SIMPLIFIED PROPOSAL TO LEASE SPACE FORM 1364A REV 9_30_11.DOCX
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- Solicitation number
- NRCS-WV-12-0001
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Proposal to Lease Space (GSA form 1364A)
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EXHIBIT A TO LEASE NO. 57-3D47-13-001
GSA FORM 1364A
SIMPLIFIED LEASE PROPOSAL
REQUEST FOR LEASE PROPOSALS NO.
NRCS-WV-12-001
DATE: March 1, 2012
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 |
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) | |
| Lessor _______ Government:_______ |
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