GSA Form 1364C Proposal To Lease Space

In Response to Request for Lease Proposals (RLP) Number

PROPOSAL TO LEASE SPACE

DATED:

SECTION I - DESCRIPTION OF PREMISES
a. Building Name

b. Building Street Address

1. BUILDING
DESCRIPTION c. City
2a. FLOORS OFFERED

4. LIVE FLOOR LOAD

d. State
2b. TOTAL NUMBER OF FLOORS
IN BUILDING

5. MEASURMENT METHOD
ANSI/BOMA

Pounds per SF

e. 9-Digit ZIP Code

f. Congressional District

3. TOTAL RENTABLE SPACE IN OFFERED BUILDING
a. GENERAL PURPOSE
(Office)
SF

b. WAREHOUSE

c. OTHER

6. YEAR OF LAST MAJOR
RENOVATION
(If applicable)

7. BULDING AGE

SF

SF
8. SITE SIZE
SF

OTHER

Acres

SECTION II - SPACE OFFERED AND RATES
9. ANSI/BOMA OFFICE AREA
SQUARE FEET (ABOA)

10. RENTABLE SQUARE FEET (RSF)

11. COMMON AREA FACTOR (CAF)

“Tenant Improvements” are all alterations for the Government-demised area above the building shell buildout, excluding costs identified as tenant improvements in the Security
Unit Price List. Building Specific Amortized Capital (BSAC) is the sum of costs identified as such in the Security Unit Price List. Neither the Tenant Improvements as stated in
Block 12, nor the BSAC as stated in Block 13, are to be included in the shell rent. It is expected that the tenant buildout will be fully amortized at the end of the firm term, and the
rent will be reduced accordingly. Any desired rent increases or decreases beyond the firm term of the lease should be reflected in the shell rate and fully explained as part of this
written proposal. If Tenant Improvements or BSAC improvements are to be amortized beyond the firm term, those calculations must be itemized as part of this written proposal.
The Offeror may attach additional pages as necessary.

Number of years each cost per
square foot is in effect. State any
changes for any rent component.
a.
BUILDING-OUT
COSTS PER
CATEGORY

c.
f.
b.
d.
e.
AMORTIZATION
NUMBER YEARS
AMORTIZATION
ANNUAL RENT ANNUAL RENT
INTEREST
RATE IS
TERM
$ PER RSF
$ PER ABOA SF
RATE (%)
EFFECTIVE

12. TENANT IMPROVEMENTS
(Per RLP requirements)

$

$

$

13. BSAC
(Per RLP requirements detailed on
Security Unit Price List)

$

$

$

14. SHELL BUILD-OUT
(Per RLP requirements)

$

15. TOTAL BUILD-OUT COSTS

$

16. SHELL RENT
(Including current real estate taxes.
Refer to Line 28 on GSA Form 1217)

$

$

17. OPERATING COSTS
(Refer to Line 27 on GSA Form 1217)

$

$

18. TOTAL RATE/SF

$

$

19. TOTAL ANNUAL RENT

$
PER SF RATE

20. STEP RENT (SHELL RATES)

$

/RSF

$

/ABOA

FOR YEARS

Thru

PER SF RATE
$

/RSF

$

/ABOA

FOR YEARS

Thru

21. Parking
a. Number of parking spaces for the entire building/ facility which are under the control of the Offeror:

PER SF RATE
$

/RSF

$

/ABOA

FOR YEARS

Thru

Surface

Structured

b. Number of parking spaces required by local code:

Surface

Structured

c. Number of parking spaces for Employee/Visitor Use (per RLP):

Surface

Structured

d. Number of parking spaces for Official Government Vehicles (per RLP):

Surface

Structured

e. Does the rental rate offered above include RLP-required parking costs?
Annual cost per space: $
Yes
No
If NO, complete the following:

GENERAL SERVICES ADMINISTRATION

Surface

Structured

GSA 1364C 12/2012

SECTION III - LEASE TERMS AND CONDITIONS
23. RENEWAL OPTIONS

22. INITIAL LEASE TERM (Full Term)
a. Number of Years b. Years Firm

c. Number of Days Notice for
Government to Terminate
Lease

24. OFFER GOOD UNTIL AWARD

a. Shell Rate /
RSF / YR

b. Years
Each

c. Number of
Options

d. Number of Days Notice
to Exercise Option

25. Space will be altered and delivered in accordance with the Government's
specifications and requirements in accordance with the Request for Lease
Proposals (RLP) and the lease.

26. COMMISSIONS (If applicable), ATTACH COMMISSION AGREEMENT
a. Tenant Representative Commission b. Owners Representative Commission
%

c. Schedule of Commission Payments

%

27. OFFEROR'S TENANT IMPROVEMENT FEE SCHEDULE
A. Architectural/Engineering fees will be (choose one):

% at lease award and

% at lease occupancy

28. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE
Adjustment for Vacant Premises: $
per ABOA SF
HVAC Overtime Rate: $

1. $

per ABOA SF

2.

% of Total TI construction costs

3. $

flat fee

per hour per
zone
floor
(choose one)
For rates based on a "per zone" basis, provide the following:

space

Number of zones in offered Space:

b. Lessor's Project Management Fee will be
Total TI construction costs.

percent of

c. If other fees are applicable, state as per ABOA SF, or if using a
percentage, the basis for determining the fee.

The Government will add the cost of the proposed fees to the net
present value of the offered rental rate as described in the RLP's
Present Value Price Evaluation paragraph. This schedule will be
applicable for Tenant Improvements.

Areas requiring 24-hour HVAC (LAN, etc.) $
per
SF
NOTE: THE COST TO PROVIDE 24-HOUR HVAC SERVICE IS
REIMBURSED SEPARATELY FROM RENT. THE COST FOR
THESE OVERTIME UTILITIES MUST NOT BE INCLUDED IN THE
OFFERED RENTAL RATE OR BASE OPERATING COSTS.
Building's Normal Hours of HVAC Operation:
Monday - Friday
AM to
PM
Saturday

AM to

PM

Sunday

AM to

PM

Percent of Government Occupancy:
$
Current Year Taxes:

%

Based on fully assessed value?

Yes

No

Is the offered space part of multiple tax bills?

Yes

No

If so, provide tax ID numbers and SF for each. Attach the legal description
of the offered property.
If a site is offered, state the total land costs: $
29. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

30. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

SECTION IV - OWNER IDENTIFICATION AND CERTIFICATION
31. RECORDED OWNER
b. Address

a. Name

c. City

d. State

e. ZIP +4

32. BY SUBMITTING THIS OFFER, THE OFFEROR AGREES UPON ACCEPTANCE OF THIS PROPOSAL BY 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.
I have read the RLP and its attachments in its entirety and I am requesting no deviations.
33. Offeror's Interest in Property
Agent
Other
Owner
34. OFFEROR

Check if same as Recorded Owner

a. Name

b. Address

f. Title

g. E-Mail Address

i. Offeror's Signature

GENERAL SERVICES ADMINISTRATION

c. City

d. State

e. ZIP +4

h. Telephone Number
j. Date Signed

GSA 1364C 12/2012 Page 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.)

8

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):

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

9

Waiver of Price Evaluation Preference. A HUBZone small business concern (SBC) Offeror may elect to waive the
price evaluation preference provided in Section 4 of the RLP. In such a case, no price evaluation preference shall
apply to the evaluation of the HUBZone SBC, and the performance of work requirements set forth in Section 1 of the
Lease shall not be applicable to a lease awarded to the HUBZone SBC Offeror under this solicitation. A HUBZone
SBC desiring to waive the price evaluation preference should so indicate below.
I am a HUBZone SBC Offeror and I elect to waive the price evaluation preference.
(See RLP and Lease documents for more information)

GENERAL SERVICES ADMINISTRATION

GSA 1364C 12/2012 Page 3