10-6056A
Lease
VA Form 10-6056A is a Lease form from the U.S. Department of Veterans Affairs, listed on VA's page under the Veterans Health Administration (VHA). It is a lease between the United States of America, represented by VA and called the Government, and a lessee. The form says the Government leases the described premises to the lessee, acting under the authority of section 5022, title 38, United States Code. It is a contract between VA and a lessee, not a Veterans benefit application.
The form is five pages. Pages 1 to 3 hold numbered clauses 1 to 25: the property and parties, the premises, purpose and term, rent or other consideration, notices, use, alterations, utilities, termination, insurance, liability, restoration and taxes. Page 4 holds clauses 26 and 27, the signature blocks for the United States of America and the lessee, and a certificate for a corporate lessee. Page 5 is Addendum I, the Contract Disputes Clause from Federal Acquisition Regulation 52.233-1.
You can fill out the PDF free in your browser on this page and download the result without an account.
The property location, the date the lease is made, the lessee's name and address, a description of the premises, the purpose or purposes they are used for exclusively, and the term with beginning and ending dates.
The rental amount and period, payable in advance, or other consideration as provided for by section 5022, title 38, and the lessee's address for notices.
VA supervision of use, the property leased without any representation or warranty, no alterations without prior written consent, compliance with local laws, Government entry, utility costs, no transfer or subletting without written permission, the termination notice period and damage or destruction.
Fire and extended coverage insurance, public liability insurance with minimum amounts left blank, indemnity, repair of Government property, limits on timber, mining and drilling, restoration at the end of the lease, records access and taxes.
The Contract Disputes Clause in Addendum I, compliance with VA Form 60-2135, Equal Opportunity Clause For Government Contracts, space for further provisions and conditions, the signature blocks and the corporate certificate.
The text of FAR 52.233-1, Disputes (July 2002), which makes the lease subject to the Contract Disputes Act of 1978 and describes claims, certification and Contracting Officer decisions.
Fill in clause 1: where the property is located, the date the lease is made and the lessee's name and address.
In clause 2, describe the leased premises, the purpose or purposes they will be used for and the term with beginning and ending dates.
Enter the rent or other consideration in clause 3, the notice address in clause 4, utility billing details in clause 10, the notice days in clauses 12 and 14 and the liability insurance amounts in clause 16.
Clause 27 leaves space for further provisions and conditions. The form says VA Form 60-2135 and Addendum I are attached and made part of the lease.
A representative signs for the United States of America and the lessee signs, each with name and title, with a witness line for the lessee. A corporate lessee also completes the secretary's certificate.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says notices are deemed given when enclosed in a properly sealed envelope, addressed as set out in clause 4 and deposited, postage prepaid, in a public mail box maintained by the U.S. Postal Service.
Clause 3 says any monetary compensation is made payable to the Treasurer of the United States and forwarded by the lessee directly to the VA.
If the lease was negotiated without advertising, clause 23 says the Comptroller General and the Secretary of Veterans Affairs may examine pertinent lessee records until 3 years after final payment.
Each page footer reads VA FORM SEP 2009 10-6056a, matching the September 2009 revision date on VA's page.
The form names the parties that complete, sign and receive it.
No tool matches that search.
It is a lease between the United States of America, represented by the Department of Veterans Affairs, and a lessee, made under the authority of section 5022, title 38, United States Code.
A representative for the United States of America and the lessee, each with name and title, plus a witness line for the lessee. For a corporate lessee, the secretary or assistant secretary signs a certificate.
Clause 3 sets a rental amount per period, payable in advance, or other consideration as provided for by section 5022, title 38. The form says monetary compensation is payable to the Treasurer of the United States.
Clause 11 says the lessee shall neither transfer nor assign the lease nor sublet the premises, nor grant any interest in connection with it, without prior permission in writing from the Government.
Clause 12 lets either party terminate on a number of days' notice filled in on the form. Clause 14 says the lease terminates immediately if the premises are totally destroyed by fire or other casualty.
Clause 25 makes the lease subject to the Contract Disputes Clause attached as Addendum I, which is FAR 52.233-1 and refers to the Contract Disputes Act of 1978.
