I am a HUBZone Small Business Concern (SBC) Offeror and I elect to waive the price evaluation preference.

b. I am a HUBZone SBC Offeror and I do NOT waive the price evaluation preference.

c. I am NOT a HUBZone SBC Offeror. The question does not apply.

SECTION V - OWNER IDENTIFICATION AND OFFEROR CERTIFICATION

46. City, State and 9-Digit ZIP Code45. Owner Street Address44. Recorded Owner Name

49. Offeror Street Address48. Offeror Name

47. Unique Entity Identifier (UEI)

b. Telephone

a. Email

51. Contact Information50. City, State and 9-Digit ZIP Code

Agent / Broker

Other (Explain if Other is selected)

Owner (Offeror and Recorded Owner are the same person)52. Offeror's Interest in the Property

By signing this form, you acknowledge having read the RLP with attachments in its entirety. No deviations are allowed unless authorized by the Lease Contracting Officer (LCO).

By submitting this offer, the offeror agrees to lease the premises described within the offer to the United States of America upon the Lease Contracting Officer's acceptance of the offer. The offeror acknowledges they have read and fully understand the Request for Lease Proposals and agrees to honor the terms and conditions specified in their offer and to full compliance with and acceptance of the Request for Lease Proposals and its attachments.

53. Does your offer request any deviation from the RLP? NO YES - I request a deviation from the LCO

Offeror's Signature Date Signed

This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995.

You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0086. We estimate that it will take 2.3 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

PAPERWORK REDUCTION ACT STATEMENT

SECTION VI - ADDENDUM

A. Step Rent

Shell Rent and Parking steps should be detailed if the initial amount stated in the Rent Table above does NOT remain the same for the full term of the Lease. Shell Rent step amounts should be stated in Annual Rent for the entire Leased space.

Parking step rents should be stated as a dollar amount per space per month.

Rent Type Beginning Year Through Year Amount Will Be ($) Per

Add a Step Rent Remove a Step Rent

B. Renewal Options Renewal Options are optional unless required by the RLP. Only renewal options that are required by the RLP will factor into the Government's financial analysis of the Offer.

Option Number Duration in Years Annual Shell Rate per RSF

Number of Days Notice to Exercise Option

Add an Option Remove an Option

C. Additional Tax Parcel Information

Is the offered space part of multiple tax bills or multiple buildings on a single tax parcel? YES NO

If 'YES', use the boxes below to account for the total number of buildings, associated RSF, and tax parcel associated with the overall space offered to the Government. Attach the legal description(s) of the offered property/properties as part of your overall RLP submission.

Building Building RSF Tax Parcel ID NumberTax Parcel

Add a Building/Tax Parcel Remove a Building/Tax Parcel

D. Additional Remarks or Conditions with Respect to this Offer Any deviations from the RLP requirements must be requested prior to the request for final proposal revisions. If the Offeror requests any deviations, GSA at its sole discretion will make the decision whether to accept the deviation.

GSA 1364 (REV. 1/2023)