UNITED STATES
POSTAL SERVICE. Lease Extension
Facility Name/Location
BELL STATION (054878-004) Lease Extension No: 001
415A W 18TH ST, MERCED, CA 95340-9997 Lease: F00000286607 This refers to the Lease accepted by the United States Postal Service, hereinafter called the Postal Service, under date 06/29/2009 _ whereby there is leased to the Postal Service the above-described facility.
WHEREAS, the Postal Service desires and Landlord is willing to extend said Lease as specified below; NOW THEREFORE, in consideration of the mutual covenants and agreements herein set forth, and for other good and valuable consideration, the sufficiency of which is hereby acknowledged, the parties do hereby agree as follows:
To extend the terms and conditions of the said Lease, as the same may have been modified or amended, for a fixed term basis beginning 07/01/2024 and ending 12/31/2024 at an annual rental of $66,759.00 or $5,563.25 per Month.
See Addendum.
In all other respects, the Lease shall remain the same and is hereby confirmed.
June 2020
UNITED STATES
POSTAL SERVICE. Addendum
Facility Name/Location
BELL STATION (054878-004) County: Merced
415A W 18TH ST, MERCED, CA 95340-9997 Lease: F00000286607
1. The parties agree that if the signature(s) of either Landlord or the Postal Service on this Lease or any amendments, addendums, assignments, or other records associated with this Lease is not an original but is an electronic signature, scanned signature or a digitally encrypted signature, then such electronic signature, scanned signature or digitally encrypted signature shall be as enforceable, valid and binding as, and the legal equivalent to, an authentic original wet signature penned manually by its signatory.
Signatures required under this Lease, or any amendments, addendums, assignments, or other records associated therewith, may be transmitted by email or by fax and, once received by the party to whom such signatures were transmitted, shall be binding on the party transmitting its signatures as though they were an original signature of such party.
June 2020 2
UNITED STATES
POSTAL SERVICE. Lease Extension
EXECUTED BY LANDLORD this _ day of _
GOVERNMENTAL ENTITY
Name of Governmental Entity: CITY OF MERCED
Name & Tille Scott McBride, Cily Manager Name & Title
Name & Title Name & Title
Name & Title Name & Title
Name & Title Name & Title
City Of Merced APPROVED AS TO FORM:
Landlord's Address:
Scott McBride, City Manager Altane
Merced
678 W 18TH ST
MERCED, CA Zip+495340-4708
Landlord's Telephone Number(s): (209) 385 - 6834 (209) 385-6826 Federal Tax Identification No. : XX-XXX0371
Witness Witness
ACCEPTANCE BY THE POSTAL SERVICE
Date:
Terrence P Brennan
Contracting Officer Signature of Contracting Officer
Western FSO 7500 E 53RD PL RM 1108, DENVER, CO 80266-9918 Address of Contracting Officer
Signature Page leaseamd Gvt. Entty (June 2020) 3
Facility Name: MERCED-BELL STATION
Fin/Sub No: 054878-004
Address: 415A W 18TH ST
City, ST, ZIP: MERCED, CA 95340-9997
Real Estate Conflict of Interest Certification
To avoid actual or apparent conflicts of interest, the United States Postal Service ("Postal Service") requires the following certification from you as a potential Landlord/Supplier/Contractor to the Postal Service. Please check all that apply in item A below. Further, please understand that the Postal Service will be relying on the accuracy of the statements made by you in this certification in determining whether to proceed with any possible transaction with you.
1,- hereby certify to the Postal Service as follows:
PRINT: name of potential Landlord/Supplier/Contractor]
A. (Check all that apply) 1 am:
= A Postal Service employee;
(ii) _ The spouse of a Postal Service employee;
A family member of a Postal Service employee: (Relationship) An individual residing in the same household as a Postal Service employee; I am one of the individuals listed in (i) through (iv) above AND a controlling shareholder or owner of a business organization leasing space or intending to lease space to the Postal Service; OR
(vi). None of the above.
B.
lave the following iob with the Postal Service Titl
(Location)
My Spouse who works for the Postal Service holds the following job:
(Title).
My family member who works for the Postal Service holds the following job:
_ (Location).
My household member who works for the Postal Service holds the following job:
(Title). (Location)
C. If you have checked "none of the above" and during the lease term or any renewal term, you do fall into any of the categories listed in A (i) through (v) above, you shall notify the Postal Service Contracting Officer in writing within 30 days of the date you fall into any of the such categories and shall include an explanation of which of the above categories now applies.
D. The person signing this certification has full power of authority to bind the potential Landlord/ Supplier/Contractor named above.
Executed this day of _ 20_ _ by
BY:_
[Insert Signature]
BY:
[PRINT: name of entity or person]
Title:
[lnsert title]
Effective March 1, 2014 Appendix A_Conflict of Interest Certification , W-9 Request for Taxpayer
Form Give Form to the
(Rev. October 2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS.
Intemal Revenue Service • Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the • 4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals; ser instructions on page 3)
Individual/sole proprietor or C Corporation • s Corporation Partnership Trust/estate single-member LLC
Exempt payee code (if any)
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) • Print or type. See Specific instructions on page 3. LiC Che L dispid as in termine L it taegare on the owner unes the one of the CEK Examplion from FATA reporting other LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that code (if ar disregarded from the owner should check the appropriate box for the tax classification of its own Other (see instructions) (Applies to accounts maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) 6 City, state, and ZIP code
7 List account number(s) here (optional)
Part I Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter.
PartI Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payment:
ther than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part Il, later Sign Signature of
Here U.S. person • Date •
General Instructions - nom 1099-DIV (dividends, including those from stocks or mutual Section references are to the Internal Revenue Code unless otherwise noted. • Foe 109-MISC (various types of income, prizes, awards, or gross Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.irs.gov/FormW9.
• Form 1099-S (proceeds from real estate transactions)
Purpose of Form • Form 1099-k (merchant card and third party network transactions) An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T (tuition) identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number • Form 1099-A (acquisition or abandonment of secured property) (EIN), to report on an information return the amount paid to vou, or other Use Form W-9 only if you are a U.S. person (including a resident amount reportable on an information return. Examples of information alien), to provide your correct TIN. returns include, but are not limited to, the following. you do not return Form W-9 to the requester with a TIN, you mig • Form 1099-INT (interest earned or paid • subject to backup withholding. See What is backup withholdin later.
Cat. No. 10231X Form W-9 (Rev. 10-2018)