GSA_FORM_1364A.pdf

Lessor _______ Government:_______

EXHIBIT A TO LEASE NO. 57-3D47-15-001

GSA FORM 1364A

SIMPLIFIED LEASE PROPOSAL

REQUEST FOR LEASE PROPOSALS NO.

NRCS-WV-14-001

DATE: June 1, 2014

SECTION I – BUILDING INFORMATION

1 A. BUILDING NAME

2 NUMBER OF FLOORS 6 TOTAL PARKING FOR BUILDING

STRUCTURE: SURFACE:

B. BUILDING STREET ADDRESS

3 LIVE FLOOR LOAD

(LBS / SQ FT)

7 CONSTRUCTION TYPE

C. CITY

D. STATE

4 TOTAL RENTABLE AREA

(SQ FT)

8 A. BUILDING BUSINESS HOURS (MON – FRI)

E. 9-DIGIT ZIP CODE

F. CONGR.

DISTRICT

5 BUILDING AGE (YRS)

B. BUILDING BUSINESS HOURS (SAT – SUN)

SECTION II – SPACE OFFERED AND RATES

9 FLOOR

LOCATION

SUITE NO. ANSI/BOMA SQ FT TYPE OF

SPACE

FLOOR

LOCATION

SUITE NO. ANSI/BOMA SQ FT TYPE OF SPACE

TYPE OF

SPACE

ANSI/

BOMA

AREA

(SQ FT)

A

COMMON

AREA

FACTOR

B

RENTABLE

SQ FT

(RSF)

A x B =

C

FIRM TERM NON-FIRM TERM OPTION TERM

RENTAL RATE

PER RSF/YR

D

ANNUAL RENT

C x D =

E

RENTAL

RATE

(PER

RSF/YR)

F

ANNUAL RENT

C x F =

G

RENTAL

RATE

(PER

RSF/YR)

H

ANNUAL RENT

C x H =

I

10 OFFICE $ $ $ $ $ $

11 OTHER $ $ $ $ $ $

12 TOTAL $ $ $

13 COMPOSITE ABOA PER SQ FT RATES 12E ÷ 12A = 13A $

12G ÷ 12A

= 13B $ 12I ÷ 12A = 13C $

14 RATE ADJUSTMENT FOR VACANT SPACE: $ / RENTABLE SF

15 HOURLY RATE FOR OVERTIME HVAC:

Zone $_____ Floor $ ______ Entire space $_____

Rate for 24/7 LAN $/sf/yr _____

The cost for overtime or 24/7 HVAC must be paid separately from the rent. Do not include these costs in the rent the offered rental rate or base operating expenses.

16 NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT: A. STRUCTURE: C. SURFACE:

CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT): B. STRUCTURE: $ / MO D. SURFACE: $ / MO

17 RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING INCLUDED NOT INCLUDED

SECTION III – OWNER/OFFEROR INFORMATION

18 A. OFFEROR

(NAME AND COMPLETE MAILING ADDRESS)

B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)

(NAME AND COMPLETE MAILING ADDRESS)

19 TELEPHONE NUMBER

EMAIL ADDRESS

21 OFFEROR'S FORM OF BUSINESS: INDIVIDUAL PARTNERSHIP CORPORATION – SPECIFY STATE:

SECTION IV – OFFER

22 RLP AMENDMENTS ACKNOWLEDGED (INITIAL) NO. 1 NO. 2 NO. 3 NO. 4 NO. 5

23 On behalf of the Offeror, the undersigned offers to lease to the Government the Premises described in Sections I and II, together with all other rights indicated therein, at the rental and other rates stated, on the terms and conditions set forth in the referenced Request for Lease Proposals and this Proposal. This Offer shall remain open for a period of 60 days.

A. SIGNATURE

B. NAME C. TITLE D. DATE

Lessor _______ Government:_______

GSA FORM 1364A (REV 9/30/11)

EXHIBIT A TO LEASE NO. 57-3D47-13-001

SECTION V – PROPOSED ADDITIONAL TERMS, CONDITIONS

24 OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS

REQUIRED IN THE LEASE:

25 ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:

PAGE 2 OF 2 GSA FORM 1364A (REV 9/30/11)