GSA 1364A-1 Simplified Lease Proposal Data

SIMPLIFIED LEASE
PROPOSAL DATA

In Response to Request for Lease Proposals (RLP) Number

Date

OMB Control Number: 3090-0086
Expiration Date: 11/30/2019

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 (OMB) control number. The OMB control number for
this collection is 3090-0086. We estimate that it will take 2 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 (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

1

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.)
Seismic Safety: The Building
RLP does not contain seismic requirements. No documentation required.
RLP contains seismic requirements. The Building
3

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 a 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

8

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 1364A-1 (REV. 11/2016)

PROPOSED RENT COMPONENTS
OFFICE AREA

FIRM TERM
($/RSF/YR)

NON-FIRM TERM
($/RSF/YR)

OPTION TERM
($/RSF/YR)

A

B

C

Building Shell Rent
10 (Include Real Estate Taxes)
(See page 3 Addendum: Shell Definitions)

$

$

$

Turnkey Tenant Improvement Rent
11 (See block 20 below for additional cost and
amortization rate breakdown)

$

$

$

12

Operating Rent

$

$

$

13

Building Specific Amortized Capital Rent
(See block 21 below for additional cost and
amortization rate breakdown)

$

$

$

14

Total

$

$

$

OTHER SPACE

FIRM TERM
($/RSF/YR)

NON-FIRM TERM
($/RSF/YR)

OPTION TERM
($/RSF/YR)

A

B

C

Building Shell Rent
15 (Include Real Estate Taxes)
(See page 3 Addendum: Shell Definitions)

$

$

$

Turnkey Tenant Improvement Rent
16 (See block 20 below for additional cost and
amortization rate breakdown)

$

$

$

17 Operating Rent

$

$

$

Building Specific Amortized Capital Rent
18 (See block 21 below for additional cost and
amortization rate breakdown)

$

$

$

19 Total

$

$

$

20 A. Tenant Improvement Costs

$

B. Interest Rate to Amortize Tenant
Improvements

%

21 A. Building Specific Amortized Capital Costs

$

B. Interest Rate to Amortize Building
Specific Amortized Capital Costs

%

OTHER INFORMATION SUPPLIED WITH THIS PROPOSAL:

22

23
24
25

If GSA is using an authorized contractor real estate broker in this transaction, Offeror must enter here the commission
rate offered to its representative, and the commission rate offered to GSA's Broker, and attach the commission
agreement between Offeror and GSA's Broker.

The information contained in this 1364A-1, Lease Proposal Data Form, is proprietary to Offeror.
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

B. NAME

C. TITLE

D. DATE

GSA 1364A-1 (REV. 11/2016) PAGE 2

Addendum: Shell Definitions
Base Building

26

Tenant Areas

Base structure and building enclosure components
(windows with exterior finishes) are complete.

Broom-clean concrete floor slab, with level floor not
varying more than ¼ inch over 10-foot horizontal run, in
accordance with American Concrete Institute Standards.

Base building electrical and mechanical systems (e.g.,
central fire alarm, chiller plant, and cooling tower) are
complete and functional.

Gypsum wallboard, spackled and prime painted on
exterior perimeter walls and interior core walls, is installed.

All common areas, such as lobbies, elevators, fire egress
corridors and stairwells, garages, and service areas are
complete. (Circulation corridors are provided as part of
the base building only on multi-tenanted floors where the
corridor is common to more than one tenant. On single
tenant floors, only the fire egress corridor necessary to
meet code is provided as part of the shell.)

2’ x 2’ suspended acoustical ceiling with 2’ x 2’ parabolic
fluorescent (or other building standard, such as 2’ x 4’
fixtures) installed in the ceiling grid for an open office plan
at the rate of one fixture per 80 USF, is installed.

Common corridor stud walls, without gypsum board on
Building common restrooms are complete and operational. demised tenant premises side and without suite entry
door, are installed.

Building cores on each floor with assignable space
contain the following: tappable domestic water riser,
service sanitary drain, sanitary vent, ready for extension to
tenant-demised areas.
Electrical power distribution panels and circuit breakers
available in an electrical closet, with capacity at 277/480
volt and 120/208 volt, 3-phase, 4 wire providing 4 watts
per USF.
Designated connection point to the central fire alarm
system for extension to tenant-demised areas.
Distribution backboard within a wire closet for connection
to tenant’s telephone lines. Vertical conduit (empty
sleeve) through building core, available for tenant wiring
and cabling.

Central heating, ventilation, and air conditioning (HVAC)
systems are installed and operational, including, as
appropriate, main and branch lines, variable air volume
boxes, dampers, flex ducts and diffusers, for open office
layout. Conditioned air through medium pressure
ductwork at a rate of .75 cfm per square foot of usable
area is provided.
Sprinkler mains and distribution piping in a protection
layout (open plan) with heads turned down, concealed
with an escutcheon or trim plate, are installed.

GSA 1364A-1 (REV. 11/2016) PAGE 3