Exhibit N - Offeror Deliverables Submittals and Requirements IAW RLP

OFFEROR DELIVERABLES, SUBMITTALS, REQUIREMENTS & DOCUMENTATION CHECKLIST

Exhibit N to RLP No. 36C248-26-R-0042 | Vero Beach, Florida VA Primary Care Clinic Offer Due: December 15, 2026, by 3:00 PM ET | Email: [email protected] Instructions: Check each applicable item, enter the exact file name and page/location, and note status. Conditional items are marked “If applicable.” This checklist consolidates requirements stated in the RLP; Exhibits A–N remain controlling. Complete and execute Exhibit N and identify each required document by file name and page number. Offeror
Prepared by
Contact / Phone

Property/Site
Date
Email

1. Core offer forms and administrative eligibility
✓

☐
☐

Deliverable / requirement
Completed and signed GSA Form 1364, Proposal to Lease
Space, including all pricing, broker compensation, concessions, deviations, and remarks
Completed and signed GSA Form 1217, Lessor’s Annual Cost Statement, all sections

RLP
reference
3.01; 3.03
B; Exhibit D

Timing

Applicability

Initial offer

Required

3.01; 3.03
A; Exhibit E

Initial offer

Required

☐

Completed and executed Exhibit N deliverables form, listing each required file name and page number

4.03; Exhibit
N

Initial offer

Required

☐

Active SAM registration for “All Awards,” including required representations and certifications

3.01 J

Required

☐

Authorization from ownership to submit offer

3.01 C

Before
lease
award
Initial offer

☐

Conditional financing commitment stating amount, term, APR, and commitment length, or self-financing evidence (financial statements, 3 months bank statements, financial officer letter) Evidence of compliant zoning, approved variances, or a plan and schedule to obtain zoning approvals
Ownership/control evidence, including deed or long-term lease and encumbrances

3.01 D

Initial offer

If Offeror is not
owner
Required

3.01 E

Initial offer

Required

3.01 F

Initial offer

Required

☐
☐

File name / page

Notes / status

☐
☐
☐
☐
☐

Executed agreement to acquire interest, owner statement that agreement is effective and conditions precedent are satisfied; keep documents current
Proof of signing authority: corporate, partnership, LLC, or joint venture organizational documents and authorizing
resolution/evidence
Conflict-of-interest disclosure and authorizations for multiple representation
FAR 52.240-90 telecommunications/video surveillance
representation
Small Business Subcontracting Plan

3.01 G

Initial offer

If no vested
property interest