04/18/2007 Lease
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
May 2, 2007
TO:
Reggie Paros, Director
Housing & Community Development
Florida Keys Marathon Airport Manager
ATTN:
FROM:
Stacy DeVane, Executive Assistant
Pamela G. Hanc~
Deputy Clerk
At the April 18, 2007, Board of County Commissioner's meeting the Board granted
approval and authorized execution of a US. Government Lease for Real Property, Lease No.
GS-04B-47825, between Monroe County and General Services Administration (GSA) for
Transportation Security Administration (TSA) baggage screening personnel to utilize office space
at the Florida Keys Marathon Airport, effective May 1,2007.
Enclosed are three duplicate originals of the above-mentioned, executed on behalf of
Monroe County, for your handling. Please be sure to return the fully executed "Monroe
County Clerk's Office Original" and the "Monroe County Finance Department's Original" as
soon as possible. Should you have any questions please do not hesitate to contact this office.
cc: County Attorney
Finanpe wlo document
FileY
MOM:le C~ Cl2rl\t'1l omoo ~
U.S. C~OVERNMENT LEASE FOR REAL PROPERTY
(Short Form)
PART I . SOLICITATION/DESCRIPTION OF REQUIREMENTS (To be completed by Governmenl)
LEASE NUMBER
GS-04B-47825
A. REQUIREMENTS
The Government of th,. United States of America is seeking to lease 156 rentable square feet of office space located in
Marathon, Florida for occupancy not later than May 1, 2007 (date) for a term of 5 years. Rentable space must yield a
minimum of 156 squan, feet of ANSI/BOMA Office Area (previously Usable) for use by Tenant for personnel, furnishing, and
equipment.
INITIAL OFFERS ARE [)UE ON OR BEFORE CLOSE OF BUSINESS N/A.
B. STANDARD CONDITIONS AND REQUIREMENTS
The following standard conditions and requirements shall apply to any premises offered for lease to the UNITED STATES OF AMERICA (hereinafter
called the GOVERNMENT):
Space offered must be in a quality building of sound and substantial construction, either a new, modern building or one that has undergone
restoration or rehabilitation for the intended use.
The Lessor shall provide a valid Occupancy Permit for the intended use of the Government and shall meet, maintain, and operate the building in
conformance with all applicable current (as of the date of this solicitation) codes and ordinances. If space is offered in a building to be constructed for
lease to the Government, tlhe building must be in compliance with the most recent edition of the building code, fire code, and ordinances adopted by
the jurisdiction in which the building is located.
Offered space must meet l)r be upgraded to meet the applicable egress requirements in National Fire Protection Association (NFPA) Standard No.
101, Life Safety Code or equivalent prior to occupancy. Below-grade space to be occupied by the Government and all areas in a building referred to
as "hazardous areas" in NFPA Standard No. 101, must be protected by an automatic sprinkler system or an equivalent level of safety. Access to a
minimum of two remote e,cits shall be provided on each floor of Government occupancy. Scissor stairs will be counted as one stairway; open-air
exterior fire escapes will nl)t be counted as an approved exit. If offered space is located 3 or more floors above the lowest level of fire department
vehicle access, additional fire alarm system and automatic sprinkler system requirements may apply.
The Building and the leased space shall be accessible to workers with disabilities in accordance with the Americans With Disabilities Act
Accessibility Guidelines (3l> CFR Part 1191, App. A) and the Uniform Federal Accessibility Standards (Federal Register vol. 49, No. 153, August 7,
1984, reissued as FED. STD. 795, dated April 1, 1988, and amended by Federal Property Management Regulations CFR 41, Subpart 101-19.6,
Appendix A, 54 FR 12628, March 28, 1989). Where standards conflict, the more stringent shall apply.
The leased space shall be free of all asbestos containing materials, except undamaged asbestos flooring in the space or undamaged boiler or pipe
insulation outside the spac:e, in which case an asbestos management program conforming to Environmental Protection Agency guidance shall be
implemented. The space sl1all be free of other hazardous materials according to applicable Federal, State, and local environmental regulations.
Services, utilities, and maiintenance will be provided daily, extending from 7 a.m. to 5 p.m. except Saturday, Sunday, and Federal holidays. The
Government shall have access to the leased space at all times, including the use of electrical services, toilets, lights, elevators, and Government
office machines without additional payment.
2. SERVICES AND UTILITIES (To be provided by Lessor as part of renl)
"X HEAT
"X ELECTRICITY
POWER (Special Equip.)
WATER (Hot & Cold)
SNOW REMOVAl
TRASH REMOVAL
CHILLED DRINKING WATER
"X AIR CONDITIONING
TOILET SUPPLIES
JANITORIAL SERVo & SUPP.
ELEVATOR SERVICE
WINDOW WASHING
"X INITIAL & REPLACEMENT
LAMPS, TUBES & BAlLASTS
OTHER
(Specify below)
Frequency
PAINTING FREQUENCY
Space
Public Areas
CARPET CLEANING
Frequency
3 OTHER REQUIREMENTS
Attached are: Attachments A, D,E, F
3517A Genl~ral Clauses
NOTE: All offers are subject to the terms and conditions outlined above, and elsewhere in this solicitation, Including the Government's
General Clauses and Representations and Certifications.
4 BASIS OF AWARD
X" THE ACCEPTABLE OFFER WITH THE LOWEST PRICE PER saUARE FOOT, ACCORDING TO THE ANSI/BOMAZ651-1996 DEFINITION FOR BOMA USABLE OFFICE AREA,
WHICH MEANS 'THE JI\REA WHERE A TENANT NORMALLY HOUSES PERSONNEL AND/OR FURNITURE, FOR WHICH A MEASUREMENT IS TO BE COMPUTED,'
OFFER MOST ADVANTAGEOUS TO THE GOVERNMENT, WITH THE FOLLOWING EVALUATION FACTORS BEING .. SIGNIFICANTLY MORE IMPORTANT THAN PRICE
.. APPROXIMATELY EQUAL TO PRICE .. SIGNIFICANTLY LESS IMPORTANT THAN PRICE (listed in descending order, unless slaled otherwise)'
GENERAL SERVICES ADMINISTRATION
Page 1 of2
GSA Fonn 3626 (Rev. 9-03)
Prescribed by APD 2800.12A
PART II .. OFFER (To be completed by Offeror/Owner)
A. LOCATION AND DESCRIPTION OF PREMISES OFFERED FOR LEASE BY GOVERNMENT
5. NAME AND ADDRESS OF BUILDING (Include ZIP Code) 6. LOCATION(S) IN BUILDING
Marathon Airport . FLOOR(S) b. ROOM NUMBER(S)
9400 Overseas Highway '"
Marathon, Florida :33050
, RENTABLE SQ. FT. . TYPE
x" GENERAL OFFICE .. OTHER (Specify)
156 .. WAREHOUSE
B. TERM
To have and to hold, for the! term commencing on May 1, 2007 and continuing through April 30, 2012 inclusive. The Government may terminate this
lease at any time by giving at least 21 days notice in writing to the Lessor. No rental shall accrue after the effective date of termination. Said notice
shall be computed commel1lcing with the day after the date of mailing.
C. RENTAL
Rent shall be payable in arrears and will be due on the first workday of each month. When the date for commencement of the lease faits after the
15th day of the month, the initial rental payment shall be due on the first workday of the second month following the commencement date. Rent for a
period of less than a month shall be prorated.
7. AMOUNT OF ANNUAL RENT
9. MAKE CHECKS PAYABLE TO (Name and address)
$5,148.00
Monroe County Finance Dept.
PO Box 1980
Key West, Florida 33040
8. RATE PER MONTH
$429.00
108. NAME AND ADDRESS OF OWNER (Include liP code If requested by the Government and the owner is a partnership or joint ventura, list al/ General Partners, using a separate sheet, if
necessary.)
~
I
Monroe County Board of County Commissioners
Marathon Airport
9400 OversElas Highway
Marathon, Florida 33050
.--
b. TELEPHONE NUMBER OF OWNER
11 TYPE OF INTEREST IN PROPERTY OF PERSON SIGNING
X OWNER AUTHORIZED AGENT
OTl<iR (S_)
,....,
of
Mario Di Gennaro
=::: J:';.
Ma or r;('")$~ I,
16. OFFER REMAI~~r-~TIL 4:~,M l":J
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13. TITLE OF PERSON SIGNING
RIZED AGENT
15. DATE
APR 1.8 2007
"
__ PART III .. AWARD (To be completed by Government) ...-,
';-. 'Youroffer' is ..hereby aCCElpted. This award consummates the lease which consists of the following docume]2ts: 00 thi~SA .. 3626,
, "(~), Represehtations and Cl!rtifications, (c) the Government's General Clauses, and (d) the following changes or addrtions made C(,,!)9reedttDby you:
Attachment D, E,F are incorporated as part of the lease terms. The space is leased without tenant improvements.
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THIS DOCUMENT IS NOT BINDING ON THE GOVERNMENT OF THE UNITED STATES OF AMERICA UNLESS SIGNED BELOW BY
AUTHORIZED CONTRAC'r1NG OFFICER.
17a, NAME OF CONTRACTING OFFICER (Type or Print)
17b. SIGNATURE OF CONTRACTING OFFICER
17e. DATE
Glynda M. Grieve
GENERAL SERVICES ADMINISTRATION
Page 2 of 2
')
s
GSA Form 3626 (Rev. 9-03)
Prescribed by APD 2800.12A
ATTACHMENT A
DEFINITIONS
LEASE NO. GS-04B-47825
BOMA RENTABLE SPACE
BOMA rentable space is the area for which a tenant is charged rent. It is determined by the
building owner and may vary by city or by building within the same city. The rentable space may
include a :share of building support/common areas such as elevator lobbies, building corridors,
and floor service areas. Floor service areas typically include restrooms, janitor rooms, telephone
closets, electrical closets, and mechanical rooms. The rentable space generally does not include
vertical building penetrations and their enclosing walls, such as stairs, elevator shafts and vertical
ducts.
BOMA USEABLE SPACE
Useable space is that portion of rentable space that is available for a tenant's personnel,
equipment, and furnishings and is the method of measurement for the area for which the
Governm,mt will evaluate offers.
Useable space is determined as follows:
(1) If the space is on a single tenancy floor, compute the inside gross area by measuring
to the window glass line of the exterior permanent walls.
(2) If the space is on a multiple tenancy floor, measure from the exterior building walls as
above and to the room side finish of the fixed corridor and shaft walls and/or the center of
tenant-separating partitions.
(3) In all measurements, make no deductions for columns and projections enclosing the
sliructural elements of the building and deduct the following from the gross area including
their enclosing walls:
(8) toilets and lounges,
(b) stairwells,
(c) elevators and escalator shafts,
(el) building equipment and service areas,
(El) entrance and elevator lobbies,
(I) stacks and shafts, and
(!l) corridors in place or required by local codes and ordinances and/or required by
the Government to provide an acceptable level of safety and/or to provide access
to all essential building elements. (Corridors deducted to determine useable
space mayor may not be separated by ceiling high partitions).
Unless otherwise noted, all references in this solicitation to square feet shall mean usable square
feet.
COMMON AREA FACTOR
Conversion factor(s) which may be applied by building owners to usable square footage to
determinEl the rentable square footage.
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Gov't
ATTACHMENT 0
OPERATING COSTS
LEASE NO. GS-04B-47825
BASE AND OPERATING COSTS
Beginning every fiscal year, the Base and Operating rents shall be adjusted annually as
approve1j by the Board of Monroe County Commissioners. The Government shall pay
the adjusted rents for changes in costs for supplies, materials, maintenance,
landscaping, water, sewer charges, heating, electricity, and certain administrative
expenses attributable to occupancy.
~~
GOV'T
ATTACHMENT E
TAX ADJUSTMENTS
LEASE 'NUMBER GS-04B-47825
TAX ADJUSTMENT, GSAR 552.270-24 (AUG 1992)
(a) The Government shall make an annual lump sum adjustment, as additional payment to or deduction from, its
share of any increase or decrease in real estate taxes that are assessed over the agreed upon base year or
negotiated dollar amount. The base year shall be the first 12-month period of the lease term coincident with
full assessment or a negotiated dollar sum that reflects a fully assessed value of property.
(b) Full assessment is defined as the assessed value of fully occupied property after completion of aU
construction, renovation or conversion for the intended use of the Government. Full assessment does not
occur until after the expiration of any and all special assessments or reduction in tax liability for hardship and
for special taxing jurisdictions and districts such as economic development or enterprise zones. Partial
assessments for newly constructed projects or for projects under construction or partially completed projects,
renovations, or conversions will not be used for establishing the Government's base year for tax and rental
adjustment payments..
(c) Real estate taxes are defined as taxes which are assessed on an ad valorem basis against all taxable real
property within the jurisdiction of the taxing authority, without regard to any benefit to the property, and the
revenues collected are used by the taxing authority for the purpose of providing general services. The
Government will not pay special assessments, service or user charges, licenses, fees, or taxes on related
personal property.
(d) If during the tenn of the lease, the property covered by the assessment is enlarged, decreased or altered in
any way or there is a change in the manner or method used by the taxing jurisdiction in detennining the
assessed value of the property such that there is a change in the Government's share, the Government shall
negotiate with the lessor to adjust the base to reflect the Government's actual share of the new assessed
value.
(e) The Government's share of tax increases shall be based upon the ratio of the assessed value of the space
leased by the Government to the total assessed value of the property in which its assessment is included.
The ratio will be determine prior to award, but may be later amended, if appropriate.
(f) If the Contracting Officer's review of tax assessment documentation indicates a variance between the
assessed value of the Government leased space and other space in the property, or if measurement
discloses a variance in the amount of Government leased space, the Government shall recalculate the ratio
to ensure that the Government pays only its fair share based on the value contributed by the space leased by
the Government.
i~ &~~
TG"V't.
Page 2
Attachment E
(9) Ilf during the term of the Government's lease, including any option periods, a reassessment occurs as a result
IJf a change in the ownership of the property, the Government will negotiate with the new lessor an equitable
upper limit on any increases in assessed value or real estate taxes which result solely from the change in
lownership and not from any material improvements to the property. The Government shall have the right to
unilaterally adjust the base if changes in the building or site adversely affect the Government's share of
assessed value of the total property.
(h) Payment shall be made once a year in a lump sum amount and shall become due when the lessor has
furnished appropriate paid tax receipts with correctly calculated invoice, or on the anniversary date of the
lease, whichever ;s later. Lessor shall submit paid tax receipts within 60 calendar days of the date the taxes
are paid or within an othelWise agreed upon time frame. The Government shall make payment for its share
of tax increases based on the net taxes imposed on the property, excluding penalties for late payment and
including discounts taken for early payment. The due date for making payment shall be the 30th day after
the contracting officer receives a proper invoice from the lessor. If the invoice submitted does not meet the
requirements of a proper invoice, it will be returned to the lessor within 7 days after receipt.
(i) In the event of any refund of taxes resulting from the final decision of a tax appeal, or by settlement or
othelWise, the Government's share of the refund will be detennined in the same manner as increases under
this clause and shall be taken as a onetime, lump sum deduction from the rent. If the lease has been
tenninated, the Government's share will be remitted to the Government within 30 days of the Lessor's receipt
of refund.
U> The Government may request the Lessor to initiate a tax appeal or the Government may decide to contest
the tax assessment on behalf of the Government and the Lessor or for the Government alone. Upon
request, the Lessor shall furnish the Government information necessary to appeal the tax assessment in
accordance with the filing requirements of the taxing authority. If the Lessor agrees to initiate an appeal on
behalf of the Government, the Government and the Lessor will enter into an agreement to establish a method
for sharing expenses and tax savings.
(k) If the Government exercises an option to extend the lease tenn at the same or lower rate as that of the
original term, annual tax adjustments will continue on the original or othelWise negotiated base year or dollar
amount. Should the renewal option rate be higher than the total rental in effect on the last day before the
renewal period begins, including operating and tax escalations, the base period will be reestablished as the
first least year of the renewal period.
PERCENTAGE OF OCCUPANCY
The percent of the building occupied by the Government, for purposes of tax adjustments, will be established
durinu negotiations.
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ssor G()V't.
ATTACHMENT F
HEATING AND AIR CONDITIONING
lEASE NO. GS-04B-47825
Temperatures shall conform to local commercial equivalent temperature levels and
operatin~1 practices in order to maximize tenant satisfaction. However, thermostats shall
not be SEtt for tenant comfort level. These temperatures must be maintained throughout
the leas€,d premises and service areas, regardless of outside temperatures, during the
hours of operation specified in the lease.
During non-working hours, heating temperatures shall be set no higher than 55 degrees
Fahrenh,~it and air conditioning will not be provided except as necessary to return space
temperatures to a suitable level for the beginning of working hours. Thermostats shall
be secured from manual operation by key or locked cage. A key shall be provided to
the GSA Field Office Manager.
Simultaneous heating and cooling are not permitted.
Areas h~lving excessive heat gain or heat loss, or affected by solar radiation at different
times of the day, shall be independently controlled.
ZONE CONTROL:
Individual thermostat control shall be provided for office space with control areas not to
exceed ;WOO useable square feet. Areas which routinely have extended hours of
operation shall be environmentally controlled through dedicated heating and air
conditioning equipment. Special purpose areas (such as photocopy centers, large
conference rooms, computer rooms, etc.) with an internal load in excess of 5 tons shall
be independently controlled. Concealed package air-conditioning equipment shall be
provided to meet localized spot cooling of tenant special equipment. Portable space
heaters are prohibited from use.
EQUIPMENT PERFORMANCE:
Temperature control for office spaces shall be assured by concealed central heating and
air conditioning equipment. The equipment shall maintain space temperature control
over a range of internal load fluctuations of plus 0.5 Wattlsq.ft. to minus 1.5 Watts/sq.ft.
from initiial design requirements of the tenant.
VENTilATION:
During working hours in periods of heating and cooling, ventilation shall be provided in
accordance with ASHRAE Standard 62, Ventilation for Acceptable Indoor Air
Quality, where physically practical.
INITIALS:
/If:
mvlM-
GOy't
M. ,-19-01' 14: 00
From-
T-3SS P 04/07 F-531
RePREseNTATIONS AND CERTIFICATIONS (Short Form)
(Simplified AcqUisition of leasehold Inte.rests in Real Properly
for Leases Uo to $100 000 Annual Ren\l
Solicitation Number
'1FL:~.Q'ID
Dated
3i20107
Complete appropriate boxes, sign the form, and a/tach to offer.
The Offeror makes the following Representetlons and Certifications. NOTE: The .Offeror,' as used on
this form. Is /fie owner of the property offered. not en individual or agent representing the OWner.
1. SMAll. BUSINESS REPRESENTATION (JAN 2007)
(a) ~ 1) The North American Industry Classification System (NAICS) code for this acquisition Is
531190.
The small business size standard is $19.0 Million in annual average gross revenue of the
concern for the last 3 fiscal years.
The small business siZe standard for a concern which submits an offer In lis own name,
other than on a oonstruc\ion or sen/lce contract. but which proposes to furnish a product
which it did not itself manufacture, is 500 employees.
(b) f?epresentations.
1.2)
(3)
1[1)
The Offeror represents as part of its offer that it [ I is. [vi is not a small business
concern.
[complete only if the Offeror represented itself as a small business concern in paragraph
7b)(l) of this provision.] The Offeror represents. for general statistical purposes, that it
[ ] IS. [ J Is nOl. a small disadvantaged business concern as defined in
13 CFR 1~4.1002.
[complete only if /he Offeror represented Itself as a small business concern in paragraph
(b)(l) of Ihis provision] The Offeror represents as part of Its offer that it [ ]IS. [..f is not a
women-ownad small business concern.
[Complete only if the Offeror represented Itself 8S a small business concern in p;yagraph
(b)(I) of this provision.] The Offeror represents es part of Its offer that it [ I is. [... is not a
veteran-owned small business concern.
[Complete only if the Offeror represented itself 8S e veteran-owned smell business
concern in parpgreph (b)(4) of thiS proviSion.) The Offeror represents as part of its offer
thel it [ ] is. [/I is not e saMce.dlsabled veteran-<>wned small business concern.
(Complete only if /he Offeror repres8fl~d itself as a small business concern In paragraph
(b)(l) of this provision] The Offeror represents, as part of its offer, that-
(I) It I ] Is, [.1 is not a HUBZone small business concern listed, on the date of this
representation, on the List of Qualified HUBZone Small BuSiness Concerns
maintained by the Small Business Administration, and no material change in
ownership and control, principal office, or HUBZone employee percentage hes
occurred since It was certified by the Small Business Administration in accordance
with 13CF~part 126; and
(Ii) It [ ] is, [-II IS not a joint venture that compties with the requirements of 13 CFR
part 126, and the representation in paragraph (b)(6)(i) of this provision is accurate
for the HUBZone smell business concern or concerns that are participating In the
jOint venture. [The Offeror shall enter the name or names of Ihe HUBZone small
business concern or concerns thai are pMicipaling in the joint
venture: .J Each HUBZone smell business concern participating in
the Joint venture shall submit a separate signed copy of the HUBZone
representation.
1(2)
(3)
(4)
(5)
(6)
II-
INITIALS: ! ~ & ..l::1#1-J.-
L~ . OR tlOV~RNM~NT
OSA FORM 3518A PAoe 1 (R~V 1/07)
.Mar-~9.-Dt 14:00
From-
T-l66 P 05/07 F-5ll
2. 62,222-22 - PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999)
(Appllcllble \0 leases over $10,000.)
The Offeror ?presents that-
(a) II: (vf has, ( ) has not participated In a previous contract or subcontract subject either to the
E:qual Opportunity clause of this solicitation;
(b) III M has, [ ) has not filed all required compliance reports; and
(c) Representations Indicating submission of required compliance reports, signed by proposed
llubcontractors, will be obtained before subcontract awards. (Approved by OMB under
Control Number 1215-0072.)
3. 52,222..25 - AFFIRMATIVE ACTION COMPLIANCE (APR 1984)
(Apptlcable to leases over $10,000 and which include the clause at FAR 52.222-26, Equal
OpportlJnKy.)
The Offeror represents that-
o
(a) It [.A has developed and has on file, ( ) has not developed and does not have on file, at each
ostablishment affirmative action programs required by the rules and regulations of the
Secretary of Labor (41 CFR 60-1 and 60-2), or
(b) It [ ] has not previously had contracts subject to the written affirmative action programs
,oequiremenl of the rules and regUlations of the Secretary of labor. (Approved by OMB under
Control Number 1215-0072.)
4. 52.203-11 - CERTifiCATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE
CERTAIN fEDERAL TRANSACTIONS (SEP 2005)
(Applicable \0 leases over $100,000.)
(a) 'rhe definitions end prohibitions contained in the clause, at FAR 52.203-12, Limitation on
I~ayments to Influence Certain Federal Transactions, included in this solicitation, are hereby
Incorporated by reference in paragraph (b) of this certification.
(b) The Offeror, by signing its offer, hereby certifies to the besl of his or her knowledge and
l:lelief that on or after December 23, 1989,-
'll)
No Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to Innuence an officer or employee of any agency. a Member of
Congress, an officer or employee of ConQress, or an employee of a Member of
COngress on his or her behalf in connection WIth the awarding of a contract;
If any funds other than Federal appropriated funds (including profit or fee received under
a covered Federal transaction) haye been paid, or will be paid, 10 any person for
influencing or attempting to infiuence an ofllcer or employee of any agency, a Member of
congress, an officer or employee of Congress, or an employee of a Member of
Congress on his or her behalf in connection with this solicitation, the Offeror shall
complete and submit. with its offer, OMB standard form Lll, Disclosure of Lobbying
Activities, 10 the Contracting Officer; and
He or she wDI Include the language of this certif1calion In all subcontract awards at any
tier and require that all recipients of subcontract awards in excess of $100,000 shall
certify and disclose accordingly.
Submission of this certification and disclosure is a prerequisite for making or entering into
this contract imposed by section 1352, title 31, United States Code. Any person who makes
an expenditure prohibited under this provision or who faUs to file or amend the disclosure
form to be liIed or amended by this provision, shall be subject to a civil penalty of not less
than $10,000, and not more than 5100,000, for eech such failure.
(2)
(3)
(c)
I
INITIALS: 1/1 JI'-<-
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GOI/ERNMENT
GSA FORM 3518A PAGE 2 (REI/V07)
~r-~9~OT 14:00
From-
T-366 P 06/07 F-53!
5. 52.204..3.. TAXPAYER IDENTIFICATION (OCT 1998)
(a) Definitions.
'Common parent," as used in this proVision, means that corporate entity that owns or
c;ontrols an affiliated grol,lp of corporations that files its Federal income tax returns on a
consolidated basis, and of which the Offeror Is a member.
"Taxpayer Identification Number (TIN)," as used in this provision, means the number
required by the Internal Revenue Service (IRS) to be used by the Offeror in reporting income
tax and other returns. The TIN may be either a Social Security Number or an Employer
Identification Nl,lmber,
I~II Offerors must submit the information required in paragraphs (d) thrOUgh (f) of this
provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d),
I'eporting requirements of 26 U.S.C, 6041, 6041A, and 6050M. and implemen(lng re\lulations
I"ued by the IRS. If the resulting contract is subject to the payment reporting requirements
rjescrlbed In Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the Offeror
10 furnish the Information may result in a 31 percent reduction 01 payments otherwise due
under the contract.
(b)
(c)
The TIN may be used by the Government to collect and report on any delinquent amounts
arising out of the Offeror's relationship with the Government (31 U,S.C, 770 1 (cX3)). If the
resulting conlract is subject 10 Ihe payment reporting requirements described in FAR 4,904,
l:he TIN provided hereunder may be matched with IRS records to verWy the accuracy 01 the
()fferor's TIN.
faltpayer Identification Number (TIN).
(d)
II]
lil
It ]
TIN' . ...~~.'~.f.............
. ... ., .....".....
TIN has been app Ie or.
TIN is not reql,llred because:
Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not
have income effectively connected with the conduct of a trade or business in the
United States and does not have an office or place of business or a fiscal paying agent
in the United States;
Offeror Is an agency or instrumentality of a foreign government;
Offeror is an agency or Instrumentality of the Federal government;
II]
It]
(e) Type of organ/zstion,
I ] Sole proprietorship;
I[ ] Partnership;
I[ ] Corporate entity (not lax-exempt);
r ) Corporate entity (taX-BKempt);
(1) Common Paront.
II Government entity (Federal. State, or local);
ForeIgn government;
I ] International organization per 26 CFR 1,6049-4;
I ] Other XXXXXXXXK
'[ )
[ )
Offeror is not owned or controlled by a common parent as defined In paragraph (a) 01
this provision.
Name and TIN of common parent:
Name
KXKxXXXXX
TIN
rI:J:..:. J":' .
&, 52.204..6 - Data Universal Numbering Syatem (DUNS) Number (OCT 2003)
(a) The Offeror shall entlJl', In the block wKh Its name and address on the cover page of its offer,
the annotetlon "DUNS" or "DUNS+4" followed by the DUNS number or "DUNS+4" that
identifies the Offeror's name and address exactly as stated in the offer. The DUNS number Is
a nine-digit number assigned by Dun and Bradstreet, Inc. The DUNS+4 Is the DUNS number
plus a 4-character sl,lffix that may be assigned at the discretion of the Offeror to establiSh
additional CCR records for Identifying alternative Electronic Funds Transfer (EFT) eccounts
(see Subpart 32,11) for Ihe same parent concern.
INITIALS: j~ & &.sv\h
~OR GOVERNMENT
GSA FORM 351BA PAGE 3 (REV 1/07)
ij.r.a9"OT 14:01
From-
T-l66 P 07/07 F-5l!
(b)
If the Offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to
obtain one,
('I)
An Offeror may obtain a DUNS number-
(i) if located WIthin the United States. by caolng Dun and Bradstreet at 1-866-705-
5711 or via the Internet at Ii'f:/~.dnb.com; or
(Ii) If located outside the Unite Sates, by contacting the local Dun and Bradstreet
office.
(:Z)
The Offeror should be prepared to provide the following information:
!ij' Company legal business name.
(Ii Tradestyle. doing business. or other name by which your entity is commonly
recognl~ed.
(iiI Compeny physical street address, city, stale and zip code.
(IV Company mailing address. city, state and zip code (if separate from physical).
(v Company telephone number.
(vi Date the company was staned.
(vII Number 01 employees at your location.
(viii Chief executive officerlkey manager,
(ix Line of business (industry).
(x Company Headquarters name and address (reporting relationship WIthin your
entity).
7. DUNS NUMBER (JUN 2004)
Notwithstanding the above instructions, In addition to inserting the DUNS Number on the offer cover
page, tlhe Offeror shall also provide its DUNS Number as part of this submission:
DUNS" 11#-###41### I '/'7 '-if nYIf
8. CENTRAL CONTRACTOR REGISTRATION (JAN 2007)
The Cantral Contractor Registration (CCR) System is a centrally located, searchable database
which assists in the development, maintenance, and provision of sources for future procurements.
The Offeror must be registered In the CCR prior to lease award. The Offeror shatl register via the
Internet at hIlD://:::if.ccr.aov. To remain active, the Offeror/Lessor is required to update or renew
its registration ennua Iy,
lvi IReglstratlon Active and Copy Attached '
1 J Will Activate Registration and Submit Copy to the Government Prior to Awerd
OFFEROR CH NAME, ADDRESS (INCLUDING ZIP CODE) TELEPHONE NUMBER
AUTHORIZED NAME (XXX) XXX-xxx)(
REPRESENTATIVE
STREET
CITY. STATE, ZIP
MM.DD-VYYY
Signatum Dels
INITIALS: J.11r-- & ~\ISA-
lEi.,f;--- GO NMENT
GSA FORM 3S18A PAGE. (REV 1/07)
M.r~'9-01 13:59
From-
T-366 P OZ
F-S31
GENERAL CLAUSES
(Simplified Leases)
(Acquisition of Leasehold Interests in Real Property for Leases Up to $100,000 Net Annual Rent)
1. The Govemment reserves the righI, at eny lime aller the lease is signed and during the term of the
lea..., to inspect the leased premises and all olher areas of the building 10 which access is
neces:sary 10 ansure a safe and healthy work environment for lhe Government tenanls and the
Lesso'~s performance under Ihis lease. .
2. If the IlUllding is partially or totally destroyed or damaged by fire or other casually so that the leased
space is untenantable as determined by the Government. the Government may terminate the lease
upon '15 calendar days written notice to the lessor and no further rental will be due.
3. The Lessor shall maintain the demised premises. including the building. building systems. and all
equipment. fixtures, and appurtenances furnished by the lessor under this lease, in good repair
and t..nantable condition. Upon request of the Contracting Officer. the Lessor shall provide written
documentation that building systems have been maintained, tested, and are operational.
4. In the event the Lessor fails to perform any service, to provide any item. or meet any requirement
of thi!, lease, the Govemment may perform the service. provide Ihe Item. or meet the requirement.
either directly or Ihrough a contract. The Government mBY deduct any costs incurred for the
service or item. including administrative costs. from rentBI payments.
5. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (VARIATION) (DEC 2003)
This c:ontract incorporates one or more clauses by reference. with the same force and effect as If
they were given in full text. Upon request. the Contracting Officer will make Ihe full text available. or
Ihe full lexl may be found as GSA Form 3517C al hlto:/f>MNw.osa.oov/leasinolorm.
6. The f,)lIowing clauses are Incorporated by reference:
GSAH 552-203-5 COVENANT AGAINST CONTINGENT FEES (FEB 1990)
(Applicable 10 leases over $100,000.)
GSAI~ 552-203-70 PRICE ADJUSTMENT FOR IllEGAL OR IMPROPER ACTIVITY (SEP 1999)
(Applicable 10 leases over $100.000.)
FAR 52.204-7 CENTRAL CONTRACTOR REGISTRATION (OCT 2003) (VARIATION)
FAR 52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN
SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED.
OR PROPOSED FOR DEBARMENT (JAN 2005)
(Applicable 10 leases over 525.000.)
FAR 52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (JUL2005)
(Applicable to leeses over $500,000.)
FAR 52.219-16 LIQUIDATED DAMAGES-SUBCONTRACTING PLAN (JAN 1999)
(Applicable to leases over 5500.000.)
GSAR 552.219-72 PREPARATION, SUBMISSION, AND NEGOTIATION OF
SUBCONTRACTING PLANS (JUN 2005)
(Applicable to leases over $500,000 if solicitation requires submission of Ihe
subcontracting plan wilh initial offers.)
GSAR 552.219-73 GOALS FOR SUBCONTRACTING PLAN (JUN 2005)
(Applicable 10 leases over 5500.000 if solicilation does not require
submission 01 the subcontracting plan wilh initial offers.)
INITIALS JIIA & ~~
Le~ GOVER MENT
/
GSA FORM 3~17A PAGE 'IREV 11105)
Mar-'~-OT 14:00
Frcm-
T-366 P 03/07 F-531
FAR 5:Z.222.26 EQUAL OPPORTUNITY (APR 2002)
(Applicable to leases over $10,000.)
FAR !;2.222.21 PROHIBITION OF SEGREGATED FACiliTIES (FEB 1999)
(Applicable to leases over $10,000.)
FAR 52.222-35 EQUAL OPPORTUNITY FOR SPECIAL DISABLED VETERANS. VETERANS
OF THE VIETNAM ERA. AND OTHER ELIGIBLE VETERANS (DEC 2001)
(Applicable to leases over $25,000.)
FAR 52.222.36 AFFIRMATIVE ACTION FOR WORKERS WITH DISABILITIES (JUN 1998)
(Applicable to leases over $10,000.)
FAR 52.222.37 EMPLOYMENT REPORTS ON SPECIAL DISABL.ED VETERANS.
VETERANS OF THE VIETNAM ERA. AND OTHER ELIGIBLE VETERANS
(DEC 2001)
(Applicable to leases over $25,000.)
FAR 5,2.232.23 ASSIGNMENT OF CLAIMS (SEP 1999)
(Applicable to leases over $2.500.)
GSAR: 552.232-75 PROMPT PAYMENT (SEP 1999)
GSAR: 552.232-75 ELECTRONIC FUNDS TRANSFER PAYMENT (MAR 2000) (VARIATION)
FAR !i2.233-1 DISPUTES (JUL. 2002)
FAR !;2.215.10 PRICE REDUCTION FOR DEFECTIVE COST OR PRICING DATA (OCT 1997)
(Applicable when cost or pricin9 data are required lor work or services over
$500,000.)
FAR ~;2.215-12 SUBCONTRACTOR COST OR PRICING DATA (OCT 1997)
(Applicable when the clause at FAR 52.215.10 is applicable.)
The inlormlltion collection requirements contained in this solicitation/contract, that are not required by
regulation, Illave been approved by the Office of Management and Budget pursuant to the Peperwork
Reduction ~\ct and assigned the OMB Control No. 3090.0163.
.._. JI,.f1 . ~l!.
LEiS R GOVERNMENT
I
GSA FORM 3517A PAGE 2 (REV 11/05)
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