S02 Exhibit F GSA Form 1364 Proposal to Lease Space Jan 2023.pdf

PDF 3 MB Posted

Attached to
X1DA--Salisbury Veteran Center replacement lease amendment to include preproposal conference
Solicitation number
36C24525R0021
Issued by

About this file

The document is a GSA Form 1364 Proposal to Lease Space from January 2023, associated with a lease solicitation for the VA Veterans Health Administration in Salisbury. The form contains multiple sections detailing potential lease terms for a commercial space, including building overview, financial aspects, and property characteristics. Key details include spaces for describing rentable square footage, parking availability, lease duration, shell rent, operating costs, and tenant improvements. The solicitation appears to be seeking a new lease location to be occupied by 10/1/2026, with the specific requirement being for a VA Outstation in the Salisbury area. The form provides a comprehensive template for property owners to submit detailed lease proposals, covering aspects such as building specifications, energy efficiency, historic property status, and tax parcel information.

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PROPOSAL TO LEASE SPACE This Offer is in response to Request for Lease 0MB Control Number: 3090-0086 (See Paperworl< Reduction Act Statement in Section V) Proposals (RLP) Number: Expiration Date: 113112026

SECTION I - BUILDING OVERVIEW

1. Building Name 2. Building Street Address

3. City, State and 9-Digit ZIP Code 14. Number of Floors in Building

5. Total Rentable Square Feet (RSF) in Building

Building Space Breakout

6. Total ANSI/SOMA Occupant 7. Building Area (ABOA) Square Feet Common Area

a. General Purpose/Office: b. Warehouse: c. Other:

(SF) in Building Factor (CAF)

8. Total Building Parking Under Offeror's Control

a. Total Surface b. Total Structured c. Is all the parking onsite?

□ YES ONO

d. Number of spaces required by local code, if applicable:

(Parking spaces and associated costs offered to meet the requirements outlined in the RLP shall be detailed in Box 20).

SECTION 11- PRIMARY OFFER DETAILS

9. ABOA SF of Offered Space 10. RSF of Offered Space 11 . CAF of Offered Space 12. Floor(s) and/or Suite(s) of Offered Space

13. Full Term of the Lease

Months

14. Firm Term of the Lease

After the Firm Term, the Government may terminate the Lease by providing advanced written notice to the Lessor. Indicate the minimum

Months number of days the Government must provide prior written notice by.

15. Number of Days Notice

RENT TABLE X. Y. z.

Enter initial rental figures only. Scheduled step rents for Shell rent and Parking rates must be entered in Section VI, Addendum.

Annual Rent Annual Rate $ PerRSF

Annual Rate

16. Shell Rent

The initial Shell Rent is a total annual dollar amount of -------~

Does the initial Shell Rent offered change during the term of the lease?

□YES □NO

17. Operating Costs (Refer to Line 27 on the GSA 1217)

The Operating Cost base is a total annual dollar amount of

18. Tenant Improvement (Tl) Rent

a. Tl Allowance per ABOA SF:$ (stated in RLP; leave blank for turnkey)

b. Total Tl : $ ______ ('a' above multiplied by offered ABOA SF or turnkey price)

c. Amortization Interest Rate: % d. Amortization Period in Months:

19. Building Specific Amortized Capital (BSAC) Rent

a. BSAC Amount per ABOA SF:$ (if stated in RLP)

b. Total BSAC: $ ______ ('a' above multiplied by offered ABOA SF or total cost)

c. Amortization Interest Rate: % d. Amortization Period in Months:

20. Parking Required by the RLP

a. General $ per space per month

Surface:

c. General $ Structured:

per space per month

e. Reserved $ per space per month

Surface:

g. Reserved $ Structured:

per space per month

21 . Rent for Non-Standard Circumstances

The RLP requires a non-standard rental component applicable only under specific conditions outlined in the Lease called:

b. Number of Spaces Offered:

d. Number of Spaces Offered:

f. Number of Spaces Offered:

h. Number of Spaces Offered:

Not Applicable

22. TOTAL INITIAL RENT

23. Fee Schedule

a. Architectural/Engineering fees will be (choose one):

D Percent of Total Construction Costs: % The RLP outlines how fees may apply. Fees are not applicable for turnkey pricing. D Dollar Amount per ABOA SF: $ ____ _

D Flat Fee: $ ____ _

GENERAL SERVICES ADMINISTRATION

$ PerABOA SF

b. Lessor's Project Management fee will be:

Percent of Total Construction Costs

GSA 1364 (REV.1/2023)PAGE 1

24. Are you offering free rent?

□ YES ONO

SECTION Ill - ADDITIONAL FINANCIAL ASPECTS OF THE OFFER

a. If yes, enter the number of free months being offered.

months

b. What rent components are included in the free rent?

0 Shell O Tl O Parking

D Operating Costs D BSAC D Non-Standard

25. Are you offering free space?

□YES ONO

a. If yes, how much free space, in addition to the space offered in Box 9 above, is being offered?

ABOASF

26. Are you offering renewal options?

□YES ONO

If yes, fill out 'Renewal Options' in Section VI, Addendum.

27. Commissions a. Tenant's Representative Commission If applicable, enter the commission distribution and ATTACH BROKER COMMISSION AGREEMENT. b. Owner's Representative Commission

28. Adjustment for Vacant Premises

$ ___ per ABOA SF

29. Adjustment for Reduced 30. Tax Parcel Percent of Government Occupancy

Services a. RSF of Tax Parcel ______ RSF $ ___ per ABOA SF b. Percent of Occupancy %

31. Heating, Ventilation, and Air Conditioning (HVAC) Overtime Rate

Explain complex tax parcel arrangements in Section VI, Addendum.

a. $ ____ b. Select one of the options below: c. Total Number rate per hour -PER- D Zone D Floor D Space of Zones, Floors, or Spaces

d. If the Government used 1 hour of overtime HVAC for the entire offered space, it would owe:

(Multiply 31a times 31c)

SECTION IV - BUILDING AND PROPERTY INFORMATION

32. In what year was the original building construction completed and ready for initial occupancy?

33. Provide the year and a brief description of the last major building renovation, if applicable.

34. Select the approximate level of construction necessary to meet the building shell requirements:

D a. Improvements to the existing Building will be required to meet the Lease shell requirements.

The total approximate construction cost to achieve Lease shell standards is: $ ______ _

D b. The Building already meets all the Lease shell requirements; no improvements are necessary.

D c. The requirements of the Lease will be satisfied through the construction of a new building.

Land Site Size: ______ _ D SF oc D Acres (Choose one)

Total Land Costs: $ ______ _

35. What are the Building's normal hours of operations for HVAC induded in the Operating Costs?

Start

End

Monday - Friday

Start

End

Saturday

36. With regard to Fire Protection and Life Safety:

Start

End

D a. The Property meets the Lease fire protection/life safety standards.

Sunday

D b. The Property will be improved to meet the Lease fire protection/life safety standards.

D c. The Property does NOT meet the Lease fire protection/life safety standards and will NOT be upgraded.

37. With regard to Accessibility (Architectural Barriers Act Accessibility Standard -ABAAS):

D a. The Property meets the Lease accessibility standards.

D b. The Property will be improved to meet the Lease accessibility standards.

D c. The Property does NOT meet the Lease accessibility standards and will NOT be upgraded.

38. With regard to Asbestos-Containing Material (ACM): (Select all that apply)

D a. The Building contains no ACM.

D b. The Building contains undamaged, nonfriable ACM.

D c. The Building contains thermal system insulation ACM which is not damaged or subject to damage by routine operations.

D d. The Building contains ACM that does not fall within any of the above categories.

D e. The Building contains ACM; abatement will be completed prior to occupancy.

39. With regard to Flood Plains:

D a. The Property is in a base (100 year) floodplain.

D b. The Property is in a 500 year floodplain.

D c. The Property is NOT in a floodplain.

GSA 1364 (REV. 1/2023)PAGE 2

40. With regard to Seismic Safety of the Building:

D a. The RLP does NOT contain seismic requirements.

D b. The Building either fully meets RLP seismic requirements or meets an exemption.

D c. The Building will be retrofitted to meet RLP seismic requirements it does not currently meet.

D d. The Building will be constructed to meet RLP seismic requirements.

D e. The Building will NOT meet RLP seismic requirements.

41. With regard to ENERGY STAR®:

D a. The Property has received the ENERGY STAR® Label within the past twelve months.

Date (MMIDDIYYYY):

□ b. The Property has NOT received the ENERGY STAR® Label within the past twelve months but falls into one of the following categories:

D i. New construction

D ii. Existing building that cannot obtain label due to insufficient occupancy

D iii. Meets one of the statutory exceptions below:

D (1) The agency would remain in the building it currently occupies.

D (2) The Lease would be in a building of historical, architectural, or cultural significance listed or eligible to be listed on the National Register of Historic Places.

D (3) The Lease is for 10,000 RSF or less.

With regard to offerors falling into a statutory exception category above, the Offeror has evaluated energy efficiency and conseNation improvements and has determined:

D (i) Cost effective improvements have been identified and are attached to this offer.

D (ii) There are no cost effective improvements. Supporting documentation is attached to this offer.

42. With regard to Historic Preference:

a. Is the Building a Historic Property? 0 YES O NO

b. Is the Building within an Historic District? 0 YES O NO

43. With regard to Historically Underutilized Business Zones (HUBZone) Price Evaluation Preference:

D a. I am a HUBZone Small Business Concern (SBC) Offerer and I elect to waive the price evaluation preference.

D b. I am a HUBZone SBC Offerer and I do NOT waive the price evaluation preference.

D c. I am NOT a HUBZone SBC Offerer. The question does not apply.

SECTION V - OWNER IDENTIFICATION AND OFFEROR CERTIFICATION

44. Recorded Owner Name 45. Owner Street Address 46. City, State and 9-Digit ZIP Code 47. Unique Entity Identifier (UEI)

48. Offerer Name

52. Offerer's Interest in the Property

49. Offerer Street Address 50. City, State and 9-Digit ZIP Code 51. Contact Information a.Email

b. Telephone

D Owner (Offeror and Recorded Owner are the same person)

D Other (Explain if Other is selected)

D Agent I Broker

By submitting this offer, the offerer agrees to lease the premises described within the offer to the United States of America upon the Lease Contracting Officer's acceptance of the offer. The offerer acknowledges they have read and fully understand the Request for Lease Proposals and agrees to honor the terms and conditions specified in their offer and to full compliance with and acceptance of the Request for Lease Proposals and its attachments.

By signing this form, you acknowledge having read the RLP with attachments in its entirety. No deviations are allowed unless authorized by the Lease Contracting Officer (LCO).

53. Does your offer request any deviation from the RLP? D NO

Offerer's Signature

D YES - I request a deviation from the LCO

I Date Signed

PAPERWORK REDUCTION ACT STATEMENT

This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995.

You do not need to answer these questions unless we display a valid Office of Management and Budget (0MB) control number. The 0MB control number for this collection is 3090-0086. We estimate that it will take 2.3 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1 CB), 1800 F Street, NW, Washington, DC 20405.

GSA 1364 (REV. 1/2023) PAGE 3

SECTION VI - ADDENDUM

A. Step Rent

Shell Rent and Parking steps should be detailed if the initial amount stated in the Rent Table above does NOT remain the same for the full term of the Lease. Shell Rent step amounts should be stated in Annual Rent for the entire Leased space.

Parking step rents should be stated as a dollar amount per space per month.

Rent Ty1:1e Beginning Year Through Year Amount Will Be ($) Per

( Add a Step Rent ) ( Remove a Step Rent )

B. Renewal Options

Renewal Options are optional unless required by the RLP. Only renewal options that are required by the RLP will factor into the Government's financial analysis of the Offer.

O1:1tion Number Duration in Years Annual Shell Rate Number of Days Notice ~ tQ Exerci§e Qp!iQn

( Add an Option ) ( Remove an Option)

C. Additional Tax Parcel Information

Is the offered space part of multiple tax bills or multiple buildings on a single tax parcel? □ YES □ NO

If 'YES', use the boxes below to account for the total number of buildings, associated RSF, and tax parcel associated with the overall space offered to the Government. Attach the legal de§crip!iQn(§) Qf the Qffered pmperty/pmpertie§ a§ part Qf yQur overall RLP submission.

Building Building RSF Tax Parcel Tax Parcel ID Number

( Add a Building/Tax Parcel ) ( Remove a Building/Tax Parcel)

D. Additional Remarks or Conditions with Respect to this Offer Any deviations from the RLP requirements must be requested prior to the request for final proposal revisions. If the Offeror requests any deviations, GSA at its sole discretion will make the decision whether to accept the deviation.

GSA 1364 (REV. 1/2023)

PAGE4

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