GSA Form 1364B Streamlined Lease Proposal Part 1

GSAR - Proposal to Lease Space; GSA Forms 1364A, 1364A-1, 1364B, 1364C and 1364D

GSA 1364B

GSAR - Proposal to Lease Space; GSA Forms 1364A, 1364A-1, 1364B, 1364C and 1364D

OMB: 3090-0086

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In Response to Request for Lease Proposals (RLP) Number

STREAMLINED LEASE PROPOSAL
PART 1

Date

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
DESCRIPTION OF SPACE OFFERED (ANSI/BOMA SPACE TYPE(S), SQUARE FOOTAGE, LOCATION(S) IN BUILDING, FLOOR(S), SUITE NUMBER(S), ETC.)

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
12E ÷ 12A =
13A

13

COMPOSITE ABOA PER SQ FT RATES

14

RATE ADJUSTMENT FOR VACANT SPACE: $

15
16
17
18

A. HOURLY RATE FOR OVERTIME HVAC:
Zone $

$

$

Floor $

Entire space $

12G ÷ 12A =
13B

$

$
12I ÷ 12A =
13C

$

$

/ ABOA SF / YR
B. 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.

%

PERCENTAGE OF OCCUPANCY TO CALCULATE SHARE OF INCREASES TO REAL ESTATE TAXES:
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

E-MAIL ADDRESS

19

22

20
21

OFFEROR'S FORM OF BUSINESS:

INDIVIDUAL

PARTNERSHIP

CORPORATION - SPECIFY STATE:

SECTION IV - OFFER
23

24

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 is open until award.
A. SIGNATURE

GENERAL SERVICES ADMINISTRATION

B. NAME

C. TITLE

D. DATE

GSA 1364B 12/2012

SECTION V - PROPOSED ADDITIONAL TERMS, CONDITIONS
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:

26

GENERAL SERVICES ADMINISTRATION

GSA 1364B 12/2012 Page 2

PART 2
LEASE PROPOSAL DATA
1

In Response to Request for Lease Proposals (RLP) Number

Date

Offeror's Interest in the Property:
Fee owner
Other
Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.

2

Flood Plains:
The Property is

in a base (100-year) flood plain

in a 500-year flood plain

not in a flood plain.

(See RLP Section 2, Flood Plains.)

3

Seismic Safety: The Building
RLP does not contain seismic requirements. No documentation required.
RLP contains seismic requirements. The Building
Fully meets seismic requirements or meets an exemption under the RLP
Does not meet seismic requirements, but will be retrofitted to meet seismic requirements
Will be constructed to meet seismic requirements
Will not meet seismic requirements
(See RLP Section 2, Seismic Safety.) Attach appropriate documentation.

4

Historic: The Building is a
Historic property within a historic district.
Non-historic developed site or non-historic undeveloped site within Historic District.
Historic property outside of a historic district.
None of the above.
(See RLP Section 2, Historic Preference.) Attach appropriate documentation.

5

Asbestos-Containing Material (ACM): The Property
Contains no ACM, or contains ACM in a stable, solid matrix that is not damaged or subject to damage.
Contains ACM not in a stable, solid matrix.
(See RLP Section 2, Asbestos.)

6

Fire/Life Safety:
The Property
Meets

Does not meet Lease fire/life safety standards.

(See RLP Section 2, Fire Protection and Life Safety)
7

Accessibility:
The Property

Meets

Does not meet Lease accessibility standards.

(See RLP Section 2, Accessibility.)
ENERGY STAR®: The Building
Has received the ENERGY STAR® Label within the past twelve months. Date:
Has not received the ENERGY STAR® Label within the past twelve months; the Offeror has evaluated energy
savings measures and
Determined that none are cost effective.
Determined that the following are cost effective (List):

8

(See RLP Section 2, Energy Independence and Security Act.) Attach Appropriate Documentation.
GENERAL SERVICES ADMINISTRATION

GSA 1364B 12/2012 Page 3

PART 2
LEASE PROPOSAL DATA

In Response to Request for Lease Proposals (RLP) Number

DATE:

PROPOSED RENT COMPONENTS
OFFICE AREA
9

FIRM TERM
($/RSF/YR)

NON-FIRM TERM
($/RSF/YR)

OPTION TERM
($/RSF/YR)

A

B

C

Building Shell Rent (Include Real Estate Taxes) $

$

$

10

Turnkey Tenant Improvement Rent
(See block 19 below for additional cost and
amortization rate breakdown)

$

$

$

11

Operating Rent

$

$

$

12

Building Security Amortized Capital Rent
(See block 20 below for additional cost and
amortization rate breakdown)

$

$

$

13

Total

$

$

$

OTHER SPACE
14

FIRM TERM
($/RSF/YR)

NON-FIRM TERM
($/RSF/YR)

OPTION TERM
($/RSF/YR)

A

B

C

Building Shell Rent (Include Real Estate Taxes) $

$

$

15

Turnkey Tenant Improvement Rent
(See block 19 below for additional cost and
amortization rate breakdown)

$

$

$

16

Operating Rent

$

$

$

17

Building Security Amortized Capital Rent
(See block 20 below for additional cost and
amortization rate breakdown)

$

$

$

18

Total

$

$

$

19

A. Tenant Improvement Costs

$

B. Interest Rate to Amortize Tenant
Improvements

%

20

A. Building Specific Amortized Capital Costs

$

B. Interest Rate to Amortize Building
Specific Amortized Capital Costs

%

OTHER INFORMATION SUPPLIED WITH THIS PROPOSAL:

21

22
23

BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY THE HEREIN SPECIFIED DATE, TO LEASE TO THE
UNITED STATES OF AMERICA, THE PREMISES DESCRIBED, UPON THE TERMS AND CONDITIONS AS SPECIFIED HEREIN, IN FULL COMPLIANCE WITH
AND ACCEPTANCE OF THE AFOREMENTIONED RLP, WITH ATTACHMENTS.

A. SIGNATURE

GENERAL SERVICES ADMINISTRATION

B. NAME

C. TITLE

D. DATE

GSA 1364B 12/2012 Page 4


File Typeapplication/pdf
File TitleEXHIBIT A TO LEASE NO
AuthorBrendaKJohnson
File Modified2013-04-10
File Created2012-12-05

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