11-Attachment_No._1_to_GSA_Form_1364_(Detroit).xlsx

GSA Form XLSX spreadsheet 35 KB Posted Dec 11, 2018

Attached to: Department of Veteran Affairs Detroit Domiciliary 32, 248 ABOA ANSI/BOMA Square Feet Detroit, MI
Solicitation number: VA10116R0143
Issued by: Department of Veterans Affairs Headquarters

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VA101-16-R-0143 11-Attachment No. 1 to GSA Form 1364 (Detroit).xlsx

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Other versions and copies of GSA Form 1364

509 government files on GovTribe name GSA Form 1364. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
3B.G(2026.09.11)GSA Form 1364 Open with Adobe Only-2KS0140.pdf	2026	Sep 11, 2026	U. S. GOVERNMENT SEEKS TO LEASE SPACE IN TOPEKA, KS
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
08 RLP 36C10F26R0024 Attachment No 1 to GSA Form 1364 SPB County OPC 7_17_2026.xlsx	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
07 RLP 36C10F26R0024 Proposal to Lease Space GSA Form 1364 SPB County OPC 7_17_2026.pdf	2026	Jul 24, 2026	X1DB--South Palm Beach County, FL OPC 56, 076 ANSI/BOMA
H - GSA Form 1364 Proposal to Lease Space (Jan. 2023) Open with Adobe Only.pdf	Jan 2023	Oct 28, 2026	General Services Administration (GSA) seeks to lease office space in Brunswick, GA
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Oct 1, 2026	U. S. Government Seeks Proposals to Lease 2, 405 to 2, 605 ABOA SQ FT of Office and Related Space in Washington, DC
4WY0059_Exhibit 2 GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 21, 2026	U. S. Government Seeks to Lease Office Space in Cheyenne, WY – Solicitation Amendment No. 1
Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Aug 20, 2026	General Services Administration (GSA) seeks to lease the following space: Solicitation No. 6GA0308
EXHIBIT F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	Jan 2023	Jul 30, 2026	Request for Lease Proposals (RLP) - Saipan CBOC
Proposal To Lease Space_GSA Form 1364.pdf	Revision not stated	Sep 17, 2026	General Services Administration (GSA) Seeks To Lease The Following Space:
Exhibit F - GSA Form 1364 Proposal to Lease Space.pdf	Revision not stated	Sep 10, 2026	General Services Administration (GSA) seeks to lease office space in Port Angeles, WA and Sequim, WA
F. GSA Form 1364 Proposal to Lease Space (1).pdf	Revision not stated	Aug 27, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TX1269
Exhibit G. GSA Form 1364 (2).pdf	Revision not stated	Aug 25, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
08. GSA Form 1364 - Attachment No. 1.xlsx	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
09. GSA Form 1364 - Proposal to Lease Space.pdf	Revision not stated	Aug 24, 2026	X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
Attachment No. 1 to GSA Form 1364 - Idaho Falls (10-15-20 Yr).xlsx	Revision not stated	Aug 21, 2026	Dept of Veterans Affairs seeks clinical space in Idaho Falls, ID
10 GSA Form 1364 080626.pdf	Revision not stated	Aug 6, 2026	U. S. Department of Agriculture Seeks to Lease Office and Related Space in Huntington, Indiana
Exhibit E. GSA Form 1364 (2).pdf	Revision not stated	Aug 3, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 3TN0311
Exhibit F. GSA Form 1364 (1).pdf	Revision not stated	Jul 29, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4LA0288
Exhibit G. GSA Form 1364.pdf	Revision not stated	Jul 28, 2026	General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 2TN0427

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Who attaches GSA Form 1364

Agency	Files
General Services Administration Public Buildings Service Central Office	229
Department of Veterans Affairs Office of Construction and Facilities Management	34
Department of Agriculture Under Secretary for Farm Production and Conservation	30
General Services Administration Public Buildings Service Central Office Office of Leasing	23
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8	17
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10	13
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20	13
General Services Administration Public Buildings Service Region 5	13

Other files

File	Type	Posted
VA101-16-R-0143-015.pdf	PDF	Mar 22, 2019
VA101-16-R-0143-013.docx	DOCX document	Mar 22, 2019
VA101-16-R-0143-014.pdf	PDF	Mar 22, 2019
VA101-16-R-0143-012.pdf	PDF	Mar 12, 2019
VA101-16-R-0143-011.docx	DOCX document	Mar 12, 2019
VA101-16-R-0143-009.docx	DOCX document	Feb 20, 2019
VA101-16-R-0143-010.pdf	PDF	Feb 20, 2019
RLP_Amendment_No._1_(Detroit).pdf	PDF	Jan 9, 2019
RLP_Amd_1,_Exhibit_A_-_Pre-Bid_Presentation_(Detroit).pdf	PDF	Jan 9, 2019
VA101-16-R-0143_5.docx	DOCX document	Jan 9, 2019
VA10116R0143_SF30_A1.pdf	PDF	Jan 9, 2019
04B_Appendix_C.2_-_Security_Requirements_FSL_II_(Detroit).pdf	PDF	Dec 11, 2018
04A_Appendix_C.1_-_Agency_Specific_Requirements_(Detroit).pdf	PDF	Dec 11, 2018
04C_Appendix_C.3_Specifications_(Detroit).pdf	PDF	Dec 11, 2018
19_GSA_Form_3516_-_Solicitation_Provisions.pdf	PDF	Dec 11, 2018
12_Form_1217.pdf	PDF	Dec 11, 2018
10_GSA_Form_1364_(Detroit).docx	DOCX document	Dec 11, 2018
VA101-16-R-0143_4.docx	DOCX document	Dec 11, 2018
03_Appendix_B_-_Conceptual_Design_(Detroit).pdf	PDF	Dec 11, 2018
09_Offeror_Proposal_Compliance_Matrix_(Detroit).docx	DOCX document	Dec 11, 2018
25A_Labor_Standards_(Detroit).pdf	PDF	Dec 11, 2018
21_GSA_Form_12000_-_Prelease_FPLS_Evaluation.docx	DOCX document	Dec 11, 2018
22_Small_Business_Subcontracting_Plan.docx	DOCX document	Dec 11, 2018
18_VA_Handbook_6500.6_App_C.pdf	PDF	Dec 11, 2018
01B_Lease_Form_(Detroit).pdf	PDF	Dec 11, 2018
20_GSA_Form_3517B_-_General_Clauses.pdf	PDF	Dec 11, 2018
05_Appendix_D_-_Standards_and_Codes_(Detroit).pdf	PDF	Dec 11, 2018
13_VA_Form_10091.pdf	PDF	Dec 11, 2018
17_VA_Handbook_6500_App_D.pdf	PDF	Dec 11, 2018
16_GSA_Form_527_Contractor_Qualifications.pdf	PDF	Dec 11, 2018
07_Appendix_F_-_Janitorial___Pest_Control_(Detroit).pdf	PDF	Dec 11, 2018
02A_Appendix_A.1_-_Program_for_Design_(Detroit).pdf	PDF	Dec 11, 2018
24_Contractor_Confidentiality_Certificate_(Detroit).docx	DOCX document	Dec 11, 2018
25B_Wayne_County_Wage_Determination_(as_of_12-10-2018).pdf	PDF	Dec 11, 2018
08_Offering_Entity_Acknowledgement_Form_(Detroit).docx	DOCX document	Dec 11, 2018
06_Appendix_E_-_IT_Specifications.pdf	PDF	Dec 11, 2018
26-Pre-bid_registration_(Detroit).docx	DOCX document	Dec 11, 2018
14_Past_Performance_Survey_(Detroit).docx	DOCX document	Dec 11, 2018
15_SF_330_Architect-Engineer_Qualifications.pdf	PDF	Dec 11, 2018
01A_RLP_Detroit_Domiciliary_FINAL.pdf	PDF	Dec 11, 2018
02B_Appendix_A.2_-_Project_Room_Contents_(Detroit).pdf	PDF	Dec 11, 2018

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Instructions

Department of Veterans Affairs

Detroit Domiciliary

RLP No. VA-101-16-R-0143

Attachment No. 1 to GSA Form 1364

General Instructions:

1. Offerors are to populate all gray-shaded cells within Tab "Att #1 to 1364."

2. Offerors are to provide all dollar values in "real" dollars, with a maximum of two decimal places on the per square foot basis.

3. Offerors are NOT to input any formulas or other "values" copied from another spreadsheet.

4. Offerors are ultimately responsible for the accuracy of all values presented in this workbook. Any and all formulas in this workbook are provided only as guidance.

5. Offerors are required to provide amortization rates in the event the Government elects to amortize TI over the firm term of the lease.

6. In the PDF submission of this document, ensure all values are readable and are not truncated (e.g., displaying as "####").

Att #1 to 1364

Department of Veterans Affairs

Detroit Domiciliary

RLP No. VA-101-16-R-0143

Attachment No. 1 to GSA Form 1364

Offeror Name:
Address of Offered Property:
Land Acquisition Costs (excl. site improvements and demolition)	$0.00

Offered Rentable Square Feet :	- 0	RSF
Offered ABOA Square Feet:	32,248	ABOA SF
Common Area Factor:	-100.00%	%
Number of Parking Spaces:	- 0

Annual Operating Expenses (GSA Form 1217, line 27):	$0.00
Annual Operating Expenses Rate per ABOA SF:	$0.00
Tenant Improvement Allowance Lump Sum:	$0.00
Tenant Improvement Allowance per ABOA SF:	$0.00

	15-Year Firm Term:
	Lease Year	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
	ANNUAL COST
	Annual Full-Service Rent
(Form 1364, box 19.d)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Operating Cost	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Shell Rent	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

	ANNUAL COST PER ABOA SF
	Annual Full-Service Rent
(Form 1364 box 18.e)	$ - 0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	Operating Cost
(Form 1364 box 17.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Shell Rent
(Form 1364 box 16.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

TI Allowance Lump Sum Cost:	$ - 0
TI Allowance Lump Sum Cost:	$ - 0

15-YEAR FIRM TERM

TI Allowance Lump Sum Cost:	$ - 0
TI Allowance Lump Sum Cost per ABOA SF:	$ - 0

ANNUAL COST
Lease Year	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Annual Full-Service Rent (excl. TI)	$ XX,XXX.XX	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Operating Cost	$X,XXX.XX	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Shell Rent	$X,XXX.XX	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

	ANNUAL COST PER ABOA SF
	Lease Year	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
	Annual Full-Service Rent per ABOA SF
(Form 1364 box 18.e)	$XX.XX	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Operating Cost per ABOA SF
(Form 1364 box 17.e)	$XX.XX	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Shell Rent per ABOA SF
(Form 1364 box 16.e)	$XX.XX	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

15-YEAR FIRM TERM PLUS FIVE 1-YEAR OPTIONS

TI Allowance Lump Sum Cost:	$ - 0
TI Allowance Lump Sum Cost per ABOA SF:	$ - 0

ANNUAL COST																(Option Year 1)	(Option Year 2)	(Option Year 3)	(Option Year 4)	(Option Year 5)
Lease Year	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20
Annual Full-Service Rent	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Operating Cost	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Shell Rent	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

	ANNUAL COST PER ABOA SF
	Lease Year	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16
(Option Year 1)	17
(Option Year 2)	18
(Option Year 3)	19
(Option Year 4)	20

(Option Year 5)

	Annual Full-Service Rent
(Form 1364 box 18.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Operating Cost
(Form 1364 box 17.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Shell Rent
(Form 1364 box 16.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

20-YEAR FIRM TERM

TI Allowance Lump Sum Cost:	$ - 0
TI Allowance Lump Sum Cost per ABOA SF:	$ - 0

ANNUAL COST
Lease Year	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20
Annual Full-Service Rent	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Operating Cost	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
Shell Rent	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

	ANNUAL COST PER ABOA SF
	Lease Year	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20
	Annual Full-Service Rent
(Form 1364 box 18.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Operating Cost
(Form 1364 box 17.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	Shell Rent
(Form 1364 box 16.e)	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

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