GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV. 4/2009)

Page 1 of 2 Prescribed by APD 2800.12A

U.S. GOVERNMENT LEASE FOR REAL PROPERTY

(Short Form)

1. LEASE NUMBER

PART I - SOLICITATION/DESCRIPTION OF REQUIREMENTS (To be completed by Government)

A. REQUIREMENTS

2. The Government of the United States of America is seeking to lease approximately _______________ rentable square feet of

_______________ space located in _______________ for occupancy not later than _______________ (date) for a term of

________________. Rentable space must yield a minimum of _______________ to a maximum of _______________ square feet of

ANSI/BOMA Office Area (ABOA) for use by Tenant for personnel, furnishing, and equipment.

3. INITIAL OFFERS ARE DUE ON OR BEFORE CLOSE OF BUSINESS ________________________________________.

B. STANDARD CONDITIONS AND REQUIREMENTS

4 . The following standard conditions and requirements shall apply to any premises offered for lease to the UNITED STATES OF AMERICA (the GOVERNMENT):

a . Space offered must be in a quality building of sound and substantial construction meeting the Government’s requirements for the intended use.

b. The Lessor shall provide floor plans for the offered space and a valid Certificate of Occupancy for the intended use of the Government and shall meet, maintain, and operate the building in conformance with all applicable current (as of the date of this solicitation) codes and ordinances. If space is offered in a building to be constructed for lease to the Government, the building must be in compliance with the most recent edition of the building code, fire code, and ordinances adopted by he jurisdiction in which the building is located. t

c. Offered space shall meet or be upgraded to meet the applicable egress requirements in National Fire Protection Association (NFPA) 101, Life Safety Code or an alternative approach or method for achieving a level of safety deemed equivalent and acceptable by the Government. Offered space located below-grade, including parking garage areas, and all areas referred to as "hazardous areas" (defined in NFPA 101) within the entire building (including non-Government areas), shall be protected by an automatic sprinkler system or an equivalent level of safety. Additional automatic fire sprinkler requirements will apply when offered space is located on or above the 6th floor. Unrestricted access to a minimum of two remote exits shall be provided on each floor of Government occupancy. Scissor stairs shall be counted as only one approved exit. Open-air exterior fire escapes will not be counted as an approved exit. Additional fire alarm system requirements will apply hen offered space is located 2 or more stories in height above the lowest level of exit discharge. w

d. The Building and the leased space shall be accessible to persons with disabilities in accordance with appendices C and D of 36 CFR Part 1191 (ABA Chapters 1 nd 2 and Chapters 3 through 10 of the ADA-ABA Accessibility Guidelines). a

e. The leased space shall be free of all asbestos containing materials, except undamaged asbestos flooring in the space or undamaged boiler or pipe insulation outside the space, in which case an asbestos management program conforming to Environmental Protection Agency guidance shall be implemented. The space shall be free f other hazardous materials and in compliance with applicable Federal, State, and local environmental laws and regulations. o

f. Services, utilities, and maintenance will be provided daily, extending from __________ a.m. to __________ p.m. except Saturday, Sunday, and Federal holidays.

The Government shall have access to the leased space at all times, including the use of electrical services, toilets, lights, elevators, and Government office machines ithout additional payment. w

g. The Lessor shall complete any necessary alterations within __________ days after receipt of approved layout drawings.

h. The Offeror must have an active registration in the Central Contractor Registration (CCR) System (via the Internet at http://www.ccr.gov) prior to lease award and throughout the life of the lease. To remain active, the Lessor must update or renew its registration annually. The Government will not process rent payments to Lessors without an active CCR Registration. The Government will recognize no change of ownership of the leased premises until the new owner registers in the CCR system.

5. SERVICES AND UTILITIES (To be provided by Lessor as part of rent)

HEAT TRASH REMOVAL ELEVATOR SERVICE INITIAL & REPLACEMENT OTHER

ELECTRICITY CHILLED DRINKING WATER WINDOW WASHING LAMPS, TUBES & BALLASTS (Specify below)

POWER (Special Equip.) AIR CONDITIONING Frequency __________ PAINTING FREQUENCY

WATER (Hot & Cold) TOILET SUPPLIES CARPET CLEANING Space __________ SNOW REMOVAL JANITORIAL SERV. & SUPP. Frequency __________ Public Areas __________

6. OTHER REQUIREMENTS

Offerors should also include the following with their offers:

The estimated cost to prepare the space for occupancy by the Government and the Offeror’s proposed amortization rate for tenant alterations.

7. NOTE: All offers are subject to the terms and conditions outlined above, and elsewhere in this solicitation, including the Government’s General Clauses and Representations and Certifications.

8. BASIS OF AWARD

THE ACCEPTABLE OFFER WITH THE LOWEST PRICE PER SQUARE FOOT, ACCORDING TO THE ANSI/BOMA Z65.1-1996 DEFINITION FOR BOMA USABLE OFFICE AREA, WHICH MEANS “THE AREA WHERE A TENANT NORMALLY HOUSES PERSONNEL AND/OR FURNITURE, FOR WHICH A MEASUREMENT IS TO BE COMPUTED.”

OFFER MOST ADVANTAGEOUS TO THE GOVERNMENT, WITH THE FOLLOWING EVALUATION FACTORS BEING

SIGNIFICANTLY MORE IMPORTANT THAN PRICE

APPROXIMATELY EQUAL TO PRICE

SIGNIFICANTLY LESS IMPORTANT THAN PRICE

(Listed in descending order, unless stated otherwise):

DACW62-5-26-001

office/warehouse Lenoir City, TN 1 yr + 4 options

Pest Control, as needed

1,525

900 1,525

2 October 2026

1 Jan 2027 http://www.ccr.gov__/

GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV. 4/2009)

Page 2 of 2 Prescribed by APD 2800.12A

PART II - OFFER (To be completed by Offeror/Owner and remain open until lease award)

A. LOCATION AND DESCRIPTION OF PREMISES OFFERED FOR LEASE BY GOVERNMENT

1. NAME AND ADDRESS OF BUILDING (Include ZIP Code) 2. LOCATION(S) IN BUILDING

a. FLOOR(S)

b. ROOM NUMBER(S)

c. SQ. FT.

RENTABLE

ABOA

Common Area Factor

d. TYPE

GENERAL OFFICE OTHER (Specify)

WAREHOUSE __________

B. TERM

3. To have and to hold, for the term commencing on ____________________________________________________________ and continuing through

__________________________________________________ inclusive. The Government may terminate this lease in whole or in part at any time on or after

___________________________________, by giving at least _______________ days notice in writing to the Lessor. No rental shall accrue after the effective date of termination. Said notice shall be computed commencing with the day after the date of mailing.

C. RENTAL

4. Rent shall be payable in arrears and will be due on the first workday of each month. When the date for commencement of the lease falls after the 15th day of the month, the initial rental payment shall be due on the first workday of the second month following the commencement date. Rent for a period of less than a month shall be prorated.

5. AMOUNT OF ANNUAL RENT

6. RATE PER MONTH

7. HVAC OVERTIME

RATE PER HOUR

8. ELECTRONIC FUNDS TRANSFER PAYMENT SHALL BE MADE TO (Name and Address)

9a. NAME AND ADDRESS OF OWNER (Include ZIP code. If requested by the Government and the owner is a partnership or joint venture, list all General Partners, using a separate sheet, if necessary.)

9b. TELEPHONE NUMBER OF OWNER

10. TYPE OF INTEREST IN PROPERTY OF PERSON SIGNING

OWNER AUTHORIZED AGENT OTHER (Specify) 11a. NAME OF OWNER OR AUTHORIZED AGENT (Type or Print)

11b. TITLE OF PERSON SIGNING

11c. SIGNATURE OF OWNER OR AUTHORIZED AGENT

11d. DATE

PART III - AWARD (To be completed by Government)

1. Your offer is hereby accepted. This award consummates the lease which consists of the following attached documents: (a) this GSA Form 3626,

(b) Representations and Certifications, (c) the Government’s General Clauses, and (d) the following changes or additions made or agreed to by you:

2. THIS DOCUMENT IS NOT BINDING ON THE GOVERNMENT OF THE UNITED STATES OF AMERICA UNLESS SIGNED BELOW BY

AUTHORIZED CONTRACTING OFFICER.

3a. NAME OF CONTRACTING OFFICER (Type or Print)

3b. SIGNATURE OF CONTRACTING OFFICER

3c. DATE

PLEASE READ FIRST

INSTRUCTIONS FOR INSERTING TEXT INTO GSA FORM 3626

All instructions for creating this GSA FORM 3626 are in BLUE HIDDEN text. They will not print unless you specifically tell your printer to print hidden text.

A special "FORM 3626" tool bar was created for this document. It contains four buttons:

SHOW INSTRUCTIONS (to show instructions)

CTRL+SHIFT+I

HIDE INSTRUCTIONS (to hide instructions)

CTRL+SHIFT+H

SHOW/HIDE FIELD SHADING (to show or hide grayed form fields)

CTRL+SHIFT+F

PROTECT / UNPROTECT DOCUMENT (to quickly fill in form fields)

CTRL+SHIFT+P

The FORM FIELDS (gray boxes) are variables, which require text. To insert text into a gray box, click on the gray box, and begin typing. Once you type text into a gray box, the FORM FIELD will be removed from the template.

To quickly fill in the variable text, protect the document by clicking on the PROTECT / UNPROTECT FORM button (CTRL+SHIFT+P). Use the TAB key to navigate to the next variable form field. Use the SHIFT+TAB key to navigate backwards. When you come to a BOX FORM FIELD ((), press the keyboard letter “x” to select that box. NOTE 1: To keep the variable text in a FORM FIELD format, make all changes to variable text while in PROTECT MODE. This way you can continue to use the TAB key to search for variable text. If FORM FIELD text is altered while in UNPROTECT MODE, it will no longer appear as a FORM FIELD, and you will not be able to use the TAB key to find variable text. NOTE 2: To check a BOX FORM FIELD while in UNPROTECT MODE, double-click on the box and then select “Check” under “Default Value.”

This document may be on a Local Area Network (LAN) drive and may be a READ ONLY document. Since you cannot alter a READ ONLY document, save it to your local drive by using the SAVE AS command under the File menu. Once the document is saved on your local drive, you may make changes.

U.S. GOVERNMENT LEASE FOR REAL PROPERTY

(Short Form)

1.

LEASE NUMBER

PART I - SOLICITATION/DESCRIPTION OF REQUIREMENTS (To be completed by Government)

A. REQUIREMENTS

2. The Government of the United States of America is seeking to lease approximately _______________ rentable square feet of _______________ space located in _______________ for occupancy not later than _______________ (date) for a term of ________________. Rentable space must yield a minimum of _______________ to a maximum of _______________ square feet of ANSI/BOMA Office Area (ABOA) for use by Tenant for personnel, furnishing, and equipment.

3. INITIAL OFFERS ARE DUE ON OR BEFORE CLOSE OF BUSINESS ________________________________________.

B. STANDARD CONDITIONS AND REQUIREMENTS

4. The following standard conditions and requirements shall apply to any premises offered for lease to the UNITED STATES OF AMERICA (the GOVERNMENT):

a. Space offered must be in a quality building of sound and substantial construction meeting the Government’s requirements for the intended use.

b. The Lessor shall provide floor plans for the offered space and a valid Certificate of Occupancy for the intended use of the Government and shall meet, maintain, and operate the building in conformance with all applicable current (as of the date of this solicitation) codes and ordinances. If space is offered in a building to be constructed for lease to the Government, the building must be in compliance with the most recent edition of the building code, fire code, and ordinances adopted by the jurisdiction in which the building is located.

c. Offered space shall meet or be upgraded to meet the applicable egress requirements in National Fire Protection Association (NFPA) 101, Life Safety Code or an alternative approach or method for achieving a level of safety deemed equivalent and acceptable by the Government. Offered space located below-grade, including parking garage areas, and all areas referred to as "hazardous areas" (defined in NFPA 101) within the entire building (including non-Government areas), shall be protected by an automatic sprinkler system or an equivalent level of safety. Additional automatic fire sprinkler requirements will apply when offered space is located on or above the 6th floor. Unrestricted access to a minimum of two remote exits shall be provided on each floor of Government occupancy. Scissor stairs shall be counted as only one approved exit. Open-air exterior fire escapes will not be counted as an approved exit. Additional fire alarm system requirements will apply when offered space is located 2 or more stories in height above the lowest level of exit discharge.

d. The Building and the leased space shall be accessible to persons with disabilities in accordance with appendices C and D of 36 CFR Part 1191 (ABA Chapters 1 and 2 and Chapters 3 through 10 of the ADA-ABA Accessibility Guidelines).

e. The leased space shall be free of all asbestos containing materials, except undamaged asbestos flooring in the space or undamaged boiler or pipe insulation outside the space, in which case an asbestos management program conforming to Environmental Protection Agency guidance shall be implemented. The space shall be free of other hazardous materials and in compliance with applicable Federal, State, and local environmental laws and regulations.

f. Services, utilities, and maintenance will be provided daily, extending from __________ a.m. to __________ p.m. except Saturday, Sunday, and Federal holidays. The Government shall have access to the leased space at all times, including the use of electrical services, toilets, lights, elevators, and Government office machines without additional payment.

g. The Lessor shall complete any necessary alterations within __________ days after receipt of approved layout drawings.

h. The Offeror must have an active registration in the Central Contractor Registration (CCR) System (via the Internet at http://www.ccr.gov) prior to lease award and throughout the life of the lease. To remain active, the Lessor must update or renew its registration annually. The Government will not process rent payments to Lessors without an active CCR Registration. The Government will recognize no change of ownership of the leased premises until the new owner registers in the CCR system.

5. SERVICES AND UTILITIES (To be provided by Lessor as part of rent)

FORMCHECKBOX

HEAT

FORMCHECKBOX

TRASH REMOVAL

FORMCHECKBOX

ELEVATOR SERVICE

FORMCHECKBOX

INITIAL & REPLACEMENT

FORMCHECKBOX

OTHER

FORMCHECKBOX

ELECTRICITY

FORMCHECKBOX

CHILLED DRINKING WATER

FORMCHECKBOX

WINDOW WASHING

LAMPS, TUBES & BALLASTS

(Specify below)

FORMCHECKBOX

POWER (Special Equip.)

FORMCHECKBOX

AIR CONDITIONING

Frequency

FORMCHECKBOX

PAINTING FREQUENCY

FORMCHECKBOX

WATER (Hot & Cold)

FORMCHECKBOX

TOILET SUPPLIES

FORMCHECKBOX

CARPET CLEANING

Space

FORMCHECKBOX

SNOW REMOVAL

FORMCHECKBOX

JANITORIAL SERV. & SUPP.

Frequency

Public Areas

6.

OTHER REQUIREMENTS

Offerors should also include the following with their offers:

The estimated cost to prepare the space for occupancy by the Government and the Offeror’s proposed amortization rate for tenant alterations.

7. NOTE: All offers are subject to the terms and conditions outlined above, and elsewhere in this solicitation, including the Government’s General Clauses and Representations and Certifications.

8.

BASIS OF AWARD

FORMCHECKBOX

THE ACCEPTABLE OFFER WITH THE LOWEST PRICE PER SQUARE FOOT, ACCORDING TO THE ANSI/BOMA Z65.1-1996 DEFINITION FOR BOMA USABLE OFFICE AREA, WHICH MEANS “THE AREA WHERE A TENANT NORMALLY HOUSES PERSONNEL AND/OR FURNITURE, FOR WHICH A MEASUREMENT IS TO BE COMPUTED.”

OFFER MOST ADVANTAGEOUS TO THE GOVERNMENT, WITH THE FOLLOWING EVALUATION FACTORS BEING

SIGNIFICANTLY MORE IMPORTANT THAN PRICE

APPROXIMATELY EQUAL TO PRICE

SIGNIFICANTLY LESS IMPORTANT THAN PRICE

(Listed in descending order, unless stated otherwise):

PART II - OFFER (To be completed by Offeror/Owner and remain open until lease award)

A. LOCATION AND DESCRIPTION OF PREMISES OFFERED FOR LEASE BY GOVERNMENT

1.

NAME AND ADDRESS OF BUILDING (Include ZIP Code)

2. LOCATION(S) IN BUILDING

a.

FLOOR(S)

b.

ROOM NUMBER(S)

c.

SQ. FT.

RENTABLE

ABOA

Common Area Factor d.

TYPE

GENERAL OFFICE

OTHER (Specify)

WAREHOUSE

B. TERM

3. To have and to hold, for the term commencing on ____________________________________________________________ and continuing through __________________________________________________ inclusive. The Government may terminate this lease in whole or in part at any time on or after ___________________________________, by giving at least _______________ days notice in writing to the Lessor. No rental shall accrue after the effective date of termination. Said notice shall be computed commencing with the day after the date of mailing.

C. RENTAL

4. Rent shall be payable in arrears and will be due on the first workday of each month. When the date for commencement of the lease falls after the 15th day of the month, the initial rental payment shall be due on the first workday of the second month following the commencement date. Rent for a period of less than a month shall be prorated.

5.

AMOUNT OF ANNUAL RENT

7.

HVAC OVERTIME

RATE PER HOUR

8.

ELECTRONIC FUNDS TRANSFER PAYMENT SHALL BE MADE TO (Name and Address)

6.

RATE PER MONTH

9a.

NAME AND ADDRESS OF OWNER (Include ZIP code. If requested by the Government and the owner is a partnership or joint venture, list all General Partners, using a separate sheet, if necessary.)

9b.

TELEPHONE NUMBER OF OWNER

10.

TYPE OF INTEREST IN PROPERTY OF PERSON SIGNING

OWNER

FORMCHECKBOX

AUTHORIZED AGENT

OTHER (Specify)

11a.

NAME OF OWNER OR AUTHORIZED AGENT (Type or Print)

11b.

TITLE OF PERSON SIGNING

11c.

SIGNATURE OF OWNER OR AUTHORIZED AGENT

11d.

DATE

PART III - AWARD (To be completed by Government)

1. Your offer is hereby accepted. This award consummates the lease which consists of the following attached documents: (a) this GSA Form 3626, (b) Representations and Certifications, (c) the Government’s General Clauses, and (d) the following changes or additions made or agreed to by you:

2. THIS DOCUMENT IS NOT BINDING ON THE GOVERNMENT OF THE UNITED STATES OF AMERICA UNLESS SIGNED BELOW BY AUTHORIZED CONTRACTING OFFICER.

3a.

NAME OF CONTRACTING OFFICER (Type or Print)

3b.

SIGNATURE OF CONTRACTING OFFICER

3c.

DATE

General Services Administration

GSA Form 3626 (Rev. 4/2009)

Prescribed by APD 2800.12A