I. 3626 V4.14.21-Fillable.pdf

GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV 3/18)

FPAC V4.14.21

U.S. GOVERNMENT LEASE FOR REAL PROPERTY

(Short Form)

1. LEASE 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

2a. FLOOR(S) 2b. ROOM NUMBER(S) 2e NUMBER OF PARKING SPACES

OFFERED

RESERVED

NON-RESERVED

ANNUAL PARKING RATES (IF NOT

INCLUDED IN RATES UNDER PART C

BELOW)

STRUCTURED /space

SURFACE /space

2c. SQ. FT.

RENTABLE

ABOA

Common Area Factor:

RSF/ABOA

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 18 Months, 18 Months Firm. 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 120 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.

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 5b. RATE PER MONTH

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.$ 6b. $ 6c. $

7. OPERATING RENT 7a. $ 7b. $ 7b. $

8. TURNKEY TENANT

IMPROVEMENT RENT

(See blocks 11 and 12 below for additional breakdown of cost and amortization rate )

8a. $ 8b. $

8c. $

10. TOTAL RENT

10a. $ 10b. $

10c. $

11. TENANT IMPROVEMENT COSTS 12. INTEREST RATE TO AMORTIZE TENANT

IMPROVEMENTS

13. HVAC OVERTIME RATE PER HOUR 14. ADJUSTMENT FOR VACANT PREMISES RATE

($/ABOA SF/YEAR)

D. OWNER IDENTIFICATION AND CERTIFICATION

15. RECORDED OWNER

GENERAL SERVICES ADMINISTRATION GSA FORM 3626 (REV 3/18)

FPAC V4.14.21

15a. Name 15b. DUNS Number

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:

DOCUMENT NAME

NO. OF

PAGES EXHIBIT

FLOOR PLAN(S)

PARKING PLAN(S)

AGENCY SPECIFIC REQUIREMENTS

USDA OFFICE OF THE CHIEF INFORMATION

OFFICER TECHNICAL REQUIREMENTS

USDA SIGNAGE REQUIREMENTS

SECURITY REQUIREMENTS FOR LEVEL XX

GSA FORM 3517A – GENERAL CLAUSES

SEISMIC FORM C, BUILDING RETROFIT OR NEW

CONSTRUCTION PREAWARD COMMITMENT

SMALL BUSINESS SUBCONTRACTING PLAN

REVISION(S) TO LEASE ISSUED UNDER RLP

AMENDMENT NUMBER(S) X

ADDITIONAL TERMS AND CONDITIONS:

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