OMB Control Number: 3090-0086

PROPOSAL TO LEASE SPACE Expiration Date: 12/31/2022

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Washington, DC 20405.
In Response to Request for Lease
DATED
Proposals (RLP) Number -->

SECTION I - DESCRIPTION OF PREMISES

1. BUILDING a. Building Name b. Building Street Address
DESCRIPTION

c. City d. State e. 9-Digit ZIP Code f. Congressional District

2a. FLOORS OFFERED 2b. TOTAL NUMBER OF FLOORS 3. TOTAL RENTABLE SPACE IN OFFERED BUILDING
IN BUILDING
a. GENERAL PURPOSE b. WAREHOUSE c. OTHER
(Office)
SQUARE FEET SQUARE FEET SQUARE FEET
4. LIVE FLOOR LOAD 5. MEASUREMENT METHOD 6. YEAR OF LAST 7. BUILDING AGE 8. SITE SIZE
MAJOR RENOVATION
ANSI/BOMA (if applicable) SQUARE FEET
POUNDS PER
SQUARE FOOT OTHER ACRES

GENERAL SERVICES ADMINISTRATION GSA 1364 (REV. 11/2016)

 SECTION II - SPACE OFFERED AND RATES
9. ANSI/BOMA OFFICE AREA 10. RENTABLE SQUARE FEET
11. COMMON AREA FACTOR (CAF)
SQUARE FEET (ABOA) (RSF)

"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 team, 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. b. c. d. e. f.
BUILD-OUT COSTS AMORTIZATION AMORTIZATION ANNUAL RENT ANNUAL RENT NUMBER OF
PER TERM INTEREST $ PER RSF $ PER ABOA YEARS RATE
CATEGORY RATE (%) SQUARE FOOT IS 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 real estate
taxes. Refer to Line
28 on GSA 1217)

17. OPERATING COSTS

(Refer to Line 27 on
GSA 1217)

18. TOTAL RATE/

SQUARE FOOT

19. TOTAL ANNUAL

RENT

a. PER SQUARE c. PER SQUARE e. PER SQUARE

FOOT b. FOR YEARS FOOT d. FOR YEARS FOOT f. FOR YEARS
RATE RATE RATE

20. STEP RENT /RSF /RSF /RSF

Thru Thru Thru
(SHELL RATES)
/ABOA /ABOA /ABOA

a. Number of parking spaces for the future building/facility which are under the control of the Offeror: Surface Structured

b. Number of auto parking spaces required by local code: Surface Structured

c. Number of auto parking spaces for Employee/Visitor Use (per RLP): Surface Structured
21. PARKING
d. Number of parking spaces (auto and truck) for Official Government Vehicles (per RLP): Surface Structured
e. Does the rental rate offered above include RLP - required parking costs? YES NO

If NO, complete the following: Annual cost per space: Surface Structured
GSA 1364 (REV. 11/2016) PAGE 2
 SECTION III - LEASE TERMS AND CONDITIONS
22. INITIAL LEASE TERM
23. RENEWAL OPTIONS
(Full Term)

c. Number d. Number of Days

c. Number of Days Notice for a. Shell Rate/
a. Number of Years b. Years Firm b. Years Each of Notice to
Government to Terminate Lease: RSF/Year
Options Exercise Option

24. OFFER GOOD UNTIL AWARD 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. Owner's Representative Commission: c. Schedule of Commission Payments:

% % % at lease award and % at lease occupancy

27. OFFEROR'S TENANT IMPROVEMENT FEE SCHEDULE 28. ADDITIONAL FINANCIAL ASPECTS OF THE LEASE

*Block 27 fees only applicable for Tenant Improvement (TI) subject to

Adjustment for Vacant Premises: per ABOA SF
post-award pricing;
HVAC Overtime Rate: per hour per (choose one)
N/A for turnkey pricing.
zone floor space
a. Architectural/Engineering fees will be (choose one):
For rates based on a "per zone" basis, provide the following:
1. per ABOA SF
Number of zones in offered space:
2. % of Total TI construction costs.
Areas requiring 24 hour HVAC (LAN, etc.) per ABOA SF*
3. flat fee
*Only applies when the Government requires separate
b. Lessor's Project Management Fee will be percent of Total TI reimbursement for 24 hour HVAC as described under Section 1 of
construction costs. the Lease. Otherwise, include this cost in the operating rent, as
described under Section 6 of the Lease.
c. If other fees are applicable, state as per ABOA square foot in the space
below, or if using a percentage, the basis for determining the fee. Building's Normal Hours of HVAC Operation:

Monday - Friday AM to PM
The Government will add the cost of the proposed TI fees to the net
Saturday AM to PM
present value of the offered rental rate as described in the RLP's
Present Value Price Evaluation paragraph. This schedule will be Sunday AM to PM
applicable for Tenant Improvements.
Percent of Government Occupancy: %
29. FREE RENT INCLUDED IN OFFER
Current Year Taxes:
1. months free rent (includes shell, operating, TI and BSAC rent)
Based on fully assessed value? YES NO
2. Other rental concessions structured as follows:
Is the offered space part of multiple tax bills? YES NO

If so, provide tax ID numbers and square footage for each in the
blank space below the question on total land costs. Attach the legal
description of the offered property.

If a site is offered, state the total land costs:

3. None

30. LIST OF ATTACHMENTS SUBMITTED WITH THIS OFFER (See RLP requirements)

31. ADDITIONAL REMARKS OR CONDITIONS WITH RESPECT TO THIS OFFER

GSA 1364 (REV. 11/2016) PAGE 3

 SECTION IV - OWNER IDENTIFICATON AND CERTIFICATION
32. RECORDED OWNER

a. Name b. Address c. City d. State e. ZIP Code + 4 f. DUNS Number

33. 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 with attachments in its entirety and am requesting no deviations.

34. Offeror's Interest in Property

Owner Agent Other

35. OFFEROR Check if same as Recorded Owner

a. Name b. Address c. City d. State e. ZIP Code + 4

f. Title g. E-Mail Address h. Telephone Number

i. Offeror's Signature j. Date Signed

GSA 1364 (REV. 11/2016) PAGE 4

 In Response to Request for Lease Proposals (RLP) Number
LEASE PROPOSAL DATA DATE:

Offeror's Interest in the Property

1. Fee owner Other:

Attach evidence of Offeror's interest in property (e.g., deed) and representative's authority to bind Offeror.

Flood Plains:

2. 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:

Fully meets seismic requirements or meets an exemption under the RLP

3.
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.

Historic Preference: The Building is a

Historic property within a historic district.

Non-historic developed site or non-historic undeveloped site within a historic district.

4.
Historic property outside of a historic district.

None of the above.

(See RLP Section 2, Historic Preference.) Attach appropriate documentation.

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.
5.
Contains ACM not in a stable, solid matrix.

(See RLP Section 2, Asbestos.)

Fire/Life Safety:

6. The Property Meets Does not meet Lease fire/life safety standards.

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

Accessibility:

7. 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 (MM-DD-YYYY):

8. 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 (Attach additional pages):

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

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
9.
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.)

GSA 1364 (REV. 11/2016) PAGE 5