Lease Space to the State

Documents/Forms

The following are required documents when proposing space:

  1. Lease Proposal Form.  Use this form to submit your proposal to lease real estate to the State.
  2. SEEC Form 10.  Acknowledgement of campaign contribution prohibition.  Requires Lessor’s signature.  
  3. OPM Form 1 Gift and Campaign Contribution Certification.  Please complete the required information on page 2.  If no contributions were made, then please indicate as such by writing in the word, “none”.  Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.
  4. OPM Form 7 Iran Certification. Please check applicable boxes on the form.  Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.
  5. Nondiscrimination Certification. Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.
  6. Contact Affidavit. Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.


The following are required documents for a lease:

  1. Form Lease Agreement.  A State standard approved lease agreement.
  2. Contractor Authorization.  A sample of a certificate or resolution which is acceptable (template provided must be followed) to the Department of Administrative Services. Please complete and sign the document as required.   A certificate that is self-serving will not be accepted. 
  3. Contact Affidavit.  Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.
  4. OPM Form 1 Gift and Campaign Contribution Certification.  Please complete the required information on page 2.  If no contributions were made, then please indicate as such by writing in the word, “none”.  Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.
  5. Nondiscrimination Certification.  Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.
  6. OPM Form 7 Iran Certification.  Please check applicable boxes on the form.  Your signature and acknowledgement before Commissioner of the Superior Court or Notary Public is required.
  7. Environmental Affidavit.  Required by Section 4.03 of the form lease agreement.