GSA1364 PROPOSAL TO LEASE SPACE.pdf

SECTION I - DESCRIPTION OF PREMISES

In Response to Request for Lease Proposals (RLP) Number -->

a. Building Name1. BUILDING

DESCRIPTION

c. City d. State

SQUARE FEET

POUNDS PER

SQUARE FOOT

SQUARE FEET SQUARE FEET

SQUARE FEET

ACRES

a. GENERAL PURPOSE (Office)

b. WAREHOUSE

7. BUILDING AGE 8. SITE SIZE

c. OTHER

e. 9-Digit ZIP Code

3. TOTAL RENTABLE SPACE IN OFFERED BUILDING

6. YEAR OF LAST

MAJOR RENOVATION

(if applicable)

f. Congressional District

2a. FLOORS OFFERED

4. LIVE FLOOR LOAD

2b. TOTAL NUMBER OF FLOORS

IN BUILDING

5. MEASUREMENT METHOD

b. Building Street Address

DATED

Paperwork Reduction Act Statement - 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.

OMB Control Number: 3090-0086 Expiration Date: 12/31/2022PROPOSAL TO LEASE SPACE

GSA 1364 (REV. 11/2016)GENERAL SERVICES ADMINISTRATION

ANSI/BOMA

OTHER

17. OPERATING COSTS

(Refer to Line 27 on

GSA 1217)

18. TOTAL RATE/

SQUARE FOOT

19. TOTAL ANNUAL

RENT

16. SHELL RENT

(Including real estate taxes. Refer to Line 28 on GSA 1217)

a. PER SQUARE

FOOT

RATE

b. FOR YEARS

/RSF ThruThruThru /RSF

/ABOA

/RSF

/ABOA/ABOA

c. PER SQUARE

FOOT

RATE

e. PER SQUARE

FOOT

RATE

d. FOR YEARS f. FOR YEARS

20. STEP RENT

(SHELL RATES)

GSA 1364 (REV. 11/2016) PAGE 2

13. BSAC

(per RLP requirements detailed on Security Unit Price List)

14. SHELL BUILD-OUT

(per RLP requirements)

15. TOTAL BUILD-OUT

COSTS

SECTION II - SPACE OFFERED AND RATES

9. ANSI/BOMA OFFICE AREA

SQUARE FEET (ABOA)

10. RENTABLE SQUARE FEET

(RSF) 11. COMMON AREA FACTOR (CAF)

"Tenant Improvements" are all alterations for the Government-demised area above the building shell buildout, excluding costs identified as tenant improvements in the Security Unit Price List. Building Specific Amortized Capital (BSAC) is the sum of costs identified as such in the Security Unit Price List. Neither the Tenant Improvements as stated in Block 12, nor the BSAC as stated in Block 13, are to be included in the shell rent. It is expected that the tenant buildout will be fully amortized at the end of the firm term, and the rent will be reduced accordingly. Any desired rent increases or decreases beyond the firm term of the lease should be reflected in the shell rate and fully explained as part of this written proposal. If Tenant improvements or BSAC improvements are to be amortized beyond the firm team, those calculations must be itemized as part of this written proposal. The Offeror may attach additional pages as necessary.

Number of years each cost per square foot is in effect. State any changes for any rent component.

a.

BUILD-OUT COSTS

PER

CATEGORY

b.

AMORTIZATION

TERM

c.

AMORTIZATION

INTEREST

RATE (%)

d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA

SQUARE FOOT

f.

NUMBER OF

YEARS RATE

IS EFFECTIVE

12. TENANT

IMPROVEMENTS

(per RLP requirements)

StructuredSurface

Surface Structured

StructuredSurface

Surface Structured

StructuredSurfaceAnnual cost per space:If NO, complete the following:

e. Does the rental rate offered above include RLP - required parking costs?

d. Number of parking spaces (auto and truck) for Official Government Vehicles (per RLP):

c. Number of auto parking spaces for Employee/Visitor Use (per RLP):

b. Number of auto parking spaces required by local code:

a. Number of parking spaces for the future building/facility which are under the control of the Offeror:

21. PARKING

YES NO

b. Lessor's Project Management Fee will be percent of Total TI construction costs.

GSA 1364 (REV. 11/2016) PAGE 3

c. Schedule of Commission Payments:

% at lease occupancy% at lease award and %%

a. Tenant Representative Commission:

26. COMMISSIONS (if applicable), ATTACH COMMISSION AGREEMENT

25. Space will be altered and delivered in accordance with the Government's specifications and requirements in accordance with the Request for Lease Proposals (RLP) and the lease.

24. OFFER GOOD UNTIL AWARD

a. Number of Years b. Years Firm c. Number of Days Notice for Government to Terminate Lease:

d. Number of Days Notice to Exercise Option

c. Number of Options

b. Years Eacha. Shell Rate/ RSF/Year

23. RENEWAL OPTIONS22. INITIAL LEASE TERM

(Full Term)

SECTION III - LEASE TERMS AND CONDITIONS

b. Owner's Representative Commission:

The Government will add the cost of the proposed TI fees to the net present value of the offered rental rate as described in the RLP's Present Value Price Evaluation paragraph. This schedule will be applicable for Tenant Improvements.

*Block 27 fees only applicable for Tenant Improvement (TI) subject to post-award pricing;

N/A for turnkey pricing.

c. If other fees are applicable, state as per ABOA square foot in the space below, or if using a percentage, the basis for determining the fee.

flat fee

% of Total TI construction costs.

27. OFFEROR'S TENANT IMPROVEMENT FEE SCHEDULE

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

per ABOA SF

28. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises: per ABOA SF

HVAC Overtime Rate: per hour per (choose one)

For rates based on a "per zone" basis, provide the following:

Number of zones in offered space:

*Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent, as described under Section 6 of the Lease.

per ABOA SF*Areas requiring 24 hour HVAC (LAN, etc.)

If a site is offered, state the total land costs:

If so, provide tax ID numbers and square footage for each in the blank space below the question on total land costs. Attach the legal description of the offered property.

Is the offered space part of multiple tax bills?

Based on fully assessed value?

Current Year Taxes:

Percent of Government Occupancy: %

PMtoAMSunday

Saturday AM to PM

PMtoAMMonday - Friday

Building's Normal Hours of HVAC Operation:

months free rent (includes shell, operating, TI and BSAC rent)

29. FREE RENT INCLUDED IN OFFER

31. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

30. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

1.

1.

2. Other rental concessions structured as follows:

3. None

2.

3.

zone floor space

YES

YES NO

NO

j. Date Signed i. Offeror's Signature

f. Title g. E-Mail Address h. Telephone Number

e. ZIP Code + 4 d. State c. City b. Address a. Name

35. OFFEROR Check if same as Recorded Owner

34. Offeror's Interest in Property

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

33. 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.

f. DUNS Number e. ZIP Code + 4 d. State c. City b. Address a. Name

32. RECORDED OWNER

SECTION IV - OWNER IDENTIFICATON AND CERTIFICATION

GSA 1364 (REV. 11/2016) PAGE 4

Owner Agent Other

1.

LEASE PROPOSAL DATA

(See RLP Section 2, Flood Plains.)

Flood Plains:

The Property is2.

3.

4.

Seismic Safety: The Building

Historic Preference: The Building is a

(See RLP Section 2, Seismic Safety.) Attach appropriate documentation.

(See RLP Section 2, Historic Preference.) Attach appropriate documentation.

GSA 1364 (REV. 11/2016) PAGE 5

DATE:

In Response to Request for Lease Proposals (RLP) Number

Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.

Offeror's Interest in the Property

5.

(See RLP Section 2, Asbestos.)

Asbestos-Containing Material (ACM): The Property

6.

(See RLP Section 2, Fire Protection and Life Safety.)

The Property

Fire/Life Safety:

(See RLP Section 2, Accessibility.)

The Property7.

Accessibility:

(See RLP Section 2, Energy Independence and Security Act.)

Date (MM-DD-YYYY):

8.

ENERGY STAR®: The Building

9.

Waiver of Price Evaluation Preference. A HUBZone small business concern (SBC) Offeror may elect to waive the price evaluation preference provided in Section 4 of the RLP. In such a case, no price evaluation preference shall apply to the evaluation of the HUBZone SBC, and the performance of work requirements set forth in Section 1 of the Lease shall not be applicable to a lease awarded to the HUBZone SBC Offeror under this solicitation. A HUBZone SBC desiring to waive the price evaluation preference should so indicate below.

(See RLP and Lease documents for more information.)I am a HUBZone SBC Offeror and I elect to waive the price evaluation preference.

Fee owner in a base (100-year) flood plain

RLP does not contain seismic requirements. No documentation required.

RLP contains seismic requirements. The Building:

Fully meets seismic requirements or meets an exemption under the RLP

Does not meet seismic requirements, but will be retrofitted to meet seismic requirements

Will be constructed to meet seismic requirements

Will not meet seismic requirements in a 500-year flood plain not in a flood plain.

Other:

Historic property within a historic district.

Non-historic developed site or non-historic undeveloped site within a historic district.

Historic property outside of a historic district.

Contains no ACM, or contains ACM in a stable, solid matrix that is not damaged or subject to damage.

Contains ACM not in a stable, solid matrix.

Meets

Meets

Does not meet Lease fire/life safety standards.

Does not meet Lease accessibility standards.

Has received the ENERGY STAR® Label within the past twelve months.

Determined that none are cost effective. Determined that the following are cost effective (Attach additional pages):

Has not received the ENERGY STAR® Label within the past twelve months; the Offeror has evaluated energy savings measures and

None of the above.

SECTION I - DESCRIPTION OF PREMISES

In Response to Request for Lease Proposals (RLP) Number -->

a. Building Name

1. BUILDING DESCRIPTION

c. City

d. State

SQUARE FEET

POUNDS PER SQUARE FOOT

SQUARE FEET

SQUARE FEET

SQUARE FEET

ACRES

a. GENERAL PURPOSE (Office)

b. WAREHOUSE

7. BUILDING AGE

8. SITE SIZE

c. OTHER

e. 9-Digit ZIP Code

3. TOTAL RENTABLE SPACE IN OFFERED BUILDING

6. YEAR OF LAST

MAJOR RENOVATION

(if applicable)

f. Congressional District 2a. FLOORS OFFERED

4. LIVE FLOOR LOAD

2b. TOTAL NUMBER OF FLOORS IN BUILDING

5. MEASUREMENT METHOD

b. Building Street Address Paperwork Reduction Act Statement - 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.

OMB Control Number: 3090-0086 Expiration Date: 12/31/2022

PROPOSAL TO LEASE SPACE

GSA 1364 (REV. 11/2016)

GENERAL SERVICES ADMINISTRATION

17. OPERATING COSTS

(Refer to Line 27 on

GSA 1217)

18. TOTAL RATE/ SQUARE FOOT

19. TOTAL ANNUAL RENT

16. SHELL RENT

(Including real estate taxes. Refer to Line 28 on GSA 1217)

a. PER SQUARE FOOT RATE

b. FOR YEARS

/RSF

Thru Thru Thru

/RSF

/ABOA

/RSF

/ABOA

/ABOA

c. PER SQUARE FOOT RATE

e. PER SQUARE FOOT RATE

d. FOR YEARS

f. FOR YEARS

20. STEP RENT

(SHELL RATES)

GSA 1364 (REV. 11/2016) PAGE 2

13. BSAC

(per RLP requirements detailed on Security Unit Price List)

14. SHELL BUILD-OUT

(per RLP requirements)

15. TOTAL BUILD-OUT COSTS

SECTION II - SPACE OFFERED AND RATES

9. ANSI/BOMA OFFICE AREA SQUARE FEET (ABOA)

10. RENTABLE SQUARE FEET (RSF)

11. COMMON AREA FACTOR (CAF)

"Tenant Improvements" are all alterations for the Government-demised area above the building shell buildout, excluding costs identified as tenant improvements in the Security Unit Price List. Building Specific Amortized Capital (BSAC) is the sum of costs identified as such in the Security Unit Price List. Neither the Tenant Improvements as stated in Block 12, nor the BSAC as stated in Block 13, are to be included in the shell rent. It is expected that the tenant buildout will be fully amortized at the end of the firm term, and the rent will be reduced accordingly. Any desired rent increases or decreases beyond the firm term of the lease should be reflected in the shell rate and fully explained as part of this written proposal. If Tenant improvements or BSAC improvements are to be amortized beyond the firm team, those calculations must be itemized as part of this written proposal. The Offeror may attach additional pages as necessary.

Number of years each cost per square foot is in effect. State any changes for any rent component.

a. BUILD-OUT COSTS PER CATEGORY

b. AMORTIZATION TERM

c. AMORTIZATION INTEREST RATE (%) d.

ANNUAL RENT

$ PER RSF

e.

ANNUAL RENT

$ PER ABOA SQUARE FOOT

f. NUMBER OF YEARS RATE IS EFFECTIVE

12. TENANT

IMPROVEMENTS

(per RLP requirements) Structured Surface Surface Structured Structured Surface Surface Structured Structured Surface Annual cost per space:

If NO, complete the following:

e. Does the rental rate offered above include RLP - required parking costs?

d. Number of parking spaces (auto and truck) for Official Government Vehicles (per RLP):

c. Number of auto parking spaces for Employee/Visitor Use (per RLP):

b. Number of auto parking spaces required by local code:

a. Number of parking spaces for the future building/facility which are under the control of the Offeror:

21. PARKING

b. Lessor's Project Management Fee will be percent of Total TI construction costs.

GSA 1364 (REV. 11/2016) PAGE 3

c. Schedule of Commission Payments:

% at lease occupancy % at lease award and

a. Tenant Representative Commission:

26. COMMISSIONS (if applicable), ATTACH COMMISSION AGREEMENT

25. Space will be altered and delivered in accordance with the Government's specifications and requirements in accordance with the Request for Lease Proposals (RLP) and the lease.

24. OFFER GOOD UNTIL AWARD

a. Number of Years

b. Years Firm

c. Number of Days Notice for Government to Terminate Lease:

d. Number of Days Notice to Exercise Option

c. Number of Options

b. Years Each

a. Shell Rate/ RSF/Year

23. RENEWAL OPTIONS

22. INITIAL LEASE TERM

(Full Term)

SECTION III - LEASE TERMS AND CONDITIONS

b. Owner's Representative Commission:

The Government will add the cost of the proposed TI fees to the net present value of the offered rental rate as described in the RLP's Present Value Price Evaluation paragraph. This schedule will be applicable for Tenant Improvements.

*Block 27 fees only applicable for Tenant Improvement (TI) subject to post-award pricing; N/A for turnkey pricing.

c. If other fees are applicable, state as per ABOA square foot in the space below, or if using a percentage, the basis for determining the fee.

flat fee % of Total TI construction costs.

27. OFFEROR'S TENANT IMPROVEMENT FEE SCHEDULE

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

per ABOA SF

28. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

Adjustment for Vacant Premises:

per ABOA SF HVAC Overtime Rate:

per hour per (choose one) For rates based on a "per zone" basis, provide the following:

*Only applies when the Government requires separate reimbursement for 24 hour HVAC as described under Section 1 of the Lease. Otherwise, include this cost in the operating rent, as described under Section 6 of the Lease.

per ABOA SF* Areas requiring 24 hour HVAC (LAN, etc.)

If a site is offered, state the total land costs:

If so, provide tax ID numbers and square footage for each in the blank space below the question on total land costs. Attach the legal description of the offered property.

Is the offered space part of multiple tax bills?

Based on fully assessed value?

Current Year Taxes:

Percent of Government Occupancy:

PM

AM

Sunday Saturday

AM

PM

PM

AM

Monday - Friday Building's Normal Hours of HVAC Operation:

months free rent (includes shell, operating, TI and BSAC rent)

29. FREE RENT INCLUDED IN OFFER

31. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

30. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

j. Date Signed

i. Offeror's Signature

f. Title

g. E-Mail Address

h. Telephone Number

e. ZIP Code + 4

d. State

c. City

b. Address

a. Name

35. OFFEROR

34. Offeror's Interest in Property

33. 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.

f. DUNS Number

e. ZIP Code + 4

d. State

c. City

b. Address

a. Name

32. RECORDED OWNER

SECTION IV - OWNER IDENTIFICATON AND CERTIFICATION

GSA 1364 (REV. 11/2016) PAGE 4

1.

LEASE PROPOSAL DATA

(See RLP Section 2, Flood Plains.)

Flood Plains:

The Property is 2.

3.

4.

Seismic Safety: The Building Historic Preference: The Building is a (See RLP Section 2, Seismic Safety.) Attach appropriate documentation.

(See RLP Section 2, Historic Preference.) Attach appropriate documentation.

GSA 1364 (REV. 11/2016) PAGE 5

In Response to Request for Lease Proposals (RLP) Number Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.

Offeror's Interest in the Property 5.

(See RLP Section 2, Asbestos.)

Asbestos-Containing Material (ACM): The Property 6.

(See RLP Section 2, Fire Protection and Life Safety.)

The Property Fire/Life Safety:

(See RLP Section 2, Accessibility.)

The Property 7.

Accessibility:

(See RLP Section 2, Energy Independence and Security Act.)

8.

ENERGY STAR®: The Building 9.

Waiver of Price Evaluation Preference. A HUBZone small business concern (SBC) Offeror may elect to waive the price evaluation preference provided in Section 4 of the RLP. In such a case, no price evaluation preference shall apply to the evaluation of the HUBZone SBC, and the performance of work requirements set forth in Section 1 of the Lease shall not be applicable to a lease awarded to the HUBZone SBC Offeror under this solicitation. A HUBZone SBC desiring to waive the price evaluation preference should so indicate below.

(See RLP and Lease documents for more information.)

11.0.0.20130303.1.892433.887364 GSA 1364 - Proposal to Lease Space

described under Section 6 of the Lease. :