Attachment G Model Other Transaction for Agreement

Other Transaction for Prototypes

BETWEEN

(INSERT PERFORMER AND ADDRESS)

AND

THE DEFENSE ADVANCED RESEARCH PROJECTS AGENCY

675 NORTH RANDOLPH STREET

ARLINGTON, VA 22203-2114

CONCERNING

(INSERT RESEARCH AND DEVELOPMENT TITLE)

Agreement No.: HR0011-XX-9-XXXX
Purchase Requisition No.: XXXXXXXXXXXXXX
Total Amount of the Agreement: $ XXXXXXXXXXXXXX
Funds Obligated: $ XXXXXXXXXXXXXX
Authority: 10 U.S.C. § 4022
Effective Date:XX/XX/XXXX

Line of Appropriation:

AA $

This Agreement is entered into between the United States of America, hereinafter called the Government, represented by The Defense Advanced Research Projects Agency (DARPA), and (INSERT COMPANY NAME) pursuant to and under United States Federal law. Note that by signing this Agreement, (INSERT COMPANY NAME) also attests to the accuracy and completion of the Certifications of the Agreement herein Attachment 5, Certifications for Agreement. (REMOVE LAST SENTENCE IF REPS/CERTS IS NOT INCLUDED AS ATTACHMENT AND IS INSTEAD SIGNED AND ON FILE SEPARATELY)

FOR (INSERT COMPANY NAME)FOR THE GOVERNMENT

DEFENSE ADVANCED RESEARCH PROJECTS

AGENCY

(Signature)(Signature)

(Name, Title) (Date)(Name, Title) (Date)

ARTICLES

ARTICLE IScope of the Agreement

ARTICLE II Term

ARTICLE III Management of the Project

ARTICLE IVAgreement Administration
ARTICLE VObligation and Payment
ARTICLE VIDisputes
ARTICLE VIIPatent Rights
ARTICLE VIIIData Rights
ARTICLE IXForeign Access to Technology
ARTICLE XSafeguarding Covered Defense Information and Cyber Incident Reporting ARTICLE XIFollow-On Production Contracts or Other Transactions ARTICLE XIITitle to and Disposition of Property
ARTICLE XIIICivil Rights Act
ARTICLE XIVSecurity
ARTICLE XVPublic Release or Dissemination of Information ARTICLE XVIOrder of Precedence
ARTICLE XVIIExecution
ARTICLE XVIIIProhibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment

ATTACHMENTS

ATTACHMENT 1Task Description Document
ATTACHMENT 2Report Requirements
ATTACHMENT 3Schedule of Milestones and Payments
ATTACHMENT 4 Agreements Officer’s Representative Appointment Memo ATTACHMENT 5Certifications for Agreement
ATTACHMENT 6 Property/Equipment

ARTICLE I: SCOPE OF THE AGREEMENT

A.Background

THIS PARAGRAPH(S) DESCRIBES THE VISION OF THE PROGRAM AND SHOULD ANSWER THE FOLLOWING QUESTIONS:

WHAT IS THE PURPOSE OF THE AGREEMENT?

WHAT IS THE CURRENT TECHNOLOGICAL SITUATION?

WHAT MAKES THIS PROGRAM A “CRITICAL TECHNOLOGY” EFFORT?

WHY IS THE CURRENT TECHNOLOGY NOT SUFFICIENT?