Form GSA Form 1364a GSA Form 1364a Simplified Lease Proposal

EXHIBIT A TO LEASE NUMBER GSDATE:

REQUEST FOR LEASE PROPOSALS NUMBER

SIMPLIFIED LEASE PROPOSAL

SECTION I - BUILDING INFORMATION
A. BUILDING NAME

NUMBER OF FLOORS

TOTAL PARKING FOR BUILDING

2

6

B. BUILDING STREET ADDRESS

LIVE FLOOR LOAD

3
1

C. CITY

E. 9-DIGIT ZIP CODE

F. CONGRESSIONAL
DISTRICT

7

TOTAL RENTABLE AREA (SQ
FT)

4

SURFACE:

CONSTRUCTION TYPE

(LBS / SQ

FT)

D. STATE

STRUCTURE:

A. BUILDING BUSINESS HOURS (MON - FRI)

8

BUILDING AGE (YRS)

B. BUILDING BUSINESS HOURS (SAT - SUN)

5

SECTION II - SPACE OFFERED AND RATES
FLOOR LOCATION

SUITE NUMBER.

ANSI/BOMA SQ FT

TYPE OF SPACE

FLOOR LOCATION

SUITE NUMBER.

ANSI/BOMA SQ FT

TYPE OF SPACE

9
FIRM TERM

TYPE OF
SPACE

NON-FIRM TERM

OPTION TERM

ANSI/ BOMA
AREA (SQ FT)

COMMON
AREA
FACTOR

RENTABLE
SQ FT (RSF)
AxB=

RENTAL RATE
(PER RSF/YR)

ANNUAL RENT
CxD=

RENTAL RATE
(PER RSF/YR)

ANNUAL RENT
CxF=

RENTAL RATE
(PER RSF/YR)

ANNUAL RENT
CxH=

A

B

C

D

E

F

G

H

I

10

OFFICE

$

$

$

$

$

$

11

OTHER

$

$

$

$

$

$

12

TOTAL

13

COMPOSITE ABOA PER SQ FT RATES

12E ÷ 12A =
13A

14

RATE ADJUSTMENT FOR VACANT SPACE:

$

15
16
17

Floor $

12G ÷ 12A =
13B

$

$
12I ÷ 12A =
13C

$

$

/ RENTABLE ABOA SF
Rate for 24/7 LAN $/ABOA 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.

HOURLY RATE FOR OVERTIME HVAC:
Zone $

$

$

Entire space $

NUMBER OF PARKING SPACES OFFERED TO GOVERNMENT:

A. STRUCTURED:

CHARGE FOR SPACES OFFERED TO GOVERNMENT (IF NOT IN RENT):

B. STRUCTURED: $

C. SURFACE:
/ MO

RIGHT TO USE OF ROOFTOP AREA FOR ANTENNAS AND ASSOCIATED RIGHTS IN BUILDING

D. SURFACE: $

INCLUDED

/ MO

NOT INCLUDED

SECTION III - OWNER/OFFEROR INFORMATION
A. OFFEROR (NAME AND COMPLETE MAILING ADDRESS)

B. OFFEROR'S AUTHORIZED REPRESENTATIVE (IF APPLICABLE)
(NAME AND COMPLETE MAILING ADDRESS)

TELEPHONE NUMBER

19

18

E-MAIL ADDRESS

20
21

OFFEROR'S FORM OF BUSINESS:

INDIVIDUAL

PARTNERSHIP

CORPORATION - SPECIFY STATE:

SECTION IV - OFFER
22

23

RLP AMENDMENTS ACKNOWLEDGED (INITIAL)

NO. 1

NO. 2

NO. 3

NO. 4

NO. 5

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

GENERAL SERVICES ADMINISTRATION

B. NAME

Lessor

C. TITLE

Government:

D. DATE

GSA 1364A 12/2012

EXHIBIT A TO LEASE NUMBER GSSECTION V - PROPOSED ADDITIONAL TERMS, CONDITIONS
OFFEROR WILL COMPLETE THE FOLLOWING FIRE/LIFE SAFETY, ACCESSIBILITY, AND ENERGY SAVINGS IMPROVEMENTS AS
REQUIRED IN THE LEASE:

24

ADDITIONAL TERMS AND CONDITIONS WITH RESPECT TO THIS OFFER:

25

GENERAL SERVICES ADMINISTRATION

Lessor

Government:

GSA 1364A 12/2012 Page 2