Proposal Form.docx

DOCX document 28 KB Posted

Attached to
Request for Proposals for office space for the State of North Carolina
Solicitation number
SPO-23-503
Issued by
Chowan County, Teachey Town, North Carolina

About this file

This is a Proposal Form (PO-28) for a Request for Proposals issued by the North Carolina Department of Health and Human Services, Child Developmental Services Agency (CDSA), seeking to lease approximately 10,403 net square feet of office space in Shelby, North Carolina. Proposers must submit electronic responses only through the NC eVP portal by 4:00 PM on April 28, 2026. The proposal form requires lessors to provide detailed information about the space location, floor plans to scale, gross and net square footage calculations, parking availability, lease terms and renewal options, and confirmation that the building complies with all applicable safety, zoning, and accessibility codes, including being free of hazardous asbestos and lead paint. Proposals should indicate whether utilities, janitorial services, and water/sewer services are included, along with an annual rental rate and per-square-foot pricing. The State reserves the right to reject any proposal for any reason and will evaluate all relevant factors, including moving costs and additional expenses, as part of the selection process.

Pricing proposals must be submitted on a net square footage basis with specified annual rental rates and per-square-foot amounts; rates including indeterminable percentage increases such as uncapped Consumer Price Index adjustments are not acceptable during the initial term or any renewal periods. Lessors must identify their business classification (proprietorship, partnership, corporation, governmental, non-profit, or HUB status) and provide tax identification numbers and contact information. All proposers must acknowledge compliance with the Americans with Disabilities Act of 1990 and confirm awareness of North Carolina General Statutes Section 133-32 and Executive Order 24 regarding prohibitions on gifts to state employees. The proposal form indicates that optional alternate proposals may be submitted for spaces not including utilities and/or janitorial services, with lessors specifying employee parking, clientele parking, and state vehicle parking spaces separately. No expenses incurred by proposers in preparing proposals will be reimbursed by the State.

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23-503 CDSA Shelby PO-27.pdf PDF

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THE STATE OF NORTH CAROLINA SHALL NOT BE RESPONSIBLE FOR ANY EXPENSES INCURRED BY THE PROPOSER IN THE PREPARATION OF THIS PROPOSAL. THE STATE RESERVES THE RIGHT TO REJECT ANY PROPOSAL FOR ANY REASON IT DEEMS WARRANTED. ALL RELEVANT FACTORS, TO INCLUDE MOVING COSTS (I.E. ADD’L FURNITURE PURCHASES, IT, SECURITY, etc.), WILL BE EVALUATED AS PART OF THE SELECTION PROCESS.

ELECTRONIC RESPONSES ONLY WILL BE ACCEPTED FOR THIS RFP.

ADVERTISED PROPOSAL TO LEASE TO THE STATE OF NORTH CAROLINA - PO-28

1. NAME OF LESSOR:

2. LESSOR’S AGENT:

INDICATE EACH LESSOR’S BUSINESS CLASSIFICATION AS APPLICABLE: ___A. PROPRIETORSHIP ______B. PARTNERSHIP ____C. CORPORATION _____D. GOVERNMENTAL ____E. NON-PROFIT ____F. *** (HUB) HISTORICALLY UNDERUTILIZED BUSINESSES ____G. OTHER:__________ TAX I.D. # __________________________

MAILING ADDRESS:
MAILING ADDRESS
CITY: ZIP:
CITY: ZIP:
PHONE#: CELL#:
PHONE#: CELL#:
E-MAIL:
E-MAIL:

3. SPACE LOCATION including building name, floors involved and suite or room numbers unless entire floor)

STREET ADDRESS CITY COUNTY ZIP CODE

4. ATTACH FLOOR PLAN TO SCALE SHOWING THE SIZE AND LAYOUT OF SPACE OFFERED)

5. GROSS SQUARE FOOTAGE BEFORE NET USAGE COMPUTED
A. OFFICE
B. WAREHOUSE
C. OTHER

6. All proposals must be submitted on the basis of net square footage as defined on reverse side of this sheet and in Specifications (PO-27)

A. DESIRED PROPOSAL (See PO-27 Items VI and XII-A)

TYPE OF SPACE
TOTAL

NET SQ. FT.

ANNUAL

RENTAL

ANNUAL RENT

PER SQ. FT.

UTILITIES
JANITOR. SERVICES
WATER / SEWER
REQUIRED

PARKING SPACES

OFFICE

YES
YES
YES
__ clientele

WAREHOUSE

__ state car

OTHER

TOTALS

XXXX
XXXX

XXXX

Lessor will provide (___) employee parking spaces in above proposal at no additional charge to the State. (See explanation in PO-27 Item VI – Parking)

Comments:

ERRORS BY PROPOSERS IN CALCULATING NET SQUARE FOOTAGE WILL REDUCE THE ANNUAL RENTAL WITHOUT CHANGING THE PROPOSED RATE PER SQUARE FOOT IN THE PROPOSAL

B. OPTIONAL ALTERNATE PROPOSAL NO. 1 (See PO-27 ITEMS VI AND XII-B)

(FOR PROPOSALS NOT INCLUDINING UTILITIES AND/OR JANITORIAL SERVICES)

TYPE OF SPACE
TOTAL

NET SQ. FT.

ANNUAL

RENTAL

ANNUAL RENT

PER SQ. FT.

UTILITIES

YES/NO

JANITORIAL SERVICES

YES/NO

WATER/SEWER

YES/NO

OFFICE

WAREHOUSE

OTHER

TOTALS

XXXX
XXXX
XXXX

Lessor will provide (___) clientele parking spaces, (____) employee parking spaces and (____) state vehicle parking spaces

Comments:

7. LEASE TERM: ___________YEARS BEGINNING DATE: _____________________

8. RENEWAL OPTIONS, IF ANY: . TERMS, CONDITIONS AND RATES:

NOTE: RATES THAT INCLUDE INDETERMINABLE PERCENTAGE INCREASES, SUCH AS UNCAPPED CPI INCREASES ETC., ARE NOT ACCEPTABLE DURING EITHER THE INITIAL TERM OR ANY RENEWAL PERIOD(S)

The State of North Carolina supports the use of products and materials having recycled content in renovation and construction. The proposed building must have facilities for handling materials to be recycled such as plastics, aluminum, wastepaper and cardboard.

THE PROPOSED BUILDING MUST BE COMPLETELY FREE OF ANY HAZARDOUS ASBESTOS OR HAZARDOUS LEAD PAINT THROUGHOUT THE STATE’S TENANCY.

Is the proposed building free of hazardous asbestos?
YES ____________
NO__________________
Is the proposed building free of hazardous lead paint?
YES ____________
NO__________________
DEPARTMENT: HEALTH AND HUMAN SERVICES
DIVISION: CDSA
CITY: Shelby
SQUARE FEET: 10,403 AGENT: Allen Meadows

SPO#: 23-503

LESSOR:

9. ADDITIONAL INFORMATION

10. Is Property To Be Leased Within An Area Designated By FEMA To Be In A Flood Prone Area (100 Year, 500 Year)? If So, Please Provide Details Below

11. Does this space comply with local and State Building safety and zoning codes specifically including OSHA provisions for the handicapped and applicable sections of the State Building Code Volumes I-V?

________________YES
_________________NO
______________PARTIALLY

EXPLAIN IF OTHER THAN “YES” IS CHECKED ABOVE:

12. This proposal is made in compliance with the specifications furnished by DHHS I realize that the State reserves the right to reject this proposal for any reason it deems warranted. This proposal is good until___________________________. I ACKNOWLEDGE AND FURTHER AFFIRM THAT I am aware of and familiar with the Americans with Disabilities Act of 1990 (42 United States Code, Section 12101 et seq.) and if the above firm is awarded the contract, it will comply with the provisions of said Act.

I am aware that annual per square foot rental rate(s) which include indeterminable percentage increase(s) such as uncapped Consumer Price Index increases etc., are not acceptable during either the initial term or any renewal period(s):

(HUB) HISTORICALLY UNDERUTILIZED BUSINESSES (HUB) CONSIST OF MINORITY, WOMEN AND DISABLED BUSINESS FIRMS THAT ARE AT LEAST FIFTY-ONE PERCENT OWNED AND OPERATED BY AN INDIVIDUAL(S) OF THE AFOREMENTIONED CATEGORIES. ALSO INCLUDED IN THIS CATEGORY ARE DISABLED BUSINESS ENTERPRISES AND NON-PROFIT WORK CENTERS FOR THE BLIND AND SEVERELY DISABLED.

N.C.G.S. § 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State Employee of any gift from anyone with a contract with the State, or from any person seeking to do business with the State. By execution of this proposal, you attest, for your entire organization and its employees or agents, that you are not aware that any such gift has been offered, accepted, or promised by any employees of your organization.

Printed Name of Lessor

Signature of Lessor Date

ELECTRONIC DELIVERY INSTRUCTIONS

To be considered this proposal must be submitted prior to 4:00 PM on the cutoff. No faxed, mailed, e-mailed or hand delivered proposals will be accepted. PHONE: 984-236-0270 Electronic Delivery Only Through NC eVP:

https://evp.nc.gov/.

NOTE: Net square footage is a term meaning the area to be leased for occupancy by State Personnel and/or equipment. To determine net square footage:

1. Compute the inside area of the space by measuring from the normal inside finish of exterior walls or the roomside finish of fixed corridor and shaft walls, or the center of tenant separating partitions.

2. Deduct from the Inside area the following:

*a. Toilets and lounges *b. Entrance and elevator lobbies *c. Corridors

d. Stairwells

e. Elevators and escalator shafts

f. Building equipment and service areas

g. Stacks, shafts, and interior columns

h. Other space not usable for State purposes

*Deduct if space is not for exclusive use by the State. Multiple State leases require a, b, and c to be deducted. The State Property Office may make adjustments for areas deemed excessive for State use.

DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION CDSA
CITY: SHELBY
SQUARE FEET: 10,403 AGENT: Allen Meadows

CUT-OFF FOR RECEIVING PROPOSALS IS 4:00 PM DATE: April 28, 2026 SPO# _23-503

FORM (PO-28) (5/2023) Page 2

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