Attachment G ARPA-H Model Other Transaction

This is a sample Other Transaction agreement with articles and language that are regularly used in ARPA-H OTs. Any text highlighted in turquoise may be information the Government asks to be provided by Performers, and text highlighted in yellow is information usually provided by the Government, however, any final language will be determined by the cognizant ARPA-H Agreements Officer (AO) and agreed upon by both Performer and AO. Fixed milestone/no resource share sample

OTHER TRANSACTION AGREEMENT

BETWEEN

INSERT PERFORMER AND ADDRESS, UEI

AND

THE ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH (ARPA-H)

CONCERNING

INSERT PROGRAM/PROJECT TITLE

Agreement No.: 1AYSAX00000X
Authority: 42 U.S. Code § 290c(g)(1)(D)
Total Amount of the Agreement: $ X,XXX,XXX [Base + Exercised Phases/Options] Segment 1 (Base): $ X,XXX,XXX
Segment 2 (Phase/Option, Exercised): $ X,XXX,XXX
Segment 3 (Phase/Option, Unexercised):$ X,XXX,XXX
Funding Obligated:
Date of the Agreement:

This Agreement is entered into between the United States of America, hereinafter called the Government, represented by The Advanced Research Projects Agency for Health (ARPA-H), and INSERT PERFORMER NAME. pursuant to and under United States Federal law.

-75063252427FOR INSERT PERFORMER NAME

400000FOR INSERT PERFORMER NAME

FOR THE GOVERNMENT

ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH

(Name, Title) (Name, Title)

ARTICLES

ARTICLE IScope of the Agreement

ARTICLE IITerm

ARTICLE III Management of the Project

ARTICLE IVAgreement Administration
ARTICLE VObligation and Payment
ARTICLE VIDisputes
ARTICLE VIIIntellectual Property Rights
ARTICLE VIIIForeign Access to Intellectual Property
ARTICLE IXTitle to and Disposition of Property
ARTICLE XPublic Release or Dissemination of Information ARTICLE XICivil Rights Act
ARTICLE XIISecurity
ARTICLE XIIIApplicable Law
ARTICLE XIVOrder of Precedence
ARTICLE XVExecution
ARTICLE XVISurvival
ARTICLE XVIIProhibition on Certain Telecommunications and Video Surveillance Services or Equipment
ARTICLE XVIIISpecial Terms and Conditions

ATTACHMENTS

ATTACHMENT 1Research Description Document (RDD)
ATTACHMENT 2Report Requirements
ATTACHMENT 3Schedule of Milestones and Payments
ATTACHMENT 4Agreements Officer’s Representative Appointment Memo

ARTICLE I: SCOPE OF THE AGREEMENT

A.Background and Scope
THIS PARAGRAPH(S) DESCRIBES THE VISION OF THE PROGRAM AND SHOULD ADDRESS THE FOLLOWING:

THE PURPOSE OF THE AGREEMENT/PROJECT

THE CURRENT TECHNOLOGICAL SITUATION OR CURRENT STATE OF THE ART