Lease Review Form
San Francisco Campus
Real Estate Services
Box 0287
[date]
[CONTACT NAME]
RE: Review of Proposed Lease at ________________________________________________________________
The School of ________________, Department of ________________ has requested a lease for the above space. To authorize execution of the above lease agreement, please provide account and fund numbers, obtain the approvals below, and return this form to Real Estate Services as soon as possible. The University of California Seismic Safety Policy requires independent structural evaluations of all leased properties. The department will be recharged approximately $3,000.00 for the cost of the evaluation.
This signed form represents approval of the lease and commitment of funds for rent and other lease costs.
If you have any questions, please contact me at [phone].
| Landlord Contact: |
_________________ |
Telephone: |
_________________ |
|
| Dept. Contact: |
_________________ |
Telephone: |
_________________ |
|
| School/Department: |
_________________ |
No. of Individuals: |
_________________ |
|
| Proposed Occupant: |
_________________ |
Proposed Use: |
_________________ |
|
| Relocating From: |
_________________ |
Reason for Relocation: |
_________________ |
|
| Type of Space: |
_________________ |
Zoning: |
_________________ |
|
| Parking: |
_________________ |
Monthly Rent: |
_________________ |
|
| Sq. Ft.: |
_________________ |
Term of Lease: |
_________________ |
|
| Lease Begin Date: |
_________________ |
Lease End Date: |
_________________ |
|
| Janitorial: |
_________________ |
Utilities: |
_________________ |
|
| Maintenance: |
_________________ |
Tenant Improvements: |
_________________ |
|
|
Lease Costs: 433210
I concur: _______________________
|
Seismic Evaluation: 434290
I concur: _______________________
|
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FUND