EXHIBIT A GSA FORM 1364A SPALDING.pdf
GSA Form PDF 24 KB Posted
- Attached to
- Lease Office Space in Spalding Nebraska
- Solicitation number
- NRCS-NE-12-0045
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Simplified Lease Proposal
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EXHIBIT A TO LEASE NO. 57-6526-12-0803
GSA FORM 1364A
SIMPLIFIED LEASE PROPOSAL
REQUEST FOR LEASE PROPOSALS NO.
12-0045
DATE:
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 DESCRIPTION OF SPACE OFFERED (ANSI/BOMA SPACE TYPE(S), SQUARE FOOTAGE, LOCATION(S) IN BUILDING, FLOOR(S), SUITE NO(S)., ETC.)
TYPE OF
SPACE
ANSI/
BOMA
AREA
(SQ FT)
A
COMMON
AREA
FACTOR
B
RENTABLE
AREA
(SQ FT)
A x (1+B) =
C
FIRM TERM NON-FIRM TERM OPTION TERM
RENTAL RATE
(PER SQ FT/YR)
D
ANNUAL RENT
C x D =
E
RENTAL RATE
(PER SQ FT/YR)
F
ANNUAL RENT
C x F =
G
RENTAL RATE
(PER SQ FT/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, EMAIL)
19 TELEPHONE NUMBER
20 DUNS NUMBER
21 TAXPAYER ID
22 OFFEROR'S FORM OF BUSINESS: INDIVIDUAL PARTNERSHIP CORPORATION – SPECIFY STATE:
SECTION IV – OFFER
23 RLP AMENDMENTS ACKNOWLEDGED (INITIAL) NO. 1 NO. 2 NO. 3 NO. 4 NO. 5
24 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
GSA FORM 1364A (REV 7/22/11)
EXHIBIT A TO LEASE NO. 57-6526-12-0803
SECTION V – PROPOSED ADDITIONAL TERMS, CONDITIONS
25 OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS
REQUIRED IN THE LEASE:
26 ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:
PAGE 2 OF 2 GSA FORM 1364A (REV 7/22/11)
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