GSA Form 3626 Short Form 5FL0645 11.18.2025.pdf

GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV 10/21)

U.S. GOVERNMENT LEASE FOR REAL PROPERTY

(Short Form)

1a. LEASE NUMBER

GS-04P-LFL03078

1b. BUILDING

NUMBER: TBD

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. 5FL0645, 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

2a. FLOOR(S) N/A 2b. ROOM NUMBER(S)

N/A

2e NUMBER OF

PARKING SPACES

OFFERED

STRUCTURED

SURFACE

Reserved for the exclusive use of the Government.

2c. SQ. FT.

RENTABLE N/A

ABOA N/A

Common Area Factor N/A

2d. TYPE

GENERAL OFFICE

WAREHOUSE

OTHER (Specify) N/A

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 1 Year, 6 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 30 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. This Lease may be renewed at the option of the Government for a term of 1 YEAR x 3 option terms at the rental rate(s) set forth below, provided notice is given to the Lessor at least 15 days before the end of the original Lease term; all other terms and conditions of this Lease, as same may have been amended, shall remain in full force and effect during any renewal term.

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. RATE PER SPACE

PER MONTH

5b. RATE PER SPACE

5c. RATE PER SPACE

5d. RATE PER SPACE

RENTAL RATE BREAKDOWN BASE YEAR 1

Months 1-12

RENEWAL TERM (1)

Months 13-24

RENEWAL TERM (2)

Months 25-36

RENEWAL TERM (3)

Months 37-48

6. BUILDING SHELL RENT

(INCL. REAL ESTATE

TAXES)

6a. $

6b. Same as 6a 6c. Same as 6a 6d. $ Same as 6a

7. OPERATING RENT 7a. $

7b. Same as 7a 7b. Same as 7a 7d. Same as 7a

8. TURNKEY TENANT

IMPROVEMENT RENT

(See blocks 12 and 13 below for additional breakdown of cost and amortization rate )

8a. $

8b. $0.00 8c. $0.00 8d. $0.00

9. ANNUAL PARKING RENT

(Combined Annual rent for all Three spaces)

9a. $

9b. $ 9c. $ 9d. $

10. TOTAL RENT 10a. $

10b. $ 10c. $

10c. $

GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV 10/21)

11. TENANT IMPROVEMENT COSTS

N/A

12. INTEREST RATE TO AMORTIZE TENANT

IMPROVEMENTS

N/A

13. HVAC OVERTIME RATE PER HOUR

N/A

14. ADJUSTMENT FOR VACANT PREMISES

RATE ($/ABOA SF/YEAR)

N/A

D. OWNER IDENTIFICATION AND CERTIFICATION

15. RECORDED OWNER

15a. Name

15b. Unique Entity Identifier (UEI)

15c. Address

15d. City

15e. State

15f. ZIP + 4

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.

I have read the RLP with attachments in its entirety and am requesting no deviations

17. OFFEROR’S INTEREST IN PROPERTY

OWNER AUTHORIZED AGENT OTHER (Specify)

18. OFFEROR Check if same as Recorded Owner

18a. NAME

18b. ADDRESS

18c.

CITY

18d. STATE

18e. ZIP + 4

18f. Title

18g. E-mail address

18h. Telephone Number

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) Parking Plan, and (f) GSA Form 3517A, General Clauses (Acquisition of Leasehold Interests in Real Property for Small Leases)

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