SOLICITATION FOR OFFERS
OUTPATIENT CLINIC
SFO NO. V101-183R-xxx-xxx-xx
[INSERT LOCATION OF FACILITY]
DATED
IN RESPONSE TO
PROPOSAL TO LEASE SPACE
SOLICITATION NUMBER
SECTION I - DESCRIPTION OF PREMISES
1a. BUILDING NAME
2. NUMBER OF
3. TOTAL RENTABLE SPACE
FLOORS
a. GENERAL
b. WAREHOUSE
c. OTHER
PURPOSE
1b. BUILDING ADDRESS
sq. ft
sq. ft
sq. ft
1c. CITY
1d. STATE
4. LIVE FLOOR
5. MEASUREMENT
6. TYPE
7. BLDG.
LOAD
METHOD
CONSTRUCTION
AGE
1e. 9-DIGIT ZIP CODE
1f. CONGR. DISTRICT
___ ___ ___ ___ ___ - ___ ___ ___ ___
lbs./sq. ft
SECTION II - SPACE OFFERED AND RATES
INITIAL TERM
RENEWAL OPTION
TYPE
FLOOR
COMMON
SQ. FT.
RENTABLE
SQ. FT. RATE
AMOUNT
AMOUNT
Full(F)/Partial(P)
OF
AREA
RATE PER
SQUARE
PER YEAR
(a) x (b)
(a) x (c)
SPACE
YEAR
FEET
FACTOR*
(c)
(a)
(b)
8. GENERAL
PURPOSE
TOTAL
9. WARE-
HOUSE
(a)
(b)
(c)
10. TOTAL
(10b divided by 10a)
(10c divided by 10a)
11. COMPOSITE SQUARE FOOT RATE PER ANNUM
*The Common Area Factor, to be determined by the offeror, is the percentage of the rentable space not available for exclusive use by tenant.
a. Initial term rate includes: (1) $__________ / sq. ft. for operating cost base rate and (2) $__________ / sq. ft. for
12.
base year taxes.
b. Offeror's estimated total buildout cost to prepare the space for Government occupancy $___________________
and
estimated amortization rate for buildout ________%.
a. Number of parking spaces for the entire building, which are under the control of the
13.
offeror
b. Number of parking spaces to be furnished for use by Government employees
c. If the parking spaces shown in item 13b above are provided because of local law or
regulation requirements,
and no charge for parking is intended
d. If there is to be a charge for Government employees' parking, show the amount that
will be charged for each
parking space.
SECTION III - LEASE TERMS
14. INITIAL LEASE
15. RENEWAL OPTIONS
16. Offer GOOD until AWARD.
a. NO. OF YEARS
b. YEARS FIRM
a. YEARS EACH
b. NO. OF
OPTIONS
19. Space will be altered in accordance
ith
ifi ti
17. NUMBER OF DAYS NOTICE REQUIRED FOR
18. NUMBER OF DAYS NOTICE REQUIRED TO
and delivered within __________ days
GOVERNMENT TO TERMINATE LEASE
EXERCISE RENEWAL OPTION
of award.
PAGE 1 OF 2
GSA FORM 1364 (REV 5/98
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