GSA Form 3626. Charleston WV.8.11.26.doc
DOC document 35 KB Posted
- Attached to
- FEMA Disaster Lease - Charleston, WV
- Solicitation number
- LWV01110
About this file
This is a GSA Form 3626, which is the "Statement of Prospective Occupant's Requirement for Lease Space" used to document space needs for a federal lease transaction. The form pertains to a FEMA Disaster Lease requirement in Charleston, West Virginia, issued under Solicitation Number LWV01110 by the General Services Administration Public Buildings Service Central Office Office of Leasing.
The GSA Form 3626 serves as a template document that prospective landlords and the government use to establish baseline requirements for leased space, including specifications for square footage, layout, accessibility, building systems, and other occupancy parameters necessary for the federal government's operational needs. This particular form is associated with FEMA's disaster response leasing needs in Charleston, West Virginia, and would be completed to define the specific space requirements that responsive lease proposals must satisfy. The form functions as a critical planning document that aligns landlord offerings with government space utilization standards and operational objectives.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| GSA Form 3517B (General Clauses).doc | DOC document | |
| FEMA Supplemental Office Lease Requirements.doc | DOC document | |
| FAR 52.204-24 (Section 889 Representation).doc | DOC document | |
| FEMA Form 3518 (Reps and Certs).doc | DOC document |
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Text version
U.S. GOVERNMENT LEASE FOR REAL PROPERTY
(Short Form)
| 1a. | LEASE NUMBER | LWV01110 |
| 1b. BUILDING NUMBER |
PART I - OFFER (Offeror completes Section A, C and D; Government shall complete Section B)
NOTE: All offers are subject to the terms and conditions outlined in Request for Lease Proposals No. , Supplemental Lease Requirements document, General Clauses (GSA Form 3517A), and any other attachments included herein.
A. LOCATION AND DESCRIPTION OF PREMISES OFFERED FOR LEASE BY GOVERNMENT
| 1. | NAME AND ADDRESS OF BUILDING (Include nine-digit ZIP Code) |
| 2. LOCATION(S) IN BUILDING |
Kanawha Valley Building 300 Capitol Street Charleston, WV 25301
| 2a. | FLOOR(S) | 10th Floor |
| 2b. | ROOM NUMBER(S) Suite XXXX |
| 2e | NUMBER OF PARKING SPACES OFFERED | |
| STRUCTURED | 0 | |
| SURFACE | 0 |
ANNUAL PARKING RATES (IF NOT INCLUDED IN RATES UNDER PART C BELOW)
| STRUCTURED | /space |
| SURFACE | /space |
| 2c. | SQ. FT. | ||
| RENTABLE | 4,500 | ||
| ABOA | 4,018 | ||
| Common Area Factor | 12% | ||
| 2d. | TYPE | ||
| |X| | GENERAL OFFICE | ||
| |_| | WAREHOUSE | ||
| |_| | OTHER (Specify) |
B. TERM
3a. To have and to hold the said Premises with its appurtenances for the term beginning upon acceptance of the Premises as required by this Lease and continuing for a period of 4 Months, 2 Months Firm, subject to termination and renewal rights as may be hereinafter set forth. The commencement date of this Lease, along with any applicable termination and renewal rights, shall be more specifically set forth in a Lease Amendment upon substantial completion and acceptance of the Space by the Government.
3b. The Government may terminate this Lease, in whole or in parts, at any time effective after the Firm Term of this Lease, by providing not less than 10 days prior written notice to the Lessor. The effective date of the termination shall be the day following the expiration of the required notice period or the termination date set forth in the notice, whichever is later. No rental shall accrue after the effective date of termination.
3c. INTENTIONALLY Deleted
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. Rent shall not be adjusted for changes in real estate taxes or operating costs.
5a. AMOUNT OF ANNUAL RENT $69,750 5b. RATE PER MONTH $5,812.50
| RENTAL RATE BREAKDOWN |
| FIRM TERM |
($/RSF/YEAR)
NON-FIRM TERM
($/RSF/YEAR)
RENEWAL TERM
($/RSF/YEAR)
6. BUILDING SHELL RENT
(INCL. REAL ESTATE TAXES)
6a. $15.50
| 6b. Same as 6a |
| 6c. $N/A |
| 7. OPERATING RENT |
| 7a. $0.00 |
| 7b. Same as 7a |
| 7b. Same as 7a |
8. TURNKEY TENANT
IMPROVEMENT RENT
(See blocks 12 and 13 below for additional breakdown of cost and amortization rate ) 8a. $0.00
| 8b. $0.00 |
| 8c. $0.00 |
| 9. BUILDING SPECIFIC AMORTIZED CAPITAL (IF APPLICABLE) |
| 9a. $0.00 |
| 9b. $0.00 |
| 9c. $0.00 |
| 10. TOTAL RENT |
| 10a. $15.50 |
| 10b. $15.50 |
| 10c. $N/A |
11. TENANT IMPROVEMENT COSTS
N/A
12. INTEREST RATE TO AMORTIZE TENANT IMPROVEMENTS
N/A
| 13. HVAC OVERTIME RATE PER HOUR $75.00/hr |
| 14. ADJUSTMENT FOR VACANT PREMISES RATE ($/ABOA SF/YEAR) $0.00 |
D. OWNER IDENTIFICATION AND CERTIFICATION
15. RECORDED OWNER
15a. Name Kanawha Valley Building, LLC 15b. Unique Entity Identifier (UEI)
JYM6ZDHFYL77
15c. Address P.O. Box 6190 15d. City Charleston 15e. State
WV
15f. ZIP + 4 25362
16. BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY HEREIN SPECIFIED DATE, TO LEASE TO THE UNITED STATES OF AMERICA, THE PREMISES DESCRIBED, UPON THE TERMS AND CONDITIONS AS SPECIFIED HEREIN, IN FULL COMPLIANCE WITH AND ACCEPTANCE OF THE AFOREMENTIONED RLP, WITH ATTACHMENTS.
|X| I have read the RLP with attachments in its entirety and am requesting no deviations
| 17. OFFEROR’S INTEREST IN PROPERTY | |||
| |X| | OWNER | |_| | AUTHORIZED AGENT |_| OTHER (Specify) |
18. OFFEROR |_| Check if same as Recorded Owner
18a. NAME Bradley M. Rowe 18b. ADDRESS P.O. Box 6190 18c. CITY Charleston 18d. STATE
WV
18e. ZIP + 4 25362
18f. Title
18g. E-mail address management@generalcorporation.com 18h. Telephone Number 304-343-2201
18i. OFFEROR’S SIGNATURE
18j. DATE SIGNED
PART II - 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) Supplemental Lease Requirements, (c) Security Requirements, (d) Agency Specific Requirements, (e) Floor Plan delineating the Premises, (f) GSA Form 3517A, General Clauses (Acquisition of Leasehold Interests in Real Property for Small Leases), and (g) the following building improvements, changes or additions made or agreed to by you (for example, energy efficiency and conservation improvements, ABAAS upgrades, Seismic Form C - Building Retrofit or New Construction Pre-Award Commitment (if applicable)):
2. THIS DOCUMENT IS NOT BINDING ON THE GOVERNMENT OF THE UNITED STATES OF AMERICA UNLESS SIGNED BELOW BY AUTHORIZED LEASE CONTRACTING OFFICER.
3a. NAME OF LEASE CONTRACTING OFFICER (Type or Print) 3b. SIGNATURE OF LEASE CONTRACTING OFFICER
3c. DATE
GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV 10/21)
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