GSA 1364 Proposal to Lease Space

PROPOSAL TO LEASE SPACE
(See Paperwork Reduction Act Statement in Section V)

This Offer is in response to Request for Lease
Proposals (RLP) Number:

D

OMB Control Number: 3090-0086
Expiration Date: XX/XX/20XX

SECTION I - BUILDING OVERVIEW
1. Building Name

2. Building Street Address

4. Number of Floors in Building

3. City, State and 9-Digit ZIP Code

5. Total Rentable Square Feet (RSF) in Building
Building Space Breakout
a. General Purpose/Office:

b. Warehouse:

c. Other:

R

8. Total Building Parking Under Offeror's Control
a. Total Surface

b. Total Structured

6. Total ANSI/BOMA Occupant
Area (ABOA) Square Feet
(SF) in Building

c. Is all the parking onsite?
YES

7. Building
Common Area
Factor (CAF)

d. Number of spaces required by local code, if applicable:

NO

(Parking spaces and associated costs offered to meet the requirements outlined in the RLP shall be detailed in Box 20).

SECTION II - PRIMARY OFFER DETAILS
9. ABOA SF of Offered Space

13. Full Term
of the Lease

10. RSF of Offered Space

11. CAF of Offered Space 12. Floor(s) and/or Suite(s) of Offered Space

14. Firm Term
of the Lease

After the Firm Term, the Government may terminate the Lease by
providing advanced written notice to the Lessor. Indicate the minimum
Months number of days the Government must provide prior written notice by.

Months

A

RENT TABLE

Enter initial rental figures only. Scheduled step rents for Shell rent and
Parking rates must be entered in Section VI, Addendum.

Y.
Annual Rate
$ Per RSF

X.
Annual Rent

15. Number of
Days Notice

Z.
Annual Rate
$ Per ABOA SF

16. Shell Rent
The initial Shell Rent is a total annual dollar amount of
Does the initial Shell Rent offered change during the term of the lease?

YES

NO

17. Operating Costs (Refer to Line 27 on the GSA 1217)
The Operating Cost base is a total annual dollar amount of

18. Tenant Improvement (TI) Rent
a. TI Allowance per ABOA SF: $
b. Total TI: $

F

(stated in RLP; leave blank for turnkey pricing)

('a' above multiplied by offered ABOA SF or turnkey price)

% d. Amortization Period in Months:

c. Amortization Interest Rate:

19. Building Specific Amortized Capital (BSAC) Rent
a. BSAC Amount per ABOA SF: $
b. Total BSAC: $
c. Amortization Interest Rate:

(if stated in RLP)
('a' above multiplied by offered ABOA SF or total cost)

% d. Amortization Period in Months:

20. Parking Required by the RLP
$

per space per month

b. Number of
Spaces Offered:

c. General
$
Structured:

per space per month

d. Number of
Spaces Offered:

e. Reserved
$
Surface:

per space per month

f. Number of
Spaces Offered:

g. Reserved
$
Structured:

per space per month

h. Number of
Spaces Offered:

a. General
Surface:

T

$0.00

21. Rent for Non-Standard Circumstances
The RLP requires a non-standard rental
component applicable only under specific
conditions outlined in the Lease called:

Not Applicable

22. TOTAL INITIAL RENT
23. Fee Schedule
The RLP outlines how fees may
apply. Fees are not applicable
for turnkey pricing.

a. Architectural/Engineering fees will be (choose one):
Percent of Total Construction Costs:
Dollar Amount per ABOA SF: $

%

b. Lessor's Project Management fee will be:
Percent of Total Construction Costs

%

Flat Fee: $

GENERAL SERVICES ADMINISTRATION

GSA 1364 (REV. XX/20XX) PAGE 1

SECTION III - ADDITIONAL FINANCIAL ASPECTS OF THE OFFER

D

24. Are you offering free rent?
YES

a. If yes, enter the number of
free months being offered.

NO

b. What rent components are included in the free rent?

months
25. Are you offering free
space?
YES

Shell

TI

Parking

Operating Costs

BSAC

Non-Standard

a. If yes, how much free space, in addition to the
space offered in Box 9 above, is being offered?

NO

26. Are you offering renewal
options?
YES
NO

ABOA SF

27. Commissions
If applicable, enter the commission distribution and ATTACH BROKER COMMISSION
AGREEMENT.

a. Tenant's Representative Commission

%

b. Owner's Representative Commission

%

28. Adjustment for Vacant
Premises

29. Adjustment for Reduced 30. Tax Parcel Percent of Government Occupancy
Services
a. RSF of Tax Parcel
RSF
per ABOA SF
per ABOA SF
$
b. Percent of Occupancy
%

$

If yes, fill out 'Renewal
Options' in Section VI,
Addendum.

R

Explain complex tax
parcel arrangements in
Section VI, Addendum.

31. Heating, Ventilation, and Air Conditioning (HVAC) Overtime Rate
a. $

b. Select one of the options below:

rate per hour -PER-

Zone

Floor

Space

d. If the Government used 1 hour of overtime HVAC
c. Total Number
for the entire offered space, it would owe:
of Zones, Floors,
or Spaces
(Multiply 31a times 31c)

SECTION IV - BUILDING AND PROPERTY INFORMATION
32. In what year was the original building construction completed and ready for initial occupancy?
33. Provide the year and a brief description of the last major building renovation, if applicable.

A

34. Select the approximate level of construction necessary to meet the building shell requirements:
a. Improvements to the existing Building will be required to meet the Lease shell requirements.
The total approximate construction cost to achieve Lease shell standards is: $
b. The Building already meets all the Lease shell requirements; no improvements are necessary.
c. The requirements of the Lease will be satisfied through the construction of a new building.
Land Site Size:

SF or
Acres
(Choose one)

Total Land Costs: $

35. What are the Building's normal hours of operations for HVAC included in the Operating Costs?
Monday - Friday

Saturday

Start

Start

End

End

F

Sunday

Start
End

36. With regard to Fire Protection and Life Safety:
a. The Property meets the Lease fire protection/life safety standards.
b. The Property will be improved to meet the Lease fire protection/life safety standards.
c. The Property does NOT meet the Lease fire protection/life safety standards and will NOT be upgraded.
37. With regard to Accessibility (Architectural Barriers Act Accessibility Standard - ABAAS):
a. The Property meets the Lease accessibility standards.

T

b. The Property will be improved to meet the Lease accessibility standards.
c. The Property does NOT meet the Lease accessibility standards and will NOT be upgraded.
38. With regard to Asbestos-Containing Material (ACM): (Select all that apply)
a. The Building contains no ACM.
b. The Building contains undamaged, nonfriable ACM.
c. The Building contains thermal system insulation ACM which is not damaged or subject to damage by routine
operations.
d. The Building contains ACM that does not fall within any of the above categories.
e. The Building contains ACM; abatement will be completed prior to occupancy.
39. With regard to Flood Plains:
a. The Property is in a base (100 year) floodplain.
b. The Property is in a 500 year floodplain.
c. The Property is NOT in a floodplain.

GSA 1364 (REV. XX/20XX) PAGE 2

D

40. With regard to Seismic Safety of the Building:
a. The RLP does NOT contain seismic requirements.

b. The Building either fully meets RLP seismic requirements or meets an exemption.
c. The Building will be retrofitted to meet RLP seismic requirements it does not currently meet.
d. The Building will be constructed to meet RLP seismic requirements.
e. The Building will NOT meet RLP seismic requirements.
41. With regard to ENERGY STAR®:
a. The Property has received the ENERGY STAR® Label within the past twelve months.
Date (MM/DD/YYYY):

R

b. The Property has NOT received the ENERGY STAR® Label within the past twelve months but falls into one of the
following categories:
i.

New construction

ii. Existing building that cannot obtain label due to insufficient occupancy
iii. Meets one of the statutory exceptions below:
(1) The agency would remain in the building it currently occupies.
(2) The Lease would be in a building of historical, architectural, or cultural significance listed or eligible to be listed
on the National Register of Historic Places.
(3) The Lease is for 10,000 RSF or less.
With regard to offerors falling into a statutory exception category above, the Offeror has evaluated energy efficiency and
conservation improvements and has determined:

A

(i) Cost effective improvements have been identified and are attached to this offer.
(ii) There are no cost effective improvements. Supporting documentation is attached to this offer.
42. With regard to Historic Preference:
a. Is the Building a Historic Property?

YES

b. Is the Building within an Historic District?

NO
YES

NO

43. With regard to Historically Underutilized Business Zones (HUBZone) Price Evaluation Preference:
a. I am a HUBZone Small Business Concern (SBC) Offeror and I elect to waive the price evaluation preference.
b. I am a HUBZone SBC Offeror and I do NOT waive the price evaluation preference.

F

c. I am NOT a HUBZone SBC Offeror. The question does not apply.

SECTION V - OWNER IDENTIFICATION AND OFFEROR CERTIFICATION
44. Recorded Owner Name

45. Owner Street Address

46. City, State and 9-Digit ZIP Code 47. Unique Entity Identifier (UEI)

48. Offeror Name

49. Offeror Street Address

50. City, State and 9-Digit ZIP Code 51. Contact Information
a. Email
b. Telephone

52. Offeror's Interest
in the Property

Owner (Offeror and Recorded Owner are the same person)

Agent / Broker

T

Other (Explain if Other is selected)

By submitting this offer, the offeror agrees to lease the premises described within the offer to the United States of America upon the Lease
Contracting Officer's acceptance of the offer. The offeror acknowledges they have read and fully understand the Request for Lease
Proposals and agrees to honor the terms and conditions specified in their offer and to full compliance with and acceptance of the Request
for Lease Proposals and its attachments.
By signing this form, you acknowledge having read the RLP with attachments in its entirety. No deviations are allowed unless authorized
by the Lease Contracting Officer (LCO).
53. Does your offer request any deviation from the RLP?

NO

YES - I request a deviation from the LCO

Offeror's Signature

Date Signed
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 2.3 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.

GSA 1364 (REV. XX/20XX) PAGE 3

SECTION VI - ADDENDUM

D

A. Step Rent
Shell Rent and Parking steps should be detailed if the initial amount stated in the Rent Table above does NOT remain the
same for the full term of the Lease. Shell Rent step amounts should be stated in Annual Rent for the entire Leased space.
Parking step rents should be stated as a dollar amount per space per month.
Rent Type

Beginning Year

Add a Step Rent

Through Year

Amount Will Be ($)

Per

Remove a Step Rent

R

B. Renewal Options
Renewal Options are optional unless required by the RLP. Only renewal options that are required by the RLP will factor into
the Government's financial analysis of the Offer.
Option Number

Add an Option

Annual Shell Rate
per RSF

Duration in Years

Number of Days Notice
to Exercise Option

Remove an Option

C. Additional Tax Parcel Information
Is the offered space part of multiple tax bills or multiple buildings on a single tax parcel?

YES

A

NO

If 'YES', use the boxes below to account for the total number of buildings, associated RSF, and tax parcel associated with the
overall space offered to the Government. Attach the legal description(s) of the offered property/properties as part of your
overall RLP submission.
Building

Building RSF

Add a Building/Tax Parcel

Tax Parcel

Tax Parcel ID Number

Remove a Building/Tax Parcel

D. Additional Remarks or Conditions with Respect to this Offer
Any deviations from the RLP requirements must be requested prior to the request for final proposal revisions. If the Offeror
requests any deviations, GSA at its sole discretion will make the decision whether to accept the deviation.

F

T

GSA 1364 (REV. XX/20XX)

PAGE 4