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GENERAL SERVICES ADMINISTRATION <br /> PUBLIC BUILDINGS SERVICE PAGE 1 OF 1 PAGES <br /> CONDITION SURV Y R PORT DATE OF SURVEY <br /> 09/23/2021 <br /> B N FICIAL OCCUPANCY Check one: INITIAL X FINAL <br /> BUILDING NAME AND ADDRESS LESSOR'S NAME AND ADDRESS <br /> Bonnie B. Davis Environment and Agricultural Center Orange County of North Carolina <br /> 1020 Highway 70 West P.O. Box 8181 <br /> ROOM NUMBERS OR OTHER IDENTIFICATION LEASE NUMBER <br /> 150 and 141 E-F 57-37135-21-FA <br /> SUGGESTED ITEMS (Incomplete) NARRATIVE REPORT <br /> 1. BUILDING EXTERIOR REPORT ON ALL PERTINENT ITEMS, COMMENTING AS TO THEIR GENERAL CONDITION AND <br /> APPEARANCE, TYPE OF CONSTRUCTION, CONDITION OF PAING OR OTHER FINISH, ETC. USE <br /> 2. BUILDING ENTRANCES REVERSE OF THIS FORM IF MORE SPACE IS NEEDED. <br /> 3. CEILING OCCUPANCY INSPECTION COMPLETED ON 09/23/2021 AND CONSTITUTES <br /> a. MATERIAL <br /> ACCEPTANCE OF THE TENANT IMPROVEMENTS/SPACE BY USDA,EXCEPT FOR THE <br /> b. PAINT FOLLOWING ITEMS THAT STILL REQUIRE COMPLETION: <br /> 4. CORRIDORS <br /> 5. DOORS <br /> a. MATERIAL All Items Complete <br /> b. LOCKS <br /> c.TRANSOMS <br /> 6. ELECTRICAL SYSTEM <br /> a. LIGHT FIXTURES(NUMBER AND TYPE) <br /> b. SWITCHES <br /> c. OUTLETS <br /> 7. ELEVATORS(NUMBER AND TYPE) <br /> 8. FIRE ESCAPES <br /> 9. FIRE PROTECTION EQUIPMENT <br /> a. FIRE EXTINGUISHERS(TYPE) <br /> b. HOSE RACKS AND/OR REELS <br /> c. FIRE ALARM SYSTEM (TYPE) <br /> d. SPRINKLERS <br /> 10. FLOORS <br /> a. MATERIAL <br /> b. COVERING <br /> 11. HEATING AND AIR CONDITIONING SYSTEMS <br /> a. HEATING PLANT(TYPE) <br /> b. RADIATORS <br /> c. SPACE HEATERS <br /> d. AIR DUCTS AND OUTLETS <br /> e. FANS <br /> 12. LAVATORIES(OFFICE) <br /> 13. REST ROOM FACILITIES <br /> a. LAVATORIES <br /> b. WATER CLOSETS <br /> c. URINALS <br /> d. MIRRORS <br /> e.WASTE RECEPTACLES <br /> f.TOWEL DISPENSERS Other: <br /> g.TOILET PAPER DISPENSERS <br /> h. SANITARY PAD DISPENSERS Rural Development: <br /> 14. SKYLIGHTS <br /> 15. STAIRS OCIO CEC: <br /> 16.VENTILATORS We,the undersigned,do hereby certify that this report represents our opinion of the tru and correct <br /> 17.WALLS condition of the above described premises as of <br /> a. MATERIAL Date: 09/23/2021 <br /> b. PAINT <br /> SIGNATURE AND TITLE <br /> 18.WINDOWS TINA M I L L E R Digitally signed by TINA MILLER <br /> a. FRAME Farm Service Agency Date: 2021.09.23 08:29:16-04'00' <br /> b. SASH SIGNATURE AND TITLE <br /> c.VENETIAN BLINDS Digitally signed by EDWARD <br /> d. ROLLER SHADES Natural Resources Conservation Service EDWARD BOGU E ROGUE <br /> Date:2021.09.23 09:39:05-04'00' <br /> e. SCREENS SIGNATURE OF LESSOR (Ifnot obtained, explain on reverse) <br /> f.AWNINGS Alan Dorman Digitally signed by Alan Dorman <br /> Date:2021.09.30 14:47:21-04'00' <br /> GSA WASH DC 56-4199 GSA FORM 1204 <br /> AUGUST 1955 <br />