Signed Contract_USPS Lease in Federal Building �, UNI TED STdTES
` �osr�c sErrvicE. Lease Amendment
Lease Extension
Facility Name/Location
MAIN OFFICE (182610-001) Amendment No: 003
350 W 6TH ST STE 124, DUBUQUE, IA 52001-9998 Lease: E00000214698
This refers to the Lease accepted by the United States Postal Service, hereinafter called the Postal Service, under date
of 10/19/2007 , 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 10/01/2017 and ending 09/30/2018 at an annual rental of$224,900.50.
In all other respects, the Lease shall remain the same and is hereby confirmed.
February 2004 �
� UN/TEDST/�TES Lease Amendment
POST/�L SERVICE� L@aS@ EXt@C1S1011
EXECUTED BY LANDLORD this�day of ���� , �l� .
GOVERNMENTAL ENTITY
By executing this Lease Amendment, Landlord certifies that Landlord is not a USPS employee or contract employee(or an immediate family member
of either),or a business organization substantially owned or controlled by a USPS employee or contract employee(or an immediate family member of
either).
Name of Governmental Entity: Clty Of DUbUqU2
1'"�'''�__�._.---
tvame&Titie Michael C. Van Milligen rvame&ririeCity Manager
Name&Title Name&Title
Name&Title Name&Title
Name&Title Name&Title
Landlord's Address: CITY OF DUBUQUE FINANCE DEPT
CITY HALL 50 W 13TH STREET
DUBUQUE, IA Zip+452001-4662
Landlord's Telephone Number(s): (563)589-4121 (563)589-0890
Federal Tax Identification No.:XX-XXX4596
.s"' `•. JliL i��.GC�i�:Gf'S
� - Comrnssion h�.rrL r 73J552
s ... � 5
,o,,;• ►!�G��m. Exp.a�2
Witness
a. Where the Landlord is a governmental entity or other municipal entity,the Lease must be accompanied by documentary evidence afflrming the
authority of the signatory(ies)to execute the Lease to bind the governmental entity or municipal entity for which he(or they)purports to act.
b. Any notice to Landlord provided under this Lease or under any law or regulation must be in writing and submitted to Landlord at the address
specified above,or at an address that Landlord has otherwise appropriately directed in writing. Any notice to the Postal Service provided under
this Lease or under any law or regulation must be in writing and submitted to"Contracting Officer, U.S.Postal Service"at the address specified
below,or at an address that the Postal Service has otherwise directed in writing.
ACCEPTANCE BY THE POSTAL SERVICE
Date: 023 7
Laureen A Yamakido
Contracting Offcer Si ture of Contracting Of
Pacific FSO 1300 EVANS AVENUE,SUITE 200,SAN FRANCISCO,CA 94188-8200
Address of Contracting Offcer
Signature Page leaseamd Gvt. Entity(April 2009)
2
'14 UNITED STATES
POSTAL SERVICE,
Lease Amendment
Lease Extension
Facility Name/Location
MAIN OFFICE (182610-001)
350 W 6TH ST STE 124, DUBUQUE, IA 52001-9998
Amendment No: 003
Lease: E00000214698
This refers to the Lease accepted by the United States Postal Service, hereinafter called the Postal Service, under date
of 10/19/2007 , 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 10/01/2017 and ending 09/30/2018 at an annual rental of $224,900.50.
In all other respects, the Lease shall remain the same and is hereby confirmed.
February 2004
1
UNITED STATES
II POSTAL SERVICE.
Lease Amendment
Lease Extension
EXECUTED BY LANDLORD this l(i day of�`,yrw-lr 200.
GOVERNMENTAL ENTITY
By executing this Lease Amendment, Landlord certifies that Landlord is not a USPS employee or contract employee (or an immediate family member
of either), or a business organization substantially owned or controlled by a USPS employee or contract employee (or an immediate family member of
either).
Name of Governmental Entity: City of Dubuque
Name & Title Michael C. Van Milligen
Name & Title City Manager
Name & Title Name & Title
Name & Title Name & Title
Name & Title Name & Title
Landlord's Address:
CITY OF DUBUQUE FINANCE DEPT
CITY HALL 50 W 13TH STREET
DUBUQUE, IA
Landlord's Telephone Number(s): (563) 589 - 4121
Federal Tax Identification No.: XX-XXX4596
Zip+452001-4662
(563) 589 - 0890
Witness
JILL s. %O? nORS
Camrn'tissioci Number 7 3862
My Comm. Exp.®a
a. Where the Landlord is a governmental entity or other municipal entity, the Lease must be accompanied by documentary evidence affirming the
authority of the signatory(ies) to execute the Lease to bind the governmental entity or municipal entity for which he (or they) purports to act.
b. Any notice to Landlord provided under this Lease or under any law or regulation must be in writing and submitted to Landlord at the address
specified above, or at an address that Landlord has otherwise appropriately directed in writing, Any notice to the Postal Service provided under
this Lease or under any law or regulation must be in writing and submitted to "Contracting Officer, U.S. Postal Service" at the address specified
below, or at an address that the Postal Service has otherwise directed in writing.
Date:
Laureen A Yamakido
ACCEPTANCE BY THE POSTAL SERVICE
Contracting Officer Signature of Contracting Officer
Pacific FSO 1300 EVANS AVENUE, SUITE 200, SAN FRANCISCO, CA 94188-8200
Address of Contracting Officer
Signature Page leaseamd Gvt. Entity (April 2009)
2
UNITED STATES
POSTAL SERVICE.
Lease Amendment
Lease Extension
Facility Name/Location
MAIN OFFICE (182610-001)
350 W 6TH ST STE 124, DUBUQUE, IA 52001-9998
Amendment No: 003
Lease: E00000214698
This refers to the Lease accepted by the United States Postal Service, hereinafter called the Postal Service, under date
of 10/19/2007 , 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 10/01/2017 and ending 09/30/2018 at an annual rental of $224,900.50.
In all other respects, the Lease shall remain the same and is hereby confirmed.
February 2004
1
UNITED STATES
POSTAL SERVICE.
Lease Amendment
Lease Extension
EXECUTED BY LANDLORD this l day of
art - x— , 20c-7 .
GOVERNMENTAL ENTITY
By executing this Lease Amendment, Landlord certifies that Landlord is not a USPS employee or contract employee (or an immediate family member
of either), or a business organization substantially owned or controlled by a USPS employee or contract employee (or an immediate family member of
either).
Name of Governmental Entity: City of Dubuque
Name & Title Michael C. Van Milligen
Name & Title City Manager
Name & Title Name & Title
Name & Title Name & Title
Name & Title Name & Title
Landlord's Address:
CITY OF DUBUQUE FINANCE DEPT
CITY HALL 50 W 13TH STREET
DUBUQUE, IA
Landlord's Telephone Number(s): (563) 589 - 4121
Zip+452001-4662
(563) 589 - 0890
Federal Tax Identification No.: XX-XXX4596
mit
Witness
JILL L4. CON 3GORS
Commission Nurat r 783d62
My Comm. Exp..°4 2
a. Where the Landlord is a governmental entity or other municipal entity, the Lease must be accompanied by documentary evidence affirming the
authority of the signatory(ies) to execute the Lease to bind the governmental entity or municipal entity for which he (or they) purports to act.
b. Any notice to Landlord provided under this Lease or under any law or regulation must be in writing and submitted to Landlord at the address
specified above, or at an address that Landlord has otherwise appropriately directed in writing. Any notice to the Postal Service provided under
this Lease or under any law or regulation must be in writing and submitted to "Contracting Officer, U.S. Postal Service" at the address specified
below, or at an address that the Postal Service has otherwise directed in writing.
Date:
Laureen A Yamakido
ACCEPTANCE BY THE POSTAL SERVICE
Contracting Officer Signature of Contracting Officer
Pacific FSO 1300 EVANS AVENUE, SUITE 200, SAN FRANCISCO, CA 94188-8200
Address of Contracting Officer
Signature Page leaseamd Gvt. Entity (April 2009)
2
r UNITED STATES
POSTAL SERVICE.,:
Lease Amendment
Lease Extension
Facility Name/Location
MAIN OFFICE (182610-001)
350 W 6TH ST STE 124, DUBUQUE, IA 52001-9998
Amendment No: 003
Lease: E00000214698
This refers to the Lease accepted by the United States Postal Service, hereinafter called the Postal Service, under date
of 10/19/2007 , 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 10/01/2017 and ending 09/30/2018 at an annual rental of $224,900.50.
In all other respects, the Lease shall remain the same and is hereby confirmed.
February 2004
UNITED STATES
POSTAL SERVICE
Lease Amendment
Lease Extension
EXECUTED BY LANDLORD this i c-- day of C� tc" , 2017
GOVERNMENTAL ENTITY
By executing this Lease Amendment, Landlord certifies that Landlord is not a USPS employee or contract employee (or an immediate family member
of either), or a business organization substantially owned or controlled by a USPS employee or contract employee (or an immediate family member of
either).
Name of Governmental Entity: City of Dubuque
Name & Title Mi hael C. Van Milligen Name & Title City Manager
Name & Title Name & Title
Name & Title Name & Title
Name & Title Name & Title
Landlord's Address:
CITY OF DUBUQUE FINANCE DEPT
CITY HALL 50 W 13TH STREET
DUBUQUE, IA
Landlord's Telephone Number(s): (563) 589 - 4121
Federal Tax Identification No.: XX-XXX4596
Zip+452001-4662
(563) 589 - 0890
Witness
JILL k4. CoNnons
Commission Nurnb r 783862
My Comm. Exp. O
a. Where the Landlord is a governmental entity or other municipal entity, the Lease must be accompanied by documentary evidence affirming the
authority of the signatory(ies) to execute the Lease to bind the governmental entity or municipal entity for which he (or they) purports to act.
b. Any notice to Landlord provided under this Lease or under any law or regulation must be in writing and submitted to Landlord at the address
specified above, or at an address that Landlord has otherwise appropriately directed in writing. Any notice to the Postal Service provided under
this Lease or under any law or regulation must be in writing and submitted to "Contracting Officer, U.S. Postal Service" at the address specified
below, or at an address that the Postal Service has otherwise directed in writing.
Date:
Laureen A Yamakido
ACCEPTANCE BY THE POSTAL SERVICE
Contracting Officer Signature of Contracting Officer
Pacific FSO 1300 EVANS AVENUE, SUITE 200, SAN FRANCISCO, CA 94188-8200
Address of Contracting Officer
Signature Page leaseamd Gvt. Entity (April 2009)
2
Facility Name: DUBUQUE -MAIN OFFICE
Fin/Sub No: 182610-001
Address: 350 W 6TH ST STE 124
City, ST, ZIP: DUBUQUE, IA 52001-9998
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.
I, MkAA �, C • V4.I CAAt 4„0 hereby certify to the Postal Service as follows:
[PRINT: name of potential Landlord/Supplier/Contractor]
A. (Check all that apply) I am:
(i) A Postal Service employee;
(ii) The spouse of a Postal Service employee;
(iii) A family member of a Postal Service employee; (Relationship)
(iv) An individual residing in the same household as a Postal Service employee;
(v) 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. (Complete as applicable):
I have the following job with the Postal Service(Title)
(Location)
ii. My Spouse who works for the Postal Service holds the following job:
(Title) (Location)
My family member who works for the Postal Service holds the following job:
(Title) (Location)
iv. 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 /1df (.11;(2--20h by
BY:
h [Insert Signature]
BY: Id `! `,640‘.TM:—
[PRINT: name of entity or person]
Insert title]
Title:
Effective March 1, 2014 Appendix A_Conflict of Interest Certification
Form -9
(Hey, December 2014)
Depart( lent of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Print or type
See Specific Instructions on page 2.
1 Name (as shown on your income tax return). Name is required on this line; do not leave thls line blank.
City of Dubuque
2 Business name/disregarded entity name, If different from above
3 Check appropriate box for federal tax classification; check only one of the following seven boxes:
4 Exemptions
certain entities,
instructions
Exempt
P payee
Exemption
code (if any)
(Applies to accounts
(codes apply only to
not individuals; see
on page 3):
code (II any) 3
1 Individual/sole proprietor or El0 Corporation 1 S Corporation IlPartnership 1 Trust/estate
_ single -member LLC
Limited liability company. Enter tax classification (0=0 corporation, S=S corporation, P=partnership)
U Y P' Y� P P P
Note. For a single -member LLC that Is disregarded, do not check LLC; check the appropriate box in
the tax classification of the single -member owner.
IO Other (see instructions) ► Government
P) P
from FATCA reporting
the line above for
maintained outside the U.S)
5 Address (number, street, and apt. or suite no.)
50 W 13th Street
Requester's name and address (optional)
6 City, state, and ZIP code
Dubuque, Iowa 52001
7 List account number(s) here (optional)
Part 1
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN. provided must snatch the name given on line 1 to avoid
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN on page 3.
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for
guidelines on whose number to enter.
Mal Certification
Social security number
or
Employer identification number
4 2
6
0
0
4
5
9
6
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 FATCA 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, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 3. —1
Sign
Here
Signature of
U.S. person Ie
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Form W-9 (such
as legislation enacted after we release It) is at www.irs.guv/(w9.
Purpose of Form
An individual or entity (Form W-9 requester) who Is required to file an Information
return with the IRS roust obtain your correct taxpayer identification number (ITN)
whfult may be your social security number (SSN), individual taxpayer Identification
number (ITIN), adoption taxpayer identification number (ATIN), or employer
Identification number (EIN), to report on an Information return the amount paid to
you, or other amount reportable on an information return. Examples of information
returns include, but are not limited to, the followhng:
• Forrn 1099 -INT (Interest earned or paid)
• Form 1099 -DIV (dividends, including those from stocks or mutual funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sales and certain other transactions by
brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K ((merchant card and third party network transactions)
DateY C,9r��C�/
• Forrn 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T
(tuition)
• Form 1099-0 (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Forrn W-9 only if you are a U.S. person (including a resident alien), to
provide your correct TIN.
1t you do not return Form W-9 to the requester with e TIN, you (night he subject
to backup withholding. See What is backup withholding? on page 2.
By signing the filled -out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting tor a number
to be Issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable share of
any partnership income from e U.S, trade or business is not subject to the
withholding tax on foreign partners' share of effectively connected Income, and
4. Certify that FATCA code(s) entered on this form Of any) indicating that you are
exempt from the FATCA reporting, is correct, See What is FATCA reporting? on
page 2 for further information.
Cat. No. 10231X Form W-9 (Rev. 12-2014)
tORIGIN (POSTAL SERVICE USE ONLY)
CUSTOMER USE ONLY
FROM: ,PLEASE PRINT)
FAC!LI
750 E
LEVER,
PHONE(
PAYMENT BY ACCOUNT (if applicable)
USPS" Corporate Acct. No.
Federal Agency Acct. No. or Postal Service'" Acct. No.
DELIVERY OPTIONS (Customer Use Only)
❑ SIGNATURE REQUIRED Note: The mailer must check the "Signature Required' box if the mailer. 1)
Requires the addressee's signature; OA 2) Purchases additional nsurance: OR 3) Purchases COD service; OR 4)
Purchases Return Receipt service. 0 the box ,s not checked. the Postal Service will leave the item in the addressee's
mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery.
Delivery Options
❑ No Saturday Delivery (delivered next business day)
❑ Sunday/Holiday Delivery Required (additional fee, where available")
❑ 10:30 AM Delivery Required (additional fee, where available`)
'Refer to USPS.com' or local Post Office" for availability.
11
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11
1
1
1
1
1
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1
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EF 094483809 US
UNITED STATES
POSTAL SERVICE®
1
11
1
1
1
1
1
1
PRIORITY
* MAIL *
EXPRESSTM
TO: (PLEASE PRINT)
,amu c-
04,) O
PHONE (�f F.,7j)
ZIP + 4° (U.S. ADDRESSES ONLY)
Cr,(.
-Day
❑ 2 -Da
❑ Military
DPO
PO ZIP Code
Date Accepted AIM/OD/YY)
Time Accepted
0 AM
❑ PM
Weight 0 Flat Rate
lbs. ozs.
Scheduled Delivery Date
)MMIDD/YY)
Scheduled Delivery Tme
❑ 10:30 AM ❑ 3:00 PM
❑ 12 NOON
10:30. AM Delivery Fee
SundayrHoliday Premium Fee
$
Acceptance Employee Initials
Postage
$
Insurance Fee
Return Receipt Fee
$
Total Postage & Fees
CCD Fee
$
Live Animal
Transportation Fee
DELIVERY (POSTAL SERVICE USE ONLY)
Delivery Attempt
MM/DD/YY)
• For pickup or USPS Tracking', visit USPS.com or call 800-222-1911.
• 9100.00 insurance included.
Delivery drtemot . MMI DD/YY)
-ORBEtm F`JAIQQAHr
Time
❑AM
PM
Time
❑ AM
QPM
Employee Signature
Employee Signature
• .•i-1 -1
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